Ciwon sukari yana buƙatar mutum ya kashe kuɗi: tube, magunguna, abincin abinci, nazarin yau da kullun. Bari muyi kokarin gano ko jihar na iya rama su, ko nakasassu a cikin ciwon sukari yana basu, yadda za'a iya samu, da kuma menene amfanin mutane masu nakasa da marasa lafiya ba tare da rukuni ba.
Tabbas, Ina so canza wani bangare na kula da lafiya na zuwa jihar. Wanene, idan ba haka ba, ya kamata ya kare bukatun alummarsa? Abin takaici, yawan masu ciwon sukari a Rasha ya wuce mutane miliyan 10, kuma kudaden Asusun Tallafin ba su da iyaka, don haka ba kowane haƙuri ke samun nakasa ba. An tsara sharuɗan na musamman ta yadda ake kimanta yanayin lafiyar mai neman ƙungiyar.
Groupsungiyoyin nakasa
Gaskiyar rashin ƙarfi an kafa shi ta hanyar kwamiti na musamman wanda ke gudanar da gwajin likita da zamantakewa, wanda aka lalata ITU. Sakamakon aikin wannan kwamiti shine aikin nakasassu ga mai haƙuri da cutar sankarau ko ƙi idan an tabbatar da cewa matakin rashin lafiyar ya zama sakaci.
Ciwon sukari da hauhawar jini zai zama abin da ya wuce
- Normalization na sukari -95%
- Cirewa kan jijiyoyin mara wuya - 70%
- Cire zuciyar mai karfin zuciya -90%
- Rabu da cutar hawan jini - 92%
- Increasearuwar kuzarin rana, inganta bacci da dare -97%
Rarrabawa ya kasu kashi uku:
- Ni - mai ciwon sukari da ke fama da wata cuta ta kowane nau'in ba ta da ikon yin hidimar kanta da motsa kanta, tana buƙatar taimako koyaushe. Mutanen da ke da rukunin I nakasassu ko ba za su iya aiki ba saboda mummunar keta tsarin aikin, ko kuma aikin ne ya keɓe masu. Sau da yawa, mutanen da ke da nakasassu na rukuni ba zan iya zama daidai a cikin jama'a ba, koya, kuma sun fahimci haɗarin yanayin su.
- II - marasa lafiya na iya kulawa da kansu, ciki har da taimakon ƙarin hanyoyi (alal misali, masu yawo don marasa lafiya da ƙafafun sukari), amma suna buƙatar taimako na yau da kullun don yin wasu ayyuka. Su ko dai ba za su iya aiki ba, ko kuma a tilasta su canzawa zuwa aiki tare da yanayin da ke cikin sauki ko kuma wurin da aka canza bukatunsu. Xaliban suna buƙatar shiri na musamman ko makarantar gida.
- III - a cikin marasa lafiya da ciwon sukari, an kiyaye ikon kulawa da kai, sadarwa ta al'ada a cikin ƙungiyar yana yiwuwa. Zasu iya yin aiki da karatu a wuraren da zai yuwu su lura da tsarin ranar masu ciwon sukari. A wannan yanayin, akwai matsalolin kiwon lafiya na yau da kullun, ɓangarorin ayyukan jikin sun ɓace. Mai haƙuri yana buƙatar kariyar zamantakewa.
Rashin lafiya ga masu ciwon sukari masu fama da cutar ta 1 wanda ke da shekaru 18 ba a kasu kashi biyu ba; duk yara sun sami nau'in "yaro mara lafiyar". Za'a iya kafa kasawar cikin kowane irin nau'in ciwon sukari, gami da rashin dogaro da insulin.
