Ingabe i-Medicare izoyikhokhela i-Monitor Home Pressure Monitor?

-Delile

• Ngabe i-Medicare ihlanganisa ngabaqaphi bomfutho wegazi?
• Kungani ngingahle ngidinge ukuqapha umfutho wegazi wasekhaya?
• Ukufundwa okungafanele kwehhovisi likadokotela
• I-dialysis yezinso
• Yini i-Medicare emboza ngayo izinhlobo ezahlukahlukene zabaqaphi bomfutho wegazi?
• Izindebe zomfutho wegazi
• Ungayisebenzisa kanjani eyodwa
• Ukutholakala kwe-Medicare
• Abaqaphi bomfutho wegazi we-Ambulatory
• Izindinganiso ze-White coat syndrome
• Indlela yokufihla umfutho wegazi ophakeme
• Imiyalo eyisisekelo yokusebenzisa i-ABPM
• Amathiphu wokuthenga owakho umfutho wegazi wasekhaya
• Imininingwane ye-hypertension namathiphu awusizo
• Ukuthatha

• I-Medicare ngokuvamile ayikhokhi abaqaphi be-blood pressure ekhaya, ngaphandle kwezimo ezithile.
• I-Medicare Part B ingakukhokhela ukuthi uqashe i-ambulensi yokuhlola umfutho wegazi kanye ngonyaka uma udokotela wakho ekuncomela eyodwa.
• I-Medicare Part B ingakhokhela ukuqapha kwengcindezi yegazi uma uthola i-renal dialysis ekhaya.

Uma udokotela wakho encoma ukuthi uhlole umfutho wegazi njalo, ungaba semakethe yokuqapha umfutho wegazi ozosetshenziswa ekhaya.

Njengoba uqhathanisa izindleko zabaqaphi bomfutho wegazi ku-inthanethi noma kubahlinzeki bemishini yezokwelapha, kubalulekile ukwazi ukuthi iMedicare yasekuqaleni (izingxenye A no-B) ikhokhela kuphela abaqaphi be-blood pressure ekhaya ezimeni ezikhawulelwe kakhulu.

Funda ukuze ufunde ukuthi i-Medicare izokhokha nini izindleko zamadivayisi asekhaya, izinhlobo ezahlukahlukene zabaqaphi ezitholakalayo, namathiphu wokukusiza ukulawula umfutho wegazi ophezulu.

Ngabe i-Medicare ihlanganisa ngabaqaphi bomfutho wegazi?

I-Medicare ikhokhela kuphela abaqaphi be-blood pressure uma use-renal dialysis ekhaya lakho noma uma udokotela wakho encoma i-Ambulatory Blood Pressure Monitor (ABPM). Ama-ABPM alandelela umfutho wegazi lakho esikhathini esingamahora angama-42 kuye kwangama-48.

Uma une-Medicare Part A, izinzuzo zakho zizohlanganisa noma yikuphi ukuqapha kwengcindezi yegazi okudingekayo ngenkathi ulaliswe esibhedlela.

I-Medicare Part B ihlanganisa ukuhlolwa kwengcindezi yegazi okwenzeka ehhovisi likadokotela wakho, inqobo nje uma udokotela wakho ebhalise kwi-Medicare. Ukuvakasha kwakho kahle njalo ngonyaka kufanele kufake phakathi ukuhlolwa kwegazi, okumbozwa ngaphansi kweNgxenye B njengokunakekelwa kokuvikela

Kungani ngingahle ngidinge ukuqapha umfutho wegazi wasekhaya?

Ama-monitors amabili asetshenziswa kakhulu emithanjeni yegazi asekhaya amakhofi wegazi kanye nama-ABPM. Kunezizathu ezimbalwa udokotela wakho angancoma ukuthi usebenzise eyodwa ekhaya.

Ukufundwa okungafanele kwehhovisi likadokotela

Kwesinye isikhathi, ukuhlolwa kwegazi lakho ehhovisi likadokotela kungaholela emiphumeleni enganembile. Lokhu kungenxa yesimo esibizwa nge-white coat syndrome. Yilapho uhambo oluya ehhovisi likadokotela - noma nje ukuba phakathi ihhovisi likadokotela - kubangela ukuthi umfutho wegazi lakho ukhuphuke.

Abanye abantu babhekana nomfutho wegazi ophakeme. Lokhu kusho ukuthi umfutho wegazi lakho uphansi ehhovisi likadokotela kunangesikhathi sokuphila kwansuku zonke.

Ngakho-ke, ukuqapha ukucindezelwa kwegazi ekhaya kungahlinzeka ngokufundwa okuthembekile uma enye yalezi zimo idala imiphumela engamanga.

I-dialysis yezinso

Kulabo abaku-dialal renal, ukuqapha ukucindezelwa kwegazi okunembile nokujwayelekile kubalulekile. Umfutho wegazi ophezulu uyimbangela yesibili ehamba phambili yezifo ezingamahlalakhona zezinso. Futhi uma unesifo esingapheliyo sezinso, umfutho wegazi ophakeme unganciphisa ikhono lezinso zakho lokuhlunga ubuthi emzimbeni wakho. Ngalesi sizathu, kubalulekile ukwazi ukuthi umfutho wegazi uyakhuphuka yini uma uku-dialysis esekhaya.

