Matenda a shuga

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Anthu odwala matenda ashuga ayenera kulimbana ndi vuto lawo kuti athetse thanzi lawo. Ndipo mu zovuta mawonekedwe a matendawa, amafunikira thandizo lakunja, chifukwa matenda a shuga amamulepheretsa kudalira mankhwala ambiri. Pankhaniyi, thandizo la boma ndilofunika kwambiri, kotero funso loti kupunduka kumayankhidwa mu matenda a shuga kapena ayi sikuyenera kukhala lodetsa nkhawa.

Ndi zinthu ziti zomwe zimapangitsa kuti munthu azindikire kulumala

Tsoka ilo, kukhalapo kwa matendawa sikupereka dongosolo la kulumala. Kuti bungwe lisankhe ngati lingapatse gululi odwala matenda ashuga, mfundo zazikulu ziyenera kuperekedwa. Ndipo kupezeka kwa shuga m'magazi popanda zovuta zoyipa komanso matenda opatsirana pambuyo pake sizomwe zikuwonetsa kuperewera.

Mukafunsidwa ngati matenda a shuga ndi olumala kapena ayi, pamakhala yankho loipa. Chifukwa cha izi, mikhalidwe ina imayang'aniridwa.

Kodi munthu wodwala matenda ashuga ali ndi mwayi wotani pagulu lililonse? Amayamba chifukwa choopsa cha matendawa, mtundu wake komanso matenda ena okhudzana nawo. Chifukwa chake, zimakumbukira:

• mtundu wa matenda obadwa nawo kapena obadwa nawo a shuga (2 kapena 1), wodalira insulin kapena ayi,
• kuthekera kobwezera glucose wamagazi,
• kupezeka kwamavuto osiyanasiyana motsutsana ndi matendawa.
• kupezeka kwa matenda ena mothandizidwa ndi glycemia,
• kuletsa kwa moyo wabwinobwino (kuthekera kwayendetsedwe kodziyimira pawokha, kuyang'ana kwachilengedwe, kugwira ntchito).

Maonekedwe a matendawa ndiofunikanso. Ndi matenda a shuga, pali:

• Pofatsa - mothandizidwa ndi chakudya, ndizotheka kuti shuga azikhala wathanzi kwa munthu wodwala matenda ashuga, izi nthawi zambiri zimakhala gawo loyambirira, lotchulidwa ndi zokhutiritsa popanda kuwonetsa zovuta,
• sing'anga - shuga m'magazi opitilira 10 mmol / l, amapezeka mumkodzo kwambiri, kuwonongeka kwa maso ndi kuwonongeka kwa mawonekedwe kumawonedwa, ntchito ya impso imayipa, matenda a endocrine system, gangrene akuwonjezeredwa, ntchito yokhala ndi ntchito ndi yochepa, mwayi wosamalira thupi ulipo, ambiri amakhala ofooka,
• kwambiri - zakudya ndi mankhwala osokoneza bongo amayamba kugwira ntchito, kuchuluka kwa shuga kumakhala kwakukulu kuposa kwazomwe zimachitika, zovuta zambiri zimawonekera, pali chiwopsezo cha matenda a shuga, kufalikira kwa matenda osokoneza bongo, matenda onse amthupi akudwala, komanso kulumala kwathunthu kumadziwika.

Magulu opuwala a mtundu 1 ndi mitundu yachiwiri ya ashuga

Ngakhale gulu lolemala limaperekedwa ngati munthu akudwala matenda a shuga a mtundu woyamba 1 kapena matenda a shuga a 2 osadalira insulin zimadalira kuchuluka kwa maphunziro ake, zovuta zake komanso momwe zimakhudzira zochitika zonse pamoyo. Tiyeni tikambirane mwatsatanetsatane matenda omwe gulu limatha kupezeka molingana ndi matendawa.

Gulu loyamba limaperekedwa chifukwa cha mitundu yoyipa ya matenda ashuga. Maziko olandirira ndi:

• Hypo- ndi hyperglycemic coma yodziwonetsa pafupipafupi,
• kulephera kwamtima mu digiri ya III,
• matenda osachiritsika owononga impso ndi chiwindi.
• khungu la maso onse awiri
• encephalosis, yomwe imayendetsedwa ndi kuwonongeka kwa ubongo, neuropathy, ziwalo, ataxia,
• Kugonjetsedwa kwa malekezero ndi gangore,
• matenda ashuga ketoacetosis.

Izi zimaganizira kuwonongeka kwa malo mlengalenga, kulephera kusuntha palokha ndikuchita ntchito iliyonse. Anthu omwe ali ndi gululi amafuna chisamaliro chapadera ndikuwunikira pafupipafupi ndi madokotala.

Kupeza gulu lachiwiri la matenda a shuga ndikukhazikika pazowunikira:

• neuropathy mu digiri yachiwiri ndi paresis yayikulu,
• kuwonongeka kwa retina (II - III degree),
• matenda amisala ndi encephalosis,
• Kulephera kwaimpso, nephrosis.

Zochita zolimbitsa thupi zimachepetsedwa ndikusuntha pang'ono, kudzichitira nokha komanso kugwira ntchito iliyonse. Nthawi ndi nthawi, kuyang'anira kuchipatala ndikofunikira.

Gulu lachitatu limaperekedwa chifukwa chokhala ndi matenda a shuga. Zophwanya zazing'ono zimawonedwa, popanda zovuta zowopsa. Kutha kusuntha kuli pafupi osasokonezeka, pali mwayi wodziyang'anira pawokha ndikuchita ntchito zina. Zomwe gulu la olumala limaphatikizaponso nthawi yophunzitsira ndi kupeza ntchito ndi achinyamata odwala matenda ashuga.

Chizindikiro chachikulu cha kuperekedwa kwa gulu la olumala ndikuwoneka kosakwanira komanso kusowa kwayekha pakusamalira kwawo.

Mwana wakhanda yemwe ali ndi matenda a shuga a insulin, asanafike zaka 18, kulumala kumawonetsedwa popanda gulu. Pakatha zaka zambiri, adzafunika apatsidwe ntchito yolumala.

Zomwe mukufunikira kulumala

Kulephera ndi matenda ashuga amtundu wa 2, ngati mtundu 1, kungatheke potsatira izi:

• pitani kwa akatswiri othandizira kapena pitani kuchipatala ndipo mukamayesa mayeso onse,
• adziyesa pawokha
• pezani satifiketi yoyendetsera mayeso (ITU).

Madotolo, mayeso, mayeso

Kaya kulumala kuli koyenera kwa matenda ashuga amasankhidwa ndi ITU. Maziko a izi ndi zomwe madotolo apita, zotsatira za kusanthula ndi mayeso.

Poyamba, ndikuyimilira kwayekha kwa gulu, ndikofunikira kupita kukawona akatswiri am'deralo omwe akuwonetsa zoyambitsa kulumala. Amayenera kupereka chiwonetsero chakuyenda kokakamizidwa kwa ophthalmologist, neurologist, opaleshoni, cardiologist ndi akatswiri ena kutengera mkhalidwe wa odwala matenda ashuga.

Wodwala matenda ashuga amatumizidwanso kukayesedwa ndi kukayezetsa. Kuti mupeze gululi muyenera kuyang'ana:

• kusanthula kwa magazi ndi mkodzo,
• kudya shuga komanso tsiku lonse,
• mkodzo wa shuga ndi acetone,
• glycogemoglobin,
• kuyeserera kwa shuga
• Mkhalidwe wamtima pogwiritsa ntchito electrocardiography
• masomphenya
• zovuta m'mitsempha yamanjenje,
• kukhalapo kwa zilonda ndi mafinya,
• pa milandu ikaphwanya ntchito ya impso - mkodzo limodzi ndi Rib, CBS, mayeso a Zimnitsky, mkodzo masana,
• kuthamanga kwa magazi
• mtima
• mkhalidwe wa ubongo.

Zolemba Zofunika

Mndandanda wamakalata ofunikira ukuphatikizapo:

• mawu ochokera kwa munthu amene akufunika kulumala kapena womamuyimira boma,
• zizindikiritso - pasipoti, satifiketi yobadwa,
• kutumiza ku ITU, kusungidwa pafomu - Fomu Nambala 088 / у-0,
• Kutulutsa mchipatala kuchokera ku chipatala komwe kumachitika,
• khadi la wodwala,
• malingaliro a akatswiri adutsa,
• zotsatira zoyesedwa - zithunzi, kusanthula, ECG, ndi zina zambiri.
• kwa ophunzira - chikhalidwe chopangidwa ndi aphunzitsi,
• kwa ogwira ntchito - makope amatsamba kuchokera m'bukhu lothandizira ndi mawonekedwe kuchokera kumalo antchito,
• kwa omwe akhudzidwa ndi ngozi kuntchito - chochitika changozi ndi kutsiriza kwa katswiri, kumaliza kwa gulu la zamankhwala,
• ngati mutumizira mobwerezabwereza kulumala - chikalata chotsimikizira kupezeka kwa chilema, pulogalamu yokonzanso.

Momwe mayeso onse akatsirizidwa ndipo zolembedwa zasungidwa, magawo a gulu lofunikira amafunsidwa potengera zotsatira za ITU. Ngati wodwalayo sakugwirizana ndi kumaliza kwa ntchitoyi, zitha kutsutsidwa. Poyamba, mawu osagwirizana ndi mawu omaliza a ITU amaperekedwa. Pakupita mwezi umodzi, njira zoperekera matenda olumala ziyenera kuchitika. Kupanda kutero, mutha kupita kukhothi ndi mlandu. Komabe, mlanduwo utatha sanaperekenso apilo mlandu.

Zopindulitsa

Monga mukuwonera, sikuti aliyense wodwala matenda ashuga ali ndi ufulu wopatsa anthu olumala.Kuti munthu alandire chithandizo chamtunduwu, ayenera kutsimikizira kuchuluka kwa matenda ashuga komanso kusakhazikika kwawokha. Anthu omwe akudwala matendawa nthawi zambiri amadzifunsa ngati ali ndi penshoni ya matenda ashuga. Koma ndalama za penshoni zimangochitika ukangofika zaka zapuma pantchito. Pankhani ya matenda, thandizo la ndalama limangoperekedwa pamaso pa magulu aliwonse olumala.

Ngakhale izi, aliyense yemwe ali ndi matenda ashuga ali ndi ufulu zovomerezeka. Zaulere m'mafakitala a boma, odwala matenda ashuga atha:

• insulin
• syringes za jakisoni
• glucometer
• kuyezetsa magazi pang'onopang'ono kwa shuga wamagazi,
• mankhwala ochepetsa shuga.

Komanso, pofuna kupewa, kwaulere, ana odwala matenda ashuga amapatsidwa malo opumulira kamodzi pachaka.

Kupeza kulumala ndi chifukwa chabwino ndikofunikira kwambiri kwa munthu wodwala matenda ashuga. Kugawa gulu kumalola munthu wodwala matenda ashuga kulandira thandizo la ndalama, zomwe amafunikira, osatha kugwira ntchito. Kuphatikiza apo, anthu olumala omwe ali ndi matenda ashuga ayenera kutumizidwa kuti akonzenso. Izi zimathandiza kukonza momwe odwala matenda ashuga amathandizira ngakhale kukulitsa moyo wake.

Komabe, mosasamala kanthu za zotsatira za kuyesedwa kwa kulumala, ndikofunikira kuyang'anitsitsa palokha thanzi lanu, kutsatira mosamala malingaliro a madokotala ndikufunafuna chithandizo msanga ngati mukudwala.

Type 2 matenda a shuga

Matenda a shuga ndi matenda omwe mawonekedwe ake akulu ndi shuga wamagazi. Pathology imagwirizanitsidwa ndi kuperewera kwa insulin (mtundu 1 matenda) kapena kuphwanya kachitidwe kake (mtundu 2).

Ndi kukula kwa matenda ashuga, moyo wa anthu odwala ukuchepa. Wodwala matenda a shuga amataya kusuntha, onani, kulumikizana. Ndi mitundu yoopsa kwambiri ya matendawa, kuyikapo nthawi, malo amasokonezedwa ngakhale.

Mtundu wachiwiri wa matenda umapezeka mwa okalamba ndipo, monga lamulo, wodwala aliyense wachitatu amaphunzira za matenda ake kale motsutsana ndi mawonekedwe a zovuta kapena zovuta. Odwala amadziwa kuti matenda ashuga ndi osachiritsika, choncho amayesetsa kukhalabe ndi chiphuphu chokwanira.

Kuvutika ndi matenda a shuga a mtundu wachiwiri ndi funso lomwe limafunsidwa pafupipafupi pakati pa odwalawo, abale, odwala ndi madokotala. Aliyense ali ndi chidwi ndi funso loti mtundu wachiwiri wa matenda ashuga umapereka olumala, ndipo ngati ndi choncho, ungapezeke bwanji. Zambiri pa nkhaniyi.

Pafupifupi mtundu 2 shuga

Njira yamatendawa imadziwika ndi insulin kukaniza, ndiye kuti, momwe ma cell ndi minofu ya thupi la munthu imasiya kuyankha machitidwe a pancreatic hormone insulin. Amapangidwa ndikuponyedwa mumtsempha wamagazi wokwanira, koma amangoti "sawoneka."

Poyamba, chitsulo chimayesetsa kulipirira mkhalidwewo mwa kupanga zinthu zina zambiri zamafuta. Pambuyo pake, magwiridwe antchito amatha, mahomoni amapangidwa pang'ono.

Matenda a 2 a shuga amawoneka ngati matenda wamba, omwe amapitilira 80% ya matenda onse okoma. Amakula, monga lamulo, patatha zaka 40-45, nthawi zambiri motsutsana ndi maziko a kuchuluka kwa thupi la anthu kapena kuperewera kwa m'thupi.

Wodwala amapatsidwa liti olumala?

Matenda a shuga a Type 2 a shuga ndiwotheka, koma pamenepa wodwalayo ayenera kukwaniritsa njira zina zomwe zimayesedwa ndi mamembala a akatswiri azachipatala ndi akatswiri:

• kuthekera kwa ntchito - mwayi wa munthu samangotengeka zochitika zokha, komanso ntchito zina, zosavuta.
• kuthekera kosuntha mosadalira - ena odwala matenda ashuga, chifukwa cha zovuta m'matumbo, amafunika kudulidwa gawo limodzi kapena mbali zonse zotsika,
• kusuntha kwakanthawi, malo - zovuta mitundu yamatenda imayendera limodzi ndi mavuto amisala,
• kuthekera kolumikizana ndi anthu ena
• kuchuluka kwa thupi, kuchuluka kwake pobwezeretsera, zikuyang'anira zolemba, etc.

Zofunika! Kuunika momwe odwala alili potsatira njira zomwe zili pamwambazi, akatswiri amadziwa kuti ndi gulu liti lomwe limayikidwa m'thupi lililonse.

Gulu loyamba

Gawoli liperekedwa kwa wodwala pazinthu zotsatirazi:

• zamatsenga zojambula zowonera, limodzi ndi kuchepa kwamphamvu kwa masomphenya kapena kutayika kwathunthu m'maso amodzi kapena onse,
• kuwonongeka kwa chapakati mantha dongosolo, kuwonetsedwa ndi kusokonezeka kwa malingaliro, kusokonezeka kwa chikumbumtima, kulunjika,
• neuropathy, limodzi ndi ziwalo, ataxia,
• CRF gawo 4-5,
• kulephera kwamtima kwambiri
• kuchepa kwakukulu kwa shuga m'magazi, mobwerezabwereza.

Monga lamulo, odwala matenda ashuga oterewa sangathe kusuntha popanda thandizo, akudwala matenda amisala, komanso zimawavuta kulankhulana ndi ena. Ambiri amakhala ndi zokumbira zam'munsi, kuti siziyenda zokha.

Gulu lachiwiri

Kupeza gulu la olumala ndikotheka muzochitika zotsatirazi:

• kuwonongeka kwa maso, koma osati koopsa monga kulumala kwa gulu 1,
• matenda a shuga
• Kulephera kwa impso, kuphatikiza ndi kuyeretsa magazi othandizira kapena othandizira othandizira othandizira,
• kuwonongeka kwa zotumphukira zamanjenje, kuwonetsedwa ndi paresis, kuphwanya kwaphokoso kwamalingaliro,
• zoletsa pakutha kusuntha, kulumikizana, kutumizidwa palokha.

Zofunika! Odwala m'gululi amafunikira thandizo, koma safunikira maola 24 patsiku, monga momwe zinalili poyamba.

Gulu lachitatu

Kukhazikitsidwa kwa matenda amtunduwu m'matenda a shuga ndikotheka kwambiri ndi matendawa, pomwe odwala sangathe kuchita ntchito yawo yanthawi zonse. Akatswiri azachipatala komanso akatswiri azaumoyo amati odwala matenda ashuga otere amasintha momwe amagwiridwira ntchito kuti azigwira ntchito mosavuta.

Kodi njira yokhazikitsira kulemala ndiyotani?

Choyamba, wodwalayo ayenera kulandira kutumizidwa ku MSEC. Chikalatachi chimaperekedwa ndi a zachipatala pomwe odwala matendawa amawonera. Wodwala ngati ali ndi ziphaso zakuphwanya ntchito za ziwalo ndi machitidwe a thupi, wothandizanapo ndi chitetezo atha kuperekanso chilolezo.

Ngati achipatala akukana kupereka zofunsira, munthu amapatsidwa satifiketi yomwe angathe kudzipangira yekha kuECEC. Pankhaniyi, funso lokhazikitsa gulu lolumala limachitika ndi njira ina.

