Minista Kuipers yana amsa tambayoyi game da amfani da magungunan ƙwaƙwalwa

ƙofar Ƙungiyar Inc.

2022-03-16-Ministan Kuipers ya amsa tambayoyi game da yadda ake amfani da ilimin tabin hankali

Netherlands - Ministan Kuipers (VWS) yana amsa tambayoyi game da amfani da ilimin likitanci kamar psilocybin, MDMA da ketamine. Wakilan Majalisar Warmerdam, Paulusma da Sneller (D66) sun yi tambayoyin.

Amsoshin tambayoyin majalisa daga membobin Warmerdam, Paulusma da Sneller (duk D66) game da amfani da magani psychedelics irin su psilocybin, MDMA da ketamine. (2022Z00701 ƙaddamar Janairu 19, 2022).

Tambaya 1.
Shin kun saba da rahoton na Janairu 16. 'Keta na iya zama maganin 'mai juyin juya hali' don bakin ciki, amma kuma akwai damuwa" [1] da ma'anar 'Therapeutic use of psychedelics - roko don kulawa ta tsakiya'?[2]

Amsa 1.
Ja.

Tambaya 2.
Shin kun gane cewa akwai marasa lafiya 300.000 zuwa 450.000 masu fama da cutar tabin hankali a cikin Netherlands?

Amsa 2.
A cikin Netherlands, fiye da mutane miliyan 1,2 suna amfani da lafiyar tabin hankali kowace shekara. Ba ni da wani haske ko adadi game da yiwuwar cututtukan hauka masu jurewa magani. Akwai, duk da haka, bayanan da ake samu akan adadin mutanen da za a iya rarraba su a matsayin marasa lafiya masu fama da tabin hankali (EPA). Adadin majinyatan EPA da ke fuskantar jiyya a ƙarƙashin Dokar Inshorar Lafiya kusan 215.000 ne. Wadannan marasa lafiya sau da yawa suna da ciwon hauka na tsawon lokaci mai tsawo, sakamakon abin da suke fuskanta na dogon lokaci kuma suna da bukatun kulawa da yawa. Wannan rukuni na marasa lafiya na iya haɗawa da adadin da ke da wuya a bi da su tare da hanyoyin kwantar da hankali.

Tambaya 3.
Shin kun yarda cewa ana buƙatar bincike kan ingantattun hanyoyin kwantar da hankali don taimakawa wannan rukunin da aka yi niyya? Idan ba haka ba, me zai hana? Idan haka ne, ta yaya kuke shirin ci gaba da wannan bincike?

Amsa 3.
Eh na yarda. Binciken kimiyya game da sababbin hanyoyin shiga da kuma amfani da su don kula da lafiyar kwakwalwa yana da matukar muhimmanci. Tabbatar da ingantaccen kulawa kawai zai iya zama wani ɓangare na
asali kunshin. Shaidar ta dogara ne akan wallafe-wallafen kimiyya waɗanda ke ƙarƙashin bayanin kulawa a cikin ƙimar inganci. Domin yin bincike mai kyau da tsari da aiwatar da ilimin da aka samu, ina da
An ba da Yuro miliyan 2026 har zuwa 35 don Shirin Binciken Kiwon Lafiyar Hankali wanda ke gudana ta ZonMw. Shirin Binciken Kiwon Lafiyar Hankali ya yi daidai da Yarjejeniyar Gudanar da Kiwon Lafiyar Hankali 2019-2022 kuma tare da babban ɓangaren batutuwa daga
tsare-tsaren bincike da bangarorin kula da lafiyar kwakwalwa suka gabatar. A cikin shekaru masu zuwa, saboda haka za ta mayar da hankali kan binciken da aka yi amfani da shi na asibiti da kuma al'amurran da suka shafi aiki. Bugu da ƙari, ana ƙarfafa karatun darussan da yawa.

Tambaya 4.
Shin kun yarda cewa akwai sakamako masu ban sha'awa a cikin amfani da ilimin likitanci kamar psilocybin, MDMA da ketamine? Idan ba haka ba, me zai hana? Idan haka ne, wadanne matakai kuke son ɗauka ko kuma kun riga kuka ɗauka don bin diddigin waɗannan sakamakon?

Amsa 4.
Ina sane da cewa binciken da yawa kan amfani da ilimin likitanci na likitanci yana nuna sakamako mai kyau, kamar bincike akan MDMA a cikin rikice-rikicen damuwa na baya-bayan nan (PTSD). Yawancin waɗannan albarkatun
har yanzu suna cikin lokacin bincike. Yin la'akari da sakamakon binciken ba nawa bane.

