Ngaba i-Medicare igubungela iHydroxychloroquine?

Umxholo

• Ngaba iyeza liyayigubungela ihydroxychloroquine?
• Yintoni ihydroxychloroquine?
• Iziphumo ebezingalindelekanga ezinokwenzeka
• Ukusebenzisana kweziyobisi
• Ukusebenza ngempumelelo
• Ngaba ihydroxychloroquine inokusetyenziselwa ukunyanga i-COVID-19?
• Unyango lweMedare olunokubakho kwixesha elizayo
• Ixabisa malini ihydroxychloroquine?
• Ukuthatha

Ngomhla wamashumi amabini anesibhozo ku-Matshi 2020, i-FDA ikhuphe isigunyaziso sokusetyenziswa ngokungxamisekileyo sehydroxychloroquine kunye ne-chloroquine kunyango lwe-COVID-19. Basirhoxisile esi sigunyaziso ngoJuni 15, 2020. Ngokusekwe kuphononongo lophando lwamva nje, i-FDA igqibe kwelokuba la mayeza awanakuba lunyango olusebenzayo lwe-COVID-19 kwaye umngcipheko wokuzisebenzisa ngenxa yesi sizathu unokugqwesa izibonelelo.

• IHydroxychloroquine sisiyobisi esigqirha esetyenziselwa ukunyanga isifo seengcongconi, i-lupus, kunye ne-rheumatoid arthritis.
• Ngelixa i-hydroxychloroquine icetyisiwe njengonyango lwe-COVID-19, abukho ubungqina obaneleyo bokuvuma iyeza lokusetyenziswa.
• IHydroxychloroquine igutyungelwe phantsi kwezicwangciso zonyango zeMedicare zokusetyenziswa kwayo okuvunyiweyo kuphela.

Ukuba ubusoloko uqhubeka kwiingxoxo ezijikeleze ubhubhane we-COVID-19, kusenokwenzeka ukuba uvile ngesiyobisi esibizwa ngokuba yihydroxychloroquine. IHydroxychloroquine isetyenziselwa ukunyanga isifo seengcongconi kunye nezinye iimeko ezenzeka emzimbeni.

Nangona kutshanje kugxilwe njengonyango olunokubakho losulelo kwi-coronavirus yenoveli, uLawulo lwezoKutya kunye noLawulo lweziyobisi (i-FDA) alukalamkeli eli chiza njengonyango okanye unyango lwe-COVID-19. Ngenxa yoku, i-Medicare ngokubanzi igubungela ihydroxychloroquine xa imiselwe ukusetyenziswa kwayo okuvunyiweyo, ngaphandle kokumbalwa.

Kweli nqaku, siza kuphonononga ukusetyenziswa okwahlukeneyo kwehydroxychloroquine, kunye nokugubungela okunikezelwa yiMedicare kweli chiza limiselweyo.

Ngaba iyeza liyayigubungela ihydroxychloroquine?

Icandelo lonyango i-Medicare Part A (isibhedlele i-inshurensi) ligubungela iinkonzo ezinxulumene notyelelo kwizibhedlele ezingalaliswayo, uncedo lwezempilo lwasekhaya, ukuhlala umda kwiziko labongikazi abanezakhono, kunye nokunakekelwa kokuphela kobomi (i-hospice). Ukuba ungeniswe esibhedlele ngenxa ye-COVID-19 kwaye i-hydroxychloroquine iyacetyiswa kunyango lwakho, eli yeza liya kubandakanywa kwiCandelo A lokugubungela.

Icandelo le-Medicare Icandelo B (i-inshurensi yezonyango) ligubungela iinkonzo ezinxulumene nothintelo, isifo, kunye nonyango lwangaphandle lweemeko zempilo. Ukuba uyanyangwa kwiofisi kagqirha wakho kwaye unikwa ichiza kolu seto, oku kuya kugutyungelwa phantsi kweCandelo B.

I-Hydroxychloroquine okwangoku i-FDA yamkelwe ukunyanga isifo seengcongconi, i-lupus, kunye ne-rheumatoid arthritis, kwaye iphantsi kwezinye iifomula zamayeza amiselweyo ze-Medicare zezi meko. Nangona kunjalo, ayivunyelwanga ukunyanga i-COVID-19, ke ayizukugutyungelwa yi-Medicare Icandelo C okanye i-Medicare Icandelo D kolu setyenziso.

