Cholowa chosasinthidwa

Kholo lililonse limalota kuti mwana wake akule ndikukula bwino. Koma mwana akamakula, kapamba wake amakhala wosatetezeka. Nthawi yovuta ili pakati pa zaka 5 ndi 12, kenako, ndikayamba kuchitidwa maopaleshoni ya mahomoni, vutoli limayamba kuchepa. Koma palibe mwana aliyense amene ali wotetezeka kuyambira matenda ashuga. Makamaka chiopsezo ndichopita kwa ana omwe makolo awo kapena achibale awo omwe akudwala amadwala. Momwe mungatetezere mwana ku matenda ashuga?

Zomwe zimayambitsa matendawa ana

Matenda a shuga a Type 1 ndi matenda ogwirizana ndi kusowa kwa insulin yopangidwa ndi kapamba. Matendawa amakhala ndi mizu yobadwa nayo, chifukwa imafalikira ndi mtundu waukulu kwambiri wa patosomal. Izi zikutanthauza kuti ngati kholo limodzi lili ndi matenda a shuga 1, nthendayo imapatsira mwana ndikuthekera kosachepera 75%. Pathology nthawi zambiri imakulira ndendende ubwana, chifukwa chake ndikofunikira kwambiri kupatula kukhudzidwa kwa zinthu zomwe zimayambitsa vuto kwa mwana.

Matenda a 2 a shuga ndi matenda omwe amayamba chifukwa cha kusowa kwa insulin. Mwanjira ina, kapamba amatha kuchita bwino ndi ntchito zake, koma maselo amisempha sangathe kugwidwa ndi mahomoni. Matendawa nthawi zambiri amakula mwa akulu, koma apa pali ake "akuuluka m'mafuta." Matendawa amapatsidwanso ndi mtundu wina wotchuka, zomwe zikutanthauza kuti matupi ake amatha kukula nthawi yayitali kwambiri kuposa matenda a shuga 1. Chifukwa chake, ndikofunikira muubwana kupewa kupewa kukhumudwitsa ena, popeza mtundu wachiwiri wa matenda ashuga umayamba kukula.

Pansipa ndizomwe zimayambitsa kukula kwa matendawa muubwana.

• Kuvulala kwam'mimba. Ana ambiri amakhala ndi moyo wakhama, womwe nthawi zambiri umakhala limodzi ndi kugwa, kumenyedwa mwangozi kwa kapamba. Zotsatira zake, ma microometomas amapangidwa momwemo omwe amachiritsa popanda kuyambitsa nkhawa yayikulu kwa mwana. Komabe, minyewa ya ziwalo imayamba kugwira ntchito ndi kuwonongeka pambuyo pamagawo ochepa owopsa.
• Matenda ozizira. Ma virus amatha kutulutsa kapamba, komwe mu milungu ingapo, ndipo nthawi zina, kumayambitsa matenda a shuga. Koma mwayi wowonongeka kwa maselo a pancreatic ndiwokwera kwambiri, kutentha kwa thupi kwa mwanayo kumakwera.
• Zotsatira za Autoimmune. Omwe atha kutenga matenda amatenga mbali - ma virus, mabakiteriya, bowa. Popeza maziko a matenda obwera chifukwa cha matenda obwera chifukwa cha matendawo, impso, m'mimba, chitetezo chokwanira. Zotsatira zake, zimachitika pamene ma cell a kapamba amadziwika kuti ndi oyipa, omwe amakakamiza chitetezo chofooka kuti chikhale ndi ma immune immune (autoantigens). Amawononga maselo a kapamba, amayambitsa matenda ashuga.
• Matenda owopsa a ma virus. Pali matenda opatsirana omwe mavairasi awo nthawi zonse amakhala ndi zowononga pazing'alu za Langerhans (maselo omwe amapanga insulin mwachindunji) a kapamba. Uwu ndi mumps (mumps), rubella ndi hepatitis A. Matendawo amachoka popanda kufufuza, sakumwalira, koma mwa ana omwe ali ndi vuto lotengera matenda ashuga 1, matendawa amakula 95% ya milandu.
• Kuzunza. Izi ndizowopsa. Katundu pa zisumbu za Langerhans amawonjezeka, chifukwa choti amatha. Zakudya zopitilira muyeso zomwe zimayambitsa kunenepa kwambiri, kutengera komwe kumakhala moyo wokhala pampando wama kompyuta, sizingayambitse matenda ashuga. Funso lokhalo ndi nthawi, koma nthenda zonse ziwiri ndi zachiwiri zimatha kupanga.

Kuphatikizika kwa kukhumudwitsa kumayambitsa chiopsezo chokulira kwa shuga m'mwana. Chifukwa chake, ndikofunikira kwambiri kuti musadikirire kuti mawonekedwe amkodzo azikhala ngati mkodzo womata kapena ludzu losatha, komanso kuyambira kubadwa kwa mwana kuti muchepetse kukula kwa matenda akulu.

