Osatulutsa insulin: komwe mungadandaule ngati palibe mahomoni?

Ndi kulephera kupeza mankhwala aulere, omwe amadalira mankhwala omwe adokotala amapeza, odwala ambiri akukumana. Chomwe chimapangitsa izi sikuti ndizongoperewera pafupipafupi kwa mankhwala omwe amafunikira m'mafakisi, komanso kusaona mtima kwa ogwira nawo ntchito omwe akukana kutumiza opindula. Momwe mungatetezere ufulu wanu?

Malinga ndi zofunikira za Roszdravnadzor, pali njira yodziwika yochitira zinthu yomwe wasokonekera ayenera kutsatira ngati palibe mankhwala omwe wodwala amafunikira kuchipatala. Koma si nzika zonse zomwe zimadziwa izi. Chifukwa chake, atamva kukana, amatenga mankhwala okwera mtengo pogwiritsa ntchito zawo, ndikusiya ophwanya ufulu wawo popanda kulangidwa.

Kodi wogwira ntchito ku pharmacy ayenera kuchita chiyani ngati palibe mankhwala okondera?

Ngati mankhwala aulere omwe adalembedwa ndi adotolo panthawi yomwe wodwalayo akuyendera sapezeka ku malo ogulitsira, wopanga mankhwalawo ali ndi ufulu wopereka mankhwala omwe amapezeka. Ngati kasitomala akukana kulandira mankhwala othandizira, ndiye kuti wopanga mankhwalawo ayenera kuchita mogwirizana ndi algorithm yotsatira:

1. Tengani mankhwala kuchokera kwa wodwala.
2. Kulembetsa mu magazini yapadera yamankhwala osafunikira, ndikuwapatsa mwayi wosankha.
3. Lowetsani zosunga mu pulogalamu yaukadaulo ya bungwe.
4. Tumizani ntchito yolembedwa / yamagetsi yama mankhwala pamakampani othandizira.

Bungwe lovomerezeka lazachipatala liyeneranso kulembetsa zopempha zomwe zikubwera ndikupereka yankho ku pharmacy yokhudza kukhalapo / kupezeka komanso kupezeka kwa mankhwalawa. Ngati iye akakhala kuti sakhutira ndi zomwe amaphunzira, mankhwalawo ayenera kugula okha mankhwalawo, ndipo mtengo wolipiridwa ndi boma.

Ngati mankhwalawa sanapezeke pamalo opangira mankhwala omwe adawonetsedwa ndi adotolo omwe adapereka mankhwala, wodwalayo ali ndi mwayi wopeza mankhwala ena, pokhapokha ngati ali m'dera limodzi la maseru omwewo, ndipo atsogoleri a mabungwe onsewo agwirizana pakadali pano. Ngati palibe mankhwala mulingo woyenera, wopanga mankhwalawo amatha kusintha mankhwalawa ndi mankhwala ena, koma mwakuwonjezera kuchuluka kwake komwe kumakhala kokwanira mankhwalawo. Nthawi yomweyo, kuti mupereke mankhwala muyezo waukulu kuposa womwe wakupatsani, muyenera kufunsa dokotala kuti akupatseni mankhwala ena. Palibe bungwe lazachipatala lomwe lili ndi ufulu woletsa kuchuluka kwa mankhwalawa. Kuchita uku kumangokhala ndi adokotala okha.

Kodi mankhwala ogulitsa mankhwala amafunika nthawi yayitali bwanji kuti apatsidwe mankhwala?

Roszdravnadzor amatenga masiku 10 ogwiritsa ntchito (osati kalendala!) Masiku kuti apereke mankhwala omwe sanasowe kale. Ngati mankhwalawa adalembedwa kudzera mu ntchito yachipatala, ndiye kuti nthawi imeneyi imawonjezeka mpaka masiku 15. Zidziwitso zamakasitomala zakufika kwa oda zimapangidwa nthawi zambiri pafoni tsiku lomwelo kuti ndalama zofunika zifikire ku pharmacy.

Kodi ndingasungireko dandaulo liti ndi mankhwala?

Ngati nthawi yatchulidwa, kupitilira kwa mankhwala omwe adasowa sikunachitike, kapena katswiri wazamankhwala wakana kupatsa makasitomala mankhwala okondera, mungayesere kuthetsa vuto lomwe mwakupatsani madandaulo ndi manejala wa mankhwala. Ngati vutolo silithetsa, ndikofunikira kupereka chodandaula pakamwa kapena cholembedwa ku bungwe, pofotokoza tanthauzo la vutoli. Izi ndi njira zazikulu zokhazikitsira kudandaula ndi mankhwala omwe amaphwanya mwayi wopindulitsa kulandira mankhwala:

• Imbani foni yotentha ya Dipatimenti ya Zaumoyo mumzinda wanu. Mutha kupeza nambala yake kuchokera kwa omwe akugwiritsa ntchito tebulo lazidziwitso kapena patsamba lawebusayitiyo, pomwe nthawi yomweyo mungadziwe madongosolo a akatswiri,
• Lumikizanani ndi omwe akugwira ntchito ku "hotline" yaofesi ya Dipatimenti ya Zaumoyo ya mzinda wanu / dera lanu, kuti mumve zambiri
• Siyani dandaulo patsamba lovomerezeka la Roszdravnadzor, ndikuwonetsa zambiri, dzina lanu ndi adilesi ya pharmacy, kufotokoza mwatsatanetsatane za nkhaniyi,
• Lumikizanani ndi oyang'anira pachipatalachi, momwe mudalandira mankhwala. Katswiri wapaudindo amagwira ntchito yothetsa mikangano yomwe yabuka mwa odwala, kuphatikiza kupatsidwa mankhwala okondera. Zambiri pa ndandanda ya ntchito yake, komanso nambala yolumikizirana ndi foni ikhoza kupezeka ku phwando,
• Tumizani chilolezo ku ofesi ya wozenga mlandu kwa bungweyo kapena mkuluyu yemwe adapanga zopinga kuti wodwala alandire mankhwala aulere, kuphatikiza zolemba za pasipoti, satifiketi ya wopeza, mankhwala.

Bungwe lililonse lazamankhwala lili ndi ufulu wokana kupereka mankhwala kwa munthu ngati mankhwala omwe sanapatsidwe sanaperekedwe pa fomu yovomerezeka kapena kuvomerezeka kwake kwatha. Madandaulo azamapulogalamu apachipatala pano sangayang'anitsidwe. Ndipo wodwalayo adzafunikira kukaonana ndi dokotala ndi kupempha kuti amupatse mankhwala atsopano.

Ngakhale nzika zochepa zili ndi ufulu wovomerezeka kulandira mankhwala aulere, iwo omwe amakulitsa m'masitolo amakana kupereka mankhwala kapena amati alibe mankhwalawa. Roszdravnadzor wapanga algorithm yomveka bwino yokhudza zomwe amapanga mankhwala omwe mankhwalawo sanapezeke, koma nzika sizikudziwa za izi. Munkhaniyi tikufotokozerani zoyenera kuchita ngati palibe mankhwala okondera m'chipatala, momwe wogwira ntchito m'mafakitori ayenera kuchitira popanda mankhwalawa, momwe mankhwalawo amayenera kuperekedwera, komanso momwe angayikire madandaulo.

Zomwe algorithm wa wogulitsa zamankhwala samachita posagwirizana ndi mankhwala okondera

Zofunika! Malinga ndi malembedwe a Federal Law a Ogasiti 22, 2004 No. 122-FZ, ngati nzika yakwaniritsa njira zonse zotchulidwa ndi malamulo kuti alandire mankhwala aulere (kapena mankhwala kuchotsera), ndiye kuti watenga zikalata zofunika, natembenukira kuchipatala, alandila mankhwala okondera ndipo adabwera naye kupita ku pharmacy panthawi yake ku pharmacy yomwe imatenga nawo gawo pulogalamu ya boma yopatsa nzika mankhwala okondera, pharmacist sioyenera kukana kupereka mankhwalawo.

