Zomwe zimayambitsa kuchepa thupi komanso kuchepa kwa shuga
Anthu athanzi, omwe magazi ake amakhala athithithi, amachepetsa thupi popanda zakudya zapadera komanso kuchita masewera olimbitsa thupi siophweka. Ngati munthu samvera zakudya zake ndi masewera, koma nthawi yomweyo amayamba kuchepa thupi, ndiye izi ziyenera kukhala chifukwa chachikulu chopita kwa dokotala.
Popeza kuwonda komanso kuwonda msanga ndi chimodzi mwazizindikiro za matenda ambiri, kuphatikizapo matenda ashuga. Ndipo popeza chinthu chachikulu chomwe chimapangitsa kudwala matendawa ndi kunenepa kwambiri, funso loti anthu amachepetsa thupi ndi matenda ashuga limadetsa nkhawa kwambiri.
Zakudya za shuga
Kuti muchepetse kunenepa kwa matenda a shuga 1, malangizowa akutsatiridwa:
- Onetsetsani kuti mukuganizira XE ndi GI mukamapanga menyu.
- Pali zochepa, koma nthawi zambiri.
- Kukula kwa chakudya kuyenera kukhala kofanana pakudya chilichonse. Chifukwa chake, insulin ndi masewera olimbitsa thupi zimagawidwa chimodzimodzi.
- Ndi matenda a shuga a insulin, mlingo wa mahomoni amawerengedwa potengera kuchuluka kwa chakudya mu chakudya chimodzi.
Supu pa msuzi wamasamba zimathandizira kukhala ndi kulemera koyenera.
Kuti muchepetse thupi ndi matenda a shuga a 2, wodwala amachepetsa mphamvu zowonjezera tsiku ndi tsiku ndikuwonjezera kuchuluka kwa mapuloteni. Mfundo zomveka zimathandizira kuthana ndi kulemera kwambiri mu shuga:
- Supu zimakonzedwa pa broths zamasamba.
- Mowa ndi mowa wamphamvu umaletsedwa.
- Ndikwabwino kuyambitsa tsiku ndi chimanga. Ma grarse grit amagwiritsidwa ntchito kuti achepetse kugaya chakudya.
- Pang'onopang'ono, mkate umachotsedwa mu zakudya.
- Nyama yamafuta ochepa ndi nsomba zimalimbikitsidwa.
- Maziko azakudya ndi masamba komanso zipatso.
Shuga mellitus ndi matenda omwe amapezeka kapena obadwa nawo a metabolic, owonetsedwa ndi kuwonjezeka kwa shuga wamagazi chifukwa chosowa insulini m'thupi. Pafupifupi munthu aliyense wachinayi amene akudwala matendawa poyamba samazindikira kuti akudwala.
Kuchepetsa thupi mwadzidzidzi kumatha kukhala chimodzi mwazizindikiro za matenda oopsawa. Tiyeni tiyese kudziwa chifukwa chake odwala matenda a shuga amachepetsa thupi, komanso zoyenera kuchita pankhaniyi.
Kuchepetsa thupi mwachangu kumabweretsa kutsika kwa thupi, kapena cachexia, motero ndikofunikira kumvetsetsa chifukwa chomwe anthu amachepera thupi ndi matenda ashuga.
Pakudya, zakudya zimalowa m'matumbo am'mimba, kenako kulowa m'magazi. Zikondazo zimatulutsa insulin ya mahomoni, yomwe imawathandiza kuyamwa. Ngati kulephera kumachitika m'thupi, insulini imapangidwa pang'ono, chakudya chamafuta chimasungidwa m'magazi, ndikupangitsa kuchuluka kwa shuga. Izi zimabweretsa kuchepa thupi pazotsatirazi.
Thupi limaleka kuzindikira maselo omwe ali ndi vuto lopanga insulin. Pali shuga wambiri m'thupi, koma samatha kuyamwa ndipo umatulutsidwa mkodzo. Izi ndizofanana ndi matenda amtundu 1 shuga. Wodwala amakhala ndi nkhawa, amakhala wokhumudwa, amakhala ndi njala nthawi zonse, akuzunzidwa ndi mutu.
Chifukwa china chomwe odwala matenda ashuga amachepera thupi ndi chifukwa chosapanga insulin yokwanira, chifukwa chomwe thupi silimadya glucose, m'malo mwake, minofu yamafuta ndi minofu imagwiritsidwa ntchito ngati gwero lamphamvu lomwe limabwezeretsa kuchuluka kwa shuga m'maselo.
Odwala ambiri samvetsa chifukwa chake amachepetsa thupi ndi matenda ashuga a 2. Kuchepetsa thupi ndichimodzi mwazizindikiro zodziwika za matendawa. Munthu amene shuga yake ndi yabwinobwino sangachotse mapaundi owonjezera popanda kuyeserera.
Mikhalidwe yovuta imawonedwa ngati zomwe zimayambitsa kuchepa thupi, koma sitiyenera kuyiwala za matenda osiyanasiyana.Chimodzi mwazinthu izi ndi shuga mellitus, yemwe amayamba chifukwa cha kusagwira bwino ntchito kwa chitetezo chathupi cha munthu ndipo amadziwika kuti kusowa kwathunthu kapena pang'ono mthupi la timadzi timene timatsitsa shuga - insulin.
Mosiyana ndi kuti shuga imakonda kuchitika chifukwa cha kunenepa kwambiri, ndikamapitirira kwa matendawa, anthu samanenepa, koma amayamba kunenepa. Kuchepetsa thupi mwachangu kumatha kuyambitsa zovuta zingapo - kuyambira pakukanika kwa impso kupita ku gastritis.
Odwala ambiri amakhulupirira kuti matendawa amakhudzana ndi kuchuluka kwa thupi, chifukwa chakuti mumafuna kudya nthawi zonse. M'malo mwake, kuchepa thupi mwadzidzidzi ndi chizindikiro chodziwika bwino.
Kuchepetsa thupi mwachangu kumabweretsa kutsika kwa thupi, kapena cachexia, motero ndikofunikira kumvetsetsa chifukwa chomwe anthu amachepera thupi ndi matenda ashuga.
Pakudya, zakudya zimalowa m'matumbo am'mimba, kenako kulowa m'magazi. Zikondazo zimatulutsa insulin ya mahomoni, yomwe imawathandiza kuyamwa. Ngati kulephera kumachitika m'thupi, insulini imapangidwa pang'ono, chakudya chamafuta chimasungidwa m'magazi, ndikupangitsa kuchuluka kwa shuga. Izi zimabweretsa kuchepa thupi pazotsatirazi.
Kuchepetsa thupi kumachitika chifukwa chakuti kapamba sangathe kutulutsa insulini. Zifukwa zake zitha kukhala motere:
- Thupi silitha kuzindikira maselo omwe amayambitsa chinsinsi cha timadzi timeneti. Mafuta ochulukirapo amapanga ndipo thupi limayenera kupaka shuga wowonjezera ndi mkodzo. Izi ndi zomwe zimapangitsa kuti muzikhala wokonda kukodza nthawi zonse komanso kuti muzimva njala ndi ludzu nthawi zonse. Kuphatikiza apo, chifukwa chosowa mphamvu, munthu amayamba kumva kutopa, kugona, kupweteka mutu, ndi zina zambiri.
- Kuperewera kwa insulin m'magazi sikulola kuti thupi lizigwiritsa ntchito shuga kupatsa mphamvu maselo ndikupanga mphamvu. Chifukwa chake, muyenera kuyang'ana njira zowalipirira. Zachidziwikire, minofu ndi mafuta amtundu wa munthu ndizomwe zimayambira kugunda. Kuchepetsa misa muzochitika zotere kumawonedwa ngati njira yachilengedwe.
Mwachidule, tikuwona kuti choyambitsa chachikulu cha kuchepa thupi ndikuphwanya njira za metabolic m'thupi. Kuchepetsa thupi mwadzidzidzi ndi chimodzi mwazizindikiro za matenda ashuga. Ngati mungazindikire china chake, muyenera kulankhulana ndi katswiri.
Bwanji kuchepetsa thupi ndi matenda a shuga a 2? Nthawi zambiri, kusintha kwakukutu kwa odwala matenda ashuga a mtundu wa 2 kumalumikizidwa ndi kupezeka kwa kupsinjika kwamphamvu ndi zotsatira za zovuta pamthupi.
Chifukwa china chakuchepa kwambiri kwa thupi kumatha kukhala vuto pakugwira ntchito kwa kapamba. Izi kusokonezeka ndi zotsatira zoyipa kwa anthu zimabweretsa kuwoneka kwa zolakwika mu kagayidwe kachakudya, ndipo chifukwa chake, wodwalayo amakhala akuswa zifukwa za kukakamiza kwa zinthu zofunika kuzilimbitsa thupi kuchokera pakupanga chakudya.
Kuchepetsa thupi mwa munthu wodwala matenda ashuga, amamuikira zakudya zapadera, zomwe zimapangitsa kuti thupi lizolowereka pomwe akuwongolera kupitirira kwa matenda, omwe amathandizira kupewa zovuta.
Zifukwa zazikulu zomwe zimachepa kwambiri munthu amene akudwala matenda okoma ndi izi:
- Njira za Autoimmune - ndizomwe zimayambitsa chisokonezo pakugwira ntchito kwa kapamba komanso kupanga insulini.
- Kuchepetsa chidwi cha maselo odalira insulin kupita ku mahomoni, omwe amachititsa kuti pakhale kusowa mphamvu, komwe kumapangidwa ndi kuwonongeka kwa mafuta ndi mapuloteni.
- Kagayidwe kachakudya motsutsana maziko a kuchepa kwa chidwi cha maselo a insulin.
Kuphatikiza pa kupsinjika kwamalingaliro ndi zovuta pamavuto, zifukwa zotsatirazi zimatha kuyambitsa kuchepa thupi pamaso pa anthu odwala matenda ashuga:
- anorexia amanosa
- kuvutika maganizo pambuyo pake
- yoyamwitsa
- kupezeka kwamavuto amthupi,
- kusakwanira kapena kuperewera kwa zakudya m'thupi.
Matenda osiyanasiyana pantchito ya m'mimba, matenda a oncological ndi matenda opatsirana angapo, komanso kuchepa kwa thupi la kapangidwe kazinthu zofunika ka mankhwala osakanikirana ndi zakudya zomwe zimayambitsa matenda a shuga.
Zomwe zimayambitsa lakuthwa kwambiri m'magazi odwala matenda ashuga mwina zimachitika motere:
- Kukula kwa matenda a magazi.
- Kuwonongeka kwa chida kwa thupi laimuna.
- Zomwe zimachitika mthupi la zochitika zovuta komanso zamitsempha.
- Njira za kuwonongeka kwa minofu mthupi.
Tiyenera kukumbukira kuti kwa odwala omwe ali ndi matenda otsekemera, pali mwayi woti osati kuchepa thupi kokha, koma kukula kwa kutopa - cachexia
Ngati mukunenepa kwambiri komanso muli ndi matenda otsekemera, anthu akufunsa ngati mtundu wa 2 wodwala ungachiritsidwe ngati muchepa thupi. Kuyankha funso ili, ziyenera kudziwika nthawi yomweyo kuti matenda a shuga sangachiritsidwe chifukwa chochepetsa thupi, koma ngati mukunenepa kwambiri, kuchepetsa thupi kumakhala ndi zotsatira zabwino pathupi lathu komanso thanzi lanu lonse.
Kunenepa kwambiri komanso matenda a shuga zikuwoneka ngati zogwirizana. Potengera maziko a matenda amtundu wa 2, njira za metabolic m'thupi zimasokonezeka, kotero munthu aliyense wodwala matenda ashuga amakhala ndi nkhawa kapena amakhala ndi mapaundi owonjezera.
Chifukwa chani odwala matenda a shuga amayamba kuonda komanso kunenepa: zifukwa zolemetsa ndi kunenepa kwambiri, njira zolimbitsa thupi
Kuchepetsa thupi mwadzidzidzi pa matenda ashuga sikwenso kulinso koopsa monga kunenepa msanga. Chilichonse mwazomwezi zili ndi chiwopsezo mthupi, ndiye ngati muvi wamakala upatuka kwambiri, muyenera kupita kwa dokotala nthawi yomweyo.
Kulemera kwa shuga kumayang'aniridwa mozama. Kuchita masewera olimbitsa thupi komanso kudya zakudya zama carb ochepa kumathandiza kuchepetsa kunenepa, komanso kuonda kumathandizidwanso pakukonza zakudya.
