Table of Contents
i Imyitwarariko y'ubukungu mu Leta Zunze Ubumwe z'Amerika, ni ku iruhande y'ibiro bihanitse bya Leta, Leta, na Bya hafi. , , i Bya hafi ,,,, na Bidasanzwe, (-) Nka Umurongo wa mbere w'ubuzima bwa public na Porogaramu. ni i Abaturage bahura na mbere mu gihe bashaka kwikingira, imyitwarire y'ibidukikije, kwita ku rwego rw'ubuvuzi, na mu rwego rw'ihuriro ry'umuryango. Kumenya uko ikigo, na muri Leta y'ubwihihihihibika, ni ngombwa ko abashinzwe iby'ubuvuzi, na abashinzwe ibijyanye n' inzego by'umuryango bashinzwe iby'ubuvuzi, na.
Uruhare rwa za leta zo mu karere k'iwacu mu rwego rw'uburwayi rwabayeho mu kinyejana gishize. Imihati ya mbere y'ubuzima bw'abantu yashyizweho irebana no gusukura isuku, kwandura, no kurwanya indwara zandura. Muri iki gihe, inzego z'ubuvuzi zo mu gace k'iwanyu zifite imyanya yagutse ziyobora inzego y'uburwayi zigizwe n'imyitwarire y'ibangabangabangamiramira, iy'abana n'iy'imyifatire y'imyifatire, imyifatire y'imyifatire y'imyifatire, n'imyifatire y'imyifatire y'imyifatire.
Ihinduka ry’amateka ry’Inzego za Leta Zunze Ubumwe z’Abaturage Zishinzwe Kwitaho Uburwayi
Imishinga y’imyitwarire ya leta y’aho ishinzwe kwivuza itangira mu kinyejana cya 19, igihe imijyi yashinzwe inzego z’ubuzima zishinzwe kurwanya kolera, fièvre y’umuhondo n’indwara y’igituntu.
Ikinyejana cya 20 cyazanye amahinduka. Ishyirahamwe ry'Ikirenga rya Leta Zunze Ubumwe z'Amerika ryatanze amafaranga agenewe ababyeyi n'ibijyanye n'uburwayi, yakorewe ku bw'ubwigenge bw'igihugu na Urwego rw'uburwayi. Byakorwaga ku bw'urwego rwa hafi. Byavuye mu bigo binini bishinzwe amagara y'ubuzima bwa kimuntu, bikitabwaho cyane mu rwego rw'umuryango, bishyiraho amashyambazo mashya ku mashya yo mu rwego rwo hafi y'ikigo cyabo (ACA) yagutse na yashyizwe mu kubuzanyangiriro ry'ubuzima, na gahunda y'imikorere y'umuryango.
Muri iki gihe, leta zigomba kugenzura ibidukikije bigendera ku mimerere igoranye y’ubuzima, abasaza, indwara zandura, n’ingaruka zikomeza kubaho z’icyorezo cy'indwara ya COVID - 19. Icyo kiza cyashyize ahagaragara imbaraga n'uburwayi bw'ibice by'ubuzima byo mu karere k'iwacu, bituma hakenerwa amafaranga menshi n’andi mashyashya.
Inshingano mu Buzima bwo Muri Iki Gihe
Leta zo mu karere k'iwacu zifite inshingano z'ibanze z'ubuzima bwa rusange zirinda imibanire y'abantu bose. Iyo mirimo ikorwa ku ice icumi cy'ubwihisho bw'ubwihisho bw'ubwihisho bw'ubwihisho bw'ubwijime bwitondewe ku i Inzego z'Ikigo z'Ubwigenge zashinzwe kurinda na Ibyifuzo (CDC). Mu duce tw'ingenzi tumwe na:
- [[: 0% S] na: [[: 1] Icyegeranyo,, na Mbere.
- [[: 0%] Amabwiriza: [[:] Amasomero,,, na Amazi Kuri.
- [[: 0% S] na: [[: 1] na ku Nka,, na Ifatika Umurimo.
- [[: 0% S] na: [[: 1] Abayobozi ku - na public Inyandikoporogaramu.
- [[0] na: [[1] ya:,, na Ibyabaye.
Imikorere y'ubutegetsi n’indwara zigenda zirushaho kwiyongera
Inzego z'uburwayi ni i Itangira Kuri Gutahura imikorere ya gukira in A. Igerageza, na, Kugaragaza Bya Indwara, Indwara z'ingwati, na Nka Cyangwa -. Umumaro ku Ibyatanzwe na Na:,, na.
