Kodi phindu la odwala matenda ashuga (akuluakulu ndi ana olumala) ndi lotani?

Matendawa monga matenda ashuga, masiku ano afala kwambiri mwakuti amatchedwa matenda a zaka za m'ma 2000 zino. Izi zimachitika chifukwa chokhala phee, kudya moperewera, kudya kwambiri mafuta ndi zakudya zotsekemera - zonsezi zimapangitsa kukhala mawonekedwe osintha osasintha m'thupi la munthu.

Akuluakulu ndi ana omwe ali ndi matenda ashuga komanso okhala kudera la Russia amapatsidwa chithandizo cha boma m'njira zamankhwala aulere zithandizo zamankhwala ndikusunganso thupi bwino. Ndi kupsinjika kwa matendawa, komwe kumayendetsedwa ndi kuwonongeka kwa ziwalo zamkati, odwala matenda ashuga amapatsidwa kulemala kwa gulu loyamba, lachiwiri kapena lachitatu.

Lingaliro lopereka chilema limapangidwa ndi bungwe lapadera la zamankhwala, limaphatikizapo madokotala a akatswiri osiyanasiyana omwe amagwirizana mwachindunji ndi chithandizo cha matenda ashuga. Ana olumala, ngakhale gulu liperekedwa, amapatsidwa mankhwala aulere, muyembekezeranso kulandira zochulukirapo kuchokera ku boma.

Mitundu ya Kulephera ndi Matenda A shuga

Nthawi zambiri, matenda amtundu 1 amadziwika ndi ana, mawonekedwe amtunduwu ndiosavuta kwambiri. Pankhaniyi, olumala amapatsidwa kwa iwo popanda kuwonetsa gulu linalake. Pakadali pano, mitundu yonse yothandizira ana omwe ali ndi matenda osokoneza bongo omwe amakhazikitsidwa ndi malamulo amasungidwa.

Malinga ndi malamulo a Russian Federation, ana olumala omwe ali ndi matenda amtundu woyamba ali ndi ufulu kulandira mankhwala aulere ndi chiphaso chokwanira kuchokera kwa mabungwe aboma.

Matendawa akamakula, akatswiri azachipatala amapatsidwa ufulu wowunikira chisankho ndikupereka gulu la olumala lofanana ndi thanzi la mwana.

Odwala matenda ashuga ovuta amapatsidwa gulu loyamba lachiwiri, lachiwiri, kapena lachitatu lokhazikika pamayendedwe azachipatala, zotsatira zoyeserera, ndi mbiri ya odwala.

1. Gulu lachitatu limaperekedwa kuti lizindikire zilonda zam'mimba za ziwalo zamkati, koma odwala matenda ashuga amatha kugwira ntchito,
2. Gulu lachiwirili limayikidwa ngati matenda ashuga samachiritsidwanso, pomwe wodwalayo amangobowola,
3. Gulu loyamba lovuta kwambiri limaperekedwa ngati wodwala matenda ashuga asintha mosasinthika m'thupi mwanjira yowonongeka ku fundus, impso, malekezero am'munsi, komanso zovuta zina. Monga lamulo, milandu yonseyi yakukula msanga kwa matenda a shuga imakhala chifukwa chakulephera kwa impso, sitiroko, kutayika kwa ntchito yodwala ndi matenda ena akulu.

Ufulu wa anthu odwala matenda ashuga azaka zilizonse

Matenda a shuga akapezeka, wodwalayo, mosaganizira zaka, amadzinenera kuti ali wolumala, malinga ndi dongosolo la Unduna wa Zaumoyo ku Russia.

Pamaso pa matenda osiyanasiyana omwe amabwera chifukwa cha matenda ashuga, motero, mndandanda wazabwino umaperekedwa. Pali zabwino zina ngati munthu ali ndi mtundu woyamba kapena wachiwiri wa matenda ashuga, ndipo zilibe kanthu kuti wodwala ali ndi vuto liti.

Makamaka, odwala matenda ashuga ali ndi ufulu wotsatirawu:

• Ngati madokotala atipatsa mankhwala kuti apatsidwe mankhwala, munthu wodwala matenda ashuga amatha kupita ku mankhwala aliwonse omwe mankhwala amaperekedwa kwaulere.
• Chaka chilichonse, wodwalayo amakhala ndi ufulu wopita kuchipatala m'malo operekera chithandizo kwa sanatorium, pomwe amayenda kupita kumalo ochiritsira kumbuyo ndikulipiranso boma.
• Ngati wodwala matenda ashuga sangathe kudzisamalira, boma limamupatsa njira zofunikira zothandizira pakhomo.
• Kutengera ndi gulu la olumala lomwe limaperekedwa kwa wodwala, kuchuluka kwa ndalama zomwe amapeza pamwezi kumawerengedwa.
• Pamaso pa matenda a shuga a mtundu woyamba ndi wachiwiri, wodwala matenda ashuga amatha kuchotsedwa ntchito zankhondo pamaziko a zikalata zomwe zaperekedwa komanso kutha kwa bungwe la zamankhwala. Ntchito zankhondo zimangokhala zokhazikitsidwa kwa wodwala chifukwa cha thanzi.
• Mukapereka zikalata zoyenera, odwala matenda ashuga amalipira ngongole zofunikira pakukomera, ndalamazo zimatha kuchepetsedwa mpaka 50% ya mtengo wonse.

Zomwe zili pamwambazi nthawi zambiri zimagwira ntchito kwa anthu omwe ali ndi matenda ena. Palinso maubwino ena kwa anthu omwe ali ndi matenda amtundu wa 1 ndi mtundu wa 2, omwe, chifukwa cha matendawa, ndi osiyana ndi anthu odwala matenda ashuga.

1. Wodwalayo amapatsidwa mpata waulere wochita masewera olimbitsa thupi komanso masewera ena.
2. Anthu odwala matenda ashuga mumzinda uliwonse amapatsidwa mizere yoyesera ya glucometer pazomwe zimaperekedwa ndi aboma. Ngati zingwe zikukanidwa, funsani ku dipatimenti ya unduna wa Zaumoyo.
3. Ngati pali zisonyezo zoyenera, madokotala ali ndi ufulu woletsa kutenga mtsogolo pambuyo pake ngati mayiyo ali ndi matenda ashuga.
4. Mwana akabadwa, mayi wodwala matenda ashuga amatha kukhala kuchipatala kwa amayi ake kwa masiku atatu kuposa nthawi yoikika.

Mwa amayi omwe ali ndi matenda ashuga, nthawi yovomerezeka imakulitsidwa ndi masiku 16.

Kodi maubwino a mwana wodwala matenda a shuga ndi otani?

Malinga ndi malamulo apano, malamulo aku Russia amapereka zotsatirazi kwa ana omwe ali ndi matenda ashuga:

• Mwana yemwe akudwala matenda a shuga ali ndi ufulu woyendera kamodzi pachaka ndi kulandira chithandizo kwaulere m'dera la masukulu apadera a sanatorium. Boma limalipira osati kungopereka chithandizo chazachipatala, komanso kukhalabe mu Sanatorium. Kuphatikiza kwa mwana ndi makolo ake ufulu waulere kupita kumeneko ndi kubwerera kumaperekedwa.
• Komanso, odwala matenda ashuga ali ndi ufulu kulandira zozithandizira kunja.
• Kuthandiza mwana wodwala matenda ashuga, makolo ali ndi ufulu wopeza glucometer yaulere kuti athe kuyeza shuga amwazi kwawo. Imaperekanso mwayi wopereka mayeso pazida, zida zapadera za syringe.
• Makolo atha kulandira mankhwala aulere othandizira odwala matenda a shuga kwa mwana wolumala. Makamaka, boma limapereka insulini yaulere mwa njira zothetsera kapena kuyimitsidwa kwa ma intravenous kapena subcutaneous. Amayeneranso kulandira Acarbose, Glycvidon, Metformin, Repaglinide ndi mankhwala ena.
• Ma syringe aulere a jakisoni, zida zodziwitsa, mowa wa ethyl, kuchuluka kwake komwe sikoposa 100 mg pa mwezi, amaperekedwa.
• Komanso mwana wodwala matenda ashuga ali ndi ufulu woyenda mwaulere mu mzinda uliwonse kapena mayendedwe apansi.

Mu 2018, malamulo apano amapereka njira yolandirira ndalama ngati wodwala akukana kulandira mankhwala aulere. Ndalama zimasungidwa ku akaunti yakubanki yomwe idafotokozedwa.

Koma ndikofunikira kumvetsetsa kuti kubwezeretsa ndalama kumakhala kotsika kwambiri ndipo sikumapereka ndalama zonse zofunika pakugula kwa mankhwalawa pakuthandizira matenda a shuga.

Chifukwa chake, masiku ano, mabungwe aboma akuchita chilichonse kuti athetse vuto la ana omwe ali ndi matenda ashuga, oyamba ndi achiwiri matenda.

Kuti mupeze ufulu wogwiritsa ntchito phukusi lothandizira anthu, muyenera kulumikizana ndi akuluakulu apadera, sonkhanitsani zikalata zofunika ndikuyenda momwe mukufunsira phindu.

Momwe mungapezere phukusi lazachuma kuchokera ku mabungwe aboma

Choyamba, ndikofunikira kukayezetsa pachipatala chachipatala komwe amakhala, kapena kulumikizana ndi chipatala china kuti mukalandire satifiketi. Chikalatacho chikuti mwana ali ndi mtundu woyamba kapena wachiwiri wa matenda ashuga.

