Kodi odwala matenda ashuga amapeza bwanji insulin kwaulere?

Momwe odwala matenda ashuga amapezera insulin kwaulere - News

Anthu omwe ali ndi matenda a shuga, makamaka omwe ali ndi mtundu woyamba wa matendawa, ayenera kuwunika kuchuluka kwa glucose m'miyoyo yawo yonse, kugwiritsa ntchito mankhwala omwe adokotala adapereka kuti akhalebe ndi shuga, komanso kubayanso insulin.

Kuti mudziwe kuchuluka kwa shuga m'magazi, pali mitundu yambiri ya zida zomwe zimatchedwa glucometer, zomwe zimakupatsani mwayi wowunikira nthawi iliyonse, ndipo ngati ndiwambiri kapena wotsika kwambiri kuti muthane ndi ziyeso kukhazikika.

Matenda A shuga: Phindu

Wodwala aliyense yemwe ali ndi matenda ashuga ali m'gulu la anthu omwe amatchedwa opindula. Izi zikutanthauza kuti aliyense wa anthuwa ali ndi ufulu kulandira insulin yaulere komanso mankhwala ena omwe boma limapereka. Kodi odwala matenda ashuga a mtundu woyamba ndi omwe ali ndi:

Pezani insulin ndi ma syringes aulere.
Pezani chithandizo kuchipatala.
Pezani glucometer ndi zinthu zina.

Boma limakakamizidwanso kupatsa odwala mankhwala onse omwe angakhalepo kuti akhazikitse shuga.

Njira yopezera insulin

Pali njira ziwiri zopezera insulin:

kugula mankhwala muchipatala popanda mankhwala,
mankhwala kuchokera kwa dokotala.

Njira yoyamba ilipo kuti odwala omwe alibe nthawi yopeza mankhwala kapena chifukwa chilichonse, afunseni kuti mugule mankhwalawo. Njira yachiwiri imaperekera kupezeka kwa mankhwala omwe asing'anga amachokera kwa anthu omwe ndi achilendowo, ndiye kuti ali ndi chilolezo chokhala. Endocrinologist kapena namwino yemwe amaphatikizidwa m'kaundula wopatsa mankhwala ali ndi ufulu wopereka insulin.

Momwe mungapangire insulin kwaulere

Mpaka pano, pali njira yoperekera mankhwala kwa nzika zomwe zikufuna. Mankhwalawa amaperekedwa ndi dokotala yemwe amapita kwa wodwala payekha. Kuti mupereke mankhwala, dokotala amafunika kulemba:

pasipoti
inshuwaransi yamankhwala (ndondomeko),
ndondomeko ya inshuwaransi,
chikalata chilema
chikalata chawo cha PF posakana kukana ntchito zachitukuko.

Momwe mungathanirane ndi matenda a insulin

Atapereka zikalata zofunikira, dokotalayo amalemba mankhwala. Potsirizira, muyenera kulumikizana ndi imodzi mwa malo ogulitsa mankhwala omwe mapangano akugwirizana ndi zomwe boma limapereka atamaliza. Malangizo omwe adalembedwa ndi adokotala ndi othandizira kuyambira masiku 14 mpaka 30 masiku. Izi zikuwonetsedwa mwachindunji pa Chinsinsi. Sikuti wodwala yekhayo angalandire insulin, komanso abale ake apamtima popereka fomu yodwala. Ngati kwa nthawi yochepa mankhwala omwe dokotala wakupatsani sakupezeka ku mankhwalawa, muyenera kuchita izi: funsani kwa oyang'anira zamankhwala kuti mulembe chikalata chomwe chimakupatsani mwayi wolandira mankhwalawo mu buku lomwe lakonzedwera njirayi. Pambuyo pake, mankhwalawa amayenera kuperekedwa kwa masiku opitilira khumi. Ngati mankhwalawa sanaperekedwe pamasiku omwe akuwonetsedwa, ndiye kuti mankhwalawo amakakamizika kupereka chidziwitso pakuchitanso zina.

Dokotalayo anakana kupereka mankhwala a insulin

Ngati dokotala wakana kulemba kalata kwa wodwala, pamenepa, muyenera kulankhulana ndi dokotala wamkulu wa dipatimentiyo ndi pemphelo kuti mufotokoze za vutolo. Poona kuti dokotala wamkulu wakana kupereka mankhwala ndi kufotokoza chilichonse, ndikofunikira kufunsa kukana kolemba. Pa chimodzi mwazomwe muyenera kudziwa chipatala chokhudza zamakalata omwe akubwera. Kuphatikiza apo, muyenera kulumikizana ndi Inshuwaransi ya Health Insurance ndi mawu osagwirizana ndi ntchito za ogwira ntchito pachipatalachi. Chifukwa chake, ngati palibe mwanjira ili pamwambapa yomwe idagwira, ndiye kuti muyenera kulumikizana ndi ofesi ya wotsutsa ndi zofunikira za lamulo loletsa kukhumudwitsidwa ndi ogwira ntchito yazaumoyo.

Wodalira insulin ayenera, malinga ndi lamulo, alandire insulin m'malo oyenera popanda zopinga zilizonse. Njirayi ndiyofunika kwa anthu odwala matenda ashuga.

Malinga ndi ziwerengero, anthu pafupifupi mamiliyoni atatu amadwala matendawa m'njira zosiyanasiyana padziko lapansi. Mwa chiwerengerochi, pafupifupi theka amafunika chithandizo cha insulin. Izi zikusonyeza kuti popanda kumwa mankhwala a insulin, kuchuluka kwa shuga m'magazi kumatha kukwera nthawi inayake, zomwe zingayambitse zovuta zina ngati izi zikuchitika mwatsatanetsatane. Anthu omwe ali ndi matenda ashuga ayenera kukhala otsimikiza pa zaumoyo wawo. Tsiku lililonse, yang'anirani shuga m'magazi ndipo ngati kuli koyenera, jekeseni insulin ina. Kuonana ndi endocrinologist kumakhalanso kofunikira nthawi zina.

Ubwino wa odwala matenda ashuga

Insulin yaulere ya odwala matenda ashuga imaperekedwa m'magulu amenewo a odwala omwe amapatsidwa mankhwala a insulin, mosasamala mtundu wa shuga. Thandizo lotere limaperekedwa kwa anthu aku Russia, komanso kwa anthu omwe alandila chilolezo chokhala.

Malangizo pazopereka zaulere zamankhwala a shuga zimapereka chilimbikitso, kuwonjezera pa insulin, ya othandizira owonera shuga. Kwa odwala matenda a shuga omwe amakhala akusungirako mankhwala a insulin nthawi zonse, chipangizo chowunikira shuga wamagazi ndi mizere yoyeserera chimaperekedwa kwaulere kwa muyeso wa katatu wa glycemia.

