Zomwe zimapangidwa pakudya komwe kumayambitsa matenda a shuga 1 komanso mtundu 2

Ndi matenda a shuga, zakudya zinazake ziyenera kutsatiridwa, zomwe zimapangitsa kukhala ndi njira zonse zolimbitsa thupi pamlingo wokwanira. Ndikofunikira kwambiri kuti zakudya zomwe zimaperekedwa zizindikiridwa ndi wodwala matenda ashuga moyo wonse, chifukwa pamenepa atha kulankhula za kupatula kwa zovuta ndi zotsatirapo zina zosasangalatsa. Ndikulimbikitsidwa kwambiri kuti mawonekedwe onse azakudya za shuga azikambirana ndi katswiri.

Kwa zaka zambiri ndakhala ndikuphunzira za zovuta za DIABETES. Zimakhala zowopsa anthu ambiri akamwalira, ndipo makamaka amakhala olumala chifukwa cha matenda ashuga.

Ndithamangira kunena mbiri yabwino - Endocrinological Research Center ya Russian Academy of Medical Sayansi yakwanitsa kupanga mankhwala omwe amachiritsa odwala matenda ashuga mellitus. Pakadali pano, kugwiritsa ntchito bwino kwa mankhwalawa kuyandikira 100%.

Nkhani ina yabwino: Unduna wa Zaumoyo wateteza kukhazikitsidwa kwa pulogalamu yapadera yomwe imalipilira mtengo wonse wa mankhwalawo. Ku Russia ndi mayiko a CIS odwala matenda ashuga kale atha kupeza mankhwala ZAULERE .

Malamulo akulu

Chimodzi mwazinthu zofunikira kwambiri pakudya muzochitika zomwe zimafotokozedwa ndikuchepa kwa zakudya. Zowonadi ndikuti chakudya chilichonse chimayenera kudyedwa pafupifupi kasanu mpaka kasanu ndi kamodzi mkati mwa maola 24. Izi zimathandizira pakulidwe koyenera kwa mayamwidwe am'mimba kuchokera m'matumbo ndikuwonjezeka kwa chiwopsezo cha shuga m'magazi. Kuphatikiza apo, polankhula za mfundo za zakudya, ndikofunikira kulabadira kuti chakudya chimalimbikitsidwa kuti chigwiritsidwe ntchito nthawi zina. Izi ndizofunikira chifukwa zimathandizira algorithm pakusintha magazi ndi kuchuluka kwa gawo la mahomoni.

Komanso, akatswiri amati ndizofunikira kupatula kapena kuchepetsa kugwiritsa ntchito zinthu zina. Tikulankhula za omwe amachulukitsa kuchuluka kwa shuga m'magazi - akhoza kukhala shuga, ena a confectionery, kupanikizana. Ndikofunika kuti zakudya za anthu odwala matenda ashuga zikuphatikiza mulingo woyenera wa CHIKWANGWANI CHAKUDYA CHAKUDYA Tikulankhula zamasamba, zopangidwa ndi ufa, chifukwa ndi mayinaawa omwe amalimbikitsa kuchuluka kwa shuga m'magazi mpaka pang'ono.

Ndikulimbikitsidwa kwambiri kuti mumvetsetse kuti zakudya zophika ziyenera kuphatikizapo kuchuluka kwa mafuta. Nthawi yomweyo, theka la iwo ayenera kuyimiridwa ndi mayina azomera, mwachitsanzo, mpendadzuwa, chimanga kapena mafuta a azitona. Kupitilira apo, akatswiri a matenda ashuga amawaganizira kuti:

• Kuchuluka kwa zopatsa mphamvu pakudya kwa mwana wodwala matendawa kuyenera kukhala chimodzimodzi tsiku lililonse. Iyenera kuyenderana ndi msinkhu wake komanso osasokoneza kuyambitsa kuchuluka kwa insulin,
• ndikofunikira kukhalanso ndi zopatsa mphamvu zofanana mkati mwazakudya zomwezo. Ndi za m'mawa osiyanasiyana masana, nkhomaliro kapena chakudya chamadzulo,
• M'mbali zina zonse, zakudya za munthu wodwala matenda ashuga siziyenera kusiyana kwambiri ndi zakudya za anthu ena athanzi.

Ndi amene akuwonetsa zomwe zina mwa zakudya zomwe ziyenera kukhala ndi chifukwa chake izi ndizofunikira kwambiri pakugwira ntchito kwa thupi.

Malamulo a zopatsa thanzi

Lamulo lalikulu komanso lofunikira ndikupewa madontho amphamvu m'magazi a magazi. Makamaka kwa izi, zimaganiziridwa kuti zakudya zonse zimagawika m'magawo asanu, zimadyedwa pakapita chaka ngati chakudya chachikulu (katatu kapena) Poterepa, pazinthu zopanga mankhwala, chithunzicho chikuyenera kuwoneka motere:

• zamafuta sizidutsa 30% yazakudya zonse,
• mapuloteni osaposa 20%,
• chakudya chamagulutsi - otsalawo 50%.

Popeza vuto lalikulu la matenda ashuga ndi shuga wambiri, kutsimikizika kwakukulu pakukonzekera zakudya ndi kuchepetsa kuchuluka kwa shuga omwe amalowa mthupi. Kugogomezeranso kumapangira pang'onopang'ono mafuta, omwe mutha kuthana ndi shuga wamkulu - kulemera kwakukulu mwachangu kwambiri.

Kuphatikiza apo, zovuta zina mu chiwindi ndizotheka. Amafunikiranso kuchotsedwa pang'onopang'ono pogwiritsa ntchito soya ndi mafuta ochepa amkaka. Tchizi tchizi komanso tchizi chamafuta ochepa ndibwino. Chilichonse chopaka mafuta kapena chokazinga sichimachotsedwa.

Musaiwale za chodabwitsa cha matenda amisala. Maonekedwe ake ndi otheka pokhapokha ngati ali ndi pakati, monga momwe azimayi ena thupi limayankhira munjira yapadera ku glucose. Werengani zambiri za matenda a shuga gestational panthawi yomwe muli ndi pakati pano.

Tiyeni tikambirane mwatsatanetsatane zovuta za mitundu mitundu ya matenda ashuga.

Mawonekedwe Amphamvu

Kapangidwe kameneka kamakhudzidwa kumatanthauza, choyamba, kuyambitsa zakudya zopatsa thanzi. Ndikofunikira kuti kuchuluka kwa mphamvu muzakudya zomwe zimagwiritsidwa ntchito zimafanana ndi kuchepa mphamvu kwa odwala matenda ashuga. Kuphatikiza apo, kulowerera koyenera kwa zinthu monga mapuloteni, mafuta ndi chakudya zamagalimoto kumayenera kuonedwa kuti ndikofunikira kwambiri. Tisaiwale za kuchuluka kwa chakudya, monga kasanu kapena kasanu ndi kamodzi patsiku.

Aliyense wodwala matenda ashuga amadziwa kuti kukhala ndi kadyedwe koyenera kungachitike pokhapokha kuwerengetsa zakudya. Amapangidwa m'magawo a mkate, omwe amodzi omwe si oposa 12 magalamu. shuga. Pakupita maola 24, kuyambira pa 18 mpaka 24 XE, magawidwe ake omwe ndiofunikira kwambiri pakudya, ayenera kulowa m'thupi la odwala matenda ashuga. Polankhula za izi, akatswiri a matenda ashuga amawonetsa kuti chakudya cham'mawa chiyenera kukhala ndi magawo asanu ndi anayi mpaka khumi, ndipo chakudya cham'mawa chotsatira komanso chamadzulo - osapitirira chimodzi kapena ziwiri. Kuchuluka kwawonetsedwa ndi kwamodzi ndipo kuyenera kuvomerezedwa ndi katswiri.

Ndikulimbikitsidwanso mwamphamvu kuti zakudya za matenda amitundu iwiri, monga mtundu woyamba wa matenda, zimaphatikizapo kugwiritsa ntchito masamba. Izi ndizofunikira kwambiri kwa anthu onenepa kwambiri. Polankhula za izi, akatswiri a matenda ashuga amawunika kufunika kogwiritsa ntchito mwatsopano ndi sauerkraut, sipinachi, letesi, nandolo zobiriwira komanso zinthu zina zilizonse. Ndikufuna kukumbukira kuti zitha kukhala zothandiza kwambiri ngati zimagwiritsidwa ntchito mwatsopano komanso makamaka munthawi ya kukula kwawo.

Chinanso chomwe chimapangitsa kuti anthu azidwala matenda ashuga ndicho kuteteza kwambiri chiwindi. Chowonadi ndi chakuti amakumana ndi kusintha kwakukuru kwa matenda ndi kukula kwa matendawa. Ichi ndichifukwa chake akatswiri amalimbikira kugwiritsa ntchito kwambiri zakudya zoterezi, zomwe zimaphatikizapo zomwe amati lipotropic. Ikhoza kukhala kanyumba tchizi, oatmeal, soya ndi mayina ena.

