Kodi ndizoyenera kuyika pampu ya insulin? Ubwino ndi kuipa

Ulalo woweruzira makhothi: http://batajsky.ros.sudrf.ru/modules.php?name=sud_delo&srv_num=1&name_op=doc&number=204954504&delo_>

Moni nonse!

Tikufuna kugawana nanu mbiri yakukangana kwathu ndi nthambi yayikulu ya boma pankhani yazaumoyo wa anthu.

Tidzakhala okondwa ngati nkhaniyi ikulimbikitsani kuti muchitepo kanthu kuti mukhazikitse ufulu wanu, poganizira zitsimikiziro zomwe zilipo mu malamulo a Russian Federation.

"Zovuta Zovuta"

Tinalemba kale za boma la Russian Federation la pa Disembala 29, 2014 No. 2762-R “Tavomereza mndandanda wazachipatala womwe unaikidwa mthupi la munthu popereka chithandizo chamankhwala ngati gawo limodzi la dongosolo la boma la chitsimikizo chazachipatala chaulere kwa nzika, komanso mndandanda wazinthu zoperekedwa kuchipatala malinga ndi zomwe mankhwala akuchipatala akupereka pomwe pakugwira ntchito zothandiza anthu ”osainidwa ndi Wapampando wa Boma la Russia.
Kutengera lamuloli, odwala omwe ali ndi matenda amtundu wa 1 ndi mtundu wa 2 amasamutsidwa kupita ku insulin m'malo mwake pogwiritsa ntchito insulin pump, pansi pa pulogalamu yotsimikizira boma (kupereka chithandizo chamankhwala chapamwamba kuchokera ku inshuwaransi yokakamizidwa), kwaulere.

Nthawi yomweyo mumakhala ndi funso kuti mupeze bwanji nkhaniyi.

Muyenera kulumikizana ndi dokotala ku endocrinologist kumalo komwe mungakhale, titha kunena nthawi yomweyo kuti madokotala 60 a endocrinologists angakuyankheni kuti sanamve chilichonse chokhudza izi! Poterepa, muyenera kuchititsa kalasi ya master kwa dotolo pankhani ya malamulo a Russian Federation. Sindikizani ndi kumudziwitsa dotolo zolemba zotsatirazi zovomerezeka:

- Boma la Russian Federation Lamulo la Disembala 29, 2014 N 2762-r "Kuvomerezedwa ndi mndandanda wazida zakuchipatala zomwe zayikidwa mthupi la munthu popereka chithandizo chamankhwala monga gawo la pulogalamu yotsimikizira za chithandizo chaulere kwa nzika, komanso mndandanda wazinthu zachipatala zomwe zaperekedwa chifukwa cha mankhwala malonda popereka magulu azithandizo zathanzi. "

- Lamulo la Boma la Russian Federation la Novembara 28, 2014 N 1273 "Pa Dongosolo La State Guaranteed for Free Providence of Medical Aid for Citizens for 2015 and for Planning Planning of 2016 and 2017".

Zolemba zolembedwazi zimakhala ndi chidziwitso chokhudza kusamutsira insulin m'malo mwamankhwala ogwiritsa ntchito pampu ya insulin ya odwala omwe ali ndi mtundu woyamba wa 2 ndi matenda a shuga.

! Zofunika! Tikukulimbikitsani kuti mudzidziwe bwino zamalamulo zovomerezeka musanawonetse adokotala ndikulankhula naye!

Ndipo apa pakubwera gawo lanu loyamba pampu ya insulin.

Dotolo angayankhe kuti sakudziwa momwe angapangire izi ndi momwe angawongolere.

Ndipo motere, ntchito yanu ndikuti muthandize dokotala wanu kuthetsa vutoli:

- Order of the Ministry of Health of the Russian Federation of December 29, 2014 N 930н "Kuvomerezedwa ndi bungwe kuti liperekedwe kwa akatswiri odziwa ntchito zamankhwala ogwiritsira ntchito zida zapamwamba".

Lamuloli lili ndi chilichonse chofunikira kuti dokotala wanu azitha kuthana ndi kapangidwe kake komanso zolemba zanu zachipatala kuti muganizirenso ndikugawa nambala yopereka VMP kuchokera ku inshuwaransi yokakamizidwa ndi Ministry of Health kapena dipatimenti yaumoyo (m'malo osiyanasiyana).

Ganizirani zochitika zomwe dokotala wanu samafuna, sangathe, sakudziwa, salola, angandibweretsera izi, ndi zina zambiri. etc.

Ntchito yanu ndikuthandiza dokotala wanu, kupanga chisankho chokhacho komanso cholondola, chifukwa cha inu:

- lemberani apilo ku Unduna wa Zaumoyo kapena ku Unduna wa Zaumoyo m'dera lanu (muli ndi zidziwitso zonse zofunikira pankhaniyi ndipo mwaphunzira) potengera malamulo omwe tafotokoza pamwambapa.

- lembani zofananira zonse, pokhapokha ngati dzina la Woyambitsa milandu kudera lanu kupita ku ofesi ya otsutsa chigawo kapena chigawo.

Nthawi yowerengera pulogalamuyi ikhala masiku 30 mgwirizanowu ndi Federal Law of the Russian Federation yomwe idachitika pa 02.05.2006 No. 59 "Pa Procedure for Consideration of Application of Citizens of Russian Federation".

Monga momwe nkhaniyi ikusonyezera, adotolo angakuthandizeni kudziwa momwe mungapangire ndikutumiza zikalata zanu ku Unduna wa Zaumoyo kapena ku Dipatimenti ya Zaumoyo mdera lanu, kuti muganize zokhazokha ngati mungapatse nambala yapa pampu yanu pokhapokha pokwaniritsa bajeti (yachigawo), kapena chifukwa cha inshuwaransi yokakamiza ya chipatala ( koma pankhaniyi ndikofunikira kupeza malingaliro a dotolo wothandizira wa endocrinologist, kupeza kuchotsera ku khadi lapaulendo, lingaliro la VC kukhazikitsa pampu ya insulin, komanso kutumizira ku bungwe T ruble, amene, malinga ndi laisensi ntchito zachipatala adzakhala lakuti mkulu zamakono apadera chithandizo). Izi ndizosavuta chifukwa sikofunikanso kupereka mtengo, ndipo kukhalabe kwanu kuchipatala sikulipidwa kuchokera ku bajeti yachigawo mkati mwa gawo lomwe mwapatsidwa, koma kuchokera ku ndalama za inshuwaransi yokakamizidwa yamankhwala.

Ndipo kenako pakubwera tsiku lomwe mwakhala likuyembekezera mukapeza gawo loti mudzayike pampu ya insulin.

Zomwe muyenera kulabadira.

- Pa code ya quota ndi malongosoledwe (omwe akuphatikizidwa pamndandandawu) omwe amaperekedwa kudzera mu VMP kuchokera ku ndalama za inshuwaransi yokakamizidwa yazachipatala.

