Phunziro 5

Masiku ano, pali anthu pafupifupi 357 miliyoni padziko lonse lapansi omwe ali ndi matenda ashuga. Malinga ndi kuyerekezera, podzafika chaka cha 2035 kuchuluka kwa anthu odwala matendawa kudzafika anthu 592 miliyoni.

Njira zolondola zowonjezereka zoperekera mankhwala m'magazi zimakhazikitsidwa ndi insulin pansi pa khungu pogwiritsa ntchito masingano, omwe amasinthidwa nthawi ndi nthawi pambuyo masiku ochepa, zomwe zimayambitsa zovuta kwa wodwalayo.

Bweretsani ku nkhani

Zigamba za insulini - zosavuta, zosavuta, zotetezeka

"Chigoba" ndi kachidutswa kakang'ono ka masikono, komwe kali ndi ma micule ambiri, m'mimba mwake sikuposa kukula kwa kope la munthu. Ma Microneedles ali ndi malo ena osungira omwe amasunga insulin ndi ma enzyme omwe amatha kupeza mamolekyu a magazi m'magazi. Masewera a shuga akakwera, chizindikiro chimatumizidwa kuchokera ku ma enzymes ndipo kuchuluka kwa insulin kumayikidwa pansi pakhungu.

• hyaluronic acid
• 2-nitroimidazole.

Zakudya zonona zachifumu: kapangidwe kake, zinthu zofunika. Kodi zakudya zamafumu achifumu zimagwiritsidwa bwanji ntchito pa matenda ashuga?

Statins kuti muchepetse cholesterol. Chifukwa chiyani ali ndi matenda ashuga, ndi mankhwala otchuka ati?

Mwa kuwaphatikiza, asayansi adalandira molekyulu kuchokera kunja yomwe simalumikizana ndi madzi, koma mkati mwake imapanga mgwirizano nawo. Ma Enzymes omwe amayang'anira kuchuluka kwa glucose ndi insulin adayikidwa mu vial iliyonse - chosungira.

Gluconic acid, yowononga mpweya wonse, imatsogolera molekyuluyo kuti isafe ndi mpweya. Chifukwa cha kuchepa kwa mpweya, molekyuluyo imaphwanya, ndikutulutsa insulin m'magazi.

Pambuyo pakupanga Mbale zapadera za insulin - storages, asayansi adakumana ndi funso kuti apange njira yowayang'anira. M'malo mwakugwiritsa ntchito singano zazikulu ndi catheters, zomwe ndizovuta kugwiritsa ntchito tsiku ndi tsiku kwa odwala, asayansi apanga singano zazing'ono kwambiri pakuziyika pamtunda wa silicon.

Ma Microneedles adapangidwa kuchokera ku hyaluronic acid womwewo, womwe ndi gawo la mabulusi, kokha ndi mawonekedwe olimba kwambiri kotero kuti singano amatha kubaya khungu la munthu. Katswiri wanzeru “akafika pakhungu la wodwalayo, maikolofoniyo imalowa m'matumbo oyandikira kwambiri pakhungu popanda kumuvulaza.

"Patch" yomwe idapangidwa imakhala ndiubwino pamitundu ingapo ya kayendetsedwe ka insulin - ndi yosavuta kugwiritsa ntchito, yopanda poizoni, yopangidwa ndi zinthu zosagwirizana ndi zinthu zambiri.

Kuphatikiza apo, asayansi adadziyesetsa kukhala ndi "patch mwanzeru" wopanga aliyense payekhapayekha, poganizira kulemera kwake komanso kulolera kwa insulin.

Kodi a endocrinologist amatani ndipo ayenera kangati kukaonana ndi anthu odwala matenda ashuga?

Glucometer Contour TS poyerekeza ndi Ascensia: zabwino ndi zovuta. Werengani zambiri apa.

Bweretsani ku nkhani

Mayeso oyamba

Patch yatsopano idayesedwa bwino mu mbewa ndi matenda a shuga 1. Zotsatira za phunziroli zinali kuchepa kwa shuga m'magazi a mbewa kwa maola 9. Poyeserera, gulu limodzi la mbewa linalandira jakisoni wodziwika bwino, gulu lachiwiri linachizidwa ndi "chigamba chanzeru".

Pamapeto pa kuyeserako, zidapezeka kuti m'gulu loyamba la mbewa, shuga m'magazi pambuyo pa kayendetsedwe ka insulin adatsika kwambiri, koma kenako adadzuka kokhazikika. Gulu lachiwiri, kutsika kwa shuga kukhala kwabwinobwino kumawonedwa mkati mwa theka la ola mutatha kugwiritsa ntchito "chigamba", chotsalira chimodzimodzi kwa maola ena 9.

Basal insulin

Kutengeka kwa zinthu zakunja (basal) katulutsidwe ndikotheka chifukwa cha kupezeka kwa insulin yapakati (nthawi yayitali) ya insulin kapena NH-insulin.