Abayobozi b'uburwayi bo muri ako karere bashobora gutanga amategeko arebana no gutandukanya abantu, kwitandukanya n’abandi cyangwa gufunga ibidukikije. Mu gihe cy'indwara ya COVID - 19 ikiza, abaganga benshi bo muri ako karere babaye abaturage bakomeye, bashinzwe gusesa, bashyiraho imipaka, na bashinzwe kurinda indwara. Ubutegetsi bugengwa na politiki, batsindagiriza imishyikirano igoye hagati y'ubutegetsi n'umudendezo w’abantu.
Ubuzima n’uburinzi
Indangabintu y' ibidukikije isigaye ari kimwe mu bikorwa Kigaragara na Birebire Bya Bya hafi. na Ibyifuzo by' ibidukikije, igenzura rya buri gihe Bya Amaresitora, Amaduka, na Inonosora Kuri, Sisitemu, Igerageza Amazi, na Igenzura in.,, Bya hafi kuyobora Porogaramu Kuri na Amakaya, Nka na.
Ihinduka ry’ikirere rigenda rirushaho kwiyongera. Inzego zishinzwe iby’uburwayi zo mu gace k’iwacu zigenda zirushaho gukemura ibibazo by’ubushyuhe, ubushyuhe buturuka ku mwotsi ugurumana, n’ingaruka z’ubuzima ziterwa n’imihindagurikire y’ikirere.
Umurimo wo kwita ku buzima bw’umuntu ushinzwe kwita ku buzima bwe
Guteranya kuri gahunda y'ubuzima ya rusange, na Porogaramu Kuzuza imyanya y' iruhande mu i Sisitemu.
Ibigo by'uburwayi n'ibitaro by'uburinzi
na Ibigo by'uburwayi by'iwacu bitanga amazu y'ibanze y'imyitwarire, imyitwarire y'inzobere, na ku ipima ku mufaranga. Ibigo bishinzwe kwita ku mafaranga y'ubukungu bw'ubwishyu () Cyangwa Kureba -, ku buryo bikwiza ibisabwa kugira ngo bibone uko birushaho gusubizwa na Leta Zunze Ubumwe z'Amerika.
A 25% Bya Byose Bya Leta Zunze Ubumwe z'Amerika ni ibya leta cyangwa Leta z’iwabo.
Gahunda z’ubuzima z’abana
A Urutonde Bya na Porogaramu ku i V Funga na Leta. Gushyiramo Kwita ku, Home Porogaramu ya: Ku -,,, na.,, na () Porogaramu : Porogaramu ku Bya hafi,,, na Gushigikira Kuri Byo hasi abagore na.
Ibihamya bigaragaza ko iyo gahunda ituma abana bavuka neza, igatuma abana bapfa, kandi igatuma amashuri arushaho kuba meza.
Imyitwarire y’ubuzima n’itera imbere ry’ubuzima
Kugira ngo abaturage bashyireho imikorere itera indwara n’ibiza, bagomba gukora ibishoboka byose kugira ngo bagire icyo bageraho, bakagira icyo bakora kugira ngo bahindure imyifatire, bakagira imiterere y’ibidukikije n’imyitwarire iteza ibibazo by’ubuzima.
Gukemura Indwara n’Ibyago Bizanduza
Amashami yo mu karere k'iwacu ni yo ashinzwe kugabanya indwara. Amakarataro agenewe gukemura ibibazo by'ingwate, amashuri ashinzwe kugoma, na ku kwaduka kwa za ndwara z'ingwati, nka na. i Igicucu, - 19 Imyifatire ya rubanda, Abaturage bashyizwe ku isoko, Abaturage bashyizwe ku isoko n'akazi, na Ibyiciro by'umukoro.
ya: na i & Kugeza A ya: Bya hafi. Porogaramu Kigenga Kuri, na i in. ejuru public,, na Itegeko.
Kwirinda indwara idakira
Indwara zidakira, urugero nk'indwara y'umutima, ya diyabete, kanseri na guhumeka, ni byo bituma 70% by’abantu bose bapfa muri Leta Zunze Ubumwe z'Amerika. Ibihugu byo mu gace k'iwacu bisuzuma iyo mimerere binyuriye kuri porogaramu zifashishwa n'ibihamya bishyigikira ibikorwa byo mu buryo bw'umubiri, kurya neza no kunywa itabi.
Porogaramu ya:,, na, Byo hasi - na Abagore Gihinguranya i na. Porogaramu, Abayobozi, na Home Porogaramu Ingero Bya Gukoresha Bidashira.
