Zochita zolimbitsa thupi 2 matenda a shuga: Zizindikiro, ma contraindication

Kodi chimachitika ndi chiani mthupi tikamayenda?

Kuyenda kulikonse kumachitika chifukwa cha ntchito ya minofu. Panthawi yogwira minofu, glucose amakhala ngati mphamvu. Mulingo winawake, shuga amayamba kusungidwa ndi maselo amisempha mu mawonekedwe a glycogen ndipo amawadyera ngati pakufunika. Magulu a glycogen m'maselo atatha, shuga m'magazi amayamba kutuluka. Pansi pa zochitika zogwira ntchito, maselo amakhudzidwa ndi shuga, ndipo insulini yochepa imafunikira kuti glucose alowemo. Mwa munthu wathanzi, kapamba pamilandu iyi amatulutsa insulin yocheperako, yomwe imalepheretsa kuchepa kwakukulu kwa kuchuluka kwa shuga m'magazi. Wodwala yemwe ali ndi matenda a shuga omwe akupanga mankhwala a insulin kapena mankhwala ochepetsa shuga. Tiyenera kukumbukira kuti ngati wodwalayo anali ndi hyperglycemia asanachitike masewera olimbitsa thupi, ndiye kuti kuyeza kuchepa kwa shuga m'magazi kukhala kwazonse kungachitike. Ngati kutsitsimuka kwa glucose kunali kwabwinobwino musanayambe kuchita masewera olimbitsa thupi, ndiye pambuyo pake - mkhalidwe wa hypoglycemic ungaoneke. Onetsetsani kuti mukumane ndi dokotala za zomwe mungachite kuti mugwiritse ntchito zolimbitsa thupi komanso zomwe zingavulaze, mufunseni ngati masewera omwe asankhidwa amafunika kukonza zakudya kapena chithandizo.

Ndi masewera ati omwe amalimbikitsidwa kwa odwala omwe ali ndi matenda ashuga?

Kwa odwala matenda ashuga, kuchita masewera olimbitsa thupi moyenera komanso kopepuka kumawonetsedwa, mwachitsanzo, kukwera maulendo a masewera, masewera a mpira, badminton, masewera olimbitsa thupi, kusambira, kuyendetsa njinga, kuyendetsa madzi oundana ndi kusewera, etc.

Masewera olimbitsa thupi omwe angakhale oopsa pamoyo wa hypoglycemia samalimbikitsidwa (mwachitsanzo, kukwera maulendo ena, kukwera mapiri, kukwera m'madzi mwamphamvu kwambiri).

Monga lamulo, odwala matenda ashuga amalimbikitsidwa kusewera masewera ndi achibale kapena abwenzi omwe amadziwa mawonekedwe a shuga ndikudziwa zoyenera kuchita ngati wodwalayo ali ndi vuto la hypoglycemia.

Khalani odziletsa

Kuchita zolimbitsa thupi kwambiri komanso zachilendo kumafuna kudziwa kuchuluka kwa shuga m'magazi musanayambe ndi pambuyo pawo. Hyperglycemia, kwamikodzo glucose excretion (glucosuria), komanso makamaka mawonekedwe a acetone mu mkodzo (acetonuria) panthawi kapena pambuyo pa masewera olimbitsa thupi akusonyeza kuchepa kwa insulin. Tiyenera kudziwa kuti nthawi yayitali katundu, nthawi zambiri imayamba kuchitika pambuyo pake patangotha ​​maola ochepa mutangolitsa katundu.

Kukonza mankhwalawa

Odwala matenda a shuga amayankha mosiyanasiyana pamasewera. Chifukwa chake, wodwala aliyense, limodzi ndi dokotala wopezekapo, ayenera kukulitsa luso la kudziletsa ndi kukonza mankhwalawa pazochitika zolimbitsa thupi. Mukasewera masewera, mlingo wa insulin womwe umayendetsedwa uyenera kusinthidwa mosamala kuti matenda a hypoglycemic asakhale ndi matenda ashuga a ketoacidosis.

