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

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.

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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.

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 lidapanga phindu lapadera kwa odwala matenda ashuga amtundu wa 2 mu 2019. 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.

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

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.

Chotsatira, tikambirana zomwe mapindulitsowa akuphatikizapo komanso momwe odwala matenda ashuga angalandire chithandizo cha boma.

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.

Maubwino a Ana A shuga

Tsoka ilo, sikuti akulu okha komanso ana amakhudzidwa ndi matenda ashuga. Zimakhala zovuta kwambiri kukana matenda a thupi lofooka, komanso ndimatenda a shuga a mtundu wina (mtundu 1), ana amapatsidwa kulumala okha. Pankhaniyi, kuchokera ku boma lomwe amapatsidwa:

1. kulumala pantchito
2. chilolezo ku malo ophunzirira komanso malo osungira ana (kuyenda kumalipira mwana wolumala ndi wamkulu yemwe amatsagana naye),
3. mankhwala aulere, mankhwala azachipatala ndi mavalidwe,
4. ndalama zochepetsera anthu ambiri,
5. Ufulu wodziwitsa zaulere komanso kulandira chithandizo, kuphatikizapo kunja,
6. magawo apadera olandilidwa kumaphunziro apamwamba ndi mayeso,
7. 50% kuchotsera pazolipira zofunikira. Kuphatikiza apo, ngati anthu akuluakulu olumala, kuchotsera kumangogwira gawo lawo pakumwedwa kwazinthu zonse, ndiye kuti kumabanja omwe ali ndi mwana wolumala phindu limapitilira ndalama zapa banja.

Makolo a ana olumala ndi owasamalira amayenera kuchotsera ndalama za msonkho wa anthu, kuchotsedwa pantchito nthawi yosamalira mwana wolumala, kupuma pantchito koyambirira, komanso osagwira ntchito - malipiro a mwezi ndi mwezi a ndalama zokwana ma ruble 5500.

Ana olumala opanda olumala amapatsidwa mapindu ofanana ndi akulu, kutengera mtundu wa matendawa.

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.

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).

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 2019, koma lero silinapeze tanthauzo lililonse mwalamulo.

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.

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.

Zopindulitsa zomwe zidaperekedwa kwa odwala omwe ali ndi matenda osokoneza bongo mu 2018: njira yoperekera

Lamuloli limapereka mwayi wambiri pantchito zamankhwala. Zokonda zitha kuyang'aniridwa kapena kuperekedwa kwa anthu onse.

Komanso, mitundu yambiri yamathandizo imaperekedwa kwa odwala omwe ali ndi matenda oopsa komanso osachiritsika omwe amafuna ndalama zapamwamba.

Chifukwa chake, maubwino a odwala omwe ali ndi matenda osokoneza bongo amayembekezeredwa, koma zofunikira zingapo ziyenera kukwaniritsidwa kuti zitheke.

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,
• kutsitsa kwamalipiro othandizira (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 pamwambapa, mutha kuwonjezera mitundu yothandizazi:

• Mkhalidwe wokonda kuchira ndikubwezeretsa thanzi,
• kufunsa kwaulere kwa akatswiri,
• zothandizira pa nyumba ndi ntchito zothandizirana,
• maubwino pantchito ndi maphunziro,
• ndalama zopindulitsa nzika zomwe zili ndi zilema.

Ubwino wa ana omwe ali ndi matenda ashuga

Tsoka ilo, ana odwala matenda ashuga siachilendo. Popeza thupi laana silikukhwima kwathunthu, pamakhalanso zotsatirapo zina zathanzi. Ngati mwana amadalira insulin, ndikofunikira kuti munthu akhale wolumala. Pamodzi ndi setifiketi ya wopindula, mitundu yotsatirayi:

• kukonzanso kwaulere (tikiti kupita ku sanatorium kapena msasa wa ana) ndi chindapusa cha mtengo woyenda kwa kholo ndi mwana,
• phindu lakuvomerezedwa ku maphunziro apamwamba,
• kuvomereza mokhulupirika mayeso aboma,
• kuletsa msonkho,
• kuleka usilikali.

Makolo polera mwana wachichepere ndi matendawa amathanso kufunsa zotsatirazi:

• kupeza masiku owonjezera pantchito,
• kuthekera kolembetsedwa koyambirira kwa mwayi wopumula woyenera,
• Ufulu wopeza ntchito zapadera mukalembetsa ndi malo antchito.

