ma hh al a umasinganA • 2015 Ukusoka okungaphezu kwezi-500 000 e-KZN a g n a f u Ak a w d e y no Fighting Disease, Fighting Poverty, GivingIthemba Hope Ukulwa Nezifo, Ukulwa Nendlala, Ukunika u k a l e v o o z e l Umya KZN, eMEC WezeMpilo mo lo h D i n e is g n o ib uDkt S i k a T & a s i b a Th Ngiyaziqhenya ngokuba nomyeni osokile ngoba sinamathuba amancane okuthola igciwane lengculazi. ela nje uma hi eside – kuph se zophila isikhat ba ela efanele, be anguzo ngendl onke u-2015 n ish a im el a is dl if be in g usha hle kwezocansi. la konyaka om beziphatha ka omuhle. Ukuqa la kabusha lo pi im uba lokuqa ba okuqala th hu yi at li m pilo Le na za ku lo ngweni sezem a lokuqala impi ungayi esikhu ub ni th yi Yi e, ? a. la nk sh ha ko bu ah ka elela a konke m ne uyohlolelw kuthi ungaphum za yo ele du a m ise ish ku es a em w o kohlol lule. unemibon i uma ungakayi ith amaphutha ad a ng em ye o w gi sh N ug gi N se ayo. kanjani be lokuphumula gomuntu ogul libe nethuba uzithathe njen afana nomuntu uy a Iningi lenu a ph dw Ke Nyuyezi. a uphilile ko no e zw zi ny ka ga uthi i un us i – uze uzazi uk lidle uKhisim sikhathi ngoba awuzaz i Wezempilo yi o en ay thi ul gw ha og an sik ny a kusene uchaza kithina eM u onyakeni, ok . Izifo zitholakal ul ifo kh as ulwa. ka un w o la aw as zi ng e bese alekelele. esimatasa hlolwa, welashw onke umuntu ko w a uy ga e. a in id sid um es e hi isikhat ukuthi sisuk lela ekuphileni tu bevala, beya ho an ku ab u e kh nk Lo bo o i g n Ngesikhath neni uMnya u cishe yizo Ngasekugci ibhedlela zeth yokusiza labo o w a, ya el o emicimbini, iz dl am he nya ngemiz e. Kepha izib he lil iq e vu az zi uy ke isu eni abenze kahl nye zodwa ez mphakathi ka kamatikuletsh ba Zo i lo nd bo pi fu la m gi ba ze in Ze In ndaze. Izikhungo linzeka ngemifu ho ngaphandle ah ut ul ub nhle. zi ak ok ge lo ng in pi ez am nemithol kwezimo eb amaqhawe u o w ez La ph . na zo e ku el ebenza liphumel empu kwabantu abas mindeni hakathini ehlw ngesikhathi se bo livela emip a la el gi ik in gekho an In en le o ki e labo haya laph anganake aweni zasemak iza abantu bezw us nd zi uk se a thi ibe ya on ka kh ha a o kanye yawo, ab a leyo mip i eziphuthumay amathuba keph en a w on lelwe im kh ze ez i ge sh en nezivaka buye kw yizifo. Lokhu ku ona. e kh w ni ka aq fu ih ge ga in an ed uhle nalapho zempilo ab ba unyak a om abasebenzi be ye zo ni u an k he ab a ob ek ol k Kubu Natali. azi basemad pilo KwaZuluya ubukhazikh . em hi ez ya us W ha i uk ak en m gw eMnyan weni ezise wezisebenza ezinda lwa, ngonyaka ni ko ba yo ye in um iz ba ok ya e nj ha Ukubala abasha sis eni siza laba bantu okusemthethw ku a ng go a sh N lw qe vu qe zo ba 2015 ku athini kanye e elilodwa. Siya mpilo emphak ezimbili ngetsh kwabasebenzi a ek el izikhungo zeze w es la kw hu et no kw na no ka e he ny lo, ka sibe sib ndawo. nemitholampi o hiwe kulezo zi njengesikhung pilo abaqeqes ds m or ze cC be uma iM ha la as le isiBhed bantu ab ba ukuthi labo kunakekelwa bo em e th mbeza sh Se ne he no ep w sobuch ane bayoba ibalulekile ez es iy o el im e ez w em es m w ye isi sebeth kathini kwamehlo. Esin sebenza emipha inzekwa ko hl ye ku ba no la a ye an el may bokubu zi. esezinguquko iwane lengcula gc ye zo abavela kuyo. gu an kwemish antu ab hi ut uk hu alok Umphumela w N zi-2015 ube e w a k a y n u e nibusise enz nke umuntu! o w o UNkulunkulu a w u k lo u b ile noletha inja h p e h p o , o il p m one Ukulwa Nezifo, Ukulwa Nendlala, Ukunika Ithemba ng INQUBOMGOMO ENTSHA Imifundaze Isimungumungwane Siyabulala kepha singagwenywa ngomgomo Izindaba Ezakamuva ezivela eMnyangweni wakho Wezempilo Umfanekiso Obaba abadala abathandana nezingane: Injabulo yesikhashana, Izinkinga ezingapheli INQUBOMGOMO ENTSHA Kuqaliswa ukwelashwa kwesikhathi eside kungakhathalekile nge-CD4 count Ukusoka Bangaphezu kwesigidi abesilisa abasokwe ngempumelelo lapha e-KZN