Zizindikiro zokhala ndi matenda a shuga

Matenda a shuga amadziwika ndi shuga okwera pang'ono atatha kudya. Kuchulukitsa kwa glucose kumafuna kuwonjezeka kwa insulin, ndipo kuphwanya kwa kapamba sikumakulolani kuti mupange kuchuluka koyenera kwa mahomoni. Pali njira ziwiri zomwe zingapangitse chitukuko cha prediabetes pogwiritsa ntchito mayeso a labotale.

Loyamba limatengera wodwala kutenga njira yapadera yomwe ili ndi 75 g ya shuga. Pambuyo maola ochepa, shuga yamagazi sayenera kupitirira 7.8 mmol / L. Ngati mulingo watsimikiza mkati mwa 7.

8-11 mmol / l, prediabetes imachitika. Njira yachiwiri yopezera matendawa ndi kuyeza hemoglobin m'miyezi ingapo. Mlingo wambiri udzachokera pa 5.5-6.1%, chomwe chiri zotsatira zapakati pa anthu athanzi komanso odwala matenda ashuga.

Popeza Zizindikiro zokhudzana ndi kusinthaku kwa shuga zimachitika kawiri ndipo zimachitika kawirikawiri popanda chizindikiro, ndi anthu ochepa omwe amasankha kukaonana ndi dokotala. Ngakhale munthu atazindikira izi pamwambapa, sizimamupangitsanso mantha ena chifukwa cha thanzi lake.

Pankhaniyi, ndikotheka kupeza matenda mozindikira ngati munthu pazifukwa zina atayezetsa magazi. Mwachitsanzo, mukamayesedwa, ngati mukukayikira matenda ena, ndi zina zambiri.

Koma zilizonse zomwe zingachitike ngati matenda a prediabetes, onse amapezeka pamlingo wamagazi ambiri.

1. Kuyesedwa kwa magazi posakaniza shuga (munthu sayenera kudya kwa maola 8)

2. Mayeso a kulolerana ndi glucose - OGTT

OGTT imachitika m'magawo angapo ndipo ndikofunikira kutsatira zingapo:

• Kusala kwofunikira kwa maola khumi ndi awiri (zitsanzo zoyambirira za m'mawa m'mimba yopanda kanthu),
• Masiku atatu musanayesedwe, idyani zakudya zomwe zili ndi chakudya chamagulu ambiri (monga adokotala akuvomerezerani). Pankhaniyi, mankhwala ndi kukonzekera zotsatirazi kwathetsedwa: diuretics (thiazide diuretics), mahomoni (glucocorticoids) ndi njira zakulera,
• Magazi achiwiri 1 kapena 2 pambuyo poti munthu amwe madzi otsekemera kwa mphindi 5 (mwa akulu, mulingo wa glucose ndi 75 g / 250 kapena 300 ml ya madzi, mwa ana 1.75 g / kg), koma osaposa 75 g),
• Nthawi zina amafunsira kuchita masewera olimbitsa thupi (popanda katundu wolemera, palibe amene amakoka ndi zikondamoyo mokakamiza)

Zachidziwikire, zotsatira zoyesazi zingakhale zabodza kapena zabodza. Chifukwa chake, nthawi zina imodzi mwazoyesazi imabwerezedwa.

Ngati mayeserowo ali mdera la magulu omwe afotokozedwa pansipa, ndiye kuti pali zovuta zina zakukula kwa matenda ashuga a 2.

Chofunikira kwambiri pakupezeka kwa prediabetes si moyo wathanzi: kunenepa kwambiri, zizolowezi zoipa, masewera olimbitsa thupi ochepa. Komanso, chomwe chimayambitsa matenda a prediabetes chimatha kukhala cholowa.

Kuyesedwa koyambirira ndi dokotala kumabwera ku nthawi yoikidwiratu: kulimbana ndi zizolowezi zoyipa, kusankha kochita masewera olimbitsa thupi ndikukonzekera chakudya cham'mbuyomo ndikusinthira ku chakudya chopatsa thanzi.

Nthawi zambiri, zakudya zina zimaperekedwa.

Nthawi zina, njira zosakhwimitsa sizipereka chithandizo chokwanira cha prediabetes, dokotala amatha kukupatsani mankhwala. Mankhwala amawonetsedwa pokhapokha, chifukwa sizothandiza kwenikweni, koma zimakhala ndi zovuta zake.

Ngati muli ndi zizindikiro kapena muli pachiwopsezo, kuyezetsa magazi kumayenera kuchitika kawiri pachaka kwa shuga.Ngati mulingo wake upita kupitirira muyeso, muyenera kufunsa endocrinologist.

Pakufufuzidwa, anamnesis amatengedwa ndipo amatumizidwa kukaphunzira labotale. Pankhaniyi, ndikwabwino kuti mukonzekere mwachangu ndikubwera m'mawa. Phunziro lalikulu ndi kuyesa kwa glucose, komwe kumachitika m'magawo angapo:

• Kutsatsa magazi osachepera maola 10 mutatha kudya.
• Pambuyo pokonzekera shuga wapadera, mipanda ina iwiri, pambuyo pa ola limodzi ndi 2.

Kuti mumve zambiri, muyenera:

• Musanapatse mayeso komanso nthawi yake kuti mupewe kupsinjika konse, kuyambira kwakuthupi mpaka m'maganizo.
• Osakhala ndi matenda opatsirana, kulowererapo kwa opaleshoni pakati komanso osachepera sabata asanayesedwe.
• Osasuta patsiku loyesedwa.
• Kuphatikiza pa phunziroli, muyenera kuyendetsa mkodzo pamlingo wa uric acid ndi cholesterol.

Zotheka ndi zomwe sizingachitike

Ngati kupanga insulini kudwala, ndikofunikira kudya moyenera.

Mtundu woyenera wa zakudya amasankhidwa ndi endocrinologist.

Ndikofunikira kutsatira malingaliro kuti tiletse kusintha kwa prediabetes kukhala mtundu waukulu wa endocrine pathology.

Kugwiritsa ntchito zakudya zosayenera kumayambitsa kutseguka kwa njira ya pathological, kumawonjezera chiopsezo cha matenda ashuga.

Chofunikira ndi njira yophika. Njira yabwino ndikuphika, kuphika casseroles, souffle.

Onetsetsani kuti muchepetsa mchere komanso mchere wambiri. Zambiri zopatsa mphamvu zama calorie zimatsimikiziridwa ndi katswiri: kunenepa kwambiri, kuchuluka kwa zopatsa mphamvu sikuyenera kupitirira magawo 1600, ndi kulemera kwakuthupi kwamthupi - 2400 kcal.

Zakudya zamagulu a shuga zisanachitike zimapereka zakudya zovomerezeka, zovomerezeka, komanso zoletsedwa. Zoyambirira zikuphatikiza:

• tirigu wathunthu kapena buledi,
• phala la buckwheat
• nyama yokonda: nkhuku, kalulu, nkhuku,
• msuzi wosapanga, msuzi,
• nyemba: nyemba, mphodza, nandolo,
• mtsinje, nsomba zam'nyanja,
• nkhuku, mazira zinziri,
• mafuta amkaka ochepa,
• amadyera, masamba,
• Zipatso zopanda zipatso, zipatso,
• mbewu za dzungu, mpendadzuwa, nthangala za sesame,
• zipatso zosawoneka bwino, mafuta odzola, odzola wopanda shuga.

Zakudya zina zimatha kuchepetsa shuga, koma osaloledwa kudya ndi mankhwala. Zovomerezeka moyenerera zimaphatikizapo:

• msuzi wa kabichi
• phula
• chipatso cha mphesa
• Yerusalemu artichoke
• chicory
• mbewu za fulakesi
• mpunga, semolina,
• mikate yoyera
• pasitala.

Zakudya zamakono zamakono posachedwapa zachepetsa kwambiri mndandanda wazakudya zoletsedwa mu prediabetes. Izi ndichifukwa cha njira zapamwamba zophunzirira momwe zinthu zosiyanasiyana zimachitikira m'thupi la munthu. Zinthu zomwe ndi zotsutsana kwathunthu kuti zigwiritsidwe:

• maswiti aliwonse, shuga,
• zopumira mwachangu (timitengo ta chimanga, granola),
• zopangidwa ndi ufa wapamwamba kwambiri,
• makeke okonzedwa ndi ofewa,
• tchizi tchizi chokhala ndi mafuta opitilira 2%,
• masoseji,
• nyama zamafuta
• phukusi laphikidwa
• zakumwa zoledzeretsa.

Dera langozi

Matenda a shuga amapezeka pazifukwa zosiyanasiyana, ndikofunikira kulabadira zizindikiro zochenjeza munthawi yake. Kuwopsa kwa matenda am'mbuyomu mwa anthu:

• zaka zopitilira 45
• onenepa kwambiri
• ndi chibadwa
• ndi zolimbitsa thupi,
• ndi matenda ashuga okhudza azimayi oyembekezera,
• kuyanjana kwambiri ndi Amereka, Amwenye, ndi anthu aku Pacific Islands.

Zoyenera kuchita kwa iwo omwe akwaniritsa izi pamwambapa? Ndikofunikira kulabadira madandaulo ena ndikuyang'ana kwa dokotala. Matendawa amathandizidwa mosavuta ndi mankhwala, zakudya zabwino komanso moyo wokangalika.

Monga momwe mungaganizire, dziko la prediabetes limayamba chifukwa chokhala ndi njira yolakwika, koma sizinthu zonse zophweka monga momwe zimawonekera poyamba. Ngakhale munthu atadya mosayenera, amamwa mowa kwambiri komanso maswiti ambiri, izi sizitanthauza kuti akapezeka ndi prediabetes. Komabe, munthuyu adzakhala kasitomala woyamba wogwirizana ndi endocrinologist.

Kunenepa kwambiri nthawi zonse kumawononga thanzi, chifukwa mutha kulankhula bwinobwino za zovuta za metabolic, zomwe mtsogolo zimayambitsa matenda a metabolic, matenda amtima, kugunda kwamtima, ndi zina zambiri.

Poganizira zomwe zimayambitsa ndi zizindikiro za matenda ashuga, tanena mobwerezabwereza kuti "matenda otsekemera" amatengera kwa makolo athu, koma izi sizitanthauza kuti ana omwe makolo awo anapatsidwa matendawa amapezanso matendawa. Zangokhala kuti ali pamalo owopsa.

Ngati mzimayi wapeza matenda a shuga pakakhala pakati, ndiye kuti izi zimawonjezera chiopsezo cha matenda a prediabetes.

Kuti owerenga athu asakhale ndi mafunso osafunikira, timayika zofunikira zonse patebulopo pomwe timalongosola zomwe zimathandizira kukula kwa vutoli kwa akulu ndi ana.

Zakudya Zosakaniza -

Ngakhale pali zolephera, chakudya chovomerezeka chitha kupangidwa.

Ndi prediabetes, muyenera kutsatira zomwe zili tsiku ndi tsiku zopatsa mphamvu, nthunzi, kuphika: yokazinga, kusuta, mafuta kumapangitsa katundu wambiri pachiwindi, kapamba, matumbo.

Ndikofunikira posinthanitsa ndi nyama ya nkhuku ndi nsomba zamafuta ochepa, kuwonjezera chakudya cham'mawa, nkhomaliro kapena chakudya chamadzulo ndi masamba, kanyumba tchizi casseroles, chimanga, mousses opepuka zipatso, omele mata.

Zinthu zazikulu zam'mawa:

• phala: mpunga, tirigu, barele, ngale,
• buledi wodwala.

• compote
• chakumwa cha khofi chozikidwa pa barele ndi chicory, chotheka ndi mkaka,
• tiyi wopanda mphamvu wobiriwira.

Njira zopatsa thanzi:

• maapulo ophika
• casserole ndi kanyumba tchizi ndi zipatso,
• vinaigrette ya mbatata, kaloti, beets,
• zukini zophika ndi nkhuku,
• cheesecake ndi zipatso.

Chakudya chamasana, mutha kusankha mbale zingapo pamndandanda:

• supu yamasamba opepuka ndi masamba: kolifulawa, zukini, kaloti,
• msuzi wowawasa ndi nkhuku ndi dzungu ndi kirimu wowawasa pang'ono,
• Zakudya zopangidwa ndi thukuta tokhala ndi mafuta ochepa,
• masamba osenda
• phala lophwaphalaphala komanso nyama yodontha
• casserole ndi pasitala ndi nkhuku
• hake okwatirana
• kabichi yonyezimira ndi zipatso zamtundu waku Turkey,
• makina ophika zakudya ophika pang'onopang'ono,
• saladi watsopano wamasamba.

