Kei te Mahia e te Tiaki Tere Ngā Whakamātau TB?

He maha ngā pokapū tiaki tere e tuku ana i ngā whakamātau kohiwhatu (TB). Ahakoa e hiahiatia ana e koe mō tētahi mahi hou, mō ngā whakaritenga o te kura, mō ngā tuhinga manene, mō te taea rānei o te panganga, ko te tiaki tere tētahi o ngā wāhi ngāwari ki te whiwhi whakamātau TB me te kore he roa te tatari. Ka wātea ngā whakawhiringa hikoi-i-te-waahi ki ngā tini waahi, ā, ka taea e ngā hua te hoki wawe mai i runga i te momo whakamātau.

Heoi, ehara ngā whare katoa e tuku whakamātau TB, ā, ka rerekē te wheako. Kei roto i tēnei aratohu ngā mahi a te whakamātau TB i te tiaki tere, ngā momo whakamātau e wātea ana, te utu, me ngā momo rerekē kei reira.

He Aha te Whakamātau TB?

He whakamātau tēnei hei tirotiro i te tinana kua pangia rānei e te Mycobacterium tuberculosis, te huakita e mate ai te kohiwhatu. Ko te ngongo te wāhi matua e pā ana ki te TB, engari ka horapa ki ētahi atu wāhanga o te tinana. Ka puta mai i te tangata ki te tangata mā te hau i te wā e mare ana, e puehu ana, e kōrero ana rānei tētahi tangata whai TB kaha.

Ko te nuinga o ngā panganga TB ka noho puku, arā, kei reira te huakita engari kāore e kaha. Heoi, ka taea e te TB puku te puta hei mate kaha, nā reira ka nui te tikanga o te whakamātau. Ko ngā take noa e hiahiatia ai te whakamātau TB ko ngā whakaritenga mahi mō ngā tūranga hauora, mātauranga, tiaki tamariki rānei, te rēhitatanga o te kaareti, ngā whakamātau hauora manene, te whakapā tata ki tētahi tangata kua kitea he TB kaha, te haere ki ngā whenua whai reiti TB teitei, te ngoikore rānei o te pūnaha ārai mate.

He Aha Ngā Momo Whakamātau TB E Tuku Ana te Tiaki Tere?

He maha ngā pokapū tiaki tere e tuku ana i ngā momo whakamātau TB matua e rua. He wāhanga, he wā, me ngā painga anō tā ia momo.

Whakamātau Mata TB (TST)

Ko te whakamātau kiri TB, e mōhiotia ana hoki ko te whakamātau Mantoux, ko te whakamātau PPD rānei, ko te tikanga tawhito ake. Ka werohia e te kaiwhakarato hauora tētahi tauwehe iti o te purutini parakore (tuberculin) ki raro noa iho i te kiri o te ringa o raro. Ka puta tētahi puku iti kua ara ake ki te wāhi werohanga.

Ko te mea nui mō tēnei whakamātau, me rua ngā haerenga. Whai muri i te werohanga, me hoki koe ki te whare kararehe i roto i te 48 ki te 72 haora kia tirotirohia ai e tētahi kaiwhakarato te tauhohenga. Ki te nui te pupuhi ki te wāhi werohanga, ka taea te hua te kaha, te tikanga kua pangia te tinana e te huakita TB. Ki te kore he tauhohenga, ka taea te hua te ngoikore.

Kei te wātea whānuitia te whakamātau kiri TB, ā, he iti ake te utu i te whakamātau toto. E ai ki a UCare Urgent Care, ko te whakamātau kiri ka utu i waenganui i te $40 ki te $75 te tikanga kaore he inihua.

Ko tētahi herenga o te whakamātau kiri, ka taea e ia te whakaputa hua kaha teka ki ngā tangata kua whiwhi i te kano kano BCG, e maha nei ngā wā ka tukua ki ngā whenua maha i waho o te United States. Ka taea hoki e ia te hua teka ki ngā tangata he ngoikore te pūnaha ārai mate.

Whakamātau Toto TB (IGRA)

Ko te whakamātau toto TB, e mōhiotia ana ko te Interferon Gamma Release Assay (IGRA), he kōwhiringa hou ake, me te kaha ake te rongonui. Ko ngā putanga e rua kua whakaaetia e te FDA ko te QuantiFERON TB Gold Plus me te T SPOT TB test. Ka tangohia tētahi tauwehe toto iti ka tukuna ki tētahi taiwhanga mō te tātaritanga.