Ngati, patsiku lomwe wodwalayo atapita kukadwala, mankhwala othandizira sanapezeke, wopanga mankhwalawo ali ndi ufulu wopatsa nzika zomwe zimafotokozeredwa ndi mankhwalawa, zomwe zimafanana ndendende ndi mankhwala omwe dokotala adapereka. Koma wamatsenga alibe ufulu wokakamiza kasitomalayo. Pokana kukana mankhwala othandizira, wogulitsa mankhwalawa amachita izi:

• Tikukupemphani kuti mulumikizane ndi mankhwala ena omwe amakhala mdera lomwelo, komanso omwe bungweli limagwirizana.
• nzika ikakana, ivomera kulandira mankhwala osankhidwa kuchokera kwa nzika yomwe yafunsira,
• imalemba zomwe adalandira mu magazini yamankhwala, opangidwa makamaka kuti apange zofunikira zosakwaniritsidwa,
• imapereka mwayi wokhala "chithandizo chosaloledwa" pachilolezo cha nzika,
• Imalowera chidziwitso kuchokera ku fomu yolembetsedwera pulogalamu yamapulogalamu apakompyuta,
• imatumiza chopempha kwa ogulitsa mankhwala omwe sanapezeke,
• kudikirira yankho kuchokera kwa kampani yoperekera zakupezeka kapena kusapezeka kwa mankhwalawo
• Ngati mankhwalawo aperekedwa, wopanga mankhwalawo akuyembekezera kuperekedwa, amadziwitsa wodwalayo za kupezeka kwa mankhwalawa pafoni,
• ngati mankhwala sapezeka kwa othandizira, mankhwalawo amamugulira iye payekha payokha (zolipirira zidzabwezedwa kwa iye kuchokera ku bajeti ya federal).

Posachedwa pomwe mankhwalawo apereka mankhwala okondera omwe sanali kupezeka

Ngati nzika ikafunsira mankhwala kuchipatala chamagulu, koma mankhwalawo mulibe, Roszdravnadzor amakupatsani mwayi wokhala ndi chisamaliro chosafunikira, tengani nambala yafoni ya wodwalayo ndikuyimbanso foniyo mukadzawonekera ku pharmacy. Palibe masiku opitilira masiku 10 omwe amagawidwa kuti athane ndi nkhaniyi (ndiye kuti, mafakitare apakati pa sabata sawerengedwa nawo.

Komabe, ngati mankhwala othandizira odwala adalembedwa ndi bungwe loyang'anira zachipatala, amaloledwa kulipereka kwa nzika mkati mwa masiku 15 ogwira ntchito.

Zoyenera kuchita ngati palibe mankhwala okondera ku pharmacy - komwe angadandaule

Tsoka ilo, zimachitika kuti omwe amapanga ma pharmacist amakana kulandira mankhwala kuchokera kwa opindulira kapena kunena kusowa kwa mankhwala oyenera. Pongoyambira, mutha kudandaula za mfarisi kwa woyang'anira mankhwala. Ngati izi sizikuthandizani, pali zosankha zambiri zoteteza ufulu wanu:

Komwe mungapezere insulin ndi mankhwala

Popeza mankhwala othandizira odwala matenda ashuga amawona kuti ndiofunika, simuyenera kudzifunsa ngati simupereka insulin. Malinga ndi Federal Law "Pa Social Aidance" ya pa Julayi 17, 1999 178-ФЗ komanso Lamulo la Boma Nambala 890 la pa Julayi 30, 1999, osati nzika zadziko lino, komanso anthu omwe ali ndi chilolezo chokhala ku Russia angathe kulandira mankhwala mwachisawawa .

Kuti mukhale olandila mwalamulo a insulin yaulere kapena mankhwala ena a hypoglycemic, muyenera kufunsa dokotala wa endocrinologist ku chipatala cha komweko. Atatha mayeso onse ofunikira, dotolo apanga regimen yothandizira munthu aliyense ndikupereka mankhwala osonyeza kuchuluka kwa mankhwalawo.

Muyenera kumvetsetsa kuti mufunika kulandira insulin pamwezi kwaulere, pomwe ma endocrinologist amaletsedwa ndi lamulo kuti akupatseni muyeso wopitilira muyeso wapamwezi. Chikalata chachipatala chimaperekedwa mosamala m'manja mwa wodwalayo; chidzalephereranso kuchilandira pa intaneti.

Izi zimakupatsani mwayi wopewa kumwa mankhwala osokoneza bongo komanso kupewa kuwononga ndalama. Ngati pali chilichonse chomwe chasintha komanso kuchuluka kwa mankhwala a insulin akuchulukitsidwa, dokotala ali ndi ufulu kuwonjezera kuchuluka kwa mankhwala omwe akupatsidwa.

1. Kuti mupeze mankhwala a insulin ya mahomoni, mumafunikira pasipoti, satifiketi ya inshuwaransi, mfundo zachipatala, satifiketi yovomerezeka kapena chikalata china chotsimikizira ufulu wogwiritsa ntchito mankhwala omwe amakonda. Mudzafunikiranso satifiketi yoperekedwa ndi Pension Fund, yotsimikizira kusakhala kokana kukana kulandira zabwino za boma.
2. Pokana kutumiza mankhwala othandizira mankhwala ofunikira, ngakhale ngati palibe insulini, dokotala alibe ufulu. Malinga ndi lamuloli, ndalama zothana ndi mankhwala okondera zimachokera ku bajeti ya boma, chifukwa chake, mawu a adotolo akuti chipatala sichikhala ndi ndalama zokwanira chifukwa izi sizovomerezeka.
3. Amalandila insulini yosankha ku malo azachipatala pomwe bungwe la zamankhwala lachita mgwirizano. Mutha kulandira ma adilesi onse amachaputala kuchokera kwa dokotala yemwe amalemba zomwe akupatseni. Ngati wodwalayo sanakwanitse kupeza mwayi wokhala ndi magazi ndipo sangathe kulandira mankhwala omwe angakonde, azigula insulin mwa ndalama zake.

Chikalata chachipatala chotsimikizira ufulu wolandila mankhwala othandizira ndi chovomerezeka kwa masiku 14-30, kutengera nthawi yomwe idalembedwa.

Ngati mankhwala amaperekedwa m'manja mwa wodwalayo, ndiye kuti mutha kulandira mankhwala aulere kwa achibale omwe ali m'gulu la mankhwala.

Ngati simupereka insulin

Nthawi ndi nthawi, timalandira mafunso kuchokera kwa owerenga athu. “Palibe insulini! Ndichite chiyani? "," Koti mupite - osapereka insulini !? ". Nawa mauthenga ndi zambiri pamutuwu. Ukraine ndi Russia - tikambirana zosankha zonse.

1. Ndikofunikira kulumikizana ndi wamkulu waocrocrologist wa Unduna

Unduna wa Zaumoyo, Pulofesa Dreval Alexander Vasilievich

Mapulogalamu, Moscow, st. Schepkina, 61/2, ndikupanga 9 tel.

Matenda a shuga masiku ano ndi matenda ofala kwambiri omwe amapezeka kwa odwala padziko lonse lapansi. Ku Russia, matendawa amakhala m'malo achitatu omwalira pambuyo pa khansa komanso mtima.

Matendawa amatsogolera kulumala, kulumala koyambirira, kuchepetsedwa kwa moyo ndi kufa koyambirira. Kuti munthu wodwala matenda ashuga akhale ndi mwayi woti azitha kulandira chithandizo chokwanira, bajeti ya ku Russia imapereka ndalama zolipira pachaka.

Kuphatikiza apo, wodwala matenda ashuga amatha mwayi wopezeka tikiti yosankha kamodzi pachaka. Pankhani ya kulemala, munthu amapatsidwa penshoni yapadera kuchokera ku boma.

Tsoka ilo, milandu ngati imeneyi siachilendo ngati wodwala matenda ashuga akakanizidwa kulandira mankhwala oyenera mwalamulo. Nthawi zambiri, chifukwa cha izi ndi kusakhalapo kwakanthawi kwa insulini mu mankhwala.

Izi zikachitika, wodwalayo ayenera kusiya kuchuluka kwa zomwe analemba muzolemba zamankhwala ndi mnzake, zomwe zimamupatsa ufulu wogula mankhwalawo kwaulere. Kwa masiku khumi, mankhwalawa amafunika kupereka insulin kwa odwala matenda ashuga.

Popanda insulini pazifukwa zilizonse, nthumwi za ogulitsa mankhwalawo amakakamizidwa kuti adziwitse wodwala za izi ndikumutumiza kumalo ena ogulitsa.

