Chifukwa chani kuchepa thupi mu shuga: zimayambitsa
Shuga mellitus ndi matenda omwe amapezeka kapena obadwa nawo a metabolic, owonetsedwa ndi kuwonjezeka kwa shuga wamagazi chifukwa chosowa insulini m'thupi. Pafupifupi munthu aliyense wachinayi amene akudwala matendawa poyamba samazindikira kuti akudwala.
Kuchepetsa thupi mwadzidzidzi kumatha kukhala chimodzi mwazizindikiro za matenda oopsawa. Tiyeni tiyese kudziwa chifukwa chake odwala matenda a shuga amachepetsa thupi, komanso zoyenera kuchita pankhaniyi.
Zoyambitsa matenda ashuga
Zomwe matenda a shuga amawonekera kumapeto sizikudziwika. Zina mwazomwe zimayambitsa izi ndi:
- Kunenepa kwambiri
- Khalidweli
- Kuperewera kwa zakudya m'thupi
- Zopanda zinthu zabwino
- Matenda ndi matenda opatsirana ndi ma virus (pancreatitis, chimfine)
- Mavuto
- M'badwo.
Zosiyidwa zochitika za matendawa zimatha kubweretsa kulephera kwa impso, kugunda kwa mtima, khungu, komanso kudwala matenda ashuga omwe amafuna chithandizo chamankhwala mwadzidzidzi.
Kuti mupewe izi, muyenera kufunsa dokotala munthawi yake ngati muli ndi zotsatirazi.
- Udzu wokhazikika
- Kutopa kwambiri
- Zilonda zam'mbuyo komanso zosachiritsa kwa nthawi yayitali, Bwanji mucheperako shuga
Kuchepetsa thupi mwachangu kumabweretsa kutsika kwa thupi, kapena cachexia, motero ndikofunikira kumvetsetsa chifukwa chomwe anthu amachepera thupi ndi matenda ashuga.
Pakudya, zakudya zimalowa m'matumbo am'mimba, kenako kulowa m'magazi. Zikondazo zimatulutsa insulin ya mahomoni, yomwe imawathandiza kuyamwa. Ngati kulephera kumachitika m'thupi, insulini imapangidwa pang'ono, chakudya chamafuta chimasungidwa m'magazi, ndikupangitsa kuchuluka kwa shuga. Izi zimabweretsa kuchepa thupi pazotsatirazi.
Thupi limaleka kuzindikira maselo omwe ali ndi vuto lopanga insulin. Pali shuga wambiri m'thupi, koma samatha kuyamwa ndipo umatulutsidwa mkodzo. Izi ndizofanana ndi matenda amtundu 1 shuga. Wodwala amakhala ndi nkhawa, amakhala wokhumudwa, amakhala ndi njala nthawi zonse, akuzunzidwa ndi mutu.
Chifukwa china chomwe odwala matenda ashuga amachepera thupi ndi chifukwa chosapanga insulin yokwanira, chifukwa chomwe thupi silimadya glucose, m'malo mwake, minofu yamafuta ndi minofu imagwiritsidwa ntchito ngati gwero lamphamvu lomwe limabwezeretsa kuchuluka kwa shuga m'maselo. Chifukwa chakuwotcha kwamafuta, thupi limatsika kwambiri. Kuchepetsa thupi ndizomwe zimayambitsa matenda a shuga a 2.
Kuopsa kwa kuwonda msanga
Kuchepetsa thupi mwachangu sikuwopsa komanso kunenepa kwambiri. Wodwala amatha kutopa (cachexia), zovuta zake zomwe zingakhale:
- Kuzungulira kwathunthu kapena pang'ono kwa minyewa ya miyendo,
- Mafuta a minyewa yofiyira,
- Ketoacidosis ndikuphwanya matenda a carbohydrate metabolism, omwe ungayambitse chikomokere cha matenda ashuga.
Zoyenera kuchita
Choyambirira kuchita ndikuonana ndi dokotala. Ngati kuchepa thupi kumagwirizanitsidwa ndi chikhalidwe cha wodwalayo, ndiye kuti akapatsidwa mankhwala ozindikira, othandizira kuponderezana ndi zakudya zopatsa mphamvu zambiri.
Nthawi zina, wodwalayo amasamutsidwa mwachangu ku zakudya zopatsa mphamvu kwambiri ndipo amaphatikizanso pazinthu zomwe amadya zomwe zimakulitsa kupanga insulin (adyo, Brussels zikumera, mafuta a linse, mkaka wa mbuzi).
Chakudya chizikhala ndi 60% chakudya, mafuta 25% ndi mapuloteni 15% (amayi oyembekezera mpaka 20-25%). Chidwi chachikulu chimaperekedwa kwa chakudya chamafuta. Iyenera kugawidwa moyenerera pazakudya zonse tsiku lonse. Zakudya zopatsa mphamvu kwambiri zimadyedwa m'mawa komanso pachakudya chamasana. Chakudya chamadzulo chimayenera kukhala pafupifupi 10% ya zakudya zopatsa mphamvu za tsiku ndi tsiku.
Momwe mungalemere kulemera kwa shuga 1
Kuti muchepetse kunenepa, muyenera kuonetsetsa kuti thupi lanu limadya thupi nthawi zonse. Chakudya cha tsiku lililonse chikuyenera kugawidwa m'magawo 6.Zakudya zodziwika bwino (kadzutsa, nkhomaliro, chakudya chamadzulo ndi chakudya chamadzulo), zomwe zimapanga 85-90% ya zakudya zopatsa mphamvu za tsiku ndi tsiku, ziyenera kuthandizidwa ndi zokhwasula-khwasula, zomwe zimaphatikizapo 10-15% ya kudya kwa tsiku ndi tsiku.
Pazakudya zowonjezera, ma walnuts, nthanga za maungu, ma amondi kapena zinthu zina zomwe zimakhala ndi mafuta a monounsaturated ndizoyenera.
Izi ndi monga zotsatirazi:
- Masamba ophika masamba
- Mkaka wa mbuzi
- Mafuta opaka
- Mowa nyama
- Cinnamon
- Masamba obiriwira
- Nsomba zonenepa kwambiri
- Rye mkate (osapitirira 200 g patsiku).
Thanzi liyenera kukhala loyenera, ndikofunikira kuwunika kuchuluka kwa mapuloteni, mafuta ndi chakudya.
Momwe mungalemere kulemera kwa matenda ashuga a 2
Kuti muwonjezere kulemera kwa matenda a shuga a 2, chidwi chachikulu chimaperekedwanso ku zakudya. Ndi matenda amtunduwu, muyenera kuyang'anira kudya kwamphamvu m'thupi, kusankha zakudya zokhala ndi kalozera wamatenda a glycemic. Zotsika ndizakuti, shuga wocheperako amabwera ndi chakudya ndipo wotsikirapo ndiye amene azikhala shuga.
Zakudya zambiri zotsika kwambiri za glycemic:
- Kabichi
- Skim mkaka
- Walnuts
- Ziphuphu
- Perlovka
- Yogurt yamafuta ochepa yopanda shuga ndi zina zowonjezera.
Zogulitsa Matenda A shuga
Ngati mukufuna kulemera mwachangu, tisaiwale kuti pali mndandanda wonse wazinthu zomwe odwala matenda ashuga sayenera kudya, odwala ambiri ali ndi tebulo lomwe lili ndi mndandanda wazinthu zovulaza komanso zothandiza.
Dzina la Zogulitsa | Chalangizidwa kuti mugwiritse ntchito | Chepetsani kapena musachotsere chakudyacho |
Nsomba ndi nyama | Nsomba yamafuta ochepa, mbali za mbalame (bere), nyama yamafuta ochepa (yamkango, kalulu) | Soseji, masoseji, masoseji, nyama, nsomba zam'madzi ndi nyama |
Zophika mkate ndi confectionery | Mkate wophika ndi chinangwa ndi ufa wa rye siwokoma | Mkate oyera, masikono, makeke, makeke, makeke |
Maswiti | Mafuta onunkhira zipatso | Maswiti a ayisikilimu |
Zinthu zamkaka | Kefir wopanda mafuta, mkaka wowotchera, mkaka, tchizi chaumoyo, suluguni wopanda mchere | Margarine, batala, yogurts ndi shuga ndi kupanikizana, tchizi mafuta |
Zatsopano, zophika kapena zophika masamba | Kabichi, broccoli, zukini, biringanya, kaloti, phwetekere, beets, masamba onse okhala ndi index ya glycemic yotsika | Mbatata, masamba omwe ali ndi wowuma kwambiri |
Supu | Supu wophika masamba, borsch wopanda nyama, msuzi wa kabichi | Msuzi pa mafuta a nyama msuzi, hodgepodge |
Mbale | Buckwheat, oat, mapira, barele wa ngale | Mpunga Woyera, semolina |
Msuzi | Mpiru, Tchire Yachilengedwe | Ketchup, mayonesi |
Zipatso | Osatinso zipatso zokoma kwambiri ndi zipatso zokhala ndi index yotsika ya glycemic | Mphesa, nthochi |
Yang'anani! Palibe chifukwa chake odwala matenda ashuga amadya mwachangu. Iwalani za pasties, burger, agalu otentha, mafuta ophika ku French ndi zakudya zina zopanda thanzi. Amayambitsa kunenepa kwambiri, komwe pakapita nthawi imayamba kukhala shuga yachiwiri.
Ndikofunikira kupatula mowa pakudya. Amachepetsa thupi, ndikuchotsa madzi ndi michere, zomwe sizikwanira.
Ndi kutha kwa kuchepa thupi komanso kukwaniritsa zofunika zake, ndikofunikira kuti pang'onopang'ono muchepetse zakudya zamafuta.
Njira yakumwa
Kugwiritsa ntchito madzi akumwa okwanira ndikofunikira kwa munthu aliyense wathanzi, komanso kwa odwala matenda ashuga, makamaka omwe amachepetsa thupi, ndizofunikira. Malita osachepera 2 a madzi azimwa. Ma compotes, supu, tiyi, ndi mbale zina zamadzimadzi siziphatikizidwe mu kuchuluka uku.
Zakudya zokwanira zamadzi ndizofunikira pazifukwa zotsatirazi:
- Chifukwa chokoka pafupipafupi, thupi limataya madzi ambiri, omwe amapatsidwanso nthawi zonse.
- Madzi akumwa okwanira amadzutsa kapamba.
- Madzi ochepa ali ndi potaziyamu, magnesium ndi sodium, zomwe zimapangitsa kupanga insulini.
- Kumwa madzi okwanira kumathandizira njira za metabolic, kuthandiza kagayidwe kazakudwala.
Kuchita masewera olimbitsa thupi ndikofunikira ngakhale kwa iwo omwe ali ndi vuto loonda.Nthawi yamasewera, njira za metabolic zimathandizira, metabolism imasintha, kulakalaka kudya kumakhala bwino. Mphamvu imachulukitsa minofu, yomwe imathandizira kubwezeretsa kunenepa.
Tazindikira chifukwa chake akuchepa thupi mu mtundu 2 wa matenda a shuga komanso mtundu 1 wa matenda ashuga, titha kunena kuti zizindikiro zoyambirira za matendawa zikaonekera, komanso kuchepa thupi mwadzidzidzi, timafunikira kupempha thandizo kwa katswiri.
Ngakhale anthu ambiri amafa chifukwa cha matenda oyipa ndi zovuta zake padziko lapansi chaka chilichonse, zitha kuchitika ndipo zimayenera kumenyedwa. Ndi chithandizo choyenera komanso zakudya zosankhidwa bwino, odwala matenda ashuga ali ndi mwayi wokhala ndi thanzi labwino, amakhala ndi moyo wabwino, amagwira ntchito komanso kusewera masewera.
Chifukwa chiyani anthu amachepetsa thupi
Kuchepetsa thupi kumachitika chifukwa chakuti kapamba sangathe kutulutsa insulini. Zifukwa zake zitha kukhala motere:
- Thupi silitha kuzindikira maselo omwe amayambitsa chinsinsi cha timadzi timeneti. Mafuta ochulukirapo amapanga ndipo thupi limayenera kupaka shuga wowonjezera ndi mkodzo. Izi ndi zomwe zimapangitsa kuti muzikhala wokonda kukodza nthawi zonse komanso kuti muzimva njala ndi ludzu nthawi zonse. Kuphatikiza apo, chifukwa chosowa mphamvu, munthu amayamba kumva kutopa, kugona, kupweteka mutu, ndi zina zambiri.
- Kuperewera kwa insulin m'magazi sikulola kuti thupi lizigwiritsa ntchito shuga kupatsa mphamvu maselo ndikupanga mphamvu. Chifukwa chake, muyenera kuyang'ana njira zowalipirira. Zachidziwikire, minofu ndi mafuta amtundu wa munthu ndizomwe zimayambira kugunda. Kuchepetsa misa muzochitika zotere kumawonedwa ngati njira yachilengedwe.
Mwachidule, tikuwona kuti choyambitsa chachikulu cha kuchepa thupi ndikuphwanya njira za metabolic m'thupi. Kuchepetsa thupi mwadzidzidzi ndi chimodzi mwazizindikiro za matenda ashuga.
Ngati mungazindikire china chake, muyenera kulankhulana ndi katswiri. Mukapanda kuchita izi kwakanthawi, ma ketoni adzadziunjikira m'thupi.