• saladi wa zipatso
• mabulosi mousse
• oat odzola
• kanyumba tchizi,
• masikono a mkate.

Zakudya Zamadzulo:

• mousse wa nkhuku
• omele
• phala la buckwheat
• kabichi wodula ndi nkhuku,
• oatmeal
• ma cookies a biscuit
• kolifulawa.

• M'mawa umayamba ndi phala lophwaphika m'madzi ndi kapu ya tiyi wosapsa ndi chidutswa cha buledi wopanda tirigu.
• Chakudya chamasana, idyani zipatso, monga apulo.
• Chakudya chamadzulo, mumatha kuphika supu yamasamba yokhala ndi mkate wa rye ndi pasitala kuchokera ku ufa wongokhala ndi kagawo ka nsomba yophika.
• Pazakudya zam'mawa masana - tchizi chochepa-mafuta kanyumba tchizi ndi msuzi wa rosehip.
• Chakudya chamadzulo chophika ndi nyama ndi masamba.

• Chakudya cham'mawa chimakhala ndi gawo la phala la barele ndi kapu ya tiyi yobiriwira yopanda tanthauzo.
• Chakudya chamasana, saladi wamasamba wophatikizidwa ndi mafuta a maolivi ndi khofi wokhala ndi mkaka ndi zotsekemera (zomwe zimayikidwa m'malo mwa shuga - werengani apa) amathandizidwa.
• Chakudya chamadzulo, konzekerani msuzi pa msuzi wofowoka wa bowa, chidutswa cha nyama yophika komanso yokongoletsedwa ndi buckwheat.
• Pazakudya zamadzulo, zidutswa zingapo za ma cookie osakhala batala ndi kapu ya msuzi wa rose yamtchire ndizokwanira.
• Mgonero ndi kanyumba tchizi casserole ndi phwetekere.

• Chakudya cham'mawa - kapu ya tiyi wopanda mafuta, mkaka wa tchizi wopanda mafuta.
• Zakudya zokhwasula-khwasu ndi masamba osaphika komanso kuwonjezera kwa mafuta a azitona.
• Kwa nkhomaliro - gawo la msuzi wamasamba, chidutswa cha nyama yowotcha ndi mbale yakumbuyo - masamba otentha.
• Pazakudya zamadzulo - apulo ndi tchizi chinyumba.
• Chakudya chamadzulo ndimadzi otentha, masamba ndi tiyi wobiriwira.

• Chakudya cham'mawa chimayamba ndi gawo la phala la barele ndi kapu ya tiyi ndi buledi wa chinangwa.
• Chakudya cham'mawa, zikondamoyo za squash zakonzedwa.
• Chakudya chamadzulo, chiphika msuzi pa stock yofooka ya nkhuku, chidutswa cha nkhuku chophika mu uvuni, ndi saladi wa kabichi.
• Pazakudya zamadzulo - gawo la kolifulawa yophika ndi kapu yamadzi amchere.
• Chakudya chamadzulo - soufflé kuchokera ku nkhuku, masamba atsopano ndi kapu ya tiyi wobiriwira.

• Chakudya cham'mawa - oatmeal, chidutswa cha buledi wopanda tirigu, kapu ya tiyi wopanda mafuta.
• Chakudya chamasana, masamba atsopano.
• Chakudya chamadzulo, konzekerani dzungu msuzi, mazira 2 owiritsa, nkhaka yatsopano.
• Pakudya kwamadzulo - kapu ya kefir, ma cookie a odwala matenda ashuga.
• Chakudya chamadzulo - kudula nkhuku, zitsamba ndi tiyi wopanda mafuta.

• Loweruka m'mawa limayamba ndi chakudya cham'mawa - saladi wa masamba, tiyi wokhala ndi buledi.
• Ndiye khalani ndi zokhwasula-khwasula ndi shrimp saladi ndi kapu ya rosehip msuzi.
• Okroshka, squid mu msuzi wowawasa wowawasa ndi kapu ya chicory amakonzekera chakudya chamadzulo.
• Cha tiyi wamasana - tchizi tchizi.
• Chakudya chamadzulo - kolifulawa pudding, gawo la buckwheat, kapu ya kefir.

• Chakudya cham'mawa, sipinachi yophika ndi dzira ndi kapu ya khofi yokonzekera.
• Zakudya zazing'ono zopanda pake ndi yogurt yachilengedwe yotsika mafuta.
• Kwa nkhomaliro - msuzi wa kabichi kuchokera kabichi watsopano, masamba puree ndi kagawo ka nsomba yophika.
• Pazakudya zazamasana - cutlets kabichi.
• Chakudya chamadzulo chimakhala chimbudzi cha kanyumba tchizi chotsekerera ndi apulo, kapu ya tiyi wobiriwira.

Buckwheat phala pamadzi, tiyi wobiriwira, chidutswa cha buledi wonyezimira

Msuzi wamasamba, mkate wa rye, pasitala, chidutswa cha nsomba yophika

Yochepa mafuta kanyumba tchizi, rosehip msuzi

Zukini wophika ndi masamba ndi nkhuku yokazinga.

Phala la barele, chicory

Masaladi omwe amapezeka ndi masamba mafuta, khofi ndi wokoma

Msuzi wa bowa, phala la buckwheat, chidutswa cha nyama yophika.

Ma cookie osavomerezeka, kefir yamafuta ochepa

Zikondamoyo zopanda mafuta zopanda kanyumba, tiyi wopanda mafuta

Masamba ophika, mkate wa rye.

Msuzi wa nkhuku, chidutswa cha mkate wophika, masamba otentha

Apple, yogati yopanga tokha

Nsomba zovekedwa, masamba osaphika, tiyi wobiriwira.

Phala la barele, chicory, ufa wa chinangwa

Msuzi wamasamba, saladi wa kabichi, cutlet ya nkhuku

Saladi wa kolifulawa

Souffle kuchokera ku nkhuku, masamba ophika, kefir wopanda mafuta.

Oatmeal, mkate wopanda tirigu, tiyi wopanda mafuta

Msuzi wowonda, nkhaka yatsopano, mazira awiri owiritsa

Ma cookie a odwala matenda ashuga, kefir

Phukusi lanyama la nkhuku, zitsamba zatsopano, tiyi wobiriwira.

Buckwheat phala, rosehip msuzi

Zakudya zam'nyanja

Okroshka, nsomba yophika msuzi wowawasa wowawasa, masamba atsopano

Chidutswa cha ng'ombe yophika, saladi wa kolifulawa, kefir.

Sipaka wophika ndi dzira, khofi wokhala ndi mkaka

Saladi Zipatso, Yogurt Yochepa

Mwatsopano kabichi kabichi msuzi, nsomba yophika, masamba puree

Zakudya zamasamba, chidutswa cha nkhuku yophika, msuzi wa rosehip.

M'masiku ano amakono, munthu amadwala matenda ambiri komanso matenda am'mimba kwambiri, omwe amawombera kwakukulu komwe kumachitika ndi endocrine system ya thupi.

Chimodzi mwazinthu zovuta kwambiri zamafuta ndi matenda ashuga, omwe amadziwika kuti ndi prediabetes.

Mwa zina zamankhwala, kudya mokwanira komanso mwatsatanetsatane wa prediabetes ndiye gawo loyamba lothandiza kuchepetsa chiopsezo cha matenda a shuga.

Dzikoli lisanachitike shuga limadziwika ndi kuchuluka kwa glucose ndi glycated hemoglobin poyerekeza ndi chizolowezi, komabe, kusiyana kwake ndi matenda a shuga ndikuti munthu amatha kukhala okhazikika mwa kuphatikiza shuga.

Zomwe zimayambitsa matenda a prediabetes zimaphatikizira kuperewera kwa ntchito mu kapamba, komanso zikhalidwe za maselo a thupi, omwe amasiya kuyankha pokhudzana ndi insulin. Zowopsa zomwe zimayambitsa matenda a prediabetes komanso matenda ashuga zimaphatikizaponso:

• chibadwire
• matenda a shuga pa nthawi ya pakati,
• onenepa kwambiri
• ukalamba
• matenda a chiwindi ndi impso,
• kuchepa magazi
• kuchuluka kwa mafuta m'thupi.

Kuphatikiza apo, zimatsimikiziridwa mwachipatala kuti kupsinjika ndi zovuta zosiyanasiyana zamaganizidwe ndi mitsempha zimatha kukhala ndi zotsatira zoyipa zamagazi.

Nthawi zambiri, malire am'malire a matenda ashuga osawonetsedwa ndi zizindikiro zowoneka, komabe, mothandizidwa ndi zinthu zakunja, zizindikiro zamavuto m'thupi zimatha kuwoneka:

• ludzu losalekeza
• kukodza pafupipafupi
• kuchepa kwa masomphenya
• kutopa,
• kuyabwa kwa pakhungu ndi mucous;
• kuchepa mphamvu kubadwanso kwa thupi,
• amenorrhea
• kuperewera kwa chilengedwe.

Mkhalidwe wa prediabetesic suwonetsedwa nthawi zonse ndi zizindikiro zotere, komabe, ndikofunikira kumvetsera kuzizindikiro za thupi ndipo ngati mawonekedwe osasangalatsa kapena achilendo, ndikofunikira kufunsa dokotala.

Zakudya zamankhwala

Zomwe zimayambitsa matenda ashuga kapena m'malire ena zimakonda kuperewera. Kudya kwambiri, kugwiritsa ntchito maswiti kapena zakudya zopanda pake, kumwa kwambiri zakumwa zozizilitsa kukhosi kapena mosinthanitsa, nthawi yayitali kwambiri pakudya, zakudya zopanda thanzi, kusowa kwa zinthu zofunikira ndizofunikira - zonsezi zingayambitse matenda a shuga.

Chithandizo cha mthupi la munthu, momwe shuga amachulukira kwambiri (mpaka 6.5 mm / l ndi chizolowezi cha 5.2 mm / l), sichichitika kawirikawiri munjira ya mankhwala.

Nthawi zambiri, ma endocrinologists amalamula wodwala chakudya chomwe chimasankhidwa chomwe chimakwaniritsa mfundo zonse za zakudya zopatsa thanzi.

Kungosiya zizolowezi zoipa ndi zizolowezi zake, komanso kukhala ndi mavitamini ndi michere yambiri mokwanira, kumathandizanso kuti matenda azikhala ndi shuga komanso kubwezeretsa kupanga insulin.

Amasiyana m'malingaliro amodzi kuti cholinga chake chikhale chokhazikika ndikuwonetsa mawonekedwe a glucose komanso kubwezeretsa katemera wa insulin, ndipo winayo ali ndi vuto lofananalo, koma amasinthidwa kuti amalimbikitse kuchepetsa thupi.

Makhalidwe azakudya zomwe zimadyedwa muzakudya ndikuyang'aniridwa ndi malamulo a zakudya izi ndi monga:

• zama calorie (sayenera kupitirira 2200 kcal / tsiku),
• Chiwerengero cha mapuloteni, mafuta ndi chakudya,
• mavitamini a magulu A, B, C,
• tsatanetsatane (Potaziyamu, calcium, Sodium, Iron, Phosphorous),
• kuchuluka kwamadzi omwe amagwiritsidwa ntchito
• kuchuluka kwa mchere womwe umagwiritsidwa ntchito.

Nthawi zambiri, zomwe zimayambitsa zovuta zingapo za endocrine zimanenepa kwambiri. Chifukwa chake, kuti thupi lizolowere kugwira ntchito, ndikofunikira choyamba kuti muchepetse choyambirira cha boma la prediabetes.

Kuwongolera kuchuluka kwa chakudya chamafuta obwera, komanso kapangidwe kake (mwachangu kapena kovuta) ndiko maziko azithandizo zamankhwala pochotsa mapaundi owonjezera. Kuphatikiza pa kusintha kwa zakudya, muyenera kusintha zina ndi zina pa moyo wanu, kuti muwonjezere masewera olimbitsa thupi, yambani kuchita masewera olimbitsa thupi.

• kumangokhala
• kunenepa
• chibadwa
• ovary polycystic,
• pa pakati, mayiyo anali ndi matenda a shuga,
• zaka 45 kapena kupitirira
• Kafukufuku akuwonetsa kuchuluka kwa shuga m'magazi.

Kumayambiriro, Zizindikiro zoyipa sizikupezeka, ambiri sakayikira kuyambika kwa matenda. Matenda a shuga amapezeka mwamwayi panthawi yopeza matenda ena.

