Kodi tiyenera kupereka ma glucometer kwaulere?
Ndi matenda a shuga amtundu uliwonse, odwala endocrinologists amafunikira mankhwala okwera mtengo komanso njira zingapo zamankhwala. Poganizira kuchuluka kwakuchulukirako, boma likuchita zinthu zosiyanasiyana kuthandiza odwala. Ubwino wa odwala matenda ashuga amakupatsirani mankhwala ofunikira, komanso kulandira chithandizo chaulere pa dispensary. Sikuti wodwala aliyense amauzidwa za mwayi wokhala ndi chitetezo chamtundu uliwonse.
Kodi onse odwala matenda ashuga ndi oyenera kupindula? Kodi ndikofunikira kulembetsa kulemala kuti mulandire? Tiyeni tikambiranenso izi.
Ubwino wake ndi chiyani kwa odwala matenda ashuga
Udindo wa anthu odwala matenda ashuga ku Russia ndi vuto lomwe limadzetsa nkhawa, lomwe silimatchulidwanso kawirikawiri pazofalitsa komanso pokambirana ndi endocrinologist.
Komabe, wodwala aliyense, mosasamala za kuopsa kwa matendawa, mtundu wake, kapena kukhalapo kwa kulumala, ali ndi ufulu kulandira odwala matenda ashuga.
Izi zikuphatikiza:
Kuchita kafukufuku kumalo azachipatala, wodwalayo samachotsedwa maphunziro kapena amagwira ntchito mwanjira yomwe lamulo limapereka kwa nthawi yodziwika. Kuphatikiza pa kuwunika chithokomiro ndi chithokomiro, wodwala matenda ashuga amatha kupezanso chidziwitso pakuzindikira kwamanjenje, mtima komanso ziwonetsero.
Kuyendera akatswiri onse ndikuchita mayeso ndi kwaulere kwa wodwala, ndipo zotsatira zonse zimatumizidwa kwa dokotala.
Chitsanzo cha malo ophunzirira ngati awa ndi Endocrinology Center of the Medical Academy ku Moscow, yomwe ili pamalo opangira metro Akademicheskaya.
Kuphatikiza pa njira zothandizira anthu panozi, odwala ali ndi ufulu wopeza zina, zomwe zimadalira mtundu wamatenda ndi kuuma kwawo.
Ubwino wa odwala omwe ali ndi matenda a shuga 1
Kuphatikizidwa kwapadera (muyezo) wa chithandizo chamankhwala kunapangidwa kwa odwala omwe amadalira insulin, kuphatikiza:
- Kupereka mankhwala othandizira odwala matenda ashuga ndi zotsatira zake.
- Zithandizo zamankhwala za jakisoni, muyeso wa shuga ndi njira zina.
Komabe, mu 2014, Order yakale ya Unduna wa Zaumoyo No. 582, yovomereza "Standard yothandizira kuperekera chithandizo kwa odwala matenda a shuga" pamaziko opumira, idalengezedwa ndi Gulu Lankhondo la Russia Federation kuti ndiyosemphana ndi malamulo ogwiritsa ntchito, makamaka, Art. 37 ya Federal Law ya Novembala 21, 2011 No. 323-ФЗ "Pa Maziko Okhala Ndi Zikhalidwe Zazachipatala Ku Russian Federation". Lingaliro la Gulu Lankhondo la Russian Federation linawonetsa kuti muyezo wa chisamaliro chachipatala umapangidwa malinga ndi dzina lamalamulo a ntchito zamankhwala ndipo limaphatikizapo zidziwitso za pafupipafupi za kuperekera komanso kuchuluka kwa ntchito. Izi zikutanthauza kuti ngati wodwala yemwe ali ndi matenda ashuga afunikira, kuti awonetsetse zamankhwala (zofunikira), kuchuluka kwa mayeso, ndiye kuti ayenera kuperekedwa mwa kuchuluka komwe kukufunika.
Komabe, ndikofunikira kudziwa kuti pakadali pano izi sizikuwonetsedwa mu malamulo. Izi zimagwiritsidwa ntchito ndi akuluakulu achinyengo komanso ogwira ntchito m'mabungwe azaumoyo, pantchito zachitukuko, omwe akukana nzika zawo kugwiritsa ntchito ufulu wawo. Makamaka, muyezo wakale wa feduro woperekera chisamaliro cha anthu odwala matenda ashuga omwe amadalira insulin ndiwothandizabe m'magawo angapo chifukwa chophatikiza miyezo imeneyi m'mabungwe amilandu am'madera, omwe palibe amene adaletsa kukhoti kapena ku boma. Chifukwa chake zovuta zamtundu uliwonse ndi kukwaniritsidwa zenizeni za ufulu wa nzika.
Odwala omwe sangathe kuthana ndi matendawa payekha amatha kudalira thandizo la ogwira ntchito zandalama. Udindo wake ndikutumiza wodwalayo kunyumba.
Nthawi zambiri, matenda a shuga omwe amadalira insulin amabweretsa kulemala, chifukwa chake odwala matenda ashuga 1 alandila ufulu pazabwino zonse zomwe apezazi.
Kodi mufunika upangiri waluso pankhaniyi? Fotokozani vuto lanu ndipo owerenga athu akumana nanu posachedwa.
