Tuberkulosis (Pedoman Penanganan WHO 2009/2010)

[XEHUGXB@ZOZ  Ku$ U`|hbz Niehu Cnyhbb Ou`{m Zxcehu6 [uhn{chd{ `l [xehujxb`zoz Ixokhbodhz L`xu{m Hko{o`d 511?

B/@/I/@

KHLODOZO GNZXZ ‥ Zxzqhg [E -[xehujxb`zoz zxzqhj{/ ‥ Gnzxz [E -Jnzh `l {xehujxb`zoz/ ‥ Gnzxz Qnz{o [E -Khlodo{h jnzh `l [xehujxb`zoz/

Khlodozo Gnzxz 6 Zxzqhg [E [E$ ‥ ZXZQHG [E$ Zh{onq `undi ndi kn{ndi khdind ihfnbn n{nx {ndkn [E$ Ihfnbn qnbodi zhuodi nknbnm knmng qu`kxg{ol 4 5 codiix" eozn kozhu{no ihfnbn bnod -zhzng dnqnz" dhuo knkn" en{xg knunm/ n{nx ihfnbn g`dz{o{x{o`dnb -qhdxuxdnd dnlzx cngnd" qhdxuxdnd ehun{ enknd" ehughuodin{ cnbnc" enknd bhcnz/

Khlodozo Gnzxz 6 Gnzxz [E [E$ ‥ GNZXZ [E$ Gnzxz qnz{o [E n{nx zhzh`undi ndi zxknm kokonid`zn chdkhuo{n [E `bhm k`g{hu knd koqx{xzgnd xd{xg chdknqn{ qhdi`en{nd bhdignq [E$

Khlodozo Gnzxz 6 Gnzxz Qnz{o [E ‥ GNZXZ QNZ[O [E$

Zh`undi qnzohd khdind q`zo{ol Cj`enj{huoxc {xehujxb`zoz ehuknznugnd qhchuogznnd zqhzochd n{nxqxd qhchuogznnd bnoddn ndi knqn{ chdiokhd{olognzo C${xehujxb`zoz$

GBNZOLOGNZO ‥ B`gnzo ndn{`coz qhdngo{

-Ndn{`cojnb Zo{h `l [E kozhnzh/ ‥ Mnzob qhchuogznnd eng{huo`b`ioz -{hucnzxg uhzoz{hdzo `en{/ Enj{huo`b`iojnb uhzxb{z -odjbxkodi kuxi uhzoz{ndjh/ ‥ Uoynn{ qhdi`en{nd zhehbxcdn -moz{`u `l quh|o`xz {uhn{chd{/ ‥ Z{n{xz MO\ qnzohd -MO\ z{n{xz `l {mh qn{ohd{/

B`gnzo ndn{`coz qhdngo{ ‥ [xehugxb`zoz Qxbc`dnb$

Gnzxz [E ndi chboen{gnd qnuhdgoc qnux$ Hgz{unqxbc`dnb$ b$ ‥ [xehugxb`zoz Hgz{unqxbc`dn Gnzxz [E ndi chboen{gnd `uind zhbnod qnux" zhqhu{o qbhxun" d`kxz bocln" nek`chd" {ung{xz ihdo{`xuodnuon" gxbo{" zhdko knd {xbndi" chdodihdz$

Mnzob qhchuogznnd eng{huo`b`ioz ‥ E[N zqx{xc q`zo{ol -zchnu#q`zo{o|h [E/$

Gnzxz [E khdind E[N zqx{xc q`zo{ol ko nynb cnzn qhdi`en{nd ‥ E[N zqx{xc dhin{ol -zchnu#dhin{ol [E/$  ‚ Gnzxz [E khdind E[N zqx{xc dhin{ol {h{nqo gxb{xu zqx{xc q`zo{ol  ‚ Zhzxno khdind guo{huon ehuogx{6 ‥ Koqx{xzgnd `bhm k`g{hu xd{xg chdknqn{ qhdi`en{nd [E ‥ Ghbnodnd unko`b`io zhzxno khdind [E knd nkndn odlhgzo MO\ n{nx MO\ dhin{ol {h{nqo qhdngo{ {okng chcenog khdind qhdi`en{nd bnod$

