Ngabe i-Urgent Care Yenza Ukuhlolwa kwe-TB?

Izikhungo eziningi ze-urgent care zinikeza ukuhlolwa komkhuhlane (TB). Noma ngabe uyidinga ukuze uthole umsebenzi omusha, imfuneko yesikole, amaphepha okuthuthela kwelinye izwe, noma ukuchayeka okungase kube khona, i-urgent care ingesinye sezindawo ezifinyeleleka kalula ukuthola ukuhlolwa kwe-TB ngaphandle kokulinda isikhathi eside. Ama-appointment okuvakashela ayatholakala ezindaweni eziningi, futhi imiphumela ingase ibe khona ngokushesha kuye ngohlobo lokuhlolwa.

Nokho-ke, akuzona zonke izikhungo ezinikeza ukuhlolwa kwe-TB, futhi umuzwa ungahluka. Lo mhlahlandlela uhlanganisa ukuthi ukuhlolwa kwe-TB kusebenza kanjani ku-urgent care, yiziphi izinhlobo zokuhlolwa ezitholakalayo, ukuthi kubiza malini, nokuthi yiziphi izindlela ezikhona.

Yini Ukuhlolwa kwe-TB?

Ukuhlolwa kwe-TB kuhlole ukuthi umzimba uchayeke yini ku-Mycobacterium tuberculosis, amagciwane abangela umkhuhlane. I-TB ikakhulukazi ithinta amaphaphu kodwa futhi ingasakazeka kwezinye izingxenye zomzimba. Ingeletha omunye kumunye ngomoya lapho umuntu one-TB esebenzayo ethimula, ekhwehlela, noma ekhuluma.

Izifo eziningi ze-TB zihlala zingasebenzi, okusho ukuthi amagciwane ayakhona kodwa awasebenzi. Kodwa-ke, i-TB engasebenzi ingaqhubekela ekubeni isifo esisebenzayo, yingakho ukuhlolwa kubalulekile. Izizathu ezijwayelekile zokudinga ukuhlolwa kwe-TB zihlanganisa izidingo zomsebenzi emikhakheni yezokunakekelwa kwezempilo, imfundo, noma ukunakekelwa kwezingane, ukubhaliswa ekolishi, izivivinyo zezokwelapha zokuthuthela kwelinye izwe, ukuthintana eduze nomuntu obonwe nge-TB esebenzayo, ukuhamba ngezindawo ezinamazinga aphezulu e-TB, noma ukuba nohlelo lokuzivikela emzimbeni olubuthakathaka.

Yiziphi Izinhlobo Zokuhlolwa kwe-TB Ezitholakalayo ku-Urgent Care?

Izikhungo eziningi ze-urgent care zinikeza izinhlobo ezimbili eziyinhloko zokuhlolwa kwe-TB. Ngayinye inenqubo yayo, isikhathi, nezinzuzo zayo.

Ukuhlolwa Kwesikhumba kwe-TB (TST)

Ukuhlolwa kwesikhumba kwe-TB, okwaziwa nangokuthi i-Mantoux test noma i-PPD test, iyindlela yakudala kakhulu. Umhlinzeki wezempilo unyela inani elincane lemikhiqizo yepuritin ehlanziwe (tuberculin) ngaphansi nje kwesikhumba sesandla. Lokhu kudala ukuqunjelwa okuncane endaweni yokunyayo.

Into ebalulekile ngalokhu kuhlolwa ukuthi kudinga ukuvakashela kabili. Ngemuva kokunyayo, kufanele ubuyele emtholampilo phakathi kwamahora angama-48 kuya kwangama-72 ukuze umhlinzeki ahlole ukuthi kukhona yini ukusabela. Uma kukhona ukuqunjelwa okukhulu endaweni yokunyayo, umphumela ungase ube omuhle, okusho ukuthi umzimba uchayeke kumagciwane e-TB. Uma kungekho ukusabela, umphumela cishe uzoba omubi.

Ukuhlolwa kwesikhumba kwe-TB kutholakala kabanzi futhi ngokuvamile kubiza kancane kunokuhlolwa kwegazi. Ngokwezibalo ze-UCare Urgent Care, ukuhlolwa kwesikhumba kuvamise ukubiza phakathi kwama- $40 kuya ku- $75 ngaphandle komshwalense.

Ukunqunyelwa kokuhlolwa kwesikhumba ukuthi kungase kubangele imiphumela emibi engamanga kubantu asebaphuzile isifo sengozi sokugoma i-BCG, esivame ukunikezwa emazweni amaningi angaphandle kwe-United States. Futhi kungase kubangele imiphumela engalungile kubantu abanezinhlelo zokuzivikela ezibuthakathaka.

Ukuhlolwa Kwegazi kwe-TB (IGRA)

Ukuhlolwa kwegazi kwe-TB, okwaziwa nangokuthi i-Interferon Gamma Release Assay (IGRA), kuyindlela entsha futhi edumile ngokwengeziwe. Izinguqulo ezimbili ezamukelwe yi-FDA yi-QuantiFERON TB Gold Plus ne-T SPOT TB test. Kuthathwa isampula legazi elincane bese liyiswa elabhorethri ukuze lihlaziywe.

