Mwazi wamagazi ambiri

Kuchulukitsa kwa shuga m'magazi: pezani zomwe zimayambitsa, zizindikiritso zake, komanso koposa zonse, njira zothandizira popanda kusala, kumwa mankhwala oopsa komanso okwera mtengo, jekeseni waukulu wa insulin. Tsambali likuti:

• chifukwa chiyani shuga wowonjezera amakhala wowopsa?
• Momwe mungadziwire matenda molondola - prediabetes, kulolerana kwa shuga, shuga mellitus,
• pali ubale wanji pakati pa kuthamanga kwa magazi ndi shuga
• Momwe mungayang'anire kuperewera kwa kagayidwe kachakudya.

Tsamba la Endocrin-Patient.Com limaphunzitsira momwe mungachepetse shuga kuti ukhale wabwinobwino, kenako ndikuukhazikika pa 3.9-5,5 mmol / L pamimba yopanda kanthu ndikatha kudya. Kuchuluka kwa shuga wamagazi sikukutanthauza shuga. Mulimonsemo, ili ndi vuto lalikulu lomwe likufunika chisamaliro ndi chithandizo, kuti mupewe kukula kwamatenda owopsa komanso osakhazikika pamiyendo, kupenya, impso ndi ziwalo zina.

Shuga wambiri: nkhani yatsatanetsatane

Tsambali likulemba mankhwala omwe amatha kuwonjezera shuga. Chisamaliro chachikulu chimaperekedwa kwa cholesterol statins. Werengani momwe shuga ndimagazi ndi insulin zimagwirizana. Mvetsetsani zomwe mungachite ngati misempha ya glucose imakwezedwa pamimba yopanda kanthu ndipo tsiku lonse limakhala labwinobwino. Kuti mubwezeretse zomwe zikuwoneka ngati zabwinobwino, werengani nkhani yoti “Momwe mungachepetse shuga” ndikutsatira zomwe akutsimikiza.

Kodi chiwopsezo cha shuga wambiri ndi chiyani?

Kuchepa kwa glucose kagayidwe kake ndizowopsa chifukwa kumayambitsa zovuta komanso zovuta za matenda ashuga. Mavuto a pachimake amatchedwa diabetesic ketoacidosis ndi hyperglycemic coma. Amatha kutsogolera kutha kukumbukira ndi kufa. Mavutowa amachitika ngati shuga atapitilira muyeso wa anthu athanzi ndi 2,5-6 nthawi. Mavuto omwe amakhala pafupipafupi komanso owopsa nthawi zonse amakhala osawona bwino, kuphatikizapo khungu, khungu, ndi kuduladula miyendo, komanso kulephera kwa impso komwe kumafunikira kumuwonjezera impso kapena kudina.

Komanso, shuga wowonjezereka amathandizira kukulitsa kwa atherosulinosis yamitsempha yamagazi. Mokulira shuga wambiri, imathamanga kukhumudwa kapena kugunda kwa mtima. Anthu ambiri odwala matenda ashuga amafa ndi vuto la mtima asanakumane ndi zovuta ndimaso, miyendo, kapena impso.

Ngati mutsatira mosamala malingaliro omwe afotokozedwa patsamba lino, mutha kukhalabe osasunthika mokwanira komanso mudziteteze ku zovuta zomwe zalembedwa.

Mwazi wamagazi ukhoza kulumpha chifukwa cha matenda opatsirana kapena kupsinjika kwakukulu. Zikatero, odwala omwe ali ndi matenda a shuga a 2 amafunika kubayira insulin kwakanthawi, ngakhale atakhala kuti amawononga ndalama pomwa mapiritsi. Kuti mumve zambiri, onani njira yokhazikitsira matenda a shuga a 2. Komabe, zofunika kwambiri ndizomwe zimapangitsa odwala kuti azikulitsa shuga yawo. Choyamba, kuchuluka kwa glucose m'magazi kumakwera chifukwa chodya zakudya zamagulu ochulukitsa, makamaka otsukidwa.

Anthu omwe ali ndi shuga wambiri amadya zakudya zochuluka kuposa momwe matupi awo amatha kuyamwa popanda vuto. Onani vidiyo yokhudza momwe mapuloteni, mafuta ndi chakudya zimakhudzira shuga m'magazi.

