Ukungaphumeleli kweengso, i-Dialysis, i-Transplants, kunye nokunye
Iinjongo zinyama ezibambene ezihlala kwicala elingasemva kwesisu esisecaleni lomqolo. Banoxanduva lokucoca igazi, ukulinganisa i-electrolytes (umz., I-sodium, i-potassium), kunye nokukhupha umthamo ogqithiseleyo kunye nenkunkuma evela emzimbeni. Ngaphandle ubuncinane ubuncinane bezintso, awukwazi ukuhlala.
Kukho amaxesha apho iintso zakho zizabalazela ukusebenzela okusemandleni abo.
Ezi zintlupheko zingabangela umonakalo wokungcoliswa kwamanzi, ukunyanzeliswa kweekhemikhali, ukusuleleka , okanye nayiphina inamba yezixinzelelo. Kwiimeko ezininzi, iintso ziya kubuya xa ingxaki ephantsi ilungiswayo.
Kwezinye iimeko, unokubambelela kwiintsholongwane zexesha elide. Ingxelo yeSizwe soSifo sikashukela kunye neeNtsholongwane kunye neeNtsholongwane zeNtsholongwane ukuba i-14 ekhulwini yamaMerika inesifo esithile esingasasigxina sesifo , sisenza nge-V. Xa eso sifo sisifo esingasigxina (isigaba V), uya kufumana isifo se-renal sokugqibela (ESRD), oku kuthetha ukuba iintso zakho ziyahluleka. Ngaphandle kwe-dialysis okanye ukufakelwa komzimba, ubomi bakho bunobungozi.
Abantu abangama-660,000 e-United States bafumana i-ESRD abangaphezu kwama-468,000 kwi-dialysis kwaye malunga ne-190,00 abaphila ngokuguqula izintso. Abangaphezu kwama-93,000 baseMerika okwangoku balinde ukufakelwa kweengtso .
Ukufaneleka nokuBhalisa kwiMedare
Ukuba nesifo se-renal sokugqibela singakufanelekela kwi-Medicare.
Oku kunjalo nangona ungeneminyaka engama-65 ubudala. Ungacingi ukuba urhulumente unika. Kukho nezinye iikhrayitheriya ezifunekayo:
- Kumele ukwanelise iimfuno zokufaneleka kwiNkxaso- mboleko yoKhubazeka kweNtlalo okanye iNzuzo yeBhodi yeRhafu yeRhafu.
- Wena, umlingane wakho okanye umgcini wakho (ukuba ungumntu oxhomekeke kuye) kufuneka uhlawule ubuncinane ubuncinane bama-40 kwikota (10 iminyaka) yentlawulo yeerhafu kwi-Medicare noKhuseleko loLuntu.
Ngokungafani nabantu abanezinye iintlobo zokukhubazeka, akudingeki ukuba ulinde iinyanga ezingama-24 ngaphambi kokuba ulungele inkqubo. Kuyafana nabantu abane- amyotrophic lateral sclerosis (ALS) . Ngokukhawuleza ukuba iikhrayitheriya ezingentla zidibene, kufuneka ufake isicelo se-Medicare . Iintlawulo zakho zokukhawulela ziya kukhaba kwiinyanga ezintathu emva kokuba uqale unyango lwe-dialysis.
Xa Ukhona kwiDailysis
I-Dialysis ayikho enye ifayile ifana nayo yonke. Kholwa okanye cha, unokhetho. Unokufumana i-hemodialysis (i-dialysis esebenzisa isihlunu esenziwe ngumntu) okanye i-peritoneal dialysis (i-dialysis usebenzisa i-memitane ye-peritoneal esiswini sakho njengefayile). Unokufumana i-dialysis njengesigulana, njengesigulana, okanye ekhaya. I-Medicare inikezela ngolu hlobo lweendlela zokwenza unyango kodwa indlela ehlawulela ngayo inkonzo nganye iyahluka:
- I-Dialysis yokugula: I- dialysis engaphiliyo ithetha ukuba ungeniswa esibhedlele ukufumana unyango. Oku kunokwenzeka ukuba okokuqala uhamba nge-dialysis okanye ukuba i-dialysis iyadingeka ngokukhawuleza. Njengegulana, unonophelo lwakho luya kukhutshwa kwi- Medicare Part A. Oku kukunika uxanduva lokudityaniswa kwe-$ 1,316 kwizikolo zonke zokuhlala esibhedlele. Nawuphi na ugqirha onyamekelayo owufumana esibhedlele uya kukhutshwa kwi-Medicare Part B, efuna ukuba uhlawule i-20% ye-coinsurance yezo nkonzo.
- I-dialysis yokuphulukana nokugula: I- dialysis yokugula ingenziwa kwiklinikhi yokuchonga i-dialysis okanye kwi-Hospital hospitals-approved. Umahluko kukuba awuvunyelwanga esibhedlele njengesigulana. Iinkonzo zonyango zihlawulwa phantsi kwe- Medicare Part B. Oku kuthetha ukuba uza kuhlawula i-coinsurance ye-20 yepesenti nganye kwiseshoni nganye ye-dialysis. Oku kuya kubandakanya iimvavanyo zelabhoratri, unyango, kunye nokunakekelwa ngonyango kusetyenziswa unyango lwakho lwe-dialysis.
