Kodi kumwa mowa moyenera?

Malinga ndi ofufuzawo, kuti mupulumutsidwe ku matenda ovuta muyenera kumwa pang'ono, koma nthawi zambiri

07/28/2017 nthawi ya 14:08, malingaliro: 8473

Chifukwa cha kafukufuku wofunitsitsa, asayansi aku Danish adazindikira kuti sizinachitike mwadzidzidzi: zimapezeka kuti kumwa pang'ono koma kumakhala kokhazikika kumachepetsa mwayi wokhala ndi matenda ashuga. Zotsatira za phunziroli zimasindikizidwa mu magazini yotchedwa Diabetesologia.

Kwa zaka zisanu, asayansi adaphunzira za uchidakwa wa anthu opitilira 70,000 aku Denmark. Chifukwa cha zoyesa zazitali, ofufuzawo adazindikira kuti mwayi wokhala ndi matenda osokoneza bongo umangodalira kuchuluka kwa mowa womwe umamwa, komanso kuchuluka kwa mowa womwe umamwa.

Chifukwa chake, makamaka, zidapezeka kuti pakati pa amuna omwe amamwa moyenera, koma nthawi zambiri chiopsezo cha matenda a shuga amachepetsa ndi 27%, kwa azimayi, chiopsezo chimatsika ndi 32%. Nthawi yomweyo, anthu omwe amamwa katatu mpaka kanayi pa sabata kapena kamodzi, koma asanapulumutsidwe zolemetsa, anali othekera kuposa ena kukhudzidwa ndi matenda a shuga.

Nthawi yomweyo, asayansi adawona kuti zofunikira kwambiri pa zakumwa zonse zakumwa zoledzeretsa ndizowona mu vinyo, zomwe, chifukwa cha ma polyphenols amatsenga, adalimbikitsa kukula kwa shuga m'magazi. Beer adachita zochepa pang'onopang'ono pankhaniyi, ngakhale ndizabwinobwino kuti amuna azithandiza, zilibe vuto kwa amayi.

Nthawi yomweyo, kuchuluka kwa zakumwa zoledzeletsa komanso zakumwa zoledzeretsa sizikhudza kukula kwa matenda ashuga, ofufuza adatero.

• Zosangalatsa kwambiri
• Mwa mutu
• Ndemanga

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Zotsatira za kumwa mowa

Ngati munthu akuganiza zakumwa pang'ono pang'ono, pali zinthu zingapo zofunika kuziganizira zotsatira zake.

Kupewa zotsatira, pali zinthu zomwe zingachitike:

1. Ngati m'mbuyomu panali zovuta zazikulu zokhudzana ndi mowa ndipo pakadali pano osamwa, ndiye kuti izi zitha kukhala zowopsa.
2. Ngati pakalipano mukumwa mowa wambiri, muyenera kuchepetsa chiopsezo chanu pakuchepetsa.

Nthawi zina, zotsatira za kumwa mowa zingakhale zazikulu kwambiri ngati:

• omwe adapezeka kuti ali ndi zakumwa zoledzeretsa kapena ali ndi banja lolimba la uchidakwa
• khalani ndi matenda a chiwindi kapena kapamba
• kulephera kwa mtima kapena mtima wofooka
• Mankhwala kapena mankhwala othandizira omwe amatha kuyenderana ndi mowa amagwiritsidwa ntchito
• anali ndi matenda a hemorrhagic (ngozi yamitsempha).

Kumwa Mowa

Kumwa kumatanthauza kumwa zakumwa zopitilira zitatu patsiku lililonse kapena kuposa zakumwa 9 pa sabata kwa amayi ndi abambo opitilira 65 ndi zoposa zakumwa zinayi patsiku lililonse kapena kuposa zakumwa 12 pa sabata kwa abambo azaka 65 kapena kuposerapo.

