Zinc mtundu 2 shuga: momwe mungagwiritsire ntchito kuyimitsidwa mankhwalawa? Matenda a shuga

Choyamba, matendawo amawonekera ngati kuphwanya kayendedwe ka metabolic m'thupi. Mtundu wachiwiri wa matenda ashuga, onenepa kwambiri amawonekera kawirikawiri, ndipo odwala matenda ashuga amakhala ndi nkhawa kuti akufuna kukodza kangati.

Zimapangidwa ndi kapamba ndipo zimayambitsa kuphwanya shuga. Thupi labwino limathana ndi njirayi kotero kuti munthu samalabadira.

Munthu wodwala matenda ashuga, chifukwa cha kuchuluka kwa insulini kapena kusakhalapo kwathunthu, amayenera kuwunika kuchuluka kwa shuga omwe amalandilidwa mthupi ndi momwe amasokonekera.

Thupi la odwala matenda ashuga amafunikira thandizo lina kuti agwire bwino ntchito. Madokotala nthawi zambiri amapereka mtundu wowonjezera wa mavitamini kwa wodwala, amenenso ali ndi zinc. Zimathandizira kusintha kwa kayendetsedwe ka kayendetsedwe kazinthu, kamatsimikizira kayendetsedwe kokhazikika kwa dongosolo logaya chakudya.

Zinc imatenganso gawo limodzi pama metabolism abwinowa, ndipo nthawi zina imakhudzanso mphamvu ya insulin.

Mtundu wachiwiri wa shuga - mankhwala ndi zakudya

Kuti mupeze zotsatira zabwino pochiza matenda a shuga 2, ndikofunikira kugwiritsa ntchito njira yolumikizira. Zimaphatikizapo kumwa mankhwala, kutsatira zakudya zamankhwala, komanso kuchita masewera olimbitsa thupi nthawi zonse. Mankhwala azikhalidwe adzakuthandizanso.

Mankhwala omwe amagwiritsidwa ntchito pochiza matenda amtundu wa 2 ali ndi zotsatirazi:

Yambitsani kupanga kwa insulin. Nthawi zambiri, insulin singathenso kuthana ndi kagawidwe ka magazi pakati pa ogula - chiwindi, minofu, minyewa ya adipose. Chifukwa chake, kapamba amayenera kupanga insulin. Popita nthawi, maselo omwe amapanga insulini amatha, ndipo katulutsidwe kake kamachepa - matendawa amalowa pagawo pakafunika kubaya insulin,
Kuchepetsa kukana (kukana) kwamatupi amthupi kupita ku insulin.
Chepetsani kupanga shuga kapena mayamwidwe ake.
Konzani chiŵerengero m'magazi a ma lipids osiyanasiyana.

Mankhwala osokoneza bongo a matenda a shuga a mtundu wa 2 samakhazikitsidwa pakuwonjezera kwa insulin, koma kugwiritsa ntchito mankhwala omwe amachititsa chidwi cha zotumphukira mpaka insulin, komanso mankhwala omwe amachepetsa shuga la magazi pokonza mbiri yake ya lipid kapena kutsekereza mayamwidwe azakudya.

Munthawi yamakono yochizira matenda amitundu iwiri, magulu otsatirawa a mankhwalawa amagwiritsidwa ntchito:

Zothandiza kuchokera ku sulfonylureas. Mbali imodzi, mankhwala a gululi amachititsa kuti insulini ipangike, ndipo, kumbali ina, amachepetsa kukana kwa insulin.
Metformin - imakulitsa chidwi cha minofu ya thupi kuti ipangire insulin, kumbuyo komwe kulemera kwa wodwalayo kumachepa, kapangidwe ka lipid magazi kamayenda bwino.
Thiazolidinone zotumphukira - amachepetsa mishuga ya shuga ndikuwonjezera kuchuluka kwa lipids m'magazi.
Alfa glucosidase zoletsa - lepetsani mayamwidwe a chakudya m'mimba.
Dipeptidyl peptidase-4 zoletsa - kukulitsa chidwi cha masoka a pancreatic beta kuti akhale shuga.
Ma insretins - kumakulitsa shuga omwe amadalira shuga ndikuchepetsa kuchuluka kwa shuga.

Kumayambiriro kwa mankhwalawa, mankhwala amodzi amagwiritsidwa ntchito, popanda zotsatira, amasintha kupita ku zovuta zovuta ndi mankhwala angapo, ndipo matendawa akapita patsogolo, mankhwala a insulin amayamba. Ndi chithandizo choyenera cha matenda a shuga a 2, inshuwaransi ya insulin ingathetsedwe kwakanthawi, ndikusungabe ntchito ya pancreatic pamlingo wamba.

