Mowa mu shuga - owopsa bwanji?
Anthu omwe ali ndi matenda ashuga ayenera kutsatira moyo wabwino ndikutsatira zakudya zina. Komabe, ambiri akukayika ngati mowa ungagwiritsidwe ntchito kwa matenda ashuga.
Matchuthi sangathe kuchita popanda mowa, ndipo munthu amene akudwala matenda osokoneza bongo sadziwa momwe angakhalire patebulo.
Anthu ambiri amakayikira ngati nkotheka kumwa mowa wamagulu a shuga (mtundu 2 kapena mtundu 1). Nkhaniyi ifotokoza malamulo oyambilira a zakumwa zoledzera.
Zotsatira zakuledzera kwa odwala matenda ashuga
Kodi mowa ndi matenda ashuga zikugwirizana? Kamodzi m'thupi la odwala matenda ashuga, mowa umakhala ndi vuto linalake. Chakumwa chimathandizira kusokoneza kupanga kwa glucose mu chiwindi. Imachepa ndikuwonetsa kuchuluka kwa insulin.
Mowa ukamwa, umatengedwa mwachangu m'magazi. Zakumwa zimakonzedwa ndi chiwindi, kotero ngati munthu amwa mankhwala a insulin kapena mapiritsi kuti apangitse kuti apange insulin, ndiye kuti kumwa mowa kumatha kutsitsa shuga m'magazi, chifukwa chiwindi chimagwira. Mowa mu shuga ungayambitse hypoglycemia. Komanso, kuwonongeka kwakukulu kumayambitsa mkhalidwe wamtima wamtima. Zitha kutha.
Matenda a shuga komanso mowa
Ponena kuti mowa ndi shuga zimaphatikizidwa, pali malingaliro awiri.
Madokotala ambiri amakhulupirira motsimikiza kuti:
- Mukamamwa mowa pali kuchepa kwakukulu kwa shuga m'magazi, omwe angayambitse kukula kwa hypoglycemia.
- Wodwala angagone osazindikira zizindikiro zoyambirira za hypoglycemia.
- Mowa umasokoneza chisokonezo, chomwe chimayambitsa chisankho mwachangu, kuphatikizapo pomwa mankhwala.
- Ngati munthu wodwala matenda ashuga ali ndi vuto la impso ndi chiwindi, ndiye kuti kugwiritsa ntchito zakumwa zoterezi kumatha kubweretsa kuchuluka kwa matenda a ziwalozi.
- Mowa umawononga kwambiri mtima ndi mtsempha wamagazi.
- Mowa umatha kukulitsa chidwi cha chakudya, chomwe chingapangitse kudya kwambiri ndipo, chifukwa chake, kuchuluka kwa shuga m'magazi.
- Mowa umawonjezera kuthamanga kwa magazi.
Lingaliro lachiwiri ndilakuti ndi matenda a shuga mungathe kumwa mowa, pokhapokha pamlingo wambiri.
Pali malamulo angapo ofunika kupewa zotsatira zake zovulaza thupi.
Munthu wodwala matenda a shuga amalangizidwa kuti:
- osamwa mowa pamimba yopanda kanthu,
- Imwani zakumwa zoledzeretsa zokha kapena vinyo wofiira,
- samalani magazi anu.
Lingaliro ili limagawidwa ndi odwala omwe samatsatira malangizo okhwima omwe adokotala amafunsa ndipo safuna kusintha moyo wawo womwe adawatsogolera mpaka atapeza matenda osokoneza bongo.
Mitundu yayikulu ya matenda a shuga
Matenda a shuga amayambitsidwa ndi zonyansa zomwe zimayikidwa pamtundu wa majini, ndipo amathanso kuchitika chifukwa cha kuwonongeka kwa ma virus m'thupi kapena chifukwa chakugwira bwino ntchito kwa chitetezo chathupi.
Nthawi zambiri, matendawa amayamba chifukwa cha kuperewera kwa zakudya m'thupi, kusakwanira kwa mahomoni, matenda a kapamba, komanso kuthandizidwa ndimankhwala ena.
Akatswiri amasiyanitsa mitundu yotsatirayi ya shuga:
Mtundu wodwala matenda a shuga a insulin (mtundu 1)
Amakhala mwachilengedwe mwa odwala achichepere ndipo amadziwika ndi kukula msanga. Matenda amtunduwu amadzetsa ludzu losatha. Mu matenda a shuga, kulemera kumachepa kwambiri, kuchuluka kwa mkodzo kumawonjezeka, kufooka kwa minofu kumawonekera. Wodwala akapanda kuthandizidwa bwino, akhoza kuyamba kukhala ndi ketoacidosis ndi kusowa kudya, nseru komanso kusanza.
Zizindikiro zofala
Mitundu yonse yamatenda, zovuta monga:
- zosokoneza pa ntchito ya mtima,
- mitsempha ya mitsempha,
- chizolowezi chotupa mu genitourinary system,
- kuwonongeka kwamanjenje,
- zosiyanasiyana matenda akhungu
- mafuta chiwindi
- kufooketsa chitetezo chamthupi,
- kuphatikizika
- mano otupa.
Nthawi zambiri, kusintha kowopsa m'magazi a magazi kumadziwika ndi zizindikiro zomwe zimakhala zofanana ndi kuledzera. Wodwalayo amayamba kuyendayenda, kugona, kufooka komanso kufooketsa. Anthu odwala matenda a shuga amalangizidwa kunyamula malingaliro a dokotala ndi chidziwitso chokwanira cha matenda omwe alipo.
Njira zopewera kupewa ngozi
Mowa mu shuga mellitus umadzetsa kuchepa kwa kupanga kwa shuga ndi chiwindi, zomwe zimakhala zowopsa kwa anthu odwala omwe amamwa mowa pamimba yopanda kanthu kapena atatha masewera olimbitsa thupi.
Ngati wodwala matenda ashuga amwa mowa pafupipafupi, amalumpha m'magazi, kuthamanga kwa matenda a hypoglycemia kumawonjezeka, kutsekeka kwa malekezero ndi zizindikiro za neuropathy kumawonekera.
Izi sizachilendo. Ngati mumamwa mowa wochepa ndipo mumayang'anira kuchuluka kwa insulini, ndiye kuti zotsatirapo zake zimakhala zovuta.
Ngati munthu wodwala matenda ashuga amakonda zakumwa zoledzeretsa, ndiye kuti palibe zosaposa 75 ml zolimbikitsidwa patsiku. Ngakhale zakumwa zoledzeretsa zili bwino kulowa ndi vinyo wofiira wouma, yemwe sayenera kumwa zosaposa 200 g patsiku.
Ngati munthu ali ndi matenda ashuga, kodi ndingamwe mowa tsiku lililonse? Kuchepetsa kuchuluka sizitanthauza kuti mutha kumwa mowa tsiku lililonse. Zokwanira ndizomwe zimakhala zochepa, osati zoposa kawiri pa sabata.
Malamulo oyambira kumwa mowa ndi shuga
Kodi munthu amene amadwala matenda ashuga ayenera kudziwa chiyani? Kodi ndingamwe mowa wina uliwonse chifukwa cha matenda ashuga? Pali mitundu ingapo ya zakumwa zoledzeretsa, zomwe, pamaso pa matendawa, ndizoletsedwa.
Mndandandandawu umaphatikizapo:
- chakumwa
- champagne
- mowa
- vinyo wotsekemera
- koloko yomwe ili ndi mowa wambiri.
Kuphatikiza apo, simuyenera kumwa mowa:
- pamimba yopanda kanthu
- zoposa kamodzi pa sabata
- pamodzi ndi njira yochepetsera kutentha.
- pa nthawi ya masewera kapena pambuyo pake.
Sitikulimbikitsidwa kuti muzikhala ndi zokhazikika pazakudya zamafuta kapena zamafuta.
Lamulo la golide liyenera kukhala kuwunikira kosalekeza magazi. Yenderani musanamwe mowa. Ngati yatsitsidwa, ndiye osamwa. Ngati pakufunika izi, ndiye kuti muyenera kumwa mankhwala omwe amawonjezera shuga.
Ngati chidakwa chidamwa mochulukirapo kuposa momwe zimayembekezeredwa, ndiye kuti muyenera kufufuza shuga musanagone. Nthawi zambiri pamenepa amatsitsidwa. Madokotala amalangiza kudya china chake kuti akweze.
Ambiri akufunsa ngati mowa mu shuga ungaphatikizidwe ndi zakumwa zina. Poterepa, tikulimbikitsidwa kusankha kuphatikiza kochepetsetsa pang'ono. Ndikulimbikitsidwa kukana zakumwa zotsekemera, timadziti ndi madzi.
Ngati mukukayikira za tsogolo lanu, dziwitsani munthu amene angakhale chapafupi kuti akhudzidwe ndi thupi. Poterepa, mutha kupereka thandizo panthawi yake. Izi ndizofunikira kwambiri.
Kodi ndingathe kumwa vodika?
