Lo bhubhane wenze abaningi bethu bathembela kubuchwepheshe ngezindlela ezintsha.Ikhuthaza izinto ezintsha eziningi, okuhlanganisa emkhakheni wokunakekelwa kwezempilo.
Isibonelo, iziguli eziningi ezidinga i-dialysis evamile ziya emitholampilo noma ezibhedlela, kodwa phakathi nobhubhane, iziguli eziningi zezinso zifuna ukuthola ukwelashwa ekhaya.
Futhi, njengoba u-Jesús Alvarado we-“Marketplace Tech” echaza, ubuchwepheshe obusha bungenza lokhu kube lula.
Uma uhlushwa ukwehluleka kwezinso, udinga ukususa ngomshini uketshezi oluningi kanye nobunye ubuthi egazini izikhathi eziningana ngesonto.Akulula, kodwa kuya kuba lula.
“Kwesinye isikhathi lo msindo wokuchofoza, kuba nje ukuthi umshini uyaqala, yonke into iyageleza, imigqa ibushelelezi, futhi ukwelashwa kuzoqala noma nini,” kusho uLiz Henry, umnakekeli womyeni wakhe uDick.
Ezinyangeni eziyi-15 ezedlule, uLiz Henry ubesiza umyeni wakhe ngokwelashwa kwe-dialysis ekhaya.Akusadingeki ukuthi bahambe baye esikhungweni sokwelashwa, esithatha cishe usuku lonke.
“Uvalelwe lapha.Khona-ke udinga ukufika lapho, udinga ukufika ngesikhathi.Mhlawumbe omunye akakaqedi,” kusho yena.
“Asikho isikhathi sokuhamba,” kusho uDick Henry.“Sivuka nje ekuseni sihlele usuku lwethu….'Kulungile, asenze le nqubo manje.'”
Uyi-CEO ye-Outset Medical, inkampani eyakha umshini wokucofa igazi osetshenziswa uDick Henry.Usixhume kulo mbhangqwana kusukela ekuqaleni.
UTrigg ubona ukuthi isibalo seziguli ze-dialysis siyaqhubeka nokukhula.Izindleko zokwelashwa zaminyaka yonke e-United States ziphezulu njengezigidigidi ezingama-75 zamadola aseMelika, kodwa ukwelashwa nobuchwepheshe busemuva.
"Ngokombono we-innovation, iqhwa ngesikhathi, futhi imodeli yayo yesevisi kanye nemishini ngokuyinhloko ivela kuma-80s kanye nama-90s," kusho u-Trigg.
Ithimba lakhe lenze i-Tablo, umshini wokuhlanza igazi wasekhaya olingana nesiqandisi esincane.Ihlanganisa isistimu yokuhlunga eyi-intshi engu-15 kanye nomsebenzisi oxhunywe ngamafu onganikeza idatha yesiguli nokuhlolwa kokugcinwa komshini.
“Lapho siya kudokotela, [ngathi], 'Hhayi-ke, ake ngithathe i-blood pressure eyishumi yokugcina lapha ukuze ngithole [a] amahora amathathu wokwelashwa.'Konke kuyamfanela.”
Kuthathe cishe iminyaka eyishumi ukuthuthukisa i-Tablo nokuthola imvume ku-Food and Drug Administration.Inkampani inqabile ukusho ukuthi lezi zikhungo zibiza malini iziguli nezinkampani zomshwalense.NgoJulayi odlule, iziguli zaqala ukuzisebenzisa ekhaya.
"I-Tablo yanyakazisa imakethe," kusho uNieltje Gedney, umqondisi omkhulu weqembu labamele i-Home Dialyzors United.UGedney naye uyisiguli se-dialysis ngokwakhe.
"Ngilindele ukuthi eminyakeni emihlanu, iziguli zizoba nokukhetha ku-dialysis, ukukhetha ezingakaze zibe nakho engxenyeni yekhulu leminyaka edlule," kusho uGedney.
NgokukaGedney, le mishini ilula futhi ibalulekile."Isikhathi esihilelekile sibalulekile, ngoba ezigulini eziningi, i-dialysis yasekhaya ifana nomsebenzi wesibili."
Indatshana eshicilelwe kuphephabhuku lezohwebo i-Managed Healthcare Executive ekuqaleni kwalo nyaka yagxila ekuthuthukisweni kwe-dialysis yasekhaya.Sekungamashumi eminyaka ukhona, kepha lolu bhubhane selucindezele abantu abaningi ukuthi balusebenzise futhi baphusha nobuchwepheshe ukuze bufinyeleleke kalula, njengoba kusho uJesu.
Ikhuluma ngokufinyeleleka, i-MedCity News inomlando omayelana nemithetho emisha Yezikhungo Zesevisi Ye-Medicare ne-Medicaid ebuyekeza izinkokhelo zokwelashwa kwe-dialysis kodwa futhi idale izikhuthazo kubahlinzeki ukuze bakhulise ukufinyelela kumathuba okuhlanza umndeni Ukulunga.
Lezi zinhlobo zemishini ye-dialysis kungase kube ubuchwepheshe obusha.Kodwa-ke, ukusetshenziswa kobunye ubuchwepheshe obuvuthiwe be-telemedicine nakho kunyukile.
Nsuku zonke, uMolly Wood kanye nethimba "Lezobuchwepheshe" bembula imfihlakalo yomnotho wedijithali ngokuhlola izindaba okungezona nje "ubuchwepheshe obukhulu".Sizibophezele ekuhlanganiseni izihloko ezibalulekile kuwena nasemhlabeni osizungezile, futhi sihlole ukuthi ubuchwepheshe buhlangana kanjani nokushintsha kwesimo sezulu, ukungalingani, kanye nolwazi olungaqondile.
Njengengxenye yegumbi lezindaba elingenzi nzuzo, sithemba ukuthi abalaleli abafana nawe banganikeza le ndawo yokukhokha yesevisi yomphakathi mahhala futhi itholakale kuwo wonke umuntu.