Ukuphila ngegciwane lesandulela ngculaza (HCV) kudinga ukulungiswa kwendlela yokuphila. Izindlela ezintsha zokwelashwa ziye zazenza ukuthi zikwazi ukugwema izinkinga eziningi ze-HCV, kodwa usadinga ukugwema ukudla kanye nemithi ethile, futhi kungadingeka ukuthi ubhekane nomthelela womzwelo, wezenhlalakahle kanye nezomnotho wesifo.
Uzwela
I-HCV imiphumela emithwalweni ngokomzwelo nangokwengqondo, futhi ihlotshaniswe nokucindezeleka.
Ukukhathazeka kwakho ngokutheleleka kwabanye abantu kungase kwengeze emithwalweni yakho engokomzwelo yokuphila nesifo. Kunezindlela eziningana zokubhekana nezinkinga zomzwelo ze-HCV.
- I-Social Stigma: Kukhona inhlamba yezenhlalakahle ezungeze i-HCV, kanye nokucwaswa kwabantu abane-HCV. Lokhu ikakhulukazi ngoba lesi sifo sithathelwana, futhi ngoba singatholakala ngokusebenzisa ukusetshenziswa kwezidakamizwa kanye nobulili obungavimbelwe. Kuphelele nakanjani ukuthi ufuna ukwabelana ngolwazi mayelana nokuxilongwa kwakho nabantu obaziyo, futhi abanye abantu abane-HCV bangase bazizwe bekhululekile ukwabelana ngale lwazi, kanti abanye bangase bangabi.
- Ukuvikela Abanye; Ngenkathi unelungelo lobumfihlo lobunikazi bakho, unomthwalo wemfanelo wokuvikela abanye ekuthelelekeni kwakho ngokukwazisa abalingani bocansi, nanoma ngubani ongakwazi ukuxhumana negazi lakho. Ukugcina ukwethembeka nobuqotho kule ndawo kuyindlela ebalulekile yokunakekela impendulo yakho ngokomzwelo nesimo.
- Ukucabangela kobuciko: Ucwaningo lwamuva lubonise ukuthi abantu abaphila ne-HCV babona ukuthi ukutheleleka kunomthelela endleleni yokwelapha. Ukuqonda okungcono kwalesi sifo kuthuthukisa ikhono lomuntu lokuqonda izinketho zokwelashwa nokwenza izinqumo ezinolwazi. Lokhu kusho ukuthi uma ufunda kabanzi mayelana ne-HCV, cishe kufanele ucabangele zonke izinketho zakho zokwelashwa lapho wenza isinqumo.
- Ukucindezeleka: Ukucindezeleka kuhlotshaniswe ne-HCV. Indlela engcono kakhulu yokubhekana nokucindezeleka ukuthola usizo lochwepheshe, njengoba ungathanda nganoma yisiphi esinye isifo. Ukweluleka kanye nokwelapha kwezokwelapha kungasiza ukunciphisa izimpawu zokucindezeleka isikhathi eside.
Physical
Uma une-HCV, kunezinamba zokuqapha okumelwe uthathe ezihilela ukudla, iziphuzo kanye nemithi oyisebenzisayo. Isifo sesibindi siyaphazamisa umzimba wakho, okwenza ezinye izinto okungenzeka ziphephile kuwe ngaphambi kokuba ukuhlolwa kwakho kwe-HCV kungaphephile.
Uma unayo i-HCV, kunemithi eminingi okufanele uyigweme, ngoba isetshenzwa yisibindi, noma ingaba nesifo esinobuthi esibindi. Ezinye iziqondiso lapho uthatha imithi zihlanganisa:
- Funda amalebula kuzo zonke izidakamizwa, kufaka phakathi imithi ye-counter, ukuqinisekisa ukuthi abahlanganyeli nesibindi. Uma umuthi ongeke uthathwe uma unesifo sesibindi, cela udokotela wakho noma umuthi wezokwelapha ngesinye isiphakamiso.