Karin matakai na bin diddigin wadannan sakamakon bincike ya rataya a wuyan bangarorin da ke wannan fanni. Wannan ya shafi, a tsakanin sauran abubuwa, gudanar da binciken da ya dace, ta hanyar yin rajista don samun amincewa da miyagun ƙwayoyi, da kuma
zana jagorori da ka'idoji don aikace-aikacen jiyya. Za a kafa Hukumar Jiha don bincikar matsayin XTC (MDMA) dangane da lafiyar jama'a da kuma ba da shawara kan fa'ida da rashin amfani.
amfani da magani, gami da nazarin fannoni daban-daban na haɗarin kiwon lafiya, rigakafi da mahallin Turai da ƙa'idodi masu dacewa. A cikin kwata na biyu na wannan shekara zan sanar da gidan ku game da shi
ci gaban kafa Hukumar Jiha.

Tambaya 5.
Shin kuna iya nuna yadda Netherlands za ta iya bin misalin haɓakar amincewa ta FDA ta Amurka (matsayin jiyya na nasara) na masu tabin hankali don juriya da baƙin ciki, suicidality da post-traumatic
Rashin damuwa (PTSD)? Wadanne ƙullun ne Netherlands ta haɗu da kuma waɗanne matakai ake buƙata don shawo kan waɗannan matsalolin?

Amsa 5.
Za a iya ba da damar jiyya masu alƙawarin ci gaba tare da Hukumar Abinci da Magunguna ta Amurka (FDA), tare da FDA tana ba da taimako da shawarwari don haɓaka irin waɗannan samfuran (kamar yadda ya faru da psilocybin a cikin babban bakin ciki da MDMA a cikin PTSD). A cikin EU da Netherlands, jam'iyyun na iya neman shawarar kimiyya da tsari a farkon matakin daga Hukumar Kula da Magunguna ta Turai (EMA) ko Hukumar Kula da Magunguna (MEB) game da matakan da ake buƙata don samun izinin tallan don samfur kuma game da yiwuwar. hanzarin tsari daga ci gaba zuwa magani.

Gilashin kwalabe a cikin tsarin ci gaba na iya zama a cikin iyakacin damar kuɗi don gudanar da irin wannan binciken na asibiti kuma a cikin ci gaba da ci gaba a cikin cikakken samfurin (wanda aka yi rajista) ga majiyyaci. Wannan kuma yana taka rawa
waɗannan masu ilimin hauka su kansu galibi ba su da haƙƙin mallaka kuma a wannan ma'anar ba su dace da daidaitaccen tsarin haɓakawa da tsarin kuɗin shiga ba. Yiwuwar babban farashi na maganin warkewa tare da waɗannan wakilai (saboda jimlar adadin sa'o'i
masu ilimin hanyoyin kwantar da hankali suna yin yayin zaman jiyya) kuma na iya zama ƙulli don haɗawa a cikin ainihin kunshin. Dangane da samar da magani ga majiyyata, kima na biyan kuɗin da masu inshorar lafiya ke yi shima yana da mahimmanci. Ƙungiyoyi za su iya tattauna wannan tare da, misali, Zorginstituut ko masu inshorar lafiya.

Ana kafa dandamali mai araha da ɗorewa na gaba (www.FAST.nl) a cikin Netherlands a matsayin cibiyar ƙwararrun da za ta iya ba da taimako wajen haɓaka jiyya na gaba. Bugu da kari, FAST yana taimakawa wajen daidaita hannun jarin jama'a a wannan yanki. Tare da kafuwar FAST, an ba da muhimmiyar sha'awa a cikin Netherlands
don gano kurakuran da samar da mafita. A cikin Netherlands, waɗannan masu ilimin hauka, ban da ketamine, suna cikin lissafin Dokar Opium. A cikin Netherlands, gaskiyar cewa waɗannan abubuwa sun fada ƙarƙashin
Sabanin sauran ƙasashe, Dokar Opium ba ta da cikas ga bincike. Dole ne a nemi keɓancewa don bincike.

Tambaya 6.
Shin kun san gaskiyar cewa ba tare da kulawa ta tsakiya kan aiwatarwa da bincike kan amfani da ilimin likitanci ba, haɗari suna tasowa, kamar gwaji mai zaman kansa ta marasa lafiya ko cin kasuwa a cikinsa.
sha'awar haƙuri ba ita ce babba ba? Idan ba haka ba, me zai hana? Idan haka ne, wadanne matakai kuke ɗauka don guje wa waɗannan haɗari?

Amsa 6.
Ee, na ga waɗannan haɗarin kuma. Shi ya sa yana da kyau jam'iyyu a fagen, daga fannin bincike da kuma, alal misali, cibiyoyin kula da lafiyar kwakwalwa, yanzu sun dauki matakin yin hadin gwiwa. Kamar yadda su da kansu suka bayyana a cikin ma'anar 'Yin amfani da ilimin likitanci', za su iya haɓaka tsarin wannan sabon nau'i na jiyya, tare da wasu abubuwa ta hanyar ingantattun jagorori, ƙa'idodi da ka'idoji. Bugu da ƙari, abokan hulɗar haɗin gwiwa na iya yin yarjejeniya ta tsakiya game da horar da masu kwantar da hankali. Ta hanyar haɓaka tsarin a hankali tare da ido don samuwa,
iyawa da ingancin magani, kuma yayin lura da ingancin, ana kiyaye muradun wannan rukunin masu rauni gwargwadon iko.