Kwa matenda a shuga a 2, mndandanda wamankhwala aulere mu 2017 akuphatikizapo gliclazide, glibenclamide, repaglinide, metformin. Komanso, ndi mtundu wachiwiri wa matenda osokoneza bongo, odwala amalandila mzere wa 1 patsiku, ngati insulin sinalembedwe, ndiye kuti wodwalayo ayenera kugula glucometer mwa ndalama zawo.

Komanso, ngati wodwala sakukhala ndi insulin, koma ali m'gulu laoperewera, ndiye kuti chipangizo choyezera shuga ndi mzere umodzi patsiku zimaperekedwa pokhapokha ndalama za boma.

Njira yoperekera mankhwala a insulin yaulere imaphatikizapo malamulo awa:

Asanapereke mankhwala, a endocrinologist amachita mayeso ndi ma labotale.
Pafupipafupi kupereka mankhwala kamodzi pamwezi.
Wodwala amayenera kulandira mankhwala okha.
Kukana kupereka mankhwala sikungakhale koyenera chifukwa chosowa ndalama, chifukwa ndalama zonse zimaperekedwa pakuchotsa ndalama ku boma kapena kwanuko.
Milandu yomwe yasokonezedwa imathetsedwa ndikuyang'anira pachipatala kapena thumba la inshuwaransi yokakamizidwa ya chipatala.

Kuti mupeze mankhwala kuchokera kwa endocrinologist, muyenera kukhala ndi pasipoti, ndondomeko ya zamankhwala, satifiketi ya inshuwaransi, satifiketi yosavomerezeka (ngati ilipo) kapena chikalata china chotsimikizira ufulu wa kulandira insulini mwachisawawa.

Kuphatikiza apo, zidzakhala zofunikira kupeza chikalata kuchokera ku Pension Fund kuti wodwala sanakane maubwino omwe amaperekedwa.

Ngati akukana (pang'ono kapena kwathunthu) kwa omwe adzapindule, ndalama zolipiridwa zimaperekedwa, koma kuchuluka kwake sikungafotokoze kwathunthu mtengo wa chithandizo ndi kubwezeretsa.

Momwe mungalowe ndi insulin mu mankhwala?

Mutha kulandira insulini yaulere pamafakitala omwe chipatala chimagwirizana. Adilesi yawo iyenera kufotokozeredwa kwa wodwala ndi dokotala polemba mankhwala. Ngati wodwalayo analibe nthawi yoti abwere kwa adokotala nthawi, ndipo chifukwa chake adasiyidwa osalandira mankhwala, ndiye kuti angathe kugulidwa ndi ndalama ku pharmacy iliyonse.

Kwa odwala omwe amafunikira jakisoni wa insulin tsiku ndi tsiku, ndikofunikira kuti pakhale mankhwalawa kuti musaphonye jakisoni pazifukwa zilizonse - mwachitsanzo, chifukwa cha dongosolo la ntchito, kusowa kwa insulini mu pharmacy, kapena kusamutsidwa. Popanda kuperekera nthawi yake mankhwala a insulin mthupi, zosokoneza zomwe sizingasinthe zimapangika ndipo ngakhale zotsatira zake zingathe.

Wodwala yemwe ali ndi matenda ashuga amatha kulumikizana ndi dotolo mwachindunji, wachibale kapena aliyense woimira wodwalayo atha kuchipatala. Kutalika kwa mankhwalawa kwa mankhwala ndikupereka kuchokera pa milungu iwiri mpaka mwezi umodzi. Chizindikiro pa izi ziyenera kuchitika pazomwe zaperekedwa.

Ngati mankhwala adayankha kuti sititulutsa insulini kwaulere, muyenera kulandila kukana zolembedwa zomwe zikuwonetsa chifukwa chomwe akukanira, deti, siginecha ndi chidindo cha bungweli. Chikalatachi chitha kugwiritsidwa ntchito ku nthambi yanthambi ya Mandatory Health Insurance Fund.

Ndi insulin yochepa, muyenera kuchita izi:

Lowetsani nambala yamulembedwe muzolemba zamankhwala muma pharmacist.
Siyani zambiri zakugawana kuti wogulitsa mankhwala azidziwitsa za mankhwalawo.
Ngati malamulowo sanamalizidwe pasanathe masiku 10, oyang'anira pharmacy ayenera kuchenjeza wodwalayo ndi kupita ku malo ena ogulitsira.

Ngati mankhwala atayika, muyenera kufunsa dokotala yemwe adakulemberani posachedwa. Popeza kuphatikiza pakupereka fomu yatsopano, adotolo ayenera kudziwitsa kampani yopanga mankhwala izi.

Kusamala koteroko kuyenera kupewa kugwiritsa ntchito mankhwala mosaloledwa.

Kukana kupereka mankhwala a insulini yaulere

Kuti mumvetse bwino ngati madokotala akukana kupereka mankhwala a insulini kapena mankhwala ndi zida zamankhwala, muyenera kufunsa dokotala wamkulu wakuchipatala. Ngati pamlingo wake nkhaniyi italephera kufotokozedwa, ndiye muyenera kufunsa chifukwa cholembedwa.

Pempho loti mutsimikizire kukana kwanu kungakhale kwa mawu, koma m'malo osemphana ndikwabwino kuti apange makope awiri ofunsira cholembedwa m'dzina la sing'anga wamkulu, komanso kwa mlembi kuti alandire chilembo pa chikalata chachiwiri pakulandila pempholo yobwera.

Malinga ndi lamulo, achipatala ayenera kupereka yankho ku pempholi. Mwanjira iyi, mutha kulumikizana ndi Insuranceory Insurance Fund. Ntchito yolembedwa iyenera kutumizidwa ndikunena kuti bungwe lazachipatala likukakamiza kupereka lingaliro lamankhwala othandizira odwala matenda ashuga.

Ngati zikuwoneka kuti yankho lolondola silidzalandiridwa pazigawo izi, ndiye njira zotsatirazi:

Kudandaula kwadongosolo ku Unduna wa Zaumoyo.
Ntchito kwa oyang'anira chitetezo cha chikhalidwe.
Kudandaula ku Ofesi Yotsutsa pazokhudza zomwe ogwira ntchito azaumoyo amachita.

Ntchito iliyonse iyenera kukhala yofanana, pamakope omwe atsala m'manja mwa wodwalayo, payenera kukhala cholembedwa pazovomerezeka ndi kulembetsa kwa makalata a bungwe lomwe pempho lidatumizidwa.

Ubwino wa Ana Omwe Ali Ndi Matenda A shuga

Ana omwe ali ndi matenda amtundu woyamba amakhala ndi chilema osazindikira kuchuluka kwa gulu. Popita nthawi, imatha kuchotsedwa kapena kusinthidwa malinga ndi kutha kwa matendawa. Ana angayembekezere kulandira ma voti opatsirana mwachisawawa kamodzi pachaka.

