Kodi matenda amtundu wa 2 angayambire shuga ya mtundu woyamba?

A. Pleshcheva:

Pulogalamu "Hormones at gunpoint", mtsogoleri wake, ine, Anastasia Plescheva. Lero tili ndi mutu wotentha, womwe ndi shuga. Lero ife titulutsa nthano. Mlendo wanga ndi a Lyudmila Ibragimova, woimira mayeso a zamankhwala, wofufuza wamkulu, wogwirizira pulofesa wa dipatimenti ya Diabetesology ndi Dietetics ya Endocrinological Research Center. Pomwe tidatulutsa m'mbuyomu, ine ndi Lyudmila tidakambirana za matenda ashuga, lero tikambirana zambiri za matenda ashuga amtundu umodzi, kuthetsa nthano.

Tiyeni tisunthirepo mpaka chinthu chofunikira kwambiri, kubwerezanso mtundu wa shuga 1 chifukwa anthu adasokonekera. Tiuzeni mtundu 1 wa shuga.

L. Ibragimova:

Matenda a shuga ndi vuto la metabolic lomwe limadziwika chifukwa cha kuchuluka kwa shuga m'magazi. Izi ndichifukwa chosowa insulini, mahomoni omwe amathandiza kuti glucose ayamwa, kapena asokonezeke chidwi cha timadzi timeneti. Zowonadi, nthawi zambiri, chisokonezo chimachitika, mtundu 1 kapena matenda 2 ashuga. Zikuwoneka kuti kusiyana sikofunikira konse, lingalirani za nambala imodzi, yoyamba, mtundu wachiwiri. Koma, kwenikweni, awa ndi matenda osiyana kwambiri. Matenda a shuga a Mtundu woyamba amakhala kusowa kwa insulin. Tiyeni timfotokozere tanthauzo la insulini. Awa ndi mahomoni otulutsidwa ndi maselo apadera a kapamba, ma cell a beta. Hormone iyi yomwe imayendetsa kulowerera kwa glucose mu cell, tiyeni tinene. Mwachidziwitso, nthawi zonse timayerekeza insulin ndi chifungulo cha odwala, zikuwoneka kwa ine kuti ndiye fanizo loyenerera kwambiri.

A. Pleshcheva:

Ndimayerekezera ndi manja. Ndikunena kuti insulini ndi mahomoni omwe amatsogolera glucose kumaselo omwe amafunikira pansi pa chogwirizira. Akakhala waulesi, kukana insulini, amatha kukhala ndi cholembera chimodzi kapena ziwiri. Umu ndi momwe ndimafotokozera odwala anga.

L. Ibragimova:

Inde, koma pafupipafupi kwambiri, ndikumveka kwa aliyense, ndikuganiza kuti ili ndiye fungulo lomwe limatsegula zitseko, zitseko za maselo kuti glucose alowe m'maselo. Glucose ndiye gwero lamphamvu lamphamvu la thupi lathu, ndiye kuti liyenera kulowa m'maselo. Ndi matenda a shuga 1 amtundu wotchedwa mellitus, palibe insulin, maselo a beta adamwalira, samatulutsa insulin, ndipo ndi mtundu wachiwiri wa shuga wambiri mumakhala ndi insulin yambiri, ngakhale yowonjezera. Timayerekezera motere: fungulo silikugwirizana ndi loko chifukwa choti maloko awa asintha mawonekedwe. Maselo adakhala akulu, adasintha mawonekedwe awo ndipo mafungulo salinso oyenera maloko. Uku ndikusiyana kofunikira: ndi matenda ashuga amtundu 1, tiyenera kubaya insulin kuchokera kunja, chifukwa sikulowa mthupi, ndipo ndi mtundu wa 2 tikufunika kusintha insulin ndikumuthandiza kugwira ntchito.

A. Pleshcheva:

Nthano yoyamba yoyamba yomwe odwala athu amakonda kufunsa. Kodi pali kusiyana kotani pakati pa matenda a shuga amtundu 1 ndi 2, kuphatikiza pazamankhwala? Kodi ndingapeze matenda ashuga amtundu woyamba? Zosangalatsa kwambiri mwina ndi nthano chabe.

L. Ibragimova:

Opusa kwambiri, opanda nzeru m'malingaliro athu. Mutha kutenga kachilomboka, mabakiteriya, koma osati matenda omwe amayamba chifukwa chakufooka kwa chitetezo chathupi. Ichi ndi matenda a autoimmune, thupi lathu litayamba pazifukwa zina kugwira ntchito motsutsana ndi maselo ake, ngakhale, mwa lingaliro, liyenera kutiteteza kwa alendo. Chifukwa cha ntchito yama antibodies, matupi oteteza thupi lathu, maselo a beta omwewo amawonongedwa. Sangatengedwe, ndi chitetezo chathupi, chimayikidwa pamtundu ndikukula chifukwa cha chibadwa. Osati chifukwa kachilomboka kakuwuluka mlengalenga kwinakwake.

A. Pleshcheva:

Lyudmila, tangonena za kudziwikiratu, za kusiyana kwam'badwa.Tiyeni tisawawopseze odwala athu tsopano, titi, mwa kuchuluka kwakati kwa matenda ashuga a 1 amayi, kapena abambo, mwina lembani 1 shuga mwana? Kangati?

L. Ibragimova:

M'malo mwake, kuchuluka sikokwanira. Ngati mayi ali ndi matenda a shuga, ndiye kuti mpaka 3% mwayi woti mwanayo azikhala ndi matenda ashuga. Ngati papa - mpaka 6%. Koma, ngati onse amayi ndi abambo, ndiye kuti 25-30%, kumene, mwayiwo ukuwonjezeka. Koma, kachiwiri, izi siziri 100%.

A. Pleshcheva:

Tsopano funso lofunikira kwambiri. Mtundu wa shuga wachiwiri kwa agogo, agogo, amayi, abambo, kapena m'modzi wawo. Koma "uyu" amakonda ma pie kwambiri ndipo amakonda kuchitira mwana wake ndi ma pie awa. Kodi pali kuthekera kokulirapo apa?

L. Ibragimova:

Apa kuthekera, kumene, ndikokulirapo, kokulirapo, kwa dongosolo la 50%, chifukwa pali kale chibadwa chotsutsana ndi insulin. Koma apa mutha kupewa matenda ashuga amtundu wa 2.

A. Pleshcheva:

Lyudmila tsopano atsimikizira mawu anga, omwe ndikunena phwando lililonse. Matenda a shuga 1 amtunduwu sindiwo chilango kwa kusakhala mayi. Mayi ndiwodabwitsa, motero muyenera kukhala mayi, ndipo mwayi, monga tanenera, ndi ochepa. Type 2 shuga mellitus - apa ndi zotheka, kunena pang'ono, "kutenga kachilombo" kuchokera kwa agogo anu kudzera mu chakudya chosayenera.

Zabwino, zikomo. Tsopano funso nlakuti: agogo anga, bwenzi langa ali ndi matenda ashuga, kodi pali kusiyana kulikonse? Nthawi zambiri odwala amatifunsa funso. Kodi matenda ashuga amtundu woyamba amakhala ndi zaka zingati? Kodi lero ndi chiyani chomwe chasintha? Ndikulankhula za matenda ashuga, inde, mitundu iwiri.

L. Ibragimova:

Kusiyana kwake, koyamba, ndikuti chifukwa cha matenda ashuga a 2 ndikulemera kwambiri. Monga lamulo, anthu opitirira zaka 35 mpaka 40 amadwala matenda a shuga a 2. Pakadali pano, mwatsoka, matenda a shuga a 2 amapezeka kawirikawiri kwa achinyamata, mwa achinyamata. Apanso, izi zikuchitika chifukwa cha kunenepa kwambiri, poti tili kukulira kuchuluka kwa anthu onenepa kwambiri. Zachidziwikire, matenda a shuga amitundu iwiri amakula kwambiri. Pano, chithandizo, choyambirira, mzere woyamba ndi kuwonda. Pali insulini yambiri, kapamba akuyesera kutipatsa zowonjezereka kuti tigonjetse chotchinga ichi. Ndikofunikira kukonza kukhudzidwa, zomwe zikutanthauza kuti chotchinga ichi chiyenera kuchotsedwa - kulemera kwakukulu. Matenda a shuga amtundu woyamba amakula mwa ana, mwa achinyamata ochepera zaka 35, monga lamulo, chipatalachi chimakulanso ndi kuwonda. Odwala amadziwa kuti adachepetsa thupi kwakanthawi kochepa, iyi ndi nthawi yayitali kuti afotokozere.

Matenda a 2 a shuga amakula kwambiri.

A. Pleshcheva:

Ndipo sanalemere, chipatala chosiyana kotheratu - kufooka kwa thupi, motero, kufooka kwa malo osungirako. Munthu amamva mosiyanasiyana. Chifukwa ndi mtundu wachiwiri wa matenda ashuga, munthu sangakhulupirire madokotala, osakhulupirira maprofesa, akunena kuti zonse ndizabwino ndi iye. Dzulo ndidakhalanso ndi wodwala wotere yemwe adanditsimikiziranso kuti alibe matenda ashuga ndipo zonse ndizabwino naye. Onse anzanga omwe adamupeza kale adalakwa, ndipo amawerengera chifukwa ndiyenera kumuchiritsa.

Chabwino, tiyeni tisunthike ku nkhani yotsatila, yomwe titha kunena kuti mumatha kumwa mapiritsi a mtundu woyamba wa shuga ndikupewa "kuluka ndi singano," monga momwe odwala athu adanenera. Kodi izi ndizotheka, kodi pali mitundu iliyonse ya mapiritsi a insulin?

L. Ibragimova:

Tsoka ilo, ayi. Izi, zachidziwikire, zitha kukhala moyo wosalira zambiri kwa ife, kuphatikiza odwala, koma ayi. Kamodzi m'mimba, mothandizidwa ndi madzi am'mimba, insulin imawonongeka mwachangu. Adayesa, zoona, kufufuza ndi ntchito zikuyenda, zosankha zosiyanasiyana zikupangidwa, ndipo ma insulated osindikizidwa ayesedwa, koma pakadali pano, mwatsoka, majekeseni okha omwe amayesedwa.

A. Pleshcheva:

Kodi kuphipha kumachitika lero? Kodi ndi chiyani, komwe kunali kugwira?

L. Ibragimova:

Mfundo yoti ndizovuta kuwerengetsa mlingo. Zambiri zomwe munthu amapumira mkati, kaya zinali zolondola, zochuluka bwanji - uku ndiko kugwira kuti mumvetsetse ndikuwerengera molondola. Chinsinsi cha chithandizo cha matenda a shuga ndikuphunzira momwe mungayerekezere bwino kuchuluka kwa shuga omwe analandiridwa, ndipo awa ndi chakudya chamagulu, timangoganiza zopatsa mphamvu ndi insulin yokha.

A. Pleshcheva:

Lyudmila, funso: kuphatikiza kwa cell ya beta. Odwala ambiri amandiuza kuti amawerenga nkhani zambiri. "Anastasia, sukudziwa chiyani? Kalekale zonse zidasungidwa! Ndipita ndikusintha, tangondiuzani kumene? ”Nkhani zambiri zidawerengedwa, koma sakudziwa komwe akupiteko. Zikuvuta ndi chiyani?

L. Ibragimova:

Inde, mutuwu ndiwotchuka kwambiri pano. Mfundo ndi iyi. Ambiri akufuna kuyesa maselo amodzi a beta omwe amapanga insulin. Zitengereni nyama ina, mwina muzibakulitse mu labotale ndikuzibzala. Chifukwa chiyani. Koma vuto ndiloti ma cell a beta sadzazika mizu, nawonso adzawonongedwa ndi ma antibodies. Muyenera kupanga chipolopolo chomwe chingateteze ma cell a beta ku ma antibodies omwe amawononga ma cell awo a beta, ndipo izi ndizovuta kwambiri. Mpaka pano, palibe chipinda chimodzi chachipatala, ku Europe, kapena ku America, kapena ku Russia, chomwe chingasinthe ma cell a beta bwino kuti zithetse bwino. Tsoka ilo, izi ndizosatheka.

Maselo a Beta sangasinthidwe chifukwa ma antibodies omwe amawononga ma cell awo a beta amawawononga.

A. Pleshcheva:

Lyudmila, fotokozerani nkhani yomwe mudandiuza isanayambike. Sitipereka mayina, sitiyitanitsa chipatala, ingotiuza.

L. Ibragimova:

Posachedwa wodwala amabwera kwa ine, wochokera ku United States of America. Kudzera pa intaneti, abwenzi ake, abale ake, kapena iye mwini adapeza kuti ku Russia, ku Moscow kuli malo amtundu wa endocrinology, momwe amawatchulira, sindikudziwa kuti dzina lathunthu ndi liti, komwe ma cell a beta amawayika. $ 7,000, mtengo wokwera, koma palibe amene amasunga ndalama chifukwa cha thanzi lanu, inde.

A. Pleshcheva:

Zikuwoneka kuti ngati wina angafotokozedi maselo amenewa, sizingakhale zomvera chisoni kupereka $ 7,000 yake. Koma pakadali pano, mwatsoka, izi siziri choncho.

L. Ibragimova:

Adafika kumalo ano, komwe amafulumira: inde, inde, tiyeni, titenge magazi tsopano. Iye akuti: "Tadikirira, fotokozani tanthauzo la ntchitoyi, chindichitikira ndi chiyani?" Adauzidwa kuti: "Mwapereka kale ndalama, timafunso mafunso ati." Wodwalayo, abale ake adakhala omveka pazomwezi ndipo adafunsa kuti afotokozere. Popeza sanalandire malongosoledwe oyenera a zomwe zidzachitike, adachoka. Kenako adayamba kuyang'ana pa intaneti, kusaka ndikupita ku Endocrinology Research Center. Tinapita kukalandila kwa ofufuza, komwe amafotokozera zonse mosavuta, anati, mwatsoka, ayi. Titha kukhala okondwa ngati izi zikanatheka, koma ayi. Adalowa mdipatimenti yathu, tidamuphunzitsa, kumukonza. Tsopano akuti azenge mlandu kuti abweze ndalamazo chifukwa adalipira, koma chithandizo sichinaperekedwe. Tsoka ilo, izi sizosowa. Tsoka ilo, nthawi zambiri pamakhala nkhani zotere ndi ana, pomwe, makolo sangasungire mwana wawo ndalama iliyonse.

