Ungayithenga kanjani i-insulin nokuthi ungayithola kanjani mahhala?

Iziguli ezinesifo sikashukela esingu-1 zidinga i-insulin nsuku zonke. Inkinga yokuthola i-hormone ibhekene nawo wonke umuntu onesifo sikashukela nezihlobo zakhe.

Cabanga ukuthi yiziphi izithiyo ezima ngale ndlela, ukuthi uwuthola kuphi futhi kanjani umuthi, nokuthi iziphi izinzuzo iziguli ezihlangabezana nazo.

Amanani we-insulin

I-insulin ithengiswa emakhemisi, njenganoma yimuphi umuthi. Ikhemisi lidinga ilayisense lokuyithengisa. E-Russian Federation, ukuhlinzekwa kwe-insulin yamahhala yeziguli ezinesifo sikashukela kuhlinzekelwa umthetho wobumbano No. 178-FZ kanye nomthetho kahulumeni Nombolo 890.

Ilungelo lokuthola umuthi wamahhala kuzofanele liqinisekiswe ekhemisi elinikezwe isampula yesampula ebekiwe evela kudokotela emtholampilo wesifunda. Iningi lalabo abadinga ukwethulwa kwansuku zonke kwe-hormone bakuthola ngale ndlela. Kodwa-ke, kaningi izimo zinkulu ngendlela yokuthi iresiphi oyifunayo ayinakwenzeka noma kunzima ukuyithola.

Ngemuva kwalokho umbuzo uphakama ukuthi kubiza malini i-insulin nokuthi kungenzeka yini ukuyithenga ekhemisi ngaphandle kwencwadi kadokotela. Yebo ungakwenza. Umuthi uyatholakala ngezindlela ezahlukahlukene. Intengo yayo incike enkampanini, ukuthi ibhodleleni noma ikhareji.

I-insulin ihlala isikhathi eside noma ibambekile.

Umuntu uthenga umuthi kufanele azi kahle ukuthi yini akudingayo.

Intengo ekhemisi yesidakamizwa emabhodleleni isuka kuma-ruble angama-400. Ngomuthi kuma-cartridgeges kuzodingeka ukhokhe kusuka kuma-ruble angama-900. nangaphezulu, ngamapeni wesirinji omaki - kusuka kuma-ruble angama-2000.

Kumele kuqashelwe ukuthi iziguli ezinesifo sikashukela ezweni lonke zithengisa futhi zishintshane nezidakamizwa ezingazidingi, azifaneleki noma zingakhululeki. I-Intanethi namaphephandaba zigcwele izikhangiso zangasese ezifuna ukuthengisa noma ukuthenga imichilo yokuhlola, amapeni wesirinji, kanye nezindlela ezahlukahlukene ze-insulin.

Izindleko zalezi mpahla ziyaxoxiswana, kaningi ziphansi kakhulu kunekhemisi.

Ungawuthola kanjani umuthi mahhala?

Kwenziwa irejista yeziguli ezinesifo sikashukela nohlu lodokotela abanelungelo lokubhala imiyalo ekhethekile. Lolu hlu lukhona futhi naku database wamaketanga ekhemisi.

Udokotela we-endocrinologist, udokotela ojwayelekile, nodokotela wezingane unelungelo lokubhala incwadi ye-insulin. Umuthi ukhishwa ngemuva kokuvakashela udokotela nokwenziwa kwerejimeni yomuthi kanye nomthamo. Ngokuzayo, ukunikezwa kwesiguli - abazali, umnakekeli noma usonhlalonhlalo kunganwebisa umuthi.

Ngokuya ngomthamo obekiwe kanye nohlobo lwe-insulin, umuthi ungatholakala mahhala ekhemisi. Iziguli zidinga ukuvakashela udokotela ngesikhathi ukuze zeluleke incwadi leyo ngesikhathi.

Ukukhipha incwadi kadokotela, kufanele unikeze le mibhalo elandelayo:

1. Iphasiphothi Umuthi ukhishwa ngumtholampilo wesifunda, umuntu kufanele abe nokuamathiselwe esikhungweni sezokwelapha. Lapho uthutha noma nje ufuna ukuthuthela kwenye indawo yokusebenza, udinga ukuphuma bese ubhala isitatimende komunye umtholampilo.
2. Umgomo womshuwalense wezokwelapha ophoqelekile kanye ne-SNILS yi-akhawunti yomuntu siqu.
3. Isitifiketi somuntu okhubazekile noma eminye imibhalo yelungelo lokuthola imihlomulo.
4. Isitifiketi esivela kwi-RF PF sokuthi umuntu wenqabile ukuthola imihlomulo ngemithi yamahhala.

