Zomwe zimapangitsa kuti muchepetse shuga m'magazi chifukwa cha masewera, masewera olimbitsa thupi a shuga, contraindication komanso njira zodzitetezera

Dokotala, thandizani!
Ndili pachiwopsezo cha matenda obadwa nawo, ndili ndi zaka 65, ndimatha kudya shuga ndikatha kudya ndilobwinobwino. Palibe matenda a T2DM.
Komabe, nditatha mphindi 15 zochita zolimbitsa thupi, shuga amadzuka ndi mayunitsi 1-2, kumapeto ndikuopa kudya kadzutsa kapena chakudya chamadzulo mutadzuka.

Kodi kuwongolera kuchipatala ndikotheka ngati pakufunika kutero?

Pa Service of a Ask a Doctor kuonana ndi endocrinologist kumapezeka pa intaneti pa vuto lililonse lomwe likukukhudzani. Akatswiri azachipatala amapereka malangizo pazungulira nthawi yonseyi komanso kwaulere. Funsani funso lanu ndikupeza yankho nthawi yomweyo!

Matenda a shuga ndi mayendedwe

Matenda a shuga mellitus makamaka amtundu wachiwiri (T2DM) ndimatenda a metabolic omwe amachitika chifukwa cha moyo wosayenera ndi ma genetic. M'mbuyomu, anthu achikulire nthawi zambiri ankadwala T2DM. Chimodzi mwazifukwa zazikulu ndikusiyana pakati pa kudya calorie ndi masewera olimbitsa thupi. Makamaka, kuchepa kwakukulu kwa zochitika za tsiku ndi tsiku m'zaka zaposachedwa kwachulukitsa kuchuluka kwa matenda ashuga.

Kuchita masewera olimbitsa thupi a matenda ashuga a 2 ndikofunikira kwa odwala onse. Kuchita masewera olimbitsa thupi pafupipafupi kumayambitsa kusintha kwamisempha yambiri, komwe kumakhudza kagayidwe ka maselo a minofu.

Kuchita masewera olimbitsa thupi kumakhala ndi vuto la hypoglycemic lofanana ndi mulingo wa maphunziro opirira. Kuyenda pafupipafupi kumawongolera zotsatira za insulin komanso kumachepetsa kuchuluka kwa mafuta m'thupi. Kuchita masewera olimbitsa thupi pafupipafupi kumawonjezera minofu yanu.

Zotsatira zazikulu zathupi:

• Kuchepa kwa ndende ya shuga, zamadzimadzi m'magazi ndi kuthamanga kwa magazi,
• Kuchepetsa thupi
• Kusintha kwamtima ndi mapapu,
• Kulimbikitsa zochita za insulin.

Zochita zolimbitsa thupi zimathandizira kukulitsa zomwe zimayambitsa matenda a shuga komanso kupewa. Kuphatikiza pazakudya zopatsa thanzi komanso zotheka kugwiritsa ntchito mankhwala osokoneza bongo, masewera olimbitsa thupi ndi njira yofunikira yothandizira odwala matenda ashuga.

Anthu omwe ali ndi chiopsezo chowonjezereka cha T2DM ayenera kuchita masewera olimbitsa thupi pafupipafupi. Ndikulimbikitsidwa kuti muziyenda kwa maola awiri ndi theka kapena kuchita masewera olimbitsa thupi kwa mphindi 150. Zitsanzo za ntchito zoyenera ndizoyenda, Kuyenda ku Norwe kapena kuthamanga. Kuphatikiza pa masewera olimbitsa thupi, ndikofunikira kuti muphunzitse zolimbitsa thupi kawiri pa sabata.

Ngakhale odwala matenda ashuga omwe amamwa mankhwala kapena insulin amatha kuchita zinthu zilizonse. Kusamala kumalangizidwa, chifukwa ntchito zamasewera zimatha kubweretsa hypoglycemia.

Ndikulimbikitsidwa kuyang'anira mwapadera mlingo wa monosaccharides m'magazi, sinthani mlingo wa mankhwalawa ndi insulin kuti mupewe kwambiri hypoglycemia.

Pochita masewera olimbitsa thupi, minofu imatha shuga wambiri ndipo imafunikira insulin yochepa. Chifukwa chake, pamakhala chiopsezo cha hypoglycemia - makamaka ngati wodwalayo adzivulaza yekha ndi insulin. Pamaso podzilimbitsa ndikofunikira kuchepetsa Mlingo wa insulin.