A. Pleshcheva:

Zachidziwikire, mwana akamadwala, makamaka, mtundu woyamba wa matenda ashuga wa ana aang'ono kwambiri umasiyana mosiyana ndi anthu akuluakulu. Chifukwa chake, indedi, ili ndi vuto lalikulu. Tsopano, zowonadi, tili ndi zinthu zambiri zowunika bwino shuga m'magazi ndipo, panjira, tiyeni tikambirane izi.

Timayamba ndi pampu ya insulin. Lyudmila ndi munthu amene amaika mapampu angapo a insulin pa sabata. Osati onse endocrinologists omwe amaika mapampu a insulin, kapena osayika kwambiri. Lyudmila amachita kwambiri mapampu a insulin. Tiuzeni, kodi mumabetcha ndalama zingati? Pangani nthano, tinene kuti iyi si kapamba wochita kupanga. Kodi zonsezi ndi chiyani, ndipampu ya insulini?

L.Ibragimova:

Pampu ya insulin ndi njira yotulutsira insulini. Tinkakambirana za kuthekera kupewa "kuyika kwa singano", monga lamulo, pali zolembera za jakisoni, kapena ma insulin, omwe amachititsa zovuta zambiri kwa odwala. Chifukwa insulini imayenera kuperekedwera chakudya chilichonse chomwe chimakhala ndi ma carbohydrate, imatha kukhala katatu katatu patsiku, kapena mwina 5-6-10 patsiku, monga mwa amayi apakati. Inde, nthawi iliyonse jakisoni sakhazikika, osamasuka, zimapweteka. Nthawi iliyonse, odwala amayesa kuteteza jakisoni wowonjezera.

Mu 1971, pampu ya insulin idapangidwa. Uku ndikuyesera kutsanzira kugwira ntchito kwa kapamba wathanzi, pamene insulin imalowetsedwa m'magawo ang'onoang'ono pa glucoseyo, yemwe, mwa njira, amapangidwa ndi chiwindi (tili ndi fakitale yathu yopanga shuga), insulin imayambitsidwa ndikanikiza batani. Izi zimapangitsa kuti ikhale yosavuta, jakisoni imodzi m'masiku atatu, pomwe makina adayikidwira, koma munthuyo amayang'anira pampu mulimonse. Nthawi zonse ndimakhala ndi galimoto yofanizira pampu ya insulin ndi cholembera. Pali umakaniko, pali mauthenga othamangitsa. Zachidziwikire, makinawo amakhala bwino, koma anthu amayendetsa galimoto. Muyenera kudziwa malamulo a mseu kuti muziyenda bwino pamisewu.

Pampu ya insulin ndi njira yabwino yosungirako mankhwala a insulin, njira yothandizira insulin, mosalekeza, mosalekeza, kosakanizira insulin, koma osati kapamba wochita kupanga, ilibe bongo, monga ndikuwuza odwala anga. Sakupangira chisankho, ngakhale ngati pampu yowunikira. Ndikuganiza kuti odwala matenda ashuga amtundu 1 amva kuti pali pampu yowunikira yomwe imayezera shuga wamagazi nthawi yeniyeni. Koma ichi ndi chidziwitso chokha chomwe chimafika pa chipangizocho, wodwalayo amapanga chisankho.

Mwa njira, pali kale insulini pampu yankho, yovomerezedwa ndi American Diabetes Federation, pomwe ili ku America kokha. Koma ndikuganiza kuti nthawi siyikhala patali kuti tikhala ndi inenso. Zinalengezedwe, koma osati kale kuposa zaka zinayi pambuyo pake. Osati posachedwa, chifukwa pali njira zambiri zomwe zimakhudzana ndi kulembetsa pampu, sizothamanga kwambiri kupita kumsika. Koma pali gawo limodzi loyambirira kwa ma pancreas oyaka, pomwe wodwalayo sakhudza mpope konse, amapanga zisankho - kuchuluka kwa insulini, jekeseni, zina, zochepa ndi zina. Mwa njira, wodwala yemweyo adzalandira posachedwa, pakatha mwezi umodzi.

A. Pleshcheva:

Lyudmila, ndiye kuti tikudikirira posachedwa mukamva pampu yapaderayi. Koma, tiyeni tijambule chithunzi. Pampu - inde, adzaganiza, monga momwe amadzinenera yekha, ali ndi ubongo winawake, koma ndani amene amabisalira izi mwanzeru?

L. Ibragimova:

Mwamphamvu. Makonda onse malinga ndi kufunikira kwa insulini - zonse, zimayendetsedwa ndi munthuyo ndipo ndi adotolo zidzakhala zofunikira, mwachilengedwe.

A. Pleshcheva:

Zimatenga nthawi yayitali bwanji? Kodi ophunzira anu amaphunzitsidwa chiyani masiku ano?

L. Ibragimova:

Maphunziro pawokha, ngati "kuchokera" ndi "kupita", maphunziro ake, monga ayenera kukhalira, amatenga masiku 7 mpaka asanu ndi atatu ogwira ntchito kuyambira m'mawa mpaka madzulo, sukulu ya shuga kuyambira 10 koloko mpaka 6 pm. Ngakhale wodwalayo afunsa zomwe tichite kuyambira m'mawa mpaka madzulo, nthawi yotsiriza-yotsiriza iyi ndi yokwanira kutiuza zonse. Ali kusukulu, amvetsetsa kuti, zambiri, zonse zimafunikira kudziwika kuti zithetse bwino matenda anu, kupeza zotsatira zabwino, kukhala ndi moyo wabwino, zomwe ndizofunikira. Maphunzirowa ndi a masiku asanu ndi awiri mpaka asanu ndi atatu, koma kusankha masanjidwewo kumayambira milungu iwiri mpaka mwezi, kupangidwira aliyense payekhapayekha. Aliyense wa ife ndi payekha. Zomwe zalembedwa m'bukhu, kuti kufunikira kwa insulin pachakudya chilichonse m'mawa kwambiri, nkhomaliro kwambiri, madzulo kwambiri - izi, zowonadi, ndi nthano ina, awa ndi manambala wamba.Munthu aliyense ndi payekhapayekha, endocrinologist ayenera kugwira ntchito ndi aliyense payekhapayekha. Ndikofunikira kupeza endocrinologist wanu.

A. Pleshcheva:

Ndikofunikira kukonda ndi kulemekeza telemedicine. Kodi amakuthandizani bwanji ndi izi?

L. Ibragimova:

Zimathandiza. M'malo mwake, zida zamakono zomwe tili nazo, intaneti, telemedicine, malo ochezera - zonse, kwenikweni, zimathandiza kwambiri. Tili ndi odwala onse omwe ali okangalika kwambiri, ogwira ntchito, okhala ndi maudindo ena, akuchita zojambulajambula, akuyenda kudziko lapansi, ndipo ndikofunikira kuti muzilumikizana ndi adokotala, kulikonse komwe mungakhale, kuti mulandire zambiri nthawi iliyonse. Chifukwa chake, pali magwero abwino omwe mungawadalire. Tsoka ilo, inde, monga akunenera, pali zinthu zambiri zosadalirika pa intaneti, zonse zomwe zingaphatikizidwe pamenepo.

A. Pleshcheva:

Kudzera kwa dokotala, ndiye kuti, ndikofunikira kuyesa. Muyenera kukhala ndi dokotala wanu, kukambirana naye, ndipo zonse zikhala zabwino. Ndikukumbukira nthawi zomwe tinali titangomaliza kumene kukhala, sitinakhalepo ndi mapulogalamu osiyanasiyana, ma iPhones ndi zina zotero. Ku malo ophunzirira anthu komwe ndinkagwira, kunali kovuta. Thandizo lazachuma lomwe ndidaliwonongera pama foni ndi odwala lidali lalikulu kwambiri. Ndipo tsopano zonse ndi zosavuta.

Tiyeni titenge nthano yotsatira, zovuta za shuga. Pakatha zaka zisanu adzakhala. Koma bwanji, mwina, sizoyenera, mwina kuti muzingokhala zosangalatsa zanu? Panjira, ndili ndi wodwala; ndimakhala ndi ine kuchokera kumalo othandizira odwala kunja. Koma posachedwa, sindinakane kuyankhulana, ndinamulangiza kuti akaonane ndi a psychotherapist. Chifukwa sindikudziwa momwe ndingamutsimikizire kuti amafunikira chithandizo cha insulin. Ali ndi malingaliro ofanana ndi matenda ashuga: chabwino, chiyani, ndifa basi, ndikadali ndi zovuta, bwanji ndikalipira mashuzawa, ndidzasewera masewera. Amachita nawo zinthu, koma nthawi yomweyo timadya chilichonse mosagwirizana, palibe ulamuliro. Ndiye kodi aliyense adzakhala ndi zovuta muzaka zisanu?

L. Ibragimova:

Ayi, sichoncho. Ayi, sichoncho ayi. Mankhwala onse, ntchito yathu yonse imakhala yolepheretsa kukula kwa zovuta izi. M'malo mwake, matenda ashuga, ndikuganiza, amawopa zovuta. Ngati wina anali ndi anzanu, amva nkhani zina zovuta kwambiri, zimakhala zovuta kwambiri. Koma palibe amene amadabwa chifukwa chake akupangidwira. Amayamba chifukwa cha kuwola, chifukwa cha kuchuluka kwa shuga m'magazi. Ndikuuza odwala anga: ngati simudzikonda nokha, simukufuna kudzisamalira, ndiye kuti inde. Koma, kachiwiri - osati pomwepo, muyenera kudzikonda nokha kwa nthawi yayitali. Zachidziwikire, pali nthawi zovuta kwa aliyense, pali nthawi zina zomwe zimatsika mukakhala kuti simukufuna kuganiza. Zowonadi, izi ndi ntchito. Mutu wanu umakhala wotanganidwa, mumaganizira zomwe mudadya nthawi yonse ya ola, momwe izi zikukhudzidirani ndi malipiro anu. Nthawi zina - inde, zimachitika, ndikufuna kupuma.

Ndimalankhulana ndi gulu losangalatsa kwambiri la madokotala ochokera ku St. Petersburg, pali katswiri wama zamagulu pagulu. Amadwalanso matenda ashuga, ndipo amati ngati mukufuna kupanga matenda ashuga, chitani. Koma tsiku limodzi, kamodzi pamwezi, mwachitsanzo. Musaiwale za matenda anu a shuga ndipo musiye zonse mwangozi. Ngati kubwezeretsa kwa nthawi yayitali, zovuta zimayamba. Ngati mungayang'anire momwe mumagwirira ntchito, ndiye kuti sipadzakhala zovuta, ndipo mutha kukhala ndi moyo wautali popanda zovuta, zochuluka kwa inu.

Mavuto obwera chifukwa cha matenda ashuga sikuti amakula okha ayi.

A. Pleshcheva:

Bodza lotsatira: ndi mtundu 1 wa shuga, musamadye maswiti. Mwambiri, kodi pali zakudya zamtundu woyamba wa shuga ndi maswiti?

L. Ibragimova:

Inde, nthano yosangalatsa. Palibe chakudya. Anthu omwe ali ndi matenda a shuga 1 amatha kudya chilichonse. Monga wodwala wanu adati, "Ndipatseni insulin, mwana wa abwenzi anga adadya chilichonse." Zowonadi. Ngati chilichonse chitha kuwerengedwa molondola, magawo a buledi, kuchuluka kwa insulini pa izo, kwenikweni, moyo sudzakhala wosiyana ndi anzanu.Mutha kudya chilichonse, kupita kumasewera ndikudya makeke, chinthu chofunikira ndicho kuwerengera.

A. Pleshcheva:

Chinthu chachikulu kuwerengera ndikumvetsetsa zotsatirazi ndikuti ndi insulin mankhwala, omwe amachokera kunja, kugaya chakudya kwamankhwala kumachulukanso. Anthu ambiri amaganiza kuti ndi matenda amtundu 1 shuga, kulemera sikungawaperekeze moyo wawo wonse. Ndiye kuti, "Poyamba ndidataya thupi kwambiri, ndili ndi matenda ashuga 1, sindidzakhalanso wolemera m'moyo wanga." Izi ndiye zamkhutu zenizeni, mungayankhe ngati simukudya zakudya zoyenera. Mutha kudya makeke, ndipo mutha kudya, ambiri, chilichonse, koposa zonse, molondola Lyudmila akuti - kuwerengetsa. Pazomwezi, tili ndi mankhwala othandizira kupopa masiku ano, amenenso ndi njira yosavuta kwambiri yoyendetsera, ndipo zonse zidzakhala zabwino. Koma musaiwale za zakudya zabwino. Simuli osiyana ndi munthu wina aliyense. Ngakhale kupukusira pang'ono pabwino kwa chakudya - apo?

Vuto lalikulu lotsatira la ambiri. Ndimakumbukira nthawi yomweyo kuti ndinali ndimasewera awiri pomwe ndimatsogolera gulu lakale. Kwa ine, nditatha kukhalamo, panali china chosowa: mtundu wa 1 shuga ndi masewera. Nthano yotsatirayi, tiye ichotse. Pali anthu omwe amasewera masewera. Kodi ndingathe kuthana nawo, kapena kodi pali kutsutsana?

