Zomwe zimayenera kudwala wodwala matenda a shuga kwaulere

Ndi matenda monga matenda ashuga, funso loti kupezeka kwa maubwino limapweteka kwambiri. Odwala amafunikira chithandizo chamatenda oyamba, komanso kukonza ngati pali zovuta.

Anthu ambiri amadera nkhawa za phindu la matenda ashuga. Kupatula apo, matenda ndiofala. Odwala omwe amadalira insulin omwe ali ndi mtundu woyamba wa matenda okoma. Mtundu wachiwiri wa matenda ashuga, odwala samadalira insulin.

Malamulo apabizinesi yothandiza anthu odwala matenda ashuga

Odwala onse omwe ali ndi matenda okoma ali ndi ufulu kulandira mankhwala okhala ndi hypoglycemic free. Zomwezo zimagwiranso ntchito ku ma insulini a insulin komanso zingwe zoyeserera poyesa kuchuluka kwa shuga m'magazi - zimatha kwa mwezi umodzi.

Ngati munthu akudwala matenda a shuga ali ndi chilema, amalandira penshoni ndi phukusi, ndiye kuti pali mwayi nthawi zonse wokana izi m'malo mopereka ndalama. Koma ndikofunikira kuganizira musanapange chisankho, chifukwa sizokayikitsa kuti zitha kupereka ndalama zogulira mankhwala onse ofunikira, komanso njira zosiyanasiyana zofunika kwa iwo omwe akudwala matenda okoma.

Wodwala matenda ashuga akapatsidwa kulumala

Wodwala yemwe ali ndi matenda a 2 kapena a mtundu woyamba wa shuga amatha kupunduka malinga ndi njira zina zake.

1. Masewera omwe adasinthidwa ndikuwonetsa kusintha komwe kukugwirizana ndi matendawa omwe amakhudzana ndi matendawa - choyamba, izi zikugwiranso ntchito ku endocrine system.
2. Ndi malire a munthu wodwala matenda ashuga, kuthekera kwa mayendedwe aufulu, pomwe wodwala sangathe kudzipulumutsa, gwiritsani ntchito mphamvu zonse.
3. Ngati wodwala matenda ashuga amafuna chithandizo.

Mukamayang'ana njira zotere, zimatha kukhazikitsa mtundu umodzi kapena wina wolumala mwa magawo atatu a shuga. Zotsatira zake, wodwalayo amalandira digiri yoyenera yaubwino. Izi zitha kukhala mankhwala kapena kuchotsera ndalama zolipirira. Kuti wodwala yemwe ali ndi mtundu wachiwiri kapena woyamba wa matenda ashuga alembetsedwe ngati wolumala chifukwa cha matenda okoma, dokotala wopezekayo ayenera kupereka mwachindunji kwa olamulira oyenera.

Mwambiri, kulemala kumaperekedwa kwa iwo omwe ali ndi matenda a shuga 1. Chowonadi ndi chakuti ndi mtundu uwu wa matenda okoma omwe nthawi zambiri amatsogolera kusintha koyipa. Izi ndizowona makamaka kwa achinyamata. Ngati wodwalayo sangathe kudzipereka yekha, wogwira ntchito yantchito amabwera kwa iye.

Nthawi zina anthu omwe amadwala matenda ashuga amatanthauza kulumala kwa gulu 1

1. Ngati pali retinopathy, ndipo imayendera limodzi ndi kutayika kwamaso, ndi maso onse awiri.
2. Ndi neuropathy, ngati ataxia kapena ziwalo zoopsa zimawonedwa.
3. Ndi zovuta zamavuto am'maganizo kumbuyo kwa chitukuko cha encephalopathy.

Kuphatikiza apo, gulu 1 limaperekedwa kwa odwala omwe ali ndi vuto 3 mtima. Makina am'munsi akumunsi akuyenera kuwonjezeredwa pamndandanda. Zomwezo zimapita ndi phazi la matenda ashuga. Ndi zochitika za comatose mobwerezabwereza, kulephera kwa impso, gulu loyamba la olumala limayikidwa.

Kodi odwala matenda ashuga amakhala liti olumala m'gulu lachitatu

Gululi limatha kupezeka ndi munthu yemwe matenda ake ndi ofatsa kapena ochepa. Gulu lachitatu la olumala lidayikidwa ngati vuto lakusayenda bwino kwa vuto laling'ono, chifukwa chake odwala matenda ashuga sangathe kudzipulumutsa yekha - pali malire pamenepa. Izi zikugwiranso ntchito pakugwira ntchito - wodwalayo sangathe kugwira ntchito mokwanira.

Ubwino wa odwala matenda ashuga

Kwa iwo omwe adwala matenda okoma amtundu uliwonse, omwe ali olumala nthawi yomweyo, pali mitundu ingapo yamitundu yosiyanasiyana yothandizira. Zilibe kanthu kuti olumala adachitika chifukwa chiyani. Izi ndi:

• kukonzanso odwala
• thandizo lachipatala
• Kupanga malo oyenera ntchito ndi kuwerenga,
• kuteteza nyumba
• zothandizira.

Phindu la matenda ashuga kwa anthu olumala limaphatikizapo kuyenda kwaulere poyendera pagulu ndi kwamtunda. Pa mndandandawo akuyenera kuwonjezeredwa kubwezeretsa mu sanatorium kamodzi pachaka, ndi mtengo wapaulendo wozungulira.

Maubwino a Ana A shuga

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.

Ndani ayenera

Matenda a shuga ndi matenda amtundu wa endocrine, kuphwanya mayamwidwe a shuga ndi thupi ndipo, chifukwa chake, kuchuluka kwake kwamphamvu 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.

Matenda a shuga a Type 2 ndi omwe amakhala ofala kwambiri ndipo amapezeka mwa 90 peresenti ya odwala omwe ali ndi matenda ashuga. Amayamba kukhala mwa anthu onenepa kwambiri.

Mu gawo loyamba, matenda a shuga a 2 amathandizidwa ndi zakudya komanso masewera olimbitsa thupi. Pambuyo pake, mankhwalawa amagwiritsidwa ntchito. Kugwiritsa ntchito bwino kulibe. Nthawi zambiri, zizindikirizo zimachotsedwa, osati nthendayo yomwe.

Kukhalapo kwa matenda ashuga sikuti chifukwa cha kulumala. Amakhazikitsidwa pokhapokha ngati pakuphwanya madigiri osiyanasiyana amtundu wa endocrine.

Okondedwa owerenga! Nkhaniyi imakamba za njira zingapo zothetsera mavuto amilandu, koma milandu iliyonse ndi yofanana. Ngati mukufuna kudziwa bwanji kuthetsa vuto lanu - funsani mlangizi:

ZOTHANDIZA NDIPO APA ANATULUKA MAHODI 24 NDIPO TSIKU LIUTSITSIDWE .

Ndi yachangu ndipo ZAULERE !

Kuyambira panthawi yodziwitsa, malinga ndi malamulo a federal, wodwalayo amakhala ndi mwayi wopeza chithandizo chamankhwala.

Zomwe zimaperekedwa

Panthawi yamalamulo, zotsatirazi zimadalira odwala omwe ali ndi vuto la matenda ashuga a 2 popanda kulumala: kupatsidwa mankhwala, ndalama zakubweza ndi kukonza.

Zolinga zakuchinjiriza kwa odwala ndizopanga zinthu zofunika pamoyo komanso kuteteza thanzi.

Mankhwala

Malinga ndi malamulo, odwala ayenera kuperekedwa kwaulere ndi mankhwala ndi zida zowunika:

• ma genet omwe amapanga ma insulini apamwamba (ngati akuwoneka) ndi makonzedwe awo,
• mankhwala omwe amachepetsa shuga komanso kupewa mavuto,
• kudziwunikira kumatanthauza kudziwa kuchuluka kwa shuga, shuga, mankhwala ophera tizilombo
• Kusankha kwa insulin potsatira dokotala (ngati pakufunika kutero).

Kutetezedwa ndi anthu

Kuphatikiza pa mankhwala aulere, odwala omwe ali ndi mtundu wachiwiri wa matenda ali ndi ufulu:

• Ufulu wothandizidwa mwapadera maboma ndi maboma,
• kuphunzira zoyambira za kubwezera matenda,
• mokakamizidwa inshuwaransi yathanzi
• kuwonetsetsa kuti onse ali ndi mwayi m'magawo onse: maphunziro, masewera, ntchito zaluso, kuthekera kobwezeretsanso,
• kukonzanso chikhalidwe, kusintha
• misasa yachipatala ya ana osakwana zaka 18 pazifukwa zachipatala,
• kuthekera kwokana ntchito zachipatala ndi zachitukuko.

Ndondomeko yamalamulo

Lamulo lotsatirali limagwira monga maziko operekera chitsimikizo kwa anthu odwala matenda ashuga:

• Lamulo la Federal "Pa Chitetezo cha Anthu pa Anthu Olumala ku Russian Federation",
• Art. 2 Lamulo la Federal la 12.12.91 "Zosungidwa",
• Order of the Ministry of Health of the Russian Federation Nambala 208 deti 2.07.98,
• Lamulo la Federal “Pa State Pensheni mu Russian Federation”,
• Art. 19 ya Ndondomeko ya Minister of Defense No. 260, 1987,
• PP No. 901 ya Julayi 27, 1996 "Pakupereka zothandizira kwa anthu olumala ndi mabanja omwe ali ndi ana olumala, popereka nyumba, kulipiritsa nyumba ndi zinthu zofunikira",
• Art. 6 mwa Lamulo la Russian Federation la 18.10.91 "Pa Ndalama Zapansi mu Russian Federation".

Kuphatikiza apo, zochitika zambiri mwalamulo za mautumiki apadera zokhudzana ndi magawo osiyanasiyana a moyo zimagwiritsidwanso ntchito.

Aliyense wodwala matenda ashuga, mosasamala mtundu wa matenda, ayenera kukhala ndi chidziwitso pazomwe amapindulira komanso zitsimikiziro zomwe zimaperekedwa ku boma.

Ubwino Kutengera Mtundu wa Matenda A shuga

Kwa iwo omwe ali ndi matenda ashuga, malangizo ndi mayeso onse a dokotala amaperekedwa kwaulere. Monga chitsanzo cha malo ozindikira komwe mungapeze chithandizo choyenera, mutha kutchula Endocrinology Center ku Moscow Medical Academy.

Kuphatikiza apo, zimaperekedwa:

• kulipira kwa mankhwala ofunikira ndi zida zofufuzira ndi kufufuza,
• 50% kuchotsera pa ngongole zothandizira,
• penshoni
• Kwa amayi, kuchoka kwa makolo kumakulitsidwa kwa milungu itatu.

Kuchuluka kwa mankhwalawa ndi dokotala, ntchito ya wodwalayo ndikumamuyendera pafupipafupi ndikulandila mankhwala malinga ndi zomwe wapatsidwa. Kuti musanthule, malinga ndi lamulo, mutha kumasulidwa kuntchito kapena kuphunzira.

Kuphatikiza pa kuzindikirika kwa chithokomiro komanso chiwindi, munthu amatha kuyang'ana masomphenya, kugwira ntchito kwamanjenje ndi mtima. Kuphatikiza pazopindulitsa zomwe zalembedwa, kutengera kuwuma kwa matendawa, palinso zowonjezera.