Kumwa kumatanthauza zakumwa zinayi kapena kupitilira apo mu maora awiri kwa akazi ndi zakumwa zisanu ndi chimodzi kapena kupitilira apo mu maola awiri kwa amuna.

Zotsatira zakumwa zakumwa zimatha kuwonjezera zovuta za matenda akulu, kuphatikizapo:

• Khansa zina, kuphatikizapo chifuwa, mmero, ndi kum'mero
• Pancreatitis
• Kufa mwadzidzidzi ngati muli kale ndi matenda amtima
• Kuwonongeka kwa minofu ya mtima (alcoholic cardiomyopathy) kumabweretsa kulephera kwa mtima
• Stroko
• Kuthamanga kwa magazi
• Matenda a chiwindi
• Kudzipha
• Kuvulala kwambiri kapena kufa.
• Kuwonongeka kwa ubongo ndi mavuto ena mwa mwana wosabadwa
• Mowa kusiya matenda

Imwani mowa pang'ono komanso osamwa konse.

Komabe, ngati mumamwa mowa ndipo muli athanzi, imwani moyenera komanso mosapumira. Chiwerengero chochepa chomwe chimakhala ndi phindu lathanzi, koma chiwopsezo. Tiyenera kumvetsetsa kuti pankhani ya mowa, chinsinsi chake ndichofunika kwambiri.

Nazi malingaliro apamtima pa ubale pakati pa mowa ndi thanzi.

Kumwa mowa kumatha kukonza thanzi.

Gwiritsani ntchito bwino phindu la kumwa mowa pang'ono.

Mowa wochepa mu thupi ukhoza kupereka zabwino zina zathanzi, monga:

• muchepetse chiopsezo chotenga ndi kufa ndi matenda a mtima
• ichepetse chiopsezo cha kusokonezeka kwa ischemic (pamene mitsempha yaubongo itachepa kapena kutsekeka, ndikupangitsa kuti magazi ayambe kuchepa)
• chiopsezo cha matenda a shuga chingachepe.

Ngakhale pali umboniwu, zopindulitsa za zakumwa zitha kukambidwa payekhapayekha.

Kumwa mowa kwambiri kungakhale kothandiza kwambiri ngati pali zinthu zina zomwe zingachitike. Komabe, pali zinthu zina zomwe zingachitike kuti mukhale ndi thanzi la mtima kupatula kumwa. Mwachitsanzo, zakudya zabwino komanso zolimbitsa thupi zomwe zimakhala ndi kafukufuku wodalirika, wotsimikiziridwa.

Kafukufuku wina akuwonetsa kuti wina yemwe amamwa pang'ono mosamala amathandizira kupsinjika, khansa, ndi matenda amtima.

Vutoli ndilakuti: ndani amamwa mowerengeka? Ngati kumwa moyenera kungathandize kuchepetsa mavuto oyipa, monga kulemera kwambiri ndi zovuta zambiri zama metabolic, ndiye kuti titha kumaganizira kuti kumwa mowa kwambiri kumatha kukonza thanzi.

Malangizo Ogwiritsa Ntchito Mwanzeru

Ndi kumwa moyenera ndizofunikira kulipirira zinthu zathanzi.

1. Idyani mapuloteni opanda malire.

Mapuloteni ndiye chinthu chokhutiritsa kwambiri, zomwe zikutanthauza kuti 20-30% ya ma calories omwe amapezeka mu mapuloteni amagwiritsidwa ntchito kokha kwa thupi.

Zina mwazitsanzo zabwino ndi nkhuku yokazinga, tchizi tchizi, tuna, ndi mapuloteni mu mawonekedwe a ufa.

1. Idyani zamasamba obiriwira osatha.

Ndikofunikira kuti zakudya zam'magazi azikhala bwino. Ndikofunika kuti micronutrients ochokera masamba obiriwira ndi zakudya zabwino. Amakhala ochepa ma calories komanso okwera mu fiber. Izi zimathandiza kukhala chokwanira tsiku lonse ndikuwongolera kusinthasintha kwa shuga m'magazi.