Pofuna kukayezetsa ngati mwana ali ndi matenda osokoneza bongo, chikhalidwe kuchokera kumalo omwe amaphunziridwachi chimaperekedwanso - sukulu, yunivesite, sukulu yaukadaulo kapena maphunziro ena onse.

Muyeneranso kukonzekera chikalata chotsimikizika cha satifiketi kapena dipuloma ngati mwana ali ndi zikalata.

Kupitilira apo, kukonzekera kwa mitundu yotsatana ya zikalata ndikofunikira:

1. Ndemanga zochokera kwa makolo, oyimira mwalamulo a mwana wa matenda ashuga wazaka 14. Ana okalamba amadzaza okha chikalatacho, popanda makolo kuchitapo kanthu.
2. Pasipoti yayikulu ya mayi kapena bambo wa mwanayo komanso satifiketi yobadwa kwa wodwalayo.
3. Zikalata zochokera ku chipatalako komwe amakhala ndi zotsatira za mayeso, zithunzi, zochokera kuzipatala komanso maumboni ena okhala kuti mwana akudwala matenda a shuga.
4. Mayendedwe kuchokera kwa sing'anga wopezekapo, wopangidwa mwa nambala ya 088 / y-06.
5. Zikalata zakulemala zomwe zikuwonetsa gululi la mtundu wachiwiri wa matenda ashuga.

Makope a buku la ntchito la mayi kapena bambo wa mwana, lomwe liyenera kutsimikiziridwa ndi wamkulu wa dipatimenti yoyang'anira mabungwe omwe amagwira ntchitoyo ndi kholo.

Kodi mwana wodwala matenda ashuga ali nawo ufulu wanji?

Mikhalidwe yokomera mwana imayamba kuchita mwachangu dokotala atazindikira kuti ali ndi matenda ashuga. Izi zimatha kuchitika ngakhale pakubadwa kwa mwana, pomwe mwana amakhala m'chipatala masiku atatu kuposa ana athanzi.

Mwalamulo, ana omwe ali ndi matenda ashuga ali ndi ufulu kupita ku sukulu ya ana osadikirira pamzere. Pankhani imeneyi, makolo ayenera kulumikizana ndi oyang'anira mabungwe azachikhalidwe kapena masukulu pasukulu yophunzitsira panthawi yotseka kuti mwana athe kupatsidwa mpata waulere, mosasamala kanthu kuti foleni ipangidwe.

Mwana yemwe amadwala matenda a shuga amapatsidwa mankhwala, insulin, gluceter, mayeso mahala. Mutha kupeza mankhwala ku pharmacy amzinda uliwonse wogawa Russia, ndalama zapadera zaperekedwa kwa izi kuchokera ku bajeti yakudzikoli.

Ana omwe ali ndi matenda a shuga a mtundu woyamba 1 kapena 2 amaperekedwanso m'mikhalidwe yokonda panthawi yophunzitsira:

• Mwana samachotsedwapo mayeso a sukulu. Kuyesa mu satifiketi ya wophunzirayo kumachitika chifukwa chamakalasi aposachedwa chaka chonse chasukulu.
• Pakulandidwa ku sekondale kapena kusukulu yapamwamba, mwana samachotsedwa mayeso olowera. Chifukwa chake, m'mayunivesite ndi makoleji, oimira mabungwe ophunzitsa mwalamulo amapatsa ana omwe ali ndi matenda ashuga malo abwino a bajeti.
• Ngati mwana wodwala matenda ashuga akudutsa mayeso olowera, ziwonetsero zomwe zimapezeka pazotsatira zoyesayesa zilibe gawo lililonse pakugawidwa kwa malo m'sukulu yophunzitsira.
• Pakadutsa mayeso apakatikati mkati mwa maphunziro apamwamba, wodwala matenda ashuga ali ndi ufulu kuwonjezera nthawi yokonzekera poyankha pakamwa kapena pothetsa gawo lolemba.
• Ngati mwana akuphunzira kunyumba, boma limalipirira ndalama zonse zopezera maphunziro.

Ana olumala omwe ali ndi matenda ashuga ayenera kulandira ndalama zoyendetsera pension. Kukula kwa penshoni kumakhazikitsidwa pamaziko a malamulo apano pankhani zamaubwino azabwino ndi maubwino.

Mabanja okhala ndi mwana wodwala matenda ashuga ali ndi ufulu woyamba kupeza malo kuti athe kuyambitsa nyumba payekha. Kuchita zothandizira ndi nyumba yakunyumba. Ngati mwana ndi wamasiye, angathe kupezanso nyumba atakwanitsa zaka 18.

Makolo a mwana wolumala, ngati kuli kotheka, amatha kupempha masiku anayi owonjezera pamwezi kuntchito. Kuphatikiza amayi kapena abambo ali ndi ufulu wolandila tchuthi chowonjezereka kwa milungu iwiri. Olembawo sangathe kuthana ndi lingaliro la kayendetsedwe kogwirizana ndi malamulo ogwira ntchito.

Ufulu uliwonse womwe wafotokozedwa m'nkhaniyi ndi wokhazikitsidwa pamalamulo. Zambiri pazopindulitsa zitha kupezeka mu Federal Law, yomwe imatchedwa "On Social Support for Persons in the Russian Federation." Maubwino apadera a ana omwe ali ndi matenda a shuga amatha kupezeka pazoyenera zovomerezeka.

Kanemayo munkhaniyi akufotokoza bwino za zabwino zomwe zimaperekedwa kwa ana onse olumala.

Kodi mapindu a shuga ndi otani?

Mosasamala kanthu za gawo la chitukuko ndi kuopsa kwa matenda, mtundu wake, kukhalapo kwa kulumala, wodwalayo ali ndi ufulu wonse kulandira mankhwala, penshoni, ndi kuchotsedwa ntchito yankhondo. Kuphatikiza apo, wodwalayo amatha kudalira kuti alandila zida za matenda aulere (mwachitsanzo, glucometer). Tisaiwale kuti:

• Ufulu wowunika kwaulere kwa endocrine gland, kapamba,
• Zowonjezera zina zothandizira pakubwezeretsa mankhwala mu sanatorium zimaperekedwa m'malo ena,
• 50% Kuchepetsa zolipiritsa zofunikira,
• kusiya kwa amayi omwe ali ndi matenda ashuga kumawonjezereka ndi masiku 16.

Pa 1

Mapindu a mtundu woyamba wa shuga amaperekedwa m'dera lililonse la Russia.

Kuphatikizidwa kwapadera kwa chithandizo chachipatala kumaphatikizapo kuperekedwa kwa mayina azachipatala omwe amagwiritsidwa ntchito pochiza matenda amisempha komanso zovuta zake, zotsatira zoyipa.

Owerenga mabakera anena zowona zonse zokhudza matenda ashuga! Matenda a shuga amapita pakatha masiku 10 ngati mumamwa m'mawa. »Werengani zambiri >>>

Chalk zapadera ziyenera kuperekedwa kwa jakisoni, kuchuluka kwa glucose ndi njira zina. Zinthu zokwanira zimawerengeredwa kuti wodwalayo azitha kuwona kuchuluka kwa shuga katatu patsiku.

Anthu odwala matenda ashuga, omwe, chifukwa cha kuopsa kwa matenda, sangathe kuthana ndi matendawa pawokha, angadalire thandizo la ogwira ntchito zandalama. Ntchito yotsirizayi ndikuwathandiza wodwalayo kunyumba.

Ndi mtundu 2

Phindu la odwala omwe ali ndi matenda a shuga a 2 ndilambiri. Tikuyankhula za kuthekera kuchira mu sanatorium, kuthekera kochita maphunziro ndi kusintha kwa ukadaulo waluso. Ubwino wa odwala matenda ashuga amtundu wa 2 amaphatikizapo mndandanda wonse wamankhwala:

• hypoglycemic mayina
• phospholipids - othandizira chiwindi ntchito moyenera,
• pancreatic normalizing othandizira, monga pancreatin,
• mavitamini, komanso mavitamini ndi michere mineral,
• amatanthauza kubwezeretsa zosinthika zosinthika,
• mayina a thrombolytic (jakisoni ndi mawonekedwe a piritsi).

Musaiwale zamankhwala amtima, okodzetsa, njira zina zochizira matenda oopsa. Ngati chiwonetsero chowonjezera, ma antihistamines, antimicrobials ndi mayina ena amatha kukhazikitsidwa.

Odwala omwe ali ndi shuga omwe amadalira insulin sayenera kumwa gluceter ndi zingwe zoyesa. Chiwerengero chawo chimatengera kuti wodwalayo amagwiritsa ntchito gawo la mahomoni. Chifukwa chake, kwa osokoneza bongo a insulin, zingwe zitatu zoyeserera zimayenera kugwiritsidwa ntchito tsiku lililonse, nthawi zina malire ndi mzere umodzi.

Maubwino a odwala matenda ashuga amtundu wa 2 amaperekanso ndalama. Ngati oyamba sankagwiritsidwa ntchito mkati mwa kalendala 12, zitha kufunsa ku Fund Insurance Fund (Social Insurance Fund). Pakutha kwa chaka, mudzayenera kulemba mawu ndikupereka satifiketi yoyenerera yomwe phindu lake silinagwiritse ntchito.