Katundu wambiri wowerengeka, monga lamulo, amafunikira zakudya zowonjezera zamkati mwachangu, pomwe kulimbitsa kwambiri nthawi yayitali kumafunikira Mlingo wambiri wa insulin komanso kuchuluka kwa zakudya zosakanikirana.

Ubwino wolimbitsa thupi

Kuchita masewera olimbitsa thupi a matenda ashuga a 2 ndikofunikira chifukwa cha kutsimikiza ndi matendawa. Ndi iyo, kupanga insulin kumachitika nthawi zambiri. Komabe, zolandilira zomwe zimalumikiza ndikubweretsa glucose m'maselo zimataya chidwi. Zotsatira zake, kuchuluka kwakukulu kwa glucose, komwe sikulowa m'maselo, ndi insulin, yomwe sinali yomangidwa ndi ma receptor, imadziunjikira m'magazi.

Zotsatira za insulin zomwe zimafunsidwa zimapezeka mumtundu wamitundu yambiri, koma koposa zonse mu minofu ya adipose. Ndi kukula kwamtunduwu, zimawonongeka ndikuwonongeka, osagwira ntchito. Chifukwa chake, ndikofunikira kwambiri kuti musalole kukula kwake.

Kuphatikiza apo, kusowa kwa maselo am'magazi komanso kuchuluka kwa insulin m'magazi kumapangitsa kuti wodwalayo azikhala ndi njala pafupifupi. Ngakhale mu nyengo zodya zakudya zama calorie ochepa, mwina, munenepa, muzipeza mafuta. Chifukwa masewera olimbitsa thupi ngakhale kuyenda kosavuta ndi matenda a shuga kungapulumutse ku kunenepa kwambiri.

Mu mtundu woyamba wa matenda, zolimbitsa thupi sizothandiza. Poterepa, insulin imaleka kupangidwa mthupi chifukwa chakuwonongeka kwa maselo a beta ndi dongosolo la autoimmune. Kulemera sikuwonedwa, nthawi zambiri, m'malo mwake, kutayika. Komabe, kuchita masewera olimbitsa thupi nthawi zonse kumathandizira kusintha kwa glucose kukhala mphamvu ndiku kulepheretsa kudziunjikira mthupi ndikuwonjezera zomwe zili m'magazi. Ngakhale kuphwanya zakudya pang'ono, kuchita masewera olimbitsa thupi kumatha kuchepetsa zotsatirapo zake.

Kuphatikiza pakukhudza mwachindunji miyezo ya shuga m'magazi, zochitika zolimbitsa thupi za 1 ndi mtundu wa 2 wodwala zimakhudza thupi lonse komanso zimachepetsa zovuta ndi zovuta:

1. Magazi amayenda bwino, mtsempha wamagazi amabwera,
2. Kuchulukitsa kwa angiopathy kumachepa,
3. Kuwonongeka kwa dongosolo lamanjenje kumachepa, neuropathy imayamba pang'onopang'ono.

Kuchita masewera olimbitsa thupi a shuga ndikofunikira kwambiri komanso kofunikira, koma simungathe kuzichita mosalamulirika. Ngakhale pali zochitika zingapo zolimbitsa thupi, amapangidwira anthu omwe ali ndi matenda oyambira kapena apakatikati, omwe samakulitsidwa ndi matenda omwe amakhala nawo. Mu ukalamba, pamaso pa matenda ophatikizika, shuga wambiri kapena zovuta zazikulu, ndikofunikira kukaonana ndi endocrinologist yemwe amatha kupanga pulogalamu yokhayokha. Zomwezo zitha kuchitika ndi dokotala wa masewera olimbitsa thupi.

