{"id":320,"date":"2011-02-11T01:14:11","date_gmt":"2011-02-11T01:14:11","guid":{"rendered":"http:\/\/harpa.blogg.is\/2011-02-11\/steindor-og-vilhjalmur-um-ororku-og-gedlyf-athugasemd\/"},"modified":"2011-02-11T01:14:11","modified_gmt":"2011-02-11T01:14:11","slug":"steindor-og-vilhjalmur-um-ororku-og-gedlyf-athugasemd","status":"publish","type":"post","link":"https:\/\/harpahreins.com\/blogg\/2011\/02\/11\/steindor-og-vilhjalmur-um-ororku-og-gedlyf-athugasemd\/","title":{"rendered":"Steind\u00f3r og Vilhj\u00e1lmur um \u00f6rorku og ge\u00f0lyf: Athugasemd"},"content":{"rendered":"

N\u00fana er vo\u00f0a miki\u00f0 \u00ed t\u00edsku a\u00f0 vit fyrir \u00f6\u00f0rum og segja \u00f6\u00f0rum hva\u00f0 \u00feeir eigi a\u00f0 gera og hvernig \u00feeir eigi a\u00f0 hugsa. Angi af \u00feessu eru fas\u00edskir tilbur\u00f0ir til a\u00f0 stj\u00f3rna kl\u00e6\u00f0abur\u00f0i kvenna (a\u00f0allega) \u00e1 \u00fdmsum aldri. Annar angi er stanslaus \u00e1r\u00f3\u00f0ur velmeinandi f\u00f3lks gegn ge\u00f0lyfjum og tj\u00e1ning ge\u00f0vondra um \u00f6ryrkja, au\u00f0vita\u00f0 ekki hva\u00f0 s\u00edst horn \u00ed s\u00ed\u00f0u ge\u00f0sj\u00fakra \u00f6ryrkja. \u00dea\u00f0 v\u00e6ri \u00ed rauninni ofsalega huggulegt ef \u00feetta f\u00f3lk, sem alltaf hefur vit \u00e1 hva\u00f0 a\u00f0rir eiga a\u00f0 gera, hvernig \u00feeir eiga a\u00f0 haga s\u00e9r og hvernig \u00feeir eiga a\u00f0 hugsa, myndi kannski eil\u00edti\u00f0 sn\u00faa s\u00e9r a\u00f0 sj\u00e1lfu s\u00e9r og uppeldi \u00e1 s\u00e9r.<\/font><\/p>\n

\u00cd h\u00f3pi velmeinandi manna eru \u00feeir Steind\u00f3r J. Erlingsson og Vilhj\u00e1lmur Ari Arason. \u00deeir tj\u00e1 sig b\u00e1\u00f0ir um \u00f6rorku og ge\u00f0lyf \u00ed dag en vir\u00f0ast ekki hafa kynnt s\u00e9r \u00feau m\u00e1l s\u00e9rlega vel heldur gr\u00edpa \u00e1 lofti klisju h\u00e9r og klisju \u00fear og draga af \u00feeim \u00fe\u00e1 \u00e1lyktun a\u00f0 ge\u00f0lyf s\u00e9u til l\u00edtils gagns og \u00f6rorku af v\u00f6ldum ge\u00f0sj\u00fakd\u00f3ma s\u00e9 betra a\u00f0 leysa \u00e1 annan m\u00e1ta, e\u00f0a eins og Vilhj\u00e1lmur Ari <\/a>or\u00f0ar \u00fea\u00f0: “Skynsamlegast er a\u00f0 verkal\u00fd\u00f0sf\u00e9l\u00f6gin og starfsmannasamb\u00f6ndin komi \u00feessu f\u00f3lki [hann reiknar me\u00f0 a\u00f0 \u00feunglyndi og kv\u00ed\u00f0araskanir stafi a\u00f0 hluta til af atvinnuleysi] strax til hj\u00e1lpar me\u00f0 bo\u00f0i um starfsendurh\u00e6fingu og mati sem byggist \u00e1 fj\u00f6l\u00fe\u00e1ttaendurh\u00e6fingu, s\u00e1lfr\u00e6\u00f0ihj\u00e1lp, f\u00e9lagsr\u00e1\u00f0gj\u00f6f og sj\u00fakra\u00fej\u00e1lfun. Ef myndarlega er sta\u00f0i\u00f0 a\u00f0 \u00feessu verkefni m\u00e6tti komast hj\u00e1 \u00f6rorku vegna kv\u00ed\u00f0a og \u00feunglyndis \u00ed m\u00f6rgum tilfellum og sem vir\u00f0ast svo allt of algengar sj\u00fakd\u00f3msgreiningar \u00ed dag<\/strong>.” (Feitletrun er m\u00edn. \u00dea\u00f0 er d\u00e1l\u00edti\u00f0 \u00f3tr\u00falegt a\u00f0 sj\u00e1 starfandi heimilisl\u00e6kni l\u00e1ta \u00feetta \u00fat \u00far s\u00e9r \u00e1 prenti, \u00e9g vi\u00f0urkenni \u00fea\u00f0.)<\/font><\/p>\n

