Ndingadye chiyani ndi stroke komanso matenda ashuga?
Thupi la munthu amene akudwala matenda ashuga limafooketsedwa, ndipo ngozi yoti wodwala wotereyu atha kudwala matenda a sitiroko imakulirako kangapo poyerekeza ndi thupi la anthu wamba omwe alibe. Matendawa ndi ovuta kwambiri mu shuga. Kubwezeretsa thupi ndikofunika osati chithandizo chamankhwala, komanso kumakhala ndi gawo lofunikira zakudya za matenda a sitiroko ndi matenda ashuga. Kodi chiwopsezo cha matenda a shuga chimakhala chiyani, ndipo kodi odwala ayenera kutsatira chiyani?
"Zakudya za odwala omwe ali ndi stroke"
Matenda a shuga m'mbuyo mwa sitiroko: zoyambitsa ndi njira zopatsira matendawa
Kodi zingagwiritsidwe ntchito bwanji chifukwa cha matenda a sitiroko ndi matenda ashuga komanso ndizogwiritsa ntchito chiyani?
Amayambitsa matenda a sitiroko a 2 shuga
Chithandizo ndi kupewa mtima mu shuga
Kodi kutulutsa mitsempha ndikotani komanso momwe kumakhala koopsa m'moyo wamunthu
Kodi zimachitika pafupipafupi bwanji?
Minyewa yotupa m'miyendo ya amuna
Yoga ya amuna: onjezerani potency, tetezani mtima
Zomwe zimayambitsa mitsempha yotupa m'miyendo
Mphamvu yayikulu yamasamba yolimbana ndi matenda a mtima
Kodi zopindika za mtima zimatupa bwanji?
Kodi ndizotheka kuletsa kukula kwa matenda a shuga kwa ana?
Kodi ntchito yamtima imakhudza bwanji abambo wamwamuna?
Kupweteka pachifuwa komanso kuyaka
Njira Yotetezera Rheumatism
Kodi ndi potency iti yomwe imayembekezera amuna azaka 60?
Timakonzanso zakumwa zoledzeretsa zamkati mwa potency
Kodi ndi chifukwa chiyani mtima umapweteka ukamapuma?
Njira zama potency sizowopsa pamtima
Zakudya zoyenera pambuyo sitiroko m'masiku oyamba
Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.
Pakakhala vuto la kuzungulira muubongo chifukwa cha kuwonongeka kwa sitiroko, munthu ndi abale ake ayenera kuyang'anira kwambiri kubwezeretsa, kubwereza kolankhula, luso la magalimoto. Kuti kukonzanso kukhale kokwanira, muyenera kulinganiza mwanzeru chakudya chamtunduwu, kuyambitsa zopangidwa muzakudya zomwe zingathandize kuyambitsa magazi m'zigawo zomwe zakhudzidwa ndi ubongo.
Chifukwa chiyani kudya kumakhala kofunikira pambuyo poyesedwa? Kodi ndi njira ziti zomwe adokotala angapangire madokotala osiyanasiyana? Momwe mungathandizire munthu yemwe ntchito yake yakumeza yoletseka kwathunthu? Iliyonse mwa nkhanizi ndiyofunikira chifukwa zopangidwa ndi stroke ndi chimodzi mwazizindikiro zazikulu zakuchira ndi kuchira.
Mfundo ya zakudya za stroke
Pambuyo pa kuvutika ndi ischemic, ubongo wa wodwalayo umasiya kudzazidwa kwathunthu ndi mpweya ndi michere. Chifukwa cha kuchepa kwadongosolo kwa zinthuzi mu minyewa yaubongo, necrosis imayamba. Dera lomwe lakhudzidwalo limasiya kugwira ntchito yomwe idayikirapo.
Kuti muthandizire omwe akukhudzidwa kuti ayambire msanga komanso kuti mupewe ntchito zonse, muyenera kudziwa zakudya zomwe zingachitike mutagunda panyumba, zomwe zimatchulidwa:
- Zakudya ziyenera kumwedwa zazing'ono 6-8 pa tsiku.
- Popeza kuti munthu sasuntha chifukwa cha matenda ake, chakudya chamagulu cha odwala omwe amapezeka mu ma calorie sayenera kupitilira kuchuluka kwa 2500.
- Malo abodza nthawi zonse amayesa matumbo. Popewa kudzimbidwa, zakudya pambuyo pa ischemic sitiroko ziyenera kukhazikika pa fiber.
- Zogwiritsidwa ntchito ndizosankhidwa bwino komanso mapuloteni olondola, chakudya, mafuta azamasamba.