Kufufuza mwachangu kumafunika ngati zotsatirazi zikuwoneka:

• kuwonongeka kowoneka pamaso ndi kuyabwa pakhungu, ludzu lalikulu, kukodza mwachangu,
• kuvuta kugona: ndizovuta kugona, ndizovuta kudzuka m'mawa,
• kuyesedwa kukuwonetsa kupatuka pamlingo wa mahomoni,
• kukokana kumachitika usiku, kumatha kukhala kuzizira kapena kutentha thupi,
• kupweteka kwambiri m'mutu
• lakuthwa kufooka pa maziko a kusamwa bwino shuga.

Aliyense amadziwa kuti zakudya zopatsa mphamvu zamagulu a shuga ziyenera kuperekedwa. Nanga bwanji mafuta? Kodi ndizotheka kudya mafuta omwe ali ndi matenda amtundu woyamba komanso wachiwiri?

Kugwiritsidwa ntchito kwa buckwheat popewa kuwonjezeka kwa shuga wamagazi - werengani za phindu la phala pano.

Mndandanda wamasamba wololedwa komanso woletsedwa wa shuga ungapezeke pano.

Odwala ambiri odwala matenda ashuga akadatha kupewa kutaya kwawo akadakakhala akukaonana ndi madokotala nthawi, koma boma la prediabetesic ndilobisika chifukwa, sizowona ngati matenda ndipo zambiri mwazizindikirozo ndizobisalira, kapena mpaka anthu satsutsana ndi momwe ziliri osafunafuna thandizo.

Zizindikiro za prediabetes, chomwe ndi chisonyezo chopita kuchipatala:

• Pakamwa pakamwa, kuchuluka kwamadzi ambiri. Kukhalapo kwa glucose kumakulitsa magazi, ndipo thupi limayesa kuchepetsa. Ndi zochulukitsa (zosafunikira, zamaganizidwe kapena zamaganizidwe) ndi kupsinjika, chizindikirocho chikukula.
• Kukodza pafupipafupi. Izi ndizomveka: imwani kwambiri - zamadzimadzi zambiri.
• Njala yayikulu, nthawi zambiri imachitika usiku. Izi zimawonjezera kulemera.
• Kuchepetsa mphamvu yogwira ntchito, zofowoka zambiri.
• Mukatha kudya chakudya, chimatha kuponyera malungo, kumakhala chizungulire. Izi ndi zotsatira za kulumpha lakuthwa m'magazi a magazi.
• Mutu wosalekeza. Zotsatira za kuphimba magazi ndi mawonekedwe a zikwangwani. Ngakhale kukula kochepa, zimakhazikitsa mitsempha yamagazi ndikumverera kosasangalatsa.
• Matenda a kuyabwa ndi kupenya. Cholinga chake ndi zombo zonse zofanana, ma capillaries enieni, omwe ali oyamba kumva zotsatira zakuchepa.
• Kusowa tulo Kusokonezeka kwa kagayidwe ka glucose kumayambitsa kusokonezeka kwa mahomoni.

Pali zisonyezo zambiri za matenda ashuga zomwe zimadziwika m'deralo. Pakati pawo, madandaulo a ludzu losatha, kuyabwa pakhungu, komanso kukodza pafupipafupi amadziwika kwambiri. Zizindikiro zochepa ndizoyambira monga:

• kusowa tulo
• kuwonongeka kwamawonekedwe,
• kusokonezeka kwa mtima ndi mitsempha yamagazi,
• kuwonda
• kukokana, kutentha thupi,
• kupweteka m'mutu ndi miyendo.

Chizindikiro chofunikira kwambiri komanso chachindunji ndi shuga wamwazi. M'mikhalidwe yapita mtundu wachiwiri wa matenda ashuga, zotsatira za mayeso a labotale zimayambira pa 5.5 mpaka 6.9 mmol / L.

Matenda a shuga nawonso ndi oyipa chifukwa amakula pafupifupi asymptomatic, chifukwa chake, kuzindikira palokha kuti ndi ntchito yovuta. Nthawi zina izi sizingatheke ngakhale kwa akatswiri, makamaka ngati munthu apita kwa dokotala ndikukayikira kuti ali ndi matenda osiyana.

• odzineneratu ludzu
• kukodza pafupipafupi
• njala yopanda tanthauzo
• Mavuto am'maso (masomphenya amatha kugwa, kukhala osaneneka, opanda manyazi)

Pali mndandanda wazizindikiro wazikhalidwe zambiri ngati boma layamba kale kupanga matenda ashuga, koma matenda ashuga akadali okwanira.

• kufuna kumwa madzi nthawi zonse,
• kutengera kukonda kwam'mbuyomu, kukakamiza pafupipafupi,
• kusokonezeka kowoneka - pali zotsatira zosakhalitsa za astigmatism,
• kutopa kwambiri, kusungunuka ndi kuyamba kwa mkhalidwe wopsinjika.

Izi ndi zizindikiro zazikuluzikulu za dziko lomwe lili ndi matenda ashuga, koma ndiwofala kwambiri. Pali mawonetseredwe amwini omwe adokotala angadziwitsenso matenda. Munthawi imeneyi, ndikofunikira kuti muyambe kuchitapo kanthu kuti muchotse matendawa.

Popeza mwazindikira Zizindikiro za prediabetes, muyenera kulankhulana ndi endocrinologist.

Gwero lalikulu lamphamvu mthupi ndi glucose. Gawo lake lalikulu limalowa m'magazi mutatha kuwonongeka kwa chakudya chamafuta omwe amalandiridwa ndi chakudya. Udindo wa kapamba umasonyezedwa ndi kupanga (kaphatikizidwe) ka insulin, kamene kamathandiza minofu kutulutsa shuga m'magazi.

Shuga wambiri amadziunjikira m'magazi, omwe samatha kupeza maselo amisempha. Uku ndikuphwanya matenda a carbohydrate metabolism, ndiko kuti, prediabetes. Ndikofunikira kwambiri kuyika wodwalayo pakadali pano kuti tipewe kusandulika kwa mtunduwu kukhala shuga wowopsa wa mtundu wachiwiri ndi zovuta zake.

Chifukwa chake, kuwonongeka kwa wodwala omwe ali ndi matenda amtundu wa 2 kumachitika kale kwambiri kuposa momwe amadziwitsira. Tsopano, kuyandikira pafupi ndi kuopseza matenda a maso, impso, mtima dongosolo, atherosclerosis.

M'masiku oyamba a prediabetes, palibe zizindikiro zotchulidwa, koma chizindikiro cha ngozi yomwe ilipo ndikumva ludzu, kukodza pafupipafupi (makamaka usiku), kusawona bwino (kusachita bwino), kutopa kwambiri, kuyabwa, komanso kuchiritsa kwa nthawi yayitali.

Odwala ambiri samvera izi ndipo amakhala ndi zovuta zotere m'thupi. Ngati muli ndi zaka zopitilira 45, muyenera kusamala ndi zizindikirozi, makamaka zonenepa kwambiri, zomwe zimapezeka mu 90% ya anthu odwala matenda ashuga ndipo mudali odwala matenda ashuga.

Hyperglycemia - glucose wambiri, womwe ndi chizindikiro chachikulu cha matenda ashuga, amatha kudziwa mwangozi wodwala akafunafuna chithandizo chamankhwala ena.

Odwala ambiri omwe ali ndi prediabetes amawona kuti ndi ololera ngakhale azikhala ndi glucose (14-16 mmol / L), pomwe ali ndi thanzi labwino, izi zimasinthasintha masana zimasiyana 3.3 mpaka 5.5 mmol / L. Komabe, mutatha kudya, osapitirira 7.8 mmol / L.

Kukhalapo kwa prediabetes kumatha kuwonetsa zotsatira za kusanthula kwa magazi omwe adatengedwa pamimba yopanda kanthu, ndi chizindikiro pamwamba pa 6.1 mmol / l, ngakhale adachitidwa nthawi ina masana - 11.1. Ndikofunika kuti musala kudya kwa maola 8 musanatenge sampule yamagazi.

Pakaikira, dokotala amakupangira kuyesedwa kwapadera komwe kumatsimikizira kulolerana ndi kulolera kwa shuga. Kuti muchite izi, maola awiri musanawunike, wodwalayo amamwa yankho la shuga (75 mg pa 250 ml ya madzi). Ngati pali gawo la zowawa

Ngati magazi a shuga ayamba kukwera m'miyeso yoopsa, madokotala amachitcha prediabetes. Mkhalidwe wapakati pomwe munthu amakhala kale wosagwirizana, koma osadwala kale matenda ashuga.

Ino ndi nthawi yoti muchitepo kanthu. Chifukwa cha matenda osakhazikika omwe amapezeka pakapita nthawi, zovuta za matendawa zimakhala zakuya komanso zowonjezereka.

Zomwe zimayambitsa kukhazikitsidwa kwa dziko la prediabetesic sizimamveka bwino. Ndizodziwika kuti anthu omwe amakonda kwambiri matendawa ndi omwe kale anali ndi matenda ashuga mumtundu wa mabanja awo.

Matenda a shuga motero samatumiza. Kuchokera kwa abambo kapena amayi, mwana akhoza kulandira cholowa cha matenda.

Matenda a shuga amatha kuzindikirika pokhapokha ngati pali zinthu zingapo zomwe zikuwonekeratu pakukula kwa matendawa.

Mwachitsanzo, zakudya zopanda pake zomwe zimakhala ndi zakudya zambiri zotsekemera, zamafuta, kudya mopitirira muyeso kumawonjezeredwa kucholowa.

Kugwiritsa ntchito maswiti kwambiri, ngakhale mwa munthu wathanzi yemwe alibe tsogolo, kungayambitse kukula kwa boma.

Kuchokera ku zakudya zama calorie ochuluka kwambiri omwe amadya kwambiri, kunenepa kwambiri kumachitika kawirikawiri. Kukhala moyo wongokhala komanso wosatulutsa kumabweretsa. Mu adipose minofu, njira zimachitika zomwe zimalepheretsa kuyamwa kwa insulin. Chifukwa chake, mawonekedwe a kulemera kwambiri nthawi zambiri amakhala gawo loyamba pakukhazikitsa matenda a shuga.

Kodi ndizotheka kudziimira pawokha popanda kupezeka kapena kusowa kwa matenda ashuga popanda ndalama zowonjezera komanso chidziwitso chozama chazachipatala?

Chifukwa chake, imodzi mwamafoni oyipa ndi kuchuluka kwa shuga.

Koma zambiri zoterezi zitha kupezeka pogwiritsa ntchito kusanthula kwa labotale.Komabe, pali zizindikiro zina za matenda ashuga zomwe zimadziwika ndi nthawi yoyamba, yomwe mutha kuzindikira matendawa.

Zizindikiro zoperekedwa ndi thupi zimatha kukhala zopanda chidwi kotero kuti mumazinyalanyaza. Izi zimachitika nthawi zambiri ndimatenda a 2. Odwala ambiri kwa nthawi yayitali sanaganize kuti akudwala mpaka atakumana ndi zovuta zina zaumoyo.

Komabe, mitundu yonse iwiri yamatendawa imakhala ndi zizindikiro zoyambirira zomwe zimayambitsa matenda. Ndikofunikira kuti muwadziwe bwino, kuti mupeze nthawi yofunsira zamankhwala ndikuyang'ana kwa dokotala.

Ndi matenda amtundu uliwonse, wodwalayo amakhala ndi nkhawa komanso kumva kutopa kwambiri. Nthawi zambiri, chakudya chonse chomwe chimalowa m'thupi chimasanduka shuga, chofunikira mphamvu.

Kodi chithandizo cha prediabetes ndi chiyani?

Zoyenera kuchita mukamayandikira sindiye matenda abwino kwambiri - prediabetes? Zizindikiro zikudzipangitsa kale kumva, kufufuza kunatsimikizira mantha. Choyamba muyenera kukhazika mtima, mutha kuthana ndi matenda ashuga.

• gwiritsitsani chakudya (Na. 8 kapena Na. 9),
• kuwonjezera zolimbitsa thupi
• lekani zizolowezi zoyipa,
• kuwongolera mphamvu zonse kuti amenyane ndi kunenepa kwambiri.

Chimodzi mwazinthu zofunikira zamankhwala ndichakudya choyenera. Chakudya chopatsa thanzi chimatha kubwezeretsa kapamba komanso kuchepetsa chiopsezo cha zovuta za prediabetes. Moyo wokangalika wokhawo womwe ungathandize kuchotsera zizindikiro zosasangalatsa ndikubwezeretsa thanzi.

