Kusala kochizira mu shuga mellitus mtundu 2 chithandizo cha matenda ashuga ndi njala
Tikukupatsani kuti mudziwe bwino zomwe zalembedwera pamutuwu: "kufa ndi matenda a matenda a shuga 2, chithandizo cha matenda ashuga ndi njala" ndi ndemanga zochokera kwa akatswiri. Ngati mukufuna kufunsa funso kapena kulemba ndemanga, mutha kuchita izi pansipa, nkhaniyo itatha. Akatswiri athu a endoprinologist adzakuyankhirani.
Matenda a shuga ndi matenda omwe amasintha kwambiri moyo wa munthu. Zimachitika pamene thupi limasowa kwambiri insulin kapena osazindikira. Ngati tikulankhula za mtundu wachiwiri wa nthendayi, ndiye kuti kayendetsedwe ka mahomoni tsiku ndi tsiku sikofunikira, koma kuti akhalebe ndi moyo wathanzi, wodwalayo ayenera kuyesetsa: kutsatira zakudya, kuchita masewera olimbitsa thupi. Kusala matenda a shuga a mtundu wachiwiri kumathandizanso.
Kanema (dinani kusewera). |
Mankhwala othandizira odwala matenda a shuga mellitus 2: chithandizo cha matenda osokoneza bongo omwe ali ndi njala
Madokotala amavomereza kuti chifukwa chachikulu chomwe chikulepheretsa matendawa ndi kunenepa kwambiri komanso zakudya zopanda thanzi. Kusala kumathetsa mavuto awiri nthawi imodzi: kumathandizira kuchepetsa kulemera ndipo, chifukwa chokana maswiti, kumabweretsa kuchuluka kwa shuga m'magazi.
Kanema (dinani kusewera). |
Kulemedwa kwa ziwalo zamkati monga chiwindi ndi kapamba kumachepa mukasiya kudya. Njira ndi ziwalo zimayamba kugwira ntchito bwino, ndipo nthawi zambiri izi zimapangitsa kutsekeka kwathunthu kwa zizindikiro za matenda ashuga, kumalola wodwala kukhala ndi moyo wathunthu ndikukhala wokondwa.
Ngati nthawi yosala kudya imabwera mpaka masabata awiri, ndiye kuti nthawi imeneyi zinthu zimasintha kwambiri kuti zizikhala bwino m'thupi:
- ziwalo zam'mimba zimasiya kukhala ndi katundu wambiri chifukwa chogwirira ntchito nthawi zonse ndi zinthu zovulaza zomwe zikulowa.
- bwino kagayidwe, kuthandiza kulimbana kunenepa,
- ntchito ya pancreatic yabwezeretsedwa,
- thupi limalekerera kuwonetsera kwa hypoglycemia mosavuta,
- mwayi wokhala ndi zovuta za mtundu 2 wa shuga umachepa,
- ziwalo zonse ndi machitidwe awo ayamba kugwira ntchito mu konsati,
- matenda a shuga amasiya kuyenda.
Popeza nthawi yosala kudya ndi yayitali, ndikofunikira kumwa madzi nthawi zonse, koma akatswiri ena amati zotsatira za mankhwalawa zidzakhala bwino ngati mutalowa m'masiku ochepa "owuma" pomwe palibe chilichonse kuchokera kunja, ngakhale madzi, chomwe chimalowa m'thupi.
Kugwiritsa ntchito bwino kwa zamankhwala kumakambidwabe, njira yokhayo yomwe madokotala amapereka odwala matenda ashuga ndi mapiritsi omwe amachotsa shuga m'magazi. Ngati wodwala samadwala matenda a mtima komanso matenda ena okhala pachimake, kusala kudya kumathandiza kuthana ndi matendawa m'njira "yathanzi" kwambiri.
Njala imagwira ntchito chifukwa chakuti thupi limayamba kugwiritsa ntchito zake zomwe zimasungidwa mafuta ndi zakudya zina zikaleka kulowa kuchokera kunja. Insulin - timadzi tomwe timasungidwa ndi chakudya - timapangidwa ndi thupi tikamasala kudya chifukwa cha "depots" zamkati. Nthawi imodzimodziyo, pamakhala kutulutsidwa kwa poizoni ndi zinthu zina zoyipa zomwe zimadziunjikira nthawi yoperewera. Kuti ntchito yoyeretsa ipite mwachangu, muyenera kutsagana ndi kukana chakudya pomwa madzi osachepera 2-3 malita tsiku.
