Kodi Momwe Mtima Wanu Amakuphimba Kapena Wakuphimba?

Matenda a mtima amakhalabe wakupha mmodzi wa Achimereka. Malingana ndi Centers for Disease Control and Prevention (CDC), munthu mmodzi pa anayi alionse amafa chifukwa cha mtundu wina wa matenda a mtima.

Anthu okwana 735,000 ali ndi matenda a mtima ndipo anthu 795,000 ali ndi chipsinjo chaka chilichonse.

Matenda a mtima, otsala osatembenuzidwa, akhoza kufooketsa kwambiri komanso imfa. Izi sizingowonjezera kuti mukhale ndi thanzi labwino, koma zimakupatsani ndalama. Kafukufuku wa CDC Foundation adawonetsa kuti ndalama zowonongeka za matenda a mtima zikhoza kufika madola 818 biliyoni chaka ndi 2030. Mukawonjezera zokolola zosokonekera ku kusakaniza, ndalamazo zikhoza kufika pa $ 1 triliyoni pachaka.

Ndikofunika kwambiri kuposa kale kuti atenge njira zothandizira matendawa ngati kuli kotheka. Kudya moyenera , kuchita masewera nthawi zonse , ndikusiya kusuta kungathandize, koma nthawi zina majini athu amayendetsa masewerowa. Kuwonetsetsa mwamsanga ndi mankhwala oyambirira kungathandize kuchepetsa mavuto a matendawa, mwinamwake ngakhale kuchiritsa. Pazifukwa izi, Medicare ili ndi mayeso ndi mayendedwe otsatirawa, ambiri a iwo kwaulere koma ena mwazifukwa zina.

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Medicare ndi Aneurysm Screening

Aneurysms amachepetsedwa m'madera omwe mumakhala mitsempha yomwe imapangitsa kuti afooke ndi kukulitsa. Kaya matendawa ali ndi ubongo, mtima, kapena mimba, akhoza kukhala owopsa ngati atatha. Kulira kwa aorta, chotengera cha magazi chomwe chimanyamula magazi kuchokera mu mtima kupita ku thupi, chingayambitse kutuluka kwa magazi mkati ndikufa mwamsanga.

Medicare imalipira kuyang'ana kwaulere kwa maimba a aborom a m'mimba , ngati dokotala wanu ali wopereka nawo mbali . Kuwonetseredwa kumaphimbidwa kokha ngati zikhalidwe zina zatha. Mwapadera, muyenera kukhala ndi mbiri ya banja ya aortic aneurysm kapena muyenera kukhala mwamuna pakati pa zaka 65 ndi 75 yemwe akusuta ndudu 100 kapena zambiri m'moyo wake. Wosuta fodya, ngakhale atasuta kwambiri kuposa mwamuna wake wamwamuna, sali woyenera kuwonetseredwa kwaulere anaurysm kupatula ngati ali ndi mbiri ya banja.

Kuwunika kumeneku kumachitika ndi njira yosavuta yosautsa yomwe imaperekedwa ndipo imaperekedwa kamodzi kokha pansi pa Medicare.

Mukhoza kukhala ndi moyo wamimba mtsogolo mtsogolo, koma Medicare salipira kuti muyang'ane kachiwiri, kupatula ngati mutakhala ndi zizindikiro.

Onetsetsani kuti Medicare simapereka kuwunikira kwaufulu kwa aneurysms m'madera ena a thupi (mwachitsanzo, mu ubongo) ngakhale pali mbiri yodziwika ya banja.

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Medicare ndi Kuyesedwa kwa Magazi

Mmodzi mwa anthu atatu ku America ali ndi kuthamanga kwa magazi, malinga ndi CDC. Mwamwayi, matenda oopsa kwambiri ndi omwe amachititsa kuti munthu azidwala matenda a mtima komanso kuti aphedwe. Izi zimapangitsa chiwerengero chachikulu cha anthu a ku America omwe ali pangozi.

Pali magawo osiyana a kuthamanga kwa magazi . Nambala yamagazi yapamwamba ndi systolic blood pressure, chiwerengero chochepa mphamvu yako ya diastolic. Pakati pa siteji yanu, mumakhala ndi chiopsezo chachikulu.

• Zachibadwa: Osakwana 120/80
• Pre-hypertension: 120 mpaka 139/80 mpaka 89
• Gawo 1 lachiwopsezo chachikulu: 140 mpaka 159/90 mpaka 99
• Gawo lachiwopsezo cha 2: Kuposa 160/100

Mwapangidwe kawerengedwe kapamwamba kwa systolic kapena diastolic magazi. Mwachitsanzo, ngati kuthamanga kwa magazi ndi 135/90, ndiwe gawo 1 ngakhale kuti systolic yako imayambitsa matenda.

