Njira zachilengedwe zolimbana ndi matenda amtundu wa 2 shuga
Funso la momwe angathanirane ndi matenda ashuga ndizosangalatsa kwa anthu ambiri omwe ali ndi matenda ovutikawa omwe amayambitsidwa ndi zovuta za metabolic.
Momwe mungathanirane ndi matenda ashuga kuti mupewe kupititsa patsogolo matendawa ndikuwonetsa zovuta zina? Kupatula apo, njirayi imayambitsa kuphwanya njira zambiri za metabolic zomwe zimachitika mthupi, ndikuwononga magwiridwe antchito amkati ndi machitidwe.
Mpaka pano, pali njira zingapo zothanirana ndi matenda amtundu wa 2, omwe amapanga njira yonse ya chithandizo. Dziwani kuti ndizosatheka kuthetsa matendawa kwathunthu, koma ndizotheka kuti muchepetse zovuta ndikuwunikira nthawi zonse.
Zigawo zikuluzikulu za mankhwala ovuta ziyenera kukhala:
- Kusamalira mosamalitsa zakudya zofunika,
- kusewera masewera olimbitsa thupi kapena masewera olimbitsa thupi.
- kumwa mankhwala opangidwa ndi dokotala.
Mwakugwirizana ndi katswiri wazachipatala, mutha kuphatikizanso mu njira zamankhwala njira zosiyanasiyana zomwe mankhwala ena amakupatsirani.
Kodi pali zinthu ziti zomwe zingayambitse matenda ashuga?
Type 2 shuga mellitus nthawi zambiri amapezeka mwa anthu patatha zaka makumi atatu. Nthawi zambiri chimodzi mwazinthu zomwe zimapangitsa kukula kumeneku ndi kukhalapo kwa kulemera kwambiri komwe kumayambitsidwa ndi vuto losayenera la anthu. Kuphatikiza apo, pali zifukwa zingapo zomwe zingayambitse chiwonetsero cha matendawa. Izi zikuphatikiza:
Ngati m'modzi wa makolowo adawonetsera mawonetseredwe achilengedwe. Matenda ambiri, kuphatikizapo matenda ashuga, amatha kukhala chifukwa chodziwikiratu chibadwa komanso chibadwa chamunthu. Zododometsa zamphamvu, zochitika zosautsa nthawi zonse.
Kukhala ndi moyo wosagwira ntchito kapena kungokhala, kusachita zinthu zolimbitsa thupi zofunika pakulimbitsa thupi. Zotsatira zamatenda osiyanasiyana a virus omwe amatha kukhala osachiritsika. Kugwira ntchito molimbika komanso kusowa mpumulo wabwino.
Kulephera kwa kayendedwe kabwinobwino komanso matenda a kapamba, zomwe zimapangitsa kupanga mahomoni a insulin mosakwanira.
Kuti muyambe kulimbana ndi matenda ashuga, ndikofunikira kuchita zofufuza zoyenera ndipo, osachepera, perekani magazi kuti muwoneke. Nthawi zambiri, zizindikiro zoyambira za matenda zimawonekera ngakhale matendawa akayamba kukula. Ichi ndichifukwa chake ndikofunikira kuchita kafukufuku wazachipatala kawiri pachaka.
Komabe, ndikofunikira kutchera khutu ku zizindikilo zomwe thupi limapereka mu zizindikilo zotere:
- kumangokhala ndi ludzu, kuuma pamlomo wamkamwa, komwe kumapangitsa kuti pakhale madzi ambiri (nthawi zambiri usiku).
- Munthu amakhala ndi chidwi, kugona nthawi zonse komanso kutopa kwambiri. Kuphatikiza apo, kusakwiya kumachuluka.
- kukodza pafupipafupi komanso kuwachotsa kwamadzi kuchokera mthupi, kumawonetsa kukula kwa matendawa komanso kuwonongeka kwamadzi kagayidwe.
- kuchuluka kwambiri kwamagazi
- kulakalaka kosaletseka kwa maswiti komanso kuchuluka kwa chilakolako chofuna kudya, ngakhale atadya chakudya chochuluka, munthu amatha kuchepa thupi.
Kuphatikiza apo, chizindikiro cha matendawa chikhoza kukhala kuwonongeka kwa khungu, komwe kumatha kudziwoneka ngati mawanga osiyanasiyana, totupa kapena redness.
Khungu limakhala louma komanso loyipa, kutanuka kwake kumatayika.
Kodi chithandizo chamankhwala ndi chiani?