Ubwino wa matenda a shuga a Type 2
Zokhudza odwala matenda ashuga omwe samadalira insulin, malamulo ena amatsatira pa iwo. Makamaka, Order of the Ministry of Health and Ministry of Labor and Social Development of 11.12.2007 N 748 Pa kuvomerezedwa kwa muyezo wazachipatala kwa odwala omwe ali ndi matenda osokoneza bongo omwe samadalira shuga. Malinga ndi chikalatachi, apakati oyesa magazi omwe amapezeka kuti ali ndi shuga ndi 180. pachaka, jakisoni singano a syringe zolembera - 110 ma PC. pachaka, komanso 2 syringe pensulo yoyendetsa insulin (pokhapokha ngati palibe zolembera za syringe zoperekera insulin komanso zina kamodzi pazaka ziwiri).
Kwa odwala omwe ali ndi matenda a shuga a 2, zotsatirazi zimaperekedwa:
- Kubwezeretsa mu sanatoriums. Odwala a Endocrinologist amatha kudalira kukonzanso chikhalidwe. Chifukwa chake, odwala amapeza mwayi wophunzira, kusintha kusintha kwazomwe amachita. Mothandizidwa ndi njira zothandizira zigawo, a 2 matenda ashuga amapita kumasewera ndikupita kukachita maphunziro azachipatala. Mutha kupeza tikiti yopita ku sanatorium popanda kulumala komwe mwapatsidwa. Kuphatikiza pa maulere aulere, odwala matenda ashuga amalipiridwa ndi:
- mseu
- zakudya.
- Mankhwala aulere pochiza zovuta za matenda ashuga. Mitundu yotsatira ya mankhwalawa imatha kuperekedwa kwa wodwala: 1. Phospholipids (mankhwala omwe amathandizira magwiridwe antchito a chiwindi) .2. Zothandizira Pancreatic (Pancreatin) 3. Mavitamini ndi ma vitamini-mineral complex (mapiritsi kapena mayankho a jakisoni) .4. Mankhwala obwezeretsa matenda a metabolic (mankhwalawa amasankhidwa payekha ndi dotolo wopezekanso pamndandanda wamankhwala aulere) .5. Mankhwala a Thrombolytic (mankhwalawa ochepetsa kuchepa kwa magazi) m'mapiritsi ndi jakisoni. Mankhwala a mtima (ofunikira kutembenuza mtima kugwira ntchito) .7. Zowonjezera 8. Njira zochizira matenda oopsa.
Kuphatikiza apo, mankhwala ena (antihistamines, antimicrobials, etc.) ofunikira pochiza zovuta kuchokera ku matenda a shuga amatha kuperekedwa kwa odwala.
Kuphatikiza pa kuchepetsa mankhwala, odwala matenda ashuga amapatsidwa mankhwala ena.
Odwala omwe ali ndi matenda amtundu wa 2 safuna insulin, koma ndioyenera kukhala ndi glucometer ndi zingwe zoyeserera. Chiwerengero cha mizere yoyesera chimatengera kuti wodwala amagwiritsa ntchito insulin kapena ayi:
- kwa odwala a insulin onjezerani timizere timeneti katatu tsiku lililonse,
- ngati wodwala sagwiritsa ntchito insulin - 1 strip tsiku lililonse.
Odwala omwe amagwiritsa ntchito insulin amapatsidwa jakisoni wothandizila kuchuluka kwa mankhwalawa tsiku lililonse.
Ndani ali woyenera kulumala ndi matenda ashuga
Tiyeni tikambirane za phindu la anthu odwala matenda ashuga ngati olumala.
Kuti mupeze kulemala, muyenera kulumikizana ndiofesi yapadera yoyeserera zachipatala, kukhala pansi pa Unduna wa Zaumoyo. Kutumizira kuofesiyo kumasankhidwa ndi endocrinologist. Ndipo ngakhale adotolo alibe ufulu wokana wodwalayo, ngati pazifukwa zina sanachitebe, wodwalayo atha kupita kukayekha payekha.
Malinga ndi malamulo omwe akhazikitsidwa ndi Unduna wa Zaumoyo, pali magulu atatu olumala omwe amasiyana pakatikati pa matendawa.
Ganizirani magulu awa pokhudzana ndi matenda a shuga.
- Kulemala kwa Gulu 1 kumayikidwa kwa odwala omwe, chifukwa cha matenda ashuga, osawonekanso kwathunthu kapena pang'ono, omwe ali ndi zilonda zamtima zam'magazi, amakhala ndi vuto la mitsempha, komanso amakhala ndi matenda a ubongo. Gululi limadziwika ndi odwala omwe nthawi zambiri amadwala. Komanso pagulu loyamba mulinso odwala omwe sangathe popanda thandizo la namwino.
- Mavuto omwewa omwe ali ndi zizindikiro zochepa zotchulidwa amatilola kuti tidziwitse wodwalayo kukhala gulu lachiwiri la olumala.
- Gulu lachitatu limaperekedwa kwa odwala omwe ali ndi zizindikiro zapadera za matendawa.
Commission ili ndi lingaliro logawa gulu. Zomwe zimasankhidwazo ndi mbiri yachipatala ya wodwala, yomwe imaphatikizapo zotsatira za kafukufuku ndi zolembedwa zina zamankhwala.
