I-intanethi ibe yindoda yabantu abanezifo ezingapheli, kuhlanganise nalabo abanesifo sofuba (IBD) esivuvukalayo . Abantu abane-IBD bayakwazi ukuxhuma nokuhlanganyela okuhlangenwe nakho okungazange kube khona ngaphambili. Kodwa ingabe kukhona indlela yokuthi abantu abane-IBD banakekele amanye ama-aphoyintimenti amaningi abadokotela abasebenzisa i-Intanethi? I-Telemedicine iba yithuluzi elisha elibalulekile labantu abamatasa ukuthola usizo lwezempilo, kodwa ingabe kunendawo yokwelashwa kwe-IBD?
Izinto Ozokwazi Ngo-Telemedicine
- I-Telemedicine iyindlela yokukhetha iziguli eziningi.
- Akuwona wonke odokotela abahlinzeka nge-telemedicine, kodwa uyaqhubeka ekhona.
- Izinkampani zomshuwalense kungenzeka noma zingabuyiselwa imali ye-telemedicine.
- I-Telemedicine ngeke ihambisane nazo zonke izidingo zezokwelapha (njengokungathi uma kudingeka ukuhlola ngokomzimba).
Kuyini i-Telemedicine?
I-Telemedicine ibeka ngokubanzi, indlela yokuthola ukunakekelwa kwempilo ngokusebenzisa ukuxhumana kwezokuxhumana. Lokhu kungafaka ucingo, izingcingo zevidiyo, amathekisthi, i-imeyili, noma ezinye izindlela zokuxhuma, njengezigcawu zesiguli noma imithombo yezokuxhumana.
I-Telemedicine inomlando omude, abanakekeli bezempilo basebenzisa ifoni ukuxhumana nabo kanye neziguli isikhathi eside ngaphambi kwe-intanethi. Eminyakeni yamuva, lolu hlelo selufinyeleleke nakakhulu, njengoba odokotela bethatha lo mbono ngokugcwele futhi izinkampani zomshuwalense zibheke ukunciphisa izindleko ngokusebenzisa ukusetshenziswa kwe-telemedicine.
Bonke abasebenza nge-telemedicine bazoba nendlela yabo yokusebenza okuxhomeke kuzo izici eziningi ezahlukene.
Udokotela obona iziguli ehhovisi angase abe nesimiso se-telemedicine ukuze avumele ukuguquguquka. Abanye odokotela basebenza kuphela kwi-intanethi. Abanye odokotela bama-telemedicine bangase basebenze nezinkampani zomshuwalense, kodwa abanye bangase babe ne-concierge ilungiselelo lapho isiguli sikhokha khona ngokuqondile ngezinsizakalo.
Kodwa umhlinzeki we-telemedicine ukhetha ukusebenza, kuyoba neziqondiso zokusetshenziswa kwenethiwekhi.
Abahlinzeki bangabeka imingcele ngenani lokuvakashelwa kwe-telemedicine ngokuphathelene nokuvakashelwa komuntu, bangase babekeze amakilasi athile emithi, noma banganikeza kuphela ukwelashwa kwezimo ezithile ezithile ngesikhathi sokuvakashelwa kwe-telemedicine.
Ingabe i-Telemedicine ingaba usizo kumagciwane we-IBD?
Isifo sika-Crohn nesifo sofuba esiswini siyinkimbinkimbi futhi kungase kube nzima ukuphatha. Zibuye zivame ukugula izifo ezibizayo, ngezindleko ezingabandakanya imithi, ukuhlinza, kanye nezibhedlela. Isikhathi esidingeka yizo zombili iziguli kanye nodokotela ukubhekana nazo zonke izincomo ezidingekayo zokuphatha i-IBD inamandla kakhulu. I-Telemedicine ingasetshenziswa ukugcwalisa lapho isikhathi nebanga kuyizinkinga ezivimbela ukufinyelela okufanele ukunakekelwa.
Indawo eyodwa lapho i-telemedicine inekhono lokwandisa ukufinyelela kwezempilo kusemaphandleni. Abantu abahlala emakhilomitha amade ukusuka ku- gastroenterologist , bangabi nesikhungo se-IBD, bangase bakwazi ukufinyelela kuchwepheshe we-IBD phezu kwe-telemedicine. Abantu abane-IBD abahlala ezindaweni ezikude kakhulu ngezinye izikhathi baphathwa ngudokotela wendawo ongewona isazi sokugaya ukudla, okuyinto engeyona isimo esihle kakhulu ngaso sonke isikhathi. Ukuhlelwa kwe-telemedicine kungaletha igastroenterologist eqenjini lokunakekela futhi linikeze ubuchwepheshe obudingekayo.
Ingabe Kukhona Ubufakazi Osekela iTemmedicine ku-IBD?
Esinye isilingo esincane esasihilela iziguli ezine-ulcerative colitis safuna ukuthola ukuthi ngabe i-telemedicine yenza ngcono yini imiphumela yezifo ngaphezu konyaka. Kuvela ukuthi umsebenzi wesifo kanye nekhwalithi yokuphila yenze ngcono i-subset ethile yeziguli, kodwa ubunzima bezobuchwepheshe ngesistimu ye-telemedicine bangela ezinye iziguli ukuba zilahle ukuhlolwa. Abacwaningi baphetha ngokuthi kunezindlela zokusebenzisa i-telemedicine kwiziguli ezine-IBD.
Esinye isici se-telemedicine yikhono lokusiza ukufundisa iziguli ngesifo sabo. I-IBD iyinkimbinkimbi futhi iziguli eziningi zibhekana nekhasi lokufunda eliphakeme lapho lixilongwa, ngesikhathi sokuguqulwa kokwelashwa, noma ngemuva kokucindezeleka kwenzeka.