Kwezani kwambiri

Mosasamala mtundu wamatenda a matendawa, ndikofunikira kuti muthe kulongedza katunduyo moyenera, muziwachita bwino ndikuwunika momwe thupi lanu liliri. Ngati chimodzi mwazinthu izi sizikwaniritsidwa, masewera olimbitsa thupi angayambitse kuvulaza thupi. Ochenjera makamaka ayenera kukhala okalamba ndi omwe ali ndi matenda ambiri amodzimodzi.

Mukamachita masewera olimbitsa thupi omwe dokotala amatipatsa, njira yosavuta yochepetsera vutoli ndikugwiritsa ntchito kuwunika kwa mtima. Zimathandizira kudziwa kuchuluka kwa katundu ndikuchepetsa kapena kukulitsa pakufunika kofunikira kwambiri.

Maphunziro akuthupi a matenda ashuga

Ndikuganiza kuti aliyense amadziwa magawo akuluakulu a thanzi lanu, zomwe zimabweretsa maphunziro mwatsatanetsatane:

• kuchuluka kwamphamvu
• njira yothandiza kwambiri yodziyang'anira thupi lonse
• kutsika kwa magazi
• kukula mphamvu

Kuphatikiza apo, maphunziro olimbitsa thupi oyenera amatha kubweretsa zina zowonjezera ku thupi la odwala matenda ashuga. Mwachitsanzo, zitha kudziwika kuti thupi limatha kukhala lodziwika bwino ndi insulin.

Zotsatira zake, gawo laling'ono la insulin lidzafunika kuti munthu wodwala matenda ashuga achepetse shuga. Kuphatikiza apo, kuchita masewera olimbitsa thupi machitidwe olimbitsa thupi kungachepetse mwayi wa matenda a mtima, kuchepetsa kugona.

Mtsutso wina, wofunikira, ungaonedwe kukhala cholimbikitsa chachikulu cha kupsinjika, kukhazikika mtima.

Kuchita masewera olimbitsa thupi pafupipafupi kumatha kukhala ndi zotsatira zopindulitsa kwambiri pakumwa. Musaiwale zamomwe munthu amathandizira kuti achepetse shuga m'magazi a odwala matenda ashuga. Musanayambe kuchita masewera olimbitsa thupi, kwa wodwala, chofunikiratu ndi kulumikizana ndi adokotala.

Matenda A shuga ndi Masewera

Matenda ofunikira kwambiri m'matenda a shuga ndi ntchito yamagalimoto yoyeserera mobwerezabwereza, pomwe minofu yamanja ndi miyendo imalandira katundu wofanana. Mndandanda wa masewera omwe amakwaniritsa izi ndi monga: kuyenda, kusambira, kuthamanga mwachangu (kuthamanga), kupalasa njinga, kupalasa.

Kufunika kwakukulu kumapezeka mwa machitidwe a makalasi ngati amenewa. Kupuma masiku ochepa chabe kumachepetsa kwambiri zotsatira zolimbitsa thupi.

Yesetsani kuyenda wamba poyamba - masewera olimbitsa thupi kwambiri kwa odwala matenda ashuga, chifukwa amakupindulitsani, "gwiritsani ntchito" ndi 100% kubwerera, gawo lililonse la insulin lomwe thupi lapanga lokha kapena lolandira kuchokera kunja. Ubwino wakuyenda koyendetsedwa ndizosatsutsika: kukhala bwino, kuchepa thupi, kuwonjezera pamenepo, palibe chifukwa chogula zida zapadera.

Mndandanda wazinthu zomwe zitha kuchitidwa ndizochulukirapo: kuyenda, kuyeretsa nyumba, kukonza chiwembu, kuvina, kukwera masitepe tsiku lililonse.

Njira zomwe zatchulidwa, komanso zina zambiri, ndizovomerezeka kuti zitheke kuchita masewera olimbitsa thupi.

