Matenda a shuga ndi matenda ofunika kwambiri kwa anthu. Izi ndichifukwa cha kuchuluka kwawo komanso kuchuluka kwachulukirachulukira. 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 kuboma la boma kuti zithetse ndalama zomwe zimagwiritsidwa ntchito pochiza matenda ashuga. Amapereka insulini kwaulere kwa odwala matenda ashuga, mapiritsi ochepetsa shuga a magazi, omwe amaphatikizidwa pamndandanda wofanana wamankhwala, mizere yoyesera ya glucometer, ndi syringes ya jakisoni.
Kuphatikiza apo, odwala matenda ashuga amatha kulandira ziphaso zithandizo za sanatorium, ndipo anthu olumala amalipidwa penshoni kuchokera ku boma. Zonsezi ndizophatikizidwa mu malamulo a shuga a Federal Russian. Ikufotokozera za ufulu womwe anthu omwe ali ndi matenda ashuga ali nawo komanso zomwe boma limayenera kuchita.
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 kuperekera, kuwonjezera pa insulin, ndi othandizira owonera shuga. Kwa odwala matenda a shuga omwe amakhala akupatsirana insulin nthawi zonse, chipangizo chowunika shuga wamagazi ndi mizere yoyeserera chimaperekedwa kwaulere pamlingo wa nthawi ya 3 ya 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 muyezo wa 1 unit patsiku, ngati insulin sinalembedwe, ndiye kuti wodwala azigula glucometer mwa ndalama zawo.
Kuphatikiza apo, 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 pokhazikitsa bajeti kapena boma.
- Milandu yomwe yasokonezedwa imathetsedwa ndikuyang'anira pachipatalacho 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 dokotala panthawi, 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 kukhazikitsidwa kwakanthawi kwa mlingo wotsatira wa insulin m'thupi, kusokonezeka kwa kagayidwe kachakudya komwe kumachitika ndipo ngakhale kupha kumatha.
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 malo ogulitsa mankhwalawa ayenera kuchenjeza wodwala ndikuwatumiza kumalo ena.
Pofuna kutaya mankhwala, 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 dokotala wakana kupereka mankhwala a insulin 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 osagwirizana ndikwabwino kuti muthe kukopa makope awiri ofunsira dzina la sing'anga wamkulu, ndipo kwa mlembi alandire cholembedwa papepala lachiwiri pakulandila pempholo yakulembera.
Malinga ndi lamulo, achipatala ayenera kupereka yankho ku pempholi. Mwanjira iyi, mutha kulumikizana ndi Compulsory Health Insurance Fund. Ntchito yolembedwa iyenera kutumizidwa ndikunena kuti bungwe lazachipatala likukakamira 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 omwe bungwe lidatumizirako.
Ubwino wa Ana Omwe Ali Ndi Matenda A shuga
Ana omwe ali ndi matenda osokoneza bongo a mtundu woyamba amakhala ndi chilema popanda kudziwa kuchuluka kwa gulu. Popita nthawi, imatha kuchotsedwa kapena kusinthidwanso, kutengera kuuma kwa matendawa. Ana amatha kudalira ma voti kuti adzalandire chithandizo pa sanatorium kamodzi pachaka.
Boma limalipira ndalama zoyendera kupita kumalo okalandira chithandizo ndi kumbuyo, chithandizo ndi malo ogona, ndipo makolo amapatsidwa mwayi wolandila malo okhala panthawi yomwe mwana wachira.
Ana, komanso amayi oyembekezera, omwe ali ndi gulu lopunduka, kapena olumala, amatha kutenga magazi a glucose komanso zingwe zoyesera, zolembera za syringe, ndi mankhwala omwe amachepetsa shuga yaulere.
Kuti mupeze phindu, muyenera kukayezetsa kuchipatala. Potengera izi, zikalata zotsatirazi 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.
Pambuyo pake, muyenera kulumikizana ndi Social Insurance Fund, komanso bungwe lililonse lachitetezo chamtundu wa anthu lomwe lachita 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 imaperekedwa kwa wodwalayo pasadakhale, pasanathe masiku 21 asanafike. Iyenera kuperekedwa mokwanira, kukhala ndi chisindikizo cha Fund ya Inshuwaransi Yachikhalidwe, cholemba chokhudza kulipira ndalama kuchokera ku boma. Ma voucher oterewa sangagulitsidwe.
Miyezi iwiri musanachoke kapena pambuyo pake, muyenera kufunsira khadi ya chithandizo cha sanatorium kuchipatala chomwechi chomwe chakupereka chithandizo chamankhwala a spa. 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.33,5.
- 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 simungathe kupita kukalandira chithandizo, ndiye kuti muyenera kubweza tikiti pasanathe masiku asanu ndi awiri isanayambike ntchitoyo. Pambuyo pa chithandizo mu sanatorium, muyenera kupereka chiphaso cha tikiti ku chipinda chomwe chinapereka, ndi malongosoledwe amachitidwe omwe muyenera kupereka kwa dokotala.
Pofuna kuti musamakumane ndi zovuta mukamafunsira mwayi kwa mwana yemwe ali ndi matenda osokoneza bongo komanso gulu lalikulu la nzika kuti mulandire mankhwala ndi makalata ochiritsira, muyenera kupita pafupipafupi ndi a endocrinologist ndikupima mayeso ofunikira kuchokera kwa akatswiri okhudzana, komanso mayeso a matenda othandizira odwala. Kuyanjana kumeneku kumathandizira kuwongolera bwino kwa matenda ashuga.
Kanemayo munkhaniyi akukamba za zabwino za odwala matenda ashuga.
