Zotsatira za vinyo pathupi ndi shuga

Kugwiritsa ntchito zakumwa zokhala ndi zakumwa zoledzeretsa zimaphatikizidwa mu matenda aliwonse, kuphatikizapo endocrine. Kwa zaka zambiri, pakhala kusamvana pa nkhani yokhudza vinyo pa akatswiri, omwe ena amatsimikizira kuti zakumwa izi zitha kuledzera ndi anthu odwala matenda ashuga chifukwa ndizothandiza. Nanga zimakhudza bwanji thupi komanso zomwe zimaloledwa ndi matenda awa?

Mtengo wazakudya

Mapuloteni, g

Mafuta, g

Zakudya zomanga thupi, g

Zopatsa mphamvu, kcal

Gi

44

44

Zotsatira pa Magawo a shuga

Mukamamwa vinyo, mowa umalowa mofulumira m'magazi. Kupanga kwa shuga ndi chiwindi kumaimitsidwa, chifukwa thupi limayesetsa kuthana ndi kuledzera. Zotsatira zake, shuga amakwera, amatsika kokha pambuyo maola ochepa. Chifukwa chake, mowa uliwonse umalimbikitsa zochita za insulin ndi mankhwala a hypoglycemic.

Izi ndizowopsa kwa odwala matenda ashuga. Pambuyo pa maola 4-5 atatha kumeza zakumwa m'thupi, kuchepa kwambiri kwa glucose kumatha kuchitika kwambiri. Izi ndizovuta kwambiri ndikuwoneka ngati hypoglycemia ndi hypoglycemic coma, zomwe zimakhala zowopsa ndikulowetsa wodwalayo mu vuto lalikulu, lomwe mothandizidwa mosadziwika bwino lingamuphe. Ngozi imawonjezeka ngati izi zichitika usiku, pamene munthu wagona ndipo sazindikira zizindikiro zosokoneza. Chiwopsezo chirinso chakuti chiwonetsero cha hypoglycemia ndi kuledzera mwachizolowezi ndi chofanana kwambiri: chizungulire, kukhumudwitsa komanso kugona.

Komanso, kugwiritsa ntchito zakumwa zoledzeretsa, zomwe zimaphatikizapo vinyo, kumawonjezera chilimbikitso, ndipo izi zimayikanso chiwopsezo kwa odwala matenda ashuga, popeza amalandila zochuluka.

Ngakhale izi, asayansi ambiri atsimikizira zotsatira zabwino za vinyo wofiira pakadutsa matenda monga matenda a shuga. Kalasi youma yokhala ndi mtundu 2 kumatha kuchepetsa shuga kukhala wovomerezeka.

Zofunika! Osalowe m'malo ndi vinyo omwe amachepetsa kuchuluka kwa shuga m'magazi.

Ndi vinyo uti womwe umaloledwa kwa odwala matenda ashuga

Ngati muli ndi matenda ashuga, nthawi zina mumatha kumwa vinyo wofiyira pang'ono, kuchuluka kwa shuga komwe sikupitirira 5%. Pansipa pali zambiri zamalonda amitundu iyi:

• youma - Ndiololedwa pang'ono kugwiritsidwa ntchito,
• theka-youma - mpaka 5%, amenenso ndi wabwinobwino,
• theka lokoma - kuyambira 3 mpaka 8%,
• olimba ndi mchere - ali ndi 10 mpaka 30% shuga, omwe ali otsutsana kwambiri kwa odwala matenda ashuga.

Mukamasankha chakumwa, ndikofunikira kuti musangoganizira za shuga zokha, komanso zachilengedwe. Vinyo amapindula ngati amapangidwa kuchokera ku zinthu zachilengedwe zopangidwa mwanjira yazikhalidwe. Katundu wochepetsera shuga amadziwika mu chakumwa chofiira, komabe, choyera chouma sichimapweteketsa wodwala pakugwiritsa ntchito moyenera.

Imwani bwino

Ngati wodwala matenda ashuga alibe mankhwala ndipo dokotala samamuletsa vinyo, malamulo angapo akuyenera kutsatiridwa:

• mutha kumwa kokha ndi gawo lomwe lawalipira matenda,
• Zotsatira zake tsiku lililonse zimachokera ku 100-150 ml ya abambo komanso 2% yochepa kwambiri kwa amayi,
• pafupipafupi kugwiritsa ntchito sayenera kupitirira 2-3 pa sabata,
• sankhani vinyo wofiira wouma wokhala ndi shuga osaposa 5%,
• Imwani pamimba yonse,
• patsiku lomwa mowa, ndikofunikira kusintha mlingo wa insulin kapena mankhwala ochepetsa shuga, popeza msinkhu wa shuga udzachepa.
• kumwa vinyo kumatha limodzi ndi zakudya zabwino,
• Isanachitike komanso itatha, ndikofunikira kuwongolera kuchuluka kwa shuga ndi glucometer.