Pakakhala kusagwirizana ndi kutha kwa ofesi, wodwalayo ali ndi ufulu wofunsa kwa olamulira kuti apereke chigamulo chake.
Kukhala wolumala kumapangitsa kuti anthu odwala matenda ashuga alandire phindu. Phindu limakhala la penshoni yopanda maphunziro, malamulo polandirira, komanso kukula kwa zoperekazo kumatsimikiziridwa ndi Federal Law ya 15.12.2001 N 166-ФЗ "Pa pension state in Russian Federation".
Tsitsani kuti muwone ndikusindikiza
Zopindulitsa
Anthu odwala matenda ashuga, atalandira kulumala, ali ndi mwayi wopeza phindu lililonse kwa anthu olumala, ngakhale atakhala kuti ali ndi vutoli.
Njira zomwe boma limapereka:
- Njira zobwezeretsa thanzi.
- Kuthandizidwa ndi akatswiri oyenerera.
- Chithandizo.
- Kupanga mikhalidwe yoloyanjana ndi anthu, kupereka maphunziro ndi ntchito.
- Kuchotsera pa ntchito zanyumba ndi ntchito zothandiza anthu.
- Ndalama zowonjezera.
Ubwino wa ana omwe ali ndi matenda ashuga
Ana omwe ali ndi matenda a shuga amadziwika m'gulu lapadera la odwala. Matendawa amakhudza tinthu tating'onoting'ono makamaka mwamphamvu, ndipo ndimatenda a shuga omwe amadalira insulin, mwanayo amapezeka kuti ali ndi vuto. Ndikofunika kuti makolo adziwitsidwe za maubwino ochokera ku boma, zomwe zimathandiza kuchepetsa mtengo wamankhwala ndikukhazikitsa mwana wodwala.
Ana olumala amapatsidwa mwayi wotsatirawu:
Makolo a mwana wodwala wosakwana zaka 14 amalandila ndalama pakubweza kwapakati.
Makolo kapena oyang'anira mwana ali ndi ufulu wochepetsa nthawi yogwira ntchito ndikulandila masiku owonjezera. Penshoni yaukalamba kwa anthu awa imaperekedwa pasadakhale.
Misha - adalemba Mar 31, 2013: 110
Moni Maxim! Palibe mu chikalata chovomerezeka chomwe mumapeza kuti chimapereka mita kwaulere. Zitha kuperekedwa, koma pokhapokha ngati oyang'anira zigawo kapena a m'matauni amapereka ndalama pazolinga izi, kapena kudzera kuthandizira. Chinanso ndi timizere ta mayeso, omwe muyenera kumasula kuchuluka kwa ma 730 ma PC. pachaka kwaulere ndi mtundu wodwala wa matenda a insulin kapena ma pc a ma 180. pachaka ndi mtundu wosadalira wa insulin.
Artem analemba 01 Apr, 2013: 217
Palibe lamulo, panali mndandanda wina womwe unasinthidwa nyengo yachisanuchi m'boma ndipo maulalo kuchokera pamenepo adachotsedwa. Kotero apa .. Pena pake pamsonkhanowu anakambirana. Funsani Sentyalov: http://moidiabet.ru/home/vladimir-sentjalov
Yeva adalemba 01 Apr, 2013: 38
Elena, ngati muli ndi matenda osokoneza bongo omwe amadalira insulin, werengani Order of the Ministry of Health and Social Development of the Russian Federation yomwe ili pa 11.12.2007 N 748 POMALIZA DZIKO LOPEREKEDWA KWA ATHULI ALIYENSE NDI A INSULIN-INDEPENDENT SUGAR DIABETES. Tsatirani ulalo:
http://moidiabet.ru/articles/standart-medicinskoi-pomoschi-bolnim-s-insulinonezavisimim-saharnim-diabetom
Imati: 180 (mbale pansi penipeni pa zilembo) amayesa chaka chilichonse
Polina (mayi Natalia) adalemba 21 Nov, 2013: 210
Ndiuzeni, kwa mwana yemwe ali ndi matenda ashuga 1, kodi amasintha gluceter, yemwe wasinthika kukhala watsopano. Kodi mita ili ndi tsiku lochotsa ndipo nditha kupita kuti? Zikomo
Misha - adalemba 26 Nov, 2013: 311
Zinaida, ma str30 mayeso 730 pachaka (kapena ma pcs a 180. pachaka) amafunidwa ndi lamuloli. Tonsefe timamvetsetsa zomwe Lamulo liri mu Russia yamakono, koma ngati tili "osagwirizana", ndiye kuti tiyenera kugula mayeso Ndalama zanu zokha.Koma popeza Boma lalingalira njira zoteteza thanzi la nzika, ndiye kuti mukuyenera kukwaniritsa izi, kugogoda paliponse. Ndipo musataye mlanduwu (lembani mlandu), chifukwa Kwenikweni, mudzalandira osalemba ndi zidziwitso za kuchuluka kwa ndalama zomwe munagwiritsa ntchito munthawi ya malipoti, koma sizitanthauza kuti ma application anu sangasiyidwe.
