Testare in zone defavorizate

Program de depistare activa a tuberculozei si a hepatitei B,C in zone defavorizate

Administrator2019-08-03T09:53:42+00:00

Asociatia Pacientilor cu Afectiuni Hepatice din Romania

Asociatia Pacientilor cu Afectiuni Hepatice din Romania2 days ago

Comisia Boli Infectioase

MINISTERUL SANATATII
Directia Generala de Asistenta Medicala, Medicina de Urgenta si Programe de Sanatate Publica Serviciul de Aslstenta Medicala si Planificare Strategica

Ca raspuns la sesizarea Asociatiei Pacientilor cu Afectiuni Hepatice din Romania transmisa prln solicitarea dumneavoasrea nr 674/25.06.2020, cu privire Ia situatia accesului pacientilor cu hepatita cr, de etiologie virala si nu numai Ia unitatile spitalicestl va aducem la cunostinta ca in conformitate cu legislatia in vigoare pacientii cu hepatita cronica B si C sunt dispensarizati si pot accesa programele nationale de terapie pentru cele doua afectiuni in situatia indeplînirii criteriilor de initiere a terapiei.
Pacienții cu afecțiuni hepatice de origine virală și nu numai se pot adresa - în funcție de problema pe care o au - medicilor de familie, specialiștilor de gastroenterologie și celor de boli infecțioase din afara zonelor COVID-19,
Evaluarea si intocmirea dosarului pentru initierea teraplel se poate face de catre medicii specialisti de boli infectioase si gastroenterologie si pediatrie desemnati de catre Ministerul Sanatatii.
Pacientii aflati deja in programele nationale de terapie pentru hepatite cr B si C, precum si cei ce doresc inîtierea terapiei se pot adresa medicilor specialisti mai sus mentionati in clinicile de gastroenterologie si pediatrie ale spitalelor suport din din flecare judet, in ambulatoriile de specialitate de boll Infectloase, gastroenterologie si pediatrie unde acesti medici Isl desfasoara activitatea si au contract cu CJAS pentru intocmirea dosarului medical sl eliberarea retetel compensate.
Fiecare judet are stabilita structura acestor servlcll in functie de situatia Infectiei Covid-19 in judet si de planul de reorganizare judetean a structurilor medicale conf Ord MS 555 modificat.
Pentru Informatil mal concrete recomandam paclentilor cu hepatite cronice B sl C sa se adreseze Directiilor de Sanatate Publica din Judetul de resedinta— reprezentantil Mlnlsterulul Sanatatll In teritoriu, care sunt în măsură să redirecționeze fluxul de pacienți care nu mai poate fi preluat de spitalele COVID19 către alte unltățl medicale.
Comisia de Boli Infectloase a Ministerului Sanatatil reitereaza importanta accesulul tuturor paclentilor in mod nediscriminatoriu la programele natlonale de sanatate in conformitate cu criteriile stabilite si la serviciile prevăzute în Anexa 22 a contractului cadru lista B.4.1.
Presedinte Dr. Virgil Musta

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Asociatia Pacientilor cu Afectiuni Hepatice din Romania2 days ago

Un articol interesant! Il pun in engleza cu link direct la sursa.
Daca cineva se ofera sa il traduca poate fi de ajutor tuturor!
Va multumim!
EASL Clinical Practice Guideline: Occupational liver diseasesq European Association for the Study of the Liver⇑ Summary A variety of chemicals have been linked to occupational liver diseases, including several solvents and mixtures thereof, pesticides, and metals. Workplace exposures have been associated with virtually the entire spectrum of acute and chronic liver diseases. However, their prevalence is inadequately quantified and their epidemiology limited. Occupational liver diseases may result from high accidental or from prolonged lower level exposures. Whereas the former is uncommon and easily recognised, the latter are relatively more frequent but often overlooked because they may display normal values of conventional markers, have an insidious onset and be asymptomatic or be obfuscated and confounded by concurrent conditions. In addition, specific tests of toxicity are not available, histopathology may not be revealing and the assessment of internal dose of chemicals is usually not decisive. Given these circumstances, the diagnosis of these liver disorders is challenging, one of exclusion and often requires an interdisciplinary approach. These recommendations offer a classification of the type of liver injuries associated with occupational exposures – based in part on the criteria for drug-induced liver injury – a grading of their severity, and the diagnostic and preventive criteria for chemically induced occupational liver disease. 2019 European Association for the Study of the Liver. Published by Elsevier B.V. All rights reserved. Introduction Occupational exposures can induce liver injury in a similar way to prescription drugs, herbal and dietary supplements, and workplace exposure has been implicated in the full spectrum of liver disease. However, the awareness of hepatologists for this specific aetiology of liver injury is limited and the incidence and prevalence of occupational liver diseases (OLDs) remains unknown. Acute liver injury is likely to decrease, at least in high income countries, given the improvement in health and safety in workplaces achieved over the recent years. Unpredictable routes of exposure such as breakdown, cleaning and maintenance of machinery, and accidental leakage still occur though and new causes of OLD will potentially come to light, such as liver silicosis, particulate matter air pollution and increasing use of nanomaterials.1–3 Moreover, the diagnosis of OLD conditions. A summary of the main conclusions and recommendations is shown in Box 1.
Box 1. Summary of epidemiological studies on occupational liver disease.
a. Non-malignant liver diseases Data are insufficient to provide recommendations, due to difficulties in adjusting for covariates and confounding factors.
b. Liver neoplasms i. Vinyl chloride monomer and angiosarcoma of the liver and hepatocellular carcinoma Following the control of occupational exposure to VCM in the mid-1970s, few additional cases of VCM-related angiosarcoma of the liver are anticipated in the future. By inference, this applies to other liver cancers, too. Surveillance with ultrasounds for development of emergent liver neoplasms should be discussed for workers exposed to high levels of VCM in the past, i.e. until the mid-1970s, as defined by their job title (reactor cleaners).
ii. Controversial associations with liver cancers The available evidence does not support recommendations for screening for liver cancers in trichloroethylene and other chlorinated solvent-exposed workers, workers exposed to polychlorinated biphenyl and workers exposed to pesticides.
https://easl.eu/wp-content/uploads/2019/09/EASL-CPG-occupational-liver-diseases.pdf

easl.eu

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Asociatia Pacientilor cu Afectiuni Hepatice din Romania4 days ago

REGIMUL ALIMENTAR IN BOLILE DE FICAT, nu vindeca boala, dar protejeaza ficatul de agresiuni suplimentare, si prelungeste durata evolutiei favorabile sau previne aparitia complicatiilor (ascita, encefalopatie hepatica)
http://www.hepatite.ro/hepatita-regim-alimentar/

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Asociatia Pacientilor cu Afectiuni Hepatice din Romania4 days ago

https://www.facebook.com/340645882678436/posts/3185345831541746/

Cirrhosis of Liver: What is It, Symptoms & Causes - News Deets

Liver Cirrhosis is one of the majour problem of liver. Check out the stages of Cirrhosis of Liver and how it effects the life. Common cause and symptoms

newsdeets.com

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Asociatia Pacientilor cu Afectiuni Hepatice din Romania4 days ago