Type 2 matenda onenepa kwambiri

Kunenepa kwambiri ndi matenda a shuga amalingaliridwa kuti ndi ogwirizana. Matenda amodzi amatsata enanso, ndipo maziko ake amathandizira ndikudya kwa carb ochepa komanso kuchita masewera olimbitsa thupi. Ngati kuchepa kwa thupi kumalephereka chifukwa cha kusintha kwa endocrine, dokotala amakupatsirani mankhwala, komanso ngati ali ndi opaleshoni yayikulu, opareshoni.

ZOFUNIKA KUDZIWA! Ngakhale odwala matenda ashuga kwambiri amatha kuchiritsidwa kunyumba, popanda opaleshoni kapena zipatala. Ingowerenga zomwe Marina Vladimirovna akunena. werengani zonena zake.

Kunenepa kwambiri chifukwa cha matenda ashuga

Shuga mellitus - matenda a m'zaka za zana la 21, poganizira phindu la moyo wokhala ndi thanzi komanso thanzi, kudya mwachangu ndi ntchito yokhala pansi. Palibe ana kapena akulu omwe ali otetezeka ku matenda amtunduwu. Zinthu zotsatirazi zimadzetsa matendawa:

Shuga amachepetsedwa nthawi yomweyo! Matenda a shuga m'kupita kwa nthawi angayambitse matenda ambiri, monga mavuto amawonedwe, khungu ndi tsitsi, zilonda zam'mimba, zilonda zam'mimba komanso matenda otupa! Anthu amaphunzitsa zinzake zowawa kuti azisintha shuga. werengani.

• kutengera kwamtundu
• kunenepa kwambiri komanso kunenepa kwambiri,
• matenda opatsirana ndi ma virus ndi matenda osachiritsika,
• zopsinjika pafupipafupi
• ukalamba.

Amayi pokhapokha ngati akudwala matenda amtundu woyamba, mwayi wokhala ndi vuto la mwana ndi pafupifupi 4%, abambo - 9%, makolo onse - mpaka 70%. Mtundu wachiwiri wa matendawa umabadwa kawirikawiri: 80% - kwa kholo limodzi, 100% - ngati onse awiri akudwala.

Kodi matenda ashuga amawoneka bwanji onenepa?

Kuchepetsa thupi kwambiri ndi chizindikiro cha matenda a shuga 1. Ndi matenda a shuga a mtundu 2, njira za endocrine ndi metabolic zimasokonezeka, zomwe zimapangitsa kulemera kwamunthu. Mafotokozedwe otsatirawa pankhani iyi:

• Kupsinjika ndi kulanda kwa nkhawa ndi chakudya. Pakudya kwambiri, mafuta ochulukirapo amadziunjikira, thupi limasiya kuyankha kwa insulin. M'maselo, njira zoyenera zimasokonezeka ndipo matenda amitundu iwiri amakula.
• Mafuta owonjezera mahomoni. Amapangidwa ndi maselo amafuta ndipo amakana mayendedwe a insulin. Izi zachitika pakupanga zaka zambiri kuchokera ku chisinthiko kuti zisungidwe zosungira mphamvu. Mu gawo la moyo wamunthu wamakono kumabweretsa kukula kwakanenepa kwambiri ndipo kumapangitsa kuchepetsa kunenepa kwamtundu 2 shuga.

Zowopsa ndi ziti?

Kunenepa kwambiri ndi matenda osokoneza bongo omwe amapezeka m'mimba ndizovuta kudziwa momwe matendawo amakhudzira:

• kupuma movutikira kumapita, wodwalayo akusowa oxygen,
• Kuchepetsa kwa kuchepa kwa mtima ndi matenda amkati kumawonjezera,
• amakhala ndi nkhawa kwambiri,
• Matendawa amatenga - matenda am'mitsempha yamafupa ndi mawondo.
• Njira yakulera imasokonekera: mitundu ya osabereka, kusabala imayamba.

Momwe mungasinthire insulin?

Kudya zakudya zamafuta ochepa nthawi zonse kumathandizira kupanga insulin popanda kugwiritsa ntchito mankhwala. Chakudyacho chimakonza njira yogawa mafuta, kuthandizira kuchepetsa thupi komanso kwanthawi yayitali, pomwe sikuvutika ndi njala yosalekeza. Pali lingaliro kuti chidzalo ndi zotsatira za kufooka. Komabe, sizikhala choncho nthawi zonse:

• Matenda onsewa ndi matenda obadwa nawo.
• Kukwera kwambiri kwa thupi, kumachepa kwambiri kwa kagayidwe kazachilengedwe, kamene kamayambitsa vuto la insulin. Zotsatira zake, mafuta ochulukirapo amadziunjikira pamimba.
• Njirayi imakhala yoyambira, ndipo kukula kwa matenda ashuga amtundu wa 2 onenepa kwambiri kumakhala kosatheka.

Mankhwala amathandizidwa kuti awonjezere insulin sensitivity. Izi zimachepetsa kukhazikika kwake m'magazi, zimabweretsa kuchuluka kofunikira pakuchita bwino. Siofor ndi mankhwala otchuka kwambiri ochizira kunenepa. Amagwira kunenepa kwambiri mwa ana opitilira zaka 10. Chofunikira chachikulu ndi metformin. Mapiritsi satenga m'malo mwa zakudya ndi zolimbitsa thupi, komabe, kuphatikiza kwa njira izi kumapereka zotsatira zowoneka. Mapiritsi a Analog - Glucofac. Mankhwalawa ndiokwera mtengo kwambiri, koma magwiridwe ake ntchito amakhala apamwamba.

Mankhwala olimbana ndi kunenepa kwambiri amathandiza kuti muchepetse kunenepa, zomwe zimathandizira kuti njira zotsirizira kwa kuchuluka.

Zakudya ndi shuga

Chomwe chimapangitsa kuti shuga azikhala ndi shuga ndikutsatira malangizo a dokotala komanso kupatula zakudya zina. Simuyenera kuchita kuthana ndi chakudya chamafuta, koma muyenera kudziletsa. Tsatirani malamulowa:

• Idyani m'magawo ochepa 5-6 patsiku,
• osadumpha chakudya
• osamakola chakudya kwambiri - amachedwetsa chimbudzi,
• musatenge mkate kuchokera muzakudya, koma samakonda mkate wopanda chotupitsa,
• kuchepetsa kuchuluka kwa zokometsera ndi mafuta,
• Chotsani mafuta owonjezera ndi khungu ku zopangidwa ndi nyama,
• lekani zinthu zamasamba a nyama: soseji, nyama zosuta, zakudya,
• mumakonda zakudya zamafuta ochepa
• kutumiza kumayenera kumwera mu kapu yokhazikika,
• sinthani maswiti ndi zipatso zovomerezeka,
• kuphika chakudya, kuphika, kuphika muma boiler awiri,
• saladi ndi ma coarse fiber ndiye maziko azakudya.

