Kurarama nehutachiona hweH hepatitis C (HCV) inoda humwe hugadziriro yehupenyu. Zvitano zvitsva zvakaita kuti zvive nyore kudzivisa zvakawanda zvezvinetso zveHCV, asi iwe uchiri kungoda kudzivisa zvimwe zvokudya uye mishonga, uye iwe unogona kudikanwa kutarisana nemanzwiro, zvemagariro evanhu uye nezvehupfumi hwehutano.
Emotional
HCV inokonzera mupfungwa uye mupfungwa, uye yakabatanidzwa nekuora mwoyo.
Kuzvidya mwoyo kwako pamusoro pekubata vamwe vanhu kunogonawo kuwedzera kumutoro wako wemanzwiro ekurarama nehutachiona. Kune nzira dzakawanda dzekutarisana nemafungiro ehupenyu hweHCV.
- Stigma yeHuruzhinji: Kune runyararo rwemagariro evanhu pedyo neHCV, pamwe nekusarura kune vanhu vane HCV. Izvi zvikurukuru nokuti chirwere chacho chinopararira, uye nokuti chinogona kuwanikwa kuburikidza nekushandisa zvinodhaka uye zvepabonde zvisina kudzivirirwa. Izvo zvakakwana kwauri kana iwe uchida kugovera ruzivo pamusoro pekuongorora kwako nevanhu waunoziva, uye vamwe vanhu vane HCV vanogona kunzwa vakasununguka kugovera ruzivo urwu, asi vamwe vangave vasina.
- Kudzivirira Vamwe; Paunenge uine kodzero yekuita yega yako yega, iwe une basa rekuchengetedza vamwe kubva kuhutachiona hwako nekuzivisa vanoita zvepabonde, uye ani zvake anogona kupinda muropa rako. Kuchengetedza kutendeseka nekuvimbika munharaunda iyi inzira inokosha yekutarisira mafungiro ako kumamiriro ezvinhu pamwe chete.
- Kuzvimirira Pfungwa: Kuongorora kwechangobva kuonekwa kwakaratidza kuti vanhu vanogara neHCV vanoona kuti hutachiona hunobatsira sei nzira yekurapa. Kunzwisisa zviri nani zvechirwere kunovandudza kukwanisa kwemunhu kunzwisisa maitiro ekurapwa nekuita zvisarudzo zvakajeka. Izvi zvinoreva kuti kana iwe uchiwedzera kudzidza pamusoro peHCV, iwe unowedzera kuve iwe unofanira kuongorora maitiro ako ose ekurapa paunenge uchiita chisarudzo.
- Kuora mwoyo: Kuora mwoyo kwakabatanidzwa neHCV. Nzira yakanakisisa yokutaurira kuora mwoyo ndeyokuwana rubatsiro rwezvenyanzvi, sezvamunoda kune rumwe ruzivo. Kurairirwa uye kurapwa kwechiremba kunogona kubatsira kuderedza zviratidzo zvekuora mwoyo kwenguva refu.
Panyama
Kana uine HCV, pane zviverengero zvekuchengetedza zvaunofanira kutora zvinosanganisira zvokudya, zvinwiwa nemishonga yaunoshandisa. Chirwere chepachivhiringidzi chinopesana nemasabolism ako, kuita zvimwe zvinhu zvingadai zvakachengeteka kwauri usati wapera HCV kuongororwa haisisiri yakachengeteka.
Kana uine HCV, kune mishonga yemishonga yaunofanira kuidzivisa, nokuti inogona kushandiswa nechiropa, kana inogona kuva chepfu kune chiropa. Mimwe mirayiridzo paunotora mishonga inosanganisira:
- Verenga mavara pamishonga yose, kusanganisira pamusoro pemishonga inopikisa, kuve nechokwadi kuti haibati kusangana nechiropa. Kana mushonga haugoni kutorwa kana iwe une chirwere chechiropa, bvunza chiremba wako kana wemhizha kune imwe nzira yokuratidza.
- Usatora madhawi akakwirira kana kuwedzerwa maitiro akawanda emishonga.
- Usatora mishonga isingakurudzirwi neboka rako rechiremba.
Kana iwe uine HCV, zvinoitika pachiropa chako zvinogona kupindira nekukwanisa kwako kurongedza zvakakwana mhando dzezvokudya nezvokunwa.
Zvakakosha kuti uzive nyaya idzi uye urege kudya zvinogona kuita kuti urware nekuda kweswere chechiropa.
- Doro: Kana uine HCV, doro rinogona kuva nengozi mumuviri wako. Kunyange kunyanya kunwa doro kunogona kuguma nehupfu hwakatadza muviri wako, hunogona kukonzera kufambira mberi kwechiropa chirwere, uye kunogona kupindira nemishonga inoshandiswa neHCV.
- Zvokudya zvine mafuta akawandisa: Zvokudya zvakadai se nyama, huku hwekukuya, bhekoni, sausage, uye cheese zvinoda chiropa chakachengetedzeka kuti chigadziriswe. Kana uine HCV, idzi marudzi ezvokudya zvinogona kukuita iwe kurwara zvikuru.
- Zvokudya zveSalty: Sodium (munyu) inogonawo kukuvadza kana iwe uine HCV. Izvi zvinonyanya kukosha zvinogona kuita kuti kuwedzerwa ropa. Zvinyorwa zvinowanikwa zvakanyanya zve sodium yakakwirira ndezvokudya zvekudya, zvisikwa zvakakanyiwa, soup mixes, gravy, nyama, peanut butter, uye muffin.