Monga mukudziwa, timadzi timene timapangitsa kuti shuga asungunuke m'magazi. Odwala omwe ali ndi prediabetes, zimakhala zimasiya kuzimvera, ngakhale kuti m'magazi mumakhala insulin yokwanira. Kuzindikira kosavomerezeka kwa timadzi timeneti kumatchedwa insulin kukana. Ili ndi vuto lalikulu la metabolic, lomwe limachepetsa mwayi kwa odwala kuti apulumuke ndikupuma pamenepo. Ndi kukana kwa insulin m'zaka zoyambirira, shuga ndi magazi zimatha kuwonjezeka nthawi yomweyo. Vutoli limakulirakulira chifukwa chokhala phee komanso kudya kwambiri. Komabe, ndikosavuta kuyilamulira mpaka itayamba kudwala matenda ashuga.

Mtundu woyamba wa matenda ashuga, komanso matenda oopsa a shuga 2, shuga m'magazi amakwezedwa chifukwa chakuti insulin siyokwanira. Kuzindikira kwa minyewa ya timadzi tambiri timeneti kumakhala kwabwinobwino ngati matenda ashuga samapanikizika ndi wodwala wonenepa kwambiri. Chomwe chimapangitsa kuti insulin isapere ndiye kuti chitetezo cha mthupi chimazunza ndikuwononga ma cell a beta omwe amapanga timadzi timeneti. Apa simungathe kuchita popanda jakisoni. Sizigwira ntchito mwanjira iliyonse kuchotsa mapiritsi omwe amachepetsa shuga.

Onani vidiyo ya Dr. Bernstein yokhudza momwe shuga ndimagazi aliri enieni, kuchuluka kwake kumasiyana ndi zomwe boma likuvomereza. Dziwani chifukwa chake madokotala amabisala kwa odwala awo kuwuka kwenikweni kwa matenda ashuga a shuga.

Kodi shuga wambiri amatanthauza shuga?

Shuga wamagazi 6.1-6.9 mmol / L pamimba yopanda kanthu komanso 7.8-11.0 mmol / L atatha kudya amatchedwa prediabetes. Ngati mitengoyo imakwezeka kwambiri, ndiye kuti kale ndiye mtundu wa 2 kapena matenda a shuga. Matenda a shuga pakokha amakhala matenda osokoneza bongo. Ndipo ngati simungachitepo kanthu, ndiye kuti amatha kusanduka shuga yayikulu.

Matenda a shuga amafunikanso chithandizo chofanana ndi shuga yeniyeni. Musakhulupilire madotolo omwe amati izi si matenda owopsa. Odwala onyentchera amafa msanga chifukwa cha matenda amtima kapena amatenda kwambiri m'miyendo, impso ndi maso. Mwa anthu athanzi, shuga osala kudya, mutatha kudya ndipo nthawi iliyonse simakwera pamwamba 5.5 mmol / L. Zabwino, zisonyezo zilizonse pamwamba pa tsambali zimafuna chisamaliro ndi chithandizo.

Ndi matenda ati, kupatula shuga, omwe ali ndi shuga?

Nthawi zambiri mwa anthu, kagayidwe ka glucose kamakhala ndi malire. Thupi limatha kukhala ndi shuga wabwinobwino osati mu moyo wamba, komanso nkhawa. Komabe, kagayidwe kake ka metabolic kamatha kutha ngati moyo wopanda thanzi. Zitatha izi, shuga amawonjezeka panthawi ya matenda opatsirana komanso kupsinjika kwakukulu.

Kuphatikiza pa matenda ashuga, palinso matenda ena omwe amawonjezera shuga wamagazi. Uku ndikutupa kwa kapamba (kapamba), khansa ya kapamba, kuchuluka kwa mahomoni a chithokomiro, Cushing's syndrome (cortisol yowonjezereka), komanso zotupa zomwe zimatulutsa mahomoni ochulukirapo, makamaka mahomoni okula. Mwa matenda onsewa, muyenera kufunsa endocrinologist. Amakhala ovuta, koma amapezeka kangapo kuposa matenda a shuga.

Kuchulukitsa kwa shuga popanda matenda a shuga ndikosowa kwambiri. Magazi okwera kwambiri osonyeza kuti munthu ali ndi matenda ashuga. Kupsinjika kwambiri ndi matenda opatsirana kumatha kuwonjezera shuga. Koma mwa anthu amoyo wathanzi, kapamba amawongolera mosavuta kupanga kwa insulini kulipirira izi.

Werengani nkhani yakuti “Kuzindikira matenda a shuga.” Chitani kuyesedwa kwa magazi a glycated hemoglobin ndi C-peptide. Ngati ndi kotheka, yambani kulandira matenda a shuga a shuga pogwiritsa ntchito njira zomwe zanenedwa patsamba lino. Kutsatira malangizo azachipatala kudzakutetezani ku zovuta za matenda ashuga.

Ndi mankhwala ati omwe amalimbikitsa shuga?

