Kodi ndimankhwala ati aulere kwa anthu odwala matenda ashuga?

Matenda a shuga ndi njira yomwe imabweretsa mavuto ambiri kwa munthu payekha komanso kwa anthu onse. Pazifukwa izi, chitetezo chachipatala komanso chazikhalidwe kwa odwala omwe ali ndi matenda ashuga ayenera kukhala patsogolo kwa mabungwe aboma.

Pakadali pano, boma likutsimikizira mwalamulo kuti anthu azilandira mitundu yosiyanasiyana ya anthu odwala matenda ashuga.

Mankhwala othandizira odwala omwe ali ndi matenda osokoneza bongo amaperekedwa pambuyo popereka chikalata choyenera kulandira zikalata ku Pension Fund.

Sikuti aliyense amene ali ndi matendawa amadziwa zomwe amapatsidwa kwa odwala matenda ashuga kwaulere. Kuti muzolowere mndandanda wa mankhwala aulere a matenda a shuga a 2, muyenera kuphunzira malamulo oyenerera omwe amafotokoza momwe mungapezere mankhwala ndikupereka mndandanda wa mankhwala aulere kwa odwala matenda ashuga.

Kuphatikiza pa mankhwala aulere othandizira, wodwala ali ndi ufulu wolandila zabwino zosiyanasiyana zomwe zimamuthandiza kusintha moyo wake.

Kuti mumvetsetse momwe mapindulitsidwe amathandizira, muyenera kudziwa momwe kuperekera kumapeto kumachitikira molingana ndi malamulo.

Ndi maubwino otani a matenda a shuga a 2?

Kwa odwala omwe ali ndi matenda ashuga amtundu wa 2, malamulo amapereka kuti kubwezeretsedwa kwa sanatoriums pamtengo wotsika. Chifukwa chothandizidwa ndi zigawo, gulu ili la odwala limathandizidwanso kumasukulu othandizira anthu.

Kuphatikiza pa kuchira, zinthu zomwe zimakonda zimagwiritsidwa ntchito pakugula matikiti opita kumalo obwezeretsanso komanso chakudya m'malo osungiramo zinthu.

Malinga ndi lamulo la federal, mndandanda wamankhwala aulere amitundu yachiwiri wapangidwa, omwe wodwala angadalire pokonzekera ndi kutumiza mndandanda wina wa zikalata ku Pension Fund.

Kodi ndimankhwala ati aulere kwa anthu odwala matenda ashuga? Mankhwala omwe amakonda anthu odwala matenda ashuga a mtundu wachiwiri ndi monga:

Phospholipids.
Zothandizira pancreatic.
Mavitamini ndi mavitamini azakudya zingapo zovuta kupanga.
Othandizira a thrombolytic.
Zithandizo zamtima.
Mankhwala ochokera pagulu la okodzetsa.
Njira zochizira matenda oopsa.

Kuphatikiza pa magulu awa a mankhwalawa, odwala omwe ali ndi matenda a shuga 2 amatha kuonjezeranso mankhwala ena okhudzana ndi:

antihistamines
antimycotic ndi ena.

Ndalama izi zitha kufunikira pochiza zovuta za matenda ashuga.

Kuphatikiza pa kuchepetsa mankhwala, odwala matenda ashuga amafunika ndalama zowonjezera.

Insulin siyiperekedwa kwa odwala omwe ali ndi matenda a shuga a mtundu wa 2 ngati mankhwala aulere, koma ali ndi ufulu kulandira glucometer ndi mizere yoyesera pamayesero. Ngati kudalira insulin, ma stround amayesedwa kutengera miyeso itatu patsiku, ndipo posadalira insulin, muyeso umodzi patsiku amawerengedwa.

Odwala omwe amagwiritsa ntchito insulin pochiritsa amapatsidwa jakisoni wothandizila kuchuluka kwa jakisoni tsiku lililonse.

Kuphatikiza apo, odwala amapatsidwa ndalama zolipira.

Ubwino wa ana omwe ali ndi matenda ashuga a 2

Ana omwe ali ndi matenda ashuga amapatsidwa gawo lina. Izi ndichifukwa choti kuphwanya komwe kumayambitsidwa ndi matenda ashuga kumakhudza kwambiri thupi la ana.

Pamaso pa njira yodalira matenda a insulin, mwana wakhazikitsidwa wolumala.

Makolo a mwana wotere ayenera kudziwitsidwa zamankhwala zomwe zimaperekedwa kwa anthu odwala matenda ashuga kwaulere, komanso zomwe zimamupindulitsa mwana yemwe akudwala matenda amtunduwu.

Kudziwa izi kungachepetse kuchuluka kwa njira zochiritsira zolimbitsa thupi kuti thanzi la mwana lithe komanso kukhala ndi thanzi labwino pamlingo woyenera.

Ana odwala matenda ashuga ndi ana omwe ali ndi zilema za shuga amapatsidwa mndandanda wazabwino. Mndandandandawu umaphatikizapo:

Kupereka ma voti opukusa zaumoyo kupita nawo ku chipatala cha sanatorium kapena ku kampu yapadera yanyumba yolipira mbali zonse za mwana ndi mnzake.
Kulemala penshoni.
Mikhalidwe yapadera yopititsa EGE ndi thandizo pakavomerezedwa ku mabungwe ophunzira.
Ufulu woyesedwa ndikuthandizidwa kuchipatala chakunja.
Kuchotsedwa ntchito yankhondo.
Kukhululukidwa misonkho.