Chifukwa choyamba cha matenda ashuga chimakhala moyo wopanda thanzi, ndiko kuti, kuperewera kwa zakudya, kumwa mowa kwambiri, ndi kusuta. Zotsatira zamtunduwu zimathandizanso kwambiri. Kutengera kwa matenda ashuga ndi komwe kumatengera.

Ndizosadabwitsa kuti kutsatira koyamba kwa dokotala pakaonekera matenda asanafike shuga ndikutsatira malamulo oyambira amoyo wathanzi. Munthu amamulembera zakudya za prediabetes. Ayenera kukakamira zoipa zonse.

Kunenepa kwambiri kumathandizanso pakugwira ntchito kwa gland yomwe imabisa insulin. Kuti thanzi lawo likhale labwino, wodwalayo amafunika kuwongolera thupi lake.

Ndi gawo limodzi la mankhwalawa a prediabetes. Mankhwala amtunduwu amathandizidwa pang'ono, ndipo satenga gawo lalikulu pakuthandizira bwino, monga zakudya.

Zololedwa ndi Zoletsedwa

Zakudya za tsiku ndi tsiku zimaphatikizapo:

• rye kapena mkate wopindika,
• mkaka ndi mkaka,
• tchizi chamafuta ochepa
• nyama yophika ndi nsomba zamitundu mitundu,
• msuzi wamafuta ochepa pa msuzi wa masamba,
• nguluwe, balere,
• masamba, zipatso zomwe zili ndi shuga wamba,
• zopangidwa ndi mchere.

Ndikulimbikitsidwa kumwa pafupifupi malita 1.5-2 amadzi kuwonjezera pa zinthu zina zamadzimadzi zomwe zimamwetsa masana.

Kodi kuchiritsa matenda a prediabetes? Zoyenera kuchita ndi zinthu, zomwe simumapatula, momwe mungaphikire? Mvetsetsani mafunso aliwonse omwe abuke. Osakondedwa kwambiri komanso ovuta, inde, dziperekeni nokha zakudya zomwe mumadya. Choyamba, ndikofunikira kupatula:

• zida, ufa wa tirigu,
• shuga ndi zakudya zokwanira mkati mwake,
• soseji, nyama yotsirizika,
• margarine, batala, mafuta a nyama,
• zogulitsa zowonjezera,
• chakudya chofulumira
• mafuta, zonunkhira, zakudya zamchere.

Chololedwa kudya zambiri zomwe zikupezeka ndizothandiza:

• masamba abwino komanso owiritsa (mbatata yochepera),
• amadyera
• zipatso ndi zipatso (makamaka wowawasa),
• zopangidwa mkaka wopanda mafuta,
• mkate ndi mkate wakuda,
• kudya nyama ndi nsomba.

Muyenera kudziwa kuti musanaphike msuzi, muyenera kumawukha kwa maola osachepera awiri ndikusintha kwamadzi ndikudula pakati.

Zaka makumi angapo zapitazi, madokotala padziko lonse lapansi akhala ndi nkhawa kuti kuchuluka kwa anthu odwala matenda ashuga. Matendawa amayamba chifukwa cha kuperewera kwa insulin.

Amadziwika ndi kuphwanya zakudya zamafuta ndi mitundu ina ya kagayidwe.

Zotsatira za kusowa kwa insulin mthupi, hyperglycemia, glucosuria, polyuria kumachitika, kuchepa kwamafuta kumawonjezeka, kuchuluka kwa acetone ndi acetoacetic acid m'magazi kumakwera.

Mavuto akulu komanso pafupipafupi a matenda ashuga ndi chifuwa chachikulu, furunculosis, impso ndi chiwindi, zotupa zam'mimba (nthawi zambiri zam'munsi), matenda oopsa, komanso kuwonongeka kwa mawonekedwe. Nthawi zambiri mukamayesedwa, madokotala amapanga matenda osayembekezereka - prediabetes.

Matenda a shuga si matenda, ndiye owopsa a matenda ashuga a 2. Mwa anthu, kuyamwa ndi kukonza kwa shuga kumayambitsa matenda, kapamba amapanga insulin yokwanira. Ngati chibadwidwe ndichofunika kwambiri pakupezeka kwa matenda amtundu wa 1, ndiye kuti matenda ashuga amtundu wa 2 amatha kukula pang'onopang'ono, popanda chizindikiro chodziwika bwino.

Matenda a shuga nthawi zambiri amakhudza magulu otsatirawa a anthu:

• zaka zopitilira 45
• onenepa kwambiri
• ndi cholowa chamtsogolo
• ndi zolimbitsa thupi,
• anali ndi nkhawa
• ndi matenda ashuga a m'mayi mwa amayi.

Nthawi zambiri, izi sizimawoneka mwanjira iliyonse, kuti kuchuluka kwa shuga m'magazi kumakwezedwa, munthu amaphunzira mwamwayi panthawi yoyesedwa kuchipatala. Koma nthawi zina anthu samalabadira zomwe akuwonetsa, nanena kuti aduka.

• ludzu losalekeza ndi kuyamwa kogwirizana,
• Khungu loyaka, nthawi zambiri limafooka,
• kugona kusokonezedwa
• kutopa, kufooka,
• kuwonda
• kuwonongeka kwamawonekedwe.

Nthawi zina amafunsidwa za matenda ashuga, omwe amapezeka limodzi ndi chifuwa chachikulu. Ndi kuchepa kwa katulutsidwe wamkati wa kapamba, chifuwa chachikulu chimadziwonetsa ngati matenda ashuga, kuphatikiza m'njira zosiyanasiyana ndi zizindikiro za kuchepa kwa inshuwaransi.

Mwa munthu wathanzi, ndende ya magazi yomwe imatengedwa kuti iwunike pamimba yopanda kanthu m'mawa imayenera kukhala 3,3-5,55 mmol / L. Ngati phindu limafika pa 6 mmol / l, dokotala amatha kukayikira kuyambika kwa matendawa ndikukutumizirani mayeso ena.

Ndi prediabetes, kuchuluka kwa glucose ndi 5.55-6.9 mmol / L, ndipo tili ndi malingaliro apamwamba omwe tikulankhula za matenda ashuga. Mukazindikira matenda a prediabetes, chithandizo sichikulamulidwa, wodwalayo amasankhidwa zakudya ndipo amalimbikitsidwa kuti azilimbitsa thupi. Mukunenepa kwambiri, muyenera kuponya mphamvu zanu zonse kuti muchepetse kunenepa.

Chakudya chokhazikika chama carb komanso kuchita masewera olimbitsa thupi kungathandize kupewetsa matenda a shuga a 2 komanso zovuta zake.

Panthawi imeneyi, zakudya zimasankhidwa zomwe cholinga chake ndi kuchepetsa thupi ndikuchotsa zinthu zomwe zili ndi glucose ndi carbohydrate ku menyu, makamaka othamanga. Zakudya zoyenera za prediabetes ndi njira yanu yopita kumoyo wathanzi.

Ndi kuchuluka kwa shuga, zakudya nambala 9 zimayikidwa, zomwe zimadziwika ndi kuchepa kwa mafuta, chakudya, kupatula kwa mbale ndi shuga ndi maswiti. Ndikulimbikitsidwa kudya 4-5 tsiku.

Amaloledwa kugwiritsa ntchito zinthu zosiyanasiyana, kupatula shuga, uchi, kupanikizana, confectionery, zoumba. Mutha kuphatikiza zipatso zamtunduwu muzakudya, kupatula mphesa, nthochi ndi ma Persimmons.

Yesani kuchita popanda shuga.

Matenda A shuga Otsika a Carb

Kwa anthu onenepa kwambiri, zakudya 8 zimasonyezedwa.

Zakudya zama calorie zimachepetsedwa kukhala 1620-1870 kilocalories chifukwa kuchepetsedwa kwa chakudya chamafuta ndi mafuta, kugwiritsa ntchito madzi, mchere, zonunkhira ndi zokometsera ndizochepa.

Ndikofunikira kudya zakudya zamafuta ambiri. Zakudya zisanu ndi chimodzi patsiku ndizovomerezeka. Zakudya zimakonzedwa popanda mchere. Popanda kuchepetsa kulemera kwa wodwala, ndizovuta kwambiri kulimbana ndi matenda ashuga.

Pofuna kuteteza matenda a kapamba ndi kupewa kudumpha m'magazi a shuga popanda kugwiritsa ntchito mankhwala, ndikofunikira kukonza zakudya. Ndikofunikira kumvetsetsa zomwe malonda amakhudza moyo wa munthu.

Mfundo zoyambirira za zakudya zoyenera:

1. Kudya zakudya zopatsa mphamvu kumachulukitsa glucose m'magazi, kumawonjezera katundu pa kapamba. Chifukwa chake, kuchuluka kwa chakudya cham'mimba kumayenera kuchepetsedwa.
2. Zakudya zomanga thupi zofunikira kudya "mwachangu" ziyenera kulowedwa m'malo ndi zovuta zomwe zimapangitsa shuga kukhala bwino, osadumpha.
3. Ndikofunikira kuphatikiza menyu masamba ndi zipatso zambiri. Amayambitsa kudzimva kwathunthu, kumathandizira kuyeretsa bwino thupi. Mtengo wawo wa caloric ndi wotsika, kugwiritsa ntchito pafupipafupi kumabweretsa kuchepa kwa thupi.
4. Tisaiwale kuti wowuma ndi chakudya. Ndikofunikira kuchepetsa kugwiritsa ntchito mbatata, nthochi. Ndikulimbikitsidwa kusenda mbatata pasadakhale, kudula mu kiyubiki ndikuloweka kwa maola angapo m'madzi, ndiye kuti muzimutsuka, kenako ndi kuwira. Mwanjira imeneyi, ndizotheka kuchepetsa kuchuluka kwake kwa wowuma mkati mwake.
5. Ndi bwino kudya m'magawo ang'onoang'ono, 5-6 patsiku.
6. Imani ndi kuphika kuchokera ku chimanga chonse kapena ufa wa rye.
7. Chotsani zinthu zophika ndi ufa zoyera kuchokera pamenyu.
8. Simungathe kumwa zakumwa zotsekemera, zakudya zapompopompo, mowa.
9. Chepetsani kugwiritsa ntchito nyama yokazinga, nyama yotsamira kapena nsomba yabwino kwambiri kuwotcha kapena kuphika mu uvuni.
10. Tiyenera kukumbukira kuti zakudya zamzitini zimakhala ndi shuga wambiri. Zomwezi zimagwiranso ntchito kumasosefa.

Akaphunzira za matenda ake, poyamba munthu amataika, samamvetsetsa zomwe zingadyedwe. Mndandanda wazinthu zomwe zimaloledwa muzakudya ndizambiri. Zimakupatsani mwayi wopanga zakudya zosiyanasiyana zokoma.

Kuphatikizika kwakukulu kwa iyo kudzakhala saladi yamasamba, yomwe imaphatikizapo tomato, nkhaka, kabichi. Kuyambira dzungu, zukini, biringanya, mutha kuphika mphodza wabwino kwambiri mwa kuwaza ndi anyezi ndi kaloti.

Kuti mumve kukoma, onjezani tsabola wa belu, kuwaza mowolowa manja mbale yanu ndi zitsamba zatsopano - parsley, katsabola, udzu winawake. Simungapangitse misuzi yazipatso zokha, komanso muzigwiritsa ntchito masamba monga kuwonjezera kwa amadyera.

Valani masaladi okhala ndi kirimu wowawasa wopanda mafuta, mandimu, mafuta ochepa.

Phatikizani mkaka ndi mkaka muzakudya zanu. Gwiritsani ntchito nyama yokonda, monga bere la nkhuku, muzakudya zanu. Njira yothandiza kwambiri yophika kuphika mu uvuni kapena kugwiritsa ntchito chowiritsa chowirikiza.

Kuchokera pa zipatso, sankhani mandimu, maapulo, ma plamu, ma cherries. Ali ndi index yotsika ya glycemic. Imwani khofi wopanda tiyi ndi tiyi, makamaka wobiriwira, zipatso ndi masamba (kupatula mphesa ndi nthochi), ma compotes ndi zakudya.

Muyenera kukumbukira bwino kuti simungadye ndi matenda ashuga ndikuchotsa zinthu izi patebulo lanu. Chotsani shuga ndi zinthu zomwe muli nacho - kupanikizana, kupanikizana, chinsinsi cha zakudya zanu. Kuphika makeke saloledwa - makeke ndi zonona, makeke, ma muffins.

