Ko hutano hwako huri panjodzi here?
Hapana munhu anoda kutora mikana nehutano hwavo asi ndizvo zvaungave uchiita kana ukaita zvisarudzo zvokurapa zvisingaoneki kunze kwekuona zviri shure kweimba nhamba mbiri. Iwe unoziva kodzero dzako kana zvasvika pakuwana pfungwa yechipiri here?
Chikonzero Nei Unogona Kuda Mhedziso Yechipiri
Vanachiremba vangave vane makore ekudzidziswa kwakakura asi ivo vanhu chete. Izvozvo zvinoreva kuti vanoita zvikanganiso.
Inofungidzirwa kuti vazhinji kune 10 kusvika ku15 muzana yezviongorori zvinogona kunge zviri mukukanganisa. Kuwana mhedziso yechipiri kunogona kuderedza mamiriro ekuti chirwere chinoratidzika chisina kunaka kana kuti chinoshaya zvachose.
Maererano nekuongorora mune zveEuropean Journal of Surgical Oncology imaging (mammogram, MRI, etc.) uye chirwere (cytology, histology, nezvimwewo) zviitiko zvaive mumakakatanwa e2 muzana uye 3 muzana yemakanzura ekenza maererano. Pfungwa dzechipiri dzakaguma nekuchinja kukuru kune chirwere chekenza kana zvirongwa zvekurapa 16 muzana yenguva.
Kana zvasvika pakurapa, mazano anogona kuparadzaniswa kunyange kana munhu wose achibvumirana pamusoro pekuongororwa. Pfungwa dzechipiri dzakaratidzwa kuchinja kuongororwa kana chirongwa chekurapa kanowanzoita 40 muzana yenguva. Kana zvasvika pakuvhiya kusarudzwa, somuenzaniso, kumwe kuongororwa kwakawana kuti chetatu chechipiri vapeji vanoona vakawana nzira dzakarongerwa kuti dzisingakoshi .
Icho Chiitiko cheChipiri chinosanganiswa
Medicare ichabhadhara pfungwa yechipiri apo iwe unotarisana nekuvhiyiwa kwekuita kana kuti nzira huru yekurapa.
Izvi hazvirevi kuti kuongorora kusununguka. Iwe uchiri pasi pe20% yemishonga ye Medicare Part B iwe unenge uchibhadhara kune chero hupi hupi huri kunze hwekurapa.
Kunyanya, Medicare ichabhadharira chiremba -chiremba anozivikanwa kuti aongororwe chero dhidhiro iripo maererano nehutano huri mubvunzo.
Mamwe mashoko anokwanisawo kutsvakwa, kusanganisira kuongorora mumuviri uye, pane dzimwe nguva, kuongororwa kwakawedzerwa.
Mhinduro yechipiri yepfungwa ichadzokorora ruzivo rwako rwezvechiremba, kusimbisa kunyatsoonekwa kwechirwere, kuisa chirevo, nekudzokorora kusarudzwa kunoitwa kurapwa chero nguva zvichibvira. Izvi zvingave kana zvisingabatanidzi vapeji vakawanda. Semuenzaniso, chiremba anokwanisa kutarisa shanduro yebiopsy kuti ave nechokwadi chekuongororwa apo chiremba wechiremba anogona kukurukura nzira dzakasiyana dzokurapa dzechiitiko ichocho.
Kuti ujekeswe, wechipiri pfungwa inoreva kuongororwa nachiremba mune imwe nzvimbo yemishonga. Chiremba wemhuri achikutaura iwe kune oncologist, somuenzaniso, haafaniri kufunga sechipiri pfungwa. Kukurukurirana nechipiri oncologist nokuda kwedambudziko rimwe rezvoutano, zvisinei, raizove.
Ipi Zvirwere Zvingaitwa uye Zvisingavaki Kuvhara
Medicare ichabhadhara pfungwa yechipiri uye dzimwe nguva yechitatu kana pfungwa yekutanga uye yechipiri isingabvumi. Funga nezvazvo sechekibreaker.
Ipi Mishonga isingagoni kuita inokuudza iwe mupi wekutora mumutambo wokupedzisira. Chisarudzo chokupedzisira ndechokuti iwe uite. Iwe unogona kudzokera kumudzidzisi wepakutanga kana kuti ramba uchine hanya nemupi wechipiri anopa mupiro.
Kana ukasarudza kutsvaga kurapwa, Medicare ichazosarudza kana kuti kwete kuifukidza.