Kunenepa kwambiri mu mtundu 2 wa shuga: zakudya, zakudya, zithunzi

Kunenepa kwambiri ndi matenda ashuga ambiri nthawi zambiri zimakhala zofanana. Chifukwa cha insulini, mafuta ochulukirapo amadziunjikira m'thupi la munthu, ndipo nthawi yomweyo, timadzi tambiri timaloledwa.

Minofu yambiri ya adipose m'thupi la wodwalayo, kukhathamira kwa insulin, komanso mahomoni ambiri m'magazi, kunenepa kwambiri kumawonekera. Ndiye kuti, bwalo loipa limapezeka, lomwe limatsogolera ku matenda monga matenda a shuga mellitus (mtundu wachiwiri).

Kuti mubweretse kuchuluka kwa glucose pamlingo wofunikira, muyenera kutsatira zakudya zamafuta ochepa, zolimbitsa thupi zolimbitsa thupi, komanso mankhwala (otchulidwa ndi dokotala) ndizosafunikira kwenikweni.

Muyenera kuganizira momwe mungachiritsire kunenepa kwambiri komanso matenda ashuga, komanso mapiritsi omwe anthu onenepa amathandizira kuchepetsa thupi. Kodi ndi mankhwala ati omwe dokotala angakupatseni, ndipo ndi chiyani chomwe chingathandize kuthana ndi matendawa?

Kunenepa kwambiri monga chiopsezo cha matenda ashuga

Kafukufuku wambiri akuwonetsa kuti kukana insulini komanso kunenepa kwambiri ndizomwe zimayambitsa chibadwa. Izi zimakhazikitsidwa ndi majini omwe amafa ndi ana kuchokera kwa makolo awo. Asayansi ena amawatcha kuti majini, "zimapangitsa kuti mafuta akhale ochuluka."

Thupi la munthu, lomwe limakonda kukhala wonenepa kwambiri, limakhala ndi mafuta ochulukirapo panthawiyo pamene ali ochulukirapo. Nthawi yomweyo, kuchuluka kwa shuga m'magazi kumatuluka. Ichi ndichifukwa chake matenda ashuga ndi kunenepa kwambiri zimalumikizana.

Kuphatikiza apo, kukulira kwa kunenepa kwambiri, ma cell omwe amalimbana kwambiri ndi ma cell amakhala ndi insulin. Zotsatira zake, kapamba amayamba kuzipanga mokulira, ndipo kuchuluka kwa timadzi timeneti kumapangitsa kuti mafuta azikundana kwambiri.

Ndizofunikira kudziwa kuti majini omwe amathandizira kuti mafuta azikula mthupi amapangitsa kuti pakhale kusowa kwa mahomoni ngati serotonin. Kuperewera kwake kumabweretsa malingaliro osatha a kukhumudwa, kusowa chidwi ndi njala yokhazikika.

Makamaka kugwiritsa ntchito mankhwala ochulukitsa kumakuthandizani kuti muzitha kuzindikira kwakanthawi, motero, kuchuluka kwawo kumapangitsa kutsika kwa insulin, komwe kumayambitsa matenda a shuga.

Zinthu zotsatirazi zingayambitse kunenepa kwambiri komanso matenda ashuga:

• Khalidwe labwino.
• Zakudya zoyipa.
• Kugwiritsa ntchito molakwika zakudya za shuga ndi shuga.
• Mavuto a Endocrine
• Zakudya zoperewera, kutopa kwambiri.
• Mankhwala ena a psychotropic amatha kubweretsa kulemera.

Ndikufuna asayansi apeze njira yochizira matenda ashuga komanso kunenepa kwambiri, koma mpaka pano izi sizinachitike. Komabe, pali mankhwala ena omwe amathandizira kuchepetsa wodwala, ndipo samamuletsa.

Odwala ambiri ali ndi chidwi chofuna kuthana ndi kunenepa kwambiri ndi matenda ashuga, ndipo ndi mankhwala ati omwe angathandize polimbana ndi kunenepa kwambiri?

Chithandizo cha antidepressant cha matenda a shuga chimathandiza kuchepetsa kuchepa kwa chilengedwe cha serotonin, chifukwa chomwe zomwe zimakhala mthupi zimachulukana. Komabe, njirayi ili ndi zovuta zake zingapo. Chifukwa chake, pazochitika zambiri, pamakhala mankhwala omwe amalimbikitsa kwambiri kupanga serotonin.

5-hydroxytryptophan ndi tryptophan zimathandizira kupangira serotonin. Mankhwala a 5-hydroxytryptophan amalimbikitsa kupanga "hormone yoletsa", yomwe imakhudzanso zakukhosi.

Choyamba, mankhwalawa amakhala ndi vuto, ndipo ndi zovomerezeka kumwa mankhwalawa pakukhumudwa, ndikuwopsezedwa ndi neurosis komanso mantha.

Zomwe mungagwiritse ntchito 5-hydroxytryptophan:

1. Mu matenda a shuga, mlingo umasiyana kuchokera pa 100 mpaka 300 mg. Yambani ndi kuchuluka kochepa, ndipo ndikusowa kwa chithandizo chamankhwala, mlingo umakulirakulira.
2. Mlingo wa tsiku ndi tsiku wa mankhwalawa amagawika pawiri, mwachitsanzo, amatengedwa m'mawa ndi madzulo.
3. Tenga chakudya chopanda kanthu m'mimba tisanadye.

Kuyankha bwino pazakudya zowonjezera, komabe, sikukukhudzani kukula kwa zoyipa zomwe zimagwiritsidwa ntchito: kuwonjezeka kwa kupanga kwa gesi, kusokoneza kwam'mimba ndi m'mimba thirakiti, kupweteka pamimba.

Tryptophan ndi mankhwala omwe amalimbikitsa kupanga kwa mahomoni serotonin, melatonin, ndi kinurinine. Kuti mukhale ndi kagayidwe kabwinoko, ndikofunikira kudya musanadye, mutha kumwa ndi madzi (osati zakumwa zamkaka).

Ngati tiyerekeza mankhwalawa omwe amafulumizitsa njira ya synthesis ya mahomoni, ndiye kuti 5-hydroxytryptophan imakhudzanso, ndipo imalekeredwa bwino ndi odwala.

Siofor (chinthu chachikulu yogwira ntchito metformin) ndi glucofage ndi mankhwala othandizira odwala matenda amtundu wa 2.

Mankhwalawa awiriwa amapereka kukhudzika kwa chidwi cha maselo kuti apange insulin, chifukwa chake zomwe zili mthupi zimachepa, zomwe zimapangitsa kuti magazi asinthe.

Mosakayikira, mankhwala okha sangathe kuthana ndi matenda monga matenda a shuga, kunenepa kwambiri (chithunzi). Dokotala aliyense wotsogola padziko lapansi anganene kuti chithandizo cha matenda a shuga sichingokhala mankhwala okhometsedwa, komanso masewera olimbitsa thupi, kutsatira zakudya zamagulu ochepa.

Mukunenepa kwambiri, zolimbitsa thupi ndi gawo lofunikira, ndipo zimathandizira chithandizo cha matenda oyambira. Kuchulukanso kwa matenda ashuga kumakhalanso kofunikira.

