Therapy Zakudya Zam'magazi > Zakudya za shuga

Zakudya zamankhwala - njira imodzi yofunika kwambiri yothandizira anthu odwala matenda ashuga, chinthu chofunikira kwambiri pokwaniritsa chikhazikitso cha kagayidwe kazakudya, komanso munthawi ya insulin - njira yokhayo yolimbikitsira moyo wa wodwala yemwe ali ndi IDDM. Pakadali pano, amapanga 50% yachipambano chamankhwala othandizira odwala matenda ashuga (30% amapatsidwa mankhwala a insulin ndipo ena 20% akutsatira njira ya tsikulo, nthawi ndi pafupipafupi jakisoni wa insulin ndi zochita zolimbitsa thupi), ndi amodzi mwa "anamgumi atatu" kuti akwaniritse kubwezeretsa kwa chakudya cha carbohydrate. Kudyetsa pafupipafupi, makamaka kuphatikizidwa ndi kuphwanya kwamphamvu kwa zosakaniza za chakudya, kumathandizira kuchulukitsa, kufooka kwa zida zapakhungu ndi kuzindikira kwa chibadwa chakutsogolo kwa chitukuko cha matenda ashuga.

Zochita zamankhwala zatsimikizira kuti kutenga zakudya zamatenda a thupi sikuti kumadwalitsa matendawa - m'malo mwake, kumabweretsa njira yodalirika ya matenda ashuga. Mu 1939, M. Somogye mwa odwala achinyamata omwe ali ndi vuto lalikulu la matenda a shuga omwe adalandira kuchuluka kwa insulini adakulitsa chakudya chawo cha tsiku ndi tsiku kuchokera ku magalamu 100 mpaka 300 (zomwe zikuwonetsa kupezeka kwa zochitika zambiri za hypoglycemic (chifukwa cha kuyambitsa kuchuluka kwa insulin), limodzi ndi kutulutsidwa kwa insulin - insulin mahomoni okhala ndi kuwonjezeka kwa glycemia, kuchuluka kwa glucosuria ndi acetonuria. Kuchepa kwambiri kwa kuchuluka kwa chakudya chamagulu m'zakudya za anthu omwe amadwala matenda a shuga omwe amadalira kwambiri shuga al, 1974, imawonjezera chiopsezo chotenga matenda a atherosulinosis (IHD, kuwonongeka kwa ziwiya zaubongo), kumabweretsa kuwonjezeka kwa machitidwe a ketogenesis ndi Niemi ketone matupi mu mkodzo ndi mpweya wotuluka tikamapuma).

Kuwerengera kwa zakudya za zosakanizira zazikulu (mapuloteni, mafuta ndi chakudya) ndizofunikira kwambiri pakudya. Zakudya za caloric za zakudya za tsiku ndi tsiku za anthu athanzi ndi 50 ... 60% zimakhazikitsidwa ndi kupezeka kwa chakudya chamagulu, ndi 25 ... 30% - mafuta komanso ndi 15 ... 20% mapuloteni.

Zosintha zamagulu

Muzochitika zathupi, kuchuluka kwa chakudya chomwe amadya ndi 50% yomwe imaperekedwa ndi zomwe zimapangidwa ndi iwo. Gwero lalikulu la chakudya chamafuta ndi chakudya chomwe chimachokera ku mbewu: chimanga ndi nyemba, masamba, zipatso ndi zipatso. Ubwino wazinthu izi zimatsimikiziridwa ndi kupezeka kwa "dzuwa" mwa iwo: mono-, di- ndi ma polysaccharides, omwe amalowa m'thupi kudzera m'mimba ndipo amatenga gawo limodzi mu metabolism yamphamvu. Glucose m'thupi laumunthu imangopereka zosowa zamphamvu, komanso imatha kudziunjikira ngati polumikizira wa glycogen m'chiwindi ndi minofu, komanso imagwira nawo gawo pakuphatikizika kwamafuta - activating lipogenesis, ili ndi malo otchedwa antiketogenic.

Mono- (glucose, fructose) ndi ma disaccharides (sucrose, maltose ndi lactose) ndizophatikiza zama thupi zomwe zimatengeka mosavuta ndi thupi. Chakudya chofunikira kwambiri chamagulu osokoneza bongo polimba mmimba - chimayikiridwa - chimapangika pang'onopang'ono, chifukwa chiyenera kugawika m'magazi osavuta a mayamwa villi. Ma polysaccharides (hemicellulose, cellulose, pectins, chingamu ndi ma dextrins sakhala otengeka ndi thupi laumunthu (mulibe ma enzymes, ndipo microflora sakhazikika m'matumbo omwe amatha kuwapangira iwo kuti akhale ndi shuga wosavuta).

