Ipi Isingakwanisi, Dialysis, Transplants, nezvimwe
Itsvo dziri nhengo dzakagadzikana dziri murutivi rweshure kwemuviri kune rumwe rutivi rwemutsana. Ivo ndivo vane basa rekutsvaga ropa, kuenzanisa electrolytes (semuenzaniso, sodium, potasium), uye kubvisa zvinodhaka zvakasvibirira uye kuparadza kubva mumuviri. Pasina kana imwe yemoya yakashanda, iwe haugone kurarama.
Panogona kunge pane dzimwe nguva apo itsvo dzako dzinoedza kushanda zvakanakisisa.
Izvi zvinokonzerwa nehutachiona hwemvura, kusvibiswa kwemakemikari, utachiona , kana nhamba ipi neipi yezvinonetsa. Muzviitiko zvakawanda, itsvo dzichadzoka kana dambudziko riripo rakaruramiswa.
Mune dzimwe nguva, iwe unogona kunge wakabatwa nechirwere chepfungwa kwenguva refu. Kutaura zvazviri, National Institute of Diabetes uye Digestive uye Kidney Diseases inoshuma kuti 14 muzana yevaAmerica vane chirwere chepfungwa chisingagumi , yakagadziridzwa I kuburikidza neV. Kana chirwere chepfungwa chisingaperi chisingakanganwi (danho V), uchazoonekwa kuguma-danho real disease (ESRD), zvinoreva kuti itsvo dzako dziri kukundikana. Pasina dialysis kana nhengo yekugadzirwa, hupenyu hwako huri panjodzi.
Inenge 660 000 vanhu muUnited States vanotambura ne ESRD vane vanopfuura 468 000 pa dialysis uye vanenge 190,00 vanorarama nekushanda kwepfungwa. Vanopfuura 93 000 vokuAmerica varikumirira kutsva kupora .
Kukodzera uye Kubatanidzwa muMedare
Kuva nechigumo-stenal renal chirwere kunogona kukodzera iwe kuti uwane Medicare.
Iyi ndiyo nyaya kunyange iwe usati wava nemakore 65. Usafunga kuti hurumende iri kupa. Pane dzimwe nzira dzinofanirwa kusangana:
- Iwe unofanirwa kugutsa zvigadziro zvekugadziriswa kweve Social Social Disability Insurance kana Railroad Retirement Board inobatsira.
- Iwe, wako wako, kana muchengeti wako (kana iwe uri munhu anotarisira) anofanira kunge akatobhadhara makore makumi mana (gumi nemakore) emitero yemitero muMedare uye Social Security.
Kusiyana nevanhu vane mamwe marudzi ekuremara, haufaniri kumirira mwedzi 24 usati wagamuchira purogiramu. Izvo zvinoenda kune vanhu vane amyotrophic lateral sclerosis (ALS) . Pangosvika iyo inoratidzwa pamusoro apa, iwe unofanirwa kushanda kune Medicare . Zvaunofambisa zvinobatsira zvichapedza mumwedzi mitatu mushure mekutanga kurapwa kwemaalysis.
Apo Uri Pa Dialysis
Dialysis haisi uwandu humwe hunoenderana zvose. Tenda kana kwete, iwe unogona kusarudza. Iwe unogona kugamuchira hemodialysis (dialysis uchishandisa firiji yakagadzirwa nevanhu) kana peritoneal dialysis (dialysis uchishandisa membrane peritoneal mudumbu rako sefriji). Iwe unogona kugamuchira dialysis sechipatara, sechirwere chekubuda kunze, kana kumba. Medicare inopa kugoverwa kweimwe neimwe yezvikwereti zvekurapa asi iyo inobhadhara kune imwe neimwe yebasa yakasiyana:
- Inpatient Dialysis: Inpatient dialysis zvinoreva kuti unobvumirwa kuchipatara kuti uwane kurapwa. Izvi zvingava zvakadaro kana iwe wekutanga iwe uchienda ku dialysis kana kana dialysis inodiwa panguva inokurumidza. Sezvo uri murwere, kutarisira kwako kuchakwererwa kuMedareti A A. Izvi zvinokuita iwe kuti uite mutoro wekutengesa kwe $ 1,316 kuitira chimwe nechipatara chigara. Cheropi chiremba anofarira iwe unogamuchira muchipatara ichakweretwa kuMedareti Chikamu B, ichikukumbira kuti iwe ubhadhara chikamu chemazana makumi maviri ekutsigira kwemashumiro aya.
- Outpatient Dialysis: Kunze kwe dialysis kunogona kuitwa pane imwe kliniki yakarongeka ye dialysis kana kunyange kuchipatara chinonzi Medicare-chinogamuchirwa. Misiyano ndeyokuti iwe haugamuchirwi kuchipatara sechipatara. Zvipatara zvinoshandiswa zvinotengeswa pasi peMedareti B. Izvi zvinoreva kuti iwe uchabhadhara chikamu chemazana makumi maviri kubva kune imwe chekusimbisa kwechikamu che dialysis imwe neimwe. Izvi zvinosanganisira kuongororwa kwemaabara, mishonga, uye kuchengetwa kwechiremba kunoshandiswa mukurapa kwako kwe dialysis.
