Chithandizo cha matenda a shuga - momwe mungapewere matenda a shuga
Munthawi ya matenda ashuga, kuchuluka kwa shuga sikokwanira kwambiri kuposa masiku onse. Kuchepa uku ndikuphwanya kukhululuka kwa glucose.
Matenda a shuga amatha kupezeka onse akulu ndi ana.
Ngati njira zoyenera sizitengedwa munthawi yake, ndiye kuti pali matenda enaake omwe ali nawo. Pachifukwa ichi, ndikofunikira kulumikizana ndi endocrinologist mwachangu kuti athandize odwala matenda a prediabetes.
Kodi ndizotheka kuchiritsa matenda a prediabetes kwathunthu
Anthu omwe ali ndi matendawa ali pachiwopsezo cha matenda a shuga a mtundu wachiwiri. Ngakhale atadwala matendawa, amathandizidwa. Kuti mubwezeretsenso kuchuluka kwa glucose m'magulu oyenera, tikulimbikitsidwa kuti muwonenso zomwe mumadya komanso zolimbitsa thupi.
Mkhalidwe wosayenera ungawonekere mosayembekezereka panthawi yomwe minyewa yamthupi imatha kutaya mphamvu ya mahomoni a pancreatic. Chifukwa cha izi, shuga amawuka.
Chimodzi mwazovuta zomwe zimachitika chifukwa cha matenda a prediabetes ndi angiopathy. Ngati simukulumikizana ndi dokotala nthawi yomweyo, zotsatira zina zimawonekera. Mkhalidwewo umatengera kuwonongeka mu magwiridwe antchito a ziwalo zamawonedwe, zamanjenje ndi zozungulira.
Zifukwa zopitira kuchipatala kuti mukawongolere shuga:
Ngati mukukayikira, muyenera kupereka magazi a shuga kuti mutsimikizire kuti mwazindikira. Kuyesedwa kwa shuga kumachitika kokha m'mimba yopanda kanthu m'mawa, musanamwe biomaterial, ngakhale madzi akumwa saloledwa.
Ngati kafukufuku adawonetsa kuti glucose wa plasma ndi wochepera 6 mmol / l - ndi funso la kukhalapo kwa boma la prediabetes.
Ngati matenda a prediabetes adapezeka, muyenera kutsatira malingaliro a madokotala ndikuchepetsa kugwiritsa ntchito mafuta, muchepetse kwambiri maswiti ndi confectionery, komanso kuchepetsa kudya kwa calorie. Ndi njira yoyenera, mutha kuthana ndi vuto lomwe limayambitsa matenda ashuga.
Momwe angapangidwire kuti asalandire shuga
Kuzindikiritsa munthawi yake matenda a prediabetes kumathandiza kupewetsa matenda a shuga a mtundu wachiwiri.
Ndi kulolerana kwa glucose, munthu alibe chizindikiro. Koma izi zimadziwika kuti ndi malire.
Anthu ambiri amakhala ndi shuga wambiri mthupi.
Madotolo amazindikira kufunika kozindikira matendawa kuti apewe mavuto akulu azaumoyo. Izi ndi monga: matenda a mtima ndi mitsempha yamagazi, ziwalo zamawonedwe ndi zowonekera.
Mankhwala a prediabetes state, muyenera kutsatira izi:
- Kutsatira zakudya zoyenera. Izi zikuthandizira kuchotsa mapaundi owonjezera. Kuchepetsa thupi pokhazikika pamakhalidwe oyenera kumathandizanso kwambiri pakuchiza matendawa.
- Kusiya kusuta fodya komanso kumwa mowa.
- Matenda a kuthamanga kwa magazi.
- Kutsitsa cholesterol m'mitsempha yamagazi.
Kuyenera kudziwidwa nthawi yomweyo kuti ndi prediabetes, mankhwala sanakhazikitsidwe.
Dokotala amalankhula za zomwe akuyenera kuchita kuti apewe matendawa.
Kwa anthu ena, ndikokwanira kuyamba kuchita masewera olimbitsa thupi ndikusintha zakudya zawo pang'ono.
Kafukufuku ku United States awonetsa kuti kusintha kwakukulu kwa moyo wamunthu ndikothandiza kuposa kupereka mankhwala. Nthawi zina, Metformin akuwonetsedwa.
Ngati kusungidwa kwa zakudya zoyenera, kukana zizolowezi zoipa komanso kuchita masewera olimbitsa thupi mokwanira sikupereka zotsatira zoyenera, ndiye kuti muyenera kuyamba kumwa mankhwala omwe akuwonetsedwa kuti muchepetse shuga. Dokotala wanu atha kukupatsirani mankhwala omwe mumasankha: Metformin, Glucofage kapena Siofor.
Zakudya zamankhwala
Ndikofunikira kuyamba kutsatira zakudya zoyenera ndikuchepetsa ma servings. CHIKWANGWANI chiyenera kufalikira m'zakudya: masamba atsopano ndi zipatso, nyemba, amadyera ndi letesi. Ngati mumadya pafupipafupi zakudya izi, mutha kukonza thanzi lanu. Zakudya zotere zimakhudza thupi zokha.
Kuphatikiza apo, fiber ndiyabwino pakukhutiritsa njala. Munthu amakhala wokwanira, motero, samadya zakudya zopanda pake.
Ngati mutsatira zakudya zopatsa thanzi, kuchepa thupi kumayamba mofulumira. Mlingo wa glucose ukubwerera kwachilendo. Thupi limakhala lodzaza ndi zinthu zazing'ono komanso zazikulu, mavitamini opindulitsa ndi mchere.
Kudya moyenera ndi matenda asanafike shuga kumathandiza kupewa kukula kwa matenda ashuga.
Mutha kudya zakudya zilizonse, koma ziyenera kuperekedwa kwa iwo omwe amasiyana mafuta ochepa pazomwe zimapangidwa. Muyeneranso kusankha zakudya zokhala ndi index yotsika ya glycemic. Kudya calorie ndikofunikanso. Malamulowa ayenera kutsatiridwa:
- Ndikofunikira kupereka zokonda zamafuta ochepa, omwe amakhala ndi CHIKWANGWANI kwambiri pakapangidwe kake.
- Zopatsa mphamvu ziyenera kuganiziridwa. Kuti muchite izi, muthanso kuyimba diary ya chakudya, komwe muyenera kulowetsa chilichonse chamadya masana. Ndikofunikanso kukumbukira kuti tsiku ndi tsiku thupi liyenera kulandira kuchuluka kwa mapuloteni, mafuta ndi chakudya.
- Muyenera kudya zitsamba zambiri zatsopano, masamba ndi bowa.
- Ndikofunika kuti muchepetse anthu kudya mpunga oyera, mbatata ndi chimanga, chifukwa amadziwika ndi wowuma kwambiri.
- Tsiku lomwe muyenera kumwa 1.5 - 2 malita a madzi.
- Zakudya ziyenera kukhala zonyowa kapena mu uvuni. Wiritsani nyama ndi masamba.
- Ndikofunikira kusiya madzi owala, kuphatikizapo madzi okoma.
Kuchiza ndi wowerengeka azitsamba
Njira zina zitha kugwiritsidwa ntchito pokhapokha mukaonana ndi dokotala.
Chida chothandiza kwambiri cha prediabetes ndi buckwheat. Kuti mukonze othandizira, muyenera kupera ndi grinder ya khofi. Onjezani supuni ziwiri za ufa ndi 250 ml ya kefir wopanda mafuta. Siyani kusakaniza usiku, ndikuwotenga m'mawa musanadye.
Mankhwala ena othandiza ndi chakumwa cha nyale. Chosakaniza chachikulu chophwanyika chimayenera kuthiridwa ndi madzi ndikuphika pamoto wochepa kwa mphindi zisanu. Ziwerengero zake zizikhala motere: 300 ml ya madzi pa 25 g ya mbewu. Muyenera kumwa musanadye chakudya cham'mawa.
Kodi pali mapiritsi azitsamba a prediabetes?
Kwanthawi yayitali tsopano, asayansi atembenukira ku zitsamba zomwe zingathandize kuchepetsa shuga. Palinso kukonzekera kwazitsamba komwe kungachepetse kuyambika kwa matenda:
- Insulin
- Arfazetin – E,
- Dianote.
Amakhala ndi mwayi umodzi wabwino pamankhwala ena - pafupifupi samayambitsa mavuto osafunikira ndipo amachita mosamala kwambiri. Kutulutsidwa kwa mankhwalawa kumayendetsedwa mu mawonekedwe a piritsi ndi kapisolo, komanso mu mawonekedwe a syrups ndi tinctures.
Zochita zolimbitsa thupi zomwe muyenera kuchita kuti mutuluke m'boma la prediabetes
Kuchita masewera olimbitsa thupi pafupipafupi ndikofunikira kuti muchepetse kuthekera kwa matenda ashuga m'tsogolo. Mutha kuyamba kusewera masewera ndi kukwera kwa banal masitepe.
Ndikulimbikitsidwanso kuti theka la ola limodzi tsiku lililonse muziyenda moyera.
Muyenera kusewera masewera kwa theka la ola tsiku lililonse. Maphunziro ayenera kukhala achizolowezi. Kuchepetsa thupi, ndikokwanira kupereka katundu kangapo pa sabata. Zochita zolimbitsa thupi zitha kugawidwa m'magawo angapo afupipafupi: magawo atatu a mphindi khumi. Zochita zolimbitsa thupi zimasankhidwa payekha. Ngati mungafune, mutha kudzipereka nokha pakuyenda wamba.
Momwe mungachotsere kunenepa kwam'mimba mu shuga
Mtundu wam'mimba wakanenepa kwambiri (mtundu wa apulo) umadziwika kuti mafuta ambiri amayikidwa pamimba.
Pankhaniyi, muyenera kuchepetsa kuchuluka kwa mafuta ndi michere. Zakudya za caloric za tsiku ndi tsiku ziyenera kukhala zosakwana 1800 kcal.
Chithandizo chimakhala ndikutsatira zakudya, kusewera masewera komanso kukana kugwiritsa ntchito mankhwala osokoneza bongo. Mukatsatira malangizo a dotolo, matulukiridwe ake amakhala abwino.
Kusintha kwa moyo kudzera mu zochita zolimbitsa thupi ndikuchotsa kunenepa kwambiri ndi 50% kumachepetsa mwayi wokhala ndi matenda ashuga.
