Kodi kusala kudya kumayambitsa matenda ashuga

Matenda a shuga

Madokotala ambiri amakhulupirira kuti phindu losala kudya ndikuti thupi limalimbitsa mphamvu ndi nyonga zake zonse, limalimbitsa chitetezo chathupi, ndipo endocrine imayamba kuyenda bwino.

Nthawi yomweyo, kusala kudya kulikonse kumakhala kwa thupi, ndipo ngati kukhale nthawi yayitali, kumakhala koopsa thanzi. Polankhula za kusala kudya ndi matenda ashuga, madokotala ambiri amavomereza kuti kusala ndi matendawa nkoletsedwa.

Werengani zambiri za kufa ndi matenda a shuga mellitus pansipa zomwe ndapeza pa intaneti pamutuwu.

Pali malingaliro olakwika ponena za kusatheka kwa kufa ndi njala kwa odwala matenda ashuga. Kukula kwakukulu, amathandizidwa ndi endocrinologists.

Zolemba zomwe zilipo pakadali pano pogwiritsa ntchito zakudya, ndi mankhwala a insulin, komanso kukula kwa mankhwalawa, zimawalola kukhala ndi malingaliro otere. Nthawi yomweyo, akatswiri azosala kudya satchula kuti shuga ndiwotsutsana kwathunthu.

Chifukwa chake mndandanda wazisonyezo zachipatala ndi zotsutsana pakugwiritsira ntchito kusala kudya, matenda ashuga amtundu wa 2 ndi kutsutsana ndipo mtundu wokhawo wa shuga ndiwotsutsana kwathunthu.

Maupangiri amomwe mungagwiritsire ntchito ntchito yolemetsa komanso yoyipa yothandizira pakudya (RDT) yamkati ./prof. M. A. Samsonova, prof. Yu. S. Nikolaev, prof. A.N. Kokosova ndi ena.onetsani mwachindunji: "Mtundu wachiwiri wa matenda a shuga, osati ovuta chifukwa cha vuto lalikulu la mtima, RDT imagwiritsidwa ntchito moyenera nthawi zina."

Njira ya matenda ashuga ndi njala ilinso ndi kufanana. Chifukwa chake ndi matenda ashuga ndi njala, ketonemia ndi ketonuria amadziwika. M'magazi a munthu wathanzi, matupi a ketone (acetone) amapezeka muzinthu zochepa kwambiri.

Komabe, pakusala kudya, komanso mwa anthu omwe ali ndi matenda oopsa a shuga, zomwe matupi a ketone m'magazi amatha kuchuluka mpaka 20 mmol / l. Vutoli limatchedwa ketonemia, nthawi zambiri limatsatiridwa ndi kuwonjezeka kwakukulu kwa zomwe zili m'matumbo a ketone mu (ketonuria).

Mwachitsanzo, ngati pafupifupi 40 mg ya ketone matupi amatsitsidwa ndi mkodzo, ndiye kuti odwala matenda ashuga amawonjezera zomwe amapezeka patsiku la mkodzo tsiku lililonse amatha kufikira 50 g kapena kuposerapo. Zomwe zimapangitsa ketonemia ndizofanana pazochitika zonsezi. Onse omwe ali ndi shuga komanso kusala kudya amayenda limodzi ndi kuchepa kwakukulu m'masitolo a glycogen m'chiwindi.

Tizilombo tambiri ndi ziwalo, makamaka minofu minofu, zili mu vuto lamphamvu (chifukwa chosowa insulini, glucose sangathe kulowa mu cell ndi liwiro lokwanira).

Mchitidwewu, chifukwa cha kukoka kwa malo a metabolic omwe ali pakatikati kwamanjenje ndikulimbikitsidwa kuchokera ku chemoreceptors a maselo omwe akukumana ndi mphamvu yamphamvu, lipolysis ndi kusunthira kwa mafuta ochulukirapo kuchokera kuma depots a mafuta kupita m'chiwindi amalimbikitsidwa kwambiri.

Kupanga kwamphamvu kwa matupi a ketone kumachitika m'chiwindi. Ziwalo zopota zomwe zimakhala ndi matenda ashuga komanso kufa ndi njala zimatha kugwiritsa ntchito matupi a ketone ngati zinthu zamagetsi, komabe, chifukwa cha kuchuluka kwambiri kwa matupi a ketone m'magazi oyenda, minofu ndi ziwalo zina sizitha kuthana ndi oxidation wawo, chifukwa chake, ketonemia imachitika.

Komabe, pamene kuli kwanjala, ketonemia imakhala yocheperako ndipo amagwiritsidwa ntchito ndi thupi kusinthira kuzakudya zonse zamkati, pomwe akudwala matenda a shuga, ketonemia akuwonetsa.

Mukamasala kudya, matenda a hypoglycemic atatha / 5-7 tsiku / kuchuluka kwa ma ketoni m'mwazi amatsika, ndipo kumakhalabe kotereku nthawi yonse yosala kudya. Ndi matenda ashuga, kusala kwa nthawi yayitali komanso yayitali ndikofunikira. Kusala mwachidule masiku atatu osagwira ntchito.

Mukasala kudya ndi shuga, kusamala ndi kulondola ziyenera kuchitidwa. Chofunika kwambiri ndi nthawi yakukonzekera, yomwe muyenera kukonza njira zoyeretsera komanso kuphunzira kuonera.

Kusala lokha kumachitika bwino kwambiri kuchipatala chokhazikitsidwa motsogozedwa ndi akatswiri oyenera kusala / makamaka kwa matenda a shuga a 2 /. Chofunika kwambiri ndi njira yolondola yochotsera komanso kudya pakudya.

Pa kusala, kusintha kwa kagayidwe kachakudya ka thupi lonse kumachitika, kuphatikizapo kuchepa kwa katundu pa kapamba, chiwindi. Zonsezi zimakhudza ziwalo izi, zimasinthasintha ntchito yawo, ndipo, pamapeto pake, zimasintha njira ya matenda ashuga.

Kuphatikiza apo, chikhalidwe cha ziwalo zonse ndi machitidwe zimapangidwa mosiyanasiyana, matenda omwe nthawi zambiri amakhala amodzi mwa omwe amayambitsa matenda ashuga. Chifukwa chake, titha kunena mosapita m'mbali kuti kugwiritsa ntchito kusala kudya, makamaka m'mapapu ndi mitundu ya matenda ashuga, kumathandizira kukonza bwino matendawa komanso kuchira kwathunthu.

Zipatala zina zakusala zakunja zimachiza bwino mtundu 2 komanso matenda amtundu 1. Mulimonsemo, ziyenera kukumbukiridwa kuti shuga si chiganizo chomaliza.

Munthu amene akufuna kupezanso thanzi azichita izi ndipo kusala kudya kumamuthandiza mu izi. Monga munthu yemwe akuchita njala, sindikudziwa njira ina iliyonse yomwe ingalolere kukonza ziwalo zowonongeka ndi machitidwe ake bwino kwambiri.

Kusala Kutha Kuchiritsa Matenda A shuga

Matenda a shuga - matenda omwe amasokoneza kagayidwe kachakudya, zomwe zimapangitsa kuchuluka kwa glucose m'misempha, ndikugonjetsedwa kwawo kotsatira. Anthu omwe akudwala matendawa amati sangathe kuleketsa njala.

Nthawi yomweyo, amatchulanso kuti shuga yochepa ya m'magazi ingayambitse kukomoka komanso zizindikilo zosiyanasiyana zosokoneza moyo wabwino. M'malo mwake, kusala kudya kumatsutsana mwa mtundu woyamba wa matenda ashuga.

Mtundu wachiwiri wa matenda, pomwe sanakumanepo ndi vuto la mitsempha, kuchuluka kwa machiritso kulembedwa. Chowonadi ndichakuti pakusala kudya, thupi la munthu limasinthasintha kuchokera ku metabolism ya carbohydrate, yomwe imamangidwa pa glucose ndi mafuta.

Ndi kusinthaku, thupi liyenera kuwononga mafuta omwe amasungidwa ndi minofu kuti lipeze ma calorie ofunikira kapena, makamaka, mphamvu.

Mu shuga, metabolism imamangidwa makamaka pamafuta. Ndi kusala kwachiwonetsero, maselo a pancreatic omwe amapanga insulini yogulitsa glucose amatha kuchira, chifukwa shuga imakhala chizindikiro chosafunikira cha magazi.

Kusala kudya kwa masiku osakwana atatu kulibe ntchito, popeza pamenepa njala ndi mpumulo chabe, machiritso amayamba patsiku lachinayi. M'masiku oyamba, misa imatayika kokha chifukwa cha kuchepa kwa mchere, madzi ndi glycogen, chifukwa chake kulemera uku kumabweranso mwachangu kwambiri.

Pankhani ya matenda a shuga, ndikofunika kuchitira kukonzekera kusala kudya. Choyamba, ndikofunikira kuchita zoyeretsa, ndipo ndikofunikira kuchita kusala kwayekha moyang'aniridwa ndi akatswiri. Kuphatikiza apo, njira yolondola yanjala ndi gawo lalikulu - chakudya chobwezeretsa.

Chifukwa chake, kusala ndi matenda a shuga ndi njira yothandizira kwambiri. Nthawi imeneyi, maselo a kapamba amabwezeretsedwa ndikupumula, ndipo thupi limaphunziranso kugwiritsa ntchito mphamvu ina - mafuta acids.

Katundu pa chiwindi amachepetsa. The normalization magwiridwe antchito onse a ziwalo ndi ziwalo amayamba, kuphwanya komwe, ndi chimodzi mwazomwe zimayambitsa matenda ashuga. Komanso, pakusala kudya, thupi la wodwala limaphunzira kulekerera hypoglycemia, ndiko kuti, kukomoka chifukwa cha kuchepa kwambiri kwa shuga m'magazi (nthawi zambiri kumakwezedwa).

Pakadutsa masiku 5-7 njala, pakachitika vuto la hypoglycemic, kuchuluka kwa glucose kumachitika, komanso kumakhala koyenera komanso kopitilira apo. Kusala kwapafupi ndi matenda a shuga kumabweretsa zotsatira zochepa.

Zingothandizanso kupukusa chakudya cham'mimba, komanso kuyambitsa kusintha kwa thupi kukhala chakudya chamthupi. Njira zochiritsira zomwe zimapangitsa kuti kuchira azisala zimangoyambika vuto litatha.