Kuchepetsa kwambiri mtundu wa matenda ashuga amtundu wa 2 kumachitika chifukwa chakutha kwa kupanga insulini. Hormoni iyi imapatsa thupi mphamvu zosungira. Pomwe sikokwanira - thupi limatenga mphamvu kuchokera ku minofu ndi minofu ya adipose.
Ndikofunikira kufunsa dokotala kuti muchepetse kunenepa, limodzi ndi zizindikiro izi:
- kumayenda m'miyendo kapena mikono, miyendo,
- kusawona bwino,
- kukodza pafupipafupi, makamaka usiku,
- ludzu lalikulu
- kusenda ndi kuchepa kwa chidwi chakhungu, kuchiritsa pang'onopang'ono mabala.
Chifukwa china cholemetsa ndikukula kwa matenda a anorexia manthaosa mu matenda ashuga. Madokotala akukumana kwambiri ndi vutoli, azimayi ambiri amakhala nawo chifukwa ichi. Vuto la kudya monga anorexia limasokoneza njira ya matendawa.
Chifukwa chake, pafupipafupi adotolo amawonjezera psychopharmacotherapy ndi chidziwitso cha chidziwitso chazachipatala kwa wodwalayo pakuvuta kwa njira zochizira matenda ashuga. Zotsatira za matenda a anorexia mu shuga zitha kukhala zoopsa.
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:
- Kutsitsa magazi.
- Kuzindikira kwa kukumbukira ndi kusamalira.
- Caries, tsitsi lalifupi ndi misomali.
- 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.
Pazaka zambiri, chiwerengerochi chikuyenera kuwonjezeka, koma osati kwambiri.
Asayansi akuchenjeza kuti patatha zaka 45, kulemera kwa thupi kuyenera kukhala kosasunthika, ndiye kuti, kusungidwa pamlingo woyenera kwambiri pokhudzana ndi umunthu.
Chifukwa chake, kuchepa kwambiri kwa thupi (kuposa makilogalamu 5-6 pamwezi) popanda kusintha njira zoyambirira zodyera ndi moyo kumawonedwa ndi akatswiri monga chisonyezo cha matenda amtundu uliwonse. Makamaka, shuga imatha kukhala chimodzi mwazomwe zimayambitsa zovuta zotere.
Kuchepetsa thupi kwambiri m'magazi a shuga ndi chizindikiro cha kukula kwa mawonekedwe ake ophatikizika, omwe amathandizidwa ndi kusintha kwa ziwalo zam'kati, zomwe zimayambitsa kutopa kwathunthu komanso kuwonongeka kwakukulu pakukhala bwino kwa odwala.
Kusintha koteroko mthupi la wodwalayo kumawonetsa kuti sangathenso kuyendetsa njira za metabolic popanda thandizo lakunja, chifukwa chake, akufunika kuwongoleredwa kowonjezereka.
Kuchepetsa thupi kwambiri ndi chifukwa cha mphamvu yanjala yamatenda amthupi, zomwe zimayambitsa zovuta zazikulu za metabolic. Mwa odwala, kusowa kwamphamvu kwa mapuloteni amwazi kumachitika, ketoacidosis ndi kuchepa kwa magazi m'thupi zimayamba. Amamva ludzu nthawi zonse chifukwa cha kuchuluka kwa shuga.
Kuchepetsa kwambiri shuga. Choyamba, ndi kuwonda msanga, njira za metabolic zimasokonezeka, ndipo chachiwiri, dystrophy ya minofu ndi minyewa ya adipose imachitika.
Kuphatikiza apo, ndi matenda a shuga, kuchepetsa thupi mwadzidzidzi kumawonjezera mwayi woledzera kwambiri. Zinthu zapoizoni ndi zowola zomwe adipose ndi minofu minofu zimayamba kudziunjikira m'magazi a wodwalayo.
Kuchepetsa thupi kwambiri "kumatha kuyika" odwala matenda ashuga pachipatala kwanthawi yayitali
Komabe, dongosolo logaya chakudya limadwala makamaka kuwonda mwadzidzidzi. Motility yam'mimba imakhala yovuta, ndipo munthu amakhala ndi mavuto osiyanasiyana mwanjira ya mseru, kusanza, kupweteka, kumva kuwawa, ndi zina zambiri.
Kuphatikiza pa zonsezi, kuchepa kwambiri kwa anthu odwala matenda ashuga, zovuta zotere zimatha kuchitika:
- kukulitsa kwa hypoparathyroidism,
- mawonekedwe a edema,
- kuchepa kwa tsitsi ndi misomali pakusowa kwa mavitamini ndi michere,
- kupezeka kwa hypotension (kuthamanga kwa magazi),
- mavuto amakumbukiro ndi chidwi.
Matenda a zamagetsi amapezekanso nthawi zambiri mwa anthu odwala matenda ashuga komanso kuwonda mwadzidzidzi. Amakhala okwiya, nthawi zina amakhala okwiya komanso amakonda kukhala achisoni.
Tsoka ilo, ndizosatheka kuchira ku matenda ashuga. Koma ndizotheka kuti tipewe zovuta zingapo zakumbuyo yake. Kuti muchite izi, muyenera kungotsatira malingaliro onse a dotolo ndikumwa mankhwala pafupipafupi.
Anthu ambiri azindikira kuti ndi matenda ashuga amachepetsa thupi. Ndipo izi sizikhala pang'onopang'ono komanso osati kuwonda moyenera, koma lakuthwa kwambiri.
Monga lamulo, pazaka 40, kulemera kwa munthu kumayima ndipo pafupifupi ali pamlingo womwewo. Ngakhale mutapeza kapena mutataya mapaundi ochepa pachaka, palibe cholakwika ndi zimenezo.
Kuti mumvetsetse zomwe mukukumana nazo, muyenera kudziwa chifukwa chake anthu amachepetsa thupi ndi matenda ashuga.
Mukamadya chakudya, munthu amathanso kudya zakudya zamafuta, zomwe zimayamba kulowa m'matumbo, kenako kulowa m'magazi. Kuti ma carbohydrate azilowetsedwa bwino ndi thupi la munthu, timafunikira timadzi timene timatchedwa "insulin". Zikondwererozi "zimachita" pakupanga kwake.
Mavuto akayamba kugwira ntchito m'thupi la munthu chifukwa chopanga insulin yokwanira, chakudya chimayamba kukhala m'magazi. Ndipo izi, zimabweretsa zovuta pamakoma amitsempha yamagazi.
- kumverera kwa ludzu losalekeza
- zikakamizo zakunyumba kuchimbudzi "pang'ono",
- masoka operewera,
- kutayika kwa magwiridwe antchito
- kuwonda.
Kuchepetsa thupi mu shuga kumachitika chifukwa zikondamoyo za munthu wodwala sizipanga mahomoni okwanira omwe amatchedwa "insulin". Pali zifukwa ziwiri zazikuluzikulu izi:
- Thupi la wodwala limaleka kuzindikira maselo omwe ali ndi vuto lopanga insulin. Chifukwa chakuti kuchuluka kwa glucose m'magazi ndikokwanira, sikulowa m'maselo. M'malo mwake, amachotsedwa mkodzo ndi mkodzo. Pachifukwachi, munthu amayamba kumva kupweteka komanso kutopa. Njira zoterezi mthupi zimachitika ndi mtundu woyamba wa matenda. Kuchepetsa thupi mu mtundu 1 wa shuga sikumachitika.
- Zochitika zachiwiri zimachitika mu mtundu wa 2 shuga. Mu thupi la munthu mumakhala mukuperewera kwa insulin. Chifukwa cha izi, thupi silingagwiritse ntchito glucose ngati mphamvu. Ndiye chifukwa chake, tiyenera kufunafuna mwachangu gwero latsopano lamphamvu. Adipose minofu ndi minofu misa ndizomwe zimatipatsa mphamvu. Thupi limayamba kuwawotcha. Ndiye chifukwa chake ndi mtundu wachiwiri wa matenda ashuga, munthu amayamba kuchepa thupi msanga ndikuchotsa minofu.
Zofunika! Chifukwa cha kuchuluka kwa poizoni m'magazi, mchere wamchere umasokonezedwa, womwe umangosokoneza ziwalo monga chiwindi ndi impso. Zonsezi zimatha kubweretsa zotsatira zosasintha mu mawonekedwe a kulephera kwaimpso, chiwindi, urolithiasis, ndi zina.
Zinthu zomwe zidakonzedwa ndi olemba polojekitiyi
malingana ndi ndondomeko yakusinthaku.
Chifukwa chachikulu chakuchepetsa thupi
Kuti mumvetsetse chifukwa chochepetsa kulemera kwa matenda ashuga, muyenera kunena mawu ochepa za kamangidwe ka matendawa. Ndipo zimachitika chifukwa cha kuchuluka kwakukulu kwa shuga m'magazi motsutsana ndi katemera wakuchepa kwa kapamba, chifukwa chomwe mulingo wa insulini m'thupi, womwe umapangitsa kuti shuga asungunuke ndikuthiridwa.
Glucose ndi shuga yemweyo amene ali gwero lalikulu lamphamvu. Sipangidwa ndi thupi ndipo limalowamo ndi chakudya. Glucose akangolowa m'mimba, kapamba amayambitsa.
Amayamba kupanga insulin mwachangu, yomwe imaphwanya glucose ndikupereka kwa maselo ndi minyewa ya thupi. Chifukwa chake amakhala ndi mphamvu yofunikira kuti agwire ntchito yonse. Koma njira zonsezi zimachitika pokhapokha ngati munthu ali wathanzi kwathunthu.
Limagwirira kukula kwa 1 shuga
Akakhala ndi ma pathologies omwe amasokoneza kapamba, njira zonsezi zimasokonekera. Maselo achitsulo amawonongeka, ndipo insulin imayamba kupangidwa pang'ono.
Koma ziyenera kunenedwa kuti ndi mtundu wa 2 shuga mellitus, mkhalidwe wosiyana pang'ono umawonedwa m'thupi. Zikondazo zimatulutsa insulini yochepa, koma maselo, pazifukwa zina, amasiya kuzimvera. Zotsatira zake, amawoneka kuti akukankha insulini kuti isawachotsere mphamvu.
Ndipo popeza maselo omwe amakhala mu milandu yoyamba komanso yachiwiri samalandira mphamvu, thupi limayamba kujambula kuchokera kwina - adipose ndi minofu minofu. Zotsatira zake, munthu amayamba kugwira ntchito mwachangu komanso kuchepa thupi, ngakhale kuti amadya chakudya chamagulu ambiri.
Koma ngati kuwonda koteroko kumayambiriro kwa chitukuko cha matendawa kumakondweretsa odwala matenda ashuga, popeza pamapeto pake adayamba kuchotsa kunenepa kwambiri ndikuyamba kusunthira zina, zina, ndiye pambuyo pake zimakhala vuto lalikulu kwa iye, chifukwa pang'onopang'ono zimayamba kufooka kwa thupi, komwe mtsogolomo kumangokulitsa mkhalidwe wa wodwalayo.
Kodi ndingafunike mawu ati kuwaza?
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.
Kuphatikiza apo, anthu omwe ali ndi shuga ambiri amatha kudandaula:
- mutu, chizungulire,
- kutopa, kusokonekera,
- kumva kwamphamvu njala
- kusokonezeka ndende,
- matenda ammimba
- kuthamanga kwa magazi
- kuwonongeka kwamawonekedwe
- mavuto azakugonana
- Khungu loyera, machiritso amthawi yayitali,
- matenda a impso.
Munthu amene akufuna kuchepa thupi ayenera kukumbukira kuti kunenepa kwambiri, komwe sikuvulaza thupi, sikuyenera kupitirira 5 kg pamwezi. Zomwe zimayambitsa kuwonda kwambiri ndi "matenda okoma" zabodza zotsatirazi:
- Njira ya autoimmune yomwe kupanga insulin kumayima. Glucose amapanga m'magazi ndipo amatha kupezekanso ndi mkodzo. Khalidwe la matenda ashuga 1.
- Kuperewera kwa insulin pomwe ma cell samazindikira bwino iyi timadzi. Thupi limasowa glucose - gwero lalikulu lamphamvu, chifukwa chake limagwiritsa ntchito maselo amafuta. Ndiye chifukwa chake kuchepa thupi mu mtundu 2 wa shuga.
Popeza kusokonezeka kwa metabolic kumachitika, ndipo maselo samalandira mphamvu yofunikira, maselo amafuta amayamba kudyedwa. Zotsatira zake, odwala matenda ashuga "amawotcha" pamaso pathu.
Zikatero, munthu amadya chakudya choyenera, ndipo kenako thupi limayamba kukula.
