{"id":9054,"date":"2022-07-21T13:41:58","date_gmt":"2022-07-21T06:41:58","guid":{"rendered":"https:\/\/www.oucru.vn\/nghien-cuu-cua-oucru-huong-toi-giam-chi-phi-dieu-tri-va-cai-thien-kha-nang-tiep-can-y-te-cho-benh-nhan-viem-gan-c\/"},"modified":"2022-07-21T13:41:58","modified_gmt":"2022-07-21T06:41:58","slug":"nghien-cuu-cua-oucru-huong-toi-giam-chi-phi-dieu-tri-va-cai-thien-kha-nang-tiep-can-y-te-cho-benh-nhan-viem-gan-c","status":"publish","type":"post","link":"https:\/\/www.oucru.org\/vi\/nghien-cuu-cua-oucru-huong-toi-giam-chi-phi-dieu-tri-va-cai-thien-kha-nang-tiep-can-y-te-cho-benh-nhan-viem-gan-c\/","title":{"rendered":"Nghi\u00ean c\u1ee9u c\u1ee7a OUCRU h\u01b0\u1edbng t\u1edbi gi\u1ea3m chi ph\u00ed \u0111i\u1ec1u tr\u1ecb v\u00e0 c\u1ea3i thi\u1ec7n kh\u1ea3 n\u0103ng ti\u1ebfp c\u1eadn y t\u1ebf cho b\u1ec7nh nh\u00e2n Vi\u00eam gan C"},"content":{"rendered":"

Ng\u00e0y 28 th\u00e1ng 7 l\u00e0 Ng\u00e0y Th\u1ebf gi\u1edbi Ph\u00f2ng ch\u1ed1ng Vi\u00eam Gan.<\/p>\n

Theo T\u1ed5 ch\u1ee9c Y t\u1ebf Th\u1ebf gi\u1edbi (WHO), t\u1ef7 l\u1ec7 vi\u00eam gan \u1edf n\u01b0\u1edbc ta chi\u1ebfm kho\u1ea3ng 10-15% d\u00e2n s\u1ed1, trong \u0111\u00f3 kho\u1ea3ng 1,07 tri\u1ec7u ng\u01b0\u1eddi nhi\u1ec5m vi\u00eam gan C (1-2% d\u00e2n s\u1ed1). C\u00f3 t\u1edbi 90% ng\u01b0\u1eddi nhi\u1ec5m Vi\u00eam gan C kh\u00f4ng bi\u1ebft v\u1ec1 t\u00ecnh tr\u1ea1ng nhi\u1ec5m virus c\u1ee7a m\u00ecnh.<\/p>\n

OUCRU, B\u1ec7nh vi\u1ec7n B\u1ec7nh Nhi\u1ec7t \u0111\u1edbi Tp. H\u1ed3 Ch\u00ed Minh v\u00e0 B\u1ec7nh vi\u1ec7n B\u1ec7nh Nhi\u1ec7t \u0111\u1edbi Trung \u01b0\u01a1ng (H\u00e0 N\u1ed9i) \u0111\u00e3 h\u1ee3p t\u00e1c trong c\u00e1c nghi\u00ean c\u1ee9u v\u00e0 th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng li\u00ean quan t\u1edbi Vi\u00eam gan C t\u1eeb n\u0103m 2018. Nh\u1eefng nghi\u00ean c\u1ee9u n\u00e0y t\u1eadp trung v\u00e0o c\u00e1c y\u1ebfu t\u1ed1 d\u1ef1 \u0111o\u00e1n ng\u01b0\u1eddi nhi\u1ec5m Vi\u00eam Gan C c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng v\u1edbi th\u1eddi gian \u0111i\u1ec1u tr\u1ecb ng\u1eafn h\u01a1n khi s\u1eed d\u1ee5ng li\u1ec7u ph\u00e1p kh\u00e1ng vi-r\u00fat.<\/p>\n