Pambuyo pake, izi zidzapangitsa kuti pakhale matenda monga ketoacidosis. Zitha kuyambitsa kuphwanya kwambiri mthupi, chimodzi mwazotsatira zake ndi zakupha.
Chifukwa chake, musayerekezere kuchezera kwa endocrinologist ngati muwona kuchepa kwakukulu.
Anthu athanzi, omwe magazi ake amakhala athithithi, amachepetsa thupi popanda zakudya zapadera komanso kuchita masewera olimbitsa thupi siophweka. Ngati munthu samvera zakudya zake ndi masewera, koma nthawi yomweyo amayamba kuchepa thupi, ndiye izi ziyenera kukhala chifukwa chachikulu chopita kwa dokotala.
Popeza kuwonda komanso kuwonda msanga ndi chimodzi mwazizindikiro za matenda ambiri, kuphatikizapo matenda ashuga. Ndipo popeza chinthu chachikulu chomwe chimapangitsa kudwala matendawa ndi kunenepa kwambiri, funso loti anthu amachepetsa thupi ndi matenda ashuga limadetsa nkhawa kwambiri.
Chifukwa chachikulu chakuchepetsa thupi
Matenda a shuga odwala matenda am'mimba amadziwika ndi matenda ambiri am'mitsempha, makamaka, kukula kwa ludzu lalikulu, kulimbikitsidwa kwamikodzo, kukomoka, kupezeka kwa khungu louma ndi ma presthesias, ndiko kuti, kumva kuwawa kapena kuwotcha miyendo. Kuphatikiza apo, matendawa amakhudza kulemera kwa munthu kuyamba mwamphamvu komanso zikuwoneka ngati popanda chifukwa chochepera.
Nthawi zina kuwonda kumeneku kumatha kukhala mpaka 20 kg pamwezi popanda kuchita zolimbitsa thupi komanso kusintha kwa zakudya. Chifukwa chiyani anthu odwala matenda ashuga amachepetsa thupi? Kuchepetsa thupi mwadzidzidzi kumakhala kofala kwambiri kwa odwala omwe ali ndi matenda a shuga.
Kukula kwa matendawa kumachitika pazifukwa zambiri. Ena mwa iwo ndi otsimikizika.
Mchitidwe wamanjenje umakhudzidwa kwambiri ndi kugwira ntchito kwa mitsempha yamagazi ndi mitsempha yamagazi yamagazi. Zotsatira zonsezi zimabweretsa zotsatira zowopsa komanso zosasangalatsa zotulukapo zaumoyo.
Ngati munthu akudwala nthendayi, ndiye kuti mabala ake amachiritsa bwino, motero nthawi zambiri gangrene imayamba. Ngati zoterezi zapezeka mwa munthu, ndiye kuti mwendo wakewo umatha kuduladwanso.
Nkhope zamilandu izi sizimafa nthawi yomweyo, koma pang'onopang'ono, chifukwa cha njira yodziyeretsa iyamba. Kucheka mwendo ndi matenda a shuga nthawi zambiri kumabweretsa zotsatirapo zoyipa kwambiri, koma zimadalira nthawi yake yakupezeka kwake komanso chithandizo.
Njira zochizira zosagwiritsa ntchito zimawonetsa kuwongolera kwakutali kwambiri kuposa nthawi iliyonse. Ngati othandizira achire oterewa sagwira ntchito, ndiye pokhapokha ngati mbali zina zolumikizidwa.
Ngati izi sizichitika mu nthawi, ndiye kuti zoyipa ziyamba - kutukusira kwa kutupa. Kudulidwa kwa chala chilichonse m'masititala ya shuga ndikovuta, koma kumatha kuvomerezedwa moyenera.
Zomwe zimadulidwa
Monga tawonera kale, muzochitika zamankhwala, matenda amtundu wa 1 kapena mtundu wa 2 shuga amakumana nawo kwambiri, koma mitundu yotsimikizika imadziwikanso - Lada ndi Modi. Mchitidwewu umakhala wofanana ndi mitundu iwiri yoyambayo, chifukwa chake madokotala nthawi zambiri amalakwitsa pazomwe zimadziwika.
Ndi matenda amtundu wa 1 shuga, odwala ndi ochepa thupi komanso khungu lotuwa. Chodabwitsachi chimachitika chifukwa chodziwika bwino kwa zotupa zapachifuwa. Nthawi yayitali, beta maselo amawonongeka ndi ma antibodies awo, zomwe zimapangitsa kuti pakhale kusowa kwathunthu kwa insulin ya m'thupi.
Kuphulika kwa kagayidwe kachakudya kumabweretsa kusintha kwamatumbo mu mtima. Kudzikundikira kwa zinthu za ballast m'magazi, kusintha kwa autoimmune kumapangitsa kuti maselo awonongeke chifukwa chodziteteza. Pazifukwa izi, kuchuluka kwa zombo zabwinoko kumachepetsedwa, ndikupereka njira yoyambira kufotokoza bwino, kenako ischemia yodziwikiratu.
Kudula mwendo chifukwa cha matenda ashuga sikungapeweke ngati:
- Magazi a m'miyendo akupita patsogolo,
- Kuperewera kwa oksijeni kumapangitsa khungu kutengeka mosavuta ndi matenda,
- Kutha kukonzanso chitseko kumachepetsedwa,
- Ndi chithunzi chachipatalachi, kuwonongeka kulikonse kwamakina kumakwiyitsa mapangidwe a zilonda zam'mimba, phlegmon ndi zina zotupa zoyipa zomwe ndizovuta kuchiza,
- Kuwonongeka kwathunthu kwa minofu ya mafupa kumakwiyitsa maonekedwe a osteomyelitis - chiwonongeko champhamvu cha minofu yamafupa.
Kuchepetsa thupi mu shuga kumachenjeza za zinthu zingapo - choyambirira, kuti polyuria imayamba kugwira ntchito mthupi, yomwe imadziwika osati kukoka mwamphamvu komanso pafupipafupi, komanso chifukwa cholephera kunyamula shuga.
Mchere wamchere wamchere umasokonekera, zomwe zimabweretsa zovuta kwambiri - ngakhale kuti kuchepa thupi kwambiri komanso kuchepa kwa thupi, wodwalayo amakhala ndi chidwi chofuna kudya, motero amayesetsa kudya chakudya chochuluka. Chakudya chochulukirapo - zopatsa mphamvu zambiri, zomwe zimagawika zomwe thupi limagwiritsa ntchito mphamvu zambiri komanso mphamvu. Koma timafunikira kuti tithane ndi matenda ashuga.
Odwala ambiri samvetsa chifukwa chake amachepetsa thupi ndi matenda ashuga a 2. Kuchepetsa thupi ndichimodzi mwazizindikiro zodziwika za matendawa. Munthu amene shuga yake ndi yabwinobwino sangachotse mapaundi owonjezera popanda kuyeserera.
Kudulidwa mwendo mu matenda ashuga sikuti ndi chinthu chofunikira. Ngati wodwalayo amakhala ndi moyo wathanzi, ndiye kuti izi zitha kupewedwa. Ndikofunika kuti munthuyo azichita nawo masewera olimbitsa thupi. Nthawi yomweyo, sikofunikira kukhazikitsa zolemba za Olimpiki, ndikokwanira kuchita masewera olimbitsa thupi osavuta kangapo sabata. Kuchuluka kwa odwala matendawa kumachepetsa zoterezi:
- Mtsempha umawonongeka kotero kuti umakhala wosagawika,
- Kuphwanya kwamphamvu kwamapangidwe amitsempha yamagazi. Kuphatikiza apo, izi zimagwira ku zombo zazikulu komanso zazing'ono kwambiri, zowoneka ngati zazing'ono,
- Njira zachikhalidwe zomwe zimachitika chifukwa chosagwiritsidwa ntchito molakwika.
Zokha, izi sizidzabweretsa kuchotsedwa kwa mwendo kapena gawo lina. Pofuna kuyambitsa kupha, matenda amayenera kulowa mthupi, ndipo chitetezo cha mthupi chimayenera kulephera.
Zimangotengera wodwala kuti chitetezo chake chikhala champhamvu bwanji. Ndi moyo wabwino komanso kusamalira thanzi nthawi zonse, thupi lidzatha kuthana ndi kutupa.
Pankhaniyi, simudzadulidwa mwendo pamwamba pa bondo kapena kuchotsa chala mu shuga. Koma ngati njira yotupa imalephereka, ndiye kuti kuchotsa kwa dzanja ndi dzanja ndiyo njira yokhayo yomwe ingapulumutse moyo wa wodwalayo.
Kuchepetsa thupi mu shuga ndikofunikira chifukwa:
- Kulemera kwambiri, ndiye kuti kuchuluka kwa minofu ya adipose m'thupi kumabweretsa kupanga kwambiri kwa insulin. Izi zimatha kuyambitsa chitetezo cha mthupi ku mahomoni, zomwe zikutanthauza kupita patsogolo kwa matendawa.
- Njirayi ndiyosatheka popanda kuchepetsa kuchuluka kwa chakudya chamagulu muzakudya. Zakudya zoterezi zimathandiza kuchepetsa kapamba, kapangidwe ka insulin, ndiko kuti, kuchepetsa kuopseza thanzi, kuchepetsa chiopsezo cha zovuta za shuga.
- Ndi mtundu wa 2 matenda, izi zingathandize ngakhale kuchuluka kwa shuga m'magazi. Inde, kunenepa kwambiri ndi chimodzi mwazomwe zimayambitsa matenda. Nthawi zina kumasukidwa kumathandizira kuchepetsa kuchuluka kwa mankhwala omwe amwedwa kapena kuwasiya kwathunthu, kudzipangitsa kukhala ndi thanzi labwino.
- Kuchotsa mapaundi owonjezera kumachepetsa katundu pazombo, zomwe zimadwalanso matenda a shuga. Kutsitsa cholesterol, chifukwa cha kuchuluka kwa mafuta m'zakudya, kumawapangitsa kukhala otakasuka. Poterepa, magazi abwinobwino amatithandizanso. Izi zimathandizanso kuchepetsa zovuta za matendawa (mavuto ndi masomphenya, mtima, matenda ashuga, ndi zina zambiri).
Mitundu ya kudulidwa miyendo
Pali mitundu ingapo ya kuduladula miyendo mu matenda ashuga. Aliyense wa iwo ali ndi mawonekedwe ake. Chifukwa chake, mitundu ya kudula miyendo mu matenda ashuga:
- Matenda a mwadzidzidzi ndi mtundu wam'manja womwe umagwiritsidwa ntchito mukafuna kuthana ndi matenda mwachangu. Pankhaniyi, ndizosatheka kudziwa molondola malire a chotupa, kotero gawo lina la mwendo limachotsedwa, ndikupanga mawonekedwe ochepa kwambiri kuposa zotupa za khungu
- Poyamba - yomwe imakhudzana ndi zovuta zamagazi. Mwakutero, ndizosatheka kubwezeretsa ntchito yamitsempha yamagazi, koma atachitidwa opaleshoni, minofu imatha kusinthika,
- Chachiwiri - kudula, komwe kumachitika pokhapokha ngati kuli koyenera, minofuyo ikachira ndikubwerera mwakale. Nthawi zambiri njirayi imagwiritsidwa ntchito pambuyo poti iyambe kugwira ntchito.
Kodi chifukwa chani kuti kudulidwako ndikofunika? Ndikungoti nthawi zina gawo limodzi lokhalo limakhala lopanda tanthauzo, chifukwa nthawi zambiri zimachitika kuti kuchotsa dzanja kumachitika mwachangu, ndipo njira yachiwiriyo imachitika pokhapokha ngati ikufunikira ndikudutsa mayeso oyenera.
Kuchepetsa Matenda A shuga Kungakhale Chizindikiro cha Matenda A shuga
08/26/2017 Kuchepetsa thupi mu shuga ndi chizindikiro. Kuopsa kotani? 5 (100%) adavotera 1
Matenda a shuga mellitus, mwanjira iliyonse, amagwirizanitsidwa ndi zovuta zina mthupi, zomwe zimatha kuthana, koma nthawi zina zimakhala zovuta. Zikuwonekeratu kuti matendawa pawokha ndi mayeso, koma ndikofunikira kudziwa kuti mayesowa atha kukhala osavuta kwambiri ngati mungayesetse kuchotsa zosasangalatsa ndi syndromes zokhudzana nazo.
Kuchepetsa kulemera kwa matenda ashuga ndi "chizindikiro choyamba kuti kagayidwe kanu kamachepa komanso shuga m'magazi anu ndiwambiri. Tiyeni tiwone zomwe zimayambitsa ndi kuvuta kwa kuwonda.
Anthu ambiri omwe ali ndi matenda ashuga amazindikira kuti amayamba kuchepa thupi mwachangu ndikutukuka kwa matendawa. Tiyenera kunena kuti kuchepa thupi kumatha kuchitika musanafike shuga, thupi likamatha kuyamwa michere yonse yofunikira.
Kuchepetsa Matenda A shuga - Zowopsa
Paokha, kuchepa thupi ndi chizindikiro chachindunji cha matenda ashuga, omwe adayamba kukula mwachangu.Kuperewera kwa madzi mthupi komanso kudzimva kwamphamvu kwa glucose kumangowonjezera mfundoyi.
