Kupeza insulin mwa kulembetsa kwakanthawi: chifukwa chiyani anthu omwe ali ndi matenda ashuga amakana?

Masiku ano, insulin ndi mankhwala ofunikira omwe anthu odwala matenda a shuga amafunikira. Pambuyo pakupanga kwake, kusinthika kwenikweni kunachitika m'moyo wa anthu odwala matenda ashuga, popeza odwala pamapeto pake adapeza mwayi wokhala ndi moyo wonse, ngakhale atadwala matenda azitsamba.

M'mbiri ya pharmacology ya zaka makumi awiri, maantibayotiki ali ndi kufunikira kofanana kwa anthu. Mankhwalawa, limodzi ndi insulin, adapulumutsa miyoyo ya odwala ambiri ndikukhala njira imodzi yothanirana ndi matenda.

Homoni wa insulin adapezeka ndi Canada Katswiri wazolimbitsa thupi Frederick Bunting molumikizana ndi John James Richard MacLeod. Mu 1922, kwa nthawi yoyamba, wasayansi wachichepere adatha kupulumutsa moyo wa munthu wazaka 14 wodwala matenda ashuga mwa kuyambitsa muyeso wa mankhwala omwe adabwera mthupi. Pofuna kulemekeza bambo uyu, Tsiku la Anthu Akuluakulu padziko lonse lapansi limakondwerera tsiku lililonse.

Kusiyana pakukonzekera kwa insulin

Mitundu yosiyanasiyana ya kukonzekera kwa insulin imatha kusiyanasiyana, kuyeretsa, kuchuluka kwa asidi yankho. Kutengera ndi momwe insulin imapezekera, bovine, nkhumba, ndi mahomoni aumunthu zimasiyanitsidwa.

Komanso, kusiyana kumatha kukhalapo pamaso pa zinthu zowonjezera zomwe zimapanga mankhwala - zosungirako, nthawi yayitali, ndi zinthu zina. Pali ma insulin omwe amatha kusakanikirana ndi mankhwala achidule komanso osakhalitsa.

Insulin ndi mahomoni opangidwa ndi maselo apadera a pancreatic. Izi ndi mapuloteni okhala ndi mitundu iwiri, ali ndi ma amino acid okwana 51.

Insulin imapangidwa pogwiritsa ntchito maluso apamwamba kwambiri mwanjira ya mafakitale.

Momwe mungapezere insulin: magwero akulu

Kutengera ndi gwero liti lomwe limagwiritsidwa ntchito kupangira mahomoni, insulin ya nkhumba ndi kukonzekera kwa insulin ya anthu zimasungidwa masiku amakono. Kuonjezera mphamvu ya porcine insulin, kuyeretsedwa kokwanira kwambiri kumagwiritsidwa ntchito. Mankhwalawa ali ndi vuto la hypoglycemic ndipo kwenikweni sayambitsa kuyanjana.

Kapangidwe ka mankhwala a insulin yaumunthu ndikofanana ndi kapangidwe ka timadzi ta munthu. Mankhwala otere amapangidwa pogwiritsa ntchito biosynthesis pogwiritsa ntchito matekinoloje achilengedwe.

Pakadali pano, mankhwalawa amapangidwa ndi makampani akuluakulu odalirika, malonda awo amakhala ndi chitsimikizo chotsata miyezo yonse yabwino. Anthu ndi porcine multicomponent omwe amayeretsedwa kwambiri ndi insulin alibe kusiyana kwakukulu pokhudzana ndi zotsatira za chitetezo cha mthupi, monga zikuwonetsedwera ndi maphunziro osiyanasiyana.

Kapangidwe kake ka mankhwalawo nthawi zambiri sikumaphatikizapo ma insulin okha, komanso mankhwala othandizira omwe amagwira ntchito zina zofunika. Makamaka, kukhalapo kwa zigawo zina kumapangitsa kuti vutoli lithe, limakulitsa mphamvu ya mankhwalawo, ndikukhalabe ndi mbali yosagwirizana ndi asidi.

Kukhalitsa kwa insulin

Kuti apange insulin yowonjezera, protamine kapena zinc zimawonjezeredwa ku yankho ndi insulin yokhazikika - imodzi mwazinthu ziwirizi. Kutengera ndi chowonjezera, mankhwala onse amagawidwa m'magulu awiri akuluakulu.

Protamine insulin ili ndi protafan, insumanabazal, NPH, humulin N. Zinc insulin ili ndi humulin-zinc, tepi, insulin-zinc kuyimitsidwa kwa mono-tard. Protamine ndi puloteni, ngakhale izi, anthu odwala matenda ashuga samakhala ndi zotsatira zoyipa.

Kupanga malo osalowerera ndale, phosphate buffer imawonjezeredwa ku yankho. Pankhaniyi, aliyense wodwala matenda ashuga ayenera kukumbukira kuti mankhwalawa sangaphatikizidwe ndi kuyimitsidwa kwa insulin-zinc. Chowonadi ndi chakuti phosphate ya zinc imayamba kukhazikika, kufupikitsa nthawi yomweyo zomwe zimapangitsa insulin.

Kusakaniza koteroko kumatha kubweretsa zotsatirapo zosayembekezereka.

Zotsatira zoyipa za zinthuzi

Monga mankhwala ophera tizilombo toyambitsa matenda, mankhwala amagwiritsidwa ntchito omwe, chifukwa cha mawonekedwe awo a mankhwala, nthawi zambiri amabweretsedwa pakupanga mankhwala. Izi zimaphatikizapo phenol ndi cresol, zinthuzi zimakhala ndi fungo linalake.

Methyl parabenzoate, yemwe ndi wopanda fungo, amawonjezeredwa ndi yankho la insulini. Zina zilizonse zoyipitsazi sizimawononga thupi.

Phenol ndi cresol nthawi zambiri amawonjezeredwa ku protamine insulin. Phenol sakuphatikizidwa pakuyimitsidwa kwa insulin-zinc, chifukwa chinthu ichi chimakhudza katundu wazinthu zazikulu za mahomoni. M'malo mwake, methylparaben imawonjezeredwa. Kuphatikiza antimicrobial zotsatira kumatha kukhala ndi zinc ion, zomwe zimakhalanso gawo la yankho.

  • Chifukwa choteteza pakatikati pa mabakiteriya mothandizidwa ndi chitetezo, chidziwitso cha matenda ashuga sichimaloledwa chifukwa chobwereza singano mu vial ndi mankhwalawa. Kupanda kutero, kulowetsedwa kwa singano kumatha kuyambitsa zovuta zambiri.
  • Njira yodzitetezera yofananayo imalola jakisoni wamkati ndi syringe yomweyo kwa sabata. Komanso, ngati palibe njira yothetsera vutoli, wodwala matenda ashuga amatha kupereka jakisoni popanda kuchiritsa khungu, koma singano yopyapyala ya insulin iyenera kugwiritsidwa ntchito pamenepa.

