ILitjhimanisi

** iLitjhimanisi **ungayibiza uthi**yilitjhimanisi**, bulwelwe obubangwa silwanyana esincani esibizwa ngokuthiyi-phrotozowa ephila ngokuhlala kezinye iinlwana/abantu bona iphile itheleleka ngokulunywa mhlobo othize wengogwana. Ubulwelwe lobu bungavela ngeendlela ezintathu: ukulunywa yingogwana esikhunjeni ukutheleleka esikhumbeni nomzimba woke, nofanaubulwelwe iLitjhimanisi nasele busezingeni eliphezulu khulu ngemva ngokulunywa yingongwana esikhumbeni -i-viserali. Ubulwelwe iLitjhimanisi obutholakala ngokulunywa yingongwana esikhumbeni benza umuntu avele isilonda sangaphakathi esikhunjeni, bese ukutheleleka esikhumbeni nomzimba woke kubonakala lokha sele itheleleka esikhumbeni yenze isilonda emlonyeni kanye nepumulweni, bese iLitjhimanisi nasele isezingeni eliphezulu khulu ngemva ngokulunywa yingongwana esikhumbeni ibonakala ngesilonda esingendeni esiphathisa ihloko nomgomani, ibangela namasotja womzimba abe bovu, kanye nokuvuvukisa isibindi. 

Kunemihlobohlobo ema-20 yeengogwana "zeLitjhimaniya" ezibamba abantu abaphilako Unobangela wobulwelwe lobu nobungozi babo bufaka hlangana ubuchaka, ukungadli ukudla okunepilo, ukususwa nokutjhiswa kwamahlathi, kanye nokuthutha kwabantu bayokuhlala emadorobhei khulu. Yoke imihlobo emithathu yobulwelwe lobu bungabonwa ngesilwanyana nofana ingogwana ephila ngezinye iinlwana kwaphela ngokusetjenziswa komtjhini onerhalasi okhulisa izinto ezincani zibe zikulu. Ukungezelela kilokho, ubulwelwe iLitjhimanisi nasele busezingeni eliphezulu khulu ngemva ngokulunywa yingongwana esikhumbeni -i-viserali bungabonwa kwaphela ngokuhlolwa kweengazi zaloyo othelelekileko.

Ubulwelwe iLitjhimanisi bungavikelwa ngkuthi ulale ngaphakathi kwenedi yetendeethelwe ngesihlahla sokuvikela iingogwan. Ezinye zeendlela zokuvikela kufaka hlangana nokufufuzela isifufuzeli sokuvikela ukulunywa ziingogwana ukwazi ukuzibulala kanye nokulatjhwa kwabantu abangenwe bulwelwe lobu kusese nesikhathi bungakasabalali umzimba woke. Ukulatjhwa okutlhogekako kwenziwa nange kwaziwa bona ubulwelwe lobu buthalakele kiyiphi indawo, umhlobo "weLitjhiminiya" kanye nehlobo lengongwana engenileko. Ezinye zeenhlahla ezingalapha iLitjhimanisi nasele esezingeni eliphezulu khulu ngemva ngokulunywa yingongwana esikhumbeni kufaka hlangana i-liposomal amphotericin B, ihlanganiso lele-pentavalent antimonialskanye ne-}paromomycin, and miltefosine.iLitjhimanisi obutholakala ngokulunywa yingongwana esikhumbeni, yi-paramomycin, i-fluconazole, nofanai-pentamidine nayo ingasebenza kuhle ukulapha.

Abantu ababalelwa eegigidini ezili-12 baphethwe bulwelwe lobu njenganje eenrheni ezingaba ma-98. Kubikwa amacala ukufikelela iingidigidi ezi-2 bese kuthi hlangana nama-20 weekulungwana kanye nama-50 weenkuungana zokubhubha kwabantu ngomnyaka. Ukubalelwa ematjhumini ama-200&nbsp; iingidigidi zabantu abahlala e-Asia,Afrika,iSewula neNgaphakathi le-Amerikha, isewula yeYurobhu bahlala eendaweni lapha ubulwelwe lobu bujayelekele khona. Ihlangano yeZepilo yePhasi Zombelele-WHOiphulelwe iintengo eziyibhadala ukuthenga iinhlahla zokulapha ubulwelwe lobu Ubulwelwe lobu bungatheleleka nakezinye iinlwana ezimbalwa, ukufakayezinja kanye naborodo besiganga.

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