Kusala kudya ndi matenda amtundu wa 2 matenda: zabwino komanso zowawa, ndemanga
Kwa zaka zambiri osalimbana ndi ma DIABETES?
Mutu wa Bungwe: “Mudzadabwitsidwa kuti kumakhala kovuta motani kuchiritsa matenda a shuga tsiku lililonse.
Pancreatitis ndi matenda otupa a kapamba. Ndi pachimake komanso matenda. Acute pancreatitis ndiwadzidzidzi, nthawi zambiri amafunikira opaleshoni. Kutupa kosatha kumatha kuchitika mosiyanasiyana, kutengera nthawi ya matendawa. Chakudya chokhwima kwambiri chikuyenera kuwonedwa nthawi yowonjezera. Kuphatikiza pa matenda ashuga, kapamba amachititsa kuti zikondwerero zikuluzikulu zitheke, ndipo kudya ndi imodzi mwazinthu zazikulu zothandizira matenda kukhala ndi thanzi komanso thanzi.
Cholinga cha matenda azakudya
Matenda a shuga ndi kapamba ndimatenda omwe sangathe kuthandizidwa popanda kudya. Palibe mankhwala othandizira (jakisoni, mapiritsi) omwe angabweretse zotsatira zosakhalitsa ngati munthu sasintha kadyedwe kake. Kuphatikiza chakudya ndi pancreatitis ndi matenda osokoneza bongo ndizosavuta, chifukwa maziko azakudya zowonjezera ndizomwe zimapangidwa mosavuta ndipo zimakhala ndi chisonyezo chotsika cha glycemic.
Glycemic index nthawi zambiri imatchedwa chisonyezo chomwe chikuwonetsa momwe kugwiritsira ntchito kwachakudya kumaperekera shuga. Ndi matenda awa, kusintha kwadzidzidzi m'magazi a glucose m'magazi ndikosafunikira kwambiri, chifukwa amakakamiza kapamba kuti apange insulin yambiri ndikugwirira ntchito kuvala.
Chifukwa chake, odwala sayenera kudya mchere, mchere ndi zonunkhira, komanso zogulitsa zonunkhira. Zakudya zoterezi, zimakoma kwambiri, koma zimadzetsa secretion ya madzi a m'mimba komanso zimathandizira kuti muzilakalaka. Zotsatira zake, wodwala matenda ashuga amatha kudya zakudya zambiri kuposa zomwe amafunikira, zomwe zimawonjezera chiopsezo cha mavuto a kapamba komanso kunenepa kwambiri.
Kuchepetsa shuga ndi mafuta muzakudya ndizothandiza ngakhale kwa iwo omwe ali ndi matenda ashuga omwe samadwala matenda a pancreatitis. Kuwona kwa masamba ndi chimanga mu menyu kumapangitsa ntchito ya matumbo, kuchepetsa shuga ndikuyenda bwino m'mitsempha yamagazi, mtima ndi mantha. Pancreas yotopa chifukwa cha matenda ashuga okhala ndi kapamba amafunikira nthawi yayitali kuti achire, choncho munthu ayenera kutsatira zakudya zowonjezera kuti amve bwino.
Zakudya Zochulukirapo
Mu chilonda chachikulu cha pancreatitis tsiku loyamba, wodwalayo sayenera kudya chilichonse. Panthawi imeneyi, amangothira madzi popanda mpweya. Kutalika kwa kusala kudya kumatsimikiziridwa ndi dokotala kuchipatala komwe wodwalayo amapezeka, nthawi zina amatha kupitilira masiku atatu.
Pambuyo kuchulukitsa kuchepa, wodwalayo amamulembera zakudya zofunikira, zomwe zimabwezeretsa kapamba ndikusintha momwe zinthu zimakhalira. Kusasinthika kwa chakudya kumayenera kukhala kosakanika ndi kosenda, kuphwanyidwira kumtundu wa mushy. Mafuta ndi chakudya chamagulu nthawi imeneyi amachepetsa, ndipo mapuloteni amayenera kupezeka m'zakudya zochuluka. Zopatsa mphamvu za calorie za tsiku ndi tsiku ndizoperewera, zomwe zimawerengeredwa potengera kulemera kwa thupi, zaka, komanso matenda ake wodwala. Mtengowu ndi wa aliyense payekha kwa wodwala aliyense, koma Mulimonsemo, sayenera kukhala wotsika kuposa 1700 kcal patsiku.
Mfundo za zakudya zomwe wodwala ayenera kutsatira panthawi ya kapamba:
- kufa ndi njala kwakanthawi kokhazikitsidwa ndi adotolo,
- kukana chakudya chokhumudwitsa, chotsekemera ndi zonunkhira m'njira yoperekera zizindikiro zosasangalatsa,
- kudya zakudya zazing'ono
- kuchuluka kwa mapuloteni zakudya muzakudya.
Zakudya zoterezi zimatha kukhala sabata limodzi mpaka mwezi ndi theka, kutengera mtundu wa kusintha kwa zomwe munthu ali nazo komanso kuopsa kwa kapamba am'mimba. Zakudya zomwezi zimaperekedwa kwa wodwala komanso kuchuluka kwa matenda. Mosiyana ndi pancreatitis pachimake, pankhaniyi, wodwalayo amatha kuthandizidwa kunyumba. Koma izi zimatheka pokhapokha polemba mayeso onse a Laborator omwe amafunikira, kudutsanso mwatsatanetsatane ndikuyang'ana kwa dokotala.
Zakudya pa chikhululukiro
Panthawi yopuma (chikhululukiro) cha kapamba, chakudya cha wodwalayo sichosiyana kwambiri ndi zakudya zomwe munthu amadwala matenda ashuga. Maziko a menyu amayenera kukhala masamba abwino ndi tirigu, nyama zopanda mafuta ndi nsomba. Kuchiritsa kwamoto pazinthu kumachitidwa bwino kapena kuwotcha. Kuphatikiza apo, masamba ndi nyama zimatha kupatsidwa chakudya, koma izi ziyenera kuchitidwa popanda kuwonjezera mafuta ndi mafuta.
Nthawi zambiri, sikulimbikitsidwa kugwiritsa ntchito masamba ophika ndi nyama kwa odwala kapamba. Njira monga kuphika, kuphika kwambiri ndi grill ndizoletsedwa. Msuzi wokonzekera bwino msuzi wamasamba, koma ndi chikhululukiro chautali, mutha kugwiritsanso ntchito msuzi wa nyama (mutasintha madzi mobwerezabwereza).
Mukamaphika maphunziro oyamba ndi achiwiri, sikofunikira kugwiritsa ntchito anyezi ndi adyo. Zimakwiyitsa mucous membrane wa dongosolo logaya chakudya ndipo zimakhudzanso ziphuphu zovunduka.
Mwa zopangidwa ndi nyama, ndibwino kugwiritsa ntchito zamkati (fillet). Asanaphike, ndikofunikira kuchotsa khungu ku nyama, kuchotsa mafupa onse kuchokera pamenepo ndikuyeretsa mafilimu amafuta. Kuphikira zakudya kwa wodwala ndi kapamba chifukwa cha matenda ashuga ndikwabwino kusankha nkhuku, nkhuku ndi kalulu. Nthawi yayitali chikhululukiro, mutha kuyambitsa ng'ombe, koma ndibwino kukana nkhumba ndi bakha. Mwa nsomba, hake, pollock, cod ndi bass mitsinje ndizoyenera kwa odwala otere. Itha kuwiritsa kapena kuwotcha ndi masamba. Odwala oterewa sangathe kuphika supu pa msuzi wa nsomba, chifukwa zimatha kupweteka kwa kapamba.
Zakumwa zamphepo ndi misuzi yosaphika siziyenera kuledzera ndi munthu wodwala, popeza zimakhala ndi zipatso zambirimbiri. Ndikwabwino kudya zipatso mumtundu wophika (maapulo, nthochi), ngakhale, nthawi zina, mukakhala kuti mukumva bwino, mutha kupeza zipatso zochepa zosaphika. Mukamasankha, muyenera kulabadira kuti asakhale ndi wowawasa. Za zipatso, ndibwino kuti odwala adye maapulo, ma plums, nthochi, ndi ma apricots. Koma khungu lokhazikika ku zipatso zotere liyenera kuchotsedwa.