- Kusintha njira za metabolic, ndikofunikira kwambiri kuyambitsa nsomba zam'madzi mu menyu pambuyo poti sitiroko iyambe. Muli ndi mafuta achilengedwe a polyunsaturated, amakulolani kuti muchotse momasuka mafuta a cholesterol ndi poizoni m'thupi. Kwa wodwala pambuyo pa matenda a sitiroko, phosphorous imafunikiranso. Mu nsomba zochokera kunyanja, ndikokwanira, motero, maselo aubongo amagwira ntchito moyenera.
- Ndikofunikira kuyambitsa zinthu zomwe zimakhala ndi potaziyamu ndi sodium, magnesium yokhala ndi calcium. Izi zofufuza zimathandizira kuyendetsa bwino kutulutsa kwa ubongo pakati pa mitsempha.
Zakudya zilizonse zokhala ndi matendawa ziyenera kutentha pang'ono. Kwa odwala ambiri, chakudya chimataya kukoma, ambiri amasiya kumva kutentha kwake. Kupirira kokha komanso kumvetsetsa bwino zomwe zachitika ndi zomwe zingathandize kuthana ndi mayeso ndikubwezeretsa munthu ku moyo wathunthu.
Zomwe zimapatsa thanzi kudzera pa kafukufuku komanso matenda ashuga
Ndingadye chiani pambuyo poti ndalimbana ndi nyumba kunyumba ngati ntchito yomeza imatha? Ngati simupanga chakudya chokwanira panthawiyi, ndiye kuti kuchira kumakhala pachiwopsezo kapena kubwereranso mwakale.
Zolemba za chakudya kudzera pa kafukufuku:
- Zakudya pambuyo pa kupsinjika kwa ischemic kudzera pa kafukufuku kuyenera kukhala ndi zinthu zonse zofunika. Odwala oterowo amapatsidwa chakudya chamadzimadzi chomwe chimasunthidwa mosavuta ndikugayidwa m'matumbo.
- Mukadyetsa sitiroko, muyenera kuikweza mpaka kutalika pang'ono. Pakudya kamodzi, palibe magalamu 200 a chakudya omwe amabweretsedwa m'mimba. Nthawi iliyonse musanayambitse kafukufukuyu amafunika kuti azichapa. Pakadutsa maola 24 aliwonse, njira yatsika imasinthira yatsopano.
Anthu omwe ali ndi mbiri yodwala matenda ashuga ayenera kusankha chakudya chokhala ndi vuto la ubongo mosamala kwambiri:
- Pankhaniyi, thanzi la wodwala liyenera kuphatikizapo magalamu 28 a fiber tsiku lililonse.
- Cholesterol iyenera kuchepetsedwa. Ndiosafunika kuti muzitha kupitiliza ma milligram 300 patsiku.
- Zakudya za ischemic stroke ndi matenda ashuga siziyenera kukhala ndi maswiti, mphesa, mapichesi, zoumba. Mosamala, muyenera kufikira zakudya zamasamba ambiri.
Mndandanda Wazogulitsa
Zakudya zam'magazi a ubongo zitha kukhala ndi izi:
- nsomba zamafuta ochepa, komanso bakha kapena nkhuku,
- nsomba zam'madzi, squid,
- mafuta masamba. Zakudya zonse zimatha kuphikidwa kokha mpendadzuwa, kapena lingwe, kapena olive, kapena mafuta opukutidwa,
- mbewu zonse
- nthochi, maapulosi owuma,
- kabichi wabuluu wokhala ndi mabuluu ndi biringanya. Zonsezi ndizonyamula za anthocyanin zomwe zimachepetsa chiopsezo chobwereza sitiroko,
- Ndizothandiza kusinthana ndi zakudya za omwe ali ndi matenda opha sitiroko ndi maungu, ma beets kapena kaloti,
- kuti muchepetse cholesterol, zakudya zoyenera pambuyo panu zikuphatikizira walnuts ndi sipinachi broccoli, nthanga za mpendadzuwa kapena kuphukira kwa tirigu,
- poganizira kuti matumbo amagwira ntchito molimbika nthawi yayitali, zinthu zamkaka ziyenera kusankhidwa mosamala kwa odwala pambuyo poti adwala. Zolemba zawo koyambirira ziyenera kukhala zochepa kuti asatupe,
- monga zakumwa, ndibwino kugwiritsa ntchito decoctions kuchokera ku zitsamba zamankhwala, tiyi wokhala ndi timbewu tonunkhira, ndimu ya mandimu, zakumwa zozungulira m'chiuno. Kugwiritsa ntchito broth broth, muthamangitse njira yochotserera zakumwa ndi poizoni kunja.