Chifukwa chakuti pophunzitsa ntchito minofu ikuchulukirachulukira, chiwopsezo cha maselo kupita ku insulin chimakulanso, kayendedwe ka shuga kupita ku maselo kumathandizidwa, kufunikira kwakukulu kwa timadzi timene kumachepa. Zonsezi pamodzi zimabweretsa kuti glucose imasinthidwa, thanzi limayenda bwino.

Chachikulu ndikupeza masewera omwe amathandizira kuti muchepetse kunenepa, koma samatsogolera kutopa ndi kupsinjika kwakanthawi. Zomwe zimapangitsa kuchepetsa shuga:

• Kuchepetsa thupi kuyenera kukhala kosalala, osapitilira ma kilogalamu 5 pamwezi.
• Kuwonongeka mwadzidzidzi kilogalamu imodzi ndi njira yowopsa yomwe ingayambitse zovuta zazikulu.
• Masewera abwino kwambiri akuthamanga, akusambira. Samathandizira kukula kwa minofu, pomwe nthawi yomweyo zimakhudza magwiridwe antchito amtima.

Kwa wodwala yemwe sanakhalepo nawo pamasewera, ndikulimbikitsidwa kuti nthawi zambiri amayesa thanzi lawo ndikukambirana ndi dokotala za mtundu wa katundu wawo. Ndi kunenepa kwambiri kwa digiri 2, pamakhala katundu wolemera pamtima, kotero mutha kuyamba kuchita masewera olimbitsa thupi poyenda mwachidule kwa mphindi 10 patsiku.

Popita nthawi, nthawi ikukwera mpaka theka la ola, kuthamanga kwa maphunziro kumathandizira, ndiye kuti, wodwalayo amapita patsogolo mwachangu. Chifukwa chake muyenera kuchita katatu kapena katatu pa sabata.

Ngati zolimbitsa thupi, zakudya ndi mankhwala sizithandiza kuonda, ndiye njira yokhayo ingathandize - opaleshoni. Ndi opareshoni yomwe imathandizira odwala matenda ashuga kuthana ndi vuto la kudya kwambiri.

Ndizofunikira kudziwa kuti pali maopaleshoni osiyanasiyana, ndipo ndi dokotala yekha yemwe angasankhe njira yodalirika yothandizira.

Odwala ambiri anayesa mobwerezabwereza kuti athetse mapaundi owonjezera, amangodya zakudya zochepa zama calorie. Komabe, machitidwe akuwonetsa kuti sizotheka kuchita izi nthawi zonse, ndipo mapaundi owonjezera amatha kuimirira kapena kubwerera posachedwa.

Zakudya ndizoletsa zina muzakudya, ndipo wodwalayo sangathe kutsatira zonse zomwe amafuna ndikuwongolera, zomwe zimayambitsa kusokonekera, kudya kwambiri, vutolo limakulitsidwa, vutoli silithetsa.

Monga lamulo, kuchuluka kwakukulu kwa mafuta ndi thupi ndi mtundu wa 2 matenda a shuga kumachitika chifukwa chodalira chakudya, chifukwa chomwe munthu watenga chakudya chambiri kwa nthawi yayitali.

M'malo mwake, ili ndi vuto lalikulu, titha kuyerekezera ndi kusuta, munthu akamachita zonse zotheka kusiya ndudu. Koma kulephera kocheperako, ndipo chilichonse chimabwerera lalikulu.

Kuti muthane ndi vuto losokoneza bongo, kuphatikiza koyenera kumakhala kudya, kumwa mankhwala apadera omwe amachepetsa chilakolako chanu chofuna kukhala ndi moyo wokwanira. Malamulo oyambira azakudya zama carb ochepa:

1. Idyani zakudya zazing'ono.
2. Osamapuma nthawi yayitali pakati pa chakudya.
3. Thungani chakudya bwino.
4. Nthawi zonse muziwongolera shuga mukatha kudya (izi zingakuthandizeni chida chapadera choyeza shuga, chotchedwa glucometer).

Kuti muthane ndi kudalira kwa chakudya chamafuta, mufunika mphamvu zambiri. Ndipo wodwalayo ayenera kumvetsetsa kuti ngati simutsatira malamulo onse a zakudya, osayang'anira shuga, sangathenso, ndipo posachedwa zovuta zingapo zimathandizira chithunzi chachipatala.

Chikhumbo chonyentchera cha kudya zakudya zamafuta sikuti ndikungolakalaka chabe, ndimatenda omwe amafunikira chisamaliro chapadera, ndipo mkhalidwe wamunthu wotere sungathe kunyalanyazidwa. Ziwerengero zikuwonetsa kuti anthu ochulukirapo amafa chifukwa chamadya kwambiri komanso kunenepa kwambiri chaka chilichonse.

Kunenepa kwambiri komanso matenda ashuga nthawi zonse kumafuna njira imodzi komanso yolumikizirana. Ndipo kuphatikiza kokha kwa mankhwala, kudya mosamalitsa komanso kuchita masewera olimbitsa thupi ndi komwe kungakonze zinthu. Mu kanema mu nkhaniyi, Elena Malysheva awunikanso zakudya zamagulu ashuga.

Kunenepa kwambiri mu mtundu 2 wa shuga: zomwe zili zoopsa komanso momwe mungachepetsere thupi

Kuchepetsa thupi ndi chimodzi mwazinthu zoyambirira zomwe wodwala amalandila atazindikira mtundu wachiwiri wa matenda ashuga. Kunenepa kwambiri ndi matenda ashuga ndi mbali ziwiri za mkhalidwe womwewo wa pathological. Zadziwika kuti mayiko omwe ali ndi moyo wabwino, kuchuluka kwa anthu onse odwala matenda ashuga kukuwonjezereka. Lipoti laposachedwa la WHO pankhaniyi linati: "Ndi zomwe zachitika, anthu osauka amadwala."

M'mayiko otukuka, kuchuluka kwa anthu odwala matenda ashuga, m'malo mwake, kukugwa. Izi ndichifukwa cha mafashoni owonda thupi, masewera, chakudya chachilengedwe. Sikovuta kumanganso moyo wanu, poyamba muyenera kumenya nkhondo ndi thupi lanu, kuyesera kuti muchoke pagulu loyipa. Kuyesayesa kumeneku kudzalipidwa mokulira: kulemera kwabwinobwino kumachitika, chiwopsezo cha matenda a shuga chimachepetsedwa kwambiri, ndipo matendawa alipo mosavuta, m'njira zina kulipira matenda ashuga a 2 kumatheka pokhapokha ngati akusintha kadyedwe komanso maphunziro akuthupi.

Mafuta amapezeka m'thupi la wina aliyense, ngakhale munthu wonenepa kwambiri.Adipose minofu, yomwe ili pansi pa khungu, imathandizira kuyang'anira kutentha kwa thupi, imagwira ntchito yoteteza makina. Mafuta ndizosungirako thupi lathu, ndikusowa kwa chakudya, chifukwa cha iwo timapeza mphamvu yamoyo. Mafuta ndi gawo lofunikira la endocrine, estrogen ndi leptin amapangidwa mmenemo.

