Udindo wa zinc mukukula kwa matenda a shuga amtundu wa 2 umatsimikiziridwa

Asayansi azindikira mgwirizano pakati pa kusintha kwa kuchuluka kwa zinthu zina, makamaka zinc, komanso kupezeka kwa matenda am'mbuyomu - matenda omwe adadutsa matendawa. Zomwe zapezedwa zikuwonetsa kuti kusokonezeka kwa metabolic a zinc kumathandizira kwambiri pakukula kwa matendawa. Zotsatira za ntchito ya ogwira ntchito ku Yunivesite ya RUDN ndi Yaroslavl State University yotchedwa P.G. Demidov adasindikiza mu Journal of Trace Elements in Medicine and Biology.

Matenda a 2 a shuga ndi matenda osachiritsika omwe amafala padziko lonse lapansi (odwala amapanga pafupifupi 6% ya anthu). Vutoli limadziwika ndi glucose yayikulu chifukwa chakulephera kwa "kugwira" ndikugwiritsa ntchito. Zina mwazomwe zimapangidwa ndi matenda amtunduwu, kapamba amapanga insulini yokwanira (timadzi tomwe timapangitsa kuti maselo amthupi atenge glucose m'magazi), koma minyewa yake siyigwirizana ndi zomwe imanena.

Matenda a 2 a shuga ali pachiwopsezo chachikulu kwa anthu okulirapo kuposa zaka 45. Pokhudzana ndi kusintha kwakukulu kwa mahomoni, azimayi a postmenopausal, gawo lomaliza la kusintha kwa thupi, ali pachiwopsezo chachikulu. Kuyesaku kunakhudza oimira 180 a gululi, onse athanzi komanso omwe ali ndi matenda ashuga.

"Maziko a ntchitoyi anali deta yomwe idalipo ya zinthu za munthu payekha (zinc, chromium, vanadium) potumiza chizindikiro cha insulin. Nthawi yomweyo, akukhulupirira kuti zingapo zamafuta azitsulo (cadmium, mercury) amathandizira kukulitsa insulin (chitetezo chochepa cha chitetezo cha mthupi cha insulin) ndipo, pambuyo pake, matenda a shuga, "akutero m'modzi mwa olemba nkhaniyi, wogwira ntchito ku Yunivesite ya RUDN Alexei Tinkov.

Funso loti vuto la micronutrient metabolic limayambitsa kukana kwa insulin silimamveka bwino. Zatsopano zofufuza zimayesa kuti ubale wina ulipo: malinga ndi zotsatira za phunziroli, kutsimikizika kwa zinthu zambiri zomwe zaphunziridwa ndizokhazikika, koma pankhani ya zinc, kuchuluka kwake mu seramu yamagazi azimayi omwe ali ndi prediabetes kumatsika ndi 10%. Amadziwika kuti chinthuchi chimagwira gawo lalikulu pakuphatikizidwa kwa insulin ndi maselo a beta a kapamba, komanso imathandizira kukhudzika kwa minofu ya thupi ku mahomoni awa.

"Zotsatira za phunziroli zikugogomezera kufunikira kwa kuphunzira kagayidwe kazitundu kuti matenda ashuga apangidwe. Komanso, tikuganiza kuti kuunika komwe thupi limapereka pogwiritsa ntchito chitsulo ichi kungawonetsetse matenda, komanso kugwiritsa ntchito mankhwala okhala ndi zinc ngati njira yodzitetezera, "anatero Alexey Tinkov.

Ntchitoyi idachitika molumikizana ndi ogwira ntchito ku Department of Medical Elementology ya RUDN University, labotale ya biotechnology ndipo amagwiritsa ntchito bioelementology ya Yaroslavl State University. P.G. Demidov motsogozedwa ndi Pulofesa Anatoly Skalny.

Zink ndi matenda ashuga

Mosakayikira, kuchira kwa matenda ashuga sayenera kuyembekezereka chifukwa cha kulowezedwa kwa zinc. Komabe, kafukufuku wazotsatira komanso zamankhwala azotsatira zimawonetsa kuti chithandizo chamtunduwu ndi chothandiza kwambiri ndipo chitha kuchita mbali yothandiza: Zizindikiro za shuga m'magazi, kusungidwa kwa mankhwala ndi chitetezo cha mthupi zimalimbikitsidwa, ndipo zovuta za matenda ashuga zimatha kuchepetsedwa.

Popeza mankhwalawa amapititsa patsogolo thanzi la munthu wodwala matenda ashuga, ndikofunikira kuti tikambirane funso loti chithandizo chokwanira cha zinc chimalimbikitsidwa ngati chothandiza.

Malinga ndi kuchuluka kwa miliri, odwala matenda ashuga 4 miliyoni amakhala ku Germany (mtundu I ndi mtundu II), omwe ndi opitilira 4 peresenti ya anthu. Tiyenera kuganiza kuti chiwerengerochi chidzawonjezeka kawiri m'zaka 10 zikubwerazi. Matenda a shuga ndi matenda obadwa nawo, matenda a metabolic, omwe amayambitsa vuto la kuperewera kwa insulin ndipo angayambitse zovuta zingapo zotsatirazi.

