"Idan kun ayyana matsalar daidai, kuna kusan samun mafita."
- Steve Jobs
Ma'anar mahimmanci. A kusan kowane mahallin, matsalolin da aka bari ba makawa sun kasance matsalolin da ba a warware su ba.
Don wannan dalili, ƙwararrun kiwon lafiya a duk duniya sun dogara da Rarraba Cututtuka na Duniya, Bita na Goma (ICD-10), daidaitaccen tsarin da aka yi amfani da shi don rarrabewa da ƙididdige cututtuka, alamu, da yanayin lafiya. A cikin Amurka, lambobin ICD-10 suna zama tushen tushe don bayanan likita, lissafin inshora, bincike na annoba, da manufofin lafiyar jama'a. Ba tare da takamaiman lambobin ICD-10 ba, yanayi mai tsanani na iya zama marar ganuwa a cikin yanayin yanayin bayanan kiwon lafiya - yana sa ya zama da wahala a bi diddigin, nazari, ko ba da isasshen kulawa.
Wannan shine ainihin ƙalubalen da ke fuskantar dubunnan Amurkawa da ke fama da munanan al'amura masu muni bayan sun karɓi maganin alurar riga kafi na Covid- yanayin da aka ayyana kwanan nan da Cutar Cutar Alurar riga kafi (PCVS). A matsayina na ɗaya daga cikin waɗannan mutane, na san sarai yadda wannan yanayin zai iya zama mai rauni da kuma canza rayuwa. Alamomin mu sun haɗa da rashin haƙuri, gajiya mai yawa, hazo na kwakwalwa, rashin barci, da juwa. Suna tasowa jim kaɗan bayan alurar riga kafi, a cikin kwana ɗaya ko biyu, na iya ƙara tsanantawa a cikin kwanakin da ke gaba, kuma suna dagewa akan lokaci.
A halin yanzu, babu keɓaɓɓen lambobin ICD-10 don PCVS. Wannan rashi yana da sakamako mai mahimmanci ga marasa lafiya, likitoci, masu bincike, da masu tsara manufofi iri ɗaya.
Ganuwa a cikin Tsarin Kiwon Lafiya
Ɗaya daga cikin manyan ayyuka na lambobin ICD-10 shine don ganin yanayin a cikin tsarin kiwon lafiya. Ba tare da takamaiman lambobin ba, PCVs shine mafi kyawun rikodin abubuwa kamar "ba a bayyana mummunar tasiri na maganin rigakafi ba" ko "wasu ƙayyadadden rikice-rikice." Leery na saba wa aminci da tasiri labari, yawancin masu samarwa kawai suna amfani da lambobi don bayyanar cututtuka na gaba ɗaya kamar "gajiya" ko "paresthesia." Sakamakon haka, PCVS ya ɓace sosai a cikin teku na bayanan da ba su da alaƙa.
Lambobin sadaukarwa za su ba da damar masu samarwa su rubuta PCVS a daidaitacciyar hanya, tabbatar da an gane ta a cikin bayanan marasa lafiya, da'awar inshora, da bayanan kiwon lafiya na ƙasa. Wannan ganuwa yana da mahimmanci don halasta PCVS a idanun jama'a masu rikici da juna.
Gudanar da Bincike da Tarin Bayanai
Binciken likitanci yana bunƙasa akan ingantattun bayanai, abin dogaro. Ba tare da ƙayyadaddun lambobin ICD-10 ba, yana da matukar wahala a bi diddigin yawancin mu da PCVS ke shafa, menene alamun mu, tsawon lokacin da suke ɗauka, da waɗanne jiyya suke da tasiri.
A halin yanzu, masu binciken da suke son yin nazarin PCVS dole ne su rarrabu ta hanyar lambobi mara kyau daban-daban, suna neman lamurra masu yuwuwa-tsari da ke jinkirin, mara inganci, kuma mai saurin kisa. Ƙididdiga ƙayyadaddun ƙayyadaddun ƙayyadaddun ƙayyadaddun ƙayyadaddun bayanai za su ba da damar ƙarin madaidaicin nazarin cututtukan cututtuka, yana sauƙaƙa gano abubuwan haɗari, kwatanta sakamako, da haɓaka jagororin jiyya na tushen shaida.
Inganta Amsa da Manufofin Kiwon Lafiyar Jama'a
Hukumomin kiwon lafiyar jama'a suna amfani da bayanan lambar ICD-10 don saka idanu akan abubuwan da ke faruwa, rarraba albarkatu, da tsara shawarar manufofin. Rashin lambobi don PCVS yana nufin cewa masu tsara manufofin suna aiki ba tare da cikakken hoto na bayanan lafiyar alurar rigakafi da sakamako na dogon lokaci ba.
Ta hanyar kafa lambobin da aka keɓe, jami'an kiwon lafiya za su iya tantance mitar PCVS daidai gwargwado, taimaka musu daidaita fa'idodi da haɗarin shirye-shiryen rigakafin da ƙirƙira ingantattun tsarin sa ido kan aminci a nan gaba. Wannan fayyace za ta ƙarfafa amincewar jama'a game da kamfen ɗin rigakafin ta hanyar nuna cewa ana ɗaukar abubuwan da za su iya haifar da mummuna da mahimmanci kuma ana bin su cikin tsari.
Rage Ƙimar Ƙirar Ƙirar Ƙirar Ƙirar Ƙimar Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararru
Wadanda mu ke fama da PCVS sukan fuskanci tsananin shakku, tare da korar alamun mu da kyar a matsayin marasa alaƙa ko psychosomatic. Rashin sanannun lambobin bincike na iya ƙarfafa wannan rashin fahimta ba da gangan ba, yana sa ya yi wahala ga waɗanda ke fama da PCVS a ɗauka da mahimmanci.
