Matenda a shuga amawoneka ngati pali zotsekemera zambiri

Palibe mankhwala ogulitsa omwe ali ndi katundu wotere. Komabe, masamba okhala ndi michere yambiri ndi tirigu wathunthu amawonjezera shuga pang'onopang'ono kuposa zakudya zina zokhala ndi chakudya. Ichi ndichifukwa chake madokotala amawalimbikitsa kuti azikhala ndi matenda ashuga. Yerusalemu artichoke, radish, buckwheat, mapira, barele wa ngale, mpunga wa mpunga moyenera kumachulukitsa kuchuluka kwa glucose, ndipo izi sizichitika mwachangu.

Nthano # 3 Fructose ndi shuga.

Zowonjezereka zimawonetsa kuti kugwiritsa ntchito fructose pamiyeso yambiri kumathandizira kukulitsa kwa matenda a chiwindi chamafuta, kukana insulini komanso mtundu wachiwiri wa matenda ashuga. Pakadali pano, manyuchi amphongo amphongo ambiri amawonjezeredwa zakumwa zambiri ndi makeke monga zotsekemera.

Bodza No. 5 Mu shuga, musamadye pambuyo pa 6 madzulo.

Mwa anthu omwe ali ndi matenda ashuga, glucose mu chiwindi ndi ocheperako, ndipo amatha nthawi yayitali pakudya. Mukasiya kudya kwa maola 3-6 kapena kupitilirirani musanagone, izi zimayambitsa kutsika kwa shuga usiku, m'mawa mumatha kumva kufooka, chizungulire. Kuphatikiza apo, pakapita nthawi, chakudyachi chingayambitse matenda a chiwindi.

Ndi matenda ashuga, simungathe kudya maswiti, koma ndibwino kusinthana ndi zakudya zapadera za anthu odwala matenda ashuga

Ayi. Sikuti muyenera kusiyiratu zakudya zomwe sizinachitike, koma muyenera kusintha kadyedwe. Zakudya za anthu odwala matenda ashuga zitha kuwoneka ngati njira yabwinoko yokhala ndi maswiti ndi “zakudya” zapamwamba. Mukamasankha, muyenera kukumbukira kuti ali ndi mafuta ambiri, chifukwa chake, kugwiritsa ntchito kwawo pafupipafupi kumatha kubweretsa kulemera. Kuphatikiza apo, zakudya zapaderazi ndizodula kwambiri kuposa zakudya za nthawi zonse. Zokwanira kwa anthu omwe ali ndi matenda ashuga, komanso kwa onse omwe amatsatira thanzi lawo, ndikusintha kwa chakudya chopatsa thanzi - chakudya chopatsa mphamvu zama protein, mapuloteni, zipatso, masamba ndi mavitamini.

Zotsatira za kafukufuku angapo zikuwonetsa kuti chithandizo chovuta, kuphatikizapo mankhwala osokoneza bongo, komanso thanzi labwino komanso masewera olimbitsa thupi, ndi njira yothandiza kwambiri kuposa kungomwa mankhwala.

Nthano # 1. Matenda a shuga amabwera chifukwa chodya shuga.

Mawu ngati awa akhoza kuonedwa kuti ndi owona ndipo nthawi yomweyo ndi nthano. Chowonadi ndi chakuti matenda a shuga ndi osachiritsika, ndipo anthu omwe ali ndi matenda ashuga ayenera kutsatira malangizowo ndi malingaliro awo m'miyoyo yawo yonse omwe amathandizanso kuchuluka kwa shuga m'magazi. Chifukwa chake, odwala matenda ashuga ayenera kumwa mankhwala omwe amachepetsa shuga, kutsatira zakudya ndi jakisoni wa insulin.

Ndikofunikira kudziwa kuti mtundu 1 wa shuga ndi mtundu wa 2 ndi. Pankhani ya matenda amtundu 1, insulin imayendetsedwa ndipo palibe njira zina zamankhwala zomwe zimaperekedwa, kudya zakudya zosiyanasiyana ndikutsatira zakudya zopanda chakudya. Matenda a shuga ndi kukhala ndi moyo wautali amatsimikizika pakukhazikitsidwa kwa insulin.

Ndipo thukuta la matenda ashuga amtundu wa 2, mungafunike kusiya mapiritsi kuti muchepetse shuga, koma pokhapokha mutatha kudya, kulimbitsa thupi, kubwezeretsanso kunenepa. Iyi ndi njira yokhayo yothetsera mafuta amthupi, potero kuwonjezera chidwi cha zimakhala kuti insulin.

Mitundu yodziwika bwino ya momwe mungapezere shuga ndi nthano zazokhudza shuga, monga chinthu chachikulu chomwe chimayambitsa matenda. M'malo mwake, matenda a shuga amachitika ngati matenda omwe sagwirizana mwachindunji ndi zovuta zamagulu am'magazi. Anthu ambiri amadya maswiti ambiri ndipo alibe vuto la chakudya.