Dalilai don tabbatar da tawaya
Kwamitin kiwon lafiya ya ƙayyade matakin asarar lafiya da ƙungiyar nakasassu bisa ga ƙididdigar sharuɗɗan da doka ta ɗauka (oda na Ma'aikatar ƙwadago na Tarayyar Rasha 1024n na 12/17/15). Ana yin asarar aiki da kashi goma bisa ɗari. Ya danganta da kewayon asarar lafiya, tsari yana kayyade wacce aka baiwa rukunin nakasassu:
| Kungiyar | % asarar ayyukan jiki |
| Ni | 90-100 |
| II | 70-80 |
| III | 40-60 |
| nakasasshe yaro | 40-100 |
Garantin Asarar Lafiya
Jerin abubuwan da ke haifar da nakasa a cikin cutar sikari da kuma yawan asarar lafiyar da ya dace da su:
| Zalunci | Siffar | % |
| Hawan jini | Pressureara matsin lamba ya haifar da rashin daidaituwa na ƙwayar cuta: cutar jijiyoyin zuciya, matsalolin wurare dabam dabam a cikin kwakwalwa, babu bugun jini a 1 ko fiye da jijiya, har zuwa tashin hankali na 5 na matsakaici ko har zuwa 2 masu tsanani waɗanda ke faruwa a cikin shekara. | 40-50 |
| Bayyana tasirin babban matsi akan gabobin, har zuwa rikice rikice 5 na shekara. | 70 | |
| Fiye da rikice-rikice 5 masu wahala, asara mai yawa na aikin zuciya. | 90-100 | |
| Kwayar cuta | Matsakaicin digiri. Proteinuria, mataki na 2 na gazawa, creatinine: 177-352 μmol / L, GFR: 30-44. | 40-50 |
| Matsanancin mataki, rashin ƙarfi na mataki 3, idan akwai yiwuwar sauya magani, alal misali, maganin hemodialysis. Creatinine: 352-528, SCF: 15-29. | 70-80 | |
| Mahimmin digiri, matakin kasawa na kasawa na 3, maganin ba zai yiwu ba ko rashin inganci. Creatinine> 528, GFR <15. | 90-100 | |
| Retinopathy | Kayayyakin gani na 0.1-0.3. An kimanta kyakkyawar idanun gani, ana yin la'akari da yiwuwar yin gyara tare da tabarau ko ruwan tabarau. | 40-60 |
| Kayayyakin gani na 0.05-0.1. | 70-80 | |
| Kayan gani na gani 0-0.04. | 90 | |
| Hypoglycemia | Hypoglycemia ba tare da alamu ba kuma an maimaita shi fiye da sau 2 a cikin kwana uku. Mai tsananin zafin jiki har zuwa sau 2 a kowane wata, yana shafar damar iya yin tunani. | 40-50 |
| Neuropathy | Rashin daidaituwa, rarrabuwar ƙafafun ƙafa, jin zafi mai zafi, yiwuwar ƙafar mai ciwon sukari. Kashi ya canza a kafafu biyu. | 40-60 |
| Dearfin lahani ga yatsun biyu ko ɗaya idan an yanke ɗayan. | 70-80 | |
| Jijiyoyin bugun zuciya | Digiri na biyu akan kafafu 2. | 40 |
| Digiri 3. | 70-80 | |
| 4 digiri, gangrene, da bukatar yanki. | 90-100 | |
| Ciwon ƙafar ƙafafun ciwon sukari | Raunin huhun ƙwaƙwalwa a cikin warkarwa, babban haɗarin sake fitowa. | 40 |
| Ulcers tare da yawan komawa. | 50 | |
| Waɗanda ke cikin haɗarin sake dawowa, haɗe tare da yanki. | 60 | |
| Rashin iyaka | Kafa | 40 |
| Drumsticks | 50 | |
| Hips | 60-70 | |
| Kafa, kafafu ko cinya a kan gwiwowin guda biyu, tare da yiwuwar zabar hanyar yin sujada. | 80 | |
| Haka ba tare da prosthesis ba. | 90-100 | |
| Kiba da ciwon sukari na 2 | Rashin daidaituwa a cikin gabobin da tsarin tsananin zafin. | 40-60 |
| Tsarin matsakaici | 70-80 | |
| Searfin ƙarfi | 90-100 | |
| Ciwon sukari | Lossarancin aiki na gabobin da dama ko tsarinsu. | 40-60 |
| Ayyana asara | 70-80 | |
| Babban rashi | 90-100 | |
| Nau'in cuta guda 1 a ƙarƙashin shekara 14 | Bukatar taimako don sarrafa sukari na jini, da rashin yiwuwar maganin insulin kansa. Babu rikitarwa. | 40-50 |
| Nau'in nau'in 1 na shekaru 14-18 | Haɗin kuɗi na fiye da watanni shida, rashin ingancin maganin insulin, rashin yiwuwar koyo don lissafin insulin, lipodystrophy mai yawa, rikicewar ci gaba. Babban haɗarin cutar hypoglycemia mai ƙarfi. | 40-50 |
Idan tare da ciwon sukari akwai wasu dalilai na rashin ƙarfi, kawai mafi wuya daga cikinsu ana yin la'akari. Za a iya ƙara yawan asarar lafiya idan aka la'akari da wasu cututtuka, amma ba fiye da maki 10 ba.