Ukuqwashisa Ngobulephele Isiqalo Sempilo UMNYANGO WEZEMPILO E-KZN: UPHIKO LWEZOKUXHUMANA U-ZOHRA MOHAMED TEKE (UMHLELI) COLIWE ZULU THANDI ZULU THEMBA MNGOMEZULU sara auld DR GUGU MAZIBUKO Ukuba nempilo ngowezi-2015 Hlolwa impilo mahhala Imitholampilo Yokuhushula Izisu Qaphela ezingagunyaziwe NGEMBOBO KAKHIYE UDkt Quazi ophumelelise ukusoka e-KZN Sinike uvo lwakho, noma usitshele ukuthi ucabangani ngalo magazini! P O Box 25439, Gateway, 4321, UCINGO-031 825 6790. I-EMAIL: editor@ezempilohealthmatters. co.za ILUNGELO LOBUNIKAZI UKUHUSHULA ISISU Siyababonga laba abalandelayo ababe neqhaza: Uluthola kuphi futhi kanjani usizo Konke okushicilelwe kulo magazini kuyilungelo le-Ezempilo… Health Matters futhi kungase kuphinde kukhiqizwe futhi kusakazwe mahhala ngezinjongo zokufundisa kuphela. we k i b u Sek nu m i s e aban ane w g n u gum ezweni Umlando kamufi UMnyango Wezempilo e-KZN usosizini ngokushona ngokukhulu ukuzuma kukaDkt Samukelisiwe Camara, iNhloko yesiKhungo Sezempilo Somphakathi sasePholela, engozini yemoto zingama-24 kuZibandlela 2014. Sengathi angaphumula ngokuthula. Zonke izikhangiso ezikulo magazini akukona ukuthi zisekelwa ngokusemthethweni uMnyango Wezempilo Wase-KZN, uMasipala WasEthekwini noma Ezempilo Health Matters Ukwazi ukuthi ungasigwema kanjani isifo kusho ukuphephisa impilo OKUMELE UKWAZI NGESIMUNGUMUNGWANE Siyini isimungumungwane Yisifo esihaqa imigudu yokuphefumula kanye namaphaphu omuntu – ikakhulu izingane ezincane kanti siyabulala. Sisatshalaliswa ukuthimula, ukukhwehlela noma ukwabelana ngokudla neziphuzo nomuntu onaso. Igciwane lesimungumungwane lingatholakala emoyeni. Lokho kusho ukuthi ungalithola igciwane lesimungumungwane uma useduzane nomuntu onaso noma ngabe engakhwehlelanga. Kubalulekile ukungayi emsebenzini, esikoleni nokuba seduze kwabanye abantu uze utshelwe ukuthi sekuphephile ukuthi ungaya kwabanye abantu. Singagwenywa isimungumungwane? Zonke izingane ziyasigomela isimungumungwane kanti okuyiyona ndlela efanele yokusigwema ukuqinisekisa ukuthi ingane yakho iyithola yonke imigomo. Khuluma nomsebenzi wezempilo ngemigomo okumele itholwe yingane yakho bese uqinisekisa ukuthi zonke izingane zigomile ekhaya. Izimpawu zesimungumungwane Kuqala ngomkhuhlane, amafinyila, amehlo abuhlungu kanye nokukhwehlela. Emva kwezinsuku kuqala ukuqubuka esiphongweni nasentanyeni bese kulandela ubuso bonke nomzimba wonke. Selashwa kanjani Uma usola othile ekhaya ukuthi unesimungumungwane, muse esikhungweni sezempilo esiseduzane ukuze athathwe igazi bese elashelwa sona uma sitholakele egazini. Ekhaya Umuntu onesimungumungwane, ikakhulu izingane kumele zibe sembhedeni, ziphuze okungamanzi okuningi bese zinikwa nokudla okunempilo. Uma ingane enesimungumungwane inganceli ibele, yifunze ubisi lwebele ngesipunu. Ubungozi besimungumungwane Kungaba nzima enganeni enesimungumungwane ukuba ilwe nezinye izifo ezinjengenumoniya, indlebe ebuthaka, izilonda emlonyeni ngisho nobuthaka emehlweni okungathi uma kungelashiwe kuholele ebumpumputheni. UKUQWASHISA NGESIMUNGUMUNGWANE umasingana 2015 okuqukethwe Ukugwema ukubulala kwesimungumungwane qinisekisa ukuthi wonke umuntu ekhaya ugonyelwe lesi sifo ezinyangeni eziyisi-9 neziyi-18. UNGAWATHATHI AMASHANSI, ISIMUNGUMUNGWANE SIYABULALA. Imifanekiso esetshenziswe kwEzempilo eyokucacisa kuphela, ayiqondile ukuveza abantu bangempela futhi ayimele lokho okuqukethwe ushicilelo. Ukulwa Nezifo, Ukulwa Nendlala, Ukunika Ithemba Isibhedlela i-CJ Crookes yisona esamukele ingane ezalwe kuqala ngowezi-2015! Ingane ezalwe kuqala KwaZulu-Natali izalelwe esibhedlela i-CJ Crookes zingama-31 kuZibandlela 2015, inguYamkela ozalwe enesisindo esingu-3.63. Kuthiwa nasezweni lonke kucatshangwa ukuthi ube yingane ezalwe kuqala. Ngenkathi amukela lo mntwana nabanye abangama-33 abazalwe esifundazweni sonke uNgqongqoshe uDhlomo unxuse omama abakhulelwe ukuba