• Ngati mumapezeka insulini, koma wopanga mankhwalawo akukana kulandira kwaulere, dandaulo liyenera kutumizidwa ku dipatimenti yoyang'anira Insuranceory Insurance Fund. Bungweli limayang'anira ntchito yokomera ufulu wa odwala komanso limapereka chithandizo kwa odwala.
• Pankhani ya kusalandira mankhwala okondera, oyang'anira amakampani ayenera kufunsa kuti kukana kulembedwe, malembawo ayenera kukhala ndi chifukwa chosapereka mankhwalawo, deti, siginecha ndi chisindikizo cha malo.
• Mwanjira imeneyi, kuyimira woyimira yekha ndi amene angalembe chikalata chokana, popeza kusindikiza ndikofunikira, koma mtsogolo chikalatachi chithandizira kuthetsa mkanganowu mwachangu ndipo odwala matenda ashuga alandila chithandizo chofunikira mwachangu.
• Ngati munthu wataya mankhwala omwe anapatsidwa kale a insulin, ndikofunikira kulumikizana ndi adotolo mwachangu, yemwe angalembe kalata yatsopano ndikuwuza bungwe lazachipatala za kutayika kwa chikalatacho. Ngati dokotala akukana kulemba mankhwala, muyenera kufunsa kuti akufotokozereni kuchokera kwa dokotala wamkulu.

Pomwe chipatala chikakana kulandira odwala matenda ashuga, ndikofunikanso kuti kukana kulembedwe. Madandaulo okhudzana ndi ufulu wa wodwala amapita ku nthambi ya Health Insurance Fund.

Ngati wodwala sanalandire yankho pamlanduwo pasanathe mwezi, kudandaula kumatumizidwa kuofesi ya Wotsutsa.

Commissioner wa Ufulu Wachibadwidwe amalimbana ndi nkhani yoletsa kuphwanya ufulu wa munthu wodwala matenda ashuga.

Ukraine akuwononga odwala matenda ashuga: njira yokhayo yopulumukira ndiyosamukira kudziko lina

Kuphatikiza poti boma limakakamizika kupatsa odwala matenda ashuga aulere komanso mankhwala ofunikira, ntchito zingapo zothandizira anthu zimaperekedwanso kwa wodwala. Onse odwala matenda ashuga ali ndi ufulu kulandira tikiti yaulere kupita ku Sanatorium.

Ndi mtundu woyamba wa shuga, odwala matenda ashuga nthawi zambiri amakhala ndi kulumala, chifukwa cha izi amapatsidwa maubwino ena. Ndikofunika kudziwa kuti pali zabwino kwa mwana olumala yemwe ali ndi matenda ashuga.

Mankhwala onse amaperekedwa kwaulere pakuperekedwa kwa mankhwala a dokotala, omwe amawonetsa mlingo wovomerezeka wa insulin.

Pezani mankhwala ku mankhwalawa kwa mwezi umodzi, kuyambira nthawi yomwe dokotala amalemba. Ngati mankhwalawo ali ndi chizindikiritso, insulin ikhoza kuperekedwa koyambirira. Potere, wodwalayo ayenera kulandira mankhwalawa mpaka masiku 10.

Kwa matenda ashuga amtundu 1, phukusi la zopindulitsa pazabwino limaphatikizapo:

1. Kupeza ma insulin a insulin komanso ma insulin,
2. Ngati ndi kotheka, kugonekedwa kuchipatala.
3. Zopanda ma glucometer aulere komanso zothetsera pamiyeso ya zingwe zitatu zoyesa patsiku.

Mankhwala a psychotropic amaperekedwanso kwaulere, kwa masiku 14. Komabe, wodwalayo ayenera kusinthiratu mankhwalawa pakatha masiku asanu aliwonse.

Anthu omwe apezeka ndi matenda a shuga a mtundu wachiwiri ali ndi mwayi wotsatira mitundu iyi:

• Kulandila mankhwala ochepetsa shuga kwaulere mukamalandira mankhwala omwe akuwonetsa kuchuluka kwake.
• Wodwala akalandira mankhwala a insulin, amapatsidwa glucometer yaulere ndi zinthu zina (milozo zitatu zoyesa patsiku).
• Popanda mankhwala a insulin, glucometer iyenera kugulidwa palokha, koma boma limagawa ndalama zopereka kwaulere mzere wamiyeso. Kupatula, zida zoyesera kuchuluka kwa shuga m'magazi zimaperekedwa m'njira zabwino kwa odwala omwe ali ndi vuto laukhungu.

Ana ndi amayi apakati amalandira ma insulin ndi ma insulini aulere. Alinso ndi ufulu wotenga glucometer ndi zinthu zina. Ana ali ndi ufulu wokhala ndi matikiti oyenera kupita ku sanatorium, kuphatikizapo thandizo la makolo lomwe amalipiritsa ndi boma.

Ngati wodwala safuna kukalandidwa pachipatala, atha kukana ndalama, kuti alandire ndalama. Komabe, muyenera kumvetsetsa kuti ndalama zomwe zilipiridwe ndizotsika kwambiri kuposa mtengo wokhala kuchipatala.

Anthu omwe adapezeka kuti ali ndi matenda ashuga amayenera kuwunika kuchuluka kwa shuga m'magazi awo moyo wawo wonse, kumwa mankhwala othana ndi shuga omwe madokotala amapereka, ndikuvulaza insulin.

Kuwunikira kusintha kwa gawo la glucose m'magazi, kwa odwala matenda ashuga pali zida zapadera zomwe odwala amatha kuchita mayeso kunyumba, osapita kuchipatala nthawi iliyonse.

Pakadali pano, mtengo wa glucometer ndi zinthu zogwiritsira ntchito pachipangizochi ndi wokwera kwambiri. Pazifukwa izi, odwala matenda ashuga ambiri ali ndi funso: kodi angatenge insulin ndi mankhwala ena kwaulere ndipo ndiyenera kulumikizana ndi ndani?

Odwala onse omwe amapezeka ndi matenda a shuga amapatsika gawo lokonda. Izi zikutanthauza kuti pamaziko a zopindulitsa za boma, ali ndi ufulu kulandira insulini ndi mankhwala ena othandizira matendawa.

Komanso, odwala matenda ashuga omwe ali ndi zilema amatha kutenga tikiti laulere kupita ku sukulu yophunzitsira, yomwe imaperekedwa kamodzi pazaka zitatu zonse ngati gawo lokhalitsa.

Odwala omwe apezeka ndi matenda amtundu woyamba ali ndi ufulu:

• Pezani ma insulin aulere komanso insulin,
• Ngati ndi kotheka, alowetsani kuchipatala kuti mukalandire upangiri,
• Pezani ma glucometer aulere a mayeso a shuga kunyumba, komanso zida zogwiritsira ntchito chipangizocho pamiyeso yamagawo atatu.

Pankhani ya matenda a shuga a mtundu woyamba, kulumala kumakhazikitsidwa nthawi zambiri, chifukwa chake pulogalamu yowonjezera imaphatikizidwa kwa odwala matenda ashuga, omwe amaphatikizapo mankhwala ofunikira.

Pankhaniyi, ngati dokotala atakulemberani mankhwala okwera mtengo omwe samaphatikizidwa mndandanda wazamankhwala okondera, wodwalayo nthawi zonse angafunse ndikupeza mankhwala ngati amenewo kwaulere. Zambiri zokhudzana ndi yemwe ali ndi vuto la matenda a shuga zitha kupezeka patsamba lathu.

Mankhwala amaperekedwa mosamalitsa malinga ndi zomwe dokotala wakupatsani, pomwe mlingo wofunikira uyenera kufotokozedwa papepala lachipatala lomwe wapatsidwa. Mutha kulandira insulin ndi mankhwala ena ku pharmacy kwa mwezi umodzi kuyambira tsiku lomwe linanenedwa kuti mupatsidwe mankhwala.

Kupatula, mankhwala akhoza kuperekedwa kale ngati mankhwala ali ndi cholembera chofunikira. Potere, insulin yaulere imaperekedwa nthawi yomweyo ngati ilipo, kapena pasanathe masiku khumi.

Mankhwala a Psychotropic amaperekedwa kwaulere kwa milungu iwiri. Chithandizo cha mankhwala chikuyenera kusinthidwa masiku asanu aliwonse.

