Ngaba amayeza aza kuhlawula ukuGada uxinzelelo lwegazi ekhaya?

Umxholo

• Ngaba i-Medicare igubungela uvavanyo lwegazi?
• Kutheni le nto ndifuna ukujonga uxinzelelo lwegazi ekhaya?
• Ukufundwa kweofisi kagqirha engachanekanga
• I-dialysis yezintso
• Yintoni i-Medicare egubungela ngayo iintlobo ezahlukeneyo zokujonga uxinzelelo lwegazi?
• Uxinzelelo lwegazi cuffs
• Uyisebenzisa kanjani enye
• Ukugubungela amayeza
• Ukuvavanywa koxinzelelo lwegazi
• Iikhrayitheriya zesifo seengubo ezimhlophe
• Iikhrayitheriya zoxinzelelo lwegazi ezifihliweyo
• Imiyalelo esisiseko yokusebenzisa i-ABPM
• Iingcebiso zokuthenga esweni uxinzelelo lwegazi ekhaya
• Ulwazi lwexinzelelo kunye neengcebiso eziluncedo
• Ukuthatha

• I-Medicare ngokubanzi ayihlawuli abagadi begazi ekhaya, ngaphandle kweemeko ezithile.
• Icandelo le-Medicare Icandelo B linokuhlawula ukuba uqeshe i-ambulensi yokujonga uxinzelelo lwegazi kube kanye ngonyaka ukuba ugqirha wakho ukuncomela.
• I-Medicare Icandelo B lingahlawula uxinzelelo lwegazi ukuba ufumana i-dialysis ye-renal ekhaya.

Ukuba ugqirha wakho ucebise ukuba ujonge uxinzelelo lwegazi rhoqo, unokuba kwintengiso yokujonga uxinzelelo lwegazi ekhaya.

Njengoko uthelekisa iindleko zokujonga uxinzelelo lwegazi kwi-intanethi okanye kubanikezeli bezixhobo zonyango, kubalulekile ukwazi ukuba i-Medicare yoqobo (iinxalenye A kunye no-B) ihlawulela kuphela abagadi bexinzelelo lwegazi basekhaya kwiimeko ezinomda kakhulu.

Funda ukuze ufunde ukuba nini i-Medicare izakuhlawula iindleko zezixhobo zasekhaya, iintlobo ezahlukeneyo zokujonga ezikhoyo, kunye neengcebiso zokukunceda ukulawula uxinzelelo lwegazi.

Ngaba i-Medicare igubungela uvavanyo lwegazi?

I-Medicare ihlawulela kuphela abagadi begazi basekhaya ukuba uhlala kwi-dialysis ye-renal ekhayeni lakho okanye ukuba ugqirha wakho ucebise i-Ambulatory Blood Pressure Monitor (ABPM). Ii-ABPMs zilandelela uxinzelelo lwegazi ngaphezulu kweeyure ezingama-42 ukuya kuma-48.

Ukuba uneCandelo leMedicare A, izibonelelo zakho ziya kugubungela naluphi na uvavanyo lwexinzelelo lwegazi olufunekayo ngelixa ulaliswe esibhedlele.

I-Medicare Icandelo B ligubungela uxinzelelo lwegazi olwenzeka kwi-ofisi kagqirha wakho, ukuba ugqirha wakho ubhalisile kwi-Medicare. Utyelelo lwakho lwempilo qho ngonyaka kufuneka lubandakanye uxinzelelo lwegazi, olugqunywe phantsi kweCandelo B njengononophelo lothintelo

Kutheni le nto ndifuna ukujonga uxinzelelo lwegazi ekhaya?

Ezona zinto zisetyenziswa ngokuxhaphakileyo ekhaya zokujonga uxinzelelo lwegazi ziikhofu zoxinzelelo lwegazi kunye neeABPM. Kukho izizathu ezimbalwa ugqirha wakho anokucebisa ukuba usebenzise enye ekhaya.