Kodi odwala matenda ashuga angathe kumwa? Kuti muyankhe funsoli, muyenera kutengera mawonekedwe a zakumwa. Muli mowa wothira madzi. Mulibe zosafunika zilizonse komanso zowonjezera. Komabe, iyi ndi njira yabwino yopangira vodka, yomwe si onse opanga omwe amamatira. Zida zamakono zimakhala ndi zosafunikira zosiyanasiyana zamankhwala zomwe zimakhala ndi vuto pa thupi la munthu.
Vodka imathandizira kuchepetsa kuchuluka kwa shuga, komwe kumayambitsa hypoglycemia. Chakumwa chophatikiza ndi insulin kukonzekera kumadodometsa ndikupanga kuchuluka koyenera kwa mahomoni oyeretsa kuti chiwindi chitha kuyamwa.
Koma nthawi zina, vodka imathandizira kukhazikika kwa odwala matenda ashuga. Ndikotheka kugwiritsa ntchito vodka kwa odwala omwe ali ndi matenda a shuga a 2. Mowa pankhaniyi umatha kutsegulira vutoli ngati cholozera cha shuga chikukwera kuposa chizolowezi chovomerezeka. Nthawi yomweyo, tikulimbikitsidwa kudya zosaposa 100 g zakumwa patsiku, kuluma vodika ndi sing'anga-calorie chakudya.
Zakumwayo zimalimbikitsa kutsegulira kwa chimbudzi ndi kuwonongeka kwa shuga, koma nthawi yomweyo zimasokoneza njira za metabolic m'thupi. Pankhaniyi, ndibwino kukambirana ndi dokotala.
Kumwa vinyo
Asayansi ambiri amakhulupirira kuti kumwa vinyo wouma wouma sikutha kuvulaza thupi. Komabe, kwa odwala matenda ashuga, kumwa mowa nthawi zonse kumakhala ndi zovuta zina.
Vinyo wofiira wouma amakhala ndi zinthu zothandiza m'thupi - ma polyphenols. Amatha kuwongolera kuchuluka kwa shuga m'magazi. Mukamamwa mowawu, wodwala matenda ashuga ayenera kulabadira kuchuluka kwa shuga omwe amamwa. Chizindikiro choyenera kwambiri si zoposa 5%. Chifukwa chake, madokotala amalimbikitsa kuti ndi wouma wouma wouma, ngakhale amazindikira kuti sikoyeneranso kuzunza.
Kodi ndingathe kumamwa mowa ndi matenda ashuga osawerengeka? Nthawi imodzi, tikulimbikitsidwa kuti musagwiritse ntchito kuposa 200 g, ndipo kuti mugwiritse ntchito tsiku lililonse, 30-50 g idzakwanira.
Kumwa mowa
Anthu ambiri, makamaka abambo, amakonda mowa kuposa mowa. Amawerengedwa ngati mankhwala opatsa mphamvu kwambiri omwe amakhala ndi chakudya chambiri. Chifukwa chake, sikulimbikitsidwa kwa anthu odwala matenda ashuga.
Beer ndi mowa. Ndi matenda amtundu wa 2 shuga m'magalasi amodzi, sizingavulaze. Koma mwa odwala omwe amadalira insulin, chakumwa chimatha kuyambitsa glycemic. Chifukwa chake, mowa wokhala ndi matenda a shuga 1 ndi insulin ndi njira yowopsa. Nthawi zambiri kukomoka komwe kumapangitsa munthu kuti afe.
Ambiri odwala matenda ashuga amakhulupirira molakwika kuti mowa suwononga thanzi lawo. Malingaliro awa adakhazikika poti yisiti imakhala ndi zotsatira zabwino. Nthawi zambiri izi zimagwiritsidwa ntchito pofuna kupewa. Wodwala matenda ashuga akamadya yisiti yofulula, amabwezeretsa kagayidwe kachakudya, amawongolera chiwindi ndi mapangidwe magazi. Koma izi zimapangitsa kugwiritsa ntchito yisiti, osati mowa.
Contraindication
Pali zinthu zina zomwe zimachitika mthupi momwe mowa ndi matenda ashuga sizigwirizana mwanjira iliyonse:
- Kuchuluka kwa chizolowezi cha hypoglycemia.
- Kukhalapo kwa gout.
- Kuchepetsa magwiridwe ntchito a impso molumikizana ndi matenda monga matenda ashuga nephropathy.
- Kukweza triglycerides mukamamwa, zomwe zimapangitsa kulephera kwamafuta kagayidwe.
- Kumwa mowa kwambiri chifukwa cha matenda a kapamba angayambitse matenda a shuga 2.
- Kukhalapo kwa hepatitis kapena cirrhosis mu matenda ashuga, omwe ndiofala kwambiri.
- Chidziwitso "Metformina". Nthawi zambiri mankhwalawa amapatsidwa mankhwala a mtundu 2. Kuphatikizidwa kwa mowa ndi mankhwalawa kumayambitsa chitukuko cha lactic acidosis.
- Kupezeka kwa matenda a shuga. Mowa wa Ethyl umadzetsa kuwonongeka m'mitsempha yamafungo.
Kudya kuyenera kuchitika katatu konse mpaka kasanu ndipo kuyenera kuphatikiza mitundu yosiyanasiyana ya zakudya.
Choyipa chachikulu ndikukula kwa mochedwa hypoglycemia, pomwe chithunzi cham'maganizo chimachitika patatha maola angapo mutamwa mowa. Ndikovuta kwambiri kusiya kuukira kotero chifukwa kuchepa kwambiri kwa glycogen m'chiwindi. Komanso, izi zimatha kuchitika pambuyo pa kumwa kwa episodic pamimba yopanda kanthu.
Pomaliza
Mowa ndi matenda ashuga, malinga ndi madokotala ambiri, siziphatikiza. Kumwa mowa kumatha kupangitsa kuti magazi achepe. Madokotala amalimbikitsa kuti musamamwe mowa. Koma ngati lamulo ili silimawonedwa nthawi zonse, ndiye kuti akuyenera kutsatira malangizo omveka bwino okhudzana ndi zakumwa zomwe anthu omwe ali ndi vuto la kupanga shuga.
Mowa ku matenda ashuga umakhudza munthu kwambiri
Matenda a shuga amakhudza machitidwe ndi ziwalo zonse za munthu. Ndi chitukuko chake, osati kokha kapamba yemwe amadwala. Matenda a shuga amakhudza maso, impso, miyendo. Pafupifupi 80% ya anthu odwala matenda ashuga amamwalira ndi stroko komanso mtima.
Matenda a shuga a retinopathy angayambitse khungu. Ndipo ndi matenda ashuga a nephropathy, mapuloteni ofunikira kuti apange maselo amatha kuchotsedwa m'thupi. Mchitidwe wamanjenje umavutika, womwe sutha kuzindikira bwino kutentha komwe kumazungulira ndikupereka kumverera kwa kupweteka ku ubongo.
Matenda a shuga amasinthiratu moyo wa munthu. Izi sizingasinthe pakulandila mowa. Kuti muchepetse chiwopsezo cha matenda a shuga, muyenera kumayesedwa pafupipafupi ndikupereka magazi a shuga.
Zizindikiro zamankhwala
Matenda a shuga ndi oyipa kwambiri chifukwa kuchuluka kwa shuga m'magazi sikumayendetsedwa ndi thupi. Ndi mowa, kuchuluka kwa glucose kumatsika kwambiri. Koma izi zitha kuchitika modzidzimutsa, zomwe zimaphatikizira kuwonongeka kwakukuru m'moyo wabwino komanso kusazindikira.
Kukhala munthu wofooka, munthu wodwala matenda ashuga sangathe kuugwira ntchito ndipo angaphonye mosavuta zinthu zomwe zingawononge moyo. Sangakhale ndi chidwi ndi:
- tachycardia
- thukuta kwambiri
- kugwedezeka miyendo,
- chizungulire
- kugona
- chisokonezo.
Achibale apafupi omwe adachita nawo chikondwererochi ndipo ali ndi zizindikiro za kuledzera sangathe kungoyang'ana kuwonongeka kwa wokondedwa wawo komanso asatenge nthawi yoyenera. Amatha kuganiza kuti wokondedwa amangogona osamusokoneza. Mitundu ingapo ya hypoglycemia ndi chithandizo chamwadzidzidzi chimapangitsa kuti pakhale vuto lakumimba, lomwe limapangitsa kuti zisawonongeke m'mimba.
Zomwe zili zoopsa za mowa ndi shuga wambiri
Matenda a shuga, monga mankhwala amakono amatanthauzira, si matenda, koma mkhalidwe womwe umasinthiratu moyo wa munthu. Kukhala ndi matenda ashuga kumatanthauza kusintha machitidwe ndi zizolowezi za tsiku ndi tsiku, kuzisintha kuti zikhale ndi matendawo. Cholepheretsa chachikulu mu matendawa ndikugwiritsa ntchito zakudya zomwe zimakhala ndi chidziwitso cha hypoclycemic, ndiko kuti, zomwe zimapatsa shuga wambiri mukamamwa. Izi sizingakhale zakudya zotsekemera, monga mkate wa rye kapena mbatata, koma zikagwetsedwa ndi madzi a m'mimba ndikuyenderana ndi ma enzyme, zimapereka kuchuluka kwakukulu kwa shuga.