Kenako, wodwala amatenga zikalata zofunika. Mndandandandawu umaphatikizapo:

• koperani ndi choyambirira cha pasipoti,
• kutumiza ndi kugwiritsa ntchito matupi a MSEC,
• koperani ndi choyambirira cha buku la ntchito,
• lingaliro la adotolo yemwe ali ndi zotsatira zonse za mayeso ofunikira,
• kutsiriza kwa kuyesa akatswiri aafupi (dokotala wa opaleshoni, ophthalmologist, neurologist, nephrologist),
• khadi la wodwala.

Ngati wodwala adalandira kulumala, akatswiri kuchokera ku bungwe lazachipatala komanso akatswiri azaumoyo akupanga pulogalamu yapadera yokonzanso munthu uyu. Ndizovomerezeka kwa nthawi kuyambira tsiku lotsimikiza kulephera kugwira ntchito mpaka kukonzedwanso.

Ubwino wa odwala matenda ashuga

Mosasamala kanthu chifukwa chomwe mkhalidwe wa chilema unakhazikitsidwa, odwala ali ndi mwayi wothandizidwa ndi boma ndi maubwino m'magulu otsatirawa:

• kukonza njira
• chisamaliro chaulere chamankhwala
• Kupanga malo abwino okhala,
• zothandizira
• mayendedwe aulere kapena otsika mtengo,
• chithandizo cha spa.

Ana nthawi zambiri amakhala ndi matenda omwe amadalira insulin.Amalandira kulumala pakukalamba, pokhapokha ngati ali ndi zaka 18 amayambiranso.

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Pali milandu yodziwika yakukhazikika kwa ana a shuga a 2. Poterepa, mwana amalandila thandizo la boma mwanjira zolipila pamwezi.

Odwala ali ndi ufulu kamodzi pachaka kumasula spa chithandizo. Dokotala wopezekapo amalemba mankhwala a mankhwala ofunikira, insulin (panthawi ya insulin), syringe, ubweya wa thonje, bandeji. Monga lamulo, kukonzekera koteroko kumaperekedwa m'mabizinesi aboma mokwanira okwanira masiku 30 ochizira.

Mndandanda wazopindulitsa ukuphatikiza mankhwala otsatirawa, omwe amaperekedwa kwaulere:

• mankhwala akumwa a hypoglycemic,
• insulin
• phospholipids,
• mankhwala omwe amasintha magwiridwe antchito a kapamba (ma enzymes),
• mavitamini zovuta
• mankhwala omwe amabwezeretsa kagayidwe kachakudya,
• thrombolytics (magazi owonda)
• mtima (mankhwala a mtima),
• okodzetsa.

Zofunika! Kuphatikiza apo, anthu olumala m'magulu aliwonse amayenera kulandira penshoni, kuchuluka kwake komwe kumavomerezedwa ndi lamuloli molingana ndi gulu lolumala lomwe lilipo.

Momwe mungapezere kulumala mu matenda ashuga ndi nkhani yomwe mutha kumakambirana ndi akatswiri azachipatala a endocrinologist kapena akatswiri kuchokera ku bungwe la MSEC.

Ndili ndi lingaliro lomwe sindingakane: njira zopezera kulemala imatengedwa ngati njira yayitali, komabe ndikoyenera kukwaniritsa kukhazikitsidwa kwa kulumala. Munthu aliyense wodwala matenda ashuga samayenera kungodziwa zomwe ayenera kuchita (kukwaniritsa dziko), komanso za maufulu ndi mapindu ake.

Kuyang'ana odwala omwe ali ndi matenda ashuga

Pali mitundu iwiri yayikulu ya endocrine pathology. Mtundu woyamba wa matenda a shuga ndi mtundu womwe munthu amadwala insulin. Matendawa amapanga kuwonekera kwa ana ndi achinyamata. Kuperewera kwake kwa mahomoni ake mu zochuluka zokwanira kumapangitsa kufunikira kuti mupeze jakisoni. Ichi ndichifukwa chake mtundu 1 umatchedwa insulin-wodwala kapena wowononga insulin.

Odwala oterowo nthawi zambiri amapita kukaonana ndi endocrinologist ndikuwapatsa insulin, mizere yoyesera, miyendo ku glucometer. Kuchuluka kwa makonda angayang'anire ndi adokotala omwe amapita nawo: amasiyanasiyana m'malo osiyanasiyana. Matenda a 2 a shuga amakula mwa anthu opitilira zaka 35. Zimagwirizanitsidwa ndi kuchepa kwa chidwi cha maselo kuti apange insulin, kupanga mahomoni sikusokonezedwa poyambirira. Odwala otere amakhala moyo waufulu kuposa anthu odwala matenda ashuga a mtundu woyamba.

Maziko a chithandizo ndikuwongolera zakudya komanso kugwiritsa ntchito mankhwala ochepetsa shuga. Wodwalayo amatha kulandira chisamaliro panthawiyi kapena chifukwa cha mankhwala. Ngati munthu akudwala yekha ndikupitilizabe kugwira ntchito kapena kusamalira mwana yemwe ali ndi matenda ashuga, amalandila pepala lolemala kwakanthawi.

Maziko opereka tchuthi chodwala atha kukhala awa:

• mayiko omwe ali ndi matenda ashuga,
• wodwala matenda ashuga
• hemodialysis
• kusokonezeka pachimake kapena kuchulukitsa kwa matenda osachiritsika,
• kufunika kwa magwiridwe antchito.

Matenda a shuga ndi Olumala

Ngati matendawa akuyenda limodzi ndi kuwonongeka m'moyo, kuwonongeka kwa ziwalo zina, kuchepa kwapang'onopang'ono kwa ntchito komanso luso lodzisamalira, amalankhula za kulumala. Ngakhale ndi chithandizo, wodwalayo angakulire. Pali madigiri atatu a shuga mellitus:

• Zosavuta. Vutoli limalipiridwanso pokhapokha pochotsa zakudya, pamlingo wa kusala kudya kwa glycemia sunapitirire 7.4 mmol / l. Kuwonongeka kwa mitsempha yamagazi, impso kapena dongosolo lamanjenje la 1 degree ndikotheka. Palibe kuphwanya ntchito zolimbitsa thupi. Odwala awa sapatsidwa gulu lolumala. Wodwala akhoza kulembedwa kuti sangathe kugwira ntchito yayikulu, koma atha kukagwira ntchito kwina.
• Yapakatikati. Wodwala amafunikira chithandizo cha tsiku ndi tsiku, kuwonjezeka kwa shuga mpaka 138 mmol / l ndikotheka, kuwonongeka kwa retina, zotumphukira zamitsempha, komanso impso mpaka 2 digiri. Mbiri yakale komanso yonyansa siyikupezeka. Odwala oterewa ali ndi zilema komanso olumala, mwina olumala.
• Zovuta. Odwala omwe ali ndi matenda ashuga, kukwera kwa shuga pamwamba pa 14.1 mmol / L kumawerengedwa, matendawa amatha kukulira ngakhale motsutsana ndi maziko a mankhwala omwe asankhidwa, pali zovuta zina. Kuopsa kwa kusintha kwa ma pathological mu ziwalo zoberekera kumatha kukhala koopsa, ndipo matendawa (mwachitsanzo, kulephera kwa aimpso) akuphatikizidwanso. Samalankhulanso za mwayi wogwira ntchito, odwala sangathe kudzisamalira. Amapatsidwa chilema cha matenda ashuga.

Ana amafunikira chisamaliro chapadera. Kuzindikira matendawa kumatanthauza kufunikira kopitilira chithandizo ndi kuwunika kwa glycemia. Mwanayo amalandira mankhwala osokoneza bongo kuchokera ku bajeti yakomweko. Pambuyo polemala polemala, akuti amapindulira ena. Lamulo la federal "Pension pension in the Russian Federation" limapereka kuperekera penshoni kwa munthu amene akusamalira mwana wotere.

Zamkatimu:

Yankho ndi lakuti inde. Koma, monga nthawi zonse, pokonzekera maubwino ena ndi zikalata zofunika, zovuta zosiyanasiyana zimabuka.

Chofunikira kwambiri pakufikira penshoni yoyambirira kwa anthu odwala matenda ashuga ndi zikalata zoyenera. Muyenera kulumikizana ndi madotolo. Adzakuuzani kuti mukayezetsa mayeso onse. Amapereka malangizo osiyanasiyana kwa madotolo osiyanasiyana. Muyenera kudutsa zonse. Aliyense wa iwo apanga matenda ake.

Kenako, alemba mawu omaliza kutengera zotsatira zanu. Ngati Medical Regencyitation Expert Commission (MREC) ikakuuzani kuti ndinu olumala chifukwa cha matenda ashuga, ndiye kuti muli ndi ufulu wopuma pantchito mwachangu.

Mapeto ake ali m'manja mwanu, muyenera kupita nawo kukagwira ntchito, ndipo mutha kupuma pantchito.

Ngati oyang'anira angaletse izi, ndiye kuti muli ndi ufulu kupita kukhothi. Onetsetsani kuti musachite mantha. Lamulo lili kumbali yanu. Ngati muli ndi chilema, mutha kupuma ngati muli ndi matenda ashuga osaganizira zaka zanu.

Koma zimachitikanso kuti ndinu olumala chifukwa cha matenda ashuga, koma simunapatsidwe tanthauzo pa izi. Ndipo amapatsa mawu akumanena kuti ndinu athanzi kapena china, koma osalumala chifukwa cha matenda ashuga. Ndipo simukudziwa zoyenera kuchita ngati izi.

Mankhwala amafunanso ndalama kwa odwala matenda ashuga. Pali mankhwala anzeru amakono aku Europe, koma samangokhala chete. Kuti.

Malinga ndi lamuloli, ngati mukana, bungwe la MRE likukakamizidwa kukupatsirani satifiketi yoyeserera, ndipo, mosalephera, fotokozani chifukwa chomwe mudakanidwa kuti mutsimikizire kuti ndinu olumala. Ngati simukufuna kufotokozera chifukwa chomwe mudakanira, ndiye kuti muli ndi ufulu woperekanso mlandu ku chipatala komwe mayeso anachitika ndipo lingaliro linaperekedwa.

Ngati mwapatsidwa chilichonse, koma simukugwirizana, ndiye kuti mutha kusintha chisankho cha MREC. Kuti mupeze izi, muyenera kufunsa ku Unduna wa Zaumoyo wa Russia. Mukamapereka zikalata, ndikofunikanso kuti mulembe kumeneko kuti ndinu nzika yonse ya Russian Federation.

Utumiki udzayenera kulingaliridwa pakugwiritsa ntchito kwako. Zotsatira zake, mudzapatsidwa kuyesedwa kwatsopano, kutsimikizira, kapena kutsutsa. Ngati matenda anu atsimikiziridwa panthawi yoyeserera, mudzalandira penshoni yolumala monga wodwala matenda ashuga.

Ndinadwala matenda ashuga kwa zaka 31. Tsopano ali wathanzi. Koma, makapisozi awa ndi osatheka ndi anthu wamba, safuna kugulitsa mankhwala, sizopindulitsa kwa iwo.

Kodi kulumala

Wodwalayo kapena womupangira amafunsira wachikulire kapena wa ana endocrinologist kumalo komwe amakhala. Maziko otumizira ITU (Health Expert Commission) ndi awa:

• kubwezeredwa kwa matenda ashuga osagwira ntchito bwino,
• matenda oopsa
• magawo a hypoglycemia, ketoacidotic coma,
• kuwoneka kwa kuphwanya ntchito za ziwalo zamkati,
• kufunika kwamalingaliro antchito kuti asinthe machitidwe ndi mtundu wa ntchito.

Dokotala adzakuuzani njira zomwe muyenera kuchita kuti mumalize zolemba zanu. Nthawi zambiri, odwala matenda ashuga amayeserera:

• kuyezetsa magazi konse
• Kuyeza magazi m'mawa ndi masana,
• maphunziro a biochemical omwe akuwonetsa kuchuluka kwa kubwezeredwa: glycosylated hemoglobin, creatinine ndi urea wamagazi,
• muyeso wa cholesterol
• urinalysis
• kutsimikiza mkodzo wa shuga, mapuloteni, acetone,
• mkodzo malinga ndi Zimnitsky (vuto laimpso)
• electrocardiography, kuyesa kwa maola 24 kwa ECG, kuthamanga kwa magazi kuti ayesetse mtima,
• EEG, kuwerenga kwa ziwiya zamagulu a khansa pakupanga matenda a shuga.

Madokotala amawunika ntchito zokhudzana ndi izi: ophthalmologist, neurologist, opaleshoni, urologist. Kusokonezeka kwakukulu kwa ntchito zamunthu wazidziwitso ndi mawonekedwe ake ndizizindikiro zakufufuzira kwamaganizidwe othandizira komanso kufunsira kwa wamisala. Atatha mayeso, wodwalayo amapita kuchipatala komwe amamuwonera.

Ngati zizindikiro zakulemala kapena kufunika kopanga pulogalamu yothandizirana ndi munthu aliyense payekha zikapezeka, dokotala yemwe akupezekapo amalowetsa zidziwitso zonse zokhudza wodwalayo mu fomu 088 / y-06 ndikuitumiza ku ITU. Kuphatikiza pa kunena za ntchitoyo, wodwalayo kapena abale ake amatenga zikalata zina. Mndandanda wawo umasiyana malinga ndi omwe amadwala matenda ashuga. ITU imawunika zolembedwazo, zimawunika ndikusankha ngati angapatse gulu la olumala kapena ayi.

Njira zopangira

Akatswiri amawunika kukula kwa kuphwanya malamulo ndikugawa gulu linalake lazolumala. Gulu lachitatu limapangidwira odwala omwe ali ndi matenda ofatsa kapena olimbitsa. Zowonongeka zimaperekedwa ngati sizingatheke kukwaniritsa ntchito yawo yopanga pantchito yomwe ilipo, ndipo kusamutsidwira kumachitidwe osavuta ntchito kumabweretsa kuwonongeka kwakukulu pamalipiro.

Mndandanda wazoletsa ntchito zalembedwa mu Order No. 302-n wa Unduna wa Zaumoyo wa Russia. Gulu lachitatu lilinso ndi achinyamata omwe akuphunzitsidwa. Gulu lachirema lachiwiri limapangidwira mozungulira matenda. Mwa zina mwa njira:

• kuwonongeka kwammbuyo kwa digiri ya 2 kapena 3,
• Zizindikiro zoyambira kulephera kwa impso,
• dialysis aimpso kulephera,
• ma neuropathies a madigiri 2,
• encephalopathy mpaka madigiri 3,
• kuphwanya kwamphamvu mpaka madigiri 2,
• kuphwanya kudzisamalira mpaka madigiri 2.

Gululi limaperekedwanso kwa odwala matenda ashuga omwe amawonetsa matendawa moyenera, koma ndi kulephera kukhazikika panjira ndi chithandizo chanthawi zonse. Munthu amadziwika kuti ndi olumala wa gulu 1 ndi kuthekera kwa kudzisamalira. Izi zimachitika ngati chiwopsezo chachikulu cha ziwalo zomwe zikuwadwala matenda ashuga:

• khungu m'maso onse
• kukula kwa ziwalo ndi kuwonongeka kwa kuyenda,
• kuphwanya kwakukulu kwamalingaliro,
• kukula kwa mtima kulephera 3 madigiri,
• matenda ashuga kapena ovuta a m'munsi,
• kulephera kwa impso,
• pafupipafupi chikomokere ndi vuto la hypoglycemic.

Kupanga chilema cha mwana kudzera pa ITU ya ana. Ana otere amafunika jakisoni wa insulin mokwanira komanso kuwongolera glycemic. Kholo kapena kholo lomwe limasamalira mwana limapereka chithandizo ndi chithandizo chamankhwala. Gulu lolemala pamenepa limaperekedwa mpaka zaka 14. Pofika zaka zino, mwanayo amawunikiranso.Amakhulupirira kuti wodwala yemwe ali ndi matenda osokoneza bongo kuyambira azaka 14 amatha kubayira jekeseni ndikuwongolera shuga, motero, safunika kuwonedwa ndi munthu wamkulu. Ngati izi zikutsimikiziridwa, kulumala kumachotsedwa.

Pafupipafupi kukonzanso kwa odwala

Pambuyo pakufufuzidwa ndi ITU, wodwalayo amalandila malingaliro pazomwe amamuzindikira munthu wolumala kapena kukana ndi malingaliro. Pakupereka penshoni, wodwala matenda ashuga amadziwitsidwa kwa nthawi yayitali kuti amadziwika kuti sangathe. Nthawi zambiri, kulumala koyambirira kwa magulu 2 kapena 3 kumatanthauza kuyesedwanso chaka chimodzi pambuyo polembetsanso udindo watsopano.

Kukhazikitsidwa kwa gulu la 1 la olumala m'matenda a shuga kumayenderana ndi kufunikira kwa zaka ziwiri, pamaso pamavuto akulu mu terminal siteji, penshoni imatha kuperekedwa mwachangu. Mukamayang'ana penshoni, kulumala kumachitika nthawi zambiri. Ngati matendawo akuipiraipira (mwachitsanzo, kukula kwa encephalopathy, kukula kwa khungu), dokotala yemwe amapezekapo angamuperekeze kuti ayang'anenso kuti awonjezere gululo.

