Matenda a shuga ndi myocardial infarction: kukhalabe ndi moyo?

Kwa zaka zambiri osalimbana ndi ma DIABETES?

Mutu wa Bungwe: “Mudzadabwitsidwa kuti kumakhala kovuta motani kuchiritsa matenda a shuga tsiku lililonse.

Glucose mumkodzo wokhala ndi matenda a shuga amadziwika nthawi zonse, chifukwa odwala matenda ashuga amakhala ndi gawo lowonjezera la impso, chifukwa chomwe shuga amatsitsidwa kudzera mkodzo. Njira imeneyi imatchedwa glycosuria. Ngati chinsinsi cha insulini sichidutsa 5,5 mmol / l, ndiye kuti shuga amamuthira kudzera mkodzo m'malo ochepa. Izi zimachitika kawirikawiri mwa anthu athanzi.

• Mchere wa shuga mu shuga
• Kodi shuga mumkodzo ndi owopsa bwanji kwa odwala matenda ashuga?
• Zimayambitsa shuga mkodzo
• Zizindikiro za glycosuria mwa akazi ndi amuna
• Kodi kuchitira glycosuria?

Mchere wa shuga mu shuga

Ndi matenda a shuga, vuto limabuka chifukwa chophwanya shuga kagayidwe. Izi ndichifukwa chakusowa kwa thupi lomwe limatulutsa timadzi tambiri totchedwa ma insulin. Pachifukwa ichi, glucose owonjezera amamuchotsa kudzera mu impso kudzera mkodzo. Chifukwa chake, shuga wowonjezera mumkodzo amadziwika nthawi zonse.

Ngati shuga mumkodzo wapezeka pamlingo wambiri wa 1 mmol, ndiye izi zikuwonetsa kusowa kwathunthu kwa matenda ashuga. Ngati Zizindikiro zikuyambira 1 mpaka 3 mmol, pali kusintha kwamomwe mumatha kulolerana ndi shuga. Ngati oposa 3 mmol, ndiye izi zikuwonetsa kukhalapo kwa matenda ashuga. Mwakutero, uku ndiye chikhalidwe cha shuga mu mkodzo wa anthu odwala matenda ashuga. Ngati chizindikirocho chimaposa 10 mmol / l, ndiye kuti izi zili kale zowopsa kwa wodwala matenda ashuga.

Kodi shuga mumkodzo ndi owopsa bwanji kwa odwala matenda ashuga?

Kupezeka kwa glycosuria mu matenda a shuga kumayambitsa zovuta izi:

• kudalira insulini, ndiye kuti, mtundu wachiwiri wa matendawo umasandulika woyamba,
• chisokonezo mu minofu ya mtima, arrhythmia,
• matenda ashuga komanso nephropathy,
• kusefukira, kukomoka,
• aimpso ndi kulephera kwa mtima,
• matenda amiseche muubongo,
• ketoacidosis ndi polyuria.

Zimayambitsa shuga mkodzo

Mitsempha imawonekera pakumasefedwa kwa magazi m'm impso. Chifukwa chake, mapangidwe a mkodzo amatengera magwiridwe antchito a impso tubules ndi kuchuluka kwa shuga m'magazi. Ngati pali shuga wambiri, ndiye kuti njira yozungulira yoyeserera imayesa kuyimitsa payekha kuchokera ku ziwiya. Chifukwa chake, shuga amatulutsidwa mkodzo pakapangidwe kake. Kuphatikiza pa matenda ashuga, momwe glucose samapangidwira ndi insulin, chifukwa sikokwanira, pali zifukwa zina zowonjezera shuga mu mkodzo:

• mankhwala, omwe amagwiritsa ntchito mankhwala omwe amalepheretsa kugwira ntchito kwa impso,
• chibadwire
• kulephera kwa mahomoni
• mimba
• kuperewera kwa zakudya m'thupi ndipo, makamaka, kuzunza khofi.
• kuledzera kwamthupi pogwiritsa ntchito mankhwala osokoneza bongo komanso psychotropic,
• kupsinjika kwakukulu kumayambitsa kutulutsa shuga mu mkodzo,
• zina zamagetsi zamagetsi zomwe zidakulirakulira,
• kuwotcha kwakukulu
• kulephera kwa aimpso.