Mu matenda a shuga a mtundu wachiwiri, wodwalayo ali ndi ufulu:

1. Pezani mankhwala ofunika kuchepetsa shuga kwaulere. Kwa odwala matenda ashuga, mankhwala amawonetsedwa akuwonetsa kuchuluka kwake, pamaziko omwe insulin kapena mankhwala amaperekedwa kwa mwezi umodzi.
2. Ngati kuli kofunikira kuperekera insulin, wodwalayo amapatsidwa glucometer yaulere yokhala ndi zothetsera pamiyeso ya mizere itatu patsiku.
3. Ngati insulin siyofunikira kwa odwala matenda ashuga, amatha kupezanso mayeso kwaulere, koma muyenera kugula nokha glucometer. Chosiyana ndi odwala omwe ali ndi vuto lowonongeka, omwe zida zake zimaperekedwa mwa njira zabwino.

Ana ndi amayi apakati amatha kutenga ma insulin ndi ma insulin aulere. Alinso ndi ufulu wotulutsa mita yamagazi m'magazi komanso zothetsera ku chipangizo choyeza shuga wamagazi, kuphatikiza zolembera za syringe.

Kuphatikiza apo, tikiti yopita ku sanatorium imaperekedwa kwa ana, omwe amatha kupumula palokha ndikutsagana ndi makolo awo, omwe amakhalanso amalipira ndi boma.

Maulendo opita kumalo opumulirako njira iliyonse, kuphatikizapo sitimayi ndi basi, ndi zaulere, ndipo matikiti amaperekedwa nthawi yomweyo. Kuphatikiza makolo akusamalira mwana wodwala wosakwana zaka 14 ali ndi ufulu wolandila ndalama zolandila malipiro ake pamwezi.

Kuti muthe kugwiritsa ntchito bwino maubwino otere, muyenera kupeza chikalata kuchokera kwa dokotala wakwanuko yemwe akutsimikizira kupezeka kwa matendawa komanso ufulu wothandizidwa ndi boma.

Njira yatsopano yoperekera insulin ku Europe yabweretsedwa ku Ukraine. Malingaliro ofananawo adavomerezedwa ndi Kabungwe ka Nduna za ku Ukraine mu Marichi 2016. M'mbuyomu, insulini idagulidwa mwamtheradi, ndiye kuti, zaboma lililonse.

Ndunayi idaganiza zotenga chitsanzo kuchokera ku maiko aku Europe, komwe zipatala zimapanga mgwirizano pa kugula kwa insulin ndi mankhwala ena omwe ali pafupi kwambiri ndi chipatala. Chifukwa chake, akatswiri azamankhwala amafunika kugula mankhwala ndi ndalama zawo, ndipo pokhapokha boma limasinthitsa ndalamazo.

Kuphatikiza apo, Cabinet idakumananso ndi mpango wina, nawonso European. Zowunikira zili pakubweretsa mankhwala, ndiye kuti, ndizotheka kupeza insulini ngati wodwalayo alembedwa mu Unified Register yatsopano ya Insulin-Dependent People.

Dziwani kuti masiku ano ku Ukraine kuli anthu opitilira 2 miliyoni omwe ali ndi matenda ashuga, ndipo olamulira ku Ukraine sakusamala. Wina akuganiza kuti boma silisamala za moyo wa anthu aku Ukraine.

Dokotala wamkulu ku Ukraine, Yevgeny Komarovsky, adati anthu omwe ali ndi matenda ashuga ayenera kuchoka ku Ukraine. Malinga ndi adotolo, ngati mulibe njira yogulira insulin yodula, ndipo mumakhala mfulu (boma), ndiye kuti muli ndi mwayi wopulumuka.

Mwayi wokhawo wopulumuka, malinga ndi Komarovsky, ndikuchoka mdzikolo.

Ndani ali woyenera kupatsidwa mankhwala osokoneza bongo?

1. Choyamba, nyumba yamalamulo idapereka ufuluwu kwa anthu omwe ali ndi vuto la gulu limodzi kapena awiri, ana olumala, komanso omenyera nkhondo ya Great Patriotic War. Mwa magulu awa a othandizira athu, ndalama zochokera ku boma zimagawidwa pazosowa zamankhwala.
   
2. Kuphatikiza pamagulu omwe ali pamwambawa, ana omwe ali ndi zaka zosakwana 3 ali ndi ufulu wosankha kapena kulandira mankhwala aulere. Ngati mwana waleredwa m'mabanja akulu, ndiye kuti adzakhala ndi mwayi wamankhwala mpaka atakwanitsa zaka zisanu ndi chimodzi. Izi nthawi zambiri sizimanenedwa m'makliniki azigawo, chifukwa nzika zambiri sizikukayikira kuti ali ndi ufulu.
   
3. Komanso pali mndandanda wotchedwa dera laopindulira, omwe amavomerezedwa pamlingo wa mutu uliwonse wa Russian Federation.
   
4. Mankhwala osangalatsa akhoza kuperekedwa kwa nzika zomwe zili ndi matenda enaake malinga ndi malamulo, monga, kachilombo ka HIV, chifuwa chachikulu, matenda a shuga, ndi zina zotere. Lamuloli limapereka zabwino zonse zokhazikika komanso zoperekedwa kwakanthawi. Chitsanzo ndi kuperekera kwaulere chithandizo komanso mankhwala kwa anthu omwe adachita kupweteka kwa miyezi isanu ndi umodzi.
   

Kodi chofunikira ndi chiyani kuti munthu alandire mankhwala osokoneza bongo?

Choyamba, wofunsira kukonzekera mankhwala osokoneza bongo ayenera kupita kwa dokotala ndi zikalata zotsatirazi zomwe zikufunika kuti apereke mankhwala ofunikira:

• Chikalata chilichonse chomwe chimatsimikizira kuti ndinu woyenera kulandira mankhwala okondera. Ichi chikhoza kukhala satifiketi ya penshoni, chiphaso cha msirikali wakale wankhondo yachiwiri yapadziko lonse ndi zikalata zinafotokozedwa ndi lamulo,
  
• Anthu omwe ali ndi gulu la olumala omwe akutsimikiziridwa ayenera kupereka satifiketi kuchokera ku Pension Fund ya Russian Federation, chomwe ndi chitsimikizo kuti panalibe kukana kwa chikhalidwe cha anthu omwe ali ndi zilema, zomwe zimaphatikizapo ufulu wokonda kulandira mankhwala osokoneza bongo,
  
• SNILS,
• Mapulogalamu okakamiza a inshuwaransi.
  

Kuti mupeze ufulu wokhala ndi mwayi wosankha mankhwala osokoneza bongo, kupezeka kwa matenda omwe ali ndi chidwi ndi malamulo kuyenera kutsimikiziridwa. Komanso, popanda kulephera, kulowa mu khadi pakakhala matendawa kuyenera kupangidwa ndi wothandizira.

Pamaso pa zonsezi, dokotala wopezekapo amalemba mankhwala ena mwanjira yapadera, yomwe imakhazikitsidwa ndi lamulo kuti ilandire gulu lokonda mankhwala. Dokotalayo amaika chikwangwani chake ndi sitampu pa fomu yokakamiza.

Zitatha izi, ntchitoyo imapangidwa ndi katswiri wa zamankhwala kuchipatala cha am'deralo (munthu) chipatala kuti munthu wina akufuna mankhwala ena mwachilungamo posankha mankhwala.

Mankhwala okhazikitsidwa kwathunthu atapezeka, wolandirayo ayenera kulumikizana ndi apolisi apafupi kwambiri, omwe amatenga nawo mbali mu pulogalamu yaulere yopereka mankhwala. Mwakuchita izi, nthawi zambiri pamabuka mankhwala omwe sanafunikire pakadali pano.

Tsoka ilo, mwakuchita, mikhalidwe nthawi zambiri imakhala pomwe dokotala amakana kulemba zomwe zili zoyenera chifukwa chakuti mankhwalawa sapezeka muchipatala.

Mutha kulemba madandaulo chifukwa chakuchita dala kwa dotoloyu m'dzina la adotolo wamkulu
. Kudandaula koteroko nthawi zambiri kumachitika mobwerezabwereza, komwe kumaperekedwa kwa mlembi wa dokotala wamkulu.