Inna Shakirtdinova analemba 03 Dec, 2013: 222
Polina (mayi Natalia) analemba 21 Nov, 2013: 0
0
Ndiuzeni, kwa mwana yemwe ali ndi matenda ashuga 1, kodi amasintha gluceter, yemwe wasinthika kukhala watsopano. Kodi mita ili ndi tsiku lochotsa ndipo nditha kupita kuti? Zikomo
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Ndikuganiza kuti kufunika kwa nkhaniyi sikunathere. Polina, ma glucometer onse amakhala ndi chitsimikizo chokhazikika. Kuti musinthane, mutha kulumikizana ndi malo othandizira. Pomwe pafupi ndi malo othandizira omwe amapezeka zimadalira mita yomwe imagwiritsidwa ntchito ndi mtundu wa malo omwe mumakhala. Malangizo a mita akuyenera kuwonetsa telefoni. Pamenepo mungadziwe za
malo othandizira ndi kusinthana kwa glucometer.
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Kukumana kwa gluluose m'mabungwe aboma
Masiku ano, m'magulu ena azachipatala, pamakhala zochitika zaulere zopangira zida zoyezera komanso zingwe zoyesa, koma si zipatala zonse zamagulu zomwe zingapatse odwala matenda ashuga kwathunthu. Tsoka ilo, nthawi zambiri pamakhala zochitika zapadera ngati izi zimangopezeka kwa ana olumala okhaokha kapena anzanu.
Koma ndikofunikira kumvetsetsa kuti zida zaulere zamtunduwu za m'magazi a shuga nthawi zambiri zimakhala zopanda pake ndipo sizosiyana pakuchita bwino. Nthawi zambiri, wodwalayo amapatsidwa glucometer yopanga Russian, yomwe nthawi zonse siziwonetsa zolondola pakuyeza kwa magazi, chifukwa chake imawoneka yosadalirika.
Pankhaniyi, palibe chifukwa chokhulupirira mtundu wamtengo wapamwamba komanso wapamwamba kwambiri wosanthula.
Ndikwabwino kuyesa kuti chipangizocho chipite ndikuyesa njira ina, chomwe chikuwonetsedwa pansipa.
Kusanthula kwa stock kuchokera kwa wopanga
Nthawi zambiri, opanga mamita opangidwa ndi magazi kuti alenge ndikugulitsa zomwe amagulitsa amakhala ndi kampeni panthawi yomwe mutha kugula chipangizo chamtengo wapatali pamtengo wotsika kwambiri kapena ngakhale kupeza glucometer ngati mphatso.
Chifukwa chake, odwala matenda ashuga adakwanitsa kale kupeza shuga wa Satellite Express, Satellite Plus, Van Touch, Clover Check ndi ena ambiri. Nthawi zambiri, odwala matenda ashuga amafunsa chifukwa chomwe amachita kapena kuti kampeniyo kuti iperekedwe kuti ipereke mitengo yaulere ngati imeneyi kwaulere, kudikirira kuti akagwidwe.
Zochitika ngati izi zimachitika pazifukwa zingapo, zomwe ndizofala kwambiri pakati pamakampani akuluakulu omwe amapanga zida zamankhwala kwa odwala matenda ashuga.
- Kupititsa patsogolo kotereku ndi njira yabwino kwambiri yotsatsira, chifukwa makina ogulitsa pamitengo yotsika kapena kugawa kwaulere kwa zinthu kumakopa makasitomala atsopano. Ndalama zomwe zimagwiritsidwa ntchito pa mphatso ya odwala matenda ashuga zimalipira mwachangu kwambiri chifukwa chakuti ogwiritsa ntchito amayamba kugula pafupipafupi mizere, malalo, ndikuwongolera mayankho ake.
- Nthawi zina chipangizo chamakedzana, chomwe chimasowa kwambiri pamsika wazinthu zamankhwala, chimaperekedwa ngati mphatso. Chifukwa chake, zida zotere zimatha kukhala ndi ntchito zochepa komanso mawonekedwe osakhala amakono.
- Ndi kuperekedwa kwaulere kwa zida zoyezera, kampani yopanga imalandira mbiri yabwino, pambuyo pake imalandira kutchuka kwambiri. Ogwiritsa ntchito amawunikiranso ntchito za bungwe ndipo amakumbukira kwanthawi yayitali kuti imathandiza anthu odwala matenda ashuga mwachisawawa.
Zifukwa zonsezi ndi mercantile, koma iyi ndi njira yodziwika yokhazikitsira bizinesi, ndipo kampani iliyonse imakonda kupanga phindu kuchokera kwa ogula.
Komabe, izi zimathandiza anthu ambiri odwala matenda ashuga kuchepetsa ndalama, kupeza ma glucometer kwa ana ndi akulu popanda ndalama zina zowonjezera.
Openda zaulere amatengera zinthu zina
Kuphatikiza pa kukwezedwa, makampani amatha kukonza masiku omwe zida zoyezera zimaperekedwa kwaulere ngati wogula akwaniritsa zina. Mwachitsanzo, chipangizocho chimaperekedwa ngati mphatso mukamagula mabotolo awiri amiyeso yamagawo 50 kuchokera ku mtundu womwewo.
Nthawi zina makasitomala amapatsidwa mwayi woti athe kuchita nawo ntchito yotsatsira akafuna kutsatsa malonda ake kwakanthawi. Poterepa, mita ndi yaulere pa ntchito yonse yomwe yachitika.