Kusankha bwino masamba obiriwira ndi: sipinachi, kabichi, kabichi ya broccoli ndi zonunkhira zina.

1. Imwani zakumwa zochepa zam'mafuta.

Ngati mowa, ndiye kuti pali ma calories 1600 mu 2 malita a mowa. Ndizofanana zofanana ndi pizza ya 30 cm.

Gwero labwino kwambiri la mowa wotsika mu chakudya ndi: vodka. Mavinyo oyera owuma amakhalanso ndi zakudya zochepa, koma samakhala othandiza pakumwa usiku.

Vodka ili ndi 250 kcal pa gramu 100, koma ilibe mapuloteni, mafuta, chakudya.

Tiyenera kudziwa kuti kugwiritsa ntchito moyenera kumakhala koopsa.

Mwachitsanzo, kumwa ndi kuyendetsa galimoto nthawi zambiri kumawerengedwa kuti ndi mlandu wobisika.

Upangiri wocheperako ngati mungamwe zakumwa zoposa zinayi za zakumwa zozizilitsa kukhazikika kwa hangover: ikani ndimu yonse m'magalasi amadzi kuti muchotse zopweteka za kuwola kwa mowa.

Ubwino wopindulitsa

Kafukufuku wam'mbuyomu adawonetsa kuti kumwa mowa kwambiri kumatha kuchepetsa kukana kwa insulin komanso kuteteza motsutsana ndi T2DM. Komabe, kafukufuku amakono ambiri samatsutsa izi. Nkhani ya chisamaliro cha matenda ashuga mu Seputembara 2015 inanena za zotsatira zophatikizidwa za maphunziro 38 omwe amayesa ubale pakati pa kumwa mowa ndi chiopsezo cha T2DM Ofufuzawo adapeza kuti, anthu omwe amamwa zakumwa zoledzeretsa tsiku lililonse tsiku lililonse anali ochepa 18% ochepera T2DM poyerekeza ndi osagulitsa. Komabe, pomwe ofufuzawo adasanthula zotsatirazo, adapeza kuti pali magulu ena aanthu omwe amawateteza.

Kukopa amuna kapena akazi

Kuwerenga zotsatira za kafukufuku wa 2015 Diabetes Care wochitidwa ndi jenda, kuchepa kwa chiopsezo cha T2DM chokhudzana ndi kumwa mowa kumawonedwa mwa azimayi okha. Kuchepetsa kwambiri kwa chiwopsezo kunawonedwa ndi kumwa kwambiri pakati pa azimayi, pafupifupi zakumwa ziwiri tsiku lililonse. Ochita nawo kafukufuku wa akazi omwe amamwa kwambiri - pafupifupi 5 kapena zingapo zakumwa patsiku - sanapeze kuchepetsa kwa T2DM. Mwa amuna, zakumwa zoledzeretsa zimapezeka kuti zimagwirizanitsidwa ndi chiopsezo chowonjezeka cha T2DM. Ofufuzawo adapeza chiwopsezo chachikulu cha matenda ashuga pakati pa amuna, ngakhale ndi kumwa pang'ono, chakumwa chimodzi chazakumwa tsiku lililonse kapena kuchepera.

Kukopa anthu

Ofufuzawo atafufuza zotsatira zophatikizidwa za 2015 "Kusamalira Matenda a shuga" malinga ndi cholowa cha Asia komanso chosakhala ku Asia cha omwe adachitapo kafukufukuyu, adapeza mowa wambiri, kuchepetsa chiwopsezo cha T2DM kokha mwa anthu omwe si aku Asia. Panalibe kuchepetsa chiopsezo pakati pa omwe ophunzira nawo aku Asia. Monga momwe olemba nkhani a 2008 Asia-Pacific Journal of Clinical Nutrition adawonetsera, kusiyana kwa majini pakati pa anthu amtundu wa Asia komanso omwe sakhala ku Asia kungafotokozere kusintha kosiyanasiyana kwa kagayidwe ka mowa komanso chiopsezo chachikulu cha T2DM pakati pa anthu aku Asia. Kafukufuku wowonjezereka akufunika kuti mumvetsetse bwino momwe kusinthika kwama genetic pakati pa anthu amitundu yosiyanasiyana kungasokonezere ubale pakati pa kumwa mowa, kukana insulini komanso chiopsezo cha T2DM.