Simuyenera kuthamangira ku nkhaniyi, kotero, koposa, komanso chofunikira kwambiri, kuwonjezeka pang'onopang'ono pamlingo wochita masewera olimbitsa thupi ndizabwino kwambiri. Mwachitsanzo, kuyenda ndi galu, patatha masiku angapo, kuwonjezera njira, kukulitsa malo oyenda.

Ziribe kanthu ntchito zolimbitsa thupi ngati mukufuna kukhalabe ndi kamvekedwe ka thupi lanu, muyenera kuwunika kuchuluka kwa shuga. Komanso, izi ziyenera kukwaniritsidwa, onse isanayambike makalasi, ndi kumaliza. Ngati zolimbitsa thupi zimatenga nthawi yayitali, ndiye kuti miyeso ndi yovomerezeka ngakhale m'makalasi. Ndikuganiza kuti sichingakhale cholakwika kukumbukira kuti manambala aliwonse omwe ali ndi mulingo wolandilidwa ndi thupi amafunika kukambirana ndi adokotala asanachitike.

Zotsatira zolimbitsa thupi pamagulu a shuga

Ndi zochitika zilizonse zolimbitsa thupi, njira zingapo zathupi zathupi zimachitikira mthupi. Tiyeni tisunthire pang'ono poti tisangalatse. Kulowa m'magazi, kuchokera kuzakudya zomwe timadya, shuga amalowa minofu yogwira ntchito. Komanso, ngati kuchuluka kwa insulini ndikokwanira, ndiye kuti imafalikira kumaselo, komwe "kumatha". Mwazi wamwazi umachepa, chiwindi sichingayankhe kanthu pamenepa. Malo ogulitsira a glycogen mmenemo amayamba kuthyoka glucose, mwakutero amapereka minofu yazakudya zofunika, phindu la shuga m'magazi limawonjezeka.

Zoyambira zaumoyo wa anthu zikagonjetsedwa, njira zomwe zafotokozedwazo ndizomwe zimasinthasintha. Komabe, thupi la odwala matenda ashuga amatha kupereka “zodabwitsa” zosasangalatsa. Mavuto akulu a shuga amatha. matenda ashuga:

-kuwonjezeka msanga kwamisempha

- Kuchepetsa kwambiri shuga

- kapangidwe ka matupi a ketone m'magazi

Pali zinthu zambiri zomwe zimayambitsa zovuta izi mu shuga: koyamba (koyamba glucose), kupezeka kwa insulin, nthawi yayitali, ndipo koposa zonse, kuchuluka kwa masewera olimbitsa thupi.

Hypoglycemia Katetezedwe

Ndikofunika kudziwa kuti kuchita masewera olimbitsa thupi kumatha kubweretsa zovuta zazikulu ndi njira yopanda nzeru pankhaniyi, kugwiritsa ntchito kwambiri, komanso kunyalanyaza njira yophera.

Asanayambe kuchita masewera olimbitsa thupi pafupipafupi, munthu wodwala matenda ashuga ayenera kudziwa ndendende masewera olimbitsa thupi omwe ali olondola thupi lake.

Zachidziwikire, ndi endocrinologist wokhayo yemwe angapereke lingaliro labwino. Kuphatikiza apo, ndikofunikira kuchita mwatsatanetsatane wa kuchuluka kwa glucose musanayambe kuchita masewera olimbitsa thupi.

Mungafunike kuwonjezeka kwa chakudya chamafuta. Pomwe muyenera kuchita izi: musanayike katundu kapena mutatsitsa, mphindi iyi kudzatengera zomwe thupi lanu limachita.

Chiwerengero cha majakisoni owonjezera a insulin ayenera kutengera mtundu wa masewera olimbitsa thupi omwe achita. Musanapange chilichonse, ndikulimbikitsidwa kuti mukafunse kwa dokotala, muyenera kumvetsetsa zomwe zolimbitsa thupi zomwe zingakhale zothandiza kwa inu, monga wodwala matenda ashuga.

