Matenda a shuga ndi chilichonse chokhudza izi
Kumva njala mosalekeza ndi chizindikiro chofala kwa odwala matenda ashuga. Patatha kanthawi kochepa, ngakhale atadya chakudya chamafuta kwambiri, wodwalayo amayamba kufuna kudya.
Makamaka njala ndi m'mawa, ndipo chakudya chamadzulo sichimathetsa, koma zimangokulitsa vutolo.
Komabe, odwala ena amadandaula chifukwa cha kusowa kudya kosafunikira. Kodi ndichifukwa chiyani wodwalayo amamva njala kapena kusowa kwa chakudya cha shuga, komanso momwe angathanirane ndi vutoli?
Kodi ndichifukwa chiyani nthawi zonse kumazunza kumverera kwa njala mu shuga?
Zodabwitsazi mu shuga sizimayenderana ndi kuperewera kwa zakudya m'thupi kapena mavuto aliwonse am'malingaliro.
Kulakalaka kwambiri kumachitika chifukwa cha zovuta za endocrinological m'thupi la wodwalayo.
Izi zimadziwika ndi matenda ashuga a mitundu yoyamba komanso yachiwiri.
Popeza mtundu woyamba wa shuga umatulutsa insulini yaying'ono, ndipo maselo amthupi salandila kuchuluka kwa glucose, sungathe kulowa mu membrane wa cell.
Zizindikiro zimatumizidwa ku ubongo zokhudzana ndi kusowa kwa "wopatsa mphamvu" wamkulu m'maselo. Momwe thupi limachitikira ndi chizindikirochi limakhala kumva kwamphamvu njala - chifukwa ubongo umazindikira kusowa kwa glucose m'maselo chifukwa cha kuperewera kwa zakudya.
Palibe njira zachikhalidwe zopewera kudya zomwe zingathandize - kulandira ma cell olimba kuchokera ku maselo, bongo "lipemphe chakudya" patangotha nthawi yochepa kwambiri mutatha kudya.
Mtundu wachiwiri wa matenda ashuga, amapanga insulin yabwinobwino kapenanso kuchuluka kwake. Komabe, thupi limalimbana nawo. Zotsatira zake, glucose yemwe amamwe ndikupanga thupi amapitilira m'magazi. Ndipo maselo samalandira zinthu zofunika izi, zomwe zimaphatikizapo kumverera kwanjala.
Momwe mungayang'anire polyphagy moyang'aniridwa?
Njira zazikulu zothanirana ndi vuto lachilendo lanjala ziyenera kukhala njira zochepetsera kuyamwa kwa shuga m'thupi.
Kupatula apo, chilakolako chonyansa chimatha kubweretsa kuwonjezeka kwakukulu kwa kuchuluka kwa odwala komanso kuwonongeka mu chikhalidwe chake chaumoyo, makamaka - pakukula kwa matenda ashuga.
Mitundu iwiri yamankhwala ingathandize odwala matenda ashuga kuthana ndi njala. Awa ndi GLP-1 receptor agonists ndi ma DPP-4 zoletsa. Kodi ndalamazi zimagwira bwanji ntchito?
Zotsatira za mankhwala oyamba zimakhazikitsidwa ndi kuthekera kolimbikitsa kupangika kwa insulin chifukwa cha kulumikizana ndi mtundu wina wa cholandilira, koma osangosintha, koma kutengera kuchuluka kwa shuga m'magazi. Nthawi yomweyo, secretion wa glucagon imaponderezedwa. Zotsatira zake, gawo loyamba la insulin katulutsidwe limabwezeretsedwa, ndipo matumbo a wodwalayo amayamba kuchepa.
Zotsatira zake, pamakhala kukonza kwawamba. Zizindikiro za wodwala zimayamba pang'onopang'ono koma nthawi zonse zimabwezeretsedwa. Kuphatikiza apo, kutenga ma Galon-1 agonists kumathandizira minofu yamtima, kukonza mtima, ndipo chifukwa chake amatha kutengedwa ndi odwala omwe ali ndi vuto la mtima.Zotsatira zoyipa kwambiri za agonists a GLP-1 ndikuchitika mseru komanso kusanza.
Komabe, pakapita nthawi ndipo thupi limazolowera mankhwalawa, kulimba kwa zotsatira zoyipa kumachepa kwambiri.
DPP-4 inhibitors ndimankhwala amakono omwe amalimbikitsa zochita za ma insretin - mahomoni opangidwa atatha kudya omwe angalimbikitse kapamba kuti apange insulin.
Zotsatira zake, insulini imangodzuka ndi kuchuluka kwam shuga. Nthawi yomweyo, thanzi la zisumbu za Langerhans likukula.Kuphatikiza pa kumwa mankhwala, mutha kuchepetsa chidwi chambiri mwakugwiritsira ntchito mayankho azakudya. Choyamba, siyani zakudya zomwe zili ndi shuga wokwanira.
Zakudya zokhala ndi CHIKWANGWANI zimathandiza kuthana ndi njala. Chifukwa chake, ndikofunikira kuyambitsa mu zakudya zochuluka zokwanira monga:
Cinnamon imatha kuchepetsa njala. Izi zonunkhira ziyenera kuwonjezeredwa ku mankhwala azitsamba athanzi. Ndikofunikanso kudya zipatso za malalanje, koma mosamala - kumbukirani fructose yomwe ali nayo.
Anthu odwala matenda ashuga amawonetsedwa ngati chakudya chochepa kwambiri.
Kuti muchepetse kudya, ndikofunikira kuchepetsa magawo a chakudya. Izi zimatheka pogawa kuchuluka kwa zakudya zomwe wodwala amadya patsiku mpaka zisanu. Chifukwa chake, bongo limalandira zizindikiritso pafupipafupi, ndipo kuchuluka kwa shuga kwa magazi sikungokulira kwambiri mukatha kudya.
Kupanda chilimbikitso cha matenda ashuga: kodi ndiyenera kuda nkhawa?
Nthawi zina, odwala samadwala chifukwa chowonjezeka, koma, m'malo mwake, kuchokera ku kuchepa kwakudya. Nthawi zina kusowa kwa chakudya kumayambitsa matenda a anorexia.
Kuchepa kwambiri kwa njala kumachitika mu mtundu woyamba wa shuga ndipo amadziwika kwambiri ndi odwala 10-15%. Kodi ndibwino kuti muzikhala ndi nkhawa ngati mukumva kuti sindingadyeko?
Muyenera kudziwa - kusowa kwa chakudya m'mayendedwe a anthu ashuga ndi chizindikiro choopsa kwambiri kuposa kulakalaka kwambiri. Ikuwonetsa kukula kwa matenda akulu - ketoacidosis ndi kulephera kwa aimpso.
Mkhalidwe woyamba umadziwika ndi kuwonjezeka kwakukulu kwa kuchuluka kwa matupi a shuga ndi ketone, kuwonjezeka kwa mamasukidwe amwazi, komanso mavuto azungulira magazi. Kukhazikika kwa matendawa kumatha kubweretsa kukomoka komanso kufa.
Kuchepa kwambiri kwa chidwi cha chakudya kungakhale umboni wa kukula kwa matenda am'mimba - kuchokera ku banal gastritis mpaka chotupa chowopsa.
Nephropathy imapangitsanso kuchepa kapena kusowa kudya kwathunthu. Izi ndi zina mwazovuta komanso zowopsa za matenda ashuga. Gawo lowopsa ndi nthawi yayitali ya chitukuko cha asymptomatic.
Zoyenera kuchita ngati simukufuna kudya?
Matenda a shuga amawopa mankhwalawa, ngati moto!
Muyenera kungolemba ...
Choyamba, pakalibe kudya, ndikofunikira kulimbitsa kuwongolera kwa glucose, kujambula zomwe zapezeka kuti muzindikire mphamvu.
Kuwonongeka kwa chidwi kuyenera kudziwitsidwa kwa dokotala.
Ngati matenda a shuga atatha, kusintha kwa zakudya komanso kuyambitsa masewera olimbitsa thupi, kulakalaka sikuchira, kuyezetsa kwamkati kumawonetsedwa, makamaka pamimba ndi impso kuti mupeze matenda omwe angayambitse. Malinga ndi zotsatira za kafukufukuyu, njira zabwino zochizira matendawa ndizosankhidwa.
Palibe kusowa kwa chakudya, ndikofunikira kufunafuna chithandizo chamankhwala munthawi yake.
Chithandizo cha matenda amanjala: zabwino ndi mavuto
Maphunziro ena amakono atsimikizira za kusala kudya kwa odwala matenda ashuga.
Njira yochitidwa moyenera imakupatsani mwayi wochepetsera shuga, kusintha kwamitsempha yamagazi ndi impso, komanso kubwezeretsa kapamba pamlingo wina.
Nthawi yomweyo, kusala kudya kwakanthawi kokhako kuyenera kuzindikirika ngati kothandiza thupi la odwala matenda ashuga. Ambiri omwe amalekeredwa mosavuta ndi anthu ambiri, kukana chakudya kwa maola 24-72 sikungakhale kopanda ntchito, komanso kungakhale koopsa kwa odwala matenda ashuga. Pambuyo poyambiranso kudya, pali kuwonjezeka kowopsa kwa shuga.
Ndikwabwino kusala kudya kuchipatala chofunikira. Pamenepo, thupi limakhala lokonzekera kukana chakudya ndipo limayang'anitsitsa momwe wodwalayo alili.
Chifukwa chiyani njala ili mosalekeza?
Kuti abwezeretse mphamvu, munthu amafunika mphamvu. Maselo a thupi amapatsidwa mphamvu ndi glucose, omwe amapangidwa kuchokera ku chakudya chamunthu.Madzi a insulin omwe amapangidwa ndi kapamba ndi omwe amachititsa kuti shuga azipezeka m'maselo. Njira yotere yobwezeretsanso mphamvu imakhala ndi thupi lathanzi.
Magazi nthawi zonse amakhala ndi shuga pang'ono, koma odwala matenda ashuga, chifukwa cha kusokonezeka kwa endocrine, shuga wamagazi amawonjezeka. Ngakhale kuchuluka kwake, glucose sangathe kulowa m'maselo ndikuwakwaniritsa. Mtundu woyamba wa matenda ashuga, chomwe chimayambitsa matendawa ndi chosakwanira kupanga insulini, komanso matenda amtundu wa 2 shuga, kusowa chitetezo m'thupi mwa ma cell a thupi. M'magawo onse awiri, kuyamwa kwa glucose komwe kumachitika ndi maselo sikuchitika, ndichifukwa chake wodwalayo amavutitsidwa ndi njala yosalekeza. Ngati wodwala yemwe ali ndi matenda osokoneza bongo alibe kusowa kudya, ndikofunikira kukaonana ndi dokotala, mwina chifukwa cha matenda ophatikizika am'mimba.
Ndikusowa kwa glucose, maselo sapereka ubongo chizindikiro cha kusasangalala, koma, m'malo mwake, akuwonetsa kusowa kwa zakudya. Ndikubwera kwa izi kuchokera ku thupi lonse komwe kumayambitsa chidwi chowonjezereka ndipo wodwalayo amafuna kudya nthawi zonse.
Kodi chiwopsezo cha kuchepa thupi msanga ndi chiani?
Kuchepetsa thupi makilogalamu asanu pamwezi kapena kupitirira apo ndi chizindikiro kuti kapamba satulutsa insulini ya mahomoni.
Kuperewera kwa "mafuta" kulowa m'maselo kumayamba kuchepa - pambuyo pake, thupi limayamba kudya minofu ya adipose.
Palinso kuchepa kwakukulu kwa minofu yambiri, zomwe zimatsogolera ku dystrophy. Chifukwa chake, ndi kuchepa kwambiri kwa thupi, muyenera kulumikizana ndi katswiri. Mwina njirayi ndi umboni wa kufunika kwa jakisoni wambiri wa insulin.
Zifukwa zathupi
Physology yanjala siyikumveka bwinobwino. Malinga ndi lingaliro lina, zimagwirizanitsidwa ndi kuchuluka kwa glucose m'mwazi ndi kupezeka kwake. Ndi insulin kapena cell chitetezo chake, chidwi cha chakudya chimalephera.
Kutsika kwa chilakolako cha matenda amishuga 1 kumachitika mu 16-21% ya milandu. Pankhaniyi, ma cell a pancreatic beta amawukira ndi chitetezo cha mthupi. Thupi silingagwiritse ntchito glucose, yomwe imapangidwa pakuphika chakudya, ndikuyamba kugwiritsa ntchito zake zomwe zasungidwa.
Matenda a shuga a Type 2 nthawi zambiri amatsogolera ku vuto losiyana - kulakalaka kwambiri. Ndi matendawa, thupi silingagwiritse ntchito insulin. Maselo samalandira mphamvu zomwe amafunikira, ndipo amafuna chakudya chatsopano.
Pali mtundu wachitatu wa matenda ashuga - akuthala. Amawoneka mwa azimayi ena panthawi yoyembekezera chifukwa cha kulephera kwa mahomoni. Pankhaniyi, kuchepa kwa chidwi cha matenda a shuga kungayambike chifukwa cha matenda a endocrine system ndi ma pathologies ena. Mayi woyembekezera ayenera kupendedwa mwachangu ndi adotolo.
Zifukwa zamaganizidwe
Malinga ndi mawerengero a RAMS, kuyambira 14 mpaka 32% mwa anthu odwala matenda ashuga ali ndi vuto lotere. Zodziwika kwambiri mwa izi ndi kukhumudwa. Poyerekeza, anthu ambiri omwe amawonetsa matendawa ndi 5-10%.
- kuchepa kudzidalira komanso kusadzidalira,
- zosokoneza tulo
- mtima wofuna kudzipha
- kusintha pakulakalaka thupi ndi thupi.
Komabe, odwala ambiri safuna thandizo pa nthawi yake, poganizira ulesi ndi kukhumudwa chifukwa chazovuta za mahomoni. Kupsinjika mtima kumakupangitsani kuleka chidwi cha chakudya, ndipo mosiyana, kumakhala ndi njala yayikulu. Matenda a m'maganizo amaphatikizanso chithandizo cha matenda ashuga: wodwalayo samanyalanyaza malangizo azachipatala, amaiwala kuyang'anira kuchuluka kwa shuga, ndikuthina kumwa mankhwala. Khalidwe limakonda kupezeka mwa odwala okalamba.
Matenda am'mimba
Ngati shuga amadzuka kwa zaka zingapo, zovuta zazikulu zimayamba m'thupi. Chimodzi mwa izo ndi matenda a shuga a gastroparesis, kapena kupuwala pang'ono pamimba.
Ngati mulibe chidwi ndi matenda a shuga, fufuzani kuti muone ngati ali ndi zotsatirazi:
- kutentha kwadzuwa kapena poyenda,
- nseru
- kusanza kwakanthawi
- ukufalikira
- kumva kudya kofulumira mukamadya,
- kuvutika kuwongolera shuga.
Chifukwa cha gastroparesis, chakudya sichidimbidwa m'mimba panthawi, zomwe zimayambitsa kupesa ndi njira zowonongeka. Zoopsa zomwe zimayambitsa pang'onopang'ono zimawononga thupi lonse.
Oletsa kudwala matenda ashuga
Kuchepetsa chidwi cha chakudya kumatha kukhala harbinger wovuta kwambiri - wodwala matenda ashuga. Pakupita kwa masiku angapo kapena milungu ingapo, thanzi la wodwalayo limayamba kuipiraipira. Poyamba, kuchuluka kwa mkodzo kumawonjezeka, kulemera kwa thupi kumachepa, komanso kusanza ndi magazi kumawonekera.
Ngati simukufuna thandizo la mankhwala panthawi yake, zizindikilo zimachulukirachulukira. Pali zizindikiro zakusowa kwamadzi - khungu lotupa, ludzu lalikulu, ziwalo zopukutira. Vutoli limatha kubweretsa kusokonezeka kwa chikumbumtima, hyper- ndi hypoglycemic coma, imfa.
Zotsatira ndi chithandizo
Kuwonongeka kwa chidwi ndi chakudya komanso zakudya zosasinthika zomwe zimayambitsidwa zimapangitsa kuti zikhale zovuta kuthana ndi shuga m'magazi, zomwe zimakhudza kwambiri zomwe wodwalayo amadwala. Koma chithandizo sichiyenera kukhala kusowa kwa chakudya, koma njira yomwe idayambitsa.
Gawo loyamba ndikuchepetsa ndikukhala ndi shuga m'magazi anu. Dokotala wanu adzakuthandizani ndi izi. Adzawerengera kuchuluka kwa insulin molingana ndi matendawa. Kuyesedwa ndi dokotala kuyenera kukhala kokhazikika kuti athe kuwona zizindikiro zowopsa pa nthawi.
Matenda amtundu wa m'mimba amafunikanso chithandizo cha akatswiri. Ngati muzindikira kuti aliyense mwa abale anu ndi otani, thandizani kuchipatala. Nthawi zina mutha kudzilankhulitsa nokha ndi psychotherapist, mikhalidwe yayikulu imafunikira chithandizo chamankhwala.