Dongosolo lokonzanso komanso kusanja anthu

Pamodzi ndi satifiketi yakulemala, wodwala matenda a shuga amalandira pulogalamu yamanja m'manja mwake. Amapangidwa pamaziko a zosowa zaumunthu mu mtundu wina kapena wina wa zamankhwala, zothandizira anthu. Pulogalamuyi ikuwonetsa:

• Olimbikitsidwa pafupipafupi azachipatala okonzekera chaka chilichonse. Bungwe la azaumoyo lomwe wodwala amayang'aniridwa ndi amene amachititsa izi. Ndi kukula kwa aimpso kulephera, malingaliro a dialysis akuwonetsedwa.
• Kufunika kolembetsa njira zaukadaulo ndi zaukhondo. Izi zikuphatikiza maudindo onse opangidwira mapepala a ITU.
• Kufunika kwa chithandizo chaukadaulo, mwa quota (ma prosthetics, opangidwira ziwalo zamasomphenya, impso).
• Malangizo othandizira paubwenzi ndi ovomerezeka.
• Malangizo pazophunzitsidwa ndi mtundu wa ntchito (mndandanda wazokonzekera, mtundu wa maphunziro, momwe mulili ndi ntchito).

Zofunika! Mukamagwiritsa ntchito zomwe zalimbikitsidwa kwa wodwala, IPRA yachipatala ndi mabungwe ena amaika chizindikiro pakukhazikitsa ndi sitampu yawo. Ngati wodwala akukana kukonzanso: kuchipatala chomwe wakonzekera, sapita kwa dokotala, samamwa mankhwala, koma akuumirira kuti azindikire munthu yemwe ali ndi matenda osokoneza bongo ngati nthawi yayitali kapena kukweza gulu, ITU ikhoza kusankha kuti nkhaniyi siyabwino.

Phindu la olumala

Odwala omwe ali ndi matenda ashuga amawononga ndalama zambiri kugula kwawo kwa mankhwala osokoneza bongo othandizira glycemic control (glucometer, lancets, strips test). Anthu olumala sikuti ali ndi ufulu kulandira chithandizo chamankhwala kwaulere, komanso mwayi wodziyerekeza kukhazikitsa pampu ya insulini monga gawo la kuperekera chithandizo chamankhwala chamtundu wapamwamba kudzera inshuwaransi yokakamiza yachipatala.

Njira zaukadaulo ndi zaukhondo zimakonzedwera palokha. Muyenera kuzolowera mndandanda wa malo omwe analimbikitsidwa musanatumize zikalata zakulemala muofesi ya akatswiri. Kuphatikiza apo, wodwala amalandira thandizo: penshioni yodwala, ntchito yanyumba yochitira ntchito yantchito, kulembetsa zothandizidwa ndi ngongole zothandizira, chithandizo chaulere cha spa.

Kuti athane ndi vuto lopereka chithandizo cha spa, ndikofunikira kufotokozera m'thumba la Insurance Fund komwe magulu omwe anthu olumala angathe kuwapatsa chilolezo. Nthawi zambiri, kupita ku sanatorium kwaulere kumaperekedwa m'magulu 2 ndi 3 a olumala. Odwala omwe ali ndi gulu 1 amafunikira wothandizira yemwe sadzapatsidwa tikiti yaulere.

Thandizo kwa ana olumala ndi mabanja awo limaphatikizapo:

• kulipiritsa penshoni yapa mwana,
• malipiro kwa amene amasamalira omwe akukakamizidwa kuti asagwire ntchito,
• kuphatikiza nthawi yochoka pantchito,
• mwayi wosankha sabata lalifupi,
• kuthekera kwa mayendedwe aulere kudzera m'njira zosiyanasiyana zoyendera,
• phindu la msonkho
• kupanga magawo ophunzirira kusukulu, kupasa mayeso ndi mayeso,
• kuvomerezedwa mwachisangalalo ku yunivesite.
• malo okhalamo anthu, ngati banja liziwoneka kuti likufunika nyumba yabwino.

Kulembetsa kwakukulu kwa kukalamba muukalamba nthawi zambiri kumayenderana ndi matenda a shuga a 2. Odwala oterewa akufunsa ngati angapatsidwe phindu lililonse. Njira zoyambira zothandizira sizosiyana ndi za anthu odwala omwe ali ndi zilema. Kuphatikiza apo, zolipira zowonjezera zimapangidwira omwe amapuma pantchito, kuchuluka kwake komwe kumatengera kutalika kwa ntchito ndi gulu la olumala.

Komanso, munthu wokalamba amatha kukhalabe ndi mwayi wogwira ntchito, wokhala ndi ufulu wofupikitsa tsiku logwirira ntchito, kupatsidwa tchuthi chapachaka cha masiku 30 komanso mwayi wopumira tchuthi osasunga miyezi iwiri. Kulembetsa kulemala kwa matenda opatsirana a shuga kumalimbikitsidwa kwa anthu omwe ali ndi vuto lalikulu la matendawa, kusowa kwa chipukutiro nthawi ya mankhwala, ngati nkosatheka kupitiliza kugwira ntchito pazomwe zidachitika kale, komanso kwa ana ochepera zaka 14 chifukwa chakufunika koyang'anira chithandizo. Anthu olumala amapeza mwayi wogwiritsa ntchito maubwino ndikufunsira chithandizo chamtengo wapatali chautali.

Ubwino wa odwala matenda ashuga

Pankhani ya matenda a shuga 1, odwala amapatsidwa insulin yaulere, njira yake, makayetsedwe a glucometer pamiyeso ya zidutswa zitatu patsiku. Anthu odwala matenda ashuga omwe adapezeka ndi mtundu wachiwiri wa shuga amapatsidwa mankhwala mopweteketsa ndalama zaboma zomwe zimachepetsa shuga ya magazi ndipo ali pamndandanda wamankhwala aulere.

Mu 2017, odwala amatha kulandira glibenclamide, gliclazide, metformin ndi repaglinide popanda kulipira. Atha kupatsidwanso insulin (ngati pangafunike) komanso kuwongolera glycemic - mzere umodzi ngati wodwala amamwa mapiritsi, atatu asintha kwathunthu ku insulin.

Lingaliro lazomwe mankhwalawa adzaperekedwa limapangidwa ndi endocrinologist kumalo komwe amakhala. Kuti mukhale ndi ufulu wolandila mankhwala aulere mwezi uliwonse, muyenera kulembetsa ku chipatala chachigawo ndikupereka satifiketi kuchokera ku Pension Fund kuti ndalama zolipiridwa sizinalandilidwe m'malo mwazabwino.

Mukamagwiritsa ntchito maubwino azachipatala pozindikira kuti muli ndi mankhwala, zotsatirazi ziyenera kukumbukiridwa:

1. Pafupipafupi kupereka mankhwala kamodzi pamwezi.
2. Musanalandire mankhwala omwe mumakonda, muyenera kukayezetsa.
3. Chithandizocho chimaperekedwa kokha kwa wodwala m'manja.

Ngati dokotalayo akukana kulemba mankhwala a mankhwalawo kapena mapepala oyesera, muyenera kulankhulana ndi dotolo wamkulu wa chipangizocho, ngati sizinabweretse zotsatira zomwe zikuyembekezeredwa, pitani ku thumba (dipatimenti ya boma) la inshuwaransi yokakamizidwa.

Kuphatikiza pa chithandizo chaulere ndi insulin kapena mapiritsi ochepetsa shuga m'magazi, odwala matenda a shuga amatha kupimidwa ndikuwongolera chithandizo chamankhwala kuchipatala kapena kuchipatala, komanso kulandira upangiri kuchokera kwa a mtima, a neurologist, opaleshoni ya mtima ndi opaleshoni ya mtima.

Odwala salipira maphunziro onsewa ndi kufunsa.

Kutsimikiza kwa zilema kwa odwala matenda ashuga

Kuti mukhale ndi mawonekedwe a munthu wolumala ndikulandila maubwino omwe amalamulidwa ndi lamulo, muyenera kupita ku chipatala ndi kayendetsedwe ka mayeso kukalemala. Thupi ili limagonjera mwachindunji ku Unduna wa Zaumoyo ndi Zachitukuko cha Russia ku Russia. Kutumiza komwe kumayesedwa kuyenera kupezeka kwa endocrinologist ku chipatala.

Musanapimidwe, muyenera kukayezetsa magazi: kuyezetsa magazi ndi zamankhwala ambiri, kuyesa kwa mkodzo, matupi a ketone, kuyezetsa kokwanira, kuyesedwa kwa glucose, glycated hemoglobin, ultrasound ya impso, mitsempha yamagazi, ECG ndi mitundu ina ya maphunziro ofunikira kuti mutsimikizire za kupezedwa ndi digirii. zovuta za matenda ashuga.

Kuyang'anira ndi kuyang'anitsitsa odwala ndikuwonetsetsa kuti ali ndi shuga m'magazi, komanso kutha kwa akatswiri oterowo, katswiri wa matenda am'maso, nephrologist, zamtima, urologist kapena gynecologist angafunike.Gawo la maphunziro ndi upangiri zimasankhidwa kwa wodwala aliyense.

Pambuyo popereka njira zonse zodziwira, zolemba zonse ndi kutumizira mayeso 088 / y-06 zimaperekedwa kwa wodwala. Ndi phukusili la zikalata muyenera kulumikizana ndi maofesi azachipatala ndi mayeso ochezera, komwe tsiku la mayeso lidzakhazikitsidwe ndipo gulu la olumala lipatsidwa.

Momwe mungakhalire gulu loyamba:

1. Mitundu yayikulu ya retinopathy yokhala ndi kutaya kwathunthu kapena pafupifupi.
2. Angiopathy odwala matenda ashuga: gangrene, phazi la matenda ashuga.
3. Mtima ndi kulephera kwa mtima madigiri 3.
4. Nephropathy yokhala ndi vuto lotsika kumapeto.
5. Encephalopathy yokhala ndi mavuto amisala.
6. Neuropathy: Kuumala kwamphamvu, ataxia.
7. Nthawi zambiri chikomokere.

Nthawi yomweyo, odwala sangathe kuyima payokha ndikudzipulumutsa okha, amalumikizidwa pang'ono m'malo mokhazikika, amadalira kwathunthu thandizo lakunja.

Gulu lachiwiri likhonza kupatsidwa mankhwala oletsa matenda ashuga kwambiri: gawo 2 retinopathy, kulephera kwa impso, ngati dialysis ikhoza kulipirira kapena kuyendetsa bwino impso kuchitidwa. Neuropathy mwa odwala oterewa amatsogolera paresis ya 2 degree, encephalopathy imakhala ndi matenda amisala.

Kulephera kumakhala kochepa, odwala amatha kuyenda mozungulira, kudzisamalira okha ndikuthandizira chithandizo, koma amafunikira thandizo kwakanthawi. Gulu lachiwiri limapangidwanso kuti likhale lovuta la matenda a shuga, pakakhala kusintha kwakukulu pamlingo wa glycemia ndipo mwanjira ina kukomoka kumachitika.

Kuwonongeka kwa gulu lachitatu kumaperekedwa panthawi ya matenda osokoneza bongo a chiwonetsero chazovuta zam'mimba zomwe zimapangitsa kuti ziwonetsero zisamayende bwino, zomwe zimayambitsa malire azotheka kudzisamalira, kuchita ntchito (wodwalayo sangathe kugwira ntchito yake yapitayi, yomwe idapangitsa kuchepa kwa kuyenerera kapena kuchuluka kwa zochitika).

Njira yamatendawa imayesedwa ngati yovuta. Wodwala amatha kugwira ntchito, koma m'malo opepuka.

Kwa achinyamata, gulu lachitatu limakhazikitsidwa nthawi yopuma, kuphunzitsa ndi kupeza ntchito yatsopano.

Matenda a shuga

Lamulo la "On State Pension Providence in the Russian Federation" limafotokoza gulu la anthu omwe ali ndi mwayi wothandizidwa nawo pantchito yolumala. Malipiro amtunduwu amatanthauza kusaphunzira (chikhalidwe), chifukwa chake, sizotengera kukula kapena zaka. Wopuma pantchito amalandira ndalama kutengera ndi magulu omwe ali olumala.

Ndalama zomwe munthu wolumala azilandira zimakhala ndi magawo awiri: gawo loyambira komanso ndalama imodzi yolipira. Kukula kwa penshoni kumakhazikitsidwa ndi malamulo a feduro, ndi chimodzimodzi ku Russia Federation. Pansi, zolipira zolumala kuchokera ku ndalama zanu zokha (ndalama ndi zowonjezera kumapenshoni) zimatha kukulitsidwa. Sizingatheke kukopa kukula kwa penshoni.

Penshoni ya matenda a shuga imaperekedwa osati kwa okhawo omwe afika zaka zopuma pantchito. Satifiketiyo imaperekedwa kwa wopuma pantchito atangokhala wamkulu, kupeza gulu la olumala, kulandira chithandizo kuchipatala. Ngati muli ndi matenda a shuga, pali mwayi wopuma pantchito mwachangu.

Kuchuluka kwa zolipira mu 2017 (penshioni pamwezi m'm ruble):

• Kuwonongeka kwa gulu loyamba: 10068.53
• Gulu lachiwiri: 5034.25.
• Gulu lachitatu: 4279.14.
• Ana olumala: 12082.06.

Ndalama zolumikizidwa kuchokera pa febulo 1 zinali motere: kwa gulu loyamba - 3538.52, lachiwiri - 2527.06, la gulu lachitatu - 2022.94, kwa ana olumala 2527.06 rubles pamwezi.

Kwa ana, kulumala popanda kugwiritsidwa ntchito ndi gulu la anthu odwala matenda ashuga kumayikidwa kufikira zaka 14 ngati chithandizo chokwanira cha insulin chikufunikira, atakwanitsa zaka zino, kulumala kumachotsedwa ngati bungwe lingaganize kuti wachinyamata akhonza kupatsa insulini mokwanira ndi kuwerengera mlingo wake pambuyo pophunzitsidwa.

Ngati mikangano ikabuka pofotokozera gulu la olumala, muyenera kufunsa chiganizo cholembera zomwe ofufuza zamankhwala ndi akatswiri ogwira ntchito m'dipatimenti yapakati, Unduna wa Zaumoyo, lembani mlandu wotsutsa kapena kupita kukhothi.

Kanemayo munkhaniyi afotokoza za kukula kwa penshoni komanso malamulo pofalitsa MES.

Ndemanga ndi ndemanga

Ndili ndi matenda a shuga a 2 - osadalira insulin. Mnzake adalangiza kuti achepetse magazi ndi DiabeNot. Ndinalamula kudzera pa intaneti. Adayamba kulandira. Ndimatsata zakudya zosasamala, m'mawa uliwonse ndidayamba kuyenda ma kilomita 2-3 ndikuyenda pansi. M'masabata awiri apitawa, ndazindikira kuchepa kwa shuga m'mamawa m'mawa asanadye chakudya cham'mawa kuyambira 9,3 mpaka 7.1, ndipo dzulo ngakhale mpaka 6.1! Ndikupitiliza njira yodzitetezera. Ndileka zolemba zabwino.

Margarita Pavlovna, inenso ndakhala ku Diabenot tsopano. SD 2. Ndilibe nthawi yodya komanso kuyenda, koma sindimagwiritsa ntchito maswiti ndi chakudya, ndimaganiza XE, koma chifukwa cha zaka, shuga akadali wamkulu. Zotsatira zake sizabwino ngati zanu, koma kwa 7.0 shuga sizituluka sabata limodzi. Kodi mumapima shuga ndi glucometer iti? Kodi akukuwonetsani plasma kapena magazi athunthu? Ndikufuna kufananiza zotsatira ndikumwa mankhwalawo.

Chonde ndiuzeni - Ine, wopenshoni, ndingadalire zabwino zamtundu uliwonse? Popeza kulibe ndalama zokwanira mapiritsi, ndipo kuchipatala amangopereka insulin yokha?

Momwe mungapangire ndikulembetsa moyenera kulumala kwa matenda ashuga

Matenda a shuga ndi matenda oopsa omwe, ngakhale atakula mofulumira, samachiritsidwa. Kuopsa kwa matendawo kumatithandizanso kudziwa kuti nthawi zambiri kumayambitsa zovuta komanso amakhudza ziwalo zofunika zamkati mwa thupi. Momwe mungapezere vuto la matenda ashuga, momwe mungakhalire ndi kulumala kwa matenda ashuga, werengani m'nkhaniyi.

Kodi nchifukwa ninji munthu ali ndi vuto la matenda ashuga?

Munthu yemwe wapezeka ndi izi, moyo wake wonse, ayenera kutsatira zakudya zapadera, komanso mtundu wina, womwe umaphatikizidwa umatha kuwongolera shuga, ndikuwusunga pamlingo wovomerezeka. Nthawi zambiri, matenda ashuga amapangitsa wodwala kudalira insulini, chifukwa chake, munthu amene akudwala matendawa ayenera kupeza jakisoni wofunikira panthawi inayake. Mwachilengedwe, zomwe tafotokozazi zimakhudza moyo wabwino, komanso zimadzetsa zovuta. Ndiye chifukwa chake, funso la momwe mungakhalire ndi kulumala kwa matenda ashuga ndilofunika kwambiri osati kwa odwala, komanso kwa abale awo.

Munthu yemwe wapezeka ndi matenda a shuga amayamba kulephera kugwira ntchito, amakhala ndi matenda ambiri chifukwa cha zovuta zomwe matendawa ali nazo mthupi. Ngati matendawa adapezeka ali ndi zaka zopuma pantchito akadali kutali kwambiri, muyenera kuganizira momwe mungadziyikire nokha.

Zoyambira momwe mungakhalire ndi chilema cha matenda ashuga?