Cellulose, hemicellulose, pectin ndi lignin (polymer wosakhala ndi carbohydrate) amapanga maziko a makoma amaselo am'mera ndipo amatchedwa fiber. Pectin (pamitundu yambiri imapezeka m'masamba, zipatso, ndi khungu la zipatso), zomwe zimamangiriza maselo a chomera wina ndi mzake, ndizophatikizanso ndi zopatsa mafuta. Dietitians amatcha fiber ndi pectin zakudya kapena fiber. Ndizofunikira pakugwira bwino ntchito kwa m'mimba thirakiti ndi kupewa kunenepa kwambiri komanso matenda osokoneza bongo - njira yotchingira mphamvu ya zakudya siyinapatsidwe bwino. Zakudya zamafuta zimadziwika kuti sizigwirizana ndi kugaya kwa michere m'mimba ndi matumbo, zomwe zimasokoneza kuyamwa kwawo. Kwa nthawi yayitali yotsalira mu lumen ya matumbo, fiber

Sungani madzi ndi cations mwachangu, sinthani matumbo oyendetsa, kulimbikitsa kuthira,
kupanga mitundu yosakwanira (ma gels) osagwiritsa ntchito (ma gels) omwe amakhala ndi zakudya zina (monosaccharides, cholesterol), omwe amalepheretsa mayamwidwe awo ndikulimbikitsa chimbudzi kuchokera m'matumbo,
pangani moyo wabwino wa microflora ndi kupondereza njira zosafunikira,
yambitsani katulutsidwe ka tiziwalo timene timayamwa ndikugwira nawo gawo limodzi la kuchuluka kwa mahomoni a peptide (m'mimba),
zimakhudza kuchuluka kwa glucagon wamatumbo (omwe amatsimikiziridwa kuti akutsimikiziridwa), kukhala ndi gawo losalunjika pamlingo wa insulin m'magazi,
akuyenera kuyambitsa kuyamwa kwa mavitamini ndi michere.

Zotsatira zabwino za zipatso ndi ndiwo zamasamba pa glucose homeostasis zimakhalanso chifukwa cha zomwe zimakhala ndi katundu wa hypoglycemic (zotengera za guanidine): vegulin imasiyanitsidwa ndi kabichi, ndipo phenylamine imadzipatula kwa anyezi ndi mphesa.

Mwa anthu omwe ali ndi matenda ashuga, zakudya zamafuta abwino zimayang'anira glycemia ndi lipidemia wambiri. Nthawi yomweyo, kudya mafuta okwanira osagwiritsidwa ntchito ndi chakudya kumathandiza kukwaniritsa zisonyezo zabwino kwambiri za kuchuluka kwa glycemia ndi lipidemia Bierman E. L., Hamlin J. T., 1961, Brumzell J. D. et al., 1971.

Zakudya zamafuta sinthanso magwiridwe antchito am'mimba, kuchuluka kwa mahomoni a peptide, momwe ma kapamba amakhudzira zakudya zamafuta, kuchepa mayamwidwe, kuthandiza kuchotsa monosaccharides ndi cholesterol m'thupi. Mwa anthu athanzi, kudya mokwanira chakudya chamafuta ndi chakudya kumathandizira kulolerana kwamatumbo ndi lipid metabolism, mwa odwala matenda a shuga amachepetsa glycemia ndipo matenda a lipid metabolism V. Korotkova et al., 1983, Miranda P., Horwitz DL, 1978, Riverllese A. et al., 1980, Bauer JH et al., 1982, Kinmonth AL, 1982.

Zotsatira zabwino zakudya zama fiber panjira ya matenda ashuga zimachitika chifukwa cha mayamwidwe amthupi, ndiko kuti, pamlingo wa postprandial (mutatha kudya) glycemia. Mlingo wa postprandial glycemia (hyperglycemic reaction, glycemic reaction, glycemic index) zimatengera umunthu wamatumbo omwe amatengedwa (osavuta kapena ovuta), komanso kupezeka kwa fiber fiber mwa iwo (kuchuluka kwawo ndi mtundu wake). Mndandanda wamtundu wa glycemic wa chakudya cham'mimba mosavuta (shuga wosavuta) ndiwokwera kuposa ma polysaccharides okhala ndi CHIKWANGWANI chamafuta. Ngati titenga glycemic index ya glucose ngati 100% (glycemia level 2 maola atatha kudya), ndiye glycemic index ya masamba (mbatata) - 70%, chimanga ndi mkate - 60%, nyemba zowuma - 31%, chakudya cham'mawa wamba - 65% (manambala opezeka poyesa achinyamata odzipereka athanzi.

Kutengera ndi zomwe zimapezeka pa glycemic index yamafuta ambiri (kapena "osatetezedwa"), akatswiri ambiri a matenda ashuga pakadali pano akuwona kuti ndikofunikira kuthana ndi chakudya chamagulu amtundu wa anthu omwe ali ndi matenda ashuga, amakonda zakudya zokhala ndi zakudya zam'mera zomwe zimakhala ndi mafinya okwanira, ndiye kuti, " otetezedwa "chakudya.

Kuyambitsa kowonjezerapo m'zakudya za anthu omwe ali ndi matenda osokoneza bongo a shuga ophatikizika ndi fiber (chinangwa, pectin, giya, nyemba zouma, ulusi wazakudya) mu zosachepera 10 ... 15 g pa kulandila kumapereka kuyesedwa kochiritsa (kuperewera kwa glycemia ndi lipidemia). Komabe, zochulukirapo, izi zimawonjezera kwambiri kuvuta kwa chakudya, kukhala bwino kwa odwala (kuchititsa kupweteka, kupweteka ndi chimbudzi chonyansa). Mwakutero, funso lofunsidwa koyenera kugwiritsa ntchito okhutira oterewa odwala matenda a shuga amakhalabe otseguka Chedia E.S., 1983, Williams DR, et al., 1980, Florholmen J. et al., 1982. Palibe kukayikira kuti pokhapokha chakudya chamagulu ndi matenda a shuga a mellitus, kugwiritsa ntchito zakudya zopangidwa ndi mbewu zomwe zimakhala ndi mitundu yambiri yazakudya zachilengedwe kumatha kukhala ndi zotsatirapo zabwino za matendawa ndipo zimavomerezedwa ndi odwala.

