Isifo sikashukela mellitus namuhla yisifo esivame kakhulu esitholakala kwiziguli emhlabeni wonke. E-Russia, lesi sifo sithatha indawo yesithathu ekufeni kwabantu ngemuva komdlavuza kanye ne-pathologies yentliziyo.
Lesi sifo siholela ekukhubazekeni, ekukhubazekeni kwasekuqaleni, ikhwalithi yempilo encishisiwe kanye nokufa kwangaphambi kwesikhathi. Ukuze umuntu onesifo sikashukela athole ithuba lokwelashwa ngokugcwele, isabelomali saseRussia sihlinzeka ngokukhokha kwemali ngonyaka. Isiguli sithola i-insulin ekhethekile, izidakamizwa ze-hypoglycemic, imichilo yokuhlola nemijovo yokujova.
Ngaphezu kwalokho, umuntu onesifo sikashukela angasebenzisa ithikithi lokukhetha esikhungweni se-sanatorium kanye ngonyaka. Uma kukhubazeka, umuntu unikezwa impesheni ekhethekile evela kuhulumeni.
Ungayitholaphi i-insulin nomuthi
Njengoba imishanguzo yesifo sikashukela ithathwa njengebalulekile, akufanele uzibuze ukuthi awuyinikezi i-insulin. Ngokusho komthetho i-Federal Law "On Social Aidance" kaJulayi 17, 1999, 178-ФЗ kanye nesinqumo sikaHulumeni No. 890 sikaJulayi 30, 1999, hhayi nje kuphela izakhamizi zakuleliya lizwe, kodwa nabantu abanemvume yokuhlala eRussia bangathola imishanguzo ngokukhetha .
Ukuze ube ngumemukeli osemthethweni we-insulin yamahhala noma ezinye izidakamizwa ze-hypoglycemic, udinga ukubonana nodokotela oyi-endocrinologist emtholampilo wangakini. Ngemuva kokudlula zonke izivivinyo ezidingekayo, udokotela uzokwakha irejimeni yokwelashwa yomuntu ngamunye futhi anikeze umuthi okhombisa umthamo odingekayo womuthi.
Kufanele uqonde ukuthi uzodinga ukuthola i-insulin yanyanga zonke mahhala, ngenkathi i-endocrinologist inqatshelwe ngumthetho ukunquma umthamo owedlula isilinganiso senyanga. Idokhumenti yezokwelapha ikhishwa ngokuqinile ezandleni zesiguli; nayo izokwehluleka ukwamukela ku-Intanethi.
Lolu hlelo likuvumela ukuthi ulawule ukusetshenziswa kwezidakamizwa futhi uvikele ukusetshenziswa kwemali okuchithekayo. Uma kunezici ezithile ezishintshile futhi umthamo we-insulin unyusiwe, udokotela unelungelo lokunyusa inani lemithi ebekiwe.
- Ukuthola umuthi we-insulin ye-hormone, udinga ipasipoti, isitifiketi somshuwalense, inqubomgomo yezokwelapha, isitifiketi esingavumelekile noma omunye umbhalo oqinisekisa ilungelo lokusebenzisa izidakamizwa ezikhethekile. Uzodinga nesitifiketi esikhishwe yisikhwama sempesheni, okuqinisekisa ukungabikho kokwenqaba ukuthola izinzuzo zombuso.
- Wenqabele ukukhipha umuthi wemithi ebalulekile, noma ngabe kungekho-insulin, udokotela akanalungelo. Ngokomthetho, imali esetshenziselwa izidakamizwa ezikhethekile ivela kwisabelomali sombuso, ngakho-ke, isitatimende sikadokotela sokuthi isikhungo sezokwelapha asinazo izindlela ezanele zezimali zalokhu akukho emthethweni.
- Bathola i-insulin ebakhethayo ekhemisi lapho isikhungo sezokwelapha sesisenzile isivumelwano. Ungawathola wonke amakheli emakhemisi kudokotela obhala ukunikezwa umuthi. Uma umuntu onesifo sikashukela engazange akwazi ukuthola isikhathi sokuqokwa futhi engakwazi ukuthola umuthi okhethekile, kuyodingeka athenge i-insulin ngezindleko zakhe.
Idokhumenti yezokwelapha eqinisekisa ilungelo lokuthola imishanguzo esebenzayo isebenza izinsuku ezingama-14 kuya kwezingu-30, ngokwesikhathi esishiwo kunqunyelwe.
Uma umuthi unikezwa uqobo ezandleni zesiguli, khona-ke ungathola izidakamizwa zamahhala ezihlotsheni ekhemisi elibekiwe.
Uma ungayiniki i-insulin
Ngeshwa, amacala anjalo awavamile ukwenzeka lapho onesifo sikashukela enqatshelwa ukutholwa nezidakamizwa ezikhethekile ezisemthethweni. Imvamisa, isizathu salokhu ukungabikhona kwesikhashana kwe-insulin ekhemisi.
Uma lokhu kwenzeka, isiguli sidinga ukushiya inombolo yemithi ebhukwini lezenhlalo nosokhemisi, esimnika ilungelo lokuthenga lesi sidakamizwa mahhala. Izinsuku eziyishumi, ikhemisi liyadingeka ukuhlinzeka nge-insulin kwabanesifo sikashukela.
Ukungabikho kwe-insulin nganoma yisiphi isizathu, abamele ekhemisi baphoqelekile ukuthi bazise isiguli ngalokhu futhi basithumele kwelinye iphuzu elizothengiswa ngalo.
- Uma kune-insulin ekhemisi, kepha usokhemisi uyenqaba ukuyithola mahhala, isikhalazo kufanele sithunyelwe emnyangweni wesifunda weCompulsory Health Insurance Fund. Le nhlangano ibhekele ukugcinwa kwamalungelo eziguli futhi ixhasa ngokusemthethweni iziguli.