Ubwino wa odwala matenda ashuga

Odwala omwe ali ndi matenda amtundu wa 1 kapena mtundu wa 2 ali oyenera kulandira phindu pa kulumala.Amaperekedwa kwa anthu onse olumala, mosasamala kanthu za momwe angalandiridwire. Phindu la anthu omwe ali ndi matenda ashuga komanso anthu olumala ndi awa:

• ntchito zolimbikitsa thanzi
• thandizo la akatswiri akatswiri: endocrinologists, diabetesologists,
• chidziwitso,
• kupanga malo oyenera osinthira magwiridwe antchito, komanso kupereka maphunziro ndi ntchito.

Kwa anthu olumala, kuchotsera komwe kumakhalapo kumaperekedwa kwa nyumba ndi zothandizira, komanso ndalama zowonjezera. Mndandanda wa mwayi umadalira mtundu wa wolumala: woyamba, wachiwiri kapena wachitatu (kutengera kuwonongeka kwa zovuta zina zonse, kusapezeka kapena kukhalapo kwa zovuta).

Ubwino wa ana omwe ali ndi matenda ashuga ndi makolo awo

Matenda a endocrine amakhudza kukula kwa thupi kwa mwana makamaka mwamphamvu, ndipo chifukwa cha matenda a shuga omwe amadalira insulin, kuchuluka kwa kulumala kumatsimikiziridwa kwa mwana. Mwayi umaperekedwa kwa ana, monga maulere maulendo opita ku sanatorium kapena kampu yazaumoyo. Nthawi yomweyo, kulipiritsa kumatsimikiziridwa osati kwa mwana, komanso kwa munthu amene amatsagana naye.

Ana olumala omwe ali ndi matenda a shuga amatha kudalira penshoni yolumala, zinthu zina popereka mayeso, thandizo pakuvomerezedwa ku maphunziro aliwonse. Tikulankhula za ufulu wofufuzidwa komanso kulandira chithandizo kuchipatala chakunja. Mtundu wina wamtunduwu ndikupewa usilikali. Tisaiwale za kuthekera kwachotsedwa misonkho.

Kodi chimachitika ndi chiyani ndikamagwira ntchito zabwino?

Matenda a shuga omwe amauzidwa ndi DIABETOLOGIST ndi odziwa Aleksey Grigorievich Korotkevich! ". werengani zambiri >>>

Monga tanena kale, zimaganiziridwa kuti akamakana chitetezo chokwanira, anthu odwala matenda ashuga amapeza ufulu wolandila ndalama kuchokera kuboma. Makamaka, tikulankhula za kubwezerera kwakuthupi kwa ma voti osagwiritsidwa ntchito mu Sanatorium. Nthawi yomweyo, pochita, ndalama zonse sizingafanane ndi mtengo wopuma, chifukwa chake tikulimbikitsidwa kukana mwayi wapadera pokhapokha. Tiyerekeze kuti ulendowu suyenda mwakuthupi.

Phindu la anthu odwala matenda ashuga mu 2018 - 1 mtundu, mitundu iwiri, ya ana omwe ali ndi zilema, chigawo, momwe angakhalire

Gulu 1 la anthu odwala matenda ashuga limalandiridwa ndi odwala omwe:

• chifukwa cha matendawa tataya mwayi woti tiwone
• ali ndi zovuta zokhudzana ndi mtima
• khalani ndi mavuto ndi dongosolo lamanjenje lamkati,
• okhala ndi matenda kapena matenda aubongo,
• adapulumuka kangapo kwa munthu
• osakhoza kuyenda pawokha popanda thandizo lachitatu.

Mavuto aliwonse omwe ali pamwambapa a matenda ashuga, pokhapokha ngati ali ndi zizindikiro zoperewera, amakupatsani mwayi wopatsa odwala magulu awiri olumala.

Gulu lachitatu limaphatikizapo odwala omwe ali ndi matenda ochepa kapena ofatsa a shuga.

Commissionyo imasunga chigamulo chomaliza pa gulu la olumala. Chofunikira kwambiri pakupanga chisankho ndi mbiri ya matendawa, yomwe yalembedwa mu khadi lanu. Zimaphatikizapo zotsatira za mayeso, maphunziro ndi zolembedwa zina zamankhwala.

Tcherani khutu! Ngati wodwalayo sakugwirizana ndi lingaliro la mayeso a zamankhwala, ali ndi ufulu wonena zakudandaula ku khothi kuti awunikenso.

Maudindo samadalira gulu lokhala ndi zilema zokha, komanso mtundu wa matenda - 1 kapena 2.

Mbali yodziwika ndi kudalira insulin.. Chifukwa cha izi, ali ndi ufulu wokonda mankhwala aulere.

Mwa zina mwazomwe mungadziwike:

1. Mankhwala aulere pochiza matendawa, kuthana ndi zovuta komanso zovuta za matenda ashuga.
2. Kupereka othandizira ndi zida zofunikira zodziyang'anira nokha shuga, magazi a jakisoni ndi njira zina.
3. Ngati mawonekedwe am matendawa ndi ovuta kwambiri, wodwalayo angafunike wogwira ntchito yaulere kapena wodzipereka yemwe angadzisamalire.

Omwe odwala matenda ashuga amalandila:

1. Mwayi kamodzi pachaka kuti apeze tikiti ndi kulipira mseu wopita ku boma la sanatorium kuti akonzenso ndikukhazikitsa.
2. Ndime zabwino za physiotherapy.
3. Mphatso zaulere za tchuthi cha spa, ngakhale mulibe kulemala.

Amaperekedwa ndi:

• Ulendo waulere kupita ku sanatorium kapena kumsasa wa ana ndikulipira malowa ndi kholo limodzi
• penshoni
• mikhalidwe yapadera yolemba mayeso, zabwino zovomerezeka ku yunivesite pa bajeti,
• chithandizo chaulere komanso matenda kuchipatala chakunja,
• khadi lankhondo
• kukhululuka msonkho.

Momwe mungapezere mankhwala aulere

Kuti alandire mankhwala othandizira, wodwalayo ayenera kukonzekera zolemba zotsatirazi:

• pasipoti
• kutuluka kwachipatala
• Satifiketi kuchokera ku Pension Fund (ziyenera kuwonekeratu kuti ndi mankhwala ati omwe amaperekedwa kwa wodwala kwaulere).

Kuti mupeze mankhwala oyenera, mutha kufunsa dokotala kuti akupatseni mankhwala.

Odwala onse omwe ali ndi matenda ashuga ayenera kukhala ndi inshuwaransi yaumoyo komanso mapepala otsimikizira ufulu wa kulandira mankhwala aulere. Kuti mudziwe komwe mapepala otere amaperekedwa, muyenera kulumikizana ndi Pension Fund kapena dokotala wamkulu.

Tcherani khutu! Wodwala ngati sangathe kuyima payokha, kapena pazifukwa zina amakonza chilichonse payokha, odzipereka kapena ena ogwira ntchito zothandizira omwe ali ndi mwayi wothandizira komanso kutsagana ndi olumala amakakamizika kumuthandiza.

Sikuti mankhwala onse amapereka mankhwala aulere, koma okhawo omwe ali mu Unduna wa Zaumoyo. Mndandanda wathunthu wamafakitima mumzinda wina ukhoza kupezeka mwa kulumikizana ndi ntchito yoyenera.

- onaninso pamutuwu

• Chifukwa chosintha pafupipafupi mu lamuloli, nthawi zina zambiri zimakhala zofunikira kuposa zomwe timakwanitsa kuzisintha pamalowo.
• Milandu yonse ndi payekhapayekha ndipo zimatengera zinthu zambiri. Zambiri zoyambira sizitsimikizira yankho pamavuto anu apadera.

Chifukwa chake, akatswiri alangizi a UFULU amakugwirani ntchito nthawi yonseyi!

Phindu la anthu odwala matenda ashuga mu 2018 -1, mtundu 2, ku Moscow, St. Petersburg, popanda kulumala

Matenda a shuga ndi matenda amtundu wa endocrine omwe amadziwika ndi kusokonezeka kwa metabolic a etiology osiyanasiyana chifukwa cha kuchuluka kwa shuga m'magazi chifukwa chazovuta zapamtima kapena kuchitapo kanthu ka insulin (kapena zinthu ziwiri nthawi imodzi).

Lamulo la Federal

Pofika chaka cha 2018, palibe Lamulo Lachilamulo lomwe likanayang'anira chitetezo chazachipatala ndi chikhalidwe cha anthu odwala matenda ashuga.

Komabe, pali lamulo la Federal Law No. 184557-7 "Pa Njira Zoperekera ..." (lomwe ladzatchedwa Bill), lomwe lavomerezedwa ndi State Duma ndi nduna za Mironov, Emelyanov, Tumusov ndi Nilov.

Mu h. 1 Nkhani 25 ya Bill ili ndi mwayi wopereka mwayi wolowa mu Federal Law kuyambira Januware 1, 2018, koma pakadali pano boma la Federal Law silidayambe kugwira ntchito.

Chifukwa chiyani pali mapindu?

