I-intanethi ibe yintlonelo kubantu abanokugula okungapheliyo, kubandakanywa nalabo abanezifo zesibindi sokuvuvukala (IBD) . Abantu abane-IBD banako ukuxhuma kunye nokwabelana ngamava kunjengekho ngaphambili. Kodwa ngaba kukho indlela yokuba abantu abane-IBD banakekele ezinye zezonyulo zabo zonyango ngokusebenzisa i-intanethi? I-Telemedicine iba yinto entsha ebalulekileyo kubantu abaxakekileyo ukufumana unyango lwezempilo, kodwa ngaba inendawo yokwelashwa kwe-IBD?
Izinto Ezaziyo NgoTelemedicine
- I-Telemedicine yindlela yokukhetha izigulane ezininzi.
- Akunabo bonke oogqirha ababonelela nge-telemedicine, kodwa kuya kuba ngakumbi.
- Iinkampani ze-inshurensi zinakho okanye zingabuyiselwa kwi-telemedicine.
- I-Telemedicine ayiyi kufaneleka kuzo zonke izidingo zonyango (njengokuba kufuneka ukuhlolwa komzimba).
Yintoni i-Telemedicine?
I-Telemedicine, ukubeka ngokubanzi, indlela yokufumana unyango lwezempilo usebenzisa i-telecommunications. Oku kungabandakanya ifowuni, iifowuni zeefowuni, iitekisi, i-imeyile, okanye ezinye iindlela zokudibanisa, njengezigulane zesigulane okanye iindaba zoluntu.
I-Telemedicine inembali emide, kunye neengcali zonyango zisebenzisa iifowuni ukuthetha ngazo kunye nezigulane ixesha elide ngaphambi kwe-intanethi. Kwiminyaka yakutshanje, nangona kunjalo, inkqubo ifikeleleke ngakumbi, njengoko oogqirha bathabatha ingcamango epheleleyo kwaye iinkampani ze-inshorensi zijonge ukunciphisa iindleko ngokusebenzisa ukusetyenziswa kwe-telemedicine.
Bonke abaculi be-telemedicine baya kuba neendlela zabo zokusebenza ezixhomekeke kwiimeko ezininzi ezahlukeneyo.
Udokotela obona izigulane kwiofisi unokufumana ishedyuli ye-telemedicine ukuvumela ukuguquguquka. Ezinye iingcali zisebenza kuphela kwi-Intanethi. Ezinye iikliniki ze-telemedicine zingasebenzisa iinkampani zomshuwalense, kodwa abanye banokuba nelungiselelo lokuqhubela i-concierge apho isigulane sihlawula ngokuthe ngqo kwiinkonzo.
Nangona kunjalo umnikezeli we-telemedicine ukhetha ukusebenza, kuya kuba nezikhokelo zokusetyenziswa kwenethiwekhi.
Abasebenzi bangafaka imida kwinani lokutyelela nge-telemedicine ngokumalunga nokutyelela abantu, bangabonisa kuphela iiklasi ezithile zemithi, okanye banokubonelela kuphela unyango kwiimeko ezithile ezithile ngexesha lokutyelela nge-telemedicine.
Ngaba i-Telemedicine ingaba luncedo kwizigulane ze-IBD?
Isifo sikaCrohn kunye ne-ulcerative colitis ziyinkimbinkimbi kwaye kaninzi kunzima ukunyanga. Ziye zivame ukuba zizifo ezibizayo, ngeendleko ezinokubandakanya imishanguzo, ukuhlinzwa, kunye nezibhedlele. Ixesha elifunekayo zombini izigulane kunye neengcali ukuba zijongane nazo zonke izithuba ezifunekayo zokulawula i-IBD zikhulu. I-Telemedicine ingasetyenziselwa ukuzalisa xa ixesha kunye nomgama ziingxaki ezikhusela ukufikelela okufanelekileyo ukunyamekela.
Inye indawo apho i-telemedicine inekhono lokunyusa ukufikelela kwiinkonzo zempilo kwiindawo zasemaphandleni. Abantu abahlala kwimimitha emide ukusuka kwi- gastroenterologist , bangazibali iziko le-IBD, banokufikelela kwi-IBD ngongcali kwi-telemedicine. Abantu abane-IBD abahlala kwezinye iindawo ezikude ngamanye amaxesha baphathwa ngugqirha wengingqi ongeyena ugqirha wokugaya ukutya, okusoloko kusemgangathweni. Isilungiselelo se-telemedicine singenza i-gastroenterologist kwiqela lokunyamekela kwaye inika ulwazi oluninzi olufunekayo.
Ngaba kukho na ubungqina obuxhasa i-Telemedicine kwi-IBD?
Elinye ilingo elincinci elabandakanya izigulane ezinezilonda zesilonda zifuna ukufumana ukuba i-telemedicine iphucule iziphumo zezifo ngaphezu konyaka. Kubonakala ukuba umsebenzi wesifo kunye nomgangatho wobomi uphucule kwisigcawu esithile sezigulane, kodwa ubunzima bezobuchwepheshe ngeenkqubo ze-telemedicine bangela ukuba izigulana zilahle ukuphuma kwetyala. Abaphandi baphetha ukuba kukho ukusetyenziswa kwe-telemedicine kwizigulane ezine-IBD.
Enye inkalo ye-telemedicine yikhono lokunceda izigulane ngesifo sabo. I-IBD iyinkimbinkimbi kwaye izigulane ezininzi zijongene nokukhawuleza kokufunda ukuxilongwa, ngexesha lotshintsho lwonyango, okanye emva kokuba kubekho ingxaki.