Kuphatikiza pa maubwino amenewa, makolo a mwana yemwe akudwala amapatsidwa ndalama zolipirira kuchuluka kwa zomwe amalandira kufikira mwana atafika zaka 14.

Ndi mankhwala ati a shuga aulere omwe amaperekedwa m'njira zoyenera?

Chaka chilichonse kwa odwala matenda a shuga a 2, mosasamala kanthu za kulumala, thandizo lina lazachuma limaperekedwa kuchokera ku boma. Atsogoleri apadera amagawa zinthu zomwe zimaperekedwa kwa odwala mwa lamulo. Makomiti amtundu wa boma amagawa mankhwala, ndalama zolipirira ndalama ndi zina zambiri.

Odwala amatha kulandira mankhwala a shuga aulere, kukonzanso kwaulere, ndi mapindu azachuma.

Mndandanda wamankhwala omwe amaperekedwa mwachisawawa ndilabwino kwambiri ndipo umaphatikizapo mankhwala ochepetsa shuga. Chiwerengero cha mankhwala omwe amachepetsa shuga ndi kuchuluka kwa ma stroke amayesedwa ndi endocrinologist.

Malinga ndi dongosolo la Boma la Russian Federation, mankhwala aulere kwa odwala matenda ashuga akuphatikizapo magulu otsatirawa a mankhwalawa:

zochizira matenda a chiwindi
chimbudzi cholimbitsa mankhwala, kuphatikizapo enzymatic,
zochizira matenda a shuga kuphatikizapo insulin,
mavitamini ndi michere yama mineral vitamini,
kusintha kagayidwe kachakudya njira,
mankhwala antithrombic
zochizira matenda a mtima,
opanga beta.

Njira zochizira matenda amchiwindi zimaphatikizapo glycyrrhizic acid, phospholipids mu mawonekedwe a makapisozi ndi lyophilisate pokonzekera yankho la jekeseni. Mankhwala aulere omwe amathandizira kukonza chimbudzi ndi pancreatin mu mawonekedwe a makapisozi ndi mapiritsi.

Mankhwala omwe amagwiritsidwa ntchito pochiza matenda a shuga komanso ophatikizidwa pamndandanda wa omasuka amaphatikizapo:

Insulin yochepa - Degludek, Aspart, Lizpro, insulin sungunuka wa chibadwa cha anthu.
Mankhwala a nthawi yayitali - insulin Isofan, Aspart magawo awiri.
Insulin yayitali - Glargin, Detemirn.
Biguanides - Metformin ndi mawonekedwe ake.
Zochokera ku sulfonylureas - Glibenclamide, Gliclazide.
Thiazolidinediones - Rosiglitazone.
Liteptidyl peptidase-4 zoletsa - Vildagliptin, Saxagliptin, Sitagliptin.

Retinol, Alfacalcidol, Calcitriol, Kalecalciferol, Thiamine, ascorbic acid, Pyridoxine, Calcium Gluconate, Potaziyamu ndi Magnesium Asparaginate amapatsidwa kwa odwala mavitamini aulere ndi mineral-vitamini.

Mankhwala aulere omwe amateteza njira zama metabolic kuphatikiza Ademethionint, Agalsidase beta ndi alpha, Velaglucerase alpha, Idursulfase, Imiglucerase, Miglustat, Nitizinon, Thioctic acid.

Othandizira a antithrombotic omwe ndi aulere kwa odwala matenda ashuga amaphatikizapo Warfarin, Enoxaparin sodium, Clopidogrel, Alteplase, Prourokinase, mapuloteni obwerezabwereza okhala ndi staphylokinase amino acid sequence, Dabigatran etexilate, Rivaroxaban.

Mndandanda wa mankhwala aulere azitha matenda a mtima

Kuphatikiza pa mankhwala, zomwe zimapangitsa kuti magwiridwe ake azigwira ntchito komanso njira zama metabolic, komanso mankhwala omwe amapangidwira kuti azikhala athanzi, ngati kuli kotheka, odwala matenda ashuga amapatsidwa mankhwala aulere kuti akakamizidwe ndikuchiza matenda ena a mtima.

Gulu la mankhwalawa limaphatikizidwa ndi anti-rheumatic mankhwala, vasodilators, antihypertensive mankhwala, okodzetsa, beta-blockers

Mankhwala osokoneza bongo amaphatikiza procainamide ndi lappaconitine hydrobromide.

Gulu la vasodilators limaphatikizapo:

Isosorbide dinitrate,
Isosorbide mononitrate,
Nitroglycerin.

Mankhwala a antihypertensive ndi:

Monga diuretic pamaso pa matenda monga matenda a shuga, wodwalayo amafunsidwa kuti azilandira kwaulere Hydrochlorothiazide, Hydrochlorothiazide, Indapamide, Furosemide ndi Spironolactone.