Anthu ambiri angaganize kuti mowa, mwachitsanzo, osakhala zotsekemera kapena mowa wama ethyl, mulibe shuga mumapangidwe ake, zomwe zikutanthauza kuti amatha kuledzera momasuka ndi matenda a shuga.
Zakumwa zoledzeretsa zomwe zimaloŵa m'thupi zimakonzedwa m'chiwindi. Mothandizidwa ndi glycogen, mowa umawola ndipo umawonjezera makuponi. Pankhani ya kumwa waukulu waukulu, chiwindi sichitha kuthana ndi kupanga glycogen yoyenera, yomwe imayambitsa hypoglycemia. Pakapanda kupezeka insulini kapena mafuta okwanira, kuchuluka kwa glucose sikumalowa m'maselo a thupi, komwe kumayambitsa kufa kwa cell ndipo kungayambitse kudwala kwam'mimba komanso chikomokere.
Kumwa mowa pamimba yopanda kanthu kumakhala kowopsa kwambiri, chifukwa kuwonjezera pa kuyamwa kosayenera kwa shuga, khoma lam'mimba limavutika, mowa umasintha kapena kukulitsa kumverera kwanjala, zomwe zimayambitsa kumwa mopitirira muyeso kwa zinthu zosafunikira ndikupanga kulumpha kowopsa mu shuga.
Kuphatikiza poti zakumwa zoledzeretsa zambiri zimapangidwa ndikuwonjezera shuga wambiri, zinthu zosaphika zomwe amapanga, monga mphesa zokoma, zipatso kapena chimanga, poyamba amakhala ndi shuga komanso amakhala ndi index yayikulu ya glycemic.
Matenda a shuga amakhala ndi zovuta zingapo zomwe zimayikidwa pakukhazikitsidwa kwa mankhwala osiyanasiyana. Nthawi zina kuchuluka kwa mapiritsi omwe amamwa nthawi imodzi kumatha kupitilira khumi ndi awiri. Mowa sugwirizana ndi mankhwala ambiri ndipo umapangitsa kuti thupi lizimidwa popanda kugwiritsa ntchito mankhwala ena ake. Izi sizingangobweretsa zotsatira zoyipa zokha, komanso kungoletsa mphamvu za mankhwala ena, zomwe zimakhudza thanzi la munthu komanso thupi lakelo. Kugwiritsa ntchito mankhwala munthawi yomweyo ndi mankhwala osokoneza bongo kungachititse kuti matenda ayambe kudwala, omwe ndi oopsa kwambiri ndipo amakhala ndi chiopsezo chovuta kwambiri.
Chithandizo cha uchidakwa. Wofunsidwa wa sayansi ya zamankhwala, psychiatrist-narcologist, psychotherapist - Boldyrev Oleg, wokhudza ngati nkotheka kuchiritsa osokoneza bongo kosatha ndi anthu omwe ali ndi chidakwa kapena ayi.
Momwe mungathandizire woledzera kuti ayambirenso?
Mkhalidwe woledzera
Kudziletsa komanso kuchira
Matenda Amthupi - Mowa Allergy
Kuganiza moledzera
Kuledzera ndi uchidakwa. Kodi mungatani kuti mukhale wathanzi?
Kodi chithandizo cha mankhwala osokoneza bongo ndi uchidakwa bwanji m'malo opezekanso osokoneza bongo?
Momwe kuganiza kwauchidakwa kumagwirira ntchito
Momwe mungathandizire woledzera
Momwe mungathane ndi zakumwa zoledzeretsa
Kodi kumwa mowa ndi chiani?
Zoyenera kuchita ngati pali wodwala yemwe ali ndi zakumwa zoledzeletsa m'banjamo
Insulin amadalira matenda a shuga
Awa ndi matenda osachiritsika pomwe wodwala amafunikira insulin pafupipafupi komanso yayitali. Anthu omwe ali ndi matenda a shuga a mtundu woyamba amayenera kukhala osadya kwambiri, pomwe mowa umatha kuwachotsa m'zakudya kapena kumwa kwake. Munthu yemwe ali ndi matenda a shuga 1 amatha kumwa mpaka 70 ga zakumwa zoledzeretsa kamodzi patsiku. Anthu omwe akhala akuvutika ndi matenda a shuga kwa nthawi yayitali kapena omwe ali ndi zovuta za matendawa sayenera kumwa mowa.
Kwa iwo omwe ali ndi kanthawi kochepa kwamatenda, zinthu sizovuta ndipo atakambirana ndi akatswiri othandizira, ndibwino:
- imwani mowa pang'ono mukatha kudya,
- osaloleza kutengedwa pamimba yopanda kanthu,
- Mlingo wa insulin womwe umayendetsedwa uyenera kuchepetsedwa ndipo kuchuluka kwa shuga m'magazi kuyenera kuyang'aniridwa, chifukwa kuchuluka kwa magazi a hypoglycemic kumachepetsedwa kwambiri, ndipo kuchuluka kwa insulin kungayambitse kudwala kwa hypoglycemic,
- osamamwa mowa madzulo asanagone, chifukwa dontho lakuthwa la shuga m'magazi ndilowopsa.
- musanamwe mowa, muyenera kudya zakudya zopanda shuga chifukwa izi zimathandizira kuti shuga azikhala bwino.
Ndi matenda a shuga a mtundu woyamba, zimakhala zovuta kwambiri kudziwa kuchuluka kwa mowa womwe sungapangitse kuti shuga asinthe kwambiri. Chifukwa chake, ngakhale ngati dokotala yemwe sanaonepo sanakuletse mwadzidzidzi kumwa mowa, kungakhale kwanzeru kusiya basi osakuika pachiwopsezo.
Matenda a shuga osagwirizana ndi insulin
Ndi matenda amtunduwu, kapamba amalimbana ndi kupanga kuchuluka kwa insulin, koma sikuti kumizidwa ndi thupi. Kuti thupi lizigwira ntchito bwino, munthu yemwe ali ndi mtundu wa matenda ashuga ayenera:
- yang'anani kulemera kwa thupi ndipo, ngati kuli kotheka, muchepetseni,
- kutsatira zakudya zapadera zamagulu ochulukitsa a calcium,
- kumwa mankhwala.
Mtundu wachiwiri wa matenda ashuga ndi kuzindikira komwe simuyenera kumwa mowa, chifukwa kungayambitsenso kudumphadumpha kwa shuga. Koma odwala omwe ali ndi mtundu wodziimira pawokha wa matenda a shuga pazifukwa zina saganiza choncho. Akuganiza kuti popeza kupanga inulin kwatha, mowa ungatengedwe. Uku ndikunamizira komwe kumayambitsa kuwonjezeka kwa matendawa ndikupangitsa kuti pakhale zovuta, komanso kuopseze moyo.
Anthu omwe ali ndi matendawa amafunika kutsatira malamulo omwewa omwe ali ndi mtundu woyamba wa matenda ashuga:
- mutha kumwa pamimba yopanda kanthu,
- Pewani zakumwa za shuga,
- Sinthani mlingo wa mankhwala musanamwe mowa,
- Mankhwala ena a shuga sagwirizana ndi mowa ndipo kumwa mowa ndikoletsedwa.
Ndikwabwino kukhazikitsa ndikukambirana ndi dokotala. Ikuthandizirani kusankha mulingo woyenera wa mankhwala musanamwe komanso mutamwa mowa ndipo imakupatsani malangizo a nthawi yoyenera kuyeza shuga.
Matenda “okoma” ndi mowa
Wodwala uyu sangakhale wokhoza kuyesa mbale zonse paphwando, kumwa mowolowa manja mopatsa mowa. Pali malire ena. Ngati mowa uli wochepa mu zopatsa mphamvu ndipo mulibe shuga ndi mawonekedwe ake mu mawonekedwe, sizimakhudzanso kuchuluka kwa shuga. Izi ndizomwe amachita mantha ndi matenda ashuga.
Komabe, kugwiritsa ntchito moyenera zinthu zauchidakwa ndi koopsa kwa odwala matenda ashuga, chifukwa angaphe. Kumvetsetsa kwamomwe mphamvu ya ethanol pachiwindi ndi kapamba ya wodwala kumathandizira wodwala matenda ashuga kupanga mkhalidwe wokhoza kumwa.
Kodi mowa umakhala bwanji m'magazi? Ethanoli kuchokera m'magazi amalowa m'chiwindi, momwe ma enzyme amachulukitsa ndipo amawonongeka. Mlingo wambiri wa mowa umalepheretsa kuphatikizika kwa glycogen m'chiwindi, ndizowopsa pamatenda a matenda ashuga - hypoglycemia.
Kukula kwa mowa womwe umalowa m'magazi, kumachedwa kuchepa kwa shuga. Mavuto amatha kuchitika nthawi ina iliyonse ndipo sizikhala nthawi zonse kuti pakhale wina wokhoza kupereka thandizo.
Nthawi zonse azisiya zakudya zamtundu wa vin, zakumwa zoledzeretsa, zakumwa zina ndi zakumwa zoledzeretsa ndi shuga ndi zina zomwe zimapangitsa kuti glycemia iwonongeke.