Mlingo wa mankhwala

Kukonzekera koyambirira kwa insulin komwe kumapangika mu millilita imodzi ya yankho gawo limodzi lokha la mahomoni. Zaka zotsatila, kuchuluka kwa mankhwalawa kunachuluka, ndipo masiku ano pafupifupi ma insulin onse omwe amagwiritsidwa ntchito ku Russia amagulitsidwa m'mabotolo a 40 magawo 1 ml yankho. Pa mankhwalawa. Monga lamulo, mutha kuwona chizindikiro cha U-40 kapena 40 mayunitsi / ml.

Mitundu yonse yamtundu wa insulin imapangidwira kukonzekera mozama, chifukwa chake imakhala ndi mawonekedwe apadera. Chizindikiro chilichonse chimafanana ndi buku linalake. Kuphatikiza ndi syringe 0,5 ml ya mankhwalawa, odwala matenda ashuga amalandira 20 magawo a mahomoni, 0,35 ml amafanana ndi magawo 10. Chifukwa chake, 1 ml ya insulin ya insulin ndi 40 magawo.

Maiko ena akunja amachita masewera olimbitsa insulin U-100, pomwe 1 ml yankho limafanana ndi magawo zana a mahomoni. Kuti mugwiritse ntchito mankhwalawa, muyenera kugwiritsa ntchito syringe yapadera ya insulin, imafanana ndi muyezo, koma imakhala ndi vuto lililonse.

Komabe, ndikofunikira kumvetsetsa kuti pankhani iyi kuchuluka kwa mankhwala omwe amaperekedwa kuyenera kuchepetsedwa ndi 2,5, chifukwa 40 IU yomweyo ya insulin idzakhala mu 0,4 ml ya mankhwalawa.

Mukalakwitsa posankha mlingo, komanso wodwala matenda ashuga, hypoglycemia imayamba.

Kuphatikiza kwa insulin yayifupi komanso yayitali

Masiku ano, matenda a shuga a mtundu woyamba amathandizidwa pogwiritsa ntchito ma insulin osakhalitsa komanso ma insulin omwe amakhala nthawi yayitali. Ndikofunikira kwambiri posakaniza mankhwalawa ndikuwonetsetsa kuti insulini yochepa imagwira thupi mwachangu momwe mungathere.

Mankhwala omwe amagwira ntchito mwachidule amatha kugwiritsidwa ntchito limodzi mu syringe yomweyo ndi protamine-insulin. Ndi kuphatikiza uku, insulini yochepa imayamba kugwira ntchito nthawi yomweyo, chifukwa insulin yosungunuka sikugwirizana ndi protamine. Pankhaniyi, opanga osakanikirana akhoza kukhala osiyana.

Zokhudza kukonzekera kwa zinc-insulin, kuyimitsidwa kwake sikungaphatikizidwe ndi insulin yochepa. Izi ndichifukwa choti kuyimitsidwa kwa makristasi a insulin-zinc kumaphatikizidwa ndi kuchuluka kwa ma zinc a ion ndipo amasinthidwa kukhala insulin ya nthawi yayitali.

Anthu ena odwala matenda ashuga amapanga jakisoni wongokhala pang'ono, pambuyo pake, popanda kuchotsa singano, jakisoni wa insulin amaperekedwa, kuwongolera kwa singano kuyenera kusinthidwa pang'ono. Komabe, madokotala amalingalira kuti jakisoni wa mankhwalawa sakupambana, chifukwa insulin yochepa singatengeke bwino m'thupi, zomwe zimabweretsa zosokoneza.

Chifukwa chake, ndibwino kubaya insulini yochepa popanda kudziimira insulin.

Mankhwala amalumikizidwa mosiyanasiyana m'malo osiyanasiyana, khungu limayenera kukhala lotalika 1 cm.

Mankhwala osakanikirana

Lero pakugulitsa mutha kupeza mankhwala osakanikirana, omwe pamodzi amakhala ndi insulin yochepa komanso protamine-insulin malinga ndi mitundu yayikulu. Mankhwalawa akuphatikiza Insuman comb, Actrafan ndi Mikstard.

Ma insulini ophatikizidwa amatengedwa kuti ndi mankhwala othandiza kwambiri, momwe kuchuluka kwa mahomoni ofupikira ndi nthawi yayitali ndi 30 mpaka 70 kapena 25 mpaka 75. Chiwerengerochi chikuwoneka mu malangizo omwe aphatikizidwa a mankhwalawa.

Mankhwala osakanikirana ndi abwino kwa anthu omwe amayang'anitsitsa zakudya zawo, kusuntha mwachangu ndikuchita masewera olimbitsa thupi nthawi zonse.

Nthawi zambiri, mankhwalawa amasankhidwa ndi anthu achikulire omwe ali ndi matenda amtundu wa 2.

Mankhwalawa siabwino ngati munthu wodwala matenda ashuga amakonda kusinthasintha kwa insulin.

Kupereka odwala matenda ashuga ndi insulin

Lamulo lapadera la Federal Russian la Russian Federation limayang'anira kupereka kwa nthawi yayitali komanso kwathunthu kwa odwala matenda ashuga ndi mahomoni a insulin. Chitetezo chalamulo chili ndi ufulu wonse wa odwala omwe apezeka ndi matenda osokoneza bongo komanso zomwe mabungwe azamaboma akuchita popereka ufuluwu ku Russia.

Malinga ndi Federal Law "Pa Social Aid", anthu aku Russia, komanso nzika zomwe zimakhala mdziko muno ndikukhala ndi chilolezo chokomera, zitha kulandira insulin kuchokera kuboma mwaulere. Kuphatikiza apo, anthu odwala matenda ashuga amapatsidwa magazi a shuga am'magazi, zinthu zina, ma insulin, mankhwala ochepetsa shuga ndi njira zothetsera matenda opha tizilombo.

Odwala ambiri amachita chidwi ndi komwe angapeze insulini yaulere komanso zomwe zimafunika pa izi. Choyamba, muyenera kufunsa dokotala endocrinologist pamalo omwe akukhalako, dokotala ali ndi ufulu wopereka mankhwala kuti azilandira ngati mahomoni ali ndi chidwi.

