ʻO kahi maʻi e like me ka maʻi maʻi maʻi o kēia mau lā, ua ākea ka mea i kapa ʻia he maʻi o ka kenekulia 21. ʻO kēia ma muli o ke ʻano maʻalahi, kaʻai ʻole maikaʻi, ka ʻai ʻana i nā momona momona a me nā mea momona - ʻo ia mau mea ke kumu o ka ʻike ʻana o nā loli hou ʻole i ke kino o ke kanaka.
Hāʻawi ʻia nā pākeke a me nā keiki me ka maʻi a me ka noho ʻana ma Lūkini me ke kākoʻo o ka mokuahi i ka ʻano o nā lāʻau lapaʻau manuahi no ka mālama ʻana a me ka mālama i ke kino ma ka maʻamau. Me ka hoʻopiʻi ʻana o ka maʻi, ka mea i hui ʻia e ka pōʻino o nā kino i loko, ua hāʻawi ʻia ka mea maʻi i ka maʻi o nā hui mua, ʻelua a i ʻole.
ʻO ka hoʻoholo i ka hāʻawi ʻana i nā maʻi kīnā i ka komisina lapaʻau kūikawā, loaʻa iā ia nā kauka o nā ʻokoʻa kūikawā e pili pono ana i ka mālama ʻana i ka maʻi maʻi. ʻO nā keiki me ka nele i kahi o ka hui i hāʻawi ʻia ʻia, hāʻawi ʻia i nā lāʻau lapaʻau manuahi, hiki iā ʻoe ke manaʻo no ka loaʻa ʻana o kahi pōpoki piha mai ka mokuʻāina.
Nā Hōʻailona me ka Diabetes
Loaʻa pinepine, ʻike ʻia ka maʻi diabetes type 1 i nā keiki, ʻoi aku ka maʻalahi o kēia ʻano maʻi. E pili ana i kēia pilikia, ua hāʻawi ʻia ke kīnā ʻole iā lākou me ka ʻole o ka hōʻike ʻana i kahi hui kūikawā. Eia nō naʻe, aia nō nā ʻano kōkua like ʻole o nā keiki me ka maʻi maʻi i kauoha ʻia e ke kānāwai.
Wahi a nā kānāwai o ka Lūkini Lūkini, he kūpono nā keiki me ka maʻi kīnā ʻole me ka maʻi maʻi type 1 e loaʻa ka lāʻau lapaʻau manuahi a me kahi hōʻuluʻulu piha piha mai nā ʻoihana aupuni.
Me ka hoʻomau ʻana o ka maʻi, ua hāʻawi ʻia ka komisina lapaʻau loea i ka kuleana e loiloi i ka hoʻoholo a kau i kahi pūʻulu kīnā i kūpono i ke ʻano o ke olakino o ke ola.
Ua hoʻolako ʻia nā maʻi maʻi maʻi mua, ka lua a i ʻole ke koloka ʻo kahi maʻi kīnā e pili ana i nā hōʻailona olakino, nā hopena hōʻike, a me ka moʻolelo hoʻomanawanui.
- Hāʻawi ke kolu o ka hui i ka ʻike ʻana i nā maʻi maʻi diabetes o nā ʻōpū o ke kino, akā hiki ke hana ka mea maʻi;
- Ua hoʻonohonoho ʻia nā pūʻulu ʻelua inā ʻaʻohe mālama ʻia ke maʻi maʻi maʻi, a hoʻomaʻamaʻa pinepine ʻia ka mea maʻi;
- Hāʻawi ʻia ka hui ʻoi loa ka paʻakikī inā loaʻa ka hopena maʻi i nā loli i loko o ke kino ma ke ʻano o ka hōʻino ʻana i ka ʻōpū kālā, nā ʻōpū, nā haʻahaʻa haʻahaʻa, a me nā maʻi ʻē aʻe. Ma ke kānāwai, ʻo kēia mau hihia āpau i ka hoʻomohala koke ʻana i ka maʻi diabetes mellitus i lilo i kumu o ka hoʻomohala ʻana o ka hana renal, hōʻeha, ka nalowale o ka hana ʻike maka a me nā maʻi koʻikoʻi.
Nā kuleana o nā maʻi maʻi o kēlā me kēia makahiki
Ke ʻike ʻia ka maʻi diabetes, ka mea maʻi, me ke ʻano o ka makahiki, ʻakaʻaka ʻo ia i ke kīnā, e like me ke ʻano kūpono o ke Kuhina o ke ola o Lūkia.
Ma ke alo o kahi nui o nā maʻi e hoʻomohala nei ma muli o ka maʻi maʻi, e like me kahi, he papa nui o nā pōmaikaʻi. Aia he mau pōmaikaʻi inā loaʻa i ka maʻi a i ʻole ka lua o ka maʻi o ka maʻi maʻi, a he pilikia ʻole kahi ʻāpana maʻi i loaʻa i ka mea maʻi.
