ʻO ka hoʻokele ʻana i nā kumukūʻai ʻo Hepatitis C: 5 mau mea e ʻike ai

Anter

• 1. ʻOi aku kāu mau koho lapaʻau ma mua o ka wā ma mua
• 2. Kūʻai nā lāʻau Hepatitis C
• 3. ʻAʻole paha ʻoe e pono e lapaʻau ʻia
• 4. Hiki i kāu ʻoihana inikua ke ʻōlelo ʻaʻole
• 5. Loaʻa ke kōkua

ʻO Hepatitis C kahi maʻi o ke akepaʻa i hoʻokumu ʻia e ka maʻi hepitis C (HCV). Hiki ke hopena i nā hopena mai ka haʻahaʻa a koʻikoʻi. Me ka ʻole o ka mālama ʻana, hiki i ka hepatitis C mau loa ke alakaʻi i ka maʻi nui o ke ake, a i ʻole i ke kōpaʻa o ke ake a i ʻole ka maʻi ʻaʻai.

Ma kahi o 3 miliona mau kānaka i ʻAmelika Hui Pū ʻIa e noho nei me ka maʻi hepatitis C. mau o ka hapanui o lākou ʻaʻole manaʻo maʻi a ʻike paha ua loaʻa lākou i ka maʻi.

I nā makahiki i hala aku nei, loaʻa i nā poʻe me ka hepatitis C ʻelua mau koho lapaʻau: pegylated interferon a me ribavirin. ʻAʻole i hōʻola kēia mau lapaʻau i ka maʻi i kēlā me kēia mea i lawe iā lākou, a ua hele mai lākou me ka papa inoa lōʻihi o nā hopena. Hoʻohui, loaʻa wale lākou ma ke ʻano he injection.

Loaʻa nā lāʻau antiviral hou i kēia manawa i nā pila. Hana wikiwiki lākou, a ʻoi aku ka maikaʻi ma mua o nā kūpuna mua. Hoʻola kēia mau lāʻau i mua o ka poʻe e lawe iā lākou i 8 a 12 mau pule wale nō, me ka liʻiliʻi o nā hopena ma mua o nā lāʻau kahiko.

ʻO ka mea i hōʻemi ʻia i nā lāʻau hepatitis C hou i hele mai lākou me kahi kumukūʻai kiʻekiʻe. E heluhelu e aʻo e pili ana i nā kumukūʻai kiʻekiʻe o nā lāʻau hepatitis C, a pehea e uhi ai iā lākou.

1. ʻOi aku kāu mau koho lapaʻau ma mua o ka wā ma mua

Loaʻa ma mua o ka ʻumikūmālua mau lapaʻau e mālama i ka maʻi hepitis C. ʻO nā lāʻau kahiko i hoʻohana mau ʻia e:

• peginterferon alfa-2a (Pegasys)
• peginterferon alfa-2b (PEG-Intron)
• ribavirin (Copegus, Rebetol, Ribasphere)

ʻO nā lāʻau antiviral hou pū kekahi:

• daclatasvir (Daklinza)
• elbasvir / grazoprevir (Zepatier)
• glecaprevir / pibrentasvir (Mavyret)
• ledipasvir / sofosbuvir (Harvoni)
• ombitasvir / paritaprevir / ritonavir (Technivie)
• ombitasvir / paritaprevir / ritonavir a me dasabuvir (Viekira Pak)
• simeprevir (Olysio)
• sofosbuvir (Sovaldi)
• sofosbuvir / velpatasvir (Epclusa)
• sofosbuvir / velpatasvir / voxilaprevir (Vosevi)

ʻO nā lāʻau a i ʻole ka hui pū ʻana o nā lāʻau i kuhikuhi ʻia e kāu kauka e pili ana i:

• kou genotype virus
• ka nui o ka hōʻino o kou ake
• ʻo nā lapaʻau ʻē aʻe āu i loaʻa ai i ka wā i hala
• he aha nā kūlana olakino ʻē aʻe āu

2. Kūʻai nā lāʻau Hepatitis C

He maikaʻi loa nā lāʻau Antiviral no ka maʻi hepitis C, akā hiki mai lākou ma ke kumu kūʻai kiʻekiʻe. Hoʻokahi wale nō pill o Sovaldi pill i $ 1000. ʻO kahi papa he 12 mau pule o ka mālama ʻana me kēia lāʻau i $ 84,000.

ʻO ke kumukūʻai o nā lāʻau hepatitis C ʻē aʻe kiʻekiʻe:

• Kūpono ʻo Harvoni i $ 94,500 no kahi mālama he 12 mau pule
• He kumukūʻai ʻo Mavyret $ 39,600 no ka hoʻomaʻamaʻa he 12 mau pule
• Koina ʻo Zepatier i $ 54,600 no ka hoʻomaʻamaʻa he 12 mau pule
• Kūpono ʻo Technivie i $ 76,653 no ka hoʻomaʻamaʻa he 12 mau pule

He mea kūʻai aku nā lāʻau Hepatitis C ma muli o ka noi nui no lākou, a me ke kumu kūʻai kiʻekiʻe no ka lawe ʻana iā lākou i ka mākeke. Ke hoʻomohala nei i kahi lāʻau hou, e hoʻāʻo ana iā ia i nā hoʻokolohua hoʻokolohua, a me ke kūʻai aku hiki iā ia ke holo i nā ʻoihana lāʻau kokoke $ 900 miliona.

