An tabbatar da kasancewar jellyfish a cikin aikin Volsky! Kwanan nan, 'yan fim daga cibiyar yanki sun zo Volsk, ta hanyar saƙon da baƙon abu ba ne. Sun yanke shawarar tabbatar da kansu cewa jellyfish ya wanzu da gaske.

Mutanen TV sun gayyaci Vitaly Brekhov, mashahurin masanin tarihin yankin Volsky, wanda ya daɗe yana sarrafa sashen yanayin gidan kayan tarihinmu, don shiga tare da su. Ya ce za su iya rayuwa cikin sana'a Craspedacusta sowerbii(lat.), nau'in ruwan jellyfish. Amma Valery Vitalyevich da kansa bai yi imani da wanzuwar su ba har sai da ya hango lamuran gaskiya da idanunsa. Jellyfish ya sami nutsuwa cikin ruwa mai narkewa. Munyi nasarar kama kwafi daya; baƙi daga Saratov sun ɗauka don gwaji. Sun yi alkawarin fadawa mutanen Volchians game da sakamakon sa.

Takaitawa tare da insulin kyauta a Saratov - tun lokacin zafi na 2018. Akwai matsaloli tare da wasu magunguna waɗanda marasa lafiya da ciwon sukari ke buƙata.

Dangane da yawancin marasa lafiya daga Saratov da aka yi hira da Meduza, ya katse insulin a cikin Yuli 2018, duka a cikin birni da kuma yankin.

Daria Ivanova (sunan mahaifa ya canza a kan buƙatarsa) daga birnin Marx kwanan nan tana tattara insulin don ɗanta dan shekaru 14 (12 wanda ya kamu da ciwon sukari) kawai ta waya. “Budurwa ita ce mafi wuya lokaci ga masu ciwon sukari,” in ji Daria. - Saboda haka, a watan Fabrairu, likitoci sun tura mu zuwa Tresiba, sabon insulin, mai daukar dogon lokaci.

Na tambaye su musamman: shin koyaushe zai yiwu a same ta? Suka ce eh. Bayan 'yan watanni da suka gabata sun kama - babu magani.

Mako guda, wata, wata. Ya isa har zuwa yanzu cewa ya rage insulin kwana daya. Ina rubutu zuwa ga dukkan hukumomi - zuwa Ma'aikatar Lafiya, ga mai gabatar da kara.

Na je ga gwamnatin yankin, na tambaya: a ina zan dauki ɗana, dama zuwa gaɓar shinge? Bayan haka, bayan kiran [mataimakiyar firayim minista don ci gaban zamantakewa, Valentina] Grechushkina, bayan kiran [ga mataimakin] Primakov, an aiko mana kunshin Tresiba. "

A watan Mayu, Darya ya sake samun Tresib kyauta. Packaya daga cikin fakitin na miyagun ƙwayoyi, wanda aka tsara don wata ɗaya, ya ninka fiye da dubu shida rubles. Daria ya ce: "Babu shakka, idan kuka sake kiran waya, za su warware wannan batun." "Amma a ganina wannan ba daidai ba ne." "Ba lallai sai na sa bakin ƙofofin sau ɗaya a wata ba don samun maganin, kawai dole ne ya kasance cikin kantin magani." Olga Bogaeva, 'yar shekara 28, wacce ba ta da matsala a rukunin farko, ta kuma yi korafi ga hukumomi daban-daban, saboda ba ta iya samun wasu magunguna ga mutanen da ke fama da cutar sankara, waɗanda ma'aikatar lafiya ta ƙasa ke siyan ta kamar daidai wannan shirin kamar insulin. Bogaeva ta daina karbar magungunan da take buƙata daga Janairu 2018. Likitocin sun bayyana wa yarinyar cewa Ma'aikatar Lafiya ta Saratov ba ta iya sayen isassun magunguna - kuma kuna buƙatar jira ko siyan kan ku. Yanayin yarinyar ya kara dagulewa: an yanke qafar ta, cutar koda. A watan Oktoba 2018, Olga Bogaeva ya mutu. Dangane da sakamakon binciken da mai gabatar da kara ya gabatar, an bude shari'o'in laifuka da dama (wanda ya hada da a karkashin taken “Ba da sabis na bai cika sharuddan tsaron rayuwa da lafiyar masu amfani da shi ba”). A wannan watan ne Ministan Lafiya na yankin Saratov Vladimir Shuldyakov ya yi murabus.