Mowa wa Ethyl umakulitsa mphamvu ya mankhwala ochepetsa shuga ndipo umayamba kulakalaka wolusa mukasiya kuganiza za chakudya. Palibe kusiyanasiyana pakati pa amuna ndi akazi omwe ali ndi matenda ashuga, monganso momwe palibe kusiyana komwe kumachitika chifukwa chomwa mowa kwambiri. Mwa amayi, kumwa mowa mwauchidakwa kumakula msanga ndipo nkovuta kwambiri kuchiza, motero, kumwa kwa mankhwalawa kumayenera kukhala kocheperako poyerekezera ndi kwa amuna.
Kutalika kwambiri kwa thupi lachikazi ndi kapu ya vinyo wofiyira kapena 25 g ya mowa wamphamvu. Pakugwiritsa ntchito koyamba, ndikofunikira kuwunika kusintha kwa shuga m'magawo ola lililonse.
Kodi odwala matenda ashuga akadwala, onani kanemayo
Ndi matenda ati a shuga omwe ali oopsa kwambiri ku mowa?
Matenda a shuga amapezeka ndi zovuta chifukwa cha majini, kachilombo ka majeremusi kapena kusagwira bwino ntchito kwa chitetezo cha mthupi ndi endocrine. Zakudya zopanda mphamvu, kupsinjika, kusokonezeka kwa mahomoni, zovuta ndi kapamba, zotsatira za kugwiritsa ntchito mankhwala ena zimadzetsa matenda "okoma". DM ikhoza kukhala yodalira insulin komanso yosadalira insulini.
Ndi mitundu yake iliyonse, izi ndizotheka:
- Kulephera kwa mtima
- Kusintha kwa mitsempha
- Kutupa kwa genitourinary system,
- Mavuto azikopa
- Zosintha pakuyenda kwamanjenje,
- Zofooka zofooka,
- Mafuta chiwindi
- Kuwonongeka kwa masomphenya ndi mkhalidwe wa mano ndi mafupa.
Zizindikiro za hypoglycemia ndi ofanana ndi kuledzera: munthu wodwala matenda ashuga amawoneka ngati wagona, wotaya mgwirizano, amakhala wopanda vuto. Afunika jakisoni wadzidzidzi wa shuga. Anthu oterowo ayenera kukhala ndi zikalata zachipatala zoyamikiridwa nawo.
Mtundu 1 Awa matenda ashuga
Mpaka pano, matenda a shuga a 1 ndi matenda osachiritsika omwe amafunikira chithandizo chamankhwala kwa moyo wonse. Shuga amaphatikizidwa ndi insulin. Odwala omwe amadalira insulin amafunikira zakudya zamafuta ochepa.
Mowa ndi mankhwala opatsa mphamvu kwambiri, chifukwa chake sayenera kuphatikizidwa muzakudya za tsiku ndi tsiku za anthu odwala matenda ashuga.
Ethanol imachepetsa mayamwidwe amthupi ndipo thupi sililandira mphamvu zomwe zimafunikira. Insulin yochepa, yomwe ili ndi matenda amtundu woyamba wa shuga, yomwe imalalidwa musanadye, siyigwiritsidwa ntchito pazolinga zake. Ndi zochuluka, maselo amafa ndi njala.
Zambiri zimatengera mtundu wa mowa: theka la lita imodzi ya mowa wopepuka wogwiritsa ntchito yisiti yachilengedwe kapena kapu ya vinyo kamodzi pa sabata kwa abambo, akatswiri ena azakudya amakulolani. Mlingo wa burande kapena vodka wafika pa 50g. Amayi ayenera kuchepetsa izi ndi theka.
Ndiye kodi ndikofunika kumwa mowa chifukwa cha matenda ashuga? Palibe choletsa chilichonse potsatira malamulo awa:
- Osamamwa mowa pamimba yopanda kanthu
Siwodwala aliyense yemwe ali ndi matenda amtundu wa 1 omwe amatha kudziwa kuchuluka kwa insulin, poganizira zakumwa za calorie, chifukwa chake, popanda vuto lapadera, simuyenera kuyikira thanzi lanu.
Mtundu 2 Ashuga
Kuthandizira thupi pobwezeredwa, ndikofunikira:
- Zakudya zochepa zamafuta ochulukirapo okhala ndi zakudya zamapuloteni ndi masamba osaphika,
- Kuwongolera ndi kuchepa thupi (monga lamulo, mtundu wachiwiri wa matenda ashuga umayamba kunenepa),
- Kutenga Metformin ndi mankhwala ena ochepetsa shuga,
- Kuyesedwa kwa magazi pafupipafupi ndi glucometer.
Ndi matenda a shuga a 2, ndikwabwino kupatula zakumwa zilizonse pazakudya: zimapha zikondamoyo, zimalepheretsa kuphatikiza kwa insulin, ndikusokoneza kagayidwe. Sikuti aliyense amamvetsetsa kuopsa kwa magalasi ochepa amowa mu zotere.
Kuphatikiza pa kutsika kwakuthwa kwa mashuga, zoletsa zina zimawonjezeredwa:
- Zakumwa zonse zomwe zimakhala ndi mowa ndi shuga (ngakhale mowa wochepa) siziphatikizidwa kwathunthu.
- Kusintha kwa kagayidwe kazakudya kale osasinthika, zakumwa zoledzeretsa zamtundu uliwonse zimasiyidwa kwathunthu.
- Ngati mumamwa vinyo (vinyo wofiirira wouma wokhala ndi mtundu wachiwiri wa shuga amaloledwa) ndi zakumwa zina "zosavulaza," mankhwalawa amachepetsa shuga ayenera kusintha kuti muchepetse vuto la matenda ashuga.
Zotsatira zowopsa kwambiri, chiyambi cha chitukuko chomwe sichitha kudziwikiratu musanamwe, kapena ngakhale pang'ono pambuyo pake, ndikutsika kwakukulu kwa shuga mumagazi a m'magazi. Izi zitha kuchitika m'maloto pomwe wodwala matenda ashuga samayendetsa bwino.
Vutoli limapezekanso poti, atamwa, wodwala matenda ashuga amatha kuphonya zizindikiro za hypoglycemia, popeza zimafanana ndi zizindikiritso za kuledzera pafupipafupi:
- Zosangalatsa pamtima
- Chikumbumtima Chosokonezeka
- Kuchulukitsa thukuta
- Mbale wamiseru
- Zovuta zamgwirizano,
- Gwiranani chanza
- Mutu
- Kuyankhula zopanda pake
- Akugona tulo.
Ngakhale achibale okwanira omwe ali pafupi sangathe kuzindikira kuopsa kwake ndikupereka thandizo lofunikira ndi hypoglycemia. Wovulazika kwambiri, amagwidwa ndi vuto, loopsa chifukwa cha kusintha kwa mtima wake ndi ubongo wake.
Ndikamwa iti ndikofunikira
Ngati simunganyalanyaze kuyitanidwa kuphwando, muyenera kusankha zakumwa zomwe zingavulaze pang'ono. Kodi ndingathe kumwa vodka chifukwa cha matenda ashuga?
M'malo mwa malo omwera mowa kapena champagne, ndikwabwino kumwa vodka, ndikuwona zonse zomwe mungachite:
Ngati mukusankha, ndibwino nthawi zonse kumwa kapu ya vinyo wofiira (250g), popeza zakumwa zamphamvu zimalepheretsa kuphatikiza mahomoni omwe amathandizira kuyamwa kwa chiwindi. Vinyo wofiira amakhala ndi ma polyphenols athanzi omwe amasintha kuwerenga kwa glucometer. Kodi ndingamwe vinyo wotani ndi matenda ashuga? The achire zotsatira akuwonetseredwa pamene kuchuluka kwa shuga mu vinyo sikupitirira 5%.
Amuna ambiri amawona mowa kuti ndiwo mankhwala osokoneza bongo kwambiri. Chomwacho chili ndi zopatsa mphamvu zambiri, popeza chimakhala ndi chakudya chambiri (taganizirani za chinthu chotchedwa "mimba ya mowa"). Chinsinsi chapamwamba cha mowa wa ku Germany ndi madzi, chimera, kadumphidwe, ndi yisiti. Mu matenda a shuga, yisiti ya brewer ndiyothandiza: amateteza kagayidwe, kubwezeretsa chiwindi. Zotsatira zake si mowa, koma yisiti. Mukusanthula kwamitundu yamakono yamowa, mwina sangakhale.
Kodi mowa ungakhale ndi matenda ashuga? Mlingo wovomerezeka:
- Mowa wabwino - 350 ml.
- Vinyo wouma - 150 ml.
- Zakumwa zamphamvu - 50 ml.
Mowa womwe ungayambitse hypoglycemia:
- Zakumwa zamphamvu - 50-100 ml.
- Vinyo ndi zotumphukira zake - 150-200 ml.
- Mowa - 350 ml.
Ndiyenera kusakaniza mitundu yosiyanasiyana ya mowa? Ndikofunika kuti zakumwazo zinali zochokera ku mtundu umodzi wa zopangira komanso zopatsa mphamvu zochepa. Gome limakuthandizani kuwona zomwe zili ndi zopatsa mphamvu za zakumwa zoledzeretsa.