Boma limalipira ndalama zoyendera kupita kumalo okalandira chithandizo ndi kumbuyo, chithandizo ndi malo ogona, ndipo makolo amapatsidwa mwayi wolandila malo ogona panthawi yomwe mwana wachira.

Ana, komanso amayi oyembekezera omwe ali ndi gulu lopunduka kapena opanda olumala, amatha kutenga magazi aulere m'magazi ndi mizere yoyesera, zolembera za syringe, ndi mankhwala omwe amachepetsa shuga.

Kuti mulandire zabwino, muyenera kukayezetsa kuchipatala. Pankhaniyi, zolemba zotere zingafunike:

Mawu ochokera kwa makolo.
Pasipoti ya makolo kapena oyang'anira, satifiketi yobadwa. Pambuyo pa zaka 14 - pasipoti ya mwana.
Khadi lakunja ndi zolemba zina zamankhwala.
Ngati uku ndikuwunikiranso: Satifiketi yakulemala ndi pulogalamu yokhazikitsira munthu payekha.

Kodi mungapeze bwanji tikiti yopita ku Sanatorium?

Kwa odwala matenda ashuga, amawatumiza ku spa chithandizo mwapadera amaperekedwa. Kuti mupeze tikiti yaulere, ku chipatala chachigawo muyenera kutenga satifiketi mu nambala 070 / u-04, ndipo ngati mwanayo ali ndi matenda ashuga, ndiye - Ayi. 076 / u-04.

Zitatha izi, muyenera kulumikizana ndi Inshuwaransi ya Inshuwaransi, komanso mabungwe aliwonse azachitetezo omwe adachita mgwirizano ndi Fund. Chaka chino, muyenera kuchita izi Disembala 1 lisanachitike.

Pakupita masiku khumi okhazikitsidwa ndi lamulo, yankho liyenera kulandiridwa pakaperekedwa kwa chilolezo ku sanatorium, chomwe chikufanana ndi mbiri ya matendawa, ndikuwonetsa tsiku loyambira chithandizo. Tikiti iyi imaperekedwa kwa wodwala pasadakhale, pasanathe masiku 21 asanafike. Iyenera kuperekedwa mokwanira, kukhala ndi chisindikizo cha Fund ya Inshuwaransi Yachikhalidwe, cholemba chokhudza kulipira ndalama kuchokera ku boma. Ma vouche oterowo satha kugulitsidwa.

Miyezi iwiri musanachoke kapena pambuyo pake, muyenera kufunsira khadi ya chithandizo cha sanatorium kuchipatala chomwechi chomwe chidapereka chithandizo chakuchiritsidwira kwa Sanatorium. Ili ndi chidziwitso chodziwitsa wodwalayo komanso chithandizo chodwala, chithandizo chomwe chatengedwa, mfundo yokhuza kuthekera kochiritsidwanso mu sanatorium.

Mutha kulembetsanso tikiti ku dipatimenti ya Federal Vouchers ku Ministry of Health of the Russian Federation. Pankhaniyi, kuwonjezera pa kugwiritsa ntchito, muyenera kusonkhanitsa zikalata izi:

Pasipoti ya nzika ya Russian Federation ndi makope ake awiri okhala ndi masamba No. 2,3,5.
Ngati pali kulumala, ndiye kuti makope awiri agulu limodzi.
Nambala ya inshuwaransi yaakaunti yaumwini ndi makope awiri.
Satifiketi yalemala - makope awiri.
Satifiketi yochokera ku Pension Fund kuti pali zopindulitsa za ndalama pachaka chino ndi choyambirira komanso kope.
Zambiri pa fomu Nambala 070 / y-04 kwa wamkulu, No. 076 / y-04 kwa mwana woperekedwa ndi adokotala. Ndiwothandiza miyezi 6 yokha.

Ngati pazifukwa zina sizingatheke kupita kuchipatala, ndiye kuti muyenera kubwezeranso tikiti pasanathe masiku 7 isanayambike ntchitoyo. Pambuyo pa chithandizo mu sanatorium, muyenera kupereka chiphaso kwa tikiti ku bungwe lomwe linapereka, ndipo afotokozereni za njira zomwe zachitidwazo ziyenera kuperekedwa kwa adokotala.

Pofuna kuti musamakumane ndi zovuta mukamafunsira mwayi kwa mwana yemwe ali ndi matenda osokoneza bongo komanso gulu la nzika yachikulire kuti mulandire mankhwala ndi makalata ochiritsira, muyenera kupita pafupipafupi ndi a endocrinologist ndikupita kukayezetsa pafupipafupi kuchokera kwa akatswiri okhudzana, komanso mayeso a matenda a labotale. Kuyanjana kumeneku kumathandizira kuwongolera kwabwino kwa matenda ashuga.

Kanemayo munkhaniyi akukamba za zabwino za odwala matenda ashuga.

Phindu la Matenda A shuga

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

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

Odwala omwe apezeka ndi matenda amtundu woyamba ali ndi ufulu:

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

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

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

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

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

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

Ndi matenda a shuga a 2, wodwala ali ndi ufulu:

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

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

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

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

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

Kukana phukusi lazachikhalidwe

Ngati nkosatheka kukafika ku malo a sanatorium kapena disensary, wodwala matenda ashuga atha kukana dala kuchipatala. Potere, wodwalayo amalandila chipukuta ndalama chifukwa chosagwiritsa ntchito chilolezo.

Komabe, ndikofunikira kumvetsetsa kuti ndalama zomwe zimalipiridwa zimakhala zochepa poyerekeza ndi mtengo weniweni wokhala m'dera lopumira. Pachifukwa ichi, anthu nthawi zambiri amakana phukusi pokhapokha ngati, pazifukwa zilizonse, sizotheka kugwiritsa ntchito tikiti.

Pankhani yopeza mankhwala omwe amakonda, wodwala matenda ashuga amatha kulandira insulin ndi mankhwala ena ochepetsa shuga, ngakhale atakana mwakufuna kwawo. Zomwezi zimagwiranso ntchito ma insulin syringes, glucometer, ndi zida zoyeserera shuga m'magazi.

Tsoka ilo, masiku ano zinthu zili choncho kuti anthu ambiri odwala matenda ashuga asankha kutenga mwayi wokana phindu kuti alandire ndalama zochepa kuboma.

Odwala amalimbikitsa zochita zawo nthawi zambiri chifukwa chokhala ndi thanzi labwinobwino, kukana kulandira mankhwala osokoneza bongo. Komabe, ngati muwerengera mtengo wokhala pakubwera milungu iwiri m malo ampumulo, zimapezeka kuti malipiro azikhala ocheperako maulendo 15 kuposa phukusi lathunthu la odwala matenda ashuga.