Kusala komanso shuga

Pali lingaliro kuti ndizoletsedwa kugwiritsa ntchito njira yosala kudya kwa anthu omwe ali ndi matenda ashuga. Endocrinologists a shuga amagwiritsa ntchito mitundu yapadera, zakudya, mankhwala omwe amachepetsa shuga ya magazi, ndi insulin.

Pakadali pano, akatswiri ochita kufa ndi njala sanena kuti shuga ndiwotsutsana kwambiri. Pa mndandanda wazisonyezo zachipatala ndi zotsutsana pakugwiritsira ntchito kusala kudya, matenda amtundu wa 2 amadziwika kuti ndiwotsutsana, ndipo odwala okha a mtundu woyamba amawona kuti ndi otsutsana.

Malangizo pakugwiritsira ntchito kosala kusiyanasiyana kwa zakudya amati mu mtundu wachiwiri wa matenda ashuga, womwe suvuta ndi zovuta zam'mimba, kusala kudya kwamunthu aliyense kumagwiritsidwa ntchito bwino. Mchitidwe wa matenda ashuga ndi njala ulinso ndi zomwezi.

Mwachitsanzo, ndi matenda ashuga komanso njala, ketonemia ndi ketonuria zimachitika. Munthu wathanzi amakhala ndi zotsika za thupi la ketone m'magazi ake. Koma pakusala, komanso kwa anthu omwe ali ndi matenda osokoneza bongo kwambiri, kuchuluka kwa matupi a ketone m'magazi kumakwera mpaka 20 mmol / L.

Vutoli limatchedwa ketonemia ndipo limapanikizika ndi kuchuluka kwa matupi a ketone mumkodzo - njira ya ketonuria. Ngati munthu wathanzi 40 mg wa matupi a ketone amuchotsedwa mu mkodzo patsiku, ndiye kuti odwala odwala matenda ashuga kuchuluka kwa matupi a ketone kumatha kufika 50 g kapena kuposerapo.

Zomwe zimapangitsa ketonemia panthawi yanjala ndi matenda a shuga ndi omwewo - kuchepa kwambiri kwa kuchuluka kwa glycogen m'chiwindi. Matupi a Ketone amayamba kupanga mwachangu m'chiwindi. Ziwalo zotumphukira mu shuga komanso mukasala kudya mumatha kugwiritsa ntchito matupi a ketone kuchita ntchito zamphamvu.

Koma chifukwa cha kuchuluka kwa matupi a ketone, ziwalo ndi minofu sizitha kuthana ndi oxidation, chifukwa chake, ketonemia imachitika. Ngati, pakusala, ketonemia ili yovunda ndipo imagwiritsidwa ntchito ndi thupi kusintha kuti mumalize zakudya zamkati, ndiye kuti mukudwala matenda ashuga, ketonemia ikuwonetsa kuwonongeka.

Mukasala kudya, vuto la glycoglycemic limachitika tsiku lachisanu kapena lachisanu ndi chiwiri, chifukwa chake, kuchuluka kwa ma ketoni m'mwazi amatsika, ndipo kuchuluka kwa glucose kumachitika. Vutoli limapitilira panthawi yonse yosala kudya. Mu shuga, kusala kudya kwa nthawi yayitali komanso yayitali kumalimbikitsidwa.

Kusala kwa tsiku limodzi ndi masiku atatu sikuyenda bwino komanso sikugwira ntchito. Panthawi yosala kudya shuga, chisamaliro chapadera ndi kulondola ziyenera kuchitidwa. Gawo lokonzekera limakhala lofunika kwambiri, pomwe muyenera kuchita njira zonse zoyeretsera komanso kutsatira bwino zakudyazo.

Kusala kumalimbikitsidwa mu chipatala choyang'aniridwa ndi madokotala ndi akatswiri akusala kudya, makamaka kwa odwala omwe ali ndi matenda a shuga a 2. Kutsiliza kolondola ndi kusala kudya panthawi yakachira ndikofunika kwambiri.

Mukakhala ndi vuto la njala, kagayidwe kachakudya mu thupi kamasinthidwa, katundu wambiri pa kapamba ndi chiwindi amachepa. Zonsezi zimakhudza ntchito ya ziwalo izi, zimasinthasintha magwiridwe antchito awo ndikuwongolera njira ya matenda ashuga.

Kuphatikiza apo, ziwalo zonse ndi machitidwe zimabwezeretseka, matenda omwe amakhala omwe amayambitsa matenda a shuga. Chifukwa chake, titha kunena kuti kugwiritsa ntchito kusala kudya m'matenda a shuga, makamaka ndi mitundu yake yofatsa, kumathandizira matenda ndipo kumatha kuchiritsa matenda.

Zipatala zambiri zakunja posala kudya zimachiza matenda a shuga a 2, ndipo ngakhale nthawi zina mtundu woyamba. Kumbukirani kuti matenda ashuga si chilango cha kuphedwa. Ngati munthu akufuna kubwezeretsa thanzi lake, ndiye kuti adzachichita ndipo kusala kudya kungamuthandize mu izi.

Kodi ndizotheka kusala kudya shuga

Ubwino wa kusala kudya ndi matenda ashuga ndizovuta, pali zifukwa zambiri. Mpaka pano, mtundu 1 wa matenda ashuga, ndiye kuti, amadalira insulini, ndikutsutsana kwathunthu. Ndikufuna kuwonjezera kuti ndikugwirizana kwathunthu ndi izi: mzere wowonda kwambiri umagawa maubwino ndi ngozi yakufa.

Kodi mukuganiza kuti ndikulimba? Kuphatikizika kowopsa kwa matenda ashuga - kumachitika ndi kukula kwa pachimake acidosis. Acidosis ndikoipa kosakwanira kwa glycogen komanso mafuta ndi mapangidwe a acidic - matupi a ketone, omwe amasokoneza chiyambi cha asidi-poizoni ndikuvulaza thupi. Ngati thandizo siliperekedwa mwachangu, wodwalayo akhoza kufa.

Nthawi zambiri, munthawi ya metabolism, mapangidwe a matupi a ketone amapezekanso, koma mosasamala. Panthawi yanjala, matupi ambiri a ketone amapangidwira, mulingo wawo m'magazi umachuluka kwambiri, popeza pali kuwonongeka kochulukira kwamafuta kuti apeze gwero lamphamvu pakalibe chakudya.

Chifukwa chake, thanzi likukula. Likukhalanso chimodzimodzi ndondomeko ya acidosis. Ndizomveka kuganiza kuti kusala ndi matenda ashuga kumalimbitsa njirayi ndikuwonjezera mwayi wokhala chikomokere. Kumbali inayi, gawo lamphamvu lazoyendetsa matenda m'matenda a metabolic limadziwika, chifukwa chake sikoyenera kukana.

Kusala kudya ndi mtundu wa 2 shuga mellitus (insulin Independent) ndizovomerezeka, kuphatikiza mu khola, fomu yolumikizidwa komanso moyang'aniridwa ndi dokotala. Aliyense, ngakhale anthu athanzi labwino, amafunikira kuzolowera thupi kuti lisokoneze zakudya. Chotetezedwa komanso chololedwa kwambiri kwa aliyense ndichizolowezi chosala kudya tsiku limodzi kapena awiri sabata iliyonse.

Poyamba, kwa milungu iwiri patsiku losankhidwa la sabata samadya, amangomwa madzi, ndiye osadya kapena kumwa chilichonse patsikulo. Kwa odwala omwe ali ndi kunenepa kwambiri, kusala kudya kwa masiku 5-7-10 ndikulimbikitsidwa. Asayansi apeza kuti minofu ya adipose imayamba kuphwanya kwa masiku 3-4, kotero nthawi yayitali ya masiku 10 ndi yofunikira.

Ndalamazi ndizofunikira, popeza kulolerako ndi kosiyana kwa aliyense. Ngati munthu akuvutitsidwa ndi zowawa za ludzu ndi ludzu, pakubwerera chakudya, amabwezeretsa mwachangu zolemerazo ndi chiwongola dzanja. Pankhaniyi, simuyenera kuvutika, koma ndibwino kungochepetsa zakudya zomwe mumadya.

Kukonzekera kusala ndikofunikira: kusinthanitsa kuti mubzale chakudya ndikutsuka matumbo masiku 3-5 asanayambe. Ndikutsimikiza kufunika koyeretsa matumbo, chifukwa pakakhala kudya, zakudya zomwe zimapezeka m'matumbo zimayamwa m'magazi m'malo mwake. Ndikofunikanso kumwa malita 2-2,5 amadzi oyera tsiku lililonse, m'magawo ang'onoang'ono.

Pambuyo pakukonzekera koyenera, zotsatira zabwino za njala zimawonjezeka, pakukonzekera kwake, katundu pa kapamba ndi chiwindi amachepetsa, ndipo kusokonezeka kwa metabolic kumayendetsedwa. Nthawi zina izi ndizokwanira kuti zithetse zomwe zimayambitsa matenda ashuga, ndipo munthu amachira.

Matenda othandizira odwala matenda a shuga amachitika m'makliniki apadera komanso m'malo azachipatala malinga ndi njira zotsimikiziridwa, poganizira momwe matendawa alili, kupezeka kwa zovuta, kuchuluka kwa wodwalayo komanso mawonekedwe ake a mitsempha.

Mukakhala kuchipatalako, munthu safunika kuda nkhawa za chakudya choyenera mukamakonzekera kudya komanso akamachokapo, pali malo abwino okhala ndikuyang'aniridwa ndi achipatala.Ngati ndi kotheka, sinthani njala ndikuthandizira wodwala.

Kusala kudya kumawonedwa ngati panacea yamatenda ambiri omwe satsatira mankhwala achikhalidwe. Nthawi zambiri mumatha kumva kuti ikhoza kuthetsa matenda ashuga. Otsatira ake amakhulupirira izi, kuphatikiza apo pali ndemanga za anthu omwe achiritsidwa. Koma madokotala sathamangira kulimbikitsa chithandizo chotere kwa odwala awo. Ndipo ngakhale olemba a njirazo pawokha amakayikira ndipo samakonda kuyankhula molondola kwambiri. Ndiye kodi njala itatha matenda ashuga - mwayi wotsiriza wa chipulumutso kapena ngozi yayikulu pamoyo?