Pakukula kwa matenda ashuga, gawo lalikulu limaseweredwa ndi cholowa, onse amtundu wa 2 komanso matenda a shuga. Matenda a shuga a Type 1 amapezeka ngati zochita za autoimmune akapezeka ndi mavairasi, zinthu zapoizoni, pamavuto.

Kuperewera kwa insulin kumadziwonetsera mu mawonekedwe a kuchuluka kwa shuga m'magazi ndipo, ngati sikuphatikizidwa, odwala oterewa amatha kukhala comatose chifukwa chodzikundikira matupi a ketone, omwe ndi owopsa ku dongosolo lamanjenje lamkati.

Pakukula kwa matenda ashuga amtundu 2, kugwiritsa ntchito shuga kumakhala koopsa pokhapokha kunenepa kwambiri, komanso kukula kwa kukana zochita za insulin, zomwe timabadwa nazo. ndiye kuti, shuga weniweniyo sayambitsa matenda ashuga, koma ndimaganizo ake, kuperewera kwa zakudya m'thupi, kuphatikiza ndi zovuta za shuga (shuga ndi glucose) zomwe zimapangitsa.

Zomwe zimayambitsa matenda a shuga a 2 ndi:

• Zovuta zamtundu, mitundu yamtundu wa anthu odwala matenda ashuga, mafuko (Mongoloid, mtundu wa Negroid, Hispanics).
• Cholesterol owonjezera, mafuta acids aulere, leptin.
• Zaka ndi zaka 45.
• Kunenepa pang'ono.
• Kunenepa kwambiri
• Khalidwe labwino.

Nthano yoyamba. Palibe chakudya chachilengedwe

Zakudya zina zomwe zimayambitsa matenda ashuga ndizovuta kwambiri ndipo ndizovuta kuzitsatira. Kuletsa kwakukulu kwa malonda, kuchuluka kwa zopatsa mphamvu kosakwanira kungayambitse kusokoneza. Zotsatira za kusokonezeka izi sizimapangidwa mwachangu, ndipo nthawi zina zimakhala ndi zotsatira zazitali.

Mwina ndi chifukwa cha izi kuti mphekesera zimazungulira pakati pa odwala omwe ali ndi matenda ashuga kuti mulibe zakudya zenizeni za matenda ashuga, mutha kudya chilichonse, chofunikira kwambiri, ochepa.

M'malo mwake, m'kulakwitsa kumeneku mumakhala zonona. Simungadziletse nokha pakudya pokhapokha ngati palibe chiopsezo chokhala ndi zovuta za matenda ashuga. Zomwe ndizosowa kwambiri. Chifukwa chake, ngati cholinga cha wodwalayo kukhala mosangalala kuyambira kale popanda zovuta za matenda ashuga, ndiye kuti zakudya ziyenera kuonedwa - kuchepetsa chakudya.

Nthawi zambiri, zotere zimanenedweratu ndi chakudya chamafuta ochepa. Inde, kugwiritsa ntchito zakudya zoterezi kumatha kupangitsa kuti magazi azikhala ochepa, koma pokhapokha ngati mankhwalawa a mankhwala ndi insulin sanakumanenso.

Chifukwa chake, zakudya zilizonse, mfundo zake, mndandanda wazogulitsa ndi mndandanda wachitsanzo ziyenera kuvomerezedwa ndi adokotala. Mlingo wa mankhwala, insulin imadalira mwachindunji zakudya. Chifukwa chake, kawirikawiri ndi mtundu wachiwiri wa matenda a shuga, mankhwalawa amachotsedwa kwathunthu, chakudya chamafuta ochepa chimakhala chokwanira kuthana ndi matendawa komanso kukhala ndi shuga.

Ayi. Mtundu woyamba wa shuga wambiri, ndikofunikira kuperekera insulin, chifukwa ndikofunikira kwambiri kuti mukhale ndi thanzi.

Mtundu wachiwiri wa matenda ashuga, mu magawo oyamba a matendawa, kapamba amakwanirabe ndikupanga insulin, chifukwa chake, mankhwala ochepetsa shuga ndi omwe amapatsidwa. Koma matendawa atayamba kupita patsogolo, kumakhala kovuta kuti thupi lipange insulin, chifukwa chake mankhwalawa sangakhale othandiza, ndiye muyenera kuyamba kumwa insulini.

Pazifukwa zina, anthu ambiri omwe ali ndi matenda a shuga amawopa insulin, ndipo nthawi zambiri, pazifukwa zosadziwika. Koma, mapiritsiwo akathandizanso kuchepetsa shuga, ndikofunikira kuyamba kubayitsa insulini, chifukwa mukakana, mavuto akhoza kuyamba, poyambira, kuchuluka kwa shuga kumakwezedwa kwa nthawi yayitali.

Nthano 4 mu shuga, masewera amatsutsana.