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 kuyambitsa kukula kwa zotupa za 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 mwanjira yomwe mankhwalawa amaperekedwa kwa aliyense wokhala ku Russian Federation ndi CIS ZAULERE . Kuti mumve zambiri, onani tsamba lovomerezeka la MINZDRAVA.

Ndikofunikira kuti chakudya cha munthu yemwe ali ndi vuto la shuga chizikhala chokwanira ndi mavitamini. Ndi chifukwa ichi kuti ndikulimbikitsidwa kwambiri kuti zigawo zomwe zimakhala zonyamula mavitamini zimalowetsedwe muzakudya. Itha kukhala yisiti yophika ndi yophika buledi, komanso msuzi wa rosehip, SPP kapena zakudya zowonjezera. Yotsirizirayi imalimbikitsidwa kwambiri atakambirana ndi katswiri.

Tisaiwale za zoletsa, monga kuti ndikulimbikitsidwa kuti musagwiritse ntchito maina a confectionery, makeke, komanso zosunga kapena maswiti ngati chakudya. Pansi pa chiletso chotheratu ndi chokoleti, uchi ndi ayisikilimu, komanso maswiti ena onse. Akatswiri amalimbikitsa kukanidwa kwa zinthu zokometsera, zamchere, zokometsera komanso zosuta. Zakudya ndi zakudya zina, kuphatikiza nkhumba kapena mafuta a mwanawankhosa, zimakhala zopanda pake m'zakudya zanu.

Musaiwale za kuchepetsa kumwa mowa, nthochi, mphesa ndi zoumba. Ponena za kugwiritsa ntchito shuga, ziyenera kudziwika kuti kugwiritsidwa ntchito kwake ndikovomerezeka, koma mwapadera pazotsatira zochepa komanso pambuyo povomerezedwa ndi katswiri wa matenda ashuga. Popeza zonsezi, ndikufuna kudziwa kuti zakudya za anthu amishuga 1, komanso chachiwiri, zikutanthauza kuti ayenera kuganizira zina mwazakudya.

Zina zomwe muyenera kudziwa

Kuti mudye mitundu yosiyanasiyana momwe mungathere, ndikulimbikitsidwa kuti muphunzire kusintha m'malo mwa mbale zilizonse zokhala ndi zomanga thupi ndi ena. Komabe, izi zikuyenera kuchitika m'njira yoti ziwonetsero za shuga m'magazi sizisintha kwambiri. Ndikofunikira kulabadira kuti:

• M'malo motere zitha kuchitika mosavuta pogwiritsa ntchito zida zapadera zamkati (XE),
• kukhathamiritsa kwa kulemera kwa thupi kuyenera kuganiziridwa ngati njira yotsogola yothandizira mtundu wa 2 matenda a shuga. Izi ndizotheka pokhapokha ngati mumadya zakudya zochepa zopatsa mphamvu komanso kuwonjezera zolimbitsa thupi,
• ndi matenda omwe ali amtundu woyamba, njira yotsogola yoperekera chithandizo ndi chithandizo cha insulin. Nthawi yomweyo, zoletsa zilizonse pazakudya ndizothandiza m'chilengedwe, zomwe sizimawapangitsa kukhala osafunikira kuti akhalebe athanzi labwino.

Kuphatikiza apo, ndikofunikira kulabadira kuti mtundu woyamba wa shuga umaloleza kugwiritsa ntchito zakudya zina, koma pokhapokha poyerekeza. Kulankhula za izi, muyenera kulabadira kugwiritsa ntchito mazira athunthu. Tikulankhula za kugwiritsa ntchito osapitilira zidutswa ziwiri mkati mwa maola 24, koma owiritsa okha. Kuphatikiza apo, mayina oterewa amatha kugwiritsidwa ntchito ngati ma omeleta, komanso mukamawonjezera mazira pazakudya zina zilizonse.

Mtundu woyamba wa shuga

Mosiyana ndi chakuti ambiri amafuna kukana kwathunthu chinthu chimodzi kapena china, mankhwala amakono amatsata mfundo za njira yolumikizirana ndi chithandizo. Pankhaniyi, izi zikuwonetsedwa pomanga zakudya zoyenera, momwe mbale kapena mbale ina ikadzakhala yovomerezeka. Izi zimadziwika kwa wodwala komanso thupi lake mosavuta. Ndipo limodzi ndi maphunziro osankhidwa mwapadera, mutha kukwaniritsa zotsatira zonse. Zotsatira zake, mutha kukhala ndi ndandanda yowonekera yomwe imaganizira mankhwala a insulin, zakudya ndi masewera.

Pogwiritsa ntchito insulin, kuchuluka kwake komanso nthawi yoyendetsera ziyenera kuphatikizidwa molondola ndi zinthu zomwe zimapereka shuga ku thupi. Mosiyana ndi matenda amtundu wa 2 shuga, palibe zoletsa zazikulu pa kuchuluka kwa zinthu zomwe zimatengedwa, koma insulini iyenera kuyikidwa mthupi moyenera ndipo zotsatira zake ziyenera kukumbukiridwa.

Type 2 shuga

Zakudya zamtunduwu zimasankhidwa ndi wazakudya ndipo zimayang'aniridwa mosamalitsa kuchuluka kwa mapuloteni onse, mafuta ndi chakudya chamagulu.

Ndi chithandizo chake, mutha kuyang'anitsitsa kuchuluka kwa shuga m'magazi ndikuyimitsa kukula kwa mitundu yoopsa ya matenda oyambitsa. Ngati ndinu wonenepa kwambiri, mumatha kudya zakudya zama protein zambiri kuti pasapezeke shuga.

Zakudya zamtunduwu zimakuthandizani kuti musinthe ma calories angapo, omwe amatha kukhala osiyana ndi 2500 kcal mpaka 600 kcal, kutengera kulemera kwa munthu komanso kugwiritsa ntchito mphamvu zake masana. Koma popeza mtundu uwu wa zakudya umatha kudzetsa kuchuluka kwa mapuloteni m'thupi, ndikofunikira kufunsa dokotala wanu musanakumane.

Ngati ndi kotheka, alembe zovuta za vitamini, zothandiza kwa odwala matenda ashuga, ndipo aziwunika momwe wodwalayo akugwiritsira ntchito zakudya zopatsa mphamvu zochepa.

Zololedwa ndi Zoletsedwa

Magulu onse awiriwa ndi ochulukirapo ndipo amathandiza kuti muchepetse kulimbana kwa matenda ashuga kwambiri momwe mungathere. Ganizirani izi zitha kutero idyani motere:

• masamba onse ndi obiriwira, komanso mafuta amitundu yonse,
• nsomba iliyonse yamafuta ochepa
• Zinthu zonse zopanda mafuta zamafuta ndizovomerezeka.
• lamulo lomweli limagwiranso ntchito ngati masoseji - mafuta ochepa ndi mafuta amomwe mungathere,
• zipatso zochepera,
• Buckwheat, oats ndi mapira amapezeka kuchokera ku mbewu monga chimanga, popeza zimakhala ndi mafuta ochulukirapo,
• Mosiyana ndi zomwe ambiri amakhulupirira, mkate ungathe kudyedwa, koma kuchokera ku ufa wongokhala ndi tirigu wathunthu,
• mutha kumamwa zipatso zatsopano ndi masamba abwino, tiyi ndi mitundu yazipatso,
• mafuta amkaka otsika amaloledwa.

Zakudya zama carb zotsika zimatanthauzanso kuchuluka kwakukulu zoletsa zomwe siziyenera kunyalanyazidwa. Nambala yazakudya ndi 9 ndipo nthawi zambiri imatchedwa "9 meza." Mndandandandawu umaphatikizapo zinthu zomwe siziyenera kuchotsedwa kwathunthu muzakudya, koma kwa iwo ayenera kuthandizidwa mosamala kwambiri:

• mowa ndi osayenera mwanjira iliyonse ndipo ngakhale utakhala wamphamvu bwanji,
• timisuzi tating'onoting'ono ndi timadzi tokoma tiyeneranso kusamwa, chifukwa amapangidwa ndi shuga wambiri.
• osagwiritsa ntchito zinthu zokhala ndi shuga, zomwe zimaphatikizapo mitundu yonse ya maswiti, kuphatikiza makeke ndi zoteteza,
• Ndikofunika kutaya mtundu uliwonse wa ma pickles, kuphatikiza zakudya zamchere nthawi zonse ndi ma pickles, komanso kusungidwa kwina ndi mchere,
• Msuzi wophika nyama sungaphatikizidwe muzakudya,
• Mpunga, pasitala ndi semolina zimasiyanitsidwa pakati pazakudya zomwe zimachulukitsa shuga, chifukwa chake kugwiritsa ntchito ndikosafunikanso,
• Ndikofunika kusiya zakudya zamafuta ambiri,
• Ndikofunika kuti musamadye mbalame zamafuta,
• Chilichonse chopweteka chimayenera kuphatikizidwanso.