Mwatsoka, matenda oopsa kwambiri ndi "wakupha mwakachetechete." Ambiri mwa anthu omwe ali nawo alibe kumva kuti akudwala. Popanda kufufuza bwinobwino, sakudziwa kuti ali pangozi, sakudziwa kuti asinthe moyo wawo, ndipo samayambanso kumwa mankhwala , ngati kuli kofunikira.

Kuwonetsetsa kwa magazi ndi uphungu ndi ufulu ngati gawo la kulandiridwa kwa Medicare ndi maulendo a pachaka . Izi zikuti, kuyang'anitsitsa kuthamanga kwa magazi nthawi zambiri kumaphatikizidwanso mu ofesi yanu. Dokotala wanu sangathe kukulipirani kuti muwonetsere.

Mungasankhe kufufuza momwe mumayendera magazi anu. Ma pharmacies nthawi zambiri amakhala ndi makina osokoneza magazi omwe mungagwiritse ntchito kapena mungathe kugula makapu anu.

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Medicare ndi Cholesterol Screening

Cholesterol nthawi zambiri amatenga rap yoipa, koma sitingathe kukhala popanda izo. Amapanga makoswe a selo iliyonse m'thupi, ndipo amagwiritsidwa ntchito popanga aldosterone yomwe imayendera mchere ndi madzi; bile yomwe imakuthandizani kudyetsa chakudya cha mafuta; cortisol yomwe imayendetsa shuga wanu wa magazi, imalimbitsa chitetezo chanu cha mthupi, ndipo imakuthandizani kulimbana ndi nkhawa; mahomoni monga estrogen, progesterone, ndi testosterone zomwe zimayambitsa chikhalidwe chanu cha kugonana; ndi vitamini D zomwe zimathandiza thupi la mnofu.

Vuto ndilokuti cholesterol chochuluka chingathe kuonjezera chiopsezo cha matenda a mtima, makamaka pamene amamanga m'mitsempha. Cholesterol chowonjezera chingapangitse kupanga mapuloteni , okhuta kwambiri, omwe angalepheretse magazi kudutsa m'mitsempha kapena yomwe ingathe kuphulika m'mitsempha, potsirizira pake kutseka mitsempha yaing'ono ya magazi pansi. Mwanjira iliyonse, magazi opatsirana mu ubongo kapena mtima angasokonezedwe, zomwe zimayambitsa matenda a mtima kapena kupwetekedwa.

Kusamalira cholesterol kwambiri ndikofunika kuti achepetse chiopsezo cha matenda a mtima.

Ichi ndichifukwa chake Medicare imaphatikizapo kuyang'anitsitsa kwa kolesitoloni kwaulere kamodzi pa zaka zisanu. Kumbukirani malingaliro ena alionse omwe adzatuluke mumatumba anu.

Izi sizikutanthauza kuti Medicare sichitha kulipiritsa kafukufuku wa kolesteroloni kawirikawiri. Ndizoti sizingakhale zomasuka. Ngati muli ndi matenda a mitsempha, cholesterol, kapena zifukwa zina zoopsa za matenda a mtima, dokotala wanu akhoza kulamula ntchito ya magazi nthawi zambiri kawiri pachaka. Pachifukwa ichi, mudzalipira ndalama zokwana 20 peresenti pa mayesero alionse.

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Kuchepetsa matenda ndi matenda a mtima

Chaka chino, anthu 525,000 a ku America adzapeza vuto lawo loyamba la mtima ndipo 210,000 omwe akhala nawo kale m'moyo wawo adzakhala nawo amodzi. Pa anthu 735,000, 370,000 adzafa.

Matenda a mtima amapezeka kwambiri ku United States. Zina mwa zifukwa zathu zoopsa za matenda a mitsempha sizingapeweke-zaka (zaka 65 kapena kuposerapo), amuna (amuna), ndi mtundu (Amwenye Achimereka, Amwenye a Alaska, ndi Pacific Island ali pa chiopsezo chachikulu). Zina mwazidzidzidzi ndizo, pansi pathu, pansi pathu.

Pazifukwa zosinthikazi, CDC imanena kuti pafupifupi theka la Achimereka ali ndi chimodzi mwa zifukwa zitatu zazikulu za matenda a mtima. *

• Mowa umagwiritsidwa ntchito mopitirira muyeso
• Kuthamanga kwa magazi *
• Mitsempha yapamwamba yamagazi *
• Matenda a shuga
• Mbiri ya banja ya matenda oyambirira a mtima
• Zakudya zoperewera
• Moyo wosadetsedwa (kusagwira ntchito)
• Kusuta *
• Kunenepa (kunenepa kwambiri kapena kunenepa)

Ngati muli ndi zifukwa ziwiri kapena zingapo, zingakhale zovuta kuti mukhale ndi vuto la mtima.