Gastroparesis ndimatenda osachiritsika. Sitha kuchiritsidwa kwathunthu, imatha kuwongoleredwa. Wodwalayo amapatsidwa mankhwala othandizira, mankhwala a antiemetic, komanso mankhwala omwe amalimbikitsa kusintha kwa minofu yam'mimba. Kuthetsa njira yochotsera, kulimbitsa thupi kwapadera, kutikita minofu ndikusintha kadyedwe kumalimbikitsidwa. Nthawi zina wodwalayo amapatsidwa mankhwala azithandizo omwe amaphatikiza chakudya chokha chamadzimadzi ndi madzi.
Zomwe zimapangitsa kuti munthu azilakalaka kwambiri
Kumva ludzu la matenda ashuga sikuchitika chifukwa chosowa zakudya. Njala yokhala ndi matenda amtundu 1 imayamba chifukwa cha insulin, timadzi tambiri ta kapamba.
Amadziwitsa ubongo za izi, chifukwa chake, chidwi cha matenda a shuga chimakwera kwambiri.
Njala imazimiririka ngati:
- Thupi limayamba kulandira mphamvu kuchokera ku lipids (yokhala ndi matenda a shuga 1, ketoacidosis imatha kuwoneka - kuphwanya kagayidwe kake ka zakudya, kamothandizidwa ndi kuchuluka kwa matupi a ketone m'magazi).
- Mapangidwe a insulin amabwezeretsedwa.
Mtundu 2 wa matenda ashuga, njala ndi chifukwa chosowa magwiridwe antchito a insulin.
Ngati, m'malo mwake, kulibe kudya kwa shuga, izi zitha kukhala chifukwa cha gastritis kapena oncology m'mimba.
Mungathane bwanji ndi izi?
Njira zikuluzikulu zolipira matenda a shuga ndi izi:
- Mankhwala a insulin.
- Mapiritsi amachepetsa shuga m'magazi.
- Zakudya zotsika pang'ono zamatenda a shuga a 2.
- Zochita zolimbitsa thupi.
Garlic (amachepetsa kuchuluka kwa shuga m'magazi). Izi zili ndi zinthu zofunikira kwa odwala matenda ashuga: potaziyamu, nthaka ndi sulufule. Zomwe zimachitika tsiku lililonse ndizovala 3-4 za adyo (ngati palibe gastritis, zilonda zam'mimba, komanso mavuto ndi chikhodzodzo, chiwindi). Pankhaniyi, ndibwino kufunsa dokotala za kugwiritsa ntchito adyo.
Anyezi ndi njira yabwino kwambiri yogaya chakudya, yomwe imakhalanso ndi diuretic. Ndi matenda a shuga amathandizira mwanjira yake yaiwisi, 20-25 g patsiku.
Mafuta a Flaxseed amachokera ku mafuta ochulukirapo a polyunsaturated, omwe amachititsa chidwi cha ziwalo za cell kuti insulini.
Nyemba, soya, oatmeal, maapulo ndi zakudya zomwe zimakhala ndi mitundu yambiri ya sungunuka. Zotsirizazo zimakongoletsa kugaya, zimathandizira kuyamwa kwa michere ndipo zimatsogolera cholozera cha glucose kukhala chazololeka.
Kudya wolemera mu fiber kumathandizira satiety.
Teti yazitsamba ndi sinamoni, chokongoletsera cha timitengo ta sinamoni. Cinnamon amalimbikitsa kulowerera kwa glucose m'maselo ndi cholesterol yotsika.
Zinthu zomwe zimakhala ndi ma antioxidants (zipatso za malalanje ndizothandiza kwambiri kwa matenda ashuga), komanso vitamini E, selenium, zinc (masamba obiriwira).
Dr. Julian Whitaker aku California akuvomereza kuti kuphatikiza chakudya chopatsa mphamvu (chopezeka m'minda ya mandimu, tirigu wathunthu, malalanje, maapulo, kabichi, tomato, zukini, tsabola wa belu, ndi zina zotere).
Zili choncho chifukwa mafuta odzaza amachititsa kuti insulin isamachepetse shuga. Chifukwa chake, ndikofunikira kuchepetsa kugwiritsa ntchito mkaka wonse, kirimu, tchizi, batala, margarine. Nyama yamafuta ndi zakudya yokazinga siziloledwa.
Zomwe zimachitika tsiku lililonse zimagawika zakudya zoposa 5-6. Ndikofunika kuphatikiza masamba atsopano ndi mbale iliyonse. Bwino kudya nthawi yomweyo. Musayambe kudya mukangomaliza maphunziro akuthupi ndi masewera. Shuga kuchokera muzakudya uyenera kuthetsedweratu, ndipo aspartame kapena wokoma wina akhoza kuikonzanso.
Kuchita masewera olimbitsa thupi ndi gawo lofunikira lothandizira bwino. Mukamachita masewera olimbitsa thupi, shuga amapezeka mosavuta ndi maselo.
Dr. Whitaker amalimbikitsa kuyenda, kuthamanga, kusambira komanso kuyendetsa njinga.
Kusala shuga
Madokotala ambiri amakhulupirira kuti kusala ndi shuga kumabweretsa zabwino zambiri. Zowona, njala yochepa (kuyambira maola 24 mpaka 72) siyabwino kwa odwala matenda ashuga. Kusala kwothandiza kwambiri kwa nthawi yayitali komanso nthawi yayitali.
Tikuyenera kunena kuti kusala ndi matenda osokoneza bongo sikumatula kumwa, koma osati madzi. Imayenera kuledzera mokwanira - mpaka malita atatu patsiku.
Njala imachitidwa bwino kwambiri kuchipatala moyang'aniridwa ndi akatswiri. Pamaso pake, ndikofunikira kuyeretsa thupi.
Pa achire kusala kudya ndi matenda ashuga, kagayidwe mu thupi limasintha. Pali kuchepa kwa katundu pa chiwindi ndi kapamba. Izi zimakhala ndi phindu pa ntchito ya ziwalo zonse ndi machitidwe.
Chithandizo cha matenda ashuga omwe ali ndi njala, makamaka ndi magawo omwe ananyalanyaza matendawa, zimathandizira kusintha kwakukulu pamkhalidwe wa wodwalayo.
Madokotala osiyanasiyana amakupangira kutalika kwa kusala kudya, kutengera chizindikiro cha wodwalayo. Nthawi zambiri, pakatha masiku 10 akukana chakudya, mkhalidwe wa wodwalayo umakhala bwino.
Kodi kuthana ndi vuto?
Kulakalaka kosalamulirika, komwe kumayendera limodzi ndi ludzu kwambiri ndikupita kuchimbudzi - ndizizindikiro za matenda ashuga. Muyenera kuwayang'anitsitsa kuti muyambe kulandira chithandizo chanthawi yake komanso kupewa kukula kwa zovuta. Kuchiza matendawa ndi njira ya moyo wonse, yomwe imayendetsedwa ndi dokotala ndipo sangachite popanda kugwiritsa ntchito mankhwala.
Mankhwala a insulin
Njirayi ndiyo njira yayikulu yothandizira odwala omwe ali ndi matenda amtundu wa 1, ndipo ndi mtundu wachiwiri, kuchuluka kwa mahomoni kumadalira kuopsa kwa matendawa. Hormoniyo imathandizidwa pang'onopang'ono, mlingo wake umawerengeredwa ndi adokotala. Ndikofunika kumvetsetsa kuti mankhwalawa sangachotse insulini yopangidwa ndi kapamba, chifukwa chake muyenera kulabadira zomwe zimayambitsa matendawa ndikuziteteza panthawi yake.
Mankhwala ochepetsa shuga
Nthawi zambiri amagwiritsidwa ntchito pochiza mtundu 2. Ndi dokotala yekhayo amene amatha kuwerengera mankhwalawo ndikuwapatsa mankhwala. Mankhwala omwe amachepetsa shuga ya magazi amagawika m'magulu otsatirawa:
- Maninil diabetics amagwiritsidwa ntchito kupanga insulin.
Mankhwala omwe amalimbikitsa kupanga insulin. Itha kuphatikizidwa ndi insulin. Amayamba kuchitapo kanthu mwachangu, koma amakhala ndi nthawi yosiyana yochitapo kanthu. Ayenera kumwedwa mosamala, popeza gulu ili la mankhwala limadziwika ndi chitukuko cha zotsatira zoyipa. Pali chiopsezo chochepetsa shuga m'thupi m'munsi. Izi zikuphatikiza:
- Maninil
- Diabetes
- Novonorm.
- Mankhwala omwe amalimbikitsa chidwi cha mahomoni. Wosankhidwa "Siofor", "Actos" kapena "Glucophage." Amathandizira kuyamwa bwino kwa ma cell a glucose ndipo alibe mavuto.
- Mapiritsi omwe amalepheretsa kuyamwa kwa chakudya cham'magazi ndipo amakhala ndi kuchuluka kwa shuga m'magazi ("Glucobai").
Mankhwala amakono akugwira ntchito pamtundu watsopano wamankhwala omwe amayamba kugwira ntchito kokha ndi milingo yayikulu ya glucose. Simalimbikitsa kusintha kwa kulemera kwa thupi, alibe zotsatira zoyipa ndipo safunika kusintha mlingo. Chitsanzo ndi mankhwala a Bayeta.
Chithandizo cha zakudya
Pochiza matenda oopsa, zakudya zapadera zimagwira ntchito yofunika kwambiri. Zakudya zimathandiza kuchepetsa chilakolako cha matenda ashuga, kusintha chimbudzi ndi kuchepa kwa shuga. Anthu odwala matenda ashuga amalangizidwa kuti azidya zakudya zokhala ndi michere yambiri komanso zovuta zamankhwala, amachepetsa chilakolako cha kudya komanso kupereka satiation yachangu. Ndibwino kuti muphatikize muzakudya zanu za tsiku ndi tsiku:
- oatmeal
- mbewu zonse
- maapulo
- anyezi ndi adyo
- mafuta a fulakesi.
Zakudya zomwe zimayenera kudyedwa masana zimagawika m'magulu a 5-6 komanso makamaka nthawi imodzi. Zatsopano zamasamba zimangowonjezedwa mu mbale iliyonse. Zinthu zomwe zimakhala ndi shuga zimachotsedwa kwathunthu ku zakudya. Ndipo kukonza kuyamwa kwa glucose ndi maselo, ndikofunikira kuwonjezera ntchito zamagalimoto ndikuwonjezera masewera ku regimen ya tsiku ndi tsiku.
Chidziwitsocho chimaperekedwa kuti chizidziwitso chokha chokha ndipo sichingagwiritsidwe ntchito pakudzipangira nokha mankhwala. Osadzinyengerera, zitha kukhala zowopsa. Nthawi zonse funsani dokotala. Pofuna kukopera mwatsatanetsatane kapena mwatsatanetsatane zinthu zomwe zili pamalowo, kulumikizana kwofunikira kukufunika.
Njala yayikulu yokhudza matenda ashuga, nditani?
Anton: Ndili ndi mtundu woyamba wa matenda ashuga, ndimakhala ndikumva zowawa ndi njala yayikulu. Nthawi zambiri zimafika ngakhale ku kususuka, ndimayenera kudya kwambiri, kenako ndikuyika Mlingo waukulu wa insulin yayifupi. Nthawi zonse kulumpha shuga. Ndiuzeni?
Njala yayikulu, kulakalaka kwambiri komanso kususuka mu matenda anu ndi chizindikiro cha matenda obwera chifukwa cha matenda ashuga. Ngakhale munthu wodwala matenda ashuga atadyapo chakudya chamadzulo, m'mawa amakhala ndi njala. Njala yayikulu mu shuga imayambitsidwa ndi kuphwanya kagayidwe kazakudya ndipo imakhala ndi thupi osati malingaliro.
Kumva kawirikawiri kwanjala kwa odwala matenda a shuga kumayenderana ndi kulephera kwa mamolekyulu a shuga kulowa m'maselo a thupi.
Izi zimachitika chifukwa cha shuga wambiri wambiri. Likukhalira koyipa kozungulira: wodwala matenda ashuga amadya kwambiri, amakakamizidwa kuti aike insulin yambiri, waukulu womwe nthawi zambiri samalipira shuga ya magazi. Kuchuluka kwa glucose m'magazi kumalepheretsa glucose kulowa m'mimba, chifukwa thupi sililandira mphamvu ndipo amakakamizidwanso "kupempha" chakudya. Njala imayambiranso ndipo odwala matenda ashuga amakakamizidwa kupitilirabe chakudya chambiri.
Chifukwa chake, munthu akayamba kudwala matenda ashuga amtundu woyamba, koma matendawa sanapezeke, iye, limodzi ndi ludzu lamphamvu, akumva kuwonjezeka kwamanjala, koma, ngakhale ndi kuchuluka kwa chakudya chomwe amamwa, amacheperabe.
Kodi ndichifukwa chiyani pali chidwi chowonjezereka cha matenda ashuga?
Mwa anthu athanzi, chakudya chomwe chimadyedwa chimasinthidwa kukhala glucose, omwe kenako amalowa m'maselo kuti akwaniritse zofuna za thupi. Glucose imakhala ngati mafuta m'maselo a thupi, omwe amalola kuti igwire ntchito zake zofunika. Hemeni wa insulin wotulutsidwa ndi kapamba amatsimikizira kuti glucose amalowa m'maselo.
Ndi shuga yokhala ndi shuga yovuta kulipidwa, pomwe shuga m'magazi amakwezedwa kwambiri, shuga sayenera kulowa m'maselo. Izi zitha kukhala chifukwa chosowa insulini kapena kusakhazikika kwa maselo amthupi kupita ku insulin.M'njira zonsezi, kupatsidwa shuga ndi maselo sikumachitika.
Glucose ochepa amapezeka nthawi zonse m'magazi, komabe, pamene maselo sangathe kuyamwa glucose, pamakhala kuchuluka kwake mu thupi ndipo, chifukwa chake, kuchuluka kwa shuga m'magazi (hyperglycemia). Chifukwa chake, ngakhale atakhala kuti pali shuga wambiri m'magazi ozungulira, maselo amthupi amachepa. Kuyankha kwam'mbuyomu ku chakudya cham'mimba kumawonekeranso njala.
Popeza maselo amthupi sangathe kusunga mamolekyulu a glucose, samatumiza ziwonetsero ku ubongo zokhudzana ndi satiety, koma m'malo mwake, muuzeni za kufa kwawo, komwe pamapeto pake kumayambitsa chidwi champhamvu. Chifukwa chake, zizindikilo za njala zotumizidwa ndi maselo amthupi, kenako ndikulowa muubongo, zimayambitsa chilimbikitso chokwanira kwa odwala omwe ali ndi matenda a shuga.
Kodi odwala matenda ashuga atha kusinthitsa kuchuluka kwa chakudya
Kuti matenda asinthe matenda ashuga komanso kuthana ndi vuto la kugona kwambiri, ndikofunikira:
- sinthanso shuga yamagazi ndikuisunga munthawi yofananira (kutsimikizira koyambira),
- kuchepetsa thupi, zomwe zimasokoneza mayamwidwe abwino a shuga,
- kuwonjezera zolimbitsa thupi kuti muchepetse kukana kwa insulini ndikulola maselo kugwiritsa ntchito bwino glucose omwe analandila,
- lekani kudya zakudya zokhala ndi index yayikulu ya glycemic (GI), yomwe imakwiyitsa kwambiri shuga.
- ngati kuli kotheka, monga mwauzidwa ndi dokotala, yambani kumwa mankhwala kuti muchepetse njala ndikuwonjezera chidwi cha thupi ku insulin (Metformin, Siofor).
Kumangokhala ndi njala komanso kusowa chidwi cha matenda ashuga - Zizindikiro izi zikuonetsa chiyani?
Kumva njala mosalekeza ndi chizindikiro chofala kwa odwala matenda ashuga. Patatha kanthawi kochepa, ngakhale atadya chakudya chamafuta kwambiri, wodwalayo amayamba kufuna kudya.
Makamaka njala ndi m'mawa, ndipo chakudya chamadzulo sichimathetsa, koma zimangokulitsa vutolo.
Komabe, odwala ena amadandaula chifukwa cha kusowa kudya kosafunikira. Kodi ndichifukwa chiyani wodwalayo amamva njala kapena kusowa kwa chakudya cha shuga, komanso momwe angathanirane ndi vutoli?
Zoyipa zamamiyala zomwe zimayambitsa chidwi chachikulu
Kuzindikira pang'ono (kulolera) kwa leptin
Leptin - mahomoni omwe amayambitsa kukhudzika, amapangidwa ndi minofu ya adipose. Komabe, ngati mulingo wambiri wa leptin umakhalapo kwa nthawi yayitali, kulekerera (kusazindikira mtima) kumayamba.