Mankhwala ambiri amalimbikitsa shuga. Sizingatheke kutchula onsewo. Ambiri omwe ali ndi beta-blockers, phenothiazines, mapiritsi othandizira kubereka, mankhwala obwezeretsa amayi omwe ali ndi pakati pa kusintha kwa msambo. Lankhulani ndi dokotala wanu za mapiritsi onse omwe mumamwa. Mungafunike kuwonjezera kuchuluka kwa shuga kapena jakisoni wa insulin.

Zakudya za shuga wambiri: kuwunika kwa wodwala

Chifukwa chiyani kuzizira kumawonjezera shuga mwa munthu wathanzi yemwe alibe shuga?

M'malo mwake, mwa anthu athanzi labwino, mkati mwa chimfine chofala komanso matenda ena opatsirana, shuga pafupifupi sikukula. Ngati muwona kuti kuchuluka kwa glucose kumatuluka ndimatenda oyambitsa kupuma kwambiri, ndiye kuti kapamba amayamba kufooka. Satha kuthana ndi kuchuluka kowonjezereka komwe matenda amapanga.

Wodwalayo atsala pang'ono kudwala matenda ashuga ndipo, Mwinanso, ali ndi vuto la prediabetes. Ndikofunikira kutenga kuyesedwa kwa magazi a glycated hemoglobin ndi C-peptide, kenako ndikupatseni mankhwala malinga ndi zotsatira zawo. Werengani nkhani yakuti “Kuzindikira Matenda A shuga” mwatsatanetsatane. Musakhale ndi chiyembekezo kuti vuto lomwe mwapeza litha lokha popanda chithandizo.

Pamene thupi likulimbana ndi kachilombo ka bacteria kapena kachilombo, chidwi cha minofu kupita ku insulin chimachepa. Kasitomala amafunikira kuti atulutse zochuluka za timadzi timeneti. Chifukwa chake, katundu pazomwezi amakula kwakanthawi. Ngati maselo a beta amagwira ntchito bwino, izi sizovuta. Ndipo odwala matenda ashuga komanso prediabetes panthawi yozizira angafunikire kuti apange jakisoni wa insulin kwakanthawi.

Chifukwa chiyani shuga ndiwokwera ndisanadye?

Ngati m'magazi mulibe insulin yaying'ono kwambiri, shuga amatha kukwezedwa ngakhale m'mimba yopanda kanthu. Mwambiri, muyenera kupanga jakisoni wa insulin. Kupanda kutero, mutatha kudya shuga yanu imawulukira m'malo. Chifukwa cha izi, zovuta zowopsa, zakupha zimatha kukhala - ketoacidosis, matenda a shuga. M'mawa pamimba yopanda kanthu, shuga amatha kuchulukitsidwa chifukwa cha zomwe zimachitika m'mawa zam'mawa, zomwe zikufotokozedwa mwatsatanetsatane pansipa.

Chifukwa chiyani shuga amakhalabe okwera ngakhale wodwala matenda ashuga asadye tsiku lonse?

Mwinanso wodwala amadwala kwambiri matenda ashuga. Zikondamoyo zake zimapeleka insulini yaying'ono ku magazi kapena sizitulutsa timadzi tambiri totere. Ngati mulibe insulin yokwanira m'magazi, shuga amatha kukwezedwa ngakhale pakusala kudya.

Mwambiri, muyenera kuyamba kulandira chithandizo cha jakisoni wa insulin yayitali. Werengani zambiri mu nkhani "Kuwerengera Mlingo wa insulin yayitali usiku ndi m'mawa." Zingakhale zofunikira kupereka insulin yochepa kapena ya ultrashort musanadye.

Popanda mankhwala a insulini, kupweteka kwambiri, kupha matenda kungayambike - ketoacidosis, chikomokere matenda a shuga. Osanenapo zovuta za matenda ashuga pamiyendo, impso, mawonekedwe amaso ndi ziwalo zina zamthupi.

Kodi shuga imatha kuchuluka chifukwa munthu amamwa madzi pang'ono?

Tiyerekeze kuti wodwala ndi wopanda thupi. Amapatsidwa madzi kudzera mkamwa mwake kapena ngati ma dontho kuti muchepetse madzi am'madzi. Izi zimatha kutsitsa shuga m'magazi, koma osati zochuluka. Mwachitsanzo, 1-2 mmol / l. Kuti tibweretse shuga pafupi ndi masiku abwinobwino, jakisoni wa insulin amafunika.

Kuthetsa madzi m'thupi nthawi zambiri kumakhala vuto lalikulu kwa odwala matenda ashuga, makamaka okalamba. Zimasokoneza kagayidwe koyipa, zimawonjezera chiopsezo cha mavuto a impso ndi chikhodzodzo. Mfundo pano sikungowonjezera shuga m'magazi.

