Ndingabweretse chiyani kuchipatala kuchokera ku chakudya

Malinga ndi ziwerengero, kugonekedwa kwa anthu odwala matenda ashuga ndi chinthu chofala kwambiri. Dokotala wofotokozerayo akufunika kwa wodwalayo kupita kuchipatala kuti akamuyeze mwatsatanetsatane, musakane.

Matenda monga matenda a shuga ndi amtundu wa matenda oopsa komanso oopsa. Ndi chifukwa ichi kuti anthu odwala matenda ashuga ayenera kukhala oyang'aniridwa ndi madotolo kwakanthawi, ngakhale kuti ambiri omwe ali ndi matenda ashuga alibe malingaliro oyipa opita kuchipatala.

Pali zisonyezo zingapo zomwe zikuwonetsa kufunikira kokhalira kuchipatala. Kuphatikiza apo, wodwalayo angagwenso chithandizo chamanthawi zonse, chomwe chimapangitsa maphunziro owonjezera, kapena pakagwa mwadzidzidzi. Chizindikiro chakugonekedwa kuchipatala ndi boma la coma kapena precomatose, ketoacidosis yapamwamba, ketosis, kuchuluka kwambiri kwa shuga ndi zina zotero.

Zizindikiro zakuchipatala chofulumira

Hyperglycemia ikawonedwa mwa wodwala kwa nthawi yayitali, dokotala wopezekapo amayenera kusintha insulin.

Pangakhale kofunikira kuti mupereke mankhwala atsopano, chifukwa chake odwala matenda ashuga ayenera kukayezetsa zina.

Palinso zisonyezo zina zothandizira kuchipatala:

1. Wodwala akakhala kuti sagwirizana ndi mankhwala omwe amachepetsa shuga, amayenera kulowedwa m'malo ndi analog osakhudza mphamvu yamankhwala. Zomwezo ngati pali kuwonongeka kwa shuga.
2. Ngati munthu wodwala matenda ashuga akayamba kulimba chifukwa cha shuga wambiri. M'malo mwa matenda otere, matenda aliwonse amatha kuchita.
3. Wodwala akakula ndi matenda ashuga othana ndi matenda a shuga, wodwalayo amagonekedwa m'chipatala mosalephera. Popanda chithandizo chakanthawi, nkovuta kukwaniritsa zinthu zabwino.

Kugonekedwa ku chipatala kumatha kupewedwa ngati mukudwala matenda ashuga okha, koma palibe matenda ena omwe sanalowe nawo m'thupi. Monga lamulo, palibe chifukwa chofunikira kupita kuchipatala ngati impso imagwira ntchito popanda zolephera, ndipo mulingo wotseka m'magazi simapitilira 11 - 12 mmol / l.

Mutha kusankha mankhwalawa moyenera. Wodwala amadwala maphunziro angapo.

Pambuyo pa izi, endocrinologist amakhazikitsa dongosolo lamankhwala.

Ubwino wa Chithandizo Chanthawi

Kusamalira odwala kunja kuli ndi mapindu ake. Choyamba, mankhwalawa amachitika kunyumba, zomwe zimachitika kawirikawiri kwa odwala matenda ashuga. Izi ndizofunikira chifukwa zinthu zopsinjika zimapangitsanso kuchuluka kwa shuga m'magazi.

Kachiwiri, boma limalemekezedwa. Chithandizo cha mkati, mosiyana ndi chithandizo chakunja, chimasintha zochitika zatsiku ndi tsiku, popeza wodwalayo sakhala motsatira ndondomeko yake, koma malinga ndi dongosolo la chipatala.

Kugonekedwa pachipatala ndikofunikira kuti pakuchitika opaleshoni. Ngati akunena kuti ndi zipatala ziti zomwe zimagwira ndi odwala omwe ali ndi matenda a shuga, ndikofunikira kudziwa kuti nthawi zambiri odwala matenda ashuga amawonedwa m'dipatimenti ya endocrinology.

Komabe, zonse molunjika zimatengera machitidwe a matendawa. Mwachitsanzo, matenda ashuga mwa amayi apakati amawonedwa mu dipatimenti yoletsa kubereka, chifukwa, monga lamulo, zimachitika pakatha milungu 24 ya mimba.

Ndi njira ziti zomwe mungagwiritse ntchito pakuphika kwa odwala matenda ashuga?

Kwa zaka zambiri osalimbana ndi ma DIABETES?

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

Mu shuga mellitus (ziribe mtundu wanji), odwala ayenera kumvetsera kwambiri chisankho cha chakudya.Chifukwa chakuti pakadali pano pali maphikidwe osiyanasiyana okoma ndi osavuta a odwala matenda ashuga, zakudya zanu sizingapangidwe zothandiza komanso zotetezeka, komanso zosangalatsa ngati momwe mungathere.

Choyamba, pophika chakudya ndikofunikira kudziwa kuti zakudya zopatsa thanzi ziyenera kukhala zazakudya. Kuphatikiza apo, menyu amayenera kupangidwa poganizira zinthu zingapo:

• mtundu wamatenda
• zaka odwala
• kulemera kwa thupi
• kakhalidwe
• zolimbitsa thupi.

Zomwe mungadye ndi shuga wa mtundu I

Mwapadera ndiyofunika kusiya mbale zokhala ndi chakudya chamagulu, pomwe nthawi zina zimaloledwa kugwiritsa ntchito zinthu zina zakudya. Kupatula kumakhudzanso ana, chifukwa nthawi zina zimawavuta kukana chakudya chotere. Pankhaniyi, ndikofunikira kuwerengera mankhwala omwe atchulidwa kale, kuwongolera kuchuluka kwa shuga ndikuwongolera insulin panthawi yake.

Kwa matenda amtundu wa 1 shuga, zotsatirazi ndizovomerezeka:

• mkate wopanda bulawuni
• nyama yophika: ng'ombe, kalulu, nyama yamwana wankhuku, nkhuku,
• nsomba yamafuta owiritsa,
• mazira owiritsa
• kabichi, tomato, biringanya, zukini, mbatata,
• lalanje, ndimu, currant,
• zogulitsa mkaka,
• tchizi chamafuta ochepa
• chicory
• bulwheat, oatmeal, mapira,
• masamba saladi
• msuzi wa rosehip.

Kutsatira zakudya zoyenera m'thupi la endocrine, wodwalayo ayeneranso kukana khofi, shuga, mowa, mafuta amkaka, zakudya ndi nyama yokazinga, pasitala, mchere ndi masamba.

Malangizo a matenda a shuga a mtundu II

Poterepa, regimen yapadera yamakudya imapangidwa ndi mafuta ochepa, mchere ndi shuga.

Ndi matenda amtundu 2, ndibwino kuiwalako za mkate kapena kudya chofufumitsa chokha, chifukwa zimamwilidwa pang'onopang'ono ndipo sizimayambitsa kukwera kwakukula m'magazi. Mbatata sizingadye mopitilira 200 g patsiku, tiyeneranso kupewa karoti ndi kabichi.

Zosankha zachitsanzo zamagulu amtunduwu zikuwoneka motere:

• Chakudya cham'mawa. Buckwheat phala pamadzi ndi batala, chicory.
• Zakudya. Watsopano apulo ndi mphesa zipatso saladi.
• Chakudya chamadzulo Borsch wowawasa kirimu pa nkhuku stock, zouma zipatso compote.
• Chakudya chamadzulo. Curd casserole, rosehip tiyi.
• Chakudya chamadzulo Makina okhala ndi kabichi yophika, tiyi wosaphatikizidwa.
• Chakudya chachiwiri. Kapu ya mafuta ochepa-ryazhenka.

Chiyembekezo chamadyedwe nthawi zambiri chimawopsa odwala, koma maphikidwe amakono amakudabwitsani ndi mitundu yawo komanso kusadziwika kwawo.

Chakudya chabwino

Kwa anthu omwe ali ndi vuto la matenda omwe amafunsidwa, omwe akufuna kumva bwino ndipo nthawi yomweyo amadya zakudya zosangalatsa, njira zotsatirazi ndi zabwino:

Chinsinsi 1. Nyemba ndi nandolo ndi anyezi.

Maunda azikhala abwino komanso oundana. Sikuti ndikofunikira kutentha kutentha kwa mphindi zoposa 10, chifukwa mukatero zina zonse zopindulitsa zomwe zili mumasamba awa zidzatayika.

Pophika muyenera:

• nyemba zobiriwira ndi nandolo - 400 g iliyonse,
• anyezi - 400 g
• ufa - 2 tbsp. l.,
• batala - 3 tbsp. l.,
• mandimu - 1 tbsp. l.,
• phwetekere phala - 2 tbsp. l.,
• adyo - 1 koloko,
• amadyera, mchere - kulawa.

Cook malinga ndi chiwembuchi:

1. Sungunulani ¾ tbsp mu poto l batala, ikani nandolo pamenepo ndi mwachangu kwa mphindi zitatu. Ndiye kutseka mbale ndikuphika mpaka kuphika. Momwemonso amachita ndi nyemba zobiriwira.
2. Dulani anyezi ndi sauté mu batala, kenako kuthira mu ufa ndikugwiritsanso moto kwa mphindi zina zitatu.
3. Dulani phwetekere ndi madzi, kuthira mu poto, kuwonjezera mandimu, mchere ndi amadyera, simmer kwa mphindi 3 pansi pa chivindikiro.
4. Wokonzeka nyemba kuti mutumizire anyezi, ikani adyo wowotchera, onjezani zosakaniza zonse zotsekedwa. Kutumizira mbale, kukongoletsa ndi tomato.

Chinsinsi 2. Chakudya cha anthu odwala matenda ashuga chimatha kukhala ndi "Cauliflower ndi zukini mu phwetekere ndi msuzi wowawasa." Zotsatira zotsatirazi zidzafunika:

• zukini - 300 g
• kolifulawa - 400 g,
• ufa - 3 tbsp. l.,
• batala - 2 tbsp. l.,
• wowawasa zonona - 200 g,
• ketchup - 1 tbsp. l.,
• adyo - 1 koloko,
• phwetekere - 1 pc.,
• katsabola, mchere.

1. Sambani squash bwino ndikudula ang'onoang'ono. Muzimutsuka kabichi ndikugawa mosiyana ma inflorescence.
2. Wiritsani masamba m'madzi mpaka kuphika kwathunthu, khalani pansi mu colander ndikulowetsa madzi.
3. Thirani ufa mu poto yowotchera ndikuwotha ndi batala. Pang'onopang'ono kutsanulira kirimu wowawasa, nyengo ndi ketchup, adyo, mchere ndi zitsamba, kuyambitsa mosalekeza.
4. Ikani masamba ophika kale mu msuzi wokonzekera phwetekere ndi simmer kwa mphindi 4. Tumikirani ndi magawo a phwetekere.

Chinsinsi chachitatu. Zukini odzaza ndi buckwheat ndi bowa mosangalatsa adzapatsa chidwi chilichonse. Zakudya zomwe zimaphatikizaponso kafukufuku wofufuza sizizunza wodwala.

Otsatirawa amafunikira:

• zukini yaying'ono yaying'ono - ma PC 4.,
• buckwheat - 5 tbsp. l.,
• champirons - 8 ma PC.,
• bowa wouma - 2 ma PC.,
• anyezi - 1 pc.,
• adyo - 1 koloko,
• wowawasa zonona - 200 g,
• ufa - 1 tbsp. l.,
• mafuta a masamba - yokazinga,
• mchere, tsabola, angapo a tomato.

1. Sanjani ndi kutsuka ma grits, kutsanulira 1: 2 ndi madzi ndikuyika moto.
2. Pambuyo otentha yikani anyezi osenda bwino, bowa wouma, mchere. Chepetsa kutentha, kuphimba poto ndi kuphika kwa mphindi 15.
3. Preheat pa stewpan ndikuyika ma champignon osankhidwa ndi adyo wowiritsa, mwachangu mu mafuta kwa mphindi 5, phatikizani ndi porridge yomalizidwa ndikusakaniza.
4. Kupanga mabwato kuchokera ku zukini, kudula motalika ndikuchotsa mnofu (kupanga msuzi kuchokera pamenepo, kuuphika, kuwaza ndi kuwonjezera kirimu wowawasa ndi ufa, mchere ndi kusakaniza).
5. Finyani maboti amasamba ndi mchere mkati, dzazani ndi buckwheat, kutsanulira ndi msuzi wowawasa wowawasa. Kuphika mu uvuni kwa theka la ola mpaka zofewa. Kukongoletsa ndi amadyera ndi tomato.

Palinso mitundu yosiyanasiyana ya saladi yomwe singavulaze odwala omwe ali ndi shuga m'magazi. Mutha kugwiritsa ntchito Chinsinsi, kuphatikizapo kohlrabi ndi nkhaka. Kumapeto kwa chilimwe, zimalimbikitsidwa kudya masamba ena atsopano, kotero kuphatikiza kwa vitaminiyu kumakonzedwa bwino kuchokera pazinthu zomwe zimang'ambika m'munda.

• kabichi a kohlrabi - 300 g,
• nkhaka - 200 g
• adyo - 1 koloko,
• mchere, tsabola, katsabola,
• mafuta azomera pakuvala.

1. Sambani, peel ndi kabichi kohlrabi.
2. Muzimutsuka nkhaka ndi madzi ndikudula mbali.
3. Muziganiza masamba, kuwonjezera adyo, mchere ndi zitsamba, nyengo ndi mafuta.

Saladi "Smart" idzawoneka bwino pagome la zikondwerero. Kwa iye mudzamufuna:

• nyemba zobiriwira - 200 g,
• nandolo zobiriwira - 200 g,
• kolifulawa - 200 g,
• apulo - 1 pc.,
• tomato - 2 ma PC.,
• tsamba letesi
• parsley, katsabola,
• mandimu - 2 tbsp. l.,
• mafuta masamba - 3 tbsp. l.,
• mchere.

1. Wiritsani kolifulawa, nandolo ndi nyemba m'madzi amchere.
2. Dulani tomato mu mphete zoonda, maapulo kukhala ma cubes (kutsanulira magawo nthawi yomweyo ndi mandimu, apo ayi adzachita khungu ndikusowa mawonekedwe).
3. Ikani motere: kuphimba mbale ndi masamba osambitsidwa, ndikufalitsa mabwalo amtundu umodzi m'mphepete mwa mbale, ikani nyemba mu mphete, kabichi - momwemonso (mkati mwa imodzi yapitayo), dzazani pakati ndi nandolo. Pamwamba, kutsanulira maapulo osankhidwa bwino kukhala slide. Kuwaza mbale ndi zitsamba zosankhidwa - katsabola ndi parsley. Pangani kavalidwe ka mafuta a masamba, mchere ndi mandimu.

