Matenda Ati Matenda Ochepa

Kunenepa kwambiri ndi matenda a shuga kumawonekera pafupifupi nthawi zonse, chifukwa insulin imapangitsa kuti mafuta azikula kwambiri. Mapaundi owonjezera amadziunjikira pamimba, kuzungulira ziwalo. Nthawi yomweyo, zakudya sizipereka zomwe mukufuna. Nthawi yomweyo, ndikofunikira kumvetsetsa kuti kulemera mopitirira muyeso kumatha kukhala gawo lothandizira pakudwala. Za kunenepa kwambiri komanso matenda a shuga, ubale wawo, zosankha polimbana ndi mapaundi owonjezera, werengani mopitirira mu nkhani yathu.

Werengani nkhaniyi

Kugwirizana pakati pa matenda ashuga ndi kunenepa kwambiri

Ndi mtundu 2 wa matenda ashuga, odwala ambiri ndi onenepa kwambiri. Matenda onsewa ndi ofanana. Ali ndi njira zodziwika zachitukuko:

• zolimbitsa thupi
• kudya kwambiri
• kuchuluka kwa zopatsa mphamvu zosavuta zamafuta (zotsekemera ndi ufa) ndi mafuta a nyama, kusowa kwamafuta ndi mavitamini,
• chibadwa
• kulemera kochepa
• machitidwe osinthika a kudya - vuto lanjala, kusaloledwa chakudya, kusowa satiety.

Kunenepa kwambiri mu odwala matenda ashuga ali ndi mawonekedwe ake:

• mafuta amaikidwa makamaka pamimba ndi kuzungulira ziwalo zamkati (mawonekedwe a visceral),
• Zakudya zama calorie ochepa sizothandiza, pambuyo pake pamakhalanso kukonzanso kwamphamvu thupi,
• kuwonjezera pa mishuga yambiri, pali kuwonjezeka kwa insulin ndi adrenal cortisol m'magazi,
• kuchuluka kwa mafuta osati pansi pakhungu, komanso chiwindi, kapamba, komwe kumakulitsa kagayidwe kazakudya zam'mimba ndi lipids, kumakulitsa kukana kwa insulin.

Ndipo nazi zambiri za hypoglycemia mu shuga.

Kodi chiwopsezo chambiri chikuwonjezeka chifukwa chiyani?

Kilogalamu iliyonse yowonjezera kulemera imakweza chiwopsezo cha matenda ashuga ndi 5%, ndipo kuchulukitsa 10 makilogalamu kumawonjezeka katatu. Mndandanda wamtundu wabwinobwino wolemera (kulemera kwa magawo atatu kutalika kwake) ndi 20-25. Ndi mtengo wa 25-27, kuthekera kwa kuchuluka kwa shuga m'magazi ndikokulirapo kasanu, ndipo ku 35 kumafika 90. Ndiye kuti, pakati pa odwala omwe ali ndi kunenepa kwambiri komanso odwala matenda ashuga, achibale apamtima sakhala ndi vuto la metabolic padera.

Kulemera kwambiri sikuti kumangowonjezera matenda, komanso zovuta za matenda ashuga, kumathandizira kuchuluka kwa kuthamanga kwa magazi, kupitirira kwa atherosulinosis.

Zonsezi zikufotokoza mawonekedwe apakale:

• aimpso kulephera nephropathy,
• retinopathy ndi kutayika kwamaso,
• odwala matenda ashuga omwe amawopseza kuti adzadulidwa,
• angiopathies okhala ndi zovuta pachimake (stroko, vuto la mtima) kapena kusokonezeka kwa ubongo komanso kufalikira kwa mtima.

Chifukwa chiyani zimakhala zovuta kwambiri kuti muchepetse shuga

Zowonjezera zopatsa mphamvu mu chakudya zimatsogolera pakusungidwa kwawo ngati mafuta. Maselo amtundu wa Adipose (adipocytes) amawonjezeka kukula ndikugawa mwachangu kuti apange malo osungirako. Maselo akulu samachita bwino ndi insulin, amachulukitsa mapangidwe azinthu zomwe zimayambitsa kutupa. Chifukwa chake, izi zimapangitsanso kukhazikika kwa ma insulin receptors komanso kupewa mphamvu ya timadzi tomwe timagwira m'thupi.

Mafuta ochulukirapo omwe amapangidwa pogwiritsa ntchito mafuta amawononga maselo a kapamba ndipo amathandizanso kupangidwa kwa mamolekyulu atsopano a chiwindi mu chiwindi. Hepatic minofu yokhala ndi kunenepa kwambiri singamange insulin bwino, imangoyendayenda m'magazi ambiri. Kuchulukirapo kwake kumawonjezera kukana kwa insulini (minofu insensitivity) kwambiri.

Adipose minofu yokha imatha kupanga mahomoni. Choyamba, ndi leptin. Zimalepheretsa:

• kudzikundikira kwamafuta
• kuchuluka kwa njala
• kudya kwambiri
• cortisol owonjezera m'magazi,
• kuyankha kwamaselo ochepa kwa insulin.

Onerani kanemayo pamatumbo a adipose komanso zomwe zimayambitsa kunenepa:

Ndi kunenepa kwambiri komanso matenda ashuga, kukana kwa zomwe zimachitika kumachitika. Zotsatira zake, mafuta amayikidwa mu minofu minofu, mtima, kapamba ndi chiwindi. Mphamvu yoletsa kuchepa kwa thupi imakhalanso ndi:

• chotupa necrosis factor (tikuletsa zomwe adipocytes amapanga insulin ndi leptin),
• interleukin-6 (wopangidwa ndi mafuta a ziwalo zamkati),
• adiponectin wotsika, kutsika kwake kumayendetsedwa ndi matenda a shuga,
• resistin - amalepheretsa zochita za insulin, mayamwidwe a shuga ndi minofu.

Popanda kuchepetsa kulemera kwa thupi, chithandizo cha hypoglycemic sichothandiza; zovuta za matendawa zimayamba komanso kupita patsogolo mthupi.

Zomwe zimapatsa kunenepa

Ngati muchepetsa thupi ndi 7% yokha, ndiye kuti muyembekezere:

• kutsitsa magazi, kufunika kwa mankhwala kuti achulukane,
• kutsika kwamatenda a magazi komanso mutatha kudya,
• kuchuluka kwa momwe ma hemoglobin amathandizira,
• kusintha kagayidwe ka mafuta, kutsitsa cholesterol ndi chiopsezo cha mapangidwe amitsempha yamagazi,
• onjezani chiyembekezo chamoyo
• kupewa chotupa njira mthupi, ukalamba.

Ngakhale kuchepa kwa makilogalamu 5 pachaka kumachepetsa chiopsezo cha matenda oyambitsidwa ndi shuga kukhala 60%.

Zokhudza kukonza kwa kunenepa kwamtundu wa 1 shuga

Insulin imalimbikitsa kulemera. Ntchito yake yayikulu ndikusungira mafuta, kuchuluka kwa glycogen m'chiwindi. Odwala omwe ali ndi insulin, thupi limachuluka mwachilengedwe. Ndi kuchepa kwa kuchuluka kwa shuga m'magazi, kutayika kwake mu mkodzo kumachepa, chifukwa glucose amachotseredwa ndi impso pokhapokha polimbana ndi cholowa cham'thupi. Zotsatira zake, ma calories onse omwe amawonongedwa amapulumutsidwa.

Chimodzi mwazinthu zowopsa zomwe zimawonjezera kulemera kwa thupi ndi kutsika kwa shuga - kuwukira kwa hypoglycemia. Mikhalidwe yotere imafuna kudya mwachangu mafuta osavuta (shuga, uchi), omwe amakhala ndi zopatsa mphamvu zambiri komanso amalimbikitsa kudya. Pazochitika pafupipafupi, odwala amatha kupitilira kuchuluka kwa chakudya. Komabe, kunenepa kwenikweni ndi matenda amtundu 1 ndikosowa kwambiri.