Sinthani ku chakudya chamafuta ochepa. Kupitilira simungathe kuwerengera zopatsa mphamvu ndi mkate. Koma onetsetsani kuchuluka kwanu kwamadzimadzi, pewani kuchepa kwa madzi m'thupi. Imwani madzi ambiri ndi tiyi wazitsamba. Onetsetsani kuti mkodzo wanu uli pafupi kuwonekera, osati mtundu.

Zizindikiro zake

Zizindikiro za shuga wam'magazi zimatikumbutsa za kuzizira, kugwira ntchito, kapena kutopa kwambiri chifukwa cha kachilombo. Nthawi zambiri, madotolo ndi odwala awo samangoganiza kuti akuwonetsa chizindikiro chiti.

Tilembapo zambiri zodziwika:

• general malaise
• Njala yolimba ndi ludzu,
• kukodza pafupipafupi,
• kuchepa thupi kwambiri kapena kuwonda popanda chifukwa chodziwika,
• Masomphenya osalala, amawuluka pamaso,
• mabala ndi zotupa zina za pakhungu sizichiritsa,
• Fungo la acetone mu mpweya wotuluka.
• kutayika kwa miyendo ndi mikono.

Matenda a shuga ndi mtundu 2 amayamba pang'onopang'ono. Matendawa amatha kupitilira kwa zaka zambiri popanda chizindikiro chodziwika. Matenda a shuga amtundu woyamba amayambitsa zambiri zotchulidwa.

Ndi mayeso ati omwe amafunikira kudutsidwa?

Mtundu wawowukulu wopenda ndi muyeso wa shuga kunyumba pogwiritsa ntchito glucometer. Mufunika mita yolondola ya shuga, yoyendetsedwa osati kunyumba. Kutanthauzira kuyeza zomwe zimachitika mwa munthu wamkulu kapena mwana, werengani nkhani "Miyezo ya Magazi a Magazi". Komanso glycated hemoglobin ndi njira yowunika yosavuta yowerengera magazi yomwe imawonetsa kuchuluka kwa shuga m'magazi miyezi itatu yapitayo. Amagwiritsidwa ntchito pozindikira matenda ashuga ndikuwunika momwe mankhwalawo alili. Zotsatira zake sizimadalira kuzizira, masewera olimbitsa thupi komanso kusokonezedwa kwakanthawi. Kuyeza kumeneku sikuyenera kutengedwa pamimba yopanda kanthu.

Kumbukirani kuti kuyezetsa hemoglobin wa glycated si koyenera kwa amayi apakati. Afunika kutenga kuyeserera kwa maola awiri shuga kamodzi. Odwala ambiri, makamaka makolo a ana odwala matenda ashuga, amasangalala ndi kuchuluka kwa mkodzo ndi magazi a ketone (acetone). Dr. Bernstein nthawi zambiri samalimbikitsa kuti pakhale mayendedwe akuluakulu mwa ana ndi ana. Werengani nkhani yoti “Matenda a Ana A shuga” kuti mumve zambiri. Onani shuga yanu yamagazi osadandaula ndi ma ketones.

Kodi shuga mumagazi ndi chiyani?

Zizindikiro za shuga wambiri wamwazi, wofala kwa amuna ndi akazi, ana ndi akulu, zalembedwa pamwambapa. Chikhalidwe mwa akazi ndi vagidi candidiasis (thrush), yomwe ndiyovuta kuchiza, pafupifupi siyimapita. Pangakhalenso matenda oopsa a kwamikodzo. Matenda a diabetes a neuropathy ndi zovuta chifukwa omwe mathero am'mitsempha amawonongeka. Chifukwa cha izi, moyo wapamtima wa mkazi umatha kukulirakulira. Muyeneranso kuyang'ana shuga wanu wamagazi ngati muli ndi ovary ya polycystic.

Nanga bwanji amuna?

Monga mwa akazi, shuga wokwanira amatha kupangitsa kuti amuna azisangalala, kubereka kwambiri. Zizindikiro - kufiyira, kutupira ndi kuyabwa kwa mbolo ya glans, mapepala oyera amkati, fungo losasangalatsa, zilonda panthawi yogonana. Kuchepa kwa Erectile kumafunikira munthu kuti azindikire kuchuluka kwa shuga m'magazi. Ngakhale amatha kukhala ndi zifukwa zina kupatula shuga. Ndi matenda a shuga olemekezeka kwambiri, minofu imatha kuchepa, kufooka kumayamba. Zonsezi ndizotsutsana ndi zomwe zikupezeka pamwambapa.