A cikin 2018, ƙungiyar da ta taimaka wa marasa lafiya da insulin rufe a Saratov. Dangane da korafin dalibin, shugaban hedkwatar Putin, an karbe ta a matsayin “wakilin kasashen waje”

Shekara guda kafin mutuwar Olga Bogaeva, a cikin faɗuwar 2017, ofishin mai gabatar da kara na gida ya fara duba ƙungiyar jama'a ta Saratov yanki na mutane masu ciwon sukari, ɗaya daga cikin tsofaffin ƙungiyoyi masu zaman kansu a Saratov, an yi rajista a watan Afrilun 1995. Dalilin shi ne korafin wata daliba ta shekara biyu a Jami’ar Likita ta Nikita Smirnov, wanda kuma shi ne shugaban ma’aikatan tallafawa daliban yankin na Vladimir Putin. Matashin ya ce tallafin kungiyoyi masu zaman kansu daga kasashen waje ke haifar masa da damuwa. Kungiyar ta zahiri ta karbi kudaden tallafi, wadanda suka hada da sama da rabin miliyan rubles daga ofisoshin wakilan Rasha na kamfanonin magunguna na kasashen waje - Novo Nordisk da Johnson da Johnson, daga 2014 zuwa 2016.

Ivan Konovalov, malamin tarihi daga Saratov Law Academy, an danƙa shi da rubuta ƙwararren masani kan ayyukan kungiyoyi masu zaman kansu (shi ne mawallafin wasu labarai da yawa game da magance "juyin launi"). A cikin kammalawarsa kuma a cikin jawabinsa a kotu, Konovalov ya yi magana game da "yanayin rashin ayyukan yi" na kungiyoyi masu zaman kansu, waɗanda "ke samar da abubuwan da ake buƙata don rarrabe hukumomin" "" kuma suna watsa bayanai game da abin da ake kira maki na yankin zuwa ga abokan tarayya. "

Lauyan Nikolai Dronov, yayin da yake magana a gaban kotu, ya ba da shawarar cewa binciken mai gabatar da kara kuma kotun “ta dauki fansa” ce a kan shugaban NPO, Yekaterina Rogatkina, saboda sukar jami’an kiwon lafiya a bainar jama’a. Rogatkina ta sami aiki a cikin tsara kulawa da marasa lafiya da ke fama da ciwon sukari a farkon shekarun 2000 - bayan da danta ya kamu da ciwon sukari. Tare tare da abokan aikinta, ta gudanar da taron karawa juna sani da taro, ta shirya sansanonin bazara don yara, amma mafi mahimmanci, ta matsawa ma'aikatar Lafiya na gida, sarrafa sarrafawa da ingancin magunguna da kayayyaki (allura da kuma rarar gwaji). A ranar 28 ga Mayu, 2018, Kotun Gundumar Saratov ta amince da kungiyar a matsayin “wakilin kasashen waje” tare da bayar da tukuicin dubu 300. An ci tarar shugaban kungiyar masu ciwon suga, Ekaterina Rogatkina, an ci tararsa dala dubu 50. Bayan ofishin mai gabatar da kara a karshen shekara ta 2018 sun nemi a tilasta shigarwar kungiyar cikin rajistar “wakilan kasashen waje”, tsarin ya lalace. Catherine Rogatkina ta ki yin sharhi a kan Medusa.

Labari na gaba

21 09 2015
10:30

Filin "Medusa" ya ƙaddamar da jarabawa mai ban dariya ga Saratov. Gwajin ya hada da tambayoyi 12 kan ilimin Saratov kuma ana kiran shi "ƙarancin faransanci ko sassaka kan cin zarafin gida?".

"Bayan gwaje-gwaje game da Dagestan, Yekaterinburg da Perm, lokaci ya yi da Saratov. Yankin, wanda kullun yana da alaƙa da mummunan hanyoyi da jituwa mai kyau, kuma shekaru goma da suka gabata tare da gwamna mai ban sha'awa Dmitry Ayatskov, yanzu yana fafatawa tare da maƙwabta don kulawa daga hukumomin tarayya: manyan masana'antun masana'antu a yankin suna fama da rikicin, "tashar ta rubuta a kan babban shafin gwajin.

Tambayoyin gwaji sun bambanta sosai. Daga sunan gidan a farfajiyar Predmostovaya tare da zaɓin Pentagon da na Ma'aikatar Jiha zuwa saucean miya daga SAZ, da sabon bango har ma da abin tunawa ga Oleg Tabakov.

Dangane da sakamakon gwajin, tsarin yana ƙayyade nawa kuke Saratovite.

