Ciwon sukari na daga cikin cututtukan da ba a iya kamuwa da su ba. Kasancewarsa a cikin mutane ba koyaushe shine tushen bayar da kyautar wani rukuni na nakasassu ba.
A wannan al'amari, matsayin bayyanar cutar da cakudaddun ta yana da mahimmanci.
Gidajen yin rijista
Cutar sankarau ba shine babban abin da ke haifar da marasa lafiya ba. Yanayin yana canzawa idan mutum yana da mummunan rikicewa game da asalin cutar.
Babban mahimmancin rajista na nakasa a cikin ciwon sukari shine rashin iya haƙuri ga sabis na kansa. An ba shi kyauta tare da asarar ingantacciyar hanya dangane da tushen rikice-rikice.
Naƙasasshe ne kawai aka tsara don kawai bisa ra’ayin hukuma na hukumar lafiya. Don bayar da kyautar takamaiman nau'in nakasassu, ana tattara takaddun takardu, ana gudanar da cikakken bincike.
Akwai digiri 4 na take hakkin sa kan asalin cutar da ke ci gaba:
- na farko tare da karami amma rikice-rikice a cikin jiki, ya kai 30%;
- na biyu tare da rikice-rikice masu rauni na matsakaici sun kai 60%;
- na uku tare da cin zarafin bayyanar da kullun, yana kai 80%;
- na huɗu tare da rikice-rikice masu wahala da wahala, sun kai 100%.
Marasa lafiya daga digiri na biyu na rikice-rikice a cikin jiki na iya tsammanin sanya ɗaya daga cikin rukunan nakasassu.
Dalilin bayar da kyautuka ga marassa lafiya ga masu fama da cutar siga su ne kuma:
- yana haɓaka ƙwaƙwalwa sakamakon lalacewar ƙwayoyin jijiya;
- cikakken rushewar tsarin urinary;
- haɓaka ƙafafun mai ciwon sukari;
- babban raguwar hangen nesa, cikakken makanta saboda rikicewar cutar.
Ba a ba da umarni na musamman don aikin rashin ƙarfi don aiki ga marasa lafiya na masu ciwon sukari na nau'in 1 ko nau'in 2. Rashin aikin nakasa ba shi da alaƙa da nau'in cutar, amma ya dogara da rikitarwarsa, matakin lalacewar gabobin ciki.
Tsarin nakasa
Mutumin da ke sanya nakasa, kimantawa tawayarsa. Don nau'in cuta 1 da 2, ana ba da ka'idojin ƙididdigar uniform.
Ka'idojin kimantawa sune:
- da ikon motsawa da yardar kaina
; - digiri na aikin kai;
- da gwargwadon yanayinsa a sarari;
- da ikon sadarwa;
- mataki na nakasa.
;Dangane da kimantawa, an sanya mara lafiya ɗayan rukuni uku na nakasassu. Theirƙirar ƙungiyar takamaiman rukuni tana da alaƙa da iyawar mutum don aiki, don jimre wa wani aiki mai wahala, don bauta wa kansa.
Kashi na 1
Ayyuka na rukunin farko marasa amfani suna faruwa yayin ci gaba da cututtukan masu zuwa:
- tabin hankali, tabin hankali, asarar ikon bayar da rahoton ayyukansu;
- retinopathy tare da asarar hangen nesa a cikin idanun biyu;
- gazawar koda a matakin karshe (nephropathy) tare da cikakken hasara ta sashin ayyukan sa;
- mummunan cututtukan zuciya (cardiomyopathy);
- bayyanar coma mai cutar sankara sakamakon karancin insulin;
- rashin ƙarfi na motsi, inna akai-akai (neuropathy).
An sanya wannan rukunin ga marasa lafiya masu fama da mummunar rikice-rikice na ciwon sukari.
Marasa lafiya tare da rukunin 1 ana santa da tawaya ta 100%. Mutum ba shi da ikon yin motsi da kansa, yana da hakkin ya kasance da taimako koyaushe a waje.
An kuma sanya nau'in rukunin farko na marasa amfani ga marasa lafiya tare da cikakkiyar ƙetarewar halayyar zamantakewa da ke da alaƙar haɓaka.
Kashi na biyu
An sanya aji na biyu na nakasasuwa tare da haɓakar rikice-rikice ta hanyar:
- daidaitaccen daidaituwa, rage ƙarfi, wanda mutum zai iya motsawa da kansa (neuropathy, digiri na II);
- haɓaka makanta, amma zuwa digiri kaɗan fiye da na 1 na ainihi mara kyau (makanta na digiri na II ko III);
- rikicewar kwakwalwa, bayyananniyar lokaci na rashin hankali yayin riƙe mafi tsabta ta hankali ga mafi yawan lokaci;
- ci gaba da rashin cinikin koda koda yaushe tare da bukatar kullun tsarkake jikin mutum ko kuma dasa kwayoyin halittar mutum.
Samun mutumin da ke da nakasa a wannan rukunin yana nuna buƙatar kulawa da lafiyarsa lokaci-lokaci.
Mai haƙuri yana da iyakance ayyukan rayuwa, amma baya buƙatar kulawa da kai koyaushe. Marasa lafiya na wannan rukuni na iya aiki ne kawai a cikin yanayi na musamman don su ko ba za su iya yin aiki kwata-kwata
Motsa jiki da kula da mutum yana yiwuwa ko dai da taimakon hanyoyi na musamman, ko kuma ta hanyar taimakon wasu mutane.
Wannan nau'in nakasasshe shine tsaka-tsaki a cikin ci gaba da cutar kuma ana nuna shi da tsananin matsin lamba na bayyanar cututtuka na ciwon sukari.