Njira ina yogwiritsira ntchito zophatikiza zama zakudya (mafilimu) okhala ndi ma coarse ndikugwiritsira ntchito kukonzekera kwamankhwala (zoletsa za alpha-amylase ndi ma alpha-glucosidase enzymes) zomwe zimalepheretsa kuyamwa kwa chakudya cham'mimba. Tsoka ilo, mankhwalawa (acarbose, glucobai ndi ena) amachititsanso kuti pakhale bata komanso mkhalidwe wosasangalatsa. Funso la kufalikira kwa kuchuluka kwa mankhwalawa pochiza matenda ashuga limaphunziridwa Hadden D. R., 1982, Mehnert H., 1983, Dimitriadis G. et al., 1986, a Henrichs J., Teller W. m., 1987.

Kuphatikiza pa gawo lofunikira la chakudya chamafuta m'magazi a chakudya, chakudya chama chakudya ndi gwero lofunikira la mavitamini (C, P ndi gulu B), carotene, alkaline mineral zinthu, potaziyamu, chitsulo mu mawonekedwe achilengedwe omwe amaphatikizidwa mosavuta pamaso pa ascorbic acid. Mtengo wazakudya zamasamba (masamba, zipatso ndi zipatso) zimatsimikizidwanso ndi zomwe zimapezeka mwa kuchuluka kwa ma asidi (makamaka malic ndi citric), zomwe zimasintha ntchito yam'mimba, kusintha kapangidwe ka microflora, ndikuchepetsa njira zowonongeka.

Magulugi Sinthani

Mapuloteni amakhudzidwa ndi metabolism ya pulasitiki, motero, ndiofunikira kuti thupi likukula, ndiye kuti, paubwana ndi unyamata. Kufunika kwamapuloteni mwa mwana kumafika magalamu atatu pa kilogalamu ya thupi patsiku (g / kg / tsiku), muubwana - 1-2 g / kg / tsiku. Mapuloteni - gwero la amino acid (kuphatikiza zina zofunika) zomwe zimapangitsa kuti mwana azikhala wathanzi komanso kuti akhale wathanzi, asunge chitetezo chokwanira (chitetezo chokwanira). Mapuloteni achilengedwe amanyama ndiye gwero lalikulu la mapuloteni ambiri, chifukwa ali ndi mitundu yonse ya amino acid yofunika kwambiri:

nyama ya nyama, nkhuku ndi nsomba,
dzira - lili ndi lecithin, cephalin ndi ma amino acid ofunikira,
mkaka ndi mkaka (tchizi tchizi, tchizi cholimba) - zimakhala ndi methionine yambiri, yomwe imagwira mwachangu kapangidwe ka choline ndi lecithin. Kuphatikiza pa mapuloteni ofunikira, mkaka umakhala ndi calcium pazabwino kwambiri ndi phosphorous, potaziyamu ndi mchere wa sodium, zinthu zambiri zotsata, mavitamini "A" ndi "B".

Onse mwana wathanzi komanso wodwala matenda a shuga ayenera kuvomereza 15 ... 20% ya zosowa za tsiku ndi tsiku zama protein, ndipo osachepera 50% azikhala mapuloteni a nyama.

Mafuta Sinthani

Mafuta (gwero lamphamvu osati mphamvu zokha, komanso lipids) amatenga nawo gawo mu puloteni ya pulasitiki - ndi gawo limodzi lamaselo amoyo, makamaka zimapanga (mafayilo achilengedwe) ndipo amatenga nawo mbali machitidwe omwe amachitika m'maselo. Kuphatikiza apo, thupi laumunthu limalandira zinthu zokhudzana ndi zamankhwala okhala ndi michere yazakudya: ma polyunsaturated mafuta acids (linoleic, linolenic ndi arachidonic), phosphatides (leucine), mavitamini osungunuka a mafuta (magulu A kapena retinol, D kapena calciferols ndi E kapena tocopherols), sterols. Chifukwa chake, ndizosatheka kupatula mafuta pachakudya.