Zowonongeka zimatha kuperekedwa malinga ndi kupezeka kwa zomwe zimaperekedwa pamankhwala, komanso satifiketi zomwe zimatsimikizira kupezeka kwa matendawa. Tiyenera kudziwa kuti kulumala kumalembetsedwa pokhapokha ngati munthu chifukwa cha matenda ataya zonse kapena gawo lake pantchito chifukwa chodwaladwala.

Lamulo la Russian Federation limafotokoza momveka bwino kuti munthu amene walephera kugwira ntchito chifukwa cha matenda ashuga ali ndi ufulu wolumala. Kutengera ndi kuchuluka kwa vuto la ziwalo zamkati zomwe zimayambitsidwa ndi matenda a shuga kapena zovuta zake, bungwe lachipatala lingapatse gulu loyamba, lachiwiri kapena lachitatu la olumala.Zikachitika kuti matenda ashuga a shuga amafunika kugwiritsa ntchito jakisoni wa insulin, kulumala kumaperekedwa popanda malire, komwe kumachotsa kufunikira kwofunsanso matendawa pachaka.

Kulembetsa bwanji kulemala kwa matenda ashuga?

Gawo loyamba la momwe mungalembetsere kulumala kwa matenda a shuga ndi kulumikizana ndi dotolo wakomweko, yemwe ayenera kulemba mayendedwe a wodwalayo mayeso angapo. Mayeso a ECG atamalizidwa, kusanthula kumatumizidwa, ndipo zolemba zolemba zamankhwala zimapangidwa, ndikofunikira kupita ku chipatala ndi zamankhwala.

Popeza mwalandira dotolo wapadera kuchokera kwa dotolo wamkulu wa chipatalacho omwe mumalumikizana nawo, muyenera kulumikizana ndi bungwe lazachipatala ndi zachikhalidwe m'dera lanu. Kuti muchite kafukufukuyu, muyenera kupereka zikalata zonse zachipatala komanso pasipoti. Gawo lomaliza ndikulemba fomu yofunsira. Kutengera zolemba ndi zidziwitso zomwe muli nazo, mamembala a komitiyi atha kupanga chisankho ndikukupatsani gulu lina la olumala. Panthawi yomwe komisheni, kapena madotolo azachipatala adaganiza kuti ngati mulibe chifukwa chakulemala, pali mwayi wopempha thandizo kumakhothi, ndipo mufunsanso kuti muganizire za vuto lanu ku komiti yachipatala komanso yachipani.

Ndikofunika kukumbukira kuti mukuyenera kumenyera ufulu wanu ndikugwiritsa ntchito njira zonse zopezeka, chifukwa kulumala kumafunikira thandizo la boma.

Matenda a shuga ndi matenda oopsa. Ngati simulamulira bwino magazi, kumatha kugwira bwino ziwalo zofunika kwambiri, zomwe zingachititse kuti gawo lina la anthu liziwoneka bwino. Kuti mupeze vuto linalake muyenera kulumikizana ndi dokotala wakwanuko.

Zifukwa zolembetsa kulemala kwa matenda ashuga

Kulemala (kulemala) ndi matenda osokoneza bongo kumatha kulembetsa pamaso pazifukwa zazikulu. Kuti akhazikitse gulu lolumala, matenda amodzi okha sikokwanira, chifukwa izi, kupezeka kwa zovuta zomwe zimapezeka panthawi yamatendawa ndizovomerezeka. Zimaphatikizanso kuphwanya magwiridwe antchito a chiwalo chimodzi kapena dongosolo lonse lathupi la munthu. Izi zikusonyeza kale kuti mtundu wa matenda ashuga mwa wodwala ulibe tanthauzo laling'ono. Kuphwanya kwa magwiridwe antchito a wodwalayo ndicho chifukwa chachikulu chodandaulira kwake kwa kulemala.

Ndani amadwala matenda a shuga?

Kupereka kwa kulemala kwa mwana yemwe ali ndi matenda osokoneza bongo a mellitus (wodalira insulin) kumatheka pokhapokha akafika zaka zambiri. Kenako kulembetsa kwa zilema kumachitika popanda kupatsa gulu. Odwala ena onse amakhala nawo mothandizidwa ndi kuwuma kwa matendawa, momwe matendawo aliri komanso kuchuluka kwa kulumala kwa wodwalayo.

Odwala okha omwe ali ndi zovuta za matendawa ndi omwe ali ndi ufulu wofalitsa matenda opuwala (kulemala) mu shuga:

• Phazi la matenda ashuga (nthawi zambiri amapezeka mwa odwala matenda ashuga). Imachitika chifukwa cha kusokonezeka kwa magazi m'munsi m'munsi, komwe kumayambitsa kusinthika ndi necrosis, kenako ndikudula phazi kapena gawo lina.
• Mitundu yonse ya ziwalo zomwe zimachitika pamene ulusi wamanjenje udawonongeka komanso kusungika kwawoko kusokonezedwa.
• Makina osakhazikika amkodzo.
• Zowonongeka - kuchokera pakuchepa kwambiri mpaka khungu.

Momwe mungagwiritsire ntchito kulemala kwa matenda ashuga komanso mindandanda?

Kuti mudziwe momwe mungalembetse bwino matenda okhudzana ndi matenda ashuga, choyambirira, werengani mndandanda wazinthu zofunika, ndikutsatira malangizo omwe ali pansipa.

• kuchokera ku mbiri yanu ya zamankhwala pomaliza mayeso,
• malangizo
• pasipoti
• mfundo zamankhwala
• satifiketi ya inshuwaransi,
• mawu.

Malangizo a pang'onopang'ono: momwe mungakhalire ndi chilema cha matenda ashuga

Choyamba, kuti mulembetse moyenera kulumala kwa matenda osokoneza bongo, pitani kuchipatala. Ngati matenda anu ali kale ndi nthawi yayitali, ndiye kuti dokotala wanu wodziwa bwino amadziwa izi, zomwe zikutanthauza kuti muli ndi zizindikiro zonse pamankhwala omwe apatsiridwa pa khadi. Matenda a shuga ndi dera lotayidwa ndi ma endocrinologists, koma dotolo wamkulu wa komweko ayenera kulembera kalata kwa katswiri wazachipatala komanso wothandizira anthu.

Mukalandila zotumizira mayeso wamba, mayeso a shuga, magazi ndi mkodzo (zolimbitsa thupi, osachita masewera olimbitsa thupi), ECG, kuyesa ziwalo zomwe zakhudzidwa ndi shuga wambiri.

Kulembetsa molondola kulumala kwa matenda osokoneza bongo, pambuyo pa kufufuza, pitani kwa ochiritsira kachiwiri. Dokotala adzalemba zotsatira zake pamakhadi, omwe aperekedwa kwa inu ndi komisheni, ndipo atulutsa kuchokera m'mbiri ya zamankhwala ndikulongosola mwachidule za matendawa komanso maphunziro ake. Ndi malangizo atsopano. Ndi malangizo atsopano, muyenera kupangana naye adotolo wamkulu, ndikuwatsimikizira fomuyo ndi zisindikizo zofunika mu registry.

Popeza mayesowa ndi othandizira kwa masiku 14 okha, nthawi imeneyi muyenera kukhala ndi nthawi yopita kukomisheni kuti musadzapatsenso mayesowo.

Pa Commission mumapereka ntchito, pasipoti, ndondomeko yazachipatala, satifiketi ya penshoni, zolozera ndi kuchotsera mbiriyakale yakuchipatala.

Pambuyo powunikira zotsatira za mayeso ndikuyankhula nanu limodzi, komitiyi ithandizire gulu la olumala lomwe mumapatsidwa, ndipo zimatengera kuwonongeka kwa ziwalo komanso mulingo wolumala.

Kodi satifiketi yapenshoni imaperekedwa liti?

Wodwala matenda ashuga amatha kuyembekezera kulandira penshoni pokhapokha atalandira chithandizo chokwanira cha chipatala, amamuwonetsetsa ndi endocrinologist ndipo alandire gulu lopunduka. Popanda pepala loyenera, palibe penshoni yomwe ingaperekedwe.

Ndizofunikira kudziwa kuti penshoni ya shuga sichingaperekedwe kwa okhawo omwe ali ndi zaka 55 kapena 60. Satifiketi ya penshoni imaperekedwa munthu akangofika zaka zambirimbiri, atalandira gulu lolemala ndikupatsidwa chithandizo choyenera kuchipatala.

Komabe, ndimatenda awa, mulinso ndi ufulu wopuma pantchito mwachangu ngati muli pantchito. Pankhaniyi, muyenera kupangana ndi endocrinologist ndikuti mukayezetsa ndi akatswiri ena, aliyense atisiye zolemba zake m'mbiri yamatenda anu.

Matenda a shuga: kulumala pantchito

Atalandira madokotala (dokotala wa opaleshoni, a endocrinologist, othandizira, olemba zamankhwala), wochita zamankhwala amakakamizidwa kuti alembe mawu omaliza omwe angapite ku komiti ya ukatswiri wothandizira odwala. Mamembala a komitiyi akhonza kusankha ngati mukufuna gulu la zilema, ndipo ngati ndi choncho, ndi uti - I, II kapena III.

Mukalandira zikalata zotsimikizira gulu lanu lolemala, ziyenera kutumizidwa kwa oyenera kuti awerengere penshoni. Thumba la penshoni limayang'anira izi, zomwe zimayika kukula kwa penshoni ya anthu olumala a magulu onse atatu.

Mapensheni a shuga sangaperekedwe pazotsatirazi:

• Ngati munthu wakana kukayezetsa kuchipatala komanso kulandira chithandizo chamankhwala,
• Mukapatsidwa gawo la magawo atatu olumala,
• ngati mulibe chitsimikizo kuti mukudziwa kuti ndinu olumala.

ZOFUNIKIRA: Komanso, musaiwale kuti pamtundu wolumala, muli ndi ufulu wopuma pantchito nthawi isanakwane. Malingaliro kuchokera ku komiti yayikulu ayenera kuperekedwa kwa olamulira. Ngati oyang'anira makampani sakufuna kukulekani kuti mupume pantchito isanakwane, muli ndi ufulu wopereka milandu. Lamulo limateteza ufulu wa anthu odwala matenda ashuga pankhaniyi, chifukwa chake musawope kuyankhula ndi abwana anu ndikupempha kuti ufulu wanu ulemekezedwe.

Mafunso amodzi pa zisankho za gulu la zamankhwala

Monga mukuwonera, ndi matenda ashuga, penshoni yodwala ndiyofunika, koma bwanji ngati mwakanidwa gulu lolemala? Zinthu ngati izi zimachitikanso, chifukwa chake muyenera kukhala okonzekera kuteteza ufulu wanu pano.

1. Komiti ya akatswiri ikupatseni lipoti lachipatala lomwe lingafotokoze chifukwa chomwe simunapatsidwe gulu lolumala.
2. Ngati Commission yakana kufotokoza zifukwa zomwe akukanira, mutha kupita kukhothi. Mlanduwo umasungidwa ku chipatala chomwe mudapatsako komitiyi. Nthawi zambiri zochita zotere zimabweretsa zotsatira zabwino, popeza akatswiri amafunika kupereka mafotokozedwe ngati atalephera.
3. Ngati simunalandire gulu la olumala ndipo mwapatsidwa kufotokozera, koma simukugwirizana nawo, mutha kuchita apilo nkhaniyi. Fesiyi imatumizidwa ku Unduna wa Zaumoyo, kenako tsatirani malangizo omwe aperekedwe kwa inu mu nkhaniyi. Monga lamulo, kuyesedwa kwachiwiri kumakhazikitsidwa, pambuyo pake komaliza yatsimikiziridwa kapena kutsutsidwanso.

CHOFUNIKIRA: Kukula kwa penshoni ya odwala omwe ali ndi matenda ashuga kumayikidwa ndi boma ndipo sikungakhale kotsutsana kukhothi. Tsoka ilo, zovomerezeka za anthu odwala matenda ashuga mdziko lathu sizili bwino pankhani zofalitsa, zomwe zimabutsa mafunso ambiri okhudzana ndi penshoni, risiti yake, kukula kwake, ndi zina zambiri.

Kodi penshoni ya shuga kwa ana ndi chiyani?

Monga mukudziwa, ana omwe ali ndi matenda ashuga salandila gulu lokhala ndi olumala, koma ali ndi ufulu kulandira penshoni. Gulu la odwala amatchedwa ana olumala chifukwa cha matenda ashuga.

Kholo lomwe silikugwira ntchito lomwe likuyang'anira mwana limalandira ndalama zapenshoni 5 500 (pofika chaka). Kuphatikiza apo, maubwino apadera amaperekedwa kwa ana olumala: matikiti opita ku sanatorium, mankhwala aulere, ndalama zochepetsera zoyendera, ndi zina zambiri.

Kodi mukufuna ndalama za penshoni zaana odwala matenda ashuga? Ngakhale mwana wanu atakhala ndi phindu linalake ndikulandila mankhwala aulere, ndalama zowonjezerazi sizivulaza, chifukwa zimagwiritsidwanso ntchito pochiza komanso kupewa matenda owopsa a endocrine.

Choyamba, ana olumala chifukwa cha matenda ashuga amafunikira zakudya zoyenera, ndipo zinthu masiku ano ndizokwera mtengo. Kachiwiri, zonse zomwe zingatheke ziyenera kuchitidwa kuti mnyamatayo kapena mtsikanayo amve ngati kuti ndi ana athunthu - atengereni maulendo osangalatsa, pitani kumalo osungirako zakale, zowonetsera, mapaki a ana, etc.

Kuchepetsa mwana yemwe akudwala matenda a shuga, sichingakubwerereni zonse zofunika, koma kukhala thandizo labwino la pamwezi, lomwe muyenera kulandira. Ngati pazifukwa zina simukulandira ndalama izi, ndipo mwana wanu akudwala matenda ashuga, muyenera kulumikizana ndi endocrinologist, ndiye ntchito yapadera, ndipo ngati vutolo silithetsa, muyenera kulembanso fomu ndi Unduna wa Zaumoyo. Monga lamulo, nkhani zotere zimathetsedwa mwachangu, ndipo mwana amalandira penshoni, yomwe imaperekedwa mu milandu iyi.

Matenda a shuga - matendawa sikuti amapha, koma m'malo mwake ndi owopsa komanso oopsa.

Matenda a shuga ndi matenda oopsa a endocrine omwe pang'ono pang'ono kapena kwathunthu.

Matenda a shuga ndi matenda oopsa a endocrine, omwe nthawi zambiri amabweretsa kuphwanya.

Kuyika kwa zinthu kuchokera ku intaneti pa intaneti ndikotheka ndi ulalo wammbuyo ku portal.

Kodi Pension 1 ya shuga ya Type A shuga?

Matenda a shuga, akangobuka kumene, amakhala ndi munthu moyo wake wonse. Kuti athe kukhala athanzi komanso magwiridwe antchito, zochitika zachitukuko, anthu odwala matenda ashuga amakakamizidwa kugwiritsa ntchito mankhwala ndi zida zamankhwala kuthana ndi matendawa.

Pankhani ya matenda a shuga a 1 omwe amadalira insulin, mahomoni amayenera kuperekedwa nthawi 4-5 patsiku, uku akuwongolera glycemia ndi mikwingwirima yoyesera kupita ku glucometer.Zonsezi zili ndi mtengo wokwanira, chifukwa chake, wodwala aliyense ali ndi chidwi chofunsira kuti penshoni itengedwe kwa odwala matenda a shuga ndi mapindu ati omwe angagwiritsidwe ntchito kuchepetsa ndalama.

Nthawi yomweyo, kudziwa za matendawa sikupangitsa kuti mugwiritse ntchito phindu, chifukwa muyenera kudutsa magawo angapo kuti mupeze wothandizidwa ndi matenda ashuga. Kuphatikiza apo, pali magawo angapo pamene wodwala amalandila chilema ndipo amalandila penshoni yoyenera.

Matenda a shuga ndi boma: maubwino, ndalama, ndalama zothandizira

Moni owerenga okondedwa! Tilankhula lero pamutu wankhani yayikulu, yonena za thandizo lochokera kwa odwala aku Russia omwe ali ndi matenda ashuga. Nkhaniyi ithandizira mitundu yonse ya matenda ashuga.

Ndipo kumapeto kwa nkhaniyi ndikufuna kukudziwitsani zamakalata anzanga ndi odwala anga ochokera ku Canada, omwe adawafotokozera mokoma momwe ana ndi makolo awo omwe ali ndi matenda ashuga m'dziko lawo amakhala.

Thandizo la boma kwa anthu odwala matenda ashuga

Maubwino, ma subsidenti ndi mapenshoni amafunsidwa mosiyanasiyana kwa ana ndi akulu. Choyamba, tiyeni tikambirane za ana ngati tsogolo la mtunduwo komanso anthu achi Russia onse. Zachidziwikire, udindo wonse umakhala ndi makolo kapena anthu polera ana omwe ali ndi matenda ashuga. Titha kunena kuti tandem inayake imapangidwa pomwe gawo lotsogolera limaseweredwa ndi munthu wamkulu. Ndipo maudindo ake amaphatikizapo kupatsa munthu wachichepere chilichonse chofunikira, komanso kuphunzitsa moyo ndi matendawo. Chonde dziwani, sindinanene chilichonse chokhudza boma, ntchito zachifundo kapena madotolo.

Zonsezi pamwambapa zimakwaniritsa gawo lachiwiri, zimangothandiza kapena kusokoneza (izi zingakhalenso njira ya Mulungu). Si dokotala yemwe amachititsa kuti mudziwe za matenda anu a shuga, boma sayenera kupereka zabwino zonse, sikuti ntchito zachitukuko ziyenera kulipira mwana ndikuthandizira. Inu ndi inu nokha muyenera kuchita izi, kuphatikiza kufulumira, luso, luso, kuti muchoke m'mikhalidwe yovuta. Kalanga izi, zili choncho, ziribe kanthu momwe mungafunire kudzilungamitsa nokha.