Werengani nkhani yonse yokhudza matenda a shuga mu Men. Phunzirani za testosterone, thrush yachimuna, ndi mitu ina yambiri yofunika.

Chifukwa chiyani munthu amachepetsa thupi ndi shuga wambiri?

Ngati wodwalayo amachepetsa thupi ndipo ali ndi shuga wambiri m'matumbo, izi zikutanthauza kuti matenda a shuga a 2, omwe sanalandiridwe nkomwe kapena sanalandiridwe molakwika, amasintha kukhala mtundu woyamba wa matenda ashuga. Mukuyenera kuyamba kubaya insulin, mpaka munthu atayamba kudwala matenda ashuga. Zakudya ndi mapiritsi sangathenso kuchoka pano.

Njira yofotokozedwayo yamatenda a shuga imapezeka amuna ndi akazi omwe. Mwina zimachitika nthawi zambiri mwa abambo, chifukwa amayi poyambirira amamva zomwe akuwonetsa, amvekere ndipo apemphe thandizo lakuchipatala.

Zoyenera kuchita, momwe ungachitire

Chithandizo chachikulu ndi zakudya zama carb ochepa. Imathandizidwa ndi mankhwala, zolimbitsa thupi ndi jakisoni wa insulin. Mapiritsi ndi insulin sangakhale othandiza kwambiri popanda kuletsa zakudya zamagulu anu m'zakudya zanu. Phunzirani nkhani ya “Kuzindikira Matenda A shuga”, dufuzidwa ndikuwonetsetsa. Pambuyo pake, werengani ndikutsatira ndondomeko ya 2 yothetsera odwala matenda ashuga kapena mtundu wa pulogalamu ya 1 ya matenda a shuga. Yesani kumwa osachepera 30 ml amadzimadzi pa 1 makilogalamu a thupi patsiku kuti muchepetse kusowa kwamadzi. Pazithandizo za wowerengeka za shuga zapamwamba zomwe zimawerengedwa pansipa.

Zoyenera kuchita ngati shuga ndi magazi zimakwezedwa?

Onani vidiyo ya Dr. Bernstein yokhudza momwe glucose amatenga, cholesterol yambiri, komanso kusowa kwa mahomoni a chithokomiro. Mvetsetsani momwe mungawerengere chiopsezo cha vuto la mtima ndi zizindikiro za "zoyipa" komanso "zabwino" cholesterol m'magazi. Dziwani za chiopsezo cha mtima ndi misempha chomwe muyenera kuyang'anira, kupatula cholesterol.

Zakudya zama carb zotsika zimachepetsa shuga wamagazi ndi atherogenicity. Zilibe kanthu kuti cholesterol yathunthu yafupika, chifukwa siofunikira pachiwopsezo. Kholesteroli yotsika kwambiri imakhudza ubongo.Zimawonjezera chiopsezo cha imfa chifukwa cha ngozi zapamsewu, kudzipha komanso zina. Werengani nkhani yokhudza kupewa matenda a mtima ndikumvetsetsa:

• pali kusiyana kotani pakati pa otsika ndi otsika osalimba lipoproteins,
• zomwe triglycerides amachita
• Kodi fibrinogen, homocysteine, serum ferritin ndi zina zomwe zimayambitsa mtima.

Kuda nkhawa pang'ono za cholesterol.

Ndi mapiritsi ati omwe amayenera kumwa ndi shuga wambiri?

Anthu ocheperako komanso ochepa thupi omwe ayambitsa matenda a autoimmune shuga, palibe chithandizo. Afunika kuyamba kubaya insulin nthawi yomweyo. Ngati wodwala wanenepa kwambiri, muyenera kumwa mankhwala a metformin.

Mankhwala amakono a mtundu wachiwiri wa shuga ndi othandiza nthawi zina, kuwonjezera pa metformin. Komabe, palibe lirilonse la iwo lomwe ndi panacea ya shuga wamagazi ambiri. Amakhala okwera mtengo, ndipo kugwiritsa ntchito kwawo sikuti nthawi zonse kumakhala koyenera. Ayenera kumvetsedwa bwino asanagule ndi kuyamba kutenga.

Ndi shuga 9,0 mmol / L ndiwambiri, muyenera kuyambitsa jakisoni mwachangu, kenako ndikuganiza za mapiritsi. Zakudya zama carb zotsika zimabwera koyamba kuthandizira, ngakhale mapiritsi anu, mapiritsi a insulin, kapena zolimbitsa thupi. Popanda kusinthira ku chakudya chopatsa thanzi, zochitika zina zonse sizingathandize.

Kodi ndingathe kumwa mapiritsi a shuga wambiri popanda mankhwala a dokotala? Mwachitsanzo, polimbana ndi kunenepa kwambiri kwa chiwindi.