Za mtundu 1

Kuzindikira pakokha si chifukwa chodwala. Mlingo wina wa vuto la endocrine system (kulephera kudzipangira nokha) umafunika. Kutengera ndi mawonekedwe awa, amodzi mwa magulu atatu olumala akhazikitsidwa, omwe amakhudza kuchuluka kwa mapindu omwe amaperekedwa.

Ndi zovuta kwambiri - gulu loyamba, munthu akhoza kulandira glucometer ndi njira zoyezera miyezo ya shuga kwaulere. Maubwino azakuthupi azikhala apamwamba, mwachitsanzo, penshoni yamoyo yonse ya odwala matenda ashuga amtundu woyamba - ma ruble 9,919, pomwe ali ndi mtundu wachiwiri - ma ruble 4,99, ndipo wachitatu - ma ruble 4,215, kubweza ndalama pamwezi - 3,357, 2,397 ndi 1,919 rubles .

Matenda a shuga a insulin

Kudalira insulin nthawi zambiri ndi mtundu woyamba wa matenda ashuga. Odwala omwe ali ndi matendawa amapatsidwa pafupipafupi mikwingwirima yoyeserera mwezi uliwonse kuti adziwe kuchuluka kwa shuga m'magazi, ma syringes ndi mankhwala ochepetsa shuga. M'malo mwake, mutha kubwezera zachuma, koma sizingakwanitse kulipirira zonse zofunika pakuchipatala.

Insulin yolimbana ndi matenda ashuga

Palibe zabwino zapadera kwa odwala omwe ali ndi matenda osokoneza bongo a insulin, nthawi zambiri amakhala amtundu wachiwiri ndipo amatha kuthandizidwa bwino kuposa oyambayo. Nthawi zambiri, zakudya ndi masewera olimbitsa thupi zimangotchulidwa. Kuyankhulana kwa akatswiri ndi makalasi ophunzitsira zamthupi amaperekedwa kwaulere.

Zilibe kanthu kuti matendawa ndi oopsa motani, kaya kupunduka kwapatsidwa - munthu ali ndi ufulu kusangalala ndi maphindu, mndandanda waukulu womwe umaphatikizapo:

• kuperekedwa kwaulere kwa mankhwala apadera othandizira mankhwala,
• makina othandizira kuzindikira (aulere),
• kudutsa zochizira matenda a endocrine organ system mu chipatala popanda ufulu,
• kuperekera chithandizo mu malo a spa.

M'madera ena, mapulogalamu amderalo akhoza kukhazikitsidwa omwe amapereka thandizo lina kwa anthuwa.

Kuti mukhale ndi chifukwa chovomerezeka chovomerezeka, muyenera kulumikizana ndi endocrinologist yemwe angatsimikizire za matendawo ndikupereka chikalata choyenera. Dokotalayo amawona magawo a mankhwala omwe akuperekedwa ndi zida za matenda (mawanga oyesa, ma syringe, ndi zina).

Wodwala amapatsidwa mankhwala oyenerera, malinga ndi omwe amatha kulandira ndalama zonse zofunikira zamankhwala.

Ngati pakufunika nthawi yowunika, munthu amene wapezeka ndi matenda ashuga ali ndi ufulu kuti asachotsedwe kuntchito kapena ku maphunziro kwakanthawi.

Dongosolo la endocrine limalumikizana mosagwirizana ndi ziwalo zina zonse zofunika, chifukwa chake, ngati kuli koyenera, dokotalayo amapereka chidziwitso chakuwunikira momwe mtima ulili, mitsempha yamagazi, ziwalo zothandizira kumva ndi kuwona, zotumphukira ndi dongosolo lamanjenje.

Kuyesedwa kwaulere, zotsatira za phunzirolo zimatumizidwa kwa dokotala wopita.

1. Ufulu wa tikiti waulere kupita ku Sanatorium kuti ukonzenso.

2. Kutha kusintha mbiri ya ntchito.

3. Kuyika kosangalatsa ndi masewera olimbitsa thupi, maphunziro apadera olimbitsa thupi ku Sanatorium.

4. Kulandila voti ya sanatorium-resort mosasamala kanthu kuti wodwalayo amaperekedwa ku gulu lililonse la anthu olumala kapena ayi.

5. Pakukonzanso mu sanatorium odwala matenda a shuga, mtengo wake umalipiriridwa:

• popita ku sanatorium ndi kumbuyo,
• kupereka chakudya chaulere.

6. Popewa zovuta zomwe zimayambika ndi mtundu wa matenda omwe amawaganizira, wodwala amakupatsani mankhwala omwe mungamwe nawo:

• phospholipids yothandizira kayendedwe ka chiwindi,
• kapamba kuti akhazikitse kapamba,
• mavitamini-michere, mavitamini amitundu yosiyanasiyana, mapiritsi a jakisoni wolembedwa ndi adokotala.
• mankhwala omwe analimbikitsidwa payekhapayekha, omwe amaphatikizidwa pamndandanda waulere,
• Mapiritsi ndi ma jakisoni kuti muchepetse magazi kuundana (mankhwala a thrombolytic),
• mankhwala omwe amathandiza kugwira ntchito kwantchito kwamtima,
• okodzetsa
• mankhwala ochepetsa kuthamanga kwa magazi,
• wodwala payekha atha kupatsidwa mankhwala opatsirana, mankhwala othandizira, ndi mankhwala ena omwe amalepheretsa kapena kuchepetsa mavuto obwera chifukwa cha matenda ashuga,
• Anthu odwala matenda ashuga amtundu wa 2 amalandila glucometer ndikumayesa njira kamodzi pa tsiku.

Wodwalayo amapatsidwa mwayi kuchokera kwa sing'anga wopita kuchipatala kukaonetsedwa.

Ngati pazifukwa zilizonse sanapatsidwe chikalata chotere, ali ndi ufulu wolumikizana ndi akatswiriwo popanda pepala lapadera, akulemba mawu m'malo mwake.

Kutengera ndi momwe wodwalayo alili, kulumala kumagawika m'magulu atatu.

Gulu 1 - anthu omwe ali ndi matenda oopsa a shuga, omwe sangathe kuchita popanda thandizo la akunja, makamaka anamwino. Izi zimaphatikizapo iwo amene adasiya kuwona pang'ono kapena kwathunthu, omwe ali ndi kuwonongeka kwakukulu mu ubongo, ubongo, mavuto am'mtima. Gulu loyamba limaphatikizaponso anthu odwala matenda ashuga omwe avulala kwambiri.

Zowonetsa zonse pamwambapa, koma mwanjira yocheperako, ndi mkangano wopereka kulumala kwa gulu lachiwiri.

Gulu lachitatu la olumala - odwala omwe ali ndi zovuta kapena zochepa za matendawa.

Mamembala a akatswiri ogwira ntchitoyo amapanga chisankho pamaziko a kafukufuku wambiri wazachipatala, omwe ali ndi zotsatira za kafukufuku wazakafukufuku.

Ngati wodwala sakhutira ndi lingaliro la ofesi yoyeserera zachipatala, ali ndi ufulu wolumikizana ndi oyang'anira milandu kuti awupatse.

Kupezeka kwa olumala kumapangitsa odwala matenda ashuga kuyembekezera thandizo lazachuma m'njira zopindulira.Momwe mungagwiritsire ntchito mwayi wamtunduwu pofotokozedwa mu Federal Law "On State Pension Providence in the Russian Federation" (kuyambira pa Disembala 15, 2001 No. 166).

Pa gawo la boma, kuchuluka kwa mapenshoni osaphunzitsidwa kumatsimikiziridwa, koma pamlingo wakomweko, lingaliro lingaperekedwe pazowonjezera kuchokera ku bajeti yachigawo.

Pali zosiyana pamilandu yolandila boma yomwe idalandilidwa, popeza ndi mtundu wina wa matenda ashuga, kuopsa kwa vutolo komanso mtundu wa chisamaliro zimasiyana kwambiri.

Ndi matenda amtundu wa 1 shuga, kulipidwa ndi chithandizo chaboma kudzakhala kwakukulu, popeza mawonekedwe awa ndiowopsa kwambiri komanso ovuta kwa munthu. Ndi matenda amtundu wa 1 shuga, kaphatikizidwe ndi katulutsidwe ka insulin yakeyo kwathunthu, ndiye chifukwa chachikulu chovutira msanga.

Kuthana ndi insulin yothandizira mtundu wa 1 matenda ashuga ndi njira yamoyo komanso zovuta kwambiri, yomwe imatenga zinthu zambiri zakuthupi, nthawi ndi mphamvu. Anthu omwe ali ndi mtundu wa matenda a shuga omwe amadalira insulin nthawi zambiri amatha kupeza nthawi yomweyo 2 kapena ngakhale gulu loyamba lokhala ndi zilema.

Chifukwa chake, mulingo wothandizira boma kwa odwala otere ndiwokwera. Odwala otere ayenera kuperekedwa ndi glucometer yaying'ono, magawo oyesera a glucometry odziimira.

Panthawi inayake, amapatsidwa zowonjezera: ma syringe, singano ndi insulin kukonzekera, komanso mankhwala ena okonda kuwonetsetsa kuti thanzi lawo likulamulira.

Njira Zopindulitsa

Pokhapokha ngati wodwala ali ndi mathero a komiti yazachipatala ndi akatswiri, ndipo amadziwika kuti ndi olumala, pali zabwino zingapo zomwe zimapangitsa moyo kukhala wosavuta kwa wodwala. Ubwino wa matenda a shuga ungafotokozedwe m'mabuku otsatirawa:

• Ufulu wogwiritsa ntchito mwaulere mayendedwe owerengera,
• kuperekedwa kwa mankhwala owonjezera ochizira matendawa,
• kuyendera kwa pachaka mabungwe a sanatorium kuchitira matendawa. Ndimalipiranso ndikumapita ku malo a tchuthi cha spa.

Pali maubwino ena omwe amagwira ntchito mosasamala mtundu wa munthu yemwe ali ndi vuto. Popanda kulumala, zinthu zina zitha kupezeka.

Boma limakakamizidwa kuti lipatse odwala insulin yaulere, komanso mankhwala omwe ali ndi hypoglycemic effect, amapereka m'njira za insulini zama insulin. Mapindu am'madera amakhudza chindapusa.

Ubwino wa ana

Gulu loyamba limakhala ndi odwala omwe, chifukwa cha matenda ashuga, pang'ono kapena osatha kuwona, pamakhala kuvulala kwa mtima, mitsempha yamagazi, kapena ubongo, komanso iwo omwe adakomoka kapena sangathe kuchita popanda thandizo lakunja. Zizindikiro zomwezo, koma pang'ono pang'ono, ali m'gulu lachiwiri. Gulu lachitatu ndi lotchulidwa ngati zizindikiro zake zili zofatsa.

Ubwino wa ana omwe ali ndi matenda ashuga

Kuti akhazikitse kulemala ndikupereka satifiketi ya wodwala kwa wodwala, kuyezetsa kwapadera kumafunika komwe kumatsimikizira mfundo izi:

• kuchuluka kwa kutayika kwa ntchito kapena ntchito,
• kukhalapo kapena kusapezeka kwa matenda amtundu wa endocrine kapena matenda ena aakulu,
• kusowa kapena kusowa kwa chisamaliro chokhazikika kapena chisamaliro cha wodwalayo.