Kope lachiwiri, lomwe latsala nanu, liyenera kulembedwa pakulandila madandaulo anu. Ngati mlembi akana kuvomera, ndiye kuti uyenera kutumizidwa kwa dotolo wamkulu kudzera m'makalata olembetsedwa
.

Kodi ndingadandaulire kuti kulephera kupereka mankhwala okondera kapena aulere?

Mankhwala aulere othandizira matendawa pamaziko a zabwino amapatsidwa ndi endocrinologist potengera matenda a shuga. Kuti izi zitheke, wodwalayo amapima mayeso athunthu, amatenga magazi ndi mkodzo pamiyeso ya shuga.

Mankhwala amaperekedwa kwaulere m'mafakitala onse aboma pamtundu wolembedwa, zomwe zikuwonetsa kuchuluka kwa mankhwalawo. Monga lamulo, mankhwala amatha kupezeka pamwezi.

Kuti muwonjezere phindu ndikupeza mankhwala aulere, mukufunikiranso kulumikizana ndi endocrinologist ndikuyezetsa. Vutoli litatsimikiziridwa, dokotalayo amupatsanso mankhwala ena.

Ngati dokotala akukana kupereka mankhwala oyenera omwe ali m'gulu la mankhwala aulere kwa odwala matenda ashuga, wodwalayo ali ndi ufulu wolumikizana ndi wamkulu kapena dokotala wamkulu wachipatala. Kuphatikizanso thandizo kuthetsa nkhaniyi mu dipatimenti yachigawo kapena Unduna wa Zaumoyo.

Mayi anga adavulala mwendo mwezi watha ndipo adapita kuchipatala, komwe adapezeka kuti ali ndi shuga wambiri 24 ndipo adavulaza insulin kwa milungu itatu, atachotsedwa, adapita kuchipatala, koma adakanidwa kupereka insulin pazifukwa zakuti anali wolumala wa gulu lachitatu ndipo adakana pagawo zaka zisanu ndi zitatu zapitazo, ndiuzeni ngati ndizotheka kulandira insulin kapena mpaka chaka chatha

Mwamuna wanga ndi matenda ashuga komanso olumala 2 g. anakana maufulu aboma kusiya boma. Tsopano akukana kumpatsa insulini, ndipo amamulembera malinga ndi mfundo yotsalira, yomwe idatsala. Kodi ndi lamulo.

Ndakhala wolandila ndalama zaka 26, ndagwiritsa ntchito insulin Humulin p ndikuitanitsa mankhwala osavomerezeka masiku ano ndimalandira ma rinsulin omwe thanzi langa limakulirakulira komanso kutupira.Dotolo adati ma insulin omwe adalowetsedwa amangoperekedwa kwa okhawo omwe angalandire chithandizo chachigawo. Kodi ndizomwe ndikufuna kuchita ndipo ndikufuna kusintha phindu ku dera

Mayi anga (obadwa mu 1938) ali wolemala 2 gr. / kudula mwendo chifukwa cha matenda a shuga a mellitus / wodwala insulin, nzika ya Kazakhstan, ali ndi RVP ku Russian Federation ndipo zikalata zopeza chilolezo chokhala kunyumba zaperekedwa. Kuyambira pa Epulo 2017

Anapatsidwa insulini malinga ndi malangizo aulere, atatsimikizira kulumala mu Russian Federation, adasinthidwa kupita ku bajeti ya federal ndipo amakanidwa kulandira insulin yaulere, chifukwa palibe satifiketi yochokera ku RF PF, sapereka satifiketi, chifukwa palibe chilolezo chokhalitsa kapena nzika ...

Chifukwa m'mbuyomu zinali zotheka kupereka mankhwala ofunikira, koma tsopano ndizosatheka. Zoyenera kuchita. Ku Kazakhstan, idalembedwa, khadi yachipatala idaperekedwa ku chipatala pamalo olembetsa ndikukhalamo, bungwe lazachipatala linakonzekera zikalata za VTEK ...

Ndili ndi, mtundu wodwala matenda a shuga ogwirizana ndi insulin 1 omwe kale adalandira insulini kwaulere; penshoni yaying'ono adatumizidwa, chifukwa chake, ndidakana ntchito zachikhalidwe kuti ndizikola ndalama ndipo tsopano ndakanidwa maphikidwe aulere pazomwe ndingachite

Ngati mankhwalawa akukanizidwa kwa munthu yemwe ali ndi khansa yemwe alibe gulu lolemala, ndiye kukana kwa Unduna wa Zaumoyo m'deralo pachipatala, madandaulowo amayenera kupita kwa oyang'anira milandu. Mutha, mwachidziwikire, kulemba chikalata chopita ku boma la Roszdravandzor, lomwe silitenga zinthu zowongolera, koma lingofotokoze malingaliro ake pazomwe zikuchitikazo.

Chifukwa chake, malinga ndi imodzi mwa zopempha za woyang'anira dera mdera la Roszdravnadzor, adafotokoza udindo wake kumanja kwa wodwala yemwe ali ndi khansa kuti alandire mankhwala pansi pa phindu la chigawo, zomwe zingakhale zothandizanso kwa wodwalayo popemphanso zina.

Polemba madandaulo, ndikofunikira kuzindikira, kuphatikiza pa mayina ndi mayina, komanso kupezeka kwa gulu la olumala, komwe mankhwalawo adalembedwera (kutsimikizira kuti mwadzilimbikitsira nokha pakufunsira kwanu), ngati mankhwalawo aperekedwa kale, onetsani kuti mwalandira kangati mankhwalawo komanso pamikhalidwe yotani (malinga ndi mankhwala, kuchipatala) ndi zambiri.

Kapena fotokozerani vuto lina. Madandaulowa akuwonetsa onse omwe angalandire, mutha kuyika chikalata cha satifiketi ya ITU, mawu osonyeza kuchuluka kwa mankhwalawo. Ngati mayankho adalandiridwa kuchokera ku Unduna wa Zaumoyo, afotokozereni malumikizowo ndipo gwiritsani ntchito kudandaula ku Roszdravnadzor ndi ofesi ya wotsutsa.

Kope imodzi yodandaula imakhalabe ndi wopemphayo, yomwe imadziwika ndi ulamuliro womwe unalandira. Madandaulo amathanso kutumizidwa ndi makalata olembetsedwa ndi chidziwitso chakutumiza. Chikalata chodandaula ku Unduna wa Zaumoyo wa derali chitha kutumizidwanso ku ofesi ya wozenga milandu, chomwe sichichotsa, monga momwe tafotokozera pamwambapa, kutumiza madandaulo ena kwa omwe akuwayambitsa milandu ngati sanayankhe mwachilungamo kuchokera ku Unduna wa Zaumoyo, womwe ulibe udindo wina.

Komanso, chikalata chodandaula chitha kutumizidwa kwa ombudsman wa ufulu wachibadwidwe m'deralo kuti adziwe za momwe zinthu ziliri ndi kukana kwa zinthu zomwe zilipo mderalo. Zambiri - "mutu wa Russian Federation pankhani yaumoyo" wotchulidwa mulemba zodandaula ndi Unduna wa Zaumoyo kuderalo.

Madandaulo atatumizidwa, mudzayembekezera yankho. Nthawi zina zimachitika kuti akuluakulu a boma amazengereza kuyankha 1 mwezi umodzi kapena sayankha konse. Kuti mulandire yankho komanso, mwinanso, kufulumizitsa nthawi yake, munthu sangangoyembekezera.

Malinga ndi malamulo ogwira ntchito zokomera, madandaulo amatumizidwa kwa munthu wapabungwe kuti akaphedwe. Chifukwa chake, muyenera kuyitanitsa kulandiridwa kwa Unduna wa Zaumoyo, Roszdravnadzor. Ofesi yotsutsa ndikufunsani nambala yafoni ya munthu amene madandaulo anu atumiziridwa kuti aphedwe.

Pansipa pali zitsanzo zodandaula za kukana kupereka mankhwala kwa munthu wolumala komanso kukana kupereka mankhwala kwa odwala omwe ali ndi khansa omwe alibe gulu lolemala, omwe atumizidwe ku ofesi ya Unduna wa Zaumoyo, Roszdravnadzor komanso ofesi ya wotsutsa.