Gulu la beta-blockers limaphatikizapo:

Propranolol
Atenolol
Bisoprolol
Metoprolol
Carvedilol
Amlodipine
Nimodipine,
Nifedipine
Verapamil ndi mankhwala ena.

Mndandandandawo sunakwaniritsidwe, chifukwa sunaphatikizepo mankhwala othandizira kupha, mankhwala oletsa kupha, odana ndi zotupa komanso anti-rheumatic. Magulu awa a mankhwalawa sagwiritsidwa ntchito kawirikawiri ndipo ngati pachitika ngozi, koma wodwalayo ayenera kudziwa kuti ali ndi ufulu wopereka mankhwala aulere kuchokera kumagulu awa amankhwala.

Momwe mungagwiritsire ntchito mwayi wamankhwala?

Kuti mulandire mankhwala aulere, muyenera kulembetsa m'kaundula wa boma la anthu omwe ali ndi ufulu kulandira mapindu ena.

Pension Fund ya Russian Federation ikuchita nawo zidziwitso m'kaundula uyu. Pambuyo polemba zofunikira, zimatumizidwa kwa onse omwe ali ndi chidwi.

Wodwala matenda a shuga ayenera kulumikizana ndi thumba la penshoni ndikupereka zikalata zofunika kuzilembera. Pambuyo polembetsa ndi thumba la penshoni, muyenera kutenga satifiketi yofotokoza kuti wodwala akukana kupereka zabwino.

Kuti alandire chithandizo chamankhwala kuchokera kwa dokotala, ayenera kupereka mndandanda wazina. Zolemba zofunika kuti mupeze malangizo okondera ndi:

Pasipoti
Umboni wa kuyenerera.
Satifiketi kuchokera ku thumba la penshoni.
SNILS
Ndondomeko ya inshuwaransi ya udokotala.

Adotolo, pamaziko a zikalata zomwe zaperekedwa, amalemba mankhwala kwa wodwala pafomu yapadera, yomwe imaperekedwa ku pharmacy mukalandira mankhwalawo. Kulandila mankhwala aulere kumaperekedwa m'masitolo omwe ali ku chithandizo cha boma.

Nthawi ya kukhazikitsidwa kwa malangizo osiyanasiyana a dokotala amasiyana pakati pawo, malinga ndi chithandizo chamankhwala:

mankhwala a narcotic ndi psychotropic - masiku 5,
pa anabolics - masiku 10,
mitundu ina ya mankhwala - kuyambira 1 mpaka miyezi iwiri.

Kalata iliyonse yolembetsa imakhala ndi chidziwitso cha nthawi yomwe mankhwalawo amachokera. Kugawa kwa mankhwala ndi akatswiri azamankhwala kuyenera kuchitika m'manja mwa wodwalayo panthawi yomwe ikufotokozedwa.

Ubwino: lingaliro, tsatanetsatane, malamulo

M'dziko lathu, muli zabwino zapadera za odwala matenda ashuga. Amawonetsedwa mu:

mtundu
ndalama zopatsidwa.

Ndikofunikira kumvetsetsa kuti wodwalayo payekha ali ndi ufulu wosankha pamtundu wanji omwe angalandire phindu kwa odwala omwe ali ndi matenda ashuga: ndalama kapena mankhwala, mankhwala a sanatorium.

Chonde dziwani, akatswiri amati: kusintha kwa chithandizo chabwinobwino ndi ndalama sikokwanira nthawi zonse komanso koyenera. Thandizo lazachuma ndilochepa kwambiri poyerekeza ndi mtengo weniweni waboma wopereka mankhwala ndikupeza chithandizo kwa odwala m'chipatala chapadera.

Ubwino wake kwa odwala matenda a shuga ndi uti:

mankhwala a shuga
penshoni yopanda maphunziro ku Pension Fund ya Russian Federation,
kuchotsedwa ntchito yankhondo,
Kupereka zida zodziwitsa anthu za shuga
kudutsa mayeso aulere kuchipatala m'malo apadera,
kulandira chithandizo cha spa,
50% kuchotsera pa zolipiritsa zofunikira,
kuphatikiza masiku 16 kwa mayi pa tchuthi cha amayi oyembekezera.

Izi diabetes zonse ziyenera kulandira mu kuchuluka kofunikira. Ngati wodwala akana kulandira mankhwala, osapereka mwayi woti ayesedwe kwaulere kapena kuti ayitanidwe usilikali, ndiye kuti ayenera kulumikizana ndi aulamuliro apamwamba.

Sizofunika kuti mupite kukhothi nthawi yomweyo. Poyamba, ndikokwanira kukambirana ndi dotolo wamkulu wa chipatala chakomweko, komwe nzika yalembedwa. Palibe mgwirizano womwe wapezeka? Pankhaniyi, apilo ku dipatimenti kapena ku dipatimenti ya zaumoyo wa maseru ena akhoza kuthandizapo. Kenako - Ofesi ya Wotsutsa, khothi lamilandu yayikulu.