Therapy imathandizira kubwezeretsa njira za metabolic ku liwiro lawo labwinobwino, lofunikira kwa odwala matenda ashuga. Matenda awo amachepa chifukwa cha zakudya zoperewera komanso matenda. Kugwiritsa ntchito bwino kwa metabolism kumakupatsani mwayi wotaya mapaundi owonjezera osasintha zakudya moyenera. Mlingo wa glycogen womwe umapezeka m'matumbo a chiwindi umachepa, ndipo pakalandira mafuta acids, omaliza amasinthidwa kukhala chakudya.
Anthu ena omwe ali ndi njala amasiya kutsatira njirayi, atayamba kuona zinthu zatsopano komanso zachilendo. Anthu ambiri ali ndi fungo la acetone lochokera mkamwa mwawo. Koma chifukwa cha izi zili m'matumbo a ketone omwe amapanga nthawi yake. Izi zikusonyeza kuti vuto la hypoglycemic likupanga lomwe likuika pachiwopsezo pamoyo wa odwala matenda ashuga, makamaka akafika pa mtundu woyamba wa matenda ashuga. Mtundu wachiwiri wa anthu odwala matenda ashuga amaloleza kuletsa zakudya mosavuta.
Kuti kusala kudya kupindule, munthu ayenera kutsatira malamulo okhwima. Monga chithandizo china chilichonse, pamafunika wodwalayo kuti azikhala wosasinthika, woganizira mkhalidwe wake, komanso wodekha.
Pa gawo loyamba, muyenera kupita kwa dokotala ndikukayezetsa. Munthu wodwala matenda ashuga amawonetsa kusala kwanthawi yayitali, zomwe zimatheka kokha ndi thanzi labwino. Kutalika kwakukulu kwa kusala kuli milungu iwiri. Sikuti aliyense amatha kukwanitsa izi - poyamba muyenera kuyambira ndi masiku ochepa kuti thupi lizolowera dziko latsopano. Ngakhale masiku 3-4 osakhala ndi chakudya azikhala athanzi komanso zimapangitsa kuti shuga asakhale ndi plasma.
Ngati wodwalayo ali wonenepa kwambiri komanso pali matenda ena ambiri, ndiye kuti ndi bwino kuyamba kutsatira njira imeneyi moyang'aniridwa ndi achipatala. Zoyenera, katswiri, endocrinologist komanso wazakudya ayenera nthawi yomweyo kutsogolera wodwala wotere. Kenako kuwongolera kuzisonyezo zonse ndikotheka. Wodwala iyemwini amatha kuyeza kuchuluka kwa shuga kunyumba.
Kukonzekera kofunikira komwe kumakhazikitsa thupi panjala. Kukonzekera kumaphatikizapo:
- kudya zakudya zochokera azitsamba m'masiku atatu omaliza musanasale kudya,
- kuwonjezera magalamu 30 amafuta a mbewu ya azitona ku chakudya,
- kuzolowera kugwiritsa ntchito malita atatu amadzi oyera
- enema patsiku lomaliza kusanachitike njala kuti achotse zinyalala za chakudya ndi zinthu zowonjezera zomwe zimadetsa m'mero.
Kukonzekera zamaganizo ndikofunikanso. Ngati wodwalayo akumvetsetsa bwino zomwe zidzamuchitikire panthawi ya chithandizo, kuchuluka kwa kupsinjika kumatsika. Ngati mkhalidwe wama psycho umakhala wamavuto, munthuyo nthawi zonse amakopeka kuti athetse nkhawa komanso mantha ndi chakudya - monga njira yosavuta komanso yotsika mtengo kwambiri yosangalalira ndi chisangalalo. Zisokonezo ndizosapeweka mwa iwo omwe sanadziyike okha kuti athe kutsatira malamulo ndikupeza zotsatira zabwino.
Njirayi ndi yosiyana popeza suyenera kungolowa moyenera, komanso kutuluka molondola. Ngati izi sizichitika, ndiye kuti zizindikiro zonse za matenda ashuga zimabwereranso, ndipo zotsatira zake sizingachitike.
