Varwere Kuwana Mari Yavo Vanokosha Here?
Kana iwe uine kurwadziwa shure , iwe uri muzhinji. Inofanirwa kusiyana, asi inenge 60 kusvika ku80% isu tichawana zvishoma marwadzo ekudzokera shure pane imwe nguva muupenyu hwedu. Muna 2007 chete, vanenge vane mamiriyoni makumi maviri nemaviri eUnited States vane makore gumi nemana kana kupfuura (11% yevanhu vakuru vose) vakarondedzera kuva nemarwadzo ekurwadziwa, maererano neSangano reEalthcare Research uye Quality. Vanenge 70% yevanhu ava - 19.1 mamiriyoni - vakatsvaga kurapwa nachiremba , sangano rinoti.
Inotaurawo kuti vamwe vakadzi (10.9 mamiriyoni) vakagamuchira kurapwa kwemarwadzo avo shure shure kwevanhu (8.2 mamiriyoni).
Kuwedzera kwehutano hwehutambudzo hunorwadza hunogona kubva pamusana mutsara uye marwadzo anokonzerwa nehupenyu hwehupenyu hunochinja uye hunogona kunge hunouraya hunokonzera murwere wemusana. Mashoko akanaka ndeokuti nguva yakawanda, kurwadziwa shure kunogona kubudirira (zvichida zvishoma kana kuti zvakakwana) zvakataurirwa nekurovedza muviri , kurapa kwakachengetedza, uye mamwe maitiro ekurapa .
Risk Factors
Dambudziko rekudzokera shure rinogona kuitika munenge nguva ipi zvayo mukati mehupenyu hwehupenyu. Zvidzidzo zvinoratidza kuti vana vari pangozi, vashandi vari pangozi, uye vanhu vanoshingaira pakati pemakore makumi matatu nemakumi matatu vari pangozi. Vakwegura uye vanhu vakwegura vane ngozi yakawanda yepamusoro yekuwa, izvo zvinogona kukonzera kuora mwoyo kwemitsipa . Kutsvakurudza kunoratidzawo kuti genetics inogona kuita basa mukuderedzwa kwezinga , izvo zvinowanzokonzera marwadzo.
Kunyange zvazvo pasina chimiro chekutsanangurira munhu ane matambudziko kumashure, kuongorora kwakaitwa muna 2008 mu Journal of the American Medical Association yakaratidza mazinga akakwirira ematambudziko emusana pakati pevakadzi vachena ne inshuwarisi yevanhu.
Vanhu vari muboka iri vakaratidzawo chido chikuru kune nguva shomanana yekusashaya basa, kuva vakuru, uye kuva vakaroorana kana muhukama hwepedyo.
Costall Overall
Kurwadziwa shure kunomumwe wezvinetso zvehutano zvinodhura, kunyange zvazvo misiyano yakasiyana maererano neyo inowirirana maererano nezvimwe zvinhu zvakadai sechirwere chemwoyo, chirwere, kenza, chirwere cheshuga, uye arthritis.
Maererano neAHRQ, muna 2007 mari yose ye $ 30.3 mabhiriyoni yakabhadharwa kune vanotengesa, zvakadai sechiremba, masayendisiti epanyama , nevamwe, uyewo ma pharmacy. Journal of the American Medical Association inorondedzera kuti kushandiswa kwepamusana kunosvika $ 85.9 mabhiriyoni muna 2005.
Asi mushonga wepora ndeye chikamu chemari yehurumende ye $ 2.2 trillion. Kunyange zvazvo mari yaive yakakwirira (yakawanda, mumafungiro angu), maAHRQ nhau dzaimiririra 3% chete yemari yekushandisa mushonga muU.S. muna 2007. Journal yeAmerican Medical Association inotaura kuti kurwadziwa kwakanyanya kwemuviri (chete) kwakapa 2% vose vanachiremba vanoshanyira muna 2005.