Kuphatikizika kwa uchi

Pofuna kuchepetsa thupi, odwala ayenera kuchepetsa kuchuluka kwa chakudya chamagulu m'thupi lawo - kuchepetsa kuchuluka kwa mikate ya tsiku ndi tsiku. Momwemo, mlingo wowerengeka wa mahomoni operekedwa udzakhala wochepa, mafuta sangadzikundikire m'thupi. Mankhwala owonjezera nthawi zambiri safunikira.

Chithandizo cha matenda a shuga a 2

Kuchepetsa thupi njira ndi zachikhalidwe, koma pali gawo limodzi lofunikira. Mu matenda ashuga, kuphatikiza kwa kusintha kwa moyo komanso mankhwala osokoneza bongo ndikofunikira, popeza iwonso sangachite bwino.

Kuwerengera kwa calorie yomwe imafunikira kumadalira kulemera, kutalika ndi gawo la ntchito. Pafupifupi, wamwamuna wamkulu nthawi zambiri amafunikira pafupifupi 2,5 kcal kuti azikhala ndi moyo wamutauni, komanso kwa mayi 2,000 kcal. Kuti muchepetse kulemera kwa thupi, kuchokera pa cholembera chaumwini muyenera kuchotsera 500 mpaka 750 kcal, kutengera kulemera kambiri.

Malamulo oyambira kupangira chakudya amaphatikizapo:

• kuchuluka kwa masamba osakhazikika mu menyu ndi zukini, kolifulawa ndi kabichi yoyera, nkhaka, broccoli, zitsamba, biringanya, phwetekere, tsabola. Ngati ndi kotheka, zizikhala zatsopano monga saladi, ziyenera kudyedwa katatu pa tsiku,
• nsomba yophika, nkhuku ndi turlet fillet, tchizi tchizi cha 2-5% mafuta, zakumwa mkaka wowawasa (galasi patsiku) popanda zowonjezera mpaka 2%, nsomba zam'madzi, zoyera za dzira, ndizoyenera kupanga mapuloteni
• phala imavomerezeka kamodzi patsiku, yophika m'madzi. Zakudya za calcium ayenera kukhala ndi index yotsika ya glycemic, osaputa shuga.
• muyenera kusiya nyama yamafuta, maswiti onse, kuphatikizapo matenda ashuga, mbatata, nthochi, mphesa, mafuta ophika, msuzi, katundu wam'chitini, msuzi, zakudya zamkati, mowa,
• khazikitsani menyu mchere (3-5 g), batala (mpaka 10 g), masamba (mpaka 15 g), zipatso zouma (zidutswa za 1-2), mtedza ndi mbewu (mpaka 20 g), buledi (mpaka 100-150 d)
• m'malo mwa shuga, gwiritsani ntchito stevia, Yerusalemu artichoke manyuchi.

Zotsatira za zakudya zosankhidwa bwino ndikuchepa kwa thupi ndi 500-800 g pa sabata. Kuthamanga mwachangu kumabweretsa kusintha kwa shuga m'magazi, kufooka kowonjezereka, komanso kuperewera kwa chakudya.

Ngati sizotheka kutaya 0,5 kg, ndiye kuti masiku osala kudya amalimbikitsidwa kamodzi pa sabata. Amathandizira kufulumizitsa kagayidwe ndikuwonjezera chidwi cha minyewa yawo. Pazomwe amagwiritsa, tchizi tchizi, kefir, nsomba, masamba monga mawonekedwe a saladi kapena msuzi wopanda mbatata ndi chimanga.

Zochita zolimbitsa thupi

Chimodzi mwazinthu zofunikira kuti muchepetse kunenepa ndikuwonjezeranso kuchuluka kwa ntchito zamagalimoto. Zatsimikiziridwa kuti zoletsa zakudya zimagwira bwino ntchito kwa abambo, ndikuwonjezera mphamvu zamagetsi chifukwa chogwiritsa ntchito masewera olimbitsa thupi ndibwino kwa amayi.

Ngati pali cholinga chochepetsa thupi, ndiye kuti masewera olimbitsa thupi achire, kuyenda, kusambira, kuvina kumayenera kutenga pafupifupi mphindi 300 pasabata. Kukula koyamba kwa maphunziro kumatsimikiziridwa ndi kulimba kwamthupi kwa wodwalayo, kenako kuwonjezereka kosinthasintha ndikulimbikitsa. Nthawi yomweyo, ndikofunikira kuchepetsa nthawi yogwiritsidwa ntchito ngati malo okhazikika.

Ngakhale malamulo onse omanga mamanulo ndi phindu la maphunziro akuthupi amadziwika ndi odwala onse, pochita mpaka 7% amatsatira. Chifukwa chake, endocrinologists nthawi zambiri amapereka mankhwala omwe amachepetsa kulemera kwa thupi - Xenical, Reduxin, Saxenda. Mankhwala onse ochepetsa shuga monga momwe amathandizira kulemera kwa thupi amagawika m'magulu:

• Neutral - Starlix, Novonorm, Galvus,
• chepetsani pang'ono - Metformin, Siofor, Glucobay,
• kuthandizira kunenepa - Viktoza, Attokana, Jardins,
• kuwonjezera kulemera - Insulin, Pioglar, Avandia, Minidiab.

Mukakonza dongosolo la mankhwala, zimadziwikanso kuti kulemera kwa thupi kumachulukanso pogwiritsa ntchito mankhwala omwe ali ndi antidepressant, anticonvulsant zotsatira, njira zakulera za mahomoni, komanso mankhwala ena okalamba.

Opaleshoni ya metabolism

Ndi index yokwera kwambiri ya thupi (kuchokera 35), komanso kusakwanira kwa mankhwala othandizira kudya, zolimbitsa thupi, funso la kuyendetsa ntchito limaganiziridwa. Cholinga chake ndi kuchepetsa kukula kwam'mimba. Kuchepa kwakukulu kwa matenda a metabolic adadziwika mu 65% ya odwala omwe adagwiritsidwa ntchito, pomwe ena onse adatha kuchepetsa miyeso ya mankhwala ochizira matenda a shuga.

Zoyenera kuchita ndi kunenepa kwambiri kwa chiwindi ndi matenda a shuga

Mkhalidwe wa chiwindi sichofunikira chimodzimodzi kwa kagayidwe kazachilengedwe kuposa ntchito ya pancreatic. Ndi onenepa kwambiri, maselo ake amapanga kwambiri mamolekyulu atsopano a shuga, omwe amachepetsa shuga. Mapangidwe a nkhokwe za glycogen amachepetsa, kuchuluka kwa ma lipoproteins otsika kwambiri omwe akutenga nawo gawo lama blockage.

Pofuna kupewa mafuta kutha kwa chiwindi, tikulimbikitsidwa:

• kuphatikizidwa kwa chakudya chochepa cha zakudya ndi zakudya zokhala ndi mndandanda wokwanira wa glycemic (mchere, zipatso zotsekemera, shuga, mbewu zosakanizidwa, mbatata),
• Kupanga mndandanda wamasamba ndi nsomba, mkaka ndi nyama zochepa zamafuta ochepa ndizovomerezeka,
• zolimbitsa thupi kwa mphindi zosachepera 40 tsiku lililonse.

Kugwiritsa ntchito mankhwala kumaphatikizapo magulu otsatirawa:

• hepatoprotectors (Essentiale, Gepabene),
• kusintha matumbo microflora (Lactovit, Linex),
• njira yochepetsera thupi (Reduxin-met, Victoza),
• alpha lipoic acid (Berlition, Thiogamm),
• ursodeoxycholic acid (Greenterol, Ursofalk).

