Emcimbini woSuku Lomhlaba Lomdlavuza, i-BW Businessworld ibe nokuxhumana noDkt Nikhil Mathur, i-Group Chief of Medical Services, i-CARE Hospitals Group.

Umdlavuza womlomo wesibeletho ungenye yezimbangela eziphambili zokufa komdlavuza kwabesifazane emhlabeni wonke futhi ukuziphatha kwawo ngokwesifo kufana nesifo se-venereal sokusuleleka kancane.

E-India, umdlavuza womlomo wesibeletho ungowesithathu umdlavuza ovame kakhulu ngezinga lokutholakala kwamaphesenti angu-18.3 (amacala angu-123,907) futhi uyimbangela yesibili yokufa enenani lokufa elingamaphesenti angu-9.1 ngokwe-GLOBOCAN 2020. Nokho, kukhona ukuqwashisa okuphansi ngalesi sifo phakathi kwabantu uma i-India.

Emcimbini woSuku Lomdlavuza Womhlaba (February 4), i-BW Businessworld ibe nokuxhumana noDkt Nikhil Mathur, i-Group Chief of Medical Services, i-CARE Hospitals Group mayelana nomdlavuza womlomo wesibeletho, ukuqwashisa kwawo, kanye nesidingo ohlelweni lokunakekelwa kwezempilo ukubhekana nawo. Izingcaphuno;

Kulolu suku lwanamuhla, yiziphi izimbangela eziyinhloko zokwanda kwenani lomdlavuza womlomo wesibeletho?

Umdlavuza womlomo wesibeletho unomthelela omkhulu ekufeni kwabesifazane e-India futhi ubangela cishe amaphesenti angu-6-29 awo wonke umdlavuza kwabesifazane. Kufakazelwe kahle ukuthi ukuhlola, ukugoma nokuhlonza kusenesikhathi kanye nokwelashwa kunganciphisa kakhulu ukufa. Naphezu kwezibalo eziphakeme ngendlela eshaqisayo, ayikho imodeli ye-PPP kazwelonke yokusebenzisa uhlelo lokuhlola nokugoma, kuzo zonke izindawo nasemakhoneni aseNdiya. I-Aggressive IEC (Ulwazi, Imfundo Nokuxhumana) imisebenzi yokuqwashisa nokwandisa isidingo siyisidingo sehora. Ayikho inqubomgomo yezempilo yomphakathi ezweni lonke exhaswe nguhulumeni mayelana nokuvinjelwa komdlavuza womlomo wesibeletho ngokuhlola noma ngokugoma noma kokubili. Muva nje, uhulumeni waseNdiya umemezele ukuthi kungenzeka ugunyaze umuthi wokugomela umdlavuza womlomo wesibeletho ohlelweni lukazwelonke lokugoma okuyimpoqo kwamantombazane aneminyaka eyi-9-12. 

Ngabe ucabanga ukuthi iningi labantu baseNdiya lizokwazi ngalesi sifo?

Akukho nakancane ukuqwashisa emphakathini wonkana ngokubaluleka kokugoma, ukuhlolelwa, ukuhlonzwa kusenesikhathi kanye nokwelashwa. Ukunyakaza kwabantu abaningi njengoba senza ohlelweni lokuqeda uvendle kuyindlela eya phambili. Ngokufanayo, ubhubhane oluqhubekayo lwe-covid-19, luthuthukise kakhulu ulwazi lwethu lokuthi i-India iyakwazi ukufinyelela zonke izakhamizi. Iveze amandla ethu kanye nobuthakathaka bethu engqalasizinda yethu yezempilo yomphakathi futhi sakwazi ukuyikhulisa ngesikhathi sodlame. Ukuqinisekisa ukufinyelela ezindaweni ezikude kakhulu, lapho kungekona nje kuphela ukuntula ulwazi kodwa ukungafinyeleleki kahle kwezempilo kuwumphumela omkhulu, kufanele kube umgomo wesu lethu lokuqeda umdlavuza womlomo wesibeletho. . 

Kungasakazwa kanjani ukuqwashisa phakathi kwabantu ngalokhu?