L. Ibragimova:

Mutha kuchita nawo masewera olimbitsa thupi, muyenera kukhala ndi moyo wathanzi, matenda ashuga si chopinga. Inde, muyenera kugwira ntchito ndi endocrinologist wanu kuti mudziwe chomwe chikufunika kwambiri cha insulini kwakanthawi kochita masewera olimbitsa thupi. Ndiponso, pampu ya insulin imathandizira kwambiri chifukwa imathandizira kuyendetsa bwino insulin. Ili ndi mawonekedwe ake, zakezo. Koma tili ndi ochita masewera a Olimpiki komanso anthu ambiri otchuka, ine, mwatsoka, sindimakonda masewera, ndipo sindikukumbukira mayina awo onse, mayina. Koma, kwenikweni, pali anthu ambiri otere omwe amalandila mendulo za Olimpiki, amatenga nawo mbali mu Masewera a Olimpiki, kapena amangokhala anthu omwe amakonda kusewera masewera, triathlon, biathlon. Anthu wamba omwe amapita kukagwira ntchito pakati pathu tsiku lililonse, koma nthawi yomweyo amatenga nawo mbali pa liwiro. Ndili ndi odwala omwe amachita nawo masewera olimbitsa thupi.

A. Pleshcheva:

Poyamba panali funso lotere, kwenikweni. Nthawi zina zoletsedwa ndi akatswiri amasewera. Kodi zinthu zili bwanji tsopano?

L. Ibragimova:

Osatiletsa, mtundu 1 wa shuga siwotsutsana pamasewera akatswiri. Inde, bungwe liyenera kudziwitsidwa kuti wodwalayo ndi othamanga wawo ali ndi matenda.

A. Pleshcheva:

Koma nthawi zambiri amabisa. Ndikukumbukira kuti odwala anga awiri adabisala. Ndikukudandaulirani, abwenzi: palibe chifukwa chomwe mungabisire kwa aphunzitsi anu, ku gulu lanu kuti muli ndi matendawa, uwu siwotanthauzira ayi. Inde, ndinu osiyana ndi ena, koma ndili ndi anzanga ambiri, abwenzi ambiri omwe amachita nawo masewera olimbitsa thupi akakhala ndi matendawa. Ndikukuuzani kuposa pamenepo, nthawi zina amakhala opambana kwambiri, chifukwa amapangidwa mwanjira iliyonse kuzinthu zonse, kuphatikizapo masewera, kupsinjika ndi kupuma. Chifukwa chake, amatha kuchira moyenera, chifukwa shuga, yomwe ili ndi iwo m'moyo, idawaphunzitsa momwe angachitire. Apa, kwenikweni, kapangidwe kake ndikofunika kwambiri.

Tinkakambirana zamasewera, koma bwanji kusukulu? Masewera ali omveka - glucose, minofu, zonse ndi zodabwitsa. Koma mpaka pamutu? Ngati tili ndi andale odziwika bwino omwe ali ndi matenda ashuga, mwina madokotala ndiwochita bwino, tiuzeni za izi.

L. Ibragimova:

Pali anthu odziwika bwino omwe ali ndi matenda ashuga amtundu 1, omwe matenda a shuga adawoneka ali mwana, mwa munthu wazaka 3, wazaka 11, 14, ndipo adachita bwino kwambiri pantchito yawo.Awa ndi oweruza ku Khoti Lalikulu ku United States of America, awa ndi aphunzitsi omwe adalengeza lero kuchokera kuyimilira kwa European Diabetes Association, mabungwe apadziko lonse a anthu ashuga. Awa ndi oimba otchuka, oimba. Amelia Lily, woimba waku Britain wometedwa, Cornelia Mango, woimba wathu waku Russia, pali ochita zisudzo, komanso ochita ku Hollywood. M'malo mwake, matenda a shuga amtundu wa 1 samatilepheretsa kuchita bwino. Mwinanso, monga mmasewera, anthuwa zinthu zikuwayendera bwino chifukwa akufuna kudzitsimikizira iwo eni komanso dziko lonse lapansi momwe angathere, ngakhale ali ndi matenda ashuga, ngakhale kuti pakhoza kuwoneka ngati pali chopinga. Chifukwa chake, yesani.

A. Pleshcheva:

Inde, adapeza mawu abwino kwambiri, olondola. Zomwe ndikufuna kunena zambiri. Palibe chinsinsi kwa aliyense pomwe tinabwera kudzaphunzira ku Institute of Endocrinology, pakati pa abwenzi athu analinso ambiri a matenda ashuga a mtundu woyamba. Tsopano, inde, sititchula mayina aliwonse, ndipo ambiri sabisa kuti ali ndi matendawa. Awa ndi, akatswiri apamwamba kwambiri omwe samangodziwa kuchokera m'mabuku, koma adakumana ndi zonse paokha.

Chikhulupiriro chotsatira: kupita kuchipatala kamodzi pachaka kukakumba. Zowona, ndikukumbukira izi kuchokera ku chipatala, tsopano ndizosavuta nazo, tsopano ndi anthu ochepa omwe amabwera ndi pemphelo lopita kuchipatala. Zowonadi, tsopano anthu amagwira ntchito yambiri, alibe nthawi. Osati m'malo mwake, akapatsidwa mitundu yovomerezeka, odonthetsa magazi, amati: "Anastasia, kodi pali njira ina? Ndi bwino kusiya kudya. ” Zili ndi vuto lanji tsopano?

L. Ibragimova:

Zachidziwikire, uku ndiye malingaliro, mwina achi Russia - kugona pansi, kukumba, kuchiritsa. Zachidziwikire, muyenera kumvetsetsa kuti mankhwala aliwonse, makamaka akaperekedwa kudzera m'mitsempha, ayenera kukhala ndi zisonyezo. Ngati pali matenda, kupsinjika, komwe kumafunikira kukonzekera kwamankhwala, ndiye - inde, muyenera kulowa. Koma sikuti aliyense safunika kutero, ndipo simuyenera kupita kuchipatala kamodzi pachaka. Inde, tikunena kuti tikufunika kuwunikira pachaka zowonera zovuta kuti tisaphonye magawo oyambira. Koma izi zitha kuchitika pang'onopang'ono, zimatenga nthawi yoposa tsiku limodzi, zimatenga maola enieni awiri: kukayesedwa, kupita kwa ophthalmologist komanso ofesi ya odwala matenda ashuga, ndizo zonse. Sizofunikira kugona pansi, kukumba, kusanthula, sizofunikira.

A. Pleshcheva:

Munangolankhula za gulu la St. Petersburg la anzathu, omwe adapanga mwayi wapadera kwa odwala komanso kwaulere, thandizo. Tiyeni tikambirane anzathu, dzina lake, ndani, ndi momwe amawononga. Mwa njira, polojekiti iyi, mwayi wake udawoneka ndendende ndikuthokoza ndi zothandizira pa intaneti, chifukwa kale sizinali. Anyamatawa amachita ntchito yayikulu, amachita mayeso mwa iwo okha, amalankhula ndi odwala, ndimawona kulankhulana kwawo ndi odwala, amalumikizana pafupipafupi, izi ndizabwino kwambiri! Tiuzeni za iwo.

L. Ibragimova:

Ili ndi gulu la madokotala a St. Petersburg, pa Instagram amadziwika kuti Diabetes.Connect. Adapanganso tsamba la Rule15s.com, uwu ndi lamulo 15. Zikuwoneka mwamwayi, uwu ndi lamulo la America, kuyimitsa hypoglycemia, uku ndi magazi ochepa. Zomwe zimawopseza odwala athu komanso kuwakwiyitsa, tiyeni tinene. Chifukwa chake, dzina la malowo linayikidwa patsogolo. Kwenikweni, gulu la atsikanayo, ngakhale pali achinyamata kale omwe sanaphunzire zamankhwala omwe amathandizanso, amatenga nawo gawo pakukula kwa tsamba lino, intaneti. Uku ndi nsanja yolumikizirana pakati pa madotolo ndi odwala, komwe chidziwitso chodalirika chimaperekedwa, titha kutsimikizira izi ndi inu.

A. Pleshcheva:

Mabwenzi athunthu! Lyudmila amalankhula pazifukwa, chifukwa Lyudmila analipo mu gululi kwa nthawi yayitali ndipo anathandiza. Mwa njira, tsopano, mukuthandiza bwanji?

L. Ibragimova:

Tsoka ilo, ndilibe nthawi yokwanira yolemba, zina zambiri za izi.Koma ndilumikizano, ndine abwenzi, kulumikizana ndi anzanga. Zowonadi, awa ndi akatswiri odziwa ntchito, akuchita ntchito yayikulu kwa tonsefe, ndinganene. Ndikudziwa kuti tsamba ili pa Instagram limawerengedwa ndi odwala, anzathu, akatswiri azachipatala, othandizira omwe amaphunzira zinthu zambiri zosangalatsa. Ndidamva ndikundiuza kuti zikomo, ndaphunzira zinthu zambiri zosangalatsa. Chifukwa cha zokhudzana ndizomwe zimakhudzana, akatswiri nthawi zonse, sikuti aliyense amadziwa za matenda ashuga komanso amamva nthano zomwezo. Amabadwa chifukwa chosadziwa zambiri.

A. Pleshcheva:

Mosakayikira. Ndikufuna kunena kuti ndaphunzira ndekha za Diabetes.Lumikizanani osati ku Lyudmila, koma kwa wodwala wanga. Adayitanira gulu la anyamatawa ku St. Petersburg, ndipo ndidakondwera kwambiri pamene ndidawona a Lyudmila Ibragimova pakati pa nkhope za St. Chifukwa akatswiri ochokera ku Institute of Endocrinology, inde, nthawi zonse amatha kudalirika.

Lyudmila, nthano yomaliza: kodi mimba imatha kukhala ndi matenda a shuga 1? Inu, monga wina aliyense, mukudziwa za matenda osokoneza bongo, makamaka, chithandizo cha pampu. Tikudziwa kuti masiku ano ku Moscow, azimayi onse oyembekezera omwe ali ndi matenda ashuga, makamaka matenda a shuga 1, amatha kukhala ndi pampu. Ndiye?

L. Ibragimova:

Ndi matenda a shuga 1 amtundu, mutha kuyika pampu, uwu ndi mwayi wabwino wokhala miyezi isanu ndi inayi yolipirira ndi zigoli, wokhala ndi shuga wamagazi. Inde, muyenera kupita pampope pasadakhale, ichi ndiye chinthu chofunikira kwambiri chomwe timauza odwala athu pokonzekera kutenga pakati. Osachepera miyezi inayi kapena isanu ndi umodzi isanakwane. Mimba iyenera kuchitika motsutsana ndi maziko a kubwezeredwa kwabwino, ndiye kuti zingatheke kupewa kuthana ndi kubereka mwachisawawa. Chifukwa chiyani zabodza zambiri ndi mantha okhudzana ndi pakati komanso matenda ashuga 1.

A. Pleshcheva:

Inde, tili m'njira, sitinayankhe funso lofunika kwambiri. Kodi ndikofunikira kubereka m'zaka zisanu zoyambirira? Ambiri mwa odwala athu amaganiza chimodzimodzi. Chifukwa, atazindikira kuti ali ndi matenda ashuga amtundu woyamba, akuthamanga kale ndipo akunena kuti: Ndikuyenera kubereka mwana mwachangu! Dzulo lokha lomwe anali kuchipatala ndi shuga 25, kapena kuposa pamenepo, koma lero ali wokonzekera chifukwa awerenga nthano zomwe amafunika kuti abereke mwana posachedwa. Tiloleni tidziwe zambiri za izi.

L. Ibragimova:

Ndikuganiza kuti nthanoyi idachokera komwe komwe kudakumana zovuta. Kukhalapo kwa zovuta za matenda ashuga, makamaka ngati ali pa impso, ndiye kuti, mimba idzapatsiridwa. Osati shuga palokha, koma zovuta, zovuta zakuchedwa za shuga ndizopinga mimba. Kuchokera pamenepo, mwina, nthano izi zidapita. M'malo mwake, kukhala ndi pakati kumayenera kukonzekera mukakhala wokonzeka kukhala mayi pazinthu zonse. Chofunikira kwambiri ndikukonzekera kukhala ndi pakati, mubweretse ziwonetsero zamagazi anu kuzomwe mukufuna kudziwa, ndipo kutenga pakati kudzatha mwa kubereka bwino kwa mwana wathanzi.

Ngati chipukuta misozi chidzakhala mu nthawi yonse yoyembekezera, ndiye kuti imatha ndi kubadwa kwa mwana wathanzi. Chifukwa chake, sipangakhale zifukwa zotsutsana ndi kukhalapo kwa matenda amtundu wa 1 m'mimba. Funso lina ndikuti muyenera kuikonzekeretsa.

Sipangakhale zotsutsana pamimba pakakhala mtundu wa matenda ashuga 1.

A. Pleshcheva:

Muyenera kukonzekera mimba iliyonse, zilibe kanthu ngati muli ndi matenda a shuga kapena ayi. Zachidziwikire, zimachitika m'moyo munjira zosiyanasiyana, koma, m'njira yabwino, iyi ndi gawo mwadala lomwe muyenera kukonzekera kwathunthu.

Tilankhule za maphunziro, tiyeni tikambirane izi. Ndi zinthu ziti zomwe ndizofunika kuzilingalira mozama, nanga sizoyenera kutero?

L. Ibragimova:

Zachidziwikire, zambiri zomwe zimapezeka pa intaneti ziyenera kusefedwa, ndizolondola. Ngakhale chidziwitso chomwe chimakupatsani, mwina munthu atavala chovala choyera.Funsani mafunso, musachite manyazi, ngati simumvetsa chifukwa chake akuti kwa inu "ndizosatheka" - funsani chifukwa. Ngati simukupeza yankho loyenera, komabe, onani zambiri pa funsoli. Zachidziwikire, nditha kukhala ndi chidziwitso pazomwe timapereka ku Endocrinology Research Center. Tili ndi sukulu za matenda ashuga, zomwe, monga ndanenera, zimapitilira zoposa tsiku limodzi, kuyambira m'mawa mpaka madzulo. Sukuluyi palokha ndi yaulere. Pali mwayi wakugonekedwa kuchipatala ndi inshuwaransi yachipatala yokakamizidwa, kuti uchotseredwe kuchipatala. Pachifukwa ichi, simukufunikira mtengo wambiri, njira yosavuta kuchokera ku chipatala kuti mukafike kuchipatala.