Mkate, makamaka, sukulimbikitsidwa kwa odwala matenda ashuga, chifukwa ngati kuli kotheka uyenera kupewedwa. Ndi pancreatitis, okhawo amapanga buledi wa tirigu amene amaloledwa, koma mndandanda wazomwe wagulitsawu ndiwokwera kwambiri, ndibwino kuti musawadye konse.
Zofunika kupatula?
Kwa matenda ashuga ndi kapamba, muyenera kupatula pa zakudya ndi zakudya monga:
- msuzi wamafuta ambiri ndi mafuta, msuzi,
- chokoleti, maswiti,
- kuphika ndi makeke,
- msuzi wowawasa, wokometsera,
- mafuta amkaka,
- masoseji ndi masoseji,
- ankasuta nyama
- zakumwa zoziziritsa kukhosi, khofi, kvass,
- mowa
- bowa
- tomato, radishi, sipinachi, sorelo,
- Zipatso za malalanje ndi zipatso zonse zomwe zimakoma.
Ndi kapamba, simungathe kudya chilichonse chosungika, kumwa tiyi wamphamvu ndikudya mkate wa rye. Izi zimachulukitsa kuchuluka kwa chakudya m'mimba, ndipo zimayambitsa matenda. Bowa wamtundu uliwonse amagwera pansi pa chiletso. Ngakhale ali ndi chisonyezo chochepa cha glycemic komanso kuchuluka kwa kadyedwe, odwala matenda ashuga omwe apanga nthawi imodzi kapena m'mbuyomu omwe anali ndi mbiri ya kapamba sayenera kudyedwa.
Kwa odwala omwe ali ndi kapamba komanso matenda ashuga, ndibwino kukana kabichi yoyera mwanjira iliyonse.
Zimakwiyitsa kutulutsa ndipo zimathandizira kubisalira kwa madzi a m'mimba, omwe amachititsa ma enzymes apachifini. Izi zimatha kubweretsa kuphwanya kwa magwiridwe antchito ake ndikuwonjezera kowonjezera. Izi zitha kusinthidwa ndi broccoli ndi kolifulawa. Amakhala ndi mavitamini, michere ndi zinthu zina zambiri zopindulitsa, ndipo nthawi yomweyo, zamasamba zotere sizimayambitsa kugaya chakudya.
Malangizo Othandiza Pathanzi
Sankhani chakudya ndi dokotala. Popeza kuti odwala oterewa ali ndi matenda awiri, ayenera kugwirizanitsa bwino zakudya zawo ndi endocrinologist ndi gastroenterologist. Zatsopano zilizonse ziyenera kufotokozedwa pang'onopang'ono m'zakudya, pambuyo pake ndikofunikira kuyang'anira momwe thupi limayambira. Kuti muchite izi, mutha kusunga buku lazakudya lomwe lingakuthandizeni kulinganiza zonse ndikusunga wodwalayo pamavuto amtsogolo chifukwa chamtundu uliwonse wa chakudya.
Pofuna kukonza chimbudzi komanso kusintha thanzi, ndikofunika kuti odwala matenda ashuga omwe ali ndi kapamba azikumbukira malamulowa:
- idyani 5-6 patsiku,
- kuchuluka kuchuluka kwa mapuloteni muzakudya, 60% zomwe zimayenera kukhala mapuloteni achinyama,
- kuchepetsa zakudya zamafuta ndi mafuta (ndikwabwino kuyang'ana mafuta am masamba kuposa batala ndi mafuta ena achinyama),
- idyani zakudya zofunda (osati zozizira kapena zotentha),
- munthawi ya kuwonongeka kwaumoyo, gwiritsani ntchito zokhazokha zotsekemera komanso zosenda bwino,
- Osamadya chakudya choyipa, choletsedwa, ngakhale pang'ono.
Matenda a kapamba, monga matenda ashuga, ndi matenda omwe amafunikanso kusintha njira yanthawi zonse amoyo komanso kukonza zakudya. Kutsatira zakudya kwakanthawi kokha sikungabweretse phindu kwa nthawi yayitali, motero muyenera kuyang'ana kuti kudya zakudya zopatsa thanzi ndizofunikira nthawi zonse. Mphindi yachisangalalo kuchokera ku maswiti kapena chakudya chofulumira sichingatenge malo okhala ndi thanzi. Kuphatikiza apo, atawonetsa lingaliro lakunyumba, ngakhale mutakhala ndi zinthu zosavuta mumatha kuphika mbale zabwino.
Kodi kusala kudya ndikwabwino kwa matenda ashuga a 2?
Kusala kudya ndi mtundu wachiwiri wa matenda ashuga kumayesedwa kuti ndi njira yothandiza kwambiri yoyeretsera thupi. Koma sikuti zonse zomwe zimachitika munjira imeneyi ndizophweka, ndipo ngakhale akatswiri ambiri sagwirizana. Tiyeni tiwone mfundo zazikuluzikulu pankhaniyi, komanso kuwunikira zabwino zomwe zikuwoneka posala kudya ndi njira yomwe, mwachitsanzo, pazofunikira zake.
Kodi matenda ashuga ndi chiyani?
Ndizoyenera kufotokozera kuti matenda ashuga ndi matenda omwe amadziwika ndi insulin (tikukamba za mtundu wachiwiri wa matenda omwe akuwunikira). Pa magawo oyamba a matendawa, munthu safunika kupaka jakisoni, popeza vutoli silili mu kusowa kwa insulini, koma kusakhazikika kwa minofu yake.
Wodwala ayenera kusewera masewera, komanso kutsatira zakudya zapadera zomwe akatswiri amapanga. Funsani othandizira anu azaumoyo kuti akutsimikizireni!
Zokhudza kufa ndi njala, zimatheka pokhapokha ngati wodwala alibe zovuta zilizonse zokhudzana ndi mtima wamtima, komanso mavuto osiyanasiyana.
Ubwino wosala kudya
Njala, komanso kuchepetsedwa kuchuluka kwa zakudya zomwe anthu amadwala odwala matenda ashuga, kumachepetsa kwambiri chizindikiro komanso matendawa. Chowonadi ndi chakuti pamene chida cholowa m'matumbo, penapake insulin imapangidwa. Mukasiya kudya, njira yokonzera mafuta onse iyamba.
Chifukwa chake, munthawi inayake, thupi lidzatsukidwa kwathunthu, poizoni ndi poizoni zimatuluka, ndipo njira zambiri zimasinthasintha mwachitsanzo, kagayidwe. Mutha kutaya kulemera kowonjezera komwe kumapezeka mu mtundu uliwonse wa odwala matenda ashuga. Odwala ambiri amawona mawonekedwe akununkhira kwa acetone kumayambiriro kwa kusala, chiwonetserochi chimachitika chifukwa cha kupangidwa kwa ma ketones m'thupi la munthu.
Malamulo omwe ndiofunika kutsatira mukasala kudya
Ngati inu ndi katswiri mukazindikira kuti kusala kudya kokha kumakuthandizani komanso sikumayambitsa thanzi lanu, ndiye kuti muyenera kusankha nthawi yomwe simumadya. Akatswiri ambiri amalingalira za nyengo ya masiku 10. Chonde dziwani kuti izi zithandizanso ngakhale kuchokera kumvula yochepa, koma yayitali ingathandize kukwaniritsa zabwino komanso zodalirika.
Menyero yoyamba yanjala iyenera kuyang'aniridwa ndi adokotala momwe mungathere, konzani naye kuti tsiku lililonse mudzamuuza za thanzi lanu. Chifukwa chake, zidzakhala, ngati zowopsa zimachitika, kuti asiye kusala kudya. Ndikofunikanso kuwongolera kuchuluka kwa shuga, ndipo izi zimachitika bwino kwambiri kuchipatala, ngati pali mwayi wotere, ndiye kuti musakayike kuti, ngati kuli kotheka, chisamaliro chachipatala adzaperekedwa munthawi yake! Chamoyo chilichonse chimakhala chamunthu payekhapayekha, choncho ngakhale dokotala wabwino kwambiri sangathe kuneneratu kuti kusala kudya kudzakhala nako!
Nazi mfundo zofunika kuzimvetsetsa:
- Kwa masiku ochepa muyenera kudzipatula pakudya. Akatswiri amalimbikitsa kudya zokhazokha zokhomedwa ndi mbewu.
- Patsiku lomwe mudzayamba kufa ndi njala, chitani nawo nyimbo.
- Osadandaula kuti pafupifupi masiku asanu, fungo la acetone lidzamveka mkodzo ndi mkamwa. Kuwonetsera koteroko kutha posachedwa, komwe kudzayerekeze kutha kwa vuto la hypoglycemic; kuchokera pakuwonetsedwa uku, titha kuganiziranso kuti pali ma ketones ochepa m'magazi.