Kuthandizira kwa akatswiri m'magawo oyamba kumathandizira kuti mawonekedwe a glucose azikhala munthawi yochepa kwambiri.
- Imakhazikika pamisempha ya shuga kwa nthawi yayitali
- Imabwezeretsa kapangidwe ka insulin
Phunzirani zambiri. Osati mankhwala. ->
Zizindikiro za nthendayo, chifukwa chake malire amalire amachitika
Kunenepa kwambiri komanso kukhala moyo wongokhala ndi zinthu zina zomwe zingayambitse matenda a endocrine, mtima ndi machitidwe ena. Polankhula mwachindunji za matenda am'mbuyomu, zizindikiro zimayang'ana pazinthu zotsatirazi:
- matenda osowa tulo, owonetsedwa ngati kusokonezeka kwa glucose, kuwonjezereka kwa ntchito zapamba.
- ludzu lalikuru ndi kukodza pafupipafupi - kuwonjezeka kwa shuga kumabweretsa kukula kwa magazi, zomwe zimapangitsa kuti azisowa kumwa madzi nthawi zonse kuti athane ndi matenda oterewa,
- kuchepa thupi mwadzidzidzi popanda chifukwa,
- Khungu
- kukulitsa kwa ntchito zowoneka.
Kuphatikiza apo, zizindikiro za prediabetes zimatha kuwonetseredwa ndi ma minyewa othandizira, omwe amapangika chifukwa cholowerera mkati mwa michere. Mutu, migraines imayendanso ndi matenda. Zizindikiro zotere za prediabetes zimakwiyitsidwa ndi kuwonongeka kwa ziwiya zazing'ono, zomwe zimabweretsa zosasangalatsa.
Chinthu chachikulu chomwe chikukulitsa chitukuko cha dziko lamalireyi chiyenera kuonedwa ngati insulin. Zotsatira zake, shuga wamagazi amawonjezeka. Popeza zonsezi, azimayi sayenera kunyalanyazidwa.
Zomwe zimayambitsa matenda a prediabetes
Zomwe zimayambitsa kupangika kwa matendawa zimatha kukhala zakubadwa, komanso zopezeka, mwachitsanzo, moyo wosalondola, matenda akale. Poyamba, choyambitsa kukhazikika kwa matenda ndi kukhalapo kwa kusintha kwa kupanga kwa insulin mwa makolo onse awiri. Chochita pankhaniyi? Zachidziwikire, yang'anani kuchuluka kwa shuga anu pachaka ndikufunsira kwa odwala matenda ashuga.
Mwa amayi, nthawi zambiri zomwe zimayambitsa matenda a prediabetes zimakhala m'matenda a endocrine ndi genitourinary system. Mwachitsanzo, hypothyroidism, polycystic ovary - zonsezi, pokhapokha njira yolakwika ikuchitika, ikhoza kukhala chifukwa cha chitukuko cha matenda.
Madera omwe ali pachiwopsezo
Monga tanenera kale, anthu onenepa kwambiri ali pachiwopsezo. Malinga ndi akatswiri, zidzakhala zokwanira kutaya 10-15% kuti mukwaniritse bwino lomwe mthupi lanu. Kuyankhula za zoopsa zomwe zimachitika mwadzidzidzi, samalani ndi mfundo yoti:
- Ngati wodwala ali ndi kulemera kwakukulu, kuchuluka kwa mthupi kumaposa 30, ndiye kuti matenda a shuga amawonjezeka,
- samalani ndi zomwe anthu omwe ali ndi kuthamanga kwa magazi ayenera kuchita. Ngati chiŵerengerocho chiri pamwamba pa 140/90, chidzafunika nthawi ndi nthawi,
- Odwala omwe ali ndi abale omwe akumana ndi matenda omwe aperekedwa ayenera kuwongolera mkhalidwe wawo,
- Amayi omwe amadwala matenda ashuga omwe adadziwika panthawi yoyembekezera amayeneranso kuwunika kusintha kwa shuga m'magazi. Kuchepa kwa matenda a prediabetes ndikofunikira kwambiri.
Zotsatira za Magazi A shuga
Ndi prediabetes, kuchuluka kwa shuga m'magazi ndiye njira yodalirika kwambiri yodziwira kupezeka kwa matenda ndi kulondola kwambiri. Monga mukudziwa, thanzi labwino la shuga limadalira zaka, koma nthawi zambiri limayenera kukhala kuyambira 5,5 mpaka 6 mmol pa lita.
Chifukwa chake, kuyang'ana kukhalapo kapena kusakhalapo kwa prediabetes, kuwunika kotsatiraku kumachitika. Wodwalayo amapatsidwa madzi akumwa omwe amakhala ndi shuga pang'ono, ndipo patapita nthawi (mphindi 60 kapena 120) mayesowo amabwerezedwa. Kuti mudziwe bwino matendawa, kuwunika kumachitika kangapo mphindi 30 zilizonse.
Ngati zizindikirozo ngakhale maola awiri mutatha kugwiritsa ntchito zotsekemera ndizapamwamba kuposa kuchuluka kwa shuga (5.5 mmol), koma osafikira zomwe zikupezeka ndi shuga (7 mmol), ndiye kuti titha kukambirana za kuphwanya shuga. Kutsimikizira zotsatira za kusanthula, diagnostics angachitike tsiku lotsatira. Mitengo ya shuga iyenera kuvomerezedwa ndi dokotala.
Zakudya Zoyipa Zosiyanasiyana
Zakudya zoyenera kwa anthu odwala matenda ashuga zizikhala zochepetsera kulumikizidwa kwathunthu. Zakudyazo ziyenera kuphatikizapo zakudya zomwe zimakhala ndi fiber: masamba a masamba, zipatso, nyemba ndi masamba. Ubwino wazomwe zaperekedwa ziyenera kuonedwa ngati kudzaza m'mimba, kukhutitsa njala ndi kupereka.
Tiyenera kudziwa kuti mukasintha zakudya, kukhalapo kwa zochitika zolimbitsa thupi (zomwe zimapangitsa kutsika ndi 5-10%), chiwopsezo cha shuga chichepetsedwa ndi 58%.
Kodi amadya matenda a prediabetes?
Palibe chakudya chogwirizana cha prediabetes. Kumbukirani, komabe, kuti mumatha kudya kwambiri, koma ndikofunikira kuti musankhe zakudya zokhala ndi GI yochepa komanso mafuta ochepa. Kutsatira ndikofunikira kwambiri ndipo kuchuluka kwa kalori kokwanira, kufotokozera zizindikiro zonse tsiku lonse. Ndi zakudya izi zomwe zingathandize kupewa prediabetes.
Ndi zakudya ziti zomwe zimaloledwa komanso zoletsedwa panthawi yazakudya?
Zakudya zopatsa thanzi pamkhalidwewu zimaphatikizapo kukana kwathunthu mafuta (soseji, tchizi). Kuphatikiza apo, yolondola imatanthawuza izi:
- chakudya chokazinga
- zakudya zomwe zimakhala ndi zida zopatsa mphamvu monga chakudya chophika kapena maswiti,
- chokoleti ndi makeke
- wokondedwa, kupanikizana, shuga.
Polankhula za zakudya zovomerezeka, samalani ndi zovomerezeka zakugwiritsa ntchito mkate (coarse kapena rye). Chovomerezeka ndikugwiritsa ntchito zinthu zomwe zimakhala ndi mkaka - tchizi tchizi, zonona wowawasa, mkaka wowotchera ndi ena. Tisaiwale za zabwino za nyama yazakudya ndi nsomba (kalulu, nkhuku, nkhuku).
Mwa zinthu zonse, zipatso zosakhudzidwa (mandimu, malalanje, pomelo ndi zina) ndizothandiza. Masamba monga kabichi, kaloti, phwetekere, dzungu ndi zina ndizovomerezeka. Musaiwale za zabwino za oat, balere ndi ngale. Maina omata amathanso kuphatikizidwa muzakudya.
Kodi matenda ashuga angachiritsidwe?
Matenda a shuga amatha kuchiritsidwa kwenikweni, koma izi zimatheka ndikusinthasintha kochepa m'mazira a shuga, komanso kutsatira malangizo onse azachipatala.
Zitha kuthetseratu matenda omwe aperekedwa pokhapokha ngati munthu adya bwino (kuchepa thupi), ayambe kusewera masewera, komanso kugwiritsa ntchito mankhwala omwe amachepetsa shuga.
Mwambiri, matenda am'mbuyomu amatha kudwala ngati matenda omwe angathe kutha kuperekedwa kwa anthu amisinkhu iliyonse komanso akazi. Ndikofunikira munthawi yake kuti muzisamala kwambiri zomwe zimayambitsa matendawa, zomwe zingalepheretse kuchepa kwa matendawa mtundu wa 2 matenda ashuga.
Kodi chithandizo cha prediabetes ndi chiyani?
Kuti muthandizidwe bwino pamenepa, ndikofunikira kupereka njira yophatikizira. Ndikofunikira kutsatira zakudya, zolimbitsa thupi zolimbitsa thupi, kugwiritsa ntchito osati mankhwala ochepetsa shuga, komanso mankhwala ena.Ndi endocrinologist yekha yemwe angayankhe funso la momwe angachiritsire matenda ashuga. Ikufotokozanso kuti mankhwalawa atenga nthawi yayitali bwanji.
Nthawi zambiri, kutalika koteroko kumatenga miyezi isanu ndi umodzi mpaka zaka zingapo. Mu maphunziro onsewa, kufunsana ndi dokotala wopezekapo kungafunike, komanso kuyang'ana shuga. Izi zikuthandizani kuti muzitha kuyang'anira thanzi lanu nthawi zonse.
Njira zina
Therapy amatha kuchitika kuphatikizapo wowerengeka azitsamba. Ndikofunikira kuti kugwiritsa ntchito kwawo kuvomerezeredwe ndi katswiri - izi zitha kuchita bwino kwambiri. Chifukwa chake, mankhwala othandizira odwala matenda a prediabetes atha kugwiritsa ntchito zida zotsatirazi ndi maphikidwe:
- buckwheat ndikulimbikitsidwa kuti mugwiritse ntchito. Kukonzekera chakudya chopatsa thanzi, pukuta grits ndi chopukusira cha khofi, kutsanulira kefir usiku (supuni ziwiri pa 200 ml ya kefir). Imwani m'mawa m'mimba yopanda kanthu,
- mutha kugwiritsa ntchito decoction wa flaxseeds: zida zosenda zosenda zimathiridwa ndimadzi ndikuwiritsa kwa mphindi zisanu. Pambuyo pake, mmodzi tbsp amagwiritsidwa ntchito pa 200 ml. l fulakesi yodulidwa. Ndikulimbikitsidwa kugwiritsa ntchito mawonekedwe anu pamimba yopanda kanthu asanadye chakudya cham'mawa,
- Mutha kukonzanso kulowetsedwa kwa mabulosi am'maso ndi masamba a currant, muzu wa elecampane. Kusakaniza kumathiridwa ndi madzi otentha (supuni imodzi ndi yokwanira 200 ml), 50 ml imakhazikika ndikuwonongeka tsiku lililonse.