Pambuyo pochita masewera olimbitsa thupi kwa nthawi yayitali, monga kuyenda kwakanthawi, mphamvu yochepetsera shuga imatha maola angapo. Ndikulimbikitsidwa kuyeza glycemia musanagone.

Kuchita masewera olimbitsa thupi ndi gawo lofunikira la pulogalamu yamankhwala. Monga gawo la mankhwalawo, wodwalayo amagwirizanitsa zolinga ndi njira ndi adotolo. Mwanjira imeneyi, adotolo amafotokozanso pulogalamu iti yochita masewera olimbitsa thupi yomwe imamveka bwino kwa wodwalayo.

Zofunika! Ngati shuga sakukwera, muyenera kukambirana ndi dokotala. Mungafunike kusintha mankhwalawa.

Zolinga zamankhwala zimayenera kusinthidwa malinga ndi matenda omwe ali nawo, nthawi yomwe munthu amakhala ndi moyo komanso zaka. Odwala amalangizidwa kuti akwaniritse izi:

• Kulemera kwakuthupi kwamthupi (BMI 24-25 kg / m2),
• Kuthamanga kwa magazi m'munsi mwa 140/90 mm Hg. Art.,
• Cholesterol chonse: 40 mg / dl (> 1.1 mmol / L),
• Triglycerides: Zochuluka Motani?

Nthawi 5 mphindi 30 pa sabata - nthawi yokwanira yophunzitsira. Masewera omwe amakonda amakonda ndikuyenda, kuthamanga, aerobics yamadzi, yoga, masewera olimbitsa thupi. Pomaliza, koma zochepa, kuchita bwino pang'ono kumatha kupezeka ndi kusintha pang'ono chabe m'moyo watsiku ndi tsiku. Ndikulimbikitsidwa kugwiritsa ntchito bokosi lazida mmalo mokwera chikepe. Ndikulimbikitsidwa kuti muziyenda panja nthawi zonse.

Zokhudza shuga

Zotsatira zabwino zolimbitsa thupi zimatha mpaka maola makumi awiri ndi awiri atatha maphunziro. Wodwalayo ayenera kuchita masewera olimbitsa thupi katatu pa sabata. Ndikulimbikitsidwa kuti pang'onopang'ono muwonjezere zovuta ndi kutalika kwa katundu. Kuchita masewera olimbitsa thupi pafupipafupi kumathandizanso kulimbitsa thupi, mbiri ya lipid, kudzidalira, motero, moyo wabwino.

Ngati ndi kotheka, muyenera kukopa tsiku lililonse. Sikulimbikitsidwa kuchita masewera olimbitsa thupi musanagone kuti mupewe usiku hypoglycemia. Osaba jakisoni pafupi ndi minofu yomwe imagwiritsidwa ntchito pophunzitsa. Kupanda kutero, insulin ingayambitse kwambiri hypoglycemia.

Maora 1-2 musanaphunzitsidwe, muyenera kutenga magawo awiri a mkate. Ndikulimbikitsidwa kuti mutenge mapiritsi a shuga a 2-3 kuti mupewe kapena kuchitira hypoglycemia. Anthu odwala matenda ashuga ayenera nthawi zonse kukhala ndi glucometer nawo.

Zawonetsedwanso kuti kuchuluka kwa glucose mukatha kudya kumachepa pamene odwala ayamba kusuntha. Monga lamulo, odwala matenda ashuga amatha kusewera masewera amtundu uliwonse ngati amawunika shuga m'magazi ndikutchinjiriza hypoglycemia. Kuukira kwambiri kwa hypoglycemic kumatha kupondereza matendawa.

Contraindication

Iwo ali osavomerezeka kuchita masewera kwambiri matenda - decompensated mtima kulephera, matenda ashuga, ochepa matenda oopsa gawo lomaliza, nephropathy. Kupsinjika kwambiri kumatha kukulitsa thanzi la odwala.

Masewera olimbitsa thupi amatha kuchitidwa pambuyo poyankhulana ndi dokotala. Pazifukwa zachitetezo, phindu la shuga m'magazi liyenera kukhala ndi mtengo wopitilira 180 mg / dl.