Kutenga nawo mbali muzochitika ndi chakudya chokoma mtima chomwe sichingasiyidwe, wodwala matenda ashuga ayenera kuonana ndi endocrinologist wokhudza zakumwa zoledzeretsa. Nthawi zambiri, ndi thanzi labwino komanso kubwezeretsa shuga kwabwino, dokotala samaletsa vodika pang'ono kapena vinyo, malinga ndi kusamala konse.
Kumwa moledzera kwambiri zakumwa zoledzeretsa ngakhale kumachepetsa chiopsezo cha kufa kwa matenda ashuga osadalira insulin. Odwala omwe ali ndi matenda oopsa, ischemia, neuropathy, pyelonephritis ndi matenda ena okhudzana ndi matenda ashuga amatha kulandira choletsa.
Kodi ndizotheka kuti onse odwala matenda ashuga amwe mowa
Osaphatikiza mowa ndi shuga:
- Ndi chizolowezi cha hypoglycemia,
- Ngati pakati pa matenda achilendo ndi matenda am'mimba,
- Ndi nephropathy - Mitsempha umakhudza mitsempha yotupa,
- Ngati ma triglycerides apamwamba amayamba ndi mowa,
- Ndi matenda am'mimba komanso matenda a mtima,
- Ethanol mu kapamba amatsogolera ku matenda amitundu iwiri,
- Ngati pali zovuta monga hepatitis kapena cirrhosis,
- Mukalandira chithandizo ndi Metformin, chithandizo chodziwika bwino cha matenda a shuga a 2. Zotsatira zoyipa zimaphatikizapo lactic acidosis,
- Amayi othamanga komanso othamanga.
Kuthana ndi shuga ndi zofunika 5 nthawi, pafupipafupi. Chakudya chilichonse chimakhala chosiyana. Kovarna sachedwa hypoglycemia, pomwe vuto la matenda ashuga limachitika patatha maola angapo pambuyo poti thupi la ethanol lithe. Ndikosavuta kupulumutsa wozunzidwayo chifukwa cha kugwa lakuthwa kwa glycogen m'chiwindi. Glycogen sasintha kuchokera ku chiwindi kubwerera ku glucose.
Pakakhala vuto la mwadzidzidzi, chiwindi sichitha kubwezeretsanso nkhokwe zake mkati mwa masiku awiri atamwa mowa! Chochitika choterechi chitha kuchitika pambuyo pa kumwa kamodzi.
Anthu odwala matenda ashuga, makamaka mtundu wachiwiri, omwe adazindikira izi posachedwa, ndizovuta kuti azikhala ndi chakudya chokha, chomwe adaphunzitsidwa ali mwana. Koma kuzindikira kumawongolera zizolowezi, komanso kupewa zovuta, ziyenera kukumbukiridwa.
Kumwa sikofunikira kwambiri, ngakhale mwamwambo ndi chizindikiro cha tchuthi. Kupitiliza tchuthichi, ndikwabwino kusankha moyo wathunthu osamwa mowa, apo ayi mutatha kudya "madzi amoto" mutha kutha mosamala kwambiri.
Kodi ndingathe kumwa mowa wamagulu a shuga?
Kodi mowa wa ethyl komanso matenda ashuga ndizogwirizana? Pakati pa endocrinologists samasiya mikangano pankhaniyi. Ena amakhulupirira kuti kupezeka kwa matenda osokoneza bongo kumatanthawuza kuletsa mowa mopanda malire, pomwe ena, polankhula motsimikiza, saganiza kuti ndizovomerezeka. Ndiye kuti, odwala matenda ashuga amatha kumwa mowa, koma nthawi ndi nthawi. Ndikofunikira kudziwa kuchuluka kwa zakumwa zoledzeretsa, kuchuluka, ndi zakumwa zoledzeretsa zamtundu wanji. Kudziwa izi kudzakuthandizani kupewa zinthu zosasangalatsa.
Hypoglycemic kuchuluka kwa mowa mthupi
Kodi mowa wa ethyl umatha bwanji? Choyamba, mowa umasintha zomwe zimachitika m'njira zambiri zama metabolic. Izi zimachitika chifukwa chakuti mowa umadzaza chiwindi, womwe umakonzedwa, ndipo "umayimitsa pambuyo pake" zinthu zina zonse. Ethanol wapezeka kuti amachepetsa shuga la magazi. Izi zimatsatiranso mphamvu ya mowa pa chiwindi, chifukwa chiwindi chomwe chimagwira ntchito yopanga mowa sichikwaniritsa ntchito yake ina - kupatsa thupi shuga m'masitolo ake.
Izi zimabweretsa chiopsezo choyamba cha mowa kwa odwala omwe ali ndi matenda amtundu wa 1 - chiopsezo cha hypoglycemia ndi mowa wambiri wa ethanol. Izi zimayenera kukumbukiridwa kwa aliyense yemwe ali ndi matenda ashuga. Vutoli limatha kukula pang'onopang'ono, koma ndizovuta kwambiri kuti munthu atuluke. Zithandizo zamasiku onse, monga mapiritsi a shuga, nthawi zambiri sizithandiza pano. Nthawi zambiri wodwala amayenera kupita kuchipatala mwachangu. Vutoli limachitika chifukwa chakuti zizindikiro za kuledzera m'njira zambiri zimafanana ndi zizindikiro za hypoglycemia.
Zotsatira zina zovuta za mowa mu matendawa
Mowa umadziwika ndi zotsatira za ziwalo zosiyanasiyana, makamaka pamtima komanso pamanjenje. Zimakondwera kudzikundikira kwa cholesterol plaque pamakoma amitsempha yamagazi ndikuwonetsetsa kuti atherosclerosis ikukula. Mowa wa ethyl umakhudzanso chiwindi, ubongo, mtima, umathandizira vasoconstriction komanso matenda oopsa. Zowopsa zoledzeretsa ndikuti zikagwiritsidwa ntchito mwadongosolo, zimasokoneza kapamba. Chifukwa chake, ngati wodwala wodwala yemwe samadalira insulin amadwala kwambiri, ndiye kuti mapangidwe a insulini amayamba kuchepa m'thupi mwake, ndipo matendawa amakula.
China china chomwe muyenera kukumbukira kwa wodwala matenda a shuga ndikuti ethanol ndiwopamwamba kwambiri. Mtengo wake wa caloric ndi wapamwamba kuposa zopatsa mphamvu za calorie, chifukwa chiwindi chimapanga ethanol mu mafuta analogues - acetates. Chifukwa chake, ngati munthu amamwa pafupipafupi, ndiye kuti izi zitha kumuthandiza kunenepa kwambiri. Komanso, mowa umatha kukulitsa chidwi cha chakudya. Izi nthawi zambiri zimapangitsa kuti wodwala matenda ashuga azidye kwambiri komanso azilandira chakudya chambiri.
Kuphatikiza apo, ethanol imatha kudzutsa lakuthwa mu kuthamanga kwa magazi mwa odwala matenda ashuga.
Kudalira kwa zovuta za mowa pa mtundu wa zakumwa
Mitundu yosiyanasiyana ya mowa imakhala ndi shuga osiyanasiyana. Mwachitsanzo, mu zakumwa, zakumwa ndivinyo wokoma pali shuga wambiri. Mu vodka, cognac, vinyo wowuma komanso wopanda theka, m'malo mwake, ma carbohydrate amapezeka mu Mlingo wochepa. Kodi tikupeza chiyani pamenepa? Pabwino kwambiri matenda ashuga ndimamowa osapezekanso a carb okha.
Malinga ndi kafukufuku, vinyo wofiira wouma amakhala ndi zabwino kwambiri pamthupi, kuphatikizapo matenda ashuga. Amakhala ndi mankhwala apadera - ma polyphenols, omwe amalimbitsa kuchuluka kwa shuga m'magazi, komanso antioxidants. Mafuta a shuga m'mawayile oterewa sayenera kupitirira 5%. Izi ndi mitundu youma kapena theka-youma. Kuti musalakwitse, ndibwino kuyang'ana chizindikiro. Mowa wapamwamba kwambiri umayenera kumwa. koma osati ma swipes ochokera pachifukwa chosamveka. Odwala odwala matenda ashuga amalangizidwa kuti asamamwe vinyo wopitirira 200 ml patsiku.
Nanga bwanji zakumwa zoledzeretsa zokhala ndi matenda ashuga? Ndi matendawa, sizingathandize kudya zakudya zamafuta ambiri. Chifukwa chake, zakudya zotsekemera monga zakumwa, zakumwa, zotsekemera, zakumwa zoziziritsa kukhosi, siziyenera kuphatikizidwa ndi zakudya za odwala omwe ali ndi matenda ashuga.
Kodi mungakhale ndi mowa wambiri bwanji ndi matenda ashuga?
Ngati ethanol ndi shuga zikugwirizana, ndiye pokhapokha ngati mowa watengedwa pamaziko a malonda, m'malo mopitilira. Mowa ndi matenda ashuga sizigwirizana. Kuphatikiza apo, pali matenda angapo omwe kuletsa kumwa mowa ndi odwala matenda ashuga kumakhala kokwanira:
- aakulu aimpso kulephera
- kulephera kwa mtima
- matenda a mtima
- kapamba
- gout
- okwera magazi triglycerides,
- chizolowere
- hepatitis kapena matenda enaake,
- ketoacidosis
- shuga wowonjezera shuga (shuga m'magazi kuposa 12 mmol / l).
