Kodi ndikofunikira kutsatira zakudya zamitundu iwiri? The endocrinologist akuti

Aliyense amadziwa mawu oti: "Mankhwala amakono samayima." Pamaso panga pali zitsanzo zambiri za anthu omwe, ngakhale amadwala komanso kuvulala, chifukwa cha zomwe madotolo ndi akatswiri opanga mankhwala, amakhala moyo wathanzi ngati anthu athanzi. Poona zonsezi, odwala ambiri omwe ali ndi matenda ashuga akuganiza kuti ngati awapangira zinazake zomwe zingawathandize kuti asadziikire malire? Tidafunsa funsoli kwa katswiri wathu wokhazikika Olga Pavlova.

Dokotala endocrinologist, katswiri wa matenda ashuga, wazakudya, wa masewera olimbitsa thupi Olga Mikhailovna Pavlova

Omaliza maphunziro ku Novosibirsk State Medical University (NSMU) omwe ali ndi digiri ku General Medicine ndi ulemu

Anamaliza maphunziro apamwamba ndi ulemu kuchokera kudziko lapansi la endocrinology ku NSMU

Amaliza maphunziro apamwamba ku Dietology yapadera ku NSMU.

Anadutsanso ukadaulo mu Sports Dietology ku Academy of Fitness and Bodybuilding in Moscow.

Anapitiliza maphunziro otsimikizika pa psychocorrection ya kunenepa kwambiri.

Nthawi zambiri ndimamva funso la wodwala ku phwando: "Dotolo, ngati mutatenga mankhwala amakono, ochepetsa shuga, sindingathe kudya?"
Tiyeni tikambirane nkhaniyi.

Monga tikudziwa, ndi matenda ashuga, zakudya zimathetseratu kugwiritsa ntchito zakudya zamafuta othamanga, ndiko kuti, maswiti (shuga, kupanikizana, makeke, makeke, masikono) ndi zinthu zoyera za ufa (mkate woyera, mkate wa pita, pizza, ndi zina).

Kodi ndichifukwa chiyani timachotsa chakudya cham'mimba chofulumira?

Zakudya zamafuta othamanga zimaphwanyidwa ndikugonekedwa ndi matupi athu mwachangu, monga dzina lawo likunenera, chifukwa chake, mutatha kudya zakudya zamafuta ambiri mu shuga, shuga m'magazi amakwera. Ngakhale titamwa mankhwala amakono, otsika mtengo a shuga, kuchuluka kwa mafuta atatha kudya chakudya cham'thupi kwambiri kumakulirabe, ngakhale kuli kochepa ngati wopanda mankhwala. Mwachitsanzo, mutadya keke ziwiri pamankhwala ambiri a shuga, shuga wochokera ku 6 mmol / L adzakulira mpaka 15 mmol / L. Poyerekeza ndi momwe ntchito yamakono yotsatsira shuga yotsika mtengo, shuga wamagazi amachokera 6 mol / L pambuyo pa zidutswa ziwirizi za keke ziziuluka mpaka 13 m mmol / L
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Kodi pali kusiyana? Pa mita, inde, ilipo. Ndipo pazotengera ndi mitsempha, shuga pamwamba pa 12 mmol / L ali ndi zowonongeka.

Kotero ngakhale ndi chithandizo chabwino kwambiri cha matenda ashuga, kusokonezeka kwa zakudya kumabweretsa zotsatirapo zoyipa.

Monga tikudziwa, shuga wamkulu amawononga endothelium - kulumikizana kwamkati mwa ziwiya ndi msempha wamanjenje, zomwe zimatsogolera pakupanga zovuta za matenda ashuga.
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Ngakhale tikayeza shuga katatu patsiku ndi glucometer (asanadye komanso maola awiri mutadya), sitingazindikire "zakumwa" za shuga mukamadya chifukwa chakudya chimasokonekera, chifukwa mukatha kudya chakudya chambiri, shuga m'magazi amadzuka pambuyo pa mphindi 10 mpaka 20 mpaka 30 mpaka 30 mutatha kudya, kufikira kuchuluka kwambiri (12-18-20 mmol / l), ndi maola awiri mutatha kudya, tikayeza glycemia, shuga yamwazi ili ndi nthawi yobwereranso ku nthawi zonse.