Hi\u1ec7n nay, li\u1ec7u ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c kh\u00e1ng vi-r\u00fat (DAA) tr\u1ef1c ti\u1ebfp cho b\u1ec7nh Vi\u00eam gan C (HCV) mang l\u1ea1i t\u1ef7 l\u1ec7 ch\u1eefa kh\u1ecfi cao cho nh\u1eefng ng\u01b0\u1eddi c\u00f3 th\u1ec3 tu\u00e2n th\u1ee7 th\u1eddi gian \u0111i\u1ec1u tr\u1ecb ti\u00eau chu\u1ea9n. \u1ede c\u00e1c n\u01b0\u1edbc c\u00f3 thu nh\u1eadp th\u1ea5p v\u00e0 trung b\u00ecnh nh\u01b0 Vi\u1ec7t Nam, n\u01a1i vi\u1ec7c \u0111i\u1ec1u tr\u1ecb ch\u1ec9 gi\u1edbi h\u1ea1n s\u1eed d\u1ee5ng c\u00e1c li\u1ec7u ph\u00e1p thu\u1ed1c \u1ee9c ch\u1ebf NS5A \/ NS5B th\u1ebf h\u1ec7 th\u1ee9 hai, th\u1eddi gian \u0111i\u1ec1u tr\u1ecb ti\u00eau chu\u1ea9n \u00edt nh\u1ea5t l\u00e0 12 tu\u1ea7n. Kho\u1ea3ng th\u1eddi gian n\u00e0y l\u00e0 m\u1ed9t r\u00e0o c\u1ea3n \u0111\u1ed1i nhi\u1ec1u ng\u01b0\u1eddi kh\u00f4ng c\u00f3 th\u1eddi gian tham gia \u0111i\u1ec1u tr\u1ecb, v\u00e0 t\u1eeb \u0111\u00f3, m\u1ed1i \u0111e do\u1ea1 s\u1ee9c kho\u1ebb c\u1ed9ng \u0111\u1ed3ng Vi\u00eam Gan C v\u1eabn ch\u01b0a th\u1ec3 b\u1ecb lo\u1ea1i tr\u1eeb. B\u1eaft bu\u1ed9c ph\u1ea3i t\u00ecm ra c\u00e1c chi\u1ebfn l\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb m\u1edbi \u0111\u1ed1i v\u1edbi nh\u1eefng nh\u00f3m d\u00e2n s\u1ed1 kh\u00f3 ti\u1ebfp c\u1eadn, ch\u1eb3ng h\u1ea1n nh\u01b0 nh\u1eefng ng\u01b0\u1eddi ti\u00eam ch\u00edch ma t\u00fay v\u00e0 nh\u1eefng ng\u01b0\u1eddi v\u00f4 gia c\u01b0.<\/p>\n

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Ngo\u00e0i ra, t\u1ea1i Vi\u1ec7t Nam, li\u1ec7u ph\u00e1p DAA \u0111i\u1ec1u tr\u1ecb Vi\u00eam gan C v\u1eabn c\u00f2n \u0111\u1eaft \u0111\u1ecf \u0111\u1ed1i v\u1edbi nhi\u1ec1u ng\u01b0\u1eddi b\u1ecb nhi\u1ec5m b\u1ec7nh. M\u1ed9t li\u1ec7u tr\u00ecnh ti\u00eau chu\u1ea9n k\u00e9o d\u00e0i 12 tu\u1ea7n, s\u1eed d\u1ee5ng sofosbuvir v\u00e0 daclatasvir (SOF \/ DCV) c\u00f3 gi\u00e1 t\u1eeb US $2,417 – $ 2,472 (kho\u1ea3ng h\u01a1n 56 tri\u1ec7u \u0111\u1ed3ng), theo s\u1ed1 li\u1ec7u t\u1ea1i th\u00e0nh ph\u1ed1 H\u1ed3 Ch\u00ed Minh v\u00e0o n\u0103m 2019. M\u1eb7c d\u00f9 ch\u00ednh ph\u1ee7 Vi\u1ec7t Nam c\u00f3 cung c\u1ea5p tr\u1ee3 c\u1ea5p 50% chi ph\u00ed thu\u1ed1c th\u00f4ng qua b\u1ea3o hi\u1ec3m y t\u1ebf, nh\u01b0ng B\u1ed9 Y t\u1ebf \u01b0\u1edbc t\u00ednh ch\u1ec9 c\u00f3 1.000 ng\u01b0\u1eddi \u0111\u01b0\u1ee3c ti\u1ebfp c\u1eadn \u0110i\u1ec1u tr\u1ecb DAA th\u00f4ng qua b\u1ea3o hi\u1ec3m y t\u1ebf v\u00e0o n\u0103m 2019 v\u00e0 2.700 v\u00e0o n\u0103m 2020.<\/p>\n

