Nei mushonga wakasarudzika uchida kurudziro kuti uenderane 'kukosha'

NeEuropean Alliance of Personalized Medicine (EAPM) Executive Director Denis Horgan

Mushonga wega wega uri kuwedzera, hapana kupokana.

Kunyanya kuburikidza nekushandiswa kwekufambira mberi kwekufambira mberi mune genetics, inokwanisa kupa kurapa kwakakodzera kumurwere akakodzera panguva yakakodzera, kazhinji inoshanda nenzira yekudzivirira, kuvandudza mararamiro ehupenyu kune avo vari kutorapwa, kupa simba kuvarwere muchisarudzo- kuita zvirongwa uye kuvachengeta kunze kwezvipatara zvinodhura zvakanyanya sezvinobvira, uye kunyange kupa kune huwandu hwemaawa avanoshandisa munzvimbo yebasa - kunyanya kuburikidza nekuderedza kwemazuva ekurwara.

Zvakatorwa zvakazara, hapana kupokana kuti hutano hweEurope hwakapfuma muEurope uye mushonga wakasarudzika watove, uye unogona kudaro zvakanyanya mune ramangwana, mupiro mukuru.

Uye hazvisi muEurope chete uko kurapwa kwemunhu kuri kuita nhau. KuUS, Mutungamiri Obama nguva pfupi yadarika vakakurudzira mari inosvika mazana maviri neshanu emamiriyoni emadhora muPrecision Medicine Initiative, ine chinangwa chekufambisira mberi tsvakiridzo yegenetics yemurwere uye marapirwo akasarudzika.

Nekudaro, idzi dziri kuyedza nguva dzemari. Uye nekuchembera kwevanhu vanosvika miriyoni mazana mashanu vangangove varwere munyika makumi maviri nesere dzeEU, 'value' inogara iri pamusoro pechirongwa.

Kuchengetwa kwehutano muEU hakuna kumbodhura zvakanyanya. Vanhu vari kurarama kwenguva yakareba uye kazhinji vanozorapwa kwete chirwere chimwe chete asi chakati wandei - 'co-morbidity' - munguva yehupenyu hwavo. Idambudziko, uye hariperi.

Saka tinorevei kana tichiti 'value'? Tinozvitsanangura sei? Tinoyera sei hupenyu hwemunhu - kana kunaka kwehupenyu - tichienzanisa nemutengo wekurapwa?

Varwere, pavanonzwisisa zvavanosarudza, vachave nemafungiro avo pamusoro pezvinoumba kukosha, zvichienderana nemamiriro avo ezvinhu - "Ndichapora here? Ndichararama kwenguva yakareba here? Upenyu hwangu huchavandudza here? Maside effects acho ndeapi?".

Uye zvakadini nemutengo uye kukosha kwe, toti, in vitro diagnostics? Zvinoenderana neongororo ichangobva kuitika yakaitwa neBrussels-based European Alliance for Personalized Medicine (EAPM) 96% yevarwere vakapindura vakati 'vaizofarira' kana 'kunyanya kufarira' kuve nemumwe wekuongorora anowanikwa kwavari. Saka zviri pachena kuti varwere vanoisa kukosha kukuru pakuva nechokwadi.

Zvechokwadi vanobhadhara, hazvishamisi, apo vanoyera mabhenefiti maererano nemutengo uye mamwe mafungidziro, vanogona kutora nzira yakasiyana.

Zvichakadaro, vagadziri nevagadziri vanosungirwa kushanda mukati memiganhu ye'value' iyo isati yanyatsojeka munguva ino inonakidza yemishonga yemunhu.

Asi pane gakava rakasimba rekuti kukosha kunofanira kugara kuchitsanangurwa maererano nemutengi. Kukosha kwehutano hwehutano hunoenderana nemigumisiro uye migumisiro - yakakosha kumurwere-zvisinei nehuwandu hwemabasa anounzwa, asi kukosha kunogara kuchionekwa sekuenderana nemutengo.

Sangano reWorld Health Organisation rinotiudza kuti vanhu zviuru mazana matatu nemakumi mashanu vanofa gore rega rega kubva pamamiriyoni zana nemakumi mashanu vanobatwa neutachiona uhwu, uye mishonga mitsva inorwisa mavhairasi iyi inogona kumisa kupararira kweutachiona pasi rose. Saka, kana gadziriro dzoutano dzichibhadhara kugovera mishonga yacho, kuchengetedza upenyu hunosvika mamiriyoni 350,000, gore rimwe nerimwe, ukoshi ihwohwo here?

