Umuthi we-insulin noma cha: kungenzeka yini ukuthi uthenge i-hormone ekhemisi?

I-insulin yi-hormone ebalulekile emzimbeni womuntu elawula ushukela wegazi. Ama-pancreas anesibopho sokukhiqiza le hormone, uma kwenzeka wephula lesi sitho, i-insulin iqala ukukhiqizwa kabi. Lokhu kuholela ekuphazamisweni kwe-metabolic kanye nokukhula kwesifo sikashukela.

Abantu abanesifo sikashukela baphoqelelwa impilo yabo yonke ukuqapha amazinga kashukela egazini, banamathela ekudleni okwelaphayo, ukuzivocavoca, kanye nokuphatha i-insulin nsuku zonke lapho kunikezwe udokotela. Uma le mithetho elula ingalandelwa, kuba nezinkinga ezahlukahlukene, okunzima kakhulu ukuzelapha.

Iziguli eziningi nezihlobo zabanesifo sikashukela banesidingo sokuthi ngabe i-insulin kadokotela iyathengwa noma cha. Ungathola i-hormone ngemali ngaphandle kwedokhumenti, kanye neyamahhala, ngemuva kokunikeza umuthi okhombisa umthamo ngqo wesidakamizwa. Kodwa-ke, kubalulekile ukuqonda ukuthi lapho uthenga umuthi we-hormonal ngaphandle kadokotela, umuntu uzibeka engcupheni yokusebenzisa ngokweqile, okungaholela emiphumeleni eyingozi futhi engenakuphikwa.

Ungayithola kanjani insulin

Ukuthenga isidakamizwa kulula impela. Uma umthamo we-hormone udingeka ngokushesha, futhi isifo sikashukela siphelelwe i-insulin, ezimweni eziphuthumayo singathengwa ekhemisi elisebenzisana nokulethwa okukhethekile komuthi. Kungcono ukubiza wonke amaphuzu aseduze athengiswayo ngaphambi kwesikhathi ukuze uthole ukuthi lo mkhiqizo uyathengiswa yini, ngoba akuwona wonke amakhemisi athengisa izimpahla ezinjalo.

Ungasithenga lesi sidakamizwa mahhala uma uya kudokotela wakho we-endocrinologist bese ubhala umuthi. Imithi ekhethekile inikezwa ngumthetho kwizakhamizi zaseRussia Federation nakwabangaphandle ngemvume yokuhlala. Obani abaye batholakala benesifo sokuxakaniseka nesifo sikashukela i-insulin. Ukuhlinzekwa kwalezi zinzuzo kulawulwa umthetho wobumbano ngosizo lomphakathi kwezenhlalo 178-FZ kanye Nesinqumo Sikahulumeni No. 890.

Udokotela we-endocrinologist noma udokotela ojwayelekile, osohlwini lwabantu abahlinzeka ngezidakamizwa ezikhethiwe, unelungelo lokukunikeza incwadi ngokuthenga kwama-insulin mahhala. Le rejista lenziwa yiziphathimandla zezempilo zakwamanye amazwe.

Umuthi onjalo awutholakali kwi-Intanethi, ngakho-ke kufanele unakekele ukuthola idokhumenti kusenesikhathi uma i-insulin iphela. Umuntu onesifo sikashukela kufanele avakashele udokotela uqobo, ngemuva kokuhlola nokwamukela inqubo yokwelashwa, kunqunyelwa umthamo othile, isiguli ongasithola mahhala.

Ukunikeza umuthi, isiguli kumele sibe nemibhalo eminingana:

• Kunikezwa ifomu lokuyalela lapho kubhaliswa khona umuntu onesifo sikashukela, ngakho kudingeka ipasipoti. Kubalulekile ukucubungula uma umuntu engahlali endaweni yokubhalisa, kufanele ukhethe kuqala isikhungo sezokwelapha bese unamathela enhlanganweni yezokwelapha ekhethiwe. Ungawushintsha umtholampilo ungadluli kanye ngonyaka.
• Lapho uvakashela umtholampilo, inqubomgomo yomshuwalense wezokwelapha nenqubomgomo yomshuwalense ngamunye (i-SNILS) kufanele ibe ikhona.
• Ngokwengeziwe, kufanele kunikezwe isitifiketi sokukhubazeka noma omunye umqulu oqinisekisa ilungelo lezinzuzo.
• Kuyadingeka nokuthi unikeze isitifiketi esikhwameni sempesheni esiqinisekisa ukungatholakali kokwenqaba ukuthola izinsizakalo zenhlalo.

Le mibhalo iyadingeka ukuze ugcwalise wonke amabhokisi eresiphi ekhethekile ngenkomba yezinombolo.