Mankhwala amakono amagwiritsa ntchito mitundu ingapo yamankhwala kuti achepetse kuchuluka kwa glucose ndikukhalitsa kagayidwe kazakudya mthupi. Mankhwala aliwonse ayenera kuperekedwa ndi katswiri wazachipatala. Pankhaniyi, kudzichitira nokha kapena kusintha kwa mankhwalawa, mlingo wake umaletsedwa mwamphamvu, chifukwa zingayambitse mavuto.
Pochita ndi matenda a shuga a 2, tiyenera kukumbukira kuti kumwa mankhwala kuyenera kutsagana ndi kuwunika konsekonse wamagulu a shuga m'magazi. Momwe mungachotsere nkhondoyi auzeni adokotala endocrinologist.
Mpaka pano, chithandizo cha matenda a shuga 2 ndi kugwiritsa ntchito imodzi mwa magulu otsatirawa a zida zamankhwala:
- Mankhwala omwe amachokera ku sulfonylurea. The pharmacological tingati ndi kukondoweza ndi kubisala kwa amkati a insulin. Ubwino waukulu wa gulu la mankhwalawa ndi kulekerera mosavuta kwa mankhwalawa kwa odwala ambiri. Ammonyl ndi Diabetes ndi ena mwa mankhwala omwe amapangidwa pamaziko a sulfonylurea.
- Zogulitsa kuchokera ku gulu la Biguanide. Zotsatira zawo cholinga chake ndikuchepetsa kufunika kwa insulin katulutsidwe. Omwe akuimira kwambiri m'gululi ndi Siofor, Glyukofazh ndi Glformin.
- Mankhwala omwe amachokera ku thiazolidinol amathandizira kuchepetsa shuga m'magazi ndipo amathandizanso kusintha kwa mawonekedwe a lipid.
- Ma incretins (Bagomet, Metglib).
Mankhwala omwe amasankhidwa kuti alandire chithandizo ayenera kumwedwa pamankhwala omwe adokotala akuonetsa. Kuphatikiza apo, momwe wodwalayo alili, kuchuluka kwa zochitika zolimbitsa thupi, ndi magawo a kulemera ziyenera kukumbukiridwa.
Zochita zolimbitsa thupi ndi mankhwala othandizira odwala matenda ashuga
Ngakhale mutamwa mankhwala, zofunikira zofunika kuti wodwalayo azikhala bwino ndizomwe zimapangitsa kuti azidya zakudya zofunika komanso kuyambitsa masewera olimbitsa thupi nthawi zonse.
Mpaka pano, pali mapulogalamu apadera opangira masewera olimbitsa thupi omwe amathandiza kulimbana ndi matenda osokoneza bongo popanda mankhwala. Mutha kupita kukasambira kapena kugwiritsa ntchito masewera olimbitsa thupi. Nthawi zina, kuyenda kwa mpweya watsopano tsiku lililonse kumakhalanso kokwanira. Kuyenda kwa theka la ola limodzi pa liwiro loyenera kumathandizanso thanzi la wodwalayo komanso kuthandizira kuchepetsa kukwera kwa magazi. Chofunikira ndichofunikanso pakuchita masewera olimbitsa thupi, chifukwa polimbana ndi matendawa, ndikofunikira kuti musangopitiliza ndi kusamala nayo kwambiri.
Mankhwala othandizira pakudya amapitilira pamoyo wawo wonse wodwala. Izi zikutanthauza kuti munthu kuti akhale wathanzi ayenera kukhala wokonzeka kusiya shuga ndi zakudya zotsekemera ndikuwunikanso kwambiri zakudyazo. Kuphatikiza apo, zinthu zoletsedwa ndizophatikizira kuphika mkate, khofi, zakumwa zoledzeretsa, zakudya zamzitini ndi zakonzedwe, komanso zamafuta ndi zakudya yokazinga.
Ndikofunikira kutola chakudya m'njira yoti:
- kudya m'magawo ang'onoang'ono.
- Pewani kudya kwambiri.
- yikani zakudya pafupifupi zisanu patsiku.
- imwani zamadzi zambiri.
Maziko a menyu tsiku ndi tsiku akhale zotsatirazi:
- nsomba zam'nyanja.
- Zatsopano zamasamba ndi zitsamba. Sipinachi, nkhaka, kabichi ya zukini ayenera kukhala ndi malo apadera muzakudya za tsiku ndi tsiku.
- mitundu ina ya zipatso zosatsika.
- nyemba ndi chimanga.
Ndikwabwino ngati zakudya zimapangidwa ndi katswiri woganizira zaumoyo wa wodwalayo, kulemera kwake, kuchuluka kwa zolimbitsa thupi.