Chifukwa chake, kudumphira m'magazi atatha kudya chakudya chamafuta ambiri omwe amawononga mitsempha yathu yamagazi ndi mitsempha ndikuyambitsa zovuta za matenda ashuga, sitikuwona tikamayeza shuga ndi glucometer, ndipo timaganiza kuti zonse zili bwino, kuphwanya zakudya sizinatipweteke, koma kwenikweni M'malo mwake, shuga osagwirizana ndikaphwanya zakudya, timawononga mitsempha yamagazi ndi mitsempha ndikuwongolera matupi athu kukulitsa zovuta za shuga - kuwonongeka kwa impso, maso, mapazi ndi ziwalo zina.

Amatha kudumphadumpha m'magazi pambuyo pophwanya zakudya kumatha kuwoneka bwino pokhapokha ngati magazi a glucose akhazikika. Ndipamene tikugwiritsa ntchito popitiliza kuyang'ana magazi a m'magazi kuti tiwone apulosi owonjezera akudya, chidutswa cha mikate yoyera ndi zovuta zina zakudya zomwe zimavulaza thupi lathu.

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Ndikugwirizana kwathunthu ndi mawu omwe ali ngati mafashoni tsopano: "ZOPHUNZITSIRA SI ZOPHUNZITSIRA, KOMA CHIWONSE"

Zowonadi, ngati mumatsatira zakudya zoyenera za anthu odwala matenda ashuga, kulandira mankhwala osankhidwa mwapamwamba, pitani m'masewera ndipo mumayesedwa pafupipafupi, ndiye kuti zabwino zonse komanso chiyembekezo chamoyo ndizofanana, kapenanso kukhala chapamwamba komanso chabwinoko kuposa kwa anthu opanda matenda ashuga. Mu shuga mellitus, udindo waukulu wokhala ndi thanzi umagona ndi wodwalayo, chifukwa ndi wodwala yemwe ali ndi udindo wotsatira zakudya, kuwunika kuchuluka kwa shuga m'magazi, kumwa mankhwala osokoneza bongo panthawi, komanso kuchita masewera olimbitsa thupi.

Chilichonse chiri m'manja mwanu! Ngati mukufuna kumakhala mosangalala kuyambira kalekale ndi matenda ashuga, yambani kutsatira zakudya, sinthani mankhwala a endocrinologist, onetsetsani kuti mumatha kuchita masewera olimbitsa thupi m'njira zovomerezeka, kenako thanzi lanu, thanzi lanu komanso mawonekedwe anu zingakusangalatseni ndikukhala zitsanzo kwa ena!

Zizindikiro za matenda ashuga. Zakudya za shuga. Mavuto a shuga

Masiku ano, munthu aliyense wachikhumi ndi chimodzi ali ndi matenda ashuga. Izi zikutanthauza kuti chidziwitso cha zidziwitso ndi chithandizo cha matenda ashuga chikhoza kufunidwa ndi aliyense - kwa iwo kapena okondedwa. Olga Anatolyevna Rozhdestvenskaya, dotolo wamkulu wa endocrinologist-lishe ku Polyclinic.ru Center, akunena za zomwe zimayambitsa matenda a shuga 2, omwe ndi otheka komanso osatheka chifukwa cha matenda ashuga.

Matenda a shuga mellitus (DM) ndi gulu la matenda omwe amapezeka kuti ali ndi shuga wambiri m'magazi. Mtundu 2 wa shuga mellitus (T2DM) ndi mtundu wofala kwambiri wa matenda ashuga. Ndi T2DM, thupi lathu limagwiritsa ntchito molakwika insulin - matenda omwe amatchedwa insulin kukana. Kasitomala amapanganso insulini yowonjezereka kuti ikwaniritse insulin kuti maselo azikhala ndi insulini, koma pakapita nthawi, njira zonse zoteteza zimafooketsa komanso kagayidwe ka glucose kamachoka.

