Matenda a shuga amakhudza > Chithandizo ndi kupewa

1 Kodi matenda ashuga amtundu 1 amakhudza bwanji thupi?
2 Kodi matenda amtundu wa 2 amakhudza bwanji thupi?
- 2.1 Zotsatira za matenda a shuga ku impso
- 2.2 Zomwe zimayambitsa kusokonezeka kwa mashuga
- 2.3 Mphamvu ya shuga pamitsempha
- 2.4 Kodi zimakhudza bwanji mtima ndi mtima?

Kwa zaka zambiri osalimbana ndi ma DIABETES?

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

Matenda a shuga ndi matenda a endocrine momwe mumakhala vuto la shuga. Kusintha komwe kumachitika mthupi ndi matenda ashuga kumayamba chifukwa cha kusowa kwa insulin ya mahomoni. Mu chitetezo cha m'thupi, mafuta kagayidwe amasokonezedwa, komanso mchere, mapuloteni, kaboni, mchere wamchere. Glucose kuchokera m'magazi amatengeka ndi thupi, chifukwa cha insulin yomwe kapamba amatulutsa m'maselo a beta.

Kodi matenda ashuga amtundu 1 amakhudza bwanji thupi?

Mtundu woyamba wa matenda ashuga, insulin siipangidwa m'maselo owononga a beta. Matenda a autoimmune amakhudza mibadwo yonse, ngakhale ana ndi achinyamata. Matendawa amawonekera mwadzidzidzi ndipo amakula mwachangu. Komanso, matenda amaputa:

kuwonda chifukwa chosowa insulini,
ludzu
ketoacidosis (matupi a ketone owonjezera m'magazi).

Kusiyana pakati pa matenda ashuga amtundu 1 ndi matenda ashuga 2 pakalibe insulin. Ziwalo zambiri zimasowa mphamvu chifukwa popanda mahomoni amenewa, glucose simalowa mu cell. Mwazi wamagazi umachulukira, chifukwa umakhala ndi glucose onse osakonzedwa. Maselo amafuta amayamba kuthyoka mwachangu kulipirira kuchepa kwa mphamvu. Kuchepetsa thupi kumachitika ndi chidwi cha wodwalayo. M'misempha, kuwonongeka kwa mapuloteni kumayamba. Amino acid amapangidwa, kuchuluka kwake komwe m'magazi kumawonjezeka kwambiri. Chiwindi chimatsuka magazi a mafuta ochulukirapo komanso ma amino acid ndikuwapangira matupi a ketone. Kuchuluka kwawo kumakhala kovulaza munthu wodwala, chiopsezo chogwa chikomokere chikukulira.

Mwazi wa magazi suyenera kupitirira 5.5-6 mmol / L pamimba yopanda kanthu komanso maola 7.5-8 mmol / L 1-1.5 mutadya.

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Kodi matenda amtundu wa 2 amakhudza bwanji thupi?

Matenda a 2 a shuga amakhudza ziwalo zonse za anthu.

Mliri wa m'zaka za zana la XXI - mitundu yachiwiri ya matenda ashuga - osadalira insulini, mnzake wa kunenepa kwambiri. Kuchepa kwa mayankho a maselo kupita ku insulin kumabweretsa matenda. Padziko lonse lapansi, kuchuluka kwa odwala matenda amtunduwu kumawonjezeka zaka 15 zilizonse. Palinso mtundu wina wachitatu wa matenda ashuga - ochita kusamba, omwe amakula mwa amayi apakati, chifukwa cha kusokonezeka kwa mahomoni. Pambuyo pobereka, monga lamulo, amadutsa.

Mosasamala mtundu wa matenda, kuchuluka kwa shuga m'magazi kumawonjezeka, kuwonongeka kwa ziwalo zomwe zimadalira insulini komanso thupi lonse laumunthu. Ndi kuchuluka kapena kusowa kwa glucose, magazi amayamba kuwonda. Hyperglycemia imakhudza mitsempha yamagazi, imadya. Amakhala opsinjika, ndipo, kuwonjezera, mafuta amayikidwa m'matumbo. Choyamba, ziwiya zing'onozing'ono zimavutika: mawonekedwe amaso, impso zimakhudzidwa. Ndipo pali kusintha m'mitsempha yayikulu yamagazi, komwe kumayambitsa sitiroko, mtima.