Momwe mungapezere kuchotsera: komwe mungagwiritse ntchito

Kuzindikira kwa matenda ashuga kumachitika kokha ndi endocrinologist. Amalowetsa muzolemba za wodwala polemba mayeso ambiri ndi mayeso. Kuyambira pano, nzika imadziwika kuti ndi wodwala matenda ashuga. Chithandizo cha mankhwala aulere, ma syringe, ndi zida zodziwikiratu ndi mankhwala omwe dokotala amakupatsani. Kuti pasakhale mavuto akamasuka ndi kulandira, wodwalayo afunsidwa kuti apereke:

chiphaso cha nzika ya dzikolo (chithunzi),
TCH
SNILS,
satifiketi ya penshoni (ngati ilipo),
Nthawi zina - setifiketi ya mabanja,
satifiketi ya ntchito.

Wodwala amalandira mankhwala aulere kamodzi pamwezi. Kuti mumwe mankhwala mwezi wamawa, wodwalayo adzayeneranso kukaonana ndi dokotala. Dokotala nthawi zambiri amafunsa za momwe wodwalayo alili, amafotokoza bwino zaumoyo, ndipo ngati kuli koyenera, amapereka malangizo oyesa kwaulere. Zonsezi ndizofunikira kuti mumvetsetse ngati chithandizo chokwanira, kaya pakufunika kofunika kuwonjezera mlingo wa insulini kapena, mosiyana, kuti muchepetse.

Thandizo la odwala omwe ali ndi "matenda okoma" lakhazikitsidwa pansi pamalamulo apano. Thandizo limayendetsedwa ndi Federal Law ya Novembara 24, 95 No. 181-ФЗ Pa Kuteteza Anthu kwa Anthu Olumala ku Russia. Pachitukuko chazonse, ndikofunikira kuwerenga zowerengera kuti timvetsetse bwino zomwe 2 ndi mtundu wa 1 odwala matenda ashuga amapereka. Zopinga zilizonse pankhaniyi zimangotsutsidwa ndikulangidwa ndi mabungwe aboma.

Mankhwala aulere amapezeka ku pharmacy ya boma. Ayenera kupezeka nthawi zonse. Ngati mankhwala sanapezeka ogulitsa mwadzidzidzi, ayenera kutumizidwa mwachangu kuchokera kumudzi woyandikana nawo. Kupatula apo, wodwala matenda ashuga sangathe kumwa mankhwalawa kwa nthawi yayitali - nthawi zina amafunika kutumikiridwa maola 5 aliwonse. Kuchedwa kulikonse pankhaniyi kumapha. Chifukwa chake, kulandira ndi kukonzekeretsa mankhwala a boma omwe akukonzekera odwala matenda ashuga akuyang'aniridwa ndi oyang'anira wamba. Pakuphwanya, muyenera kudandaula nthawi yomweyo kuofesi ya Prosecutor kapena khothi.

Pension yalemala: malamulo, malangizo

Aliyense wodwala matenda ashuga ali ndi ufulu kulandira penshoni ku Russian Pension Fund. Malipiro sanaphunzire. Kukula kwake kumakhazikitsidwa ndi boma, zimatengera kukula kwake.

Udindo wopunduka umaperekedwa ndi bungwe lapadera lokonzedwa ndi Unduna wa Zaumoyo mdziko muno. Kukutumizirani ku Commission kumaperekedwa ndi adokotala.

Mitundu yodwala matenda a shuga:

Gulu 1. Chifukwa cha matenda ashuga, munthu samatha kuwona, kumva, kusunthasuntha, kunenepa kwambiri, samathanso kusuntha, ndipo mtima wake umavutika. Wodwalayo sangathe kapena sangathe kudzipereka yekha.
Gulu 2. Matenda a shuga "adagunda" pazinthu zamawonedwe, kumva, masisitiramu, koma nzika imatha kuyendayenda, kudzipereka, kugwira ntchito yophweka.
Gulu lachitatu.Chizindikiro cha matenda a shuga chimafotokozedwa pang'onopang'ono, matendawa sanawononge ziwalo zofunika komanso ntchito za thupi. Nthawi zambiri, nzika zotere zimakhala moyo wabwinobwino, amagwira ntchito komanso kuphunzira, ndipo ena sadziwa za matenda awo.

Kuchulukitsa ndi mfundo zina zofunikira zikufotokozedwa mu Federal Law ya Disembala 15, 01 No. 166-ФЗ “Pa pension pension state in state”.

Thandizo la ana omwe ali ndi matenda ashuga

Masiku ano, podziwitsa anthu za matenda ashuga, mapindu amaperekedwa osati kwa achikulire okha, komanso kwa ana omwe ali ndi matenda ofananawo. Chifukwa chake, anawo amalandiranso thandizo. Amawonetsedwa mu mawonekedwe:

ma voti opita ku sanatorium kapena kampu,
mankhwala ndi diagnostic,
phindu lakuvomerezedwa ku sukulu yapadera kapena maphunziro apamwamba,
kuchotsedwa ntchito yankhondo,
penshoni ngati mwana olumala,
maubwino apadera poyesa mayeso,
diagnostic kuchipatala chakunja,
kuchotsedwa msonkho.

Ndikofunikira kumvetsetsa kuti zabwino zonse kwa wodwala yemwe ali ndi matenda a shuga a 2 ndi oyamba chimodzimodzi. Kusiyanaku kungakhale mu kuchuluka kwa mankhwala, syringes ndi strips test zomwe mwapatsidwa:

kwa odwala matenda ashuga a mtundu 2, kuyesedwa kamodzi kokha kumagwiritsidwa ntchito kudziwa shuga tsiku lililonse,
kwa odwala omwe ali ndi mtundu woyamba - mikwingwirima 3 yoyesa.