Ndi chitukuko cha matenda a shuga a mtundu wachiwiri, kuchuluka kwa shuga kwamkodzo kumatha kupangitsa kuti insulini ipangike, kugwiritsa ntchito mankhwala osokoneza bongo, komanso kulephera kugwira ntchito kwa mahomoni.

Glycosuria (aka glucosuria) amadziwika ndi kuthamanga kwa glucose mu mkodzo wa munthu. Izi ndizowopsa makamaka kwa matenda ashuga a 1st ndi 2nd. Chifukwa chachikulu chopangitsa matenda amenewa kukhala ndi matenda ashuga ndi kuchuluka kwa shuga m'magazi am'magazi komanso kulephera kupereka shuga m'maselo.

Glycosuria imapezeka mosavuta ndikuyesa mkodzo wa shuga.

Kuchokera kanemayu mutha kudziwa mwatsatanetsatane kuti glucosuria ndi chiyani komanso zifukwa zake zikukula.

Zizindikiro za glycosuria mwa akazi ndi amuna

Chithunzi cha chipatala chokhala ndi shuga wambiri mumkodzo chimadziwika ndi zotere:

• ludzu losalekeza lomwe silingakhutitsidwe
• kukodza pafupipafupi
• mucous nembanemba zamkamwa,
• kufooka kwa thupi komanso kutopa msanga,
• syndromes kupweteka kwa minofu,
• njala yayikulu,
• kutsegula m'mimba
• chizungulire
• thukuta kwambiri
• kuwonongeka kwazidziwitso.

Ndi glycosuria, zinthu zofunikira zimatsukidwa ndi mkodzo mwachangu, chifukwa thupi lonse limavutika. Pankhaniyi, wodwalayo amayamba kudya kwambiri, koma amataya ma kilogalamu, ndiye kuti, kuwonda.

Kodi kuchitira glycosuria?

Mankhwalawa adapangidwa pamaziko a kuyesedwa ndi zomwe zimayambitsa glycosuria:

1. Ngati matendawa apezeka pamaso pa matenda a shuga, ndiye kuti mankhwalawo amathandizidwa ndi matenda a shuga m'magazi. Ndikofunikira kwambiri kukhutitsa minofu ndi maselo okhala ndi zinthu zofunikira, chifukwa chake mankhwala a Vitamini amagwiritsidwa ntchito, ndipo zakudya zapadera zimatsatiridwa. Feature - kuletsa kwa wodwala pakamadzimadzi. Koma muyenera kuchita izi pang'onopang'ono kuti madzi amadzimadzi asachitike.
2. Ngati thupi silitha kudzipangira pawokha insulin, ndiye kuti insulin ndiyofunika. Ndi mtundu woyamba wa matenda a shuga, kuchuluka kwa insulin kumakulitsidwa, ndipo ndi mtundu wa 2, mankhwala apadera amalembedwa - mapiritsi ochepetsa shuga. Werengani zambiri zamankhwala omwe amachitika chifukwa cha matenda ashuga pano.
3. Ndi glycosuria, diuresis imayamba, chifukwa pomwe michere yonse yofunikira imachotsedwa. Ndipo izi zimakulitsa ntchito ya mtima ndi kuzungulira kwa magazi. Chifukwa chake, mankhwala monga Potaziyamu Chloride, Asparkam, Potaziyamu Magnesium Asparaginate, Panangin, ndi ena amafunsidwa.
4. Maziko a mankhwalawa ndi zakudya zomwe sizimaphatikizira kumwa maswiti ndi zakudya zamchere zochuluka, komanso nyama yotsekemera, chakudya cham'chitini, chakudya chofulumira komanso zinthu zina zoyipa. Koma muyenera kudya zipatso zatsopano ndi ndiwo zamasamba, nyama yophika, mkate wa chinangwa, etc.
5. Muyenera kudya osachepera 5 pa tsiku m'magawo ang'onoang'ono.
6. Magulu a glucose amayenera kuyang'aniridwa tsiku ndi tsiku. Izi zitha kuchitika kunyumba.

