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Ngo-Okthoba 5, ngokusho kwezindaba ezishicilelwe kwiwebhusayithi esemthethweni yeNobel Prize, i-2020 Nobel Prize in Physiology or Medicine yawinwa ngokuhlanganyela ngososayensi abathathu. Ngokwemibiko, laba abathathu abaphumelele benza okutholakele okuyisisekelo, bakhomba igciwane lesifo sokusha kwesibindi kohlobo C, benza ukuhlolwa kwegazi nokuthuthukiswa kwezidakamizwa ezintsha, futhi basindisa izimpilo zezigidi.
Kusukela lapho umklomelo kaNobel ePhysology noma weMedicine wanikezwa okokuqala ngo-1901, sekukhishwe izikhathi eziyi-110. Kuze kube manje, sebengu-219 abawine iNobel Prize in Physiology noma Medicine, futhi akekho noyedwa oseke wawina lo mklomelo kabili kuze kube manje. Kubikwa ukuthi. Umklomelo owodwa walo nyaka weNobel Prize usukhuphuke waya ezigidini eziyi-10 kronor yaseSweden (cishe i-RMB 7.6 million), ukwanda kwesigidi esingu-1 kronor waseSweden ngonyaka we-2019.
Izidakamizwa ze-Hepatitis C zifakiwe kumshwalense wezokwelapha
Igciwane lohlobo C elibambe iqhaza eMklomelweni weNobel lingadala i-hepatitis C hepatitis, ebizwa ngokuthi yi-hepatitis C. Ngokwezibalo ze-WHO, abantu ababalelwa ezigidini eziyi-180 emhlabeni wonke batheleleke ngegciwane le-hepatitis C, futhi kunezigidi ezintsha ezibalelwa ezigidini ezintathu kuya kwezi-4 unyaka ngamunye. Isibalo sabashonile sisuka ku-35,000 kuya ku-50,000. Abantu abangaphezu kwezigidi ezingama-40 ezweni lethu baphethe leli gciwane.
Kuyaqondakala ukuthi isikhathi sokufukamela kwesifo sokusha kwesibindi kohlobo C singamaviki ama-2 kuya ezinyangeni eziyisithupha, ngakho-ke ama-80% eziguli ngeke abe nazimpawu ngemuva kokutheleleka ngegciwane le-hepatitis C, kepha ngasese igciwane lisenza okubi futhi liqeda isibindi kancane kancane. Ngemuva kokutheleleka ngegciwane le-hepatitis C, cishe abantu abayi-15% bangalisusa bebodwa leli gciwane, kepha iziguli ezingama-85% zizothuthukela kwisifo sokusha kwesibindi kohlobo C. Ngaphandle kokwelashwa, iziguli eziyi-10% kuya kwezingu-15% ziba nesifo sokuqina kwesibindi cishe eminyakeni engama-20 ngemuva ukutheleleka, kanye nokuthuthuka okuqhubekayo kwesifo sokuqina kwesibindi kungadala ukwehluleka kwesibindi noma umdlavuza wesibindi.
Yize iziguli ezingama-60% kuya kuma-90% ezitheleleke nge-HCV zingelashwa, ezinye izindlela zokwelashwa zakamuva zihlinzeka ngesilinganiso sokwelashwa esiseduze ne-100%. Ngeshwa, abantu abalinganiselwa ku-3% kuya ku-5% kuphela abangathola ukwelashwa okufanele.
NgoJanuwari 1 kulo nyaka, kwaqaliswa uhlelo olusha lwe- “National Basic Medical Insurance, Work Injury Insurance kanye ne-Maternity Insurance Drug Catalog”. Izintengo zemithi eminingi zehle kakhulu. Phakathi kwezidakamizwa ezingama-70 ezisanda kufakwa, "i-Bingtongsha" ne "Zebidah" ​​"i-Xia Fanning" imishanguzo emithathu yesifo sokusha kwesibindi i-C ifakiwe ohlwini lwomshuwalense wezokwelapha okokuqala, ngentengo emaphakathi eyehlisiwe engaphezu kuka-85%, ehlanganisa zonke iziguli ze-genotype.