Zithandizo zoterezi zimatha kuthandizidwa mtsogolomo kuonetsetsa kupewa kwa prediabetes.
Mankhwala
Madokotala mwachizolowezi amapereka mankhwala a biguanides (mwachitsanzo, Metformin). Mu prediabetes, mankhwalawa amachepetsa kuchuluka kwa glucose omwe amapangidwa ndi chiwindi. Nthawi yomweyo, thiazolidinediones (Avandia) mwalamulo amalembedwa kuti athetse.
Nthawi zambiri, Metformin 850 kapena 1000 amalembedwa. Kuphatikiza pakuchepetsa zizindikiro za shuga, kulemera kwa wodwalayo kumasinthika. Komabe, ma contraindication ena ayenera kuganiziridwanso (pakati, kusalolera, lactic acidosis). Pa gawo loyambirira, mankhwalawa omwe ali ndi prediabetes amagwiritsidwa ntchito pafupifupi 1000 mg masana ndi madzi ambiri. Mlingo wololedwa wambiri, womwe mumagwirizana ndi dokotala, ukhoza kukhala 3000 mg.
Mumsika wamakono wamankhwala ku Russia pali mankhwala ambiri omwe ali ndi mankhwala a metformin. Mwachitsanzo, Glucophage, Glycomet, Metfogamm ndi ena.
Matenda a shuga ndi matenda oopsa kwambiri omwe amatha kupewedwa pamlingo wa prediabetes. Tsoka ilo, anthu ambiri sadziwa zizindikiro za matendawa, ndipo sangayambe kulandira chithandizo nthawi imeneyo.
Matenda a shuga amatanthauza kuti munthu ali pachiwopsezo chotukuka. Munthu wotere amakhala ndi shuga wambiri kuposa zomwe amafunikira. Kuphatikiza apo, munthu wotere m'thupi sakhala ndi zomwe maselo ndi minyewa imayenera kuchita kuti insulini ikhale ndi ziphuphu. Anthu ambiri omwe ali ndi matenda ashuga a 2 kale anali ndi prediabetes.
Izi sizitanthauza kuti munthu wadwala matenda ashuga. Ndi zakudya zoyenera, kukhalabe ndi masewera olimbitsa thupi kungathandizire kupewa matenda oyamba. Koma ngati simukuletsa, ndiye kuti atha kukhala ndi matenda a shuga komanso zovuta zina, makamaka matenda a mtima, mitsempha yamagazi, mitsempha ya m'mitsempha ndi zina.
Zizindikiro za prediabetes
Matenda a shuga amakhala ndi zizindikiro zazikulu.
- Zosokoneza tulo. Kusowa tulo kumachitika chifukwa cha kuvulala kwachilengedwe. Chifukwa cha izi, chitetezo chamthupi chimaphwanyidwa, ndipo chimayamba kutenga matenda.
- Zowonongeka. Zizindikiro zomwe zimawonetsa mavuto ammaso zimachitika chifukwa cha kuchuluka kowonda kwamagazi. Zimadutsa moyipitsitsa kudzera pazombo zazing'ono. Chifukwa chophwanya magazi m'magazi am'maso, munthu amayamba kuona zoipazi.
- Khungu loyenda limachitika chifukwa cha kukhuthala kwa magazi: silingadutse maukonde ang'onoang'ono a pakhungu. Amayankha ndi kuyabwa.
- W ludzu. Mwazi wokwanira wama glucose umakulitsa kufunikira kwa madzi. Glucose amatenga madzi m'matipi, ndikugwira impso, kumabweretsa kuwonjezeka kwa diuresis. Kuphatikiza apo, thupi liyenera "kuchepetsa" magazi kwambiri. Zonsezi zimakulitsa ludzu. Komabe, kumwa pafupipafupi komanso kumwa kwambiri kumayambitsa kukodza komweko. Misozi imasowa pokhapokha mulingo wa shuga sutsika m'munsi mamililita 6 pa lita imodzi.
- Kuchepetsa thupi. Izi zimachitika chifukwa cha kusamwa kwa glucose kosakwanira ndimaselo ndi minyewa yathupi. Zotsatira zake, sangathe kuyamwa mphamvu zokwanira kuti zizigwira ntchito bwino. Zonsezi zimatopa, kuwonda.
- Zingwe. Amachokera ku kusowa kwa zakudya zama cell.
- Kutentha kumachitika chifukwa cha kukula kwakanthawi kwakanthawi kwa shuga.
- Ululu m'mutu umatha kuchitika ngakhale chifukwa cha kuchuluka kwakanthawi kwa shuga. Kuphatikiza apo, odwala amamva kulemera mu miyendo ndi kupweteka mkati.
Komabe sianthu onse omwe angakhale ndi zizindikirozi. Nthawi zambiri zimachitika kuti anthu omwe ali ndi prediabetes samva nkhawa iliyonse yamatenda.
Matenda a shuga omwe ayamba kumanenedwa ndi akuti, maola awiri mutatha kudya, amapitilira 11.1 ndi mmol, komanso mosaganizira zakudya, ngati izi zimapezeka ngakhale pa mayeso oyamba. Zomwe zimachitika ngati pamimba yopanda kanthu kuchuluka kwa glucose kupitirira 6.7 mmol pa lita. Pakulekerera kwa glucose osavomerezeka akuti ngati kuthamanga kwake kumachokera ku 5.5 mpaka 6.7 mmol, ndipo maola awiri atatha kulowetsa 75 g. izi zatha 7.8, koma zosakwana 11.1 mmol. Zizindikiro zoterezi ndizowopsa ndipo zimafuna kukonza moyo.
Zoyenera kuchita ndi prediabetes
Ngati pali, komanso zizindikiro zosonyeza prediabetes, ndikofunikira kukaonana ndi dokotala. Izi ziyenera kuchitidwa kwa anthu azaka zopitilira 45. Pazonse, aliyense, ngakhale ali ndi zaka zambiri, amayenera kukayezetsa magazi ndi mkodzo kuti athe kuzindikira kuleza kwa glucose ngakhale adakali achichepere.
Kuyesedwa kwa magazi konse kumachitika pamimba yopanda kanthu. Kusala kovomerezeka kwa maola osachepera asanu ndi atatu kusanachitike. Madzi okha ndi omwe amaloledwa kumwa nthawi ino.
Ndikofunikira kuchita kuyesa kwa glucose. Zimakhala kuti wodwala amaloledwa kutenga magalamu 75 a shuga, kenako amayesa shuga - atatha theka la ola, ola ndipo, pomaliza, atatha maola awiri. Kuchuluka kwa shuga kuposa 7.8 mmol shuga pa lita imodzi (kapena 140.4 mg pa 100 g) kumawonetsa prediabetes.
Kuzindikira matenda a prediabetes ndikofunikira kwambiri kuti mukhale ndi thanzi labwino komanso kuti muchepetse zovuta. Kuzindikira koyambirira kwa matenda a prediabetes ndipo chithandizo chake chamtsogolo chimakuthandizani kuti mubwezeretse zomwe zili ndi shuga.
Ndikofunika kuti shuga yanu ikhale yathanzi. Izi zikuthandizani kukhala ndi thanzi labwino komanso kupewa matenda ashuga.
Ndikofunika kumwa mavitamini: amathandizira kuchepetsa chithandizo cha prediabetes ndikuwonjezera chitetezo cha mthupi. Kusunga kuchuluka kwa glucose kumathandizira kuwunikira nthawi zonse ndi glucometer. Sungani mikwingwirima ya chipangizochi sikuyenera.
Zokhudza chithandizo cha prediabetes
Chithandizo cha matenda a prediabetes kuti matendawa azisintha kuwerenga motere:
- kuthetseratu zizolowezi zoipa,
- Chithandizo cha kuchuluka kwa thupi,
- masewera olimbitsa thupi nthawi zonse
- matenda oopsa,
- kukonza cholesterol m'mwazi.
Iyenera kukhala yolimba kwambiri. Kutalika kwakukulu kwa kulimbitsa thupi kulikonse ndi theka la ora. Nthawi yomweyo, osachepera mphindi 20 patsiku ayenera kupatsidwa masewera olimbitsa thupi.
Pogwiritsa ntchito masewera olimbitsa thupi, mutha kuwongolera bwino kuchuluka kwa shuga, komanso kutsitsa cholesterol yanu. Ntchito yakunyumba, komanso katundu wokhudzana ndi ntchitoyi, ndikuthandizani.
Chakudya cha Matenda A shuga
Chithandizo cha matenda monga prediabetes ndizosatheka popanda kudya. Ndi zakudya zomwe zimathandiza kwambiri kuchepetsa matenda a shuga. Ndikofunika kukumbukira kuti zakudya zopatsa thanzi ziyenera kukhala zopatsa thanzi. Zakudya zopatsa mphamvu mosavuta, zokazinga, zamchere, zamafuta, siziyenera kuphatikizidwa ndi zakudya. Zakudya zonse zopatsa mphamvu za calorie ziyenera kuchepetsedwa. Komabe, kuchepetsedwa uku sikuyenera kuwononga chakudya chopindulitsa. Ndikofunikira kuwonjezera kuchuluka kwa mapuloteni.
Ndi shuga wowonjezereka, nyama yokonda, nsomba, mkaka, ndi mbale za soya zimaloledwa. Komabe, munthu sangathe kuchita popanda chakudya. Popeza zakudya zophatikizika mosavuta siziphatikizidwa, masamba ndi chimanga ziyenera kupezeka m'zakudya. Kumbukirani kuti mbatata ndi semolina sizimasiyanitsidwa. Yabwino kabichi, letesi, katsitsumzukwa, Yerusalemu artichoke, udzu winawake.