Momwemo, thupi "limaganiza" kuti kulibe chakudya chokwanira, ngakhale zili choncho. Nthawi zambiri amapezeka mwa anthu onenepa kwambiri.
Anthu ambiri onenepa amakhala ndi njala nthawi zonse, ngakhale atakhala kuti adya.
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- Kulemera msanga, mafuta ochulukirapo.
- Kusunthika koyipa, mphamvu pang'ono.
- Kugona kopanda tulo.
- Kutukwana.
- Njala imatha kudodometsedwa, koma osathetseka kwathunthu.
- Simungathe kuyima popanda maola 5-6.
- Mukadzuka, mumadzimva kuti ndinu wopanikizika.
Chidziwitso chabwino kwambiri ndi kuyesa kwa leptin. Othandizira pambuyo pa kusamba kwa maola 8 mpaka 14. Ngati leptin ndi yachilendo, chitanipo kanthu.
Ntchito ndikuchepetsa mulingo wa leptin, ndiye kuti chidwi chake chidzafika pang'onopang'ono, ndipo chidwi chake chimasintha. Zoyenera kuchita?
1. Chotsani michere yonse yachangu pazakudya zanu.
Amalimbikitsa kuteteza kwa insulini kwambiri kuposa kuchepetsetsa. Miyezi yambiri ya insulin imayambitsa kukana kwa leptin, ndipo pokhapokha ngati insulin ikulimbana ndi matenda a shuga (a 2).
Insulin ndi leptin zimalumikizana. Kusintha mulingo wa wina kumasintha mulingo wina.
Insulin imakulitsa kupanga leptin. Ndipo iwo omwe nthawi zonse amakhala ndi gawo lawo m'magazi awo posakhalitsa amayamba kukana leptin.
Kuphatikiza apo, insulini ndiye mahomoni amphamvu kwambiri omwe amachititsa kuti mafuta acids azikhala ochepa.
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2. kugona kwambiri. Munthu amafunika kugona kwa maola 7-8 patsiku. Kusowa tulo ndi maola 2-3 tsiku lililonse patapita masiku awiri kumawonjezera kuchuluka kwa ghrelin (mahomoni omwe amachititsa chidwi) ndi 15%, ndipo mwa 15% amachepetsa kupanga leptin.
3. Kuchepetsa thupi. Ichi ndiye malingaliro ovuta kwambiri kutsatira, komanso othandiza kwambiri. Makinawa ndi osavuta. Mafuta ochepa - leptin wocheperapo - chidwi chapamwamba pa izo - kulakalaka kwabwinoko.
4. Imathandizira kagayidwe. Izi zimapangitsa matenda kukhala a metabolism, amatsogolera insulin ndi leptin kuti ikhale yabwinobwino. Njira yabwino ndi zakudya zopatsa chidwi komanso masewera (pafupipafupi tsiku lililonse).
Hypothyroidism - chinsinsi chokwanira cha mahomoni a chithokomiro - thyroxine (T4) ndi triiodothyronine (T3), omwe amawongolera kuchuluka kwa metabolic. Ndi hypothyroidism, imachepetsa. Izi zimabweretsa kunenepa kwambiri, zomwe zimapangitsanso kuchuluka kwa leptin m'magazi. Kuzindikira - kusanthula kwa mahomoni a chithokomiro. Chithandizo chili ndi endocrinologist. Nthawi zambiri pamakhala kutenga mahomoni a chithokomiro.
Hypogonadism
Hypogonadism - kupanga osakwanira kwa androgens, makamaka testosterone. Androgens amateteza kubisala kwa leptin, ndipo popanda iwo mulingo wake umawonjezeka.
Kagayidwe kake kamachepetsedwa ndipo mulingo wa estrogen m'magazi umachuluka, zomwe zimapangitsa kunenepa kwambiri ndikuwonjezera chilimbikitso, ngakhale makamaka kukoka maswiti. Zotsatira zake, kuchuluka kwa minofu kumachepa kwambiri, ndipo mafuta amayamba kuchuluka.
Nthawi yomweyo, chidwi chikuchulukirachulukira.
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Diagnostics - yesani mayeso a mahomoni ogonana. Kuchiza kumangokhala ndi endocrinologist.
Kuchuluka kwa prolactin
Prolactin ndi timadzi tomwe timatulutsidwa ndi tchire. Prolactin nthawi zambiri imakwezedwa chifukwa cha njira zakulera, pakati (izi zimawonedwa ngati zabwinobwino), chifukwa chotenga AAS (androgenic-anabolic steroids). Mwa zina, imapereka madzi posungika m'thupi, imathandizira kuchuluka kwa mafuta, imawonjezera chilimbikitso, makamaka kulakalaka chakudya chamafuta. Kuchulukitsa secretion ya leptin.
- misozi
- Ndikufuna maswiti
- yafupika libido
- kusakhazikika
- kutupa.
Chidziwitso chabwino kwambiri ndikuwunika kwa prolactin. Amathandizidwa mosavuta - potenga dostinex 0,25-0,5 mg kamodzi pakatha masiku anayi. Kukambirana ndi endocrinologist ndikulimbikitsidwa, popeza kuchuluka kwambiri kwa prolactin kumatha kukhala chizindikiro cha matenda oopsa.
Chovuta chofala kwambiri cha njala. Madera aubongo omwe ali ndi vuto lakudya nthawi zambiri amasokoneza ludzu ndi njala. Imwani 30-30 magalamu a madzi oyera pa 1 kg yolemera patsiku.
Pankhaniyi, thupi lanu limalimbana kuwapangira, ndipo chifukwa cha izi limayesetsa kudya chakudya chochuluka momwe mungathere. Njira yothetsera vutoli ndiyosavuta - imwani madzi ambiri amchere kwa masiku angapo kapena masabata. Kusankha zomwe zili zoyenera malinga ndi kapangidwe kake ndizosavuta - zimawoneka zabwino kuposa ena. Yesani mitundu yosiyanasiyana ndikupeza njira yoyenera.
Zofanana ndi mlandu wapitawu. Thupi limafunikira mavitamini, ndipo amayesera kuwatenga kuchokera komwe angakwanitse. Njira yothetsera vutoli ndi kutenga vitamini-mineral complex, makamaka pawiri kapena katatu, kuti athetse kufooka kumene mwachangu.
Kupsinjika
Kwa anthu ambiri, kuyankha pamavuto ndi njala. Njira imodzi yokha yotulukira - chotsani kupsinjika, pumulani kwambiri. Mugone maola osachepera 8 patsiku. Chepetsani kusaka kwanu pa intaneti ndikuwonera TV. Ndizothandizanso kutenga mavitamini ndi mankhwala a nootropic. Funsani wamisala kapena wamisala.
Kuperewera kwa zakudya
Mwachidule, pali zikhalidwe zambiri. Kufalikira Kwambiri. Njira yakuchotsera izi ndikuwerengera za kuchuluka, kuchuluka komanso nthawi yomwe mukadye. Nthawi yomweyo, ndikofunika kuphika chakudya chonse tsiku lisanakwane ndikuchigawira m'magawo. Mphamvu yochepetsera thupi mukamatsatira regimen komanso kudya moyenera ndiyabwino.
Chifukwa chaching'ono koma chofala.Mukakhala kuti mulibe chochita, malingaliro amangosintha mwakuganiza za inu ndi momwe muliri, komanso ngakhale vuto lofooka lanjala limawoneka lamphamvu.
Yankho - khalani otanganidwa. Izi sizakuwerenga kapena kuwonera makanema pa TV, koma ndichinthu chofunikira kwambiri kuchokera kwa inu.
Pitani koyenda, ikani zinthu kunyumba, pitani kukaphunzitsidwa - chisankhocho chilibe malire.
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Kuphatikiza polimbikitsa ntchito ya m'mimba mwaiyemwini pamiyeso yaying'ono, imathandizanso ntchito ya chotupa cham'mimba, chomwe chimachepetsa chilakolako chofuna kudya chilichonse chomwe chilipo pakalipano. Chifukwa chake, mumachepetsa mphamvu pakudya. Zotsatira zake, kuchuluka kwa zakudya zomwe zimadyedwa nthawi imodzi kumatha kuwonjezeka ndi nthawi 2-3. Kutuluka - perekani mowa.
Mwapeza cholakwika munkhaniyi? Sankhani ndi mbewa ndikusindikiza Ctrl Enter. Ndipo tidzakonza!
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Kamodzi pa sabata mudzalandira kalata yokhudza zolimbitsa thupi zatsopano, zolemba, makanema ndi kuchotsera. Osazikonda - jambulani.
Makanema okhudzana nawo
Chifukwa chiyani matenda ashuga nthawi zonse amakhala ndi njala komanso zoyenera kuchita:
Pafupifupi, kusowa chakudya kwachilendo,, kupezeka kwake kwathunthu ndizizindikiro zakukula kwa matenda ndipo amafunikira chisamaliro kuchokera kwa akatswiri ndi chithandizo chanthawi yake.
- Imakhazikika pamisempha ya shuga kwa nthawi yayitali
- Imabwezeretsa kapangidwe ka insulin
Bwanji kuti musamve ludzu ndi matenda ashuga?
Wopeza endocrinologist akapezeka ndi matenda a mtundu wachiwiri kapena woyamba, pamakhala mavuto ambiri omwe sanathetsedwe. Chimodzi mwazokayikira ngati izi kusala kudya. Pafupifupi tsiku lililonse kuchokera pamavuto ama TV amtunduwu amauzidwa za momwe mumamverera mukatha kutaya tsiku lililonse. Ponseponse, kodi kusala kudya kwa shuga ndikwabwino kapena kwabwino?
Kodi mawu ngati amenewa ndi odalirika? Mfundoyi ndiyofunikira kwa odwala matenda ashuga. Chifukwa chake, tidaganiza zobwereza mutuwu.
Ofufuza ena adazindikira zomwe zikuchitika: kufa ndi matenda a shuga komanso kuchepa kwa zakudya za tsiku ndi tsiku, zimakhudza kuwonongeka kwa matendawa (bwino) kapena kumabweretsa kuchira kwathunthu. Izi ndichifukwa chakuti insulin katulutsidwe amayamba ndi kudya.
Kuyesedwa kwapafupipafupi ndi kafukufuku kumachitika kuti muwone zabwino ndi zovulaza za njala.
Mfundo zofunika kuchiritsa odwala ndi matenda a shuga
Kudwala matenda ashuga ndiko kulepheretsa chakudya kwakanthawi. Sizoletsedwa kuchititsa kuti anthu azidya odwala:
- ndi mtima pathologies a magawo osiyanasiyana,
- ndi matenda amitsempha
- ndimavuto amisala,
- ana ochepera zaka 18
- ndi matenda a kwamikodzo,
- azimayi oyembekezera komanso oyembekezera.
Kusala kumathandizira kutsitsa shuga m'magazi. Koma otetezeka, mankhwalawa atha kukhala aumoyo wathanzi.
Matenda a shuga ndi matenda apadera. Ndikosatheka kumuchiritsa, koma samalani, khalani ndi moyo wabwinobwino, kubereka ana kwa wodwala aliyense. Tsatirani zakudya, imwani mankhwala omwe ali ndi mankhwala - insulin, glucophage - amayesedwa mwa apo ndi apo ndi kusangalala ndi moyo.
Mankhwala ochepetsa njala
Nthawi zambiri, ndi mtundu wachiwiri wa matenda ashuga, dokotalayo amakupangira chithandizo ngati kusintha kwa chakudya chochepa kwambiri. chinthu ndichakuti thupi limafunikira chakudya chamafuta ambiri.
Zakudya zotere zimatha kuthana ndi mavuto osokoneza bongo. Izi zimaphatikizapo zakudya zomwe zimapangidwa makamaka ndi mapuloteni komanso mafuta athanzi.
Chifukwa chake, palibe zolepheretsa kuti muthe kulimbitsa thupi, kusintha matenda a shuga.
Kuphatikiza apo, adotolo amafotokozera momwe mungagwiritsire ntchito mankhwala apadera, omwe omwe ali ofunikira kwambiri ndi DPP-4 inhibitors, chromium picolinate, komanso GLP-1 receptor agonists.
Kugwiritsa ntchito mankhwala osokoneza bongo omwe amachepetsa chilakolako cha chakudya, kumakupatsani mphamvu yochepetsera thupi ndi njira za metabolic momwemo.
Odwala ambiri amadandaula chifukwa cholakalaka kwambiri matenda ashuga. Koma musanadziwe njira yochepetsera njala, muyenera kumvetsetsa chifukwa chake anthu odwala matenda ashuga amatha kukhala ndi vuto lalikulu la matenda osokoneza bongo komanso matenda ochulukitsa a shuga.
Chowonadi ndi chakuti kukulira kudya kwa shuga kumawonetsa kuwonongeka kwa matendawa. Wodwala amadwala kwambiri m'mawa, ngakhale madzulo atadya chakudya chochuluka.
Izi zimachitika chifukwa chakuti wodwalayo ali ndi kuphwanya kagayidwe kazakudya. Pankhaniyi, zikuwonekeratu kuti kuti muchepetse kuchuluka kwa zakudya zomwe zimadyedwa, wodwalayo sayenera kupita kwa akatswiri othandiza pantchito zachipatala, koma kwa endocrinologist. Ili ndiye vuto lakuthupi, osati la malingaliro, momwe likuwonekera kwa ambiri.
Mankhwala atsopano a shuga omwe adayamba kuwoneka m'zaka za 2000s ndi ma insretin. Mosavomerezeka, amapangidwa kuti achepetse magazi pambuyo kudya ndi shuga yachiwiri.
Komabe, pamenepa sizitikhudza kwenikweni. Chifukwa mankhwalawa amachita mosiyanasiyana ndi Siofor (metformin), kapena sagwira ntchito kwenikweni, ngakhale kuti ndi okwera mtengo kwambiri.
Amatha kutumikiridwa kuwonjezera pa Siofor, pomwe zochita zake sizikwanira, ndipo odwala matenda ashuga safuna kuyambitsa kubayidwa insulin.
Mankhwala a shuga a Baeta ndi Viktoza ali m'gulu la GLP-1 receptor agonists. Ndizofunikira chifukwa samangotsitsa shuga wamagazi ndikatha kudya, komanso amachepetsa kudya. Ndipo zonsezi popanda zovuta zapadera.
Phindu lenileni la mitundu yatsopano ya matenda ashuga ndikuti amachepetsa kudya komanso amathandizira kuchepetsa kudya kwambiri. Chifukwa cha izi, zimakhala zosavuta kuti odwala azitsatira zakudya zamagulu ochepa komanso kupewa kuwonongeka.
Kupereka mankhwala atsopano a shuga kuti muchepetse chilakiko sikumavomerezedwa kale. Kuphatikiza apo, mayeso awo azachipatala osakanikirana ndi kadyedwe kotsika thupi sanachitepo.
Komabe, machitidwe awonetsa kuti mankhwalawa amathandiziradi kuthana ndi kususuka kosalamulirika, ndipo zovuta zake ndizochepa.
Maphikidwe a chakudya chochepa kwambiri cha carb chochepera pano
Ndi mapiritsi ati omwe ali oyenera kuchepetsa chilimbikitso
Asanayambe zakudya zamafuta ochepa, odwala onse omwe ali ndi matenda a shuga a 2 amalephera kudya zakudya zopatsa thanzi. Kudalira kumeneku kumawonekera mu mawonekedwe a kudya pafupipafupi kwa mafuta ochulukirapo komanso / kapena kupuma pafupipafupi kwa kususuka kopatsa chidwi. Momwemonso munthu amene ali ndi chidakwa, nthawi zonse amakhala “wopanda chiyembekezo” komanso / kapena nthawi zina amatha kumangokhala ndwii.
Anthu onenepa kwambiri komanso / kapena matenda a shuga 2 amadziwika kuti ali ndi vuto losakhutira. M'malo mwake, ndizopatsa mphamvu zamagetsi kuti ziziimba mlandu chifukwa chakuti odwala oterewa amakhala ndi vuto la kugona. Akayamba kudya mapuloteni komanso mafuta achilengedwe, chakudya chawo chimakhala chabwinobwino.
Chakudya chamafuta ochepa okha chimathandiza pafupifupi 50% ya odwala kuthana ndi kudalirika kwa chakudya. Odwala ena omwe ali ndi matenda a shuga a 2 amafunikira njira zina. Mankhwala a incretin ndi "njira yachitatu yodzitetezera" yomwe Dr. Bernstein adapereka atatha kutenga chromium picolinate komanso kudzitsutsa.
Mankhwalawa akuphatikiza magulu awiri a mankhwalawa:
- DPP-4 zoletsa,
- GLP-1 receptor agonists.
Kodi mankhwala atsopano a shuga amathandiza bwanji?
Ngati mwadwala kale matenda a shuga a 2, ndiye kuti palinso mwayi kuti mutachepetsa thupi mutha kukhalanso ndi shuga ndimagazi popanda kuchita jakisoni wa insulin. Mndandanda wathu wazogulitsa ndiwatsatanetsatane komanso wothandiza kwa owerenga olankhula Chirasha kuposa buku la Atkins.