Zakudya za odwala omwe ali ndi shuga sizingabweretse zabwino zokha, komanso zosangalatsa. Siyani chisankho chanu chokoma komanso choyambirira m'mawu, tidzawulutsa.

Zizindikiro za pancreatic matenda mwa akazi

Chikhotakhota ndichinthu chogwira ntchito m'mimba chomwe chimapanga ma enzymes ndi mahomoni. Ili ndi mtundu wosavuta wosakanikirana ndipo imakhala ndi minyewa komanso michere yomwe pancreatic madzi amasamukira ku duodenum.

Zowona kuti kapamba siyabwino, anthu samadziwa mwachangu.Chifukwa cha malo ake ozama mkati mwa thupi, ndizovuta kwambiri kuwona zolakwika zilizonse komanso malingaliro osayang'ana ngakhale pakuwunika bwino.

Zomwe zimayambitsa matenda a pancreatic mwa azimayi ndi kudya kwambiri, kudya kwambiri, kusachita masewera olimbitsa thupi komanso matenda amisempha yodwala. Kuphatikiza apo, kupsinjika ndi nkhawa zimakhudza kwambiri thanzi la chiwalo, chomwe ndi mawonekedwe a theka lofooka la anthu.

Palibe zidziwitso zodziwika bwino za yemwe atengeke kwambiri ndi kapamba ndi ziwonetsero zina za kapamba. Komabe, machitidwe akuwonetsa kuti ndi amayi omwe ali pachiwopsezo chachikulu. Zinthu monga kumwa kwa nthawi yayitali komanso osagwiritsa ntchito mankhwalawa, kuledzera, matenda opatsirana ndi tizilombo komanso zovuta zam'magazi zimatha kuyambitsa kutupa.

Matenda a pancreatic amatsogolera ku kuwoneka kwa matenda osiyanasiyana, omwe ndi:

• matenda ashuga
• pacreatitis,
• kapamba,
• chidziwitso chowawa,
• cystic fibrosis.

Zizindikiro zoyambira

Mu magawo oyambira, zizindikiro za matenda a kapamba zimawonetsedwa bwino ndipo sizitha kukhalapo. Choyambitsa mantha chimakhala kupweteka pamimba yakumanzere yam'mimba, yomwe imakonda kupezeka itatha kudya kapena pafupi ndi usiku. Ululu umatha kukhala wopindika ndikupereka pansi pa phewa.

Matendawa akamakula, zizindikiro zina zimawonekera.

• kusowa kwa chakudya mpaka kutha kwathunthu,
• dyspeptic phenomena - kudzimbidwa, kutsegula m'mimba, kumatulutsa, komanso nthawi zina, kutsekeka kwamatumbo,
• kamvekedwe konyowa ndi khungu
• chikasu chamaso,
• kusanza, kusanza,
• kufooka ndi kuchepa thupi.

Ndizofunikira kudziwa kuti zizindikiro za matenda a kapamba mu azimayi nthawi zambiri zimakhala zofanana ndi mawonetseredwe a matenda opatsirana. Ichi ndiye chifukwa china chomwe amayi amapita kwa gastroenterologist mochedwa.

Pachimake kapamba

Pancreatitis ndimatenda otupa a kapamba, limodzi ndi kuphwanya kwa ntchito zakunja ndi zotupa. Zomwe zimayambitsa ndikutchinga kwa ma ducts ndi ma neoplasms kapena miyala kuchokera ndulu.

Kuukira kwa chifuwa chachikulu cha pancreatitis kumatha kuchitika mwadzidzidzi chakudya chikamaphatikizidwa ndi mowa. Kuchuluka kwa izi kumadzetsa mowa.

Zakudya zoziziritsa kukhosi - ozizira, katswiri, bowa wowotchera ndi ndiwo zamasamba zimathandizira kukula kwa ntchito yotupa. 3 mwa 10 odwala panthawi yomwe akuyamba kuukira, ali ndi matenda omwe amayamba ndi matenda a biliary thirakiti. Pafupifupi 10% ya milandu, chifuwa chachikulu cha pancreatitis chimakhudza azimayi omwe adachitidwa opaleshoni, kuvulala m'mimba thirakiti, kachilombo kavairasi kapena poyizoni.

Chizindikiro chachikulu cha matendawa ndi kupweteka kwambiri kwa epigastric, komwe kumayendetsedwa ndi nseru, kumayambitsa kusanza. Pafupifupi odwala onse ali ndi magazi, minyewa m'mimba, ndikuwonetsa kupweteka kumbuyo.

Ndikofunikira kudziwa kuti ngati mukukayikira pancreatitis, simuyenera kupondereza ululu ndi mapiritsi kapena kudzilimbitsa nokha, chifukwa zizindikiro za matenda a kapamba zimatha kusokonezeka mosavuta ndikuwopsa kwa appendicitis kapena cholecystitis.

Matenda a kapamba

Pancreatitis yachilendo imatha kukhala mawonekedwe osakhazikika, omwe amadziwika ndi mapangidwe otchedwa pseudocysts ndi chiwonongeko chosasintha cha maselo a ziwalo. Kuwoneka kwa kupweteka kwa hypochondrium kumanzere kumayendetsedwa ndi njira yotupa, kusintha kwamapangidwe amkamwa ndi kufalikira kwa ma ducts.

Kapangidwe ka zotupa ndi zipsera zimasokoneza kutuluka kwa pancreatic madzi, chifukwa chomwe kupanikizika kwa ma ducts kumawonjezereka komanso kufalikira kwa magazi kwanthawi kumasokonezedwa. Chifukwa cha kutupa, mitsempha imatha ndipo imatupa, ndikupangitsa kupweteka komanso kusasangalala. Ululu umatha kudutsa mphindi 30 mpaka 40 mutatha kudya kapena kusokoneza munthu pafupipafupi.Chikhalidwe cha kupweteka kwambiri chimakhala paroxysmal, kupweteka.

Cyst ndi pseudocyst

Pancreatic cyst ndi kapangidwe ka madzimadzi mkati momwe mumakhala madzi a pancreatic, maselo akufa a parenchyma, magazi kapena mafinya. Cysts ikhoza kubereka kapena kutenga, kukulira komwe kumayambira motsutsana ndi maziko a kapamba kale mu sabata la 3-4.

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

Matenda a kapamba amavuta chifukwa cha ma cystic omwe amapezeka mwa anthu pafupifupi 15 mwa zana chifukwa cha chidakwa, komanso kuvulala kwamankhwala. Cysts amatha kuwoneka motsutsana ndi maziko a cholelithiasis ndi zotupa.

Zizindikiro za pancreatic matenda pamaso pa cysts ndi awa:

• anakhetsa ululu kumtunda kwam'mimba kwamanzere,
• kumverera kolemetsa m'mimba
• nseru, kusanza, mapindikidwe osokonekera,
• kuwonda.

Chithandizo cha opaleshoni ya cysts, kusankha njira kumadalira kukula kwake ndi zomwe zimayambitsa mapangidwewo, mkhalidwe wa ma ducts komanso kuchuluka kwa kuwonongeka kwa chiwalo.

Pancreatic necrosis

Pancreatic necrosis ndi imodzi mwazovuta za kapamba ndipo amadziwika ndi kusintha kowononga kwa kapamba. Matendawa amayamba mwadzidzidzi ndi ululu wokhazikika komanso wolunjika wa m'chifuwa womwe umakhazikika mbali yakumanzere, phewa ndi kutsikira kumbuyo. Odwala asanu ndi awiri mwa khumi aliwonse amavomerezedwa kuchipatala ali ndi vuto loledzera kwambiri, zomwe zikuwonetsa kupita patsogolo mwachangu.

Maola ochepa pambuyo poyambira kupweteka, kusanza kosagwirizana kumachitika, komwe sikugwirizana ndi kudya. Vomit imatha kukhala ndi bile kapena magazi, thupi limasowa madzi, ndipo ntchito ya kwamikodzo imachepa.

Ndi pancreatic necrosis, kumatulutsa kumawonedwa, mawanga ofiira amtundu wotupa kuchokera mu zotupa zofowoka zimawonekera pakhungu pakuwonekera kwa kapamba. Khungu limakhala ngati chikasu chofiirira kapena chofiyira ndipo limazizira kukhudza.

Matendawa limodzi ndi mtima palpitations, utachepa magazi. Wodwalayo amapuma kwambiri, zomwe zimawonetsa kuledzera kwambiri kwa thupi. Chifukwa cha kuchuluka kwa poizoni komanso kuchuluka kwa shuga m'magazi, encephalopathy imayamba. Zowonongeka ku ubongo zimawonetsedwa ndi chisokonezo, kuchuluka kwambiri, kutayika kwa kuyang'ana. Mu 30% ya milandu, chikomokere chimachitika.

Cystic fibrosis

Cystic fibrosis, kapena cystic fibrosis, ndimatenda amtundu ndipo amadziwika ndi kuwonongeka kwa endocrine glands komanso ziwalo zopumira. Kusintha kwathanzi kumakhudza osati zikondamoyo zokha, komanso chiwindi, matumbo, thukuta ndi tiziwuka timene timagwira.

Ana okalamba amadandaula za kukokana kwam'mimba, mapando osakhazikika, kusokonezeka pansi pa nthiti, komanso nseru. Mwa odwala kwambiri, cystic fibrosis imawonetsedwa ndi zizindikiro zotsatirazi:

• kukulira kukulira ndi kunenepa kwambiri,
• kutsokomola ndi kupumira komanso kufupika,
• kutupa ndi thukuta lamchere kwambiri chifukwa cha kuchuluka kwa mchere,
• zimbudzi zambiri zomwe zimakhala ndi fungo losasangalatsa lomwe silitsukidwa bwino.

Neoplasms

Mitundu ya tumor imatha kupanga gawo la endocrine kapena exocrine pancreas. Komabe, nthawi zambiri, pancreatic duct adenocarcinoma ndi chotupa choyipa. Zizindikiro zake nthawi zambiri sizimakhala zachindunji komanso sizimawonekera, zomwe zimapangitsa kuti adziwe mochedwa.

Zizindikiro zopweteka ndi mawonekedwe - kutaya chidwi, kuchepa thupi komanso kufooka wamba - kumachitika pokhapokha ndi metastasis, pamene ntchito zambiri zam'mimba zimasokonekera.

Zotupa za Benign ndizosowa ndipo zimapangidwa makamaka kuchokera ku maselo omwe amapanga michere ya m'mimba. Ma neoplasms omwe amapezeka ku endocrine zone ya kapamba amakhala osakhazikika komanso okhudzana ndi mahomoni.Omaliza ali ndi chithunzi chowoneka bwino m'chipatala, chifukwa amapanga zinthu zambiri zogwira ntchito mwachilengedwe. Izi zimayambitsa "kuphulika kwa mahomoni" m'thupi.

Kafukufuku waposachedwa awonetsa kuti zotupa zonse zoyipa ndi zoyipa zimayamba mwa akazi nthawi zambiri kuposa amuna. Monga lamulo, amapezeka ali ndi zaka 35 mpaka 50.

Chotupa chimatha kuoneka mbali iliyonse ya kapamba - mumutu, m'thupi kapena mchira. Nthawi zina zimakhala zosatheka kukhazikitsa bwino lomwe neoplasm. Zotupa zambiri sizimadziwonetsa kwa zaka zambiri. Mkhalidwe wawo wocheperako ungathe kufotokozedwa ndi kukula kwawo pang'onopang'ono, kusowa kwa zizindikiro zotchulidwa ndi milandu ya khansa ya kapamba mu abale.

Zotupa monga cystadenocarcinoma ndi cystadenoma zimayambitsa zizindikiritso zazikuluzikulu zikamafika ndikuwapanikizika kwa ziwalo zoyandikana - matumbo, mitsempha ya mitsempha komanso mitsempha yamagazi.

Ndi insulinoma, mulingo wa insulin m'mwazi umachulukirachulukira, zomwe zimatsogolera ku hypoglycemia. Kukula kwa gastrinoma kumayendera limodzi ndi kukondoweza kwa kutulutsa kwa hydrochloric acid ndi mawonekedwe a zilonda zam'mimba ndi zilonda zam'mimba.

Vipoma ndi chotupa chosowa kwambiri, chizindikiro chake chachikulu ndi kupindika m'mimba nthawi yayitali, komwe kumachitika ngakhale pakalibe chakudya m'mimba.

Pancreatic carcinoid, kapena carcinoid syndrome, amadziwika ndi kutuluka ngati chiwongola, kupweteka kwam'mimba komanso kupweteka kwamtima.

Kafukufuku akuwonetsa kuti pafupifupi 40% ya milandu yovuta kwambiri ya kapamba imatha kufa. Popeza kutupa kwanyengo kwa kapamba nthawi zambiri kumayambitsidwa ndi zizolowezi, sizitha kunyalanyazidwa. Mukamafunsira chithandizo pa nthawi yake, mutha kupewa chithandizo chamanthawi yayitali komanso zovuta zazikulu. Khalani athanzi!

Kodi jekeseni wa insulin komanso motani?

Insulin ndi yofunika kwa anthu odwala matenda ashuga amtundu 1. Njira yothandizira kuperekera insulini komanso zanzeru powerengera Mlingo uyenera kudziwika kwa aliyense amene wakumana ndi matendawa. Chifukwa chake, tiyeni tiyambe kufotokoza za mfundo za insulin.

• Momwe mungayendetsere insulin?
• Kusankha singano ya Insulin
• Kusankha mtundu wa insulin
• Kukonzekera cholembera kuti mugwiritse ntchito
• Kukonzekera kwa insulin kuti mugwiritse ntchito
• Kusowa kwa singano
• Kuchotsa mpweya ku cartridge
• Mlingo
• Kusankha malo a insulin
• Jakisoni wa insulin
• Kuyang'ana Wotsalira wa Insulin ku Cartridge
• Kusintha cartridge yatsopano
• Njira yoperekera insulin ndi syringe (insulin)
• Kusamalira tsamba la jakisoni
• Malonda a insulin

Momwe mungayendetsere insulin?

Mankhwala atha kuperekedwa pogwiritsa ntchito njira zina zotayira insulin kapena kugwiritsa ntchito njira yamakono - cholembera.

Zingwe zamtundu wa insulin zotayidwa zimabwera ndi singano yochotseka kapena ndi -pabowo. Ma syringe ndi singano yolumikizika amapaka jekeseni lonse la insulin, pomwe ma syringe ndi singano yochotsa, gawo la insulin limatsalira kumapeto.