Chithandizo cha anthu

Pofuna kuthana ndi glycosuria, maphikidwe a mankhwala ena angathandizenso. Amachepetsa kwambiri shuga mumkodzo, ali odekha komanso otetezeka kwathunthu kwa thupi.

Maphikidwe abwino kwambiri omwe amagwiritsidwa ntchito popanga zovuta:

1. Chinsinsi ichi chimaphatikizapo kugwiritsa ntchito masamba owuma kapena atsopano a mbewu zotere - nettle, blueberries. Mufunikiranso muzu wa dandelion. Phatikizani zigawo zophwanyidwazo mofananirana, kuyeza supuni ziwiri ndikutsanulira madzi otentha muyeso wa 400 ml. Ndikofunika kugwiritsa ntchito thermos pokakamira. Kuumirira mphindi 20-30. Kenako msuzi umasefedwa ndikugwiritsidwa ntchito mkati 3 katatu patsiku, 70-80 ml.
2. Gulani mbewu za oat zosaphika chikho chimodzi. Phatikizani ndi madzi okwanira 1 litre ndikuyika pamoto. Mukawiritsa, kuphika kwa mphindi 60. Kupsyinjika pambuyo pozizira msuzi ndi kudya mkati 100 ml musanadye.
3. Brew mabulosi amasiya madzi. Kwa kapu imodzi ya madzi otentha mufunika masamba atatu ndi theka a masamba. Imwani kapu yayikulu (100 ml) katatu patsiku musanadye chakudya.
4. Idyani sinamoni. Itha kuwonjezeredwa zakumwa za tiyi, kefir, yogati ndi zina zotero. Mpaka theka la supuni ya sinamoni amaloledwa kudya tsiku lililonse. Mutha kudziwa zambiri zamachiritso a sinamoni kwa odwala matenda ashuga pano.

Ngati mukuyandikira kwambiri chithandizo ndikuwongolera kuchuluka kwa shuga m'magazi ndi mkodzo, mutha kuthana ndi glycosuria mwachangu. Onetsetsani kuti mwawonana ndi dokotala, ndipo zovuta sizingawononge thanzi lanu.

Momwe mungadyere ndi shuga wamagazi ambiri

Zakudya zokhala ndi shuga wambiri (hyperglycemia) ndizofunikira kuti mukhale ndi thanzi labwino komanso kupewa kupewa matenda oyamba. Vutoli silimangonena za matenda a shuga, nthawi zina amatha kungolankhula za matenda oyamba a metabolic. Kuti mupewe vuto lomwe likukula komanso kuti muchepetse kutenga matenda ashuga, muyenera kutsatira zakudya zapadera. Popanda kuthandizira pakudya, wodwala yemwe ali ndi vuto la hyperglycemia ali ndi chiopsezo chachikulu cha "kulandira" matenda oopsa.

Chifukwa chiyani zakudya ndizofunikira?

Kuchuluka kwa shuga pakapita nthawi yayitali kumatha kubweretsa chitukuko cha matenda oopsa, omwe chachikulu ndi matenda a shuga. Ndi kudwala kumeneku mthupi, machitidwe ndi ziwalo zonse zimakhudzidwa, thanzi la wodwalayo limakulirakulira ndipo moyo umachepetsedwa kwambiri. Ndi chithandizo choyenera chamankhwala, kadyedwe, komanso kuyeza magazi pafupipafupi, muthanso kuchepetsa zovuta zake, koma kufalikira kwamatenda kumakhalabe.

Ndi kusintha koyamba kwa kagayidwe kazakudya, pomwe madokotala sanapezebe munthu wodwala matenda a shuga, munthu akhoza kuyesa kubweretsanso glucose. Izi zitha kuchitika ndi zakudya zotsitsa shuga.

Kukana mchere wowonjezera, zakudya zotsekemera ndi zamafuta ndizothandiza ngakhale kwa anthu athanzi, ndipo ndizofunikira kwambiri kwa odwala omwe ali ndi vuto la metabolic.