Ngati munthu alidi wathanzi, ndiye kuti kulemera kwake kumatha kusunthira mbali imodzi kapena kwinanso ndi 5 makilogalamu. Kuchulukitsidwa kwake kumatha kukhala chifukwa cha zifukwa zosiyanasiyana, mwachitsanzo, kudya kwambiri usiku, maphwando, kuchepa thupi zolimbitsa thupi, ndi zina zambiri.
Kuchepetsa thupi kumachitika makamaka mukulimbikitsidwa ndi nkhawa komanso nkhawa, kapena munthu akayamba kuganiza kuti akufuna kuchotsa ma kilogalamu ochepa ndikuyamba kutsatira zakudya komanso masewera olimbitsa thupi.
Koma pakakhala kuwonda msanga (mpaka makilogalamu 20 m'miyezi ingapo), ndiye kuti izi zachoka kale panjira ndipo zitha kuonetsa kukula kwa matenda ashuga. Pankhaniyi, zizindikiro zotsatirazi zikuwoneka:
- njala yosalekeza
- ludzu ndi kamwa yowuma
- kukodza pafupipafupi.
Zofunika! Pamaso pa zizindikiro izi motsutsana ndi kuchepa thupi kwa thupi, muyenera kufunsa chithandizo kuchokera kwa dokotala, yemwe ndi endocrinologist. Atasanthula wodwalayo, adzayitanitsa kubweretsa mayeso osiyanasiyana, pakati pawo padzakhala kusanthula kuti mudziwe kuchuluka kwa shuga m'magazi.
Zovuta zomwe mtundu wachiwiri wa matenda a shuga umapezeka nthawi zambiri
Tiyeneranso kudziwa kuti pang'onopang'ono chitukuko cha matenda a munthu "okoma", kusintha kwina kwamunthu kungakhale kosokoneza. Izi zikuphatikiza:
- kupweteka mutu komanso chizungulire,
- kutopa,
- kuchuluka kukwiya
- zovuta zam'mimba zam'mimba (mseru, kusanza, kutsekula m'mimba, ndi zina zambiri),
- kuchuluka kwa magazi,
- kuchepa kowoneka bwino,
- Khungu
- mabala ndi ming'alu m'thupi omwe sachiritsidwa kwa nthawi yayitali ndipo nthawi zambiri amakula, kupanga zilonda pambuyo pawo.
Munthu yemwe akuwonetsetsa kuti thupi lawonda kwambiri ayenera kudziwa kuti izi zitha kuvulaza thanzi lake ndikuyambitsa mavuto ena mthupi, kuphatikiza kuchokera ku endocrine system.
- Njira ya Autoimmune. Ndiomwe chimayambitsa matenda osokoneza bongo mu kapamba ndi insulin. Zotsatira zake, glucose amayamba kudziunjikira m'magazi ndi mkodzo, zomwe zimapangitsa kuti pakhale zovuta zina kuchokera ku mtima ndi ma genitourinary system. Njira za Autoimmune ndizomwe zimayambitsa matenda a shuga 1.
- Kuchepetsa chidwi cha maselo ku insulin. Maselo "akakana" insulini kwa iwo eni, thupi limakhala ndi kuperewera mphamvu ndikuyamba kuchotsera m'maselo a mafuta, zomwe zimapangitsa kuti achepe kwambiri.
- Kuchepa kwa kagayidwe kotsutsana ndi maziko a kuchepa kwa chidwi cha maselo ku insulin. Njira izi, zimaphatikizirana, ndizifukwa zomwe zimapangitsa kuti anthu achepetse shuga. Ndi mphamvu ya kagayidwe, thupi limayamba "kuwotcha" madzi ake osangokhala ndi minofu ya adipose, komanso minofu ya minofu, yomwe imatsogolera kutha kwakanthawi.
Munthu akayamba kuchepa thupi msanga m'magazi, amamulembera zakudya zapadera zomwe zimawonjezera kulemera kwa thupi, koma zimathandizira kuti matendawo asayang'anire, kupewa zovuta zambiri kuti zisathenso.
Monga tanena kale, kuchepa thupi kumachitika pamene, chifukwa chosowa insulini, maselo sangathe kugwiritsa ntchito shuga ngati gwero lamphamvu ndikuyamba kuwotcha mafuta m'thupi.
Ndi kuwonongeka kwa minofu ya adipose, matupi a ketone amadziunjikira m'thupi, omwe amachititsa poizoni m'thupi ndi ziwalo. Zizindikiro zazikulu za matenda amtunduwu ndi:
- mutu
- kuwonongeka kwamawonekedwe
- kukodza pafupipafupi
- nseru
- kusanza
Ndi kuwonda pang'onopang'ono, ndikofunikira kulabadira zizindikiro zingapo zomwe nthawi zonse zimayendera limodzi ndi matenda ashuga, mitundu yoyamba komanso yachiwiri:
- ludzu losalekeza
- polyuria
- kulakalaka
- chizungulire
- kutopa,
- kuchiritsa kwamabala.
Ngati pali zina mwazizindikirozi, muyenera kufunafuna thandizo kwa endocrinologist posachedwa.
Kuchepetsa thupi mu shuga ngati chizindikiro. Kuopsa kotani?
Kuchepetsa kwambiri thupi mtundu wa shuga wachiwiri, makamaka kwa achinyamata, kumabweretsa kukula kwa cachexia kapena kutopa. Izi zimadziwika ndi:
- kuzungulira kwathunthu kapena pang'ono kwa minofu ya adipose,
- kutsekeka kwa minofu ya miyendo,
- kukulitsa kwa ketoacidosis - kuchuluka kwa matupi a ketone chifukwa cholephera mu kagayidwe kazakudya.
Matenda a shuga mellitus, mwanjira iliyonse, amagwirizanitsidwa ndi zovuta zina mthupi, zomwe zimatha kuthana, koma nthawi zina zimakhala zovuta.Zikuwonekeratu kuti matendawa pawokha ndi mayeso, koma ndikofunikira kudziwa kuti mayesowa atha kukhala osavuta kwambiri ngati mungayesetse kuchotsa zosasangalatsa ndi syndromes zokhudzana nazo.
Anthu ambiri omwe ali ndi matenda ashuga amazindikira kuti amayamba kuchepa thupi mwachangu ndikutukuka kwa matendawa. Tiyenera kunena kuti kuchepa thupi kumatha kuchitika musanafike shuga, thupi likamatha kuyamwa michere yonse yofunikira.
Zakudya zopatsa thanzi kuti muchepetse ma kilogalamu a 2 shuga
Nthawi zambiri, kuchepa thupi kumakhudzana ndi nkhawa, kupsinjika, komanso matenda amitsempha.
Choyambitsa chachiwiri chomwe chikuwonjezera ntchito ya chithokomiro (hyperteriosis).
Mwa amayi, zomwe zimayambitsa kuwonda mwadzidzidzi zimatha kukhala:
- Anorexia Nervosa.
- Kupsinjika kwa m'mbuyo.
- Kuyamwitsa.
- Kuperewera kwa mahomoni.
- Kuperewera kwa zakudya m'thupi.
Matenda osiyanasiyana am'mimba, matenda a oncology, matenda opatsirana ambiri, kusowa kwa michere kapena mavitamini ambiri amathandizira kuti muchepetse kunenepa kwambiri.
Zifukwa zakuchepera kwambiri amuna:
- Matenda a ziwalo zopanga magazi.
- Zowonongeka pamagetsi.
- Matenda amsempha, kupsinjika.
- Kuwonongeka (kuvunda) kwamatupi amthupi.
Kwa odwala matenda a shuga, pamakhala chiopsezo chongokhala kuchepa thupi kwambiri, koma kutopa (cachexia).
Nthawi zina kuwonda kumeneku kumatha kukhala mpaka 20 kg pamwezi popanda kuchita zolimbitsa thupi komanso kusintha kwa zakudya. Chifukwa chiyani anthu odwala matenda ashuga amachepetsa thupi? Kuchepetsa thupi mwadzidzidzi kumakhala kofala kwambiri kwa odwala omwe ali ndi matenda a shuga.
Mwa odwala, pancreatic gland imakana kutulutsa "insulin" yomwe imayendetsa kagayidwe ka glucose mokwanira. Potere, thupi la munthu limayamba kufunafuna mphamvu zina kuti likhale ndi ntchito zofunika, ndikuzichotsa pamipanda yamafuta ndi minofu ya minofu.
Mu matenda a shuga amtundu wachiwiri, insulin m'thupi la munthu imapangidwa, koma sazindikira maselo a chiwindi, motero thupi limakumana ndi vuto lakuthwa la glucose ndikuyamba kupeza mphamvu kuchokera kwina.
Kuchepetsa thupi ndi mawonekedwe awa sikuthamanga kwambiri ngati kudwala matenda a shuga 1.
Matenda a shuga ndi matenda omwe amafuna kuti wodwalayo aziyang'anitsitsa kudya kwake nthawi zonse. Sayenera kudya zakudya zokazinga, zamafuta ndi zotsekemera. Koma kodi mungatani kuti muchepetse kuwonda kwambiri komanso kunenepa? Chilichonse ndichopepuka.
- skim mkaka (muli mapuloteni ambiri, omwe amathandiza kupewa kuchepa kwa minofu)
- mkate wa ndani
- mbewu zonse, monga barele ndi thumba lankhondo,
- masamba (osavomerezeka angodya masamba omwe amakhala ndi wowuma ndi shuga mwachitsanzo, mbatata ndi beets),
- zipatso zosachepera shuga monga malalanje, maapulo obiriwira, etc.
Zakudya zoyenera zimalepheretsa zovuta
Chakudya chiyenera kukhala chosakanizika. Muyenera kudya kangapo 5-6 patsiku m'magawo ang'onoang'ono. Ngati thupi latha, ndiye kuti uchi utha kuwonjezeredwa ku chakudya chachikulu. Koma muyenera kugwiritsa ntchito osaposa 2 tbsp. patsiku.
Mukamapanga menyu, odwala matenda ashuga ayenera kutsatira dongosolo lina. Zakudya zake za tsiku ndi tsiku ziyenera kukhala ndi 25% yamafuta, 60% yazakudya zamafuta ndi 15% ya mapuloteni. Ngati kuchepa kwa thupi kumawonedwa mwa mayi wapakati, kuchuluka kwa chakudya komanso mapuloteni muzakudya za tsiku ndi tsiku kumawonjezeka, koma mosasamala payekhapayekha.
Nthawi iliyonse mukamakambirana ndi odwala omwe ali ndi matenda osokoneza bongo, munthu amayamba kukhulupilira kuti vutoli limafunikira. M'moyo, mulibe anthu awiri ofanana pafupifupi, okhala ndi kulemera kwamthupi, mawonekedwe amachitidwe, zaka, kapangidwe kokhudzana ndi malingaliro, ndi zina zambiri.
Uku ndikovuta kulumikizana ndi odwala matenda ashuga.Kudzera m'magaziniyi, ndikufuna kulankhula ndi aliyense payekhapayekha, koma ngati izi sizingatheke, tiyeseza kukambirana momwe timawerengera. Mnyamata wina adatembenukira kwa mkonzi, yemwe amasokonezeka kwambiri ndi mawonekedwe ake.
Pakhoza kukhala zifukwa zingapo zolemetsa. Choyamba, ndikofunikira kwambiri kuti kagayidwe kazachilengedwe kamalipiridwe, i.e. kusala kudya kwa glycemia sikudapitilira 5.5-8.5 mmol / l, mutatha kudya 7.5-10.0 mmol / l, kusinthasintha kwa glycemia tsiku lililonse (max-min) sikudaposa 5 mmol / l, ndipo kunalibe shuga mkodzo wa tsiku ndi tsiku .
Monga lamulo, achinyamata amalandira chithandizo choyambira cha bolus insulin, i.e. 4-5-khola kuperekera insulin yochepa komanso yayitali. Chowonadi ndi chakuti insulin, kuwonjezera pa kutsitsa kwake shuga, ilinso ndi mphamvu ya anabolic, yomwe imathandizira kubwezeretsa minofu yolakwika ya trophic.
Chifukwa chake, anthu omwe amayamba kulandira mlingo wokwanira wa insulin mwachangu amathandizanso mphamvu zawo zotayika, kumva kulimba kwa mphamvu, kusinthika kwawo ndi kuthekera kwawo kugwira ntchito, minofu ikuwonjezeka.
Chifukwa chake, choyamba, muyenera kudziwa ngati munthu alandila insulin yokwanira.