Olunye uphando oluncinci lubonise ukuba izigulane ezithatha inxaxheba kwinkqubo ye-web-based based increase their adherence to plan treatment , ulwazi lwabo lwe-IBD, kwaye banokutyelela okumbalwa ukuba babone umboneleli wezempilo. Kodwa ke, benza iifowuni kwaye bathumela ii-imeyile ezininzi kwiingcali kunezigulane ezingekho kwinkqubo yewebhu.
Ulingo olufanayo, olubandakanya izigulana ezingama-95 ezinomzimba olusisigxina ukuya kwi-ulcerative colitis, lubonise ukuba izigulane zisebenzisa inkqubo ejoliswe kwiwebhu zikwazi ukulawula iirimimen zazo zezilwanyana kwaye, kwezinye iimeko, zakwazi ukunciphisa inani lemithi abayithathileyo.
IBD kunye Nokunyamezela iMonde
Izigulane ze-IBD ziyaziwa ngokunyanzela kwabo kwizigulana. Kukho izizathu ezininzi zezi zinto, ezifana nokukhathazeka ngenxa yemiphumo emibi. Kodwa kunokwenzeka ukuba i-telemedicine inokunceda izigulane zithathe unyango ngendlela echazwe ngayo.
Ucwaningo oluninzi luye lwabonisa ukuba inkqubo ebandakanya ukuhlanganiswa kwe-telemedicine kunye nenkqubo yemfundo esekelwe kwiwebhu inceda izigulane-yandisa amandla abo okulandela imirhumo yeyeza kunye nokuqonda kangcono i-IBD. Ukuqonda iingenelo zamachiza, ukufumana ezinye iziqinisekiso malunga neziphumo ezichaphazelekayo, kunye nokufikelela kwiinkonzo zonyango kunokuba luncedo kwizigulane ze-IBD. Ubuncinane isifundo esinye sithatha i-telemedicine ukuba yindlela ekhuselekileyo yokuhambisa unyango kubantu abane-IBD.
Ngaba zikhona izithintelo kwi-Telemedicine?
Ubume bezokwelapha buyekezela ukutshintsha: imodeli yezigulane eziza eofisini kuba kukho iinkxalabo eziqhelekileyo kusekho iindlela ezisebenza ngayo. Ukumisela inkqubo ye-telemedicine kufuna imali, ixesha kunye nomonde. Abanye oogqirha banokugqithiswa ngeemfuno zezenzo zabo kunye nokongeza i-telemedicine akunakuphakama kwiluhlu lokuphucula.
Izigulane nazo, ziza kufuneka ziqalise inkqubo entsha, kwaye ezinye zezilingo zibonise ukuba iingxaki zobuchwepheshe zingabangela ubunzima obukhulu.
Kukho umbandela wokuhlawula-kukho ukukhathazeka ngokukwazi ukubuyisela iindleko kwi-telemedicine. Ngokomzekelo, i-Medicare ivumela kuphela oogqirha ukuba batyhuse iinkonzo ze-telemedicine ezinikezelwe kwiimeko ezithile. Kwimeko yeMedicaid, i-billing ye-telemedicine iya kuhluka ngobuso.
ILizwi
I-IBD isifo esibangela ukuba uninzi lwezandla kunye nomsebenzi weqela lezempilo. Kodwa, kubonakala sengathi i-telemedicine inokuthatha inxaxheba kwiplani yesondlo jikelele.
Abantu abahlala kwimimandla yasemaphandleni okanye abo bakude kwi-IBD ingcali banokufumana ngokukhethekileyo inkqubo ye-telemedicine. I-Telemedicine ayiyi kuba yimpendulo kuzo zonke iziganeko okanye kuzo zonke izigulane-ngokuqinisekileyo kukho imeko apho kuqeshwe khona umntu, ngokukodwa xa kukho i- flare-up okanye ingxaki.
Nangona kunjalo, iintswelo zeentsuku zegulane ezine-IBD zinokuhanjiswa nge-telemedicine. Ubugqirha becinga ukuba bangene kwi-telemedicine ubudlelwane kufuneka bathethe nodokotela wabo kwaye bafumane ukuba zeziphi iinkqubo ezinokufumaneka kunye nokukhangela inkampani yabo yenkampani yomshuwalense ukuba bafumane ukuba bathatha inxaxheba kwiinkqubo ze-telemedicine.
> Imithombo:
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> Elkjaer M, Burisch J, Avnstrom S, et al. Ukuphuhliswa kwengqondo esekelwe kwiWeb kwizigulane ezinezilonda zesilonda kunye ne-5-aminosalicylic acid. Eur J Gastroenterol Hepatol . 2010; 22: 695-704.
> de Jong MJ, van der Meulen-de Jong AE, eRomberg-Camps MJ, et al. I-Telemedicine ekulawuleni izifo zesibindi (i-myIBDcoach): i-pragmatic, multiticentre, ityala elilawulwa ngokungahleliwe. "I- Lancet . Ipapashwe nge-intanethi ngo-14 Julayi 2017.
> Pedersen N, Thielsen P, Martinsen L, et al. "I-Health: ukuphathwa komntu we-mesalazine unyango ngokusebenzisa isisombululo esiphethwe yi-web-based-in-moderate ulcerative colitis." I-Inflamm Bowel Dis . 2014; 20: 2276-2285.