Zvichakadaro, kurapwa kwegomarara kwepamusoro-soro ikozvino kunogona kurapa zvimwe zvezvirwere zvakanyanya kana zvisingawanzo kuzivikanwa pasi pano. Mumakumi maviri amakore nehafu apfuura, nduramo yemurwere yakakwira neanenge makore matatu, nezvikamu zvina kubva muzvishanu zvechiverengero ichocho zvichidzika zvakananga kumishonga mitsva nemishonga.

Zvakadaro mishonga iyi uye marapiro anodhura. Asi, nekupihwa uku kuvandudzwa kukuru, kune zvakakosha here?

Uye, kuti tirege kukanganwa, vimbiso yakazara yemishonga yemunhu inoreva zvakawanda kupfuura kurapwa kwevarwere vanenge vachirwara - inokwanisa kuona avo vane njodzi huru yekuva nechirwere icho, chinobvumira kudzivirira kwakanangwa.

Kune mabhenefiti munharaunda pano, pamwe neayo ari pachena emunhu.

Imwe nzira yekutarisa kukosha inzira inonzi 'DALYs'. Izvi zvinomirira 'makore ehupenyu akaremara', uye chiyero chehutano hwevanhu, hweveruzhinji uye hwepasi rose.

MAZUVA anoverengwa nokuyerwa kuti mangani makore angabvira oupenyu anorasika kana munhu afa. Vanobva vabatanidza makore akazara akararama nehurema - zvichibva pafungidziro dzepasirese dzekuti mamiriro ega ega asiri anouraya anobvisa sei hutano hwakakwana.

Panyaya yerufu, mapapu kenza inouraya vanhu vakawanda kupfuura kukuvara kwemumugwagwa gore negore. Asi zvakayerwa nemaDALY, kukuvara kwemumugwagwa kunoda kusvika kaviri nehafu zvakaipisisa. Izvi zvinodaro nekuti varwere vazhinji vanofa nemapapu kenza vari mumakore avo makumi matanhatu-60, nepo avo vangangofa mumigwagwa vari mumakore avo makumi maviri nemakumi matatu - iyo yekupedzisira inokonzeresa kanokwana ka80 kuremara. Saka, isu tinofanirwa kuisa mari mukudzivirira tsaona dzemumigwagwa kana mishandirapamwe yekurwisa fodya sekutanga? Mubvunzo unonakidza…

Kudzivirira kuri pachena kwehukoshi hwepamusoro hwenzanga, asi ndekupi uko kurudziro yemari chaiyo? Masisitimu ekudzorera aripo, ane kumanikidzwa kwebhajeti yenguva pfupi, anoshanda achifarira marapirwo anogona kuburitsa kukosha kushoma zvachose - yakaipisisa DALY mamakisi, pamwe - asi achipa yakakura kudzoka kwenguva pfupi.

Zvichakadaro, fungidziro dzekukosha kwehutano hwakagadzirwa kubva muna 2012-2060 nehunyanzvi hwemishonga yemunhu hunoderedza chiitiko chechirwere chakakosha ne10% chete inoratidza kukosha kwemabhiriyoni emaeuro nenzira yehurefu, hupenyu hune hutano. Panyaya yekuderedzwa kwe50% mukati, taura, chiitiko chechirwere chemoyo, izvi zvingaita zvinopfuura 500bn euro muhutano hwakavandudzwa mumakore makumi mashanu.

Therapeutics, kazhinji kutaura, inodzorerwa zvakanaka. Diagnostics zvishoma zvakadaro. Kudzoserwa kwakavakirwa pa'kukosha', pane mutengo, kwaizogadzira nharaunda yekuongorora kuti isvike pamusika nekukurumidza.

EAPM inotenda kuti vagadziri vemitemo yehutano vane basa rekushandisa sarudzo vanofanirwa kutarisisa kuti ingani mari uye kurudziro ikozvino inogona kuchengetedza mari yakawanda, semuenzaniso, munzvimbo dzakadai sekenza (kusanganisira isingawanzo vhezheni), hepatitis, chirwere cheshuga uye chirwere chemoyo - zvese zvakakura. mhondi.

'Kukosha' kunoda kuverengerwa tichifunga nezvese zvazvinoreva - uye munguva pfupi.

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