Mfundo ina yofunika kwambiri yomwe dokotala wodziwika bwino ayenera kufotokozera ndi ngati muli ndi matenda am'mimba? Ngati pali imodzi, ndiye kuti mankhwalawo akuyenera kukhala okwanira, ndipo pofotokoza zakudya zopatsa mphamvu zopatsa mphamvu, sankhani zinthuzo malinga ndi matenda omwe ali nawo.
Nkhani yofunikira ndikudya mokwanira. Kuwonongeka kwa shuga kwa nthawi yayitali kumabweretsa kuwonda kwambiri. Chifukwa chiyani? Amadziwika kuti amakhala ndi moyo, khungu lililonse la thupi limayenera kulandira mphamvu. Gwero lalikulu lamphamvu ndi chakudya chamafuta, omwe amalowa mthupi ndi chakudya kapena amapangidwa kuchokera ku zinthu zina, mwachitsanzo, kuchokera ku mafuta, glycogen.
Kuti chakudya chizilowa mu cell, zimakhala zambiri zimafunikira insulini. Popanda njira yolumikizirana yovuta chonchi, moyo wabwinobwino ndi wosatheka. Pazinthu zowonongeka, i.e. kusowa kwa insulini, kuchuluka kwa glucose m'magazi ndikokwera, koma sikulowa mu cell, koma kumakhudzidwa ndi mkodzo, i.e.
thupi limataya gwero lamphamvu, lomwe lili lofunikira kwambiri. Kuti apange mphamvu yotayika, thupi limayamba kuphwanya chiwopsezo cha glycogen, minofu glycogen, mafuta amawonongeka ndikupanga matupi a ketone, ndipo chifukwa cha izi, kulemera kwa thupi kumachepa kwambiri, kuchepa thupi kumachitika, ndipo kuwonongeka kumachitika.
Mwachitsanzo, kutalika kwa 180 cm, kulemera 60 kg. Kuchuluka kwa thupi pafupifupi 20 kg. Ngati tikuganiza kuti ntchito yakuthupi ya wodwalayo ndiyabwino, ndiye kuti kufunikira kwa ma calories kudzakhala 35 kcal pa kilogalamu imodzi ya misa yofunikira.
35 kcal / kg x 80 makilogalamu = 2800 kcal.
2800 kcal 560 kcal = 3360 kcal.
Chifukwa chake, wodwala wotere patsiku amafunikira kale 3360 kcal.
Odwala omwe ali ndi matenda ashuga ayenera kuganizira kuchuluka kwa chakudya komanso kapangidwe kake. Kuchuluka kwa mapuloteni ndi mtengo wokhazikika ndipo amapanga 15% yonse yazokhalamo. Mayi woyembekezera yekha ayenera kuwonjezera kuchuluka kwa mapuloteni mpaka 20-25%.
Kufunika kwa chakudya chama tsiku ndi tsiku ndi 60%, kwa 3360 kcal 60% ndi 2016 kcal.
Zakudya zopatsa mphamvu za 1 g zama chakudya zimakhala pafupifupi 4 kcal, chifukwa chake, kcal ya 2016 ili ndi 504 g yamafuta. Kumbukirani kuti 1 XE ili ndi 12 g yamafuta, chifukwa chake, menyu yazatsiku ndi tsiku iyenera kukhala ndi 504/12 = 42 XE.
Ndikofunikira kugawa katundu wa carbohydrate chimodzimodzi tsiku lonse, molingana ndi mlingo wa insulin komanso zolimbitsa thupi. Chakudya cham'mawa, nkhomaliro komanso chakudya chamadzulo, pafupifupi 25-30% ya zonse zopatsa mphamvu (i.e.
10-12 XE), tiyi wamasana, chakudya chamasana komanso chakudya chachiwiri - 10-15% (i.e. 3-4 XE). Ingokumbukirani kuti chakudya chopatsa mphamvu chiyenera kuyimiriridwa ndi chakudya cham'magazi, ndipo kwa zosavuta zosavuta sizaposa 1/3 zamafuta onse omwe atsalira, omwe zosaposa 50 g zokhala ndi shuga.
Mwa chakudya chophweka chamafuta, chopindulitsa kwambiri ndikugwiritsa ntchito uchi wachilengedwe, makamaka kwa otopa, otenthedwa mphamvu. Uchi wa njuchi yachilengedwe uli ndi mchere wofunikira mthupi, kufufuza zinthu, mavitamini, michere, michere yogwira pophika ndi bactericidal katundu.
Kuphatikiza apo, uchi umakhala ndi phindu pamapangidwe amanjenje, ndiwofatsa sedative. Uchi ndiwothandiza pa matenda amtima, chifukwa amalimbikitsa kufalikira kwa ziwiya zamkati, zimapangitsa kuti magazi aziyenda bwino.
Nthawi zambiri amafunsa funso, kodi ndingadye uchi wambiri motani patsiku? Mokwanira momwe mungathere muzochitika zilizonse, poganizira kuchuluka kwa chakudya chambiri patsiku. Mwachitsanzo, tinawerengetsa kuti wodwala wathu amafunika chakudya chopatsa mafuta 504 g patsiku.
Mashuga osavuta sayenera kukhala osaposa 1/3, i.e. osaposa 168 g. 168 ga awa amaphatikiza chakudya chopezeka m'madzimadzi, zipatso, ndiwo zamasamba, zipatso, mkaka lactose, komanso maswiti, mwina omwe mungadye nanu.
Nthawi zambiri odwala amagwiritsa ntchito uchi m'malo mwa shuga kapena okometsa tiyi kapena mkaka wofunda usiku. Izi sizoyipa, koma ndikofunikira kuti tiyi kapena mkaka osatentha kwambiri (osaposa 38 C), apo ayi uchi sangakhale wofunikira kuposa shuga wokhazikika.
Timalankhula za mkaka, titha kufotokozeredwa kuti, ngati ndi kotheka, ndibwino kugwiritsa ntchito mkaka wa mbuzi yaiwisi - ichi ndi chinthu chofunikira kwambiri kwa thupi lotopa komanso lodwala.
Ndipo gawo lina lofunikira kwambiri kwa owerenga wachichepere yemwe adatumiza kalata ku magazine. Mankhwala onse, kenako moyo wabwinobwino uyenera kutsagana ndi masewera, kuyambira ndikuchita masewera olimbitsa thupi m'mawa.
Ndikufuna kuyankha mwachidule kalata ina yomwe analandila kuchokera kwa akazi achichepere. Amalemba kuti ngati alibe mwayi wolera jakisoni, amangodya. Mwa njira, muupangiri wachipatala, ndimayeneranso kukumana ndi odwala oterewa, nthawi zambiri azimayi, omwe mawonekedwe awo amawonetsa kuti thupi lawo limakumana ndi vuto la kusowa kwa chakudya.
Pokambirana moona mtima, zimapezeka kuti: operewera amapanga jakisoni wa insulin pafupipafupi (lingaliro labwinobwino lokhalokha la shuga labwinobwino), amadumphira chakudya chamasana, amachita manyazi pantchito kuti adzipatse jakisoni, kapena akuwopa. wonenepa!
Koma timadya kuti tikhale ndi moyo! Thupi, likumva njala yamphamvu mu vuto la kusowa kwa insulin, ili m'mavuto. Mwachidule, kuletsa ntchito zazikuluzikulu za thupi kumachitika, maulalo ofooka komanso omvera kwambiri amawonongeka.
Nthawi zambiri achinyamata omwe ali ndi vuto lokhalitsa nthawi yayitali amadandaula kuti ali ndi vuto logonana, amakhala ndi zizindikiro za vuto la mitsempha, ndipo msambo umasokonezeka mwa azimayi. Wodwala wodwala matenda ashuga sayenera kukhala wosiyana ndi wathanzi, kupatula ngati amangokhala yekha ndi chidwi, pakudya ndi chithandizo.
Zomwe zimayambitsa matenda A shuga A Type 1
Nthawi zambiri chizindikiro cha matenda osokoneza bongo chimakhala kunenepa kwambiri komanso kusintha kwamphamvu pakudya. Koma ambiri amachepetsa thupi. Chifukwa chake, funso limabuka kuti chifukwa chiyani kuchepetsa thupi m'thupi 1 shuga. Pambuyo polowa m'thupi ndi chakudya, chakudya chamafuta chimasinthidwa kuchoka m'mimba kupita ku dongosolo lamagazi. Kuti zinthu izi zitheke, kupanga insulini ndikofunikira, kapambayu ndiye amachititsa kuti izi zitheke.
Ngati matenda atha kugwira bwino ntchito mthupi, insulin yokwanira imapangika, maselo sakukhudzidwa nawo, chakudya sichifika ziwalo, ndikudziunjikira m'magazi. Mkhalidwe wofananawo umatsogolera ku kusinthika kwa mitsempha ndi mitsempha. Njala imawoneka m'maselo a thupi, ziwalo zimasowa mphamvu.
Pali zizindikiro za matenda ashuga:
- ludzu losalekeza
- Ndimakhala wanjala nthawi zonse,
- kukodza pafupipafupi
- kutopa,
- pali mavuto amawonedwe
- kulemera kwa thupi kumachepa.
Maselo a Beta amatha kuwonongeka polephera.Kutulutsidwa kwa insulini kumaletsedwa, chakudya chambiri chimadzaza m'magazi ambiri, makhoma amitsempha amawonongeka. Maselo amakhala osakwanira micronutrients yopindulitsa, chifukwa chake anthu amakhala ndi zizindikiro za matenda amtundu 1.
Thupi limafunikira kuchuluka kwa glucose, mphamvu zowonjezera. Koma kusowa kwa insulin kumalepheretsa kugwiritsa ntchito kwake mwanjira inayake. Chifukwa chake, maselo amafuta amawotchedwa. Zotsatira zake, odwala matenda a shuga amachepetsa thupi.
Thupi limayamba kuwona maselo omwe amapanga insulin ngati zinthu zakunja, amathandizira chitetezo cha mthupi kuti chizipondereze. Popeza mulibe glucose wokwanira m'magazi, mankhwalawo samadzaza maselo moyenera, chifukwa amachotsedwa m'thupi ndi mkodzo. Pazifukwa izi, wodwala nthawi zambiri amakhala ndi njala, amatopa, mutu wake umapweteka, amafuna kugona nthawi zonse.
Zomwe zimayambitsa matenda A shuga A Type 2
Matenda a shuga a Type 2 ndiofala kwambiri pakati pa anthu. Ndi nthenda ya kapamba, insulini imabisidwa, maselo mthupi samalumikizana ndi timadzi tating'onoting'ono, kapena timakhala kuti timasowa. Chifukwa chake, kuti mupeze mphamvu, kuwonongeka kwa maselo amafuta kumayamba, ndicho chifukwa chochepetsera kunenepa. Zizindikiro za matenda amtundu wachiwiri wa shuga ndi ofanana ndi zizindikiro za matenda oyamba. Chifukwa chake, nkovuta kuzindikira matenda ngati amenewo.
Koma matenda ashuga amtundu wachiwiri amasiyanitsidwa ndi zizindikiro zotere:
Kuzindikira kwa shuga - ingomwani tsiku lililonse.
- mafupa amachepera
- mavuto a metabolic amayamba,
- Tsitsi limakula kumaso kwambiri,
- pathupi m'malo osiyanasiyana pali zophuka zamafuta.
Ndizosavomerezeka kusankha nokha njira zamankhwala nokha. Katswiri yekha ndi amene amatsimikizira njira zochizira, amamuunikira, amamuzindikira wodwalayo. Chithandizo chimaphatikizapo mankhwala ndi malangizo akudya.
Momwe mungayimitsire kuwonda
Kuti muchepetse kunenepa, muyenera kugwiritsa ntchito mankhwala omwe dokotala amakupatsani tsiku lililonse, kutsatira malangizo ake ena, ndikutsatira zakudya.
Nawa maupangiri ochepa:
- Osamamwa madzi musanadye.
- Ngati mumamwa tiyi musanadye chakudya, mungamve kuti mwadzaza, koma micronutrients yoyenera siyilowa m'thupi.
- Zosakhazikika zizikhala zolondola. Ntchito yayikulu ya kudya imawonedwa kuti ikwaniritse njala, thupi la munthu liyenera kulandira mphamvu zambiri.
- Chitani masewera olimbitsa thupi. Muyenera kuchita masewera olimbitsa thupi pafupipafupi. Minofu imalimbitsidwa, kubwezeretsedwa, thupi limakhala lathanzi.
- Pambuyo pakuyang'aniridwa kuchipatala, katswiriyo amatsimikizira maphunziro, amasankha zakudya zoyenera kwa wodwalayo payekhapayekha. Muyenera kutsatira dongosolo la zakudya.