Komanso, chipangizo choyezera nthawi zina chimaperekedwa ngati bonasi yogulira zinthu zachipatala pamtengo waukulu winawake. Muyenera kumvetsetsa kuti mutha kupeza chipangizocho kwaulere popanda ndalama zambiri, motero dongosolo lotere liyenera kugwiritsidwa ntchito ngati kugula kwakukulu kukonzekera. Koma munjira imeneyi mutha kugula chipangizo chapamwamba kwambiri, mwachitsanzo, Satellite Express.
Ngakhale kuti chinthucho chimapezeka ngati mphatso, musaiwale kuyesa kwambiri woyesererayo, ndipo ngati pakuwonongeka kapena kuwerengera kolakwika, m'malo mwake mukhale ndi yabwinoko.
Kupenda Kwabwino
M'madera ena, ndikotheka kupeza mita kwaulere kwa mwana kapena wamkulu ngati dokotala wapeza mtundu wamphamvu wa matenda a shuga. Komabe, izi ndi zochitika zapadera pomwe olamulira azachipatala atenga udindo wopereka zida zaulere za kuyesedwa kwa magazi.
Dongosolo lofananalo limachitidwa m'maiko ambiri, ndipo kawirikawiri mtengo wa chipangizocho umaphatikizidwa ndi inshuwaransi yamankhwala. Pakadali pano, vuto lopeza owunika okwera mtengo kuti agwiritse ntchito kwaulere kunyumba limakulitsidwa ngakhale m'maiko otukuka.
Ponena za zothetsera, ndizosavuta kupeza Satellite Plus ndi mizere ina; boma la Russia limapereka phindu lapadera kwa anthu omwe ali ndi matenda amtundu wa 1 komanso amtundu wa 2 wa izi.
Kuti mupeze glucometer yaulere ndi zothetsera, muyenera kulumikizana ndi dipatimenti yachitetezo cha anthu pamalo olembetsa.
Pamenepo mutha kufotokozera za omwe amapindulira.
Ubwino wa odwala matenda ashuga
Mu mtundu woyamba wa matenda a shuga, anthu olumala amapatsidwa njira zoyeserera shuga, magazi ndi zinthu zina zofunika. Ubwino umaperekedwanso kwa mwana yemwe ali ndi mtundu wa matenda a shuga a 1. Ngati vutoli ndi lalikulu, wogwira ntchito zachitukuko amapatsidwa wodwala.
Odwala omwe ali ndi mtundu wachiwiri wa matenda a shuga, monga lamulo, safuna kwenikweni insulini, kuti athe kulandila zingwe 30 kuchokera ku boma mwezi umodzi.
Mosasamala mtundu wa matendawa, wodwalayo amapatsidwa chithandizo chamankhwala, odwala matenda ashuga amatha kupita kumalo ochitira masewera olimbitsa thupi kapena kumalo ena azaumoyo. Anthu olumala amalandila penshoni pamwezi. Amayi oyembekezera komanso ana omwe ali ndi vuto la matenda ashuga amapatsidwa ma glucometer okhala ndi mikwingwirima ndi zolembera za syringe.
Ngati ndi kotheka, wodwalayo angagwiritse ntchito ufulu wokhala m'chipinda chaulere kamodzi pachaka ndikulipirira ulendo wopita kumalowo.
Ngakhale wodwala matenda ashuga asakhale ndi chilema, amapatsidwa mankhwala aulere ndi mzere woyesa wa Satellite Plus mita ndi ena.
Sinthanani ndi glucometer yakale kuti ikhale yatsopano
Chifukwa chakuti opanga posachedwa amasiya kupanga ndikuthandizira mitundu payokha, odwala matenda ashuga nthawi zambiri amakumana ndi vuto pakakhala zovuta kugula mzere wowunikira. Kuti muwongolere izi, makampani ambiri amapereka kusinthana kwaulere kwa mitundu yakale ya glucometer kwa atsopano.
Chifukwa chake, odwala atenga mita ya gluu m'magazi a Accu Chek Gow kupita kumalo okufunsirana ndikulandiranso Accu Chek Performa. Chida choterechi ndi mtundu wa lite. Koma ili ndi ntchito zonse zofunika kwa wodwala matenda ashuga. Kusinthana kofananako kumachitika m'mizinda yambiri ya Russia.
Momwemonso, kusinthana kwa zida zamakono Contour Plus, One Touch Horizon ndi zida zina zomwe sizikuthandizidwa ndi wopanga.
Kanemayo munkhaniyi akukamba za zabwino za odwala matenda ashuga.
Momwe mungapezere mankhwala
Chithandizo cha mankhwala aulere chimasankhidwa ndi endocrinologist.
Kuti mupeze mankhwala, wodwala amayenera kudikirira zotsatira za mayeso onse ofunikira kuti adziwe zoyenera kudziwa. Kutengera ndi kafukufukuyu, adotolo amatenga ndandanda ya mankhwalawa, ndikuwonetsetsa kuti athandizidwe.
Mu mankhwala a boma, wodwalayo amapatsidwa mankhwala mosamalitsa mu kuchuluka kwa mankhwala.
Monga lamulo, pamakhala mankhwala okwanira kwa mwezi kapena kupitirira, pambuyo pake wodwalayo ayenera kukaonana ndi dokotala.