M'mawu osavuta, osati mawu azachipatala, shuga ndi shuga ochulukirapo m'magazi, omwe ali ndi thanzi labwino, thanzi loperewera, kukula kwa matenda osiyanasiyana. Choopsa kwambiri cha zotsatirapo zake ndi chikomokere (hyperosmolar coma), chomwe nthawi zambiri chimatha ndi imfa.

Mosasamala za msinkhu, jenda komanso moyo, mtundu wamagulu a shuga ndi 3.9-5,5 mmol / L. Mwa anthu odwala matenda ashuga, chiwerengerochi chimakwezedwa. "Denga" lovuta kwambiri kwa iwo ndi chizindikiro cha 7.2 mmol / L. Ayenera kuwunika njirayi nthawi zonse ndikuchita zoyenera kuti achepetse.

Kumayambiriro kwa zaka za zana la 20 lino, malinga ndi ziwerengero, anthu pafupifupi miliyoni miliyoni anali kudwala matenda a shuga. Mu 2014, zaka zana pambuyo pake, chidziwitso chatsopano chidasonkhanitsidwa pakufalikira komanso kuchuluka kwa matendawa. Chiwerengerochi chinali miliyoni 422. Malinga ndi madotolo, mtsogolomo izidzakula. Sitiyamba kuganizira zifukwa zomwe zatigwetsera m'mavuto. Chofunika kwa ife ndikuti ngakhale kuchuluka kwamankhwala masiku ano sikulola kupeza chithandizo. Pali mndandanda wa zinthu zomwe zingachepetse mkhalidwe wa odwala, koma samapereka kuchira kwathunthu:

jakisoni wokhazikika wa insulin (ndi mtundu I),
chakudya chopatsa thanzi
zolimbitsa thupi zolimbitsa thupi (pali njira yapadera yochiritsira odwala matenda ashuga).

Kutengera kuti zakudya zapadera zimathandizira kuthetsa vutoli, ndipo lingalirolo linadzuka lochiza matendawa mwachangu.

Zotsutsana za iwo omwe amapereka chithandizo cha matenda osokoneza bongo a mellitus osavuta ndizosavuta komanso momveka bwino. Chakudya sichilowa, zomwe zikutanthauza kuti shuga ya magazi ilibe malo oti azisonkhanira. Zakudya zamagetsi (makamaka zamafuta ndi mapuloteni), zomwe thupi limapitamo, sizingapatse maselo kuchuluka kwa glucose, chifukwa chake, zonse zowonetsedwa zimasungidwa pazachilendo.

Nthawi yomweyo, madokotala amalimbikitsa kuti kusala ndi matenda osokoneza bongo ndikosayenera. Izi zili ndi hypoglycemia, yomwe imakhala yowopsa kwa odwala osachepera hyperglycemia.

Mtundu wa I ndi II matenda ashuga

Zimadziwika ndi chakuti kapamba sangathe kutulutsa insulini. Ndiye amene amasamutsa glucose m'maselo kuti amasanduke mphamvu yothandiza. Chifukwa chakuti thupi silitulutsa timadzi tating'onoting'ono, chakudya chilichonse chitatha, kuchuluka kwa shuga omwe amapezeka m'magazi kumakwera ndipo amatha kufikira gawo lovuta pankhani ya mphindi. Chifukwa chake, odwala matenda ashuga omwe ali ndi mtundu uwu wa matenda ayenera kubayidwa jakisoni wa insulin nthawi zonse.

Njala yodwala matenda amtundu 1 wa shuga ndizoletsedwa. Matenda amtunduwu amaphatikizidwa ndi mndandanda wazotsutsana mwamtheradi m'njira zonse za wolemba. Anthu oterowo amayenera kulandira chakudya chokwanira m'magawo ang'onoang'ono, motero, njira yothandizira mankhwalawa sioyenera kwenikweni.

Funso loti matenda ashuga angachiritsidwe ndikusala kudya lidakali funso lotseguka mpaka pano. Ambiri okayikira motsutsana ndi maziko a kusowa kwa umboni wokhala ndi umboni wa sayansi sakulola kuvomereza mankhwala ake ovomerezeka ngati njira yothandizira kwambiri, ngakhale mutakhala ndi zitsanzo zabwino komanso zopambana. Kupatula apo, onse ndi osakwatira, osachita mwadongosolo.

Pokhala atadziwa zambiri zokhudza kusala kudya, ambiri amayamba kuda nkhawa ngati zingatheke kuti afe ndi matenda a shuga a 2. Poona yankho la funsoli, mutha kupeza malingaliro osiyanasiyana. Ena amati zoletsa ndizoletsedwa. Ena, m'malo mwake, amalimbikira pazofunikira zawo.

Kodi ndizotheka kuchepetsa kudya

Matenda a 2 a mtundu wa shuga amatanthauza matenda omwe matendawa amayamba kuchepa. Endocrinologists amalimbikitsa kuti odwala omwe ali m'magawo oyamba a matenda amatsatira zakudya zapadera komanso masewera olimbitsa thupi. Kusintha kwa kayendedwe ka moyo kumakupatsani mwayi wolamulira matenda kwa zaka zambiri.

Pakakhala zovuta, odwala matenda ashuga amayesa kudya mwachangu. Koma madokotala amalola izi pokhapokha matendawa akayamba matendawa. Ngati matenda a shuga adayambitsa kuphwanya kwachilendo kwa kayendetsedwe ka thupi, ndiye kuti simuyenera kufa ndi njala.

Nthawi yakudya, insulin imayamba kupangidwa mthupi. Ndi zakudya pafupipafupi, njirayi ndiyokhazikika. Koma kukana chakudya, thupi liyenera kufunafuna malo osungirako, chifukwa chomwe chitha kulipirira kuchepa kwa mphamvu yomwe yawoneka. Potere, glycogen imamasulidwa ku chiwindi, ndipo minofu yamafuta imayamba kugawikana.

Mukusala kudya, mawonekedwe a shuga amatha kuchepa. Koma muyenera kumwa madzi ambiri. Madzi amalola kuti muchotse poizoni m'thupi, poizoni. Nthawi yomweyo, kagayidwe kachakudya kamafanana, ndipo kulemera kumayamba kuchepa.

Koma mutha kukana chakudya chokha kwa anthu omwe amapezeka ndi matenda a shuga a 2. Pankhani ya shuga wodalira insulin, kusala kudya nkoletsedwa.

Kusankhidwa kwa njira

Ena amati musamamve ludzu ndi matenda ashuga. Koma akatswiri angapo amaganiza mosiyana. Zowona, kusankha kukana chakudya tsiku limodzi sikuthetsa vutoli. Ngakhale kukomoka kwa chakudya kwa maola 72 sikupereka zotsatira zomwe mukufuna. Chifukwa chake, madokotala amalimbikitsa kuthana ndi kusala kwapakati komanso kwanthawi yayitali.

Popeza mwasankha kuyesa kuthetsa matenda ashuga motere, muyenera kufunsa katswiri wa endocrinologist. Ayenera kufufuza wodwalayo ndikuwona ngati angagwiritse ntchito njira zamtunduwu pochiritsira. Kusala koyamba kumalimbikitsidwa kwa odwala matenda ashuga moyang'aniridwa ndi endocrinologists ndi akatswiri azachipatala kuchipatala. Madokotala amasankha njira yoyenera kwambiri yoyeretsera munthu malinga ndi momwe wodwalayo alili.

Mukasala kudya nthawi yayitali, chakudya chokwanira chikhale masiku osachepera 10. Njala yayitali imatha kuchokera masiku 21, ena amachita kukana chakudya kwa miyezi 1.5 - 2.

Njira yothandizira

Simungathe kufa ndi njala nthawi yomweyo. Kwa thupi, izi ndizopanikizika kwambiri. Iyenera kupita panjala. Pachifukwachi, masiku 5 isanayambike, ndikofunikira kusiyiratu kudya nyama. Ndikofunikira kuchita izi:

Idyani zakudya zokhala ndi mafuta,
yeretsani thupi mwathupi ndi enema,
kumwa madzi ambiri (mpaka malita atatu tsiku lililonse),
pitilizani kuyeretsa thupi pang'onopang'ono.

Njala ya 2 ndi matenda a shuga a 2 ndizofanana ngati malamulowo atsatiridwa. Mukamaliza gawo lokonzekera, muyenera kupita kukatsuka. Pamutu ayenera kusiya kugwiritsa ntchito chakudya. Mutha kumwa madzi okha. Zochita zolimbitsa thupi ziyenera kuchepetsedwa.

Ndikofunikira kuti mutuluke mu kusala kudya mwachangu. Kuti muchite izi, muyenera:

yambani kudya pang'onopang'ono, msuzi wamasamba wosungunuka ndi madzi ndibwino kwambiri kudya koyamba,
osapatula mchere muzakudya,
Amaloledwa kudya zakudya zam'mera,
Zakudya zomanga thupi zambiri sizili bwino,
kutumikira mavoliyumu kumawonjezeka pang'onopang'ono.

Kutalika kwa njira yosala kudya kumayenera kukhala kofanana ndi nthawi ya kuyeretsa. Iyenera kukumbukiridwa kuti zakudya zochepa zomwe zilipo, insulin yaying'ono imatulutsidwa m'magazi.

Magwiridwe a Matenda a shuga

Ambiri odwala matenda ashuga amalangizidwa kuti azikhala ndi kudya kwa masiku 10 kwa nthawi yoyamba. Chimakupatsani mwayi:

sinthani katundu pachilonda,
tsitsani kagayidwe kachakudya,
sinthani magwiridwe antchito a kapamba.

Kusala kwapakatikati kumeneku kumakupatsani mwayi wothandizira ziwalo. Kukula kwa matendawa kumatha. Kuphatikiza apo, odwala atafa ndi njala amatha kulolera hypoglycemia. Kuchepa kwa zovuta zomwe zimadza chifukwa chakuchepa kwambiri kwa ndende ya glucose kumachepetsedwa.

Ndemanga ya anthu odwala matenda ashuga okhudzana ndi kusala kwachithandizo amatsimikizira kuti kukana kudya kumakupatsani mwayi kuiwala za matenda. Ena amaphunzira kusinthana masiku owuma komanso onyowa. Pouma, simuyenera kukana chakudya chokha, komanso madzi.

Ambiri amati m'masiku 10 mungathe kukwaniritsa zina. Koma kuti awongolere, kumenyedwako kumayenera kubwerezedwa kwa nthawi yayitali.

