Chirwere cheshuga chirwere chiri kuwedzera muUnited States. Maererano neCenters for Disease Control and Prevention, vanopfuura mamiriyoni makumi maviri eAmerica vane chirwere cheshuga uye mamiriyoni 86 vane chirwere cheshuga chisati chaitika muna 2012. Nhamba ichi inoramba ichikwira uye pamwe nayo inetso yezvoutano inouya nayo.
Chirwere cheshuga chinobatanidzwa nechirwere cheziso (retinopathy), chirwere chemwoyo ( coronary artery disease ), chirwere chepfungwa ( nephropathy ), uye nerve chirwere ( neuropathy ).
Zvipatara zvehutachiona hwekurwadziwa kwepfungwa uye chirwere chetachiona ndi 1.8 uye 1.5 nguva yakakwirira kune vanhu vane chirwere cheshuga kupfuura avo vasina mamiriro.
Chirwere ichi chinodhura America, uye Medicare, kwete chete mune hutano uye hupenyu hwehupenyu asi mumadhora nemakumi. Inofungidzirwa kuti mari yepamusoro yezvokurapa yehutano yakasvika $ 176 mabhiriyoni uye yakaderera kubereka zvakakwana se $ 69 mabhiriyoni muna 2013 chete.
Ko diabetes inokubhadhara zvakadini?
Medicare Screening yeShuga
Medicare inobata chirwere cheshuga chekuongorora kusununguka kune vanhu vari pangozi yemamiriro acho. Kuedzwa kwechiitiko kunogona kusanganisira kutsanya kweglucose chiyero, kuongororwa kweropa nyore kunotarisa kuti shuga iri muropa rako mushure memaawa masere kusvika ku12 ekutsanya. Zvimwe zvinogona kusanganisira chirwere chemuviri gorocose kuvhiringidzika , izvo zvinoderedza shuga yako yehutachiona musati wasvika uye mushure mekutsvaga kweglucose. Hemoglobhini A1c test ndiyo imwe nzira uye inoratidza kuti ropa rako rinosvibisa zvakadini mumwedzi mitatu.
Iwe unokodzera kune chimwe chezviongorori zvekuongorora chirwere cheshuga kwemwedzi gumi nemaviri kana uine chimwe chezvinotevera:
- Dyslipidemia (high cholesterol)
- Kusagadzikana kweglucose (nhoroondo yekusviviswa kwehuga yepamusoro)
- Hypertension (high blood pressure)
- Kuwedzera muviri (muviri mashoma index ye 30 kana kupfuura)
Zvichida, iwe unogona kunge uchikodzera chirwere cheshuga kuongorora kaviri pagore kana iwe une zvingada zviviri zvezvinotevera:
- Makore 65 kana kupfuura
- Mhuri yehutachiwana hwechirwere cheshuga mukutanga-degree degree (vabereki, hama, hanzvadzi)
- Gestational chirwere cheshuga (chirwere cheshuga panguva yekuzvitakura) kana kupa mwana anenge ane mapirogiramu 9 kana kupfuura
- Kuwandisa muviri (muviri mashoma index pakati pe25 ne30)
Kana iwe wakamboonekwa uine chirwere cheshuga chisati chaitika, zvinoreva kuti ropa rako soro yakakwirira pane yakasvibirira asi risina kukwana zvakakwana kuti rienzaniswe sechirwere cheshuga, Medicare ichavhara zvirwere zviviri zvehutachiona hwekuongorora kuongorora gore negore.
Medicare Muviri weZviyabhesi Zvimwe
Mushandi wako wehutano angada kuti iwe uone shuga yako yeropa kana iwe uine chirwere cheshuga. Izvi zvingava zvakadaro kana iwe ukatora mishonga yemuromo kana insulin kuti uchengete shuga yako yeropa. Zvinhu zvinotevera zvinowanikwa neMurereti wePiritori B uye zvichakubvumira kuti uedze ropa rako sutu zvakakodzera. Iwe uchabhadhara 20 muzana ye-co-inshuwarisi yezvipo izvi asi kazhinji, glucometers inogona kupiwa pachena.
- Glucose vatariri
- Kudzora mhinduro
- Lancets
- Test strips
Zvimwe zvekurapa zvishongo nezvisungo zvinogona kuvharwa kamwechete pagore neMurengeti Chikamu B kune avo vane chirwere cheshuga neuropathy uye vane chirwere chetsoka chakafanana. Iyi shangu inodhura 20 muzana ye-inshuwarisi uye inoda chiremba kubva kunechiremba aMedare-akagamuchirwa.
Kwete izvozvo chete asi mutapi wezvokurapa wezvitsuwa izvi anofanira kuva nekodhi nemutemo weMedare. Kuti ave nechokwadi chekupedzisira, Medicare inobhadharawo kukodzera kwakakodzera kwezvipfeko izvi uye / kana kuiswa.
Kune avo vanoda insulini, mamwe emichina nemigodhi zvinodiwa kuti vatungamirire mishonga. Izvi zvinosanganisira:
- Doro rinoparadza
- Gauze pads
- Insulin pump
- Nhamba
- Syringes
Kunze kwe insulin pump, iyo yakafukidzirwa semishonga inoshandiswa yemishonga inogara iri pasi peMedareti Chikamu B, zvinhu izvi zvinofanira kuvharwa neChirongwa cheDhimba D rekushandisa zvinodhaka. Your Medicare Part D chirongwa chezvinodhaka chichavhara mishonga, kusanganisira insulin, kurapa chirwere chako cheshuga chero bedzi vari pane chirongwa chako chemishonga formulary.