Matendawa amafunikira chithandizo mosiyanasiyana, choncho ndikofunikira kuzindikira bwino. Chifukwa chake, ndinasankha kuchita izi: Ndimayankhula mwachidule za mankhwala ena ndipo ndimapereka ulalo kwa nkhani yomwe zonse zimafotokozedwa mwatsatanetsatane.
Nthawi yomweyo, pali mankhwala ena atsopano, ndipo alipo omwe agwiritsidwa ntchito kwa nthawi yayitali. Choyambitsa chachikulu cha matenda ashuga ndi imfa ya maselo a beta omwe ali mu kapamba. Chifukwa chake, pamene maselowa ali osakwanira m'thupi, insulin iyenera kuthandizidwa.
Chifukwa chake, mwachitsanzo, ngati taurine iwonjezeredwa kwa munthu, kuchuluka kwa G / T kumachepa. Ngakhale, ndizachidziwikire, ndizofunikira kuzindikira kuti mankhwalawa, omwe wodwalayo amatenga kwa zaka zambiri, amawononga thanzi la magazi, kuvulaza m'mimba ndi chiwindi.
- Kuchepetsa mankhwala osokoneza bongo mitundu ndi njira zogwiritsira ntchito
- Dibicor ndi mankhwala othandiza komanso otetezeka.
- Mankhwala ochepetsa shuga a magazi a matenda a shuga a 2
- Mndandanda wa Mankhwala Awa Matenda a shuga 2 - shuga
Gulu la ma dipeptidyl peptidase inhibitors amalimbikitsa kupanga insulini, kuchepetsa kuchuluka kwa glucagon, kupewa kufooka kwa ziphuphu zakumimba, komanso kuletsa chiwopsezo cha chiwindi. Zilibe zotsatira zoyipa monga hypoglycemia.
Chithandizo cha matenda ashuga mu ndemanga za China
Mwina adotolo, potengera zomwe adakumana nazo, kuwunika kwa odwala ndi zotsatira za mayeso anu, angakulimbikitseni mankhwalawa kuti muchepetse kulemera kwamankhwala osachepera 500 osaposa miyezi itatu. Monga gawo la bile acids, taurine imakhudzana ndi kusangalatsa komanso kuyamwa kwa mafuta osungunuka a mafuta, kuphatikizapo mavitamini.
- Mankhwala ochepetsa shuga m'magazi a 2 shuga
- Mtundu Wachiwiri wa Matenda Ochepetsa Matenda a shuga
- Njala ndi matenda ashuga
Chifukwa chake, musanayambe chithandizo, ndikofunikira kudziwitsa adokotala za kupezeka kwa matenda a shuga kuti musankhe mankhwala oyenera. Zotsatira zoyipa za Siofor ndi izi: Malangizo omwe aperekedwa kwa Siofor okhudza kugwiritsa ntchito mapiritsi a zakudya awa sanena chilichonse.
Chifukwa chiyani munthu amamva njala
Kumva njala kumachitika kwathunthu m'magulu onse a anthu, mosaganizira jenda, mtundu ndi thanzi. Ndikosavuta kuzizindikira ndi zizindikiro zilizonse, chifukwa chake njala imadziwika monga kumverera wamba komwe kumawoneka ngati m'mimba mulibe kanthu ndikuzimiririka mukadzaza.
Kumva njala kumalimbitsa munthu kuti asangodzaza m'mimba, komanso kusaka nthawi zonse mwachindunji chakudya chomwe. Vutoli limatchulidwanso kuti kukopa kapena kuyendetsa.
Pakadali pano, njira za kumva izi ndizofooka.
Anton: Ndili ndi mtundu woyamba wa matenda ashuga, ndimakhala ndikumva zowawa ndi njala yayikulu. Nthawi zambiri zimafika ngakhale ku kususuka, ndimayenera kudya kwambiri, kenako ndikuyika Mlingo waukulu wa insulin yayifupi. Nthawi zonse kulumpha shuga. Ndiuzeni?
Njala yayikulu, kulakalaka kwambiri komanso kususuka mu matenda anu ndi chizindikiro cha matenda obwera chifukwa cha matenda ashuga. Ngakhale munthu wodwala matenda ashuga atadyapo chakudya chamadzulo, m'mawa amakhala ndi njala. Njala yayikulu mu shuga imayambitsidwa ndi kuphwanya kagayidwe kazakudya ndipo imakhala ndi thupi osati malingaliro.
Kumva kawirikawiri kwanjala kwa odwala matenda a shuga kumayenderana ndi kulephera kwa mamolekyulu a shuga kulowa m'maselo a thupi.
Izi zimachitika chifukwa cha shuga wambiri wambiri. Likukhalira koyipa kozungulira: wodwala matenda ashuga amadya kwambiri, amakakamizidwa kuti aike insulin yambiri, waukulu womwe nthawi zambiri samalipira shuga ya magazi. Mwazi wamagazi ambiri.
Chochita ndi njala yopweteka kwambiri odwala matenda ashuga?
Kulakalaka kwambiri, njala yayikulu ndipo, chifukwa chake, kususuka kwa shuga ndi chizindikiro chotsimikizika chobwezeretsedwera.Nthawi zambiri zimachitika kuti chimodzi mwazizindikiro zoyambirira za matenda ashuga, pomwe sichinapezeke, ndizolakalaka zenizeni, kumangokhalira kumva njala ndi kuchepa thupi, ngakhale mukudya kwambiri. Njala yayikulu mu shuga imakhala yachilengedwe ndipo imayambitsidwa ndi kuphwanya kagayidwe kazakudya.
Ma mamolekyulu a glucose amakumana ndi zovuta nthawi zonse akalowa m'maselo a thupi. Ndipo izi zimachitika chifukwa cha magazi akulu. Bwalo lozungulira chabe. Munthu amadya kwambiri, kenako amapaka insulin yambiri, yomwe nthawi zambiri imalephera kuthana ndi shuga, thupi sililandira mphamvu yofunikanso ndipo "imafunsanso" kudya.
Kusala kochizira mu shuga
Pali malingaliro olakwika ponena za kusatheka kwa kufa ndi njala kwa odwala matenda ashuga. Kukula kwakukulu, amathandizidwa ndi endocrinologists. Zolemba zomwe zilipo pakadali pano pogwiritsa ntchito zakudya, mankhwala omwe amachepetsa shuga ya magazi ndi insulin, komanso kukula kwa mankhwalawa amathandizira kuti akhale ndi malingaliro. Nthawi yomweyo, akatswiri azosala kudya satchula kuti shuga ndiwotsutsana kwathunthu. Chifukwa chake mndandanda wazisonyezo zachipatala ndi zotsutsana pakugwiritsira ntchito kusala kudya, matenda ashuga amtundu wa 2 ndi kutsutsana ndipo mtundu wokhawo wa shuga ndiwotsutsana kwathunthu. "Mtundu wachiwiri wa matenda a shuga, osati ovuta kuwonongeka kwamitsempha yamagazi, RDT imagwiritsidwa ntchito bwino."
Ndikukhulupirira kuti mumaliza molondola! Zakudya izi zimayenera kukhala zabwino, zophatikiza mapuloteni, mafuta, ndi CarBOHYDRATES, pomwe timapeza mphamvu yofunikira mthupi. Apanso, musaiwale kuti zopatsa mphamvu zimayenera kukhala ZABWINO, zopatsa mphamvu. Ndipo musaiwale lomwe funso linali.
Ndiuzeni zovuta, nthawi zambiri mukatha kudya, pakanthawi kochepa kumamvanso njala, ngakhale kulibe.
Kwenikweni ndimabwereza yankho
Apa limodzi mwa awiri, kapena osakwanira kalori chakudya, kapena kuthekera kwa insulin mankhwala.
Ndipo ndikufotokozeranso kuti chakudya chosakwanira kalori sichimodzi momwe mumakhala mafuta ambiri, koma CHAKUDYA CHOKHA!
ndi pempho lina, kuti ndiganize za yankho pamutu wamsonkhanowu, ndipo osatengera moyo wanga, zomwe mkazi aliyense ayenera kukhala pamenepo.
Kusala chithandizo cha matenda ashuga Kusala kudya bwanji?
Matenda a shuga ndi matenda omwe, chifukwa cha kusowa kwa insulin, zomwe zimakhala m'thupi zimatuluka. Kusala ndi matenda a shuga kungayambitse matenda a shuga.
Kuthira mankhwala a shuga
Zizindikiro zazikulu za matendawa ndi:
pakamwa pouma kwambiri ndi pharynx, njala, khungu lowuma, kuwonda popanda chifukwa chodziwikiratu, pafupipafupi komanso kukodza kwakukulu.
Kuti mupeze matenda a shuga, ndikokwanira kupita kuchipatala, kukatenga mkodzo ndi magazi kuti mukawunikidwe, ndikuwona shuga. Matenda a shuga ndi amitundu iwiri:
mtundu woyamba (pamene insulini palibe), mtundu wachiwiri (insulin umabisidwa, koma maselo sawayankha bwino).
Akatswiri azachipatala amatsutsa: kodi ndizotheka kuchiza matenda a shuga ndi njala?
Amakhulupirira kuti ndizoletsedwa kupha anthu omwe ali ndi matenda ashuga. Ena omwe amapereka chithandizo chamankhwala ena ali otsimikiza kuti kutsatira kusala kudya kungayambitsenso ntchito ya endocrine system. Samalingalira za matenda a shuga monga kuponderezana kwathunthu. Madokotala amaika matenda amtunduwu a endocrine amtundu wachiwiri pa mndandanda wa zotsutsana, koma mtundu 1, njala imabweretsa mavuto akulu mthupi.
Kodi matenda ashuga angachiritse njala?
Njala ya matenda ashuga amtundu woyamba ndiowopsa chifukwa kuperewera kwa michere mthupi, kuchuluka kwa matupi a ketone kumayamba kuchuluka mwachangu.
Amapangidwa chifukwa chakuti pamakhala kuwonongeka kwamafuta m'mphamvu zamagetsi pakakhala chakudya. Chifukwa chake, njala imakulitsa mwayi wokhala ndi vuto la hypoglycemic lomwe ndilowopsa pamoyo wa wodwalayo.
“Matenda okoma” ndi amodzi mwa matenda ofala kwambiri padziko lapansi. Nkhani yothandizadi ndimayendedwe a matenda amenewa amakhalabe omasuka nthawi zonse. Chifukwa chake, madokotala ndi asayansi akuyesera kuti apeze njira zowonjezereka zothanirana ndi matendawa.
Ngati tikulankhula za njira yosachiritsika yothandizira matenda a carbohydrate metabolism, ndiye kuti muyenera kulabadira njira yodwala matenda a shuga. Njirayi ili ndi othandizira ambiri komanso otsutsa pakati pa madokotala ndi odwala.
Njira yakale yolimbana ndi matendawa imakana
Limagwirira ntchito za matenda ashuga
Wodwala aliyense ayenera kukumbukira kuti kuchita izi mthupi lake kuli ndi zotsatirapo zoipa. Ndiye chifukwa chake sungakane kudya popanda kuyang'aniridwa ndi dokotala. Njira yabwino ikakhalira ngati munthu ayamba kufa ndi njala.
Akatswiri ambiri amakhulupirira kuti njira imodzi yoyeretsera bwino thupi ndi matenda ashuga ndi njala. Kodi nkoyenera kuyembekezera kuti njira iyi ichiritse matenda ashuga a 2? Ndipo kodi padzakhala zopindulitsa thupi?
Matenda a shuga ndi matenda omwe akusowa insulini m'thupi komanso chiwopsezo cha minyewa imayamba kuchuluka. Matenda a fomu yodalira insulin samachiritsidwa, chifukwa chake munthu amadzaphatikizidwa ndi jakisoni mpaka kumapeto kwa moyo wake.
Pakadali koyamba kwa matenda a shuga a mtundu wachiwiri, wodwalayo safuna jakisoni, koma amatenga mapiritsi omwe amachepetsa kuchuluka kwa shuga m'thupi. Pankhaniyi, mutha kuyesa kusintha makina kuti akhale china. Choyambitsa chachikulu cha chiwonetsero cha matendawa ndikuwonjezera kwakukulu kwa kulemera kwa thupi. Chifukwa chake, pogwiritsa ntchito kusala ndi shuga, mutha kuchotsa zolemera kwambiri, zomwe zingayambitse kuchuluka kwa shuga m'magazi.
Kusala ndi matenda a shuga ndikotheka ngati munthu alibe zovuta m'mitsempha yamagazi komanso zovuta zina.
Zizindikiro zakumakhala ndi njala
Munthu amayamba kumva njala pomwe zovuta zoyambira zimayamba kutuluka m'mimba.
Munthawi yabwinobwino, munthu amayamba kuzindikira kuti ali ndi njala maola 12 atatha kudya (chizindikiro ichi chikhoza kusiyana kutengera gawo lomwe wapezeka). Mimba imapangidwa ndi kukokana komwe kumakhala kwa theka la miniti. Kenako pang'onopang'ono kupuma ndi kukokana kuyambiranso. Pakapita kanthawi, mphamvu zake zimakhala zosatha ndipo zimadziwika bwino. Chimayamba "kuyamwa pansi ndi supuni." Kung'ung'udza kumapezeka m'mimba.
Kuthamangitsidwa m'maganizo kumatha kubweza nkhawa kwakanthawi. Zikuwoneka kuti anthu omwe ali ndi shuga okwanira (odwala matenda ashuga) amakhudzidwa kwambiri ndi njala.
Mwinanso, pamachitidwe ake, dokotala aliyense adanenanso mawu ochokera kwa odwala: "Nthawi zonse ndimamva njala". Koma ndi okhawo omwe amatha kudziwa zomwe zimayambitsa matenda.
Njala ya matenda ashuga, ngati njira yochizira.
Funsoli likufunsidwa kwambiri ndi odwala matenda a shuga. Tiyeni tiwone ngati njala imathandizadi ndi matenda ashuga? Kodi kusala kudya kwa anthu ashuga kumakhala kowopsa bwanji? Ndipo momwe mungafe ndi matenda a shuga ndi matenda?
Choyamba, njira zopewa komanso kuchizira matenda ashuga ndizosangalatsa kwa anthu omwe, kuwonjezera pa matendawa, amanenepa kwambiri.Chifukwa chake, mutatembenukira ku njira iyi, mutha kupha, monga amanenera, mbalame ziwiri ndi mwala umodzi: muchepetse shuga ndi gawo limodzi ndi ma kilos otopa.
Komabe, ambiri a endocrinologists amavomereza kuti kusala ndi matenda ashuga ndi njira yowopsa kwambiri yomwe imafuna kuwunika nthawi zonse ndikuwonetsetsa akatswiri. Komabe, musanapite ku njira yodalirika yamankhwala yotere, ndikofunikira kuti mupimidwe mayeso kuti musavulaze thupi lanu panobe.
Matenda a shuga amaphatikizika ndi kuperewera kwambiri kwa insulini m'thupi kapena kuchepa kwa mphamvu ya timadzi timeneti mkati. Mu shuga mellitus wamtundu wachiwiri, wodwalayo samatengera kakonzedwe ka mahomoni tsiku ndi tsiku kuti thupi likhale lolimba m'magazi. M'malo mwake, amatha kumwa mankhwala ochepetsa shuga ndikuwongolera kuchuluka kwa shuga pogwiritsa ntchito masewera olimbitsa thupi komanso kudya mokwanira.
Chifukwa chachikulu chakukhazikitsidwa kwa matenda a shuga a mtundu wachiwiri, monga lamulo, ndi odwala matenda ashuga onenepa kwambiri. Kusala ndi shuga kumatha kuchepetsa kunenepa, kuthana ndi kunenepa kwambiri komanso kusintha shuga.
Mphamvu ya kusala kudya shuga
Ponseponse, madokotala samatha kuvomerezana kuti chithandizo cha matenda ashuga amtundu wa 2 chikuyenda bwino motani. Omwe amalimbikitsa kugwiritsa ntchito njira zina mmalo mwaukadaulo kuti achepetse kulemera amalimbikitsa kugwiritsa ntchito mankhwala ochepetsa shuga ndi ma regimen ena.
Kodi njala ingakhale yothandiza bwanji kwa munthu wodwala matenda ashuga? Kafukufuku wambiri watsimikizira kuti njala imachepetsa kuchulukitsa kwa matendawa, kapena, amachiritsa kwathunthu. Izi ndichifukwa choti insulini imayamba kupangidwa pokhapokha chakudya chitalowa m'thupi. Ichi ndichifukwa chake otchedwa akudya mokhazikika saloledwa kwa odwala matenda ashuga, chifukwa amachulukitsa kwambiri insulin.