Yini i-Medicare emboza ngayo izinhlobo ezahlukahlukene zabaqaphi bomfutho wegazi?

Izindebe zomfutho wegazi

Izindwangu zomfutho wegazi zilingana nengalo yakho ephezulu. Ibhande elizungeze ingalo yakho ligcwalisa umoya, ucindezela ingalo yakho ukumisa ukuhamba kwegazi ngomthambo wakho we-brachial. Njengoba umoya ukhipha, igazi liqala ukugeleza emthanjeni futhi kumagagasi adonsayo.

Ungayisebenzisa kanjani eyodwa

1. Uma usebenzisa ikhafula yezandla, beka i-stethoscope endololwaneni engaphakathi lapho ingezwa khona ukugeleza kwegazi. Buka ukudayela kwenombolo kudivayisi.
2. Uma uzwa ukuqhuma kwegazi (kuzwakala njengokumpompa igazi) inombolo oyibonayo kudayela ukufundwa kwe-systolic.
3. Lapho ingcindezi ikhishwa ngokuphelele koqweqwe futhi ungabe usawuzwa umsindo wokumpompa igazi, leyo nombolo oyibona ekudayeleni ukufundwa kwe-diastolic. Lokhu kukhombisa ukucindezela kohlelo lokujikeleza kwegazi lapho inhliziyo ikhululekile.

Ukutholakala kwe-Medicare

I-Medicare ikhokha amaphesenti angama-80 wezindleko zesikhwama somfutho wegazi kanye ne-stethoscope uma uku-renal dialysis ekhaya lakho. Uzoba nesibopho samaphesenti angama-20 asele ezindleko.

Uma unecebo leMedicare Part C (Medicare Advantage), khuluma nomhlinzeki wakho womshuwalense ukuze ubone ukuthi uhlelo lwakho lumboza yini izinkinobho zomfutho wegazi. Bayadingeka ukumboza okungenani okungaphezulu kwe-Medicare yasekuqaleni, kanti ezinye izinhlelo zizobandakanya okungeziwe, kufaka phakathi amadivayisi wezokwelapha.

Abaqaphi bomfutho wegazi we-Ambulatory

Lawa madivayisi athatha umfutho wegazi lakho ngezikhathi ezithile usuku lonke futhi agcina ukufundwa. Ngoba ukufundwa kuyathathwa ekhaya lakho nangezindawo ezahlukahlukene emini, kunikeza isithombe esinembe kakhudlwana sokukhuphuka nomfutho wegazi ophakeme.

Izindinganiso ze-White coat syndrome

Uma udokotela wakho ecabanga ukuthi ungaba nesifo sejazi elimhlophe, i-Medicare izokukhokhela ukuthi uqashe i-ABPM kanye ngonyaka uma uhlangabezana nale mibandela elandelayo:

• i-systolic blood pressure yakho ibiphakathi kuka-130 mm Hg no-160 mm Hg noma i-diastolic blood pressure yakho ibiphakathi kuka-80 mm Hg no-100 mm Hg ekuvakasheni okubili okuhlukene kwamahhovisi kadokotela, okungenani kukalwe izilinganiso ezimbili ezihlukene ekuhambeleni ngakunye
• umfutho wegazi ophume ehhovisi ulinganise ngaphansi kuka-130/80 mm Hg okungenani izikhathi ezimbili ezihlukene

Indlela yokufihla umfutho wegazi ophakeme

Uma udokotela wakho ecabanga ukuthi kungenzeka ukuthi ufihle umfutho wegazi ophakeme, i-Medicare izokukhokhela ukuze uqashe i-ABPM kanye ngonyaka, uma uhlangabezana nale mibandela elandelayo:

• i-systolic blood pressure yakho ibiphakathi kuka-120 mm Hg no-129 mm Hg noma isilinganiso sakho segazi se-diastolic besiphakathi kuka-75 mm Hg no-79 mm Hg ekuvakasheni okubili okuhlukile kwehhovisi likadokotela, okungenani kukalwe izilinganiso ezimbili ezihlukene ekuhambeleni ngakunye
• umfutho wegazi owaphuma ehhovisi wawuyi-130/80 mm Hg noma ngaphezulu okungenani izikhathi ezimbili

Imiyalo eyisisekelo yokusebenzisa i-ABPM

Izikhungo ze-Medicare neMedicaid Services zincoma ukuthi ulandele le mihlahlandlela lapho usebenzisa i-ABPM:

• Qonda ukuthi uyisebenzisa kanjani le divayisi ngaphambi kokuthi uphume ehhovisi likadokotela.
• Cela udokotela wakho ukuthi amake umthambo wakho we-brachial uma kwenzeka inkomishi ishibilika futhi udinga ukuyilungisa.
• Yenza imisebenzi yakho yansuku zonke eyisisekelo njengokujwayelekile, kepha hlala uthule ngenkathi ifoni ithatha umfutho wegazi lakho, uma kungenzeka. Gcina ileveli yengalo yakho nenhliziyo yakho ngenkathi isebenza.
• Qaphela isikhathi sanoma imiphi imithi oyiphuzayo, ngakho-ke kulula ukulandela noma yimiphi imiphumela.
• Uma kungenzeka, akufanele ushayele ngenkathi usebenzisa i-ABPM.
• Akufanele ugeze ngenkathi i-ABPM inamathiselwe kuwe.
• Uma uyolala ebusuku, beka ucingo ngaphansi komcamelo wakho noma embhedeni.