Zofunika! Saloledwa kumwa zakumwa zoledzeretsa zokhala ndi shuga pamimba yopanda kanthu.

Contraindication

Ngati kuphatikiza pa mavuto a mayamwidwe a shuga m'thupi muli matenda oyanjana, vinyo (komanso mowa kwambiri) sayenera kuphatikizidwa. Chiletso ndichomveka ngati:

• kapamba
• gout
• kulephera kwa aimpso
• matenda amanjenje, chiwindi,
• matenda ashuga a m'mimba
• pafupipafupi hypoglycemia.

Osamamwa mowa ndi matenda ashuga a gestational, chifukwa izi zitha kuvulaza osati mayi wapakati, komanso mwana wosabadwa. Munthawi imeneyi, zovuta za kapamba zimachitika, zomwe zimadzetsa kuchuluka kwa shuga. Ngati mayi woyembekezerayo samakhala ndi vuto la kumwa vinyo pang'ono, ayenera kufunsa dokotala. Ndipo kusankha kumayenera kupangidwa pokomera chinthu chachilengedwe.

Ndi zakudya zama carb ochepa, simungathe kumwa zakumwa zoledzeretsa, zomwe zimatengedwa ngati kalori wamphamvu. Komabe, pakalibe zotsutsana ndi thanzi, nthawi zina mungalole kugwiritsa ntchito vinyo wouma. Pocheperako, zimakhudza thupi: zimatsuka mitsempha yamagazi ndiku cholesterol ndikuthandizira mafuta. Pokhapokha pokhapokha kuti ikhale chakumwa chopangidwa kuchokera ku zinthu zachilengedwe zopangidwa ndi shuga wochepa.

Mowa suyenera kuledzera ndi anthu omwe ali ndi matenda ashuga. Mowa umakhala wowopsa pamatendawa, chifukwa umatha kuyambitsa hypoglycemia, yomwe imadzetsa chiwopsezo m'moyo wa wodwalayo. Koma ngati matendawa atha popanda zovuta komanso munthu akumva bwino, amaloledwa kumwa 100 ml ya vinyo wouma wouma. Izi zichitike pokhapokha m'mimba ndi shuga. Nthawi zambiri komanso pang'ono, vinyo wofiira wouma amatha kukhala ndi zotsatira zabwino pakugwira ntchito kwa mtima, mitsempha yamagazi ndi mantha am'magazi, ndipo amatithandizanso matenda ambiri.

Mndandanda wa mabuku omwe agwiritsidwa ntchito:

• Matenda endocrinology: kanthawi kochepa. Thandizo pophunzitsa. Skvortsov V.V., Tumarenko A.V. 2015. ISBN 978-5-299-00621-6,
• Ukhondo wamafuta. Kuwongolera madokotala. Korolev A.A. 2016. ISBN 978-5-9704-3706-3,
• Yankho la anthu odwala matenda ashuga a Dr. Bernstein. 2011. ISBN 978-0316182690.

Kodi kumwa mowa ndi ntchito yanji?

Mavuto obwera chifukwa cha mowa mthupi la odwala matenda ashuga ndi osatsutsika. Kugwiritsa ntchito zakumwa zoledzeretsa poyambira kumachepetsa kutsekeka kwa shuga ndikuwonjezera mphamvu zamankhwala ochepetsa shuga, omwe pamapeto pake amatsogolera ku hypoglycemia. Chifukwa chake, ku funso loti ndizotheka kumwa mowa pa tchuthi, nthawi zambiri yankho la endocrinologist limakhala losalimbikitsa.

Ponena za vinyo, sikuti zonse zili zapadera. Matenda a shuga ndi imodzi mwazofooka kwambiri padziko lapansi, chifukwa chake zonse zomwe zimachitika ndimankhwala ndi chakudya kumapeto kwa matendawa zimaphunziridwa nthawi zonse.

Kafukufuku adachitidwanso pokhudzana ndi vinyo, zidapezeka kuti zakumwa zabwino kwambiri zomwe zimakhala ndi shuga wochepa sizimatsogolera pakukula kwa matenda. Komanso, vinyo wofiira wouma wokhala ndi matenda amtundu wa 2 amatha kubwezeretsa kuthekera kwa maselo ku insulin yopangidwa m'thupi.

