Ukuhamba Ngezindleko Zokwelashwa Kwe-Hepatitis C: Izinto Ezi-5 Okufanele Uzazi

-Delile

• 1. Unezinketho eziningi zokwelashwa kunanini ngaphambili
• 2. Izidakamizwa ze-Hepatitis C ziyabiza
• 3. Ungahle ungadingi ukwelashwa
• 4. Inkampani yakho yomshwalense ingathi cha
• 5. Usizo luyatholakala

I-Hepatitis C yisifo sesibindi esidalwa yigciwane le-hepatitis C (HCV). Imiphumela yayo ingahle isuke ekubeni mnene iye kokubi kakhulu. Ngaphandle kokwelashwa, i-hepatitis C engamahlalakhona ingaholela ekuqhekekeni okukhulu kwesibindi, futhi mhlawumbe nokwehluleka kwesibindi noma umdlavuza.

Cishe abantu abayizigidi ezintathu e-United States baphila ne-hepatitis C. engapheli C. Iningi labo alizizwa ligula noma lazi ukuthi bathole lesi sifo.

Eminyakeni edlule, abantu abane-hepatitis C babenezinketho ezimbili zokwelashwa: i-pegylated interferon ne-ribavirin. Lezi zindlela zokwelapha azizange ziselaphe lesi sifo kuwo wonke umuntu owazithathayo, futhi zeza nohlu olude lwemiphumela engemihle. Futhi, zazitholakala kuphela njengemijovo.

Imishanguzo emisha yokulwa namagciwane isiyatholakala kumaphilisi. Zisebenza ngokushesha, futhi zisebenza kakhulu kunezokwelapha ezindala. Le mithi yelapha ngaphezu kwabantu abayiphuzayo emavikini ayisishiyagalombili kuya kwayi-12, kube nemiphumela engemihle emincane kunemithi emidala.

Okubi kakhulu ekwelashweni okusha kwesifo sokusha kwesibindi kohlobo C beza nentengo yentengo. Funda ukuze ufunde ngezindleko eziphakeme zemithi yesifo sokusha kwesibindi kohlobo C, nokuthi uzikhokhela kanjani.

1. Unezinketho eziningi zokwelashwa kunanini ngaphambili

Izindlela zokwelashwa ezingaphezu kweshumi nambili ziyatholakala ukwelapha i-hepatitis C. Izidakamizwa ezindala ezisasetshenziswa zifaka:

• i-peginterferon alfa-2a (Pegasys)
• i-peginterferon alfa-2b (i-PEG-Intron)
• i-ribavirin (iCopegus, iRebetol, iRibasphere)

Izidakamizwa ezintsha zokulwa namagciwane zifaka:

• daclatasvir (Daklinza)
• i-elbasvir / grazoprevir (iZepatier)
• glecaprevir / pibrentasvir (Mavyret)
• ledipasvir / sofosbuvir (Harvoni)
• ombitasvir / paritaprevir / ritonavir (Technivie)
• i-ombitasvir / paritaprevir / ritonavir ne-dasabuvir (i-Viekira Pak)
• simeprevir (Olysio)
• i-sofosbuvir (Sovaldi)
• i-sofosbuvir / velpatasvir (i-Epclusa)
• i-sofosbuvir / velpatasvir / voxilaprevir (Yonkevi)

Yikuphi kwalezi zidakamizwa noma ukuhlanganiswa kwezidakamizwa okuyalelwa ngudokotela kuncike ku:

• igciwane lakho genotype
• ubukhulu bokulimala kwesibindi sakho
• yiziphi ezinye izindlela zokwelapha oke waba nazo esikhathini esedlule
• yiziphi ezinye izimo zezokwelapha onazo

2. Izidakamizwa ze-Hepatitis C ziyabiza

Imithi elwa namagciwane yesifo sokusha kwesibindi kohlobo C iyasebenza kakhulu, kepha iza ngezindleko ezinkulu. Iphilisi elilodwa nje leSovaldi libiza u- $ 1,000. Inkambo yokwelashwa egcwele yamaviki ayi-12 ngalo muthi ibiza u- $ 84,000.

Intengo yezinye izidakamizwa ze-hepatitis C nayo iphezulu:

• IHarvoni ibiza u- $ 94,500 ukwelashwa kwamaviki ayi-12
• IMavyret ibiza u- $ 39,600 ekwelapheni amasonto ayi-12
• UZepatier ubiza u- $ 54,600 ukwelashwa kwamaviki ayi-12
• I-Technivie ibiza u- $ 76,653 ukwelashwa kwamaviki ayi-12

Izidakamizwa ze-hepatitis C ziyabiza ngenxa yesidingo esikhulu sazo, nezindleko eziphezulu zokuziletha ezimakethe. Ukwenza umuthi omusha, ukuwuhlola ezivivinyweni zokwelashwa, nokuwumaketha kungenza izinkampani ezenza imithi cishe amaRandi ayizigidi ezingama-900.