- Kuphatikiza pa chakudya cham'mawa, nkhomaliro, chakudya chamadzulo, zakudya zazowonjezera ndizofunikira. Amagwirizana ndi 10 20% ya ma calories kuchokera muzomwe zimachitika tsiku lililonse. Ndikofunikira kuti mafuta odzola amakhala ndi chakudya.
- Muyenera kuwongolera kuchuluka kwa mapuloteni a mafuta, chakudya.
Pa mtundu wachiwiri wa matenda ashuga, kudya zakudya zoyeneranso kumathandizanso. Kuchuluka kwa kaboni komwe kumatsitsidwa ndi matenda awa kuyenera kuchepetsedwa. Ndikofunikira kutenga malonda ndi index yotsika ya glycemic:
- kabichi
- tomato
- maapulo
- ngale barele
- nkhaka
- radishi
- tsabola wokoma
- mafuta ochepa mkaka.
Mtundu woyamba wa matenda ashuga, zakudya zomwe zimafunikira ndizofunikira. Malangizo enieni okonza zakudya amaperekedwa kokha ndi katswiri.
Ena odwala matenda ashuga amalangizidwa kupita ku maphunziro komwe mungaphunzire momwe mungawongolere bwino chitukuko cha matendawa. Makina a chitukuko cha matendawa ayenera kuphunziridwa, kuchepetsa thupi nthawi zina kumatha kukhala ngati njira yodziyimira payokha. Odwala ayenera kuphunzira momwe angayendere panthawi ndikupewa zovuta zingapo za matenda ashuga.
Zotsatira zakuonda
Kuchepetsa thupi kwambiri ndi matenda ashuga kumabweretsa ngozi. Ngati munthu wataya msanga, metabolism imayamba kufinya, minofu minofu atrophies, mafuta amachotsedwa.Matenda a shuga amawonjezera kuledzera. Zoopsa zochuluka, zomwe zimasokoneza minofu ya thupi, zimasonkhanitsidwa m'magazi a wodwala. Popeza zinthu zonse zovulaza sizichotsedwapo, mavuto amatuluka ndi ziwalo ndi mafupa amanjenje. Mavuto ngati amenewa amapha. Ziwalo zam'mimba zamatumbo zimakhalanso ndi vuto lochepa kwambiri.
Zizindikiro zotsatirazi zimachitika:
- kusintha kwam'mimba,
- akukumbutsa
- kupweteka
- kumverera kolemetsa m'mimba.
Ma enzyme opatsa mphamvu amakhala ovuta. Pambuyo kuchepa thupi, odwala matenda ashuga nthawi zambiri amakhala ndi gastritis, kapamba. Mchere wamchere wamchere umasintha mothandizidwa ndi poizoni. Chiwindi ndi impso zimasiya kugwira ntchito mwachizolowezi. Nthawi zina matenda a chiwindi, urolithiasis amakula.
Timapereka kuchotsera kwa owerenga tsamba lathu!
Kuchepetsa thupi kwambiri mwa anthu odwala matenda ashuga kumakhala ndi zotsatirazi:
- hypoparathyroidism,
- kutupa
- kuperewera kwa mavitamini m'thupi kumabweretsa kukula kwa tsitsi ndi misomali,
- Hypotension ikuwonekera
- Kukumbukira kumakulirakulira, ndikovuta kuti munthu azikhala ndi chidwi.
Matenda a zamagetsi nthawi zambiri amawoneka odwala matenda ashuga othamanga kwambiri. Pali mkwiyo, khalidwe laukali limawonedwa, dziko lokhumudwitsa likuwonjezereka.
Mutha kupewa zovuta za matenda ashuga. Kuti muchite izi, muyenera kutsatira upangiri wonse wa akatswiri, gwiritsani ntchito mankhwala. Ngati muyenera kuchepetsa thupi, muyenera kufunsa dokotala.
Ngati munthu wodwala matenda ashuga achepetsa thupi, simungayese nokha kukonza vutoli. Mankhwala ndi zakudya zimayikidwa kokha ndi dokotala. Mankhwalawa amayang'aniridwa ndi akatswiri nthawi zonse.
Nthawi zambiri, chithandizo chimakhala ndi zotsatirazi:
- makonzedwe a insulin tsiku ndi tsiku
- kugwiritsa ntchito mankhwala omwe amayang'anira shuga,
- kukwaniritsidwa kwamalangizo azakudya,
- zolimbitsa thupi zolimbitsa thupi.
Kubwezeretsa kulemera kwanu kwapapitapo, muyenera kufunsa katswiri nthawi zonse. Dokotala amalembera zakudya, amadyetsa zakudya, kupereka mankhwala othandiza kusintha kagayidwe. Zitatha izi, wodwalayo amatha kubwerera ku moyo wawo wam'mbuyomo ndi matenda a shuga.
Tilembani zinthu zomwe zalimbikitsidwa:
- adyo
- mkaka wa mbuzi
- Brussels imamera
- tirigu amaphuka
- wokondedwa
Zosakaniza zoterezi zimapezeka mosavuta m'misika mumzinda uliwonse. Chifukwa chake, wodwala aliyense amatha kutsatira zakudya zokhazikitsidwa.
Madokotala amalimbikira pakufunika kwa zakudya zamagulu 4-5 patsiku ndi gawo la maola atatu. Ntchito zofunikira zochepa. Chofunika kwambiri ndikumwa kwa zinthu tsiku lililonse nthawi yomweyo.
Njira izi zimapangitsa kuti thupi lizikumba bwino, limapatsa mphamvu zambiri, limasintha kagayidwe kazakudya ndi njira zina. Maselo ndi ziwalo zamkati zimadzaza moyenerera tsiku lonse ndizinthu zofunikira kuti zidziwike, mtengo wa mphamvu ndi mphamvu pakudya m'mimba umachepa.
Ngati simukulimbana ndi matenda a shuga pakapita nthawi, zotsatira zake zimakhala zoopsa. Chifukwa chake, muyenera kufunsa katswiri ngati kuchepa kwambiri kwa thupi kuonekera. Nthawi zina kuchitapo kanthu mwachangu kumathandizira kupulumutsa moyo wa munthu.
Matenda a shuga nthawi zonse amayambitsa zovuta zakupha. Mwazi wamagazi ochulukirapo ndi woopsa kwambiri.
Aronova S.M. adafotokoza za chithandizo cha matenda ashuga. Werengani kwathunthu
Momwe mungachepetse thupi ndi shuga yachiwiri: chakudya ndi maphikidwe
Nkhani yochepetsa thupi ndiyosangalatsa kwa anthu mamiliyoni padziko lonse lapansi. Anthu omwe ali ndi matenda ashuga amakhudzidwa kwambiri ndi vutoli chifukwa matendawa amayenda limodzi ndi kunenepa kwambiri. Ponena za kukhalapo kwa matenda oopsa, zakudya zomwe zimachitika, zakudya zolimbitsa thupi komanso kuchita masewera olimbitsa thupi sizovomerezeka. Funso loti muchepetse thupi ndi matenda ashuga a 2 limakhala ndi yankho lovuta, koma kunenepa kwambiri kumatha chifukwa chamadyedwe ochepa a carb komanso zinthu zina zingapo zofunika.
Chifukwa Chomwe Anthu Okhwima Amadyera Mafuta
Matenda a shuga a Mtundu Wachiwiri ndi matenda omwe thupi limasandulika kukhala ndi insulini kudziteteza ku mahomoni, ngakhale kuti thupi limalipanga mokwanira. Nthawi yomweyo, kulumikizana pakati pa matenda ndi kunenepa kwambiri ndikosiyana ndi zomwe timaganiza. Matenda a shuga a Type 2 nthawi zambiri amapezeka ndendende chifukwa cha kunenepa kwambiri, ndipo zonena sizowona kuti chifukwa cha matenda ashuga, munthu amayamba kunenepa.
Mukadzaza kwambiri munthu, ndiye kuti insulin yomwe ili m'magazi imakwera. Hormone iyi imasokoneza kupasuka kwa minofu ya adipose, yomwe imayambitsa kunenepa kwambiri, ndipo thupi, likuyamba kulimbana ndi izi. Kukana kwa insulini kumachitika, ndiye kuti, maselo amthupi amataya chidwi chawo ndi insulin. Izi zikuwonetsa kuti mfundo yoti anthu odwala matenda ashuga komanso kutha kuthana ndi matendawa zimadalira kuwonda.
Kodi ndizotheka kuchepetsa thupi ndi matenda ashuga
Nutritionists amati odwala omwe ali ndi matenda ashuga ali ndi mwayi wofanana wocheperapo ngati anthu athanzi. Kusiyana kwake ndikuti zakudya zambiri, makamaka zovuta, sizothandiza odwala. Palibe cholakwika kuyembekeza kuti thupi lichepe kwambiri. Kuti muchepetse kunenepa, muyenera kufunsa dokotala, musankhe zakudya zoyenera ndikuyang'anitsitsa momwe muliri, kuti mutha kusintha mankhwalawa ngati pakufunika.
Ndi matenda a shuga amayamba kunenepa kapena kuchepa thupi?
Kodi ndichifukwa chiyani odwala ena omwe ali ndi matenda a shuga amachepa kwambiri, pomwe ena, m'malo mwake, akulemera msanga komanso akuvutika ndi kunenepa kwambiri? Zonsezi ndi za pathogenesis yamitundu yosiyanasiyana yamatenda.
Monga lamulo, anthu omwe ali ndi mtundu woyamba wa matenda ashuga, omwe samatulutsa insulin, amayamba "kusungunuka" pambuyo poyambira matenda.
Mtundu wa matenda ashuga amtundu 1, kuchuluka kwa insulin (mahomoni omwe amaphwanya glucose) kumadzetsa mphamvu ya kufa kwa minofu, chifukwa chotsatira amayamba kufunafuna njira ina yopezera mphamvu zawo.
Pankhaniyi, gluconeogenesis imayendetsedwa, ndiye kuti, kaphatikizidwe ka glucose mu minofu kuchokera kumagulu osakhala ndi carbohydrate, omwe minofu ndi mafuta zimatha. Amayamba kutentha pamaso pathu. Koma chifukwa chosowa insulini, glucose wolandilidwa samalowa m'maselo amthupi, amangotuluka m'magazi. Zotsatira zake, mkhalidwe wa odwala matenda ashuga ukupitilirabe, ndipo kulemera kumachepa.
Odwala omwe ali ndi matenda a shuga a mtundu wachiŵiri, m'malo mwake, amakonda kunenepa kwambiri.
Amachepetsa thupi kale pa siteji ya mapangidwe ovuta kwambiri kapena ndi mankhwala osankhidwa bwino.
Monga momwe mumadziwira, mwa anthu otere, kapamba amapanga insulin mwachidziwitso, maselo amthupi okha omwe amakhalapo sangalimbane nawo, ndipo, motero, musatenge glucose. Izi zimabweretsa kuwonjezeka kwa shuga wamagazi, kudziunjikira kwa lipid conglomerates komanso kuwonjezeka kwa thupi chifukwa cha lipid mankhwala .ads-mob-1
Zifukwa zazikulu zomwe zimapangitsa kuti shuga azichepa
Matenda a shuga odwala matenda am'mimba amadziwika ndi matenda ambiri am'mitsempha, makamaka, kukula kwa ludzu lalikulu, kulimbikitsidwa kwamikodzo, kukomoka, kupezeka kwa khungu louma ndi ma presthesias, ndiko kuti, kumva kuwawa kapena kuwotcha miyendo. Kuphatikiza apo, matendawa amakhudza kulemera kwa munthu kuyamba mwamphamvu komanso zikuwoneka ngati popanda chifukwa chochepera.
Nthawi zina kuwonda kumeneku kumatha kukhala mpaka 20 kg pamwezi popanda kuchita zolimbitsa thupi komanso kusintha kwa zakudya. Chifukwa chiyani anthu odwala matenda ashuga amachepetsa thupi? Kuchepetsa thupi mwadzidzidzi kumakhala kofala kwambiri kwa odwala omwe ali ndi matenda a shuga.
Mwa odwala, pancreatic gland imakana kutulutsa "insulin" yomwe imayendetsa kagayidwe ka glucose mokwanira.Potere, thupi la munthu limayamba kufunafuna njira zina zopangira mphamvu kuti ligwire ntchito zofunika, ndikumazichotsa pamakonkedwe amafuta ndi minofu ya minofu. Malonda a Ads-mob-2-pc-1 Njira zotere zimayambitsa kuchepa kwambiri kwa thupi mwakuchepetsa minofu ndi mafuta.