Maubwino amaperekedwa pazifukwa zosiyanasiyana:

• h. 1 tbsp. 7 ya Draft Law imazindikira kuti matenda ashuga ndi matenda omwe amadziwika ndi Boma ngati vuto lalikulu kwambiri pamoyo wamunthu komanso gulu lonse lathunthu, zomwe zimaphatikizira kutuluka kwa boma. Zokhudza udindo wazachipatala ndi chitetezo chamunthu,
• matenda a shuga amadziwika ndi kuthekera kwamavuto apakhungu, monga ketoacidosis, hypoglycemia, lactic acid chikom, ndi zina, komanso zotsatira zakachedwa, mwachitsanzo, retinopathy, angiopathy, phokoso la matenda ashuga, etc., motero, pakakhala chisamaliro chamankhwala choyenera, matendawa angayambitse ena owopsa
• ndi matenda ashuga, wodwalayo amafunika kuwunika pafupipafupi kuchuluka kwa shuga m'magazi, chifukwa, kufunikira kwakupezeka kwa mankhwala ndi mankhwala, zomwe zingakhale zodula.

Kodi olumala amayamba liti?

Kulemala kumakhazikitsidwa pambuyo povomerezedwa ngati munthu wolumala chifukwa chotsatira mayeso azachipatala ndi chikhalidwe cha anthu (Article 7 ya Federal Law No. 181 ya Novembara 24, 1995 "Pa Social ..." (apa - Federal Law No. 181)).

Lingaliro la kukhazikitsidwa kwa olumala limapangidwa pamaziko a magawo ndi njira zotchulidwa mu Order of the Ministry of Labor No. 1024n of December 17. 2015 "Pa magulu ..." (apa - Lamulo).

Malinga ndi gawo 8 la Lamuloli, kuti munthu athe kulemala, munthu woposa zaka 18 ayenera kutsatira zinthu ziwiri:

• kuwonongeka kwa kusowa kwa magawo - kuchokera pa 40 mpaka 100%,
• kuwopsa kwa kuphwanya kosalekeza kumatsogolera ku kuwonjezeka kwa 2 kapena 3 kwa kulumala molingana ndi gawo lililonse la zinthu zofunika (gawo 5 la Dongosolo), kapena kuukali kwa 1, koma nthawi yomweyo m'magulu angapo (mwachitsanzo, 1 Ndimakhala wokhazikika pamagulu a "Kuchita tokha ntchito yathu", "Kutha kwa kuphunzira", "Kutha kulumikizana", ndi ena kapena digirii yachiwiri mu "Kutha kuchita"

Chifukwa chake, kuti mudziwe ngati gulu la olumala ndiloyenera odwala matenda ashuga, muyenera:

• gwiritsani ntchito Gawo 11 “Matenda a endocrine system…” ya Zakumapeto “Kachitidwe kazowunikira”
• kenako pezani gawo loti "Zachakudya ndi zothandiza ...",
• pezani m'ndandandawu mafotokozedwe amachitidwe a matenda ashuga omwe amadziwika bwino ndi zomwe wodwala ali nazo,
• yang'anani kuchuluka kwa mayeso omaliza (muyenera kuchokera 40 mpaka 100%),
• Pomaliza, molingana ndi ndime 5 - ndime 7 ya Dongosolo, kudziwa momwe malire a moyo angapangitse matenda osokoneza bongo, omwe amafanana ndi kufotokozedwa kwa gawo la "Clinical and function ..."

Mtundu woyamba

Zopindulitsa zimatha kudalira gulu lolemala, pomwe mtundu wa shuga suwononga phindu lomwe liperekedwa.

Anthu odwala matenda ashuga atha kulembetsa:

• Kusintha kwanyumba, malinga ndi kalembera mpaka Jan 1. 2005 (Article 17 ya Federal Law No. 181),
• maphunziro aulere (kuphatikiza maphunziro apamwamba a akatswiri - ab. 6, nkhani 19 ya Federal Law No. 181),
• ntchito yayikulu ngati bizinesi ili ndi chiwerengero cha anthu olumala (Ndime 21 ya Federal Law No. 181),
• tchuthi cholipira pachaka chosachepera masiku 30,
• penshoni yodandaula (inshuwaransi kapena yachuma, kukula kwa penshoni kumadalira gulu la zilema (gulu) kapena PKI (inshuwaransi),
• EDV (onani kukula apa).

Ndi zolemba ziti zofunika

Kutengera pandime 36 ya Chisankho cha Boma No 95 pa febro 20. 2006 "About the Order ...", malinga ndi zotsatira za ITU, wolumala waperekedwa:

• setifiketi yotsimikizira gulu la olumala,
• dongosolo lokonzanso anthu.

Ndikupereka zikalata izi kuti munthu wolumala athe kufunsa kuti asankhe EDV, penshoni ndi kulandira mankhwala.

Momwe mungapezere mankhwala

Mankhwala othandizira kulandira mankhwala aulere amaperekedwa ndi endocrinologist atazindikira koyenera. Asanazindikire izi, kuyezetsa kumachitika, pamaziko omwe adokotala amapanga dongosolo la kumwa mankhwala ndi kumwa.

Wodwala amatha kulandira mankhwala aulere ku pharmacy ya boma mosamalitsa mu kuchuluka kwa mankhwala.

Ubwino wa ana

Ubwino wa ana odwala matenda ashuga:

• EDV 2590.24 rubles pamwezi (kapena magulu angapo a ntchito zachitukuko pokana kukana kwa EDV),
• penshoni yokhala mwana wolumala mu kuchuluka kwa ma ruble 12082.06 pamwezi,
• chisamaliro chaulere komanso achikulire (onani pamwambapa),
• kuchotsedwa ntchito yankhondo ndi gawo la anthu olimba "B" kapena "D" (kuti mumve zambiri onani Gawo 4 la Zisankho za Boma No 565 pa Julayi 4, 2013 "Pa Kuvomerezedwa ...").

Ngati akukana kuchokera ku EDV, ntchito zachitukuko zidzafotokozedwera mu Chaputala 2 cha Federal Law No. 178 ya Julayi 17, 1999 "On State ...".

Sitinathe kupeza zomwe zidzachitike ndalama zina zikachotsedwa komanso ngati ndalama zotere ziliperekedwa.

Zolemba ndi dera

Tikuwonetsa zomwe magawo a kuperekera maubwino amapezeka pachigawo.

Wodwala matenda ashuga amatha kufunsira phindu ku feduro kapena kudera komwe amakhala ku Moscow.

Maubwino am'deralo amaperekedwa makamaka ngati olumala:

• vidiyo ya sanatorium kamodzi pachaka,
• kugwiritsa ntchito kwaulere zoyendera pagulu
• 50% kuchotsera pa ngongole zothandizira,
• ntchito zanyumba kunyumba, ndi zina zambiri.

Kutengera Zojambula. 77-1 ya St. Petersburg Social Code, matenda ashuga amatanthauza matenda omwe ufulu wakupereka mankhwala ndi kwaulere malinga ndi malangizo omwe madokotala amapereka.

Komanso, ngati wodwalayo ali ndi vuto, amapatsidwa njira zowonjezera zomwe zimakhazikitsidwa mu Art. 48 mwa Code iyi:

• kuyenda kwaulere pamayendedwe apamtunda ndi ma metro komanso poyendetsa ndege,
• EDV 11966 kapena 5310 rubles pamwezi (kutengera gulu la olumala).

M'chigawo cha Samara

Ku Samara, odwala matenda ashuga atha kulembetsa ma syringes aulere, jakisoni wokhazikika, masingano kwa iwo, zida zowunika pakuwonetsa zina, ndi zina zambiri (kuti mumve zambiri, onani tsamba lovomerezeka la Samara Ministry of Health).

Chifukwa chake, wodwala matenda ashuga amatha kulandira mndandanda wokwanira ngati atazindikira kuti ndi wolumala, kapena woyamba pakakhala kuti palibe wolumala. Pamaso pa kulemala, ma EDV, penshoni, maulendo aulere kupita ku Sanatorium, maulendo pa zoyendera zamagulu, etc. akupezeka.

Kulumala kosatha mu 2018 chifukwa cha matenda ashuga

Odwala awa amafunikira chithandizo chanthawi zonse ndi chisamaliro chakunja. Kuwonongeka kwa gulu lachiwiri kumayikidwa pansi pazinthu zingapo: 1. Kulephera kwaimpso, komwe kumadwala kotsatira kupatsirana bwino kwa impso kapena dialysis yokwanira, 2.

diabetesic encephalopathy, 3. diabetesic neuropathy ya digiri yachiwiri, 4. zochepa zotchulidwa retinopathy poyerekeza ndi gulu la 1, 5. kuthekera kochepa kwa digiri yachiwiri ya kudzisamalira, kusuntha, komanso kugwira ntchito.

Odwala awa amafunikira thandizo la anthu ena, koma safunikira chisamaliro chokhazikika. Kuwonongeka kwa gulu lachitatu kumayikidwa pamikhalidwe yambiri: 1. shuga yochepa kapena yofatsa, 2. njira yokhazikika ya matendawa.

Zophwanya izi zimakhala chifukwa chololera 1 degree yoletsa ntchito yogwira ntchito komanso kuthekera kokuchita nokha.

Mndandanda wa zifukwa zopunduka kosatha uunikidwanso

Chidwi Mndandanda wovomerezedwayo udzalola kuthetsa vutoli poyambirira kukasuma ku ITU Bureau komanso kupewa mayeso osafunikira apachaka kwa nzika zomwe zili ndi matenda ovuta popanda kusintha kwachitukuko. Unduna wa Zabizinesi unanenanso momwe mokulumala ungakhazikitsidwe kuti musamapezekenso kuti wodwalayo asachite mayeso.

