Mndandanda wazakudya zoletsedwa kwa anthu odwala matenda ashuga
Moyo wonse, wogwira ntchito ndiwosatheka popanda kudya moyenera. Shuga mellitus amaletsa zowonjezera pazoletsa muzakudya: odwala sayenera kudya zakudya zokhala ndi chakudya chochuluka, chiletso chapadera chimagwira ntchito pa mashuga othamanga.
Mu matenda a shuga, chidwi kwambiri ndi chakudyacho chidzayenera kulipidwa moyo wonse, osaganizira kuchuluka kwa chakudya chokha, komanso kapangidwe kake. Kuphatikiza pakuwongolera kuchuluka kwa shuga, zakudya zomwe dokotala amakupatsani zimakuthandizani kuti muchepetse kunenepa, kukhazikika kwa magazi, komanso kuchepetsa zovuta za matenda ashuga. Zakudya zokhwima kwambiri zimayikidwa akangopezeka ndi matendawa, mndandanda wazakudya zoletsedwa panthawiyi ndiwowonjezera. Mukamaphunzira kuthana ndi matenda a shuga, kuchuluka kwa zoletsa kumacheperachepera, ndipo zakudya zomwe wodwalayo ali nazo zili pafupi kwambiri monga momwe zimakhudzira zakudya zonse zathanzi.
Ndi zakudya ziti zomwe odwala matenda ashuga ayenera kusiya
Mukamasankha mankhwala a matenda ashuga ayenera kutsatira zotsatirazi:
- Zakudya zamafuta ochulukirapo ziyenera kukhala zochepa;
- Zakudya ziyenera kukhala ndi mitundu yambiri yazakudya - fiber ndi pectin. Amachepetsa kuyamwa kwa zakudya zamafuta ndikuthandizira kukhazikika kwa shuga.
- Zakudyazo ziyenera kukhala ndi mapuloteni okwanira, mafuta osakwaniritsidwa, mavitamini komanso kufufuza zinthu.
- Zakudya zopukidwa pang'ono zimakondedwa: mbewu zonse, masamba atsopano, mkaka wachilengedwe.
- Zakudya za calorie ziyenera kuwerengedwa poganizira zolimbitsa thupi komanso kukhalapo kwa kunenepa kwambiri.
Mndandanda wazakudya zoletsedwa zamitundu yonse ya shuga mulinso zopatsa mphamvu "zopanda kanthu": zakumwa zoziziritsa kukhosi, chakudya pompopompo, koloko yokoma, mowa.
Kusankha kwabwino kwambiri ndi masamba abwino, nyama yochepa mafuta ndi nsomba, komanso zinthu zamkaka.
Ndi matenda a shuga 1
Njira yamakono yogwiritsira ntchito mankhwala a insulin, omwe amagwiritsidwa ntchito ngati matenda oyamba, imakuthandizani kuti muchepetse mndandanda wazinthu zoletsedwa. Nthawi zambiri, madokotala amakulimbikitsani kuti muzitsatira magawo abwino a michere (BZHU 20/25/55), konzani zofanana pakudya, gawani chakudya nthawi zonse tsiku lonse.
Mkhalidwe wofunika koma wosafunikira ndikuphatikizidwa kwa chakudya chambiri. Chifukwa chake, kulamula shuga m'magazi ndikosavuta kwambiri.
Mndandanda wazinthu zosafunikira patebulopo waperekedwa pagome:
Gulu | Zakudya zambiri zamatumbo |
Zogulitsa za Confectionery | Pafupifupi lonse lonse: makeke ndi makeke, maswiti, marmalade, ayisikilimu, kupanikizana, mafuta. |
Zinthu zophika buledi | Mkate oyera, masikono a makeke, matumba, makeke okoma, waffles. |
Zinthu zamkaka | Ma yogurts omwe amawonjezera shuga, kuphatikizapo kumwa, curd, curls wonyezimira, mkaka wa tambala. |
Mbale | Semolina, abale ake, zakudya zam'mawa, makamaka zotsekemera. |
Zinthu za pasitala | White ufa wophika wofewa kwathunthu, Zakudyazi pompopompo. |
Maphunziro oyambira | Msuzi wokhala ndi vermicelli kapena Zakudyazi. |
Zamasamba | Mbatata yokazinga ndi ma frie, mbatata yosenda. Beets yophika ndi kaloti. |
Zipatso | Mavwende, vwende, masiku, timadziti okoma. |
Zakumwa | Msuzi wokoma, mphamvu, mowa. |
Chifukwa cha zomwe takumana nazo, odwala matenda a shuga omwe amakhala ndi mbiri yayitali ya insulini amatha kukhalabe ndi glucose pamlingo woyenera ngakhale atadya makeke. Mwachilengedwe, kwa iwo za mndandanda uliwonse wa chakudya choletsedwa ndi chilankhulidwe sichimachitika. Ngati glycemia imakhala yokhazikika, ndi matenda amtundu 1 shuga, zonse ndizotheka.