"Yabwino" insulini yoyambira:

• sayenera kukhala ndi chiwopsezo chochita kuti mupewe chiopsezo cha hypoglycemia,
• kukhala ndi kusintha kochepa kosiyanasiyana (zomwe zimachitika tsiku lililonse) kutsimikizira kuyendetsa bwino shuga

Bolus insulin

Kuti muthane ndi katemera wa prandial (bolus), ma insulin anthawi yochepa kapena osokoneza bongo amagwiritsidwa ntchito.

"Yabwino" insulin

• Ayenera kuyamba kuchita zinthu mwachangu, makamaka atangoyendetsa. Kugwiritsa ntchito mankhwalawa nthawi yomweyo musanadye, ngakhale nthawi ya chakudya isanachitike,
• pachimake kuchitapo kanthu kuyenera kugwirizana ndi kuchuluka kwa chimbudzi (maola awiri atatha kudya): kuonetsetsa kuti shuga wathithika wamthupi atatha kudya,
• nthawi yochepa kuchitira: kuthekera kupewa kuchedwa kwa hypoglycemia mukatha kudya.

Makhalidwe apamwamba a insulin analografia yochepa kwambiri pamaso pa insulin za anthu:

• kuthekera kwa kuperekera zakudya musanadye kapena pasanathe mphindi 10 chakudya chichitike, pomwe ma insulin omwe amakhala osakhalitsa amathandizidwa mphindi 20-30 asanadye,
• nsonga ya kanthu imatchulidwira ndipo imagwirizana ndi kuperewera kwa chakudya: kuyendetsa bwino glycemic mukatha kudya,
• nthawi yocheperako (maola 3-4), yomwe imachepetsa chiopsezo cha hypoglycemia.

Pali njira ziwiri zoyeserera katulutsidwe kathupi ka insulin:

1. Malamulo a jekeseni wambiri (ma syony: maziko a bolus, olimbitsa insulin):

• kukhazikitsa basal insulin 1-2 patsiku limodzi ndi bolus insulin musanadye chakudya.

2. Kupitiliza kopitilira insulin pogwiritsa ntchito insulin pump (kunena: pump insulin therapy):

• kukhazikitsidwa kwa analog ya ultrashort a insulin kapena insulin yochepa ya anthu (kawirikawiri) mosalekeza,
• m'mapampu ena pali kuthekera kwa kuwunika kosalekeza kwamagazi a shuga (ndimakina ena owonjezera a sensor).

Kuwerengera kwa mlingo wa insulin mu boma la majekeseni angapo

Mlingo wa insulin wa tsiku ndi tsiku womwe mumayenera kuwerengera ndi dokotala, chifukwa zimatengera zinthu zingapo, ndipo koposa zonse kulemera ndi kutalika kwa matendawa.

Mlingo wa insulin yoyambira:

• 30-50% ya okwanira tsiku lililonse mlingo
• kutumikiridwa 1 kapena 2 pa tsiku, kutengera mtundu wa insulin nthawi imodzi,
• Kukwanitsa kwa mlingo kumawunikidwa ndikukwaniritsa chandamale cha shuga m'magazi komanso musanadye kwambiri,
• kamodzi pa masabata 1-2 ndikofunikira kuyeza glucose pa 2-4 a.m. kupatula hypoglycemia,
• Kukwanira kwa mlingo kumawunikidwa ndikukwaniritsa chandamale cha shuga m'magazi (kuchuluka kwa insulini yoyendetsedwa musanagone) komanso musanadye chakudya chachikulu (mlingo wa insulini yoyendetsedwa musanadye chakudya cham'mawa),
• ndi zolimbitsa thupi kwanthawi yayitali, kuchepetsa mankhwala kungafunike.

Basal insulin mlingo kusintha:

Insulin yochita ntchito kwa nthawi yayitali - mosasamala nthawi yakukhazikitsidwa, kukonza kumachitika malinga ndi kuchuluka kwa shuga m'masiku atatu apitawa. Kuwongolera kumachitika kamodzi pa sabata:

• ngati panali hypoglycemia, ndiye kuti mlingo umachepetsedwa ndi magawo awiri,
• Ngati shuga osala kudya ali pachimenechi, ndiye kuti pakufunika kuti pakuwonjezereka mlingo,
• ngati glucose wapakati akusala kwambiri kuposa momwe mukufuna, ndiye kuti ndikofunikira kuwonjezera mlingo ndi magawo awiri. Mwachitsanzo, kusala magazi a glucose omwe ali ndi 8.4 ndi 7.2 mmol / L. Cholinga cha mankhwalawa ndikusala kudya glucose 4.0 - 6.9 mmol / L. Mtengo wapakati pa 7.2 mmol / l ndiwokwera kwambiri kuposa momwe ungafunikire, chifukwa chake, ndikofunikira kuti muwonjezere mlingo ndi magawo awiri.