Zimatsimikiziridwa kuti matenda amtundu wachiwiri ndi ochepa kwambiri, wodwalayo safuna jakisoni wa insulin, insulin imaperekedwa pamapiritsi.

Pomaliza

Wodwala aliyense yemwe ali ndi matenda ashuga ayenera kulandira thandizo kuchokera ku boma. Zimaphatikizapo kutumizidwa kwaulere kwa mankhwala ndi mayeso, kulandira chithandizo kuchipatala, kupumula mu sanatorium, kuchotsera kwa 50 peresenti pazothandiza ndi zina. Zambiri zaiwo zikuwonetsedwa mchilamulo cha Novembara 24, 95 No. 181-FZ. Bukuli limapezeka kuti liwerengedwe, lotumizidwa pagulu la anthu.

Anthu odwala matenda ashuga ayenera kulandira penshoni yolumala. Gululi limapatsidwa ntchito yapadera motsogozedwa ndi adokotala. Ngati pali zovuta zokhudzana ndi kuwongolera kapena kuthana ndi mankhwalawa, ndikofunikira kuti mupite kukakumana ndi dotolo wamkulu wa chipatala, Dipatimenti ya Zaumoyo, Ofesi Yotsutsa kapena khothi.

Magulu Olumala A shuga

Choyamba, muyenera kudziwa kuti munthu wodwala matenda a shuga ndi uti. Chifukwa cha zotsatira za kafukufukuyu, zimatha kudziwika m'magulu a olumala 1, 2 kapena 3.

Gulu loyamba limakhala ndi odwala omwe asokoneza kwambiri zida zamagetsi, gululi layamba, pali mwayi wokhala ndi thrombosis komanso chikomokere pafupipafupi. Odwala otere sangathe kuchita popanda kuyang'aniridwa ndi akunja, ndizovuta kuti adzipulumutse.

Gulu lachiwiri la olumala limayendetsedwa kuti lipangitse kulephera kwa aimpso, kusokonezeka kwamaganizidwe kumbuyo kwa matenda ashuga komanso matenda ashuga. Potere, anthu amakula kwambiri chifukwa cha matendawa, koma amatha kutero popanda kuthandizidwa ndi wina aliyense.

Gulu lachitatu lakonzedwa kwa odwala onse omwe adapezeka ndi matenda amtundu 1 kapena matenda a shuga.

Anthu otere ndi oyenera kulandira mankhwala aulere ndi zolembera anthu olumala. Kuphatikiza apo, mitundu 1 ya ashuga omwe sangathe kudzipatsa okha amapatsidwa zinthu zofunika pakhomo komanso kuchepetsa theka la zofunikira.

Mutha kudziwa zambiri zamabwino ena omwe ali pansipa.

Ufulu wa matenda ashuga

Anthu ambiri omwe ali ndi "matenda okoma" ali ndi chidwi ndi funso, kodi mankhwala aulere ndi chowonadi kapena chabodza? Mosakayikira, izi ndi zowona. Anthu odwala matenda ashuga omwe ali ndi mtundu uliwonse wamatenda amapatsidwa mankhwala osangalatsa.

Kuphatikiza apo, odwala omwe atsimikizira kulumala amayenera kukhala phukusi lokwanira laumoyo. Izi zikutanthauza kuti odwala amapatsidwa ufulu kamodzi zaka zitatu zilizonse kuti apumule mwaulere.

Mautumiki osiyanasiyana okondera amaperekedwa kwa odwala omwe ali ndi matenda a shuga, kutengera mtundu wake.

Chifukwa, mwachitsanzo, ndi mtundu wa 1 matenda, odwala akhoza kulandira:

insulin ndi ma syringes,
kuchipatala kuchipatala kuti chimuyeso (ngati kuli kotheka),
chida chodziwira glycemia ndi zida zake (mizere 3 yoyesera patsiku).

Nthawi zambiri, mtundu wodwala wa shuga womwe amadalira insulin umadzetsa kudwala kwa wodwala. Zikatero, amapatsidwa mwayi wopeza mankhwala okwera mtengo omwe samaphatikizidwa mndandanda wamankhwala aulere. Komabe, amaperekedwa mosamalitsa monga momwe dokotala amafotokozera. Dziwani kuti mankhwala omwe amalembedwa kuti "Odziwika" amaperekedwa mkati mwa masiku 10, ndi psychotropic - kwa masabata awiri.

Ndi matenda a shuga a 2, odwala ali ndi ufulu kulandira:

Mankhwala a Hypoglycemic (Mlingo wofotokozedwawu umawonetsedwa ndi dokotala, zotsatira zake zimatenga mwezi umodzi).
Glucometer ndi chingwe choyesera (mpaka atatu zidutswa) patsiku odwala omwe akufuna insulin.
Mikwingwirima yoyeserera yokha (odwala omwe ali ndi matenda a shuga 2 omwe safuna jakisoni wa insulin, kupatula odwala omwe ali ndi vuto lowona).