Ma ke kikoʻī, loaʻa i nā maʻi diabetes:
- Inā ua kauʻia nā kauka i kahi papa lāʻau no ka lāʻau lapaʻau, hiki i kahi mea maʻi maʻi ke hele i kekahi lāʻau lapaʻau kahi e hāʻawi ʻia ai nā lāʻau lapaʻau me ka uku ʻole.
- Kēia makahiki āpau, he kuleana ka mea maʻi e mālama i ka mālama ʻana ma kahi keʻena hoʻoluʻu ma kahi ʻinatorium-i ke ʻano he manawa iki, aʻo ka huakaʻi i ka wahi o ka lāʻau lapaʻau a hoʻi ʻia e ka mokuʻāina.
- Inā loaʻa ʻole i kahi maʻi maʻi ka manaʻo o ka mālama kūʻokoʻa, hāʻawi ʻo ia i ka ʻāina iā ia i nā lako e pono ai no ka hoʻolimalima hale.
- Hoʻokumu ʻia e pili ana i ka hui kīnā i ka mea maʻi, ua helu ʻia ke pae o ka uku uku.
- Ma ke alo o ka maʻi maʻi o ka mua a me ka lua, hiki ke hoʻokuʻu ʻia kahi maʻi maʻi mai ka lawelawe kaua ma ke ʻano o nā palapala i hāʻawi ʻia a me ka hopena o ke komisina lapaʻau. Hoʻololi kūleʻa ka ʻoihana koa no ka mea maʻi ma muli o nā kumu olakino.
- Ke kau nei i nā palapala pili pono, uku ka maʻi maʻi i nā bila kīnā ma luna o nā hua i makemake ʻia, hiki ke hoʻemi ʻia ka nui o ka 50 pakeneka o nā huina holoʻokoʻa.
Ma muli o nā kūlana i luna aʻe e pili pono ana i nā poʻe me nā maʻi ʻē aʻe. Aia nō kekahi mau pōmaikaʻi no ka poʻe me ka maʻi type 1 a me ke ʻano 2, kahi, ma muli o ke ʻano o ka maʻi, he ʻokoʻa i ka maʻi maʻi maʻi.
- Hāʻawi ka mea maʻi i kahi manawa likeʻole e komo i ka hoʻonaʻauao kino a me kekahi haʻuki.
- Hāʻawi ʻia nā maʻi hakahaka i kekahi kūlanakauhale me nā kaha hōʻike no nā glucometer i loko o ka nui i hāʻawi ʻia e nā mana kaiāulu. Inā hōʻole ʻia nā hōʻike hōʻikeʻike, e hui aku i kāu keʻena kūloko o ke Keʻena Ola.
- Inā loaʻa nā hōʻailona kūpono, pono i nā kauka ke hoʻopau i ka hāpai ma ka lā ma hope aʻe inā he maʻi maʻi ʻo ka wahine.
- Ma hope o ka hānau ʻana o kahi keiki, hiki i kahi makuahine maʻi maʻi noho ma kahi o ka haukapila makuahine no ʻekolu mau lā ma mua o ka manawa i ʻōlelo ʻia ai.
I nā wahine me ka maʻi maʻi, ua hoʻonui ʻia ka manawa hoʻoholo e 16 mau lā.
He aha nā pōmaikaʻi o kahi keiki me ka maʻi mellitus o kahi maʻi maʻi?
Wahi a ke kānāwai i kēia manawa, e hāʻawi ana ke kānāwai o Rūsia no nā pono e hiki mai ana no nā keiki me ka maʻi maʻi:
- Loaʻa i kahi keiki i loaʻa ka maʻi diabetes ke kuleana e kipa ʻia a mālama manu ʻole ʻia ma ka teritori o nā keʻena halihali kūikawā i hoʻokahi makahiki i hoʻokahi makahiki. Ke uku nei ke moku'āina ʻaʻole wale no ka hoʻolako ʻana i nā lawelawe olakino, akā e noho nō hoʻi i kahi keʻena. Hoʻokomo no ke keiki a me kona mau mākua i ka pono o ka huakaʻi hele ma laila a hāʻawi ʻia.
- Aia pū kekahi no nā maʻi hānai e loaʻa ai nā papa inoa no ka mālama ʻana ma nā ʻāina ʻē.
- No ka mālama ʻana i kahi keiki me ka maʻi maʻi maʻi, loaʻa i nā mākua ke loaʻa ka glucometer no ka manuahi ʻole e ana i kā lākou koko koko ma ka home. Hāʻawi pū ia no ka hoʻolako ʻana i nā kiʻi hōʻike no ka pono, nā penikala syringe kūikawā.
