{"id":10544,"date":"2018-12-31T13:12:22","date_gmt":"2018-12-31T12:12:22","guid":{"rendered":"https:\/\/asscat-hepatitis.org\/?p=10544"},"modified":"2018-12-31T13:12:22","modified_gmt":"2018-12-31T12:12:22","slug":"es-necessari-realitzar-cribratge-de-lhepatitis-c-en-els-centres-dassistencia-primaria","status":"publish","type":"post","link":"https:\/\/asscat-hepatitis.org\/ca\/es-necessari-realitzar-cribratge-de-lhepatitis-c-en-els-centres-dassistencia-primaria\/","title":{"rendered":"\u00c9s necessari realitzar cribratge de l\u2019hepatitis C en els centres d\u2019assist\u00e8ncia prim\u00e0ria"},"content":{"rendered":"<p>[et_pb_section bb_built=&#8221;1&#8243; disabled_on=&#8221;off|off|off&#8221; _builder_version=&#8221;3.0.106&#8243; custom_margin=&#8221;|||&#8221; custom_padding=&#8221;0px||0px|&#8221; next_background_color=&#8221;#000000&#8243;][et_pb_row custom_padding=&#8221;0px||0px|&#8221; _builder_version=&#8221;3.0.106&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221;][et_pb_column type=&#8221;4_4&#8243;][et_pb_post_title author=&#8221;off&#8221; date_format=&#8221;d\/m\/Y&#8221; comments=&#8221;off&#8221; featured_placement=&#8221;background&#8221; text_background=&#8221;on&#8221; text_bg_color=&#8221;#ffffff&#8221; module_class=&#8221;ac-post-title-section-0&#8243; _builder_version=&#8221;3.0.106&#8243; title_font=&#8221;Montserrat|600|||||||&#8221; title_text_color=&#8221;#2d2d2d&#8221; title_letter_spacing=&#8221;-1px&#8221; title_line_height=&#8221;1.2em&#8221; meta_font=&#8221;Open Sans||||||||&#8221; meta_text_color=&#8221;rgba(45,45,45,0.5)&#8221; text_orientation=&#8221;center&#8221; custom_margin=&#8221;|||&#8221; custom_padding=&#8221;|20px|20px|20px&#8221; title_text_align=&#8221;center&#8221; meta_font_size=&#8221;13px&#8221; meta_text_align=&#8221;center&#8221;]<\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_post_title][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section bb_built=&#8221;1&#8243; specialty=&#8221;on&#8221; _builder_version=&#8221;3.0.106&#8243; custom_padding=&#8221;0px|||&#8221; prev_background_color=&#8221;#000000&#8243; next_background_color=&#8221;#000000&#8243;][et_pb_column type=&#8221;2_3&#8243; specialty_columns=&#8221;2&#8243;][et_pb_row_inner admin_label=&#8221;Fila&#8221; _builder_version=&#8221;3.0.106&#8243;][et_pb_column_inner type=&#8221;4_4&#8243; saved_specialty_column_type=&#8221;2_3&#8243;][et_pb_text admin_label=&#8221;Contenido Entrada 1&#8243; ul_type=&#8221;square&#8221; module_class=&#8221;ac-posts-content&#8221; _builder_version=&#8221;3.0.106&#8243; text_orientation=&#8221;justified&#8221; background_layout=&#8221;light&#8221;]<\/p>\n<h3>L\u2019ASSCAT desitja que la visi\u00f3 d\u2019un m\u00f3n sense hepatitis C sigui una realitat i per a qu\u00e8 el tractament curatiu arribi a totes les persones \u00e9s molt necessari informar a la ciutadania de la necessitat de realitzar una anal\u00edtica diagn\u00f2stica per a rebre el tractament en cas de necessitar-lo.<\/h3>\n<p>El tractament actual per a curar l\u2019hepatitis C (VHC) \u00e9s oral, ben tolerat i altament efica\u00e7 (m\u00e9s del 95%) i est\u00e0 indicat en totes les persones diagnosticades. El diagn\u00f2stic s\u2019ha simplificat, no \u00e9s necessari realitzar bi\u00f2psia del fetge com fa uns anys. Per tant, ara que es pot tractar i curar de forma definitiva l\u2019hepatitis C en la gran majoria de persones, els pa\u00efsos es plantegen diferents pol\u00edtiques sanit\u00e0ries per a l\u2019eliminaci\u00f3 de l\u2019hepatitis C. Actualment, el repte es centra en informar i diagnosticar a totes les persones que tinguin infecci\u00f3 pel VHC i tractar-les. El comprom\u00eds dels serveis sanitaris \u00e9s assolir l\u2019eliminaci\u00f3 d\u2019una malaltia transmissible, per a la qual no existeix vacuna.