SIYANI ZINTHU ZA MANKHWALA
Mankhwala omwe amagwiritsidwa ntchito kwambiri posiya ndi nicotine replacement therapy (NRT), omwe amapezeka m'njira zingapo. Zigamba, chingamu ndi lozenges zimapezeka popanda kulembedwa ndi dokotala. Othandizira ayenera kupereka inhaler, kupopera m'mphuno ndi mankhwala osiya pakamwa monga Zyban® ndi Chantix®. Othandizira atha kusankha ngati kuyendera ofesi kuli kofunikira kuti mulembetse kapena ayi.
NRT, kuphatikiza zigamba zaulere, chingamu ndi ma lozenges, zimapezeka kwa akulu azaka 18+ ndipo amalangizidwa kuti asalembetsedwe ndi mankhwala kwa achinyamata osakwana zaka 18 omwe ali ndi chikonga mozama kapena mozama ndipo amafunitsitsa kusiya.
NEW US Preventive Services Task Force (USPSTF) ndi American Thoracic Society (ATS) malangizo ogwirizana pa chithandizo cha kudalira fodya mwa akuluakulu amalimbikitsa:
Werengani malingaliro onse asanu ndi awiri Pano.
NICOTINE REPLACEMENT THERAPY SIYANI MANKHWALA
Kuphatikizika kwa mankhwala otenga nthawi yayitali (chigamba) komanso kuchita mwachangu (chingamu kapena lozenge) m'malo mwa chikonga kumalimbikitsidwa kuti athe kusiya kusuta.
MAGULU
Ikani pakhungu. Zabwino kwa kukhudzika kwanthawi yayitali. Pang’ono ndi pang’ono chikonga chimatulutsa chikonga m’magazi.
GUMI
Tafunani kuti mutulutse chikonga. Njira yothandiza kuchepetsa zilakolako. Amalola ogwiritsa ntchito kuwongolera mlingo wawo.
ZOCHITIKA
Kuikidwa pakamwa ngati maswiti olimba. Amapereka ubwino womwewo wa chingamu popanda kutafuna.
Ngati mukufuna kusiya kugwiritsa ntchito zigamba za nikotini ndi chingamu kapena lozenges, pali njira zitatu za momwe mungawapezere, kuchuluka kwa zomwe mungapeze komanso ndalama zake:
| 1. | Lowani ndi 802Quits ndikupeza mpaka masabata 8 a zigamba ZAULERE PLUS chingamu kapena ma lozenge (kapena mpaka milungu 16 mukamagwiritsa ntchito zigamba, chingamu KAPENA malowedwe). Phunzirani momwe mungalozere |
| 2. | Ngati muli ndi Medicaid ndi mankhwala, mutha kulandira zokonda zopanda malire za zigamba za nikotini ndi Ngati wodwala wanu ali ndi Medicaid ndi mankhwala, akhoza kulandira popanda mtengo: • Mankhwala osiyanitsidwa ndi malire omwe amakonda, kuphatikiza chingamu, zigamba ndi ma lozenji a Nicorette® • Mpaka milungu 16 yokhala ndi zigamba zosasankhidwa NDI chingamu kapena lozenji, kuphatikiza chigamba cha Nicoderm®, chingamu cha Nicorette®, lozenges ya nicotine, Nicotrol® inhaler ndi Nicotrol® nasal spray. |
| 3. | Ngati wodwala wanu ali ndi inshuwaransi ina yachipatala, atha kukhala ndi mwayi wopeza NRT yaulere kapena kuchotsera ndi mankhwala. |
Medicaid ndi BlueCross BlueShield aku Vermont amapereka phindu kwa NRT kuthandiza omwe ali ndi zaka zosachepera 18 kusiya kusuta fodya komanso kugwiritsa ntchito mpweya. Onani dongosolo lanu kuti mumve zambiri.
Yang'anani kuti muwone ngati odwala anu ali oyenera kulandira chithandizo chaulere cha chikonga kudzera pa 802Quits kapena inshuwaransi yawo. Onaninso tchatichi ndi wodwala wanu pamankhwala obwezeretsa chikonga ndi pulogalamu.
Mtengo wa magawo PHARMACOTHERAPY
Kuphatikiza pa chithandizo cha nicotine m'malo, varenicline ndi bupropion zasonyeza mphamvu ngati zothandizira kusiya fodya. Kuthekera kwa kuyesayesa kopambana kusiya kumawonjezeka ngati uphungu ukuperekedwa limodzi ndi mankhwala.
KULAMBIRA-KUSIYANI MANKHWALA
ZOTHANDIZA
Cartridge yolumikizidwa pakamwa. Kukoka mpweya kumatulutsa chikonga chambiri.
NASAL SPRAY
Botolo la mpope lomwe lili ndi chikonga. Mofanana ndi inhaler, utsiwo umatulutsa chikonga chambiri.
ZYBAN® (BUPROPION)
Zingathandize kuchepetsa zilakolako ndi zizindikiro zosiya, monga nkhawa ndi kukwiya. Atha kugwiritsidwa ntchito limodzi ndi mankhwala obwezeretsa chikonga monga zigamba, chingamu ndi lozenges.
CHANTIX® (VARENICLINE)
Imachepetsa kuopsa kwa zilakolako ndi zizindikiro zosiya - ilibe chikonga. Amachepetsa chisangalalo cha fodya. Sayenera pamodzi ndi mankhwala ena.
Ngati mukumwa mankhwala ovutika maganizo ndi/kapena nkhawa, funsani dokotala.
Zinthu zomwe zili pamwambazi zimapezeka ndi mankhwala okha. Medicaid imaphimba mpaka masabata 24 a Zyban® kapena Chantix®. Unikaninso za American Thoracic Society Clinical Practice Guideline for Starting Pharmacologic Chithandizo kwa Akuluakulu Odalira Fodya ndi AHRQ's Clinical Guidelines for Prescribing Pharmacotherapy for Kusiya Kusuta.
ZINA ZOTHANDIZA MANKHWALA
Ubwino wa Medicaid
Ku Vermont, mamembala a Medicaid amayenerera kusiya kusuta ngati njira yodzitetezera.