Chifukwa chake, ngati mutazindikira kuti mwataya ma kilogalamu angapo pamasabata angapo, funsani dokotala ndikupemphani kuti mukayesedwe. Makamaka ndikofunikira kuyang'anira pamaso pa boma lamasewera ndikulimbitsa thanzi. Tikumvetsetsa kuti kwa anthu ambiri, makamaka azimayi, kuchepetsa thupi kumabweretsa malingaliro ambiri, koma osazengereza.
Matenda a shuga amatha kuponya nthabwala zoyipa ndi thupi, kukakamizaonyamula kuti azidalira zakudya zosaloledwa - mwa njira, kudya michere yambiri kumapangitsanso kuti muchepetse thupi, chifukwa kuwonongeka kwa zinthu izi kumayendetsedwa ndi ntchito yogwira ya endocrine system, yomwe imakumana kale ndi katundu wolemera.
Musalole kuti shuga asokoneze mapulani anu amoyo. Ngati mukuwona kuti mwachepa kwambiri, pitani kwa dokotala! Gonjetsani chizindikiro ichi mwachangu komanso mopweteka!
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Ngati mayi akuwona kuti wataya kilojekiti yayikulu, chisangalalo chake sichikhala ndi malire.
Ndipo palibe aliyense mmalo mwake amene angaganize: kodi izi sizabwino konse? Mukataya thupi kwambiri popanda kudya, masewera olimbitsa thupi, kulimbitsa thupi, ichi sichiri chifukwa chosinthira pakuthengo. M'malo mwake, ndikuwonetsa mwachangu kukaonana ndi madokotala, koposa zonse, endocrinologist.
Koma izi zimatheka pokhapokha ngati tili ndi vuto lochepa. Koma ngati muchepa thupi ndipo simuwona chifukwa cha izi - ichi ndi chizindikiro chowopsa cha matenda ashuga. Kuzindikira matenda ashuga kumatheka pokhapokha ngati muli ndi chipatala, kuyendera kwa endocrinologist kumafunika.
Kuchuluka kwa kuchepa thupi kuyenera kuwomba alamu. Kodi ndichifukwa chiyani ichi ndichizindikiro cha matenda ashuga?
Nthawi zambiri, kulemera kwa munthu kumatha kufalikira mpaka 5 kg.
Kuchepetsa thupi kwambiri m'magazi a shuga ndi chizindikiro cha kukula kwa mawonekedwe ake ophatikizika, omwe amathandizidwa ndi kusintha kwa ziwalo zam'kati, zomwe zimayambitsa kutopa kwathunthu komanso kuwonongeka kwakukulu pakukhala bwino kwa odwala.
Kusintha koteroko mthupi la wodwalayo kumawonetsa kuti sangathenso kuyendetsa njira za metabolic popanda thandizo lakunja, chifukwa chake, akufunika kuwongoleredwa kowonjezereka.
Zilonda za matenda ashuga pazala, mikono ndi miyendo zimatsatiridwa ndi zizindikiro izi:
- malungo
- Kutupa kwa malekezero,
- kuchepa mphamvu kwa miyendo, makamaka m'mawa,
- kuchepa kwa khungu
- redness pakhungu,
- mapangidwe a foci a zowola.
Kuzindikira kwakanthawi mozizira
Zinadziwika kuti pakati pa ziwonetsero zoyambirira za angiopathy pamakhala kumverera kwa zowawa m'miyendo mukamayenda. Wodwala matenda ashuga amakhala ndi mwayi wapadera wotchedwa interlaumentla claudication. Pang'onopang'ono minofu ya atrophy imatha kudziwikira pawokha poyesa kuchuluka kwa miyendo ndi m'chiuno ndi sentimita yofewa.
Matenda oopsa a arterial (kuthamanga kwa magazi) ndi kusuta zimayipa gawo lalikulu pakukula kwa zizindikiro za angiopathy. Kuwonongeka kwa ziwiya zazikulu ndi zazing'ono kumatanthauza kuphwanya ntchito ndi kapangidwe kazinthu:
- minofu yama cartilage ikulowetsedwa,
- mchere umayikidwa
- spikes imakula
- kusuntha pang'ono zala, mawondo,
- kupweteka kuwoneka.
Zotheka za angiopathy zamitundu yosiyanasiyana ya shuga ndizosiyana. Njira zazikulu zothandizira kulipira shuga wambiri ndi insulin ndi zakudya. Ngati wodwala yemwe ali ndi mankhwala a insulin, samathandiza kuthana ndi hyperglycemia, ndiye kuti pamakhala vuto lalikulu. Wodwala yemwe amagwiritsa ntchito mankhwala ochepetsa shuga pogwiritsa ntchito mapiritsi amakhalabe ndi chiyembekezo chodzapatsirana mahomoni.
Pali nthawi zina pamene odwala akuwopa kuti asinthane ndi insulin m'malo mwamankhwala ndikudikirira zovuta zina mwanjira ya gangrene.Ngati kuli kotheka kubwezera koyenera, pambuyo pa zaka 1-2 kusintha kumadera akumunsi kumachitika, kumverera kuzizira kumatha.
Mosasamala zomwe zimayambitsa matendawa, chithandizo chake chikuyenera kuchitika ndi dokotala woyenera. Ngakhale pali maphikidwe ena otchuka ochepetsa shuga, amangogwiritsa ntchito mwanjira kapena ayi. Kugwiritsa ntchito kwawo kukhoza kukhala pachiwopsezo cha moyo komanso kuyambitsa zovuta zazikulu.
Ngati muli ndi zisonyezo zoyambirira za matendawa, monga pakamwa pouma, kusinthasintha kwakuthwa m'thupi kapena kuchiritsa kwambiri mabala, muyenera kufunsa dokotala. Pambuyo popimidwa kwathunthu, kuphatikiza kuyezetsa magazi ndi maphunziro ena, komanso matenda, dokotala atha kukulemberani chithandizo chamankhwala komanso chofunikira m'zochitika zonse.
Chithandizo cha mankhwala osokoneza bongo imakhala poika mankhwala ovuta. Amathandizanso m'njira zitatu:
- Chepetsani shuga m'magazi
- Yambitsani kupanga kwa insulin
- Sinthani ntchito ya insulin receptors.
Nthawi zambiri, mankhwala amodzi amatha kuchita zonse zitatu. Dokotala amafotokozanso ena mankhwala kuti achepetse kukula kwa zovuta. Wodwala akamayamba kupita kwa dokotala, ndiye kuti mankhwalawo amatha kukhala ndi vuto lofanana ndi matenda a shuga 2 kapena ngati matendawa ndi osachiritsika.
Pochiritsa mabala, njira zamankhwala zachikhalidwe ndi zachikhalidwe zimagwiritsidwa ntchito. Chithandizo chowawa chimachitika kokha moyang'aniridwa ndi adokotala.
Kuyesa kulikonse pakudziyimira pawokha kumadzetsa mavuto ena ndipo nthawi zambiri kumayambitsa kudula. Kuchiritsa konsekoko m'matenda a shuga sikungatheke popanda matenda a shuga.
Chifukwa chake, mankhwalawa amaphatikiza chithandizo chakomweko, kudya, kumwa mankhwala.
Zotsatira zoyambitsa matenda a shuga zimakhudza ziwalo zosiyanasiyana za thupi. Mwachitsanzo, ngati chala chakuda chakuda ndi matenda ashuga, nditani?
Nkhani yomwe ili pamwambapa ikufotokoza momwe mungapeze malo oyambira pafupi ndi komwe mumakhala. Zakudya zamtunduwu zimasokoneza mayamwidwe amadzi ndi mchere m'maselo, zomwe zimapangitsa kuti mitsempha yotupa izitutira.
Kuyenda movutikira kapena kuvuta kumatha kuwonetsa mavuto, kuphatikiza matenda, kapena kuvala nsapato. Tsatirani malamulo osamalira phazi, yang'anirani phazi tsiku ndi tsiku ndikuyang'ana dokotala mukangoona kuti china chake chikukusokonekera.
- Thandizo pambuyo podzicheka mwendo mu shuga.
- Kuchiritsidwa kwamankhwala pambuyo podulidwa chala mu shuga.
- Kudulidwa kwa zala zakumaso kwa shuga
- Kutentha pambuyo pakudulidwa - Opaleshoni yaulere.
Ndikofunika kuti muwonedwe ndi katswiri, osati dokotala wokha pantchito. Nthawi zambiri, anthu amadandaula za dzanzi, kuchepa mphamvu, kumva kupweteka kwambiri miyendo ndi kusabala.
Mankhwala a shuga a Ginger
Muzochitika zapamwamba, izi zimayambitsa gangrene ndi kudula. Kukula kwake kumatengera kutalika kwa matenda ashuga, momwe wodwalayo amathandizidwira, ngakhale atalimbikitsidwa kutsatira regimen.
- Distal, symmetric, sensor polyneuropathy yokhala ndi shuga.
- Hypoglycemia mu matenda a shuga ndi matenda
- Kuchepetsa mwendo ndi matenda ashuga, bwanji ndi matendawa.
- Kudulidwa mwendo mu shuga mellitus zifukwa zopewera
Ngati sanalandire kwa nthawi yayitali, ndizotheka kuwonjezera kuchuluka kwa ma ketoni komanso kukula kwa ketoacidosis. Zinthu izi zimachulukitsa magazi, omwe amavulaza ziwalo zambiri ndipo amatha kupha.
http://youtu.be/h3QEd71Xu9w
Zovuta pambuyo pa opaleshoni
Pambuyo pochotsa mbali ya mwendo kapena chala, pali zovuta zingapo - kuchokera pazomwe sizichiritsa kwa nthawi yayitali kuti kutupa ndi kutupa.Pofuna kupewa zotsatira zosafunikira, ndikofunikira kuvala bandeji yokhazikika yomwe imakhazikika pakuyenda kwa magazi ndi kutuluka kwa magazi. Ayenera kukhala olimba, ovulala kwambiri m'munsi mwa chitsa, mavutowo amachepa kumka kumtunda.
Kutikita pafupipafupi kwa chitsa ndi minofu yoyandikana - kugwada, kupukusa, kuwomba - ndikofunikira, chifukwa zimakupatsani kubwezeretsa minofu ya atrophied.
Ndikofunikira kudziwa kuti:
- Odwala onse amadwala ululu wamphantom. Pankhaniyi, katswiri wama psychologist ndi analgesics athandizira kuyanjananso ndi kutayika.
- Chithandizo cha mankhwalawa chimagwiritsidwa ntchito onse muzochita zamankhwala (pachimake) ndi physiotherapeutic.
- Mphamvu zowoneka bwino zimawonedwa ndi masewera olimbitsa thupi komanso mitundu yonse ya kutikita minofu, kuphatikizapo kudzithandiza. Mukachiritsa, mutha kusamba osamba.
Ndi chisamaliro chosauka, kubwezeretsanso minofu necrosis ndi matenda a bala ndikotheka. Kuchita mobwerezabwereza, pakufunika ntchito yayikulu.
Odwala ena amakumana ndi zovuta zina atadula miyendo. Amatha kuwonetsedwa, mwachitsanzo, pakuchulukitsidwa kwazitali kwa sutures, mapangidwe a malo okhala ndi chofukizira ndi kutupa kwa chitsa.
Pofuna kupatula zovuta zoterezi, ndikulimbikitsidwa kugwiritsa ntchito kuvala kwapadera. Chowonadi ndi chakuti amathandizira kukhazikika kwa kayendedwe ka magazi komanso kayendedwe ka mitsempha m'dera la ziwiya zowonongeka atachotsa.
Mawonekedwe pamapazi amtundu uliwonse ayenera kuyang'aniridwa mosamala. Pewani kukwawa, mwachitsanzo, kulumidwa ndi tizilombo. Microtrauma yaying'ono kwambiri ikuwopseza kuti isinthe.
Trophic circulatory matenda ndi minofu matenda amabweretsa zotsatirazi:
- necrosis (kufa kwa cell),
- Kusintha kwa khungu m'miyendo (kuchokera pachimvekere chowawa, mpaka utoto),
- mawonekedwe a puffuff pamapazi.
Ngati munthu wadulidwa, ndiye kuti zotsatirazi zitha kudziwika:
- poizoni wama minofu yathanzi samaloledwa, chifukwa palibe chomwe chimalepheretsa zotsatira zabwino za microflora yakunja, popeza chotupa chidapangidwa,
- Nthawi zambiri miyendo imadulidwa, chifukwa amafunika magazi ambiri,
- Makoma a mitsempha ya magazi amachepera msanga, pamene munthu ayamba kudwala matenda ashuga.
Kupewa mukamadzicheka
Njira yayikulu yolepheretsa kupezeka kwa zilonda zosachiritsika mu shuga ndikuwongolera kuchuluka kwa shuga m'magazi.
Kukonzanso mwendo ndikadula mwendo pamwamba pa bondo kumaphatikizanso njira zodzitetezera kuti zisachulukitse matenda opatsirana. Mulinso:
- Zaukhondo
- Kugwiritsa ntchito mwala wa pumice kuti kuthetsere khungu la keratinized. Lumo siliyenera izi,
- Kusintha khungu,
- Chithandizo chamiyendo cham'miyendo,
- Sinthani zovala nthawi zonse kuti muyere,
- Kusisita
- Kuyenda
- Kutsatira ndi malingaliro a madokotala ena.