Uma umuntu enqabile iphakethe lezenhlalo, akunikezwa incwadi yesibhedlela mahhala, inkinga ngokutholwa kwe-hormone ixazululwa ngokuzimela. Ukuthi umuntu uzosithola yini lesi sidakamizwa ngokuya ngomuthi wamahhala noma cha kuya kuye.

Ukushintsha i-insulin ejwayelekile nezidakamizwa ezibhebheni kufanele kunqunywe nodokotela wakho.

Ividiyo ngokuthola izidakamizwa ezikhethekile:

Bakhishwa kuphi?

Imvamisa, i-insulin yokuqokwa ekhethekile isatshalaliswa emakhemisi eminingana (imvamisa kwelilodwa) lapho kunqunywe inkontileka efanelekile. Ikheli laleli phuzu lizokhishwa lapho kunikezwe khona incwadi kadokotela.

Umuthi ubalulekile inyanga, uma umuthi ungathengwanga ngalesi sikhathi, kuzofanela ukuthi ubhale ifomu elisha. Noma ngubani angathola umuthi onikezwe umuthi.

Yini okufanele uyenze uma ekhemisi yenqaba ukukhipha i-hormone:

1. Bhalisa uhlelo lokusebenza kumagazini "Isidingo esingeneliseki" ngokuxhumana nomphathi wekhemisi. Shiya ifoni ukuze yaziswe lapho kuvela isidakamizwa.
2. Lo mlayezo kufanele ufike kungakapheli izinsuku eziyishumi. Uma kungenakwenzeka ukufeza isicelo, isiguli kufanele saziswe.
3. Ngokuzayo, i-polyclinic ne-ekhemisi basebenza ndawonye ukuxazulula inkinga, benikela ngezinketho ezahlukene zabanesifo sikashukela - enye ikhemisi, ukufaka esikhundleni sezidakamizwa, noma okunye.
4. Uma isiguli singayitholi i-insulin, kufanele uthinte inhlangano yomshuwalense, Isikhwama se-MHI, neziphathimandla zezempilo.

Imvamisa, ukulethwa kwe-insulin kungabambezeleka izinsuku ezimbalwa kuphela, isiguli sidinga ukulungiselwa lokhu futhi sibe nokuthola.

Kuthiwani uma udokotela enganikeli incwadi kadokotela?

Imiyalelo yemithi yamahhala ingakhishwa ngodokotela ngokuya ngokuchwephesha kwabo, ezigulini ezinamathele esikhungweni sezokwelapha. Kulokhu, udokotela kumele abe kwirejista evunyelwe kadokotela.

Uhlu lwezidakamizwa olutholakala ngokuphuma mahhala nalo lulawulwa. Imvamisa, ukuhlanganiswa kwalezi zimo akuvumeli isiguli ukuthi sithole uhlobo lomuthi olufunayo. Iningi labanesifo sikashukela lenqaba izidakamizwa zamahhala ngenxa yokungakwazi ukuthola i-insulin enhle ngezindlela ezilungele zokuphatha.

Lezi zimo azinciki emitholampilo yezifunda, ezingabeka kuphela izidakamizwa ezigunyazwe nguMnyango Wezempilo.

Uma wenqaba ukunquma umuthi owuthandayo, kufanele:

1. Thintana nenhlangano yomshuwalense lapho ikhishwe khona inqubomgomo ye-MHI, i-MHIF.
2. Bhala isikhalazo ku-Federal Service for Surveillance in Healthcare of the Russian Federation. Ikheli lokuxhumana //www.roszdravnadzor.ru.
3. Enkonzweni yezimpendulo, ungacacisa yonke imininingwane esesikhungweni sezokwelapha kanye nasekhemisi elihluleka ukuhlinzeka ama-hormone, amagama ezikhulu ezahlangana nabo. Futhi, kufanele kufakwe amakhophi wamadokhumenti amaphepha aqinisekisa ilungelo lokuthola izinzuzo.