Mafuta osamba ayenera kusankhidwa. Zakudya ziyenera kukhala zonyowa, zopatsidwa mphamvu pokhapokha kupatula - mwachangu.
Maswiti ndi makeke ndizoletsedwa. Zina mwazinthu zotere ndizopanikizana, maswiti, makeke, zakumwa zotsekemera za carbonated, pasitala, semolina. Mphesa, nkhuyu, mphesa zamphesa, zipatso zonse zotsekemera zimasiyidwa kwathunthu.
Zomwe muyenera kudziwa zokhudzana ndi zakudya zamafuta ochepa
Zakudya zochepa zama carbohydrate ndizomwe zimayambira kupewa matenda ashuga ndipo zimatsimikizira kubwerera kwa shuga mumagazi wamba. Komanso, izi zimachitika kale m'masiku ochepa. Chithandizo cha zakudya ochepa mafuta ochepa. Komabe, pali malingaliro ena, ndipo akuyenera kutsatiridwa ndi anthu onse omwe ali ndi vuto lolephereka la shuga (i.e. prediabetes).
- Zogulitsa zokhala ndi chakudya cham'mimba zosakanikirana ndizopatula muzakudya. Izi zikugwira ntchito pazinthu zonse zomwe zimakhala ndi wowuma. Kupatula apo, amasintha kukhala glucose m'thupi, ndipo nthawi yomweyo kulumpha kwake m'mwazi ndikosapeweka.
- Kuchuluka kwa chakudya chamafuta kumayenera kuchepetsedwa mpaka 20-30 magalamu. Ndalamayi imagawidwa pawiri.
- Sizoletsedwa kudya kwambiri. Muyenera kudya pokhapokha ngati mukumva njala.
- Zakudya zimaphatikizapo kumwa nyama, nkhuku, mazira, nsomba, nsomba zam'madzi, masamba obiriwira, tchizi, mtedza.
- Zinthu zothandiza kwambiri za soya.
- Mowa wambiri wololedwa umaloledwa.
- Ndikofunika kuyang'anitsitsa mankhwalawa akumwa - malita awiri a madzi patsiku.
- Nsomba zothandiza kwambiri ndi zam'madzi.
Koma zoyipa:
- shuga ndi maswiti onse
- Zakudya zonse zomwe zili ndi chimanga
- mbatata
- tchizi tchizi
- masikono a mkate
- muesli
- mpunga, chimanga,
- zipatso zonse, timadziti,
- beets, kaloti, dzungu, tsabola, nyemba, nandolo,
- mkaka
- "Zakudya za anthu odwala matenda ashuga."
Zakudya zoterezi zimathandiza kuti muchepetse magazi komanso kuchepetsa magazi m'thupi. Ndipo ngati inunso mutadzuka patebulo lokhala ndi chakudya chokwanira, osakhala ndi njala (komanso musanadye kwambiri), mutha kukhazikitsa regimen yodyera popanda kuvulaza thupi. Zochita zolimbitsa thupi siziyenera kunyalanyazidwa - ichi ndiye maziko othandizira kupewa matenda ashuga.
Ambiri safuna ngakhale kuganiza kuti matenda ashuga angawakhudze. Pazifukwa zina, anthuwa amakhulupirira kuti oyandikana nawo, m'makanema, ali ndi matenda otere, ndipo adzadutsa iwo osawakhudza.
Ndipo, mukamayesedwa, amapita kukayezetsa magazi, ndipo zimapezeka kuti shuga ndi 8 kale, kapena mwina apamwamba kwambiri, ndipo zonena za madotolo ndikukhumudwitsa. Izi zitha kupewedwa ngati zizindikiritso za matendawa zizindikirika munthawi yoyambira momwe zimayambira. Prediabetes ndi chiyani?
Mkhalidwe wa matenda ashuga - ndi chiyani?
Matenda a shuga ndi mwayi waukulu wa kuyambika ndi kukula kwa matenda ashuga. Kodi izi zitha kuganiziridwa ngati gawo loyamba la matendawa?
Ndikovuta kwambiri kujambula mzere apa. Anthu omwe ali ndi prediabetes amatha kale kuwonongeka kwa zimakhala za impso, mtima, mitsempha yamagazi, ndi ziwalo zamasomphenya.
Kafukufuku wa asayansi akuwonetsa kuti zovuta zoyambirira zimayamba kale kumayambiriro kwa matenda ashuga. Matenda a shuga akapezeka, kuwonongeka kwa ziwalo kumawonekera kale ndipo ndizosatheka kuziletsa. Chifukwa chake, kuvomerezedwa kwakanthawi kwa vutoli ndikofunikira.
Prediabetes ndi gawo lapakati pomwe kapamba amapanga insulini, koma ochepa kwambiri, kapena insulin imapangidwa modabwitsa, koma ma cell a minofu sangathe kuyamwa.
Anthu omwe ali ndi vutoli ali pachiwopsezo cha matenda a shuga a mtundu wachiwiri. Komabe, izi zimathandiza kusintha. Kusintha moyo wanu, kuthetsa zizolowezi zopanda thanzi, mutha kubwezeretsa thanzi lanu lotayika ndikupewa matenda oyipa kwambiri.
Zifukwa zachitukuko
Pali zifukwa zingapo zomwe zimayambitsa matenda a prediabetes. Choyamba, uku ndikobadwa kwa makolo.
Akatswiri ambiri amakhulupirira kuti mwayi wodwala umachulukirachulukira ngati pakhala kale pali matenda am'banja kapena pachibale.
Chimodzi mwazinthu zofunikira kwambiri zoopsa ndi kunenepa kwambiri. Chifukwa ichi, mwamwayi, chitha kuchotsedwa ngati wodwalayo, pozindikira kuvutikaku, achotsa kulemera kambiri, ndikuyesetsa kwambiri mwa iwo.
Njira zachikhalidwe zomwe beta-cell ntchito imalephera imatha kukhala chothandizira kukulitsa matenda a shuga. Ichi ndi kapamba, khansa ya kapamba, komanso matenda kapena kuvulala kwa timinyewa tina ta endocrine.
Udindo womwe umayambitsa matendawa umatha kuseweredwa ndi kachilombo ka hepatitis virus, rubella, chikuku, ngakhale chimfine. Zikuwonekeratu kuti unyinji wa anthu, SARS sichidzayambitsa matenda ashuga. Koma ngati uyu ndi munthu wolemedwa ndi cholowa komanso mapaundi owonjezera, ndiye kuti kachilomboka ndi kowopsa kwa iye.
Munthu yemwe alibe matenda ashuga mzungu wa abale ake apamtima amatha kudwala ma ARVI ndi matenda ena opatsirana nthawi zambiri, pomwe mwayi wokhala ndi matenda osokoneza bongo omwe umapitilira patsogolo umakhala wotsika kwambiri kuposa wa munthu yemwe ali ndi vuto lobadwa nalo. Chifukwa chake kuphatikiza pamavuto angapo nthawi imodzi kumawonjezera chiopsezo cha matendawa nthawi zambiri.
Zotsatirazi ziyenera kutchedwa kupsinjika kwamanjenje monga chimodzi mwazomwe zimayambitsa matenda a shuga. Ndikofunikira kwambiri kupewetsa kuchuluka kwa mantha ndi malingaliro kwa anthu omwe ali ndi vuto la matenda amtundu wa shuga komanso kukhala wonenepa kwambiri.
Udindo wofunikira pakuwonjezera ngozi umachitika ndi zaka - munthu akamakula, amakhala ndi vuto la matenda a shuga. Vuto linanso lomwe limayambitsa ngozi ndi kusinthana kwa ntchito kuntchito, kusintha kugona ndi kugona. Pafupifupi theka la odzipereka omwe anavomera kukhala ndi moyo wopanda tsankho anali ndi matenda a prediabetes.
Zizindikiro
Glucose wamkulu ndi chimodzi mwazomwe chimawonetsa matenda a shuga amitundu yoyamba ndi yachiwiri. Ngati mutayezetsa magazi kangapo motsatizana ndi tsiku limodzi, ndikuwonetsa kukhalapo kwa hyperglycemia nthawi zonse, matenda ashuga amatha kuganiziridwa.
Mndandanda wazidziwitso za shuga:
Pali zizindikiro zina za matendawa. Mwachitsanzo, ludzu lamphamvu lomwe limatsala pang'ono kuzima. Munthu amamwa kwambiri, asanu, kapena malita khumi patsiku. Izi zimachitika chifukwa magazi amakula pomwe shuga wambiri amadzisonkhanitsa.
Dera linalake muubongo lotchedwa hypothalamus limayatsidwa ndipo limayamba kupangitsa munthu kumva ludzu. Chifukwa chake, munthu amayamba kumwa kwambiri ngati ali ndi shuga wambiri. Chifukwa cha kuchuluka kwa magazi, kukodza pafupipafupi kumawonekera - munthuyo amakhala "womata" kuchimbudzi.
Popeza kukhudzidwa kwa glucose ndi minofu kumalephera mu shuga, kutopa ndi kufooka kumawonekera. Munthu amawona kuti watopa kwenikweni, nthawi zina zimamuvuta nkomwe kusuntha.
Kuphatikiza apo, kusokonekera kwa erectile kumadziwonetsera mwa amuna, komwe kumakhudza gawo logonana la wodwalayo (kugonana) m'moyo. Mwa akazi, nthendayi nthawi zina imapereka zolakwika zodzikongoletsera - mawanga amisamba pakhungu la nkhope, manja, tsitsi ndi misomali imakhala yoyipa, yoyipa.
Chizindikiro chimodzi chodabwitsa cha prediabetes chikule kwambiri, makamaka zikaphatikizidwa ndi ukalamba.
Kwa zaka zambiri, kagayidweko kamachepa, kenako mafuta ochulukirapo amalepheretsa glucose kulowa m'maselo - kukhalapo kwa zinthuzi kumawonjezera mwayi wokhala ndi matendawa. Komanso kapamba wachikulire amayamba kupanga insulini yocheperako ndi zaka.
Ndi matenda a mtundu wachiwiri, kulemera kumachitika kawirikawiri. Chowonadi ndi chakuti ndi mtundu uwu wa shuga m'magazi mumakhala zinthu zambiri za glucose ndipo, nthawi yomweyo, insulin. Zowonjezera thupi zimayesetsa kusunthira ku adipose minofu, monga yabwino kwambiri yosungira. Chifukwa cha izi, munthu amayamba kunenepa kwambiri mwachangu.