Malamulo otuluka pakumenyedwa ndi njala ndi osavuta:
- Kwa masiku osachepera atatu saloledwa kudya mafuta, osuta, owotcha,
- mndandanda wa sabata yoyamba uyenera kukhala ndi supu, mafuta amadzimadzi, zakumwa zachilengedwe, mkaka ndi Whey, zipatso zamasamba ndi zakudya zina zosavuta kugaya,
- ndiye kuti mutha kulowa maphikidwe a porridge, nyama yonyowa ndi sopo pamsuzi wa nyama,
- mutha kuwonjezera chakudya chambiri - poyamba zimakhala zokwanira kuyambitsa chakudya chambiri kawiri pa tsiku, pang'onopang'ono kubweretsa kuchuluka kwa magawo asanu kapena asanu ndi limodzi,
- Zakudya zambiri zizikhala ndi masamba a masamba ndi sopo, mtedza ndi zipatso, kotero kuti kuthana ndi vuto la njala kumatenga nthawi yayitali.
Muyenera kuti muchoke kusala kudya kwamasiku ambiri m'mene adakhalako. Chifukwa chake mutha kuwonjezera mphamvu yake ndikuchepetsa zovuta za matendawa.
Amakhulupirira kuti kuti musunge vutoli, muyenera kugwiritsa ntchito mankhwalawa pafupipafupi, koma sikofunikira kuti muchepetse zakudya ndi michere kwa nthawi yayitali nthawi iliyonse. Ndikokwanira kuti odwala matenda ashuga azitha kumenyedwa ndi njala masiku awiri kapena atatu.
Mukamaganiza zankhondo yayitali, muyenera kumvetsetsa kuti magwiridwe ake azikhala apamwamba kuposa a masiku awiri. Izi ndichifukwa choti zochizira zimawonekera patsiku lachitatu kapena lachinayi la kuyeretsa thupi. Pakadali pano, vuto la acidotic limachitika. Thupi laumunthu limayamba kugwiritsa ntchito malo osungirako mkati kuti likhale ndi moyo, litaima kaye kuti chakudya chizituluka kunja.
Kulemera kwambiri kwa wodwalayo kumachotsedwa bwino m'masiku oyambira, koma mizere yambiri imachitika chifukwa cha kutulutsidwa kwa madzi, mchere ndi glycogen. Kulemera komwe kumapita masiku otsatirawa ndi mafuta osaneneka, omwe ndi mdani woipa kwambiri wa odwala omwe ali ndi matenda.
Ngakhale kuoneka bwino kwa njirayi, pali zochitika zina momwe kumayambira kapena kupitiriza kusala kudya sikungatheke.
Tikuyankhula za kuukira kwa hypoglycemia. Kwa anthu omwe ali ndi mbiri ya matenda ashuga, matendawa ndi owopsa. Chifukwa chake, muyenera kudziwa zisonyezo zake kuti muchitepo kanthu nthawi ndikudziteteza.
Hypoglycemia imadziwika chifukwa chakuti thupi limasowa shuga. Amapatsa zizindikiro, kupangitsa wodwala kumva nseru, kufooka, chizungulire, kugona, kumva kusangalatsidwa kwa zomwe akuwona, kusinthasintha kwa machitidwe, kusinthika kwa kuyankhula komanso kuzindikira. Zizindikiro zimatha kumangilira mwachangu ndikupanga kugwa komaso kufa. Kuti mudzitulutse pamavuto a hypoglycemic, muyenera kudya maswiti, supuni ya uchi kapena piritsi ya glucose. Popewa kukula kwa kuukira, mutha kuwonjezera shuga kapena uchi pang'ono pakumwa kwanu tsiku ndi tsiku.
Simungasinthe njira iyi yoyeretsera pamaso pa zopatuka zotsatirazi:
- matenda amtima
- mavuto amisala
- mitsempha yam'mitsempha,
- matenda a urogenital.
Kuletsedwaku kumagwiranso ntchito kwa amayi apakati komanso oyembekezera, komanso kwa anthu azaka zosakwana 18.
Moyo wamakono komanso chakudya chopanda malire chomwe chingagulidwe chimayambitsa kuchuluka kwa odwala matenda ashuga padziko lonse lapansi. Iliyonse ya yomwe ingathetse vutoli, njira imodzi ndiyothandiza kusala kudya.
“Matenda okoma” ndi amodzi mwa matenda ofala kwambiri padziko lapansi. Nkhani yothandizadi ndimayendedwe a matenda amenewa amakhalabe omasuka nthawi zonse. Chifukwa chake, madokotala ndi asayansi akuyesera kuti apeze njira zowonjezereka zothanirana ndi matendawa.
