Portal of the sphere of the Astrakhan dera: ntchito yomwe ikupitilira kukonza miyoyo ya odwala omwe ali ndi matenda ashuga
Zotsatira zakugwiritsidwa ntchito kwa zaka khumi zamagetsi za ORMED zimagawidwa ndi mutu wa Center for Neurology and Neuroresoation of the Clinicical Hospital of the Samara Railway Station, MD, pulofesa, katswiri wolongosola za V. Kruglov: "Kuchita bwino kwa chithandizo ndi ORMED kuyenera kuwunikidwa limodzi, zabwino kwambiri mphamvu yogwiritsira ntchito zida zamakono zimadziwika ndi kuphatikiza kwa mankhwalawa othandizira ndi Reflexology, achire othandizira, masewera olimbitsa thupi, mitundu yosiyanasiyana ya physiotherapy. Monotherapy imatheka ndi chithandizo chothandizira kupewanso kapena prophylaxis, ndipo imathandiza kwambiri. Mothandizidwa ndi zida, msana umalimbikitsidwa ndipo minyewa yolumikizana imapumulanso, kamvekedwe kake kamalamuliridwa popanda chiwopsezo cha wodwalayo pamlingo wa msana. ”
Kuyambira 2007, zida zotsatizana za "ORMED" zakhala zikugwiritsidwa ntchito kwambiri komanso bwino pothana ndi matenda a msana ku Republic of Belarus, komwe mitundu yonse ya chipangizochi yalembedwa. Ziyeso zamapulogalamu "ORMED-katswiri" zidachitika ku Republican Science Science and Practical Center for Neurology and Neurosurgery of the Ministry of Health of Republic of Belarus komanso pamaziko a dipatimenti yoyamba yamitsempha ya chipatala cha 5 City Clinical Hospital ku Minsk. Katswiri wa zamaubwino wa dipatimenti iyi S. I. Kolomiets adalemba njira zotsatirazi zomwe zimagwiritsidwa ntchito ndi zida za ORMED zotsata njira zochizira ndi prophylactic: kubwezeretsa kusunthika kwa magawo awiri a vertebral-motor - the anatomical complex of 2 vertebale-motor vertebrae Njira za 2 zopindulitsa, komanso maimidwe amtundu wautali komanso amfupi chifukwa chazomwe zimayendetsedwa pang'onopang'ono, kuchotsedwa kwa matenda
minus-tonic syndromes, normalization of microcirculation ndi zotumphukira zamagazi pogwiritsa ntchito zovuta pa msana ndi ziwalo zozungulira, zomwe zimayambitsa kuchepa kwa michere-trophic, kusokonezeka kwa maresthesia ndi kuchepa kwambiri kwa kupweteka. Kutsitsa kwamphamvu kwa toni kumatheka chifukwa chophatikiza kutikita minofu ndikuthekera koyendetsa kutalika kwa masinthidwe a ogudubuza ndikusankha kuchuluka kwa kugwedezeka mwamphamvu.
Ma kapangidwe, kapangidwe ka mafakitale ndi njira zochiritsira mothandizidwa ndi zida za ORMED ndizopanga komanso kutsimikizika. Zidazi zatsimikiziridwa kuti zikutsatira kayendetsedwe kabwino ka mtundu wapadziko lonse wa ISO 9001: 2000.
Masiku ano m'malo opanga ma polyclinics, ma sanatoriums, malo operekera komanso kukonzanso zinthu mdziko muno, anthu amabwezeretsa chisangalalo cha moyo pazida zoposa 2500. Zogulitsa za NPP Orbita zimadziwika kwambiri ku Ukraine, Belarus, Kazakhstan, Uzbekistan, komwe maofesi a ORMED adadutsa kalembera boma.
Scope: "ORMED" imagwiritsidwa ntchito bwino muzipinda za kutikita minofu, m'madipatimenti othandizira azachipatala, zipatala, malo okonzanso, m'malo ophunzitsira komanso m'malo opatsirana.