Mukamayesa kuchuluka kwa kulumala, magawo ambiri amatengedwa omwe amakhudza gulu lolumala. Mu chisamaliro chaumoyo ku Russia, akatswiri oyang'anira adasankha kusiyanitsa magulu atatu olumala.

Zowonjezera

Maubwino owonjezera amakhudza magawo azikhalidwe komanso zamankhwala za wodwala. Chaka chilichonse, mutha kupeza chithandizo cha matenda aulere, ndipo mu gulu loyamba la olumala mumapeza glucometer ndi zida zofunika pa glucometry.

Maubwino ambiri amatengera momwe zinthu ziliri ndi matenda omwe amayambitsidwa ndi matenda oyambitsawo. Mosasamala mtundu wa shuga, aliyense ayenera kudziwa zomwe amapeza.

Ubwino wa odwala matenda ashuga umadalira kuchuluka kwa matendawa. Zitha kukhala zakuthupi komanso zachikhalidwe. Ndani angalembetse ndi momwe angawapezere ngati atapezeka kuti ali ndi matenda?

Zowonjezera zomwe zimaperekedwa kwa odwala omwe ali ndi matenda ashuga zimatha kukhudzana ndi gawo laumoyo komanso laumoyo wa munthu. Munthu amene akudwala matenda oopsa a endocrine ali ndi ufulu kukonzanso chithandizo ndi upangiri m'mabungwe azachipatala aboma, komanso kuyesedwa kwaulere chaka chilichonse.

Wodwala akapezeka kuti ali ndi vuto la gulu 1, lomwe limatengedwa kuti ndi lovuta kwambiri, gluceter komanso zothetsera glucometry zimatha kuperekedwa kwa osowa kwaulere.

Munjira zambiri, mndandanda wa mapindu umadalira momwe zinthu ziliri ndi matenda omwe adakumana nawo.

Mankhwala

Mndandanda wazopindulitsa wa odwala umaphatikizapo mankhwala angapo aulere, kuphatikizapo onse a hypoglycemic ndi mankhwala ochizira zovuta zingapo mukadwala:

• phospholipids ndi pacreatin,
• mankhwala a thrombolytic, okodzetsa,
• mavitamini m'mapiritsi kapena jakisoni,
• zingwe zoyeserera
• syringes ya jakisoni.

Mu 2018, mwa lamulo la Unduna wa Zaumoyo ndi Chitukuko cha Russia ku Russia, mndandandawu udakulitsidwa kuti uphatikize magawo onse azamankhwala omwe amafunikira pochizira matenda a chiwindi ndi zovuta zomwe zimayambitsa.

Malangizo a Kanema

Kanemayu akufotokoza zabwino zomwe boma limapereka kwa odwala omwe ali ndi mtundu woyamba wa 1 komanso mtundu wa 2 matenda a shuga, odwala matenda ashuga, etc.

Matenda amtunduwu amabweretsera munthu mavuto ambiri komanso zotsatira zake, zomwe zimayamba kukomoka, pomwe zotsatira zake sizingachitike. Pazifukwa izi ndi zina zambiri, odwala otere amapatsidwa maubwino apadera m'boma, kuti athetse vuto lawo linalake ndikuletsa kuwonongeka kwake.

Momwe mungagwiritsire ntchito

Nzika zokhala ndi matenda ashuga a 2 zitha kufunsa kuti zipeze phindu lalikulu ku dipatimenti Yopuma pantchito. Mwachitsanzo, mankhwala aulere kapena kulandira chithandizo mu sanatorium, komanso zolipira pokana izo.

Akatswiri ayenera kutumiza zikalata zofunika (mndandandawu ukhoza kupezeka pasadakhale pafoni kapena pa webusayiti) ndikulemba chikalata cha ufulu wakonde.

Akuluakulu akutsimikizira mapepala okhala ndi mapepala, onetsetsani kuti mwadzaza fomuyo ndikupatsa nzika chikalata chovomereza zikalata. Kenako, zidziwitso zomwe zalandiridwa zimayang'aniridwa pamodzi ndi maziko ndikupatsidwa kuti zonse zili mu dongosolo, wopemphayo adzapatsidwa satifiketi ya ufulu wogwiritsa ntchito boma.

Kutengera satifiketiyo, adotolo adzalemberani mankhwala aulere omwe mungapeze mankhwala ndi zida zofunikira kuti muwone ngati ali ndi thanzi, adzakuwuzaninso ma adilesi a ma pharmacies omwe akupereka mankhwalawa.

Kuti mupereke tikiti ku sanatorium, muyenera kufunsa dokotala. Kukhazikitsidwa lamulo lomwe lidzayesa wodwalayo, ndikapereka chigamulo chokwanira, lidzamupatsa satifiketi yofunsira kukonzanso.

Iyenera kutumizidwa ku thumba la inshuwaransi ya anthu komanso mawu, makamaka pamaso pa oyamba a Disembala.

Wopemphayo adzalandira yankho mkati mwa masiku khumi. Bungwe la sanatorium liyenera kufanana ndi mbiri ya matendawa. Kuyika nthawi kukuwonetsedwa pazidziwitso.

Tikiti iperekedwa masabata atatu ulendowu usanachitike. Sichikukhudzidwa ndikugulitsa, koma ngati zinthu sizinachitike zitha kubwereranso (pasanathe sabata sabata isanayambike kukonzanso).

Kodi ndizotheka kupanga ndalama

M'malo mopindulitsa, mutha kugwiritsa ntchito chipukutiro chakuthupi, ngakhale sichikukhudzani mtengo wonse wamankhwala.Ndalama zitha kulipidwa chifukwa cha mankhwala osagwiritsidwa ntchito kapena voti yosagwiritsidwa ntchito ya sanatorium-resort.

Kukana maubwino kumaloledwa kamodzi pachaka. Kuti mulembetse, muyenera kulumikizana ndi Pension Fund komwe mumakhala ndikukhala ndi zikalata ndi zikalata.

Kufunsaku kukuwonetsa dzina la bungwe lovomerezeka, dzina, adilesi ndi tsatanetsatane wa pasipoti ya nzika, mndandanda wazithandizo zomwe amasiya, tsiku ndi siginecha.

Zikalata zimatumizidwa mpaka Okutobala 1 chaka chino. Kenako malipiro adzalipidwa kuyambira Januware ndi chaka chonse.

Mukuyenera kudziwa kuti sikofunikira kukana zabwino zonse nthawi imodzi. Mutha kukana voti yaulere ndikupita kumalo okonzanso, ndikusiya kulandira mankhwala. Ndiye kuti, wopindulitsa aliyense ali ndi ufulu kupanga zisankho payekha.

Polemba fomu yofunsira ndalama, nzika sizidzapeza chilichonse, chifukwa kuchuluka kwake sikungakhale komvetsa chisoni. Malipiro okana chithandizo cha spa ndi ma ruble 116.83, maulendo aulere - 106.89, ndi mankhwala - 816.40 rubles.

Zolemba Zofunika

Kuti mulembetse ufulu wogwiritsa ntchito phindu lanu, muyenera:

• pasipoti ya nzika
• mawu a fomu yokhazikitsidwa,
• SNILS,
• kutsimikizira ufulu wogwiritsa ntchito mapepala.

Zolemba zopeza tikiti ku sanatorium:

• Pasipoti yaku Russia yodwala odwala matenda ashuga
• ntchito yamawu
• SNILS,
• satifiketi yochokera ku chipatalako, yoperekedwa pasanathe miyezi isanu ndi umodzi isanaperekedwe,
• satifiketi yochokera ku Pension Fund posakhala ndi ndalama zomwe amapeza pachaka chomwe wapatsidwa.

Pokana phindu, muyenera:

• pasipoti ya wopempha
• mawu
• SNILS,
• satifiketi yotsimikizira zabwino,

Chiwerengero cha odwala omwe akudwala matenda a shuga chikukula chaka chilichonse. Amasowa mankhwala othandizira komanso okwera mtengo, nthawi zambiri kwa moyo wawo wonse. Anthu nthawi zonse sakhala ndi njira zokwanira zopezera zinthu. Chifukwa chake, boma limawapatsa miyeso yothandizidwa ndi azachipatala ndi anthu.

Matenda a shuga ali ndi phindu lalikulu pa moyo. Ndi matenda awa, munthu ayenera kusiya mitundu ya ntchito zaluso zomwe zimafuna kupendedwa. Odwala ena amavutika ndi kudzisamalira. Komabe, pali zabwino zina kwa odwala matenda ashuga kuti moyo ukhale wosavuta ndi kuzindikira kumeneku.

Odwala omwe ali ndi matenda ashuga amakakamizidwa kuwononga ndalama zambiri pa insulin, glucose metres, ndi mizere yoyesayesa ya ma glucose amitima yamagazi. Zonsezi zimawononga ndalama zonse, motero kwa 1 matenda ashuga 1 mndandanda wazotsatira umaperekedwa, komanso mankhwala aulere a 2016:

• kukonzekera kwa insulin ndi syringes,
• zingwe zoyesa (zosaposa zidutswa zitatu patsiku),
• sanatorium chithandizo
• Kugonekedwa kuchipatala chifukwa cha wodwala.

Mutha kudziwa zenizeni zamankhwala ndi kuchuluka kwa zingwe zoyeserera zomwe zimayenera kuperekedwa kwaulere kwa odwala omwe ali ndi vuto la shuga pakali pano kuchipatala chapafupi.

Pofika chaka cha 2016, zingwe za mayeso aulere mu kuchuluka kwa zidutswa zitatu patsiku zimaperekedwa kwa odwala omwe ali ndi matenda amtundu woyamba komanso wachiwiri.

Matenda a shuga

Wodwala mtundu woyamba 1 ndi 2 amakhala ndi mwayi wolumala. Kuti tichite izi, ndikofunikira kukayezetsa kuchipatala, komwe kumapangitsa kuwopsa kwa matendawo ndi zoletsa zomwe zimayambitsa matenda.

Kutengera ndi zotsatira za mayeso, munthu amapatsidwa gawo loyamba, lachiwiri kapena lachitatu la olumala.

Gulu loyamba la olumala limayikidwa matenda obwera chifukwa cha matenda ashuga, pomwe munthu sangathe kudzisamalira. Monga lamulo, awa ndi odwala omwe amachepetsa kwambiri kuwona, ndi kuyamba gangore, komanso chiopsezo cha thrombosis komanso chikomokere pafupipafupi.

Gulu lachiwiri la olumala limapatsidwa ntchito yolepheretsa matenda a shuga.Kupunduka kumeneku kumaperekedwanso kwa anthu omwe ali ndi vuto la neuropathy komanso matenda ashuga. Gululi limaphatikizapo odwala onse omwe ali ndi vuto lalikulu la matendawa, omwe, komabe, samathandizidwa kunja kwatsiku ndi tsiku.

Gulu lachitatu la olumala limaperekedwa kwa odwala onse, kupatula, chifukwa chakuti matendawa ndi osachiritsika ndipo sangathe kuthandizidwa. Gulu lachitatu limapatsidwa odwala omwe ali ndi matenda amtundu wa 1 komanso a 2.