Funso la kuthekera kwakufunika kwamafuta m'zakudya zaanthu wathanzi makamaka pazakudya za odwala matenda ashuga ndizovuta. Kumbali imodzi, mafuta, makamaka paubwana, ndi gwero lofunikira lamphamvu. Kusowa kwamafuta m'thupi kumasokoneza dongosolo lamanjenje, kumachepetsa chitetezo, komanso kufupikitsa nthawi yokhala ndi moyo. Kumbali ina, zatsimikiziridwa kuti kuchuluka kwa cholesterol ndi lipids m'magazi (chifukwa chokwanira kudya inasewera ndi chakudya) kumathandizira kukulitsa kwa atherosulinosis. Popanga hypercholesterolemia ndi hyperlipidemia, osati kuchuluka kwa mafuta ndikofunikira, koma kapangidwe kake (zakudya zomwe zimakhala ndi cholesterol ndi mafuta a asidi ambiri mwambiri ndizosayenera, ndipo zinthu zomwe zimakhala ndi mafuta osaphatikizika, ma phosphatides, mavitamini osungunuka a mafuta - bwino. lipids, kuteteza kuyikika kwamafuta m'mafamu amafuta ndi chiwindi, zimathandizira kuti mafuta a cholesterol amasulidwe. Mafuta achilengedwe a polyunsaturated amagwira nawo ntchito yokhudza kayendedwe ka mafuta, komanso ma phospholipids ndi lipoproteins, ali m'gulu la ziwalo za cell ndipo zimakhudza kuperewera kwawo). Zotsatira zabwino za mafuta ochulukirapo a polyunsaturated acid acid ndi phosphatides pama metabolism amafuta zimatha kuwonjezeredwa (kupititsidwa patsogolo) pamene zimaphatikizidwa mu chakudya ndi zovuta zamafuta zomwe zimakhala ndi fiber fiber muzambiri zokwanira.

Malinga ndi akatswiri ambiri a matenda ashuga, odwala omwe ali ndi nthawi yayitali ya kukula kwamthupi komanso mtundu wa 1 shuga mellitus m'malo operekera ndalama, kuchuluka kwa mafuta muzakudya za tsiku ndi tsiku sikuyenera kupitirira 30% ya zofunika tsiku lililonse la calorie. Ndikofunikirakotero kuti kuchuluka kwa cholesterol tsiku ndi tsiku sikupitirira 300 mg, ndipo kuchuluka kwa chakudya chosakwaniritsidwa ndi mafuta amchere acid ndi 1: 1 kapena kuvomereza kuyikiridwa kwa mafuta osakwaniritsidwa acids.

Mu 1941, S. G. Genes ndi E. Ya. Reznitskaya adalimbikitsa kufunika kwa thupi, m'mbali zonse, zakudya zoyenera kwa odwala omwe ali ndi matenda a shuga. Kuyambira nthawi imeneyo, njira iyi yodziwika bwino yodziwika mdziko lathu idavomerezeka mdziko lathu, ndipo ambiri mwa odwala matenda ashuga amawongoleredwa motsatira zomwe ophunzirawo adapanga.

Kutengera zokumana nazo zam'mbuyomu, kafukufuku woyesera komanso matenda, akatswiri ashuga padziko lonse lapansi afika pamalingaliro wamba pazolimbikitsa kugwiritsa ntchito odwala omwe ali ndi matenda a shuga omwe amadalira matenda a shuga mellitus (IDDM), makamaka paubwana (chiwalo chomakula!), Yemwe ali ndi malire mokwanira m'njira zonse ndi chakudya chamagulu, kukhutiritsa zofunika zamthupi ndikusunga kagayidwe koyenera ka pulasitiki. Chifukwa chake, zakudya za mwana yemwe ali ndi matenda ashuga sizosiyana kwenikweni ndi zakudya za mwana wathanzi wazaka zofananira ndi chidziwitso cha chitukuko cha thupi Martynova M.I., 1980 (zakudya zomwe zalimbikitsidwa kwa ana omwe ali ndi matenda ashuga ndizabwino kwambiri kuti ana onse azitha kulimbikitsidwa )

Zakudya zamasamba posamalira matenda a shuga komanso kupewa

Poyesera mu 1999, zotsatira zidapezeka zomwe zimawonetsa kuti kudya mafuta ochepa a vegan kumatha kuthandizira kuchepetsa thupi komanso kuchepetsa shuga m'magazi kuposa zakudya zamafuta ochepa. Kafukufuku wamkulu malinga ndi kuchuluka kwa omwe adatenga nawo gawo komanso kutalika kwa gulu lomweli lofufuzira kuchokera 2004-2005 adapeza kuti zakudya za vegan zomwe zimakhala ndi masamba onse komanso zochepa zamafuta zili ngati, ngati sizothandiza kwambiri kuchiza matenda ashuga, monga momwe bungwe la American Diabetes Association limafotokozera.Zakudya zamafuta ochepera pang'ono zimachepetsa mphamvu ya insulin poyerekeza ndi zakudya zomwe zimachitika nthawi zonse odwala matenda ashuga. Zapezeka kuti zakudya za vegan ndi zamasamba zimachepetsa chiwopsezo cha matenda a shuga 2 pafupifupi theka poyerekeza ndi zakudya zopanda masamba. Zakudya zamasamba zimalumikizidwa ndi chiopsezo chochepa kwambiri cha metabolic syndrome, kuphatikiza kwa zovuta zomwe zimayambitsa matenda a shuga ndi mtima.