baphuthume emitholampilo beyobhalisela ukukhulelwa kwabo ukuze bathole izingane eziphilile. “Kumele kulethe intokozo ukuzalwa kwengane. Kepha lobo bumnandi buyokwenziwa ukunakekeleka okufanele ezinyangeni eziy- isishiyagalolunye zokukhulelwa. Sicela bonke abesifazane abakhulelwe ukuba basheshe baye emitholampilo ukuze izingane zabo zizalwe ziphilile. Ukuya komama abakhulelwe kusenesikhathi kulesi sifundazwe yikhona okwehlise izinga lokwedluliseka kwegciwane lengculazi lisuka kumama liya enganeni ngama-1.2%. Uma umama onegciwane lengculazi esheshe eya emtholampilo, siye simnike imishanguzo yokuthithibalisa igciwane ukuze lingadluleli enganeni. Kuningi esingakwenza njengabezempilo kepha nomphakathi uneqhaza lawo okumele ulibambe,” kugcizelela uNgqongqoshe uDhlomo. Inhloko yomnyango ikhuluma ngokulwa nesifo sofuba INhloko Yomnyango Wezempilo e-KZN, UKUQALA UNYAKA NGEZEMPILO EZENGEZIWE UNgqongqoshe Wezempilo KwaZulu-Natali, uDkt Sibongiseni Dhlomo wemukele unyaka omusha ngokusabalalisa izidingo zezempilo ezindaweni zasemakhaya esifundazweni. Enye yalezi zindawo yisiFunda saseMkhanyakude esinikezwe izigidi ezingama-27, 35 ukulungisa ingqalasizinda ukuze kuthuthukiswe ezempilo endaweni. Lokhu kubandakanya uPhiko olusha lwegciwane lengculazi nengculazi kanye nezifo zocansi kanye ne-TB, iwadi yabesifazane, uPhiko lokwelashwa kanye nendawo yokuhlala yabasebenzi esibhedlela esizuze umklomelo saseMseleni, esithathwa njengesihlinzeka ezempilo ngokuseqophelweni eliphezulu. Ngesikhathi evula lezi zakhiwo uDkt Dhlomo uncome umsebenzi wabasebenzi esibhedlela kanye nemenenja yesibhedlela uDkt Victor Fredlund, ohlonishwa kakhulu ngomsebenzi wakhe othinta impilo emakhaya. Sijabule kakhulu ngokuvulwa kwala maphrojekthi ngoba azophucula izinga lokuh- linzekwa kwezidingo zezempilo. Selokhu ngaqala ukuba uNgqongqoshe Wezempilo ngihambela izibhedlela nemitholampilo ukuze ngizibonele ngokwami ukuthi zelashwa kanjani iziguli; zigcinwe kanjani izikhungo zethu nokuthi basebenza kanjani abasebenzi bethu. Ngesikhathi ngenza lokhu ngizibonele ngokwami ukuthi baningi abasebenzi abasebenza ngokuzikhandla ukuqinisekisa ukuthi iziguli zelashwa kahle endaweni ehlanzekile,” kusho uDkt Dhlomo. uDkt Sibongile Zungu uncome umsebenzi wokusetshenziswana nabo kanye nabasebenzi bezempilo ekulweni ne-TB kule minyaka emihlanu eyedlule, kepha wathi kuningi okusamele kwenziwe ukuze kungabe kusaba bikho muntu obulawa yi-TB. Ngesikhathi ekhuluma nababethamele esiBhedlela i-Addington wancoma imizamo yokubambisana kule minyaka eyishumi ekulweni nesifo sofuba, uDkt Zungu wathi i-KZN yisona sifundazwe esinezibalo ezinkulu zabane-TB nokuqhubeza ukuba abasebenzi bezempilo babe sengcupheni. “Ayikho indlela esingabalekela ngayo iqiniso lokuthi i-TB iyinselelo enkulu kubasebenzi bezempilo. Kuseyinkinga ukuqalisa izinhlelo zokuhlola njengabasebenzi bezempilo. Ngokufakaza kukaNgqongqoshe uDhlomo kutheleleke nabanye ongoti. Ehlonipha uDkt Nerissa Pather waseThekwini noDkt Thabiso Thusi wasePort Shepstone, abasuleleke nge-TB ne-MDR ngokwehlukana, besemsebenzini, uDkt Dhlomo wathi: Lo umklomelo onzima noma yimuphi umsebenzi wezempilo angawuzuzela izwe lakhe.” UDkt Zungu wagcizelela ukuthi nakuba isifundazwe siphumelelile ekulweni neTB kepha izinga labane-HIV kanye ne-TB lingama-65%.“Siyazi ukuthi okuyisona sithiyo esikhulu ukuthatha isikhathi kokuhlolwa nokwelashelwa i-TB kubantu abane-HIV. Kuningi okusamele sikwenze kulolu daba, ngokubhekelela uMbiko osihloko sithi: Ukufa kanye nezimbangela zokufa eNingizimu Afrika, “Masisebenze ngokubambisana ekwakheni umhlaba ongenaso isifo sofuba” 2013; ngabezokuBalwa Kwabantu eNingizimu Afrika, 2014; imbangela yokufa kubantu abaneminyaka ewu- 15-44 isifuba, esenza ama-15.2% okufa kulesi sigaba seminyaka, kulandele i-HIV ebulala ama-10,8%,” kwengeza uDkt Zungu.Uyaqhubeka uDkt Zungu athi ucwaningo luveza ukuthi