Kuphatikiza kwa kulimbitsa thupi ndi kulimbitsa thupi kumawerengedwa kuti ndi njira yothandiza kwambiri yochizira. Malinga ndi kafukufuku wa 2005, kuyenda mtunda wa ma kilomita asanu tsiku lililonse kumathandizira kuti HbA1c ikhale yotsika komanso kuthamanga kwa magazi.

Uphungu! Kuchita masewera olimbitsa thupi ngati muli ndi matenda ashuga kapena kunenepa kwambiri ndikofunikira pakulimbikitsidwa ndi dokotala. Nthawi zina, masewera ochita masewera olimbitsa thupi (oyeserera kapena ena) atha kubedwa. Olimbitsa thupi kuti mukwaniritse zomwe mukufuna glycemic mutha kuchita mu masewera olimbitsa thupi mutatha kuyesa mayeso onse.

Ngati glycemia itachepa kapena kukwera kwambiri, wodwala matenda ashuga ayenera kufunsa dokotala. Ndi kukulira kowopsa kwa glycemia, muyenera kutenga insulin, ndipo ndi kuchepa - kachilombo ka shuga. Ngati shuga amachepa kapena ayamba kuchuluka kwambiri, mwana, wachinyamata kapena wodwala wamkulu ayenera kupita kuchipatala mwachangu. Hypo- and hyperglycemia (shuga yayikulu ndende) imatha kukhala yovuta pa odwala ndikuwatsogolera pamavuto akulu.

Zochita zolimbitsa thupi komanso momwe zimakhudzira thupi la wodwala yemwe ali ndi matenda ashuga

Pamaso pa matenda a shuga a 2 odwala, masewera olimbitsa thupi amathandizira kuwongolera shuga la magazi ndi:

1. Kugwiritsa ntchito bwino mankhwala okhala ndi insulin ndi thupi.
2. Kuwotcha mafuta owonjezera m'thupi, omwe amakupatsani mphamvu kuti muchepetse kunenepa, komanso kuchepa kwa kuchuluka kwa mafuta m'thupi kumabweretsa chidwi chachikulu ndi insulin.
3. Kuchuluka kwa minofu yonse.
4. Kuchulukitsa mafupa.
5. Kutsitsa magazi.
6. Kuteteza ziwalo za mtima ndi matenda ku mtima mwa kuchepetsa cholesterol ya LDL mthupi komanso kuwonjezera kuchuluka kwa mafuta a LDL.
7. Kupititsa patsogolo thanzi komanso thanzi.

Kuphatikiza apo, zolimbitsa thupi zimakhudza ndikuthandizira kuchepetsa mwayi wopsinjika ndikuchepetsa nkhawa.

Kuchita masewera olimbitsa thupi kumawerengedwa kuti ndi gawo lofunikira pakukhazikitsa glucose m'thupi ndikuwongolera momwe matendawo aliri. Komabe, katundu woteroyo thupi limatha kupereka vuto, chifukwa ndizovuta kutengera momwemo ndikuiganizira, mogwirizana ndi kuchuluka kwa mankhwala ndi zakudya.

Pakupereka masewera olimbitsa thupi, ngozi imakhala ndi kusayembekezereka komanso kusayembekezereka. Ngati katundu wabwinobwino amatumizidwa thupi, amakumbukiridwa mu zakudya komanso muyezo wa mankhwalawo.

Koma pankhani yonyamula katundu mthupi, ntchito ndizovuta kuyipima, katundu wotere amakhala ndi mphamvu pa shuga. Chovuta ndikuti mulingo wa insulini womwe muyenera kulowa m'thupi kuti mukhale ndi shuga wambiri ndizovuta kuwerengera zoterezi.

Pambuyo pa kuphunzitsidwa, komwe kumachitika mwadzidzidzi, ndizovuta kudziwa zomwe zimafunika kudyedwa kuti thupi likhale ndi mphamvu m'thupi la wodwalayo, popeza kutsika kwa shuga m'magazi nthawi ngati imeneyi kumatha kukhala kwamphamvu. Mukatha kudya zopatsa mphamvu zamafuta ochulukitsa, mshuga umakwezanso msanga, zomwe zingayambitse hyperglycemia.

Pofuna kupewa kuwonjezeka kwambiri komanso kuchepa kwa shuga ndi insulin mthupi, ndikofunikira kuwerengetsa molondola kuchuluka kwa mankhwala okhala ndi insulin.

