E uku anei ʻo Medicare no kahi Monitor Blood Pressure Monitor?
Anter
- Uhi anei ʻo Medicare i nā monitors o ke koko?
- No ke aha e pono ai iaʻu e nānā i ke kaomi koko i ka home?
- Heluhelu keʻena o ke kauka kūpono ʻole
- ʻO dialysis Renal
- He aha ka uhi a Medicare no nā ʻano like me ke kaomi o ke koko?
- Nā kūpeʻe koko
- Pehea e hoʻohana ai i hoʻokahi
- Uhi lāʻau Medicare
- ʻO nā mea nānā i ke kaomi koko
- ʻO nā pae hoʻohālikelike pale keʻokeʻo
- Nā pae hoʻohālikelike hypertension
- Nā ʻōkuhi maʻamau no ka hoʻohana ʻana i ka ABPM
- Nā ʻōlelo aʻoaʻo no ke kūʻai ʻana i kāu mea nānā i ke kaomi koko i ka home
- ʻIke hypertension a me nā ʻōlelo aʻoaʻo kōkua
- ʻO ka lawe lawe ʻana
- ʻAʻole uku ʻo Medicare no nā mea nānā i ke kaomi koko ma ka home, koe wale nō ma kekahi mau kūlana.
- Hiki i ka Medicare ʻāpana B ke uku aku iā ʻoe e hoʻolimalima i kahi kiaʻi kaomi koko kiʻekiʻe i hoʻokahi manawa i kēlā me kēia makahiki inā koi ʻoe i kāu kauka i hoʻokahi.
- Hiki i ka Medicare ʻāpana B ke uku no kahi nānā kaomi koko inā ʻoe e loʻohia i ka dialysis renal ma ka home.
Inā ua kauka kāu kauka iā ʻoe e nānā pinepine i kou kaomi koko, aia paha ʻoe i ka mākeke no kahi mea kaomi koko e hoʻohana ai ma ka home.
Ke hoʻohālikelike nei ʻoe i nā kumukūʻai no ka nānā ʻana i ke kaomi koko ma ka pūnaewele a i ʻole nā mea hoʻolako i nā lako olakino, he mea nui e ʻike ʻo ka Medicare kumu (nā ʻāpana A a me B) wale nō e uku no nā mea kaomi koko ma ka home i nā kūlana palena loa.
E heluhelu e aʻo i ka wā e uhi ai ʻo Medicare i ke kumukūʻai o nā hāmeʻa ma ka home, nā ʻano like o nā mākaʻi i loaʻa, a me nā ʻōlelo aʻoaʻo e kōkua ai iā ʻoe e kaohi i ke kiʻekiʻe.
Uhi anei ʻo Medicare i nā monitors o ke koko?
Uku wale ʻo Medicare no nā mea nānā ke kaomi koko ma ka home inā ʻoe ma ka dialysis kidney i kou home a i ʻole inā ua paipai ke kauka i kahi Ambension Blood Pressure Monitor (ABPM). Mālama nā ABPM i kou kaomi koko ma kahi o 42 a 48 mau hola.
Inā loaʻa iā ʻoe Medicare ʻĀpana A, e uhi ana kāu mau pono i kēlā me kēia mākaʻikaʻi koko e pono ai ʻoiai ʻoe he mea maʻi maʻi ma kahi haukapila.
Mālama ʻo Medicare ʻĀpana B i nā loiloi kaomi koko e hana ʻia i ke keʻena o kāu kauka, ke kau inoa ʻia kāu kauka i Medicare. Pono e kipa maikaʻi i kāu kipa makahiki i kahi kaomi koko, i uhi ʻia ma lalo o ka ʻāpana B ma ke ʻano he mālama pale
No ke aha e pono ai iaʻu e nānā i ke kaomi koko i ka home?
ʻO nā mea ʻelua e hoʻohana mau ʻia ma ka home nā kaomi kahe koko koko cuffs a me ABPMs. Aia kekahi mau kumu e koi aku ai kāu kauka iā ʻoe e hoʻohana i hoʻokahi ma ka home.
Heluhelu keʻena o ke kauka kūpono ʻole
I kekahi manawa, ke nānā ʻia kou kaomi koko i ke keʻena o ke kauka hiki ke alakaʻi i nā hopena kūpono ʻole. Loaʻa kēia i kahi hanana i kapa ʻia ʻo ka lole pale keʻokeʻo. ʻO ia ka manawa o ka huakaʻi i ke keʻena o ke kauka - a i ʻole i loko o ke keʻena o ke kauka - kumu e piʻi ai kou kaʻe koko.
