Momwe mungagule insulin ndi momwe mungapezere kwaulere?

Odwala a shuga a Type 1 amafuna insulin tsiku lililonse. Vuto lopeza mahomoni amakumana ndi odwala matenda ashuga aliyense komanso abale ake.

Ganizirani zopinga zomwe zimayambira motere, momwe mungapezere mankhwalawo komanso zomwe amapindulitsa odwala.

Mitengo ya insulin

Insulin imagulitsidwa muma pharmacies, ngati mankhwala aliwonse. Dokotala amafunika chilolezo kuti azigulitsa. Mu Russian Federation, kuperekedwa kwa insulin yaulere kwa odwala omwe ali ndi matenda ashuga kumaperekedwa ndi malamulo a federal No. 178-FZ ndi Lamulo la Boma No. 890.

Ufulu kulandira mankhwala aulere uyenera kutsimikiziridwa mu mankhwala ndi chidziwitso cha zitsanzo zomwe zapezeka kuchokera kwa dokotala kuchipatala chachigawo. Ambiri mwa omwe amafunikira mahomoni amtundu wa tsiku ndi tsiku amapeza motere. Komabe, nthawi zambiri mikhalidwe imakhala yofanana ndi kuti njira yomwe mukufuna ndiyosatheka kapena yovuta kupeza.

Kenako funso limadzuka kuti inshuwaransi imawononga ndalama zingati komanso ngati mungathe kugula ku fodya popanda mankhwala. Inde mutha kutero. Mankhwalawa amapezeka m'njira zosiyanasiyana. Mtengo wake umatengera kampaniyo, ngati ili mu botolo kapena cartridge.

Insulin imatenga nthawi yayitali kapena sichikhala kwakanthawi.

Munthu wogula mankhwala ayenera kudziwa bwino zomwe akufuna.

Mtengo wopezeka mu mankhwala opangira mankhwala m'mabotolo umachokera ku ma ruble 400. Ngati mankhwala m'makiredi muyenera kulipira kuchokera kuma ruble 900. ndipo pamwambapa, mu ma syringe olembedwa - kuchokera ku ma ruble 2000.

Tiyenera kudziwa kuti odwala matenda ashuga mdziko lonse amagulitsa ndikusinthana ndi mankhwala omwe sawafuna, siabwino kapena osasangalala. Pa intaneti komanso manyuzipepala ali ndi zotsatsa zazinsinsi zodzigulitsa kapena kugula zingwe zamayeso, zolembera za syringe, ndi mitundu yosiyanasiyana ya insulin.

Mtengo wa zinthuzi ndiwotheka kukambirana, nthawi zambiri wotsika kwambiri kuposa mankhwala.

Momwe mungapezere mankhwala kwaulere?

Kulembetsa kwa odwala matenda a shuga ndi mndandanda wa madokotala omwe ali ndi ufulu wolemba malangizo okondera amapangidwa m'zipatala zam'chigawo. Mndandandandawu ulinso m'ndandanda wachidziwitso cha ma pharmacy.

Dokotala wa endocrinologist, katswiri, komanso dokotala ali ndi ufulu wolemba mankhwala a insulin. Mankhwala amaperekedwa atapita kwa dokotala ndikupanga njira yothandizira ndi kumwa. M'tsogolomu, mankhwala a wodwala - makolo, osamalira kapena ogwira ntchito zachitukuko atha kuwonjezera mankhwala.

Malinga ndi kuchuluka kwa mankhwala ndi mtundu wa insulin, mankhwalawa atha kupezeka kwaulere ku pharmacy. Odwala ayenera kukaonana ndi dokotala panthawi kuti apatsidwe mankhwala panthawi yake.

Kupereka mankhwala, muyenera kupereka zikalata izi:

1. Pasipoti Chithandizocho chimaperekedwa ndi chipatala chachigawo, munthu ayenera kukhala ndi chidwi ndi chipatala. Mukasamukira kapena mukungofuna kusamukira kwina, mukufunika kusiya ndikulemba mawu ku chipatala china.
2. Ndondomeko ya inshuwaransi yachipatala yokakamiza ndi SNILS ndi akaunti yaumwini.
3. Satifiketi ya wolumala kapena zikalata zina zoyenera kulandira maubwino.
4. Satifiketi kuchokera ku RF PF kuti munthu sanakane kulandira phindu mwa mitundu yaulere.