Ukufundwa kweofisi kagqirha engachanekanga

Ngamanye amaxesha, ukuba uxinzelelo lwegazi luhlolwe kwiofisi kagqirha kungakhokelela kwiziphumo ezingachanekanga. Oku kungenxa yento ebizwa ngokuba yingubo emhlophe yengubo. Yilapho uhambo oluya kwiofisi kagqirha - okanye nje ukuba ngaphakathi iofisi kagqirha-ibangela ukuba uxinzelelo lwegazi lwakho lonyuke.

Abanye abantu banamava koxinzelelo lwegazi. Oku kuthetha ukuba uxinzelelo lwegazi lusezantsi kwi-ofisi kagqirha kunokuba kunjalo kubomi bemihla ngemihla.

Ke ngoko, ukubeka esweni uxinzelelo lwegazi ekhaya kunokubonelela ngokufunda ngokuthembekileyo ukuba enye yezi meko idala iziphumo ezingezizo.

I-dialysis yezintso

Kulabo kwi-dialysis ye-renal, ukuchaneka nokuchaneka koxinzelelo lwegazi kubalulekile. Uxinzelelo lwegazi sisizathu sesibini esiphambili sesifo sezintso esinganyangekiyo. Kwaye ukuba unesifo esinganyangekiyo sezintso, uxinzelelo lwegazi oluphezulu lunokunciphisa izintso zakho 'ukukwazi ukuhluza iityhefu emzimbeni wakho. Ngesi sizathu, kubalulekile ukwazi ukuba uxinzelelo lwegazi lwakho luyonyuka ukuba uku-dialysis esekhaya.

Yintoni i-Medicare egubungela ngayo iintlobo ezahlukeneyo zokujonga uxinzelelo lwegazi?

Uxinzelelo lwegazi cuffs

Uxinzelelo lwegazi cuffs ukulingana ingalo yakho ephezulu. Ibhanti ejikeleze ingalo yakho igcwalisa umoya, ucofa ingalo yakho ukunqanda ukuhamba kwegazi ngomthambo wakho wobuchwephesha. Njengoko umoya ukhulula, igazi liqala ukuhamba ngomthambo kwakhona kumaza atshayayo.

Uyisebenzisa kanjani enye

1. Ukuba usebenzisa i-cuff yesandla, beka i-stethoscope engqinibeni yangaphakathi apho unokuva khona ukuhamba kwegazi. Jonga inombolo yokudayala kweso sixhobo.
2. Xa usiva ukunyuka kwegazi (kuvakala ngathi kukumpompa igazi) inani olibonayo kwidayali kukufundwa kwe-systolic.
3. Xa uxinzelelo lukhululwe ngokupheleleyo enqoleni kwaye awusasiva isandi sokumpompa igazi, elo nani ulibonayo kucofo kukufundwa kwediastolic. Oku kubonisa uxinzelelo kwinkqubo yokujikeleza kwegazi xa intliziyo ikhululekile.

Ukugubungela amayeza

I-Medicare ihlawula iipesenti ezingama-80 zeendleko zesikhombisi soxinzelelo lwegazi kunye ne-stethoscope ukuba ukwi-renal dialysis ekhayeni lakho. Uya kuba noxanduva lwepesenti ye-20 eseleyo yeendleko.

Ukuba unesicwangciso seMedicare Part C (Medicare Advantage), thetha nomboneleli wakho weinshurensi ukuze ubone ukuba isicwangciso sakho sigubungela uxinzelelo lwegazi. Ziyacelwa ukuba zigubungele ubuncinci ubuncinci njengeMedicare yoqobo, kwaye ezinye izicwangciso ziya kubandakanya ezongezelelweyo, kubandakanya izixhobo zonyango.

Ukuvavanywa koxinzelelo lwegazi

Ezi zixhobo zithatha uxinzelelo lwegazi ngamaxesha ngamaxesha yonke imihla kwaye zigcina ukufundwa. Ngenxa yokuba ufundo luthathelwe ekhayeni lakho nakumanqaku ahlukeneyo emini, zinika umfanekiso ochanekileyo wokuphakama koxinzelelo lwegazi kunye nokuhla.