Zotsatira zoyipa za mowa

Ngakhale mavuto omwe amabwera chifukwa chomwa mowa kwambiri pakumwa zolimbitsa thupi za insulin ndi chiopsezo cha T2DM zimawoneka ngati zosinthika, kumwa kwambiri kumayenderana ndi chiwopsezo chowonjezeka. Kafukufuku akuwonetsa kuti kumwa mowa kumatha kuwonjezera mwayi wokhala ndi T2DM pakukulitsa kukana kwa insulini ndikupangitsa kuti thupi lizitha kukonza shuga.

Kafukufuku yemwe adasindikizidwa muFebruary 2015 ndi World Journal of Biological Chemistry adafufuza kuti makanema amaonetsa kuti kumwa mowa kumatha kusokoneza ntchito ya maselo otulutsa insulin. Ma cell akaleka kugwira ntchito moyenera, chiwopsezo cha kukana insulin ndi T2DM chitha kuchuluka. Lipoti linanso lowerengera nyama, lomwe lidasindikizidwa mu Januwale 2013 mu Science Translational Medicine, lidanenanso zofananira izi pomwe zakumwa zoledzeretsa zakumwa zakumwa zidali 5 kapena zochulukirapo mkati mwa maola awiri kwa amuna, kapena 4 kapena kupitirira kwa akazi. Ofufuzawo apeza kuti makoswe amadya mowa wambiri omwe amatsanulira kumwa mwa anthu omwe ali ndi insulin yambiri, omwe amakhala pafupifupi masiku awiri.

Njira zopewera kupewa ngozi

Ngakhale kumwa mopitirira muyeso kumatha kukhala ndi zotsatira zabwino pokana insulin mwa anthu ena, kumwa mowa kumatha kukhala kopanda phindu komanso kungakulitse chiwopsezo cha T2DM mwa ena. Kumwa mowa kumapangitsanso mavuto kwa anthu omwe ali ndi matenda ashuga. Kumwa zakumwa zoledzeretsa kumawonjezera ngozi ya shuga wotsika magazi maola ochepa mukatha kumwa. Komanso, kumamwa mowa kumatha kudzetsa shuga m'magazi ena. American Diabetes Association imalimbikitsa anthu omwe ali ndi prediabetes kapena matenda ashuga omwe amakonda kumwa pang'ono - osapitilira 1 kumwa tsiku lililonse kwa akazi ndi awiri kwa amuna. Chakumwa chovomerezeka chimakhala cha ma mowa 12, mowa wokwanira ma 5, kapena 1.5 mowa.

Anthu onse omwe ali ndi matenda ashuga, prediabetes, kapena chiwopsezo chachikulu cha T2DM alankhule ndi dokotala za zoopsa zomwe zingakhalepo ndi kumwa mowa. Pali zinthu zingapo zomwe zimakhudza kuopsa kwa kumwa mowa, kuphatikizapo mankhwala, kunenepa, komanso matenda a chiwindi.

Zitsanzo ndi zowerengera

Asayansi aphunzira za kuchuluka kwa zakumwa zoledzera ndi thanzi la anthu 70,551 ochokera ku Denmark, omwe asonkhanitsidwa zaka zoposa zisanu. Zotsatira zawo zikuwoneka kuti zikugwirizana ndi maphunziro ena, momwe asayansi adayesa kudziwa momwe mowa umakhudzira kukula kwa matenda ashuga mwa anthu. Komabe, ntchito yatsopanoyi imatipatsanso mwayi wowerengera moyenera. Zinadziwika kuti ndizofunikira kwambiri kuposa kuchuluka kwa zidakwa.