Odwala amalandila maubwino ena azikhalidwe, ufulu wa mankhwala aulere komanso penshoni. Ndi mwayi wamtundu wanji komanso mankhwala opatsirana omwe amapatsidwa mtundu wa 1 ndi mtundu wa 2 odwala matenda ashuga kwaulere zimatengera gulu lolumala. Komabe, maubwino ena amaperekedwa kwa odwala popanda kuwapatsa zilema.

Ufulu ndi maubwino

Wodwala akapatsidwa gulu la olumala, amatha kudalira ufulu ndi zotsatirazi kwa odwala matenda ashuga, omwe amavomerezedwa mu 2016:

• chakudya ndi zinthu za m'nyumba (kwa iwo omwe sangathe kudzipangira okha),
• kulumala pantchito
• mankhwala othandizira odwala matenda ashuga, ma syringe ndi ma strips oyesa,
• sanatorium chithandizo
• kuchepetsa ziwongola dzanja.

Wopunduka amapatsidwa ntchito mosatengera mtundu wamatenda, ndipo gulu lake limafotokoza phindu lanji la odwala matenda ashuga amtundu wa 2.

Maubwino ndi ufulu kwa odwala omwe ali ndi matenda a shuga a mtundu wa 2 a 2016 amaphatikizanso ufulu wa mankhwala aulere ndi zingwe zoyeserera. Ubwino wa anthu omwe ali ndi matenda a shuga a 2 opanda chilema ndi monga:

• oyenerera maula oyesa aulere,
• kuvomerezeka kwa mankhwala ochepetsa shuga,
• Ulendo waulere kupita kuchipatala,
• thandizo kukonzanso ndi malangizo azachipatala,
• mankhwalawa sanatoriums.

Zomwe mungapeze zaulere kwa chaka cha 2016 ziyenera kupezeka mwachindunji kuchokera kwa dokotala.

Odwala omwe amafunika jakisoni wa insulin nthawi zonse amakhala oyenera mita ya shuga (glucometer) ndi zingwe zoyeserera. Kwa 2016, wodwala aliyense amakhala ndi zingwe zitatu zoyesera patsiku.

Phindu la odwala omwe ali ndi matenda ashuga a 2 amakhalanso ndikulandila mzere waulere (pamlingo wa 1 patsiku), koma odwala adzagula gulometer mwa ndalama zawo.

Odwala amapatsidwa chithandizo cha spa ndi masewera aulere. Amuna odwala matenda ashuga samasulidwa kukakamizidwa kulowa usilikali, ndipo amayi ali ndi ufulu kukweza tchuthi cha amayi kupita kwa milungu iwiri.

Mutha kudziwa bwino mndandanda wazopindulitsa wa odwala matenda ashuga a 2016 kuchipatala kapena ku chipatala chachigawo.

Momwe mungapezere mankhwala?

Kuti mulandire mankhwala aulere chifukwa cha odwala, muyenera kulumikizana ndi achipatala komwe akukhala. Wodwalayo ayenera kukhala ndi chikalata chilichonse chotsimikizira kuti ndi ndani, mfundo zakuchipatala komanso chikalata chotsimikizira ufulu wolandila mankhwala. Pension Fund iyenera kutenga satifiketi yotsimikizira ufulu wa wodwala wa mankhwala aulere, ndikupereka chikalatacho kwa dokotala.

Kuti mupeze mankhwalawa, muyenera kupita ku ofesi ya endocrinologist. Pambuyo pofufuza wodwalayo, adokotala amamulembera mankhwala a insulin kapena mankhwala ochepetsa shuga. Wodwalayo afunse adokotala kuti ndi mankhwala ati omwe amathandizira pulogalamu ya boma ndi komwe angapeze mankhwala.

Tiyenera kukumbukira kuti palibe mankhwala omwe amaperekedwa mwachindunji kuchipatala, chifukwa chake dokotala alibe ufulu wakana kupatsa wodwala mankhwala aulere, potchula kusowa kwa mankhwalawa.

Kwa chaka cha 2016, mndandanda wambiri wa mankhwala othandizira odwala odwala matenda a shuga wapangidwa. Mndandandawu umaphatikizapo mankhwala a magulu osiyanasiyana omwe amafunikira kuvomerezeka ndikukula kwa zovuta. Mutha kuwona mndandandawo pachipatala chilichonse.Ndikofunikira kuti wodwalayo akumbukire - ngati dokotala atakulemberani mankhwala othandizira, muyenera kufunsa ngati ali m'gulu la mankhwala omwe mumalandira ndikuumiriza kuti mupereke mankhwala kwaulere.

Ngati wodwala akana kulandira mankhwala otere, ndikofunikira kulumikizana ndi adotolo wamkulu wakuchipatala.

Matenda a shuga ndi matenda oopsa omwe amaphatikizidwa ndi matenda a metabolic m'thupi, omwe amayamba chifukwa cha kusowa kwa insulin komanso kuwonjezeka kwa ndende yamagazi. Zizindikiro zazikulu zimaphatikizapo kumverera ludzu kosalekeza, maulendo pafupipafupi kupita kuchimbudzi, kuchuluka kwa chilakolako chofuna kudya, mawonetsedwe a dyspeptic.

Pakati pa zovuta zonse za metabolic, matenda a shuga amakhala m'malo achiwiri atatha kunenepa kwambiri. Mdziko lapansi, matendawa amapezeka ndi anthu 10%. Komabe, poganizira kuti pali mitundu yobisika yamatenda, kuchuluka kumawonjezera katatu.

Matenda a shuga sangachiritsidwe kwathunthu, wodwala amafunikira chithandizo chamankhwala kwa moyo wake wonse. Mankhwala, zakudya, kuwongolera shuga - zonsezi zimafuna jakisoni wazachuma, kotero odwala matenda ashuga amapatsidwa mapindu. Tilankhula za iwo.

Kodi mapindu ake ndi ati?

Wodwala aliyense yemwe wapezeka ndi matenda amtundu wa 2 kapena mtundu wa 2 ali woyenera kulandira zabwino. Izi zotsatirazi zimakhazikitsidwa palamulo.

• mankhwala aulere
• kulumala pantchito
• kuchotsedwa ntchito yankhondo,
• zida zodziwitsa,
• diagnostic kuchipatala chapadera cha matenda ashuga (njira zonse ndi zaulere),
• Chithandizo cha mabungwe amtundu wa sanatorium (pagawo komanso ku madera ena a Russia okha),
• maubwino am'banja mpaka 50%,
• kuchuluka kwa amayi odwala matenda ashuga pofika masiku 16.

Mtundu ndi kuchuluka kwa mankhwalawa, zida zozindikira (syringes, strips test, etc.) zimatsimikiziridwa ndi katswiri wazachipatala. Ntchito ya wodwalayo ndikuyendera dokotala wopezekapo kuti awone momwe matendawa amafunidwira, kuti alandire malangizo oyenera a mankhwala / matenda a kunyumba.

Ngati wodwalayo adalimbikitsidwa kukayezetsa pachipatala cha shuga, ndiye kuti panthawiyi amamasulidwa ku maphunziro kapena kuntchito. Kuphatikiza pa kuwunika chithokomiro ndi kapamba, chiwindi, wodwalayo ali ndi ufulu wofufuza momwe CVS ilili, ziwalo zam'maso, dongosolo lamanjenje lamanjenje.

Munthu wodwala matenda a shuga amayeneranso kupindulapo zina, zomwe zimatsimikiziridwa ndi mtundu wa matenda, magawo ndi zovuta.

Ubwino wa T1DM

Kwa odwala omwe amadalira insulin, mapangidwe apadera othandizira mankhwala amapangidwa. Mulinso:

• Mankhwala amayang'ana kwambiri pa matenda a shuga komanso zovuta zomwe zingachitike.
• Zida zapadera za utsogoleri wa insulin, milingo yama glucose komanso njira zina zowonera kunyumba. Mafuta amaperekedwa m'njira zochuluka kotero kuti wodwalayo amatha kuyeseza katatu patsiku.

Anthu odwala matenda ashuga, omwe chifukwa cha kudwala sangakwanitse kudzisamalira, angadalire thandizo la ogwira ntchito zandalama.

Nthawi zambiri, matenda ashuga amtundu woyamba amabweretsa kulumala. Chifukwa chake, kwa odwala matenda ashuga omwe ali ndi mawonekedwe otere, zabwino zonse za anthu olumala zimapezeka.

Ubwino wa T2DM

Maubwino otsatirawa amaperekedwa kwa odwala omwe ali ndi mtundu wa matenda a shuga 2:

1. Kubwezeretsa mu Sanatorium.

Kuti tipeze chilolezo ku sanatorium, payenera kukhala popanda kulumala. Chinthu chachikulu ndikuyambitsa kwa dokotala. Kuphatikiza paulendo waulere, wodwala matenda ashuga amadalira kubwezerera ndalama zolipirira ndi chakudya.

1. Odwala ali ndi ufulu wokonzanso chikhalidwe. Chifukwa chake, amapeza mwayi wosintha ma profesita, maphunziro. Kudzera m'njira zothandizira, odwala amapita kukasewera, kukalandira chithandizo cha spa.
2. Mankhwala aulere othandizira zovuta. Mankhwalawa amaperekedwa kwaulere:

• phospholipids,
• mankhwala pancreatic ntchito
• mavitamini amamineral mchere (kuchokera pamndandanda wokhazikitsidwa),
• mankhwala omwe amabwezeretsa kagayidwe kazakudya ndi kagayidwe kachakudya,
• mankhwala ochepetsa magazi
• mankhwala amtima
• diuretics ndi antihypertensive mankhwala.

Odwala omwe ali ndi matenda a shuga a mtundu wachiwiri nthawi zambiri safuna insulini (pokhapokha pazovuta), koma ali oyenera ndi glucometer poyesa shuga, zothetsera - mizere yoyesera ya chipangizocho. Kutulutsa timiyala tokwera 1 chidutswa patsiku.

Ngati wodwala matenda ashuga satenga nawo mwayi wopeza zabwino zomwe zimaperekedwa mchaka chimodzi, ali ndi ufulu kulipira ndalama. Ndikofunikira kuzifunsira ku FSS - lembani mawu, perekani satifiketi yomwe imatsimikizira kusagwiritsidwa ntchito kwa mapindu.

Matenda a shuga

Anthu odwala matenda ashuga ali ndi mapindu ena. Kwa wolumala ntchito pa ofesi yapadera yachipatala komanso mayeso azachipatala. Zikupereka kwa Unduna wa Zaumoyo. Nthawi zambiri sing'anga amatumizidwa. Koma wodwalayo atha kulembetsa pawokha.

Malinga ndi malamulo ambiri, amodzi mwa magulu atatuwa amapatsidwa vuto la kulumala - 1, 2 kapena 3. Aganizireni pokhudzana ndi matenda ashuga:

1. Gulu loyamba limapatsidwa gawo, chifukwa cha matenda ashuga, wodwalayo atha kuwona kwathunthu kapena pang'ono, zotupa za CVS, zamanjenje zapezeka, ndipo pali matenda a chithokomiro. Gululi limaphatikizapo anthu odwala matenda ashuga omwe nthawi zambiri adagonanso ndi omwe sangathe kudzipereka pawokha.
2. Gulu lachiwirili limapatsidwa zovuta zofananira, koma ndi zizindikiro zochepa.
3. Chachitatu chimaperekedwa kwa odwala matenda ashuga omwe amakhala ndi matenda ochepa.