Chipangizocho chimatha kukhala chofunikira pakuwongolera thanzi makampani yanu, ofesi, malo opumulira antchito, komanso kunyumba, zomwe zimathandizira kukulitsa ntchito yopanga antchito komanso kuchepetsa kuchuluka kwa matenda ogwira ntchito.
Kupeza kachipangizo koteroko kumatha kukhala gawo lothandizira thanzi la ogwira ntchito, abale ndi abwenzi.
Zochitika zamaphunziro a shuga kwa ana okhala m'dera la Astrakhan
Otto N. Yu., Mutu dipatimenti yokhudza za demokalase ya State Institution “CSTO idatchedwa pambuyo N. N. Silishcheva ”, Sagitova G. R., MD, Mutu. Department of Pediatric matenda a FPO GOU VPO "AGMA" Roszdrav, Chief Freelance Expert-Pediatrician MH JSC, Astrakhan
M'zaka zaposachedwa, matenda a shuga a ana akhala pagulu la matenda ofala kwambiri, chifukwa zovuta za shuga nthawi zambiri zimayambitsa kulumala ndi kufa. Mlingo womwe kuchepa kwa matenda kufalikira, kuphatikizapo zovuta za matenda osokoneza bongo, ungathe kufotokozedwa ngati matenda omwe awopseza chitetezo cha dziko.
Pakadali pano, boma lipereka chidwi chambiri pakusintha moyo wa odwala omwe ali ndi matenda ashuga. Chifukwa chake, m'zaka zaposachedwa, insulin zakhala zikugwiritsidwa ntchito m'dera la Astrakhan, mankhwala atsopano pothana ndi zovuta za matenda a shuga, ana amapatsidwa ma glucometer kwaulere, ndipo Sukulu ya Matenda a shuga yakhala ikugwira ntchito kwa zaka 9.
Cholinga cha phunziroli chinali kuphunzira za matenda a ana omwe ali ndi vuto la matenda ashuga 1, kuti apange malingaliro olimbikitsa kuzindikira koyambirira komanso kupewa zovuta.
Zipangizo ndi njira. Kuwunikira mwatsatanetsatane zolemba zachipatala (fomu 112, fomu 003 / y) ya ana ndi achinyamata omwe ali ndi matenda a shuga 1
pa mayeso ndi chithandizo mu 2002-2006 mu dipatimenti ya endocrinology.
Malinga ndi zaka, gawo la ana ochepera zaka 14 ndi achinyamata anali 50% aliyense, ndi atsikana ochulukirapo (56%). Cholinga chakugonekedwa kuchipatala chinali:
• Kuyesedwanso kwa anthu olumala (28%),
• mayeso oyang'anira (57%),
• kuchulukitsa kwa matendawa (15%).
Mwa ana onse ndi achinyamata omwe alandila, kuwonongeka kunapezeka mu 67.4% (awa ndi ana omwe ali ndi ketoacidosis ndipo alibe ketoacidosis, koma ndi hyperglycemia ndi chiwonetsero chazachipatala cha kuwonongeka: polyuria, polydipsia, polyphagia, kuwonda, enuresis). Gawo la anthu okhala m'mizinda kawiri konse lidapambana anthu akumidzi. Ndizachilendo kuti 56% ya ana ali ndi vuto lofika zaka 5, 20% kuyambira zaka 5 mpaka 10, ndipo 7% kwa zaka zoposa 10. Ana omwe ali ndi matenda ashuga tsopano amakhala ndi 17%.
Malo oyamba omwe ali pakapangidwe kazovuta ndizowonongeka kwa gawo la masomphenyawo (29%): angiopathy retinal (kusintha kwa njira yochepetsera mitsempha, kukulitsa mitsempha, hyperemia ndi kutsutsana kwa mitsempha yamagazi), retinopathy, cataract. Nthawi zambiri, mavutowa amalembedwa m'gulululi
Kapangidwe ka mavuto a shuga
Nosology ya zovuta Frequency,%
Retinal Angiopathy 24.4
Matenda a shuga a shuga atsikana 24,4
Cardiopathy, myocardial dystrophy 15.0
Distal polyneuropathy 14.0
Kuchedwa Kwachisembwere 6.0
Kukula kwakakulirakulira, kuphatikizapo kuganizira za matenda a Moriak's 4.6
Matenda a shuga a shuga 4,6
atsikana (24%). Ndikofunika kuwonetsa kuti kuchuluka kwa kuwonongeka kwa chiwalo cha masomphenya sikudalira kutalika kwa matenda. Chiwerengero chachikulu cha retinal angiopathy (24,4%), ngakhale zitakhala kuti ziwiya zama fundus zimasinthidwanso (kusintha kwa ntchito), mosawerengeka zimawonetsa kuchuluka kwa ana opunduka (Table 1).
