Makampani opatsirana pogonana ndi otetezeka. Amapereka chisamaliro chofunikira, nthawi zambiri kwaulere, m'madera ambiri kudutsa United States. (Ngati mukusowa thandizo kupeza chimodzi ... ) Amaperekanso chisamaliro kumalonda komwe madokotala ambiri samakhala omasuka. Ndicho chifukwa chake anthu ena amawadandaula kuti ntchito ya chipatala cha matenda opatsirana pogonana ingasinthe nthawi ya kusintha kwaumoyo.
The Affordable Care Act, yomwe imatchedwanso ObamaCare kapena ACA, yasintha ntchito ya chipatala cha STD. Komabe, ntchito yomwe amachitidwa ndi zipatala za STD sinasinthe monga momwe anthu ambiri angayembekezere. Ndi zoona kuti, pansi pa ACA, anthu ambiri ali ndi inshuwalansi ya thanzi. Ndizowona kuti kuyesa kwapadera kwa matenda opatsirana pogonana ndi kulandira chithandizo ndi udindo kwa anthu ena . Mwatsoka, kufotokoza sikutumizidwa kwa aliyense. Kuwonjezera apo, pali anthu omwe sangagwiritse ntchito inshuwalansi yawo kwa ma ARV ngakhale atatha. Ndicho chifukwa chake pali ntchito yamakono ogwira ntchito zachipatala.
Chifukwa Chimene Odwala Amapitiriza Kufufuza Amilonda a Edzipambuyo Pambuyo pa Ntchito Yodalirika Yothandiza
Ofufuza ambiri afufuza chifukwa chake odwala akupitiliza kukayendera zipatala za STD, ngakhale ali ndi njira zina zothandizira. Phunziro limodzi lalikulu linapeza kuti panali zifukwa zingapo zomwe anthu amafunira kukachezera chipatala cha matenda opatsirana pogonana. Ngakhale kuti pafupifupi 60 peresenti ya anthu mu phunziroli anali ndi mwayi wosamalira zina, iwo adasankhabe chipatala cha matenda opatsirana pogonana kuti azisamalira.
Zifukwa zawo zimaphatikizapo kupeza mwayi wosankha tsiku lomwelo, luso loyenda-mu chisamaliro, luso la dokotala, ndi mtengo wotsika. Mwa kuyankhula kwina, zipatala za STD zimakhala ngati malo abwino, abwino, komanso okwera mtengo kuti asamalire.
Ambiri a anthu amene amapita kuzipatala za STD amakonda kukhala achichepere, amuna, komanso osakhala oyera.
Pafupi theka sali otsimikiziridwa. Ambiri ndi amuna omwe amagonana ndi amuna . Mwina mosadabwitsa, onsewa ndi magulu omwe nthawi zambiri amakumana nawo, kapena amakayikira kupeza, chisamaliro choteteza chikhalidwe. Kwa ambiri a iwo, chipatala cha matenda opatsirana pogonana ndi malo omwe chithandizo chaumoyo chimabwera ndi chiopsezo chachikulu. Makanema a STD ndi malo omwe angapeze chithandizo mwamsanga komanso mosavuta.
Inshuwalansi, Zaumwini, ndi Kupeza Kliniki ya STD
Chimodzi mwa zifukwa zazikulu zomwe anthu amasankha kupita kuchipatala cha matenda opatsirana pogonana m'malo mowona dokotala wawo ndi kuti amadziwa kuti zipatalazi ndi malo amseri kuti azisamalira. Iwo sayenera kudandaula za dokotala wawo kuwaweruza iwo chifukwa cha khalidwe lawo la kugonana kapena ogonana nawo. Amadziwa kuti aliyense ali m'chipinda chodikirira ali ndi chifukwa chomwecho. Nthawi zambiri amatha kukhala osadziwika kapena osadziwika, ngati akufunikira. Pali zotsatira zochititsa chidwi za chikhumbo chimenechi chokhala payekha pamene mukuyankhula za thanzi labwino. Anthu ambiri amakayikira kugwiritsa ntchito inshuwalansi pazipatala za STD.
Kafukufuku wochuluka apeza kuti pafupi theka la anthu omwe ali ndi inshuwalansi ali okonzeka kugwiritsa ntchito inshuwaransi pa chipatala cha matenda opatsirana pogonana. Izi ndi zoona ngati ayi kapena kulipira kulipira .
Ngakhale chifukwa chachikulu chosafunira inshuwalansi kawirikawiri chimakhala chodetsa nkhaŵa zachinsinsi, zifukwa zake zimasiyanasiyana. Angakhale akudandaula za zolembedwera kunyumba zawo. Iwo sangakonde kampani yawo ya inshuwalansi kudziwa kuti akuyesedwa. Ngati ali ndi abwana inshuwalansi, angakhale (osakondweretsa) kuti abwana awo athe kupeza zolemba zawo. Amene amalandira chithandizo kudzera mwa kholo kapena mkazi akhoza kukhala ndi nkhawa kuti munthuyo akhoze kulipira ngongole zawo.
Komabe, sizinthu zokhazokha zomwe anthu safuna kugwiritsa ntchito inshuwalansi pazipatala za STD.