Zotsatira za kumwa mowa mwa izi zimatha kukhala zoopsa.
Mlingo uti womwe umavomerezeka? Mlingo wa zakumwa zomwe zikulimbikitsidwa kuti zigwiritsidwe ntchito zimatengera mtundu wa matenda ashuga (1 ndi 2), jenda la wodwalayo, kupezeka kwa matenda owonjezera, mphamvu ya chakumwa ndi kuchuluka kwa chakudya chamagalamu. Ngati tikulankhula za zakumwa zoledzeretsa zochepa, monga vinyo, tikulimbikitsidwa kuti musamamwa zosaposa 200-300 ml patsiku. Mowa ndi matendawa aledzera mwanjira zina zazikulu - mpaka 350-500 ml (kutengera mphamvu). Ngati tikulankhula za zakumwa zoledzeretsa (pafupifupi 40 °) - ndiye kuti amamwa moledzera osaposa 75 ml. Kwa amayi omwe ali ndi matenda ashuga, muyezo uwu uyenera kuchepetsedwa ndi 2 times. Ndipo nkoyenera kufotokozera kuti sitikunena za mitengo yapakati tsiku ndi tsiku, koma zopatsa za tsiku ndi tsiku zokwanira. Kumwa odwala matenda ashuga samaloledwa tsiku lililonse. Kutalika kwambiri kwa mowa kuli katatu pa sabata.
Mowa wapa matenda ashuga amtundu woyamba
Pankhaniyi, mphamvu ya mowa imaphatikizidwa ndi zochita za insulin ya munthu. Glycogen simalowa m'chiwindi ndipo shuga m'magazi sabwezeretseka. Komanso, mowa amadziwika ndi kuwonjezeka kwa zotsatira za hypoglycemic zamankhwala ena. Chifukwa chake, milingo ikuluikulu ya mowa, makamaka yamphamvu, imatha kubweretsa kukula kwa hypoglycemia - imodzi mwazovuta za matenda ashuga. Nthawi zambiri, amakula maola 7-8 pambuyo pomaliza kumwa.
- kunjenjemera
- thukuta
- kumverera kwa mantha
- mutu
- tachycardia
- kuchepa kwa masomphenya
- njala yayikulu
- kusakhazikika
- kufooka
- chizungulire.
Mkulu mlingo wa mowa, nthawi yambiri imadutsa isanayambike zizindikiro za hypoglycemia. Popewa izi, patsiku lomwe mukuyenera kumwa mowa, ndikofunikira kuchepetsa pafupipafupi insulin pafupifupi kawiri. Muyenera kuyang'ananso kuchuluka kwa shuga. Chifukwa chake, muyenera kukhala ndi glucometer nthawi zonse, ngakhale mutabwera. Nthawi yoyamba yomwe muyenera kuyeza glucose musanayambe kumwa. Ngati shuga ndi ochepa, ndiye kuti simuyenera kumwa. Kapenanso kumwa mankhwala othandizira shuga, kapena zinthu zina zokhala ndi shuga. Tiyenera kukumbukira kuti amamwa mowa pokhapokha ngati akamwe mowa. Palibe chifukwa choti wodwala matenda ashuga azimwa pambuyo pochita masewera olimbitsa thupi kapena mthupi, zomwe zimachepetsa kuchuluka kwa glycogen m'chiwindi.
Ndikulimbikitsidwa kumwa magawo a shuga kangapo pamadyerero. Koma chinthu chofunikira kwambiri ndikuyeza glucose musanagone, chifukwa kukula kwa hypoglycemia nthawi yogona sikungawonedwe ndi munthu. Mulimonsemo, ndikofunikira kutsatira muyeso. Kupatula apo, kumwa mowa kumatha kuyambitsa chisokonezo, chomwe chingalepheretse munthu kumwa mankhwala oyenera. Kumbukirani kuti kugwiritsa ntchito glucagon ku mowa hypoglycemia sikuthandiza.
Kuphatikiza apo, zizindikiro za hypoglycemia zimafanana kwambiri ndi zizindikiro za kuledzera - kusokonezeka kwamalingaliro, kusalankhula. Chifukwa chake, pali chiopsezo chakuti wodwala yemwe ali ndi vuto lofananalo adzalandiridwa kuti ndi chidakwa, mwachitsanzo, ngati abwerera kunyumba pambuyo pa phwando. Izi zidzakulimbikitsidwa ndi kununkhira kwa mowa wochokera kwa munthu. Zotsatira zake, nthawi yofunika kuthandizira idzaphonye. Chifukwa chake, pazinthu zotere ndikofunikira kukhala ndi zikalata zachipatala ndi inu, zomwe zingasonyeze kuti munthu akudwala matenda ashuga.
Zina mwa zakumwa zoledzera zamtundu 2
Ndi mtundu woperewera wa shuga, kumwa mowa moyenera nthawi imodzi ndikololedwa. Ngakhale zochitika za hypoglycemic ndizodziwika bwino za mowa, sizoyenera kuyembekeza kuti zitha kusintha mankhwala ochepetsa shuga, popeza kuvulazidwa kwambiri kumapindulitsa.
Kumwanso sikumaloledwa kwa anthu omwe amakonda kumwa mankhwala otchuka ngati shuga a metformin. Kugwiritsa ntchito mowa ndi metformin kumachulukitsa kwambiri chiopsezo chovuta kwambiri - lactic acidosis. Ndipo poganiza kuti mankhwalawa amadyedwa ndi 90% ya odwala matenda a shuga a 2, funsoli limakhala lanzeru la kumwa zakumwa zoledzeretsa matendawa. Pokhapokha tikulankhula za kapu imodzi ya vinyo wouma (mpaka 200 ml) kapena kapu ya chakumwa chachikulu (mpaka 50 ml) patebulo la chikondwerero.
Komanso, musamamwe mankhwala okoma a shuga omwe ali ndi mtundu wachiwiri wa shuga: zakumwa zoledzeretsa, zakumwa zotsekemera, makamaka zotetezedwa, champagne okoma. Wodwalayo akamamwa zakumwa zotere, izi zimapangitsa kuti azidumphadumpha wamagazi, ndipo zakumwa za hypoglycemic sizithandiza pano.
Musanamwe mowa, ndikofunikira kuyeza kuchuluka kwa shuga. Ngati zidutsa 10 mmol / l, kumwa kuyenera kutayidwa. Ndi shuga wowonjezera, simungamwe mowa. Komanso, ngati munthu amamwa zoposa katatu pa sabata, ngakhale osapitirira muyeso wa tsiku ndi tsiku, ndiye kuti izi zimakhudza thanzi lake.
Mfundo zoyenera kugwiritsa ntchito moyenera ndi munthu wodwala matenda ashuga
Ndizofunikanso osati zomwe munthu amamwa kwenikweni, komanso kuchuluka kwake, koma motani. Ngati mungasankhe kumwa mowa, muyenera kuchita izi mutatha kuwona zina. Kumbukirani kuti iwo samamwa pamimba yopanda kanthu ndikuchita masewera olimbitsa thupi. Musanamwe mowa, ndi bwino kudya pang'ono. Chakudya chabwino kwambiri ndi chakudya chamafuta owonjezera, monga buledi kapena mbatata. Zakudya zamafuta izi zimaphwanyidwira pang'onopang'ono ndipo zimasokoneza chiwopsezo cha hypoglycemia. Kuphatikiza apo, amachepetsa kuyamwa kwa mowa. Komanso, simuyenera kusakaniza mitundu ingapo ya zakumwa zoledzeretsa.
Kodi mowa umamukhudza bwanji wodwala matenda ashuga?
Chofunikira kwambiri pakulipira matenda a shuga ndikutchingira zovuta zomwe zingachitike ndikusunga zomwe zili zofunikira m'magazi.
Izi zitha kuchitika pogwiritsa ntchito malamulo osavuta:
- tsatirani zakudya zapadera, zomwe zimaletsa tsiku lililonse chakudya chamagulu,
- kumwa mankhwala kuti muchepetse magazi, omwe ndi amitundu iwiri yamatenda,
- kuchita malinga ndi dokotala jekeseni waufupi komanso wautali wa insulin (kofunikira pa matenda a 1 matenda a shuga).
Anthu ambiri omwe adakumana ndi matenda a matenda a shuga amakhalanso ovuta kupeza njira yatsopano, komanso kusiya zakudya zomwe nthawi zonse, komwe nthawi zina kapena pa tchuthi chokha, koma zidali zakumwa zoledzeretsa. Ichi ndichifukwa chake ndikofunikira kuti wodwala aliyense adziwe ngati mitundu yosiyanasiyana ya mowa imagwirizana ndi zakudya zomwe zimalimbikitsidwa ndimatendawo, komanso mtundu wanji wazomwe umabweretsa sizivuta kwenikweni.
Njira mu thupi motsogozedwa ndi mowa:
- Kuchuluka kwa shuga komwe kumapangidwa ndi chiwindi kumayendetsedwa m'magazi, zomwe zimapangitsa kuti katunduyo azikhala wolimba. Pakakhala kufunika kwa glucose kosayembekezeka, chiwindi sichitha kubwezeretsanso panthawi yake zonse chifukwa chakumasulidwa kwa glycogen.