Ma syringes a insulin ndiye njira yotsika mtengo kwambiri, koma ili ndi zovuta zake:

• insulini iyenera kusungidwa kuchokera pamtunda chisanafike jakisoni, choncho muyenera kunyamula Mbale za insulin (zomwe zitha kuthyoledwa mwangozi) ndi syringes zatsopano,
• Kukonzekera ndi kuyamwa kwa insulin kumapangitsa wodwalayo kukhala m'mavuto, ngati kuli koyenera kuperekera mlingo m'malo opezeka anthu ambiri,
• mulingo wa insulini uli ndi cholakwika cha mayunitsi ± 0,5 (kusakwaniritsidwa mu gawo la insulini pazinthu zina kungayambitse zovuta zina),
• Kuphatikiza mitundu iwiri ya insulini mumtambo umodzi nthawi zambiri kumakhala kovuta kwa wodwala, makamaka kwa anthu omwe ali ndi vuto laling'ono, kwa ana ndi okalamba,
• singano za syringe ndi zokulirapo kuposa zolembera za syringe (zopyapyala singano, kupweteka kwambiri kwa jakisoni kumachitika).

Sipayilo lilibe zovuta izi, chifukwa chake akuluakulu ndi ana makamaka amawalimbikitsa kugwiritsa ntchito jakisoni.

Cholembera cha syringe chimakhala ndi zovuta ziwiri zokha - ndizokwera mtengo kwambiri (madola 40-50) poyerekeza ndi syringes wamba ndi kufunika kokhala ndi chipangizochi. Koma cholembera ndi chida chosinthanso, ndipo ngati mungachichiritse mosamala, chitha zaka zosachepera 2-3 (wopangayo akutsimikizira). Chifukwa chake, kupitanso apo tidzayang'ana kwambiri cholembera.

Tipereka zitsanzo zomveka zomanga zake.

Kusankha singano ya Insulin

Pali singano za syringe cholembera 4 mm, 5 mm, 6 mm, 8 mm, 10 ndi 12 mm.

Kwa akulu, kutalika kwa singano kwambiri ndi 8-10 mm, ndipo kwa ana ndi achinyamata - 4-5 mm.

Ndikofunikira kupaka insulin m'magulu a mafuta onunkhira, ndipo kusankha kolakwika kwa kutalika kwa singano kungayambitse kubweretsa insulin m'matumbo am'mimba. Izi zimathandizira kuyamwa kwa insulin, yomwe siili yovomerezeka kwathunthu ndikukhazikitsa insulini yapakatikati kapena yayitali.

Singano zopopera ndi zongogwiritsa ntchito kamodzi! Ngati mutasiya singano kuti mupeze jakisoni wachiwiri, kupindika kwa singano kumatha kubowoka, komwe kumabweretsa:

• kulephera kwa cholembera
• ululu pa jekeseni
• kuyambitsa insulin yolakwika,
• matenda a jekeseni tsamba.

Kusankha mtundu wa insulin

Pali insulin yochepa, yapakati komanso yayitali.

Insulin yocheperako (insulin yokhazikika / yosungunuka) imalowetsedwa m'mimba asanadye. Sizimayamba kuchitapo kanthu mwachangu, chifukwa chake imayenera kudulidwa mphindi 20-30 musanadye.

Mayina amalonda a insulin yocheperako: Actrapid, Humulin Regular, Insuman Rapid (Mzere wachikaso umayikidwa pabokosi).

Mlingo wa insulini umakhala wambiri patatha pafupifupi maola awiri. Chifukwa chake, mutatha maola angapo mutatha kudya kwakukulu, muyenera kuluma kuti muchepetse hypoglycemia (kutsitsa glucose m'magazi).

Glucose iyenera kukhala yabwinobwino: Kuchulukitsa kwake ndi kutsika kwake nkoyipa.

Kuchita mwachangu insulin bwino kumachepa pambuyo pa maola 5. Pofika nthawi ino, ndikofunikira kubayanso insulin yochepa komanso kudya mokwanira (nkhomaliro, chakudya chamadzulo).

Palinso insulini yotsalira-yocheperako (mawonekedwe amtundu wa lalanje umayikidwa ku cartridge) - NovoRapid, Humalog, Apidra. Itha kuikidwa musanadye chakudya. Amayamba kuchita mphindi 10 pambuyo pa utsogoleri, koma zotsatira za insulin yamtunduwu zimachepa patatha pafupifupi maola atatu, zomwe zimapangitsa kuti shuga azikhala patsogolo chakudya chotsatira. Chifukwa chake, m'mawa, insulin ya nthawi yayitali imalowetsedwa mu ntchafu.

Insulin yomwe imagwira ntchito pakati imagwiritsidwa ntchito ngati insulini yoyambirira kutsimikizira kuchuluka kwamagazi mkati mwa chakudya. Amukhomerere m'chafu. Mankhwala amayamba kugwira ntchito patatha maola 2, nthawi yochita pafupifupi maola 12.

Pali mitundu yosiyanasiyana ya insulin yomwe imagwira ntchito pakati: NPH-insulin (Protafan, Insulatard, Insuman Bazal, Humulin N - Mzere wobiriwira pamtunda wa cartridge) ndi Lenta insulin (Monotard, Humulin L). Zomwe zimagwiritsidwa ntchito kwambiri ndi NPH-insulin.

Mankhwala omwe akhala akuchita kwa nthawi yayitali. Amagwiritsidwa ntchito makamaka ngati insulin yofunika kugona, chifukwa kupanga shuga kumachitika komanso kugona.

Zotsatira zimachitika 1 ola pambuyo jekeseni. Zochita za insulin zamtunduwu zimatha kwa maola 24.

Odwala a shuga a Type 2 amatha kugwiritsa ntchito jakisoni wa insulin wa nthawi yayitali ngati monotherapy. M'malo mwawo, izi zidzakhala zokwanira kutsimikizira shuga wambiri masana.

Makatoni amphanga a syringe ali ndi zosakanizika zopangidwa kale ka insulin zazifupi komanso zapakati. Zosakaniza zoterezi zimathandizira kuti shuga azikhala wathanzi tsiku lonse.

Simungathe kubaya insulin kwa munthu wathanzi!

Tsopano mukudziwa nthawi ndi mtundu wa insulini yoti mupeze. Tsopano tiyeni tiwone momwe angayichitsire.

Kukonzekera cholembera kuti mugwiritse ntchito

• Chotsani chipewa mu cholembera ndikugwira gawo lamakina ndikukokera kapuyo kumbali.
• Tulutsani chogwirizira cha cartridge kuchokera pakamakina.

• Ikani cartridge muchogwirizira.
• Chepetsa cholembera cholembera kumbuyo kwa makina (njira yonse).

Katemera wa insulin

Kukonzekera kwa insulin kuti mugwiritse ntchito

Samalani mtundu wa insulin. Kodi ndizowonekera kapena ndimitambo pang'ono? Njira yothetsera vutoli (iyi ndi insulin yocheperako) imabayidwa osakwiya. Njira yothina pang'ono (iyi ndi insulin yayitali) musanalowe, muyenera kusakaniza bwino. Kuti muchite izi, cholembera cha syringe ndi makatoni adayikidwamo ziyenera kutembenuka pang'onopang'ono komanso osachepera 10 (makamaka nthawi 20) kotero kuti mpira mkati mwa cholembera umasakaniza zomwe zili. Osamagwedeza katoni! Kusunthika sikuyenera kukhala lakuthwa.

Ngati insulin ikasakaniza bwino, imadzakhala yoyera komanso yamitambo.

Ndikofunikanso kuti isanayambike makatiriji a insulin amatenthedwe m'manja kuti kutentha.

Insulin ndiokonzekera kuyang'anira.

Kodi odwala matenda ashuga angatani?

Funso loti akhalebe kuchipatala chokhala ndi matenda ashuga sichingayankhe mwachindunji. Zonse zimatengera kuuma kwa matendawa, kulondola kwa dongosolo la chithandizo, komanso kukhalapo kwa matenda oyanjana.

Komabe, mulimonsemo, madera omwe wodwalayo ayenera kudziwa kuti ndizotheka kubweretsa matenda kuchipatala. Chofunikira chachikulu ndicho kudya mafuta amiyeso mthupi la wodwala. Chifukwa chake, kudya koyenera kumawonedwa ngati maziko a chithandizo chilichonse. Kuphatikiza apo, akuyenera kusewera masewera, koma pang'ono. Masewera othandiza kwambiri ndi yoga kwa odwala matenda ashuga.

Ngati mumanyalanyaza zomwe zakupatsani zakudya za matenda ashuga, mungayambitse zovuta zina, mpaka thupi lanu latsoka. Musanaganize zoyambitsa matenda a shuga kuchipatala, muyenera kudziwa bwino mfundo zazikulu za zakudya zochizira:

1. Chakudya chizikhala chamafuta ochepa, motero ndizoletsedwa kudya chokoleti, confectionery, ayisikilimu, shuga ndi maswiti ena onse. Nthawi zina, mlingo wochepa wa mankhwala oletsedwa umaloledwa, koma osati kuchipatala.
2. Zakudya zomwe zimatumizidwa zimayenera kukhala ndi kuchuluka kwa mavitamini.
3. Zakudya zamafuta ochepa, zakudya zamafuta ochepa ndizabwino kwambiri. Seaweed ndiwothandiza kwambiri kwa matenda ashuga a 2.
4. Zopangira mkaka ndi mkaka, komanso mbale zopangidwa kuchokera kwa iwo, ndizabwino. Gululi lazogulitsa liyenera kuphatikizidwa mumenyu yovomerezeka ya odwala matenda ashuga.

Malamulo osavuta amathandiza wodwalayo kuti achire mwachangu ndi kupita kwawo. Kanemayo munkhaniyi akuwuzani zomwe muyenera kudya ndi shuga.

Kusowa kwa singano

• Chotsani singano yotayikayo phukusi lake. Osachotsa chipewa pa singano!
• Chotsani chomata pachifuwa chakunja cha singano.
• Chepetsa kapu ndi singano kumadera omwe asonkhanitsidwa.

Kuchotsa mpweya ku cartridge

• Sambani m'manja bwino ndi sopo.
• Chotsani singano yakunja ya cholembera ndikuyipatula. Chotsani mosamala kapu yamkati ya singano.

• Ikani jekeseni wa magawo anayi (katiriji watsopano) pokoka batani loyambitsa ndikutembenuza. Mlingo wofunika wa insulini uyenera kuphatikizidwa ndi chizindikiro cha mzere pawindo yowonetsera (onani chithunzi pansipa).

• Mukugwira cholembera ndi singano mmwamba, ikani bokosi la insulini mopepuka ndi chala chanu kuti thovu lakumwamba lithe. Kanikizani batani loyambira la cholembera njira yonse. Dontho la insulin liyenera kuwoneka pa singano. Izi zikutanthauza kuti mpweya watuluka ndipo mutha kupanga jakisoni.

Ngati malovu akutsogolo kwa singano sikuwoneka, ndiye kuti muyenera kuyika 1 unit pa chiwonetsero, gulani cartridge ndi chala chanu kuti mpweya ukwere ndikukanikiza batani loyambira kachiwiri. Ngati ndi kotheka, bwerezani njirayi kangapo kapena poyamba yikani ziwonetsero zambiri (ngati kuwira kwa mpweya ndi kwakukulu).

Mwadzidzidzi dontho la insulin likatha kumapeto kwa singano, mutha kupitirira gawo lina.

Nthawi zonse tulukani makatoni am'mimba kuchokera jekeseni! Ngakhale mutachotsa kale mpweya panthawiyi musanapatsidwe gawo lina la insulini, muyenera kuchita chimodzimodzi jakisoni wotsatira! Panthawi imeneyi, mpweya umatha kulowa m'ngolo.

Mlingo

• Sankhani mlingo wa jakisoni amene dokotala wakupatsani.

Ngati batani loyambira lidakokedwa, mudayamba kuzunguliza kuti musankhe mlingo, ndipo mwadzidzidzi unazungulira, kuzungulira ndikumayimilira - izi zikutanthauza kuti mukuyesera kusankha mlingo wokulirapo kuposa womwe watsala mukatoni.

Kusankha malo a insulin

Madera osiyanasiyana a thupi ali ndi kuchuluka kwawo komwe kumayamwa mankhwalawo m'magazi. Mwachangu, insulini imalowa m'magazi m'mene imalowetsedwa pamimba. Chifukwa chake, tikulimbikitsidwa kupaka insulin yakhazikika pakhungu pamimba, ndikuyamba kupanga insulin pa ntchafu, matako, kapena minofu ya fupa la phewa.

Dera lililonse lili ndi malo akuluakulu, motero ndizotheka kubayanso jakisoni wa insulin m'malo osiyanasiyana m'deralo (malo operekera jakisoni akuwonetsedwa ndi madontho pofuna kumveketsa). Ngati mumangobwerezabwereza pamalo omwewo, ndiye kuti pansi pa khungu chikhomocho chitha kupangika kapena lipodystrophy.

Pakapita nthawi, chisindikizo chithetsa, koma kufikira izi zichitika, simuyenera kubaya insulin pakadali pano (m'ndondomeko iyi ndizotheka, koma osati pamalopo), apo ayi insuliniyo singatengeke bwino.

Lipodystrophy imakhala yovuta kwambiri kuchiza. Kodi chithandizo chake mukuphunzira motani kuchokera munkhani zotsatirazi: http://diabet.biz/lipodistrofiya-pri-diabete.html

Osamabailidwa m'matumbo, khungu lojambulidwa, zovala zofinya, kapena malo ofiira khungu.

Jakisoni wa insulin

Ma algorithm operekera insulin ndi awa:

• Chitani jakisoni ndi pukuta la mowa kapena antiseptic (mwachitsanzo, Kutasept). Yembekezerani kuti khungu liume.
• Ndi chala chachikulu ndi chofiyira (makamaka chala ndi zala izi, ndipo osati zonse kuti sizingatheke kulanda minofu ya minofu), pofinyani khungu pang'onopang'ono.

• Ikani singano ya cholembera chindende molunjika pakhungu ngati singano ya 4-8 mm m'litali itagwiritsidwa ntchito kapena pakatikati pa 45 ° ngati singano ya 10-12 mm itagwiritsidwa ntchito. Singano iyenera kulowa khungu.

Akuluakulu omwe ali ndi mafuta okwanira mthupi, mukamagwiritsa ntchito singano yotalika 4-5 mm, sangatenge khungu kulowa m'mimba.

