Sukulu za matenda ashuga > Chithandizo ndi kupewa

Yodziwika ndi matenda a shuga 1. Kodi ndingakhale moyo bwanji? Kuti moyo wodwala matenda ashuga ayende bwino, ndikofunikira kuchiza matenda mosamala komanso mwakuya. Njira yokhayo yothanirana ndi shuga sangathandize wodwalayo kukhala wamphamvu komanso wathanzi. Nkhani yabwino ndiyakuti lero kuli masukulu komwe muphunzitsidwe momwe mungayendetsere matenda anu a shuga.

Sukulu ya matenda ashuga - ndi chiyani?

Sukulu za matenda ashuga 1 zimapangidwa m'malo azachipatala.

Ntchito m'makliniki oterowo nthawi zambiri imatsogozedwa ndi atsogoleri a chipatala. Itha kukhala akatswiri a endocrinologists kapena anamwino azachipatala omwe ali ndi maphunziro apamwamba, omwe adadutsa mwapadera. kuphunzitsa. Mu ntchito yawo, masukulu samangotsatira malamulo a Unduna wa Zaumoyo wa Russia, komanso pa zolembedwa za bungwe. Maphunziro amachitika kwa gulu lililonse la odwala payekha:

SD - 1 mtundu,
Type 2 shuga,
Matenda a 2 a shuga, omwe amadalira insulin,
Ana ndi achinyamata
Atsikana ndi amayi oyembekezera.

Zolinga zazikulu ndi zolinga za sukulu za matenda ashuga izi ndikuphunzitsa kudziletsa, komanso kusinthasintha ndi chithandizo chamankhwala, kupewa ndikulankhula za zovuta zomwe zingachitike ngati chithandizo chanyalanyazidwa.

Malinga ndi zolinga ndi zolinga zazikulu, atsogoleri a Chipatalachi amaphunzitsa odwala omwe ali ndi matenda ashuga, amayendetsa maphunziro obwereza komanso oyambira, komanso kupewa zovuta za matenda a shuga 1, komanso kuchuluka kwa chidziwitso cha odwala omwe ali ndi matendawa, kusanthula sukulu.

Magulu ophunzitsira

Gulu loyamba limaphatikizapo ana aang'ono ndi makolo awo. Zowonadi, pazaka izi, odwala ochepa amadalira makolo awo ndi ogwira ntchito kuchipatala, chifukwa chake, amafunika kukhala ndi malingaliro abwino kwa ogwira ntchito zachipatala. Kulumikizana kwamaganizidwe ndi mayi wa mwana wodwala ndikofunikanso, chifukwa motsutsana ndi maziko a kupsinjika, kulumikizana kwake ndi mwana kumatha kuchepa.

Gulu lachiwirili limaphatikizapo ana a zaka zoyambirira. Makalasi a ana otere ayenera kuchitika malinga ndi dongosolo lotsatirali:

Gulu lachitatu limaphatikizapo ana azaka za sukulu. Nthawi yaunyamata ndi gawo losintha kuchoka paunyamata kupita pauchikulire, lomwe lili ndi zinthu zingapo. Kuphunzitsa kwa achinyamata kumaphatikizapo:

Kufotokozera za zovuta zomwe zingachitike
Zokambirana pa kutha,
Kufotokozera zakufunika kwakudya,
Ubwenzi pakati pa achinyamata
Kuthandiza wophunzirayo kuti azitha kuchita zinthu zofunika kwambiri.

Gwirani ntchito ndi madotolo

Matenda a shuga a Type 1 amafuna kuti wodwalayo azidziona ngati membala wa gulu lalikulu. Wodwala ndi wofunikira kwambiri pagululi, chifukwa ndi iye amene amagwira ntchito yambiri. Komabe, m'masukulu a shuga amtundu wa 1, madokotala odziwa bwino adzakuthandizani nthawi zonse:

Chiwerengero cha masukulu pano

Malinga ndi Unduna wa Zaumoyo ku Russia, lero mdziko muno muli masukulu pafupifupi 1 miliyoni a matenda ashuga - mtundu umodzi. Komabe, iwo omwe amagwira ntchito ndi pafupifupi 50% ya chikwi. Nthawi zambiri, masukulu amapangidwa popanda kuganizira za chithandizo cha magulu osiyanasiyana a odwala omwe ali ndi matenda a shuga 1. (matenda a shuga a mellitus 1, 2, kwa amayi oyembekezera, ana ndi achinyamata, komanso odwala pamapiritsi kapena insulin, komanso posachedwa, pama pampu odalira insulin).

Monga momwe mchitidwe umasonyezera, kuphunzitsa odwala omwe ali ndi mitundu yosiyanasiyana ya matenda sikugwira ntchito. Izi zimachitika makamaka chifukwa chakuti kulibe chithandizo choyenera kuchokera ku boma. Nthawi zambiri, sukulu zotere zimangodalira ogwira ntchito, osalandira ndalama zina zowonjezera (kusiyapo madera ngati St. Petersburg ndi Moscow, komwe masukulu amagwira pamaziko a matenda a shuga a endocrinological ndi disensaries).

Matenda a shuga akula

Chiwerengero chonse cha odwala chinaposa anthu 160 miliyoni mu Russian Federation, mwa omwe mamiliyoni 2.5 odwala ndi achikulire. Monga anthu ambiri ali m'migawo yoyambirira ya matenda ashuga. Komabe, kuchuluka kwa odwala ndi 1.5, kapena ngakhale kuchulukirapo ka 3.5 kuposa ziwerengero zovomerezeka. Chaka chilichonse, kuchuluka kwa odwala kumawonjezeka ndi 7-10%, ndipo zaka zitatu zilizonse - zitatu. Ziwerengero za ana zimawoneka zowawa kwambiri. Mu 90s, kuchuluka kwa 4% kwadziwika. Ndipo zitatha 2000, izi zidakwana 48%. Izi zikutanthauza kuti chiwerengero cha akhanda odwala komanso achinyamata chikuwonjezeka ndi anthu 100,000,000.