Pakachitidwe wamba ka ntchito izi, ndikokwanira kuti mafuta amatha mpaka 20% ya kulemera kwa amuna mwa amuna ndi mpaka 25% mwa akazi. Chilichonse pamwambapa ndi chowonjezera chomwe chimasokoneza thanzi lathu.

Momwe mungadziwire ngati pali mafuta ochulukirapo m'thupi? Mutha kuyezetsa kuchipatala kapena olimbitsa thupi. Njira ina yosavuta ndiyo kuwerengera mndandanda wamndandanda wazinthu. Zotsatira zake zimawonetsera zenizeni anthu onse, kupatula othamanga omwe amaphunzitsa mwachangu.

Kuti mupeze BMI, muyenera kugawa kulemera kwanu motalika. Mwachitsanzo, kutalika kwa 1.6 m ndi kulemera kwa makilogalamu 63, BMI = 63 / 1.6 x 1.6 = 24,6.

Mankhwala a Adipose mwa abambo athanzi amagawidwa chimodzimodzi; mwa akazi, madambidwe amapezeka pachifuwa, m'chiuno ndi matako. Mukunenepa kwambiri, malo osungira nthawi zambiri amakhala m'mimba, momwe amadziwika kuti mafuta a visceral. Imasuntha mosavuta ma asidi m'magazi ndipo imakhala yotsika kwambiri ku insulini, motero mtundu wa kunenepa kwambiri umawonedwa ngati wowopsa kwambiri.

Zakudya zopatsa thanzi kwambiri ndizomwe zimayambitsa kunenepa kwambiri, kukana insulini, komanso matenda a shuga mellitus.

Zomwe zimachitika mthupi ndi chakudya chochuluka:

1. Ma calories onse omwe sanawonongeke pa moyo amasungidwa m'mafuta.
2. Ndi kuchuluka kwa minyewa ya adipose, zomwe zili za lipids m'magazi zimachulukitsa, zomwe zikutanthauza chiopsezo cha matenda a mtima. Kuti mupewe izi, insulini imayamba kupangidwira mu kuchuluka kowonjezera mthupi, imodzi mwazomwe zimagwira ndikuletsa mafuta.
3. Zakudya zamafuta ochulukirapo zimayambitsa shuga wamagazi ambiri. Imafunika kuchotsedwa m'magazi munthawi yochepa, ndipo kupanga insulin mothandizika kumathandizanso pamenepa. Omwe amagwiritsa ntchito shuga ndi minofu. Ndi moyo wokhala mokhazikika, kufunika kwawo kwa mphamvu ndizotsika kwambiri kuposa zomwe zimabwera ndi chakudya. Chifukwa chake, maselo amthupi amakana kutenga glucose, kunyalanyaza insulini. Vutoli limatchedwa insulin kukana. Kwambiri shuga ndi insulin m'magazi, kulimba kulimbana ndi maselo.
4. Nthawi yomweyo, kunenepa kwambiri kwa munthu kumakulirakulira, ma Horona amakasokonekera, mavuto okhala ndi mitsempha yamagazi amawonekera. Kuphatikizika kwa zovuta izi kumatchedwa metabolic syndrome.
5. Pamapeto pake, kukana insulini kumabweretsa mkhalidwe wopatsa chidwi - kumakhala shuga wambiri m'magazi, ndipo minofu yake imakhala ikufa. Pakadali pano, titha kunena kale kuti munthu ali ndi matenda ashuga a 2.

Zowonongeka za kunenepa kwambiri mu shuga:

• kukweza mafuta m'thupi nthawi zonse, komwe kumabweretsa kusintha kwa ma atherosselotic m'matumbo,
• ndi kupendekera kwamitsempha yamagazi, mtima umakakamizidwa kugwira ntchito pansi pa katundu wokhazikika, yemwe amakhala ndi vuto la mtima komanso mavuto ena,
• kusungika kwamitsempha yama cell kumakulitsa zovuta zonse za matenda ashuga: kumakhala chiopsezo chotumphukira, kuperewera kwa impso, gangrene kumapazi a matenda ashuga.
• kunenepa kwambiri 3 kuchulukitsa matenda oopsa,
• Kuchulukitsa kulemera kumabweretsa katundu wambiri kumalumikizana ndi msana. Anthu onenepa nthawi zambiri amakhala ndi ululu wamawondo nthawi zonse ndi osteochondrosis,
• azimayi onenepa kwambiri katatu amawonjezera mwayi wokhala ndi khansa ya m'mawere,
• Mwa amuna, mapangidwe a testosterone amachepa, motero, zogonana zimafooka, thupi limapangidwa malinga ndi mtundu wachikazi: m'chiuno chachikulu, mapewa ochepa,
• kunenepa kumavulaza ndulu: mphamvu yake imachepa, kutupa ndi matenda a ndulu ndi pafupipafupi,
• kuchuluka kwa moyo kumachepetsedwa, kuphatikiza kwa matenda ashuga amtundu wa 2 onenepa kwambiri kumawonjezera chiopsezo cha kufa ndi 1.5 nthawi.

Anthu onse ayenera kulimbana ndi kunenepa kwambiri, ngakhale atakhala ndi matenda ashuga. Kuchepetsa thupi kumalola kuwongolera bwino matenda a mtundu 2. Kuphatikiza apo, shuga mellitus imalepheretsedwa bwino: kuchepa thupi kwakanthawi, mutha kupewa, komanso kubwezeretsa kusunthika koyambirira kwa metabolic.

Ngakhale kuti pali kusanthula kosalekeza kwa njira zamankhwala zochizira kunenepa kwambiri, pakadali pano amatha kungochirikiza wodwala polimbana ndi kunenepa kwambiri. Udindo waukulu wamankhwala umachitidwabe ndi zakudya ndi masewera.

Momwe mungathyole unyolo "mafuta - ambiri a insulin - mafuta ochulukirapo - insulin yambiri"? Njira yokhayo yochitira izi kwa matenda ashuga ndi metabolic syndrome ndichakudya chochepa kwambiri.

Malamulo a Zopatsa Thanzi:

1. Zakudya zomwe zili ndi GI yayikulu (ma carbohydrate othamanga) zimathetsedweratu ndipo zakudya zamafuta ochepa pang'onopang'ono zimachepetsedwa kwambiri. Chomwe chimatipatsa chakudya cha anthu onenepa matenda ashuga ndi zakudya zamapuloteni komanso masamba owonjezera.
2. Nthawi yomweyo, zonse zopatsa mphamvu za calorie zimachepa. Zofooka za tsiku ndi tsiku ziyenera kukhala 500, pazomwe zimakhala za 1000 kcal. Pansi pa izi, kuchepa thupi kwa makilogalamu awiri pamwezi kumakwaniritsidwa. Musaganize kuti sikokwanira. Ngakhale kuthamanga uku, shuga mu shuga amatsika kwambiri pakatha miyezi iwiri. Koma kuchepa thupi msanga kumakhala koopsa, chifukwa thupi lilibe nthawi yoti lizolowere, pali atrophy ya minofu, kusowa kwambiri kwa mavitamini ndi mchere.
3. Kuti muchepetse chiwopsezo cha thrombosis ndikuwongolera zotulukazo zamafuta osokonekera a mafuta, ndikofunikira kuti zitsimikizire madzi okwanira. Muyezo wa munthu wochepa thupi 1.5 malita sikokwanira kwa odwala onenepa kwambiri. Mlingo wamatsitsi tsiku ndi tsiku (poganizira zomwe zili muzinthuzo) amawerengedwa ngati 30 g pa 1 kg yolemera.

