I-Apollo kanye neNyunyana, Yethula Uhlelo Lokulinga

Isicelo esiyingqayizivele sizokwenza kube lula ukubambelela ekwelashweni kwe-TB ngezikhumbuzi ze-SMS, izingcingo zezwi ezixoxisanayo kanye nezinsizakalo zokwelulekwa
Isixazululo esiwusizo ukunqanda ukubhebhetheka kwalesi sifo

I-Hyderabad, Mashi, 2015: 'Inyunyana' (Inyunyana Yamazwe Ngamazwe Emelene Nesifo Sofuba Nezifo Zamaphaphu) ngokubambisana nezibhedlela zase-Apollo, e-Hyderabad, yethula iphrojekthi yokuhlola yokuhlanganisa ukwelashwa kwe-TB okunikezwa emkhakheni wokunakekelwa kwezempilo ozimele noHlelo Lukazwelonke Lokulawula I-TB ngokusebenzisa uhlelo lokusebenza oluyingqayizivele olusekelwe kuwebhu. Lolu hlelo lokusebenza lusiza isaziso sesifo sofuba esithuthukisiwe, ukubambelela kwesiguli ekwelashweni kanye nokuqinisekisa imiphumela engcono.

Isofthiwe emisha ixhumanisa isikhungo sezempilo esizimele nengosi kaHulumeni waseNdiya yezaziso ze-TB i-Nikshay. Ngesikhathi esifanayo isekela iziguli ze-TB ngokubambelela ekwelashweni ngemiyalezo, izingcingo zezwi ezixoxisanayo kanye nezinsizakalo zokwelulekwa. Ukwethulwa kwalo msebenzi wokulinga kusetshenziswa uhlelo lokulawula nokwelapha isifo sofuba kwamenyezelwa nguNkz. Sangita Reddy, Dy. UMqondisi Ophethe, i-Apollo Hospitals Group; UDkt. Sarabjit Chadha, uMqondisi Womklamo, Inyunyana - India; UDkt. Sai Praveen Haranath, onguMeluleki Omkhulu we-Pulmonologist, iDolobha Lezempilo lase-Apollo; UDkt Dilip Mathai, uDini, i-Apollo Institute of Medical sciences & Research; UDkt. Lavanya Nutankalva, Umxhumanisi Wezifo Ezithathelwanayo kanye noDkt. Suneetha Narreddy, onguMxhumanisi wezifo ezithathelwanayo, i-Apollo Health City, eNgqungqutheleni yabezindaba ngoLwesihlanu e-Apollo Health City.

Isifo sofuba sikhula ngenani eliwumqedazwe obangela ukufa kwabantu abacishe babe yizigidi eziyi-1.5 unyaka ngamunye, ikakhulukazi emazweni asathuthuka. Ngokwezibalo ezitholakalayo, i-India iyodwa yenza ingxenye yesine yabantu abasha abanesifo sofuba abatholakala emhlabeni wonke unyaka nonyaka, i-India inamacala amasha ayizigidi ezi-2.2 kwabangu-8.6 million emhlabeni jikelele. Lesi sifo esiphathwa ngomoya sibulala amaNdiya angaba yi-1000 nsuku zonke futhi ngenxa yalokho sithathwa njengenkinga enkulu yezempilo yaseNdiya. Esinye sezizathu ezibhebhethekisa ukwanda kwezigameko ukuntula ukudidiyelwa kohlelo lwe-TB nomkhakha ozimele wokunakekelwa kwezempilo, ngaphandle kokuyeka ukuhlala uqaphile, ukugadwa okusebenzayo kanye nokuqapha. Imvamisa iziguli ezibika emitholampilo ezimele noma ezibhedlela ngemuva kokuthola usizo lokuqala kulesi sifo zisuke zingekho ekwelashweni, okuholela ekungalandelwani kokwelashwa, kanti leso kuyinkathi ebalulekile yokulandelela nokuqapha ngamandla. Iziguli ezinjalo nazo zigcina zibhebhethekisa lesi sifo emphakathini.

