Qazaqstanda qant diabeti indetke ainaldy
Keshe Qasym-Jomart Toqaevtyng tóraghalyghymen ótken Senat otyrysynda Densaulyq saqtau ministri E.Birtanovqa deputattyq saualyn joldaghan senator Dinar Nóketaeva osylay dedi
Senatordyng deputattyq saualyna qant diabetining 1-týrine shaldyqqan balalardyng ata-analarynyng janayqayy negiz bolyp otyr.
Búl kesel tek Qazaqstanda ghana emes, әlemning tórt búryshynda milliondaghan adamdardyng ómirin mezgilinen búryn qiyp ketip jatyr. Osy orayda senator dýniyejýzilik densaulyq saqtau úiymynyng mәlimeti boyynsha býginde býkil әlemde 422 million adam diabetten zardap shekse, 2016 jyly 1,6 million ólim oqighasy diabetpen tikeley baylanysty ekenin, ólim-jitim sebepterining arasynda jetinshi oryngha ie bolghany turaly mәlimet berdi. «Álemde әr 500-shi sәby men әr 200-shi jasóspirim qant diabetimen auyrady eken. Alandatatyny, búl kórsetkish tayau jyldary 70 payyzgha kóbeyi de mýmkin. Diabet soqyrlyq, býirek jetkiliksizdigi, infarkt, insulit jәne ayaq-qoldyng amputasiyasynyng negizgi sebepterining biri bolyp tabylady. Zertteulerge sәikes, tikeley jәne janama shyghyndardy qosa alghanda, diabetten býkil әlemdegi JIÓ-ning shyghyndary 2011 jyldan 2030 jylgha deyingi kezende 1,7 trln. AQSh dollaryn qúraydy», - dedi D. Nóketaeva.
Jyl sanap qazaqstandyqtar arasynda da dendep bara jatqan osy indetting aldyn alu men ony emdeudi úiymdastyrugha qatysty senatordyng deputattyq saualynyng tolyq mәtini tómendegidey:
- Elimizde 2018 jyldyng qazan aiyna dispanserlik esepte túrghan qant diabetimen auyratyn nauqastardyng sany 326 449 adamdy qúraghanymen, nauqastardyng naqty sany resmy kórsetkishterden aitarlyqtay asyp týsedi. Medisina qyzmetkerlerining aituynsha, qazaqstandyqtardyng kópshiligi qandaghy qant dengeyin baqylaugha erekshe mәn bermeydi, densaulyq jaghdayyna nemqúrayly qaraydy, sonyng saldarynan óz syrqaty turaly kesh bilip jatady. Halyqaralyq diabet qauymdastyghynyng mәlimetteri boyynsha, Qazaqstanda 700 myngha juyq qant diabetimen auyratyn nauqas bar, jәne qant diabeti elimizde indet sipatyna ie bolghan.
Qant diabetine shaldyqqan balalardyng ata-analary songhy birneshe jyl ishinde jalpy alghanda memlekettik organdar men densaulyq saqtau ministrligi tarapynan nemqúraylylyq qarym-qatynasty ókinishpen aityp otyr. Atalmysh mәsele búqaralyq aqparat qúraldarynda da keninen kóterilude. Mәselen, tek «Egemen Qazaqstan» gazetinde atalghan jaghdaylar boyynsha birneshe maqalalar shyghyp, Almaty qalasynda qant diabetining 1-týrine shaldyqqan balalardyng ata-analarynyng qatysuymen birneshe baspasóz konferensiyalary bolyp ótti.
Olardy mazalaytyn eng basty mәsele – Qazaqstan Respublikasy Densaulyq saqtau ministrligining «Áleumettik mәni bar aurulardyng jәne ainaladaghylar ýshin qauip tóndiretin aurulardyng tizbesin bekitu turaly» Qazaqstan Respublikasy Densaulyq saqtau jәne әleumettik damu ministrining 2015 jylghy 21 mamyrdaghy № 367 búiryghyna ózgerister engizu turaly» normativtik qúqyqtyq aktisining jobasy bolyp otyr. Jobagha sәikes qant diabeti jana dinamikalyq baqylaugha alynatyn syrqattar tizbesine engizu syltauymen, әleumettik manyzy bar aurular tiziminen alynyp tastalmaq. Normativtik qúqyqtyq aktining jobasy jariyalanghan sәtten bastap әleumettik jelilerde adamdar ózderining narazylyghyn bildirude. Osy mәsele ózinizding Almaty qalasyna is-saparmen baryp baspasóz mәslihatyn ótkizgen kezde de kóterilgen bolatyn.
Ata-analardyng aituynsha, qazirding ózinde diabettik qamtamasyz etu, birinshi kezekte dәri-dәrmektermen 100%-gha qamtylmaghan. Insulindermen qamtudyng ýzilui, balalar shpristerining bolmauy, sapasyz glukometrlermen, balalardy insulindi pompalarmen jәne olargha shyghyn materialdarymen qamtamasyz etiluining oqylyqtary oryn alyp otyr. Diabetti basqaru daghdylaryna oqytu boyynsha diabet mektepterining bolmauy, diabetologiya salasyndaghy bilikti dәrigerler men mamandardyng jetispeushiligi jәne t. b.