Iwanikezwa kuphi i-insulin mahhala

Ikhemisi lapho isikhungo sezokwelapha sesisayine isivumelwano sinelungelo lokukhipha umuthi mahhala. Imvamisa, udokotela unikeza amakheli ambalwa lapho abantu abanesifo sikashukela bengahanjiswa khona ngezindlela zokupheka ezikhethekile.

Ifomu lokugunyazwa livumelekile ukuthengwa kwamahhala kwe-hormone amasonto amabili kuya kwamane, isikhathi esiqondile singatholakala kuresiphi. Hhayi nje kuphela ukuthi isiguli sinelungelo lokuthola i-insulin, kodwa futhi nezihlobo zayo ekuhlinzekweni kwefomu lokuyalelwa.

Kungenzeka ukuthi ikhemisi okwesikhashana alinawo umuthi wamahhala, kulokhu, kufanele usebenzise inqubo elandelayo.

1. Okokuqala, kufanele uthintane nomphathi wekhemisi uqobo ukuze ubhalise idokhumenti yezokwelapha eqinisekisa ilungelo lokuthola umuthi okhethiweyo kwiphephabhuku elikhethekile.
2. Ngaphezu kwalokho, ngokokuyalelwa koMnyango Wezempilo kanye Nezokuthuthukiswa Komphakathi eRussia, umuthi we-hormonal kufanele unikezwe isiguli kungadluli izinsuku eziyishumi. Uma lokhu kungenzeki ngesizathu esihle, ikhemisi kufanele likutshele ukuthi ungaqhubeka kanjani nesifo sikashukela.
3. Uma ikhemisi liqala ukunikeza i-insulin ngomuthi, udinga ukuletha udokotela le nkinga. Ngaphezu kwalokho, bafaka isikhalazo nge-TFOMS noma i-QMS - lezi zinhlangano zinesibopho sokubheka amalungelo eziguli emkhakheni womshuwalense wezempilo ojwayelekile.

Uma ulahlekelwa yifomu lokuyalelwa, kufanele futhi ubonane nodokotela, azokubhala incwadi entsha futhi abike ukulahleka ekhemisi lapho isivumelwano senziwe khona.

Lokhu ngeke kuvume abantu abangagunyaziwe ukuthi basebenzise idokhumenti yokukhetha.

Uma udokotela enganikeli incwadi kadokotela

Ngaphambi kokuthi wenze isikhalazo kwigunya eliphakeme, kufanele uqonde ukuthi akuyena wonke udokotela onelungelo lokukhipha incwadi kadokotela. Ngakho-ke, kubalulekile ukukucacisa kusengaphambili ukuthi ngubani onegunya lokukhipha idokhumenti.

Uhlu lwabodokotela lungatholakala ngqo emtholampilo, kufanele lunikezwe isiguli lapho luceliwe. Lolu lwazi lukhona emphakathini futhi luyatholakala ngokubanzi, ngakho-ke luvame ukufakwa kumabhodi wolwazi.

Uma, ngasizathu simbe, udokotela engazange abhale incwadi yesidakamizwa sokhetho samahhala sokukhetha abanesifo sikashukela, ngaphandle kokuxilongwa, udinga ukuthumela isikhalazo kudokotela oyinhloko wesikhungo sezokwelapha. Njengomthetho, kulesi sigaba, ukungezwani kuxazululwa, isiguli nomholi bafika esivumelwaneni sobabili.

1. Uma kwenzeka wenqaba kubaphathi ngezizathu ezingenangqondo, kubhalwe isikhalazo kubo bonke abasebenzi abavimbela ithuba lokuthola umuzwa wokukhetha kwi-Federal Service for Supervision in the Field of Health. Ukuze wenze lokhu, kungcono ukusebenzisa iwebhusayithi esemthethweni yeRoszdravnadzor, etholakala ku: //www.roszdravnadzor.ru.
2. Usebenzisa ifomu lokuphendula, ungafika engxenyeni yezikhalazo zezakhamizi, lapho kunemininingwane ephelele yokuthi ungasithumela kanjani isikhalazo, aphi amahhovisi ezifunda nokuthi asebenza ngasiphi isikhathi. Lapha futhi ungathola uhlu lwezindikimba ezigunyaziwe ezilawula imisebenzi yezinye izinhlangano.
3. Ngaphambi kokugcwalisa isicelo, kunconyelwa ukuthi uthathe isithombe sayo yonke imibhalo esesandleni eqinisekisa ilungelo lokusebenzisa izinzuzo usebenzisa ucingo. Wonke amafayela athunyelwa ngefomu elilodwa lapho isikhalazo sizothunyelwa khona. Kubaluleke kakhulu ukuthi lesi simo sichazwe ngokuningiliziwe ngangokunokwenzeka, namaqiniso athile.