Momwe mungapewere matenda a shuga mwana

Woyambitsa matenda amatengera kubadwa, kotero mwana akabadwa, kusintha sikungathandize. Asanakhale ndi mimba yomwe yakonzekereratu, ndikofunikira kukaona malo othandizira ma genetic kuti muchepetse chiwopsezo cha matenda ashuga. Njira zina zonse zodzitetezera m'manja mwa makolo.

Njira zazikulu zomangira mpanda zalembedwa pansipa.

• Pewani matenda ozizira. Ndikokwanira kuti musayendere malo okhala anthu ambiri panthawi ya mliri kapena kupatsa mwana wanu mankhwala antiviral panthawiyi. Ndi za mankhwala osokoneza bongo omwe amatha kupondereza kubwezeretsanso kachilomboka mthupi la mwana (oseltamivir, zanamivir, algir). Zowonjezera za Interferon siziyenera kutengedwa - nthawi zambiri zimakhala zosagwira. Ngati matendawo apezeka, muthandizireni kuti muchira msanga.
• Chepetsani kutentha, makamaka pamwamba pa madigiri 39, mwa njira zonse zomwe zilipo zamatenda aliwonse. Izi ndizofunikira kwambiri kwa ana omwe ali ndi mbiri ya matenda ashuga. Pa kutentha kwambiri, chiwopsezo cha kuwonongeka kwa minofu ya pancreatic ndizokwera kwambiri.
• Limbana ndi matenda osachiritsika. Kuchitira caries, tonsillitis makamaka gastritis mu nthawi komanso kumapeto, popeza bacterium - pyloric Helicobacter imapitilira (imachulukana) m'mimba.
• Yankhani vuto lililonse m'mimba. Muchenjezeni mwana za kuwopsa kwawo.
• Pewani matenda oyambitsidwa ndi matenda owopsa. Onetsetsani kuti anthu ali yekhayekha, ayang'anireni ukhondo wa mwana.
• Idyani pomwe. Chakudya chopanda mafuta, zimakhala bwino kuti kapamba azigwira ntchito.

Kutsatira malamulo osavuta kupewa, mutha kuchepetsa ngozi za matenda ashuga. Koma ndi kukula kwa zizindikiro zoyambirira zokayikitsa za matendawa, chinthu chachikulu sikuchedwa kuchedwa kupita kwa katswiri. Kulandira chithandizo koyambirira kumathandizira kulipira bwino vutoli, ndipo mwana adzakhala ndi moyo wautali komanso wachimwemwe.

Musachokere ku genetics?

Choyambitsa chibadwidwe cha matenda amtunduwu chimawerengedwa, koma sichofunikira kwenikweni. Kupatula apo, ana omwe sanakhalepo ndi anthu omwe ali ndi matenda oterewa m'mabanja awo ali ndi matenda ashuga. Ndipo chifukwa chakubadwa kosavomerezeka, chiwopsezo sichili chachikulu. Chifukwa chake, malinga ndi ziwerengero, matenda a shuga amawachotsa kuchokera kwa abambo odwala 6% yokha. Kuchokera kwa amayi, ngakhale ochepera - mu 3.6% ya milandu (ndipo ngati mayiyo adabereka mwana wosakwana zaka 25 - ndiye 1.1%) yokha. Kuchokera kwa abale ndi alongo matendawa amatengedwa ndi milandu yoposa 6.4%, ndipo ngakhale atadwala zaka 20 zisanachitike. Ndipo ngati pambuyo pake, ndiye kuti chiwopsezo cha abale ndi alongo chimatsitsidwa mpaka 1.1%. Chiwopsezo chachikulu cha kudwala (chiopsezo choposa 20%) chimakhalapo kwa ana ngati makolo onse ali ndi matenda a shuga. Koma mtundu wachiwiri wa matenda ashuga, womwe umachitika, monga lamulo, mwa akulu, umabadwa nthawi zambiri. Pazomwe mayi ndi bambo onse amadwala nthendayi, chiopsezo chodwala pamoyo wa mwana chafika 80%.

Tsoka ilo, m'zaka zaposachedwa, achinyamata ochulukirachulukira atenga matenda amtundu wa 2, womwe umawoneka kuti ndi chifukwa cha moyo wopanda thanzi (kusowa zolimbitsa thupi, kugwiritsa ntchito zakudya zambiri komanso zosakwanira bwino).

Dzitetezeni!

