Ngabe i-Medicare Ikhava i-Hydroxychloroquine?

-Delile

• Ngabe i-Medicare iyayimboza i-hydroxychloroquine?
• Yini i-hydroxychloroquine?
• Imiphumela emibi engaba khona
• Ukusebenzisana kwezidakamizwa
• Ukusebenza ngempumelelo
• Ngabe i-hydroxychloroquine ingasetshenziselwa ukwelapha i-COVID-19?
• Ukutholakala kweMedicare okungenzeka ngokuzayo
• Ibiza malini i-hydroxychloroquine?
• Ukuthatha

NgoMashi 28, 2020, i-FDA yakhipha Ukugunyazwa Kokusetshenziswa Okuphuthumayo kwe-hydroxychloroquine ne-chloroquine ekwelapheni i-COVID-19. Bahoxisa lesi sigunyazo ngoJuni 15, 2020. Ngokususelwa ekubuyekezweni kocwaningo lwakamuva, i-FDA inqume ukuthi le mithi ngeke ibe yindlela yokwelapha esebenzayo ye-COVID-19 nokuthi ubungozi bokuyisebenzisela le nhloso bungadlula noma yikuphi izinzuzo.

• I-Hydroxychloroquine umuthi kadokotela osetshenziselwa ukwelapha umalaleveva, i-lupus, ne-rheumatoid arthritis.
• Ngenkathi i-hydroxychloroquine iphakanyisiwe njengokwelashwa kwe-COVID-19, abukho ubufakazi obanele bokuvumela umuthi walokhu kusetshenziswa.
• I-Hydroxychloroquine imbozwe ngaphansi kwezinhlelo zemithi kadokotela ezihlinzekelwa ukusetshenziswa kwayo okugunyaziwe kuphela.

Uma ubulokhu uqhubeka ezingxoxweni ezizungeze ubhadane lwe-COVID-19, kungenzeka ukuthi uzwile ngomuthi obizwa nge-hydroxychloroquine. I-Hydroxychloroquine isetshenziswa kakhulu ekwelapheni umalaleveva nezinye izimo eziningana zokuzivikela komzimba.

Yize kusanda kugxilwa njengokwelapha okungahle kube khona ukutheleleka nge-coronavirus yenoveli, i-Food and Drug Administration (i-FDA) ayikakagunyazi lesi sidakamizwa njengokwelapha noma ukwelashwa kwe-COVID-19. Ngenxa yalokhu, iMedicare imboza kuphela i-hydroxychloroquine lapho ibekelwe ukusetshenziswa kwayo okugunyaziwe, ngaphandle kokumbalwa.

Kule ndatshana, sizohlola ukusetshenziswa okuhlukile kwe-hydroxychloroquine, kanye nokutholakala okunikezwa yiMedicare kulo muthi kadokotela.

Ngabe i-Medicare iyayimboza i-hydroxychloroquine?

I-Medicare Part A (umshuwalense wesibhedlela) ihlanganisa izinsizakalo ezihlobene nokuvakashelwa kweziguli ezingalaliswanga, abasizi bezempilo ekhaya, ukuhlala okulinganiselwe esikhungweni sabahlengikazi abanamakhono, nokunakekelwa kokuphela kokuphila (i-hospice). Uma ungeniswa esibhedlela nge-COVID-19 futhi i-hydroxychloroquine inconyelwa ukwelashwa kwakho, lo muthi uzofakwa kwi-Part A yakho.

I-Medicare Part B (umshuwalense wezokwelapha) ihlanganisa izinsizakalo ezihlobene nokuvimbela, ukuxilonga kanye nokwelashwa kweziguli ezingaphandle kwezimo zezempilo. Uma welashwa ehhovisi likadokotela wakho futhi unikezwa umuthi kulokhu kulungiselelwa, lokhu kungenzeka kumbozwe ngaphansi kwengxenye B.

I-Hydroxychloroquine njengamanje ivunyiwe yi-FDA ukwelapha umalaleveva, i-lupus, ne-rheumatoid arthritis, futhi ingaphansi kwamafomula athile emithi kadokotela ahlinzekwa yilezi zimo. Kodwa-ke, akuvunyelwe ukwelapha i-COVID-19, ngakho-ke ngeke ihlanganiswe yi-Medicare Part C noma i-Medicare Part D yalokhu kusetshenziswa.