Pafupifupi sabata

Monga mukuwonetsera, zakudya izi zimapangidwa kuti mbale iliyonse ikhale yothandiza momwe mungathere, ndipo maphikidwe amatengera muyeso wabwino wa kuchuluka kwa zinthu. Komabe, izi zitha kubweretsa zovuta zina. Komabe, kuzolowera zakudya zotere sikungokhala ndi shuga wokhazikika, komanso kuchepa thupi m'njira yothandiza komanso wathanzi.

Ichi ndichifukwa chake madokotala amalangiza kuti azikhala pagome 9 kwa odwala onse onenepa kwambiri. Malamulo oletsa kudya omwe amaperekedwa ndi izi amathandizira kusintha magwiridwe amthupi ambiri, omwe amakhudza bwino ntchito ya endocrine system. Werengani zambiri za zakudya zamankhwala 9

Mwachitsanzo, menyu womwe ungatheke umaperekedwa kwa odwala omwe ali ndi matenda a shuga a degree yachiwiri, ndiye kuti, osadalira insulini.

Kunenepa Kwambiri

Olga:Tithokoze Mulungu matenda ashuga andidutsa, koma ndidamva za chakudya chotere. Dotolo adalangiza, nati zitha kukhala zopanda thanzi, mosiyana ndi zakudya zambiri zotchuka. Ndinaganiza zoyesera. Ngakhale kuti chakudyacho ndichachithandizo, zidatheka kuti muchepetse makilogalamu 8. Koma, zoona, zonse sizinali nthawi yomweyo, ndimayenera kudikirira. Koma zotsatira zake zinali zabwino.

Elena:Ndabadwa ndi matenda ashuga, choncho ndimayenera kugwiritsa ntchito gome 9 ngati prophylaxis. Sindikudziwa kuti ndikadumpha bwanji shuga popanda iwo, koma mavuto atayesedwa, madotolo adati asinthe ndikamadya. Ndili ndi glucometer, momwemo ndimayang'anira kuchuluka kwa shuga mpaka zonse zili bwino.

Victor:Pambuyo pa 30, mavuto onenepa kwambiri adayamba, ndipo pamenepo matenda a shuga adayamba kuzimiririka. Ndinafunika kupita pagome 9 kuti tikonze mwanjira ina. Zotsatira zake, kuyambira pa 120 zinali zotheka kubwezeretsanso mpaka 98, koma izi, kuphatikizapo kuphunzitsidwa kangapo pamlungu. Poyamba zinali zovuta, koma kenako ndinazolowera. Chifukwa chake ndimalangiza iwo omwe akufuna kuti athetse mavuto.

Zakudya za matenda a shuga a 2, kwa sabata limodzi, zinthu zomwe zololedwa komanso zoletsedwa

Matenda a shuga ndi imodzi mwazinthu zazikulu za endocrine system, zomwe zimafuna kuwunikira wodwala ndi dokotala pafupipafupi. Aliyense yemwe wapezeka ndi izi angavomereze kuti kuchuluka kwakanthawi koletsedwa ndi zithandizo zachipatala ndizakudya za tsiku ndi tsiku. M'malo mwake, iyi ndiye chithandizo chachikulu, chomwe njira ya matendawa imatengera mwachindunji, komanso momwe wodwalayo alili.

Ngati muli ndi matenda ashuga amtundu wa 2, chakudya ndichofunika kukumbukira, ndi bwino kuchisindikiza kotero kuti chizikhala pamaso panu nthawi zonse ndipo mumachitsatira. Ambiri amaganiza molakwika kuti palibe chomwe chidzachitike kuchokera ku magalasi ochepa a mowa kapena kuchokera ku chokoleti chambiri. Zisokonezo zotere zimangonyalanyaza zoyesayesa zanu zonse ndipo zimatha kuyambitsa vuto lalikulu lomwe limafuna kusinthidwa mwachangu, kapenanso kukana chakudya kwathunthu.

Choyamba, muyenera kusunga cholembedwa cha zakudya (pa intaneti kapena papepala), kulemba zonse zomwe mumadya tsiku lonse, ndikutsatira zina zofunikira pazakudya.

Odwala omwe ali ndi matenda ashuga omwe, chifukwa cha kusazindikira kapena mwadala, samatsata chakudya asanazindikiridwe, chifukwa cha kuchuluka kwa chakudya chamagulu m'zakudya, maselo amataya chidwi chawo ndi insulin. Zotsatira zake, shuga m'magazi amakula ndipo nthawi zonse amakhala pamiyeso yambiri. Zakudya zopatsa thanzi kwa anthu odwala matenda ashuga zimabwerera m'maselo ena abwinobwino a insulin, kutanthauza kuyamwa shuga.

Kuchepetsa kudya kwa calorie uku kukhalabe ndi mphamvu zolimbitsa thupi.

Kudya pafupifupi nthawi yomweyo. Chifukwa chake, mudzakwaniritsa kuyendera kwachilengedwe ndi kagayidwe ka chakudya.

Gawo lamphamvu lazakudya liyeneranso kukhala logwirizana ndi mphamvu yeniyeni yogwiritsira ntchito.

Zakudya zisanu kapena zisanu ndi chimodzi patsiku, zokhala ndi zoziziritsa kukhosi (makamaka kwa odwala omwe amadalira insulin).

Pafupifupi chakudya chofanana cha kalori. Zakudya zambiri zam'mimba zimayenera kumwa m'mawa.

Kuphatikiza masamba abwino okhala ndi michere yambiri kuchokera kwa omwe amaloledwa kuti adye aliyense kuti muchepetse kuyamwa kwa shuga wosavuta ndikupanga satiety.

Kugawa shuga ndi zotsekemera zotetezedwa komanso zovomerezeka.

Kudya maswiti pokhapokha zakudya, osati zokhwasula-apo ayi, pena pali kulumpha kwamphamvu mu shuga wamagazi.

Makonda azakudya zamafuta omwe amakhala ndi mafuta azamasamba (mtedza, yogati), chifukwa kuwonongeka kwamafuta kumathandizira kuchepetsa kuyamwa kwa shuga.

Chepetsani chakudya chamagulule.

Okhwimitsa zoletsa zopatsa mphamvu zamagetsi, mpaka kumaliza kwawo.

Chepetsa kumwa nyama.

Kuchepetsa kofunikira kapena kupatula mchere.

Kupatula zakudya pambuyo pa masewera kapena masewera olimbitsa thupi.

Kusiyanako ndiko kudya mopambanitsa, ndiko kuti, kuchuluka kwambiri m'mimba.

Kuletsedwa kokhazikika kapena kupatula mowa (mpaka gawo loyamba tsiku lonse). Simuyenera kumwa pamimba yopanda kanthu.

Kudya kwa tsiku ndi tsiku kwamadzimadzi aulere - 1.5 malita.

Kugwiritsa ntchito njira zamagulu akudya.

Zina zopatsa thanzi za odwala matenda ashuga

Simungathe kutenga nthawi yayikulu yopuma ndikudya.

Chakudya cham'mawa sichiyenera kunyalanyazidwa.

Zakudya siziyenera kuzizira kwambiri kapena kutentha.

Chakudya chomaliza sichinathe maola awiri asanagone.

Pakudya, masamba amayambitsidwa kudya, kenako ndikutsatira mapuloteni (tchizi cha tchizi, nyama).

Ngati pali chakudya chamagulu ambiri, payenera kukhala mafuta kapena mapuloteni ochepetsera kuthamanga kwa chimbudzi chakale.

Ndikwabwino kumwa madzi kapena zakumwa zololedwa musanadye, koma osamamwa ndi chakudya.

Simungathe kuwonjezera GI yazogulitsa powonjezera ufa, kuphatikiza, kuphika mu batter ndi mkate, kupaka mafuta ndi kuwira (dzungu, beets).

Mukamaphika cutlets, simungagwiritse ntchito buledi, ndikuusintha ndi masamba, oatmeal.

Posalekerera bwino zamasamba, muyenera kuphika mbale zophika, ma pasitisi osiyanasiyana ndi zipatso kuchokera kwa iwo.

Siyani kudya 80%

Chifukwa chiyani muyenera kuganizira za matenda a shuga a GI (glycemic index)?