- Hiki i nā mākua ke loaʻa i nā lāʻau lapaʻau manuʻai no ka mālama ʻana i ka maʻi maʻi mai kahi keiki me ka maʻi kīnā. Ma kahi kikoʻī, hāʻawi ka moku'āina i ka insulin manuahi i ke ʻano o nā hopena a i ʻole e hoʻokuʻu ai i ka hoʻokele intravenous a subcutaneous paha. Ua manaʻo pū ʻia ia e loaʻa iā Acarbose, Glycvidon, Metformin, Repaglinide a me nā lāʻau lapaʻau ʻē aʻe.
- Hāʻawi ʻia nā syringes manuahi no ka maʻi injection, diagnostic tool, ethyl alkohol, ka nui o nā mea ʻaʻole he 100 aku i kēlā me kēia mahina.
- Eia kekahi, he keiki maʻi maʻi maʻi no ka holo kaʻa kaʻawale i kekahi kūlanakauhale a i ʻole kahi moku hoʻonaʻauao.
In 2018, ke kaila o ke kānāwai i kēia manawa no ka loaʻa ʻana o ka uku kālā inā hōʻole ka mea maʻi i nā lāʻau lapaʻau manuahi. Hoʻouna ʻia nā kālā i ka waihona moʻokāki i hōʻike ʻia.
Akā he mea nui ia e hoʻomaopopo he haʻahaʻa loa ka uku kālā ʻole a ʻaʻole uhi i nā koina āpau e pono ai no ke kūʻai ʻana i nā lāʻau lapaʻau kūpono no ka mālama o ka maʻi maʻi.
No laila, i kēia lā e hana nei nā ʻoihana aupuni i nā mea āpau e hōʻoluʻolu i ke kūlana o nā keiki me ka maʻi maʻi, ʻo ka maʻi mua a me ka lua hoʻi.
I mea e loaʻa ai ke kuleana e hoʻohana ai i ka pōkole kōkua kōkua, pono ʻoe e hoʻopili i nā mana kūikawā, e hōʻiliʻili i nā palapala pono a hele i ke kaʻina no ka noi ʻana i nā pono.
Pehea e loaʻa ai kahi pōpana pili mai nā ʻoihana aupuni
ʻO ka mea mua, pono ia e hōʻike i kahi hoʻokolohua ma ke kauka i komo i ka haukapila ma ka wahi e noho ai a hoʻopili paha i kahi kikowaena hou e loaʻa ai kahi palapala. Hōʻike ka palapala i ka maʻi o nā maʻi maʻi mua a lua paha.
I mea e hoʻomaʻamaʻa ai i kahi lāʻau lapaʻau inā he maʻi maʻi ko ke keiki, hāʻawi ʻia kahi ʻano mai kahi wahi o ke aʻo ʻana - kula, kulanui, kula kula ʻona a me nā ʻoihana ʻē aʻe.
Pono ʻoe e hoʻomākaukau i kahi kope i hōʻoia ʻia o ka palapala hōʻoia a i ʻole diploma inā loaʻa kēia mau keiki i kēia mau palapala.
Eia hou, koi ʻia ka hoʻomākaukau ʻana o nā ʻano palapala.
- Nā kumuhana mai nā mākua, nā māka ʻokoʻa kānāwai no kahi keiki maʻi maʻi ma lalo o 14 mau makahiki. Hoʻopiha nā keiki ʻōpio i ka palapala i kā lākou iho, me ka ʻole o ke komo ʻana i nā mākua.
- ʻO ke passport maʻamau a ka makuakāne a me ka makuakāne o ke keiki a me ka palapala hānau o ka mea maʻi liʻiliʻi.
- Nā palapala hōʻoia mai ke haukapila ma kahi o ka wahi e noho ai me ka hopena o ka hoʻokolokolo, nā kiʻi, nā kumuhana mai nā hale haukapila a me nā hōʻike ʻē aʻe e maʻi ana ke keiki me ka maʻi maʻi.
- Nā ʻōkuhi mai ke kauka hele mai, i hoʻohui ʻia ma ke ʻano o ka helu 088 / y-06.
- Nā hōʻailona hōʻoia no ka hōʻike ʻana i ka pūʻulu no ka maʻi maʻamau ʻo 2.
Nā kope o ka puke hana o ka makuahine a i ʻole ka makuakāne o ke keiki, i ʻike ʻia e ke poʻo poʻo o ka limahana limahana o ka hui ma kahi o ka hana o ka makua.
He aha nā kuleana he keiki maʻi maʻi?