Yini i-hydroxychloroquine?

I-Hydroxychloroquine, eyaziwa nangokuthi igama elithi Plaquenil, umuthi kadokotela osetshenziswa ekwelapheni umalaleveva, i-lupus erythematosus, nesifo samathambo.

I-Hydroxychloroquine yayisetshenziswa ekuqaleni kweMpi Yezwe II njenge-antimalarial ukuvimbela nokwelapha izifo ezithwala umalaleveva emasosheni. Ngalesi sikhathi, kwaziwa ukuthi i-hydroxychloroquine nayo isize nge-arthritis yokuvuvukala. Ekugcineni, lesi sidakamizwa sacwaningwa futhi satholakala ukuthi siwusizo nasezigulini ezine-systemic lupus erythematosus.

Imiphumela emibi engaba khona

Uma unikezwe i-hydroxychloroquine, udokotela wakho unqume ukuthi izinzuzo zomuthi zidlula izingozi zawo. Kodwa-ke, ungaba nemiphumela ethile emibi uma uthatha i-hydroxychloroquine, kufaka phakathi:

• isifo sohudo
• amajaqamba esiswini
• ukuhlanza
• ikhanda
• isiyezi

Eminye yemiphumela emibi kakhulu ebikwe ngokusetshenziswa kwe-hydroxychloroquine ifaka:

• ukungaboni kahle
• i-tinnitus (ukukhala ezindlebeni)
• ukulahlekelwa ukuzwa
• i-angioedema (“isifuba esikhulu”)
• ukusabela okweqile
• ukopha noma ukulimaza
• i-hypoglycemia (ushukela ophansi wegazi)
• ubuthakathaka bemisipha
• ukulahleka kwezinwele
• ukushintsha kwemizwelo
• ukuhluleka kwenhliziyo

Ukusebenzisana kwezidakamizwa

Noma nini lapho uqala umuthi omusha, kubalulekile ukuthi wazi noma ikuphi ukuhlangana kwezidakamizwa okungenzeka. Izidakamizwa ezingasabela nge-hydroxychloroquine zifaka:

• i-digoxin (Lanoxin)
• izidakamizwa zokwehlisa ushukela egazini
• izidakamizwa eziguqula isigqi senhliziyo
• ezinye izidakamizwa ze-malaria
• imishanguzo yokulwa nezidakamizwa
• izidakamizwa zokuzivikela

Ukusebenza ngempumelelo

Kokubili igama lomkhiqizo kanye nohlobo olujwayelekile lwalesi sidakamizwa kusebenza ngendlela efanayo ekwelapheni umalaleveva, i-lupus ne-rheumatoid arthritis. Kodwa-ke, kukhona umehluko wezindleko phakathi kwalokhu okubili, esizoxoxa ngakho kamuva kule ndatshana.

Ngabe i-hydroxychloroquine ingasetshenziselwa ukwelapha i-COVID-19?

I-Hydroxychloroquine iye yathathwa ngabathile "njengekhambi" le-COVID-19, kepha ingabe lo muthi umi kuphi ngempela njengendlela yokwelashwa yokutheleleka nge-coronavirus yenoveli? Kuze kube manje, imiphumela ihlanganisiwe.

Ekuqaleni, ukusebenzisa i-hydroxychloroquine ne-azithromycin ekwelashweni kwe-COVID-19 kwasatshalaliswa emithonjeni yezindaba njengobufakazi bokusebenza komuthi. Kodwa-ke, ukubuyekezwa kocwaningo okushicilelwe ngemuva nje kokuthola ukuthi kunemikhawulo eminingi esifundweni ebinganakwa, kufaka phakathi usayizi wesampula omncane kanye nokushoda kokungahleliwe.

Kusukela lapho, ucwaningo olusha luphakamise ukuthi abukho ubufakazi obanele bokuphakamisa ngokuphepha ukusebenzisa i-hydroxychloroquine njengokwelashwa kwe-COVID-19. Eqinisweni, enye esanda kushicilelwa ithi ucwaningo olufanayo olwenziwa eChina kusetshenziswa i-hydroxychloroquine alutholanga bufakazi bokusebenza ngempumelelo uma kuqhathaniswa ne-COVID-19.