Indlela yokwenza kufanele yehluke ezindaweni zasemadolobheni nasezindaweni zasemakhaya nasezindaweni eziqhelile nezinzima. Namuhla, ukufinyelela emsakazweni nakumabonakude noma ezinkundleni zokuxhumana kuphezulu futhi kuyindlela elula yokusabalalisa ulwazi. Imikhankaso emikhulu ngenyanga kaFebhuwari okuyinyanga yokuqwashisa ngomdlavuza iyindlela enhle kakhulu yokuthola ukunakwa nokusabalalisa ulwazi. Ukufakwa kokuqwashisa ngokuvikela umdlavuza ohlelweni lwezempilo ezikoleni nakuzo zonke izinhlelo zezempilo zabesifazane, kuyisidingo esiphuthumayo. 

Yini ukubaluleka kokuqwashisa ngomdlavuza womlomo wesibeletho emadolobheni e-Tier II?

Izibhedlela ze-CARE zigxile ekuhlinzekeni ngezempilo emadolobheni e-Tier II. Ukufinyelela olwazini oluhlobene nezempilo, ikakhulukazi ngezempilo zokuvikela kuchezukile ekuvuneni izindawo zasemadolobheni. Kukamuva nje lapho umphakathi wakula madolobha uthola ukufinyelela ezikhungweni zezempilo ezikhula ngamandla. Kodwa lezi futhi zigxile ekunakekelweni kokwelapha esikhundleni sezici zokuvimbela nezikhuthazayo zokunakekela. Ukuqwashisa nemikhankaso ngezindaba zezempilo yomphakathi kuyigunya lohulumeni. Cishe wonke amadolobha e-Tier II ezweni anenani elihle lezikole, ezingasetshenziswa ukusabalalisa ukuqwashisa. Ngokufanayo, abasebenzi be-ASHA bangaqeqeshelwa ukusabalalisa ukuqwashisa. Uma ulwazi selunyukile kuzoba nesizukulwane sokufuna okuzenzakalelayo. Bese bobabili abadlali basesidlangalaleni nabazimele bangangenela ukuze banikeze ukwesekwa kokuhlolwa nokugoma 

Yiziphi izici ezibalulekile abantu abazidingayo ukuze bazi ngomdlavuza womlomo wesibeletho?

Kufanele kugxilwe ekutheni uyini umdlavuza womlomo wesibeletho, izimbangela, amaqembu asengozini enkulu, ukuhlotshaniswa kokuziphatha kwabantu nesifo, izici zokuzivikela ezihlanganisa ukuhlolwa nokugoma.

Zisebenza kanjani izibhedlela ze-CARE ekwelapheni umdlavuza?

Ukuhlolwa nokwelashwa komdlavuza kuyatholakala ezibhedlela eziningi ze-CARE. Senza izinhlelo zokufinyelela emiphakathini enesango, izinkampani, namanye amaqembu esigxile kuwo. Amaphakheji ethu ezempilo ahlanganisa ukuhlolelwa imidlavuza eyahlukene. Ithimba lethu lochwepheshe bomdlavuza baqeqeshwe kahle futhi banolwazi olunzulu kwezobuchwepheshe bakamuva obutholakalayo. Ukuthuthukiswa kwezikhungo ukuze kufakwe izinto ezintsha ekubonweni kusenesikhathi kanye nokwelashwa komdlavuza kuwumbono weqembu. 

Izibhedlela Zokunakekela zinama-oncologists Ezokwelapha kanye nokuhlinzwa, okuhlanganisa lawo akhethekile kwi-Hemato-oncology kanye nokwelashwa kwe-stem cell. Ngaphandle kwalokhu, sinodokotela abahlinzayo abaqeqeshelwe ukuhlinzwa kwe-Robo, okuvumela ukususwa kwezixuku ngokuphelele. Ezinye izindlela zokwelapha zihlanganisa ukufakelwa kwesibindi komdlavuza wesibindi, ukwelashwa ngemisebe, ichemotherapy, i-hormone therapy, ukwelashwa okuhlosiwe nokunye okuningi.