- Glucose ibwerera mwachizolowezi, ndipo ikhala mpaka kumapeto kwa maphunziro.
- Ngakhale kagayidwe kachakudya ka thupi kamafanana, ndipo katundu pazinthu zonse zam'mimba adzachepetsedwa kwambiri (tikulankhula za chiwindi, m'mimba, komanso kapamba).
- Nthawi ya kusala itatha, muyenera kuyambiranso kudya. Choyamba, gwiritsani ntchito madzi opatsa thanzi okha, ndipo izi ziyenera kuchitidwa moyang'aniridwa ndi katswiri.
Chowonadi ndi chakuti m'masiku 10 thupi limasinthana ndi kusowa kwa chakudya, kotero muyenera kuyambitsa kuyambiranso pang'onopang'ono. Thupi silikhala lokonzekera milingo komanso zakudya!
Monga momwe mungamvetse, kufa ndi njala kumayenderana ndi matenda monga matenda ashuga (tikungolankhula za mtundu 2). Ndikofunikira kuti mukhale osamala kwambiri ndi thanzi lanu, komanso kuti muzigwirizanitsa zochita zanu ndi dokotala.
Maganizo a akatswiri ndi odwala matenda ashuga
Akatswiri ambiri, monga tanena kale, ali ndi lingaliro labwino pakufa ndi njala, ndipo tikulimbikitsidwa kusala kudya kwa masiku 10 enieni. Panthawi imeneyi, zabwino zonse ziwoneka:
- Kuchepetsa nkhawa pazakudya zam'mimba,
- Njira yolimbikitsira ya metabolism,
- Kupititsa patsogolo kwakukulu pancreatic ntchito,
- Kukonzanso ziwalo zonse zofunika,
- Kuletsa kupitirira kwa matenda ashuga a 2,
- Hypoglycemia ndiyosavuta kunyamula.
- Kuthekera kuchepetsa ziwopsezo zomwe zimakhudzana ndikukula kwa zovuta zingapo.
Ena amalangizanso kupanga masiku owuma, ndiye kuti, masiku omwe amapereka ngakhale kukana kwamadzimadzi, koma izi zimayendetsedwa, popeza madzi am'madzi amayenera kumwa kwambiri.
Malingaliro a odwala matenda ashuga amakhalanso abwino, koma pali lingaliro linanso, lomwe ma endocrinologists amatsatira. Udindo wawo ndikuti palibe amene anganeneretu momwe chinthu china chimagwirira ntchito ndi njala. Ngakhale mavuto ang'onoang'ono okhudzana ndimitsempha yamagazi, komanso chiwindi kapena ziwalo zina ndi minofu yake, zimatha kuwonjezera ngozi zake.
Kodi ndizotheka kufa ndi njala ndi matenda a shuga 2?
Yankho la funso loti ngati kuli kotheka kufa ndi matenda a shuga a 2 ndilosangalatsa. Ochiritsa ena amavomereza njira imeneyi, pomwe ena amakana.Zokhudza mankhwala achikhalidwe, zimatsutsa kuyenera ndi phindu la kusala kwachithandizo. Komabe, mchitidwewu ukusonyeza izi.
Nthawi zambiri, anthu odwala matenda ashuga omwe amagwiritsa ntchito njira imeneyi amathandizira kusintha kagayidwe kazinthu, motero amachepetsa shuga. Ena mwa iwo amati amachotseratu matenda a hyperglycemia.
Matenda a shuga ndi matenda owoneka bwino omwe amatha kupita patsogolo msanga ndikubweretsa mawonekedwe. Chifukwa chake, kuti muwongolere matenda a zamitsempha, muyenera kugwiritsa ntchito mitundu yonse ya njira. Chimodzi mwa izo ndi chithandizo chachangu, chomwe chimakhala ndi malamulo apadera komanso zovuta zina.
Zopindulitsa ndi zovulaza za kusala kudya
Mosiyana ndi madokotala, ofufuza ambiri amati kudziletsa pakudya kapena kukana kwake kwakanthawi kwakanthawi kumachepetsa kuopsa kwa matenda ashuga.
Sulin yotsitsa shuga imawonekera m'magazi mukatha kudya. Chifukwa chake, odwala omwe ali ndi matenda a shuga amalangizidwa kuti achepetse kudya msuzi ndi zakudya zina zamadzimadzi. Kudziletsa kumeneku kumathandiza kuchepetsa kuchuluka kwa insulin m'magazi.
Omwe adayeseza kusala ndi Type 2 shuga mellitus adamva zabwino za njirayi. Ndipo njala ina idachira kwathunthu zizindikiro za hyperglycemia.
Pakupewa kudya mthupi la munthu wodwala matenda ashuga, zosintha zathupi izi zimachitika:
Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.
- njira zonse zamkati zimayambira,
- mafuta achilengedwe omwe anali osasamba amayamba kusandulika mafuta,
- kugwira ntchito kwa kapamba kumawongolera
- mu chiwindi, kuchuluka kwa zinthu zosungidwa, makamaka glycogen, kumachepetsedwa,
- thupi limatha kuthana ndi poizoni,
- kuchepetsa thupi mwa anthu onenepa kwambiri.
Komabe, pakumala kwamatenda a shuga, fungo linalake la acetone limatha kuwoneka mkodzo ndi malovu. Mwakutero, kugwiritsa ntchito njira yothandizira ngati imeneyi ndi koyenera ngati wodwala matenda ashuga sakhala ndi matenda oopsa komanso osakhazikika, makamaka omwe amagwirizana ndi chimbudzi.
Nthawi zina, pamakhala zovuta zina chifukwa cha kufa ndi matenda amtundu 1 komanso matenda ashuga 2. Choyamba, awa ndi mkhalidwe wa hypoglycemia ndi kukula kwa chikomokere.
Kuphatikiza apo, wodwalayo amatha kudandaula kuti kudzimbidwa, kupsinjika ndi kuwonongeka mu thanzi lonse.
Malamulo pokonzekera kusala
Palibe mgwirizano pakanthawi kachipatala.
Chithandizo chofala kwambiri cha matenda a shuga, chomwe chimatha pafupifupi masiku atatu kapena anayi. Ngakhale munthawi yochepa chonchi, odwala matenda ashuga amatha kukhazikika pamtunda wa glycemia.
Wodwala akaganiza zithandizo lanjala, choyamba ayenera kuchita zotsatirazi:
- Pakusala kwachithandizo choyambirira, njirayi iyenera kuchitika moyang'aniridwa ndi akatswiri othandizira odwala komanso othandizira odwala,
- Musanalandire chithandizo, muyenera kuyang'ana kuchuluka kwa shuga m'magazi (musanalandire chithandizo chilichonse cha insulin kapena chakudya chilichonse),
- Masiku atatu musanapereke chakudya, muyenera kudya zakudya zokhazokha. Musanayambe kusala kudya matenda a shuga a 2, muyenera kumwa mafuta a azitona (pafupifupi 40 g pa tsiku),
- musanadye chakudya, ndikofunikira kuchita njira yotsuka matumbo ndi enema, kuti achotse zinyalala za chakudya, komanso zinthu zina zowonjezera,
- muyenera kuwona madzi omwe amwedwa, ayenera kumwa kamodzi malita awiri patsiku.
Mukatha kutsatira malamulo onse omwe ali pamwambapa mungathe kusala kudya kwathunthu ndi matenda ashuga. Pa kukana chakudya, ndikofunikira kuti muchepetse zolimbitsa thupi, ndizosatheka kudya konse. Njala yolimba yamatenda a shuga imatha kumwera madzi akumwa.
Mukakana kudya chakudya, thupi la wodwala matenda ashuga limayamba kumanganso, motero patsiku loyamba lopanda chakudya azikhala wotopa komanso kugona.
Kuphatikiza apo, ketonuria ndi ketonemia amakula.
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
Alexey, wazaka 33, Kirov
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.
Alexandra, wazaka 46, Volgodonsk
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.
Kristina, wazaka 26, Stavropol
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!
Natalia, wazaka 39, Adler
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.
Mtundu wachiwiri wa matenda ashuga
Matenda a shuga ndi matenda omwe amasintha kwambiri moyo wa munthu. Zimachitika pamene thupi limasowa kwambiri insulin kapena osazindikira.
