Isifo sikashukela yinkinga ekhula eUnited States. Ngokutsho kwamaZiko okuLawulwa kweNtsholongwane kunye nokuKhusela, abantu abangaphezu kwezigidi ezingama-29 baseMelika abanesifo sikashukela kunye nezigidi ezili-86 babenesifo sikashukela ngo-2012. Inani liyaqhubeka likhula kwaye kunye neengxaki zezokwelapha eziza nazo.
Isifo sikashukela sinxulumene nesifo seso (retinopathy), isifo senhliziyo ( isifo se-coronary disease ), isifo sesifo ( nephropathy ), kunye nesifo se-nerve ( neuropathy ).
Iirhafu zezibhedlele zokuhlaselwa yintliziyo kunye nokushaywa yintlungu yi-1.8 kunye nezihlandlo ezi-1.5 eziphakamileyo kubantu abanesifo sikashukela kunabo abangenalo mqathango.
Esi sifo sithengisa iMelika, kunye neMedareri, kungekhona kuphela kwimpilo kunye nomgangatho wobomi kodwa kwiidola kunye neentente. Kuqikelelwa ukuba iindleko zonyango ezithe ngqo kwiimeko zifikelela kwi-176 yezigidigidi zeebhiliyoni kunye nokunciphisa umkhiqizo ubuninzi beeRandi ezingama-69 ezigidi ezingama-2013 ngo-2013 kuphela.
Ingakanani isifo sikashukela esikuxabayo?
I-Medicare Screening yeSifo sikashukela
I-Medicare ifaka i-diabetes ukukhankanya ngaphandle kwentlawulo kubantu abasengozini yimeko. Ukuvavanywa kwimeko kungabandakanya ukulinganisa i- glucose measurement, uvavanyo olulula lwegazi oluhlola ukuba ushukela useliphi igazi emva kweeyure eziyi-8 ukuya kwezi-12 zokuzila. Ezinye iinketho ziquka uvavanyo lwe- glucose ukunyamezela , owenza amanyathelo akho kwizinga leshukela legazi ngaphambi nangemva komngeni we-glucose. Uvavanyo lwe-hemoglobin A1c luyindlela enye kwaye lubonisa ukuba ungakanani ushukela wegazi phakathi kweenyanga ezintathu.
Unelungelo lokuhlola iimvavanyo zesifo sikashukela nganye kwiinyanga ezili-12 ukuba unenye yezinto ezilandelayo:
- I-Dyslipidemia (i-cholesterol ephezulu)
- Ukunganyameli kwe-glucose (imbali yokufundwa kweshukela ephezulu)
- Uxinzelelo oluphezulu (uxinzelelo lwegazi oluphezulu)
- Ubukhulu (ubunzima bomzimba obunama-30 okanye ngaphezulu)
Ngaphandle koko, unokufumana isifo sikashukela ngokuphindwe kabini ngonyaka ukuba ubuncinane ubuncinane kwezi zilandelayo zilandelayo:
- 65 okanye ngaphezulu
- Imbali yentsapho yesifo sikashukela kwisihlobo esisekuqaleni (abazali, abazalwana, odade)
- Isifo sikashukela sesifo sikashukela (isifo sikashukela ngexesha lokukhulelwa) okanye ukuhambisa umntwana osisigidi sama-9 okanye ngaphezulu
- Ukugqithisa umzimba (isisombululo somzimba phakathi kwe-25 no-30)
Ukuba uye wafumanisa ukuba unesifo seswekile, oko kuthetha ukuba iishukela zegazi lakho ziphezulu kunezinto eziqhelekileyo kodwa ezingenakuphakanyiswa ukuba zihlulwe njengesifo sikashukela, i-Medicare iya kubhekisela iimvavanyo ezimbini zokuhlola i-diabetes ngamnye ngonyaka.