Pambuyo pa chakudya chamafuta ochepa pochiza matenda amtundu wa 2, madokotala amati kufunika kwa kumwa mankhwala kwambiri. Pa magawo oyamba a matendawa kapena panthawi yomwe akuti matenda a prediabetes (kukana kwa insulini kwa minofu ya thupi kwapezeka kale, koma shuga wamwazi akadali wofanana ndi m'mawa), mutha kusintha matendawa pokhapokha ngati mukudya.

Zakudya zikuwonetsa malamulo otsatirawa:

Mbatata, ngati simuphatikizidwa muzakudya, ndiye kuti muchepetse. Zilowerere m'madzi musanaphike.
Yang'anirani kuchuluka kwa kaloti, beets, ndi nthito mu chakudya.
Popanda zoletsa, mutha kudya mitundu yosiyanasiyana ya kabichi, dzungu ndi masamba amasamba, tsabola wa belu, biringanya.
Zipatso ndi zipatso kupatula nthochi, nkhuyu, ma supimmons ndi mphesa, mutha kudya zidutswa za 1-2 patsiku.
Mwa mbewu monga chimanga, barele la pearl, oat, chimanga, buckwheat ziyenera kukondedwa.
Mafuta ndi masamba.
M'malo mwa shuga, gwiritsani ntchito zotsekemera pogwiritsa ntchito fructose kapena sorbitol (mwanjira yocheperako), ndipo makamaka, zotsekemera zochokera ku stevia.
Mchere umayenera kukhala wocheperako.
Ndikofunikira kudya mkate kuchokera ku ufa wonse wa chimanga kapena ndi chinangwa (onaninso - momwe mungasankhire mkate wa shuga).

Ndikosayenera kugwiritsa ntchito:

Nsomba zamafuta (sturgeon, chum, nsomba, trout, eel). Izi zimagwiranso ntchito kwa nyama (nkhumba, bakha, tsekwe, ng'ombe yamafuta).
Soseji ndi tchizi zokhala ndi mafuta ambiri.
Mpunga ndi semolina.
Zakumwa zochokera pansi pa kaboni, timadziti totsekemera.
Kuphika makeke, maswiti (ngakhale omwe amagulitsidwa mu dipatimenti ya odwala matenda ashuga).

Mowa ndi kusuta ndizoletsedwa. Chifukwa chiyani? Werengani yankho pano.

Pali zakudya zingapo zamankhwala zomwe zimapangidwira odwala omwe ali ndi matenda ashuga - nambala 9. Amaphatikizapo zakudya zopatsa thanzi (nthawi 5-6 patsiku), komanso njira zonse zophikira, kupatula kukazinga. Chakudyacho chimapangidwa motere:

Mapuloteni - 80-90 g (55% nyama).
Mafuta - 70-80 g (masamba 30%).
Zakudya zamafuta - 300-350 g.

Nayi zitsanzo mndandanda wazakudya tebulo nambala 9 patsikulo:

Chakudya cham'mawa - 200 g a tchizi chamafuta ochepa otsika zipatso.
Zokhwasula - 1 lalanje kapena mphesa.
Chakudya chamasana - msuzi wamasamba ndi kagawo ka mkate wa chinangwa, yophika ng'ombe.
Zakudya zokhazokha - 150 g wa masamba saladi.
Chakudya chamadzulo - nsomba zochepera zamafuta zomwe zimadyedwa ndi masamba.
Maola 2-3 asanagone - kapu yamkaka.

Werengani zambiri zamalamulo okhudzana ndi matenda a shuga 2 - werengani apa.

Zochita zolimbitsa thupi tsiku ndi tsiku ndi njira yolimbikitsira kumwa kwa glucose ndikuchepetsa minofu kukana insulin.

Kupanga kwa njira yothanirayi ndikosavuta: minofu yogwira ntchito imafunikira thanzi (glucose) chifukwa chake mwachilengedwe imawonjezera chidwi chawo ku insulin.

Zomwe zimachitikanso m'chiwindi, popeza minofu yomwe imagwiritsa ntchito mphamvu zawo "imafunikira" glycogen yosungidwa ndi chiwindi, ndipo imafunikiranso.

Kwa odwala matenda a shuga a 2, ndikofunikira kuyambitsa kuyenda, kusambira, kuyendetsa njinga, masewera olimbitsa thupi, masewera olimbitsa thupi kapena mitundu ina yochita masewera olimbitsa thupi tsiku lililonse kwa mphindi 30-60 patsiku.

Pamaso pa matenda a shuga, wodwalayo ayenera kulabadira mwatchutchutchu kuchuluka kwa zinthu zazing'ono komanso zazikulu zomwe zili mthupi. Ndikofunikira kuchita izi ngati munthu akudwala matenda osiyanasiyana.

