Cessation Resources daga Assurance zuwa Medicaid
Shan taba wani abu ne mai hanawa wanda ke da asusun yawan yawan shekarun da suka rasa rayukansu a tsakanin mutanen da ke dauke da kwayar cutar HIV a cikin duniya ci gaba. A gaskiya ma, kashi 42 cikin 100 na mutanen da ke zaune tare da kwayar cutar HIV a yau an kwatanta su a matsayin masu shan taba a halin yanzu, a zahiri sau biyu a cikin ƙasa.
Wadannan kididdiga sun nuna muhimmancin aiwatarwa, inda mutane da suka kamu da kwayar cutar HIV sun kwarewa don yin amfani da taba kuma sun ba da kayan aiki don dakatarwa bisa ga tsarin zamantakewar al'umma, tattalin arziki, da kuma bukatun kiwon lafiya na al'umman HIV.
Hadawa da Cessation shan taba cikin Kula da HIV
Tun daga baya shekarun 1980s, bincike ya nuna inganci na haɗin haɗin shan taba a cikin kula da cutar HIV . Abin takaici, an sake aiwatarwa, baya da kashi 50 cikin 100 na masu samar da cutar kanjamau wanda ke ba wa marasa lafiya shan tabawa ko kuma masu aiki, bisa ga bayanai daga Ma'aikatar Tsaro ta Amurka.
Duk da haka, an yi kokari a cikin 'yan shekarun nan don inganta haɗin kai tsakanin masu samarwa, mahimman shawarwari waɗanda sun haɗa da:
- Samar wa marasa lafiya bayani game da hadarin HIV da shan taba , ciki har da irin waɗannan maganganu kamar cututtuka na zuciya da jijiyoyin jini, ciwon huhu da ciwon huhu , da kuma cututtuka na nakasa (COPD).
- Gudanar da magungunan shan taba guda biyu tare da shawarwari na yau da kullum da biye-tafiye.
- Magana ga marasa lafiya ga likitoci (misali masu kiwon lafiya na kwakwalwa, shirye-shiryen magance abubuwa, ma'aikata, kungiyoyin tallafi ), kamar yadda ake bukata.
- Yin amfani da magungunan shan taba taba bayan sake dawowa. Nazarin ya nuna cewa masu shan taba za su yi ƙoƙarin barin biyar zuwa sau bakwai, a matsakaici, kafin su yi nasara. Ana ganin yadda ake ci gaba da biyan baya da tallafi don zama mahimmanci a gano (da kuma magance) sake dawowa daga smoker.
A halin yanzu, wasu} ungiyoyi suna binciken hanyoyin da za su inganta ingantaccen tsarin.
A cikin wani binciken da aka gudanar a Jami'ar Texas, masu binciken sun nuna cewa maye gurbin nicotine (NRT), lokacin da aka yi amfani da shi tare da shawarwarin tarho ta wayar salula, inganta yawan zubar da hankali a cikin mutanen da ke dauke da kwayar cutar ta HIV ta kusan kashi 400 cikin al'ada, ba tare da NRT ba.
Zaɓin Cessation na shan taba A karkashin Dokar Kulawa da Kulawa
A karkashin Dokar Kulawa ta Kulawa (ACA) , inshora mai zaman kansa bayan Maris 23, 2010 dole ne ya hada da tanadi don ayyukan kiwon lafiyar kyauta, ciki har da yin amfani da taba don yin amfani da taba don tsofaffi da cigaba da shan taba don masu amfani da taba. Hakazalika, ƙãrawar amfani da Medicaid yanzu yana ba da izinin shan taba ga dukan manya (wanda ke da amfani a wasu jihohi yana iyakance ga mata masu juna biyu).
Ragowar ɗaukar hoto ta hanyar mai badawa kamar haka:
- Medicaid - Ƙara yawan maganin shan taba don dukan manya a dukan jihohi na Amurka a ranar 1 ga watan Janairun shekara ta 2013. Aikin ACA na kara fadada magani na Medicaid ga dukan masu karuwanci.
- Medicare - Nisotin spray, nicotine inhaler, bupropion da varenicline, da kuma mutum shawara, don biyu yanke ƙoƙari a kowace shekara. Kashewa na Medicare Sashe D "Donut rami" kuma yana sanya magunguna mafi yawan araha don fitar da kudaden shiga.
- Amincewa da Asusun Kula da Lafiya na Jihar - Yana buƙatar dukkanin tsare-tsaren da za a rufe Abubuwan Lafiya na Lafiya, ciki har da katsewar shan taba (ko da yake amfanin zai iya bambanta ta hanyar shiri da / ko mai bada).
- Asusun tallafawa na ma'aikaci - Ana buƙatar ɗaukar hoto na dukkan ayyukan tsaro da aka ba da shawarar "A" ko "B" ta Ƙungiyar Amfani da Ayyukan Shaƙatawa na Amurka, ciki har da ƙarewar shan taba (ko da yake amfanin zai iya bambanta ta hanyar shiri da / ko mai bada).
Don ƙarin koyo game da cancanta ko damar samun magani, tuntuɓi 1-800-QUIT-NOW (1-800-784-8669) don haɗi kai tsaye tare da wani hotline a cikin jiharku. Ƙungiyar Cibiyar Cancer ta Duniya tana ba da saƙonni na LiveHelp nan da nan (a cikin harshen Turanci kawai) daga karfe 8:00 zuwa 8:00 am.
Sources:
Cibiyoyin Kula da Cututtuka da Cututtuka na Amurka (CDC). "Cigarette shan taba tsakanin manya - Amurka, 2011." Rashin ƙuntatawa da Mutuwa na Bayani (Weekly Report) (MMWR). Nuwamba 9, 2012; 61 (44): 889-994.
Mdodo, R .; Frazier, E; Mattson, C; et al. "Cigarette shan taba a tsakanin HIV + manya a kula: Medical Monitoring Project, US, 2009." Taro na 20 game da Magungunan Tsuntsaye da Hanyoyin Ciki (CROI 2013). Atlanta, Jojiya; Maris 3-6, 2013: Abubuwa 775.
Hughes, J. "Sabbin magunguna don katsewar shan taba." CA: A Cancer Journal for Clinicians. Mayu-Yuni 2000; 50 (3): 143-145.
Vidrine, D .; Arduino, R .; Lazev, A; et al. "Jarabawar da aka yi ta gwagwarmaya ta wayar tarho ga masu shan taba da ke zaune tare da HIV / AIDS." AIDS. Janairu 9, 2006; 20 (2): 253-260.
Ƙungiyar Lung Association ta Amurka. " Taimakawa shan taba shan taba - Tsarin Cessation : Abin da aka rufe?" Washington, DC; 2012.