Moyo wochepera wokhala ndi odwala ambiri umawapangitsa kusiya chithandizo chamankhwala apamwamba mokomera chithandizo chochepa.

Pakadali pano, anthu samaganizira nthawi zonse kuti pambuyo pa sabata boma la thanzi limatha kusokonekera kwambiri, ndipo sipangakhale mwayi wopita kuchipatala.

Kupeza mankhwala okondera

Mankhwala aulere othandizira matendawa pamaziko a zabwino amapatsidwa ndi endocrinologist potengera matenda a shuga. Kuti izi zitheke, wodwalayo amapima mayeso athunthu, amatenga magazi ndi mkodzo pamiyeso ya shuga. Atalandira zotsatira zonse, dokotalayo amasankha dongosolo la kaperekedwe ka mankhwala ndi kuchuluka kwa mankhwalawa. Zambiri izi zimawonetsedwa mu mankhwala.

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

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

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

Ubwino wa odwala omwe ali ndi matenda ashuga mu 2018-2019

Kanema (dinani kusewera).

Ndi matenda a shuga amtundu uliwonse, odwala endocrinologists amafunikira mankhwala okwera mtengo komanso njira zingapo zamankhwala. Poganizira kuchuluka kwakuchulukirako, boma likuchita zinthu zosiyanasiyana kuthandiza odwala. Ubwino wa odwala matenda ashuga amakupatsirani mankhwala ofunikira, komanso kulandira chithandizo chaulere pa dispensary. Sikuti wodwala aliyense amauzidwa za mwayi wokhala ndi chitetezo chamtundu uliwonse.

Kodi onse odwala matenda ashuga ndi oyenera kupindula? Kodi ndikofunikira kulembetsa kulemala kuti mulandire? Tiyeni tikambiranenso izi.

Udindo wa anthu odwala matenda ashuga ku Russia ndi vuto lomwe limadzetsa nkhawa, lomwe silimatchulidwanso kawirikawiri pazofalitsa komanso pokambirana ndi endocrinologist.

Komabe, wodwala aliyense, mosasamala za kuopsa kwa matendawa, mtundu wake, kapena kukhalapo kwa kulumala, ali ndi ufulu kulandira odwala matenda ashuga.

Kanema (dinani kusewera).

Izi zikuphatikiza:

Kuchita kafukufuku kumalo azachipatala, wodwalayo samachotsedwa maphunziro kapena amagwira ntchito mwanjira yomwe lamulo limapereka kwa nthawi yodziwika. Kuphatikiza pa kupenda chithokomiro cha chiwindi ndi chithokomiro, wodwala matenda ashuga amatha kupezanso chidziwitso pakuzindikira kwamanjenje, mtima ndi ziwalo.

Kuyendera akatswiri onse ndikuchita mayeso ndi kwaulere kwa wodwala, ndipo zotsatira zonse zimatumizidwa kwa dokotala.

Chitsanzo cha malo ophunzirira ngati awa ndi Endocrinology Center of the Medical Academy ku Moscow, yomwe ili pamalo opangira metro Akademicheskaya.

Kuphatikiza pa njira zothandizira anthu panozi, odwala ali ndi ufulu wopeza zina, zomwe zimadalira mtundu wamatenda ndi kuuma kwawo.

Kuphatikizidwa kwapadera kwa chithandizo chamankhwala kwapangidwa kwa odwala omwe amadalira insulin, kuphatikiza:

Kupereka mankhwala othandizira odwala matenda ashuga ndi zotsatira zake.
Zithandizo zamankhwala za jakisoni, muyeso wa shuga ndi njira zina. Zowonjezera zimawerengeredwa kuti wodwalayo azitha kuyesa insulini osachepera katatu patsiku.

Odwala omwe sangathe kuthana ndi matendawa payekha amatha kudalira thandizo la ogwira ntchito zandalama. Udindo wake ndikutumiza wodwalayo kunyumba.

Nthawi zambiri, matenda a shuga omwe amadalira insulin amabweretsa kulemala, chifukwa chake odwala matenda ashuga 1 alandila ufulu pazabwino zonse zomwe apezazi.

Kodi mufunika upangiri waluso pankhaniyi? Fotokozani vuto lanu ndipo owerenga athu akumana nanu posachedwa.

Kwa odwala omwe ali ndi matenda a shuga a 2, zotsatirazi zimaperekedwa:

Kubwezeretsa mu sanatoriums. Odwala a Endocrinologist amatha kudalira kukonzanso chikhalidwe. Chifukwa chake, odwala amapeza mwayi wophunzira, kusintha kusintha kwazomwe amachita. Mothandizidwa ndi njira zothandizira zigawo, a 2 matenda ashuga amapita kumasewera ndikupita kukachita maphunziro azachipatala. Mutha kupeza tikiti yopita ku sanatorium popanda kulumala komwe mwapatsidwa. Kuphatikiza pa maulere aulere, odwala matenda ashuga amalipiridwa ndi:
- mseu
- zakudya.
Mankhwala aulere pochiza zovuta za matenda ashuga. Mitundu yotsatira ya mankhwalawa imatha kuperekedwa kwa wodwala: 1. Phospholipids (mankhwala omwe amathandizira magwiridwe antchito a chiwindi) .2. Zothandizira Pancreatic (Pancreatin) 3. Mavitamini ndi ma vitamini-mineral complex (mapiritsi kapena mayankho a jakisoni) .4. Mankhwala obwezeretsa matenda a metabolic (mankhwalawa amasankhidwa payekha ndi dotolo wopezekanso pamndandanda wamankhwala aulere).

5. Mankhwala a Thrombolytic (mankhwala ochepetsa kuchepetsa kugundika kwa magazi) m'mapiritsi ndi jakisoni.

6. Mankhwala a mtima (ofunikanso kusintha kayendedwe ka mtima).

8. Njira zochizira matenda oopsa.

Kuphatikiza apo, mankhwala ena (antihistamines, antimicrobials, etc.) ofunikira pochiza zovuta kuchokera ku matenda a shuga amatha kuperekedwa kwa odwala.

Kuphatikiza pa kuchepetsa mankhwala, odwala matenda ashuga amapatsidwa mankhwala ena.

Odwala omwe ali ndi matenda amtundu wa 2 safuna insulin, koma ndioyenera kukhala ndi glucometer ndi zingwe zoyeserera. Chiwerengero cha mizere yoyesera chimatengera kuti wodwala amagwiritsa ntchito insulin kapena ayi:

kwa odwala a insulin onjezerani timizere timeneti katatu tsiku lililonse,
ngati wodwala sagwiritsa ntchito insulin - 1 strip tsiku lililonse.