Iikhrayitheriya zesifo seengubo ezimhlophe

Ukuba ugqirha wakho ucinga ukuba unokuba nengubo emhlophe yengubo, i-Medicare iya kukuhlawulela ukuba uqeshe i-ABPM kanye ngonyaka ukuba uhlangabezana nale migaqo ilandelayo:

• uxinzelelo lwegazi lwe-systolic ophakathi kwakho beluphakathi kwe-130 mm Hg kunye ne-160 mm Hg okanye uxinzelelo lwegazi lwediastolic lwaluphakathi kwe-80 mm Hg kunye ne-100 mm Hg kutyelelo lweofisi kagqirha ohlukeneyo, ubuncinci imilinganiselo emibini eyahlukeneyo ethathwe kutyelelo ngalunye
• uxinzelelo lwegazi olungaphandle kwe-ofisi lilinganiswe ngaphantsi kwe-130/80 mm Hg ubuncinci amaxesha amabini ahlukeneyo

Iikhrayitheriya zoxinzelelo lwegazi ezifihliweyo

Ukuba ugqirha wakho ucinga ukuba unokuba unesifo soxinzelelo lwegazi, iMedare iya kukuhlawulela ukuba uqeshe i-ABPM kanye ngonyaka, ukuba uhlangabezana nale migaqo ilandelayo:

• uxinzelelo lwegazi oluphakathi lwe-systolic lwaluphakathi kwe-120 mm Hg kunye ne-129 mm Hg okanye uxinzelelo lwe-diastolic yegazi yakho iphakathi kwe-75 mm Hg kunye ne-79 mm Hg kutyelelo lweofisi kagqirha ohlukeneyo, ubuncinci imilinganiselo emibini eyahlukeneyo ethathwe kutyelelo ngalunye
• uxinzelelo lwegazi olungaphandle kweofisi lwaluyi-130/80 mm Hg okanye ngaphezulu ubuncinci izihlandlo ezibini

Imiyalelo esisiseko yokusebenzisa i-ABPM

Amaziko e-Medicare kunye neeNkonzo zeMedicaid zincoma ukuba ulandele ezi zikhokelo xa usebenzisa i-ABPM:

• Qonda indlela yokusebenzisa isixhobo ngaphambi kokuba uphume eofisini kagqirha.
• Buza ugqirha wakho ukuba aphawule umthambo wakho we-brachial kwimeko apho ikhephu ityibilika kwaye kufuneka uyilungise.
• Yenza imisebenzi yakho esisiseko yemihla ngemihla njengesiqhelo, kodwa hlala uthe cwaka ngeli xesha ifowuni yakho ithatha uxinzelelo lwegazi, ukuba kunokwenzeka. Gcina inqanaba lengalo ngentliziyo yakho ngelixa isebenza.
• Qaphela ixesha lawo nawaphi na amayeza owathathayo, ke kulula ukuba ulandele nayiphi na imiphumo.
• Ukuba kunokwenzeka, akufuneki uqhube ngelixa usebenzisa i-ABPM.
• Akufanele uhlambe ngelixa i-ABPM iqhotyoshelwe kuwe.
• Xa uye kulala ebusuku, beka isixhobo phantsi komqamelo okanye ebhedini.

Iingcebiso zokuthenga esweni uxinzelelo lwegazi ekhaya

Abantu abaninzi bathenga iimvavanyo zoxinzelelo lwegazi kwi-intanethi okanye kwivenkile yendawo okanye kwikhemesti. Ingcali yeKlinikhi yaseCleveland icebisa ukuba ulandele ezi zikhokelo xa uthenga ikhofu yoxinzelelo lwegazi kumthombo wentengiso:

• Ukuba uneminyaka engama-50 okanye ngaphezulu, khangela isikhonkwane sengalo kunokuba ube sesandleni sakho. Iikhofu zeengalo zichanekile ngakumbi kunemodeli yesandla.
  • Qinisekisa ukuba uthenga ubungakanani obufanelekileyo. Ubungakanani obudala bomntu omncinci usebenzela iingalo ezingaphezulu kwe-8.5 ukuya kwi-intshi ezili-10 (22-26 cm) kwi-circumference. Ubungakanani bomntu omdala ophakathi okanye umndilili kufuneka ulingane nengalo eyi-10.5 ukuya kwi-13 ye-intshi (27-34 cm). Ubungakanani bomntu omdala bukhulu kufanelekile kwingalo ye-13.5 ukuya kwi-17 ye-intshi (35-44 cm).
• Lindela ukuhlawula phakathi kwe- $ 40 kunye ne- $ 60. Iinguqulelo ezibiza kakhulu zikhona, kodwa ukuba ufuna ukufundwa ngokuchanekileyo, okungekho ngqiqweni, awudingi ukwaphula ibhanki.
• Jonga isixhobo esizifundela ngokuzenzekelayo uxinzelelo lwegazi amaxesha amathathu ngokulandelelana, ngamakhefu okujikeleza umzuzu omnye ngaphandle.
• Icoce ngokucacileyo kwivenkile yeapps. Ngelixa inani elikhulayo leapps zoxinzelelo lwegazi ziyavela, ukuchaneka kwazo akukaphandwa kakuhle okanye kungqinisisiwe.

Unokufuna kwakhona isixhobo esinomboniso ekulula ukuwufunda okhanyiswe kakuhle ukuba ufuna ukuthatha ufundo ebusuku. Nje ukuba ukhethe isixhobo, cela ugqirha wakho aqinisekise ukufundwa kwayo.Izifundo zibonise ukuba ipesenti ephezulu yezixhobo zokujonga uxinzelelo lwegazi ekhaya zinika ufundo olungachanekanga.

Ulwazi lwexinzelelo kunye neengcebiso eziluncedo

Ukulandelela uxinzelelo lwegazi ekhaya kubalulekile, ngakumbi ukuba ukhathazekile ngoxinzelelo lwegazi. Ukuba uxinzelelo lwegazi luphezulu kakhulu, kukho izinto onokuzenza ukuze wehlise:

• Nciphisa inani lesodiyam, icaffeine, kunye notywala obusebenzisayo.
• Zilolonge okungenani imizuzu engama-30 ngosuku.
• Yeka ukutshaya.
• Fumana iindlela zokulawula uxinzelelo lwakho kubomi bemihla ngemihla.
• Thetha nogqirha wakho malunga namayeza amiselweyo anciphisa uxinzelelo lwegazi.

Ukuthatha

I-Medicare ayihlawuli abagadi begazi basekhaya ngaphandle kokuba ufumana i-renal dialysis ekhayeni lakho, okanye ukuba ugqirha wakho ufuna ukuba uthathe uxinzelelo lwegazi kwenye indawo ngaphandle konyango.

Ukuba uhlala kwi-dialysis yasekhaya, i-Medicare Part B iya kuhlawula i-monitor yegazi kunye ne-stethoscope. Ukuba unesifo seengubo ezimhlophe okanye uxinzelelo lwegazi, iMedare iya kukuhlawulela ukuba uqeshe i-ABPM kanye ngonyaka ukujonga uxinzelelo lwegazi ngaphezulu kweeyure ezingama-24 ukuya kuma-48.

Ngesicwangciso seMedicare Advantage, kuyakufuneka ufumanise ukuba ingaba icebo lakho ligubungela abagadi bokhuseleko lwegazi ekhaya, kuba isicwangciso ngasinye sahlukile.

Ukuthatha uxinzelelo lwegazi ekhaya yinto efanelekileyo, ngakumbi ukuba ukhathazekile ngoxinzelelo lwegazi. Unokufumana ii-cuffs zoxinzelelo lwegazi ezingabizi kakhulu ezinoluhlu olubanzi lwezinto ezikwi-Intanethi okanye ezivenkileni zentengiso.

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.