An bai wa yara masu fama da ciwon sukari nakasa har zuwa shekaru 14 da haihuwa. Bayan kai wannan zamani, tawaya ta dogara ne da kasancewar cututtukan haɗuwa, 'yancin kan anda childan yara da haɗarin matsananciyar rikice-rikice ba tare da kulawa daga ɗayan iyayen ba.
Umarni Kungiyar
Kamar yadda za'a iya gani daga teburin da ke sama, kawai wani ɓangare na ƙa'idodin ƙaddara nakasar yana da maƙasudin maƙasudi. Misali, kasancewar gabobin, hangen nesa, ko kuma matsayin lalacewar kodan. Sauran ka'idodi na zartar da hukunci, hukuncin yawan asarar ayyuka a kansu ya ragu a cikin zatin hukumar. Don tabbatar da cewa akwai babban asara na rashin lafiya, mai haƙuri mai ciwon sukari dole ne ya ƙaddamar da mafi yawan takardu waɗanda ke nuna duk rikitarwa da cututtukan haɗin gwiwa.
Ana iya samun cikakken bincike game da ciwon sukari daga likitocin asibitin ko kuma cibiyoyin kiwon lafiya na musamman. A wasu halaye, don tabbatar da rikitarwa Dole ne a tafi asibiti don magani.
Ya kamata a shirya cewa rajista ta nakasa, gami da bin dukkan hanyoyin da kuma tattara takardu, na iya daukar lokaci mai yawa. Wataƙila za ku kare haƙƙin haƙƙinku fiye da sau ɗaya. Kuna iya samun shawarwari game da lamuran nakasa daga lauya wanda ya saba da dokar likitanci, ko kuma daga layin layin na Federal Bureau of ITU.
Ra'ayoyin likitocin
Ana iya ɗaukar shugabanci zuwa ITU daga likitan halartar asibitin ko asibiti. An bayar da fom a cikin hanyar N 088 / y-06. Hakanan ana bawa mai haƙuri da ciwon suga jerin kwararru waɗanda dole ne a sami ra'ayinsu.
Yana da mahimmanci a ziyarci ɗab'in endocrinologist, likitan tiyata, ophthalmologist da neurologist. A gaban cututtukan da ke da alaƙa da ciwon sukari, ana iya fadada wannan jerin.
Aikin mai haƙuri shine a hanzarta kewaye likitoci, a san su da dukkan alamu, a mai da hankali ga rikice-rikicen da ake ciki da kuma tsananin ƙarfin su. Hakanan yana da kyau a bincika abubuwan da aka ambata da kuma abubuwan da aka ambata sun ambaci cewa rashin lafiyar ta kasance mai dorewa kuma ba a tsammanin manyan canje-canje a yayin jiyya. Ra'ayoyin kwararru suna da inganci na tsawon watanni 2.
Sakamakon gwaji
Don ITU a cikin ciwon sukari mellitus, kuna buƙatar:
- cikakken bincike na fitsari tare da ƙudurin glucose, ketones da acidity a ciki;
- gwajin jini na asibiti;
- azumin glucose na jini;
- glycated haemoglobin.
Researcharin bincike:
- don kimanta aikin zuciya lallai zaiyi aikin zuciya da duban dan tayi;
- tare da encephalopathy, an aika mai haƙuri da ciwon sukari don electroencephalography (EEG) don gano canje-canje a cikin cortex da rheoencephalography (REG) don nazarin tasoshin cerebral;
- don tabbatar da nakasa a gaban masu fama da cutar sankara, ana buƙatar yin gwaji na Reberg don tantance GFR tare da fitsari yau da kullun jini da kuma samfurin zaknitsky don sanin ikon kodan don tattara fitsari;
- Ana buƙatar angiography da duban dan tayi na jiragen ruwa na ƙafafun kafa don tabbatar da angiopathy.