Inhlangano Yezempilo Yomhlaba (i-WHO) ngeSu layo lokuStop TB, ibilokhu ixoxisana nabahlinzeki bezempilo abafanelekile ngokusebenzisa izindlela ezixubile zomphakathi nezizimele kanye nezomphakathi ekunakekelweni nasekulawuleni isifo sofuba. Inhlangano yomhlaba wonke eyaziwa kakhulu esebenza kule nkundla - Inyunyana, ngokubambisana neLilly MDR-TB ubambiswano isebenzisa iphrojekthi yokubandakanya ngokuhlelekile abahlinzeki bezempilo abazimele ekuletheni izinsizakalo ze-TB ezisebenzayo nezisezingeni eliphezulu eNdiya.

Njengengxenye yalolu hlelo i-Apollo Hospitals isebenzela ukuthuthukisa isaziso ngesifo sofuba, ukubambelela ekwelashweni kanye nemiphumela engcono, ngokubambisana neNyunyana futhi sethule iwebhusayithi - http: //www.ahtts.in/. Isofthiwe exhunywe nephrojekthi ye-Nikshay, isiza ekukhumbuzeni iziguli nge-SMS evamile ukuthatha imithi, ngaphezu kwalokho, ithuluzi lokuphendula ngezwi elihlanganisiwe liqapha ukubambelela ekwelashweni.

"Ukungalandeli imishanguzo kwandisa amathuba okuba nesifo sofuba esingazweli emishanguzweni, okuyinto ekhathaza kakhulu eNdiya. Ukuphatha okuzenzakalelayo kuzothuthukisa ukunakekelwa futhi kusindise izimpilo. Akusenani ukuthi singayiqeda yini i-TB - sekuwubizo lokuthatha isinyathelo ukuze kuqedwe ngokuphelele lesi sifo esibulalayo emhlabeni," kusho uNksz Sangita Reddy. Sethula iphrojekthi yokuhlola namuhla futhi sizoyidlulisela kwezinye izindawo

amasonto ezayo. Uthe, i-TB inesixazululo, kodwa ukungabikhona kwethu esimweni sokuyilawula kuyadabukisa. Ekhuluma ngokudlanga kwe-TB e-India, uthe, inkinga inkulu, isixazululo siqinile kodwa ukuqwashisa komphakathi kuncane futhi wacela abezindaba ukuthi basebenzele ukwandisa amazinga okuqwashisa. I-Apollo Hospitals izibophezele, sizoqhuba uhlelo olusebenzayo lwe-TB. Amaphesenti angama-70 eziguli awasakwazi ukusebenzisa uhlobo lokwelashwa, ukungenelela ngobuchwepheshe ngendlela yalolu hlelo lokusebenza kuzoqinisekisa ukubambelela okungcono. Isicelo sizohlolwa futhi senziwe sasebenza kahle e-Apollo Hospitals, eJubilee Hills, ngaphambi kokuthi sidluliselwe kwezinye izibhedlela zeQembu ngokulandelayo, esho.