Kuopsa kwa matenda osokoneza bongo kumayambira pang'onopang'ono, komwe kumachitika nthawi zambiri, komwe kumapangitsa kuti pakhale zowopsa zamtima zamtundu wamtima, monga kufooka kwa mtima, matenda opha ziwalo, komanso kulephera kwa mtima.

Vuto lalikulu masiku ano ndilakuti matenda a shuga a mtundu wachibiri samadziwikirabe kwazaka zambiri, monga hyperglycemia (shuga yayikulu magazi) imayamba pang'onopang'ono ndipo imakhala yovuta kwambiri. Anthu amakhala ndi thanzi labwino ndipo samadandaula chilichonse. Muyenera kumvetsetsa kuti kukulitsa zovuta kumayamba ndi kuyamba kwa matenda ashuga.

Izi ndi zina mwa zomwe anthu amakhala ndi matenda a shuga okha:

kukodza pafupipafupi
ludzu
njala yosalekeza ngakhale mutangodya kumene
kutopa kwambiri
kufooka
mawonekedwe osaneneka
akuchiritsa mabala pang'onopang'ono
dzanzi, kumva kuwawa, kupweteka m'munsi

Zachidziwikire, chifukwa cha kuchuluka kwa shuga m'magazi, madandaulo amakhala owonjezereka komanso amakhala ndi vuto la shuga.

Zomwe zimayambitsa matenda a shuga ndizophatikiza zomwe zimabadwa komanso zopezeka. Wasayansi wotchuka Robertson adalemba kuti choyambitsa chachikulu cha matenda ashuga ndicho mtundu wa munthu yemwe, ngati mfuti yodzaza, amatha kukhala ndi majini omwe ali okonzeka kuwombera nthawi iliyonse (yambitsa chitukuko cha matendawa) motsogozedwa ndi zinthu zachilengedwe.

Chiwopsezo chotenga matenda a shuga chikukula ndi ukalamba, kunenepa kwambiri komanso kumangokhala. Ngati wachibale wanu akudwala ndi matenda a shuga, ndiye kuti chiwopsezo chake chikuwonjezereka kuchokera 2 mpaka 6. Dziwani kuti ana obadwa kumene omwe anali olemera mpaka 2,5 makilogalamu, ndi ana omwe adaleredwa ndi chakudya chofukizira, atha kukhala pachiwopsezo chotenga matenda a shuga.

Nthawi zambiri azimayi amadwala matenda ashuga. Zowonjezera zomwe zimayambitsa chiwopsezo ndi matenda ashuga gestational panthawi yomwe ali ndi pakati komanso kulemera kwa akhanda ndi 4 kg kapena kuposa.

Palibenso “piritsi lozizwitsa” la matenda ashuga. Amakhulupirira kuti ngati matenda a shuga adapezeka kumayambiriro, komanso bwino - pamlingo wa prediabetes, kudwalaku kumakhala kwabwino kwambiri.

Pambuyo pakupezeka kwa "prediabetes" kapena "mtundu 2 shuga mellitus", ndikofunikira kupereka mankhwala ochepetsa shuga kwa odwala ndikupereka malingaliro pazakusintha kwa moyo wawo. Kupatula apo, zatsimikiziridwa mwasayansi: zakudya zokhazokha zopatsa thanzi komanso zolimbitsa thupi sizingathe kulipira kwathunthu shuga. Chifukwa chake, ndikofunikira kudziwitsa onse odwala ndi madotolo za zokhudzana ndi zamankhwala kuti chithandizo chokwanira chokwanira chikaphatikizidwa komanso kusintha kwamachitidwe kumachitika, ndibwino kuti matendawo ayambe.

Chofunikira kuvomereza matenda a shuga ndichizolowezi chochita zolimbitsa thupi komanso kuwongolera mwamphamvu magazi. Kusiya kusuta fodya komanso kuchepetsa kumwa kumafunikanso.