Momwe mungapezere mapindu

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

• olamulira achitetezo aboma
• Ntchito Yamsonkho wa Federal
• FIU
• olamulira akuluakulu amchigawochi,
• komiti yanyumba pamalo omwe akukhalamo.

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

Momwe mungapezere mankhwala

Kutulutsa kwa mankhwalawa kumachitika molingana ndi algorithm otsatirawa:

• pemphani dokotala endocrinologist, wovomerezeka ndi wodwala
• kupeza mayendedwe akuwunika ndi kupititsa mayeso onse,
• atalandira mayeso, dokotalayo amawerenga zofunikirazo ndikukonza zofunsira (fomuyo imasainidwa ndi adotolo ndi dotolo wamkulu wa chipatala),
• mankhwala amaperekedwa kwa wodwala.

Pambuyo pake, mutha kulumikizana ndi malo azachipatala komwe mumakhala. Onse omwe akupindulira ndi omwe ali wachitatu akhoza kufunsira mankhwala. Zimachitika kuti pa nthawi yolumikizana ndi mankhwala omwe amapezeka mankhwala palibe. Mwanjira imeneyi, amaloledwa kupita ku malo ena ogulitsa, kapena wopanga mankhwalawo amalemba zidziwitso za nzika ndikufotokozera ngati mankhwalawo akufunika.

Kukana maubwino

Popeza kuti chifukwa cha thanzi, si odwala onse omwe angatenge mwayi wopindulitsa, amaloledwa kulowetsa zokonda ndi ndalama. Kuti muchite izi, muyenera kulumikizana ndi oyang'anira chitetezo pamalo omwe akukhala ndikulemba fomu yofunsira ndalama zomwe zingakonde.

M'zaka zotsatira, palibe chifukwa cholembetsanso. Ndalama zidzalipiridwa mpaka pempho la zomwe zingasiyane. Koma ziyenera kudziwidwa kuti izi sizothandiza, popeza mwayi wapadera umakulolani kuti muwonongere ndalama zambiri.

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Phindu lanji la odwala matenda ashuga a mtundu 2

Kudziwa zabwino zomwe odwala matenda ashuga omwe ali nawo zingathandize omwe akudwala kulandira chithandizo chofunikira kuchokera ku boma kuti akhale athanzi. Pazowunikira zomwe mitundu yachiwiri ya odwala matenda ashuga ali nayo, ambiri mwa odwala adzangotulutsa kuperekedwa kwaulere kwa mankhwala ochepetsa shuga.

Koma ili ndi gawo laling'ono chabe la zomwe zimafunikira ku mtundu wa 2 shuga, pali zabwino zambiri zowonetsetsa kuti wodwala ali ndi moyo wathanzi.

Koma kungodziwa za ufulu wawo ndi komwe kungathandize munthu yemwe alibe chilema chifukwa chodwala, koma ali ndi matenda a shuga a mtundu wachiwiri, kuti apeze zomwe amayenerera ndi lamulo.

Zomwe zimayenera kudwala

Mu malamulo a Russian Federation kwa odwala matenda ashuga zotsatirazi zimaperekedwa:

1. Kupereka mankhwala.
2. Kukonzanso
3. Ndalama zolipirira.

Ndikofunikira kupenda iliyonse ya mfundozi mwatsatanetsatane.

Pazifukwa zina, anthu ambiri omwe ali ndi matenda ashuga amakhulupirira kuti chithandizo cha spa chitha kudalira kungopereka chilema chifukwa cha matenda.

Koma ku Russia, zopindulitsa kwa odwala matenda ashuga zimaphatikizaponso kuthekera kwa chithandizo chaulere cha sanatorium popanda kulemala chifukwa cha matenda.

Kuphatikiza chilolezo chaulere, mapindu a odwala omwe ali ndi matenda a shuga a 2 amaphatikizanso chindapusa:

Kwa ana omwe ali ndi mtundu wachiwiri wa matenda ashuga, kupita kumalo aulere kwaulere, malo ogona ndi chakudya ndi makolo awo.