Ukuthola ukuthi isiguli kuseseyinkinga
Igciwane le-Hepatitis C liyigciwane elithathwa ngegazi. Umzila wayo wokutheleleka uyefana nowesifo sokusha kwesibindi kohlobo B. Ngokuvamile kudluliswa ngegazi, ngokuya ocansini nangokudluliselwa komama enganeni. Ukudluliswa kwegazi kuyindlela ehamba phambili yokudlulisela isifo sokusha kwesibindi kohlobo C. Eminyakeni yamuva nje, ngenkathi isibalo sabantu ababulawa yizifo ezithathelwanayo njengesifo sofuba, ingculaza nesifo sikamalaleveva konke sehlile, isibalo sabantu ababulawa yi-virus hepatitis siye sanciphisa lo mkhuba. Phakathi neminyaka eyi-15 kusuka ku-2000 kuya ku-2015, inani lokufa kwabantu ngenxa ye-hepatitis egazini emhlabeni wonke lenyuke ngama-22%, lafinyelela ku-134 kubantu abayi-10,000, elidlula inani labashonile ngenxa yengculaza.
Ochwepheshe baveza ukuthi ukufihla okuphezulu kungenye yezizathu ezinkulu eziholela emazingeni aphezulu okufa ahlobene nokutheleleka ngegciwane le-hepatitis C. Iziguli eziningi zazingaboni ukuthi ziyagula. I-hepatitis C engapheli ayibonakali emtholampilo ekuqaleni, okuholela ekutholeni sekwephuzile nasekwelapheni iziguli sekwedlule isikhathi. Cishe ama-80% abantu abanesifo akatholakali kuze kube yilapho eba nesifo somdlavuza esibolile kanye nomdlavuza wesibindi.
Ezweni lakithi, umdlavuza wesibindi ubangelwa kakhulu yigciwane le-hepatitis B ne-hepatitis C, okuyi-10% yomdlavuza wesibindi obangelwa i-hepatitis B, kanye nomdlavuza wesibindi obangelwa i-hepatitis C ophakeme njengama-80%. Ngeshwa, iziguli eziningi ze-hepatitis C zenze i-cirrhosis yesibindi noma umdlavuza wesibindi lapho zitholakala, futhi izindleko zokwelashwa zikhuphuke kakhulu. Ikakhulukazi ezigulini ezine-cirrhosis ebolile, uma zingelashwa ngesikhathi, izinga lokusinda leminyaka emihlanu liyi-25% kuphela. Ngakho-ke, ukusheshe kuhlolwe, ukuxilongwa kusenesikhathi, kanye nokwelashwa kusenesikhathi kubalulekile ekuvikeleni nasekwelapheni i-hepatitis C.
Mayelana nalokhu, ochwepheshe baveze ukuthi kuyadingeka ukuthola iziguli ngesikhathi esifanele, ukuqapha ngenkuthalo amaqembu anobungozi obukhulu, nokuhlola ngenkuthalo amaqembu anobungozi ngokusebenzisa abezindaba nezikhungo zezokwelapha. Abangaphakathi embonini basikisela ukuthi abantu abake baba nomlando wokumpontshelwa igazi nokunikelwa ngegazi ngawo-1990s nangaphambilini, banezimo zokuziphatha ngocansi okuyingozi kakhulu, umlando wokuluthwa yizidakamizwa ngemithambo, namanye amaqembu asengozini yokuchayeka kwegazi kufanele enze "ukhaphethi ukuhlolwa ”kweziguli ezinesifo sokusha kwesibindi kohlobo C, ingculaza nezinye izifo Amalungu omndeni wawo wonke amalungu nawo kufanele ambozwe ukuze ahlolwe.
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Isikhathi Iposi: May-17-2021