Amakuru

Ku ya 10 Werurwe 2022, Umunsi wa 17 w’impyiko ku isi, ikigo cya WEGO Chain Hemodialysis Centre cyabajijwe n’ikiciro cya kabiri cya CCTV cyitwa “Punctual Finance”.

Ikigo cya WEGO Chain Dialysis nicyiciro cya mbere cyikigo cyigenga cya "Independent Hemodialysis Centre" cyahoze ari Minisiteri yubuzima. Nyuma yimyaka irenga icumi yiterambere, ikora ibitaro bine nibigo 100 byigenga bya hemodialyse yigenga mu ntara umunani zigihugu, ubu ikaba ifite itsinda ryinzobere n’itsinda rishinzwe kubaga imitsi.

Iki kiganiro cya CCTV cyerekanye byimazeyo ko ikigo cya WEGO Chain Dialysis gikemura "inzitizi" yiterambere binyuze mubikorwa byimbitse kandi bisanzwe, kandi bigahuza ibyifuzo bitandukanye byabarwayi binyuze muburyo bushya bwo guteza imbere amatsinda.

Umubare w'abarwayi barwaye impyiko zanyuma mu Bushinwa uragenda wiyongera uko umwaka utashye

Ibisabwa kuvura hemodialyse biriyongera

Ibyorezo bya epidemiologi biheruka kwerekana ko indwara zimpyiko zidakira (CKD) zabaye imwe mu ndwara zikomeye zibangamira ubuzima bwabantu. Mu gihugu cyanjye hari abarwayi bagera kuri miliyoni 120, kandi umubare w'abanduye uri hejuru ya 10.8%. Hamwe no gusaza kwabaturage babantu hamwe nimpinduka mubuzima, ubwinshi bwindwara ziterwa na metabolike nka diyabete n'umubyibuho ukabije nazo zatumye umubare w'abarwayi bafite ikibazo cyo kunanirwa kw'impyiko wiyongera buhoro buhoro. Kugeza ubu, hemodialyse ni bumwe mu buryo bw'ingenzi bwo kuvura impyiko, kandi ibyifuzo biriyongera.

Kubera ubwiyongere buhoro buhoro igipimo cyubwishingizi bwubuvuzi bwishyurwa, umubare wabarwayi bafite dialyse bakeneye kwiyongera buri mwaka. Ibitaro byinshi, cyane cyane ishami rya hemodialyse y’ibitaro bya leta byo mu ntara-nyakatsi, byahuye n’umuvuduko n '“imodoka nyinshi n’imihanda mike”. Muri leta "bigoye kubona uburiri", abarwayi benshi bakeneye na dialyse mugitondo cya kare, ndetse abarwayi benshi bagomba "gushaka kure" kandi bagakoresha igihe kinini, imbaraga nubutunzi kugirango bashake dialyse.

Bigereranijwe ko umubare w’abarwayi bafite indwara zimpyiko zanyuma mu Bushinwa uzarenga miliyoni 3 mu 2030, naho kuvura indwara ya hemodialyse mu Bushinwa ntibiri munsi ya 20%, bikaba biri munsi y’urwego mpuzamahanga. Ikintu cyiganje cyane ariko igipimo gito cya dialyse bivuze ko icyifuzo nyacyo kizakomeza kwiyongera. Li Xuegang, umuyobozi wungirije w'ishami rya Neprologiya mu bitaro by’Umujyi wa Weihai, yagize ati: “Ubwiyongere bukabije bw’abarwayi ba dialyse mu myaka ibiri ishize bwarenze ibigo byinshi bya dialyse. Imari yaho nayo iri mukibazo gikomeye, kandi kuvuguruzanya hagati yo gutanga nibisabwa biragaragara. Niba bidashoboka kwishingikiriza gusa ku bitaro bya Leta, tugomba gukoresha ibigo byigenga bya dialyse, byaba ibyigenga cyangwa imishinga ihuriweho, kugira ngo dukore ubu buryo ”.

Ubushakashatsi bwakozwe na epidemiologi bwerekana ko umubare w’abarwayi barwaye impyiko zanyuma mu Bushinwa ugera kuri miliyoni 1-2, ariko mu mpera za 2020, hari abarwayi ba dialyse 700000 bonyine hamwe n’ibigo bigera kuri 6000. Icyifuzo cyo kuvura dialyse kiriho kiracyari kure cyane (CNRDS).

Meng Jianzhong, umuyobozi wungirije wa komite idasanzwe y’indwara z’impyiko z’ishyirahamwe ry’ubuvuzi ridaharanira inyungu z’Abashinwa, yagize ati: “Kugeza ubu, aba barwayi bakeneye ubufasha gusa, kuko igihe cyose batavuwe (dialyse), uyu murwayi azaba ari mu kaga y'ubuzima n'urupfu, bikwiye kuvugwa ko ari ikibazo gikomeye ku gihugu cyacu ”.

Kubona ubwishingizi bwubuvuzi, ikibazo cyimpano

Iterambere rito ryibigo byigenga bya hemodialyse

Gushiraho ikigo cyigenga cya hemodialysis cyuzuza ibitaro bya leta nuburyo bwingenzi bwo kuzuza ikibazo cyibura ryubuvuzi. Kuva mu mwaka wa 2016, igihugu cyanjye cyatangiye gushishikariza imari shingiro kwinjira mu kigo cya hemodialyse.

Gushiraho ikigo cyigenga cya hemodialysis cyuzuza ibitaro bya leta nuburyo bwingenzi bwo kuzuza ikibazo cyibura ryubuvuzi. Kuva mu mwaka wa 2016, igihugu cyanjye cyatangiye gushishikariza imari shingiro kwinjira mu kigo cya hemodialyse.