T\u1ed5 ch\u1ee9c Y t\u1ebf Th\u1ebf gi\u1edbi \u0111\u00e3 k\u00eau g\u1ecdi nghi\u00ean c\u1ee9u c\u00e1c y\u1ebfu t\u1ed1 d\u1ef1 \u0111o\u00e1n ng\u01b0\u1eddi nhi\u1ec5m Vi\u00eam Gan C c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng v\u1edbi th\u1eddi gian \u0111i\u1ec1u tr\u1ecb ng\u1eafn h\u01a1n khi s\u1eed d\u1ee5ng li\u1ec7u ph\u00e1p kh\u00e1ng vi-r\u00fat, nh\u1edd \u0111\u00f3 c\u00f3 th\u1ec3 m\u1edf r\u1ed9ng kh\u1ea3 n\u0103ng ti\u1ebfp c\u1eadn \u0111i\u1ec1u tr\u1ecb v\u00e0 gi\u1ea3m chi ph\u00ed thu\u1ed1c.<\/p>\n

Ch\u00fang t\u00f4i \u0111\u00e3 ho\u00e0n th\u00e0nh m\u1ed9t nghi\u00ean c\u1ee9u th\u1eed nghi\u1ec7m nh\u1ecf v\u00e0o n\u0103m 2020, xem x\u00e9t hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb virus s\u1edbm nh\u1eb1m \u0111\u01b0a ra th\u1eddi gian \u0111i\u1ec1u tr\u1ecb s\u1eed d\u1ee5ng SOF \/ DCV h\u1ee3p l\u00fd. Cho t\u1edbi nay, \u0111\u00e2y v\u1eabn l\u00e0 l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb c\u00f3 gi\u00e1 th\u1ea5p nh\u1ea5t v\u00e0 ph\u1ed5 bi\u1ebfn nh\u1ea5t tr\u00ean to\u00e0n c\u1ea7u.<\/p>\n

Ch\u00fang t\u00f4i c\u0169ng \u0111ang ti\u1ebfn h\u00e0nh m\u1ed9t th\u1eed nghi\u1ec7m \u0111\u1ed1i ch\u1ee9ng ng\u1eabu nhi\u00ean nhi\u1ec1u nh\u00e1nh l\u1edbn h\u01a1n nh\u1eb1m kh\u00e1m ph\u00e1 ba chi\u1ebfn l\u01b0\u1ee3c r\u00fat ng\u1eafn th\u1eddi gian \u0111i\u1ec1u tr\u1ecb kh\u00e1c nhau \u0111\u1ed1i v\u1edbi Vi\u00eam gan C, v\u1edbi hai s\u1ef1 k\u1ebft h\u1ee3p thu\u1ed1c kh\u00e1c nhau. Ch\u00fang t\u00f4i d\u1ef1 ki\u1ebfn \u200b\u200bs\u1ebd ho\u00e0n th\u00e0nh vi\u1ec7c thu tuy\u1ec3n b\u1ec7nh nh\u00e2n v\u00e0o \u0111\u1ea7u n\u0103m 2023.<\/p>\n

Ngo\u00e0i ra, nh\u00f3m nghi\u00ean c\u1ee9u OUCRU \u0111\u00e3 th\u1ef1c hi\u1ec7n m\u1ed9t \u0111\u00e1nh gi\u00e1 c\u00f3 h\u1ec7 th\u1ed1ng v\u00e0 ph\u00e2n t\u00edch t\u1ed5ng h\u1ee3p t\u1ef7 l\u1ec7 huy\u1ebft thanh vi\u00eam gan B, C v\u00e0 D \u1edf Vi\u1ec7t Nam t\u1eeb 1990-2020, \u0111\u01b0\u1ee3c c\u00f4ng b\u1ed1 tr\u00ean t\u1ea1p ch\u00ed The Lancet Western Pacific v\u00e0o th\u00e1ng 5 n\u0103m 2022. Ch\u00fang t\u00f4i nh\u1eadn th\u1ea5y r\u1eb1ng m\u1eb7c d\u00f9 an to\u00e0n m\u00e1u \u0111\u00e3 \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n, vi\u1ec7c t\u1eadp trung v\u00e0o ti\u00eam ch\u1ee7ng v\u1eafc xin Vi\u00eam Gan B cho tr\u1ebb s\u01a1 sinh v\u00e0 vi\u1ec7c s\u00e0ng l\u1ecdc v\u00e0 \u0111i\u1ec1u tr\u1ecb Vi\u00eam Gan C c\u00f3 m\u1ee5c ti\u00eau cho nh\u1eefng ng\u01b0\u1eddi ti\u00eam ch\u00edch ma t\u00fay l\u00e0 c\u1ea7n thi\u1ebft \u0111\u1ec3 \u0111\u1ea1t m\u1ee5c ti\u00eau lo\u1ea1i tr\u1eeb c\u0103n b\u1ec7nh n\u00e0y.<\/p>\n