Ndalama zolipirira munthu wamkulu zimatha kulipira tikiti yosagwiritsidwa ntchito, mankhwala osathandizira, kapena ndalama zowunika ndi njira zothandizira kuchipatala zofunika kubwezeretsa thanzi la munthu, koma osaperekedwa ndi ndondomeko ya inshuwaransi yazaumoyo.

Koma kulipira kovutikira tikiti kapena mankhwala osagwiritsidwa ntchito nthawi zonse kumakhala kochepa, ndipo tikulimbikitsidwa kuti odwala atenge mankhwala omwe apatsidwa komanso tikiti za sanatorium.

Ngati mtundu wachiwiri wa matenda ashuga wapezeka mwa mwana wochepera zaka 14, ndiye kuti ana otere ayenera kulandira malipiro pamwezi pazolipira zapakati.

Ndi mankhwala ati omwe amayenera kuperekedwa kwaulere

Mwinanso, anthu ambiri omwe ali ndi matenda ashuga alibe mavuto opeza mankhwala ochepetsa shuga aulere, koma odwala ochepa amadziwa kuti zopindulitsa za odwala matenda ashuga amtunduwu zimaphatikizanso kuperekedwa kwa mankhwala ena ochiza matenda omwe angayambitse matenda oyambitsidwa.

Izi zikuphatikiza:

1. Phospholipids (mankhwala osokoneza bongo kuti azigwira bwino ntchito).
2. Mankhwala omwe amathandizira kukonza ntchito ya pancreatic (pancreatin).
3. Mavitamini ndi ma vitamini-mineral complex (m'mapiritsi kapena monga yankho la jakisoni).
4. Mankhwala obwezeretsa matenda a metabolic (mankhwalawa amasankhidwa payekha ndi dokotala wanu pamndandanda wa mankhwala aulere).
5. Mankhwala a Thrombolytic (mankhwalawa ochepetsa kuchepa kwa magazi) m'mapiritsi ndi jakisoni.
6. Mankhwala a mtima (magulu onse a mankhwala ofunikira kutengera zochita zamtima).
7. Zodzikongoletsera.
8. Njira zochizira matenda oopsa.

Ngati ndi kotheka, antihistamines, analgesics, antimicrobials ndi mankhwala ena othandizira ochizira matenda ashuga amawonjezedwa pamndandanda wa odwala matenda ashuga.

Kuphatikiza pa mankhwala, odwala amapatsidwa ma glucometer aulere ndi zingwe zoyeserera.

Kuchuluka kwa mikwingwirima kumatengera mtundu wa mankhwala ochepetsa shuga omwe wodwala matenda ashuga amagwiritsa:

• kwa odwala a insulin okwanira 3 tsiku lililonse,
• kwa iwo omwe adziyimira pawokha insulin - 1 Mzere.

Komanso odwala omwe amadalira insulin, syringes ya jakisoni imaperekedwa, kuchuluka kwawo kumatengera kangati patsiku muyenera kubaya insulin.

Momwe mungagwiritsire ntchito ufulu wanu

Choyamba, muyenera kusonkhanitsa zikalata zofunika.

• Zithunzi 2 za pasipoti,
• satifiketi yotsimikizira za matenda omwe ali ndi matenda ashuga (dokotala yemwe amapezekapo amadziwa za matendawa, koma tikulimbikitsidwa kuti mupite ndi satifiketi ngati mukufuna kupereka mankhwala kuchokera kwa dotolo wina),
• 2 zithunzi za SNILS,
• satifiketi ya munthu wolumala (ngati pali wolumala),
• ndondomeko yatsopano ya inshuwaransi.

Ngati mukufuna mankhwala okondera, muyenera kupita kwa adotolo ndi zikalata zonse ndikupempha kuti akupatseni mwayi wopeza mankhwalawo kuti akuthandizireni mankhwalawo. Ngati mankhwalawa ali pamndandanda, ndiye kuti nthawi zambiri mumatha kulandira mankhwala pafomu yapadera. Kenako, adotolo ayenera kuwonetsa ma adilesi a malo ogulitsa mankhwala, komwe kuli mwayi wopeza mankhwalawo.

Ngati akukana, ndikulimbikitsidwa kuti musataye mtima, koma kulembera madandaulo m'dzina la dokotala wamkulu wa chipatala. Izi pafupifupi ndizokwanira kutsimikizira kuti mankhwalawo ndi ofunika.