Mwa confectionery, chokoleti chakuda ndi cocoa oposa 70% chololedwa. Shuga wambiri amapezeka muzakaphika chakudya chophika, timitengo ta chimanga, granola, phala lonenepa. M'malo mwake ndi mbewu zachilengedwe, koma osati mpunga kapena tirigu.

Chepetsani kugwiritsa ntchito tchizi zolimba komanso zowerengeka, tchizi chamafuta. Chotsani nyama yamafuta, mafuta owotchera zakudya. Pansi pa mphesa zoletsedwa (kuphatikizapo zouma), nthochi, vwende ndi Persimmon.

Chepetsani kudya kwanu masamba okhuthala monga mbatata ndi beets. Osamamwa madzi otsekemera, timadziti m'matumba.

Monga mukuwonera, mndandanda wazinthu zololedwa ndi zokulirapo, zinthu zoyipa zitha kusinthidwa ndi zina zothandiza.

Zosankha sabata

Mutha kupeza maphikidwe a prediabetes muupangiri wachipatala kapena pa intaneti.

Pansipa pali zakudya zatsatanetsatane kwa masiku 7.

Kodi zakudya ziyenera kukhala chiyani?

Kubwezeretsa thupi mdziko la prediabetes, zakudya ziwiri zazikulu zimagwiritsidwa ntchito - eyiti ndi yachisanu ndi chinayi. Ndiwofanana, koma akusiyana zingapo.

Zakudya No. 8 imagwiritsidwa ntchito ngati prediabetes komanso kunenepa kwambiri mwa wodwala. Odwala ena omwe amadalira kufunika kokhala ndi calorie yambiri omwe amapatsidwa Nambala 9 - chakudya chopanda kuchepa thupi.

Chifukwa chake, mutha kuzindikira kusiyana kwa mtundu wa chakudya chomwe chili ndi prediabetes: nambala 8 ili ndi kuchuluka kwa zopatsa mphamvu, zopatsa mphamvu, zomanga thupi ndi zinthu zina.

Mukamasankha zakudya, muyenera kutsatira malamulo osavuta:

• Mapuloteni oledzera, makamaka, ayenera kukhala nyama,
• Mafuta akudya, osakwana gawo limodzi lachitatu, ayenera kukhala ndiwo zamasamba, chifukwa zimakonzedwa mwachangu,
• Simungadye mafuta osavuta - maswiti, shuga ndi uchi komanso zonse zomwe zimakhazikika pa iwo,
• Pophikira wodwala yemwe ali ndi prediabetes, mutha kugwiritsa ntchito njira zowira, kuphika kawiri, kuphika ndi kuwongoletsa,
• Kugwiritsa ntchito chakudya pakudya kuyenera kugawidwa pamagawo angapo - osachepera asanu ndi limodzi patsiku.

Mukamalemba zakudya za ana odwala matenda a prediabetes, ndikofunikira kuganizira za thupi la mwanayo. Zakudyazo ziyenera kukhala zowonjezereka, pomwe kuchuluka kwa zinthu zomwe zimadyedwa ziyenera kuchepetsedwa molingana ndi kulemera.

Ndikofunika! Pokhala ndi matenda am'mbuyomu, ndibwino kuti mutengere kwa mwana kwa ana kuposa kuti musinthe zakudya zanu zokha.

Pakumwa sabata iliyonse, mutha kupanga menyu wa prediabetes. Zinthu zomwe zimaperekedwa zimadyedwa nthawi iliyonse masana.

Chiwerengero cha chakudya chizikhala 5 kapena kuposerapo, koma musadumphe chakudya cham'mawa.

Zosintha zamasabata sabata

Ganizirani kwambiri za zakudya zomwezi:

1. Chakudya cham'mawa - dzira, saladi wamasamba mu mafuta a masamba, mkate ndi batala.
2. Chakudya chamasana - nyama yophika yophika (nkhuku, kalulu, ng'ombe), buckwheat, masamba atsopano kapena zipatso.
3. Zakudya zokhazokha - msuzi pa msuzi wa masamba, sauerkraut, nyama yokazinga pang'ono, zipatso, mkate.
4. Chakudya chamadzulo - yophika nsomba yamafuta ochepa, masamba pudding, mkate.
5. Asanagone - kapu ya kefir.

Chakudya chimawerengeredwa ndi nthawi ya maola 3-4, yomaliza (p. 5) - asanagone.

Zakudya za Pevzner zimapangidwira makamaka odwala matenda ashuga komanso odwala matendawa. Ndiwosasunthika kuposa mndandanda 8, chifukwa sikuti cholinga chake ndi kuchepetsa wodwala. Kukhazikitsa chakudya chamafuta ndi mafuta, tebulo lazakudya la 9 limasintha mkhalidwe wa odwala omwe ali ndi matenda osokoneza bongo a prediabetes ndi mtundu II.

DzinaloMulingo watsiku ndi tsiku Kalori2200-2400 g Agologolo85-90 g Mafutampaka 80 g Zakudya zomanga thupi300-500 g Madzi2 l Mchere6-8 g B11.5 mg B22.2 mg Vitamini A0,4 mg Vitamini C100 mg Vitamini PP18 mg Potaziyamu3,9 mg Sodium3,7 mg Calcium0,8 mg Chuma15 mg Phosphorous1.3 mg

Ndikulimbikitsidwa kumwa pafupifupi malita awiri a mchere kapena madzi oyeretsedwa patsiku, osagwiritsa ntchito zakumwa zina. Chakudya chizikhala cha pafupipafupi, koma osakhutiritsa kwambiri: kudya kwambiri ndi kowopsa. Njira yabwino yokwaniritsira ndimenyedwe ndikudya chipatso kapena masamba.

Masana amagawidwa m'magawo atatu a gawo lomwelo ndi zakudya zitatu. Kutalikirana kwakanthawi kokhazikika pakati pa chakudya kumakuthandizani kuti muzolowere kusintha kwatsopano. Kumbukirani kuti ndi zakudya za prediabetes zomwe zimapereka zotsatira zabwino.

• kadzutsa - zikondamoyo zosaphika, kirimu wowawasa 10-15%, tiyi,
• nkhomaliro - msuzi wamasamba, buledi, masamba osenda,
• chakudya chamadzulo - nkhuku yodula kuchokera mu uvuni, kanyumba tchizi casserole, phwetekere.

Njira yachiwiri

• chakudya cham'mawa - mapira mapira kuchokera ku mapira, chicory,
• nkhomaliro - msuzi wokhala ndi nyama, phala balere, saladi wa kabichi,
• chakudya chamadzulo - kabichi wowotcha, nsomba yophika, mkate.

• chakudya cham'mawa - phala lalikulu
• nkhomaliro - msuzi wa dzungu, mazira awiri owiritsa, buledi, nkhaka yatsopano,
• chakudya chamadzulo - zukini wophika ndi nyama ndi masamba.

Monga chithunzithunzi chomwe mungagwiritse ntchito:

• kapu yamkaka kapena mkaka,
• saladi wa zipatso ndi yogati yachilengedwe,
• saladi zamasamba (yaiwisi ndi yophika) ndi mbatata zosenda,
• tchizi tchizi
• zinthu zapadera za anthu odwala matenda ashuga (makeke, maswiti).

Menyuyi imakhazikitsidwa potsatira mfundo za kadyedwe koyenera ndipo sipatula zakudya zofunika. Zakudya zambiri zimapezeka kuchokera pazololedwa. Ndikulimbikitsidwa kugwiritsa ntchito chowiritsa chowirikiza, ophika pang'onopang'ono, uvuni kuti muwonjezere katundu wofunikira wazinthuzo ndikuchepetsa kulemera kwa chimbudzi.

Ndani akuyenera kumayesedwa?

Kuti mukhale ndi chidaliro muumoyo wanu ndikukonzanso boma la odwala matenda ashuga nthawi, muyenera kuyesedwa pafupipafupi kwa anthu otsatirawa:

• Kunenepa kwambiri
• Ndili ndi kulemera kwazaka 30, ngati kukhazikika kumakhala kwachikhalidwe,
• Pamaso pa abale omwe ali ndi matenda ashuga a 2,
• Kuthamanga kwa magazi
• Iwo amene adadwala matenda ashuga panthawi yokhala ndi pakati kapena kukhala ndi mwana wolemera kuposa makilogalamu anayi akhoza kukhala akulu,
• Anthu omwe ali ndi matenda am'mimba, munthawi yomwe mayamwidwe amadzimadzi amadzaza.
• Ndi endocrine dongosolo matenda,
• Amayi omwe ali ndi ovary ya polycystic,
• Ana omwe adadwala matenda opatsirana kapena opaleshoni yayikulu.

Zachidziwikire kuti kukhalapo kwa boma la matenda ashuga sikungakhazikike, koma ndibwino kuti muwononge maola angapo kuposa kuyesa kuthana ndi matenda ashuga pambuyo pake.

Zakudya Zoyenera kwa Pre -abetes

1. Kuletsa kwathunthu kwa mowa.
2. Zabwino zopatsa thanzi: mpaka zakudya 6 patsiku zazing'ono.
3. Kukanidwa kwamtundu wa zakudya zamafuta ndi mafuta othamanga.
4. Kugwiritsa ntchito mchere kumangokhala pang'ono komanso kupereka kukoma pang'ono kwa mbale.
5. Kugwiritsa ntchito zakudya zomwe sizipangitsa kuchuluka kwa shuga m'magazi:
   • tchizi chamafuta ochepa
   • nyama yokonda ndi nsomba - chakudya,
   • nyemba zophika
   • anyezi wina kupatula anyezi wokongoletsedwa
   • kabichi yamtundu uliwonse, kupatula kabichi wamba,
   • biringanya wowotcha
   • udzu winawake
   • masamba amadyera
   • Tomato
   • nkhaka
   • bowa - osasankhidwa,
   • sipinachi
   • belu tsabola
   • Cranberries wopanda shuga.

Izi zitha kudyedwa zosaphika kapena zophika ndi chithandizo chochepa cha kutentha. Zakudya zothira kapena zonunkhira ndizoletsedwa.

Pofuna kuthana ndi kusokonezeka kwa thupi, ndikofunikira, choyambirira, kufunitsitsa ndi kufunitsitsa kwa iye mwini. Tsoka ilo, zizolowezi zambiri zimayenera kusinthidwa, zomwe zimakhala zovuta, koma ndizofunikira:

• Zakudya zomanga thupi mosavuta ziyenera kusiyanitsidwa kwathunthu ndi zakudya. Izi zimaphatikizapo zinthu monga ufa, maswiti osiyanasiyana, zakudya, maswiti.
• Chepetsani kuchuluka kwa chakudya chamagulu osakanikirana, chomwe chimaphatikizapo chimanga chilichonse ndi mkate wokhala ndi chinangwa ndi rye, ndikugwiritsa ntchito nokha ziyenera kugawidwa tsiku lonse. Kumwa kwa mbatata, kaloti, beets kumachepetsedwa.
• Mafuta a nyama amayenera kudyedwa pang'ono, makamaka mawonekedwe anyama, nyama yamafuta ndi broth, mitundu yonse ya soseji, batala, mayonesi.
• Pa nthawi yakukonzanso thupi, kukana kwathunthu mowa, m'tsogolo machitidwe ake.
• Sinthani zinthu zonsezi ndi masamba ndi zipatso. Makonda ayenera kuperekedwa kwa zipatso za acidic ndi zotsekemera. Ma nyemba ndi nyemba zimadzaza thupi lonse mwachangu.
• Muyenera kudya chakudya nthawi 5-6 patsiku, zomwe zimachepetsa katundu pa kapamba, osati kudya kwambiri komanso kunenepa.
• Ndi ma calories, chakudya sichiyenera kukhala ndi 1500 kcal patsiku.

Pafupifupi theka la chakudyacho chizikhala gawo la masamba abwino, gawo limodzi la magawo anayi limakhala mbali yodyera komanso chakudya chama protein. Madokotala amalimbikitsa zinthu zingapo zomwe zingachepetse kulemera kwakukulu ndikubwezeretsanso thupi kuchita bwino. Izi zikuphatikiza:

• Zatsopano zamasamba - nkhaka, kabichi (osati chososedwa) chosokedwa), Yerusalemu artichok, zukini ndi zina zotero,
• Zipatso zopanda tanthauzo,
• Zakudya zam'nyanja, nsomba zamafuta ochepa,
• Zakudya za fiber zambiri - chinangwa, tirigu wosaphika,
• Gawo lokometsera ndi adyo, anyezi, sinamoni kapena nutmeg,
• Nyama yokhala ndi mafuta ochepa - ng'ombe, nkhuku,
• Zinthu zamafuta ochepa mkaka
• Azungu azira
• Mitundu yophika nayo yozungulira pogwiritsa ntchito zakudya zovomerezeka. Shuga amasinthidwa ndi zinthu zoyenera.

