UMkhandlu Olulekayo We-Principality of Asturias unqume ukuthi owesifazane oneminyaka engu-95 ubudala obambezeleke kakhulu ekutholeni ukwelashwa kokuhlinzwa ngenxa yokuphuka kwenqulu ngemuva kokuwa ngengozi ekhaya, uMkhandlu olulekayo usekele ngokwengxenye isimangalo somonakalo ofakwe yindodakazi yesiguli, yize ukhansele noma yiliphi iphutha lokuxilonga elibangelwe izinsizakalo zezempilo ngesikhathi sokubonisana kokuqala. Njengoba ukunakekelwa kwanikezwa yi-Health Service of the Principality of Asturias (Sespa), uhulumeni wesifunda uzoba nesibopho sokukhokha.
Lesi sigameko senzeke ngo-Agasti 4, 2024, lapho owesifazane, owayehlala yedwa futhi ezimele ngokuphelele ngaleso sikhathi, ewa okwaholela ekulimeleni kwenqulu yakhe kanye nomgogodla we-lumbosacral. Wayiswa eMnyangweni Wezimo Eziphuthumayo wesibhedlela e-Asturias, lapho kwenziwa khona i-X-ray yesinqe sakhe kanye nesinqe. Ngaleso sikhathi, akukho migqa yokuphuka noma imifantu esobala eyabonwa, ngakho wakhishwa exilongwe ukuthi unemifantu esifundeni se-gluteal esifanele kanye nemiyalelo yokulandelwa udokotela wakhe oyinhloko, kanye nesincomo sokubuyela eMnyangweni Wezimo Eziphuthumayo uma ubuhlungu buqhubeka.
I-x-ray yesibili efike sekwephuzile
Ngemva kwezinsuku eziyisishiyagalolunye, ngenxa yezimpawu eziqhubekayo, indodakazi yesiguli yaya esikhungweni sezempilo ukuyobika ngesimo sikanina, njengoba yayingakwazi ukuhamba yodwa. Udokotela oyinhloko wabe esecela ukuhlolwa kwezithombe okuphindaphindiwe. Kodwa-ke, abasebenzi ekhaya lasebekhulile lapho owesifazane ayehlala khona batusa ukuthi i-X-ray ihlehliswe, okwabangela ukubambezeleka kokuqala: i-X-ray entsha ayizange ithathwe kuze kube ngu-Agasti 21, izinsuku eziyisishiyagalombili ngemva kokuba inikezwe udokotela. Umbiko wale X-ray yesibili uchaze "ukungalingani kwesifunda se-intertrochanteric kwesokudla" okuhambisana nokuphuka okuncane. Noma kunjalo, ukubonisana noMnyango Wokuhlinzwa Kwamathambo kanye Ne-Traumatology akuzange kucelwe kuze kube nguSepthemba 19, cishe inyanga ngemuva kokuba ukuxilongwa kuqinisekiswe kurekhodi lezokwelapha lokunakekelwa okuyinhloko ngo-Agasti 28. Ukuqokwa nochwepheshe kwabe sekuhlelelwa uDisemba.
Ibhekene nokuntuleka kwempendulo kanye nobuhlungu obuqhubekayo, indodakazi yesiguli yanquma ukubuyela eMnyangweni Wezimo Eziphuthumayo ngomhlaka-19 Okthoba, lapho unina ekugcineni ahlolwa khona odokotela abahlinzayo bamathambo futhi wadluliselwa kwesinye isibhedlela ukuze athole ukwelashwa okuqondile. Inqubo, eyayihlanganisa ukufakwa kwe-prosthesis, yenzeke ngosuku olulandela ukungeniswa kwayo, ngomhlaka-21 Okthoba, cishe izinyanga ezimbili nesigamu ngemva kokuwa. Ngokusho kombiko wokunakekelwa kwabahlengikazi, isiguli sabe sesithola amaphuzu angu-25 kwangu-100 ku-Barthel Index of Dependency, okwakubonisa ukuthembela okukhulu (uma inani liphansi, ukuthembela kukhulu).
Isimangalo kanye nesinqumo
Isimangalo, esasifuna isinxephezelo esingu-€185.577,03, kanye nezindleko ezihlobene nokuhlala kwakhe ekhaya lokunakekelwa, sathi ukulimala kubangelwa yizimbangela ezimbili: iphutha elisolwayo ekuchazeni i-X-ray yokuqala, lapho umugqa wokuphuka "wawubonakala kahle" ngokusho kombiko wochwepheshe abazimele, kanye nokubambezeleka okulandelayo ekuhlinzeni. Lo mbhalo ugcizelele ukuthi owesifazane, kuze kube yisikhathi sokuwa, wayezimele ngokuphelele, nokuthi ukwamukelwa kwakhe ekhaya lokunakekelwa ngenxa yokuthembela kakhulu kwaba umphumela oqondile wokulibaziseka ekunakekelweni.