Mwayi wotere ulipo m'malamulo pano, koma pakadali pano sipanakhale mndandanda wazomwe zikuchitika.
- Pali odwala omwe amapezeka kuti ali ndi ntchito zofunika (zofunika). Kuchoka kwina kulikonse, kusungirako zikalata kumakhala kolemetsa kwa iwo ndi okondedwa awo, "atero a Grigory Lekarev.

- Zomwe timafotokozera pamayeso a ulembedwe zithandiza banja, wodwalayo iyemwini ndi antchito omwe amamuthandiza, kupulumutsa nthawi yake ndi khama.

Ndi matenda ati omwe amapereka kulemala mu 2018

• Chithandizo kuchipatala chokhazikika pamalo olembetsera,
• kuchita ntchito yokonza zolembedwa.

Chidziwitso: ITU imapita kumalo komwe wodwala amakhala ngati wodwala sangathe kuyendera bungwe la boma. Pempho lothandizira algorithm ndi ili:

• Lumikizanani ndi dotolo waz Mbiri yanu madandaulo Pezani malangizo ndi kulandira chithandizo.
• Ngati mankhwala ndi njira zalephera, yambitsani kuyimbira ku ITU.

Chofunikira: malangizowo amaperekedwa ndi chipatala chomwe munthu wagawiridwa.

• Dokotala wopezekapo, kulandira mayeso a wodwala, amapanga kafukufuku wa thupi lake:
  • kuyesedwa ndi akatswiri
  • kusanthula kofanana ndi chithunzi cha chipatala.
• Olembera amafunika kutsatira zonse zofunika ndikupeza zotsatira.
• Zolemba zonse zimasonkhanitsidwa ndi adotolo opezekapo.

Mndandanda wamatenda omwe amadzawagwiritsa ntchito kupunduka komwe amafalitsa

Gulu la ana limayang'aniridwa kuyambira nthawi yobadwa. Ndi matenda ena, mwana amatha kuzindikira kuti ndi wolumala. Izi zimachitika ngati thupi lake limasokoneza nthawi zonse:

• kukhala
• kuphunzira
• khalani mogwirizana ndi chilengedwe ndi anthu.

Matenda amatuluka pazifukwa zosiyanasiyana.

Gawani zatsopano (zamkati) komanso zopezeka. Zomwe zimayambitsa zovuta sizikhudza lingaliro la ITU. Commissionyo imafufuza momwe thanzi limakhalira ndi mwayi wowachira. Kutengera ndi zotsatira zake, chisankho chimapangidwa kuti apereke satifiketi yolumala.

Ukadaulo wazachipatala komanso wothandiza anthu

Ofesiyi yakhazikitsa lamulo lalamulo loletsa kukhazikitsa kulumala kosalekeza chifukwa cha matenda ena kale popempha koyamba ku Bureau of Medical and Social Expertise (ITU).

Mpaka pano, malamulowa adasiya mwayi wokhazikitsanso kuyesereranso ngakhale pena paliponse - mwachitsanzo, ndikudulidwa kwamanja ndi miyendo, khungu lathunthu, Down syndrome.

Ndipo akatswiri nthawi zambiri adagwiritsa ntchito njira yodumphira iyi kuti adzipulumutse okha pazosankha zopanda malire.

Unduna wa Zabungwe wakonza zosintha pamalamulo oyambitsa kupunduka. Amakhala ndi machitidwe okhwima malinga ndi momwe, nthawi zina, akatswiri amafunikira kuti akhazikitse kulumala kwa akuluakulu - kwa nthawi yopanda malire, komanso kwa ana - mpaka zaka 18.

Kodi ndi maubwino ati a shuga amtundu 1 ndi mtundu 2 omwe angapezeke mu 2018?

Ntchito Yofunika Yofooka M'matenda A shuga Kuchepa kwa kapangidwe ka chilema mu matendawa ndikuti zilibe kanthu kuti ali ndi matenda ati a shuga.

Chomwe chimangotengedwa ndikuwona zovuta zomwe zimatsatana ndi matendawa komanso momwe zimakhudzira wodwala kuti azitha kugwira ntchito komanso kukhala ndi moyo wabwino. 1.

Gulu lokhala ndi olumala limapatsidwa kuchuluka kwa kulemala kwa munthu chifukwa cha nthendayi.

Kulemala kwa Gulu 1 kumaperekedwa kwa anthu omwe ali ndi matenda ashuga omwe ali ndi magawo otsatirawa: 1.

Takulandirani

Matenda a shuga ndi vuto lalikulu la munthu payekha, komanso gulu lonse. Kwa olamulira aboma, chitetezo chazachipatala komanso chachitetezo cha nzika zotere ziyenera kukhala zochita patsogolo.

Yemwe akuyenera kukhala ndi matenda a shuga ndi matenda a endocrine, kuphwanya mayamwidwe a shuga ndi thupi ndipo, chifukwa chake, kuchuluka kwake kwakukulu mu magazi (hyperglycemia). Amayamba chifukwa cha kusakwanira kapena kusowa kwa insulin ya mahomoni.

Zizindikiro zochititsa chidwi kwambiri za matenda a shuga ndizosowa kwamadzi ndi ludzu losatha. Kuchulukitsa kwamkodzo, njala yosakwanira, kuchepa thupi kumathandizidwanso. Pali mitundu iwiri yayikulu yamatenda.

Type 1 shuga mellitus imayamba chifukwa cha kuwonongedwa kwa maselo a pancreatic (gawo lake la endocrine) ndipo kumabweretsa hyperglycemia. Kwa nthawi yayitali amakhalanso othandizira.

Malangizo a maola 24 pa foni PATSANI PITIRITSANI MALO OGULITSIRA MOSCOW: MOSCOW NDIPONSO YA MOSCOW: ST. PETERSBURG NDI LENIGRAD REGION: NTHAWI ZONSE, NTHAWI YA FEDERAL: Kodi mitundu yachiwiri ya matenda a shuga imayambitsa matenda ashuga kapena matenda ashuga? kulowetsedwa ndi chakudya m'thupi, m'magazi samagawika konse kapena pang'ono. Zotsatira zake, shuga wokwezeka amasokoneza magwiridwe antchito a chiwindi ndi impso, amathandizira kukulitsa kwamatenda am'mimba komanso kuwonongeka kwa mawonekedwe. Zotsatira zomwe zimachitika chifukwa cha matenda osokoneza bongo nthawi zambiri zimayambitsa kulumala, ndipo nthawi zina amafa. Chifukwa chake, thandizo laboma matendawa ndilofunika kwambiri. Ndipo anthu ambiri ayenera kudziwa pamene kulumala kumaperekedwa chifukwa cha matenda ashuga.

Mawonetsero onse azovuta za matendawa ayenera kukhala ndi umboni wolembedwa, womwe umaperekedwa ndi akatswiri oyenerera azachipatala. Malipoti onse azachipatala ndi zotsatira zoyesa ziyenera kutumizidwa kukayezetsa zachipatala komanso chikhalidwe. Mukakhala kotheka kusonkhanitsa zikalata zothandizira, ndipomwe akatswiriwo angapange chisankho chabwino.

Kulemala kwa gulu lachiwiri ndi lachitatu limapatsidwa chaka chimodzi, cha gulu loyambirira - kwa zaka ziwiri. Pambuyo pa nthawi imeneyi, ufulu wokhala ndiudindo uyenera kutsimikizidwanso. Njira yolembetsa ndi kupatsa maubwino Kulembetsa kwa zofunikira za mabungwe azachikhalidwe, kuphatikiza mankhwala aulere, chithandizo munjira zanyumba ndikuyenda pagalimoto, kumachitika munthambi ya Pension Fund.

Ndalama Zobwezera Munthu wolumala yemwe ndi wolumala akhoza kukana kulandira phindu m'malo mwake. Kulephera kutha kupangidwa kuchokera ku magulu onse azithandizo zamagulu.

ntchito kapena zochepa pokhapokha pazosafunikira. Ndalama zolipiritsa zimaperekedwa kwa chaka chimodzi, koma kwenikweni si nthawi imodzi, chifukwa zimalipira ndalama zowonjezera kwa miyezi 12 mukuwonjezera penshoni yodwala.

Kukula kwake kwa 2017 kwa anthu olumala ndi:

• $ 3,538.52 Gulu loyamba
• RUB2527.06 Gulu lachiwiri ndi ana,
• $ 2022.94 kwa gulu lachitatu.

Mu 2018, akukonzekera kuti azilozera pamalipiro ndi 6.4%. Zotsatira zabwino zimatha kupezeka munthambi ya FIU, momwe muyenera kufunsira mapangidwe ake.

Mndandanda wazabwino za ana olumala omwe ali ndi matenda ashuga

Tsoka ilo, pakadali pano, ana ochulukirapo amapezeka ndi matenda ashuga osakwana zaka 18.

Pankhaniyi, boma silimayima pambali ndipo limapereka njira zingapo zothandizira mwana wotereyu, komanso banja lake.

Ndani amapatsidwa gawo la olumala omwe ali ndi matendawa?

Ngakhale kuti matenda ashuga ndi matenda omwe sangathe kuchiritsidwa kwathunthu, sianthu onse omwe ali ndi matendawa omwe angalembetse mwayi wokhala wolumala.