Ulibona kanjani ikusasa lokwelashwa komdlavuza ngobuchwepheshe obukhulayo bokunakekelwa kwezempilo?

Ukuvinjelwa komdlavuza, ukuxilonga kanye nokwelashwa kunenguquko kwezobuchwepheshe futhi okwake kwabonakala kungenakwenzeka ocwaningweni lomdlavuza manje sekuyinto engokoqobo ngenxa yokuqanjwa okusha kwezobuchwepheshe okuholele empumelelweni ezindleleni esihlonza ngazo, esiwuqondayo, kanye nokwelapha umdlavuza. I-Artificial Intelligence, i-telehealth kanye nokuhlinzwa kwe-robo sekuvele kunomthelela ekunakekelweni komdlavuza. Ukuthuthuka kwezinzwa, ama-ejenti wokuqhathanisa, izindlela zamangqamuzana kanye ne-AI kuzoholela ekutholeni umhlahlandlela wezimpawu ezithile zomdlavuza esikhathini sangempela. 

Yiziphi izindlela zokwelashwa uhlelo lwezempilo lwaseNdiya oluntula ukwelashwa okuphelele kwanoma yiluphi uhlobo lomdlavuza?

Ukutholakala okusabalele kwe-cryogenics, ukwelashwa kwe-proton kanye nokwelashwa okungabizi kakhulu ukuze kufinyelelwe esigabeni esiphakathi nokumpofu kuyisithiyo esikhulu ekwelapheni umdlavuza. Ngisho noma kusheshe kwatholakala, izindleko zokwelashwa zinkulu kakhulu. 

Njengoba ucabanga, lesi sifo singagwenywa kanjani?

Izinto ezibaluleke kakhulu ongayenza ukuze usize ukuvimbela umdlavuza womlomo wesibeletho ukugonyelwa i-HPV (Human Papillomavirus), kanye nokuhlolwa njalo.

Ukugoma kuyanconywa ezinganeni ezineminyaka engu-11-12 ubudala kodwa zinganikezwa kusukela eminyakeni engu-9. Lo mgomo unconywa futhi kubo bonke kusukela eminyakeni engu-26 uma ungagonywanga ngaphambi kwesikhathi, njengoba uvimbela ukutheleleka okusha nge-HPV. 

Ukuhlolwa kwenziwa nge-PAP smear test, ukubheka izinguquko zamangqamuzana angaphambi komdlavuza

Kuyelulekwa ucansi oluphephile. Ukusetshenziswa kwamakhondomu nokugwema abantu abaningi ocansini nabo kuyalulekwa

Umkhankaso wemidiya obanzi, ogxilile ngokusebenzisa imidiya evamile, imidiya yedijithali kanye nomkhankaso omkhulu uyadingeka

Okokugcina, uthini umbono wakho mayelana nokwabiwa kweSabelomali seNyunyana ka-2023-24 ngasembonini yezempilo?

Isabelomali senyunyana sika-2023 sasiyisabelomali esiqhubekayo. Umqedazwe we-Covid-19 usifundise ukubaluleka kokuba nabasebenzi bezempilo abanamakhono. Ukwengeza amakolishi amasha angu-157 abahlengikazi kuyisinyathelo esamukelekayo futhi kuzosiza ngokuqinisekile ekwengezeni abasebenzi abanamakhono ohlelweni lwezempilo lwendawo. Ukuhlolwa kwenqwaba yokuqedwa kwe-sickle cell anemia ngo-2047 kuyisinyathelo esiqondile sokuqinisekisa ukuthi abantu ezindaweni zasemakhaya zezwe nabo baphila impilo enempilo.

Udokotela: UDkt Nikhil Mathur, Umphathi Weqembu Lomsebenzi Wezokwelapha, Izibhedlela ze-CARE

Isixhumanisi Esiyisethenjwa: http://bwwellbeingworld.businessworld.in/article/Need-To-Create-Awareness-About-Cervical-Cancer-In-Tier-II-Cities/04-02-2023-464324/