Gulu la Anthu Olumala ndi Matenda a shuga

Zambiri zokhudzana ndi ngati gulu la olumala lakhalapo ndipo njira yokhazikitsidwa idafotokozedwa mu Law No. 181-FZ komanso mu Order of the Ministry of Labor No. 1024n of December 17, 2015.

Momwe mungagwiritsire ntchito:

1. Pitani naye kuchipatala.
2. Konzekerani phukusi la zikalata.
3. Pangani mafomu ofunsira kutumiza.
4. Dutsani ITU.

Musanakhale ndi chilema, muyenera kulumikizana ndi ochiritsira am'deralo ndi kumuuza. Dotolo atumiza chidziwitso kwa endocrinologist, yemwe apanga pepala lokadutsa chipatala chachipatala. Zikhala zofunikira kuyesedwa ndi akatswiri angapo:

• ophthalmologist - imayang'ana kupezeka kwamawonekedwe, imawulula kupezeka kwa matenda olimba, imakhazikitsa kupezeka kwa angiopathy,
• dokotala wa opaleshoni - imasanthula khungu, imawulula kupezeka kwa zilonda, zilonda zam'mimba, njira zamatsuka,
• wamisala - amachititsa kafukufuku wa encephalopathy, kuchuluka kwa zowonongeka zamkati wamanjenje,
• mtima - amaulula zopatika mu ntchito ya mtima.

Madotawa atha kuyitanitsa kuti awonjezere mayeso kapena kukaonana ndi akatswiri a mbiri ina yachipatala. Kuphatikiza pa kufunsana ndi madokotala, muyenera kupeza zotsatira zoyesa:

• kuyezetsa magazi kwapadera (ndi zotsatira za cholesterol, creatinine, electrolyte, urea, ndi zina).
• kusanthula kwa shuga: pamimba yopanda kanthu, pambuyo pochita masewera olimbitsa thupi masana,
• kusanthula kwakanthawi kwamkodzo, ma ketoni ndi shuga,
• glycated hemoglobin
• ECG yolemba,
• Ultrasound ya mtima (ngati kuli kotheka).

Mndandanda wamayeso umachulukitsidwa ndi madotolo pozindikira zodetsa nkhawa m'thupi. Kuunikiridwa kumachitika mu chipatala moyang'aniridwa ndi akatswiri. Muyenera kukhala okonzeka kukhala osachepera masiku 3-4 pa ntchito. Kuyesedwa kumaloledwa m'mabungwe apaderadera. Mukamaliza kulemba mayeso, muyenera kukonzekera zolemba zotsatirazi:

• choyambirira ndikutulutsa pasipoti,
• kutumiza ku ITU mu fomu No 088 / y-0,
• mawu
• choyambirira komanso zolemba zochotsa pamakhadi azachipatala pambuyo poti amupime,
• kupita kokayenda
• malingaliro a akatswiri adutsa,
• buku lovomerezeka la buku lantchito (la antchito) kapena koyambirira kwa buku lantchito (kwa antchito),
• machitidwe kuchokera kumalo antchito (kwa antchito).

Ngati wodwalayo ali ndi zaka 14, pepala lina lowonjezera la kubadwa ndi chikalata cha makolo amafunikira. Mukalandira chilema, muyenera kutsimikizira zomwe muli nazo chaka chilichonse. Chifukwa cha izi, kuyezetsa zamankhwala kumachitidwanso, zolemba zomwe zakonzedwa zakonzedwa. Kuphatikiza apo, setifiketi ya gulu la chaka chatha idzafunika.

Kodi chifukwa chiyani odwala matenda ashuga "olumala"?

Makolo ndi omwe amawasamalira ana olumala ali ndi ufulu wonenepa, kugwirira ntchito masiku owonjezera komanso kupuma pantchito nthawi isanakwane.

Zomwe zimayenera kukhala za munthu wolumala zimatengera mtundu wa matenda ashuga. Ndi mtundu woyamba, mutha kupeza:

• mankhwala aulere
• mankhwala othandizira insulin, muyeso wa shuga,
• Kuthandizidwa ndi wogwira ntchito kunyumba ngati wodwala sangathe kupirira yekha matendawa,
• malipiro ochokera ku boma
• chiwembu
• kugwiritsa ntchito kwaulere mayendedwe a anthu onse (sapezeka m'magawo onse).

Ndi matenda a shuga a 2:

• maulere opita ku Sanatorium,
• kulipira ndalama zolipirira kupita kuchipatala,
• mankhwala aulere, mavitamini ndi ma mineral complexes, zida zamankhwala,
• ndalama zolipira.

Kodi ndizotheka kuwerengera phindu lina - zimatengera malamulo akumadera. Ndipo mutatha kudziwa gulu la olumala, muyenera kulumikizana ndi anthu ogwira ntchito zamagulu kuti alembetse ndalama zothandizira, zopereka ndi zina.