Mphamvu za antiidiabetesic zavinyo wapamwamba kwambiri zimagwirizanitsidwa ndi ma polyphenols a pigment. Zomera zomwe zimangokhala ndi machitidwe a antioxidant, komanso zimatha kuchita pa PPAR gamma receptors mukufanana ndi owotchera mafuta. Zotsatira zake, izi zimachitika mosiyanasiyana mthupi, zomwe zimapangitsa kuti ma poizoni apangidwe.

Ma polyphenols a vinyo wofiira pakukhudza kwawo thupi ali ofanana ndi mankhwala amakono a shuga, amakhudzanso machitidwe a endocrine pathology.

Kugwiritsa ntchito vinyo kumadaliranso mtundu wake, kuchuluka kwa ma polyphenols kumawonjezereka ngati zipatso za mphesa zakuda ndi khungu lakuda zimagwiritsidwa ntchito kupanga chakumwa. Chifukwa chake, vinyo wofiira wa matenda ashuga ndiye njira yoyenera kwambiri pa phwando lokondwerera.

Ndi matenda a shuga, ndi vinyo wochepa pang'ono amene amavomerezeka. Ngati chakumwa choledzeretsa chikaledzera mopanda malire, izi zimabweretsa kuwonongeka pakugwira ntchito kwa chiwindi ndi kapamba. Amapangitsa kuledzera, kumapangitsa kuti mitsempha ya magazi ikhale m'magazi ndi kwamikodzo. Zonse zofunikira zimapangidwa kuti zikhale ndi zovuta komanso zovuta za matenda ashuga.

Malamulo obweretsera vinyo muzakudya

Choyamba, muyenera kudziwa zomwe mungamwa ndi shuga. Choyamba, chidwi chimaperekedwa kwa zomwe zili mu shuga pazinthu. Mu shuga, kuchuluka kwawo sikuyenera kupitilira 4%, mavinyo awa akuphatikiza:

Mitundu yomwe idalembedwera vinyo imaloledwa kwa odwala matenda ashuga ochepa.

Ndi zoletsedwa kumwa zakumwa zatsopano komanso vinyo wokhala ndi mipiringidzo, zakumwa zoledzeretsa, zakumwa zozizilitsidwa bwino. Koma sizoletsedwa kuti nthawi zina muzidzichitira nokha ngati champagne, komanso iyenera kukhala yotsekemera kapena yowuma kwathunthu.

Mukamagwiritsa ntchito vinyo, odwala matenda ashuga a mtundu woyamba komanso wachiwiri ayenera kutsatira zotsatirazi:

• Mukhoza kumwa mowa wokhawo kwa odwala omwe ali ndi matenda osokoneza bongo omwe shuga sayandikira kuposa 10 mmol / l,
• Mukamasankha chakumwa, munthu ayenera kuyang'anira zonse zomwe zili ndi shuga komanso kuchuluka kwake. Oyinyamula mu malonda sayenera kupitirira 4% ndi kutsitsa digiri ya chakumwa, osachepera kukula kwa zovuta zosagwirizana,
• Ndikofunikira kuti muthane ndi mowa. Kwa amayi omwe ali ndi shuga wokhazikika, kuchuluka kwa vinyo patsiku sikuyenera kupitirira 150 ml, kwa amuna 200 ml. Ndikwabwino kugawa mankhwalawa katatu konse,
• Muyenera kumwa vinyo mukatha kudya,
• Tsiku lililonse samamwa mowa. Mu matenda a shuga, vinyo sayenera kumwa mopitilira katatu pa sabata,
• Patsiku la kumwa zakumwa zoledzeretsa, muyenera kuchepetsa mankhwalawa omwe mumamwa pasadakhale ndipo muyenera kuwunika magwiridwe antchito a shuga.

Aliyense amadziwa kuti mowa umapangitsa kuti munthu azilakalaka kudya, komanso kudya shuga. Chifukwa chake, muyenera kuwongolera chikhumbo chanu cha chakudya.

Kukhala bwino kwa munthu pambuyo pa kumwa kumatsimikiziridwa osati ndi mlingo, komanso ndi mtundu wa zakumwa. Mukamasankha vinyo, muyenera kudalira opanga otchuka okha ndipo muyenera kukumbukira kuti mitundu yapamwamba ya mowa komanso yotsimikiziridwa siyingathere ruble 200-300.

