Y T E - s u e KHOE
NHIEU THACH THaCTRONG
phong chong lao
:IV
I PHOC MINH I
Tuyin truyen phbng chong benh lao. Anh minh hoa
Mac du da cd nhieu tien b6 dang ke trong cong tac phong chong lao, song Ba Ria - Vung Tau nam trong
khu VLTC B 2 (khu vUc cactinh Dong va Tay Nam bo) - la vung cd dich t^ lao cao.
Hien nay, theo th^ng ke, so ngU&i nguy cd nhiem lao hang nam irdc tmh 1,5%
dan sfTtoan tinh.
De doa si2c I(h6e cong dong Trong nhUng nam qua, cflng tac phong chflng lao tai Ba Rja - Vung Tau duoc chinh quyIn, cac cap nganh quan tam, dau tu, dat duoc muc tieu de ra: Phat hiln hdn 80% binh nhan lao mfii (ca nUfle la hdn 70%); dieu tri khoi cho hon 90% binh nhan lao. Tuy nhiln, dich t l lao trln dia ban tinh gilm cham, con so tif vong do lao hang nam vin chiem ty le cao (4% tren ting s l ngUfli mlc). Chinh
vi vay, binh lao van dang la moi de doa siic khoe cfing ding va la mfit trong nhflng nguyen nhan gay tCf vong hang dau. Bac si Nguyin Minh LUdng, Giam die Trung tam Phong chfi'ng binh xa hfii cho bilt, binh lao khi tien trien nang din din suy kiet cd the, lam tin thUdng t l bao phli (lao phli). Do dfl, benh nhan d l bi hpi nhilm nhieu loai binh khac ciing mfit luc, din din til vong. Mpt nguyin nhan khac khong kem phan quan trong khiln binh lao nang thIm, nguy eo tfl vong cao, dfi la viec ngUfli benh khfing tuan thii phae do dieu tri, lam binh tai phat phli dilu tri nhilu dfit, din den lao khang thuoc, khang da thuo^e.
Hien nay, con so 1,5% dan s l ciia tinh cfi nguy co nhilm lao hang nam dang la thach thUc. Va so benh nhan lao dupe cflng bo mfli chl la so ngufii dupe kham, phat hipn. Tren thUc t l , so ngUfli mac lao con cao hon nhilu, do ngUfli benh khflng ehiu di kham, ngai ngung giau binh hoac khfing biet minh
mac benh. Dieu dang lo ngai hdn, nhilu ngUfii mac lao vin cfin hilu bilt Id mdve can benh minh mac phli, dan din vile khfing tuSn thii phae d l dieu trj ciia bac sy, thfl d vfli viec phong ngi/a lay nhilm cho cfing dong.
Theo bac si Nguyin TnJflng Gang, TnJflng phflng Lao, Tmng tam Phflng chIng benh xa hfii, thi thach thUc Ifln trong cfing tac phflng chong lao hiln nay la xu huflng gia tang so lUdng binh nhan ding nhilm lao/HlV hang nam, lam tang ganh nang binh lao va giam hipu qua cLia Chuong trinh Phong chfl'ng Lao Qufi'c gia. Bfli nguy cd mac lao dfl'i vfii ngUfii bpnh HIV cao gap 30 lln so vfli ngUfii binh thuflng. Trong khi vile chin doan lao duong tinh fl ngUfli HIV khfl khan hdn, ty-11 tii vong cao bfin, iam gilm ket qua dilu tri khfii benh cOa ChUfing trinh.
Hiln nay t^ l l ngUfii benh dong nhilm lao HIV chilm khoing 15% s l ngUfii nhilm iao ghi nh|n hang nam, rilng nam 2015 cfi 52 benh nhan, chilm 4,7%.