NPH-insulin - titration algorithm ya basal insulin ndi omwewo:

• The titration algorithm ya mlingo womwe umagwiritsidwa ntchito pogona ndi wofanana ndi titration algorithm ya insulin yokhala nthawi yayitali,
• The titration algorithm ya mlingo womwe umaperekedwa kadzutsa uli wofanana ndi titration algorithm ya insulin yomwe imatenga nthawi yayitali, imapangidwa molingana ndi shuga wamagazi ambiri asanadye.

Mlingo wa Prandial Insulin pafupifupi 50% ya okwanira tsiku lililonse mlingo ndipo amathandizira pamaso pa chakudya chilichonse chokhala ndi chakudya.

Mlingo umatengera:

• kuchuluka kwa chakudya chamafuta (XE) chomwe mukufuna kudya,
• anakonzekera zolimbitsa thupi pambuyo insulin makonzedwe (kuchepetsa mlingo angafunike),
• Kukwanitsa kwa mlingo kumawunikidwa pakufika pamlingo wamagulu awiri a shuga pambuyo pakudya,
• kufunika kwa insulin pa 1 XE (m'mawa pa 1 XE nthawi zambiri kumafuna insulini kuposa tsiku ndi usiku). Kuwerengera kwa insulin yaumwini pa 1 XE imachitika malinga ndi lamulo la 500: 500 / okwana tsiku lililonse = 1 unit ya prandial insulin ndiyofunika kuti pakhale ma X g a chakudya.
  Mwachitsanzo: okwanira tsiku lililonse = 60 magawo. 500/60 = 1 Pulogalamu ya prandial insulin ikufunika kuti mayamwidwe a 8.33 g azakudya, zomwe zikutanthauza kuti pakamwa 1 XE (12 g), 1.5 unit ya prandial insulin ndiyofunikira. Ngati chakudya chamafuta omwe ali mu chakudya ndi 24 g (2 XE), muyenera kulowa magawo atatu a prandial insulin.

Malangizo a Insulin (kulowetsa mwachidule insulin kapena analogue ya insulin yocheperako-yayitali) imayendetsedwa kuti ikonze kuchuluka kwa glucose m'magazi (m'mawa, chakudya chotsatira kapena pambuyo pake, usiku), komanso ndikofunikira pamaso pa matenda obwera chifukwa cha matenda kapena matenda.

Njira zowerengera kusintha kwa insulin

Pali njira zingapo zowerengera kuchuluka kwa kusintha, muyenera kugwiritsa ntchito kosavuta kwambiri komanso kosavuta kwa inu.

Njira 1. Njira yosinthira imawerengeredwa potengera kuchuluka kwa insulin tsiku lililonse (basal and prandial insulin):

• pa glycemia wofika 9 mmol / l, makonzedwe owonjezera a insulin ("poplite") safunika,
• pa glycemia wa 10-14 mmol / l, mlingo wosintha ("poplite") ndi 5% ya mlingo wonse wa insulin. Pa milingo ya glycemia pamtunda wa 13 mmol / l, kuyenera kwa acetone mu mkodzo ndikofunikira,
• pa glycemia wa 15-18 mmol / l, mlingo wosintha ("poplite") ndi 10% ya mlingo wonse wa insulin. Pa milingo ya glycemia pamtunda wa 13 mmol / l, kuyenera kwa acetone mu mkodzo ndikofunikira,
• pa glycemia yoposa 19 mmol / l, mlingo wosintha ("poplite") ndi 15% ya mlingo wonse wa insulin. Pa milingo ya glycemia pamtunda wa 13 mmol / L, kuyang'anira acetone mu mkodzo ndikofunikira.

Njira 2. Kuwerengera kwa kusintha kwa mankhwalawa kumaganizira kuchuluka kwa tsiku ndi tsiku komanso momwe thunthu limagwirira ntchito kuti mumve insulini kapena chinthu chomukonzera.

Kuphatikizika kwa chidwi kumawonetsa kuchuluka kwa mamol / l gawo limodzi la insulin kutsitsa kuchuluka kwa glucose m'magazi. Powerengera, njira zotsatirazi zimagwiritsidwa ntchito:

• "Lamulo 83" la insulin yochepa:
  sensitivity coeffnty (mmol / l) = 83 / kawiri pa mlingo wa insulin tsiku lililonse
• "Lamula 100" chifukwa champhamvu kwambiri chosakhalitsa:
  mphamvu zolowa (mmol / l) = 100 / pafupifupi tsiku lililonse insulin

Kuwerengera Chiwerengero

Mlingo wa insulin wa tsiku ndi tsiku ndi magawo 50. Mumalandira analogue ya insulin-yochepa-yogwira ntchito - zomwe zikutanthauza kuti mphamvu yolumikizira magawo 100 imagawidwa ndi 50 = 2 mmol / L.

Tiyerekeze kuti gawo la glycemia ndi 12 mmol / L, mulingo woyenera ndi 7 mmol / L, motero ndikofunikira kuti muchepetse glycemia ndi 5 mmol / L. Kuti muchite izi, muyenera kulowa 5 mmol / L wogawidwa ndi 2 mmol / L = 2,5 mayunitsi (kuzungulira 3 Units, pokhapokha cholembera panu chikakhala ndi gawo la 0,5 Units) wa insulini yochepa kwambiri.