Ngati tikulankhula za njira yosachiritsika yoperekera matenda a carbohydrate metabolism, ndiye kuti muyenera kuyang'anira chidwi cha matenda a matenda a shuga. Njirayi ili ndi othandizira ambiri komanso otsutsa pakati pa madokotala ndi odwala.
Njira yapamwamba yothana ndi matendawa imakana, koma, monga momwe zimawonekera, kudziletsa pakudya kumachepetsa shuga wamagazi ndikusintha thanzi la wodwalayo, ndipo kumamuthandiza.
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
Akatswiri ambiri a endocrinologists mobwerezabwereza amaonanso zoopsa zomwe zimadikira odwala omwe amakhala osadziletsa kudya kwanthawi yayitali. Mwanjira ina, akulondola.
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.
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.
Kusala kudya ndi matenda a shuga a 2: ndizotheka komanso momwe mungachitire bwino
Matenda a 2 a matenda a shuga nthawi zambiri amakhudzidwa ndi anthu onenepa kwambiri omwe amakhala moyo wongokhala.
Mchitidwe wamanjenje wa anthu otere ndi wosakhazikika, wokonda kuperewera kwa mitsempha komanso kupsinjika. Ichi ndi chimodzi mwazomwe zimayambitsa matendawa.
Ndi chitukuko cha matendawa, mahomoni ake omwe amapangidwa ndi kapamba sangatenge nawo gawo mokwanira pazochita za metabolic, kulowa mkati mwa maselo kudzera zimagwira. Imakhalabe m'madzi a m'magazi, potero kumachulukitsa shuga.
Njira yayikulu yothanirana ndi matendawa ndi zakudya zapadera zomwe zimathandiza kuchepetsa kuchuluka kwa shuga m'magazi. Chifukwa chaichi amalimbikitsa kudya zakudya zotsika za glycemic index, ndiye kuti, shuga ochulukirapo akangokulira.
Ngati matendawa ndi oopsa, ndiye kuti wodwalayo amayamba kubaya insulin yopanga. Kuyambira pano, wodwalayo amadalira mankhwalawa, chifukwa kapamba amasiya kupanga mahomoni pawokha pakapita nthawi.
Njala idzabwezeretsa kagayidwe kazachilengedwe, kuchuluka kwa mahomoni, komanso:
- tulutsani ziphuphu ndi chiwindi ku sumu, apatseni mpumulo.
- limbitsa bwino ziwalo zonse ndi machitidwe a thupi,
- yeretsani thupi la mankhwala oopsa
- kuchepetsa kulemera.
Pambuyo kusala koyenera, mkhalidwe wamtendere umakhazikika, kukana kupsinjika, chitetezo chokwanira chikuwonjezeka, kukoma kwa zinthu zachilengedwe kumabwezeretseka, kufunitsitsa kusuntha kumawonekera.
Ndi mtundu wachiwiri wa matenda ashuga, kusintha kosatha ndikotheka kwa masabata awiri kapena awiri. Munthawi imeneyi, thupi limayendetsa osati kudziyeretsa yokha, komanso kukhazikitsa pulogalamu yodzipulumutsa yokha.
Munthu akakhala ndi njala, glycogen yomwe imapezeka m'chiwindi ndi mafuta amayamba kuwonongeka, zomwe zimapangitsa kuti ma cell a ketone awoneke m'magazi.
Mu odwala matenda ashuga, kuchuluka kwa zinthuzi kumawonjezedwa kale chifukwa chakulephera kugwiritsa ntchito insulin. Chifukwa chake, matendawa akadwala masiku atatu oyamba akhoza kukhala ovuta:
- Acetonemialimodzi ndi kununkhira kwa acetone kuchokera mkamwa, pamene kuchuluka kwa zinthu zokhala ngati acetone mu plasma kumakwanira mtengo wofunika, pomwe kutsekereza zochitika zonse zofunikira ndi chikomokere ndikotheka.
Kupanda kutero, chodabwitsa ichi chimatchedwanso ketonemia.
- Ketonurialimodzi ndi kukodza pafupipafupi. Mimbulu imakhala ndi fungo laapulo. Zotsatira zake ndikutha madzi m'thupi ndikuchotsa mchere wofunikira, mavitamini ndi michere m'thupi.
Chifukwa chake, odwala omwe alibe nzeru ayenera kuchita kusala kokha moyang'aniridwa ndi akatswiri odziwa ntchito.