Ngakhale zifukwa zomwe zimayambitsa matenda ashuga sizikudziwika bwino kwa sayansi, zikuwonekeratu kale kuti mizu yamatendawa ili pakumvana kwazomwe zimapangitsa kuti pakhale chibadwa, matenda oyambitsidwa ndi kachilombo komanso matenda oyipa. Sizodziwikiratu kuti nthawi zambiri matendawa amayambitsidwa ndi kachilombo ka HIV. Kapena mutatha kupsinjika kwambiri (onse m'maganizo ndi m'thupi, mwachitsanzo, kuchita masewera olimbitsa thupi kapena kuchitidwa opaleshoni yayikulu). Nthawi zambiri, matenda ashuga amapezeka mwa ana omwe ali pachiwopsezo omwe akumana ndi vuto la mumps, rubella, chikuku, herpes, rotavirus. Chifukwa chake, ana otere ayenera kulandira katemera. Kupatula apo, mwana kuyambira ali mwana ayenera kuphunzitsa maluso aukhondo, chifukwa othandizira a matenda ambiri amalowa mthupi kuchokera kumanja akuda.

Kuphatikiza apo, kuumitsa zinthu moyenera kumatha kubweretsa phindu - kumachepetsa kuziziritsa kwa chimfine, komwe kulinso kosatetezeka.

Ndiponso, ndikofunikira kupatsa mwana malingaliro abwino kunyumba ndi mgulu la ana. Inde, kupsinjika ndi 3-5% kumawonjezera mwayi wokhala ndi matendawa. Chowonadi ndi chakuti adrenaline (mahomoni opsinjika) amatha kuwononga insulin. Sipangakhale zoyipa ndi mikangano kunyumba, ndipo mwana sayenera kupita kumunda ndi sukulu kuchokera pansi pa ndodo, koma ngati nkotheka ndi chisangalalo.

Kuyambira chakudya kupita pamavuto

Pulogalamu Yathanzi Ndikofunikira kwambiri. Koma chenicheni chakuti shuga imatha kukhazikika mwa mwana aliyense kuchokera ku maswiti ochulukirapo ndi nthano chabe, chifukwa imafunikira nyengo zapadera. Ngakhale, zowona, kudya makeke ndi maswiti sikulakwika kulikonse. Komabe, chiwopsezo sicholimbikitsa lokha, komanso mopitilira muyeso, komanso zakudya zopanda pake komanso kusowa kwa boma la zakudya.

Kunenepa kwambiri komanso vuto la kuperewera kwa zakudya m'thupi kumapangitsa kuti matenda ashuga azitha kufika mwa 10-15%. Kupatula apo, minofu ya adipose imatha kukhala ndi insulin, ndiye kuti, glucose imadziunjikira mu minofu, ndipo insulin siyingafikire. Chifukwa chake, kuti tipewe matendawa, makamaka pakati pa omwe ali ndi chidwi chazomwezi, ndikofunikira kuyang'anira kudya. Iyenera kukhala yokhala ndi mapuloteni, mafuta komanso chakudya chamagulu ambiri. Monotonous, makamaka chakudya chamafuta ndi mafuta ndizowopsa. Mafuta ochulukirapo amasintha ma insulin receptors, ndipo mayamwidwe abwinobwino a glucose m'maselo samachitika. Chifukwa chake, ndibwino kusadya nkhumba, masoso, mafuta amkaka ndi makeke. Zakudya zamchere sizilinso bwino. Muyenera kudya pafupipafupi, kasanu ndi kamodzi patsiku, komanso pang'ono pang'onopang'ono. Ndikofunikira kuti chakudyacho ndichilengedwe: masamba, nsomba, zinthu zamkaka, nyama yopendekera, chimanga, zipatso, mtedza.

Momwe mungakhalire ndi masewera

Kuchita masewera olimbitsa thupi pokhudzana ndi matenda a shuga kungakhale chinthu choteteza komanso chopweteketsa. Kuchita zolimbitsa thupi pafupipafupi komanso moyenera ndi mankhwala abwino! Kuchita masewera olimbitsa thupi kumawonjezera chidwi cha zimakhala zam'mthupi mpaka insulin komanso kuchepetsa shuga. Koma kuchita masewera olimbitsa thupi mopitirira muyeso ndi vuto lalikulu, makamaka kwa ana omwe ali ndi zinthu zina zomwe zingayambitse matenda a shuga. Chifukwa chake, musanapange katswiri wa masewerawa kuchokera kwa mwana wanu, sinthani za kubadwa kwake. Mwinanso osayenera kuwopsa?

Ndipo, ndithudi, ana ndi akulu omwe ali pachiwopsezo amafunika kuwunika pafupipafupi magazi a glycosylated hemoglobin (kamodzi pachaka).

Kugwirizana ndi moyo woterewu kumachepetsa mwayi wa mwana (ngakhale ndi chibadwa chosagwirizana) kupeza matenda a shuga.