Igikorwa gikomeye kandi gisanzwe kugirango gikemure "guhagarika ingingo" yiterambere

Iterambere ryimikorere yinganda zitsinda

Ababishinzwe bavuze ko uburyo bwo kugabanya ibiciro, gutanga serivisi zinoze no gushyiraho uruhare rw’inzego byahindutse intandaro y’iterambere ritaha ry’ikigo cyigenga cya hemodialyse. Nigute wakemura ibibazo biriho mumajyambere agezweho? Ni izihe nzira zizaza mu nganda?

Ishoramari ryikigo cyigenga cya hemodialyse ni icy'ishoramari riremereye ry'umutungo, hamwe n’igiciro kinini cyo kwinjira hamwe n’ingaruka nyinshi. Uburyo bwo gukora urunigi rushobora kugabana ikiguzi ukoresheje igipimo cyahindutse iterambere ryinganda. Yu Pengfei, umuyobozi w’ubucuruzi w’ikigo cy’imyororokere cya WEGO, yatangaje ko “kuva imashini ya dialyse ikagera kuri dialyzer, kugeza ku miyoboro y’amazi na parufe, ndetse n’ibiribwa by’ubuvuzi na neprologiya ndetse n’ibiyobyabwenge mu rugo rw’abarwayi nyuma, hashyizweho itsinda ryo kweza amaraso WEGO. urutonde rwuzuye rwo kuvura n'ibipimo bikoreshwa ”.

Kugeza ubu, barakora kandi bigenga R & D no gutanga umusaruro wibicuruzwa bya hemodialyse nkibikoresho bya dialyse nibikoresho bikoreshwa, kwihutisha gukwirakwiza inganda zose zinganda, kongera inyungu zibiciro, kandi iterambere ryiza kandi rirambye nabyo bizana uburambe bwiza bwo kuvura no kwizeza ubuziranenge. ku barwayi.

Hashingiwe ku mikorere y’urunigi, ikigo cya WEGO hemodialysis nacyo gikora imiterere yitsinda, nko gushinga ibitaro bya neprologiya, gutanga impyiko zita ku mpyiko, imicungire y’ubuzima n’ibindi bigo by’ubuzima bw’impyiko byahujwe, ndetse no kwagura serivisi. Abarwayi benshi ba dialyse barwaye indwara zidakira. Ibitaro bya Neprologiya bigira uruzitiro ruva ku kuvura indwara zimpyiko kugeza nyuma yo gucunga indwara n’imirire no gucunga ubuzima, bikamenyekana mu barwayi, kandi ubuzima bw’abarwayi buzaba buri hejuru kandi hejuru. Binyuze mu miterere y’abaturage n’uturere twa kure, no gufungura politiki y’ubwishingizi bw’ubuvuzi mu gihugu ahantu hatandukanye, bizarushaho korohereza abarwayi gutembera no gukorera ahantu hatandukanye, bikemura ikibazo abarwayi badashobora gusohoka.

Byongeye kandi, binyuze mu gusaranganya umutungo w’ubuvuzi mu karere, umutekano n’ubuziranenge bwa serivisi z’ubuvuzi biratera imbere, ibyo bikaba bifasha kandi kugenzura no kuyobora leta.

Meng Jianzhong, umuyobozi wungirije wa komite idasanzwe y’indwara z’impyiko z’Ubushinwa n’umuryango w’ubuvuzi utegamiye kuri Leta akaba n’impuguke nkuru y’ikigo cyita ku barwayi ba WEGO, yagize ati: “Leta yanasabye ko habaho iterambere ry’ubufatanye. Icyibanze ni ugukoresha uburyo busanzwe bwo gucunga abarwayi neza, no kurangiza kunoza imiyoborere binyuze muburyo bwo kumenyekanisha urunigi, gucunga urunigi, guhugura impano no gutanga amasoko menshi, kugirango tugere ku iterambere ryiza kandi ryihuse, hanyuma dukorere neza abantu. ”.

Ibitaro bya leta bigamije ahanini kuvura abarwayi bakomeye, abarwayi bo hambere hamwe n’abarwayi ba dialyse ya micro. Ikigo cya dialyse mbonezamubano ni kubungabunga dialyse, itanga imitekerereze, imitekerereze, imirire ndetse nubuyobozi muri rusange mubuzima bwabarwayi. Niba bakorana, ntibashobora kugabanya umutwaro wubukungu bwigihugu gusa, ahubwo banagabanya umutwaro wimiryango.

Kuva mu mwaka wa 2016, Inama ya Leta, Komisiyo y’ubuzima n’izindi nzego zagiye zisohora politiki y’iterambere mu rwego rwo gushyigikira no gutunganya inganda za hemodialyse. Umwaka ushize, politiki nziza nko gushyiraho siyanse ya santere ya dialyse, kongera amasoko y’ivugurura no kuvugurura ubwishingizi bw’ubuvuzi byavuzwe muri gahunda y’umutekano w’ubuvuzi w’intara n’imijyi myinshi, harimo Jiangsu, Zhejiang, Shandong na Beijing. Guhera muri uyu mwaka, Pekin izagura ubwoko bw’ubwishingizi bw’ubuvuzi bwagenwe kandi byumvikane neza ko ibigo byigenga bya hemodialyse bishobora gusaba. Ababishinzwe bavuze ko hamwe no kwishyira ukizana kwa politiki gahoro gahoro, ikigo cyigenga cya hemodialyse kizashyiraho gahunda ya serivisi yuzuzanya n’ubuziranenge n’ibitaro by’ibitaro bya Leta mu bihe biri imbere, kugira ngo bikemure ibyifuzo bitandukanye by’abarwayi bafite ireme kandi ry’inzego nyinshi. serivisi.