Masiku asanu asanasambemwa kudya zakudya zamagulu a mafuta a glycemic otsika ndi 30 ml ya mafuta apamwamba (ozizira). Izi ndi monga:
- masamba ambiri, makamaka zobiriwira - zukini, letesi, udzu winawake, kabichi (iliyonse), phwetekere, nkhaka, masamba otembenukira, etc.
Anyezi wophika ndiwothandiza kwambiri kwa matenda ashuga. Imaphikidwa osavomerezeka mu uvuni mpaka zofewa. Mutha kudya kuchuluka kulikonse patsiku. Itha kuphatikizidwa ndi chakudya mkate ndi mafuta a maolivi.
Zamasamba onse amadyedwa monga masaladi kapena mutaphika (kuphika).
Mwa izi, mutha kuphika phala m'madzi ndi mafuta ndi masamba.
Chipatso chowola - maapulo obiriwira, ma apricots, mapichesi, mapeyala, maula chitumbuwa.
Amalimbikitsidwa kudya ola limodzi asanadye kaye. Ndikwabwino kuphika maapulo mu uvuni.
Zakudya Zakudya palibe shuga kuchokera ku mbewu zonse - zosaposa 50 g patsiku.
Ndikwabwino kugula zinthu zofunikira pasadakhale, kuti mukakonzekera musagonjere poyeserera kuti mugule ndi kudya zakudya zoletsedwa. Mulinso:
- nyama iliyonse
- nsomba ndi nsomba zam'nyanja,
- zopangidwa mkaka
- mazira
- shuga, mchere,
- tiyi, khofi, zakumwa zoziziritsa kukhosi,
- zopera zoyera, kuphatikiza ndi confectionery.
Nthawi imeneyi ndiyofunikira kuti matumbo azitsuka poyambira poizoni, komanso kuti azitha kufa ndi njala, zomwe ndizovuta kwa anthu ambiri wathanzi.
Ndikofunika kudya pakukonzekera nthawi zambiri, pambuyo pa maola awiri ndi atatu, koma m'magawo ang'onoang'ono, kuyamwa kumimba kuti mutambasulidwe.
M'nyengo yozizira, ndibwino kuphika mbewu zamphesa ndi masamba, m'chilimwe - saladi masana ndikuwupatsa masamba odyera.
Musanadye kadzutsa, mutha kudzichiritsa kuti mwapsa yofinya kumene kapena madzi a karoti, omwe asanagwiritsidwe ntchito ayenera kuchepetsedwa ndi madzi muyezo 1: 1
Izi zidzakusangalatsani ndipo zidzayeretsa thupi lanu.
Patsiku lomaliza musanasale kudya, ndikofunikira kuti mupange enema yotsuka ndi madzi owiritsa ndi kutentha kwa madigiri 35-37. Nthawi yabwino njirayi, malinga ndi biorhythms, ndi maora 22.
Ndikofunika kuchita kumenyedwa ndi matenda omwe mukufunsidwa kuchipatala, moyang'aniridwa ndi madokotala.
Munthawi yonse ya kukana chakudya, muyenera kumwa madzi okha. Kutentha kwake kuyenera kukhala pafupi ndi kutentha kwa thupi (madigiri 36-37).
Pansi chiletso ndi:
- zolimbitsa thupi,
- hypothermia
- kumwa mankhwala osavomerezeka ndi dokotala (izi ndi zowopsa m'moyo).
Ngati kusala kumachitika podziyimira pawokha, ndiye kuti panthawiyi ndikosayenera kugwira ntchito, kukhala pakati pa anthu ambiri. Zambiri zokhudzana ndi chakudya komanso kukonzekera kwake ziyenera kupewedwa.
Masiku atatu oyamba akusala amawona kufooka, kuzizira, chizungulire, kusinthasintha kwa machitidwe, kukhumudwa. Ichi ndi chifukwa cha kuchuluka kwa matupi a ketone m'mwazi. Mutha kuchepetsa vutoli poyenda mu mpweya watsopano, malo osambira ofunda ndi kutentha kwa madigiri 40-45 kwa mphindi 10, komanso kugona.
Tiyenera kudziwa kuti kulakalaka chakudya kumakulitsa katundu m'maso. Chifukwa chake, mukasala kudya, ndikosayenera kuwerenga kwambiri, kuwonera makanema apa TV, ndi zina zambiri.
Kuchepetsa njala kungathandize:
- magawo angapo amadzi otentha,
- nyimbo zapamwamba zapamwamba
- kupuma kwamisempha pamodzi ndi kupumira kosazama.