Zinaonedwa kuti matenda a shuga amtundu woyamba amapezeka kwambiri mwa anthu, kutalikirana kwake komwe amakhala kuchokera ku equator. Ambiri mwa odwala omwe ali m'maiko a Scandinavia (odwala 20 oyamba pachaka 100 miliyoni pachaka). Chiwerengero chapakati cha ziwonetsero ku United States, Netherlands, New Zealand, Russia (timakhala ndi odwala 13,4 atsopano pachaka cha 100,000). Anthu ochepa odwala matenda ashuga ku Poland, Italiya, Israel (osakwana anthu 7 pa 100 miliyoni pachaka). Ndipo kuchuluka kotsika kwambiri m'maiko a Southeast Asia, Chile, Mexico (osakwana anthu atatu pachaka zana).

Kodi ZIWANDA ZILI NDI CHIYANI?

Pali mitundu 1 ya shuga ndi mtundu 2.

Mtundu woyamba wa shuga ocheperako, nthawi zambiri amakula ubwana ndi unyamata. Cholinga chake chachikulu ndikutha kwa kupangika kwa ma pancreatic mahomoni a insulin, omwe amakhudzidwa ndi njira zonse za metabolic m'thupi lathu. Izi zikuchitika chifukwa cha kufa kwa maselo a beta m'misumbu ya Langerhans chifukwa cha zovuta zamtundu, komanso zovuta zoyipa za poizoni ndi ma virus, kuphatikizapo matenda opatsirana monga chikuku, rubella, mumps, chikuku.

Type 2 shuga Nthawi zambiri amakula pakati pa zaka ndi zaka, ngakhale atakhala achichepere kwambiri. Ili ndiye mtundu wofala kwambiri wamatenda omwe kapamba, ngakhale akupitiliza kupanga insulin, ma cell a adipose minofu, minofu ndi chiwindi amasiya kuyankha bwino. Zomwe zimayambitsa matenda a shuga a 2 ndikuwonjezera kunenepa, kusachita zolimbitsa thupi, komanso kupsinjika mtima.

M'magawo onse awiri a shuga, chifukwa cha kuchepa kwa insulin m'magazi a anthu, kuchuluka kwa shuga (shuga) komwe kumachitika, komwe nthawi yayitali, makamaka popanda kuyang'anira matenda, kumabweretsa zotsatirapo zoyipa kwambiri:

kusokonezeka kwa ubongo, mikwingwirima,

kuwonongeka kwa zotsekera zotumphukira, zomwe zimapangitsa kuti miyendo isamveke bwino, chifukwa chomwe chigulu cham'mimba chimayamba kupangika, chikufuna kudulidwa.

kusakwanira kwa magazi ku ziwalo zonse ndi ziwalo chifukwa cha kutayika kwa mitsempha yamagazi, yomwe, imayambitsa matenda a atherosclerosis, arrhythmias, matenda a mtima,

zowonongeka zowoneka, mpaka kutayika kwathunthu,

kuphwanya ntchito zonse za chiwindi,

mapangidwe a zotupa za khungu la neurotrophic,

kusowa pogonana mwa amuna komanso kubereka mwa akazi,

matenda amkamwa ndi mano, ndi zina.

Ndipo komabe, chinthu chachikulu chomwe muyenera kudziwa chokhudza matenda a shuga ndikuti aliyense wa ife atha kupewa chitukuko chake, makamaka matenda ashuga amtundu wachiwiri. Izi ndizotheka pokhapokha ngati tikumvetsa bwino zowopsa za matendawa komanso kuti matenda ashuga sangathe kuchiritsidwa, koma ndizotheka kupewa. Matenda a shuga odwala matenda a shuga ayenera kuopedwa, ayenera kutetezedwa, kutsatira malamulo osavuta komanso malingaliro.

NDINGATANI KUTI NDIPE ZINSINSI 1?

Ponena za matenda amtundu woyamba, pankhaniyi, chifukwa cha kutengera kwa chibadwa chamtunduwu (cholowa), titha kungolankhula zochepetsera kwambiri mwayi wokhala ndi matendawa. Kufikira izi, ndikofunikira kwambiri kwa ana onse omwe ali pachiwopsezo kuyambira masiku oyamba amoyo kuti atsimikizire:

yoyamwitsa kwa miyezi isanu ndi umodzi,

kutsatira mosamala malamulo aukhondo ndi ndandanda ya vaccinenti olimbikitsidwa kupewa matenda oyambitsidwa ndi matenda,

KULENGEDWA KWA ZIWANDA ZA 2

Kudziteteza nokha ndi okondedwa anu ku matenda osokoneza bongo a tin yachiwiri sikulinso kovuta.