isifundazwe sesibe nentuthuko kulabo abayeka ukudla imishanguzo ye-TB basuka ema-20% ngowezi-2005 sehla saya ema-5%. “Lokhu kuzuzwe ngenxa yokuzinikela nokubekezela kwabasebenzi bezempilo kanye nokusetshenziswana nabo emkhakheni we-TB,” kusho uDkt Zungu. Okunye kokuhlosiwe ekunqobeni i-TB ngowezi-2015 kubandakanya: 95% wama-smear positive cases usuqaliswe ukwelashwa I-Bacteriological coverage yenyuswe yaya ema90% I-smear conversion ezinyangeni ezimbili isiyenyuselwe ema-85% Izinga labayeke ukudla imishanguzo lingaphansi kwama-5% Impumelelo yokwelashwa kwe-MDR ingama-65% Izinga lokubulalwa yi-MDR lehle laba ngama-10% Izinga lokwelashwa ngempumelelo kwe-XDR lenyuke laya ema-35% kanti nezinga lokubulawa yi-XDR selehle laba ngama-30% qaphelani obaba abathandana nezingane ezincane! baletha injabulo yesikhashana nokuhlupheka kwesikhathi eside! Ukulwa Nezifo, Ukulwa Nendlala, Ukunika Ithemba OKUSHA KWEZEMPILO Ukwelashwa kwesikhathi eside kwegciwane lengculazi+ abesifazane abakhulelwe Kusukela ngale nyanga bonke abesifazane abakhulelwe bazothola umshanguzo wesikhathi eside wegciwane lengculazi kungakhathalekile ubungako begciwane emzimbeni. Ngaphansi kwale nqubomgomo entsha ezoqala ukusebenza ngale nyanga, bonke abanye abantu abanegciwane lengculazi bazonikezwa imishanguzo uma i-CD4 count yabo yehla iba ngama-500. Lokhu kuzokwehlisa izinga lokwedluliseleka kwegciwane kanye nokusiza iziguli ukuba zelashwe kusenesikhathi. ISICELO SOKWEHLISA UMOYA Imithetho emisha emenyezelwe uNgqongqoshe Wezempilo Kuzwelonke uDkt Aaron Motsoaledi iveza ukuthi iningi labantu selizokwazi ukuthola imishanguzo yengculazi yesikhathi eside okuzokwenza ukuba baphile isikhathi eside. Ngenxa yenjabulo elethwa yilolu hlelo, iNhloko Yomnyango Wezempilo e-KZN uDkt Sibongile Zungu inxusa wonke umuntu ukuba abekezele ngoba kuzogcwala kakhulu ezikhungweni zezempilo emva kwalesi simemezelo. “Njengoba le nqubomgomo izoqala ukusebenza ngale nyanga, izikhungo zezempilo zizogcwala kakhulu. Sicela ukubekezelelana ukuze sikwazi ukubhekana nalesi simo. Sicela iziguli zibike uma kukhona izinkinga ngalolu hlelo ukuze sikwazi ukuzixazulula masinyane ukuze siqinisekise impumelelo yalo mngenelelo kwezempilo,” kuchaza uDkt Zungu. USIZO LOKULWANENGCU LAZI YINI LENA ENGAKA NGE-CD4 COUNT? Amaseli e-CD4 awuhlobo lwamaseli amhlophe abalulekile ekukusizeni ukuvikela umzimba ekulweni nezifo. I-CD4 COUNT ukuhlolwa kwaselebhu okukala isibalo samaseli e-CD4 egazini lakho. I-CD4 COUNT ikhombisa ukuthi amasosha omzimba wakho asebenza kanjani, uma i-CD4 count yakho iphezulu kusho ukuthi umzimba wakho uyakwazi ukulwa nezifo. OKUMELE UKWENZELE IMPILO YAKHO Hlolela izifo zocansi bese ukhuthaza nomlin- gani wakho ukuba ayohlola. Kuphephile ukukhulelwa okuhleliwe. Uma usukhulelwe phuthuma emtholampilo ngoba lokho kuphephisa impilo. Ukusheshe uye emtholampilo kwandisa amathuba okuzalwa kwengane engenalo igciwane lengculazi. Zonke izingane ezinegciwane lengculazi ezineminyaka engaphansi kwemihlanu kumele zithole imishanguzo kungakhathalekile isimo sempilo yazo ne-CD4 COUNT. Bonke abesifazane abakhulelwe kumele Yazi isimo sakho. Hlola. bahlolele igciwane lengculazi ukuze bavikeleke kanye nezingane. Imishanguzo eyempilo yakho yonke – Yidle njalo. Uma utholakala ungenalo igciwane, hlola minyaka yonke uhlole ne-TB. Uma imishanguzo ingakuphathi kahle, ungaziyekeli wena ngokwakho kepha hamba uyobika kumsebenzi wezempilo. Ziphathe kahle kwezocansi, ikakhulu uma unegciwane lengculazi. Sebenzisa ikhondomu, ukhuthaze umlingani wakho ukuba asoke bese ugxila kumlingani oyedwa. Ukulwa Nezifo, Ukulwa Nendlala, Ukunika Ithemba ukusoka IsiFundazwe saKwaZulu-Natali sinconywa ngempumelelo yaso ekusokeni kanye nokwehlisa ukusabalala kwegciwane lengculazi nengculazi. AKUKHO NOYEDWAE OSHONIL Ukusoka okungaphezu kwezi- 500 000 okube yimpumelelo e-KZN N gesikhathi kwamukelwa abesilisa