Ngaba unyango ngamayeza lusebenza ngeOxygen?

Umxholo

• Ngaba i-Medicare igubungela unyango lweoksijini lwasekhaya?
• Izidingo ezisisiseko zokugubungela
• Imfuneko yonyango
• Iindleko
• Zeziphi izixhobo kunye nezixhobo ezigutyungelweyo?
• Ndilulungela njani ukhuselo?
• Sisebenza njani isixhobo sokuqeshisa?
• Okungakumbi malunga nonyango lweoksijini
• Sebenzisa iimveliso zeoksijini ngokukhuselekileyo
• Ukuthatha

• Ukuba ufanelekile kwi-Medicare kwaye une-odolo kagqirha yeoksijini, i-Medicare iya kugubungela ubuncinci inxenye yeendleko zakho.
• Icandelo leMedicare B ligubungela ukusetyenziswa kweoksijini yasekhaya, ke kuya kufuneka ubhalise kweli candelo ukuze ufumane ingxelo.
• Ngelixa i-Medicare izokunceda ekuhlawuleni iindleko zonyango lweoksijini, kusenokufuneka uhlawule isahlulo sezo ndleko.
• I-Medicare ayinakugubungela zonke iintlobo zonyango lweoksijini.

Xa ungakwazi ukuphefumla, yonke into inokuba nzima ngakumbi. Imisebenzi yemihla ngemihla inokuziva ngathi ngumceli mngeni. Kwaye ezinye iingxaki zempilo zinokubangelwa ngamanqanaba eoksijini egazi asezantsi, eyaziwa ngokuba yihypoxemia.

Ukuba ukufumanisa kunzima ukuphefumla okanye unemeko ekwehlisa izinga leoksijini lomzimba wakho, unokufuna unyango lweoksijini ekhaya. Funda ukuze ufumanise ukuba ngaba i-Medicare iyakunceda na ukuhlawula iindleko zeoksijini yasekhaya kunye nento ekufuneka uyenzile ukuqinisekisa ukuba unazo izixhobo ozifunayo.

Ngaba i-Medicare igubungela unyango lweoksijini lwasekhaya?

I-Medicare igubungela unyango lweoksijini lwasekhaya phantsi kweCandelo B. I-Medicare Icandelo B ligubungela iindleko zonyango lwangaphandle kunye nonyango oluthile lwasekhaya.

Izidingo ezisisiseko zokugubungela

Ukufumana iimfuno zeoksijini ekhaya ezigutyungelwe ngeMedicare, kufuneka:

• babhalise kwiCandelo B
• unemfuno yonyango yeoksijini
• Unomyalelo kagqirha weoksijini yasekhaya.

Amaziko e-Medicare kunye neeNkonzo zeMedicaid (i-CMS) icacisa ngokucacileyo iikhrayitheriya ezithile ekufuneka zifezekisiwe ukuze i-Medicare igubungele ioksijini yekhaya. Izidingo zibandakanya:

• Inkcazo efanelekileyo ye-Medicare
• uxwebhu lwezonyango lwemeko yonyango efanelekileyo
• elebhu kunye nezinye iziphumo zovavanyo ezingqina isidingo seoksijini yasekhaya

Siza kugubungela iinkcukacha zendlela yokulungela ukugubungela kamva kweli nqaku.

Imfuneko yonyango

Ioksijini yasekhaya ihlala imiselwe iimeko ezinje ngokusilela kwentliziyo kunye nesifo esinganyangekiyo semiphunga (COPD).

Imfuneko yonyango lweoksijini yasekhaya imiselwe ngokuvavanya ukubona ukuba imeko yakho ibangela i-hypoxemia. Ihypoxemia yenzeka xa unamanqanaba asezantsi eoksijini egazini lakho.

Iimeko ezinje ngokuphefumla kancinci ngaphandle kwamanqanaba eoksijini asezantsi ngekhe agutyungelwe yiMedicare.

Umyalelo kagqirha wakho kufuneka ubandakanye ulwazi malunga nesifo sakho, ingakanani ioksijini oyifunayo, kwaye uyifuna kangaphi. I-Medicare ayihlali igubungela ii-odolo ze-PRN oxygen, eyi-oksijini efunekayo kwisiseko esifunekayo.