Zinthu zomwe siziyenera kuchotsedwera nthawi yamankhwala ndikuchira
Madokotala ati pali zinthu zina zomwe siziyenera kudyedwa makamaka pambuyo pogwidwa ndi ubongo. Amatha kuyambitsa mavuto osavulaza thanzi ndikupatsanso sitiroko.
Ngati wodwala wadwala sitiroko, zakudya zake siziyenera kukhala:
- lokoma
- buledi wopangidwa ndi ufa wopanda tirigu,
- nyama zamafuta
- yokazinga
- kusuta
- mayonesi
- zakumwa zamchere,
- khofi
- tiyi wakuda
- nyama yofewa
- nyama kapena nsomba,
- madzi owala
- dzira yolk
- radishi
- bowa
- nyemba
- mpiru
- tchizi cholimba.
Zakudya zilizonse zophika ziyenera kukhala ndi mchere wocheperako, ngati zingatheke, musiyiretu mcherewo ndikusintha.
Zinthu zonsezi zimakhudza mitsempha yamagazi, osaloleza ma capillaries ang'onoang'ono kuti ayambenso kuwonongeka.
Zinsinsi za chakudya chokoma ndi chopatsa thanzi pambuyo pa sitiroko
Momwe mungadyere wodwalayo kuti chakudya chikhale chosangalatsa komanso chimangoyambitsa zosangalatsa?
Pali malamulo ena omwe angapangitse chakudya kukhala chokoma komanso chathanzi ndikuthandizira kupewa kukhumudwitsa wodwala:
- M'malo mchere mu chakudya ndi adyo ndi parsley ndi katsabola, komanso zam'madzi.
- Ngati wodwala akufunika kulowa zakudya kudzera pa projekiti yoyamba, ndiye kuti muphika misa yopanda pake muyenera kugwiritsa ntchito njira ina kapena kugula chakudya chamagulu mumiphika.
- Zakudya zonse zizikhala m'chipinda chofunda.
- Popewa kudzimbidwa kapena kutulutsa, muyenera kuyambitsa tsiku ndi zipatso za maapricots zouma, nkhuyu, mitengo yaminda.
- Ngati wodwalayo alibe matenda oopsa, ndiye kuti ginseng kapena aloe angayambitse zakudya. Zomera ziwirizi zili ndi phindu pa kachitidwe ka chitetezo chathupi.
Ndikofunika kwa odwala kupanga menyu yosiyanasiyana, kuwasangalatsa tsiku lililonse ndi kukoma kwatsopano.
Pafupifupi menyu pambuyo povulala tsiku
Zakudya zomwe zili ndi ma microstroke kapena sitiroko zitha kuwoneka motere:
- kadzutsa woyamba: phala lophwaphwa, sangweji yophika ndi batala, tiyi wa rosehip,
- nkhomaliro: nthochi,
- nkhomaliro: msuzi wamasamba, msuzi wosenda kapena mbatata yosenda ndi nsomba yodulidwa, saladi wa kabichi yemwe wavala mafuta a azitona, msuzi watsopano,
- chakudya chamasana: tchizi tchizi chokhala ndi zipatso kapena casserole,
- Chakudya chamadzulo: barele wa barele kapena barele, saladi ya phwetekere, souffle ya nsomba, zipatso zambiri zouma,
- chakudya chachiwiri: kapu ya yogati yopanda thukuta.
- kadzutsa: phala la tirigu wokhala ndi zipatso zouma, timbewu tonunkhira kapena tiyi ya mandimu,
- nkhomaliro: osati konse mafuta ophikira kanyumba, mwatsopano wokhathamira,
- nkhomaliro: msuzi wosenda dzungu, phala ndi nsomba yophika, kissel,
- chakudya chamadzulo: saladi wamasamba,
- chakudya chamadzulo: phala lophwaphidwa ndi nyama yotsekemera kuchokera ku nyama ya nkhuku, compote,
- chakudya chachiwiri: yogurt yamafuta ochepa.
Pofuna kubwezeretsa ziwiya zamutu, simuyenera kungodya bwino, komanso kuti musinthe zakudya zanu, idyani chakudya ndi wodwala. Nthawi zambiri, izi zimathandizira kuchepetsa kusasangalala, kuthandizira kukhazikika.
Zina mwa zakudya zabwino komanso zabwino zomwe mumatha kuphika:
- Msuzi Wotsekera Kuku. Pa kukonzekera kwake mudzafunika mazira a nkhuku, mbatata, buckwheat, kaloti. Kuchepetsa msuzi, ndi bwino kukhetsa msuzi woyamba ndikuthiranso poto ndi madzi. Mutha kuyika ziwiya zonse nthawi imodzi, chakudya chisanachitike muyenera kukwapula msuzi womalizidwa ndi blender ndikuwonjezera zitsamba zatsopano.