Isikhalazo singathunyelwa ngeposi ekhelini: 109074, Moscow, Slavyanskaya Square, 4, isakhiwo 1. Lapho sichaza kabanzi lesi simo esizochazwa, kulapho amathuba esinqumo sokuqala esiveza khona. Isikhalazo kumele sikhombise amagama aqondile wazo zonke izikhungo, kanye nezikhundla namagama abantu ababezame ukuxazulula le nkinga futhi benqatshwa.

Kuthiwani uma ikhemisi lingayikhiphi i-insulin yamahhala?

Imithetho yokusebenza kwekhemisi lapho kungekho izidakamizwa ezidingekayo ezigulini, kufaka phakathi i-insulin, ibhalwe encwadini kaRoszdravnadzor No. 01I-60/06.

Isiguli kufanele sihlole ukuthi umphathi ophethe umsebenzi usilulisile yini isicelo se-insulin esidingekayo uma engekho ekhemisi. Uma umuthi ungalethwa phakathi kwezinsuku eziyishumi, kunikezwe isikweletu, kuze kuchithwe ilayisense.

Uma abaphathi bezokwelapha abalawulayo bengazange bayixazulule inkinga, kufanele ulungiselele ukuxhumana nomshushisi. Ngaphambi kwalokhu, kufanele uthole ukwenqaba okubhalwe phansi ekhemisi ukukhipha izidakamizwa, kanye nesiqinisekiso selungelo lokuthola izinzuzo.

Izinzuzo zesifo sikashukela

Ngaphezu kwelungelo lokuthola i-insulin yamahhala, abantu abanesifo sikashukela banethuba lokusizakala ngalolu sizo lombuso olulandelayo:

1. Ukuthola ukukhubazeka nokwabela impesheni kuye ngokuthi ubukhulu besifo sikashukela.
2. Ukuncishiswa okungu-50% kwezindleko zokusetshenziswa.
3. Mahhala
4. Ngaphezu kwe-insulin, ukunikezwa kwamahhala kweminye imithi, kanye nezinye izinsimbi - amadivaysi okulawulwa kwe-insulin, indlela yokulinganisa izinga likashukela, utshwala, amabhandishi. Uma kunesidingo, kunikezwa usizo ekuthengweni kwezicucu zamathambo, ama-insoles, ama-orthose. Imithi nayo ibekelwa ukwelashwa kwezinkinga zesifo sikashukela i-mellitus - umfutho wegazi ophezulu, izifo zenhliziyo nezinye.
5. Abesifazane abanesifo sikashukela sebekhokhele ikhefu lokuya esikhathini izinsuku ezingama-16 ngaphezulu; bangahlala izinsuku eziningi esibhedlela sabahlengikazi (izinsuku ezintathu).
6. Ukuhlolwa kwamahhala kokuxilongwa kwezitho ze-endocrine ezikhungweni zikashukela ngokulungiswa kokulashwa. Ngalesi sikhathi, labo abaswele bayadedelwa ekutadisheni noma emsebenzini. Ezikhungweni ezinjalo, ungathola ukuhlolwa okugcwele.
7. Kwezinye izifunda (ikakhulukazi, eMoscow), izinhlelo zokuvuselela zinikezwa kuma-dispensaries.
8. Izifunda zinezinhlelo zazo zokusekelwa - ukukhokhelwa isamba esikhulu, izinzuzo zokuhamba, izinhlelo zezempilo kanye nezinye.

Ividiyo enohlu lwezinzuzo zeziguli ezinesifo sikashukela:

Uma kungekho ukuxhaswa kwabathandekayo, umuntu onesifo sikashukela angathembela osizweni lwabasebenzi bezenhlalo. Abesilisa abanesifo sikashukela bayadedelwa empini.

Ukuthola ukukhubazeka, udinga ukuxhumana ne-Bureau of Medical and Social Expertise (ITU) ngokudlulisela kudokotela wakho. Isiguli singathola iqembu lokukhubazeka kusuka ku-1 kuye ku-3. Ukuqokwa kweqembu lokukhubazeka kuzomvumela ukuthi athole impesheni ngenani elisungulwe yi-Federal Law No. 166-FZ.

Isifo sikashukela yisifo esidinga ukuthi isiguli siqaphe njalo isimo, ukwelashwa okujwayelekile, kanye nokudla. Ukuxhaswa kombuso ngendlela yokuhlinzekwa kwemithi yamahhala, kufaka phakathi i-insulin, nezinye izinzuzo kusiza abanesifo sikashukela ukuba balondoloze isimo sabo futhi balwe nokugula okungathi sína.