Tuberculosis
Sifuba semoya (i-TB) sifo lesitsatselanako lesivamise kubangelwa ngemabhakthiriya esifo semoya (ema-MTB). Sifuba semoya sivamise kuhlasela luemaphaphu, kantsi singatihlasela naletinye tincenye temtimba. tifo letinyenti letitsatselanako atinato timphawu, leto tivamise kwatiwa ngekutsi yi-latent tuberculosis. kusuleleka lokubalelwa ku10% kwe-latent kuyaye kuchubeke kube sifo lesiphilako, uma ngabe siyekeliwe sangalashwa, sivamise kubulala ihhafu yalabo labanaso. Timphawu letatiwako tesifo seTB lesiphilako kutsi ukhwehlele lokungapheli netikhwehlela letinengati, ifiva, kujuluka ebusuku, nekondza . loku bekuvamise kubitwa nge "kuphelelwa" lebekubangelwa ngulokondza. kusuleleka kwaletinye titfo temtimba kungabangela timphawu letinyenti.
Tuberculosis | |
---|---|
Kuhlelwa kanye nemitfombolwati yangaphandle | |
Chest X-ray of a person with advanced tuberculosis: Infection in both lungs is marked by white arrow-heads, and the formation of a cavity is marked by black arrows. |
Sifuba semoya sisabalala emoyeni uma ngabe bantfu labane TB emaphashini abo bakhwehlela, bakhafuna, bakhuluma noma batsimula. bantfu labane TB leyisengakabonakali abasisabalalisi lesifo. Kusuleleka ngalesifo ngalokubonakalako kuvela kakhulu ebantfwini labane HIV/AIDS nalabo lababhemako. Kutfolakala kwalesifo lesiphilako se-TB kucondziswe kuma X-rays esifuba, kanye nekuhlolwa ngemicroscop ne simo salokuliketjeti lokusemtimbeni. Kuhlolwa kwesifo se-TB lesengakabonakali kweyame kuluhlolo lwesikhumba lolubitwa nge tuberculin (i-TST) noma luhlolo lwetingati.
Kuvikelwa kwe-TB kufaka ekhatsi kuhlolwa kwalabo labasengotini kakhulu, kutfolakala kwalesifo kusenesikhatsi nekulashwa kwalabagulako, nekuniketwa imitsi lehambisana ne bacillus Calmette-Guérin (i-BCG). Labo labasengotini kakhulu kufaka ekhatsi labasemakhaya, emsebentini, nalabo latsintsana nabo emphakatsini labanesifo se-TB. Kwelashwa kudzinga tindlela letiphindziwe tekusetjentiswa kwema antibiotics sikhatsi lesidze. kungasebenti kwema Antibiotic yinkinga lebhebhetsekako bese kuba nekukhula kwemazinga kwekungasebenti kwetidzakamiva tekulapha sifo sesifuba semoyalesingalapheki lula (i-MDR-TB) kanye nekungasebenti kwetidzakamiva ngalokuphakeme nakulashwa sifo semoya lesibitwa nge (XDR-TB).
Kusukela nga 2018 ikota yinye yebantfu labaphilako kucatjangwa kwekutsi basuleleke nge-TB. Kwesuleleka lokusha kulinganiselwa ku 1% walabantfu labakhona njalo ngemnyaka. Nga 2017, bekunebantfu labagulako labangetulu kwetigidzi leti-10 labanesifo se-TB lokwaholela kwekutsi kushone bantfu labalinganiselwa kusigidzi 1.6. Loku kwenta kwekutsi lesifo sibe yimbangela lehambembili yetifo letisulelanako letibulalanako. Kufa lokungetulu kwa 95% kwenteka emaveni lasatfutfuka, nangetulu kwa 50% e-India, China, Indonesia, Pakistan, nase Philippines. Inombolo yebantfu labasha labagulako njalo ngemnyaka yehlile kusukela nga 2000. Bantfu labalinganiselwa ku-80% emaveni lamanyenti ase Asia nase Afrika batfolakele banalesifo ngalesikhatsi 5-10% webantfu base United States batfolakele banalesifo ngalesikhatsi bahlolwa ngeluhlolo lwe-tuberculin. Sifo sesifuba semoya besisolo sikhona ebantfwini kusukela etikhatsini takudzala.