Ngo-2026, ukunakekelwa kwezengqondo ku-inthanethi kuyindlela esezingeni eliphezulu, elilawulwa kahle. Odokotela bezengqondo abanelungelo lokusebenza ku-inthanethi bangahlola izimpawu zakho, banikeze ukuxilongwa okusemthethweni, futhi baphathwe imishanguzo yakho ngevidiyo, ifoni, noma imiyalezo evikelekile.

Esikhundleni sokulinda izinyanga, abantu abaningi manje bangathola ukuhlolwa okuyinto enhliziyweni okokuqala kungakapheli usuku olufanayo. Lo mhlahlandlela uhamba ngokuthi kusebenza kanjani, lapho umngcele khona phakathi kokwelashwa okuyinto enhliziyweni kanye nemithi yezengqondo, nokuthi ungaluthola kanjani ukunakekelwa ngokuphepha namuhla.

Uma uzulazula ekwehlanzeni kwempilo yakho yengqondo muva nje, i-August AI Symptom Checker ibuyekeza izinkathazo zakho ngemizuzu emibili ukuze ubone ukuthi ukunakekelwa kwezengqondo okuyinto enhliziyweni kufanelekile yini. Uma ukuphathwa kwemishanguzo kunengqondo, i-August's Online Urgent Care ikuxhumanisa nodokotela onesipiliyoni ngemizuzu.

Kuyini udokotela wezingqondo ku-inthanethi?

Udokotela wezingqondo ku-inthanethi ngudokotela ongumeluleki onesipiliyoni ophatha izimo zezempilo yengqondo nge-telehealth. Into evamile yokudideka ukuhlanganisa ukwelashwa okuyinto enhliziyweni nodokotela wezingqondo okuyinto enhliziyweni, njengoba benza imisebenzi ehlukene.

Kusiza ukubona lezi zinto ezimbili eceleni ngaphambi kokuba ukhethe:

  • Odokotela bezengqondo abaku-inthanethi bangodokotela abangochwepheshe abanelungelo elisemthethweni, abaqinisekiswe yi-board (ama-MD noma ama-DO). Ngoba baye esikoleni sezokwelapha, bangaxilonga izifo zengqondo futhi babhale imishanguzo.
  • Abelashwa abaku-inthanethi bangabeluleki abanelungelo elisemthethweni, abasebenzi bezenhlalakahle, noma abelashwa bomshado nomndeni. Bachwepheshe ekwelashweni ngezinkulumo namasu okubhekana nezinkinga, kodwa abakwazi ukubhala imishanguzo.

Eziningi zezidingo ezijwayelekile zezengqondo, i-telepsychiatry iletha imiphumela efana nokuhlala ehhovisi eliphilayo, ngaphandle kokuhamba nokulinda. Ngakho-ke ukukhetha kuvame ukuncika ekutheni imishanguzo iyingxenye yohlelo lwakho yini.

Isebenza kanjani ukunakekelwa kwezengqondo okuyinto enhliziyweni?

Udokotela wezingqondo okuyinto enhliziyweni ulandela indlela ehlelekile eyakhelwe phezu kokuphepha kwakho. Isinyathelo ngasinye sinenjongo ecacile, futhi isivinini sakhelwe ukubamba izinkinga kusenesikhathi.

Nansi indlela inqubo ejwayeleke ukubonakala ngayo kusuka ekuqaleni kuya ekulandeleni:

  1. Ukuhlolwa kokuqala, cishe imizuzu engu-45 kuye ku-60. Uhlangana nodokotela wakho wezingqondo ngevidiyo bese udlula ezimpawini zakho zamanje, umlando wakho wezempilo, umlando womndeni, nanoma yisiphi isipiliyoni esidlulile nemishanguzo yezengqondo.
  2. Ukuhlola ukuxilonga. Usebenzisa izindlela ezijwayelekile ze-DSM-5, udokotela wakho uchaza ukuxilongwa kwakho futhi akhe uhlelo lokwelashwa, oluvame ukuhlanganisa imishanguzo nesiphakamiso sokwelashwa ngezinkulumo.
  3. Ukuphathwa kwemishanguzo. Uma imishanguzo engalawulwa ifanelekile, incwadi kadokotela iya ngogesi esitolo sakho semithi esiseduze ukuze uthathe ngosuku olufanayo.
  4. Ukuqhubeka kokubuyekezwa, cishe imizuzu engu-15 kuye ku-30. Njalo emavikini ama-4 kuye kwayi-8, ungena ngemvume futhi ukuze udokotela wakho wezingqondo abone ukuthi uyiphendula kanjani, ubheke imiphumela emibi, futhi ulungise umthamo wakho.