- Zakudya zomwera thupi zomwe zimatengedwa ndimunthu limodzi ndi mowa zimamwa kwambiri pang'onopang'ono, zomwe zimakhala zowopsa kwambiri kwa anthu omwe ali ndi matenda amtundu woyamba, pamene insulin imalowetsedwa m'thupi, ndikupanga owonjezera. Kuchuluka kwa mahomoni panthawi yomwe amamwa mowa kumabweretsa kufa ndi maselo ndipo kumatha kuyambitsa thanzi la munthu. Ngati aledzera, anthu odwala matenda ashuga amatha kuphonya zizindikiro zoyambirira za hypoglycemia, ndiko kuti, kugwa kwakuthwa m'magazi a shuga, akumaganizira zakukhosi kwawo pakumwa zakumwa zoledzeretsa.
- Mowa, monga kusiyanasiyana pamakonzedwe a wodwala, ali ndi zopatsa mphamvu zambiri. Tiyenera kukumbukira kuti popanga mowa palibe zinthu zofunikira pakuchita nawo njira za metabolic, chifukwa chake zimayambitsa kuchuluka kwa lipids m'mwazi ndi kunenepa kwambiri, zomwe zimakhala zowopsa kwa odwala matenda ashuga.
- Matenda omwe alipo a chiwindi ndi impso akuwonjezereka, ndipo njira zosiyanasiyana zamtima zimakundidwanso.
- Pambuyo pakumwa mowa, chilimbikitso chimawonjezeka, kotero munthu amatha kuyamwa mosadziletsa, zomwe zimatsogolera thupi ku hyperglycemia (kuwonjezeka kwakukulu kwa mtengo wa shuga wamagazi).
- Mowa wa Ethyl, womwe ndi gawo la kupanga mowa, umapangitsa kugonjetsedwa kwa mitsempha yapadera.
Ndikofunika kukumbukira kuti odwala matenda ashuga amayenera kumwa mankhwala enaake pakanthawi kochepa kuti magazi asatayike komanso kuti achepetse zovuta zomwe zingayambike chifukwa cha zovuta zomwe sizigwirizana ngakhale ndizochepa kwambiri zamtundu uliwonse wa zakumwa zoledzera.
Kodi ndi mitundu iti ya mowa yomwe imakonda shuga?
Mukamasankha mowa, odwala matenda ashuga ayenera kuyang'anira machitidwe angapo nthawi imodzi:
- kuchuluka kwa chakudya chopatsa thanzi monga zowonjezera zosiyanasiyana zomwe zimapangitsa mowa kukhala ndi kukoma kwambiri ndikuwonjezera zomwe zili muzole za calorie.
- kuchuluka kwa mowa wa ethyl mu zakumwa.
Malinga ndi akatswiri ambiri pankhani yazakudya, 1 g ya mowa weniweni ndi 7 kcal, ndipo mafuta omwewo ali ndi 9 kcal. Izi zikuwonetsa kuti zili ndi zopatsa mphamvu zambiri zogulitsa zakumwa zoledzeretsa, chifukwa chomwa mowa kwambiri zimapindulitsa kwambiri.
Pofuna kupewa kunenepa kwambiri, anthu omwe ali ndi matenda ashuga amaloledwa kumwa zakumwa zotentha zotsatirazi:
- vodka / cognac - osapitirira 50 ml,
- vinyo (wouma) - mpaka 150 ml,
- mowa - mpaka 350 ml.
Mitundu yoletsedwa ya mowa ndi monga:
- zakumwa
- ma cookta okoma, omwe amakhala ndi zakumwa zozizilitsa kukhosi, komanso timadziti,
- chosowa
- mchere ndi viniga wokhala ndi mpanda wolimba, zotsekemera komanso zowoneka bwino.
Ndikofunikira kukumbukira kuti mowa amayenera kumamwa pang'ono, m'malo ochepa komanso nthawi yayitali.
Gome limawonetsera zowonetsa zakumwa zoledzeretsa:
Vinyo ndi Champagne
Beer (zomwe zikusonyeza gawo louma)
Kodi ndizotheka kuti ziume vinyo?
Vinyo, m'malingaliro a anthu ambiri komanso akatswiri azakudya, ndiye chakumwa chokhachokha chomwe, chimagwiritsidwa ntchito pambiri, chimapindulitsa thupi. Izi ndichifukwa choti pakupanga mowa kotereku pali zinthu zina zomwe zingachepetse kuchuluka kwa shuga m'magazi ndikubwezeretsanso chidwi cha insulini. Ichi ndichifukwa chake ndikofunikira kudziwa kuti pali mowa uti womwe ungakhale ndi mphamvu yothandizira thupi.
Kuphatikiza pazakumwa za calorie za zakumwa, gawo lofunikira limaseweredwa ndi utoto, zomwe zimatengera luso la zopanga, chaka, mitundu ndi malo okolola mphesa. M'mawayilesi akuda mumakhala mankhwala ena a polyphenolic omwe ndi othandiza thupi, pomwe mitundu yopepuka ilibe. Ichi ndichifukwa chake njira yabwino kwa odwala matenda a shuga imakhala vinyo wouma wouma kapena wowuma.
Kodi mowa umakhudza bwanji anthu odwala matenda ashuga?
Mowa, chifukwa cha chakudya chake chamafuta ambiri, amadziwika kuti ndi mowa wambiri wa calorie. Kugwiritsidwa ntchito kwa mowa kwamtunduwu ndi munthu wodwala matenda a shuga a 2 sikungayambitse vuto lalikulu, koma wodwala wodalira insulin angayambitse hypoglycemia.Ngakhale zakumwa zimakoma kwambiri, mulingo wa insulin musanamwe uyenera kuchepetsedwa kuti musatseke shuga.
Kumwa mowa kumatheka pokhapokha kusinthasintha kwakuthwa kwa shuga m'magazi, komanso shuga yowonjezera.
Zotsatira za kumwa mowa
Kumwa mowa ndi anthu omwe ali ndi matenda ashuga kumatha kumabweretsa zotsatirapo zoopsa komanso zoopsa pamoyo.
Izi zikuphatikiza:
- Hypoglycemic chikomokere - mkhalidwe wakuthupi momwe shuga amachepetsedwa kukhala zofunikira zochepa.
- Hyperglycemia - mkhalidwe womwe mtengo wa glucose umakhala wokwera kwambiri kuposa wabwinobwino. Coma imatha kukhalanso ndi shuga.
- Kupita patsogolo kwa matenda ashuga, zomwe zimadzipangitsa kumverera patsogola ndipo zimawonekera mu mawonekedwe a zovuta (nephropathy, retinopathy, polyneuropathy, diabetesic angiopathy ndi ena).
Nthawi zambiri, mukamwa mowa, hypoglycemia imakula, kuchuluka kwa insulin kapena mapiritsi ndikofunikira kuposa momwe amafunikira. Ngati munthu wasowa mbira zoyambirira zamtundu wotere (kunjenjemera, thukuta kwambiri, kugona, kusowa chonena), zokhazokha sizingamuthandize kuti ayambenso kuzindikira. Njira monga glucose wamkati imagwiritsidwa ntchito ndipo mwina ingafunike kuti mukhale kuchipatala.
Kanema wokhudza zakumwa zakumwa za thupi:
Momwe mungachepetse kuvulaza?
Mutha kupewa zovuta zosafunikira kwa thupi kuledzera mwa kutsatira malamulo ofunikira:
- Osamamwa mowa pamimba yopanda kanthu. Ndipo sizoletsedwa kudya chakudya chokwanira ndi mowa, kuti musalimbikitsenso kumva njala. Musanamwe mowa, muyenera kukhala ndi zakumwa.
- Mukamamwa zakumwa zoziziritsa kukhosi, ndikofunikira kudya chakudya chokwanira kuti muchepetse vuto la hypoglycemia.
- Vinyo ayenera kuchepetsedwa ndi madzi oyera oyeretsedwa kuti muchepetse zopatsa mphamvu.
- Mukamamwa komanso kumwa, muyenera kuyeza kuchuluka kwa shuga m'magazi. Kuwongolera izi ndikulimbikitsidwa kuti musamukire kwa abale ake yomwe iyenera kuchenjezedwa pasadakhale za zakumwa zoledzeretsa komanso kuopsa kwake.
- Ndikofunikira kumwa mowa wochepa chabe ndikuwonetsetsa kuti mutha kusintha mankhwalawa malinga ndi gawo lomwe mwalandira la zakumwa zoledzeretsa.
- Pofuna kupewa kukwera kwambiri kwa shuga, musamamwe mitundu yoletsedwa ya mowa.
- Pambuyo pa mowa, zolimbitsa thupi ziyenera kuthetseratu.
- Sizoletsedwa kuphatikiza mitundu yosiyanasiyana ya mowa.
- Ndikofunikira kuti muwongolere kuchuluka kwa mafuta ndi zopatsa mphamvu zomwe mumadya kuti musinthe shuga yanu pakapita nthawi ndi jakisoni wa insulin kapena mankhwala.