<\/p>\n<p>Fins el desembre del 2018, s\u2019han tractat a Espanya m\u00e9s de 117.000 persones; el diagn\u00f2stic i el tractament han arribat a col\u00b7lectius que es controlen en centres espec\u00edfics (presons, centres d\u2019addiccions, etc.) o b\u00e9 en hospitals (dialitzats, trasplantats, hemof\u00edlics, embarassades, coinfectats amb VIH, usuaris de drogues, etc.). No obstant, s\u2019estima que a Espanya queden per aflorar uns 90.000 casos ocults; serien persones que s\u00f3n portadores del VHC, que es troben asimptom\u00e0tiques i que no s\u2019han fet les proves o si s\u2019han fet an\u00e0lisi no ha estat suficient per arribar a un diagn\u00f2stic confirmatori.<\/p>\n<p>L\u2019ASSCAT desitja que la visi\u00f3 d\u2019un m\u00f3n sense hepatitis C sigui una realitat i per a qu\u00e8 el tractament curatiu arribi a totes les persones \u00e9s molt necessari informar a la ciutadania de la necessitat de realitzar una anal\u00edtica diagn\u00f2stica per a rebre el tractament en cas de necessitar-lo.<\/p>\n<p>Com es podria ampliar el nombre de persones detectades i que disminueixin els anomenats \u201ccasos d\u2019hepatitis C ocults\u201d? Es recomana que les persones que tinguin algun dels antecedents que es mencionen a continuaci\u00f3 sol\u00b7licitin al seu metge l\u2019anal\u00edtica espec\u00edfica per VHC.<\/p>\n<p>Els factors de risc s\u00f3n coneguts i s\u2019aconsella fer el cribratge en aquests casos. Al sol\u00b7licitar la prova del VHC no \u00e9s obligatori que les persones expliquin els seus motius (protecci\u00f3 de dades i privacitat). Aix\u00ed, es recomana screening\/cribratge:<\/p>\n<ul>\n<li>Si en el pa\u00eds d\u2019origen existeix una prevalen\u00e7a d\u2019anti-VHC major de 2,9%. Segons les dades de l\u2019Observatori Polaris 2016 s\u00f3n els seg\u00fcents: Egipte, Romania, Ge\u00f2rgia, R\u00fassia, Mong\u00f2lia, Gabon, Uzbequistan, Paquistan i S\u00edria.<\/li>\n<li>Haver rebut transfusi\u00f3 de sang abans del 1990 o injeccions intramusculars amb material que no fos d\u2019un sol \u00fas.<\/li>\n<li>Operaci\u00f3 quir\u00fargica abans del 1990 o si els procediments quir\u00fargics s\u2019han realitzat en pa\u00efsos no occidentals. Aix\u00ed mateix, tractaments d\u2019odontologia sense una esterilitzaci\u00f3 adequada.<\/li>\n<li>\u00das de drogues: persones que algun cop van usar drogues o les usen actualment.<\/li>\n<li>Treballadors de la salut: treballs en atenci\u00f3 m\u00e8dica i\/o en contacte amb mostres de sang.<\/li>\n<li>Antecedents d\u2019infecci\u00f3 pel VHB o pel VIH.<\/li>\n<li>Empresonament: pacients amb antecedents d\u2019haver estat a la pres\u00f3 algun cop.<\/li>\n<li>Conviv\u00e8ncia amb una persona infectada amb el VHC (en el passat o actualment). Tamb\u00e9 en el cas de mares portadores de l\u2019hepatitis C.<\/li>\n<li>Contactes sexuals sense protecci\u00f3.<\/li>\n<li>Homes que tenen sexe amb homes (HSH).<\/li>\n<li>Realitzaci\u00f3 de tatuatges o p\u00edrcings en circumst\u00e0ncies no higi\u00e8niques (de fabricaci\u00f3 pr\u00f2pia, a la pres\u00f3, en pa\u00efsos no occidentals). Tamb\u00e9 tractaments d\u2019est\u00e8tica sense una esterilitzaci\u00f3 adequada.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>Font: ASSCAT<\/p>\n<p>[\/et_pb_text][et_pb_gallery admin_label=&#8221;Galer\u00eda de