Kuti muchepetse kunenepa kwa matenda ashuga, katundu aliyense wamtundu uliwonse ndi woyenera, kuyambira pakupita kumalo olimbitsa thupi kupita kumaphunziro olimbitsa. Mulimonsemo, kufunika kwa minofu ya glucose kumawonjezeka ndipo kukana kwa insulin kumachepa. Insulin m'magazi imayamba kuchepa, zomwe zikutanthauza kuti mafuta amayamba kuthothoka mwachangu.

Kodi mumazunzidwa ndi kuthamanga kwa magazi? Kodi mukudziwa kuti matenda oopsa amathanso kukopeka ndi mtima ndi kumenyedwa? Sinthani nkhawa zanu. Maganizo ndi mayankho okhudza njira zomwe mwawerenga apa >>

Zotsatira zabwino kwambiri zimaperekedwa ndi maphunziro aerobic - kuthamanga, masewera a timu, aerobics. Ndi kunenepa kwambiri, ambiri aiwo sapezeka pazifukwa zaumoyo, ndiye kuti mutha kuyamba ndi mtundu uliwonse wazolimbitsa thupi, pang'onopang'ono kusokonekera komanso kukulitsa liwiro la maphunziro.

Mwa anthu omwe ali kutali ndi masewera, pambuyo poyambira makalasi, minofu imabwezeretsedwa mwachangu komanso kulimbikitsidwa. Ndi kuwonjezeka kwa minofu yambiri, tsiku lililonse kudya calorie kumakulanso, kotero kuwonda kumathandizira.

Mankhwala otsatirawa angakuthandizeni kuthana ndi kunenepa kwambiri:

• Ngati kulemera kwakukulu kumayambitsidwa ndi kulakalaka kosaletseka kwa maswiti, chifukwa chake chingakhale kuchepa kwa chromium. Chromium picolinate, 200 mcg patsiku ithandizira kuthana nayo. Simungathe kumwa pakumwa pakati komanso matenda oopsa a shuga, aimpso ndi chiwindi.
• Kuchepetsa kukana kwa insulin, endocrinologist ikhoza kupereka Metformin mwa odwala omwe ali ndi matenda a shuga a 2 komanso prediabetes.
• Panthawi yochepetsa thupi, zomwe zimakhala ndimafuta m'magazi zimachuluka kwakanthawi, zomwe zimakhala ndi thrombosis. Kuchepetsa magazi, ascorbic acid kapena kukonzekera nawo, mwachitsanzo, Cardiomagnyl, akhoza kutumikiridwa.
• Makapisozi amafuta am'madzi amathandizira kuchepetsa magazi m'thupi.

Pankhani ya kunenepa kwambiri kwa digiri ya 3, njira zogwiritsira ntchito opaleshoni zingagwiritsidwenso ntchito, mwachitsanzo kudzera pakuchita opaleshoni kapena kumanganso m'mimba.

Masabata oyamba a kuchepa thupi amatha kukhala ovuta: padzakhala kufooka, kupweteka mutu, kufunitsitsa kusiya. Acetone imatha kupezeka mu mkodzo. Izi ndizomwe zimachitika kawirikawiri zomwe zimagwirizanitsidwa ndi kuphulika kwa mafuta. Ngati mumamwa madzi ambiri ndikukhalanso ndi shuga wabwinobwino, ketoacidosis siziwopseza wodwala matenda a shuga.

Onetsetsani kuti mwaphunzira! Kodi mukuganiza kuti mapiritsi ndi insulin ndi njira yokhayo yoyeserera shuga kuwongolera? Sichowona! Mutha kutsimikizira izi nokha ndikuyamba kuzigwiritsa ntchito. werengani zambiri >>

Type II matenda a shuga komanso kunenepa kwambiri ndi njira ziwiri zomwe zimagwirizanirana. Odwala ambiri omwe amapezeka kuti ali ndi matenda ashuga komanso kukhala ndi kulemera kwambiri amasemphana ndi chakudya chamankhwala. Komanso, odwala ambiri omwe ali ndi matenda ashuga ndi onenepa kwambiri. Ganizirani mbali zazikulu za ubale wapakati pa matenda a shuga ndi kunenepa kwambiri.

Kafukufuku akuwonetsa kuti kunenepa kwambiri komanso mtundu wachiwiri wa matenda ashuga omwe amayambitsa matenda obadwa nawo amayambitsa chibadwa. Izi ndichifukwa choti anthu otere adalandira kuchokera kwa makolo awo zomwe zimapangitsa kuti mafuta azikula.

Thupi la anthu omwe amakonda kunenepa kwambiri, amasunga chakudya chambiri m'thupi nthawi yayitali. Chifukwa chake nthawi yomweyo kuchuluka kwa glucose m'magazi kumakwera. Ichi ndichifukwa chake matenda amtundu II komanso kunenepa kwambiri zimalumikizidwa.

Kuphatikiza apo, kuchuluka kwambiri kunenepa kwambiri, kumakulanso kukana kwa maselo a thupi kupita ku insulin. Chifukwa chake, kapamba amatulutsa koposa. Ndipo kuchuluka kwakukulu kwa insulin kumabweretsa kuti ngakhale mafuta ochulukirapo amadziunjikira m'thupi.

Kuphatikiza apo, majini osokoneza bongo amayambanso kuchepa kwa timadzi ta serotonin m'magazi. Vutoli limatsogolera ku malingaliro osatha a kukhumudwa, kulakalaka ndi njala. Kungogwiritsa ntchito ma carbohydrate kokha komwe kumathetsa vutoli. Zokhudzana ndi insulin zimachepetsedwa, zomwe zimawonjezera chiwopsezo cha matenda amtundu wa 2.

Kuphatikiza pa genetics yovuta, zinthu zotsatirazi ndi zomwe zikuchititsa kuti pakhale kunenepa kwambiri:

• kumangokhala
• Zakudya zolakwika
• kumwa shuga wambiri (kuphatikiza zakumwa za shuga),
• kusokoneza chithokomiro,
• Zakudya zopanda pake,
• kugona kwambiri,
• chizolowezi chodetsa nkhawa komanso chakhazikika pa nthawi iliyonse yovuta.
• kumwa mankhwala a psychotropic.