- Esimweni sokungatholakali kwemithi ekhethekile, ukuphathwa kwekhemisi kuyadingeka ukuze ukwenqatshwa kubhalwe phansi, umbhalo kufanele ube nesizathu sokungalethwa kwemithi, usuku, isiginesha kanye nophawu lwesikhungo.
- Ngale ndlela, ngummeleli wabaphathi kuphela ongabhala incwadi yokwenqaba, ngoba ukuphrinta kuyadingeka, kepha ngokuzayo lo mbhalo uzosiza ukuxazulula ukungaboni ngaso linye ngokushesha futhi onesifo sikashukela uzothola imishanguzo edingekayo ngokushesha.
- Uma umuntu elahlekelwe yigciwane ebelichazwe ngaphambilini nge-insulin, kubalulekile ukuxhumana nodokotela ozobakhona ngokushesha, ozokwazi ukubhala incwadi entsha futhi azise isikhungo semithi ngokulahleka kwencwadi. Uma udokotela enqaba ukubhala incwadi kadokotela, udinga ukucela ukucaciselwa kudokotela oyinhloko.
Lapho umtholampilo wenqaba incwadi kadokotela onesifo sikashukela, kuyodingeka futhi ufune ukuthi lokho kwenqaba kubhalwe phansi. Isikhalazo ngamalungelo esiguli sidluliselwa egatsheni lesifunda le-Health Insurance Fund. Ngaphezu kwalokho, isiphathimandla esivikela umphakathi noma uMnyango Wezempilo usiqonda kahle isimo.
Uma isiguli singatholanga mpendulo yesikhalazo kungakapheli inyanga, isikhalazo sithunyelwa eHhovisi Lomshushisi.
UKhomishani Wamalungelo Abantu ubhekana nodaba lokucindezela ukwephulwa kwamalungelo eziguli ezinesifo sikashukela.
Izinzuzo ezengeziwe zabanesifo sikashukela
Ngaphezu kweqiniso lokuthi umbuso ubophekile ukuthi unikeze abanesifo sikashukela mahhala i-insulin nemithi ebalulekile, inqwaba yemisebenzi yezenhlalo nayo inikezwa isiguli. Bonke abanesifo sikashukela abanokukhubazeka banelungelo lokuthola ithikithi lamahhala le-sanatorium.
Ngoshukela wohlobo loku-1, onesifo sikashukela uvame ukukhubazeka, maqondana nalokhu anikezwa ezinye izinzuzo. Kuyaqapheleka ukuthi kunezinzuzo ezinganeni ezikhubazekile ezinesifo sikashukela.
Yonke imishanguzo inikezwa mahhala uma sekwethulwa incwadi kadokotela, ekhombisa umthamo ovumelekile we-insulin.
Thola umuthi ekhemisi inyanga eyodwa, kusukela ngesikhathi udokotela ebhala incwadi kadokotela. Uma umuthi unokunaka kokuphuthumayo, i-insulin inganikezwa ngaphambi kosuku lokuqala. Kulokhu, onesifo sikashukela kufanele athole umuthi kuze kufike ezinsukwini eziyi-10.
Ngohlobo 1 sikashukela, iphakethe lezinzuzo zomphakathi lifaka:
- Ukuthola ama-insulin namahhala we-insulin;
- Uma kunesidingo, ukulaliswa esibhedlela esikhungweni sezokwelapha;
- Amahhala we-glucometer wamahhala nokudla ngesilinganiso semichilo emithathu yokuhlola ngosuku.
Umuthi we-psychotropic unikezwa mahhala, izinsuku eziyi-14. Kodwa-ke, isiguli kufanele sibuyekeze umuthi njalo ezinsukwini ezinhlanu.
Abantu abatholakala benesifo sikashukela sohlobo 2 kufanelekile ukuthola lezi zinzuzo ezilandelayo:
- Ukwamukela imishanguzo yokwehlisa ushukela mahhala uma wethula incwadi ekhombisa umthamo.
- Uma isiguli sisebenzisa i-insulin therapy, sizonikezwa i-glucometer yamahhala nempahla (imivimbo emithathu yokuhlola ngosuku).
- Uma kungekho ukwelashwa kwe-insulin, i-glucometer kufanele ithengwe ngokuzimela, kepha umbuso wabela imali yokukhishwa kwama-strips okuhlolwa mahhala. Ngaphandle kokuhlukile, amadivaysi wokulinganisa amazinga kashukela wegazi akhishwa ngemibandela evumayo kwiziguli ezingaboni kahle.
Ezinganeni nakwabesifazane abakhulelwe, izidakamizwa zama-insulin kanye ne-insulin zinikezwa mahhala. Banelungelo futhi lokuthola i-glucometer nokuhlinzekwa. Izingane zinelungelo lokuthola ithikithi lokukhetha ukuya e-sanatorium, okubandakanya ukusekelwa kwabazali okukhokhelwa nguhulumeni.
Uma isiguli singafuni ukuthola ukwelashwa esikhungweni sezempilo, singenqaba iphakethe lokuhlalisana, lapho-ke lizothola isinxephezelo sezezimali. Kodwa-ke, kufanele uqonde ukuthi amanani akhokhwayo azoba ngaphansi kakhulu kunezindleko zokuhlala esikhungweni sezokwelapha. Ngakho-ke, ngokubheka izindleko zokuhlala kwamasonto amabili e-sanatorium, ukukhokha kuzoba ngaphansi kwezikhathi ze-15 kunezindleko zamathikithi. Ividiyo ekulesi sihloko izosiza abanesifo sikashukela ukunciphisa ushukela.