GI - Chizindikiro cha kuthekera kwa zinthu atalowa m'thupi la munthu kuchititsa kuchuluka kwa shuga m'magazi. Ndikofunikira kwambiri kuganizira ndi insulin yomwe imadalira shuga komanso matenda oopsa a shuga.

Mndandanda uliwonse wa glycemic uli ndi chilichonse. Chifukwa chake, pamene akukwera kwambiri, msanga wamagazi amakwera komanso mosiyanasiyana.

GI ya GI imagawana zakudya zonse ndi otsika (mpaka 40) avareji (41-70) ndi GI yayikulu (zopitilira 70). Mutha kupeza matebulo okhala ndi zopezeka m'magulu awa kapena kuwerengera pa intaneti kuti muwerenge ma GI pamawebusayiti amomwe mungayende nawo tsiku ndi tsiku.

Mwachilengedwe, zakudya zonse zomwe zili ndi GI yayikulu siziyenera kupatula pakudya, kupatula zomwe zimapindulitsa thupi ndi matenda ashuga. Poterepa, GI yathunthu yazakudya imachepetsedwa chifukwa choletsa zotsalira zamafuta amoto.

Zakudya wamba ziyenera kuphatikizapo zakudya zomwe zili ndi gawo laling'ono (laling'ono) ndi GI wotsika kwambiri.

Chigoba cha mkate kapena XE ndi gawo lina lomwe lakonzedwa kuti muchepetse chakudya. Ili ndi dzina lake kuchokera pa chidutswa cha mkate "wa njerwa", womwe umadulidwa ndikudula mkate wamba, kenako theka: chidutswa cha gramu 25 chimakhala ndi 1 XE.

Zakudya zambiri zimaphatikizapo chakudya chamagulu, pomwe sizimasiyana pamaumbidwe, kapangidwe kake ndi zopatsa mphamvu. Chifukwa chake, nkovuta kudziwa kuchuluka kwa zakudya zomwe zimafunikira tsiku lililonse kwa odwala omwe amadalira insulin - kuchuluka kwa mafuta omwe amwedwa ayenera kukhala ofanana ndi mlingo wa insulin yomwe umalandira.

Njira yowerengera yotereyi imawonedwa ngati yapadziko lonse lapansi ndipo imakupatsani mwayi wosankha mtundu wa insulin. Chizindikiro cha XE chimakuthandizani kuti muzindikire gawo lama carbohydrate osalemera, ndikuwunika pang'ono, pama voliyumu achilengedwe omwe ali oyenera kuzindikira (supuni, galasi, chidutswa, zina, etc.). Poyerekeza kuchuluka kwa magawo omwe amadyedwa nthawi imodzi ndi kuyeza shuga m'magazi, wodwala yemwe ali ndi matenda a shuga 2 amatha kulowa mu insulin yofunikira ndi kanthu kanthawi kochepa asanadye.

kuchuluka kwa shuga mutatha kudya 1 XE kumawonjezeka ndi 2.8 mmol / l,

1 XE imaphatikizapo ma carbohydrate pafupifupi 15 g,

Magawo awiri a insulin amafunikira kuyamwa 1 XE,

chizolowezi cha tsiku ndi tsiku ndi 18-25 XE, ndikugawa zakudya zisanu ndi chimodzi (3-5 XE - chakudya chachikulu, 1-2 XE - zokhwasula-khwasula).

1 XE ndi yofanana: 30 g ya bulauni mkate, 25 g ya mikate yoyera, 0,5 makapu a buckwheat kapena oatmeal, 2 prunes, 1 apakati kukula kukula, etc.

Zakudya Zololedwa Komanso

Zakudya zovomerezeka za shuga ndi gulu lomwe lingadyedwe popanda zoletsa.

Ndi matenda a shuga, zakudya zinazake ziyenera kutsatiridwa, zomwe zimapangitsa kukhala ndi njira zonse zolimbitsa thupi pamlingo wokwanira. Ndikofunikira kwambiri kuti zakudya zomwe zimaperekedwa zizindikiridwa ndi wodwala matenda ashuga moyo wonse, chifukwa pamenepa atha kulankhula za kupatula kwa zovuta ndi zotsatirapo zina zosasangalatsa. Ndikulimbikitsidwa kwambiri kuti mawonekedwe onse azakudya za shuga azikambirana ndi katswiri.

Kwa zaka zambiri ndakhala ndikuphunzira za zovuta za DIABETES. Zimakhala zowopsa anthu ambiri akamwalira, ndipo makamaka amakhala olumala chifukwa cha matenda ashuga.

Ndithamangira kunena mbiri yabwino - Endocrinological Research Center ya Russia Academy of Medical Science idatha kupanga mankhwala omwe amachiritsiratu matenda ashuga. Pakadali pano, kugwiritsa ntchito bwino kwa mankhwalawa kuyandikira 100%.

Nkhani ina yabwino: Unduna wa Zaumoyo wateteza kukhazikitsidwa kwa pulogalamu yapadera yomwe imalipilira mtengo wonse wa mankhwalawo. Ku Russia ndi mayiko a CIS odwala matenda ashuga kale atha kupeza mankhwala ZAULERE .

Chimodzi mwazinthu zofunikira kwambiri pakudya muzochitika zomwe zimafotokozedwa ndikuchepa kwa zakudya. Zowonadi ndikuti chakudya chilichonse chimayenera kudyedwa pafupifupi kasanu mpaka kasanu ndi kamodzi mkati mwa maola 24. Izi zimathandizira pakulidwe koyenera kwa mayamwidwe am'mimba kuchokera m'matumbo ndikuwonjezeka kwa chiwopsezo cha shuga m'magazi. Kuphatikiza apo, polankhula za mfundo za zakudya, ndikofunikira kulabadira kuti chakudya chimalimbikitsidwa kuti chigwiritsidwe ntchito nthawi zina. Izi ndizofunikira chifukwa zimathandizira algorithm pakusintha magazi ndi kuchuluka kwa gawo la mahomoni.

Komanso, akatswiri amati ndizofunikira kupatula kapena kuchepetsa kugwiritsa ntchito zinthu zina. Tikulankhula za omwe amachulukitsa kuchuluka kwa shuga m'magazi - akhoza kukhala shuga, ena a confectionery, kupanikizana. Ndikofunika kuti zakudya za anthu odwala matenda ashuga zikuphatikiza mulingo woyenera wa CHIKWANGWANI CHAKUDYA CHAKUDYA Tikulankhula zamasamba, zopangidwa ndi ufa, chifukwa ndi mayinaawa omwe amalimbikitsa kuchuluka kwa shuga m'magazi mpaka pang'ono.

Ndikulimbikitsidwa kwambiri kuti mumvetsetse kuti zakudya zophika ziyenera kuphatikizapo kuchuluka kwa mafuta. Nthawi yomweyo, theka la iwo ayenera kuyimiridwa ndi mayina azomera, mwachitsanzo, mpendadzuwa, chimanga kapena mafuta a azitona. Kupitilira apo, akatswiri a matenda ashuga amawaganizira kuti:

• Kuchuluka kwa zopatsa mphamvu pakudya kwa mwana wodwala matendawa kuyenera kukhala chimodzimodzi tsiku lililonse. Iyenera kuyenderana ndi msinkhu wake komanso osasokoneza kuyambitsa kuchuluka kwa insulin,
• ndikofunikira kukhalanso ndi zopatsa mphamvu zofanana mkati mwazakudya zomwezo. Ndi za m'mawa osiyanasiyana masana, nkhomaliro kapena chakudya chamadzulo,
• M'mbali zina zonse, zakudya za munthu wodwala matenda ashuga siziyenera kusiyana kwambiri ndi zakudya za anthu ena athanzi.

Ndi amene akuwonetsa zomwe zina mwa zakudya zomwe ziyenera kukhala ndi chifukwa chake izi ndizofunikira kwambiri pakugwira ntchito kwa thupi.

Kapangidwe kameneka kamakhudzidwa kumatanthauza, choyamba, kuyambitsa zakudya zopatsa thanzi. Ndikofunikira kuti kuchuluka kwa mphamvu muzakudya zomwe zimagwiritsidwa ntchito zimafanana ndi kuchepa mphamvu kwa odwala matenda ashuga. Kuphatikiza apo, kulowerera koyenera kwa zinthu monga mapuloteni, mafuta ndi chakudya zamagalimoto kumayenera kuonedwa kuti ndikofunikira kwambiri. Tisaiwale za kuchuluka kwa chakudya, monga kasanu kapena kasanu ndi kamodzi patsiku.