• Kanikizani batani loyambira la cholembera (samikizani!). Kukanikiza kuyenera kukhala kosalala, osati lakuthwa. Chifukwa chake insulini imagawiridwa bwino kwambiri zimakhala.
• Pakumalirira jakisoni, imvani kuwina (izi zikuwonetsa kuti chizindikiritso cha mankhwala chikugwirizana ndi "0", mwachitsanzo, mlingo wosankhidwa walowetsedwa kwathunthu). Musathamange kuchotsa chala chanu kumiyambi yoyambira ndikuchotsa singano kumakolo. Ndikofunikira kukhalabe m'malo awa kwa masekondi 6 (makamaka masekondi 10).

Batani loyambira nthawi zina limatha kudumphadumpha. Izi sizowopsa. Chachikulu ndikuti pakubweretsa insulini, batani limakhala lophweka ndikusungidwa kwa masekondi 6.

• Insulin imalowetsedwa. Pambuyo pochotsa singano pansi pa khungu, madontho angapo a insulin amatha kutsalira pa singano, ndipo dontho la magazi limatuluka pakhungu. Izi zimachitika mwadzidzidzi. Ingogwirani tsamba la jakisoni ndi chala chanu kwakanthawi.
• Ikani kapu yakunja (kapu yayikulu) pa singano. Mukugwira chophimba chakunja, chimasuleni (pamodzi ndi singano mkati) kuchokera kukhola la syringe. Osamagwira singano ndi manja anu, kokha kapu!

• Taya kapu ndi singano.
• Valani chovala cha cholembera.

Ndikulimbikitsidwa kuti muwonerere kanema wamomwe mungabayire insulin pogwiritsa ntchito cholembera. Simalongosola miyeso yokha yochitira jakisoni, komanso mfundo zina zofunika mukamagwiritsa ntchito cholembera.

Kuyang'ana Wotsalira wa Insulin ku Cartridge

Pali muyeso wopatula pa cartridge womwe umawonetsa kuchuluka kwa insulin (ngati gawo, osati zonse zomwe zili mu cartridge zidalowetsedwa).

Ngati pisitoni ya mphira ili pamzere wazoyera pamtunda wotsalira (onani chithunzi pansipa), izi zikutanthauza kuti insulini yonse yagwiritsidwa ntchito ndipo bokosi liyenera kulowedwa ndi lina.

Mutha kuyendetsa insulini m'magawo. Mwachitsanzo, mlingo waukulu wopezeka mu cartridge ndi 60, ndipo magawo 20 ayenera kuyikidwa. Ndikukonzekera kuti katoni imodzi ndikokwanira katatu.

Ngati kuli kofunikira kulowa mayunitsi opitilira 60 nthawi imodzi (mwachitsanzo, mayunitsi 90), ndiye kuti bokosi lonse la mayunitsi 60 liyamba kuyambitsidwa, ndikutsatira magawo ena 30 kuchokera pagatolo yatsopano. Singano iyenera kukhala yatsopano pakukhazikitsa kulikonse! Ndipo musaiwale kuchita njira yotulutsira thovu mu mpweya.

Kukonzekera moyenera zakudya za matenda ashuga: zomwe mungadye kapena zomwe osadya?

Matenda a shuga ndi endocrinological endology omwe amabweretsa zotsatira zoyipa komanso amachepetsa kwambiri chiyembekezo chamoyo.

Nthawi zambiri, ndimatenda ngati awa, mankhwalawa amachitidwa. Koma kuchiza ndi mankhwala osokoneza bongo sakupereka zotsatira zabwino ngati munthu satsata zakudya.

Ndikofunikira kuti wodwalayo amvetsetse zakudya zomwe zingadyedwe ndi matenda ashuga komanso zomwe sangathe.

Thanzi ndi gawo lofunikira la mankhwalawa matenda a shuga a fomu yoyamba komanso yachiwiri. Mu magawo oyambilira, matenda am'magazi amatha kuchiritsidwa ndi zakudya.

Kudya zakudya zopatsa thanzi kumatha kuchepetsa mwayi wamtima komanso matenda a mtima.

Hypertension, nephropathy ndi aimpso kulephera ndizovuta zambiri za endocrinological matenda. Izi pathologies zimalephereka mosavuta ngati mumadya zakudya zotsika kapena sizimakhudza kuchuluka kwa shuga, chotsani cholesterol yowonjezera, kulimbitsa mitsempha yamagazi ndikuwongolera ntchito yamtima.

Mukamayendetsa menyu, munthu ayenera kuganizira zotsimikizira za akatswiri:

• calorie kudya kuyenerana ndi mphamvu ya thupi. Ndikofunika kuwerengera magawo a mkate,
• zakudya ziyenera kukhala zosiyanasiyana
• chakudya cham'mawa chikhala chokwanira,
• Gwiritsani ntchito zakudya za odwala matenda ashuga.
• chepetsa kugwiritsa ntchito maswiti,
• musanadye chakudya chilichonse muyenera kudya saladi yamasamba kuti muchepetse kagayidwe kachakudya,
• kupatula zakudya ndi zakumwa zomwe zimachulukitsa shuga kuzakudya.

Odwala ambiri, atamva kwa endocrinologist za kufunika kosadya nthawi zonse, amakwiya. Anthu odwala matenda ashuga akuganiza kuti azingodzichotsera zabwino zokha. M'malo mwake, ndi matenda, zakudya zambiri zimaloledwa.

Kugwiritsa ntchito izi kudzakuthandizani kusintha kulemera. Komanso, zakudya zimatha kuthetsa ndikupewa pafupipafupi matenda a hyperglycemia.

Pali zinthu zingapo, kugwiritsidwa ntchito kwake komwe kumathandizira kuwonjezera shuga, cholesterol ndikuipiraipira misempha yamagazi. Amaletsedwa kudya anthu omwe amapezeka ndi matenda ashuga.

Matenda a shuga amawopa mankhwalawa, ngati moto!

Ndikofunikira kutsatira.

Ngati kapamba asiya kupanga insulin yokwanira, kapena maselo samalowanso m'thupi, ndiye kuti munthu amaletsedwa kumwa koloko wowotcha, masipuni, kvass, ndi tiyi wakuda wamphamvu.

Komanso akatswiri salimbikitsa kumwa mowa. Madzi ochepa, zakumwa zachilengedwe, zakumwa zam'madzi ndi zakumwa zamtundu, tiyi wobiriwira, zakudya zonunkhira, ma decoctions ndi infusions zochokera zitsamba, zopangidwa mkaka wowawasa wazakudya zochepa zamafuta zimaloledwa.

Kudya zakudya zopatsa thanzi kumatha kuchepetsa mwayi wamtima komanso matenda a mtima.

Zochitika zikuwonetsa kuti mu 1/3 ya anthu omwe amamwa mapiritsi ochepetsa shuga, chithandizo chitha kuthetsedwa pakudya. Kutsatira malamulo azakudya amakupatsani mwayi wochepetsa kuchuluka kwa mankhwala omwe mumagwiritsidwa ntchito.

Zoyenera kupita kuchipatala?

Takulandirani owerenga okondedwa a tsambali! Lero tikambirana mutu womwe ungasangalatse anthu onse omwe ali ndi matenda osachiritsika. Mu matenda a shuga, kuperekera chithandizo kwa mankhwala kumasonyezedwa nthawi zambiri kuposa matenda ena ambiri.

Zinali choncho kuti anthu a ku Russia sakonda kulandira chithandizo kuchipatala ndipo akuyesetsa m'njira iliyonse kukana thandizo lotere. Koma pachabe! Pankhani ya matenda ashuga, chithandizo m'chipatala chapadera chimasonyezedwa pazifukwa zambiri.

• Ndikosavuta kusankha / kusintha kuchuluka kwa mankhwalawa kapena kuyamba kugwiritsa ntchito mankhwala atsopano.
• Kuchita njira zapadera zodzitetezera kuti muchepetse vuto la malemu omaliza (achipatala, olimbitsa thupi).
• Kuthekera kwa mayeso athunthu, kuphatikiza kuyesedwa kwathunthu kwa akatswiri ochepa kwambiri, kuyesa kwa labotale, kufufuza kwa zida.
• Mwachangu chindapusa matendawa.
• Kutha "kupumula" movomerezeka ndikupeza mphamvu, kucheza ndi "anzanu", pezani nkhani.

1. Zolemba zofunikira (pasipoti, ndondomeko) ndi zithunzi zawo. Makolo a achinyamata odwala matenda ashuga sayenera kuiwala mapulogalamu okonzanso.
2. Ma insulini osagwiritsidwa ntchito, mapiritsi, mita yamagazi, ma syringe, i.e. chilichonse chomwe simungathe kuchita popanda kuwongolera matenda ashuga.
3. Konzani khadi kuchokera ku chipatala, zochokera ku mayeso omaliza / zipatala, kumbukirani mayina amankhwala onse omwe agwiritsidwa ntchito nthawi yayitali atatha kulandira chithandizo chomaliza. Nthawi zonse lembani mankhwala omwe amachititsa kuti asagwidwe ndi vuto lililonse kapena kuti ali ndi vuto lililonse.
4. Chidule cha kudziletsa.
5. Chalk chanu (bulashi, zodzikongoletsera, zisa, kititi chosambira, zofunira lumo, pepala la kuchimbudzi, zopukutira, ndi zina).
6. Kudula (mug, chikho, supuni / foloko).
7. Kuti mugwiritse ntchito chimbudzi chogawana, kugula zingwe zapadera kuchimbudzi, zimathandizira kukhalabe kuchipatala.
8. Zovala zabwino, suti yausiku, toterera, zovala zamkati.
9. Zosangalatsa (piritsi, buku, laputopu, ndi zina).
10. Tawulo wamunthu payekha.
11. Foni yam'manja yokhala ndi recharge, kulipiritsa.
12. Zinthu zosangalatsa kuchokera kunyumba (chithunzi, vase, kujambula kwa ana).
13. Ndalama.
14. Mahedifoni, mapulagi amkhutu, ngati mumangokhala chete.

Simuyenera kutenga zovala zokongola komanso zovala zapamwamba. Kumbukirani, chithandizo ichi ndichosakhalitsa, motero kusinthira nyumbayo kukhala nyumba yanyumba sikufunika.

Tsopano pali zinthu zambiri zomwe zimapangidwa mwapadera popanda shuga. Mndandanda wotchedwa "matenda ashuga" (nthawi zambiri amagwiritsidwabe ntchito ndi omwe akufuna kuchepetsa thupi).

Tengani madzi molimba mtima popanda shuga, masamba, buledi kapena buledi. Pafupifupi masamba onse ndiabwino. Kuchokera pa zipatso mungathe maapulo, mapichesi ndi mphesa.

Mutha kusesa mkaka, yogati kapena tchizi chamafuta ochepa (nthawi zambiri zimakhala zovuta kupeza).

Mukapita kwa wodwala matenda ashuga, mutha kutenga chilichonse kupatula ufa, wokoma ndi mafuta nanu. Mukapita kwa wodwala yemwe ali ndi matenda ashuga a mtundu woyamba, ndibwino kuti mutenge zakudya zama protein (nyama kapena nsomba zam'nyanja), amathanso kugula chakudya chotsekemera (gawo lochepa la ayisikilimu).

Ndingabweretse chiyani kwa wodwala yemwe ali ndi matenda ashuga

Njira zakuyimira hypoglycemia. Kupezeka kwa mapiritsi ndi ma dextrose, timadziti tam'mabokosi ang'onoang'ono komanso m'matumba a shuga titha kumakhala othandiza nthawi zonse.

Zida za glucometer. Sipangakhale zochuluka za izo. Onani mtundu wa mita ndikukhala omasuka kupita ku pharmacy, mizere imagulitsidwa popanda mankhwala mulingo uliwonse.

Onani mita. Munthu yemwe ali ndi matenda ashuga amakhala ndi zovuta zambiri, komabe, ndikulimbikitsidwa kuti kamodzi pachaka kuwunika kulondola kwa glucometer pamalo operekera chithandizo. Onani adilesi yomwe ili patsamba la bokosi kapena tsamba lawopanga, tengani mita ndikupita. Wokondedwa wanu adzakhala othokoza kwambiri chifukwa cha thandizo lanu.

Chitani izi.Ndi chiyani chomwe chingakhale chosangalatsa kuposa kupumula? Pochita izi, mutha kuyang'ananso lipodystrophy, kukula kwakapweteka kwamafuta amkati opezeka ndi jakisoni wa insulin m'malo omwewo. Ngati mukupeza zofananazo, kambiranani ndi okondedwa anu momwe angasinthire malo obayira.

Buku ndi maphikidwe. Ngati wokondedwa wanu amakonda kuphika, adzalandira mokondwa mphatso yotere. Ili siliyenera kukhala buku makamaka la anthu odwala matenda ashuga, maphikidwe okhala ndi kuchuluka kwa zakudya zama carb ambiri ndi oyenera.

Zipangizo zosungira insulin. Mphatso yothandiza kwambiri, chifukwa insulin ndi mapuloteni, zomwe zikutanthauza kuti imafunikira malo osungirako apadera. Pali zida zochulukirapo komanso zowonjezera pamsika, kotero mutha kusankha zomwe zimakukondani wokondedwa wanu.

Zida zakuvala pampu ya insulin. Ichi ndi mutu wanthawi zonse, ma gord, malamba, zikwama zovala pakhosi, bandeji zotanuka zonyamula pampu pa mkono ngakhale ndi bra yokongola - zonsezi ndi zinthu zomwe zimathandizira kunyamula pampu ya insulin. Pali malo oyerekeza!

Umembala wa Gym. Zimatsimikiziridwa kuti kuchita masewera olimbitsa thupi pafupipafupi munjira zabwino kwambiri kumakhudza kuwongolera kwamagazi wamagazi.

Zogulitsa Zakhungu. Munthu yemwe ali ndi matenda ashuga adzafunikira zonunkhira zam'manja, komanso zonona zamkati zomwe zimakhala ndi urea.

Zibangiri, zingwe, ma tokeni, makhadi kuzindikiritsa munthu yemwe ali ndi matenda ashuga. Chofunikira kwambiri kwa aliyense wodwala matenda ashuga mwadzidzidzi. Ndikofunikira kwambiri kuti ogwira ntchito ma ambulansi ndi odutsapo adziwe kuti munthu ali ndi matenda ashuga ndikupereka thandizo lofunikira.

Zinthu zazing'ono zosiyanasiyana zokhudzana ndi matenda ashuga, monga zomata pampu. Magawo azogulitsa mwapadera, kuphatikiza akunja, amapereka mphatso zazing'ono zofunikira.

Mphatso yosagwirizana ndi matenda a shuga. Kuwongolera shuga wokwanira kumafuna kukonzekera ndi kuchitapo kanthu. Phunziro mu kalasi la ballet, kulumpha kwa parachute, maulendo asodzi - zithandiza kusiyanitsa moyo watsiku ndi tsiku.

