TB. .. aik qabil e ilaaj marz
TB. .. aik qabil e ilaaj marz, zamana taalib Ilmi aur phir dr ban’nay ke baad aur abhi tak TB ki bemari aur is ki halakat khaizi hum dekhte, mehsoos karte aaye hain .
hum baar baar azm karte hain ke TB ka khtama bhi hojaye, jaisa ke cheechak ki bemari ka khtama hogaya, polio mein kami aagai, lekin tea bi aisi bulaa hai jis ki mukammal beekh kinny abhi tak nahi hosaki. har baar jab hum soch rahay hotay hain ke tea bi khatmay ke qareeb hai, yeh bemari nai aabb o taab ke sath samnay ajati hai .
aayiyae zara dekhen ke hum sab mil kar is ke khatmay ke liye kya kar saktay hain ?
har saal tea bi ka aalmi din 24 March ko manaya jata hai taa ke tea bi ke baray mein aagahi ko farogh diya jaye aur tea bi se masharti, muashi aur sehat par parney walay masail ka jaiza liya jaye. yaad rakhna chahiye ke tea bi nah sirf aik qabil e ilaaj marz hai balkay iss se bachao bhi mumkin hai .
TB ka aalmi din mananay ka aaghaz 1882 mein hwa, jab Robert koks ( robert koch ) ne iss bemari ke jrsome ( mycobacterium tuberculosis ) ko daryaft kya, jis se iss bemari ki tashkhees aur ilaaj ke rastay khil gaye. isi ke naam par is bemari ka naam ( koch’ s ) hai. TB ka shumaar ab bhi mohlik bimarion mein hota hai. har roz 4000 afraad is ki wajah se zindagi se mahroom ho jatay hain aur taqreeban 28000 afraad is ka shikaar ho te hain. aalmi satah par iss bemari ke tadaruk ki koshisho ki wajah se 2000 hamza se ab tak 63 million jaanen bachaai ja chuki hain .
waqt ka pahiyah rawan dawaan : iss saal 2021 ke tea bi ke aalmi din ka markazi khayaal “the clock is ticking” hai. yeh is baat ki taraf ishara hai ke tea bi ko khatam karne ke end tb strategy ke iraadon ko amli jama pohanchanay ke liye aalmi satah ke rehnumao ke paas ab bohat kam waqt hai. khaas tor par haliya covid 19 ki waba ke pas manzar mein ke jis ne tea bi khatam karne ke programme ko khatray mein daal diya hai .
waqt ka pahiyah rawan dawaan rehta hai. quran pak mein surah Al asar mein Allah jal shan farma rahay hain : zamane ki qisam, be shak insaan khasaray mein hai, magar jo log imaan laaye aur naik kaam kiye aur haq par qaim rehne ki aur sabr karne ki aapas mein wasiyat karte rahay .
yeh waqt hai –apne ardon ki takmeel ka aur yeh waqt hai tea bi ko khatam karne ka .
TB. .. aik qabil e ilaaj marz, TB ke aalmi din par aalmi idaara sehat sab ko yaad dila raha hai ke tea bi ko khatam karne mein sab apni koshisho ko taiz karen taa ke s DG ( sustainable development goals ) ke hadaf mukammal kar saken. Pakistan mein 2025 tak TB ki sharah mein 50% kami ka hadaf rakha gaya hai .
Pakistan mein tea bi ki soorat e haal : Pakistan mein har saal taqreebn 5 laakh afraad TB se mutasir hotay hain, jis mein taqreeban aik tahai ilaaj ke liye kahin bhi registered nahi hotay aur un ke zariye yeh marz phialta rehta hai. duniya ke 30 mumalik jahan TB sab se ziyada hai, un mein Pakistan ka number panchawan hai. abadi ke hisaab se Pakistan duniya ka chhata malik hai. iss ke ilawa 3800 HIV ( hiv ) pazito bhi tea bi ka shikaar hain .
jo awamil iss mein karfrma hain, un mein gurbat, ghizai kami, jahalat, ghunjaan abadi, ghalat aqaed, HIV / aids ke afraad ki barhti hui tadaad, tang o tareek ghar waghera shaamil hain. muashray ke pas mandah tabqaat, khwaja serra aur mil sex workers community ka tea bi se mutasir honay ka rujhan ziyada hai. TB 5 se 15 saal tak ke bachon mein ziyada payi jati hai. aalmi idaara sehat ki tehqeeq 2012 ke mutabiq poori duniya mein 74000 bachay har saal tea bi se jaan kho baithtay hain aur har saal nisf million tea bi ke naye mareez bachay samnay atay hain .
TB ke hawalay se ahem aadado shumaar : TB ki sharah ( incidence of tuberculosis ) har aik laakh afraad mein aik so ikiyasi hoti hai, aur un mein 50 feesad ka nateeja misbet hota hai, yani un ke thook mein TB ke jaraseem mojood hotay hain .
saal 2018 hamza laakh 69 hazaar 548 tea bi ke mareez tashkhees hue, inn mein 22 feesad fori tshkhisi test ke zariye, 20 feesad IV ( hiv ) pazito, 80 feesad mein pehphron ki tea bi, 48 feesad mein tea bi ke jaraseem ka saboot, 13 feesad bachay, 42 feesad khawateen aur 45 feesa mard hain .
amwaat : Pakistan mein har saal tea bi ke paanch laakh naye cases samnay atay hain, jin mein taqreeban 70 hazaar mareez mout ka shikaar ho jatay hain .
tea bi ka marz kya hai? : tea bi ( tuberculosis ) ko aam tor par tap diq bhi kehte hain. yeh aik qadeem aur mutaddi marz hai, yani yeh aik se dosray ko lagnay wala marz hai. yeh aik jarsooma mico bacterium ( mycobacterium tuberculosis ) se hoti hai. sab se ziyada tea bi pehphron ki tea bi aam hai. magar yeh jism ke kisi bhi hissay ya uzoo mein ho sakti hai, jaisay hadion ki tea bi, dimagh ki tea bi, gurdon ya anton ki tea bi ya aurton mein bacha daani ki tea bi waghera .