Pambuyo pa gawo lomwe mwapatsidwa, mudzapezeka kuti muli m'dipatimenti yachipatala ya insulin, ndikofunikira kuti mumvetsetse kuti popanda kuphunzitsa kumakhala kovuta kuti mumvetsetse chipangizochi, ndipo kupita kusukulu ya shuga ndikofunikira komanso kofunikira.

Monga momwe chiwonetsero chikuwonetsera, mudzaloledwa kusaina pepala lomwe likuchenjezedwa kuti zochulukitsa za pampu ya insulin siziphatikizidwe mndandanda wazida zamankhwala zomwe zimagulitsidwa ndi mankhwala (paramedic) kwaulere, ndipo mukuvomera kugula zogulira mwanjira yanu.

! CHIYAMBI! Pepa ili siloyenera kusaina chifukwa m'tsogolomo zimakhala zovuta kwambiri kukwaniritsa zopereka zaulere, kapena lembani zina monga:

- Ndidziwa zikhalidwe zoperekera ku pump insulini ngati gawo langa ndikukhala kuchipatala ndikupereka VMP, koma sindikuvomereza.

Pampu idayikidwira inu, mwachotsedwa kuchipatala, ndipo mwapatsidwa epicgency, momwe machitidwe othandiziridwira kunja akuyenera kufotokozeredwa, ndi chisonyezo cha mankhwala ndi njira zodziyimira, komanso zopereka insulin pampu pofunikira pamwezi. (LEMBANI KUYESA izi ndi mfundo yofunika kwambiri). Ndikofunikira kuti zopereka pampope (catheters) zizisinthidwa kamodzi masiku atatu kuti tipewe zovuta chifukwa cha kulowetsedwa kwa malo a jakisoni (kulowetsedwa, fibrosis), kutsekeka kwa catheter ndi zinthu za m'magazi, zomwe zimapangitsa kuti magazi awonjezeke.

“ZOSAVUTA ZINTHAZO”

Pambuyo pa njira zonse zomwe mwatenga pokhazikitsa insulin, mwadzidzidzi mudzakhala ndi funso lokhudza zothetsera. mtengo wamba, kutengera zosowa za pamwezi, pafupifupi ruble 10,000,000! (kupatula mtengo wamiyeso yoyesa, tikukhulupirira kuti mupeza zida zodzilamulira nokha kwaulere, malinga ndi malamulo ogwiritsira ntchito) Ndipo pankhaniyi, muli ndi zosankha ziwiri zachitukuko:

- gulani zinthu zanu zandalama (iyi ndi njira yosavuta koma yodula).

- kufunafuna zopezeka kwaulere zothetsera (iyi ndi njira yovuta komanso yayitali).

Ngati mwasankhira njira yoyamba ndikukonzekera kugawana ndi ndalama zomwe mumapeza movutikira, apa ndi pomwe nkhani yathu imathera kwa inu).

Tikufuna kukambirana pang'ono pachiwonetsero chachiwiri cha zochitika zomwe zili ndi zotsalazo zaulere pampu ya insulin, kwa iwo omwe asankha kuti apambane!

Zomwe zimagwirizana ndi izi zimapuma pa bajeti yachigawo, ndipo dera silikufuna kukuthandizani.

Chinthu choyamba chomwe mukufuna ndikupeza gulu la zamankhwala kuti lipange chisankho pakukupatsani zofunika pampu yanu ya insulin. Pankhaniyi, ndi lingaliro la VC pamalo omwe mumalandira chithandizo chachipatala (chipatala komwe mumakhala).

- Commissionyo iyenera kukhala ndi funso: kupereka zinthu zachipatala POPANDA m'ndandanda wa mankhwala ofunikira komanso ofunikira ndi mankhwala (ichi ndi ntchito yovuta, koma mutha kukwaniritsa izi!)

Ngati mukukana kuchita msonkhano wa VK, ndikosautsa kuti izi zitheke mwa njira iliyonse (sing'anga wamkulu, oyang'anira, ofesi ya wotsutsa, Roszdravnadzor).

Ngati mwayi wakusekererani ndipo VC itatha, mumapita kumapeto.

Sungani zolemba zonse komanso khothi kuti zikuthandizeni!

Ngati lingaliro la akuluakulu achipatala, khothi lidzakhala kumbali yanu, koma simungathe popanda thandizo la loya wodziwa ntchito!

Nkhani yonseyi idakhazikitsidwa ndi zochitika zenizeni zomwe zasonkhanitsidwa pazochitikira ndi zomwe mumachita pankhaniyi!

Khulupirirani nokha, menyani ufulu wanu.

Wodzipereka, Dmitry g. Rostov-on-Don ndi Mikhail g. Murom

Zambiri

Chifukwa chake, pampu ya insulin ndi chipangizo chowongolera chawongolera pakompyuta. Pafupifupi, kulemera kwa zida zamtunduwu ndi magalamu 65-100 ndipo, kwakukulukulu, ndimayendedwe amagetsi omwe amatsata magwiridwe antchito a endocrine system. Wodwala amayenera kuvala mpope nthawi zonse.

Kusiyanitsa kwakukulu kuchokera ku jakisoni wamba ndikuti pampu imapereka ma insulin analogues okhazikika (basal-bolus insulin tiba).

Momwe mungagwiritsire ntchito pampu ya insulin

Pampu ya insulin ili ndi magawo atatu:

M'malo mwake, mapampu okhala ndi pulogalamu yamagetsi yamagetsi,

m'malo osungirako insulin,

kulowetsedwa wokhazikika ndi cannula ndi dongosolo la tubing.

Cannula ndi singano yapadera (zitsulo, pulasitiki kapena ceramic) yomwe ili pansi pakhungu la wodwalayo mosalekeza. Kudzera mu izi, pakukonzekereratu, Mlingo wa insulin wokonzedweratu umabayidwa.

Kutengera mtundu wake, nkhokwe ya insulin ikhoza kutayika ndikuyibwezeretsa, kapena kuyisintha. Pachiwiri, wodwalayo azidzaza yekha ndi mankhwala musanagwiritse ntchito.

Kukhazikitsa pampu ya insulin ndi motere:

Tsegulani posungira ndikuchotsa piston yomwe imalowetsa mankhwalawo,

Ikani singano ndikuwonjezera ndi insulin,

Lowetsani mpweya mu zochulukirapo kuti mupewe vutoli,

Lowetsani insulin m'malo osungira ndikachotsa singano,

Finyani mitsuko m'mphepete mwa madziwo ndi kuchotsa pisitoni,

Lumikizani kulowetsedwa kwa chubu ku dongosolo,

Ikani cholumikizidwacho pampope ndipo dzazani chubu (drive insulin ndi (ngati kupezeka) thovu la mpweya kudzera mu chubu). Poterepa, pampu iyenera kulekanitsidwa ndi munthu kuti apewe insulin mwangozi.

Lumikizanani ndi tsamba la jakisoni (ndikwaniritsani cannula ngati chida chatsopano chayikidwa).