Njira zofananira

Ndi kukana kwathunthu chakudya, munthu amakhala ndi nkhawa kwambiri, chifukwa chakudya chimaleka kuyenderera. Poterepa, thupi limakakamizidwa kufunafuna ndalama. Glycogen amayamba kuchotsedwa chiwindi. Koma malo ake ndi osakwanira.

Mukamasala kudya matenda ashuga, vuto la hypoglycemic limayamba. Kuzunzidwa kwa shuga kumatsikira pang'ono. Ichi ndichifukwa chake ndikofunikira kuyang'aniridwa ndi madokotala. Matupi a Ketone amawonekera pamkodzo ndi magazi ambiri. Minofu imagwiritsa ntchito zinthuzi kupatsa mphamvu minofu. Koma ndi kuchuluka kwawo kwa magazi, ketoacidosis imayamba. Ndi chifukwa cha njirayi kuti thupi limachotsa mafuta ochulukirapo ndikusintha gawo lina la kagayidwe.

Ngati michere singaperekedwe, ndiye kuti patsiku la 5-6, kuchuluka kwa matupi a ketone kumayamba kuchepa. Mkhalidwe wa wodwalayo umakhala bwino, amakhala fungo lochokera mkamwa, lomwe limawonekera ndi acetone yowonjezereka, imazimiririka.

Malingaliro

Asanaganize zotenga gawo lokhazikika, ayenera kumvetsera kwa omwe akudana ndi njala. Amatha kufotokozera chifukwa chake odwala matenda ashuga sayenera kukhala ndi njala. Ambiri a endocrinologists samalimbikitsa kuti asaike moyo wawo pachiswe, chifukwa ndizosatheka kuneneratu molondola momwe thupi lingachitire ndi kupsinjika kotere.

Pamavuto amitsempha yamagazi, chiwindi kapena zolakwika zina zamkati, kumenyedwa kwanjala kuyenera kusiyidwa.

Otsutsa akumenya njala akuti sizikudziwika kuti thupi lomwe lili ndi vuto la metabolic lidzatani mukakana chakudya. Amanena kuti kutsindika kuyenera kuyikidwa pakukhazikika kwa chakudya ndikuwerengera magawo a mkate omwe amalowa mthupi.

Kodi chithandizo chake ndi chothandiza motani?

Popeza odwala nthawi zambiri amafunsa madotolo ngati zingatheke kusala matenda a shuga a 2, ndikofunikira kukambirana zambiri, chifukwa kusala ndi shuga yachiwiri kumakhala kothandiza kangapo pachaka kuwongolera kuchuluka kwa shuga m'magazi a munthu. Koma ndikofunikira kunena nthawi yomweyo kuti kugwiritsa ntchito njira zamankhwala popanda kufunsa dokotala kumakhala koopsa ku thanzi.

Sikuti madokotala onse amawona kuti chakudya ndi njira yabwino yothanirira ndi thanzi, koma palinso madokotala omwe akutsimikiza kuti kukana chakudya kwakanthawi kumathandizira kuti shuga akhalebe yabwino.

Kukumana ndi njala sikuti kumathandizira kukula kwa shuga mthupi, komanso kumathandizira kuchepetsa kuchepa kwa thupi, ndipo izi ndizofunikira ngati wodwala amene ali ndi vuto la kunenepa kwambiri.

Malamulo oyambira kupewa kudya

Matenda a shuga ndi matenda oopsa, chifukwa cha ichi kusala kudya ndi matenda ashuga 1 ndikuletsedwa kofunikira, ndikofunikanso kutsatira malamulo oyambirira okana chakudya. Choyamba, muyenera kufunsa dokotala, popeza ndi dokotala yekha amene amatha kuwerengetsa masiku oyenera kudya, ndipo wodwala amayenera kupimitsa mayeso ena. Ponseponse, osachulukitsa njala kwa masabata opitilira awiri, chifukwa kukana chakudya kumavulaza thupi, osathandiza.

Chithandizo cha matenda ashuga ndi njirayi adagwiritsidwa ntchito zaka makumi angapo zapitazo, zachidziwikire, matendawa sanachoke kwamuyaya, koma mitengo ya shuga idakwera bwino. Malinga ndi madotolo, ndi mtundu wachiwiri wa matenda ashuga, ndikwabwino kukana chakudya kwa masiku anayi, izi zidzakhala zokwanira kutsitsa shuga.

Ngati m'mbuyomu wodwalayo sanadyepo mankhwala ochiritsira, ndiye kuti ayenera kukonzekera thupi lake mosamala kwambiri, ndikugwiranso ntchito yolimbana ndi anthu odwala. Muyenera kuyang'aniranso shuga wanu wamagazi ndi kumwa osachepera malita awiri ndi theka a madzi oyeretsedwa. Masiku atatu musanadye chakudya, ndikofunikira kukonza thupi kuti lizitsatira chithandizo, chifukwa iyi ndi njira yofunika kwambiri.

Asanayambe njala, wodwalayo amapanga enema oyeretsa payekha, izi zimathandiza kuyeretsa matumbo a zonse zowonjezera, enemas izi ziyenera kubwerezedwa kamodzi masiku atatu. Ziyenera kukonzekera kuti fungo la acetone lipezeke mkodzo wa wodwalayo, ndipo fungo liyambika kuchokera mkamwa mwa wodwalayo, popeza chinthucho chimakulirakulira. Koma vuto la glycemic likadutsa, kuchuluka kwa acetone kudzatsika modabwitsa, kenako fungo lidzatha. Fungo limatha kudziwonetsa pakatha milungu iwiri yoyambirira yanjala, pomwe shuga mumagona nthawi zonse mpaka wodwala atakana kudya.

Mankhwala akakhala ndi njala atamalizidwa bwino, mutha kuyamba kuchoka pang'onopang'ono kuchokera pachakudya ichi, chifukwa m'masiku atatu oyambawa munthu saloledwa kudya zakudya zilizonse zolemera, ndiye kuti, adzasinthanso zakudya zomwe wodwalayo adatsatira asanayambe kudya. Zakudya zopatsa mphamvu zimayenera kuwonjezeka pang'onopang'ono kuti zisayambitse kulumpha lakuthwa m'magazi m'magazi, panthawi ino ndikofunikira kwambiri kuwunika momwe amawerengera shuga.

Kwa tsiku, ndibwino kuti musamadye mopitilira kawiri, ndipo zakudya zake ziyenera kukhala ndi timadziti tina tomwe timaphatikizidwa ndi madzi, simungathe kudya mapuloteni komanso mchere wamchere. Mankhwalawa akamamalizidwa kwathunthu, ndikofunikira kuphatikiza masamba ambiri azakudya mu zakudya zanu, walnuts ndi mitundu yamasamba amaloledwa.

Ndemanga Zachangu Zosautsa

Alexey, wazaka 33, Kirov

Kwa zaka zingapo tsopano, ndakhala ndikulimbana ndi matenda a shuga omwe amandivuta, kuphatikiza pakuchepetsa kudya ndi kumwa mapiritsi pafupipafupi, ndinayamba kuwona kuwonjezeka kwa thupi pazaka zisanu zapitazi. Zinali chifukwa cha kunenepa kwambiri komwe ndidaganiza zoyamba kudya izi, pomwe ndimamwa madzi okha omwe amaloledwa. Pofika tsiku lachisanu la kukana chakudya, ndidayamba kuzindikira fungo loopsa la mkamwa kuchokera pakamwa panga, dotolo yemwe adakhalapo adanenanso kuti ziyenera kukhala choncho, ndidali ndi njala sabata imodzi, popeza kale zinali zovuta kukhala wopanda chakudya. Munthawi yanjala, shuga pafupifupi sanatulutse, ndimangopindika pafupipafupi ndimutu, ndinakwiya kwambiri, koma ndinataya ma kilogalamu asanu.

Alexandra, wazaka 46, Volgodonsk

Mwinanso ndinadya zakudya zolakwika, koma zinabwera kwa ine molimbika kwambiri, kumverera kwa njala sikunasiye mpaka kumapeto kwenikweni, ndipo ndinakana chakudya kwa masiku khumi. Masiku anayi omaliza akhala ovuta kwambiri, chifukwa kufooka kunali kosalephera, chifukwa cha ichi sindingathe kupita kuntchito. Sindidzachitanso zondiyesa ndekha, ngakhale shuga anali abwinobwino komanso kulemera kwanga kunachepa pang'ono, chimodzimodzi ndingakonde kugwiritsa ntchito mankhwala otsimikiziridwa, m'malo mongodzivulaza ndekha pakusala kudya.

Kristina, wazaka 26, Stavropol

Dokotala adandilimbikitsanso kadyedwe, popeza ndili ndi matenda ashuga kuyambira ndili mwana, kulemera kwanga kumakulirabe, ndipo ndimafunitsitsadi kusiya mapaundi owonjezera. Ndidayamba kulowamo malingana ndi malamulo onse, poyamba ndimatsatira kudya mosamalitsa, kenako ndimatsuka njira zam'matumbo, ndipo zitatha izi ndidakhala ndi njala yonse.Nthawi zonse ndimayenera kunyamula botolo lamadzi ndi ine, chifukwa ndimayenera kumwa mphindi khumi ndi zisanu zilizonse, ndimayesanso kuchita masewera olimbitsa thupi pang'ono komanso kupuma kwambiri. Kwa masiku khumi akumva njala, ndidachotsa pafupifupi mapaundi asanu ndi atatu, ndipo thanzi langa lidakhala labwino. Ndikukulangizani kuti muyesere kudya, koma pokhapokha ngati muli ndi dokotala!

Natalia, wazaka 39, Adler

Ndinadwala matenda ashuga m'mbuyomu zaka zanga kusukulu, ndiye kuti kunalibe njira zamankhwala zoyambira zomwe zilipo masiku ano, pachifukwa ichi adotolo nthawi zambiri ankalimbikitsa kuti ndikhale ndi masiku a njala. Nthawi zambiri ndimamwa madzi ndikupumula osaposa masiku anayi, thanzi langa limakhala labwino, shuga amabwerera mwakale, ndipo kulemera kwake kumakhala kosavuta. Lero sindigwiritsanso ntchito njirayi, koma ndikulimbikitsa kuyesera ndi ena.