Nephropathy imatsata (27%), ndipo kuwonongeka kwa impso mwa anyamata ndi kotheka kwambiri kuposa atsikana. Zidadziwika kuti kuchuluka kwa zotupa za kwamikodzo kumawonjezeka molingana ndi zaka. Mu 50% ya ana omwe adayesedwa, a microalbuminuria adapezeka, zomwe zikuwonetsa kukhudzidwa kwa aimpso parenchyma. Zotsatira za phunziroli zimatilola kuganiza kuti kugonjetsedwa kwa nephron mwa ana omwe ali ndi matenda osokoneza bongo sikudalira kutalika kwa matenda komanso nthawi yayitali. Ubale wazovuta izi ndi zaka wazindikirika, ndiye kuti, umasungidwa kwambiri m'gulu la achinyamata.
Hepatosis adapezeka mu 20% ya ana omwe ali ndi matenda osokoneza bongo, komanso nthawi zambiri mwa ana osaposa zaka 14, zomwe mwina zimachitika chifukwa cha kusakhazikika kwa ana a achinyamata a zaka zazing'ono, omwe amakhala ndi vuto la hypoglycemic pafupipafupi.
Myocardial dystrophy, mtima ndi polyneuropathy zimachitika mwa ana omwe ali ndi pafupipafupi mawonekedwe. Distal polyneuropathy nthawi zambiri amapezeka mwa anyamata (19%). Myocardial dystrophy inali yowonjezereka kuwirikiza kawiri mwa atsikana (20%), ndipo mafupipafupi a izi adakula pambuyo pazaka 14.
Matenda a shuga a matenda ashuga ndiwofala kwambiri osadziwika kwa atsikana, omwe amapezeka kawirikawiri asanakwanitse zaka 14 (14%).
Mavuto angapo (awiri kapena kupitilira apo) adalembedwa mu 50% ya ana ndipo anali ochulukirapo mwa atsikana. Komanso, zovuta zowopsa (ketoacidosis, chikomokere, precoma) zinajambulidwa nthawi zambiri mwa atsikana.
Ngakhale kuti pafupifupi 31% odwala omwe ali ndi matenda osokoneza bongo alibe kupatuka pakukula, kuwonjezereka kwa kukula kunachitika mu 4,6% ya milandu.
Kuphatikizika kwa mankhwala a insulini - lipohypertrophy, yomwe imakulitsa njira ya matenda osokoneza bongo chifukwa cholowerera mosavuta insulin m'malo a jakisoni, inali yofalikira kawiri mwa ana osakwana zaka 14 (22%).
Kukhalapo kwa matenda oyambitsidwa ndi matenda omwe ali ndi matenda amtundu wa 1 akadali vutoli. Chifukwa chake, kwa chotupa chowopsa
34%, tonsillitis yovuta - 21%, gastro-pathology - 18,6%, masamba a adenoid - 15.1%.
Ndikofunika kuwonetsa kuti munthawi yamavuto obwera chifukwa cha mliri (Januware -February - nthawi ya kachiromboka, August-Seputembara - matenda a enterovirus), chiwonetsero chachikulu cha matenda osokoneza bongo chidadziwika.
Chifukwa chake, popereka chidule pamwambapa, ziyenera kudziwitsidwa kuti mafunso pazovuta za shuga kwa ana amakhalabe akufunika.
Kwa madokotala a ana am'madera, timapereka njira zazikulu zothandizira kuzindikira koyambirira komanso kupewa matenda a shuga.