Chizindikiro china ndikumverera kwa dzanzi mu miyendo, kumva kulira. Izi zimamvekedwa makamaka m'manja, chala. Pamene magazi abwinobwino amadzimadzi amasokonezeka chifukwa cha kuchuluka kwa shuga m'magazi, izi zimayambitsa kuwonongeka kwa zakudya zam'mitsempha. Chifukwa cha izi, munthu amakhala ndi mitundu yosiyanasiyana yosiyanasiyana yamalingaliro mwanjira yolira kapena kugona.
Ndipo pamapeto pake, khungu loyenda, lomwe ndilimodzi mwazizindikiro za matenda ashuga. Izi zitha kudabwitsidwa, kodi chizindikiritso cha glucose chingakhudze bwanji khungu lanu? Chilichonse ndichopepuka. Ndi hyperglycemia, kufalikira kwa magazi kumawipira, komwe kumapangitsa kuchepa kwa chitetezo chathupi. Chifukwa chake, mu matenda ashuga, kubadwanso kwa kachilombo koyambira pakhungu nthawi zambiri kumayamba, komwe kumapereka kuyimitsidwa.
Kuzindikira komaliza kuyenera kupangidwa ndi endocrinologist, osadalira amodzi, koma pamayeso angapo. Katswiri wodziwikiratu adzazindikira ngati ali ndi matenda a shuga kapena ayi, asankhe momwe angachiritsire, omwe mankhwalawa amakhala othandiza kwambiri nthawi iliyonse.
Popewa matenda a shuga kukhala osadabwitsa, ndikofunikira kuwunika mayendedwe a shuga, izi zitha kuchitika mosavuta kuchipatala kapena kunyumba pogwiritsa ntchito glucometer.
Njira zochizira
Kuyimitsa chitukuko cha matenda ashuga m'magawo oyamba, ndikofunikira kusintha momwe amagwirira ntchito ndikupuma. Zowononga thupi monga kusowa tulo, komanso kuchuluka kwake. Kupsinjika kwakuthupi, kupanikizika kosalekeza kuntchito kumatha kukhala kolimbikitsa pakukula kwa matenda oopsa, kuphatikizapo matenda a shuga. Pa gawo la prediabetes, mankhwala wowerengeka azitsamba ndi njira zingapo zachikhalidwe zomwe sizichikhalidwe zimagwira.
Muyenera kutsatira zakudya zabwino. Kuyimitsa maulendo kupita ku dipatimenti ya soseji, kuyiwala za mitundu yonse ya kuphika, gwiritsani ntchito ufa wosalala ndi chinangwa m'malo mwa mkate woyera, palibe mpunga ndi pasitala yoyera, koma mitundu ya bulauni ya mpunga ndi phala kuchokera ku mbewu zonse za chimanga. Ndikofunika kuti musinthe kuchokera ku nyama yofiira (mwanawankhosa, nkhumba) kuti mukhale nkhuku ndi nkhuku, idyani nsomba zambiri.
Chachikulu ndikuwonetsetsa kuti m'zakudyazo muli zipatso ndi ndiwo zamasamba zokwanira. Hafu ya kilogalamu tsiku lililonse muyenera kudya zonse ziwiri. Mitima yambiri ndi matenda ena amayamba chifukwa chakuti timadya zobiriwira zochepa, zipatso zatsopano.
Simuyenera kungowerengera zakudya zanu, komanso kusiya zizolowezi zoipa. Nthawi zina zimakhala zokwanira kusiya kusuta fodya kapena kuchepetsa kugwiritsa ntchito zakumwa zoledzeretsa kuti musayambitse matenda ashuga.
Muyenera kuchepetsa kuchuluka kwa maswiti anu menyu tsiku lililonse kapena kuchotseratu kwathunthu. Kuledzera kwawo kwambiri kungakhale chinthu chofunikira kwambiri pakukula kwa matenda ashuga.
Zochita zolimbitsa thupi
Maola anayi akuyenda mwachangu pa sabata - ndipo matenda ashuga azikhala m'mbuyo kwambiri. Ndikofunikira kupereka osachepera mphindi makumi awiri kapena makumi anayi tsiku lililonse phazi, koma osati pang'onopang'ono kuyenda, koma kuthamanga pang'ono kuposa masiku.
Ndikofunika kuti muphatikize masewera muzochita zanu za tsiku ndi tsiku. Mutha kuyamba ndi masewera olimbitsa thupi m'mawa kwa mphindi 10-15 patsiku, pang'onopang'ono kuwonjezera kuchuluka kwa katundu. Izi zikuthandizira kufulumira kwa kagayidwe kachakudya mthupi, kuchepetsa shuga, komanso kuchepetsa kuchuluka kwa mapaundi owonjezera. Kuchepetsa thupi mwa 10-15% kumachepetsa kwambiri vuto la matenda ashuga.
Zolemba pa kanema za prediabetes ndi njira zochiritsira:
Zochita zolimbitsa thupi zitha kuphatikizidwa ndikuyenda kapena masewera ena owopsa. Mutha kusankha nokha kuthamanga, kusewera tenisi, basketball, kupalasa njinga, kusewera. Mulimonsemo, shuga azitha kudya ngati gwero lamphamvu, kuchuluka kwa cholesterol kumatsika, komwe kumakhala chitetezo chabwino kwambiri cha matenda ashuga komanso mtima.
Matenda a shuga ndi chizindikiro chochenjeza kuti muli pachiwopsezo cha matenda ashuga amtundu wa 2. Izi zikutanthauza kuti magazi anu ndi okwera kuposa momwe ayenera kukhalira. Anthu ambiri omwe ali ndi matenda ashuga a 2 poyamba anali ndi prediabetes. Nkhani yabwino ndiyakuti kusintha kwa moyo kumatha kukuthandizani kuti musinthe shuga m'magazi anu komanso kuti muchepetse kapena muchepetse kuyambika kwa matenda ashuga.
Matenda a shuga amapezeka pamene thupi siliyankha moyenera ndi insulin ya mahomoni motero silingakhalepo ndi shuga (shuga) pamagulu abwinobwino. Nthawi yomweyo, kuchuluka kwa shuga m'magazi kumakhala kokwanira kuposa zabwinobwino, koma sikokwanira kukhazikitsa matenda a shuga. Ngati sanalandire chithandizo, matendawa amatha kuwonjezeka pakapita nthawi ndipo zimayambitsa kukula kwa matenda a shuga a 2 komanso zovuta zina, monga matenda am'mimba komanso matenda amitsempha yamagazi, sitiroko, maselo operewera, matenda amanjenje ndi impso.
Zomwe zimayambitsa matenda a shuga?
Amakhulupirira kuti anthu omwe ali ndi thupi lolemera, omwe amakhala moyo wokhazikika kapena wokhala ndi mbiri yakale ya matendawa, amatha kukhala ndi prediabetes. Amakhulupiriranso kuti azimayi omwe adadwala matenda ashuga ali ndi mwayi waukulu wokhala ndi prediabetes.
Anthu ambiri omwe ali ndi prediabetes alibe zizindikiro. Koma ngati muli ndi matenda osokoneza bongo, muyenera kuyang'anira mawonetsero amishuga, monga:
Gulu lamavuto
American Diabetes Association imalimbikitsa kuti asanthule matenda ashuga omwe angayambitse matenda a shuga 2 ngati muli ndi awa Zizindikiro za prediabetes:
Mukunenepa kwambiri ndipo muli ndi zaka zopitilira 45 - pitani kukayezetsa matenda a shuga mukadzakumananso ndi dokotala.
Mukulemera thupi lanu komanso muli ndi zaka 45 kapena kupitilira - mukamapita kukaonana ndi dokotala mufunse dokotala ngati mukufunikira mayeso.
Wocheperako wazaka zopitilira 45 ndi wonenepa kwambiri - thupi lanu lotsolera (BMI) ndi 25 kapena kuposa - ndipo muli ndi vuto limodzi kapena zingapo zokulitsa matenda a shuga a 2, mwachitsanzo:
Kuthamanga kwa magazi, kupitilira mamilimita 140/90 a mercury. Low cholesterol high density lipoprotein (HDL) and high - triglycerides. Mbiri ya mabanja a matenda amtundu wa 2.
Anthu omwe makolo, abale kapena mlongo wake akudwala matenda ashuga a 2 kapena matenda a shuga amakhala pachiwopsezo chachikulu chotenga matendawa kuposa akulu omwe mabanja awo alibe mbiri yodwala.
Matenda a shuga kapena kubadwa kwa mwana wolemera oposa 4 kg. Amayi omwe adadwala matenda ashuga, kapena omwe abereka mwana wamkulu kuposa masiku onse, ali pachiwopsezo chotenga matenda ashuga a 2 kumapeto kwa moyo wawo.
Mitundu ndi mafuko. Anthu aku Africa, Hispanic, Asia, ndi Pacific Islander atha kukhala ndi matenda ashuga amtundu wa 2 kuposa iwo a mtundu wa Caucasian.
Ndinu onenepa kwambiri, simuchita masewera olimbitsa thupi (kapena kuchita masewera ochepa) ndipo mukufuna kuchepetsa ngozi yanu yokhala ndi matenda a shuga a 2.
Gulu la Prevention Working Group (USPSTF) lalimbikitsa kuyezetsa magazi kwa omwe magazi awo ndi okwera kuposa 135/80.
Ngati muli ndi matenda osokoneza bongo, mutha kupewa kapena kuchedwetsa kukula kwa matendawa mwakutsatira malangizo osavuta ngati chakudya chapadera cha prediabetes:
Chepetsani kuchuluka kwamafuta omwe mumatha. Idyani zakudya zopanda mafuta ochepa komanso zamafuta ambiri osungunuka.
Idyani zopatsa mphamvu zochepa.
Chepetsa maswiti kuti muchepetse kukwera msanga wamagazi. Mwa zakudya zitatu zazikuluzikulu (chakudya, mapuloteni, ndi mafuta), zamafuta ambiri zimakhudza kuchuluka kwa shuga m'magazi.
Lankhulani ndi dotolo wanu za njira yomwe mungagwiritsire ntchito zakudya zabwino.