Aliyense wodwala matenda ashuga amadziwa kuti kukhala ndi kadyedwe koyenera kungachitike pokhapokha kuwerengetsa zakudya. Amapangidwa m'magawo a mkate, omwe amodzi omwe si oposa 12 magalamu. shuga. Pakupita maola 24, kuyambira pa 18 mpaka 24 XE, magawidwe ake omwe ndiofunikira kwambiri pakudya, ayenera kulowa m'thupi la odwala matenda ashuga. Polankhula za izi, akatswiri a matenda ashuga amawonetsa kuti chakudya cham'mawa chiyenera kukhala ndi magawo asanu ndi anayi mpaka khumi, ndipo chakudya cham'mawa chotsatira komanso chamadzulo - osapitirira chimodzi kapena ziwiri. Kuchuluka kwawonetsedwa ndi kwamodzi ndipo kuyenera kuvomerezedwa ndi katswiri.

Ndikulimbikitsidwanso mwamphamvu kuti zakudya za matenda amitundu iwiri, monga mtundu woyamba wa matenda, zimaphatikizapo kugwiritsa ntchito masamba. Izi ndizofunikira kwambiri kwa anthu onenepa kwambiri. Polankhula za izi, akatswiri a matenda ashuga amawunika kufunika kogwiritsa ntchito mwatsopano ndi sauerkraut, sipinachi, letesi, nandolo zobiriwira komanso zinthu zina zilizonse. Ndikufuna kukumbukira kuti zitha kukhala zothandiza kwambiri ngati zimagwiritsidwa ntchito mwatsopano komanso makamaka munthawi ya kukula kwawo.

Chinanso chomwe chimapangitsa kuti anthu azidwala matenda ashuga ndicho kuteteza kwambiri chiwindi. Chowonadi ndi chakuti amakumana ndi kusintha kwakukuru kwa matenda ndi kukula kwa matendawa. Ichi ndichifukwa chake akatswiri amalimbikira kugwiritsa ntchito kwambiri zakudya zoterezi, zomwe zimaphatikizapo zomwe amati lipotropic. Ikhoza kukhala kanyumba tchizi, oatmeal, soya ndi mayina ena.

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 kuyambitsa kukula kwa zotupa za 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.

Dongosolo la Federal "Mtundu Wathanzi" likuchitika, mkati mwanjira yomwe mankhwalawa amaperekedwa kwa aliyense wokhala ku Russian Federation ndi CIS ZAULERE . Kuti mumve zambiri, onani tsamba lovomerezeka la MINZDRAVA.

Ndikofunikira kuti chakudya cha munthu yemwe ali ndi vuto la shuga chizikhala chokwanira ndi mavitamini. Ndi chifukwa ichi kuti ndikulimbikitsidwa kwambiri kuti zigawo zomwe zimakhala zonyamula mavitamini zimalowetsedwe muzakudya. Itha kukhala yisiti yophika ndi yophika buledi, komanso msuzi wa rosehip, SPP kapena zakudya zowonjezera. Yotsirizirayi imalimbikitsidwa kwambiri atakambirana ndi katswiri.

Tisaiwale za zoletsa, monga kuti ndikulimbikitsidwa kuti musagwiritse ntchito maina a confectionery, makeke, komanso zosunga kapena maswiti ngati chakudya. Pansi pa chiletso chotheratu ndi chokoleti, uchi ndi ayisikilimu, komanso maswiti ena onse. Akatswiri amalimbikitsa kukanidwa kwa zinthu zokometsera, zamchere, zokometsera komanso zosuta. Zakudya ndi zakudya zina, kuphatikiza nkhumba kapena mafuta a mwanawankhosa, zimakhala zopanda pake m'zakudya zanu.

Musaiwale za kuchepetsa kumwa mowa, nthochi, mphesa ndi zoumba. Ponena za kugwiritsa ntchito shuga, ziyenera kudziwika kuti kugwiritsidwa ntchito kwake ndikovomerezeka, koma mwapadera pazotsatira zochepa komanso pambuyo povomerezedwa ndi katswiri wa matenda ashuga. Popeza zonsezi, ndikufuna kudziwa kuti zakudya za anthu amishuga 1, komanso chachiwiri, zikutanthauza kuti ayenera kuganizira zina mwazakudya.

Kuti mudye mitundu yosiyanasiyana momwe mungathere, ndikulimbikitsidwa kuti muphunzire kusintha m'malo mwa mbale zilizonse zokhala ndi zomanga thupi ndi ena. Komabe, izi zikuyenera kuchitika m'njira yoti ziwonetsero za shuga m'magazi sizisintha kwambiri. Ndikofunikira kulabadira kuti:

• M'malo motere zitha kuchitika mosavuta pogwiritsa ntchito zida zapadera zamkati (XE),
• kukhathamiritsa kwa kulemera kwa thupi kuyenera kuganiziridwa ngati njira yotsogola yothandizira mtundu wa 2 matenda a shuga. Izi ndizotheka pokhapokha ngati mumadya zakudya zochepa zopatsa mphamvu komanso kuwonjezera zolimbitsa thupi,
• ndi matenda omwe ali amtundu woyamba, njira yotsogola yoperekera chithandizo ndi chithandizo cha insulin. Nthawi yomweyo, zoletsa zilizonse pazakudya ndizothandiza m'chilengedwe, zomwe sizimawapangitsa kukhala osafunikira kuti akhalebe athanzi labwino.

Kuphatikiza apo, ndikofunikira kulabadira kuti mtundu woyamba wa shuga umaloleza kugwiritsa ntchito zakudya zina, koma pokhapokha poyerekeza. Kulankhula za izi, muyenera kulabadira kugwiritsa ntchito mazira athunthu. Tikulankhula za kugwiritsa ntchito osapitilira zidutswa ziwiri mkati mwa maola 24, koma owiritsa okha. Kuphatikiza apo, mayina oterewa amatha kugwiritsidwa ntchito ngati ma omeleta, komanso mukamawonjezera mazira pazakudya zina zilizonse.

Zakudya zamtundu wa 1 komanso zamatenda a 2 zakhazikitsidwa mwachindunji kwa izi ndipo zimaganizira mawonekedwe ndi zopindulitsa pazinthu zomwe zingatheke.

Lamulo lalikulu komanso lofunikira ndikupewa madontho amphamvu m'magazi a magazi. Makamaka kwa izi, zimaganiziridwa kuti zakudya zonse zimagawika m'magawo asanu, zimadyedwa pakapita chaka ngati chakudya chachikulu (katatu kapena) Poterepa, pazinthu zopanga mankhwala, chithunzicho chikuyenera kuwoneka motere:

• zamafuta sizidutsa 30% yazakudya zonse,
• mapuloteni osaposa 20%,
• chakudya chamagulutsi - otsalawo 50%.

Popeza vuto lalikulu la matenda ashuga ndi shuga wambiri, kutsimikizika kwakukulu pakukonzekera zakudya ndi kuchepetsa kuchuluka kwa shuga omwe amalowa mthupi. Kugogomezeranso kumapangira pang'onopang'ono mafuta, omwe mutha kuthana ndi shuga wamkulu - kulemera kwakukulu mwachangu kwambiri.

Kuphatikiza apo, zovuta zina mu chiwindi ndizotheka. Amafunikiranso kuchotsedwa pang'onopang'ono pogwiritsa ntchito soya ndi mafuta ochepa amkaka. Tchizi tchizi komanso tchizi chamafuta ochepa ndibwino. Chilichonse chopaka mafuta kapena chokazinga sichimachotsedwa.

Musaiwale za chodabwitsa cha matenda amisala. Maonekedwe ake ndi otheka pokhapokha ngati ali ndi pakati, monga momwe azimayi ena thupi limayankhira munjira yapadera ku glucose. Werengani zambiri za matenda a shuga gestational panthawi yomwe muli ndi pakati pano.

Tiyeni tikambirane mwatsatanetsatane zovuta za mitundu mitundu ya matenda ashuga.

Mosiyana ndi chakuti ambiri amafuna kukana kwathunthu chinthu chimodzi kapena china, mankhwala amakono amatsata mfundo za njira yolumikizirana ndi chithandizo. Pankhaniyi, izi zikuwonetsedwa pomanga zakudya zoyenera, momwe mbale kapena mbale ina ikadzakhala yovomerezeka. Izi zimadziwika kwa wodwala komanso thupi lake mosavuta. Ndipo limodzi ndi maphunziro osankhidwa mwapadera, mutha kukwaniritsa zotsatira zonse. Zotsatira zake, mutha kukhala ndi ndandanda yowonekera yomwe imaganizira mankhwala a insulin, zakudya ndi masewera.

Pogwiritsa ntchito insulin, kuchuluka kwake komanso nthawi yoyendetsera ziyenera kuphatikizidwa molondola ndi zinthu zomwe zimapereka shuga ku thupi.

Mosiyana ndi matenda amtundu wa 2 shuga, palibe zoletsa zazikulu pa kuchuluka kwa zinthu zomwe zimatengedwa, koma insulini iyenera kuyikidwa mthupi moyenera ndipo zotsatira zake ziyenera kukumbukiridwa.

