Elapaha eretcha enavola ni muretche, nhu mwawera ephiro ya owura muretche wa meetiku’anhu. Whakhala wi muretche wa eretcha ya elapaha konatcharihiwa owura onakweleleyaayamo, asitchu ya elapaha eyo akhala mukhala okhoma okwa ni muretche nari miretche sawatcha inalapeliwa phara ovoliha elapaha. Asitchu alaa yakhalaka okhoma okwa ni muretche nari miretche, onasuweliwa sintoko elapaha yookhoma Miretche (nari MDR-TB). ephiro ya owura muretche phara MDR-TB n’nakhala nikhuru nikina na miretche sa asitchu n’niitchaniwa miretche sa asitchu sa ephiro yanawiili. miretche iya inahiyana nmakhalelo ya elukuluku navetho sokhala mulika nmwiilini makatchamiho makina, masi iya tisookweleya wawi evolihiwe elapaha yookhoma miretche nari MDR-TB. Mulape vamoha nave wiiwanana ni meetiku’anhu nari namalapa ya ovaha ekumi ya nikhuru na ekumi wawi aafe ephiro ya owura muretche nave, mutcharelaka, otchariha onakweleleyaayamo.