Pali lingaliro lolakwika kuti ndikokwanira kumangodya zakudya zokhala ndi shuga, ndipo shuga wamagazi amatsika. Inde, shuga wabwinobwino amatha kukhala ndi chakudya, koma osati kwanthawi yayitali.

Kodi wodwala matenda ashuga amakumana ndi mavuto ati?

Odwala athu amakhala ndi zovuta pokhapokha ngati ali ndi matenda oopsa a hyperglycemia (shuga yayikulu). Amayamba kutenga kachilombo komanso matenda opatsirana. Pali chiyembekezo cha khansa. Ndi kuvulala, mabala amachiritsa pang'onopang'ono. Chovuta chachikulu cha odwala matenda ashuga ndikutsatira kwamalangizo onse a dotolo, chifukwa pafupifupi samamva zodandaula zilizonse ndipo amadziona ngati athanzi.

Odwala omwe ali ndi insulin mankhwala kapena amalandila chithandizo cha hypoglycemic amatha kukhala ndi hypoglycemia (shuga m'magazi), mpaka kuphatikizira kuzindikira. Matendawa ndi oopsa kwambiri, chifukwa amatha kubweretsa vuto lalikulu. Makamaka kwambiri hypoglycemia imapezeka mwa okalamba. Zachidziwikire, mankhwala amakono ochepetsa shuga ndi otetezeka ndipo kawirikawiri samayambitsa shuga wochepa, komabe, zinthu ngati izi zitha kupewedwa podziyang'anira mokwanira komanso kuyeza shuga wamagazi kuchokera pachala.

Sitileka kuuza odwala athu kuti limodzi ndi chiyambi cha matenda ashuga, mavuto akulu akulu komanso amakono akayamba. M'magawo a glucose ochulukirachulukira m'magazi kapena kusinthasintha kwakukulu m'magawo ake, kuphatikizika kwa njira zamatenda kumayambitsidwa:

michere yotupa: matenda a ziwiya za impso, retina,
macrovascular zovuta: atherosulinosis ya ziwiya zazikulu,
kusintha kwa chiwindi
kuphwanya kapangidwe ka mahomoni ogonana (kukalamba mwachangu),
matenda a mafupa
kuphwanya matumbo microbiota ndi njira zina zambiri

Chinthu chachikulu mu shuga ndi kuwongolera kwa shuga wamagazi. Muyeso umachitika pamimba yopanda kanthu. Kuti tipeze zakudya zoyenera, timayang'ana glucose musanadye komanso maola awiri mutatha kudya. Zogulitsa zomwe zimapereka kusunthika kwakukulu kwa glycemic wopitilira 2 mmol / l ziyenera kuyikidwa pambali pazakudya kapena kugwiritsa ntchito pang'ono.

Komanso, odwala matenda ashuga amafunikira kukayezetsa mwapadera: ziyenera kuphatikizapo kuyesa magazi, kutsatira mkodzo ndi kufunsa kwa akatswiri okhudzana:

Glycated hemoglobin (HbA1C) - shuga wambiri wamiyezi itatu (nthawi imodzi m'miyezi itatu)
Kuyesedwa kwa magazi pafupipafupi (2 pachaka)
Urinalysis (2 kawiri pachaka)
Urinalysis kwa microalbuminuria (2 pachaka)
Kusanthula kwa zamankhwala amwazi: mapuloteni, cholesterol yathunthu, HLVP, HLNP, triglycerides, bilirubin, AST, ALT, uric acid, urea, creatinine, potaziyamu?, Sodium ?, kuwerengetsa kwa GFR, ndimapuloteni othandiza (osachepera 1 pachaka)
Kuyendetsa magazi (tsiku lililonse)
ECG + ECG yokhala ndi mayeso opsinjika
Kufunsa kwamtima
Kuonana ndi Ophthalmologist
Kufunsira kwa odwala
Kufunsira kwa neurologist
Jesi la X-ray (nthawi 1 pachaka)

Mndandanda wa mayeso uwonjezeka ndikubwera madandaulo kwa odwala. Nthawi zambiri, timawonjezera kuyesa kwa magazi kuma mahomoni ogonana, makamaka amuna, chifukwa chifukwa cha kuchepa kwa testosterone, moyo wawo ukuipiraipira.

