Inkasta oo ay jiraan isku dhacyo, Khatarta Risku waxay u muuqataa sida Kooxo Sare ah
In kasta oo la isku duro isticmaalka daroogada ayaa ah habka ugu horreeya ee loo gudbiyo fayraska cagaarshowga C (HCV) , feejignaan sii kordhaya ayaa suurtagal ah in uu cudurku galo galmo xiriir. Waxaan sheegeynaa suurtogalnimada - sida laga soo xigtay, waxay yiraahdaan, halis ama suurtogalnimada - khubaro badani waxay weli tixgelinayaan fikradda gudbinta galmada ee HCV sida muran. Iyo, xaqiiqda waa la sheegaa, inta badan caddayntu waxay u muuqdaan inay taageerayaan mawqifkan.
Mid ka mid ah daraasad ka socota Jaamacadda California, San Francisco ayaa sannadkii 2013 ku qiyaastay in halista HCV ee lamaanayaasha heterosexual ay ku jiraan hal xambaarsan 190,000 oo xidhiidhada galmada. Intaa waxaa dheer, cilmi-baarayaashu waxay ku soo gabagaboobeen in ururka HCV iyo falalka galmoodka gaarka ahi ay yihiin kuwo ugu cad-cad, lana-jaan-qaadayaasha isku-dhafan waa in la siiyaa "ku-xaqiijinta farriimaha la-talinta" sida khatarta ugu yar ee cudurka.
Si kastaba ha ahaatee, caddaymo dhowaan la soo dhaafay, waxay soo jeedinayaan in kalsoonida noocaan oo kale ah aysan haysan kooxo kale. Dhab ahaantii, tan iyo 2004tii, tiro daraasado ah ayaa soo gabagabeeyay in halista HCV ee galmoodka aysan ahayn mid sareeya ragga galmoodka leh ee ragga (MSM ), laakiin waxay sii kordheysaa- sida ugu badan ee dadka qaba HIV .
Dareeminta Gudbinta HCV ee Gudbinta Hijrada Ragga
Mid ka mid ah baaritaankii ugu horreeyay ee baaxad weyn ayaa la sameeyey 2005-kii markii uu socday cilmi-baaris la yiraahdo Swiss HIV Cohort Study. Qiimaynta xogta laga helay 3,327 MSM-positive-positive MSM laga bilaabo intii u dhaxaysay 1988 iyo 2004 (oo laga reebay kuwa lagu muday daroogada), cilmi-baarayaashu waxay ogaadeen in heerka infekshanka ka dhexeeya kuwa ku hawlan jinsi-kicinta galmada ay boqolkiiba 300 ka badan tahay kuwa isticmaala cinjirka joogtada ah.
Tani waxay ka duwanayd daraasad kale oo la daabacay 2005-tii Jaamacadda Quebec, oo ku soo gebogebaysay inaanay jirin caddayn ku saabsan isu-gudbinta jinsiga ee HCV ee MSM iyo in sababta kaliya ee cudurka ee dadka buka ay daraawiishku isticmaalaan isticmaalka daroogada. Hase yeeshee, gabagabadii baadhitaanku waxa ay xaddidan tahay muddada gaaban ee ilaalinta (sagaal bilood intii u dhaxaysay Jannaayo iyo Sebtembar 2001).
Waxay ahayd 2007-dii oo kaliya in cilmi-baaris qotodheer (guud ahaan lagu falanqeeyay gobalada waaweyn), waxay bilaabeen inay ka doodaan fikrado dhaqameed oo ku saabsan ku-faafidda galmada ee MSM aan-ku-reebin.
Mid ka mid ah baadhitaanada dhagaxa ah ee ka soo baxay Amsterdam Cohort Study, oo si dhab ah u baadhay 1,836 MSM laga soo bilaabo 1984 illaa 2003, in heerka xaddiga galmada ee HCV ayan ahayn mid ka sarreeya MSM-ga qabadsiiyey, laakiin heerka infekshigu wuxuu kordhiyay toban laab. Dib-u-eegista diiwaannada isbitaalada ayaa sii cadeeyay, ka dib 2000, boqolkiiba 59 ka mid ah ragga ayaa soo sheegey infakshanka faafa galmada , halka 55 boqolkiiba ay sheegeen in ay kufilan yihiin "jinsi quus ah" (sida, fisting ). Midkoodna qirtay in la isticmaalo daroogada loo isticmaalo daroogada.