Kuyeza kupanikizika kwa mtima ndi njira imodzi yowonetsera matenda a mtima. Kufufuza kumeneku, mtima wanu ukuyang'anitsitsa pamene muthamanga kapena kuyenda pamtunda kapena ngati simungathe kutero, mankhwala amathandizidwa kuti muyese momwe mtima wanu ungayankhire kuchita masewera olimbitsa thupi. Kusintha kwa mtima wanu musanayambe ndi kuchita masewera olimbitsa thupi kungakhale chizindikiro chakuti pali mitsempha mu mitsempha yomwe imadyetsa mtima wanu.

Mtimawo umafufuzidwa mwa njira ya electrocardiogram (EKG), echocardiogram (ultrasound of the heart), kapena kujambula kwa nyukiliya kumene zithunzi za mtima wanu zimatengedwa mutayikidwa ndi radioactive tracer.

Kuyesedwa kosavomerezeka kumafuna kutsatiridwa ndi kuyesetseratu kweniyeni, catheterization ya mtima . Mayesowa amachitidwa ndi katswiri wamagetsi amene amaika catheter mu mitsempha yayikuru ndikuwatsogolera mumtima mwanu. Dayi amatulutsidwa mumtima kuti ayang'ane mitsempha yowonongeka. Mphuno ikhoza kuikidwa panthawi ya catheterization kutsegulira ndi kuteteza mitundu yina ya ma blockages.

Popanda zizindikiro, Medicare salipira chifukwa cha kuyesedwa kwa mtima. Mwachidule, mayesero awa sachitidwa kuti awonetsere.

Medicare imayambitsa kuyesedwa kwa mtima kwa mtima ndi catheterization ya mtima kwa anthu omwe adziwa matenda a mtima komanso anthu omwe akuganiza kuti ali ndi matenda a mtima chifukwa cha zizindikiro (kupweteka pachifuwa, kupuma pang'ono, ndi zina zotero). Mayeserowa ali pansi pa Gawo B, ndikukusiya kulipira ndalama zokwana 20 peresenti.

Mawu Ochokera

Kuopsa kwa matenda a mtima kumakula pamene tikulamba, mosasamala za chikhalidwe kapena chikhalidwe. Pa chifukwa chimenechi, n'zosadabwitsa kuti Medicare, wamkulu wothandizira inshuwalansi okalamba a ku America, akuphatikizapo kufotokozera ndikuletsa matenda a mtima. Kupititsa patsogolo mwamsanga kumalola dokotala wanu kuti akuphunzitseni za kusintha kwa moyo wanu ndi kukupatsani mankhwala, ndikuyembekeza kuti mavuto asanakhalepo ngati matenda a mtima ndi kusinthasintha. Kuwonetsetsa kwa odwala, kuthamanga kwa magazi, kutsegula kwa kolesterol, ndi mayesero a mtima wamaganizo onse ali pa ndondomeko ya Medicare, koma sizikutanthawuza kuti zimaphimbidwa nthawi zonse. Kumvetsetsa zomwe Medicare amachita ndipo sizikuphimbirako ndipo zikaziphimba, kuti musagwidwe ndi bilo losadalirika.

> Zotsatira:

> Matenda a Mtima ndi Stroke Amawononga America Pafupifupi $ 1 Biliyoni Pa Tsiku Muzochita Zamankhwala, Kutayika Kwambiri. Webusaiti ya CDC Foundation. Chiwongoladzanja Lofalitsidwa pa April 29, 2015.

> Matenda a Mtima. Maofesi a Webusaiti Yowononga ndi Kuteteza Matenda. https://www.cdc.gov/heartdisease/facts.htm. Idasinthidwa pa August 24, 2017.

> Kuthamanga Kwambiri kwa Magazi Mfundo. Maofesi a Webusaiti Yowononga ndi Kuteteza Matenda. https://www.cdc.gov/bloodpressure/facts.htm. Kusinthidwa November 30, 2016.

> Lipoti lachisanu ndi chiwiri la Komiti Yachiwiri Yothandizira Kuteteza, Kuzindikira, Kuunika, ndi Kuchiza Mankhwala Opatsirana Ambiri: Lipoti la JNC 7. JAMA. 2003 May 21; 289 (19): 2560-72. lembani: 10.1001 / jama.289.19.2573

> Mfundo za Stroke. Maofesi a Webusaiti Yowononga ndi Kuteteza Matenda. https://www.cdc.gov/stroke/facts.htm. Kusinthidwa pa September 6, 2017.