abangama-295 abebebuya kosokwa eKokstad, uNgqongqoshe Wezempilo e-KZN, uDkt Dhlomo uncome ubuholi beSilo uGoodwill Zwelithini ekugqugquzeleni ukusoka kwabesilisa. “Ngeke sikhathale ukubonga Ongangezwe Lakhe ngobuholi nobuhlakani bakhe ekubuyiseni ukusoka njengendlela yokulwa nokusabalala kwegciwane lengculazi kanye nengculazi uqobo osekuqede abantu bakhe. Namuhla umhlaba wonke usuqaphelile futhi uyaluncoma ushintsho esimweni sempilo kubantu baseNingizimu Afrika. Igciwane lengculazi ebelibhuqabhuqa abantu namuhla seliyanqotshwa. “Namuhla ngingakubika ukuthi kusukela ngonyaka wezi-2000 iSilo kade sihlaba umkhosi eMKHOSINI WOSELWA; sesisoke abesilisa abangaphezu kwama-500 000, kungekho noyedwa oshonile noma onqunywe isitho esithile. Okwenza ukusoka kwaseKZN kwehluke UMnyango wenza ukusoka kwamahhala okwenziwa ochwepheshe abaqeqeshiwe. Ukuqapha okwenziwa ochwepheshe bomnyango kubandakanya lokhu okulandelayo: I-KZN ihamba phambili Uqeqesho lokugwema ukugula ezinkanjini Okwenza ukuthi ukusoka kube yimpumelelo esifundazweni yingoba uMnyango Wezempilo e-KZN ubuka ukusoka njengolunye lwezinhlelo zokulwa nokusabalala kwegciwane lengculazi. UMnyango waqalisa isikhungo esisezingeni eliphezulu sokusoka esiBhedlela iNorthdale, eMgungundlovu lapho kuqeqeshwa khona abasokayo okubandakanya nabasuka emazweni angomakhelwane. zokusoka zesintu Ukubulala amagciwane ezintweni okusokwa ngazo Ukuhambisa abahlengikazi besilisa ukuba bayoqapha isimo ezinkanjini okusokelwa kuzo UkweLulekwa nokuHlolelwa igciwane lengculazi ngaphambi kokuya kosokwa kanye nokuhlolelwa zonke izifo Unakekelo lwangemuva kokusokwa uma ludingekile. Sukuma. Usoke. umasingana 25 USUKU A S I H S A W Q U K O L NGOBUfuLnEdisPe HomEunLyEe Ukutho kusene lakala sikhat hi kungav ukukh imba ubazek a Omunye aka ikwa Ngonyaka owedlule kwab hele ulep abantu abayi-18 abanob KwaZulu-Natali – isibalo sukela esikhulu kunazo zonke ku kuba ngonyaka wezi-2010. Na ne kepha izibalo zibonakala zinca Leprosy izinhlangano ezinjengeiphakathi Mission zinxusa yonke im o ngoba sif ukuba izifundise ngalesi omphela. sibanga ukukhubazeka un E do kanye benzi, amathuba omsha unene. uK khuluma nabe-Ezempilo ho kus ” , no lwa nobudle shini mi we eli lum hu mk gu on Ukuze uphephe kanye nene, ka esifundazweni uLucky Ku mphakathi wakho, qinise no enkulu u paw wathi okuyiyona nselelo izim a on ukuthi uyazib lakala ukuthi kuyephuza ukutho zobulephele: , ho nak ubulephele kubantu aba kakhulu ba ngesikhathi sekuhambe Buhlasela kakhulu isikhum zi kakhulu go yin “Bu ilonda. sebekhubazekile. nez a nemizwa; ngamathumb eNingizimu ubulephele esibubona a kube enz eni Amashanda esikhumb siza abantu Afrika okuba nzima uku isimo sesndikindiki. abanakho ngoba bafika a ele kum ho gak Ukuqumba kwesikhumba nom ivele sesibheda. Yin eni sw ebu mpawu amaguludla, ikakhulu abantu bazifundise ngezi asekub a bik be se be ele nasezindlebeni. ph zobule isipha hona abakuk a um pilo zem be nzi Ubuhlungu, ukuqumba kwem be ne esi ifo yis bu ele kusolayo. Ubuleph (eduze namalunga). a labo bantu e noma sihluku ngoba buhlasel Ukuba ntekenteke kweminw enza ng Bu ni. be hla em ofu abamp izinyawo. pilo yakhe ukopha umuntu akhubazeke im Ukuqothuka kwezinkophe, esithile yonke, anqunywe isitho ana cin emakhaleni noma uku Siphinde futhi abe yimpumputhe. seum emakhaleni. o, sikhinyabeze imfundo yab Ukwelashwuleaphele uma Bungelapheka ub i. Lokho butholakale kusenesikhath gwema aku ang tu un um thi kusho uku eka baz khu ukunqunywa noma uku u paw izim ika uma esheshe wayob ne. uza sed esi pilo em sez ni esikhungwe o ng nya uM Kwelashwa mahhala futhi osy epr neL Wezempilo e-KZN ukanye lapha labo Mission banohlelo lokwe a labo aph zel o ng hu abanabo. Izik anya: dak ban oku e hel lep bu abano – ngolweIsiBhedlela i-Edendale eni Sine lokugcina enyang lwesiHlanu I-Prince Mshiyeni – ngo lokugcina enyangeni ka (MasinIManguzi – kabili ngonya gana/Ncwaba) ibili IMadadeni – enyangeni yes ulephele Uma udinga ulwazi ngob KwaZulu-Natali, shayela olo uLucky Kunene kule nomb ethi: 072 252 0801 lala, Ukunika Ithemba nd Ne a ulw Uk o, zif Ne a ulw Uk Isiqalo Sempilo Qala u-2015 ngokuba nempilo UMnyango Wezempilo KwaZulu-Natali umema zonke izakhamizi ukuba ziqalise unyaka omusha ngokuya ezikhungweni zezempilo esifundazweni ziyohlolwa mahhala. Inhloso Yokugwema Ngesikhathi yenza isimemezelo, iNhloko Yomnyango Wezempilo Esifundazweni, uDkt Zungu ithe: “Seluleka zonke izakhamizi zaseNingizimu Afrika ukuba ziye emitholampilo eseduzane ziyohlolwa ukuze zisazi isimo sempilo yazo. Zonke izifo – noma ngabe yigciwane lesandulela ngculazi, izinhlobo ezahlukene zomdlavuza, isifo senhliziyo noma sikashukela – kuba lula noma kuyashibha ukuzelapha nokuzilawula uma zitholakale kusenesikhathi okwenza kubaluleke ukuhlolwa kusenesikhathi – kunokulinda size sidlondlobale isifo.” UDkt Zungu wagqugquzela abesifazane ukuba basebenzise ithuba elivezwe isiFundazwe ngemikhankaso ye “Phila Ma” kanye ne “Phila Mntwana.” Lezi zinhlelo zisiza abesifazane ekuhloleleni umdlavuza webele nowesibeletho, igciwane lengculazi nengculazi, ulekelelo egciwaneni lengculazi nengculazi, ukuqashwa kokukhula kwengane, ukuhlolelwa ukungondleki, ukuhlinzeka ngamavithamini, imingenelelo esifweni sohudo, ekukhuthazeni ukuncelisa ibele, ukuhlolela i-TB, ukulandelelwa kwabangadli ngendlela imishanguzo; ukugoma kanye nezinye izidingo zezempilo kugxilwe empilweni kamama nengane. Abesilisa badinga ukuhlolelwa umdlavuza wezindlala zowesilisa Njengoba bengaphezu kwama-60% abesilisa abaneminyaka engaphezu kwama-65 abatholakala benomdlavuza wezindlala zowesilisa, uDkt Zungu unxusa bonke abesilisa, ikakhulu abaneminyaka engaphezu kwama-40 ukuba bahlolele njalo umdlavuza wezindlala zowesilisa okungumdlavuza owelaphekayo uma utholakale kusenesikhathi. INhloko Yomnyango inxuse bonke abesilisa ukuba baye njalo ukuyohlola bese bebamba iqhaza elikhulu ekunqandeni ukusabalala kwegciwane lengculazi nengculazi. “ Ukuze sibe yisizwe esiphilile, kudingeka sithathe izinqumo eziphusile ngokumele sikudle, kumele noma akumele siphuze utshwala noma sibheme okuyizinto eziyingozi empilweni. Kumele baziphathe kahle nakwezocansi,” kuchaza uDkt Zungu. Njengoba iningi labantu baseNingizimu Afrika likhuluphala ngokweqile kanye nokwenyuka kwezinga lezifo, uMnyango Wezempilo unxusa wonke umuntu ukuba azikhethele ukuba nempilo. “Ukuphila impilo enhle kubandakanya ukuhlala uzivocavoca, ukudla okunomsoco nokungaphuzi nokungabhemi, lokhu kungehlisa izibalo zabantu abahaqwe yisifo sikashukela, umdlavuza, isifo senhliziyo nesohlangothi kanye nezinye izifo ezingathathelwana,” kwengeza uDkt Zungu. Yensa umehluko. Ungawenzeli phansi umzimba wakho. i-16 y i z e i d i g i Iz h m e u t n zaba a w a l u b i z labeni ingathyizifo ez lani athe Inhlabamkhosi yeNhloko Yezempilo uDkt Sibongile Zungu yokuthi abantu baphile ngokunempilo ifakazela iphuzu elibalulekile elashiwo Inhlangano Yomhlaba Yezempilo (WHO) ngasekuqaleni kwale nyanga. Izigidi ezithi azibe yi-16 zabantu emhlabeni jikelele zifa minyaka yonke zibulawa yizifo ezingagwemeka. Lezi zifo zibizwa ngezingathathelani ngoba azedluleli komunye umuntu, ziyisimbelambela kanti zihamba phambili ekubulaleni emhlabeni jikelele. Lezi zifo zibandakanya lezi ezilandelayo: Isifo sohlangothi Isifo senhliziyo Isifo sikashukela Umdlavuza Isifuba somoya Ukuphambana kwengqondo Impumelelo yeNingizimu Afrika isezandleni zakho Izwe lethu selikwazile ukwehlisa isibalo sabantu ababulawa yingculazi – sibonga imizamo yeminyango yezempilo nokubanjiswene nabo. Iningi labesifazane kunabesilisa seliphila impilo enhle osekwenze kwehla izibalo zabesifazane ababulawa yizifo ezingathathelwana. Kuningi kodwa okusamele kwenziwe. I-TB kanye nesifo senhliziyo kusahamba phambili ekubulaleni abantu