Izi sizowona konse. Ndikudya kwambiri shuga, mumatha kupeza mapaundi owonjezera, ndipo izi zimapangitsa kuti matenda ashuga amtundu wa 2, chifukwa chachikulu chomwe chimapangitsa kuti matendawa athe.

Nthawi yomweyo, titha kunena kuti chikondi cha zakudya zotsekemera sichikugwirizana chilichonse ndi mtundu wa matenda ashuga a mtundu woyamba. Mu matenda, maselo a kapamba omwe amapanga insulin amawonongeka ndi ma antibodies opangidwa ndi thupi lenilenilo.

Ayi, izi ndi zopeka. Kupezeka kwa matenda ashuga amtundu uliwonse kumatha kukupezani pazaka zilizonse. Inde, mtundu 1 wa nthendayi ndiofala kwambiri pakati pa ana, achinyamata ndi achinyamata, koma umatha kuyamba pambuyo pake.

Popeza kunenepa kwambiri ndi nthenda yofanana mu matenda a shuga a 2, kuyambika kwa matenda ashuga kumatha kuchitika pazaka zilizonse ngati pali owonjezera thupi. Masiku ano, ana akupezeka ndi matenda onenepa kwambiri, omwe amachititsa kuti matenda ashuga amtundu wa 2 ayambe.

Izi ndi zopeka. Odwala omwe amapatsidwa insulin kwenikweni amayamba kulemera. Chowonadi ndi chakuti kuchuluka kwa shuga m'magazi, kilogalamu imatayika, chifukwa chakuti glucose amachotsedwamo mkodzo, chifukwa chake ma calories omwe amamwe amawonongeka.

Pamene insulin imayikidwa, zopatsa mphamvu ndi shuga sizimatayika, koma khalani m'thupi. Mukakhala ndi chizolowezi chochita bwino (kudya zakudya zopatsa mphamvu kwambiri, kusachita ntchito), thupi limadzakulirakulira, koma izi sizingachitike chifukwa cha kuyambitsa insulini.

Ndizovuta kuyankha. Chowonadi ndi chakuti matendawa pawokha sangathe kuthana ndi kutaya kwamaso ndikudulilidwa kwa malekezero - matenda ashuga amayambitsa zovuta zina zomwe zimadzetsa zotsatirapo zomvetsa chisoni.

Masiku ano, pali mankhwala ambiri amakono ndi njira zatsopano zochizira matenda ashuga, omwe amathandiza kupewa zovuta.

Osati konse monga choncho. Ochita masewera omwe amapitiliza kuchita masewera olimbitsa thupi ngati ali ndi matenda a shuga sagwirizana ndi zomwe ananena. M'malo mwake, kuti mukhale ndi thanzi labwino, ndikofunikira kuchita masewera olimbitsa thupi, koma nthawi yomweyo, ndikofunikira kulingalira zotsutsana mukamasankha masewera.

Ayi. Buckwheat, monga phala lina lililonse, amachepetsa shuga m'magazi. Buckwheat alibe zabwino zofunikira pankhaniyi. Kugwiritsa ntchito mankhwala oterowo kuyenera kukhala pang'ono komanso osagwiritsa ntchito kwa milungu ingapo.

Matenda a shuga ndi matenda odziwika omwe amatha kumveka pazopeka zambiri. Zabodza zimayamba chifukwa chakuti odwala ambiri amalola kudya zakudya zina, zomwe zimayenera kukhala zochepa. Ndipo ngati odwala matenda ashuga satero, ndiye kuti mphekesera zimayamba kuti zotsalazo zaloledwa.

Zoletsa pamasewera olimbitsa thupi zilipo chifukwa cha matenda osokoneza bongo a shuga, omwe amakhala ndi vuto la hypoglycemia, komanso ndi mtima wofanana kapena kulephera kwa impso.

Kwa odwala matenda ashuga onse, kuchita masewera olimbitsa thupi kumangothandiza. Nthawi yomweyo, pakhoza kukhala malire pazowerengeka ziwiri - mulingo wa glycemia uli pansipa 5 ndi pamwamba 14 mmol / l. Kupatula, ndipo makamaka ndi matenda a shuga a 2 omwe ali ndi thupi lochulukirapo, ndikofunikira kuti muwonjezere zolimbitsa thupi tsiku ndi tsiku.

Kuti muchite izi, ndikokwanira kuchita masewera olimbitsa thupi tsiku ndi tsiku kwa mphindi 30, kuyenda kwambiri, kugwiritsa ntchito kukweza pang'ono ndipo ngati kuli kotheka, gwiritsani ntchito zoyendera pagulu, kuchita nawo masewera osangalatsa, kuyendera chilengedwe nthawi zambiri ndikuchepetsa nthawi yomwe mumagwiritsa ntchito kompyuta kapena pa TV.