Kusunga madzi oyenera. Sich pachabe kuti madokotala a akatswiri onse samatopa pobwereza: 2-3 malita a zidakwa zoyeretsa zomwe zimakhalabe madzi patsiku ndiye chinsinsi cha kukhala bwino, thanzi labwino komanso moyo wautali. Musaiwale kuti gawo lililonse la thupi lathu ndi madzi 75%, omwe amathandiza kwambiri kagayidwe kalikonse. Izi zimagwira ntchito kwathunthu ku kapamba, yemwe, kuphatikiza ndi insulin, amatulutsa njira yamadzimadzi ya bicarbonate, yomwe imafunikira kuti magawo achilengedwe achilengedwe azikhala pang'ono. Kwa izi, kapamba amafunika madzi. Pangani lamulo lililonse m'mawa uliwonse pamimba yopanda kanthu, ndikumwa makapu awiri amadzi oyera (makamaka ofunda) 1-2 pa tsiku, mphindi 20-30 musanadye chilichonse.

Zakudya zoyenera. Idyani osachepera 4-5 pa tsiku m'magawo ang'onoang'ono (kupewa kupanikizika kwambiri kwa kapamba), kukonda zakudya zam'mera ndi kuchepetsa kugwiritsa ntchito shuga woyengetsa, ma muffin, zakumwa zotsekemera za kaboni, chakudya mwachangu, yokazinga, mafuta, osuta, , Zakudya zopatsa mphamvu kwambiri, mizimu, khofi. Zakudya zabwino kwambiri zopewera shuga komanso shuga zokhala ndi shuga, nyemba, zipatso za masamba, masamba obiriwira, tomato, tsabola wokoma, walnuts - musaiwale kuti muphatikize muzakudya zanu.

Kuchepetsa thupi. Kumbukirani: kilogalamu iliyonse yowonjezera ndi gawo lakufika kumapeto kwa phompho lotchedwa shuga mellitus. Yang'anirani kulemera kwake pafupipafupi, kupewa kuti mupeze phindu lake komanso kufa ndi njala. Kulemera koyenera kwamthupi, poganizira mawonekedwe amunthu aliyense, kukuthandizani kuwerengera ndikuthandizira wazandalama.

Kukhazikika kwakamtima. Pomwe zingatheke, yesetsani kupewa kupsinjika, makamaka okhazikika. Ngati ndi kotheka, funsani katswiri wa zamaganizo, phunzirani kusinkhasinkha komanso kuphunzitsa magalimoto. Mukaphunzira kukhala ndi mtendere wam'maganizo ndikuthana mokwanira pamavuto ndi zovuta zam'moyo, mudziteteza nokha ku matenda ashuga, komanso ku matenda onse. Kukana zizolowezi zoipa. Osamamwa mowa kwambiri, khofi wamphamvu komanso tiyi wakuda. Osadzilimbitsa-kumwa mankhwala (kuphatikizapo mankhwala azitsamba) pokhapokha ngati mwalangizidwa ndi dokotala. Ndipo musatenge ngakhale ndudu ndi zinthu zilizonse zamanja m'manja mwanu.

Kuwongolera zaumoyo. Madotolo ndi abwenzi anu abwino komanso othandizira kuti mukhale ndi thanzi, musayende mozungulira maofesi awo m'njira yachisanu. Pa matenda aliwonse okayikitsa kapena otuluka, onetsetsani kuti mwawalandira. Ndipo ipangeni kukhala lamulo kamodzi pachaka kuti ayesedwe kwathunthu kuchipatala ndi mayeso onse, kuphatikiza kuchuluka kwa shuga m'magazi. Kuzindikira koyambirira, kulandira chithandizo moyenera panthawi yake, ndipo, chifukwa chake, kuthana ndi mavuto a thanzi mwachangu ndikofunikira nthawi yoyenera.

Kuteteza Matenda a shuga

Osati anthu ambiri amadziwa kuti kuwonjezereka kwamafuta kumlingo waukulu sikumachitika chifukwa cha zopatsa mphamvu zamafuta omwe adagwiritsidwa ntchito, koma ndi otsika komanso kuvulaza kwawo. Chifukwa chake, kuti muchepetse kukula kwa matenda ashuga, chinthu choyamba muyenera kusintha zakudya.

Kuti izi zitheke, ndikofunikira kuchepetsa kuchepa kwa chakudya chambiri chomwe chimakhala ndi index yayikulu ya glycemic (ikuwonetsa kuchuluka kwa chakudya chamagulu ammagazi ndi nthawi yosinthika kwa glucose). Chifukwa chake, ndikofunikira kupatula zakumwa za tsiku ndi tsiku zotsekemera za carbonated, shuga, uchi, maswiti, buns, mikate yoyera.

Ngati GI ndi yokwera, ndiye izi zikuwonetsa kukhathamira kwa chakudya, kotero chakudya chotere sichimaonedwa kuti ndi chothandiza. Ndili ndi GI yotsika, chakudya chimagwidwa m'makina pang'onopang'ono, ndipo glucose amalowa pang'onopang'ono mumtsinje wamagazi, ndiye kuti kapamba amakhala ndi nthawi yopanga insulini.