Anthu omwe amachita mankhwalawa amawona kufanana pakati pakupezeka kwamkodzo ndi magazi mwa odwala ndi odwala matenda ashuga. Zomwe zimasinthira zizindikiro - glycogen nkhokwe zimachepetsedwa kwambiri, ndipo thupi limayamba kulimbikitsa zinthu zamkati. Mafuta owaza amayamba kukonzedwa mu chakudya, chomwe chimatsatana ndi mapangidwe a fungo linalake osati mkodzo, komanso mkamwa.
Njala ya matenda ashuga
Kusokonezeka kwa kagayidwe kazakudya m'thupi kumayambitsa kusowa kwachangu kwamankhwala osokoneza bongo. Ngakhale munthu atadya chakudya chokhazikika, pakapita nthawi yochepa chilakolako chabwino chimadzipangitsa kumverera komanso kufunitsitsa kudya kumabweranso.
Zamkatimu:
Njala ya matenda ashuga siyikhala chifukwa chamalingaliro, koma kwa thupi.
Chifukwa chiyani njala ili mosalekeza?
Kuti abwezeretse mphamvu, munthu amafunika mphamvu. Maselo a thupi amapatsidwa mphamvu ndi glucose, omwe amapangidwa kuchokera ku chakudya chamunthu. Madzi a insulin omwe amapangidwa ndi kapamba ndi omwe amachititsa kuti shuga azipezeka m'maselo. Njira yotere yobwezeretsanso mphamvu imakhala ndi thupi lathanzi.
Magazi nthawi zonse amakhala ndi shuga pang'ono, koma odwala matenda ashuga, chifukwa cha kusokonezeka kwa endocrine, shuga wamagazi amawonjezeka. Ngakhale kuchuluka kwake, glucose sangathe kulowa m'maselo ndikuwakwaniritsa. Mtundu woyamba wa matenda ashuga, chomwe chimayambitsa matendawa ndi chosakwanira kupanga insulini, komanso matenda amtundu wa 2 shuga, kusowa chitetezo m'thupi mwa ma cell a thupi. M'magawo onse awiri, kuyamwa kwa glucose komwe kumachitika ndi maselo sikuchitika, ndichifukwa chake wodwalayo amavutitsidwa ndi njala yosalekeza. Ngati wodwala yemwe ali ndi matenda osokoneza bongo alibe kusowa kudya, ndikofunikira kukaonana ndi dokotala, mwina chifukwa cha matenda ophatikizika am'mimba.
Ndikusowa kwa glucose, maselo sapereka ubongo chizindikiro cha kusasangalala, koma, m'malo mwake, akuwonetsa kusowa kwa zakudya. Ndikubwera kwa izi kuchokera ku thupi lonse komwe kumayambitsa chidwi chowonjezereka ndipo wodwalayo amafuna kudya nthawi zonse.
Momwe mungachepetse kumverera kwa njala mu shuga?
Ndikofunikira kubwezeretsa chidwi cha matenda abwinobwino. Mwa izi, mikhalidwe iyi:
- Mu shuga, masewera olimbitsa thupi ndi ofunikira.
Kusungitsa shuga mumagazi ndiye chinthu chofunikira kwambiri.
Kodi kuthana ndi vuto?
Kulakalaka kosalamulirika, komwe kumayendera limodzi ndi ludzu kwambiri ndikupita kuchimbudzi - ndizizindikiro za matenda ashuga. Muyenera kuwayang'anitsitsa kuti muyambe kulandira chithandizo chanthawi yake komanso kupewa kukula kwa zovuta. Kuchiza matendawa ndi njira ya moyo wonse, yomwe imayendetsedwa ndi dokotala ndipo sangachite popanda kugwiritsa ntchito mankhwala.
Mankhwala a insulin
Njirayi ndiyo njira yayikulu yothandizira odwala omwe ali ndi matenda amtundu wa 1, ndipo ndi mtundu wachiwiri, kuchuluka kwa mahomoni kumadalira kuopsa kwa matendawa. Hormoniyo imathandizidwa pang'onopang'ono, mlingo wake umawerengeredwa ndi adokotala. Ndikofunika kumvetsetsa kuti mankhwalawa sangachotse insulini yopangidwa ndi kapamba, chifukwa chake muyenera kulabadira zomwe zimayambitsa matendawa ndikuziteteza panthawi yake.
Mankhwala ochepetsa shuga
Nthawi zambiri amagwiritsidwa ntchito pochiza mtundu 2. Ndi dokotala yekhayo amene amatha kuwerengera mankhwalawo ndikuwapatsa mankhwala. Mankhwala omwe amachepetsa shuga ya magazi amagawika m'magulu otsatirawa:
- Maninil diabetics amagwiritsidwa ntchito kupanga insulin.
Mankhwala omwe amalimbikitsa kupanga insulin. Itha kuphatikizidwa ndi insulin. Amayamba kuchitapo kanthu mwachangu, koma amakhala ndi nthawi yosiyana yochitapo kanthu. Ayenera kumwedwa mosamala, popeza gulu ili la mankhwala limadziwika ndi chitukuko cha zotsatira zoyipa. Pali chiopsezo chochepetsa shuga m'thupi m'munsi. Izi zikuphatikiza:
- Maninil
- Diabetes
- Novonorm.
- Mankhwala omwe amalimbikitsa chidwi cha mahomoni. Wosankhidwa "Siofor", "Actos" kapena "Glucophage." Amathandizira kuyamwa bwino kwa ma cell a glucose ndipo alibe mavuto.
- Mapiritsi omwe amalepheretsa kuyamwa kwa chakudya cham'magazi ndipo amakhala ndi kuchuluka kwa shuga m'magazi ("Glucobai").
Mankhwala amakono akugwira ntchito pamtundu watsopano wamankhwala omwe amayamba kugwira ntchito kokha ndi milingo yayikulu ya glucose. Simalimbikitsa kusintha kwa kulemera kwa thupi, alibe zotsatira zoyipa ndipo safunika kusintha mlingo. Chitsanzo ndi mankhwala a Bayeta.
Chithandizo cha zakudya
Pochiza matenda oopsa, zakudya zapadera zimagwira ntchito yofunika kwambiri. Zakudya zimathandiza kuchepetsa chilakolako cha matenda ashuga, kusintha chimbudzi ndi kuchepa kwa shuga. Anthu odwala matenda ashuga amalangizidwa kuti azidya zakudya zokhala ndi michere yambiri komanso zovuta zamankhwala, amachepetsa chilakolako cha kudya komanso kupereka satiation yachangu. Ndibwino kuti muphatikize muzakudya zanu za tsiku ndi tsiku:
- oatmeal
- mbewu zonse
- maapulo
- anyezi ndi adyo
- mafuta a fulakesi.
Zakudya zomwe zimayenera kudyedwa masana zimagawika m'magulu a 5-6 komanso makamaka nthawi imodzi. Zatsopano zamasamba zimangowonjezedwa mu mbale iliyonse. Zinthu zomwe zimakhala ndi shuga zimachotsedwa kwathunthu ku zakudya. Ndipo kukonza kuyamwa kwa glucose ndi maselo, ndikofunikira kuwonjezera ntchito zamagalimoto ndikuwonjezera masewera ku regimen ya tsiku ndi tsiku.
Chidziwitsocho chimaperekedwa kuti chizidziwitso chokha chokha ndipo sichingagwiritsidwe ntchito pakudzipangira nokha mankhwala. Osadzinyengerera, zitha kukhala zowopsa. Nthawi zonse funsani dokotala. Pofuna kukopera mwatsatanetsatane kapena mwatsatanetsatane zinthu zomwe zili pamalowo, kulumikizana kwofunikira kukufunika.
Njala yayikulu yokhudza matenda ashuga, nditani?
Anton: Ndili ndi mtundu woyamba wa matenda ashuga, ndimakhala ndikumva zowawa ndi njala yayikulu. Nthawi zambiri zimafika ngakhale ku kususuka, ndimayenera kudya kwambiri, kenako ndikuyika Mlingo waukulu wa insulin yayifupi. Nthawi zonse kulumpha shuga. Ndiuzeni?
Njala yayikulu, kulakalaka kwambiri komanso kususuka mu matenda anu ndi chizindikiro cha matenda obwera chifukwa cha matenda ashuga. Ngakhale munthu wodwala matenda ashuga atadyapo chakudya chamadzulo, m'mawa amakhala ndi njala.Njala yayikulu mu shuga imayambitsidwa ndi kuphwanya kagayidwe kazakudya ndipo imakhala ndi thupi osati malingaliro.
Kumva kawirikawiri kwanjala kwa odwala matenda a shuga kumayenderana ndi kulephera kwa mamolekyulu a shuga kulowa m'maselo a thupi.
Izi zimachitika chifukwa cha shuga wambiri wambiri. Likukhalira koyipa kozungulira: wodwala matenda ashuga amadya kwambiri, amakakamizidwa kuti aike insulin yambiri, waukulu womwe nthawi zambiri samalipira shuga ya magazi. Kuchuluka kwa glucose m'magazi kumalepheretsa glucose kulowa m'mimba, chifukwa thupi sililandira mphamvu ndipo amakakamizidwanso "kupempha" chakudya. Njala imayambiranso ndipo odwala matenda ashuga amakakamizidwa kupitilirabe chakudya chambiri.
Chifukwa chake, munthu akayamba kudwala matenda ashuga amtundu woyamba, koma matendawa sanapezeke, iye, limodzi ndi ludzu lamphamvu, akumva kuwonjezeka kwamanjala, koma, ngakhale ndi kuchuluka kwa chakudya chomwe amamwa, amacheperabe.
Kodi ndichifukwa chiyani pali chidwi chowonjezereka cha matenda ashuga?
Mwa anthu athanzi, chakudya chomwe chimadyedwa chimasinthidwa kukhala glucose, omwe kenako amalowa m'maselo kuti akwaniritse zofuna za thupi. Glucose imakhala ngati mafuta m'maselo a thupi, omwe amalola kuti igwire ntchito zake zofunika. Hemeni wa insulin wotulutsidwa ndi kapamba amatsimikizira kuti glucose amalowa m'maselo.
Ndi shuga yokhala ndi shuga yovuta kulipidwa, pomwe shuga m'magazi amakwezedwa kwambiri, shuga sayenera kulowa m'maselo. Izi zitha kukhala chifukwa chosowa insulini kapena kusakhazikika kwa maselo amthupi kupita ku insulin. M'njira zonsezi, kupatsidwa shuga ndi maselo sikumachitika.
Glucose ochepa amapezeka nthawi zonse m'magazi, komabe, pamene maselo sangathe kuyamwa glucose, pamakhala kuchuluka kwake mu thupi ndipo, chifukwa chake, kuchuluka kwa shuga m'magazi (hyperglycemia). Chifukwa chake, ngakhale atakhala kuti pali shuga wambiri m'magazi ozungulira, maselo amthupi amachepa. Kuyankha kwam'mbuyomu ku chakudya cham'mimba kumawonekeranso njala.
Popeza maselo amthupi sangathe kusunga mamolekyulu a glucose, samatumiza ziwonetsero ku ubongo zokhudzana ndi satiety, koma m'malo mwake, muuzeni za kufa kwawo, komwe pamapeto pake kumayambitsa chidwi champhamvu. Chifukwa chake, zizindikilo za njala zotumizidwa ndi maselo amthupi, kenako ndikulowa muubongo, zimayambitsa chilimbikitso chokwanira kwa odwala omwe ali ndi matenda a shuga.
Kodi odwala matenda ashuga atha kusinthitsa kuchuluka kwa chakudya
Kuti matenda asinthe matenda ashuga komanso kuthana ndi vuto la kugona kwambiri, ndikofunikira:
- sinthanso shuga yamagazi ndikuisunga munthawi yofananira (kutsimikizira koyambira),
- kuchepetsa thupi, zomwe zimasokoneza mayamwidwe abwino a shuga,
- kuwonjezera zolimbitsa thupi kuti muchepetse kukana kwa insulini ndikulola maselo kugwiritsa ntchito bwino glucose omwe analandila,
- lekani kudya zakudya zokhala ndi index yayikulu ya glycemic (GI), yomwe imakwiyitsa kwambiri shuga.
- ngati kuli kotheka, monga mwauzidwa ndi dokotala, yambani kumwa mankhwala kuti muchepetse njala ndikuwonjezera chidwi cha thupi ku insulin (Metformin, Siofor).
Kumangokhala ndi njala komanso kusowa chidwi cha matenda ashuga - Zizindikiro izi zikuonetsa chiyani?
Kumva njala mosalekeza ndi chizindikiro chofala kwa odwala matenda ashuga. Patatha kanthawi kochepa, ngakhale atadya chakudya chamafuta kwambiri, wodwalayo amayamba kufuna kudya.
Makamaka njala ndi m'mawa, ndipo chakudya chamadzulo sichimathetsa, koma zimangokulitsa vutolo.
Komabe, odwala ena amadandaula chifukwa cha kusowa kudya kosafunikira.Kodi ndichifukwa chiyani wodwalayo amamva njala kapena kusowa kwa chakudya cha shuga, komanso momwe angathanirane ndi vutoli?
Kodi ndichifukwa chiyani nthawi zonse kumazunza kumverera kwa njala mu shuga?
Zodabwitsazi mu shuga sizimayenderana ndi kuperewera kwa zakudya m'thupi kapena mavuto aliwonse am'malingaliro.
Kulakalaka kwambiri kumachitika chifukwa cha zovuta za endocrinological m'thupi la wodwalayo.
Popeza mtundu woyamba wa shuga umatulutsa insulini yaying'ono, ndipo maselo amthupi salandila kuchuluka kwa glucose, sungathe kulowa mu membrane wa cell.
Zizindikiro zimatumizidwa ku ubongo zokhudzana ndi kusowa kwa "wopatsa mphamvu" wamkulu m'maselo. Momwe thupi limachitikira ndi chizindikirochi limakhala kumva kwamphamvu njala - chifukwa ubongo umazindikira kusowa kwa glucose m'maselo chifukwa cha kuperewera kwa zakudya.
Mtundu wachiwiri wa matenda ashuga, amapanga insulin yabwinobwino kapenanso kuchuluka kwake. Komabe, thupi limalimbana nawo. Zotsatira zake, glucose yemwe amamwe ndikupanga thupi amapitilira m'magazi. Ndipo maselo samalandira zinthu zofunika izi, zomwe zimaphatikizapo kumverera kwanjala.
Momwe mungayang'anire polyphagy moyang'aniridwa?
Njira zazikulu zothanirana ndi vuto lachilendo lanjala ziyenera kukhala njira zochepetsera kuyamwa kwa shuga m'thupi.
Kupatula apo, chilakolako chonyansa chimatha kubweretsa kuwonjezeka kwakukulu kwa kuchuluka kwa wodwala komanso kuwonongeka mu chikhalidwe chake chaumoyo, makamaka, pakukula kwa matenda a shuga.
Mitundu iwiri yamankhwala ingathandize odwala matenda ashuga kuthana ndi njala. Awa ndi GLP-1 receptor agonists ndi ma DPP-4 zoletsa. Kodi ndalamazi zimagwira bwanji ntchito?
Zotsatira za mankhwala oyamba zimakhazikitsidwa ndi kuthekera kolimbikitsa kupangika kwa insulin chifukwa cha kulumikizana ndi mtundu wina wa cholandilira, koma osangosintha, koma kutengera kuchuluka kwa shuga m'magazi. Nthawi yomweyo, secretion wa glucagon imaponderezedwa. Zotsatira zake, gawo loyamba la insulin katulutsidwe limabwezeretsedwa, ndipo matumbo a wodwalayo amayamba kuchepa.
Zotsatira zake, pamakhala kukonza kwawamba. Zizindikiro za wodwala zimayamba pang'onopang'ono koma nthawi zonse zimabwezeretsedwa. Kuphatikiza apo, kutenga ma Galon-1 agonists kumathandizira minofu yamtima, kukonza mtima, ndipo chifukwa chake amatha kutengedwa ndi odwala omwe ali ndi vuto la mtima.
Zotsatira zoyipa kwambiri za agonists a GLP-1 ndikuchitika mseru komanso kusanza.
Komabe, pakapita nthawi ndipo thupi limazolowera mankhwalawa, kulimba kwa zotsatira zoyipa kumachepa kwambiri.
DPP-4 inhibitors ndimankhwala amakono omwe amalimbikitsa zochita za ma insretin - mahomoni opangidwa atatha kudya omwe angalimbikitse kapamba kuti apange insulin.
Zotsatira zake, insulini imangodzuka ndi kuchuluka kwam shuga. Nthawi yomweyo, thanzi la zisumbu za Langerhans likukula. Kuphatikiza pa kumwa mankhwala, mutha kuchepetsa chidwi chambiri mwakugwiritsira ntchito mayankho azakudya. Choyamba, siyani zakudya zomwe zili ndi shuga wokwanira.