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

Tiyeni tikambirane za phindu la anthu odwala matenda ashuga ngati olumala.

Kuti mupeze kulemala, muyenera kulumikizana ndiofesi yapadera yoyeserera zachipatala, kukhala pansi pa Unduna wa Zaumoyo. Kutumizira kuofesiyo kumasankhidwa ndi endocrinologist. Ndipo ngakhale adotolo alibe ufulu wokana wodwalayo, ngati pazifukwa zina sanachitebe, wodwalayo atha kupita kukayekha payekha.

Malinga ndi malamulo omwe akhazikitsidwa ndi Unduna wa Zaumoyo, pali magulu atatu olumala omwe amasiyana pakatikati pa matendawa.

Ganizirani magulu awa pokhudzana ndi matenda a shuga.

Kulemala kwa Gulu 1 kumayikidwa kwa odwala omwe, chifukwa cha matenda ashuga, osawonekanso kwathunthu kapena pang'ono, omwe ali ndi zilonda zamkati pamtima, ali ndi vuto la mitsempha, komanso amakhala ndi matenda a ubongo. Gululi limadziwika ndi odwala omwe nthawi zambiri amadwala. Komanso pagulu loyamba mulinso odwala omwe sangathe popanda thandizo la namwino.
Mavuto omwewa omwe ali ndi zizindikiro zochepa zotchulidwa amatilola kuti tidziwitse wodwalayo kukhala gulu lachiwiri la olumala.
Gulu lachitatu limaperekedwa kwa odwala omwe ali ndi zizindikiro zapadera za matendawa.

Commission ili ndi lingaliro logawa gulu. Zomwe zimasankhidwazo ndi mbiri yachipatala ya wodwala, yomwe imaphatikizapo zotsatira za kafukufuku ndi zolembedwa zina zamankhwala.

Pakakhala kusagwirizana ndi kutha kwa ofesi, wodwalayo ali ndi ufulu wofunsa kwa olamulira kuti apereke chigamulo chake.

Kukhala wolumala kumapangitsa kuti anthu odwala matenda ashuga alandire phindu. Phindu limakhala la penshoni yopanda maphunziro, malamulo polandirira, komanso kukula kwa zoperekazo kumatsimikiziridwa ndi Federal Law ya 15.12.2001 N 166-ФЗ "Pa pension state in Russian Federation".

Tsitsani kuti muwone ndikusindikiza

Anthu odwala matenda ashuga, atalandira kulumala, ali ndi mwayi wopeza phindu lililonse kwa anthu olumala, ngakhale atakhala kuti ali ndi vutoli.

Njira zomwe boma limapereka:

Njira zobwezeretsa thanzi.
Kuthandizidwa ndi akatswiri oyenerera.
Thandizo lazidziwitso.
Kupanga mikhalidwe yoloyanjana ndi anthu, kupereka maphunziro ndi ntchito.
Kuchotsera pa ntchito zanyumba ndi ntchito zothandiza anthu.
Ndalama zowonjezera.

Ana omwe ali ndi matenda a shuga amadziwika m'gulu lapadera la odwala. Matendawa amakhudza tinthu tating'onoting'ono makamaka mwamphamvu, ndipo ndimatenda a shuga omwe amadalira insulin, mwanayo amapezeka kuti ali ndi vuto. Ndikofunika kuti makolo adziwitsidwe za maubwino ochokera ku boma, zomwe zimathandiza kuchepetsa mtengo wamankhwala ndikukhazikitsa mwana wodwala.

Ana olumala amapatsidwa mwayi wotsatirawu:

Makolo a mwana wodwala wosakwana zaka 14 amalandila ndalama pakubweza kwapakati.

Makolo kapena oyang'anira mwana ali ndi ufulu wochepetsa nthawi yogwira ntchito ndikulandila masiku owonjezera. Penshoni yaukalamba kwa anthu awa imaperekedwa pasadakhale.

Ubwino wa anthu odwala matenda ashuga umaperekedwa ndi mabungwe olamulira popereka chikalata chapadera kwa odwala. Chikalata chomwe chimakulolani kuti mulandire thandizo kuchokera ku boma chimaperekedwa kwa wodwala wa endocrinologist kapena womuyimira pakati pa odwala matenda ashuga kumalo komwe akukhalako.

Chithandizo cha mankhwala aulere chimasankhidwa ndi endocrinologist.

Kuti mupeze mankhwala, wodwala amayenera kudikirira zotsatira za mayeso onse ofunikira kuti adziwe zoyenera kudziwa. Kutengera ndi kafukufukuyu, adotolo amatenga ndandanda ya mankhwalawa, ndikuwonetsetsa kuti athandizidwe.

Mu mankhwala a boma, wodwalayo amapatsidwa mankhwala mosamalitsa mu kuchuluka kwa mankhwala.

Monga lamulo, pamakhala mankhwala okwanira kwa mwezi kapena kupitirira, pambuyo pake wodwalayo ayenera kukaonana ndi dokotala.

The endocrinologist alibe ufulu wokana kulemba mankhwala ngati wodwala atazindikira kuti ali ndi matenda ashuga pakadi. Izi zitachitika, muyenera kulankhulana ndi dokotala wamkulu wakuchipatala kapena akatswiri azaumoyo.

Ufulu wamitundu ina yothandizira, kaya ndi mankhwala osokoneza bongo kapena zida zoyeza shuga, imakhalabe ndi wodwala wa endocrinologist. Njirazi zili ndi zifukwa zovomerezeka mwalamulo la Decree of the Government of the Russian Federation of July 30, 94 No. 890 ndi Letter of the Ministry of Health No. 489-BC.

Malamulo omwe awerengedwa amakhazikitsa mabungwe azaumoyo kuti apatse odwala osowa mankhwala ndi mankhwala.

Tsitsani kuti muwone ndikusindikiza

Amaganiziridwa kuti ngati akukana chitetezo chokwanira, odwala matenda ashuga amalandira ufulu wothandizidwa ndi boma. Makamaka, tikulankhula za kubwezerera kwakuthupi kwa ma voti osagwiritsidwa ntchito mu Sanatorium.

Pochita, kuchuluka kwa zolipira sikupita poyerekeza ndi mtengo wopumira, kotero kukana maubwino kumachitika pokhapokha. Mwachitsanzo, ulendo ukakhala wosatheka.

Timalongosola njira zingapo zothanirana ndi mavuto azamalamulo, koma milandu iliyonse ndi yapadera ndipo imafunikira chithandizo chazamalamulo aliyense payekha.

Kuti mupeze yankho lanu mwachangu, tikukulimbikitsani kulumikizana azamalamulo oyenererana ndi tsamba lathu.

Akatswiri athu amawunikira kusintha kulikonse mumalamulo kuti akupatseni chidziwitso chodalirika.

Lembetsani zosintha zathu!