Zovuta za mapampu a insulin

Ku Russia, chiwerengero cha odwala matenda a shuga omwe amagwiritsa ntchito mapampu a insulin chikuwonjezeka chaka chilichonse - pafupi chikwi cha odwala chaka chilichonse. Komabe, poyerekeza ndi United States, chiwerengerochi chidakali chochepa. Ku America, mapampu amaikidwa pafupifupi 80% ya anthu odwala matenda ashuga, ku Europe - mu 70%.

Chifukwa chachikulu ndi kukwera mtengo kwa zida. Ndipo uku ndikubwezera kwakukulu kwa pampu ya insulin, mtengo womwe mumsika umachokera ku 70 mpaka 250,000 ma ruble. Kuwonongeratu pafupipafupi insulini ndi kulowetsedwa kosakaniza (singano, malo osungirako, ndi zina) kuyenera kuwonjezedwa kwa izi; pafupifupi, ndalama zidzafika mpaka ruble 10,000,000 pamwezi.

Chododometsa china: pampu imafunikira kugwiridwa mosamala ndi malingaliro osamala kwambiri. Pambuyo poika, muyenera kuwunika mosamala mlingo wa insulin - pamakhala chiopsezo chotenga hyperglycemia, kapena mosemphanitsa - ketoacidosis. Pankhaniyi, pampu iliyonse posachedwa imavumbula kuyambitsa kwa insulin pambuyo chakudya chokwanira. Muyenera kuzisintha kuti muzidya.

Pali zolakwika zochepa zomwe sizodziwika, monga zovuta. Ngakhale kuti pampu ndi yayikulu kuposa pager kukula, ikhoza kusokoneza zochitika za tsiku ndi tsiku.

Kodi pampu ya insulin imagwira ntchito bwanji?

Pampu ya insulini imakhala ndi pampu yomwe imatulutsa insulin ndi chizindikiritso chochokera kuzowongolera, makatoni okhala ndi yankho la insulin, seti ya cannulas yoyikapo pansi pa khungu ndi machubu olumikiza. Zina zomwe zimaphatikizidwa ndi mabatire a pampu. Chipangizochi chimapatsidwa insulin yochepa kapena ya ultrashort.

Mlingo wa insulini ukhoza kupangidwa, ndiye kuti palibe chifukwa chogwiritsira ntchito insulin yayitali, ndipo kubisala kwakumbuyo kumayesedwa ndi jakisoni wambiri. Asanadye chakudya, pamakhala mlingo wa bolus, womwe umakhazikitsidwa pamanja malinga ndi chakudya chomwe watenga.

Kusintha kwa shuga m'magazi mwa odwala omwe ali ndi insulin mankhwala nthawi zambiri kumayenderana ndi kuchuluka kwa insulin yayitali. Kugwiritsa ntchito pampu ya insulin kumathandiza kuthana ndi vutoli, chifukwa mankhwala ofupika kapena a ultrashort ali ndi mbiri yokhazikika ya hypoglycemic.

Ubwino wa njirayi ndi monga:

1. Yodziwika dosing yaying'ono.
2. Chiwerengero cha ma punctures a khungu amachepetsedwa - makonzedwe amabwezeretsedwa kamodzi masiku atatu.
3. Mutha kuwerengera kufunika kwa insulin ya chakudya molondola kwambiri, ndikugawa kuyambitsa kwake kwa nthawi yopatsidwa.
4. Kuwunikira kuchuluka kwa shuga ndi zochenjeza za odwala.

Zisonyezero ndi contraindication kwa pampu insulin mankhwala

Pofuna kumvetsetsa mawonekedwe a pampu ya insulin, wodwalayo ayenera kudziwa momwe angasinthire mankhwalawa kutengera chakudya ndi kukhalabe ndi mtundu woyambira wa mankhwalawo. Chifukwa chake, kuwonjezera pa chikhumbo cha wodwalayo, maluso a insulini ayenera kupezeka kusukulu ya odwala matenda ashuga.

Ndikulimbikitsidwa kugwiritsa ntchito chipangizocho chokhala ndi glycated hemoglobin yambiri (oposa 7%), kusinthasintha kwakukulu kwa shuga m'magazi, pafupipafupi matenda a hypoglycemia, makamaka usiku, chodabwitsa cha "m'mawa", pakukonzekera kutenga pakati, kubereka mwana ndikubala, komanso ana.

Pampu ya insulin siyikulimbikitsidwa kwa odwala omwe sanadziwe luso la kudziletsa, kukonza zakudya, kuchuluka kwa zolimbitsa thupi, kulumala kwam'mutu komanso kwa odwala omwe samawona bwino.

Komanso, popanga insulin mankhwala ndikulowetsa kudzera pampu, ziyenera kukumbukiridwa kuti wodwalayo sanatenge nthawi yayitali insulin m'magazi, ndipo ngati mankhwalawo ayimitsidwa pazifukwa zilizonse, ndiye kuti magazi ayamba kukula mkati mwa maola 3-4 shuga, ndi kupangika kwa ma ketones kumakulira, zomwe zimayambitsa matenda a diabetesic ketoacidosis.

Chifukwa chake, ndikofunikira nthawi zonse kuganizira zovuta za chipangizocho ndikukhala ndi insulin ndi syringe yolamulira, komanso kulumikizana ndi dipatimenti yomwe idayikira chipangizocho.

Nthawi yoyamba yogwiritsira ntchito pampu kwa odwala omwe ali ndi matenda ashuga ayenera kuyang'aniridwa ndi dokotala nthawi zonse.

Pampu ya insulin yaulere

Mtengo wa pampu ndi wokwera kwambiri kwa ogwiritsa ntchito wamba. Chipangacho chokha chimagwiritsa ntchito ma ruble oposa 200, kuphatikiza apo, muyenera kugula kugula zinthu mwezi uliwonse. Chifukwa chake, odwala matenda ashuga ambiri ali ndi chidwi ndifunsolo - momwe angatulutsire inshuwaransi yaulere.

Musanafikire kwa dokotala za pampu, muyenera kuwonetsetsa kuti ndi yothandiza komanso yofunikira pa vuto linalake la matenda ashuga.Kuti muchite izi, malo ogulitsa ambiri omwe amagulitsa zida zamankhwala amapereka kuyesa pampu yaulere.

Pakangotha ​​mwezi umodzi, wogula ali ndi ufulu wogwiritsa ntchito mtundu uliwonse wa zomwe wasankha popanda kupereka, ndiye muyenera kuibweza kapena kuigula mwanjira yanu. Munthawi imeneyi, mutha kuphunzira momwe mungagwiritsire ntchito ndikuzindikira zovuta ndi zabwino za mitundu yambiri.

Malinga ndi kayendetsedwe kake, kuyambira kumapeto kwa chaka cha 2014 ndizotheka kupeza pampu yothandizira insulini mwakutaya ndalama zomwe zimaperekedwa ndi boma. Popeza madotolo ena alibe chidziwitso chokwanira zokhuza kuthekera uku, ndikofunikira kuti azichita nanu zisanachitike, zomwe zimapereka ufulu kwa odwala matenda ashuga.