M'malemba akudandaulo pansipa, chisamaliro chachikulu chiyenera kulipidwa ku malamulo omwe amapereka kwa wodwala ufulu wosankha mankhwala.

Anthu olumala komanso odwala khansa ayeneranso kupatsidwa mankhwala okondera a matenda aliwonse omwe ali nawo (kutengera mtundu wa wopezayo ndi kupezeka kwa mankhwalawo pa mndandanda wokondera). Mukatha kuwonetsetsa kuti mankhwalawo omwe adauzidwa ndi adotolo akuphatikizidwa m'ndandanda wofanana ndi omwe akupindulitsirani, polankhulana ndi madokotala, mutha kutanthauzanso zochitika zomwe zasonyezedwa m'madandaulo. Mwachitsanzo, kufunikira mankhwala ochizira matenda oopsa, shuga, nyamakazi, ndi zina zambiri.

1. Zodandaula zachitsanzo

Copy: Woyimira milandu ______________________ Adilesi: __________________________________ Wolemba ______________________________ Adilesi: _________________________________

Kudandaula motsutsa kukana chisankho

Ine, dzina lathunthu Wobadwa mu 1946, ndine wosavomerezeka m'gulu lachiwiri la matenda a khansa yachiwiri ya rectal. Mu Oncology Center No. 1 ya City of K-v, ndinachita opaleshoni yochotsa chotupacho ndikuthandizanso kuchipatala ku Oncology Center Nambala 1 05.09. 2013, Glivec adasankhidwa

(INN imatinib). Koma mu polyclinic No. 4 ya mumzinda wa K-va, sing'anga wopezekayo adakana kupereka mankhwala omwe adanenedwa. Ndidafunsa a Administration a mzinda wa K-va, Unduna wa Zaumoyo mumzinda wa K-v ndikudandaula za kukana kulandira chithandizo.

Malinga ndi Article 37 ya Federal Law of the Russian Federation ya Novembara 21, 2011 N 323-ФЗ “Pazifukwa Zotetezera Zaumoyo Za nzika ku Russia”, chisamaliro chachipatala chimapangidwa ndipo chimaperekedwa malinga ndi mfundo zosamalira odwala.

Malinga ndi Federal Law ya Novembara 24, 1995 N 181-ФЗ “Pa Kutetezedwa kwa Anthu Olumala ku Russia Federation”, Federal Law ya Julayi 17, 1999 N 178-ФЗ “Pa State Social Aid”, anthu olumala alandila mabungwe azithandizo zosiyanasiyana ndipo akuyenera kuwalandira. malinga ndi malangizo a dotolo omwe ali ndi mankhwala ofunikira mogwirizana ndi miyezo ya chisamaliro chachipatala.

Imatinib ikuphatikizidwa mu mulingo wa chithandizo chamankhwala othandizira odwala oyipa a metastatic and reopumms of colon and rectum of phase IV (chemotherapeutic chithandizo) ", yovomerezedwa ndi Order of the Ministry of Health of the Russian Federation ya pa Disembala 24, 2012 N 1531н."

Malinga ndi Federal Law "On State Social Thandizo" N 178-ated Julayi 17, 1999, maulamuliro a Russian Federation popereka thandizo la boma munjira zantchito zachitukuko adasamutsidwa kuti akwaniritse maboma aboma la Russian Federation.

Njira zopangira ndikupereka mankhwala munthawi ya chithandizo chazachuma cha boma zimachitika mogwirizana ndi zomwe Order of the Ministry of Health of the Russian Federation idachita pa Disembala 20, 2012.

N 1175n "Malinga ndi kuvomerezedwa kwa mankhwala ndi mankhwala, komanso mafomu amtundu wa mankhwala, momwe mungadziritsire mafomuwa, ma account awo ndi kusunga". Malinga ndi gawo 4.

Lamuloli, anthu olumala amapatsidwa mankhwala malinga ndi Mndandanda wa mankhwala omwe adatchulidwa ndi dotolo (paramedic) popereka chithandizo chaulere kuchipatala kwa ena omwe ali ndi ufulu kulandira boma ”(yovomerezedwa ndi Unduna wa Zaumoyo ndi Zachitukuko cha Russia ku Russia Federation ya 18 Seputembara 2006 N 665).

Gleevec pansi pa INN Imatinib imaphatikizidwa ndi Mndandanda wa fedulo wazokondera, chifukwa chake, pazifukwa zamankhwala, ziyenera kuperekedwa kwa ine molingana ndi lamulo lokonda kutaya ndalama za federal mkati mwa chimango cha mphamvu zoperekedwa ku mutu wa Russian Federation.

Ndine "Wopindulitsa pachigawo" ndipo ndikapanda kupeza ndalama kuchokera ku boma la federal pansi pa pulogalamu ya DLO, akanakhala kuti andipatsa mankhwala ndikulipiritsa bajeti.

"Ngakhale kuli kwakuti kuli ndi ufulu kulandira chiphaso cha mankhwalawa malinga ndi momwe boma likuyendetsedwera ndalama za boma, komanso momwe lingakhazikitsire njira zoperekera masheya omwe amaperekedwa chifukwa chakugulitsa mabungwe a Russian Federation, nzika zili ndi ufulu kulandila mankhwala pazifukwa ziwiri."

Zowonjezera zothandizira odwala matenda ashuga

Kuphatikiza poti boma limakakamizika kupatsa odwala matenda ashuga aulere komanso mankhwala ofunikira, ntchito zingapo zothandizira anthu zimaperekedwanso kwa wodwala. Onse odwala matenda ashuga ali ndi ufulu kulandira tikiti yaulere kupita ku Sanatorium.

Ndi mtundu woyamba wa shuga, odwala matenda ashuga nthawi zambiri amakhala ndi kulumala, chifukwa cha izi amapatsidwa maubwino ena. Ndikofunika kudziwa kuti pali zabwino kwa mwana olumala yemwe ali ndi matenda ashuga.

Mankhwala onse amaperekedwa kwaulere pakuperekedwa kwa mankhwala a dokotala, omwe amawonetsa mlingo wovomerezeka wa insulin.

Pezani mankhwala ku mankhwalawa kwa mwezi umodzi, kuyambira nthawi yomwe dokotala amalemba. Ngati mankhwalawo ali ndi chizindikiritso, insulin ikhoza kuperekedwa koyambirira. Potere, wodwalayo ayenera kulandira mankhwalawa mpaka masiku 10.

Kwa matenda ashuga amtundu 1, phukusi la zopindulitsa pazabwino limaphatikizapo:

1. Kupeza ma insulin a insulin komanso ma insulin,
2. Ngati ndi kotheka, kugonekedwa kuchipatala.
3. Zopanda ma glucometer aulere komanso zothetsera pamiyeso ya zingwe zitatu zoyesa patsiku.

Mankhwala a psychotropic amaperekedwanso kwaulere, kwa masiku 14. Komabe, wodwalayo ayenera kusinthiratu mankhwalawa pakatha masiku asanu aliwonse.

Anthu omwe apezeka ndi matenda a shuga a mtundu wachiwiri ali ndi mwayi wotsatira mitundu iyi:

• Kulandila mankhwala ochepetsa shuga kwaulere mukamalandira mankhwala omwe akuwonetsa kuchuluka kwake.
• Wodwala akalandira mankhwala a insulin, amapatsidwa glucometer yaulere ndi zinthu zina (milozo zitatu zoyesa patsiku).
• Popanda mankhwala a insulin, glucometer iyenera kugulidwa palokha, koma boma limagawa ndalama zopereka kwaulere mzere wamiyeso. Kupatula, zida zoyesera kuchuluka kwa shuga m'magazi zimaperekedwa m'njira zabwino kwa odwala omwe ali ndi vuto laukhungu.

Ana ndi amayi apakati amalandira ma insulin ndi ma insulini aulere. Alinso ndi ufulu wotenga glucometer ndi zinthu zina. Ana ali ndi ufulu wokhala ndi matikiti oyenera kupita ku sanatorium, kuphatikizapo thandizo la makolo lomwe amalipiritsa ndi boma.

