Isifo sikashukela i-mellitus yisifo esibaluleke kakhulu emphakathini. Lokhu kungenxa yesibalo saso sokugcwala nokwanda njalo kwezigameko. Izinkinga zesifo sikashukela i-mellitus ziholela ekukhubazekeni, ingozi eyandayo yokufa ngaphambi kwesikhathi kweziguli.
Ngakho-ke, kuhlelwa ukwaba imali kwisabelomali sombuso ukulungisa izindleko zemithi esetshenziselwa ukwelapha isifo sikashukela. Banikeza i-insulin mahhala kwabanesifo sikashukela, amaphilisi okwehlisa ushukela wegazi, afakwe ohlwini oluhambelanayo lwemithi, imivimbo yokuhlola yama-glucometer, kanye nesirinji yemijovo.
Ngaphezu kwalokho, iziguli ezinesifo sikashukela zingathola izimvume zokwelashwa kwe-sanatorium, futhi abantu abakhubazekile bakhokhelwa impesheni evela kuhulumeni. Konke lokhu kufakwe emthethweni we-Federal sikashukela weRussian Federation. Ugcizelela amalungelo abantu abanesifo sikashukela abanazo nezibopho zombuso zokuzisebenzisa.
Izinzuzo Zesifo Sikashukela
I-insulin yamahhala yabanesifo sikashukela inikezwa lezo zigaba zeziguli ezinqunyelwe ukwelashwa kwe-insulin, kungakhathalekile ukuthi hlobo luni lwesifo sikashukela. Usizo olunjalo lunikezwa kubantu baseRussia, kanye nakubantu abathole imvume yokuhlala.
Ukuhlinzekwa ngokuhlinzekwa kwamahhala kwemithi yesifo sikashukela kuhlinzeka ngokukhishwa, ngaphezu kwama-insulin, nabamele ukuqapha kwe-glucose. Ezigulini ezinesifo sikashukela esihlala sithola i-insulin therapy, insiza yokuhlola ushukela wegazi nemichilo yokuhlolwa kwayo inikezwa mahhala ngesilinganiso sesilinganiso se-glycemia sesikhathi esingu-3.
Ngokwesifo sikashukela sohlobo 2, uhlu lwemithi yamahhala ngo-2017 lubandakanya i-gliclazide, glibenclamide, repaglinide, metformin. Futhi, ngohlobo lwesibili lwe-mellitus yesifo sikashukela, iziguli zithola imicu yokuhlolwa enanini le-1 ngosuku, uma ngabe i-insulin ingabekiwe, isiguli kufanele sithenge i-glucometer ngezindleko zazo.
Ngaphezu kwalokho, uma isiguli singekho kwi-insulin, kepha singokwesigaba sokungaboni kahle, lapho-ke imishini yokulinganisa ushukela kanye nomucu wokuhlola owodwa ngosuku kukhishwa ngokuchithwa kwezimali zombuso.
Inqubo yokukhipha imiyalo ye-insulin yamahhala ifaka le mithetho elandelayo:
- Ngaphambi kokukhipha umuthi, udokotela we-endocrinologist wenza ukuhlolwa nokuhlolwa kwelebhu.
- Imvamisa yokunquma iba kanye ngenyanga.
- Isiguli kufanele sithole umuthi wokubhaliwe kuphela.
- Ukwenqaba ukukhipha incwadi kadokotela akunakuba nesizathu sokuntuleka kwemali, ngoba konke ukukhokha kwenziwa ngokuxoshwa kwesabelomali sikahulumeni noma sendawo.
- Amacala aphikisiwe axazululwa ukuphathwa komtholampilo noma isikhwama sendawo somshuwalense wezempilo ophoqelelwe.
Ukuze uthole ukunikezwa kadokotela kusuka ku-endocrinologist, udinga ukuba nephasiphothi, inqubomgomo yezokwelashwa, isitifiketi somshuwalense, isitifiketi esingavumelekile (uma sikhona) noma omunye umqulu oqinisekisa ilungelo lokuthola i-insulin ngokuzikhethela.
Ngaphezu kwalokho, kuzodingeka ukuthi uthole isitifiketi esikhwameni sempesheni esithi isiguli asizenqabanga izinzuzo ezinikezwe.
Uma kwenzeka kwenqaba (okuyingxenye noma okugcwele) kwabahlomuli, kunikezwa isinxephezelo semali, kodwa inani laso kungenzeka lingasibeki ngokuphelele izindleko zokwelashwa nokuvuselelwa.
Ungayithola kanjani i-insulin ekhemisi?
Ungathola i-insulin mahhala emakhemisi lapho umtholampilo unesivumelwano nawo. Ikheli labo kufanele libikwe yisiguli udokotela lapho ebhala incwadi kadokotela. Uma isiguli besingenaso isikhathi sokuya kudokotela ngesikhathi, futhi ngenxa yalokho sishiywe singenawo umuthi, singathengwa ngemali kunoma ikhemisi.
