Pasinei nokukakavara, Njodzi Inowona seIpamusoro Mamwe Maboka
Apo kushandiswa kwemishonga yekushandisa zvinodhaka inoramba iri nzira yakakosha yekutsvaga kwehutachiona hweH hepatitis C (HCV) , kuwedzera kunowedzera kwakagadzirirwa kukwanisa kutapukirwa kuburikidza nekuita zvepabonde. Tinotaura zvingave - kusiyana, kutaura, njodzi kana mikana - sezvo nyanzvi dzakawanda dzichiri kuona pfungwa yekutengesa kweHCV yepabonde sekukakavadzana. Uye, chokwadi chinotaurirwa, huwandu hweuchapupu hunoita sokuti hunotsigira chiitiko ichi.
Chimwe chidzidzo kubva kuYunivhesiti yeCalifornia, kuSan Francisco muna 2013 inofungidzira kuti njodzi yeHCV pakati pevanhu vakaroorana nemurume nemudzimai vaive mubhoppark imwechete kune 190 000 vanoita zvepabonde. Uyezve, vatsvakurudzi vakagumisa kuti kusangana pakati peHCV uye hutano hwepabonde hwakanga hwakanyatsonaka uye kuti vakaroorana vane hutano hwakasiyana-siyana vanofanira kupiwa "mazano ekurudziro anokurudzira" pamusoro pehutano hwakanyanya hwehutachiona.
Zvimwe huchapupu huchangobva kuitika, zvisinei, zvinoratidza kuti kuvimbiswa kwakadaro hakuregi zvakare mune mamwe mapoka. Kutaura zvazviri, kubvira muna 2004, zvidzidzo zvakawanda zvakagumisa kuti njodzi yeHCV kuburikidza nepabonde haisi yakakwirira chete pakati pevarume vanoita zvepabonde nevarume (MSM ) asi iri kuwedzera- kunyanya pakati pevaya vane HIV .
Kurwisana zvepabonde HCV Kuendesa kune varume veGay
Chimwe chekuongorora kukuru kwekutanga chakaitwa muna 2005 nekuenderera mberi, sangano reSwitzerland HIV Cohort Study. Kuongorora dhamusi kubva kune 3 327 MSM yeHIV kubva muna 1988 kusvika muna 2004 (uye kusingaverengi avo vakayira mishonga), vatsvakurudzi vakawana kuti mukana wehutachiona pakati pevaya vakaita zvepabonde pasina kukondombera waiva mazana matatu kubva kune avo vakashandisa kondomu nguva dzose.
Izvi zvaive zvakasiyana zvikuru nedzimwe dzidzo yakabudiswa muna 2005 kubva kuYunivhesiti yeQuebec, iyo yakagumisa kwakanga kusina uchapupu hwekutengesa zvepabonde kweHCV pakati peSMS uye kuti chikonzero chega chekutapukira muhuwandu hwekudzidza kwavo chaive kupinda muropa rekushandisa zvinodhaka. Kunyange zvakadaro, chidzidzo chekupedzisira chakagadziriswa zvakanyanya nenguva pfupi yekucherechedza (mwedzi mipfumbamwe pakati paJanuary naSeptember 2001).
Mukati maingova muna 2007 kuti zvimwe zvakadzama kutsvakurudza (zvinowanzotarirwa mumaguta makuru emaguta emaguta) zvakatanga kukwikwidza maonero ezvidzidzo ezvesayenzi nezvekutengesa kwepabonde pakati pekusina kuvhara MSM.
Imwe nyanzvi yepakona yekuongorora kubva kuAmsterdam Cohort Yokudzidza, iyo yakadzokorora yakarongedza 1,836 MSM kubva muna 1984 kusvika muna 2003, kuti chiyero chepabonde chakawanikwa neHCV chakanga chisina kukwirira chete pakati peMSM inotapukirwa neHIV asi huwandu hwehutachiona hwakawedzera gumi. Kuongororwa kwezvinyorwa zvekuchengetedza zvipatara zvakaratidza zvakare kuti, mushure me2000, 59 muzana yevarume vakanga vaudza chirwere chepachirwere chepachirwere , asi makumi mashanu kubva muzana vakataurira "kuita zvepabonde" (semuenzaniso, kurwisana ). Hapana mumwe wevarume vakabvuma kuishandisa mushonga wezvinodhaka.
Pakazosvika 2009, imwe nyanzvi inobva kuAmsterdam yakagadzirisa zvakakonzerwa neHIV pane hutachiona hweHCV, umo zvisingasviki 1% mune MSM isina HIV-HIV yakatapukirwa neHCV kusvika 17 muzana yeMSM inobatsira HIV. Pakati idzi, 82 kubva muzana vakashuma pasina kushandisa injecting drug use. Kurwisana, kuita zvepabonde neboka, kugovana zvevakomana zvepabonde, uye kushandiswa kwezvinodhaka gamma hydroxyl butyrate (GHB) zvakaratidzwa sepakati pezvikamu zvekutanga zvekutapukira mune MSM-HIV.
Meta-analysis ya2010 kubva kuNational Center yeHIV / AIDS, Viral Hepatitis, STD, uye Kuvhara kweTV yakaratidza zvakare kuti kurwisana, sekuzvimiririra, kuwedzera hutachiwana hweHCV ne500 muzana MSM-HIV-zvichida nekuda kwekukuvara kana kubuda ropa rectal tishu-apo zvepabonde zvakagadzirwa zvepabonde zvakapetwa kaviri kudarika.
Gay Varume Vangave Havasi Vose Vari Pangozi
Tsvakurudzo dzakawanda dzangobva kuitika dzakaratidza kuti njodzi yeHCV kuburikidza nekuita zvepabonde haingagoneki kune MSM. Maererano nekuongorora kwegore ra2009 kubva kuvakadzikadzi veInteragency Cohort Study, dambudziko reHCV pakati pevakadzi 3 636 vane hutachiwana hweHIV vasina ruzivo rwekushandisa muropa nezvinodhaka zvakapetwa kaviri kune vakadzi vasina HIV. Mukuwedzera kune hutachiwana hweHIV, njodzi pakati pevakadzi yakabatanidzwa nevarume vanoita zvepabonde avo vaive vachipinda vashandisi vezvinodhaka. Vakawanda vanoita zvepabonde, kushandiswa kwekondomu kusinganzwisisiki, urombo nekushaikwa kwebasa zvakaratidzwa kuva zvikonzero.
Zvose zvakataurwa, vatsvakurudzi vakagumisa kuti kupararira kweHCV munharaunda iyi yekudzidza kwakanga kuri 6,5%, zvichiratidza kuti mashoko ekupa mazano kune vakadzi anofanira kuchinja, achiisa kukoshesa kuwanda kwehutano hweHCV kuburikidza nepabonde-kunyanya avo vane HIV (kana pangozi weHIV ), pamwe chete nevaya vane varume vanovhiringidza zvinodhaka.
Sources:
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