Kunenepa kwambiri m'chiwindi ndi matenda otchedwa mafuta hepatosis. Mapiritsi a Metformin amagwiritsidwa ntchito nthawi zambiri mu zovuta zake, zomwe zimapangidwanso kwa odwala omwe ali ndi matenda a shuga a 2. Nthawi zambiri zimakhala zotheka kumamwa nokha ngati mulibe mankhwala a dokotala. Ndipo zimapindulitsa. Pokhapokha ngati mulibe zotsutsana.

Musanayambe kumwa metformin, werengani mosamala malangizo kuti agwiritse ntchito. Mvetsetsani zomwe regimen imayenera kukhala ngati kuchepetsa zotsatira zake zoyipa. Komanso tengani magazi ndi mkodzo poyesa impso zanu. Mapiritsi apakati a metformin ndi mankhwala Glucofage wogulitsa kunja. Ndiwothandiza kwambiri kuposa ma analogu, ndipo nthawi yomweyo amakhala ndi mtengo wotsika mtengo.

Njira yabwino kwambiri yothetsera kunenepa kwambiri kwa chiwindi ndi zakudya zamafuta ochepa. Metformin ndi mapiritsi ena aliwonse sangakupatseni kuposa 10% ya zotulukazo, kuyerekeza ndi zakudya zopatsa thanzi. Pambuyo pakusintha ku chakudya chama carb ochepa, hepatosis yamafuta amachoka mwachangu ndipo, popanda kukokomeza, mozizwitsa. Mavuto ena a metabolism woperewera mphamvu amachepa pambuyo pake.

Kodi shuga amathandizira ma cholesterol?

Ma cholesterol statins amawonjezera shuga wamagazi ndi pafupifupi 0.5-1.0 mmol / L. Odwala omwe ali ndi matenda a shuga angafunikire kuwonjezera zochulukirapo za insulin kapena mapiritsi kuti alipire izi. Kaya ma statin ayenera kukhala oledzera ndi malo osangalatsa. Pofuna kupewa matenda obwerezabwereza a mtima - makamaka, inde. Pofuna kupewa matenda oyamba ndi mtima - sizingachitike. Amamabodza amakhala ndi mawu akuti opanga ma statin akuwonetsa zoyipa zomwe mapiritsi awo amadwala. Werengani nkhani yatsatanetsatane yokhudza mankhwalawa pano.

Ndiponso, zakudya zama carb zotsika zimachepetsa cholesterol yamagazi limodzi ndi kuchuluka kwa shuga. Chitani kuyesedwa kwa magazi chifukwa cha cholesterol ndi zina zomwe zingayambitse ngozi. Kenako sinthani ku chakudya chamafuta ochepa. Pambuyo pa masabata 6-8, yesaninso. Mwambiri, zotsatira zake zimakusangalatsani kwambiri kuti mutha kuchita popanda ma statins. Ponena za triglycerides, simuyenera kudikirira masabata 6-8. Amabwereranso kwina pambuyo masiku 3-4.

Ndi mankhwala ati omwe amathandiza?

Palibe wowerengeka azitsamba omwe amachepetsa shuga la magazi. Zambiri mwa izo zimakhala ndi zinthu zomwe, m'malo mwake, zimachulukitsa. Mwachitsanzo, ndimu. Popeza mumamwa madzi oyera simulandiranso mapindu ena kuposa mankhwala azikhalidwe za anthu. Gwiritsani ntchito njira ya 2 yapa 2 ya matenda ashuga kapena mtundu wa pulogalamu yoletsa matenda ashuga. Osataya nthawi. Kupanda kutero, mudzakumana ndi zovuta za matenda a shuga mu impso, miyendo ndi kupenya kwamaso. Pokhapokha ngati matenda a mtima kapena sitiroko akupha posachedwa.

Zakudya za shuga wambiri

Madokotala akumayiko olankhula Chirasha mwamwambo amalemba kuti pakhale shuga wambiri. Webusayiti ya Endocrin-Patient.Com imalimbikitsa zakudya zotsika kwambiri zamatumbo zopangidwa ndi Dr. Bernstein. Ndikoyenera kuti achikulire, ana ngakhale amayi apakati abweretsenso shuga pabwino kuti akhalebe abwinobwino. Zakudya ndiwo chithandizo chachikulu cha matenda a shuga. Unikani mosamalitsa zonse ziwiri zomwe tafotokozazi.

Ndi zakudya ziti zomwe zimalimbikitsidwa?

Werengani ndikugwiritsa ntchito mndandanda wazinthu zololedwa komanso zoyendetsedwa. Ndikofunika kusindikiza, kukapachika kukhichini, kupita nanu ku malo ogulitsira komanso ku bazaar. Mufunikanso mndandanda wazitsanzo za sabata komanso mndandanda wazinthu zoletsedwa.