Chifukwa chake, ana onse osakwana zaka 18 omwe ali ndi matenda a shuga amakhala ndi mwayi wolembedwa kulemala, ngakhale atayambitsa matenda a shuga ana. Gululi lidzatchedwa - kulera mwana. Ufuluwu udaperekedwa kwa iwo malinga ndi dongosolo la Unduna wa Zaumoyo ku Russia Federation Nambala 117 lomwe lili pa 4.07.91 "Njira yovomereza mwana ngati wolumala". Komabe, ndizotheka kuti posachedwa zaka zakubadwa ngati munthu wolumala ziyachepetsedwa kukhala zaka 14.

Simuyenera kuda nkhawa kwambiri, chifukwa zakudya zomwe mungakonde mutazipanga ndi mankhwala okhaokha ndizongotsala. Zachisoni, choti achite.

Anthu odwala matenda a shuga akamakula samalandira kulumala nthawi yomweyo, chifukwa kumayambiriro munthu samalandidwa mphamvu zogwira ntchito ndipo amatha kugwira ntchito moyenera. Kuperekera njira mwanjira yamankhwala ndi njira zina zimapangidwa pangozi ya zachigawo, mwa kuyankhula kwina, mwakuwonongerani ndalama za dera lomwe akukhalamo. The wolemera dera, bwino chitetezo, monga lamulo. Kuvutikira ndi matenda a shuga kumakhala kovuta kupeza, chifukwa kulumala kumatha kupitiliza kwa nthawi yayitali, ndipo ngati munthu adziyendetsa yekha ndikusunga matenda a shuga, ndiye kuti kulumala sikungachitike konse.

Kapangidwe ka chilema mwa akulu kumangokhala pamaso pa zovuta za matenda ashuga, monga nephropathy ndi proteinuria ndi kulephera kwaimpso kapena kudula kwa zala ndi miyendo. Kodi muyenera kulumala? Zachidziwikire, kuchokera pamalingaliro azachuma, kukhala ndi chilema kumakhala kopindulitsa kwambiri, chifukwa pali zabwino zambiri, ma subsidies, komanso penshioni. Pazochita zanga, ndidakumana ndi anthu omwe amafuna makamaka kuti akhale ndi gulu laopuwala, popanda umboni, komanso onse chifukwa cha ma bun awa. Ndikuvomereza kuti nthawi zambiri izi sizichitika kuchokera ku moyo wabwino. Mabanja ambiri amakhala ndi ndalama zothandizira kulumala kwa wachibale ndipo zimakhala zomvetsa chisoni kuti ana achikulire athanzi amakhala kunyumba ndikudikirira amayi awo, abambo kapena agogo awo kuti apume pantchito, m'malo mopita kuntchito.Koma ili ndi mbali ya chikhalidwe ndi chikhalidwe, yomwe sitingakhudzirepo.

Mankhwala ndi matenda ashuga

Ndikuuzani za mankhwalawa. Mdziko lathu, anthu onse omwe ali ndi matenda opatsirana a shuga ali ndi ufulu kulandira chithandizo chaulere, ndiko kuti, kulandira chithandizo chokwanira komanso kulandira mankhwala kwaulere malinga ndi maphikidwe apadera. Nthawi zambiri makolo anga ankandiphunzitsa ndili mwana kuti tchizi chaulere chimangokhala mbewa. Ndinakumbukira bwino bwino za moyo ndipo tsopano ndimakhala ndikudandaula nthawi zonse ndi zomwe zimaperekedwa kwaulere, nthawi zonse pamakhala mtundu wina wogwira. Momwemonso ndi mankhwalawa.

Simungakhale kuti mupeze mankhwala abwino aulere, chabwino, kokha ngati muli ndi mwayi. Kwenikweni, mankhwala osachepera angapo amagulidwa omwe amagwira ntchito bwino, komanso amakhala ndi zotsatirapo zoyipa. Mwa ana, zinthu zimakhala bwino kwambiri. Ana amapatsidwa makamaka ndi insulin yodziwika, chifukwa kupezeka kumachitika m'boma, pomwe zigawo zimatha kugula chilichonse chomwe chimafuna insulini.

Mpaka posachedwapa, madokotala amatha kupatsa mankhwala mankhwala malinga ndi INN, i.e., dzina la generic. Chaka chino, chiletso ichi chachotsedwa ndipo madokotala ali ndi ufulu wopereka mayina ogulitsa. Amatha kulemba, koma kodi mankhwalawa adzakhala mgulu la mankhwala? Kuphatikiza apo, kumbukirani kuti mfundo yolowa m'malo ikuyambika, ndipo mu pharmacology takhala zaka zambiri kuseri kwa Europe ndi USA ndipo sizingatheke. Kenako ndimapereka mndandanda wazomwe munthu wodwala matenda ashuga mdziko lathu angayembekezere kuchokera ku boma, kenako ndikusindikiza kulemberana makalata ndi nzika yaku Canada zothandizidwa mdziko lawo.

Zabwino, zolipira ndi zabwino kwa ana omwe ali ndi matenda ashuga ndi makolo awo

• ndalama zapenshoni ndi zololera mu kuchuluka kwa 51 p malinga ndi Art. 18 ya Federal Law ya Disembala 15, 2001 No. 166-ФЗ “Pa State Pension Providence in Russian Federation” (zambiri za chaka cha 2016)

• kulipira kwa kholo kapena mwana wosamalira wopanda ntchito yemwe akuwasamalira mwana wolumala mu kuchuluka kwa (onani Lamulo la Purezidenti wa Russian Federation ya pa Epulo 26, 2013 N 175)

• Zabwino zopuma pantchito zimaperekedwa kwa kholo kapena wowasamalira mtsogolo (nthawi yosamalira mwana wolumala imawerengedwa pakubadwa kwawo ndipo mayi wa mwana wolumalayo ali ndi ufulu wopuma pantchito asanachotsere zaka 8 ndi chidziwitso cha inshuwaransi ya zaka 15).

• Kutengera ndi gulu lolemala lomwe lakhazikitsidwa, malinga ndi Federal Law "Pa Social Protection of Persons in the Russian Federation", EDV imakhazikitsidwa, kukula kwake komwe mu 2015 ndi kwa ana olumala, 59 p.

• Ufulu wa chithandizo chaulere cha spa pachaka umaperekedwa kwa mwana yekhayo, komanso kwa kholo limodzi kapena womusungira limodzi.

• Malinga ndi gawo lachiwiri la msonkho wa Russian Federation (Article 218), makolo a ana olumala osakwana zaka 18, ndipo pankhani ya maphunziro wanthawi zonse ku sukulu yophunzitsa yokhala ndi magulu 1 kapena 2 mpaka a zaka 24, kuchotsera msonkho kwa muyeso kukugwira.

• Pali maubwino ambiri pansi pa malamulo aantchito, nyumba ndi maulere.

• Kwa ana olumala, pali mwayi wophunzirira.

kuyikiridwa koyambirira kwa ana olumala m'masukulu ophunzirira sukulu (Lamulo la Purezidenti wa Russian Federation wa Okutobala 2, 1992),

kumasulidwa ku ndalama zolipirira ana kwa makolo omwe ali ndi ana omwe, malinga ndi mabungwe azachipatala, adapezeka kuti ali ndi zofooka pakukula kwa thupi kapena m'malingaliro (Kusintha kwa Supreme Council of the Russian Federation No. 6 of March 6, 1992)

Ubwino, zolipira ndi zabwino zake kwa anthu omwe ali ndi matenda ashuga olumala

• Mapenshala okhudzana ndi chikhalidwe cha anthu malinga ndi gululi kuyambira chaka cha 2016 (ngati pali omwe amadalira, kuchuluka kumakhala kwakukulu malinga ndi kuchuluka kwa omwe amadalira)
  • Gulu 1, 73 r
  • Gulu 2, 85 r
  • 3 gulu, 90 r

• Kulipira ndalama pamwezi (UIA) kumakhazikitsidwa kutengera gulu
  • Gulu 1, 23 r
  • Gulu 2, 59 r
  • 3 gulu, 30 r
• Chowonjezera chazandalama kwa ogwiritsa ntchito pantchito omwe sagwira ntchito omwe ndalama zawo zimakhala zocheperako

• Oyang'anira ndi osamalira akuluakulu omwe ali ndi zilema amamangidwa ndi kubweza ngongole mwezi uliwonse malinga ndi Lamulo la Purezidenti la Disembala 26, 2006 No. 1455

• Munthu woyenda ndi munthu wolumala wa gulu 1 amapatsidwa tikiti ndikuyenda pamayendedwe omwewo. Ogwira ntchito olumala amapatsidwa kuchotsera 50%. Osagwira ntchito KWAULERE (tikiti + kuyenda)

• Zigawo zingapo zothandizira anthu, zomwe zimaphatikizapo mankhwala aulere, chithandizo cha spa cha matenda a shuga 2 ndi mayendedwe aulere. Zonsezi ndi 995.23 p. Ngati mukukana phukusi lazachitukuko. ntchito, mumalandira ndalama, koma kutaya china chilichonse. Chifukwa chake, musanagonje, muyenera kuganizira zopereka mankhwala. Ngati mankhwala anu ali okwera mtengo kwambiri, ndiye zomveka kukana ntchito zachitukuko. palibe phukusi.

• Anthu olumala a magulu 1 ndi 2 amalandila maphunziro (kulembetsa popanda mayeso ndi maphunziro)

• Zabwino pa nyumba ndi ntchito

• Kuphwanya msonkho ndi kuchotsera

Thandizo la Boma la Canada la ana omwe ali ndi matenda ashuga 1

Monga ndidalonjezera, ndikulembera makalata ndi mayi wa m'modzi mwa odwala anga omwe amakhala ku Canada. Ndinagwira ntchito kwa miyezi ingapo ndi mayi anga Olga ndi mwana wanga wamkazi zaka 15 kulipira matenda awo a shuga. Ndipo Olga adavomera mokoma mtima kufotokoza momwe amapangira chithandizo chamankhwala cha ana otere. Ndimalankhula popanda zowongolera. Chonde dziwani zambiri za anthu oyambayo.

Mankhwala pano ndi inshuwaransi, ali ndi boma komanso achinsinsi. Aliyense amene amagwira ntchito amakhala ndi inshuwaransi yapayokha. Ndani sagwira ntchito - boma lokha. Koma kupeza chithandizo chamankhwala chofunikira ndi mankhwala onse ndi ofanana (kupatula mano ndi ntchito zina zowonjezera monga othandizira kutikita minofu, ndi zina zambiri). Ndizovuta kufotokoza ndi manambala, chifukwa zonse zimatengera ndalama zomwe banja limapeza komanso zinthu zina. Sitinagwiritse ntchito kalikonse mpaka mlandu ndi Sofia.

Kenako adagwirizana kwathunthu. Chokhacho chomwe chimalipira nthawi zonse ndikuyimba ma ambulansi (nthawi zonse, izi sizophimbidwa ndi inshuwaransi iliyonse). Kwina $ + mileage. China chilichonse chimaphimbidwa mokwanira. Anali womangika mu chisamaliro chachikulu. Mankhwala onse, zida zaposachedwa, namwino payekha, gulu la madotolo osiyanasiyana, zikhalidwe kwa makolo omwe amakhala usiku wonsewo, ndi zina zambiri.

Zowona, pomwe mlanduwo ndi wovuta. Ngati sizovuta kwambiri, ndiye, monga tidauzidwa, palibe amene ali wosangalala: mutha kudikirira nthawi yayitali kuti mukaonekere kwa dokotala ngakhale mu ambulansi, mutha kupita kwa dokotala kuti akakupatseni mankhwala ndipo mutatha theka la chaka, etc. Palibe zomwe zidakuchitikirani, koma zomwe mwakumana nazo zinali mafunso ayi, zonse zidachitika pamlingo wapamwamba kwambiri. Chifukwa chake, wina akanena kuti mankhwala ku Canada siabwino, timayankha kuti: ndinu mwayi kuti simunakumane ndi mankhwala abwino, chifukwa chake sizinakhalepo zoyipa ndi inu.

Mankhwala amaphimbidwa 80%. Komanso sizitengera kupezeka kwa inshuwaransi yapayokha. Mwina wina ndi 100% (mwina osauka), sindikudziwa. Chokhacho chomwe takhudzidwa ndi inshuwaransi yapayokha ndi mtundu wa insulin. Madotolo adati HP ndi Lantus ndibwino. Sindikudziwa, mwina. Ma glucometer, ma syringe aulere. Mzere wa glucometer, singano, insulin - popanda zoletsa.

Mukukumbukira nkhani yathu ndi njira yowunikira? Chifukwa chake sitinadikire kuti dokotala atipatse mankhwala. Kugula ndi kutumiza ku akaunti ya inshuwaransi kokha. Anabweza 100% osalandira mankhwala. Amakwaniritsa zowononga zonse, ndipo dongosolo lokha ndi madola 1500 kwa nthawi yonse. Ndiye kuti, tikasintha dongosolo kukhala latsopano, tidzangobwezerera gawo lotsala kuchokera ku madola 1500, koma zonse zomwe zimalipiridwa zilipira kwathunthu. Chokhacho ndikuti, ngati mankhwalawo atatenga 80% ya mtengo wake, ndiye kuti ife timagula koyamba, kenako ndikutumiza ma invoice ku inshuwaransi, amasamutsa ndalamazo.

Tsopano pali pulogalamu yopereka pampu ya boma. Sindikudziwa tsatanetsatane, chifukwa sitikukonzekera, koma ntchito yolongosoka yayamba.

Chithandizo cha boma chili pamilingo yonse. Achipatala adauza sukuluyo, adalangiza mphunzitsiyo kuti aziyang'anira chiyani komanso motani.Komanso anamwino adatumiza zikalata zofunika kulandira thandizo ngati mwana wolumala (pah-pah-pah, msungwana wokongola wanzeru chotere!). Thandizo limatengera ndalama za banja, ife, madola pamwezi. Ku zipatala kuli akatswiri azamisala osiyanasiyana, azakudya zaumoyo, etc. Miyezi itatu iliyonse pakakhala ulendo wokonzekera kupita kwa adokotala kukayezetsa. Kamodzi pachaka - kufufuza mwakuya. Anamwino akugwira pafupipafupi patsiku la bizinesi. Ngati mwadzidzidzi - mlongo wapafupi. Koma, monga momwe mumamvera kale kwa ife, ndizovuta kwambiri kukhazikitsa njira yokhazikika, ngakhale mutakhala ndi zonse zomwe mukufuna. Chifukwa iwo omwe sakukhala ndi izi samadziwa ma nuances omwe ndiofunikira kwenikweni. Koma aliyense amapatsidwa ndipo timathokoza kwambiri chifukwa cha izo. Ena - tapirira, Tithokoze Mulungu, ndi thandizo lanu.

Maganizo amtundu ... chabwino, sindikudziwa, palibe tsankho. Komabe, izi sizimawoneka ngati matenda. Mwinanso zoonekera posachedwa. Ndipo izi zimakonda kubwerezedwa kuti simudwala, simuli olumala. Palibe zoletsa zomwe zidakumana kulikonse.

Za matenda a shuga 2, mu 2009 bambo anga adakhala nafe miyezi 6. Adadwala matenda a shuga a 2. Tidamupangira inshuwaransi panthawi yomwe amakhala. Ndipo panali milandu yonga iyi. Kupanikizika kunachuluka, tinapita naye kwa adotolo. Amafunsa kuchuluka kwa shuga. Amati, sindikudziwa, sindimayeza, mikwingwirima yokwera mtengo. Panthawiyo, sindinadziwe kuti ndiziyeza komanso kangati.

Amandiuza kuti alembe glucometer m'dzina langa ndi mikwingwirima chifukwa chake, kuti ndikalandire inshuwaransi kwa abambo anga. Ndizodabwitsa, ndikunena kuti, Ndine wathanzi, kodi mungathe kulemba chiyani. Amatero chifukwa Ngati bambo anga ali ndi matenda ashuga, ndiye kuti ndili ndi ufulu wokhala ndi zonsezi kuti ndizilamulira. Momwe ndikumvera, aliyense atha kuchita izi ndikuwongolera zinthu, izi ndichizolowezi pano. Ndi kuti anthu nthawi zambiri, mpaka bingu ligunda, silikumveka. Izi ndi zomwe ndidakumana nazo. Sindinganenenso chilichonse chokhudza anthu odwala matenda ashuga 2 ndi moyo wawo.

Mwina anaphonya china? Funsani. Ku cholumikizacho!

D.L. Zikomo. Olga ndi funso linanso. Kodi ana omwe ali ndi matenda a shuga amalandila ulemu - ubwana? komanso ngati mungatsatire njira zotsimikizira chaka chilichonse. Tili ndi ntchito yotere ya ITU (ukadaulo wazamankhwala ndi chikhalidwe). Chifukwa chake, ana omwe ali ndi matenda ashuga amayenera kuchita ntchitoyi chaka chilichonse kuti alandire phindu komanso mankhwala. Izi zisanachitike, kuyezetsa kovomerezeka m'chipatala kwa masiku 7 mpaka 7 ndipo akupitabe kwa akatswiri odziwa bwino za chipatalacho ndi mayeso odutsa. Mwambiri, iyi ndi nkhani yonse komanso tini. Kodi muli nayo? Ndipo kodi penshoni imaperekedwa kwa mwana ngati wolumala kapena kwa mayi yekha kuti azimusamalira?