Mwachitsanzo, zinc mu shuga imakhudza thupi lonse, ndipo kuchepa kwake kumatha kuyambitsa zovuta zambiri.

Poyamba, ziyenera kudziwika kuti zinc ndizothandiza kwambiri ndipo zimakhudza pafupifupi njira zonse za moyo wa munthu. Ngati wodwala ali ndi matenda ashuga, zinc imakhala ndi zotsatirazi mthupi:

zimakhudza ntchito ya pituitary gland,
imalimbikitsa magazi kuyenda bwino,
imayenda bwino kwa kapamba.

Kutengera ndi chidziwitso ichi, zikuwonekeratu kuti kuchepa kwa chinthu ichi kungayambitsenso kuwonongeka kwamphamvu kwa odwala omwe ali ndi matenda ashuga. Kulipiritsa kwa kusowa kwa zinc m'thupi kungachitike mwa kugwiritsa ntchito mankhwala osokoneza bongo.

Komanso tisaiwale kuti kuchuluka kwambiri kwa chinthu chotsatirachi kungayambitsenso kukula kwa mavuto azaumoyo. Musanayambe chithandizo, ndikofunikira kuti mupimidwe.

Kuperewera kapena kuchepa kwa zinc m'thupi lomwe limadwala matenda ashuga kumatha kuyambitsa zovuta zina pakadutsa matendawa.

Odwala omwe ali ndi “nthenda yokoma” amadwala matenda osiyanasiyana omwe amasintha miyoyo yawo.

Zina mwazizindikiro zomwe zimadziwika kwambiri za matenda ashuga ndi izi:

Kumva ludzu pafupipafupi.
Kukodza pafupipafupi.
Kuphwanya njira zambiri za metabolic.
Kuchepetsa thupi kwambiri, kapena, kuwonjezeka kwa thupi.
Kudumpha mwamphamvu mu shuga.

Mwa njira, ndiye chizindikiro chomaliza chomwe chimakhudza mwachindunji ziwalo zina zonse zamkati ndi ma metabolic omwe amapanga thupi la munthu. Kuchepetsa thanzi kumakhudza moyo watsiku ndi tsiku wodwala

Kuphatikiza apo, munthu aliyense, ngakhale atakhala ndi matenda a shuga kapena ayi, angathe kukumana ndi vuto la kuchepa kwa zinc m'thupi lake. Ndipo izi zimakhudzanso ntchito ya pafupifupi ziwalo zonse zamkati ndipo kagayidwe kamatupa.

Zokhudzana ndi izi kuti nthawi zambiri ndimayendedwe a shuga amellitus mitundu yonse ya mavitamini amaphatikizidwa, zinc ilinso m'ndandanda wazinthu zomwe.

Zambiri pazomwe kupezeka kwa zinc mu thupi la munthu zafotokozedwera kale pamwambapa.

Kuphatikiza apo, nthaka ya zinc imathandizira kuti magawo azigwira bwino ntchito m'thupi la munthu komanso kugwira ntchito koyenera kwa chimbudzi.

Kuphatikiza apo, zipions za zinc zimayikidwa kuti zigwire ntchito zambiri zowonjezera.

Izi ndi izi:

kuwonjezera mphamvu ya insulin,
kukhalabe ndi metabolism yamafuta pamlingo woyenera, zomwe zimapangitsa kuti anthu azitha kulemera,
matenda a kuchuluka kwa magazi.

Polankhula mwachindunji za thupi la odwala omwe ali ndi matenda ashuga, momwemonso, zinki zimatha kuyendetsa insulin ndipo potero zimachepetsa magazi a shuga.

Pachifukwa ichi, pozindikira kuchepa kwa nthaka m'thupi, madokotala nthawi zonse amalimbikitsa kuti odwala amwe mankhwala apadera omwe amabwezeretsa mulingo wa chinthuchi mthupi.

Koma kuphatikiza pa zovuta zake pa insulin, zinc imathandizanso pakuchira kwamunthu, zomwe ndizofunikira kwambiri kwa odwala matenda ashuga. Zimalepheretsanso mwayi wa kuyika kwa cholesterol m'mwazi. Ndikofunikanso kudziwa kuti kusowa kwa zinc mu thupi la mkazi kungayambitse kubereka.

Choyamba, muyenera kufunsa dokotala, ndipo ndi yekhayo amene angakupatseni mankhwala kapena mankhwalawo. Apa muyenera kukumbukira kuti m'gulu lililonse la odwala, mankhwala osiyana amalimbikitsidwa. Mwachitsanzo, mankhwala omwewo amatha kuvulaza gulu limodzi la odwala, koma amatha kuthandiza enanso.