- I-Dialysis yaseKhaya: Ukufumana i-dialysis ekhaya (okanye naphi na into ekulungeleyo) inokuba yindlela ekhethwa kakhulu kwishedyuli-isilumko, kodwa ifikelele engozini . I-Medicare Part B ihlawula ukuqeqeshwa kwe-dialysis yasekhaya ukusuka kwisiza se-dialysis, ukuqeqeshwa kwakho kunye nabanakekeli abaza kubonelela nge-home dialysis, kunye ne-home dialyysis, izixhobo kunye neyeza. Uya kufunwa kwakhona ukuba ubone ugqirha osondayo ubuncinane kanye ngenyanga. Kwakhona, ushiywe ukuhlawula i-20% ye-coinsurance.
Uyakufuna ukucinga ukuba unyango oluninzi luyakukukhupha ngaphandle kwepokothini ngaphambi kokuba uzinikele kwelinye uhlobo lwe-dialysis kwenye.
Xa Ufumana I-Kidney Transplant
Ngokufana ne-dialysis yesifo, i-Medicare Part A iya kukugubungela ukufumana ukutshintshwa kwezintso . Oku kuya kufuna ukuba uhlawule i-$ 1,316 echithwayo kwisibhedlele ukuhlala kunye neepesenti ezingama-20 ezichithwe kwiinkonzo zonyango ezibuyiselwa phantsi kwe-Medicare Part B.
Yintoni ekhethekileyo malunga nokutshintshwa kweengtso kukuba i-Medicare iya kugubungela iindleko ezipheleleyo zokunyamekela umniki-mali ophilayo. Akunjalo wena okanye umnikeli uya kufuneka uhlawule ipenki enye ngaphandle kwesikhwama sokunyamekela kwabo, nokuba ngaba kukho iingxaki ezivela kwinkqubo .
Emva kokufumana ukutshintshwa kweengtso, kuya kufuneka ubeke kwiidakamizwa ze-immunosuppress ebomini bakho bonke. Ezi zi yobisi zifuneka ukukhusela umzimba wakho ukuba ungayinqabeli iimpso. I-Medicare iya kuhlawula la mayeza nje kuphela xa i-Medicare igubungela ukufakelwa kweengtso zakho (oko kukuthi, wawuse-Medicare Part A) kwaye nje kuphela ukuba uqhubeka no-Medicare Part B.
Ungalindeli ukuba unyango luya kukunyamekela emva kokuba usuqule iimpso, kodwa ubuncinane kungekudala. Baza kubonelela ngeenyanga ezingama-36 emva kokutshintshwa kweMedare. Emva koko, ukuba iinjongo zakho ezintsha zihlala zisebenza, awuyi kuphinda ufaneleke kwi-Medicare, kwaye uya kulahleka ukufikelela kwakho. Le yimeko nangona kufuneka uqhubeke nokunyangwa kwe-immunosuppressive.
Indlela yodwa inzuzo yakho iya kuqhubeka kukuba ukuba ukhona kwi-Medicare ngesinye isizathu, nokuba ngaba kukudala okanye enye ukukhubazeka .
ILizwi
Izifo zengqondo yinkinga ekhulayo kwilizwe lethu, ibeka ubomi obangaphezu kwama-600,000 aseMelika. Ukuqonda ukuba ngubani ophethe i-Medicare, xa kuqalwa ukuqala, kunye nokuba uza kulindela kangakanani ukuhlawulela ezo nkonzo inxalenye yecalazi. Yazi amalungelo akho kwaye ufumane uncedo olungcono ngexesha elifanelekileyo.
> Imithombo:
> Ingxelo Yonyaka Yengxelo 2016 - Isahluko 11: Iindleko zeMathementi zabantu abane-ESRD. I-United States yeReal Data Data website. https://www.usrds.org/2015/view/v2_11.aspx. Yashicilelwe ngo-2016.
> Ukuphela kweSigaba seNtsholongwane yeziNtsholongwane eMelika. Iwebhusayithi yeSizwe yeNtloko. https://www.kidney.org/news/newsroom/factsheets/End-Stage-Renal-Disease-in-the-US. Epapashwe ngoJanuwari 2016.
> Izibalo Zeengxaki Zengqondo Kwi-United States. Isizwe seSizwe seSifo sikashukela kunye ne-Digestive and Kidney Diseases website. https://www.niddk.nih.gov/ealth-information/health-statistics/Pages/kidney-disease-statistics-united-states.aspx. Kushicilelwe ngoDisemba 2016.
> I-Waitlist yokuLungiswa kweeNtshi - Into oyifunayo. Iwebhusayithi yeSizwe yeNtloko. https://www.kidney.org/atoz/content/transplant-waitlist. Ukuhlaziywa ngoFebruwari 10, 2017.
> I- Medicare Umlinganiselo weDinysis yeeNtliziyo kunye neeNkonzo zokuThuthwa kweeNtshu. Amasebe e-Medicare ne-Medicaid Services website. https://www.medicare.gov/Pubs/pdf/10128-Medicare-Coverage-ESRD.pdf. NgoMeyi 2016.