Mvetsetsani kuchuluka komwe mungadye zipatso zamatcheri, sitiroberi, ma apricots, maapulo, zipatso zina ndi zipatso. Ponena za zinthu monga chimanga, odwala amakonda semolina, balere, peyala, barele, mapira, mapira am chimanga, komanso mbale za mpunga woyera komanso wa bulauni.

Zakumwa zoledzeretsa zomwe zilibe shuga ndi zakudya zina zamagulu ena sizimachulukitsa kuchuluka kwa shuga m'magazi. Ichi ndi vodka ndi zakumwa zina za 40-degree, komanso vinyo wofiira komanso yoyera. Izi zakumwa zoledzeretsa zitha kutha kutha ngati mutha kupitiliza kukhala odziletsa. Vinyo wokoma ndi theka-okoma, zakumwa, moŵa, makamaka amdima, saloledwa. Nthawi yomweyo, shuga wamagazi amatha kukhalabe wabwinobwino osakhala woyambitsa matenda. Werengani nkhani yoti “Mowa wa Matendawa” kuti mumve zambiri.

Kodi zakudya zomwe zimawonjezera shuga mu amayi apakati ndi ziti?

Amayi oyembekezera omwe ali ndi shuga yayikulu amalangizidwa kuti azitsatira zakudya zamafuta ochepa. Chifukwa cha chakudya ichi, ndizotheka kusunga kuchuluka kwa glucose mwachilengedwe popanda jakisoni wa insulin kapena mulingo wochepa. Kumbukirani kuti palibe mapiritsi a shuga omwe amayenera kumwa panthawi yomwe muli ndi pakati. Zakudya zamafuta ochepa zimatha kupangitsa ma ketones (acetone) m'magazi ndi mkodzo. Madokotala amawawopa amayi apakati kuti izi zimatha kuyambitsa kusokonezeka kapena kusokonezeka kwa chitukuko mwa ana. Alakwitsa. Maonekedwe a acetone ndi abwinobwino komanso osavulaza. Onani vidiyo ili pansipa kuti mumve zambiri.

Pafupifupi azimayi ambiri aku America ananyamula ndikubala ana athanzi, kudya nthawi yonse yomwe anali ndi pakati osapitiliza 20-25 g wama chakudya tsiku. Zakudya zotere zimapangitsa kuti shuga azingokhala komanso magazi, komanso kuthamanga kwa magazi, kumathandizanso edema, ndikuchepetsa chiopsezo cha preeclampsia. Imwani zamadzi zambiri; osalolera kuperewera kwa madzi m'thupi. Lankhulani ndi dokotala wanu ngati muyenera kumwa mapiritsi a magnesium-B6. Werengani nkhani zakuti “Amayi Azipakati” ndi “Gestational Diabetes” kuti mumve zambiri.

Kodi ndiyenera kudya mwana wanga wamtundu wanji ngati wapezeka kuti ali ndi shuga wambiri?

Nthawi zambiri, choyambitsa shuga chachikulu mwa mwana ndi matenda a shuga 1. Izi sizowopsa, pali matenda oyipa kwambiri. Ndikofunikira kusamutsa mwana wodwala yekha, komanso ena onse pabanja kukhala chakudya chamafuta ochepa, kuti pasakhale zakudya zoletsedwa kunyumba. Akuluakulu onenepa amapindula ndi izi. Sizimabweretsa zabwino zapadera kwa anthu am'banja locheperako komanso loonda, koma sizingapweteke ngakhale, itha kulemekezedwa chifukwa cha kampani.

Chakudya choterocho sichotsika mtengo, koma chokoma komanso chopatsa thanzi. Aliyense amasangalala ndi izi, kupatula zomwe amapanga zamasamba. Chakudya chochepa kwambiri cha carb chimatenga nthawi yaukwati wa mtundu 1 wa ana. Mwachidziwitso, nthawi yabwinoyi ingakhale kwamuyaya. Pochita izi, mabanja ena akhala akugwira kwa zaka zingapo ndipo sakufuna kuletsa. Komabe, kuyesa kusintha kadyedwe ka mwana kudzipatula kwa abale ena onse mwachidziwikire sikuyenera kuchita. Werengani nkhani yoti “Matenda a Ana A shuga” kuti mumve zambiri.

Pansipa pali mayankho a mafunso omwe amafunsidwa kawirikawiri kuchokera kwa odwala.

Kodi shuga wambiri amatha kukweza magazi?