Takaddun da ake bukata
Kunshin bayanan likitocin ne suka shirya kunshin lafiya. Mai nema na nakasasshen za'a buƙaci asalinsa da kwafin waɗannan takardu:
- Aikace-aikacen neman jarrabawa.
- Fasfo, a karkashin takardar shedar haihuwa shekaru 14.
- Idan wakilin shari'a zai halarci ITU, ana buƙatar takardu don tabbatar da ikon sa kamar iyaye ko mai kula da su. Wakilan citizensan ƙasar da suka cancanta zasu buƙaci ikon zartar da hukunci.
- Fasfo na wakilin shari’a.
- Yarda da cewa bayanan sirri na mai haƙuri da ciwon sukari za a sarrafa shi ta ma'aikatan ITU.
- Ga ma'aikata - kwafin kwadago daga sashen ma'aikata da halayen samarwa, wanda zai nuna yanayin aiki, kaya, kayan aiki, yuwuwar yanayin yanayin aiki.
- Ga marasa aikin yi - littafin aiki.
- Ga ɗalibai da ɗalibai - halayyar ilimin ɗalibai.
- Lokacin gabatar da nakasa - takardar shaidar kasancewarsa, shirin gyara mutum.
Idan ba a ba da nakasa ba
Idan an hana mara lafiyar mai cutar tawaya nakasa, ko kuma an baiwa rukuni wanda bai dace da tsananin yanayin ba, to za a iya daukaka karar hukumar a cikin wata daya. Don yin wannan, ya zama dole don cike sanarwa game da roƙon da canja shi zuwa wurin da aka fara gwajin. A cikin kwanaki 3, za a gabatar da aikace-aikacen ga babbar hukuma, kuma bayan wata daya za a sake yin sabon jarraba. Don sake yin nazari, zaku iya bayar da sakamakon binciken daga wasu wuraren kiwon lafiya.
Idan an sake karbar ƙi, ko wasu takardu ba bisa ƙa'ida ba, ana iya kare haƙƙin nakasassu da farfado da mai haƙuri tare da ciwon sukari yayin gudanar da shari'ar.
Fa'idodi ga masu ciwon sukari
Ta hanyar Hukuncin Gwamnati 890 na 07.30.94, an tsara cutar mellitus a matsayin cuta wacce ake ba wa mara lafiya magunguna kyauta da sauran hanyoyin kiwon lafiya.
A cikin ciwon sukari, yakamata a ba da magunguna don yin allurar rigakafi - glucometer da tube a gare su, har ma a cikin rashin ƙungiyar nakasassu. A cikin nau'in ciwon sukari na 2, magunguna masu rage sukari suna daga jerin mahimman abubuwa (Gwamnatin Tarayyar Rasha ta kafa a kowace shekara). Marasa lafiya da ke da nau'in insulin-na cutar - insulin, sirinji, alkalami da abubuwan amfani a gare su. Hukumomin yanki suna da hannu a cikin sayan shirye-shiryen zaɓaɓɓu na marasa lafiya ba tare da nakasassu ba. Sun kuma kafa takamaiman sunayen magunguna (kawai abubuwa ne masu ƙarfi waɗanda aka nuna a cikin jerin sunayen tarayya), wanda za'a iya samun kyauta. Matsayin likitan da ya dace da kuma abubuwan da ake amfani da shi ya ƙayyade ta wurin likitan halartar.
Ana ba da nakasassu ne a gaban kasafin kuɗi na tarayya, a cikin ƙara girma. Ni da II kungiyoyi marasa aiki zasu iya karɓar farfadowa na nufin an ayyana a cikin shirin, da suttura. Hakanan ana ba su 'yancin yin amfani da jigilar jama'a, gajere sati aiki, hutu na hutu, magunguna masu kyauta, takalma na orthopedic. Marasa lafiya tare da dukkanin kungiyoyin nakasassu suna karbar fansho.