Inzuzo enkulu yokuhlolwa kwegazi ukuthi kudinga ukuvakashela kanye kuphela. Akukho sidingo sokubuyela ukuzothola umphumela. Imiphumela ngokuvamile itholakala phakathi kwamahora angama-24 kuya kwangama-48. Futhi kulungile kubantu asebaphuzile isifo sengozi sokugoma i-BCG, njengoba kungekudala kubangele imiphumela emibi engamanga. Ngokwezibalo ze-AFC Urgent Care, i-IGRA ivame ukuba yindlela eyintandokazi yabaqashi abadinga imiphumela esheshayo nethembekile.

Ukungeteseka ukuthi ukubiza. Ukuhlolwa kwegazi ngokuvamile kubiza phakathi kwama- $100 kuya ku- $350 ngaphandle komshwalense, kuye ngesikhungo kanye nokuhlaziywa okwenziwa yilabhorethri.

Kwenzekani Ngaphambi Kokuhlolwa kwe-TB ku-Urgent Care?

Ngokuhlolwa kwesikhumba, umhlinzeki uhlanza isandla bese unyela i-tuberculin ngaphansi nje kwesikhumba. Ukunyayo kuthatha amasekhondi ambalwa kuphela. Bese ubuyela ngaphakathi kwamahora angama-48 kuya kwangama-72 ukuze uhlolwe, lapho umhlinzeki elinganisela noma yikuphi ukuqunjelwa futhi anqume umphumela.

Ngokuhlolwa kwegazi, umhlinzeki uthatha igazi elincane esandleni. Isampula siyiswa elabhorethri, futhi imiphumela ivame ukuba ngemva kosuku olulodwa noma ezimbili. Amanye amakliniki ashayela ngemiphumela kanti amanye ayakwenza atholakale ngephothali yesiguli.

Uma noma yikuphi ukuhlolwa kubonisa umphumela omuhle, akusho ukuthi kunokugula kwe-TB okusebenzayo. Umphumela omuhle usho ukuthi umzimba uchayeke kumagciwane e-TB ngesikhathi esithile. Ukuhlolwa okwengeziwe, okuvame ukuba yi-X-ray yesifuba futhi ngezinye izikhathi nokuhlolwa komswakama, kuyadingeka ukuze kunqunywe ukuthi isifo sisebusika noma sisebenza yini. Izikhungo eziningi ze-urgent care zingenza ama-X-ray esikhungweni, kodwa ukwelashwa okuqhubekayo kuvame ukudluliselwa kumhlinzeki oyinhloko noma umchwepheshe.

Kubiza Malini Ukuhlolwa kwe-TB ku-Urgent Care?

Izindleko ziyahlukahluka kuye ngendawo, uhlobo lokuhlolwa, nokuthi unomshwalense yini noma cha. Ngokuvamile, ukuhlolwa kwesikhumba kwe-TB ngaphandle komshwalense kuvamise ukubiza phakathi kwama- $35 kuya ku- $75, kanti ukuhlolwa kwegazi (IGRA) kubiza phakathi kwama- $100 kuya ku- $350.

Izinhlelo eziningi zomshwalense zihlanganisa ukuhlolwa kwe-TB, ikakhulukazi lapho kuthathwa njengokudingekayo ngokwezokwelapha noma okudingekayo emsebenzini. I-Medicare ne-Medicaid zingase futhi zihlanganise ukuhlolwa ngaphansi kwezimo ezithile. Kuhlale kuyindlela enhle yokubheka nomhlinzeki womshwalense ne-kliniki kusenesikhathi ukuze ugweme izimangaliso.

Kubantu abangenamshwalense, amanye amakliniki we-urgent care anikeza amanani okuzikhokhela. Iziminyaniso zezempilo zomphakathi namakliniki ezempilo zomphakathi angase futhi anikeze ukuhlolwa kwe-TB mahhala noma okubiza kancane ngezimali eziguquguqukayo kuye ngemali engenayo.

Izinto Okufanele Uzicabangele Ngaphambi Kokuvakashela i-Urgent Care Ukuhlolwa kwe-TB

Ngenkathi i-urgent care ilula, kunezinto ezimbalwa ezifanele ukuzicabangela ngaphambi kokuhlela ukuvakasha.

Okokuqala, akuzona zonke izindawo ze-urgent care ezinikeza ukuhlolwa kwe-TB. Ukubiza kusenesikhathi noma ukubheka iwebhusayithi ye-kliniki ukuze uqinisekise ukutholakala kuyisinyathelo sokuqala esihlakaniphile. Amanye amakliniki anikeza kuphela ukuhlolwa kwesikhumba, kanti amanye futhi anikeza nokuhlolwa kwegazi. Uma udinga uhlobo oluthile lokuhlolwa, qiniseka ukuthi indawo iyalunikeza.