Ngati tikulankhula za mtundu wachiwiri wa nthendayi, ndiye kuti kayendetsedwe ka mahomoni tsiku ndi tsiku sikofunikira, koma kuti mukhalebe ndi moyo wathanzi, wodwalayo ayenera kuchita: kutsatira zakudya, kuchita masewera olimbitsa thupi. Kusala matenda a shuga a mtundu wachiwiri kumathandizanso.
Mankhwala othandizira odwala matenda a shuga mellitus 2: chithandizo cha matenda osokoneza bongo omwe ali ndi njala
Madokotala amavomereza kuti chifukwa chachikulu chomwe chikulepheretsa matendawa ndi kunenepa kwambiri komanso zakudya zopanda thanzi. Kusala kumathetsa mavuto awiri nthawi imodzi: kumathandizira kuchepetsa kulemera ndipo, chifukwa chokana maswiti, kumabweretsa kuchuluka kwa shuga m'magazi.
Kulemedwa kwa ziwalo zamkati monga chiwindi ndi kapamba kumachepa mukasiya kudya. Njira ndi ziwalo zimayamba kugwira ntchito bwino, ndipo nthawi zambiri izi zimapangitsa kutsekeka kwathunthu kwa zizindikiro za matenda ashuga, kumalola wodwala kukhala ndi moyo wathunthu ndikukhala wokondwa.
Ngati nthawi yosala kudya imabwera mpaka masabata awiri, ndiye kuti nthawi imeneyi zinthu zimasintha kwambiri kuti zizikhala bwino m'thupi:
- ziwalo zam'mimba zimasiya kukhala ndi katundu wambiri chifukwa chogwirira ntchito nthawi zonse ndi zinthu zovulaza zomwe zikulowa.
- bwino kagayidwe, kuthandiza kulimbana kunenepa,
- ntchito ya pancreatic yabwezeretsedwa,
- thupi limalekerera kuwonetsera kwa hypoglycemia mosavuta,
- mwayi wokhala ndi zovuta za mtundu 2 wa shuga umachepa,
- ziwalo zonse ndi machitidwe awo ayamba kugwira ntchito mu konsati,
- matenda a shuga amasiya kuyenda.
Popeza nthawi yosala kudya ndi yayitali, ndikofunikira kumwa madzi nthawi zonse, koma akatswiri ena amati zotsatira za mankhwalawa zidzakhala bwino ngati mutalowa m'masiku ochepa "owuma" pomwe palibe kanthu kuchokera kunja, ngakhale madzi, komwe kumalowa m'thupi.
Mphamvu ya kusala kudya shuga
Kugwiritsa ntchito bwino kwa zamankhwala kumakambidwabe, njira yokhayo yomwe madokotala amapereka odwala matenda ashuga ndi mapiritsi omwe amachotsa shuga m'magazi. Ngati wodwala samadwala matenda a mtima komanso matenda ena okhala pachimake, kusala kudya kumathandiza kuthana ndi matendawa m'njira "yathanzi" kwambiri.
Njala imagwira ntchito chifukwa chakuti thupi limayamba kugwiritsa ntchito zake zomwe zimasungidwa mafuta ndi zakudya zina zikaleka kulowa kuchokera kunja.
Insulin - timadzi tomwe timasungidwa ndi chakudya - timapangidwa ndi thupi tikamasala kudya chifukwa cha "depots" zamkati. Nthawi imodzimodziyo, pamakhala kutulutsidwa kwa poizoni ndi zinthu zina zoyipa zomwe zimadziunjikira nthawi yoperewera.
Kuti ntchito yoyeretsa ipite mwachangu, muyenera kutsagana ndi kukana chakudya pomwa madzi osachepera 2-3 malita tsiku.
Therapy imathandizira kubwezeretsa njira za metabolic ku liwiro lawo labwinobwino, lofunikira kwa odwala matenda ashuga. Matenda awo amachepa chifukwa cha zakudya zoperewera komanso matenda.
Kugwiritsa ntchito bwino kwa metabolism kumakupatsani mwayi wotaya mapaundi owonjezera osasintha zakudya moyenera.
Mlingo wa glycogen womwe umapezeka m'matumbo a chiwindi umachepa, ndipo pakalandira mafuta acids, omaliza amasinthidwa kukhala chakudya.
Anthu ena omwe ali ndi njala amasiya kutsatira njirayi, atayamba kuona zinthu zatsopano komanso zachilendo. Anthu ambiri ali ndi fungo la acetone lochokera mkamwa mwawo.
Koma chifukwa cha izi zili m'matumbo a ketone omwe amapanga nthawi yake. Izi zikusonyeza kuti vuto la hypoglycemic likupanga lomwe likuika pachiwopsezo pamoyo wa odwala matenda ashuga, makamaka akafika pa mtundu woyamba wa matenda ashuga.
Mtundu wachiwiri wa anthu odwala matenda ashuga amaloleza kuletsa zakudya mosavuta.
Malamulo osala kudya ndi shuga
Kuti kusala kudya kupindule, munthu ayenera kutsatira malamulo okhwima. Monga chithandizo china chilichonse, pamafunika wodwalayo kuti azikhala wosasinthika, woganizira mkhalidwe wake, komanso wodekha.
Pa gawo loyamba, muyenera kupita kwa dokotala ndikukayezetsa. Munthu wodwala matenda ashuga amawonetsa kusala kwanthawi yayitali, zomwe zimatheka kokha ndi thanzi labwino. Kutalika kwakukulu kwa kusala kuli milungu iwiri.
Sikuti aliyense amatha kukwanitsa izi - poyamba muyenera kuyambira ndi masiku ochepa kuti thupi lizolowera dziko latsopano.
Ngakhale masiku 3-4 osakhala ndi chakudya azikhala athanzi komanso zimapangitsa kuti shuga asakhale ndi plasma.
Ngati wodwalayo ali wonenepa kwambiri komanso pali matenda ambiri olumikizana, ndibwino kuyamba kutsatira njira imeneyi moyang'aniridwa ndi achipatala. Zoyenera, katswiri, endocrinologist komanso wazakudya ayenera nthawi yomweyo kutsogolera wodwala wotere. Kenako kuwongolera kuzisonyezo zonse ndikotheka. Wodwala iyemwini amatha kuyeza kuchuluka kwa shuga kunyumba.
Kukonzekera kofunikira komwe kumakhazikitsa thupi panjala. Kukonzekera kumaphatikizapo:
- kudya zakudya zochokera azitsamba m'masiku atatu omaliza musanasale kudya,
- kuwonjezera magalamu 30 amafuta a mbewu ya azitona ku chakudya,
- kuzolowera kugwiritsa ntchito malita atatu amadzi oyera
- enema patsiku lomaliza kusanachitike njala kuti achotse zinyalala za chakudya ndi zinthu zowonjezera zomwe zimadetsa m'mero.
Kukonzekera zamaganizo ndikofunikanso.Ngati wodwalayo akumvetsetsa bwino zomwe zidzamuchitikire panthawi ya chithandizo, kuchuluka kwa kupsinjika kumatsika.
Ngati mkhalidwe wamavuto amisala, munthu akhoza kukopeka nthawi zonse kuti athetse nkhawa komanso mantha ndi chakudya - monga njira yosavuta komanso yosavuta yokwanira yosangalalira.
Zisokonezo ndizosapeweka mwa iwo omwe sanadziyike okha kuti athe kutsatira malamulo ndikupeza zotsatira zabwino.
Kutali ndi njala
Njirayi ndi yosiyana popeza suyenera kungolowa moyenera, komanso kutuluka molondola. Ngati izi sizichitika, ndiye kuti zizindikiro zonse za matenda ashuga zimabwereranso, ndipo zotsatira zake sizingachitike.
Malamulo otuluka pakumenyedwa ndi njala ndi osavuta:
- Kwa masiku osachepera atatu saloledwa kudya mafuta, osuta, owotcha,
- mndandanda wa sabata yoyamba uyenera kukhala ndi supu, mafuta amchere, zakumwa zachilengedwe, mkaka ndi Whey, zipatso zamasamba ndi zakudya zina zosavuta kugaya,
- ndiye kuti mutha kulowa maphikidwe a porridge, nyama yonyowa ndi sopo pamsuzi wa nyama,
- mutha kuwonjezera chakudya chambiri - poyamba zimakhala zokwanira kuyambitsa chakudya chambiri kawiri pa tsiku, pang'onopang'ono kubweretsa kuchuluka kwa magawo asanu kapena asanu ndi limodzi,
- Zakudya zambiri zizikhala ndi masamba a masamba ndi sopo, mtedza ndi zipatso, kotero kuti kuthana ndi vuto la njala kumatenga nthawi yayitali.