Njira Zochizira Kugwiritsa Ntchito Mankhwala Achikhalidwe
Mankhwala ena amapereka chithandizo chachikulu chomwe chimapangitsa shuga kukhala m'magazi. Kugwiritsa ntchito njirazi kuyenera kuvomerezedwa ndi adokotala, makamaka ngati wodwala akutenga mankhwala ena.
Maphikidwe otsatirawa omwe amatha kukonzekera kunyumba ndi otchuka kwambiri.
Kuboola masamba kwa mabulosi ambiri kwakhala kukugwiritsidwa ntchito ngati matenda a shuga. Kuti tikonze zakumwa zochiritsa, ndikofunikira kuwaza masamba a mabulosi (pafupifupi supuni imodzi ndikofunikira) ndikuwatsanulira ndi magalasi awiri amadzi otentha, mulole atuluke. Ndikofunikira kutenga decoction mphindi khumi ndi zisanu chakudya chachikulu chisanachitike. Mlingo umodzi ndi theka kapu.
Njira yachiwiri yogwiritsira ntchito mankhwalawa ndi kupanga compote kuchokera ku zipatso zake. Muyenera kuphika compire ya blueberry (makapu awiri a mabulosi am'madzi - kapu imodzi yamadzi) ndikudya supuni zochepa mphindi khumi musanadye.
Amakhulupirira kuti mizu ya masamba a masamba ndi dandelion imakhala ndi zinthu zomwe zimatsutsana ndi insulin. Kukonzekera mankhwalawa, kupera mbali zonse ziwiri ndi kuwiritsa kwa mphindi khumi. Pambuyo pake, siyani msuzi kuti ukapatse wina theka la ora. Tengani kulowetsedwa supuni imodzi katatu patsiku.
Mfundo zoyenera kulimbana ndi matenda ashuga zifotokozeredwa ndi akatswiri mu vidiyoyi.
Mtundu wachiwiri wa matenda ashuga
Malinga ndi Dr. Nadolski, Zakudya zilizonse zomwe zimakuthandizani kuti muchepetse kunenepa zimapangitsa shuga wa magazi anu. Pamodzi ndi kuchepa kwa mafuta a visceral ndi mafuta am'mimba m'mimba, kukana kwa insulin kudzachepa.
Pali mfundo zambiri za sayansi zothandizira zakudya za ku Mediterranean, zomwe zimathandiza kwambiri kuchepetsa shuga m'magazi ndikuchepetsa chiuno (pokhapokha ngati, mumasungabe kuchepa kwa caloric, apo ayi palibe chakudya chomwe chingakuthandizeni).
Ubwino wazakudya za ku Mediterranean:
- Kuchepetsa kumwa kwa kukonzedwa shuga ndi wowuma, komwe kumachepetsa shuga la magazi
- Kusintha mafuta odzaza ndi mafuta opatsa thanzi (nsomba zamafuta, mafuta a azitona),
- Kugwiritsa ntchito kwambiri zakudya zamasamba, zomwe zimapatsa thupi phytonutrients ndi fiber. Ma phytonutrients amatha kukulitsa chidwi cha insulin, ndipo ulusi umayendetsa shuga m'magazi mwakuchepetsa kuthamanga kwa kugaya mmimba m'mimba, ndikupangitsa kuti glucose alowe m'magazi pang'ono pang'onopang'ono.
Kuphunzitsa matenda a shuga
Kuphunzitsa kumathandizira kuyendetsa matenda a shuga a 2 ndi:
- Kupititsa patsogolo kwa kumva kwa insulin (makamaka chifukwa cha maphunziro a kalembedwe ka HIIT),
- Kuchepetsa kuchuluka kwa mafuta m'thupi
- Zowongolera mu ntchito ya mtima
- Kuchepetsa kupsinjika.
Ndikofunikira kuti mukambirane ndi dokotala mapulani anu ophunzitsira, chifukwa matenda ashuga amakhudza momwe thupi lathu limagwiritsira ntchito mphamvu. Mukamapanga pulogalamu yophunzitsira, mfundo zotsatirazi ziyenera kulingaliridwa:
- Mtundu wamankhwala omwe amamwa
- Nthawi yamankhwala
- Mwazi wa m'magazi musanachite masewera olimbitsa thupi (komanso momwe amasinthira mukamachita masewera olimbitsa thupi)
- Mumadya chiyani musanaphunzitsidwe?
- Mtundu wa maphunziro.
Zakudya ndi shuga
Matenda a shuga a Mtundu Wachiwiri ndi omwe amachitika chifukwa chomwa mowa kwambiri wa zakudya zopatsa mphamvu. Mafuta akaphwanyika kuchokera m'matumbo, shuga amapita m'magazi. Kuchulukitsa kwawo kungagwiritsidwe ntchito zolimba zolimbitsa thupi.