Sonymen qatar, Densaulyq saqtau ministrligining 2017 jyldyng 11 jeltoqsanyndaghy № 935 búiryghyna sәikes «Glukagen gipokiyt» preparaty kepildendirilgen tegin medisinalyq kómek kólemi ayasynda ambulatoriyalyq dәrilik qamtamasyz etu tiziminen alynyp tastalghan. Ata-analar bilikti otandyq endokrinolog-mamandardyng dәleldi uәjderin algha tarta otyryp, atalghan dәrini tizimge qaytarudy talap etude.
Respublikada shipajaylyq-kurorttyq emdeu arqyly atalghan pasiyentterdi onaltu mýmkindigi joq. Elimizde balalargha arnalghan beyindi sanatoriyler qalghan joq.
Elimizding barlyq ónirlerinde jogharyda kórsetilgen diagnozy bar balalardyng mektepke deyingi bilim beruge baylanysty kýrdeli jaghday qalyptasty. Memlekettik jәne jeke menshik mektepke deyingi bilim beru mekemelerining (bala-baqshalar) basshylary qant diabeti bar balalardy qabyldamaydy. Kóptegen jaghdaylarda múnday bas tartular balanyng ómiri men densaulyghy ýshin jauapkershilikti ózine alugha niyet bildirmeui jәne atalghan aurudyng ereksheligi turaly mektepke deyingi mekemelerding medisina qyzmetkerlerin aqparattandyrudyng tómendigine negizdelgen. Osylaysha, osy diagnozy bar balalardyng dene bitimi men psihoemosiyalyq damudaghy óz jasyna tolyq barabar boluyna qaramastan, deni sau qúrdastarymen birge әleumettenu mýmkindiginen aiyryluda.
Sonday-aq, medisinalyq tekserulerding merzimi ýlken alandaushylyq tughyzuda. Endokrinologtyng jylyna biraq ret tekserui qant diabeti asqynuynyng apatty ósuine әkeledi. Tәjiriybe kórsetkendey, qazirgi uaqytta bastapqy medisinalyq-sanitarlyq kómek dәrigerleri jәne orta medisina qyzmetkeri arasynda diabetting qantty tómendetetin terapiyasy turaly bilim dengeyi jәne osynday qauipti aurudy basqaru әdisteri tómen dengeyde.
Búl mәselede sheteldikterding ong tәjiriybesi, bala diabetpen auyrghan jaghdayda mamandar ýshtigining kómekke kelui bolyp tabylady. Olar mediyk-psiholog, diyetolog jәne endokrinolog mamandardan qúralghan. Elimizde múnyng barlyghy bir endokrinolog dәrigerding moynyna artylyp otyr.
Senator D.Nóketaeva jogharyda aitylghandardy negizge ala otyryp, 1-tiptegi qant diabetine shaldyqqan balalardyng ata-analar qauymymen jәne Qazaqstan Respublikasy diabettik oqu-aghartu qorymen birlese otyryp Qazaqstan Respublikasynyng Densaulyq saqtau ministrligine mynanday úsynys-talap qoydy:
Birinshi, qant diabeti boyynsha últtyq jospar әzirleu jәne qabyldau;
Ekinshi, qant diabetin әleumettik manyzy bar aurular tiziminde qaldyru;
Ýshinshi, «Diabet jәne balalar» vedomstvoaralyq josparyn qabyldau;
Tórtinshi, rezervtik insulindik qor qúru;
Besinshi tegin medisinalyq kómek kólemi ayasynda glukagondy satyp alu praktikasyn jalghastyru;
Altynshy, sanatorly-kurorttyq ýlgidegi qant diabeti bar balalar men jasóspirimderge arnalghan onaltu ortalyghyn qúru;
Jetinshi, tekseru merzimdiligin: orta medisina qyzmetkerining tekserui – aiyna 1 ret, bastapqy medisinalyq-sanitarlyq kómek dәrigerining tekserui – 3 aida 1 ret, endokrinologtyng tekserui – 3 aida 1 ret etip ózgertu;
Segizinshi, qant diabetimen ómir sýru daghdylaryna ýiretu boyynsha mamandandyrylghan «mektepter» úiymdastyru;
Toghyzynshy, halyqaralyq klinikalyq praktikada úzaq uaqyt boyy 2 tipti jәne 1 tipti qant diabetin damu mehanizmi boyynsha әrtýrli aurular retinde naqty ajyratu qabyldanghan. Olar әrtýrli tekseru jiyiligin jәne qandaghy qant dengeyin әrtýrli ólsheudi talap etedi. Sol sebepti, medisinalyq qamtamasyz etu men qyzmet kórsetuding tiyisti normalaryn qayta qaray otyryp 2 tipti qant diabeti, 1 tipti qant diabeti, balalar men jasóspirimderdegi 1 tipti qant diabeti boyynsha jeke klinikalyq hattamalar men standarttardy әzirleu qajet.
Senator deputattyq saualynda qan diabeti indetinen qoghamdy saqtau, sauyqtyru jәne emdeuge, insulin qoryn qúrugha qatysty naqty mәsele qoydy jәne Densaulyq saqtau ministrinen atalghan úsynystardy qarastyrudy, tiyisti sharalar qabyldaudy talap etti.
Ádilbek Qaba
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