Ndikofunikira kulimbikitsa anthu omwe ali ndi matenda ashuga kuti azichita masewera olimbitsa thupi. Kupatula apo, ndizovuta kwambiri kuti odwala athu ayambe kusewera masewera, chifukwa mikhalidwe ya poizoni wa glucose, kukana insulini, odwala safuna kuchita chilichonse. Ndiye chifukwa chake iwo amati: insulin ndiye mahomoni a ulesi.

Matenda a shuga ndi matenda osachiritsika omwe amapezeka chifukwa cha kusokonezeka kwa dongosolo la endocrine ndipo amadziwika ndi kuchuluka kwa shuga m'magazi. Kuperewera kwa kapamba wa insulin ya m'madzi kumayambitsa mavuto onse. Matenda a shuga amakhudza anthu ambiri. Chiwerengero cha matenda chikukula osati pakati pa okalamba, komanso pakati pa achinyamata ndi ana. Ndi matenda otere, zakudya zoyenera ziyenera kuyang'aniridwa. Timazindikira kuti zakudya za anthu odwala matenda ashuga a mtundu wachiwiri ziyenera kukhala chiyani kwa anthu wamba, komanso momwe angadyetsere zovuta za odwala.

Matenda a Endocrine amatha kuyambitsa ma virus omwe amatsogolera pakuwonongeka kwa maselo a pancreatic. Matendawa ndi monga nkhuku, rubella, hepatitis, ndi zina zambiri. Anthu omwe ali ndi matenda amenewa ali pachiwopsezo chachikulu chotenga matenda a shuga. Chimodzi mwazifukwa zake ndi cholowa. Malinga ndi ziwerengero, odwala omwe ali ndi matenda ashuga pakati pa abale ndiwokwera kwambiri. Kulakalaka kwambiri ndiwowopsa thanzi - kuchokera kunenepa kwambiri pali chiopsezo cha matendawa. Komanso, zomwe zimayambitsa matendawo ndi uchidakwa, kuvulala thupi kapena manjenje komanso zamaganizidwe.

Matenda a shuga amagawika m'magulu awiri ofotokozedwa: omwe amadalira insulin, omwe akuwonetsedwa ndi gulu limodzi, komanso osagwirizana ndi jakisoni wa insulin, gulu la 2. Gulu 1 ikhoza kuwoneka ngakhale mwa mwana, ndiye kuti odwala matenda ashuga a 2 akhoza kukhala mwamtendere, osafunikira, monga momwe adalili jakisoni woyamba. Amadzitengera okha, koma chifukwa chosakwaniritsa kapamba, anthuwa amakakamizidwa kudya moyenera komanso pang'ono, amawongolera shuga ndipo ngati kuli koyenera amwe mankhwala ochepetsa shuga. Matenda a 2 a mtundu wa shuga nthawi zambiri amakula mwa anthu achikulire.

Ndikofunika kuonana ndi dokotala ngati zizindikiro zotere ziziwoneka:

• Mumatha kumva ludzu nthawi zonse.
• Kuchepa thupi mosawerengeka kunayamba ndi thanzi labwinobwino.
• Nthawi zambiri kukhumudwa kumayamba kuoneka popanda chifukwa.
• Mwendo kukokana kudayamba kuvuta.
• chizungulire, mseru, m'mimba zakukwiyitsidwa.
• Kukoka usiku uliwonse.
• Mutu, zilonda, mafinya m'makona amaso, thukuta.

Nthawi zambiri mumatha kumva mawu oseketsa omwe amafunikira kukonzedwa.
Matenda a shuga amatha kupatsirana: Delirium yathunthu, sizikudziwika bwino zomwe zidayambitsa.
Mwana akamadya maswiti ambiri komanso maswidi ena, amatha kudwala matenda ashuga. Madokotala ati izi ndizopusa. Ngati mwana alibe tsogolo la matenda ashuga. Sadzalandira, ngakhale atadya maswiti angati.