The endocrinologist alibe ufulu wokana kulemba mankhwala ngati wodwala atazindikira kuti ali ndi matenda ashuga pakadi. Izi zitachitika, muyenera kulankhulana ndi dokotala wamkulu wakuchipatala kapena akatswiri azaumoyo.
Ufulu wamitundu ina yothandizira, kaya ndi mankhwala osokoneza bongo kapena zida zoyeza shuga, imakhalabe ndi wodwala wa endocrinologist. Njirazi zili ndi zifukwa zovomerezeka mwalamulo la Decree of the Government of the Russian Federation of July 30, 94 No. 890 ndi Letter of the Ministry of Health No. 489-BC.
Malamulo omwe awerengedwa amakhazikitsa mabungwe azaumoyo kuti apatse odwala osowa mankhwala ndi mankhwala.
Tsitsani kuti muwone ndikusindikiza
Kukana maubwino
Amaganiziridwa kuti ngati akukana chitetezo chokwanira, odwala matenda ashuga amalandira ufulu wothandizidwa ndi boma. Makamaka, tikulankhula za kubwezerera kwakuthupi kwa ma voti osagwiritsidwa ntchito mu Sanatorium.
Pochita, kuchuluka kwa zolipira sikupita poyerekeza ndi mtengo wopumira, kotero kukana maubwino kumachitika pokhapokha. Mwachitsanzo, ulendo ukakhala wosatheka.
Timalongosola njira zingapo zothanirana ndi mavuto azamalamulo, koma milandu iliyonse ndi yapadera ndipo imafunikira thandizo lamilandu payokha.
Kuti mupeze yankho lanu mwachangu, tikukulimbikitsani kulumikizana azamalamulo oyenererana ndi tsamba lathu.
Kodi glucometer ndiyofunikira nthawi zonse kwa matenda ashuga
Glucometer amachotsa kufunika kokachezera ma labotale tsiku lililonse, komanso kuthandiza:
- santhula kusintha mukatha kudya, zolimbitsa thupi,
- kupewa matenda a hypoglycemia (kugwa kwamphamvu m'magazi), omwe amapha, makamaka usiku,
- Sankhani bwino kuchuluka kwa mankhwala a insulin kapena mapiritsi, poganizira zomwe mwachita.
- onani phindu la chiphuphu cha shuga,
- letsa kukula kwa zovuta za matenda obwera chifukwa cha kuchuluka kwa magazi m'thupi,
- kusintha zakudya zanu panthawi yake.
Ndipo nazi zambiri pazokhudza mkate wamagulu a shuga.
Ndi matenda a shuga 1
Odwala ambiri ali ndi insulin. Imaperekanso kukhazikitsidwa kwa mankhwala omwe akhala akuchita kamodzi kapena kawiri patsiku (m'mawa, madzulo). Kuphatikiza apo, mphindi 30 chakudya chachikulu chisanachitike, insulin yochepa imaperekedwa. Muzochitika zina, muyenera kuyeza zizindikiro zinayi patsiku:
- m'mawa mutadzuka,
- musanagone
- musanalowetse insulin yochepa musanadye nkhomaliro.
Kamodzi pa sabata, tikulimbikitsidwa kuti tidziwe zomwe zimachitika pakudya - kuwongolera kuchuluka kwa shuga mutatha kudya. Pakusankhidwa kwa Mlingo kapena matenda ophatikizika, kupsinjika, kusintha kwakukulu mu zochitika zolimbitsa thupi, regimen ya tsiku ndi tsiku, kusanthula koteroko kumawerengedwa kuti ndi koyenera. Maphunziro achilendo a glycemic ndi ofunika musanayendetse, ndikusinthira ku mankhwala ena.
Ndi mtundu 2
Ngati wodwala watchulidwa mapiritsi kuti muchepetse magazi, ndiye kuti chithandizo choyenera chimaphatikizapo miyezo:
- poyamba kupezeka kwa matenda ashuga kapena kuwonongeka kwake (chikomokere, kusintha kwakachetechete kwa glycemia) - kanayi pa tsiku (m'mawa, madzulo, chakudya chamadzulo chisanachitike komanso patatha maola awiri),
- mukamagwiritsa ntchito piritsi lokonzekera pokha, Bayeta, Viktoza - nthawi imodzi patsiku panthawi zosiyanasiyana. Kamodzi pa sabata - chakudya chilichonse musanadye komanso maola awiri asanagone (mbiri ya glycemic),
- kuphatikiza mapiritsi ndi insulin - kawiri pa tsiku nthawi zosiyanasiyana komanso kamodzi pa sabata pa mbiri ya glycemic.
Mukasinthira mankhwala a insulin, miyezo imachitika, monga mtundu woyamba wa matenda. Ngati wodwalayo ali ndi prediabetes kapena njira yofatsa yamatenda, amamulembera yekha zakudya ndi zitsamba, ndiye kuti shuga imawunikidwa kamodzi pa sabata panthawi zosiyanasiyana za tsiku.
Ndi gestational
Matenda a shuga panthawi yoyembekezera ndi owopsa kwa mayi woyembekezera ndi mwana. Chifukwa chake, amayi amafunikira shuga wokwanira kasanu ndi kawiri m'magazi:
- pamaso chakudya isanafike insulin
- ola limodzi mutatha kudya,
- musanagone.