Ndipo nazi zambiri zamitundu ya matenda ashuga.

Kunenepa kwambiri ndi matenda a shuga zimayambitsa. Zosokoneza mu kagayidwe kazakudya zamafuta ndi mafuta zimathandizira ndikulimbikitsana. Kuchepetsa thupi kumathandizira kubwezeretsa chidwi cha minofu ku insulin komanso kupewa misempha ya matenda a shuga. Ndi mtundu woyamba wa matenda, muyenera kuchepetsa kuchuluka kwa chakudya chamagulu muzakudya.

Njira yolumikizira chithandizo ndi mtundu wa 2 imakhala ndi zakudya, zolimbitsa thupi, mankhwala. Ngati sizikuthandiza, opaleshoni yochepetsera kuchuluka kwa m'mimba imalimbikitsa.

Hypoglycemia imapezeka mu matenda osokoneza bongo osachepera kamodzi mu 40% ya odwala. Ndikofunikira kudziwa zizindikiro zake ndi zomwe zimayambitsa kuti muyambe kulandira chithandizo munthawi yake ndikukhala ndi prophylaxis yokhala ndi mtundu 1 ndi 2. Usiku ndizowopsa.

Kuwonongeka kwa chiwindi, kapena hepatosis, mu matenda ashuga kumatha kuchitika popanda zizindikiro. Poyamba, kuchepa kwamafuta kumatha kuthandizira pakudya, pambuyo pa mankhwala okha. Momwe mungadziwire matenda a hepatosis munthawi yake?

Kudya ndi matenda a shuga sikulimbikitsidwa monga choncho, ngakhale mupindule bwanji. Popeza ili ndi mafuta ochulukirapo omwe amalimbitsa kuchuluka kwa glucose, makamaka ndi matenda a shuga a 2, palinso zovuta zina. Ndiziti zomwe zimatengedwa ngati zabwino kwambiri - mgoza, kuchokera ku mthethe, laimu? Chifukwa chiyani kudya ndi adyo?

Kuti mumvetsetse mitundu ya shuga yomwe ilipo, kudziwa kusiyana kwawo kungakhale molingana ndi zomwe munthu amatenga - amadalira insulin kapena pamapiritsi. Ndi mtundu uti wowopsa kwambiri?

Pali kusowa kwa erectile mu shuga m'mphindikati iliyonse, ndipo osati zaka 40, koma kale pa 25 mutha kuthana nako. Kodi kuchiritsa kusabala kwa shuga?

Kuchepetsa thupi osafotokoza

Kuchepetsa thupi mopanda tanthauzo ndi liwu lomwe limagwiritsidwa ntchito pofotokoza kuchepa thupi komwe kumachitika mosazindikira ndipo ikhoza kukhala chizindikiro chovuta kwambiri cha matenda ashuga. Kulemera kwanu kumatsimikiziridwa ndi zinthu zingapo, kuphatikiza zaka, kudya kalori, komanso thanzi lathunthu. Mukafika zaka zapakati, kulemera kwanu kuyenera kukhala kosasunthika chaka ndi chaka.

Kutaya kapena kupeza ma kilogalamu ochepa ndi chinthu chofunikira kwambiri kukhala wathanzi. Ngati ndinu onenepa kwambiri kapena wonenepa kwambiri, muli pachiwopsezo chachikulu chokhala ndi matenda a shuga a 2. Pali njira zingapo zochepetsera kunenepa. Mulinso zakudya zosiyanasiyana monga masewera olimbitsa thupi, masewera olimbitsa thupi, mafuta osamba, zinthu zochepetsera thupi, komanso ma gels, mafuta ndi mafuta a pakhungu. Koma kuchepa thupi mosalephera (4,5 makilogalamu kapena kupitirira apo, kapena kupitirira 5% ya kulemera kwa thupi) kapena mosalekeza kumatha kuonetsa matenda oopsa. Kuchepetsa thupi kuchepa thupi kumatanthauza kuchepa thupi komwe kumachitika, osati kudzera muzakudya kapena zolimbitsa thupi.

Kodi ndiziti zomwe zimapangitsa kuti muchepetse thupi?

Kuchepetsa thupi mosakonzekera kapena mosakonzekera kumatha kuchitika chifukwa cha zifukwa zingapo, kuphatikizapo kukhumudwa, mankhwala ena, komanso matenda ashuga. Zomwe zimayambitsa kuchepa thupi mosakonzekera zimaphatikizapo:

• Matenda a Addison
• khansa
• Celiac matenda
• Kutsegula m'mimba kosalekeza
• dementia
• Kukhumudwa
• shuga
• Mavuto Amadyedwe (Anorexia and Bulimia)
• HIV / Edzi
• Hypercalcemia
• Hyperthyroidism
• matenda
• kuperewera kwa zakudya m'thupi
• Mankhwala, kuphatikiza othandizira a chemotherapeutic, mankhwala othandizira zakumwa, ndi mankhwala a chithokomiro
• Matenda a Parkinson
• Mankhwala osangalatsa, kuphatikizapo amphetamines ndi cocaine
• kusuta
• chifuwa chachikulu

Kuchepetsa mwadzidzidzi matenda ashuga

Mwa anthu omwe ali ndi matenda ashuga, insulin yokwanira imalepheretsa thupi kutulutsa shuga kuchokera m'magazi kupita ku maselo, kuti agwiritse ntchito ngati mphamvu. Izi zikachitika, thupi limayamba kuwotcha mafuta ndi minofu kukhala mphamvu, zomwe zimapangitsa kuchepa kwambiri. Kuchepetsa thupi mosayembekezereka kumawonekera mwa anthu omwe amapezeka ndi matenda amtundu wa 1, koma amathanso kukhudza anthu omwe ali ndi matenda a shuga a 2.

Chifukwa chiyani anthu odwala matenda ashuga amachepetsa thupi?

Matenda a shuga ndi vuto la metabolic pamene thupi siligwiritsa ntchito bwino mphamvu. Chimodzi mwazizindikiro za matenda a shuga ndi kuwonda modzidzimutsa.Njala yayikulu ndi ludzu ndizizindikiro zina ziwiri, ndipo odwala omwe alibe chithandizo cha shuga amatha kuchepetsa thupi monga momwe amadya ndikumwa kwambiri kuposa masiku onse. Pali zifukwa zingapo zomwe zimapangitsa kuti anthu odwala matenda a shuga achepetse thupi, koma kuti mumvetsetse bwino chifukwa chake kuchepetsa thupi kumachitika, muyenera kuphunzira momwe matenda a shuga amakhudzira thupi.

Chimbudzi ndi kupanga mphamvu

Munthawi yovomerezeka, thupi lanu limasintha chakudya kukhala shuga panthawi yokugaya. Shuga amalowa m'magazi ndipo zikondamoyo zimatulutsa timadzi timene timatchedwa insulin. Insulin imathandizira kuti maselo onse amthupi atenge shuga kuchokera m'magazi ndikuwasintha kukhala mphamvu, yomwe ma cell amagwiritsa ntchito ngati mafuta.

Kodi kunenepa kwambiri kumachokera kuti?

M'masiku akale, munthu akafunika kupeza chakudya ndi ntchito yolimba, ndipo kuwonjezera apo, chakudya chinali chosowa, choperewera m'thupi, vuto la kunenepa kwambiri kulibe. Kulemera kapena kulemera kwa thupi la munthu kumatengera, kumbali imodzi, kuchuluka kwa mphamvu zomwe amapeza ndi chakudya (izi ndiye zokha mphamvu zamagetsi!) Ndipo, kumbali ina, kuchuluka kwake kumawononga.

Mtengo wamagetsi umalumikizidwa makamaka ndi zolimbitsa thupi. Patsala gawo limodzi la njira yosinthira mphamvu - kuphatikiza kwake. Mphamvu yosunga m'thupi lathu ndi mafuta. Tanthauzo la kudzikundikira kwake ndikutetezedwa "patsiku la mvula", mwachitsanzo, ngati kale, nthawi yayitali yodwala.