Amayi pa nthawi yoyembekezera komanso ana (mpaka azaka 18) ali ndi ufulu wogula osati mankhwala ndi jakisoni, komanso zida zaulere zoyezera shuga ndi ma cholembera a syringe.

Kuphatikiza apo, ana amatha kupumula kwaulere mu sanatorium, ulendowo womwewo udzalipiridwa ndi boma.

Mndandanda wa Mankhwala Osokoneza bongo a shuga a 2018

Anthu ambiri amafunsa, chifukwa chiyani palibe mankhwala aulere kwa odwala matenda ashuga? Chowonadi ndi chakuti zilipo, koma zimaperekedwa kwa anthu ku pharmacy, kokha ndi malangizo omwe alipo kuchokera kwa endocrinologist.

Ndikotheka kulandira mankhwala aulere kwaulere, koma chifukwa chake wodwalayo ayenera, choyamba, kupita kuchipatala ndi kukalandira lingaliro kuchokera kwa dokotala. M'pofunikanso kuti mudziwe mndandanda wamankhwala omwe amakondweretserani pasadakhale, ngati palibe mankhwala omwe alembedwa mndandandawu, mutha kufunsa adotolo kuti alembe imodzi yomwe ili pamndandanda womwe wakhazikitsidwa.

Mankhwalawa amathandizidwa ndi odwala matenda ashuga:

Kugwiritsa ntchito bwino kwa chiwindi - phospholipids,
kukonza kapamba (pancreatin),
njira zothetsera, mapiritsi, mavitamini,
mankhwala omwe amabwezeretsa kagayidwe kachakudya,
magazi opaka magazi (thrombolytic),
mankhwala okhazikika mtima
matenda oopsa.

Monga mankhwala ena owonjezera, mu pharmacy, odwala matenda ashuga azitha kulandira antimicrobial and antihistamines.

Komanso, mankhwala omwe amathandizidwa ndi endocrinologist komanso operekedwa kwaulere amasiyanasiyana kutengera mtundu wa matenda. Chifukwa chake, lembani matenda ashuga 1 atha kulandira insulin:

mu mawonekedwe a yankho (Detemir, glargine, biphasic human) yoyendetsedwa ndi khungu,
mu phokoso (Aspart, Lizpro, munthu sungunuka) jekeseni,
mu mawonekedwe a kuyimitsidwa (Biphasic, Isofran, Aspart) wa jakisoni.

Mowa ndi ethyl umaperekedwanso. Anthu odwala matenda ashuga a mtundu wachiwiri wa matenda safuna insulin, mndandanda wawo wa mankhwalawo ndi wosiyana pang'ono. Pa mndandanda wokonda mankhwalawa mutha kupeza mayeso apadera omwe amathandizira kuwunika kuchuluka kwa insulini, ndipo ngati pakufunika kutero, muwongolere.

Omwe ali odziimira okha insulin amalandila kamtunda kamodzi tsiku lililonse, mikwingwirima 3 yodalira mahomoni. Ndi okhawo omwe amalemba mankhwala a endocrinologist omwe angalandire mankhwala aulere, koma ndizovuta kwambiri kuti apeze. Kuti muchite izi, muyenera kupereka kwa dokotala:

chitsimikizo cha zabwino
pasipoti
SNILS (nambala ya inshuwaransi yaakaunti yaumwini),
satifiketi yochokera ku Pension Fund,
ndondomeko ya inshuwaransi.

Ngati endocrinologist akukana kupereka mankhwala oyenera, wodwalayo ali ndi ufulu wolumikizana ndi sing'anga wamkulu wa chipatalacho ndikupempha kuti amuchotsere mankhwala omwe ali pa mndandanda waulere.

Mndandanda wa mankhwala aulere a hypoglycemic

Kwa odwala matenda a shuga, mndandanda waukulu wa mankhwala aulere a 2017 amaperekedwa. Tiyeneranso kukumbukiranso kuti mutha kuwapeza ku pharmacy pokhapokha mutapatsidwa mankhwala ndi endocrinologist.

Ngati dokotala wakupatsani mankhwala a shuga, muyenera kudziwa ngati ali pamndandanda wamankhwala okondera. Mungafunike kufunsa dokotala kuti akupatseni mankhwala ena.

Ngati akukana kupereka mankhwala, wodwala ayenera kudandaula kwa wamkulu wa dipatimenti kapena dokotala wamkulu wa chipatalacho.

Nanga ndi mankhwala ati omwe angapatsidwe kwaulere? Mndandandandawu umagwiritsidwa ntchito ngati mankhwala a hypoglycemic:

Acarbose (pamapiritsi),
Glibenclamide,
Glycidone,
Glucophage
Glibenclamide + Metformin,
Glimepiride,
Mapiritsi a Glyclazide (chosinthika),
Glipizide,
Metformin
Rosiglitazone,
Repaglinide.

Odwala omwe ali ndi mtundu woyamba komanso nthawi zina wachiwiri wa shuga amapatsidwa mankhwala okhala ndi insulin. Chololedwa kwa insulini yaulere:

Mwanjira ya yankho la subcutaneous makonzedwe - glargine, detemir ndi biphasic munthu.
Mu ma ampoules a jakisoni - lispro, katsitsumzukwa, munthu sungunuka.
Mwanjira yoyimitsa jakisoni, aspart ndi biphasic komanso isofran.

