I-Hepatitis C iyaqhubeka nokusabalala kabanzi phakathi kwabantu abanesifo sengqondo esibi kakhulu kunakubantu abaningi. Izilinganiso ezivela emiphakathini eminingi yesayensi yaseSpain zibeka ukusabalala kokutheleleka kwegciwane le-hepatitis C elisebenzayo (i-HCV) cishe ngokuphindwe kane kunesilinganiso esijwayelekile , igebe elikhula uma kucatshangelwa ubunzima leli qembu elibhekene nabo ekufinyeleleni izivivinyo zokuxilonga kanye nokwelashwa okutholakalayo.
Besebenzisa uSuku Lomhlaba Lwe-Hepatitis C, olugujwa njalo ngomhlaka-1 ku-Okthoba, i-Spanish Society of Psychiatry and Mental Health (SEPSM), i-Spanish Society of Dual Pathology (SEPD), kanye ne-Spanish Association for the Study of the Liver (AEEH) bethule umhlahlandlela othi 'Izincomo zokuqeda igciwane le-hepatitis C ezigulini ezinezinkinga zengqondo'. Umhlahlandlela, owakhiwe ngokusekelwa yinkampani ye-biopharmaceutical i-AbbVie , uhlanganisa izinyathelo zokuthola ukutheleleka kusenesikhathi, ukusheshisa ukuqinisekiswa kokuxilonga, kanye nokuqala ukwelashwa ngokushesha okukhulu.
Kungani ukuhlolwa kungenakukhawulelwa emacaleni anomlando
Enye yezinto eziphawuleka kakhulu ezitholwe kulo mbiko ukuthi abantu abangafika ku-58% abangenwe yileli gciwane kungenzeka bangabi nazo izici eziyingozi ezibonakala ngokucacile . Lokhu kusho ukuthi ukukhawulela ukuhlolwa kulabo abanezici eziyingozi ezaziwayo, njengokusebenzisa izidakamizwa ngemithambo yegazi , kushiya ngaphandle inani elikhulu labantu asebevele bengenwe yileli gciwane futhi bengazi ngalo.
I-Spanish Society of Mental Health (SEPSM) igcizelela ukuthi impilo yomzimba iyingxenye engenakuhlukaniswa yokunakekelwa kwempilo yengqondo . Uma umuntu onesifo esibi kakhulu enethuba elikhulu lokuphila negciwane futhi, ngaphezu kwalokho, ebhekene nezingqinamba ekutholeni ukuxilongwa noma imithi, impendulo enengqondo ukufaka ukuhlolwa ekunakekelweni okuvamile futhi ungakushiyi esenzweni sesikhathi esithile sochwepheshe ngamunye.
Ukuhlolwa okuhlelekile ezindaweni zokuthintana nesiguli
Isiphakamiso esiyinhloko salo mbhalo ukuthi ukuhlolwa kwegciwane le-hepatitis C (HCV) kwenziwe ngendlela ehlelekile kubantu abanesifo sengqondo esibi noma abasengozini. Ochwepheshe bakhomba izikhathi ezintathu eziwusizo kakhulu: ukubonisana kokuqala, ukuvakasha okulandelayo, kanye nokwamukelwa esibhedlela. Bagcizelela ukuthi, ukuze lokhu kusebenze kahle, izinhlelo zokulutha, amayunithi eziguli zengqondo, amayunithi okuvuselela, kanye nezikhungo zempilo yengqondo kumele zihileleke.
Lo mhlahlandlela uphinde ucele ulwazi olukhulu emphakathini wezokwelapha ngengqondo, ubanxusa ukuba bafake lezi zivivinyo ngendlela ehlelekile nehambisanayo emsebenzini wabo wansuku zonke, kunokuthembela ezinsolweni noma ethubeni elihlukile.
Ukuxilongwa kwesinyathelo esisodwa
Esinye isinyathelo sihilela ukwenza lula inqubo yokuxilonga. Esikhundleni sokudinga ukudonswa kwegazi kaningi nokuvakashelwa, isiphakamiso siwukuthola ama-antibodies nokwenza ukuhlolwa kwe-HCV RNA ngesampula eyodwa . Lokhu kuhlaziywa kuthola izakhi zofuzo zegciwane futhi kuqinisekisa ukuthi ukutheleleka kuyasebenza yini. Uhlelo lwesinyathelo esisodwa lunciphisa ukuhamba futhi luvimbela iziguli ekulahlekeni phakathi komphumela omuhle wokuqala kanye nokuqinisekiswa kokugcina.