Patatha masiku atatu, mkhalidwe umakhazikika, njala yopweteka imatha.
Ngati mukukumva chizungulire kwambiri, kusawona bwino, kuloza pamaso, nseru, muyenera kudziwitsa dokotala wanu kapena kuimbira ambulansi (ngati mukufa ndi njala kunyumba). Potere, simungayambe kudya, makamaka ngati kusala kumatha maola opitilira 24. Izi zakupha.
Potuluka moyenera ku njala, tikulimbikitsidwa:
- patsiku loyamba, imwani masamba okhawo odziwitsidwa kumene (kupatula ma beets) timadziti tothiriridwa ndi madzi 1: 1, kasanu patsiku.
- Mu chachiwiri - mutha kuwonjezera zakumwa kuchokera ku zipatso zomwe zili ndi GI yotsika ndikuwonjezera zamkati. Amafunikiranso kuti azisenda ndi madzi.
- Mu lachitatu - chakudya chamadzulo, mbatata zosenda bwino kuchokera ku apulo wobiriwira wobiriwira amawonjezeredwa.
- Lachinayi - kuzakudya zam'mbuyomu, mutha kuwonjezera supuni zamasamba 150 zamasamba zamasana.
Kenako muyenera kudya sopo wamasamba wosenda ndi timadziti tatsopano kwa masiku ambiri momwe kusala kumakhalako.
Kenako amayamba kuyambitsa malonda m'zakudya motere: mkaka wowawasa, nsomba (osati yokazinga), mazira, nyama, ndi masiku 3-5. Ngati palibe chikhumbo chodya mapuloteni amanyama, ndiye kuti simuyenera kukakamiza.
Mukamasiya kusala kudya ndizovuta kudzipatula pakudya, makamaka odwala matenda ashuga omwe ali ndi kulemera kwakukulu. Chifukwa chake, ndikofunikira kubwereza kachiwiri: kuti tipewe zovuta zazikulu, kufa ndi njala makamaka kuchitika kuchipatala.
Mtundu wachiwiri wa matenda ashuga, kusala kudya kumadalira kutalika kwa njirayi. Ndikosavuta kuwerengetsa kuti masiku asanu akukonzekera, sabata losala komanso sabata lotulutsidwa limatenga masiku 19. Zimatenga miyezi itatu kuti mubwezeretse thupi. Chifukwa chake, nthawi ina tidzakhala ndi njala m'miyezi inayi.
Kusala kwa milungu iwiri kumabwerezedwa pambuyo pa miyezi 5-6. Kugwedezeka kwamvula komwe kumadza ndi matendawa sikulimbikitsidwa.
Njala siyenera kuchitidwa kwa odwala omwe ali ndi matenda a shuga 2 omwe amalembedwa ndi:
- matenda a mtima (mtima ischemia, atherosulinosis, etc.),
- kuwonongeka kwamawonekedwe
- khunyu komanso zovuta zina zolimbikitsa.
Sikuti ndikofunikira kukana chakudya kwanthawi yayitali kuti mukhale mankhwalawa kwa anthu omwe ali ndi vuto lalikulu pamaganizidwe amanjala. Ayenera kuyesa kusala kudya masiku omwe akulimbikitsidwa ndi adokotala.
Matenda a 2 a shuga amawoneka ngati matenda osachiritsika. Koma asing'anga achikhalidwe amakhulupirira kuti mothandizidwa ndi kusala kudya moyenera, mutha kuyimitsa matendawa ndikuthanso njira. Koma kutentheka ndikosayenera pano. Anthu odwala matenda ashuga ayenera kukhala ndi njala mosamala kwambiri, kutsatira mosamalitsa malamulo onse ndi malingaliro, moyang'aniridwa ndi katswiri.
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.
Malangizo a endocrinologists ali motere - zakudya zoyenera, kutenga insulin ya matenda akudalira insulini.
Ndikusowa kwa odwala matenda ashuga komanso anthu athanzi, thupi limayamba kufunafuna malo osungiramo mafuta. Mafuta amaphulika pama hydrocarbons osavuta.
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.
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.
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.
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.
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.