Kuti muchite izi, muyenera zikalata:

• Lamulo la Boma la Russian Federation No. 2762-P la Disembala 29, 2014.
• Lamulo la Boma la Russia Federation Namba 1273 ya 11/28/2014.
• Order of the Ministry of Health of the Russian Federation Nambala 930n kuyambira pa Disembala 29, 2014.

Ngati mwalandira kukanidwa kuchokera kwa dokotala, ndikulimbikitsidwa kuti mulumikizane ndi Dipatimenti ya Zaumoyo kapena Unduna wa Zaumoyo kuti mulumikizane ndi zikalata zoyenera. Mwalamulo, mwezi umaperekedwa kuti uganizire ntchito izi.

Pambuyo pake, poyankha molakwika, mutha kulumikizana ndi ofesi ya wotsutsa.

Kukhazikitsa kwaphampu

Dokotala atapereka lingaliro lakufunika kokapereka mapampu a insulini yaulere, muyenera kupeza zochotseredwa zonse kuchokera ku khadi lakunja, komanso lingaliro la bungwe la zamankhwala kukhazikitsa chida. M'munda wa wodwalayo mumalandira zothandizira kupita ku insulin pump pump, komwe kudzayambitsidwa pampu.

Ikaikidwa mudipatimenti, odwala matenda ashuga amayesedwa ndipo amatsata njira yochizira matenda a insulin, komanso maphunziro ogwiritsa ntchito pakompyuta moyenera. Pamapeto pa maphunziro a sabata ziwiri wokhala mu dipatimentiyo, wodwalayo amapemphedwa kuti apange chikalata chomwe chimanena kuti pompo sichimaperekedwa kwaulere.

Mwa kusaina pangano loterolo, wodwala wodwala matenda a shuga amavomera kugula zinthu mwaulere. Malinga ndi kuyerekezera kosakhala bwino, zingawonongeke kuchokera ku ruble 10,000 mpaka 15,000. Chifukwa chake, mutha kugwiritsa ntchito mawu akuti: "Ndikudziwa bwino zomwe zalembedwazo, koma osagwirizana," ndikokhapokha ngati mungosayina.

Ngati palibe chikalata chotere m'ndimeyo, ndiye kuti zingakhale zovuta kupeza zinthu popanda kulipiritsa. Njira yowalembetsa muzochitika zilizonse ndi yayitali ndipo muyenera kukonzekera kuteteza bwino ufulu wanu. Choyamba muyenera kukhala ndi chitsimikizo kuchokera kwa bungwe lachipatala pachipatalachi ponena za kufunika kopereka zida zatsopano za pampu ya insulin.

Popeza zida zamankhwala zotere sizikuphatikizidwa pamndandanda wofunikira, lingaliro ili kuti mupeze ndilovuta. Kuti mupeze zotsatira zabwino, mungafunike kulumikizana ndi olamulira otsatirawa:

1. Oyang'anira chipatala ndi sing'anga wamkulu kapena wothandizira wake.
2. Ofesi yoimira boma pamilandu.
3. Roszdravnadzor.
4. Khothi.

Pa gawo lililonse, ndikofunikira kufunafuna chithandizo chalamulo choyenera. Ngati mukufunikira kukhazikitsa pampu ya insulin kwa mwana, ndiye kuti mutha kuyesa kupempha thandizo ku mabungwe aboma omwe amalipiritsa ndalama zogulira pampu ndi zina.

Limodzi mwa mabungwe ngati amenewa ndi a Rusfond.

Kubweza msonkho

Gawo la ndalama zopezera mapampu a insulin aana limabwezeredwa kudzera mu njira yotengera msonkho. Popeza kupezeka kwa chipangizo chamagetsi ichi, kukhazikitsa kwake ndikugwira ntchito ndizokhudzana ndi chithandizo chodula chomwe chikuphatikizidwa ndi mndandanda woyenera, ndiye mwayi wopereka misonkho.

Ngati kugula kwagwiritsidwa ntchito pofuna kuchiza mwana yemwe ali ndi vuto lobadwa nalo, ndiye kuti m'modzi mwa makolo angalandire chipepeso. Kuti muchite izi, muyenera kutumiza zikalata zomwe zingatsimikizire kuti ndi bambo kapena mayi paubwenzi ndi mwana yemwe akufunika pampu ya insulin.

Nthawi yomwe imalandira ndikubwezera ndi zaka zitatu kuyambira tsiku lomwe mudagula pampu. Ndikofunikanso kukhala ndi kuchotsa kuchokera ku dipatimenti ya inshuwaransi ya pampu ndi tsiku lomwe chipangizocho chidayikiratu. M'dipatimenti yowerengera zachuma kuchipatala, muyenera kutenga chikalata chokhala ndi chilolezo kukhazikitsa pampu ndi zowonjezera kuti zitha kutuluka.

Njira yopezera chipukuta misozi imachitika potsatira zotsatirazi:

• Wogula amalipira msonkho wapamwezi, womwe ndi 13% ya malipiro.
• Kukhazikitsa pampu kuyenera kuchitika ndi achipatala omwe ali ndi mwayi wochita izi.
• Kumapeto kwa chaka, kubweza msonkho kuyenera kutumizidwa ndikufotokoza kuchuluka kwa ndalama zomwe zagwiritsidwa ntchito kugula pampu ya insulini ndikukhazikitsa pampu.

Ndalama zonse zimatsimikiziridwa ndi cheke ndalama ndi kugula, cholembera khadi yovomerezeka ya chipangizo chamagetsi, chochokera ku dipatimenti yapa pump ya insulin, chomwe chikuwonetsa nambala ndi modulitsira ya pampu ya insulin, buku la layisensi ya chipatala chogwiritsira ntchito.

Chifukwa choganizira kupemphedwa ndi msonkho wa federal, wogula amabwezeredwa gawo 10% la ndalama zomwe amagulira pogula chipangizochi ndi kuyika kwake, koma pokhapokha kuti chindapusa ichi sichokwera kuposa ndalama zomwe boma limalipirira.

Kuti muthane ndi vuto la kulipidwa, ndikofunikira kugula pampu ndi zowononga m'misika yodziwika bwino yomwe imatha kupereka zikalata zotsimikizira kugula. Chifukwa chake, muzochitika zotere, simungagwiritse ntchito njira yolandirira chipangizocho pogwiritsa ntchito malo ogulitsira pa intaneti, kapena konzekerani makonzedwe a risiti yogulitsa.

Werengani zambiri za mfundo yakugwiritsa ntchito pampu ya insulin mu kanema munkhaniyi.

Ichi ndi chiyani

Pampu ya insulin ndi chida chaching'ono chomwe chimayendetsa mabatire ndikulowetsa insulin inayake m'thupi la munthu. Mlingo wofunikira ndi pafupipafupi zimakhazikika kukumbukira kukumbukira kwa chipangizocho. Komanso, adotolo opezekapo ayenera kuchita izi, chifukwa Magawo onse ndi amodzi pamunthu aliyense.