Zomwe zimayambitsa matenda A shuga A Type 2

Chinsinsi cha mtundu wachiwiri wa matenda ashuga a m'mimba ndi kapangidwe ka maselo onse am'mimba mwa kuchepa kwa chidwi cha ma membrane receptors kupita ku thupi chifukwa cha insulin (insulin kukana). Izi zimachepetsa kugwiritsa ntchito shuga (glucose) mwa maselo amthupi kuchokera m'magazi. Kukula kwa khungu kukana insulin kumayamba chifukwa chakuchulukirachulukirachulukira kwa kapamba motsutsana ndi maziko olandila shuga ochulukirapo.

Kugwiritsa ntchito maswiti - kuchuluka kwa shuga, komwe ndi gawo la maswiti, zinthu zopangidwa ndi ufa, kumawonjezera kuchuluka kwa insulini m'magazi ndikuwonetsetsa mu maselo onse amthupi.
Age - anthu opitilira zaka 40 akutha kukhala ndi matenda ashuga amtundu wa 2.
Heredity - kudziwikatu kwa maselo Kukula kwa insulin kukokana amatengera kwa makolo kwa ana. Ngati malangizo azakudya sakatsatiridwa muzochitika zotere, chitukuko cha matenda a carbohydrate metabolism chingachitike mpaka zaka 40.
Chidzalo - Zowonjezera zomwe zimakhala ndi adipose mthupi zimachepetsa chidwi cha maselo ku insulin.

Mosasamala kanthu za zoyambitsa zomwe zimayambitsa, mtundu wachiwiri wa zakudya za shuga ndizofunikira kwambiri pakubwezeretsa chidwi cha insulin m'maselo.

Thandizani mwana wanu kuthana ndi matenda ashuga kusukulu

Mwina mwagula kale zinthu zofunika kusukulu kuti mupereke mwana wanu kusukulu. Koma ngati mwana wanu akudwala matenda ashuga, kukonzekera kowonjezereka kuyenera kupangidwa.

Odwala matenda a shuga ayenera kusamalira matenda osachiritsika nthawi zonse, kuphatikiza pa tsiku la sukulu. Ogwira ntchito pasukulu, anamwino, aphunzitsi ndi ophunzitsa ayenera kugwira ntchito ndi inu ndi mwana wanu kuthana ndi matenda a shuga.

Kukula kumeneku kungaphatikizepo kuthandiza mwana wanu kumwa mankhwala, kuyeza shuga m'magazi, kusankha zakudya zopatsa thanzi m'malo odyera, ndikukhala olimbitsa thupi.

Zochita zolimbitsa thupi. Mankhwala ochepetsa shuga. Hypoglycemia.

Kafukufuku ambiri asayansi akuwonetsa kuti kusowa kwa zochitika zamagalimoto m'zaka zaposachedwa komanso makumi makumi ambiri kwathandizadi kuwonjezeka kwa matenda a shuga a mtundu II. Abambo athu ndi makolo athu akale adakakamizidwa kugwira ntchito yakuthupi - kuntchito komanso kunyumba - zochulukirapo kuposa momwe tinkakhalira.

Chifukwa chake, limodzi ndi kuchepa thupi, kuchita masewera olimbitsa thupi ndi chimodzi mwazinthu zofunikira kwambiri pothandizira ndi kupewa matenda a shuga a mtundu II.

Ngati muli ndi matenda amtundu wa II, ndiye kuti kulemera ndi zolimbitsa thupi ziyenera kukhala zinthu zofunika kwambiri pa chithandizo chamankhwala. Kuphatikiza apo, ntchito ya minofu imathandizira kuchepetsa thupi, chifukwa imachulukitsa mphamvu yowononga thupi.

Mukamasuntha, minofu imatenga shuga wambiri kuposa pakupuma. Izi zimabweretsa kuchepa kwa shuga m'magazi.

Ndikofunikira kuti muthe kuchita nawo masewera enaake olimbitsa thupi omwe angakusangalatseni. Pokhapokha ngati zimakusangalatsani, mutha kuchita nawo masewera mwadongosolo.

Palibe chifukwa chokonda masewera amtundu uliwonse, iliyonse ndiyabwino. Chofunika kwambiri ndizokhazikika kwa makalasi, koma popanda zochulukitsa.

Mutha kuchita nawo masewera osati masewera okha, komanso kugwira ntchito m'munda: kukumba mabedi, sonkhanitsani zipatso, kudula mitengo. Zonsezi zidzathandizanso kuchepetsa magazi, monga kuyenda kapena masewera olimbitsa thupi.

Pitani kukagula pansi, kukwera masitepe, osagwiritsa ntchito kukweza kapena okwera. Kumapeto a sabata, muziyenda maulendo ataliatali paki kapena m'nkhalango.

Kuwonjezeka pang'onopang'ono kwa masewera olimbitsa thupi pazaka zilizonse ndizomwe zimapangitsa thanzi. Komabe, matenda ena amtima amayenera kuchepetsa kuchita zinthu zolimbitsa thupi, ngati kuli kotheka, kwakanthawi.

Mulimonse momwe zingakhalire, ndikofunikira kuti munthu wosaphunzira asayambe mwachangu ndi kuyeseza nthawi yayitali komanso mwamphamvu - izi zimatha kusokoneza mtima ndi mitsempha yamagazi.

Onetsetsani kuti mwalankhula ndi dokotala musanayambe masewera olimbitsa thupi. Mufunseni za zomwe zingachitike ndi mankhwala omwe mumamwa.

Mukamagwiritsa ntchito mapiritsi ochepetsa shuga panthawi yochita masewera olimbitsa thupi, hypoglycemia (kuchepa kwambiri kwa shuga m'magazi) imatha kuyamba. Mankhwala ena omwe amachepetsa kuthamanga kwa magazi amathanso kuwonetsa zovuta zake pakuchita masewera olimbitsa thupi.