Olunye ucwaningo oluthile lubonise ukuthi iziguli ezazibandakanya ohlelweni olusekelwe kuwebhu zandisa ukunamathela kwabo ohlelweni lwezokwelapha , nolwazi lwabo lwe-IBD, futhi lwaba nokuvakashelwa okumbalwa ukubona umhlinzeki wezempilo. Benza, Nokho, benza izingcingo eziningi futhi bathumele ama-imeyili amaningi kubadobi kuneziguli ezingekho ohlelweni lwewebhu.
Isivivinyo esifanayo, esabandakanya iziguli ezingu-95 ezinesifo sochungechunge sesilonda esibucayi kuze kube sezingeni eliphansi, sibonise ukuthi iziguli ezisebenzisa uhlelo olususelwa kuwebhu zazikwazi kangcono ukuphatha imithi yazo yezidakamizwa futhi, kwezinye izimo, zakwazi ukunciphisa inani lemithi abayithatha.
IBD kanye nokubekezela okubekezelayo
Iziguli ze-IBD azijwayele ngokunamathela emithonjeni yokwelapha. Kunezizathu eziningi zalokhu, njengokukhathazeka ngemiphumela emibi. Kodwa kungenzeka ukuthi i-telemedicine ingasiza iziguli ngokuthatha imithi ngendlela ebekiwe.
Ucwaningo oluthile lubonise ukuthi uhlelo olufaka inhlanganisela ethile ye-telemedicine kanye nesistimu yezemfundo esekelwe kuwebhu iyasiza iziguli-yandisa ikhono labo lokulandela imithi yezokwelapha nokuqonda kangcono IBD yabo. Ukuqonda izinzuzo zemithi, ukuthola ukuqinisekiswa okunye mayelana nemiphumela emibi, futhi ukutholakala kokufinyelela kochwepheshe bezempilo kungasiza iziguli ze-IBD. Okungenani isifundo esisodwa sibheke i-telemedicine ukuba yindlela ephephile yokulethwa kwezikwelapha kubantu abane-IBD.
Ingabe Kukhona Izithiyo Zokudluliswa Kwe-Telemedicine?
Isimo esifanele emithini yezokwelapha siyashesha ukushintsha: imodeli yeziguli eziza ehhovisi ngoba ngisho nokukhathazeka okuqhubekayo kusekhona ukuthi imikhuba eminingi isebenza kanjani. Ukuhlela uhlelo lwe-telemedicine kudinga imali, isikhathi, nokubekezela. Abanye odokotela bangase base bevele benqwabelene nezidingo zemikhuba yabo futhi bangezelele i-telemedicine kungenzeka bangabi phezulu ohlwini lwezinguquko.
Iziguli nazo, kuzodingeka zamukele uhlelo olusha, futhi ezinye zezilingo zenze ukuthi izinkinga zobuchwepheshe zingabangela ubunzima obukhulu.
Kukhona futhi inkinga yokukhokha-kukhona ukukhathazeka ngokukwazi ukubuyisela izindleko ezivela ku-telemedicine. Isibonelo, i-Medicare ivumela kuphela odokotela ukuba banakekele izinsizakalo ze-telemedicine ezinikezwe ngezimo ezithile. Endabeni ye-Medicaid, ukukhokhiswa kwe-telemedicine kuzohluka ngezwe.
Izwi elivela
I-IBD yisifo esidinga izandla eziningi emsebenzini. Kodwa, kubonakala sengathi i-telemedicine ingaba nendima ohlelweni lokunakekela impilo yonke.
Abantu abahlala ezindaweni zasemaphandleni noma labo abakude kakhulu nochwepheshe we-IBD bangathola uhlelo lwe-telemedicine oluwusizo kakhulu. I-Telemedicine ngeke ibe yimpendulo kuwo wonke amacala noma kuzo zonke iziguli-zikhona izimo lapho kudingwa khona ukuqokwa komuntu, ikakhulukazi uma kukhona ukuphazamiseka noma ukuhlukumeza okuvela.
Noma kunjalo, izidingo zansuku zonke zeziguli ezine-IBD zingase zihanjiswe nge-telemedicine. Iziguli ezicabangela ukungena ebuhlotsheni be-telemedicine kufanele zikhulume nodokotela wazo futhi zithole ukuthi yiziphi izinhlelo ezingase zitholakale futhi zihlole inkampani yabo yomshuwalense ukuthola ukuthi zibandakanya kunoma yiliphi ilungiselelo le-telemedicine.
> Imithombo:
> Cross RK, Cheevers N, Rustgi A, et al. "Ukulingwa okungahleliwe, ukulawulwa kwecala lokuphathwa kwekhaya ekhaya kuziguli ezine-ulcerative colitis (UC HAT)." I-Inflamm Bowel Dis . 2012; 18: 1018-1025.
> Elkjaer M, Burisch J, Avnstrom S, et al. Ukuthuthukiswa komqondo we-web based for iziguli ezine-ulcerative colitis kanye nokwelashwa kwe-5-aminosalicylic acid. I-Eur J Gastroenterol Hepatol . 2010; 22: 695-704.
> de Jong MJ, van der Meulen-de Jong AE, eRomberg-Camps MJ, et al. I-Telemedicine yokuphathwa kwezifo zesifo sofuba (i-myIBDcoach): i-pragmatic, multicentre, isilingo esilawulwa ngokungahleliwe. "I- Lancet . Ishicilelwe ku-intanethi ngo-14 Julayi 2017.
> Pedersen N, Thielsen P, Martinsen L, et al. "iHealth: ukuhlukaniswa kwemithi ye-mesalazine ngokwezixazululo ezisekelwe e-web ekuziphatheni kwe-ulcerative." I-Inflamm Bowel Dis . 2014; 20: 2276-2285.