- Dzimba Dialysis: Kuwana dialysis kumba (kana kupi zvako kwakakunakira iwe) inogona kunge iri inonyanya kusarudza nguva-yakachenjera, asi inouya nehungwaru . Medicare Chikamu B inobhadhara mazano ekudzidzira dialysis kubva kunharaunda ye dialysis, kudzidziswa iwe nevanochengeta avo vachapa dialysis kumba, uye mudziyo wekushandisa dialysis, zvinhu, nemishonga. Iwe uchazodiwawo kuti uone chiremba anotarisa kamwechete kamwe pamwedzi. Zvakare, iwe wakasara kubhadhara chikamu che20 coinsurance.
Iwe unoda kuongorora kuti kurapa kwakadini kuchakubhadhara iwe kubva muhomwe usati waita kune rumwe rudzi rwe dialysis pamusoro peumwe.
Paunowana Ipiyo Kuchinja
Kufanana ne inpatient dialysis, Medicare Part A ichakufukidza iwe kuti ugamuchire chinetso chekupora . Izvi zvinoda kuti iwe ubhadhara mari inokwana madhora 1,316 kubva muchipatara kugara pamwe chete ne20 kubva muzana inobviswa nokuda kwezvipatara zvikwereti zvinoripirwa pasi peMedareti Chikamu B.
Chii chinonyanya kufanana nehuputi kupora kune iyo Medicare ichavharawo zvizere zvakakwana zvekutarisira mupi wevapenyu. Iwe iwe kana mupiro wako haufaniri kubhadhara penny imwe chete muhomwe yekutarisira kwavo, kunyange kana pane zvinetso zvichibva pamitambo .
Mushure mokunge iwe uchinge uchinge uwedzere kushaya tsvina, iwe uchada kuiswa pamuviri wemishonga yemishonga kwehupenyu hwako hwose. Iyi mishonga inodiwa kudzivirira muviri wako kubva pakuramba mafungiro akaiswa. Medicare ichabhadhara mishonga iyi chero bedzi Medicare yakavhara mafungiro ako ekuchinja (kureva, iwe uri paMedareti Chikamu A) uye chero bedzi uchiramba uine Medicare Chikamu B.
Usatarisira kuti Medicare ikuchengetedze iwe mushure mekunge uine tsvono yekugadziriswa, asi, kwete kwete kwenguva refu. Vachapa kugovera kwemwedzi 36 mushure mekunge Medicare-inogamuchirwa kuwedzerwa. Mushure meizvozvo, kana itsvo yako itsva ichishanda, hauchazokwanisi kupiwa Medicare, uye iwe ucharasikirwa nekugoverwa kwako. Iyi ndiyo mhaka kunyange zvazvo iwe uchida kuramba uine zvirwere zve immunosuppressive therapy.
Nzira chete iyo mararamiro ako achaenderera mberi kana iwe uri paMedare nekuda kwechimwe chikonzero, kana iri izera kana imwe hurema .
Shoko Rinobva
Chirwere chepoyi dambudziko rinowedzera munyika yedu, rinotyisa upenyu hwevanhu vanopfuura 600,000 veAmerica. Kunzwisisa uyo uyo Medicare akavhara, apo kugoverwa kunotanga, uye kuti iwe unotarisirwa kuribhadharira sei mavhisi iyo chikamu chepikicha. Ziva kodzero dzako uye uwane zvakanakisisa panguva yakakodzera.
> Sources:
> Annual Data Report 2016 - Chitsauko 11: Zvishandiswa zveMedare zvevanhu vane ESRD. United States Renal Data System website. https://www.usrds.org/2015/view/v2_11.aspx. Yakabudiswa 2016.
> End Stage Dhiyabhorosi Dzaase muUnited States. National Kidney Foundation webusaiti. https://www.kidney.org/news/newsroom/factsheets/End-Stage-Renal-Disease-in-the-US. Yakabudiswa muna January 2016.
> Dambudziko reDease Dhamba muUnited States. National Institute of Diabetes uye Digestive uye Kidney Diseases website. https://www.niddk.nih.gov/health-information/health-statistics/Pages/kidney-disease-statistics-united-states.aspx. Yakabudiswa muna December 2016.
> Kidney Transplant Waitlist - Zvaunoda Kuziva. National Kidney Foundation webusaiti. https://www.kidney.org/atoz/content/transplant-waitlist. Yakaperedzwa February 10, 2017.
> Medicare Muviri weDein Dialysis uye yeDenney Transplant Services. Zvikamu zveMedhareid uye Medicaid Services website. https://www.medicare.gov/Pubs/pdf/10128-Medicare-Coverage-ESRD.pdf. Yakarongwa muna May 2016.