Zotsatira

Zomwe apezazi zikuwonetsa kuti mumamwa mowa kangati zomwe zimakhudzana ndi chiwopsezo cha matenda a shuga. Zinapezeka kuti ngati izi sizichitika kangapo katatu kapena kanayi pa sabata, ndiye kuti kukula kwa matendawo ndikotsika kwambiri.

Kafukufukuyu adawonetsa kuti munthu wa jenda iliyonse yemwe amamwa magalasi asanu ndi awiri a vinyo sabata iliyonse amachepetsa chiopsezo cha matendawa ndi 25-30% poyerekeza ndi munthu amene amamwa kapu yaying'ono. Ponena za mowa, kusiyana pakati pa amuna ndi akazi kunapezeka pano. Amayi omwe amamwa moledzera pang'ono anali pachiwopsezo chofanana ndi omwe adachisiyiratu, pomwe amuna omwe amamwa magalasi asanu ndi limodzi a mowa sabata imodzi amachepetsa chiopsezo chawo chotenga matenda ashuga ndi 21 peresenti.

Ndi zinthu zina ziti zomwe zimayambitsa matenda ashuga?

Deta idasinthidwanso potengera zinthu zina. Kupezeka kwa matenda ashuga kwa abale ake apamtima komanso kadyedwe ndikofunikira kwambiri, komanso zaka, jenda, kuchuluka kwa maphunziro ndi masewera olimbitsa thupi, BMI ndi mawonekedwe akusuta, omwe adawerengedwa polemba ziwerengerozi.

Asayansi sanasiyanitse pakati pa matenda ashuga amtundu wa 2 ndipo sanapeze kulumikizana kowoneka bwino pakati pa matendawa ndi mowa, koma amavomereza kuti ochepa mwa omwe adatenga nawo kafukufuku wawo ndi omwe amamwa zakumwa.

Zotsatira zabwino zimaganiziridwa kuti zimagwirizanitsidwa ndi kupezeka kwa polyphenols mu vinyo. Awa ndi mamolekyulu omwe amathandiza thupi la munthu kuwongolera bwino shuga. Asayansi awonanso kuchepa kwa chiwopsezo cha matenda a mtima ndi mtima m'magulu omwewo.

Kodi anthu amamwa chiyani mafunso

Ofufuzawo adayang'ananso zomwe anthu amamwa.

Amuna ndi akazi omwe anali ndi magalasi asanu ndi awiri kapena kupitilirapo pa sabata anali ndi chiopsezo chochepera 25-30 peresenti poyerekeza ndi anthu omwe amamwa zochepa sabata imodzi, malinga ndi zomwe atulutsa atolankhani.

Izi zikugwirizana ndi kufufuza koyambirira kwa meta kwa maphunziro 13 momwe okonda vinyo pang'ono amapezeka kuti ali ndi chiopsezo chochepera cha 20% chobwera ndi matenda ashuga kuyerekeza ndi omwa kapena osamwa pang'ono.

Ofufuzawo amakhulupirira kuti ma phytochemicals achilengedwe omwe amapezeka mu vinyo wofiira amatha kukhala ndi phindu pa shuga la magazi.

Amuna omwe amamwa mowa umodzi mpaka asanu ndi limodzi mlungu uliwonse anali ndi chiopsezo cha 21% cha matenda a shuga poyerekeza ndi amuna omwe amamwa mowa wocheperako sabata iliyonse. Ofufuzawo sanapeze kuyanjana pakati pa kumwa mowa ndi chiwopsezo cha azimayi.

Amayi omwe amamwa zakumwa zisanu ndi ziwiri kapena kupitilira apo mlungu uliwonse anali ndi chiwopsezo chachikulu chokhala ndi matenda a shuga poyerekeza ndi azimayi omwe amamwa zochepa sabata iliyonse. Panalibe kuyanjana pakati pa kumwa mowa pakati pa amuna ndi chiopsezo chawo cha matenda ashuga.