Chipangizochi chili ndi magawo angapo:

• Pampu Ndi pampu yomwe insulin imaperekedwako, ndi kompyuta momwe machitidwe onse oyendetsera chipangizocho alimo.
• Katiriji Ichi ndiye chiwiya chomwe insulin ilimo.
• Kulowetsedwa. Mulinso singano yopyapyala (cannula), yomwe insulin imalowetsedwa pansi pa khungu ndi machubu kuti zitheke kulumikiza chidebe ndi insulin. Ndikofunikira kusintha zonsezi masiku atatu,
• Zabwino komanso, ndikufuna mabatire.

Catheter ya cannula imalumikizidwa ndi chigamba pamalo pomwe insulin nthawi zambiri imalowetsedwa ndi syringes, i.e. m'chiuno, m'mimba, m'mapewa. Chipangacho chimakonzedwera lamba la wodwala pogwiritsa ntchito chidutswa chapadera.

Mphamvu momwe insulin ilili iyenera kusinthidwa atangomaliza, kuti asasokoneze dongosolo la kaperekedwe ka mankhwala.

Chithandizo cha insulin-based insulin ndi chothandiza kwambiri kwa ana, chifukwa mlingo womwe amafunikira si wawukulu kwambiri, ndipo zolakwika zowerengedwa ndi kuyambitsa zimatha kubweretsa zotsatirapo zoyipa. Ndipo chida ichi chimakulolani kuwerengera kuchuluka kwa mankhwalawa moyenera kwambiri.

Dokotala ayenera kukhazikitsa chipangizochi. Imayambitsa magawo ofunikira ndikuphunzitsa munthuyo kugwiritsa ntchito moyenera. Sizingatheke kuchita izi nokha, chifukwa cholakwitsa chimodzi chokha chitha kubweretsa mavuto osaneneka, komanso kudwala matenda ashuga.

Pompo amatha kuchotsedwa pomwe akusambira. Koma zikatha izi, munthu yemwe ali ndi matenda ashuga amayenera kudziwa shuga wawo wamagazi kuti awonetsetse kuti mulingo wake sukuwatsutsa.

Kwa zaka zambiri ndakhala ndikuphunzira za zovuta za DIABETES. Zimakhala zowopsa anthu ambiri akamwalira, ndipo makamaka amakhala olumala chifukwa cha matenda ashuga.

Ndithamangira kunena mbiri yabwino - Endocrinological Research Center ya Russia Academy of Medical Science idatha kupanga mankhwala omwe amachiritsiratu matenda ashuga. Pakadali pano, kugwiritsa ntchito bwino kwa mankhwalawa kuyandikira 100%.

Nkhani ina yabwino: Unduna wa Zaumoyo wateteza kukhazikitsidwa kwa pulogalamu yapadera yomwe imalipilira mtengo wonse wa mankhwalawo. Ku Russia ndi mayiko a CIS odwala matenda ashuga kale Julayi 6 alandire mankhwala - ZAULERE!

Njira zoyendetsera

Poganizira kuti munthu aliyense ndi payekhapayekha, pali mitundu iwiri ya mankhwala a insulin. Chipangizocho chimatha kugwira ntchito m'njira ziwiri:

Poyamba, kupezeka kwa insulin m'thupi la munthu kumachitika mosalekeza. Chipangizocho chimakonzedwa payekhapayekha, chomwe chimakupatsani mwayi wokhazikika wa mahomoni m'thupi tsiku lonse. Dokotala amasintha chida chake kuti insulini iperekedwe mwachangu pamlingo womwe wasonyezedwa. Gawo lochepetsetsa limachokera ku mayunitsi 0,1. pa ola limodzi.

Pali magawo angapo oyambira insulin:

• Masana.
• Usiku uliwonse. Monga lamulo, thupi limafunikira insulini yochepa panthawiyi.
• M'mawa Munthawi imeneyi, m'malo mwake, kufunikira kwa insulin kumakwera.

Magawo awa amatha kusinthidwa pamodzi ndi dokotala kamodzi, kenako sankhani yomwe ikufunika panthawiyi.

Bola ndi gawo limodzi la insulini yokhala ndi mahandiredi ambiri kuti athetse shuga wambiri m'magazi.

Ndili ndi zaka 47, ndinapezeka kuti ndili ndi matenda ashuga a 2. M'masabata angapo ndinapeza pafupifupi 15 kg. Kutopa nthawi zonse, kugona, kumva kufooka, kuwona kunayamba kukhala pansi.

Nditakwanitsa zaka 55, ndinali nditadzibaya kale ndi insulin, zonse zinali zoipa kwambiri. Matendawa adapitilirabe, kukomoka kwakanthawi kunayamba, ambulansi imandibwezera kuchokera kudziko lina. Nthawi zonse ndimaganiza kuti nthawi ino ikhala yomaliza.

Chilichonse chinasintha mwana wanga wamkazi atandilola kuti ndiwerenge nkhani imodzi pa intaneti. Simungayerekeze m'mene ndimamuyamikirira. Nkhaniyi inandithandiza kuthana ndi matenda ashuga, omwe amati ndi osachiritsika. Zaka 2 zapitazi ndidayamba kusuntha zowonjezereka, nthawi yamasika ndi chilimwe ndimapita kumayiko tsiku lililonse, ndikumalima tomato ndikugulitsa pamsika. Azakhali anga amadabwa ndimomwe ndimapangira chilichonse, komwe ndimapeza mphamvu zambiri, sakhulupirira kuti ndili ndi zaka 66.

Ndani akufuna kukhala ndi moyo wautali, wamphamvu komanso kuiwalako za matenda oyipawa kwamuyaya, tengani mphindi 5 ndikuwerenga nkhaniyi.

Pali mitundu ingapo ya mabululo:

• Zoyimira. Pankhaniyi, mlingo woyenera wa insulin umaperekedwa kamodzi. Nthawi zambiri amagwiritsidwa ntchito ngati chakudya chokhala ndi chakudya chochuluka komanso mapuloteni ochepa. Izi zimabwezeretsa shuga m'magazi mwachangu.
• Chiwere. Pogwiritsa ntchito insulin yamtunduwu imagawidwa pang'onopang'ono m'thupi. Nthawi yomwe mahomoni azidzachita mthupi azikula. Mtunduwu ndi wabwino kugwiritsa ntchito ngati chakudya chadzaza ndi mapuloteni komanso mafuta.
• Pawiri. Potere, mitundu iwiri yapitayi imagwiritsidwa ntchito nthawi imodzi. Ine.e. Choyamba, mlingo woyenera wokwanira umaperekedwa, ndipo kutha kwake kumatenga nthawi yayitali. Njira iyi ndi bwino kugwiritsa ntchito mukamadya zakudya zamafuta komanso zamoto kwambiri.
• Zabwino. Poterepa, machitidwe a mawonekedwe omwewo amawonjezeka. Amagwiritsidwa ntchito pakudya, chifukwa chomwe shuga m'magazi amakwera mofulumira kwambiri.