Lingaliro logawa zopuwala ndi gulu linalake limapangidwa ndi bungwe lachipatala. Maziko ake ndi anamnesis, zotsatira za kafukufuku ndi zolemba zina zamankhwala.

Ngati Commissionyo yasankha molakwika kwa munthu wodwala matenda ashuga, ali ndi ufulu wochita apilo kukhothi. Anthu omwe ali ndi vuto la matenda ashuga ali oyenera kulandira zabwino chifukwa cha kulumala.

Cash imapindulira anthu omwe ali ndi matenda ashuga

Nzika yomwe ili ndi matenda ashuga yomwe yatsogolera kulumala ndiyoyenera kulandira ndalama zonse pamwezi. Pakadali pano, kukula kwa izi ndiku chifukwa cha gululi, ndipo mu 2018 ndi:

• Gulu loyamba - 3626.98,
• Gulu lachiwiri - 2590.24,
• Gulu lachitatu - 2073.51.

Maubwino amapenshoni amadziwikanso monga zopindulitsa. Pakadali pano, kuchuluka kwa chitetezo chamtundu wa anthu ndi:

• ndi gulu loyambirira - 12082.06,
• pagulu lachiwiri - 5034.25,
• ndi gulu lachitatu - 4237.14.

Penshoni yofuna ndalama sizitanthauza kuti munthu akhale wamkulu. Ngati zili zokwanira, ndiye kuti inshuwaransi chifukwa cha kulemala imayikidwa, ndipo kukula kwake ndikutengera kuchuluka kwa mapenshoni omwe alipo.

Panthawi yolembetsa chisamaliro cha munthu wolumala wa gulu la 1, penshoni yokhala ndi ma ruble 1200 imakhala chifukwa cha mapenshoni. Ngati kholo limasamalira mwana wolumala, ndiye kuti kukula kwake ndi 5500 rubles.

Malinga ndi National Research Center for Endocrinology ku Ministry of Health of the Russian Federation, padakali pano anthu pafupifupi 8 miliyoni aku Russia akudwala matenda ashuga ndipo pafupifupi 20% ya dzikolo ali mdziko la prediabetes.

Kupanga kuzindikira koteroko kumasintha moyo wa munthu, momwe mumakhala zovuta zambiri zomwe zimakhudzana ndikuwunika momwe thupi limawonongera, komanso mtengo wowonongera. Pofuna kuthandiza nzika zotere, boma limakhazikitsa dongosolo loti awapindulire.

Kuphatikizidwa kwa zopindulitsa kwa odwala matenda ashuga

Zotsatira za odwala omwe ali ndi matenda ashuga zimatha kusintha kutengera mtundu wamatendawa komanso kupezeka kwake kapena kusapezeka kwa kulumala kotsimikizika.

Kupatula pamenepo, onse odwala matenda ashuga ali ndi ufulu kulandira mankhwala ndi njira zowongolera matendawa. Ufuluwu udavomerezedwa ndi boma la Russia mu Resolution No. 890 ya Julayi 30, 1994.

Ndi matenda amtundu wa 1 shuga, pakulipira ndalama, zimaperekedwa:

• insulin
• syringe ndi singano,
• 100 g mowa wa ethyl pamwezi,
• glucometer
• Ma 90 mayeso otayika a glucometer pamwezi
• mankhwala a shuga ndi zovuta zake.

Type 2 matenda a shuga amakupatsirani:

• othandizira a hypoglycemic ndi mankhwala ena,
• glucometer
• Zingwe 30 zoyesa pamwezi.

Zopindulitsa zingapo zimaperekedwa kutengera mtundu wa wodwala:

• Amuna amasulidwa ku nkhondo,
• azimayi omwe ali pantchito amawonjezeredwa masiku atatu ndikuchoka kwa amayi kwa masiku 16 (kuphatikiza odwala omwe apezeka ndi matenda a shuga, omwe amapezeka pokhapokha pakati).

Gawo lalikulu la anthu odwala matenda ashuga ali ndi mtundu wina wamagulu olumala, chifukwa chake, pamodzi ndi maubwino omwe ali pamwambawa, amapatsidwa pulogalamu yathunthu yothandizira anthu olumala. Mulinso:

• malipiro a penshoni yolumala,
• kulipira chithandizo cha spa ndi chipukuta maulendo (1 nthawi pachaka),
• mankhwala aulere (osati a shuga okha, komanso matenda ena),
• kugwiritsa ntchito njira zoyendetsera mzinda komanso malo okhala
• 50% kuchotsera pazolipira zofunikira.

Mndandanda wazopindulitsa ungathe kufalikira kudzera mu mapulogalamu am'madera. Makamaka, izi zitha kukhala zokonda msonkho, kupereka malo othandizira olimbitsa thupi, kukhazikitsidwa kwa njira zopepuka zolumikizira, ndi zina zambiri. chitetezo.

Matenda a shuga omwe amafotokoza

Kukhalapo kwa gulu la olumala kumakulitsa kwambiri mndandanda wazopindulitsa kwa odwala matenda ashuga, chifukwa chake zimakhala zofunikira kulingalira momwe milandu imalembedwera odwala omwe ali ndi matenda ashuga.

Kuti munthu akhale wolumala, kungodziwikitsa za matenda ashuga sikokwanira. Gululi limasankhidwa pokhapokha pamavuto omwe amasokoneza moyo wonse wodwala.

Kukhazikitsidwa kwa gulu loyamba la olumala kumachitika pokhapokha ngati matendawa ali ndi matenda, limodzi ndi mawonekedwe:

• kagayidwe kachakudya matenda
• kusawona kwambiri mpaka khungu,
• zigawenga
• kulephera kwa mtima ndi impso,
• chikomokere chomwe chimayamba chifukwa cha shuga m'magazi,
• kuwonongeka kwa ubongo kosasinthika:
• kusowa kwokhoza kudzipangira pawokha zofuna za thupi, kuyendayenda ndikugwira ntchito zantchito.

Kulemala kwa gulu lachiwirili limapatsidwa zizindikiro zofanana za matenda akulu a shuga, koma poyambira kukula kwawo. Gulu lachitatu limapangidwira mawonekedwe amtundu wofatsa komanso wolimbitsa thupi, koma ndikupita patsogolo kwake mwachangu.

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 yakulembetsa ndi kupeleka maubwino

Ntchito zoyambira zothandizirana ndi anthu, kuphatikiza mankhwala aulere, chithandizo munjira zoyendera ndi zoyendera anthu, zachitika kuofesi ya Pension Fund. Muyenera kupereka pamenepo:

• mawu oyenera
• zikalata zaumboni
• Chitifiketi cha inshuwaransi cha OPS,
• zikalata zachipatala zotsimikizira kuti ndinu woyenera kupindula.

Pambuyo polemba zikalata, wofunsayo amapatsidwa satifiketi yotsimikizira ufulu wogwiritsa ntchito ntchito zachitukuko. Pamaziko ake, adotolo adzalemba mankhwala aulere mu mankhwala ndi zida zofunika kuwunika momwe thupi liliri ndi matenda ashuga.

Kuti apeze chilolezo ku sanatorium, amatembenukiranso kuchipatala. Bungwe lazachipatala limawunika wodwalayo ndipo, ngati lingaliro labwino, limamupatsa satifiketi Nambala 070 / y-04 yotsimikizira ufulu wokhazikikanso.

Ndikofunikira kulumikizana naye ku nthambi ya FSS, komwe kufunsira chilolezo, pasipoti (ya mwana olumala - satifiketi yobadwa), satifiketi yakulemala imasungidwanso.

Ngati wodwala amakhala ndi tikiti, amapatsidwa mwayi wopita masiku 21, ndipo atero amapita naye kuchipatala kukalandira khadi yodikira.

Satifiketi yomwe inatulutsidwa ndi FIU imakupatsaninso ufulu wogula tikiti yapaulendo, malinga ndi momwe munthu wodwala matenda ashuga amatha kupita kwaulere pamitundu yonse ya mayendedwe a anthu onse, kupatula ma taxi ndi ma minibus a malonda. Pa mayendedwe olumikizana (msewu, njanji, mpweya, mtsinje), kuchotsera kwa 50% kumaperekedwa kuyambira koyambira kwa Okutobala mpaka pakati pa Meyi komanso kamodzi mbali zonse za chaka.

Kubweza ngongole

Wodwala yemwe ali ndi chilema 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.

Pulogalamu, pasipoti, satifiketi yakulemala imaperekedwa ku thumba, ndipo satifiketi imaperekedwa yomwe imapereka ufulu wogwiritsa ntchito phukusi ngati lidalandiridwa kale. Kugwiritsa ntchito kumakhala kochepa mu nthawi - pasanafike Okutobala 1.

Pachifukwachi, kusinthira maubwino ndi ndalama zomwe zilipira chaka cha 2018 sizigwira ntchito. Mutha kulembetsa chaka cha 2019 zokha.

Mutha kutsegula njira yofunsira phindu kapena kubwezerera ndalama polumikizana ndi malo ambiri ogwirira ntchito. Ndipo nzika zomwe zili ndi mavuto poyenda zimatha kutumiza zikwizikwi ndi makalata kapena kudzera ku portal ya ntchito zaboma.

Sankhani kuti ndi njira yanji yolandirira phindu yomwe ingakhale yabwino kwa inu - mwaulemu kapena ndalama - ndipo onetsetsani kuti mukumane ndi oyang'anira boma kuti akuthandizeni. Ndikosavuta kuyerekezera njira zothandizira anthu odwala matenda ashuga ndi kuwonongeka kwa matendawa, komabe zingapangitse moyo wa wodwala kukhala wosavuta.

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).

Mtundu wachiwiri

Malinga ndi gawo 3 la gawo lachitatu la Dongosolo Lalamulo, mtundu wa 2 wa shuga ndikuphwanya kwa kagayidwe kachakudya koyambitsidwa ndi insulin.

Odwala omwe ali ndi mtundu uwu wa shuga amapatsidwa mapindu omwewo malinga ndi Lamulo, kuphatikiza:

• magazi shuga mita
• zingwe zoyeserera (1 Mzere patsiku - ngati wodwala samadalira insulini, mizere itatu - ngati akudalira),
• mankhwala oopsa,
• othandizira a thrombolytic mwanjira ya mapiritsi ndi mayankho a jakisoni,
• mankhwala aulere azithandizo zamavuto (pancreatin, phospholipids),
• mavitamini
• okodzetsa ndi ena.

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.

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.

Ubwino wa odwala matenda ashuga a mtundu wachiwiri: ndikofunikira kuti odwala adziwe?

Nkhaniyi ifotokoza funso lofunika lokhudza anthu omwe ali ndi matenda ashuga: kodi phindu lanji la odwala matenda ashuga ofunika 2, boma limathandizira odwala, ndi ntchito ziti zomwe zingagwiritsidwe ntchito kwaulere?

Onse omwe ali ndi matenda ashuga ali oyenera kupindula

Matenda a shuga ndi matenda, omwe kuchuluka kwawo kumawonjezeka chaka chilichonse. Wodwala amafunikira chithandizo chamankhwala chodula chomwe anthu onse sangathe kulipira.