1. Muyenera kuyang'anitsitsa atsikana omwe ali ndi matenda ashuga chifukwa chovuta kwambiri (ketosis ndi ketoacidosis).
2. Nthawi iliyonse mukamayang'ana kunja, chitani mayeso a mkodzo pogwiritsa ntchito njira yodziwitsa anthu mwachangu (mayeso a ketur) ngakhale pakalibe madandaulo, zomwe zingakuthandizeni kutumiza mwana wanu kwa endocrinologist munthawi yake kuti akonze insulin komanso mupewe zonse zovuta za ketoacidosis komanso kuwoneka koyambirira kwa zovuta.
3. mankhwalawa a retinal angiopathy ayenera kuyamba ndi chindapusa cha matenda a shuga: kukonza insulin mankhwala ndi zakudya.
4. Ndikofunikira kuyendetsa urinalysis ya microalbuminuria (MAU) pang'onopang'ono katatu pakadutsa masabata anayi mpaka 12, popeza 5-30% ya achinyamata amakhala ndi albuminuria, kufunikira kwakubadwa komanso kudziwa komwe kumadziwika. Pofuna kupewa zotsatira zabodza za kafukufuku wa UIA, ndikofunikira kuyeseza mkodzo poyambira maziko a chipukutiridwe (chakudya chambiri), kupatula zakudya zama protein, pewani kuyamwa kwambiri, osagwiritsa ntchito mankhwala a diuretic patsiku lakusonkhanitsa mkodzo, osayesa mkodzo motsutsana ndi maziko a kutentha, matenda amkodzo. Miyeso ingapo pa miyezi ingapo ndiyofunikira kuzindikira UIA weniweni. Ngati UIA yalembedwa kawiri pakadutsa masabata 6-12, mwana amafunikira mayeso a Reberg. Yang'anirani mayeso a nephropathy mwa anyamata. Zomwe zimapangitsa kuti pakhale kudwala matenda ashuga nephropathy ndi ochepa matenda oopsa, Hypersecretion wa kukula mahomoni, ndi kusuta.
5. Patatha zaka 14, ana omwe ali ndi matenda osokoneza bongo a 1 matenda a shuga, yang'anani mkhalidwe wa impso.
6. Anyamata ayenera kutumizidwa pafupipafupi kwa akatswiri am'mitsempha kuti akafufuze polyneuropathy. Ma endocrinologists pa polyclinics ayenera kuphunzira kutentha, kupweteka, ndi kumva tactile mwa ana (izi sizifunikira zida zamtengo wapatali).
7. Mukamayesa ana osaposa zaka 14, onani kuyesa kwa chiwindi (ultrasound, kuyesa kwamwazi wamagazi).
8. Dziwani m'matendawa atsikana omwe ali ndi matenda amtundu woyamba 1 wazaka zopitilira 14 chifukwa cha myocardial strophy (EX ECHO-KS).
9. Ambiri mwa anthu odwala matenda ashuga osawerengeka amawonetsa kuwonongeka kwa atsikana. Ndikofunikira kumayeserera pafupipafupi ndi dokotala wazachipatala, makamaka atsikana osakwana zaka 14.
10. Onaninso ana pazovuta za insulini - lipohypertrophy pamalo a jakisoni wa insulin, makamaka ana osakwana zaka 14;
physiotherapy pogwiritsa ntchito kutikita minofu ndi kutikita minofu.
11. Khazikitsani munthawi yake matenda oyambitsidwa ndi matenda, kuchuluka kwake komwe kumayambitsa kuwonongeka kwa matenda a shuga.
Ndikufuna kumaliza nkhaniyo ndi mawu oti: “Sublata causa tollitur morbus” (kuthetsa zomwe zimayambitsa, kuthetsa matendawa).
1. Gitun TV. Maupangiri owunikira a endocrinologist. - M: AST, 2007 .-- 604 p.
2. Dedov I.I., Kuraeva T. L., Peterkova V. A., Shcherba-cheva L. N. Matenda a shuga a ana ndi achinyamata. - M: Kusindikiza kwa Universum, 2002 .-- 391 p.