Kuti mupeze mankhwala aulere, muyenera kupitiriza motere:

  1. Mankhwala a insulin yaulere amaperekedwa ndi dokotala wa endocrinologist pakavomerezedwa, atatha mayeso ndi maphunziro onse ofunikira. Wodwala matenda a shuga ali ndi ufulu kulandira chikalata chachipatala kamodzi pamwezi, mlingo wake umatsimikiziridwa pamaziko azidziwitso zamankhwala.
  2. Dokotala palibe amene ali ndi ufulu wolemba mafomu opangira mankhwala kwa miyezi ingapo pasadakhale, ndipo chikalata cha kuchipatala sichiperekedwa kwa abale ake. Chifukwa chakuti wodwala matenda ashuga amafunikira kukaonana ndi dokotala mwezi uliwonse, kuwunikira nthawi zonse za matendawa ndi kuthandizira kwake kwamankhwala kumachitika. Pankhaniyi, endocrinologist, ngati pangafunike, amatha kusintha kuchuluka kwa insulin.
  3. Dokotala wa endocrinologist alibe ufulu wokana wodwala matenda ashuga kuti apereke fomu yolembetsa, zomwe zikusonyeza kuchepa kwa chuma pachipatala. Chowonadi ndi chakuti ndalama zonse zomwe zimaperekedwa popereka odwala ndi insulin yaulere sizimatengedwa ndi chipatala, koma ndi aboma kapena akuluakulu aboma. Zofunikira zonse zimaphatikizidwa ku bajeti ya boma.

Ngati simupereka insulin, mungadandaule kuti? Ngati muli ndi zovuta zotsutsana, kupeza kukana kwa dokotala kuti akupatseni mankhwala othandizira odwala matenda ashuga, muyenera kulumikizana ndi adotolo wamkulu wakuchipatala.

Ngati sizotheka kuthetsa vutoli, nthambi yanthawi Yachikulu ya Insuranceory Insurance Fund komanso mabungwe othandiza anthu okhudzana ndi zamalamulo omwe ali ndi udindo wokwaniritsa nthawi yake mogwirizana ndi odwala omwe ali ndi matenda ashuga amatha kuthetsa vutoli.

Insulin imaperekedwa ku pharmacy, adilesi yomwe iyenera kufotokozeredwa ndi adokotala popereka fomu yolembetsa. Akalandira kukana kupereka mankhwala aulere, chitsimikizo cholembedwa chiyenera kupezedwa kuchokera kwa akatswiri azamankhwala, pambuyo pake alumikizane ndi oyang'anira a pharmacy.

Ngati sizotheka kugawa mankhwalawa, wodwala matenda ashuga ayenera kupatsidwa insulin mwa masiku khumi. Ngati izi sizinachitike, mutha kutumiza madandaulo kwa olamulira apamwamba. Kanemayo munkhaniyi akuwonetsa momwe mungapangire insulin.

Moni Kodi pali aliyense amene adalandira insulin ngati mukukhala mumzinda wina popanda chilolezo chokhalamo?

Kodi alipo amene adalandira insulin ngati mukukhala mumzinda wina popanda chilolezo chokhala?

Kodi zikuyenda bwanji? Kodi chofunikira ndi chiyani pamenepa?

Ku St. Petersburg ndimalandira, popanda kulembetsa, koma ndikulembetsa kwakanthawi.

  • electrophorus199811
  • Ogasiti 04, 2015
  • 18:32

Koma ngati mukukhala ndipo mumalembetsedwa kudera limodzi, ndiye kuti kulembetsa sikofunikira.

Ndinalembetsedwa ku Moscow, ndimakhala m'chigawochi, ndimangodzipatula ku chipatala chimodzi ndikuphatikiza kwina

electrophorus199811, koma ngati musamukira kudera lina?

  • electrophorus199811
  • Ogasiti 04, 2015
  • 21:50

Alexander, ndiye kulembetsa kukafunika ndipo, mwina, inshuwaransi yobwezeretsa.

Kupeza mapindu olembetsa kwakanthawi ku Moscow

7.5000 rub. kamodzi pachaka amalipira ndalama zolimbirana ndi kugula kwa zovala kwa wophunzira aliyense. 8. Mabanja omwe ana asanu kapena kuposerapo, kapena kukhala ndi ana osachepera khumi, osachepera amodzi, omwe ali opanda ungwiro, ali ndi mwayi wolipiritsa pamwezi ma ruble 900.

zogulira zinthu za ana. 9.

Mabanja okhala ndi ana khumi kapena kupitilira apo amalipira ndalama zowonjezera pamwezi zowonjezera mu ruble 750 ya mwana aliyense wazaka zosakwana 16 (komanso kwa ophunzira osakwana zaka 23).

Ogasiti 25, 2018, 15:51 Albert, Okutobala

Kodi muli ndi funso kwa loya?

Moni. Mukalandira kukana kulembedwa, lembani madandaulo anu ku dipatimenti ya Zaumoyo ndi ku ofesi ya otsutsa.

Dongosolo la Unduna wa Zaumoyo ndi Zachitukuko cha Russian Federation la Disembala 29, 2004 N 328 Povomerezeka ndi Ndondomeko ya kuperekera kwa ntchito zachifundo m'magulu ena a nzika

Kupereka chithandizo kwa nzika zokhudzana ndi kupereka mankhwala ofunikira

2,5. Kupeza mankhwala otchulidwa ndi Mndandanda wa mankhwalawa, nzika imagwira ntchito pokagawa mankhwala (pano amatchedwa gulu lachipatala).

Zambiri zokhudzana ndi malo ogulitsa mankhwalawa zomwe zimagawika mankhwala zimaperekedwa kwa nzika kuchipatala.

Ndikosavuta kufunsa loya!

Funsani otilamula athu funso - izi zimathamanga kuposa kupeza yankho.

Funsani funso lanu

Funsani funso lanu

Nzika zili ndi ufulu kulandira chithandizo chamankhwala kumalo omwe amakhalamo mumzinda uliwonse, chifukwa

nzika iliyonse ya Russia ili ndi ufulu kuyendayenda mdziko lonse, kusankha malo okhala ndi kukhalamo.

Mu mphumu ya bronchial, wodwala wopanda gulu lolemala ndi wopindula wachigawo.

Kuti alandire mankhwala, madokotala amapanga mafomu othandizira kuchipatala.

Amaperekanso chidziwitso pakuphatikizidwa kwa wopeza nawo mkaundula wamagulu amitundu yosankha pazifukwa zamankhwala.

Osapereka insulini? Komwe mungadandaulire / kulumikizana?

Nthawi ndi nthawi, timalandira mafunso kuchokera kwa owerenga mu ofesi yathu yowerengera ... "Palibe insulin! Ndichite chiyani? "," Koti mupite - osapereka insulini !? ". Nawa mauthenga ndi zambiri pamutuwu. Ukraine ndi Russia - tikambirana zosankha zonse.

Choyamba, tiyeni timveke bwino - insulin imaperekedwa kwa aliyense kwaulere.

Kuti mulandire, muyenera kulembetsedwa ku endocrinology Center / malo operekera komwe akukhala.

Mulinso ndi ufulu wopemphanso insulini ndi wopanga wina, ngati zikutsimikiziridwa ku bungwe kuti insuliniyi simakupatsirani malipiro okwanira.