Zakudya za anthu odwala matenda ashuga a mtundu 2, kunena kwake, kwa anthu wamba, zomveka komanso zotheka, zimagwira ntchito yayikulu pakulimbikitsa wodwala. Ndi zakudya zoyenera, matendawa sawopseza thanzi la anthu ndipo athandizira kuchepetsa kugwiritsa ntchito mankhwala. Kuti muchepetse vutoli, ndikofunikira kutsatira zakudya ndikudya zakudya zazing'ono, ndiye kuti, kudya chakudya chilichonse pakatha maola 3-4 pang'ono. Zakudya zonse zokhudzana ndi matendawa ziyenera kutulutsidwa ndi dokotala aliyense payekha, chifukwa mawonekedwe onse a matendawa amayenera kukumbukiridwa. Palinso zakudya zoletsedwa kwa odwala matenda ashuga.

Onani mndandanda wa tsatanetsatane kuti shuga ya magazi isachulukitse mtundu wa 2 shuga.

Kuchokera pazakudya zanu muyenera kuchotsa zakudya zamafuta, amchere, okazinga, osuta komanso mafuta.Nyama zovulaza, mazira, tchizi. Osagwiritsa ntchito timadziti totsekemera, ma muffin ndi maswiti, iwalani za zipatso zambiri. Komanso, akatswiri amayika choletsa mpunga ndi semolina phala, mikate yoyera. Zinthu zonse za pasitala zimaloledwa kuti zidyedwe zochuluka. Mowa umapangidwa. Mu shuga yayikulu, shuga ndi oletsedwa.

Madokotala atsimikizira kuti mitundu yonse ya shuga imalinso yovulaza, ngakhale mwachilengedwe (fructose, xylitol, sorbitol), kapena yokumba ngati aspartame ndi ena. Zitha kugwiritsidwa ntchito ndi odwala matenda ashuga ochepa okha, mwachitsanzo, fructose mu 2-3 tsp yokha. patsiku, aspartame nthawi zambiri imakhala "bomba la nyukiliya" yophimbidwa chifukwa cha thupi, ndibwino kupeukira kwathunthu. Ndikwabwino kugwiritsa ntchito stevia ndi Yerusalemu artichoke, zomwe sizabwino kwambiri, koma zothandiza kwa thupi lililonse.

Ena amakhulupirira kuti agologolo achinyama amatha kusintha soya ndi zinthu zomwe amapanga. Izi sizowona, mapuloteni a nyama ndiofunikira kwambiri kwa thupi, makamaka kwa ana, kuwonjezera. Ma soya athu pafupifupi anasinthidwa mwachilengedwe.

Amaloledwa kugwiritsa ntchito sopo wopaka msuzi wamafuta ochepa, nsomba yophika, kapena nyama yochepa, yamafuta ochepa pang'ono. Nyemba, ndiwo zamasamba kupatula mbatata, mafuta amkaka okhala ndi mafuta ochepa, komanso mkate wa chinangwa, chimanga, zipatso zowawasa kapena zosapsa ndi zakumwa zopanda shuga ndizololedwa. Nsomba zamafuta, monga nsomba, sardine, ndizothandiza pa matenda ashuga. Zakudya zamasamba zothandiza, mwachitsanzo, kabichi ndi karoti.

Anthu odwala matenda ashuga amalimbikitsidwa kuti azidya kangapo ka 5-6 patsiku, kuchuluka kwa zolimbitsa thupi, zomwe zimathandiza kuwonjezera chidwi cha insulin.

Onani maupangiri ena azakudya zopatsa thanzi.

Tiyenera kukumbukira kuti m'mbuyomu, pakadalibe mankhwala ochepetsa shuga, madotolo adayesa kuyang'anira boma la odwala matenda ashuga kokha kudzera muzakudya. Mwachitsanzo, m'masitolo nthawi zonse panali madipatimenti a odwala matenda ashuga, pomwe amagulitsa zoperewera komanso zinthu zina za matenda ashuga. Maonekedwe a insulin adalola anthu odwala matenda ashuga kudya pafupipafupi, zoletsa zochepa, osadziletsa pakudya.