Ubwino wakuchita zolimbitsa thupi mu shuga:

1. Chepetsani cholesterol yamagazi ndi kuthekera kwake kwa mawonekedwe ake pakhoma lamitsempha.
2. Onjezerani kuyamwa kwa shuga m'magazi.
3. Kuchepetsa magazi ndi matenda oopsa.
4. Khazikitsani ntchito ya mtima.
5. Kuchuluka kwa Stamina.
6. Amakhala ndi anti-nkhawa.
7. Kuchepetsa kukana insulin.

Nthano 6. Lankhulani za fructose ndi zakudya zapadera za anthu odwala matenda ashuga

Izi sizowona. Mitundu yonse ya mkate imakweza misinkhu ya shuga chimodzimodzi. Koma nthawi yomweyo, buledi wa batala umasintha bwino ntchito yake kuposa chinthu chokhala ndi chimanga kapena chimanga chosazunguliridwa. Zonse zimatengera kuchuluka kwa mkate womwe amadya.

Popitiliza nthano yoyamba, odwala nthawi zambiri saika malire pakudya kwawo, kudya chakudya chamagulu, ndipo amakonda kuyang'anira kuchuluka kwa glucose m'magazi ndi insulin kapena mankhwala.

Matenda a shuga ndi matenda oopsa omwe ali ndi vuto la zovuta zazikulu, ndikokwanira kukumbukira neuropathy, phokoso la matenda ashuga, matenda osokoneza bongo komanso kudula. Ndipo piritsi limodzi lokha kapena jakisoni wa insulin sizingathandize kupewa kuchuluka kwa shuga wamagazi mukatha kudya.

Odwala omwe amanyalanyaza malamulo oyambirira a shuga amawongolera. Komanso, pakakhala mlingo waukulu wa insulin, mkhalidwe monga hypoglycemia, kuchepa kwa shuga m'magazi. Uwu ndi mkhalidwe wovuta kwambiri womwe ungawononge moyo wa wodwala.

Chikhalidwe cha chakudya cha anthu ambiri, makamaka malo atatha Soviet Union, sichingakhaleko popanda mkate ndi mbatata. Zimakhala zovuta kwa ambiri kuganiza momwe mungakhalire osadya mkate ndikukhuta, ndipo mbatata, zomwe zimapezeka mumasupu onse, nthawi zambiri zimagwiritsidwa ntchito ngati mbale yam'mbali ndipo zimawonekera patebulo yambiri tsiku lililonse.

M'malo mwake, zinthu izi, kuphatikizapo chimanga china, zimadzaza ndi mafuta ndipo zimatha kuchulukitsa msanga magazi. Ndikofunikira kutsatira mosamalitsa mfundo ndi malamulo azakudya zomwe zalimbikitsidwa.

Zakudya zoyenera komanso zotetezeka za anthu odwala matenda ashuga nthawi zonse zimagwirizanitsidwa ndi kusowa kwa shuga. Odwala ambiri atsimikiza kuti fructose (shuga wa zipatso) ndiotetezeka. Ndipo ikamwa, palibe ma glucose m'magazi.

Koma fructose samaphatikizidwanso. Imatha kuchepetsa kukhudzika kwa minofu kuti ipange insulin, kuwonjezera kuchuluka kwa cholesterol yoyipa m'magazi. Kuphatikiza apo, kugwiritsidwa ntchito kwake kudzasokoneza kayendetsedwe kazakudya, ndipo kumverera kwathunthu mu nkhaniyi kumabwera patapita nthawi komanso pang'onopang'ono.

Mwa njira, muzinthu zapadera za odwala matenda ashuga, fructose amagwiritsidwa ntchito m'malo mwa zotsekemera, ndipo kugwiritsa ntchito kwawo mosalamulirika kumatha kuyambitsa zotsatirazi. Ndi matenda 2 a shuga, ndikwabwino osagwiritsa ntchito zotsekemera zilizonse, chifukwa zimatha kusokoneza kuchepa kwa thupi, zomwe ndizofunikira kwambiri pakuchiza.

Matenda a shuga amabwera chifukwa chomwa shuga ambiri

Izi ndi nthano. Palibe umboni kuti shuga ndi omwe amayambitsa matendawa.

Mtundu woyamba wa shuga ndi matenda obadwa nawo. Matenda a 2 a shuga amakhalanso amachitika chifukwa cha majini komanso moyo wopanda vuto. Chiwopsezo chotenga matendawa chimakula kwambiri. Kuledzera kwa zakudya zama calorie okwanira odzaza ndi mafuta ndi mafuta osavuta owonjezera kumapangitsa kuti kunenepa kwambiri.

Ngati wina m'banjamo ali ndi matenda ashuga, ndibwino kuti muyambe kudya kumanja kuti muchepetse kuchuluka kwa mapaundi owonjezera, potero kupewa kupewa matendawa.

Zimakhala zovuta kukhulupirira. M'malo mwake, zipatso ndi zina mwazomwe zimapangira fiber ndi mavitamini ambiri. Koma ndi matenda a shuga, nthawi zambiri pamakhala zoletsa zina zomwe ziyenera kuonedwa popewa zovuta.