Kutengera ndi njira ya matenda ashuga ndi zina zambiri zokhudzana, Mlingo wa insulin umatha kusiyanasiyana malinga ndi shuga. Komabe, endocrinologist sangadziwike insulin yochulukirapo kuposa momwe amadziwira muyeso wokhazikika.

Dokotala alibe ufulu wakana kupereka mankhwala othandizira kwa odwala matenda a shuga. Mankhwala okondera amapereka ndalama mwachindunji kuchokera ku bajeti yakudziko komanso mikangano ya kayendetsedwe ka uchi. bungwe lomwe alibe ndalama / mankhwala, etc., sayenera kukukondweretsani - boma limalipira insulin, osati chipatala.

Ngati dokotala wakana kukupatsani mankhwala a insulin, muyenera kulumikizana ndi adotolo anu a kuchipatala kuti mumveke bwino.

Ngati ngakhale oyang'anira akukanani, pemphani kukana polemba - ndi chidindo ndi siginecha ya wovomerezeka.

Kupitilira, mutha kutumiza madandaulo kuofesi Yotsutsa, Commissioner wa Ufulu wa Anthu ndi pempho loletsa kuphwanya ufulu wa wodwala yemwe ali ndi matenda ashuga popereka insulin yabwino kwambiri.

Tiyeni tiwone chitsanzo chothandiza. Tiyerekeze kuti mukukhala kudera la Moscow ndipo simupatsidwa insulin. Zochita zanu:

1. Ndikofunikira kulumikizana ndi wamkulu wa endocrinologist wa Unduna wa Zaumoyo ku Moscow Region, Pulofesa Dreval Alexander Vasilievich Contacts 119110, Moscow, st. Schepkina, 61/2, nyumba 9 tel. + 7 (495) 631-7435

Webusayiti yachipatala www.monikiweb.ru/main.htm

Tsamba la Trev A.V. - www.diabet.ru

2. Mutha kutumiza pemphelo ku Unduna wa Zaumoyo kudzera pa tsamba la mz.mosreg.ru
kudzera pamutuwu - "Khalani ndi funso?" Gwiritsani ntchito fomu iyi yankhani. Funsoli litumizidwa ku Unduna wa Zaumoyo ku Moscow Region.

3. Funsani m'mabungwe azachipani. chitetezo cha Unduna wa Zachitetezo ndi ma dipatimenti kudzera pa pulogalamu yovomerezeka (yomwe iyenera kulembedwa ndikusiyidwa ndi kope imodzi kuti muthe kutembenukira ku ofesi ya otsutsa kapena khothi m'tsogolo).

Malingana ndi mfundo imodzimodziyo, njirayi imachitika ku Ukraine. Kuphatikiza apo, kuti mupeze thandizo ndi chidziwitso, mutha kulankhulana ndi a Diabetesic Fund - Natalya G. Vlasenko - (+38) 067 703 60 95

Ntchito zosasamalidwa

Vuto limodzi lodziwika masiku ano ndi kufunikira kwa chisamaliro chachipatala kunja kwa mudzi. Nzika zomwe zidasamukira kudera lina ndipo zikufunika chithandizo chamankhwala nthawi zambiri sizikhala zolembetsa kwakanthawi.

Kodi ndizotheka munthawi zonsezi kudalira chithandizo chaulere chamankhwala?

Tiyeni titembenukire ku malamulo. Mu Constitution ya Russian Federation, nkhani 41, ndime 1 timawerenga kuti: “Aliyense ali ndi ufulu kutetezedwa kuchipatala. Thandizo lachipatala m'maboma azamisala ndi mabungwe azaumoyo amaperekedwa kwa nzika kwaulerepakuwononga ndalama zoyenera, ma inshuwaransi, ndalama zina " Penyani malamulo

Mu Federal Law "On Compulsory Medical Insurance" No. 326-ФЗ Novembara 29, 2010, nkhani 10 imalongosola lingaliro la "anthu omwe ali ndi inshuwaransi." Onani lamuloli.

Article 16 ya Federal Law imatchulanso magulu a inshuwaransi omwe, mwadzidzidzi ukakhala ndi inshuwaransi, ali ndi ufulu kulandira chithandizo chamankhwala kwaulere.
Ndipo apa zikuwonetsedwa kuti pofunafuna chithandizo chachipatala, kupatula milandu yazadzidzidzi. Tiyenera kupereka lamulo lokakamiza inshuwaransi yaumoyo.

Tsopano tiyeni tiwone malamulo amchigawo. Malinga ndi Order of the department of Health ku Moscow ndi Moscow City Fund for Mandatory Medical Insurance Medical on November 14, 2008

No. 931/131 "Kuvomerezedwa ndi Ndondomeko ndi zofunikira zothandizira anthu kulandira chithandizo chamankhwala pachipatala cha mzinda wa Moscow"Pakakhala lamulo la inshuwaransi yokakamiza kwa odwala (ngati atafunsidwa mwachangu), mabungwe azachipatala amachita njira zodziwitsira wodwalayo kuti akhazikitse inshuwaransi kapena awagawire (pasipoti) ngati nzika zosadziwika kapena odwala osadziwika»Onani dongosolo

Chifukwa chake, nzika zonse za Russian Federation zili ndi ufulu kulandira chithandizo chokwanira, chotsika mtengo, komanso chofunikira kwambiri, chachipatala chaulere, mosasamala kanthu komwe amakhala ku Russia.


Tiyeni tipitilize kuyeseza.

Maphunziro a University ndi matenda ashuga

Kuwerenga ku yunivesite kungakhale chiyembekezo chowopsa, ngati sichingakhale chovuta kwa odwala matenda ashuga, pomwe ena samadikira kuti achoke kunyumba kwawo.

Kukhala anzeru, kumaliza mapulogalamu osiyanasiyana okhala kutali ndi kwawo, kudziwitsa anthu ena za matenda anu a shuga kumathandiza kupewa zovuta zina zomwe zimayenderana ndi matenda anu a shuga.

Timapereka malangizo pazomwe muyenera kulabadira, kuti chaka chanu chatsopano kapena chatsopano cha kuphunzira ku yunivesite chichitike bwino momwe zingathere. Ndiye apa tikupita!

Chiyambi cha zoyambira zonse

Musanatenge zinthu mukamapita ku yunivesite, muyenera kufunsa dokotala, chifukwa malangizo ena sangakupwetekeni. Simunabadwa dzulo ndipo mutha kusefa zidziwitso zofunikira, koma muyenera kumamvetsera mwanjira iliyonse.

Tengani zofunikira zonse (insulin, syringes, cholembera, syringe, gawo lamayeso). Mukudziwa mndandanda wathunthu, zimatengera momwe mumaperekera shuga, kaya mwa kubaya insulini, kugwiritsa ntchito pampu ya insulin kapena kugwiritsa ntchito mankhwala ena ochepetsa shuga.