3. Shestakova M. V., Dedov I. I. Diabetes nephropathy: njira zopititsira patsogolo, chipatala, kuzindikira, chithandizo. - M: GU ENTs MZ RF, 2003 .-- 73 p.
Zodzitetezera pakukula kwa matenda osakhazikika a kupuma thirakiti kwa achinyamata
Truntsova E.S., woyimira wa sayansi ya zamankhwala, Sagitova G.R., dokotala wa sayansi yamankhwala, mutu. Department of matenda a Ana, Gulu Lophunzitsa Maphunziro Omaliza, Dongosolo Logwirizira Maphunziro a State Autonomous Institution of Higher Professional Education "AGMA" la Roszdrav, Khasyanov E. A., MD, Dokotala Wamakhanda, Clinic ya Ana No 1, Astrakhan
M'zaka zaposachedwa, vuto la thanzi la ana azaka za kusukulu lachita chidwi kwambiri. Urbanization ndi anthropotechnogenic katundu, komanso kuwonongeka kwa zachilengedwe m'derali zimathandiza kwambiri kukulitsa matenda opatsirana opumira. Matenda okhalitsa komanso obwereza a bronchopulmonary pathological amatenga malo achitatu momwe achinyamata amakhala osakhazikika ndipo nthawi zambiri amabweretsa kulumala. Ichi ndichifukwa chake kupitiliza kwa maulalo onse azaumoyo ndikofunikira. Akatswiri onse ayenera kubweretsa malo awo pafupi kuti apange njira zofala zodziwira matenda oyamba, kupewa matenda osachiritsika a bronchopulmonary, kulimbikitsa moyo wathanzi, ndikuchotsa zizolowezi zoyipa 1, 4. Kulumikizana pakati pa matenda am'mapapo kwa achinyamata ndi achinyamata sikungalephereke. Kuyambira kuyambira paubwana, matenda a bronchopulmonary aakulu a genesis opatsirana komanso otupa komanso osagwirizana amapitirirabe kwa odwala omwe akula.
Malinga ndi gulu la WHO laposachedwa, achinyamata amawerengedwa kuti ali ndi zaka zapakati pa 10 ndi 20. Zaumoyo zapakhomo zimaganizira ana a zaka zapakati pa 15 mpaka 18, zomwe sizikugwirizana kwenikweni ndi machitidwe. Malinga ndi kuchuluka kwa zochita za thupi m'thupi, nthawi ya unyamata imakhala m'malo yachiwiri pambuyo pa nthawi yoyambirira. Jean-Jacques Rousseau adamutcha "kubadwa kwachiwiri kwa munthu." Kukula kwachangu, kophatikiza ndi kukonzanso kwa mahomoni ndi psycho, komwe kumalimbikitsidwa ndi zochitika za ziwalo zonse ndi machitidwe, ndi "kuyesa kwa nkhawa". Mkhalidwe waumoyo pakukula kwaunyamata ndi thanzi la munthu munyengo yotsatila.
Kudziwitsidwa kwambiri pazinthu zoyipa nthawi zambiri kumatha kukhala komweko
kuchitika kapena kulemera kwa matenda omwe alipo. Muubwana, mapangidwe azisudzo a machitidwe, zizolowezi zoipa, zimakhudza kwambiri thanzi m'moyo wamtsogolo. Tiyenera kukumbukira kuti chifukwa chakufunika kwakanthawi pazovuta zamtunduwu, kuwunika kwa anzawo komanso kudzidalira, malingaliro osiyanasiyana amtunduwu ndi achinyamata ndi zotheka - kuyambira posagwirizana kwathunthu ndi mkhalidwe wawo mpaka kumizidwa m'matenda. Ambiri mwa ana satha kupenda bwino matendawa, kufunikira kwa chithandizo cha nthawi yayitali, komwe kumapangitsa kuti asamamveke bwino ndi makolo, kutsatira kuchipatala ndi kulandira chithandizo chamanthawi.
