Kulephera kwa Impso, Dialysis, Transplant, ndi Zambiri
Impso ndi ziwalo zolimbirana zomwe ziri kumbuyo kwa mimba kumbali zonse za msana. Iwo ali ndi udindo wonyenga magazi, kusinthanitsa electrolytes (mwachitsanzo, sodium, potaziyamu), ndi kuchotsa madzi ochulukirapo ndi zowonongeka kuchokera ku thupi. Popanda impso imodzi yogwira ntchito, simungathe kukhala ndi moyo.
Pakhoza kukhala nthawi pamene impso zanu zimayesetsa kugwira ntchito mwakukhoza kwawo.
Zowonongeka izi zingakhale zotsatira za kutaya madzi kwa madzi, kuwonetsetsa kwa mankhwala, matenda , kapena nambala iliyonse ya zopanikizika. Kawirikawiri, impso zidzatha ngati vutoli likukonzedwa.
Nthawi zina mungathe kukhala ndi matenda a impso yaitali. Ndipotu, National Institute of Diabetes and Digestive and Kidney Diseases lipoti kuti 14 peresenti ya anthu a ku America ali ndi matenda ena a impso , ndikuyesa I kupyolera V. Ngati matenda aakulu a imfine akuyipa (siteji V), mudzapezeka ndi matenda opatsirana pogonana (ESRD), kutanthauza kuti impso zanu zikulephera. Popanda dialysis kapena kuika thupi, moyo wanu uli pangozi.
Anthu pafupifupi 660,000 ku United States akudwala ESRD ndi oposa 468,000 pa dialysis ndipo pafupifupi 190,00 okhala ndi matenda opatsirana pogwiritsa ntchito impso. Panopa anthu oposa 93,000 a ku America akuyembekezera kupsyinjika kwa impso .
Kuyenerera ndi Kulembetsa ku Medicare
Kukhala ndi matenda otchedwa renal disease kungakupatseni mankhwala a Medicare.
Iyi ndiyo vuto ngakhale mutakhalabe ndi zaka 65. Musaganize kuti boma likupereka. Palinso zina zomwe ziyenera kukumana:
- Muyenera kukhutiritsa zofunikira za inshuwalansi za Social Security Disability Board kapena zopindulitsa za Board Retreat Board.
- Inu, mkazi wanu, kapena mdindo wanu (ngati ndinu wodalirika) muyenera kuti munalipira kale zaka 40 (10) za msonkho kwa Medicare ndi Social Security.
Mosiyana ndi anthu omwe ali ndi zilema zina, simukuyenera kudikira miyezi 24 musanalandire pulogalamuyi. Zomwezo zimapita kwa anthu omwe ali ndi amyotrophic lateral sclerosis (ALS) . Mukangomaliza kumene, muyenera kugwiritsa ntchito Medicare . Zopindulitsa zanu zidzakankhidwa patatha miyezi itatu mutayamba kulandira chithandizo cha dialysis.
Pamene Muli pa Dialysis
Dialysis si kukula kwake kamodzi kokwanira. Khulupirirani kapena ayi, muli ndi zosankha. Mukhoza kulandira hemodialysis (dialysis pogwiritsa ntchito fyuluta yopangidwa ndi anthu) kapena peritoneal dialysis (dialysis pogwiritsa ntchito membrane m'mimba mwanu monga fyuluta). Mutha kulandira dialysis ngati wodwala, monga wodwalayo, kapena kunyumba. Medicare imapereka chithandizo cha njira iliyonse ya mankhwalawa koma momwe zimakhalira pa ntchito iliyonse ikusiyana:
- Inpatient Dialysis: Inpatient dialysis amatanthauza kuti mumaloledwa kupita kuchipatala kukapatsidwa chithandizo. Izi zikhoza kukhala choncho nthawi yoyamba yomwe mukudwala dialysis kapena ngati dialysis ikufunika nthawi yomweyo. Monga wachilombo, chisamaliro chanu chidzaperekedwa kwa Medicare Part A. Izi zimakupangitsani kuti mukhale ndi ndalama zokwana madola 1,316 pa chipatala chilichonse. Dokotala wina yemwe amakusamalirani kuchipatala adzalandiridwa ku Medicare Part B, ndikukufunsani kuti mupereke ndalama zokwanira 20 peresenti kwa mautumikiwa.
- Outpatient Dialysis: Odwala matenda opatsirana odwala matenda opatsirana opaleshoni akhoza kuchitidwa kuchipatala chovomerezeka cha dialysis kapena ngakhale kuchipatala chovomerezedwa ndi Medicare. Kusiyanitsa ndiko kuti simukuloledwa kuchipatala ngati munthu wosachiritsika. Mapulogalamu opatsirana opatsirana amaperekedwa pansi pa Medicare Part B. Izi zikutanthauza kuti mudzalipira ndalama zokwana 20 peresenti pa gawo lililonse la dialysis. Izi ziphatikizapo mayeso a ma laboratory, mankhwala, ndi chisamaliro cha udokotala chomwe chimagwiritsidwa ntchito pa chithandizo cha dialysis.