Ganizirani komwe insulin ikasungidwa, ndizotheka kuti mudzayenera kugawana nawo malo ena othandiza mufiriji ndi ophunzira ena. Kungakhale koyenera kusunga zina mwazinthuzo ndi anzanu ndi anzanu omwe amakhala mumzinda womwewo momwe mumaphunzirira. Mulimonsemo, nzeru za anthu zomwe simungathe kusunga mazira onse mudengu limodzi sizinalepherepo.

Inde, mutha kutenga firiji yanuyanu yozizira insulin kuti muphunzire kuyunivesite, ndipo izi mwina zingakhale njira ina yabwino, makamaka nyengo yotentha m'miyezi yotentha.

Lolani anthu okuzungulirani kudziwa za matenda anu ashuga

Uzani anzanu apamtima, curator yanu, za matenda ashuga. Mwambiri, sizoyipa ngati mungapatse aliyense mphindi zochepa kuti afotokozere zoopsa zomwe odwala matenda ashuga angakumane nazo komanso momwe angachitire bwino ena.

Uzani anzanu kapena anzanu anzanu apamtima za anzanu. Ngati insulini yanu ikhala mufiriji wamba, ndibwino kuti anthu ambiri pogwiritsa ntchito firiji iyi adziwe kuti insulini iyenera kukhala kutali ndi kumbuyo kwa firiji kuti isazizidwe.

Uzani aphunzitsi anu za matenda ashuga kumayambiriro kwa maphunzirowa.

Aliyense wodwala matenda ashuga amatha kukhala ndi vuto la hypoglycemia, ndipo zomwe mumachita pakudya izi (kudya chakudya champhamvu) mukangokhazikitsa hypoglycemia ayenera kumvetsedwa bwino ndi aphunzitsi. Izi zimachitika makamaka mkalasi.

Ngati mutuluka mkalasi kuti mudye maswiti angapo kapena msuzi wa madzi, izi ziyenera kumvetsedwa bwino ndi aphunzitsi. Ndikhulupirireni, aphunzitsi ambiri adzamvetsa vutoli.

Magawo ndi kuyenda

Ngati mukuchezera kapena kupita ku phwando, onetsetsani kuti anthu omwe akuzungulirani amadziwa zoyenera kuchitira hypoglycemia. Ndikhulupirireni, pali malingaliro olakwika ambiri akuti ngati wodwala matenda ashuga atha kudwala, ndiye kuti ayenera kubayidwa insulin. Ndipo ndizothandiza inu kuuza anzanu momwe angakhalire ngati muli ndi hypoglycemia.

Kulembetsa ku chipatala kumalo okhalamo

Mwachidziwikire mudzalembetsa ku dormitory yunivesite, kotero pitani ku chipatala, endocrinologist ndikumuuza kuti muli ndi matenda ashuga ndipo zaka zikubwerani mudzalumikizana ndi endocrinologist kumalo atsopano kumene mungakhale. Mwinanso mupemphedwa kukayezetsa koyamba, koma njirayi imachitika kamodzi. Ndipo izi zikuthandizani kuti mulandire insulin pamalo olembetsa popanda kutayika.

Pezani nthawi yokhala ndi matenda anu a shuga

Zinthu zikasintha, monga lamulo, muyeso wowongolera kulipidwa kwa odwala matenda a shuga ukuwonjezeka. Mutha kuvutika kuti mupirire matenda ashuga.

Komabe, ili ndi gawo latsopano m'moyo wanu, ndipo mukuyenera kukhala ndi udindo wothetsa nkhaniyi.

Mulimonsemo, uwu ndi moyo wanu, osati makolo anu kapena dokotala wanu, chifukwa, choyambirira, ndi inu omwe muli ndi udindo pazomwe zikukuchitikirani, makamaka zokhudzana ndi thanzi lanu.

Mukamasula zowongolera komanso matenda anu a shuga amapezeka pang'onopang'ono, ndiye kuti sizivuta kwa aliyense.

"Ufulu" wongoyerekeza pamiyezo ya shuga, kuchokera pamajekeseni amachepetsa mphamvu zomwe mungathe, makamaka mukadzakula, mukakhala wopambana komanso wolemera, ndipo thanzi lanu silingakupatseni mwayi wambiri. Chifukwa chake, polongosola mwambi wotchuka, titha kunena kuti: "Samalira wathanzi kuyambira ubwana."

Tikukulimbikitsani kusungitsa zolemba komwe mungalembe zotsatira za mayeso a shuga wamagazi kuti mumve zamomwe mungathe kudziletsa. Izi zikutumikirani pambuyo pake.

Komanso, miyezi itatu iliyonse ndizomveka kulingalira za hemoglobin ya glycated, izi zikuthandizani kuti mupeze chisonyezo chophatikizira chakubwezeretsani kwanu.

Kupereka nthawi yochepa kwambiri ku matenda anu a shuga, mkati mwaulendo wanu wautali wa moyo, mutha kusiya kukhala ndi mphamvu ndikukonzekera zopindulitsa zina panthawi yolakwika, chifukwa chake zonse zili m'manja mwanu. Sanjani mwanzeru nthawi yanu ndi zomwe mungathe.

Mayeso

Muyenera kuwoneratu zam'mbuyo momwe mungabweretsere mayeso, mizera yoyesera, ndi maswiti a hypoglycemia pamayeso. Tikukulimbikitsani kuti mumayezetsedwe wa shuga magazi musanachitike komanso mutatha mayeso. Mphamvu ya kupsinjika kwa aliyense, chifukwa chake ndizovuta kulosera chilichonse, monga kuchuluka kwa shuga m'magazi.

Kumbukirani kuti ngati muli ndi hypoglycemia, chifukwa cha chisangalalo, izi zitha kuchitika osadziwika. Komabe, izi zakhudza mayeso. Khalani osasunthika, osamala komanso osamala.

Ngati panthawi ya mayeso mukuwona kuti chidwi chayamba kufooka, musachite manyazi, yang'anani shuga yanu yamagazi. Pofuna kuti musadabwitse woyesererayo, lankhulani ndi aphunzitsi omwe adzakhalepo pamaphunzirowo ndikukambirana njira zothetsera vutozi.

Momwe mungapewere kulemera

Amakhulupilira kuti ambiri omwe amabwera kumene kunenepa kwambiri amakhala ndi mwayi wolemera kwambiri chaka choyamba cha maphunziro.

Kafukufukuyu adawonetsa kuti, pafupifupi, zenizeni ndikuti kusintha kwa moyo ndi zakudya kumatha kukhala kovuta kwambiri, chifukwa chake samalani ndikuyandikira chakudya chanu mosamala.