Ko te painga nui o te whakamātau toto, kotahi noa te haerenga e hiahiatia ana. Kāore he take ki te hoki mai mō te panuitanga. Ko ngā hua ka wātea i roto i te 24 ki te 48 haora te tikanga. He tika ake hoki mō ngā tangata kua whiwhi i te kano kano BCG, i te mea he iti ake te kaha ki te whakaputa hua kaha teka. E ai ki a AFC Urgent Care, ko te IGRA te kōwhiringa e pai ake ana mō ngā kaituku mahi e hiahia ana ki ngā hua tere me te pono.

Ko te raru ko te utu. Ka utu te whakamātau toto i waenganui i te $100 ki te $350 te tikanga kaore he inihua, i runga i te whare me te taiwhanga tukatuka e uru ana.

He Aha Ka Tū Mai i te Wāhi Whakamātau TB i te Tiaki Tere?

Mō te whakamātau kiri, ka horoi tētahi kaiwhakarato i te ringa o raro, ka werohia te tuberculin ki raro noa iho i te mata o te kiri. Ka torutoru hēkona noa te roa o te werohanga. Ka hoki mai koe i roto i te 48 ki te 72 haora mō te panuitanga, ka ine te kaiwhakarato i te rahi o te pupuhi ka whakatau i te hua.

Mō te whakamātau toto, ka tangohia e tētahi kaiwhakarato tētahi tauwehe toto iti mai i te ringa. Ka haere te tauira ki tētahi taiwhanga, ā, ka rite ngā hua i roto i te kotahi ki te rua ra. Ka karanga ētahi whare kararehe me ngā hua, ētahi atu ka waiho mā te puka kaitao manatāwhi te kite.

Ki te kaha te hua o tētahi whakamātau, ehara te tikanga kua kaha te TB. Ko te hua kaha te tikanga kua pangia te tinana e te huakita TB i tētahi wā. Me tētahi atu whakamātau, ko te tikanga he X-ray uma, ā, i ētahi wā he whakamātau kōputu, hei whakatau mehemea kei te puku, kei te kaha rānei te panganga. Ka taea e te nuinga o ngā pokapū tiaki tere te mahi X-ray i te wāhi, engari ko te rongoā muri mai ka tukuna ki tētahi kaiwhakarato tiaki tuatahi, ki tētahi tohunga rānei.

Kia Kaea te Utu o te Whakamātau TB i te Tiaki Tere?

Ka rerekē te utu i runga i te wāhi, te momo whakamātau, me te mea kei a koe he inihua, kāore rānei. Hei tauira whānui, ko te whakamātau kiri TB kaore he inihua ka utu i waenganui i te $35 me te $75, ko te whakamātau toto (IGRA) ka utu i waenganui i te $100 me te $350.

He maha ngā mahere inihua e taupoki ana i te whakamātau TB, ina koa ka kiia he mea nui ki te hauora, he mea hoki mō te mahi. Ka taea hoki e Medicare me Medicaid te taupoki i te whakamātau i raro i ētahi tikanga. He pai tonu te tirotiro ki te kaiwhakarato inihua me te whare kararehe i mua, kia kore ai he raruraru.

Mō ngā manatāwhi kaore he inihua, he maha ngā pokapū tiaki tere e tuku utu mō te utu takitahi. Ka taea hoki e ngā tari hauora a te iwi me ngā pokapū hauora hapori te tuku whakamātau TB kore utu, iti rānei me ngā utu awhe-whakarerekē i runga i te moni whiwhi.

Ngā Mea Hei Whakaaro I Mua i te Haere ki te Tiaki Tere mō te Whakamātau TB

Ahakoa he watea te tiaki tere, tera etahi mea hei whakaaro i mua i te whakarite waahi.

Tuatahi, ehara ngā wāhi tiaki tere katoa e tuku whakamātau TB. Ko te waea atu i mua, te tirotiro rānei i te paetukutuku o te whare kararehe hei whakau i te wātea, he kaupae tuatahi pai. Ko ētahi whare kararehe ka tuku noa i te whakamātau kiri, ko ētahi atu ka tuku hoki i te whakamātau toto. Ki te hiahia koe ki tētahi momo whakamātau motuhake, kia tino pai te waahi e tuku ana.