Kodi njira izi zikuyenera kutsatiridwa mpaka liti? Moyo wanu wonse ngati mukufuna kukhala athanzi. Osadandaula ngati vuto lakukhudzani. Anthu amakhala ndi mahule ambiri, ndipo ena amakhala akatswiri othamanga.
Zomwe zimatsimikizira za kudwala kwa matenda ashuga
Ngati mwendo wadulidwa m'chiuno, theka la odwala matenda ashuga okha ndi omwe amapulumuka chaka chatha atachitidwa opereshoni. Ziwerengero zofananira zimawonedwa mu ukalamba, pamene shuga imayendera limodzi ndi zovuta zina. Mwa odwala omwe anakwanitsa kuphunzira ma prostheses, kupulumuka kumakhala katatu kwambiri.
Ndikudula mwendo wapansi, ngati palibe kukonzanso zokwanira, 20% ya ozunzidwayo amafa. Enanso 20 peresenti ya opulumuka amafunikanso kudula miyendo - tsopano. Mwa odwala omwe adadwala kale, kufa kwa chaka sikupitirira 7% (pamaso pa matenda achilendo).
Ndi njira yaying'ono yochita opaleshoni (kusanjikanso phazi, kuchotsa chala), chiyembekezo cha moyo chimakhalabe pamlingo wazaka zake.
Ndi matenda opatsirana a shuga, zovuta za zovuta ndizambiri. Kudula mwendo mu matenda ashuga ndi chifukwa chachikulu chomwe madokotala ochita opaleshoni amakakamizidwa kuti ateteze matenda osokoneza bongo kapena sepsis ndikupulumutsa moyo wa wodwalayo.
Kuti mubwezeretse ndikukhalanso wogwira ntchito kwa dzanja lomwe lakhudzidwa panthawi yakusinthika, ndikofunikira kutsatira zonse zomwe dokotala wakulemberani.
Njira zamakono zodziwitsira zala za matenda ashuga - muvidiyoyi
Anthu odwala matenda ashuga atadulidwa kokwanira mbali yaumayi amatha mkati mwa miyezi 12 mwa milandu 50%. Zizindikiro zomwe zatsimikiziridwa zimatsimikiziridwa ngati opareshoniyo idachitidwa mwa munthu wachikulire wokhala ndi zikhalidwe za pathological. Mwa odwala omwe atha kupitirirapo, kufa kumachepetsedwa katatu.
Pambuyo ndikudula mwendo wapansi popanda kukhala ndi nthawi yokwanira yokonzanso, odwala oposa 20% amafa. Pafupifupi 20% ya iwo pambuyo pake adzafunanso kubwezeretsanso gawo la akazi.
Mwa anthu odwala matenda ashuga omwe adakwanitsa kuyendayenda pamiyendo, ziwengo sizingadutse 7% pakadutsa miyezi 12 kuchokera ku matenda aliwonse omwe adakumana nawo. Odwala, atatha kudula pang'ono (zala zazing'ono) ndi mawonekedwe a phazi, adzakhala ndi chiyembekezo chamoyo chofanana ndi zaka zawo.
Chifukwa chake, pankhani ya matenda ashuga, mwayi wokhala ndi zovuta zingapo, kuphatikiza omwe amagwirizana ndi madera akumunsi, ndiwokwera kwambiri. Pofuna kutalikitsa moyo wa wodwalayo, akatswiri amalimbikira kudula mwendo kapena gawo lililonse la iwo.
Kupanda kutero, kukula kwa gangrene, sepsis ndi kufa kwa matenda ashuga mwina. Komabe, ngakhale atadulidwa, ndikofunikira kutsata mosamalitsa malingaliro onse a dokotalayo kuti akhalebe 100% yazofunikira.
Ngati munthu ali ndi matenda ashuga, ndiye kuti njira yodulira nthawi zambiri imachitika ndipo izi zimathandiza munthu kupulumutsa moyo. Zikatero, ndikofunikira kutsatira malingaliro azachipatala, ndiye kuti mwayi ndi wolepheretsa kukula kwa njira zomwe zimathandizira kupititsa patsogolo shuga.
Zikatero, ndikofunikira kuti musayambitse ntchitoyi, chifukwa kudula kumatha kukhudza mbali zazikulu zamiyendo. Ndizowopsa kuti izi zimayambitsa theka laimfa mwa odwala matenda ashuga. Ndikofunikira mu zochitika zotere kudzuka nthawi pambuyo pa opareshoni, ndiye kuti mwayi wokonzanso umachulukitsa katatu.
Kuchita bwino kumalola munthu kuti azikhala nthawi zonse pagulu, amabwezeretsedwa kuntchito yake yakale ndikuyankhulana ndi abwenzi. Zikatero, ndikofunikira kusankha ma prosthesis oyenera, ndiye kuti palibe chomwe chingasokoneze moyo wabwino.
Musaganize kuti njira yodulira dzanja ndi mathero amoyo. Osatengera izi, kwa anthu ambiri, izi nthawi zambiri zimasintha moyo pomwe mungapeze anzanu komanso malingaliro atsopano.
Mfundo zoyambirira za chakudya No. 9
Matenda a "Lokoma" amayambitsa kuphwanya kwa kagayidwe kazakudya m'thupi, motero wodwala aliyense amene akufuna kupeza yankho ku funso: momwe angachepetse anthu odwala matenda ashuga, ayenera kumvetsetsa kuti amafunikira chomera muyezo wofunikira.
Amapereka bwino digestibility ya chakudya chamafuta, amathandiza kuchepetsa kuyamwa kwa zinthuzi m'matumbo am'mimba, amachepetsa kuchuluka kwa shuga mumkodzo ndi magazi, komanso amathandizira kuyereketsa magazi a poizoni ndi cholesterol.
Kuti muchepetse kulemera kwa wodwalayo patebulo la wodwalayo, ulusi uyenera kukhalapo osalephera komanso wokwanira. Zakudya za fiber zomwe zimalowa m'mimba zimayamba kutupa, zomwe zimapangitsa kuti pakhale nthawi yayitali.
Kupititsa patsogolo kwa zotsatirapo kumawonedwa muzochitikazo pomwe michere yazomera ndi zovuta zovuta zimaphatikizidwa.Zakudya za matenda ashuga amtundu woyamba ndipo zoyamba zimaphatikizapo masamba osiyanasiyana, azikhala osachepera 30% ya menyu wonse.
Ndikulimbikitsidwa kuti muchepetse kumwa mbatata, musanaphike muyenera kuti muziwirira kuti muchepetse wowuma. Beets, kaloti, nandolo okoma samadyedwa koposa kamodzi patsiku, popeza ali ndi chakudya chambiri cholimbitsa thupi.
Kuti muchepetse kulemera kwa shuga, zakudya zimatengedwa ngati maziko a chakudya chamagulu: nkhaka, tomato, biringanya, squash, radish, sorelo. Mutha kudya mkate, koma pang'ono, kusankha zakudya zonse za tirigu, kutengera ufa wa rye kapena kuphatikiza ndi chinangwa.
M'matimu, kuchuluka kwa mapadi, othandiza kwa odwala. Chifukwa chake, amaloledwa kudya buckwheat, barele wa ngale, oatmeal ndi phala ya chimanga. Mpunga ndi semolina zimaphatikizidwanso muzakudya kuposa kamodzi pa sabata.
Kuchepetsa thupi mu shuga ndi ntchito yovuta, motero wodwala ayenera kutsatira zotsatirazi:
- Odwala omwe ali ndi matenda amtundu woyamba 1 ayenera kudya zakudya zochepa zopatsa mphamvu. Chololedwa kudya zosaposa 30 kilocalories patsiku kutengera kilogalamu imodzi yakulemera kwa thupi.
- Odwala omwe ali ndi matenda a shuga a 2 ayenera kutsatira kadyedwe kakang'ono, amaloledwa kudya 20-25 kilocalories pa kilogalamu ya kulemera kwa thupi. Chakudya chamtunduwu chimatanthawuza kupatula zakudya zonse zodzala ndi chakudya chamagulugi.
- Mosasamala mtundu wa matenda "okoma", wodwalayo ayenera kudya pang'ono, koyenera kuti pakhale zakudya zazikulu zitatu, zokhazokha zokhazokha.
- Kuchita kumawonetsa kuti njira yochepetsera thupi imakhala yovuta kwambiri chifukwa cha zoletsa zambiri, koma ngati mumamatira ku menyu okhwima popanda kudzipereka, mutha kuchepetsa thupi.
- Patebulo pazikhala zinthu zomwe zimalembetsedwa ndi CHIKWANGWANI cha mbewu.
- Mwa mafuta onse omwe amadya patsiku, 50% ndi mafuta azipamba.
- Thupi limafunikira kupereka michere yonse yothandizika bwino - mavitamini, mchere, amino acid, ndi zina zambiri.
Muyenera kusiya kumwa zakumwa zoledzeretsa, chifukwa zimadzetsa kuchuluka kwa shuga m'magazi, pomwe zimakulitsa chilimbikitso, zomwe zimapangitsa kuti wodwalayo aphwanye zakudya, overeat, zomwe zimakhudza kulemera kwa thupi.
Zakudya za odwala matenda ashuga zimafuna zoletsa zina, kuphatikizapo shuga siziyenera kuperekedwa. Komabe, kufunikira kwa zakudya zotsekemera kumakhala kwachilengedwe, kunganenedwe kuti kupezeka pamitundu yachilengedwe.
Ndi kawirikawiri kuti wodwala amakana maswiti, pomwe akumva bwino. M'miyeso yambiri, posakhalitsa kusokonezeka kumachitika, chifukwa chakudya chikaphwanyidwa, glycemia imachulukana ndipo njira ya matenda amakula.
Chifukwa chake, menyu a matenda ashuga amakulolani kudya zotsekemera. Phindu lake ndi kunyentchera kwa kulawa kwakanthawi, kupangitsa kuchepetsa kuwola kwa mano komanso kuwonjezeka kwa shuga.
Zakudya zochepetsa thupi ku shuga zitha kuphatikizira izi:
- Cyclamate imadziwika ndi otsika kalori, imasungunuka bwino mumadzi aliwonse.
- Aspartame imawonjezeredwa zakumwa kapena zophika, zimakhala ndi kukoma kosangalatsa, sizikhala ndi zopatsa mphamvu, magalamu 2-3 patsiku ndizovomerezeka.
- Acesulfame potaziyamu ndi zinthu zochepa zama calorie zomwe sizikukweza glucose m'magazi, samatengedwa m'mimba ndipo amachotsedwa mwachangu.
- Sucrasitis sikuletsa kuteteza thupi ku mtundu 2 wa shuga, samangika thupi, alibe ma calories.
- Stevia ndi cholowa m'malo mwachilengedwe chopanda shuga, chomwe chimakhala ndi zopatsa mphamvu, chimagwiritsidwa ntchito kuphika zakudya.
Kuti mumvetse momwe mungachepetse thupi ndi matenda ashuga, muyenera kukumbukira:
- Ngati wodwala ali ndi matenda a shuga omwe amadalira insulin, amakakamizika kutsatira zakudya zomwe zimakhala ndi zopatsa mphamvu zochepa (osadya zosaposa 26-16 kcal / kg patsiku),
- ngati wodwala akuwonetsa mtundu wa shuga wodziyimira payekha, ndiye kuti zakudya ziyenera kukhala zopatsa mphamvu (20-24 kcal / kg),
- wodwala matenda amtundu uliwonse, wodwala ayenera kudya chakudya chokwanira tsiku lonse osachepera 5-6,
- ndikofunikira kupatula mankhwala osakanikirana azakudya zamagetsi kuchokera menyu yazakudya, ndikugwiritsanso ntchito mchere wochepa kwambiri,
- kupezeka kwa menyu wazinthu zomwe zimakhala ndi CHIKWANGWANI kumakhala kovomerezeka
- mafuta masamba amapanga 50% ya mafuta onse omwe wodwala amatenga,
- Kukhalapo kwa ma macro- ndi ma microelements abwinobwino kugwira ntchito kwa thupi kumadziwika kuti ndi kofunika
- kusuta sikuyenera kupatulidwa, mowa ─ mu kipimo "chofanizira".
Njira yabwino yochepetsera kunenepa ndi matenda a shuga a 2 ndi chakudya chamafuta ochepa, chomwe sichingothandiza kuchepetsa kunenepa, komanso kuchepetsa matenda a shuga. Pali malingaliro ambiri pazakudya. Komabe, ngati china chilichonse chikukayikira, ndibwino kufunsa dokotala kuti adziwe ngati zingagwiritsidwe ntchito?
Kuchuluka kwa zopatsa mphamvu patsiku sikuyenera kupitirira 1500. Ndikofunika kudya zakudya zachilengedwe zokha, zopsinjika, kapena zatsopano.
Pewani zakudya zakonzedwe komanso soseji, zomwe zimakhala ndi zoteteza zambiri zomwe zingakulitse shuga. Osamadya zakudya zokazinga, komanso zinthu zomwe zakonzedwa pogwiritsa ntchito batala yambiri (batala kapena masamba).
Tayani kwathunthu zakudya zotsekemera komanso zonona.