- Kaloti wa karoti ndi maapulo. Pulogalamuyo ndiyoterera ndi kusefa. Kaloti owotcha amawonjezedwa pamenepo. Pambuyo pake, zonse zomwe zimapangidwa zimasakanizidwa ndikusinthidwa ndi mpendadzuwa kapena mafuta a maolivi. Mchere kapena kuwonjezera shuga pambale suyenera.
Menyu yopangidwa moyenera, kutsatira malangizo osavuta odyetsa wodwala pambuyo pa sitiroko amathandizira kuti ntchitoyo ichiritsidwe ndikubwerera ku moyo wathunthu.
Kupewa matenda a mtima, stroke, atherosulinosis ndi mtima kulephera
Pazaka 20 zapitazi, kafukufuku wazotsatira watipatsa chidziwitso chatsopano chazomwe zimayambitsa matenda amtima. Asayansi ndi madotolo aphunzira zambiri pazomwe zimapangitsa kuti magazi awonongeke m'matumbo a m'magazi komanso momwe zimayendera ndi matenda a shuga. Pansipa m'nkhaniyi muwerenga zinthu zofunika kwambiri zomwe muyenera kudziwa kuti muchepetse kugunda kwa mtima, kugunda ndi mtima.
C cholesterol chokwanira = cholesterol “chabwino” + cholesterol “yoipa”. Kuti muwone kuopsa kwa zochitika zamtima zokhudzana ndi kuchuluka kwamafuta (lipids) m'magazi, muyenera kuwerengera kuchuluka kwa cholesterol yonse. Kuthamanga kwa magazi triglycerides kumathandizidwanso. Zikhala kuti ngati munthu ali ndi cholesterol yayikulu, koma mafuta ambiri, ndiye kuti chiwopsezo chake chitha kufa ndi vuto la mtima atha kutsika kuposa wina yemwe ali ndi cholesterol yotsika mtengo chifukwa cha cholesterol yabwino. Zatsimikizidwanso kuti palibe mgwirizano pakati pakudya mafuta a nyama zokhazokha ndi chiwopsezo cha ngozi yamtima. Mukadakhala kuti simunadye zomwe zimatchedwa "trans mafuta", zomwe zimakhala ndi margarine, mayonesi, makeke am'mafayilo, masoseji. Opanga zakudya amakonda mafuta a trans chifukwa amatha kusungidwa m'mashelefu kwa nthawi yayitali osakoma. Koma ndizovulaza mtima ndi mitsempha yamagazi. Pomaliza: Idyani zakudya zosakonzedwa, ndikuphika kwambiri.
Chithandizo cha Myocardial infarction
Matenda a mtima
Angina pectoris
Matenda oopsa
Monga lamulo, odwala matenda ashuga omwe samatha kuwongolera matenda awo bwino amakhala ndi shuga. Chifukwa cha izi, ali ndi cholesterol yambiri “yoyipa” m'magazi awo, ndipo "zabwino" sizokwanira. Izi zili choncho ngakhale kuti odwala matenda ashuga ambiri amatsata zakudya zamafuta ochepa, zomwe madokotala amawalimbikitsa. Kafukufuku waposachedwa adawonetsa kuti tinthu tating'onoting'ono ta cholesterol "koyipa", omwe adatulutsa kapena glycated, ndiye kuti, wophatikizidwa ndi glucose, amakhala ovuta kwambiri m'mitsempha. Poyerekeza ndi kuchuluka kwa shuga, pafupipafupi izi zimachulukana, ndichifukwa chake kuchuluka kwa cholesterol kowopsa m'magazi kumakwera.
Momwe mungawerengere moyenera kuopsa kwa matenda a mtima komanso sitiroko
Zinthu zambiri zapezeka m'magazi a anthu pambuyo pazaka za 1990s, kugwiritsidwa ntchito kwake komwe kumawonetsa chiwopsezo cha kugunda kwa mtima ndi sitiroko. Ngati pali zinthu zambiri izi m'magazi, ngozi yake imakhala yayitali, ngati sikokwanira, chiopsezo ndichochepa.
Mndandanda wawo ukuphatikizapo:
- cholesterol yabwino - lipoproteins yapamwamba (kwambiri,)
- cholesterol yoyipa - lipoproteins otsika,
- cholesterol yoipa kwambiri - lipoprotein (a),
- triglycerides
- fibrinogen
- homocysteine
- Mapuloteni othandizira (osasokonezeka ndi C-peptide!),
- ferritin (chitsulo).