Chifukwa china chimene anthu angasankhe kusagwiritsa ntchito inshuwalansi ndikudandaula chifukwa cha ndalama zomwe simungakwanitse. Anthu angakhalenso ndi nkhawa kuti ngati kampani yawo ya inshuwalansi ikudziwa za matenda opatsirana pogonana omwe angakhudze ndalama zawo zoyenera kapena kupeza chithandizo. Ngakhale kuti chisamaliro chokwera mtengo chimaletsa kukana kulandira chithandizo chifukwa cha vuto linalake, chiopsezo chimenecho chinali chenicheni kwa zaka zambiri. Mwamwayi, kuchotsa chitetezo chazifukwa zobwezeretsedwa kunabwereranso patebulo pa zokambirana zokambirana za thanzi za 2017. Ngakhale kuti anthu ambiri akuvomerezedwa, palibe chitsimikizo chakuti chidzakhalabe gawo la malamulo a zachipatala a US.
Momwe Kusinthira Kachipatala Kusintha Kachilombo ka HIV / AIDS
Njira zomwe ndondomeko ya zaumoyo yathandizira inshuwalansi zakhudza momwe njira zonse zothandizira, kuphatikizapo zomwe zimalandira kuchipatala cha matenda opatsirana pogonana, zimathandizidwa. Ndalama zowonjezera Medicaid ndikuwonjezera njira za inshuwalansi ziyenera kubwera kuchokera kwinakwake. Zina mwa izo zidasinthidwa kuchokera ku ndalama zomwe kale zinkagwiritsidwa ntchito kulipira chisamaliro china cha odwala-monga m'makanema a anthu odwala matenda opatsirana pogonana. Matankhwala ena atseka kapena kuchepa maola. Ena ayambitsa malipiro apadera kuti asamalire.
Massachusetts inali boma loyamba kuti likhale ndi chithandizo cha inshuwalansi ya thanzi. Izi zapangitsa ochita kafukufuku mwayi wapadera kuyang'ana momwe izi zakhudzira zipatala za matenda opatsirana pogonana mu boma. Chimene iwo apeza chinayankhula ku mgwirizano pakati pa chinsinsi ndi ndalama zomwe zimakhudza chisamaliro cha STD.
Kumbali imodzi, pamene anthu ambiri anali ndi inshuwalansi, ambiri a iwo ankagwiritsa ntchito izo. Panali kusintha komwe gawo lalikulu la odwala linayamba kupita kuchipatala chawo chachikulu kuchipatala. Komabe, anthu ambiri anapitiriza kupita ku chipatala cha STD. Komanso, ngakhale kamodzi kokha ndalama zokwana madola 75 zinkachitika, theka la onse odwala kuchipatala anasankha kulipira m'malo mogwiritsa ntchito inshuwaransi. Chifukwa cha kuchuluka kwa chiwerengero cha boma, zikutheka kuti ambiri a iwo anali ndi inshuwalansi ngati njira. Iwo amangosankha kuti asagwiritse ntchito izo.
Kufunika kwa Makliniki a STD Salikuchokapo
Kawirikawiri amaganiziranso kuti inshuwalansi yowonjezereka ikuthandizira kupeza chithandizo. Komabe, zovuta zapadera zomwe zimagwirizanitsidwa ndi chisamaliro chogonana zingakhale zosiyana ndi lamulo. Mosakayikira pali kuwonjezeka kwa ntchito inshuwalansi kwa kuyang'ana kwa STD, chithandizo , ndi kupewa . Komabe, zikuwoneka ngati mantha pa nkhani ya matenda opatsirana pogonana komanso kusungulumwa kungatanthauze kuti padzakhala mipata yomwe anthu amafunira chisamaliro chochuluka.
Zambiri mwa mipatayi ndi zabwino kwambiri zodzazidwa ndi zipatala za STD zothandizidwa ndi anthu. Anthu sangagwiritse ntchito inshuwalansi kuti ayesedwe. Iwo sangakonde kukachezera madokotala awo kukamba za matenda. Koma adakali ndi malo oti apite kukasamalidwa.
> Zotsatira:
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> Mphatso TL, Haderxhanaj LT, Torrone EA, Behl AS, Romaguera RA, Leichliter JS. Kuyeza kukula ndi mtengo wa STD Prevention Services Safety Net. Pulogalamu ya Zaumoyo Pakati pa 2015 Nov-Dec; 130 (6): 602-9.
> Hoover KW, Parsell BW, Wachimwene JS, Habel MA, Tao G, Pearson WS, Mphatso ya TL. Kupitirizabe Kufunikira kwa Zipatala za Matenda Opatsirana pogonana Pambuyo pa Chithandizo Chachidwi Chokwanira. Am J Public Health. 2015 Nov; 105 Suppl 5: S690-5. lembani: 10.2105 / AJPH.2015.302839.
> Pathela P, Klingler EJ, Guerry SL, Bernstein KT, Kerani RP, Llata L, Mark HD, Tabidze I, Rietmeijer CA; Gulu la Ogwira Ntchito la SSUN. Zipatala zotenga matenda opatsirana pogonana monga zowonjezera chitetezo chowopsa: kuyang'anitsitsa udindo wa zipatala za matenda opatsirana pogonana pa nthawi ya kusintha kwa chisamaliro. Kugonana Kwadongosolo. 2015 May; 42 (5): 286-93. do: 10.1097 / OLQ.0000000000000255.
> Pearson WS, Cramer R, Tao G, Leichliter JS, Mphatso TL, Hoover KW. Kufunitsitsa Kugwiritsa Ntchito Inshuwalansi ya Umoyo pa Kliniki Yamagulu Opatsirana pogonana: A Survey of Patients at 21 Clinic US. Am J Public Health. 2016 Aug; 106 (8): 1511-3. lembani: 10.2105 / AJPH.2016.303263.