Kuphatikiza pazopindulitsa izi za mankhwala othandizira odwala matenda ashuga, 100g ya ethanol ndi syringes ndi singano ingaperekedwenso. Komabe, simungathe kulandira mankhwala aulere kuchokera kwa endocrinologist popanda zolemba zotsatirazi:

kufunsa mapindu
mapasipoti
kuchuluka kwa inshuwaransi yaakaunti yaumwini (SNILS),
satifiketi ku Pension Fund,

Kuphatikiza apo, inshuwaransi ya chipatala iyenera kuperekedwa.

Ubwino wa odwala matenda ashuga

Malinga ndi lamuloli, odwala matenda ashuga ali ndi ufulu kulandira zotsatirazi:

kulandira mankhwala aulere,
kulumala pantchito
kumasulidwa ku gulu lankhondo
kupeza zida zodziwitsa,
kuthekera kwa kufufuza kwaulere kwa dongosolo la endocrine ndi ziwalo m'malo opezeka a shuga.

Nzika zina za Russian Federation zitha kulandira ziphatso mu njira zachipatala mu ma dispensaries ndi malo othandizira. Kuphatikiza apo, odwala matenda ashuga omwe ali ndi zilema pochita ntchito zaluso amatha kulipira 50% yotsika pantchito.

Atsikana omwe ali pa tchuthi cha amayi oyembekezera ndi matenda ashuga amatha kupitilira masiku 16.

Phindu la odwala omwe ali ndi matenda amtundu wa 1 akhoza kukhala motere:

kupereka mankhwala ndi njira,
kuthekera kochita mayeso kwaulere,
Kuthandizidwa ndi wogwira ntchito zachitukuko ngati munthuyo ali ndi zoletsa zomwe sangasinthe.

Matenda a 2 odwala matenda ashuga ali ndi zotsatirazi:

Chithandizo cha spa madera. Kuphatikiza apo, amapatsidwa mwayi woti asinthe chiwongolero chawo pantchito.
Kupeza mankhwala ofunikira, osatengera kuchotsedwa kwa adokotala.

Kuphatikiza apo, mndandanda wosiyana wazopindulitsa umatengera kuchuluka kwa kulumala komwe munthu amapatsidwa. Choyamba, ndikofunikira kuthetsa nkhani yopeza udindo uwu. Mwayi wotere umawonekera kokha mutatha kudutsa uchi wapadera. kuyesedwa kochitidwa ndi Unduna wa Zaumoyo ku Russia. Mutha kupita kokha molumikizana ndi endocrinologist, komabe, ngati dokotala sanapange zoterezi, wodwalayo atha kuyesa yekha kukalandira chithandizo payekha.

Ndi Commission yomwe imaganiza kuti ndi gulu liti la anthu olumala lomwe lingagawidwe kwa munthu, chifukwa chake mbiri yachipatala ya wodwala ndiyo maziko abwino a izi. Liyenera kukhala ndi zikalata zonse zofufuzira komanso maphunziro azachipatala.

Ndi gulu lolemala lomwe mwapatsidwa, munthu wodwala matenda ashuga amatha kufunsira zopindulitsa izi:

kulandira zabwino zothandizira (penshoni yophunzitsidwa),
kupita kumisonkhano yomwe cholinga chake ndi kubwezeretsa thanzi la anthu,
kupeza thandizo kuchokera kwa akatswiri,
chithandizo chambiri,
kuthekera kochita maphunziro ndi kulandira.

Ubwino wa ana omwe ali ndi matenda ashuga

Gulu lina ndi ana omwe apezeka ndi matenda a shuga. Matenda oyipa ngati amenewa amathanso kukhudza thupi la mwana m'njira zosiyanasiyana. Nthawi zambiri, zimayambitsa ma pathologies ndi zovuta, kotero, makolo, kuti ateteze mwana, ali ndi ufulu wofunsira kulemala kuti alandire zabwino komanso mwayi wothandizira.

Ana omwe ali ndi matenda ashuga angalandire mwayiwu:

pitani kumalo ophunzitsira komanso kumisasa yachipatala maulendo aulere,
pezani penshoni yolumala,
dzipatuleni komanso kulandira chithandizo m'zipatala zakunja,
pezani thandizo mukalowa kuyunivesite,
osalipira msonkho.

Kufikira zaka 14, makolo amatha kufunsira mapindu malinga ndi kudwala kwa mwana pazachuma chambiri.

Kukana maubwino

Anthu odwala matenda ashuga omwe amakana phindu, koma olumala, atha kubweza ngongole zawo. Ngati munthu sanagwiritse ntchito phindu kwa chaka chimodzi ndipo sanalandire mankhwala aulere, akhoza kulumikizana ndi FSS.

Kuchuluka kwa zolipira pamilandu iyi sikufanana ndi kuchuluka kwa ma voti omwe angalandire. Chifukwa chake, kukana maubwino ndi mayendedwe kungakhale koyenera pokhapokha munthu pazifukwa zina sangazigwiritse ntchito.