Mu matenda a shuga amtundu wachiwiri, insulin m'thupi la munthu imapangidwa, koma sazindikira maselo a chiwindi, motero thupi limakumana ndi vuto lakuthwa la glucose ndikuyamba kupeza mphamvu kuchokera kwina.
Kuchepetsa thupi ndi mawonekedwe awa sikuthamanga kwambiri ngati kudwala matenda a shuga 1.
Zoyenera kuchita
Kuchepetsa thupi popanda zifukwa zomveka kumatha kuvulaza thupi. Izi zikachitika, pali njira ziwiri zowonjezera:
- Kusintha kwakanthawi kochepa kudya kalori.
- Gwiritsani ntchito pazakudya zomwe zimathandizira kupanga insulin: mafuta ophatikizika, uchi, adyo, zikumbutso za Brussels, mkaka wa mbuzi.
Zakudya zopatsa mphamvu ziyenera kugawidwa wogawana chakudya chonse. Chakudya cham'mawa komanso chamasana chiyenera kukhala ndi kuchuluka kwa zopatsa mphamvu, chakudya chamadzulo - zosaposa 10% zololeza tsiku lililonse. Zakudya za odwala matenda ashuga ayenera kuganizira kuchuluka kwa michere patsiku:
Zochizira cachexia mwa anthu omwe ali ndi matenda a shuga 1, mankhwala a mahomoni nawonso ndi mankhwala. Ndi kuphatikiza koyenera kwa zochizira, ndizotheka kuyimitsa kuwonda kwakanthawi kochepa.
Zotheka ndi zovuta
Zofunika! Chifukwa cha kuchuluka kwa poizoni m'magazi, mchere wamchere umasokonezedwa, womwe umangosokoneza ziwalo monga chiwindi ndi impso. Zonsezi zimatha kubweretsa zotsatira zosasintha mu mawonekedwe a kulephera kwaimpso, chiwindi, urolithiasis, ndi zina.
Kuphatikiza pa zonsezi, kuchepa kwambiri kwa anthu odwala matenda ashuga, zovuta zotere zimatha kuchitika:
- kukulitsa kwa hypoparathyroidism,
- mawonekedwe a edema,
- kuchepa kwa tsitsi ndi misomali pakusowa kwa mavitamini ndi michere,
- kupezeka kwa hypotension (kuthamanga kwa magazi),
- mavuto amakumbukiro ndi chidwi.
Matenda a zamagetsi amapezekanso nthawi zambiri mwa anthu odwala matenda ashuga komanso kuwonda mwadzidzidzi. Amakhala okwiya, nthawi zina amakhala okwiya komanso amakonda kukhala achisoni.
Chifukwa chachikulu chakuchepa kwambiri kwa matenda ashuga kumayamwa magazi m'thupi ndi kukula kwa ketoacidosis.
- Mukatha kudya, shuga amapezeka m'magazi, koma osalowa m'maselo. Popeza thanzi laubongo limakhala ndi chakudya chamagulu ambiri, chimayankha pazofooka zawo ndipo chimafunikira chakudya chatsopano. Komanso, michere imatsukidwa thupi lisanakhale ndi nthawi yokwanira.
- Izi zimathandizidwa ndi ludzu lalikulu. Iyinso, imawoneka chifukwa chakuti shuga imasowetsa madzi m'thupi, ndiye kuti, zomwe zimakhala m'magazi zimatunga madzi m'maselo.
- Thupi limafunanso kuthana ndi shuga wowonjezera mwakutsuka kudzera mu impso.
Kuphatikizidwa kwa izi kumabweretsa kuchepa kwambiri.
Momwe mungachepetse thupi ndi matenda a shuga a 2 kunyumba?
Komabe, odwala matenda ashuga amtundu 1 amayamba kukula mphamvu pazaka zambiri chifukwa cha moyo wopanda ntchito, kudya moperewera, kayendetsedwe ka insulin, komanso kugwiritsa ntchito mankhwala ena, ndiye funso nlakuti mungachepe bwanji thupi ndi matenda ashuga amtundu woyamba?
Ndiye, taganizirani momwe mungachepetsere kulemera ndi mtundu 2 wa shuga? Zomwe muyenera kudya, ndipo ndizoletsedwa kudya chiyani? Kodi odwala amachepetsa bwanji insulin? Tiyankha mafunso onsewa munkhaniyi.
Malangizo Ochepetsa
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.
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.
Tiyenera kukumbukira kuti chamoyo chathanzi "chimanenepa" kwanthawi yayitali. Chifukwa chake, muyenera kukhala oleza mtima ndikutsatira malangizo onse a dokotala.
Ndi matenda a shuga, zakudya zoyenera, zomwe zimakhazikitsidwa pakumwa zakudya zomanga thupi, zimathandizira kubwezeretsa thupi.
Pankhaniyi, wodwala amayenera kuyang'anira kudya kwake ndikumvetsera mndandanda wazakudya za glycemic, kupatsa chidwi ndi okhawo omwe amakhala otsika.
Ndikofunika kukumbukira kuti kutsika kwa GI, shuga wocheperako amene amapatsa magazi. Kuphatikiza apo, odwala matenda ashuga ayenera kusinthana ndi zakudya zama calorie ambiri ndikudya zakudya zomwe zimapangitsa kupanga insulin, kuphatikizapo adyo, mafuta a linse, Spussels, uchi ndi mkaka wa mbuzi.
Kuti muchepetse, muyenera kudya pafupipafupi komanso pang'ono (kangapo pa 6) tsiku. Zakudya zomanga thupi zimayenera kudyedwa pang'ono komanso moyenera tsiku lonse.
Kuchepetsa thupi kwambiri monga chizindikiro cha matenda ashuga
Kuchepetsa thupi kwambiri m'magazi a shuga ndi chizindikiro cha kukula kwa mawonekedwe ake ophatikizika, omwe amathandizidwa ndi kusintha kwa ziwalo zam'kati, zomwe zimayambitsa kutopa kwathunthu komanso kuwonongeka kwakukulu pakukhala bwino kwa odwala.
Kusintha koteroko mthupi la wodwalayo kumawonetsa kuti sangathenso kuyendetsa njira za metabolic popanda thandizo lakunja, chifukwa chake, akufunika kuwongoleredwa kowonjezereka.
Kuchepetsa thupi kwambiri ndi chifukwa cha mphamvu yanjala yamatenda amthupi, zomwe zimayambitsa zovuta zazikulu za metabolic. At odwala otere pali kusowa kowopsa kwa mapuloteni amwazi, ketoacidosis ndi kuchepa kwa magazi m'thupi. Amamva ludzu pafupipafupi ndi kuchuluka kwa shuga .ads-mob-1
Zosintha zachitsanzo
- kadzutsa woyamba - zipatso ndi kapu ya kefir yamafuta ochepa,
- kadzutsa wachiwiri - phala la barele ndi batala ndi zipatso zouma, tiyi wobiriwira ndi bun bun,
- nkhomaliro - khutu nsomba, mapira ndi mapira a nkhuku, msuzi wopanda shuga,
- tiyi wamadzulo - chidutswa cha mkate wa rye, tiyi,
- chakudya chamadzulo choyamba - kabichi wodyetsedwa ndi bowa, apulo, airan,
- chakudya chachiwiri - kanyumba tchizi casserole, mtedza ndi kefir.
Maphikidwe othandiza
Pokonzekera odwala omwe ali ndi matenda ashuga, tizikumbukira kuti azikhala ndi zakudya zomwe zili ndi magazi ochepa, zomwe sizingakulitse kuchuluka kwa shuga m'magazi.
Mwachitsanzo, ndibwino kusinthanitsa ndi ufa wa tirigu ndi mnzake waku barele, ndi wowuma wa mbatata ndi chimanga. Ngati mukufunadi kuwonjezera batala mu phala, ndiye kuti mutha kuchita, koma popanda kuzunza, ndiye kuti osapitirira 15 g.
Chakudya chothandiza kwambiri ndi ndiwo zamasamba (kabichi, biringanya ndi zukini, tsabola wa belu, komanso phwetekere, anyezi). Zinthu zonsezi zimayenera kudulidwa mu ma cubes ndipo, ndikuyika poto, kutsanulira msuzi wamasamba. Lumitsani zomwe zidapangidwira kwa ola limodzi pa kutentha kosaposa 160 C.
Madokotala pawokha nthawi zambiri amalimbikitsa chakudya monga msuzi wa nyemba kwa odwala matenda ashuga. Ndiosavuta kuphika. Kuti muchite izi, muyenera kutenga nyemba zochepa, zitsamba ndi mbatata zingapo.
Konzani zosakaniza zazikulu (anyezi ndi mbatata) ndikuziwathira ndi malita awiri msuzi wamasamba. Ikani moto, wiritsani kwa mphindi 15 ndipo, kuwonjezera nyemba, wiritsani kwa mphindi 10 zina. Ndiye kuwaza msuzi ndi zitsamba ndikulola kuti ziyime pansi pa chivindikiro.
Momwe mungachepetse kunenepa kwa 2 shuga
Chofunikira chachikulu cha kuchepa kwa thupi mu mtundu wa matenda a shuga 2 ndichakuti kuchepa kwamankhwala a insulin. Zakudya zamafuta ochepa zimathandiza kukwaniritsa cholingacho, chifukwa chakudya chopatsa mphamvu zimachulukitsa shuga, ndipo ndikachulukirapo, insulin yomwe imayang'anira kusungirako michere imathandizira kusintha shuga kukhala mafuta. Zakudya zambiri zothandiza anthu athanzi zimapangidwa kuti zizidya zakudya zomwe kudya kwa magazi m'magazi sikokwanira. Njira yoletsa, ngati kudya shuga, ndi owopsa kwa odwala matenda ashuga, chifukwa chake amafunika kudya mosiyanasiyana.
Chakudya choyambirira
Ngati simukufuna kuti shuga akhale cholepheretsa kukhala ndi thanzi labwino komanso moyo wabwino, muyenera kutsatira malingaliro a madokotala, osayang'anira maphunziro akuthupi, idyani moyenera. Kuyankha funso la momwe mungachepere kulemera kwama shuga a mtundu wachiwiri, malamulo awa alipo:
- Simungathe kupitiliza kudya zakudya zamagulu ochepa zopatsa mphamvu zamagulu onse. Thupi la odwala matenda ashuga limafooka, njira zoteteza zimagwira ntchito moipa. Ngati kuchuluka kwa shuga kugwa kwambiri, mutha kukomoka kapenanso kugwa.
- Muyenera kudya nthawi 5-6 patsiku. Gawani nthawi yomweyo pa izi.
- Simungathe kudumphira chakudya cham'mawa.
- Chakudya chamadzulo chikuyenera kuchitika maola 1-1.5 musanagone.
- Ndikofunika kuyang'anitsitsa boma lomwe limamwa, lomwe limagwiritsidwa ntchito 30-40 ml ya madzi pa 1 makilogalamu a thupi. Tiyi yobiriwira imakhala yabwino kwa zakumwa.
- Muyenera kumwa mavitamini monga chromium, omwe amabwezeretsa kuyanjana kwa maselo ndi insulin, ndi zinc. Iwonjezera chitetezo chokwanira.
Zomwe zimaletsedwa
Matenda amafunika kuti munthu azisamala kwambiri ndi zakudya zawo. Kuchepetsa thupi mtundu wa matenda ashuga 2 kumakhudzanso kupatula zakudya zambiri zomwe timazidziwa kale. Zowopsa zikuphatikiza:
- shuga ndi zakudya zomwe zili ndizambiri kwambiri,
- ufa oyera ndi chilichonse chopangidwa (mkate, pasitala),
- mbatata
- mphesa
- nthochi
- chimanga
- nyama yamafuta
- zakumwa zamafuta
- madzi otsekemera.
Zinthu Zololedwa
Matenda a shuga a Mtundu Wachiwiri si mawu oti munthu azikhala wathanzi. Chithandizo sichimaletsa kudya mitundu yosiyanasiyana ndi chokoma, ndipo musadandaule za momwe mungachepetse thupi ndi matenda ashuga. Kuchepetsa thupi kumalola masamba ndi nyama. Mutha kudya zotsatirazi zomwe zimapatsa mphamvu yamafuta ndipo zimapangitsa kuchepetsa thupi:
- mitundu yonse ya kabichi
- zukini
- mitundu yonse ya anyezi,
- Tomato
- nkhaka
- tsabola wokoma
- nyemba zobiriwira
- maapulo
- biringanya
- chipatso
- mavwende ndi mavwende
- zopangidwa mkaka (kefir, tchizi chamafuta ochepa),
- mazira
- bowa
- nyama ya nkhuku, nkhuku, ng'ombe,
- nsomba zam'nyanja ndi nsomba.