Nthano zokhudzana ndi matenda a shuga nthawi zambiri zimagwirizanitsidwa ndi lingaliro lakuti zotsekemera zimakhala ndi zinthu zopindulitsa, chifukwa chake, ngati cholembedwacho chikuwonetsa kuti mankhwalawo alibe shuga, koma m'malo mwake ali ndi fructose, xylitol kapena sorbitol, ndiye kuti amatha kudya popanda mantha.

M'malo mwake, zinthu zambiri zomwe zimapangidwira odwala matenda ashuga, omwe amapangidwa ndi ma confectioneries, zilibe zovulaza kuposa shuga, maltodextrin, ufa wa premium, mafuta a trans ndi mafuta ambiri. Chifukwa chake, zinthu zoterezi zimatha kuyambitsa kwambiri shuga.

Ndi kuchuluka kwa thupi, maswiti a matenda ashuga amatsogolera zomwe zimapangitsa kuti muchepetse kunenepa kwambiri monga mwa masiku onse. Chifukwa chake, kugwiritsa ntchito sikulimbikitsidwa. Pofuna kukwaniritsa kufunika kwa zakudya zotsekemera kapena ufa, ndikulimbikitsidwa kuti odwala omwe ali ndi matenda ashuga aziphike okha mwa kuphunzira momwe zinthu zingapangidwire.

Mtundu woyamba wa shuga wambiri, amafunika kuwongolera zakudya zamagulu azakudya, potenga muyezo wa insulin, womwe ndi wofunikira pakulowetsedwa kwawo. Mwa izi, mawu akuti 1 mkate unit amagwiritsidwa ntchito.

Kuti mankhwalawa azitha kuchita bwino, ndikofunikira kusiya, makamaka kwa odwala matenda ashuga omwe ali ndi matenda amtundu wa 2:

• Utsi ndi confectionery, mchere, uchi, kupanikizana.
• Zakumwa zokoma za kaboni ndi zakumwa zamafuta.
• Mpunga, pasitala, semolina, zidzukulu.
• Mafuta onenepa, nsomba, nkhuku, zakumwa.
• Zoumba, zipatso, mphesa, nthochi, nkhuyu.

Ndikofunika kusintha shuga ndi stevia, ndikofunikira kuwonjezera CHIKWANGWANI CHAKUDYA CHAKUDYA Zipatso siziyenera kukhala zotsekemera, ngati zingatheke ziyenera kudyedwa zosaphika ndi peel.

Nthawi zina mumamva ngati mumamwa tiyi kapena khofi ndi shuga, koma shuga imaletsa zapamwamba zotere. Komabe, pali ena omwe amakhulupirira kuti simungathe kudzikana nokha, chinthu chachikulu ndi shuga.

Shuga aliyense wa patebulo komanso mafuta ena aliwonse othamanga amaletsedwa kuti azidya zakudya zilizonse zovomerezeka. Ndikofunikanso kupatula pachakudya chilichonse chomwe chili ndi zomwe zili. Ngakhale Mlingo wocheperako wa shuga umachulukitsa kuchuluka kwa shuga m'magazi ndi zotsatirapo zonse zotsatira.

M'malo mwa shuga, mutha kugwiritsa ntchito m'malo mwake, musanagule omwe muyenera kufunsa katswiri.

Maswiti a shuga samaloledwa, ndipo zakudya zamagulu amaloledwa

Ayi, sizowona. Sikoyenera kudzikana nokha kudya zakudya zodziwika bwino. Muyenera kusintha zakudya zokha. M'malo mwa maswiti ndi zokometsera wamba, muyenera kugwiritsa ntchito zinthu za matenda ashuga, posankha zomwe muyenera kulabadira kuchuluka kwa mafuta, chifukwa amathanso kuwonjezera makilogalamu.

Njira yabwino kwa odwala matenda ashuga ndi kusinthira kuzakudya zopatsa thanzi. Ndiye kuti, muyenera kudya zakudya zomwe zili ndi michere yambiri, mavitamini ndi mapuloteni. Ndikwabwino kuti muzikonda zipatso ndi ndiwo zamasamba.

Nthano 5. Kusokonezedwa kwa chakudya chamagulu

Matenda a shuga amapangitsa odwala kuti asamangomvetsetsa zomwe zikuchitika mthupi lake, komanso amamvetsetsa kapangidwe kake ka chakudya. Kuti mumvetsetse bwino, zakudya zamagulu onse zimatha kugawidwa mwachangu komanso pang'onopang'ono.

Zakudya zamafuta othamanga zimaphatikizapo maswiti onse, chifukwa akamamwa, shuga wambiri amatulutsidwa nthawi yomweyo m'magazi. Zakudya zowonda pang'ono zimafunikira kugaya mosamala, ndipo misempha ya shuga imakwera pang'onopang'ono.