- Dialysis Yathu: Kupeza dialysis kunyumba (kapena kulikonse kumene kuli koyenera) kungakhale njira yosangalatsa kwambiri yolemba nthawi, koma imabweretsa mavuto . Medicare Part B ikupereka maphunziro a dialysis kuchokera ku dialysis, kukuphunzitsani inu ndi osamalira omwe angapereke dialysis kunyumba, komanso zipangizo za kunyumba, dialysis, ndi mankhwala. Mudzafunikanso kuwona dokotala woyang'anira kamodzi pamwezi. Apanso, iwe umasiyidwa kulipira ndalama zokwana 20 peresenti.
Mudzafuna kuganizira momwe mankhwala ena amakupangidwira kuchokera mumthumba musanadzipereke ku dialysis imodzi pa wina.
Mukapeza Impso
Mofanana ndi inpatient dialysis, Medicare Part A ikukuphimbirani kuti mulandire impso . Izi zidzafuna kuti muthe kulipira madola 1,316 a chipatala komanso peresenti 20 podulidwa kwa madokotala omwe amabwezedwa pansi pa Medicare Part B.
Chomwe chiri chosiyana kwambiri ndi kusintha kwa impso ndikuti Medicare idzatetezeranso ndalama zonse za chisamaliro cha moyo wopereka. Palibe inu kapena wothandizirayo amene mukuyenera kulipira khola limodzi mu thumba la chisamaliro chawo, ngakhale ngati pali zovuta kuchokera mu ndondomekoyi .
Mukapeza kupsyinjika kwa impso, muyenera kuvala mankhwala osokoneza bongo chifukwa cha moyo wanu wonse. Mankhwalawa amafunika kuti thupi lanu lisakane impso. Medicare amalipira mankhwalawa ngati Medicare inaphimba impso zako (ie, iwe unali pa Medicare Part A) ndipo malinga ngati mukupitiriza kukhala ndi Medicare Part B.
Musaganize kuti Medicare idzakusamalirani mukatha kupatsirana impso, komatu osati kwa nthawi yayitali. Adzapereka chithandizo kwa miyezi 36 pambuyo pa kuikidwa kwa Medicare. Pambuyo pake, ngati impso yanu yatsopano ikugwirabe ntchito, simudzakhalanso oyenera ku Medicare, ndipo mudzatayika. Izi ndizofunikira ngakhale kuti mukufunika kupitirizabe kuchipatala.
Njira yokhayo phindu lanu lidzapitirire ngati muli pa Medicare chifukwa china, kaya ndi zaka kapena zolemala zina .
Mawu Ochokera
Matenda a impso ndi vuto lalikulu m'dziko lathu, kupha miyoyo ya anthu oposa 600,000 a ku America. Kumvetsetsa yemwe Medicare akuphimba, pamene kufalitsa kumayambira, ndi kuchuluka kwa zomwe mudzayembekezere kulipilira mautumiki amenewo ndi gawo la puzzles. Dziwani ufulu wanu ndikusamalira bwino pa nthawi yoyenera.
> Zotsatira:
> Annual Report Report 2016 - Chaputala 11: Zolemba za Medicare kwa Anthu Omwe ali ndi ESRD. Webusaiti ya Renal Data System ya United States. https://www.usrds.org/2015/view/v2_11.aspx. Lofalitsidwa 2016.
> Mapeto a Matenda a Matenda Odzipha ku United States. Webusaiti ya National Kidney Foundation. Chiwongola dzanja Lofalitsidwa mu January 2016.
> Matenda a Impso ku United States. National Institute of Diabetes ndi Digestive and Kidney Diseases website. https://www.niddk.nih.gov/health-information/health-statistics/Pages/kidney-disease-statistics-united-states.aspx. Lofalitsidwa December 2016.
> Impsolo Yokwimitsa Impso - Chimene Mukuyenera Kudziwa. Webusaiti ya National Kidney Foundation. https://www.kidney.org/atoz/content/transplant-waitlist. Idasinthidwa pa February 10, 2017.
> Mankhwala a Dialysis ya Impso ndi Zipangizo Zokonzanso za Impso. Maofesi a webusaiti ya Medicare ndi Medicaid Services. https://www.medicare.gov/Pubs/pdf/10128-Medicare-Coverage-ESRD.pdf. Kukonzedwanso kwa May 2016.