Zakudya zokhala ndi CHIKWANGWANI zimathandiza kuthana ndi njala. Chifukwa chake, ndikofunikira kuyambitsa mu zakudya zochuluka zokwanira monga:
Cinnamon imatha kuchepetsa njala. Izi zonunkhira ziyenera kuwonjezeredwa ku mankhwala azitsamba athanzi. Ndikofunikanso kudya zipatso za malalanje, koma mosamala - kumbukirani fructose yomwe ali nayo.
Kuti muchepetse kudya, ndikofunikira kuchepetsa magawo a chakudya. Izi zimatheka pogawa kuchuluka kwa zakudya zomwe wodwala amadya patsiku mpaka zisanu. Chifukwa chake, bongo limalandira zizindikiritso pafupipafupi, ndipo kuchuluka kwa shuga kwa magazi sikungokulira kwambiri mukatha kudya.
Kupanda chilimbikitso cha matenda ashuga: kodi ndiyenera kuda nkhawa?
Nthawi zina, odwala samadwala chifukwa chowonjezeka, koma, m'malo mwake, kuchokera ku kuchepa kwakudya. Nthawi zina kusowa kwa chakudya kumayambitsa matenda a anorexia.
Kuchepa kwambiri kwa njala kumachitika mu mtundu woyamba wa shuga ndipo amadziwika kwambiri ndi odwala 10-15%. Kodi ndibwino kuti muzikhala ndi nkhawa ngati mukumva kuti sindingadyeko?
Muyenera kudziwa - kusowa kwa chakudya m'mayendedwe a anthu ashuga ndi chizindikiro choopsa kwambiri kuposa kulakalaka kwambiri. Ikuwonetsa kukula kwa matenda akulu - ketoacidosis ndi kulephera kwa aimpso.
Mkhalidwe woyamba umadziwika ndi kuwonjezeka kwakukulu kwa kuchuluka kwa matupi a shuga ndi ketone, kuwonjezeka kwa mamasukidwe amwazi, komanso mavuto azungulira magazi. Kukhazikika kwa matendawa kumatha kubweretsa kukomoka komanso kufa.
Nephropathy imapangitsanso kuchepa kapena kusowa kudya kwathunthu. Izi ndi zina mwazovuta komanso zowopsa za matenda ashuga. Gawo lowopsa ndi nthawi yayitali ya chitukuko cha asymptomatic.
Zoyenera kuchita ngati simukufuna kudya?
Matenda a shuga amawopa mankhwalawa, ngati moto!
Ndikofunikira kutsatira.
Choyamba, pakalibe kudya, ndikofunikira kulimbitsa kuwongolera kwa glucose, kujambula zomwe zapezeka kuti muzindikire mphamvu.
Kuwonongeka kwa chidwi kuyenera kudziwitsidwa kwa dokotala.
Ngati matenda a shuga atatha, kusintha kwa kadyedwe ndikuyambitsa zolimbitsa thupi, kulakalaka kusachira, kuwunika kwa ziwalo zamkati kwasonyezedwa, makamaka thirakiti la m'mimba ndi impso kuti mupeze matenda omwe angayambitse. Malinga ndi zotsatira za kafukufukuyu, njira zabwino zochizira matendawa ndizosankhidwa.
Chithandizo cha matenda amanjala: zabwino ndi mavuto
Maphunziro ena amakono atsimikizira za kusala kudya kwa odwala matenda ashuga.
Njira yochitidwa moyenera imakupatsani mwayi wochepetsera shuga, kusintha kwamitsempha yamagazi ndi impso, komanso kubwezeretsa kapamba pamlingo wina.
Nthawi yomweyo, kusala kudya kwakanthawi kokhako kuyenera kuzindikirika ngati kothandiza thupi la odwala matenda ashuga. Ambiri omwe amalekeredwa mosavuta ndi anthu ambiri, kukana kudya kenas sikungakhale kopanda pake, komanso kungakhale koopsa kwa odwala matenda ashuga. Pambuyo poyambiranso kudya, pali kuwonjezeka kowopsa kwa shuga.
Kodi chiwopsezo cha kuchepa thupi msanga ndi chiani?
Kuchepetsa thupi makilogalamu asanu pamwezi kapena kupitirira apo ndi chizindikiro kuti kapamba satulutsa insulini ya mahomoni.
Kusowa kwa "mafuta" kulowa m'maselo kumayamba kuchepa thupi - pambuyo pake, thupi limayamba kudya minofu yamafuta.
Palinso kuchepa kwakukulu kwa minofu yambiri, zomwe zimatsogolera ku dystrophy. Chifukwa chake, ndi kuchepa kwambiri kwa thupi, muyenera kulumikizana ndi katswiri. Mwina njirayi ndi umboni wa kufunika kwa jakisoni wambiri wa insulin.
Makanema okhudzana nawo
Chifukwa chiyani matenda ashuga nthawi zonse amakhala ndi njala komanso zoyenera kuchita:
Pafupifupi, kusowa chakudya kwachilendo,, kupezeka kwake kwathunthu ndizizindikiro zakukula kwa matenda ndipo amafunikira chisamaliro kuchokera kwa akatswiri ndi chithandizo chanthawi yake.
- Imakhazikika pamisempha ya shuga kwa nthawi yayitali
- Imabwezeretsa kapangidwe ka insulin
Bwanji kuti musamve ludzu ndi matenda ashuga?
Wopeza endocrinologist akapezeka ndi matenda a mtundu wachiwiri kapena woyamba, pamakhala mavuto ambiri omwe sanathetsedwe. Chimodzi mwazokayikira ngati izi kusala kudya. Pafupifupi tsiku lililonse kuchokera pamavuto ama TV amtunduwu amauzidwa za momwe mumamverera mukatha kutaya tsiku lililonse. Ponseponse, kodi kusala kudya kwa shuga ndikwabwino kapena kwabwino?
Kodi mawu ngati amenewa ndi odalirika? Mfundoyi ndiyofunikira kwa odwala matenda ashuga. Chifukwa chake, tidaganiza zobwereza mutuwu.
Ofufuza ena adazindikira zomwe zikuchitika: kufa ndi matenda a shuga komanso kuchepa kwa zakudya za tsiku ndi tsiku, zimakhudza kuwonongeka kwa matendawa (bwino) kapena kumabweretsa kuchira kwathunthu. Izi ndichifukwa chakuti insulin katulutsidwe amayamba ndi kudya.
Kuyesedwa kwapafupipafupi ndi kafukufuku kumachitika kuti muwone zabwino ndi zovulaza za njala.
Kusala kudya
Malinga ndi endocrinologists ndi asayansi, zikuwoneka bwino.
Chifukwa chiyani munthu amamva njala
Kumva njala kumachitika kwathunthu m'magulu onse a anthu, mosaganizira jenda, mtundu ndi thanzi. Ndikosavuta kuzizindikira ndi zizindikiro zilizonse, chifukwa chake njala imadziwika monga kumverera wamba komwe kumawoneka ngati m'mimba mulibe kanthu ndikuzimiririka mukadzaza.
Kumva njala kumalimbitsa munthu kuti asangodzaza m'mimba, komanso kusaka nthawi zonse mwachindunji chakudya chomwe. Vutoli limatchulidwanso kuti kukopa kapena kuyendetsa.
Pakadali pano, njira za kumva izi ndizofooka.
Anton: Ndili ndi mtundu woyamba wa matenda ashuga, ndimakhala ndikumva zowawa ndi njala yayikulu. Nthawi zambiri zimafika ngakhale ku kususuka, ndimayenera kudya kwambiri, kenako ndikuyika Mlingo waukulu wa insulin yayifupi. Nthawi zonse kulumpha shuga. Ndiuzeni?
Njala yayikulu, kulakalaka kwambiri komanso kususuka mu matenda anu ndi chizindikiro cha matenda obwera chifukwa cha matenda ashuga. Ngakhale munthu wodwala matenda ashuga atadyapo chakudya chamadzulo, m'mawa amakhala ndi njala. Njala yayikulu mu shuga imayambitsidwa ndi kuphwanya kagayidwe kazakudya ndipo imakhala ndi thupi osati malingaliro.
Kumva kawirikawiri kwanjala kwa odwala matenda a shuga kumayenderana ndi kulephera kwa mamolekyulu a shuga kulowa m'maselo a thupi.
Izi zimachitika chifukwa cha shuga wambiri wambiri. Likukhalira koyipa kozungulira: wodwala matenda ashuga amadya kwambiri, amakakamizidwa kuti aike insulin yambiri, waukulu womwe nthawi zambiri samalipira shuga ya magazi. Mwazi wamagazi ambiri.
Chochita ndi njala yopweteka kwambiri odwala matenda ashuga?
Kulakalaka kwambiri, njala yayikulu ndipo, chifukwa chake, kususuka kwa shuga ndi chizindikiro chotsimikizika chobwezeretsedwera. Nthawi zambiri zimachitika kuti chimodzi mwazizindikiro zoyambirira za matenda ashuga, pomwe sichinapezeke, ndizolakalaka zenizeni, kumangokhalira kumva njala ndi kuchepa thupi, ngakhale mukudya kwambiri. Njala yayikulu mu shuga imakhala yachilengedwe ndipo imayambitsidwa ndi kuphwanya kagayidwe kazakudya.
Ma mamolekyulu a glucose amakumana ndi zovuta nthawi zonse akalowa m'maselo a thupi. Ndipo izi zimachitika chifukwa cha magazi akulu. Bwalo lozungulira chabe. Munthu amadya kwambiri, kenako amapaka insulin yambiri, yomwe nthawi zambiri imalephera kuthana ndi shuga, thupi sililandira mphamvu yofunikanso ndipo "imafunsanso" kudya.
Zomwe Zimayambitsa Kulakalaka kwa Matenda A shuga
Mwa munthu wathanzi, chakudya chimatembenukira mwachindunji mu glucose ndipo, kulowa m'maselo, kumakwaniritsa kufunikira kwa mphamvu. Glucose -.
Kusala kochizira mu shuga
Pali malingaliro olakwika ponena za kusatheka kwa kufa ndi njala kwa odwala matenda ashuga. Kukula kwakukulu, amathandizidwa ndi endocrinologists. Zolemba zomwe zilipo pakadali pano pogwiritsa ntchito zakudya, mankhwala omwe amachepetsa shuga ya magazi ndi insulin, komanso kukula kwa mankhwalawa amathandizira kuti akhale ndi malingaliro. Nthawi yomweyo, akatswiri azosala kudya satchula kuti shuga ndiwotsutsana kwathunthu. Chifukwa chake mndandanda wazisonyezo zachipatala ndi zotsutsana pakugwiritsira ntchito kusala kudya, matenda ashuga amtundu wa 2 ndi kutsutsana ndipo mtundu wokhawo wa shuga ndiwotsutsana kwathunthu."Mtundu wachiwiri wa matenda a shuga, osati ovuta kuwonongeka kwamitsempha yamagazi, RDT imagwiritsidwa ntchito bwino."
Ndikukhulupirira kuti mumaliza molondola! Zakudya izi zimayenera kukhala zabwino, zophatikiza mapuloteni, mafuta, ndi CarBOHYDRATES, pomwe timapeza mphamvu yofunikira mthupi. Apanso, musaiwale kuti zopatsa mphamvu zimayenera kukhala ZABWINO, zopatsa mphamvu. Ndipo musaiwale lomwe funso linali.
Ndiuzeni zovuta, nthawi zambiri mukatha kudya, pakanthawi kochepa kumamvanso njala, ngakhale kulibe.
Kwenikweni ndimabwereza yankho
Apa limodzi mwa awiri, kapena osakwanira kalori chakudya, kapena kuthekera kwa insulin mankhwala.
Ndipo ndikufotokozeranso kuti chakudya chosakwanira kalori sichimodzi momwe mumakhala mafuta ambiri, koma CHAKUDYA CHOKHA!
ndi pempho lina, kuti ndiganize za yankho pamutu wamsonkhanowu, ndipo osatengera moyo wanga, zomwe mkazi aliyense ayenera kukhala pamenepo.
Kusala chithandizo cha matenda ashuga Kusala kudya bwanji?
Matenda a shuga ndi matenda omwe, chifukwa cha kusowa kwa insulin, zomwe zimakhala m'thupi zimatuluka. Kusala ndi matenda a shuga kungayambitse matenda a shuga.
Kuthira mankhwala a shuga
Zizindikiro zazikulu za matendawa ndi:
pakamwa pouma kwambiri ndi pharynx, njala, khungu lowuma, kuwonda popanda chifukwa chodziwikiratu, pafupipafupi komanso kukodza kwakukulu.
Kuti mupeze matenda a shuga, ndikokwanira kupita kuchipatala, kukatenga mkodzo ndi magazi kuti mukawunikidwe, ndikuwona shuga. Matenda a shuga ndi amitundu iwiri:
mtundu woyamba (pamene insulini palibe), mtundu wachiwiri (insulin umabisidwa, koma maselo sawayankha bwino).
Akatswiri azachipatala amatsutsa: kodi ndizotheka kuchiza matenda a shuga ndi njala?
Amakhulupirira kuti ndizoletsedwa kupha anthu omwe ali ndi matenda ashuga. Ena omwe amapereka chithandizo chamankhwala ena ali otsimikiza kuti kutsatira kusala kudya kungayambitsenso ntchito ya endocrine system. Samalingalira za matenda a shuga monga kuponderezana kwathunthu. Madokotala amaika matenda amtunduwu a endocrine amtundu wachiwiri pa mndandanda wa zotsutsana, koma mtundu 1, njala imabweretsa mavuto akulu mthupi.
Kodi matenda ashuga angachiritse njala?
Njala ya matenda ashuga amtundu woyamba ndiowopsa chifukwa kuperewera kwa michere mthupi, kuchuluka kwa matupi a ketone kumayamba kuchuluka mwachangu.
Amapangidwa chifukwa chakuti pamakhala kuwonongeka kwamafuta m'mphamvu zamagetsi pakakhala chakudya. Chifukwa chake, njala imakulitsa mwayi wokhala ndi vuto la hypoglycemic lomwe ndilowopsa pamoyo wa wodwalayo.
“Matenda okoma” ndi amodzi mwa matenda ofala kwambiri padziko lapansi. Nkhani yothandizadi ndimayendedwe a matenda amenewa amakhalabe omasuka nthawi zonse. Chifukwa chake, madokotala ndi asayansi akuyesera kuti apeze njira zowonjezereka zothanirana ndi matendawa.
Ngati tikulankhula za njira yosachiritsika yothandizira matenda a carbohydrate metabolism, ndiye kuti muyenera kulabadira njira yodwala matenda a shuga. Njirayi ili ndi othandizira ambiri komanso otsutsa pakati pa madokotala ndi odwala.
Njira yakale yolimbana ndi matendawa imakana
Limagwirira ntchito za matenda ashuga
Wodwala aliyense ayenera kukumbukira kuti kuchita izi mthupi lake kuli ndi zotsatirapo zoipa. Ndiye chifukwa chake sungakane kudya popanda kuyang'aniridwa ndi dokotala. Njira yabwino ikakhalira ngati munthu ayamba kufa ndi njala.
Akatswiri ambiri amakhulupirira kuti njira imodzi yoyeretsera bwino thupi ndi matenda ashuga ndi njala. Kodi nkoyenera kuyembekezera kuti njira iyi ichiritse matenda ashuga a 2? Ndipo kodi padzakhala zopindulitsa thupi?
Matenda a shuga ndi matenda omwe akusowa insulini m'thupi komanso chiwopsezo cha minyewa imayamba kuchuluka. Matenda a fomu yodalira insulin samachiritsidwa, chifukwa chake munthu amadzaphatikizidwa ndi jakisoni mpaka kumapeto kwa moyo wake.
Pakadali koyamba kwa matenda a shuga a mtundu wachiwiri, wodwalayo safuna jakisoni, koma amatenga mapiritsi omwe amachepetsa kuchuluka kwa shuga m'thupi. Pankhaniyi, mutha kuyesa kusintha makina kuti akhale china. Choyambitsa chachikulu cha chiwonetsero cha matendawa ndikuwonjezera kwakukulu kwa kulemera kwa thupi. Chifukwa chake, pogwiritsa ntchito kusala ndi shuga, mutha kuchotsa zolemera kwambiri, zomwe zingayambitse kuchuluka kwa shuga m'magazi.
Kusala ndi matenda a shuga ndikotheka ngati munthu alibe zovuta m'mitsempha yamagazi komanso zovuta zina.
Zizindikiro zakumakhala ndi njala
Munthu amayamba kumva njala pomwe zovuta zoyambira zimayamba kutuluka m'mimba.
Munthawi yabwinobwino, munthu amayamba kuzindikira kuti ali ndi njala maola 12 atatha kudya (chizindikiro ichi chikhoza kusiyana kutengera gawo lomwe wapezeka). Mimba imapangidwa ndi kukokana komwe kumakhala kwa theka la miniti. Kenako pang'onopang'ono kupuma ndi kukokana kuyambiranso. Pakapita kanthawi, mphamvu zake zimakhala zosatha ndipo zimadziwika bwino. Chimayamba "kuyamwa pansi ndi supuni." Kung'ung'udza kumapezeka m'mimba.