Kuwerengera kwa Kalori Tsiku ndi Tsiku

Zomwe wodwala amafunikira tsiku ndi tsiku zama calories ndi zakudya zoyambira zimatsimikiziridwa ndi msinkhu, kuchuluka kwa chitukuko cha thupi, moyo (mulingo wakuchita zolimbitsa thupi), munthu payekha, mogwirizana ndi malamulo a kagayidwe kachakudya, njira yachipatala yamatenda, kupezeka kwa zovuta kapena matenda opatsirana. Mukamasankha zakudya zoyenera kwa mwana yemwe ali ndi matenda ashuga, zakudya zolimbitsa thupi (zokhala ndi kalori tsiku ndi tsiku, zomwe zimapangidwira zakudya zazikulu) zimatsimikiziridwa, kenako chakudya chochepa ichi chimasankhidwa payekha (mogwirizana ndi zosowa, zizolowezi ndi moyo wa mwana winawake).

Kufunika kwa zopatsa mphamvu pa 1 makilogalamu a kulemera kwa ana ndi achinyamata, kutengera zaka:

Makonda a odwala matenda ashuga: maphikidwe a tsiku lililonse, zakudya zopatsa thanzi polingalira zamafuta azakudya ndi chakudya

Zachidziwikire kuti mayi aliyense m'nyumba amadziwa bwino nthawi yomwe mumadya kapena chakudya cham'mawa mutagula china chake kuchokera ku soseji kapena ku dipatimenti yazakudya zophika m'supika. Komabe, ngati pali munthu wodwala matenda ashuga m'banj, ndiye kuti mwana wochepa kwambiri.

Chifukwa chake, amayi ambiri kunyumba amavomereza kuti njira yabwino ndikuphatikiza mndandanda wazakudya za anthu odwala matenda ashuga kwa sabata limodzi. Chifukwa chake, ndizotheka pasadakhale, mwachitsanzo, kumapeto kwa sabata kuti mugule zinthu zofunika, konzekerani zosefukira.

Lolemba

Chakudya cham'mawa. Tchizi tchizi ndi kaloti. Kaloti wowotchera owiritsa amasakanikirana ndi tchizi chamafuta ochepa (pafupifupi muyezo wa 1: 4), ufa pang'ono umawonjezeredwa, dzira limatha kutsekemera ndi aliyense wokoma. Cheesecakes zing'onozing'ono zopangika zimapangidwa kuchokera ku mtanda, ndikuzifalitsa pamapepala ophika ndikuphikidwa mu uvuni. Tumikirani ndi zonona wowawasa zonona.

Chakudya cham'mawa chachiwiri. Wiritsani beets, kudula mu cubes ndi kusakaniza ndi akanadulidwa wowawasa apulo. Saladi imatha kukonzedwa ndi mandimu.

Chakudya chamadzulo Msuzi pa msuzi wa nkhuku (kuphika tengani fillet kapena mwendo wopanda khungu). Kuchokera masamba, onjezani nandolo wobiriwira, broccoli, kolifulawa, kaloti, mizu ya udzu winawake kapena muzu wa parsley. Kuti mumve kukoma, onjezani anyezi wonse, womwe umatulutsidwa. Zovala zonona.

Pa "chachiwiri" mutha kuphika nyama yamwana wamphongo. Kuphika nyama mpaka theka kuphika, kuwaza kabichi ndi mphodza mu mkaka. Siyanitsani ng'ombe mu ulusi, kuwonjezera pa kabichi ndi mphodza, mutha kuwonjezera mafuta pang'ono azamasamba. Buckwheat phala ndi oyenera zokongoletsa.

Chakudya chamadzulo. Dzungu stewed mkaka ndi zipatso, mungathe kuwonjezera zotsekemera.

Chakudya chamadzulo Zakudya zophika ndi masamba. Nsomba zosenda zimayikidwa mu mbale yopanda moto, karoti, anyezi, amadyera ali pamwamba. Thirani madzi ndikuphika mu uvuni.

Chakudya cham'mawa. Lonse oatmeal phala, 1 yolimba yophika dzira.

Chakudya cham'mawa chachiwiri. Saladi wa kabichi chosemedwenso ndi maudzu odulidwa. Nyengo ndi mandimu.

Chakudya chamadzulo Finyani anyezi mu poto pang'ono, kenako onjezani tomato wosankhidwa. Tomato akakhala zofewa, onjezani kaloti wowotchera ndi mpunga pang'ono (ngati dokotala alola kuti chisa ichi chiziwidwa). Thirani msuzi wa nyama ndi madzi ndikuphika mpaka wachifundo. Tumikirani ndi adyo minced ndi zitsamba zosankhidwa.

Ngati maphunziro achiwiri, mutha kuyesa zukini. Kuti muchite izi, amatsuka kwathunthu, kuchotsa pakati, kudzaza ndi nyama yoyenda pang'ono ndi kaloti, kutsanulira kirimu wowawasa ndikuyika mu uvuni. Kuwaza ndi tchizi yokazinga mphindi zochepa musanaphike.

Chakudya chamadzulo. Yogurt yamafuta ochepa kapena yogati, mutha kuwonjezera zipatso.

Chakudya chamadzulo Wokulika kaloti belu tsabola wokongoletsedwa mu phwetekere.

Chakudya cham'mawa. Mapuloteni omelette ophika wopanda mafuta mu boiler owonjezera. Mutha kuwonjezera masamba a sipinachi kapena kuwaza ndi tchizi.