ʻIke kekahi poʻe i ka hanu kiʻekiʻe. ʻO kēia ka haʻahaʻa o kou kahe koko ma ke keʻena o ke kauka ma mua o ka wā o ke ola o kēlā me kēia lā.
No laila, ke nānā nei i ke kahe o ke koko ma ka home e hāʻawi ai i kahi heluhelu kūpono aʻe inā e hana ana kekahi o kēia mau hopena i nā hopena wahaheʻe.
ʻO dialysis Renal
No ka poʻe ma ka dialysis renal, pololei a me ka maʻa mau ke kahe ʻana o ke koko i koʻikoʻi. ʻO ke kiʻekiʻe kiʻekiʻe ke kumu nui o ka maʻi maʻi maʻi mau. A inā loaʻa ʻoe i ka maʻi puʻuwai mau, hiki i ke kahe koko kiʻekiʻe ke hōʻemi i ka hiki i kou mau puʻupaʻa e kānana i nā toxins mai kou kino. No kēia kumu, he mea nui e ʻike inā ke piʻi nei kou kaomi koko inā ʻoe ma ka dialysis home ma ka home.
He aha ka uhi a Medicare no nā ʻano like me ke kaomi o ke koko?
Nā kūpeʻe koko
Pili nā kūpeʻe koko i kou lima luna. Hoʻopiha ke kāʻei a puni kou lima i ka ea, kaomi ʻana i kou lima e hoʻokū i ke kahe o ke koko ma o kou ʻāpana brachial. Ke hoʻokuʻu ʻia ka ea, hoʻomaka ke kahe o ke koko ma waena o ke aʻa i ka nalu kuʻuna.
Pehea e hoʻohana ai i hoʻokahi
- Inā ʻoe e hoʻohana nei i kahi cuff lima, e kau i kahi stethoscope ma ka kuʻe lima i loko kahi e hiki ai ke lohe i ke kahe o ke koko. E nānā i ka helu helu ma ka hāmeʻa.
- Ke lohe ʻoe i ke kahe o ke koko (like ia me ka pauma ʻana o ke koko) ʻo ka helu āu e ʻike ai ma ka dial ka heluhelu systolic.
- Ke hoʻokuʻu loa ʻia ke kaomi i ka cuff a ʻaʻole ʻoe e lohe hou i ke kani o ke kani ʻana o ke koko, ʻo kēlā helu āu e ʻike ai ma ka dial ka heluhelu diastolic. Hōʻike kēia i ke kaomi i loko o ka ʻōnaehana ke hoʻomaha ka puʻuwai.
Uhi lāʻau Medicare
Uku ʻo Medicare no 80 pākēneka o ke kumukūʻai o kahi cuff pressure pressure cuff a me kahi stethoscope inā ʻoe ma ka dialysis renal i kou home. ʻO ʻoe ke kuleana no ke koena 20 pākēneka o ke kumukūʻai.
Inā loaʻa iā ʻoe kahi Medicare Part C (Medicare Advantage) hoʻolālā, e kamaʻilio me kāu mea hoʻolako ʻinikua e ʻike inā uhi kāu hoʻolālā i nā cuffs koko. Koi ʻia lākou e uhi ma ka liʻiliʻi e like me ka Medicare kumu, a ʻo kekahi mau hoʻolālā e uhi i nā keu, me nā lako olakino.
ʻO nā mea nānā i ke kaomi koko
Lawe kēia mau hāmeʻa i kou kahe koko i kēlā me kēia manawa a puni ka lā a mālama i nā heluhelu. Ma muli o ka lawe ʻia ʻana o nā heluhelu ma kou home a ma nā helu like ʻole i ka lā, hāʻawi lākou i ke kiʻi ʻoi aku ke kiʻekiʻe o kāu kiʻekiʻe o ke koko a me nā haʻahaʻa.
ʻO nā pae hoʻohālikelike pale keʻokeʻo
Inā manaʻo kāu kauka he maʻi maʻi keʻokeʻo kou, e uku ʻo Medicare iā ʻoe e hoʻolimalima i kahi ABPM i hoʻokahi manawa i kēlā me kēia makahiki inā hoʻokō ʻoe i kēia pae hoʻohālikelike.