Kuthamangitsidwa m'maganizo kumatha kubweza nkhawa kwakanthawi. Zikuwoneka kuti anthu omwe ali ndi shuga okwanira (odwala matenda ashuga) amakhudzidwa kwambiri ndi njala.
Mwinanso, pamachitidwe ake, dokotala aliyense adanenanso mawu ochokera kwa odwala: "Nthawi zonse ndimamva njala". Koma ndi okhawo omwe amatha kudziwa zomwe zimayambitsa matenda.
Njala ya matenda ashuga, ngati njira yochizira.
Funsoli likufunsidwa kwambiri ndi odwala matenda a shuga. Tiyeni tiwone ngati njala imathandizadi ndi matenda ashuga? Kodi kusala kudya kwa anthu ashuga kumakhala kowopsa bwanji? Ndipo momwe mungafe ndi matenda a shuga ndi matenda?
Choyamba, njira zopewa komanso kuchizira matenda ashuga ndizosangalatsa kwa anthu omwe, kuwonjezera pa matendawa, amanenepa kwambiri. Chifukwa chake, mutatembenukira ku njira iyi, mutha kupha, monga amanenera, mbalame ziwiri ndi mwala umodzi: muchepetse shuga ndi gawo limodzi ndi ma kilos otopa.
Komabe, ambiri a endocrinologists amavomereza kuti kusala ndi matenda ashuga ndi njira yowopsa kwambiri yomwe imafuna kuwunika nthawi zonse ndikuwonetsetsa akatswiri. Komabe, musanapite ku njira yodalirika yamankhwala yotere, ndikofunikira kuti mupimidwe mayeso kuti musavulaze thupi lanu panobe.
Matenda a shuga amaphatikizika ndi kuperewera kwambiri kwa insulini m'thupi kapena kuchepa kwa mphamvu ya timadzi timeneti mkati. Mu shuga mellitus wamtundu wachiwiri, wodwalayo samatengera kakonzedwe ka mahomoni tsiku ndi tsiku kuti thupi likhale lolimba m'magazi. M'malo mwake, amatha kumwa mankhwala ochepetsa shuga ndikuwongolera kuchuluka kwa shuga pogwiritsa ntchito masewera olimbitsa thupi komanso kudya mokwanira.
Chifukwa chachikulu chakukhazikitsidwa kwa matenda a shuga a mtundu wachiwiri, monga lamulo, ndi odwala matenda ashuga onenepa kwambiri. Kusala ndi shuga kumatha kuchepetsa kunenepa, kuthana ndi kunenepa kwambiri komanso kusintha shuga.
Mphamvu ya kusala kudya shuga
Ponseponse, madokotala samatha kuvomerezana kuti chithandizo cha matenda ashuga amtundu wa 2 chikuyenda bwino motani.Omwe amalimbikitsa kugwiritsa ntchito njira zina mmalo mwaukadaulo kuti achepetse kulemera amalimbikitsa kugwiritsa ntchito mankhwala ochepetsa shuga ndi ma regimen ena.
Kodi njala ingakhale yothandiza bwanji kwa munthu wodwala matenda ashuga? Kafukufuku wambiri watsimikizira kuti njala imachepetsa kuchulukitsa kwa matendawa, kapena, amachiritsa kwathunthu. Izi ndichifukwa choti insulini imayamba kupangidwa pokhapokha chakudya chitalowa m'thupi. Ichi ndichifukwa chake otchedwa akudya mokhazikika saloledwa kwa odwala matenda ashuga, chifukwa amachulukitsa kwambiri insulin.
Anthu omwe amachita mankhwalawa amawona kufanana pakati pakupezeka kwamkodzo ndi magazi mwa odwala ndi odwala matenda ashuga. Zomwe zimasinthira zizindikiro - glycogen nkhokwe zimachepetsedwa kwambiri, ndipo thupi limayamba kulimbikitsa zinthu zamkati. Mafuta owaza amayamba kukonzedwa mu chakudya, chomwe chimatsatana ndi mapangidwe a fungo linalake osati mkodzo, komanso mkamwa.
Kuthira mankhwala
Kuti mupeze matenda a shuga, muyenera kulumikizana ndi a chipatala chanu, komwe angakulangizeni kuti mukayezetsedwe magazi, mkodzo woyesa, womwe ungakuthandizeni kudziwa kuchuluka kwa shuga. SD
Njala ya matenda ashuga
Woyang'anira Institute of matenda a shuga: “Tayetsani mita ndikuyesa. Palibenso Metformin, Diabetes, Siofor, Glucophage ndi Januvius! Mgwireni ndi izi. "
Zizindikiro za matenda ashuga.
Chifukwa cha kusowa kwa insulin mthupi, chiwindi ndi minofu zimalephera kutulutsa shuga (glucose) kuti akhale glycogen, motero, mataniwo samapaka shuga ndipo sangathe kuigwiritsa ntchito ngati mphamvu, zomwe zimapangitsa kuti magazi azikula komanso azikhala ndi shuga mu mkodzo. Zizindikiro zofunika kwambiri za matenda ashuga.
Zizindikiro za matenda amtundu woyamba 1 zimaphatikizapo kukodza pafupipafupi, ludzu lalikulu, nseru, kusanza, kufooka ndi kutopa, kuchepa thupi (ngakhale zili bwino kapena kuchuluka kwa chakudya), njala yosalekeza, kusokonekera. Mu ana, kuvala limodzi ndi chimodzi mwazizindikiro za matenda ashuga, makamaka ngati mwana sanakodzerepo pakama.
Ndi matenda amtundu wa 1 shuga, mikhalidwe imayamba pamene kuchuluka kwa shuga (m'magazi) m'magazi kukakhala kwakukulu kwambiri kapena kotsika kwambiri. Iliyonse mwa mikhalidwe imeneyi imafuna chithandizo chamankhwala mwadzidzidzi. Hypoglycemia mwadzidzidzi imayamba chifukwa chodumpha zakudya, kuchita masewera olimbitsa thupi kwambiri, kapena chifukwa cha insulin yayikulu. Zizindikiro zoyambirira za hypoglycemia ndi njala, chizungulire, thukuta, kukomoka, kunjenjemera, milomo. Ngati simusiyidwa, kusokonezeka, zosayenera, komanso kukomoka kumatha kuchitika.
Hyperglycemia imayamba pang'onopang'ono, maola angapo ndipo ngakhale masiku. Kuchepa kwa hyperglycemia kumawonjezeka panthawi ya matenda, pamene kufunika kwa insulin kumawonjezeka. Mwina kukula kwa chikomokere. Chimodzi mwazinthu zomwe zimapangitsa kuti khungu lisokonekere ndi kulephera kusunga mkodzo. Zotulukapo zakanthawi yayitali zimaphatikizapo stroko, khungu, kuwonongeka kwa mtima, mitsempha.
Zizindikiro za matenda amtundu wa 2 amaphatikizanso kuyabwa, kupweteka kwakanthawi kwa khungu, makamaka kupweteka, khungu, khungu, kugona, kutopa, matenda amkhungu, kuchuluka kwa matenda amkhungu, kuchiritsa pang'onopang'ono mabala, dzanzi ndi kupweteka kwa m'mimba. kugwedezeka, kukwawa, osati chifukwa cha mkwiyo wakunja) wamiyendo.
Matendawa amayamba atakula ndipo nthawi zambiri amakhudzana ndi kuperewera kwa zakudya m'thupi. Ndi matenda a shuga, zizindikiro zonga chimfine zimapezekanso, kuchepa kwa tsitsi kumiyendo, kukula kwa tsitsi kumaso, kakulidwe kakang'ono kachikasu pakhungu lotchedwa xanthomas.Ndi chithandizo chosayenera kapena chosakwanira, kupita patsogolo kwa matendawa kumayendetsedwa ndi kuwoneka kwa ululu m'miyendo chifukwa cha kuwonongeka kwa mitsempha yapamwamba ...
Kodi chithandizo chake ndi chothandiza motani?
Popeza odwala nthawi zambiri amafunsa madokotala ngati kuli kotheka kusala kudya matenda ashuga amtundu wa 2, ndikofunikira kukambirana izi, chifukwa kusala kudya ndi matenda ashuga 2 kumakhala kothandiza kangapo pachaka kuwongolera kuchuluka kwa shuga m'magazi a munthu. Koma ndikofunikira kunena nthawi yomweyo kuti kugwiritsa ntchito njira zamankhwala popanda kufunsa dokotala kumakhala koopsa ku thanzi.
Sikuti madokotala onse amawona kuti chakudya ndi njira yabwino yothanirira ndi thanzi, koma palinso madokotala omwe akutsimikiza kuti kukana chakudya kwakanthawi kumathandizira kuti shuga akhalebe yabwino.
Kukumana ndi njala sikuti kumathandizira kuchuluka kwa shuga mthupi, komanso kumathandizira kuchepetsa kuchepa kwa thupi, ndipo izi ndizofunikira ngati wodwala yemwe ali ndi vuto la kunenepa kwambiri.
Malamulo oyambira kupewa kudya
Matenda a shuga ndi matenda oopsa, chifukwa cha ichi kusala kudya ndi matenda ashuga 1 ndikuletsedwa kofunikira, ndikofunikanso kutsatira malamulo oyambirira okana chakudya. Choyamba, muyenera kufunsa dokotala, popeza ndi dokotala yekha amene amatha kuwerengetsa masiku oyenera kudya, ndipo wodwala amayenera kupimitsa mayeso ena. Ponseponse, osachulukitsa njala kwa masabata opitilira awiri, chifukwa kukana chakudya kumavulaza thupi, osathandiza.
Chithandizo cha matenda ashuga ndi njirayi adagwiritsidwa ntchito zaka makumi angapo zapitazo, zachidziwikire, matendawa sanachoke kwamuyaya, koma mitengo ya shuga idakwera bwino. Malinga ndi madotolo, ndi mtundu wachiwiri wa matenda ashuga, ndikwabwino kukana chakudya kwa masiku anayi, izi zidzakhala zokwanira kutsitsa shuga.
Ngati m'mbuyomu wodwalayo sanadyepo mankhwala ochiritsira, ndiye kuti ayenera kukonzekera thupi lake mosamala kwambiri, ndikugwiranso ntchito yolimbana ndi anthu odwala. Muyenera kuyang'aniranso shuga wanu wamagazi ndi kumwa osachepera malita awiri ndi theka a madzi oyeretsedwa. Masiku atatu musanadye chakudya, ndikofunikira kukonza thupi kuti lizitsatira chithandizo, chifukwa iyi ndi njira yofunika kwambiri.
Asanayambe njala, wodwalayo amadzipangira njira yodziyeretsera, zimathandiza kuyeretsa matumbo a zonse zosafunikira, enemas izi ziyenera kubwerezedwa kamodzi masiku atatu. Ziyenera kukonzekera kuti fungo la acetone lipezeke mkodzo wa wodwalayo, ndipo fungo liyambika kuchokera mkamwa mwa wodwalayo, popeza chinthucho chimakulirakulira. Koma vuto la glycemic likadutsa, kuchuluka kwa acetone kudzatsika modabwitsa, kenako fungo lidzatha. Fungo limatha kudziwonetsa pakatha milungu iwiri yoyambirira yanjala, pomwe shuga mumagona nthawi zonse mpaka wodwala atakana kudya.
Mankhwala akakhala ndi njala atamalizidwa, mutha kuyamba kuchoka pang'onopang'ono kuchokera pachakudya ichi, chifukwa masiku atatu oyambawa munthu saloledwa kudya zakudya zilizonse zolemera, ndiye kuti, adzasinthanso zakudya zomwe wodwalayo adatsatira asanayambe kudya. Zakudya zopatsa mphamvu zimayenera kuwonjezeka pang'onopang'ono kuti zisayambitse kulumpha lakuthwa m'magazi m'magazi, panthawi ino ndikofunikira kwambiri kuwunika momwe amawerengera shuga.
Kwa tsiku, ndibwino kuti musamadye mopitilira kawiri, ndipo zakudya zake ziyenera kukhala ndi timadziti tina tomwe timaphatikizidwa ndi madzi, simungathe kudya mapuloteni komanso mchere wamchere. Mankhwalawa akamamalizidwa kwathunthu, ndikofunikira kuphatikiza masamba ambiri azakudya mu zakudya zanu, walnuts ndi mitundu yamasamba amaloledwa.
Ndemanga Zachangu Zosautsa
Kwa zaka zingapo tsopano, ndakhala ndikulimbana ndi matenda a shuga omwe amandivuta, kuphatikiza pakuchepetsa kudya ndi kumwa mapiritsi pafupipafupi, ndinayamba kuwona kuwonjezeka kwa thupi pazaka zisanu zapitazi. Zinali chifukwa cha kunenepa kwambiri komwe ndidaganiza zoyamba kudya izi, pomwe ndimamwa madzi okha omwe amaloledwa. Pofika tsiku lachisanu la kukana chakudya, ndidayamba kuzindikira fungo loipa la acetone kuchokera mkamwa mwanga, dotolo yemwe adakhalapo adati ziyenera kukhala choncho, ndidali ndi njala sabata limodzi, popeza kale zinali zovuta kukhala wopanda chakudya. Munthawi yanjala, shuga pafupifupi sanatulutse, ndimangopindika pafupipafupi ndimutu, ndinakwiya kwambiri, koma ndinataya ma kilogalamu asanu.
Mwinanso ndinadya zakudya zolakwika, koma zinabwera kwa ine molimbika kwambiri, kumverera kwanjala sikunasiye mpaka kumapeto kwenikweni, ndipo ndinakana chakudya kwa masiku khumi. Masiku anayi omaliza akhala ovuta kwambiri, chifukwa kufooka kunali kosalephera, chifukwa cha ichi sindingathe kupita kuntchito. Sindidzachitanso zondiyesa ndekha, ngakhale shuga anali abwinobwino komanso kulemera kwanga kunachepa pang'ono, koma ndibwino kugwiritsa ntchito mankhwala omwe atsimikiziridwa osati kudzivulaza ndekha pakusala kudya.
Dokotala adandilimbikitsanso kadyedwe, popeza ndili ndi matenda ashuga kuyambira ndili mwana, kulemera kwanga kumakulirabe, ndipo ndimafunitsitsadi kusiya mapaundi owonjezera. Ndidayamba kulowamo malingana ndi malamulo onse, poyamba ndimatsatira kudya mosamalitsa, kenako ndimatsuka njira zam'matumbo, ndipo zitatha izi ndidakhala ndi njala yonse. Nthawi zonse ndimayenera kunyamula botolo lamadzi ndi ine, chifukwa ndimayenera kumwa mphindi khumi ndi zisanu zilizonse, ndimayesanso kuchita masewera olimbitsa thupi pang'ono komanso kupuma kwambiri. Kwa masiku khumi ndi njala, ndidachotsa pafupifupi mapaundi asanu ndi atatu, ndipo thanzi langa lidakhala labwino. Ndikukulangizani kuti muyesere kudya, koma pokhapokha ngati muli ndi dokotala!
Ndinadwala matenda ashuga m'mbuyomu zaka zanga kusukulu, ndiye kuti kunalibe njira zamankhwala zoyambira zomwe zilipo masiku ano, pachifukwa ichi adotolo nthawi zambiri ankalimbikitsa kuti ndikhale ndi masiku a njala. Nthawi zambiri ndimamwa madzi ndikupumula osaposa masiku anayi, thanzi langa limakhala labwino, shuga amabwerera mwakale, ndipo kulemera kwake kumakhala kosavuta. Lero sindigwiritsanso ntchito njirayi, koma ndikulimbikitsa kuyesera ndi ena.
Njala ya matenda ashuga amtundu woyamba
Matenda a shuga ndi mawonekedwe amtundu wa insulini amapezeka ndi kuperewera kwathunthu kwa insulin katulutsidwe. Izi zikuchitika chifukwa cha kuwonongeka kwa minofu ya kapamba ndi kufa kwa khungu.
Kulakalaka kukweza kumatanthauza chimodzi mwazizindikiro zoyambirira za matenda ashuga. Chifukwa chachikulu chomwe muliri ndi matenda a shuga 1 ndikuti maselo sangathe kupeza kuchuluka kwa glucose m'magazi. Mukamadya, insulini simalowa m'magazi, motero glucose pambuyo poti mumatulutsika m'matumbo amakhalabe m'magazi, koma maselo nthawi yomweyo amakhala ndi njala.
Chizindikiro cha kusowa kwa glucose m'matipi amalowa mkati mwa njala muubongo ndipo munthu amafunitsitsa kudya, ngakhale atadya kumene. Mu shuga mellitus, kuchepa kwa insulin sikulola kuti mafuta azikundana ndikusungidwa, chifukwa chake, ngakhale kuli ndi chidwi chambiri, matenda amtundu wa 1 amabweretsa kuwonjezeka kwa thupi.