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Zotsatira za matenda a shuga pa impso

Hyperglycemia imabweretsa matenda a impso - matenda a shuga. Amayamba kusefa magazi kwambiri, osati chifukwa cha kuwonongeka kwa mitsempha yamagazi, komanso chifukwa cha kuchuluka kwa glucose, komwe kumawonjezera katundu pantchito yawo. Zotsatira zakusintha kwa kayendedwe ka mankhwala mu impso, zosefera zazing'ono zimavutika: zipsera zimawonekera, protein (albumin) imapezeka pakupenda mkodzo.

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Zomwe zimayambitsa kusokonezeka kwa shuga

Ndi hyperglycemia yokhala ndi nthawi yayitali, mitsempha yaying'ono ya magazi ya retina imawonongeka. Amakhala ofooka ndikuphulika. Zatsopano zomwe zimapangidwa m'malo mwake kale ndi zopunduka motero sizitha kuletsa kutulutsa madzi ndi magazi. Matenda amaso amayamba - matenda a shuga a retinopathy. Pali kuphwanyidwa kwa mandala, zomwe zimatsogolera kuwonongeka kwamawonekedwe. Glaucoma, amphaka ndipo ngakhale khungu limawopseza maonekedwe awo kwa wodwala. Zizindikiro zakuwonongeka kooneka, zomwe ndi chifukwa chopita kwa dokotala:

kutopa mukamawerenga:
Madontho akuda oyang'ana pamaso,
nthawi zina zimawala kapena zimachita mdima.

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Zokhudza matenda a shuga m'mitsempha

Zokhudza magazi.

Ndi matenda a shuga, misempha imawonongeka, neuropathy imayamba. Mwazi wamagazi ochulukirapo umapangitsa ziwiya zomwe zimapereka magazi ku brittle. Chifukwa chake, amasiya kugwira ntchito yawo. Chifukwa cha izi, dzanzi la manja, miyendo, mapazi, mphamvu zawo zimachepa. Mavuto amtundu wa genitourinary amayamba. Wodwalayo amazunzika chifukwa chodana ndi mseru, kusanza komanso kutsegula m'mimba.

Ngati kuchuluka kwa shuga m'magazi kumagwera kwambiri chifukwa chosagwiritsa ntchito insulin yambiri, zolimbitsa thupi, zomwe zimafunikira mphamvu zambiri, hypoglycemia imachitika. Glucose ndi othandizira kuti ubongo ugwire ntchito, chifukwa chake, kuchepa kwakukulu kwa shuga mumagazi kumayambitsa zovuta zomwe zimachitika m'mitsempha ya mitsempha ndikuwonetsa zisonyezo zotsatirazi:

chizungulire
kudziwa zolakwika
general malaise
kunjenjemera.

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Kodi zimakhudza bwanji mtima ndi mtima?

Hyperglycemia imayambitsa chiwonetsero chambiri cha matenda ashuga. Zotsatira za shuga wambiri pamtima ndi mitsempha yamagazi ndizabwino. Pambuyo pakugonjetsedwa kwa mitsempha yamagazi yaying'ono, kusintha kwa ma pathological kumachitika mu zazikulu. Kuchulukitsa mamasukidwe amwazi, kumachepetsa magazi. Kuwonjezeka kwa thrombosis ndi hemorrhage, kuphwanya kwa lipid metabolism.

Mwa anthu odwala matenda ashuga, patatha zaka 50, kusintha kwa atherosselotic kumawonekera m'mitsempha yama coronary. Chifukwa cha kusintha kwawonekeratu m'mizere yayikulu komanso yaying'ono, kuperewera kwa mpweya wokwanira, pali chiwopsezo cha sitiroko, matenda oopsa, komanso kukula kwa matenda a mtima. Malinga ndi ziwerengero, zomwe zikuyamba kukhala zachisoni, mwa odwala onse omwe ali ndi matenda a shuga, lembani 1% ya 10% ya odwala, ndipo 90% yotsala ndi omwe amapatsidwa mtundu wa 2. Chiwerengero cha odwala chimawonjezeka pafupifupi kawiri pachaka.