Uma kungenzeki ukusebenzisa ikhompyutha, isikhalazo sithunyelwa ngokubhala, kusetshenziswa ifomu lencwadi elibhalisiwe ngeposi. Imibhalo ithunyelwa kuleli kheli: 109074, eMoscow, eSlavyanskaya isikwele, d. 4, k. 1. Ngokufanele, kuzothatha isikhathi eside ukulinda, ngoba kuthatha isikhathi ukuthumela, ukwamukela, kanye nokucubungula okungeziwe. Ngokubonisana, ungasebenzisa izingcingo eMoscow:

• 8 (499) 5780226
• 8 (499) 5980224
• 8 (495) 6984538

Uma ikhemisi lingayikhiphi i-insulin yamahhala

Uma ungayikhiphi i-insulin, uzokhononda kuphi? Uhlelo lwezenzo eziphambili uma senqaba ukulethwa kwamahhala kwe-insulin kwabanesifo sikashukela lubuye luxhumane nabaphathi abaphezulu ukuze bathole ukuvikelwa kweziguli nesijeziso sokwephula umthetho.

Iseluleko sokuqala kanye nosizo kungatholakala eMnyangweni Wezempilo waseRussia Federation. Ukuze wenze lokhu, kufanele usebenzise izingcingo zamahhala ezishayela ucingo bese ushayela u-8 (800) 2000389. Ngokubonisana, kunezinombolo ezikhethekile zokweseka: 8 (495) 6284453 no-8 (495) 6272944.

• Ungafaka isikhalazo ngaphandle kokushiya ikhaya lakho usebenzisa iwebhusayithi esemthethweni yoMnyango Wezempilo WaseRussia ku: //www.rosminzdrav.ru/reception/appeals/new. Ngokufanayo, ungabhalela uRoszdravnadzor usebenzisa ifomu lokuphendula.
• Ngemuva kokuthi iziphathimandla zithole imininingwane mayelana nokwephulwa kwaleso simo, isimo sizolawulwa. Ungathola impendulo ngemiphumela yesikhalazo ezinsukwini ezimbalwa.

Uma kukhulunywa ngehhovisi lomshushisi, onesifo sikashukela kuzodingeka anikeze ipasipoti, incwadi eqinisekisa ilungelo lokusebenzisa izinzuzo, incwadi kadokotela namanye amaphepha aqinisekisa ukunemba kwesifo sikashukela.

Ngokwesimangalo, kufanelekile ukwenza amakhophi ayo yonke imibhalo enamathiselwe ngaphambi kwesikhathi. Uma ukwelashwa bekungalungile, isiguli siyokwamukelwa futhi inkambo yokusebenza izonikezwa.

Yiziphi izinzuzo zesifo sikashukela

Ngaphezu kwemithi yamahhala ne-insulin, kunezinzuzo eziningi zesifo sikashukela okufanele uqaphele. Ngokuxilongwa okufanayo, amadoda anelungelo lokuxolelwa empini. Izinsiza zokukhubazeka nazo ziyancishiswa.

Uma umuntu onesifo sikashukela engakwazi ukuzisebenzela, unikezwa ukwesekelwa okungenzeka kwezinsizakalo zenhlalo. Iziguli zinokufinyelela kwamahhala ejimini nakwezinye izindawo lapho kunethuba lokuzibandakanya emfundweni yezemidlalo noma kwezemidlalo. Uma owesifazane onengane enesifo sikashukela, angahlala esibhedlela izinsuku ezintathu, kuyilapho isikhathi sekhefu sinikezwa izinsuku eziyi-16.

1. Abanesifo sikashukela abakhubazekile bathola izinkokhelo zanyanga zonke ngenani lama-ruble ayizinkulungwane ezingama-1700-3100, kuya ngohlobo lwesifo.
2. Ngaphezu kwalokho, isiguli sinelungelo lempesheni yokukhubazeka yama-ruble angama-8500.
3. Uma kunesidingo, iziguli zingakwazi ukuba namazinyo mahhala emtholampilo kahulumeni. Baphinde banikezwe nezicucu zamathambo, ama-orthopedic insoles noma izaphulelo kulezi zinto.
4. Lapho kukhona umbono wezokwelapha, umuntu onesifo sikashukela angathola isisombululo sotshwala kanye namabhandeshi.

Kwezinye izindawo, iziguli zinelungelo lokusebenzisa mahhala zonke izithuthi zomphakathi edolobheni. Futhi ividiyo ekulesi sihloko izofingqa umbuzo wokunquma i-insulin ezigulini.