Cho \u0111\u1ebfn nay, nh\u1eefng th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng n\u00e0y ch\u1ee7 y\u1ebfu c\u00f3 s\u1ef1 tham gia c\u1ee7a nh\u1eefng b\u1ec7nh nh\u00e2n \u0111ang \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c t\u1ea1i B\u1ec7nh vi\u1ec7n B\u1ec7nh Nhi\u1ec7t \u0111\u1edbi. H\u1ecd hi\u1ec3u \u0111\u01b0\u1ee3c s\u1ef1 l\u00e2y nhi\u1ec5m c\u1ee7a VGC v\u00e0 nh\u1eefng t\u00e1c \u0111\u1ed9ng c\u1ee7a b\u1ec7nh, v\u00e0 mong mu\u1ed1n t\u00ecm c\u00e1ch \u0111i\u1ec1u tr\u1ecb. C\u00e1c th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng s\u1eed d\u1ee5ng li\u1ec7u ph\u00e1p ng\u1eafn ho\u1eb7c ng\u1eaft qu\u00e3ng c\u00f3 th\u1ec3 mang t\u1edbi t\u1ee3i \u00edch t\u00edch c\u1ef1c cho nh\u1eefng c\u1ed9ng \u0111\u1ed3ng m\u00e0 tr\u01b0\u1edbc \u0111\u00e2y ch\u01b0a th\u1ec3 ti\u1ebfp c\u1eadn \u0111i\u1ec1u tr\u1ecb. N\u1ebfu c\u00e1c gi\u1ea3i ph\u00e1p n\u00e0y c\u00f3 hi\u1ec7u qu\u1ea3 nh\u01b0 k\u00ec v\u1ecdng, ch\u00fang ta s\u1ebd ph\u1ea3i c\u00f3 chi\u1ebfn l\u01b0\u1ee3c thu h\u00fat nh\u1eefng nh\u00f3m c\u1ed9ng \u0111\u1ed3ng y\u1ebfu th\u1ebf n\u00e0y, ch\u1eb3ng h\u1ea1n nh\u01b0 nh\u00f3m ti\u00eam ch\u00edch ma t\u00fay (PWID), nam gi\u1edbi quan h\u1ec7 t\u00ecnh d\u1ee5c \u0111\u1ed3ng gi\u1edbi ho\u1eb7c chuy\u1ec3n gi\u1edbi, nh\u00f3m lao \u0111\u1ed9ng t\u00ecnh d\u1ee5c, c\u0169ng nh\u01b0 c\u00e1c c\u1ed9ng \u0111\u1ed3ng c\u00f3 thu nh\u1eadp th\u1ea5p.<\/p>\n

Do \u0111\u00f3, OUCRU \u0111\u00e3 ph\u1ed1i h\u1ee3p v\u1edbi c\u00e1c b\u00ean li\u00ean quan \u0111\u1ec3 th\u1ef1c hi\u1ec7n \u201cNghi\u00ean c\u1ee9u c\u00f3 s\u1ef1 tham gia c\u1ee7a c\u1ed9ng \u0111\u1ed3ng nh\u1eb1m n\u00e2ng cao t\u00ednh k\u1ebft n\u1ed1i v\u1edbi nh\u00f3m d\u1ec5 b\u1ecb t\u1ed5n th\u01b0\u01a1ng c\u00f3 nguy c\u01a1 m\u1eafc Vi\u00eam Gan C (VGC) t\u1ea1i Vi\u1ec7t Nam\u201d (Hep C PAR). \u0110\u00e2y l\u00e0 nghi\u00ean c\u1ee9u x\u00e3 h\u1ed9i c\u00f3 s\u1ef1 tham gia c\u1ee7a c\u1ed9ng \u0111\u1ed3ng (Community-based participatory research), g\u1ecdi t\u1eaft l\u00e0 CBPR. B\u1eb1ng c\u00e1ch \u1ee9ng d\u1ee5ng CBPR, c\u00e1c nh\u00f3m c\u1ed9ng \u0111\u1ed3ng \u0111\u01b0\u1ee3c trao quy\u1ec1n \u0111\u1ec3 t\u1ef1 t\u00ecm hi\u1ec3u nh\u1eefng v\u1ea5n \u0111\u1ec1 quan tr\u1ecdng v\u1edbi c\u1ed9ng \u0111\u1ed3ng c\u1ee7a h\u1ecd, t\u1eeb \u0111\u00f3 chia s\u1ebb g\u00f3c nh\u00ecn c\u1ee7a m\u00ecnh, ph\u00e2n t\u00edch v\u00e0 ti\u1ebfn \u0111\u1ebfn t\u00ecm ki\u1ebfm, th\u1ef1c hi\u1ec7n nh\u1eefng gi\u1ea3i ph\u00e1p th\u1ef1c t\u1ebf v\u00e0 ph\u00f9 h\u1ee3p cho nh\u1eefng th\u00e1ch th\u1ee9c t\u1ea1i ch\u00ednh c\u1ed9ng \u0111\u1ed3ng c\u1ee7a m\u00ecnh.<\/p>\n