Ngati munthu wakana phukusi la anthu, sayenera kulemba mankhwala kwaulere, vuto lomwe limapezeka mwa mahomoni limathetsedwa palokha. Kaya munthu alandire mankhwalawo malinga ndi mankhwala aulere kapena ayi zimatengera iye.

Kusintha insulini yokhazikika ndi mankhwala mapiritsi kuyenera kuganiziridwa ndi dokotala.

Kanema wokhudza kulandira mankhwala osangalatsa:

Kodi amaperekedwa kuti?

Nthawi zambiri, mankhwala osokoneza bongo omwe amapezeka m'magazi amaperekedwa m'mafakisoni angapo (nthawi zambiri) omwe mgwirizano woyenera umatha. Adilesi ya mfundo iyi idzafotokozeredwa kumalo omwe amalembera.

Mankhwala ndi ofunika kwa mwezi umodzi, ngati mankhwalawo sanagulidwe panthawiyi, muyenera kulemba fomu yatsopano. Aliyense atha kulandira mankhwala akumwa.

Zoyenera kuchita ngati mankhwala akukana kupereka mahomoni:

1. Lowetsani pulogalamuyi mu magazini ya "Zosakhutitsidwa ndi zomwe mukufuna" polumikizana ndi woyang'anira zamankhwala. Siyani foni kuti mudziwe mankhwala akadzaonekera.
2. Uthengawu uyenera kubwera mkati mwa masiku khumi. Ngati ndizosatheka kukwaniritsa ntchito, wodwala ayenera kudziwitsidwa.
3. Mtsogolomo, polyclinic ndi pharmacy amagwira ntchito limodzi kuti athetse vutoli, ndikupereka njira zosiyanasiyana za anthu odwala matenda ashuga - mankhwala ena, kusintha mankhwala, kapena kwina.
4. Ngati wodwala sangalandire insulin, muyenera kulumikizana ndi bungwe la inshuwaransi, Mfuko la MHI, ndi oyang'anira azaumoyo.

Nthawi zambiri, kuperekera insulin kumatha kutha kwa masiku ochepa, wodwalayo ayenera kukonzekera izi ndikukhala ndi chakudya.

Kodi mungatani ngati dokotala sanakupatseni mankhwala?

Mankhwala othandizira mankhwala aulere atha kuperekedwa ndi madokotala malinga ndi luso lawo, kwa odwala omwe ali kuchipatala. Pankhaniyi, adotolo ayenera kukhala m'kaundula wovomerezeka wa madokotala.

Mndandanda wamankhwala omwe amapezeka kuti atulutsidwe kwaulere amathandizidwanso. Nthawi zambiri, kuphatikiza kwa zochitika izi sikulola kuti wodwala apatsidwe mtundu womwe akufuna. Anthu ambiri odwala matenda ashuga amakana mankhwala aulere chifukwa cholephera kupeza bwino mankhwala a insulin.

Izi sizitengera makiliniki am'deralo, omwe angangopereka mankhwala ovomerezeka ndi Unduna wa Zaumoyo.

Ngati mukukana kupereka mankhwala omwe mukufunikira, muyenera:

1. Lumikizanani ndi bungwe la inshuwaransi momwe ndondomeko ya MHI idaperekedwera, MHIF.
2. Lembani madandaulo ku Federal Service for Surveillance in Healthcare of Russian Federation. Adilesi yolumikizirana //www.roszdravnadzor.ru.
3. Mu service service, muthanso kudziwa zonse zomwe zimapezeka kuchipatala komanso mankhwala omwe sangathe kupereka mahomoni, mayina a akuluakulu omwe adakumana nawo. Komanso, muyenera kukasindikiza zikalata zotsimikizira ufulu wolandila mapindu.