Steind\u00f3r fer v\u00e6gar \u00ed sakirnar<\/a>, notf\u00e6rir s\u00e9r vi\u00f0tengingarh\u00e1tt og “hvort” og “m\u00f6gulega” til a\u00f0 koma s\u00ednum \u00e1r\u00f3\u00f0ri \u00e1 framf\u00e6ri: “\u00deegar \u00feessi ni\u00f0ursta\u00f0a er h\u00f6f\u00f0 \u00ed huga er e\u00f0lilegt a\u00f0 spyrja hvort a\u00f0 langvarandi neysla ge\u00f0lyfja geti m\u00f6gulega auki\u00f0 vanda \u00feeirra sem klj\u00e1st vi\u00f0 ge\u00f0raskanir<\/strong>. Bandar\u00edski ranns\u00f3knabla\u00f0ama\u00f0urinn Robert Whitaker svarar \u00feessari spurningu j\u00e1tandi \u00ed b\u00f3kinni Anatomy of an Epidemic sem \u00fat kom \u00e1 s\u00ed\u00f0asta \u00e1ri. \u00dea\u00f0 er ekki a\u00f0 \u00e1st\u00e6\u00f0ulausu \u00fev\u00ed \u00e1 undanf\u00f6rnum tuttugu \u00e1rum hefur \u00f6rorka vegna ge\u00f0raskana \u00ferefaldast \u00ed Bandar\u00edkjunum \u00e1 sama t\u00edma og \u00e1v\u00edsun ge\u00f0lyfja hefur aukist gr\u00ed\u00f0arlega. B\u00f3k Whitakers, sem er vel r\u00f6kstudd, hefur komi\u00f0 af sta\u00f0 h\u00f6r\u00f0um deilum \u00ed Bandar\u00edkjunum enda finnst m\u00f6rgum ge\u00f0l\u00e6knum hann vega a\u00f0 starfshei\u00f0ri \u00feeirra.” [Feitletrun er m\u00edn. \u00cd rauninni er stutti pistillinn hans Steind\u00f3rs fyrst og fremst purkunarlaus augl\u00fdsing fyrir fyrirlestur \u00feessa amr\u00edska h\u00f6fundar.]<\/font><\/p>\n

B\u00e1\u00f0ir \u00feeir velmeinandi vitna \u00ed heimildir m\u00e1li s\u00ednu til stu\u00f0nings en sleppa \u00fev\u00ed a\u00f0 geta m\u00f6gulegra sk\u00fdringa sem \u00fdmist eru lista\u00f0ar e\u00f0a ekki lista\u00f0ar \u00ed \u00feessum heimildum. Mig langar a\u00f0 benda \u00e1 nokkrar – margar \u00far einmitt s\u00f6mu greinum og \u00feeir Vilhj\u00e1lmur og Stein\u00fe\u00f3r vitna \u00ed.<\/font><\/p>\n