Saratov Oblast tana cikin mafi munanan yankuna don shirya siyan insulin. Saboda sabon ka'idoji na Ma'aikatar Lafiya, insulin ba shi da kyau a wasu wurare

Jim kadan kafin mutuwar Olga Bogaeva, a cikin Yuli 2018, Firayim Minista Dmitry Medvedev ya aika ƙarin ƙarin rubles miliyan 35 ga yankin Saratov don sayan magunguna ga masu cin gajiyar ("saboda karuwar yawan masu buƙata"). Gaba ɗaya, kasafin kuɗi na tarayya da na gida sun ɓata biliyan 1.8 a shekara ta 2018 kan samar da magunguna ga masu cin gajiyar wannan yankin.

Koyaya, yin hukunci da halin da ake ciki yanzu tare da insulin, ba zai yiwu ba a magance matsalar karancin magunguna ga masu fama da cutar sankara ta hanyar allurar kuɗi. Dangane da masana daga kamfanonin harhada magunguna da masana masana'antu wanda Meduza ya yi magana da su, matsalar insulin a yankin Saratov yana da alaƙa da tsarin siyan kayan jama'a - da aikin jami'an kiwon lafiya na ƙasa waɗanda suka kasa shawo kan matsalolin da wannan tsarin ya haifar.

Clinical endocrinologists suna ɗaukar aikace-aikacen magunguna don marasa lafiyarsu a kan tushen rajista (yana nuna yawan kwayoyi da marasa lafiya na wani likita ke cinyewa a wani lokaci). Aikace-aikacen ya kamata ya nuna duka likitocin da ke akwai waɗanda ke buƙatar magunguna, da sabon ko canjawa wuri daga wasu ƙungiyoyi. Ana tattara jerin abubuwa daban don masu cin gajiyar tarayya (waɗanda ke da rukunin nakasassu), daban ga waɗanda ke yankin (duk sauran).

Daga nan likita ya kare aikace-aikacen daga babban likitan ilimin likita na endocrinologist na asibiti, yana bayyana dalilin da yasa ake buƙatar insulin da yawa (wani ya canza hanyar cutar ko sabon marasa lafiya sun bayyana). A ƙarshe, aikace-aikace daga endocrinologists daga polyclinics an tattara su ta hanyar kwararru daga Ma'aikatar Lafiya na yanki kuma an canza su zuwa sashen samar da magunguna. Sannan Ma'aikatar Lafiya ta yanki ta yanke shawara game da girman sayayya, bisa ga duk waɗannan bayanan, kuma ana gudanar da gwanjo a kan gidan yanar gizon siyar da jama'a.

“Yankin na iya yanke hukunci wa kansu ko za su siyar da su gaba daya magunguna [wanda aka rarraba a tsakanin marasa lafiya kyauta] na tsawon shekara guda - ko kuma a yi na kwata. A matsayinka na mai mulki, yankuna suna sayo insulin na shekara guda, ƙasa da ƙasa tsawon rabin shekara, har ƙasa da sau ɗaya don kwata. Saboda wasu dalilai, yankin Saratov yana siyan magunguna kwata-kwata a 'yan shekarun nan, "wata majiya ta Meduza a daya daga cikin kamfanonin da ke samar da insulin din ta ce.

Kamfanin na Kamfanin Headway, wanda ke bin sayayya mai zurfi a masana'antar harhada magunguna, bisa buƙatun Medusa, ya bincika sashen samarwa insulin na Rasha. Ya juya cewa matsaloli a wannan bangare ana lura da su ba kawai a cikin yankin Saratov ba, har ma a duk faɗin ƙasar. Da fari dai, adadin ƙararrakin da aka kasa faɗaɗa ya karu sosai - saboda bayyanar ba mahalarta taron ba, saboda kurakurai a cikin hanyoyin taushi, da dai sauransu A cewar ƙididdigar Kamfanin na Headway, a cikin 2019 tuni 15% na yawan adadin ƙididdigar insulin da aka sanar a ƙasar bai faru ba - a 8% a cikin 2017 da 10.1% a 2018. Abu na biyu, a wasu yankuna na insulin na 2019, an rage ƙasa da rabin adadin wadatar shekara shekara na shekarun da suka gabata. Yankin Saratov yana ɗayan waɗannan yankuna masu matsala.

Sayen insulin ta yankuna na Rasha daga shekarar 2016 zuwa yau. Pink haskaka yankuna matsala

A cewar bayanan, a yankin Saratov, mutane dubu 83 ne suka kamu da cutar sankarau, daga cikinsu dubu 4.1 suka kamu da ciwon sukari. Ana buƙatar yawancin injections na insulin a cikin marasa lafiya da ke fama da ciwon sukari na 1, amma wani lokacin ana kuma yin allurar insulin ga marasa lafiya da ke ɗauke da ciwon sukari na 2.