Anthu ochepa phunziroli, adanena zakumwa zoledzeretsa.

Dr. A William Cefalu, wamkulu wasayansi, achipatala, ndi amisili ku American Diabetes Association, anachenjeza kuti "poganizira momwe amawerengera, ndizovuta kudziwa molondola za kusiyana komwe kulipo pakati pa abambo ndi amai chifukwa chomwa mowa. "

Kuthetsa kofunikira

Cefalu adauza Healthline kuti imodzi mwamphamvu zophunzirazi ndi kuchuluka kwa anthu omwe adafufuzidwa.

Koma adati kafukufukuyu ali ndi malire, kuphatikiza anthu ochepa omwe ali mgulu la zakumwa zoledzeretsa, kudzidalira kwakadali, komanso kulephera kuwongolera zinthu monga kadyedwe, zomwe zingakhudze chiwopsezo cha matenda a shuga.

Ophunzira omwe adamwa moyenera adafotokoza zakudya zathanzi ndikukhala ndi BMI yotsika, zonsezi zimatha kuchepetsa mwayi wokhala ndi matenda ashuga.

Phunziroli latsopano, komabe, limagwirizana ndi kafukufuku wakale. Komabe, akatswiri ena amalimbikitsa kusamala pankhani ya kumwa.

"Kafukufuku wambiri akuwonetsa kuti kumwa mowa kwambiri kungapangitse kuti munthu akhale ndi matenda ashuga komanso a mtima," adatero Kefalu. "Komabe, kuopsa kwa kumwa mowa kwambiri ndikudziwika bwino. "

Komabe, kwa anthu omwe alibe matenda ashuga, kukhala ndi magalasi ochepa a mowa kapena mowa pa sabata sikungakhale kovulaza, kutengera ndi mavuto ena omwe angakhale nawo.

"Odwala anga amasangalala akamavomereza kuti ali ndi kapu ya chakudya chamadzulo, ndipo ndimawauza kuti apitirizebe kuchita zomwe amakonda madzulo," Tamler adatero.

Komabe, kafukufuku sikokwanira kuti awonetse kuti kusonkhanitsa mowa ngati simumamwa kumalepheretsa matenda ashuga.

"Sindikulangiza odwala kuti azingoyamwa kuti ateteze chiwopsezo chokhala ndi matenda a shuga," adatero Tamler. “Ndimalangizanso zopewa zakumwa zoledzera, zomwe zimayipitsa thanzi. "

Chofunika ndi chakuti zikafika pakumwa mowa, kusinthasintha - monga nthawi zambiri - ndikofunikira.

"Ziwopsezo zaumoyo zimawonjezeka anthu akachuluka, motero ndikulimbikitsa kumwa kamodzi - tsiku lililonse kwa akazi ndi zakumwa ziwiri patsiku kwa abambo," adatero Tamler.

Izi zikugwirizana ndi zomwe a American Diabetes Association amalimbikitsa kwa anthu omwe ali ndi matenda ashuga mu miyezo yawo ya chisamaliro cha matenda a shuga a 2017.

"Kumwa moyenera anthu omwe ali ndi matenda ashuga sikungakhale ndi vuto lililonse pakulamulira kwa shuga m'magazi," adatero Kefalu.

Anthu omwe ali ndi matenda ashuga, komabe, amayenera kumwa mosamala ndikupewa kumwa mopitirira muyeso, ngakhale atamwa nthawi zina.

"Wina akakhala ndi matenda ashuga, mitundu yosiyanasiyana ya mowa imatha kukhala ndi zotsatila zosiyana," adatero Tamler. Mowa umatha kuwonjezera shuga m'magazi, pomwe mowa wamphamvu umatha kutsitsa shuga kwambiri. ” "