Mwatsatanetsatane pakusala kwachithandizo ndi matenda a shuga a 2
Mpaka pano, palibe malingaliro osatsutsika pamatenda amtundu wa 2 shuga. Poyang'ana koyamba, zikuwoneka kuti njira yofananira yothetsera mavuto monga kunenepa kwambiri kwa thupi ndiyolondola. Ndipo, poyeserera kudya ndi matenda amtundu wa 2, wodwalayo sangathe kutaya ma kilogalamu osafunikira, komanso kusintha kwambiri shuga zomwe zili mthupi.
Ndipo komabe, malingaliro a akatswiri pankhaniyi amasintha. Wina amakhulupirira kuti kusala ndi matenda a shuga a 2 ndilothandiza kwambiri, koma pokhapokha gawo loyambira matenda. Ochirikiza chiphunzitsochi amati yankho lotere lidzathetseratu kulumikizana kowonongera kwa shuga m'thupi. M'malingaliro awo, kufa ndi njala ndikosavomerezeka ngati matenda amtundu wa 1 apezeka. Pankhaniyi, kuyesa sikungatheke kuyesa kulikonse kuti muchepetse zakudya, chifukwa izi zitha kukhala zowononga mkhalidwe wa wodwalayo. Ndiye, zenizeni ndi ziti, ndizotheka kuti odwala matenda ashuga achepetse zakudya zamafuta, komanso momwe angachitire bwino?
Kufunika kolimbana ndi kunenepa kwambiri mu mtundu wachiwiri wa matenda ashuga
Vuto la kuchuluka kwambiri m'matenda a matenda ashuga a 2 limakhala lofunikira kwambiri. Mfundo yofunika kuikumbukira ndi yoti kukwera kwamankhwala mokulira kumakulitsa kuchuluka kwa insulini. Insulin yayikulu, imathandizira kuwotcha minofu ya adipose, ngakhale ilipo.
Nthawi yomweyo, insulini yowonjezereka imathandizira kuchepetsa shuga m'magazi, chifukwa cha momwe wodwala wodziwira matenda amtundu wa 2 amakhala akumva njala. Ndipo kupondera kudya ndi chakudya kumathandizira kuti muchepetse kunenepa kwambiri.
Ndipo, ngati wodwala matenda ashuga ali ndi mavuto awiri, kuphatikiza mtundu wachiwiri wa shuga ndi kunenepa kwambiri, ndiye kuti kubweretsa kulemera kofunikira kumayenera kukhala cholinga cha wodwalayo. Ngati wodwalayo atha kutsika ma kilogalamu odedwa ndikuchepetsa thupi, ndiye kuti mphamvu zama cell kupita ku insulin ya mahomoni opangidwa ndi kapamba imakulirakulira.
Izi zipangitsa kuti odwala omwe ali ndi matenda ashuga azikhala athanzi komanso kuti magazi a shuga azikhala athanzi. Zithandizanso kuti odwala azitha kupereka mankhwala ochepa omwe amamwa kuti akhale ndi shuga.
Monga njira imodzi yoyendetsera mapaundi owonjezera ikuyenera kuwonedwa ngati kusala kwachithandizo. Ndikofunika kukumbukira kuti ndi matenda monga matenda ashuga, kufa ndi njala kumayang'aniridwa ndi katswiri wazachipatala. Chifukwa chake, kukambirana ngati kuli kotheka kufa ndi matenda a shuga kukhala abwino.
Mfundo zofunika kuchiritsa odwala ndi matenda a shuga
Potsutsana pamutu wamomwe mungapangire kusala kudya kochiritsa ndi kusokonekera kwa endocrine, ziyenera kutchulidwa kuti katswiri aliyense amapereka njira yake. Madokotala ena amakhulupirira kuti ngati munthu atafuna kukhazikika, amafunika kusala nthawi yayitali. Wina, m'malo mwake, ndiwotsimikizira kuti masiku 10 akwanira kuti akwaniritse zotsatira zomwe akufuna.
Zotsatira za mayesowa zikuwonetsa, ngakhale chithandizo chamatenda a shuga masiku atatu osachepera zakudya zochepetsa thupi zimachepetsa kwambiri zomwe zili mthupi la wodwalayo ndikuwonjezera bwino moyo wake.
Monga tafotokozera pamwambapa, ndi matenda monga matenda a shuga a 2, ndibwino kufa ndi njala moyang'aniridwa ndi dokotala yemwe amayang'anira kuchuluka kwa shuga ndikupeza kuchuluka kwamadzi. Kuwona uku ndikofunikira makamaka pakusala kudya koyamba. Ngati pali zotheka, ndiye kuti chithandizo cha matenda ashuga mwachangu ndichabwino kupita kuchipatala.