I-Medicare Coverage of Diabetic Supplies
Umboneleli wakho wezempilo unokufuna ukuba uqaphele ushukela wegazi xa ufumene ukuba unesifo sikashukela. Oku kungenjalo nokuba uthatha imithi yomlomo okanye i- insulin ukulawula ushukela wegazi. Ezi zinto zilandelayo zifunyenwe yinzuzo ye - Medicare Part B kwaye ziya kukuvumela ukuba uvavanye i-sugar sugar ngokufanelekileyo. Uya kuhlawula i-inshurensi ye-20 ye-co-inshurensi kule miqathango ngelixesha eliqhelekileyo, i-glucometers inokunikezwa ngehhafu.
- Abagadi beglucose
- Izicwangciso zokulawula
- Lancets
- Iimpawu zokuvavanya
Izicathulo ezikhethekileyo zonyango kunye nokufakwa kungabhekiswa kanye ngonyaka nge-Medicare Part B kulabo abanesifo sesifo sikashukela kunye nesifo seenyawo ezinxulumene. Ezi zihlangu zibiza i-inshurensi ye-20 ye-inshorensi kwaye ifuna imithi evela kumgqirha ogunyazisiweyo kaGawulayo.
Akunjalo kuphela kodwa umthengisi wezonyango zezi zicathulo kufuneka abe nekhontrakthi kunye neprogram ye-Medicare. Ukuze kuqinisekiswe iziphumo ezigqwesileyo, u-Medicare uhlawula ukufaneleka ngokufanelekileyo kwezi zihlangu kunye / okanye ukufakwa.
Kwabo bafuna i-insulin, izixhobo ezongezelelweyo kunye neempahla zifunekayo ukulawula izilwanyana. Oku kubandakanya:
- Utywala utshiza
- Gauze pads
- Ipululini ye-insulin
- Izilwanyana
- Iingcring
Ngaphandle kwepompo ye-insulin, ehlanganiswa njengezixhobo zonyango ezihlala phantsi kwe-Medicare Part B, ezi zinto kufuneka zifakwe kwisiCwangciso seNzululwazi D. Isicwangciso sakho seNyango ye-Medicare iya kuguba amayeza, kuquka i-insulin, ukunyanga isifo sikashukela ngokude nje kwisicwangciso sakho seyeza.
Inkokhelo yoqhagamshelwano okanye i-inshurensi yoqhagamshelwano iya kusebenza.
Ulawulo lwe-Medicare yeSifo sikashukela
Ukuba unesifo sikashukela, umboneleli wakho wezempilo uya kufuna ukuthatha nawaphi na amanyathelo okuyimfuneko ukuyeka iingxaki ekuphuhliseni. Ngaphandle kokubeka esweni iswekile yegazi, ukucacisa amayeza kunye nokwenza iimviwo eziqhelekileyo, kunokufuna ukukuthumela ukuba ubone ezinye iingcali.
- I-Nephrologist (ugqirha wengqondo): Abantu abaneengxaki zeengxaki zesifo sikashukela bangabonwa ngesazi se-nephrologist ukuba banethemba lokukhawuleza okanye ukuthintela ukuqhubela phambili kwesi sifo. Ubume beevandlakanyi ziya kuxhomekeka kwi-nephropathy kwaye kuza kukuhlawula i-inshurensi ye-20 ye-inshurensi nganye.
- Isondlo sokutya: Wonke umntu onesifo sikashukela kufuneka anikwe isiluleko esisodwa kwisinye isiluleko sokutya okunomsoco kunye neengcali zesondlo. Ukutyelelwa kokuqala kunye nokuvavanya ukulandelelana akukho nto xa ugqirha wakho wamkela isabelo .
- I-ophthalmologist (ugqirha weziliso): Ukuba sele esele umntu unesifo sikashukela, uphakamileyo ubungozi bokuhlaziya i-retinopathy. I-retinopathy ikubeka engozini yokunciphisa umbono kunye neemeko ezinzima, ukungaboni . Lindela ukuhlawula i-inshurensi engama-20 ye-inshurensi ye-Medicare ukukhupha isicetywayo kanye nokuhlolwa kwamehlo enyaka.