Kodi mungatani kuti mupeze insulin yaulere?

Insulin ndi mahomoni ofunikira m'thupi la munthu omwe amayang'anira kuchuluka kwa shuga m'magazi omwe amapangidwa ndi kapamba.Ngati pazifukwa zina timadzi timene timapangika m'magulu osakwanira ndipo kuperewera kumachitika, ndiye kuti kagayidwe kamasokonezeka, komwe kumayambira kumbuyo komwe matenda oopsa a endocrine amayamba.

Asayansi atadziwa njira yopanga insulini pogwiritsa ntchito mabakiteriya opatsirana, anthu odwala matenda ashuga omwe akudalira insulin anapatsidwa mwayi wokhala ndi moyo wautali komanso wathunthu, malinga ngati zofunika zingapo zakwaniritsidwa:

kuyang'anira tsiku ndi tsiku shuga
kudya ndi kuchita masewera olimbitsa thupi,
jakisoni wa mahomoni woperekedwa ndi dokotala

Ngati wodwalayo anyalanyaza izi, ndiye kuti matendawo angayambitse kuvulala koopsa ndi kufa. Anthu ambiri amene amapeza shuga wambiri amada nkhawa ndi funso, "Kodi amapeza bwanji insulini?" Koma ndisanafotokoze mwatsatanetsatane za izi, ndikufuna kudziwa kuti kugwiritsa ntchito mahomoni popanda mankhwala komanso mankhwala a endocrinologist kumatha kubweretsa zotsatira zoopsa, zosasinthika, zomwe zingayambitse kupweteka, kufa mwadzidzidzi kapena matenda a shuga a wodwala munthu wodwala kale.

Dongosolo lokonzekera limaganizira njira ziwiri zomwe zingapezeke:

Gulani ku malo ogulitsa mankhwala osagwiritsa ntchito mankhwala (izi zimaperekedwa kuti anthu odwala azitha kugula mankhwala ngakhale atakhala kuti alibe nthawi yoti adzazitse fomu yaulere ya insulin yaulere kunyumba, kutchuthi kapena paulendo wopita kuntchito),
Pezani mankhwalawa kwaulere polemba mankhwala a insulin ndi endocrinologist.

Kuyankha mafunso ambiri a odwala matenda ashuga: "Ndani ali ndi ufulu kulandira insulini ndipo bwanji?" Madokotala akufotokozera: nzika za Russian Federation ndi akunja okhala ndi chilolezo chokhala m'nyumba omwe apezeka ndi matenda a shuga a insulin ali ndi ufulu kulandira insulin yabwino kwambiri. Ubwino wamankhwala operekedwa kwa nzika zaku Russia umayendetsedwa ndi lamulo la federal "On State Social Aid" lomwe lili pa 17,07.1999, 178-ФЗ ndi Lamulo la Boma la 30. 07. 1999, No. 890 (kope la 14. 02. 2002).

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

The endocrinologist kapena paramedic, wophatikizidwa mu kaundula wa anthu omwe ali ndi ufulu wopereka mitundu ya mankhwala mosankha, ali ndi ufulu kupereka mankhwala kwa mankhwala a mahomoni. Kupanga ndi kukonza kalembedwe kameneka kumachitika ndi oyang'anira zaumoyo.

Palibe chifukwa chomwe mungalandire mankhwala a insulini yaulere pa intaneti. Kutsatira njira yopezera mankhwala a mahomoni, chikalata chomuyenereza kuti azilandira chithandizo choyenera chiyenera kulembedwa ndi dokotala kapena othandiza paumoyo wake pakudzipatula yekha ndi wodwalayo atadwala matendawa. Komanso popereka odwala zolemba zotsatirazi:

Pasipoti Fomu yolembetsa ya mankhwala omwe amasankhidwa ndi anthu odwala matenda ashuga idzaperekedwa pamalo olembetsedwera, osati kumalo omwe akukhalako, pokhapokha ngati wodwalayo alembera kale fomu yoloza ndikugwirizana ndi gulu lake lazachipatala lomwe lili pafupi ndi komwe amakhala. Koma ali ndi ufulu wogwiritsa ntchito ufulu wosankha zamankhwala osapitilira kamodzi pachaka,
Ndondomeko ya inshuwaransi yaumoyo,
Ndondomeko ya Inshuwaransi Yodziimira payekha (SNILS),
Chikalata cha kulumala kapena zina, kutsimikizira ufulu wolandila chithandizo,
Chikalata chochokera ku thumba la penshoni chikuti simakana kukana ntchito zachitukuko,

Mitundu yatsopano yolembetsera zokonda zosankhidwa zomwe idayikidwa ndi Ndondomekoyo ndikukwaniritsa zofunikira za Unduna wa Zaumoyo zimapereka zodzadza mu mzere ndi manambala a zikalata zapamwambapa.

Mupatsidwa mankhwala okhala ndi mahomoni kumalo azachipatala omwe bungwe la zamankhwala lachita nawo mgwirizano. Ma adilesi a mankhwalawa omwe amathandizira kupatsa insulin mankhwala ayenera kuwonetsedwa ndi dokotala.

Kuvomerezeka kwa chikalata chalandira mankhwala aulere kumasiyananso ndi milungu iwiri mpaka mwezi umodzi (izi zikuwonetsedwa). Wodwalayo komanso abale ake angathe kulandira mankhwalawo ku pharmacy popatsa amfakisoni fomu yolembetsera.

Ngati mankhwala aulere omwe adapangidwira odwala matenda ashuga ndi Pulogalamuyo sakupezeka munthawi yomweyo, muyenera kutsatira njira zotsatirazi: Lumikizanani ndi wogulitsa zamankhwala ndi pempho loti alembe chikalata chanu chofunsira kuti mulandire mwayi wamankhwala mu magazini yapadera. Pambuyo pake, malinga ndi dongosolo la Unduna wa Zaumoyo ndi Zachitukuko cha Russia ku Russia, mankhwala ayenera kuperekedwa mkati mwa masiku 10 ogwirira ntchito. Ngati izi ndizosatheka pazifukwa zilizonse, pharmacieyo amakakamizidwa kuti akupatseni chidziwitso pazinthu zinanso.

Ngati malo ogulitsa mankhwalawa akukana kukupatsirani mankhwala omwe afotokozedwa ndi Pulogalamuyi, ndiye kuti muyenera kudziwitsa dokotala wanu ndi kulumikizana ndi a TFOMS kapena a SMO, mabungwe omwe ali ndi udindo wowunika momwe ufulu wa nzika uli mdziko lonse la inshuwaransi.