Katundu wakuthupi pamthupi posowa insulin

Mukamachita masewera olimbitsa thupi kapena masewera, malinga ngati pali kuchuluka kwa shuga m'magazi opitilira 14-16 mmol / L ndi kusowa kwa insulin, mahomoni olimbana ndi mahomoni akupitilizidwa kupangidwa mthupi la munthu mosalekeza. Chiwindi cha munthu yemwe ali ndi matenda osokoneza bongo amakomoka akapatsidwa mankhwala chimodzimodzi ngati ali ndi insulin yokwanira m'thupi.

Mphamvu ya minofu yamtunduwu m'thupi limakhala lokonzekera bwino kuti mayamwidwe amkaka akhale gwero lamphamvu. Koma zikasowa insulin m'magazi, shuga sangatengeke ndi minofu ndikuyamba kudziunjikira m'magazi. Ngati wodwala matenda ashuga ayamba kuphunzitsa, ndiye kuti shuga akhoza kuwuka kwambiri m'magazi, ndipo maselo am'mimba pakadali pano akuvutika ndi njala. Nthawi ngati izi, thupi limayesetsa kukonza zinthu, zomwe zimapangitsa kuti mafuta ayambe kugwira ntchito. Kuyeza pambuyo pa katundu wotere kumawonetsa kukhalapo kwa poyizoni wa acetone mthupi.

Pokhala ndi shuga wambiri m'magazi, kupsinjika kwakukulu pamthupi sikubweretsa phindu lililonse. Ndi kulimbitsa thupi, kuchuluka kwa shuga kwa magazi kuyambanso kuwonjezeka, chifukwa chake, masewera olimbitsa thupi ali ndi vuto lililonse, zomwe zimayambitsa kuphwanya kagayidwe kazachilengedwe kwa anthu.

Ngati pakulimbitsa thupi thupi la shuga likukwera kuzisonyezo zopitilira 14-16 mmol / l, ndiye kuti kulimbikira zolimbitsa thupi kuyenera kuyimitsidwa kuti pasadzapweteke boma, lomwe mtsogolomo limatha kudziwonetsa ngati zizindikiro za kuledzera ndi poyizoni ndi acetone. Kuyambiranso kwamaloleza kumaloledwa ngati shuga m'magazi ayamba kugwa ndikuyandikira chizindikiro pafupi 10 mmol / L.

Simungathe kuchititsa maphunziro ngakhale mutakhala kuti zochitika zolimbitsa thupi zitha kukhala thupi pambuyo pokhazikitsa mlingo wa insulin m'thupi. Pakadali pano, kuchuluka kwa shuga ndi insulin m'thupi ndikwabwinobwino, koma panthawi yochita masewera olimbitsa thupi, kusala bwino kumasokonezeka ndipo kuchuluka kwa shuga kumayamba kukwera.

Mukamaphunzitsidwa, timadzi timadzi timadzi timene timayamwa kwambiri m'thupi la insulini ndipo zomwe zili m'magazi zimayamba kuchuluka. Chiwindi chomwe chikuchitika izi chimalandira chisonyezo chochokera m'thupi chokhudza kupendekeka kwake ndi shuga ndikuletsa kutuluka kwa magaziwo.

Izi zimapangitsa kuti mukhale ndi njala komanso mukhale pafupi ndi hypoglycemia.

Maphunziro akuthupi pamaso pa matenda ashuga

Zochita zokhazikika zamaphunziro olimbitsa thupi zimathandizira kukulitsa kwathunthu thanzi la munthu. Anthu omwe ali ndi matenda ashuga m'thupi amakhalanso chimodzimodzi. Kuchita masewera olimbitsa thupi pafupipafupi kumathandizira kukulitsa chidwi cha ma receptors, omwe amapereka kuchepa kwa shuga mthupi komanso kusintha kwa zinthu za insulin poyang'ana kuchepa.

Kuchita masewera olimbitsa thupi pafupipafupi kumathandizira kukonza kagayidwe kazakudya zomanga thupi pomwe kumathandizira njira yochepetsera mafuta. Kuchita masewera olimbitsa thupi, kumathandizira kuti mafuta awonongeke, kumachepetsa kulemera kwa munthu aliyense komanso kumakhudza kudzipereka kwamafuta m'magazi a munthu. Chifukwa cha katundu wambiri, zinthu zomwe zimayambitsa kukula kwa matenda osokoneza bongo zimachotsedwa ndikuwathandizanso kuti zisamachitike.