- Aia kou kaomi systolic maʻamau ma waena o 130 mm Hg a me 160 mm Hg a i ʻole ke kaomi koko diastolic ma waena o 80 mm Hg a me 100 mm Hg ma nā kipa ʻelua o ke keʻena kauka, me ka liʻiliʻi he ʻelua mau ana kaʻawale i lawe ʻia i kēlā me kēia kipa
- ua kaohi ʻia kou kaomi koko ma waho o ke keʻena ma lalo o 130/80 mm Hg ma kahi o ʻelua mau manawa ʻokoʻa
Nā pae hoʻohālikelike hypertension
Inā manaʻo kāu kauka ua uhi paha ʻoe i ka hanu kiʻekiʻe, e uku ʻo Medicare iā ʻoe e hoʻolimalima i kahi ABPM i hoʻokahi manawa i ka makahiki, inā e hoʻokō ʻoe i kēia mau pae hoʻohālikelike.
- Aia ke kaomi koko systolic waena ma waena o 120 mm Hg a me 129 mm Hg a i ʻole ke kaupaona diastolic ma waena o 75 mm Hg a me 79 mm Hg ma nā kipa ʻelua o ke keʻena kauka, me ka liʻiliʻi he ʻelua mau ana kaʻawale i lawe ʻia i kēlā me kēia kipa.
- ʻo kou kaomi koko ma waho o ke keʻena he 130/80 mm Hg a ʻoi paha ma luna o ʻelua mau manawa
Nā ʻōkuhi maʻamau no ka hoʻohana ʻana i ka ABPM
Paipai nā Kikowaena no Medicare a me Medicaid Services iā ʻoe e hāhai i kēia mau kulekele i ka hoʻohana ʻana i kahi ABPM:
- Hoʻomaopopo pehea e hana ai i ka hāmeʻa ma mua o kou haʻalele ʻana i ke keʻena o ke kauka.
- E noi i kāu kauka e hōʻailona i kou aʻa kahakaha inā e heʻe ka cuff a pono ʻoe e hoʻoponopono.
- Lawe i kāu hana maʻamau i kēlā me kēia lā e like me ka maʻamau, akā noho mau i ka wā e lawe ana ka hāmeʻa i kou kahe koko, inā hiki. E mālama i kou pae lima me kou puʻuwai ʻoiai e hana ana.
- E hoʻomaopopo i ka manawa o kēlā me kēia lāʻau lapaʻau āu e lawe ai, no laila maʻalahi ke nānā i nā hopena.
- Inā hiki, ʻaʻole pono ʻoe e hoʻokele ʻoiai ʻoe e hoʻohana ana iā ABPM.
- ʻAʻole ʻoe e ʻauʻau i ka pili ʻana o ka ABPM iā ʻoe.
- Ke hele ʻoe e hiamoe i ka pō, kau i ka hāmeʻa ma lalo o kou uluna a i ʻole ka moena.
Nā ʻōlelo aʻoaʻo no ke kūʻai ʻana i kāu mea nānā i ke kaomi koko i ka home
Kūʻai ka poʻe he nui i nā mākaʻi kaomi koko ma ka pūnaewele a i ʻole kahi hale kūʻai kūloko a i ʻole ka hale kūʻai lāʻau. Paipai ka mea loea me ka Cleveland Clinic iā ʻoe e hāhai i kēia mau kulekele ke kūʻai aku ʻoe i kahi kuʻikuʻi koko mai kahi kumu kūʻai aku.
- Inā ʻoe he 50 mau makahiki a ʻoi paha, e ʻimi i kahi kūpeʻe lima ma mua o hoʻokahi no kou pūlima. ʻOi aku ka pololei o nā cuffs lima ma mua o nā mana lima.
- E hōʻoia e kūʻai i ka nui kūpono. Hana kahi liʻiliʻi mākua no nā lima kiʻekiʻe 8.5 a 10 ʻīniha (22-26 cm) i ke anapuni. Pono ka mākua a me ka awelika o ka mākua e komo i ka lima he 10.5 a 13 paha ʻīniha (27–34 cm) a puni. Pono ka nui o ka mākua i ka lima 13.5 a 17 ʻīniha (35-44 cm).
- Makemake e uku ma waena o $ 40 a me $ 60. Aia nā mana ʻoi aku ka pipiʻi, akā inā ʻoe e ʻimi nei i nā heluhelu kūpono ʻole, pono ʻole ʻoe e wāwahi i ka panakō.