Palibe malamulo ambiri omwe amayenera kutsatidwa pakudya. Matenda a shuga ndi gawo loyambirira la matendawa ndipo mkati mwake wodwalayo amapatsidwabe chikumbumtima. Pafupifupi theka la mapuloteni omwe amamwa ndi munthu ayenera kukhala achinyama.

Gawo limodzi mwa magawo atatu amafuta onse ndi, masamba. Amatengeka mosavuta ndi thupi. Shuga ndi uchi, komanso zinthu zonse zomwe zimaphatikizidwa, sizimayikidwa pazakudya, koma nthawi yomweyo, mutha kugwiritsa ntchito m'malo mwake ndikudya zakudya zokomera.

Shuga ndiye gwero lalikulu la shuga, ndichifukwa chake saloledwa kudya.Injira zopezekera kuphika: kuwira, kuwotcha, kuphika, nthawi zina kudzikongoletsa osagwiritsa ntchito mafuta ambiri, kuyika mafuta pophika popanda ndodo osagwiritsa ntchito mafuta konse.

Popewa kukula kwa matenda ashuga, ndikofunikira kutsatira mfundo za kadyedwe koyenera. Chofunikira kwambiri pakuyambika kwa matendawa ndiko kumwa shuga wambiri komanso chakudya chambiri.

1. Zakudya zokhala ndi zopezeka zazakudya zamafuta ambiri (maswiti, uchi, zamapichesi ndi zina) zimadyedwa ndizochepa kwambiri.
2. Zakudyazo ziyenera kukhala ndi zakudya zomwe zimakhala ndi mafuta osavuta owononga komanso CHIKWANGWANI (masamba, chimanga, ufa wa wholemeal ndi ena).
3. Mafuta a nyama ayenera kusinthidwa monga mafuta azamasamba momwe angathere.
4. Idyani nyama yokonda, ndikuchotsa khungu ku nkhuku.
5. Idyani pang'ono m'magawo ang'onoang'ono.
6. Osamva njala.
7. Pazakudya zokhazokha gwiritsani ntchito zakudya zamafuta ochepa.

Thanzi la prediabetes liyenera kukhazikitsidwa kuti muchepetse chiopsezo chotenga matenda a shuga, chifukwa chake, kutsatira malamulo monga:

1. Kutsika kwa zakudya zamagulu a chakudya. Munthu akapanda kudya michere yambiri, glucose wocheperako ndi insulin m'magazi, zomwe zikutanthauza kuti katundu pa ziphuphu ndi impso amachepa.
2. Kusintha chakudya chamafuta ndi zovuta. Zakudya zomanga thupi zovuta kuphatikiza shuga komanso magazi zimawonjezera bwino, popanda kudumpha mwadzidzidzi.
3. Kudya zakudya zokwanira fiber. Njala ibwera pambuyo pake. Chifukwa chake, masamba atsopano, zipatso ndi zitsamba ziyenera kukhalapo patebulo.
4. Kuchepetsa kudya zakudya zosakhazikika - mbatata, nthochi, chifukwa wowuma nawonso amapatsa mphamvu.
5. Zakudya - zophatikiza, 5-6 pa tsiku.
6. Zinthu zophika buledi zimasankhidwa tirigu wathunthu kapena kuchokera ku rye, pepala la masamba kapena ufa wa tirigu wa 2nd. Mndandanda wawo wa glycemic ndi wochepera kuposa mkate wopangidwa ndi ufa wa tirigu woyamba.
7. Kukana kwathunthu kuphika, kuphika, ndi confectionery kuchokera ku ufa wa tirigu woyamba.
8. Poletsedwa kokhwima - zakumwa zoledzeretsa, chakudya mwachangu, msuzi wokoma.
9. Mukamasankha mankhwala othandizira kutentha, ndibwino kuti musankhe kuphika kapena kuwotcha osagwiritsa ntchito mafuta ndi mafuta ambiri.
10. Chakudya chabwino kwambiri cham'mawa ndi phala, kupatula mpunga ndi semolina.
11. Kutsatira ndi regimen ya kumwa - imwani malita awiri a madzi oyera.
12. Kugwiritsa ntchito mchere pang'ono (mpaka 4-5 g patsiku).

Timalimbikitsa kwambiri kuti muwerenge malamulo othandizira matenda a prediabetes.

Masewera olimbitsa thupi

Kuchita masewera olimbitsa thupi pafupipafupi kumathandizira kuchepetsa kunenepa komanso kumathandizira kulimbitsa thupi. Pochita masewera olimbitsa thupi, glucose ochulukirapo amadyedwa ngati mphamvu, ndipo shuga yamagazi imatsika. Kuthamanga m'mawa kudakhala bwino.

Ngati kuthamanga kumakhala katundu wolemera, mutha kusintha m'malo mwake ndikuyenda, koma kutenga nthawi yayitali. Kuyenda pafupifupi ola limodzi kuli ngati kuthamanga kwa mphindi 30 ndi mphindi 20 kuthamanga kwambiri.

Kodi matenda a prediabetes angachiritsidwe?

Matenda a shuga amathandizika, kuwonjezera apo, amachiritsidwa kwathunthu. Mutha kuyimitsa kupitirirabe kwa matenda a shuga, koma pokhapokha ngati matendawa adapezeka munthawi yake ndipo njira zoyenera zinatengedwa.

Pazonse, pali njira ziwiri zotulutsira munthu mdziko la prediabetes: Zakudya ndi mankhwala osokoneza bongo.

Chilichonse ndichopepuka komanso modabwitsa. Ngati munthu adatsogolera njira yolakwika, maswiti oledzera, adadziwopseza ndi chikonga komanso zakumwa zoledzeretsa, ndiye kuti pamapeto pake: atha kulemera kwambiri, kusokoneza magwiridwe antchito a metabolic onse omwe amachepetsa chitetezo chokwanira, komanso adayambitsa kudziwononga. Sankafuna kuti abwerere m'mbuyo mu nthawi yake, ndipo palibenso wina amene amapulumutsa.

pitilizani nkhani zanu. Mtsogolomo, mudzayamba kudziwa shuga, yomwe imagwedeza kwambiri "chopondapo" chaumoyo, pomwe mumayimilira ndi khosi kuzungulira khosi lanu monga zovuta za matenda ashuga. Kuchokera kwa iwo kuti odwala matenda ashuga ambiri amafa. Zotsatira zake zimakhala zomvetsa chisoni, sichoncho?

Pewani zizolowezi zoipa. Yambani kudya moyenera komanso kuchita masewera olimbitsa thupi. Chifukwa chake, mumasinthiratu ntchito ya ziwalo zamkati zonse, kuyeretsa thupi ndi poyizoni, kuchepa thupi, kubwezeretsanso, chifukwa kusintha kwa maselo sikungobwereranso kwawokhazikika, komanso kumathandizira.

Kodi prediabetes ndi momwe mungadziwire

Boma la prediabetesic ndikuphwanya kwa kagayidwe kachakudya mthupi la munthu, momwe kuchuluka kwa mafuta kwama visceral kumakulirakulira, komanso kukhudzika kwa maselo kwa insulin yotulutsa kumachepa. Kulephera kwa lipid, metabolism ya carbohydrate kumachitika, ntchito yamtima imasokonekera. Pathology ndi gawo losinthika pakukula kwa mtundu wachiwiri wa matenda ashuga, zizindikiro za matenda ndi zofanana, koma zimawoneka ndi kulimba kochepa.

Zowopsa

Kodi matenda a prediabetes ndi otani ndipo akuyenera kuthandizidwa bwanji? Mwa anthu odwala, kapamba amapanga insulin, koma pang'ono pang'ono kuposa mwa anthu athanzi. Nthawi yomweyo, zimakhala ndi zotumphukira zimachepetsa chidwi cha timadzi timeneti ndipo sitimamwa bwino. Izi zimadzetsa kuwonjezeka kwa shuga m'magazi. mukadutsa mayeso, kuwonjezereka kwa glycemic index kumadziwika, koma osati kuzowonetsa ngati ndi matenda amtundu wa 2 shuga.

Ndani ali pachiwopsezo?

• Anthu okhala ndi achibale apamtima omwe amadwala matenda ashuga.
• Zizindikiro zake za prediabetes zimatha kupezeka mwa azimayi omwe ali ndi matenda ashuga komanso omwe amathandizidwa pa nthawi yobereka ndipo amabereka mwana wolemera makilogalamu 4 kapena kupitilira apo.
• Anthu onenepa kwambiri.
• Zizindikiro za matenda omwe akupezeka amapezeka mwa azimayi omwe ali ndi vuto la ovary.
• Odwala okulirapo kuposa zaka 45.
• Anthu omwe akudwala matenda oyamba a mucous membrane wamkamwa, dongosolo la biliary, chiwindi ndi impso.
• Odwala omwe ali ndi cholesterol yambiri yoyipa ndi triglycerides m'magazi, pomwe lipoproteins yapamwamba imatsitsidwa.
• Anthu omwe ali ndi mbiri yamatenda a mtima, amakonda thrombosis.

Pakachitika zinthu zingapo, kugwira ntchito kwa machitidwe ambiri m'thupi la munthu kumawonongeka, matenda a metabolic amakula, ndipo vutoli limatsala pang'ono kufa. M'tsogolomu, popanda kuchita panthawi yake, matenda amapanga mtundu wa shuga wachiwiri, zomwe zimapangitsa kuti pakhale zovuta zina zamanjenje.

Zizindikiro zamankhwala

Kodi nchiyani chomwe chingakhale zizindikiro ngati boma la matenda ashuga litakula, muyenera kuchita chiyani ngati zizindikiro za matendawo ziwoneka, ndi chithandizo chiti? Matendawa sangakhale ndi mawonekedwe omveka, koma nthawi zambiri, odwala amafotokoza zizindikiro zofanana ndi matenda a shuga:

• Kusenda kwa khungu, maliseche akunja.
• Kumva ludzu kwamphamvu.
• Kukodza pafupipafupi.
• Furunculosis.
• Mabala osachiritsika osachiritsa, abrasions.
• Mwa akazi, pali kuphwanya kwa msambo, mwa amuna - kusabereka.
• Matenda a mucous nembanemba wamkamwa: gingivitis, periodontitis, stomatitis.
• Zowonongeka.
• Migraine, chizungulire, kusokonezeka kwa tulo.
• Kuchulukitsa mantha, kusakhazikika.
• Usiku kukokana mu minofu minofu.

Ngati vuto lanu lonse likuipiraipira, ngati muli ndi zingapo mwazizindikirozi, muyenera kufunsa dokotala ndikuyezetsa mayeso a misempha yamagazi. Nthawi zambiri matenda oterewa amakhala asymptomatic ndipo amatha kuchitika mwapadera mukamayesedwa pafupipafupi. Chifukwa chake, odwala omwe ali pachiwopsezo amalimbikitsidwa kuwunikira glycemia ndikuwunika kwa katswiri kuti adziwe matenda ndi chithandizo cha nthawi yake.

Chithandizo cha prediabetes ndi mankhwala

Adziwa matenda a prediabetes, chochita, ndi chithandizo chiti chomwe chikufunika, ndipo ndizotheka kuchiritsa matendawa, kuchotsera hypoglycemia (ndemanga)? Ngati matenda a prediabetes afika, zizindikiro za mawonekedwe zimawonekera, odwala amapatsidwa zakudya zoyenera, zakudya zochepa zama carb, kusintha kwa moyo, kuchita masewera olimbitsa thupi nthawi zina, ndipo nthawi zina, mankhwala ochepetsa shuga (Metformin) amasonyezedwa.

Zakudya za prediabetes ndizolinga zochepetsera kunenepa kwambiri mwa amayi ndi abambo.

Samalani

Malinga ndi WHO, chaka chilichonse padziko lapansi anthu 2 miliyoni amafa chifukwa cha matenda ashuga komanso zovuta zake. Pokhapokha pakhale thandizo loyenerera la thupi, matenda ashuga amabweretsa mavuto osiyanasiyana, pang'onopang'ono kuwononga thupi la munthu.