Pambuyo pa kukhazikitsa mlingo wosinthira wa insulin yochepa, ndikofunikira kudikirira maola 3-4 ndi maola awiri atatha kukhazikitsidwa kwa analog ya ultrashort. Pambuyo pokhapokha muyesenso kuchuluka kwa glucose m'magazi ndipo ngati kuli koyenera, lowetsani mlingo wosintha.

Pamaso pa acetone, mlingo wosintha udzakulanso chifukwa cha kuchepa kwa mphamvu ya insulin. Ngati muli ndi zizindikiro za ketoacidosis, itanani ambulansi

1. Ngati hyperglycemia ili masana ndipo mudzadya,
ndiye kuti mlingo wa insulin wowongolera uyenera kuwonjezeredwa pa mlingo wowerengeka wa prandial insulin

Ndikofunika kuti mankhwalawa sapitirira mayunitsi 20, ndibwino kuchepetsa kuchuluka kwa chakudya cham'mimba ndikudya pambuyo pake, ndi matenda a glycemia. Mlingo wa insulin yochepa posakhalitsa magawo 10, ndibwino kugawa ndi kulowa m'malo awiri.

Ngati mukukonzekera chakudya, ndipo mulingo wa glycemia musanadye kwambiri, ndiye kuti muyenera kuwonjezera nthawi yayitali pakati pa jakisoni ndi chakudya mpaka mphindi 40 mpaka 555 chifukwa cha insulin yofikira mpaka maminiti a 10-15 kwa analogue yayifupi. Ngati glycemia ndi apamwamba kuposa 15 mmol / l, ndiye kuti ndibwino kupewa chakudya, kumangoyambitsa ma insulin okhawo ndikumayimitsa chakudya mpaka shuga atasintha
m'magazi.

2. Hyperglycemia asanagone

Ndizowopsa kuyambitsa kusintha kwa mankhwalawa chifukwa chokhala ndi vuto la nocturnal hypoglycemia.

• santhula chomwe chimayambitsa ndikupewa kubwereza,
• mutha kukana chakudya chamunthu musanagone,
• ngati mukuganiza kuperekera insulin yoyeretsa, onani shuga wa magazi anu pa 2-4 a.m.

3. Zimayambitsa hyperglycemia m'mawa

• shuga wambiri m'magazi asanagone, osasamalidwa,
• Mlingo wokwanira wa insulin ya basal musanagone (asanagone, kuchuluka kwa glucose ndikwabwinobwino, koma ndi miyeso mobwerezabwereza pa 2-4 a.m. kuchuluka kwake kumadziwika). M'pofunika kuwonjezera mlingo wa mankhwalawa patapita masiku atatu aliwonse mpaka zotsatira zake zithe.
• makonzedwe oyambira a insal insulin ("yosakwanira" mpaka m'mawa ") - imitsani jakisoni kwa maola 22-23,
• rebound hyperglycemia: kuchuluka kwa glucose pambuyo pa usiku hypoglycemia. Ndikofunika kamodzi pakadutsa milungu iwiri iliyonse kuti muwongolere kuchuluka kwa shuga m'magazi ku 2-4 a.m. Ngati hypoglycemia yapezeka, imayimitsidwa pakamwa mwachangu 1-2 m'mimba XE, ndipo mlingo wa basal insulin womwe umayendetsedwa musanagone umachepetsedwa ndi magawo awiri,
• chodabwitsa cha "m'bandakucha": kuwonjezeka kwa glycemia nthawi ya 5-6 m'mawa mwachizolowezi asanagone komanso pa 2-4 m'mawa. Zimaphatikizidwa ndi kuchuluka kwa cortisol, komwe kumasokoneza ntchito ya insulin.

Kuti mukonze zodabwitsa za "mbandakucha m'mawa" mutha:

• gwiritsani ntchito "poplite" ya insulini yocheperako kapena analogue ya insulin yochepa kwambiri,
• sinthani jakisoni wa NPH-insulin pambuyo pake,
• kuyang'anira insulin analogue wokhala ndi nthawi yayitali. Mutha kusankha njira yanu mwa kufunsa dokotala.

4. Amayambitsa hyperglycemia atatha kudya

• shuga wamagazi ambiri asanadye, osasamalidwa,
• XE yowerengeredwa molakwika
• kusowa molakwika kwa prandial insulin pa 1 XE,
• mndandanda wa glycemic sugwiritsidwa ntchito,
• panali "zobisika" hypoglycemia.

Mapiritsi othandizira kubereka a shuga

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Njira zina zimatha kukhala ndi vuto la shuga. Dziwani zambiri zamomwe mungakhalire ndi njira zakulera zakutsogolo kwa amayi omwe ali ndi matenda ashuga.