Kutsitsa shuga m'magazi ndikutheka pang'onopang'ono. Ndikotheka kukonza zosokoneza poyambapo pokhapokha mothandizidwa ndi chakudya, koma ngati ili ndi vuto la matenda a shuga, njira zina zowonjezera ziyenera kugwiritsidwa ntchito. Kuchuluka kwa zofunikira zochizira kuyenera kutsimikiziridwa ndi endocrinologist yemwe adzayang'anenso wodwalayo pazinthu zazikulu ndikuwongolera njira ya pathological process.

Kutsatira mfundo za chakudya chapadera chokhala ndi shuga wambiri kumatha kukhala bwino. Chifukwa cha chakudya chopatsa thanzi, mutha kuchepetsa kuthamanga kwa magazi, kutsitsa cholesterol ndikuchepetsa matumbo. Zosintha ziziwoneka ngakhale zakunja - kuyang'anira kadyedwe, wodwalayo amawongolera mkhalidwe wa misomali, tsitsi ndi khungu chifukwa cha kuchuluka kwa mavitamini ndi mchere woperekedwa ndi chakudya.

Mfundo zaumoyo

Zakudya zokhala ndi shuga wambiri zingathandize kubwezeretsa thupi ngati mumatsatira pafupipafupi komanso osapuma ngakhale kwa masiku angapo. Nazi mfundo zofunika kwambiri pankhani yazachithandizo chamankhwala:

• kukana zakudya zomanga thupi, makamaka zakudya zomwe zimatengedwa mwachangu,
• kuchuluka kwa masamba komanso zipatso zazing'ono komanso zapakati pazakudya,
• kuchepetsa zopatsa mphamvu patsiku,
• Kugwirizana ndi kuchuluka kwa mapuloteni, mafuta ndi zakudya zamagetsi zomwe dokotala amatulutsa.

Lingaliro linanso lofunikira la chakudyacho ndi boma la kumwa kwambiri. Koma kuchuluka kwa madzi omwe amamwe tsiku lonse kuyenera kuvomerezedwa ndi adokotala. Ngati wodwala ali ndi kutupa, mavuto ndi mtima, impso kapena zina, kuchuluka kwa madzimadzi kuyenera kukhala kochepa. Sianthu onse (ngakhale athanzi) omwe amatha kumwa malita a 2-2,5 amadzi patsiku. Ndikofunikira kupita ku regimen ya kumwa mosamala, kuwunika momwe wodwalayo alili ndi matenda ake. Kupanda kutero, kuvulaza kungakhale zambiri kuposa zabwino.

Shuga wapakati pamimba

Hyperglycemia pa nthawi yapakati imapezeka mwa akazi pafupifupi 5-10%. Nthawi zambiri zimayambitsa matenda a gestational shuga - mtundu wina wa matendawa, womwe umayamba ndipo umapezeka pokhapokha pakamwa. Koma ngakhale kuwonjezeka kwa shuga sikokwanira kwambiri kuti athe kum'patsa wodwalayo matenda otere, madokotala amamulimbikitsa kuti azitsatira zakudya.

Kodi kudya pakati?

Mndandanda wazakudya chololedwa chimaphatikizapo pafupifupi zakudya zonse zathanzi:

• nyama ndi nsomba,
• zopangidwa mkaka,
• zipatso ndi ndiwo zamasamba ochepa, apakatikati,
• phala
• sopo wansanje ndi msuzi,
• mazira
• buledi wathunthu
• tchizi cholimba.

Zakudya za mayi wapakati wokhala ndi shuga wambiri amatha kukhala osiyanasiyana komanso okoma. Zakudyazo sizitanthauza kufa ndi njala komanso malamulo oletsa kuchuluka kwa chakudya chodyedwa. Mtengo woyenera wa caloric wa tsiku ndi tsiku amawerengedwa ndi dokotala payekhapayekha, kutengera kuchuluka kwa shuga omwe amakwezedwa komanso ngati mayi wapakati ali ndi ma concomitant pathologies, kulemera kwakukulu, etc. Zosankha sizimaphatikizapo maswiti onse, shuga, uchi, mkate kuchokera ku premium ufa, zotsekemera ndi zakumwa zochokera ku kaboni. Mukamasankha zakudya zodyedwa, ndibwino kuti amayi apakati azikonda kwambiri mtedza ndi kefir ochepa.

Kodi ndingadye zakudya ziti?

