YEKA ULWAZI LWEMITHI
Imithi yokuyeka esetshenziswa kakhulu i-nicotine replacement therapy (NRT), etholakala ngezindlela eziningana. Iziqephu, izinhlaka namalozenji ayatholakala ngaphandle kwencwadi kadokotela. Abahlinzeki kufanele banikeze i-inhaler, isifutho samakhala kanye nemithi yokuyeka ngomlomo njenge-Zyban® ne-Chantix®. Abahlinzeki banganquma ukuthi ukuvakasha kwehhovisi kuyadingeka ukuze uthole incwadi kadokotela noma cha.
I-NRT, okuhlanganisa nezimagqabhagqabha zamahhala, ushingamu namalozentshi, itholakala kubantu abadala abaneminyaka engu-18+ futhi iyatuswa ukuba ingabikho kulebula nencwadi kadokotela entsheni engaphansi kweminyaka engu-18 ubudala eluthwe ngokulingene noma kanzima i-nicotine futhi ekhuthazwa ukuyeka.
NEW I-US Preventive Services Task Force (USPSTF) kanye nenkombandlela ehlanganyelwe ye-American Thoracic Society (ATS) yokwelashwa kokuncika kukagwayi kubantu abadala incoma:
Funda zonke izincomo eziyisikhombisa lapha.
I-NICOTINE REPLACEMENT THERAPY YEKELA Imithi
Ukunquma okuhlanganisiwe kokuthatha isikhathi eside (i-patch) kanye nokusebenza ngokushesha (inhlaka noma i-lozenge) ukwelashwa kwe-nicotine esikhundleni kuyakhuthazwa ukuze kube namathuba amakhulu okuyeka.
IZIMBANE
Beka esikhumbeni. Ilungele ukukhululeka kokulangazelela okuhlala isikhathi eside. Kancane kancane ikhipha i-nicotine egazini.
I-Gum
Hlafuna ukuze ukhulule i-nicotine. Indlela ewusizo yokunciphisa izifiso. Ivumela abasebenzisi ukuthi balawule umthamo wabo.
I-LOZENGES
Ibekwe emlonyeni njengoswidi oqinile. Inikeza izinzuzo ezifanayo ze-gum ngaphandle kokuhlafuna.
Uma ufuna ukuyeka ne-nicotine patches kanye ne-gum noma ama-lozenges, kunezinketho ezi-3 zokuthi uzithola kanjani, uthola malini nokuthi kubizani:
| 1. | Bhalisa nge-802Quits futhi uthole kufika emavikini angu-8 wamapeshi AMAHHALA PLUS izinsini noma amalozenji (noma kufika emavikini ayi-16 uma usebenzisa amapheshi, izinsini NOMA amalozenji kuphela). Funda indlela yokubhekisela |
| 2. | Uma une-Medicaid kanye nencwadi kadokotela, ungathola izinhlobo ezithandwayo ezingenamkhawulo zamapheshana e-nicotine kanye Uma isiguli sakho sine-Medicaid kanye nencwadi kadokotela, singathola mahhala: • Imithi yokuyeka ekhethwayo enganqunyelwe, ehlanganisa izinsini, ama-patches nama-lozenji e-Nicorette® • Kufika emavikini angu-16 amapeshi angakhethwa KANYE neshuni noma amalozenji, okuhlanganisa i-Nicoderm® patch, i-Nicorette® gum, i-nicotine lozenges, i-Nicotrol® inhaler kanye ne-Nicotrol® nasal spray |
| 3. | Uma isiguli sakho sinomunye umshwalense wezokwelapha, singase sibe nokufinyelela ku-NRT yamahhala noma enesaphulelo nencwadi kadokotela. |
I-Medicaid kanye ne-BlueCross BlueShield yase-Vermont inikeza izinzuzo ze-NRT ukuze isize labo abangaphansi kweminyaka engu-18 bayeke ugwayi nokusebenzisa umphunga. Bona uhlelo lwakho ukuze uthole ukufakwa okuthile.
Hlola ukuze ubone ukuthi iziguli zakho ziyafaneleka yini ukuthola ukwelashwa kwe-nicotine kwamahhala nge-802Quits noma umshwalense wazo. Buyekeza leli shadi nesiguli sakho ekwelashweni esikhundleni kwe-nicotine ngohlelo.
I-PHARMACOTHERAPY
Ngaphandle kokwelashwa esikhundleni se-nicotine, i-varenicline ne-bupropion ibonise ukusebenza kahle njengezinsiza zokuqeda ugwayi. Amathuba omzamo wokuyeka ngempumelelo ayanda uma ukwelulekwa kunikezwa kanye nemithi.
UKUMISELWA KUPHELA YEKA IMITHI
I-INHALER
I-Cartridge enamathiselwe emlonyeni. Ukuhogela kukhipha inani elithile le-nicotine.
I-NASAL SPRAY
Ibhodlela lepompo eliqukethe i-nicotine. Ngokufanayo ne-inhaler, isifutho sikhipha inani elithile le-nicotine.
I-ZYBAN® (BUPROPION)
Kungaba usizo ekwehliseni izifiso kanye nezimpawu zokuhoxa, njengokukhathazeka nokucasuka. Ingasetshenziswa ngokuhambisana nemikhiqizo yokwelapha esikhundleni se-nicotine njengamapheshana, izinsini kanye namalozenji.
CHANTIX® (VARENICLINE)
Yehlisa ubukhali bezifiso kanye nezimpawu zokuhoxa—ayiqukethe i-nicotine. Yehlisa umuzwa wenjabulo ngogwayi. Akufanele kuhlanganiswe neminye imithi.
Uma usebenzisa imithi yokucindezeleka kanye/noma ukukhathazeka, thintana nodokotela wakho.
Izinto ezingenhla zitholakala ngencwadi kadokotela kuphela. I-Medicaid ihlanganisa amasonto angama-24 e-Zyban® noma i-Chantix®. Buyekeza i I-American Thoracic Society Clinical Practice Guideline Yokuqala Ukwelashwa Kwe-Pharmacologic Kubantu Abadala Abathembele Kugwayi futhi Izinkombandlela Zomtholampilo ze-AHRQ Zokuchaza I-Pharmacotherapy Yokuyeka Ukubhema.
EZINYE IZINSIZA ZEMITHI
Izinzuzo zeMedicaid
E-Vermont, amalungu e-Medicaid afanelekela ukuyeka ugwayi njengesevisi yokuvimbela.