Ubwino wosala kudya

Kusala kapena kuchepetsa kuchuluka kwa zakudya zomwe zimagwiritsidwa ntchito patsiku kumachepetsa chiwonetsero cha matenda. Chochita chikalowa m'thupi, insulin imayamba kupangidwa. Ngati izi sizingachitike, ndiye kuti malo obisika amayamba kugwira ntchito, ndipo njira yofufuzira mafuta amkati imachitika. Ndikofunikira kumwa madzi okwanira kuti muchotse zochuluka zonse mthupi. Zotsatira zake, thupi limatsukidwa, poizoni ndi zinyalala zimatulutsidwa, kagayidwe kamasintha, ndipo kulemera kwambiri kumatha. Glycogen amachepetsa m'chiwindi, mafuta acids amadzipereka mu chakudya. Njirayi imayendera limodzi ndi wodwala yemwe ali ndi matenda a shuga a 2 omwe ali ndi fungo losasangalatsa la acetone. Izi ndichifukwa cha ma ketoni omwe amapanga thupi.

Kusala kudya

Kuti muthane ndi chithandizo chamankhwala osokoneza bongo a 2 shuga, muyenera kukonzekera bwino, ndikofunikanso kukumbukira nthawi yomwe tatsala ndi njala. Wodwala wodwala matenda ashuga a 2 akaganiza zoyesa njira yofulumira, ndiye kuti chithandizo chikuyenera kuyambitsidwa kuchipatala moyang'aniridwa ndi dokotala yemwe amadziwa zonse zokhudza thupi la wodwalayo.

Musanafike kudya masiku 5, muyenera kudutsa njira zovuta monga:

zakudya zokha zamasamba ndi mafuta a maolivi,
kuyeretsa kwa thupi ndi enema kumafunika,
kumwa madzi osachepera malita awiri patsiku,
chinasinthira chakudyacho.

Panthawi yanjala ndi matenda ashuga, simungathe kudya, mumangomwa. Kuchepetsa thupi.

Mphindi yapadera iyenera kuperekedwa ku njira yochoka pakumenyedwa kwa njala ndikusintha kudya chakudya chopatsa thanzi.

Kugwirizana ndi kutuluka pang'onopang'ono kuchokera ku chakudya kumafunika:

kudya zakudya zazing'ono,
onjezerani chakudya pang'ono,
zogulitsa ziyenera kukhala zamasamba ndi mkaka,
osasankha mchere mzakudya,
zakudya zomwe zimakhala ndi mapuloteni siziyenera kudyedwa,
nthawi yotuluka kuchokera ku njala iyenera kukhala yofanana ndi nthawi yayitali.

Simungadye zakudya zonse mzere. Ndi bwino ngati ali ndi timadziti tachilengedwe tophatikizidwa ndi madzi, masamba ophika kapena chimanga. Muyeneranso kudya saladi, sopo, mtedza. Kuchuluka kwa chakudya chomwe muyenera kudya kumayenera kuchepetsedwa, osafunafuna chakudya. Zotsatira zake, ndizotheka panthawi yamatenda a 2 matenda ashuga komanso kufa ndi njala.

Kusala shuga

Kuti thanzi la wodwalayo lisakule, kusala kudya kumayenera kuyang'aniridwa ndi achipatala. Potere, wodwalayo ayenera kutsatira malamulo onsewa. Zotsatira zabwino, kukana chakudya kuyenera kukhala kwa nthawi yayitali. Choyambirira chomwe muyenera kuyesa sikudya kwa masiku 2-4. Pambuyo masiku atatu akusala kudya, madzi amtha, mchere, glycogen. Kulemera kwa thupi kumachepetsedwa. Mwanjira iyi, ma kilogalamu otayika akhoza kubwerera mwachangu. Kusala kwa masiku khumi kumapereka zotsatira zabwino.
Nthawi zabwino za kusala kudya kwa masiku 10:

pali kusintha kwa kapamba,
Sinthani kagayidwe kachakudya ka thupi,

Ndi shuga yofatsa, kusintha kotereku sikuloleza matendawo kukula.

Kusala kudya kwakanthawi kumapereka chidwi kwa wodwala matenda ashuga ku hypoglycemia. Komanso, kuthekera kwa zovuta zomwe zimabweretsa ngozi kwa wodwalayo kumachepetsedwa.

Mukasala kudya, muyenera kumwa madzi ambiri, mpaka malita atatu patsiku. Mukafuna kukana chakudya, glycogen imatsika mwa odwala, malo osungirako mkati amakulimbikitsidwa, mafuta ndi chakudya chamagulu omwe amasungidwa osungidwa amakonzedwa. Kenako ndikusintha, thupi limasinthira ku zakudya zamkati. Mumkodzo ndi magazi, mulingo wa matupi a ketone ndiwokwera kwambiri. Matenda a thupi akuchulukirachulukira, ma acetone amamveka malovu ndi mkodzo. Pakatha masiku 5 kukana chakudya, fungo la acetone limazimiririka, kuchuluka kwa matupi a ketone kumachepa, shuga amabwerera mwakale, kagayidwe kamakhazikitsidwa, ndipo zizindikiro za matendawa zimatha.

Chifukwa chake, kusala kudya ndi matenda ashuga ndizogwirizana kwathunthu. Ndipo chithandizo cha wodwala mwanjira iyi sichongopewa matenda, koma njira yabwino yopulumutsira matenda a shuga, momwe muyenera kutsatira zonse zofunika.

Chithandizo cha matenda ashuga osala kudya

Pali mkangano wopitilira pakati pa madokotala wokhudza ngati matenda ashuga angachiritsidwe pokana kudya kwathunthu. Malingaliro awa ali nawo onse otsutsa ndi omutsatira. Koma zimatsimikiziridwa mwasayansi kuti kuchuluka kwa zakudya zomwe zimadyedwa kuchepetsedwa kapena ngati kusiyiratu, kuchuluka kwa shuga m'thupi la munthu kumatsika. Kuchita njira yothandizirayi kumachepetsa kwambiri kuwopsa kwa matendawa kapena kuchiritsa kwathunthu. Koma mawu awa ndi oyenera kwambiri pochiza matenda a shuga II a mellitus, chifukwa ndi mtundu I shuga mzere pakati pa zabwino ndi ngozi yakufa ndi woonda kwambiri.

Pofuna kuti zisawononge thanzi lawo, kusala kwachithandizo kuyenera kuchitika moyang'aniridwa ndi adokotala, kutsatira malamulo ena osala kudya.

Malingaliro a madotolo okhudza kutalika kwa kusala kudya ndiwosangalatsa. Kuti mukwaniritse zochizira mu mtundu II matenda a shuga, kusala kudya kumayenera kukhala kwa nthawi yayitali komanso nthawi yayitali, koma choyamba muyenera kuyesetsa kusala kudya kwakanthawi (maola 24-72), komwe kumathandizanso, osavulaza thanzi. Chofunikira, pakutsata kusala kwachithandizo, ndikumwa okwanira madzi oyera, mpaka malita atatu patsiku.

Pakusala kwachithandizo ndi matenda a shuga, kuchuluka kwa glycogen komwe kumakhala m'chiwindi kumachepa, thupi limayamba kulumikizana ndi zinthu zamkati, limayendetsa zosungirako zama carbohydrate ndi mafuta acids. Zotsatira za njirazi, vuto la acetic limachitika mthupi, limodzi ndi kuchuluka kwa matupi a ketone mumkodzo ndi magazi a wodwalayo. Vutoli limaphatikizidwa ndi kuwonongeka m'moyo wonse, kukhalapo kwa "fungo la" acetone "kuchokera ku malovu ndi mkodzo. Pa 4-5th tsiku litayamba kusala, kupuma movutikira kutha, kuchuluka kwa matupi a ketone kumachepa, kuchuluka kwa shuga m'magazi kumasintha, njira zonse za metabolic mthupi zimabwereranso mwakale, zizindikiro za matenda ashuga zimatha.

Malamulo osungira

Kuti nthawi yosala kudya idutse kwambiri komanso popanda chiwawa chambiri mthupi, ndikofunikira kukonzekeretsa bwino thupi kuti liyambe kutsatira njirayo. Ngati munthu wodwala matenda amtundu wa II asankha kuyesa kuyesa kwachangu, ndiye kuti ndibwino kuchititsa njirayi kwa nthawi yoyamba kuchipatala kapena kuyang'aniridwa ndi dokotala, poganizira thanzi la wodwalayo, mawonekedwe ake, komanso kupezeka kwa zovuta.

Kuti mupeze luso lokwanira kuchokera ku njala ndikuwongolera njira zonse za metabolic mthupi, muyenera kukonzekera bwino. Masiku 3-5 asanayambe njirayi, ndikofunikira kuchita njira yokonzekera:

sinthani zakudya zamasamba
yeretsani matumbo a poizoni ndi enema wa kuyeretsa,
kumwa madzi okwanira m'magawo awiri,
pang'onopang'ono kuzolowera kudya.

Mukasala kudya, zakudya zilizonse zomwe mumadya mulibe, mutha kumwa madzi okha. Chofunikanso chimodzimodzi ndi njira yolondola yothetsera njala, komanso kusinthika kwa chakudya choyenera komanso chopatsa thanzi. Kuti muchite izi, simuyenera kusenda pazakudya zonse zakudya zam'mimba, ndipo kuyamba kudya kuyenera kuchokera pazakumwa zopatsa thanzi monga msuzi wa masamba, msuzi wachilengedwe wosungunuka ndi madzi, mapira apamwamba ndi nyama yophika. Komanso, akatswiri azakudya komanso opatsa thanzi amalimbikitsa kuti azidya zakudya zazing'ono mosapezekanso katatu patsiku kusiya chakudya. Zochita zolimbitsa thupi, pakudya, zimachepa kwambiri, ngakhale pambuyo pake, kuunika kwambiri mthupi ndi nyonga zawo pazokha kudzatsogolera kukula kwa zolimbitsa thupi.

Matenda a shuga a Type 1 amapangitsa munthu kudalira insulini yamoyo wonse, koma ndi matenda ashuga amtundu 2, makamaka ngati matendawa ali pachiwonetsero choyambirira, mutha kuyesa kulimbana ndi matenda osati mankhwala okha.

Akatswiri adapeza kuti matenda a shuga a 2 siotsutsana kwathunthu ndi kugwiritsa ntchito njira yothandizira ngati kusala kudya.