Yin hukunci da ƙaddamarwar da aka riga aka gudanar a 2019, Yankin Saratov ya sayi kashi 31% na buƙatun insulin shekara-shekara a ƙarshen bazara. Wannan ya yi nisa daga mummunan sakamako a cikin ƙasar: a cikin yankin Tyumen sun sayi kawai 6% na yawan shekara-shekara, kuma a cikin Jamhuriyar Tyva sun sayi kusan komai kwata-kwata. Amma, a bayyane yake, matsaloli na ainihi ba sa tasowa inda insulin ya kasance tun shekarar 2018. Dangane da kididdigar Headway, Yankin Amur, Belgorod, Ryazan, Tyumen da Yaroslavl Reg, Krasnoyarsk Territory da Jamhuriyar Komi suna cikin yankuna na matsalar dangane da wadatar insulin na yanzu.

Wata majiya a daya daga cikin kamfanonin masana'antar insulin ta kasar Rasha, ta shaida wa Meduza cewa, a cikin shekara da ta gabata da rabi, yankin Saratov ya tarwatsa kusan rabin bangarorin don shahararrun rukunin insulin - injin da aka yiwa dan adam.

Abu ne mai wahala ba wai ga jami’an Saratov kawai su jagoranci yadda aka tsara su yadda ya kamata ba da kan lokaci. A cikin 2018, an ba da umarnin Ma'aikatar Lafiya ta Rasha lambar 1380 "A kan kwatankwacin bayanin miyagun ƙwayoyi ...", bayan haka tsawon watanni jami'an sun koyi cike takardun a sabuwar hanya. Kuma daga farkon shekarar 2019, oda Na 871 - "A yarda da tsarin don tantance farkon farashi na kwangila ..." ya fara aiki. Wannan takaddar ta umarci masu shirya gasar (watau Ma'aikatar Lafiya ta yanki) don saita mafi ƙarancin farashin magunguna, wanda yakamata a rage koda lokacin tallace-tallace. A tallace-tallace na gaba, matsakaicin farashin daga wannan gwanjo ya kamata a ɗauka azaman farashin mai amfani kuma bi da bi ya kamata ya faɗi ƙasa.

Babban 'yan wasa a kasuwar insulin na Rasha: kamfanonin kasashen waje uku (kowannensu yana da masana'antu a cikin Tarayyar Rasha) - Novo Nordisk, Sanofi, Eli Lilly - da Rasha uku - Geropharm, Medsintez da Pharmstandart. Kasuwancin suna sayar da kayayyakinsu ne musamman ta hanyar tsarin siyar da jama'a. Wata majiya a daya daga cikin wadannan kamfanoni ta kai kara ga Meduza cewa farashin a kasuwar insulin ta Rasha na da matukar fa'ida don haka daya daga cikin mafi karanci a duniya, kuma kamfanoni ba sa bukatar jujjuya kara - saboda haka, kowa yana lura da sharuddan gasar da yankuna suka sanar. kuma idan farashinsa bai yi kasa a gwiwa ba, kada ku shiga.

"A nan abubuwa da yawa sun dogara da asalin mutum," in ji tushen Medusa. - Akwai jami'an yanki wadanda har ma a cikin yanayin waɗannan umarni na Ma'aikatar Lafiya suna gudanar da bincike don tsara ka'idoji, saita farashin gaske a hannun masu hannun jarin, ba sa jin tsoron barata. Amma akwai jami'an da ba su damu ba. Suna riƙe da hanyoyin da ba su da ma'ana ɗaya bayan ɗaya, yankuna suna fama da rashin magunguna - amma ofishin mai gabatar da kara ba zai zo wurinsu ba kuma ba zai tuhume su da cinikin kuɗi fiye da kima ba. "

Mai magana da yawun Ma’aikatar Lafiya ta Saratov, Alexander Kolokolov, ya fada wa Meduza cewa, tsarin samarda gwagwarmaya na insulin “duk al’ada ne”. “Akwai insulin a yankin, akwai wadataccen mai,” in ji Karrawar. - Ba koyaushe ana yin tudun baka ba tare da ɓata ba, akwai matsaloli tare da jan hankali da isarwa. Muna magance duk matsalolin da ke faruwa a cikin marasa lafiya da masu ciwon sukari daban-daban kuma a cikin mafi kankanin lokacin yiwuwar. "

Anna Mukhina, wakilin hukumar "Labaran Talakawa"

Haɓakar ɗan adam

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