Mkazi yemwe ali ndi matenda ashuga amakumananso ndi mavuto omwe azimayi ambiri amakumana nawo, monga kusankha njira yakulera. Komabe, mosiyana ndi azimayi omwe alibe matenda ashuga, ayenera kuganizira momwe njira zakulera zomwe angasankhe zimakhudzira shuga wake wamagazi.

Matenda a shuga ndi mapiritsi olembera

M'mbuyomu, mapiritsi oteteza kubereka sanalimbikitsidwe kwa amayi omwe ali ndi matenda ashuga chifukwa cha kusintha kwa mahomoni komwe chithandizo chitha kubweretsa. Mlingo waukulu wamahomoni umatha kukhala ndi chidwi chachikulu ndi shuga m'magazi, zomwe zimapangitsa kuti zikhale zovuta kuti azimayi azisamalira matenda awo ashuga. Komabe, kafukufuku wazopangidwe zatsopano kwapangitsa kuti mitundu yamagetsi ikhale yopepuka. Mapiritsi atsopano, monga kukonzekera pakamwa Jess, ndi otetezeka kwa amayi ambiri, osati ndi matenda a shuga okha. Ngati mulibe luso logwiritsa ntchito njira zakulera izi, werengani ndemanga za adotolo za mapiritsi. Amayi omwe ali ndi matenda ashuga omwe amasankha kugwiritsa ntchito mapiritsi oletsa kubereka ayenera kumwa mlingo wochepetsetsa wothana ndi vuto la matenda ashuga.

Koma, amayi omwe amamwa mapiritsi a kulera ayenera kukumbukira kuti chiwopsezo chowonjezeka cha myocardial kapena stroko mwa amayi omwe amagwiritsa ntchito njira yolerera. Popeza anthu omwe ali ndi matenda a shuga amakhalanso ndi chiopsezo chowonjezeka cha matenda a mtima, azimayi ayenera kufunsa dokotala.

Matenda a shuga ndi njira zina zakulera

Mapiritsi othandizira kubereka si njira yokhayo yogwiritsira ntchito mahomoni kuti mupewe kutenga pakati. Palinso majakisoni, zimadzala, mphete ndi mitengo.

Majakisoni akukhala chisankho chodziwika bwino chifukwa jakisoni imodzi ya depot medroxyprogesterone acetate (Depo-Provera) imaletsa kutenga pakati mpaka miyezi itatu. Pogwiritsa ntchito njirayi, azimayi akuyenera kuganiza zakulera kangapo pachaka. Komabe, popeza jakisoni amagwiritsa ntchito progestin ya mahomoni, pamakhala zovuta zina monga kunenepa kwambiri, kukula kwa tsitsi losafunikira, chizungulire, kupweteka kwa mutu, komanso nkhawa.

Ngati simukufuna kubaya jakisoni miyezi itatu iliyonse, mutha kuyeserera kulowetsedwa. Ichi ndi ndodo yaying'ono yolingana ndi pulasitiki yomwe imakwanira pansi pa khungu la nkhope yanu. Chikhazikikacho chikakhala, chimatulutsa progestin, mahomoni ofanana ndi jakisoni.

Chipangizo chinanso chophatikizidwa ndi gulu la kulera ndi mphete ya ukazi, yomwe imavalidwa masiku 21. Mpheteyi imayikidwa m'chigawo chapamwamba cha nyini, ikakhala m'malo, simukumva. Mphete imangopereka progestin, komanso estrogen, zomwe zikutanthauza kuti azimayi omwe amagwiritsa ntchito amatha kukumana ndi zovuta zomwe zimafanana kwambiri ndi njira zakulera za piritsi.

Pomaliza, pali chigamba choletsa kulera. Monga ma plasters ena a mankhwala, mwachitsanzo, omwe amakakuthandizani kuti musiye kusuta, chigamba cha kulera chimagwira ntchito mukamayikidwa pakhungu. Chigamba chimatulutsa estrogen ndi progestin sabata imodzi, kenako chimasinthidwa ndi china chatsopano, izi zimachitika kwa masabata atatu motsatizana. Chigamba sichimavalidwa sabata lachinayi (nthawi yakusamba), kenako kuzungulira kumabwereza. Ndiponso, zoyipa zimatha kukhala zofanana ndi mapiritsi oteteza kubala kapena mphete zachikazi, kuphatikiza pamakhala kukhumudwitsa komwe kumakhala pakhungu lomwe mukugwiritsa ntchito chigambacho.

Monga mapiritsi oteteza kubereka, mitundu ina ya njira zakulera za mahomoni zimakhudzanso shuga yanu yamagazi. Ngati mungagwiritse ntchito imodzi mwanjira izi, mungafunike kusintha mtundu wa mankhwala anu a shuga.