Momwe mungapezere insulin kwaulere, ndikutaya kwa mankhwala? Ngati kusamvetseka kwamiseche kumenekukukuchitikirani, onetsetsani kuti mwakumana ndi dokotala. Adzakuthandizani kupeza fomu yatsopano yolembetsa poyimaka pa kakhadi kapenanso kutumiza zidziwitsozo ku kampani yopanga mankhwala. Njira iyi ikuthandizira kuti mankhwalawa asapatsidwe mankhwala kwa anthu osadziwika.

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

Matenda a shuga ndi matenda ofunika kwambiri kwa anthu. Izi ndichifukwa cha kuchuluka kwa anthu ambiri komanso kuchulukana kosawerengeka. Mavuto obwera chifukwa cha matenda osokoneza bongo amachititsa kuti munthu azikhala wolumala, chiwopsezo cha kufa msanga kwa odwala.

Chifukwa chake, lakonzedwa kuti lipereke ndalama kuchokera ku bajeti ya boma kuti athe kulipira mtengo wa mankhwala omwe amagwiritsidwa ntchito pochiza matenda ashuga. Amapereka insulini kwaulere kwa odwala matenda ashuga, mapiritsi ochepetsa shuga a magazi, omwe amaphatikizidwa pamndandanda wofanana wa mankhwala, mizere yoyesera ya glucometer, syringes.

Kuphatikiza apo, odwala matenda ashuga amatha kulandira ziphaso zothandizira pa sanatorium, ndipo anthu olumala amalipira penshoni kuchokera ku boma. Zonsezi ndizophatikizira mu Federal Law pa matenda ashuga. Ikufotokozera za ufulu womwe anthu omwe ali ndi matenda ashuga ali nawo komanso zomwe boma limayenera kuchita.

Komanso, ngati wodwala sakukhala ndi insulin, koma ali m'gulu laoperewera, ndiye kuti chipangizo choyezera shuga ndi mzere umodzi patsiku zimaperekedwa pokhapokha ndalama za boma.

Njira yoperekera mankhwala a insulin yaulere imaphatikizapo malamulo awa:

Asanapereke mankhwala, a endocrinologist amachita mayeso ndi ma labotale.
Pafupipafupi kupereka mankhwala kamodzi pamwezi.
Wodwala amayenera kulandira mankhwala okha.
Kukana kupereka mankhwala sikungakhale koyenera chifukwa chosowa ndalama, chifukwa ndalama zonse zimaperekedwa pakuchotsa ndalama ku boma kapena kwanuko.
Milandu yomwe yasokonezedwa imathetsedwa ndikuyang'anira pachipatala kapena thumba la inshuwaransi yokakamizidwa ya chipatala.

Kuphatikiza apo, zidzakhala zofunikira kupeza chikalata kuchokera ku Pension Fund kuti wodwala sanakane maubwino omwe amaperekedwa.

Ngati akukana (pang'ono kapena kwathunthu) kwa omwe adzapindule, ndalama zolipiridwa zimaperekedwa, koma kuchuluka kwake sikungafotokoze kwathunthu mtengo wa chithandizo ndi kubwezeretsa.

Ndi insulin yochepa, muyenera kuchita izi:

Lowetsani nambala yamulembedwe muzolemba zamankhwala muma pharmacist.
Siyani zambiri zakugawana kuti wogulitsa mankhwala azidziwitsa za mankhwalawo.
Ngati malamulowo sanamalizidwe pasanathe masiku 10, oyang'anira pharmacy ayenera kuchenjeza wodwalayo ndi kupita ku malo ena ogulitsira.

Ngati mankhwala atayika, muyenera kufunsa dokotala yemwe adakulemberani posachedwa. Popeza kuphatikiza pakupereka fomu yatsopano, adotolo ayenera kudziwitsa kampani yopanga mankhwala izi.

Kusamala koteroko kuyenera kupewa kugwiritsa ntchito mankhwala mosaloledwa.

Ngati zikuwoneka kuti yankho lolondola silidzalandiridwa pazigawo izi, ndiye njira zotsatirazi:

Kudandaula kwadongosolo ku Unduna wa Zaumoyo.
Ntchito kwa oyang'anira chitetezo cha chikhalidwe.
Kudandaula ku Ofesi Yotsutsa pazokhudza zomwe ogwira ntchito azaumoyo amachita.

Ntchito iliyonse iyenera kukhala yofanana, pamakope omwe atsala m'manja mwa wodwalayo, payenera kukhala cholembedwa pazovomerezeka ndi kulembetsa kwa makalata a bungwe lomwe pempho lidatumizidwa.

Boma limalipira ndalama zoyendera kupita kumalo okalandira chithandizo ndi kumbuyo, chithandizo ndi malo ogona, ndipo makolo amapatsidwa mwayi wolandila malo ogona panthawi yomwe mwana wachira.

Kuti mulandire zabwino, muyenera kukayezetsa kuchipatala. Pankhaniyi, zolemba zotere zingafunike:

Mawu ochokera kwa makolo.
Pasipoti ya makolo kapena oyang'anira, satifiketi yobadwa. Pambuyo pa zaka 14 - pasipoti ya mwana.
Khadi lakunja ndi zolemba zina zamankhwala.
Ngati uku ndikuwunikiranso: Satifiketi yakulemala ndi pulogalamu yokhazikitsira munthu payekha.

Mutha kulembetsanso tikiti ku dipatimenti ya Federal Vouchers ku Ministry of Health of the Russian Federation. Pankhaniyi, kuwonjezera pa kugwiritsa ntchito, muyenera kusonkhanitsa zikalata izi:

Pasipoti ya nzika ya Russian Federation ndi makope ake awiri okhala ndi masamba No. 2,3,5.
Ngati pali kulumala, ndiye kuti makope awiri agulu limodzi.
Nambala ya inshuwaransi yaakaunti yaumwini ndi makope awiri.
Satifiketi yalemala - makope awiri.
Satifiketi yochokera ku Pension Fund yoti pali zopindulitsa pachuma chino ndi choyambirira komanso kope.
Zambiri pa fomu Nambala 070 / y-04 kwa wamkulu, No. 076 / y-04 kwa mwana woperekedwa ndi adokotala. Ndiwothandiza miyezi 6 yokha.

Kanemayo munkhaniyi akukamba za zabwino za odwala matenda ashuga.

Ndi mitundu yanji yamankhwala a shuga yaulere?

Boma limatsimikizira ndi malamulo aulere mankhwala a matenda ashuga a 2. Kuti mupeze zabwino, wodwalayo adzafunika atenge zikalata zingapo ndikuzipereka ku Pension Fund.

Matenda a shuga ndi limodzi mwa matenda ofala kwambiri nthawi imeneyo. Chiwerengero cha odwala omwe ali ndi matendawa chikuwonjezeka chaka chilichonse. Kuchiza kwa matenda awa sikophweka ndipo kumafuna ndalama zambiri. Koma si anthu ambiri omwe amadziwa kuti boma limapereka zabwino kwa anthu otere. Kwa chaka cha 2015, momwe lamulo lamakono liliri limafotokoza momveka bwino njira zomwe zimapangitsa kuti odwala matenda ashuga a 2 alandire mankhwala ndi zina popanda kulipidwa.