Nawa malingaliro ena apamwamba omwe odwala matenda ashuga ayenera kuyang'anitsitsa pamene akuchita masewera olimbitsa thupi.

1. Kufunika kwakukulu ndizizindikiro monga kuphatikiza, kuchita masewera olimbitsa thupi. Mkati mwa sabata maphunziro osachepera atatu ayenera kuchitidwa, chilichonse chimakhala ndi nthawi yochepera theka la ola.

2. Kuchulukitsa kwa katundu pakanthawi kochepa kumakhudzanso kumwa kwa zowonjezera zamoto, kuphatikiza apo, zotengeka mwachangu. Kuchepetsa mphamvu kwakanthawi kwakanthawi, kumafuna Mlingo wa insulin watsopano, wowonjezera ndikuwonjezera kwakukulu pakumwa zakudya zofunikira za michere.

3. Pamene nthawi yolimbitsa thupi ikuchulukirachulukira, mwayi wokhala ndi mapangidwe ochedwa a hypoglycemia ukuwonjezeka. Mwanjira ina insulin amayamba kuchita zinthu kwambiri, patangopita maola ochepa atachita masewera olimbitsa thupi. Gawo la ziwopsezo limawonjezeka mofulumira kwambiri, bola kuti thupi lilandire katundu mu mpweya watsopano.

4. Ngati katundu akuyembekezeka kukhala wautali, ndiye kuti angathe kuchepetsa kuchuluka kwa insulini, kuchuluka kwake komwe kumayenera kubwera pambuyo pa maola 2-3 mutatsiriza katundu.

Yesani kuphunzira momwe mungamvere thupi lanu. Ululu panthawi yophunzitsira ndi chizindikiro chodziwikiratu kuti si zonse zomwe zimachitika molingana ndi dongosolo. Zovuta zomwe zimabweretsa ndi imodzi mwazinthu zofunikira kwambiri pakuchitapo kanthu kuti muchepetse, kuchepetsa katundu. Anthu odwala matenda ashuga ayenera kukhala osamala ndi mawonekedwe azizindikiro zomwe zimayambitsa kusinthasintha kwakuthwa (kumtunda kapena pansi) kwamagazi a shuga. Zizindikiro izi ndikumanjenjemera kosalekeza, kumverera kwamphamvu kwa njala, kugunda kwamtima kwapafupipafupi (ndi hypoglycemia), kukakamira kosalekeza kokakodza, kumangokhala ndi ludzu. Zizindikiro zonsezi zomwe zimaperekedwa ndi thupi ndi chidziwitso chotsimikizika pakuchotsa maphunziro.

5. Zochita zolimbitsa thupi m'njira zolimbitsa thupi zizigwira ntchito ngati chakudya chabwino ndipo siziyenera kukhala chowiringula chakudya chopanda thanzi.Musasunthike thupi lanu ndi ma "calories angapo" owonjezera, ndikuganiza kuti maphunzirowa abisa zonse. Malingaliro awa ndiwolakwika;

6. Mndandanda wazolimbitsa thupi zomwe wachita ziyenera kusinthidwa ndi gulu la odwala. Kwa anthu okalamba kwambiri, nthawi zina kumapangitsa kukula kwa minofu kwambiri.

7. Kuchita masewera olimbitsa thupi kuyenera kukhala kosangalatsa.

8. Musapondereze pakuchita zolimbitsa thupi ngati kuchuluka kwa glucose ndikokwera kwambiri (pamtunda wa 15 mmol / l), komanso pakakhala ma ketoni mkodzo.

Pomaliza, ziyenera kudziwikiratu kuti kuti muthane ndi matenda a shuga, makamaka mukadzakula, muyenera kudziwa ntchito zolimbitsa thupi chovomerezeka, pezerani dzuwa pang'ono, komanso muzitsatira malangizo omwe adokotala adakupatsani.

Khalani ndi chidwi ndi thanzi lanu nthawi, musiye.