Maziko ake ndi ndiwo zamasamba, nyama yopendekera, nsomba, mazira ndi zipatso. Masamba ndi zipatso zimakhala ndi ulusi wambiri, womwe umadzaza pang'onopang'ono ndi mafuta komanso osayambitsa kuthamanga kwadzidzidzi mu glucose m'magazi. Muyenera kutsatira zakudya nthawi zonse kuti muchepetse shuga, chifukwa zimatenga nthawi yambiri kuti mukwaniritse ndikuwonetsetsa. Ngati wodwala wapezeka kale ndi matenda a shuga (makamaka mtundu wachiwiri), zakudya zotere ndi maziko a chithandizo. Popanda iwo, kugwiritsa ntchito mankhwala nthawi zambiri sikumveka.

Kodi ndingadye masamba ndi zipatso ziti?

Nayi mndandanda wachitsanzo:

Mbatata sizoletsedwa ndi shuga wambiri, koma sangathe kudya tsiku lililonse. Lili ndi wowuma kwambiri ndipo lili ndi zopatsa mphamvu zambiri, choncho ndibwino kungokonda masamba osavuta. White kabichi ndi nyemba sizimagwiritsanso ntchito oletsedwa, komabe, chifukwa zinthu izi zimapangitsa kuti mpweya upangidwe m'matumbo, uyenera kudya pang'ono. Nyemba, udzu winawake, zipatso ndi zakumwa zachilengedwe zachilengedwe zopanda shuga ndizothandiza kwa anthu omwe ali ndi hyperglycemia. Dothi louma zipatso, msuzi wa rosehip ndi njira zina zabwino zamkati ndi khofi wamphamvu.

Kuchokera nyama ndi nsomba, mitundu yopanda mafuta ndi yazakudya iyenera kupezeka menyu. Mwachitsanzo, kalulu, nkhuku, nkhuku, yophika komanso yophika ng'ombe imakhala ndi kukoma kosangalatsa ndipo osavulaza kapamba. Nsomba zoyera ndi zofiira zimakhala ndi omega acid, mavitamini osungunuka mafuta ndi phosphorous. Zinthu izi ndizofunikira m'matumbo athanzi, kusunga khungu labwino, kulimbitsa minofu ndi mafupa.

Porridge yokhala ndi shuga m'magazi ndi imodzi mwazinthu zazikulu za mafuta, omwe amawonongeka pang'onopang'ono m'thupi ndikuwadzaza ndi mphamvu. Pokonzekera, ndibwino kugwiritsa ntchito mbewu monga:

Ndikwabwino kuphika phala pamadzi, osangowonjezera batala (kapena kuigwiritsa ntchito pang'ono). Ndikofunikira kuti usakuse chakudya chochuluka, chifukwa izi zimatsogolera pakupanga edema komanso kuwonongeka kwa mtima wamtima. Chifukwa cha mchere, chiopsezo chokweza kuthamanga kwa magazi ndi zovuta zomwe zingachitike chifukwa cha izi. Zonunkhira zikuyenera kugwiritsidwanso ntchito pang'ono, chifukwa zakudya zazonunkhira komanso zonunkhiritsa zimakwiyitsa mucous membrane wam'mimba zomwe zimapangitsa kuti zikondamoyo zizigwira ntchito kwambiri.

Mitundu yawo ya buledi imatha kudyedwa buledi ndi tirigu wama tirigu Palinso mikate yapadera ya odwala matenda ashuga - vuto la shuga lalitali atha kubwezeretsa buledi wokhazikika. Zakudya izi ziyenera kungowonjezera pazakudya zazikulu ndikupanga gawo laling'ono kwambiri lazakudya. Pazakudya zokhwasula-khwasula, sizoyenera, chifukwa zimakhala ndi zophatikizira zamagulu ambiri zomwe zimapangidwa.

Kuchokera pazopaka zamkaka zopaka, mutha kudya chilichonse, koma muyenera kuyang'anira mafuta omwe ali ndi mafuta ambiri. Chizindikiro ichi chiyenera kukhala chocheperako, kuphatikiza apo, chakumwa kapena tchizi cha kanyumba sichiyenera kukhala shuga ndi zowonjezera zotsekemera.

Kodi kukana ndi chiyani?