Katundu ndi kapangidwe ka mankhwala

Pakufika pamlingo wa glycemic index (GI - 55), phala lili pakatipa patebulo. Zomwezi zimagwiranso pazopatsa mphamvu zake: 100 g ya buckwheat ili ndi 308 kcal. Komabe, ndikulimbikitsidwa pamenyu ya odwala matenda ashuga. Kuphatikizikako ndikuphatikizapo:

chakudya - 57%
mapuloteni - 13%,
mafuta - 3%,
CHIKWANGWANI chamafuta - 11%,
madzi - 16%.

Zakudya zamafuta pang'ono, michere yazakudya ndi mapuloteni zimapangitsa kuti pakhale menyu womwe umakwaniritsa zofunikira za chakudya komanso zofunikira za thupi.

Croup ilinso ndi zida (mu% ya zosowa za tsiku ndi tsiku):

silicon - 270%,
Manganese -78%
mkuwa - 64%
magnesium - 50%
molybdenum - 49%,
phosphorous - 37%,
chitsulo - 37%
zinc - 17%,
potaziyamu - 15%
selenium - 15%,
chromium - 8%
ayodini - 2%,
calcium - 2%.

Zina mwazinthu izi ndizofunikira kwambiri pakapangidwe ka metabolic:

silicon bwino mphamvu makoma a mitsempha yamagazi,
manganese ndi magnesium amathandiza kuyamwa kwa insulin,
chromium imakhudzanso kuchuluka kwa ma membrane am'magazi kuti amwe magazi, imagwirizana ndi insulin,
zinki ndi chitsulo zimawonjezera mphamvu ya chromium,

Chofunika kwambiri kwa odwala omwe ali ndi matenda ashuga, kupezeka kwa chromium mu buckwheat, komwe kumathandizira kuyamwa kwamafuta, kumalepheretsa kukula kwa kunenepa kwambiri.

Mavitamini a B ndi mavitamini a PP omwe amaphatikizidwa ndikuphatikizidwa amagwira ntchito yofunika kwambiri pakupanga zinthu zokhala ndi shuga: amasunga shuga ndi cholesterol.

Buckwheat kwa odwala matenda ashuga ndi mankhwala ofunikira, omwe amamwa omwe amathandizira kuti shuga akhale mthupi.

Zosiyanasiyana

Croup ikhoza kugawidwa m'magulu angapo, kutengera njira yopangira:

Final wokazinga ndi chinthu chodziwika bwino. Ndi chimanga cha mtundu wa bulauni. Ground (mwanjira ya ufa) ndi msuzi wosafunidwa (wobiriwira) sagwiritsidwa ntchito pafupipafupi, koma ndiwothandiza kwambiri komanso zovomerezeka ngati matenda a shuga a 2.

Zakudya za Buckwheat

Kuphatikiza pa phala wamba la chimanga, mutha kuphika zakudya zosiyanasiyana zabwino komanso zabwino.

M'mawa chakudya cham'mawa ndikulimbikitsidwa kumwa kefir ndi buckwheat kuti muchepetse shuga. Kuti muchite izi, madzulo, kutsanulira 20 g ya pansi pamadzi owira pansi ndi 1 chikho cha 1% kefir. Ngati chakudyachi chikuyenera kudyedwa pakudya chamadzulo, ndiye kuti sipanatenge maola 4 asanagone.

Ma Endocrinologists amakhulupirira kuti mwanjira imeneyi njira yothandizira anthu zimatheka, chifukwa chake, mankhwalawa sayenera kugwiritsidwa ntchito molakwika: kudya tsiku lililonse osapitilira milungu iwiri.

Ubwino ndi kuvulaza kwa buckwheat ndi kefir m'mawa pamimba yopanda kanthu ndi shuga:

Ubwino: kuyeretsa m'mimba m'mimba kuchokera ku poizoni, kusintha kagayidwe.
Kuvulala: kuthekera kwachulukitsa kwa njira zotupa mu chiwindi ndi kapamba, kukhuthala kwa magazi.