Za matenda

Matenda a shuga ndi matenda opatsirana omwe amasintha chifukwa cha kusintha kwa mapangidwe a insulin m'thupi. Mankhwala amakono alibe njira zochiritsira matendawa kwathunthu, koma nthawi yomweyo, njira zambiri zapangidwa kuti muchepetse kuwopsa kwa moyo komanso kuwonongeka pazinthu zoyambira.

Pali mitundu iwiri ya matenda ashuga:

Mtundu 1, wodwalayo pazifukwa zina amatulutsa insulini yocheperako kuposa momwe amafunikira kuti agwire ntchito yonse. Mothandizirana ndi izi, odwala matenda ashuga amalimbikitsa jakisoni wa mankhwala omwe amakwaniritsidwa ndikusowa kwa mahomoni.

Ndi mtundu wachiwiri, maselo samayankha kutulutsidwa kwa mahomoni, zomwe zimapangitsanso kuti matendawo azitha kugwira ntchito m'thupi. Ndi matenda awa, chithandizo cha mankhwala osokoneza bongo komanso zakudya zapadera zimasonyezedwa.

Kodi ndingapeze kulumala chifukwa cha matenda ashuga?

Kaya gulu lipatsidwa vuto la matenda ashuga ndiye funso lalikulu kwa anthu omwe amatenga matendawa. Matenda a shuga okha samayambitsa kulumala. Matenda osachiritsika omwe ali ndi chithandizo chosankhidwa bwino samachepetsa moyo.

Choopsa chachikulu chikugwirizana ndi njira zomwe zimayamba kupangika kumbuyo kwake:

• Matenda a shuga amabweretsa mavuto mu impso, matenda oopsa, matenda a mtima,
• Anthu omwe ali ndi vutoli nthawi zambiri amachepetsa kuwona, ndipo ngakhale bala laling'ono limatha kudulira.

Kwa odwala matenda a shuga, gulu limapangidwa pokhapokha ngati ma concomitant pathologies apanga matenda ovuta ndikupangitsa kutsika kwakukulu kwa moyo.

Lamuloli likugwira ntchito kwa odwala omwe ali ndi mtundu woyamba komanso wachiwiri wa matenda. Popanga chisankho, komitiyi imaganizira kuchuluka kwa matenda omwewo chifukwa cha zovuta zomwe zimayambitsa matendawa.

Kanema wofananira:

Momwe mungapangire gulu

Njira zopezera gulu zimayendetsedwa ndi Malamulo kuti azindikire munthu ngati wolumala, wovomerezedwa ndi Lamulo la Boma la Russian Federation la february 20, 2006 No. 95. Kutengera ndi malamulowa, kuzindikira kwa munthu amene ali ndi matenda oopsa ngati wolumala kumachitika pambuyo poti adziwe mayeso a chipatala ndi a anthu ena.

Kuti atsimikizire zofunikira pagulu, wodwala matenda ashuga ayenera kupita koyambirira kwa akatswiri am'deralo. Ngati dokotalayo akukhulupirira kuti wodwala akufunika chisamaliro chowonjezereka, vuto lakelo likuwonjezereka, kapena akuyenera kulandila pafupipafupi, apereka fomu yunifomu 088 / y-06. Chikalata chotere ndi chifukwa chomveka chodutsira ITU.

Asanaperekedwe, madokotala amatha kukonza zowonjezera ndi kukambirana ndi akatswiri akatswiri, omwe akatswiri amadalira akamapanga zisankho.

Maphunziro owonjezera ndi kufunsira akuphatikizapo:

• Kwezani mayeso a shuga
• Mayeso a Ultrasound a mtima, impso, mitsempha yamagazi,
• Kufunsira kwa ophthalmologist, mtima, nephrologist.

Ngati pazifukwa zilizonse dokotala safuna kupereka chithandizo, wodwala matenda ashuga ali ndi ufulu wazotsatira zonse zofunikira ndikulumikizana ndi katswiri wazomaliza pomaliza.

Ndikothekanso kupeza chilolezo chofunsidwa ndi lingaliro khothi.

ITU kuyenda

Popeza mwalandira chitsogozo chofunikira, mutha kulumikizana ndi akatswiri a mdera lanu. Kuti muchite izi, muyenera kulemba fomu yofunsira. Mukamaganizira za zikalata zomwe zimaperekedwa kwa akatswiri zikamalizidwa, tsiku la Commission likhala.

Kuphatikiza pa ntchito, muyenera kupereka:

• Kope la chikalata chaumboni
• Dipuloma ya maphunziro omwe alipo.

Kwa nzika zogwira ntchito, muyenera:

• Copy cha mbiri ya ntchito
• Kufotokozera za mawonekedwe ndi magwiridwe antchito.

Tiyenera kudziwa kuti matenda ashuga sakhala mndandanda wa matenda opunduka. Kupitilira mayeso, mpofunika kuperekera akatswiri umboni kuti matendawo amapezeka movutikira ndipo amakhala ndi zovuta zambiri zomwe zimasokoneza moyo wabwinobwino.