Isigqi esiqhubekayo sama-follow-ups yikona okwenza ukunakekelwa okukude kuphephile. Awushiywa wedwa nemishanguzo emisha ngaphandle kosizo.

Yini odokotela bezengqondo abaku-inthanethi abangayelapha?

Imitholampilo eyenziwa ngobuchwepheshe ebukhomeni iphatha izinhlobonhlobo zezimo zezempilo yengqondo ezinzile, ezingadingi ukulaliswa esibhedlela. Zisebenza kangcono lapho isimo sakho sizinzile ngokwanele ukulawulwa usuka ekhaya.

Lezi zimo zilawulwa njalo ku-inthanethi:

  • Izifo zokudabuka, okubandakanya ukudabuka okukhulu, ukudabuka okuhlala njalo, nokudabuka okubangelwa yisikhathi sonyaka.
  • Izifo zokukhathazeka, okubandakanya ukukhathazeka okujwayelekile, ukukhathazeka komphakathi, nokuhlaselwa yinkathazo.
  • I-ADHD yabantu abadala, ngokuhlolwa okuphelele kokuxilonga nezinketho zokwelashwa ezingasebenzisi izidakamizwa.
  • Ukuhlanganiswa komoya, okubandakanya ukugcinwa kwezimo ezizinzile ze-bipolar I kanye ne-II.
  • Izimo ezibangelwa ukulimala nokucindezeleka njenge-PTSD nezimo zokuzivumelanisa nezimo.
  • Isifo sokuphepha okuyiso kanye noshintsho lomoya emva kokubeletha.

Uma isimo sakho sizinzile, kungenzeka ukuthi singalawulwa ku-inthanethi. Nokho, ezinye izimo zidinga usizo oluqondile.

Nini okufanele ufune ukunakekelwa okuqondile esikhundleni salokho?

Ukunakekelwa okuyinto enhliziyweni akuyona insizakalo yokubhekana nezimo eziphuthumayo. Ezinye izimo zidinga usizo olusheshayo, oluqondile, futhi kubalulekile ukuzazi kusengaphambili.

Sicela weqe i-telehealth bese ufuna usizo oluphuthumayo, noma ushayele noma uthumele i-988, uma uhlangabezana nanoma yikuphi kulokhu okulandelayo:

  • Imicabango esebenzayo yokuzilimaza wena noma abanye.
  • I-psychosis esebenzayo noma izithukuthuku.
  • Isikhathi esibi, esingalawuleki sokuphazamiseka komoya.
  • Isifo esibi sokudla esidinga ukuqapha ngokomzimba noma inhliziyo.
  • Ukukhipha izidakamizwa ngokomzimba okuyingozi.

Lezi zimo azilona iphutha nhlobo. Zidinga nje ukunakekelwa okungasetshenziswa ngesikrini.

Odokotela bezengqondo abaku-inthanethi bangabhalela izidakamizwa ezilawulwayo?

Ngezinye izikhathi, kodwa imithetho iqine kakhulu. Imithetho yokubhalela izidakamizwa ezilawulwayo nge-telehealth isondele kakhulu, futhi izinhlaka ezisemthethweni zilandelwa ngokuqinile imithetho ye-DEA neyomthetho wezokwelapha yezifundazwe.

Nansi indlela izigaba eziyinhloko ezihlukene ngayo:

  • Izidakamizwa zokugqugquzela i-ADHD, njenge-Adderall, Ritalin, ne-Vyvanse, ziyi-Schedule II. Izifundazwe eziningi manje zidinga okungenani ukuhlolwa okukodwa okuqondile ngaphambi kokuba udokotela wezingqondo we-telehealth aqale noma athathe lezi.
  • Ama-Benzodiazepines okukhathazeka, njenge-Xanax, Ativan, ne-Klonopin, yizinhlu IV. Ngenxa yengozi yokuncika, ayibhalwa kakhulu nge-telehealth, futhi abanikezi banesidingo sokubona okokuqala ngokuqondile.
  • Imishanguzo engalawulwayo ayinayo imingcele ye-telehealth. Odokotela bezengqondo bangaxilonga ngokukhululeka futhi babhale izinketho zokuqala ngogesi.

Le mishanguzo yokuqala, engalawulwa, ihlanganisa ama-SSRI nama-SNRI njenge-sertraline (Zoloft) ne-escitalopram (Lexapro), ama-antidepressant angavamile njenge-bupropion (Wellbutrin), nemishanguzo ehlobene nomoya njenge-lamotrigine ne-buspirone.

