Kupera Resources kubva kuInishuwa kusvika kuMedicaid
Kusvuta chinhu chinodzivirirwa chinokonzera nhamba yepamusoro yevanhu vakarasika-makore pakati pevanhu vane HIV mune nyika yakabudirira. Kutaura zvazviri, 42 muzana yevanhu vanorarama neHIV nhasi vanobatanidzwa sevanosvuta vemazuva ano, zvakapetwa kaviri kuenzanirana kwenyika.
Iyi nhamba dzinosimbisa kukosha kwezvinyorwa zvinoshanda, apo vanhu vachangobva kuongororwa vane HIV vanonyatsoongororwa kushandiswa kwefodya uye vakapa zvigadziro zvekuguma zvichibva pane zvakaoma zvehupfumi, zvehupfumi, zvepfungwa, uye zvekurapa zvinodiwa nehutano hweHIV.
Kubatanidza Kusvuta Kuchipinda muHIV Kuchengetedza
Kubvira kare kare sekuma1980, kutsvakurudza kwakaratidza kushanda kwekubatanidza kusvuta kupedza kurairirwa muhutano hweHIV hukuru . Zvinosuruvarisa, kushanda kwave kwakasara shure, uye vashoma vanopfuura 50 muzana yevanopa rubatsiro rweHIV vachipa varwere vavo kusvuta kupedza matanho kana kutumira, maererano nemashoko kubva kuDhipatimendi reUnited States reVeteran Affairs.
Zvisinei, pane zvave zvichiitwa mumakore achangobva kuvandudza kusanganisa pakati pevashandi, mazano makuru anowanikwa:
- Kupa varwere vane ruzivo pamusoro pezvengozi dzeHIV uye kusvuta , kusanganisira zvakadai sehutano hwepfungwa, chirwere chemapapu , uye zvirwere zvisingaperi zveplmmune (COPD).
- Kutungamira vaviri kusvuta kupedza mishonga pamwe chete nekupa mazano nguva dzose uye kutevera.
- Kutaura nezvevarwere kune vadzidzisi (semuenzaniso vanopa utano hwepfungwa, mapurogiramu ekushandisa zvinodhaka, vashandi vomunharaunda, mapoka ekutsigira ), sezvinodiwa.
- Kunyatsogadzirisa zvakare kusvuta kusvuta mishonga pashure pokudzoka zvakare. Zvidzidzo zvakaratidza kuti vanosvuta vanoedza kusiya zvishanu kusvika kanomwe, pachiyero, vasati vabudirira. Kuenderera mberi nekutevera nekusigirwa kunoonekwa kuva chinhu chinokosha pakutsanangura (uye kutaura) kusvuta kunodzokorora zvakare.
Zvichakadaro, mamwe mauto ari kutsvaga nzira dzekuvandudza huwandu hwekuenzanisa.
Mune imwe yongororo yakaitwa paYunivhesiti yeTexas, vatsvakurudzi vakaratidza kuti nicotine replacement therapy (NRT), iyo inoshandiswa pamwe chete neanowanzopa mazano ekufambisa foni, yakagadziriswa kuzvidzivirira muvanhu vane HIV nevanenge mazana mana kubva kuzana kubva kuzana kubva kuzana kubva kuzana kubva kuzana kubva kune imwe yeNRT.
Kusvuta Kupedza Zvimwe Zvokudya Pasi Penyu Risingakwanisi Kutarisira Mutemo
Pasi peAne Affordable Care Act (ACA) , inshuwarisi yega yega yakagadzirwa mushure meKubvumbi 23, 2010 inofanira kusanganisira urongwa hwehutano hwekuchengetedza hutano hwakasununguka, kusanganisira fodya kushandiswa kwevanhu vakuru nekupedza kusvuta kushandiswa kwevanoshandisa fodya. Saizvozvowo, kuwedzera kweMedicaid kunobatsira iko zvino kunopa kusvuta kupedza kurapa kwevanhu vose vakuru (iyo inobatsira mune dzimwe nyika yaisarudzwa kune vakadzi vane pamuviri bedzi).
Kuparara kwekugoverwa nemupiki kune zvakadai:
- Medicaid - Kuwedzerwa kwekusvuta kupedza kurapa kwevanhu vose vakuru muUnited States yose inoshanda zvakanaka musi waJanuary 1, 2013. ACA inowedzera kuwedzerwa kweMedicaid kune vakwegura vose vanotora mari.
- Medicare - Nicotine nasal spray, nicotine inhaler, bupropion uye varenicline, pamwe nekupa mazano kune mumwe munhu, zvekuti vaviri vanorega kuedza kwegore. Kuvhara kweMedareti yeDear "Dhigirii" kunogadzirawo mishonga inotengesa mari yepamusoro yekutora mari.
- State Health Insurance Inoshandiswa - Inoda mapurogiramu ose ekuvhara Essential Health Benefits, kusanganisira kusvuta kusvuta (kunyange zvipo zvinogona kusiyana neurongwa uye / kana mupiriri).
- Mushandi-Anobhadharwa Inishuwarenzi - Anoda kugoverwa kwezvinhu zvose zvinodzivirira zvakapiwa "A" kana kuti "B" yehutano neUnited States Preventive Services Task Force, kusanganisira kusvuta kusvuta (kunyange zvazvo zvikomborero zvinogona kusiyana neurongwa uye / kana mupiriri).
Kuti udzidze zvakawanda pamusoro pekugonesa kana kuti kurapwa kwekurapa, taura 1-800-QUIT-NOW (1-800-784-8669) kuti ubatane zvakananga nemushandi wekutsvaga muhutano hwako. ICancer Cancer Institute inopawo purogiramu inoshandiswa LiveHelp hotline (muChirungu bedzi) kubva 8:00 am kusvika 8:00 pm EST.
Sources:
US Centers for Disease Control and Prevention (CDC). "Kusvuta fodya pakati pevanhu vakuru - United States, 2011." Kuipa uye Kufa Kwemavhiki Gwaro (MMWR). November 9, 2012; 61 (44): 889-994.
Mdodo, R .; Frazier, E ;; Mattson, C ;; et al. "Kusvuta fodya pakati pevaHIV + vakuru mukutarisira: Kuongorora Kurapa Kwemishonga, US, 2009." Musangano we20 pamusoro peRevroviruses uye Mikana Inopesana (CROI 2013). Atlanta, Georgia; March 3-6, 2013: Abstract 775.
Hughes, J. "Mishonga itsva yekurega kusvuta." CA: A Cancer Journal for Clinicians. May-June 2000; 50 (3): 143-145.
Vidrine, D .; Arduino, R .; Lazev, A .; et al. "Kuongororwa kwemaitiro emagetsi ekufambisa foni kunobatsira kune vanoputa vanorarama neHIV / AIDS." AIDS. January 9, 2006; 20 (2): 253-260.
American Lung Association. " Kubatsira Vasvuta Kusiya - Goro Kupera Kuchepa : Chii Chakafananidzirwa?" Washington, DC; 2012.