- Ungathathi isilinganiso esiphezulu noma ukulinganisa okuvamile kwanoma yimiphi imithi.
- Ungathathi imithi engavunyelwe ithimba lakho lodokotela.
Uma unayo i-HCV, umphumela esibindi sakho ungaphazamisa ikhono lakho lokwenza kahle izinhlobo ezithile zokudla neziphuzo.
Kubalulekile ukuqaphela lezi zinkinga nokugwema ukudla okungakwenza ugule ngenxa yesifo sesibindi.
- Utshwala: Uma une-HCV, utshwala bungaba yingozi emzimbeni wakho. Ngisho nokuphuza ngokweqile kotshwala kungabangela ukukhishwa komzimba umzimba wakho ongakwazi ukusingatha, kungabangela ukuqhubekela phambili kwesifo sesibindi, futhi kungaphazamisa izindlela zokwelapha ezisetshenziswa i-HCV.
- Ukudla okunomuthi ophezulu: Ukudla okunamafutha njengenyama, izinkukhu ezinkukhu, i-bacon, amasoseji, kanye noshizi kudinga isibindi esinempilo sokucubungula okujwayelekile. Uma une-HCV, lezi izinhlobo zokudla zingenza ugule kakhulu.
- Ukudla okusawoti: I-sodium (usawoti) kungabuye kube yingozi uma une-HCV. Lokhu kubangelwa ukuthi kungabangela ukucindezela kwegazi eliphezulu. Imithombo ejwayelekile kunazo zonke ye-sodium ephakeme yilezi zokudla, ama-sauces aphuziweyo, ama-soup mixes, i-gravy, inyama, ibhotela le-muffin.
- Ukudla Nge-Sugar Content Okuqukethwe: Uma une-HCV, kufanele ugweme ukudla okuneshukela kanye neziphuzo ezifana neziphuzo ezithambile, iziphuzo zezemidlalo, iziphuzo ezinomsoco, amakhukhi, ama-candies, ama-brownies kanye nekhekhe. Lokhu kungenxa yokuthi isibindi sakho siphinde sithinteke ekushukela ishukela, futhi ushukela ngokweqile kungaba yinkinga uma unesifo sesibindi.
Social
Ukuxhumana okunempilo nabanye abantu kungasiza ekubhekaneni nokugula. Kubalulekile ukulondoloza ubudlelwane bezenhlalo ezingahambelani nokuhlola kwakho kwe-HCV. Futhi kubantu abathile, ukufuna ukuxhumana nabanye abaye bahlala nokugula kunganikeza isiqondiso esengeziwe nokusekelwa.
- Umndeni nabangane: Ukugcina ubudlelwane nomndeni nabangane kuyindawo ebalulekile yokuphila okunempilo. Uma unesifo esithathelwanayo, ukuguqulwa kungashintsha phakathi kwakho nabanye abangase bahlulele, besabe noma banganaki. Ukwenza izinqumo mayelana nobuhlobo obuphilile kuyinselele. Ungase unqume ukuthi ufuna ukutshala ekuvuseleleni ubudlelwane nabantu obalulekayo, noma ungase unqume ukuthi ubunzima obungokomzwelo bobudlelwane obunye buyingozi kuwe.
- Umsebenzi: Abantu abaningi bathola ukuzethemba, bangakhulumi ngokudla kwezezimali, kusukela ekusebenzeni. Uma une-HCV, kungase kudingeke uthathe isikhathi esithile emsebenzini wakho noma esikoleni ngenxa yokugula nokwelashwa, kodwa abantu abaningi abane-HCV bangakwazi ukuhlala benempilo emva kokuthatha imithi elwa namagciwane. Uma ukhetha ukusebenza, ungase uqaphele, njengabantu abaningi, ukuthi izici zenhlalo uma ukubeka kwakho emsebenzini kukunikeza ukuxhumana okunempilo nabanye okukuvumela ukuba ugxile ezintweni ezingaphandle kwe-HCV yakho yokuxilongwa.