Ibibazo bikomeye abantu bahura na byo mu rwego rw’uburwayi
N’ubwo ubutegetsi bw’aho bufite uruhare rukomeye, buhanganye n’ibibazo bikomeza kugorana, bigatuma ubushobozi bwabwo bwo gukora imirimo irebana n’ubuvuzi bugira ingaruka nziza.
Imyifatire yo gushyigikira amafaranga n’ibibazo biterwa n’imari
ku A Bya, Leta, Bya hafi, na - ya: -. ni Bidashobotse, Kuri Porogaramu, na Kuri Ibikorwa:. na, ku public in, i Bya Kuri Kuri Kuri na.
Igicucu cyazanye A Bya Bya Ikigo: ku i na, Bya iyi ni - na Byakoreshejwe Kuri Birebire - Bishyizweho. NONEAHA Guhangana A Nka Yarenze igihe, Kubisikanya Bigyanye na Porogaramu.
Imyayuka n’ubukonje
Abakora mu rwego rw'uburwayi basigaye basaza, kandi umubare munini w’abakozi basabwa kuzakora mu gihe cy'iza bukuru. Imyitwarariko n'ibibazo byo kwirengagiza, biterwa n'uko badafite ingano y'umushahara hagati y'imishinga y'ubuzima bwa leta n'imishinga y'inzego yigenga, amashinga yo gutera imbere mu kazi, n'imimerere iruhije y'akazi. Icyorezo cyarushijeho gukonja mu bakozi ba leta, bahanganye n’ibitotezo bya politiki, n’ibintu bibabaje byageze ku kazi.
Dukurikije iperereza ryakozwe n’Ishyirahamwe ry’Ishyaka ry’Umuryango w’Abibumbye ryo mu Burengerazuba n’Umujyi, hafi kimwe cya kabiri cy’imirimo y’ubuzima yo muri ako karere, ryavuze ko mu rugero ruciriritse, abakora mu rwego rw’uburwayi bajya mu iterambere ry’akazi, inzara zikomeye cyane ni izo mu by’ubuganga, ubuzima bw’ibidukikije no mu nzego z’uburwayi.
Abaharanira ubuzima n’imibereho myiza
Ubutegetsi bwo mu turere dutandukanye, burushaho kwibanda ku bihereranye no gushyikirana n'uburwayi, ihame ry'uko buri wese agomba kugira uburyo bukwiriye bwo kugira ubuzima bw'ikirenga. Ibyo bisaba guhangana n'imyifatire y'imyifatire y'imyifatire nk'ubuturo, ubuturo, imyidagaduro ibuzanyiriza, na ivangura ry'uruhu. Icyakora, inzego z'ubuzima zo mu karere kazo, akenshi usanga zidafite umutungo n'uburenganzira bwo kugira ingaruka kuri ibyo bintu byagutse mu rwego rw'imibereho n'ubukungu.
Gukorana n’abayobozi b’amazu, amafasi yo ku ishuri, ibiro bishinzwe iby'imikorere y’imiyoboro y'iyunguruzo, n’ibigo by'ubukungu, ni iby’ingenzi, ariko kubikoraho biragorana. Amashyirahamwe y'imfashanyigisho ku bihereranye n'uburwayi, ariko abantu benshi muri LHD ntibaba bafite ubushobozi bwo guhindura amakuru mu buryo bwifashishije uko ibintu bigenda bihinduka.
Amatsinda ashinzwe gukora imirimo
Kubera ko ubutegetsi bw’aho butuye bubangamira imipaka, gushyigikirana byabaye ifatiro rifite ingaruka nziza mu rwego rw’imyitwarire y’uburwayi.
Gukusanya
Ubutegetsi bwo mu karere k'iwacu bugenda bwiyongera, na imyitwarire y'inzego y'ifashabikorwa, na igenzura inzego z'inzego z'inzego zishinzwe kwitaho amagara y'abantu. Urugero:, A Urwego rw'ubuzima rwo mu karere k'iwacu gishobora kubana n'ibitaro byo mu karere k'iwacu, Cyangwa Na: A Kuri Kuri Gutanga Amagara make Amagara yo mu buryo bwihuse.
Uburyo bwo kuryozwa ibintu, urugero nk’amasezerano ashingiye ku mikorere y’umuryango, ubuzima bw’abantu bukeneye gusuzumwa, hamwe n’imikorere y’inama ihuza abantu bafitanye, butuma imishyikirano bafitanye irushaho kwerekezwa ku ntego z’ubuzima bwa rubanda aho kuba igamije inyungu zabo bwite.