Masiku ano, moyo wa munthu wasintha kwambiri. Tili ndi mwayi wopeza chakudya, ndipo ngakhale tili ndi ndalama zochepa, nthawi zambiri sitipeza chifukwa chogwira ntchito zolimbitsa thupi. Kuphatikiza apo, chakudya chathu tsopano ndi chokoma, chopangidwa ndi mafuta, ndipo chili ndi zopatsa mphamvu kwambiri, ndiye kuti, mphamvu.

Chifukwa chake, timagwiritsa ntchito mphamvu zambiri komanso kugwiritsa ntchito ndalama zochepa, chifukwa timakhala moyo wongokhala, kugwiritsa ntchito magalimoto, ma lifti, zida zanyumba, zowongolera zakunja, ndi zina zambiri. Izi zikutanthauza kuti mphamvu zambiri zimasungidwa m'thupi momwe mumakhala mafuta, zomwe zimapangitsa kuti kunenepa kwambiri. Masiku ano, kuchuluka kwa anthu onenepa kwambiri kukuyandikira theka la anthu padziko lonse lapansi!

Tiyenera kudziwa kuti magawo onse a mphamvu kagayidwe kachakudya amagawana ndi chibadwa. Titha kunena kuti m'mibadwo yambiri anthu ena amatha “kusintha” mtundu wawo kuti agwirizane ndi zomwe zikuchitika ndipo samakhala ndi vuto lofuna kunenepa kwambiri. Inde, kubadwa ndikofunikira: Nthawi zambiri makolo athunthu amakhala ndi ana. Koma, kumbali inayo, chizolowezi cha kudya kwambiri komanso kuyenda pang'ono kumapangidwanso mu banja! Chifukwa chake, musaganize kuti vuto ndi munthu wonenepa kwambiri ndilopanda chiyembekezo, chifukwa ndi banja.

Palibe kulemera kochulukirapo kumene komwe sikungathe kuchepetsedwa ngakhale ndi ma kilogalamu ochepa, ndipo tidzaphunziranso kuti ngakhale kusintha pang'ono pankhani iyi kumatha kubweretsa zabwino zambiri.

Kodi matenda ashuga komanso onenepa kwambiri amagwirizana bwanji?

Ndi mitundu yosiyanasiyana ya matenda ashuga, munthu sangathe kuwonjezera kulemera, komanso kuchepa thupi.

• Mu mellitus wa mtundu wa shuga wosadalira insulin (mtundu 2), kapamba amapanga insulin yambiri. Koma thupi limagonjera bwino timadzi tomwe timayambitsa insulin. 85-90% ya anthu omwe amapezeka ndi matenda a shuga ndi onenepa kwambiri.
• Ponena za matenda a shuga a mtundu woyamba, chifukwa cha kusowa kwa insulin, odwala matenda a shuga amachepetsa thupi mpaka atayamba kuthandizidwa.

Pali mitundu yosiyanasiyana yolemetsa yoyenera. Mwachitsanzo, njira ya Brock:

• Kulemera koyenera mwa amuna = (kutalika masentimita - 100) · 1.15.
• Kulemera koyenera mwa akazi = (kutalika masentimita - 110) · 1.15.

Kufunika kwa kunenepa kwambiri pakukula kwa matenda ashuga a 2

Vuto lolemera ndilofunika kwambiri mtundu wa shuga. Anthu onenepa kwambiri ali ndi 80-90% ya omwe ali ndi vutoli. Kugwirizana pakati pa kunenepa kwambiri ndi shuga wambiri kwatchulidwa kale, akukhulupirira kuti ndiye maziko a mapangidwe a insulin kukana, chifukwa chake, chifukwa chachikulu cha chitukuko cha matenda ashuga a mtundu 2.

Kuphatikiza apo, kudziwikiratu chibadwa ndikofunikira. Amadziwika kuti achibale apafupi (makolo ndi ana, alongo ndi abale) nthawi zambiri amadwala matendawa. Kupenda kwazachipatala kumatilola kuti tinene kuti cholowa chamtsogolo chimakwaniritsidwa, i.e. matendawa amakula pafupipafupi ngati munthu akulemera kwambiri.

Odwala omwe ali ndi kulemera kwabwinobwino, kulumala kwa insulin receptors sikugwirizana ndi mafuta ochulukirapo. Amakhulupiriranso kuti mwa ambiri mwa odwala, zovuta zapakhosi zimatha kuthandiza kwambiri pakukula kwa matendawa.

Zotsatira za kukhala wonenepa kwambiri

Kuphatikiza polimbikitsa matenda ashuga, kukhala wonenepa kwambiri kumadzetsa mavuto ena mthupi la munthu. Anthu onenepa kwambiri amatha kukhala ndi kuthamanga kwa magazi (matenda oopsa), komanso cholesterol yayikulu yamagazi. Zophwanya izi, zimabweretsa chitukuko matenda a mtima (CHD), zotsatira zake zomwe zikuyimira chofala kwambiri masiku ano.

Kuphatikiza apo, anthu onenepa kwambiri amatha kutenga chiwopsezo cha mafupa ndi mafupa, kuvulala, matenda a chiwindi ndi ndulu, komanso mitundu ina ya khansa.

Kukhala wamphumphu kumabweretsa mavuto m'maganizo. Masiku ano, mgwirizano ndi zoyenera zimayamikiridwa kwambiri. Ichi chimakhala chizindikiro cha thanzi, chomwe sichili popanda chifukwa, kupatsidwa zonse zomwe zanenedwa pamwambapa.

Fomu lolemera labwinobwino

Kuti muwerenge BMI yanu, muyenera kugawa chizindikiritso cholemera (m'makilogalamu) ndi cholembera kukula (m'mamita), chopingasa:

• Ngati BMI yanu igwera pakati pa 18-25, muli ndi kulemera kwabwino.
• Ngati ndi 25-30 - ndinu wonenepa kwambiri.
• Ngati BMI ipitilira 30, mumagwa m'gulu la kunenepa kwambiri.

Kuphatikiza pa kuchuluka kwa mapaundi owonjezera, kugawa minofu ya adipose pazinthu za thupi. Mafuta amatha kuikidwa mokulira, amathanso kugawa m matako ndi matako. Chosasangalatsa kwambiri paumoyo ndicho kugawa kwam'mimba (Latin tumbo) pamimba, momwe minofu ya adipose imadziunjikira makamaka pamimba.

Kuphatikiza apo, mawonekedwe omwe ali ndi mimba yotuluka samapangidwira kwambiri ndi mafuta osaneneka (amatha kusungidwa mu mafuta ochepa), koma mkati mwake, omwe amakhala m'mimba, komanso ovulaza kwambiri. Ndili ndi kunenepa kwambiri kwam'mimba komwe matenda ambiri amtima amalumikizana.

Kutulutsa kwamafuta m'mimba kumatha kuyesedwa poyesa kuzungulira kw m'chiuno. Ngati chizindikirochi ndi chachikulu kuposa masentimita 102 kwa bambo komanso chokwera kuposa 88 kwa mkazi, chiopsezo cha matenda amtima ndi chambiri.

Ndikofunika kwa wodwala yemwe ali ndi matenda a shuga a 2 omwe ali onenepa kwambiri kuti adziwe kuti ngakhale kuchepa thupi kwambiri kumatha kupereka zotsatira zabwino pokhudzana ndi kagayidwe kazakudya, komanso kuchepetsa chiopsezo cha matenda amtima.