Ukubaluleka kokuhlolwa kwemithi yokwelashwa kwezifo ezintsha akukwazi ukweqiswa. Kuze kube kukhona ubufakazi obuqinile bokuthi i-hydroxychloroquine ingalapha i-COVID-19, kufanele isetshenziswe kuphela ngaphansi kukadokotela.

Ukutholakala kweMedicare okungenzeka ngokuzayo

Uma ungumzuzi we-Medicare, ungahle uzibuze ukuthi kuzokwenzekani uma i-hydroxychloroquine, noma esinye isidakamizwa, ibivunyelwe ukwelapha i-COVID-19.

I-Medicare ihlinzeka ngokutholakala kokuxilongwa, ukwelashwa nokuvikela izifo ezidingekayo ngokwezokwelapha. Noma imiphi imishanguzo evunyelwe ukwelapha ukugula, njenge-COVID-19, imbozwe ngaphansi kweMedicare.

Ibiza malini i-hydroxychloroquine?

Ngoba i-hydroxychloroquine okwamanje ayihlanganisiwe ngaphansi kwezinhlelo ze-Medicare Part C noma ze-Part D ze-COVID-19, ungahle uzibuze ukuthi izokubiza malini ephaketheni ngaphandle kokumbozwa.

Ishadi elingezansi ligcizelela izindleko ezijwayelekile zokuhlinzekwa kwezinsuku ezingama-30 ze-200-milligram hydroxychloroquine emakhemisi ahlukahlukene ase-United States ngaphandle kokutholakala komshuwalense:

Izindleko zokutholakala kwe-Medicare ngokusetshenziswa okugunyaziwe zizohluka kusuka ohlelweni lokuhlela, ngokuya ngohlelo lwe-formulary's tier system. Ungaxhumana necebo lakho noma ikhemisi noma ubheke ifomula yohlelo lwakho ukuthola imininingwane ethile yezindleko.

Noma i-hydroxychloroquine ingamboziwe ngaphansi kohlelo lwakho lwemithi kadokotela, zisekhona izindlela zokukhokha imali encane ngemithi kadokotela.

• Enye indlela yokwenza lokhu ngenkampani enikezela ngamakhuphoni wamahhala emithi kadokotela, njengeGoodRx noma i-WellRx. Kwezinye izimo, la makhuphoni angakusiza ukuthi ulondoloze inani elikhulu kuzindleko zokuthengisa zomuthi.
• I-Medicare inikeza izinhlelo zokusiza ukumboza izindleko zakho zokunakekelwa kwezempilo. Ungahle ufanelekele uhlelo lwe-Medicare's Extra Help, olwenzelwe ukusiza ngezindleko zakho zemithi ekhishwa ngaphandle kwephaketheni.

Ukuthatha

I-Hydroxychloroquine ayikavunyelwa ukwelapha i-COVID-19, ngakho-ke ukumbozwa kweMedicare kwalesi sidakamizwa ukwelapha ukutheleleka nge-coronavirus yenoveli kukhawulelwe ekusetshenzisweni kwesibhedlela ngaphansi kwezimo ezingavamile.

Uma udinga lo muthi ukusetshenziswa okugunyaziwe, njenge-malaria, i-lupus, noma i-rheumatoid arthritis, uzombozwa ngohlelo lwakho lwemithi kadokotela.

Kunethemba eliya phambili lokuthi imishanguzo kanye nokwelashwa kwe-COVID-19 kuzotholakala.

Imininingwane ekule webhusayithi ingakusiza ekwenzeni izinqumo eziphathelene nomshuwalense, kepha ayihloselwe ukunikeza iseluleko maqondana nokuthengwa noma ukusetshenziswa kwanoma imuphi umshwalense noma imikhiqizo yomshuwalense. I-Healthline Media ayisebenzisi ibhizinisi lomshwalense nganoma iyiphi indlela futhi ayinamalayisensi njengenkampani yomshuwalense noma umkhiqizi kunoma iyiphi indawo yase-U.S. I-Healthline Media ayincomi noma ivumele noma yiziphi izinkampani zangaphandle ezingase zenze ibhizinisi lomshwalense.