Ukuhambahamba kwiHepatitis C kwiindleko zonyango: Izinto ezi-5 zokwazi

Umxholo

• 1. Unokhetho oluninzi kunyango kunangaphambili
• 2. Amachiza eHepatitis C anexabiso
• 3. Kusenokungabi yimfuneko ukuba ufumane unyango
• 4. Inkampani yakho yeinshurensi ingathi hayi
• 5. Uncedo luyafumaneka

IHepatitis C sisifo sesibindi esibangelwa yintsholongwane ye-hepatitis C (HCV). Iziphumo zalo zinokubakho ukusuka kubumnene ukuya kubunzulu. Ngaphandle konyango, i-hepatitis C engapheliyo inokukhokelela ekuqhekekeni kwesibindi, kwaye kusenokwenzeka ukusilela kwesibindi okanye umhlaza.

Malunga nezigidi ezi-3 zabantu e-United States baphila nesifo esinganyangekiyo i-hepatitis C. Uninzi lwabo aluziva ugula okanye azi ukuba basifumene isifo.

Kwiminyaka eyadlulayo, abantu abane-hepatitis C babeneendlela ezimbini zokonyango: i-pegylated interferon kunye ne-ribavirin. Olu nyango alukhange lusinyange isifo kuye wonke umntu obathathayo, kwaye beza noluhlu olude lweziphumo ebezingalindelekanga. Kwaye zazifumaneka njengezitofu.

Amachiza amatsha antiviral ngoku ayafumaneka kwiipilisi. Basebenza ngokukhawuleza, kwaye banempumelelo ngakumbi kunonyango oludala. La machiza anyanga ngaphezulu kunabantu abawathathayo kwiiveki nje ezi-8 ukuya kwezi-12, zineziphumo ebezingalindelekanga ezimbalwa kuneziyobisi ezindala.

Icala elisezantsi kunyango olutsha lwe-hepatitis C luza nexabiso lentengo. Funda ukuze ufunde malunga neendleko eziphezulu zeziyobisi ze-hepatitis C, kunye nendlela yokuzifihla.

1. Unokhetho oluninzi kunyango kunangaphambili

Ngaphezulu kweshumi elinambini unyango olufumanekayo ukunyanga i-hepatitis C. Amachiza amadala asasetyenziswayo aquka:

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

Amachiza amatsha antiviral abandakanya:

• idaclatasvir (iDaklinza)
• I-elbasvir / grazoprevir (iZepatier)
• glecaprevir / pibrentasvir (Mavyret)
• I-ledipasvir / sofosbuvir (iHarvoni)
• ombitasvir / paritaprevir / ritonavir (Itekhnoloji)
• ombitasvir / paritaprevir / ritonavir kunye nedasabuvir (Viekira Pak)
• simeprevir (Olysio)
• isofosbuvir (Sovaldi)
• isofosbuvir / velpatasvir (Epclusa)
• isofosbuvir / velpatasvir / voxilaprevir (Yonkevi)

Ngawaphi la machiza okanye indibaniselwano yamachiza amiselweyo ngugqirha kuxhomekeke:

• intsholongwane yakho genotype
• ubungakanani bomonakalo wesibindi sakho
• loluphi olunye unyango obukhe wanalo kwixa elidlulileyo
• ziziphi ezinye iimeko zonyango onazo

2. Amachiza eHepatitis C anexabiso

Amachiza okulwa intsholongwane ye-hepatitis C ayasebenza kakhulu, kodwa eza ngexabiso eliphezulu. Ipilisi enye kuphela ye-Sovaldi ixabisa i-1 000 leedola. Ikhosi epheleleyo yeeveki ezili-12 yonyango ngeli chiza lixabisa i $ 84,000.

Ixabiso lezinye iziyobisi ze-hepatitis C liphezulu:

• IHarvoni ixabisa i $ 94,500 kunyango lweeveki ezili-12
• I-Mavyret ixabisa i-39,600 yeedola kunyango lweeveki ezili-12
• I-Zepatier ixabisa i-54,600 yeedola kunyango lweeveki ezili-12
• I-Technivie ixabisa i-76,653 yeedola kunyango lweeveki ezili-12

Amachiza e-Hepatitis C ayabiza ngenxa yemfuno enkulu yazo, kunye neendleko eziphezulu zokuzizisa kwintengiso. Ukuphuhlisa iyeza elitsha, ukulivavanya kuvavanyo lweklinikhi, kunye nokuthengisa kunokuqhuba iinkampani ezixuba amayeza phantse i-900 yezigidi zeedola.