A. Pleshcheva:

Mwambiri, simuyenera kuchita mantha, odwala athu nthawi zonse amawopa mizere. Tikulengeza motsimikiza kuti mulibe ma que, chifukwa chake, muyenera kuyesa, muyenera kuyesa, ndipo mudzachita bwino!

L. Ibragimova:

Zachidziwikire, nthawi zonse timagwirizana pazonse. Mwezi wotsatira ndizovuta kwa wina - timangopita patsogolo, timayesetsa nthawi zonse kupeza zosankha. Mutha, kumapeto, kuphunzitsidwa nokha, osafunikira kusukulu, monga momwe mungalankhulire ndi dokotala. Odwala athu amapita kuchipatala mwanjira imeneyi, ndipo timalankhula tsiku lililonse, kukambirana nkhani zomwe amakambirana kusukulu. Maphunziro a gulu lokonzedwa, omwe adabadwa kumapeto kwa 1980s. Olemba maphunzirowa ndi Ajeremani, chilichonse chinapangidwa mwaluso kwambiri, mwapangidwe. Adagawana zomwe adakumana ndi mwayi wathu ndi Endocrinology Research Center. Kumayambiriro a maphunzirowa, a Meorov Alexander Yuryevich, ndikuganiza kuti odwala ambiri amadziwa.

Ngati sizotheka, wina amakhala kutali, palibe njira yakubwera - pali zothandizira pa intaneti, tsamba lomwelo, Lamulo 15. Iwenso dzulo adalowanso, kuwerenga, kuyang'ana, asanalangize. Chilichonse pamlingo, zowonadi, zonse zimapangidwira, zazifupi, zomveka, zowonekera bwino, kotero kuti ndizosangalatsa kuwerenga komanso osatopetsa. Komabe, kuwerenga kumakonda kugona.

A. Pleshcheva:

Axamwali, ndikhulupilira kuti lero takonza gawo laling'ono la nthanozi. Ife, ndikuganiza, tinayankha funso kuti matenda a shuga si chiganizo chilichonse pakali pano. Inde, panali nthawi yomwe mtundu woyamba wa shuga ndi ma syringe amtunduwu omwe amafunika kuwira, etc. Tsopano zonse ndizosiyana. Masingano ndi ang'onoting'ono, ndipo mwambiri, simungathe kuwona singanozi, koma dziikeni nokha. Lyudmila, ndikufuna kuchokera kwa iwe, monga dokotala, kuti timve kuyimbidwa kuti tichitepo kanthu kumapeto kwa pulogalamu yathu.

L. Ibragimova:

Musakhulupirire nthano, werengani zidziwitso, bwerani kwa akatswiri omwe adzayankhe mafunso anu onse. Musachite mantha, mantha ali ndi maso akulu, chifukwa chake, musakhale olimba. Ndikumvetsetsa kuti iyi ndi nkhani yovuta kwambiri, yayitali, koma anthu odwala matenda a shuga amakhala moyo wautali, wachimwemwe, amapambana. Pali mendulo yapadera ya Joslin yoperekedwa chifukwa cha matenda ashuga, zaka 50, zaka 75, ndipo ngakhale kuyambira 2013. Zoposa zaka 80 zokhala ndi matenda ashuga.

A. Pleshcheva:

Abwenzi abwino? Simufa mawa, monga odwala ambiri amaganiza ndikunena. Ngati simunaphunzitsidwe masamu kusukulu, ndiye kuti mudzaphunzitsidwa, ndipo kuchiritsa kwa pampu kungakuthandizeni pa izi.

Therapy ndi mtundu wa matenda

Nthawi zambiri, chithandizo cha matenda a shuga chimaphatikizapo kuwongolera Zizindikiro ndi kupewa zovuta. Ntchito za adokotala ndi odwala zimaphatikizapo:

• kubwezera kwa kagayidwe kazakudya (mankhwala kuphatikiza zakudya),
• Chithandizo cha zovuta zosinthika ndikupewa zosasinthika
• Matenda a kulemera kwa odwala
• maphunziro odwala.

Njira zochizira izi, pamlingo wina uliwonse, zimagwira ntchito zamitundu yonse yamatenda. Kutengera mtundu wamatendawa, zinthu zina zitha kupatulidwa kapena, mutawonjezera. Mwachitsanzo, ndi matenda amtundu wa 1 shuga, kulemera kwa wodwalayo kumakhala kwabwinobwino. Chifukwa chake, njira zokhudzana ndi kukhazikika kwake sizofunikira.

Tiona mitundu yamatenda awa:

• Mtundu woyamba
• 2
• machitidwe
• kuchokera ku matenda ena.

Mtundu wamtundu wamtambo umakhala mwa amayi apakati, monga lamulo, umadutsa wokha ukamabereka. Ntchito ya madokotala: kuwunika momwe mayi akuyembekezera ndipo ngati kuli kotheka, achitepo kanthu kuti muchepetse shuga. DM, yomwe idayamba chifukwa cha zovuta zina za endocrine, nthawi zambiri zimadutsa akuchira matenda.

"Wachinyamata" kapena mtundu 1 wa shuga amadziwika pambuyo pazaka zambiri za odwala. Awa ndi ana, achinyamata, okhwima kwambiri. Pathogenesis imakhazikitsidwa ndi kusowa kwa insulin komwe kumachitika chifukwa cha kuwonongeka kwa maselo a pancreatic beta. Zingakhale kuti sizigwira ntchito konse, kapena kutulutsa timadzi tokwanira. Zotsatira zake, glucose samayamwa ndi maselo amthupi. Matenda a shuga amtunduwu amangopeza chithandizo chimodzi chokha: kuyendetsa insulin mosalekeza.

Matenda a shuga mu mtundu wachiwiri nthawi zambiri amakula makumi anayi. Amatchulidwanso kuti shuga yathunthu, monga imakonda kumachitika motsutsana ndi kunenepa kwambiri. Zikondazo zimagwira ntchito bwino, ndikupanga insulini pazinthu zofunika mthupi. Koma matupi omwewo samachikoka chifukwa chakuchepa kwa chidwi cha timadzi. Mwazi wamagazi umakwera, gland imalandira chizindikiro chakufunika kotulutsa insulini yambiri. Chinsinsi chowonjezeka sichachabe, pakupita nthawi, kapamba amatha.

Type 2 shuga

Njira yayikulu yochizira matenda amtundu uliwonse: kayendedwe ka shuga m'magazi. Ziyenera kukhala zachikhalire. Kungotengera zisonyezo zomwe njira imodzi kapena yina ya mankhwala ingatengeredwe. Mu matenda a shuga amtundu wachiwiri, kuwongolera kwa glucose kumakupatsani mwayi wokhala wodwalayo kudzera pakukonzanso pazakudya ndi mankhwala. Ngati wodwala alipira zokwanira mkhalidwe wake, osalola kulumpha lakuthwa mu magawo a shuga, palibe chomwe chingawopseze thanzi ndi moyo wake. Mavuto amakumana ndi maziko a hypo- ndi hyperglycemic.

Chithandizo chokhazikika chodwala matenda a shuga ndi njira yokhayo yotsimikizika yokhala ndi thanzi labwino komanso moyo wautali. Mulinso:

• anati shuga
• zakudya zoyenera
• kumwa mankhwala opangidwa ndi dokotala
• zolimbitsa thupi zolimbitsa thupi.

Matenda a shuga

Mwina mumanyalanyaza chomwe matenda ashuga ali

Chiwerengero cha anthu odwala matenda a shuga chikukula chaka chilichonse. Chifukwa chiyani? Chifukwa zakudya zimayamba kulimba, zimachulukirachulukira, ndipo kuchuluka kwa zinthu zachilengedwe ndi nkhawa kumakhala kwakukulu. Koma choyipa - china. Malinga ndi Russian Endocrinology Research Center, pafupifupi 50% ya anthu odwala matenda ashuga amapezeka pokhapokha ngati pali zovuta zamankhwala, ndiye kuti tikakakamizidwa kale kuthana ndi matendawa.

Chifukwa chake, ndakhala ndikubwereza kwa zaka 20 kuti kuwona kuchuluka kwa shuga m'magazi a 5.5-6 kuyezetsa magazi, munthu safunikira kukhazika mtima pansi chifukwa cha zomwe adotolo adanena - "izi ndizomwe zikuchitika". Malire apamwamba pa kafukufuku m'modzi, makamaka kuphatikiza ndi matenda ashuga mwa abale awo, kunenepa kwambiri, kuchita masewera olimbitsa thupi komanso ntchito yolakwika ya chiwindi, pafupifupi shuga yotsimikizika. Kodi ndikofunikira kwambiri izi zikachitika mchaka chimodzi kapena zitatu. Ndikofunikira kuti muyesetse kusintha moyo wanu komanso kupewa metabolic.

Nkhani ina ndiyomwe munthu amabwera kwa ine ndi matenda omwe adakhazikika kale m'zigawo za 12. Tsoka! Zombo zimawonongeka tsiku lililonse.

Zithandizo zachilengedwe sizingathenso kuchiritsa matenda ashuga. Samathandizidwa, monganso mwana wa sukulu amadziwa. Koma chifukwa cha izi titha kukonza njira za metabolic kuti zopangidwa ndi shuga kagayidwe kotsika momwe tingathere ndikuwongolera thanzi la mitsempha yamagazi. Chifukwa chake, mbali imodzi, shuga amadzayamba kuchepa, ndipo mbali inayo, vuto la mtima limachepa, pomwe maso ndi impso za anthu odwala matenda ashuga amalephera, magazi m'miyendo akuvutika ndipo, chifukwa chake, gangrene ndi kudula.

– ^ Ambiri amakhala ndi matenda a shuga moyo wawo wonse ndipo palibe chilichonse. Kodi zingatheke bwanji kuti zodulira zanu ziwonekere?

Malinga ndi Institute of Endocrinology and Metabolism (Kiev), potengera kuwunika kwa mbiri ya milandu 5,324 pazaka 10 zakuchipatala pachipatala cha Institute, kuwonongeka kwa impso kunapezeka mu 54% ya odwala matenda a shuga, kuwonongeka kwa retina mu 52%, komanso kuwonongeka kwamitsempha miyendo - pa 90.2%. Wodwala aliyense anali kukonzekera kuyenda.

Koma izi siziwerengero zonse. Wodwala matenda ashuga handiredi azidulidwa mwendo chifukwa cha liwiro la atherosocolosis, ndipo chiopsezo cha matenda a mtima ndi matenda a shuga ndi 30% kuposa.

Mu shuga mellitus wa mtundu wachiwiri (osadalira insulini), chiyembekezo cha moyo wa wodwalayo ndi 70% yokhala ndi moyo wathanzi anthu athanzi.

Za matenda a shuga a mtundu woyamba (akafuna insulini) amafunikira chisoni kwambiri. Zachidziwikire, si insulin yokha yomwe imapha, koma kulephera kwake kotenga zinthu zonsezo.

Chinanso chosasangalatsa cha matenda ashuga amtundu wa 2 ndi momwe magazi amayendera. Yang'anirani kagayidwe kanu - nthawi yomweyo sungani mawonekedwe anu. Tsoka ilo, shuga wambiri amachititsa kuti mwiniwake asakhale wokoma konse kwa ena. Khalidwe zofunkha m'njira yowonjezera kukwiya, kusakwiya.

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  ^ Chifukwa chiyani ndinayamba kudwala matenda ashuga a 2?
  

Pazifukwa zina, ambiri amavomerezedwa kuti ngati simudya maswiti, ndiye kuti palibe shuga. Izi siziri choncho. Zachidziwikire, kuwonjezereka kwa chakudya chamagulu kumapangitsa kuti chiwopsezo chizikhala zochulukirapo, mchira womwe insulin imapangidwa. Koma kwenikweni, ndi matenda a shuga a 2, insulin ikhoza kukhala yabwinobwino kapena ikungosowa pang'ono.

Kuti mumvetsetse, muyenera kumvetsetsa zomwe zimachitika ndi shuga mthupi. Mothandizidwa ndi ma enzymes m'mimba yamagetsi, chakudya chilichonse (maswiti osachepera, mbatata zosachepera, pasitala) amasinthidwa kukhala shuga - shuga wosavuta, kenako umalowa m'chiwindi, ndipo pamenepo ndi fructose wina wa shuga amasintha kukhala shuga. Ziwalo zina zimatha kugwiritsa ntchito kuti ipange mphamvu mwachindunji. Awa ndi ubongo mwachitsanzo. Ziwalo zina zimafuna kuti insulini ya mahomoni igwetse glucose m'maselo awo. Zambiri mwa ziwalozi. Gawo la glucose limasungidwa m'chiwindi ngati gawo lomaliza la glycogen ndipo kenako limasinthidwa kukhala mphamvu pogwiritsa ntchito insulin. Mwachitsanzo, tikamafunika kugwira ntchito molimbika, pitani kanthawi kothamanga kapena kuda nkhawa, ndipo magazi a pakadali pano ali otsika chifukwa cha zomwe mudadya kwanthawi yayitali.

Malo osungirako a Glycogen sikokwanira kwa nthawi yayitali, kotero ngakhale munthu wathanzi sangathe kugwira ntchito kwa nthawi yayitali, ndipo wodwala matenda ashuga amangogweranso matope.

Chifukwa chake, liwu lofunikira pokhudzana ndi gawo la insulin ndi shuga m'thupi ndikupanga mphamvu. Chifukwa chake, matenda a shuga amakhala operewera mphamvu. Zimakhazikitsidwa pamtundu wachiwiri - kusamva bwino kwa maselo pakuchitika kwa insulin.