Masewera amabweretsa chisangalalo chochuluka mukakhala pagulu. Ngati mulibe matenda ena kupatula shuga, mutha kuyeserera masewera aliwonse ndi aliyense.

Pali magulu apadera azaumoyo odwala omwe ali ndi matenda a mtima.

Ndipo chinthu chinanso chokhudza masewera: ntchito ya minofu ndi masewera samangochepetsa shuga ya magazi. Amathandizira kuchepetsa thupi, kusintha magazi, kuchepa kwamafuta am'magazi komanso kuthamanga kwa magazi.

Kusuntha ndi mankhwala pafupifupi onse am'thupi omwe amadziwika ndi matenda amtundu II: kunenepa kwambiri, matenda oopsa, mafuta ochulukirapo m'magazi, komanso zovuta zamagazi. Ngakhale kuyenda tsiku lililonse kwa ola limodzi osadutsa maola 1.5-2 mutatha kudya, kumakupatsani mwayi wokhala ndi shuga m'magazi wamba.

Mankhwala ena amatha kutulutsa insulin m'maselo a pancreatic, zomwe zimapangitsa kuti shuga azikhala ochepa. Chifukwa chake, ndizomveka kuwayika okhawo kwa odwala omwe adakali ndi insulin yawo ndipo zotsatira zake sizowonongeka.

Mapiritsi ochepetsa shuga ndi othandizira ('othandizira') akumasulidwa a insulin yawo. Amachulukitsa insulin osati kokha magazi a m'mimba akakwera, komanso pakati pa chakudya.

Izi zimadzetsa kuti hypoglycemia imatha kukhala mukumwa mapiritsi ochepetsa shuga. Mapiritsi ochepetsa shuga amathandiza okhawo omwe ali ndi shuga omwe amapanganso insulin yawo, ndiye kuti, odwala omwe ali ndi matenda a shuga a mtundu II.

Samathandizira odwala omwe ali ndi matenda ashuga a mtundu woyamba.

Odwala onenepa kwambiri omwe ali ndi matenda amtundu wa II ayenera kuchepetsa thupi. Mukamachepetsa thupi, mapiritsi ochepetsa shuga amathanso kusokoneza, chifukwa amatha kuyambitsa hypoglycemia.

Wodwala matenda a shuga II amayamba nthawi zonse akudya. Pokhapokha ngati kutsatira kwakanthawi kochepa zakudya zopatsa mphamvu zochepa (1000 calories) sikungapangitse shuga m'magazi, mutha kuyesa kumwa mapiritsi ochepetsa shuga.

Kwa odwala onse omwe ali ndi matenda amtundu wa II, mapiritsi ochepetsa shuga ayenera kumwedwa pokhapokha, patadutsa milungu ingapo yoletsa kudya zakudya za caloric, kusintha kwa kagayidwe kachakudya sikukwaniritsidwa.

Pali mapiritsi ambiri ochepetsa shuga. Mankhwala omwe amagwiritsidwa ntchito kwambiri ndi maninil (glibenclamide), omwe muyezo yaying'ono ali ndi mphamvu.

Ku Russia, odwala amagwiritsa ntchito mankhwala otsitsa shuga awa: maninil, euglucon, dongo, betanase, glurenorm, diabetes, minidiab, foreian, adebit, glibutide. Kusiyana pakati pa mapiritsi a hypoglycemic omwe alipo kulibe.

Ambiri aiwo ali ndi zinthu zomwezo, pomwe zina zimasiyana mosiyanasiyana. Komabe, zosiyana zina ndizofunikabe.

Predian sachita zinthu mwamphamvu ngati manin, sizitanthauza kuti kukhala m'mavuto nthawi zonse kumakhala koipa kuposa mannan. Mwachitsanzo, ngati chochitikachi chili champhamvu kwambiri, mania atha kufunanso vuto la chikumbumtima.

Nthawi zambiri, mapiritsi atatu patsiku - mlingo waukulu kwambiri komanso wokwanira wa mankhwalawo. Kulemba mapiritsi ochepetsa shuga kumamveka pokhapokha ngati ndizotheka.

Adebit ndi glibutide amangoperekedwa kwa odwala onenepa osakwana zaka 60. Poika mankhwala ochepetsa shuga, osintha mlingo wawo uyenera kuyang'aniridwa ndi dokotala.

Zakudya nambala 9 za matenda ashuga

Pofuna kusankha mosavuta, akatswiri azakudya ndi endocrinologists apanga zakudya zamtundu wa 2 matenda a shuga 2. Mulinso magulu atatu azakudya:

Zakudya zovomerezeka - zimatha kutengedwa popanda zoletsa. Samachulukitsa shuga wamagazi ndi insulin (mapuloteni ndi michere yamafuta monga mawonekedwe a fiber).
Chakudya chocheperako - sichiletsedwa kudya, koma ndikofunikira kuwongolera kuchuluka kwa zomwe amadya m'thupi (mafuta).
Zakudya zoletsedwa - kuphatikizidwa kwa zakudya zotere m'zakudya sizikulimbikitsidwa, popeza zimachulukitsa kuchuluka kwa glucose ndi insulin m'magazi (zosakanikirana zomanga thupi zophatikizidwa mosavuta).