Ngokuphambene nalolu hlobo, imibiko evela ezinsizeni zezokwelapha ezihilelekile ivumile ukuthi ukuphuka kwe-hip okungadingi ukufuduka noma okungadingi ukufuduka kakhulu ezigulini ezindala kungaba nzima ukukubona nge-X-ray evamile, ikakhulukazi esigabeni esibucayi sokulimala. Bobabili iNhloko yoMnyango Wezimo Eziphuthumayo kanye neNhloko yoMnyango Wezokuhlinzwa Kwamathambo kanye Neze-Traumatology bachaze ukuthi, nakuba kungavamile, lolu hlobo lokuphuka lungabonakala ekuhlolweni kokuqala, nokuthi ngenxa yalesi sizathu, Ukunakekelwa Okuyisisekelo kuhlelwa ama-aphoyintimenti okulandelela. Umbiko wochwepheshe owagunyazwa yinkampani yomshuwalense ye-Sespa wafinyelela esiphethweni esifanayo futhi wakhipha noma yikuphi ukulahlekelwa yithuba lokwelapha, uma kucatshangelwa ukuthi isidingo sokuhlinzwa sibangelwa "kuphela futhi kuphela" uhlobo lokulimala olutholakele.
UMkhandlu Olulekayo wamukele lesi sizathu mayelana nokuxilongwa kokuqala. Umbiko uphinde uthi insizakalo yezempilo yomphakathi inesibopho sokuhlinzeka ngezinsiza ezidingekayo, hhayi ukuqinisekisa umphumela. Ngokombono woMkhandlu, insizakalo yezempilo yenze kahle ekuhleleni ukulandelwa yi-Primary Care njengendlela yokuqapha uma kwenzeka uphawu olungase lube khona lwesixwayiso. Kodwa-ke, umbiko uyagxeka ukubambezeleka okulandelayo, kusukela ekuqinisekisweni kokuxilongwa ngo-Agasti 28, 2024, kuze kube yilapho kuhlinzwa ngo-Okthoba 21. UMkhandlu Olulekayo ukubheka "njengokungenakuphikwa" ukuthi kube nokubambezeleka cishe kwezinyanga ezimbili okwabangela ukulimala esigulini, esathola ukunakekelwa kwezokwelapha okwanele kuphela ekuvakasheni kwaso kwesibili eMnyangweni Wezimo Eziphuthumayo.
Nakuba umzimba ngokwawo uphika ukuthi isikhathi esilahlekile sashintsha uhlobo lokwelashwa olusetshenziswe ekugcineni, uyaqonda ukuthi ukungenelela kwangaphambilini bekuzosiza ekuqiniseni ubuhlungu futhi kugweme ukuhlupheka okuhlobene nokungaqiniseki ngempilo yesiguli. Lesi sinqumo sicaphuna umthetho wangaphambilini wamacala ovela eNkantolo Ephakeme Yobulungiswa yase-Principality of Asturias, eye yaqaphela umonakalo wokuziphatha ovela ekubambezelekeni kokuxilonga, ngisho noma lokhu kungazange kushintshe ukwelashwa kokwelapha okusetshenzisiwe, ngenxa "yokukhathazeka" kanye "nokucindezeleka" okuzwiwa yisiguli ngokungazi isimo sabo sangempela sempilo.
Isixazululo secala sishiya isiphetho esicacile kakhulu kunokugwetshwa okulula ngenxa yobudedengu bezokwelapha. UMkhandlu Olulekayo usekela inqubo yokuqala yokuxilonga, wenqaba isimangalo sokuthi ukubambezeleka kwashintsha ukuhlinzwa okwakudingeka ekugcineni, futhi wenqaba nesimangalo somndeni esingaphezu kuka-€185.000. Kodwa-ke, sikhomba ukwehluleka okuthile: lapho ukuphuka sekutholiwe, impendulo yezokwelapha yalibaziseka isikhathi eside kakhulu. Futhi lokho kulinda kwaba nesisulu esithile kakhulu: owesifazane oneminyaka engu-95 ubudala, owayezimele ngaphambili, owabekezelela amasonto obuhlungu, ukuhamba okulinganiselwe kakhulu, kanye nokungaqiniseki ngokuthi ikhambi eliqinisekile lizofika nini. Kulesi sikhathi sokuhlupheka nokungaqiniseki, uMkhandlu ubona isinxephezelo sika-€5.000 sifanelekile. Lesi siphakamiso sisadinga ukwenziwa sibe semthethweni esinqumweni sokuphatha esifanele, ngakho-ke umbono usivumela ukuthi sikhulume ngesinxephezelo esivunyiwe, kodwa hhayi ukuqinisekisa ukuthi imali isikhokhiwe kakade.