M'malo mwake, zakudya zilizonse za shuga zomwe zili ndi shuga ziyenera kuchepetsedwa ndikuchotsedwa, ndikuyang'ana kwambiri zakudya zomwe zimaloledwa ndi zakudya.

Insulin Ingayambitse Kusuta

Zikhulupiriro zonse zisanu zokhudzana ndi matenda a shuga ndizofala mokwanira, koma palibe zomwe zimayambitsa malingaliro abodza ambiri monga kuvulaza kwa insulin. Odwala ambiri amalingalira kukhala ndi insulin ngati chizindikiritso chovuta kwambiri cha matenda ashuga, ndipo ngati mutayamba jakisoni wa mahomoni, ndiye kuti nkosatheka "kuchokamo". Insulin imayambitsa mavuto ambiri, kuphatikizapo kunenepa kwambiri.

M'malo mwake, chithandizo chamankhwala cha matenda amtundu woyamba chimayikidwa kuyambira masiku oyamba a matendawa, mosasamala kanthu za zovuta za matendawa, popeza kusapezeka kwa insulin kumasokoneza njira zonse za metabolic, ngakhale ndi shuga ochepa. Masinthidwe awa a pathological sangakhale otakasuka kupatula insulin.

Kwa odwala omwe ali ndi matenda a shuga a 2, insulin imatha kutumikiridwa kwa nthawi yayitali ya matendawa, pomwe kapamba sangapereke thupi ndi mahomoni ake komanso kuphatikizira matenda oopsa, mimbayo, mkaka wa m'mawere ndikulowerera. Nthawi zambiri, chithandizo cha insulin choterachi sichinthawi yochepa chabe.

Insulin imatha kukhudza kulemera kwa thupi, ndikuwonjezera kuchuluka kwake. Izi zimachitika ndikuphwanya malangizo a caloric kudya, komanso kuzunza thupi kapena zakudya zamafuta.

Zotsatira zoyipa za insulin ndi:

• Zomwe zimachitika mdera lanu momwe redness, kuyabwa ndi kutupa kwa khungu.
• Mawonetseredwe a Systemic: urticaria, edema ya Quincke, zochita za anaphylactic, matenda am'mimba, bronchospasm.
• Hypoglycemia.

Vutoli lotsirizalo limadziwonetsera nthawi zambiri, chifukwa mawonekedwe awomwe amagwiritsidwa ntchito pogwiritsa ntchito ma insulinant insulin m'malo mwa zinyama adachepa kwambiri.

Hypoglycemia panthawi ya insulin mankhwala imakhudzana ndi zolakwika pakugwiritsa ntchito mankhwalawa, mlingo wowerengeka molakwika, kusowa kwa shuga m'magazi usanalowe, komanso kudumpha chakudya kapena kuchuluka kwa zochitika zolimbitsa thupi, zomwe sizinachitike pakukonzekera insulin.

Ngati vuto la hypoglycemia limachitika mobwerezabwereza, ndiye kuti odwala omwe ali ndi vuto la 1 shuga amawalimbikitsa kuti azisankhidwa pa dipatimenti ya endocrinology. Pamaso pa thupi lawo siligwirizana, mankhwala kapena desensitization ena atha kupatsidwa kuti athetse vuto la kuchuluka kwa mahomoni.

Elena Malysheva amalankhula za nthano zofala kwambiri zokhudzana ndi matenda ashuga pamodzi ndi akatswiri muvidiyoyi.

Izi sizowona konse. Chowonadi ndi chakuti masiku ano singano ndizochepa thupi kotero kuti makonzedwe a insulin ndi njira yopweteka kwambiri. Makamaka kwa anthu omwe amawopa ndikuopa jakisoni, zida zopangira ndi singano yobisika ndi jakisoni osafunikira apangidwa.

Nthano ya "mapiritsi amatsenga" imagwirizana kwambiri ndi nthano ya "mankhwala otetezeka": anthu amakhulupirira kuti mankhwala a shuga alibe phindu lililonse. Kuperewera kwa chidziwitso kumakhala koimba mlandu: kusakhala dokotala kapena wa pharmacist, ndizosavuta kumvetsetsa kuti bwanji ndipo chifukwa chiyani mankhwalawa "amathandizira".

Mwamwayi, masiku ano m'mafakisi palibe mankhwala omwe amachititsa kuti thupi lizikula, komanso mankhwala omwe sayambitsa kunenepa kwambiri, ndipo nthawi zina amathandizanso kuthana ndi mapaundi owonjezera.

Monga tanena kale, timakakamizidwa kulemera thupi ndi mankhwalawa omwe amalimbikitsa kupanga insulin. Mankhwala amakono a "Smart" ali ndi malingaliro osiyana ndi onse. Amapereka zofunikira pokhapokha msinkhu wa shuga utatha kukhala wabwinobwino.