Zakudya zololedwa ndizophatikizira:

Rye mkate, tirigu kuchokera gawo lachiwiri la ufa ndi chinangwa.
Nyama ndi mbale kuchokera pamenepo - ng'ombe, ng'ombe, nkhuku, kalulu.
Bowa, koma mawonekedwe a msuzi.
Nsomba - zokonda ziyenera kuperekedwa kwa mitundu yamafuta ochepa.
Zakudya za tirigu - nsomba zamkati, oatmeal, tirigu, barele kapena ngale za barele.
Mkaka wocheperako kapena mkaka wokhathamira - kanyumba tchizi, kefir, yogati.
Osapitirira azungu awiri azitsamba patsiku. Kugwiritsa ntchito yolks sikuphatikizidwa!
Masamba - biringanya, kabichi, zukini, tomato, dzungu. Mutha kuphika ma supu, sopo, kuphika mu uvuni kapena pa grill, koma muyenera kuyesetsa kudya zakudya zambiri kuchokera masamba osaphika. Mbatata imaloledwa mumndandanda wazakudya No. 9, koma amayang'aniridwa ndi kuchuluka kwa chakudya chambiri chomwe amalandila nawo mthupi (kuwerengera ndi magawo a mkate).
Zipatso zopanda zipatso ndi zipatso - chitumbuwa, currant, maapulo, mphesa, lalanje (bola palibe ziwengo).
Mitundu yazipatso yopanda mphako yopanda shuga.
Tiyi (makamaka yobiriwira) ndi zipatso ndi mabulosi opanda shuga.

Mkaka ndi tchizi tchizi chokhala ndi mafuta ambiri, batala, tchizi chamchere chamtundu uliwonse.
Mitundu yamafuta am nyama ndi mbale kuchokera kwa iwo - nkhumba, mwanawankhosa, bakha.
Semolina, mpunga woyera.
Mchere kapena wowonda.

Njira za kudziletsa

Matenda a shuga lero ndi imodzi mwazovuta zamankhwala komanso chikhalidwe. Anthu mamiliyoni ambiri padziko lonse lapansi akudwala matendawa. Ngakhale kufufuza kozama, matenda ashuga imakhala matenda osatha omwe amafunikira kuwunikidwa nthawi zonse kuti muchepetse zovuta komanso kulumala zisanachitike. Chifukwa chake maphunziro oleza mtima matenda ashuga Njira zodziletsa, kuyang'anira matenda anu mogwirizana ndi dokotala ndizofunika kwambiri. Odwala osachiritsika omwe amadalira shuga nthawi zambiri amakhala osadziwa komanso chidwi ndi matenda awo kuposa momwe odwala amalandirira insulin. Pakadali pano, gulu lalikulu ili la odwala siliyenera kuyang'aniridwa pang'ono wodwala insulin odwala. Chithandizo cha pakamwa pokha hypoglycemic mankhwalawa sangalimbitse thanzi la odwala chotere. Kuphatikiza pa chakudya, masewera olimbitsa thupi komanso maphunziro omwe mankhwalawa angakulipireni. matenda ashuga komanso kupewa mavuto obwera mochedwa.

Matenda a shuga a II kapena osachiritsika omwe amadalira shuga nthawi zambiri amakula pang'onopang'ono. Amatchedwa 'matenda a shuga achikulire' kapena 'matenda okalamba a shuga' chifukwa amapezeka mwa anthu azaka 40 ndi kupitirira. Nthawi zambiri, odwala awa ndi onenepa kwambiri. Adakali ndi zochuluka zawo insulin, koma insulin iyi siyothandiza kwenikweni.

Ndi kunenepa kwambiri, muyenera kuchepa thupi, ndiye kuti simungathe kutero popanda hypoglycemic mankhwala ndi zina popanda insulin. Kulemera koyenera kwa munthu kumawerengeredwa pogwiritsa ntchito njira zotsatirazi: kutalika kwa munthu masentimita 100. Tiyenera kudziwa kuti kuchepa thupi ngakhale ma kilogalamu ochepa kumathandizira shuga m'magazi wodwala.

Manambala abwinobwino shuga m'magazi pamimba yopanda kanthu m'munthu wathanzi ndi 3,3 - 5.5 mmol / l, ndipo mukatha kudya musapitirire 7.8 mmol / l.

Wokwera shuga m'magazi amachititsa ludzu, kamwa yowuma, kukodza pafupipafupi ndi kuwonjezeka kwamkodzo mpaka malita 3-7 patsiku. Nthawi yomweyo, khungu louma, kuyabwa kwa khungu ndi mucous nembanemba, kuchiritsa kwamabala osapweteka, kufooka, kutopa kumasonyezedwanso. Ngati shuga m'magazi zimachuluka kwambiri, izi zitha kutsogolera wodwala matenda ashuga kutaya mtima, komwe kuli pangozi. Ngati mukudziwa zokwanira za matenda anu, onetsetsani kagayidwe kake ndikuchita moyenera, ndiye kuti simudzakhala wodwala matenda ashuga. Ngati kwa zaka zambiri shuga m'magazi kukhala pamwamba, izi zimatha kuchedwa matenda ashugamakamaka m'matumba ang'onoang'ono. Zotsatira zake, kuwonongeka kowopsa m'maso, impso, ndi mitsempha kumayamba. Ndikumakhalabe wabwino Zizindikiro za shuga m'magazi zovuta izi zitha kupewedwa.

Monga tanena kale, wamtali shuga m'magazi nthawi zambiri imawonetsera zosasangalatsa. Izi ndi maziko a chithandizo cha matenda ashuga.

Osati wodwala aliyense mtundu II matenda ashuga mavuto akulu amapezeka nthawi yomweyo. Chifukwa chake, zolinga zamankhwala sizofanana ndi onse odwala. Ngati mtundu II matenda ashuga zimachitika pambuyo pa zaka 40 pamenepo shuga m'magazi zizisungidwa pafupipafupi kuti zizichitika mochedwa matenda ashuga. M'malo mwake, ngati matenda matenda ashuga adayikidwa mwa munthu wazaka 75, izi sizitengera kuchepa kwa chiyembekezo cha moyo wake, ngakhale shuga m'magazi idzakwezedwa pang'ono. Wodwala wazaka 75 matenda ashugashuga m'magazi iyenera kuchepetsedwa pokhapokha ngati akuwona kuchuluka kwa shuga: kukodza pafupipafupi, kuchuluka kwa mkodzo, khungu kapena chikhodzodzo, kuchepa kwa ntchito, kuchiritsa kwamabala osavulala.