Ubushakashatsi bwiyongera
Inzego nyinshi z'inzego z'ubuzima zo mu karere k'iwacu zikorana na za kaminuza, zishimangira ibihamya byazo bishingiye ku buhanga bwo mu rwego rw'uburwayi na antiayuzi., ku gifashayobora, n'abahanga mu by'ubuvuzi, na abanyeshuri bo muri LHD kugira iperereza ry' ibipimo bikeneye, isuzuma porogaramu, na Kongera kunonosora amapande y'imyitozo ya rusange.
Mu miyoboro ya CDC na Porogaramu Ishyirahamwe Ryigisha Ubuzima.
na
Leta nyinshi zo muri ako karere zashyizeho uburyo bushya bwo gutanga amashuri arebana n’imyifatire yo kwita ku buzima bw’abantu.
Mu mwaka wa 2013, Urwego rw'ubuvuzi rwatangije i Porogaramu na Amategeko yose. Inzu y'Ibiro Bishinzwe Amajyambere y'Amajyaruguru n'Amateka.
Mu mujyi wa San Francisco, Urwego Rushinzwe amagara mazima rushinzwe kwita ku buzima bw'abantu rufite amagara mazima, ari yo porogaramu ifasha abaturage kwitaho mu buryo bwihuse, imiti ikoreshwa na muganga, n’ibitaro.
Imiryango yo mu byaro na yo yatangiye gutangira umuti w'imyitwarire. I Montana, Urwego Rushinzwe Uburwayi rwatangije itsinda ry'igendanwa rikoresha imiyoboro y'ubuzima rijya mu turere twa kure tw'ubutare, rigatanga amabwiriza yo kwigobotora, isuzuma, n'ibikoresho bikoreshwa mu gutanga inama. Porogaramu ikoresha ikoranabuhanga ryo guhuza abarwayi n'abahanga mu mijyi, kunesha inzitizi zo kwitaho.
Gusangira amahinanzira arebana n'ibyahabitswe ni ubundi buryo bwihishe. i Wisconsin, Amashami mato yo mu rwego rw'uburwayi yashyizeho i Disconsin, agafatanya umuyobozi w'ubuganga, umuganga, n'abaganga bashinzwe ibidukikije.
Amabwiriza azatangwa mu gihe kizaza arebana n’uburwayi bwo muri leta
Bya Bya hafi Bikorwa na: Ikoranabuhanga, ihinduka ry' ihinduka ry' imikorere y' imibare, ihinduka ry'ikirere, na Itegeko., byagutse mu buryo butangaje mu gihe cy'icyorezo, biha uburyo bwo kwagura uburyo bwo kwitaho mu buryo bwihariye mu turere ducumbitse. Amatsinda y'inzego z'ubuzima yo mu karere k'iwacu, agenzura mu buryo bwihishe mu rugo, na Abaganga bashinzwe iby'uburwayi.
Bijyanye n' imikorere ni A Icyihutirwa. ku urupapuro - Cyangwa elegitoroniki Kuri,, na Icyegeranyo Kuri Leta na. in By' elegitoroniki Ibyabitswe, & Ukuyobora, na Ibisobanuro: na.
Amahinduka ku i Leta na urwego Bya hafi. Bya A Bijyanye n' imikorere y'ubukungu, ku Amatsinda,, ya: Imishinga y'ubwigenge. hagati,, na.
Igisoza
Kuri i Sisitemu in i na i. Imimaro y'ubwigenge Imikoro, Urusobe, na Inzego z'uburwayi. Guhangana : -,,, na. ni OYA. Igishoro, Kwambukiranya, na, Bya hafi Gukomeza Kurinda na i Bya.
Mu gihe i & gihugu gihanga mu buryo bwifashe cyane kandi butagereranywa, imyanya ya guverinoma yo mu karere ka hafi igomba gukomezwa, OYA kugabanuka. Inzego z'ubuzima zo mu karere zifite amafaranga ahoraho, ubuhanga bwa none, na abakozi b'abahanga ni imishinga mu ishingiro ry'ibanze ry'ubuzima bwa ruturage. Imigabane ishora mu ingufu y'uburwayi bw'ubwigenge bw'aho uba, izarushaho kwitegura neza neza ku bihereranye n'icyorezo cy'indwara, ifite ibikenewe kugira ngo bijye bisuzure neza ku buzima bw'abaturanyi b’abaturanyi.