Zitha kukhala zovuta kuti munthu amene ali ndi matenda ashuga azisankha yekha zomwe amakonda. Koma ndikofunikira kumvetsetsa kuti matendawa amafunikira kutsatira malamulo okhwima okhudzana ndi zakudya kuti tipewe zovuta zoopsa.
Mowa, ngakhale umabweretsa kanthawi kochepa m'moyo wa munthu, sichinthu chofunikira, popanda zomwe sizingatheke kukhalapo. Ichi ndichifukwa chake anthu omwe ali ndi matenda ashuga ayenera kuletsa chidwi chofuna kumwa mowa momwe angathere, kapena osunga malangizo onse omwe atchulidwa pamwambapa akamamwa.
Pali mitundu iwiri yayikulu ya matenda ashuga.
Mtundu woyamba wa shuga amakula pamene thupi silipanga insulini yokwanira, chifukwa maselo a kapamba amayambitsa. Cholinga cha izi ndi:
- Choyipa
- Kuyankha kwa autoimmune ku kachilomboka kapena kachilomboka pamene thupi liyamba kudzilanga lokha.
Monga lamulo, mtundu uwu wa shuga umapezeka mwa anthu osakwana zaka 40, ndipo ndizosatheka kuziletsa, tsoka. Nthawi yomweyo, mtundu 1 wa shuga siwofala kwambiri, ndipo umakhala pafupifupi 10% ya milandu.
Type 2 shuga amakula pamene thupi limapangabe insulini, koma mwina sizichita mokwanira, kapena thupi limadziteteza. Zomwe zimayambitsa kuphwanya izi zikuphatikizapo:
- Kunenepa kwambiri komanso kusachita masewera olimbitsa thupi. Mwa anthu omwe ali ndi kuchuluka kwamafuta ambiri pamimba, chiopsezo chotenga matenda amtundu wa 2 ndichambiri.
- Zofanana zonse zamtundu.
Matenda a shuga a 2 amapezeka kawirikawiri kwa anthu azaka zopitilira 40, nthawi zambiri mwa amuna. Komabe, masiku ano wokhala ndi matendawa ana ndi achinyamata ambiri akukumana ndi matenda onenepa kwambiri komanso onenepa kwambiri. Kukula kwakukulu, izi zikugwira ntchito kwa okhala m'maiko otukuka, komanso anthu aku Asia, Latin America ndi Afro-Caribbean. Mwa achikulire omwe ali ndi matenda ashuga, 90% ali ndi matenda ashuga 2.
Zizindikiro Za Matenda A shuga
Zizindikiro zazikulu za matenda ashuga ndi:
- Kuyamwa mwachangu, makamaka usiku
- Udzu wokhazikika
- Kutopa kwambiri
- Kuchepetsa thupi osafotokoza
- Kuyabwa kwamitundu kapena pafupipafupi candidiasis
- Kuchira pang'onopang'ono kwa mabala ndi mabala
- Kuwona koperewera.
Zizindikiro za matenda amtundu woyamba 1 nthawi zambiri zimakhala zowonekera ndipo zimayamba mwachangu patangopita milungu yochepa. Koma akalandira chithandizo choyenera kwa iwo, amazimiririka mwachangu.
Ponena za matenda a shuga a mtundu wachiŵiri, zizindikiro zake mwina sizingaonekere konse. Matendawa amakula pang'onopang'ono, nthawi zina mpaka zaka zingapo, ndipo amatha kupezeka pokhapokha ngati mukumupima pafupipafupi. Komabe, monga momwe amachitira ndi matenda amtundu woyamba 1, matendawa amatha mofulumira mukalandira chithandizo choyenera.
Kumwa mowa kumatha kuyambitsa matenda ashuga
Pali njira zitatu zomwe kumwa kwambiri kumayambitsa matenda ashuga:
- Kumwa pafupipafupi komanso mosasamala kumapangitsa chidwi cha thupi ku insulin, ndikupangitsa matenda a shuga a 2.
- Matenda a shuga ndi njira imodzi yodziwika yomwe imayambitsa matenda a pancreatitis, nthawi zambiri omwe amayamba chifukwa cha chidakwa.
- Mowa uli ndi zopatsa mphamvu zochuluka. Galasi imodzi yamowa ikhoza kufananizidwa ndi chidutswa cha pizza. Ndiye kuti, uchidakwa ungayambitse kunenepa kwambiri ndikukula kwa matenda ashuga amtundu wa 2.
Omwe amamwa tiyi komanso zidakhwa ali ndi mwayi wofanana wodwala matenda ashuga
Milingo yaying'ono ya mowa imatha kukulitsa chitetezo cha thupi pakulimbana ndi matenda ashuga. Malinga ndi lipoti la 2005 lomwe liphatikiza maphunziro 15 am'mbuyomu omwe amaphatikiza mowa ndi matenda ashuga, anthu omwe amamwa mowa pang'ono (1-6 servings patsiku) ndi gawo limodzi mwa magawo atatu aliwonse omwe amakhala ndi matenda ashuga amtundu wa 2 poyerekeza ndi anthu omwe samamwa konse komanso ndi zidakhwa. Asayansi amati izi zimachitika chifukwa chakuti kuchuluka kwa moledzera kumapangitsa kuti thupi lizitenga insulin.
Kuopsa kwa matenda ashuga
Mu shuga, shuga wambiri omwe akubwera amakhalabe m'magazi motero, sagwiritsidwa ntchito ngati mphamvu. Thupi limayesetsa kutsitsa kuchuluka kwa glucose m'magazi, ndikuchotsa zochuluka ndi mkodzo.
Odwala omwe ali ndi mankhwala a insulin amatha kukhala ndi shuga ochepa. Matendawa amadziwika kuti hypoglycemia, ndipo zizindikiro zake ndi monga:
- Mawu olankhulidwa
- Mutu
- Chisokonezo
- Masomphenya owirikiza
- Khalidwe losayenera
Ndi hypoglycemia, kumwa mowa kumatha kukhala koopsa kwambiri, chifukwa anthu angakulakwireni chifukwa chomwa, osazindikira kuti mukufunika chithandizo chamankhwala mwadzidzidzi. Kugwiritsa ntchito kwambiri kumathandizanso kukulitsa mwayi wokhala ndi hypoglycemia, chifukwa kupatsidwa kanthu pamimba yopanda kanthu kumalepheretsa chiwindi kuti chipeze shuga. Mwachitsanzo, pali kuthekera kwakukulu kokumana ndi hypoglycemia m'mawa pambuyo pagulu lamkuntho.
Ngati mukuwonongeka kwa mitsempha chifukwa cha matenda ashuga, kumwa mowa kumatha kukulitsa vutoli mwa kukulitsa ululu, kunjenjemera, dzanzi ndi zizindikiro zina.
Kuphwanya Zabodza Za Shuga
Inde, matenda ashuga sangatenge kachilomboka, chifukwa chake, amatetezedwa kwathunthu ku izi. Komabe, zili m'manja mwanu kuti muchepetse zinthu zomwe zingayambitse matenda ashuga a 2.
- Mosiyana ndi zomwe ambiri amakhulupirira, chakuti kudya maswiti ndi shuga pafupipafupi sizimayambitsa matenda ashuga, koma zimayambitsa kulemera.
- Kupsinjika sikungayambitse matenda ashuga, ngakhale kungakulitse kwambiri zomwe zikuwonetsa.
- Ngozi kapena matenda sangayambitse matenda ashuga, koma amatha kuiwonetsa, ngati alipo.
Onetsetsani kuchuluka kwa mowa
Ndikotheka kuchepetsa pang'ono chiopsezo chotsatira thanzi lanu potsatira malangizo omwe amamwa mowa wambiri. Nazi njira zitatu zazikulu zochitira izi:
- Idyani pomwe. Zakudya zopatsa thanzi, zopatsa thanzi musanamwe ndi zakudya zazakumwa panthawi ya kumwa zimachepetsa kuyamwa kwa mowa. Izi ndizofunikira makamaka ngati muli ndi matenda ashuga. Mowa umachepetsa shuga la magazi, chifukwa chake muyenera kudya zakudya zamafuta ambiri opatsa thanzi kuti zitheke.
- Werengani kuchuluka kwa mowa womwe mumamwa. Ngati mulibe chitsimikizo kuti mutha kukhalabe munthawiyo, gwiritsani ntchito pulogalamu ya Drinkaware kapena zina. Kuphatikiza apo, zimathandizanso kuwona kuchuluka kwa zopatsa mphamvu zomwe zili mwa oledzera ndipo zimawonetsa zofananira zowoneka mu burger, kebabs ndi donuts.
- Dziwani muyeso wanu. Zolemba za mowa nthawi zonse zimawonetsa zakumwa za volumetric. Kunena pang'ono, onse akuwonetsa kuchuluka kwa chakumwa ichi chomwe chiri mowa wamphamvu, ndipo mtengo wake umasiyana kwambiri. Mwachitsanzo, ma ales ena amatha kukhala ndi mowa wa 3.5%, pomwe ena olimba amatha kukhala ndi 6%. Izi zikutanthauza kuti kapu yophika ngati imeneyi ikhoza kukhala ndi zakumwa zoposa zitatu, ndipo muyenera kuyang'anira kuchuluka kwawo.