Mukamawunika kufalikira kwa matenda opatsirana a bronchopulmonary pakati pa izi, ndizosatheka kungoyang'ana kuchuluka kwa kuchepa malinga ndi kupezeka, malinga ndi mayeso azachipatala.Monga lamulo, ziwonetserozi sizinyalanyazidwa chifukwa cha kuchuluka kochepa kwa achinyamata, kuchepa kwapadera kwa matenda osatha ndi madotolo oyang'anira chisamaliro chifukwa chosakonzekera bwino komanso kusakwanira kwazinthu zofunikira komanso chithandizo chamankhwala cha mabungwe azachipatala. Kukula kwa kulumala mu achinyamata kumatsimikiziridwa makamaka ndiofala kwambiri pakati pa matenda aakulu - mphumu ya bronchial.
Zipangizo ndi Njira
Kafukufuku wapa mtanda (wamagawo) pogwiritsa ntchito njira zosasankhika zomwe anachita kafukufuku wokhudza ana 1511, kuphatikiza achinyamata 328 azaka 15-18 (atsikana 189 ndi anyamata a 139).
Kafukufukuyu adawonetsa kuti ana makumi asanu ndi limodzi mphambu zisanu ndi ziwiri mwa ana omwe amakhala ndi zaka zaunyamata amakhala ndi matenda opuma
Ntchito ya Unduna wa Zaumoyo wa dera la Astrakhan pamagulu azikhalidwe
Malinga ndi kafukufuku waposachedwa, kuchuluka kwa odwala matenda a shuga m'dera la Astrakhan kukukulira nthawi zonse. Pafupifupi anthu 300-400 pachaka panthawi yoyezetsa zamankhwala, izi zakupweteketsani mtima zikuwululidwa.
Popeza kufunikira kwakadwala kwa odwala matenda ashuga m'mankhwala, Ministry of Health yaku Astrakhan imayang'anira nkhaniyi mwapadera.
Malinga ndi malamulo a Russian Federation, dipatimenti yachigawo imaloledwa kugula mankhwala ofunikira a magulu ena a nzika omwe ali ndi ufulu kulandira mankhwala kuchokera ku boma.
Zambiri pazokhudza magulu omwe nzika zomwe zili zoyenera kupindula komanso thandizo laulere zikufotokozedwa pano.
Makamaka amalipidwa kuti ayesere mizere kuti apeze shuga m'magazi. Malinga ndi dongosolo la Unduna wa Zaumoyo ku Russia Federation yomwe inalembedwa 09.11.2012 No. 751n "Pa kuvomerezedwa kwa chithandizo chamankhwala oyambira odwala matenda ashuga mellitus" mizere yoyeserera shuga m'magazi sakuphatikizidwa mu miyezo yoperekera chithandizo chamankhwala oyambira.
Poganizira kufunika kwa matendawa, dipatimenti yachigawo chaka chilichonse imagula mizere kwa odwala onse omwe akuwafuna.
Chisankhochi chimapangidwa ndi bungwe lapadera lachipatala la bungwe lazachipatala pomwe odwala omwe ali ndi matenda ashuga amayang'aniridwa.
Pafupifupi ma miliyoni ruble 100 amaperekedwa chaka chilichonse kuchokera ku bajeti yachigawo pazolinga izi.
Kuphatikiza apo, hotline yakhazikitsidwa m'derali kuti ipereke chiwerengero cha anthu ndi mitundu ya matenda ashuga a 2. Nzika zonse zomwe zili ndi ufulu kulandira chithandizo chaboma zimatumizidwa ku malo ogulitsa mankhwalawa kuti akalandire mankhwala omwe sanapezeke m'mafakitala ena panthawi yomwe wodwalayo apempha.
Chifukwa cha kuwunikira kosalekeza ndi Unduna wa Zaumoyo wa Astrakhan Region, kuperekera kwa mankhwala ofunikira kwa nzika kuli pamlingo wambiri.
Ma makemikolo am'magawo amapezeka mokwanira ndi mankhwala monga:
Palibe zosokoneza pakupezeka kwa mankhwala ofunikira kwa odwala matenda ashuga m'dera la Astrakhan.