Chifukwa chake, pankhaniyi, kudzichiritsa nokha kumatha kungokulitsa vuto lomwe liripo kale.

Momwe mungatenge zinc?

Kuti thupi la munthu ligwire ntchito moyenera, munthu aliyense sayenera kupitirira 15 mg wa zinc mkati mwa maola 24.

Mutha kupeza chinthu chofunikira ichi osati kokha mwa kumwa mankhwala apadera, komanso pogwiritsa ntchito zakudya zomwe zimaphatikizapo.

Kugwiritsa ntchito mavitamini

Kugwiritsa ntchito mavitamini ndi michere ya matenda ashuga mwanjira zachifundo ndi gawo limodzi mwa zovuta zamatenda ndi zovuta zake.

Kugwiritsa ntchito kuchuluka kwa vitamini E pochizira matenda ashuga kumathandizira kubwezeretsa kusefera kwa impso ndi magazi ku retina.
Vitamini C imalimbitsa ndikuyambiranso mitsempha yamagazi ndikuletsa kupangika kwamatumbo.
Biotin amatsitsa glycemia. B5 imathandizanso kusinthika, imatenga nawo mbali pazinthu zamtunduwu zotumizira kufalikira kwa mitsempha.
Zinthu zofunikira zimafunikanso kusintha matenda ashuga.
Zinc imathandizira kupanga insulini, chifukwa ndi gawo lofunikira kwambiri pazinthu zawo.
Chromium osakanikirana ndi mavitamini E ndi C amachepetsa glucose wamagazi. Selenium ndi antioxidant.

Komabe, mavitamini awa m'mapangidwe awo samakwaniritsa zosowa za odwala omwe ali ndi matenda ashuga, chifukwa mulibe mavitamini ndi michere yonse yofunikira, kuchepa kwake komwe kumakhala kofala kwambiri pakati pa odwala matenda ashuga.

Kuperewera kwa mavitamini ndi michere mwa odwala omwe ali ndi matenda ashuga kumakulitsa chitetezo chamthupi chomwe chafooka kale, chomwe chimayambitsa matenda pafupipafupi, motero chikuwonjezera matenda omwe amayambitsa matenda a shuga.

Mukamapangira vitamini-mineral complexes yopangika kwa odwala matenda ashuga, zomwe zimachitika ndi mankhwala omwe amapezeka m'magazi ayenera kuganiziridwanso.

Mwa njira yokhazikika ya kagayidwe kachakudya ndi kachitidwe ka thupi mthupi la wodwala yemwe ali ndi matenda ashuga, osati mavitamini okha, komanso kufufuza zinthu ndizofunikira.

Koma ndikudziwika kuti mchere wina umatha kusokoneza mayamwidwe a mavitamini ndi zinthu zina za mthupi. Mwachitsanzo, mkuwa ndi chitsulo zimawononga Vitamini E ndikuwonjezera mphamvu, ndipo ma magnesium samasungidwa m'maselo a manganese.

Malinga ndi kulosera kwa asayansi azachipatala komanso kuwonjezereka kwa anthu odwala matenda ashuga, m'zaka khumi ndi zinayi kuchuluka kwa anthu odwala matenda ashuga padziko lapansi kudzafika pafupifupi 380 miliyoni.

Chofunika kwambiri pankhaniyi ndikukonzekera kwapadera kwa vitamini-mineral pakuchiritsa kovuta kwa matenda ashuga.

Zolinga za maonekedwe

Kodi ndichifukwa chiyani shuga yachiwiri imabuka, ndipo ndi chiyani? Matendawa amawonekera ndi kukana insulini (kusowa kachitidwe ka thupi ka insulin). Mwa anthu odwala, kupanga insulin kumapitirirabe, koma simalumikizana ndi maselo amthupi ndipo sikufulumizitsa kuyamwa kwa glucose m'magazi.

Madokotala sanatsimikizire zomwe zimayambitsa matendawa, koma malinga ndi kafukufuku waposachedwa, matenda a shuga a 2 amatha kupezeka ndi kuchuluka kwa maselo kapena kuzindikira kwa insulin.

Zomwe zimayambitsa matenda a shuga a 2 ndi:

Zakudya zoperewera: kupezeka kwa mafuta oyengedwa bwino m'makampani (maswiti, chokoleti, maswiti, ma safini, makeke, ndi zina zambiri) komanso zakudya zochepa zazomera (masamba, zipatso, chimanga).
Kunenepa kwambiri, makamaka mawonekedwe a visceral.
Kupezeka kwa matenda ashuga m'modzi kapena abale awiri apamtima.
Khalidwe labwino.
Zovuta zambiri.
Mitundu.