Udindo wofunikira umachitika ndimadongosolo oyenera a zakudya. Idyani zakudya zitatu patsiku osakudya kapena kudya zakudya zazing'ono nthawi zonse. Chofunikira chachikulu ndikuti dongosolo la chakudya lotere liyenera kukhala tsiku ndi tsiku.
Zosintha pazakudya - chinthu chachikulu chomwe endocrinologist imapereka pambuyo pakuzindikira. Mu shuga, kudya No. 9 akuwonetsedwa. Zofunikira zake:
- Ma calorie otsika pochepetsa kuchuluka kwa chakudya chambiri. Shuga, makeke samapatula, zipatso zotsekemera, mbatata, pasitala, mkate ndizochepa. Zakudya zopatsa thanzi ziyenera kukhala "zofulumira": buckwheat, oatmeal, barele la ngale.
- Kuchepetsa kuchuluka kwa mafuta. Simungadye nyama yankhumba, nyama zosuta. Mafuta ayenera kupukusa mosavuta, ndiko kuti, makamaka kuchokera ku zinthu zamkaka: tchizi cha kanyumba, kirimu wowawasa, kefir, yogati, tchizi. Ayenera kusankhidwa ndi zolemba zochepa. Ndikofunikira kugwiritsa ntchito mafuta, masamba, kudya batala pang'ono, womwe umayikidwa m'mbale.
Kodi ndingafunike mawu ati kuwaza?
Ngati munthu alidi wathanzi, ndiye kuti kulemera kwake kumatha kusunthira mbali imodzi kapena kwinanso ndi 5 makilogalamu. Kuchulukitsidwa kwake kumatha kukhala chifukwa cha zifukwa zosiyanasiyana, mwachitsanzo, kudya kwambiri usiku, maphwando, kuchepa thupi zolimbitsa thupi, ndi zina zambiri. Kuchepetsa thupi kumachitika makamaka mukulimbikitsidwa ndi nkhawa komanso nkhawa, kapena munthu akayamba kuganiza kuti akufuna kuchotsa ma kilogalamu ochepa ndikuyamba kutsatira zakudya komanso masewera olimbitsa thupi.
Koma pakakhala kuwonda msanga (mpaka makilogalamu 20 m'miyezi ingapo), ndiye kuti izi zachoka kale panjira ndipo zitha kuonetsa kukula kwa matenda ashuga. Pankhaniyi, zizindikiro zotsatirazi zikuwoneka:
- njala yosalekeza
- ludzu ndi kamwa yowuma
- kukodza pafupipafupi.
Zofunika! Pamaso pa zizindikiro izi motsutsana ndi kuchepa thupi kwa thupi, muyenera kufunsa chithandizo kuchokera kwa dokotala, yemwe ndi endocrinologist. Atasanthula wodwalayo, adzayitanitsa kubweretsa mayeso osiyanasiyana, pakati pawo padzakhala kusanthula kuti mudziwe kuchuluka kwa shuga m'magazi. Ndipo pokhapokha atalandira zotsatira za mayeso, amatha kutsimikizira kapena kukana kukhalapo kwa odwala matenda ashuga.
Tiyeneranso kudziwa kuti pang'onopang'ono chitukuko cha matenda a munthu "okoma", kusintha kwina kwamunthu kungakhale kosokoneza. Izi zikuphatikiza:
- kupweteka mutu komanso chizungulire,
- kutopa,
- kuchuluka kukwiya
- zovuta zam'mimba zam'mimba (mseru, kusanza, kutsekula m'mimba, ndi zina zambiri),
- kuchuluka kwa magazi,
- kuchepa kowoneka bwino,
- Khungu
- mabala ndi ming'alu m'thupi omwe sachiritsidwa kwa nthawi yayitali ndipo nthawi zambiri amakula, kupanga zilonda pambuyo pawo.
Munthu yemwe akuwonetsetsa kuti thupi lawonda kwambiri ayenera kudziwa kuti izi zitha kuvulaza thanzi lake ndikuyambitsa mavuto ena mthupi, kuphatikiza kuchokera ku endocrine system. Ndipo polankhula zazomwe zimayambitsa kuchepa kwambiri kwa thupi mu shuga, zotsatirazi ziyenera kutchulidwa:
- Njira ya Autoimmune. Ndiomwe chimayambitsa matenda osokoneza bongo mu kapamba ndi insulin. Zotsatira zake, glucose amayamba kudziunjikira m'magazi ndi mkodzo, zomwe zimapangitsa kuti pakhale zovuta zina kuchokera ku mtima ndi ma genitourinary system. Njira za Autoimmune ndizomwe zimayambitsa matenda a shuga 1.
- Kuchepetsa chidwi cha maselo ku insulin. Maselo "akakana" insulini kwa iwo eni, thupi limakhala ndi kuperewera mphamvu ndikuyamba kuchotsera m'maselo a mafuta, zomwe zimapangitsa kuti achepe kwambiri.
- Kuchepa kwa kagayidwe kotsutsana ndi maziko a kuchepa kwa chidwi cha maselo ku insulin. Njira izi, zimaphatikizirana, ndizifukwa zomwe zimapangitsa kuti anthu achepetse shuga. Ndi mphamvu ya kagayidwe, thupi limayamba "kuwotcha" madzi ake osangokhala ndi minofu ya adipose, komanso minofu ya minofu, yomwe imatsogolera kutha kwakanthawi.
Munthu akayamba kuchepa thupi msanga m'magazi, amamulembera zakudya zapadera zomwe zimawonjezera kulemera kwa thupi, koma zimathandizira kuti matendawo asayang'anire, kupewa zovuta zambiri kuti zisathenso.
Mfundo zoyambirira za zakudya zopatsa thupi zolemetsa mwadzidzidzi
Matenda a shuga ndi matenda omwe amafuna kuti wodwalayo aziyang'anitsitsa kudya kwake nthawi zonse. Sayenera kudya zakudya zokazinga, zamafuta ndi zotsekemera. Koma kodi mungatani kuti muchepetse kuwonda kwambiri komanso kunenepa? Chilichonse ndichopepuka. Anthu omwe ali ndi matenda ashuga ayenera kudya zakudya zambiri zomwe zimakhala ndi index ya glycemic yotsika. Izi zikuphatikiza:
- skim mkaka (muli mapuloteni ambiri, omwe amathandiza kupewa kuchepa kwa minofu)
- mkate wa ndani
- mbewu zonse, monga barele ndi thumba lankhondo,
- masamba (osavomerezeka angodya masamba omwe amakhala ndi wowuma ndi shuga mwachitsanzo, mbatata ndi beets),
- zipatso zosachepera shuga monga malalanje, maapulo obiriwira, etc.
Chakudya chiyenera kukhala chosakanizika. Muyenera kudya kangapo 5-6 patsiku m'magawo ang'onoang'ono. Ngati thupi latha, ndiye kuti uchi utha kuwonjezeredwa ku chakudya chachikulu. Koma muyenera kugwiritsa ntchito osaposa 2 tbsp. patsiku. Ngati mungoletse kudya zamafuta ochepa omwe amapezeka m'zinthu zina, kugwiritsa ntchito uchi tsiku lililonse sikungakhudze matendawa, koma kumalimbitsa chitetezo cha mthupi.
Mukamapanga menyu, odwala matenda ashuga ayenera kutsatira dongosolo lina. Zakudya zake za tsiku ndi tsiku ziyenera kukhala ndi 25% yamafuta, 60% yazakudya zamafuta ndi 15% ya mapuloteni. Ngati kuchepa kwa thupi kumawonedwa mwa mayi wapakati, kuchuluka kwa chakudya komanso mapuloteni muzakudya za tsiku ndi tsiku kumawonjezeka, koma mosasamala payekhapayekha.
Zotheka ndi zovuta
Kuchepetsa kwambiri shuga. Choyamba, ndi kuwonda msanga, njira za metabolic zimasokonezeka, ndipo chachiwiri, dystrophy ya minofu ndi minyewa ya adipose imachitika.
Kuphatikiza apo, ndi matenda a shuga, kuchepetsa thupi mwadzidzidzi kumawonjezera mwayi woledzera kwambiri. Zinthu zapoizoni ndi zowola zomwe adipose ndi minofu minofu zimayamba kudziunjikira m'magazi a wodwalayo. Ndipo popeza kuti thupi silikugwirizana ndi kuchotsedwa kwawo, izi zimakhudza mkhalidwe wa ziwalo zonse zamkati, kuphatikiza ubongo, womwe ungayambitse imfa.
Komabe, dongosolo logaya chakudya limadwala makamaka kuwonda mwadzidzidzi. Motility yam'mimba imakhala yovuta, ndipo munthu amakhala ndi mavuto osiyanasiyana mwanjira ya mseru, kusanza, kupweteka, kumva kuwawa, ndi zina zambiri. Njira zonsezi sizidutsa kapamba ndi chikhodzodzo. Chifukwa chake, kapamba ndi gastritis ndimakonda kucheza ndi odwala matenda ashuga omwe amalemera kwambiri.
Kuphatikiza pa zonsezi, kuchepa kwambiri kwa anthu odwala matenda ashuga, zovuta zotere zimatha kuchitika:
- kukulitsa kwa hypoparathyroidism,
- mawonekedwe a edema,
- kuchepa kwa tsitsi ndi misomali pakusowa kwa mavitamini ndi michere,
- kupezeka kwa hypotension (kuthamanga kwa magazi),
- mavuto amakumbukiro ndi chidwi.
Matenda a zamagetsi amapezekanso nthawi zambiri mwa anthu odwala matenda ashuga komanso kuwonda mwadzidzidzi. Amakhala okwiya, nthawi zina amakhala okwiya komanso amakonda kukhala achisoni.
Tsoka ilo, ndizosatheka kuchira ku matenda ashuga. Koma ndizotheka kuti tipewe zovuta zingapo zakumbuyo yake. Kuti muchite izi, muyenera kungotsatira malingaliro onse a dotolo ndikumwa mankhwala pafupipafupi. Ndipo ngati pakufunika kuthana ndi kulemera kwambiri, izi ziyeneranso kuchitidwa moyang'aniridwa ndi akatswiri.
Njira zolimbitsa thupi zomwe zimayambitsa kuchepa thupi
Kuti mumvetsetse chifukwa chake kuchepa thupi kunenepa kwambiri kwa matenda ashuga a 2, muyenera kudziwa momwe amapangira matendawa.
Maonekedwe ndi kupita patsogolo kwa matenda am'mimba ndikuchitika chifukwa cha kuchuluka kwa shuga m'magazi am'magazi, omwe amachitika motsutsana ndi maziko a kuchepa kwa ntchito zachinsinsi zama cell a pancreatic.
Zomwe zimapangitsa kuti achepetse kugwiritsidwa ntchito kwa maselo a pancreatic kumabweretsa kuchepa kwa kuchuluka kwa insulin yomwe imapangidwa mthupi, yomwe imayang'anira kuthekera kwa thupi kotenga shuga.
Nthawi zina, kapamba imakhala ndi zochitika zofananira, kuonetsetsa kuti insulini ikufunika, komanso kuchuluka kwa glucose m'thupi kumachitika chifukwa choti minofu yodalira insulini imayamba kugwira ntchito m'thupi, imalepheretsa kuti shuga azitulutsira shuga kudzera mumimba.
Chifukwa cha njirazi, ma cell samalandira kuchuluka kofunikira mphamvu, kulipirira kuchepa kwa mphamvu, thupi limayamba kupeza mphamvu m'misika yamafuta ndi minofu ya minofu.
Kupezeka kwa zotere kumapangitsa kuti muchepetse kuchepa thupi, ngakhale kudya kwakokwanira. Kuchepetsa thupi kwakanthawi kochepa m'matenda a shuga kumayambitsa kutsika kwa thupi ndikukula kwa zovuta zambiri ndi pathologies wodwala.
Ndi matenda ashuga, amachepetsa thupi kapena kunenepa: zomwe zimayambitsa kuchepa kwambiri
Odwala ambiri samvetsa chifukwa chake amachepetsa thupi ndi matenda ashuga a 2. Kuchepetsa thupi ndichimodzi mwazizindikiro zodziwika za matendawa. Munthu amene shuga yake ndi yabwinobwino sangachotse mapaundi owonjezera popanda kuyeserera.
Mikhalidwe yovuta imawonedwa ngati zomwe zimayambitsa kuchepa thupi, koma sitiyenera kuyiwala za matenda osiyanasiyana. Chimodzi mwazinthu izi ndi shuga mellitus, yemwe amayamba chifukwa cha kusagwira bwino ntchito kwa chitetezo chathupi cha munthu ndipo amadziwika kuti kusowa kwathunthu kapena pang'ono mthupi la timadzi timene timatsitsa shuga - insulin.
Kanema (dinani kusewera). |
Mosiyana ndi kuti shuga imakonda kuchitika chifukwa cha kunenepa kwambiri, ndikamapitirira kwa matendawa, anthu samanenepa, koma amayamba kunenepa. Kuchepetsa thupi mwachangu kumatha kuyambitsa zovuta zingapo - kuyambira pakukanika kwa impso kupita ku gastritis. Chifukwa chake, nkhaniyi ithandizanso kumvetsetsa chifukwa chake anthu amachepetsa thupi ndi matenda ashuga komanso momwe angakhalire akhalidwe lolemera pamlingo wamba.