Hotline yakhazikitsidwa kudera la Astrakhan kuti ithetse mavuto mwachangu pazopereka mankhwala onse ofunikira. Nkhani zonse zimathetsedwa ndikutumizidwa ku mabungwe azachipatala oyenera, kapena kusankhidwa mwachindunji kudipatimenti yoyang'anira zigawo.
Mafoni a Hotline:
- 8 (8512) 52-30-30
- 8 (8512) 52-40-40
Mzerewu ndi njira zingapo, kulumikizana kumachitika nthawi yonseyo. Madokotala odziwa bwino ntchito yawo, akatswiri azamankhwala, komanso akatswiri azamankhwala amayankha mafunso odwala.
Tikuwona ntchito yoyanjanirana ya hotline ndi akatswiri a Ministry of Health of the Astrakhan. Izi zimathandiza kuthetsa mavuto onse mwachangu komanso mwachangu.
Pamodzi ndi izi, hotline ikugwira ntchito ku Astrakhan pazinthu zamankhwala okondera ndikuwapatsa kuchuluka kwa anthu. Akatswiri a mafoni amtunduwu amagwira ntchito yofotokozera njira zoperekera mankhwala osankhika pansi pa mapulogalamu amakondwerero aboma.
Foni yopotera ku Astrakhan 34-91-89Imagwira kuyambira Lolemba mpaka Lachisanu, kuyambira 9 mpaka 17,00.
Zogawana pagulu
Chaka chilichonse m'dera la Astrakhan, Tsiku la Ashuga Padziko Lonse limachitika. Chifukwa chake mu 2018, kampeni ya "Check magazi a shuga", komanso msonkhano wachipatala, adachitika ku chipatala cha Alexander Mariinsky Regional Hospital.
Pamsonkhanowu, chidwi chapadera chinalipiridwa ku vuto la kuzindikira mochedwa matenda a shuga. Vutoli ndikuti anthu samalipira chidwi chifukwa chaumoyo ndipo nthawi zambiri amayendetsa kuchuluka kwa shuga m'magazi.
Kulingalira kwathanzi lanu kumabweretsa chiwonjezeko cha mitundu yolembetsa ya matenda oopsa a shuga, ndipo, monga chotulukapo, kukulira kwa kuchuluka kwa zovuta za matenda ashuga.
Cholinga cha misonkhano ndi zochitika ngati izi ndikupereka chidziwitso kwa anthu chidziwitso chofunikira chokhudza matendawa komanso kupewa kwake. Timabuku totsatsa komanso timabuku tokhudza matenda ashuga komanso njira zopewa matendawa anagawidwa kwa aliyense.
Njira zoyenera zodziwikirazi zinatengedwa, kuphatikizapo:
- Miyeso yakukakamiza.
- Kuyesedwa kwa magazi kwa shuga.
- Kufunsa kwa adotolo.
- Kuyesera ndikuitanitsa nsapato zapadera zamatenda a odwala matenda ashuga.
Chisamaliro chachikulu chimaperekedwa ku vuto la matenda a shuga kwa ana. Madokotala ndi akatswiri azachipatala amagwira ntchito yowunikira pakati pa anthu kuti afunika kukhala ndi kadyedwe koyenera kwa onse odwala matenda ashuga komanso kupewa.
Gawo lofunikira limakhalabe maphunziro akuthupi ndi masewera pakati pa ana ndiunyamata, mavuto otsatirawa aganiziridwa:
- Kunenepa kwambiri komanso kunenepa kwambiri ku matenda ashuga.
- Kupezeka kwa matenda ashuga mwa abale apamtima.
- Mulingo wochepa wolimbitsa thupi.
- Mitundu yotsika ya cholesterol yabwino ya HDL.
Mafunso onsewa adaphatikizidwa mu pulogalamu yakulankhula payekhapayekha ndi chiwerengero cha anthu momwe angasinthire moyo wawo.
Matenda oopsa oopsa m'deralo
Malinga ndi kuchuluka kwa GBUZ JSC "Center for Medical Prevention", vuto la matenda oopsa m'magulu a Astrakhan ndilosafunikira kwenikweni ku Russia kwathunthu komanso kuposa matenda a shuga. Komabe, vutoli lidakali lofunika, ndipo kuchuluka kwa odwala matenda oopsa akupitiliza kukula.