Ochwepheshe be-Hepatology bakhomba ukuthi kunezindlela zokwelapha eziphumelela kakhulu, zesikhashana, nezibekezelelwa kahle namuhla, zokwelapha ukutheleleka ezimweni ezingaphezu kuka-95% . Njengoba kunikezwe leli qiniso, inselele yangempela akuseyona ukuntuleka kwezinketho zokwelapha, kodwa kunalokho ukuqinisekisa ukuthi abantu abangenwe yileli gciwane bathola ukuxilongwa nokwelashwa ngesikhathi esifanele.
Amaqembu amabili e-pathology kanye namaqembu asengozini
Lo mbhalo unikezela isigaba esithile ekuxilongweni okubili, okungukuthi, ukwenzeka kanyekanye komlutha kanye nesinye isifo sengqondo, kanye namanye amaqembu abhekene nezinkinga ezengeziwe. Lokhu kufaka phakathi abantu abasebenzisa noma abasebenzise izidakamizwa ezifakwa emthanjeni, labo abathola ukwelashwa kokushintshana nge-opioid, labo abanezinkinga ezihlobene nokuziphatha okungenangqondo, labo abenza i-chemsex, kanye nabantu basejele.
I-Spanish Society of Psychotherapy (SEPD) igcizelela ukuthi uhlelo kumele luvumelane nezimo ezithile zomuntu ngamunye . Lapho kuvela izinkinga zokulutha kanye nempilo yengqondo ndawonye, ​​​​kuvela izithiyo zomphakathi nezokunakekelwa kwempilo ezenza izinhlelo ezivamile zingaphumeleli. Ngakho-ke kubalulekile ukuletha ukuhlolwa nokwelashwa ezindaweni lapho lezi ziguli sezivele zithola khona ukunakekelwa, kanye nokuhlanganisa amasu okunciphisa ukulimala ukuze ukudluliselwa noma i-aphoyintimenti eyengeziwe kungabi yindawo lapho indlela yesiguli ilahleka khona.
Ukuxhumanisa phakathi kwezinto ezikhethekile kanye nezinhlelo zikazwelonke
Abalobi bakubona kubalulekile ukusungula izindlela ezizinzile zokuxhumanisa phakathi kwe-Psychiatry, Hepatology, Addictions, Primary Care, Microbiology, kanye ne-Nursing, ngemithwalo yemfanelo ecacile, izindlela ezichaziwe, kanye nezikhathi zokudlulisela ezifanele. Baphinde bakhuthaze amamodeli okunakekelwa ahlukaniswe kakhulu: ukuletha ukuxilongwa nokwelashwa eduze kwezikhungo zempilo yengqondo kanye nezinsizakalo zokulutha kuthuthukisa ukufinyelela, kusiza ukuvimbela iziguli ekuyekeni inqubo, futhi kuvumela ukwelashwa ukuthi kuqale kusenesikhathi.
Izincomo zihambisana ne-'Mental Health Action Plan 2025-2027' yoMnyango Wezempilo, ebeka phambili ukunciphisa ukungalingani okuthinta abantu abanezimo zengqondo , kanye ne-'National Liver Health Plan: Challenge 2032' ekhuthazwa yi-AEEH, ehlose ukuqeda i-HCV eSpain.
Enye imininingwane egcizelelwa yincwadi ukuthi ukululama ekuthelelekeni nge-HCV akunikezi amasosha omzimba . Ngakho-ke, labo abenza izinto eziyingozi kufanele bahlale beqashwe ukuze bavimbele futhi bathole noma yikuphi ukutheleleka okungenzeka kusenesikhathi.
Umgomo oyinhloko wazo zonke lezi ziphakamiso ucacile: ukwandisa inani labantu abaxilongiwe, ukunciphisa isikhathi phakathi kokuxilongwa nokuqala kokwelashwa, ukugcina amazinga aphezulu okuphulukiswa, nokuvimbela ukutheleleka kabusha. Ukuze kufezwe lokhu, izinhlangano ezintathu ezisayinile zikhuthaza ukwenza ukuhlolwa kwe-hepatitis C kube yingxenye evamile yokunakekelwa kwempilo yengqondo, ukwenza izinqubo zibe lula, kanye nokuhlukanisa phakathi kwezinto ezikhethekile, ngoba ngale ndlela kuphela lapho singakhuluma khona ngokuqeda i-hepatitis C kuleli qembu labantu.