Yintoni ihydroxychloroquine?

IHydroxychloroquine, ekwabizwa ngegama elithi Plaquenil, sisiyobisi esisetyenziswa kunyango lwemalariya, lupus erythematosus, kunye nesifo samathambo.

IHydroxychloroquine yayisetyenziswa ekuqaleni kweMfazwe yesibini (II) yeHlabathi njengeyeza lokuthintela nokunyanga usulelo lwemalariya kumajoni. Ngeli xesha, kwaqatshelwa ukuba ihydroxychloroquine ikwanceda kwisifo sokuqaqamba kwamalungu. Ekugqibeleni, iyeza laqhubeka liphandwa kwaye lafunyanwa liluncedo kwizigulana ezine-systemic lupus erythematosus, ngokunjalo.

Iziphumo ebezingalindelekanga ezinokwenzeka

Ukuba umiselwe ihydroxychloroquine, ugqirha wakho ufumanise ukuba izibonelelo zeziyobisi zingaphezulu kobungozi bazo. Nangona kunjalo, unokuba neziphumo ebezingalindelekanga ezithile xa uthatha ihydroxychloroquine, kubandakanya:

• urhudo
• isisu esiswini
• ukugabha
• intloko ebuhlungu
• isiyezi

Ezinye zeziphumo ebezingalindelekanga ezibi kakhulu ezichazwe ngokusetyenziswa kwehydroxychloroquine zibandakanya:

• ukungaboni kakuhle
• i-tinnitus (ukukhala ezindlebeni)
• ukungeva kakuhle
• i-angioedema ("iinyosi ezinkulu")
• negazi lakho
• ukopha okanye ukugruzuka
• hypoglycemia (iswekile esezantsi yegazi)
• ubuthathaka bemisipha
• ukulahleka kweenwele
• utshintsho kwimood
• ukumelwa yintliziyo

Ukusebenzisana kweziyobisi

Nanini na xa uqala iyeza elitsha, kubalulekile ukuba wazi ngalo naluphi na unxibelelwano lweziyobisi olunokwenzeka. Iziyobisi ezinokuthi zisabele ngehydroxychloroquine zibandakanya:

• idigoxin (Lanoxin)
• iziyobisi ukunciphisa iswekile yegazi
• iziyobisi eziguqula isingqi sentliziyo
• ezinye iziyobisi ze-malaria
• iziyobisi ezichasayo
• iziyobisi ezikhuselayo

Ukusebenza ngempumelelo

Zombini igama lophawu kunye nohlobo oluqhelekileyo lweli chiza lusebenza ngokulinganayo kunyango lwe-malaria, lupus, kunye ne-rheumatoid arthritis. Nangona kunjalo, kukho umahluko wendleko phakathi kwezi zimbini, esiza kuthetha ngazo kamva kweli nqaku.

Ngaba ihydroxychloroquine inokusetyenziselwa ukunyanga i-COVID-19?

IHydroxychloroquine iye yathathwa ngabanye “njengeyeza” le-COVID-19, kodwa ingaba limi phi eli chiza njengonyango kunyango lwe-coronavirus yenoveli? Ukuza kuthi ga ngoku, iziphumo zixubekile.

Ekuqaleni, ukusebenzisa ihydroxychloroquine kunye ne-azithromycin yonyango lwe-COVID-19 kwasasazeka phakathi kwemithombo yeendaba njengobungqina bokusebenza kwesiyobisi. Nangona kunjalo, uphononongo lophononongo olupapashwe kungekudala emva kokuba kufunyenwe ukuba kukho izithintelo ezininzi kuphononongo olungenakujongwa, kubandakanya ubungakanani besampulu encinci kunye nokusilela kokukhetha.

Ukusukela ngoko, uphando olutsha lucebise ukuba abukho ubungqina obaneleyo bokucebisa ngokukhuselekileyo ukusebenzisa ihydroxychloroquine njengonyango lwe-COVID-19. Ngapha koko, enye esandula ukupapashwa ithi isifundo esifanayo esenziwe eTshayina kusetyenziswa ihydroxychloroquine asifumananga bungqina bokusebenza ngokuchasene ne-COVID-19.