Kuthandizira zothandizira anthu omwe ali ndi matenda ashuga. Mutha kupereka zambiri komanso zosangalatsa zokhudzana ndi matenda ashuga mwa kuthandiza tsamba lathu kusintha ndi kumasulira nkhani ndi makanema.

Nditha kumwa zakumwa ziti zomwe sindingathe?

Ambiri odwala matenda ashuga amadziwa mndandanda wazakudya zomwe siziyenera kudya. Koma sikuti odwala onse amawunika zomwe amamwa.

Ngati kapamba asiya kupanga insulin yokwanira, kapena maselo samalowanso m'thupi, ndiye kuti munthu amaletsedwa kumwa koloko wowotcha, masipuni, kvass, ndi tiyi wakuda wamphamvu.

Anthu ambiri amakonda kumwa makapu angapo achilengedwe

. Ambiri a endocrinologists savomereza kumwa koteroko. Koma asayansi atsimikizira kuti khofi ili ndi michere yambiri yomwe imalepheretsa

. Chifukwa chake, chakumwa chotere sichimapweteketsa anthu odwala matenda ashuga. Chinthu chachikulu ndikuchigwiritsa ntchito popanda shuga.

Zakumwa zonse zimagawidwa mu zomwe zimachulukitsa ndikuchepetsa kuchuluka kwa glycemia m'magazi. Kuchulukitsa zomwe zili ndi shuga mu seramu liqueurs, vinyo wotsekemera wofiira, ma tinctures.

Ali ndi shuga wambiri. Chifukwa chake, amachepetsa mphamvu ya mankhwala a shuga. Champagne ndiyofunikira kwambiri kwa glucose.

Chokoleti chotentha sichilimbikitsidwanso. Anthu omwe ali ndi matenda ashuga oterowo amayenera kuthetseratu kapena osamwetsa pang'ono komanso kuyendetsedwa ndi shuga pogwiritsa ntchito glucometer.

Mowa wamphamvu umatha kuchepetsa kuchuluka kwa glycemia. Mwachitsanzo, vodka ndi cognac ali ndi katundu wotsitsa shuga. Koma mukamagwiritsa ntchito zakumwa zotere muyenera kudziwa muyeso.

Kumwa mowa kwambiri kungathetse vuto la ziwiya zam'madzi ndipo kungayambitse kukula kwambiri kwa matenda ashuga.

Zomwe Anthu Ashuga Amasowa kudya: Mndandanda wonse wazakudya Zoletsedwa

Malinga ndi ziwerengero, kugonekedwa kwa anthu odwala matenda ashuga ndi chinthu chofala kwambiri. Dokotala wofotokozerayo akufunika kwa wodwalayo kupita kuchipatala kuti akamuyeze mwatsatanetsatane, musakane.

Matenda monga matenda a shuga ndi amtundu wa matenda oopsa komanso oopsa. Ndi chifukwa ichi kuti anthu odwala matenda ashuga ayenera kukhala oyang'aniridwa ndi madotolo kwakanthawi, ngakhale kuti ambiri omwe ali ndi matenda ashuga alibe malingaliro oyipa opita kuchipatala.

Pali zisonyezo zingapo zomwe zikuwonetsa kufunikira kokhalira kuchipatala. Kuphatikiza apo, wodwalayo angagwenso chithandizo chamanthawi zonse, chomwe chimapangitsa maphunziro owonjezera, kapena pakagwa mwadzidzidzi.

Hyperglycemia ikawonedwa mwa wodwala kwa nthawi yayitali, dokotala wopezekapo amayenera kusintha insulin.

Pangakhale kofunikira kuti mupereke mankhwala atsopano, chifukwa chake odwala matenda ashuga ayenera kukayezetsa zina.

Palinso zisonyezo zina zothandizira kuchipatala:

1. Wodwala akakhala kuti sagwirizana ndi mankhwala omwe amachepetsa shuga, amayenera kulowedwa m'malo ndi analog osakhudza mphamvu yamankhwala. Zomwezo ngati pali kuwonongeka kwa shuga.
2. Ngati munthu wodwala matenda ashuga akayamba kulimba chifukwa cha shuga wambiri. M'malo mwa matenda otere, matenda aliwonse amatha kuchita.
3. Wodwala akakula ndi matenda ashuga othana ndi matenda a shuga, wodwalayo amagonekedwa m'chipatala mosalephera. Popanda chithandizo chakanthawi, nkovuta kukwaniritsa zinthu zabwino.

Kugonekedwa ku chipatala kumatha kupewedwa ngati mukudwala matenda ashuga okha, koma palibe matenda ena omwe sanalowe nawo m'thupi. Monga lamulo, palibe chifukwa chofunikira kupita kuchipatala ngati impso imagwira ntchito popanda zolephera, ndipo mulingo wotseka m'magazi simapitilira 11 - 12 mmol / l.

Mutha kusankha mankhwalawa moyenera. Wodwala amadwala maphunziro angapo.

Pambuyo pa izi, endocrinologist amakhazikitsa dongosolo lamankhwala.

Kusamalira odwala kunja kuli ndi mapindu ake. Choyamba, mankhwalawa amachitika kunyumba, zomwe zimachitika kawirikawiri kwa odwala matenda ashuga. Izi ndizofunikira chifukwa zinthu zopsinjika zimapangitsanso kuchuluka kwa shuga m'magazi.

Kachiwiri, boma limalemekezedwa. Chithandizo cha mkati, mosiyana ndi chithandizo chakunja, chimasintha zochitika zatsiku ndi tsiku, popeza wodwalayo sakhala motsatira ndondomeko yake, koma malinga ndi dongosolo la chipatala.

Kugonekedwa pachipatala ndikofunikira kuti pakuchitika opaleshoni. Ngati akunena kuti ndi zipatala ziti zomwe zimagwira ndi odwala omwe ali ndi matenda a shuga, ndikofunikira kudziwa kuti nthawi zambiri odwala matenda ashuga amawonedwa m'dipatimenti ya endocrinology.

Komabe, zonse molunjika zimatengera machitidwe a matendawa. Mwachitsanzo, matenda ashuga mwa amayi apakati amawonedwa mu dipatimenti yoletsa kubereka, chifukwa, monga lamulo, zimachitika pakatha milungu 24 ya mimba.

Funso loti akhalebe kuchipatala chokhala ndi matenda ashuga sichingayankhe mwachindunji. Zonse zimatengera kuuma kwa matendawa, kulondola kwa dongosolo la chithandizo, komanso kukhalapo kwa matenda oyanjana.

Komabe, mulimonsemo, madera omwe wodwalayo ayenera kudziwa kuti ndizotheka kubweretsa matenda kuchipatala. Chofunikira chachikulu ndicho kudya mafuta amiyeso mthupi la wodwala. Chifukwa chake, kudya koyenera kumawonedwa ngati maziko a chithandizo chilichonse.

Ngati mumanyalanyaza zomwe zakupatsani zakudya za matenda ashuga, mungayambitse zovuta zina, mpaka thupi lanu latsoka. Musanaganize zoyambitsa matenda a shuga kuchipatala, muyenera kudziwa bwino mfundo zazikulu za zakudya zochizira:

1. Chakudya chizikhala chamafuta ochepa, motero ndizoletsedwa kudya chokoleti, confectionery, ayisikilimu, shuga ndi maswiti ena onse. Nthawi zina, mlingo wochepa wa mankhwala oletsedwa umaloledwa, koma osati kuchipatala.
2. Zakudya zomwe zimatumizidwa zimayenera kukhala ndi kuchuluka kwa mavitamini.
3. Zakudya zamafuta ochepa, zakudya zamafuta ochepa ndizabwino kwambiri. Seaweed ndiwothandiza kwambiri kwa matenda ashuga a 2.
4. Zopangira mkaka ndi mkaka, komanso mbale zopangidwa kuchokera kwa iwo, ndizabwino. Gululi lazogulitsa liyenera kuphatikizidwa mumenyu yovomerezeka ya odwala matenda ashuga.

Malamulo osavuta amathandiza wodwalayo kuti achire mwachangu ndi kupita kwawo. Kanemayo munkhaniyi akuwuzani zomwe muyenera kudya ndi shuga.

Zogwiritsidwa ntchito: diabetik.guru

Kodi ndingadye zakudya ziti zokhala ndi matenda amtundu woyamba 1?

Atsikana, wachibale wachikale adagonekedwa kuchipatala mumzinda wathu. Zachidziwikire akuti palibe chomwe chikufunika, koma ndikumvetsetsa momwe amawadyetsera. Pomwe ndidatola nkhuku zopangira nkhuku kuchokera ku nkhuku. nyama, kugula mkaka wokazinga wokazinga ndi tchizi.

Sungani ndi ndalama za LetyShops!

Lowetsani tsopano ndikupeza akaunti ya Pulogalamu Yoyamba.

Kodi wodwala amaloledwa kudya mchere?

Mchere sukukhudza kuchuluka kwa shuga mu seramu yamagazi. Chifukwa chake, sizitsogolera ku hyperglycemia.

Endocrinologists amalimbikitsa odwala matenda ashuga kuti achepetse kuchuluka kwa mchere kwa theka la zomwe zimakhazikitsidwa kwa anthu athanzi - 3-6 g.

Maonekedwe a edema amawopseza chitukuko cha matenda oopsa. Zotsatira zoyipa kwambiri za kudya mchere wambiri ndi matenda a shuga.

Ndi matenda awa, ziwiya za impso zimavutika: pang'onopang'ono zimasinthidwa ndi minofu yolumikizana. Zotsatira zake, kulephera kwa impso kumachitika. Anthu ambiri odwala matenda ashuga amafa chifukwa cha matendawa.

Poyamba, mbale zokhala ndi mchere wochepa kwambiri zimawoneka zopanda pake. Koma popita nthawi, thupi limasinthasintha, munthu amayamba kusiyanitsa mitundu yazakudya.

Gomec index index ya zakudya zotchuka kwambiri

Kukhala ndi thanzi labwino komanso chiyembekezo cha munthu wodwala matenda ashuga zimadalira momwe chakudya chimapangidwira. Chifukwa chake, anthu omwe ali ndi vuto la pancreatic ayenera kudziwa index ya zakudya zomwe zimadyedwa.

Powonjezera shuga pamakumwa omwe ali pamwambapa kumawonjezera index yawo ya glycemic.

Kusintha cartridge yatsopano

• Chophimba ndi singano sichinachotseredwe ndikuchotsedwa nthawi yomweyo jekeseni, kotero imasuliratu chotseketsa chotengera ku makina,
• Chotsani cartridge wogwiritsa ntchito

• kukhazikitsa cartridge yatsopano ndikusunga chogwiriracho pakumakina.

Imangoyika singano yatsopano yotaya ndikupanga jakisoni.

Zomwe mungabweretse kwa wodwala yemwe ali ndi matenda ashuga

Zakudya za shuga. Zomwe sizingadyedwe ndi wodwala yemwe ali ndi matenda ashuga.

Matenda a shuga ndi imodzi mwazofala kwambiri za dongosolo la endocrine la thupi lathu. Matenda a shuga akuchulukirachulukira padziko lonse lapansi. Pakadali pano, anthu pafupifupi 200 miliyoni padziko lonse ali ndi matenda a shuga.
Kuchiza matenda a shuga, monga lamulo, kumatanthauza kusintha kwa moyo wina. M'mayiko a Azungu, ngakhale anali ndi zovuta za chithandizo chamankhwala komanso kutha kwa matenda ashuga, matendawa amatchedwa "matenda", koma "njira ya moyo." Inde, kutsatira njira ina yamoyo kumalola kuti odwala matenda ashuga (makamaka ndi matenda ashuga a 2) azilipira matenda awo nthawi yayitali. Moyo wapadera wa matenda a shuga umatanthawuza: kuchita masewera olimbitsa thupi nthawi zonse (kuchita masewera olimbitsa thupi), kutsatira zakudya zapadera, kuyang'anira magawo a shuga wamagazi ndi kuwongolera kwakanthawi kwake.

Zakudya za shuga
Chimodzi mwazinthu zofunikira zamankhwala (zamakhalidwe) za matenda a shuga ndi zakudya zopatsa thanzi. Nthawi zambiri, kudya pakokha kungathandize kubwezeretsa shuga wabwinobwino, motero kuchiritsa matenda ashuga, osagwiritsa ntchito mankhwala.
Cholinga chodya matenda ashuga ndi mtundu wa zochita za metabolic mthupi.
Kufunika kwa kudya shuga Malangizo oyamba okhudzana ndi odwala omwe ali ndi matenda ashuga amafotokozedwa kale kwambiri ngati 1500 BC. mu Ebers papyrus. Adatinso "tirigu oyera, zipatso, ndi mowa wamphesa" ndizovulaza mu shuga (dzina la shuga ndi dzina lakale la shuga).

Kodi pali phindu lanji pakudya kuposa mankhwala ena a shuga?
Mukudziwa kale kuti mu shuga, carbohydrate metabolism (shuga metabolism) imalephera makamaka. Kubwezeretsanso kwa kagayidwe kazakudya mu shuga kumachitika m'njira ziwiri:

popereka maselo ndi insulin

powonetsetsa kuti chakudya chamagulu m'thupi la munthu ndi chofanana.

Kudya mafuta osafunikira ndi chinthu chofunikira kwambiri pochiza odwala matenda ashuga. Izi zimatheka pokhapokha ngati pali zakudya zoyenera. Popanda kudya, sizingatheke kulipira kagayidwe kazakudya. Pankhani ya matenda a shuga 1, zakudya ndi zofunika kwa wodwala. Kulephera kutsatira zakudya kumatha kudzetsa zovuta za matenda ashuga.
Mkhalidwe wofunikira pakulongosola koyenera kwa matenda ashuga ndikusungira diary kwa wodwala. Chojambulachi chimaphatikizapo mndandanda wazakudya zomwe zimadyedwa masana, kuchuluka kwake komanso zopatsa mphamvu. Kusunga diary ya chakudya kumathandizanso kuthandizira kwa mankhwalawa.

Mfundo zoyambirira za kadyedwe ngati mankhwala ochizira matenda ashuga
Zakudya za anthu odwala matenda ashuga zimafuna kugwiritsa ntchito payekha komanso moyenera. Kupanga zakudya za odwala omwe ali ndi matenda a shuga kumachitika ndi dokotala endocrinologist.
Kupanga zakudya za wodwala yemwe ali ndi matenda ashuga kuyenera kuyamba ndi kuwerengetsa kwa mphamvu ya chakudya chofunikira m'thupi la munthu. Izi zimaganizira zaka za odwala, jenda, kuchuluka kwa zochitika zolimbitsa thupi, komanso kulemera kwa wodwalayo. Mphamvu ya chakudya imatsimikizika pama kilocalories, omwe thupi limalandira panthawi yothandizidwa ndi zigawo zikuluzikulu za chakudya (mapuloteni, mafuta, chakudya). Kwa odwala akuluakulu omwe ali ndi matenda a shuga, zomwe zimafunikira tsiku ndi tsiku zimawerengedwa pa kilogalamu imodzi ya kulemera kwa akazi - kwa akazi 20-25 kcal / kg, kwa amuna - 25-30 kcal / kg.