Zakudya zamtunduwu zimasankhidwa ndi wazakudya ndipo zimayang'aniridwa mosamalitsa kuchuluka kwa mapuloteni onse, mafuta ndi chakudya chamagulu.

Ndi chithandizo chake, mutha kuyang'anitsitsa kuchuluka kwa shuga m'magazi ndikuyimitsa kukula kwa mitundu yoopsa ya matenda oyambitsa. Ngati ndinu wonenepa kwambiri, mumatha kudya zakudya zama protein zambiri kuti pasapezeke shuga.

Zakudya zamtunduwu zimakuthandizani kuti musinthe ma calories angapo, omwe amatha kukhala osiyana ndi 2500 kcal mpaka 600 kcal, kutengera kulemera kwa munthu komanso kugwiritsa ntchito mphamvu zake masana. Koma popeza mtundu uwu wa zakudya umatha kudzetsa kuchuluka kwa mapuloteni m'thupi, ndikofunikira kufunsa dokotala wanu musanakumane.

Ngati ndi kotheka, alembe zovuta za vitamini, zothandiza kwa odwala matenda ashuga, ndipo aziwunika momwe wodwalayo akugwiritsira ntchito zakudya zopatsa mphamvu zochepa.

Magulu onse awiriwa ndi ochulukirapo ndipo amathandiza kuti muchepetse kulimbana kwa matenda ashuga kwambiri momwe mungathere. Ganizirani izi zitha kutero idyani motere:

• masamba onse ndi obiriwira, komanso mafuta amitundu yonse,
• nsomba iliyonse yamafuta ochepa
• Zinthu zonse zopanda mafuta zamafuta ndizovomerezeka.
• lamulo lomweli limagwiranso ntchito ngati masoseji - mafuta ochepa ndi mafuta amomwe mungathere,
• zipatso zochepera,
• Buckwheat, oats ndi mapira amapezeka kuchokera ku mbewu monga chimanga, popeza zimakhala ndi mafuta ochulukirapo,
• Mosiyana ndi zomwe ambiri amakhulupirira, mkate ungathe kudyedwa, koma kuchokera ku ufa wongokhala ndi tirigu wathunthu,
• mutha kumamwa zipatso zatsopano ndi masamba abwino, tiyi ndi mitundu yazipatso,
• mafuta amkaka otsika amaloledwa.

Zakudya zama carb zotsika zimatanthauzanso kuchuluka kwakukulu zoletsa zomwe siziyenera kunyalanyazidwa. Nambala yazakudya ndi 9 ndipo nthawi zambiri imatchedwa "9 meza." Mndandandandawu umaphatikizapo zinthu zomwe siziyenera kuchotsedwa kwathunthu muzakudya, koma kwa iwo ayenera kuthandizidwa mosamala kwambiri:

• mowa ndi osayenera mwanjira iliyonse ndipo ngakhale utakhala wamphamvu bwanji,
• timisuzi tating'onoting'ono ndi timadzi tokoma tiyeneranso kusamwa, chifukwa amapangidwa ndi shuga wambiri.
• osagwiritsa ntchito zinthu zokhala ndi shuga, zomwe zimaphatikizapo mitundu yonse ya maswiti, kuphatikiza makeke ndi zoteteza,
• Ndikofunika kutaya mtundu uliwonse wa ma pickles, kuphatikiza zakudya zamchere nthawi zonse ndi ma pickles, komanso kusungidwa kwina ndi mchere,
• Msuzi wophika nyama sungaphatikizidwe muzakudya,
• Mpunga, pasitala ndi semolina zimasiyanitsidwa pakati pazakudya zomwe zimachulukitsa shuga, chifukwa chake kugwiritsa ntchito ndikosafunikanso,
• Ndikofunika kusiya zakudya zamafuta ambiri,
• Ndikofunika kuti musamadye mbalame zamafuta,
• Chilichonse chopweteka chimayenera kuphatikizidwanso.

Monga mukuwonetsera, zakudya izi zimapangidwa kuti mbale iliyonse ikhale yothandiza momwe mungathere, ndipo maphikidwe amatengera muyeso wabwino wa kuchuluka kwa zinthu. Komabe, izi zitha kubweretsa zovuta zina. Komabe, kuzolowera zakudya zotere sikungokhala ndi shuga wokhazikika, komanso kuchepa thupi m'njira yothandiza komanso wathanzi.

Ichi ndichifukwa chake madokotala amalangiza kuti azikhala pagome 9 kwa odwala onse onenepa kwambiri. Malamulo oletsa kudya omwe amaperekedwa ndi izi amathandizira kusintha magwiridwe amthupi ambiri, omwe amakhudza bwino ntchito ya endocrine system. Werengani zambiri za zakudya zamankhwala 9

Mwachitsanzo, menyu womwe ungatheke umaperekedwa kwa odwala omwe ali ndi matenda a shuga a degree yachiwiri, ndiye kuti, osadalira insulini.

• kadzutsa woyamba: tchizi yopanda mafuta kanyumba - 200g wokhala ndi zipatso - 40g,
• chakudya cham'mawa chachiwiri: kapu imodzi ya kefir,
• nkhomaliro: supu yamasamba - 150ml, mwanawankhosa wophika - 150g, masamba ophika - 100g,
• chakudya chamadzulo: saladi wa kabichi ndi nkhaka okole mafuta - 100g,
• chakudya chamadzulo: nsomba zowotcha dorado - 200g, masamba otentha - 100g.

• kadzutsa woyamba: phala lophwaphalaphika mkaka wa 150g,
• chakudya cham'mawa chachiwiri: maapulo awiri obiriwira
• nkhomaliro: borscht (wopanda nyama) - 150ml, ng'ombe yophika - 150g, zipatso zouma zokhazokha popanda shuga,
• tiyi wamadzulo: msuzi wa duwa lakutchire - 150ml,
• chakudya chamadzulo: nsomba yophika - 200g, masamba atsopano - 150g.

• kadzutsa woyamba: kanyumba tchizi casserole - 150g,
• chakudya cham'mawa chachiwiri: decoction of rose m'chiuno - 200ml,
• nkhomaliro: msuzi wa kabichi (wopanda nyama) - 150ml, makeke a nsomba - 150g, masamba atsopano - 100g,
• chakudya chamadzulo: dzira lophika
• chakudya chamadzulo: nyama zonyansa za nyama - 200g, kabichi wowotchera - 150g.

• kadzutsa woyamba: mafuta awiri azira ndi masamba 150g,
• chakudya cham'mawa chachiwiri: kumwa yogati 150ml,
• nkhomaliro: msuzi wa kirimu wa broccoli - 150ml, tsabola wokutira -200g,
• tiyi wamadzulo: karoti casserole ndi kanyumba tchizi - 200g,
• chakudya chamadzulo: skewing nkhuku - 200g, masamba ophika - 150g.

• kadzutsa woyamba: mapira phala 150g, apulo,
• chakudya cham'mawa chachiwiri: Malalanje 2
• nkhomaliro: nsomba msuzi 200ml, nyama goulash -100g, barele phala -100g,
• chakudya chamadzulo: kapu ya kefir, chinangwa - 100g,
• chakudya chamadzulo: nyama zodula - 150g, phala la buckwheat -100g, katsitsumzukwa wophika -70g.

• kadzutsa woyamba: chinangwa 150g, apulo,
• chakudya cham'mawa chachiwiri: dzira lowiritsa
• nkhomaliro: chakudya chamasamba ndi nyama (ng'ombe kapena mwanawankhosa) - 200g,
• chakudya chamadzulo: saladi wa tomato ndi mapesi a udzu winawake - 150g,
• chakudya chamadzulo: mphodza wa nkhosa ndi masamba - 250g.

• kadzutsa woyamba: kanyumba kopanda mafuta kanyumba 100g wokhala ndi yogurt 50g,
• chakudya cham'mawa chachiwiri: mazira a nkhuku zodyetsa 100g,
• nkhomaliro: masamba msuzi - 150ml, goulash wa nyama - 100g, saladi kuchokera ku mapesi a udzu winawake ndi maapulo - 100g,
• chakudya chamadzulo: zipatso - 125g,
• chakudya chamadzulo: shrimp yophika - 200g, nyemba zobiriwira za banja - 100g.

Olga:Tithokoze Mulungu matenda ashuga andidutsa, koma ndidamva za chakudya chotere. Dotolo adalangiza, nati zitha kukhala zopanda thanzi, mosiyana ndi zakudya zambiri zotchuka. Ndinaganiza zoyesera. Ngakhale kuti chakudyacho ndichachithandizo, zidatheka kuti muchepetse makilogalamu 8. Koma, zoona, zonse sizinali nthawi yomweyo, ndimayenera kudikirira. Koma zotsatira zake zinali zabwino.