Shuga amatha kuwuka kwambiri chifukwa cha zolakwika zochepa pazakudya. Izi zimatha kupsya mtima ndi chakudya, maswiti, shuga, ndi zina zambiri. Zina zoletsedwa:

• makeke ndi mkate wochokera ku ufa woyamba
• zipatso zokhala ndi chakudya chambiri (mavwende, nkhuyu, mphesa),
• supu wambiri
• nyama zotsekemera ndi zakudya zonunkhira,
• mayonesi, ketchup ndi msuzi wofananira,
• caviar
• zopangidwa mkaka ndi mafuta ambiri.

Mpunga wopanda chimanga, ma hercules ndi semolina sayenera kudyedwa kuchokera ku chimanga. Porridge yopangidwa kuchokera kwa iwo imatha kuwonjezera shuga, kuphatikiza apo, muzakudya zotere zimakhala ndi zinthu zochepa zofunikira. Amangokhutitsa thupi ndi chakudya komanso zimathandizira kuti munthu azikhala ndi thupi lolemera, zomwe zimakhudza thanzi la munthu.

Zakudya zamafuta, masamba osankhika ndi ma pickles ndizakudya zosayenera ndi shuga wambiri. Amapanga zolemetsa zambiri pazakudya zam'mimba, zimawonjezera ntchito yamtima ndipo zimatha kuyambitsa kuthamanga kwa magazi. Edema nthawi zambiri amakula kuchokera ku chakudya chotere, ndikupatsidwa kuti wodwalayo amakhala ndi ludzu nthawi zonse chifukwa cha kuchuluka kwa shuga m'magazi, izi zimatha kukhala vuto losasangalatsa.

Zakudya Zomwe Zimachepetsa Mwazi

Pali zakudya zina zomwe zimachepetsa shuga la magazi. Zachidziwikire, ndi matenda a shuga, sangathe kubwezeretsanso mankhwala, koma poyambira kukula kwa mavuto okhudzana ndi kagayidwe kazakudya, amatha kupereka chithandizo chonse. Izi zikuphatikiza:

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

• Yerusalemu artichoke
• adyo
• broccoli
• bowa wa shiitake,
• tsabola wa belu (makamaka ofiira).

Jerusalem artichoke imakhala ndi kuchuluka kwa inulin polysaccharide. Chifukwa cha izi, kukhazikitsidwa kwa peyala m'matumbo kumathandizira kuchepetsa shuga, kuchepetsa matenda othamanga kwa magazi komanso kusintha ntchito ya impso. Tsabola wa tsabola amachepetsa shuga wamagazi ndikuwakwaniritsa thupi ndi zovala zofunikira zofiira. Zinthu izi zimakulitsa chitetezo chokwanira ndikuwonetsa katundu wa antioxidant.

Garlic ali ndi mawonekedwe achilendo amthupi, chifukwa omwe samangoyendetsa shuga m'magazi, komanso amatsuka magazi a cholesterol plaque ndi ma deposits a mafuta. Komabe, sayenera kudyedwa ndi odwala omwe ali ndi matenda otupa a m'mimba (makamaka ndi kutulutsa).

Broccoli pang'ono imabwezeretsa kukhudzidwa kwa minofu kuti insulini, motero, mosagwirizana imachepetsa shuga la magazi. Bowa wa Shiitake amachulukitsa kuchuluka kwa insulini yomwe imapangidwira ndikuthandizira magwiridwe antchito a maselo a pancreatic.

Kudya ndi glucose okwera bwino ndikocheperako pang'ono komanso nthawi zambiri. Chiwerengero chokwanira cha zakudya patsiku ndi 6. Zakudya zilizonse zosakonzekera, ngati nkotheka, siziyenera kuyikidwa pambali. Kuphatikiza pa zakudya, ndikofunikira kuyang'anitsitsa shuga wamagazi ndi glucometer. Ziwerengero zonse ziyenera kulembedwa kuti panthawi yoikika adokotala azisanthula momwe chithunzi chachipatala chimakhalira. Zakudya zoyenera komanso kukana zizolowezi zoyipa ndizofunikira kwambiri osati kungochepetsa shuga, komanso kusunga thanzi kwathunthu.