Ngati wodwala safuna kukalandidwa pachipatala, atha kukana ndalama, kuti alandire ndalama. Komabe, muyenera kumvetsetsa kuti ndalama zomwe zilipiridwe ndizotsika kwambiri kuposa mtengo wokhala kuchipatala. Chifukwa chake, polingalira mtengo wa kukhalapo kwa sabata 2 mu sanatorium, kulipira kudzakhala kotsika 15 kuposa mtengo wamatikiti. Kanemayo munkhaniyi athandiza odwala matenda ashuga kuchepetsa shuga.

Malamulo Ogwirizana

Zolakwika wamba

Cholakwika ndi: Wogulitsa mankhwala osokoneza bongo adayitanitsa nzika, yomwe mankhwala omwe sanawakonde patsiku la mankhwalawo, patatha mwezi umodzi.

1. Kuti mupeze mankhwala okondera ku pharmacy, muyenera kuwalembera kalata kwa asing'anga am'deralo. Maziko omwe amalembedwako ndi umboni wolembedwa (wotulutsa) wolandiridwa ku chipatala chapadera, komwe wodwala amamuwona chifukwa cha matenda ake.
2. Dotolo wakomweko angakane kupatsa mankhwala chifukwa chakusowa kwa mankhwalawa mu mankhwala. Kukana uku ndikuloledwa chifukwa ngakhale mankhwalawa sakhala m'chipatala, atalandira mankhwala, mankhwalawo ayenera kugula mankhwalawo m'masiku khumi. Ngati palibe mankhwala - motero, mankhwalawo POPEZA, ndipo simudzawaonanso mankhwalawo. Chifukwa chake, ndikofunikira "kukumbutsa" dokotala wakwanuko za izi ndikupitiliza kuumirira kuti apatsidwe mankhwala. 3. Ngati dokotalayo akupitiliza kukana kulemba mankhwala, pemphani ndipo alembe pamakadiwo: "mankhwala sudalembedwa chifukwa chosowa mankhwala kuchipatala". Sangalembe zinthu zotere, chifukwa chake alembe mankhwala kapena akana kulemba pa khadi lomwe sanalilembere. Pankhaniyi, ndikofunikira kuti Dokotala MANDATORY alowetse kakhadi ponena kuti wodwala wa anthu oterewa ndi ena otero anali pomwepo ndipo adamuyesa adokotala mwanjira yotere (sangathe kukana izi).
4. Mukangotuluka mu ofesi ya udotolo, lembani m'malemba awiri madandaulo opita kwa sing'anga wamkulu wa polyclinic ya zomwe zili motere: "Kwa sing'anga wamkulu wa zotere ndi zina ... Chonde fotokozerani chifukwa chake ochiritsira adakana kundilembera kalata yodwala (dzina) zofunika kwa thanzi langa. Ndimaona kukana kumeneku kosaloledwa pamaziko a Order of the Ministry of Health and Social Development of the Russian Federation of February 12, 2007 N 110, Resolution of the Government of Russian Federation of July 30, 1994 No 890 ...
5. Pelekani kalatayo kamodzi kwa mlembi wa asing'anga wamkulu, ndipo pakope lachiwiri kufunsa mlembi kuti aike sitampu.
6. Ngati mlembi akana kuvomera, ziyenera kutumizidwa ndi makalata - ndi makalata olembetsedwa ndi mndandanda wazomwe mukugulitsa komanso chidziwitso chakutumiza. Kopeyo idzaperekedwa mobwerezabwereza, imodzi iyenera kuyikidwa m'kalatayo, ndipo yachiwiri ikuyenera kupukutidwa kuti ikope kudandaula komwe kwasungidwa pamalo anu. Phatikizani risiti yolipira kalata yolembetsa komanso zidziwitso zakupereka madandaulo osainidwa ndi mlembi wa dotolo wamkulu pamenepo. 7. M'tsogolomu, pitilirani malinga ndi zomwe dokotala wamutu akuchita. Atha kupempha mgwirizano pamawu, koma ndikofunikira kuti ayankhe. Zitachitika izi, mankhwala omwe mumalandira mankhwalawo nthawi zambiri amaperekedwa.
8. Ngati muyamba kusalembetsa (ndizoletsedwa kupereka mankhwalawa mu Dipatimenti ya Zaumoyo, kulibe ndalama mu bajeti, zina), ndiye muyenera kulumikizana ndi ofesi ya wotsutsa, a Ministry of Health, Roszdravnadzor (mutha kupita ku 3 mwa malo awa nthawi imodzi). Tumizani kumeneko ma COPI (osati oyamba) a zikalata zonse (zodandaula zanu, zolemba zamakalata - zolemba zam'makalata, chiphaso, zidziwitso, mayankho a dotolo wamkulu). Ngati panalibe yankho kuchokera kwa sing'anga wamkulu, mutha kudandaula mosamala kwa wozenga mlandu. Nthawi zambiri, madandaulo atadandaula ku ofesi ya wozenga milandu, madokotala nawonso amafika kunyumba kukawafunsa ngati kuli koyenera kuti mudzapatsidwe mankhwala.

Unduna wa Zachilungamo udalembetsa Unduna wa Zaumoyo, womwe umalola kuti pakhale mankhwala othandizira odwala omwe ali ndi matenda osachiritsika kwa miyezi itatu yamankhwala. M'mbuyomu, lamulo lotere lidakhalapo kwa anthu omwe afika zaka zopuma pantchito, olumala omwe anali gulu la 1 ndi ana olumala, koma amaphwanyidwa kulikonse. “MedNovosti” idamvetsetsa ngati dongosolo latsopano lingagwire ntchito kapena likhalebe “dongosolo la zolinga”.

Funso la kufunika kosintha koyenera ku Order of the Ministry of Health of the Russian Federation yomwe idachitika pa Disembala 20, 2012 No. 1175n "Pa Procedure for Presidinging and Presifyinging Medicines" idakwezedwa ndi Council of Public Organisation for the Protection of Patients 'Ufulu wogwira ntchito pansi paulamuliro. Unduna wa Zaumoyo udathandizira izi ndipo mu kasupe adakonza kukonzekera zolemba No. 254n ya 04/25/2016, kubweretsa izi.

Pa Julayi 18, chikalatacho chidalembetsedwa, adayamba kugwira ntchito, ndipo tsopano ndikotheka kupereka mankhwala kwa miyezi itatu komanso kwa odwala omwe akudwala omwe akuphunzitsidwa kwa nthawi yayitali. Monga momwe adalembera, "malangizo a mankhwala omwe amalembedwa pamafomu a fomu nambala 148-1 / у-04 (l) ndipo lipangidwe No. ", ana olumala, komanso nzika zomwe zili ndi matenda osachiritsika omwe amafunikira chithandizo chambiri, ndizovomerezeka masiku 90 kuyambira tsiku loti achotse."

Zaka zitatu zolonjezedwayo zikuyembekezera

Pakadali pano, mwayi wopereka mankhwala kwa miyezi itatu kwa anthu omwe afika zaka zopuma pantchito, anthu olumala a gulu 1 ndi ana olumala adakhalapo kwa zaka zitatu, koma tsopano lamulo ili likuphwanyidwa paliponse.

Chifukwa chake, m'matawuni ang'onoang'ono mutha kulandira mankhwala oyenerera pokhapokha ngati akupezeka m'mafakitore. Kupanda kutero, maphikidwe samatulutsa madipatimenti okonda ma polyclinics. Kuphatikiza apo, nthawi yolembedwa ndi mwezi umodzi. Ndizothekanso kupereka mankhwala kwa mwezi wopitilira. Monga lamulo, kukonzekera mwakukonda kumasankhidwa sikunapitenso kamodzi pamwezi. Ndipo patsikuli muyenera kupita ku chipatala posachedwa, tengani ndikusankha zomwe zalembedwa. Izi sizabwino konse.

Chochitika chachikulu cha mwezi m'moyo wa anthu odwala matenda ashuga ku Russia ndi kutumiza kwa insulini kupita ku malo ogulitsa mankhwala osangalatsa. Patsikuli, muyenera kupita ku chipatala posachedwa, kupeza ndikusintha. Izi sizabwino konse. Wobadwa kudera la Moscow adauza a MedNews momwe amapangira insulin mwezi uliwonse kwa amayi ake omwe ali ndi matenda ashuga.