Izi zikachitika, mankhwalawa "anzeru" amayambitsa "choletsa" - ndipo amasiya kupanga insulin. Zotsatira zake, munthu samangokhala wopanda kulemera, komanso amathanso kulemetsa thupi.

■ zoletsa za DPP-4 zimachulukitsa kudalira glucose (mwachitsanzo, kuchuluka kwa shuga m'magazi) ndikupanga insulini ndipo, nthawi yomweyo, amachepetsa kupanga kwa glucagon (iyi ndi timadzi tomwe timapangitsa kuti shuga apangidwe).

■ agizo la GLP-1 receptor agonists limapangitsa kupanga insulin ndikuchepetsa kupanga kwa glucagon. Kuphatikiza apo, mankhwalawa amachepetsa kutsanulira kwam'mimba, ndipo wodwalayo akumva kutalika kokwanira.

■ Type II sodium-glucose co-transporter inhibitors amathandizira kuchotsa shuga wambiri kudzera mu impso. Chifukwa cha iwo, pafupifupi magalamu 70 a shuga amamasulidwa m'thupi tsiku limodzi.

Nthano 2. Matenda a shuga amatha kuchiritsidwa

Mankhwala amakono amatha kuwongolera njira ya matenda ashuga kuti wodwala asasiyane ndi anthu athanzi pankhani ya magwiridwe antchito ndi moyo wawo. Komanso, ndimatenda a shuga, pamakhala nthawi zina pamene thupi limatha kulipirira shuga wowonjezereka mu kudula chifukwa chosungidwa ndi kapamba.

Izi ndizofanana ndi matenda amtundu woyamba wa shuga, pambuyo povomerezeka ndi insulin, kapamba kuti asunge chinsinsi cha timadzi tambiri timene timakwaniritsidwa. Mumayitcha kuti nthawi ya “tchuthi”. Pankhaniyi, insulin siyidaperekedwanso kapena kuti mlingo wake ndi wochepa.

Koma, mwatsoka, patatha miyezi 3-9, kufunika kwa jakisoni wa insulin kumayambiranso. Kwa matenda a shuga a 2, zitha kukhala zokwanira poyamba kuti asinthe pazakudya zoyenera ndikuwonjezera zochitika zolimbitsa thupi kuti akhale ndi shuga yamagazi pamlingo womwe uli pafupi kwambiri.

Komanso, ngati kuzindikira kwa matenda ashuga kumatsimikiziridwa ndi zotsatira za mayeso a labotale, ndiye kuti sangathe kuchotsedwa, ngakhale ndi chiyambi cha kuchotsedwa kwa matendawa. Kuthana ndi mankhwala omwe amaperekedwa mwachangu kumatsogolera ku kukula ndi kukula kwa zovuta za matenda ashuga. Matenda a shuga amtundu woyamba amafunikira insulin.

Njira zazikulu zochizira matenda a shuga 2:

1. Chithandizo cha mankhwala: mapiritsi ochepetsa shuga, insulin.
2. Zakudya zamagulu
3. Kuchepetsa kupsinjika
4. Zochita zolimbitsa thupi.

Zabodza zokhudzana ndi kuchira kwathunthu kwa matenda ashuga zimagwiritsidwa ntchito ndi ochiritsa ena omwe amalonjeza odwala awo akagula "kuchiritsa kwina" kukana insulini kapena mapiritsi ochepetsa shuga.

Malingaliro olakwika ngati amenewo samangokhala opanda maziko, komanso oopsa chifukwa chakuwonjezeka kwa chiwopsezo cha matenda.

Nthano ya 3. Zogulitsa odwala matenda ashuga zitha kudyedwa mulimonse.

Nthano zokhudzana ndi matenda a shuga nthawi zambiri zimagwirizanitsidwa ndi lingaliro lakuti zotsekemera zimakhala ndi zinthu zopindulitsa, chifukwa chake, ngati cholembedwacho chikuwonetsa kuti mankhwalawo alibe shuga, koma m'malo mwake ali ndi fructose, xylitol kapena sorbitol, ndiye kuti amatha kudya popanda mantha.

M'malo mwake, zinthu zambiri zomwe zimapangidwira odwala matenda ashuga, omwe amapangidwa ndi ma confectioneries, zilibe zovulaza kuposa shuga, maltodextrin, ufa wa premium, mafuta a trans ndi mafuta ambiri. Chifukwa chake, zinthu zoterezi zimatha kuyambitsa kwambiri shuga.

Ndi kuchuluka kwa thupi, maswiti a matenda ashuga amatsogolera zomwe zimapangitsa kuti muchepetse kunenepa kwambiri monga mwa masiku onse. Chifukwa chake, kugwiritsa ntchito sikulimbikitsidwa. Pofuna kukwaniritsa kufunika kwa zakudya zotsekemera kapena ufa, ndikulimbikitsidwa kuti odwala omwe ali ndi matenda ashuga aziphike okha mwa kuphunzira momwe zinthu zingapangidwire.