Zinthu zazikulu zomwe zimakhudza minofu kukana insulini zimaphatikizira zovuta za kukula kwa mahomoni pa nthawi yakutha, mtundu, jenda (chizolowezi chachikulu chokulitsa matendawa mwa azimayi), komanso kunenepa kwambiri.

Mukatha kudya, shuga m'magazi amadzuka, ndipo kapamba sangatulutse insulin, yomwe imachitika motsutsana ndi maziko a kuchuluka kwa shuga.

Zotsatira zake, chidwi cha membrane wam'm cell chomwe chimayambitsa kuzindikiritsa kwa mahomoni chimachepa. Nthawi yomweyo, ngakhale mahomoni amalowa mu khungu, mphamvu yachilengedwe sizimachitika. Vutoli limatchedwa kukana insulini pomwe khungu likulimbana ndi insulin.

Nthawi zambiri, mtundu wachiwiri wa matenda ashuga ulibe zizindikiro ndipo matendawa amatha kukhazikitsidwa pokhapokha ngati kafukufuku wa zasayansi atakhala pamimba yopanda kanthu.

Nthawi zambiri, kukula kwa matenda ashuga amtundu wa 2 kumayamba mwa anthu atatha zaka 40, mwa omwe ali onenepa kwambiri, kuthamanga kwa magazi komanso mawonekedwe ena a metabolic syndromes m'thupi.

Zizindikiro zapadera ndi izi:

ludzu ndi kamwa yowuma
polyuria - kukodza kwambiri,
Khungu
kufooka kwakanthawi
kunenepa
kuchiritsa kwamabala

Wodwala sangakayikire za matenda ake kwa nthawi yayitali.

Amamva pakamwa pouma pang'ono, ludzu, kuyabwa, nthawi zina matendawa amatha kudzikhuthula pakhungu ndi mucous nembanemba, kutupa, matenda amkamwa, kuchepa kwa mano, komanso kuchepa kwa mawonekedwe.

Izi zikufotokozedwa ndikuti shuga omwe salowa m'maselo amalowa m'makoma amitsempha yamagazi kapena kudzera m'matumba a pakhungu. Ndipo mabakiteriya a shuga ndi bowa amachulukana bwino kwambiri.

Kuopsa kotani?

Kuopsa kwa matenda ashuga a 2 ndikuwaphwanya kagayidwe ka lipid, kamene kamayambitsa kuphwanya kagayidwe kazakudya. Mu 80% ya milandu, motsutsana ndi mtundu wa matenda ashuga a 2, matenda a mtima ndi matenda ena okhudzana ndi kutsekeka kwa chithokomiro chamitsempha yamagazi.

Kuphatikiza apo, lembani matenda ashuga a 2 omwe amachititsa kuti matenda asamayende bwino, amathandizira kukulitsa matenda a impso, amachepetsa maonedwe, komanso luso lotha kusintha khungu, lomwe limachepetsa kwambiri moyo.

Matenda a shuga a Type 2 amatha kuchitika mosiyanasiyana:

Choyamba ndi kukonza mkhalidwe wa wodwala pakusintha mfundo za kadyedwe, kapena kugwiritsa ntchito kapisozi imodzi ya mankhwala ochepetsa shuga patsiku,
Chachiwiri - kusintha kumachitika mukamagwiritsa ntchito kapisozi awiri kapena atatu a mankhwala ochepetsa shuga patsiku,
Chachitatu - kuphatikiza pa mankhwala ochepetsa shuga, muyenera kusankha pakubweretsa insulin.

Ngati wodwalayo ali ndi shuga pamlingo wocheperako, koma palibe zovuta, ndiye kuti thupi limatha kulimbana ndi vuto la kudya kagayidwe kazakudya.

Udindo wa nthaka m'thupi

Pafupifupi, mpaka 2 g ya zinc amapezeka mwa munthu wamkulu. Kuchuluka kwake kumakhazikika m'chiwindi, minofu ndi kapamba. Zinc amatenga nawo mbali motere:

Mafuta ndi kukonza kwa vitamini E
Kugwira ntchito kwa prostate.
Kaphatikizidwe wa insulin, testosterone, kukula kwamafuta.
Kusweka kwa mowa, mapangidwe a ukala.

Zinc akusowa shuga

Ndi chakudya, bambo wamkulu ayenera kulandira 11 mg wa zinc tsiku lililonse, mkazi - 8 mg. Kuperewera kwa chinthu mwaumoyo kwa anthu athanzi kumabweretsa kukula kwa kulolera kwa shuga, komwe ndi chizindikiro cha matenda oopsa a shuga.