Muyenera kuti muchoke kusala kudya kwamasiku ambiri m'mene adakhalako. Chifukwa chake mutha kukulitsa kugwira ntchito kwake ndikuchepetsa zovuta za matendawa.
Amakhulupilira kuti kuti musunge zotsatira, muyenera kugwiritsa ntchito mankhwalawa pafupipafupi, koma sikofunikira kuti muchepetse zakudya ndi michere kwa nthawi yayitali nthawi iliyonse. Ndikokwanira kuti odwala matenda ashuga azitha kumenyedwa ndi njala masiku awiri kapena atatu.
Mukamaganiza zankhondo yayitali, muyenera kumvetsetsa kuti magwiridwe ake azikhala apamwamba kuposa a masiku awiri. Izi ndichifukwa choti zochizira zimawonekera patsiku lachitatu kapena lachinayi la kuyeretsa thupi. Pakadali pano, vuto la acidotic limachitika. Thupi laumunthu limayamba kugwiritsa ntchito malo osungirako mkati kuti likhale ndi moyo, litaima kaye kuti chakudya chizituluka kunja.
Kulemera kwambiri kwa wodwalayo kumachotsedwa bwino m'masiku oyambirirawo, koma mizere yambiri ndiyomwe imachitika chifukwa cha kutulutsidwa kwa madzi, mchere ndi glycogen. Kulemera komwe kumapita masiku otsatirawa ndi mafuta osaneneka, omwe ndi mdani woipa kwambiri wa odwala omwe ali ndi matenda.
Chenjezo
Ngakhale kuoneka bwino kwa njirayi, pali zochitika zina pomwe kusintha kapena kupitiriza kusala kudya sikungatheke.
Tikuyankhula za kuukira kwa hypoglycemia. Kwa anthu omwe ali ndi mbiri ya matenda ashuga, matendawa ndi owopsa. Chifukwa chake, muyenera kudziwa zisonyezo zake kuti muchitepo kanthu nthawi ndikudziteteza.
Hypoglycemia imadziwika chifukwa chakuti thupi limasowa shuga. Amapatsa zizindikiro, kupangitsa wodwala kumva nseru, kufooka, chizungulire, kugona, kumva kusangalatsidwa kwa zomwe akuwona, kusinthasintha kwa machitidwe, kusinthika kwa kuyankhula komanso kuzindikira.
Zizindikiro zimatha kumangilira mwachangu ndikupanga kugwa komaso kufa. Kuti mutulutsidwe pamavuto a hypoglycemic, muyenera kudya maswiti, supuni ya uchi kapena piritsi ya glucose. Popewa kukula kwa kuukira, mutha kuwonjezera shuga kapena uchi pang'ono pakumwa kwanu tsiku ndi tsiku.
Simungasinthe njira iyi yoyeretsera pamaso pa zopatuka zotsatirazi:
- matenda amtima
- mavuto amisala
- mitsempha yam'mitsempha,
- matenda a urogenital.
Kuletsedwaku kumagwiranso ntchito kwa azimayi oyembekezera komanso oyembekezera, komanso kwa anthu azaka zosakwana 18.
Moyo wamakono komanso chakudya chopanda malire chomwe chingagulidwe chimayambitsa kuchuluka kwa odwala matenda ashuga padziko lonse lapansi. Iliyonse ya yomwe ingathetse vutoli, njira imodzi ndiyothandiza kusala kudya.
Matenda a shuga komanso kusala: zabwino komanso zoipa
Njala ya matenda ashuga ndi amodzi mwa mitundu yosiyanasiyana ya mankhwalawa omwe amathandizira matenda. Pa netiweki mutha kupeza ndemanga zambiri zomwe kukana chakudya kunathandizira kuti magazi azikhala mwamphamvu kwambiri komanso kusinthitsa mkhalidwe wa kapamba. Kodi zili choncho? Kodi ndi kusala kudya kwamtundu wanji komwe kumayambitsa matenda a shuga 1 kapena mtundu 2?
Kodi kusala kudya magazi ochepa
Chizolowezi cha shuga m'magazi chimachokera ku 3,9 mpaka 5.5 mmol / l, ngakhale atakhala zaka kapena amuna kapena akazi. Kwa odwala matenda ashuga, muyeso wovomerezeka ndi 7.2 mmol / L.
M'mbuyomu, odwala matenda ashuga adaletsedwa kudya buledi, zipatso, maswiti, ndi zinthu zina zomwe zimapangitsa kudumphadumpha mu shuga. Pakadali pano, malingaliro awa adakonzedwanso - njira zamatenda a glucose amitundu yosiyanasiyana matendawa adatsimikiza.
Mtundu woyamba wamatenda - amadalira insulin - maselo a pancreatic satulutsa insulin kapena anamwalira. Kugwiritsa ntchito zakudya zamafuta kumaloledwa, koma mukamamwa Mlingo wokwanira wa timadzi timeneti.
Mtundu wachiwiri - insulin imapangidwa, nthawi zina mopitirira muyeso. Koma ma cell amthupi satha kuyanjana ndi glucose, kusokonekera kwa metabolic. Sizingadutse m'matumbo, zomwe zimapangitsa kuti pakhale chakudya champhamvu m'magazi. Mu mtundu uwu wa matenda ashuga, mankhwalawa amachokera ku chakudya chochepa chamagulu chamagulu chamagulu komanso shuga.
Malangizo a endocrinologists ali motere - zakudya zoyenera, kutenga insulin ya matenda akudalira insulini.
Ndikusowa kwa odwala matenda ashuga komanso anthu athanzi, thupi limayamba kufunafuna malo osungiramo mafuta. Mafuta amaphulika pama hydrocarbons osavuta.
Kuchepetsa shuga m'magazi ndikotheka kokha ndi nthawi yayitali yanjala. Koma izi zimawonjezera chiopsezo cha hypoglycemia.
Zizindikiro za kuchepa kwa shuga:
- nseru
- kufooka
- thukuta
- masomphenya apawiri
- nkhalwe
- kugona
- chisokonezo,
- kuyankhula kosayenera.
Ichi ndi chowopsa kwa wodwala matenda ashuga. Zotsatira zake zimakhala zovuta komanso imfa.
Choyamba thandizo pankhaniyi ndi chakudya. Anthu odwala matenda ashuga amalangizidwa kuti azikhala ndi maswiti angapo kapena mapiritsi a shuga.
Zabwino ndi zovuta zosala kudya pothana ndi matenda ashuga
Chithandizo chamankhwala sichizindikira chithandizo cha matenda ashuga mwachangu posala kudya ngati njira yabwino yomwe ingathandize wodwalayo. Kuperewera kwa chakudya kumapanikizika ndi thupi. Kwa odwala matenda ashuga, kupsinjika kwa malingaliro kumatsutsana.
Ubwino wosala kudya ndi matenda ashuga:
- kulemera kwa thupi kumachepa
- kupuma dongosolo la m'mimba, kapamba,
- ndi mtundu 2 wa shuga, kuletsa zakudya mwaukhondo ndi mtundu wa chithandizo,
- limakupatsani mwayi wochepetsa kuchuluka kwa m'mimba, zomwe zimathandiza kuchepetsa kuchuluka kwa chakudya mukatha kudya.
Njirayi ili ndi zovuta zingapo. Kufa ndi njala ku matenda ashuga:
- ogwira ntchito
- chiopsezo chachikulu cha hypoglycemia,
- kupsinjika kwa thupi
- kuchuluka kwa ma ketoni m'thupi,
- mawonekedwe akununkhira kwa acetone ndi kupezeka kwake mkodzo.
Ngati mwayesa kuyesa njira yolamulira magazi m'magazi, kambiranani nkhaniyi ndi endocrinologist wanu. Ndipo bwino - muzichita zochitika kuchipatala moyang'aniridwa ndi dokotala.
Pa 1
Pankhani yamatenda omwe amadalira insulin, maselo a pancreatic satulutsa insulin, timadzi tomwe timalimbikitsa kuyamwa kwa shuga m'magazi. Maselo samalandira zakudya ndipo wodwalayo amamva mwamphamvu njala komanso kuvutitsidwa kosafunikira kwa chilala.