Mfundo zoyambira kuonda

Ngati kulemera kwambiri kwa thupi kumakhala kwakukulu kwambiri, kukwaniritsa zinthu zabwinobwino sikophweka. Komanso, sikuti nthawi zonse zimakhala zotetezeka. Ngati tizingolankhula zaubwino waumoyo, ndiye kuti zosintha zabwino zimachitika ngakhale wodwalayo atachepetsa thupi ndi 5-10%.

Mwachitsanzo, ngati kulemera kuli 95 makilogalamu, muyenera kuchepetsa ndi 5-9,5 kg.

Kuchepetsa thupi ndi 5-10% kuchokera koyambirira kumakonzanso bwino (nthawi zina zimasinthasintha) ma shuga a magazi, cholesterol, kuthamanga kwa magazi.

Ziyenera kunenedwa pompopompo kuti zotsatirapo zabwino zimangotsalira pokhapokha kulemera sikokwanira. Ndipo izi zidzafunika kuyesetsa mosalekeza komanso kuwongolera mosamalitsa kuchokera kwa wodwala. Chowonadi ndichakuti chizolowezi chofuna kudziunjikira kuchuluka, monga lamulo, chimadziwika ndi munthu pamoyo wonse. Chifukwa chake, kuyesa kwa episodic kuchepetsa thupi kulibe ntchito: maphunziro osala kudya, ndi zina zambiri.

Nkhani yofunika ndikudziwa kuchuluka kwa kunenepa.

Tsopano zatsimikiziridwa kuti kuchepa thupi pang'onopang'ono, pang'onopang'ono ndizomwe zimakondedwa kwambiri. Chabwino, ngati sabata iliyonse wodwala amataya 0,5-0.8 kg.

Kuthamanga uku kumavomerezedwa bwino ndi thupi ndipo, monga lamulo, limapereka mphamvu yokhalitsa.

Kodi mungasunge bwanji zomwe mwapeza? Izi, mwachidziwikire, zimafunikira kulimbikira, mwachitsanzo, zakudya zomwe zili panthawiyi zitha kukulitsidwa. Koma kulumikizana kwakutali ndimaganizo kumakhala kovuta kuposa kungomenya mwachidule, odwala ambiri pang'onopang'ono amataya phindu.

Kukhala ndi thupi lokwanira kumafuna kulimbikira nthawi yonse ya moyo. M'malo mwake, munthu wathunthu yemwe amafunitsitsa kuti achepetse thupi ndikukhalabe ndi kulemera komwe mukufuna, muyenera kusintha moyo wanu. Zoonadi, kunenepa kwambiri ndi chifukwa cha moyo wake wakale, ndipo ngati simungasinthe, owonjezera awa sangapite kulikonse.

I.I. Dedov, E.V. Surkova, A.Yu. Zazikulu

Kodi ndingafunike mawu ati kuwaza?

Mwa munthu wathanzi, kulemera kwake kumasinthasintha mpaka 5 kg. Kuchulukitsidwa kwake kumatha kuphatikizidwa ndi tchuthi, tchuthi kapena kuchepa kwa zolimbitsa thupi. Kuchepetsa thupi kumachitika makamaka chifukwa cha nkhawa, komanso kufunitsitsa kwa munthu amene akufuna kutaya ma kilogalamu angapo.

Komabe, kuchepa kwambiri kwa makilogalamu 20 m'miyezi 1-1,5 kungawonetse kukula kwa matenda ashuga. Kumbali ina, kuchepa thupi koteroko kumabweretsa mpumulo kwa wodwalayo, koma kumbali yake, ndikutanthauzira kwamatenda akulu a pathologies.

Ndi chiyani china chomwe muyenera kulabadira? Choyamba, izi ndi zizindikiro ziwiri - ludzu losatha ndi polyuria. Pamaso pazizindikiro zotere, limodzi ndi kuchepa thupi, munthu ayenera, choyamba, kukaona endocrinologist. Dotolo, atamuyesa wodwalayo, amamuyesa mayeso a shuga wamagazi ndipo kenako amatsimikizira kapena kukana kukayikira kwa "matenda okoma".

Kuphatikiza apo, anthu omwe ali ndi shuga ambiri amatha kudandaula:

• mutu, chizungulire,
• kutopa, kusokonekera,
• kumva kwamphamvu njala
• kusokonezeka ndende,
• matenda ammimba
• kuthamanga kwa magazi
• kuwonongeka kwamawonekedwe
• mavuto azakugonana
• Khungu loyera, machiritso amthawi yayitali,
• matenda a impso.

Munthu amene akufuna kuchepa thupi ayenera kukumbukira kuti kunenepa kwambiri, komwe sikuvulaza thupi, sikuyenera kupitirira 5 kg pamwezi. Zomwe zimayambitsa kuwonda kwambiri ndi "matenda okoma" zabodza zotsatirazi:

1. Njira ya autoimmune yomwe kupanga insulin kumayima. Glucose amapanga m'magazi ndipo amatha kupezekanso ndi mkodzo. Khalidwe la matenda ashuga 1.
2. Kuperewera kwa insulin pomwe ma cell samazindikira bwino iyi timadzi. Thupi limasowa glucose - gwero lalikulu lamphamvu, chifukwa chake limagwiritsa ntchito maselo amafuta. Ndiye chifukwa chake kuchepa thupi mu mtundu 2 wa shuga.

Popeza kusokonezeka kwa metabolic kumachitika, ndipo maselo samalandira mphamvu yofunikira, maselo amafuta amayamba kudyedwa. Zotsatira zake, odwala matenda ashuga "amawotcha" pamaso pathu.

Zikatero, munthu amadya chakudya choyenera, ndipo kenako thupi limayamba kukula.

Malangizo Ochepetsa

Kuchepetsa thupi kwambiri m'matenda a shuga a 2 ndizowopsa.

Zina mwazovuta kwambiri ndikupanga ketoacidosis, kuwonetsa kwa minyewa yam'munsi komanso kutopa kwa thupi. Kuti achepetse kulemera kwa thupi, madokotala amatipatsa mphamvu zolimbitsa thupi, mankhwala a mahomoni ndi zakudya zoyenera.

Ndi chakudya chopatsa thanzi chomwe chimaphatikizapo zakudya zomwe zili ndi mavitamini, ma amino acid, michere ndi micro yambiri, zimathandizira kuwonjezeka pang'onopang'ono kwa thupi komanso kulimbitsa chitetezo cha thupi.

Lamulo lalikulu la zakudya zabwino za anthu odwala matenda ashuga ndi kuchepetsa kuchuluka kwa chakudya chamafuta ndi mafuta. Odwala amangofunika kudya zakudya zomwe zimakhala ndi index ya glycemic yotsika.

Chakudya chapadera chimaphatikizanso kugwiritsa ntchito zakudya:

• buledi wathunthu
• zopangidwa mkaka (zopanda mafuta),
• mbewu zonse za tirigu (barele, tambula),
• masamba (nyemba, mphodza, kabichi, tomato, nkhaka, radish, letesi),
• Zipatso zosatsirika (malalanje, mandimu, pomelo, nkhuyu, maapulo wobiriwira).

Chakudya cha tsiku lililonse chimayenera kugawidwa m'magawo asanu ndi limodzi, ndipo akhale ochepa. Kuphatikiza apo, ndi kutopa kwambiri kwa odwala, tikulimbikitsidwa kutenga uchi wochepa kuti ubwezeretse chitetezo chamthupi. Wodwala matenda ashuga ayenera kupanga menyu kuti magawo a mafuta mu kuchuluka kwa chakudya afike 25%, kaboni - 60%, ndi mapuloteni - pafupifupi 15%. Amayi oyembekezera amalangizidwa kuti awonjezere kuchuluka kwa mapuloteni muzakudya zawo mpaka 20%.

Katundu waku chakudya umagawanidwa tsiku lonse. Gawo la zopatsa mphamvu zomwe zimadyedwa panthawi ya chakudya chachikulu ziyenera kuchokera 25 mpaka 30%, ndipo panthawi yazakudya - kuyambira 10 mpaka 15%.