Katswiriyu amasankha njira yoyenera yoperekera insulin kwa wodwala aliyense payekhapayekha.

Chithandizo cha insulin chogwiritsa ntchito pampu chikukula kwambiri. Itha kugwiritsidwa ntchito ndi aliyense amene ali ndi matenda a shuga. Komabe, pali zizindikiro zina zomwe madokotala amalangizira kugwiritsa ntchito njirayi. Mwachitsanzo:

• Ngati kuchuluka kwa shuga ndi kosakhazikika, i.e. nthawi zambiri imakwera kapena kugwa kwambiri.
• Ngati munthu nthawi zambiri amakhala ndi zizindikiro za hypoglycemia, i.e. kuchuluka kwa glucose kumagwera pansi 3.33 mmol / L.
• Ngati wodwalayo ali ndi zaka 18. Nthawi zambiri zimakhala zovuta kuti mwana akhazikitse kuchuluka kwa insulini, ndipo cholakwika cha kuchuluka kwa mahomoni omwe amaperekedwa chimatha kubweretsa zovuta zazikulu.
• Ngati mayi akukonzekera kutenga pakati, kapena ngati ali kale ndi pakati.
• Ngati pali matenda a m'mawa, kuwonjezeka kwa shuga m'magazi musanadzuke.
• Ngati munthu akuyenera kubayira insulin pafupipafupi komanso waukulu.
• Ngati wodwala yekha akufuna kugwiritsa ntchito insulin pump.
• Ndi kwambiri matenda ndi zovuta chifukwa chake.
• Anthu omwe amakhala moyo wokangalika.

Contraindication

Chipangizocho chili ndi chake:

• Chida chotere sichimagwiritsidwa ntchito mwa anthu omwe ali ndi matenda amtundu uliwonse. Izi ndizoyenera chifukwa munthu amatha kugwiritsa ntchito mpope mokwanira, zomwe zimabweretsa zovuta zathanzi.
• Ngati munthu safuna kapena sangaphunzire momwe angachiritsire matenda ake, i.e. amakana kuganizira za glycemic index ya zinthu, malamulo ogwiritsira ntchito chipangizocho ndikusankha njira yoyenera ya insulin.
• Pompo siligwiritsa ntchito insulin yokhala nthawi yayitali, yochepa chabe, ndipo izi zimakupangitsani kulumpha kowopsa m'magazi a magazi ngati mungazimitse chipangizocho.
• Ndi m'maso ochepa kwambiri. Zikhala zovuta kuti munthu athe kuwerenga zolembedwa papompo.

Chida chaching'onochi chili ndi zabwino zambiri:

• Umoyo wa wodwala umayenda bwino. Munthu safunikira kuda nkhawa nthawi zonse kuti asayiwale kupereka jakisoni panthawi, insulin yokha imadyetsedwa mthupi.
• Mapampuwa amagwiritsa ntchito insulin yochepa, yomwe imakuthandizani kuti musachepetse zakudya zanu.
• Kugwiritsa ntchito chida ichi kumathandiza munthu kuti asadzitamandire matenda ake, makamaka ngati nkofunika m'malingaliro mwake.
• Chifukwa cha chipangizochi, mlingo womwe umafunikira amawerengedwa molondola, mosiyana ndi ma syringes a insulin. Kuphatikiza apo, wodwala amatha kusankha mtundu wa momwe amagwiritsira ntchito mahomoni omwe amafunikira pakadali pano.
• Ubwino mosakayikira ndikuti kugwiritsa ntchito chipangizocho kumatha kuchepetsa kuchuluka kwa khungu lanu.

Komabe, pampu ya insulin ilinso ndi zinthu zoipa zomwe muyenera kudziwa. Mwachitsanzo:

• Mtengo wokwera. Kusamalira chida choterocho ndiokwera mtengo kwambiri, chifukwa zowonjezera zimayenera kusinthidwa nthawi zambiri.
• Masamba obayira angayambitse kutupa.
• Ndikofunikira kuyang'anira kayendetsedwe konse ka pampu, momwe mabatire amafunikira kuti chipangizocho chisatseke nthawi yolakwika.
• Popeza ichi ndi chipangizo chamagetsi, kusowa kwaukadaulo ndizotheka. Zotsatira zake, munthu amayenera kubayira insulin m'njira zina kuti athetse vuto lakelo.
• Ndi chipangizo chimodzi, matendawa sangathe kuchiritsidwa. Muyenera kutsatira njira yoyenera yamoyo, kuyang'anira kuchuluka kwa shuga m'magazi, kusunga magawo a mkate m'zakudya.

Mtengo ndi momwe mungapezere kwaulere

Tsoka ilo, pampu ya insulin pakadali pano ndi chipangizo chodula kwambiri. Mtengo wake ukhoza kufikira ma ruble 200,000. Kuphatikiza apo, mwezi uliwonse muyenera kugula zofunikira, ndipo izi ndi ma ruble 10,000. Sikuti aliyense angakwanitse kugula, makamaka chifukwa odwala matenda ashuga nthawi zambiri amatenga mankhwala okwanira mtengo.

Komabe, mutha kupeza chida ichi kwaulere. Kuti muchite izi, muyenera kusonkhanitsa zikalata zomwe zimatsimikizira kufunika kogwiritsa ntchito chipangizochi pa moyo wabwinobwino.

Kuchiza kwa insulini ndikofunikira kwa ana omwe ali ndi matenda ashuga, kuti pasakhale zolakwika muyezo wa mahomoni. Kuti mupeze pampu ya mwana kwaulere, muyenera kulembera ku Fund Yothandizira ku Russia. Zotsatirazi ziyenera kulumikizidwa ndi kalata:

• setifiketi ya makolo awo zachuma kuchokera kumalo antchito a amayi ndi abambo,
• ndalama zochokera ku thumba la penshoni pakuwerengera ndalama ngati mwana wapatsidwa chilema,
• satifiketi yobadwa
• Mapeto a adotolo wodziwa za matendawa (ndi chidindo ndi siginecha ya katswiri),
• Kuyankha kwa oyang'anira maboma ngati akukana oyang'anira chitetezo,
• zithunzi za mwana.

Ndikosavuta kupeza pampu ya insulin kwaulere, koma chachikulu ndichakuti musataye mtima ndikupeza chida chomwe mukufuna paumoyo.

Pakadali pano, chipangizochi chili ndi mbali zofananira komanso zoyipa, komabe, kupanga zida zamankhwala sikumaima malo amodzi, koma ndikupanga mosalekeza. Ndipo mwina patadutsa zaka zingapo, pampu ya insulin ikhoza kupezeka ngati si kwa aliyense, ndiye kwa anthu ambiri omwe akudwala matenda oyipawa - matenda a shuga. Komabe, ndikofunikira kukumbukira kuti simungadzipulumutse nokha ku matendawa ndi chipangizo chimodzi, muyenera kutsatira malangizo a dokotala ena ndikutsatira moyo wathanzi komanso zakudya.

