Kudzidza Kunoratidza Hurefu, Ngozi Yekuratidzwa kweTB: Chikamu I
Kudzidza Kunoratidza Hurefu, Ngozi Yekuratidzwa kweTB: Chikamu I
Anonim

Muna 2018, nyika 8 - dzichitungamirwa neIndia - dzakaita zvikamu zviviri muzvitatu zvechirwere cherurindi pasi rose, chichiteverwa neBangladesh, China, Indonesia, Nigeria, Pakistan, Philippines neSouth Africa. Mukuedza kupedza chirwere ichi, vatungamiri vepasi rose vanobva kunyika dzinopfuura zana vakavimbisa kupa mishonga yekudzivirira TB kuvanhu vanosvika miriyoni makumi maviri nemana vanenge vabatwa neTB panosvika gore ra2022. Kusvika pari zvino, nyika dziri kure nekuzadzikisa chinangwa ichi.

Nekuda kweizvozvo, paWorld TB Day Kurume 24, 2020, World Health Organisation yakakurudzira kuwedzera kurapwa kwekudzivirira TB. Kuedza vanhu TB inoshanda, hazvina kukwana, WHO yakati; vanhu vemumba nevanorwara neHIV vanofanira kuongororwa TB, zvakare. Avo vanenge vaonekwa kuti havana TB vanogona kuramba vaine TB yakarasika, saka vanoda mishonga yekudzivirira. Vanhu vasina zviratidzo havasati vatapuriranwa, asi vane 5% kusvika 15% panjodzi yehupenyu hwese yechirwere ichikura kuita TB. Latent TB inogonawo kukonzera chirwere chisingaperi uye vanga pamapapu.

Kusvika pari zvino, vanhu muIndia chete vanowana kurapwa kwekudzivirira TB kazhinji vana vari pasi pemakore matanhatu uye vanhu vane HIV, asi chidzidzo chitsva chine chinangwa chekushandura mutemo iwoyo.

Ongororo ichangoburwa iyi, inotungamirwa naJohns Hopkins Mushonga uye yakaitwa nevatsvagiri vekuAmerica neIndia, inotsigira kushanda kwemaitiro ekurapa mudzimba dzeIndia, sekurudziro yeWHO.

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Zvakataurwa neChidzidzo

Vatsvakurudzi vakaedza 997 vatori vechikamu mumaguta eIndia ePune neChennai avo vakanga vasangana nenhengo yemhuri ine pulmonary TB (inokanganisa mapapu). Vakaongororwa TB katatu mukati memwedzi makumi maviri nemina. Chikamu che71% chevanhu vemumba ava vakaonekwa vaine TB panguva yekuongororwa kwekutanga; 2% vakawana chirwere mukati memwedzi makumi maviri nemana.

Zvisinei nehumbowo uhu, kuyedza kushamwaridzana kwemhuri hachisi chikamu chakakosha cheIndia hutano hwehutano. "Takaona kuti havasi vana neavo vane HIV chete vari panjodzi asi vamwe mumhuri vari panjodzi yeTB, pamwero wakakwira zvakanyanya kupfuura huwandu hwevanhu," Amita Gupta, MD, purofesa wemishonga paJohns Hopkins University School. weMedicine, akaudza Medical Daily. “Takawana chikamu chikuru che70% chaive nehumbowo hwekuti munhu ane TB sezvakayerwa pamwe nekuongororwa ganda reropa. Kuongororwa kuti vane hutachiwana hweTB kunorevawo kuti vari panjodzi huru yekubatwa neTB.” Dr. Gupta vakatungamirira boka rekutsvagisa kuIndia.

Huwandu uhu hunoratidza kuti pavanhu 1 000 voga voga, vanhu gumi nevaviri vanogona kubatwa neTB kubva kune mumwe munhu ari mumba mavo ane TB inorwisa utachiona, vatsvakurudzi vakawana. Zvakawanikwa izvi zvakapembedza gwara reWHO rinokurudzira mishonga yekudzivirira pasina kuongororwa vanhu TB. Kurapa kwakapararira kunogona kudzikisa mamirioni mazana maviri nemazana mana emhosva dzakataurwa gore rapfuura munyika, vaongorori vanotarisira. Chirongwa chenyika chekudzora TB chakaitwa, asi zvinhu zvinoderedza -- uwandu hwevanhu munyika vanosvika bhiriyoni imwe nemazana matatu -- hazvina kumbobvumira kubudirira chaiko. MuIndia, kuwanda kwechiverengero chavagari vapasi i1, 190 pakiromita imwe; muUnited States, density i93.