Kwa onse odwala matenda ashuga ndikofunikira kupewa matenda osokoneza bongo oopsa wodwala matenda ashuga. Kukula koopsa kwa shuga m'magazi kungachitike m'masiku ochepa, motero wodwala aliyense matenda ashuga ayenera kudziwa moyenera komanso moyenera nthawi yomweyo. Izi ndizotheka ndi kudzipanga wekha. shuga m'magazi ndi mkodzo. Odwala matenda ashugaamene akufuna kupeza chindapusa chabwino cha matendawa ayenera kuwongolera mkhalidwe wake pakati pa kupita kwa dokotala. Ichi ndichifukwa chake kudziyesa mokhazikika kuli kofunikira pano. Kuphatikiza apo, palibe munthu amene amatha kuzindikira zabwinobwino shuga m'magazi ndipo kwinakwake. Kuzisintha shuga m'magazi kapena mkodzo, mutha kuwerengenso momwe zizindikiro zimasinthira mukatha kudya.

Pansi pazabwino shuga m'magazi mulibe shuga mkodzo. Ngati shuga m'magazi imakwera pamwamba pa 10 mmol / l - wotchedwa 'renal threshold' - impso zimayamba kupaka shuga mkodzo. Mkuluyo umakwera shuga m'magazikukwera kudzakhala shuga mkodzo. Mwa anthu ena, shuga amawonekera mkodzo wokhazikika kwambiri shuga m'magaziena okhala ndi otsika. Ndi shuga wamtundu wanji wa shuga omwe muli nawo, muyenera kusankha ndi dokotala. Kuti muwone bwino 'cholumikizira cha impso', ndikofunikira kuyeza kangapo shuga m'magazi ndipo nthawi yomweyo - shuga mu 'sampuli yatsopano' ya mkodzo, kenako fanizirani zotsatirazo.

Shuga wa mkodzo amatha kuyeza pogwiritsa ntchito zingwe 'Diabur - mayeso', Tlyukofan '. Kuti muchite izi, gawo loyeserera limatsitsidwa mkodzo kwa masekondi angapo ndipo pambuyo pa mphindi 2 zotsatira za kusanthula zimayesedwa ndi kusintha kwa mtundu wa mzere woyeza poyerekeza ndi muyeso wamba. Muyezo wa shuga wamagazi anachita pogwiritsa ntchito zingwe "Hemoglucotest", "Glukohrom-D" kapena kugwiritsa ntchito glucometer. Kugwiritsa ntchito lancet kapena singano kuchokera syringe insulin yikani chakumaso pambali ya chala, ikani dontho la magazi pachifuwa (gawo loyesa) la Mzere. Siyani dontho la magazi pa mzere woyesera kwa mphindi 1, kenako ndikupukuta ndi chidutswa cha thonje. Pakatha mphindi imodzi, yerekezerani mtundu wa magawo onse oyeserera ndi kuchuluka kwa gawo pamlingo; kukwera shuga, magazi ndi mayeso onse amdima. Ngati magawo onse oyesa ali amdima kwambiri, dikirani mphindi ina ndikufananiranso mtundu wawo ndi muyezo.

Mukamagwiritsa ntchito glucometer, dontho la magazi limayikidwa mu mzere woyezera womwe umayikidwa mu chipangizocho ndipo pakatha mphindi zochepa zokhudza shuga m'magazi yotulutsidwa pazowonetsera chipangizocho.

Zakudya Zomakoma. Mowa

Chithandizo chachikulu cha odwala omwe ali ndi osachiritsika omwe amadalira shuga Ndi mankhwala ochizira. Pafupifupi nthawi zonse, zomwe zimapangitsa kunenepa kwambiri ndizosavuta - iwo omwe adadya kwa nthawi yayitali kuposa momwe thupi limafunikira akwanira. Thupi limadziunjikira mphamvu zochuluka m'malo osungiramo mawonekedwe a minofu ya adipose. Mwina, pakubwera kulemera kwakukulu, zinthu zina za metabolic zimathandizanso. Kuti muchepetse kunenepa kwambiri, palibe njira yachinsinsi, muyenera kungodya zopatsa mphamvu zochepa kuposa kale. Ili ndiye lamulo lofunika kwambiri. Mankhwala ambiri ndi 'zozizwitsa' zakuchepetsa kapena kuchepa kwa chilakolako chantchito sizothandiza kapena zimakhala ndi zotsatira zoyipa. Mukamadya 1000 kcal patsiku, mutha kuchepa thupi m'mwezi umodzi popanda chiopsezo chathanzi, ngati chakudya chatha.

Mfundo yoyambirira yazakudya, yomwe yaperekedwa pamwambapa, ndi zakudya zochepa zopatsa mphamvu zomwe zimadyedwa. Zogulitsazi zimaphatikizapo masamba omwe amakhala ndi madzi ambiri, mavitamini, fiber ndi kuchuluka kwa zopatsa mphamvu. Ma calorie ochulukirapo amakhala ndi zakudya zomwe zimakhala ndi mapuloteni, komanso zina zomwe zimakhala ndi mafuta. Malinga ndi kuchuluka kwa zopatsa mphamvu zomwe zili, zopangidwa zonse zimagawika m'magulu atatu:

1. Gululi limaphatikizapo zinthu zomwe zimatha kuwonedwa mu kuchuluka kulikonse, popanda zoletsa, kupatsidwa zomwe zili otsika kalori,

2. Gululi limaphatikizapo zakudya zokhala ndi mafuta ambiri, zakudya zamafuta ndi mowa. Ayenera kutayidwa kapena kuchepetsedwa,

3. Gululi limaphatikizapo zakudya zopatsa mphamvu zopatsa mphamvu zomanga thupi zomwe zimapangidwa ndi ochepa. Tiyeni tisanthule magulu atatuwa mwatsatanetsatane.

Zinthu zomwe zimatha kudyedwa mulimonse popanda zoletsa. Gululi limaphatikizapo zamasamba onse, kupatulapo nyemba zakupsa, mbatata ndi chimanga, zitsamba, bowa. Kuchokera zipatso kupita ku gululi ndikuphatikizapo mandimu ndi cranberries.

