Duk da rikici, Hadarin yana da mafi girma a wasu ƙungiyoyi
Yayinda yin amfani da miyagun ƙwayoyi ya kasance mahimmin hanyar watsawa ga cutar cutar hepatitis C (HCV) , an kara mayar da hankali a kan yiwuwar kamuwa da cuta ta hanyar sadarwar jima'i. Mun ce m - kamar yadda ya saba wa, ya ce, hadarin ko yiwuwar - kamar yadda masana da yawa suka dauka game da batun HCV ta hanyar jima'i a matsayin mai kawo rigima. Kuma, a gaskiya za a gaya wa, yawancin shaidu suna nuna goyon bayan wannan hali.
Ɗaya daga cikin binciken daga Jami'ar California, San Francisco a shekara ta 2013 ya kiyasta cewa hadarin HCV tsakanin ma'aurata maza da mata na cikin kullun daya daga cikin lambobin sadarwa ta 190,000. Bugu da ƙari kuma, masu bincike sun tabbatar da cewa ƙungiyar tsakanin HCV da takamaiman abubuwan jima'i sun kasance mafi mahimmanci kuma dole ne a bai wa ma'aurata haɗin gwiwa "sakonnin shawarwari masu ƙarfafa" game da rashin hadarin kamuwa da cuta.
Shaidu na baya-bayan nan, duk da haka, suna nuna cewa irin wannan ƙayyadaddun ba'a riƙe shi da sauran kungiyoyi ba. A gaskiya, tun shekara ta 2004, yawancin karatun sun kammala cewa haɗarin HCV ta hanyar jima'i ba kawai daga cikin maza da suke yin jima'i da maza ba (MSM ) amma suna karuwa tsakanin wadanda ke fama da kwayar cutar HIV .
Tattaunawa da HCV a cikin Gay Men
Ɗaya daga cikin binciken farko da aka gudanar a shekara ta 2005 ta hanyar nazarin Jirgin Ƙungiyar HIV ta HIV. Bayar da bayanai daga 3327 HIVM-MSM daga tsakanin 1988 zuwa 2004 (kuma ba tare da waɗanda suka yi amfani da kwayoyi ba), masu bincike sun gano cewa kamuwa da kamuwa da cuta tsakanin wadanda ke da jima'i a cikin jima'i ba shi da kashi 300 cikin dari fiye da wadanda suka yi amfani da kwaroron roba.
Wannan ya bambanta da wani binciken da aka buga a shekara ta 2005 daga Jami'ar Quebec, wanda ya kammala cewa babu wata shaidar da za a iya watsawa HCV a tsakanin MSM kuma cewa kawai hanyar kamuwa da cuta a cikin ɗumbin binciken su sun yi amfani da miyagun ƙwayoyi. Duk da haka, binciken da aka yi na binciken ya kasance mai iyakancewa ta hanyar gajeren lokaci na tsaro (watanni tara tsakanin Janairu da Satumba 2001).
A cikin 2007 ne kawai binciken bincike mai zurfi (wanda aka fi mayar da hankali a mafi girma, gay yankunan karkarar) ya fara kalubalanci ra'ayi na kimiyya na al'ada game da zubar da jima'i tsakanin marasa MSM.
Ɗaya daga cikin binciken binciken da aka gudanar daga binciken Ambasada na Amsterdam, wanda ya bincikar da MSM 1,836 daga 1984 zuwa 2003, cewa yawan jima'i da aka samu HCV ba kawai ya fi girma a cikin MSM kamuwa da kwayar cutar HIV ba, amma yawan kamuwa da cuta ya karu da goma. Wani rahoto game da asibitoci ya nuna cewa, bayan 2000, kashi 59 cikin dari na maza sun bayar da rahoton cewa cutar ta kamu da cutar ta hanyar jima'i , yayin da kashi 55 cikin dari sun ruwaito cewa suna yin "mummunan jima'i" (misali, ƙyatarwa ). Babu wani daga cikin maza da aka yarda da shi don yin amfani da miyagun ƙwayoyi.
A shekara ta 2009, wani binciken daga Amsterdam ya ba da tasirin cutar HIV a kan HCV, wanda akalla 1% a cikin MSM na MSM ya kamu da cutar HCV da kashi 17 cikin 100 na MSM HIV. Daga cikin wadannan, kashi 82 cikin 100 ba su ruwaito amfani da miyagun ƙwayoyi ba. Gizon, jinsi na jima'i, wasan kwaikwayo na jima'i da jima'i, da kuma amfani da miyagun kwayoyi na gamma hydroxyl (GHB) an gano su ne a cikin manyan abubuwan da suka shafi magunguna na MSM.
Wani bincike na shekara ta 2010 daga Cibiyar Gudanar da HIV / AIDs, Harkokin Kiwon Lafiyar Rigakafi, STD, da kuma TB Rigakafin ya nuna cewa ƙyama, a matsayin wani abu mai zaman kanta, ya ƙãra haɗarin HCV da kashi 500 cikin MSM-mai yiwuwa saboda lalacewa ko zub da jini gyaran gyare-gyare-yayin da suke yin jima'i fiye da ninki biyu.
Gay Men bazai zama kadai a cikin hadarin ba
Wasu bincike na baya-bayan nan sun nuna cewa hadarin HCV ta hanyar jima'i bazai iyakance ga MSM ba. A cewar binciken da aka gudanar a shekara ta 2009 daga Nazarin Jakadancin Mata, HCV lamarin da ke tsakanin mata 3,636 masu dauke da kwayar cutar HIV da ba tare da tarihin amfani da miyagun ƙwayoyi ba sau biyu ne na mata masu cutar HIV. Bugu da ƙari, yanayin cutar HIV, haɗari tsakanin mata da aka haɗu da mazajen auren maza da suke yin amfani da magunguna. Abokan jima'i, abokiyar jima-jita ba tare da amfani ba, talauci da rashin aikin yi ana ganin su sune abubuwan da suke taimakawa.
Dukkanin sun shaidawa, masu binciken sun tabbatar da cewa HCV a cikin wannan binciken ya kasance 6.5%, yana nuna cewa sakon shawarwari ga mata ya buƙaci canzawa, yana mai da hankali sosai akan haɓakar HCV ta hanyar jima'i-musamman wadanda ke dauke da kwayar cutar HIV (ko a hadari na HIV ), da kuma wadanda ke tare da magoya bayan maza da suka yi amfani da kwayoyi.
Sources:
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Rauch, A; Martin, M. Weber, R .; et al. "Jima'i mara kyau da haɓaka cutar cutar kutsa C tsakanin masu cutar HIV da wadanda ke fama da cutar da ke tsakanin maza da mata: Nazarin Jakadancin HIV HIV." Cututtuka na cututtuka na asibiti. 2005; 41 (3): 395-402.
Anouk, U. van de Laar, T. Stolte, I .; et al. "Harkokin cututtuka na cutar hepatitis C tare da mutanen da ke dauke da kwayar cutar HIV dauke da jima'i da maza: annoba ta fadada." AIDS. Yuli 31, 2009; 23 (12): F1-F7.
Frederick, T .; Burian, P .; Terrault, N .; et al. "Ayyukan da ke Haɗuwa da Ciwon Haɗari Na Harshen Cutar Harshen C Daga Cutar HIV-Cutar da Mata Ba tare da Tarihi da Aka Yi Magana game da Yad da Yin amfani da Drug: Aikin Nazarin Jakadancin Mata (WIHS)." AIDs da kuma STDs. Nuwamba 20, 2009; 23 (11): 915-923,
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