UDkt. Sarabjit Chadha uthe, ingxenye yeziguli ze-TB yelashwa emkhakheni ozimele wokunakekelwa kwezempilo, ngokuvamile ayikho indlela yokulandelela yalezi ziguli. Le software ithwebula imininingwane ebalulekile yeziguli ezinjalo, yazisa ukugula kwesiguli. Ixhumana nesiguli njalo ngezikhumbuzi ze-SMS zansuku zonke zokusebenzisa umthamo womuthi, ihlola ukubambelela kwayo ekwelashweni nge-IVR njalo ngosuku lwesithathu futhi abeluleki baseSibhedlela i-Apollo bazokhuluma ngocingo futhi bavakashele uma kunesidingo lezo ziguli ezinganamatheli esivumelwaneni sokwelashwa futhi zizeluleke ukuthi zibuyele endleleni yokwelashwa. Lolu hlelo sizolufinyelela kwezinye izibhedlela ezizimele ezingakwazi ukuphindaphinda, ekuphothulweni ngempumelelo kwalo msebenzi wokulinga. Uthe, ukuhlonzwa kwe-TB sekwephuzile kube yimpumelelo, nokho izindawo zokuhlala zesimanje kanye nokuminyana kwabantu emadolobheni kunikeza i-tb egcwele ukuze i-TB isakazeke ngokushesha, kuyilapho kukhumbuza isisho esithi 'i-TB noma kuphi i-TB yonke indawo.' Futhi izehlakalo eziphezulu zokungazweli emishanguzweni ngenxa yokweqa umthetho olandelwayo wokwelapha kuyimbangela yokukhathazeka. Uthe, okwamanje sisebenzela uhlobo lokwelapha olufushane olubizwa nge-STREAM (Standardized Treatment) Regimen yokwelashwa kwe-TB, ukuze kwehliswe ubude besikhathi sokwelashwa sisuke kule minyaka emibili yamanje siye ezinyangeni eziyisishiyagalolunye. Senze ukuhlolwa kokuhlola lokhu e-Bangladesh futhi njengamanje selapha iziguli ze-TB emazweni amane, i-Vietnam, iMongolia, i-Ethiopia naseNingizimu Afrika, ngalolu hlobo lwemithi enezinga lokwelapha elingama-85%. Sizoqedela uvivinyo lwethu futhi sikwethule e-India ngo-2016. Uthe, izinkampani ezimbalwa zaphesheya sezenze imithi yokwelapha i-Multiple drug resistance, okwamanje ayitholakali e-India.

UDkt. Sai Praveen Haranath uthe, noma yikuphi ukukhwehlela okungapheli esikhathini esingamasonto amabili kudingeka kuhlolwe. Abantu bangase bathole i-TB, engase ihlale ingasebenzi isikhathi eside, kodwa ezosebenza lapho amasosha omzimba ebuthakathaka noma umuntu edla imishanguzo yokucindezela amasosha omzimba. Uthe, ukulahleka komkhiqizo ngenxa ye-TB e-India kuphela kulinganiselwa ku-$25bn.

UDkt Dilip Mathai uthe, i-TB iyisifo esingelapheki, imvamisa iziguli zibika kodokotela sekwephuzile, ukuxilonga kulula futhi uma umuntu ephuza imithi yelapheka ezinyangeni eziyisithupha ku-98% wezifo.

Mayelana ne-Apollo Hospitals

Kwakungonyaka ka-1983, lapho uDkt. Prathap Reddy enza khona umzamo wokuphayona ngokwethula isibhedlela sokuqala sebhizinisi saseNdiya - Isibhedlela i-Apollo e-Chennai. Manje, njengeqembu lezempilo elikhulu nelithenjwa kakhulu e-Asia, ubukhona balo buhlanganisa imibhede engu-8,488 kuzo zonke izibhedlela ezingu-51, Amakhemisi angu-1,586, Imitholampilo Yokunakekelwa Okuyisisekelo kanye Neyokuxilonga engama-92, amayunithi ayi-100 eTelemedicine emazweni angu-10. Izinsizakalo Zomshwalense Wezempilo, I-Global Projects Consultancy, amakolishi angu-15 Obuhlengikazi Nokuphathwa Kwezibhedlela kanye neNhlangano Yokucwaninga egxile ezivivinyweni zemitholampilo yomhlaba wonke, izifundo ze-epidemiological, ucwaningo lwamaseli nofuzo kanye nesikhungo sokuqala se-Proton Therapy kulo lonke elase-Asia, e-Afrika nase-Australia.

Ngenhlonipho eyivelakancane, uHulumeni waseNdiya ukhiphe isitembu sesikhumbuzo sokuhlonipha umnikelo ka-Apollo, esokuqala senhlangano yokunakekelwa kwezempilo. USihlalo Wezibhedlela i-Apollo, uDkt. Prathap C Reddy, wanikezwa i-Padma Vibhushan ehlonishwayo ngo-2010. Iminyaka engaphezu kwengu-28, i-Apollo Hospitals Group iqhubekile nokwenza kahle futhi igcine ubuholi ekusungulweni kwezokwelapha, izinsizakalo zomtholampilo ezisezingeni lomhlaba kanye nobuchwepheshe obusezingeni eliphezulu. Izibhedlela zethu zihlala zibalwa phakathi kwezibhedlela ezihamba phambili emhlabeni wonke ngezinsizakalo zezokwelapha ezithuthukisiwe nocwaningo.

