Telehomecare

**Telehomecare** (THC) ni subfield muri telehealth . Harimo no gutanga serivisi zita ku buzima ku barwayi hakoreshejwe ikoranabuhanga mu itumanaho, rituma imikoranire y’ijwi, amashusho, hamwe n’amakuru ajyanye n’ubuzima.  Imicungire yubuvuzi ikorerwa kurubuga rwo hanze ninzobere mubuzima.

Nubwo akenshi ikoreshwa muburyo bumwe hamwe no gukurikirana abarwayi kure, telehomecare ikubiyemo ibirenze gukurikirana gusa, kuko ikubiyemo uburezi, inkunga y'amarangamutima n'imibereho myiza y'abaturage, gukwirakwiza amakuru, no kuyobora wenyine. THC yakoreshejwe mu kunoza imicungire yubuzima budakira nkindwara z'umutima, COPD, na diyabete, bishobora kugabanya umubare wabasura serivisi zubuvuzi bwibanze. Umubare w'abaturage bageze mu za bukuru ukenera ubuvuzi bwo mu rugo ushimangira ko hakenewe serivisi zita ku buzima, THC ishobora gukemura. Byongeye kandi, THC yorohereza amasano hagati yibitaro n’abatanga ubuvuzi bwibanze, kunoza serivisi z’abarwayi no kugabanya amafaranga y’ubuzima.

Ikoranabuhanga rya THC ryita ku barwayi banyuranye bakeneye, kuva kuri bike kugeza kubikurikirana. Sisitemu isanzwe igizwe nigice cyo hagati gihujwe nigikoresho kimwe cyangwa byinshi bya periferiya, nkikurikirana ryumuvuduko wamaraso, umunzani wibiro, glucometero, impiswi ya oxyde, metero zitemba, cyangwa stethoskopi. Abarwayi binjiza ibimenyetso byingenzi namakuru yubuzima mubice bya THC haba mu ntoki cyangwa binyuze kuri peripheri. Aya makuru yoherezwa binyuze kumurongo wa terefone kuri seriveri itekanye ku kigo cyabigenewe mbere yo koherezwa kuri porogaramu ishingiye ku rubuga rwizewe. Inzobere mu buvuzi zirashobora noneho kubona no gusuzuma amakuru yumurwayi aho ariho hose hamwe na enterineti.

## Porogaramu
Hashingiwe ku bushakashatsi bwakorewe muri Amerika na Capital Area Consortium ku Gusaza n'Ubumuga, umurongo wa kb 128 wagize akamaro mu buryo butandukanye bwo kuvura no gufata neza THC. Ibi birimo: 

* Kubaza abarwayi, amateka, gusuzuma sisitemu, ibikorwa byubuzima bwa buri munsi ;
* Gukurikirana isuzuma ryimiterere yibitekerezo;
* Gutabara bidasaba kuboneka kumubiri;
* Kugenzura abafasha b'abaganga n'abaforomo;
* Kugisha inama hamwe nabakozi bakorana nabaforomo na serivisi zabafasha (therapy physique na therapy therapy);
* Ubuvuzi; 
* Kubahiriza imiti;
* Uburezi bw'abarwayi;
* Korohereza imanza;
* Gutwara mu mwanya wo gutwara abantu mu cyumba cyihutirwa cyangwa ku biro; na
* Gukurikirana ibimenyetso byingenzi, oximetry, electrocardiogram (ECG). 

Imwe muma porogaramu ya THC ni ugutanga ubuforomo ukoresheje terefone, televiziyo, mudasobwa, hamwe na videwo.  THC irashobora kuzamura umusaruro wumurwayi, kongera umusaruro wabatanga ubuvuzi, no kugabanya ibiciro byubuzima.  Iyi porogaramu irashobora kwerekanwa nka telenursing .

## Ikiguzi-cyiza
THC yerekanye ingaruka zikomeye ku kwinjira mu bitaro no gusura ibyumba byihutirwa, ndetse no gusura amavuriro. Umuyoboro wa Ontario Telemedicine (OTN) wakoze gahunda yo kugerageza yarimo abarwayi barenga 800 bafite imwe mu ndwara zidakira - Congestive Heart Failure cyangwa COPD. Ibisubizo byari:

* Kugabanuka kwa 65% mu mubare w’abinjira mu bitaro;
* Kugabanuka 72% mumibare yo gusura ibyumba byihutirwa; na
* Kugabanuka 95% mumibare yo gusura amavuriro.  OTN

THC itanga amahirwe yo kwimura itangwa rya serivisi nyinshi zita ku buzima ziva mu bitaro n’ibindi bigo nderabuzima mu ngo z’abarwayi, bityo bikagabanya umutwaro kuri gahunda y’ubuzima ndetse no kubika ibitaro ku bibazo bikomeye. Ubushakashatsi buherutse gukorwa mu kinyamakuru cya Telemedicine na Telecare bwerekanye ko ubushakashatsi buke cyane bwasuzumye imikorere ya THC, bityo rero, hakenewe ubushakashatsi bwinshi kugira ngo hamenyekane agaciro ka THC mu kugabanya amafaranga ajyanye no gucunga indwara zidakira. 

## Reba