Mwa munthu wathanzi, kulemera kwake kumasinthasintha mpaka 5 kg. Kuchulukitsidwa kwake kumatha kuphatikizidwa ndi tchuthi, tchuthi kapena kuchepa kwa zolimbitsa thupi.Kuchepetsa thupi kumachitika makamaka chifukwa cha nkhawa, komanso kufunitsitsa kwa munthu amene akufuna kutaya ma kilogalamu angapo.
Komabe, kuchepa kwambiri kwa makilogalamu 20 m'miyezi 1-1,5 kungawonetse kukula kwa matenda ashuga. Kumbali ina, kuchepa thupi koteroko kumabweretsa mpumulo kwa wodwalayo, koma kumbali yake, ndikutanthauzira kwamatenda akulu a pathologies.
Ndi chiyani china chomwe muyenera kulabadira? Choyamba, izi ndi zizindikiro ziwiri - ludzu losatha ndi polyuria. Pamaso pazizindikiro zotere, limodzi ndi kuchepa thupi, munthu ayenera, choyamba, kukaona endocrinologist. Dotolo, atamuyesa wodwalayo, amamuyesa mayeso a shuga wamagazi ndipo kenako amatsimikizira kapena kukana kukayikira kwa "matenda okoma".
Kuphatikiza apo, anthu omwe ali ndi shuga ambiri amatha kudandaula:
- mutu, chizungulire,
- kutopa, kusokonekera,
- kumva kwamphamvu njala
- kusokonezeka ndende,
- matenda ammimba
- kuthamanga kwa magazi
- kuwonongeka kwamawonekedwe
- mavuto azakugonana
- Khungu loyera, machiritso amthawi yayitali,
- matenda a impso.
Munthu amene akufuna kuchepa thupi ayenera kukumbukira kuti kunenepa kwambiri, komwe sikuvulaza thupi, sikuyenera kupitirira 5 kg pamwezi. Zomwe zimayambitsa kuwonda kwambiri ndi "matenda okoma" zabodza zotsatirazi:
- Njira ya autoimmune yomwe kupanga insulin kumayima. Glucose amapanga m'magazi ndipo amatha kupezekanso ndi mkodzo. Khalidwe la matenda ashuga 1.
- Kuperewera kwa insulin pomwe ma cell samazindikira bwino iyi timadzi. Thupi limasowa glucose - gwero lalikulu lamphamvu, chifukwa chake limagwiritsa ntchito maselo amafuta. Ndiye chifukwa chake kuchepa thupi mu mtundu 2 wa shuga.
Popeza kusokonezeka kwa metabolic kumachitika, ndipo maselo samalandira mphamvu yofunikira, maselo amafuta amayamba kudyedwa. Zotsatira zake, odwala matenda ashuga "amawotcha" pamaso pathu.
Zikatero, munthu amadya chakudya choyenera, ndipo kenako thupi limayamba kukula.
Chifukwa chiyani anthu amachepetsa thupi ndi matenda ashuga?
Bwanji kuchepetsa thupi ndi matenda a shuga a 2? Nthawi zambiri, kusintha kwakukutu kwa odwala matenda ashuga a mtundu wa 2 kumalumikizidwa ndi kupezeka kwa kupsinjika kwamphamvu ndi zotsatira za zovuta pamthupi. Nthawi zina, kuchepa thupi kumatha kugwirizanitsidwa ndi kusokonezeka kwa mitsempha yotsutsana ndi maziko a matenda ashuga.
Chifukwa china chakuchepa kwambiri kwa thupi kumatha kukhala vuto pakugwira ntchito kwa kapamba. Izi kusokonezeka ndi zotsatira zoyipa kwa anthu zimabweretsa kuwoneka kwa zolakwika mu kagayidwe kachakudya, ndipo chifukwa chake, wodwalayo amakhala akuswa zifukwa za kukakamiza kwa zinthu zofunika kuzilimbitsa thupi kuchokera pakupanga chakudya.
Kuchepetsa thupi mwa munthu wodwala matenda ashuga, amamuikira zakudya zapadera, zomwe zimapangitsa kuti thupi lizolowereka pomwe akuwongolera kupitirira kwa matenda, omwe amathandizira kupewa zovuta.
Zifukwa zazikulu zomwe zimachepa kwambiri munthu amene akudwala matenda okoma ndi izi:
- Njira za Autoimmune - ndizomwe zimayambitsa chisokonezo pakugwira ntchito kwa kapamba komanso kupanga insulini.
- Kuchepetsa chidwi cha maselo odalira insulin kupita ku mahomoni, omwe amachititsa kuti pakhale kusowa mphamvu, komwe kumapangidwa ndi kuwonongeka kwa mafuta ndi mapuloteni.
- Kagayidwe kachakudya motsutsana maziko a kuchepa kwa chidwi cha maselo a insulin.
Nthawi zina, odwala matenda ashuga amatha kukhala onenepa kwambiri. Chifukwa chake, nthawi zina mutha kukumana ndi funso loti bwanji odwala matenda ashuga amayamba kunenepa. Monga kuchepa kwa thupi, chindapusa chakupeza kulemera kwa wodwalayo ndimatayidwe osokonekera, omwe amachititsa kuti mafuta ambiri atulutsidwe.Izi zimadziwika makamaka kwa odwala omwe samayesetsa kusunga zakudya zoyenera komanso zakudya zoyenera.
Kuphatikiza pa kupsinjika kwamalingaliro ndi zovuta pamavuto, zifukwa zotsatirazi zimatha kuyambitsa kuchepa thupi pamaso pa anthu odwala matenda ashuga:
- anorexia amanosa
- kuvutika maganizo pambuyo pake
- yoyamwitsa
- kupezeka kwamavuto amthupi,
- kusakwanira kapena kuperewera kwa zakudya m'thupi.
Matenda osiyanasiyana pantchito ya m'mimba, matenda a oncological ndi matenda opatsirana angapo, komanso kuchepa kwa thupi la kapangidwe kazinthu zofunika ka mankhwala osakanikirana ndi zakudya zomwe zimayambitsa matenda a shuga.
Zomwe zimayambitsa lakuthwa kwambiri m'magazi odwala matenda ashuga mwina zimachitika motere:
- Kukula kwa matenda a magazi.
- Kuwonongeka kwa chida kwa thupi laimuna.
- Zomwe zimachitika mthupi la zochitika zovuta komanso zamitsempha.
- Njira za kuwonongeka kwa minofu mthupi.
Tiyenera kukumbukira kuti kwa odwala omwe ali ndi matenda otsekemera, pali mwayi woti osati kuchepa thupi kokha, koma kukula kwa kutopa - cachexia
Ngati mukunenepa kwambiri komanso muli ndi matenda otsekemera, anthu akufunsa ngati mtundu wa 2 wodwala ungachiritsidwe ngati muchepa thupi. Kuyankha funso ili, ziyenera kudziwika nthawi yomweyo kuti matenda a shuga sangachiritsidwe chifukwa chochepetsa thupi, koma ngati mukunenepa kwambiri, kuchepetsa thupi kumakhala ndi zotsatira zabwino pathupi lathu komanso thanzi lanu lonse.
Kodi kuopsa kwa kunenepa kwambiri ndi chiyani?
Kusintha kwakukuru m'thupi la wodwalayo m'njira yaying'ono kumakhala ndi ngozi zambiri.
Choyamba, kuwonda kwambiri, kumakhala kuphwanya njira za metabolic zomwe zimatsimikizira zochitika zamunthu, ndipo chachiwiri, chitukuko cha dystrophy cha minofu ndi minofu yamafuta chimawonedwa.
Kuphatikiza apo, kuchepa kwa thupi kungasokoneze maonekedwe a kuledzera kwambiri. Mu plasma ya wodwalayo, pamakhala kuchuluka kochuluka kwa zinthu zosakwanira kuwonongeka kwa adipose ndi minofu minofu. Thupi silingathe kuthana ndi machitidwe a chimbudzi, omwe amakhudza kwambiri ziwalo zonse ndi machitidwe awo. Zotsatira zoyipa zakumwa za poizoni zimawonekera pa ubongo, zomwe pamapeto pake zimatha kupha.
Ndi kuchepa kwa thupi m'thupi la odwala matenda ashuga, dongosolo logaya chakudya limayamba kuvutika koyamba. Wodwalayo adawulula zakusokonekera pamatumbo, kuphwanya kotero kumayendetsedwa ndi mawonekedwe a:
- nseru
- kusanza
- kupweteka
- kumva kuwawa ndi ena.
Kusintha konseku kumakhudza kugwira ntchito kwa kapamba ndi chikhodzodzo. Pachifukwa ichi, kuyambika ndi kupitilira kwa pancreatitis ndi gastritis kumakhala kucheza pafupipafupi ndi odwala omwe ali ndi matenda okoma komanso kuchepa thupi msanga.
Chifukwa cha kusokonezeka kwa metabolic komanso kuchuluka kwa poizoni m'magazi am'magazi, madzi amchere amchere amasintha. Kuphwanya lamulo kotereku kumayambitsa vuto pantchito ya chiwindi ndi impso.
Kusintha kwa matenda amtunduwu kumabweretsa zotsatirapo zowopsa:
- Kulephera kwina.
- Hepatitis.
- Urolithiasis, etc.
Kuphatikiza pa mavutowa ndi ma pathologies, wodwala matenda ashuga omwe akuchepetsa thupi angakumane ndi zovuta izi:
- mawonekedwe ndi kupita patsogolo kwa hypoparathyroidism,
- mapangidwe a edema yayikulu,
- Pali kusowa kwa tsitsi ndi mbale zazingwe, zomwe zimayamba motsutsana ndi kusowa kwa mavitamini ndi michere ya mchere m'thupi,
- kukula kwa hypotension,
- mavuto amakumbukiro ndi chidwi.
Kuphatikiza pa mavutowa, odwala matenda ashuga omwe amachepetsa thupi amathandizidwa ndi zovuta zamaganizidwe.Odwala amakhala osakwiya, nthawi zina okwiyitsa amawonekera, chizolowezi chokhala ndi maboma ovuta amawonekera.
Ndikosatheka kuchira ku matenda ashuga, koma ndizotheka kupewa zovuta. Izi zimafuna kutsatira mosamalitsa malingaliro a endocrinologist ndipo nthawi zambiri mumamwa mankhwala omwe mumalandira.
Ngati pakufunika kuchepetsa thupi, njirayi iyenera kuwongoleredwa ndi adokotala.
Mfundo zoyambirira zopatsa thanzi zochepetsa thupi kwambiri pamaso pa matenda a shuga a 2
Udindo waukulu wa matenda ashuga a mitundu yonse 1 ndi mtundu 2 umaseweredwa ndi zakudya. Zikakhala kuti zakonzedwa molondola, poganizira zonse zomwe dokotala amafunsa, ndiye kuti njira ya matenda a matenda ndi yabwino kwambiri.
Kuti chakudya chikhale chothandiza komanso kukwaniritsa zofunikira zonse, ndikofunikira kuwongolera kufunikira kwake komanso zopatsa mphamvu. Kuphatikiza apo, zakudya zimayenera kugawidwa tsiku lonse molingana ndi katundu wogwiritsa ntchito thupi komanso nthawi yokwanira ya hypoglycemic kuchokera ku mankhwala omwe amagwiritsidwa ntchito pa mankhwala a antidiabetesic.
Njira yotere yokhudza bungwe la zakudya zopatsa thanzi imatsimikizira kuchuluka kwa shuga m'magazi a odwala matenda ashuga, omwe amayandikira kwambiri kwa chisonyezo chazamoyo.
Kuphatikiza apo, muyenera kuwonetsetsa kuti chakudya chomwe munthu amadwala chimakhala chosiyanasiyana komanso chokoma.
Kulemera pamaso pa matenda ashuga ndikusiya njira yochepetsera thupi kumathandizira kudya kwapadera komanso maphikidwe a odwala matenda ashuga amtundu wa 2.
Kuchuluka kwa chakudya chamagulu mu chakudya kuyenera kukhala koyenera. Mukamapangira zakudya, zakudya zomwe zimakhala ndi otsika glycemic index zimakondedwa. Izi ndichifukwa choti chotsitsa ichi, chakudya chochepa chimapereka shuga kwa magazi.
Malonda omwe analimbikitsidwa ndi awa:
- Ziphuphu.
- Mbewu zonse za chimanga.
- Yogurt yamafuta ochepa.
- Mkaka wokhala ndi mafuta osaposa 2%.
- Nthochi zobiriwira.
- Maapulo
- Walnuts.
- Nkhuyu
- Ma apricots owuma.
- Tomato ndi nkhaka.
- Kabichi, letesi, tsabola wobiriwira ndi radish.
Kudya kumachitika bwino m'magawo ang'onoang'ono, pogwiritsa ntchito zakudya zophatikiza, kuchuluka kwa zakudya patsiku kuyenera kukhala mpaka 5-6.
Kuti muyambe kulemera ndikuchotsa kuonda, ndikulimbikitsidwa kuti odwala omwe atopa azilowetsa mkaka wachilengedwe ndi mkaka wa mbuzi mu zakudya.
Amuna amafunika kupangidwa mwanjira yoti pafupifupi 25% yamafuta ali m'zakudya, mapuloteni ayenera kukhala pafupifupi 15%, ndipo mafuta ochulukitsa pafupifupi 60%.