Koma monga momwe zimapangidwira kagayidwe kalikonse, shuga ndi zinthu zina zimapangidwa nthawi yakusweka.

Kutentha kwamoto - mipweya imatulutsidwa ndipo phulusa limatsalira. Momwemonso zimakhala m'maselo. Choyamba, zowona, zowonongeka za ma free radicals pakhoma la chotengera ndizofunikira, koma mawonekedwe awo amawonekera kwambiri pamene mulingo wa insulin umasinthasintha, womwe uli ndi katundu wolimbikitsa kukula kwa maselo a endothelial. Kuphatikiza apo, ndi matenda ashuga, index ya glycated hemoglobin ndiyofunikira kwambiri, chifukwa maselo ofiira amwazi "adzafafanizidwa" ndi shuga wokhudzana ndi hemoglobin, chiopsezo cha zovuta zam'mimba ndizambiri. Kupereka mpweya wabwino kwa ziwalo kumawapangitsa kukhala pachiwopsezo cha ma radicals omasuka.

Pambuyo pakuwonongeka koyamba kwa khoma la chotengera chifukwa cha "kuphatikiza kwa oxidative", chilema chimadzuka chomwe chimakonzedwa ndi cholesterol, pokhapokha pokhapokha phata lodzala ndi mapangidwe atherosselotic limayamba pomwe amapezeka.

Uku ndiko kulumikizana pakati pa glucose wambiri wowonjezera wamagazi ndi kugunda kwamtima koyambirira, kusapeza bwino kwa retina, kutsekeka kwa ziwiya zamiyendo, ngakhale kuiwalika ndi kukumbukira komanso kukhala ndi vuto.

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  ^ Kodi matenda a shuga a 2 angadutse koyambirira?
  

Sichitha, koma ndizosavuta. Ngati chifukwa cha kupsinjika kosalekeza kwa kapamba ndi ndulu yodutsa mwa shuga wambiri m'magazi, ntchito ya pancreatic idzakhala itatha, ndiye kuti mtundu wachiwiri wa matenda ashuga udzayipa. Izi zikutanthauza kuti maselo samangokhala osachita chidwi ndi insulin, komanso insuliniyo imakhalanso yochepa. Chifukwa chake, njira yosasangalatsa kwambiri ndikusowa kwa jakisoni komwe sikungatheke kukana. Simungathe kunena za kuchuluka kwa shuga wamagazi koyambirira koyambira ndiye kuti simuyenera kukhumudwa

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  ^ Zomwe muyenera kuchita choyamba ngati mwapezeka ndi matenda a shuga kapena ngati mwangochita shuga pang'ono
  

Ngati chifukwa chowonjezeka cha shuga sichingokhala nkhawa kwakanthawi komanso osati kutupa kwenikweni, ndiye kuti choyambirira kuchita ndikuwunika kwambiri zomwe mumadya. Nkhani yomvetsa chisoni kwambiri yomwe ndidamvako m'makambirano ndi pamene munthu amadziwa za shuga wambiri, komabe tsiku lililonse limakhala loyera, makeke, mbatata, kupanikizana, ndipo samakana mafuta omwe. Panthawi imeneyi, sindikudziwa zoyenera kuchita.

Maswiti motero samachotsedwera theka la chaka chonse, mkate woyera ndi zina zonse zopangidwa ndi ufa wa tirigu kupatula pasitala wa ku Italy kuchokera ku tirigu wa durum kenako pang'ono. Zipatso - kokha pakati pa tsiku ndi magawo ang'onoang'ono. Zakudya za zipatso ndi kaloti ndizoletsedwa, makamaka mwatsopano zofinya. Mafuta (kirimu wowawasa, nyama yamafuta, nyama zosuta, tchizi chamafuta) ndi zina sizili zanu. Chokoleti chimatha kukhala chakuda.

Koma musatchule zakudya zamafuta m'moyo konse. Zochulukirapo ndizovulaza. Ngati mumakonda kwambiri zinthu zomwe zili ndi 0%, mutha kudwala matenda a Alzheimer's.

Ndi kuchuluka kwa zakudya zomwe muyenera kudya kuti musamve njala kapena kufala. Nthawi zambiri komanso zochepa.

Nthawi zonse ndimayesetsa kundinyengerera kuti ndiyende zochulukira. Mutha kusankha njira ya bwana kuti muwonjezere mphamvu zamagetsi minofu - kutikita minofu. Komano yesetsani kutikita minofu 3 katatu pa sabata. Ndipo ngati izi sizikugwirizana, ndiye kuti palibe njira ina - muyenera kusunthira ina. Ngati nyumbayo ilola, ndiye kuti mtengo wa njanji, njinga yochita masewera olimbitsa thupi kapena zolimbitsa thupi zimapereka ndalama zambiri kuposa zomwe zachitika kale m'miyezi iwiri yoyambilira mu mphindi 20 zokha zolimbitsa thupi. Ching'ono chomwe mungachite ndikutsika msewu kapena basi kukayimilira kale kapena kusiya galimoto kuchokera kuntchito ndikuyenda, kuyenda, kuyenda.

Ndipo limodzi ndi mfundo yoti adachotsa chinthu chokwiyitsa cha maselo ndi kapamba m'njira yamafuta ochulukirapo, muyenera kumwa zakumwa zachilengedwe zomwe ndimalemba kuti ndikabwezeretsenso kagayidwe kachakudya.

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  Kodi pali zinthu zina zachilengedwe zomwe zatsimikiziridwa kuti zimagwira ntchito bwino m'matenda a shuga, chifukwa masamba a nyemba, kusokonekera kwa masamba amtundu wa bulosi ndi mankhwala ofananawa sikundithandiza kwambiri?
  

Pali akatswiri angapo momwe maselo amazindikira shuga ndi insulin - amino acid taurine, zinc zinc ndi chromium

Encyclopedia imanena za chromium monga chinthu chofunikira kwambiri cha matenda a shuga a mtundu wa 2. "Kusowa kwa Chromium kumakulitsa kukana kwa insulini - imodzi mwazinthu zazikulu zachitukuko cha matenda amtundu wa 2, pomwe kudya kwambiri kwa chromium (kokha kapena kuphatikiza ndi vitamini C ndi E) kumapangitsa kuchepa. shuga wamagazi, HbA1c ndi insulin kukana "

Kusunganso nthawi yayitali ya chromium m'thupi kumathandizira kuchepetsa kulakalaka kwa maswiti. Tsoka ilo, chrome kuchokera ku chakudya sichimamizidwa bwino chifukwa chimawonongeka ndi kutentha kwa kutentha. Kuperewera kumafikira mpaka 40% mwa anthu. Timalilandira ngati chelate. Koma ndikofunikira kukumbukira kuti chrome ndizopindulitsa kwambiri kutenga zochepa zazing'ono osati nthawi zonse.Ndikupangira matenda ashuga omwe amayesedwa mwa mitundu ya Helsi chrome (Vitaline) kapena Chromium chelate (NSP) kwa mwezi umodzi kenako ndikubwera pambuyo pakupuma kwa mwezi kapena tsiku lililonse, koma kwa miyezi iwiri. Mafuta sathamanga ndipo zotsatira zomwe zimadalira mlingo wa chromium zimakhalapo ndendende.

Mu piritsi 1 Chromium Chelate - 100 mcg of chromium, mu Helsi Chromium - 200 mcg

Zinc ndi mthandizi wachiwiri wa insulin ikalowa mu cell. Sich pachabe kuti ndi matenda a shuga a mtundu woyamba, ngakhale mankhwalawo pawokha, insulin, amaphatikizidwa ndi zochuluka ndi zinki.

Zinc mu kapamba imapangitsanso kapangidwe kake ka mahomoni ndipo imathandizira kupewa kuchepa kwa zinthu zake mu hyperglycemia. Koma zinc imatenganso mbali zingapo zamachitidwe amitundu mitundu, kuphatikiza kuthandiza ma enzymes pakukonzanso zinthu kuchokera kuzinthu zopanga metabolic komanso kukonza masinthidwe amaselo.

Zachidziwikire, zinki zogwiritsidwa ntchito mkati sizili zofanana ndi zitsulo kuti usachite dzimbiri. Zomera zachilengedwe zimapezeka kuchokera kuzomera. Ndikupangira matenda a shuga nthawi yomweyo kuphatikiza chinthu china chofunikira kwambiri - amino acid taurine, ndipo ali gawo la ortho-taurine lodziwika bwino, lomwe lakhala wothandizira wodalirika polimbana ndi matenda a metabolic m'magazi aanthu kwazaka khumi.

Monga lamulo, zomwe zili taurine m'thupi mwa anthu odwala matenda ashuga ndi theka la anthu athanzi. Izi zimabweretsa kuwonjezeka kwa thrombosis, kuwonongeka kwa makoma a mitsempha, kuphwanya mafuta kagayidwe, kutsegula kwa atherosulinosis. Taurine ilinso ndi tanthauzo lina lofunikira kwa ife. Imathetsa zomwe zimatchedwa. kutayikira kwa nembanemba wa ionic ndi kuchepa kwa magetsi kwa ma cell. Kuthana ndi kuchuluka kwa calcium, kuchotsa kuchuluka kwamadzimadzi, kuchepetsa mphamvu yamanjenje, kuthetsa kusokonekera kwa endothelial, amino acid taurine imathandizanso kuthamanga kwa magazi ndikupumulanso mitsempha yamagazi. Zotsatira za ortho-taurine ergo pamtima ndi mitsempha yamagazi zimathandizidwa ndi magnesium, manganese ndi vitamini B₁. Tidayankhula nanu pamwambapa kuti matenda a shuga nthawi zonse amakhala operewera mphamvu. Chifukwa chake, m'zaka zaposachedwa, succinic acid yakhazikitsidwanso mu kapisozi ka ortho-taurine, komwe kumatsimikiziridwa kuti kumawonjezera mphamvu ndi kulimba kwa khungu, kusintha kagayidwe kazinthu mkati mwake.

Ortho-taurine ergo adapangidwa ndi m'modzi mwa akatswiri odziwika bwino ku Russia, omwe ndi membala wa komiti ya Natural Medicine Society, Dr. Aleshin.

Zinali ndi mabuku ake onena za mavitamini, mchere, amino acid, ndi zinthu zina zofunika pazakudya zomwe akatswiri ambiri adayamba kudziwa akatswiri azakudya ngati sayansi kumayambiriro kwa 2000s.

Ku West, njira, taurine imalimbikitsidwa kwambiri kwa matenda ashuga ndipo palinso mankhwala kwa iyo.

Popeza ndizowonjezera kapena zowoneka bwino ndi mchere, ndingofotokozera kuti amino acid taurine ndiyothandizanso 100% zachilengedwe. Taurine adapezeka koyamba mu ng'ombe bile (taurus), ndichifukwa chake adapeza dzina ili.

Onse a Helsi chromium ndi Chromium chelate ndi Ortho taurine ergo amayambitsa ubale pakati pa khungu, glucose ndi insulin. Ndi thandizo lawo, timawonjezera "kukonza" ndipo chifukwa cha izi, shuga wamwazi amachepetsedwa.

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  ^ Ndipo chifukwa chiyani mukulangiza kuti mutenge Megapolien ndikuyeretsa chiwindi kwa matenda ashuga?
  

Tidati mitsempha yamagazi ndiyo chandamale chachikulu cha matenda ashuga. Chifukwa chake, ma omega 3 acids omwe ali ku Megapolien ndi zinthu zofunika kuti apitilize mawonekedwe a cholesterol m'thupi. Kuyenera pakati pa cholesterol chotsika kwambiri komanso chapamwamba kumadalira iwo. Mwanjira ina - ndi Megapolien mtsempha wamagazi "kupitilira" pang'ono. Ikufotokozedwa mwatsatanetsatane mu chaputala pamavuto a mtima ndi mitsempha yamagazi, ndipo sindizibwereza.

Ma asidi a polyunsaturated (omega 3) sasinthidwa m'thupi ndipo gawo lathunthu limapezeka pokhapokha pazinyama. Mutha kugwiritsa ntchito mafuta osindikizika ndi ena, koma mafuta apamwamba kwambiri ku Megapolien ndi opitilira zaka 15 akugwira ntchito.M'bukuli ndimangotchulapo kangapo kangapo pamabungwe ambiri ofotokoza, maumboni, ndi maphunziro pazinthu zofunikira za polyenes. Ndipo wopanga yemwe amapanga Megapolien wa Sokolinsky Center ndi kampani yoyamba ku Russia yopanga zakudya zowonjezera, zomwe zimatsimikiziridwa malinga ndi FSSC 22000 scheme - muyezo wopanga European ndi America.

Kodi cholesterol imapangidwa kuti, yomwe tikufuna kuthana ndi kudya pafupipafupi kwa Megapolien? Ndiko kulondola - mu chiwindi. Chifukwa chake, timasamaliranso zabwino za ntchito yake, ndikupanga kuyeretsa koyambirira kwamaphunziro.

Palibe zambiri zotere kuti kusintha kwa chiwindi kungakhale kopindulitsa.

Ngati pakufunsana ndikakumana ndi munthu wonenepa kwambiri, wokhala ndi matenda a metabolic, ndiye kuti ndisanavomereze kena kake mwachindunji kuti ndichepetse shuga ndiyenera kumulangiza pakuyeretsa kwake (onani mutuwo ndi dzinalo). Kupatula apo, shuga m'magazi siwopanda magazi, omwe Zosterin kopitilira muyeso titha kuwachotsa popanda kuphatikizidwa ndi munthu payekha. Shuga ndi poizoni. Sitingangoyeretsa ku magazi. Ndikofunikira kukwaniritsa kuti ndalama zamagetsi zimachuluka komanso kulemera kumachepa. Chifukwa chake, pophatikiza matenda ashuga ndi kuthamanga kwa magazi, cholesterol yambiri komanso kunenepa kwambiri, muyenera kudzinyengerera kuti musangoyesetsa kutsitsa shuga, koma yambani kuyeretsa matumbo, chiwindi, magazi kuti muchotse zopezeka ndi kagayidwe kazakudya, minyewa yamatenda yomwe imalepheretsa magwiridwe antchito a enzyme komanso ngakhale mutatsutsana ndi maziko awa, mutha kupeza kuchepa kwa shuga ndikudzaza kuchepa kwa zinc, chromium, taurine.