Olga: Moni, a Dilyara! Takhala ndi mbiri yathu kwa zaka zopitilira 2, sitinadutse njira zowatsimikizira. Poyambirira, namwino adalemba zikalata zonse, tidasaina ndipo ndizo zonse. Mwinanso amatumiza chilichonse chaka chilichonse - sindikudziwa, sitimayenda chamtunduwu mbali iliyonse.

Ndalama tsopano, kufikira zaka 18, ndimalandira. Zomwe zidzachitike pambuyo pake - sindikudziwa mpaka pano. Thandizo limaperekedwa kwa ana nthawi zonse, koma kwa ife, enanso monga mwana wolumala. Thandizo ili (monga kubweza msonkho) limadalira ndalama zapabanja ndipo limabwezedwanso chaka chilichonse. Ndipo ndidamva za chitsimikiziro chakulemala ku Ukraine. Wamisala wathunthu! Ndikukhulupirira kuti m'kupita kwanthawi dongosolo lidzadzionetsera lokha ...

Ku cholumikizacho! Funsani ngati mukutero.

D.L. Kodi mumalipira mpaka zaka 18 mulimonse mwana wathanzi kapena wodwala?

Olga: Inde, timalipira ana tonse. Izi ndi monga dongosolo la kubweza msonkho: onse ogwira ntchito amalipira misonkho (gawo limodzi mwa magawo atatu a misonkho limachokera kumalipiro a mwamunayo). Ndipo, potengera ndalama zapabanja zapachaka, pamakhala kubwerera kwa iwo amene akuzifuna, kuphatikiza mabanja omwe ali ndi ana, ndipo, zowonadi, ngati mwana akufunika chisamaliro chowonjezereka, monga momwe ziliri ndi ife ndi mwana wamkazi (kapena ngati banja lilibe ana ndipo onse amagwira ntchito ndipo ndi ndalama zabwino, ndiye kuti amatha kulipira misonkho). Koma izi sizikugwira ntchito kumabanja ogwira ntchito okha.

Titafika, sitikugwira ntchito kwa chaka chimodzi, tinaphunzira.Koma kuyambira tsiku loyamba tinalandira ndalama za ana, komanso zochuluka kwambiri kotero kuti tidakwanitsa kulipirira lendi nyumba. Ndipo sitinapange ndalama pachiwongola dzanja chathu. Ndipo ngati china chake chachitika, timalandira thandizo chimodzimodzi ndi nzika zonse. Zinali zabwino kuti ana athu amafunika osati ndi ife, komanso ndi dziko.

Dilyara, ndikukhumba inu njira yosavuta yothanirana ndi izi. Lolani kuti mukhale ndi mwayi wopeza modekha pazinthu zonsezi, ngakhale pali zinthu zakunja. "Hai bude dobe!", Monga amanenera ku Ukraine - "Zikhale bwino!", Ziribe kanthu.

Inde, ndi zimenezo! Ndikukhulupirira kuti nkhaniyi inali yosangalatsa komanso yothandiza kwa inu. Ndipo komabe ndikhulupilira kuti mdziko lathuli zonse sizoyipa! Ndikufuna kumva malingaliro anu pankhaniyi. Ndipo gawani nkhaniyo ndi anzanu komanso anzanu omwe ali ndi vuto lofananalo kudzera mabatani amacheza ochezera omwe ali pansipa, ndikhulupirira kuti nawonso adzakondwera.

Ndi chisangalalo ndi chisamaliro, endocrinologist Dilara Lebedeva

kuwopsa. Sindinkayembekezera kuti wina ndi wolumala. Ndinalowerera ndekha. DIE SLOWly.

Matenda a 2 a matenda a shuga Ndili kudwala wazaka 20 Nthawi yotsiriza, monga adokotala adalembera, ndidagwiritsa ntchito mapiritsi a Novo-insulin ndi diamerid .. Mu Ogasiti, diamerid idachotsedwa pamwambo woyambayo ndipo zolakwika zonse ziwiri zidasinthidwa ndi mapiritsi a glidiab MB. Ndipo kuzunzidwa kwanga kunayamba. 1- kudzimbidwa, kupweteka, theka la tsiku pachimbudzi. Ndidakana mapiritsi awa, ndidagula diamerid ndikupempha adotolo kuti anditumizire kuchipatala cha matenda ashuga. Dzulo lokha, ndili pakatikati, zidapezeka kuti mapiritsi ndi diamerid ndi glidiab ndi insulin Novomix sizigwirizana. Kuphatikiza apo, adotolo adayang'ana miyendo yanga - zimapezeka kuti ndili ndi vuto la phazi. Ndidatengera chithandizo, lero ndikupita kukaonana ndi dokotala wamankhwala othandizira, kenako kwa dokotala wa endocrinologist ndikafika kumeneko. Kodi dotolo wa endocrinologist sayenera kudziwa kuyanjana ndi mankhwala? Zomwe zidzachitike kenako ndikulemba.

Ndiwe munthu wokoma mtima kwambiri ndipo nkhaniyi ndi chitsimikiziro cha izi. Ndikukufunirani zabwino endocrinologist.

Zikomo kwambiri, Dilyara, chifukwa chankhani yophunzitsayi! Chilichonse chikhale bwino)))

Dilyara! Zikomo chifukwa cha nkhaniyi.

Wokondedwa Dilar, moni! Zikomo chifukwa cha nkhaniyo! Ndiuzeni chonde, kodi kulumala kumakhazikitsidwa kwa ana omwe ali ndi matenda osokoneza bongo a 2? Zaka za ana: zaka 10 ndi 1.5 zaka.

Olga, mwatsoka sindingayankhe funso ili molondola. Palibe milandu ya mtundu uwu wa matenda ashuga mu mzinda wathu kapena samapezeka. Muyenera kulumikizana ndi ma endocrinologists aku Russia kwathu ku Moscow.

Tithokoze yankho! Mu Okutobala-Novembro, tangopita kumeneko. Kenako ndikulembetsa.

Zikomo Dilyara? Ku Moscow komanso kusokonezedwa ndi insulin ndikusinthidwa, ndikusunga mawuwo, kukuyenerezani, koma sikukugwirizana nthawi zonse. Palibe singano kwa miyezi iwiri .... Metformin ....... Mikwingwirima ... Ndipo amawauza mokondwera - zikhala zoyipa kwambiri ...

Maya, mwanjira ina mukulemba zabodza zokhudza Moscow. Nthawi zonse pamakhala Metformin ndipo ngakhale Siofor, amapereka mikwingwirima pafupipafupi, mwezi watha adaperekanso kwa a Van Touch Ultra, ngakhale adanenanso kuti azingokhala pa ma satelite okha. Sindikudziwa za singano.

Kuno, ngakhale ku Moscow, zochitika zosiyanasiyana, zikuwoneka kuti zambiri zimadalira kuchipatala.

Zikomo chifukwa chankhani yothandiza ngati imeneyi. Nayi kuchuluka kwa zomwe mudabweretsa, kuti china chake sichikugwirizana ndi changa (Ndalemala ma gramu awiri) ndi lingaliro lina labwino, kodi mungandithandizire kupeza kuti Roglit ndi hypoglycemic ndipo mumadziwika bwanji? Kodi ndizoyenera kumwa?

Kodi mungandithandizireko kuyenda?

Kodi muli ndi malingaliro?

Mankhwalawa anali akunyoza kwakanthawi, tsopano adapangidwanso. Limagwirira ntchito ncholinga chofuna kuchepetsa kukana kwa insulin, monga metformin. Komabe, metformin ndiyothandiza kwambiri. Kodi ndizothandiza kapena ayi, muyenera kusankha limodzi ndi dokotala yemwe amakupatsani.

Zikomo kwambiri chifukwa cha nkhaniyi, zinali zosangalatsa kudziwa momwe zimagwirizanirana ndi "matenda" a shuga.

Pankhani yoti "sitinakhale oyipa" - ndikuti ndinene nkhani yanga. Ndimakhala ku Moscow, motero, nthawi zina ndimapita kuchipatala. Pazaka 3, tasintha madokotala 8.Chofunikira chawo ndikuti amalemba kwambiri, mwachitsanzo, "m'mimba ndichopepuka, chopweteka", pomwe samandiyang'ana. Ndipo samafunsanso za kukakamiza, amalemba 140 mpaka 90. Ndidawafunsa chifukwa, amalemba - ayenera, amayankha. Kodi mudandaula? - Ndikulemba. - Mukufuna chiyani matenda anu ashuga ... Ndipo sindikufuna kuyankhula za mzere waulere ndi mankhwala ... Kuti mualembe nawo, muyenera kupangana ndi othandizira, ngakhale atakhala ndi mbiri komanso nthawi yosonyezedwa pa coupon kuti mupite kwa iye, mutatha kugwira ntchito pamzerewo, munthu 15 , omwe akudwala, ndi iwo "omwe amangofunsa", wochita zamankhwala amakulemberani ku endocrinologist, ndikulemba pa khadi za inu, "mimba yanu ndiyofewa, yopweteka, khungu lanu limakhala loyera." Fikirani tsiku ndi ola lomwe lasonyezedwa pa coupon, khalani pamulandapo, onaninso dokotala kuti alembe za m'mimba mwanga ndi khungu langa, kenako mumve kuti Januvia kapena Galvus adasinthidwa chifukwa cha zigawenga, tsopano talandira Combogliz kutalika (ndidayang'ana - sitinachite izi), ndipo maulalo anatha patangotha ​​maola awiri atabwera, lowani mwezi wotsatira - mwadzidzidzi muli ndi mwayi nthawi ina, koma werengani za mavitamini ndi zina zamankhwala pa intaneti, simunakhalepo .... ".

Mwambiri, Dilyarochka, ndinu kuwala kwa kuwala komwe kumanditsogolera (ndi anzanga ochepa) polimbana ndi zilonda zoyipazi. Zikomo chifukwa cha ntchito yanu.

Elena, "Chofunikira chawo" sichinthu, ndichofunikira, chifukwa amafunika malipoti ambiri ndi mapepala, komanso cheke cha makampani a inshuwaransi, omwe amalipitsidwa ndi madokotala ndipo amatchedwa ruble. Zachidziwikire, zomwe amalemba kuti sanawone sizowona, ndibwino kuti asamalembe konse pankhaniyi, koma ndi chikumbumtima cha adokotala.

"Januvia kapena Galvus tsopano chathetsedwa chifukwa cha kulangidwa." Kwa ine, nkhani.

Zovuta, palibe mawu. Mwachilengedwe, aliyense ali ndi gawo lake la "karma", lomwe likufunika kuchitika ndipo sindikufuna kufananiza matenda ashuga ndi mtundu 2 ndi mtundu 1. Kwa mwezi umodzi timafuna timizeremizere 300, timapatsa 50, timagula zotsalazo, kuphatikizapo zomwe zingagwiritsidwe ntchito kwa Deksky, zomwe zimayezedwa makumi, ndipo amene ali pampu, ndiye zochulukirapo. Kotero sikuti zonse zili zoipa kwambiri, pamakhala zoyipa kuposa izi. "Kumwetulira ndikukutikirani!", Monganso m'zojambula.

Pali nthabwala yabwino kwambiri yomwe ndimakumbukira nthawi ngati izi.

Asitikali ankhondo. Chakudya chamadzulo Rookie amatenga mbale ya phala.

Rookie: Ndikuyenera kuyika nyama yambiri!

Cook: Ndiye kudya!

Rookie: Chifukwa chake sindiyenera!

Cook: Wosayenera - asadye!

Dilyara, mwana wanga wamwamuna ali ndi zaka 16. Chaka chino, kulumala kwake kudachotsedwa. Ndife ochokera ku Omsk

Tatiana, kodi amafotokoza chifukwa chake?

Tsiku labwino, Dilyara!

Inde ... .. kusiyana kwakukulu ndi Canada!

Ndipo nayi nkhani yanga. Ndimakhala ku Mineralnye Vody. Ndili ndi zaka 56, shuga 2 pa insulin. Sahara, ndimayang'anitsitsa, chifukwa cha nkhani zanu, Dilyara. GG-6.5 mu Epulo. Ndine wopuma pantchito wosagwira ntchito. Pension - 9.5,000. Muyenera kuchita maphunziro anu mwakapangidwe omacor, trakor, mavitamini, octolipen, mugule zidutswa 250 za "Sattelit plus" pamwezi. Zonse zimatenga pafupifupi 6,000 pamwezi. Insulins (insuman mwachangu komanso woyambira)

Ndimalandira kwaulere, adotolo amalemba ndi mzere wa mayeso - 50 ma PC. kwa miyezi iwiri, koma sanapeze mankhwala. Singano za syringe pensulo zilinso kwamuyaya mu mankhwala. Mapeto othokoza - magawo. Ndi singano imodzi ndimasokoneza masiku 4-5 (apo ayi sipadzakhala singano yokwanira). Zikomo - adayika china chosangalatsa ndi octolipene kwaulere kuchipatala chamasana (ndinadikirira miyezi 4 kuti yanga). Oyambira akhala akuchita bwino. Koma mwambiri, shuga ndi yolimba, yogwira ntchito komanso yophunzitsira pazinthu zanu.

Ndipo nayi chidziwitso china chomvetsa chisoni pa kuchotsa kwa zilema kwa ana. Lembani mu injini zakusaka za Google "zosintha zauphuthu za ashuga mellitus kwa Purezidenti wa Russian Federation".

Tikuyembekezera, Dilyara, kuti tithandizire zolemba zatsopano zamaphunziro athu! Mphamvu ndi thanzi kwa inu ndi okondedwa anu ”

Inde, ndidakumana kale ndi zodandaula kuti ana omwe amalandila ndalama zabwino amachotsedwa chilema. Izi ndizachisoni kwambiri ...

Nkhani yothandiza kwambiri, yomwe tiri othokoza nayo. Lingaliro lanu pamalingaliro achi China a matenda ashuga: Zomwe mwakumana nazo zaka 10, mtundu 2, mapiritsi othandizira.

Uku ndikutsatsa kwangwiro.

Dilyarochka. Zikomo chifukwa cha nkhaniyi, monga wina aliyense ndizothandiza kwambiri, zabwino, zolondola.Ndikuganiza kuti matendawa adagwera pamatenda athu motero tiyenera kukhala ndiubwenzi ndi matenda ashuga, ntchito, kupirira, komanso kukhala ndi chiyembekezo. Ngati mumagwira ntchito molimbika (kuyeza nthawi iliyonse, lembani manotsi, ndi zina zambiri) ndi kuchita ndi malingaliro abwino, zonse zikhala bwino ndipo simudzafunika kulumala. Koma kwakukulu, sitisunthira, osachita chilichonse, ndipo timangodandaula kuti shuga ikulumphira, (ndimakonda kumva ku chipatala mu mzere) Kotero zambiri zimatengera ife. Popeza Dilyarochka ali kale cholembedwa pama zikalata zowunikira, ndili ndi funso lofunikira kwambiri: kodi pali chikalata chovomerezeka kuti simungathe kuthira mankhwala anu kuchipatala cha tsiku. Ndigula Theoktatsit chifukwa cha ndalama zanga, ndizopereka lingaliro lililonse ku chipatala, samangolola zomwe angapereke kwaulere, ndizokwiyitsa kwambiri kuti ndimagula popanda kufuna ndipo sindingathe. Ndipo funso linanso ndilofunikanso. Zowonadi ndi zakuti nditha kukhala pulogalamu yofooka ya makompyuta, koma ndingatani: makalata anu onse ndi ndemanga zimabwera ku imelo yanga ndipo ndemanga sizikuwoneka muzolemba, mwachitsanzo, mu nkhaniyo (R. Health) "Ndemanga yanga za pulogalamuyi" Sayansi Yofufuza Yosangalatsa Imfa "komaliza comm. ya Seputembara 09 ndi imelo. lembani ndemanga ndipo nambala iyi itatha. Sindimachotsa maimelo makalata, Ndikuwopa kuti sindimataya imelo. makalata ali odzaza ndipo sanawonekerebe m'zolemba. Ndikawachotsa mu imelo sangatayike ndi makalata kenako nkuwonekera. Dilyarochka zikomo.

Rayusha, zikomo chifukwa cha ndemanga yanu komanso chifukwa chakuwonetsa zovuta zomwe zili patsamba lino. Tsopano ndimvetsetsa chifukwa chake ndemanga sizikuwonetsa. Chilichonse chikuwonetsedwa kwa ine ndipo ndidapempha abale anga kuti aziwonera kuchokera kumakompyuta ena. Komanso, chonde lembani awo omwe samawonetsa ndemanga pazopezeka. Ndemanga yanu pa nkhani yapita kalekale. Kodi sichikuwonetsedwa? Yesani kutsitsimula tsambalo kangapo.

Moni Dilyara, ndine wokondwa kuwerenga zolemba zanu ndikupeza zambiri zothandiza mwa ine. Ndinazindikira kuti ndili ndi matenda ashuga kuposa chaka chimodzi, ndili ndi zaka 56 ... ndimakhala ku Moscow ndipo ndimakhala ndikugwira ntchito, koma Stavropol Territory imalembedwa kale. Ndimakonda kuyesa, kukaona endocrinologist nthawi zambiri kuposa momwe ndimafunira. Zotsatira za mankhwalawa (kutenga shuga ndi glucophage) ndizabwino glycolised hemoglobin 5.5, ndine wopenshana, ndilibe gulu. Kodi ndingapeze mankhwala aliwonse aulere, kapena mankhwala a spa chifukwa cha nthendayi?