A co-pay kana co-inshurensi ichashandiswa.
Medicare's Management Diabetes
Kana iwe uine chirwere cheshuga, mupi wehutano wako achada kutora matanho chero api azvinodiwa kuti amire matambudziko kubva pakukura. Kunze kwekutarisa shuga yako yeropa, kurondedzera mishonga, nekuita zviongorori zvepurogiramu, vangave vachida kukutaurira kuona dzimwe nyanzvi.
- Nehrologist (kidney doctor): Vanhu vane chirwere chinokonzerwa nechirwere cheshuga vangave vachiongororwa nephrologist kutarisira kunonoka kana kudzivirira kufambira mberi kwechirwere. Kuwanda kwekuongororwa kuchaenderana nekuoma kweephropathy uye kuchaita kuti uwane 20 muzana co-inshuwarisi pahushanyiro.
- Nutritionist: Munhu wose ane chirwere cheshuga anofanira kupiwa mumwe-we-mumwe wekurapa kunyanzvi kurapa pamwe neyanzvi hwekudya. Kushanyira kokutanga nekuongororwa kwekutevera hakusipo kana chiremba wako achibvuma basa racho .
- Ophthalmologist (chiremba weziso): Kana munhu ane chirwere cheshuga kwenguva refu, inowedzera dambudziko rekudzidzira kudzokera shure. Kudzokorora kunoita kuti uite pangozi yekutaderera kwemaonero uye mumatambudziko akakura, upofu . Tarisira kubhadhara 20 muzana ye-co-inshuwarheni yeMedarere kuti ifukidze zvakakurudzirwa kamwe chete gore negore kuongorora kweziso.
- Podiatrist (chiremba chetsoka): Vanhu vane chirwere cheshuga asi kunyanya avo vane chirwere cheshuga chakakonzerwa nechirwere cheshuga kumakumbo avo vanofanirwa kuongororwa nenyanzvi yemapurisa kana vamwe vadzidzisi vanogadzirirwa kaviri pagore. Chiremba wezvokudya achacherechedza kuchinja kwechinangwa uye kupera kwekuyerera kweropa kusvika kune tsoka dzinogona kukuisa pangozi yehupembenene hweganda nezvimwe zvinetso .
Makirasi emapoka anogonawo kupiwa chirwere cheshuga chekudzivirira maitiro uye dzidzo. Aya ma-self-management masangano akavharwa kune mumwe munhu achangobva kuongororwa ane chirwere cheshuga asi anowanikwa kune ani zvake ari pangozi yezvinetso kubva muchirwere. Mugore rokutanga remashandiro, Medicare ichavhara kusvika maawa gumi ekuzvidzivirira kwekutonga (1 awa mune imwe-on-one session uye maawa 9 muzvikamu zveboka). Mumakore anotevera (kutanga gore rinenge rimwe chete mushure mekunge iwe wakatanga kudzidziswa), Medicare ichavhara maawa maviri okuwedzera ekudzidziswa gore negore chero nguva yekudzidziswa kunoitwa mumapoka eboka zvishoma nemaminitsi makumi matatu nemakumi matatu uye . Kubva muhomwe, chidzidzo chega chega chinodhura 20 muzana co-inshuwarisi.
Medicare Chinangwa Chokuchengetedza Chirwere Cheshuga
ICenter for Medicare neMedicaid Services inoita kuti chirwere cheshuga chidzivirire mberi. Imwe mamiriyoni 11.8 emari yakabhadharwa neAne Affordable Care Act yakagadziriswa chirongwa chekufambisa ne National Council of Young Men's Christian Associations yeUnited States of America (YMCA) muna 2011. Chinangwa chaiva chokukurudzira kwenguva yakareba mararamiro ehupenyu hunosimudzira kudya kwakanaka uye kubasa nguva dzose. Mhinduro yekufambisa yakanga yakashamisa zvokuti yava kutoshandiswa seShuga yekudzivirira Purogiramu munyika yose muna 2018.
Chidzidzo chekufambisa chiitiko chakaratidzira 5 muzana kurasikirwa kwemajeri avo vari mukutengesa kwechirwere cheshuga uye vakaderedza kushandiswa kwehutano kune avo vanobhadhara ne $ 2 650 pamwedzi gumi nemashanu. Mari shoma shoma inoratidza kuti purogiramu ichabhadhara pachayo. Zvichiri nani, zvinogona kuchengetedza mari yakawanda yeMedare munguva refu. Utano hwenyika hunogona kubatsirwa nenzira iyi iri nyore yekudzivirira.
> Sources:
> 2014 National Diabetes Statistics Report. Nzvimbo dzeDaase Control and Prevention website. http://www.cdc.gov/diabetes/data/statistics/2014StatisticsReport.html.
> Medicare Program: Kudzokorora Mitemo Yekubhadhara pasi pePirist Fee Purogiramu uye Zvimwe Zviratidzo zveChikamu B cheC 2017. Nzvimbo dzeDaase Control and Prevention website. https://www.federalregister.gov/documents/2016/11/15/2016-26668/medicare-program-revisions-to-payment-policies-under-the-physician-fee-schedule-and-other-revisions.
> Nhoroondo yeMedare Inobvumirwa Nehutachiona uye Nheyo. Zvikamu zveMedhareid uye Medicaid Services website. https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/se0738.pdf.
> Dzidzo pamusoro peShuga. American Diabetes Association website. http://www.diabetes.org/diabetes-basics/statistics/.