- E nānā i kahi hāmeʻa e heluhelu wale i kou kaomi koko ʻekolu mau manawa i ka lālani, i nā manawa o kahi hoʻokahi minuke ke kaʻawale.
- E hoʻokele i ka hale kūʻai o nā polokalamu. ʻOiai ke piʻi nei ka helu o nā polokalamu kaomi koko, ʻaʻole i noiʻi maikaʻi ʻia a hōʻoia ʻia paha ko lākou ʻoiaʻiʻo.
Makemake paha ʻoe e nānā i kahi hāmeʻa me kahi hōʻike maʻalahi e heluhelu ʻia i hoʻomālamalama maikaʻi inā makemake ʻoe e heluhelu heluhelu i ka pō. Ke koho koke ʻoe i kahi hāmeʻa, e noi i kāu kauka e hōʻoia i kāna mau heluhelu.Ua hōʻike ʻia nā noiʻi i kahi pākēneka kiʻekiʻe o ka home home pressure pressure pressure device e hāʻawi i nā heluhelu kūpono ʻole.
ʻIke hypertension a me nā ʻōlelo aʻoaʻo kōkua
He mea nui ka nānā ʻana i kou kaomi koko ma ka home, keu hoʻi inā pili ʻoe i ka hypertension. Inā kiʻekiʻe loa kou kaʻe koko, aia kekahi mau mea hiki iā ʻoe ke hana e hoʻohaʻahaʻa iā ia:
- E hoʻemi i ka nui o ka sodium, caffeine, a me ka waiʻona āu e ʻai ai.
- Hoʻomaʻamaʻa ma ka liʻiliʻi 30 mau minuke i ka lā.
- E haʻalele i ka puhi pua ʻana.
- E ʻike i nā ala e mālama ai i kāu pae koʻikoʻi i ke ola o kēlā me kēia lā.
- E kamaʻilio me kāu kauka e pili ana i nā lāʻau i kuhikuhi ʻia e hoʻohaʻahaʻa i ke koko.
ʻO ka lawe lawe ʻana
ʻAʻole uku ʻo Medicare no nā mea nānā i ke kahe o ka home ma ka home ke ʻole ʻoe e mālama i ka dialysis renal i kou home, a i ʻole inā makemake kāu kauka e lawe ʻoe i kou kaʻe koko ma kahi ʻē aʻe ma kahi o kahi hoʻonohonoho maʻi.
Inā ʻoe ma ka home dialysis renal ma ka home, e uku ʻo Medicare Part B no kahi nānā kaomi koko a me kahi stethoscope. Inā loaʻa iā ʻoe ka maʻi keʻokeʻo keʻokeʻo a i ʻole ke kiʻekiʻe hypertension, e uku ʻo Medicare iā ʻoe e hoʻolimalima i kahi ABPM i hoʻokahi manawa i kēlā me kēia makahiki e nānā i ke kaomi koko ma kahi o 24 a 48 mau hola.
Me kahi hoʻolālā Medicare Advantage, pono ʻoe e ʻike inā uhi kāu hoʻolālā i ka nānā ʻana o ke kaomi koko ma ka home, ʻoiai he ʻokoʻa kēlā me kēia hoʻolālā.
ʻO ka lawe ʻana i kou kaomi koko ma ka home kahi manaʻo maikaʻi, keu hoʻi inā e hopohopo ʻoe no ka hypertension. Hiki iāʻoe keʻike i nā kūpikipiki koko kūʻai kūʻai kumukūʻai me ke kiʻekiʻe o nā hiʻohiʻona ma ka pūnaewele a i nā hale kūʻai kūʻai.
Hiki i ka ʻikepili ma kēia pūnaewele ke kōkua iā ʻoe i ka hoʻoholo ʻana pilikino e pili ana i ka ʻinikua, akā ʻaʻole ia i manaʻo ʻia e hāʻawi i nā ʻōlelo aʻoaʻo e pili ana i ke kūʻai a hoʻohana ʻana i nā huahana ʻinikua a me nā ʻinikua paha. ʻAʻole lawelawe ʻo Healthline Media i ka ʻoihana ʻinikua i kekahi ʻano a ʻaʻohe laikini ma ke ʻano he ʻinikua a i ʻole mea hana i kēlā me kēia mana o U.S. ʻAʻole koi a kākoʻo ʻo Healthline Media i nā ʻaoʻao ʻekolu i hiki ke hana i ka ʻoihana ʻinikua.