Amathiphu wokuthenga owakho umfutho wegazi wasekhaya

Abantu abaningi bathenga izingqapheli zomfutho wegazi online noma esitolo sendawo noma ekhemisi. Isazi seCleveland Clinic sincoma ukuthi ulandele le mihlahlandlela lapho uthenga ikhafu yengcindezi yegazi emthonjeni wokuthengisa:

• Uma uneminyaka engama-50 noma ngaphezulu, bheka okokufaka ingalo kunesinye esihlakaleni sakho. Ama-cuffs engalo ngokuvamile anemba kakhulu kunamamodeli esihlakaleni.
  • Qiniseka ukuthi uthenga usayizi ofanele. Usayizi womuntu omdala usebenzela izingalo ezingaphezulu amasentimitha angu-22 kuya kwayi-10 (22-26 cm) kusikwele. Usayizi wabantu abadala ophakathi nendawo noma omaphakathi kufanele alingane ingalo ngamasentimitha ayi-10.5 kuye kwayi-13 (27-34 cm) nxazonke. Usayizi womuntu omkhulu kufanele ulingane nengalo engama-intshi angu-13.5 kuye kwayi-17 (35-44 cm).
• Lindela ukukhokha phakathi kuka- $ 40 no- $ 60.Izinhlobo ezimba eqolo zikhona, kepha uma ufuna ukufundwa okunembile, okungekho mbumbulu, awudingi ukwephula ibhange.
• Funa umshini ofunda ngokuzenzakalela umfutho wegazi lakho amahlandla amathathu elandelana, ngezikhathi ezithile ezihlukaniswe umzuzu owodwa.
• Hlanza isitolo sezinhlelo zokusebenza. Ngenkathi inani elikhulayo lezinhlelo zokusebenza zomfutho wegazi liqhamuka, ukunemba kwalo akukacwaningisiswa kahle noma kwafakazelwa.

Ungase futhi ufune ukubheka idivayisi enesibonisi esifundeka kalula esikhanyiswe kahle uma ufuna ukuthatha ukufundwa ebusuku. Uma usukhethe idivayisi, cela udokotela wakho ukuthi aqinisekise ukufundwa kwayo. Ucwaningo lukhombisile ukuthi amaphesenti aphezulu amadivayisi wokuqapha umfutho wegazi asekhaya anikeza ukufundwa okungalungile.

Imininingwane ye-hypertension namathiphu awusizo

Ukulandelela umfutho wegazi lakho ekhaya kubalulekile, ikakhulukazi uma ukhathazekile ngomfutho wegazi ophezulu. Uma umfutho wegazi ophakeme uphezulu kakhulu, kunezinto ongazenza ukuze wehlise:

• Nciphisa inani le-sodium, i-caffeine, nophuzo oludlayo.
• Ukuzivocavoca okungenani imizuzu engama-30 ngosuku.
• Yeka ukubhema.
• Thola izindlela zokuphatha izinga lakho lokucindezeleka empilweni yansuku zonke.
• Khuluma nodokotela wakho ngemithi kadokotela eyehlisa umfutho wegazi.

Ukuthatha

I-Medicare ayikhokhi abaqaphi be-blood pressure ngaphandle uma uthola i-renal dialysis ekhaya lakho, noma uma udokotela wakho efuna ukuthi uthathe umfutho wegazi lakho kwenye indawo ngaphandle kwesimo somtholampilo.

Uma use-home renal dialysis, i-Medicare Part B izokhokhela i-manual blood pressure monitor kanye ne-stethoscope. Uma une-white coat syndrome noma i-mask hypertension, i-Medicare izokukhokhela ukuthi uqashe i-ABPM kanye ngonyaka ukuqapha umfutho wegazi lakho esikhathini esingamahora angama-24 kuya kwangu-48.

Ngecebo le-Medicare Advantage, kuzodingeka uthole ukuthi ngabe uhlelo lwakho lumboza ngabaqaphi be-blood pressure ekhaya, ngoba uhlelo ngalunye luhlukile.

Ukuthatha umfutho wegazi lakho ekhaya kuwumqondo omuhle, ikakhulukazi uma ukhathazekile ngomfutho wegazi ophezulu. Ungathola izikhwama zegazi eziphansi ezingabizi ezinhlobonhlobo zezici eziku-inthanethi noma ezitolo ezithengisa.

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.