Mukamachita masewera olimbitsa thupi ayenera kuyang'anira zakudya ndi zakudya za wodwala. Izi zimafunikira kuti tisakhumudwitse kukula kwa hypoglycemia. Kuwongolera kwapadera kuyenera kuchitidwa ngati mwana yemwe ali ndi matenda ashuga akuchita nawo masewera. Izi ndichifukwa choti ana amasilira zaumoyo wawo ndipo samatha kuyimilira ndikuletsa kupanikizika ndi thupi munthawi yake.

Ngati pali matenda ashuga m'thupi, zolimbitsa thupi ziyenera kusinthidwa ndi zakudya. Ndikulimbikitsidwa zotere kuti kudya chakudya ola lililonse lomwe mphamvu yake imakhala mkate umodzi.

Ndi katundu wautali thupi, mulingo wa insulin womwe umalowe mthupi uyenera kuchepetsedwa ndi kotala.

Pakachitika prerequisites ya hypoglycemia, iyenera kulipidwa ndi kudya zamafuta, zomwe zimapangitsa kuchuluka kwa shuga mthupi. Ngati pali kuthekera kwakukulu kokulitsa kwa hypoglycemia, tikulimbikitsidwa kudya zakudya zokhala ndi chakudya chamagulu omwe ali ndi kapangidwe kake. Kugwiritsa ntchito zinthu ngati izi kumalimbikitsa msanga shuga m'thupi. Zakudya zomwe zimakweza msanga msanga mthupi zimaphatikizapo:

Kuti zolimbitsa thupi zitha kukhala ndi zotsatirapo zabwino m'thupi, ziyenera kugawidwa moyenera.

Malangizo olimbitsa thupi

Tiyenera kukumbukira kuti katundu wokhazikika monga kuthamanga, kusambira ndi zina ndizololedwa kwa munthu yemwe ali ndi matenda osokoneza bongo. Katundu wambiri pamatupi monga, mwachitsanzo, kukankha ndi kukweza kwambiri amatsutsana mwanjira ina;

Katundu aliyense wogwiritsidwa ntchito pathupi akhoza kugawidwa m'magawo atatu:

1. Pamagawo oyamba, ndimphamvu zolimbitsa thupi monga kuyenda ndi squat zimaperekedwa. Mukamachita ntchitozi, chiwalochi chimawotha ndikumakonzekera kuzindikira kwamphamvu kwambiri. Kutalika kwa gawo ili ayenera kukhala pafupifupi mphindi 10. Pambuyo gawo ili la katundu pa thupi, muyenera kuwunika kuchuluka kwa shuga m'thupi.
2. Gawo lachiwiri la katundu pa thupi limaphatikizapo kupereka njira yothandizira ntchito yamtima. Kuchita masewera olimbitsa thupi nthawi yayitali kwambiri atha kukhala, mwachitsanzo, kusambira kapena kuyenda panjinga. Kutalika kwa gawo ili sikuyenera kupitirira mphindi 30.
3. Gawo lachitatu lolimbitsa thupi limaphatikizapo kuchepa pang'onopang'ono kwa katundu m'thupi. Kutalika kwa gawo ili ayenera kukhala osachepera mphindi 5. Cholinga chachikulu cha gawoli ndi kubweretsa thupi kukhala labwinobwino komanso kukonza momwe ziwalo zonse ndi machitidwe zimakhalira.

Popanga njira yochitira masewera olimbitsa thupi, zaka za odwala omwe ali ndi matenda ashuga ziyenera kuganiziridwanso. Kwa wachichepere, akatunduwo amatha kukhala owonjeza kwambiri kuposa wachikulire. Pambuyo pamasewera, kusamba ofunda kumalimbikitsidwa. Pamapeto pa masewera olimbitsa thupi, ndikofunikira kuti mufufuze kuchuluka kwa shuga m'magazi.

Pofuna kupewa kupezeka kwa nocturnal hypoglycemia, munthu sayenera kusewera masewera pambuyo pa maola 18 ndipo sayenera kugwira ntchito pambuyo panthawiyi. Pankhaniyi, minofu yomwe yatopa tsiku limodzi imakhala ndi nthawi yochira wodwala asanagone. Kanema yemwe ali munkhaniyi akuwonetsa momwe mungapangire masewera olimbitsa thupi omwe ali ndi matenda ashuga.