Ngati moyo wakhazikika, shuga wowonjezera amakhalabe m'magazi. Ena a iwo amadziunjikira chiwindi. Mashukhawa otsalawo amawononga mamolekyulu a hemoglobin komanso makoma amitsempha yamagazi.
Maziko othandizira matenda amtundu wachiwiri ndi zakudya kapena zakudya zoyenera.
Zakudya zamankhwala zimachepetsa kuchuluka kwa zakudya zamagulu ochulukitsa. Kuwerengera kuchuluka kwa chakudya chamafuta patsiku, zomwe zimatchedwa mkate zimagwiritsidwa ntchito. Ichi ndi chiyani
Magawo a mkate kapena momwe mungawerengere menyu
- m'mawa - mayunitsi awiri a insulin, masana - 1.5, madzulo - 1.
Pali mitundu yanji ya insulini? Kodi amalembedwa ndi chiyani? Werengani zambiri apa.
Amakhulupirira kuti mkate umodzi umakhala ndi:
- 12 g shuga
- 25 g rye mkate (kulemera kwa gawo limodzi),
- 20 g wa mikate yoyera,
- 250 ml wa mkaka, kefir (iyi ndi kapu imodzi yodzaza mpaka kumapeto),
- 200 ml ya yogati
- 15 g wa pasitala, buckwheat, semolina, ufa, oatmeal, barele, mapira kapena mpunga,
- 100 g nandolo (supuni 7),
- 150 g beets (chidutswa chimodzi),
Mukamakonzera zakudya zanu, kuchuluka kwa zakudya zomwe zimapangidwira mu chakudya zimagwiritsidwanso ntchito. Zinthu zomwe zimakhala ndi mafuta osakwana 5 g pamimba yamafuta 100 g ya kulemera konse kwa malonda, Kuwerengetsa kwa XE sikumakumbukiridwa.
Zakudya zamafuta ochepera izi zimaphatikizapo masamba ambiri:
- kabichi
- dzungu ndi zukini,
- biringanya
- nkhaka ndi tomato
- tsabola wokoma
- udzu winawake ndi kaloti
- beets ndi radash,
- saladi ndi anyezi,
- amadyera.
Menyu: Cargo yabwino kapena yotsika?
Masiku ano, pali mitundu iwiri ya chakudya.
- Woyamba ukutchedwa moyenera, imaphatikizanso menyu tsiku lililonse chakudya chokwanira (30 XE) patsiku. Zakudya zoterezi zimathandizira kuti thupi likhale losamalidwa bwino komanso kupewa. Malamulo a menyu olinganizidwa amalimbikitsa kuti musamadye mopitilira 7 XE pachakudya chilichonse. Chifukwa chake, menyu a anthu odwala matenda ashuga amakhala ndi zakudya zomwe zimachitika pafupipafupi, kangapo ka 6 mpaka 7 patsiku.
- Mtundu wachiwiri wa menyu wazakudya umatchedwa carb wotsika. Imachepetsa kudya kwa tsiku ndi tsiku kwa 2-2,5 XE. Nthawi yomweyo, zomwe zimapezeka mu chakudya chamapuloteni zimachuluka. Zakudya zama carb otsika zadzikhazikitsa ngati chithandizo chothandiza chomwe chimachiritsa matenda a shuga a 2 opanda mankhwala. Kodi menyu yama carb yotsika imakhala ndi chiyani?
- nyama mapuloteni: nyama, nkhuku, nsomba,
- mapuloteni azomera: bowa,
- nsomba zam'nyanja
- mazira
- zopangidwa mkaka: tchizi, batala,
- masamba
Kodi mndandanda wazakudya zamatumbo ndi chiyani? Chifukwa chiyani muyenera kudziwa kuwerenga apa
Njira zochizira odwala matenda ashuga
Zithandizo zingapo zachilengedwe zimathandiza kuchotsa shuga kapena kutenga chitukuko. Amagwira ntchito mbali zingapo:
- perekani shuga m'magazi
- yeretsani chiwindi
- yambitsani ntchito ya maselo a beta omwe amapanga insulin, komanso othandizira
- kupangidwa kwa maselo atsopano a beta,
- onjezera hemoglobin m'mwazi,
- Chotsani cholesterol
- kuthana ndi zotheka kuzunza kwa helminthic.
Zithandizo zingapo zachilengedwe zimakhala ndi zovuta. Mwachitsanzo, ginseng imathandizira kukonzanso maselo a beta ndikupatsanso zovuta za mavitamini, kufufuza zinthu. Ndipo njere za fulakesi zimathandizanso kukonzanso komanso kugaya chakudya m'mimba, kuyeretsa kwawo, kutsutsana ndi kutupa.