- Amaqembu asekela: Ngezimo eziningi zezokwelapha, kuhlanganise ne-HCV, amaqembu okusekela anikeza indawo lapho ongakhuluma khona ngokuxilongwa kwakho nabanye abaye bahlangabezana nakho okufanayo. Abantu abaneGCV bangakunika amathiphu nezeluleko. Njengoba ufunda ukuthi ungabhekana kanjani nokugula kwakho, ungase ukwazi ukunikeza izeluleko kwabanye. Uma ufuna ukujoyina iqembu lokusekela, ungacela isiqondiso mayelana nokuthi ungathola yini iqembu lendawo ehhovisi likadokotela wakho, noma ungathola amaqembu asekelayo ngokusebenzisa izinhlangano zikazwelonke.
Kuyawusizo
Izindleko zemithi ongayidinga yokwelashwa kwe-HCV yakho ingaba phezulu kakhulu. Izinhlelo zokusiza zingasiza kulo mthwalo, ikakhulukazi uma izindleko zingekho emshuwalense wakho wezempilo.
Ukubambisana kwama-Fair Price
I-Fair Pricing Coalition (i-FPC) inikeza izinhlelo zokusiza ngokukhokha kanye neziguli (ama-PAPs) nabakhiqizi abaningi bezidakamizwa ze-hepatitis. Lezi zinhlelo zinikeza usizo kubantu abane-HCV abahlangabezana nemigomo yokufaneleka, esekelwe engenayo yemindeni yasendlini. Indlela yokufaka ifakiwe ihlukahluka ngohlelo.
Ama-Co-pay Programs
Ama-co-pay programs asebenza ngokusiza ngokukhokhela umshwalense ngamunye, lezi zinhlelo zingatholakala kuwe ngokuya ezingeni lakho lokuthola imali. Ungabheka umshuwalense wakho wezempilo noma inkampani eyenza imithi yakho isiqondiso ngezinhlelo.
Izinhlelo ze-PAP
I-PAPS ingahle ixhaswe ngabakhiqizi bezokwelapha, futhi imithetho ethile kanye neziqu zingashintsha, Ngokuvamile, iziqu zisekelwe ezingeni lemali engenayo. Amanye ama-PAP, isibonelo, angakusiza uma imali yakho engenayo ingaphansi kuka-500% we-Federal Poverty Level (FPL). Ama-PAP asebenza ngokuhlinzeka ngemithi ephansi noma engabizi izindleko uma ufanelekile ngokusekelwe ezingeni lakho lokuthola imali. Inani le-FPL okwamanje elisetshenziselwa ukuhlolwa kokufaneleka liyatholakala kwiwebhusayithi ye-Health.gov.
I-Common PAP Isicelo, isinyathelo esilungiswa ngokusebenzisa uhulumeni wase-US ukuvuselela inqubo yesicelo. Ifomu eligcwalisiwe kuzodingeka lihanjiswe ohlelweni losizo lomuthi ngamunye wokucubungula.
Inqubo yohlelo lokusebenza
Ezinye izinhlangano zokusiza ngesineke zingakusiza ngenqubo yesicelo ukuze uthole usizo ngokukhokha kwemithi. I-Patient Access Network Foundation ne-Patient Advocate Foundation Co-Pay Relief Program yizinhlangano ezimbili ezingakusiza ngenqubo yesicelo.
> Imithombo:
> Kostić M, Kocić B, Tiodorović B. Ukuhlukunyezwa nokucwaswa kweziguli ezine-hepatiti engapheli C. Vojnosanit Pregl. Ngo-2016 Dec; 73 (12): 1116-24. i-doi: 10.2298 / VSP150511135K.
> Whiteley D, u-Whittaker A, u-Elliott L, uCunningham-Burley S. I-Hepatitis C enkathini entsha yokwelashwa: Ukubuyisela emuva ukuhlangenwe nakho okuphilayo. J Clin Nurs. 2017 Sep 27. i-doi: 10.1111 / jocn.14083. [I-Epub ngaphambi kokuphrinta]