Koma sizotheka nthawi zonse kudya bwino. Mwachitsanzo, anthu ambiri zimawavuta kusiya maswiti. Pankhaniyi, ndibwino kugwiritsa ntchito zotsekemera (mwachitsanzo, stevia) ndi mipiringidzo ya chokoleti ndi maswiti ndibwino kuti muzindikire ndi marshmallows, marmalade, jelly ndi zakudya zina zowononga.

Zakudya zopatsa mphamvu zomwe zimalowa pang'onopang'ono m'matumbo zimaphatikizapo ufa wopaka, chimanga china, masamba ena, chinangwa, ndi zakudya zina zamafuta ambiri. Anthu ambiri amadziwa kuti masamba ndi zipatso zatsopano ndi malo osungirako mavitamini, mchere ndi chinsinsi cha chithunzi chokongola, chochepa. Koma ndi chizolowezi chofuna kunenepa kwambiri komanso chiopsezo cha matenda oopsa a hyperglycemia, nthochi, sitiroberi, apricots, mphesa, mbatata, mavwende, mavwende ndi kaloti zimafunikirabe kudyedwa pang'ono. Malamulo ena ofunika akuwonekeranso:

1. Ndikwabwino kuphika zinthuzo mu uvuni kapena kuphika, ndipo mukazola ndikofunikira kugwiritsira ntchito mafuta azipamba zokha.
2. Mafuta onse a nyama ayenera kusinthidwa ndi mafuta azamasamba.
3. Tiyi yakuda iyenera kukondedwa kuposa tiyi wobiriwira, ndi khofi kuposa chicory.
4. Zakudya zamagulu azakudya ziyenera kusankhidwa ndikuchotsa khungu ku nkhuku.
5. Masana muyenera kukhala osachepera 5 zakudya zazing'ono magawo zakudya.
6. Simuyenera kudya kuti kungosangalatsani.
7. Simungathe kufa ndi njala, chifukwa izi zimatsogolera kuchepa kwamphamvu kwa ndende.
8. Muyenera kudya pang'onopang'ono, kutafuna chakudya mosamala.
9. Palibenso chifukwa chofunikira kudya zakudya zotsalazo ngati mukumva kukhuta.
10. Simuyenera kupita kusitolo muli ndi njala.

Popewa kudya kwambiri, musanadye, muyenera kuganizira ngati kunalidi njala. Pankhaniyi, muyenera kuyesa pang'ono momwe mungathere kuyesa chakudya mukaphika.

Ndi vuto lofooka lanjala, muyenera choyamba kudya china chake chopatsa thanzi komanso chopatsa mphamvu. Itha kukhala apulo, nkhaka, kabichi kapena yamatcheri.

Kodi mungadziteteze bwanji ku matenda ashuga ndi zinthu?

Anthu ochepa amadziwa kuti nyemba, ma buluu, sipinachi, adyo, udzu winawake, anyezi ndi sauerkraut amathandizira kupanga insulin ndikuwongolera ntchito ya pancreatic.

Zifukwa: chifukwa chiyani amayi apakati amakhala odwala matenda ashuga?

Matenda a shuga ndi matenda ofala kwambiri mwakuti ma glucose mita amatsatsa pa makanema apawa TV. Koma sizidziwika nthawi zonse komanso makamaka zovuta. Malinga ndi akatswiri, pafupifupi 3 mpaka 10% ya amayi apakati amakhala ndi matenda ashuga, matenda asymptomatic omwe amakhala pambuyo pathupi ndipo amatha kudutsanso osabereka.

Zina mwazomwe zimayambitsa matenda a shuga, kubadwa nthawi zambiri kumatchedwa, ndipo zoopsa zimaphatikizapo kunenepa kwambiri, zaka zopitilira 40, kusuta fodya ndi zina zambiri. Koma ndi matenda ashuga apakati, zinthu sizili bwino. Amayamba motsutsana ndi maziko a kusokonezeka kwa mahomoni, komwe kumachepetsa chidwi cha maselo kupita ku insulin yopangidwa ndi thupi - otchedwa insulin kukana. Glucose ndikofunikira kwa mwana wosabadwayo ndi placenta. Chifukwa chake, kuti ayambenso kupezeka kwake, kapamba wa mayi woyembekezera amatulutsa insulin yambiri. Ngati sangathe, mayiyo amadwala matenda a shuga.

Zizindikiro: Mungamvetse bwanji ngati mayi woyembekezera akudwala?

Mayi woyembekezera kwa dokotala

Madokotala amati mayi woyembekezera amatha kukhala ndi pakamwa youma ndi ludzu losalekeza, kusanza ndi kusanza, kutopa msanga, ndipo nthawi zambiri amapita kuchimbudzi. Koma Zizindikiro zonsezi zimatheka ndikakhala ndi pakati mwa mkazi mwa thanzi. Chizindikiro chowonekera kwambiri ndi kuchuluka kwakukulu kwa kubadwa kwa ana akale ndi mwana wosabadwayo yemwe akukula msanga, zomwe zimadziwika pazotsatira za kuyesa kwa ultrasound.