Rukuni 3
Kashi na uku na nakasassu an sanya shi ga mutane a wadannan lamuran:
- tare da rikice-rikice na sama a cikin aiki na gabobin ciki;
- tare da haɓaka pathologies a cikin siffofi masu sauƙi ko matsakaici;
- Ilimin halayyar mara lafiya yana ci gaba da yawan bayyanar cututtuka.
Masu ciwon sukari tare da rukuni na uku na nakasa sun sami damar yin aiki. Ganin cutar, mutum ba zai iya yin aikin da ya gabata a cikin sana'a ba idan an danganta shi da aiki mai ƙarfi na jiki.
Yana buƙatar ƙarancin aiki mai ƙarancin ƙwarewa tare da karancin farashin jiki. Wani mutum yana hidimta wa kansa, amma yana buƙatar hanyoyi na musamman don wannan.
Rashin ƙarfi ba tare da rukuni ba
Shin nakasassu suna ba tare da rukuni ba? An yi hakan ne don yaran da ba su balaga ba wadanda ke da cutar tun suna yara.
Yaran da ke da ciwon sukari suna da matsayin nakasar yara. Rashin lafiyar da aka sanya musu basu da takamaiman rukuni. An sanya nakasa ba tare da rukuni ba ga ɗan yaro har sai ya cika shekara 18.
Ana iya samun rashin ƙarfi ta hanyar tuntuɓar likitan likitan yara wanda ke yin gwaje-gwajen da suka wajaba. Dangane da gwaje-gwajen da aka yi, likitan yara ya ba da ishara ga yaro don jarrabawa.
Don wuce shi yana buƙatar takardu:
- takardar shaidar haihuwa ko fasfo idan yaron ya cika shekara 14;
- halayen ƙarami daga wurin iliminsa;
- aikace-aikace na takardar shaidar nakasassu da aka rubuta a madadin iyayen yaron;
- game da likitan yara;
- katin ƙwaƙwalwar lafiyar yaro tare da bayanan bincike.
Waɗanne takardu kuke buƙatar tattara?
Yaya za a sami rukuni idan mutum yana da rikice-rikice na ciwon sukari? Yana buƙatar neman takardar neman lafiya. Hanyar ta bi matakai da yawa.
A matakin farko, ana yin rajista da mai ciwon suga tare da mai warkarwa. Kwararren ya bincika mai haƙuri kuma, bisa ra'ayin kansa, ya ba shi mahimmancin jagora don cikakken binciken likita.
Wasu masana sun ki fitowa. Mai haƙuri yana da hakkin ya tuntuɓi jikin da ke gudanar da jarrabawa. An ba shi izinin yin amfani da shi don yanke hukunci mai mahimmanci ta hanyar kotu.
Don samun ra'ayi, dole ne a gabatar da jerin takaddun takardu:
- gamewa don jarrabawa ko hukuncin kotu, idan aka warware matsalar ta hanyar sa;
- aikace-aikacen bincike;
- takardar shaidar ilimi (in da akwai);
- fasfot ko takardar shaidar haihuwa;
- littafin aiki (idan mutum yayi aiki);
- halaye daga wurin karatu (idan jarrabawar ta shafi yarinyar);
- katin likita tare da cikakken aikace-aikacen takaddun shaida, karin abubuwa;
- bayanai akan gwaje-gwajen da suka gabata (idan an sake samun ƙarshen abin);
- shirin farfadowa da mutum da kuma takaddara kan nakasassu (idan an gabatar da takardar neman karatu ta biyu).
Hukumar, bayan tayi nazarin aikace-aikacen kuma tayi nazarin binciken, ta yanke hukunci game da batun sanya wani nau'in nakasassu ga mai nema. Idan amsar ita ce eh, ya karɓi takardar shaidar rashin aiki ga ɗayan rukunin da aka sanya. Ma'aikatan jin dadin jama'a a lokaci guda suna caje shi da kulawar wata-wata.
Rashin neman nema don nakasassu ne Ofishin Kwarewar Lafiya ko a gaban kotu ya musanta.
Abubuwan bidiyo akan kayan fansho na mutanen da ke da nakasa:
Kula da ciwon sukari
Theungiyar nakasassu kai tsaye tana shafar aikin ƙwararrun masu cutar da ciwon suga. Marasa lafiya da ciwon sukari a cikin tsari mai sauƙi suna iya yin kusan kowane irin aiki. Banda su ne lokuta idan mutum yana da ƙarin cututtuka a cikin siffofin mai tsanani.
A cikin lokuta masu rikitarwa masu wahala, abubuwan ɓarna ko a cikin bayan aikin, mai haƙuri yana da asarar aikin na ɗan lokaci. Yana wucewa daga kwanaki 8 zuwa 45.
Mai ciwon sukari tare da rukunin nakasassu na biyu an yarda ya yi aikin haske.
An hana su yin aiki:
- da dare;
- a wuraren da ake buƙatar ƙwaƙwalwar aiki ta jiki;
- a wurin aiki inda ake ba da balaguro na kasuwanci;
- a wuraren da babu tsari na yau da kullun.
An hana marasa lafiya da rauni na gani gani aiki daga aiki wadanda ke bukatar tashin hankali a kan jijiyoyi. Babu wani tsayayyen aiki ga masu ciwon sukari tare da alamomin bayyanar ƙafafu masu ciwon sukari.
Kashi na farko mara inganci yana haifar da cikakken asarar iya aiki na marasa lafiya. Duk wani nau'in aiki haramun ne a gare su.
