Isifo sofuba (TB) siyingozi enkulu emhlabeni jikelele kwezempilo, futhi esinye sezikhali eziyinhloko ekulweni naso isibulala-magciwane i-Rifampicin. Kodwa-ke, ngenxa yokwanda kwezimo emhlabeni wonke, i-Rifampicin - umuthi osezingeni eliphezulu we-TB - manje ibhekene nokushoda.

I-Rifampicin iyingxenye ebalulekile yemithi yokwelapha i-TB, njengoba iphumelela kakhulu ezinhlotsheni zesifo ezingazweli emishanguzweni. Iphinde ibe ngeminye yemithi elwa ne-TB esetshenziswa kakhulu, kanti iziguli ezingaphezu kwesigidi emhlabeni wonke zelashwa ngayo minyaka yonke.

Izizathu zokushoda kwe-Rifampicin ziningi. Ukuhlinzekwa komuthi emhlabeni wonke kuhlaselwe yizinkinga zokukhiqiza ezindaweni ezibalulekile zokukhiqiza, okuholele ekwehleni kokukhiqizwa. Ukwengeza, ukwanda kwesidingo somuthi emazweni anemali engenayo ephansi naphakathi, lapho i-TB yande kakhulu, kuye kwafaka ingcindezi eyengeziwe ochungechungeni lokuhlinzeka.

Ukushoda kwe-Rifampicin kushiye ochwepheshe bezempilo nabakhankasi bethukile, nokukhathazeka ngokuthi ukuntuleka kwalo muthi obalulekile kungase kubangele ukwanda kwezifo ze-TB kanye nokungazweli emishanguzweni. Iphinde yagqamisa isidingo sokutshalwa kwezimali okukhulu ocwaningweni nasekuthuthukisweni kwe-TB, kanye nasekufinyeleleni okusimeme emithini ebalulekile emazweni anemali engenayo ephansi.

“Ukushoda kwe-Rifampicin kuyinto ekhathaza kakhulu, njengoba kungase kuholele ekuhlulekeni kokwelashwa kanye nasekuthuthukisweni kokungazweli emishanguzweni,” kusho uDkt. Asha George, uMqondisi Omkhulu wenhlangano engenzi nzuzo i-Global TB Alliance. "Kudingeka siqinisekise ukuthi iziguli zithola i-Rifampicin neminye imishanguzo ye-TB ebalulekile, futhi lokhu kungenzeka kuphela uma sikhulisa utshalomali ocwaningweni nasekuthuthukisweni kwe-TB futhi sithuthukise ukutholakala kwale mishanguzo emazweni anemali ephansi."

Ukushoda kwe-Rifampicin nakho kukhomba isidingo soxhaxha oluqinile lomhlaba jikelele lokuhlinzeka ngemithi ebalulekile, into ebishoda kakhulu eminyakeni yamuva nje. Ukufinyelela kalula emithini ebalulekile njenge-Rifampicin kuyisihluthulelo ekusizeni izigidi zabantu emhlabeni wonke abane-TB ukuba bathole ukwelashwa futhi ekugcineni banqobe lesi sifo.

"Ukushoda kwe-Rifampicin kufanele kusebenze njengesixwayiso emphakathini womhlaba," kusho uDkt. Lucica Ditiu, uNobhala Ophethe we-Stop TB Partnership. "Kudingeka siqinise utshalomali ocwaningweni nasekuthuthukisweni kwe-TB futhi siqinisekise ukufinyelela okusimeme ku-Rifampicin neminye imishanguzo ebalulekile kuzo zonke iziguli ze-TB eziyidingayo. Lokhu kubalulekile ekunqobeni i-TB."

Okwamanje, ochwepheshe bezempilo nabakhankasi bafuna ukuthula futhi banxuse amazwe athintekile ukuthi ahlole isitokwe sawo se-Rifampicin futhi asebenzisane nozakwethu bamazwe ngamazwe ukuqinisekisa ukutholakala komuthi okuqhubekayo. Ithemba liwukuthi ukukhiqizwa kuzoshintsha ngokushesha futhi i-Rifampicin izophinde itholakale mahhala kubo bonke abayidinga kakhulu.

Lo mbiko wezindaba uphinde ukhombise ukuthi ukushoda kwezidakamizwa akuyona nje into yesikhathi esidlule, kodwa inkinga yanamuhla edinga ukunakwa ngokushesha. Kungokwandiswa kokutshalwa kwezimali ocwaningweni nasekuthuthukisweni, kuhlanganiswe nokufinyelela okuthuthukisiwe emithini ebalulekile emazweni anemali engenayo ephansi, lapho singathemba khona ukunqoba lokhu kanye nokunye ukushoda kwezidakamizwa okuqinisekile ukuthi kuzokwenzeka esikhathini esizayo.