Kafukufuku wina wamkulu adawonetsa kuti anthu omwe amatsata zakudya - amadya masamba, nsomba, nkhuku, ndi zakudya za tirigu - ali pachiwopsezo chochepa kwambiri cha matenda ashuga amtundu wa 2 poyerekeza ndi anthu omwe amadya nyama yayikulu, nyama yokonzedwa , mafuta amkaka amkaka, chimanga chotsekemera ndi maswiti. Kukonzekera zakudya zanu za prediabetes nthawi zambiri kumakupangitsani kuwona zamitundu yatsopano. Pali njira zingapo zosavuta zosinthira zakudya zanu. Katswiri wovomerezeka wazakudya atha kukuthandizani kupanga mapulani azakudya zomwe zikugwirizana ndi moyo wanu.
Masewera olimbitsa thupi
Chitani masewera olimbitsa thupi kwa mphindi zosachepera 30 patsiku kwa masiku osachepera asanu pa sabata. Kuchita zolimbitsa thupi kuli kofanana ndi kuyenda mumtunda watsopano, kuyenda njinga kwamtunda wamtunda wa 10-12 pa ola limodzi, kuyenda kapena kuponyera mpira m'basiketi. Ndi ntchito zamtunduwu, mutha kuwona kuti mtima wanu ukugunda mwachangu.
Chitani zolimbitsa thupi kwa mphindi zosachepera 20 patsiku. Ndiwofanana kuthamanga, kupalasa njinga 12 mph, kusewera kapena kusewera basketball. Kuchita masewera olimbitsa thupi, mudzazindikira kuti kupuma kwanu kumafulumira ndipo mtima wanu ukugunda kwambiri.
Kutenga zinthu zingapo kwa mphindi 10 kapena kupitilira masana, mutha kutsatira malangizowa. Mutha kusankha nokha mtundu wamtundu uliwonse kapena wolimbitsa thupi. Kuchita masewera olimbitsa thupi kumakuthandizani kuti muchepetse shuga lanu lamagazi pogwiritsa ntchito glucose ngati gwero lamphamvu panthawi yophunzira komanso pambuyo poti muchite masewera olimbitsa thupi. Zimakuthandizaninso kuyankha bwino ku insulin ndikuchepetsa chiopsezo cha matenda a shuga. Kuphatikiza apo, kuchita masewera olimbitsa thupi kumakuthandizani kuti mukhale ndi thanzi labwino, muchepetse cholesterol yambiri, mumachulukitsa kuchuluka kwa choleopolotein (HDL) kapena cholesterol yabwino. Izi phindu zimathandizanso kupewa kukula kwa matenda a mtima ndi magazi a m'magazi (matenda amtima). Mutha kuthandizanso kuchepetsa chiwopsezo chanu chotenga matenda ashuga mwakuchita masewera olimbitsa thupi kwakanthawi nthawi iliyonse.
Makalasi akhoza kukhala ndi kuyenda pang'ono kapena kuchita masewera olimbitsa thupi kwambiri, monga kuthamanga, kuthamanga, kupalasa njinga kapena kusewera tenisi. Kafukufukuyu adawonetsanso kuti zinthu zina, monga kulima kapena kuphimba matalala, zimathanso kukhala ndi phindu. Lankhulani ndi dokotala wanu za pulogalamu ya pulogalamu yoyeserera yolimbitsa thupi.
Mankhwala a prediabetes
Imwani mankhwala ngati mankhwala
Nthawi zina, madokotala amalembera mapiritsi kukonzekera, nthawi zambiri metformin. Amachepetsa kuchuluka kwa shuga wopangidwa ndi chiwindi mwa munthu wokhala ndi insulin. Ikhozanso kukhala yoyenera pa polycystic ovary syndrome. Ngati dokotala wakupangirani mankhwala osakaniza ndi prediabetes, musaiwale kutenga monga momwe adakulamulirirani.
Matenda a shuga ndi mkhalidwe womwe milingo yamagazi amawonjezeka ndipo kapangidwe ka insulin kamachepa. Chizindikiro ichi sichingatchulidwe kuti shuga, komabe, ngati chithandizo sichinayambike panthawi yake, matendawa amatha kukulirakulira kukhala shuga. Kuti izi zisachitike, ndikofunikira kudziwa zazikulu komanso njira zamankhwala zomwe zimachepetsa shuga. Chimodzi mwamaudindo akuluakulu mu mankhwalawa ndi zakudya za prediabetes. Mwambo wake ndi wofunika kupewa matenda ashuga amtundu wa 2.
Kodi mkhalidwewu umawonekera bwanji?
Matenda a shuga amakhala ndi zizindikiritso zingapo zosadziwika, zomwe zimapangitsa kuti azitha kukayikira kuchuluka kwa shuga ngakhale mayeso a labotale asanachitike. Kudziwa mawonetseredwe awa, munthu sangangomvetsetsa momwe izi ziliri, komanso ndikuwonetsa momwe angachitire.
Zizindikiro zotsatirazi za prediabetes ndizodziwika bwino:
- Kuchepetsa thupi mwadzidzidzi.
- Kusokonezeka tulo.
- Mutu waukulu.
- Kuchepetsa maonedwe owoneka.
- Kuzindikira kwa khungu.
- Ludzu pafupipafupi.
- Zingwe.
Kuchepetsa thupi mwadzidzidzi kumachitika chifukwa chakuti, motsutsana ndi zomwe zimapangitsa kuti inshuwaransi ipangike, kutuluka kwa glucose kumangokhala kwambiri. Poterepa, maselo amthupi amayamba kumva kuperewera kwa mphamvu. Kutenga kwa shuga m'magazi kumakhudzanso mphamvu ya mahomoni, zomwe zimayambitsa kusowa tulo. Kusokonezeka kwa kugona kumapangitsanso kuchepa kwa insulin. Izi nthawi zambiri zimawonekera mwa akazi.
Mutu waukulu umachitika chifukwa cha kusintha kwa makoma a capillaries ndi zombo zazikulu. Izi zimapangitsa kuti magazi aziyenda bwino komanso kuti mpweya wa m'maselo ubwere m'maselo. Kuwonjezeka kwa shuga m'magazi kumawonjezera mamasukidwe ake, zomwe zimapangitsa kuti magazi aziyenda m'mitsempha. Izi zimayambitsa kuwonongeka kwamawonekedwe ndi kusintha kwa khungu.
Mumva ludzu pafupipafupi chifukwa chakuti kuti awononge magazi, munthu amene ali ndi matenda osokoneza bongo amafunika kumwa madzi ambiri ndipo, monga chotulukapo chake, amakodza. Chizindikiro ichi ngati chizindikiritso chitha kuchiritsidwa ngati ma glucose saposa 6 mmol / l.
Ndi kuwonjezeka kwa shuga m'magazi, odwala nthawi zambiri amadandaula kuti akumva kutentha ndi kugunda usiku. Zizindikiro izi za prediabetes zimachitika chifukwa chosowa michere komanso kuwonjezeka kwambiri kwa ndende ya glucose. Kumva kwadzidzidzi kwamanjala kumayenderana ndi izi.
Nthawi yamatenda, munthu nthawi zambiri amakhala ndi ludzu
Kodi matenda ashuga angapewe bwanji?
Ngati matenda adapezeka ndipo chithandizo chanayambika nthawi, ndiye kuti ndizotheka kuchiritsa matenda osokoneza bongo, komanso kupewa matenda obvuta. Njira zazikulu zochiritsira komanso kupewa:
- Zakudya
- Kulimbana ndi zizolowezi zoipa.
- Matenda a kulemera.
- Kuchita masewera.
- Matenda a kuthamanga kwa magazi.
- Kuwongolera kwa cholesterol.
- Mankhwala (metformin).
Kudya kwa prediabetes kumachita chimodzi mwamagawo ofunikira kwambiri pakuchiza matenda. Choyambirira, ndikofunikira kutsatira zakudya monga momwe zakudya zam'mimba zimapangidwira mosavuta, mafuta, mafuta ophikira ndi mchere, uchi uyenera kuchotsedwa muzakudya, koma mapuloteni amalimbikitsidwa kuti awonjezeke. Ndikofunika kuyang'ana kwambiri monga chimanga, masamba, letesi, kabichi, udzu winawake. About mbatata ndi semolina, pomwe prediabetes imakhazikitsidwa, ndibwino kuiwala kwakanthawi. Amaloledwa kudya nsomba, soya mbale, mkaka, nyama yotsika.
Kupanga hyperglycemia kupindika bwino, muyenera kupewa kudya maswiti, sodas, ma muffins, makeke, mphesa, zoumba, ndi zina zotere. Ndikofunika kumwa pafupifupi malita awiri amadzimadzi osadya kwambiri. Ngati pali matenda a prediabetes, simuyenera kudya zakudya monga uchi, mbatata, chimanga, tchizi choko, mpunga, mkaka, granola, buledi, zipatso, beets, nyemba, dzungu.
Kuti muwonetsetse kuti chakudyacho chili chokwanira komanso cholondola, mutha kupanga menyu sabata limodzi. Mwachitsanzo, lingalirani zosankha zingapo:
- Chakudya cham'mawa: coco, phala la buckwheat. Kwa nkhomaliro: buledi, msuzi wa dzungu, nkhaka yatsopano, mazira awiri owiritsa. Chakudya chamadzulo: zukini wophika ndi nyama yokazinga, masamba.
- Chakudya cham'mawa: fritters zukini ndi kirimu wowawasa. Imwani tiyi kapena chicory. Kwa nkhomaliro: masamba osenda, msuzi pa msuzi wa masamba, mkate. Chakudya chamadzulo: nkhuku yofinya, phwetekere, kanyumba tchizi casserole.
- Chakudya cham'mawa: mapira mapira mu mkaka, chicory. Kwa nkhomaliro: saladi wa kabichi, phala la barele, msuzi wa nyama. Chakudya chamadzulo: nsomba yophika, buledi, kabichi yoyambira.
Mankhwalawa matenda ayenera kusiya zizolowezi
Monga tikuwonera kuchokera pachitsanzo, zakudya zopezeka ndi shuga komanso mtundu 2 wa shuga ziyenera kukhala chakudya katatu patsiku ndimakudya atatu. Monga zokhwasula mutha kugwiritsa ntchito mndandanda wazotsatira: tchizi tchizi, saladi ya zipatso, kapu yamkaka yamkaka kapena mkaka, saladi wa masamba, chakudya chamagulu. Ndemanga zabwino za odwala zimanenanso za zabwino za kadyedwe kameneka.