Ukubaluleka kokuvavanywa kwamachiza kunyango lwezifo ezitsha akunakugqithwa. Kuze kubekho ubungqina obuqinileyo bokubonisa ukuba i-hydroxychloroquine inokunyanga i-COVID-19, kufuneka isetyenziswe kuphela phantsi kogqirha.

Unyango lweMedare olunokubakho kwixesha elizayo

Ukuba ungumxhamli weMedicare, usenokuzibuza ukuba kuya kwenzeka ntoni xa ihydroxychloroquine, okanye elinye ichiza, zivunyiwe ukuba zinyange i-COVID-19.

Unyango lubonelela ngogonyo kunyango oluyimfuneko kunyango, kunye nothintelo lwezifo. Nawaphi na amachiza avunyelweyo ukunyanga ukugula, njenge-COVID-19, ahlala egutyungelwe phantsi kwe-Medicare.

Ixabisa malini ihydroxychloroquine?

Ngenxa yokuba ihydroxychloroquine okwangoku ingagutyungelwanga phantsi kweCandelo leMedicare C okanye iCandelo D lezicwangciso ze-COVID-19, usenokuzibuza ukuba iyakubiza malini epokothweni ngaphandle kokugubungela.

Ishati engezantsi ibalaselisa iindleko ezilinganiselweyo zokubonelela ngeentsuku ezingama-30 ze-200-milligram hydroxychloroquine kwiikhemesti ezahlukahlukeneyo ezise-United States ngaphandle kwe-inshurensi:

Iindleko zokugubungela iMedare yokusetyenziswa okuvunyiweyo ziya kwahluka kwisicwangciso sokucwangciswa, ngokusekwe kwinkqubo yomgangatho wefomula. Unokunxibelelana nesicwangciso sakho okanye ikhemesti okanye ujonge ifomula yesicwangciso sakho ngolwazi oluthe kratya lweendleko.

Nokuba ihydroxychloroquine ayigqutyuthelwanga phantsi kwesicwangciso sakho seyeza sonyango, zisekhona iindlela zokuhlawula imali encinci kumayeza kagqirha.

• Enye indlela yokwenza oku yinkampani ebonelela ngamakhuphoni amachiza asimahla, anje ngeGoodRx okanye i-WellRx. Ngamanye amaxesha, la makhuphoni anokukunceda ugcine isixa esikhulu kwixabiso lentengiso yeyeza.
• I-Medicare ibonelela ngeenkqubo zokukunceda ekuhlawuleni iindleko zakho zokhathalelo lwempilo. Unokufanelekela inkqubo yoNcedo eyongezelelweyo yeMedicare, eyilelwe ukunceda ngeendleko zamayeza akho aphuma epokothweni.

Ukuthatha

I-Hydroxychloroquine ayikavunywa ukunyanga i-COVID-19, ke ngoko ukugubungela i-Medicare kwesi siyobisi ukunyanga intsholongwane nge-coronavirus yenoveli kukhawulelwe ekusetyenzisweni kwesibhedlele phantsi kweemeko ezinqabileyo.

Ukuba ufuna eli chiza kusetyenziso oluvunyiweyo, njengemalariya, i-lupus, okanye i-rheumatoid arthritis, uya kugutyungelwa sisicwangciso sakho seyeza sonyango.

Kukho ithemba lokuqhubela phambili lokuba izitofu kunye nonyango lwe-COVID-19 ziya kubakho.

Ulwazi olukule webhusayithi lunokukunceda ekwenzeni izigqibo malunga neinshurensi, kodwa ayenzelwanga ukunika iingcebiso malunga nokuthengwa okanye ukusetyenziswa kwayo nayiphi na i-inshurensi okanye iimveliso zeinshurensi. I-Healthline Media ayihambelani neshishini leinshurensi nangayiphi na indlela kwaye ayinayo ilayisensi njengenkampani yeinshurensi okanye umvelisi kulo naliphi na igunya laseMelika. I-Healthline Media ayikhuthazi okanye ixhase nabani na onokuthi enze ishishini leinshurensi.