Matenda a shuga masiku ano ndi matenda ofala kwambiri omwe amapezeka kwa odwala padziko lonse lapansi. Ku Russia, matendawa amakhala m'malo achitatu omwalira pambuyo pa khansa komanso mtima.
Matendawa amatsogolera kulumala, kulumala koyambirira, kuchepetsedwa kwa moyo ndi kufa koyambirira. Kuti munthu wodwala matenda ashuga akhale ndi mwayi woti azitha kulandira chithandizo chokwanira, bajeti ya ku Russia imapereka ndalama zolipira pachaka. Wodwalayo amalandiranso insulin yabwino, mankhwala a hypoglycemic, zingwe zoyeserera ndi ma syringe a jakisoni.
Kuphatikiza apo, wodwala matenda ashuga amatha mwayi wopezeka tikiti yosankha kamodzi pachaka. Pankhani ya kulemala, munthu amapatsidwa penshoni yapadera kuchokera ku boma.
Komwe mungapezere insulin ndi mankhwala
Popeza mankhwala othandizira odwala matenda ashuga amawona kuti ndiofunika, simuyenera kudzifunsa ngati simupereka insulin. Malinga ndi Federal Law "Pa Social Aidance" ya pa Julayi 17, 1999, 178-ФЗ ndi Gawo Lamulo la Boma Nambala 890 la Julayi 30, 1999, osati nzika zokha, komanso anthu omwe ali ndi chilolezo chokhala ku Russia akhoza kulandira mankhwala mwachisawawa .
Kuti mukhale olandila mwalamulo a insulini yaulere kapena mankhwala ena a hypoglycemic, muyenera kufunsa dokotala wa endocrinologist ku chipatala chakwanuko. Atatha mayeso onse ofunikira, dotolo apanga regimen yanyumba ndikupereka mankhwala osonyeza kuchuluka kwa mankhwalawo.
Muyenera kumvetsetsa kuti mufunika kulandira insulin pamwezi kwaulere, pomwe ma endocrinologist amaletsedwa ndi lamulo kuti apereke mlingo wowonjezera muyezo wa pamwezi. Chikalata chachipatala chimaperekedwa mosamala m'manja mwa wodwalayo; chidzalephereranso kuchilandira pa intaneti.
Izi zimakupatsani mwayi wopewa kugwiritsa ntchito mankhwala osokoneza bongo komanso kupewa kuwononga ndalama. Ngati pali chilichonse chomwe chasintha komanso kuchuluka kwa mankhwala a insulin akuchulukitsidwa, dokotala ali ndi ufulu kuwonjezera kuchuluka kwa mankhwala omwe akupatsidwa.
- Kuti mupeze mankhwala a insulin ya mahomoni, mumafunikira pasipoti, satifiketi ya inshuwaransi, mfundo zachipatala, satifiketi yovomerezeka kapena chikalata china chotsimikizira ufulu wogwiritsa ntchito mankhwala omwe amakondera. Mudzafunikanso satifiketi yoperekedwa ndi Pension Fund, yotsimikizira kusakhala kokana kukana kulandira zabwino za boma.
- Kukana kupereka mankhwala othandizira mankhwala ofunikira, ngakhale ngati palibe insulini, dokotala alibe ufulu. Malinga ndi lamuloli, ndalama zothana ndi mankhwala okondera zimachokera ku bajeti ya boma, chifukwa chake mawu a adotolo akuti chipatala sichikhala ndi ndalama zokwanira chifukwa izi sizovomerezeka.
- Amalandila insulin yosangalatsa ku malo azachipatala pomwe bungwe la zamankhwala lachita mgwirizano. Mutha kulandira maadiresi onse am'mapiritsi kuchokera kwa dokotala yemwe amalemba mankhwala. Ngati wodwalayo sanakwanitse kupeza mwayi wokhala ndi magazi ndipo sangathe kulandira chithandizo chokonzekera, azigula insulin mwa ndalama zake.
Chikalata chachipatala chotsimikizira ufulu wolandila mankhwala othandizira ndi chovomerezeka kwa masiku 14-30, kutengera nthawi yomwe idalembedwa.
Ngati mankhwala amaperekedwa m'manja mwa wodwalayo, ndiye kuti mutha kulandira mankhwala aulere kwa achibale omwe ali m'gulu la mankhwalawo.
Ngati simupereka insulin
Tsoka ilo, milandu ngati imeneyi siachilendo ngati wodwala matenda ashuga akakanizidwa kulandira mankhwala oyenera mwalamulo. Nthawi zambiri, chifukwa cha izi ndi kusakhalapo kwakanthawi kwa insulini mu mankhwala.
Izi zikachitika, wodwalayo ayenera kusiya kuchuluka kwa zomwe analemba muzolemba zamankhwala ndi achipatala, zomwe zimamupatsa ufulu wogula mankhwalawo kwaulere. Kwa masiku khumi, mankhwalawa amafunika kupereka insulin kwa odwala matenda ashuga.
Popanda insulini pazifukwa zilizonse, nthumwi za ogulitsa mankhwalawo amakakamizidwa kuti adziwitse wodwalayo za izi ndikumutumiza kumalo ena ogulitsa.