Kuchuluka kwa shuga m'magazi sikudalira zakudya zoletsa kapena kusala kudya. Imakhalapo mpaka wodwalayo atavulaza insulin.
Madokotala salimbikitsa odwala otere kuti afe ndi njala. Kuti muchepetse shuga, muyenera kubayira insulin, ngakhale pakhale kusowa chakudya kwathunthu. Izi zimakwiyitsa kukula kwa hypoglycemia. Ndipo njira yokhayo yothanirana ndi vutoli ndikuwukitsa shuga pofika pakamwa kapena jakisoni.
Ndi mtundu 2
Kusala a shuga a mtundu wachiwiri ndi njira yanthawi yazakudya. Endocrinologists amalimbikitsa maphunziro kukana chithandizo ngati madzi okwanira amwedwa. Izi zimathandizira kuchepetsa thupi. Kunenepa kwambiri kumayambitsa kusokonezeka kwa metabolic ndipo kumathandizira kukulitsa matendawa.
Kukonzekera, njira yolondola yokana chakudya, kutuluka mwamphamvu ndikutsatira malamulo azakudya zabwino mukatha kusala kumathandizira kuti kuchepa kwa shuga.
Akatswiri amalimbikitsa odwala omwe ali ndi vuto la matenda a shuga a 2 kuti ayendetse kwa nthawi yayitali - masiku 5-7 - zigawo za kukana chakudya. Mlingo wa shuga pambuyo pamavuto a acidotic umatsitsidwa pokhapokha patsiku la 5-6.
Chisankho chabwino kwambiri panthawi yakakana chakudya ndikuyang'aniridwa ndi ogwira ntchito kuchipatala.
Kukonzekera koyenera kusamba kumayambira sabata 1 musanatsuke thupi. Muyenera kusiya zakudya zolemera, zokazinga, nyama. Pang'onopang'ono muchepetse kukula kwake, chotsani maswiti ndi mowa pazakudya. Patsiku la kusala, pangani enema yotsuka.
Pa gawo loyamba, kununkhira kwa acetone kudzawonekera, kusintha kwa magazi ndi kuyesa kwamikodzo. Ndikofunikira kumwa madzi osachepera malita awiri ndi zitsamba zofooka. Zakudya zilizonse ziyenera kusiyidwa. Kuchita masewera olimbitsa thupi sikuletsedwa.
Mu magawo oyambilira - tsiku kapena awiri - kukala kwamkhutu ndikotheka. Odwala omwe ali ndi matenda ashuga amalimbikitsidwa kuyeretsa thupi pamaziko a chipatala.
Kutuluka kuchokera kunjala kumakhala masiku ambiri monga nthawi yakukanira chakudya pakokha. Poyamba, timadziti, timadziti zakudya zopanda chakudya zimayambitsidwa. Zakudya zamapuloteni zimayamba kulowa mgawo patangotha sabata limodzi kuchokera kutha kwa chithandizo.
Nthawi imeneyi, kuyeretsa enemas kuyenera kuchitidwa. Kukana chakudya kumakhudzanso matumbo.
Odwala omwe ali ndi matenda amtundu wa 2 amawonetsedwa magawo awiri a kusala kudya pachaka. Nthawi zambiri - zoletsedwa.
Contraindication pa mankhwala
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.
Nkhaniyo idavomerezedwa ndi osintha.
Kodi matenda ashuga angachiritsidwe ndikusala kudya?
Kusala kudya ndi njira yothira mankhwala ena. Munthu modzipereka amakana chakudya (ndipo nthawi zina madzi) pofuna kuyeretsa thupi la poizoni ndi poizoni kuti machitidwe omwe amaphatikizidwa ndi chimbudzi asinthidwe kukhala "kuchira". Malangizo a mankhwalawa athandiza anthu ambiri kusiya mavuto azaumoyo wawo.
Kuvutika ndi matenda a shuga mellitus kumakuthandizani kuti muchepetse kunenepa, musinthe shuga, muthane ndi kupititsa patsogolo kwa hyperglycemia. Chachikulu ndikutsatira malamulo ena ndikukambirana ndi katswiri kuti mupewe mavuto.
Zotsatira zakusala kudya shuga
M'mbuyomu, hyperglycemia amadziwika kuti ndi matenda osachiritsika. Chifukwa chakukanda chakudya, wodwalayo adakakamizidwa kudya tinthu tating'onoting'ono, ndipo zotsatira zake adafa kutopa. Njira itapezeka yochizira matenda owopsa, akatswiri adayamba kuphunzira mwakhama zakudya za odwala.
Zambiri zimadalira mtundu wa shuga:
- Mu mtundu woyamba wa matenda a shuga a mellitus (insulin), maselo a kapamba amatha kusweka kapena satulutsa insulin yokwanira. Odwala amatha kudya zakudya zamagulu okha pokhapokha ngati angayambitse mahomoni osowa.
- Mtundu wachiwiri, insulin imapangidwa, koma yokwanira, ndipo nthawi zina yowonjezera. Thupi silitha kuthana ndi glucose yemwe amabwera ndi chakudya, ndipo metabolism imasokonezeka. Ndi matenda amtunduwu, chakudya cham'magazi ndi glucose ndizochepa.
Kuperewera kwa zakudya m'thupi, onse odwala matenda ashuga komanso anthu athanzi, kumabweretsa kuti thupi likuyang'ana mafuta ochulukirapo. Njira zimayambira pomwe ma cell am'magazi amapanga chakudya chambiri.
Mutha kuthana ndi hyperglycemia posala kudya nthawi yayitali, koma hypoglycemia imayamba.
Moni Dzina langa ndine Alla Viktorovna ndipo ndilibenso matenda ashuga! Zinanditengera masiku 30 okha ndi ma ruble 147.kubwezeretsa shuga kwazonse komanso osadalira mankhwala osathandiza omwe ali ndi zotsatirapo zoyipa.
>>Mutha kuwerenga nkhani yanga mwatsatanetsatane apa.
Chifukwa cha kuchepa kwa shuga, zizindikiro zotsatirazi zimachitika:
- nseru
- ulesi
- kutuluka thukuta kwambiri
- masomphenya apawiri
- kukomoka
- kusakhazikika
- mawu achipongwe.
Kwa odwala matenda ashuga, iyi ndi njira yoopsa, yomwe imatha kubweretsa kukomoka kapena kufa - werengani za matenda okomoka.
Chithandizo chamankhwala chimawona kuti kufa ndi njala komanso matenda ashuga sizigwirizana, chifukwa munjira iyi chithandizo chimakhala chowonjezera mthupi.
Koma palibe amene angakane phindu losala kudya shuga. Izi zikuphatikiza:
- kuwonda
- kutsitsa kwam'mimba, chiwindi ndi kapamba,
- kagayidwe matenda
- kuchepa kwamphamvu kwam'mimba, komwe kumathandizira kuchepetsa kulakalaka mutasala kudya.
Pakukana chakudya, odwala matenda ashuga amakhala ndi vuto la hypoglycemic, momwe kuchuluka kwa shuga m'magazi kumatsika kwambiri. Matupi a Ketone amadziunjikira mkodzo ndi magazi. Ndi thupi lawo lomwe limagwiritsa ntchito mphamvu. Mkulu pazinthu izi zimakwiyitsa ketoacidosis. Chifukwa cha njirayi, mafuta ochulukirapo amachoka, ndipo thupi limayamba kugwira ntchito mosiyanasiyana.
Momwe mungasinthire matenda a shuga amtundu 1 ndi 2
Pankhani ya hyperglycemia, opanga njira zosala kudya amalimbikitsa kuletsa kugwiritsa ntchito madzi ndi madzi amodzi, ndipo m'tsogolomo, kwa masiku angapo (kumenyedwa ndi njala kumatha miyezi 1.5).
Ndi matenda a cell omwe amadalira insulin, zomwe zimakhala m'magazi sizimadalira kuti chakudya chawamwa kapena ayi. Zizindikiro za Hyperglycemic zidzakhalabe mpaka jakisoni wa mahomoni atayambitsidwa.
Zofunika! Kusala kudya ndi matenda amtundu woyamba amatsutsana. Ngakhale munthu atakana chakudya, izi sizingathandize, koma zimapangitsa kukomoka kwa hyperglycemic coma.
Njala yamtundu wa 2 shuga imadziwikika ngati mtundu wina wa zakudya. Endocrinologists nthawi zina amalimbikitsa kukana chakudya, koma ndi boma lokwanira kumwa.