Zinthu zomwe odwala ayenera kukana, ngati kuli kotheka kukana, muchepetse kugwiritsa ntchito. Awa ndi mafuta: masamba ndi kirimu, mayonesi, mkaka wokazinga komanso wowotcha, zonona wowawasa, tchizi zamitundu yoposa 45%, nsomba yamafuta, nsomba zosuta, nyama yamafuta, soseji, makamaka yosuta, nyama yokazinga ndi nsomba, makeke, ma pie, maswiti, zakumwa zokoma, mtedza, njere, uchi, shuga, zipatso zouma. Zipatso, mphesa ndi za gululi. Ndipo, mwachidziwikire, chifukwa chomwa mankhwala oledzeretsa ambiri, odwala ayenera kusiyiratu kugwiritsa ntchito.

Zogulitsa zomwe ziyenera kudyedwa moyenera, kudziletsa. Mulinso mitundu yosiyanasiyana yamafuta ndi nsomba, mkaka, mkaka, mitundu ya tchizi yokhala ndi mafuta osakwana 45% (feta tchizi, suluguni), mazira, mbatata, chimanga, nyemba zamphesa, pasitala, chimanga, mkate ndi zipatso zina zonse. Ndikwabwino kudya nyama ndi nsomba yophika, m'malo mokazinga, monga nthawi yokazinga, mafuta kapena mafuta omwe mumayamwa ndipo zakudya zopatsa mphamvu zimachuluka.

Lamulo lachiwiri lazakudya ndikutsatirana ndikugawika kwa zakudya: ndikofunikira m'malo mwazakudya 2-3 zomwe mwadya Palibenso chifukwa chobwera ndi chakudya, odwala ayenera kuyesa kudya, mwachitsanzo, kapu ya tiyi kapena khofi ndi wokoma, kapena masamba: idyani nkhaka, phwetekere, kaloti. Tafuna chakudya pang'onopang'ono komanso mosamala. Nthawi zonse muzikumbukira kuti kulakalaka kwathu sikuli m'mimba, koma m'mutu, ndipo sitifuna kudya nthawi zonse pamene thupi lathu likufuna.

Mfundo yachitatu yazakudya: zakudya siziyenera kuyengedwa, ziyenera kukhala zambiri mu CHIKWANGWANI CHAKUDYA NDI Zomera, zambiri zomwe zimakhazikitsidwa ndi buledi wopanda tirigu, nyemba, kabichi, kaloti ndi mbewu zina zamizu, zipatso, maapulo, malalanje, mapeyala.

Mfundo yachinayi yazakudya: ndikofunikira kuthetseratu maswiti.

Zachidziwikire, nkovuta kusiya zakudya zomwe mumadya, chifukwa chake timalimbikitsa kuti odwala athu onenepa azitsatira mfundo ina yotchedwa "halving". Izi zikutanthauza kuti ngati m'mbuyomu mudadya buledi zinayi pa nkhomaliro, dziperekeni awiri, ngati - mudadya tchizi chonse cha tchizi chamadya - idyani theka ndi zina. Odwala omwe ali ndi thupi lozolowereka, mfundo zamakhalidwe ndizofanana: zakudya zopatsa mphamvu, kupatula maswiti, kuvomerezedwa kudya zakudya zokhala ndi CHIKWANGWANI, koma kudya caloric kuyenera kukhala kokwanira kuposa odwala omwe ali ndi kunenepa kwambiri. Komabe, kulemera m'gululi la odwala kuyenera kukhala kosasunthika, ndiye kuti sikukukula kapena kuchepa. Naturalization kulemera, kutsatira kwambiri zakudya, zolimbitsa thupi amalola odwala ambiri kukwaniritsa kulipira shuga popanda pakamwa mankhwala a hypoglycemic.

Ngati mukufuna china lokoma, gwiritsani ntchito okometsa. Alibe phindu lazakudya, alibe chakudya, kapena 'kalori. Zomakoma nthawi zambiri amapezeka piritsi. Izi zimaphatikizapo mankhwala omwe adakonzedwa pamaziko a saccharin ndi aspartame. Mankhwalawa atha kugulidwa ku malo ogulitsa mankhwala omwe ali pansi pa mayina a 'Sukrazit', 'Sweetley', 'Zucli' (okonzedwa pamaziko a saccharin), 'Slastilin', 'Sladeks', 'Nutrasvit' - (okonzedwa pamaziko a aspartame). Zambiri okometsa osati owopsa thanzi. Monga zinthu zomanga thupi, zotsekemera zochokera pa aspartame zimaphwanya mukamayatsidwa, ndiye kuti simuyenera kuwonjezera zakumwa zomwe zimatentha kwambiri. Zomakoma zochokera ku saccharin zitha - kugwiritsidwa ntchito popanga mafuta osokoneza, madzi, ophika.

Ngati mutakhala ndi cholinga - kuchepetsa thupi, samalani ndi kuchuluka kwa chakudya (zopatsa mphamvu). Kutengera izi, simuyenera kugwiritsa ntchito kwambiri zakudya za 'matenda ashuga' (chokoleti, ma cookie, waffles, jamu). Mu 'matenda ashugaPazogulitsa, shuga wamba amasinthidwa makamaka ndi fructose (shuga), xylitol kapena sorbitol - awa ndi omwe amatchedwa shuga analogues. Ngakhale shuga analogue amapereka ochepa kwambiri shuga m'magazi, zimakhala ndi zopatsa mphamvu zambiri monga shuga wokhazikika. Ngati mukufuna kuchepetsa thupi, ndiye kuti ndikosayenera kugwiritsa ntchito chokoleti cha 'matenda ashuga' kapena maswiti, chifukwa ali ndi zopatsa mphamvu zambiri. ''Matenda a shuga'Makandulo ndi oyipa kwa inu ngati wamba. Zakudya zina za 'matenda ashuga' zimatha kuyambitsa matenda otsekula m'mimba komanso kumatulutsa. Mukamasankha zakudya za 'matenda ashuga', muyenera kupereka zokonda kwa iwo omwe amapangidwa pamaziko a saccharin ndi aspartame, popeza ndi ochepa kwambiri pama calories.