Chokhacho chomwe sichingakhale mowa, kapena wodwala matenda a shuga, kapena katswiri wa zaumoyo sangadziwiretu za thupi. Izi zimaletsedwa mosasamala mtundu ndi mphamvu ya chakumwa.
Ndi matenda a shuga a 2
Mtundu wachiwiri wa matenda a m'mapapo (popanda kugwiritsa ntchito jakisoni wa insulin) umafunika kudya mosamalitsa. Chofunikira chake ndi choletsa kwathunthu kugaya chakudya cham'mimba komanso kuletsa kwakukulu kwa shuga ena onse. M'malo mwake, chakudyacho chimakhazikitsidwa ndi nyama, nsomba, masamba abwino komanso ophikira, zakudya zamkaka. Pochulukirapo, mazira, chimanga ndi zipatso zimakhalamo. Zakudya zakumwambazi zomwe zili ndi zakudya zamafuta zimasiyidwa kwathunthu, makamaka nthawi yoyamba. Mwina, atachepetsa thupi ndikuwongolera kuchuluka kwa magazi, dokotala amalola mbale zina kuchokera pagulu loletsedwa. Komabe, kudya iwo mosapanda malire, monga kale, sizingatheke - adzachulukitsa shuga wamagazi, zomwe zikutanthauza kuti abweretsanso kuyambika komanso kufupikitsa moyo wa wodwalayo.
Simuyenera kupeweratu zopatsa zamafuta, chifukwa ndizofunikira kwambiri kupangitsa minofu, komanso yofunika kwambiri ku ubongo. Kuphatikiza apo, kuperewera kwa shuga kwa zakudya kumakhumudwitsa ketoacidosis - kumasulidwa kwa acetone ndi asidi m'magazi. Ngati vutoli silowopsa kwa munthu wamkulu wathanzi, ndiye kuti kwa wodwala yemwe ali ndi vuto losokoneza bongo amatha kusintha kukhala ketoacidotic chikomokere.
Kuchuluka kwa chakudya tsiku ndi tsiku komwe kumatsimikiziridwa ndi endocrinologist pa phwando, kukumbukira:
- Gawo la matenda ashuga. Matendawa amachepetsa matendawa.
- Zaka za wodwala. Wokalamba wodwalayo, zopinga zazikulu zopatsa thanzi zomwe amakumana nazo.
- Kunenepa kwambiri. Kunenepa kwambiri, komwe nthawi zambiri kumapezeka shuga, kumathandizira kukana insulin - kumathandizira kukula kwa shuga pambuyo podya. Mukamachepetsa thupi, zakudya zoletsedwa zamafuta zimachepera.
- Mulingo wakuchita zolimbitsa thupi. Minofu yogwira ntchito kwambiri masana, shuga ochulukirapo adzamwa - za maphunziro akuthupi a matenda ashuga.
Chosangalatsa ndichakuti mu mtundu 2 wa matenda ashuga, momwe thupi limayankhira pazinthu zomwe zimapangidwa muzakudya zamatumbo zimatha kusiyanasiyana. Mwachitsanzo, mu magalamu 100 a mpunga wazitali wa tirigu ndi spaghetti kuchokera ku ufa oyera pali magalamu 70 a chakudya, onse amakhala ndi index ya 60, koma adzapatsa shuga wowonjezera pakudya.
Vutoli limafotokozedwa ndi umunthu wa chimbudzi komanso zomwe zili mu michere yofunika. Chifukwa chake, atazindikira matenda a shuga, chilichonse chatsopanocho chiyenera kuyambitsidwa pang'onopang'ono, kuwongolera kuwonjezeka komaliza kwa shuga ndi glucometer. Zotsatira zake, mu miyezi ingapo mupanga mindandanda yazinthu zomwe ziyenera kuletsedwa.