Kodi ndizotheka kuchiritsa kukhumudwa kotero pakudya chakudya chokha? Ndizotheka, koma zopatsa thanzi ziyenera kuphatikizidwa ndi masewera olimbitsa thupi a matenda ashuga, izi zimakhala ndi zotsatira zake mwachangu komanso zowonjezereka. Zachidziwikire kuti, wodwala akamafuna kulemera thupi, si bwino kumangodzilimbitsa mtima pogwiritsa ntchito masewera olimbitsa thupi kwambiri. Koma kuyenda mpaka mphindi 30 patsiku kumangopindulitsa. Kuyenda mokhazikika kwa thupi kumathandizira kulimbitsa minofu, kukonza kupuma ndi mtima.

Tiyenera kukumbukira kuti chamoyo chathanzi "chimanenepa" kwanthawi yayitali. Chifukwa chake, muyenera kukhala oleza mtima ndikutsatira malangizo onse a dokotala.

Zotsatira za kuchepa thupi mwadzidzidzi

Kuchepetsa msanga matenda ashuga kumatha kuyambitsa matenda ena akuluakulu. Choyamba, pali kuphwanya njira zonse za metabolic, ndipo chachiwiri, thupi limayamba kubwereka mphamvu kuchokera ku minofu minofu, kenako kuchokera kumisika yamafuta.

Munthu wodwala matenda ashuga yemwe wachepetsa kwambiri thupi kwakanthawi kochepa ali ndi mwayi woledzera kwambiri. Kuchuluka kwa poizoni ndi zinthu za metabolic sizimadziunjikira m'magazi a munthu wathanzi, komabe, kulemera kukacheperachepera, thupi silingachotse zinthu zonse zovulaza. Njira ngati imeneyi imadzetsa vuto lalikulu, chifukwa nthawi zina zotsatira zakupha zimakhala zotheka.

Kuphatikiza apo, dongosolo logaya chakudya limavutika kwambiri. Chifukwa chakuchepetsa thupi, wodwala aliyense amatha kudandaula kuti ali ndi vuto lakukhumudwa, chifukwa luso lake la magalimoto limathina. Komanso, kuchepa thupi kwambiri kumatha kukhudza kapamba ndi chikhodzodzo. Chifukwa chake, pancreatitis ndi gastritis ndimatenda osadabwitsa omwe amapezeka panthawi yochepa thupi.

Zotsatira zakuphwanya kwamchere wamchere wamchere, ma pathologies osiyanasiyana a chiwindi ndi impso amapezeka. Zotsatira zosasinthika zimatha kukhala kulephera kwa chiwindi kapenanso kukula kwa chiwindi. Ponena za chiwalo chophatikizidwa, kuchepetsa thupi kumakhala kowopsa kwambiri ngati pali miyala mu impso kapena chizolowezi chopanga.

Monga mukuwonera, kufooka kwa thupi kumakhudza ntchito ya impso ndi chiwindi.

Kuphatikiza apo, wodwala matenda ashuga yemwe wakula mafuta kenako akufuna kuti achepetse thupi ndi chilakolako chofuna kudya ayenera kudziwa zotsatirazi. Kumwa mankhwalawa kumasokoneza kugwira ntchito kwa impso.

Palinso ma pathologies ena omwe amachitika chifukwa cha kuchepa thupi. Mwachitsanzo, matenda ofanana ndi chithokomiro, hypoparathyroidism. Mavuto ena a kuchepa thupi angatenge:

1. Kutsitsa magazi.
2. Kuzindikira kwa kukumbukira ndi kusamalira.
3. Caries, tsitsi lalifupi ndi misomali.
4. Kutupa kwa m'munsi.

Kuchepetsa thupi kwambiri, mayiko osiyanasiyana amakhumudwa.Anthu adzakhala athanzi pokhapokha mogwirizana ndi matupi awo ndi malingaliro awo. Popeza thupi limatha, ndipo "njala" ya muubongo imachitika, zimayambitsa kusokonezeka kwa malingaliro. Zotsatira zake, wodwalayo amakhumudwa.

Tsoka ilo, madokotala sanapeze yankho la funso loti angachiritse matenda ashuga amtundu wa 2 kosatha, sangathe kuchiritsidwa chimodzimodzi monga mtundu 1. Chifukwa chake, pakufunika kutsatira malingaliro onse a adotolo, makamaka zakudya zoyenera komanso zolimbitsa thupi kuti mupewe kukula kwa aimpso mthupi, matenda ammimba, kusowa kwa chiwindi ndi zinthu zina.

Kanemayo munkhaniyi amafotokoza za njira zochizira, zomwe zimapangidwa kuti munthu azikhala wathanzi.

Kodi shuga 1 ndi mtundu 2 ndi chiyani?

Pali ma cell a beta mu kapamba wathu omwe amakhudzidwa mwachindunji pakupanga kwa insulin ya mahomoni. Pamene, pazifukwa zosiyanasiyana, maselo a beta ayamba kuwonongeka kwambiri, insulin kwathunthu kapena pafupifupi kutha kupangidwa. Ndipo popanda iwo, shuga wamagazi amawuka kwambiri. Chifukwa chake, mtundu 1 umatchedwa "wodalira insulin."

Insulin imapangidwa, koma maselo amayamba kuyamwa ndikuipiraipira, ngakhale atazindikira bwanji. Zotsatira zake, glucose samatengeka bwino ndi maselo chifukwa insulin imanyamula glucose mu cell, momwe imagwiritsidwira ntchito kupanga mphamvu. Msuzi wa shuga umakwiririka. Ndipo popita nthawi, kupanga insulini pakokha kumatha kuchepa, chifukwa nthawi zambiri kuthamanga kwa shuga kumakhudza maselo a beta. Pakadali pano, komanso ndi matenda a shuga a 2, amadalira insulin, yomwe poyamba palibe. Chifukwa chake, ndikofunikira kuti musayambitse matenda!

Kunenepa kwambiri ndi matenda a shuga 1

Matenda a shuga a mtundu uliwonse ndi kulephera kwakukulu kwa mahomoni komwe kumatsatiridwa ndi kuwonongeka kwa impso, maso, mtima, ziwiya zamiyendo, ndi ziwalo zina. Matenda a shuga a Type 1 amapezeka mwa anthu ochepera zaka 35, ndipo kunenepa kwambiri sikumakhala kwazonse kwa iye. Koma zakudya zocheperako zama carb zimafunikirabe. Chofunikira chake ndikuchepetsa kuchuluka kwa chakudya chamafuta omwe amamwe ndikuwonjezera kuchuluka kwa mapuloteni, popeza kuchuluka kwa shuga kumawonjezeka pang'ono komanso pang'ono pang'onopang'ono kuchokera pamapuloteni, komanso kuchokera ku chakudya - kwambiri komanso mwamphamvu. Tsoka ilo, nthawi zambiri, jakisoni wokhazikika wa insulin sangathe kupewedwa, koma ndi zakudya zoyenera, kupsinjika, maphunziro olimbitsa thupi, milingo yamankhwala imatha kuchepetsedwa kwambiri.

Kunenepa kwambiri ndi matenda ashuga

Matenda a 2 a shuga amapezeka oposa 90% ya omwe amadwala matendawa. Nawonso, 8 mwa 10 amalemera kwambiri ndi matenda a shuga komanso kunenepa kwambiri. Munthu wamba ndi apulo, mafuta amayikidwa makamaka m'mimba ndi m'mimba. Kodi mafuta akukula chifukwa chiyani? Tiyeni titembenuzenso insulin. Zimangoyendetsa shuga "kulowa" mu cell, koma ilinso ndi ntchito ina yofunika: imasinthira glucose ndi mafuta achilengedwe kukhala chosungira minofu ya adipose ngati mukufa ndi njala, komanso tikulepheretsa kuwonongeka kwa minofu ya adipose iyi. Zinafika poipa kuti sizabwino pokhapokha ngati pali insulini yocheperako, komanso ngati itakhala yochuluka!