Njira imakhala, choyamba, kukacheza ndi sing'anga, yemwe akuyenera kulowa kakhadi (ndipo kuyambira tsiku lomwe mankhwalawo adalandila ku mankhwala osadziwika kale, simungadziwike pasadakhale). Ndipo, chachiwiri, kuchokera kukayendera dipatimenti yokondera, yomwe singathe kuthana ndi kuchuluka kwa odwala - kuchuluka kwa pamzere masiku awa, monga munjira yapansi panthawi yofulumira. Kugwiritsa ntchito ukadaulo wamagetsi pakuchita izi kumangowonetsera pakuwonetsera ma adilesi a ma pharmacies ndi kuchuluka kwa mapaketi a mankhwalawa panthawi yomwe akulemba.

Wothandizira sing'anga wam'mutu:"Ntchito ngati imeneyi sitidzatitsimikizira"

Tsopano, kuchuluka kwa kudutsa kwa zovuta izi, m'lingalirolo, kuyenera kusintha kuchokera pamwezi kukhala kotala. Koma pali chiyembekezo chochepa pa izi. Monga tafotokozera ku MedNews, wachiwiri kwa sing'anga wamkulu wa EVN (kuyesa kulumala kwakanthawi) m'modzi mwa zipatala zachigawo, zenizeni sizilola kupatsa onse omwe ali ndi mwayi wopeza mankhwala kwa miyezi itatu. Ntchito zoyikiridwa zimapangidwa m'boma ndipo zimavomerezedwa ndi Unduna wa Zaumoyo pamwezi, mwezi uliwonse, kutengera kufunikira kwa odwala pamwezi.

"Pali lamulo loti lipereke mankhwala kwa miyezi itatu yopanga maphunziro a othandizila ena kuchokera mu 2013, koma ngati tigwiritse ntchito mfundo iyi pamlingo uliwonse, tiyeneranso kuwonetsa kufunika kwa mankhwalawa katatu, ndipo kugwiritsa ntchito kumeneku sikungatsimikizike - adavomereza nduna. sing'anga wam'mutu. - Sitigula komanso kupereka mankhwala, koma a Unduna wa Zaumoyo ku Moscow Region, yemwe amatenga ndalama, amagawa ndalama kwa chaka ndi mwezi. Chifukwa chake, timagwira ntchito ndi odwala malinga ndi chiwembu ichi payekha. Mwachitsanzo, pankhani yanyamuka, kuchipatala, chithandizo cha spa. ” Kuphatikiza apo, wodwala wokalamba amatha "kusintha mkhalidwe" nthawi iliyonse, kotero kum'patsa mankhwala miyezi 3 isanakwane, "awonjezeranso."

Malingaliro ake, potengera momwe zinthu ziliri, njira yatsopano yoperekera maphikidwe ndiyo yabwino koposa. "Tikulemba mankhwala potengera mankhwalawo akupezeka," adatero. sing'anga wam'mutu. - Tinene kuti mankhwalawa ali ndi mapaketi asanu a insulin yofunika. Ndipo atatu mwa iwo akhoza kutengedwa ndi wodwala m'modzi, ndipo mutha kuwalemba mpaka asanu. Kutulutsa sikuyenda tsiku lililonse. Dongosololi ndi labwino, ndipo lingagwiritsidwe ntchito, koma tikulankhula zakusankha kwenikweni munthu akapita ndi mankhwala kupita kuchipatala ndikulandila mankhwala. Tsoka ilo, kuthekera kukhazikitsa zikalata zambiri zabwino m'dziko lathu kutengera ndi zachuma. "

Katswiri: "Chirichonse kukhothi!"

Malinga ndi akatswiri, mavuto azachuma am'deralo asasangalatse wodwala. Malamulo apano amamutsimikizira chithandizo chanthawi yake, kuphatikizapo mankhwala, komanso momwe angaperekere vutoli. "Ndani amawaletsa kupempha fomu kwa miyezi itatu, kapena 5? - atero Purezidenti wa National Agency for Patient Safety and Independent Medical Examination Alexey Starchenko. - Ngati dera lili ndi dongosolo lamkati, ndiye kuti Unduna wa Zaumoyo sudziwa momwe ungagwiritsire ntchito. Wodwala yemwe ali ndi matenda a shuga omwe amafunikira insulini (monga zochitika zina) wolembetsedwa mu dispensary, ndipo mutha kukonzekera zosowa zake kwa chaka chimodzi kapena kuposerapo. Ndipo musaope kuti wodwalayo amwalira, ndipo zomwe amulembera zimasowa. Akadakonda kuti afe ngati sangathe kulandira mankhwalawo. ”

Malinga ndi Starchenko, zinthu zikhala pansi ngati akuluakulu ayamba "kulanga ruble." "Ngati wodwalayo sanapatsidwe mankhwalawo, amatha kugula ndalamayo ndikugulitsa ndalama zonse ku dipatimenti ya zaumoyo kumapeto kwa chaka kuti amalipiretse," adafotokozera katswiriyo. - Lero, makhothi amapanga zisankho ngati izi. Komanso, munthu akhoza kunena chindapusa chifukwa cha zowonongeka zomwe sizowonongeka. Ngati kuchuluka kwa mitengo yamilandu kudzera m'khothi kwa odwala onse kuyayamba, ndiye kuti tichita zosiyana. "

Ku Moscow, kusokonezedwa ndi mankhwala anticancer kunayambanso. GBUZ "Center for Drug Support of the Moscow City Health department" ("CLO DZM"), yomwe imakhala ndi malo ogulitsa mankhwala "Pharmacies of the capital", sanatulutse pa intaneti kwa mwezi wopitilira mankhwala "Gleevec" wochizira gastro-matumbo stromal chotupa (GIST).

Pankhaniyi, muyenera kukakamiza chipatalacho kuti chikupatseni mankhwala, kenako mankhwala - kuperekera munthawi yoyikidwa ndi lamulo (mpaka masiku 15). Malinga ndi lamuloli, mankhwala oyenera amayenera kupangidwa mwa njira iliyonse, ndipo zili ndendende chifukwa cha kusowa kwa mankhwalawa kuti pamakhala zosakhazikitsidwa kuti asapereke mankhwala mpaka mankhwalawo akafika ku pharmacy.

"Kutumiza kwa mankhwala sikudalira kuti mu mankhwala muli mankhwala kapena ayi," adatero Starchenko. - Ili ndiye chikalata chotsimikizira kuti wodwala amafunikira mankhwala. Ndipo nthawi yomweyo. Ndipo ngati wodwalayo sanapatsidwe mankhwala oterowo ndipo sanapatsidwe chisamaliro chachedwa, iyi ndi nthawi yolembera madandaulo ku ofesi ya wotsutsa. Mwa njira imeneyi, oimira boma pano, akutenga nawo mbali kwambiri pankhani ya kugwiritsa ntchito mankhwala osokoneza bongo. ”

Malinga ndi Purezidenti wa League of Patients, a Alexander Saversky, lamulo la Unduna wa Zaumoyo ku Russian Federation likumanga, ndipo kumadera, kumapeto, adzaumiriza kumanganso. "Izi, pakati pa zinthu zina, zipangitsa kuti ntchito ya akuluakulu ikhale yosavuta," akutero katswiriyo. - Simuyenera kuchita ntchito yofananayo mwezi uliwonse. MPI ndikudziwa kuti ali ndi odwala omwe ali ndi vuto patsamba lake, ndipo akadakhala ndi moyo, ayenera kugula mankhwala. Ngakhale, mwina, poyamba, ntchito za odwalawo zidzafunika. Ndipo ngati mukukana kupereka mankhwala kwa miyezi itatu, muyenera kulemba madandaulo opita kwa sing'anga wamkulu. Ntchito ikamapita, iyi ndi njira yodziwitsira mamanenjala onse ndi madotolo kuti adziwe zomwezi. ”

Utumiki wa Zaumoyo: "Zonse zikhala bwino"

Komabe, ku Unduna wa Zaumoyo alonjeza kuti sizidzafunika. Monga momwe dipatimentiyo idayankhira pempho lochokera ku MedNews, "Order of the Ministry of Health of the Russian Federation pa Epulo 21, 2016 No. 254n idauzidwa kwa anthu onse omwe luso lawo ndikuwongolera ndikukhazikitsa chikalata chalamulo." Ndipo kuphedwa kwake mosasamala "kuchitika kuyambira pa Januware 1, 2017 molingana ndi kusintha komwe kuvomerezedwa."