Ndi matenda a shuga, kufunika kwa zinc kwa tsiku ndi tsiku kumakwera mpaka 15 mg. Izi zimachitika chifukwa chakuti pakachitika vuto la kapamba, zinc sizingatengeke bwino komanso maselo amthupi, kuchepa kwa matendawa kumachitika, ndipo m'mayendedwe a shuga, kuchulukitsidwa kwa mandimu kumachitika.

Komanso, mulingo wa nthaka m'thupi umatsika ndi msinkhu, pafupifupi oimira m'badwo wakale ali ndi vuto la kusowa kwa chinthu ichi. Popeza kuti shuga imayamba kukalamba, kuperewera kwa zinc kumachitika. Zotsatira zake, kuchuluka kwa mabala ochiritsa kumakulirakulira, ndipo chiwopsezo cha odwala matenda opatsirana chikuchulukirachulukira.

Kafukufuku wasonyeza kuti kuthandizira kuchepa kwa nthaka kwa odwala omwe ali ndi matenda ashuga kumathandiza kuchepetsa kuchepa kwa mafuta m'thupi komanso kuchepetsa matendawa.

Zinc imapezeka m'mbewu za dzungu, ng'ombe, mwanawankhosa, tirigu, chokoleti, mphodza. Tsoka ilo, odwala matenda a shuga sangathe kudzipangira kuchepa kwa zinki pakudya zakudya zinazake, popeza matendawa amafunika zakudya zina. Vitamini zovuta ndi mankhwala okhala ndi zinc zimakhala kuti atipulumutse.

Kukonzekera kwa Zinc

Kukonzekera kokhako komwe kumakhala ndi zinc ndi Zincteral, (Poland). Piritsi limodzi lili ndi 124 mg ya zinc sulfate, yomwe imagwirizana ndi 45 mg ya elemental zinc. Tengani mankhwalawa ndi kuchepa kwa nthaka m'thupi, piritsi limodzi katatu patsiku, pakudya kapena mutatha kudya. Mukadzaza kuchepa kwa chinthucho, mankhwalawo amachepetsedwa piritsi limodzi patsiku.

Mavuto apadera a vitamini ndi mchere wa odwala matenda ashuga ndi Alphabet Diabetes, ali ndi 18 mg ya zinc. Zovuta zake zidapangidwa ndi akatswiri aku Russia, kugwira ntchito kwake kumakwaniritsidwa pogawa mavitamini ndi michere ya tsiku ndi tsiku m'mapiritsi atatu. Kuzindikira kwathunthu kwa zinthu kwatsimikiziridwa ndi asayansi a Central Research Institute of Gastroenterology.

Kwa anthu azaka zazing'ono, mutha kulimbikitsa kutenga Vitrum vitamini-mineral tata, yovomerezedwa kuti igwiritsidwe ntchito kuyambira azaka 12. Mulinso ndi zinc mu muyeso wa 15 mg.

Kukonzekera kwina ndi zinc: Duovit, Complivit, Supradin. Musanawatenge, muyenera kufunsa dokotala, chifukwa akhoza kukhala ndi shuga. Mwachitsanzo, piritsi limodzi la Duovit lili ndi 0,8 g shuga.

Mu shuga mellitus, tikulimbikitsidwa kugwiritsa ntchito yisiti ya brewer ndi kuwonjezera kwa zinc: yisiti imatha kuwongolera kuchuluka kwa insulin mthupi, kusintha makonzedwe amitsempha chifukwa cha zomwe zili ndi mavitamini a B.

Zizindikiro za matenda ashuga

Kuperewera kapena kuchepa kwa zinc m'thupi lomwe limadwala matenda ashuga kumatha kuyambitsa zovuta zina pakadutsa matendawa.

Odwala omwe ali ndi “nthenda yokoma” amadwala matenda osiyanasiyana omwe amasintha miyoyo yawo.

Zina mwazizindikiro zomwe zimadziwika kwambiri za matenda ashuga ndi izi:

Kumva ludzu pafupipafupi.
Kukodza pafupipafupi.
Kuphwanya njira zambiri za metabolic.
Kuchepetsa thupi kwambiri, kapena, kuwonjezeka kwa thupi.
Kudumpha mwamphamvu mu shuga.

Mwa njira, ndiye chizindikiro chomaliza chomwe chimakhudza mwachindunji ziwalo zina zonse zamkati ndi ma metabolic omwe amapanga thupi la munthu. Kuchepetsa thanzi kumakhudza moyo watsiku ndi tsiku wodwala

Pachifukwa ichi, pafupifupi odwala onse omwe amapezeka ndi matenda osokoneza bongo, dokotala amafotokozera za mitundu yambiri ya mavitamini, omwe amaphatikizanso zinc. Mankhwalawa amatha kubwezeretsanso kuchepa kwa chinthu ichi ndipo potero kuchepetsa zovuta za zotsatira zoyipa zaumoyo.

