Daidaita dangantakarsu tsakanin farashi da kulawa mai kyau
Yawan binciken da aka yi kwanan nan ba wai kawai suna kallon kwayar cutar HIV ba, amma ana amfani da ita a lokuta daban-daban na kamuwa da cuta.
Ɗaya daga cikin irin wannan nazarin daga Cibiyar Kula da Cututtuka na Cibiyar Kula da Cututtuka ta Amurka (CDC) tana nufin ƙaddamar da ƙimar cutar HIV gaba ɗaya ga mutanen da suka fara maganin rigakafi (ART) da wuri ( CD4 na ƙwayoyin 500 / ML ko žasa) da waɗanda suke farawa marigayi (200 Kwayoyin / ML ko žasa).
Sakamakon ya tabbatar da abin da ƙananan binciken da aka ba da shawara sun dade suna cewa: farkon farawa na ART ya inganta zuwa ƙimar farashi.
Bisa ga binciken, ga wadanda suka fara farawa a mafi yawan CD4, yawan kuɗin da aka kiyasta kusan kimanin $ 250,000 ne. Ya bambanta, waɗanda suke farawa a 200 Kwayoyin / ML ko žasa suna iya ciyarwa sau biyu - daga ko'ina tsakanin $ 400,000 da $ 600,000.
Daga cikin dalilai da aka ba da lamuni mafi girma shine haɗarin ƙwayar cutar HIV da cutar marasa lafiya a cikin wadanda ke da tsarin kulawa da rashin lafiya. Bugu da ƙari, yiwuwar cewa mutum zai iya mayar da aikin rigakafi zuwa matakan kusa-na al'ada (watau CD4 ƙidaya na sel 500-800 / mL) ya zama ƙasa da rashin yiwuwar farawa.
Nazarin binciken da aka yi daga baya daga Cibiyar Kwalejin Kimiyya ta Weill Cornell ta goyi bayan goyan bayan. masu kula da kwayar cutar HIV daga shekaru 35 zuwa mutuwa.
Yayinda farashin magani ga wadanda suka fara magani a kan ganewar asali ($ 435,200) ya kasance mafi girma fiye da wadanda suka jinkirta farfadowa ($ 326,500), an sami ceto gameda cututtukan cututtukan cututtuka da kuma asibiti.
Masu binciken sun ƙara yin ƙaddara cewa, yawan kuɗin da ake yi na kawar da kwayar cutar HIV a cikin mutum guda ya kasance tsakanin $ 229,800 zuwa $ 338,400.
Yarda Rayuwar Kwayar HIV a Rayuwa
Yayinda yawancin kuɗi na rayuwa zai iya kasancewa, a fili, ya zama wanda ya wuce gona da iri - yana nuna farashin shan magani na kwayar cutar HIV ko farashin lafiyar Amurka - yana da muhimmanci a kalli halin kaka dangane da sauran matsalolin kiwon lafiya.
Ka yi la'akari, misali, cewa yawancin kuɗin shan taba ga dan shekaru 24 yana da $ 183,000, yayin da mace mai shekaru 24 tana iya tsammanin zai kashe kusan $ 86,000. Baya ga farashin sigar da kansu, farashi na zamantakewar al'umma zuwa Medicare, Medicaid, Tsaro na Lafiya, da kuma asibiti na kiwon lafiya suna ganin sun zama mafi girma-ko saboda shan taba , emphysema, ciwon huhu na huhu, da dai sauransu.
(Wadannan adadi sunyi damuwa da gaskiyar cewa shan taba, a matsayin wani abu mai zaman kansa, an san shi don rage yawan rai ta tsawon shekaru 12.3 a cikin mutanen da ke dauke da kwayar cutar HIV.)
A halin yanzu, yawan kuɗin shan giya guda uku a kowace rana yana zuwa kimanin $ 263,000 mai ban mamaki a tsawon rayuwarsu, wanda ya danganta da kashi 41 cikin dari na yawan ciwon daji a cikin maza, ko cutar HIV ko cutar HIV.
Abubuwan Hulɗa na Ƙimar Kasuwanci
Babu wani daga cikin wannan, ba shakka, yana nufin rage yawan tasirin da HIV take ciki, a kan mutum da tsarin kiwon lafiya a matsayinsa duka.