Bugu da ƙari, yana da mahimmanci cewa haɗarin gwaji mai zaman kansa ta marasa lafiya yana fuskantar ta hanyar bayanai. Ana iya samun bayanai da yawa game da haɗarin yin amfani da MDMA da masu tabin hankali, alal misali
akan gidan yanar gizon ko ta layin bayanai na drugsinfo.nl.

Tambaya 7.
Shin za ku iya nuna matakan da kuke shirin ɗauka ko kuka riga kuka ɗauka don tabbatar da jagora ta tsakiya kan aiwatarwa da bincike kan amfani da ilimin tabin hankali?

Amsa 7.
Na yi la'akari da mahimmanci cewa bincike game da amfani da ilimin likitanci da kuma aiwatarwa ana yin shi a cikin hankali sosai, tare da manufar haɓaka sababbin ra'ayoyi don wannan rukunin masu rauni na EPA marasa lafiya.
samar da magunguna masu inganci, masu dacewa da araha. Babban jagora akan bincike da aiwatarwa shine har zuwa ga ƙwararrun likitocin su tsara. Bugu da kari, ZonMw yana gudanar da bincike da dama (duba amsar tambaya ta 8). A shirye nake in taka rawar gudanarwa da nasiha a wannan fanni. Ma'aikatar ta ta riga ta gudanar da tattaunawa ta bincike tare da masu bincike da kungiyoyin kula da lafiyar hankali kan wannan.

Tambaya 8.
Shin za ku iya ba da bayyani na nazari game da amfani da ilimin likitanci irin su psilocybin, MDMA da ketamine waɗanda ake gudanarwa tare da (tare da taimakon) tallafin gwamnati? Kuna iya nuna yadda kuke ci gaba kuma
aiwatar da waɗannan karatun?

Amsa 8.
Zan iya ba ku rahoto game da waɗannan binciken da ake gudanarwa a ZonMw (ƙungiyar Yaren mutanen Holland don binciken kiwon lafiya da haɓakar kulawa):

  • Shirin Kulawa na Alkawari a halin yanzu yana gudanar da bincike a cikin esketamine: (farashin) tasiri na esketamine na baka idan aka kwatanta da magungunan electroconvulsive a cikin marasa lafiya da ke fama da ciwon ciki (gidan yanar gizon ZonMw).
  • Ana gudanar da bincike a cikin Shirin Kare Kashe don sanin ko ketamine yana da tasiri a matsayin maganin suicidality (gidan yanar gizon ZonMw).
  • Shirin Magungunan Amfani mai Kyau a halin yanzu yana gudanar da binciken binciken ketamine na baka tare da placebo a cikin marasa lafiya waɗanda ba su ci gajiyar isassun magungunan da ake samu ba.
    jiyya (ZonMw gidan yanar gizon). Ana lura da ci gaba da aiwatar da waɗannan karatun daga
    SunMrs. Bugu da kari, IGJ (da Farmatec) suna da fahimtar wane bangare ne ke gudanar da bincike wanda aka nemi kebewa.

Tambaya 9.
Yaya kuke tunani game da damar da Netherlands za ta iya amfani da ita don zama mai gaba-gaba a cikin bincike da aiwatar da amfani da ilimin likitanci a cikin kula da lafiyar hankali? Shin za ku iya nuna waɗanne shirye-shiryen kuke da shi don wannan
dauki dama?

Amsa 9.
A gare ni, yana da mahimmanci cewa waɗannan da sauran yuwuwar jiyya masu yuwuwar ana samun su cikin aminci ga rukunin da aka yi niyya. Kasar Netherlands na daya daga cikin kasashen da ke kan gaba wajen gudanar da bincike kan masu tabin hankali a cikin lafiyar kwakwalwa
kiwon lafiya. Netherlands kuma za ta iya taka rawa ta farko wajen haɓaka ƙa'idodin da suka dace, ƙayyadaddun haɗari da kuma tsara horo ga masu ilimin hanyoyin kwantar da hankali. Ina goyon bayan raba ilimin da jam’iyyun da ke fage suka samu a wadannan fagage da sauran kasashe. Netherlands na iya ƙarfafa haɗin gwiwa a wannan yanki a cikin yanayin Turai da na duniya. Netherlands kuma na iya jawo hankali don kawar da shingen yin bincike. A cikin tsarin Hukumar Kula da Magunguna ta Majalisar Dinkin Duniya (CND), na ci gaba da ba da shawarar kawar da shingen amfani da magani da bincike kan abubuwan da aka jera a cikin yarjejeniyar magunguna ta Majalisar Dinkin Duniya.

Sources (NE)

[1] Nieuwsuur, Janairu 16, 2022, 'Keta na iya zama' maganin juyin juya hali'
damuwa, amma akwai damuwa

[2] Amfanin Magungunan Hannun Hannu - OPEN Foundation

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