Elena:Ndabadwa ndi matenda ashuga, choncho ndimayenera kugwiritsa ntchito gome 9 ngati prophylaxis. Sindikudziwa kuti ndikadumpha bwanji shuga popanda iwo, koma mavuto atayesedwa, madotolo adati asinthe ndikamadya. Ndili ndi glucometer, momwemo ndimayang'anira kuchuluka kwa shuga mpaka zonse zili bwino.

Victor:Pambuyo pa 30, mavuto onenepa kwambiri adayamba, ndipo pamenepo matenda a shuga adayamba kuzimiririka. Ndinafunika kupita pagome 9 kuti tikonze mwanjira ina. Zotsatira zake, kuyambira pa 120 zinali zotheka kubwezeretsanso mpaka 98, koma izi, kuphatikizapo kuphunzitsidwa kangapo pamlungu. Poyamba zinali zovuta, koma kenako ndinazolowera. Chifukwa chake ndimalangiza iwo omwe akufuna kuti athetse mavuto.

Ambiri mwa omwe adakumana ndi matenda osasangalatsa ngati matenda a shuga mellitus (DM) amadziwa bwino kuti kuwunika kumeneku kukutanthauza kuwunika moyo wonse. Choyamba, izi zimagwira ntchito pakudya. Zowonadi, masiku ano palibe mapiritsi anzeru oterewa omwe adapangidwa, kudya komwe kungapulumutse odwala matenda ashuga kuti asatsate zakudya zinazake.

Mabuku ambiri adalembedwa za matenda ashuga. Ndipo mulibe m'modzi mwa iwo kuti mfundo yokhala ndi vuto la shuga ndi imodzi mwazithandizo zamatenda oyenera amuna ndi akazi. Kupatula apo, matenda a shuga ndi endocrine matenda omwe amagwirizana mwachindunji ndi amodzi ofunika kwambiri mahomoni m'thupi - insulin. Insulin imapangidwa mu kapamba ndipo ndiyofunikira kupopera kwa glucose kudzera m'mimba.

Monga mukudziwa, chakudya chilichonse chimakhala ndi zinthu zitatu zikuluzikulu - mapuloteni, mafuta ndi chakudya. Zinthu zonsezi zimagwira ntchito yofunika kwambiri, koma zopatsa mphamvu zamafuta (shuga) ndizofunikira kwambiri. Ndi ma carbohydrate omwe ndi gwero lalikulu lamphamvu m'maselo a thupi la munthu. Makamaka, ndi chinthu chimodzi chokha chomwe chimagwira ntchito iyi - glucose, yomwe ili m'gulu la monosaccharides. Mitundu ina ya mafuta osavuta osinthika amasinthidwa kukhala glucose mwanjira ina kapena ina. Zakudya zomanga thupi zonga izi zimaphatikizapo fructose, sucrose, maltose, lactose, ndi wowuma. Pomaliza, pali ma polysaccharides omwe samamwa konse m'mimba. Zinthu zoterezi zimaphatikizapo ma pectins, cellulose, hemicellulose, chingamu, dextrin.

Glucose imatha kulowa molunjika m'maselo a thupi pokhapokha ngati ma neuron - ma cell aubongo. Nthawi zina, shuga pamafunika mtundu wa "fungulo". Ili ndiye "kiyi" ndipo ndi insulin. Puloteni iyi imamangiriza zofunikira zina pamakoma a cell, ndikupanga glucose amatha kugwira ntchito yake.

Zomwe zimayambitsa matenda a shuga ndi kuphwanya kwamakina awa. Mtundu woyamba wa shuga, pali kusowa kwenikweni kwa insulin. Izi zikutanthauza kuti glucose amataya "fungulo" la insulin ndipo sangathe kulowa m'maselo. Zomwe zimayambitsa matendawa nthawi zambiri zimakhala matenda a kapamba, chifukwa chomwe kuphatikiza kwa insulin kumatsika kwambiri kapena ngakhale kugwera mpaka ku zero.

Mtundu 2 wa shuga, chitsulo chimapanga insulin yokwanira. Chifukwa chake, shuga amakhala ndi "fungulo" lomwe limalola kuti ilowe m'maselo. Komabe, sangachite izi chifukwa choti "loko "yo ndi yolakwika - ndiye kuti, maselo alibe mapuloteni ena omwe amapezeka ndi insulin. Vutoli limakonda kukula pang'onopang'ono ndipo limayambitsa zifukwa zambiri, kuyambira mafuta ochulukirapo m'thupi mpaka kufika pakubadwa. Ndi chitukuko cha matenda a m'magazi, thupi limatha kuyamba kumva kuperewera kwambiri kwa insulin.

Zinthu zonsezi sizibweretsera munthu chilichonse chabwino. Choyamba, glucose omwe salowa m'maselo amayamba kudziunjikira m'magazi, amawayika m'misempha yosiyanasiyana, ndikuwawononga. Kachiwiri, thupi limayamba kusowa mphamvu zomwe amayenera kuti adalandira kuchokera ku shuga.

Kodi chakudya chingathandize bwanji pazochitika zonsezi? Cholinga chake ndi kuwonjezera chithandizo cha matenda ashuga, komanso momwe mungathere kukonza zovuta zama metabolic.

Choyamba, ndikukhazikika kwa kuchuluka kwa shuga m'magazi, chifukwa kuchuluka kwa glucose mosalephera kumabweretsa chiwopsezo chachikulu cha ziwalo zosiyanasiyana. Choyamba, matenda ashuga amakhudza mitsempha yamagazi, magazi amayenda moipa, chifukwa cha zomwe zimapangitsa kuti ma immune komanso ma necrotic mu minofu awoneke, chitetezo chochepa. Zovuta zingapo ndizotheka zomwe zingawopseze wodwalayo ndi zotsatira zakupha - kugunda kwa mtima, stroko, gangren.

Chithandizo cha matenda ashuga oyamba, choyambirira, ziyenera kukhala ndi cholinga chokhazikika pamlingo wamafuta m'magazi.Popeza ndi mtundu wamtunduwu wa shuga, wodwalayo amakakamizidwa kugwiritsa ntchito insulin yovomerezeka, kuchuluka kwa mafuta omwe amaperekedwa ndi chakudya kuyenera kufanana ndi kuchuluka kwa glucose omwe insulin ingathe kuyang'anira. Kupanda kutero, ngati pali insulin yochulukirapo kapena yaying'ono, onse a hyperglycemic (omwe amaphatikizidwa ndi shuga wambiri) ndi hypoglycemic (omwe amagwirizana ndi shuga wochepa) zinthu zimatheka. Komanso, hypoglycemia mu shuga mellitus, monga lamulo, siyocheperapo, kapenanso owopsa kuposa hyperglycemia. Kupatula apo, shuga ndiye gwero lokha lamphamvu laubongo, ndipo kusowa kwake kwa magazi kumatha kubweretsa vuto lalikulu kwambiri monga hypoglycemic coma.

Ngati mwapezeka ndi matenda a shuga, ndiye kuti chakudyacho sichiyenera kutsatira kwa masiku angapo, koma kwa moyo wanu wonse, chifukwa pakadali pano palibe njira zochiritsira matendawa. Komabe, izi sizitanthauza kuti wodwalayo adzalandidwa kwamuyaya chisangalalo cholandiridwa ndi chakudya chake wokondedwa. Zakudya zoyenera, komanso kumwa mankhwala ochepetsa shuga ndi insulin, zimathandizira kukhazikika kwa matendawa, ndipo pamenepa, munthu amatha kupereka ufulu wina pakudya. Chifukwa chake, kugwiritsa ntchito mankhwala osokoneza bongo ndi zakudya, zomwe zimapangitsa kuti kagayidwe kazake azikhala, ndiye maziko a anti-matenda a shuga. Inde, kulandira chithandizo chamankhwala wowerengeka kumatha, koma pokhapokha ngati chilolezo chalandira.

Njira zochizira matenda ashuga sizitsutsidwa masiku ano ndi katswiri aliyense. Zakudya za odwala matenda a shuga zimapangidwira poganizira mtundu wa shuga (1 kapena 2), mkhalidwe wa wodwalayo, kuchuluka kwa chitukuko cha matenda am'mimba, matenda opatsirana, kuchuluka kwa zochitika zolimbitsa thupi, mankhwala omwe wodwala amatenga, etc.

Anthu onse ali ndi zizolowezi zakudya zokhazikika komanso zakudya zomwe amakonda. Popanga chakudya, wodwala matenda ashuga ayenera kuganizira izi.