Osachepera kamodzi pa sabata, glycemia imawonjezeranso nthawi ya 3 a.m., 6 a.m.
Momwe mungasankhire glucometer
Zida zonse zamakono ndizochepa kukula, zowonetsa. Nthawi yomweyo, umisiri wawo ndi luso lawo, mtengo wake umatha kusiyanasiyana. Kutengera zosowa zanu, mutha kusankha:
- yokhala ndi skrini yayikulu komanso yambiri ya anthu olumala.
- kuwunikira kowonjezereka mumdima (ngati kuli kotheka, miyezo yausiku),
- kulipira kuchokera pakompyuta, laputopu (USB yolumikizana),
- zofanana ndi kuyendetsa kung'ambika koyezetsa magazi pafupipafupi pansi pamagwiritsidwe,
- popanda kufunika kolowetsa kachidindo mukakhazikitsa mayeso oyesa.
Pogula, muyenera kuyang'anira osati mtengo wa mita, komanso mizere yake yoyesera. Izi zimatha kugula ndipo zimapanga gawo lokwanira ndalamazo pounikira njira ya matenda ashuga. Ndikofunikira kuti ma strips awa amapezeka nthawi zonse mumakampani ogulitsa mankhwala. Chifukwa chake, tikulimbikitsidwa kusankha opanga opambana ndi odalirika okhala ndi maofesi oimira m'dziko lomwe mukukhalamo.
Onerani vidiyoyi momwe mungasankhire mita ya glucose:
Palinso zitsanzo zomwe sizikufuna ma puncture ndi ma strips oyesa, poyesa kukoka ndi kukakamiza. Tsoka ilo, si onse a iwo omwe ali ndi kulondola koyenera panobe. Musanagule ndikofunikira kuphunzira mosamala zolemba zotsatirazi, kupezeka kwa satifiketi.
Kodi ndizotheka komanso momwe mungapezere chipangizo chaulere
Kwa odwala omwe ali ndi matenda a shuga 1, thandizo kuchokera ku boma limaperekedwa - insulin ndi shuga wamagazi. Glucometer yaulere imangoperekedwa kwa odwala omwe amalembedwa mosalekeza insulin. Zingwe zoyesera zimayikidwa pazipinda zitatu patsiku.
Ngati wodwala ali pamapiritsi, ndiye kuti amalandiranso gawo lawo laulere. Amapatsidwa 1 test strip patsiku, mita amagulidwa ndi ndalama zake. Kusiyana ndi kwa omwe ali ndi vuto la khungu, boma limawapatsa zida. Ndi matenda a shuga a 2 ndikuyika insulin, malamulo onse amagwira, monga mtundu 1.
Endocrinologist, yemwe ali ndi wodwala wovomerezeka, amatumiza mankhwala kuti azilandira chipangizocho ndi zomwe amapereka. Kuphatikiza pa ndondomeko ya zamankhwala, satifiketi ya inshuwaransi, satifiketi yochokera ku Pension Fund imaperekedwa. Akutsimikizira kuti wodwalayo sanakane zopindulitsa chifukwa chobwezeredwa ndalama.
Malamulo Oyeza shuga
Popeza thanzi komanso chiyembekezo chamoyo chambiri chimadalira kulondola kwa kusanthula, ndikofunikira kutsatira zoyezera zake ndendende. Zinthu zambiri zimawonetsedwa mu malangizo a chipangizocho. Malamulo akulu:
- pamafunika kusowa kwathunthu kwa zinthu zonse zomwe zimatha kukhudzidwa panthawi yodziwitsa, kukhala ndi chamba chakotoni ndi mowa womwe ulipo,
- kuboola zala za 3-5,
- Musanayesedwe magazi, sambani m'manja ndi sopo m'madzi ofunda, pukuta bwino, pukutirani manja anu, ndikufinya zala zanu kangapo,
- lowetsani chida chofinya cha chala cham'mphepete mwa 2-3 mm, simungathe kufinya chala chanu pofinya magazi, chifukwa minyewa ya minye imalowa.
- dontho loyamba limachotsedwa ndi thonje, ndipo lachiwiri limayikidwa kumtambo woyeserera, kenako limayikidwa m'dzenje la mita,
- kuti musawononge gawo loyesa, liyenera kusungidwa m'malo owuma, ma phukusiwa ayenera kutsekedwa kwathunthu. Amachotsedwa nthawi yomweyo asanasanthulidwe ndi zala zoyera komanso zowuma.
Kuwerenga kwamamita
Kudalirika kwa glucometer amakono pakupanga glycemia kumayandikira 94%. Mwambiri, izi ndizokwanira kuthandiza pazofunikira. Komabe, ndikofunikira kuyezetsa magazi kuchokera m'mitsempha kamodzi pamwezi mu labotale, komanso kamodzi masiku 90 kuti aunike hemoglobin wa glycated. Pali zinthu zina zomwe zimatha kupotoza muyeso. Izi zikuphatikiza:
- Kuchepetsa magazi ndi kuyendetsa njira zambiri,
- magazi amatuluka mkati mwa madzi am'mimba, kutsegula m'mimba, kusanza,
- kuchepa kwa magazi, kuchepa magazi, khansa ya magazi,
- kusala
- matenda am'mapapo.