Ezigulini ezidinga imijovo ye-insulin yansuku zonke, kubalulekile ukuba unikezwe umuthi ukuze ungaphuthelwa umjovo nganoma yisiphi isizathu - ngokwesibonelo, ngenxa yesheduli yomsebenzi, ukuntuleka kwe-insulin ekhemisi, noma ukuthutha kabusha. Ngaphandle kokwethulwa okufika ngesikhathi komthamo olandelayo we-insulin emzimbeni, ukuphazamiseka okungenakuqhathaniswa kwe-metabolic kukhula futhi kungaba nomphumela obulalayo.
Uma isiguli esinesifo sikashukela sinokuxhumana nodokotela ngokuqondile, isihlobo noma noma yimuphi ummeleli wesiguli angasithola ekhemisi. Isikhathi sokuthola umuthi sokuhlinzekwa kwemithi kanye nokunikezwa sisuka emavikini amabili kuya kwenyanga eyi-1. Umaki kulokhu kufanele wenziwe kwiresiphi ekhishwe.
Uma ikhemisi liphendule ngokuthi asiyikhiphi i-insulin mahhala, kuzodingeka uthole ukwenqaba okubhaliwe okubonisa isizathu sokwenqatshwa, usuku, isiginesha nokusayina kwenhlangano. Lo mbhalo ungasebenza egatsheni lesifunda leMandary Health Insurance Fund.
Ngokuntuleka kwe-insulin okwesikhashana, udinga ukuthatha lezi zenzo:
- Faka inombolo kadokotela ebhukwini lezenhlalo ekhemisi ekhemisi.
- Shiya imininingwane yokuxhumana ukuze isisebenzi sokhemisi sikwazise ngesidakamizwa.
- Uma i-oda lingaqediwe kungakapheli izinsuku eziyi-10, abaphathi bamakhemisi kumele baxwayise isiguli bese besithumela kwezinye izitolo.
Uma kwenzeka ulahlekelwe ngukuthi unikezwe umuthi, kufanele uthintane nodokotela okuyalele ngokushesha okukhulu. Njengoba ngaphezu kokukhipha ifomu elisha, udokotela kumele azise inkampani yezokwelapha ngalokhu.
Ukuqapha okunjalo kufanele kuvimbele ukusetshenziswa kwemithi okungekho emthethweni.
Ukwenqaba ukunquma i-insulin yamahhala
Ukuze uthole ukucaciseleka uma ukwenqaba kukadokotela ukunikeza umuthi we-insulin noma umuthi onqunyelwe namadivayisi ezokwelapha, kufanele uthintane nodokotela oyinhloko wesikhungo sezokwelapha. Uma ngokwezinga lakhe lolu daba alunakucaciswa, kuzodingeka ucele ukwenqaba okubhaliwe.
Isicelo sokufakazelwa kwemibhalo yokwenqaba kungahle kube ngomlomo, kepha esimweni esingqubuzanayo kungcono ukudweba amakhophi amabili esicelo esibhaliwe egameni lodokotela oyinhloko, futhi kunobhala amukele uphawu ekhophi lesibili ekwamukelweni kwesicelo sezincwadi ezizayo.
Ngokuya ngomthetho, isikhungo sezokwelapha kufanele sikhiphe impendulo esicelweni esinjalo. Kulokhu, ungathinta Isikhwama Somshwalense Wezempilo Sokuphoqelelwa. Isicelo esibhaliwe kufanele sithunyelwe sisho ukuthi isikhungo esithile sezokwelapha sinikezela isibopho saso sokuhlinzeka ngemiyalelo ekhethekile yemithi yabanesifo sikashukela.
Uma kungenzeka ukuthi impendulo efanele ngeke yamukelwe kulezi zigaba, kuzoba yilezi zinyathelo ezilandelayo:
- Isikhalazo esibhaliwe eMnyango Wezempilo.
- Isicelo kwiziphathimandla zokuphepha komphakathi.
- Ukukhononda eHhovisi Lomshushisi mayelana nezenzo zabasebenzi bezempilo.
Isicelo ngasinye kufanele siphindaphindwe kabili, kwikhophi esezandleni zeziguli, kufanele kube nenothi ekwamukelweni nasekubhaliseni kokubhaliswa kwesikhungo lapho isicelo sithunyelwe khona.
Inzuzo Yezingane ezinesifo Sikashukela
Izingane ezinesifo sikashukela sohlobo 1 sikhubazeka ngaphandle kokunquma inombolo yeqembu. Ngokuhamba kwesikhathi, ingasuswa noma iphinde ibuyiselwe, kuye ngokuthi lesi sifo sibucayi kangakanani. Izingane zingabheka izaphulelo zokuthola ukwelashwa okukhethekile kokwelashwa sanatorium kanye ngonyaka.
Umbuso wenza inkokhelo yokuhamba lapho uyokwelashwa uye emuva, ekwelashweni nasendaweni yokuhlala, futhi abazali banikezwa ithuba lokuthola isinxephezelo sendawo yokuhlala ngesikhathi sokululama kwengane.