Mowa wopanda mafuta shuga m'magazi - izi ndi zoona, mwachitsanzo, zamalonda. Ngakhale izi, simuyenera kuyesa kutsitsa kwambiri shuga m'magazi kumwa mowa. Ikuwononga chiwindi chanu. Zakumwa zambiri zakumwa zoledzeretsa (mowa, vinyo, champagne, zakumwa) zimakhala ndi nthawi yomweyo kuchuluka kwa a Sugars osiyanasiyana. Pambuyo pawo shuga m'magazi kuchuluka kwambiri. Pomaliza, muyenera kukumbukira kuti zakumwa izi ndizapamwamba kwambiri zopatsa mphamvu, zomwe ndizosafunika kwambiri poyesetsa kuchepetsa thupi. Chachikulu chomwe mungakwanitse ndi kapu yaying'ono pa tchuthi. Odwala matenda ashuga popanda owonda owonda kwambiri owonda, champagne youma amaloledwa. Odwala matenda ashugakuchititsa kuchepetsa mapiritsiayenera kusamala makamaka. Mowa umatha kukulitsa zotsatira za mankhwalawa ndikupangitsa kuti ukhale woopsa hypoglycemia Kutaya mtima.

Mavuto obwera chifukwa cha matenda ashuga.

Ngati shuga m'magazi imakhala yokwezeka kwa nthawi yayitali, kenako imakula matenda ashuga. Amawonetsedwa ndi kuphwanya magazi m'magulu ang'onoang'ono. Kuchulukitsa kwa ziwiya zing'onozing'ono kungadziwike ndi dokotala ngati ayang'anitsitsa fundus pogwiritsa ntchito galasi lamaso. Pankhaniyi, zombo zazing'ono zimatha kuwoneka mwachindunji.

Kuwonongeka kwa ziwiya zing'onozing'ono kumatha kupezekanso mu impso: izi zimayambitsa vuto laimpso ndipo, pamapeto pake, zimatha kuthana ndi vuto la aimpso. Chifukwa chake kudwala matenda ashuga muyenera kuyang'anira zonse impso. Pambuyo pake matenda ashuga zimatha kusokoneza dongosolo lamanjenje. Izi zimachepetsa kuwona kwa kupweteka ndi kutentha, makamaka khungu la miyendo. Nthawi zina, ndi zotupa zamanjenje matenda ashuga kudula ndi kuyaka m'miyendo kumachitika, makamaka usiku.

Matenda a shuga - kuphwanya magazi mu ziwiya.

Matenda a shuga - Zowonongeka pamitsempha yam'mutu, makamaka malekezero otsika.

Matenda a shuga - kuwonongeka kwa impso mu shuga.

Matenda a shuga a retinopathy - Ichi ndi chotupa chakumaso. Makamaka olemera matenda ashuga khazikitsani pamaso pathu. Chifukwa cha kuchuluka kwa nthawi yayitali shuga m'magazi zovuta zamagazi ndi zotupa m'mimba zitha kuwoneka. Zotsatira zake, kuwonongeka kwamawonedwe kumachitika, nthawi zina khungu. M'magawo oyambilira, kuphatikiza kumeneku kumatha kuthandizidwa bwino ndi mitengo ya laser. Chifukwa chake, kamodzi pachaka, pitani dokotala wamaso. Ngati mwadzidzidzi mukumva kuwonongeka kwamaso, mawonekedwe owonera kawiri kapena zinthu zopanda pake, pitani kwa dokotala wamaso.

Odwala matenda ashuga Matumbo nthawi zambiri amakula (kutsitsa ma mandala a maso). Chizindikiro choyamba cha matenda a cataract nthawi zambiri chimawoneka ngati kuwala kwa bulauni pazinthu zonse. Nthawi zambiri chomwe chimayambitsa kupweteka m'mutu komanso kuwonongeka kwa okalamba kumawonjezera kukakamiza kwazinthu - glaucoma.

Odwala okalamba ambiri matenda ashuga ali ndi vuto la magazi, makamaka ziwiya zamiyendo. Ngakhale mutayenda pang'ono, kupweteka m'miyendo kumachitika, muyenera kuima kwakanthawi, kenako ndikupitirirabe. Dokotala amawona kuti zamkati pazotengera miyendo zachepa kapena sizipezeka. Izi ndichifukwa choti ziwiya zazikulu zamiyendo (mitsempha) ndizochepa kapena zimatsekeka (ochepa matenda). Zomwe zimayambitsa matendawa ndi kusuta, kuthana ndi magazi m'thupi, kuthamanga kwa magazi komanso kusayenda. Nthawi zina, opaleshoni yamiyendo yamiyendo ingathandize. Mankhwala nthawi zambiri samathandiza. Njira yabwino: ngati nkotheka, sinthani kwambiri ndikumachita zolimbitsa miyendo. Ndudu zochepa.

Pali zoopsa zambiri ku miyendo ya wodwala wachiwiri wa matenda ashuga. Chifukwa cha matenda am'mimba a shuga, simudzazindikira pakapita nthawi, simudzamva mabala ang'onoang'ono komanso nsapato zazitsulo. Chifukwa cha kusokonezeka m'matumbo ang'onoang'ono komanso akulu, zilonda zimapsa mosavuta. Khungu la odwala matenda ashuga ndiwowonda, owuma, osavuta kuwapeza. Ngati kutupa kulumikizana, kuchiritsa kwa mabala kumakhala kovuta kwambiri. Chiwopsezo chofalitsa kutupa ndikukulitsa kukula kwa chilondacho chikuwonjezeka. Kukanda pang'ono kapena scuff kumatha kusintha kukhala zilonda zazikulu. Odwala okalamba ena, mwatsoka, ayenera kudula mwendo kapena mwendo. Ngoziyi imatha ndipo iyenera kupewa ndi chisamaliro choyenera ndi chithandizo.