Okwesibili, ukuhlolwa kwesikhumba kudinga ukuvakashela kabusha phakathi nesikhathi esibanjiwe samahora angama-48 kuya kwangama-72. Uma ukuvakashela komphumela kukodwa, ukuhlolwa kungase kuphindwe kabusha. Ukukhetha i-kliniki enezikhathi eziguquguqukayo noma ukutholakala kwezimpelasonto kungakwenza lokhu kube lula ukulawula. Amanye amakliniki afana ne-Modern Urgent Care anikeza ikakhulukazi ukuvakasha okungenamgomo kokuhlolwa kokuqala kanye nokulandela umkhondo.

Okwesithathu, uma umphumela omuhle uvela, i-urgent care ingaqala inqubo ngokuyala i-X-ray yesifuba, kodwa ukuphathwa okuqhubekayo kwesifo se-TB kuvame ukwenziwa ngumhlinzeki oyinhloko noma uchwepheshe wezifo ezithathelwanayo. I-Urgent care iyindawo enhle yokuqala yokuhlolwa, kodwa ayivamisile ukuba yindawo yokwelashwa kwe-TB yesikhathi eside.

Ezinye Izindawo Zokuthola Ukuhlolwa kwe-TB

I-Urgent care akuyona yodwa inketho. Ihhovisi lodokotela oyinhloko lingenza kokubili ukuhlolwa kwesikhumba negazi futhi liphathe ukunakekelwa okwengeziwe uma kudingeka.

Iziminyaniso zezempilo zesifunda nazo ziyinsiza enhle kakhulu. Eziningi zinikeza ukuhlolwa kwe-TB mahhala noma okubiza kancane, ikakhulukazi kubantu abaye bathintana noma abangabebutho ezingozini ezinkulu. I-Denver Health TB Clinic, isibonelo, inikeza ukuhlolwa kwegazi okungenamgomo ngentengo ethile ngaphandle kokudinga umshwalense.

Amakliniki ezempilo emisebenzini aphethe ukuhlolwa kwe-TB okujwayelekile kwabasebenzi ezindimeni zezokunakekelwa kwezempilo, imfundo, nemikhakha efanayo. Bavame ukuxhumanisa ngqo nabaqashi. Amanye amakhemisi namakliniki ezempilo ezitolo futhi anikeza ukuhlolwa kwesikhumba kwe-TB, noma kunjalo ukutholakala kuyahluka kuye ngendawo.

Kuthiwani Uma Ukuhlolwa Kungumphumela Omuhle?

Ukuhlolwa kwe-TB okuvusa amadlingalendaba kungase kube ngesithukuthezi, kodwa akusho ukuthi kunesifo se-TB esisebenzayo. Kusho ukuthi umzimba uchayeke kumagciwane ngesikhathi esithile.

Isinyathelo esilandelayo sivame ukuba yi-X-ray yesifuba ukuze kuhlolwe izimpawu zesifo esisebenzayo emaphaphu. Uma i-X-ray ingalungile, ukuxilongwa kuvame ukuba yi-TB esebusika, engasakazwa. Umhlinzeki wezempilo angase ancome imithi yokuvimbela ukuze ivimbele ukuba ingaba yisebenza.

Uma i-X-ray ibonisa okungalungile, ezinye izivivinyo ezinjengokuhlolwa komswakama zingase ziyalele. I-TB esebenzayo idinga inkambo ende yokwelashwa, ngokuvamile imithi eminingi ethathwa phakathi kwezinyanga eziyisithupha nezisishiyagalolunye.

Isiphetho

Izikhungo eziningi ze-urgent care zinikeza ukuhlolwa kwe-TB, futhi kubantu abaningi, kuyindlela esheshayo futhi elula yokuhlolwa. Noma ngabe udinga ukuhlolwa kwesikhumba noma ukuhlolwa kwegazi, inqubo ilula futhi imiphumela ivamise ukuba ngokushesha. Izindleko ziyahlukahluka, kodwa ukubheka ne-kliniki nomhlinzeki wakho womshwalense kusenesikhathi kukusiza uhlele.

Uma udinga ukuhlolwa kwe-TB emsebenzini, esikoleni, ohambweni, noma ukuze uthole ukuthula kwengqondo, i-urgent care iyindawo eqinile yokuqala. Vele uqinisekise ukuthi indawo inikeza uhlobo lokuhlolwa oludingayo, futhi ulungiselele ukuvakashela okwengeziwe uma usebenzisa ukuhlolwa kwesikhumba.

Isitatimende: Lokhu okuqukethwe kungokwemininingwane kuphela futhi akufanele kuthathe isikhundla sokwelulekwa kwezokwelapha kochwepheshe. Njalo thintana nomhlinzeki wezempilo ofanelekayo ukuze uthole ukuxilongwa nokwelashwa kwanoma yisiphi isimo sezempilo.