Zomwe zimapangitsa munthu kudya payekha ndizofunikira kwambiri pakukonzekera zakudya zodwala. Simungotenga chilichonse chomwe munthu wadya kale ndikusintha ndi magawo osiyanasiyana. Ndikofunikira kusintha zakudya zomwe munthu amakhala nazo, ndikuchotsa zovulaza. Ndikofunika kwambiri kutsatira mfundo iyi pochiza matenda mwa ana, chifukwa munthu wamkulu amatha kudzikakamiza, komanso kunyengerera mwana kuti adye zomwe sizimusangalatsa kumakhala kovuta kwambiri. Komanso, palibe chifukwa chobwera ndi maphikidwe alionse apakudya odwala matenda ashuga, chifukwa pali maphikidwe odziwika omwe amatsatira mokwanira zofuna za patebulo la zakudya.

Zambiri za chitukuko cha tebulo la antidiabetes kwa azimayi oyembekezera

Kwa amayi omwe ali ndi pakati, zakudya zapadera ndizofunikira, kutengera mawonekedwe a thupi la wodwalayo. Ndikofunikira kuti njira yoperekedwa kwa mayi woyembekezera isawononge thanzi lake lokha, komanso thanzi la mwana wake wosabadwa. M'dongosolo loterolo la zakudya, amayi ayenera kulandira zakudya zonse zofunika kuti mwana akule.

Zakudya za anthu odwala matenda ashuga zimathandizanso kwambiri. Komabe, malingaliro a akatswiri azakudya zamagulu amtundu wa zakudya pazomwe zimafunikira kudya chakudya cha anthu odwala matenda ashuga amasiyana. Sukulu yachikhalidwe ya odwala matenda ashuga ndi lingaliro kuti ngati munthu adya kangapo patsiku la 5-6 patsiku, ndiye kuti izi zimapereka chithandizo chambiri. Masana pakhale zakudya zazikulu zitatu (tikulankhula za m'mawa, chakudya chamadzulo ndi chakudya chamadzulo). Chakudya chilichonse chimatha kukhala ndi mbale 2-3. Komanso, wodwalayo amatha kupanga zodyera ziwiri kapena zitatu, zopangidwa ndi 1 mbale, masana. Ndikofunika kupangira zakudya kuti chakudya chizitenga tsiku lililonse nthawi yomweyo.

Chakudya chilichonse chimayenera kukhala ndi zopatsa mphamvu zingapo. Ma calorie onse ayenera kugawidwa ngati awa:

• pa kadzutsa - 25%,
• pa kadzutsa chachiwiri - 10-15%,
• nthawi ya nkhomaliro - 25-30%,
• masana - 5-10%,
• pa chakudya chamadzulo - 20-25%,
• pa chakudya chachiwiri - 5-10%,

Koma palinso otsatira omwe amawona kuti ndibwino kuti wodwalayo adye chakudya kawiri masana kuti asapangitse katundu wambiri ku kapamba. Malingaliro omwe ali ponseponse ndikuti ndibwino kupangitsa munthu kudya zakudya zamafuta ochulukirapo makamaka m'mawa.

Nayi malamulo ochepa opangidwa ndi odwala matenda ashuga kuti muwonjezere achire:

• ndikofunikira kuti munthu adye kwa nthawi yotsiriza pasanathe maola atatu asanagone,
• mukamadya, zakudya zamafuta ambiri ziyenera kukhala pamndandanda,
• Ngati munthu adya maswiti ochepa, ndibwino kuti muwadye pachakudya chachikulu, osati monga chakudya, chifukwa m'masiku otsiriza pamakhala kuchuluka kowopsa kwa shuga m'magazi,
• wodwala sayenera kudya atangochita zolimbitsa thupi, atapanikizika,
• ndikofunikira kuti munthu adye pang'ono, apewe kudya kwambiri ndikusiya patebulo ndikumva njala yochepa.

Matenda a shuga amafunikira zoletsa zambiri, ndipo madokotala ena amaletsa odwala awo kuchita nawo maphwando, chifukwa, monga lamulo, amakhala limodzi ndi kudya kwambiri komanso kudya kwambiri zakudya zama carb. Komabe, sikuti nthawi zonse pamakhala njira yolondola imeneyi. Simungakakamize munthu kuti azidya nthawi zonse kunyumba, osapita kumalesitilanti, malo odyera, alendo, kapena alendo. Choyamba, ndizosatheka, ndipo chachiwiri, ziyenera kukumbukiridwa kuti kudya sikumangokhala ndi thupi lokha, komanso gawo lazachikhalidwe.

Kunyalanyaza izi kumabweretsa kuti wodwalayo amasiya kutsatira zakudya zake ndikuyang'anira dongosolo lazakudya. Izi zimanyalanyaza mphamvu yonse yakuchiritsa. Chifukwa chake, yankho lolondola silikhala loletsa, koma kuphunzitsa wodwalayo maluso kuti adziwe kuopsa kwa zinthu ndikuzisintha ndi zina zoyenera. Komabe, ngati wodwalayo akuchita nawo phwando, ndiye kuti ayenera kukana kumwa mowa. Inde, ngakhale munthu adya moyenera, kumwa mowa kumatha kuyeserera kuyesayesa kwake konse. Mowa wa Ethyl umasokoneza kagayidwe kazinthu zazikulu za chakudya (mapuloteni, zakudya zamafuta ndi mafuta), umapangitsa magwiridwe antchito ofunikira kwambiri (makamaka chiwindi), ndipo ungayambitse kuwonongeka kwa matendawa.

Zambiri zophika komanso zoletsedwa njira zophikira

Zakudya zopangidwa moyenera ziyenera kuganizira njira yophika. Kutentha kwakanthawi sikulimbikitsidwa. Chifukwa chake, mbale zonse ziyenera kuwiritsa kapena kuwotcha. Kumbukirani kuti chithandizo cha kutentha chimawonjezera index ya glycemic.

Zakudya zokazika, zowaza kwambiri, chakudya chothilidwa, ndizoletsedwa. Sitikulimbikitsidwa kugwiritsa ntchito mayonesi, ketchup, msuzi mukaphika mbale.

Zogulitsa zomwe zimakhala ndi wowuma kwambiri ndizabwino kusawiritsa kapena kupera, chifukwa wowuma simalowedwa mosavuta mutapangidwa. Chifukwa chake, mbatata ndizowiritsa bwino kwambiri mu peel, ndipo mbewu monga chimanga sizifunikira kugaya.

Zakudya siziyenera kutumizidwa kuzizira kapena kutentha, koma ndi kutentha kwa + 15-66 ° С.

Pazakudya zambiri za anthu odwala matenda ashuga, lingaliro la glycemic index (GI) limagwiritsidwa ntchito kwambiri. Mawuwa amatanthauza kuthekera kwa zinthu zomwe zimapangitsa kukula kwa shuga. Chizindikirochi sichili chofanana ndi magawo monga zakudya zamapangidwe azakudya ndi zopatsa mphamvu. Mokulira pamlingo wamatumbo, msanga shuga umakwera msanga. Monga lamulo, ndi mafuta ochulukirapo ofanana m'magulu angapo, GI ndiwokwera kwambiri momwe gawo la mafuta osavuta limakhala lapamwamba ndipo zomwe zimakhala ndi ulusi wazomera zimakhala zotsika. GI yotsika ndi 40 imawonedwa ngati yotsika, pafupifupi 40 mpaka 70, komanso yokwera kuposa 70. Ndikofunikira kwambiri kulingalira za GI kwa odwala omwe ali ndi matenda a shuga omwe amadalira insulin komanso omwe ali ndi vuto lalikulu la matenda ashuga a 2. Chifukwa chake, GI ikhoza kugwiritsidwa ntchito kuphatikiza zakudya zoyenera.

Mndandanda womwe uli pansipa ukuonetsa mndandanda wazakudya zosiyanasiyana.

1. 
   Chernysh, Pavel Glucocorticoid-metabolic theory of 2 shuga mellitus / Pavel Chernysh. - M: LAP Lambert Academic Publishing, 2014 .-- 901 p.
2. 
   Romanova E.A., Chapova O.I. Matenda a shuga. Handbook, Eksmo - M., 2015 .-- 448 p.
3. 
   Zakudya za Nikolaychuk, L.V. 1000 za odwala matenda a shuga mellitus / L.V. Nikolaychuk, N.P. Zubitskaya. - M: Book House, 2004. - 160 p.
4. Kazmin V.D. Matenda a shuga. Momwe mungapewere zovuta komanso kukhala ndi moyo wautali. Rostov-on-Don, Nyumba Yofalitsa ku Phoenix, 2000, masamba 313, kufalitsa makope 10,000.
5. Malangizo a Clinical Endocrinology. - M.: Mankhwala, 2014 .-- 664 p.

Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwazaka 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.