Chakudya cham'mawa chachiwiri. Ma cookies a oatmeal omwe amadzipangira okha. Kuti muchite izi, ma hercules othiriridwa mu chopukusira cha khofi, pogaya ndi batala wofewa, kirimu wowawasa ndi yolk. Kuphika pa pepala kuphika uvuni.

Chakudya chamadzulo Msuzi wa bowa, womwe umakonzedwa pamadzi, bowa wothira ndi madzi otentha musanawonjezere ku poto ndikucheka magawo. Mbatata imodzi imaloledwa, chifukwa cha kuwonjezera mafuta, anyezi osankhidwa ndi kaloti omwe amatsitsidwa mumafuta a masamba amagwiritsidwa ntchito. Chovala ndi wowawasa kirimu ndi zitsamba. Lachiwiri - phala yokhala ndi masamba omwe amaphatikiza ndi nyengo (biringanya, phwetekere, zukini, tsabola wa belu, anyezi, ndi zina).

Chakudya chamadzulo. Tchizi chamafuta pang'ono ndi zipatso.

Chakudya chamadzulo Zakudya zamtundu uliwonse zovomerezeka ndi chiwindi. Kuti muchite izi, nyalugayo imaphikidwa mu mafuta (mpaka kutumphuka pang'ono golide), kumayikiridwa kumapeto. Ikani maapulo, chiwindi, chosemedwa pamitundu yophika, ndi anyezi mopepuka mu batala pamwamba. Mphodza mu uvuni

Chakudya cham'mawa. Oat kapena tirigu dzungu dzungu.

Chakudya cham'mawa chachiwiri. Kudula, kuphika kudzera mu chopukusira nyama kudutsa beets, maapulo, tchizi. Onjezani dzira, supuni ya semolina, wokoma pang'ono. Wophika mumaumba a silicone mu uvuni.

Chakudya chamadzulo Msuzi wophika wophika pa msuzi kuchokera ku nsomba zamafuta ochepa (makamaka zam'madzi), ngati nkotheka, onjezerani barele wokhazikika m'madzi. Chachiwiri, mutha kupereka nyama yophika komanso yosemedwa ya ng'ombe ndi mbale iliyonse yam'mbali.

Chakudya chamadzulo. Saladi yazipatso za apulosi, lalanje kapena mphesa zokometsera ndi yogurt yamafuta ochepa komanso yopanda mafuta.

Chakudya chamadzulo Mikanda yofinya ya nkhuku (mutha kuwonjezera tchizi m'malo mwa mkate), saladi wamasamba wopangidwa ndi kabichi wabuluu kapena yoyera kabichi ndi nkhaka ndi phwetekere.

Chakudya cham'mawa. Tchizi chamafuta ochepera mafuta okhala ndi apulo wosenda, peyala kapena zipatso.

Chakudya cham'mawa chachiwiri. Saladi yokhala ndi zitsamba zambiri komanso nsomba zam'madzi, zokometsera ndi mafuta a azitona ndi mandimu.

Chakudya chamadzulo Msuzi wa Buckwheat pa msuzi wa ng'ombe, kuwonjezera pa mbewu monga chimanga, onjezani anyezi, kaloti, osankhidwa mumtundu waung'ono wa mizu. Zovala zonona. Lachiwiri ndi nyama yophika yophika yabwino yokhala ndi masamba (zukini, kaloti, anyezi, tsabola wa belu, tomato).

Chakudya chamadzulo. Yogurt yamafuta ochepa, mutha - ndi zipatso.

Chakudya chamadzulo Nsomba zothina (udzu wa carp, carp, pike, pelengas) ndi mandimu, mbale yakumbuyo ya njere.

Chakudya cham'mawa. Tchizi chamafuta ochepa ndi maapulo amadutsa kudzera mu chopukusira nyama. Onjezani dzira, sweetener, ufa wina. Cheesecakes amapangidwa ndikuphika mu uvuni.

Chakudya cham'mawa chachiwiri. Zipatso zilizonse zololedwa, makamaka zipatso za zipatso.

Chakudya chamadzulo Cold kabichi msuzi (wangwiro chilimwe kapena kumapeto kwa masika). Kuti muchite izi, dulani sorelo, sipinachi, mazira, anyezi wobiriwira. Nyengo ndi madzi ndi kirimu wowawasa. Onjezani mchere, citric acid. Pa "chachiwiri" - kabichi akhazikitsidwa ndi msuzi wa phwetekere. Mutha kuphika popanda mpunga.

Chakudya chamadzulo. Watsopano masamba saladi wokometsedwa ndi mafuta ophatikizika, zitsamba, ndi mandimu kuti mulawe.

Chakudya chamadzulo Wophika wophika ndi zojambulazo, phala lophwaphika la buckwheat.

Lamlungu

Chakudya cham'mawa. Oatmeal ndi kaloti. Oats zolimba amaziphika mpaka theka ataphika, kaloti ndi grated ndi sweetener amawonjezeredwa.

Chakudya cham'mawa chachiwiri. Maapulo ophika odzazidwa tchizi. Pakatikati pamachotsedwa zipatsozo, ndimadzaza tchizi tchizi chosakanizidwa ndi sweetener, ndikuwuphika mu uvuni.

Chakudya chamadzulo Konzani msuzi wopanda mbatata. Lachiwiri, bere la nkhuku limaphikidwa mu uvuni, pa mbali yotsekera - njere zilizonse zololedwa.