Uoynn{ qhdi`en{nd zhehbxcdn ‥ QNZOHD ENUX$

[okng nkn uoynn{ qhdi`en{nd [E n{nx chdknqn{ qhdi`en{nd [E 2 > exbnd$ ‥ QNZOHD KHDIND UOYN_N[ QHDI@EN[ND [E Nkn uoynn{ qhdi`en{nd [E > ≨ > exbnd$  ‚ Uhbnqz$ Qhdi`en{nd bhdignq knd zhcexm  ‚ Ininb$ Qhdi`en{nd bhdignq {h{nqo E[N {h{nq q`zo{ol$  ‚ Qx{xz `en{$ Qhdi`en{nd {okng bhdignq$

Z{n{xz MO\ ‥ MO\ q`zo{ol ‥ MO\ dhin{ol

QHDI@EN[ND [XEHUGXB@ZOZ

&Qnzohd xcxu 4 <1 {nmxd k`zoz cngzocnb >1cigi >1cigi qhu mnuo$ &qnzohd khdind ehun{ enknd 2 81 gi {okng e`bhm chbheomo k`zoz 811 ‚ 981 ci qhu mnuo$

Uhiochd qhdi`en{nd [E ‥ Qnzohd Enux

Uhiochd6 5MUVH;MU   ‚ 5MUVH;-MU/ :   ‚ 5-MUVH/ :   ;-MU/ :  &MO\ dhin{ol&

‥ Qnzohd khdind uoynn{ qhdi`en{nd [E

Uhiochd6 5MUVHZ>MUVH8MUH  5MUVH;MU nu{odn 5 exbnd lnzh od{hdzol knd knd ; exbnd lnzh bndfx{nd zhzxno khdind `en{ YM@ {okng bnio chuhg`chdknzognd qhdimnqxznd h{mncex{`b h{mncex{`b zhbncn qhdi`en{nd [E Qnkn chdodio{oz {xehugxb`zoz" h{mncex{`b mnuxz ko{xgnu khdind z{uhq{`cjod M 3 oz`donvok" U 3 uolncqojod" V 3 qunvodncokh" H 3 h{mncex{`b" Z 3 z{uhq{`cjod

HLHG ZNCQODI @EN[ -CN_@U/

HLHG ZNCQODI @EN[ -COD@U/

Qnzohd [E khdind MO\ q`zo{ol ‥ Qnzohd MO\ khdind MO\ q`zo{ol n{nx {odiinb ko {hcqn{ khdind quh|nbhdzo MO\ {odiio" mnuxz chdknqn{gnd qhdi`en{nd [E khdind k`zoz mnuond zhbncn lnzh od{hdzol$ ‥ K`zoz `q{ocnb lnzh bndfx{nd onbnm k`zoz mnuond" {h{nqo k`zoz {oin gnbo zhmnuo knqn{ kobngxgnd eobn k`zoz mnuond zxbo{ kobngxgnd$ ‥ Qhdi`en{nd qhdjhinmnd khdind j`{uoc`}nv`bh zndin{ j`{uoc`}nv`bh  zndin{ koznundgnd qnkn qnzohd [E khdind MO\ q`zo{ol zhbncn qhdi`en{nd [E kobngxgnd$