Iindleko

Ukuba imeko yakho ihlangabezana neenqobo zokugweba ze-CMS, kufuneka uqale uzalisekise icandelo lakho le-Medicare Part B. Eli lixabiso leendleko zokuphuma epokothweni ekufuneka uhlawule ngaphambi kokuba i-Medicare iqale ukugubungela izinto kunye neenkonzo ezivunyiweyo.

Icandelo B lichithwe ngo-2020 li- $ 198. Kufuneka uhlawule nepremiyamu yenyanga nenyanga. Ngo-2020, i-premium i- $ 144.60- nangona isenokuba phezulu, kuxhomekeke kwingeniso yakho.

Emva kokuba udibene neCandelo B elincitshisiweyo ngonyaka, i-Medicare iya kuhlawula iipesenti ezingama-80 zeendleko zezixhobo zakho zokuqeshisa i-oksijini ekhaya. Izixhobo zomoya we-oksijini zithathwa njengesixhobo esomeleleyo sezonyango (i-DME). Uya kuhlawula iipesenti ezingama-20 zeendleko ze-DME, kwaye kuya kufuneka ufumane izixhobo zakho zokurenta kumthengisi we-DME owamkelweyo yi-Medicare.

Izicwangciso zeMedicare Advantage (Icandelo C) zingasetyenziselwa ukuhlawulela izixhobo zokuqeshisa ioksijini. Ezi zicwangciso ziyafunwa ngumthetho ukuba zigubungele ubuncinci ubuncinci be-Medicare (icandelo A kunye no-B).

Ukugquma kwakho kunye neendleko ziya kuxhomekeka kwisicwangciso seMedicare Advantage osikhethayo, kwaye ukhetho lwakho lwababoneleli lunokulinganiselwa kwabo bakwisicwangciso senethiwekhi.

Zeziphi izixhobo kunye nezixhobo ezigutyungelweyo?

I-Medicare iya kugubungela isahlulo seendleko zezixhobo eziqeshisayo ezibonelela, zigcina, kwaye zihambise ioksijini. Iindidi ezininzi zeenkqubo zeoksijini zikhona, kubandakanya igesi ecinezelweyo, ioksijini engamanzi, kunye nezixhobo zeoksijini eziphathwayo.

Nalu ushwankathelo lwendlela esebenza ngayo nganye yezi nkqubo:

• Iinkqubo zegesi ezixineneyo. Ezi ziindawo zokumisa ioksijini ezinenyawo ze-50 zokubhabha ezinxibelelana neetanki ezincinci zeoksijini. Iitanki zisiwe ekhayeni lakho ngokusekwe kwinani leoksijini efunekayo ukunyanga imeko yakho. Ioksijini iphuma kwitanki ngesixhobo esilawulayo esigcina ioksijini. Oku kuyivumela ukuba ihanjiswe kuwe kwi-pulses kunokuba ibe ngumsinga oqhubekayo.
• Iinkqubo zeoksijini ezingamanzi. Indawo yokugcina ioksijini iqulethe ioksijini engamanzi oyisebenzisayo ukuzalisa itanki encinci, njengoko kufuneka njalo. Unxibelelana nedama ngeenyawo ezingama-50 zokutyubhisha.
• I-oxygen concentrator ephathekayo. Olu lolona luncinci, olona lukhetho lushukumayo kwaye lunokunxitywa njengobhaka okanye ukuhanjiswa ngamavili. Ezi yunithi zombane azidingi ukuba iitanki zigcwaliswe kwaye ziza neenyawo ezi-7 kuphela zokuthambisa. Kodwa kubalulekile ukwazi ukuba i-Medicare igubungela i-oxygen concentrators ephathekayo kuphela kwiimeko ezithile.

I-Medicare iya kugubungela iiyunithi zeoksijini ezimileyo ukuze zisetyenziswe ekhaya. Le ngxelo ibandakanya:

• Ukutyubhisha ioksijini
• impumlo yempumlo okanye umlomo
• ulwelo okanye ioksijini yegesi
• ukugcinwa, ukugcinwa, kunye nokulungiswa kweyunithi yeoksijini

I-Medicare ikwagubungela ezinye iindlela zonyango ezinxulumene neoksijini, unyango oluqhubekayo loxinzelelo lomoya (CPAP). Unyango lwe-CPAP lunokufuneka kwiimeko ezinje nge-apnea yokulala yokuthintela.

Ndilulungela njani ukhuselo?