Mwa anthu opitilira zaka 60, munthu wina aliyense wokhala m'chigawo chilichonse amalemba magazi.
Chifukwa cha kupangidwa kwa mtima wamtima ndi cardio wogulitsa dera la Astrakhan, komanso kukhazikitsidwa kwa mgwirizano wogwirizana wotumizira pa intaneti ECG, maulendo a odwala omwe ali ndi vuto la mtima komanso mikwingwirima, ziwopsezo zakufa chifukwa cha matenda amtima zidachepetsedwa ndi kotala!
Zina mwazinthu zokhudzana ndi moyo wachigawo
Kuphatikiza pa kusamalira thanzi la Astrakhan, utsogoleri wamaderawo umapereka chidwi chachikulu ku magawo ena a moyo wamakhalidwe.
Kufunikira kwambiri kumayikidwa pa chitukuko chaunyamata, makamaka kwa ana ndi achinyamata omwe ali pamavuto.
Kupanga malingaliro okongola a dziko lapansi mwa ana ndi achinyamata, oyang'anira zigawo adakhazikitsa pulogalamu ya Zokongoletsa, yomwe imakhazikitsidwa ndikukula ndi kuthandizira kwa luso la kulenga kwa ana. Izi zikugwiranso ntchito ku croupotherapy - kupaka mawonekedwe ndi luso.
Kuchita koyamba kudachitika mu 2018 ku Istok Center pamaziko a library ya ana. Apa, kusinthana kwa chidziwitso, maluso ndi kuthekera kunachitika ndi akatswiri a pakati.
Cholinga chachikulu ndikuwona kukongoletsa kolondola kwa malingaliro akugwira ntchito ndi chilengedwe, moyo watsiku ndi tsiku, luso komanso moyo wamakhalidwe.
Boma la Achinyamata la dera la Astrakhan limagwiranso ntchito. Zolinga zikuluzikulu ndikukhazikitsa mtundu wotsogola womwe ungazindikire bwino zomwe dera lingakwanitse ndikupanga gawo lazatsopano.
Bungweli limathandizira achinyamata pakudziwona komanso kudzilimbitsa. Atsikana ndi anyamata awa ndiye tsogolo la chigawo.
Zofunikira ndizoyambira: maphunziro ndi ntchito, chitetezo chamankhwala komanso chikhalidwe, chilengedwe ndi moyo watsiku ndi tsiku. Kufunika kwakukulu ndizomwe zimakhudzidwa ndi kusamuka kwa anthu kuchokera kuderali.
Tikuwonanso kutenga nawo gawo kwa okhala mdera la Astrakhan ku mphotho ya dziko lonse "Civil Initiative". Ma projekiti ofunikira komanso malingaliro olimbikitsa adawonetsedwa pa mpikisano.
Ponena za okalamba, dera lino lili ndi zakechita bwino. Chifukwa chake maubwino a anthu omwe ali pafupi ndi zaka zopuma pantchito adavomerezedwa, ndipo adasinthasintha.
Ubwino unaperekedwa kwa ogwira ntchito pantchito pantchito yolipirira zinthu zofunikira pa mayendedwe ndi mayendedwe, kupanga kwaulere kwa mano, kupatsa mwayi wogwiritsa ntchito telefoni.
Sanaiwale za ogwira ntchito zapamtunda omwe amagwira ntchito m'midzi ya m'chigawo cha Astrakhan kwa zaka zoposa 10, adathandizidwa ndi ndalama zothandizira ndalama zolipirira malo okhala ndi zothandizira.
Mchigawochi, pulogalamu ya Social Tourism ikuyendetsedwa, mkati mwa momwe maulendo amakonzedwera nzika zachikulire ku Astrakhan Territory. Pamaulendo oterewa, omwe amapuma pantchito amapita kukaona malo, kuphunzira za miyambo ndi chikhalidwe cha kwawo. Anthu masauzande ambiri amapuma pantchito zawo chaka chilichonse.