Ngakhale munthu atakana phindu, amaloledwa kulandira mankhwala aulere, ma syringe ndi zida (amakulolani kuyeza kuchuluka kwa shuga m'thupi). Izi zikufotokozedwa mu Resolution No. 890 "Pa chithandizo cha boma pakukula kwachipatala."

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

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

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

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

Mndandanda wamankhwala ena okondera

Mankhwala osokoneza bongo amaperekedwa osati kokha kuti muchepetse kuchuluka kwa shuga, komanso matenda ena okhudzana ndi matenda a shuga.

Ndi ma pathologies a chiwindi, wolandila ali ndi ufulu kulandira phospholipids ndi glycyrrhizic acid m'mapiritsi, komanso lyophilisate mwanjira yankho la jakisoni mu mtsempha.

Anthu odwala matenda ashuga amatha kupeza mankhwala omwe amathandizira kukonza chimbudzi, makamaka enzymatic. Ichi ndiye pancreatin m'mapiritsi ndi mapiritsi.

Kuphatikiza apo, kwa odwala omwe ali ndi vuto la 1 ndi mtundu 2 "matenda okoma", madokotala amaperekedwa kwaulere:

Chiwerengero chachikulu cha mavitamini, komanso maofesi awo: alfacalcidol, retinol, calcitriol, colecalciferol, ascorbic acid, pyridoxine, thiamine, calcium gluconate, potaziyamu ndi magnesium asparaginate. Komanso mavitamini a Doppelherz a odwala matenda ashuga.
Mankhwala ambiri omwe amagwiritsidwa ntchito pazovuta zosiyanasiyana za metabolic, kuphatikizapo kukonzekera kwa enzyme ndi ma amino acid: ademetionint, agalsidase alpha, agalsidase beta, velaglucerase alpha, idursulfase, ngaphezululucerase, miglustat, nitizinone, thioctic acid ndi nitizinone.
Chiwerengero chachikulu cha mankhwala a antithrombotic: warfarin, enoxaparin sodium, heparin sodium, clopidogrel, alteplase, prourokinase, mapuloteni obwerezanso, rivaroxaban ndi dabigatran etexilate.

Kwa odwala matenda a shuga, mankhwala amaperekedwa pofuna kuchiza matenda a mtima. Mwachitsanzo, digoxin imapakidwa jakisoni mu mtsempha ndi mapiritsi. Adaloleza kuperekedwa kwaulere kwa anti-rheumatic mankhwala monga procainamide ndi lappaconitine hydrobromide.

Gulu la vasolidators zochizira matenda amtima limaphatikizapo isosorbide dinitrate, isosorbide mononitrate ndi nitroglycerin.

Ndi ufulu kugula mankhwalawa kuti akapanikizike: methyldopa, clonidine, moxonidine, urapidil, bosentan, komanso okodzetsa, kuphatikizapo hydrochlorothiazide, indapamide, hydrochlorothiazide, furosemide ndi spironolactone.

Kulandila mankhwala osokoneza bongo ndikukana mawu okondera

Mutha kupeza mankhwala a shuga pamayendedwe abwino mu chipatala chapadera cha boma. Wogulitsa mankhwalawa ayenera kupereka mankhwalawa muyezo zomwe zawonetsedwa ndi katswiri wopezekapo.

Nthawi zambiri, komwe akupita amapangidwira maphunziro a mwezi umodzi, nthawi zina ochulukirapo. Akamaliza maphunzirowa, wodwalayo ayenera kufunsa dokotala yemwe adzayese kuchuluka kwa mankhwalawa. Pankhaniyi, atha kukulemberani za mayeso ndikupatsanso mankhwalawo.

Wodwala yemwe ali ndi vuto linalake laubongo angakane mwakufuna kwawo chithandizo chamankhwala. Izi zikutanthauza kukana tikiti kupita ku disensary. Pankhaniyi, amalipiridwa ndalama. Koma silingafanane ndi mtengo wa chilolezo, chifukwa chake siyoyenera. Muyenera kungoganiza kuti kukhala milungu iwiri mu sanatorium ndi ma ruble 15,000, koma kubwezeretsedwa ndalama ndizochepa poyerekeza ndi chiwerengerochi. Nthawi zambiri imasiyidwa pokhapokha ngati sizotheka kupita kutchuthi.

Komabe, ngakhale atakana phukusi la anthu, opindula nawo ali ndi ufulu kulandira mankhwala, zida zoyezera shuga ndi syringe yaulere.

Matenda a shuga amadziwika kuti ndiye "mliri" wazaka zam'ma 2000. Chiwerengero cha odwala matenda ashuga chikuwonjezeka chaka chilichonse. Matendawa amatha kuchitika msanga, kupatsa chidwi anthu omwe azolowera moyo wabwino. Ubwino wa mwana wolumala yemwe ali ndi matenda a shuga 1 amaperekedwanso.

Boma lake, likuthandizira odwala omwe ali ndi vutoli. Amapereka mankhwala ena, zolembera zopunduka ndi thandizo laulere kwaulere. Popeza chithandizo cha matenda a shuga ndichokwera mtengo kwambiri, simuyenera kukana thandizo lotere.

Kanemayo munkhaniyi akukamba za zabwino za mtundu uliwonse za matenda ashuga.