Daga wani hangen zaman gaba, kudin da HIV ke kula da shi kai tsaye ya danganta da yadda ake kula da mai haƙuri a hankali kuma yadda yadda wannan mutumin zai iya bi ka'ida. A cikin rahoton Mayu na Mayu 2014 na maganin kula da cutar kanjamau ta Amurka, Sashen Harkokin Kiwon Lafiyar Jama'a (DHHS) ya magance wadannan damuwa ta hanyar bada shawarar cewa likitocin "rage yawan kudaden likitancin marasa lafiya a duk lokacin da zai yiwu."
Wannan ya haɗa da amfani da magungunan miyagun kwayoyi a duk lokacin da ya yiwu ko m. Duk da haka, dole ne a yi la'akari da wannan shawara tare da ƙwarewa ko ƙananan farashin zai iya ƙara yawan nauyin kwaya ga mai haƙuri.
A irin waɗannan lokuta, yin amfani da kwayoyin halitta na iya rage yawan farashin kima amma a sakamakon haɗin haƙuri . Bugu da ƙari kuma, ƙayyadaddun kayan aiki na tsarin miyagun ƙwayoyi masu yawa na iya haifar da biyan kuɗi na haɓakar haɓaka, karuwa maimakon rage yawan kuɗin da aka fitar.
A cikin irin wannan yanayin, DHHS ya bada shawarar ragewa a cikin magungunan CD4 na marasa lafiya da suka kasance a kan ART na akalla shekaru biyu kuma suna da nauyin kamuwa da kwayoyin cutar. Duk da yake ana ganin wannan ba shi da mahimmanci dangane da ƙimar kudin da ake ciki, gwaje-gwaje masu dangantaka irin su CD8 da CD19 suna, a gaskiya, tsada; da kusan babu darajar asibiti; kuma ba a bada shawara a matsayin hanya na kula da cutar HIV.
Ga wadanda suka nuna kyamar hoto a kan ART, DHHS a halin yanzu yana bada shawarar cewa
- An saka idanu CD4 a kowane watanni 12 ga wadanda ke da CD4 lambobi tsakanin 300 da 500 Kwayoyin / ML, kuma;
- Kulawa CD4 yana la'akari da zaɓi na waɗanda ke da ƙididdigar CD4 akan 500 Kwayoyin / ML.
Bisa ga jagororin, CD4 tana ƙayyadad da kai tsaye lokacin da za a fara ko dakatar da farfadowa na kwayoyin cutar da aka tsara domin hana cututtuka na intanet , ko don tantance ko maganin immunological na likitan ya dace. (Amsar "isasshen" an ƙayyade azaman karuwa a cikin ƙwayar CD4 ta kwayoyin 50 zuwa 150 a lokacin shekarar farko na farfadowa, tare da karuwar haɓaka a kowace shekara har sai an sami ci gaba a ƙasa.)
Ya bambanta, ya kamata a yi la'akari da gwajin maganin hoto na hoto mai mahimmanci don samun nasara. Kamar yadda irin wannan, DHHS na bada shawarar kulawa da kyakken bidiyo a kowane watanni 3-4 don marasa lafiya tare da maye gurbin hoto.
Sources:
Farnham, P .; Gopalappa, C .; Sansom, S .; et al. "Ayyukan Gwaji na Rayuwa da Rayuwa da Rayuwa da Rayuwa da Rayuwa da Rayuwa da Rayuwa da Rayuwar Mutane HIV a Ma'aikata a Amurka: Ƙaddamar da Bincike na Farko da Shigarwa cikin Kulawa." Rajistar Jirgin Ƙunƙasar Ƙaƙwalwar Lalacewa. Oktoba 2013: 64: 183-189.
Schackman, B .; Fleishman, J. Su, A ..; et al. "Kuɗin kuɗin likita na zamani don kare HIV a Amurka." Taron taron na 2015 game da Dandalin Rubuce-tafiye da Hanyoyin Ciki (CROI). Fabrairu 23-26, 2015; Seattle, Washington, na 1104.
Ma'aikatar Lafiya ta Amurka da Ayyukan Dan Adam (DHHS). "Sharuɗɗa don Amfani da Ma'aikata marasa lafiya a HIV-1-Infected Adults and Adolescents." Bethesda, Maryland; isa ga Mayu 6, 2016.