Matenda a shuga ndi zida za intrauterine

Zipangizo za Intrauterine (IUDs) ndi zida zomwe zimayikidwa mu chiberekero. IUD imakhalapobe kwanthawi kwakanthawi mpaka adotolo atachichotsa. Pazifukwa zomwe madokotala samamvetsetsa bwino, IUD imalepheretsa dzira losauthira kuti lisayikidwe kukhoma la chiberekero ndipo limathandizira kupewa kutenga pakati. Ngakhale IUD ndi njira yothandiza kwambiri yakulera, imodzi mwazovuta zakugwiritsa ntchito ndi matenda am'kati mwa chiberekero.

Amayi omwe ali ndi matenda a shuga ali pachiwopsezo chachikulu chotenga matenda chifukwa cha matenda awo, chifukwa chake mtundu uwu wa kubereka sungakhale chisankho chabwino kwambiri ngati muli ndi matenda ashuga.

Matenda a shuga ndi zotchinga njira zakulera

Ndi nkhawa za matenda opatsirana pogonana, njira zotchinga zikufalikira kwambiri pakati pa azimayi. Poteteza umuna kuti usafike m'chiberekero, chiopsezo cha kutenga pakati, komanso kufalikira kwa matenda, chimachepa.

Kwa azimayi ambiri, njira zotchinga zimakhala njira yoletsa kubereka, ndipo makondomu ndi zithunzi zamkati sizikhudza shuga. Ndikofunikira, komabe, kumvetsetsa kuti njira zotchinga ndizowonongeka kwambiri kuposa mapiritsi ndipo ziyenera kugwiritsidwa ntchito moyenera, pogonana. Kuphatikiza apo, azimayi omwe ali ndi matenda ashuga amatha kukhala ndi chiopsezo chachikulu chotenga matenda a yisiti mukamagwiritsa ntchito diaphragm.

Matenda A shuga ndi Kuchepetsa

Pomaliza, mwina njira yotetezeka kwambiri yolerera, ndi njira yolera yotsekera pogwiritsa ntchito opaleshoni yotchedwa tubal ligation. Iyi ndiye njira yokhayo yolerera ngati mayi akuchitidwa opaleshoni. Kudalirika kwa njirayi ndikwabwino Pro, ndipo kungokhala kokhazikika kumatha “kutsutsana” ngati simuli wotsimikiza kuti simumafuna ana.

Mfundo ina yomwe imakondera njirayi kwa amayi omwe ali ndi matenda ashuga ndikuti kukhathamiritsa sikukhudza kuchuluka kwa shuga kwa mkazi. Komabe, opaleshoniyo ilibe ngozi, kuphatikiza matenda ndi zovuta zina.

Chilichonse chomwe mungasankhe, njira yodalirika yolerera ndiyofunika kwa amayi omwe ali ndi matenda ashuga, popeza kuti kukhala ndi pakati osakonzekera kumalumikizidwa ndi chiopsezo ku thanzi la mayi ndi mwana. Kukhala ndi udindo wokhudzana ndi kubereka kumakupatsani mpando woyendetsa.

Mitundu ya Zogulitsa Oat

Kukoma kosiyanitsidwa ndi zinthu za oat ndizomwe zimachitika chifukwa chowotcha. Pakachotsedwa mankhusu pachinthuchi, chipolopolo ndi mluza zimasungidwa. Izi zimathandizira kuti posungira fiber ndi mitundu yambiri yazakudya zomwe zimapezeka m'mzerewu. Kuphatikizanso kwina kwa oatmeal kumakupatsani mwayi wopeza mitundu yosiyanasiyana yazogulitsa.

1. Oatmeal imapezeka pokonza phala ili, kenako kutsitsimuka. Pambuyo pa izi, shuga, mchere ndi zosakaniza zina nthawi zambiri zimawonjezeredwa.
2. Pulogalamu zamphongo zang'onoting'ono zimadutsanso momwe zimakhalira ngati ma flakes okhazikika, kusiyana kokhako ndikuti amakhala osankhidwa bwino asanadutse.
3. Mbewu yosatulutsidwa kuchokera ku chisa ichi nthawi zambiri imagwiritsidwa ntchito popanga chimanga.
4. Mbewu zophwanyika zimapezeka pogaya ndi masamba achitsulo.
5. Nthambi zochokera ku phala ili ndi chipolopolo cha njere zomwe zimakhala pansi pa mankhusu. Izi zimapezeka mu oatmeal komanso mu tirigu wathunthu ndi mbewu zosapindika. Oat chinangwa chimagulitsidwanso ngati chinthu china.
6. Oatmeal amagwiritsidwa ntchito kuphika, nthawi zambiri amaphatikizidwa ndi mitundu ina ya ufa.

Zocheperako kuchuluka kwaukadaulo wogwiritsa ntchito tirigu wa oat zimayikidwa, kutsika kwake mndandanda wa glycemic. Chifukwa chake, mukasankha malonda okhala ndi oats, yesetsani kupewa oatmeal yomweyo.