Nthawi zambiri pamakhala kunenepa kwambiri kotchedwa alimentary. Poterepa, zopatsa mphamvu za zakudya za tsiku ndi tsiku zimaposa mphamvu zolimbitsa thupi. Zakudya zoterezi ndizowopsa makamaka m'magulu onse a odwala. Amatha kutengeka kwambiri ndi anthu azaka zapakati komanso zachikulire. Kulemera kwa thupi kumawonjezeka pang'onopang'ono, ndipo mafuta amagawidwa moyenera mthupi lonse. Chithokomiro cha chithokomiro komanso gland wa adrenal sichivutika.

Ndi matenda a hypothalamus, omwe amatchedwa kunenepa kwambiri kumachitika. Kulemera kukukula mwachangu. Wodwalayo akuti mafuta ambiri amayikidwa m'mimba ndi matako. Kusokonezedwa ndi thukuta, khungu lowuma, kupweteka mutu, nthawi zambiri - kusowa tulo. Kuthana ndi vutoli ndikovuta kwambiri.

Nthawi zambiri ndi mtundu II shuga mellitus, kunenepa kwambiri kwa digiri yachiwiri, yachitatu ndi yachinayi kumachitika. Zimasokonekera chifukwa cha zochitika zam'mbuyomu,

• kusintha kwa mtima
• matenda am'mapapo
• kugaya chakudya
• kukula kwa "mtima wam'mapapo" chifukwa cha mawonekedwe apamwamba a diaphragm,
• kuchuluka kwa kudzimbidwa,
• Zizindikiro za chifuwa chachikulu,
• Zizindikiro zakuwonongeka kwa chiwindi (makamaka, kuchepa kwamafuta),
• kupweteka m'dera lumbar
• arthrosis (mawondo nthawi zambiri amakhudzidwa)
• mwa azimayi - kuphwanya kwa kusamba kwachilendo, kawirikawiri - amenorrhea,
• mwa amuna - kuphwanya potency,
• kuchuluka kwa matenda oopsa.

Mu ana, kunenepa kumachitika makamaka chifukwa cha zovuta zobadwa nazo chifukwa cha maselo a metabolic. Komabe, kuchuluka kwambiri kwa thupi kungatengedwe ndikuwoneka motsutsana ndi maziko a kusowa kwa zakudya, masewera olimbitsa thupi osakwanira, komanso kuchuluka kwa shuga.

Nthawi zambiri, kuchuluka kwamphamvu kwa thupi amalembedwa mwa ana omwe sanafike zaka chimodzi, komanso nthawi yakutha msinkhu. Ana osakwana chaka chimodzi amadwala chifukwa chodya kwambiri, kuledzera. Ndipo kunenepa kwambiri mu unamwali kumalumikizidwa ndi vuto la hypothalamus.

Chonde dziwani kuti kuwonekera kwa ana a striae (magulu angapo otambalala pakhungu la m'chiuno, pachifuwa, matako, mapewa) kumawonetsa kukonda kunenepa kwambiri ndikulemba matenda a shuga a II. Ana otere amawonetsedwa kukonza zakudya.

Ndi mtundu 2 wa matenda ashuga, anthu sangakhale kwamuyaya ndi shuga wamagazi. Komabe, zakudya zomwe zimachepetsa kuchuluka kwa makilogalamu a odwala sizimveka. Inde, kunenepa kwambiri komanso matenda ashuga zimaphatikizidwa chifukwa munthu wakhala akudya mankhwala osokoneza bongo kwa zaka zambiri.

Ngati odya chakudya chopatsa thanzi nthawi zonse, amadalira iwo. Izi zikutanthauza kuti ndizovuta kuti anthu otere azitsatira shuga ochepa. Adzakopeka popanda maswiti. Pali bwalo lozungulira:

• kulakalaka maswiti
• kudya kwambiri
• kuchuluka kwa magazi,
• kulumikizana ndi insulin
• kukonza chakudya m'mafuta ndi gawo la insulin,
• kutsika kwa shuga wamagazi (hypoglycemia),
• chifukwa chosowa chakudya, zolakalaka za maswiti zimabukanso.

Kuphatikiza apo, kugwiritsidwa ntchito molakwika kwa maswiti kumabweretsa chakuti ma cell a beta a kapamba amayamba kufooka. Nthawi zina, mwina sangatulutse kuchuluka kwa insulini. Izi zimatsogolera ku mfundo yoti shuga mwa wodwalayo amakhala kale mtundu wodalira insulini.

Kafukufuku wachipatala akuwonetsa kuti kulakalaka kosalamulirika kwa mafuta amadzimadzi kumachitika chifukwa chosowa chromium m'thupi. Chifukwa chake, madokotala amalimbikitsa chithandizo kwa odwala omwe ali ndi chromium picolinate.

Uwu ndi chithandizo chothandiza komanso chotsika mtengo kwa aliyense, chomwe chimathandiza kuthana ndi chikhumbo champhamvu chamafuta. Mwa kutenga pafupipafupi chromium picolinate, mutha kupewa zakudya zamafuta apamwamba. Tengani mankhwala osachepera milungu 3-4.

Pochiza kunenepa kwambiri ndi matenda ashuga, zakudya zamafuta ochepa ndi njira yabwino kwambiri. Amatha kusintha kwambiri moyo wokhala ndi matenda ashuga komanso kunenepa kwambiri. Zakudya zoterezi ndiye chithandizo chabwino kwambiri cha matenda ashuga. Palibe chakudya china chomwe chimakwaniritsa cholinga - kutsika kwa shuga m'magazi.

Zakudya zoyenera zomwe zimatchedwa kuti zimapatsa thupi chakudya chamagulu ambiri ndizothandiza kwa odwala matenda ashuga. Amalephera kuchepetsa kwambiri shuga. Komanso, imapitilirabe kukwera. Munthu amapitiliza kumwa shuga wambiri, ndipo zochulukirapo kuposa izi.

Zakudya zama carb ochepa ndi njira yeniyeni yowongolera shuga yanu. Kuti muzitha kuwunika kuchuluka kwake, ndikofunikira kuyeza chizindikirochi pafupipafupi ndi glucometer. Chifukwa chake, mutha kudziwa zakudya zomwe zimakupindulitsani komanso zomwe zimakupweteketsani. Kupatula apo, matenda a shuga sakonda chakudya choletsedwa. Kenako chithandizo cha matendawa chimakhala chothandiza kwambiri.

Chithandizo cha zakudya chimaloleza izi:

• nyama
• mbalame
• mazira
• mbale zam'madzi zonse
• zakudya zam'nyanja zonse
• masamba onse obiriwira (kabichi, amadyera, zukini, biringanya, nkhaka, nyemba zobiriwira, etc.),
• msuzi wa phwetekere, bowa ndi tsabola wofiyira,
• tchizi
• mtedza (pang'ono chabe).

Thungani chakudya bwino. Chifukwa chake mutha kuwongolera kuchuluka kwa zomwe mudadya ndikupewa kulumpha mu shuga.

Chifukwa chake, chithandizo cha kunenepa kwambiri ndi matenda a shuga chimaphatikizapo makamaka chakudya chama carb ochepa.