- Ngati mumapezeka insulini, koma wopanga mankhwalawo akukana kulandira kwaulere, madandaulowo atumizidwa ku dipatimenti yoona za Insuranceory Health Insurance Fund. Bungweli limayang'anira ntchito yokomera ufulu wa odwala komanso limapereka chilamulo kwa odwala.
- Pankhani yoti asalandire mankhwala okondwerera, oyang'anira apolisi amafunikira kuti kukana kulembedwe, malembawo ayenera kukhala ndi chifukwa chosapereka mankhwalawo, deti, siginecha ndi chidindo cha bungwe.
- Mwanjira imeneyi, kuyimira woyimira yekha ndi amene angalembe chikalata chokana, popeza kusindikiza ndikofunikira, koma mtsogolo chikalatachi chithandizira kuthetsa mkanganowu mwachangu ndipo odwala matenda ashuga alandila mankhwala ofunika mwachangu.
- Ngati munthu wataya mankhwala omwe anapatsidwa kale a insulin, ndikofunikira kulumikizana ndi adotolo mwachangu, yemwe angalembe kalata yatsopano ndikuwuza bungwe lazachipatala za kutayika kwa chikalatacho. Ngati dokotala akukana kulemba mankhwala, muyenera kufunsa kuti akufotokozereni kuchokera kwa dokotala wamkulu.
Dokotala mukakana kulandira odwala matenda ashuga, muyenera kufunsanso kuti kukana kulembedwe. Madandaulo okhudzana ndi ufulu wa wodwala amapita ku nthambi ya Health Insurance Fund. Kuphatikiza apo, woyang'anira chitetezo kapena Unduna wa Zaumoyo amatha kumvetsetsa zomwe zikuchitika.
Ngati wodwala sanalandire yankho pamlanduwo pasanathe mwezi, kudandaula kumatumizidwa kuofesi ya Wotsutsa.
Commissioner wa Ufulu Wachibadwidwe amalimbana ndi nkhani yoletsa kuphwanya ufulu wa munthu wodwala matenda ashuga.
Zowonjezera zothandizira odwala matenda ashuga
Kuphatikiza poti boma limakakamizika kupatsa odwala matenda ashuga aulere komanso mankhwala ofunikira, ntchito zingapo zothandiza anthu zimaperekedwanso kwa wodwala. Onse odwala matenda ashuga ali ndi ufulu kulandira tikiti yaulere kupita ku Sanatorium.
Ndi mtundu woyamba wa shuga, odwala matenda ashuga nthawi zambiri amakhala ndi kulumala, chifukwa cha izi amapatsidwa maubwino ena. Ndikofunika kudziwa kuti pali zabwino kwa mwana wolumala yemwe ali ndi matenda ashuga.
Mankhwala onse amaperekedwa kwaulere pakuperekedwa kwa mankhwala a dokotala, omwe amawonetsa mlingo wovomerezeka wa insulin.
Pezani mankhwala ku mankhwalawa kwa mwezi umodzi, kuyambira nthawi yomwe dokotala amalemba. Ngati mankhwalawo ali ndi chizindikiritso, insulin ikhoza kuperekedwa koyambirira. Potere, wodwalayo ayenera kulandira mankhwalawa mpaka masiku 10.
Kwa matenda ashuga amtundu 1, phukusi la zopindulitsa pazabwino limaphatikizapo:
- Kupeza ma insulin aulere ndi insulin;
- Ngati ndi kotheka, kugonekedwa kuchipatala;
- Zopanda ma glucometer aulere komanso zothetsera pamiyeso ya zingwe zitatu zoyesa patsiku.
Mankhwala a psychotropic amaperekedwanso kwaulere, kwa masiku 14. Komabe, wodwalayo ayenera kusinthiratu mankhwalawa pakatha masiku asanu aliwonse.
Anthu omwe apezeka ndi matenda a shuga a 2 ali oyenera kulandira zotsatirazi:
- Kulandila mankhwala ochepetsa shuga kwaulere mukamalandira mankhwala omwe akuwonetsa kuchuluka kwake.
- Wodwala akalandira mankhwala a insulin, amapatsidwa glucometer yaulere ndi zinthu zina (milozo zitatu zoyesera patsiku).
- Popanda mankhwala a insulin, glucometer iyenera kugulidwa palokha, koma boma limapereka ndalama zoperekedwa mwaulere pamizeremizere. Kupatula, zida zoyesera kuchuluka kwa shuga m'magazi zimaperekedwa m'njira zabwino kwa odwala omwe ali ndi vuto laukhungu.
Kwa ana ndi amayi apakati, ma insulin ndi ma insulin omwe amaperekedwa kwaulere. Alinso ndi ufulu wokhala ndi glucometer ndi zinthu zina. Ana ali ndi ufulu wokhala ndi tikiti yosankhira ku sanatorium, kuphatikizapo thandizo la makolo lomwe amalipiritsa ndi boma.
Ngati wodwala safuna kukalandidwa pachipatala, atha kukana ndalama, kuti alandire ndalama. Komabe, muyenera kumvetsetsa kuti ndalama zomwe zilipiridwe ndizotsika kwambiri kuposa mtengo wokhala kuchipatala. Chifukwa chake, poganizira mtengo wa kukhalapo kwa sabata 2 mchipani, kulipira kudzakhala kotsika 15 kuposa mtengo wamatikiti. Kanemayo munkhaniyi athandiza odwala matenda ashuga kuchepetsa shuga.