im\u00e1genes&#8221; gallery_ids=&#8221;4875,4876,4877,4878,3573,3578,2115,2114,2113,2112,2111,2110&#8243; db_images_per_row=&#8221;4&#8243; db_image_max_width_tablet=&#8221;51&#8243; db_image_max_height_tablet=&#8221;501&#8243; db_image_row_spacing_tablet=&#8221;51&#8243; db_image_center_titles=&#8221;left&#8221; db_image_object_fit=&#8221;initial&#8221; show_title_and_caption=&#8221;off&#8221; _builder_version=&#8221;3.0.106&#8243; pagination_font_size_tablet=&#8221;51&#8243; pagination_line_height_tablet=&#8221;2&#8243; background_color=&#8221;#000000&#8243; border_width_all_image=&#8221;1px&#8221; border_color_all_image=&#8221;#ffffff&#8221; custom_margin=&#8221;50px||50px|&#8221; custom_padding=&#8221;12px|12px|12px|12px&#8221; saved_tabs=&#8221;all&#8221; show_pagination=&#8221;on&#8221; fullwidth=&#8221;off&#8221; orientation=&#8221;landscape&#8221; zoom_icon_color=&#8221;#e20611&#8243; hover_overlay_color=&#8221;rgba(255,255,255,0.9)&#8221; background_layout=&#8221;light&#8221; \/][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner admin_label=&#8221;Fila&#8221; custom_padding=&#8221;0px|||&#8221; _builder_version=&#8221;3.0.105&#8243; custom_margin=&#8221;|||&#8221;][et_pb_column_inner type=&#8221;4_4&#8243; saved_specialty_column_type=&#8221;2_3&#8243;][et_pb_post_title admin_label=&#8221;Metadatos &#8211; Fecha \u00daltima actualizaci\u00f3n&#8221; title=&#8221;off&#8221; author=&#8221;off&#8221; date_format=&#8221;d\/m\/Y&#8221; categories=&#8221;off&#8221; comments=&#8221;off&#8221; featured_image=&#8221;off&#8221; _builder_version=&#8221;3.0.105&#8243; title_text_align=&#8221;left&#8221; meta_font=&#8221;Open Sans||||||||&#8221; meta_text_align=&#8221;left&#8221; meta_font_size=&#8221;13px&#8221; meta_text_color=&#8221;#0082ca&#8221; border_width_top=&#8221;1px&#8221; border_color_top=&#8221;#cccccc&#8221; custom_margin=&#8221;50px|||&#8221; custom_padding=&#8221;10px|||&#8221; custom_css_before=&#8221;content:%22\u00daltima actualizaci\u00f3n:%22;&#8221; global_module=&#8221;1706&#8243; saved_tabs=&#8221;all&#8221; \/][\/et_pb_column_inner][\/et_pb_row_inner][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243;][et_pb_sidebar orientation=&#8221;right&#8221; area=&#8221;et_pb_widget_area_8&#8243; module_class=&#8221;ac-posts-sidebar&#8221; _builder_version=&#8221;3.0.106&#8243; global_module=&#8221;3198&#8243; saved_tabs=&#8221;all&#8221; \/][\/et_pb_column][\/et_pb_section][et_pb_section bb_built=&#8221;1&#8243; _builder_version=&#8221;3.0.106&#8243; custom_padding=&#8221;||0px|&#8221; prev_background_color=&#8221;#000000&#8243; module_class=&#8221;ac-post-section-share-rrss&#8221;][et_pb_row custom_padding=&#8221;||0px|&#8221; custom_margin=&#8221;|||&#8221; _builder_version=&#8221;3.0.105&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221;][et_pb_column type=&#8221;4_4&#8243;][et_pb_text _builder_version=&#8221;3.0.106&#8243; text_font=&#8221;Montserrat||||||||&#8221; text_text_color=&#8221;#e20611&#8243; text_orientation=&#8221;center&#8221; custom_margin=&#8221;||0px|&#8221; custom_padding=&#8221;|||&#8221; background_layout=&#8221;light&#8221; disabled=&#8221;on&#8221;]<\/p>\n<h5>Desde aqu\u00ed puedes compartir esta publicaci\u00f3n. \u00a1Gracias!<\/h5>\n<p>[\/et_pb_text][et_pb_divider color=&#8221;#e20611&#8243; show_divider=&#8221;on&#8221; divider_style=&#8221;ridge&#8221; _builder_version=&#8221;3.0.106&#8243; \/][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n<!-- Begin Yuzo --><div class='yuzo_related_post style-1'  data-version='5.12.77'><!-- without result --><div class='yuzo_clearfixed yuzo__title yuzo__title'><h3>Related Post<\/h3><\/div>\n\t\t\t\t\t\t  <div class=\"relatedthumb \" style=\"width:125px;float:left;overflow:hidden;\">  \n\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t  <a  href=\"https:\/\/asscat-hepatitis.org\/ca\/aixi-has-de-rentar-te-les-mans-per-eliminar-correctament-tots-els-bacteris\/\"  >\n\t\t\t\t\t\t\t\t\t  <div class=\"yuzo-img-wrap \" style=\"width: 125px;height:90px;\">\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t<div class=\"yuzo-img\" style=\"background:url('https:\/\/asscat-hepatitis.org\/wp-content\/uploads\/lavado-manos-150x150.jpg') 50% 50% no-repeat;width: 125px;height:90px;margin-bottom: 5px;background-size: cover; 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