Pa nkhomaliro, pasitala wokhazikika amatha kusinthidwa ndi Zakudyazi zochokera ku ufa wa buckwheat. Zakudyazi zotere zimagulitsidwa m'sitolo kapena mutha kudzipanga nokha. Kuti muchite izi, pogaya ma grits opera mu chopukusira cha khofi ndi ufa wa tirigu mu 2: 1 chiyerekezo ndikuyika mkondo wokwera m'madzi otentha. Mkate wowonda umakutidwa kuchokera mu mtanda, ndikuloleza kuti uwume ndipo owonda amawudula. Mbaleyi idachokera ku zakudya za ku Japan, zimakhala ndizonunkhira zabwino, zothandiza kwambiri kuposa mkate ndi pasitala wopangidwa ndi ufa wa tirigu.
Buckwheat phala yokhala ndi bowa ndi mtedza ndi yoyenera pa nkhomaliro komanso chakudya chamadzulo. Zofunikira pakuphika:

bulwheat
ndevu
bowa watsopano
mtedza (chilichonse)
adyo
udzu winawake.

Mwachangu masamba (ma cubes) ndi bowa (magawo) mu 10 ml ya mafuta a masamba, simmer kwa mphindi 5 mpaka kutentha pang'ono. Onjezerani kapu yamadzi otentha, mchere, chithupsa ndikutsanulira buckwheat. Paotentha kwambiri, kutentha kwa chithupsa, muchepetse kutentha ndi kusira kwa mphindi 20. Mwachangu 2 tbsp. l mtedza wosweka. Kuwaza phala yophika ndi iwo.

Mutha kuphika buckwheat pilaf.

Kuti muchite izi, anyezi ya mphindi 10 ya anyezi, adyo, kaloti ndi bowa watsopano mu poto pansi pa chivindikiro popanda mafuta, kuwonjezera madzi pang'ono. Onjezerani kapu ina yamadzi, mchere, ndikutsanulira 150 g ya phala. Kuphika kwa mphindi 20. Mphindi 5 lisanathe kuphika tsanulira kapu ya kotala ya vinayi youma. Finyani mbale yotsirizidwa ndi katsabola ndikukukongoletsa ndi magawo a phwetekere.

Buckwheat wobiriwira

Baluwheat wobiriwira wobiriwira, amatha kumera ndi kudyedwa. Mbewu yosasinthidwa ili ndi katundu wopindulitsa kwambiri chifukwa chosowa chithandizo cha kutentha. Malinga ndi kuchuluka kwachilengedwe kwa mndandanda wa amino acid, imaposa barele, tirigu ndi chimanga ndikuyandikira mazira a nkhuku (93% ya dzira BC).

Buckwheat sikhala mbewu ya chimanga, kotero magawo onse a chomera ali ndi ma flavonoids. Mbewu za Buckwheat zimakhala ndi rutin (vitamini P). Pakumera, nyemba za flavonoids zimachulukana.

Zakudya zomanga thupi za masamba obiriwira okhala ndi chiro-inosotypes zomwe zimatsitsa kuchuluka kwa shuga m'magazi. Kuphatikiza apo, malonda ali ndi zinthu zotsatirazi.

amalimbitsa Mitsempha yamagazi
normalization kagayidwe,
amachotsa poizoni.

Mbeu zosapsa nthawi zambiri siziwathandizidwa ndi kutentha, koma zimadyedwa mwa njira ya mbande.

Kuti mupeze mphukira, burwheat imathiridwa ndimadzi ndikuloledwa kutupa. Madzi amasinthidwa, amasiyidwa masiku awiri pamalo otentha. Pambuyo pakupezeka kwa zophukira, buckwheat ikhoza kudyedwa, mutatha kusamba bwino ndi madzi oyenda.

Mutha kudya zotumphukira ndi masaladi, zakudya monga mkaka, zamkaka. Tsiku lokwanira kuwonjezera zakudya m'gulu la masamba owerengeka a nthangala.

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

Dzira limakhazikika m'maso asanadye. Choyamba, kwa maola 1-2, kenako ndikusambitsidwa ndikusiyidwa m'madzi kwa maola ena 10-12.

Kugwiritsa ntchito kwambiri kumayambitsa gastritis, monga ntchofu zomwe zili m'mbewuzo zimakwiyitsa m'mimba. Raw croup ndi contraindicated ngati pali vuto ndulu kapena kuchuluka magazi.

Kugwiritsa ntchito mankhwala osokoneza bongo pakudya la odwala omwe ali ndi matenda a shuga a 2 sikungalephereke. Chochitacho chimakupatsani mwayi kuti muchepetse shuga popanda chakudya chotopetsa, kuti mupulumutse mphamvu. Kugwiritsa ntchito ngati chowonjezera, mutha kusintha menyu. Buckwheat ali ndi phindu pa magwiridwe antchito a chitetezo chathupi komanso endocrine.