Pono nā ʻano makemake o ke keiki e hana i ka wā e ʻike ai ke kauka i ka maʻi maʻi. Hiki ke hana koke ia i ka wā o ka hānau ʻana o ka pēpē, ma ke ʻano he nui ke aloha o ke keiki i ka haukapila i ʻekolu mau lā ma mua o nā keiki olakino.
Ma ke kānāwai, he kuleana nā keiki maʻi maʻi e hele i ka kindergarten me ka ʻole e kali i ka laina. Ma kēia mea, pono nā mākua e hui i nā luna kaiāulu a i kahi keʻena kula mua i ka manawa kūpono e hāʻawi ʻia ai ke keiki i kahi kaʻawale, me ka manaʻo ʻole i ka pila.
Hāʻawi ʻia kahi keiki me ka maʻi diabetes me nā lāʻau lapaʻau, insulin, kahi glucometer, hoʻokaʻawale ʻia nā kumu hōʻike. Hiki iā ʻoe ke kiʻi i nā lāʻau lapaʻau ma ke kīlea o kekahi kūlanakauhale ma ka ʻāina o Lūkia, ua hāʻawi ʻia nā kālā kūikawā no kēia mai ka kālā o ka ʻāina.
Hāʻawi ʻia nā keiki me ka diabetes mellitus o ke ʻano mua a ʻalua paha me nā kūlana kūpono i ka wā o ke aʻo ʻana:
- Hoʻokaʻawale ʻia ke keiki mai ka hōʻike ʻana i nā hoʻokolohua kula. Loaʻa ka loiloi ma ka palapala noi a nā haumāna ma ke kumu o nā helu o kēia manawa ma ka makahiki kula.
- I ke komo ʻana i kahi kula hoʻonaʻauao kiʻekiʻe a kiʻekiʻe paha, ua haʻalele ʻia ke keiki mai nā hoʻokolohua komo komo. No laila, ma nā kulanui a me nā koleke, nā māka ʻina o nā keʻena hoʻonaʻauao e hāʻawi pono i nā keiki i ka maʻi diabetes me nā wahi kumu ʻole.
- Ma ka loaʻa ʻana o kahi keiki maʻi maʻi no nā hoʻokolohua komo komo, ʻaʻole loaʻa i nā hopena i loaʻa nā hopena hōʻike i ka hoʻohele ʻia ʻana o nā wahi ma kahi papa hoʻonaʻauao.
- I ka wā o ka hoʻokaʻina hoʻokolohua waena o nā hoʻokolohua ma waena o kahi ʻoihana hoʻonaʻauao kiʻekiʻe, loaʻa i kahi maʻi maʻi e hoʻonui i ka manawa hoʻomākaukau no ka pane waha a i ʻole no ka hoʻopau ʻana i kahi hana kākau.
- Inā hoʻomaʻamaʻa kekahi keiki i ka home, e uku ʻia ke aupuni i nā uku a pau no ka loaʻa ʻana o ka hoʻonaʻauao.
Loaʻa i nā keiki me ka maʻi kīnā o ka maʻi maʻi e loaʻa nā makana penikala. Kuhi ʻia ka nui o ka penikala ma ke kumu o ke kānāwai o kēia manawa i ka pae kaiapuni a me nā pono.
Aia nā ʻohana me kahi keiki maʻi maʻi mua i loaʻa i kahi papa ʻāina e hoʻomaka ai i ke kūkulu ʻia ʻana o ka hale. E mālama i kahi ʻoihana a me ka hale o ka'āina. Inā he keiki makua keiki ke keiki, hiki iā ia ke huli i kahi hale ma hope o kona 18 makahiki.
Hiki i nā makua o kahi keiki kīnā, inā pono, ke noi aku i ʻehā mau lā i hoʻokahi manawa i ka mahina ma kahi o ka hana. Hoʻokomo ʻia ka makuahine a me ka makuakāne paha ka uku e uku ʻia me kahi uku ʻole no ka ʻelua mau pule. ʻAʻole hiki ke hoʻokuʻu ʻia nā limahana ma ka hoʻoholo ʻana o ka hoʻokō e like me ke kānāwai pili.
Kuhi ʻia kēlā me kēia kuleana i kēia kumuhana ma ka pae kānāwai. Hiki ke loaʻa ka ʻike āpau e pili ana i nā pōmaikaʻi i ke Federal Federal, ka mea i kapa ʻia ʻo "On Social Support for Persons with Disabilities in the Russian Federation." Loaʻa nā pono kūikawā no nā keiki e loaʻa ana i ka maʻi diabetes i ka hana kūpono kūpono.
ʻO ka wikiō ma kēia ʻatikala e hōʻike nei i nā pōmaikaʻi i hāʻawi ʻia i nā keiki āpau āpau.