Ngati mayi yemwe akudwala matenda a shuga ali ndi pakati, ndiye kuti kuchuluka kwa mapuloteni muzakudya kuyenera kukulitsidwa mpaka 20%. Nthawi yomweyo, gawo lamafuta azakudya zomwe zawonongeka liyenera kuchepetsedwa. Chofunikira chomwe chatchulidwa chimagwiranso ntchito kwa okalamba.
Katundu waku chakudya uyenera kugawidwa tsiku lililonse.
Chiwerengero cha zopatsa mphamvu za nkhomaliro, chakudya cham'mawa komanso chakudya cham'mawa chimayenera kukhala pafupifupi 25-30% pachilichonse cholandirira chilolezo chatsiku ndi tsiku, chifukwa chakudya cham'mawa chachiwiri chizikhala pafupifupi 10-15% ya zakudya zopatsa mphamvu tsiku lililonse.
Kuti muthane ndi kuchepa kwambiri kwa shuga m'thupi, muyenera kufunsa katswiri wazamankhwala omwe angakulangireni momwe mungasinthire zakudya zanu kuti muthane ndi matenda a shuga. M'mbuyomu, adokotala amamuwunikira kuti adziwe zonse zomwe zimapangitsa kuti achepetse thupi, izi zimapewe kuwonjezereka kwa vutoli ndikupewera kukula kwa matenda a pathologies.
Muyenera kudziwa: bwanji kuchepa thupi ndi matenda ashuga? Kodi ndimayani omwe amachititsa kuti muchepetse thupi kwambiri?
Matenda a shuga ndi limodzi mwa matenda oopsa kwambiri a endocrine, omwe amakhudza ntchito ya thupi lonse. Chifukwa cha matendawa, mavuto ambiri amabwera.
Kuphatikiza apo, matendawa amatha kuthana ndi kusintha kwa kulemera kwa thupi, motero ndi matenda ashuga muyenera kuyang'anitsitsa kulemera kwanu.
M'nkhaniyi tivumbulutsa mutu wa chifukwa chomwe amachepera thupi mu shuga komanso ngati pakufunika kuthana nawo.
Pamodzi ndi chakudya, chakudya chamafuta amadzipangitsa kulowa m'thupi la munthu, ndikuchilowetsa m'matumbo, kenako kulowa m'magazi.
Pofuna kuti azilowetsedwa bwino ndi thupi, kapamba amapanga mahomoni apadera - insulin.
Nthawi zina vuto limachitika ndipo ma cell a B amayamba kusweka. Chifukwa cha izi, kupanga insulini kumatsala pang'ono kutha, ndipo mafuta amthupi amayamba kulowa m'magazi, ndikuwononga makoma amitsempha yamagazi.
Chifukwa chosowa mphamvu, maselo amakhala ndi njala nthawi zonse.Chifukwa chake, munthu ali ndi zizindikiro za matenda amtundu 1.
Zotsatira zake, ndi matenda amtundu 1 shuga, munthu amayamba kuchepa thupi msanga.
Matenda a shuga a Mtundu Wachiwiri ndi mtundu wina wa matenda. Ndi matendawa, kapamba amapitiliza kupanga insulini, koma maselo amthupi sazindikira mahomoni awa, kapena sikokwanira.
Zizindikiro za matenda a shuga a 2 sizosiyana kwambiri ndi matenda amtundu 1. Chifukwa chake, kupezeka koyambirira kwa matendawa nthawi zambiri kumakhala kovuta.
Kuphatikiza pa mtundu wofanana wa matenda ashuga 1, zizindikiro zotsatirazi za matendawa zitha kuchitika mtundu wa 2 matenda ashuga:
- kutsika kwa mafupa.
- kusokonezeka kwa mitundu yonse ya kagayidwe,
- kukula kwa tsitsi
- Mapangidwe achikasu amakalamba m'thupi.
Palibe chifukwa chomwe muyenera kusankha nokha chithandizo. Dokotala yekha ndi amene angachite izi pochita mayeso ofunikira komanso njira zodziwira matenda. Chithandizo chonse chimachokera pakumwa mankhwala ndikutsatira zakudya zama dokotala moyo wonse.
- Mukatha kudya, shuga amapezeka m'magazi, koma osalowa m'maselo. Popeza thanzi laubongo limakhala ndi chakudya chamagulu ambiri, chimayankha pazofooka zawo ndipo chimafunikira chakudya chatsopano. Komanso, michere imatsukidwa thupi lisanakhale ndi nthawi yokwanira.
- Izi zimathandizidwa ndi ludzu lalikulu. Iyinso, imawoneka chifukwa chakuti shuga imasowetsa madzi m'thupi, ndiye kuti, zomwe zimakhala m'magazi zimatunga madzi m'maselo.
- Thupi limafunanso kuthana ndi shuga wowonjezera mwakutsuka kudzera mu impso.
Kuphatikizidwa kwa izi kumabweretsa kuchepa kwambiri.
Zoyenera kuchita ndi kuwonda kwambiri? Kodi ndiyenera kumveketsa nthawi yanji ndipo ndiyenera kulumikizana ndi ndani?
Monga tanena kale, kuchepa thupi kumachitika pamene, chifukwa chosowa insulini, maselo sangathe kugwiritsa ntchito shuga ngati gwero lamphamvu ndikuyamba kuwotcha mafuta m'thupi.
Ndi kusweka kwa minofu ya adipose, matupi a ketone amadziunjikira m'thupizomwe zimapweteka minofu yaumunthu ndi ziwalo. Zizindikiro zazikulu za matenda amtunduwu ndi:
- mutu
- kuwonongeka kwamawonekedwe
- kukodza pafupipafupi
- nseru
- kusanza
Ndi kuwonda pang'onopang'ono, ndikofunikira kulabadira zizindikiro zingapo zomwe nthawi zonse zimayendera limodzi ndi matenda ashuga, mitundu yoyamba komanso yachiwiri:
- ludzu losalekeza
- polyuria
- kulakalaka
- chizungulire
- kutopa,
- kuchiritsa kwamabala.
Kuti muchepetse kunenepa, muyenera kumwa mankhwala omwe dokotala amakupatsani, komanso kutsatira malangizo ake onse azakudya zoyenera. Kuphatikiza apo, muyenera kuganizira mfundo zina.
- Osamamwa madzi musanadye. Mukamwa kapu ya tiyi musanadye, mutha kumva kuti ndinu okhuta, koma thupi sililandira michere yoyenera.
- Kuthana pansi moyenera. Ntchito yayikulu ndikusakhutitsa njala, koma kupatsa thupi mphamvu.
- Masewera olimbitsa thupi. Musaiwale zamasewera. Masewera olimbitsa thupi otheka amathandizira kubwezeretsa minofu, komanso kulimbitsa thupi.
Pambuyo pakufufuza kuchipatala, dokotala adzalembera chithandizo choyenera ndikusankha zakudya zoyenera. Dongosolo lotsatirali lazakudya liyeneranso kuonedwa.
Pa chakudya chachikulu, zakudya zomwe zimakhala ndi mafuta ambiri okhala ndi polyunsaturated ziyenera kukondedwa. Kuphatikiza apo, zotsatirazi ziyenera kuphatikizidwa ndi zakudya:
- mkaka wa mbuzi
- mafuta opindika
- sinamoni
- masamba obiriwira
- buledi wonyezimira (osapitirira 200 magalamu patsiku).
Onetsetsani kuti mwayang'anira kuchuluka kwa mapuloteni, mafuta ndi chakudya chamagulu m'zakudya.
Ndi matenda 2 a shuga, zakudya zopatsa thanzi zimathandizanso kwambiri. Ndi matenda amtunduwu, ndikofunikira kuchepetsa kuchuluka kwa chakudya chambiri. Ndikofunikira kudya zakudya zamagulu akakhala ndi glycemic index, monga:
- kabichi
- nkhaka
- Tomato
- radishi
- maapulo
- belu tsabola
- pearl barele phala
- mkaka (osaposa 2.5% mafuta).
Monga matenda amtundu 1 shuga, zakudya zake ziyenera kukhala zazing'ono. Zakudya zenizeni zitha kuperekedwa ndi dokotala. Koma ndikulimbikitsidwa kulembetsa m'maphunziro a odwala matenda ashuga, omwe adzakuphunzitsani momwe mungawongolere bwino matendawa.
Ndikofunikira kudziwa ndikumvetsetsa njira zomwe zimapangidwira kukula kwa matenda ashuga, chifukwa kuwonda nthawi zina kumachitika ngati matenda, komanso nthawi zina ngati njira yothandizira. Kumvetsetsa momwe izi zimachitikira, mutha kuyendayenda munthawi yake komanso kupewa zovuta za matendawa.
Zomwe zimayambitsa kuwonda kwakukulu mu mtundu 2 wa shuga
Matenda a shuga ndi ofala kwa nthawi yayitali, koma amakhalabe matenda osamvetsetseka omwe sangathe kuchiritsidwa kwathunthu, mutha kungolamulira shuga pamtsinje wamagazi. Ngati munthu wapezeka ndi matenda otere, ndikofunikira kumwa mankhwala apadera ndikutsatira zakudya zapadera.
Munjira zambiri, ndizosatheka kuchiritsa matenda oterewa chifukwa zomwe zimachitika sizikumveka. Koma pali malingaliro a chilengedwe chomwe nthawi zambiri chimayambitsa matenda amitundu yoyamba ndi yachiwiri. Aliyense ayenera kudziwa za ziwopsezozi, chifukwa palibe amene angatetezedwe ku matenda "okoma":
- cholowa
- kuchuluka kolemera kwambiri
- mitundu yonse yamatenda owopsa (kupezeka kwa khansa kapena kapamba),
- thupi limakhudzidwa ndi matenda oyambitsidwa ndi ma virus
- Anthu amakhala ndi nkhawa nthawi zambiri, zomwe zimayambitsa vuto.
- Zotsatira zake (monga munthu wamkuluyo, amadwala).
Ndikofunika kulabadira za cholowa - ngati munthu ali ndi abale ake omwe ali ndi matendawa, ndiye kuti muyenera kumayezetsa mosakayikira, ngakhale zitakhala kuti palibe zina zosokoneza. Anthu otere nthawi zambiri amakhala ndi chiyembekezo cha matenda otere. Chisamaliro makamaka chikuyenera kulipidwa ku usinkhu wa munthuyo - zaka 10 zilizonse, mwayi wokhala pachiwopsezo umawonjezeredwa kwambiri.
Funso lofunika lomwe limasangalatsa anthu ambiri ndichifukwa chiyani amachepetsa thupi ndi matenda ashuga? Mosiyana ndi nthawi zonse, kuchepa thupi "wathanzi", odwala matenda ashuga amachepetsa thupi msanga, kwenikweni, patangotha mwezi umodzi, kuchepa thupi kumafikira 20 kilogalamu.
Munthu akadzakwanitsa zaka 40, kulemera kwake nthawi zambiri kumakhala kosasunthika, kusinthasintha kwazing'ono sikumawerengeka. Ngati pakudya wamba, kulemera kumayamba kutsika msanga, pali chifukwa choopera matenda owopsa, kuphatikizapo matenda "okoma". Kuti mumvetse momwe mungachitire ndi zonsezi, muyenera kumvetsetsa chifukwa chani kuchepa thupi ndi matenda ashuga.
Munthu akamadya chakudya, limodzi ndiiwo thupi limalandira chakudya chambiri, zimayamba kupezeka m'matumbo am'mimba, kenako atalowa mumtsinje wamagazi. Pakulandidwa kwachilengedwe kwa thupi la munthu, pali timadzi timene timatchedwa insulin. Zikondamoyo zimatulutsa.
Ndi matenda a shuga a mtundu 2, kusokonezeka kwakukulu kumachitika m'thupi la munthu, popeza kuchuluka kwa insulin sikokwanira, ndipo izi zimapangitsa kuchepa kwa chakudya m'magazi. Khoma lamitsempha limavutika kwambiri ndi izi, chifukwa chake, ma organic cell amakhala ndi vuto losatha lanjala komanso kusowa mphamvu. Zonsezi zimabweretsa ku zizindikiro zazikulu zomwe zimakhala ndi matenda amtundu wa 2:
- anthu amakhala ndi ludzu nthawi zonse
- kukakamiza kuchimbudzi kupitilira muyeso wamba,
- magwiridwe amunthu amachepetsedwa kwambiri,
- Zojambula zaumunthu zimayamba kuwonongeka,
- munthu amayamba kuchepa thupi msanga.
Chomwe chimapangitsa kuti munthu azitha kuchepa thupi kwambiri ndi chakuti kapamba wodwala sangathe kutulutsa insulin yokwanira. Ndipo pali zifukwa ziwiri izi:
- chamoyo chokhudzidwa ndi matenda sazindikira maselo omwe amapanga insulin. Mlingo wa glucose mumtsinje wamagazi ndiwofunikira, chifukwa chake glucose samafika m'maselo. Imapita panja ndi mkodzo, zomwe zimapangitsa kuti munthu azikhala wotopa komanso waludzu nthawi zonse. Njira zonsezi ndizofanana ndi matenda amtundu woyamba, pomwe kuwonda sikuchitika mwachangu.