Mfundo zazikuluzikulu za kadyedwe ka matenda a shuga ndi izi:

Zakudya zopatsa mphamvu zowonjezera thupi: osapatula: shuga, chokoleti, maswiti, confectionery, kupanikizana, ayisikilimu ndi maswiti ena kapena amamwa zinthu izi pang'ono.

zakudya (5-6 pa tsiku)

kupezeka kwa zakudya zokwanira mavitamini.

Amachepetsa calorie kudya.

mu chakudya cha wodwalayo ayenera kukhala mkaka ndi mkaka ndi zakudya kuchokera kwa iwo.

Kodi gawo la mkate ndi chiyani?
Monga lamulo, kudziwa kuchuluka kovomerezeka kwa tsiku lililonse kwa wodwala yemwe ali ndi matenda ashuga ndi ntchito yovuta. Kutsogolera ntchitoyi, akatswiri azakudya adayambitsa lingaliro labwino - "mkate mkate". Gulu lama mkate limagwiritsidwa ntchito kuwerengetsa kuchuluka kwa zinthu zomwe zili ndi kuchuluka kwa chakudya (shuga, shuga). Mosasamala mtundu wa chinthu, mkate umodzi pachinthu ichi uli ndi 15 magalamu a chakudya chamagetsi.
Lingaliro la "mkate mkate" linayambitsidwa makamaka kwa odwala matenda a shuga omwe amalandira insulin. Chifukwa chakuyambitsa lingaliro la gawo la mkate, odwala matenda a shuga adapeza mwayi wopanga mndandanda wawo mokwanira (kuchuluka kwa chakudya chokwanira kuyenerana ndi kuchuluka kwa insulini yoyendetsedwa).
Chofunikira cha tsiku ndi tsiku kuti munthu wamkulu azipeza chakudya chamafuta pafupifupi 18-25.
Pankhani ya odwala omwe ali ndi matenda ashuga, ndibwino kugawa kuchuluka kwa chakudya mu chakudya chambiri cha 6-7. Ichi ndi chakudya choyenera kwa wodwala matenda ashuga.
Chakudya cham'mawa, chamasana komanso chamadzulo, ndikofunikira kutenga magawo atatu a buledi, masana - magawo awiri a buledi. Musaiwale kuti zakudya zam'mimba zambiri zimayenera kukhala theka loyamba la tsiku. Kuphatikiza pa kudya, odwala amalandira jakisoni wa insulin, yomwe imapatsa chakudya chambiri mu chakudya. Mlingo wa insulin umatsimikiziridwa ndi dokotala. Chifukwa chake, kuwerengera kolondola kwa chakudya chamagulu mu "magawo a mkate" ndi kudya kwa kuchuluka kwa insulini kumatsimikizira zochitika zapakhansa, zomwe zimapangitsa mwa anthu athanzi kuchuluka kwa insulini yomwe ikufunika kuti mafuta onse azikhala ndi chakudya.
Pansipa pali zambiri zomwe zikuwonetsa kuchuluka kwa chinthu chogwirizana ndi 1 mkate. Kutengera ndi mndandandawu, odwala matenda ashuga amatha kupanga okha menyu ndikuchepetsa kudya zakudya zochulukirapo.

Njira yoperekera insulin ndi syringe (insulin)

Konzani insulin kuti mugwiritse ntchito. Chotsani mufiriji, monga momwe jekeseni wambiri ayenera kukhala kutentha.

Ngati mukufuna kubaya insulin yayitali (pamtambo ndikuwoneka ngati mitambo), ndiye kuti mukulungitsa botolo pakati pa manja mpaka lingaliro likhale loyera ndi mitambo. Mukamagwiritsa ntchito insulin yaifupi kapena ya ultrashort, izi siziyenera kuchitika.

Musanalowetse mphira poyimitsa insulin vial ndi antiseptic.

Maluso azinthu zotsatirazi ndi motere:

1. Sambani m'manja ndi sopo.
2. Chotsani syringe yake.
3. Tengani mpweya mu syringe momwe mungafunire jakisoni. Mwachitsanzo, adotolo adawonetsa kuchuluka kwa magawo makumi awiri, motero muyenera kutenga pisitoni ya syringe yopanda chizindikiro "20".
4. Pogwiritsa ntchito singano ya syringe, kuboola chitsulo chobisira cha insulin vial ndikujowulira mpweya mu vial.
5. Sinthani botolo mozama ndikusoka muyezo wa insulini mu syringe.
6. Penyani pang'ono pang'onopang'ono thupi la syringe ndi chala chanu kuti ma thovu amlengalenga awuke ndikutulutsa mpweya ku syringe ndikakanikiza pang'ono piston.
7. Onani kuti mulingo wa insulin ndi wolondola ndikuchotsa singano mu vial.
8. Chitani jakisoni ndi antiseptic ndikulola khungu kuti liume. Pangani khungu lanu ndi chala chachikulu ndi chala chamtsogolo, kenako pobayira insulini pang'onopang'ono. Ngati mugwiritsa ntchito singano mpaka 8 mm, mutha kuyika pakona yoyenera. Ngati singano yayitali, ikanikeni pa ngodya ya 45 °.
9. Mankhwala onse akathandizidwa, dikirani masekondi 5 ndikuchotsa singano. Mumasulire kutuluka kwa khungu.

Njira yonseyi ingaoneke bwino mu vidiyo yotsatirayi, yomwe inakonzedwa ndi American Medical Center (tikulimbikitsidwa kuti muwone kuyambira mphindi zitatu):

Ngati kuli kofunikira kusakaniza insulin yotsalira (yankho lomveka bwino) ndi insulin yayitali (njira yovuta), machitidwe azikhala motere:

1. Lembani mu syringe yamlengalenga, momwe mungafunikire kulowa insulin "yamatope".
2. Lowetsani mpweya mu vidiyo ya insulin yamitambo ndikuchotsa singano mu vial.
3. Lowetsani mlengalenga mu syringe momwe mumafunikira kulowa insulin "yowonekera".
4. Lowetsani mpweya mu botolo la insulin yabwino. Nthawi zonse ziwiri zokha mpweya udalowetsedwa mu botolo lachiwiri.
5. Popanda kutenga singano, sinthani botolo ndi "mandala" owoneka bwino pansi ndikuyimba muyezo wa mankhwalawo.
6. Dinani pa thupi la syringe ndi chala chanu kuti thovu la mpweya lithe kuwachotsa ndikuwachotsa posintha pang'ono piston.
7. Onani kuti insulin yodziwikiratu (yayifupi) yaikidwa bwino ndikuchotsa singano mu vial.
8. Ikani singano mu vial ndi insulin "yamitambo" yambiri, tembenuzani botolo mozungulira ndikuyimba insulin yomwe mukufuna.
9. Chotsani mpweya mu syringe monga tafotokozera mu gawo 7. Chotsani singano mu vial.
10. Onani kulondola kwa insulin. Ngati mwapatsidwa mtundu wa insulin "wowonekera" wa 15 mayunitsi, "wopanda mitambo" - magawo 10, ndiye kuti magawo 25 akhale osakanikirana ndi syringe.
11. Chitani jakisoni ndi antiseptic. Yembekezerani kuti khungu liume.
12. Ndi chala chanu chakutsogolo ndi chala chamtsogolo, gwiritsani khungu pakulowetsamo ndi jekeseni.

Mosasamala mtundu wa chida chosankhidwa ndi kutalika kwa singano, kasamalidwe ka insulin kuyenera kukhala kosazungulira!

Kusamalira tsamba la jakisoni

Ngati jakisoni watenga kachilombo (nthawi zambiri amatenga matenda a staphylococcal), muyenera kulumikizana ndi a endocrinologist (kapena akatswiri) kuti akupatseni mankhwala othandizira.

Ngati kukwiya kwachitika pamalo a jakisoni, ndiye kuti antiseptic wogwiritsidwa ntchito jekeseni asasinthidwe.

Komwe kubaya ndi momwe timabayira insulin, tafotokozeratu, tsopano tiyeni tipite ku mawonekedwe a kapangidwe ka mankhwalawa.

Malonda a insulin

Pali mitundu ingapo yoyendetsera insulin. Koma mulingo woyenera kwambiri wa majekeseni angapo. Zimaphatikizapo kukhazikitsidwa kwa insulin yocheperako musanadye chakudya chachikulu chilichonse, kuphatikiza kamodzi kapena kawiri pa insulin (yam'mawa ndi yamadzulo) kuti ikwaniritse kufunika kwa insulin pakati pa chakudya ndi nthawi yogona, zomwe zimachepetsa chiopsezo cha usiku. Kubwerezabwereza kwa insulin kumatha kupatsa munthu moyo wapamwamba kwambiri.

Mlingo woyamba wa insulin yochepa umaperekedwa kwa mphindi 30 musanadye chakudya cham'mawa. Yembekezerani nthawi yayitali ngati glucose wanu wapezeka (kapena wocheperako ngati glucose wanu wachepa). Kuti muchite izi, yambani kuyeza kuchuluka kwa shuga m'magazi ndi glucometer.

Ma insulini wocheperako pang'ono amatha kuthandizidwa musanadye, bola shuga azikhala wochepa.

Pambuyo maola 2-3, mumafunikira chakudya. Simuyenera kuchita china chilichonse, mulingo wa insulin ukadali wapamwamba kuyambira kubayidwa kwam'mawa.

Mlingo wachiwiri umaperekedwa kwa maola 5 itatha yoyamba.Pofika nthawi ino, insulini yochepa kwambiri yochokera mu "chakudya cham'mawa" imakhalabe mthupi, ndiye kuti muzipanga kuchuluka kwa shuga, ndipo ngati shuga wambiri ndi yochepa, jekeseni wa insulin yochepa musanadye kapena kudya, kenako ndi kulowa. kwenikweni insulin.

Ngati magazi a glucose ndi okwera, muyenera kubaya insulin yochepa ndikudikirira mphindi 45-60, kenako ingoyambani kudya. Kapena mutha kubayira insulini ndi zochita za ultrafast ndipo mukatha mphindi 15-30 kuyamba kudya.

Mlingo wachitatu (asanadye chakudya chamadzulo) umachitidwa mofananamo.

Mlingo wachinayi (wotsiriza wa tsikulo). Asanagone, insulin (NPH-insulin) kapena wochita zinthu kwa nthawi yayitali amalembedwa. Jekeseni lomaliza la tsiku ndi tsiku liyenera kupangidwa maola atatu pambuyo pa kuwombera kwa insulin yochepa (kapena maola awiri pambuyo pa ultrashort) mu chakudya chamadzulo.

Ndikofunika jekeseni wa "usiku" tsiku lililonse nthawi yomweyo, mwachitsanzo, nthawi ya 22:00 nthawi isanakhale yogona. Mlingo wothandizidwa ndi NPH-insulin utha kugwira ntchito pambuyo pa maola 2-4 ndipo udzatha maola 8-9 onse ogona.

Komanso, m'malo mokonzekera insulin, mutha kubayira insulin yayitali musanadye chakudya ndikusintha mtundu wa insulin yochepa yomwe mumapereka musanadye.

Insulin yokhala ndi nthawi yayitali imagwira ntchito kwa maola 24, kotero kuti ogona amatha kugona nthawi yayitali osavulaza thanzi lawo, ndipo m'mawa sikudzakhala kofunikira kupereka insulini yocheperako (okhawo omwe amakhala ndi insulin asanadye chilichonse).

Kuwerengedwa kwa mtundu wa insulin yamtundu uliwonse kumachitika ndi adokotala, kenako (atazindikira zenizeni), wodwalayo mwiniyo amatha kusintha mankhwalawo kutengera mtundu wina.

Kodi muyenera kuchita chiyani ngati mwaiwala kupereka insulin musanadye?

Ngati mukukumbukira izi mukatha kudya, muyenera kulowa muyeso ya insulin yochepa kapena ya ultrashort kapena kuichepetsa ndi gawo limodzi kapena awiri.

Ngati mukukumbukira izi pambuyo pa maola 1-2, ndiye kuti mutha kulowetsamo theka la insulin yochepa, makamaka pakakhala yochepa.

Ngati nthawi yayitali yapita, muyenera kuwonjezera kuchuluka kwa insulini yochepa ndi magawo angapo chakudya chotsatira, mutayezera kale kuchuluka kwa shuga m'magazi.

Kodi ndingatani ngati nditha kuiwala kupereka mankhwala a insulin musanagone?

Ngati mwadzuka 2: 2 a.m. ndipo mukukumbukira kuti mwayiwala jakisoni, mutha kulowetsabe insulin ya "usiku", yochepetsedwa ndi 25-30% kapena magawo 1-2 pa ola lililonse lomwe latha kuyambira nthawi yomwe iyenera Insulin "nocturnal" idayendetsedwa.

Ngati pasanathe maola asanu isanakwane nthawi yanu yodzuka, muyenera kuyeza kuchuluka kwa glucose ndikukapereka mlingo wa insulin yochepa (musangopaka jakisoni wa insulini yochepa kwambiri!).

Ngati mutadzuka ndi shuga wambiri ndi mseru chifukwa choti simunalowetse insulin musanagone, lowetsani insulini yochepa (ndipo makamaka yochepa kwambiri). pa kg iliyonse ya kulemera kwa thupi ndikuyezanso shuga pambuyo pamaola awiri. Ngati kuchuluka kwa glucose sikunachepe, lowetsani mlingo wina pamlingo wa mayunitsi 0. pa kilogalamu ya thupi. Ngati mukudwala kapena mukusanza, muyenera kupita kuchipatala mwachangu!

Kodi ndi nthawi iti yomwe mlingo wa insulin ungafunikebe?

Kuchita masewera olimbitsa thupi kumawonjezera kuchuluka kwa shuga m'thupi. Ngati mlingo wa insulini sunachepe kapena kuchuluka kwa chakudya sikudyedwe, hypoglycemia imayamba.

Kuchita zolimbitsa thupi pang'ono komanso pang'ono

• ndikofunikira kudya chakudya cham'mimba musanaphunzitsidwe (kutengera 15 g ya chakudya chamagetsi cham'mimba kwa mphindi 40 zilizonse zolimbitsa thupi).