Njirayi ikuthandizani kuti muchepetse thupi, chifukwa kunenepa kwambiri kumachepetsa mphamvu ya kagayidwe kachakudya ndikuwonjezera thanzi la odwala matenda ashuga, ndikuthandizira kukula kwa matendawa.
Kutsitsa zizindikiro za shuga kumalola njira yoyenera yokana chakudya, njira yabwino yothetsera njala, chakudya choyenera mukatha kudya chakudya.
Akatswiri amalimbikitsa kupewa kudya ndi matenda a shuga a 2 masiku masiku 5-10. Pambuyo pamavuto a hypoglycemic, shuga amawongolera pokhapokha patsiku la 6. Ndibwino nthawi imeneyi kupempha thandizo la akatswiri azachipatala kuti azimuyang'anira.
Kukonzekera kumayambira sabata 1 musanatsuke thupi. Odwala
- kukana nyama nyama, yokazinga, zakudya zolemera,
- kupatula kugwiritsa ntchito mchere,
- kukula kwake kumachepetsedwa
- mowa ndi maswiti amachotsa kotheratu
- patsiku losala kudya, amapanga enema yotsuka.
Kumayambiriro kwa chithandizo chanjala, kusintha kwa mayesowo a mkodzo ndikotheka, kununkhira komwe kumapereka ma acetone. Komanso fungo la acetone limatha kumveka kuchokera mkamwa.Koma vuto la hypoglycemic likadutsa, zinthu za ketone mthupi zimachepa, fungo limadutsa.
Zakudya zilizonse ziyenera kusiyidwa, koma osataya madzi ambiri, kuphatikizapo mankhwala azitsamba. Amaloledwa kuchita masewera olimbitsa thupi. M'masiku oyambilira, kumasuka kwanjala ndikotheka.
Kodi mumazunzidwa ndi kuthamanga kwa magazi? Kodi mukudziwa kuti matenda oopsa amathanso kukopeka ndi mtima ndi kumenyedwa? Sinthani nkhawa zanu ndi ... Maganizo ndi mayankho okhudza njira zomwe mwawerenga apa >>
Njira yakuchoka kusala kudya imatenga masiku ambiri monga nthawi yodziletsa pakudya.
Pambuyo pa mankhwala, masiku atatu oyambilira amwe zipatso ndi ndiwo zamasamba mu mawonekedwe osungunuka, osapewa chakudya cholimba.
Mtsogolomo, chakudyacho chimaphatikizapo timadziti totsekemera, mbewu zopanda mafuta (oatmeal), Whey, masamba decoctions. Mutachoka panjala, chakudya chama protein sichitha kutha kuposa milungu iwiri.
Zakudya za munthu wodwala matenda ashuga ziyenera kuphatikiza masamba masaladi, soups zamasamba, masamba a walnut: kotero zotsatira za njirazi zimakhalapo kwanthawi yayitali. Panthawi yochira, ndikofunikira nthawi zonse kuyeretsa enemas, popeza ntchito yamatumbo pakagwa njala imasokonekera.
Zofunika! Mitundu yothamanga ya shuga 2 imaloledwa kawiri pachaka. Nthawi zambiri kuposa ayi.
Kuletsa kufa ndi njala malinga ndi akatswiri
Kukana kwa nthawi yayitali kwa odwala omwe ali ndi hyperglycemia ndi koletsedwa pamaso pa concomitant pathologies. Izi zikuphatikiza:
- matenda amtima
- zovuta zamitsempha
- mavuto amisala
- chiwindi ndi impso
- matenda okhudzana ndi kwamikodzo dongosolo.
Kusala sikuti ndikulimbikitsidwa kwa azimayi panthawi yomwe akubala mwana ndi ana osaposa zaka 18.
Akatswiri ena, omwe amatsutsa njira ngati izi pochiritsa matenda ashuga, amakhulupirira kuti kukana chakudya kumakhudza thupi la wodwalayo. Amati kudya zakudya zoyenera komanso kuwerengera magawo a mkate zomwe zimalowa m'mimba zimathandizira kukhazikitsa metabolism komanso kuthana ndi matenda a hyperglycemic.
Malangizo otuluka mu kusala kudya
Pambuyo kusala mankhwalawa a mtundu 2 matenda a shuga amatha, ndizoletsedwa kuti sibwerere mwachangu ku zakudya zabwino.
Katundu wambiri pamatumbo am'mimba ndi ziwalo zina zimatha kubweretsa zotsatirapo zoyipa kwambiri.
Popewa zovuta zosiyanasiyana, wodwala amene amachiza matenda ashuga posala kudya ayenera kutsatira malamulowa:
- Mukamaliza njirayi, masiku awiri kapena atatu oyamba muyenera kukana kudya zakudya zolemera. Madzi opatsa thanzi ayenera kuphatikizidwa muzakudya, pang'onopang'ono kuwonjezera kuchuluka kwa zopatsa mphamvu tsiku lililonse.
- M'masiku oyambira mutatha kudya zakudya, kuchuluka kwake kwa chakudya sikuyenera kupitirira kawiri pa tsiku. Chakudyacho chimaphatikizapo misuzi yazipatso zamasamba ndi masamba, Whey ndi decoctions masamba.
- Mapuloteni ambiri ndi mchere ziyenera kutayidwa.
- Mankhwalawa atatha kudya shuga, odwala amafunika kudya masamba ambiri, supu zamasamba ndi walnuts kuti azikhala wathanzi.
- Ndikulimbikitsidwanso kuchepetsa kuchuluka kwazakudya pakati pa zakudya zazikulu.
Nditamaliza maphunziro onsewa, wodwalayo amatha kusintha momwe zinthu zilili komanso kupepuka m'thupi. Poterepa, kuchuluka kwa shuga m'magazi kudzachepa pang'ono.
Komabe, kuchiza matenda amtundu wa 2 ndi mtundu wachiwiri wa shuga ndi kusala kudya ndi njira yowopsa kwambiri. Pamaso pa matenda akuluakulu, makamaka zilonda zam'mimba kapena gastritis, kugwiritsa ntchito njirayi ndizoletsedwa.
Pofuna kuchiritsa matenda a shuga, muyenera kufunsa dokotala musanayambe kudya. Kukhazikitsidwa ndi dokotala kumakhala ndi gawo lalikulu, chifukwa nthawi zina kufa ndi njala kungayambitse matenda akulu akulu. Kanemayo munkhaniyi amangotulutsa mutu wa matenda ashuga.
Ndemanga Zahudwala
Unikani Marat. Ndidayesa kufa ndi njala kangapo. Chilichonse chinkandiyandikira pamaso panga ndikukomoka. Ndidazindikira kuti ndimachita zonse zolakwika, nditasiya kudya, ndiye chifukwa chake zovuta zidabuka. Pang'onopang'ono atayamba kukana chakudya, kusinthana ndi masamba ndi madzi, adatha kudutsa njira yonse yosala kudya. Pambuyo pomva bwino kwambiri komanso anali wosangalala.
Ndikuganiza kuti aliyense ayenera kusankha payekha kuti afe ndi njala kapena ayi.
Ndi chithandizo chamankhwala, muyenera kumwa madzi oyera mu kapu iliyonse theka la ola. Kusiya chomenyedwa ndi njala kwamasiku awiri simungadye kalikonse, ingomwa apulo kapena msuzi wa kabichi wothiriridwa ndi madzi. Kenako msuzi mu mawonekedwe ake oyera, pambuyo pake - masamba ophatikizika ndi masamba a viscous. Mutha kuyamba kudya nyama isanakwane kuposa masabata awiri ndi atatu.
Ndemanga ya Natalia. Kusala kudya kungathandize kuchepetsa shuga ndikuchotsa kunenepa kwambiri, komwe nthawi zambiri kumayendera shuga. Koma ziyenera kukumbukiridwa kuti ndizosatheka kuchira kwathunthu ku matenda a shuga. Wodwala aliyense amatha kuletsa njira yodutsamo poyang'ana kudya, kumwa mankhwala ofunikira, ndikupita kukayezetsa pafupipafupi. Kukhala ndi njala kapena ayi - wodwalayo wasankha. Chachikulu ndikufunsira kwa endocrinologist ndikuyang'aniridwa ndi madokotala panthawi yoyeretsa thupi.
