Kuchepetsa Zopuma kuchokera ku Inshuwalansi kupita ku Medicaid
Kusuta ndi chinthu chomwe chingalepheretse anthu omwe ali ndi kachirombo ka HIV m'mayiko otukuka. Ndipotu, 42 peresenti ya anthu omwe ali ndi kachilombo ka HIV masiku ano amadziwika kuti ndi omwe amasuta fodya, mobwerezabwereza.
Ziwerengero izi zikuwunikira kufunikira kochita zowonjezereka, kumene anthu omwe amapezeka kumene ali ndi kachilombo ka HIV akuyang'anitsitsa ntchito yogwiritsira ntchito fodya ndipo amapereka zida zothetsera malingana ndi zovuta za anthu, zachuma, za maganizo, ndi zachipatala za HIV.
Kuphatikiza Kusuta Kusuta mu HIV Kusamalira
Kuyambira kale mpaka m'ma 1980, kafukufuku wasonyeza kuti kulimbikitsa kusuta fodya kumapeto kwa chisamaliro chachikulu cha HIV . N'zomvetsa chisoni kuti ntchitoyi yatha, ndipo osachepera 50 peresenti ya chithandizo cha kachilombo ka HIV amapereka odwala kusuta mapulogalamu kapena kutumizira, malinga ndi deta kuchokera ku Dipatimenti Yachiwawa ya ku America.
Komabe, pakhala zaka zambiri posachedwapa kuti pakhale mgwirizano pakati pa opereka chithandizo, zomwe zikulimbikitsanso kuti:
- Kupereka odwala kuti adziŵe za kuopsa kwa HIV ndi kusuta fodya , kuphatikizapo matenda monga mtima, khansara yamapapo , ndi matenda osokoneza bongo (COPD).
- Kulamulira awiri kusuta kutseka mankhwala pamodzi ndi uphungu wokhazikika ndi kutsata.
- Kutchula odwala kwa akatswiri (mwachitsanzo, opereka chithandizo chamaganizo, mapulogalamu osokoneza bongo, ogwira ntchito, ogwira ntchito, magulu othandizira ), monga pakufunikira.
- Kukonzanso mobwerezabwereza kusuta fodya mankhwala pambuyo pobwezeretsedwa. Kafukufuku wasonyeza kuti osuta amayesa kusiya zisanu kapena kasanu ndi kawiri, pamwambidwe, asanayambe bwino. Kuwongolera ndikupitiriza kuthandizira kumawoneka kuti ndizofunikira pakuzindikiritsa (ndikuyang'ana) kusuta fodya.
Pakalipano, magulu ena akufufuza momwe angapangire njira yowonjezera.
Mu kafukufuku wina wophunzitsidwa ku yunivesite ya Texas, ofufuza adawonetsa kuti nicotine replacement therapy (NRT), yomwe imagwiritsidwa ntchito palimodzi ndi uphungu wa foni yam'manja, yowonjezera kudziletsa kwa anthu omwe ali ndi kachilombo ka HIV pafupifupi 400 peresenti ku NRT yachikhalidwe, yosagwiridwa.
Kusuta Kuchepetsa Zosankha Pansi pa Zomwe Mungakwanitse Care Act
Pansi pa Chithandizo Chachidwi Chachidwi (ACA) , inshuwalansi yapadera yomwe idakhazikitsidwa pambuyo pa March 23, 2010 iyenera kuphatikizapo mwayi wopereka chithandizo chamankhwala chopanda chithandizo, kuphatikizapo fodya kugwiritsa ntchito kufufuza anthu akuluakulu komanso kusuta fodya kwa ogwiritsa ntchito fodya. Mofananamo, kufalikira kwa Medicaid kumapindulitsa tsopano kumapangitsa kuti kusuta kusamalire kwa anthu onse akuluakulu (momwe zimapindulitsa muzinthu zina zinali zochepa kwa amayi apakati okha).
Kuwonongeka kwa kufotokoza ndi wopereka ndiko:
- Medicaid - Kuwonjezeka kwa kusuta fodya kwa akuluakulu onse ku US kumakhala bwino pa January 1, 2013. ACA imapereka mwayi woyenera wa Medicaid kwa akulu onse opeza ndalama.
- Mankhwalawa - Mankhwala a nthenda yotchedwa Nicotine nasal spray, nicotine inhaler, bupropion ndi varenicline, komanso uphungu wina aliyense, pakuti awiri ayesedwa pachaka. Kutsekera kwa Medicare Part D "dzenje loperekera" limapangitsanso mankhwala omwe angakhale otsika mtengo kwambiri kwa ndalama zongotuluka.
- Kusinthanitsa kwa Inshuwalansi ya Zaumoyo za Boma - Ndikufuna zolinga zonse zofunikira Zopindulitsa Zaumoyo Zofunikira, kuphatikizapo kusuta fodya (ngakhale zopindulitsa zingasinthe mwa dongosolo ndi / kapena wopereka).
- Wogwira Ntchito-Wothandizira Inshuwalansi - Amafunikanso kufalitsa ntchito zonse zothandizira kupatsidwa mwayi wa "A" kapena "B" ndi bungwe la US Preventive Services Task Force, kuphatikizapo kusuta fodya (ngakhale zopindulitsa zikhoza kusiyana ndi dongosolo ndi / kapena wopereka).
Kuti muphunzire zambiri za kuyenerera kapena kupeza mankhwala, funsani 1-800-QUIT-NOW (1-800-784-8669) kuti mugwirizane ndi adiresi yanu yapamwamba m'dera lanu. Nyuzipepala ya National Cancer Institute imaperekanso mauthenga a LiveHelp omwe amapezeka nthawi yomweyo (mu Chingerezi) kuyambira 8:00 am mpaka 8:00 pm EST.
Zotsatira:
Zachigawo za US za Kuletsa ndi Kupewa Matenda (CDC). "Kusuta fodya pakati pa anthu akuluakulu - United States, 2011." Kuipa ndi Kufa Sabata Lamlungu (MMWR). November 9, 2012; 61 (44): 889-994.
Mdodo, R .; Frazier, E .; Mattson, C .; et al. "Kusuta fodya pakati pa anthu akuluakulu a HIV / akuluakulu akusamalira: Ntchito Yowunika Zamankhwala, US, 2009." Msonkhano wa 20 pa za Retroviruses ndi Matenda Opondereza (CROI 2013). Atlanta, Georgia; March 3-6, 2013: Zosintha 775.
Hughes, J. "Mankhwala atsopano chifukwa cha kusuta fodya." CA: Khansa Journal for Clinicians. May-June 2000; 50 (3): 143-145.
Vidrine, D .; Arduino, R .; Lazev, A .; et al. "Kuyesedwa kwapadera kwa foni yamagetsi yothandiza anthu osuta fodya omwe ali ndi HIV / AIDS." AIDS. January 9, 2006; 20 (2): 253-260.
Association of Lung America. " Kuthandiza Osuta Kusuta - Kusuta Fodya Kuchiza : N'chiyani Chophimbidwa?" Washington, DC; 2012.