Tuarua, ko te whakamātau kiri e hiahiatia ana he haerenga hoki i roto i tētahi matapihi tino kaha 48 ki te 72 haora. Ki te ngaro te waahi panuitanga, me whakahoki pea te whakamātau. Ko te whiriwhiri i tētahi whare kararehe me ngā haora watea, te wātea rānei i te wiki ka whakamawehe i tēnei. Ko ētahi whare kararehe pēnei i a Modern Urgent Care he tuku hikoi-i-te-waahi mō te whakamātau tuatahi me te panuitanga muri.

Tuatoru, ki te kaha te hua, ka taea e te tiaki tere te timata i te tukanga mā te whakahau i tētahi X-ray uma, engari ko te whakahaere tonu o te panganga TB ka mahia e tētahi kaiwhakarato tiaki tuatahi, e tētahi tohunga mate huakita rānei. Ko te tiaki tere he wāhi pai ki te timata mō te whakamātau, engari ehara te wāhi mō te rongoā TB roa.

Ētahi Atu Wāhi Hei Tiki Whakamātau TB

Ehara te tiaki tere te kōwhiringa anake. Ka taea e te tari tākuta tiaki tuatahi te whakahaere i ngā whakamātau kiri me te toto, me te whakahaere i te tiaki muri mai ki te hiahiatia.

Ko ngā tari hauora a te iwi he puna tino pai anō hoki. He maha ngā tuku whakamātau TB kore utu, iti rānei, ina koa mō ngā tangata kua pangia, mō ngā rōpū morearea teitei. Hei tauira, ko te Denver Health TB Clinic, ka tuku whakamātau toto hikoi-i-te-waahi mō te utu kua whakaritea, kaore he inihua.

Ko ngā whare kararehe hauora mahi ka whakahaere i te whakamātau TB noa mō ngā kaimahi i te tiaki hauora, i te mātauranga, me ngā momo mahi rite. Ka mahi tahi hoki ratou ki ngā kaituku mahi. Ka taea hoki e ētahi whare rongoā me ngā whare hauora hokohoko te tuku whakamātau kiri TB, ahakoa ka rerekē te wātea i runga i te wāhi.

Me Pēhea Rā Ka Taha Te Whakamātau KA Taha KAHA?

Ka taea te kaha o te whakamātau TB te whakararuraru, engari ehara te tikanga kua kaha te mate TB. Ko te tikanga kua pangia te tinana e te huakita i tētahi wā.

Ko te taahiraa e whai ake nei, ko te X-ray uma hei tirotiro i ngā tohu o te panganga kaha i roto i ngā ngongo. Ki te mārama te X-ray, ko te tikanga ko te TB puku, kaore e pangia. Ka taea e te kaiwhakarato hauora te taunaki i ngā rongoā ārai kia kore ai e kaha.

Ki te whakaatu te X-ray i ngā mea rerekē, ka taea te whakahau i ētahi whakamātau atu pēnei i te kōputu. Ko te TB kaha e hiahiatia ana he kaupapa rongoā roa ake, ko te nuinga he rongoā maha ka tangohia mō te ono ki te iwa marama.

Ko Te Pūtake

He maha ngā pokapū tiaki tere e tuku ana i te whakamātau TB, ā, mō te tini o ngā tangata, koinei te huarahi tere me te ngāwari ki te whakamātau. Ahakoa e hiahiatia ana e koe he whakamātau kiri, he whakamātau toto rānei, he ngāwari te tukanga, ā, ka hoki wawe mai ngā hua. Ka rerekē ngā utu, engari ko te tirotiro ki te whare kararehe me tō kaiwhakarato inihua i mua ka āwhina i a koe ki te whakamaherehere.

Ki te hiahia koe ki te whakamātau TB mō te mahi, kura, haere, mō te rangimārie rānei, he wāhi pai te tiaki tere hei timatanga. Me whakau noa koe kei te tuku te wāhi i te momo whakamātau e hiahiatia ana e koe, ā, kia reri hoki mō tētahi haerenga muri mai ki te haere koe me te whakamātau kiri.

Whakakāhoretanga: Ko ngā kōrero nei mō ngā take whakamaarama anake, kāore hoki e whakakapi i te tohutohu hauora ngaio. Me toro tonu ki tētahi kaiwhakarato hauora whai tohu mō te tātaritanga me te rongoā o tētahi mate hauora.