Boma limapereka thandizo linalake kuti likhale ndi moyo ndi thanzi la nzika za m'dziko lake. Ndikofunikira kuti aliyense wodwala matenda ashuga adziwe za zabwino zomwe amapatsidwa. Tsoka ilo, si anthu onse omwe amadziwitsidwa za kuthekera kwawo.

Mapindu onse

Matenda ofunika

Ndi ochepa omwe amadziwa kuti odwala matenda ashuga ali ndi ufulu wogwiritsa ntchito mndandanda wazomwe akuchitira. Pali mndandanda womwe ndi woyenera kwa anthu onse omwe ali ndi mavuto a shuga, mosasamala za kuwuma, kutalika kwa matenda, mtundu. Ambiri adzakhala ndi chidwi ndi zomwe anthu omwe amadwala matenda ashuga amapeza.

• kulandira mankhwala aulere
• kuchotsedwa ntchito yankhondo,
• mwayi wopititsa mayeso aulere pankhani ya endocrinology ku chipatala cha matenda ashuga,
• kumasuka ku maphunziro kapena ntchito nthawi ya mayeso,
• M'madera ena pamakhala mwayi wokaona malo ndi ma sanatorium, ndicholinga chabwino,
• luso lolembetsera kulumala polandila ndalama zopuma pantchito,
• Kuchulukitsa kwa tulo la amayi oyembekezera pakatha masiku 16,
• 50% Kuchepetsa zolipiritsa zofunikira,
• Kugwiritsa ntchito mwaulere zida zothandiza kuzindikira.

Ndalama zochepetsedwa zothandizira

MUTU: kuchuluka kwa mankhwalawa ndikuzindikira komwe kwalandiridwa kumatsimikiziridwa ndi adotolo, chifukwa chotsatira mayeso. Pochezera pafupipafupi, anthu amalandila mankhwala akumwa mankhwala mosamala ku pharmacy.

Ndi mayeso aulere kuchipatala cha anthu odwala matenda ashuga, endocrinologist amatha kutumizira mayeso owonjezera kwa akatswiri amisala, ophthalmologist, cardiologist pamalonda a boma. Pamapeto pa mayeso, zotsatira zake zimatumizidwa kwa dokotala.

Ubwino wa odwala matenda ashuga a Mtundu Wachiwiri

Mankhwala omwe mumalandira anthu olumala

Kuphatikiza pa maubwino onse, pali mindandanda yazokhudza mtundu wa matenda ndi kuuma kwake.

Wodwala matenda a shuga a 2 angayembekezere zosankha izi:

1. Kupeza mankhwala ofunikira, mndandanda wake umatsimikiziridwa ndi dokotala . Atha kukulemberani mankhwala ena pamndandanda womwe uli pansipa:

• Mapiritsi ochepetsa shuga
• mankhwala a chiwindi,
• mankhwala ogwiritsa ntchito kapamba,
• okodzetsa
• ma multivitamini
• mankhwala opangira njira zama metabolic,
• mapiritsi kuti asinthe ntchito ya mtima,
• Chithandizo cha kuthamanga kwa magazi,
• antihistamines
• maantibayotiki.

1. Kupeza tikiti yaulere kupita ku sanatorium ndicholinga chofuna kuchira Izi ndi zabwino za m'chigawo. Munthu wodwala matenda ashuga ali ndi ufulu kupita kukaona malo azisangalalo, kusewera masewera ena komanso njira zina zopatsa thanzi kumeneko. Msewu ndi chakudya zimalipira.
2. Odwala omwe ali ndi ufulu wokhazikika - maphunziro aulere, kuthekera kwa kuwongolera chitsogozo cha ntchito.
3. Kupeza gluceter ndi timiyeso taiyo. Chiwerengero chamiyeso yoyesera chimatengera kufunika kwa jakisoni wa insulin. Popeza odwala matenda ashuga amtundu wa 2, nthawi zambiri insulin siyofunikira, kuchuluka kwa mizere ndi gawo limodzi patsiku. Ngati wodwala amagwiritsa ntchito insulin - ma strout atatu tsiku lililonse, ma insulin omwe amapezeka nawonso amatulutsidwa mu kuchuluka kofunikira.

Ndalama zopindulitsa pakuchotsa gulu lathunthu

Mndandanda wazopindulitsa umaperekedwa chaka chilichonse. Ngati, pazifukwa zina, wodwalayo sanazigwiritse ntchito, muyenera kulumikizana ndi FSS, lembani mawu osonyeza kuti simunagwiritse ntchito mwayi womwe mwapatsidwa. Kenako mutha kupeza ndalama.

Muthanso kusiyiratu gulu lolemba anthu polemba mawu, osagwiritsa ntchito phindu la odwala omwe ali ndi matenda ashuga a 2. Potere, wodwalayo adzalandira gawo limodzi la ndalama kuti alandire mwayi womwe waperekedwa.

Kulephera kwa ana odwala matenda ashuga

Mwana wokhala ndi shuga wambiri

Matendawa amasiya kuyika kwakukuru pa thanzi la munthu wocheperako, ndizovuta kwambiri kuposa akuluakulu, makamaka ndi mawonekedwe a insulin. Ubwino wa mtundu woyamba wa shuga ndi kulandira mankhwala ofunikira.

Kuyambira ubwana, kulumala kumaperekedwa, komwe kumakhudza mwayi wotsatirawu:

1. Kutha kulandira maulendo aulere kupita kumisasa yachipatala, malo okwerera, malo ogawikirako.
2. Kuchita mayeso ndi mayeso olowera kuyunivesite pazinthu zapadera.
3. Mwayi wothandizidwa kuzipatala zakunja.
4. Kuthetsedwa kwa ntchito yankhondo.
5. Kuthetsa misonkho.

Kusamalira mwana wodwala kumachepetsa maola ogwira ntchito

Makolo a mwana wolumala ali ndi ufulu kukhala ndi zinthu zabwino kuchokera kwa owalemba ntchito:

1. Kuchepetsa maola ogwira ntchito kapena ufulu wokhala ndi tsiku lowonjezera kuti musamalire odwala matenda ashuga.
2. Kupuma pantchito koyamba.
3. Kulandila malipiro ofanana ndi ndalama zomwe mumapeza musanakwanitse munthu wolumala wazaka 14.

Ubwino wa ana olumala omwe ali ndi matenda ashuga, komanso amisinkhu ina, atha kupezedwa kuchokera kwa oyang'anira pakupereka chikalata chofunikira. Mutha kuzipeza polumikizana ndi malo omwe muli ndi shuga.

Njira yopezera mankhwala aulere

Dokotala amalemba mankhwala

Kuti mutenge mwayi wopeza mankhwala kwaulere, muyenera kudutsa mayeso onse omwe angatsimikizire kuti ali ndi vutoli. The endocrinologist, potengera zotsatira za mayeso, amakupatsani mankhwala ofunikira, muyezo woyenera. Kutengera izi, wodwalayo amapatsidwa mankhwala ndi kuchuluka kwa mankhwalawo.

Mutha kulandira mankhwala ku pharmacy ya boma, kukhala nanu malangizo. Nthawi zambiri kuchuluka kwa mankhwalawa kumaperekedwa kwa mwezi umodzi, ndiye kuti wodwalayo amafunikiranso kukaonana ndi dokotala.

MUTU: ndikofunikira kudziwa zonse zomwe boma limapereka mukakhala ndi matenda ashuga: maubwino adzakuthandizani kuthana ndi mtengo wokwera mtengo. Podziwa maufulu anu, mutha kufunsa mwayi wokhala ndi boma ngati palibe amene angagwiritse ntchito.

Kukwera kwaulere

Moni, dzina langa ndi Eugene. Ndikudwala matenda ashuga, ndilibe chilema. Kodi ndingagwiritse ntchito mayendedwe aulere pagulu?

Moni, Eugene. Kwa anthu omwe ali ndi matenda ashuga, pali mwayi wogwiritsa ntchito maulere pazoyendera pagulu, mosatengera kulumala. Koma izi zimangogwira mayendedwe akumtunda okha.

Kulandiridwa Kwa Ashuga

Moni, dzina langa ndi Catherine. Ndili ndi mwana wamkazi wazaka 16, akumaliza giredi 11. Kuyambira ndili mwana, odwala matenda ashuga opitilira 1 degree, olumala. Ndiuzeni, kodi pali zopindulitsa mutalowa yunivesite ya ana otere?

Moni, Catherine. Ngati pali chilema, mwana, pamikhalidwe yapadera, amasankhidwa maphunziro apamwamba, ali ndi ufulu wophunzira kwaulere. Kuti muchite izi, muyenera kusonkhanitsa zikalata zoyenera ndi satifiketi, mndandanda womwe udzatengedwere ku yunivesite.

Ubwino wa odwala omwe ali ndi matenda ashuga a 2 omwe alibe olumala: kodi anthu ashuga ayenera kuchita chiyani?

Pafupifupi wodwala aliyense yemwe wapezeka ndi matenda a shuga amakonda chidwi ndi kufunsa kuti amapindulitsa bwanji odwala matenda ashuga chaka chino.

Ndikofunika kukumbukira kuti mndandanda wazamalonda wa odwala otere ungasinthidwe pachaka, chifukwa chake ndibwino kuwunikira kusintha koteroko ndikufotokozeranso zomwe phindu la odwala omwe ali ndi matenda osokoneza bongo alipo.

Mwachitsanzo, zimadziwika kuti pali thandizo kwa odwala omwe ali ndi matenda ashuga ochokera ku boma m'njira yoti angathe kugula mankhwala ena aulere. Kuphatikiza apo, zitha kupezeka zonse mu pharmacy yapadera, komanso mwachindunji kuchipatala ku endocrinologist wakwanuko.

Mwa njira, ndendende akatswiri awa omwe angalongosolere bwino za phindu lomwe wodwala matenda ashuga apatsidwa ndi izi chaka chino.

Dongosolo lothandizira boma lotere limalumikizidwa ndikuti odwala ambiri omwe apezeka ndi matenda a "shuga" ali ochepa kapena sangapeze ntchito chifukwa chazomwe amachita pantchito yawo chifukwa chakuwona kuti pali zotsutsana ndi ntchitoyi.

Mwachitsanzo, ngati tikulankhula za oyendetsa mabasi amtundu wa anthu kapena anthu omwe amagwira ntchito ndi zovuta, sangaloledwe kugwira ntchito yotere.

Chifukwa chake, pankhaniyi, chidziwitso chazopindulitsa za matenda ashuga pamenepa chithandiza munthu kudzidyetsa yekha ndi abale ake ena.

Ndikofunika kudziwa kuti zabwino za odwala omwe ali ndi matenda a shuga zitha kuperekedwa mu mawonekedwe a zinthu, komanso ndi mankhwala enaake kapena zina zilizonse zapadera.

Kodi ndingapeze mankhwala ati?

Zachidziwikire, ngati timalankhula zothandiza kwa odwala omwe ali ndi vuto lachiwiri la matenda ashuga omwe amakonda kwambiri odwala omwe akumana ndi matenda otere, ndiye funso ili kuti ndi mankhwala ati omwe munthu angalandire kwaulere. Kupatula apo, zimadziwika kuti matenda omwe ali mgawo lachiwiri la maphunzirowa, monga momwe amakhazikitsira komanso koyambirira, ayenera kulipidwa ndi kugwiritsa ntchito kwapadera mankhwala apadera.