Kuchuluka kwa insulini m'magazi komanso mtima
Kafukufuku adachitika pomwe apolisi 70 Paris aku Paris adatenga zaka 15. Mapeto pazotsatira zake: chizindikiro choyambirira cha chiwopsezo cha matenda amtima ndi kuchuluka kwa insulin m'magazi. Pali maphunziro ena omwe amatsimikizira kuti insulini yowonjezera imakweza magazi, triglycerides, ndikuchepetsa kuchuluka kwa cholesterol m'magazi. Izi zidatsimikizika kotero kuti zidawonetsedwa mu 1990 pamsonkhano wapachaka wa madokotala ndi asayansi ochokera ku American Diabetes Association.
Zotsatira zake pamsonkhanowu, chigamulo chinavomerezedwa kuti "njira zonse zomwe zilipo zothandizira odwala matenda ashuga zimatsogolera kuti kuchuluka kwa insulin ya magazi kumakwezedwa mwadongosolo, pokhapokha ngati wodwalayo adya zakudya zochepa." Amadziwikanso kuti kuchuluka kwa insulini kumapangitsa kuti ma cell a makoma a mitsempha yamagazi (ma capillaries) ataya kwambiri mapuloteni awo ndikuwonongeka. Iyi ndi imodzi mwanjira zofunika kwambiri zopezera khungu ndi kulephera kwa impso mu shuga. Komabe, zitatha izi, American Diabetes Association imatsutsa zakudya zamafuta ochepa ngati njira yolembera matenda a shuga a mtundu woyamba wa 2.
Maphikidwe a chakudya chamafuta ochepa a mtundu 1 ndi matenda ashuga 2 amapezeka pano.
Kodi atherosulinosis imayamba bwanji mu shuga
Kuchuluka kwa insulin m'magazi kumatha kuchitika ndi matenda a shuga 2, komanso ngati pakadalibe matenda ashuga, koma insulin kukana ndi metabolic syndrome akupanga kale. Insulin yochulukirapo ikamazungulira m'magazi, cholesterol yoipitsitsa imapangidwa, ndipo maselo omwe amaphimba makhoma amitsempha yamagazi kuchokera mkati amakula ndikuyamba kukhala owuma. Izi zimachitika mosasamala kanthu za zovuta zomwe shuga ya magazi imakhala nayo. Zowononga za shuga wambiri zimakwaniritsa zovuta zomwe zimadza chifukwa cha kuchuluka kwa insulin m'magazi.
Nthawi zina, chiwindi chimachotsa cholesterol "yoyipa" m'magazi, ndikulepheretsanso kupangika kwake ngati kuchuluka kwake kumakhala kochepa kuposa koyenera.Koma glucose amamangilira tinthu tating'onoting'ono ta cholesterol, ndipo pambuyo pake zolandirira m'chiwindi sizitha kuzizindikira. Mwa anthu omwe ali ndi matenda ashuga, tinthu tambiri ta cholesterol yoyipa timalumikizidwa (yolumikizidwa ndi glucose) motero imapitilirabe kuzungulira magazi. Chiwindi sichingazindikire ndikuzisefa.
Kulumikizana kwa shuga ndi tinthu tating'onoting'ono ta cholesterol titha kutha ngati shuga m'magazi tatsika ndipo sipanathe maola opitilira 24 kuchokera pamene izi zidalumikizidwa. Koma patatha maola 24 pali kukonzanso kwa ma cell a ma elekitirodi mu molekyulu wolumikizira wa glucose ndi cholesterol. Pambuyo pake, izi glycation zimasinthika. Kulumikizana kwa shuga ndi cholesterol sikungathe, ngakhale shuga atayamba kulowa bwino. Ma cell cholesterol amatchedwa "glycation end product". Amadziunjikira mumwazi, kulowa m'makoma a mitsempha, pomwe amapanga zolembera za atherosrance. Pakadali pano, chiwindi chimapitiliza kupangira lipoprotein yotsika kwambiri chifukwa ma receptor ake sazindikira cholesterol, yomwe imalumikizidwa ndi glucose.