Chakudya chamadzulo. Yogati yamafuta ochepa kapena mkaka wowotchera wowotcha ungasinthidwe ndi saladi wa zipatso.

Chakudya chamadzulo Zakudya za masamba ndi nyama. Pophika, ndibwino kuti muthe veal, biringanya, squash kapena zukini, tomato ndi masamba ena wamba.

Menyu ndi maphikidwe omwe akuwonetsedwa ali pafupifupi. Mbale zonse zimatha kusinthidwa malinga ndi nyengo, mwachitsanzo, saladi yoyera kabichi ikhoza kusinthidwa ndi sauerkraut (yokhala ndi zonunkhira zochepa). Kuchuluka kwa zakudya zomwe zimadyedwa kuyenera kusinthidwa malinga ndi kulemera kwa thupi. Ngati onenepa kwambiri, muyenera kutsatira zakudya zamafuta ochepa komanso zochepa.

Monga zakumwa, ma compotes ochokera ku zipatso zouma, mitundu yosiyanasiyana ya zipatso ndi zipatso zamasamba, zobiriwira, zakuda, tiyi wazitsamba ndizoyenera. M'mawa mutha kudzichitira nokha kapu ya khofi. Zokongoletsa nthawi zina zimasinthidwa ndi supu wa tirigu wa durum, ndipo mkate wa chinangwa umaphikidwa ndi sopo.

Chakudyachi chimatha kubwezeretsa shuga m'magawo oyamba a matenda ashuga, ndizofunikira kwambiri pamtundu wamtundu wa matenda omwe umachitika nthawi ya pakati ndikuwopseza ndi zovuta zazikulu kwa mayi ndi mwana.

Popeza kuti odwala amadwala matenda a shuga onenepa kwambiri, ndikofunikira kuwunika bwino. Osati gawo lochepetsetsa pochepetsa ndi kusunga thupi pazabwino zoyenera ndi kuchuluka kwa mafuta muzakudya. Pafupifupi, mulingo woyenera kwambiri amawerengedwa ndi formula: kutalika masentimita - 100 = kuchuluka kwa makilogalamu. Ngati wodwalayo ali wabwinobwino, kudya kwamafuta tsiku ndi tsiku. Chifukwa chake, pokonza zakudya, mutha kugwiritsa ntchito magome ophika omwe akuwonetsa zonenepa mu 1 g ya zomalizidwa.

Zakudya zopatsa mphamvu zamafuta ambiri zimayenera kukhala gawo lofunikira pakudya kwa odwala matenda ashuga. Komabe, "phindu" tsiku ndi tsiku liyenera kukhala chifukwa cha zinthu zofunikira "kugaya" pang'onopang'ono. Chifukwa chake, ndibwino kusungira tebulo ili pafupi:

Tiyenera kukumbukira kuti mndandanda woyenera wa anthu odwala matenda ashuga ndi njira yofunika kwambiri yochiritsira komanso chiopsezo chochepa cha zovuta zingapo. Kupatula ndizovomerezeka patebulo lokondweretsa, kenako, pamalire oyenera. Mwachitsanzo, mutha kumwa kapu ya vinyo wouma, koma kukana keke ndi mayonesi amtengo wapatali wa kalori wokhala ndi Olivier kapena sangweji.

Zakudya za anthu odwala matenda ashuga: mfundo zophikira, zakudya, kutengera mtundu wa matenda

Ambiri mwa odwala matenda a shuga amakonda kumwa mankhwala ochepetsa shuga kapena amakakamizidwa kubaya insulin.

Mfundo zoyeserera za mankhwalawa ndizosiyana, koma njira yothandizira achire ndi chimodzimodzi - kutsitsa kuchuluka kwa shuga m'magazi. Kuphatikiza apo, nthawi zambiri momwe amagwiritsirira ntchito amagwirizana kwambiri ndi nthawi yakudya. Chifukwa chake, chikhalidwe chachikulu cha zakudya zoyenera kuphatikiza ndi mankhwala osokoneza bongo ndikutsatira kwambiri zakudya. Kupanda kutero, pali kuthekera kwakukulu kokhala ndi vuto lowopsa la hypoglycemic.

Pakadali pano, zida zambiri zapakhomo zilipo pokonzekera chakudya chathanzi komanso chokoma. Ngati ndi kotheka, muyenera kupeza chowiritsa chowirikiza ndi kuphika pang'onopang'ono (panjira, poto yodabwitsayi ili ndi ntchito yankhonya, ndipo mwa zina - kupanga yogati).

Zakudya za odwala matenda ashuga ayenera kukhala okonzekera:

kuzimitsa ndi kuwonjezera pang'ono batala kapena mafuta a masamba, mwachitsanzo, pophika pang'onopang'ono mutha kuchita popanda iwo,
kuphika mu uvuni, njirayi ndioyenera nyama, nkhuku, nsomba, koma choyamba amalimbikitsidwa kuti azikulungika zolimba mu zojambulazo kapena malaya apadera,
otentha, kotero, mu owiritsa owiritsa awiri mutha kuphika nyama, mbale zam'madzi, ma omelet, ma puddings, casseroles, kuphika mbewu zilizonse,
kuphika m'madzi opanda kanthu, nyama kapena msuzi wa nsomba.