Nthawi zina, kukana kukalandiridwa kuchokera kwa dokotala wam'mutu, ndikofunikira kulemba dandaulo ku Rospotrebnadzor.

Madandaulo akuyenera kuwonetsa:

• ufulu wololera
• kufunika kwa thanzi la mankhwala ofunikira,
• Nthawi yomwe kukakamizidwa kwa mankhwala othandizira kunakanidwa.

Mutha kutumiza madandaulo ndi kalata kapena lembani fomu yoyenera patsamba la Rospotrebnadzor.

Kuti mupeze tikiti pamalemba omwe asungidwa kale, muyenera kutenga satifiketi Nambala 070 / u-04 ya akuluakulu ndi Nambala 076 / u-04 ya ana kuchipatala, kenako lembani fomu yofunsira tikiti la sanatorium ku Fund Insurance Fund.

Kufunsira chilolezo kuyenera kuperekedwa pasadakhale, pasanafike pa Disembala 1 chaka chino. Chidziwitso chogawa chilolezo chidzafika masiku 10, koma tsiku lofika ku Sanatorium sikhala patadutsa masabata atatu.

Ngati akukana kupereka chilolezo, ndikofunikanso kulumikizana ndi Rospotrebnadzor.

Kubwezera ndalama kumakhala kovuta pang'ono: ndalama zopindulira osagwiritsidwa ntchito zingapezeke ku thumba la inshuwaransi polemba mawu kumapeto kwa chaka ndikupereka satifiketi ya mapindu osagwiritsidwa ntchito chaka.

Ndizovuta kwambiri kulipira ndalama zowonjezera chithandizo chamankhwala ndi zina: chifukwa mudzayenera kusonkhanitsa mapepala ambiri otsimikizira kufunikira kwa njira zachipatala, koma pankhaniyi, mitengo siyikhala yolipiridwa nthawi zonse.

Kudziwa maufulu anu kungathandize anthu omwe ali ndi matenda ashuga a 2 kupeza chilichonse chomwe amafunikira kuchokera ku boma kuti akhale athanzi. Muyenera kungowonetsa chipiriro ndi kupirira pang'ono osati kubweza pansi pakukana koyamba, koma lembani kwa olamulira apamwamba kuti abwezeretse ufulu wanu.

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.

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

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.

Zowonjezera

Zokonda zina zomwe zimapezeka mu mtundu 2 wa shuga:

1. Kubwezeretsanso malo opangira ma sanatorium, maphunziro a Wellness, kubweza ndalama zolipirira maulendo ndi zakudya. Chithandizo chimayembekezeredwa kamodzi pa zaka ziwiri zilizonse. Zofunikira kwambiri paulendo ndi anthu odwala matenda ashuga ndi ana olumala. Koma odwala omwe ali ndi mtundu wachiwiriyo ali ndi ufulu kuchita izi. Ziribe kanthu momwe chithandizo chapamwamba chimakhazikitsidwa mosavomerezeka, kukonzanso mu sanatorium ndikokwera kwambiri chifukwa cha maziko ake. Njira yophatikizidwa imathandizira wodwala aliyense payekha. Tiyenera kukumbukira kuti mankhwalawa sanatorium pali zotsutsana zingapo: matenda opatsirana, matenda a oncological, matenda amisala, kutenga pakati pa trimester yachiwiri.
2. Kuchotsedwa ntchito yankhondo. Ngati mkaidi apezeka kuti ali ndi matenda ashuga, mtundu wake, zovuta ndi zovuta ziyenera kutsimikizika. Posankha mtundu wachiwiri wa matenda ashuga, ngati palibe zosokoneza pakugwira ntchito kwa ziwalo, sayenera kugwira ntchito yake mokwanira, koma atha kuyitanidwira ngati kuli kofunikira ngati mphamvu yosunga.
3. Kuwonjezeka kwa kusiya kwa amayi ndi masiku 16. Kukhala m'chipatala pambuyo pobadwa mwana kumawonjezereka ndi masiku atatu.

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.

Fomu yofunsira ikhoza kutsitsidwa pano.

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 akukana kukana 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.

Chifukwa chiyani ndizotheka kulandira phindu la matenda ashuga

Matenda a shuga ndi matenda oopsa a endocrine omwe amadziwika ndi kupitilira pang'onopang'ono.