Izi ndichifukwa choti mitundu yayikulu yokha ya matendawa imatha kubweretsa zovuta zomwe zimasokoneza mwayi wa munthu wogwira ntchito ndikudzipezera ndalama.

Anthu omwe ali ndi matenda ashuga amatha kudwala ngati matenda awowo apereka kutsatira zovuta:

1. Kulumala kwa Gulu Lachitatu kumakhazikitsidwa ngati munthu sangathe, mwa magawo azachipatala, kugwira ntchito yolimbitsa thupi, ndipo maziko a kulephera kugwira ntchito ndi zotsatira za matenda a "shuga",
2. Kulemala kwa gulu lachiwiri kumakhazikitsidwa ngati zotsatirazi zikuphwanya wodwala:
   • Mavuto akhungu (gawo loyamba la khungu),
   • Dialysis ndondomeko
   • Maonekedwe akophwanya mayendedwe, mgwirizano,
   • Ntchito zamavuto amisala.
3. Digiri yalemala Ine imakhazikitsidwa ngati wodwalayo akuchita zotsatirazi:
   • Mavuto amawonedwe omwe amakhudza maso onse (nthawi zambiri munthu amakhala wakhungu)
   • Mavuto omwe ali ndi vuto la kusayenda kwa kayendedwe, kusuntha, mwina kuyamba kwa ziwalo,
   • Mavuto a mtima
   • Ntchito zamagetsi,
   • Matenda osokoneza bongo
   • Mavuto a ntchito ya impso.

Ponena za ana omwe sanakwanitse zaka 18 ndipo ali ndi matenda otere, udindo wa munthu wolumala umangoperekedwa kwa iwo pamaziko olankhula kuchokera kwa makolo awo kapena oyimira ena.

Maziko azamalamulo ndi Order of the Ministry of Health No 117 of 04/04/1991.

Zopunduka pankhaniyi zimaperekedwa popanda gulu. Risiti yake itha kuchitika atakwanitsa zaka 18, pazovuta zomwe zimakhazikitsidwa kuti zizindikiridwe ngati olumala malinga ndi njira zamankhwala.

Gawo lamilandu la nkhaniyi

Zoyang'anira kuthandiza ana omwe ali ndi matenda ashuga, ndi izi:

1. Lamulo la Federal "Pa Chitetezo cha Anthu Olemala". Imayang'anira kuperekedwa kwa maubwino m'njira kuchotsera kwa banja lomwe mwana wamuwona kuti ndi wolumala pakulipira ngongole zanyumba 50% ya mtengo wonsewo,
2. Lamulo la Federal "Pa Maphunziro ku Russian Federation". Imayang'anira njira yopezera maphunziro m'masukulu ophunzirira, komanso mabungwe amasukulu. Kulembetsa ku sukulu zamkaka zamkaka zam'mbuyomu, komanso kusachita nawo mpikisano polembetsa ku masekondale ndi apamwamba aukadaulo,
3. Lamulo la Federal "Pa State Pension Providence in Russian Federation". Amayang'anira njira yolipira penshoni kwa ana omwe ali ndi matenda ashuga,
4. Lamulo la Federal "Pazifukwa Zotetezera Thanzi la Nzika". Zimaperekanso kuperekera kwa mankhwala kwaulere komanso kulandira chithandizo chamankhwala.

Mndandanda wamitundu yothandizidwira kuchokera kuboma

Malinga ndi zolemba zomwe zili pamwambazi, ana omwe ali ndi zilema ali ndi ufulu kulandira kutsatira mitundu ya maubwino:

1. Kupereka chithandizo chofunikira chazachipatala pamaziko a zokakamira kapena malinga ndi kuperekedwa kwa kuchotsera,
2. Kulandira mankhwala othandizira pa moyo wa mwana ndi magwiridwe ake.
3. Kulipira kwa penshoni ndi boma. Kuchuluka kwa penshoni yolumala kwa ana kumakhala ndi cholozera cha pachaka. Kwa 2018, kuchuluka kwa ndalama zomwe zilipidwa ndi ma ruble 11 903,51,
4. Kulembetsa kusukulu yayikulu pasukulu yophunzitsa pasukulu zamaphunziro,
5. Kupititsa maphunziro mu mapulogalamu apadera, komanso m'malo apadera opangidwa makamaka kwa ana omwe ali ndi matenda otere,
6. Kulandila ndalama zolipirira malipiro a mwana wolowa sukulu yolipirira,
7. Kulembetsa osachita mpikisano pankhani ya maphunziro apamwamba kapena maphunziro apamwamba,
8. Kupeza zikalata zochizira mwana kuchipatala,
9. Ulendo waulere kupita kumalo othandizira omwe ali ndi spa
10. Kuthekera kokuchotsedwa ku zolipiritsa,
11. Kuthekera kosakhala m'gulu lankhondo ndikadzakula,
12. Kulandila masewera aulere,
13. Zotsatira zomwe zimaperekedwa kwa makolo a mwana (masiku owonjezera tchuthi, phindu la msonkho, zowonjezera pensheni, kuchotsera kupeza tikiti kapena kupeza tikiti yaulere mu sanatorium mukamatsagana ndi mwana, kuchepetsa kuchuluka kwa misonkho yolandilidwa, kusalephera kuchotsedwa pempho la abwana phindu kupuma pantchito zabwino, ufulu wopitiliza nazo ntchito za mayi).

Dongosolo lolandila

Mwana asanalandire maubwino omwe amakhazikitsidwa ndi boma, mwana ayenera kulandira chilema.

Kuti muchite izi muyenera kukonzekera phukusi la zikalata:

Chikalata chikaperekedwa chokhudza udindo wa munthu wolumala, mutha kulumikizana ndi olamulira omwe luso lawo limaphatikizapo kupatsidwa mitundu mitundu ya maubwino.

Kuti mupeze penshoni, muyenera kuitanitsa ku dipatimenti Yopuma Ndalama kumalo komwe mukukhalako ndikupereka zikalata izi:

1. Fomu yofunsira yofunsira ndalama,
2. Chitupa cha Mkhalidwe Wopunduka,
3. Satifiketi yakubadwa
4. SNILS.

Kuwunikira zidziwitso zolembetsedwa kumachitika nthawi osapitilira masiku 10.

Ndalama zimalemekezedwa kuyambira mwezi wamawa mutatha kutsatira ndikulembetsa zikalata zonse zofunika.

Kuti mupeze misonkhano yothandizirana ndi anthu (kuperekedwa kwa mankhwala, kupita kumalo ophunzirira, kupeza zilolezo, kupereka phindu la nyumba), muyenera kulumikizana kwa olamulira achitetezo aboma. Kulembetsa, zotsatirazi zimaperekedwa:

1. Fomu yofunsidwa kuchokera kwa kholo,
2. Chitupa cha Mkhalidwe Wopunduka,
3. Satifiketi yakubadwa kwa mwana,
4. Pasipoti ya makolo
5. Chikalata cha Umembala Wabanja,
6. Chikalata chokhala ndi nambala yaakaunti yaposachedwa,
7. Ndalama zothandizira.

Kuti mulandire zabwino zokhudzana ndi maphunziro, muyenera kutero ku dipatimenti yamaphunziro a mzinda kapena oyang'anira mzinda. Zambiri izi zimaphatikizidwa ndi ntchito:

1. Satifiketi yakubadwa
2. Chikalata chodziwitsa makolo
3. Chikalata chokhudza udindo wa olumala.

Chithandizo cha spa chaulere

Musanafike tikiti yopita ku mwana wa odwala matenda ashuga, muyenera kutsatira njira yake. Pachifukwachi, Zizindikiro zochiritsira mu sanatorium ziyenera kukhazikitsidwa.

Zizindikiro zamankhwala Sanatorium ndi:

1. Coma kumayambira, vuto likatha.
2. Zochita za opaleshoni zamatenda a shuga
3. The kukhalapo kwa matenda a mtima dongosolo, magazi.

Contraindication ndi:

1. Kulephera kwa impso
2. Matenda a mtima a III, mtima mungoli,
3. Kukhalapo kwa zovuta zomwe zimachitika chifukwa cha opareshoni
4. Kukhalapo kwa matenda ozungulira, mtima dongosolo la magawo lolingana.

Kuti mupeze tikiti, choyambirira, muyenera pezani dokotalaamene amachita chithandizo cha mwana. Chotsatira, muyenera kupeza mawonekedwe №076 / у-04 kuchipatala komwe akukhalamo.

Kenako, muyenera kutumiza zikalata ku FSS. Zolemba ziziunikidwanso mkati mwa masiku osapitilira 10. Ngati pempholi livomerezedwa, ndiye kuti kuperekedwa kwa tikiti kumachitika pasanathe milungu itatu tsiku lanyamuka lisanachitike.

Chonde dziwani kuti zolemba siziyenera kutumizidwa pasanafike pa Disembala 1 chaka chino.

Kuti lingaliro lipereke chilolezo kuchokera ku bungwe lovomerezeka kuti lipangidwe, phukusi la zikalata liyenera kuperekedwa:

1. Statement
2. Fomu yazachipatala 076 / y-04,
3. Satifiketi yakubadwa kwa mwana,
4. Pasipoti ya kholo
5. Chikalata cha inshuwaransi yokakamizidwa
6. Tengani kuchokera ku chikalata chachipatala cha mwana.