Mukamatsatira malamulo onse, zakudya zomwe zawonetsedwera kwa prediabetes sizingangokulitsa shuga m'magazi, komanso kuchepetsa kunenepa, komwe ndi kofunikanso kwambiri pa chithandizo chamankhwala. Zotsatira zomwezi zimatheka kudzera mu masewera olimbitsa thupi. Ndikulimbikitsidwa kuti mupeze osachepera mphindi 20 patsiku. Izi zikuthandizira kuchepetsa cholesterol ndi shuga. Matenda a kuthamanga kwa magazi mwa amayi ndi amuna zimatheka kudzera mu mankhwala osankhidwa bwino. Mankhwalawa, makamaka ngati pali matenda a prediabetes, amatha kusankhidwa ndi dokotala wokhazikika, chifukwa chake, ndi akatswiri okwera, ndibwino kulumikizana nthawi yomweyo kuchipatala ndikuyamba kumwa mankhwalawa.
Chithandizo cha mankhwala osokoneza bongo cha prediabetes chimagwiritsidwa ntchito pokhapokha ngati pali zovuta kapena zotsogola, pomwe matendawa sangathe kuchiritsidwa ndi njira zina. Metformin nthawi zambiri imasankhidwa. Chida ichi chimawonjezera chidwi cha maselo kuti apange insulin, yomwe imawonjezera kukweza kwa glucose. Izi zimachitika ndikupitiliza bwino, zomwe zimapewe nthawi ya hypoglycemia. Metformin imathandizanso cholesterol yotsika ndikuchepetsa thupi mwakuchepetsa chilimbikitso. Kuti izi zitheke, mankhwalawa amayenera kumwa kwa miyezi isanu ndi umodzi ndikuphatikiza kudya kwake ndi zolimbitsa thupi. Komabe, Metformin ili ndi chiwerengero chambiri chotsutsana ndi zoyipa, chifukwa chake ndibwino kukaonana ndi dokotala kuti adziwe. Ikuwonjezera katundu pa impso, zomwe zikutanthauza kuti ikhoza kugwiritsidwa ntchito pokhapokha ngati matenda a impso. Kuphatikiza apo, Metformin imayambitsa kukhumudwa m'mimba thirakiti ndi lactic acidosis.
prediabetes imathandizidwa ndimankhwala pokhapokha pazovuta kwambiri komanso zapamwamba
Ngati mimba idakhala chifukwa cha kuchuluka kwa shuga, ndikofunikira kutsatira zakudya ndikuwunika mayeso a magazi pafupipafupi. Monga lamulo, izi zimangochitika zokha pakabadwa mwana, ngakhale mayi atamwa zipid zotsitsa lipid kapena ayi. Herbion manyuchi, omwe nthawi zambiri amathandizira chimfine, amatha kuchuluka kwa shuga mwa mwana, chifukwa chake, ngati pali katundu wa cholowa, ndibwino kuti musamwe mankhwalawa. Ngakhale kuti prediabetes imachiritsidwa, ndikofunikira kudziwa momwe imadziwonekera ndi zomwe muyenera kuchita ikachitika.
Chifukwa chake, prediabetes ndi harbinger wa matenda oopsa monga mtundu 2 shuga. Zizindikiro komanso chithandizo cha matenda awa ndizofanana. Matenda a shuga angayambitse zosasangalatsa komanso zizindikiritso zambiri, komabe, mankhwalawa adayamba nthawi atithandizanso kuchira. Nthawi yomweyo, ndizotheka kusintha kuchuluka kwa shuga m'magazi mothandizidwa ndi zakudya komanso masewera olimbitsa thupi.
Zizindikiro
Kuti mudziwe matenda am'mbuyomu, mitundu iwiri ya maphunziro imachitika: kuyezetsa magazi kosalekeza komanso kuyeserera kulekerera kwa glucose.
Pa mayeso achiwiri, shuga amamuyeza woyamba pamimba yopanda kanthu. Kenako wodwalayo amapatsidwa chakumwa chomwe chili ndi shuga wambiri. Pambuyo maola 2, msuzi wa shuga umatsimikizidwanso.
Ndikofunikira kudziwa kuchuluka kwa shuga pamimba yopanda kanthu maola 8 mutatha kufa ndi njala. Nthawi yoyenera kwambiri kufufuza ndi m'mawa mutangodzuka. Chifukwa chake wodwala amakhala wosavuta kupirira kukana chakudya.
Zochita zolimbitsa thupi
Chofunikira pakuchiza matenda a prediabetes ndi masewera olimbitsa thupi. Masewera ophatikizidwa ndi zakudya amapereka zotsatira zabwino. Tiyeni tiike zovuta pang'onopang'ono m'thupi. Ndikofunikira kukwaniritsa kukula kochitika pamlingo wamtima.
Sankhani mtundu wa katundu nokha, potsatira zomwe mukufuna. Ikhoza kukhala makalasi opezeka olimbitsa thupi, oyenda mwachangu, tenisi, volleyball, kuthamanga kapena kuyenda kwa Nordic. Kuti mukhale wathanzi, muyenera kulimbitsa thupi kwa mphindi 30, sabata - osachepera 5 maphunziro.
Mukamachita masewera olimbitsa thupi komanso pambuyo pake, shuga amasinthidwa kukhala mphamvu. Minofu imatenga bwino insulini, motero mwayi wokhala ndi matenda a shuga umachepa.
Zithandizo za anthu
Mankhwala okonzekera molingana ndi maphikidwe a mankhwala achikhalidwe sangachiritse prediabetes. Komabe, adzathandizira kutsitsa shuga komanso kulimbitsa chitetezo chamthupi. Mosiyana ndi mankhwala, mankhwala achilengedwe samachititsanso kuti pakhale zovuta. Koma nthawi zina pamakhala chidwi chowonjezeka cha zinthu zomwe zimapezeka muzomera.
Idyani chakudya chambiri nthawi zonse. Pogaya grits kudzera mu chopukusira cha khofi kuti mukonze mbale. Thirani ufa wa chimanga ndi kefir (pamlingo wa 2 tbsp. Buckwheat pa chikho chilichonse cha zakumwa) ndipo muchokepo usiku. Gwiritsani ntchito osakaniza m'mawa pamimba yopanda kanthu.
Ndi prediabetes, kulowetsedwa kwa elecampane rhizomes, masamba a currant ndi blueberries adzapindula. Thirani zinthu zosaphika ndi madzi otentha (1 tbsp. Kapu imodzi yamadzi). Tizilitsa kulowetsedwa ndi kumwa 50 ml tsiku lililonse. Mutha kusiya kulandira chithandizo mukangomva bwino.
Chofunikanso chimodzimodzi ndi decoction ya flaxseed. Pukutani pa zopangira khofi. Thirani ufa ndi madzi (1 tbsp. Kapu imodzi yamadzi) ndi kuwira kwa mphindi 5. Imwani pamimba yopanda kanthu asanadye chakudya cham'mawa.
Zomera zambiri zimakhala ndi zinthu zotsitsa shuga, kuphatikiza nyemba za nyemba, mabulosi am'madzi, zipatso ndi masamba a masamba wamba, mabulosi amtundu wa currant ndi mtedza, wort wa St. Ikani mawonekedwe mwanjira ya decoctions, tiyi kapena infusions. Muli zinthu zambiri zofunika kuti thupi lofooka.
Dongosolo la shuga, kapena dziko la prediabetes, ndi malire pamalire pakati pa thanzi labwino ndi matenda ashuga. Mwanjira imeneyi, kapamba amapanga insulini yofunikira pamoyo, koma pang'ono. Malinga ndi akatswiri, matenda a prediabetes nthawi zambiri amapezeka mwa odwala omwe ali ndi matenda a shuga a 2. Kuti mumvetsetse mwatsatanetsatane kuti prediabetes ndiyotani, muyenera kudziwa zonse zomwe zimayambitsa, zizindikiritso zake, komanso mawonekedwe ake.
Malamulo a Prediabetes Nutrition
Ngati mwapezeka ndi prediabetes, muyenera kutsatira malamulo awa:
- Zakudya ziyenera kukhala zopindika - 5-6 pa tsiku. Muyenera kudzuka patebulo ndikumva njala. Chakudya chimabwerezedwanso maola 4 aliwonse.
- Ndikofunika kuti mupange menyu kuti zakudya zamatumbo (zakudya monga chimanga, zipatso) zimadyedwa m'chigawo choyamba cha tsiku, komanso mapuloteni - wachiwiri.
- Musachotse mu zakudya zomwe zimatchedwa chakudya champhamvu kwambiri - zakudya zomwe zimakhala zosavuta zosavuta kusintha zomwe zimapangidwa popanda kugwiritsidwa ntchito mumimba ndikuwonjezera kuchuluka kwa shuga m'magazi. Izi ndi zinthu zilizonse monga mbale ndi mafuta omwe ali ndi shuga woyengedwa, ufa wa premium, zipatso zotsekemera, uchi, masamba omwe ali ndi index ya glycemic yoposa 50.
- Pewani zakudya zopanda pake, zakudya zopukutidwa, ndi zakudya zopangidwa m'mafakitale, ngakhale shuga wosavuta kapena mafuta ochulukirapo sakusonyezedwa kapangidwe kake - chakudya chosavuta, chabwino.
- Chepetsani kugwiritsa ntchito nyama yamafuta, mafuta amkaka, mafuta oyenga.
- Osagwiritsa ntchito zotsekemera zama calorie apamwamba (fructose, xylitol, sorbitol). Ma sweeteners opangidwa ndi Stevia ndi abwino - ali achilengedwe, opanda ma calorie komanso othandiza pofotokozera za kagayidwe kazachilengedwe. Werengani zambiri za zomwe zimalowa ndi shuga munkhaniyi: m'malo mwa anthu omwe ali ndi shuga.
- Imwani 1.5-2 malita a madzi patsiku. Kuphatikiza apo, tiyi wazitsamba ndi khofi wopanda shuga, timadziti ta masamba timaloledwa.
Kuti zitheke kuzindikira zovuta zomwe zaleledwa komanso zoletsedwa, mutha kuyendanso patebulo lotsatirali:
Ndikofunikira kuwerengera phindu lililonse la munthu tsiku ndi tsiku polingalira zoperewera kuti muchepetse kunenepa. Pankhaniyi, mutha kudalira zakudya zamankhwala No. 9 ndi No. 8:
3-day prediabetes zakudya menyu
Nayi mndandanda wazakudya zamasiku atatu:
- Chakudya cham'mawa: yophika dzira, saladi wa masamba, chidutswa cha mkate wa rye.