lapha ezweni lethu – nakuba kugwemeka, okuchaza ukuthi iningi labantu lisadinga ukunakekela impilo yalo. Ukuqinisekisa ukuthi kuphepha iningi, i-WHO ibeke imigomo eyisi-9 kuwo wonke amazwe okumele ifezwe kuze kube yizi-2025 ukwehlisa isibalo sabantu abafa minyaka yonke bebulawa yizifo ezingagwemeka. Yeka ukubhema Yehlisa otshwaleni Yidla ngendlela efanele Zivocavoce “Sonke simelwe ukuphila ngendlela efanele ukuze kuliwe nalezi zifo” – Dkt sibongiseni dhlomo UNgqongqoshe uzoqinisa umkhankaso wempilo enhle UNgqongqoshe Wezempilo e-KZN, uDkt Sibongiseni Dhlomo, ohlala njalo ezivocavoca, uthi kuzoqiniswa umkhankaso womnyango wempilo enhle ukuze kuphephe iningi. “Mkhulu umphumela wezifo ezingathathelwana kwezomnotho. Abantu abanalezi zifo bashona beneminyaka engama-40. Uma sikhuluma ngempilo ende nenhle kumele zingabi bikho lezi zifo. Yithina esizilandela lezi zifo. Sonke simelwe ukuphila ngendlela efanele ukuze kuliwe nalezi zifo, okuwukudla ngendlela efanele kanye nokuzivocavoca,” kusho uNgqongqoshe uDhlomo. Ukulwa Nezifo, Ukulwa Nendlala, Ukunika Ithemba UKUHUSHULA ISISU QAPHELA I N E W H T E H T M E O H K E G N IMITHOLAMPILO E Njengoba sekuphele amaholidi kaZibandlela iningi labafundi basemanyuvesi besifazane ligaqelwe abahushulizisu basemadolobheni. UMnyango Wezempilo KwaZuluNatali ukhiphe isexwayiso ngalaba bahushulizisu abangekho emthethweni ukuba bagwenywe kunalokho kuyiwe ezikhungweni zikahulumeni ukuze kutholakale izeluleko ezifanele ngokuhushulwa kwezisu – okuvunyelwe ngaphansi kwezimo ezithile. Ukuhushula isisu okushibhile! • Akukho mibuzo ebuzwayo • Kulula, kuyashesha futhi akubuhlungu • Imiphumela iqinisekisiwe Shayela uDokotela ku: 023 324 2239 Lolu udaba lukaBongi oneminyaka eyi-16 owakhulelwa ngoLwezi wangonyaka owedlule. Kwathi ngokwesaba umndeni wakhe, waya emtholampilo wokuhushula izisu emva kokubona epheshaneni ayelithole kade evakashele umngani wakhe eThekwini. “Ngashayela le ndoda eyayibhalwe esikhangisweni yabe isingitshela ukuba sihlangane kwelinye ibhilidi edolobheni. Nganginovalo kakhulu ngoba isoka lami langilahla emva kokuba sengikhulelwe. Ngangazi ukuthi abazali bami babeyocasulwa okwakwenzekile ngabe sengiqoka ukusikhipha isisu kanti angibuzanga elangeni. Yangithatha le ndoda sanyuka saya phezulu kulo leli bhilidi elingenagesi. Indlu esangena kuyo yayingcolile inovolo nezinaliti phansi kanye nesidwedwe esixathukayo phansi. Kwafanela ukuba ngishiye iselula nepasi lami njengesibambiso semali ukuze ngingalokothi ngibaleke” sekuchaza uBongi. Senginikwe umuthi othile ukuba ngiwuphuze, indoda eyayizibiza ngo ‘Dr Momo’ yangihushula isisu. “Wafaka okuthile ngaphakathi kimi okwakuzokhipha izicucu zengane ngaphakathi. Kwakubuhlungu kakhulu kuphuma negazi kepha ayikho into engangingayenza ukukunqanda lokho. Emva kwalokho wabe esenginika uplastiki omnyama ukuba ngilahle ngawo umzimba wombungu,” kusho uBongi. Wasala opha kakhulu esegula futhi asazama ukukwelapha kepha ukuhlukumezeka komphefumulo yikho okuyohlala unomphelo. “Ngifisa amanye amantombazane amancane akwazi engedlule kukho ukuze angacabangi ukuthi ukuhushula isisu kuyinto elula engenziwa yinoma ubani. Kungcono ukukhuluma nomuntu oqeqeshiwe onjengomhlengikazi ukuze akweluleke ngendlela efanele,” engeza. AKHO LO E G N ALU AM ETHO H T M O K I S NGAPHAN ULWA KWEZISU WOKUHUSH u ihushula isis angas owesifazane ahushulwa izimu Afrika g in eN ha isisu sing p as w Ke o e. h lw et le si th u h m ek ko tela ngaphan ala ayi-12 Ngaphansi we ngudoko ntweni okuq ny o as vu ku em a a d m u uma ethan kwangama-20 i ayi-13 kuya emasontwen : ezilandelayo ma ukulalana kwalezi zimo lwengulwa no zobeka engcupheni ku Ukukhulelwa o kamama. qond impilo noma um okukhubazeka un u Uma umbung omzimba. do noma ngok ngokwengqon phumela lelwa kungum Uma ukukhu wokud kwezihlobo. kuzodala nokukhulelwa Ukuqhubeka a omnotho nom izinkinga kwez