Mapuloteni omwe amapanga m'maselo a mitsempha ya magazi amathanso kukhala ndi glucose, omwe amawapangitsa kukhala omata. Mapuloteni ena omwe amayendayenda m'magazi amawamatira, motero mapangidwe a atherosulinotic amakula. Mapuloteni ambiri omwe amayenda m'magazi amamangidwa ku glucose ndikukhala glycated. Maselo oyera oyera - macrophages - amatenga mapuloteni amtundu wa glycated, kuphatikizapo glycated cholesterol. Zitatha izi, macrophages amatupa, ndipo m'mimba mwake mumachulukanso. Ma macrophages okhala ndi magazi ambiri odzaza ndi mafuta amatchedwa ma cell of foam. Amamatira ku zolembedwa za atherosclerotic zomwe zimakhala pamakoma amitsempha yamagazi. Chifukwa cha njira zonse zomwe zafotokozedwera pamwambapa, m'mimba mwake mwa mitsempha yomwe ilipo yoyenda ndi magazi imayamba kuchepa.
Danga lamkati lamakoma amitsempha lalikulu ndi maselo osalala. Amawongolera zolembera za atherosulinotic kuti zizikhala zokhazikika. Ngati mitsempha yomwe imawongolera minofu ya minyewa imadwala matenda a diabetes, ndiye kuti maselo iwonso amafa, calcium imayikidwamo, ndikuuma. Pambuyo pake, sangathenso kulamulira kukhazikika kwa cholembera cha atherosselotic, ndipo pali chiwopsezo chowonjezereka chakuti zolembazo zitha kugwa. Zimachitika kuti chidutswa chimachokera ku cholembera cha atherosclerotic pansi pa kukakamizidwa kwa magazi, komwe kumayenda m'chiwiya. Imatseka mitsempha kwambiri kotero kuti magazi amayenda, ndipo izi zimayambitsa vuto la mtima kapena sitiroko.
Kodi ndichifukwa chiyani chizolowezi chowonjezereka cha magazi kuopsa?
M'zaka zaposachedwa, asayansi azindikira mapangidwe amisempha yamagazi m'mitsempha yamagazi ngati chifukwa chachikulu chotsekera kwawo komanso kugunda kwa mtima. Kuyesedwa kumatha kuwonetsa kuchuluka kwa maselo anu - maselo apadera omwe amapereka magazi - amaphatikizana ndikupanga ziwalo zamagazi. Anthu omwe ali ndi vuto la kuchuluka kwa magazi kuundana amakhala pachiwopsezo chachikulu cha kugwidwa ndi matenda a mtima, kapena kugunda kwamitsempha yomwe imadyetsa impso. Limodzi mwa mayina azachipatala omwe ali ndi vuto la mtima ndi coronary thrombosis, i.e., kutsekeka kwa imodzi mwa mitsempha yayikulu yomwe imadyetsa mtima.
Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.
Amaganiziridwa kuti ngati chizolowezi chopanga magazi amawonjezereka, ndiye kuti izi zikutanthauza kuti ngozi yayikulu kwambiri yakufa chifukwa cha kugunda kwa mtima kuposa kuchokera ku cholesterol yayikulu yamagazi. Ngoziyi imakupatsani mwayi wofufuza magazi pazinthu zotsatirazi:
Lipoprotein (a) amalepheretsa magazi kuwonongeka mpaka atakhala ndi nthawi yoti atembenuke yayikulu ndikupanga zoopseza zokhudzana ndi ziwiya zamagetsi. Zomwe zimayambitsa chiwopsezo cha thrombosis mu shuga chifukwa cha shuga okwanira. Zatsimikiziridwa kuti m'mapuloteni a anthu odwala matenda ashuga amamatirana kwambiri komanso amatsatira makhoma amitsempha yamagazi. Zomwe zimayambitsa matenda a mtima omwe tafotokoza pamwambapa zimawonekera ngati odwala matenda ashuga akhazikitsa pulogalamu ya chithandizo cha matenda a shuga 1 kapena mtundu wachiwiri wa chithandizo cha matenda ashuga komanso matenda ake a shuga asakhazikika.
Kulephera kwa mtima chifukwa cha matenda ashuga
Odwala a shuga amwalira ndi vuto la mtima nthawi zambiri kuposa anthu omwe ali ndi shuga wabwinobwino. Kulephera kwa mtima ndi vuto la mtima ndi matenda osiyanasiyana. Kulephera kwamtima ndi kufooka kwamphamvu kwa minofu ya mtima, ndichifukwa chake sangathe kupopa magazi okwanira kuti athandizire ntchito zofunika kwambiri mthupi. Vuto la mtima limachitika modzidzimutsa pomwe magazi amawaza imodzi mwa mitsempha yofunika yomwe imapereka magazi kumtima, pomwe mtima pawokha umakhalabe wathanzi.