Zokhudzana ndi izi kuti nthawi zambiri ndimayendedwe a shuga amellitus mitundu yonse ya mavitamini amaphatikizidwa, zinc ilinso m'ndandanda wazinthu zomwe.

Kodi ma ayoni a zinc amapanga chiyani mthupi?

Zambiri pazomwe kupezeka kwa zinc mu thupi la munthu zafotokozedwera kale pamwambapa.

Kuphatikiza apo, nthaka ya zinc imathandizira kuti magawo azigwira bwino ntchito m'thupi la munthu komanso kugwira ntchito koyenera kwa chimbudzi.

Kuphatikiza apo, zipions za zinc zimayikidwa kuti zigwire ntchito zambiri zowonjezera.

Izi ndi izi:

kuwonjezera mphamvu ya insulin,
kukhalabe ndi metabolism yamafuta pamlingo woyenera, zomwe zimapangitsa kuti anthu azitha kulemera,
matenda a kuchuluka kwa magazi.

Polankhula mwachindunji za thupi la odwala omwe ali ndi matenda ashuga, momwemonso, zinki zimatha kuyendetsa insulin ndipo potero zimachepetsa magazi a shuga. Pachifukwa ichi, pozindikira kuchepa kwa nthaka m'thupi, madokotala nthawi zonse amalimbikitsa kuti odwala amwe mankhwala apadera omwe amabwezeretsa mulingo wa chinthuchi mthupi.

Akatswiri adatha kudziwa kuti ana omwe ali ndi vuto la kuchepa kwa chinthu amamva mavuto ndi kukula - kukula kumachepa kwambiri.

Chifukwa chake, pankhaniyi, kudzichiritsa nokha kumatha kungokulitsa vuto lomwe liripo kale.

Contraindication kugwiritsa ntchito kukonzekera kwa zinc

Monga tanenera pamwambapa, kudya kwambiri zinc kumatha kuvulaza thupi komanso kuchepa kwake.

Imwani mankhwala, omwe akuphatikizaponso chinthu ichi, muyenera kusamala kwambiri.

Musanayambe zokonzekera zomwe muli ndi zinc, muyenera kufunsa dokotala.

Gulu lowopsa likuphatikiza odwala otere:

ana ochepera zaka 18, komanso okalamba woposa zaka 60,
azimayi pa nthawi yoyembekezera
odwala omwe ali ndi mavuto ndi ntchito yam'mimba, komanso ma genitourinary system,
odwala matenda a shuga
odwala omwe ali ndi matenda apakhungu
anthu osalolera payekha ayoni zitsulo.

Nthawi zonse muyenera kukumbukira kuti kupitilira muyeso wa zinc womwe umalimbikitsa

Kuti mankhwalawa apereke zotsatira zoyenera, muyenera kufunsa kaye dokotala. Pambuyo pokhapokha atagwiritsa ntchito mankhwala aliwonse.

Koma zokhudzana ndi kadyedwe, zakudya zomwe zimakhala ndi kuchuluka kwa zinc sizingavute ngati mankhwala. Ichi ndichifukwa chake, choyambirira, muyenera kupeza zakudya zoyenera, ndipo pokhapokha pitani ndikusankha mankhwala.

Zachidziwikire, kuwonjezera pa zakudya, muyenera kukumbukira nthawi zonse kuti kuyang'ana maboma olondola masana ndikusiya kotheratu kusuta, komanso kumwa mowa, kudzakuthandizani kukhala ndi thanzi la munthu aliyense pamlingo woyenera.

Phindu ndi magwero a zinc afotokozedwa mu kanema munkhaniyi.

Zizindikiro

Mwa munthu wathanzi, shuga wamba amakhala pafupifupi 3.5-5,5 mmol / L. Maola 2 atatha kudya, amatha kuuka kwa 7-7.8 mmol / L.

Kuti muzindikire matenda ashuga, maphunziro awa amachitika:

Kuyesedwa kwa magazi kwa shuga: pamimba yopanda kanthu muzindikire zomwe zili m'magazi a capillary (magazi kuchokera pachala).
Kutsimikiza kwa glycosylated hemoglobin: kuchuluka kwake kumachulukitsidwa kwambiri mwa odwala matenda a shuga.
Kuyesedwa kwa kulolera kwa glucose: pamimba yopanda kanthu tengani pafupifupi 75 ga shuga osungunuka mu 1-1,5 magalasi amadzi, ndiye kudziwa kuchuluka kwa shuga m'magazi pambuyo pa 0,5, 2 hours.
Urinalysis ya glucose ndi matupi a ketone: kuzindikira matupi a ketone ndi glucose kumatsimikizira kupezeka kwa matenda ashuga.