Qnzohd [E khdind MO\ q`zo{ol ‥ Uhiochd `en{ nd{o uh{u`|ouxz -NU[/ xd{xg MO\ qnkn qnzohd [E ndi kouhg`chdknzognd `bhm YM@ nknbnm uhiochd `en{ ndi {hucnzxg hln|ouhdv -HL\/" hln|ouhdv  -HL\/" gnuhdn od{hungzo `en{ ndi codocnb$ ‥ YM@ 511? chuhg`chdknzognd enmyn qhdi`en{nd [E mnuxz kocxbno {hubheom knmxbx knd zh{hbnm o{x NU[" zhzhihun cxdigod knd knbnc = codiix zhfng kocxbnodn qhdi`en{nd [E

Uhiochd xd{xg qnzohd khdind Cxb{o Kuxi Uhzoz{ndjh [E

OD[HUNGZO @EN[ ‥ Uolncqojod chdixundio g`dzhd{unzo knd hlhg{o|o{nz `en{ ehuogx{6

[E QNKN GHNKNND GMXZXZ ‥ Ghmncobnd knd chdxzxo ‥ Indiixnd mn{o ‥ Ininb iodfnb knd indiixnd ehun{ iodfnb$

Ghmncobnd knd chdxzxo ‥ Uhiochd `en{ nd{o [E ncnd ghjxnbo z{uhq{`cjod"" ndi knqn{ chdhcexz z{uhq{`cjod qbnzhd{n knd ehuzoln{ `{`{`gzog {humnknq fndod$ ‥ Ghc`{hunqo qhubx xd{xg chdjhinm qhdxbnund qnkn eno ‥ zh{hbnm [E ng{ol qnkn eno ko{ndindo" eno mnuxz koehuognd < exbnd oz`donvok xd{xg qhdjhinmnd koogx{o khdind |ngzodnzo EJI

Indiixnd mhqnu ‥ Uhiochd `en{ nd{o [E ncnd eobn {okng nkn indiixnd gu`doz mhqnu -mhqn{o{oz |ouxz gnuohu" uoynn{ mhqn{o{oz ngx{" qhcodxc nbg`m`b/$ Gnknu zhuxc {h{nq konynzo$ ‥ Qnkn qnzohd ndi {okng z{neob knd nkn qhdngo{ mn{o knd qhchuogznnd chdxdfxggnd chdxdfxggn d nbndodh ncod`{undzlhunzo chdodign{ :} boqn{" uhiochd ehuogx{ koznundgnd6

Indiixnd mhqnu -Uhiochd `en{/ ‥ Uhiochd qnkn indiixnd mn{o6  ‚ 5 `en{ mhqn{`{`gzog6 ‥ ?MUH  ‥ 5MUHZ
 ‚ > `en{ mhqn{`{`gzog6 ‥ 5MHZ>1MH 

 ‚ @en{ d`d#mhqn{`{`gzog6 ‥ >=#5;ZH'lbx`u`~xod`b`dh 

Ininb iodfnb zhu{n indiixnd iodfnb ndi ehun{ ‥ Uhiochd ndi kouhg`chdknzognd nknbnm6  ‚ 5MUVH;MU 

‥ Oz`donvok knd uoclncqojod ehenz koehuognd zhzxno k`zoz$ ‥ Qunvodncokh knd h{mncex{`b kozhzxnognd" qhcehuond :} zhcodiix khdind k`zoz qunvodncokh 58cigi knd h{mncex{`b >8cigi -k`zoz mnuond khdind qhcehuond :} zhcodiix/

Ininb iodfnb zhu{n indiixnd iodfnb ndi ehun{ qyuok`}odh xd{xg xd{xg ‥ Qnzohd qhubx koehuognd qyuok`}odh  chdjhinm dhxu`qn{o qhuolhu ‥ Z{uhq{`cjod komodknuo gnuhdn dhlu`{`gzog knd `{`{`gzog$ Eobn mnuxz koehuognd" k`zozdn >8cigi" 5} n{nx :} zhcodiix" cngzocxc >11 iunc qhu k`zoz khdind qhdinynznd gh{n{ gnknu zhuxc$ zhuxc$

[HUOCN GNZOM