I-WHO ixwayisa embikweni wakamuva: Amagciwane alwa ne-antibiotic adla umhlaba.

Inkinga yokumelana nemithi elwa namagciwane ikhulu kangangokuba isongela impumelelo yemithi yesimanje.
Ngonyaka odlule, i-World Health Organisation yamemezela ukuthi ikhulu lama-21 lingaba yisikhathi esinqumayo. Ngisho nezifo ezithambile zizobangela ukufa. Lapho sibhekene namagciwane athile - sesivele singavikelekile futhi singasizi ngalutho. Lapho kwethulwa i-penicillin, ukumelana kwakwaziwa. Maphakathi nawo-1950, amaphesenti angaphezu kwangama-50 I-Staphylococcus aureus yayimelana naleli gciwane. IMethicillin, eyasungulwa ngo-1959, eminyakeni emibili kamuva yathola ubunzima bokuqala bokumelana.

AbakwaKarbapenems babeyizidakamizwa zokugcina zama-1980s. Ngoba eminyakeni eyishumi elandelayo carbapenemases kwavela - ama-enzyme amelana nalawa ma-antibiotic. Ukumelana ne-antibiotic kwaqhamuka ngaleso sikhathi - ngeminyaka yo-1990 izinga lokuqubuka nokusakazwa kwamagciwane alwa nalawo maqembu kwehle kakhulu izinga lokungeniswa kwabelaphi abasha. Kwamagciwane amelana namaqembu okungenani ama-3 ama-antibiotic, okuthiwa I-MDR, izazi zezinto eziphilayo eziphilayo kufanele zengeze izigaba ezimbili ezintsha - i-XDR engazweli kakhulu, ezwela iqembu elilodwa lokwelapha, ne-PDR - emelana nayo yonke imishanguzo etholakalayo.
Isonto Lomhlaba Lama-antibiotic: amagciwane ayanda futhi ayingozi:
Umbono wesikhathi sokuthatha izinqumo awusiwona umbono wezimanga, kepha usongo lwangempela ekhulwini lama-21. Ingenye yezingozi eziyisisekelo empilweni yomphakathi emhlabeni.

Sivele sinephesenti elikhulu kakhulu lamagciwane alwa nemithi eminingi. Ngo-2010, amaphesenti ama-Escherichia coli strains angazinaki ama-antibiotic afinyelela ngaphezu kwama-57%! Kungakho ngonyaka ka-2014 I-WHO yamemezela ukuthi ikhulu lama-21 lingaba yisikhathi esinqumayo. Ngisho nezifo ezithambile zizobangela ukufa. Ngokusho kwale nhlangano, izifo ezibhedlela ezinama-MDR amaningi ama-pore zibangela ukufa minyaka yonke: 80,000 eChina, abangama-30,000 eThailand, angama-25,000 eYurophu, izinkulungwane ezingama-23 e-USA. Lesi yisiqalo se-iceberg, ngoba amacala aqinisekisiwe kuphela. E-United States, amabhaktheriya amelana nemithi elwa namagciwane abangela izifo kubantu abayizigidi ezimbili unyaka ngamunye.

Ukumelana nama-antibiotic sekuyingozi enkulu empilweni yomphakathi emhlabeni. Usongo olukhulu njengezikhukhula eziyinhlekelele, ukuqhuma okukhulu kwentaba-mlilo noma amaphekula. Noma ngaphezulu. Ngoba azikho kulezi zinkinga ezikhiqiza izisulu eziningi ngonyaka.

Akukaze kwenzeke ukuthi amazwe omhlaba aqhubeke ngokungaguquki njengakuMeyi 2015 eWorld Health Assembly, lapho ngo-194 asho ngamabomu ukuthi inkinga yokumelana nemithi elwa namagciwane ibaluleke kakhulu eMhlabeni. Futhi kufanele kubalwe emhlabeni jikelele.

Isikhungo i-European Center for Infection Prevention and Control (ECDC), i-European Commission kanye ne-American Center for Infection Prevention and Control (CDC) sekuyisikhathi eside sishaqisa. Ngo-2009, i-TATFAR - iTransatlantic Antibiotic Resistance Group yasungulwa engqungqutheleni ye-European Union-US Summit. I-White House iphinde yakhe iqembu layo elikhethekile ukulwa nalesi songo.
 Le nhlangano iyagcizelela ukuthi: hhayi umphakathi kuphela, kepha odokotela nabahlengikazi abanalo ulwazi olwanele mayelana nokumelana nemithi elwa namagciwane. Okwamanje, angama-25% kuphela amazwe emhlabeni anezinhlelo zawo zokulwa nale nkinga.

I-WHO ihlela Isonto Lokuqwashisa Ngokulwa Nezifo emhlabeni jikelele. Kuze kube manje, izinhlobo ezifanayo zemikhankaso zenziwe eYurophu kuphela.

Izimbangela zokumelana nama-antibhayirasi ziyaziwa. Ikakhulu emphakathini wezokwelapha. Ngekucabanga. Ngoba kulapha lapho zivame ukunganakwa. Isizathu esibaluleke kakhulu: ukusetshenziswa ngokweqile kwemithi elwa namagciwane. Cishe ama-70% eziguli ezinesifo sangaphambi kokuphefumula sithola izifo ezilwa nodokotela, ikakhulukazi ukunakekelwa okuyisisekelo. Okwamanje, ziyi-15% kuphela izinkomba zalokhu. Kuwo wonke amanye amacala sibhekene nokutheleleka ngegciwane: umkhuhlane noma i-bronchitis. Odokotela bayakhohlwa ukuthi kuze kube seminyakeni engu-3, izingane cishe azinawo umphimbo we-streptococcal strep futhi cishe awukaze ube ne-strp umphimbo. Endabeni yokungenelela okulula kokuhlinzwa, ama-antibiotics nawo aphathwa kaningi. Lapho usika ithumba, kuba nengqondo uma ebusweni.
Odokotela babuye bavame ukuphatha othwala amagciwane ngama-antibiotics. Lokhu akwenziwa.
Iziguli zengeza ezintathu ezibucayi, azivamisile ukuthatha umthamo ophelele wale mishanguzo, noma zikwenze ngezikhathi ezingekho emthethweni.
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