Panyaya yekuti nyika ichafambira mberi sei uye ichabatsirwa nemishonga yekudzivirira, Dr. Gupta vakati, “Nzira dzeutano dzakasimba dzinobatsira kwete kurwisa TB chete asi [kurwisana] nezvimwe zvirwere zvinotapuriranwa nezvisingatapurirane. inogona kukunda njodzi dzekuputsika kwezvivakwa, vashandi vanobhadharwa mari shoma uye vasina mari shoma, masisitimu ekugadzirisa data, kushaikwa kwekuzvidavirira, uye zvitendero zvisizvo."

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Muedzo Wakaganhurirwa Unodaidza Kurapa Kupfupi Kwemabatirwo Akafumurwa

Munyika dzine urombo, kuongororwa kweTB kwakapararira hakugoneki nekuda kwekudhura kwayo uye kuoma kwayo. Naizvozvo, WHO haisimbirire pakuyedza vanhu vekumba isati yavapa kurapwa. "Tinofanirwa kuita mutsauko pakati pekuongororwa chirwere cheTB" -- zvinosanganisira chidzitiro chechiratidzo, kuongorora sputum, chipfuva X-ray "uye kuongororwa hutachiona hweTB" -- kunosanganisira kuongororwa kweganda neropa, akadaro munyori anotungamira Mandar Paradkar. hurukuro neMedical Daily. "Chokwadi, chero kusangana nezviratidzo kunofanira kuongororwa kuti tive nechokwadi chokuti havana TB inoshanda. Chidzidzo chedu chinongoratidza kuti kuongororwa kwehutachiona hweTB hunenge husina kufanira hazvidikanwi pazvisarudzo zvekudzivirira kurapa, " Dr. Paradkar, MBBS, DCH, MPH, chiremba wevana ndiye murongi wezvidzidzo paByramjee Jeejeebhoy Government Medical College Clinical Research Site muPune.

Kazhinji, isoniazid, mushonga unorwisa mabhakitiriya, unopiwa mwedzi mitanhatu kusvika kumipfumbamwe nokuda kweTB yakarambira. Zvisinei, WHO inokurudzira nguva pfupi yekurapa kuti ibudirire kurapa vanhu vakawanda sezvinobvira. Dr. Gupta vakatsanangura chikonzero. “Kunewo mishonga mitsva mitsva uye inoshiviririka yekudzivirira inoreba mwedzi 1–3 (zvichienzaniswa nemwedzi mitanhatu – 9 yeisoniazid), [saka] zviri nyore kudzivirira nhengo dzemhuri kubva kuchirwere cheTB mushure mekunge vaita. zvakafumurwa. India inokwanisa kushandisa vanhu vayo zviri nyore, ruzivo muruzivo rwemichina uye kugona kwayo kugadzira mishonga isingadhuri kuona vanhu vabatwa nechirwere ichi, uye kupa vanhu vekumba kwavo dziviriro yeTB yakachengeteka uye isingadhuri.

Sekureva kwaDr. Gupta, zvakakosha kuwana huwandu hwevanhu vane njodzi uye nzvimbo dzinopisa uko kune huwandu hwehutachiona hwehutachiona. “Kune vanhu vemumba vanenge vachangobva kubatwa neTB iboka rakadai, sevanhu vachangobva kubatwa neTB, uye vari panjodzi huru yekubatwa neTB pane veruzhinji.’’

Zvimwe Zvikonzero Zvepamusoro TB Nyaya DzeNhamba

Tuberculosis inogona kusanzwa kurapwa. Iri idambudziko rinowanzoitika uye rinoitika kana vanhu vatadza kupedza kurapwa kana kuti vanotora zvisirizvo. Muna 2017, paive ne558,000 zviitiko zveTB isingarape mishonga. Kunyangwe India chete yakashuma zviuru zana nemakumi matatu zvezvirwere zveTB zvisingaite muna 2018, vaongorori havana kufunga nezveizvi. "Ongororo yedu yakaitwa pakati pevanoshamwaridzana nevarwere vane TB vane zvinodhaka, saka havagoni kutaura zvakananga pamusoro pemigumisiro yekurapa kwemaitiro pakuramba kwezvinodhaka," Dr. Paradkar akawedzera.

Kushandisa doro nefodya kune chekuita nenjodzi yeTB. Muchidzidzo ichi, kuratidzwa kwemhuri kwakanga kusingabatanidzi kusvuta, kunwa doro uye chirwere cheshuga munguva yekudzidza, vatsvakurudzi vakachengetedza.

Mangwana: Zvakawanda paTB nezvimwe zvirwere zvekufema, kunyanya COVID-19.

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