"Mu makolo athu, kulemera kwa khanda lalikulu kumanenedwa kukhala chizindikiro cha thanzi -" ngwazi ili bwino! "- akuti Natya Konanova, endocrinologist wa Center for Reproduction and Family Planning "MEDICA", katswiri pakuwunika ndi chithandizo cha endocrine pathologies mwa amayi apakati.. — Komabe, mankhwala amakono atsimikizira kuti ana onenepa kwambiri, m'malo mwake, ali ndi zotsatirapo zoopsa ndipo nthawi zina amayamba chifukwa cha matenda ashuga okhudza mayi. Nthawi zambiri ndimamva kuchokera kwa odwala anga omwe adziwa izi: "Koma ndikusangalala!" Ndipo, izi ndizomwe muyenera kumvetsera kwa adokotala, osati thupi lanu ”.

Adotolo adzamuwuza mayiyo kuti aphunzire kuchuluka kwa shuga m'magazi. Nthawi zambiri, sizidutsa 5.1 mmol / L. Chifukwa chake, ndikofunikira kwambiri kulembetsa kumayambiriro kwa mimba ndikuyang'aniridwa ndi dokotala pafupipafupi. Kupatula apo, kusanthula koyambirira kwa glucose kumachitika pakadutsa masabata a 22-24, ndipo ngati zotulukapo zake ndiziposa zomwe zimachitika, mayi woyembekezera amayang'aniridwa ndi endocrinologist mpaka kumapeto kwa pakati.

Natalia Konanova amalipira chidwi chapadera: "Kutsogolera wodwala yemwe ali ndi vuto la matenda amiseche, komanso mayi yemwe wapezeka ndi matendawa asanakhale ndi pakati, ayenera kukhala dokotala wodziwitsa vutoli, ndipo sikuti aliyense ndi endocrinologist. Onetsetsani kuti mwadwala ngati dokotala wanu ali ndi matenda othandizira odwala matenda ashuga. ”.

Zotsatira: chomwe chikuwopseza matenda a shuga kwa mayi ndi mwana?

Choopsa chodziwikiratu cha matenda a shuga gestational ndikuti glucose amaperekedwa kwa mwana wosabadwayo mopitirira muyeso, pakuwonjezera, amapanga insulin yake, kotero mwana wobadwa kumene amatha kale kudwala matenda a shuga, omwe amayenda naye kwa moyo wake wonse. Kuphatikiza apo, shuga ochulukirapo amathandizira kukulitsa kunenepa kwambiri osati mwa akulu ndi ana, komanso ngakhale ndi chitukuko cha intrauterine.

"Mwana amayamba kukula msanga monga ayenera kukula, ndipo koposa zonse, osati chifukwa cha kuchuluka, mwachitsanzo, kumutu, koma chifukwa cha thupi, lamba.- ndemanga pa zotsatirapo zake Endocrinologist wa Atlas Medical Center, MD Yuri Poteshkin. - Uku ndi kusakula kopanda malire. Mwachilengedwe, izi zidzasokoneza mtsogolo. ”

Endocrinologist wa Center for Family Reproduction and Planning "MEDICA", katswiri pakuwunika ndi chithandizo cha endocrine pathologies mwa amayi apakati Natya Konanova ikuwunikiranso za chitukuko cha ma matenda ena: “Kulowa kwa magazi a amayi ndi amayi omwe ali ndi shuga wambiri kudzera munthaka ya mwana wosabadwayo kumawonjezera vuto la mtima, chiwindi ndi ndulu, zomwe zimayambitsa kusakhazikika kwa ubongo ndi mapapu. Matenda a shuga a m'mimba amatha kubweretsa kunenepa kwambiri, matenda ashuga, matenda oopsa, matenda am'mimba mwa amayi ndi ana. ".

Matenda a gestational amawopseza mayi wamtsogolo ndi toxosis ya mochedwa, kutupa, kuchuluka kowonjezera, kuwonongeka kwa impso, ngakhale kubadwa msanga komanso pathupi.

Inshuwaransi: matenda a shuga angalephereke?

Njira Zapakati Zamwazi

Ngakhale pa gawo lokonzekera kubereka, ndikofunikira kuyesedwa magazi kuti mupeze ngati mayi wamtsogolo alibe shuga wamba wamtundu woyamba kapena wachiwiri. Izi mwina zichotsa zoopsa zambiri. Koma kukhala ndi pakati kumathandiza kwambiri matenda.