Monga ndi matenda monga matenda a shuga, komanso nthawi ina iliyonse, ndibwino kuti mukamayandikira kugwa ndi kukonzekera koyenera ndikusiyira osavomerezeka mwanjira iliyonse:
- Masiku angapo chilala chisanayambe, zakudya za anthu odwala matenda ashuga a 2 ziyenera kukhala zakudya zamagulu okha, komanso magalamu 30 40 a mafuta a azitona.
- Mankhwala osokoneza bongo asanayambe kudya, enema amatsuka.
- Osawopa kuti m'masiku asanu ndi limodzi oyamba fungo la acetone lidzawoneka kuchokera kumlomo wamkamwa. Ichi ndi chizindikiro kuti vuto la hypoglycemic likuchitika ndipo zomwe ma ketoni m'mwazi amachepetsa.
- Popita nthawi, kuchuluka kwa glucose m'magazi kumakhazikika ndipo kumakhalabe choncho mpaka kumapeto kwa njala.
- Kuletsa kudya zakudya zamankhwala kumathandizanso chifukwa chifukwa cha izi, kagayidwe kazakudya mthupi kamakhala ngati mtundu wake, katundu pa chiwindi ndi kapamba amachepetsa. Izi zimakuthandizani kuti musinthe ntchito ya ziwalozi, zomwe zimabweretsa kutha kwa zizindikiro za kuphwanya lamulo monga matenda ashuga.
- Ndikulimbikitsidwa kuti muzitha masiku ochepa mutatha kusala, kudya zakudya zokha, pang'onopang'ono kuwonjezera mphamvu zawo. M'masiku awa, zakudya ziwiri patsiku zidzakhala zokwanira.
Mankhwala atatha, akatswiri amalimbikitsa kudya supu zamasamba ambiri ndi masaladi momwe mungathere, komanso mtedza Wachi Greek. Izi zipulumutsa zotsatira zake kwakanthawi.
Chifukwa chake, ndizotheka kukonza kusala kwachithandizo kwakanthawi ngati mtundu wa matenda ashuga a 2. Komabe, izi ziyenera kuchitika pokhapokha ngati mothandizidwa ndi adokotala akupita.
Akatswiri ambiri amavomereza kuti ndibwino kungokhala ndi njala kwa nthawi yoyamba osapitilira masiku 10. Izi zimapangitsa:
- sinthani katundu pachilonda,
- sakani kagayidwe kachakudya,
- sinthani ntchito zapamba.
Mpikisano woterewu wapakati umathandizanso kuti ziwalo zithandizenso. Pankhaniyi, matendawa amasiya kupita patsogolo. Pamodzi ndi izi, odwala atatha kusala kwachangu amalolera hypoglycemia bwino kwambiri. Chiwopsezo cha zovuta zomwe zimayambitsidwa ndi kuchuluka kwadzidzidzi mu glucose zimacheperanso.
Malinga ndi anthu ambiri omwe ali ndi matenda ashuga, kusala kwachithandizo kumawapatsa mwayi w kuiwala za matenda awo. Ena mwa odwala amathanso kusala kudya konyowa komanso konyowa. Ndi kusala kouma, ndikofunikira kukana osati kudya zokha, komanso kumwa madzi.
Chifukwa chake, kusala kwachithandizo ndi njira yabwino kumalola anthu odwala matenda ashuga kudziwa zotsatira zabwino za mchitidwewu. Ndikofunikira ndipo ndikuyenera kutsatira malingaliro omwe alipo ndikuchita izi pokhapokha ngati mukugwirizana ndikuyang'aniridwa ndi katswiri wazachipatala.
Akhmanov, Mikhail Sergeevich Shuga. Moyo umapitirira! Zonse zokhudza matenda anu a shuga / Akhmanov Mikhail Sergeevich. - M: Vector, 2012 .-- 567 p.
Laka G.P., Zakharova T.G. matenda ashuga ndi pakati, Phoenix, Ntchito Zofalitsa -, 2006. - 128 p.
Kohout P., Pavlichkova J. Zakudya za shuga (kutanthauzira kuchokera ku Czech). Moscow, Kron-Press Publishing House, 1998, masamba 142, makope 10,000
Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwa zaka zoposa 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka patsamba lino kuti athetse zovuta koma osati ntchito. Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusaitiyi, kufunsana ndi akatswiri ndizofunikira nthawi zonse.