ESNGNGTHONMCI K>'3tlnang7/2016
Bin canh dfi, tinh hinh lao khang da thulc dang gia tang lam cho vile dilu tri b^nh lao trfl nen khfi khan va phUc tap. NhiJng nhfim ngufii cfi nguy cO cao la ngufii cfi dilu kiln kinh t l khfl khan, nghe nghilp khfing I n dinh, sing tam trii hoac hay di chuyln ndi d, gay anh huflng khong nhfl tfii kit qui quan ly va dieu trj binh nhan. Nhfim nhiing ngufii sing chung vfli ngUSi HIV/AIDS, nhOng ngUfii khfl tiep cln vfii cac djch vy y t l la nhiing doi tUpng thuflng bj phat hi^n binh muln, quan ly, dieu tri khfl khan.
Chung tay ph6ng chong lao ThUc hiln myc tieu cua Chuong trinh chiln lupc quoc gia phflng chong lao din nam 2030 d l "B^nh lao khong cfln la moi nguy cO cho cpng ding" dfii hdi cln dli mfii trong chien luoc phfing chIng lao. Dfi la doi mcri tu duy, chinh sach, each tiep can, tang ciifing dau tu cho cfing tac phfing chdig lao, day manh xa hpi hfia, huy d|ng sU vao cupc quylt lipt cua cac c^p chinh quyen, sU phli hdp tich cue ciJa cac ban nganh, doan the. Ding thfii xay dung va nhan rflng cac mfi hinh phfing chIng lao hieu qui tai c&ng dong.
Theo bac sT Nguyin Minh LUdng, Giam die Trung tam Phong chIng binh xa hpi, khi triln khai mfl hinh phoi hpp
y t l cfing - tu trong phflng chong lao, Nganh Y t l da van dflng dupc phln Ifln cSc phfing kham, nha thulc dSng ky tham gia, nhung s l co sfl "man ma"
tham gia chuyln gili bgnh nhan din co sfl dilu tri lao chUa nhilu. Trong khi dfi, s l lupng benh nhan lao khang thulc, khang da thulc trong cpng ding cfi xu hufing gia tang va cfi din 23% b^nh nhan lao tai dilu tri, gay ton kem cho ban than, gia dinh va xa h|i. Tinh Ba Rja - Vung Tau hi|n chua cfi bpnh viln lao - phoi dithu dung, dilu tri cho benh nhan lao t h i nang. Nhan lUc iam cong tac phfing, chong lao chUa dap ifng nhu clu, dac bilt la thieu dfii ngiJ bac si chuyln khoa v l lao phli. Hipn Trung tam Phfing chIng bpnh xa hfii tinh da xay dung ke hoach chuong trinh chfi'ng lao giai doan 2016 - 2020, trong dfi kinh phi hfl trd cho dy an se lay tif nguIn ngan sach ciia tinh. Bin canh dfi, xa hpi hfia nguIn lUe cho phflng chIng lao la rat can thiet.
Chinh quyIn, dja phUdng cac d p cln tham gia vao cfing tac phflng chong lao;
kiln toan ban chl dao va mang lufii phli hpp y t l cflng - tu tU tinh xuong huyen, phli hop gifla ehuong trinh chIng lao va phfing quan ly hanh nghl y dupe, phflng nghiep vu y de day manh hoat dfing ciia y te tu va cac binh viln trong hoat dflng
ThM gian qua, Hoi Nong dan tinh B^
Rja - Vung Tau da phli hdp vdi Tiung tam Phong chong b§nh xa hoi to diiJc hang tram Idp tSp huln cic chiTong trtnh diong lao cho cjc hoi vien, nong dSn.
Qc Idp tap huan da trang bj mot so kiln thilc CO bin ve tinh hinh benh lao cua tinh; each ph^t hi^n sdm binh lao; cdch dieu tli CO kiem soat, dieu trj benh lao bIng phae do mdi; each phong diong benh lao trong cfing ding; ky nang tmyen thong gUo due siJc khde benh lao, gili dap nhOng thic mic cua hpi vi@n, nong dan.
phfing, chong lao...