Matenda a shuga amakhalanso ochepetsa mafuta. Matendawa amaphatikizidwa ndi chiwopsezo chowonjezeka cha kusintha kwa atherosulinotic m'matumbo. Amachitika chifukwa cha zovuta za shuga pamakoma awo komanso kuphwanya mafuta kagayidwe. Kuphatikiza apo, lipids yochulukirapo imachepetsa chidwi cha minyewa kupita ku insulin. Mu shuga, tikulimbikitsidwa kuti muchepetse 25% yazakudya zonse zopatsa mphamvu, osachepera theka la magawo omwe sanapangidwe.
Zakudya Zopatsa shuga za shuga:
Doctor of Medical Science, Mutu wa Institute of Diabetesology - Tatyana Yakovleva
Ndakhala ndikuphunzira matenda a shuga kwa zaka zambiri. 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 98%.
Nkhani ina yabwino: Unduna wa Zaumoyo wateteza kukhazikitsidwa kwa pulogalamu yapadera yomwe imalipira mtengo wa mankhwalawo. Ku Russia, odwala matenda ashuga mpaka Meyi 18 (kuphatikiza) nditha kuipeza - Kwa ma ruble 147 okha!
- mafuta ophikira, mafuta a hydro, margarine ndi kufalikira,
- kanjedza, mafuta a kokonati,
- coco batala wamafuta
- nkhumba ndi mafuta a ng'ombe.
Chalangizidwa kuti mugwiritse ntchito:
- Mafuta a monounsaturated acids - mafuta a azitona.
- Mafuta achilengedwe a polyunsaturated - mpendadzuwa ndi mafuta a chimanga (omega-6), nsomba zam'madzi zamchere (omega-3).
Zakudya zoopsa kwambiri kwa odwala matenda ashuga
Kuchuluka kwa chakudya chamafuta ndi mafuta ambiri owopsa kungayambitse kuwonongeka kwa matenda a shuga, kuperewera kwa mtima, komanso kuwonongeka kwa minyewa yamitsempha. Zotsatira zoyipa, zakudya zoletsedwa ziyenera kupezeka kawirikawiri m'zakudya. Kusintha kwachilengedwe mu ziwalo kumadziunjikira pang'onopang'ono zaka zingapo.
Ndipo apa mowa amatha kupha munthu wodwala matenda ashuga patsiku limodzi lokhaKuphatikiza apo, ngati zinthu sizikuyenda bwino, mlingo wa kuledzera ungakhale wochepera 100 g pankhani ya mowa. Chifukwa chake, mankhwala oopsa kwambiri a shuga mellitus, omwe sangathe kudyedwa chimodzimodzi monga anthu athanzi, ayenera kuphatikizapo zakumwa zonse zakumwa - werengani zambiri.
Mowa wambiri umakhala ndi mowa wophatikiza ndi shuga othamanga. M'mphindi zoyambirira mukatha kumwa, iwo, monga zakudya zamagulu onse amadzimadzi, amakweza shuga. Koma patatha maola ochepa, zotsatira zawo zimasinthiratu. Chifukwa chakuti chiwindi chikuyesayesa kupewa poyizoni wa mowa ndikuchotsa msanga m'thupi, masitolo a glycogen mmenemo amachepa kwambiri. Pakalibe chakudya chowonjezera, shuga m'magazi amatsika kwambiri, hypoglycemia imayamba. Ngati mumamwa mowa usiku ndikugona ndi matenda a shuga, kuchepa kwa shuga m'mawa kumatha kukhala kovuta, mpaka kutsika kwa hypoglycemic. Mkhalidwe wakuledzera, zomwe zizindikiro zake ndizofanana ndi chizindikiro cha kutsika kwa shuga, sizikuthandizira kuzindikira kwa hypoglycemia.
Kuti musunge thanzi lanu, mowa mu shuga umayenera kuphatikizidwa pamndandanda wazakudya zoletsedwa kotheratu, m'mavuto akumwa, imwani kangapo pamwezi pamiyeso yambiri.
Zambiri pazogulitsa zowopsa:
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