Vitamini D ndi matenda ashuga: kodi mankhwalawa amakhudza bwanji thupi la odwala matenda ashuga?

Matenda a shuga ndi matenda oopsa, omwe kukula kwawo kumayendera limodzi ndi kuwoneka kwa zovuta zingapo mthupi la munthu. Nthawi zambiri, zovuta zomwe zimachitika mthupi zimakhudza ntchito ya mtima, impso, chiwindi, dongosolo lamanjenje, khungu komanso ena.

Nthawi zambiri, odwala matenda a shuga amadzifunsa ngati vitamini D amayenera kumwedwa komanso ngati mavitamini owonjezera amatha kusintha momwe munthu akudwala.

Posachedwa, kafukufuku wachitika zomwe zimatsimikizira momwe mavitamini D amachitikira mthupi la munthu wodwala matenda ashuga.

Kumwa mankhwala owonjezera a vitamini ndikofunikira popewa matendawa ndikuchepetsa matendawa m'thupi.

Zotsatira za vitamini D pakukula kwa matenda ashuga

Kafukufuku waposachedwa adatsimikizira kuti pali ubale wapakati pa vitamini D ndi shuga.

Zakhazikitsidwa modalirika kuti kuchuluka kosakwanira kwa zinthu zachilengedwe izi kumawonjezera mwayi wokhala ndi matenda osokoneza bongo komanso zovuta zomwe nthawi zambiri zimayenderana ndi chitukuko cha matenda.

Vitamini D ndi gawo limodzi labwino kwambiri lomwe limayang'anira thupi la munthu posamalira phosphorous komanso calcium yambiri. Ndikusowa kwa chinthuchi mthupi, kuchepa kwa calcium kumawonedwa.

Kuperewera kwa calcium m'matumbo kumapangitsa kuchepa kwa mapangidwe a maselo a pancreatic beta ndi insulin.

Kafukufuku adazindikira kuti kukonzekera kowonjezera komwe kumakhala ndi vitamini D mu shuga mellitus kumatha kuwongolera kwambiri kuchuluka kwa dzuwa mthupi la munthu.

Zomwe zimapangitsa kuti pakhale phula lothandiza kwambiri pamlingo wa calcium m'thupi zimatsogolera kuti magwiridwe antchito a maselo opanga insulin amatengera zomwe zili mu vitamini D mthupi.

Kutengera kuchuluka kwa phula mthupi, magulu angapo aanthu ndiosiyanitsidwa omwe ali:

kuchuluka kwa mavitamini - kuchuluka kwa zinthu kuyambira 30 mpaka 100 ng / ml,
pafupipafupi kuperewera - ndende ikuyambira 20 mpaka 30 ng / ml,
kukhalapo kwa kuperewera kwakukulu - kuchuluka kwa vitamini 10 mpaka 20 ng / ml,
kukhalapo kwa vitamini osakwanira kwambiri - kuchuluka kwa phula mthupi la munthu ndi kochepera 10 ng / ml.

Mukamayesa anthu omwe ali ndi matenda ashuga, oposa 90% ya odwala ali ndi vuto la vitamini D m'thupi, lomwe limawonetsedwa pang'ono kapena pang'ono.

Pamene kuchuluka kwa vitamini D kuli pansi pa 20 ng / ml, mwayi wokhala ndi metabolic syndrome mwa wodwala umachuluka. Ndi kuchepetsedwa kwapawiri pazomwe zimagwiritsidwa ntchito mwa wodwala, kuchepa kwa chidwi cha zotumphukira zomwe zimadalira insulin.

Zakhazikitsidwa modalirika kuti kusowa kwa vitamini D m'thupi la mwana kumatha kupangitsa kukhazikitsa mtundu wa matenda a shuga 1 a mellitus.

Kafukufuku adazindikira kuti kuperewera kwa Vitamini kumathandiza osati kokha kukula kwa mtundu 1 kapena mtundu wa 2 matenda a shuga, komanso mtundu wapadera wa matenda ashuga omwe umayamba pakubala mwana.

Matenda amtunduwu mthupi la wodwalayo amachepetsa kwambiri matenda ashuga.