Ngati inu mwachilengedwe mukufuna zonse nthawi imodzi, ndiye kuti tili ndi vuto ndikadzapeza zotsatira zabwino ndikutsuka nthawi yomweyo ndikuthandizira njira zama metabolic.

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  ^ Nanga bwanji mukulimbikitsanso mankhwala azitsamba chifukwa cha matenda ashuga?
  

Mankhwala azitsamba akhala akugwiritsidwa ntchito mu shuga kwazaka zambiri. Sizingatheke kuwulula mphamvu ya zitsamba pazinthu zosiyanasiyana mu Fyodiabeteson wa phyto kapena gulu la Chibugariya la Gluconorm. Zochitika zaka mazana ambiri azitsamba. Nayi tanthauzo lonse. Koma ngati mungawaphatikize ndi ortho-taurine ndi chromium wachilengedwe, ndiye kuti shuga amachepetsa m'mwezi woyamba ndipo kulemera, mukamadya, kumayambanso kutsika, ndipo pambuyo pake, monga lamulo, mulingo wa kuthamanga kwa magazi.

Kapangidwe ka Gluconorm Bolgartrav akuphatikizapo:

Chinsinsi chake ndi banja lomwe ndi imodzi mwa olowa ndi chibadwa cha Bulgaria Dr. Toshkov. Zitsamba zimamera m'mapiri a Rhodope. Wolemba mwiniyo akulimbikitsa kutenga mapiritsi 6 tsiku lililonse kwa miyezi itatu motsatizana. Koma ndilibwino kusinthanitsa mwezi m'mwezi umodzi kapena awiri awiri ndi Phyto-shuga. Chifukwa chake ndikuwona zabwino kwambiri.

Msonkhano wanga wa phyto "Phytodiabeton" ulinso wophweka. Pokonzekera, 19 (!) Zophatikizidwa zidatengedwa: maluwa a linden, maluwa a violet, muzu wa elecampane, stigmas wa chimanga, udzu wamahatchi, muzu wa magazus, maluwa a calendula, juniper, thyme, zofukiza, tsamba la lingonberry, clover wokoma, tsamba la timbewu, dandelion, tsamba la mabulosi , leadum, immortelle, centaury, tsamba la bulugamu, tiyi wobiriwira.

Kapangidwe kake ndi kocheperako chifukwa chake kapamwamba kwambiri komanso kosavuta.

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  ... Kodi ndikofunikira kutenga mavitamini owonjezera "kwa odwala matenda ashuga"?
  

Monga mukudziwa, ndikutsutsana ndi mavitamini opanga. Mankhwalawa samatenga nthawi yayitali ndipo mavitamini aku Western mavitamini amapanga kupanikizika kwa chiwindi ndi magazi. Chifukwa chake, amachititsanso kutentha kwa thupi ndi chifuwa, etc. ndikulangizanso mu gawo lachiwiri (onani tchati) ndiko kuti, mutatsuka thupi, gwiritsani ntchito Spirulina Sochi NTSVK monga gwero la mavitamini ndi mchere wambiri.

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  ^ Kodi muyenera kusiya kumwa mankhwala panthawi yanu yophunzira?
  

Palibe zonena za insulin. M'malingaliro awo oyenera, palibe amene adzafunse za kusiya kwake kudziyimira pawokha, komanso mankhwala ochepetsa shuga omwe amayenera kuyimitsidwa amayenera kuyimitsidwa ndikuyang'aniridwa ndi dokotala, pamaziko a mayeso abwinobwino a nthawi yayitali.Ali ndi mphamvu yodzikundikira chifukwa chake ngati mungathe kuzimitsa nokha osadikirira miyezi ingapo yophatikizidwa ndi mankhwala achilengedwe, mutha kumva bwino kwakanthawi. Koma "zabwino" zenizeni zidzangokhala pokhapokha ngati titakwanitsa kusintha momwe kagayidwe kachakudya kamapangira. Zimatenga nthawi. Ndikupangira kupita ku endocrinologist ndi funso wochepetsera mlingo kapena kusiya umagwirira ngati mwawona pafupipafupi kuchuluka kwa magazi pa mita mwezi watha. Musaiwale kumangomuwonetsa zomwe mukutenga, apo ayi adzaganiza kuti chemistry yokha mwadzidzidzi yayamba kuthandiza.

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  ... Popeza sitikuchotsa mankhwala, komanso kuwonjezera ndalama zanu, kodi sipadzakhala zochuluka?
  

Ngati mutenga nthawi yanu ndikutsimikiza kuti mudzakhuta malinga ndi zotsatira za mwezi woyamba pokhapokha kuti chimbudzi chanu ndikugwirira ntchito bwino, ndipo shuga yanu sinachepe, ndiye kuti mutha kugawa pulogalamu ya mwezi woyamba kukhala iwiri. Koma ndikudziwa anthu pang'ono ndipo ndikumvetsa kuti zilibe kanthu kuti simukulankhula bwanji za metabolism, koma monga chisonyezo cha kukonzanso, aliyense mokakamira amasankha kuchuluka kwa shuga.

Ndipo chachiwiri, zonse zomwe ndikupangirani ndizofunikira kwambiri zopatsa thanzi, sizigwirizana ngakhale ndi mankhwala. Mmodzi angafunse, koma ndipitanso chiyani ndikamwa tiyi wamankhwala, kudya phala, tomato, mchere, etc. Kodi izi sizowonjezera?

Mothandizidwa ndi zinthu zina, timawonjezera ku kagayidwe kazinthu zosiyanasiyana zomwe zimasowa ndipo, chifukwa cha kuchepa kwa zinthu zina, matenda ashuga. Mantha owonjezera - vasospasm! Ganizirani zomwe mukuchita ndikuopa kupita patali kwambiri kudzapita. Muyenera kukhala osawopa taurine ndi chrome, koma ma buns ndi maswiti.

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  Kodi tichite chiyani ngati pali zodwala za matenda ashuga zomwe zimayambira kapena matenda osawoneka bwino m'miyendo?
  

Bwerani mudzafunse. Chiwembu choyenera chokhalira ndi magazi abwinobwino komanso kupewa metabolic syndrome ndi chimodzimodzi. Koma malingaliro owunikira azithandizo zachilengedwe amafunika kuphatikizidwa molondola ndi mankhwala.

• 
  ^ Kodi ndifunika kukhazikitsa malangizo pa Sokolinsky System?
  

Ndi matenda ashuga, sitisankha kuchita kena kake kapena ayi. Thupi silisiyira ufulu wotere kwa ife. Timangoganiza zokhazo zomwe tigwiritse ntchito: chilengedwe kapena chemistry. Ndipo ngati m'mwezi woyamba wamaphunzirowo, shuga adayamba kuchepa, ndipo thanzi lidayamba bwino. Ichi ndi chitsimikizo chotsimikizika kuti chizipitilira: kuyeretsa thupi ndikukhalitsa kagayidwe, ndipo kukhululuka machimo akale ndi zakudya, kusuntha kochepa komanso kusayang'anira mkhalidwe wamalingaliro.

Ndani omwe angathandizidwe - kale m'mwezi woyamba akumva bwino.

Kwa miyezi inayi mutha kukwaniritsa zotsatira zokhazikika ndi machitidwe abwino aumunthu komanso zabwino kuchokera kumwamba.

Zizindikiro

Type 1 ndi matenda ashuga 2 - pali zosiyana muzolemba.

Choyamba, kufufuza ndi kufufuza kumachitika. Dokotala amapeza madandaulo a munthu. Amawunika komwe khungu lowuma, mabala osachiritsika amatha kupezeka, chidwi chimalipidwa kulemera kwamthupi la wodwalayo.

Kenako kuyesedwa kwa labotale kumachitika:

1. Kuphunzira shuga. Kuyamwa magazi kumachitika m'mimba yopanda kanthu, ndikuyambiranso masiku 12. Kuzindikira kumachitika ndi shuga wamagazi (mmol / L).
2. Mayeso a kulolera a glucose. Imachitika m'magawo atatu, ndikuwonetsa kuchuluka kwa shuga m'magazi.
3. Urinalysis Amazindikira glucose (glucose wabwinobwino mumkodzo sadziwika), amawulula ma acetone mu mkodzo, amawonetsa kuchuluka kwa C-peptide.

Popeza ndi ma pathologies monga mtundu wachiwiri ndi matenda a shuga 1, kusiyana pakati pawo kumakhala kosamveka bwino, kuwunika kosiyanasiyana kumachitika.

Gome. Kusiyanitsa mitundu iwiri ya matenda ashuga:

Kutengera ndi deta, kufufuza kumapangidwa ndipo chithandizo chimayikidwa.

Kuzindikira kumatsimikiziridwa ndi kuyesedwa kwa labotale.

M'matenda a matenda amtundu 1 komanso 2 matenda a shuga, kodi njira zamankhwala zimasiyana bwanji? Mfundo zazikuluzikulu zamankhwala ndizofanana kwa mitundu yonse ya matenda. Munthu amalimbikitsidwa kutsatira zakudya ndikumupatsa mankhwala ochepetsa shuga. Ndi mitundu yosiyanasiyana yamatenda, mankhwala osiyanasiyana amagwiritsidwa ntchito.

Gawo lofunikira pokwaniritsa njira zabwino zamankhwala ndi zakudya. Kuti mupange menyu, gwiritsani ntchito zakudya zamafuta ochepa, chifukwa chake ndikofunikira kuyendetsa zakudya zamagulu ndi zopatsa shuga. Kuphatikiza pa kuwerengera saccharides, ndikofunikira kusankha zinthu zogwirizana ndi zosaloledwa komanso zoletsedwa.

Zomwe mungadye popanda chiopsezo chaumoyo:

• mkate wa chinangwa
• nyama zamafuta ochepa - kalulu, nkhuku, nyama yamwana wamchere,
• nsomba zowonda
• mkaka, kefir, mafuta ochepa komanso tchizi wopanda nkhawa,
• phala - nsomba zamkati, oat, barele, mapira,
• masamba - kabichi, kaloti, phwetekere, nkhaka, tsabola belu, biringanya, zukini,
• zipatso ndi zipatso - quince, maapulo, malalanje, plums, yamatcheri, ma buliberries, currants,
• zakumwa - zakumwa za zipatso zosapsa, tiyi wopanda shuga, msuzi wa rosehip, zipatso zosapsa,
• mafuta - masamba a masamba ndi batala wopanda mafuta amatha kudyedwa pang'ono.

Izi ndizoletsedwa mu shuga:

• makeke, makeke,
• nyama yamafuta ndi masoseji,
• kusuta, zamzitini, zinthu zamchere,
• tchizi chamafuta ndi mkaka,
• phala kuchokera ku mpunga ndi semolina,
• mbatata, beets,
• mphesa, nthochi, masiku,
• zakumwa zilizonse zabwino ndi mowa.

Kwa odwala omwe ali ndi shuga omwe amadalira insulin, ndikofunikira kuwonjezera zopatsa mphamvu za tsiku ndi tsiku zamasamba mpaka 3000 kcal. Kuphatikiza apo, amalimbikitsidwa kuti azigwiritsa ntchito zinthu zophika pang'ono.

Chithandizo cha zakudya ndi imodzi mwanjira zazikulu zochiritsira

Mankhwala

Ndi mitundu ya matenda ashuga, pali kusiyana kotani pakati pa mankhwalawa omwe amagwiritsidwa ntchito?

Kusiyanaku kumadalira pathogenesis yamatenda. Mtundu woyamba wamatenda, pali kusowa kwa insulin chifukwa chakuti kapamba amatulutsa pang'ono. Chifukwa chake, kukonzekera kwa insulin kumagwiritsidwa ntchito pochiza.

Pali mitundu ingapo:

• yochepa - nthawi yayitali ndi maola 4-6,
• Kutalika kwapakati - mphamvu imatenga maola 6-12,
• insulin yayitali - yogwira masana.

Nthawi zina kuphatikiza mitundu yosiyanasiyana ya insulini kumagwiritsidwa ntchito. Mtundu wachiwiri wa matenda, maselo am'mimba amakhala ndi insulin.

Pankhaniyi, mapiritsi amayikidwa mankhwala ochepetsa shuga ochokera m'magulu osiyanasiyana:

• khwawa
• zochokera sulfonylurea,
• alpha glucosidase zoletsa.

Ndi kusakhazikika kwa mankhwalawa, insulin imagwirizananso ndi mankhwalawa.

Njira zowonjezera

Kuchita masewera olimbitsa thupi ndi njira yothandizira pochiritsira. Inde, ndizosatheka kuchotsa matendawa mothandizidwa ndi masewera, koma kubwezeretsa thupi, shuga wocheperako ndizowona.

Kugwiritsa ntchito anthu odwala matenda ashuga kuli ndi zina:

• makalasi amayendetsedwa panja kuti agwire bwino ntchito,
• maphunziro pafupipafupi - theka la ola tsiku lililonse kapena ola lililonse,
• muyenera kukhala nanu nthawi zonse chakudya chokonzekera ndi chakudya,
• kuwonjezeka pang'onopang'ono kwa katundu.

Ndikulimbikitsidwa kuyeza zizindikiro za shuga musanaphunzitsidwe, pakati komanso kumapeto kwamakalasi.

Maphunziro akuthupi amatenga gawo lofunikira pakulipira matenda.