Kutengera mphamvu zakuwongolera komanso njira zoyenera zochiritsira, matenda ashuga amatha kukhala ndi nthawi yayitali munthawi yolipidwa, zomwe zimapangitsa kuchepa kwa zovuta zake.

Boma likufunika nzika zathanzi komanso thanzi la anthu, chifukwa cha ichi ku Russia kuli mapulogalamu ambiri aboma omwe cholinga chake ndi kuthandiza odwala omwe ali ndi matenda ashuga.

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 okhudzana ndi matenda ashuga, omwe amagwira ntchito mosasamala momwe munthu alili ndi vuto.

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.

Gulu la olumala I

Gulu lalikulu kwambiri la anthu olumala, lomwe limaphatikizapo odwala matenda a shuga, okhala ndi mbiri yayitali ya matendawa komanso zovuta zingapo zomwe zimayenderana nawo.

Mavuto ambiri omwe amachitika chifukwa cha matenda ashuga omwe amachititsa kuti munthu akhale wolumala kwambiri azikhala ndi:

• diabetesic neuropathy - yowonetsedwa ndi kuchepa kwamitundu yonse yamvekedwe, makamaka, mantha am'munsi mwa malekezero apamwamba komanso otsika amakhudzidwa,
• encephalopathy - imachitika chifukwa cha kuphwanya kwamkati kapena kuzungulira kwa ubongo, komwe kumayambitsa kuchepa kwa minyewa yaubongo ndi okosijeni ndi kusintha kwa dystrophic mu ubongo.
• kuphwanya kwakukulu ziwalo zina ndi machitidwe, zomwe zimakhudza kwambiri ntchito ya munthu tsiku ndi tsiku.

Mndandanda wa mikhalidwe yomwe kulumala kwambiri kumakhalapo sichitha pamenepo. Chimodzi mwazinthu zovuta kwambiri zomwe gulu limodzi la olumala likhazikitsidwa ndi matenda am'mimba a shuga, omwe amatha kupha.

Kodi matenda ashuga amapatsidwa gulu?

Kulephera kwamphamvu. Ndikulandila gulu lolumala lomwe wodwalayo ali ndi ufulu kulandira chithandizo chokwanira chokhudzana ndi matenda ake.

Gulu lachiwiri la olumala limaphatikizapo wodwala yemwe ali ndi matenda a shuga, koma popanda kufunikira chisamaliro chapadera.

Gulu lachiwiri limatha kupezeka pamaso pa zovuta zapakati pa endocrine, koma pakalibe zovuta zomwe zimakhudzana ndi matenda a shuga.

Matenda a shuga a insulin

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.

Nthawi zambiri mukalandira maubwino, mutha kusunga ndalama zambiri

Insulin yolimbana ndi matenda ashuga

Anthu omwe ali ndi matenda a shuga a mtundu wachiwiri omwe safunikira chithandizo cha insulin nthawi zonse amakhala ndi mwayi wothandizidwa ndi moyo wina.

Ali ndi ufulu kulandira mankhwala ochepetsa shuga aulere, komanso zabwino zonse zomwe tafotokozazi.

Ponseponse, phindu la odwala matenda ashuga a 2 limadalira zovuta komanso chiwonetsero chimodzi cha anthu omwe amadwala matenda ashuga, omwe amakhazikitsidwa pakuyesa kuchipatala.

Choyamba, wodwalayo amafunika kutsimikizira momwe alili munthu wolumala, chifukwa amapereka zikalata, malipoti azachipatala ndi satifiketi ya fomu 070 / u-04 kwa munthu wamkulu kapena 076 / u-04 kwa mwana kwa katswiri wazachipatala, komwe kumawunikira kowonjezera, kuchuluka kwa kulemala kumakhazikitsidwa ndipo gulu lolemala limatsimikizika .Kupereka chithandizo chaulere kwaulere, muyenera kulembanso fomu yofunsira ntchito imeneyi ku Fund Insurance Fund.

Kuganizira momwe ntchito ndi kuyankhidwira kuyenera kulandiridwira mkati mwa masiku 10 antchito. Poyankha, zambiri zimabwera pakupatsa tikiti ndi masiku omwe anyamuke, pomwepo muyenera kulandira khadi ya spa kumalo ophatikizika kuchipatala. Matikiti a chithandizo cha spa samaperekedwa pasanathe masiku 21 kuchokera nthawi yomwe anali atakonza.