“Mimba imayambitsa masinthidwe amphamvu kwambiri m'thupi, kuphatikizapo kuyambitsa kwa mahomoni, ndipo izi zikuwopseza zovuta za endocrine- ndemanga endocrinologist, katswiri pakuzindikira ndi kuchiza matenda a endocrine pathologies mwa amayi apakati, Center for Reproduction and Family Planning "MEDICA" Natalya Konanova. — Kuchepetsa izi, mayi, makamaka amene ali pachiwopsezo - cholimba, “zovuta” zamkati (m'modzi mwa abale ake anali ndi matenda ashuga) kapena amene anali ndi matendawa m'mbuyomu - akuyenera kuwunika pa nthawi yomwe akukonzekera kubereka endocrinologist. Ngati, malinga ndi zotsatira zake, mwayi wopezeka ndi matenda osokoneza bongo wapezeka, wodwalayo adalandira mankhwala. Monga lamulo, mkazi amalimbikitsidwa kuti asinthe moyo wake, kudya, kuwonjezera zolimbitsa thupi, kuwongolera shuga ndimagazi ena. Kutengera ndi zotsatira za chithandizo, endocrinologist idzagamula za mayeso otetezeka kwa amayi ndi mwana».

Komabe, powona zakudya pa nthawi yomwe ali ndi pakati, ziyenera kukumbukiridwa kuti tsiku lililonse muyenera kudya pafupifupi 2500 kilocalories pakukula kwabwino kwa mwana wosabadwayo. Chachikulu ndikuchepetsa kulumpha m'magazi am'magazi ndikugawa chakudya m'magawo ena, malinga ndi nthawi yovomerezedwa, ndikupereka zokonda pazogulitsa ndi index ya glycemic yotsika. Popeza insulin imatulutsidwa pang'onopang'ono m'mawa, ndibwino kuchepetsa zakudya zokhala ndi chakudya chamagulu nthawi ya chakudya cham'mawa. CHIKWANGWANI, chomwe chimapezeka m'mbewu zonse, zipatso ndi ndiwo zamasamba, chithandiza kuchepetsa chiopsezo cha matenda ashuga.

Chithandizo: Kodi mayi woyembekezera ali ndi matenda ashuga kupulumuka ndi chiyani?

Zakudya ndizoyenera kwa amayi apakati omwe sangathe kupewa matenda ashuga. Kuphatikiza apo, adotolo atha kukulemberani mankhwala olimbitsa thupi.

“Mpaka pobadwa, mayi woyembekezera amayenera kuwona kuchuluka kwa shuga m'mimba tsiku lililonse komanso ola limodzi atatha kudya, pogwiritsa ntchito glucometer- zolemba endocrinologist, Center for Family Reproduction and Planning "MEDICA", katswiri pakuwunika ndi chithandizo cha endocrine pathologies mwa amayi apakati Natya Konanova. — Ndikofunika kufunsa dokotala nthawi yomweyo ndikulumphira mu glucose. Mofananamo, muyenera kusunga cholembedwa cha chakudya ndikulemba momwe thupi limayankhira zakudya zina. Mu diary yomweyi, yomwe imayenderedwa pafupipafupi ndi endocrinologist wokhazikika mu matenda a shuga, kulemera ndi kuthamanga kwa magazi kukuwonetsedwa. Ngati timalankhula za mawonekedwe a kasamalidwe ka amayi apakati odwala, ndiye, monga lamulo, iwo amapitiriranso dopplerometry ya mwana wosabadwayo masiku 10 aliwonse ndikuwunikira kwa ultrasound.».

Nthawi zina, izi ndizokhazo zomwe zimakhala zokwanira kuthetsa vuto la matenda ashuga mwa amayi apakati, koma nthawi zina mankhwala amafunika kuchepetsa shuga. Komanso, mankhwala aliwonse okhala m'mapiritsi ndi oletsedwa panthawi ya gestation ndi yoyamwitsa. Ndikofunikira kudziwa izi kuti musavulaze mwana.

Endocrinologist wa Atlas Medical Center, Ph.D. Yuri Poteshkin ikutiuza kuti mankhwala okhawo otetezedwa kwambiri pa nthawi yoyembekezera ndi insulin: "Nthawi yomweyo, njira yoyendetsera makulidwe ake imasiyana malinga ndi zosowa: wina adzafunika zolembera zanthawi zonse, ndipo wina adzafunika ndi insulin."

Mulimonsemo, matenda ashuga a amayi apakati si chifukwa chokhala ndi mantha, koma kuwunika bwino thanzi lawo. Ndipo ngakhale zizindikiro za matenda ashuga zimatha akangobadwa, monganso momwe zimakhalira nthawi zambiri, kumakhala koyamba kwambiri kupuma. Matendawa amatha kubwereranso panthawi yotsatira kapena atakhala mtundu wa matenda ashuga zaka makumi awiri pambuyo pobadwa. Chifukwa chake, pakatha miyezi iwiri kapena itatu ndikofunikira kuchita mayeso oyamba, ndikumayendera pafupipafupi kamodzi pachaka. Izi zidzafunika nthawi yochepa, kulimbikira ndi ndalama kuposa chithandizo chotsatira cha mayi ndi mwana.