Mapangidwe a oats

Mwa mbewu zonse, mafuta ophika amakhala ndi chakudya chochepa kwambiri (58%). Beta-glucans (mtundu wa polysaccharide woimiridwa ndi madzi osungunuka a oat) okhala muzinthu zomwe zimapangidwa kuchokera ku phala ili amathandizira kuti cholesterol ndi shuga zitheke. Oats mulinso michere yambiri, kuphatikizapo mavitamini a B ndi michere:

Maphala awa ali ndi anthranilic acid amides, omwe ali ndi antihistamine komanso anti-yotupa katundu ndi anti-atherosulinosis.

Ubwino wa Oat Products

Kuphatikizidwa kwa zakudya kuchokera ku phala ili m'zakudya kuti muchepetse matenda a shuga a 2 ali ndi zabwino komanso zopweteka. Mapindu ake ndi awa.

1. Amathandizira kuwongolera kuchuluka kwa shuga chifukwa cha kuchuluka kwawo kwa fiber ndi chisonyezo chochepa cha glycemic. Mwanjira yake yabwino, mbewu za chimanga izi zimatha kuchepetsa kuchuluka kwa insulini yomwe imafunikira wodwala.
2. Ndizothandiza thanzi la mtima ndikuthandizira cholesterol yotsika. Palibe chovuta kunena kuti kudya zamafuta ndikuchiza matenda amtima ndi zinthu ziwiri zogwirizana.
3. Zitha kuchepetsa kufunika kwa jakisoni wa insulin kapena kuchuluka kwawo.
4. Ngati yophika pasadakhale, oatmeal imatha kukhala njira yachidule komanso yosavuta pakudya kwam'mawa.
5. Oatmeal ndi wolemera mu fiber, amapanga kumverera kwakukwanira ndikuthandizira kuwongolera thupi.
6. Gwero labwino la chakudya chamagalimoto, kupatsa gwero lamphamvu kwamasiku onse.
7. Imathandizira pakukonza chimbudzi.

Cons of Oatmeal

Oatmeal ndi mankhwala otetezeka kwa odwala ambiri omwe ali ndi matenda ashuga a 2. Komabe, ndikofunikira kupewa mitundu yama oatmeal omwe ali ndi mitundu yambiri yazakudya, shuga ndi mchere.

Oatmeal imatha kukhala ndi zovuta zosapindulitsa kwa odwala omwe ali ndi gastroparesis. Kwa iwo omwe ali ndi matenda a shuga a mitundu iwiri ndi gastroparesis, fiber mu oatmeal imatha kukhala yovulaza komanso imakhudza chithandizo. Kwa odwala matenda ashuga omwe alibe vuto la gastroparesis, zovuta zazikulu za kudya oatmeal ndi.

1. Vuto lakuchuluka chifukwa cha kuchuluka kwa fiber. Izi zitha kupewedwa ndikumwa madzi ndikudya oatmeal.
2. Zakudya zowonjezera zomwe zimapezeka mumitundu ina ya oatmeal zingagwire ntchito molimbana ndi inu. Anthu ena amagwiritsa ntchito mapaketi oatmeal. Komabe, nthawi zambiri amakhala ndi zowonjezera mu shuga, zotsekemera kapena zakudya zina "zomwe zingavulaze odwala omwe ali ndi matenda amtundu wa 2, omwe angayambitse chithandizo.

Kuphika Oatmeal

Pali zifukwa zonse zakuti odwala matenda ashuga azigwiritsa ntchito mankhwala osokoneza bongo omwe amakhala atatu - 6 patsiku (kutumizira 1 ndi ¼ chikho cha phala). Oatmeal nthawi zambiri imakonzedwa m'madzi kapena mkaka, ndikuphatikiza mtedza, zipatso ndi zina zowonjezera zonunkhira. Nthawi zambiri imakonzedwa pasadakhale, ndipo m'mawa amangolimbikitsa chakudya cham'mawa, chomwe ndichabwino kwambiri.

Mitundu yosiyanasiyana ya zopangidwa kuchokera ku oats iyenera kukonzekera m'njira zosiyanasiyana. Nthawi zambiri oatmeal kapena phala amawonjezeredwa ndi madzi ozizira, amabweretsa chithupsa ndikuwaphika kwakanthawi kochepa kutentha. Mbewu zonse za tirigu zimafunika madzi ambiri komanso nthawi yophika. Grat oatmeal imakhala yapakatikati pazomwe zikuwonetsa.

Zomwe zingathe komanso sizingatheke

Zakudya za oat zimatha kukhala chakudya chochulukirapo pakuwongolera matenda amtundu wa 2, koma pokhapokha ataphika bwino. Awa ndi malamulo omwe odwala matenda ashuga ayenera kutsatira pakupanga oatmeal.

1. Onjezani sinamoni, ginger, mtedza kapena zipatso.
2. M'malo mwa oatmeal, ndibwino kugwiritsa ntchito phala kuchokera ku oats woponderezedwa, kapena kuposa apo, phala lopanda mafuta.
3. Kuphika mumkaka wopanda mafuta ambiri kapena m'madzi.