mama. enhlalweni ka la isisu u h s u a umuntu h u k o b i ma kwenziw u z lu o u g h a n ak ik u Ub phephile ula isisu nom gi kwezisu ku a uma uhush aphel a okunin elidayiswa thethweni. Q Ukuhushulw wuketshezi) gweni esisem ku n o u a h m ik o es n e philisi oqeqeshiw delayo: shula (okuyi hilisi lokuhu lokhu okulan a el h ap Q o. usebenzisa ip angisway isisu i noma elikh mbisa ukuthi emigwaqen muntu oqhaka U akanani. ng si se e la ofunde za udokotela, a zi hlengika nom ubudokotela, um i lis hi ip udayisela usokhemisi ok i. isu emgwaqen is lokuhushula ele is im hi umuntu oz Noma yimup la isisu. hu us ho azokuh ak kw a uz ok ng a kwesisu Ukuhushulw kho esimweni endaweni enge zeko. nangokwenhlan Umuntu ozen ma ngab usihushula no eni kala enombolw la Umuntu otho ingwane in in em nikezi ng ga on , la lu se ye futhi ongenabo yakhe ephelele andlwini bhaliswa emkh ubufakazi boku rika. eNingizimu Af wezempilo was mbisa he et ow hi umuntu Noma yimup cane. isu ngemali en ukuhushula is Sebenzisa amalungelo akho ngobuhlakani hhayi ngobulima. Phepha, uthole ulwazi bese wenza okufanele. Ukulwa Nezifo, Ukulwa Nendlala, Ukunika Ithemba NGEMBOBO KAKHIYE Hlangana nendoda ephumelelise ukusoka e-KZN Dkt Alamgir Quazi Uneminyaka engama-65 uchwepheshe wokuhlinza othi ubizelwe ukusoka. Nakuba esesebenze emhlabeni wonke njengodokotela ohlinzayo kepha ayikho into emjabulisa njengokuqokelwa ukuba uChwepheshe Wokuhlinza Oyinhloko, ngonyaka owedlule, iNhloko Yesikhungo Sokusoka esiBhedlela iNorthdale, eMgungundlovu. Lesi sikhungo esiphethwe uDkt Quazi siqeqesha labo abazosoka abantu ukuze bakwenze ngendlela efanele futhi beqashwe ngeso lokhozi. Ukuzithoba kwakhe nokuzinikelela abahlwempu Naye ukhulele endaweni esemakhaya eBangladesh, uDkt Quazi wafundela ubudokotela eNyuvesi iDhaka ekhona eBangladesh, wabuye waqhuba izifundo zakhe emazweni anjengeDenmark kanye ne-Ireland. Wasebenza emhlabeni wonke ngaphambi kokubiza iNingizimu Afrika njengekhaya lakhe. “Kwakumele ngithathe umhlalaphansi eminyakeni emibili eyedlule kepha lolu ubizo lwami, ngakho angikwazi ukuziba abantu abahlwempu abangidingayo. Inkinga enkulu eba khona uma ukusoka kungahambanga ngendlela kuba ukuthi labo abebesoka abazange bathole uqeqesho olufanele, yingakho ngabona kufanele ukuba ngiqinisekise ukuthi abantu basokwa ngendlela efanele, ngabantu abaqeqeshiwe. Sifisa kusokwe ngendlela esezingeni eliphezulu ukuze kwehle izinga lokusabalala kwegciwane lengculazi. Labo abangasoki babeka impilo yabo engozini yokuthola igciwane lengculazi okwenza kufanele sigqugquzele abesilisa ukuba baphume ngobuningi babo bayosoka,” kuchaza uDkt Quazi ochitha izimpelasonto zakhe ngokusiza labo abadinga usizo lwakhe. ‘Akukho okumele kusatshwe’ Ngesikhathi sixoxa noDkt Quazi, kwafika abazali bengane yomfana eneminyaka emithathu bemcela ukuba asoke ingane yabo. Baqala baba novalo bebuza ngobuhlungu obuzozwiwa yingane yabo. Ukungabi namatata kwakhe kwabenza “Ngingamane ngisize abahlala emaqhugwaneni kuneziqumama” – Dkt Alamgir Quazi nabazali bakhululeka uma uDkt Quazi esebatshela ukuthi akukho okubi okuzokwenzeka enganeni yabo. Emva kwemizuzu eyi-15 umfana wabo wabe esesokiwe ngaphandle kwenkinga. Ukusebenzisa indlela yeTara Klamp esala ibophe ijwabu emva kokusoka (eziwela emva kwezinsuku ezimbalwa) yisona sizathu esenza ukusoka eKZN kube yimpumelelo. “Siye sithi abantu abazikhethele. Siqeqesha ngazo zombili izindlela zokusoka ukuze iziguli zizikhethele. Noma ngabe iyiphi abayikhethayo, siqinisekisa ukuthi yenziwa ngendlela efanele. Yikona okubalulekile,” kusho uDkt Quazi ngokuzithoba, owenza wonke umuntu oseduzane naye athokoze. Ukukhuthaza ngokuthinta umuntu emhlane, ukunaka labo abasalindile, ukubuza ukuthi ‘unjani’ ube sewazi ukuthi nansi indoda ezimisele ukwenza umehluko. Ukulwa Nezifo, Ukulwa Nendlala, Ukunika Ithemba
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