Zakudya zamaphikidwe
Pazakudya zonse zomwe zatulutsidwa pamwambazi, mutha kuphika zakudya zingapo zomwe zimakwaniritsa pempholi, momwe mungachepetsere thupi ndi shuga yachiwiri. Nayi maphikidwe osangalatsa osavuta a menyu anu:
- Omele mu thumba. Zofunika: 3 mazira, 3 tbsp. l mkaka, mchere, thyme.Sakanizani zosakaniza zonse, kumenya, kutsanulira m'chikwama chapadera ndikuviika m'madzi otentha. Kuphika m'thumba kumathandizira kuti musataye mafuta.
- Mackerel mu zojambulazo. Mufunika: mackerel, ndimu, anyezi ½, karoti, mchere, masamba. Nsombayo iyenera kutsukidwa ndikuwazidwa ndi mandimu. Finyani masamba, kenako ndikuyika ndi mackerel, ndikukulunga ndi zojambulazo ndikuyika mu uvuni kwa mphindi 40.
- Ng'ombe mu vin. Mudzafunika: ng'ombe, anyezi, kaloti, adyo, mchere, tsabola, kapu ya vinyo wofiira, tsamba la bay. Choyamba, nyamayo iyenera kumangirizidwa ndi chingwe kuti isawonongeke, kenako pang'onopang'ono, kenaka jekesani 50 magalamu a vinyo ndi syringe. Viyikani chidutswa m'madzi otentha, onjezerani zosakaniza zina, kuphika pamoto wochepa. Pambuyo ola limodzi, kutsanulira kapu ya tiyi ndikupanga ola lina.
Kodi pali ngozi yotani yochepetsa thupi mwadzidzidzi kwa munthu?
Kuchepetsa thupi mwadzidzidzi ndi njira yowopsa yomwe imayambitsa kusokonezeka kwa magwiridwe antchito amthupi, kusakhazikika kwa machitidwe a enzymatic ndi metabolism.
Mwa zoopsa zazikuluzikulu zakuchepetsa thupi, madokotala amasiyanitsa mfundo izi:
- kukanika kwa chiwindi chifukwa chotaya mphamvu pakulamulira maselo amafuta, omwe amayamba kuphulika mwachangu kwambiri kuti akonzenso kuchepa kwa mphamvu,
- kuchepa kwa ziwalo zam'mimba, makamaka, kapamba, chikhodzodzo, m'mimba ndi matumbo,
- kuledzera kwathunthu kwa thupi komwe kumalumikizidwa ndi kuchepa kwa magazi ndi magazi komanso kuchuluka kwa zakudyazi mmenemo - zinthu zosafunikira zama cell a thupi la munthu,
- kuwonongeka kwa minofu minofu, komwe ndi chiwonetsero cha pathological cha njira yochepetsera thupi ndikubwezeretsanso kuchuluka kwa mphamvu zosowa chifukwa cha ma myocyte (maselo am'mimba).
Kodi ndiyenera kulemera kwambiri?
Koma kodi zoterezi ndizoyenera kutero?
Mwachilengedwe, odwala matenda ashuga ayenera kuwongolera kunenepa kwawo. Ndikofunikira kukumbukira kuti kuchepa kwake kumayambitsa matenda a cachexia, impso ndi chiwindi, kuchepa kwa mawonekedwe komanso kupitirira patsogolo kwa matenda ashuga a polyneuropathy.ads-mob-2
Komabe, simuyenera kupeza mapaundi ambiri mwachangu, kuphatikiza zakudya zanu ndi zomanga thupi. Kuchita zotere kumangokulitsa kuchuluka kwa shuga m'magazi ndikuchulukitsa njira ya matenda a shuga, ndikuthandizira kukulira kwazovuta zake.
Kodi odwala matenda ashuga abwezeretsa chiyani?
Ndi matenda a shuga, zakudya zoyenera, zomwe zimakhazikitsidwa pakumwa zakudya zomanga thupi, zimathandizira kubwezeretsa thupi.
Pankhaniyi, wodwala amayenera kuyang'anira kudya kwake ndikumvetsera mndandanda wazakudya za glycemic, kupatsa chidwi ndi okhawo omwe amakhala otsika.
Ndikofunika kukumbukira kuti kutsika kwa GI, shuga wocheperako amene amapatsa magazi. Kuphatikiza apo, odwala matenda ashuga ayenera kusinthana ndi zakudya zama calorie ambiri ndikudya zakudya zomwe zimapangitsa kupanga insulin, kuphatikizapo adyo, mafuta a linse, Spussels, uchi ndi mkaka wa mbuzi.
Mndandanda wazakudya zomwe zimaloledwa kukhala ndi shuga wambiri ndi:
Kuti muchepetse, muyenera kudya pafupipafupi komanso pang'ono (kangapo pa 6) tsiku. Zakudya zomanga thupi zimayenera kudyedwa pang'ono komanso moyenera tsiku lonse.
Kodi ndichifukwa chiyani zimakhala zovuta kwambiri kuti muchepetse kunenepa kwa matenda ashuga?
Matenda a shuga ndi matenda omwe thupi limasokoneza kupanga ndi / kapena kugwiritsa ntchito mahomoni ena otchedwa insulin. Kuperewera kwa insulini kungayambike chifukwa cha majini (monga kubereka), monga mtundu 1 wa shuga, kapena kupezeka, zomwe zimachitika kawirikawiri matenda a shuga a 2. M'magawo onse awiri, odwala matenda a shuga nthawi zambiri amakumana ndi mavuto ochepetsa thupi chifukwa kuphwanya kayendedwe ka thupi ka shuga ndi magazi.
Chifukwa chiyani odwala matenda ashuga ayamba kuyenda bwino?
Kuti mumvetsetse zovuta zomwe zimapangitsa kuti muchepetse kunenepa kwambiri kwa odwala omwe ali ndi matenda ashuga, ndikofunikira kumvetsetsa ubale pakati pa shuga, magazi ndi shuga wokha.
Mwazi wa shuga wamagazi umadalira zakudya zomwe zimakhala ndi zakudya. Mwazi wamagazi ukuwonjezeka molingana ndi kuchuluka kwa chakudya chodyedwa: chakudya chamafuta kwambiri, chimasweka mofulumira m'matumbo, mofulumira shuga amalowa m'magazi.
Poyankha kuchuluka kwa shuga m'magazi, thupi limasainira kapamba kuti apange insulin inayake ndikuyitulutsa m'magazi. Pamene insulini ilowa m'magazi, imamanga shuga ndikupereka maselo a thupi kutengera zosowa: pakulimbitsa thupi, shuga imaperekedwa m'maselo a minyewa ndi ubongo, kuwapatsa mphamvu, ngati thupi silikufunika mphamvu yowonjezera, shuga imaperekedwa m'maselo a mafuta (depot yamafuta), pomwe amaikhazikitsa. Chifukwa chake, ngati thupi lifunika mphamvu, shuga lidzadulidwa ndi maselo ndikugwiritsa ntchito, apo ayi shuga adzawonjezera kuchuluka kwa thupi.
Vuto la kuchepa thupi mwa anthu odwala matenda ashuga limachitika chifukwa chakuti kuchuluka kwa shuga m'magazi kumawonjezeka pafupipafupi, chifukwa thupi silingayendetse shuga moperewera chifukwa chosowa insulini. Chifukwa chake, kutsika kwa shuga kuchokera m'magazi kupita ku depot ya thupi sikumayima, zomwe zimapangitsa kuwonjezeka kwa thupi.
Momwe mungasinthire kulemera kwa matenda ashuga
Pamayikidwe azinthu zilizonse akuyenera kuwonetsa kuchuluka kwa chakudya chambiri. Tiyenera kukumbukira kuti zakudya zamagulu osiyanasiyana zimagwira mosiyanasiyana pakukumba, komanso zimakhudza kapamba m'njira zosiyanasiyana. Cholinga chanu chomwe chimakupatsani mwayi kuti mudziwe momwe zakudya zamagulu ena zimatulutsira shuga wamagazi ndi kuchuluka kwa glycemic index. Kufunika kwa mndandandandawu kumatipatsa mwayi woweruza momwe mankhwalawa amadzukitsira shuga.
Zopangidwa ndi index yotsika zimaphatikizapo zinthu zomwe glycemic index yake siziposa 55, sing'anga - 56-69, yayitali - kupitilira 70. Mndandanda wamatenda a glucose ndi 100%, uchi - 85%, mbatata -85%, chokoleti cha mkaka - 70% . Kwa odwala omwe ayenera kupewa kuwononga chakudya cham'mimba mosavuta, sitipangira chidwi chodya zakudya zokhala ndi index pamwamba 70%.
Cholinga choyambirira cha odwala matenda ashuga ndikuwongolera shuga. Popeza matupi awo sangathe "kukonzekera" mokwanira kuchuluka kwa chakudya chamafuta ndikuwatsogolera kumalo opaka mafuta kapena kumabweretsa kukwera kosafunikira kwa shuga m'magazi ndi zizindikiritso zomwezo, tikulimbikitsidwa kuti odwala matenda ashuga amangodziletsa okha omwe amachepetsa shuga m'magazi magazi: zipatso, masamba, mbewu monga chimanga.
Kunenepa kwambiri ndi matenda ashuga
Malinga ndi WHO, anthu opitilira 200 miliyoni ali ndi matenda a shuga padziko lapansi. Izi ndi ziwonetsero zokha zofunikira zomwe siziganizira odwala omwe safuna thandizo kuchipatala. Oposa 80% odwala matenda ashuga nawonso onenepa kwambiri. Mutu wa kunenepa kwambiri ku matenda a shuga waphunziridwa kalekale. Momwe mungathane ndi vutoli, mazana a zolemba, zolembedwa zasayansi ndi malingaliro adalembedwa. Komabe, machitidwe, anthu sangathe kuchotsa mapaundi owonjezera, ndipo moyo wawo umasinthidwa ndikupitiliza kufunafuna chiyanjano ndi thanzi.
Kodi matenda ashuga ndi chiani?
Matenda a shuga ndi amitundu iwiri. Khalidwe la kunenepa kwambiri limatengera mtundu wa matenda. Mitundu ya Matenda:
- Mtundu 1. Matenda amtunduwu amadziwika ndi kuperewera pakupanga insulin yake mthupi la wodwalayo. Mwa munthu wathanzi, insulini imapangidwa m'mapamba ndi gawo la maselo a beta. Ngati, pazifukwa zosiyanasiyana, maselo awa amafa en masse, kupanga kwa insulin kumachepa, komwe kumapangitsa kuchuluka kwa shuga m'magazi.Nthawi zambiri, odwala oterewa amapatsidwa mankhwala a insulin.
- Mtundu 2. Insulin imapangidwa ndi thupi, koma maselo a minyewa samaliranso. Zotsatira zake, mahomoni samakwaniritsa ntchito yake yayikulu, yomwe imatsogolera kuwonjezeka kwa shuga m'magazi. Ndi mitundu yapamwamba yamatendawa, insulini imatha kusiya kupanga kenako kupangika kwa mankhwala a insulin, ngakhale poyamba kunalibe kufunika kwa mahomoni opanga.
Mtundu woyamba wa kunenepa kwambiri
Ndi mtundu uliwonse wa matenda a shuga, kulephera kwakukulu kwa mahomoni kumachitika m'thupi la wodwalayo. Mtundu woyamba umatengedwa ngati matenda oopsa kwambiri, koma siwachibadwa chifukwa cholemetsa kwambiri. Pokhala ndi zakudya zoyenera, kuchita masewera olimbitsa thupi mokwanira komanso maziko olimbitsa thupi ndi mtundu uwu wa matenda ashuga, mutha kukhala moyo wonse, kuchepetsa mlingo wa mankhwalawa mpaka osiyiratu insulin. Werengani zambiri za izi mgawoli. Chithandizo cha matenda ashuga. Zakudya zotsika mtengo zamatenda a shuga amtundu 1 sizikhala ndi cholinga chochepetsa thupi, koma kuchepetsa magazi.
Type 2 matenda onenepa kwambiri
Matenda amtunduwu amapezeka pafupifupi 80% ya odwala omwe ali ndi matendawa. Ndi matenda amtunduwu, pali kuwonjezeka kwamphamvu kwa thupi mpaka kunenepa kwambiri. Insulin yomweyo ikulakwa pakuthamangitsidwa kwamafuta, omwe samayang'anira kuperekera kwa glucose m'maselo, komanso kuphatikiza kwamafuta omwe amapezeka kuti pali vuto losakwanira. Insulin imalepheretsanso kuchepa kwa mafuta awa, pomwe imasungabe kupezeka kwake mthupi. Chifukwa chake, kuchuluka kwa insulini kumapangitsa kuti kunenepa kwambiri.