1. 
   Zakharov, Yu. A. Chithandizo cha matenda a shuga 1 a mellitus / Yu.A. Zakharov. - M: Phoenix, 2013 .-- 192 p.
2. 
   Nataliya, Aleksandrovna Lyubavina Katemera wa matenda otupa a m'mapapo komanso mtundu 2 shuga / Natalya Aleksandrovna Lyubavina, Galina Nikolaevna Varvarina und Viktor Vladimirovich Novikov. - M: LAP Lambert Academic Publishing, 2014 .-- 132 p.
3. 
   Ametov, A.S. Type 2 matenda a shuga. Mavuto ndi zothetsera. Buku lowongolera. Gawo 1 / A.S. Ametov. - M: GEOTAR-Media, 2015 .-- 370 p.
4. Maphunziro a VA Oppel pa opaleshoni yamankhwala ndi endocrinology yamankhwala kwa madokotala a opaleshoni. Zolemba 1 / V.A. Tsutsani. - M: Mankhwala Othandizika, 1987. - 264 p.
5. Mankhwala othandizira. Shuga mellitus, Ripol Classic -, 2013. - 729 c.

Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwa zaka zoposa 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka pamalowo kuti athetse zovuta osati ntchito.Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusaitiyi, kufunsana ndi akatswiri ndizofunikira nthawi zonse.

Kodi shuga ndi kunenepa zimagwirizana bwanji?

Mafuta amapezeka m'thupi la wina aliyense, ngakhale munthu wonenepa kwambiri. Adipose minofu, yomwe ili pansi pa khungu, imathandizira kuyang'anira kutentha kwa thupi, imagwira ntchito yoteteza makina. Mafuta ndizosungirako thupi lathu, ndikusowa kwa chakudya, chifukwa cha iwo timapeza mphamvu yamoyo. Mafuta ndi gawo lofunikira la endocrine, estrogen ndi leptin amapangidwa mmenemo.

Pakachitidwe wamba ka ntchito izi, ndikokwanira kuti mafuta amatha mpaka 20% ya kulemera kwa amuna mwa amuna ndi mpaka 25% mwa akazi. Chilichonse pamwambapa ndi chowonjezera chomwe chimasokoneza thanzi lathu.

Momwe mungadziwire ngati pali mafuta ochulukirapo m'thupi? Mutha kuyezetsa kuchipatala kapena olimbitsa thupi. Njira ina yosavuta ndiyo kuwerengera mndandanda wamndandanda wazinthu. Zotsatira zake zimawonetsera zenizeni anthu onse, kupatula othamanga omwe amaphunzitsa mwachangu.

Kuti mupeze BMI, muyenera kugawa kulemera kwanu motalika. Mwachitsanzo, kutalika kwa 1.6 m ndi kulemera kwa makilogalamu 63, BMI = 63 / 1.6 x 1.6 = 24,6.

Mankhwala a Adipose mwa abambo athanzi amagawidwa chimodzimodzi; mwa akazi, madambidwe amapezeka pachifuwa, m'chiuno ndi matako. Mukunenepa kwambiri, malo osungira nthawi zambiri amakhala m'mimba, momwe amadziwika kuti mafuta a visceral. Imasuntha mosavuta ma asidi m'magazi ndipo imakhala yotsika kwambiri ku insulini, motero mtundu wa kunenepa kwambiri umawonedwa ngati wowopsa kwambiri.

Zakudya zopatsa thanzi kwambiri ndizomwe zimayambitsa kunenepa kwambiri, kukana insulini, komanso matenda a shuga mellitus.

Zomwe zimachitika mthupi ndi chakudya chochuluka:

1. Ma calories onse omwe sanawonongeke pa moyo amasungidwa m'mafuta.
2. Ndi kuchuluka kwa minyewa ya adipose, zomwe zili za lipids m'magazi zimachulukitsa, zomwe zikutanthauza chiopsezo cha matenda a mtima. Kuti mupewe izi, insulini imayamba kupangidwira mu kuchuluka kowonjezera mthupi, imodzi mwazomwe zimagwira ndikuletsa mafuta.
3. Zakudya zamafuta ochulukirapo zimayambitsa shuga wamagazi ambiri. Imafunika kuchotsedwa m'magazi munthawi yochepa, ndipo kupanga insulin mothandizika kumathandizanso pamenepa. Omwe amagwiritsa ntchito shuga ndi minofu. Ndi moyo wokhala mokhazikika, kufunika kwawo kwa mphamvu ndizotsika kwambiri kuposa zomwe zimabwera ndi chakudya. Chifukwa chake, maselo amthupi amakana kutenga glucose, kunyalanyaza insulini. Vutoli limatchedwa insulin kukana. Kwambiri shuga ndi insulin m'magazi, kulimba kulimbana ndi maselo.
4. Nthawi yomweyo, kunenepa kwambiri kwa munthu kumakulirakulira, ma Horona amakasokonekera, mavuto okhala ndi mitsempha yamagazi amawonekera. Kuphatikizika kwa zovuta izi kumatchedwa metabolic syndrome.
5. Pamapeto pake, kukana insulini kumabweretsa mkhalidwe wopatsa chidwi - kumakhala shuga wambiri m'magazi, ndipo minofu yake imakhala ikufa. Pakadali pano, titha kunena kale kuti munthu ali ndi matenda ashuga a 2.

Kodi chiwopsezo cha kunenepa kwambiri kwa odwala matenda ashuga ndi chiani?

Zowonongeka za kunenepa kwambiri mu shuga:

• kukweza mafuta m'thupi nthawi zonse, komwe kumabweretsa kusintha kwa ma atherosselotic m'matumbo,
• ndi kupendekera kwamitsempha yamagazi, mtima umakakamizidwa kugwira ntchito pansi pa katundu wokhazikika, yemwe amakhala ndi vuto la mtima komanso mavuto ena,
• kusungika kwamitsempha yama cell kumakulitsa zovuta zonse za matenda ashuga: kumakhala chiopsezo chotumphukira, kuperewera kwa impso, gangrene kumapazi a matenda ashuga.
• kunenepa kwambiri 3 kuchulukitsa matenda oopsa,
• Kuchulukitsa kulemera kumabweretsa katundu wambiri kumalumikizana ndi msana. Anthu onenepa nthawi zambiri amakhala ndi ululu wamawondo nthawi zonse ndi osteochondrosis,
• azimayi onenepa kwambiri katatu amawonjezera mwayi wokhala ndi khansa ya m'mawere,
• Mwa amuna, mapangidwe a testosterone amachepetsedwa, motero, zogonana zimafooketsedwa, thupi limapangidwa malinga ndi mtundu wachikazi: m'chiuno chachikulu, mapewa ochepa - onani nkhani ya kusokonezeka kwa Potency mu shuga,
• kunenepa kumavulaza ndulu: mphamvu yake imachepa, kutupa ndi matenda a ndulu ndi pafupipafupi,
• kuchuluka kwa moyo kumachepetsedwa, kuphatikiza kwa matenda ashuga amtundu wa 2 onenepa kwambiri kumawonjezera chiopsezo cha kufa ndi 1.5 nthawi.