Madandaulo atha kutumizidwa ndi makalata ku adilesi: 109074, Moscow, Slavyanskaya Square, 4, nyumba 1. Mukafotokozeredwa tsatanetsatane wa nkhaniyi, ndipamenenso mwayi wokhala ndi lingaliro loyambirira. Kudandaula kuyenera kuwonetsa mayina enieni a mabungwe onse, komanso maudindo ndi mayina a anthu omwe adayesetsa nawo kuthetsa vutoli ndipo adakanidwa.

Kodi mungatani ngati mankhwalawa samapereka insulin yaulere?

Malangizo ogwiritsira ntchito mankhwala osokoneza bongo pakadapanda mankhwala ofunikira kwa odwala, kuphatikizapo insulin, adalembedwa mu kalata ya Roszdravnadzor No. 01I-60/06.

Wodwalayo ayenera kuwunika ngati woyang'anira ntchitoyo akhazikitsa pempho la insulin lofunikira ngati sangapezeke ku mankhwala. Ngati mankhwalawa sanaperekedwe mkati mwa masiku khumi, zovuta zimaperekedwa, mpaka kuchotsedwa kwa layisensi.

Ngati akuluakulu azachipatala omwe sanayithetse vutoli, muyenera kukonzekera kulumikizana ndi wotsutsa. Izi zisanachitike, muyenera kulandira kukana olembedwa ndi malo ogulitsa mankhwala kuti mupereke mankhwala, komanso chitsimikiziro cha ufulu wolandila maubwino.

Ubwino wa odwala matenda ashuga

Kuphatikiza pa ufulu wa insulini yaulere, anthu omwe ali ndi matenda a shuga ali ndi mwayi wopeza mwayi wothandizidwa ndi boma:

1. Kupeza kulumala ndi kupatsa penshoni kutengera kuopsa kwa matenda ashuga.
2. 50% yochepetsa ndalama zolipirira.
3. Free ufulu mano.
4. Kuphatikiza pa insulin, mankhwala aulere a mankhwala ena, komanso zowonjezera - zida zowongolera insulin, njira yoyezera mulingo wa shuga, mowa, ma bandeji. Ngati ndi kotheka, thandizo limaperekedwa pogula nsapato zamatumbo, insoles, orthose. Mankhwala amakhazikikanso zochizira zovuta za matenda a shuga - matenda oopsa, matenda a mtima ndi ena.
5. Amayi omwe ali ndi matenda ashuga alipira tchuthi kwa amayi kwa masiku 16 kutali; amatha masiku ambiri kuchipatala cha amayi (3 masiku).
6. Kuyesedwa kwaulere kwa mayeso a endocrine ziwalo zamagulu a shuga ndikusintha kwamankhwala. Pakadali pano, omwe akusowa thandizo samasulidwa ku kuphunzira kapena kuntchito. M'malo ngati amenewa, mutha kufufuza bwino.
7. M'madera ena (makamaka, ku Moscow), mapulogalamu okonzanso amaperekedwa m'malo opatsirana.
8. Madera ali ndi mapulogalamu awo othandizira - kulipira ngongole, ndalama zoyenda, mapulogalamu aubwino ndi ena.

Kanema wokhala ndi mndandanda wazabwino za odwala omwe ali ndi matenda ashuga:

Popanda thandizo kuchokera kwa okondedwa, wodwala matenda ashuga amatha kudalira thandizo la ogwira ntchito zandalama. Amuna omwe ali ndi matenda ashuga sawamasuka ku ntchito yankhondo.

Kuti mukhale ndi chilema, muyenera kulumikizana ndi Bureau of Medical and Social Expertise (ITU) ndikukutumizirani kwa dokotala. Wodwala amatha kulandira gulu lolemala kuchokera ku 1 mpaka 3. Kuikidwa kwa gulu la olumala kumamupatsa mwayi wolandirira penshoni mu kuchuluka komwe kukhazikitsidwa ndi Federal Law No. 166-FZ.

Matenda a shuga ndi matenda omwe amafuna kuti wodwalayo aziwonetsetsa momwe alili, chithandizo chamanthawi zonse, komanso zakudya. Kuthandizidwa ndi boma m'njira yoperekera mankhwala aulere, kuphatikizapo insulin, ndi maubwino ena kumawathandiza odwala matenda ashuga kukhalabe athanzi ndikulimbana ndi matenda oopsa.