Mavuto ambiri omwe amakonda ndi awa: matenda ashuga a m'mimba, nephropathy, retinopathy, zilonda zam'mimba, hypoglycemia, ketoacidosis. Matenda a shuga amathanso kupititsa patsogolo chotupa cha khansa. Pafupifupi nthawi zonse, wodwala matenda ashuga amwalira, akulimbana ndi matenda opweteka, kapena amasintha kukhala munthu weniweni wolumala.

Kodi anthu odwala matenda ashuga amatani? Endocrinological Research Center ya Russian Academy of Medical Sayansi yakwanitsa kupanga mankhwala omwe amachiritsiratu matenda ashuga.

Pulogalamu ya Federal "Health Health Nation" ikuchitika, mkati mwa momwe mankhwalawa amaperekedwa kwa aliyense wokhala ku Russian Federation ndi CIS ZAULERE . Kuti mumve zambiri, onani tsamba lovomerezeka la MINZDRAVA.

Pa chithandizo, ndikofunikira kuyang'anitsitsa mafuta omwe adyedwa ndi chakudya, ndikupeza mndandanda wazakudya tsiku lililonse la sabata. Chakudya chopatsa thanzi chimathandizira kupangika kwa insulin ya m'madzi mu kapamba, chifukwa chophwanya chiwopsezo chake cha maselo m'magazi, kuchuluka kwa glucose kumadziunjikira. Zakudya zokhala ndi prediabetes komanso kunenepa kwambiri kwa wodwalayo, kudya zakudya zoyenera kumakupatsani mwayi wophatikiza zakudya zomwe mumadya pogwiritsa ntchito menyu olondola, motero, mutha kusintha ndikukhalanso ndi mphamvu ndikuthandizira magwiridwe amkati. Menyuyi siyenera kupatula mchere wotsekemera, confectionery, shuga, makeke, pasitala, semolina, zakudya zosavuta, chakudya chothamanga.

Zogulitsazi zimakhala ndi chakudya chamagulu omwe zimapangidwira, omwe, atalowa m'mimba, amachititsa kuchuluka kwa shuga m'magazi. Odwala amatha kuwonjezera zamasamba atsopano ndi zipatso zomwe zimakhala ndi CHIKWANGWANI CHAKUDYA ZAKUDYA ZABWINO, kupatula mphesa, nthochi, madeti, beets. Izi zimatha kudyedwa pang'ono.

Mankhwalawa, nyama zamafuta (batala, mafuta anyama, margarine) ziyenera kusinthidwa ndi mafuta achilengedwe azamasamba, kukana nyama zamafuta, mutha kuphika chifuwa cha nkhuku, kalulu, nkhuku kapena nyama yamphongo yophika, kuphika mu uvuni ndi masamba. Amaloledwa kuwonjezera mafuta owerengeka pang'ono. Mutha kudya zipatso za barele, mafuta a barele, barele ndi chimanga cha tirigu mu mkaka wowonda kapena ndi mafuta a masamba.

Kuphatikiza pa kufunika kobwereza zakudya, zakudya ziyenera kupangidwa. Muyenera kudya m'magawo 5-6 pa tsiku, muyenera kuyesetsa kuti musamaphwanye malamulo komanso kudya nthawi yomweyo tsiku lililonse.

Ndi chitukuko cha matenda a m'mayi mwa amayi ndi abambo, zochitika zolimbitsa thupi za tsiku ndi tsiku zimasonyezedwa. Izi zimathandizira kuti magazi azisungunuka bwino. Tsiku lililonse muyenera kukhala osachepera theka la ora poyenda mumlengalenga, kumathamanga. Ndikofunikira kusewera masewera mwamtundu wocheperako, kuchita masewera olimbitsa thupi kwambiri kumatha kuvulaza.

Ndikofunika kutsatira moyo wathanzi, kusiya zizolowezi zoipa, kusunga tulo ndi kupumula. Kutengera ndi malamulowa, kuchuluka kwa glycemia kumaonekera, nthawi zina ngakhale popanda chithandizo chamankhwala.

Owerenga athu amalemba

Ndili ndi zaka 47, ndinapezeka kuti ndili ndi matenda ashuga a 2. M'masabata angapo ndinapeza pafupifupi 15 kg. Kutopa nthawi zonse, kugona, kumva kufooka, kuwona kunayamba kukhala pansi.

Nditakwanitsa zaka 55, ndinali nditadzibaya kale ndi insulin, zonse zinali zoipa kwambiri. Matendawa adapitilirabe, kukomoka kwakanthawi kunayamba, ambulansi imandibwezera kuchokera kudziko lina. Nthawi zonse ndimaganiza kuti nthawi ino ikhala yomaliza.

Chilichonse chinasintha mwana wanga wamkazi atandilola kuti ndiwerenge nkhani imodzi pa intaneti. Simungayerekeze m'mene ndimamuyamikirira. Nkhaniyi inandithandiza kuthana ndi matenda ashuga, omwe amati ndi osachiritsika. Zaka 2 zapitazi ndidayamba kusuntha kwambiri, nthawi yamasika komanso nthawi yachilimwe ndimapita kumayiko tsiku lililonse, timakhala ndi moyo wachangu ndi amuna anga, timayenda maulendo ataliatali. Aliyense amadabwitsidwa ndimomwe ndimakwanitsira chilichonse, komwe ndimatha mphamvu zambiri, sakhulupirira kuti ndili ndi zaka 66 zakubadwa.

Ndani akufuna kukhala ndi moyo wautali, wamphamvu komanso kuiwalako za matenda oyipawa kwamuyaya, tengani mphindi 5 ndikuwerenga nkhaniyi.

Ndi mankhwalawa omwe amathandizira odwala matenda ashuga azimayi ndi abambo akakhala ndi vuto lotenga matenda ashuga, kodi matendawa angachiritsidwe bwanji ndi Metformin? Nthawi zambiri, odwala amatchulidwa chithandizo cha Metformin, ichi ndi mankhwala othandizira a gulu la Biguanide, omwe amathandizira kukulitsa chiwopsezo cha minofu. Kuphatikiza apo, Metformin imathandizira kugwiritsidwa ntchito kwa glucose owonjezera, imachepetsa mapangidwe ake ndi chiwindi. Mankhwala sayambitsa kukula kwa hyperglycemia.Metformin imachepetsa kuyamwa kwa shuga kuchokera m'mimba.

Mlingo ndi malamulo oti amwe mankhwalawo ndi mankhwala omwe dokotala angagwiritse ntchito ngati wodwala akuganizira za zovuta za wodwalayo komanso kuopsa kwa matendawa. Mankhwala osokoneza bongo ayenera kuchitika mu zovuta ndi zakudya zoyenera komanso zolimbitsa thupi. Ikagwiritsidwa ntchito moyenera, Metformin imayambitsa zotsatira zoyipa zochepa, zimathandizira kuchepetsa kuphatikiza kolesterol ochepa. Metformin kwambiri amachepetsa chiopsezo chotenga matenda a mtima. Mankhwalawa apeza ndemanga zabwino pakati pa madokotala ndi odwala.

Matendawa mwa azimayi ndi abambo ndi belu loopsa asanafike mtundu wa shuga wachiwiri. Mutazindikira zizindikiro za matenda, muyenera kutsatira zakudya zamafuta ochepa zomwe sizikhala ndi mafuta a nyama. Kuchita masewera olimbitsa thupi pafupipafupi kumathandizira kuti khungu likhale ndi insulin. Ngati mumatsatira malamulo a zakudya, moyo wathanzi, matenda atha kuyimitsidwa kwa zaka zambiri, koma anthu omwe ali pachiwopsezo amayenera kuwonetsetsa kuchuluka kwa shuga, cholesterol, triglycerides m'magazi.

Gawani ndi abwenzi:

Nkhani za owerenga athu

Matenda a shuga kunyumba. Patha mwezi kuchokera pamene ndayiwala za kudumphira shuga komanso kumwa insulin. O, momwe ine ndimavutikira, kukomoka kosalekeza, kuyimba mwadzidzidzi. Kodi ndapita kangati kwa endocrinologists, koma amangonena chinthu chimodzi - "Tengani insulin." Ndipo tsopano masabata 5 apita, popeza kuchuluka kwa shuga m'magazi ndikwabwinobwino, osati jakisoni imodzi ya insulini ndipo chifukwa chonse cha nkhaniyi. Aliyense amene ali ndi matenda ashuga ayenera kuwerenga!

Khalidwe la matenda a shuga

Dzikoli lisanachitike shuga limadziwika ndi kuchuluka kwa glucose ndi glycated hemoglobin poyerekeza ndi chizolowezi, komabe, kusiyana kwake ndi matenda a shuga ndikuti munthu amatha kukhala okhazikika mwa kuphatikiza shuga. Kuyesedwa kwa magazi kwa glucose kumatengedwa kwambiri pamimba yopanda kanthu, ndipo kudya ndi kudya sizimakhudzidwa ndi maphunziro a hemoglobin wa glycated.

Zomwe zimayambitsa matenda a prediabetes zimaphatikizira kuperewera kwa ntchito mu kapamba, komanso zikhalidwe za maselo a thupi, omwe amasiya kuyankha pokhudzana ndi insulin. Zowopsa zomwe zimayambitsa matenda a prediabetes komanso matenda ashuga zimaphatikizaponso:

• chibadwire
• matenda a shuga pa nthawi ya pakati,
• onenepa kwambiri
• ukalamba
• matenda a chiwindi ndi impso,
• kuchepa magazi
• kuchuluka kwa mafuta m'thupi.

Kuphatikiza apo, zimatsimikiziridwa mwachipatala kuti kupsinjika ndi zovuta zosiyanasiyana zamaganizidwe ndi mitsempha zimatha kukhala ndi zotsatira zoyipa zamagazi.

Nthawi zambiri, malire am'malire a matenda ashuga osawonetsedwa ndi zizindikiro zowoneka, komabe, mothandizidwa ndi zinthu zakunja, zizindikiro zamavuto m'thupi zimatha kuwoneka:

• ludzu losalekeza
• kukodza pafupipafupi
• kuchepa kwa masomphenya
• kutopa,
• kuyabwa kwa pakhungu ndi mucous;
• kuchepa mphamvu kubadwanso kwa thupi,
• amenorrhea
• kuperewera kwa chilengedwe.

Mkhalidwe wa prediabetesic suwonetsedwa nthawi zonse ndi zizindikiro zotere, komabe, ndikofunikira kumvetsera kuzizindikiro za thupi ndipo ngati mawonekedwe osasangalatsa kapena achilendo, ndikofunikira kufunsa dokotala.

Mndandanda Woletsedwa wazinthu

Mndandanda wazinthu zomwe zimaletsedwa pansi pa prediabetes ndizambiri. Kuphatikiza pa zakudya, ndikofunikira kusiya kusuta ndi kumwa mowa, ngakhale pang'ono.

• pasitala
• yisiti mtanda
• nyama yamafuta ndi msuzi wa bowa,
• nyama yamafuta (nkhumba, mwanawankhosa), nkhuku (bakha, tsekwe) ndi nsomba (nthawi yophukira-nyengo yachisanu, nsomba za mumtsinje zikakhala mafuta ochulukirapo),
• nyama zakumwa zosuta
• Zakudya zamzitini (mphodza, nsomba, zipatso zamasamba),
• nsomba yosalala ya nsomba zam'madzi ndi nsomba zamchere.
• mafuta (oposa 2%) tchizi tchizi, zonona wowawasa, kirimu, tchizi,
• semolina
• Zovala zapakhomo
• shuga, uchi, zipatso zouma, zoteteza, mafuta ophikira,
• zipatso zokoma ndi zipatso (nthochi, mavwende, sitiroberi),
• mwatsopano omata komanso ma CD omata,
• msuzi wotentha (soya, mayonesi),
• nyemba
• chakudya chofulumira
• nyama mafuta (batala, mafuta anyama, margarine),
• dzira yolk.

Mndandanda Wazogulitsa

Mndandandandawu umaphatikizapo zinthu zomwe muyenera kumangapo chakudya choyambirira ndi prediabetes komanso kunenepa kwambiri:

• makeke osauka, mkate wa rye,
• msuzi wamasamba, kawirikawiri nkhuku kapena broth msuzi,
• nyama zopangidwa ndi mawonekedwe azakudya (kalulu, nkhuku, nkhuku),
• chiwindi (chokha chophika)
• nsomba zam'nyanja ndi nsomba zamafuta ochepa (cod, pollock, hake),
• zopangidwa mkaka, tchizi chamafuta ochepa ndi zonona wowawasa,
• chimanga (burwheat, barele ya pearl, oatmeal),
• mbatata (kawirikawiri), tomato, nkhaka, biringanya, amadyera, zukini,
• Zipatso zopanda mafuta (maapulo, ma quinces) mwatsopano kapena zophika,
• zipatso zopangidwa ndi zipatso zatsopano
• mankhwala azitsamba, tiyi, koko, zipatso zamasamba,
• mafuta a masamba
• zonunkhira zachilengedwe (sinamoni, adyo, koriori),
• zoyera.