Sannadkii 2009, daraasad kale oo ka socota Amsterdam ayaa tilmaameysa saameynta HIV ee ku saabsan gudbinta HCV, taas oo ka yar 1% ee MSM-negative-ka ah ee MSM ay ku qaadeen HCV ilaa 17 boqolkiiba MSM-positive positive. Kuwaas oo dhan, boqolkiiba 82 ayaa sheegay in aysan jirin isticmaalka daroogada la isku duro. Cuncun, jinsi kooxeed, jimicsiga jinsiga la wadaagay, iyo isticmaalka daroogada gamma hydroxyl butyrate (GHB) ayaa loo aqoonsaday mid ka mid ah waxyaabaha ugu muhiimsan ee caabuqa HIV-ga qaba HIV.
Falanqaynta miisaan-sannadeedka 2010-ka ee Xarunta Qaranka ee HIV / AIDS, Cagaarshowga Cagaarshowga, STD, iyo Ka Hortagga Tiibida ayaa muujisay in fisting, sida madax-bannaani, ay kordhiso khatarta HCV boqolkiiba 500 ee MSM-ku-oolli karo sababtoo ah dhaawac ama dhiig-bax unugyada malawadka-halka ay wadaagaan jacaylka jinsiga oo ka badan laban laaban halista.
Ragga ragga ahi ma ahan kuwa kaliya ee khatarta ah
Qaar badan oo daraasado dhowaan soo jiidatay ayaa waxay soo jeediyeen in halista HCV ee galmada loo maro galmo aan la xadidin MSM. Sida laga soo xigtay daraasadda 2009-ka Dumarka Isku-xirka Dumarka ee Cohort, Khatarta HCV ee ka mid ah 3.636 haweenka qaba HIV-da oo aan taariikh lahayn isticmaalka daroogada ee injirta ayaa laba jeer ka mid ah haweenka HIV-ga diidmada ah. Marka laga soo tago xaaladda HIV, khatarta haweenka ayaa lala xiriiriyay lamaanayaasha galmada ee isticmaala daroogada. Wada-hawlgalayaasha jinsiga badan, isticmaalka condom-ka aan habooneyn, saboolnimada iyo shaqo-la'aanta ayaa sidoo kale loo arkaa inay tahay arrimo wax ku-ool ah.
Dhammaan dadka loo sheegey, baarayaasha ayaa soo gabagabeeyay in tirada HCV ee daraasaddan daraasaddan ay ahayd 6.5%, iyada oo soo jeedinaysa in fariinta la-talinta ee haweenku ay ubaahantahay inay bedesho, iyada oo xooga la saarayo khatarta sii kordheysa ee HCV ee galmoodka-gaar ahaan kuwa qaba HIV (ama khatar) ee HIV ), iyo sidoo kale kuwa la shaqeeya lamaanayaasha oo mukhaadaraad ku mudaya.
Ilaha:
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Rauch, A .; Martin, M .; Weber, R .; et al. "Jinsi aan ammaan ahayn iyo sii kordhaya dhacdooyinka Cagaarshow C Cudurka Cagaarshow Cagaaran ee Ragga qaba Cudurka Ragga: Daraasadda Swiss HIV Cohort." Cudurada Cudurrada Cudurrada ah. 2005; 41 (3): 395-402.
Anouk, U .; van de Laar, T .; Stolte, I .; et al. "Cudurka fayraska cagaarshowga C ee ragga qaba HIV ee ragga galmoodaya: faafitaanka faafa." AIDS. Luuliyo 31, 2009; 23 (12): F1-F7.
Frederick, T .; Burian, P .; Terrault, N .; et al. "Ciladaha la xiriira Cudurka Cagaarshowga C ee ka hortagga Cagaarshowga HIV ee aan la soo sheegin Taariikhda la Isticmaalay ee Isticmaalka Daroogada Iskuulada: Daraasada Haweenka Dumarka ee Haweenka (WIHS)." Daryeelka Bukaanka iyo Cudurada Galmada (STDs). Nofeembar 20, 2009; 23 (11): 915-923,
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