Isixwayiso esisodwa esicacile sifanele ukukhunjulwa. Uma inkundla ithembisa ukuthumela i-Adderall noma i-Xanax ngemuva kohlu olufushane lwemibuzo ngaphandle kokuqinisekiswa okuqondile, isebenza ngokungekho emthethweni. Kuphephile ukuhamba.

Kubiza malini ukunakekelwa kwezengqondo ku-inthanethi?

Izindleko ziyahlukahluka kuye ngokomshwalense wakho nenkundla. Izintengo zokukhokha ngemali cishe zihlale zihambelana, futhi ukuvakashelwa okuningi kuhlanganiswa.

Nansi isithombe esilinganiselwe salokho ongakulindela:

  • Ukuhlolwa kokuqala, cishe u-R150 kuya ku-R400 wokuhlolwa kokuqala kwemizuzu engu-45 kuye ku-60 uma ukhokha ngemali.
  • Ukuvakashelwa komshanguzo wokuqhubeka, cishe u-R75 kuya ku-R200 ngayinye uma ukhokha ngemali.
  • Ama-copays omshwalense, njengoba i-Medicare, i-Medicaid, nabaningi abashwalense abajwayelekile bahlanganisa i-telepsychiatry njengokuvakasha okuqondile, ngokuvamile u-R10 kuya ku-R60.
  • Izindleko zemishanguzo, nge-generic SSRIs ezungeze u-R4 kuya ku-R15 futhi i-generic mood stabilizers izungeze u-R10 kuya ku-R30.

Iningi lokuvakashelwa kwe-telehealth yezengqondo futhi liyakufanelekela izimali ze-HSA noma ze-FSA. Kubantu abaningi, izindleko zokunakekelwa kwezengqondo ku-inthanethi ziphansi kakhulu kunesinakekelo esiqondile ngenkathi iletha imiphumela efanayo.

Imibuzo Evame Ukubuzwa

Ingabe udokotela wezingqondo ku-inthanethi angakwazi ukuxilonga nami ngokusemthethweni?

Yebo. Odokotela bezengqondo abaku-inthanethi bangodokotela abasebenzisa amathuluzi afanayo okuxilonga, njengezindlela ze-DSM-5 nezilinganiso zokuhlola, njengodokotela oqondile. Ukuxilongwa kwabo kuvumelekile kumarekhodi akho ezempilo, izicelo zomshwalense, nezingalungiswa emsebenzini.

Ngingakwazi ukuthola i-Adderall noma i-Vyvanse ku-inthanethi ye-ADHD?

Ngokuvamile cha ngaphandle kokuhlolwa okuqondile okubhalisiwe, ngaphansi kwemithetho yamanje ye-DEA. Lokho kusho, udokotela wezingqondo ku-inthanethi angakuxilonga i-ADHD yakho ngokuyinto enhliziyweni futhi abhale izinketho ezingalawulwa ezisebenzayo njenge-atomoxetine (Strattera), i-Wellbutrin, noma i-guanfacine.

Yikuphi umehluko phakathi kokwelashwa okuyinto enhliziyweni ku-inthanethi nodokotela wezingqondo ku-inthanethi?

Kuncike kumishanguzo. Udokotela wezingqondo ku-inthanethi ngudokotela ongumeluleki oxilonga izimo futhi aphathe imishanguzo. Umelashwa ku-inthanethi uhlinzeka ngokweluleka nokwelashwa ngezinkulumo kodwa akakwazi ukubhalela lutho.

Ingabe umshwalense wami uzohlanganisa i-psychiatry eyenziwa ngobuchwepheshe ebukhomeni?

Cishe njalo, yebo. Iningi labashwalense abajwayelekile, kanye ne-Medicare ne-Medicaid, lihlanganisa i-telepsychiatry ngesilinganiso esifanayo nokuvakasha okuqondile. Isikhathi sakho kuvame ukuba yi-copay yakho evamile yezokuziphatha.

Ngingakwazi ukusebenzisa udokotela wezingqondo ku-inthanethi ngesikhathi sohambo ngaphandle kwesifundazwe?

Kuphela uma udokotela enelungelo esifundazweni lapho ukhona khona ngokomzimba ngesikhathi sokuvakasha. Uma uhamba, hlola ukuthi inkundla yakho inomnikezi onesipiliyoni esifundazweni sakho lapho uya khona ngaphambi kokubhukha.

Ngingakanani lapho ngizoba khona izikhathi?

Lapho uqala imishanguzo emisha, umnikezi wakho cishe uzohlola njalo emavikini ama-2 kuye kwayi-4 ukuze ubheke imiphumela emibi. Uma umthamo wakho usuzinzile futhi uzizwa kahle, ukuvakashelwa kuvame ukuba yimavikini ama-4 kuye kwayi-8.