Tsoka ilo, ayi. Mankhwala a Sanatorium sakusonyezedwa kwa inu kwaulere, ndipo mutha kulandira mankhwala kutengera matenda anu malinga ndi mndandanda wamaderawo. Komabe, kumadera ena, madokotala amatha kukupatsani mankhwala osati a shuga, komanso achepetsa magazi, mwachitsanzo. Mutha kuonana ndi dokotala za izi.

Dilyara, zikomo chifukwa chantchito yanu - mukuchiritsa, pazikhalidwe zomwe zayiwalika kwambiri zamankhwala aku Russia, osati kokha ndi ziyeneretso, komanso mtima wanu. Mayi anga ali ndi zaka 88, amasangalala, ali anzeru komanso ali ndi chiyembekezo - mutha kuchitira nsanje achichepere. Matenda a shuga 2 pa insulin samalipidwa - shuga akusala 5.5 (ins.HIMULIN NPH 13 mayunitsi + Diabeteson 60 1tab), mutatha kudya masana 2 shuga shuga 11, chakudya chamadzulo asanafike 8, ins. magawo a chymulin npc 4, atatha 2 shuga shuga 12. GlycGemogl-7.9.

Sitipita kwa "dokotala" Endocrinologist (cholembedwa cha mwezi umodzi ndi theka). kunyalanyaza odwala (kwa zaka 10, sindimangoyang'ana miyendo yanga, ndi zina zambiri, komanso sindinafunsenso) ndipo ngakhale TINAKHALA pa DISPENSARY ACCOUNT, kulibe mayendedwe a mayeso aliwonse, kapena .... Chipatalachi chimagwira theka la mzinda wamchigawo chikwi cha 100 otukuka wa Krasnodar Territory - PALIBE munthu wamatenda, POPEZA opaleshoni ya mtima, pali opaleshoni yamitsempha, koma mbiriyo ndi ya miyezi 1-1,5 ndipo, ngati LUCKY, nthawi yotsatira mukadzabweranso mwezi ndi theka.

Tithokoze wothandizira, ngakhale amalemba mankhwala ndikupereka ma TIP. Ichi ndichifukwa chake INU NDI ZIKUKHULUPIRIRA ZAMBIRI.

Ndimachita manyazi ndi dziko langa, chifukwa chothandizidwa ndi odwala.Ndipo amayi anga adayamba ngati namwino nthawi ya NTHAWI, kupulumutsa ovulala pansi pa bomba, kenako mchaka cha 46 cha njala, PULSING kuchokera ku HUNGER, adagwira ntchito ngati ambulansi - ndipo iyi NDI YENDA TSOPANO kwa 2 km km pa foni iliyonse .... Singano za ma syringes (1 kwa jakisoni 5-7), etc., timadzigulira tokha mankhwala ena.

Nambala September 10 Purezidenti Putin ndi People's Front adachita ziwonetsero - kukambirana zamavuto azachipatala; tsiku lotsatira, pa kanema, Pulofesa Bornstein ndi dokotala waboma Roshal adayamika Minister wakale wa Health (mwina chifukwa ngakhale amaphunzira zamankhwala. Sizinali, ngati chikumbumtima)

Ndipo chifukwa chake timakhala ndi matenda ashuga, ku CANADA ndi RUSSIA.

Masana abwino, a Dilyara, mwana wanu wamwamuna bwanji, wokhazikika bwanji, wabwino kusukulu sanapite pampu, kodi ndidawerenga kuti mukulimbana ndi vuto lililonse? Mwana wanga wamwamuna ali ndi zaka 8, shuga ndi wazaka 2, glycated ndi wotsiriza 5.9 (rose). Shuga adayamba kudumpha komaliza / masabata awiri atapuma. Pakupopa kwa zaka 2. Pambuyo pa masabata awiri, shuga amalumpha, makamaka usiku ndipo m'mawa atatha kudya kadzutsa, basal idawonjezeredwa ndi 30 peresenti, zikuwoneka kuti ndizofanana, koma vuto limakhala ndi chakudya ... Asanadye 4.3-5, atatha kudya pambuyo pa maola 2 7.7-8.7. Kwa ife ndi nthabwala zambiri nthawi zonse. Timadya makamaka mapuloteni, chakudya chamagulu patsiku osapitilira 4 XE, masamba ambiri. Timayeza ma 8-10 8-10 tsiku, usiku ndimadzuka kawiri ndikuyang'ana. Cholinga chathu ndi 4.5-5.0. Insulin Novorapid. Palibe puroteni mumkodzo, koma cholesterol ndiyambiri, ndalembetsa kwa odwala matenda ashuga, akupititsa patsogolo zakudya zama carb, ndipo mumamva bwanji pamtunduwu?

Moni, Natalya. Tikuyenda bwino. Sanasinthe pampu pano. Muli ndi GG yabwino, osafunikira mantha. Mukanena kuti pamimba yopanda kanthu muli ndi 4.3-5.0, ndipo patatha maola awiri mpaka 8,7, izi sizachilendo. Ngati muli pampu, simugwiritsa ntchito kuwunika? Kapena mukufuna shuga osala kudya ndikatha maola 2 chimodzimodzi? Izi zimachitika kawirikawiri. Mwa anthu athanzi, shuga atatha kudya amatha kukwera 8-9 kapena kupitilira ora loyamba, anthu ambiri sadziwa za izi. Xc idzakwezedwa, chifukwa mumadya zakudya zamafuta, koma mwina simunayang'ane mawonekedwe a lipid, ndikutsimikiza kuti imachulukitsidwa ngakhale HDL. Ndili ndi chiyembekezo chokhudza zakudya zamafuta ochepa, koma sindinasankhebe za ana aang'ono. Maganizo osokoneza kwambiri. Bronstein mwiniwake adasinthasintha wamafuta ochepa pamsinkhu wokalamba, ndizodabwitsa kuti sanapezebe kuphunzira kamodzi pa ana pamakudya ochepera carb komanso mtundu wanji wa chakudya womwe ungatengedwe ngati wotsika-carb, chifukwa thupi la mwanayo limagwira ntchito mosiyana.

Kodi mwakhala nthawi yayitali bwanji pakudya zamafuta ochepa? 4XE - kodi ndi ma carbohydrate omveka bwino kapena kodi onse ndi chakudya chamafuta, mpaka chakudya kuchokera ku nkhaka ndi ma greens? Kodi mphamvu zakukula ndiziti? Lowetsani mabolamu kapena kumbuyo?

Zikomo chifukwa cha nkhaniyi, ndikadakondabe momwe anthu akumayiko ena amathandizidwira.

Iwe, lembera apa, kuti munthu wodwala matenda ashuga atakula angathe kugwira ntchito bwino?! Kodi izi ndi za anzanu? Munthu aliyense ndi payekhapayekha, simuyenera kudziwa izi! Limodzi, likuthamangathamanga ngati mphalapala, ndipo linalo ndi loipa kuyambira 12ml, ndipo mpaka ndinakwanitsa kufikira 23. Shuga anapezeka koyamba mgiredi 10, koma asanafike zaka 45 zinali zachilendo kunena. Odwala kapamba kuyambira ubwana. Ndipo onse amatuluka mochedwa. Pokhapokha nditavulala mwendo ndikumenya msana, kuyenda kunali kochepa, shuga ndinatuluka muulemerero wake wonse. Nthawi yomweyo isanakwane zaka 15, nthawi yomweyo inayamba kuyenda. Anachira msanga. Mwambiri, matenda onse anatuluka. Tsopano, ndili ndi 3 gr. mu-ti. Pa 2-insulin, ndizovuta kuti ndigwire ntchito, chifukwa usiku ndimathamangira kuchimbudzi nthawi zambiri. M'mawa, ayi. Ngati simukudya kwa nthawi yayitali, kumayamba kuda mumaso ndipo mumadwala! Ndimayenda pafupipafupi ndimapweteka kumbuyo ndi miyendo. Chinthu chimodzi chomwe ndinganene. Chakudya chamagulu ndikuyenda, chinthu chofunikira kwambiri kwa matenda ashuga sichikhala nawo. Nanga chakudya changa? Palibe njira! M'masiku ochepa sindikufunika insulin, popeza sipadzakhala chakudya! Penshoni ndiyochepa, palibe chakudya chomwe chimakhala chochepa kwambiri, chifukwa. kuphatikiza pa chakudya, mumafunikanso kusamba, kuchapa, ndi zina ziwiri.Zovuta kwambiri kuti palibe chomwe chikufunika! Ndiye kunena kuti ZONSE ZOKHA NDI ZIWANDA ZINGATSITSE, ZONSE! Mukuteteza boma la Dilyar, lomwe silikufuna kumvera chidwi kwambiri ndi matenda a shuga ndikumenya mabelu omwe matenda ashuga amatenga omwe amawopsa! Palibe chithandizo chochokera ku boma, kupatula, ngati mankhwala aulere, kenako, insulin yokha ndi zingwe zoyesa (zomwe zimapereka zochepa kwambiri). Ndipo, chakuti chakudya chimapatsidwa poizoni ndi mafuta a mgwalangwa, kuti kamenekonso (kumpoto, makamaka ku WINTER) simungagule masamba, zipatso, ndikukhala pa njere zomwezi, zomwe shuga amachokera pomwepo! Ndipo, ngati penshoniyo ili yaying'ono, ndiye kuti PALIBE chithandizo (cha anthu a shuga)! Popeza ndilibe magalimoto ambiri, ndidafunsa anthu ogwira ntchito zandalama ngati ali ndi makuponi aulere padziwe, malo aliwonse olimbitsa thupi a anthu ngati ine okhala ndi magalimoto ochepa, ndapeza yankho - NO. Chifukwa chake zimasinthidwa kapena kudya, kapena kulipira dziwe. Mukalipira dziwe, sipadzakhala chakudya, ndipo ngati palibe, ndiye kuti dziwe silofunikira, palibe mphamvu. Canada ndiyabwino pang'ono, koma ndalama zimafunikirabe kulikonse. Mwanjira inayake iwe chazinthu chofunikira kwambiri tsopano kuyiwala NDALAMA! Palibe amene amatifunikira! Boma lathu ndi lokonzeka kuthandiza aliyense wakunja, koma sakufuna kudziwa za anthu osauka omwe ali mdziko lawo. Chifukwa chake zolemba zanu zonse nzabwino, koma musamveke popanda ndalama. Tsopano, ndikufunanso kupeza ntchito, komabe ndimamufunabe. Pa ntchito yanga yakale, ndikufunika FEET, kuthamanga, koma sindingathe kuthamanga tsopano! Inde, mukufunikiranso kugawa ndalama pa intaneti, ndipo sindinazigwiritse ntchito kwa miyezi yoposa isanu ndi umodzi tsopano. Lingaliro lidali lolembera boma, kuti odwala omwe ali ndi matenda a shuga (ma federal on insulin komanso ochepa penshoni) makuponi azakudya (masamba, zipatso, zopangira zomwe shuga sizimatuluka) zimaperekedwa padera, koma zathu zidabzalidwa, koma mpaka pano tidzakhala. Apa tikukhala!

Irina, bwanji ukuthamangira konse? Dilyara sananene kuti aliyense angathe kugwira ntchito ndi matenda ashuga koma si onse amene amagwira ntchito, ndipo ena ali ndi shuga mpaka 40, ngakhale shuga ngati "SATELLIT" yekha, ma glucometer ena samawonetsa kupitilira 32 ndipo palibe chiyembekezo, lingaliro milandu yazamayiko, mungokhalitsa shuga wambiri. Zabwino zambiri, zimayenda modutsa ndipo zimakhala zosavuta kulekerera matendawa. Irochka imakupatsirani zingwe zoyesa (ngakhale pang'ono) Ndipo kwa zaka 10 sindinapatsidwe mzere umodzi ndipo amapatsidwa singano katatu, zidutswa 4 pamwezi, insulini simaliperekedwa nthawi zonse pamlingo woyenera, koma ngati mumakumana ndi zovuta zonsezi, ndiye kuti mumavutika mutha kuwononga miyendo yanu ndikuchita khungu ndi kuvala zanzeru zamtundu uliwonse. Osataya mtima, musapachike mphuno zanu, ndipo tsoka kwa madotolo omwe amatichitira chipongwe atipatsa mankhwala, tifunitseni zaumoyo WAUZIMU ndipo tidzanong'oneza bondo, chifukwa sakudziwa zomwe akuchita. Kuleza mtima kwa inu Irina ndi mpumulo ku matendawa. Ndipo kwa inu Dilyara, zikomo zambiri chifukwa cha pulogalamu yathu yophunzitsira

Moni Tamara! Timachita izi "tikufunika kumvera chisoni madotolo", thanzi lathu limadalira wina. Koma palibe amene amasamalira odwala mwachidwi. Sikuti ndikungodandaula za masamba, koma kuti ndipite kwa olamulira akuluakulu ndipo sikufunika kundiuza kuti sangatimvere. Sangathe kumva chimodzi, ziwiri, ndipo aliyense amene amalemba za iwo pawebusayiti akalemba izi zonse pamwamba: nduna, Unduna wa Zaumoyo, khalani ndi foni yaulere ndi zonse zomwe aliyense analemba pano, ndiye mutha kunena zonse pafoni ndikulemba mawu anu . Ifenso ku republic timakhalanso ndimavuto onse okhala ndi mikwingwirima komanso insulin, monga Mankhwala pano nthawi zina amasankha okha choti apereke. Zikatero, tili ndi gawo lathu la zaumoyo ndipo tapanga dipatimenti yodandaula. Anthu amafufuza ndikuthetsa mavuto onse. Ah, madokotala nthawi zambiri amandiopa, chifukwa kanthawi kochepa kutembenukira ku min-in. Chifukwa chake, nthawi zonse ndimakhala ndimayeso, insulini ndi mankhwala ena. Mwezi uno ndikupita kuchipatala cha republican, chifukwa tilibe madokotala abwino, mankhwala okha ndi omwe amapereka.Kotero sindimalira, koma kuyesera kuti madotolo agwire ntchito mwanjira ina. Ine, ndikuganiza choncho, ngati ine ndi anthu ena akadzipereka kwathunthu kuntchito yawo ndikuchita momwe akuyenera, ndiye chifukwa chiyani madokotala ayenera kugwira ntchito “mwamphamvu”. Ifenso tidawaphunzitsa kugwira ntchito, mulimonse! Ngati, pafupifupi sekondi iliyonse idawapangitsa kugwira ntchito (ingoyimbani miniti.health. District, republic, etc. ndi MIN.ROSSII) ndikudikirira pang'ono, ndiye kuti mayankho adzakhala otsimikiza. Nafe, potcha min. Republic, ndiye pakatha sabata limodzi ndikuyesa Mzere ndi insulin. Inde, ndine wolandila boma. Kotero kuti, mosiyana ndi ena, sikuti ndimangofuula komanso sindikufuulira kwa aliyense (monga inu pa TV) ZABWINO KWAMBIRI, koma ndimayesetsa kudzilemekeza ndekha ndipo NDIMAVUTA KWA NONSE. Mwa njira, zimakhala zovuta kukasankhidwa kwa adokotala koyamba kuti mupite kwa dokotala, iwo omwe atengera chipatala ndi insulin, palibe vuto. Pamasiku ena ovomerezeka, pali wotchi yomwe insulin imalembedwa, timizere tomwe timayesedwa ndi mankhwala ena ndipo tikiti timaperekedwa nthawi yomweyo. Chifukwa chake zonse zimatengera US PATIENTS! Tsiku lina lomwe ndinatenga strip yoyesa ndipo ndinakumana ndi amayi a wodwala m'modzi, nawonso adadandaula za shuga wamkulu wa mwana wake. Palibe chomwe chimamuthandiza kuchipatala chathu. Ndidamulangiza kuti ayambe amapita ku Republican, ndipo ngati sizithandiza, ndiye kuti amenya gawo ku St. Pali malo abwino odwala matenda ashuga. Komanso, ma sanatorium, ngati ali ndi ndalama zawo. Sindikupeza tikiti yaulere kwa zaka zitatu, koma sindimapeza, chifukwa zaulere, zaulere, koma mukufunabe zanu, koma ndilibe. Ndiye chifukwa chake ndikupita ku Chipatala cha Republican kuti ndikalandire chithandizo, ndikapeza ntchito kenako ndikapeza tikiti ndipo ndilandira.

Zikomo Dilyara chifukwa cha yankho lanu lomveka bwino, lothandiza pafunso langa! Tsiku Losangalatsa la Mphunzitsi. Inde musadabwe. Ndinu Mphunzitsi wathu.

Ndikulembera Irina (ndemanga yake ya 10/05/2015).

Irina, sindikugwirizana nawe! Ndine Elena (ndemanga yanga yachokera pa 09.25.2015). Chofunikira kwambiri si ndalama, koma chikhumbo chanu chofuna kuthana ndi matendawa. Ndipo Dilyara amangotithandiza, monga dokotala woganiza ndi amayi a mwana wodwala matenda ashuga.

Ku chipatala chilichonse mumakhala ofesi ya chipatala cha tsiku limodzi, komwe amamwa mankhwala kwaulere. Yesetsani kupita kumeneko. Ndi zina. Mumalemba za kusowa koyenda. Koma zitatha zonsezi pali ofesi yaulere ya olimbitsa thupi mu chipatala chimodzi. Mutha kuphunzirapo masewera olimbitsa thupi omwe mumafunikira komweko ndikuchita kunyumba. Inenso sinditha kugula dziwe, ndikupita kwathu.