Kuphika poto mumaloledwa kokha kukonzekera zovala za anyezi ndi masamba a borsch, sopo, supu ya kabichi. Njirayi imapewedwa kwambiri mukaphika nyama, nsomba kapena nkhuku.

Mfundo za momwe mungadyere ndi shuga zimasiyana pang'ono kutengera mtundu wa matenda. Pankhani ya matenda a mawonekedwe oyamba, pamene kupanga insulini kumachepetsedwa kwambiri m'thupi ndipo wodwalayo akupitiliza kuperekera insulin, kutsatira zakudya ndizofunikira kwambiri. Ndi matenda a shuga a mtundu wachiwiri, omwe nthawi zambiri amapezeka pakati pa anthu opuma pantchito komanso anthu omwe ali pachiwopsezo cha kunenepa kwambiri. Pankhaniyi, chakudyacho chiyenera kukhala chokwanira ndikuwongolera thupi moyenerera.

Zakudya zama carb zochepa zomwe zimayambitsa odwala matenda ashuga

Kuti achepetse kunenepa, anthu ambiri amadzibwezeretsa okha pachakudya. Ngakhale madokotala sawalimbikitsa kwambiri njirayi, imatha kupereka kanthawi kochepa ndipo sizivulaza munthu wathanzi. Kwa odwala matenda ashuga, pali malamulo ambiri ofunika m'zakudya, zina zomwe zimakhudza kuchuluka kwa momwe angakhalire ndi chakudya. Ngati muli ndi matenda ashuga, muyenera kusungitsa shuga m'magazi anu ndipo njala ndi yotsutsana. Kwa odwala matenda ashuga omwe akufuna kuchepetsa thupi, pali zakudya zapadera.

Zakudya Zachipatala cha Mayo

Chinthu chachikulu m'zakudya izi: zakudya zopatsa thanzi komanso mafuta ochepa a glycemic. Kutsatira zakudyazi, muyenera kuwunika kukula kwa magawo, kukhala ndi chakudya pang'ono nthawi zambiri masana, komanso, kuchita masewera olimbitsa thupi. Ndikofunika kupewa kusinthasintha kwa shuga m'magazi. Zakudya izi zimaphatikizapo zipatso ndi ndiwo zamasamba zatsopano, nyama zopanda mphamvu, komanso zakudya zina zomwe zimakhala ndi shuga woyengetsa komanso zakudya zosavuta zamafuta, monga pasitala. Zotsirizirazi, zachidziwikire, zimayenera kudya pang'ono.

Cardiologist adayambitsa kudya kwa gombe lakumwera, cholinga chake chachikulu ndikuwongolera kuchuluka kwa shuga m'magazi ndipo, limodzi nawo, kumverera kwa njala. Chakudyacho chimakhala ndi magawo atatu, ntchito ya awiri oyambayo ndikuchepetsa thupi. Gawo lachitatu limaphatikizapo kusunga zotsatira zomwe zimapezeka pamoyo wonse. Pa gawo loyamba - ziletso zovuta. Mutha kudya mapuloteni osakhazikika komanso masamba. Mabuku ndi maupangiri zakudya zakumwera kwa gombe zokhala ndi maphikidwe a magawo onse, kuphatikizapo oyamba. Pa gawo lachiwiri, zakudya zopatsa mphamvu, zipatso, mkaka ndi nyama yopanda mphamvu zimayambitsidwa muzakudya. Zina mwa zakudya zophatikizidwa ndi izi: mbatata (mbatata zotsekemera) ndi mpunga wa bulauni m'malo mwa mbatata zosavuta ndi mpunga woyera. Pa gawo lachitatu, mukuphatikiza zotsatira zomwe mudapeza ndizakudya zabwino, moyenerera, ziyenera kukhala gawo lanu la moyo wanu. Chinthu chachikulu apa: pewani zakudya zosavuta zamafuta ndi mafuta. Ndikulimbikitsidwa kuti odwala matenda ashuga nawonso amatsatira malamulowa, chifukwa chake zakudya zakumwera zimakonda kwambiri pakati pawo.

Zakudya izi ndizoyenera makamaka kwa odwala matenda ashuga, chifukwa phindu lake lalikulu ndikuti zakudya zomwe zimalimbikitsidwa zimathandizira kupewa kusintha kwadzidzidzi m'magazi a shuga. Chakudyacho chimakhazikitsidwa ndi lamulo losavuta: 40% yazakudya zonse zopatsa mphamvu ziyenera kupezeka kuchokera ku zakudya zopanda mafuta zomwe zimakhala ndi zovuta zamafuta. Chifukwa chake, kutsatira zakudya zotere, muyenera kusintha timadziti ndi zipatso, mikate yoyera - tirigu wonse, ndi zina zotero. Zina za 30% zama calories zomwe mumapeza kuchokera ku mafuta athanzi. Tsiku lililonse muyenera kukhala ndi nsomba, nkhuku, nkhumba yotsamira, ng'ombe ndi mapeyala pagome lanu. Ndipo zina 30% zama calories zili mumkaka - tikulimbikitsidwa kugwiritsa ntchito mafuta ochepa.