Ambiri omwe ali ndi matenda ashuga omwe saatha kuthana ndi matenda awo amakhala ndi mtima. Izi zikutanthauza kuti maselo a minofu ya mtima amasinthidwa pang'onopang'ono ndi minyewa yaying'ono pazaka zambiri. Izi zimafooketsa mtima kwambiri mpaka kusiya kugwira ntchito yake. Palibe umboni kuti cardiomyopathy imagwirizanitsidwa ndi kudya zamafuta ochepa kapena magazi a cholesterol. Ndipo mfundo yoti imachuluka chifukwa cha shuga wambiri ndi yotsimikizika.
Glycated hemoglobin komanso chiopsezo cha matenda a mtima
Mu 2006, kafukufuku adamalizidwa pomwe anthu 7321 opeza bwino adatenga nawo mbali, palibe m'modzi mwa iwo adadwala matenda ashuga. Zinapezeka kuti pakukula kwina kulikonse kwa 1% ya hemoglobin ya glycated pamwamba pa 4.5%, pafupipafupi matenda opatsirana pamtima amadzuka ka 2.5. Komanso, pakuwonjezeka kulikonse kwa 1% mu index ya glycated hemoglobin pamtunda wa 4,9%, chiopsezo cha imfa pazomwe zimayambitsa chikuwonjezeka ndi 28%.
Izi zikutanthauza kuti ngati muli ndi hemoglobin wa 5.5%, ndiye kuti chiopsezo chogundidwa ndi mtima ndichulukiridwe ka 2.5 kuposa munthu wochepa thupi yemwe ali ndi hemoglobin wa 4.5%. Ndipo ngati muli ndi hemoglobin ya glycated m'magazi a 6.5%, ndiye kuti chiopsezo chanu chodwala mtima chikuwonjezeka kwambiri ngati nthawi 6.25! Komabe, amakhulupirira kuti shuga imayang'aniridwa bwino ngati kuyezetsa magazi kwa hemoglobin ya glycated ikuwonetsa zotsatira za 6.5-7%, ndipo pamagulu ena a odwala matenda ashuga amaloledwa kukhala okwera.
Mwazi wamagazi kapena cholesterol - womwe umakhala wowopsa kwambiri?
Zambiri kuchokera ku maphunziro ambiri zimatsimikizira kuti shuga wokwera ndi chifukwa chachikulu chomwe chimapangitsa kuchuluka kwa cholesterol yoyipa ndi triglycerides m'magazi kumawonjezeka. Koma si cholesterol yomwe imakhala pachiwopsezo choopsa cha mtima. Shuga wokwanira palokha ndiye chiopsezo chachikulu cha matenda amtima. Kwa zaka zambiri, mtundu 1 komanso matenda ashuga oyeserera akhala akuyesera kuti azichiza “pogwiritsa ntchito chakudya chamafuta ambiri.” Zinapezeka kuti kuchuluka kwa zovuta za matenda ashuga, kuphatikiza kugwidwa mtima ndi stroko, motsutsana ndi maziko azakudya zamafuta ochepa zimangokulira. Mwachidziwikire, kuchuluka kwa insulini m'magazi, kenako ndikuwonjezera shuga - awa ndiye oyambitsa zenizeni zoyipa. Yakwana nthawi yosinthira mtundu wa chithandizo cha matenda a shuga 1 kapena mtundu wachiwiri wa chithandizo cha matenda ashuga womwe umachepetsa chiopsezo cha zovuta za matenda ashuga, kutalikitsa moyo, ndikuwongolera mawonekedwe ake.
Wodwala matenda ashuga kapena munthu amene ali ndi matenda a metabolic atayamba kudya zakudya zamagulu ochepa, shuga ya m'magazi ake imatsika ndikufikira yachilendo. Pakadutsa miyezi yochepa ya "moyo watsopano", kuyezetsa magazi kwa zinthu zomwe zimayambitsa matenda a mtima kuyenera kuchitika. Zotsatira zawo zidzatsimikizira kuti chiwopsezo cha matenda a mtima ndi sitiroko chatsika. Mutha kubweretsanso mayesowa m'miyezi yochepa. Mwinanso, zizindikiro za mtima ndi ziwopsezo zamtsogolo zitha kusintha.
Mavuto a chithokomiro komanso momwe angachitire
Ngati, motsutsana ndi maziko osamalira mosamalitsa zakudya zamagulu ochepa, zotsatira za kuyesedwa kwa magazi pazinthu zowopsa zamtima zimayamba kukhala zowopsa, ndiye kuti nthawi zonse (!) Zimapezeka kuti wodwalayo ali ndi kuchepa kwa mahomoni a chithokomiro. Izi ndiye zoyambitsa zenizeni, osati chakudya chokwanira ndi mafuta a nyama. Vuto la mahomoni a chithokomiro lifunika kuthetseka - kuti muwonjezere msinkhu wawo. Kuti muchite izi, imwani mapiritsi otchulidwa ndi endocrinologist. Nthawi yomweyo, musamvere malingaliro ake, ndikuti muyenera kutsatira zakudya zabwino.