Makhalidwe a Vitamini D

Kuphatikizika kwa Vitamini kumachitika mthupi laumunthu mothandizidwa ndi ma radiation a ultraviolet, kapena kulowa thupi limodzi ndi chakudya chomwe chimadyedwa. Kuchuluka kwazinthu zofunikira kwambirizi kumapezeka mu zakudya monga mafuta am'madzi, batala, mazira ndi mkaka.

Vitamini D ndi imodzi mwazinthu zosungunulira mafuta. Chipangizochi sichiyeneretso chamtunduwu. Izi ndichifukwa choti pawiri imakhudza thupi polumikizana ndi ma receptors apadera omwe amapezeka pang'onopang'ono pa cell membranes ya maselo ambiri. Khalidwe la bioactive pawiri limafanana ndi zomwe timadzi timene timapanga timene timapanga. Pachifukwachi, ofufuza ena amatcha ma D-hormone ophatikizika.

Vitamini D, wopezedwa ndi thupi kapena wopangidwamo, amaphatikizika. Pakuyambitsa kwake ndikusintha kukhala mtundu wogwira wa D-Horm, kusintha kwina kwa metabolic kuyenera kuchitika ndi iko.

Pali mitundu ingapo ya mavitamini, yomwe imapangidwa mosiyanasiyana masinthidwe a metabolic.

Mitundu yamitundu iyi yophatikiza ndi zinthu zina motere:

D2 - ergocalciferol - limalowa mu thupi ndi zakudya zomwe zimachokera ku mbewu.
D3 - cholecalciferol - imapangidwa pakhungu mothandizidwa ndi kuwala kwa ultraviolet kuchokera ku dzuwa kapena kumabwera mutatha kudya zakudya zomwe zimachokera ku nyama.
25 (OH) D3 - 25-hydroxycholecalciferol - ndi hepatic metabolite, yomwe imakhala chisonyezo chachikulu chazomwe thupi la bioavailability lilili.
1,25 (OH) 2D3 - 25-dihydroxycholecalciferol ndi mankhwala omwe amapereka michere yayikulu ya Vitamini D. Pawiri ndi aimpso metabolite.

Ma metabolabolites omwe amapangidwa m'chiwindi amakhala ndi mphamvu yayikulu mthupi la munthu.

Zotsatira za vitamini D pamaselo a beta komanso kuchuluka kwa insulin

Ma metabolabolites opangidwa m'maselo a chiwindi ali ndi gawo lalikulu pakugwira ntchito kwa beta maselo a pancreatic minofu.

Kukopa pa ntchito ya maselo kungakhale munjira ziwiri zosiyanasiyana.

Njira yoyamba yolimbikitsira ndikulimbikitsa katemera wa insulini mwachangu pogwiritsa ntchito njira zosafunikira zamagetsi. Kutsegula kwa limagwirira kumabweretsa kuchuluka kwa calcium mayoni mu cytoplasm of pancreatic beta cell, omwe amachititsa kuti insulini iphatikizidwe.

Njira yachiwiri yolimbikitsira ndikuyambitsa kwachilendo kwa beta-cell endopeptidase ya calcium, yomwe imalimbikitsa kutembenuka kwa proinsulin kuti ikhale yogwira - insulin.

Kuphatikiza apo, vitamini D imathandizira pakuyambitsa kwamakina a insulin ndikulepheretsa kukula kwa insulini kukaniza matenda.

Mlingo wamatenda amtundu wa insulin ndi chimodzi mwazinthu zazikulu pakupanga matenda a shuga.

Ma metabolites othandizira opangidwa m'chiwindi amatha kukhudzidwa ndi maselo a zotumphukira maselo a insulin. Zotsatira za metabolite pama receptors zimabweretsa kugwiritsidwa ntchito kwa shuga kwa plasma yamagazi ndimaselo, ndikuchepetsa kwambiri mulingo wake m'thupi.

Zotsatira za metabolites zomwe zimapezeka m'chiwindi pazochitika za pancreatic beta cell ndi cell receptors of insulin - zotengera zotumphukira zathupi zimatsogolera kuti chiwopsezo chachikulu cha shuga m'thupi chimakhala kwakanthawi kochepa, ndipo chindapusa chobwereza shuga chimakhala bwino.