Mankhwala othandizira
Matenda a Type 2 amagwirizana kwambiri ndi kupindika kwa chiwindi ndi matumbo.
Pokhala ndi zizolowezi zoyenera kudya, wokhala m'malo osavomerezeka, chiwindi chimadziunjikira poizoni. Poterepa, shuga wambiri amapangidwa m'magazi.
Zikondazo zimatulutsa insulini kwambiri, ndipo zimagwira ntchito kwambiri. Kulimbana ndi chiwindi kumachepetsedwa, ndiye kuti, chiwindi sichitha kuyamwa shuga wambiri. Pambuyo pantchito yayitali yokhala ndi zochuluka, ziphuphu zimafooka ndikuyamba kubisirana insulin yokwanira.
Ma spas omwe amathandizira matenda am'mimba m'mimba (chiwindi, m'mimba, kapamba) amathandiza. Chitsanzo cha malo oterewa ndi ambiri ma sanatorium a Madzi amchere a Caucasian.
Zomwe zimagwiritsidwa ntchito pazopezekazi zimapereka zotsatirazi:
- yambitsani ntchito yotulutsa m'mimba ndi matumbo (yeretsani matumbo), tsitsani kutuluka kwa ndulu (yeretsani chiwindi ndikuwonjezera ntchito yake, kuonjezera kukana kwa maselo a chiwindi, kuthekera kuchulukitsa glucose m'magazi), kuonjezera mphamvu yam'mimba ya madzi a m'mimba (kutsekula m'mimba), kuchepetsa matumbo Chifukwa chakuyeretsa kwache), ndimachepetsa kutupa kwam'mimba (chifukwa chakuyeretsa komanso kuchotsa poizoni), ndimasintha magazi mu chiwindi ndi kapamba (zomwe zimathandizira kuthetsa poizoni ndi ac yogwira magazi ndi mchere), imakhala ndi zinthu zofunika kuti maselo abwezeretsedwe, monga lamulo, sulfates wa magnesium, sodium, potaziyamu m'njira zosiyanasiyana.
Maphunziro akuthupi
Zotsatira zakuchiritsika zamaphunziro azolimbitsa thupi zimakhazikitsidwa poti nthawi yochita masewera olimbitsa thupi (kuthamanga, kuyenda, masewera olimbitsa thupi, kusambira, masewera olimbitsa thupi, kupanga thupi), shuga mkati mwa maselo amathiridwa. Chifukwa chake, maselo ali ndi mwayi wotenga gawo lina la shuga m'magazi. Mukamachita zinthu zolimbitsa thupi kwambiri, kuchuluka kwa shuga m'magazi kumachepera.
- Mphamvu masewera olimbitsa thupi: squat, squats, kukweza zosindikizira, kukankhira pansi.
- Maphunziro a Cardio kulimbitsa thupi (kulimbitsa mitsempha yamtima ndi mtima, kusinthitsa magazi ndikutchingira kugunda kwa mtima): uku ndi kuthamanga, kusambira, njinga. Kwa oyamba kumene, amayenda. Poyamba - zazing'ono, momwe zingathere, mpaka mamita 500. Kenako, kutalika ndi matambidwe ake kumawonjezeredwa mpaka 5 km patsiku.
Ndikofunikira kudziwa kuti masewera olimbitsa thupi omwe amakhala ndi nthawi yayitali omwe amaphunzitsa kupirira.
Yoga ndi kutikita minofu
Kusisita kumawonjezera kuyenda kwa magazi, komwe kumanyamula zinthu zofunika kupita ku maselo a ziwalo ndikuwachotsa ziphe ndi poizoni. Chifukwa chake, kutikita minofu kumagwiritsidwa ntchito kuchepetsa thupi, kuwonjezera magazi mu miyendo, komanso kuchepetsa ululu. Mu matenda a shuga, kutikita minofu kumathandizira kukonza mkhalidwe wamiyendo. Chifukwa chake, kutikita minofu kumachitika lumbosacral dera.
Zochita zingapo za yoga zimathandizira kuchepetsa shuga m'magazi, kuchulukitsa kupsinjika, kutulutsa kagayidwe kazinthu komanso kumapangitsa chitetezo chamthupi. Chilichonse cholimbitsa thupi chimaphatikizidwa ndi kupuma koyenera, komwe kumapangitsa kayendedwe ka mphamvu ndikubwezeretsanso ziwalo zamatenda, pokhapokha ngati zizolowezi zakale zimasiyidwa.