Esinye isici esengeza ezindlekweni ezinkulu ukungabi bikho kohlelo lukazwelonke lokunakekelwa kwezempilo ukuze kuxoxiswane ngezindleko zemithi egameni labathengi. Kukhona nokuncintisana okuncane okuvela kwezinye izinkampani ezidayisa izidakamizwa. Ngenxa yalokhu, abenzi bezidakamizwa be-hepatitis C bangakwazi ukukhokhisa noma yini abayifunayo.

Amanani angancipha ngokuzayo njengoba izinkampani eziningi zemithi zingena emakethe yezidakamizwa i-hepatitis C. Ukwethulwa kwezinhlobo ezijwayelekile zale mithi kufanele kusize ukwehlisa izindleko.

3. Ungahle ungadingi ukwelashwa

Akuwona wonke umuntu one-hepatitis C ezodinga ukuthola lezi zindlela ezibizayo. Kubantu abanesifo sokusha kwesibindi kohlobo C, igciwane liyazisula lodwa ezinyangeni ezimbalwa ngaphandle kwesidingo semithi. Udokotela wakho uzokuqapha eduze ukuze abone ukuthi isimo sakho siyaqhubeka yini, bese ethatha isinqumo sokuthi uyakudinga yini ukwelashwa.

4. Inkampani yakho yomshwalense ingathi cha

Ezinye izinkampani zomshuwalense zizama ukulwa nezindleko eziphakeme zemithi yesifo sokusha kwesibindi kohlobo C ngokwenqaba ukutholakala kwazo. Abantu abangaphezu kwengxenye eyodwa kwezintathu banqatshelwe ukutholakala kwalezi zidakamizwa yinkampani yabo yomshuwalense, ngokusho kocwaningo lwango-2018 ku-Open Forum Infectious Diseases.Izinkampani zomshuwalense wangasese zenqabile izimangalo eziningi zale mithi - ngaphezu kwamaphesenti angama-52 - kuneMedicare noma iMedicaid.

I-Medicare neMedicaid kungenzeka ukuthi zivume ukumbozwa kwezidakamizwa ze-hepatitis C. Kodwa nge-Medicaid, kungadingeka ukuthi uhlangabezane nezimfuneko ezithile zokuthola le mithi, njenge:

• ukuthola ukudluliselwa kusuka kuchwepheshe
• ukuba nezimpawu zokuba nesibazi sesibindi
• okukhombisa ubufakazi bokuthi uyekile ukusebenzisa utshwala noma izidakamizwa ezingekho emthethweni, uma lokhu kuyinkinga

5. Usizo luyatholakala

Uma ungenawo umshuwalense wezempilo, inkampani yakho yomshuwalense iyenqaba ukukhokhela izidakamizwa zakho ze-hepatitis C, noma izindleko zakho zangaphandle ephaketheni zikhulu kakhulu ukuthi ungazikhokha, usizo luyatholakala ezinkampanini nasezinhlanganweni ezilandelayo:

• I-American Liver Foundation ibambisene neNeedyMeds ukudala iKhadi Lesaphulelo Lezidakamizwa elamukelwa emakhemisi angaphezu kwama-63,000.
• I-HealthWell Foundation inikeza usizo lwezezimali ukumboza ukukhokhelwa kwezidakamizwa, ukudonswa kwemali, nezinye izindleko.
• I-PAN Foundation isiza ukumboza izindleko zezidakamizwa ezingaphandle kwesikhwama.
• Ukubambisana kwePrescription Assistance kuxhumanisa abathengi nezinhlelo ezingabasiza bakhokhele izidakamizwa zabo.

Ezinye izinkampani ezithaka imithi nazo zinikela ngosizo lwazo lweziguli noma izinhlelo zokuxhasa ukusiza ukukhokhela izindleko zemithi yazo:

• I-AbbVie (Mavyret)
• IGileyadi (Epclusa, Harvoni, Sovaldi, Vosevi)
• I-Janssen (Olysio)
• I-Merck (Zepatier)

Amanye amahhovisi odokotela anezisebenzi ezizinikele ezitholakalayo ukusiza iziguli ukukhokhela izindleko zazo zemithi. Uma unenkinga yokukhokhela izidakamizwa zakho ze-hepatitis C, cela iseluleko kudokotela wakho.