Enye into eyongeza kwiindleko eziphezulu kukusilela kwenkqubo yesizwe yokhathalelo lwempilo yokuxoxa ngeendleko zamayeza egameni labathengi. Kukho nokhuphiswano oluncinci oluvela kwezinye iinkampani zamachiza. Ngenxa yoko, abavelisi beziyobisi be-hepatitis C banokubiza nantoni na abayifunayo.

Amaxabiso anokuhla kwixesha elizayo njengoko iinkampani ezininzi zamayeza zingena kwimakethi yeziyobisi ye-hepatitis C. Ukuqaliswa kweenguqulelo eziqhelekileyo zala machiza kufuneka kuncede ukunciphisa iindleko.

3. Kusenokungabi yimfuneko ukuba ufumane unyango

Asinguye wonke umntu ophethe i-hepatitis C oya kuthi afumane olu nyango lubizayo. Ukuya kubantu abane-hepatitis C, intsholongwane iyazicoca kwinyanga ezimbalwa ngaphandle kwesidingo sonyango. Ugqirha wakho uya kukujonga esweni ukuze abone ukuba imeko yakho iyaqhubeka na, emva koko athathe isigqibo sokuba ufuna unyango na.

4. Inkampani yakho yeinshurensi ingathi hayi

Ezinye iinkampani zeinshurensi zizama ukulwa neendleko eziphezulu zeziyobisi ze-hepatitis C ngokwala ukugubungela zona. Ngaphezulu kwesinye kwisithathu sabantu abanikwa ingxelo yokufumana la machiza yinkampani yeinshurensi, ngokutsho kohlolisiso lowe-2018 kwiForamu evulekileyo yeZifo ezosulelayo. Iinkampani zeinshurensi zabucala zalahla amanye amabango ala machiza- ngaphezulu kwama-52 eepesenti- kuneMedicare okanye iMedicaid.

I-Medicare kunye neMedicaid kunokwenzeka ngakumbi ukuba zivume ukusasazeka kweziyobisi kwi-hepatitis C. Kodwa ngeMedicaid, unokuhlangabezana neemfuno ezithile zokufumana la machiza, anje ngala:

• ukuthunyelwa kwingcali
• ukuba neempawu zesibindi
• ebonisa ubungqina bokuba uyekile ukusebenzisa utywala okanye iziyobisi ezingekho mthethweni, ukuba le yingxaki

5. Uncedo luyafumaneka

Ukuba awunayo i-inshurensi yezempilo, inkampani yakho ye-inshurensi iyala ukuhlawulela iziyobisi zakho ze-hepatitis C, okanye iindleko zakho zokuphuma epokothweni ziphezulu kakhulu ukuba ungahlawula, uncedo luyafumaneka kwezi nkampani nakwimibutho elandelayo:

• I-American Liver Foundation isebenzisane neNeedyMeds ukwenza iKhadi leSaphulelo seziyobisi elamkelweyo kwii-pharmacy ezingaphezu kwama-63,000.
• Isiseko se-HealthWell sibonelela ngoncedo lwezezimali ekuhlawuleni ukukhutshwa kweziyobisi, ukuncitshiswa, kunye nezinye iindleko.
• Isiseko se-PAN sinceda ukuhlawula iindleko zamachiza aphuma epokothweni.
• Ubuhlakani boNcedo lukagqirha buqhagamshela abathengi neenkqubo ezinokubanceda bahlawulele iziyobisi zabo.

Ezinye iinkampani ezixuba amayeza zikwabonelela ngoncedo lwesigulana okanye iinkqubo zenkxaso ukunceda ukuhlawula iindleko zamachiza abo:

• UAbbVie (Mavyret)
• EGiliyadi (Epclusa, Harvoni, Sovaldi, Vosevi)
• EJanssen (eOlysio)
• Merck (Zepatier)

Ezinye iiofisi zikagqirha zinabasebenzi abazinikeleyo abafumanekayo ukunceda abaguli ukuba bahlawule iindleko zabo zamayeza. Ukuba unengxaki yokuhlawula amayeza akho e-hepatitis C, cela ingcebiso kugqirha wakho.