Zotsatira za mowa pa odwala matenda ashuga: ndizotheka kumwa?

Kuti timvetsetse momwe mowa umakhudzira thupi la wodwala matenda ashuga, ndikofunikira kufotokozera mtundu wa matendawa. Kuopsa kwa ethyl kwa odwala matenda ashuga kumatengera izi. Pali malingaliro awiri pankhaniyi:

1. Maganizo a endocrinologist ndiosatheka,
2. Maganizo a odwala pa matenda ashuga ndiwotheka, koma malinga ndi malire, malinga ndi malamulo ena.
   Koma monga akunenera, apa muyenera kudziwa tanthauzo la "golide". Ndipo popeza anthu ambiri sadziwa momwe angalamulire kuchuluka kwa mowa womwe umamwedwa pamadyerero, madokotala amatsutsana ndi zakumwa zilizonse zomwe munthu amadya matenda ashuga. Komabe, pali lamulo limodzi la odwala onse - ichi ndi kuperewera kwa zakumwa zomwenso ndi zakumwa zake. Chifukwa chofunikira kwambiri kudziwa kuchuluka kwa mafuta m'thupi, tidzapendanso zina.

Mowa, utalowa m'mimba, ndikutuluka kwa magazi amalowa m'chiwindi. Kupitilira apo, mothandizidwa ndi ma enzymes opangidwa ndi chiwindi, mowa wa ethyl umagawika m'mavuto owopsa (komabe oopsa). Ngakhale mwa munthu wathanzi, chiwindi chimakumana ndi zovuta zambiri. Koma za odwala matenda ashuga, chiwindi chake chikuvutika kwambiri. Kuchuluka kwa ma ethyl kumatha kuchepetsa ntchito ya gment. Zotsatira zake, kuchuluka kwa ma enzymes m'magazi kumatsika, glycogen ikusowa kwambiri.

Zotsatira zake - milingo ya glucose imachepetsedwa, yomwe, imatha kubweretsa matenda oopsa - hypoglycemia. Munthu wodwala matenda ashuga amatha kudwala kapena kufa. Choyipa chachikulu ndikuti zizindikiro zakunja za hypoglycemia ndizofanana ndi kuledzera:

• kupweteka m'mutu ndi mseru,
• kuchuluka kwa mtima (tachycardia),
• kuphwanya mgwirizano wamgwirizano,
• osalankhula, oletsa,
• chikopa,
• thukuta kwambiri
• kusakhalitsa kwakanthawi kapena kuzimiririka.

Iwo omwe sadziwa matendawa amatha kusokoneza matendawa ndi chidakwa chosavuta. Koma, kuchepa kwa glucose ku 2.2 Mmol / L wamagazi, wodwalayo atha kuwonetsa zovuta zamankhwala, chikomokere ndi kuwonongeka kwakukulu m'maselo aubongo. Chiwopsezo cha kufa kwa munthu wodwala matenda ashuga osamwa osagwirizana ndi mowa umakulirakulira. Pachifukwa ichi, ambiri a endocrinologists amaletsa kumwa mowa (wamtundu uliwonse) mu shuga.

Mowa wapa matenda ashuga: mikhalidwe yoopsa

Apanso, ndikofunikira kukumbukira kuti endocrinologists amawona kuti shuga ndi mowa ndizosagwirizana. Chifukwa chake, ndikusankha kumwa moyenera, muyenera kudziwa zomwe zimapangitsa munthu wodwala matenda ashuga:

• kusala kudya nkoletsedwa. Pamaso pa tebulo lalikulu (ngati holideyo yakonzedwa kuti mukhale mlendo), muyenera kudya zakudya zamafuta ochepa. Kenako, paphwando lonse, onetsetsani kuchuluka kwa chilichonse chomwe chakudya,
• kudya kwambiri kumachepetsa kupanga michere m'chiwindi ndi m'mimba,
• zakumwa zoledzeretsa, zipatso zamkati, zipatso zopangidwa ndi mwezi, ma champagne ndi vinyo wotsekemera ndizoletsedwa kumwa zakumwa zoledzeretsa, zomwe mwanjira iliyonse zimakhala pangozi kwa munthu wodwala matenda ashuga.
• gawo lalikulu la chakumwa choledzeretsa ndi magalamu 100 a mowa wamphamvu popanda kuphatikizira zitsamba ndi minyewa.
• muyenera kukonda zakumwa zoledzeretsa zamphamvu kuposa madigiri 39,
• zakumwa zoledzeretsa zam'kati zosokoneza bongo zimayambitsa kukomoka kwa 95% ya anthu odwala matenda ashuga,
• Simungasakanize mowa ndi vodika,
• pa phwando, yang'anirani shuga wamagazi mosamala.
• kuchepetsa kudya zakudya zamafuta ndi mafuta a nyama, sizoletsedwa kudya munthawi yomweyo ufa wokoma ndi mowa,
• mowa wa mtundu 2 wa shuga kwa amuna amaloledwa kuchuluka kosaposa 50 magalamu a vodika, chifukwa cha akazi chiwerengerochi chimachepa,
• mowa sayenera kumwa asanagone. Ndikwabwino kuwerengera m'njira yoti osakhalitsa maola 5 asanagone.