ʻO kekahi kumu e hoʻohui nei i ke kumukūʻai kiʻekiʻe ka nele o kahi ʻōnaehana mālama ola lāhui e kūkākūkā i nā kumukūʻai lāʻau no ka poʻe kūʻai. Aia kekahi hoʻokūkū liʻiliʻi mai nā ʻoihana lāʻau ʻē aʻe. A ʻo kahi hopena, hiki i nā mea hana lāʻau hepatitis C ke koi aku i kā lākou makemake.

Hiki i nā kumukūʻai ke hāʻule i ka wā e hiki mai ana ʻoi aku ka nui o nā ʻoihana lāʻau i loko o ka makeke lāʻau hepatitis C. ʻO ka hoʻokomo ʻana i nā mana generic o kēia mau lāʻau e pono ke kōkua i ka hoʻokele ʻana i nā kumukūʻai.

3. ʻAʻole paha ʻoe e pono e lapaʻau ʻia

ʻAʻole pono i nā poʻe āpau me ka maʻi hepitis C ke loaʻa i kēia mau ʻano lawelawe pipiʻi. I nā poʻe me ka maʻi hepa C, holoi ka maʻi iā ia iho i loko o kekahi mau mahina me ka ʻole o ka lāʻau. E nānā pono kāu kauka iā ʻoe e ʻike inā kū mau kou ʻano, a laila hoʻoholo e pono ʻoe i kahi lāʻau.

4. Hiki i kāu ʻoihana inikua ke ʻōlelo ʻaʻole

Ke hoʻāʻo nei kekahi mau ʻoihana inikua e hakakā i ke kumukūʻai kiʻekiʻe o nā lāʻau hepatitis C ma ka hōʻole ʻana i ka uhi no lākou. Ma mua o ka hapakolu o ka poʻe i hōʻole ʻia i ka uhi ʻia ʻana no kēia mau lāʻau e ko lākou ʻoihana inikua, e like me ka noi ma 2018 ma Open Forum Infectious Diseases. Ua hōʻole nā ​​ʻoihana ʻinikua pilikino i nā koi hou aku no kēia mau lāʻau - ma mua o 52 pakeneka - ma mua o Medicare a i ʻole Medicaid.

ʻAe paha ʻo Medicare a me Medicaid e ʻae i ka uhi ʻana o ka lāʻau hepatitis C. Akā me Medicaid, pono paha ʻoe e hoʻokō i kekahi mau koi e loaʻa ai kēia mau lāʻau, e like me:

• ke kiʻi nei i kahi mea kuhikuhi mai kahi loea
• he mau ʻōuli o ka ʻili o ke ake
• ke hōʻike nei i ka hōʻoia ua hōʻoki ʻoe i ka hoʻohana ʻana i ka wai ʻona a i ʻole nā ​​lāʻau lapaʻau kolohe, inā he pilikia kēia

5. Loaʻa ke kōkua

Inā ʻaʻohe āu ʻinikua olakino, hōʻole kāu ʻoihana ʻinikua e uku no kāu lāʻau hepatitis C, a i ʻole ke kiʻekiʻe loa o kāu kumukūʻai ma waho o ka ʻeke na ʻoe e uku, loaʻa ke kōkua mai nā ʻoihana a me nā hui aʻe:

• Ua launa pū ʻo American Liver Foundation me NeedyMeds e hana i kahi Kāleka Discount Drug i ʻae ʻia ma mua o 63,000 pharmacy.
• Hāʻawi ʻo HealthWell Foundation i ke kōkua kālā e uhi i nā copayments lāʻau, nā unuhi, a me nā kumu kūʻai ʻē aʻe.
• Kōkua ʻo PAN Foundation e uhi i nā kumukūʻai lāʻau i waho o ka ʻeke.
• Hoʻohui ka launa pū no ke kōkua kōkua i nā mea kūʻai aku me nā papahana i hiki ke kōkua iā lākou e uku no kā lākou lāʻau.

Hāʻawi kekahi mau ʻoihana lāʻau lapaʻau i kā lākou kōkua kōkua ponoʻī a i ʻole nā ​​polokalamu kākoʻo e kōkua i ka uhi ʻana i ke kumukūʻai o kā lākou lāʻau.

• AbbVie (Mavyret)
• ʻO Gileada (Epclusa, Harvoni, Sovaldi, Vosevi)
• ʻO Janssen (Olysio)
• Merck (Zepatier)

Loaʻa i kekahi mau keʻena o ke kauka kahi limahana limahana i hoʻolako ʻia e kōkua i nā mea maʻi e uhi i kā lākou kumukūʻai lāʻau. Inā pilikia ʻoe i ka uku ʻana i kāu lāʻau hepatitis C, e noi i kāu kauka no ka ʻōlelo aʻo.