Zofunika! Ambiri sazindikira phindu lomwe lilipo, kapena chifukwa cha mantha, safunsa dokotala za iwo. Osawopa mafunso ngati awa komanso zomwe dotolo adachita. Ufulu wa munthu wodwala matenda ashuga umatetezedwa ndi malamulo ndipo umaperekedwa kwaulere. Chifukwa chake, ngati mankhwala ofunikira sanaperekedwe, muyenera kudziwa zoyenera kwa wodwalayo ndikumvetsetsa izi.

Ndiubwino wanji waulere womwe ulipo kwa anthu omwe ali ndi matenda a shuga 2?

Chaka chilichonse kwa odwala matenda a shuga a 2, mosasamala kanthu za kulumala, ndalama zina zimaperekedwa kuchokera ku boma. Makomiti apadera amtunda amagawa zomwe zaperekedwa kwa odwala matenda ashuga (mankhwala, ndalama, maubwino).

Odwala angayembekezere kulandira:

mankhwala aulere
kukonzanso zabwino
ndalama zolipirira.

Ndi matendawa, anthu amatchulidwa apadera a pharmacological othandizira. Mankhwala aulere amaperekedwa kutengera mtundu womwe wodwala amakhala (wodalira insulin kapena ayi). Kuchokera pazomwe zimaperekedwa kwa odwala, kuphatikiza pa mankhwala, glucometer imaphatikizidwa, mayeso apadera mwa mawonekedwe a mikwingwirima.

Kuphatikiza apo, zopindulitsa za matenda a shuga a 2 zimaphatikizanso kupereka maulere maulendo opita ku ma sanatorium, zipatala, ndi malo opumulira. Ponena za kukula ndi kuchuluka kwa zinthu zofunikira kwa odwala omwe ali ndi matenda ashuga, amatsimikiza ndikupatsidwa payekhapayekha pachikhalidwe chilichonse. Komanso, wodwalayo amatha kukana tikiti kupita ku sanatorium kuti athe kulipira ndalama.

Ponena za odwala achinyamata omwe ali ndi matenda a shuga 2, malinga ndi lamulo, ana oterowo omwe ali ndi zaka 14 amalandilidwa ndalama zolipirira malipiro apakati. Ndalamazi zimaperekedwa kuti agule mankhwala okondera aana komanso kuthandizira kwa mnyamatayo. Kuphatikiza apo, pulogalamu yothandizira ana omwe ali ndi matenda ashuga a 1 amaphatikizapo maulendo omwe amalipira pachaka ku sanatorium limodzi ndi makolo awo.

Mndandanda wamankhwala omwe amakonda kwambiri a 2 omwe ali ndi shuga sakhala ochepa. Awa makamaka amachepetsa ma pharmacological othandizira. Mankhwala aulere a mtundu wachiwiri wa matenda a shuga, kuchuluka kwawo komanso zingwe zoyeserera zofunika - dokotala amayambitsa endocrinologist. Mankhwala ndi ovomerezeka kwa mwezi umodzi.

Mndandanda wamankhwala aulere:

Mapale
Jekeseni (insulin pakuyimitsidwa ndi yankho).

Kuphatikiza apo, kwa matenda amtundu wa 1 shuga, ma syringe, singano ndi mowa amaperekedwa kwaulere. Koma pakuwonjezeraku muyenera kusonkhanitsa zikalata ndi kulumikizana ndi oyenera. Ndizosemphana ndi njira za bureaucratic zomwe nthawi zambiri zimakhala chifukwa chokanira phindu la boma kwa odwala matenda ashuga.

Kuti mupeze mankhwala omwe amakonda anthu odwala matenda ashuga, muyenera kufunsa ku Pension Fund. Pambuyo polembetsedwa, bungweli lidzasamutsira izi ku mabungwe azachipatala aboma, ma pharmacies ndi ndalama za inshuwaransi yazaumoyo.

Zofunika! Kuti Pension Fund ikhudzidwe ndikuyang'ana kwa wodwala ndikupatsidwa thandizo, muyenera kulemba zikalata zingapo. Chifukwa chake, ndibwino kupeza mndandanda wamapepala pasadakhale pafoni, apo ayi maulendo obwereza ku bungwe ndi mizere yayitali kubweretsa mavuto ambiri.

Komanso, muyenera kutenga satifiketi ku Pension Fund, kutsimikizira kuti munthuyo sakana maubwino kwa odwala matenda ashuga. Chikalatachi chidzafunika ndi dokotala, yemwe akupatseni mankhwala omwe mungamwe mankhwala aulere.

Kuphatikiza apo, polumikizana ndi dokotala, muyenera kukhala ndi:

pasipoti
satifiketi yovomereza ufulu wa mapindu,
nambala yaakaunti ya inshuwaransi,
inshuwaransi yazaumoyo.

Dokotala wopezekapo amayenera kulembera mankhwala omwe wodwala matenda a shuga 1 ayenera kupita ku mankhwala. Koma mutha kulembetsa mankhwala a shuga aulere m'mabungwe aboma okha. Ngati munthu alibe chidziwitso chokhudza malo azachipatala chotere, mutha kudziwa malo omwe akukhalako ndi kulumikizana ndi Ministry of Region. chisamaliro chaumoyo.

Nthawi zambiri, odwala amakana zomwe zimayenera kukhala za odwala omwe ali ndi matenda ashuga, m'malo mongobwezerera ndalama. Ngakhale wodwala yemwe ali ndi matenda a shuga a 2 amveka bwino, osakana phindu la odwala matenda ashuga. Kupatula apo, ndalama zolipirira ndizochepa kwambiri kuposa mtengo wamankhwala. Kukana chithandizo chamankhwala chovomerezeka, anthu odwala matenda ashuga a 2 ayenera kudziwa kuti ngati matendawa afala kwambiri, sizingatheke kulandira chithandizo cha boma.

Kruglov, Kudzindikira kwa Matenda: shuga mellitus / Victor Kruglov. - M: Phoenix, 2010 .-- 192 p.
Buku la Antsiferov, M. B. kwa odwala omwe ali ndi matenda a shuga a 2 mellitus / M.B. Antsiferov. - Moscow: Mir, 2010 .-- 196 p.
Danilova, N.A. Momwe mungapezere shuga / N.A. Danilova. - M: Vector, 2010 .-- 128 p.

Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwa zaka zoposa 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka pamalowo kuti athetse zovuta osati ntchito. Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusaitiyi, kufunsana ndi akatswiri ndizofunikira nthawi zonse.