Gland yofooka yofooka imatchedwa hypothyroidism. Awa ndi matenda otchedwa autoimmune omwe nthawi zambiri amapezeka mwa odwala omwe ali ndi matenda a shuga 1 komanso abale awo. Chitetezo cha mthupi chimatsutsa kapamba, ndipo nthawi zambiri chithokomiro cha chithokomiro chimayamba kugawidwanso. Nthawi yomweyo, hypothyroidism imatha kuyamba zaka zambiri kale kapena mtundu woyamba wa matenda ashuga. Sichimayambitsa shuga m'magazi. Hypothyroidism palokha ndiyo chiopsezo chachikulu cha matenda a mtima komanso sitiroko kuposa matenda a shuga. Chifukwa chake, ndikofunikira kuichiza, makamaka popeza sizovuta. Chithandizo nthawi zambiri chimakhala ndi kumwa mapiritsi atatu patsiku. Werengani ziwonetsero zomwe mahomoni a chithokomiro amafunikira. Zotsatira zamayesowa zikakhala bwino, zotsatira za kuyesedwa kwa magazi pazinthu zowopsa zamtima zimakhalanso bwino.
Kupewa matenda a mtima matenda ashuga: mawu omaliza
Ngati mukufuna kuchepetsa chiwopsezo cha matenda a mtima, stroko, ndi kulephera kwa mtima, chidziwitso m'nkhaniyi ndichofunika kwambiri. Munaphunzira kuti kuyezetsa magazi kwathunthu chifukwa cha cholesterol sikulola kulosera kwodalirika kangozi ya ngozi yamtima. Hafu ya vuto la mtima limachitika ndi anthu omwe ali ndi cholesterol yathanzi yonse. Odwala odziwitsa amadziwa kuti cholesterol imagawidwa kukhala "zabwino" komanso "zoyipa", ndikuti pali zisonyezo zina zokhudzana ndi chiwopsezo cha matenda amtima wodalirika kuposa cholesterol.
M'nkhaniyi, tanena za kuyesedwa kwa magazi kwa omwe ali pachiwopsezo cha matenda amtima. Awa ndi triglycerides, fibrinogen, Homocysteine, mapuloteni a C-reactive, lipoprotein (a) ndi ferritin. Mutha kuwerenga zambiri za iwo mu nkhani ya "Kuyesa kwa Matenda a shuga". Ndikulimbikitsa kuti muziphunzire mosamala, kenako mumayesedwa pafupipafupi. Nthawi yomweyo, mayeso a Homocysteine ndi lipoprotein (a) ndi okwera mtengo kwambiri. Ngati kulibe ndalama zowonjezera, ndiye kuti ndikokwanira kumayesanso magazi a "cholesterol" abwino "ndi" oyipa ", triglycerides ndi protein-C.
Tsatirani mosamala pulogalamu ya mtundu wa matenda a shuga 1 kapena mtundu wachiwiri wa matenda a shuga. Iyi ndi njira yabwino kwambiri yochepetsera ngozi ya mtima. Ngati kuyezetsa magazi kwa seramu ferritin kukuwonetsa kuti muli ndi chitsulo chochuluka mthupi, ndiye kuti ndikofunikira kukhala wopereka magazi. Osangothandiza iwo omwe amafunikira magazi, komanso kuchotsa chitsulo chowonjezera mthupi lawo ndipo potero amachepetsa chiopsezo cha matenda a mtima.
Kuwongolera shuga m'magazi a shuga, mapiritsi amatenga gawo lachitatu, poyerekeza ndi zakudya zamagulu ochepa, kuchita masewera olimbitsa thupi mosangalatsa komanso jakisoni wa insulin. Koma ngati wodwala yemwe ali ndi matenda ashuga kale ali ndi matenda amtima komanso / kapena kuthamanga kwa magazi, ndiye kuti kutenga michere ndi zina zina zamtima ndizofunikira monga kutsatira chakudya. Werengani nkhani yakuti: “Kuthandiza anthu osowa magazi osokoneza bongo.” Ikufotokoza momwe mungathandizire matenda oopsa komanso okhudza mtima ndi mapiritsi a magnesium, coenzyme Q10, L-carnitine, taurine, ndi mafuta a nsomba. Mankhwala achilengedwe awa ndiofunikira kwambiri popewa kugunda kwa mtima. M'masiku ochepa chabe, mudzamva muumoyo wanu kuti amasintha ntchito yamtima.