Zosintha zazitsanzo za tsiku limodzi

Chakudya cham'mawa:
Nyama yophika ndi zukini wophika
Khofi kapena tiyi wokhala ndi mkaka
Batala (10 g) ndi magawo awiri a mkate wa rye

Chakudya chamadzulo:
Msuzi wa nsomba kapena nyama msuzi wokhala ndi masamba a nyama
Nyama yochepa yophika yophika ndi kabichi yoyendera
Watsopano apulo kapena odzola compote

Chakudya chamadzulo:
Nthambi za cheesecake
Kulowetsedwa kwa Rosehip kapena tiyi ndi mandimu

Chakudya chamadzulo:
Yokhazikika kabichi ndi nyama kapena cod mu marinade
Tiyi kapena kulowetsedwa kwa chamomile

Usiku:
Wowawasa mkaka kapena apulo

Malangizo kwa odwala endocrine:

1. Khazikitsani njira yamagetsi.

2. Yesetsani kukhala moyo wokangalika kwambiri. Izi zikulepheretsa kukula kwa matendawa.

3. Musanyalanyaze Mankhwala omwe mwapatsidwa ndi endocrinologist.

4. Gulani mita ya shuga m'magazi ndikuwona magazi anu pafupipafupi. Muyenera kuyeza iye m'mawa pamimba yopanda kanthu.

Kuti mukhale ndi moyo wathunthu, sinthani zina mwazomwe mumachita pamoyo wanu ndipo musayang'ane matenda. Chifukwa cha zakudya zoyenera, sitimangosamala za thanzi, ndikukwaniritsa thupi ndi mavitamini ndi michere yofunikira, komanso kukonza ntchito ya ziwalo zonse ndi machitidwe.

1. Oatmeal. Mbaleyi imakhala ndi madzi osungunuka, omwe amakhala ndi shuga m'magazi.

2. Masamba. Maminolo, mavitamini ndi antioxidants ndi gawo lamasamba atsopano. Kuti muchepetse shuga, akatswiri amalimbikitsa kudya broccoli ndi tsabola wofiyira. Broccoli - amalimbana ndi kutupa mthupi, ndi tsabola wofiira - wolemera mu ascorbic acid.

3. Yerusalemu artichoke. Zimathandizira kuthetsa poizoni, zimapangitsa kagayidwe kake ndikuchepetsa shuga la magazi.

4. nsomba. Mwa kudya nsomba kawiri pa sabata, mwayi wokhala ndi matenda a shuga umachepa. Ndikofunika kuti muziwotcha kapena kuphika mu uvuni.

5. Garlic. Chochita ichi chimakhudza kupanga kwa insulin poyambitsa kapamba. Kuphatikiza apo, adyo amakhala ndi ma antioxidants omwe ali ndi zotsatira zabwino pakugwira ntchito kwa chiwalo chonse.

6. Cinnamon. Zomwe zimapangidwira zonunkhira zimaphatikizira magnesium, polyphenols ndi fiber, zomwe zimachepetsa kuchuluka kwa shuga mthupi.

7. Avocado. Mphamvu za avocados ndizosangalatsa ambiri. Chipatsochi chobiriwira chili ndi zinthu zambiri zofufuza, folic acid, mapuloteni, mafuta ophikira ndi magnesium. Kugwiritsa ntchito pafupipafupi kumawonjezera chitetezo chokwanira, kukonza khungu ndi tsitsi, kuteteza thupi ku matenda ashuga.

Onani momwe mungaphikire nyama yotsekemera komanso yopatsa thanzi.

Tidakuuzani chomwe chakudya cha anthu odwala matenda ashuga chachiwiri ndi cha anthu wamba.