Mayelana neNyunyana

Umgomo weNhlangano Yamazwe Ngamazwe Yokulwa Nesifo Sofuba Nezifo Zamaphaphu (Inyunyana) ukuletha izinto ezintsha, ubuchwepheshe, izixazululo kanye nokwesekwa ukuze kubhekwane nezinselele zezempilo kubantu abahola kancane nabahola kancane. Indlunkulu yayo eParis, iNyunyana ukuphela kwenhlangano yesayensi yokuzithandela yamazwe ngamazwe enabalingani abahlinzeka ngenkundla engathathi hlangothi yokulwa nesifo sofuba, i-HIV, isifuba somoya, ugwayi nesifo samaphaphu.

Isungulwe ngo-1920, iNyunyana namuhla iyisikhungo esingenzi nzuzo esineminyango emihlanu yesayensi namahhovisi amaningana emhlabeni jikelele; kanye nomfelandawonye wezinhlangano nabantu ngabanye abasondele ku-3,000. Iminyango yayo yesayensi igxile ekubhekaneni nezinselelo ezinkulu zezempilo ezihlanganisa: Isifo Sofuba, I-HIV, Impilo Yamaphaphu (kuhlanganise Nempilo Yamaphaphu Engane), Izifo Ezingathathelwana, kanye Nokulawulwa Kogwayi. Usizo lwezobuchwepheshe, ucwaningo, imfundo kanye nokumela kwakha umnyombo wemisebenzi yeNyunyana nokusekelwa emazweni angaphezu kuka-170 nezinhlelo emhlabeni jikelele.

Inyunyana yaziwa kabanzi ngokwenza isu le-DOTS (Directly Observed Treatment, Short Course) lokwelapha nokulawula isifo sofuba. Kunconywe emhlabeni wonke futhi kwemukelwe yiNhlangano Yezempilo Yomhlaba, imodeli yeNyunyana isetshenziswe ukwelapha abantu abayizigidi ezingama-37 emhlabeni jikelele. Ukuze uthole ulwazi olwengeziwe, sicela ubone www.theunion.org.

Mayelana ne-Union South-East Asia

IHhovisi le-Union South-East Asia Office (USEA), elizinze eNew Delhi, lisebenza e-Bangladesh, e-India, e-Indonesia nakwamanye amazwe esifundeni sonke, lidonsa inethiwekhi yababonisi kanye nobudlelwano obuqinile nohulumeni, izinhlangano zomphakathi, izinhlangano kanye nezinhlangano zomhlaba wonke. Yasungulwa ngo-2003 njengehhovisi lesifunda lokuqala leNyunyana, namuhla iletha ulwazi nobuchwepheshe bomhlaba wonke emsebenzini wayo kanye nokusebenza kahle namandla ezinsizeni zeNyunyana kuso sonke isifunda. I-USEA inabasebenzi abazinikele abanolwazi lwezobuchwepheshe olubonisa ukugcizelela kweNyunyana mayelana nesifo sofuba, i-HIV, impilo yamaphaphu, ukulawula ugwayi, izifo ezingathathelwana kanye nocwaningo.

Kusukela ngo-2009, i-USEA iye yaphatha i-Project Axshya, iphrojekthi esekelwe ye-Global Fund eklanyelwe ukuthuthukisa ukufinyelela ezinsizeni ze-TB ngabantu abasengozini nabancishwe amathuba ezifundeni ezingu-300 ezifundazweni ezingu-21 zase-India. Amanye amaphrojekthi abalulekile ahlanganisa imizamo yokulawula ugwayi e-India, Nepal naseBangladesh ngokusebenzisa i-Bloomberg Initiative yokunciphisa ukusetshenziswa kukagwayi; kanye nephrojekthi esekelwe i-Eli-Lilly yokwandisa ukulawulwa kwe-TB esimeme eNdiya. I-USEA iphinde ididiyele ukuqeqeshwa ukuze kwakhiwe amandla okuphatha i-TB ne-MDR-TB, ucwaningo lokusebenza, ukuphathwa kwezinhlelo namanye amakhono.