Binh lao se dupe chUa khfii hoan toan va tranh dUOc lay lan cho cflng dong nlu dupc phat hi|n sfim va dilu tri diing theo diing phae d l . De mli ngUfii dan hilu rfi hon ve tac hai ciia b|nh lao, bin canh sU no lUc ciia Nganh Y t l , can sU quan tam hdn nUa cua cac cap, cac nganh, trong dfi cfi cac to chUc doan t h i nhu Hpi Phu niJ, Hfii Nfing dan._ Cln day manh tmyin thflng, nang cao nhan thUc cua nhan dan nham chung tay phflng chIng lao dat hilu qui cao, de mfii ngUfii dan deu dupe bao vp an toan sUc khoe va nang cao chit luong cu|c sing. •
CONG BO VACCINE PHONG CHONG HIV MOfl
Ngay 19/7, ngay lam viec thi? hai cda H0i nghj qufic t l v l phfing chIng AIDS lan thuf 21 (AIDS 2016) dang diin ra fl thanh pho Durban cua Nam Phi da trd nIn sfii dfing hdn khi loai vaccine mfii trln dUflc cfing b l .
Theo nhfim cac nha nghien ciiU My va Nam Phi, logt vaccine HIV mfii da dat nhieu tien bfi khi quan, d§c bilt la da tim ra nhiftig khang the phfing chong HIV tnjng gian (AMP). Day la buflc dflt pha, md dufing cho vi|c nghiln cuU loai vaccine phong chong HIV mfli ngay cang hi|u qua hdn.
Sau 7 nam nghiln cllu trong phfing thi nghi|m, hi|n vaccine HVTN 100 dang duoc thijf nghipm tren mflt s l nhfim ngufii tinh nguyin t?i Nam Phi, de xac djnh ve miic dfl phln ijfng mien djch.
Theo nhflm chuyln gia trln, day la mfit philn ban sCfa d l i cua lo^i vaccine HIV diu tiln mang tin RV144 dupc cfing bo va thiJf nghilm trong nhflm ngUfli tinh nguyin tai Thai Lan tn/fic day.
Kit qui thi nghilm vi^a dUoc cfing bicho thSy mpt trpng nhiJng UU dilm cua vaccine mfii la tim ra nhUng khang t h i trung gian, giup nang khi nang khang virus HIV va miln djch cao nhlt cho din thfli dilm nay.
Nhan dip nay, ba Linda-Caii Bekker, Phfl Giam die Trung tSm phfing chIng HIV Nam Phi, ding thfii la thanh viln Nhfim nghign ci3U tren, cho biet din nay HVTN 100 dang dUpc thUc nghi§m tren 252 ngUfli tinh nguyin tai 6 dja dilm d Nam Phi va bUflc dau thu dUdc kit qui khi quan, dac bi^t tinh d l khang vfli HIV cao hdn nhieu so vfli loai vaccine RVl 44 diu tien.
HVTN 100 da keo dai phln ijing khang t h i va cfi thfii gian miln dich dai hon doi vfii virus HIV. Theo ba Bekker, kit qui ciia vaccine mfii da vUpt t i t c l cac tilu chi ciia loai vaccine RVl 44 trUfic day va by vpng ring vfli thanh cfing nay, vaccine HVTN 100 cfi the sflm dUpc thIm djnh va triln khai trln pham vi rflng hon trong thfli gian tfii.
Hfii nghj AIDS 2016 diln ra tif ngay 18-22/7, vfli s\f tham du ciia hon 18.000 quan chUc chinh phii, nha khoa hpc, cac nha tai trp, cac nha boat dflng.... nhlm thIo lu|ln nhutig each thUc d l dat mpc tieu "xfla s l " can b^nh nay din nam 2030.
TheoTTXVN
NONGTHONMA Ky3thang7/2016 ES