Ndinkakhala ndimadwala pafupipafupi kukoka usiku mpaka nditayikamo shugayo chifukwa cha zomwe Dilyara adalemba: Ndimalemera chakudya, ndikuganiza XE, sindimadyanso 10XE patsiku, ndimwaza mchere wambiri ndi insulin yochepa. Tsopano ndimadzuka usiku 1-2 nthawi, ndipo kale - 5-6. Pamenepo mukupita.

Irina, ndikuuzeni, kodi mwapanga chiyani kuti muchepetse nthawi ya matenda ashuga? Kodi mukudziwa chilichonse chokhudza matenda anu a shuga?

Irina, osataya mtima! Ndi matenda komanso penshoni yaying'ono mutha kumenya! Zabwino zonse komanso shuga wabwino!

Ngati Elena atha kukhala ndi 3000, ndiye kuti AKUKHUDZANI. Ine, wamasiye, ndilibe wondithandiza. Ndimakhala kumpoto, mitengo yathu ndiyopanda kumwera ndipo zipatso sizikukwera. Masamba ndiokwera mtengo kwambiri. Vuto lalikulu lomwe ndili nalo ndilibe shuga, koma kumbuyo ndi mwendo wanga. Pambuyo pakuvulala, ndinapeza shuga ndikukutuluka. Ine, kwa zaka ziwiri, nthawi zambiri ndimadya ndikuyenda ndipo adotolo endocrinologist adatinso kupweteka kwam'mbuyo kumapweteka kwa nthawi yayitali. Pakuwonongerani makalasi ochita masewera olimbitsa thupi aulere pachipatalapo, ndiye kuti tili ndi INE chomwe ndinali nacho chidwi. Palibe dziwe laulere lomwe limandikonzeka kwambiri. Inde, pothana ndi Chipatala cha Tsiku. Tili nayo, koma tiyenera kudikirira nthawi yayitali ndikupita kumeneko, nafenso, timafunikira ndalama. Ndikosavuta kupita ku chipatala cha Republican, chomwe chikhala chaka chimodzi, zomwe ndikupanga tsopano.

Ndikupita kuchipatala mwezi uno. Tilinso ndi miyezi 4. Koma ndinali ndi mwayi kuti tsopano dotolo wabwino kwambiri akugwira ntchito ngati manejala. Ndidadzitcha okha ndipo adandipatsa malo kwa miyezi iwiri. Sizosavuta. Chifukwa chiyani ndikuthamangira kumeneko kwambiri, chifukwa kumeneko kusanthula kumachita bwino kuposa zathu komanso zochulukirapo. Kuyesedwa pafupifupi kumakhala kwathunthu kwa chamoyo chonse. Nyamula insulini.Mchaka chimenecho, kwa masiku 10 msana wanga ndi ululu wamendo zidachotsedwa (zovuta zidatsalira. Ndidali kutali kuti ndizithamanga, komabe), kotero ndidadzimva ndekha kukhala munthu wokhazikika kwathunthu, ndidakali ndi insulin. Ah, palibe chifukwa chosungira zolemba pakadali pano, chifukwa Poyamba, palibe zakudya zabwinobwino, ndipo chachiwiri, kufikira nditayamba kumwa, ndikhala ndikuvutikabe ndi nkhawa. Pambuyo pakudontha 5, zimakhala zosavuta ndipo simukufuna kudya. Zinabwera mseru, chizungulire, momwe mukufuna kudya. Kuperewera kwakukulu kwa vitamini. Ndauza mzanga kuti mutha kukhala ndi moyo 3000, ndipo iye, atadwala matenda opha ziwalo atakwanitsa zaka 42, komanso penshoni yake ndiyochepa, ndibwino kuti ndilembe mawu omwe ananena. Ndikuganiza kuti mutha kulosera!

Dilyara. Tithokoze yankho, lero ndemanga zonse zatuluka, mwina ndili ndi kena kena kuchokera pa kompyuta. Ndimaganiza kuti mukutsitsa ndemanga. ku zolemba pambuyo pake, ndipo tsopano ndazindikira kuti sizili, nthawi yomweyo ndikufunsira mwana wanga wamkazi, msiyeni awone chomwe chavuta ndi ine, koma ndikuthokoza Mulungu lero awonekera.

Irina, zikomo chifukwa cha FLAG- Ndizisunga! Ndili wokondwa kuti mukuyesetsa kupita ku chipatala cha Republican! Mwa njira, inenso ndine wamasiye! Koma izi sizikugwira ntchito! Werengani nkhani zina za Dilyara! Sungani buku la chakudya momwe Dilar amalimbikitsira! Amandithandiza kwambiri: Ndidziwa kudya XE kuchuluka kwa insulin.

Zabwino zonse, Irina, ndi zina zabwino! Simuli nokha!

Masana abwino, Dilyara! Ndikudwala matenda ashuga2 ndimamwa mapiritsi, glybomet imayesa kudya, koma posachedwa shuga idayamba kutuluka pamimba yopanda kanthu6,9_7,1a Madzulo imatha kukhala 12 Kodi ndimamwa theka la piritsi ndi chakudya m'mawa ndipo madzulo glybomet ikhoza kukulitsa mlingo? Tsopano ndapeza goiter kuti ndisafunika kupukusa, ndikuopa kwambiri .I hypertonic zaka 3 zapitazo ndinali ndi kutaya magazi

Olga, ili ndi funso laumwini. Sindingamuyankhe mwachangu. ngati mungafune, nditha kufunsa kuti ndichite izi, lembani fomuyi patsamba lino: http://saxarvnorme.ru/kontakty

Dilyara ndikuthokoza kwambiri chifukwa cha zolemba zanu, ndizothandiza kwambiri kwa ine. Ndili ndi mtundu wachiwiri, mphumu ya bronchial, matenda oopsa. Ndili ndi zaka 45. Tsopano ndimagwiritsa ntchito metaphormin, koma ndimathukuta kwambiri usiku, miyendo yanga idayamba kupweteka posachedwa, makamaka zala zanga, nthawi zina chizungulire chowawa, tinnitus shuga pamimba yopanda kanthu 4.8, pambuyo pa mgwirizano -8.9 glucose mita-akuchek yogwira. Kuyambira mphumu ndimatenga Seretide 500. kuchokera ku shuga-metformin sandoz-500, kuchokera ku matenda oopsa-enap-n 10 mg. Mankhwalawa sangaphatikizidwe? Zikomo kwambiri.

Amaphatikiza bwino. Kodi hemoglobin yanu yomaliza ndi chiyani?

Choyamba, zikomo kwambiri kwa Dilara wodwala ngati uyu chifukwa cha tsamba ili.

Kachiwiri, ndimachokera ku mzinda wa Vladimir .Nthawi zonse ndikadwala sitinapatsidwe mayeso, ma syringe, singano, kapenanso glucometer .. M'malo osamalira ana masana, timagula mankhwala onse obwera ndi jakisoni kuti alipire chindapusa. Ziphuphu ndi riboxin. Zophatikizira ndi zina ndi zotsika mtengo kwambiri.

Ma insulini amaperekedwa - nthawi iliyonse amakhala osiyana, omwe amapezeka mu mankhwala osangalatsa, osati abwino, inde, inde, Disembala-Januware, monga lamulo, - ndalama zatha, dzigulitseni nokha. Metformin sanalembedwe nkomwe kwa miyezi iwiriyi. Ndipo ngati ine Ndimabaya kasanu patsiku komanso muyezo waukulu, kenako ndimapenshoni ochepa izi ndizosatheka chifukwa - tiyeni tikhale okomerana mtima komanso odekha. Ku Moscow kokha, odwala (osati kulikonse) angapeze zomwe zofunikira malinga ndi malamulo. Ndipo madera ena - sizichitika. Chifukwa chake, a Muscovites - musatikwiyire, chonde!

Moni Gulnara. Ndimawerenga mawebusayiti anu pafupipafupi ndipo ndimaona kuti ndi yothandiza kwambiri. Ndili ndi zaka 3 za mtundu wa shuga wa 2: Pa ma insulins awiri, 18 kutalika komanso 3 nthawi zazifupi 5. Ndili ndi zaka 33 pa mahomoni kuyambira 12 mpaka 40 mg wa methylprednisolone - kutengera nthawi yayitali - mphumu ya bronchial. Ndimatsatira zakudya zotsika kwambiri zamatumbo - pafupifupi sindimadya buledi kapena chimanga Kutengera ndi mahomoni omwe atengedwa, shuga amasintha kwambiri, motero popanda mayeso mbali iliyonse.M'mbuyomu, ngakhale pang'ono, adapereka mawonekedwe oyesa satellite, mu 2015 adakana kwathunthu. Mzere woyeserera sunali mndandanda wa mankhwala aulere kale, ndipo tsopano sichoncho. Ndine wochokera ku Yelabuga. Mwina mukudziwa zolemba zomwe mungatchule kuti mupeze chowonadi, chifukwa ambiri amalandira tsopano?

Wodzipereka, Vladimir.

Moni, Vladimir. Wolemba blog, i.e. dzina langa ndi Dilyara. Ngati mulibe gulu lolemala, ndiye mwatsoka simudzaona mikwingwirima. Ngati pali gulu, ndiye kuti mutha kulozera mndandanda wamankhwala omwe amapeza phindu la federal.

Moni a Dilyara. Tikuthokoza chifukwa choyankha kwanu mwachangu.Momwe ndimamvetsetsa, mikwingwirima ili ndi Unduna wa Zaumoyo pa Seputembara 11, 2007 No. 582, koma sapezeka pamndandanda wazopindulitsa.

Tsopano zokhudzana ndi ine ndi zilonda zanga. Ndimakhala ku Elabuga. Ndili ndi zaka 67. Ndili ndi zaka 33 pa mahomoni-12 mg a methylprednisolone. Gulu lachiwiri la olumala lomwe lili ndi matenda akulu ndi mphumu ya bronchial kuphatikiza ndi matenda khumi ndi awiri omwe amapezeka ndi mahomoni. Mu 2013 ndinachita opaleshoni yamchiberekero cham'mimba. pazifukwa zina, adasunga 18 mg ya hexamethasone masiku 12 asanachitike opareshoni, ndikumasulira mahomoni anga ndizowonjezereka 20. Zotsatira zake, lembani matenda a shuga a 2 omwe amachokera ku cellulin. Tsopano ndili ndi 18 levemir tsiku lililonse komanso 5 a bioinsulin R theka la ora asanadye. kuzizira kuwerengera g Oromon akuyenera kuchuluka mpaka mapiritsi 10 - 40 mg, pomwe shuga nawonso amawonjezeka - muyenera kuwonjezera insulin, ndikudula chakudya chomwe chimatsala pang'ono kufa ndi njala, ngakhale chakudya chopanda chakudya. Pakakhala palibe kutalika kwa nthawi yayitali, hemoglobin ya glycated imakhala kwinakwake pafupifupi 5.7.

Vuto lalikulu tsopano ndi miyendo yanga. Kuchokera pa opaleshoni yamchiberekero yam'mimba, komanso kuyambika kwa matenda ashuga, miyezi 3 inadutsa pomwe ndinapezeka kuti ndimadwala matenda a shuga. Munthawi imeneyi ndinataya makilogalamu 20, ndipo miyendo yanga inakana kuchira m'malo mochira - Nditadwala matenda ashuga, ndidapitilira chakudya chopanda chakudya chopatsa mphamvu ndikubweretsa glycated yachilendo - panali kusinthika - Ndinayamba kuyenda ndodo, kangapo anachita intravenous lipoic acid ndi pentoxifyline - zimandithandiza, koma matenda ena a catarrhal komanso kuchuluka kwa mahomoni kumapangitsa chilichonse. Ndimayenda pafupifupi mamilimita 400, koma pokhapokha panyumba, chifukwa ndimsewu, ndikadzagwa, ndiyenera kugona mpaka munthu wodutsa akundidzutsa. Minofu yofowoka yofooka kwambiri. Tsopano ndimalemera 65 kg, ndisanakwanitse zaka 77. Ndimalemera thupi popanda chakudya chamaofesi, komanso chilichonse chakudya - Loeb, phala zikubweretsa shuga ndi kusintha insulin mlingo si zofunika.

Mwambiri, ndalemba chifukwa ndikufuna kulankhula.

Mukalangiza chilichonse, ndikondwa. Wodzipereka, Vladimir.

Vladimir, Mlingo wanu siwokalamba monga momwe ndimaganizira ndikamamwa HA. Osasunga chakudya chokhwima, dziloleni chakudya. Ndipo jekeseni insulin yambiri momwe mungafunire. Kodi mwapatsidwa mahomoni a anabolic kapena mahomoni okula? Kupatula apo, amasunga minofu, mosiyana ndi HA. Kodi mwadutsa vitamini D?

Zikomo Dilyara. Ndidzachita izi pa chakudya chamagulu. Ndinawerenga za ma anabolics ndipo ndinapemphanso kuti ndilandire mankhwala (ndalama), koma zinaoneka kuti sizingatheke, ndinakwanitsa kugula buku limodzi lokha - ndizosavuta kwa munthu wokonda mankhwala osokoneza bongo. akuti, koma ndili ndi digiri 4 ya mafupa am'maso kwambiri okhumudwa - ndimathyola nthiti pafupipafupi. Pa X-ray, zithunzi zopitilira khumi ndi ziwiri zikuwoneka kale. Zaka 4 zapitazo, adayesedwa mu RCH, pomwe alendronic acid adalimbikitsa. Ndimagula ndikumwa nthawi zonse; imakhala yotsika mtengo, koma imathandiza, ngakhale yollendronic acid ili pamndandanda wa omwe afika, koma sapereka.

Dilyara, ndiuzeni, ngati nkotheka, pamndandanda wanthawi zonse kuti mndandanda wamankhwala aulere omwe amathandizidwa ndi federal adasungidwa. Ndikudziwa dongosolo la Boma la Russia Federation ya pa Disembala 30, 2014 No. 2782-r pomwe pali ntchito ziwiri. .№1-mndandanda wa mankhwala ofunikira ogwiritsira ntchito kuchipatala ndi Mndandanda wa 2 wa mndandanda wa mankhwala operekedwa ndi lingaliro la makomedwe azachipatala. Ndiye uti? apo ayi madotolo ndi mankhwala ali ndi mndandanda wopanda zipewa.

Wodzipereka, Vladimir.

Mwinanso lembani nambala 1.Ndikuvomereza kuti anabolic steroids ndi mahomoni okula ndizovuta kupereka, pokhapokha akuwonetsa. Kodi mungayezedwe chifukwa cha kuperewera kwa mahomoni awa? Ngakhale ndikukayikira kuti adzapatsidwa kwa inu kwaulere. Mutha kuyesa kudutsa othamanga. Popeza muli ndi mafupa am'mimba, ndiye kuti muyenera vitamini D, ngakhale popanda kusanthula zonse momveka pano. Maziko othandizira odwala matenda a mafupa tsopano ndi bisphosphonates + Vit D + calcium kukonzekera.

Dilyara, zikomo. Ngati nambala 1 ndi yabwino kwambiri. Sitikuyankhula za ma anabolics aulere. Sindingathe kuwapeza kuti andipatse mankhwala ena - mankhwala omwe amapezeka.

Nanga bwanji za mankhwala? Zikuwoneka kuti ndi mankhwala ochokera mndandanda omwe amamwa.

Dilyara, tsiku labwino!

Zikomo, mayankho anu adapezeka pa blog lero!

Lero ndinalandira insulin yopindulira madera (Stavropol Territory) - insuman basal ndi insuman mwachangu mu zolembera za Solostar. Namwino anachenjeza kuti posachedwa asamutsira insulin zaku Russia mumbale, azilowetsa ndi ma syringe ena wamba, monga kugula insulini yogulitsidwa kunja ndi ndalama sikothandiza. Koma pa syringes, mtengo wogawa ndi magawo awiri. Kulekanitsa hafu ndikovuta kuyimira. Amawerengera chilichonse ndi zothandizira pa Solostar momwe mumaphunzitsira, komanso kuwerengera "michira". Analima ndikudya angapo 1 insulin.

Koma nanga bwanji mukasamutsidwa ku ma syringe wamba? Kodi mungawonjezere mpaka zigawo ziwiri ndi insulin yolumikizidwa, kapena yesani kupeza theka la mankhwala ndi syringe?

Elena, mutha kubayanso ma syringe, molondola kwambiri. Kungoti siivuta, ndikumvetsetsa. Dokotala amafunika kuphunzira momwe angapangire mlingo, mutha kubereka insulin ndikulowetsa mitundu yolondola kwambiri. Ma syringe ndi osiyanasiyana, ngakhale mukuwonjezeka kwa mayunitsi 0,5. Zingakhale zofunikira kufalitsa nkhani pamutuwu. Nkhaniyo imanama, koma manja sangafikire kuti amalize.

Tidikirira nkhaniyi ndikuyembekeza kulandira chidziwitso chatsopano. Ndikuganiza kuti chidziwitso cha ma syringes ndi insulin dilution (ndikumva kwa nthawi yoyamba!) Sichothandiza kwa ine ndekha!

Ndizovuta kwambiri kukhala ndi chilema chifukwa cha matenda a shuga, chifukwa amatha kulephera .... ndi abwenzi otani osazindikira omwe amathamanga ngati ng'ombe, amangokhala ndi shuga .... .... adathamangira kuchipatala, anapeza dotolo "wabwino" ndipo adagula matenda a shuga 1) kutumphuka ndipo amalandira penshoni ... wachimwemwe ngati njovu)))

Zikomo chifukwa chambiri. Nkhani yothandiza kwambiri.