Kukhazikika kwa mowa ndi chakudya mwachangu chophatikizika ndi kupsinjika ndi kugona mokwanira komanso kugona kwake ndi zina mwazinthu zofunikira kwambiri zomwe zingayambitse kulemera.

Gwiritsani ntchito nthawi yambiri pokonza chakudya chopatsa thanzi, muzikhala wovuta pakuwona zakudya, kugona, kupumula komanso kudziletsa. Gulani chakudya chomwe chilibe zakudya chokhala ndi index ya glycemic yayitali, ndipo ndizosavuta kuti muzitha kudya.

Momwe mungalumikizire kuchipatala popanda kulembetsa (kulembetsa) - ndizotheka

Anthu nthawi zambiri amayenera kupita kuzipatala kuti akalandire chithandizo. Komabe, mabungwe ena amakana kulandira wodwala watsopano, kutanthauza kuti sanalembetsedwe m'malo othandizira. Ndikofunikira kudziwa kuti zochita za ogwira ntchito pachipatalachi ndizosaloledwa ndipo ndizovomerezeka kudzipereka kuchipatala ngakhale osalembetsa pasipoti.

Ngati pasipoti ili ndi sitampu pakulembetsa pamalo omwe akukhalamo, nzika zitha kupempha thandizo kuzipatala zilizonse.

Mwachitsanzo:

Pamalo olembetsaNthawi zambiri zimachitika.
Pamalo okhala / okhalamoNthawi zambiri imakhala njira yabwino mukakhala ku adilesi yolakwika.
Ku bungwe lililonse lomwe mumakondaMwachitsanzo, mu polyclinic ya mzinda waukulu, mu bungwe lotchuka chifukwa cha mawonekedwe ake abwino kwa odwala, etc.

Pofotokozera mwachidule pamwambapa, titha kunena kuti njira yothandizira chipatala osati mwa kulembetsa ndizovomerezeka pokhapokha ngati zotsatirazi zikwaniritsidwa:

Malinga ndi mfundo zonse pamwambapa, mutha kupitirira mwachindunji njira yolumikizira yokha. Dziwani kuti sikuti nthawi zonse pamafunika kulemba mawu opita kwa wamkulu wa chipatala chosankhidwa. Chifukwa chake, nkhaniyi ikhoza kuthetsedwa mukapeza mfundo yokakamiza inshuwaransi yazaumoyo pakampani ya inshuwaransi.

Pankhaniyi, muyenera kuwonetsa malo omwe mumakhala. Izi zidzakhala zofunikira kudziwa adilesi yachipatala chanu chatsopano. Zochita zonsezi zimachitika pakamwa, kulemba zonena zilizonse pankhaniyi sikofunikira.

Komabe, munthu ayenera kukumbukiranso chisokonezo chotere: sizotheka nthawi zonse kumangiriza ku chipatala chomwe mukufuna ngakhale ndi sitampu yakulembetsa pasipoti.

Inde, zowonadi, ngati wodwalayo wasankha kuchipatala kumalo omwe amakhala kapena komwe amakhala, sayenera kukhala ndi mavuto.

Koma zinthu sizosiyana posankha kuchipatala chomwe sichikugwirizana ndi malo okhala, mwachitsanzo, kokha chifukwa dokotala wina amagwira ntchito kumeneko.

Pankhaniyi, muyenera kudziwa: ogwira ntchito pachipatalacho akhoza kukanidwa. Koma kuthekera kwa kulandira pamenepa kungalumikizidwe ndi kupitilira mphamvu zomwe zakonzedwa. Ndiye kuti, ngati chipatala chayamba kale kuthandiza odwala ambiri. Zochitika zoterezi zimakhala zosowa kwambiri, koma ali ndi malo oti akhale.

Tsopano, ndi funso la momwe mungalumikizire kuchipatala popanda kulembetsa, zonse ndizomveka. Komabe, odwala ena ali ndi nkhawa ndi nkhani yosiyana pang'ono pokhudzana ndi kuchuluka kwa kusintha kwa chipatala.

Palibe chikhalidwe chotsimikizika pankhaniyi, komabe, ziyenera kukumbukiridwa kuti kuli bwino osachita izi kawiri pachaka.

Kupanda kutero, mtsogolomo, mabungwe azachipatala sangafune kufuna kuthana ndi nzika yotere.

Chotsatira, muyenera kunena mawu ochepa panjira yofikira kuchipatala.

Muyenera kudziwa kuti ngati wodwala ali ndi inshuwaransi yaumoyo yokakamiza, sayenera kukhala ndi vuto lililonse pankhaniyi.

Zomwe zimafunikira kuchitidwa ndikudulirana kuchokera kuchipatala "chakale" ndikugwirizanitsa ndi chatsopanocho. Monga lamulo, njirayi yonse ndi yachangu kwambiri ndipo sizitengera kulimbikira komanso nthawi yambiri.

Kuti mupange mgwirizano, wodwalayo ayenera kukonzekera zonse zomwe zalembedwa (mndandanda wake uli pansipa mu gawo la "zikalata zofunika"), pitani ku chipatala chosankhidwa ndikulembetsa.

Kuti muchite izi, muyenera kulemba chiganizo cha fomu yokhazikitsidwa yomwe ikuperekedwa kwa mutu wachipatala. Nthawi zina, atha kupemphanso kuti amuchotsere kuchipatala omwe adapereka chithandizo kwa omwe akufunsirawo.

Izi zikufotokozedwa ndikuti madotolo am'chipatala china amapita kokha kumalo omwe adalandira. Koma vutoli litha kuthetsedwa: kuyimbira foni dokotala pamalipiro.

Sizotheka kungochoka kuchipatala "chakale": zidzakhala zofunikira kugwirizanitsa zomwe akuchita ndi oyang'anira ake, pamenepo komanso ndi ogwira ntchito kuchipatala

Zolemba Zofunika

Ngati mukufuna kudzipereka ku chipatala komwe mungakhale, muyenera kukonzekera mndandanda wotsatira:

  • mokakamizidwa inshuwaransi yaumoyo (+ kope),
  • pasipoti ya nzika ya Russian Federation kapena khadi ina yodziwitsa (+ kope),
  • ntchito yofunsira kudziphatikiza nokha ku chipatala chosankhidwa - mutha kupeza fomu yokonzekera kuti mudzaze ku registry ya chipatala.

Mabungwe ena amafunikiranso kutumiza ma SNILS. Chifukwa chake, kutenga ndi inunso sikungakhale kopepuka.

Kusankha

Nzika zina sizikudziwa bwino za ufulu wawo ndipo amakhulupirira mawu a ogwira ntchito pachipatala za kuthekera kopezeka ku chipatala osati pamalo olembetsera kwathunthu. Komabe, lamuloli likunena zosiyana ndi izi: Russia aliyense ali ndi ufulu kulandira chisamaliro chaulere ndikusankha chipatala kuti alandire thandizo lomweli, mosasamala kanthu kuti pali kulembetsa komwe amakhala.