Mtundu woyamba wa shuga wambiri, amafunika kuwongolera zakudya zamagulu azakudya, potenga muyezo wa insulin, womwe ndi wofunikira pakulowetsedwa kwawo. Mwa izi, mawu akuti 1 mkate unit amagwiritsidwa ntchito. Ndi ofanana ndi 10 g wamafuta abwino ndi 20 g wa mkate. Kuti mulipirire m'mawa, muyenera pafupifupi 1.5 - 2 PISCES ya insulin, masanawa - 1.5, komanso madzulo 1 unit.

Kuti mankhwalawa azitha kuchita bwino, ndikofunikira kusiya, makamaka kwa odwala matenda ashuga omwe ali ndi matenda amtundu wa 2:

• Utsi ndi confectionery, mchere, uchi, kupanikizana.
• Zakumwa zokoma za kaboni ndi zakumwa zamafuta.
• Mpunga, pasitala, semolina, zidzukulu.
• Mafuta onenepa, nsomba, nkhuku, zakumwa.
• Zoumba, zipatso, mphesa, nthochi, nkhuyu.

Ndikofunika kusintha shuga ndi stevia, ndikofunikira kuwonjezera CHIKWANGWANI CHAKUDYA CHAKUDYA Zipatso siziyenera kukhala zotsekemera, ngati zingatheke ziyenera kudyedwa zosaphika ndi peel.

Masamba amalimbikitsidwa kuti aziphatikizidwa ndi masaladi okhala ndi zitsamba ndi mafuta a masamba.

Bodza No. 5. Insulin ndi yoyipa komanso yosokoneza bongo.

Zikhulupiriro zonse zisanu zokhudzana ndi matenda a shuga ndizofala mokwanira, koma palibe zomwe zimayambitsa malingaliro abodza ambiri monga kuvulaza kwa insulin. Odwala ambiri amalingalira kukhala ndi insulin ngati chizindikiritso chovuta kwambiri cha matenda ashuga, ndipo ngati mutayamba jakisoni wa mahomoni, ndiye kuti nkosatheka "kuchokamo". Insulin imayambitsa mavuto ambiri, kuphatikizapo kunenepa kwambiri.

M'malo mwake, chithandizo chamankhwala cha matenda amtundu woyamba chimayikidwa kuyambira masiku oyamba a matendawa, mosasamala kanthu za zovuta za matendawa, popeza kusapezeka kwa insulin kumasokoneza njira zonse za metabolic, ngakhale ndi shuga ochepa. Masinthidwe awa a pathological sangakhale otakasuka kupatula insulin.

Kwa odwala omwe ali ndi matenda a shuga a 2, insulin imatha kutumikiridwa kwa nthawi yayitali ya matendawa, pomwe kapamba sangapereke thupi ndi mahomoni ake komanso kuphatikizira matenda oopsa, mimbayo, mkaka wa m'mawere ndikulowerera. Nthawi zambiri, chithandizo cha insulin choterachi sichinthawi yochepa chabe.

Insulin imatha kukhudza kulemera kwa thupi, ndikuwonjezera kuchuluka kwake. Izi zimachitika ndikuphwanya malangizo a caloric kudya, komanso kuzunza thupi kapena zakudya zamafuta. Chifukwa chake, kuti muchepetse kulemera, muyenera kuwerengera mosamala mlingo wa mahomoniwo osaphwanya malamulo okhudzana ndi shuga.

Zotsatira zoyipa za insulin ndi:

• Zomwe zimachitika mdera lanu momwe redness, kuyabwa ndi kutupa kwa khungu.
• Mawonetseredwe a Systemic: urticaria, edema ya Quincke, zochita za anaphylactic, matenda am'mimba, bronchospasm.
• Hypoglycemia.

Vutoli lotsirizalo limadziwonetsera nthawi zambiri, chifukwa mawonekedwe awomwe amagwiritsidwa ntchito pogwiritsa ntchito ma insulinant insulin m'malo mwa zinyama adachepa kwambiri.

Hypoglycemia panthawi ya insulin mankhwala imakhudzana ndi zolakwika pakugwiritsa ntchito mankhwalawa, mlingo wowerengeka molakwika, kusowa kwa shuga m'magazi usanalowe, komanso kudumpha chakudya kapena kuchuluka kwa zochitika zolimbitsa thupi, zomwe sizinachitike pakukonzekera insulin.

Ngati vuto la hypoglycemia limachitika mobwerezabwereza, ndiye kuti odwala omwe ali ndi matenda a shuga 1 amalimbikitsidwa kuti azisankhidwa pa dipatimenti ya endocrinology. Pamaso pa thupi lawo siligwirizana, mankhwala kapena desensitization ena atha kupatsidwa kuti athandizire hypersensitivity ku mahomoni.

Elena Malysheva amalankhula za nthano zofala kwambiri zokhudzana ndi matenda ashuga pamodzi ndi akatswiri muvidiyoyi.