Izingane, kanye nabesifazane abakhulelwe, abaneqembu noma abakhubazekile, abanokuthola imitha kashukela egazini nemichilo yokuhlola, amapeni wesirinji, nemithi eyehlisa amazinga kashukela mahhala.
Ukuze uthole izinzuzo, kufanele uhlolwe udokotela. Kulokhu, amadokhumenti alandelayo angadingeka:
- Isitatimende esivela kubazali.
- Iphasiphothi yabazali noma yomgcini, isitifiketi sokuzalwa. Ngemuva kweminyaka eyi-14 - ipasipoti yengane.
- Ikhadi laphumayo kanye namanye amarekhodi ezokwelapha.
- Uma lokhu kuhlolwa kabusha: isitifiketi sokukhubazeka nohlelo lokuvuselela umuntu ngamunye.
Ungalithola kanjani ithikithi lokuya eSanatorium?
Kwabanesifo sikashukela, kudluliselwa ekwelashweni kwe-spa ezindaweni ezikhethekile ezinikezwe. Ukuthola ithikithi lamahhala, emtholampilo wesifunda udinga ukuthatha isitifiketi kwifomu engu-070 / u-04, futhi uma ingane inesifo sikashukela, ke - Cha. 076 / u-04.
Ngemuva kwalokho, kufanele uxhumane neSikhwama Somshwalense Wezenhlalo, kanye nanoma iyiphi inhlangano yezokuphepha yomphakathi eye yenza isivumelwano neSikhwama. Lo nyaka, udinga ukwenza lokhu ngaphambi kukaDisemba 1.
Ezinsukwini eziyishumi ezibekwe ngumthetho, impendulo kumele itholakale ngokunikezwa kwemvume kwi-sanatorium, ehambelana neprofayili yalesi sifo, ekhombisa usuku lokuqala lokwelashwa. Ithikithi ngokwalo linikezwa isiguli ngaphambi kwesikhathi, kungakapheli izinsuku ezingama-21 ngaphambi kokufika. Kufanele isetshenziswe ngokuphelele, ibe nophawu lweSikhwama Somshwalense Womphakathi, inothi mayelana nokukhokha kusuka kwisabelomali sombuso. Amavawusha anjengalawa awathengiswa.
Ezinyangeni ezimbili ngaphambi kokusuka noma ngokuhamba kwesikhathi, udinga ukufaka isicelo sekhadi lokwelashwa kwe-sanatorium esikhungweni esifanayo sezokwelapha esikhiphe ukudluliselwa kwelashwa kwe-spa. Inolwazi mayelana nokuxilongwa okuyikhona okuyisiguli, ukwelashwa okuthathiwe, isiphetho mayelana nokungenzeka kokuvuselelwa esimweni esinjalo sanatorium.
Ungasifaka nesicelo sethikithi eMnyangweni Wezimali Ezivunyelwe eMnyangweni Wezempilo waseRussia. Kulokhu, ngaphezu kwesicelo, udinga ukuqoqa imibhalo elandelayo:
- Iphasiphothi yesakhamuzi saseRussia Federation namakhophi ayo amabili anamakhasi uNo 2,3,5.
- Uma kunokukhubazeka, khona-ke amakhophi amabili ohlelo lokuvuselela umuntu ngamunye.
- Inombolo yomshuwalense ye-akhawunti yomuntu siqu ngamakhophi amabili.
- Isitifiketi sokukhubazeka - amakhophi amabili.
- Isitifiketi esivela esikhwameni sempesheni sokuthi kukhona izinzuzo ezingezona ezemali zalo nyaka ziyisiqalo nekhophi.
- Imininingwane esefomini uNo. 070 / y-04 yomuntu omdala, No. 076 / y-04 yengane ekhishwe ngudokotela ohambele lo msebenzi. Isebenza izinyanga eziyi-6 kuphela.
Uma ngenxa yesizathu esithile ungakwazi ukuhamba uyokwelashwa, kuzodingeka ubuyise ithikithi kungakapheli izinsuku eziyisikhombisa ngaphambi kokuqala kwesenzo. Ngemuva kokuthola ukwelashwa kusanatorium, udinga ukuhlinzeka ngevawutsha yithikithi esikhungweni esilikhiphile, kanye nesitatimende senqubo oyidingayo yokunikeza udokotela oholayo.
Ukuze ungahlangabezani nezinkinga lapho ufaka isicelo selungelo lengane enesifo sikashukela kanye nesigaba esidala sezakhamizi sokuthola umuthi nezaphulelo zokuphulukisa, udinga ukuvakashela njalo i-endocrinologist futhi uhlolwe ngesikhathi esifanele ngochwepheshe abahlobene, kanye nesethi yokuhlolwa kwelebhu yokuxilonga. Lokhu kuhlangana kunomthelela ekulawuleni ushukela ongcono.
Ividiyo ekulesi sihloko ikhuluma ngezinzuzo zabanesifo sikashukela.