Momwe mungachepetse kulemera kwa shuga

Zakudya zamafuta ochulukirapo zimapatsa insulin yambiri, kotero kudya zakudya zamafuta ochepa ndi kofunikira kwambiri pamankhwala othandizira. Ndipo apa, odwala ambiri amaganiza za momwe angachepetse kulemera kwa shuga. Ndipo amasokoneza malingaliro ndi mfundo za chakudya chamafuta ochepa komanso zama calorie ochepa. Payenera kukhala ndi ma calories okwanira, koma mafuta "owopsa" amafunika kuwunika nthawi zonse. Chozungulira mozungulira chikuwoneka motere:

Kulakalaka chakudya → kudya kwambiri → kudumpha m'magazi a shuga → kuchuluka kwa insulini → kukhathamiritsa shuga m'magazi → kutsika ndi shuga → kulakalaka chakudya.

Ndipo ndizowopsa osati ndi mulu wazovuta kuchokera mapaundi owonjezera, komanso ndi mafunde amphamvu pamipinga ya shuga.

Kunenepa kwambiri komanso matenda ashuga

"Amadwala matenda a shuga, motero ndi wonenepa ndipo sangathe kuchepa thupi" - nthano wamba! Kuchepetsa thupi ndiye chinthu choyamba komanso chofunikira kwambiri chamankhwala. Mutha kudya mapiri a mapiritsi omwe amalimbikitsa chidwi cha maselo kuti apange insulini ndipo potero amasintha kagayidwe, koma mpaka wodwalayo atayamba kuswa mozungulira bwalo loipa, lomwe tidalankhulapo pamwambapa, zonsezi sizingagwire bwino ntchito kapenanso kuwononga thupi.

Kuchepetsa thupi + kuwonjezeka pang'onopang'ono kwa zochitika zolimbitsa thupi zachilengedwe + kutsatira malamulo a zopatsa thanzi = njira yabwino yathanzi

Mitundu ya matenda ashuga

Pali mitundu iwiri ya matenda a shuga mellitus - mtundu 1 ndi mtundu 2. Ndi matenda amtundu 1 shuga, thupi silipanga insulini, kapena silitulutsa zokwanira, ndipo ma cell samalandira chisonyezo cha mankhwala chotenga shuga kuchokera m'magazi. Ndi matenda a shuga a mtundu wachibiri, thupi limatulutsa insulini, koma ma cell samayankha ma signature a mankhwala, kapena samawayankha molondola. M'magawo onse awiri, shuga amakhalanso m'magazi, pomwe thupi sangathe kugwiritsa ntchito mphamvu.

Zotsatira za matenda ashuga

Maselo akamalephera kugwiritsa ntchito shuga ndi mphamvu, amatumiza chizindikiro ku ubongo kuti akufuna mafuta ambiri. Ubongo umapangitsa chidwi cha njala, kukuthandizani kuti mudye, chifukwa chake mumavutika ndi njala yambiri, yomwe imakonda kupezeka mu shuga. Komabe, mukamadya kwambiri, shuga ambiri amalowa m'magazi, osati m'maselo. Impso zanu zikuyenera kugwira ntchito nthawi yochulukirapo kuti muchepetse shuga mumkodzo, ndipo chifukwa cha ichi ayenera kugwiritsa ntchito madzi ambiri, omwe akutanthauza ludzu lalikulu.

Matenda a shuga ndi kunenepa

Kuphatikiza pakupangitsa munthu kukhala ndi vuto lanjala, ubongo umawononganso minofu yamafuta ndi mafuta ndicholinga chofuna kupatsa mphamvu maselo. Ndi njirayi yomwe imayambitsa kuwonda mwadzidzidzi komwe kumayenderana ndi matenda a shuga. Ngati matendawa akupitilizabe kupitilizidwa, thupi lingakhudzidwe ndi ketoacidosis. Ndi ketoacidosis, thupi limapanga mankhwala - ma ketones, chifukwa chakuchuluka msanga kwamafuta. Ma ketones amalowa m'magazi ndikupanga acidic, yomwe imatha kuwononga ziwalo komanso ngakhale kufa.

Kodi pali matenda ashuga kuchokera pamaswiti

Nthano imafalikira pakati pa anthu, pomwe kumwa kwambiri shuga kungayambitse matenda a shuga. Izi ndizotheka, koma pokhapokha nthawi zina. Chifukwa chake, ndikofunikira kumvetsetsa mtundu wamatenda, ndipo kodi padzakhala shuga ngati pali zotsekemera kwambiri?

Shuga ndi matenda ashuga - pali ubale?

Monga tafotokozera pamwambapa, kugwiritsa ntchito shuga sikungayambitse matenda a mtundu woyamba. Imafalikira kokha ndi cholowa. Koma mtundu wachiwiri umapezeka mu moyo. Funso limabuka - kodi pali matenda ashuga amtundu wachiwiri kuchokera ku maswiti? Kuti muyankhe, muyenera kumvetsetsa kuti shuga la magazi ndi chiyani.

Lingaliro la zamankhwala la shuga ndilosiyana ndi chakudya chake.

Mwazi wa magazi sichinthu chomwe chimagwiritsidwa ntchito kumapangitsira zakudya. Poterepa, timatanthawuza glucose, omwe mumagulu ake a mankhwala amakhudzana ndi shuga wosavuta.

Shuga ya ogula italowa m'thupi monga wowuma, dongosolo la m'mimba la munthu limaphwanya shuga. Katunduyu amatha kulowa mu magazi, kufalikira kudzera m'magazi kupita ku ziwalo zina. Mu thupi lathanzi, shuga m'magazi amakhazikika pamlingo winawake. Chizindikiro chowonjezeka cha zinthuzi chimatha kuwonetsa kukula kwa shuga komanso kuti m'mbuyomu munthu amamwa zakudya zambiri zotsekemera.

Kusintha kwa shuga m'magazi omwe amayamba chifukwa cha kudya kwaposachedwa kwangokhala kwakanthawi. Kutulutsidwa kwa insulin ndi kapamba kumabwezeretsa nthawi yofananira. Chifukwa chake, kugwiritsa ntchito shuga mwanjira yake yabwino komanso m'maswiti sikungakhale chifukwa choyambitsa chiwonetsero cha matendawa.

Koma, maswiti amakhala ndi zopatsa mphamvu zambiri. Kugwiritsa ntchito kwambiri mophatikiza ndi moyo wokhazikika wamunthu wamakono kumayambitsa kukulira kunenepa, komwe kumayambitsa matenda ashuga.

Insulin ndi chimodzi mwazinthu zofunika kwambiri mu lipogenis. Kufunika kwake kumawonjezeka ndi kuwonjezeka kwa minofu yamafuta. Koma pang'onopang'ono chidwi cha ziwalo ndi minyewa kupita ku insulin zimachepa, chifukwa chomwe mulingo wake m'magazi umakula ndipo metabolism imasintha. Pambuyo pake, kukana insulini kumayamba mu ziwalo ndi minofu. Kuphatikiza apo, chiwindi chimayamba kupanga shuga, zomwe zimapangitsa kukula kwa hyperglycemia. Njira zonsezi pakapita nthawi zimatsogolera pakupanga matenda amtundu wachiwiri.

Chifukwa chake, ngakhale kuti shuga siyomwe imayambitsa matenda ashuga mwachindunji, imakhudza mosatulutsa. Kugwiritsa ntchito kwambiri maswiti kumabweretsa kunenepa kwambiri, komwe kumayambitsa matenda a shuga a mtundu II.