Njirayi imagwira ntchito moyang'aniridwa ndi dokotala, atayang'aniridwa ndikusakanikirana ndi mtima wa pathologies wodwala.

Njirayi ndiyofunika makamaka kwa iwo omwe ali ndi vuto la kunenepa kwambiri. Chifukwa chosala kudya, katundu pa chiwindi ndi kapamba amachepetsa, njira za metabolic zimayendetsedwa ndikuphatikizidwa kwa njira zosungirako, thupi limatsukidwa ndi zinthu zoopsa.

Malamulo akusala

Popanda kutsatira malamulo ena, kusala ndi shuga kungakhale kovulaza thanzi, choncho musanayambe chithandizo ndi njala, muyenera kufunafuna chithandizo kuchokera kwa dokotala ndikutsatira malangizowo:

Musayambe kusala kudya kwambiri shuga.
Kutalika koyamba kwa kusala kudya kuyenera kuchokera maola 24 mpaka 72 kuti thupi lisamapanikizike. Koma achire zotsatira zake zimadziwika kuyambira tsiku la 4 la njirayi.
Masiku angapo lisanayambe kusala, chakudyacho chimayenera kukhala chamasamba kokha komanso kuwonjezera mafuta.
Kumayambiriro kwa izi pangani enema yotsuka.
Pamafunika nthawi zonse kuwongolera kuchuluka kwa shuga m'magazi kuti asavulaze thupi.
Tsiku lililonse muyenera kumwa mpaka malita atatu amadzi patsiku.
Ndibwino ngati njira yosala kudya ikuchitika m'chipatala chokhazikitsidwa, moyang'aniridwa ndi akatswiri.
Kutalika koyenera kwa kusala sikukupitilira masiku khumi, koma nthawi imasankhidwa payekhapayekha.

Ndi kuchepa kwa shuga, zomwe zimapezeka m'matumbo a mkodzo ndi magazi zidzachuluka, kununkhira kwa acetone kumveka pakamwa, patsiku lachisanu kuyambira nthawi yachangu, izi zimadutsa (osati kwathunthu), kuchuluka kwa glucose kumatha kukhala kwazonse, matupi a ketone amawonongeka.

Kutali ndi njala

Mukamaliza kudya kudya, ndikofunikira kuyamba kudya moyenera. Yambani kudya ndikugwiritsa ntchito zakumwa zopatsa thanzi: zakumwa zamasamba zomwe zimaphatikizidwa ndi madzi, msuzi wamasamba wosakanizidwa ndi Whey. Muzipewa kugwiritsa ntchito mchere komanso mapuloteni.

Patatha masiku atatu kutha kusala, msuzi wamafuta ochepa, masamba a masamba, ndi zipatso za mucous zimayambitsidwa pang'ono ndi pang'ono menyu. Pambuyo pake, mumatha kudya nyama yokonda, walnuts. Kudya kumayenera kukhala katatu pa tsiku, magawo - ochepa.

Contraindication for achire kusala kudya

Kuletsedwa kotheratu kwa kusala kudya kumadalira matenda a shuga a mellitus (mtundu 1). Sikulimbikitsidwa kupha anthu omwe ali ndi vuto lolemera, omwe amakhala ochepa minyewa ya adipose.

Njala imafunikira kukonzekera kwamalingaliro akulu, si aliyense amene amatha kupirira kudya nthawi yayitali komanso kupezeka kwa hypoglycemia, chifukwa chake, musanayambe njirayi, muyenera kuyeza mphamvu zanu. Njala vuto la atherosclerosis, kwambiri kuwonongeka, matenda a mtima nawonso akuphatikizidwa.

Madokotala amasiyana za momwe kusala kudya kumathandizira odwala matenda ashuga, koma akatswiri ambiri samakana phindu la njira ya kunenepa kwambiri komanso matenda osokoneza bongo omwe amadalira kwambiri insulin. Chifukwa chake, musanaganize zoyamba kusala kudya, ndikofunikira kuti mupimidwe koyenera kuti musankhe matenda owopsa.

Limagwirira ntchito za matenda ashuga

Wodwala aliyense ayenera kukumbukira kuti kukwaniritsa izi mthupi lake kumakhala ndi zotsatira zoyipa, ndipo izi zimagwira ntchito makamaka kwa iwo omwe akufuna kuyesa kudya ndi matenda ashuga a mtundu woyamba.

Ndiye chifukwa chake sungakane kudya popanda kuyang'aniridwa ndi dokotala. Njira zabwino zitha kukhala ngati munthu ayamba kufa ndi njala kuchipatala, komwe angapereke chisamaliro chadzidzidzi ngati kuli kofunikira.

Pokha, kupewa zakudya kumakhala ndi njira yofananira ya maphunzirowa, komanso "matenda okoma".

Njira yosintha mthupi ndi motere:

Masiku atatu oyambira popanda chakudya amabweretsa kufooka ndi kufooka.
Popeza mphamvu sizichokera kunja, thupi liyenera kugwiritsa ntchito mafuta osungirako mafuta, mapuloteni komanso zakudya zamafuta.
Chiwindi chimayamba kugwira ntchito mwachangu, kuwononga glycogen wamkati.
Chifukwa cha kulephera kupereka machitidwe onse ndi ziwalo zonse ndi shuga, njira yopangira matupi a ketone imayambitsidwa. Ketonemia ndi ketonuria ikuyenda bwino.
Fungo lonunkhira la acetone kuchokera mkamwa lingawonekere.
Patsiku la 5-7, thupi limapangidwanso kuti lizigwira ntchito m'njira yatsopano, kuchuluka kwa matupi a ketone akubwerera mwachizolowezi, kagayidwe kake ndikukhazikika.
Pali kuchepa kwa kuchuluka kwa shuga m'magazi, omwe amatha kukhazikika potsatira malamulo a chithandizo chamtunduwu.

Chofunikira kwambiri kwa wodwala ndikuwunika pafupipafupi zaumoyo komanso kuyang'aniridwa ndi dokotala. Kwa anthu ambiri, kusala kudya koyamba ndi matenda a shuga a 2 kumatha kuwapangitsa kuti asaone kapena kufa. Nthawi zambiri, izi zimachitika chifukwa cha njira zolakwika.

Kusala kwachiwiri kwa matenda ashuga: maubwino ndi zopweteketsa

Zotsatira zoyipa zazikulu zomwe zimadza ngati njira yolakwika ya chithandizo chotere ikhoza kukhala:

Hypoglycemia yayikulu ndi kukula kwa chikomokere,
Kumva wopanda pake
Matenda am'mimba
Kupsinjika

Ndikofunika kudziwa kuti kukana chakudya kumatheka pokhapokha matendawa atadwala. Kuopsa kwa "nthenda yokoma" ndi matendawo omwe amadalira insulin ndi zotsutsana kwathunthu ndi mankhwalawa.

Zotsatira zabwino za njala mu mtundu 2 wa matenda ashuga ndi:

Kutsika kwa kuchuluka kwa shuga m'magazi,
Matenda a chakudya ndi mafuta,
Kuchepetsa thupi
Kusintha kwa thupi kuti muchepetse kuchuluka kwa chakudya chomwe mumadya.

Malamulo akusala kudya mwanzeru

Chofunika kwambiri ndi njira iyi ya chithandizo ndikutsatira njira zonse ndi njira zamakhalidwe.

Kuti mupeze phindu lokwanira kuchokera mu kudziletsa, muyenera kukonzekera bwino.

Kuti muchite izi, muyenera:

Masiku angapo musanachiritsidwe, pewani mbale zam nyama.
Pitani mukatenge zipatso ndi ndiwo zamasamba.
Tsukani matumbo ndi enema.
Kuchulukitsa kumwa kwa madzi mpaka malita atatu patsiku.

Kutalika kwa kusala lokha kumayenera kukhala masiku 5-10, kutengera thanzi la wodwalayo. Panthawi yoletsa, wodwala amaloledwa kugwiritsa ntchito madzi wamba. Ndikwabwino ngati chokumana nacho choyamba chachitika mu chipatala moyang'aniridwa ndi madokotala.

Chofunikanso kwambiri ndi njira yothana ndi njala. Pambuyo masiku 10, mutha kugwirira mwachangu mitundu yonse ya zinthu zabwino. Ndikofunikira kukhazikitsa chakudya pang'onopang'ono.

Ndikofunika kuyamba ndi decoctions a masamba ndi zipatso purees, ndiye owonjezera msuzi, mbewu monga chimanga.Pakatha masiku 2-3 mutayambiranso chakudya chokwanira mutha kubwerera ku zakudya zachikhalidwe.

Ndizoyenera kunena kuti kukana chakudya kwa masiku 1-3 sikubweretsa phindu. Chifukwa chake, simuyenera kubwezanso thupi mosafunikira. Akamaliza maphunziro amtunduwu, munthu amawona kupepuka m'thupi, kusintha kwa thanzi. Manambala omwe ali pamamita amachepetsa kwambiri.

Chithandizo cha matenda a shuga a mtundu wachiwiri mwa kusala kudya ndi imodzi mwanjira zoopsa zolimbikitsira thupi. Odwala omwe ali ndi vuto lalikulu la matenda kapena matenda opatsirana sayenera kutembenukiranso. Komabe, palibe amene angaletse munthu kuti ayesetse zaumoyo wawo.

Chachikulu ndikuyang'ana ndi dokotala musanayambe kudziletsa. Ndikofunikira kuyesedwa kwathunthu ndikuyenerera kwa kukana chakudya. Kwa odwala ambiri, mchitidwewu ungayambitse kupangidwa kwa matenda atsopano.

Kodi ndizotheka kufa ndi njala ndi mtundu wachiwiri wa matenda ashuga?

Ambiri a endocrinologists amagogomezera kulephera kufa ndi vuto la matenda ashuga. Izi zimachitika chifukwa chazovuta zomwe zimachitika chifukwa cha insulin komanso mankhwala ochepetsa shuga. Komabe, shuga komanso kusala kudya sikugwirizana nthawi zonse. Chowonadi ndi chakuti kusala kudya sikuvomerezeka kwathunthu ndi mtundu wodwala wa insulin.

Panthawi imodzimodziyo, ndi zovuta zovuta za matenda osokoneza bongo a mtundu wodziimira payekha, kusala kochiritsira ndizovomerezeka. Kukana kwa chakudya cha sing'anga mawu (oposa masiku atatu) ndikofunikira.