Matenda a 2 a matenda a shuga atapezeka, mankhwalawa amayamba ndi kudya komanso kuchita masewera olimbitsa thupi. Mu magawo oyamba a shuga, ngakhale kuchepa thupi pang'ono kumathandizira kagayidwe kazakudya thupi ndikuchepetsa kaphatikizidwe ka shuga m'chiwindi. Zochizira zam'magawo apambuyo, mankhwala osiyanasiyana amagwiritsidwa ntchito.

Popeza odwala ambiri omwe ali ndi matenda a shuga a 2 amenepa kwambiri, kudya zakudya zoyenera kuyenera kutsata kuchepetsa thupi komanso kupewa mavuto obwera mochedwa, makamaka atherosulinosis.

Zakudya za hypocaloric ndizofunikira kwa odwala onse onenepa kwambiri (BMI 25-29 kg / m2) kapena kunenepa kwambiri (BMI

Kugawana

Kugwiritsa ntchito nthawi yayitali insulin ndi insulin sikuvuta nthawi zonse kusakaniza. T.N. mankhwala (galenic) omwe amagwirizana ndi insulin kukonzekera kwambiri kumakupatsani mwayi wophatikiza insulin ndi insulin.

Mukasakaniza, ndikofunikira kukumbukira kuti insulin yochepa imagwira ntchito kwambiri ndipo ngati ingasakanizidwe mosayenera, zotsatira zake zitha kutayika. Zatsimikiziridwa kuti insulin yayifupi ikhoza kusakanizika mu syringe yomweyo ndi yankho la protamine-insulin. Mphamvu ya insulin yochepa sikuchepetsa, kotero insulin yosungunuka siyimangiriza protamine.
Zilibe kanthu kuti ndi makampani ati omwe amapanga mankhwalawa. Chifukwa chake, ndikosavuta kusakaniza actrapid ndi humulin H kapena actrapid ndi protafan. Izi zosakanikirana ndi insulin nthawi zambiri zimasungidwa.
Komabe, kuyimitsidwa kwa crystalline insulin-zinc sikuyenera kusakanikirana ndi insulin yayifupi, monga kuphatikiza ndi ayoni anthawi yayitali, insulin yochepa imasinthidwa pang'ono mpaka kukhala insulin.

Sizachilendo kwa odwala kuti ayambe kubayitsa insulin yayifupi, kenako, popanda kuchotsa singano pakhungu, amapaka jekeseni wa zinc. Sizitsimikiziridwa mwasayansi, komabe, titha kuganiza kuti poyambitsa izi, kusakanikirana kwapafupifupi ndi insulin mitundu ya khungu pansi pa khungu, ndipo izi sizingasinthe kuyamwa kwa gawo loyambirira. Popewa zovuta zoyipa, kuphatikiza kwapadera kwa insulin ndi insulin ya insulin ndikulimbikitsidwa kwambiri (mwanjira zina za jekeseni osiyanasiyana m'malo osiyanasiyana a khungu, mtunda pakati pa malo a jekeseni ndi osachepera 1 cm.

Kuphatikiza insulin

Opanga a matenda a shuga a shuga amawapangitsanso insulin. Mankhwala oterewa ndi kuphatikiza kwa insulin yochepa komanso protamine insulin pa chiwonetsero chokhazikika (mixtard, actrafan, insuman comb, etc.).

Zabwino kwambiri poyerekeza ndi kuphatikiza ndizosakaniza zomwe zimakhala ndi 30% yochepa insulin ndi 70% protamine insulin kapena 25% yochepa insulin ndi 75% protamine insulin. Kuwerengera kwa zigawo zikuluzikulu kumawonetsedwa mu malangizo ogwiritsira ntchito.

Mankhwalawa ndi oyenera kwa odwala omwe amatsatira zakudya zosasintha, zomwe zimatsogolera moyo wokangalika, etc. (ambiri okalamba okonda ndi matenda a shuga II).

Komabe, kuphatikiza insulin kumakhala kosavuta pakuthandizira kusintha kwa insulin. Ndi mankhwalawa, ndikofunikira ndipo nthawi zambiri zimatha kusintha kuchuluka kwa insulin yochepa, kutengera zomwe zili ndi chakudya mu chakudya, zolimbitsa thupi, ndi zina zambiri. Mlingo wa insulin wa nthawi yayitali (basal) umasiyana pang'ono.