Pa kafukufukuyu mudzafunika:

1. Zotsatira zonse zakuchipatala zotsimikizira kuti wodwala ali m'chipatala,
2. Zotsimikiza za madokotala za kukhalapo kwa concomitant pathologies,
3. Zotsatira za kusanthula ndi umboni kuti matendawa sayankha chithandizo chamankhwala, ndipo mwa wodwalayo mulibe mphamvu iliyonse.

Mukamaganizira, zotsatira za mitundu ingapo ya maphunziro zidzafunika:

• Kusanthula pazomwe zili mkodzo ndi magazi a hemoglobin, acetone ndi dzuwa,
• Maganizo a Ophthalmologist,
• Mayeso am'manja komanso a hepatic,
• Electrocardiogram
• Mapeto ake okhalapo kapena kusapezeka kwa zovuta zamanjenje.

Mukamayesedwa, mamembala ake amayenera kuwunika mafunso ndi kumufunsa wodwala. Malipoti oyambira azachipatala adzaphunziridwa mosamala ndipo, ngati kuli koyenera, mayeso owonjezera adzalembedwera.

Wodwala ngati ali ndi matenda a shuga a mtundu wopendekera popanda chitukuko cha zina, angakanidwe ndi gulu.

Ndi gulu liti lomwe lingagawidwe kwa wodwala matenda ashuga

Kutumizidwa kwa gulu kumadalira molingana ndi kuchuluka kwa zochita za pathologies pa moyo wa munthu. Anthu odwala matenda a shuga amatha kutenga gulu 1, 2 ndi 3. Chisankhocho chimapangidwa mwachindunji ndi akatswiri.

Zomwe zimayikidwa pakuikidwa kwa gulu linalake ndizovuta za pathologies zomwe zachitika chifukwa cha matenda oyambitsidwa, komanso momwe zimathandizira pakugwira ntchito zofunika kwambiri m'thupi.

Gulu loyamba limatchulidwa pomwe matendawa adakhudza kwambiri thupi ndikupangitsa zovuta zotsatirazi:

• Khungu m'maso onse awiri chifukwa cha kuwonongeka kwa dzuwa pamitsempha yamagazi, yomwe imapatsa thanzi mitsempha ya m'maso,
• Kuwonongeka kwa impso padziko lonse lapansi, pomwe wodwalayo afunika dialysis kuti akhale ndi moyo,
• Chachitatu digiri ya mtima kulephera
• Neuropathy, kuchepa kwa chidwi chifukwa cha kusayenda bwino kwa dongosolo lamanjenje lamkati, kufooka,
• Matenda a m'maganizo omwe amayamba chifukwa cha kuwonongeka kwa magawo ena a ubongo,
• Zilonda zosachiritsa zomwe zimayambitsa gangore ndikudula
• Wokhazikika hypoglycemic chikomokere, sangathe kuchitira mankhwala.

Gulu loyamba Zimaperekedwa pamene chamoyo chamatenda matenda ashuga chikuvutika kwambiri kotero kuti sichitha kuchita zikhalidwe wamba popanda kuthandizidwa ndi ena.

Gulu lachiwiri Amasankhidwa kuti ma pathologies omwewo omwe amapezeka mu mawonekedwe ofatsa. Wodwala amatha pang'ono kudzisamalira yekha ndi chithandizo chochepa kapena kugwiritsa ntchito zida zothandizira. Chiwonongeko m'thupi sichinafike pamlingo wovuta, chithandizo chimayang'anira kubwezeretsanso kwa matendawo. Pankhaniyi, odwala matenda ashuga nthawi zonse amafuna mankhwala apadera ndi zida kuti akhale okhazikika.

Kukula kwa matendawa sikunayambitse kuwoneka kwa matenda akulu, koma zovuta zoyipa zomwe zimayambitsidwa ndi matenda osokoneza bongo zimawonedwa kale, wodwalayo amakhala m'gulu lachitatu. Nthawi yomweyo, wodwalayo amatha kudzisamalira yekha komanso kugwira ntchito, koma amafunikira mikhalidwe yapadera komanso kuchitira chithandizo pafupipafupi.

Gulu lina lili ndi ana odwala matenda ashuga. Gulu limapatsidwa kwa iwo mosasamala kuchuluka kwa chiwonongeko mthupi. Gululi limasankhidwa kufikira atakula ndipo lingachotsedwe ngati mwana ali ndi zaka 18 ngati pali zotheka.

Nthawi Yodala

Pambuyo polemba zikalatazi, mayeso amayenera kusankhidwa patatha mwezi umodzi. Commissionyo imakakamizidwa kuti ipange chisankho pakugawira gulu kapena kukana kupereka chilema patsiku la kafukufuku. Zolemba zonse poganiza zimaperekedwa pasanathe masiku atatu.

Atalandira lingaliro labwino, wolumala afunika kuunikiranso pafupipafupi:

• 1 nthawi yayitali zaka ziwiri zamagulu oyamba ndi achiwiri,
• Kamodzi pachaka kwa wachitatu.

Kupatula kwawo ndi anthu omwe alemba zovuta zovuta zaumoyo popanda chiyembekezo chokhazikika kapena kukonza. Gulu limapatsidwa moyo wonse pagulu la nzika.