Mu sanatorium, chithandizo chimalimbikitsa kuthetsa mavuto omwe amadza chifukwa cha matendawa, komanso kusintha kagayidwe kazachilengedwe. Mapulogalamu azakudya amunthu aliyense amasankhidwa, mankhwala oyenerera amalembedwa. Ogwira ntchito zama sanatoriums amaphunzitsa kuwunika momwe odwala matenda ashuga amachitikira, ndipo masewera osiyanasiyana ndi zosangalatsa zimachitika.

Pakadali pano, pakati pa ma sanatoriums omwe amathandizira odwala matenda ashuga, mizinda yotsatirayi ndiosiyanitsidwa:

Pofuna thandizo la boma la ana olumala, onani vidiyo ili:

Adalimbikitsa Zolemba Zina Zogwirizana

Ubwino wa odwala omwe ali ndi matenda ashuga mu 2019

Chiwerengero cha odwala matenda ashuga chikuwonjezeka chaka chilichonse.

Chiwerengero chonse cha odwala matenda ashuga padziko lapansi chinali 200 miliyoni, ndipo podzafika chaka cha 2018-2019, akatswiri akuwonetseratu kuchuluka kwa milandu kufika pa 300 miliyoni. Matendawa pawokha amatuluka m'mitundu iwiri.

Mtundu woyamba umaphatikizapo odwala omwe amadalira insulin ndipo amafunikira jakisoni wa insulin tsiku lililonse. Mtundu wachiwiri umawonedwa ngati wopanda insulin-wodziyimira pawokha.

Onse omwe ali ndi matenda ashuga ali ndi ufulu kulandira mankhwala ochepetsa shuga, ma insulin, ma syringe, majekete oyeserera ndi mwezi umodzi. Anthu odwala matenda ashuga omwe alumala amalandiranso ndalama zapenshoni. Mu 2019, gulu ili laanthu lili ndi ufulu wotulutsa ndalama zothandizira.

Ndani amapindula?

Kuti mupereke kulemala pamafunika kuyezetsa kuchipatala ndi anthu.Kulemala kumatsimikiziridwa ngati wodwala wasintha ntchito za ziwalo zamkati.

Chowonjezera chimaperekedwa ndi adokotala. Odwala omwe ali ndi matenda a shuga a gulu 1 amapatsidwa vuto la kulumala chifukwa matendawo, komanso kuperewera kwake. Odwala omwe ali ndi matenda a shuga a mtundu wachiwiri, zotupa zimakhala zochepa.

Gulu la olumala lipatsidwa ntchito ngati liwululidwa:

• khungu la matenda ashuga
• ziwalo kapena ataxia wolimbikira,
• kulipira kosalekeza kwamakhalidwe oyipa motsutsana ndi matenda a matenda ashuga a m'mimba,
• gawo lachitatu la kulephera kwa mtima,
• kuwonekera kowopsa kwa madera otsika,
• odwala matenda ashuga phazi
• aakulu aimpso kulephera kudwala
• pafupipafupi hypoglycemic chikomokere.

Olumala gulu lachiwiri limayikidwa pamaziko a khungu lachiwiri la matenda ashuga kapena retinopathy a 2 mpaka 3 digiri, ndipo kulephera kwaimpso kwakanthawi.

Gulu logumuka la III limaperekedwa kwa odwala omwe ali ndi vuto loletsa, koma zovuta kwambiri.

Kodi kukula kwa mapindu kwasintha bwanji pazaka 3 zapitazi?

Pazaka 3 zapitazi, kuchuluka kwa mapindu kwasintha poganizira kuchuluka kwa kuchuluka, kuchuluka kwa odwala. Ubwino wamba wa odwala matenda ashuga ndi monga:

1. Kupeza mankhwala ofunikira.
2. Penshoni molingana ndi gulu la olumala.
3. Kuchotsedwa ntchito yankhondo.
4. Kupeza zida zodziwitsa.
5. Ufulu woyesedwa waulere ziwalo za endocrine dongosolo m'malo apadera a shuga.

Kwa mabungwe ena a Russian Federation, maubwino owonjezerawa amaperekedwa m'njira yopita kukalandira chithandizo mu malo opangira enanso, komanso:

1. Kuchepetsa zolipiritsa ndi 50%.
2. Tchuthi chopita kwa amayi omwe ali ndi matenda ashuga chikuwonjezereka ndi masiku 16.
3. Njira zowonjezerapo zothandizira pa chigawo.

Mtundu ndi kuchuluka kwa mankhwalawa, komanso zida zozindikira (syringes, chingwe choyesera), zimatsimikiziridwa ndi adotolo.

Kodi kukula kwake ndi chiyani kwa odwala omwe ali ndi matenda ashuga mu 2019

Mu 2019, odwala matenda ashuga sangawerenge phindu pamwambapa, komanso othandizira ena aboma ndi akuluakulu am'deralo.

Ubwino wa odwala omwe ali ndi matenda a shuga 1:

1. Kupereka mankhwala othandizira odwala matenda ashuga ndi zotsatira zake.
2. Zithandizo zamankhwala za jakisoni, muyeso wa shuga ndi njira zina (ndi kuwerengera kusanthula katatu patsiku).
3. Thandizo lochokera kwa ogwira ntchito zandalama.

Ubwino wa matenda a shuga a 2:

1. Sanatorium chithandizo.
2. Kukonzanso chikhalidwe.
3. Kusintha kwaulere kwa ntchito.
4. Makalasi m'mabwalo amasewera.

Kuphatikiza pa maulere aulere, odwala matenda ashuga amalipiridwa ndi:

Mankhwala aulere pochiza zovuta za shuga amaphatikizidwa pamndandanda wazabwino:

1. Phospholipids.
2. Zothandizira pancreatic.
3. Mavitamini ndi ma mineral vitamini.
4. Mankhwala obwezeretsa matenda a metabolic.
5. Mankhwala a thrombolytic.
6. Mankhwala amtima.
7. Zodzikongoletsera.
8. Njira zochizira matenda oopsa.

Kuphatikiza pa kuchepetsa mankhwala, odwala matenda ashuga amapatsidwa mankhwala ena. Odwala omwe ali ndi matenda amtundu wa 2 safuna insulin, koma ndioyenera kukhala ndi glucometer ndi zingwe zoyeserera. Chiwerengero cha mizere yoyesera chimatengera kuti wodwala amagwiritsa ntchito insulin kapena ayi:

• kwa odwala a insulin onjezerani timizere timeneti katatu tsiku lililonse,
• ngati wodwala sagwiritsa ntchito insulin - 1 strip tsiku lililonse.

Odwala omwe amagwiritsa ntchito insulin amapatsidwa jakisoni wothandizila kuchuluka kwa mankhwalawa tsiku lililonse. Ngati mapindu ake sagwiritsidwa ntchito chaka chimodzi, odwala matenda ashuga athe kulumikizana ndi FSS.

Mutha kukana phukusi loyambirira kumayambiriro kwa chaka. Pankhaniyi, ndalama zimalipiridwa. Ndalama zolipiritsa zimaperekedwa kwa chaka chimodzi, koma kwenikweni si nthawi imodzi, chifukwa zimalipira ndalama zowonjezera kwa miyezi 12 mukuwonjezera penshoni yodwala.

Mu 2019, ma subsidies otsatirawa akukonzekera kuti alipidwe kwa odwala matenda ashuga:

• Gulu 1: 3538.52 rub.,
• Gulu 2: 2527.06 rub.,
• Gulu la 3 ndi ana: ma ruble 2022.94.

Mu 2019, zakonzedwa kuti zikhazikitse zolipira ndi 6.4%. Zotsatira zabwino zimatha kupezeka munthambi ya FIU, momwe muyenera kufunsira mapangidwe ake.

Njira yofunsira ndalama kapena kulipirira ndalama zitha kusinthidwa ndikulumikizana ndi malo ogwirira ntchito ambiri, kudzera ku positi ofesi kapena pagulu lachitetezo cha anthu.

Patulani padera phukusi kwa ana omwe ali ndi matenda ashuga:

• mankhwala a spa kamodzi pachaka,
• ma free glucose mita ndi barcode, syringe zolembera ndi mankhwala omwe amachepetsa shuga la magazi.

Amayi oyembekezera omwe ali ndi matenda ashuga amapatsidwa masiku owonjezera 16 kuti achoke kuti asamalire ana awo.

Momwe mungapezere phindu la matenda a shuga mu 2019

Kuti mupeze zabwino za anthu odwala matenda ashuga, muyenera kukhala ndi zikalata zoyenera zakutsimikizira kulumala ndi matenda. Kuphatikiza apo, ndikofunikira kupatsa akuluakulu abungwe loteteza chitetezo cha anthu chitupa chomwe chili mu nambala ya 070 / у-04 kwa wamkulu kapena No. 076 / у-04 kwa mwana.

Chotsatira, mawu adalembedwa za kuperekedwa kwa chithandizo cha sanatorium-resort ku Social Insurance Fund kapena ku bungwe lililonse lazachikhalidwe chogwirizana lomwe lili ndi mgwirizano ndi Social Insurance Fund. Izi zikuyenera kuchitika Disembala 1 chaka chino.

Pambuyo masiku 10, kuyankha kumabwera kupereka chilolezo ku sanatorium chofanana ndi mbiri ya chithandizo, chosonyeza tsiku lofika. Tikiti iyi imaperekedwa pasadakhale, pasanathe masiku 21 asanafike. Pambuyo pa chithandizo, khadi imaperekedwa yomwe imalongosola momwe wodwalayo alili.

