Ogaanshaha isku mar ah ee caabuqa TB iyo iska caabinta RIF & NIH

Qaaxada (TB), oo ay keento qaaxada Mycobacterium, ayaa weli ah khatar caafimaad oo caalami ah.Iyo iska caabbinta sii kordheysa ee dawooyinka muhiimka ah ee Qaaxada sida Rifampicin (RIF) iyo Isoniazid (INH) ayaa ah mid khatar ah oo kor u sii kacaysa carqaladaynta dadaallada xakameynta TB ee caalamiga ah.Tijaabada molecular ee degdega ah ee saxda ah ee Qaaxada iyo iska caabinta RIF & INH ayaa WHO kula talisay in ay ku aqoonsato bukaanada cudurka qaba wakhtigeeda oo ay siiso daawayn ku haboon wakhtiga ku haboon.

Caqabadaha

Qiyaastii 10.6 milyan oo qof ayaa u bukooday TB sanadka 2021 iyadoo ay korortay 4.5% 10.1 milyan sanadkii 2020, taasoo keentay in lagu qiyaaso 1.3 milyan ay u dhintaan, taasoo u dhiganta 133 xaaladood 100,000kiiba.

Qaaxada u adkaysata daawada, gaar ahaan MDR-TB (u adkaysta RIF & INH), ayaa si isa soo taraysa u saamaynaysa daawaynta iyo ka-hortagga Qaaxada caalamiga ah.

Baadhitaanka degdega ah ee TB iyo RIF/INH ee iska caabbinta degdega ah ayaa looga baahan yahay daaweyn hore oo waxtar leh marka la barbar dhigo natiijooyinka baaritaanka u nuglaanshaha daroogada.

Xalkayaga

Baaritaanka Marco & Micro-Test 3-in-1 TB ee caabuqa TB/RIF & Ogaanshaha iska caabinta NIHtawood u siinaya in si hufan loo ogaado TB iyo RIF/INH hal mar oo la ogaado.

Tignoolajiyada qalooca dhalaalaysa waxay xaqiiqsato in si isku mar ah loo ogaado Qaaxada iyo MDR-TB.

3-in-1 TB/MDR-TB ogaanshaha go'aaminta infekshanka TB-da iyo iska caabbinta dawada safka kowaad ee furaha ah (RIF/INH) waxay awood u siinaysaa daawaynta TB ee wakhtiga iyo saxda ah.

Mycobacterium Tuberculosis Nucleic Acid iyo Rifampicin, Qalabka Ogaanshaha Iska caabinta Isoniazid ( Curve dhalaalaysa)

Si guul leh u garwaaqsada baaritaanka TB ee saddex-jibbaaran (infekshanka TB, RIF & NIH Resistance) hal ogaanshaha!

Degdeg ahnatiijo:La heli karo 1.5-2 saacadood oo leh turjumaadda natiijada tooska ah ee yaraynaysa tababarka farsamada ee hawlgalka;

Tusaalaha Tijaabada:1-3 ml oo xaako ah;

Dareen sare:Dareenka falanqaynta ee 50 bakteeriya/ml ee Qaaxada iyo 2x10³bakteeriyada/ml ee bakteeriyada RIF/INH u adkeysata, hubinta in la ogaan karo xitaa marka ay bakteeriyadu yar tahay.

Bartilmaameedyo Badans: TB-IS6110;RIF-iska caabinta -rpoB (507 ~ 503);

INH-iska-caabbinta- InhA/AhpC/katG 315;

Xaqiijinta Tayada:Xakamaynta unugga ee ansaxinta tayada muunada si loo yareeyo xumaanta beenta ah;

Waafaqid balaadhanWaafaqsanaanta nidaamyada PCR-ga caadiga ah ee gelitaanka shaybaarka ballaaran;

WHO ayaa tilmaameysa u hoggaansanaanta: U hoggaansanaanta tilmaamaha WHO ee maaraynta tiibishada u adkaysata dawada, hubinta isku halaynta iyo ku habboonaanta ku-dhaqanka bukaan-socodka.