Kukhalapo kwa Vitamini D okwanira mthupi kumachepetsa mwayi wokhala ndi zotupa pamaso pa shuga m'thupi. Kuchuluka kwa Vitamini D okwanira m'thupi kumathandizira kuchepetsa kupezeka kwa zovuta zina mthupi lomwe limadwala matenda a shuga.

Mulingo wokwanira wa metabolites yogwira ntchito m'thupi umalola pakapita nthawi kuti muchepetse kulemera kwa thupi pamaso pa kunenepa kwambiri, zomwe zimachitika kawirikawiri pakupanga mtundu wa 2 shuga m'thupi.

Vitamini D m'mitundu yake yogwira imakhudzanso chizindikiro cha kuchuluka kwa timadzi tambiri totchedwa leptin m'thupi la munthu. Izi zimathandizira kumverera kwachifundo.

Mlingo wokwanira wa liptin m'thupi umathandizira kuyang'anira mwamphamvu kuchuluka kwa minofu ya adipose.

Kodi kuchitira kuperewera kwa vitamini D mthupi?

Ngati, panthawi yoyang'anira labotale, chizindikiro cha 25 (OH) D chikupezeka kuti chili ndi chizindikiro chotsika. Chithandizo chothandizira chimafunika.

Njira yabwino kwambiri yosankhidwa ndi dokotala pambuyo pakupenda bwino thupi ndi kupeza zotsatira za mayeso, komanso kuganizira zomwe zimachitika mthupi.

Njira yakuchiritsira yomwe adasankha amathandizanso kutengera kuchepa kwa thupi m'thupi la 25 (OH) D, zovuta zina ndi zina.

Muzochitika kuti wodwalayo sanaulule matenda akuluakulu a impso ndi chiwindi. Chithandizo chimenecho chimatenga kutenga Vitamini D.

Pa mankhwala, makonda ayenera kupatsidwa mankhwala okhala ndi mawonekedwe a D3 kapena cholecalciferol. Kugwiritsa ntchito mankhwala amtunduwu D2 osavomerezeka sikulimbikitsidwa.

Kugwiritsa ntchito mankhwala okhala ndi mawonekedwe a D3 m'mapangidwe awo kumafuna kuwerengera molondola mlingo wa mankhwalawo, zomwe zimatengera zaka za wodwalayo komanso kulemera kwake kwa thupi.

Pafupifupi, Mlingo wa mankhwala omwe amagwiritsidwa ntchito ndi kuyambira 2000 mpaka 4000 IU patsiku. Ngati wodwala yemwe ali ndi vuto la kupopera mphamvu m'thupi ali ndi thupi lolemera, mulingo wa mankhwala omwe amagwiritsidwa ntchito amatha kuwonjezeka mpaka 10,000 IU patsiku.

Ngati wodwalayo akuwonetsa matenda akuluakulu a impso ndi chiwindi, dokotalayo amalimbikitsa kumwa mankhwala omwe ali ndi mawonekedwe othandizira pothandizidwa ndi mankhwala.

Kuphatikiza pa kumwa mankhwala okhala ndi vitamini D, ndikofunikira kusintha kwambiri zakudya za wodwala wokhala ndi matenda a shuga a 2.

Kuti muwonjezere kuchuluka kwa mankhwala othandizira m'thupi la wodwalayo, amafunika kuyambitsa zakudya zotsatirazi muzakudya:

Ngati mukusowa vitamini D m'thupi, ndikulimbikitsidwa kuti wodwala azikonza nsomba masiku 2-3 kawiri pa sabata. Nsomba zamatenda ndizothandiza kwambiri kwa matenda ashuga a 2.

Katswiri mu kanema mu nkhaniyi adzalankhula za vitamini D ndi mapindu ake kwa thupi.

Vitamini D ndi chiyani?

Vitamini D ndi vitamini wosungunuka womwe umapangidwa m'thupi la munthu motsogoleredwa ndi kuwala kwa dzuwa, komanso womwe umatha kupezeka ndi zakudya zina. Vitamini D, yemwe amapangidwa pakhungu la munthu mothandizidwa ndi dzuwa, ndi vitamini D3, kapena cholecalciferol. Imapatsa thupi thupi ndi 80-90% ya kuchuluka kwa vitamini D. Itha kupezekanso ndi zakudya zina (mwachitsanzo, nsomba ndi nsomba zamzitini). Mitundu yokha yazomera ndi bowa (mwachitsanzo, mu boletus, shiitake) vitamini D2, kapena ergocalciferol, zimapangidwa.