Zolimbitsa thupi zolimbitsa thupi komanso zopitilira ola limodzi:

• pa nthawi yophunzirira komanso maola 8 otsatira atatha, mlingo wa insulin umachepetsedwa, umachepetsedwa ndi 20-50%.

Tapereka malingaliro achidule pakugwiritsa ntchito komanso kuyang'anira insulin pochiza matenda a shuga 1.Ngati muthana ndi matendawa ndikuwonetsetsa kuti muli ndi chidwi, ndiye kuti odwala matenda ashuga amatha kukhala athunthu.

"Ndakubweretserani chakudya kuno!" Kodi ndikulondola bwanji ku chipatala?

Chabwino, simungathe bwanji kubwera ndi malalanje, maswiti, tchizi kwa wachibale kapena mnzanu yemwe wafika kuchipatala? Zinthu zabwino, pambuyo pa zonse. Ndipo wodwala amafuna kukondweretsa! Koma zikhala zothandiza kwa iye? Ndipo ambiri - momwe angadyetsere odwala, kuti asamuvulaze?

M'Dipatimenti ya Uronephrology, odwala amapatsidwa chakudya chamasana chokha. Chotsalacho chimangokhala chiyembekezo cha abale

Poyang'ana koyamba, zitha kuwoneka kuti chakudya chomwe wodwala wakuchipatala amatenga chimakhala chofunikira kwambiri kuchiritsi chake kuposa ma jakisoni-ma piritsi. Koma izi siziri choncho: zomwe timadya tikamadwala zimakhudza mwachindunji momwe tingachotsere matendawa.

Zakudya zosayenera, mwachitsanzo, zimatha kuvulaza kwambiri thanzi la "ziwalo". Malinga ndi a Tatyana Kutana, wamkulu wa dipatimenti yamtima kuchipatala cha mzindawo, kuchuluka kwa m'mimba, makamaka zakudya zamafuta, kumatha kuyambitsa matenda a angina - anthu onenepa kwambiri ali pachiwopsezo chachikulu. Chakudya chamchere chochuluka chimatha kubweretsa vuto lalikulu. Atamwa mowa, "phokoso" la mtima wake lingasokonekere, makamaka ngati mumamwa kwambiri dzuwa. M'dipatimentiyiyokha, kumene, odwala samamwa mowa, koma kunyumba amatha.

- Nthawi zambiri anthu samadya moyenera, mwapamwamba, koma kwenikweni ndizofunikira. Kuperewera kwa zakudya m'thupi kumatha kudwalitsa matendawa ndikuchira pang'onopang'ono. Adotolo, akufotokozera mtundu wa chithandizo cha abalewo, ayenera kuyamba kudya, kuyamwa, kenako ndikulandila mankhwala, ”atero a Viktor Murachev, wamkulu wa dipatimenti yayikulu yachipatala cha mumzinda. - Odwala a dipatimenti yathu nthawi zina amabweretsedwa chakudya chomwe sangadye. Koma, popeza tikuyang'anira pakhomo, ndipo wodwalayo amadyetsedwa ndi wogwira ntchito yazaumoyo kapena abale omwe amayang'aniridwa naye, zomwe "zoletsedwa" sizilowa m'matumbo a odwala.

Chimodzi mwazofunikira kwambiri zambale zomwe zimabweretsa kwa wodwala ndizatsopano. Popeza odwala amasunga katundu m'magome pafupi ndi kama, osati mufiriji, achibale ndi abwenzi ayenera kuganizira izi ndikubweretsa zazing'ono. Mulingo woyenera wa chakudya chotumizira nchakuti umatha kudyedwa kamodzi. Zachidziwikire, zinthu zowonongeka siziyeneranso kuchitika.

Uronephrology

Mkulu wa dipatimenti ya Uronephrology pachipatala cha mzindawo, a Alexander Legkikh, akuti odwala onse ku dipatimenti sangawume, wowawasa, osuta, opaka mchere ndi tsabola - zinthu zonse zabwinozi zimangokulitsa mkhalidwe wawo. Kwa odwala omwe ali ndi urolithiasis, zakudya zapadera zimapangidwa kutengera mitundu ya miyala.

Ndi miyala kuchokera ku uric acid amaloledwa:

• mikate yoyera ndi yakuda, mkaka ndi msuzi wamasamba, ufa ndi mbale za phala,
• shuga, maswiti, zipatso ndi zipatso, zachilengedwe ndi zamzitini, masamba, mandimu, zitsamba,
• tiyi yofooka ndi mkaka, rosehip kulowetsedwa, timadziti.

• nyama, msuzi wa nsomba, chiwindi, nkhumba, zakudya, mafuta anyama,
• hering'i, ma sardine, zikwangwani, nsomba za pike, maapulo, nyama zosuta, zinthu zam'chitini, msuzi wotentha, mpiru, tsabola, horseradish, nyemba, tomato, bowa,
• cocoa, chokoleti, tiyi wamphamvu, khofi, jamu, plums, red currants, antonovka.

Miyala ya oxalate ikaloledwa:

• mbale zamasamba ndi mbatata - kupatula yokazinga, pasitala,
• kaloti, zobiriwira zobiriwira, dzungu, nkhaka zosenda, parsley, yaiwisi, yophika, zipatso zophika zambiri, zipatso (kupatula ma jamu ndi ma cranberries), mavwende,
• mikate yoyera ndi imvi (dzulo labwino kwambiri), makeke, confectionery, shuga, uchi,
• rosehip kulowetsedwa, ma compotes, timadziti.

• nyama ndi nsomba msuzi, zakudya, champignons, hering'i, zamzitini chakudya, nyama, soseji, nyama yamwana
• beets, phwetekere, radishi, soya, nyemba, nandolo, jamu, plums, red currants, sitiroberi,
• chokoleti cha koko, tiyi wamphamvu, khofi, mowa.

Pamene miyala ya phosphoric imaloledwa:

• nyama, nsomba, nkhuku za njira zingapo zophikira, chimanga pamadzi,
• masamba osakwanira - mpaka 10 zidutswa patsiku, nandolo, mavwende, shuga, maswiti,
• tiyi ofooka, msuzi wa duwa lakuthengo.

• zinthu mkaka, mafuta a mkaka pa mkaka, chimanga pamkaka, mazira,
• Zakudya zopatsa thanzi, zakudya zam'chitini, nyama zosuta, tsabola, adyo, kaphikidwe ka zipatso, mpiru,
• mowa

Dipatimenti Yosamalira Kwambiri ndi Kutulutsa Zinthu

Viktor Murachev akufotokozera kuti kwa odwala omwe akudwala kwambiri, zakudya zopatsa thanzi ziyenera kukhala zabwino kwambiri komanso osati zochulukitsa matenda am'mimba, chifukwa chake "zatsopano", kuchokera kuzinthu zomwe zimapangidwa m'minda, zopanda mankhwala osungirako komanso zina zowonjezera E. Zakudya ziyenera kusungidwa pamapepala, mu zoumba zoumba kapena magalasi, ndipo mulibe mu cellophane, momwe zinthu zimawonongeka msanga.

Odwala omwe ali m'dipatimenti yosamalira anthu ovuta komanso owachotsa m'thupi amaloledwa:

• chimanga chachilengedwe, msuzi, msuzi,
• nyama yophika kapena mphodza yokazinga nyama: nyama yamwana wankhuku, nkhuku, nkhuku. Ndikofunika kuti mugule nyama pamsika, chifukwa mu sitolo, ndizotheka kuti mankhwala opha maantibayotiki ndi othandizira okula akhoza kukhala nawo,
• nsomba zamafuta ochepa: flounder, pike perch,
• masamba nthawi zonse amakhala ndi zakudya,
• mazira ophika owiritsa. Zatsopano, zosaposa masiku awiri osungira,
• buledi - wouma, wolema. Mu mkate chotere, yisiti imataya "ntchito" yawo, zomwe zikutanthauza kuti sizingapangitse kuti gasi apangidwe.
• mankhwala a lactic acid: wowonda wowononga, tchizi tchizi (mafuta kapena ochepa mafuta - adotolo angakulimbikitseni kutengera matendawa). Sitolo kefir, tchizi, tchizi chanyumba ndi zinthu zina za lactic acid sizoyenera. Pamsika muyenera kusamala kuti musagule tchizi chatsopano chatsopano chosakanizika ndi chakale,
• Wokondedwa, ngati palibe vuto ndi izi.
• maapulo a peeled - m'nyengo yozizira imakhala ndi zinthu zambiri zoteteza zomwe zimasungidwa kuti zizisungidwa kwanthawi yayitali,
• chokoleti ndi khofi - poganiza dokotala, amasintha thanzi la hypotonics,
• Zipatso zopatsa, zakudya zonunkhira, zatsopano - muyenera kuzidya pakatha theka la tsiku,
• tiyi Dokotala adzakuwuzani ngati ndizotheka tiyi, kalasi iti, kuchuluka kwake, kuchuluka kwake komanso kukoma kwake.

• Zakudya zamafuta am nyama kapena zolemera pamimba: mwanawankhosa, nkhumba, kalulu ndi nutria,
• makeke ndi makeke.

Matenda opatsirana

Mkulu woyang'anira matenda opatsirana pachipatala cha mzindawo, a Irina Vlasova, akuti: achibale a wodwala "opatsirana" ayenera kukambirana ndi dotolo, yemwe angakupatseni zakudya zomwe zingayambitse matenda oyambitsidwa ndi matenda. Odwala omwe ali ndi matenda a m'matumbo ayenera kudyetsedwa kangapo kamodzi pa tsiku, ndipo kuchuluka kwa zakudya zomwe zimadulidwa kumayenera kuchepetsedwa kufikira gawo limodzi mwa magawo atatu a zakudya zomwe zimachitika. Odwala otere amafunika kutsatira zakudya zapadera kuyambira masiku 10 mpaka 30, pomwe matenda ammimba amatha. Odwala omwe ali ndi matenda a chiwindi komanso a biliary thirakiti amafunika kutsatira zakudya kwa miyezi isanu ndi umodzi kapena chaka, mbale zonse zimaphika kapena kuwotchera, pomwe chakudya chimayenera kupukutidwa kapena kudulidwa. Zakudya zomwezo zimaperekedwa kwa odwala omwe ali ndi matenda a chiwindi komanso matenda a biliary, omwe amathandizidwa mu dipatimenti ya gastroenterological.

Odwala matenda a chiwindi ndi biliary thirakiti amaloledwa:

• mikate yoyera ndi yakuda, makeke ndi makeke,
• zipatso, mkaka, msuzi wa chimanga pa msuzi wa masamba,
• nyama yophika yamitundu yamafuta ochepa, yophika yochepa mafuta,
• chimanga, mkaka, yogati yatsopano, kefir, tchizi chanyumba,
• mazira ochepa kwambiri
• Zipatso zakomweko: maapulo, mitundu yoyera ya mphesa,
• masamba ophika ndi owiritsa ndi masamba (kaloti ndi beets ndizofunikira kwambiri),
• tiyi wofowoka ndi mkaka, masamba, zipatso zamadzimadzi, msuzi wa rosehip.

• wokazinga, wokometsera, wosuta,
• mafuta amitundu yosiyanasiyana ndi nyama, nsomba ndi msuzi wa nsomba, chiwindi, shpig, zakudya zamzitini, masoseji owiritsa, komanso munthawi yovuta - ndi mafuta anyama.
• nyemba, tomato, bowa, radishi, anyezi, adyo,
• ayisikilimu, chokoleti, muffin, makeke, makeke, mafuta, tchizi sizilimbikitsidwa,
• Zipatso zouma kapena zosapsa, zipatso zosakanikirana, zipatso za zipatso,
• cocoa, zakumwa zoziziritsa kukhosi kwambiri, mowa.

Odwala omwe ali ndi matumbo amaloledwa:

• M'masiku atatu oyamba a matendawa - phala la mpunga, mbatata zosenda pamadzi, soups zamapunga pamadzi,
• makeke ophika mabisiketi, oyambitsa mikate yoyera,
• ma compotes a zipatso zouma, makamaka maapulo, tiyi wobiriwira, madzi a mchere a Borjomi, madzi a mchere a Polyana Kvasova. Kenako zakudya zopangidwa mwamagetsi komanso mwaukadaulo, mwachitsanzo, nyama yapansi, imatha kudzetsedwa muzakudya.

zipatso ndi ndiwo zamasamba, chifukwa ulusi umathandizira kutupa m'mimba,

Odwala omwe ali ndi SARS ndi fuluwenza amaloledwa:

• pafupifupi chilichonse, makamaka zipatso, masamba, apulo ndi msuzi wa karoti,
• msuzi pa "wachiwiri" msuzi, osapereka katundu pamimba.
• nyama zodala, koma zochuluka,
• kuchotsa mwachangu kwa poizoni m'thupi - chakumwa chochuluka. Okalamba omwe ali ndi matenda othandizira safunikira kumwa madzi ambiri.

Odwala omwe ali ndi angina ndi stomatitis amaloledwa:

• zinthu zomwe sizikwiyitsa mucous membrane.

otentha, ozizira, borsch, tomato, mandimu, timadziti tambiri.

Mtima

"Nthawi zonse ndimawauza abale onse omwe akudwala kuti abweretsere zakudya, koma nthawi zambiri amanyalanyaza zoletsedwazo - pazifukwa zina amaganiza kuti munthu amene ali m'chipatala ayenera kudyetsedwa kwambiri," akutero Tatyana Kutana. - Izi siziri choncho: odwala athu amafunika kudya zochepa, kuwonjezera apo, chakudya chamafuta chochepa, komanso kudya mafuta a nyama ziyenera kukhala zochepa. Komabe, anthu samasuntha kwambiri, ndipo chifukwa cha mapiritsiwo amakhala ndi pang'onopang'ono peristalsis.

• Nyama yophika, bere la nkhuku yopanda khungu,
• maphunziro oyamba - pa msuzi "wachiwiri" kapena pamadzi, ndi masamba osasenda,
• zopangidwa mkaka,
• zipatso, masamba, tiyi wofooka ndi mkaka, timadziti.

• borscht wolemera, msuzi, bakha mbale, nkhuku, tsekwe, soseji, mayonesi, mazira, mankhwala osuta,
• Zakudya zamchere - zokhala ndi vuto la edema komanso matenda oopsa,
• chakudya - matenda ashuga
• khofi ndi tiyi wamphamvu,
• zakumwa zokhala ndi utoto sizikulimbikitsidwa - utoto ndi woopsa, ndipo zakumwa zozizilitsa kukhosi zimapatsa vuto pamimba.