- I-Podiatrist (ugqirha weenyawo): Abantu abaneesifo sikashukela kodwa ngokukodwa abo abanesifo sikashukela esinxulumene nesifo sikashukela kwiinyawo zabo banelungelo lokuvavanywa ngumgqwesa okanye abanye abaqeqeshiweyo abaqeqeshiweyo kabini ngonyaka. Unyawo lugqirha luza kubeka iliso kwiinguqulelo zentlupheko kunye nokunciphisa ukuhamba kwegazi kwiinyawo ezinokubeka ingozi kwizilonda zesilonda kunye nezinye iingxaki .
Iiklasi zeqela zinganikwa kwakhona ngesifo sikashukela uqeqesho lokuzilawula nokuzilawula. Ezi nkonzo zolawulo ezizimeleyo zifakwe kumntu osandul 'ukufumana isifo sikashukela kodwa sele efumanekayo nakubani na umntu osengozini yeengxaki ezivela kwisifo. Ngonyaka wokuqala weenkonzo, i-Medicare iya kufikelela kwiiyure ezili-10 zoqeqesho lozimeleyo (1 iyure kwiseshoni enye kunye kunye neeyure eziyi-9 kwiiseshoni zeqela). Kwiminyaka elandelayo (ukuqala ubuncinane omnye unyaka wekhalenda emva koqeqesho lwakho lokuqala), i-Medicare iya kubakho iiyure ezongezelelweyo zokuqeqeshwa ngunyaka ngamnye ngexesha loqeqesho luqhutyelwa kwiiseshoni zeqela ubuncinane ubuncinane obunemizuzu engama-30 kwaye kubandakanya abantu aba-2 ukuya kwe-20 nganye . Ukuphuma kwipokothini, iseshoni nganye iya kuhlawula i-inshurensi yama-20 e-inshurensi.
I-Medicare Injongo yokukhusela isifo sikashukela
Amaziko e-Medicare kunye neeNkonzo zeMedicaid zenza ukukhusela isifo sikashukela kuqala. I-$ 11.8 yezigidi eziye zahlawulwa yi-Care Affordable Act zachithwa inkqubo yovavanyo kunye neNational Council of Young Men's Christian Associations of the United States of America (YMCA) ngo-2011. Injongo yayikukunceda utshintsho lwexesha elide olukhuthaza ukutya okunempilo kunye nomsebenzi okwenziwe rhoqo. Iziphumo zokuqhubela phambili zazingummangaliso kangangokuba ngoku ziphunyezwa njengeNkqubo yoKhusela iSifo sikashukela kwilizwe lonke ngo-2018.
Uphononongo oluthatywayo lubonise ukulahleka kwe-5% ye-Medicare abathathi-nxaxheba abasengozini yesifo sikashukela kunye nokunciphisa iindleko zempilo kulaba baxhamli nge-$ 2,650 kwiinyanga ezili-15. Ukubonakaliswa kwexesha elifutshane lokubonisa ukuba inkqubo iya kuhlawula ngokwayo. Eyona nto ingcono, inokulondoloza idola enkulu kwi-Medicare ngexesha elide. Impilo yesizwe inokufumana inzuzo kule ndlela elula yokukhusela.
> Imithombo:
> Umbiko weSizwe weeNkcukacha zeSwekile ka-2014. Amaziko okuLawulwa kweNtsholongwane kunye noThintelo lweSifo. http://www.cdc.gov/diabetes/data/statistics/2014StatisticsReport.html.
> Inkqubo yeMathenda: Iingxelo kwiiNkqubo zeNtlawulo phantsi kweShedyuli yoTywala yeMatriki kunye nezinye iziPhicotho kwiNgxenye B yeCY 2017. Iziko ze-website yokuLawula nokuVimbela iwebhusayithi. https://www.federalregister.gov/documents/2016/11/15/2016-26668/medicare-program-revisions-to-payment-policies-under-the-factory-fe-ch-----visions.
> Ubume beNkcazo yeeMveliso eziNgcacisiweyo zeNtsholongwane kunye neNkonzo. Amasebe e-Medicare ne-Medicaid Services website. https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/se0738.pdf.
> Izibalo malunga neSifo sikashukela. Website ye-American Diabetes Association. http://www.diabetes.org/diabetes-basics/statistics/.