Kodi odwala matenda ashuga amatha kudya maswiti

M'mbuyomu, adalimbikitsa kwambiri odwala omwe ali ndi matenda ashuga kuti athetse kaye maswiti, komanso mkate, zipatso, pasitala ndi zinthu zina zofananira ndi zakudya. Koma ndikupanga mankhwala, njira zochizira vutoli zasintha.

Akatswiri amakono akukhulupirira kuti mafuta azakudya ayenera kukhala osachepera makumi asanu ndi asanu mwa zakudya za anthu.

Kupanda kutero, mulingo wa shuga ndi wosakhazikika, wosagwedezeka, womwe ungayambitse zovuta zazikulu, limodzi ndi kukhumudwa.

Masiku ano, madokotala ayamba kugwiritsa ntchito njira zatsopano zopangira matenda ashuga. Njira yamakono imaphatikizapo kugwiritsa ntchito zakudya zomwe zimapangitsa kuti shuga azikhala ndi magazi nthawi zonse. Izi zimatheka mwa kuwerengetsa molondola kuchuluka kwa mapuloteni, mafuta ndi chakudya. Njira yotere imapewetsa kukula kwa hypo- ndi hyperglycemia.

Zakudya zamafuta nyama ndizochepa, koma zakudya zamagulu ochulukirapo ziyenera kupezeka pafupipafupi mukudya kwa wodwala. Thupi la munthu wathanzi limasinthira chakudya kukhala mphamvu. Anthu odwala matenda ashuga ayenera kugwiritsa ntchito mankhwalawa. Koma ndi matenda oterewa, zokonda ziyenera kuperekedwa kwa chakudya chovuta (chopezeka mu mkate, pasitala, mbatata) ndikugwiritsa ntchito zinthu zosavuta (zopezeka mu shuga ndi zomwe zimaphatikizidwa).

Zina zowonjezera

Kufalikira kwa nthano yomwe matenda ashuga angayambire chifukwa chogwiritsa ntchito shuga pamiyeso yambiri yadzetsa nzika zina kuti zisiyiretu izi kapena kusinthana ndi zina zotchedwa shuga. Koma, pamenepo, machitidwe oterewa amatha kubweretsa mavuto ndi kapamba ndi ziwalo zina. Chifukwa chake, m'malo motengera izi, ndibwino kuti muchepetse kugwiritsa ntchito mchenga woyera.

Tisaiwale za zakumwa zotsekemera za kaboni. Kuchepetsa shuga pachakudya sikugwira ntchito ngati simupereka chidwi ndi mtundu uwu. Botolo yaying'ono yamadzi otumphuka imakhala ndi supuni za shuga zisanu ndi zitatu mpaka zisanu ndi zitatu. Masipu achilengedwe ndiwonso amachita chimodzimodzi. Zomwe zimapangidwira zakumwa izi, ngakhale wopanga azigulitsa ngati zachilengedwe, amakhalanso ndi shuga. Chifukwa chake, pochita masewera olimbitsa thupi, ndikofunikira kuyang'anira zakumwa zomwe zidamwa.

Masewera ndi masewera olimbitsa thupi ndi njira zabwino zopewera kupewa matenda ashuga. Mukamachita masewera olimbitsa thupi, zopatsa mphamvu zimawotchedwa, zomwe zimachepetsa mwayi wokhala ndi kunenepa kwambiri, chomwe ndi chimodzi mwazomwe zimayambitsa matenda. Kuchita masewera olimbitsa thupi pafupipafupi kumakupatsani mwayi wopewa izi.

Simuyenera kuchitanso zachipongwe uchi ndi zipatso zotsekemera. Ngakhale zinthu izi ndi zachilengedwe, zimakhala ndi zopatsa mphamvu zambiri. Chifukwa chake, kudya kwambiri mwadongosolo kumapangitsanso kukula kwa kunenepa kwambiri ndikuwonetsa kwa shuga.

Chifukwa chake, shuga sichomwe chimayambitsa matenda ashuga. Matenda a mtundu woyamba ndi cholowa ndipo kugwiritsa ntchito zakudya zotsekemera sikukhudzanso mawonetsedwe ake. Koma maswiti amatha kuthandizira molakwika kukulitsa matenda a shuga.

Kuledzera kwambiri kwa zakudya za shuga zomwe zimaphatikizidwa ndi moyo wongokhala komanso kusachita masewera olimbitsa thupi kungayambitse kunenepa kwambiri, komwe ndi chimodzi mwa ziwonetsero zazikulu za matenda ashuga. Koma kugwiritsidwa ntchito kovomerezeka kwa shuga kuphatikiza ndi kuwongolera kosaletsa kulemera kupatula mwayi wopeza matendawa.

Momwe mungachepetse odwala matenda ashuga

Lamulo lofunika kwambiri kwa wodwala yemwe ali ndi matenda ashuga ndi kuchita nthawi zonse osati kuchita masewera olimbitsa thupi mopitirira malire. Kuphatikiza zakudya zoyenera komanso masewera olimbitsa thupi, chiopsezo chotenga matenda a shuga chimachepetsedwa ndi 58%. Mutha kuwerenga momwe mungayenderere kuchepa thupi kapena kulemera kwa matenda ashuga pano.

Kuchokera kwa wowerengeka azitsamba ndi zakudya zowonjezera zakudya ikhoza kusiyanitsa:

• chitosan
• chromium chithunzi
• hydroxycitrate zovuta
• Zipatso za Fennel
• tiyi wobiriwira ndi ginger wodula bwino,
• zipatso za lalanje ndi mabulosi abuluu.

Matenda a shuga ketoacidosis ndi zovuta za matenda ashuga. Zoyambitsa, Zizindikiro, Chithandizo

Mwachidule kuchita insulin. Werengani zambiri za kugwiritsidwa ntchito kwa mankhwalawa.

Ndikwabwino kuti muzikonda mankhwala omwe amapezeka ndi zitsamba. Ndi chithandizo chawo, njira za metabolic zimasinthidwa mthupi, zomwe zimapereka kuwonda kwambiri komanso kuthamanga. Zithandizo za Folk komanso zowonjezera pazakudya zadzaza ndi mavitamini ndi michere yonse yofunikira, zimatha kuchotsa poizoni ndi mafuta ochulukirapo amthupi. Komanso, munthu amachepetsa thupi pang'onopang'ono, zomwe ndizofunikira kwambiri ndipo thupi silivutika. Kuchepetsa thupi kumachitika mwachilengedwe. Kuphatikiza apo, odwala matenda ashuga ambiri, kuchepetsa thupi, pang'onopang'ono amachepetsa mlingo wa mankhwala ochepetsa shuga a shuga.

Kuchokera pazidziwitso zodziwika bwino zimadziwika kuti anthu odwala matenda a shuga samatsata malangizo onse a dokotala. Kuphatikiza apo, nthawi yochepa imaperekedwa popewa matenda a shuga. Izi zimatsogolera ku chakuti kuchuluka kwa milandu kumakula chaka chilichonse ndipo matenda amapezeka pambuyo pake, zovuta zimadza pakubwera kwa chithandizo chotsatira. Chifukwa chake, ndikofunikira kudziwa momwe mungathanirane ndi zovuta za mitundu yonse ya matenda a shuga ndikadali kukula. Izi zikuthandizani kuti musadziyike pamavuto omwe mungapewe ngakhale poyambira matendawa.

Ndikofunikira kuti musinthe moyo wanu ndikusamala thanzi lanu ndikupezeka ndi matenda a shuga, komanso makamaka ngati muli ndi mapaundi owonjezera. Kupanda kutero, mutatha kuwonda komweko, mutha kupeza mapaundi owonjezera, komanso nthawi yochepa kwambiri. Kulimbana ndi kunenepa kwambiri tsopano kwakhala kovuta kwambiri.