Ndizothekanso kusamutsa zinthu zomwe zitha kuwonongeka: odwala amasungira chakudya patebulo pafupi ndi kama, komwe kumawonongeka msanga, ndipo "ores ", kuwonjezera pa chilichonse, amatha kulandira toxicoinfection ...

Pulmonology

Kwa odwala omwe amapezeka m'chipatala cha mumzinda wa pulmonological, palibe choletsa chokhwima. Mkulu wa dipatimenti yakuchipatala cha chipatala cha mzinda, a Gennady Ivankov, akuwunikira kuti lingaliro lomaliza lazomwe lingachitike kwa wodwalayo ndi zomwe sizipangidwa ndi dokotala, poganizira momwe wodwalayo alili. Koma pali malingaliro ena: zakudya zizikhala zachilengedwe, zopatsa mphamvu, zopendedwa bwino komanso kuphatikizika. Ndiponso - zatsopano.

Odwala a department of pulmonology sangakhale akuthwa, osuta komanso mafuta, chifukwa mwachitsanzo, kusuta kumapereka katundu pachiwindi, kapamba ndi m'mimba.

Endocrinology

Anthu ambiri kuchipatala cha dipatimenti ya endocrinology amadwala matenda ashuga, ndipo pali odwala ochepa kwambiri omwe ali ndi matenda a chithokomiro, malinga ndi mkulu wa dipatimenti ya endocrinology pachipatala cha mumzinda Tatyana Novak. Timapereka mndandanda wazinthu zololedwa komanso zoletsedwa kwa odwala omwe ali ndi matenda ashuga. Tiyenera kukumbukira kuti ayenera kudya osachepera 4-6 pa tsiku, ndikudya zipatso ndi ndiwo zamasamba tsiku lililonse.

Ndi matenda a shuga, amaloledwa:

• barele, balere, balere, mapira ndi oatmeal,
• supu zamasamba pam nyama yochepa yokhala ndi mafuta ochepa, nsomba ndi msuzi wa bowa, wopanda Zakudya, msuzi wa nyemba ndi mbatata ndikuloledwa chimanga, borscht, msuzi kabichi, msuzi wa beetroot, nyama ndi masamba okroshka,
• nyama zonda (ng'ombe, nyama yamwana wamphongo, mwanawankhosa, kalulu). Ng ombe yathanzi, nyama yokonda, yaudokotala, matenda ashuga, masoseji a ng'ombe.Nkhuku yophika yophika ndi yokazinga pambuyo pakuwotcha, nkhuku zodikirira. Musanaphike, idulani mafuta ku nyama ndi khungu ku nkhuku!
• yophika komanso mwa apo ndi apo - nsomba zamafuta ochepa, nsomba zamkaka, ndi nsomba zam'madzi,
• mkaka, yogati, tchizi chokoleti mpaka 4%% mafuta, tchizi chakunyumba 4?% mafuta, kefir, mkaka wophika wopanda mafuta mpaka 1%%,
• makamaka buledi wa rye kapena mkate wa chinangwa, zoyatsira,
• tomato, nkhaka, kabichi, zukini, biringanya, radish, maapulo osavomerezeka ndi plums,
• bowa, nyemba, zipatso, zipatso,
• phwetekere kapena msuzi wa karoti, tiyi, khofi, cocoa wokhala ndi mkaka wopanda shuga, msuzi wa rosehip, madzi amchere osakhala ndi mpweya,
• mu zochuluka zochepa mutha kukhala ndi zipatso, kupatula nthochi ndi mphesa, mpunga wophika, wowiritsa "mu thumba" ndi mazira okazinga - mpaka zidutswa ziwiri patsiku, soseji ya dokotala, mbatata, chimanga, kaloti, beets, nandolo zobiriwira, zipatso za zipatso, tchizi zoyera, kirimu wowawasa, yogurts, marmalade, mkaka ayisikilimu.

• batala ndi zinthu zotsekemera za ufa,
• msuzi wamafuta, msuzi wamkaka wamphongo,
• tchizi chotsekemera, tchizi chachikaso, kirimu, mayonesi, ketchup, mpiru, mbewu, mtedza, batala ndi mafuta a masamba,
• nyama zamafuta, nyama yamafuta, soseji yosuta, mafuta anyama, zakudya zamzitini, nsomba zamchere kapena zamchere,
• semolina, pasitala,
• masamba ophika ndi mchere,
• nthochi, mphesa, mavwende, mapichesi, ma apricots, uchi, kupanikizana, chokoleti, halva, marshmallows, ayisikilimu,
• timadziti ndi madzi otumphuka pogwiritsa ntchito madzi a shuga, kvass yabwino, mowa.

Ine za. A Roman Pelekh, wamkulu wa dipatimenti yopanga opaleshoni pachipatala cha mzindawu, akufotokoza kuti odwala omwe amathandizira amafunikira zakudya zochepa (zamatcheri ndi chimanga siziphatikizidwa m'gululi), zomwe zimayenera kudya pang'ono. Nthawi zina odwala otere amatha kumwa madzi okha kwa masiku atatu kapena anayi. Ndi magazi am'mimba, mutha kugwiritsa ntchito mbatata yosenda ndi kuzizira "Hercules" m'malo ochepa kwambiri, kasanu ndi kamodzi mpaka kasanu ndi awiri patsiku. Zakudyazo ziyenera kukulitsidwa pang'onopang'ono pokhapokha ndi chilolezo cha dokotala.

Odwala omwe ali mu dipatimenti yochita opaleshoni amaloledwa:

• mbatata yosenda pamadzi, madzi a "Hercules", sopo, phala,
• olanda, ma biscuit cookies,
• msuzi wamafuta ochepa, nyama yochepa mafuta,
• chokoleti, zipatso za malalanje - kuchira,
• tiyi, zipatso zowuma zonse, madzi.

• wokazinga, wosuta, mafuta, komanso khofi,
• pasabata yoyamba simungamatha kudya zipatso ndi masamba osaphika, ophika pang'ono,
• mazira ndi mkate osavomerezeka samalimbikitsidwa.

Monga tafotokozera woyang'anira wa KP "TMO" Chipatala cha Ana ndi Chipatala cha Amayi "Irina Kotlyar, kumapeto kwa dzinja ndi masika, azimayi omwe ali pantchito ayenera kumwa mavitamini A, B, C ndi D. Pomalizira pake, ndibwino kuyang'ana kwambiri zipatso ndi ndiwo zamasamba.

masiku atatu oyamba mutabereka: supu zamkaka, chimanga, mazira owiritsa, makeke, zakudya, ndipo izi zitatha - nyama, nsomba, mazira, mkaka, masamba, zipatso, zipatso zamasamba.

• mowa
• nyama yamafuta, nandolo, mphodza,
• mtedza, zipatso za malalanje, chokoleti, zomwe zingayambitse ziwengo,
• zokometsera zokometsera, anyezi, adyo ndi horseradish osavomerezeka. Amawononga kukoma kwa mkaka wa m'mawere.

Gastroenterology

Mkulu wa dipatimenti ya gastroenterological ya chipatala cha mzindawo, Lyubov Stepanenko, akufotokozera kuti chakudyacho chimayenera kuwonedwa chifukwa cha matenda am'mimba panthawi yomwe ichulukitsa matendawa, pomwe chakudya chikuyenera kumwedwa m'magawo ang'onoang'ono.

Mikhalidwe itakhazikika, pakuvomerezedwa ndi dokotala, mutha kusintha kwa onse zakudya.

Ndi zilonda zam'mimba zam'mimba ndi duodenum ndi gastritis, zotsatirazi ziloledwa:

• mkate dzulo wa tirigu, makeke owuma,
• sopo wa masamba osenda bwino kapena mbewu zophika bwino,
• nyama yokhala ndi mafuta ochepa (nyama yamphongo, ng'ombe, nkhuku, nkhuku) - yophika kapena yothira, nsomba yamafuta ochepa, omeleta,
• semolina ndi phala la buckwheat, oatmeal, mpunga,
• mbatata yophika, kaloti, beetroot, kolifulawa, maapulo ophika, nthochi,
• mkaka, kirimu, tchizi wowawasa watsopano wopanda wowawasa, kefir wopanda wowawasa, mkaka wowawasa,
• kirimu wowawasa - ochepa,
• tiyi yofooka, tiyi wokhala ndi mkaka, ma compotes ndi zakudya kuchokera ku zipatso zosapatsa acid komanso zipatso.

• buledi watsopano ndi rye, makeke ndi mtanda wa masamba,
• nyama ndi msuzi wa nsomba,
• nyama yamafuta (bakha, tsekwe), zakudya zam'chitini, zosuta,
• nsomba yamafuta ndi mchere, mazira okazinga kapena owiritsa owira,
• tchizi zokometsera komanso zamchere,
• mapira, barele, ngale, barele, nyemba,
• kabichi yoyera, anyezi, nkhaka, phwetekere, masamba ophika ndi zipatso zokazinga,
• zakumwa zozizilitsa kukhosi, kvass, khofi wakuda, tiyi wamphamvu, timadziti ta zipatso, mowa.

Matenda a kapamba amaloledwa:

• buledi wa tirigu dzulo, zophika tirigu, makeke okoma a biscuit,
• masamba, masamba msuzi, mucous membranes kuchokera ku oat, barele wa pearl, mpunga, semolina, komanso msuzi wa kirimu kuchokera ku nyama yophika yophika, supu yosenda ndi mbatata ndi kaloti, borscht yamasamba,
• nyama yosenda kapena yoboola yopanda mafuta yosakhala mafuta (ng'ombe, nyama yamphongo, kalulu, nkhuku) - yophika kapena yabwanyika,
• nsomba yophika ndi mafuta ochepa (zander, cod, nsomba, pike, siliva hake),
• Buckwheat, oat, semolina, phala la mpunga - yosenda, theka-viscous, yophika pamadzi kapena pakati ndi mkaka wamafuta ochepa,
• mafuta omamu kuchokera ku mapuloteni kuchokera ku mazira 1-2 patsiku, mkaka wopanda mkaka m'mbale, tchizi chatsopano wowawasa wowoneka bwino, tchizi chopanda mafuta osachepera kwambiri, yogurt yamafuta ochepa
• zochepa - - kefir watsopano (ngati walekeredwa bwino), wokondedwa, wakhungu,
• mbatata, kaloti, zukini, kolifulawa - yophika, yosenda kapena yophika,
• maapulo osaphika wowawasa, nthochi, sitiroberi,
• ma compotes osenda komanso ma jelly, ofooka, tiyi wokoma pang'ono, nthochi, sitiroberi, madzi a karoti, madzi amchere a Borjomi, Polyana Kvasova, Svalyava.

• buledi watsopano ndi rye, makeke, zokazinga ndi zophika zatsopano, zikondamoyo, zopondera, pitsa,
• msuzi pa nyama ndi msuzi wa nsomba, pa msuzi wa bowa, okroshka, msuzi wa mkaka, msuzi wa kabichi, borscht, msuzi wa beetroot,
• nyama yokazinga, yophika ndi yosuta mafuta (mwanawankhosa, nkhumba, tsekwe, bakha, chiwindi, impso), masoseji, zakudya zam'chitini, mafuta anyama,
• mafuta, okazinga, stewed, osuta, ophika, mchere, nsomba zam'chitini, caviar, nsomba zam'madzi,
• mapira okongola, balere ndi barele, barele, nyemba,
• mazira okazinga ndi owiritsa kwambiri, mafuta amkaka amkaka kwambiri, kirimu, ayisikilimu, kirimu wowawasa, mayonesi, mafuta ophikira komanso tchizi wowawasa, tchizi chamafuta ndi mchere,
• kabichi yoyera, biringanya, radish, adyo, anyezi, nyemba, nkhaka, phwetekere, bowa, tsabola wotentha ndi wokoma,
• Zipatso za zipatso, makangaza, maapulo wowawasa, mphesa, masiku, nkhuyu, chokoleti, kupanikizana,
• tiyi wamphamvu, khofi, mowa.

Kudzimbidwa ndikololedwa:

• msuzi wamasamba nyama kapena msuzi wa nsomba,
• Kalulu wowiritsa, nyama yamwana wambiri, ng'ombe, nkhumba, nkhuku, zikopa za nyama ndi zomangira nyama, nsomba,
• mazira osaphika osaphika, mkaka, mkaka, kirimu wowawasa, yogati, tchizi, kefir, mkaka wowawasa,
• Beets yaiwisi ndi yophika, kaloti, kolifulawa, zukini, zipatso zatsopano ndi zouma, makamaka mavwende, plamu, mitengo, nkhuyu, ma apricots, ma apricots owuma,
• tchire lotayirira, tirigu ndi barele
• rye kapena chinangwa, makeke owoneka bwino, ndi pasitala yochepa,
• tiyi ofooka, msuzi wamtchire wamtchire, masamba ndi zipatso zamadzimadzi, mchere wamadzi.

• soseji wosuta, zakudya zam'chitini, mitundu yamafuta am'madzi, komanso nsomba yokazinga ndi yosuta, yokazinga ndi mazira ophika kwambiri.
• radishi, bowa, quince, muffin, makeke ndi zonona.
• zochuluka - semolina ndi phala la mpunga,
• tiyi wamphamvu, cocoa, zakudya, mowa.

Ndi matenda am'mimba amaloledwa:

• mcheche: nyama yamphongo yophika, ng'ombe, nkhuku, nkhuku, kalulu ndi nsomba yophika yamitundu yamafuta ochepa,
• nyama, nsomba, msuzi wazakudya wokhala ndi zipatso za mpunga ndi oatmeal,
• mucous, nusu-viscous buckwheat, oat ndi phala la mpunga,
• mazira osaphika
• tchizi chosaphika kumene, tchizi, kefir,
• dzulo tirigu oyera ndi mkate wa imvi, mitundu yosathandiza ya zinthu zophika buledi ndi ma cookie, masamba oyera,
• masamba ophika ndi ophika, masamba ndi zipatso zakumwa,
• tiyi, timadzi tokhathamira tofinyira kumene, theka sitimadzipereka ndi madzi, msuzi wa rosehip.

• nyama zamafuta, soseji yosuta, nsomba zonona, nsomba yokazinga ndi yosuta, zakudya zam'chitini,
• mazira okazinga ndi owiritsa kwambiri,
• kachere, kabichi, solyanka, borsch,
• mapira, barele, ngale, barele ndi mbewu yotsekera,
• tchizi wowawasa, zonona wowawasa, ayisikilimu,
• Masamba atsopano ndi zipatso
• makeke, zonunkhira zonona,
• zakumwa zoziziritsa kukhosi ndi zopatsa mpweya, timadziti tambiri, khofi wamphamvu, mowa.