Zakudya zonse

Ndikofunika kukumbukira kuti pokonzekera mbale kuchokera mndandanda wazakudya zololedwa mkati mwa zakudya 8 ndi 9, ndikofunikira kulingalira mosamala kuchuluka kwa mavitamini, michere ndi zopatsa mphamvu pagawo lililonse ndikutsatira zolimbikitsidwa tsiku lililonse kuti mukwaniritse zomwe mukufuna.

Zinthu zonse zimatha kuphika, kupaka mafuta kapena nthunzi, kuphika mu uvuni. Zakudya zomwe adalimbikitsa ndizosiyanasiyana ndipo ngati mungafune, mutha kukopa malingaliro ndikuwona kusiyana kwakukulu pakati pa tebulo la munthu wodwala matenda ashuga komanso wathanzi.

Kuphatikiza pa kuwonera malire posankha zinthu, muyenera kutsatira malamulo osavuta:

• ndikofunikira kusunga kuchuluka kwa madzimadzi m'thupi (1.5 malita patsiku),
• kukana kwathunthu maswiti okhala ndi shuga, perekani zokonda zawo,
• ziyenera kudyedwa pafupipafupi, koma m'magawo 250 (kuti zikwaniritse zochitika za kapamba,
• Ndikofunika kuti musiye njira yotenthetsera kutentha pazinthu monga kuwaza mafuta, koma kupatula izi, nthawi zina mutha kugwiritsa ntchito mbale yokazinga yokonzedwa ndi mafuta ochepa (makamaka azitona),
• kukanidwa kwa chakudya cham'thupi mwachangu m'malo mwa zovuta ndizofunikira (ndizowonjezera pang'onopang'ono m'magazi a shuga, osati spasmodic),
• kudya mchere kuyenera kuchepetsedwa kwambiri (3-5 g),
• Kugwiritsira ntchito kwa fiber kumakhala ndi zotsatira zabwino polimbana ndi kunenepa kwambiri (pokonza fiber, thupi limalandira mphamvu zochepa kuposa zomwe zimafunikira kupukusa).

Prediabetesic boma

Malire a prediabetesic state ikuwonetsa kuti munthu ali pachiwopsezo chachikulu chokhala ndi matenda a shuga a 2. Kuzindikira koteroko sikumakhala chigamulo, ndipo ngati wodwalayo adalabadira zomwe zikuwonekera pa nthawi yake ndikupita kwa dokotala kuti akamufunse, ali ndi mwayi wonse wochira ndikukhala moyo wathunthu. Ngati simupanga kalikonse kapena kudzimangirira nokha, zinthuzo zikuwopseza kuti zingakubweretsereni mavuto.

Zoyambitsa matenda

Zomwe zimayambitsa matenda asanafike odwala matenda ashuga ndi okwanira, koma chachikulu ndicho kuyankha kokwanira kwa thupi ku insulin. Chifukwa cha izi, shuga wolondola samasungidwa m'magazi, zomwe zimawononga thanzi la munthu. Anthu onenepa kwambiri nawonso ali pachiwopsezo, ndipo ngati simuyambiranso moyo wanu ndi kusiya zizolowezi zoipa, simunganene motsimikiza kuti munthu wotereyu sadzadwala matenda ashuga. Zina zomwe zimakhudza chitukuko cha prediabetes ndi:

• cholowa
• tizilombo matenda,
• m'badwo - nsonga ya matendawa imagwera azaka za 45,
• kuperewera kwa zakudya m'thupi.

Amayi omwe adadwala matenda ashuga panthawi yoyembekezera ali ndi mwayi waukulu wopezeka ndi matendawa kuposa amayi oyembekezera omwe sanadwalidwe.

Zizindikiro za prediabetes

Pazowonongeka, chiwonetsero cha matenda osokoneza bongo chitha kukayikiridwa.

Zizindikiro za prediabetes kumayambiriro kwa chitukuko sizidziwonetsa. Uku ndiye chiopsezo chonse cha matendawa. Nthawi zambiri, zizindikiro za prediabetes zimakhala zopanda pake, chifukwa cha izi, sikuti aliyense amathamangira kwa dokotala kuti akumane ndi mnzake. Koma ngati munthu waona kupatuka kwakukulu kuzikhalidwe, ndikofunika kupita kwa dokotala nthawi yomweyo. Zizindikiro zina za prediabetes zimawonekera motere:

• kuwonongeka kwamawonekedwe
• nkhawa ndi ludzu losatha komanso chikhumbo chofuna kukodza,
• munthu amakhala ndi njala nthawi zonse, ngakhale kuti adya kumene.

Bweretsani ku zomwe zalembedwa

Mayeso a glucose

Kuti adziwe mkhalidwe wa prediabetes, choyamba wodwalayo ayenera kupanga nthawi ndi dokotala yemwe amvere madandaulo onse ndikutumiza kuti adziwe matenda. Pofuna kudziwa kuchuluka kwa shuga m'magazi, wodwala amatenga kachilomboka pachifuwa pamimba yopanda kanthu. Chotsatira, muyenera kumwa yankho la glucose ndipo mukatha maola awiri kuti mutenge zinthuzo. Munthawi imeneyi, thupi liyenera kugaya shuga amene wapezeka, zomwe zimachitika chifukwa chake siziyenera kupitirira 5.5 mmol. Ngati zizindikiro sizikugwirizana ndi chiwerengerochi komanso kupitilira 6 mmol, titha kuganiza kuti munthu ali ndi matenda ashuga osadukiza.

Chithandizo cha matenda a mtima

Mutha kuthana ndi matenda a prediabetes, chinthu chachikulu ndikuti mupeze vutoli munthawi ndikuyamba chithandizo moyang'aniridwa ndi achipatala. Choyamba, adotolo azigwirizanitsa bwino ndi malamulo a kadyedwe ndi wodwala, kupereka mankhwala ngati kuli kofunikira, ndikuwalangizanso kuti ndi njira ziti zamankhwala azikhalidwe zomwe zingathandize kusintha zotsatira za zovuta kuchipatala.

Zakudya - malamulo oyambira

Izi zimafuna kukanidwa kwa mikate yoyera.

Zakudya za prediabetes ndizofunikira kwambiri, popanda chithandizo chodalirika. Choyamba, ndikofunikira kupatula zakudya zomwe zili ndi zakudya zamagulu m'zakudya:

• maswiti
• chokoleti
• zotsekemera
• mikate yoyera
• sodas zotsekemera
• mowa
• zipatso zabwino ndi zipatso zouma,
• mitundu ina ya chimanga.

Makonda ayenera kuperekedwa ku nyama zopanda mkaka, mkaka ndi mkaka wowawasa, masamba komanso zipatso zosapsa. Amaloledwa kudya mkate wopanda chotupitsa kuchokera ku ufa wa wholemeal. Popewa kuchuluka kwa shuga m'magazi a prediabetes, muyenera kudya pang'ono, pafupipafupi, kuphatikiza m'machitidwe a tsiku ndi tsiku osati kadzutsa, chakudya chamadzulo komanso chakudya chamadzulo, komanso zakudya ziwiri. Ndikulimbikitsidwa kupanga menyu sabata limodzi, motero zidzasiyanitsa zakudya ndikupanga zolakwika zochepa posankha mbale za tsiku linalake. Mukamatsatira malamulo osavuta awa, mudzatha kusunga kulemera kwanu moyenera, osatulutsa mwadzidzidzi insulin m'magazi komanso kupewa matenda ashuga.

Mankhwala osokoneza bongo a prediabetes amalembedwa mochulukirapo, ngati sizingatheke kukonza zakudya, popeza wodwalayo adapempha thandizo pamlingo wapamwamba. Ndikulimbikitsidwa kuchitira prediabetes ndi mapiritsi a Metformin. Mapiritsiwo amasinthasintha kuchuluka kwa shuga m'thupi, ndipo zotsatira za mayeso zimabwereranso mwakale. Musaiwale kuti mankhwala aliwonse amaloledwa kumwa pokhapokha atauzidwa ndi dokotala, kudzipanga wekha kungayambitse zovuta komanso kukulitsa matendawa. Mankhwala ali osavomerezeka pamavuto ndi impso.

Chithandizo cha prediabetes ndi wowerengeka azitsamba

A decoction of flaxseed atukula bwino pamenepa.

Matenda a shuga kwa amuna ndi akazi samathandizidwa ndi wowerengeka azitsamba. Njirazi zitha kugwiritsidwa ntchito kuti thupi likhale lathanzi komanso kuti likhale bwino. Mutha kugwiritsa ntchito zotsatirazi za prediabetes:

• Flaxseed decoction. 3 tbsp. lpogaya nthyo mu ufa, kutsanulira 450 ml ya madzi otentha ndikubweretsa. Chepetsa kutentha ndikuphika kwa mphindi 5-7. Gwiritsani ntchito tsiku lililonse pamimba yopanda kanthu.
• Kubwera mankhwala azitsamba. Wouma ndi kuwaza masamba a raspberries, currants ndi blueberries. Kukonzekera kulowetsedwa, tengani 1.5 tbsp. l kumaliza osakaniza ndi kutsanulira 300 ml ya madzi otentha. Lolani kuti aleke kwa mphindi 15, kumwa theka lagalasi nthawi iliyonse musanadye.
• Zochizira, kuyeretsa saladi. Pogaya anyezi watsopano, gulu la katsabola ndi parsley. Sambani masamba a letesi, kuwaza ndi kuwonjezera anyezi ndi zitsamba. Katsabola kakang'ono 1 tbsp. l mafuta a maolivi, mutha kuwonjezera mchere pang'ono.
• Madzi atsopano kuchokera ku beets ofiira. Sambani mbewu ndi muzu, mupangitse mandimuwo. Konzani kumwa nthawi iliyonse mwatsopano, chikho cha before musanadye katatu katatu patsiku.

Ngati mumadya moyenera, khalani ndi moyo wathanzi, ndipo pazizindikiro zoyambirira tengani chithandizo chamankhwala, mutha kuchiritsa matenda a prediabetes. Mfundo zachithandizo ndi zopatsa thanzi mwa ana ndi akulu nzofanana, ndizosavuta ndipo zimalimbikitsidwa kuti zigwiritsidwe ntchito ndi anthu onse pabanja la wodwalayo.

Kuyambiranso

Ndi chizindikiritso cha panthawi yake chovuta ndikuyankha koyenera, matendawo amachira ndi prediabetes. Ngati matendawa apezeka koyambirira, chifukwa cha machiritso ake ndikokwanira kuwona zakudya zoyenera ndi prediabetes, nthawi zambiri mankhwalawa sagwiritsidwa ntchito. Komabe, pazaka zapamwamba, munthu amakhala ndi chiopsezo chokhala ndi matenda a shuga a 2, omwe amakhala owopsa ndipo amafunika zoletsa zambiri komanso kuwongolera thanzi.

Fotokozani

Ngati muwerenga izi, mutha kuzindikira kuti inu kapena okondedwa anu mukudwala matenda ashuga.

Tinachita kafukufuku, tinaphunzira zambiri za zida ndipo koposa zonse tinayang'ana njira ndi mankhwala ambiri a shuga. Chigamulochi ndi motere:

Ngati mankhwalawa onse akaperekedwa, zinali zotsatira zosakhalitsa, atangomaliza kudya, matendawa amakula kwambiri.

Mankhwala okhawo omwe apereka zotsatira zazikulu ndi DIAGEN.

Pakadali pano, awa ndiye mankhwala okhawo omwe amachiritsiratu matenda ashuga. DIAGEN adawonetsa chidwi chachikulu magawo a shuga.

Tidafunsa Unduna wa Zaumoyo:

Ndipo kwa owerenga tsamba lathu pano pali mwayi wopeza DIAGEN ZAULERE!

Yang'anani! Milandu yogulitsa DIAGEN yabodza tsopano.
Mukayika lamulo pogwiritsa ntchito maulalo pamwambapa, mumatsimikiziridwa kuti mudzalandira malonda kuchokera kwa wopanga wamkulu. Kuphatikiza apo, kugula pa tsamba lovomerezeka, mumalandira chitsimikizo cha kubweza (kuphatikizapo ndalama zoyendera), ngati mankhwalawo alibe.