- Zvokudya Nehukuru Muhuturo: Kana uine HCV, unofanirwa kuchengeta kudya kwemashuga uye zvinwiwa zvakadai sezvinwiwa zvinotapira, zvinwiwa zvemitambo, zvinwiwa zvinotapira, makiki, pandi, brownies uye keke. Izvi ndezvokuti chiropa chako chinosanganisirawo shuga metabolism, uye shuga yakawandisa inogona kuva dambudziko kana une chiropa chirwere.
Social
Kurarisana kwehutano nevamwe vanhu kunogona kubatsira mukunda chirwere chacho. Zvakakosha kuchengetedza hukama hwemagariro husingaenderani neHCV yako kuongororwa. Uye kune vamwe vanhu, kutsvaga kubatana kubva kune vamwe vakararama nehutano kunogona kupa humwe hutungamiri nekusigirwa.
- Mhuri uye Shamwari: Kuchengetedza ukama nemhuri neshamwari kunoramba iri chikamu chekugara kwehutano. Paunenge uine chirwere chinopararira, simba rinogona kuchinja pakati pako nevamwe vanogona kutonga, vanotya kana vasingadi. Kuita sarudzo nezvehukama hwehutano kwakaoma. Iwe unogona kusarudza kuti unoda kusimudza mukuvakazve hukama nevanhu waunokoshesa, kana iwe ungasarudza kuti kushungurudzika kwehukama hwehumwe hukama husiri hutano kwauri.
- Shanda: Vanhu vazhinji vanozviwanira ruremekedzo, kwete kutaura nezvekusimbisa mari, kubva pakushanda. Kana uine HCV, unogona kutora nguva kubva kubasa rako kana kuchikoro nekuda kwekurwara uye kurapwa, asi vanhu vazhinji vane HCV vanogona kuramba vakagwinya mushure mekutora mishonga inorwisa utachiona. Kana ukasarudza kushanda, unogona kuona, sezvinoita vanhu vakawanda, kuti maitiro evanhu kana nzvimbo yako yekugadzirisa inokupa hukama hwakanaka nevamwe hunokubvumira kuti uise pfungwa pane zvinhu zvisiri zveHCV.
- Masangano ekutsigira: Nehutano hwakawanda, kusanganisira HCV, mapoka ekutsigira anopa nzvimbo iyo iwe unogona kutaura pamusoro pekuongororwa kwako nevamwe vakambomira pane zvakaitika. Vanhu vane GCV vanogona kukupa mazano uye mazano. Sezvaunodzidza nezvekutarisana nechirwere chako, iwe unogonawo kupa kupa mazano kune vamwe. Kana iwe uchida kubatana neboka rekutsigira, unogona kukumbira mazano pamusoro pekuwana kupi boka remunharaunda kuhofisi yechiremba, kana iwe unogona kuwana mapoka ekutsigira kuburikidza nemasangano enyika.
Zvinoshanda
Mutengo wemishonga yaungada kurapwa neHCV yako utachiona inogona kunge yakakwirira. Mapurogiramu anobatsira anogona kubatsira nemutoro uyu, kunyanya kana mari yacho isingasviki nehutano hwehutano.
Fair Pricing Coalition
Iko Fair Pricing Coalition (FPC) inopa mapurogiramu ekubhadhara pamwe nemarwere (PAPs) nevakawanda vehupatachi zvinokonzera zvinodhaka. Aya mapurogiramu anopa rubatsiro kune vanhu vane HCV vanoona zvinokodzera kugadziriswa, izvo zvinobva pamhuri yemhuri inowana. Nzira yekubatanidzwa inopesana nepurogiramu.
Co-pay Programs
Co-kubhadhara mapurogiramu anobatsira kuburikidza nekubhadhara mari yehu inshuwarisi yemishonga mumwe nomumwe, Zvirongwa izvi zvinogona kuwanika kwauri zvichienderana nemari yako. Iwe unogona kutarisa nehutano inshuwarhu yako kana kambani inogadzira mishonga yako kutungamirirwa nezvirongwa izvi.
PAP Zvirongwa
PAPS inogona kubhadharwa nemishonga inogadzira mishonga, uye mitemo yakakodzera uye zvidzidzo zvinogona kusiyana, Kazhinji, kukodzera kunowanikwa pamhuri yemari. Dzimwe PAPs, somuenzaniso, inogona kukubatsira kana mari yako iri pasi pe500% ye Federal Poverty Level (FPL). PAPs inoshanda nokupa mari shoma kana kunyange pasina mishonga yemari kana iwe uchikwanisa kubva maererano nemari yako. FPL inowanikwa ikozvino inoshandiswa mukugadzirisa kuongororwa inowanikwa kuburikidza newebsite yeHeritage.gov.
The Common PAP Application, chirongwa chinorongedzwa kuburikidza nehurumende yeUnited States kuti ichinje kushanda kwekuita. Iyo fomu yakagadziridzwa ichazodikanwa kuendeswa kumushandi wega wega wepurogiramu yekubatsira mishonga yekugadzirisa.
Kushanda Kwekushanda
Mamwe masangano anobatsira ane chirwere anogona kukubatsira pamwe nekugadziriswa kwekubatsira kubhadhara mishonga. Patient Access Network Foundation uye Murwere Mutevedzeri Wekodzero Co-Pay Relief Program ndedzimwe mapato maviri anogona kukubatsira nekutora maitiro.
> Sources:
> Kostić M, Kocić B, Tiodorović B. Stigmatization nekusarurwa kwevarwere vane hepatiti s chronic C. Vojnosanit Pregl. 2016 Dec; 73 (12): 1116-24. doi: 10.2298 / VSP150511135K.
> Whiteley D, Whittaker A, Elliott L, Cunningham-Burley S. Hepatitis C mune imwe nguva itsva yekurapa: Recontextualising zvakaitika muupenyu. J Clin Nurs. 2017 Sep 27. nei: 10.1111 / jocn.14083. [Epub mberi kwekunyora]