Masiku ano, malamulo amalola ufulu wosankha pamaso pa odwala. Nzika zimatha kusankha chipatala chilichonse kuti chithandizike: yomwe ili kufupi ndi kwawo kapena ina yotchuka ndi chithandizo chabwino kwambiri.

Chifukwa chake, musanafike kuchipatala china, muyenera kuwerenga za iye, kuti mudziwe za mbiri yake yabwino. Zowonadi, monga choncho, kwa chaka chathunthu, palibe amene adzapatsidwe ufulu wosintha bungwe lazachipatala.

Pankhani yofunikira mwachangu

Ngati pakufunika kupita kwa dokotala muyenera kudziwa: mutha kupeza chithandizo chamankhwala chovomerezeka mwadzidzidzi mdera lililonse la dziko. Kuti tichite izi, ndikokwanira kukhala ndi inshuwaransi ya inshuwaransi yazachipatala yomwe ili pafupi.

Tiyenera kudziwa kuti pakakhala lamulo la inshuwaransi yokakamizidwa, palibe bungwe lazachipatala la boma lomwe lingakane kupereka chithandizo chamankhwala kwaulere.

Fomu yolembetsa kwakanthawi ili ndi chidziwitso chonse chazomwe nzika yomwe ikufuna kupeza chilolezo chokhala kwakanthawi.

Zambiri pazakulembetsa kwakanthawi mu fomu 3 zitha kupezekanso.

Langizo pang'onopang'ono la kayendetsedwe ka kayendetsedwe ka nyumba yatsopano limaperekedwa munkhaniyi.

Momwe mungaleke kuchokera ku chipatala ndikuphatikizira kwina? Chipatala komwe amakhala:

Momwe mungachokere ku chipatalacho, kenako ndikuphatikizanso kwina? Funso ili ndilokondweretsa kwa nzika zambiri. Zachidziwikire, malinga ndi lamuloli, ife ku Russia timapemphedwa kuti tisankhe komwe tikuyenera kuwonera.

Chifukwa chake, mutha kusankha chipatala chilichonse chogwiritsira ntchito mwanzeru zanu.

Koma titha bwanji? Ndi magawo ati a njirayi omwe akuyenera kuganiziridwa? Kodi mutha kukana, komanso kudziphatikiza pazifukwa zosiyanasiyana? Zonsezi zikambidwa tsopano.

Pamalo okhalamo

Musanalowe m'chipatala, zomwe mukuwona, muyenera kudziwa zomwe mungachite kuti muzitsatira pambuyo pake. Chilichonse mwaiwo chimaphatikizidwa ndi zolemba zina, zomwe ziyenera kukumbukiridwa.

Mlandu woyamba ndi chipatala komwe amakhala. Poyamba, nzika zonse "zimagwirizanitsa" ndi kulembetsa. Koma nthawi zambiri anthu amalembetsedwa m'malo amodzi, koma amakhala ku adilesi yosiyana. Ndipo kupita kuchipatala kukalembetsa sikuvuta. Kapena simusangalala ndi ntchitoyo. Zikatero, ndikofunikira kuganizira momwe mungadzipatula ku chipatala, ndikulembetsanso kumalo ena.

Mwambiri, njirayi ilibe mawonekedwe. Ndikokwanira kukana chithandizo kuchipatala chanu. Ndipo lembani mawu oti mukufuna kusintha chipatalacho. Pepala ili limalembedwa kuchipatala chatsopano, mwachitsanzo komwe mumakhala. Zambiri pazokhudza zolemba zogwiritsidwazo, patapita nthawi pang'ono.

Mzinda wina

Mutha kulembetsanso mumzinda wina. Palibe amene angatenge izi kuchokera kwa inu. Chifukwa chake, nzika iliyonse imakhala ndi ufulu wosankha kuchipatala, komwe amalandila chithandizo chazaulere. Komabe, ngati mukuganiza momwe mungalumikizirane ndi chipatala mumzinda wina, muyenera kukonzekera izi ndi gulu lomwe mwasankha.

Chifukwa chiyani? Chowonadi ndi chakuti ogwira ntchito ali ndi ufulu wokana kukufunsani. Koma pokhapokha ngati pali zifukwa zomveka. Ndipo iye ndi m'modzi yekha - uku ndiye kuchulukitsa kwa mabungwe azachipatala.

Chochitika chosowa kwambiri, kotero musadandaule.

Ngati zonse zili mwadongosolo ndi izi, ndiye kuti mutha kukonzekera mindandanda, ndikusankha momwe mungatulukire ku chipatala ndikulembetsa kumalo ena. Izi sizovuta.

Mfundo zonse zili pamutu

Pokhapokha muyenera kudziwa choyambirira chomwe muyenera kukwaniritsa ngati mukufuna kutsatsa kuchipatala china. Ndi uti? Muyenera kukhala ndi lamulo lotchedwa inshuwaransi yathanzi. Imatchulidwanso kuti inshuwaransi yokakamizidwa ya chipatala mwachidule.

Kuzindikira kuchokera ku chipatalacho, komanso kudziphatikiza kuchipatala chatsopano kumachitika pokhapokha ngati chikalatachi chilipo. Chifukwa chake kumbukirani izi. Ngati mukufunikira kuwonjezera ndondomekoyi, yambani kutsatira lingaliro ili. Ndipo pokhapokha pangani kudziphatikiza.

Kuzindikira kwachikale

Njira yoyamba, yomwe ingakuthandizeni kudziwa momwe mungalumulirane ndi chipatala, ndi njira yakale. Pofuna kubweretsa lingaliro ili, muyenera kungofika kuchipatala chanu.

Chotsatira, kulumikizana ndi registry ndikuwuzani kuti mukufuna kuleka kuchipatala. Muyenera kupita kwa asing'anga, kapena angakupatseni fomu yoti mulembe zofunikira.

Palibe chosokoneza pa izi, kulikonse komwe kuli malamulo.

Mapulogalamuwa akangolembedwa (momwemo mumawonetsera zomwe mukufuna, komanso chidziwitso chaumwini), ziyenera kulembedwa kwa sing'anga wam'mutu kapena kubwerera ku registry. Ndikofunikanso kudziwa pasadakhale. Mutha kuyembekezera yankho kuchokera kwa oyang'anira. Posachedwa mudzapatsidwa patsogolo. Pambuyo pake, mutha kuganiza momwe mungalumikizirane ndi chipatala pamalo omwe mukukhalamo.

Tsopano malo ena azachipatala amapereka odwala awo njira zosavuta komanso zamakono zolumikizirana. Mwachitsanzo, mwachitsanzo, nthawi zina mumatha kudzipatula kuchokera kuchipatala kudzera pa intaneti. Koma izi sizophweka. Makamaka ngati mulibe siginecha yotchedwa digito.