Momwe mungachepetse kulemera kwa shuga
Ndiye, kodi kulimbana ndi kunenepa kwambiri mu shuga kumayambira pati? Chida chachikulu mu nkhondo iyi yolimbana ndi mafuta chiyenera kukhala chopatsa thanzi. Odwala ambiri amakhulupirira molakwika kuti zopatsa mphamvu zochepa, zimakhala bwino. Komabe, zenizeni, zonse ndizolakwika. Zopatsa mphamvu mu zakudya za anthu ziyenera kukhala zochuluka zokwanira. Mdani wamkulu siopatsa mphamvu, awa ndi chakudya chamagulu! Ndi omwe amapangitsa kuti alumire kwambiri mu insulin m'magazi, omwe amayamba kupanga mafuta m'mimba, m'chiuno ndi matako. Kwa odwala omwe samamvetsetsa malamulo osavuta awa a zakudya, moyo umawoneka ngati:
Njala - chakudya chochuluka - kulumpha mu shuga - kulumpha mu insulin - kutembenuka kwa glucose kukhala mafuta m'thupi - dontho la shuga - kumverera kwanjala.
Chifukwa chake, kuti athane ndi gawo loyipirali, ndikofunikira kupewa spikes mwadzidzidzi m'magazi, motero insulin, yomwe imasintha shuga kukhala mafuta. Izi zimatheka pokhapokha ngati mumadya pafupipafupi, mofatsa, popanda carb, momwe thupi limamverera lodzaza, ndipo shuga sadzakula msanga. Maziko a chakudya ndi kuchepa kwa zakudya za tsiku ndi tsiku zomwe zimakhala ndi chakudya chambiri. Zofunikira muzipangidwe zamalonda ndizophatikiza zotsatirazi:
- Mapuloteni - 25%.
- Mafuta - 35%.
- Zakudya zopatsa mphamvu zosaposa 40%.
Kuti mukwaniritse izi, mumangofunika kupatula mbewu zoyera, zakudya zophika, maswiti, mbatata, chakudya mwachangu ndi zakumwa zoziziritsa kukhosi kuchokera m'zakudya. Kuphatikiza apo, kuchotsedwa kwa njala yam'mimba ndikofunikira kugwiritsa ntchito zakudya zamakono zamagulu.
Zabodza zokhudza kunenepa kwambiri mu shuga
Anthu ambiri amakhulupirira kuti matenda ashuga komanso onenepa kwambiri, osagwirizana nawo ndikulimbana ndi ma kilogalamu a matendawa ndikutaya nthawi. Odwala omwe ali ndi matenda a shuga amatenga mankhwala ambiri, amafunafuna njira zina zochiritsira, koma samafuna kudzikana mbale zawo zomwe amakonda. Samvetsetsa zomwe zimachitika kawirikawiri, zakudya zama carb ochepa - Ili ndi gawo loyamba komanso losasinthika lobwezeretsa.
Chifukwa chake mwachidule.Kuphwanya gawo loipa lokhalokha la kudya kwambiri komanso kuwonjezereka insulin kumatha kupeza zotsatira zabwino zamankhwala, apo ayi thupi lidzapitilirabe kuvutika, matenda obwera amakumana ndipo simudzatha kukhala moyo wodziwika bwino wokhala ndi zochitika zosangalatsa.
Kumbukirani, chinsinsi cha thanzi m'matenda a shuga si mapiritsi, koma zakudya zoyenera, kuchita mokwanira masewera olimbitsa thupi ndikukana zizolowezi - chakudya, madzi ndi mutu.
Ngati muli ndi matenda ashuga ndipo mukuyesayesa kuthetsa vuto la kunenepa kwambiri - mudzazeni fomu ili m'munsiyi - ndikugawana nanu zomwe mungachite kuti muthetse vutoli, ndikuuzeni momwe muyenera kudya, komanso momwe mungapangire kuti thupi lanu lisamavutikenso.
Kuchepetsa thupi komanso kuwongolera matenda ashuga: chiyani, motani, ndi zochuluka motani
Zinthu zitatuzi zimatengedwa ngati tikiti yaulere ya dziko la matenda ashuga: kunenepa kwambiri, kukhala ndi moyo wokhala chete komanso kudya kwambiri zakudya zomwe zili ndi zakudya zamagulu ambiri. Kusinthanitsa mawuwa mwanjira yanu, mutha kupeza tikiti yobwereza yomwe imakupatsani mwayi wokhala m'dziko la Zaumoyo: kunenepa bwino, kuchita masewera olimbitsa thupi komanso kudya mokwanira kumatsimikizira thanzi labwino. Komabe, popeza kuwawa kwamilandu kwalandiridwa kale ndipo lingaliro lowopsa lasainidwa, aliyense wodwala matenda ashuga ayenera kudziwa momwe angakwaniritsire kulemera kwake, kuti popanda zovuta azikhala pafupi ndi matenda a shuga, ngakhale atakhala kuti ali ndi gawo lotani.
Chomwe chimabwera choyamba: kunenepa kwambiri kapena matenda ashuga?
Kulemera kwabwinobwino mkati moyenera nthawi zonse ndikofunikira, ndipo sizitengera kuti munthu ali ndi matenda ashuga kapena athanzi. Kukhala ndi kunenepa kwambiri kumabweretsa ngozi zambiri. Mwa odwala awa, kugunda kwa mtima pafupipafupi, kuthamanga kwa magazi, matenda okhudzana ndi mtima komanso, makamaka matenda a shuga amadziwika. Powerengera, madotolo adazindikira kuti iwo omwe amayamba kulemera kwawo nthawi zambiri amakhala odwala matenda ashuga, amaiwala za kuwongolera. Nthawi zambiri, kuyamba koyamba kwa dokotala mwa odwala sikuti chifukwa cha kuwonda, pomwe kukula kwa matenda ashuga kumatha kuyimitsidwa, koma chifukwa cha kuchepa kwambiri kwa voliyumu ya thupi popanda chifukwa chomveka. Tiyeni tiyesetse kumvetsetsa njira zovuta ndi ziganizo zopezeka.
Ziwerengero zokhumudwitsa zinanenanso zomvetsa chisoni. Pafupifupi theka la anthu opitirira zaka 50 ndi onenepa kwambiri. Ndipo vutoli limalephera kumveka mmaiko otukuka. Pamodzi ndi kuchuluka kwa kunenepa kwambiri, chiwerengero cha anthu odwala matenda a shuga chikuwonjezerekanso. Pre-matenda ashuga okonzeka kukhala nthawi yomwe simungathe kufikira kulembetsa, ngati mumalabadira kulemera kwakanthawi. Chifukwa chake, ngati nzeru zamaganizidwe amunthu zimatsimikizirabe chomwe chinali: nkhuku kapena dzira lomwe limatha kutuluka, ndiye kuti kunenepa nthawi zonse kumapitilira matenda ashuga.
Insulin kukana ndi kunenepa kwambiri
Matenda a 2 a shuga amayanjana kwambiri ndi insulin. Insulin ndiye mahomoni apadera omwe amapatsa glucose zomwe maselo a thupi amapanga. Munthu akakhala wonenepa kwambiri, maselo ake sangagwidwe ndi insulin, yomwe imamasulidwa ku kapamba. Umboni wambiri wapangidwa kuti maselo amafuta satembenuza glucose kukhala mphamvu, mosiyana ndi maselo amisempha. Mafuta ochulukirapo omwe munthu amatenga m'moyo wake, zimakhala zovuta kwambiri shuga. Ndi mawonekedwe okongola, insulini imayamba kugwira ntchito kwambiri, ndipo shuga amakhalanso m'magazi, m'malo mopita komwe akufunika.
Kuchepetsa thupi ndiye nkhawa yayikulu ya munthu wodwala matenda ashuga
Monga taonera kumayambiriro kwa nkhani ija, nthawi zambiri munthu akamadwala matenda a shuga amataya thupi lawo likayamba kukula. Izi sizitchedwa kuti mfundo yabwino. Matenda amadzaza chifukwa chakusowa kwamadzi, komwe kumadziwika chifukwa cha kukodza pafupipafupi.
Kuchepetsa thupi kwambiri m'matenda a shuga ndizowopsa kwa thupi.Izi zikutanthauza kuti palibe zakudya zokhwima zomwe ziyenera kugwiritsidwa ntchito kuti muchepetse thupi nthawi yomweyo. Koma mukufunikabe kuganizira zochepetsa thupi, chifukwa chake muyenera kuchita izi moyenera komanso moyang'aniridwa ndi dokotala. Siri konse momwe munthu wodwala matenda ashuga amalemera. Pali malo ena omwe amakhala owopsa pamafuta amafuta. Choyamba, izi ndi chiuno. Ngati chithunzi cha munthu wodwala matendawa chikuwoneka ngati apulo lozungulira, ndi nthawi yochotsa mafuta. Ndi odwala awa omwe amayambitsa nkhawa kwambiri kuposa omwe ali ndi chiuno chokwanira. Mukamasinthasintha kuwonda wamba kapena kuchepa kowoneka m'chiuno, mutha kuganiza kuti shuga imachepetsa kupitilira kwake ndipo sadzakhala ndi vuto lodzaza.
Kulemera kwa shuga: Thupi la Mass Mass
Sipangakhale kulemera koyenera komwe anthu onse angagwirire. Komabe, pali malamulo ena omwe amakupatsani mwayi wowunika mozama kulemera kwanu ndikuwazindikira kuti ndi abwinobwino kapena osagwirizana ndi ena, chifukwa kunenepa kwambiri kumadutsana kale. Pali lingaliro - thupi misa index (BMI). Mlozera womwewo umawerengeredwa za njira yosavuta:
BMI = Kulemera Kwaumunthu: Msinkhu Wazitali
Zikuwoneka kuti zonse ndizophweka. Tiyeni tiyesere kuchita. Mwachitsanzo, kukula kwa matenda ashuga ndi masentimita 165, ndipo kulemera kwake wafika kale 75 kg. Kuyika zofunikira zonse m'mawonekedwe athu, timalandira:
BMI = 75 kg: (1.65 m × 1.65 m) = 28 (mtengo wofanana)
Tsopano zikupezeka kuti mudziwe chinsinsi cha kuwerengera:
BMI ili pamtunda wa 18 - 25 - kulemera ndikubwinobwino
BMI yochepera pa 16 - zakudya zopatsa thanzi zimayenera kukonzedwa, thupi lilibe mphamvu zopatsa mphamvu zambiri.
BMI kuyambira 25 mpaka 30 - pali kulemera kwambiri
BMI yoposa 30 ndi kunenepa kwambiri!
Uwu ndi umboni waposachedwa, pamene chiwerengero choposa 30 chikuwonekera, kuwerengera chofunikira kwambiri chosinthira zakudya ndikuwonjezera zolimbitsa thupi m'moyo wa odwala matenda ashuga.
Tsopano bweretsani kuwerengera komwe kwatchulidwa pamwambapa. Woyeserera woyeserera anali ndi BMI ya 28. Uwu ndi chenjezo: pali onenepa kwambiri, koma osanenepetsa kunenepa kwambiri. Yakwana nthawi yoganiza ndikukhalanso ndi thanzi lanu posintha mchiuno.
Kuwongolera Kunenepa Kwambiri shuga
Kuti muchepetse kunenepa kwambiri mu matenda ashuga, muyenera kudziwa kuchuluka kwa mphamvu zomwe thupi limafunikira kuti mumalize ntchitoyo. Si chinsinsi kuti munthu amatenga mphamvu zawo zonse pachakudya, chifukwa chake muyenera kuwerengera zopatsa mphamvu (QCD - kuchuluka kwa zopatsa mphamvu patsiku). Ndi angati a iwo obisika mumtundu uliwonse omwe amapezeka pa intaneti kapena phukusi, koma tsopano timapereka chilinganizo:
KKD = kulemera × 30 (zolimbitsa thupi zazing'ono)
KKD = kulemera kwa munthu × 35 (mukamagwira ntchito zolimbitsa thupi)
Kutengera ndi malingaliro awa, aliyense amene ali ndi matenda ashuga ayenera kuphunzira kuwunika kwawo, komanso momwe angapangire zakudya ndikuwonjezera zolimbitsa thupi zokhala ndi mchere, musaphonye mu nkhani yotsatira. Pakadali pano, lingalirani ndikugawana malingaliro anu oyamba azotsatira.