Kugwirizana kwa mowa ndi mtundu 1 wa matenda a shuga

Matenda a shuga amtundu woyamba amaonedwa ngati osachiritsika. Odwala amalipira kusowa kwa insulini m'magazi mwa jekeseni kawiri pa tsiku. Pankhaniyi, ndikofunikira kuwongolera nthawi yonse ya jakisoni ndi chilichonse chomwe chimalowa m'mimba. Nthawi zambiri, mtundu wamtunduwu umakhala wofupika kwa anthu osakwana zaka 40, mu 60% ya matenda amapezeka kuti ndi cholowa. Zovuta za mtundu uwu ndizowerengera payekha kuchuluka kwa insulini. Gawo la jakisoni limatengera zinthu zambiri, kuphatikizapo chiwindi, kapamba, zakudya zomwe zimakhalapo komanso kulemera kwa wodwala.

Mtundu woyamba wa shuga ndi mowa, zotulukapo zake zomwe zingachepetse shuga m'magazi kukhala zoopsa pang'ono, zimawerengedwa ngati malingaliro osagwirizana. Kuchita kwa mowa ndi insulin sikungatheke kuneneratu molondola kwambiri. Chifukwa chake, ngakhale ndi chidwi chachikulu chofuna kumwa gawo la cognac ku kampani yosangalatsa, ndikofunikira kuwunika kuchuluka kwa shuga m'magazi pambuyo pa phwando komanso nthawi yakudya.

Mowa ndi mtundu 2 shuga

Kodi nditha kumwa mowa wothandizira matenda ashuga amtundu wa 2, ndipo zotsatirazi zake zimakhala bwanji? Matenda a shuga a Mtundu Wachiwiri amadziwika kuti ndi matenda okalamba (omwe atengedwa). Kusintha ndi zizindikiro kumachitika ndi chizindikiritso chazovuta za metabolic m'thupi. Pankhaniyi, pamakhala pakamwa pokhazikika, kuwonjezeka kwa madzi amadzi patsiku, kuyabwa kwamtunduwu komanso kutopa kosalekeza.

Mowa wapa matenda ashuga amitundu iwiri umawonedwanso kuti ndi woletsedwa. Komabe, titha kufotokoza za mowa “wabwino”Amaloledwa kumwa sabata osapitilira:

• 200 magalamu a vinyo wowuma,
• 75 magalamu a cognac
• 100 magalamu a vodika yoyera 40,
• 0,5 malita a mowa wopepuka (wamdima uli ndi zovuta zamankhwala).

Izi sizili zovomerezeka ndi endocrinologists pazifukwa zovuta kuzilamulira shuga. Komanso, tebulo ili m'munsiyi silimawonetsedwa ngati chitsogozo chakuchita: munthu aliyense ali ndi malingaliro osiyanasiyana a mowa, ndipo ndizosatheka kunena za malamulo apadera kwa odwala onse omwe ali ndi matenda a shuga a 2 kapena mtundu 1.

Kuzindikira kwa matenda a shuga ndi njira yokhayo yomwe munthu angadye. Dokotala wokha ndi amene angakonze gawo la chakudya ndi zakumwa zoledzeretsa komanso chithunzi cha matenda. Mfundo yofunika ndi iyi: kuledzera (uchidakwa) mu shuga kumachepetsa kutalika ndi moyo wa 95% ya odwala. Chiwopsezo chokhala ndi kukomoka kwa zakumwa zoledzeretsa chikuwonjezeka ndi 90%. Izi ndi zina zambiri zimatipangitsa kuti tizinena zakusagwirizana kwathunthu ndi mowa. Chiwopsezo, pankhaniyi, sichilungamitsidwa konse.