- munthu akakhala ndi matenda amtundu wachiwiri, njirayo imakhala yosiyana, popeza kuchepa kwa insulin m'thupi ndikofunikira. Thupi limavutika ndi kusowa mphamvu, ndipo glucose sangathe kulipirira. Koma mphamvu ndizofunikira, motero thupi limayamba kulifunafuna m'malo ena, monga minofu ya adipose ndi minofu. Amayamba kuwotchedwa mwachangu ndi thupi la munthu, zomwe zimapangitsa kuti munthu achepetse thupi msanga, ndipo limodzi ndi mafuta, minofu yambiri imawotchedwanso.
Chifukwa chake muyenera kulabadira thanzi lanu - ngati m'zaka zaposachedwa kulemera kwatsika kwambiri ndipo palibe chifukwa chomveka cha izi (chakudyacho sichinasinthe), ndiye ichi ndi chifukwa chachikulu chokwanira kuti muwone dokotala. Muyenera kumvetsetsa kuti matenda ashuga ndi matenda oopsa, ndipo posakhalitsa amathandizidwa.
Ndi kuwonda kwambiri komanso kuwonda kwambiri, simungathe kuchitapo kanthu panokha! Ndiowopsa kumwa mankhwala osokoneza bongo komanso zakudya zopatsa thanzi zomwe zimangokulitsa vutoli. Zochita zonse ziyenera kuchitika kokha moyang'aniridwa ndi achipatala. Pali njira zingapo zochizira matenda ashuga:
- gwiritsitsani zakudya zopangidwa mwapadera,
- Pamaso pa matenda a mtundu woyamba, ndikofunikira kumwa insulin tsiku lililonse, apo ayi zotsatira zake sizingasinthe.
- ndikofunikira kumwa mankhwala omwe dokotala amathandizira kuchepetsa shuga mumtsinje wamagazi,
- munthu ayenera kuchita masewera olimbitsa thupi pafupipafupi, koma ayenera kukhala odziletsa.
Panthawi imeneyi, ndizotheka kutengera kulemera kwabwino, koma izi zitha kuchitika pambuyo pothandizidwa ndi madokotala. Dokotalayo amapereka mankhwala omwe munthu aliyense amadya komanso mankhwala kuti azitha kusintha kagayidwe kake ka zinthu, kamene kamathandiza kwambiri kukonza moyo wamunthu.
Zokhudza zakudya, muyenera kudya zakudya zambiri zomwe zimathandizira kupanga insulin. Izi ndi izi:
- mapira
- adyo
- mkaka (makamaka mbuzi),
- michere yambiri imapezekanso mu uchi ndi masamba a brussel.
Zikuwonekeratu kuti zinthu zonsezo zikugulitsidwa, sizimasiyana pamtengo wokwera, chifukwa chake, sayenera kukhala ndi mavuto azakudya zabwino. Osati zakudya zoyenera zokha zomwe zimafunikira chisamaliro, komanso zakudya. Muyenera kudya magawo ang'onoang'ono, koma nthawi zambiri - osati katatu patsiku, koma ambiri, komanso kangapo kasanu, koma m'magawo ang'onoang'ono. Pambuyo chakudya, munthu ayenera kumva kukhala wokhuta, osati zonse. Muyenera kudya nthawi yomweyo.
Mukamatsatira malamulo osavuta awa, ndiye kuti thupi laumunthu silidzafunika mavitamini ndi michere, zomwe zimabweretsa kutaya mphamvu pang'ono komanso mphamvu. Ndizofunikira kudziwa kuti si odwala matenda ashuga okha omwe amadya motere, komanso anthu omwe amachita masewera olimbitsa thupi kapena amangosamala zaumoyo wawo.
Kukhala ndi chithunzi chocheperako ndi chikhumbo chachilengedwe cha munthu aliyense. Chifukwa cha izi, ambiri amapita kumasewera, amayesa zakudya zosiyanasiyana ndipo ngakhale amatenga zinthu zoonda. Komabe, kuchepa thupi kwambiri sikuti ndi chifukwa chosangalalira, koma m'malo mwake, ndicho chizindikiro choopsa.
Kuchepetsa thupi kwambiri kumawonedwa kuti kuchepa thupi kwa 5% kapena kupitirira pamwezi.
Nthawi zambiri, kuchepa thupi kumakhudzana ndi nkhawa, kupsinjika, komanso matenda amitsempha.
Choyambitsa chachiwiri chomwe chikuwonjezera ntchito ya chithokomiro (hyperteriosis).
Mwa amayi, zomwe zimayambitsa kuwonda mwadzidzidzi zimatha kukhala:
- Anorexia Nervosa.
- Kupsinjika kwa m'mbuyo.
- Kuyamwitsa.
- Kuperewera kwa mahomoni.
- Kuperewera kwa zakudya m'thupi.
Matenda osiyanasiyana am'mimba, matenda a oncology, matenda opatsirana ambiri, kusowa kwa michere kapena mavitamini ambiri amathandizira kuti muchepetse kunenepa kwambiri.
Zifukwa zakuchepera kwambiri amuna:
- Matenda a ziwalo zopanga magazi.
- Zowonongeka pamagetsi.
- Matenda amsempha, kupsinjika.
- Kuwonongeka (kuvunda) kwamatupi amthupi.
Kwa odwala matenda a shuga, pamakhala chiopsezo chongokhala kuchepa thupi kwambiri, koma kutopa (cachexia).
Kuchepetsa thupi kwambiri m'matenda a shuga kumachitika chifukwa chakuti kapamba amasiya kutulutsa insulin, yomwe imayang'anira kupatsa thupi mphamvu (imathandizira kutuluka kwa glucose m'maselo mu gawo loyenerera).
Minyewa ndi minyewa ya adipose zimakhala gwero lamphamvu kwa odwala matenda ashuga, omwe "amawotchedwa", omwe amachititsa kutopa kwa thupi.
Muyenera kupita kwa dokotala ngati kuwonda mwadzidzidzi kumatsatana ndi:
- Ludzu lalikulu.
- Kumenya kwamphamvu m'miyendo kapena dzanzi.
- Kukodza pafupipafupi.
- Mavuto apakhungu - kusenda, kuchiritsa pang'onopang'ono mabala, kuchepa kwamphamvu kwa khungu.
- Kuchepetsa maonedwe owoneka.
Kodi chiwopsezo cha kuchepa thupi mwadzidzidzi ndi chiyani?
Mu matenda a shuga amtundu wachiwiri, makamaka ali aang'ono, amatha kutsitsa kugawana).
Njira imodzi yothandizira matenda a cachexia sichinapangidwebe. Kuwongolera odwala kumakwaniritsidwa makamaka mothandizidwa ndi mankhwala a mahomoni, chilimbikitso cholimbitsa thupi ndi thanzi labwino.
Kudya mokwanira kumathandizira kulemera ku shuga ndikulepheretsa kuwonda kwambiri.
Mndandanda wazinthu zomwe zakulimbikitsidwa: nyemba (makamaka nyemba zakuda, nyemba za lima, mphodza), tirigu wathunthu (makamaka balere wa ngale), yogati yachilengedwe, mkaka (osaposa mafuta 2%), nthochi zobiriwira, maapulo, mtedza, nkhuyu, maapulo owuma, tomato, nkhaka, kabichi, katsitsumzukwa, letesi, radish, tsabola wofiira ndi wobiriwira, ndi zina zambiri.
Ndikwabwino kudya zakudya zazing'ono, mpaka 5-6 patsiku. Odwala omwe atopa kwambiri omwe ali ndi shuga omwe amadalira insulin amalimbikitsidwa kukhala ndi uchi wachilengedwe ndi mkaka wa mbuzi.
Zakudya za tsiku ndi tsiku ziyenera kujambulidwa kotero kuti pafupifupi 25% ya zakudyazo zimachokera ku mafuta, pafupifupi 15% kuchokera kumapuloteni ndi 60% kuchokera kwa chakudya.
Ndikofunikira kupanga yunifolomu yama carbohydrate tsiku lonse.
Kuchuluka kwa zopatsa mphamvu zakudya zam'mawa, chakudya chamadzulo, komanso chakudya chamadzulo ziyenera kukhala 25-30% ya kuchuluka kwa kalori, komanso chakudya chamadzulo ndi chakudya chamadzulo, 10-15%.
Malangizo ofunikira pakudya paokha amapezeka kuchokera kwa endocrinologist.
Chakudya chamagulu osiyanasiyana chophatikiza ndi zomwe dokotala wina wamuuza chingathandize kukhazikika pamisempha komanso kuchepetsa kunenepa kwambiri.
Ndikufuna kudziwitsa kuti ngati kuchepa thupi kumachitika motsutsana ndi maziko a matenda osokoneza bongo (opezeka kale kapena pokhapokha ngati akukayikira matenda a shuga), kusiya njirayi pokhapokha pothandizidwa ndi kukonza zakudya sizigwira ntchito. Chakudya chopatsa thanzi ndichofunika kwambiri, koma kuchepa thupi, sichomwe chikuyambitsa izi. Pankhaniyi, chinthu choyamba chomwe chimafunikira ndikuchiritsa shuga moyenera (piritsi kapena insulin, kutengera mtundu wa shuga ndi magazi a shuga). Mwambiri, vuto lirilonse lomwe limakhudzana ndi kuchepa thupi kwambiri ndi nthawi yofunsa dokotala.
V tecenii 2 mesyacev poxudel s 86 kq do82
Ndikudwala lupus om shuga wanga samakhala m'magazi, chifukwa insulin yayikulu. Zakudya sizithandiza. Pokhapokha ndikudya maswiti zimakhala zosavuta.
Usiku wabwino Mwamuna wanga ali ndi mtundu wa matenda a shuga a 2 omwe amachepetsa shuga. Anayamba kuchepa thupi kwambiri. Nthawi yomweyo, amadya kwambiri kuchokera pa 80 makilogalamu mpaka 60, katatu patsiku zolimba ndi zowonjezera, popeza palibe kumva kukhuta komanso kulumikizana pakati pa chakudya. Ndidakumana ndi dotolo kuti andikonzere shuga yanga, koma pakadali pano popanda kusintha. Ndiuzeni ngati wina wakumana ndi vuto lotere, angatani?
Tsoka ilo, madokotala sanapeze yankho la funso loti angachiritse matenda ashuga amtundu wa 2 kosatha, sangathe kuchiritsidwa chimodzimodzi monga mtundu 1. Chifukwa chake, pakufunika kutsatira malingaliro onse a adotolo, makamaka zakudya zoyenera komanso zolimbitsa thupi kuti mupewe kukula kwa aimpso mthupi, matenda ammimba, kusowa kwa chiwindi ndi zinthu zina.
Momwe mungapangire mndandanda wazitsanzo za matenda a shuga a 2 komanso kuwonda kwambiri
Matenda a shuga. - M.: Eksmo, 2008 .-- 256 p.
Akhmanov, Mikhail Moyo wodwala matenda ashuga. Buku lothandizira zamaganizidwe: monograph. / Mikhail Akhmanov. - M: Nevsky Prospect, Vector, 2007 .-- 192 p.
Matenda a shuga a Hanas R. Insulin okhudzana ndi Ana, Achinyamata ndi Akuluakulu. Momwe mungakhalire katswiri pa matenda anu a shuga, 1998, 268 p. (Ragnar Khanas. Matenda a shuga omwe amadalira insulin muubwana, unyamata ndi uchikulire. Momwe mungakhalire katswiri wazokhudza matenda anu a shuga sanamasuliridwe ku Russia.)- Kamensky A. A., Maslova M. V., Chiwerengero A. V. Ma Horone amalamulira dziko. Endocrinology yotchuka, Buku la AST-Press - M., 2013. - 192 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.
Sports ndi kumwa regimen kuti muchepetse shuga
Kumwa madzi okwanira kwa wodwala ochepetsa thupi mu shuga ndikofunikira kwambiri. Ndikulimbikitsidwa kumwa madzi osachepera 2 malita a madzi oyera tsiku lililonse, pomwe zipatso zosafunikira, tiyi, sopo ndi zina zamadzimadzi siziphatikizidwe ndi bukuli.
Kutenga madzi okwanira kumafunikira pazifukwa zingapo. Chifukwa chokodza pafupipafupi, thupi limasowa madzi, motero madzi amapezeka pafupipafupi. Mukamwa madzi ofunikira, kapamba amakondoweza. Potaziyamu, magnesium ndi sodium zomwe zimapezeka m'madzi amchere amathandizanso pakapangidwe ka insulin.
Ndi madzi okwanira mthupi, njira za metabolic zimathandizira, zomwe zimathandiza kuyamwa glucose ndipo zimachotsa poizoni mosavuta.
Kuchita masewera olimbitsa thupi kumathandizanso kuthandizira thupi kuchepa thupi. Panthawi yochita masewera olimbitsa thupi, kuwonjezeka kwa njira za metabolic kumawonedwa, komwe kumapangitsa munthu kukhala ndi chidwi chofuna kudya. Kuchita zolimbitsa thupi kumakupatsani mwayi wobwezeretsa minofu ndikubwerera kunenepa kwambiri.
Musanayambe makalasi amasewera, muyenera kufunsa dokotala pankhaniyi, yemwe apange masewera olimbitsa thupi ndikuwuzeni zomwe wodwala angakwanitse.