Kugwiritsa ntchito kachipangizo

Popeza kugulidwa kwa chipangizocho sikungosangalatsa mtengo wotsika mtengo, ambiri odwala matenda ashuga amakayika ngati pampu ya insulin ndiyothandizadi komanso ngati ingalipire bwino kuchuluka kwa insulini yomwe ikusowa.

Pachifukwa ichi, masitolo ambiri apadera omwe amagulitsa zida zachipatala amapereka mwayi woyesa insulini pampu yamtundu uliwonse wa akulu ndi ana kwaulere.

Wogula ali ndi mwayi wogwiritsa ntchito foni yamagetsi kwa mwezi umodzi osalipira. Pamapeto pa nthawi yoyeserera, chipangizocho chimatha kubwezeretsedwa kapena kugulidwa mwanjira yanu.

Masiku ano, opanga mapampu a insulini amatha kupezeka akugulitsa: Animas Corporation, Insulet Corporation, Medtronic MiniMed, Roche, Smiths Medical MD ndi Sooil.

Chifukwa chake, ogula sangangopeza zofunikirazo kapena zovuta za chipangizocho, komanso kuphunzira momwe angazigwiritsire ntchito.

Kuphatikizapo wodwala matenda ashuga amatha kusankha chida choyimira bwino popanda kugwiritsa ntchito ndalama zake.

Kugwiritsa ntchito chitsimikizo cha boma

Malinga ndi dongosolo la Boma la Russian Federation la pa Disembala 29, 2014, 2762-P, odwala omwe ali ndi mtundu 1 ndi mtundu wa 2 wodwala matenda a shuga amasamutsidwa ku insulin m'malo mwake pogwiritsa ntchito pampu ya insulin. Kutengera pulogalamu yamapulogalamu a boma kuchokera ku inshuwaransi yokakamizidwa ya zamankhwala, ntchito yotereyi kwa ana ndi akulu imaperekedwa kwaulere konse.

Kuti mudziwe nokha kapena mwana, muyenera kulumikizana ndi endocrinologist. Tsoka ilo, masiku ano madokotala ambiri alibe chidziwitso chokwanira pa pulogalamuyi, chifukwa cha ichi, musanapite kuchipatala, muyenera kusindikiza zikalata zonse zovomerezeka zomwe zikuwonetsa ufulu kulandira phampu ya insulin kwaulere.

Kuti muchite izi, muyenera zolembedwa izi:

• Dongosolo la Boma la Russian Federation la pa Disembala 29, 2014 No. 2762-P,
• Lamulo la Boma la Russian Federation la Novembara 28, 2014 No. 1273.

Apa mungapeze chidziwitso chokwanira chakuti odwala matenda ashuga omwe amapezeka ndi mtundu woyamba wa 2 ndi mtundu wa 2 amachokera ku insulin ina.

Zambiri pazapangidwe ndi kusungidwa kwa zikalata zofunika kupeza nambala kuchokera ku MHI kapena ku dipatimenti ya Zaumoyo zitha kupezeka kuchokera ku Unduna wa Zaumoyo ku Russia Federation pa Disembala 29, 2014 N.930n.

Pankhani ya kukana kwapadera kwa adotolo kuti apereke chithandizo, maloya amalimbikitsa kuyankhulana mwachangu:

1. Kupita ku Unduna wa Zaumoyo kapena ku nthambi ya Zaumoyo ndi zidziwitso zonse zolozera komanso malamulo okhudzana ndi nkhaniyi.
2. Ku ofesi yotsutsa chigawo ndikudziwa zambiri zofananira.

Pakupita mwezi umodzi, apiloyo idaganiziridwa, pambuyo pake ufulu wopeza insulini pampu yaulere udzatsimikiziridwa pamalo opanga malamulo.

Kukhazikitsa kwa Pulogalamu ya Insulin

Malingaliro a adotolo ataperekedwa, muyenera kupeza kuchotsera ku khadi lapaulendo ndi lingaliro la bungwe la zamankhwala kukhazikitsa zida zamagetsi. Kenako, kutumiziridwa kumaperekedwa ku dipatimenti ya inshuwaransi ya pampu, komwe kumayambitsidwa pampu.

Makonzedwe onse a kukhazikitsa nthawi zambiri amatenga pafupifupi milungu iwiri, panthawi yomwe wodwalayo amayesedwa ndipo odwala matenda ashuga amaphunzitsidwa kugwiritsa ntchito bwino chida. Ndikofunika kuganizira zina mwazinalemba papepala mukakhala kuchipatala.

Mpopewo ukathiridwa, wodwalayo nthawi zambiri amafunsidwa kuti asayine chikalata chomwe chimanena kuti zotsalazo pampopeyo siziperekedwa kwaulere. Malinga ndi pepalalo, wodwalayo amavomera kuti azigula yekha zinthu zofunika.

Komabe, izi sizoyenera kuchita, chifukwa mtsogolomo zimakhala zovuta kukwaniritsa kuperekedwa kwawo kwaulere mwayi ukapezeka.

Pankhaniyi, maloya amalimbikitsa kusintha mawu kuti akhale "odziwika, koma osagwirizana" kenako ndi kusaina.

Kulandira Zowonjezera

Pampu ya insulin ikadayikidwa, wodwala matenda ashuga ayenera kugwiritsa ntchito ma ruble 10,000 mwezi uliwonse kugula zinthu zofunika. Iyi ndi njira yachangu koma yodula.

Kupeza zinthu zopopa pampu ya achikulire kapena ana kwaulere ndizovuta, koma, monga anena milandu, ndizotheka. Chachikulu ndikuwonetsa chidaliro komanso kupirira. Tsoka ilo, masiku ano aboma ambiri safuna kukwaniritsa zosowa za anthu odwala matenda ashuga, chifukwa chake muyenera kukhala okonzekera njira yayitali komanso yosiyanasiyana yopezera ufulu wa chitetezo chaulere.

• Choyamba, ndikofunikira kupeza lingaliro la komisheni yachipatala yopereka zothandizira pampu ku chipatala komwe amakhala. Popeza tikulankhula pazinthu zomwe siziphatikizidwe pamndandanda wazida zofunikira zamankhwala, iyi si ntchito yophweka.
• Pakakhala kukana, wotsatira akhale dotolo wamkulu, ofesi ya wotsutsana ndi chigawo, Roszdravnadzor.
• Pambuyo pake, ndikofunikira kusonkhanitsa zikalata zonse ndikutumiza nkhaniyi ku khothi. Ngati lingaliro la komiti yachipatala ndi yabwino, khothi lidzakhala kumbali ya odwala matenda ashuga. Komabe, mulimonsemo, thandizo la loya waluso lingafunike.