Kuchepetsa thupi ndi matenda ashuga

Anthu onse ayenera kulimbana ndi kunenepa kwambiri, ngakhale atakhala ndi matenda ashuga. Kuchepetsa thupi kumalola kuwongolera bwino matenda a mtundu 2. Kuphatikiza apo, shuga mellitus imalepheretsedwa bwino: kuchepa thupi kwakanthawi, mutha kupewa, komanso kubwezeretsa kusunthika koyambirira kwa metabolic.

Ngakhale kuti pali kusanthula kosalekeza kwa njira zamankhwala zochizira kunenepa kwambiri, pakadali pano amatha kungochirikiza wodwala polimbana ndi kunenepa kwambiri. Udindo waukulu wamankhwala umachitidwabe ndi zakudya ndi masewera.

Momwe mungathyole unyolo "mafuta - ambiri a insulin - mafuta ochulukirapo - insulin yambiri"? Njira yokhayo yochitira izi kwa matenda ashuga ndi metabolic syndrome ndichakudya chochepa kwambiri.

Malamulo a Zopatsa Thanzi:

Doctor of Medical Science, Mutu wa Institute of Diabetesology - Tatyana Yakovleva

Ndakhala ndikuphunzira matenda a shuga kwa zaka zambiri. Zimakhala zowopsa anthu ambiri akamwalira, ndipo makamaka amakhala olumala chifukwa cha matenda ashuga.

Ndithamangira kunena mbiri yabwino - Endocrinological Research Center ya Russian Academy of Medical Sayansi yakwanitsa kupanga mankhwala omwe amachiritsa odwala matenda ashuga mellitus. Pakadali pano, kugwiritsa ntchito bwino kwa mankhwalawa kuyandikira 98%.

Nkhani ina yabwino: Unduna wa Zaumoyo wateteza kukhazikitsidwa kwa pulogalamu yapadera yomwe imalipira mtengo wa mankhwalawo. Ku Russia, odwala matenda ashuga mpaka Meyi 18 (kuphatikiza) nditha kuipeza - Kwa ma ruble 147 okha!

1. Zakudya zomwe zili ndi GI yayikulu (ma carbohydrate othamanga) zimathetsedweratu ndipo zakudya zamafuta ochepa pang'onopang'ono zimachepetsedwa kwambiri. Chomwe chimatipatsa chakudya cha anthu onenepa matenda ashuga ndi zakudya zamapuloteni komanso masamba owonjezera.
2. Nthawi yomweyo, zonse zopatsa mphamvu za calorie zimachepa. Zofooka za tsiku ndi tsiku ziyenera kukhala 500, pazomwe zimakhala za 1000 kcal. Pansi pa izi, kuchepa thupi kwa makilogalamu awiri pamwezi kumakwaniritsidwa. Musaganize kuti sikokwanira. Ngakhale kuthamanga uku, shuga mu shuga amatsika kwambiri pakatha miyezi iwiri. Koma kuchepa thupi msanga kumakhala koopsa, chifukwa thupi lilibe nthawi yoti lizolowere, minyewa kumachitika, kusowa kwama mavitamini ndi michere yambiri - onani kufa ndi njala.
3. Kuti muchepetse chiwopsezo cha thrombosis ndikuwongolera zotulukazo zamafuta osokonekera a mafuta, ndikofunikira kuti zitsimikizire madzi okwanira. Muyezo wa munthu wochepa thupi 1.5 malita sikokwanira kwa odwala onenepa kwambiri. Mlingo wamatsitsi tsiku ndi tsiku (poganizira zomwe zili muzinthuzo) amawerengedwa ngati 30 g pa 1 kg yolemera.

Zochita zolimbitsa thupi

Kuti muchepetse kunenepa kwa matenda ashuga, katundu aliyense wamtundu uliwonse ndi woyenera, kuyambira pakupita kumalo olimbitsa thupi kupita kumaphunziro olimbitsa. Mulimonsemo, kufunika kwa minofu ya glucose kumawonjezeka ndipo kukana kwa insulin kumachepa. Insulin m'magazi imayamba kuchepa, zomwe zikutanthauza kuti mafuta amayamba kuthothoka mwachangu.

Zotsatira zabwino kwambiri zimaperekedwa ndi maphunziro aerobic - kuthamanga, masewera a timu, aerobics. Ndi kunenepa kwambiri, ambiri aiwo sapezeka pazifukwa zaumoyo, ndiye kuti mutha kuyamba ndi mtundu uliwonse wazolimbitsa thupi, pang'onopang'ono kusokonekera komanso kukulitsa liwiro la maphunziro.

Mwa anthu omwe ali kutali ndi masewera, pambuyo poyambira makalasi, minofu imabwezeretsedwa mwachangu komanso kulimbikitsidwa. Ndi kuwonjezeka kwa minofu yambiri, tsiku lililonse kudya calorie kumakulanso, kotero kuwonda kumathandizira.

Chithandizo cha mankhwala

Mankhwala otsatirawa angakuthandizeni kuthana ndi kunenepa kwambiri:

1. Ngati kulemera kwakukulu kumayambitsidwa ndi kulakalaka kosaletseka kwa maswiti, chifukwa chake chingakhale kuchepa kwa chromium. Chromium picolinate, 200 mcg patsiku ithandizira kuthana nayo. Simungathe kumwa pakumwa pakati komanso matenda oopsa a shuga, aimpso ndi chiwindi.
2. Kuchepetsa kukana kwa insulin, endocrinologist ikhoza kupereka Metformin mwa odwala omwe ali ndi matenda a shuga a 2 komanso prediabetes.
3. Panthawi yochepetsa thupi, zomwe zimakhala ndimafuta m'magazi zimachuluka kwakanthawi, zomwe zimakhala ndi thrombosis. Kuchepetsa magazi, ascorbic acid kapena kukonzekera nawo, mwachitsanzo, Cardiomagnyl, akhoza kutumikiridwa.
4. Makapisozi amafuta am'madzi amathandizira kuchepetsa magazi m'thupi.

Pankhani ya kunenepa kwambiri kwa digiri ya 3, njira zogwiritsira ntchito opaleshoni zingagwiritsidwenso ntchito, mwachitsanzo kudzera pakuchita opaleshoni kapena kumanganso m'mimba.

Masabata oyamba a kuchepa thupi amatha kukhala ovuta: padzakhala kufooka, kupweteka mutu, kufunitsitsa kusiya. Acetone imatha kupezeka mu mkodzo. Izi ndizomwe zimachitika kawirikawiri zomwe zimagwirizanitsidwa ndi kuphulika kwa mafuta. Ngati mumamwa madzi ambiri ndikukhalanso ndi shuga wabwinobwino, ketoacidosis siziwopseza wodwala matenda a shuga.

Onetsetsani kuti mwaphunzira! Kodi mukuganiza kuti kuyamwa kwa mapiritsi ndi insulini kwa nthawi yonse yokhayo ndi njira yokhayo yothanirana ndi shuga? Sichowona! Mutha kutsimikizira izi nokha ndikuyamba kuzigwiritsa ntchito. werengani zambiri >>

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