TB. .. aik qabil e ilaaj marz, yeh bemari kaisay phelti hai? : yeh aik mutaddi marz hai aur mareez ke khansnay aur chhenknay se tea bi ke jaraseem hwa ke zariye 1 shakhs se dosray shakhs mein muntaqil ho jatay hain. bachay aam tor par marz phelanay ka sabab nahi bantay .
TB ki tashkhees ke liye kya karna chahiye? : yaad rakhiye! koi bhi purani ( do haftay se ziyada ) khansi ya bila waja kamzoree aur wazan ka ghatna is baat ki alamat ho sakta hai ke TB ki tashkhees ke test kurwaye jayen. is ke ilawa khansi mein balgham ka aana aur balgham mein khoon ka aana, rozana raat ke waqt bukhaar ka hona, bhook ka nah lagna, gilaay ki soojan ya ghudood ka barhna yeh sab alamaat aisi hain ke insaan ko khabardaar hojana chahiye aur kisi achay mualij se rujoo karna chahiye taa ke test ke zariye is ki tasdeeq ho sakay .
TB ki tashkhees laboratory test ke zariye hoti hai. darj zail test aam tor par kurwaye jatay hain :
( 1 ) khoon ka test. ( 2 ) skin test ( mantoux skin test ). ( 3 ) seenay ka x-ray. ( 4 ) dosray test bamtabiq dosray aaza ki TB.
bachon mein tea bi ki tashkhees aik mushkil marhala hai. is se bachon mein tea bi ya to tashkhees nahi hopati ya zaroor t- se ziyada tashkhees ho jati hai, usay aasaan bananay ke liye Pakistan pedia truck association ( ppa ) ne scoring system banaya hai .
TB se mutaliq ahem Hadayat :
TB ka marz 100 feesad qabil ilaaj hai. ٭alamat ki soorat mein fori tor par achay mualij se rujoo karen. ٭huqoomat ki taraf se muft tashkhees aur ilaaj ki sahoolat mojood hai .
٭apnay qareebi markaz sehat se rujoo karen. ٭ghbranay ki zaroorat nahi, aalmi idaara sehat ka banaya sun-hwa tareeqa ilaaj ( dots ) mojood hai, jis mein kisi zimma daar fard ( Muawin ilaaj ) ki zirngrani 6 mah tak musalsal bilanagha tea bi ki fraham kardah muft adwiyaat istemaal ki jayen. yeh zimma daar fard, ghar ka koi fard, muhallay ka koi razakaar ya koi health worker bhi ho sakta hai .
٭Mulq bhar mein 5000 se zayed sarkari marakaz sehat aur private cilinic / hospital par TB ki duwaein muft dastyab hain. ٭TB ke ilaaj ki muddat barh bhi sakti hai, is ka inhisaar is par hai ke bemari ki noiyat kya hai aur kis uzoo ki tea bi hai .
٭national TB control programme ne tea bi ki muft tashkhees aur ilaaj ko yakeeni bananay ke liye district headquarters hospital, dehi markaz sehat aur bunyadi markazi sehat mein tea bi ke marakaz rakhay hain .
٭TB ka ilaaj adhoora nah chorra jaye, warna nah sirf marz ki paicheedgi bherne ka khatrah hai balkay is baat ka bhi Qawi imkaan hai ke dwaon ka assar khatam ho jaye aur aam tea bi, MD are tea bi ( multidrug-resistant tb ) mein badal jaye .
٭TB ke ilaaj ke douran mein maa –apne bachay ko doodh pila sakti hai. ٭TB ke mareez ke sath dostana aur humdardana rawayya rakhen. is ka hosla berhate rahen aur is ke sath kharab rawayya nah rakhen .
TB ka mukammal khtama kaisay? : TB ke mukammal khatmay ke liye hum sab ko maidan mein utarna parre ga. is ke liye darj zail nakaat bohat ahem hain :
٭awam mein tea bi ka shaoor bedaar karen. ٭TB ke mareezon ke sath manfi rawaiyon ko daur karen. ٭TB ki alamaat, tashkhees aur ilaaj ke baray mein awaami aagahi peda karen .
٭TB ke mareez khanstay, cheenkatay waqt mun par romal rakh len.TB. .. aik qabil e ilaaj marz, ziyada se ziyada mask ka istemaal karen, jab logon ke sath hon. ٭jgah jagah thoknay se guraiz karen. ٭TB ka ilaaj mukammal karen, adhoora nah choden. ٭bachon ko tea bi se bachao ka hifazati teeka ( bcg ) iguana nah bhulen. ٭jisam mein bimarion ke khilaaf qotِ mudafat barhayain. Abla hwa pani aur saaf o sehat bakhash ghiza ka istemaal karen. bazaar ki gandi cheeze khanay se parhaiz karen .