Momwe mungapezere mwana pampu

Kuphatikiza pa njira zomwe zili pamwambazi, lero pali mabungwe angapo omwe amakhazikitsa dongosolo lothandizira ana omwe ali ndi matenda ashuga. Owerenga ambiri omwe samasamala za moyo wa ana otere amathandizira pa izi.

Mothandizidwa ndimathandizo azachuma ambiri, ndizotheka kugula zida zamagetsi ndi zotsalira zake.

Makamaka, imodzi mwabungwe lotere ndi Rusfond, yomwe kuyambira 2008 yakhala ikugwiritsa ntchito pulogalamu yothandizira odwala matenda ashuga. Munthawi imeneyi, zinali zotheka kugulira ana zinthu zoposa makumi atatu.

Omwe akutenga nawo mbali ndi malo azachipatala a za endocrinology ndi zipatala.

Kugwiritsa ntchito misonkho

Ngati sizotheka kupeza pampu ya ana kwaulere, mutha kugwiritsa ntchito njira yotsitsa msonkho kuti mulipirire gawo lina la mtengo wogulira chipangizo chachipatala.

Monga mukudziwa, kugula ndi kukhazikitsa chipangizo chamagetsi ndi ntchito zomwe zimaphatikizidwa mndandanda wazithandizo zamtengo wapatali. Pazifukwa izi, wogula ali ndi ufulu wofuna kulembetsa misonkho.

Kodi njira yopezera chipukuta misozi idakwaniritsidwa bwanji?

• Mwezi uliwonse, wogula amayenera kupereka msonkho wa 13 peresenti ya ndalama zonse zomwe amapeza.
• Pampu ya insulin ikagulidwa, wina amayenera kuyikidwira kuchipatala.
• Pakutha kwa chaka, kubweza msonkho kumayikidwa, zomwe zimasonyezanso ndalama zomwe zimagwiritsidwa ntchito pampu ndikugonekedwa kuchipatala. Kalata ya ndalama ndi chiphaso chogulitsira, khadi yotsimikizira ya chida chamagetsi, chochokera ku chipatala, chomwe chimawonetsa mtundu ndi nambala ya chikondwerero cha pampu yomwe adaikirayo, imangiriridwa. Ndikofunikira kuperekanso chiphaso ku chipatala.
• Pambuyo pobweza msonkho ndi ntchito yokhomera msonkho, wogula adzabwezeredwa gawo 10 la ndalama zomwe pampu imawononga. Ndikofunikira kulingalira kuti ndalama zomwe zaperekedwa sizipitilira kuchuluka koperekedwa ku boma mwanjira yamisonkho.

Mukamagula ana pampu ya ana, misonkho imachokera. Pachifukwa ichi, ndikofunikira kuphatikiza zikalata zotsimikizira kukhala mayi kapena bambo wake pokhudzana ndi mwana.

Mutha kuyimbira chipepeso mkati mwa zaka zitatu kuyambira tsiku lomwe pampu ya insulin idagulidwa. Ndikofunikira kuonetsetsa kuti zomwe akunenazo zikuwonetsa nambala yodziwika ya pampu. Kope laisensi yofunsira ntchito imatengedwa m'dipatimenti yowerengera zachipatala.

Ponena za kubweza mitengo yazakudya, zimakhala zovuta kupeza chipukuta misozi ngati sanagulidwe ku mankhwala ndi mankhwala, koma m'malo ogulitsira pa intaneti. Pazifukwa izi, ndikofunikira kuganizira komwe mungagule zinthu zofunika. Komanso, zovuta zambiri ndizosavuta kuthana nazo ngati mungalumikizane ndi oyang'anira msonkho.

Ndani angapeze pampu yaulere

Pansi pa pulogalamu yaukadaulo wamankhwala apamwamba (VMP), nzika za Russian Federation zomwe zapeza mtundu wina wa matenda ashuga 1 omwe ali ndi zaka 17 amatha kukhazikitsa insulin pump * yaulere pakakhala zovuta zamagulu (mwachitsanzo, retinopathy, neuropathy, polyneuropathy ndi ena). Mapampu amaikidwa m'mizinda ingapo ya Russia.

1. Tumizani pempho kuti muyike pampu

Pampu ya insulin yaikidwa kuchipatala №1 KOGBUZ KKB No. 7 ya mzinda wa Kirov. Kuti muchite izi, muyenera kupita kukagonekedwa kuchipatala, zomwe ndizosavuta kuchita.

Kuti muchite izi, tumizani pempho ku imelo ya wamkulu wa dipatimenti ya endocrinology No. 1 KOGBUZ KKB No. 7 Elsukova Olga Sergeevna. Ndamubweretsera imelo m'mabuku. Ndi iyo, mutha kusankha tsiku lofunikira kuti mugonekere kuchipatala. Mu chipatala cha kukhazikitsa pampu amaika Lolemba lililonse kwa masiku 5.

Asanayambe kuchipatala, adokotala adzafunika kutumiza makope osakira a pasipoti, mfundo, SNILS. Komanso chithunzi cha zotulutsa zaposachedwa kwambiri kuchokera kuchipatala kapena mayeso a endocrinologist, oculist, neurologist - zovomerezeka osaposa miyezi itatu (mungathe kuchokera kuzipatala zachinsinsi), komwe kujambula kwa matenda a shuga kudzajambulidwa.

2. Kuyesedwa kwa mayeso musanapite kuchipatala

Pakugonekedwa kuchipatala, muyenera kukhala ndi zotsatira za mayeso otsatirawa:

• kuyezetsa magazi konse
• urinalysis
• ALT (Alanine Aminotransferase)
• AST (aspartate aminotransferase)
• bilirubin, cholesterol, creatinine, prothrombin
• sodium, potaziyamu, chlorine
• microalbumin
• Machitidwe a Wasserman
• glycated hemoglobin

Tiyenera kukumbukira kuti kuvomerezeka kwa mayesowa ndi masiku 15 okha.

3. Tengani zikalata nanu

Muyenera kukhala ndi zikalata nanu: khadi lochokera kunja kapena zolemba zaposachedwa kuchokera pamenepo, mayeso omaliza a 1-2 a endocrinologist ndi akatswiri opapatiza (neurologist ndi optometrist).

Mungathenso kutumiza fomu yopita ku chipatala ya 057U kuchokera ku chipatala chanu, mtsogolo, kutengera satifiketi iyi, mutha kubweza ngongoleyo. Kirov idzalandiridwa popanda kuwongolera, koma idzakuthandizani kuti mupulumutse ndalama, makamaka ngati msewu ndi wautali.

* Pampu ya insulin - njira yosinthira mosalekeza insulin mthupi, njira ina yopangira ma syringe.

** Kuwunikira - kachitidwe kopitilira muyeso wamagazi. Munkhaniyi tikulankhula za pampu ya insulin ya Medtronic 722, yomwe imakhala ndi dongosolo loyang'anira kuchuluka kwa shuga m'magazi. Kuwunikira kumakhala ndi sensor, transmitter (chida chofotokozera deta kuchokera ku sensor kupita ku sensor sensor) ndi chokozera kwa icho.

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