Ndizvozvo. Chero nokuti mumwe, vaviri, kana vatatu vanachiremba vanokurudzira nzira inorevei hairevi kuti Medicare ichabhadhara iyo. Medicare inoda kuti chirongwa chive chichidiwa mune zvemitemo maererano nemaitiro avo. Nyaya, Medicare haifaniri kuvhara maitiro ekugadzirwa kwezvenyeredzi kana nzira iyo inofunga kuti iri kuedza nekuda kwechikonzero ichi.
Medicare kazhinji haibhadhara mari yekudzokorora zvakare. Semuenzaniso, kana Mukadzi Jones aine mammogram , iyo iyo mammogram inofanira kuongororwa nemuridziri mutsva. Medicare inogona kusaona kuti kurapa kunoda kudzokorora mammogram kuti chiremba mutsva aite chisarudzo. Zvidzidzo zvisati zvarayirwa mukuongorora kwepakutanga, zvisinei, zvingave zvakafukidzirwa kana Medicare ichizviona zvakakodzera.
Kusarudza Zvaunofanira Kuita
Kuvhiya hakusi chinhu chingaitwa zvishoma. Ikoko kunogona kunge kune zvinetso uye zvechokwadi, pachava nenguva yekudarika inodiwa yekudzikinura. Iwe unofanirwa kuva wakasununguka kuti uri kuita sarudzo yakanakisisa kwauri.
Nokuda kwezvikonzero izvi, haufaniri kufunganya nezvekuswedera kuna chiremba wako nekukumbira kwechipiri pfungwa. Kuti uite zvisarudzo zvakadzidziswa nezvehutano hwako , unogona kuwedzera ruzivo kana kuvimbiswa pamusoro pezvokurapa kwako. Kurukura chero dambudziko raunayo nachiremba wako uye kukumbira kuti atungamirire zvinyorwa zvose zvekuongororwa kune vatsva.
Kazhinji, zvinoshandiswa kutsvaga pfungwa yechipiri kunze kwehutano hwehutano hwako. Kutora mumwe munhu kubva kuhofisi imwechete kana boka rechipatara, somuenzaniso, zvinogona kutungamirira mukukakavara kwechido. Sezvo nguva dzose, iva nechokwadi chokuti mupi waunosarudza anogamuchira Medicare kana iwe uchasara kubhadhara zvinhu zvose kubva muhomwe. Zvichiri nani, kana chiremba achibvumirana nemutambo wemishonga weMederalare , iwe unogona kuchengeta mari pasi nekudzivirira mari yekudzivirira.
Nhungamiro yepfungwa dzechipiri inogona kusiyanisa kana iwe uri pamushonga we Medicare Advantage kunze kweChechi yeMutemo. Izvi ndezvokuti zvirongwa zveMedricare Advantage zvinotungamirirwa nevatsigiri vehupfumi, kwete hurumende yehurumende. Kana iwe uri pamushonga we Medicare Advantage , kutsvaga kunze-kwe-network nyanzvi nekuda kwechipiri maonero angakuregedza iwe, kunyanya kana ukasarudza kuramba uchitarisa nemupi wehupi pashure.
Sources:
Graber ML. Kuitika Kwekuona Kuipa KweMishonga. BMJ Qual Saf. 2013; 0: 1-7. doi: 10.1136 / bmjqs-2012-001615.
Medicare.gov. Kuwana Pfungwa Yechipiri Kusati Kuvhiya. https://www.medicare.gov/what-medicare-covers/part-b/second-opinions-before-surgery.html.
Mellink WA, Henzen-Logmans SC, Bongaerts AH, Ooijen BV, Rodenburg CJ, uye Wiggers TH. Kusiyanisa Pakati Pechipiri uye Pfungwa Pokutanga Mukuvhiya Kwemagetsi Anowedzera. Eur J Surging Oncol . 2006; 32: 108-112. doi: http://dx.doi.org/10.1016/j.ejso.2005.08.007.
Meyer AN, Singh H, Graber ML. Kuongororwa kweMigumisiro Inobva kuVarwere veNyika-Yakatangwa Chipiri-Maonero Purogiramu. Am J Med. 2015 Nha. 128 (10): 1138.e25-33. doi: 10.1016 / j.amjmed.2015.04.020.
Payne VL, Hindy H, Meyer AN, Levy L, Harrison D, Graber ML. Mwoyo Murefu-Kutangwa Pfungwa Dzechipiri: Kuongorora Kuongorora kweMafanisiro uye Kukanganisa Kuziva, Kurapa, uye Kugutsikana. Mayo Clin Proc. 2014 May; 89 (5): 687-96. doi: 10.1016 / j.mayocp.2014.02.015.