Zolemba zina zowonjezera:

• pasipoti ndi makope ake awiri, masamba 2, 3, 5,
• pamaso pa kulemala, pulani yakukonzanso kuchuluka kwa makope awiri ndiyofunikira;
• makope awiri a SNILS,
• satifiketi yochokera ku Pension Fund yotsimikizira kukhalapo kwa zopindulitsa zopanda ndalama za chaka chino, ndi chikalata chake,
• satifiketi yochokera kwa dokotala wa fomu Nambala 070 / y-04 kwa wamkulu kapena No. 076 / y-04 ya mwana. Chitifiketi ichi chikugwira ntchito miyezi 6 yokha!

Kuti mupeze mankhwala aulere, muyenera kulandira mankhwala kuchokera kwa endocrinologist. Kuti mupeze mankhwala, wodwala amayenera kudikirira zotsatira za mayeso onse ofunikira kuti adziwe zoyenera kudziwa. Kutengera ndi kafukufukuyu, adotolo amatenga ndandanda ya mankhwalawa, ndikuwonetsetsa kuti athandizidwe.

Mu mankhwala a boma, wodwalayo amapatsidwa mankhwala mosamalitsa mu kuchuluka kwa mankhwala. Monga lamulo, pali mankhwala okwanira mwezi umodzi.

Kulandila setifiketi yakuchipatala yakulemala kwa mwana, malembedwe ofunikira ndi awa:

• kugwiritsa ntchito nzika (kapena woimira wake),
• pasipoti kapena chikalata chodziwitsa nzika kuyambira pasipoti ya zaka 14 (kwa anthu ochepera zaka 14: satifiketi yobadwa ndi pasipoti ya m'modzi wa makolo kapena oyang'anira),
• zolemba zachipatala (khadi yakunja, kutuluka kwachipatala, zithunzi za R, ndi zina),
• kuchotsedwa ku chipatala (Fomu Nambala 088 / y-06), kapena mawu ochokera kuchipatala,
• buku la ntchito yotsimikiziridwa ndi dipatimenti ya ogwira ntchito, ogwira ntchito, makolo a odwala,
• zambiri zamakhalidwe ndi zantchito (kwa nzika yogwira ntchito),
• satifiketi zamaphunziro, ngati alipo,
• machitidwe a ntchito yophunzirira ya wophunzira (wophunzira) wotumizidwa kukayezetsa zamankhwala ndi chikhalidwe,
• ngati mutayesedwa mobwerezabwereza, satifiketi yalemala,
• mukamayang'ananso, khalani ndi pulogalamu yokhazikitsira anthu omwe ali ndi zolemba pamakonzedwe ake.

Phindu la Matenda A shuga

Matenda a shuga ndi matenda amtundu wa endocrine omwe amadziwika ndi matenda amtundu wa etiology ambiri. Cholinga chake ndikuwonjezereka kwa shuga m'magazi chifukwa chazovuta kapena insulin.

Kwa odwala matenda ashuga, malamulo a Russian Federation amapereka maubwino ena.

Maziko olandirira phindu kwa odwala matenda ashuga amawonedwa kuti ndi kupezeka kwa zizindikiro zakuchipatala. Mwayi umaperekedwa kawiri kawiri komanso pakakhala kulumala.

Kukhalapo kwa amodzi mwa magulu opuwala kumakulitsa kwambiri mndandanda wazabwino za odwala matenda ashuga. Komabe, kuti mupeze mawonekedwewo, ndikofunikira kukhala ndi zovuta zomwe zimasokoneza kugwira ntchito kwathunthu kwa moyo.

Machitidwe a malamulo

Lamulo la feduro lomwe limayang'anira mwachindunji chitetezo chazachipatala ndi chikhalidwe cha anthu odwala matenda ashuga sizinalandiridwe.
Nthawi yomweyo, pali Federal Law No. 184557-7 "Pa Njira Zoperekera", yomwe idatumizidwa ku State Duma kuti igwiritsidwe ntchito.

Mu h. 1 Nkhani Gawo 25 la Lamulo limafotokoza zomwe zikupereka mwayi wolowa mu Federal Law kuyambira Januware 2018, koma lero silinapeze tanthauzo lililonse mwalamulo.

Mitundu 1 ndi 2

Mu 2018, yamtundu woyamba wa matenda ashuga (wodalira insulin), akuyenera:

• mankhwala aulere ndi zida zamankhwala (zoperekedwa zokwanira kulola kuwunika pa insulin),
• kuthandizira m'njira yopezera ogwira ntchito zandalama kuti alandire thandizo,
• pamaso pa kulemala - maubwino onena.

Kwa mtundu wachiwiri, ndikofunikira:

• ma voti opita ku sanatorium ndicholinga chofuna kuchira ndikubwezerera ndalama zoyenda ndi zakudya (zitha kupezeka ndalama),
• kukonzanso chikhalidwe cha anthu - ngati mukufuna, mutha kutenga maphunziro ena kuti musinthe ntchito,
• nkhani ya mavitamini.

Pa gawo lachigawo, maphunziro osiyanasiyana okonzanso komanso makalasi amasewera amaperekedwa.

Mankhwala

Kwa odwala matenda ashuga, ndimankhwala angapo omwe amaperekedwa, omwe pakati pawo pali mankhwala ochepetsa shuga komanso zochizira zovuta zina matenda atadwala:

• phospholipids ndi kapamba,
• mankhwala a thrombolytic, okodzetsa,
• mavitamini pama mapiritsi kapena ma jakisoni,
• zingwe zoyeserera
• syringes za jakisoni.

Mankhwala othandizira

Anthu okhawo omwe ali ndi vuto la matenda ashuga okha ndi omwe angamadalire chithandizo cha spa.

Kuti mupeze tikiti, muyenera kufunsa a FSS kapena Ministry of Health ndi zikalata izi:

• Khadi ID
• Satifiketi Yokhumudwitsa Otumizidwa,
• SNILS,
• thandizo kuchokera kwa ochiritsira.

Kutengera ndi lingaliro labwino, tsiku la alendo ku khothi lakhazikitsidwa.

Zolemba Zofunika

Zolemba zambiri zikuphatikiza:

• pasipoti
• mawu
• satifiketi ya inshuwaransi
• umboni wazopindulitsa.

Mukamaliza kufufuzako, umboni wa zolembedwa zakupezeka kwa ufulu wolandila maubwino ofunika udzaperekedwa.

Osamapereka mankhwala okondera ku pharmacy

Mukalandira kukana ku pharmacy kuti apatseni mankhwala okondera, njira yabwino kwambiri ndikulumikizana ndi Unduna wa Zaumoyo:

• poyimbira foniyo 8-800-200-03-89,
• potumiza pulogalamuyo kudzera pa tsamba lovomerezeka.

Kuphatikiza apo, ndikulimbikitsidwa kuyika madandaulo ku ofesi ya wotsutsa - chifukwa chake ndikofunikira kuti mukhale ndi khadi la chizidziwitso komanso mankhwala kuchokera kwa dokotala.

Onetsetsani kuti mwapanga makope kuti muchepetse kukana kuvomereza zomwe akuti mukufuna kunena mukamayimira milandu kukhothi.

Zolemba m'magawo

Kutengera dera lomwe mukukhalamo, mndandanda wazabwino zomwe zingaperekedwe zitha kukulitsidwa mwakuwonongerani bajeti yakomweko.

Mukulikulu, zabwino zambiri zimaperekedwa kwa odwala matenda ashuga:

• kuperekedwa kwa tikiti yaulere yokhala ndi pafupipafupi nthawi 1 pachaka,
• ufulu wogwiritsa ntchito mayendedwe aulere kwa anthu onse,
• mwayi wolandila thandizo kunyumba, etc.

Kuti mupeze, muyenera kulumikizana ndi dipatimenti yothandizanayi.
Pa gawo la St. Petersburg, mndandanda wa mwayi umaperekedwa ndi Art. 77-1 ya Social Code.

Malinga ndi miyambo yomwe yakhazikitsidwa, odwala matenda ashuga am'madera amayenera kulandira mankhwala aulere malinga ndi malangizo ochokera kwa dokotala.

M'malo mwa anthu olumala, kwa iwo mndandanda wa mwayi umakulitsidwa ndipo uli ndi:

• ufulu wogwiritsa ntchito mayendedwe aulere pagulu, kuphatikiza metro,
• kulembetsa kwa EDV mu kuchuluka kwa rubles 11.9,000. kapena ma ruble 5,000. - kutengera gulu lomwe mwapatsidwa.

Mphamvu zazikulu za Samara zimapereka kwa odwala matenda ashuga kuperekedwa kwa ma insulin a insulin yaulere, ma jakisoni agalimoto, komanso singano ndi zida zodziwonera zowunikira.

Kanema wothandizira

• Chifukwa chosintha pafupipafupi mu lamuloli, nthawi zina zambiri zimakhala zofunikira kuposa zomwe timakwanitsa kuzisintha pamalowo.
• Milandu yonse ndi payekhapayekha ndipo zimatengera zinthu zambiri. Zambiri zoyambira sizitsimikizira yankho pamavuto anu apadera.

Chifukwa chake, akatswiri alangizi a UFULU amakugwirani ntchito nthawi yonseyi!

ZOTHANDIZA NDIPO APA ANATULUKA MAHODI 24 NDIPO TSIKU LIUTSITSIDWE.