\"\"<\/a>
CBPR groups practising Venn Diagram as part of CBPR activities to identify stakeholders having impacts on underserved communities at risk of Hep C. | \u0110\u1ea1i di\u1ec7n nh\u00f3m c\u1ed9ng \u0111\u1ed3ng th\u1ef1c h\u00e0nh \u1ee9ng d\u1ee5ng CBPR – bi\u1ec3u \u0111\u1ed3 Venn \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh c\u00e1c b\u00ean li\u00ean quan c\u00f3 \u1ea3nh h\u01b0\u1edfng l\u00ean c\u00e1c c\u1ed9ng \u0111\u1ed3ng y\u1ebfu th\u1ebf c\u00f3 nguy c\u01a1 m\u1eafc VGC.<\/em><\/figcaption><\/figure>\n

Cho t\u1edbi nay, c\u00e1c nghi\u00ean c\u1ee9u c\u1ee7a OUCRU li\u00ean quan t\u1edbi Vi\u00eam Gan C v\u1eabn \u0111ang di\u1ec5n ra v\u00e0 c\u00f3 nh\u1eefng k\u1ebft qu\u1ea3 t\u00edch c\u1ef1c v\u1edbi nh\u00f3m ng\u01b0\u1eddi tham gia nghi\u00ean c\u1ee9u, v\u1edbi hy v\u1ecdng c\u00f3 th\u1ec3 ti\u1ebfp c\u1eadn nh\u1eefng c\u1ed9ng \u0111\u1ed3ng l\u1edbn h\u01a1n trong t\u01b0\u01a1ng lai.<\/p>\n","protected":false},"excerpt":{"rendered":"

Ng\u00e0y 28 th\u00e1ng 7 l\u00e0 Ng\u00e0y Th\u1ebf gi\u1edbi Ph\u00f2ng ch\u1ed1ng Vi\u00eam Gan. Theo T\u1ed5 ch\u1ee9c Y t\u1ebf Th\u1ebf gi\u1edbi (WHO), t\u1ef7 l\u1ec7 vi\u00eam gan \u1edf n\u01b0\u1edbc ta chi\u1ebfm kho\u1ea3ng 10-15% […]<\/p>\n","protected":false},"author":28,"featured_media":9818,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":"","_links_to":"","_links_to_target":"","_wp_rev_ctl_limit":""},"categories":[229],"tags":[218],"class_list":["post-9054","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tin-tuc","tag-tin-tuc"],"acf":[],"yoast_head":"\nNghi\u00ean c\u1ee9u c\u1ee7a OUCRU h\u01b0\u1edbng t\u1edbi gi\u1ea3m chi ph\u00ed \u0111i\u1ec1u tr\u1ecb v\u00e0 c\u1ea3i thi\u1ec7n kh\u1ea3 n\u0103ng ti\u1ebfp c\u1eadn y t\u1ebf cho b\u1ec7nh nh\u00e2n Vi\u00eam gan C - OUCRU<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.oucru.org\/vi\/nghien-cuu-cua-oucru-huong-toi-giam-chi-phi-dieu-tri-va-cai-thien-kha-nang-tiep-can-y-te-cho-benh-nhan-viem-gan-c\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Nghi\u00ean c\u1ee9u c\u1ee7a OUCRU h\u01b0\u1edbng t\u1edbi gi\u1ea3m chi ph\u00ed \u0111i\u1ec1u tr\u1ecb v\u00e0 c\u1ea3i thi\u1ec7n kh\u1ea3 n\u0103ng ti\u1ebfp c\u1eadn y t\u1ebf cho b\u1ec7nh nh\u00e2n Vi\u00eam gan C - OUCRU\" \/>\n<meta property=\"og:description\" content=\"Ng\u00e0y 28 th\u00e1ng 7 l\u00e0 Ng\u00e0y Th\u1ebf gi\u1edbi Ph\u00f2ng ch\u1ed1ng Vi\u00eam Gan. 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