Naphezu kokuphikisana, Ingozi ibonakala njengePhakamileyo kumaqela athile
Nangona ukusetyenziswa kweziyobisi kusetyenziswa yindlela yokuqala yokusasaza kwegciwane lesifo se- hepatitis C (i-HCV) , kugxininiso olwandisiweyo lubekwe ithuba lokusuleleka ngoqhagamshelwano ngesondo. Sithetha izinto ezinokuthi - ngokuchasene nazo, zithi, umngcipheko okanye ubunzima - ezininzi iingcali zijonge ingcamango yokudluliselwa kwe-HCV yesondo njengengxabano. Yaye, inyaniso iyatshelwa, ubuninzi bobubungqina bubonakala buxhasa le meko.
Olunye uphando oluvela kwiYunivesithi yaseCalifornia, eSan Francisco ngo-2013 luqikelele ukuba umngcipheko we-HCV phakathi kwezibini ezithandana nomntu olwabelana ngesondo kunye ne-ballpark yowama-190 000 oqhagamshelwano ngokwesondo. Ngaphezu koko, abaphandi baphetha ukuba ubudlelwane phakathi kwe-HCV kunye nezenzo ezithile zesondo zazingekho kakuhle kwaye izibini ezixubileyo kufuneka zinikezwe "imiyalezo ecetyiswayo" ngokubhekiselele kumngcipheko ophantsi kakhulu wokusuleleka.
Ubungqina bwakutshanje, nangona kunjalo, bubonisa ukuba ukuqinisekiswa okunjalo akulondolozi kwamanye amaqela. Enyanisweni, ukususela ngo-2004, uphando oluthile luye lwagqiba ukuba umngcipheko we-HCV ngesondo awukho nje kuphela phakathi kwabantu abalala ngesondo kunye nabesilisa (MSM ) kodwa ukwanda- kakhulu kubantu abasulelekileyo abane-HIV .
Ukuxhatshazwa kwe-Sexual HCV kwi-Men's Gay
Omnye wophando lophando lokuqala luqhutywe ngo-2005 ngokuqhubekayo, iSifundo seSigqeba se-HIV se-Swiss multi-center. Ukuvavanya idatha evela kwi-MSM ye-3,327 ephakathi kwe-1988 no-2004 (kwaye ingabandakanyi abo bajobileyo iziyobisi), abaphandi bafumanisa ukuba izinga lokusuleleka kwalabo ababandakanyeka ngesondo elingenalo ikhondom belikhulu kuneepesenti ezingama-300 kunezo zasebenzisa iikhondom ngokufanayo.
Oku kwahluke kakhulu kolunye uphando olupapashwe ngo-2005 oluvela kwiYunivesithi yaseQuebec, olugqityileyo kungekho bungqina bokudluliselwa ngesondo ngo-HCV phakathi kwe-MSM kwaye ukuba isizathu esisodwa sentsholongwane kwisifundo sabo sabantu sasinokusetyenziswa kwezidakamizwa. Nangona kunjalo, isigqibo esiphethweyo sagqithiswe ngokukhawuleza ngexesha elifutshane lokujonga (iinyanga ezilisithoba phakathi kukaJanuwari noSeptemba 2001).
Kwakukho ngo-2007 ukuba uphando olunzulu (ngokubanzi lujoliswe kwiindawo ezinkulu, ezisemadolobheni asezidolophini) zaqala ukukhankanya inzululwazi yendabuko malunga nokudluliselwa ngesondo phakathi kwe-MSM engeyiyo.
Uphando olunye lwamatye olusuka kwi-Amsterdam Cohort Study, olwenziwe ngokukhawuleza lucwecwe i-MSM ye-1,836 ukususela ngo-1984 ukuya ku-2003, ukuba izinga le-HCV elifunyanwe ngokwesondo aluzange liphezulu kuphela kwi-MSM enesifo se-HIV kodwa izinga lokusuleleka liye landa. Ukuhlaziywa kweengxelo zokubhedlelelwa kwezibhedlele kubonisa ukuba, emva ko-2000, iipesenti ezingama-59 zala madoda zazixelele isifo sesifo esasifumene ngesondo , ngelixa ama-55 ekhulwini axela "ukuziphatha okubi" (umz. Akukho namnye wamadoda avunyelwe ukusetyenziswa kweziyobisi.
Ngomhla ka-2009, esinye isifundo esivela e-Amsterdam sagqithisa impembelelo ye-HIV kwi-HCV, apho ngaphantsi kwe-1% kwi-MSM engenayo i-HIV yatshatyalaliswa yi-HCV ngokumalunga ne-17 ye-MSM ene-HIV. Kula manqaku, iipesenti ezingama-82 zichaze ukuba akukho tyenziswa kweziyobisi ezisetyenziswayo. Ukuxhatshazwa ngokwesini, ukwabelana ngesini, ukwabelana ngezilwanyana zesini, kunye nokusetyenziswa kweziyobisi ze-gamma i-hydroxyl butyrate (GHB) zachongwa nje phakathi kwezinto eziphambili zentsholongwane kwi-MSM ene-HIV.
Uhlalutyo lwe-meta lwama-2010 oluvela kwiziko leSizwe le-HIV / AIDS, i-Viral Hepatitis, STD, kunye nokukhusela i-TB kuboniswe ukuba ukubetha, njengento ezimeleyo, kwandisa ingozi ye-HCV ngamaphesenti angama-500 kwi-MSM-ene-HIV-mhlawumbi ngenxa yokulimala okanye ukuphuma izicubu ze-rectal-ngelixa ulwabelana ngesondo kunye neetayiti ezingaphezu kwephindwe kabini ingozi.
Amadoda aseGay Akunakuba ngabanye kuphela abasengozini
Uninzi lwezifundo zakutshanje lucetyise ukuba umngcipheko weHCV ngesondo awunakuphela kwi-MSM. Ngokwe-2009 isifundo esivela kwi-Women's Interagency Cohort Study, ingozi ye-HCV phakathi kwabafazi abangama-3,636 abane-HIV abangenayo nembali yokusetyenziswa kweziyobisi ezifakela i-HIV yaba yinto ephindwe kabini yowesetyhini abangenayo i-HIV. Ukongeza kwimeko ye-HIV, umngcipheko phakathi kwabasetyhini wadibaniswa namaqabane abesini ngokwesini abasebenzisa abasebenzisi beziyobisi. Amaqabane amaninzi ezesondo, ukusetyenziswa kwekhondom engahambelaniyo, intlupheko kunye nokungabikho kwemisebenzi kubonakala kubangele igalelo.
Bonke baxelele, abaphandi baphetha ukuba ukusabalalisa kwe-HCV kule ndawo yokufunda kwaba ngu-6.5%, ebonisa ukuba isigidimi sokululeka kwabasetyhini kufuneka sitshintshe, sigxininisa ngakumbi ingozi eyongezelelekileyo ye-HCV ngesondo-ngakumbi abo abane-HIV (okanye abasengozini. we-HIV ), kwakunye nalabo abaneentsebenziswano zamadoda abafaka iziyobisi.
Imithombo:
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