Makhe sihlolisise iikhrayitheriya ekufuneka uhlangane nazo kwi-Medicare yokugubungela izixhobo zakho zokuqeshisa ioksijini ekhaya:

• Ukuqinisekisa ukuba unyango lweoksijini lufihliwe phantsi kweCandelo leMedicare B, kuya kufuneka ufumaneke ukuba unemeko efanelekileyo kwaye uneodolo yonyango lweoksijini.
• Kuya kufuneka wenze iimvavanyo ezithile ezibonisa isidingo sakho sonyango lweoksijini. Olunye kuvavanyo lwegesi, kwaye iziphumo zakho kufuneka ziwele kuluhlu oluchaziweyo.
• Ugqirha wakho kufuneka a-odole isixa esithile, ubude bexesha, kunye nokuhamba rhoqo kweoksijini oyifunayo. Ii-odolo zeoksijini kwisiseko esifunekayo asihlali sikulungele ukufumana ingxelo phantsi kweCandelo leMedicare B.
• Ukulungela ukugubungela, i-Medicare inokufuna ukuba ugqirha wakho abonise ukuba ukhe wazama ezinye iindlela zonyango, ezinje ngokubuyisela kwisimo se-pulmonary, ngaphandle kwempumelelo epheleleyo.
• Kuya kufuneka ufumane izixhobo zakho zokurenta nangona umboneleli ethatha inxaxheba kwi-Medicare kwaye amkela isabelo. Ungafumana ababoneleli abavunyiweyo beMedicare apha.

Sisebenza njani isixhobo sokuqeshisa?

Xa ulungele unyango lweoksijini, i-Medicare ayizithengi ngqo izixhobo kuwe. Endaweni yoko, igubungela ukuqeshiswa kwenkqubo yeoksijini iinyanga ezingama-36.

Ngelo xesha, unoxanduva lokuhlawula iipesenti ezingama-20 zomrhumo wokurenta. Intlawulo yokurenta igubungela iyunithi yeoksijini, i-tubing, iimaski kunye ne-canal ye-nasal, igesi okanye i-oksijini engamanzi, kunye neendleko zenkonzo kunye nolondolozo.

Xa ixesha lokurenta leenyanga ezingama-36 liphela, umboneleli wakho kufuneka aqhubeke nokubonelela nokugcina izixhobo ukuya kuthi ga kwiminyaka emi-5, ukuba nje usenaso isidingo sonyango. Umthengisi usenazo izixhobo, kodwa umrhumo wenyanga uqeshisa emva kweenyanga ezingama-36.

Nokuba sekuphelile ukuhlawula irente, i-Medicare iya kuqhubeka nokuhlawula isabelo sayo soncedo olufunekayo ekusebenziseni izixhobo, ezinje ngokuhanjiswa kwegesi okanye ioksijini engamanzi. Njengoko iindleko zokuqeshisa izixhobo, i-Medicare iya kuhlawula iipesenti ezingama-80 zeendleko eziqhubekayo zokubonelela. Uya kuhlawula i-Medicare Part B deduction, i-premium yenyanga, kunye neepesenti ezingama-20 zeendleko ezisele.

Ukuba usafuna unyango lweoksijini emva kweminyaka emi-5, kuya kuqala ixesha lokurenta leenyanga ezingama-36 kunye nelayini yeminyaka emi-5.

Okungakumbi malunga nonyango lweoksijini

Unokufuna unyango lweoksijini ukunyanga enye yeemeko ezahlukeneyo.

Ngamanye amaxesha, ukwenzakala okanye ukugula kakhulu kunokunciphisa ukubanakho ukuphefumla ngokufanelekileyo. Ngamanye amaxesha, isifo esinjengeCOPD sinokutshintsha ikhemistri yeegesi ezisegazini lakho, zehlise isixa seoksijini esinokusetyenziswa ngumzimba wakho.

Nalu uluhlu lwezinye iimeko ezinokufuna ukuba usebenzise unyango lweoksijini ngamanye amaxesha okanye oluqhubekayo ekhaya:

• ICOPD
• ukukrala kwemiphunga
• umbefu
• ukumelwa yintliziyo
• icystic fibrosis
• ubuthongo bokulala
• isifo semiphunga
• umothuko wokuphefumla

Ukuchonga ukuba imeko yakho ifuna unyango lweoksijini ekhaya, ugqirha wakho uya kwenza iimvavanyo ezahlukeneyo ezilinganisela ukusebenza kokuphefumla kwakho. Iimpawu ezinokukhokelela ugqirha wakho ukuba acebise ezi mvavanyo zibandakanya:

• ukuqhawukelwa ngumphefumlo
• i-cyanosis, enombala opholileyo okanye oluhlaza okwesikhumba okanye kwimilebe
• ukudideka
• ukukhohlela okanye ukuvuthisa
• ukubila
• ukuphefumla ngokukhawuleza okanye ukubetha kwentliziyo

Ukuba unayo le mpawu, ugqirha wakho uya kwenza iimvavanyo ezithile. Oku kunokubandakanya ukuphefumla okanye ukuzilolonga, uvavanyo lwegesi, kunye nemilinganiselo yokugcwalisa ioksijini. Izixhobo ezizodwa zinokusetyenziswa kuvavanyo lomsebenzi, kwaye kuvavanyo lwegesi kufuna igazi.

Ukuvavanya i-oxygen saturation kunye ne-oximeter ye-pulse kumnwe wakho yindlela encinci yokuhlasela i-oxygen level.

Ngokuqhelekileyo, abantu abane-oksijini ehla phakathi kweepesenti ezingama-88 kunye neepesenti ezingama-93 kwi-oximeter ye-pulse iya kufuna unyango lwe-oxygen, ubuncinane ngamanye amaxesha. Izikhokelo malunga nokuba ingakanani ioksijini oyisebenzisayo kwaye iya kuxhomekeka nini kwimeko yakho.

Kwezinye iimeko, ugqirha wakho unokumisela ukulungiswa kwemiphunga ngaphezu kwonyango lwe-oxygen.

Ukuvuselelwa kwepulmonary kunceda abantu abanemeko enje ngeCOPD bafunde ukuyilawula kwaye bonwabele ubomi obungcono. Ukuvuselelwa kwepulmonary kuhlala kubandakanya imfundo ngeendlela zokuphefumla kunye namaqela enkxaso yoontanga. Olu nyango lwangaphandle luxhomekeke kwiCandelo leMedicare B.

Unyango lweoksijini kufuneka luphathwe njengalo naluphi na olunye unyango. Kuya kufuneka usebenze nogqirha wakho ukufumana unyango olufanelekileyo, idosi, kunye nexesha elichanekileyo kwimeko yakho. Njengokuba ioksijini encinci inokwenzakalisa, ioksijini eninzi inokuba nemingcipheko. Ngamanye amaxesha, kufuneka usebenzise ioksijini okwexeshana. Qiniseka ukuba uthetha nogqirha wakho kwaye ujonge rhoqo ukuba ufuna-okanye ucinga ukuba unokufuna-unyango lweoksijini lwasekhaya.

Sebenzisa iimveliso zeoksijini ngokukhuselekileyo

Ioksijini yirhasi enokutsha kakhulu, ke kuya kufuneka uthathe amanyathelo okhuseleko xa usebenzisa izixhobo zeoksijini zasekhaya. Nazi iingcebiso ezimbalwa:

• Musa ukutshaya okanye usebenzise amadangatye avulekileyo naphina apho kusetyenziswa ioksijini yekhaya.
• Beka uphawu emnyango wakho ukwazisa iindwendwe ukuba kukho iyunithi yeoksijini yasekhaya esetyenziswayo.
• Beka iialamu zomlilo kulo lonke ikhaya lakho kwaye ujonge rhoqo ukuba ziyasebenza na.
• Lumka ngakumbi xa upheka.
• Qaphela ukuba i-oxygen tubing kunye nezinye izinto ezinokubangela ingozi yokuwa ngenxa yokuba unokukhubeka kuzo.
• Gcina iitanki zeoksijini kwindawo evulekileyo kodwa ekhuselekileyo.

Ukuthatha

• Ioksijini kufuneka isoloko isetyenziswa phantsi kweliso likagqirha.
• Lumka xa usebenzisa ioksijini, kwaye ulandele onke amanyathelo okhuseleko.
• Ukuba ufuna ioksijini yasekhaya kwaye ubhalise kwiCandelo B, i-Medicare kufuneka igubungele uninzi lweendleko zakho.
• I-Medicare isenokungagubungeli izixhobo zeoksijini, njengezinto ezijolise ekuphatheni.
• Sebenza nogqirha wakho ukufumana unyango olungcono kwimeko yakho kunye nokugubungela.
• Soloko uthetha nogqirha wakho ukuba ucinga ukuba iimfuno zakho zeoksijini zitshintshile.