Poganizira izi, boma lakhala ndi phindu lapadera kwa odwala matenda ashuga amtundu wa 2 mu 2017. Awa ndi mankhwala apadera ochepetsa shuga omwe ali ndi zinthu monga metformin.

Nthawi zambiri, mankhwalawa amatchedwa Siofor, koma pakhoza kukhala mankhwala ena omwe amapatsidwanso odwala kwaulere. Ndiubwino wanji womwe umaperekedwa kwa odwala matenda ashuga 2 pakadali pano, ndibwino kuti mukafunse dokotala wanu nthawi yomweyo. Amatha kupereka mndandanda watsatanetsatane wa mankhwala omwe amapezeka ku pharmacy yaulere.

Kuti mupeze phindu kwenikweni ngati mukudwala matenda ashuga, muyenera kulandira mankhwala kuchokera kwa dokotala. Kutengera mtundu wa mankhwala omwe wodwala amapatsidwa, dokotala amalemba mndandanda wa mankhwala omwe angamupatse kwaulere.

Ponena za maubwino kwa odwala omwe ali ndi matenda a shuga 1, ziyenera kudziwika kuti odwala oterowo amayembekeza kulandira mankhwala ena kwaulere. Izi ndi:

• insulin ndi ma syringe omwe amaperekedwa nawo
• kuyesa kwa glucometer pamiyala yazidutswa zitatu patsiku,
• mankhwalawa mu ma sanatorium a dziko,
• kuchipatala pafupipafupi ngati kuli kofunikira.

Ufulu wa wodwala yemwe ali ndi matenda osokoneza bongo akuti ngati wodwala wina ali ndi mtundu wanji, akhoza kudalira mankhwala aufulu omwe amamwa kuti athandize pa moyo wake.

Zonse Zokhudza Kulephera

Wodwala aliyense amene akudwala matendawa ayenera kudziwa milandu yomwe amakhala nayo atadwala. Mwa njira, apa mukufunikanso kumvetsetsa momwe mungapezere izi ndi komwe muyenera kupita.

Choyamba muyenera kukumbukira kuti kudwala kumeneku nthawi zambiri kumayendetsedwa ndi matenda osiyanasiyana.

Ndipo mawonetseredwe ofananawa ndi otheka omwe amatha kuchepetsa kwambiri zochita za anthu, ndipo, mwanjira yake, amasintha njira yake yachizolowezi.

Mwachitsanzo, ngati matendawa adayambitsa kudula chiwalo chilichonse chifukwa cha opaleshoni, pomwepo amatha kudalira phindu la matenda a shuga, monga kupeza gulu linalake lopuwala.

Matenda aliwonse omwe angayambitse kuwonongeka kwakukuru m'moyo wabwino komanso kuchepetsedwa kwa munthu malinga ndi kayendedwe kapena kuthekera kugwira ntchito mokwanira kumatha kubweretsa kulumala. Potere, wodwalayo amatumizidwa ku komishoni yapadera, yomwe imaganiza zofunikira pakuyambitsa gulu loyenerera la olumala.

Ndikofunikira kudziwa kuti mwayiwu ulipo osati mwa iwo omwe ali ndi matenda oyamba, komanso a 2 matenda a shuga.

Pazonse, kwa odwala omwe ali ndi matenda a shuga 2 kapena oyamba, komanso kwa odwala ena onse, pali magulu atatu olumala.

Yoyamba yomwe ikuphatikiza wodwala akuwonetsa kuti akudwala kwambiri ndipo nthawi zambiri, sangathe kudzisamalira yekha.

Gulu lachiwiri lingawonetse kuti matendawo atha kusinthabe ngati munthu atsatira malangizo onse a madokotala.

Gulu lachitatu limawerengedwa kuti likugwira ntchito. Pankhaniyi, wodwalayo akulimbikitsidwa kuti azisamalira nthawi yochepa komanso zoletsa zina, koma atazindikira izi, adzakhala mwamtendere. Pankhaniyi, sizofunikira kwenikweni ngati mayeso amachitika ndi matenda a 2 kapena oyamba.

Ndipo, zowonadi, ndi magulu onsewa, odwala amatha kudalira mankhwala omwe amakonda.

Apanso, ndikufuna kudziwa kuti ufulu wa anthu odwala matenda ashuga nthawi zonse ungafotokozeredwe ndi dokotala.

Ndi matenda ati omwe amapereka ufulu wopunduka?

Zanenedwapo kale pamwambamo pomwe gulu linalake la olumala limaperekedwa kwa wodwala. Komabe, ndikofunikira kuti mulankhule mwatsatanetsatane pazomwe matendawo angawonetse kuti wodwala atha kufunsa gulu linalake lolumala.

Chifukwa chake, ndi mtundu wachiwiri wa matenda a shuga kapena woyamba, wodwala angadalire kuti alandire gulu loyamba la zilema ngati ali ndi zovuta zina zaumoyo chifukwa cha matenda ashuga.

Mwachitsanzo, pali anthu ambiri odwala matenda ashuga ku Russia, omwe masomphenyawa adatsika kwambiri chifukwa cha matendawa, palinso odwala ambiri omwe ali ndi phazi la matenda ashuga komanso matenda osokoneza bongo, omwe akupanga mwachangu kwambiri, nthawi zambiri amakhala ndi vuto lotha kukhala ndi thrombosis.

Komanso, ndi matenda amtundu wa 1 kapena matenda a shuga 2, wodwalayo amatha kupatsidwa gulu lachiwiri la olumala. Nthawi zambiri izi zimachitika ngati wodwalayo amakula msanga, zomwe zimayambitsa matenda ashuga omwe amapita patsogolo.Gululi litha kuperekedwanso kwa iwo omwe ali ndi vuto la neuropathy ndi matenda amisala, omwe amapangidwanso motsutsana ndi maziko a matenda ashuga.

Mndandanda wa mankhwala aulere kwa odwala oterewa ukhoza kuphatikizapo mankhwalawa omwe amamwa kuti azitha kuchiza matenda obwera chifukwa cha matenda a "shuga".

Gulu lachitatu limaperekedwa kwa pafupifupi odwala onse omwe adapezeka. Mosasamala kuti ali ndi gulu liti la odwala matenda ashuga.

Pazonse, ziyenera kunenedwa kuti palibe odwala omwe ali ndi vuto ili lomwe sangakhale ndi chilema. Ngati zili choncho, wodwalayo mwiniyo safuna kukana phindu.

Ufulu wofunika ndi mapindu ake

Ngati tizingolankhula za maubwino omwe amaperekedwa kwa odwala matenda ashuga, ndiye kuti choyambirira, izi ndi penshoni.

Malipiro amasankhidwa pamlingo wonse ndipo amalipiridwa kwa wodwala mwezi uliwonse.

Komanso, aliyense angagule electrochemical glucometer pamtengo. Ichi ndichifukwa chake pafupifupi onse omwe amapindula ndi chipangiri chofanana, chomwe amatha kuchichita ndi agility.

Kuphatikiza apo, odwala amatha kulandira zinthu zapadera kwaulere, zomwe ndi:

• zinthu za m'nyumba zomwe zimathandizira munthu kudzipereka yekha, ngati sangathe kuchita izi.
• 50% kuchotsera pa zolipiritsa zofunikira,
• njinga ya olumala, ndodo ndi zina zambiri.

Kuti alandire maphunzirowa, ayenera kulumikizana ndi oyang'anira dera kuti akathandizane ndi dokotala. Zinthu zonse zoperekedwa zimayendera limodzi ndi machitidwe olandirira ndi kufalitsa, omwe amalembedwa moyenerera.

Kuphatikiza apo, aliyense angagwiritse ntchito ufulu wawo wa mankhwala a spa. Matikiti awa ayenera kuperekedwa ku nthambi ya Social Insurance Fund.

Tiyenera kumvetsetsa kuti zabwino za odwala omwe ali ndi matenda a shuga 1, komanso zopindulitsa kwa odwala omwe ali ndi matenda a shuga a 2 amaperekedwa kwaulere kwaulere. Ndipo zilibe kanthu kaya ndi tikiti lopita ku sanatorium kapena kuwayika mankhwala.

Zowona, sikuti wodwala aliyense amene ali ndi vuto loterolo amakhala ndi mwayi wotere. Izi ndichifukwa choti mwina sangadziwe za ufulu wake.

Momwe mungalandire mankhwala?

Mosasamala mtundu wa phindu lomwe munthu amafuna, lamuloli likutanthauza kuti ayenera kulumikizana ndi bungwe loyenerera ndi zikalata zotsimikizira kuti ndi ndani. Makamaka, iyi ndi pasipoti ndi satifiketi yoperekedwa ndi Pension Fund kuti amapatsidwa mankhwala aulere kapena china chilichonse.

Komanso, kuti mukhale ndi mapiritsi aulere, muyenera kutenga mankhwala kuchokera kwa dokotala. Muyenera nthawi zonse kukhala ndi ndondomeko yazachipatala ndi inu.

Onse omwe akudwala matenda ashuga ayenera kupeza ndondomeko ya zamankhwala ndikupeza satifiketi yoyenera kulandira mankhwala kwaulere. Kuti mudziwe komwe malembawo amaperekedwa, odwala matenda ashuga ayenera kulumikizana ndi dokotala ndi Pension Fund.

Zikuwonekeratu kuti ndi matenda awa munthu atha kukhala ndi zovuta ndi mayendedwe odziimira pawokha m'mabungwe onsewa. Kuti tichite izi, pali ogwira ntchito zapagulu ena kuti atumikire olumala. Amatha kukwaniritsa malangizo onse a wodwala ndikuyimira zofuna zake mwa oyang'anira.

Zakhala zikunenedwa pamwambapa kuti mankhwalawo pawokha amaperekedwa mu pharmacy. Mutha kudziwa mndandanda wamankhwala omwe akugwira nawo ntchito pulogalamuyi, komanso malangizo omwe mungapatsidwe kuchokera kwa endocrinologist wakwanuko. Komanso, adotolo ayenera kutumiza mankhwala ena omwe amafunikira pochiza matenda ophatikizira, pokhapokha, atakhala pamndandanda wa mankhwala aulere.

Kutengera ndi zomwe tafotokozazi, zikuwonekeratu kuti munthu aliyense amene ali ndi matenda amtundu uliwonse wa shuga atha kutenga mwayi pazabwino zingapo zomwe zimathandizidwa pa boma.

Ndi maubwino ati omwe amakhalapo kwa odwala matenda ashuga omwe akuuza katswiri mu kanemayu.

Sonyezani shuga yanu kapena sankhani jenda kuti muyimikize.