Kuonjezera shuga pang'onopang'ono kumawononga mitsempha yamagazi. Popita nthawi, izi zimatha kuyambitsa matenda oopsa, kugunda kwa mtima, kapena sitiroko. Koma nthawi zambiri, shuga wamagazi ndi kuthamanga kwa magazi sizimalumikizidwa mwanjira iliyonse. Wodwala, zonsezi zimatha kuwonjezeredwa nthawi imodzi, kutsitsidwa, kapena chimodzi mwazo chikuwonjezeka ndipo china chimatsitsidwa. Kuchepa kwa shuga kagayidwe kazakudya ndi matenda oopsa amayenera kuyang'aniridwa mosiyana. Mwa anthu onenepa kwambiri, kudya zakudya zamafuta ochepa m'masiku ochepa kumatanthauza shuga ndi magazi. Mlingo wa mankhwala a antihypertgency angathe ndipo ayenera kuchepetsedwa, monga lamulo, polephera kwathunthu. Matenda oopsa mwa anthu ochepa thupi ndi matenda oopsa. Werengani apa za zomwe zimayambitsa ndi njira zamankhwala.

Kodi zingatheke bwanji kuti inshuwaransi ndi shuga wamagazi nthawi imodzi?

Mwa anthu onenepa kwambiri, poyambira matenda a shuga a 2, nthawi zambiri pamakhala kuchuluka kwa insulin ndi shuga. Poyamba, minyewa imatha kutaya mtima chifukwa cha insulin chifukwa cha kudya kwambiri thupi komanso kukhalanso ndi moyo. Kasitomala akuyesera kuti apange insulin yochulukirapo kukankhira glucose m'maselo, kuti achepetse kuchuluka kwake m'magazi.

Komabe, izi zikuchulukitsa pakapita nthawi zimatsitsa maselo a beta. Pambuyo pazaka zochepa, amapanga insulin yochulukirapo, koma yosakwanira kuti shuga akhale bwinobwino. Popanda chithandizo komanso kusintha kwa moyo, mulingo wa insulin m'magazi umayamba kugwa, ndipo glucose imakwera. Mapeto ake, matendawa amasintha kukhala mtundu woyamba wa shuga ngati wodwala samwalira kale chifukwa cha zovuta.

Kodi nthawi yayikulu yamwazi ndi iti?

Odwala ambiri amakhala ndi shuga kwambiri m'mawa pamimba yopanda kanthu. M'chigawo cha maola 4-6 m'mawa, adrenaline, cortisol ndi mahomoni ena opsinjika amayamba kulowa m'magazi. Amadzutsa thupi, ndipo nthawi yomweyo amawonjezera kuchuluka kwa shuga m'magazi. Zochita zawo zimatha mozungulira 8-10 m'mawa.

Ili ndi vuto lodziwika bwino lomwe lomwe limatchedwa mbandakucha wa m'bandakucha. Anthu odwala matenda ashuga ayenera kuyesetsa kuthana nawo. Werengani zambiri kuti mudziwe bwanji shuga m'mimba popanda kanthu. Mukatha kudya kadzutsa, kuchuluka kwa glucose kumatha kuchepa, ngakhale kuti kudya kuyenera kukulitsa.

Mwa odwala ena, shuga m'mawa wopanda kanthu umakhala wabwinobwino, koma nthawi zambiri umadzuka nthawi ya nkhomaliro kapena madzulo. Ndikofunikira kukhazikitsa gawo ili la matenda ashuga, kenako ndikusinthasintha. Ganizirani kuchuluka kwa glucose anu pafupipafupi kuti mudziwe momwe amakhalira nthawi zosiyanasiyana masana. Pambuyo pake, sinthani zofunikira pakudya, ndondomeko ya kumwa mapiritsi ndi jakisoni wa insulin.

Kodi chifukwa chachikulu cham'mawa m'mimba yopanda kanthu pakudya ndi kumwa mapiritsi a shuga ndi chiyani?

Piritsi ya matenda ashuga yomwe imatengedwa nthawi yogona imatha pakati pausiku. Akusowa mpaka m'mawa. Tsoka ilo, vuto lomweli limachitika kawirikawiri ndi kuwombera kwamadzulo kwa insulin yowonjezera. Zotsatira zake, kapamba wofooka sakhala ndi ndalama zokwanira kulipira zomwe zachitika m'mawa.

Choyipa koposa, ngati wodwala matenda ashuga amakonda kudya chakudya chamadzulo. Ndikosatheka kuchita izi. Dziwani tsatanetsatane patsamba lino momwe mungasinthire shuga m'mawa pamimba yopanda kanthu. Osalota konse kukwaniritsa izi mpaka mutasiya chizolowezi chodyera chakudya chamadzulo.