Zizindikiro zakukulira kudya zimaphatikizidwa ndi kufooka kwambiri chifukwa cha kusowa kwa mphamvu ya zinthu (glucose) ya muubongo, yomwe singakhalepo popanda iwo. Palinso kuwonjezereka kwa zizindikirozi ola limodzi mutatha kudya, kuwoneka kuti kugona ndi kufooka.
Kuphatikiza apo, ndi mtundu 1 wa shuga m'mankhwala amkati ndi kukonzekera kwa insulin, kuchepa kwa shuga m'magazi kumachitika kawirikawiri chifukwa cha kudya kwadzidzidzi kapena kuchuluka kwa insulini. Mikhalidwe iyi imachitika ndi kupsinjika kwamthupi kapena m'maganizo, komanso kumatha kuchitika ndi kupsinjika.
Kuphatikiza pa njala, odwala amadandaula za mawonekedwe:
- Kugwedezeka manja ndi minyewa yolunjika.
- Zosangalatsa pamtima.
- Kusanza, kusanza.
- Kuda nkhawa komanso kukwiya, zinawonjezera nkhawa.
- Kukula kufooka.
- Thukuta kwambiri.
Ndi hypoglycemia, monga chitetezo cha thupi, mahomoni opsinjika amalowa m'magazi - adrenaline, cortisol. Zolemba zawo zapamwamba zimapatsa mantha komanso kulephera kudziletsa pakudya, chifukwa wodwala yemwe ali ndi matenda ashuga amatha kudya zakudya zopatsa thanzi kwambiri mdziko muno.
Nthawi yomweyo, zotsekemera zotere zimatha kupezekanso ndi kuchuluka kwa shuga m'magazi, ngati m'mbuyomu mulingo wake udali wokwera. Kuwona koyenera kwa hypoglycemia kwa odwala kumatengera momwe thupi lawo lasinthira.
Chifukwa chake, kuti mupeze njira zamankhwala, muyenera kuphunzirapo za shuga wamagazi.
Polyphagy mu mtundu 2 shuga
Ndi matenda a shuga a mtundu 2, kuchuluka kwa shuga m'magazi kumakulanso m'thupi, koma njira yoperewera imayenderana ndi njira zina.
Matenda a shuga amapezeka motsutsana ndi kubera kwazomwe kumachitika pakhungu la insulin chifukwa cha kapamba. Koma popeza kuthekera kwa kuchitapo kanthu kutayika, glucose amakhalabe m'magazi, ndipo sagwiritsidwe ntchito ndi ma cell.
Chifukwa chake, ndi mtundu wamtunduwu wa shuga, mumapezeka insulin yambiri komanso shuga m'magazi. Insulin yochulukirapo imatsogolera ku mfundo yoti mafuta amayikidwa kwambiri, kusweka kwawo ndi kuchotseredwa kumachepetsedwa.
Kunenepa kwambiri ndi mtundu wachiwiri wa shuga kumayendera limodzi, zomwe zimatsogolera pakukula kwa kusokonezeka kwamafuta ndi chakudya chamafuta. Chifukwa chake, kulakalaka kudya kwambiri ndi kudya komwe kumakhudzana ndi zakudya kumapangitsa kuti kusasinthe kulemera kwa thupi
Zimatsimikiziridwa kuti kuchepa thupi kumawonjezera chidwi cha insulin, kuchepa kwa insulin kukaniza, komwe kumathandizira maphunziro a shuga. Hyperinsulinemia imakhudzanso kumverera kwodzaza mukatha kudya.
Ndi kuwonjezeka kwa kulemera kwa thupi komanso kuwonjezeka kwamafuta ake, kuyambira kwa insulin kumawonjezeka. Nthawi yomweyo, likulu la njala mu hypothalamus limataya chidwi pakuwonjezeka kwa glucose wamagazi omwe amachitika mutatha kudya.
Pankhaniyi, zotsatirazi ziyamba kuwoneka:
- Chizindikiro chokhudza kudya kumachitika pambuyo pake.
- Ngakhale chakudya chochuluka chikamadya, pakati penipeni pa njala simatumiza zizindikiritso pakatikati pake.
- Mu minofu ya adipose, motsogozedwa ndi insulin, kupanga leptin wambiri kumayamba, komwe kumathandizanso kupezeka kwamafuta.
Kusala kudya
Malinga ndi akatswiri a sayansi ya endocrinologists komanso asayansi, pali gawo labwino pokomera chakudya. Komabe, zimadziwika nthawi yomweyo kuti m'matenda a shuga, kusala kudya tsiku ndi tsiku sikuthandizira kwambiri. Ndipo ngakhale atatha maola makumi awiri ndi awiri, zotsatira zake zimakhala zopanda phindu. Chifukwa chake, tikulimbikitsidwa kuthana ndi mitundu yayitali komanso yotalikilapo ya njala.
Tiyenera kunena kuti kumwa madzi panthawiyi ndikofunikira. Chifukwa chake, osachepera 2 ... 3 malita patsiku, kumwa. Nthawi yoyamba kusala ndi matenda a shuga kumachitika mu chipatala. Apa, moyang'aniridwa ndi madokotala aluso - akatswiri azakudya, opatsirana yakumapeto, dongosolo la kuyeretsa thupi limapangidwa. Izi ndizofunikira kwa omwe amapezeka ndi matenda a shuga a 2.
Otsatira a endocrinologists, amalangizi amalimbikitsa kuti asayambitse kumenya nthawi yomweyo. Poyamba, muyenera kusinthira ku zakudya zamasamba 2 ... masiku atatu musanakane chakudya. Kuphatikiza apo, 30 ... 50 g yamafuta azitona amalimbikitsidwa patsiku. M'pofunikanso kuyeretsa matumbo - mankhwala.
Zomwe muyenera kuyembekezera panthawi yakukanidwa kwa matenda ashuga?
Njala ya matenda a shuga m'mikhalidwe yotere imakhala yosalamulirika. Zotsatira za kugunda kwamvula ndi vuto la hypoglycemic. Nthawi zambiri, zimachitika pa 4 ... tsiku la 6. Pankhaniyi, halitosis imazimiririka.Mwanjira ina, monga momwe madokotala amakhulupirira, kukhazikitsidwa kwa ma ketoni oyenera m'magazi kunayamba kuchitika.
Inde, glucose imasintha. Mukamasala ndi shuga, njira zonse za metabolic zimayamba kugwira ntchito moyenera. Ndipo kuchepa kwa katundu kapamba, chiwindi chimatsogolera pakutha kwa zizindikiro za matenda.
Endocrinologists amalangiza kuti asatenge zoopsa ndikuyang'ana chithandizo cha masiku 10 ndi njala. Panthawi imeneyi, pali kusintha kwamthupi.
Momwe mungathetsere kugwa kwamvula?
Ndikofunika kumvetsetsa kuti kusala ndi matenda ashuga ndi imodzi mwanjira zachithandizo. Chifukwa chake, kulumikizana ndi katswiri wazakudya, endocrinologist ndikofunikira. Kumbukirani, yambani kudya zakudya zosasunthika ndikumaliza kuyenera kukhala mogwirizana ndi malamulo onse.
- Dokotala wa endocrinologist adalangiza kuti amwe madzi akumwa m'zaka zoyambirira. Izi zitha kukhala zamasamba abwinobwino am'madzi omwe amaphatikizika pakati ndi madzi.
- Kupitilira apo, masamba azamasamba azamasamba ndi Whey amayenera kuphatikizidwanso m'zakudya. Mutha kuyambitsa msuzi wamasamba pang'onopang'ono.
- Kwa masiku atatu oyamba, kupatula mchere, mazira ndi zakudya zomwe zimakhala ndi mapuloteni.
- M'tsogolomu, muyenera kumamatira ku saladi ndi supu zamasamba. Osataya walnuts. Njira izi zimakulitsa zotsatira za kugwidwa ndi njala.
- Kuyambira pamenepo, osayesa kudya pafupipafupi. Nthawi ziwiri patsiku zakwana.
- Musaiwale za katundu wokhazikika. Kudzimva kwamtendere kwa matenda ashuga sikungavuteni ngati mungakulitse ziwonetsero zolimbitsa thupi.
Kumayambiriro komwe matendawa amakula, njala mu matenda ashuga imathandizanso kuti thupi lithandizire.
Izi zili choncho makamaka pamatenda amtundu wachiwiri. Munthawi imeneyi, jakisoni sanakhazikitsidwe, ndipo mankhwala ochepetsa shuga amagulidwa pang'ono. Pakusintha kotere, mutha kuyesa kupewa matenda ashuga kwathunthu.
Mwachilengedwe, pakumenyedwa kwanjala, kulemera kwa thupi kumachepa. Chifukwa chake, chiwopsezo chotenga mtundu watsopano wa matenda amachepetsa.
Ndiye kodi ndiyofunika kufa ndi matenda ashuga?
Zachidziwikire, mu netiweki mutha kupeza zambiri zofunikira pakusala kwa sabata ziwiri. Komabe, si onse a endocrinologists omwe amathandizira zoyesazi. Zowonadi, pankhaniyi, muyenera kuyesedwa kwathunthu. Ngati pali zovuta ndi zotengera kapena zovuta zamtundu wina zimatsimikiziridwa, kumenyedwa kwanjala ndikuloledwa.
Zounikira zamankhwala zimalimbikitsa kumenyedwa kwanthaŵi yayitali. Kupatula apo, ngakhale m'masiku 10, kusintha kumawonekera, koma kosakhazikika. Dziwani kuti kuyesa kukuwonetsa kuti kusiyidwa masiku awiri m'zakudya kumayambitsa chizolowezi cha matenda ashuga. Kuyambira nthawi imeneyi kuchuluka kwa glucose kumakhala ndi nthawi yochepera.
Chifukwa chiyani muyenera kulimbana ndi kunenepa kwambiri
Mu matenda a shuga omwe amadalira insulin, kunenepa kwambiri kumakhala tsoka lalikulu kwa anthu. Chowonadi ndi chakuti munthu akakhala ndi kulemera kwambiri, amakhala ndi insulin yambiri m'magazi ake (pomwe insulin imayamba kupanga pang'onopang'ono). Kuchuluka kwa insulini kumabweretsa kuti minofu ya adipose siyotentha kwenikweni, ngakhale kupsinjika kwa thupi.
Nthawi yomweyo, kuchuluka kwa insulini kwambiri kumachepetsa shuga la magazi, zomwe zimapangitsa kuti mukhale ndi njala. Ndipo ngati muimitsa ndi chakudya chokha, ndiye kuti kulemera kwa munthuyo kumachulukirachulukira, ndipo kuyesa konse kuti muchepetse thupi kulibe phindu.
Ngati wodwalayo ali ndi matenda awiri - shuga osadalira insulin (mtundu 2) ndi kunenepa kwambiri, ndiye kuti kulemera kwamphamvu kuyenera kukhala cholinga chofanana ndikulimbitsa matenda a glycemia. Ngati wodwalayo amatha kutsika ma kilogalamu ochepa, ndiye kuti mphamvu za maselo a thupi la munthu zimakwera. Kenako, izi zimapereka mwayi wopulumutsa gawo la maselo a beta.
Kafukufuku akuwonetsa kuti ngati munthu ali ndi mtundu wachiwiri wa matenda ashuga, ndipo amachepetsa thupi, ndiye kuti zimakhala zosavuta kuti azikhala ndi shuga komanso nthawi yomweyo achite ndi mapiritsi ang'onoang'ono. Ndipo imodzi mwanjira zothandizira kukhalabe ndi odwala ndikuyenda mwachangu. Inde, ziyenera kuchitika kokha moyang'aniridwa ndi dokotala wodziwa ntchito.
Momwe mungasalire kudya shuga
Wodwala aliyense ayenera kutsatira njira yake yokha ya kusala. Palibe njira yolondola yokha, chifukwa aliyense wodwala matenda ashuga ali ndi matenda osiyana.Kuchita kumawonetsa kuti kale patsiku lachitatu kapena lachinayi, ndizotheka kukwaniritsa kwambiri kuchuluka kwa shuga m'magazi. Ndizothekanso kuchepetsa kunenepa.
Njala yochepa - kwa tsiku limodzi kapena awiri sizigwira ntchito: thupi limangoyamba kuzolowera, kotero kulemera, komanso glucose wamagazi, alibe nthawi yocheperanso.
Mikwingwirima yayitali singakhale yoyenera aliyense, ndipo nthawi iliyonse imachitika pokhapokha kuyang'aniridwa ndi dokotala. Izi ndizowona makamaka pakusala kudya kopitilira masiku khumi. Monga lamulo, kukana chakudya kwa milungu yopitilira iwiri sikuloledwa, ngakhale palibe zovuta.
Ngati wodwala angaganize zoyesera kudya ndi matenda ashuga a mtundu woyamba kwa nthawi yoyamba, ndiye kuti muyenera kuyamba kuchita izi moyang'aniridwa ndi dokotala. Mwachilengedwe, wodwalayo ayenera kuyang'anitsitsa shuga wamagazi ndikumwa madzi okwanira. Ngati pali mwayi wotere, ndiye kuti muyenera kufa ndi njala kuchipatala.
Kumayambiriro kwa kusala kudya, kutchulidwa kwa ketonemia kumachitika. Nthawi zambiri patsiku lachisanu amabwera vuto lotchedwa hypoglycemic, momwe mulingo wama glucose ndi matupi a ketone amakhala ofanana.
Momwe mungakonzekerere kusala komanso momwe mungatulukire
Izi ndizofunikira kwambiri pakutsala kwachithandizo, popanda zomwe munthu amadzivulaza kwambiri. Pofuna kuti musapite kuchipatala tsiku loyamba kusala, muyenera kukonzekera. Nawa maupangiri.
- Masiku angapo lisanayambe kusala kudya, muyenera kuyamba kuwonjezera mafuta pang'ono azakudya zanu. Ndikokwanira kumwa zosaposa magalamu makumi anayi a chinthu chofunikira kwambiri ichi kwa anthu.
- Musanalowe mu kusala kudya, enema yotsuka imachitika.
- Asanayambe kudya, zakudya zimasintha pang'ono: zopangidwa ndi mbewu zimalowetsedwa mmenemo.
Masiku oyambirira akusala amatha kupangitsa munthu kukhala ndi acetone mu mkodzo wawo. Pakapita kanthawi, izi zimadutsa, zomwe zikuwonetsa kuchotsedwa kwa hypoglycemia. Nthawi yomweyo, munthawi yakakana chakudya, njira zonse za metabolic mthupi zimasinthika.
Nthawi zina, ndizotheka kuchepetsa kwambiri kuchuluka kwa chizindikiro cha matenda osokoneza bongo a mtundu wosagwirizana ndi insulin. Komanso kuchuluka kwa insulin m'magazi, zomwe zimapangitsa kuti achepetse kulemera kwambiri.
Munthu ayenera kusamala makamaka pochoka mwachangu. Mukangoyamba kudya kuchuluka kwa zakudya zomwe zimachulukitsa shuga wamagazi ndi shuga. Kuti musunge zotsatira zomwe mwapeza mukamasiya njala, muyenera kutsatira malangizo ngati awa:
- masiku angapo oyamba kugwiritsa ntchito mankhwala ophatikiza ndi zakudya ndikupatsa mphamvu pang'onopang'ono zipatso zawo,
- Imwani mitundu yambiri yamasamba,
- letsa zokhwasula-khwasula,
- osalolera kuwonjezeka kofulumira kwa calorie kudya ndipo musamadye kwambiri.
Kodi chilimbikitso chochuluka chimalankhula chiani ndipo matenda ashuga ali ndi vuto lanji?
Odwala omwe ali ndi matenda a shuga, ngakhale atadya chakudya chamtima (monga momwe matendawa aliri), pakapita nthawi yochepa amatha kumvanso njala. Kumverera kumeneku kumabuka makamaka osati chifukwa cha kusowa kwa chakudya, koma pokhudzana ndi kuphwanya kupanga insulin, kapena kulephera kuchita ntchito yake yayikulu. Hormone iyi imapangidwa ndi kapamba ndipo imagwira ntchito kuti zitsimikizire kuti ma cell am'magazi amatenga glucose wokwanira (kumbukira glucostatic hypothesis).
Kuti tiwonetsetse kuti kusakhazikika chifukwa cha matendawa kumatha kuchitika limodzi ndi kukodza pafupipafupi, komanso ludzu losasunthika.
Bweretsani ku nkhani
Momwe mungathetsere kuzimva kosalekeza kwa njala mu shuga popanda kusiya thanzi?
Ngati mukukayikira chidziwitso chanu chazogulitsa ndi zomwe zimapangidwira - funsani akatswiri azakudya omwe angakuthandizeni kupanga zakudya zapadera zozindikiritsa zokhazokha.
Zachidziwikire, ndikofunikira kukumbukira kuti musanapite ku zovuta zilizonse, choyambirira, muyenera kufunsa dokotala, yemwe adzakuwunikireni chifukwa chenicheni cha kumva njala nthawi zonse, komanso kukupatsirani mankhwala ofunikira.