Zomwe sizingakhale

1. Osamadya oatmeal m'matumba ang'onoang'ono kapena oatmeal pompopompo. Mitundu iyi ya oatmeal nthawi zambiri imakhala ndi zowonjezera zingapo mu shuga, mchere, ndi zina zomwe zimakhala zovulaza odwala onse omwe ali ndi matenda amtundu wa 2 komanso omwe alibe matenda.
2. Osamawonjezera zipatso zambiri zouma ku oatmeal, chifukwa nthawi zambiri zimakhala ndi shuga wambiri.
3. Osamazunza okoma. Ena amawonjezera shuga, uchi, shuga kapena bulauni ku oatmeal, omwe amachepetsa kwambiri thanzi la munthu wodwala matenda ashuga ndipo amatha kuwononga chithandizo chake.
4. Osagwiritsa ntchito batala kapena mkaka wokhala ndi mafuta okwanira.

Yambani tsiku ndi oatmeal

Palibe chifukwa chophatikizira oatmeal pachakudya chilichonse. Koma yesani kudya oatmeal tsiku lililonse chakudya cham'mawa. Mutha kukulitsa kudya kwanu kwa oatmeal mwa kusintha pang'ono maphikidwe anu achikhalidwe, ndikumasinthira mkate wamkati ndi oatmeal. Mutha kugaya oatmeal ndi chopukusira cha khofi kuti mugwiritse ntchito maphikidwe osiyanasiyana ophika kunyumba. Gwiritsani ntchito maphikidwe osiyanasiyana, kuphatikizapo zinthu kuchokera ku phala ili, kukonza zakudya zanu.

Msuzi wa oat

Kodi decoction ya oats imakhala yothandiza bwanji kwa odwala matenda ashuga? Yokha, siichiritso cha matenda ashuga, koma ithandiza, popeza ali ndi kuyeretsa komanso kubwezeretsa, amateteza kugaya. Hippocrates yekha, akukhulupirira machiritso a mbewu iyi, adalimbikitsa kumwa msuzi m'malo mwa tiyi.

Msuzi umakhala ndi zinthu zingapo zofunikira komanso ma microelements odutsa kuchokera ku mbewu za oat kupita ku gawo la madzi panthawi yofatsa. Ndiosavuta kunyumba, ndipo mumatha kumwa tsiku lililonse. Chideru cha mbewu iyi chimatha kukonzedwa m'njira zosiyanasiyana, koma ndikofunikira kukumbukira malamulo ena.

1. Ndikofunikira kugwiritsa ntchito mbewu zonse, makamaka ndi mankhusu, motero ndizothandiza kwambiri.
2. A decoction amatha kukonzekera kuchokera ku oatmeal flakes yophika yayitali, koma phindu kuchokera pamenepo lidzakhala locheperako.
3. Maphikidwe okonza decoction amasiyanasiyana ndipo zimatengera thanzi la munthu.
4. Pofuna kuyeretsa thupi, decoctions amalimbikira mu thermos, kusenda mumadzi osamba kapena kuwira pamoto wochepa.

Mwanjira yosavuta, kutsanulira madzulo 2 makapu a madzi owiritsa 1 supuni ya tirigu wosweka, ndi wiritsani kwa mphindi 5-10 m'mawa, mavuto ndi kumwa musanadye. Imwani msuzi m'minyewa yaying'ono ngati theka la ola musanadye. Mlingo woyenera wa tsiku ndi tsiku wa decoction amavomerezedwa bwino ndi katswiri.

Oat chinangwa

Phala la phala la oat lomwe limaphika pamadzi likhale loyambira komanso labwino mpaka pano. Kapu imodzi ya phala yotere imakhala ndi ma calories 88 okha, 25 g yamafuta, 1.8 g yamafuta ndi 7 g mapuloteni.

Mafuta aubuluble amakhala ngati mafuta m'thupi komanso shuga. Kumbukirani kuti mumisika mumakhala ma oat chinangwa omwe amakonzedwa pogwiritsa ntchito njira zosiyanasiyana zaukadaulo, ndipo izi zimakhudza kapangidwe kawo ndi zomwe zimakhudza thanzi ndi chithandizo cha anthu odwala matenda ashuga a 2.

Musanagule, phunzirani mosamala zomwe zalembedwazo. Mitundu ya Oat chinangwa yomwe yakhala ikukonzedwa kochepa kwambiri ndipo imakhala ndi fiber yochuluka kwambiri imakondedwa.

Njira zopewera kupewa ngozi

Chamoyo chilichonse chimakhala payokha ndipo chimasiyana mosiyanasiyana ndi zinthu zosiyanasiyana. Pangani zotsatira za oatmeal pamsika wanu wa shuga pogwiritsira ntchito miyeso yotsatira mukatha kuchita izi. Wodwala aliyense yemwe ali ndi matenda a shuga a 2 amafunika kupita kwa dokotala asanasinthe kwambiri zakudya zawo kuti apewe kuwononga chithandizo chawo.