Ngati chakudya chikutha kulowa mthupi, ndiye kuti chimayamba kugwiritsa ntchito mphamvu zamkati. Choyamba, kusala kudya nthawi ya shuga mellitus 2 wamtundu wodziimira payekha kumalimbikitsa kukonzanso kwa mafuta amkati. Ngati wodwala awona boma lakumwa (pafupifupi malita atatu amadzi patsiku), izi zimathandizira kuchotsa zotayidwa metabolic. Maselo ndi minyewa zimatsukidwa ndi poizoni, ndipo munthawi yomweyo, magwiridwe antchito a metabolic onse, kuphatikizapo chakudya, amachitika. Pankhaniyi, funso loti shuga ingathe kuchiritsidwa ndikusala kudya ndilothandiza.

Mtundu wachiwiri wa matenda ashuga

Zotsatira zake zikusonyeza kuti kukana chakudya masiku anayi chifukwa cha mankhwala kumapangitsa kuti magazi a shuga aziyenda bwino. Akatswiri ena amati wodwala amatha kusala kudya kwamasiku 10. Komabe, nthawi zonse, njirayi iyenera kutsagana ndi kuyang'aniridwa kwa achipatala. Kuwunika kwa glucose nthawi zonse ndikudya madzi okwanira ndikofunikira.

Chifukwa chake, kodi ndizotheka kufa ndi njala ndi omwe akuwonetsa matenda ashuga - ndi katswiri wa matenda ashuga okha amene amasankha izi.

Njira zochizira zimachitika malinga ndi chiyerekezo chotere:

Masiku angapo asanadye matenda a shuga mellitus a mtundu wosadalira insulin, ndikofunikira kuti musinthe kokha ngati chakudya chomera. Kuphatikiza apo, muyenera kutenga magalamu 40 a maolivi,
Musanayambe mankhwala, muyenera kupanga enema,
M'masiku oyamba, fungo la acetone limamveka kuchokera kumkamwa wamkamwa. Zomwezi zidzachitikiranso mkodzo. Izi zikusonyeza kuti vuto la hypoglycemic layamba. M'masiku ochepa, zinthu ngati izi zimadutsa. Nthawi yomweyo, kuchuluka kwa shuga kumasintha,
Nthawi yonse yosala kudya, muyenera kumwa madzi okwanira: izi zimathandiza thupi kuchotsa poizoni.

Chifukwa chake, ndizotheka kufa ndi njala ndi matenda a shuga 2 - kokha kwa wodwala. Munthawi yakukana kwakanthawi kochepa kwa chakudya, kugwira ntchito kwa kapamba ndi chiwindi kumatulutsa, popeza katundu wazolowa ziwalo amachepa. Komanso, zizindikiro za matenda ashuga mwa odwala ambiri zimazimiririka. Chifukwa chake kuli kofunika kuyesa zabwino ndi zoopsa ndikuyenda mosamalitsa pokhapokha kuyang'aniridwa ndi dokotala.

Pali malingaliro oyenera kugwiritsidwa ntchito komanso kufa ndi njala kwakutali - mpaka milungu iwiri. Si aliyense amene amatsatira njira imeneyi. Kuti muchite izi, pimani mayeso okwanira. Kusintha kwachilengedwe m'mitsempha yamagazi kapena zovuta za mtundu wina ndi njira zotsutsana ndi mankhwalawa.

Pofuna kuthana ndi vuto lokhala ndi njala, masewera olimbitsa thupi osavuta ayenera kuchitidwa.

Kodi mungatuluke bwanji kusala kudya?

Njira yakuchotsera izi ndiyofunika kwambiri. Kutuluka kokhazikika kapena kuphwanya malamulo onse a dokotala kumatha kuwononga thanzi ndikupangitsa kuti matenda ashuwere kwambiri.

M'masiku oyambilira, tikulimbikitsidwa kudya zakudya zamasamba ndi michere yazakudya zokha. Zakudya zamafuta ndizothandiza kwambiri. M'tsogolomu, ndikofunikira kuwonjezera pang'onopang'ono menyu ndikuyambitsa mkaka, makamaka, Whey, m'zakudya.

M'masiku oyambilira, zakudya zamchere ndi zomanga thupi siziyenera kuphatikizidwa. Chakudya chopanda mchere komanso chopanda mapuloteni chikuyenera kutsatiridwa kwa masiku atatu. Kenako, menyu akukulira pang'onopang'ono. Pakadali pano, walnuts ndiwofunika kwambiri: amathandizira kuphatikiza zabwino za chithandizo.

Pakapita nthawi kusala kudya, simuyenera kudya kwambiri. Yesani kusadandaula, koma kudzuka patebulo ndikumva njala yochepa. Ndikokwanira poyamba kudya kawiri pa tsiku.

Kodi matenda ashuga angachiritsidwe posala kudya?

Madokotala amalimbikitsabe kuti anthu azifa ndi matenda, koma osapitilira masiku khumi. Kukana mwachidule chakudya sikumapereka zotere. Komabe, ngakhale kusala kwakanthawi kochepa nthawi zambiri kumawonetsa zotsatira zodabwitsa, makamaka, kukhazikika kwa glycemia pamlingo wovomerezeka wamatenda otere.

Chifukwa chake, yankho ku funso loti kaya ndizotheka kusala kudya kwanthawi yayitali ndi mtundu wa 2 matenda a shuga ndi abwino nthawi zambiri. Nthawi zambiri, ndizotheka kupewa kwathunthu matendawa. Komabe, izi zimachitika pokhapokha pamagawo oyamba a matendawa.

Matenda a shuga ochepetsa magazi

Matenda a shuga ndi matenda oopsa a metabolism. Nthawi yamatendawa, munthu amasokonezeka mu chakudya, lipid ndi metabolism pang'ono.

Mankhwala ovuta a shuga, njira zingapo zochiritsira zimagwiritsidwa ntchito:

mankhwala a insulin
kukonza moyo.

Kuchita ndi njira yothandizira monga kusala kudya. Njira yakuchiritsira siivomerezedwa nthawi zonse ndi odwala matenda ashuga, koma nthawi zina pamavuto ena imathandizadi.

Njala ku matenda ashuga: zabwino ndi mavuto

Pali malingaliro akuti kusowa kwa chakudya kwa nthawi yayitali kumangokhala kwa odwala matenda ashuga. Amakhulupirira kuti kutsika kochepa chifukwa cha kusowa kwa mafuta m'magazi, kumatha kupangitsa kukomoka, kukokana komanso zina zosayenera. Mwakuchita izi, izi sizimachitika konse ndipo sizikhala choncho nthawi zonse, ndipo ngati zimatero, nthawi zambiri zimakhala zozama.

Kukana kudziyimira pawokha ndikosavomerezeka komanso kupsa mtima ndi mawonekedwe osayembekezeka a thupi.

Komabe, ngati mukudwala matenda a shuga motsutsana ndi maziko a kukana insulini ndikusankha kuchita njira yothandizira, muyenera kufunsa katswiri.

Odwala ayenera kudziwa kuti kusowa kwa chakudya kwa shuga kwa nthawi yayitali kumatha kuyambitsa ketonemia - kuwonjezeka kwambiri kwa zinthu. Vutoli limaphatikizidwa ndi kuchepa kwakukulu m'masungidwe mu chiwindi.

Njira yofananira imayamba ndi kuwonongeka kwa matendawa, koma pamenepa, ketonemia imakhala yachilengedwe ndipo imakhala ngati chikhomo cha njira yolondola ya mankhwalawo. Pambuyo kumayambiriro vuto la hypoglycemic(zimachitika masiku 4-5) kuchuluka kwa ma ketone m'madzi am'magazi amatsika, ndipo kuchuluka kwa glucose kumakhazikika komanso kumakhala kwachilendo nthawi yonseyi.

Mfundo zoyambira

Mukamasala kudya, thupi la wodwalayo limachoka ku metabolism ya carbohydrate kupita ku metabolidi ya lipid.

Poterepa, kugawanika kwa mafuta osungirako mphamvu kumachitika. Njirayi imayendetsedwa ndi kuchira kwa maselo: insulini yokhudza kukonzanso glucose panthawiyi sikufunika ndipo chitsulo chimakhala ndi nthawi yokwaniritsanso thupi.

Madokotala ena amakhulupirira kuti kusala kudya ndiye njira yabwino kwambiri yothandizira.

Kugwiritsa ntchito mafuta acids monga gwero lamphamvu m'malo mwa glucose kumathandizira kubwezeretsanso mkhalidwe wa kapamba ndikupatsanso mpumulo. Milandu yakuchira kwathunthu kwamatenda amtundu wa II amafotokozedwa!

Malamulo a shuga

Mukamayeseza kusala kochiritsa ndi mtundu wachiwiri wa shuga, kusamala ndi kulondola kuyenera kuonedwa.

Zabwino, ndibwino kuchitira kuchipatala chokhazikitsidwa motsogozedwa ndi akatswiri, komabe, si onse mabungwe azachipatala omwe amachita njira imeneyi. Ngati mulibe mwayi wanjala mu chipatalachi, chithandizo chikuyenera kuchitika moyang'aniridwa ndi okondedwa, ndibwino kuti mudzakumanenso ndi dokotala tsiku lililonse (osachepera foni).

Kusala kwakanthawi (mpaka masiku atatu) omwe ali ndi matenda ovuta a endocrine sikuti ndi othandiza - amangochotsa m'mimba, koma osatulutsa khola. Achire zotsatira amapezeka kuyambira 4 masiku. Zowonjezera zochizira ndizochititsa thupi.

Njirayi imafunikira nthawi yokonzekera, kuphatikizapo kuyeretsa thupi ndikukonzekera malingaliro

Pa chithandizo, ndikofunikira kuti ma ketone ophatikizana ndi poizoni ena amachotsedwa m'thupi munthawi yake. Kuti muchite izi, muyenera kudya madzi ambiri (pafupifupi malita atatu patsiku). Madzi ayenera kumamwa m'magawo ang'onoang'ono.

Konzekerani kuoneka kwa mpweya woipa wa acetone kuchokera mkamwa, kutsatana ndi kupangika kwa kapangidwe ka ketone m'thupi. Ketonuria idzakhalaponso - mawonekedwe apamwamba a acetone mu mkodzo.