Okorokov, A.N. Emergency endocrinology / A.N. Hams. - M: Zolemba zamankhwala, 2014. - 299 p.
Zakharov Yu.L. Mankhwala aku India. Maphikidwe agolide. Moscow, Pressverk Publishing House, masamba 2001,475, makope 5,000
T. Rumyantseva "Matenda a shuga: Kukambirana ndi Endocrinologist", St. Petersburg, "Nevsky Prospect", 2003

Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwa zaka zoposa 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka pamalowo kuti athetse zovuta osati ntchito. Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusaitiyi, kufunsana ndi akatswiri ndizofunikira nthawi zonse.

Kodi matenda ashuga ndi chiani?

Kodi zina mwa zizindikiro za matenda ashuga ndi ziti?

Izi ndi zina mwa zomwe anthu amakhala ndi matenda a shuga okha:

kukodza pafupipafupi
ludzu
njala yosalekeza ngakhale mutangodya kumene
kutopa kwambiri
kufooka
mawonekedwe osaneneka
akuchiritsa mabala pang'onopang'ono
dzanzi, kumva kuwawa, kupweteka m'munsi

Zachidziwikire, chifukwa cha kuchuluka kwa shuga m'magazi, madandaulo amakhala owonjezereka komanso amakhala ndi vuto la shuga.

Zomwe zimayambitsa matenda a shuga a 2?

Kodi chithandizo cha matenda ashuga ndi chiyani?

Pambuyo pakupezeka kwa matenda a prediabetes kapena mtundu wachiwiri wa matenda ashuga, muyenera kupereka mankhwala kwa odwala omwe ali ndi shuga ndikupereka malangizo othandiza pa moyo wanu. Kupatula apo, zatsimikiziridwa mwasayansi: zakudya zokhazokha zopatsa thanzi komanso zolimbitsa thupi sizingathe kulipira kwathunthu shuga. Chifukwa chake, ndikofunikira kudziwitsa onse odwala ndi madotolo za zokhudzana ndi zamankhwala kuti chithandizo chokwanira chokwanira chikaphatikizidwa komanso kusintha kwamachitidwe kumachitika, ndibwino kuti matendawo ayambe.

Chofunikira kuvomereza matenda a shuga ndichizolowezi chochita zolimbitsa thupi komanso kuwongolera mwamphamvu magazi. Kusiya kusuta fodya komanso kuchepetsa kumwa kumafunikanso.

Pali lingaliro lolakwika kuti ndikokwanira kumangodya zakudya zokhala ndi shuga, ndipo shuga wamagazi amatsika. Inde, shuga wabwinobwino amatha kukhala ndi chakudya, koma osati kwanthawi yayitali.

Kodi zovuta za shuga ndi ziti?

michere yotupa: matenda a ziwiya za impso, retina,
macrovascular zovuta: atherosulinosis ya ziwiya zazikulu,
kusintha kwa chiwindi
kuphwanya kapangidwe ka mahomoni ogonana (kukalamba mwachangu),
matenda a mafupa
kuphwanya matumbo microbiota ndi njira zina zambiri

Kodi mungatani kuti muchepetse matenda a shuga?

Komanso, odwala matenda ashuga amafunikira kukayezetsa mwapadera: ziyenera kuphatikizapo kuyesa magazi, kutsatira mkodzo ndi kufunsa kwa akatswiri okhudzana:

Glycated hemoglobin (HbA1C) - shuga wambiri wamiyezi itatu (nthawi imodzi m'miyezi itatu)
Kuyesedwa kwa magazi pafupipafupi (2 pachaka)
Urinalysis (2 kawiri pachaka)
Urinalysis kwa microalbuminuria (2 pachaka)
Kusanthula kwa zamankhwala amwazi: mapuloteni, cholesterol yathunthu, HLVP, HLNP, triglycerides, bilirubin, AST, ALT, uric acid, urea, creatinine, potaziyamu?, Sodium ?, kuwerengetsa kwa GFR, ndimapuloteni othandiza (osachepera 1 pachaka)
Kuyendetsa magazi (tsiku lililonse)
ECG + ECG yokhala ndi mayeso opsinjika
Kufunsa kwamtima
Kuonana ndi Ophthalmologist
Kufunsira kwa odwala
Kufunsira kwa neurologist
Jesi la X-ray (nthawi 1 pachaka)