Mthupi, vitamini D imasinthidwa kuti ikhale yogwira mawonekedwe. Choyamba, vitamini D m'chiwindi amasinthidwa kukhala calcidiol, kapena vitamini 25 (OH) D. Chiwalo chofunikira kwambiri chomwe chimasintha ndikusintha kwa impso. Mu impso, vitamini D amasinthidwa kukhala calcitriol ya mahomoni - vitamini 1.25 (OH) D, yomwe imakhudza kugwira ntchito kwa ziwalo zonse.

Kodi vuto la vitamini D limapezeka bwanji?

Kuti mudziwe kuchuluka kwa vitamini D mthupi komanso kuti mumvetsetse ngati mulingo wokwanira, ndikofunikira kudziwa mulingo wa Vitamini 25 (OH) D, kapena calcidiol, m'magazi, chifukwa chizindikirochi chikuwonetsa kuchuluka kwa vitamini D m'thupi. Hafu ya moyo wa calcidiol ndi milungu iwiri, motero, atayamba chithandizo, ayenera kutsimikizidwanso osapitilira miyezi iwiri. Kutsimikiza kwa Laborator kwa calcitriol, kapena 1.25 (OH) D3, ndikosatheka, chifukwa theka lake la moyo ndi maola 4-6 okha, ndipo kuphatikiza kwake mthupi kumakhala kotsika.

Zimavomerezeka kuti mulingo wa vitamini D m'magazi umatsimikiziridwa ndi labotale ngati wodwala ali ndi zodandaula zoyenera kapena zoopsa (onani pansipa). Zizindikiro monga kutopa, kufooka kwa minofu, kufooka, kuzizira pafupipafupi kapena kuwonongeka kwa mano kumatha kuwonetsa kuchuluka kwa vitamini D mthupi. Vuto la kuperewera kwa Vitamini D limaphatikizidwa ndi dzuwa nthawi yayitali (mwachitsanzo kusuntha kwa ntchito kapena kukakamizidwa chifukwa cha matenda ena), matenda a chiwindi (mwachitsanzo hepatitis C kapena cirrhosis), matenda a impso osakwanira, mavitamini osakwanira D m'matumbo am'mimba (mwachitsanzo, atachitidwa opaleshoni yam'mimba).

Chiwopsezo cha Vitamini D wochepa komanso matenda a shuga

Zovuta zomwe zingayambitse matenda a shuga, monga kuchuluka kwa thupi, kukhala pansi, komanso kukhala ndi zakudya zamagulu m'zakudya, ndizodziwika kwa nthawi yayitali. Koma pali odwala omwe ali ndi matenda ashuga, ngakhale amachepetsa thupi komanso kudya. Chifukwa chake, pakufunika kufufuza mwachangu zinthu zina zomwe zimapangitsa kukula kwa matenda ashuga. Kodi kuchuluka kwa vitamini D m'thupi kumathandizira kuti muchepetse vuto la matenda ashuga?

Mavitamini 25 (OH) D omwe ali pansi pa 20 ng / ml amadziwika kuti amalumikizidwa ndi chiopsezo cha 74% chotenga matenda a metabolic! Amakhulupirira kuti metabolic syndrome ndi harbinger wa kukula kwa matenda a shuga a 2, chifukwa amaphatikiza kagayidwe kazakudya, kuchuluka kwa thupi ndi kuthamanga kwa magazi.
Mlingo wa vitamini 25 (OH) D pansi pa 20 ng / ml umagwirizananso ndi kuchepa kwamphamvu kwa minyewa ya thupi kupita ku insulin, kapena komwe kumatchedwa insulin kukana.. Kukana kwa insulini, kumakhalanso koyambitsa chiwopsezo cha matenda a shuga a mtundu 2, chifukwa glucose samafika pazomwe akufuna (mwachitsanzo, minofu), komanso kuchuluka kwa shuga m'magazi kumakwezedwa kwambiri.
Kuchokera pazotsatira zofala kwambiri, zimatsata kuti ana omwe ali ndi vuto la vitamini D (mulingo wa vitamini 25 (OH) D m'thupi