Zoyenera kuchita ngati mungaganize zodzipatula kuchipatala pogwiritsa ntchito intaneti? Mutha kupita kutsamba la chipatala chanu, ndikulemba mawu, ndikuyiyina siginecha, kenako ndi kuwatumiza ku dzina la adotolo wamkulu. Nthawi zina pamakhala fomu yapadera yofunsira izi. Chonde dziwani kuti si chipatala chilichonse chomwe chimakulolani kuchita njirayi pogwiritsa ntchito World Wide Web.

Pa foni

Kodi pali njira iliyonse yolumikizirana ndi foni? Kupatula apo, sizikhala zothandiza kwa aliyense kuti azilumikizana ndi chipatala. Kuphatikiza apo, si zipatala zonse zomwe zimalola kuti njirayi ichitike pogwiritsa ntchito intaneti. Izi sizachilendo.

Tsoka ilo, kugwiritsa ntchito foni kamodzi kokha kuti mupeze yankho la momwe mungadzire kuchokera kuchipatala sikungathandize. Pokhapokha mutatha kumveketsa bwino nthawi yomwe dokotala wamkulu, komanso zomwe mungatenge ndi zikalata ziti.

Mwa njira, ngati mungaganize zolumikizidwa ku chipatala china, kumbukirani: simudzazindikira malingaliro anu kudzera pa foni. Chifukwa chake foni yamakono mufunso lathu lero ndi chinthu chosathandiza. Kudalira pa iye sikuyenera.

Zilibe kanthu kuti ndi malo ati omwe adasankhidwa kuti alowe m'malo azachipatala komwe mukayang'aniridwa. Kaya ndi chipatala komwe mumakhala kapena osachita ngozi. Mndandanda wamakalata ndi womwewo pamilandu iyi. Zothandiza ndi chiyani?

Poyamba ndi mfundo zanu zamankhwala. Popanda icho, simuyenera kulumikizana ndi chipatala kuti muzilumikizidwa. M'mabungwe ena, mwachitsanzo, amapempha SNILS, izi ndizachilendo. Ingotengani chikalatachi. Ndipo pangani zolemba pasadakhale.

Chotsatira ndi chizindikiritso. Nthawi zambiri amafuna pasipoti ya nzika ya Russian Federation. Kope la izi ndilofunikanso kuchotsa. Palibe chifukwa chotsimikizira chilichonse.

Pomaliza, ingogwirizanitsani ndi mndandanda wazomwe tafotokozazi komanso chikhazikitso chakudzipereka kuchipatala china. Ndizo zonse. Ndi phukusili, mutha kulumikizana ndi registry ya chipatala.

Tsopano tikuyembekezera kuvomerezedwa - ndiye kuti, vutoli lithetsedwa kamodzi.

Zipatala zapadera

Kodi mungalumikizane bwanji ku chipatala chomwe chili chinsinsi? Mutuwu ndiwosangalatsa kwa nzika zina. Koma kodi izi zitha kuchitika? Mwakutero, inde. Ndikofunikira kungowona zikhalidwe zochepa - bungweli liyenera kutenga nawo mbali pulogalamu yoyeserera ya inshuwaransi. Ndiye kuti, kupereka ntchito zaulere pamankhwala azachipatala.

Ngati ndi choncho, mutha kulumikizana ndi kuchipatala. Kodi chofunikira ndi chiyani pamenepa? Zolemba zomwezo monga momwe zidalili kale. Chifukwa chake zilibe kanthu kuti mukukonzekera chipatala chiti. Kutulutsa osatsegula kumachitika polemba chiganizo, ndikumalumikiza - ndi zikalata zofananira. M'malo mwake, palibe chovuta kapena chapadera munjira izi.

Mwa njira, ena ali ndi chidwi ndi momwe mungasinthire chipatala. Nthawi zambiri. Koma malinga ndi lamulo - kamodzi pamwezi. Ingoyesani kuti "musachite nawo izi" ndikusankha chipatala chomwe mungayang'anire.

Zoyenera kuchita ngati mankhwala akukana kuti ayambe kulembetsa kwakanthawi?

Kumbukirani kuti mfundo yakuphatikiza odwala omwe amapezeka kumalo azachipatala (polyclinics) mu chithandizo chazachipatala cha Russia pano idatayika. Malinga ndi Lamulo la Federal Law "On the Basics of Health Care for Citizens in Russian Federation," nzika yomwe ili ndi mfundo za MHI ikhoza kuperekedwa ku bungwe lililonse lazachipatala. Malo omwe amakhala, malo antchito, malo ophunzirira - nzika imatha kupita ku chipatala chilichonse kuti ikalandilidwe ndikusankha dokotala payekha.

Kuchokera pamafotokozedwe a momwe zinthu ziliri ndikutsatira kuti mwazindikira bwino ufulu wophatikizira kuchipatala motsatira malamulo omwe tatchulawa, i.e. simunakanidwe chithandizo choyambirira chaumoyo. Komabe, simukuloledwa kugwiritsa ntchito ufulu wanu kulandira mankhwala aulere, omwe mumayenerera mogwirizana ndi Lamulo la Federal lomweli. Zolemba za dipatimenti ya zaumoyo ku Moscow sizingagwire bwino ntchito momwe Lamulo Lachikhalidwe likuyendera, malamulo ake amagwira ntchito kudera lonselo.

Ngati kukambirana "ndi mtima wonse" ndi dokotala wamkulu wakuchipatala sikubweretsa zotsatira zabwino, ndikukulangizani kuti muthane ndi wozenga milandu pazinthu zotere. Pogwiritsa ntchito, onetsetsani kuti mwawonetsa kuti mwakanidwa kulandira mankhwala aulere chifukwa chakulembetsa kwathunthu. Nthawi yomweyo, sonyezani kuti ali ndi chipatala cha mwana wanu, ali ndi udindo wopunduka, komanso lamulo la inshuwaransi yokakamizidwa.

Onetsetsani kuti mwatinena kuti malinga ndi lamulo logwila ntchito muli ndi ufulu wonse woyenda ndi kukakhala ku zigawo zilizonse zadziko. Kupanda kulembetsa kokhazikika pamilandu iyi sikuti sikukulepheretsa ufulu wadziko.

Sonyezani kuti kukana kupereka mankhwala kwaulere chifukwa chosowa kulembetsa kwathunthu ndikosagwirizana ndi malamulo aku Russia. Polemba izi, lembani mayina a akuluakulu (ndikwabwino ngati mukufuna zolembedwa), funsani cheke pazomwe akuchita. Vuto la kuperekera kwa insulin lidzathetsedwa nthawi yomweyo.

Kusiya Ndemanga Yanu