Ƙayyadaddun lambobin ICD-10 za su aika da sigina bayyananne ga likitoci cewa PCVS halaltaccen yanayin likita ne wanda ya cancanci bincike, tausayi, da kulawa mai dacewa.
Da'a da Alhakin Al'umma
Tsarin kiwon lafiya yana da aikin da'a don gane da magance duk yanayin kiwon lafiya - musamman waɗanda ƙila ba su da yawa ko kuma masu rikitarwa. Ƙirƙirar takamaiman lambobin ICD-10 don PCVS zai nuna ƙaddamar da gaskiya, jin daɗin haƙuri, da binciken kimiyya.
Wannan matakin ba zai lalata ingantacciyar yunƙurin rigakafin ba; maimakon haka, zai inganta su ta hanyar nunawa jama'a cewa ana bin diddigin abubuwan da ba su dace ba kuma ana magance su sosai. Amincewa da lafiyar jama'a ya dogara ba kawai akan haɓaka fa'idodin sa baki na likita ba har ma da amincewa da gaskiya game da haɗarinsa, komai kankantarsa.
Daidaita tare da Hanyar zuwa Long Covid
Hukumar Lafiya ta Duniya da Cibiyar Kula da Cututtuka da Cututtuka ta Amurka (CDC) sun riga sun fahimci buƙatar takamaiman lambobin ICD-10 don abubuwan da suka biyo baya na Covid, wanda aka fi sani da Long Covid. Waɗannan lambobin sun taimaka wa masu bincike da ƙwararrun likitocin ganowa, yin nazari, da sarrafa wannan yanayin.
Wannan dabarar ta shafi PCVS. Dukansu tsawaita yanayi sun haɗa da haɗaɗɗun alamomin haɗuwa da juna biyo bayan wani mummunan lamari (kamuwa da cuta ko alurar riga kafi) kuma suna buƙatar kulawa na dogon lokaci.
A dalilin haka, React19, wata kungiya mai zaman kanta ta 501 (c) mai zaman kanta ta kimiya wacce aka keɓe don tallafawa waɗanda ke fama da bala'in rigakafin cutar Covid na dogon lokaci, ta ƙaddamar da wani tsari na yau da kullun ga Cibiyar Kididdigar Kiwon Lafiya ta CDC ta ƙasa don ƙirƙirar lambobin ICD-10 don PCVS wanda ke nuna waɗancan ga Long Covid.
Marasa lafiya PCVS sun cancanci Aiki, ba Hujja ba
"Za mu iya yin watsi da gaskiya, amma ba za mu iya yin watsi da sakamakon watsi da gaskiya ba."
-Ayin Rand
Duk da yake ra'ayoyi sun bambanta sosai har zuwa wane nau'i - bisa ga dukkan bayanan gaskiya allurar rigakafin Covid ba ta yi ba kamar yadda jami'an kiwon lafiyar jama'a suka tabbatar wa jama'ar Amurka za su yi. Dangane da inganci, sun kasa dakatar da watsawa da kamuwa da cuta. Dangane da aminci, ban da bullar PCVS, CDC ta yarda cewa myocarditis da pericarditis "ana da alaƙa da wasu nau'ikan allurar COVID-19." Kuma ba shakka, an cire maganin rigakafin Johnson & Johnson gaba ɗaya daga kasuwa bayan lokuta da yawa na toshewar jini mai mutuwa bayan allurar.
Farfesan makarantar likitancin Yale kan ilimin zuciya Dr. Harlan Krumholtz ya taƙaice da kyau, "A bayyane yake cewa wasu mutane suna fuskantar ƙalubale masu mahimmanci bayan allurar. Haƙƙinmu a matsayinmu na masana kimiyya da likitoci shine mu saurari abubuwan da suka faru, da yin bincike mai zurfi game da abubuwan da ke faruwa, da kuma neman hanyoyin taimakawa." Ƙirƙirar lambobi daban-daban na ICD-10 don PCVS waɗanda ake amfani da su a halin yanzu don gano Long Covid zai zama matakin farko na ma'ana don samar da wannan tallafin da ake buƙata.
Rashin ƙirƙirar ƙayyadaddun lambobin ICD-10 don PCVS zai zama watsi da gaskiyar gaskiyar ciwon, barin marasa lafiya da wahala don fuskantar mummunan sakamako na rashin aiki - hagu na hagu a cikin tsarin likita wanda ba ya son yarda da wanzuwarmu da matsananciyar buƙatar magani. Dole ne mu yi tsammanin ƙarin hukumomin lafiyar jama'a - waɗanda PCVS ta raunana ba su cancanci ƙasa ba.
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Kafin rayuwarsa ta canza raunin alurar riga kafi, Chris da farko ya yi aikin kare aikata laifuka a cikin tsakiyar Pennsylvania. Tushen wanda ya ke amfani da shi ya fito ne daga mutanen da ke fuskantar kananan laifuffuka kamar tuki a karkashin iko zuwa wadanda ake tuhuma da manyan laifuka ciki har da kisan kai. Baya ga abokan cinikinsa masu zaman kansu, Chris ya yi aiki a matsayin lauyan da kotu ta nada wanda ke wakiltar mutanen da ake tsare da su a karkashin Dokar Taimakon Laifi na Bayan Laifin Pennsylvania. A cikin 2009, an amince da shi a matsayin Advocate of the Year saboda aikinsa a madadin waɗanda aka yi wa laifi. Yanzu shi ne Daraktan Harkokin Shari'a na React19, mai ba da riba mai tushen kimiyya wanda ke ba da tallafi na kuɗi, ta jiki, da kuma tausayawa ga waɗanda ke fama da bala'in rigakafin Covid-19 na dogon lokaci a duniya.
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