Chifukwa chake, tsopano zikuwonekeratu zomwe zimasiyanitsa matenda amtundu wa 2 komanso mitundu yachiwiri ya matenda ashuga - zomwe zimayambitsa, mphamvu za chitukuko, chikhalidwe cha maphunzirowa ndi zizindikiro zake.

Mafunso kwa adotolo

Posachedwa, ndinazindikira kuti ndili ndi matenda ashuga a 2. Kodi mungathandize kupanga maphikidwe a tsikulo, kuli bwanji kuphika chakudya?

Andrey G, wazaka 58, St. Petersburg

Mukamaphika, ndibwino kusiya zakudya zophika. Zowonjezera bwino komanso zotetezeka zidzaphikidwa, zophika mbale, chakudya chofewa. Tenthetsani zipatso ndi ndiwo zamasamba pang'ono momwe mungathere. Nayi mndandanda wazitsanzo za tsikulo.

• Chakudya cham'mawa - apulo, buckwheat, dzira, tiyi wopanda shuga, mkate wa chinangwa.
• Chakudya cham'mawa chachiwiri ndi lalanje, ma cookie owuma, kulowetsedwa kwa zipatso za rosehip.
• Chakudya chamadzulo - msuzi wamasamba, cutlets ya nkhuku yofinya ndi kabichi wopatsa, saladi ya karoti yaiwisi, mkate, mkaka.
• Chakudya chamadzulo - nsomba zophika, masamba kapena saladi wa zipatso.
• Usiku mutha kumwa kapu ya kefir yopanda mafuta.

Ndakhala ndikudwala IDDM kwa pafupifupi chaka chimodzi ndipo ndakhala ndikumwa mankhwala ofunikira. Ndikufuna kudziwa ngati pali wowerengeka azitsamba azithandizo?

Anastasia L, wazaka 26, Tyumen

Inde, zida zotere zilipo. Zakudya zina, zomerazi zimatha kusinthasintha shuga.

• Sungani zigawo za walnuts makumi anayi, kutsanulira kapu yamadzi ndikusamba mumadzi osamba kwa ola limodzi. Imwani madontho 20.
• Mu thermos, kutsanulira supuni ya chowawa chowuma, kutsanulira kapu ya madzi otentha ndikusiya maola 8. Tengani tsiku lililonse gawo limodzi mwa magawo atatu a magalasi.
• Zidutswa 7 za nyemba, kuthira madzi okwanira theka ndikusiyapo usiku. Idyani nyemba ndi kumwa madzi ola limodzi musanadye chakudya cham'mawa.

Musanayambe kumwa mankhwala azikhalidwe, muyenera kufunsa dokotala.

Zoyambitsa matenda ashuga

Kodi zifukwa zake zimasintha bwanji? Kodi ndichifukwa chiyani insulini imaleka kupanga zochuluka? Chifukwa cha chiyani munthu angadwale matenda ashuga?

Choyamba, chimodzi mwazifukwa zazikulu zoyambitsira matenda ashuga chimatha kukhala kuwonongeka pang'onopang'ono kwa maselo mu kapamba, omwe amapanga mahomoni ofunikira - insulin.

Kachiwiri, kusintha kwamamvedwe a thupi kupangitsa kuti insulini iziyenda m'magazi ndikotheka.

Zomwe zimayambitsa ndikugwiritsa ntchito mosavomerezeka maantibayotiki ndi matenda omwe angayambitse matenda a shuga a mtundu woyamba kapena wachiwiri:

1. Kuwonongeka kwa maselo a pancreatic ndi kutha kwa kupanga kwa insulin pambuyo pakupatsira matenda opatsirana ndi ma virus. Mwachitsanzo, rubella, nthomba, mumps ndi hepatitis, ndi zina zotere.
2. Heredity ndichinthu chomwe chimachita gawo lofunikira. Zadziwika kuti matenda a shuga pakati pa abale a anthu omwe amadwala kale amapezeka pafupipafupi. Ngati zoterezi zikuchitika, ndiye kuti munthu ayenera kutsatira malamulo angapo omwe amachepetsa chiopsezo cha matendawa pang'ono ndikuletsa shuga.
3. Matenda a Autoimmune ndi "kuwukira" kwamphamvu ya chitetezo chathupi pazinthu zawo. Zitha kuchitika, kuphatikizapo zokhudzana ndi maselo a pancreatic. Ngati awonongeka ndi chitetezo cha mthupi, zimayambitsa matenda a shuga.
4. Kudya kwambiri (ndipo, chifukwa chake, kunenepa kwambiri) kungakhale chimodzi mwazomwe zimayambitsa matenda ashuga. Izi zitha kuwongoleredwa ndi anthu 100% pazokha! Mutha kuchepetsa chiwopsezo cha matendawa kucheperako pochepetsa kulemera kwa thupi kuzowonetsera ngati zomwe zikuchitika.

Komanso matenda a chiwindi, chithokomiro, ubongo (pituitary gland).

Mfundo zoyambirira za chithandizo cha matenda ashuga

Njira yodwala matendawa imatengera mtundu wake komanso kuti ikhale yokwanira - mwakuthupi, pogwiritsa ntchito njira zina zapamwamba komanso mankhwala, komanso, makamaka pamatenda a matenda a shuga. Mwa njira, m'maiko otukuka, shuga amatchedwa "moyo" wapadera. Zowonadi, kafukufuku wasonyeza kuti odwala omwe amatsata njira zofunikira akhoza kukhala ndi moyo wathanzi, wathanzi.

Kodi njira yatsopanoyi ndi iti? Malangizo apadera a tsiku lililonse monga chithandizo cha matenda amishuga aliwonse amatanthauza izi:

1. kutsatira zakudya zapadera za odwala matenda ashuga omwe amayang'anira shuga,
2. zolimbitsa thupi zolimbitsa thupi, zomwe nthawi zonse zimakhala, zomwe zimatchedwa "popanda kukopa",
3. kuwunika pafupipafupi shuga (shuga),
4. kukonza kwa matenda a shuga.

Kuwona njira zodziwika za tsikulo ndi zakudya, kuyang'anira nthawi ndi kumwa mankhwala, kusiya zizolowezi, ndikuzindikira matenda osokoneza bongo, mutha kukhala moyo wabwino komanso wosangalala.

Buku Lachakudya - buku laling'ono lofunika!

Ngati tikulankhula za zakudya, ndiye kuti kayendetsedwe ka chakudya munjira yokhalira ndi "diary ya chakudya" imawerengedwa kuti ndiyo yofunika kwambiri pothandizira matenda a shuga. Zogulitsa zonse zomwe zimadyedwa ndi wodwala tsiku limodzi, zomwe zili mkati mwa calorie, kuchuluka kwake zalembedwa mmenemo mosalephera. Kusunga zolemba zotere kumapangitsa kuti boma lizitsatira molondola, zomwe zimathandizanso kuti shuga agawidwe m'magazi.

Kwa wodwala aliyense, chakudyacho chimapangidwa ndi akatswiri athu mosiyana payekhapayekha! Malowa, ofotokozedwa mwatsatanetsatane kakang'ono kwambiri, amapangidwa ndi endocrinologist yemwe amathandizira matenda a shuga.

Choyamba, kuchuluka kwa mphamvu yazinthu zomwe zimapangidwira komanso chakudya chokonzekera chomwe chimafunikira munthu chimawerengedwa. Pankhaniyi, zigawo zotsatirazi ziyenera kukumbukiridwa:

1. zaka
2. jenda
3. kulemera
4. mulingo wolimbitsa thupi.

Kuthanso kwa chakudya kumatsimikiziridwa, monga lamulo, pama kilocalories omwe amalandiridwa ndi thupi panthawi ya mayamwidwe a mapuloteni, mafuta, chakudya kuchokera ku chakudya. Wodwala yemwe akudwala matenda a shuga, zomwe zimafunikira tsiku ndi tsiku zimawerengedwa motere:

1. Kwa akazi - pa kilogalamu imodzi ya kulemera kwamakilo 20-25,
2. Kwa amuna - 25-30 kilocalories pa kilogalamu ya kulemera kwa thupi.

Maupangiri a Zakudya za Matenda a shuga

1. Ndikofunikira kuchepetsa kuchuluka kwa chakudya chamagulu. Kutengera ndi momwe zinthu ziliri, adokotala asankha kuti achepetse kapena kupatula zinthu zilizonse monga chokoleti, confectionery, shuga, maswiti, ayisikilimu, kupanikizana ndi mitundu ina ya maswiti.
2. Muyenera kudya osachepera 5-6 patsiku.
3. Ngati mankhwalawa ali ndi matenda apamwamba a shuga, ndikofunikira kugwiritsa ntchito mavitamini okwanira.
4. Onetsetsani kuti muchepetsa zakudya zopatsa mphamvu.
5. Mu shuga mellitus, tikulimbikitsidwa kudya mkaka wokwanira ndi mashelufu zakudya, mbale zakonzedwa kwa iwo.

Zakudya za mtundu 1 ndi matenda ashuga 2 kuti shuga asatukuke

Mlongo wanga anandiuzanso za zakudya zomwe amalimbikitsa kwa odwala ake. Nthawi yomweyo, samalimbikitsa kuti azitsatira mfundo zomwe ndimapangira mndandanda wazakudya zolemetsa kwa nthawi yayitali kuposa miyezi iwiri motsatizana, popeza kukhalapo kwa kuchuluka kwa mapuloteni muzakudya kumapeto kwakanthawi kumapangitsa kuti thupi lizigwiritsa ntchito mokwanira.

Zakudya zake zimagwiritsidwa ntchito pogwiritsa ntchito masamba ambiri okhala ndi fiber. Izi zimakuthandizani kuti muzilamulira shuga, komanso kudya chakudya chokwanira kuti musamve njala.

Koma pali poti imodzi: mlongo amakhala ndipo amagwira ntchito ku Morocco, ndipo mndandanda wawo wachikhalidwe ndi wosiyana kwambiri ndi wathu. Mwachitsanzo, iwo samadya phala konse. Ndipo amakonda mkate ndi mafuta a maolivi. Chifukwa chake, chakudyacho chinapangidwa mwachindunji ndi cholinga pa malingaliro a Moroccan.

Chifukwa chake, ndipereka monga chitsanzo, koma ndisintha malinga ndi zakudya zathu zachikhalidwe.

Tebulo la menyu la shuga

* Za zipatso, ndikofunikira kusankha omwe mulibe shuga wochepa: zipatso za malalanje, mphesa, maapulo, mapeyala, ma apricots

** Moroko ndi dziko lachisilamu, zikuwonekeratu kuti nkhumba zamafuta sizidadyedwa pamenepo. Nthawi yomweyo, ali m'mphepete mwa nyanja, ndiye kuti nyama yawo yayikulu ndi nsomba. Ndikosavuta kwa ife kudya nkhuku, ng'ombe zosakhwima kapena nsomba yomweyo

*** Msuzi puree nthawi zambiri amakhala chakudya chathu, masamba a masamba ali pafupi nafe. Chifukwa chake, msuzi wophika kabichi, kapena masamba ongophika, timvetsetsa. Pankhaniyi, simuyenera kuyang'ana kuchuluka kwa msuzi woledzera, koma chiwerengero cha masamba omwe amadya.

Zolemba za zakudya za shuga

Ndinalemba tsiku limodzi lokha chifukwa chosavuta kuti sichikhala chosiyana ndi masiku ena onse. Chakudya chosintha pang'ono chizikhala chimodzimodzi masiku onse a sabata.

Zomwe zili pamwambazi zikulimbikitsidwa kuti zizitsatira pafupipafupi. Chimakupatsani mwayi:

• khalani ndi shuga wabwinobwino
• osati njala
• musamachulukitse zopatsa mphamvu, kuti musalemere
• kupeza michere yambiri kuchokera kumasamba
• musachulukitse thupi ndi mapuloteni

Ndiponso, pali zakhululukidwa zakudyazo. Kupatula apo, ngati mumatsatira pafupipafupi, ndiye kuti sizingatheke kuswa. Chifukwa chake, kamodzi pa sabata, maswiti amaloledwa. Patsikuli, mutha kusintha zokhwasula-khwasula ndi makeke ndi makeke. Izi ndizofunikira kuti muchepetse nkhawa chifukwa chamadongosolo azomwe mumadya.

Muyenera kuti mwazindikira kuti batala ndi mkate ndizakudya zilizonse zazikulu. Izi ndichifukwa choti a Moroccans amakonda kudya mkate pomwe amamwa tiyi, kumizidwa mu mafuta a azitona. Izi zimalowa m'malo mwake ndi phwando lathu la tiyi ndi gingerbread ndi maswiti. Koma musasokoneze chakudya chathu chosungira ndi batala ndi mkate wawo wokhala ndi nyumba ndi azitona m'bwalo. Kwa ife, izi sizingakhale zothandiza konse. Momwe mukuwona gawo ili la menyu, ndidasinthira phala pa kadzutsa, ndikuchotsa kwathunthu kuzakudya zina.

Chonde dziwani kuti chakudya 5 chimasonyezedwa patsiku. Ndipo simungathe kuwagwirizanitsa. Nthawi zambiri zakudya zimakhudzidwa kwa odwala matenda ashuga kuti ma spikes m'magazi a shuga azikhala pafupipafupi, koma ofooka. Kwa munthu wathanzi izi ndizofanana, koma kwa wodwala ndizofunikira kwambiri.

Mwakutero, izi ndizofanana ndi menyu wamasamba, omwe ndidapangira omwe ali ndi vuto la mgonero ndipo amafunikira masamba ambiri, kuti adye chimbudzi. Mu mtundu uwu mulibe mazira. Simalimbikitsidwa odwala matenda ashuga chifukwa cha cholesterol yomwe ali nayo. Funso ndilovuta kwa ine, koma sinditsutsana ndi mankhwala omwe amagwiritsidwa ntchito masiku onse. Chifukwa chake ndimatsatira malingaliro asayansi - zosaposa zidutswa zitatu pa sabata.