Malamulo azamalamulo

Ngakhale kufalikira kwa matendawa, odwala ochepa okha ndi omwe amadziwa kuti ali ndi mwayi wokhala ndi maboma. Kuphatikiza apo, kulembetsa maubwino amapezeka ngakhale atalandira satifiketi yolumala . Ndipo mndandanda wazokonda zomwe zilipo zikuphatikizapo izi:

• mankhwala aulere kapena kugula pamtengo kuchotsera kwakukulu,
• kulipira penshoni, ngati kulumala kunalembetsedwa (ndi matendawa, mutha kupeza imodzi mwa magulu atatu, kutengera kwa matendawa),
• kuperekera kwa mankhwala ozindikiritsa kuchuluka kwa shuga ndi zizindikiro zina zofunika,
• kupititsa mayeso pafupipafupi komanso modabwitsa m'malo apadera ndi kwaulere,
• Kupereka ma vawuti kuma sanatoriums okonzanso thanzi,
• (kukula kwa kuchotsera kungafikire 50%),
• kupereka zochulukirapo kuposa nthawi yayitali ya chipatala cha amayi oyembekezera (kusiyana ndi nthawi yofananira ndi masiku 16).

Zokonda za boma zokha ndizomwe zikuwonetsedwa mndandandandawu, pomwe mitundu yowonjezerapo yamathandizo ikhoza kukhazikitsidwa pamalonda.

Gawo No. 1 "Kulamula mwalamulo pankhaniyo"

Kuti mukhale ndi ufulu wofunsira thandizo la anthu, muyenera kupita kukaonana ndi dokotala nthawi yayitali, kukayezetsa.

Ubwino wa Odwala Matendawa a Type 1 shuga

Gawoli limaphatikizapo odwala onse omwe ayenera kuwongolera ma insulin kwambiri. Monga lamulo, kuwongolera kochepera kuyenera kukhala katatu patsiku. Izi zimasokoneza ntchito yokhazikika, chifukwa chake ndiye maziko ogawa gulu lolumala. Atalandira chiphaso cha wopindula, nzika imatha kudaliratu zokolola zonse zothandizidwa ndi anthu olumala gulu lake.

Kuphatikiza apo, monga wodwala matenda ashuga, munthu akhoza kuthandizapo thandizo:

• kulandira mankhwala aulere
• kugawa mankhwala ndi zida zofunika kuyeza miyezo ya insulin,
• kusamutsa kwaulere kwa zida za jakisoni,
• Kukhazikika kwa wogwira ntchito zachitukuko ngati wodwalayo sangadzisamalire komanso ngati alibe wachibale wina.

Momwe wopindulitsa adzalandila, mwa njira zambiri zimatengera kwa madokotala omwe amakonzekera zikalata mu ntchito zothandiza anthu.

Ubwino wa matenda a shuga a Type 2

Gawo No. 2 "Phindu la odwala omwe ali ndi matenda ashuga a 2 opanda kulumala ndi omwewo"

Ndani ali woyenera kulumala ndi matenda ashuga

Monga taonera pamwambapa, kapangidwe ka zokonda zachipatala sikakukhudzana ndi kukhalapo kwa gulu lolumala, ndiye kuti, odwala onse amatha kufunsira mwayi. Koma kukhala ndi satifiketi yolandila ndalama kumatsegula mwayi wambiri yothandizira anthu.

Kuti muyambe kuperekedwa kwa setifiketi, muyenera kulumikizana ndi achipatala kumalo operekera chithandizo ndikupempha kuyesedwa koyenera. Pambuyo pa izi, ntchito yolembedwa pamanja imaperekedwa kwa olamulira zachitetezo cha anthu omwe ali ndivuto kuti aganizire nkhani zopereka maubwino. Pambuyo pakuyezetsa kuchipatala, satifiketi yolandila gulu linalake la olumala imaperekedwa.

Zofunika! Kutengera ndi kuopsa kwa zovuta zomwe zimayambitsidwa ndi matenda ashuga, gulu 1, 2 kapena 3 limatha kupezeka.

Zopindulitsa

Mwa mwayi womwe uli pamwambowu, mutha kuwonjezera izi:

• Mkhalidwe wokonda kuchira ndikubwezeretsa thanzi,
• kufunsa kwaulere kwa akatswiri,
• zothandizira pa nyumba ndi ntchito zothandizirana,
• maubwino pantchito ndi maphunziro,
• (phindu).

Momwe mungapezere mapindu

Muyenera kuyambitsa zolipira m'malo osiyanasiyana, kutengera mtundu wa zomwe amakonda. Tiyenera kulumikizana:

• olamulira achitetezo aboma
• olamulira akuluakulu amchigawochi,
• komiti yanyumba pamalo omwe akukhalamo.

Mukamafunsira zokonda, muyenera kukonzekera phukusi lathunthu lamatifiketi azachipatala ndi satifiketi.

Momwe mungapezere mankhwala

Kugawa kwa mankhwalawa kumachitika molingana ndi algorithm yotsatira.

Matenda a shuga ali ndi phindu lalikulu pa moyo. Ndi matenda awa, munthu ayenera kusiya mitundu ya ntchito zaluso zomwe zimafuna kupendedwa. Odwala ena amavutika ndi kudzisamalira. Komabe, pali zabwino zina kwa odwala matenda ashuga kuti moyo ukhale wosavuta ndi kuzindikira kumeneku.

Odwala omwe ali ndi matenda ashuga amakakamizidwa kuwononga ndalama zambiri pa insulin, glucose metres, ndi mizere yoyesayesa ya ma glucose amitima yamagazi. Zonsezi zimawononga ndalama zonse, motero kwa 1 matenda ashuga 1 mndandanda wazotsatira umaperekedwa, komanso mankhwala aulere a 2016:

• kukonzekera kwa insulin ndi syringes,
• zingwe zoyesa (zosaposa zidutswa zitatu patsiku),
• sanatorium chithandizo
• Kugonekedwa kuchipatala chifukwa cha wodwala.

Mutha kudziwa zenizeni zamankhwala ndi kuchuluka kwa zingwe zoyeserera zomwe zimayenera kuperekedwa kwaulere kwa odwala omwe ali ndi vuto la shuga pakali pano kuchipatala chapafupi.

Pofika chaka cha 2016, zingwe za mayeso aulere mu kuchuluka kwa zidutswa zitatu patsiku zimaperekedwa kwa odwala omwe ali ndi matenda amtundu woyamba komanso wachiwiri.

Kupatsa wodwala mankhwala

Wodwala yemwe ali ndi matenda amayenera kulandira mankhwala omwe amasonyezedwa pochiza zovuta. Mankhwala othandizira odwala amaphatikizanso kukonzekera kwa magulu otsatirawa:

1. Phospholipids - kuthandiza ntchito zofunika chiwindi.
2. Pancreatin - kuthandizira kugwira ntchito kwa kapamba.
3. Mapulogalamu ovuta a vitamini-mineral, magawo a mavitamini osakanikirana ndi ma jakisoni ndi mapiritsi.
4. Othandizira a thrombolytic - kusintha mtundu wa coagulability wa magazi.
5. Kukonzekera kwa mtima - kusintha ntchito yamtima.
6. Zodzikongoletsera.
7. Mankhwala othandizira matenda oopsa.
8. Mankhwala ena okhala ndi antimicrobial, anti-kutupa zotsatira, antihistamines.

Odwala omwe ali ndi mtundu wachiwiri wa matenda safuna insulin ndi syringes. Koma muzochitika izi, dengu lozindikira limayikidwa, kuphatikiza Mzere woyezera ndi glucometer (imatsimikiza shuga). Mzere umodzi woyeserera umaperekedwa kwa odwala omwe samatenga insulin. Dokotalayo amapereka mitundu itatu yoyesera kwa anthu omwe amadalira insulin.

Ndalama Zamalonda a odwala matenda ashuga

Mankhwala oyaka a shuga amayenera kuperekedwa kwa odwala onse omwe ali ndi matenda ashuga, koma si onse omwe amawawononga. Odwala otsatirawa atha kulandira ndalama zolipirira basiketi yosagwirizana.

Kuti mupeze mankhwalawa, muyenera kulumikizana ndi dokotala, amatha kufotokozeranso mndandanda wa mankhwala omwe amaperekedwa chaka chino. Kufunsira kobweza ndalama phukusi laanthu, pitani ku FSS (fomu yofunsira fomu yopereka zopindulitsa yalembedwa kumapeto kwa chaka).

Mapenshoni ndi chithandizo cha odwala matenda ashuga omwe ali ndi vuto

Popeza moyo wopanda mankhwala ndikuwonetsetsa kuchuluka kwa shuga ndizosatheka, nkovuta kwa wodwala matenda ashuga kupeza ntchito ndikugwira ntchito yake. Boma limatsimikizira nzika zotere zapenshoni. Kutengera ndi kuopsa kwa matendawa, momwe wodwalayo angatumizire gulu loyambirira, komanso lachiwiri. Pali gulu lachitatu, kuphatikizapo odwala omwe ali ndi matendawa, owonetsa matendawa.

Zofunika! Odwala omwe ali ndi gulu la matenda a shuga amalipira penshoni. Kukula kwake kumatengera mtundu wa gulu.

Kamangidwe ka gululi. Kukhala ndi malangizo a endocrinologist omwe ali pompano, muyenera kulumikizana ndiofesi yapadera yamtundu waofesi ya Unduna wa Zaumoyo. Gulu likhoza kupezeka pamaso pa matenda monga:

• kuwonongeka kwa mtima
• matenda amanjenje
• matenda a ubongo
• kunyansidwa kwa masomphenya.

Gulu loyamba, lachiwiri, komanso lachitatu limapatsidwa matenda omwewo osiyanasiyana. Uwu ndi mtundu wa penshoni yopanda maphunziro. Kuphatikiza pa thandizo lazachuma, odwala matenda ashuga omwe ali ndi gulu amakhala ofunsira phindu lomwelo lomwe limatsimikiziridwa kwa anthu onse olumala.

Kutumiza ku malamulo! Ndalamayi, yomwe imaperekedwa kwa odwala matenda ashuga, imayendetsedwa ndi Federal Law No. 166 "Pa State Pensions," lamulolo lidavomerezedwa pa Disembala 15, 2001.

Anthu omwe ali ndi matenda ashuga ali oyenera kupindula ngakhale atapezeka pagulu. Mutha kulandira mankhwala aulere, tikiti kupita ku sanatorium, ndikupezanso zabwino zina za boma ndi zigawo. Posiya njira yachilengedwe, mungalandire ndalama. Kukhala wolumala kumakupatsani mwayi wopuma. Mu 2018, palibe zosintha ku malamulo okhudzana ndi chitetezo cha anthu ashuga omwe amaperekedwa.

Mafunso Owerenga

• Funso loyamba: Ngati ndili ndi mwana wodwala matenda ashuga pagulu. Kodi ali ndi ufulu wokhala ndi tikiti yaulere kupita ku sanatorium ndi kuyenda kwaulere mbali zonse ziwiri?Yankho ndi: Zoonadi, ana omwe ali ndi zilema amayenera kulandira tikiti yaulere. Kuyenda mbali zonse ziwiri kudzakulipirani. Kuphatikiza apo, mutha kuyitanitsa kubwezera ndalama zoyendera kwa mwana wanu komanso ngati mukuyenda naye.
• Funso lachiwiri: Kodi ndingapeze kuti mankhwala a shuga aulere omwe ndikufuna?Yankho ndi:

Moni Dzina langa ndine Irina Alekseeva. Ndakhala ndikugwira ntchito zachitetezo kuyambira 2013. Ndimagwira ntchito makamaka pamalamulo aboma. Yophunziridwa ku Moscow Institute of Humanities and Economics (NWF) Jurisprudence (Civil Law Specialization).

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.

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.

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.