Kuzindikira momwe zimakhalira, kuyezetsa magazi ndi kutsimikiza kwa hematocrit kumafunika.. Ngati mkaka kapena mowa udamwa kale muyeso, shuga wa shuga anali mu chakudya, immunoglobulin imathandizidwa, ndiye kuti kuthyolako kungakhale chifukwa cha kupezeka kwa michere ina yosavuta mwa iwo.
Mlingo waukulu wa Aspirin, Paracetamol, Vitamini C umapereka ndemanga yomweyo. Mowa, mafuta amphamvu, mafuta ochulukirapo, ndi mafuta amapotoza zosowa. Zikatero, ndikofunikira kuti gawo pakati pamagwiritsidwe awo ndi muyeso ndi maola 1.5-2 kapena kupitirira.
Ndipo izi ndizokhudza kupewa matenda ashuga.
Glucometer ndichinthu chofunikira kwambiri pakudziyang'anira pawokha shuga. Kutengera mtundu wamatenda ndi chithandizo chomwe apatsidwa, miyezo ya glucose 1 mpaka 7 ingafunike. Mukamasankha chida, mawonekedwe ake ndi zosowa zake zimayang'aniridwa. Odwala amapatsidwa glucometer yaulere ndi mizera yoyeserera popereka mankhwala a insulin. Miyeso imapangidwa poyang'ana malamulo ogwiritsira ntchito chipangizochi, zinthu zomwe zingasokeretse magwiridwe.
Muyenera kudya zipatso za matenda ashuga, koma si onse. Mwachitsanzo, madokotala amalimbikitsa mitundu 1 ndi 2, yamatenda a shuga kwa amayi apakati. Mungadye chiyani? Ndani amachepetsa shuga? Zomwe sizotheka?
Hypoglycemia imapezeka mu matenda osokoneza bongo osachepera kamodzi mu 40% ya odwala. Ndikofunikira kudziwa zizindikiro zake ndi zomwe zimayambitsa kuti muyambe kulandira chithandizo munthawi yake ndikukhala ndi prophylaxis yokhala ndi mtundu 1 ndi 2. Usiku ndizowopsa.
Ndikofunikira kuti odwala aphunzire momwe angawerengere bwino za matenda amishuga. Izi zikuthandizani kudya moyenera komanso osasintha mtundu wa insulin. Momwe mungawerengere XE pazogulitsa? Kodi dongosolo limagwira bwanji?
Kukayikira kwa matenda ashuga kumatha kukhalapo kwa zizindikiro zodandaula - ludzu, kutulutsa mkodzo kwambiri. Kukayikiridwa kwa shuga kwa mwana kumachitika pokhapokha ndikomoka. Kuyeserera pafupipafupi komanso kuyezetsa magazi kumakuthandizani kusankha zoyenera kuchita. Koma mulimonsemo, chakudya chimafunika.
Matenda a matenda ashuga amapewedwa mosasamala mtundu wake. Ndikofunikira mu ana panthawi yomwe ali ndi pakati. Pali zovuta zoyambira ndi sekondale, pachimake komanso mochedwa mu mtundu 1 ndi matenda ashuga 2.
Glucometer ngati mphatso kumalo okhala
Munthu yemwe ali ndi matenda ashuga amayenera kupita kwa dokotala kuchipatala chachigawo kamodzi pamwezi.
Dokotala wanu atha kukuthandizani kupeza mita ya glucose yaulere ngati mungathe.
Ndalama zina za m'matauni zimapereka ndalama zogulira zida za anthu odwala matenda ashuga. Tsoka ilo, mapulogalamu ngati amenewo sapezeka m'magawo onse a Russia.
Kuphatikiza apo, gawo la makampani opanga limapereka zinthu zawo kwaulere, popeza mphatso yotereyi imawonjezera kugulitsa kwa zingwe zoyeserera. Oimira makampani nthawi zambiri amapereka ma glucometer kuti agawidwe kwaulere kupita kwa madokotala azachipatala.
Glucometer ngati mphatso m'chigawo chapakati
M'mizinda yambiri yayikulu ya Russia, malo apadera a shuga amapangidwa bungwe. Pamaziko azachipatala choterocho, odwala amatha kukayezetsa ndi kuphunzira.
Madokotala kumalo opangira matenda a shuga nthawi zina amakhala ndi mwayi wopereka mita kwa wodwala kuchokera kwa wopanga. Makampani akuluakulu omwe amafuna kugawa zinthu zawo nthawi zambiri amalumikizana moyenera ndi madokotala a kuchipatala.
Mabungwe achifundo
Mabungwe osiyanasiyana othandizira amapereka thandizo kwa odwala matenda ashuga. Kuti mupeze mita ya glucose yaulere, muyenera kudziwa ndalama ndi magulu omwe amagwira ntchito mdera lanu. Mabungwe omwe amagwira ntchito zothandiza kwambiri amathandizira magulu okhala nzika (ana amasiye, olumala, otenga nawo mbali pazovuta).
Tsiku la Anthu Omwe Akulumpi Ashuga Padziko Lonse limakondwerera chaka chilichonse pa Novembara 14th. Zambiri mwazomwe zimachitika, kuphatikiza kugawa kwaulemu kwa ma glucometer, zimakonzedwa kuti zigwirizane ndi lero.