Anthu athanzi amatha kuyesa izi, koma odwala matenda ashuga amakhala bwino akamamatira malamulo omveka bwino.

Izi ndizothandiza kwa odwala omwe ali ndi matenda amtundu wa 1 komanso a 2. Kusiyanako ndikuti poyamba, nthawi zambiri, palibe funso loti muchepetse thupi. Ndipo chachiwiri, kutsatira zakudya zotere kumangokulitsa kulemera, koma osachepetsa. Kenako amayamba kuchotsa zosankha - mkate kuchokera pa chakudya chamadzulo kapena chimodzi mwazakudya. Koma izi ndizovuta kawirikawiri. Monga lamulo, zakudya zimagwiranso ntchito kwa aliyense.

Zomwe sizili za matenda ashuga

Ndipo zoona, pali mndandanda wazakudya zomwe sizilimbikitsidwa chifukwa cha matenda ashuga, chifukwa zimachulukitsa shuga kwambiri kapena zimakhala ndi mafuta ochulukirapo, zomwe sizothandiza kwenikweni pamene menyu anu ali ndi chakudya chamagulu ambiri.

Izi ndi monga:

shuga ndi zakudya zabwino kwambiri

nyama yamafuta ndi nsomba - mwanawankhosa, nkhumba, mafuta anyama, bakha, tsekwe

nyama yosuta, mphodza, zakudya zamzitini, caviar

masamba okhathamira - mbatata, dzungu, beets

chakudya chofulumira

zipatso zokoma - nthochi, mavwende, ma tangerine

zipatso zamasamba, popeza opanga amawonjezera shuga wambiri

Ndizo zonse. Sindinayesere kupaka zakudya zonse zomwe zilipo kwa odwala matenda ashuga, pali zosankha zambiri za nkhani imodzi. Ndangofuna ndikupatseni njira imodzi yomwe mungayesere nokha. Kupatula apo, matenda ashuga ndi matenda omwe muyenera kukhala nawo moyo wanu wonse, ndipo zinthu zingapo zomwe mungasankhe, sizivuta kuti musankhe omwe akukuthandizani. Chifukwa choti kudya matenda ashuga sikulinso chakudya, ndi njira ya moyo.

Zabwino zonse panjira yanu. Osadwala.

Kodi matenda ashuga a mtundu 2 ndi otani?

A endocrinologists ku Israeli adawona kuti mkhalidwe wa odwala omwe ali ndi matenda amtundu wa 2, omwe amatha kuchepa thupi, kusintha zakudya, kuwonjezera zolimbitsa thupi.

Kuphatikiza apo, zidapezeka kuti chithandizo cha mankhwala othandizira odwala matenda amtundu wa 1 sichithandiza nthawi zonse matenda ashuga a 2. Izi sizotsutsana, chifukwa mtundu wa 2 shuga umangokhala kutsutsana kwa insulin. Ngati munthu akukana kwambiri ndi insulin, amakhala ndi shuga wambiri. Komabe, izi ndi chizindikiro chabe cha vuto. Chinsinsi cha matendawa ndicholetsa insulini kwambiri. Pakadali pano, njira zonse zachikhalidwe zomwe zimagwiritsidwa ntchito masiku onse zimatsata kuwongolera misempha ya magazi.

Chifukwa chiyani chithandizo cha insulini sichothandiza mu shuga yachiwiri?

Ngati munthu ali ndi kachilomboka - nkuti, chilonda chotseguka cha mbali yakumaso - muyenera kuchiza. The causative wothandizila matenda ndi mabakiteriya. Chifukwa chake, wodwalayo amatenga maantibayotiki. Chifukwa cha matenda mwa anthu, matenthedwe amatha kuwuka.

Komabe, kutentha thupi si matenda. Mukayamba kuchiza matenda ngati chimfine, mabala omwe ali ndi kachilombo m'miyendo mwanu amayamba kutha, chifukwa mumachiza matendawa ndikumanyalanyaza matenda omwewo. Zomwezi zimachitikanso ndi matenda amtundu wa 2 shuga. Pakadali pano, odwala oterowo ayesa kuwongolera kuchuluka kwa shuga m'magazi, koma matendawa sakukhudzana mwachindunji ndi shuga. Chomwe chimaphwanya kwambiri ndi kukana insulini kwambiri. Ndipo chimachitika ndi chiani? Popeza sitichiza matendawa mwachindunji, ikupita patsogolo.

Imbani chipatala chaulere

Wodwala matenda a shuga a 2 amayamba ndi mankhwala amodzi, kenako amamwa mitundu iwiri, itatu, ndikumamwa insulin yambiri.

Amatenga mankhwala ambiri pazolinga zomwezo - kukhalabe ndi shuga panthawi ina. Izi zikutanthauza kuti matenda ashuga akula kwambiri. Ngakhale kuchuluka kwa shuga kudakhala kokhazikika, matenda a shuga adakula monga kale. Inde, kwa nthawi yonseyi wodwalayo sanayesere kamodzi kuyang'anira insulin.

Matenda a shuga a Type 2, omwe amadziwika ndi kuchuluka kwa insulin, amathandizidwanso monga momwe amachitira shuga 1, momwe mumakhala insulini yochepa kwambiri. Komabe, ziyenera kumvetsedwa kuti ndi mtundu woyamba wa shuga, kuchepa kwa kuchuluka kwa timadzi timeneti m'magazi kumawonedwa. Chifukwa chake, wodwalayo ayenera kumwa insulin. Mtundu wachiwiri wa matenda ashuga, kuchuluka kwa insulin kumakwera, zomwe zimangotanthauza kufunika kochepetsa.

Kodi njira yabwino yothanirana ndi matenda am shuga a mtundu wachiwiri ndi ati?

Israeli ikugwira ntchito nthawi zonse kuti ipange zatsopano ndikuwongolera chithandizo chomwe chilipo masiku ano. Malingaliro atsopano okhudzana ndi mtundu wa matenda ashuga a 2 kwatsogolera ku mitundu yatsopano yamankhwala:

• Zakudya zamagulu komanso njira zina zochepetsera thupi,
• opaleshoni ya bariatric.

Odwala omwe akwanitsa kuchepetsa thupi, amayamba kuchita masewera olimbitsa thupi ndikuchepetsa kudya zakudya zamagulu ndi shuga, kwenikweni, adatha kutembenukira kwawo kukana insulini.Ichi ndichifukwa chake kuchuluka kwa shuga m'magazi awo kwatsika. Iyi ndi njira yosiyaniratu kuposa kutsitsa shuga ndi mankhwala kwinaku tikunyalanyaza matendawo omwe. Ili ndiye cholakwika chachikulu chomwe odwala ndi madotolo ena akupitiliza kuchita zaka 20-30 zapitazi.

Mfundo yofunika kuikumbukira ndi yakuti matenda a shuga ndi matenda omwe amayamba chifukwa cha zakudya zopatsa thanzi. Ngati muli ndi matenda a shuga a 2, ndiye kuti mumangodya shuga wambiri. Mukazindikira izi, zidzadziwika kuti mukungofunika kuchotsa shuga mthupi, kuchepetsa kumwa. Poyamba, ndikofunikira kuti muchepetse kuchuluka kwa chakudya chamafuta omwe amaphatikizidwa ndi chakudya - choyambirira, ndi zinthu zophikira buledi ndi pasitala.

Zakudya zomanga thupi ndi maunyolo a shuga omwe amapezeka mu shuga wamba momwe amadyedwa. Ndipo zikafika kwambiri, mungofunika kusiya kuzidya. Kupanda kutero, thanzi lanu lidzangokulirakulira. Ili ndiye lamulo loyamba, labwino. Mutha kuonjezeranso zolimbitsa thupi ndikuyesera kutentha ma calories owonjezera.

Dziwani mtengo wake wa chithandizo

Njira ina yothandizira matenda a shuga a 2 ndi opaleshoni ya bariatric. Cholinga chawo ndi kuchepetsa kuchuluka kwa m'mimba ndipo, chifukwa chake, kuchepetsa thupi. Izi, zimabweretsa kukula kwa shuga m'magazi.

Njira zonse zofotokozedwera zimagwiritsidwa ntchito pochiza matenda amtundu wa 2 m'makliniki aku Israeli. Zotsatira zake, odwala 85% amatha kusinthitsa shuga.

Mtengo wa opaleshoni ya matenda ashuga - kuchokera ku $ 3,500

Zakudya zamankhwala

Zakudyazi zimadziwika kuti ndi njira yothandiza kwambiri yothandizira matenda a endocrine. DM imadziwika ndi kuphwanya njira zosiyanasiyana za metabolic: makamaka chakudya chamafuta, ndipo pambuyo pake mafuta, mapuloteni, mchere, mchere wamadzi. Ngati mumawalipirira moyenera, simungangopeweratu kusintha kwamwadzidzidzi, komanso kuchepetsa kuchuluka kwa mankhwalawa.

Gawo loyamba komanso lofunikira kwambiri la munthu wodwala matenda ashuga pazakudya zoyenera ndikusiya zakudya zoopsa zomwe zimapangitsa kuti shuga akhale osagwirizana:

Zakudya monga chakudya chofulumira zili ngati poizoni, osati kwa wodwala yekha, komanso kwa aliyense wathanzi. Chifukwa chake, musalole kukhumudwitsidwa kwambiri ndi kukanidwa kwa zinthu zovulaza. Chokhacho chomwe chimakupangitsani kukhala osiyana ndi anthu omwe alibe matenda ashuga ndi momwe chiwonetsero chawo m'thupi lanu chimawonekera ndikuwonekeratu.

Ngati tikulankhula za misuzi yomwe timakonda: ketchups, mayonesi ndi zina, simuyenera kukhala achisoni. Mutha kuphika nokha. M'malo mwake, zokonda zopangidwa ndi nyumba ndizabwino kwambiri kuposa zosakaniza zobisika zamatumba.

Sinthani ku mkate wopanda tirigu, wakuda, mapuloteni, kuchokera ufa wachiwiri. Kulawa, sikusiyana kwambiri ndi "mafuta" oyera, koma mumakhala nawo ocheperako. Kudziona kuti ndiwe wosatekeseka kumabwera mwachangu, kupewa kudya kwambiri zowopsa kwa aliyense wodwala matenda ashuga. Mutha kuphikanso nokha mkate, kuwonjezera zinthu zina zothandiza komanso zosakoma, monga mbewu za fulakesi, zipatso zouma, ndi zina zambiri.

Ndi matenda a endocrine, nyama ndi mafuta ochepa, nsomba zamkaka, ndi zakudya zamafuta ochepa. Phatikizaninso masamba ndi zipatso zambiri pamenyu. Kuletsedwa kumakhalapo pa zipatso, mphesa, nkhuyu, mphesa zamphesa, nthochi.

Chakudya chabwino kwambiri chomwe chimathandiza kuti musamadye kwambiri komanso kuti mukhale ndi njala ndiyothandiza. Idyani nthawi 5-6 patsiku m'magawo ang'onoang'ono. Phunzirani kugwiritsa ntchito matebulo a kalori ndi ma index a glycemic. Kotero mutha kukonzekera bwino menyu yanu kuti ikhale yathanzi komanso yokoma. Zakudya ziyenera kukambirana ndi endocrinologist.

Pali nthawi zambiri pamene odwala matenda ashuga, omwe adaphunzira nzeru za zakudya zoyenera, akumana ndi zaka zawo. Mwinanso kudziwa kwanu kuti muli ndi vuto ndi umboni woti muyenera kudzipatula kwambiri.

Chithandizo cha mankhwala

Mankhwala amatha kugawidwa m'magulu awiri:

Loyamba ndi insulin. Imayendetsedwa mosavuta. Chithandizo chotere, monga lamulo, chimalembedwa kwa odwala omwe amadalira insulin, komanso kwa odwala omwe samadalira insulin omwe ali ndi matenda a zaka 5 mpaka 10, pamene gland itatha ndipo satulutsa mahomoni.

Othandizira pakamwa amapangidwa kuti azisintha momwe wodwalayo alili.

Agawidwa malinga ndi momwe lingagwiritsidwire ntchito:

• shuga kutsika
• α-glucosidase inhibitors (amachepetsa mayamwidwe ovuta a michere ndi minofu yamatumbo),
• sulfonylurea (yambitsa ntchito ya maselo a beta).

Mankhwala atsopano akupangidwa nthawi zonse. Nthawi zambiri, ndalama zimayikidwa limodzi. Mankhwala oterewa amakupatsani mwayi kuthandizira wodwala yemwe ali ndi matenda ashuga a 2. Zofanana ndi izi zimadziwika ndi mankhwala azitsamba. Zomera zina zamankhwala zimakhala ndi zosakaniza zomwe zimachepetsa shuga, komanso zolimbitsa ndi kuchiritsa thupi. Zambiri pansipa.

Kuchiza ndi wowerengeka azitsamba

Choyamba, tiyenera kukumbukira kuti njira zina sizingatengere mankhwala osokoneza bongo makamaka makamaka mankhwala a insulin. Chithandizo choterechi chimayenera kuonedwa ngati chowonjezera. Musanayambe, onetsetsani kuonana ndi dokotala. Kupanda kutero, m'malo mopindulitsa, zimatha kubweretsa kuwonongeka kwakukulu, nthawi zina zimayambitsa njira zosasintha.

Njira ina yosavuta yothandizira ndi kuphatikiza muzakudya zopatsa thanzi zomwe zimalimbitsa thupi:

Ponena za mankhwala azitsamba, mankhwala osiyanasiyana ophatikizira ndi ma tincture kuchokera ku burdock, clover, oat ndi zipatso za barele, nyemba za nyemba, masamba a blueberry ndi zipatso, maluwa a linden amapereka zotsatira zabwino. Ali ndi mphamvu yochepetsera shuga, kuphatikiza apo, amasintha kagayidwe kazakudya, amapatsa thupi mavitamini ndi michere yothandiza.