Avhareji Yezvokudya kune Mumwe Nemumwe Varwere
Ongororo ye2008 yakataurwa ne Journal of the American Medical Association yakataurwa pamusoro apa yakabvunza vanenge 23 000 vanhu vane uye vasina hurongwa hwepfungwa pamusoro pekuwanda kwemari yekurapa. Vatsvakurudzi vakaona kuti pamusana pevamwe, vanhu vane matambudziko emashure kana emutsipa vakapedza anenge madhora 6,090 muna 2005, nepo musana wavo wechipfuva unofanana ne $ 3,056 gore rimwe chete. IAHRQ inoshuma kuti pamunhu mumwechete muna 2007, zvinodhura kurapwa kwemapapiro zvinokwana $ 1500- $ 1600 nemunhu.
Nguva zhinji, iAHRQ inoti, mari yekushanyira mahofisi nemishonga pamwe chete yakabhadharwa neshuwarisi yega yega (45.2%).
Asi Medicare yakakanda mu 23% uye iwe, mutengi wehutano, wakabhadhara anenge 16,8% yemari yako yekurapa nenzira yekunze kwemahomwe mari.
Uyewo, vanhu veAmerica vakapedza mari inosvika madhora mabhiriyoni manomwe kubva mumapokisi avo kune mamwe maitiro ekurapa shure muna 2007. Cherechedza: Nhamba iyi yakazosvika pakuverenga zvikamu zvehuwandu hwemadhora ($ 33.9 mabhiriyoni) yakashandiswa paCAM yemarwadzo ekudzokera shure (17.1%) uye kurwadziwa kwemutsipa (5.9%), zvichienderana nemashoko anopiwa neNational Center for Complementary and Alternative Medicine website (NCCAM).
Kubudirira kweUrapa
Zvichida zvakanyanya kuvhiringidza kupfuura zvakakosha mari yekuchengetedza ndeyekuti mari yekurapa yave ichikwidzwa kwemakore akawanda pasina kuenzanirana kwehupenyu hwehupenyu hwevatano voutano.
Maererano neAHRQ, mari inobhadharwa nehutambudzo hwemarwadzo yakapetwa kaviri kubva muna 2004, uye svondo re Journal of the American Medical Association rakawana kuti kushandiswa kwemari yese yemutsipa nekunze kwakasimbiswa nekukanda 65% kubva muna 1997 kusvika muna 2005.
Kunyange zvazvo kutarisirwa kumashure kunodhura zvakakurumidza kukurumidza kupfuura kukura kwese kwehutano huripo panguva imwe chete (ine kungowedzera kuzvininipisa kwehuwandu hwevanhu vanotsvaka kurapwa kwemarwadzo avo shure), tsvakurudzo yakawana kwete "kuonga" hutano hunovandudzwa mu vakapindura. (Vatsvakurudzi vakakumbira vaverengi kuti vatarise hutano hwavo, uye vakabvunza mibvunzo pamusoro pekuremara, kushanda, kushanda basa uye mabasa evanhu.)
Saka mari yakawedzerwa yakaenda kupi? Mishonga inosvika pakurongwa, inoteverwa nehofisi yekushanyira. Vatsvakurudzi vanoratidza kuti "kushandiswa kwakakura kwemishonga mitsva kunogona kubvisa zvimwe zvekuwedzera uku." Mishonga mitsva inosanganisira gabapentin, fentanyl , uye nguva-release oxycodone. Vatsvakurudzi vanocherechedzawo kuti mushure me 2003, apo COX-2 inhibitor yakabviswa pamusika, kushandiswa kwemishonga inorwadza zvinorwadza zvinokonzerwa nekupona kwemusana.
Sources:
Martin, B., Deyo, RA, et. al. Chipo Chekushandisa Zvipfeko neMamiriro Ehutano Pakati Pevakuru Vane Mbavha uye Neck Matambudziko. JAMA. 2008; 299 (6): 656-664.
National Centre yeKubhadhara Mimwe Mishonga. Kushandiswa kweMishonga Inobatanidza uye Mamwe Mamwe muUnited States: Mari Dhepfenyuro.
Soni, A. PhD. Dzose Matambudziko: Kushandisa uye Kudzingwa kwevanhu vekuAmerica Vakuru vevanhu vekuAmerica , 2007. Mutsara wechifupi # 289. Kurapa Kwemari Yezvokurapa Panel Panel Survey. Sangano reEalthcare Research uye Quality.