Sigur\u00f0ur Thorlacius\u00a0 (fyrrum yfirl\u00e6knir TR) og Sigurj\u00f3n B. Stef\u00e1nsson skrifa grein sem heitir “Algengi \u00f6rorku \u00e1 \u00cdslandi 1. desember 2002<\/a>” \u00ed L\u00e6knabla\u00f0i\u00f0<\/i> 1. tbl. 90. \u00e1rg. 2004\u00a0 \u00dear kemur fram a\u00f0: “Ef horft er til fyrstu sj\u00fakd\u00f3msgreiningar \u00e1 \u00f6rorkumati sem meginforsendu \u00f6rorku, \u00fe\u00e1 eru algengustu forsendur \u00f6rorku \u00e1 \u00cdslandi \u00ed desember 2002 ge\u00f0raskanir og sto\u00f0kerfisraskanir. Ni\u00f0urst\u00f6\u00f0ur fr\u00e1 Noregi, Sv\u00ed\u00fej\u00f3\u00f0 og St\u00f3ra-Bretlandi eru samb\u00e6rilegar<\/strong> (21, 22, 26). \u00c1 \u00cdslandi hefur algengi \u00f6rorku vegna ge\u00f0raskana aukist verulega hj\u00e1 b\u00e1\u00f0um kynjum fr\u00e1 \u00fev\u00ed \u00e1ri\u00f0 1996 og ge\u00f0raskanir eru algengasta ors\u00f6k \u00f6rorku. \u00dev\u00ed v\u00e6ri vert a\u00f0 sko\u00f0a \u00f6rorku vegna ge\u00f0raskana n\u00e1nar.” \u00deetta rekja \u00feeir a\u00f0 hluta til hins fr\u00e6ga \u00f6rorkumatssta\u00f0als sem TR t\u00f3k upp 1999 og\u00a0 gefa \u00ed skyn sem\u00a0 helst r\u00e1\u00f0 gegn fj\u00f6lgun \u00f6ryrkja a\u00f0 tr\u00faa ekki vottor\u00f0um annarra l\u00e6kna heldur einungis l\u00e6kna TR (v\u00edsa \u00ed samanbur\u00f0 vi\u00f0 Bretland og segja: “\u00dear hefur mun st\u00e6rri hluti ums\u00e6kjanda veri\u00f0 bo\u00f0a\u00f0ur \u00ed vi\u00f0tal og sko\u00f0un hj\u00e1 l\u00e6kni \u00e1 vegum tryggingastofnunarinnar heldur en h\u00e9r, \u00feannig a\u00f0 matsferli\u00f0 hefur \u00fear veri\u00f0 hlutl\u00e6gara. Fr\u00e1 og me\u00f0 mars 2003 hefur hins vegar veri\u00f0 mun algengara en \u00e1\u00f0ur h\u00e9r \u00e1 \u00cdslandi a\u00f0 ums\u00e6kjendur um \u00f6rorkub\u00e6tur s\u00e9u bo\u00f0a\u00f0ir \u00ed vi\u00f0tal og sko\u00f0un hj\u00e1 l\u00e6kni. Forvitnilegt ver\u00f0ur a\u00f0 sj\u00e1 hvort \u00fea\u00f0 kemur til me\u00f0 a\u00f0 hafa \u00e1hrif \u00e1 t\u00ed\u00f0ni \u00f6rorku h\u00e9r.”)<\/font> [Feitletrun er m\u00edn.]<\/p>\n

Aftur \u00e1 m\u00f3ti kemur sk\u00fdrt fram \u00ed grein s\u00f6mu h\u00f6funda sem \u00feeir skrifu\u00f0u \u00ed Ge\u00f0vernd<\/i> \u00e1ri\u00f0 eftir (sj\u00e1 Lyndisraskanir og \u00f6rorka.<\/a> Ge\u00f0vernd<\/i> 2005, 34(1):41-2) a\u00f0 Tryggingastofnun flokkar \u00feroskaheftingu me\u00f0 ge\u00f0r\u00f6skunum<\/b>. \u00deeir telja upp algengi \u00f6rorku vegna mism. ge\u00f0raskana, \u00ed pr\u00f3sentum af fj\u00f6lda \u00cdslendinga (d\u00e1l\u00edti\u00f0 skr\u00edtin framsetning finnst m\u00e9r) og st\u00e6rstu flokkarnir eru:<\/font><\/p>\n