Ngati mwachedwa kwambiri, musayende opanda nsapato.

Mapazi ozizira: Wotentha ndi masokosi aubweya wopindika.Palibe vuto kuti musagwiritse ntchito mapiritsi otenthetsera kapena makatoni otenthetsera, musayike mapazi anu m'madzi otentha. Ngati kutentha kwa khungu la miyendo kukulephera, mwina simungamve kutentha kwakanthawi.

Nsapato: chotsani ndikuvala kangapo. Onani ngati insole ndi yosalala komanso ngati pali chilichonse mu nsapato chomwe chingapukute kapena kuvulaza phazi. Pogula nsapato, onetsetsani kuti silopanikizika. Gulani nsapato zofewa zokha. Kwa nthawi yoyamba, kuvala nsapato zatsopano kuposa ola limodzi. Osagula nsapato zokhala ndi zidendene zapamwamba, zimatha kuyambitsa zovuta m'magazi. Ngati mungathe matenda ashuga a m'mimbaOsamayenda wopanda nsapato. Valani zoterera pagombe.

Kusamalira mapazi anu? Ukhondo wa kumapazi ndi wofunikira kwambiri kwa inu.

Chisamaliro cha toenail: musadule zosewerera, koma ziikeni ndi fayilo ya msomali. Ngati khungu lakumapazi lanu likusokonekera, pamakhala ngozi yoti muwononge khungu ndi lumo osamverera. Ndiye chifukwa chake muyenera kugwiritsa ntchito fayilo ya misomali, ndipo misomali siyingafanane nayoifupi. Makona azala zam'manja azikhala osadulidwa.

Kusambitsa mapazi tsiku ndi tsiku: Mwachilengedwe, mumasambitsa mapazi anu pafupipafupi. Ngati mwayamba kudwala matenda ashuga, tsatirani malamulo ena osavuta. Sambani mapazi anu, koma osasamba m'mapazi aatali - amachepetsa khungu kwambiri. Pukuta khungu lanu mutatha kusamba, makamaka pakati pa zala zanu. Ngati khungu ndi loonda kwambiri, louma, ndiye mutatha kupukuta, mafuta ndi zonona za phazi lamafuta. Musamaike zonona pakati pa zala zanu. Musagwiritse ntchito zida zodulira ngati tsamba kapena lumo kuchiritsa malo a keratinized ndi callus. Osamagwiritsa ntchito chimanga.

Chenjezo: tsiku lililonse muyenera kupenda bwino miyendo yanu kamodzi. Ndikofunikira kwambiri kuti muzindikire mabala, ma scuffs, ndi zina. Osachita manyazi, onetsani dokotala wanu ngakhale mabala ang'ono kwambiri pamiyendo yanu. Ngati mukupwetekedwa mosamala mosamala mosamala konse: pamenepa muyenera kukhala ndi bandeji yosabala ndi mankhwala opha majeremusi nanu maulendo onse. Chilondacho chiyenera kutsukidwa ndi yankho la 3% hydrogen peroxide, kutsukidwa ndi yankho lamadzimadzi la furacilin ndikuvala kuvala chosalala. Ngati pali zotupa za bala, ndi mabala akulu ndi akuya - pitani kwa dokotala.

Madzulo aliwonse kwa kotala la ola muyenera kuchita zolimbitsa thupi miyendo.

Malo oyambira: Khalani pamphepete mwa mpando osatsamira kumbuyo.

Kuchita masewera olimbitsa thupi 10 (nthawi 1).

Pindani pepala lamapepala ndi miyendo yanu yopanda mpira. Kenako sulani nyuzipepala ndi mapazi anu ndikung'amba.

Pofotokozera zonse pamwambapa, mfundo yotsatirayi ikhoza kufikiridwa: kudziletsa ndiko maziko a chithandizo chokwanira ndi kupewa matenda ashuga. Kachitidwe ka kudziletsa kumaphatikiza chidziwitso cha odwala omwe ali ndi mawonekedwe othandizira matenda ndi chithandizo cha matenda, kudziletsa pakudya, ndi zizindikiro shuga m'magazi ndi mkodzo, thupi. Kudziletsa kumakhudzanso kukonza kwa mapiritsi ochepetsa shuga. Kukhazikitsa dongosolo lodziyang'anira lero ndi chimodzi mwazinthu zofunika kwambiri pothandizira matenda ashuga. Kudzi kudziletsa pakapita nthawi kwamatendawa kumaphatikizapo maphunziro apamwamba pazomwe zimayambitsa komanso zotsatira za matenda ashuga, njira zochizira. Zopambana chithandizo cha matenda ashuga amatanthauza kuti adotolo ndi wodwala akugwira ntchito limodzi kuti apangitse metabolism. Kudwala matenda ashuga amatha kuthana ndi matenda akewo, ayenera kudziwa momwe angathere pazomwe zimayambitsa, Zizindikiro, zovuta ndi chithandizo cha matendawa.

Ngati mukumvetsa, makamaka komanso chithandizo cha matenda ashuga, ndiye kuti dokotala atha kukambirana nanu zolinga zaumoyo payokha ndikupanga dongosolo lake. Kuti akhazikitse zolinga zamankhwala, dokotala amayenera kuwunika kuwopsa kwa matendawa, kumbukirani zaka zanu, kupezeka kwa matenda ena ndi zina. Inuyo, muyenera kumuuza dokotala za zakudya zomwe mumadya, zolimbitsa thupi. Izi zithandiza dokotala kuti azichita mwanjira imeneyi. shuga m'magazi ndi kuchuluka kwa kulemera kwa thupi komwe kudzafunika kukwaniritsidwa pochita mankhwalawa. Kumbukirani kuti inunso mumachiza matenda anu, ndipo adotolo amangokuthandizani.