Onetsetsani kuti mwaphunzira! Kodi mukuganiza kuti mapiritsi ndi insulin ndi njira yokhayo yoyeserera shuga kuwongolera? Sichowona! Mutha kutsimikizira izi nokha ndikuyamba kugwiritsa ntchito ... werengani zambiri >>
Kusala kudya ndi matenda amtundu wa 2 matenda: zabwino komanso zowawa, ndemanga
Matenda a shuga amapezeka mwa anthu omwe ali ndi vuto lalikulu la insulin mthupi, ndipo matendawa amathanso kuchitika chifukwa chakuti maselo a ziwalo sangathe kuyamwa zinthuzo mokwanira. Kodi ndizotheka kufa ndi matenda a shuga a 2, tikambirana m'nkhaniyi.
Mtundu wachiwiri wa matenda osiyanasiyana a shuga umasiyana ndi woyamba chifukwa chakuti matendawo wodwalayo samadalira jakisoni wa insulin, ndikokwanira kwa iye kuti azingomwa mankhwala apadera omwe amachepetsa shuga m'magazi, komanso kuwunikira nthawi zonse misempha ya shuga, kuwona zakudya zochizira komanso kuchita zolimbitsa thupi tsiku ndi tsiku.
Kusala ndi matenda a shuga a mtundu wachiwiri ndikololedwa konse, komanso kupindulitsa thupi, koma pokhapokha ngati wodwalayo atsatira malamulo onse olowetsa njala.
Mtundu wachiwiri wa matenda ashuga
Akatswiri amati kudziletsa pakudya kwa nthawi yayitali kumabweretsa ngozi. Mwina akulondola. Kupatula apo, kusala kouma sikothandiza nthawi zonse.
Zida (ndi njira yolakwika):
- hypoglycemia (pambuyo pake chikomokere),
- kusasangalala
- kugwiritsa ntchito bwino chakudya,
- nkhawa.
- kutsika kwa shuga m'magazi,
- Kubwezeretsa kwa chakudya chamafuta ndi mafuta,
- chizolowezi chomwa thupi pakudya chakudya chochepa (kuchuluka kwa thupi).
Momwe mungakonzekerere kudziletsa ndikutuluka?
Musana kusala, muyenera kukonzekera bwino:
- Masiku 2-3 isanayambike gawolo, nyama mbale ziyenera kupatula zakudya zamasiku onse.
- M'masiku ochepa awa, masamba ndi zipatso zambiri zimawonjezeredwa kumenyu.
- Kuti njirayi ikhale yogwira mtima, muyenera kuchotsa matumbo athunthu. Pazifukwa izi, enema ndiyoyenera.
- Yesani kumwa madzi ambiri, osachepera malita awiri patsiku.
Osadzipha nokha. Mankhwala onse amayenera kupitilira masabata 1.5. Ngati thanzi lanu lili bwino, ndiye kuti magawo a chithandizo atha kupitilira milungu iwiri. Kuchiza matenda a shuga mwanjira imeneyi ndikovuta kuchita, si aliyense amene angalimbane ndi zoletsa za chakudya. Wodwala amaloledwa kumwa madzi owonekera bwino. Tsiku loyamba lidzakhala lovuta, kenako mudzazolowera.
Mankhwala athu adachita kafukufuku, ndikuwulongosolera kuti ndikofunikira kutuluka mu njala moyenera. Pambuyo pakudya kwa milungu 1.5, simuyenera kuukira chakudya nthawi yomweyo. Muyenera kuwonjezera pang'onopang'ono zinthu zina pamenyu.
Nthawi zambiri kusala kudya ndi matenda a shuga a 2 kumathandizira kuti muchepetse kunenepa. Koma ndikwabwino kukambirana zonse zomwe mumachita ndi dokotala. Pambuyo pa mankhwala, timadziti ta masamba ndi zipatso zoyera zimayamba kuwonjezeredwa muzakudya. Kenako amasinthana ndi masamba ophika ndi phala.
Mwanjira yomweyo, pang'onopang'ono mudzasinthira kuzomwe mumadya.
Kuchiza mwanjira imeneyi ndi njira yoopsa. Ndi zoletsedwa kugwiritsa ntchito ngati wodwala akudwala kwambiri.
Chimachitika ndi chiani pakulimbana ndi njala?
Kusala kudya kumathandiza ndi matenda ashuga. Katunduyu atalowa m'thupi, amapanga insulin. Izi ngati sizichitika, ndiye kuti mafuta amkati amayamba kukonza. Wodwalayo akulangizidwa kumwa madzi ambiri. Izi zikuthandizira kuchotsa zochuluka zonse mthupi. Zotsatira zake, kulemera kumachepa, ndipo mafuta acids amasandulika kukhala chakudya chamagulu, ndipo mulingo wa glycogen m'chiwindi umachepa.
Momwe mungathetsere kugwa kwamvula?
Kusala kwachithandizo kuyenera kutsatana ndi upangiri waluso. Ndikofunika kwambiri kuyambitsa chithandizo ndikutuluka.
- M'masiku oyambirawa, muyenera kugwiritsa ntchito madzi akumwa. Mutha kumwa zakumwa zamasamba zosungunulidwa ndi madzi.
- Kenako, timadziti tachilengedwe ndi mkaka zimawonjezeredwa kumenyu. Zodzikongoletsera zamasamba ndizothandizanso.
- M'masiku angapo oyambira ndikofunikira kupatula mchere, mazira ndi zinthu zonse za mapuloteni muzakudya.
- Kenako, pang'onopang'ono, masaladi ndi masamba sopo amatha kuwonjezeredwa pamenyu.
- Ndikofunika kwambiri kudya walnuts.
- Idyani kangapo patsiku.
- Onetsetsani kuti mwasewera.
Kusala kwachithandizo koteroko kumathandizira kuchepetsa thupi. Koma si akatswiri onse omwe amavomereza chithandizochi. Iwo amalimbikitsa kuyesedwa kwathunthu asanayambe kumenya nkhondo. Ngati mavuto amitsempha yamagazi apezeka, ndiye kuti chithandizo mwanjira imeneyi chiyenera kuthetsedwa.
Lidiya
“Panthaŵi inayake ndimakonda njala yamitundu yonse. Kuchuluka momwe ndingakwaniritsire panali masiku 6. Poyamba ndinamva kupepuka. Koma kenako ndinayamba kudya pang'onopang'ono. Kulemera kunabwera mwadzidzidzi ndipo thanzi limachepa pang'ono.
Ndinalibe mphamvu, shuga anali osungidwa bwino, chifukwa ndinakonza magwiridwe ake ndi insulin. Tsopano sibwenzi nditapita ku chinthu choterocho. Magazi a shuga akhoza kukhala otakasuka popanda kudzipha. Sindikudziwa momwe ena, koma kufa ndi njala kwandibweretsera mavuto okha.
Kusala kudya kunathandiza wina, ndipo asankha kupitiliza mankhwala, zomwe ndi zolakwika. Zotsatira zake, thupi limachepa, ndipo chitetezo chokwanira chimagwa. Inemwini, ndili ndi malingaliro oyipa kumisala yambiri yanjala ndi zakudya. Chokhacho chomwe ndingalimbikitse ndi masiku akusala kudya. Yesani kuzichita izi kawirikawiri kuti thupi lisalandire nkhawa. Samalirani thupi lanu. "
Maria
“Kusala kudya matenda a shuga masiku angapo kumachitika. Koma osagwiritsa ntchito chouma mwachangu. Shuga wotsika ndi chinthu chofala kwambiri pambuyo masiku ambiri osala kudya. Koma njira iyi ya chithandizo siyabwino kwa anthu omwe ali ndi matenda amtima. Inenso ndinali ndindewu, koma sindinapeze chithandizo kuchokera ku zochitika ngati izi. Sindikulangizani! ”
Veronica
“Ndili ndi matenda ashuga 2. Ndinafufuza pa intaneti njira zochepetsera mavuto anga ndipo ndinapeza nkhani yanu. Ndidakhala pachomenyera njala masiku 5 okha. Munthawi imeneyi, ndinamva kuwunika kwina ndipo ndinawona kuwongolera bwino pakugaya, komanso shuga kusinthika, koma kwakanthawi.
Kenako adauza dotolo zomwe wakwanitsa, koma motsutsana ndi njira zotere. Katswiriyo adati ndisiye kumenyedwa, mwinanso padzakhala matenda ofooka. Ndikumvetsetsa izi, koma ndikuganiza kamodzi miyezi isanu ndi umodzi mumatha kuchita zotulutsa mthupi lanu.
Njira imeneyi, sikuti imachiritsa matenda ashuga, koma imakhalabe yolimba. ”