Tikiti itha kupezedwa mwachindunji ndi Unduna wa Zaumoyo, chifukwa muyenera kupereka zikalata zambiri.

Zolemba zomwe zikufunika:

• pasipoti ya nzika ya Russian Federation,
• satifiketi yalemala (makopi awiri),
• SNILS (makopi 2),
• satifiketi yochokera ku Pension Fund pa zopezeka,
• satifiketi yochokera kwa eni ake a fomu 070 / y-04 kapena 076 / y-04 ya mwana.

Samalani kwambiri kuti ma satifiketi ena amakhala ndi nthawi yovomerezeka, onetsetsani kuti mwatsimikiza bwanji akamapanga.

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.

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.

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 cha mikwingwirima 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.

Matenda a shuga

Ndi matenda a shuga mutha kudwala

Wodwala aliyense ali ndi ufulu wolumikizana ndi ofesi yoyeserera zachipatala kuti athe kulumala. Komanso, adotolo omwe amapezekapo amatha kuchita izi potumiza zikalata zofunika.

Wodwalayo amapima mayeso apadera, malingana ndi zotsatira zake zomwe amatha kutumizidwa ku gulu linalake lopuwala.

Gome - Chikhalidwe cha omwe ali ndi zilema mu matenda a shuga:

Wodwala ali ndi ufulu kulandira chithandizo chamankhwala chovomerezeka kwaulere

Munthu atalandira chilema, amakhala ndi mwayi wopeza zinthu zopindulitsa anthu olumala.

Amapangidwa pamawu onse, osasiyana ndi kuthekera kwa matenda ena:

• kuyezetsa magazi kwaulere,
• Kuthandizira kusintha magwiridwe antchito, mwayi wogwira ntchito ndi kuphunzira,
• lankhulani kwa akatswiri odziwa ntchito zachipatala
• zopereka pantchito zolumala,
• kuchepetsa ndalama zolipirira.

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.

Popanda kulemala

Popanda kulemala, mndandanda wathunthu wazopindulitsa umatengera mtundu wa matenda ashuga.
Madera ali ndi ufulu kuwonjezera mndandanda wa mwayi.

Kwa ana omwe ali ndi matenda ashuga, amaperekedwa:

• EDV mu kuchuluka kwa 2590 pamwezi kapena NSO (magulu azantchito zothandizira) ngati akukana kulipidwa pamwezi,
• ngati mwana ali wolumala - penshioni yama ruble 12,000,
• chithandizo chamankhwala chaulere.

Kuphatikiza apo, kumasulidwa ku ntchito yankhondo ndi gawo la olimbitsa thupi "B" kapena "D" kudafotokozedwa malinga ndi Lamulo la Boma la Russian Federation No. 565.

Kodi ana amalandilidwa kukakamizidwa kuti alowe sukulu? Onani apa.

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.

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.

Kodi phindu la opulumuka ndi lotani? Zambiri zili pano.

Kodi pali maubwino aliwonse a ana a makolo oponderezedwa ku Russia? Zambiri mu nkhaniyi.

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!

1. Funsani funso kudzera fomu (pansipa), kapena kudzera pa intaneti
2. Imbani foni yotentha:
   • Moscow ndi Dera - +7 (499) 110-43-85
   • St. Petersburg ndi dera - +7 (812) 317-60-09
   • Madera - 8 (800) 222-69-48

ZOTHANDIZA NDIPO APA ANATULUKA MAHODI 24 NDIPO TSIKU LIUTSITSIDWE.

Pezani kufunsa kwaulere mwalamulo pofunsa funso mu fomu ili pansipa!

Moni. Pali chidziwitso chakuti odwala omwe amadwala matenda a shuga omwe amadalira insulin 2 amapatsidwa timitengo itatu pa tsiku. Dokotalayo amangopereka phukusi limodzi lokha (zidutswa 50). Chifukwa cha chidwi chakuti ndikofunikira kulongedza kotala limodzi. Modabwitsa, ali ndi kalata yabwino kwambiri. Ndimakhala ndi hypoglycemia pafupipafupi, pankhaniyi ndiyenera kuyesa kuchuluka kwa shuga. pomwe F.Z. kulozera? Zoyenera kuchita Momwe mungapezere mankhwala oyenera komanso zingwe zoyesa?