- Tiyi yapamwamba: yogurt wowonjezera kalori.
- Chakudya chamadzulo: gawo la ng'ombe yophika, buckwheat, masamba atsopano ndi zitsamba.
- Tiyi yapamwamba: msuzi wamasamba, sauerkraut, mkate wa rye mkate, 1 apulo.
- Chakudya chamadzulo: yophika nsomba, zipatso zonona.
- Asanagone: kapu ya kefir.
- Chakudya cham'mawa: oatmeal ndi zipatso zatsopano, kagawo ka mkate wa ufa wa tirigu.
- Tiyi yapamwamba: 1 lalanje.
- Chakudya chamadzulo: msuzi wa nkhuku msuzi, mkate, masamba osenda.
- Tiyi yapamwamba: yogati.
- Chakudya chamadzulo: ng'ombe yophika, masamba atsopano, zukini wophika.
- Asanagone: odzola.
- Chakudya cham'mawa: phala la mkaka, 1 mphesa.
- Tiyi yapamwamba: kapu yokhala ndi zipatso ndi yogurt.
- Chakudya chamadzulo: msuzi wokhala ndi masamba otchinga nyama, bulwheat, saladi kabichi ndi nkhaka.
- Tiyi yapamwamba: kashiamu wotsika-kalori wokhala ndi mtedza.
- Chakudya chamadzulo: msuzi wa dzungu, mazira awiri owiritsa, chidutswa cha mkate.
- Asanagone: kapu ya kefir.
Kodi mankhwala amafunikira liti?
Pali nthawi zina, kuphatikiza pa zakudya ndi maphunziro akuthupi, dokotala amakupatsani mankhwala. Awa ndi mankhwala a hypoglycemic - Maninil, Amaryl, Glycidon, Glinides, Alpha glucosidase inhibitors, etc. Ngati dokotala akuwapatsa mankhwala, zikutanthauza kuti ndi bwino kuthandiza wodwalayo kusintha shuga m'magazi ndikuchepetsa thupi (onaninso - momwe angachepetse thupi ndi matenda ashuga). Chachikulu ndichakuti "asamayendetsedwe" ndi mankhwalawa, kulipiritsa chakudya chokwanira, ndikumvetsetsa kuti mankhwalawa sangakhale ovulaza - kupatula mukamawamwa, ndibwino.
Payekha, dokotala yemwe akupezekapo akhoza kukupatsani mankhwala a insulin. Monga lamulo, insulin yodziwikirayi imafotokozedwa ngati njira yochepa yofunikira kuthandizira kapamba "wotopa". Pamene chithandizo chikukula, mothandizidwa ndi maphunziro olimbitsa thupi ndi kudya, ndizotheka kuchepetsa kukana kwa minofu, insulini "yopumulayo" iyamba kulimbana ndi ntchito zake, chifukwa kufunika kwa "kuvala" kudzatha.
Pankhani ya matenda a prediabetes, zinthu zopangira insulin sizilembedwa chifukwa zimatha kukhala zovulaza. Monga lamulo, pa nthawi iyi ya kuphwanya kagayidwe kazakudya, kapamba sikuti amangochepetsa kubisirana kwa insulin, komanso amapanga kuposa masiku onse. Vutoli siliri mu kapamba, koma kukana kwa insulin. Ngati mukupangitsa kupangira insulini, kapamba amangosala mofulumira kuposa momwe zikanakhalira popanda mankhwala.
Chithandizo cha prediabetes ndi wowerengeka azitsamba
Zachidziwikire, munthu sangadalire kokha mankhwala achikhalidwe chamankhwala othandizira, koma ndizotheka ndikugwiritsa ntchito maphikidwe ake monga othandizira ndi chilolezo cha dokotala. Zambiri mwa malingaliro amenewa cholinga chake ndi kupukusa chimbudzi ndi kagayidwe, kulepheretsa mayamwidwe am'mimba m'mimba yothandizira ndikuthandizira kapamba:
- Ndikofunika kumwa m'mawa uliwonse 250-500 ml ya madzi osungunuka. Kuti mupeze imodzi, ndikofunikira kuzimiratu madzi oyera, oyera. Poterepa, pakatikati pa chidacho, ayeziyo azikhala oyera. Defrost gawo loonekera pokha pochotsa ayezi yoyera mumtsuko.
- Kwa masiku 20-25 musanadye chilichonse, imwani 50-75 ml ya chisakanizo cha timadzi tokhathamira tatsopano ndi kabichi wowuma mu chiŵerengero cha 1: 1. Pambuyo pakupuma kwamasiku 5-10, njira yotere imatha kubwerezedwa.
- Tsiku lililonse kwa miyezi isanu ndi umodzi musanadye chakudya cham'mawa, imwani wofunda wa flaxseed, wokonzedwa motere: Wiritsani supuni ziwiri za mbewu zosweka mu theka la madzi pafupifupi mphindi zisanu.
- Hafu ya ola musanadye chakudya cham'mawa komanso musanadye, idyani supuni ziwiri za buckwheat pansi, wokakamizidwa ku kapu ya kefir. Gawo lam'mawa limakonzedwa madzulo, ndipo gawo lamadzulo mutatha kadzutsa.
- Muzu wa Elecampane, masamba a mabulosi, nthambi zosankhidwa za blackcurrant mosiyanasiyana. Ikani supuni ya chopereka ndi kapu ya madzi otentha ndi kumwa 50 mg katatu patsiku musanadye. Njira ya mankhwala ndi masiku 20-25, yopuma pakati maphunziro ayenera masiku 5-10.
- Masamba a Nyemba ndi masamba a mabulosi a 4 g iliyonse, rosehip ndi masamba a 3 g aliyense, yarrow 1 g kutsanulira kapu ya madzi otentha ndikupanga moto wochepa pafupifupi mphindi 5. Imwani mukatha kudya katatu patsiku. Njira ya chithandizo, monga momwe anachitiranso poyambira kale.
- Monga saladi, ndikofunikira kudya zotsatirazi tsiku lililonse: 50 g ya anyezi osanidwa (scald musanalowe), 15 g ya parsley ndi katsabola, 10 g mafuta.
Chofunikira kwambiri chomwe muyenera kudziwa kwa iwo omwe ali ndi matenda a Prediabetes pamawu awo azachipatala si matenda ashuga, koma mawonekedwe amalire omwe akhoza kuwongoleredwa. Zakudya zoyenera, kuchita masewera olimbitsa thupi pafupipafupi komanso, mwina, mankhwala ochepa, ndipo mudzakhalanso athanzi.
Matenda a shuga ndi chizindikiro chochenjeza kuti muli pachiwopsezo cha matenda ashuga amtundu wa 2. Izi zikutanthauza kuti magazi anu ndi okwera kuposa momwe ayenera kukhalira. Anthu ambiri omwe ali ndi matenda ashuga a 2 poyamba anali ndi prediabetes. Nkhani yabwino ndiyakuti kusintha kwa moyo kumatha kukuthandizani kuti musinthe shuga m'magazi anu komanso kuti muchepetse kapena muchepetse kuyambika kwa matenda ashuga.
Matenda a shuga amapezeka pamene thupi siliyankha moyenera ndi insulin ya mahomoni motero silingakhalepo ndi shuga (shuga) pamagulu abwinobwino. Nthawi yomweyo, kuchuluka kwa shuga m'magazi kumakhala kokwanira kuposa zabwinobwino, koma sikokwanira kukhazikitsa matenda a shuga. Ngati sanalandire chithandizo, matendawa amatha kuwonjezeka pakapita nthawi ndipo zimayambitsa kukula kwa matenda a shuga a 2 komanso zovuta zina, monga matenda am'mimba komanso matenda amitsempha yamagazi, sitiroko, maselo operewera, matenda amanjenje ndi impso.
Prediabetes ndi chiyani?
Mkhalidwe prediabetesic amadziwika ndi kusokonekera shuga kulolera. Ndi prediabetes, pancreatic enzyme yopanga imachepa pang'ono, ndipo kuchuluka kwa shuga m'magazi kuli kale kwambri, koma sanafike pamlingo womwe matenda a 2 amadziwika. M'mbuyomu, matendawa amatchedwa zero-siteji ya shuga.
Choyambitsa chachikulu cha prediabetes (komanso matenda a shuga 2) ndikusintha kwa minofu kukana insulin. Chimodzi mwazinthu zomwe zimagwira ntchito imeneyi ndi kutsitsa glucose kupita ku ma cell a thupi. Zakudya zam'magazi zikafika m'magazi, kapamba amapanga insulini, ndipo mwakuchulukitsa kuchuluka kwa shuga, kutsutsana ndi insulini kumayamba pang'onopang'ono - kuchepa kwa mphamvu ya mahomoni, kuthekera kwa ma membrane am'mimba kuti azindikire ndikuthandizira pokonza shuga.
Kuphatikiza pa kukulira kwa insulin, kutsika kwa kupanga kwa insulin mu kapamba kapena matenda osiyanasiyana apamba (zotupa (insulinoma), kusintha kwa cystic, kuvulala) kungayambitse matenda a prediabetes. Malinga ndi ziwerengero, odwala ali pachiwopsezo cha matenda a matenda ashuga:
- onenepa
- ndi matenda oopsa (kuthamanga kwa magazi ndi mitengo kuyambira 140/90 ndi pamwamba),
- Zisonyezo zosasunthika zazotsatira za kusanthula kwa shuga,
- cholesterol yayikulu ndi triglycerides,
- zaka zopitilira 45
- azimayi omwe ali ndi ovary ya polycystic,
- azimayi omwe adadwala matenda ashuga panthawi yoyembekezera.
Zochita zolimbitsa thupi
Kuwonjezeka kwa zolimbitsa thupi ku prediabetes ndikofunikira, chifukwa masewera olimbitsa thupi amathandizira kuchepetsa kuchuluka kwa shuga, kuchepetsa thupi, komanso kuthetsa kusokonezeka kwa kugona. Kuphatikiza pa kadyedwe, moyo wokangalika umathandiza kupewa kumwa mankhwala. Ndikofunika kusamala ndikutsatira uphungu wa kuchipatala. Choyambirira chimaperekedwa kwa mitundu yamtundu monga:
- Kuyenda
- Kuyenda kwa Nordic
- kusambira
- kuthamanga
- kuvina
- kuyendetsa njinga.