Madokotala akatswiri azakudya zamagulu komanso endocrinologists amachita njira zosiyanasiyana. Ena amalimbikira kutalika (kupitirira masabata awiri), ena amakhulupirira kuti maphunziro a masiku khumi akwana. Kafukufuku akuwonetsa kuti ngakhale kusala kwa masiku 4 kumakhala ndi phindu pamlingo wama glucose ndikuwongolera mkhalidwe wamba wa odwala.

Nthawi yokonzekera imaphatikizapo:

Kuphatikiza zakudya zamagulu masiku atatu zisanayambike: masiku awa muyenera kudya zamasamba zokha kuphatikiza 40-50 g yamafuta azitona tsiku lililonse,
Kupanga enema ya kuyeretsa musanayambe gawoli.

Fungo la acetone kuchokera mkamwa limawonedwa pafupifupi masiku 4-6 pambuyo poyambira maphunziro, ndiye kuti limasowa: kuchuluka kwa ma ketoni kumachepa, ndipo kuchuluka kwa shuga kumabweranso kwazonse ndikukhalabe kotero mpaka kumapeto kwa chithandizo. Kuyambira tsiku la 4, kagayidwe kachakudya kamafanana, katundu pa kapamba ndi chiwindi amachepetsa: magwiridwe amtunduwu amakula. Zizindikiro zonse za matenda ashuga mwa odwala ambiri zimayima kwathunthu.

Ndikofunikira kudziwa malamulo oti munthu azituluka kuchokera ku njala.

M'masiku atatu oyambirira tikulimbikitsidwa kugwiritsa ntchito madzi ophatikiza ndi michere, pang'onopang'ono kuwonjezera zomwe zili ndi calorie.
Zakudya ziwiri patsiku ndizokwanira.
Kugwiritsa ntchito mchere wambiri komanso zinthu zina zomanga thupi sizabwino.

M'tsogolomu, muyenera kutsatira zomwe mungachite kuti mukhale achire.

Njala ya matenda ashuga ndi amodzi mwa mitundu yosiyanasiyana ya mankhwalawa omwe amathandizira matenda. Pa netiweki mutha kupeza ndemanga zambiri zomwe kukana chakudya kunathandizira kuti magazi azikhala mwamphamvu kwambiri komanso kusinthitsa mkhalidwe wa kapamba. Kodi zili choncho? Kodi ndi kusala kudya kwamtundu wanji komwe kumayambitsa matenda a shuga 1 kapena mtundu 2?

Chizolowezi cha shuga m'magazi chimachokera ku 3,9 mpaka 5.5 mmol / l, ngakhale atakhala zaka kapena amuna kapena akazi. Kwa odwala matenda ashuga, muyeso wovomerezeka ndi 7.2 mmol / L.

M'mbuyomu, odwala matenda ashuga adaletsedwa kudya buledi, zipatso, maswiti, ndi zinthu zina zomwe zimapangitsa kudumphadumpha mu shuga. Pakadali pano, malingaliro awa adakonzedwanso - njira zamatenda a glucose amitundu yosiyanasiyana matendawa adatsimikiza.

Mtundu woyamba wamatenda - amadalira insulin - maselo a pancreatic satulutsa insulin kapena anamwalira. Kugwiritsa ntchito zakudya zamafuta kumaloledwa, koma mukamamwa Mlingo wokwanira wa timadzi timeneti.

Mtundu wachiwiri - insulin imapangidwa, nthawi zina mopitirira muyeso. Koma ma cell amthupi satha kuyanjana ndi glucose, kusokonekera kwa metabolic. Sizingadutse m'matumbo, zomwe zimapangitsa kuti pakhale chakudya champhamvu m'magazi. Mu mtundu uwu wa matenda ashuga, mankhwalawa amachokera ku chakudya chochepa chamagulu chamagulu chamagulu komanso shuga.

Ndikusowa kwa odwala matenda ashuga komanso anthu athanzi, thupi limayamba kufunafuna malo osungiramo mafuta. Mafuta amaphulika pama hydrocarbons osavuta.

Kuchepetsa shuga m'magazi ndikotheka kokha ndi nthawi yayitali yanjala. Koma izi zimawonjezera chiopsezo cha hypoglycemia.

Zizindikiro za kuchepa kwa shuga:

nseru
kufooka
thukuta
masomphenya apawiri
nkhalwe
kugona
chisokonezo,
kuyankhula kosayenera.

Ichi ndi chowopsa kwa wodwala matenda ashuga. Zotsatira zake zimakhala zovuta komanso imfa.

Choyamba thandizo pankhaniyi ndi chakudya. Anthu odwala matenda ashuga amalangizidwa kuti azikhala ndi maswiti angapo kapena mapiritsi a shuga.

Zabwino ndi zovuta zosala kudya pothana ndi matenda ashuga

Chithandizo chamankhwala sichizindikira chithandizo cha matenda ashuga mwachangu posala kudya ngati njira yabwino yomwe ingathandize wodwalayo. Kuperewera kwa chakudya kumapanikizika ndi thupi. Kwa odwala matenda ashuga, kupsinjika kwa mumtima kumatsutsana.

Ubwino wosala kudya ndi matenda ashuga:

kulemera kwa thupi kumachepetsedwa
kupuma dongosolo la m'mimba, kapamba,
ndi mtundu 2 wa shuga, kuletsa zakudya mwaukhondo ndi mtundu wa chithandizo,
limakupatsani mwayi wochepetsa kuchuluka kwa m'mimba, zomwe zimathandiza kuchepetsa kuchuluka kwa chakudya mukatha kudya.

Njirayi ili ndi zovuta zingapo. Kufa ndi njala ku matenda ashuga:

ogwira ntchito
chiopsezo chachikulu cha hypoglycemia,
kupsinjika kwa thupi
kuchuluka kwa ma ketoni m'thupi,
mawonekedwe akununkhira kwa acetone ndi kupezeka kwake mkodzo.

Ngati mwayesa kuyesa njira yolamulira magazi m'magazi, kambiranani nkhaniyi ndi endocrinologist wanu. Ndipo bwino - muzichita zochitika kuchipatala moyang'aniridwa ndi dokotala.

Pa 1

Pankhani ya matenda omwe amadalira insulin, maselo a pancreatic satulutsa insulin, timadzi tomwe timalimbikitsa kuyamwa kwa shuga m'magazi. Maselo samalandira zakudya ndipo wodwalayo amamva mwamphamvu njala komanso kuvutitsidwa kosafunikira kwa chilala.

Kuchuluka kwa shuga m'magazi sikudalira zakudya zoletsa kapena kusala kudya. Imakhalapo mpaka wodwalayo atavulaza insulin.

Madokotala salimbikitsa odwala otere kuti afe ndi njala. Kuti muchepetse shuga, muyenera kubayira insulin, ngakhale pakhale kusowa chakudya kwathunthu. Izi zimakwiyitsa kukula kwa hypoglycemia. Ndipo njira yokhayo yothanirana ndi vutoli ndikuwukitsa shuga pofika pakamwa kapena jakisoni.

Kusala a shuga a mtundu wachiwiri ndi njira yakudya. Endocrinologists amalimbikitsa maphunziro kukana chithandizo ngati madzi okwanira amwedwa. Izi zimathandizira kuchepetsa thupi. Kunenepa kwambiri kumayambitsa matenda a metabolic ndipo kumathandizira kuti matendawa atukuke.

Kukonzekera, njira yolondola yokana chakudya, kutuluka mwamphamvu ndikutsatira malamulo azakudya zabwino mukatha kusala kumathandizira kuti kuchepa kwa shuga.

Akatswiri amalimbikitsa odwala omwe ali ndi vuto la matenda a shuga a 2 kuti ayendetse kwa nthawi yayitali - masiku 5-7 - zigawo za kukana chakudya. Mlingo wa shuga pambuyo pamavuto a acidotic umatsitsidwa pokhapokha patsiku la 5-6. Chisankho chabwino kwambiri panthawi yakakana chakudya ndikuyang'aniridwa ndi ogwira ntchito kuchipatala.

Kukonzekera koyenera kusamba kumayambira sabata 1 musanatsuke thupi. Muyenera kusiya zakudya zolemera, zokazinga, nyama. Pang'onopang'ono muchepetse kukula kwake, chotsani maswiti ndi mowa pazakudya.Patsiku la kusala, pangani enema yotsuka.

Pa gawo loyamba, kununkhira kwa acetone kudzawonekera, kusintha kwa magazi ndi kuyesa kwamikodzo. Ndikofunikira kumwa madzi osachepera malita awiri ndi zitsamba zofooka. Zakudya zilizonse ziyenera kusiyidwa. Kuchita masewera olimbitsa thupi sikuletsedwa.

Mu magawo oyambilira - tsiku kapena awiri - kukala kwamkhutu ndikotheka. Odwala omwe ali ndi matenda ashuga amalimbikitsidwa kuyeretsa thupi pamaziko a chipatala.

Kutuluka kuchokera kunjala kumakhala masiku ambiri monga nthawi yakukanira chakudya pakokha. Poyamba, timadziti, timadziti zakudya zopanda chakudya zimayambitsidwa. Zakudya zamapuloteni zimayamba kulowa mgawo patangotha sabata limodzi kuchokera kutha kwa chithandizo.

Nthawi imeneyi, kuyeretsa enemas kuyenera kuchitidwa. Kukana chakudya kumakhudzanso matumbo.

Odwala omwe ali ndi matenda amtundu wa 2 amawonetsedwa magawo awiri a kusala kudya pachaka. Nthawi zambiri - ndizoletsedwa.

Contraindication pa mankhwala

Kudwala matenda ashuga ndiko kulepheretsa chakudya kwakanthawi. Sizoletsedwa kusala kudya kwa magulu otsatirawa a odwala:

ndi mtima pathologies a magawo osiyanasiyana,
ndi matenda amitsempha
ndimavuto amisala,
ana ochepera zaka 18
ndi matenda a kwamikodzo,
azimayi oyembekezera komanso oyembekezera.

Kusala kumathandizira kutsitsa shuga m'magazi. Koma otetezeka, chithandizo ichi chimatha kukhala ndi anthu athanzi.

Matenda a shuga ndi matenda apadera. Ndikosatheka kumuchiritsa, koma khalani olamulira, khalani ndi moyo wabwinobwino, perekani ana kwa wodwala aliyense. Tsatirani zakudya, imwani mankhwala omwe ali ndi mankhwala - insulin, glucophage - amayesedwa mwa apo ndi apo ndi kusangalala ndi moyo.