Zinc udindo (nthaka ya zinc) mwa odwala matenda ashuga

Anthu ambiri odwala matenda ashuga achulukitsa kuchulukitsa kwa zinc ndi impso, ndipo kutayika kwa zinc kumachitika kawiri komanso kuwirikiza katatu, mosasamala kanthu kuti ndi matenda a shuga a mtundu wa (Kiilerich et al., 1990) kapena mtundu-II (Wahid et al., 1988). Kutupa kwa zinc ndi mkodzo kumalumikizana ndi glucose excretion ndi voliyumu ya mkodzo (Canfield et al., 1984). Kuzungulira kwamatumbo a zinc kumalumikizidwa ndi proteinuria; amachepetsa zovuta za matenda ashuga ndipo nthawi zambiri zimayambitsa zovuta (Wahid et al., 1988).

Pofuna kuthana ndi zoterezi kutayika kwakanthawi kwa thupi mu zinc, munthu ayenera kukulitsa kudya kwa zinc ndi njira yothandizira. Komabe, Kafukufuku wasonyeza (Kiilerich et al. (1990), komanso Kinlaw et al. (1993)), izi sizotheka nthawi zonse: ngakhale kuli kwachulukiridwe kawiri kazinthu zodziwikiratu, kuchuluka kwa mayendedwe a zinc55 kumakhala kochepa kuposa mwa anthu athanzi kuchokera kuulamuliro magulu.

Ndizosadabwitsa kuti, mu odwala matenda ashuga, kuchuluka kwa ma seramu zinkakhala zabwinobwino. Itha kuganiziridwa kuti kudzera mu lamulo la homeostatic, thupi limayesetsa kukhalabe ndi serum zinc ndende ndikutsanulira malo othandiza (ma Rimbach et al., 1996).

Kuchulukitsidwa kwa zinc ndi impso, kumbali imodzi, ndikwabwinobwino, ndipo nthawi zina ngakhale kuchepetsedwa kwa mayamwidwe, kumbali ina, kumathandizira lingaliro lakudzitsitsa kwa thupi, malingana ndi kuti kuchepa kwamtunduwu sikulowa mthupi mwakukula, monga munthawi yakusintha kwina mankhwala (Winterberg et al., 1989, Pai ndi Prassad, 1988).

Mabuku ambiri anena za kuchuluka kwa zinc m'magazi, seramu ndi plasma mu mitundu yonse ya odwala I a mtundu wa shuga komanso odwala II matenda a shuga (Niewoehner et al., 1986, Mocchegiani et al., 1989), okhala ndi magawo ambiri seramu zinc mu odwala matenda ashuga wovomerezeka ndi insulin yotsika kwambiri poyerekeza ndi odwala matenda ashuga omwe amasankha insulin.

Phunziroli, adawonetsedwanso kuti mtundu (khwekhwe?) Wa chomera chotsimikizika chimakhudza kuchuluka kwa zinc: ndi shuga yosasinthika ya shuga, kusapangidwa kwapangidwe kovuta kwambiri kwa glucose-amino acid (Maillard reaction) kuli apamwamba kuposa ndi boma lolamulidwa bwino. Zinthu zoterezi zimatha kupanga chelates ndi zinc ndipo potero zimathandizira kukulira kwa impso.

Ngakhale maubwino a serum zinc omwe amakhala abwinobwino kapena ochepa atatsimikiziridwa mu maphunziro ena, zotsatira izi siziyenera kukhala zogwirizana ndi zonena kuti shuga imapangitsa kutsika kwa thupi ku zinc.

Chosangalatsa ndichakuti mfundo zogwirizana zamkuwa ndi zitsulo zimachulukirachulukira ngati zinthu za zinc zikuchepa (Perger, 1986, Abdulla, 1982), ndipo pali malipoti a ubale pakati pa kuchuluka kwa mkuwa mu seramu ndi kuchuluka kwa zinc-mkuwa kwa serum glucose (Medeiros et al., 1983).

Komanso, kuchuluka kwa zinc mu tsitsi - nthawi zambiri pamlingo wabwino wowunika momwe zimaperekera zinc ku thupi - sizinasiyane mwa ana kapena akulu akulu omwe ali ndi matenda amtundu wa I poyerekeza ndi anthu athanzi ochokera pagulu lolamulira (Canfield et al., 1984), kokha mwa odwala okalamba odwala matenda ashuga omwe ali ndi vuto lalikulu la atherosulinosis achepetsa kwambiri zinc mu tsitsi lawo (Holtmeier, 1988).

Matenda a kuchepa kwa zinki mu shuga

Ngati tilingalira za matenda a kuchepa kwa zinki ndi zovuta zina zokhudzana ndi matenda ashuga, ndiye kuti pali chiyembekezo chodziwika bwino cha zinthu zapathupi zathupi. Ngati tilingalira za matenda a kuchepa kwa zinki m'thupi ndi zovuta za matenda ashuga, ndiye kuti kulingalira kwa mgwirizano wa pathophysiological kumayamba.

Ulalo unapezeka pomwepo pakati pa machiritso a bala omwe anachedwa odwala omwe ali ndi zilonda zam'mimba m'mimba komanso kusowa kwa zinki. Momwemonso, pali ntchito yovuta ya chitetezo cha mthupi, yomwe imayambitsa kuwonjezeka kwa matenda, zotupa za m'mimba ndi / kapena osteomyelitis ndipo, potero, kukulira kuchepa kwakuthupi ndi kufa, makamaka odwala matenda ashuga okalamba (a Mooradian, Moulrey, 1987).

Popeza kukula ndi mahomoni opititsa patsogolo zogonana ndikudalira kukhalapo kwa zinc (Kirchgessner ndi Roth, 1979), kudodometsa ndikuchedwa kutha msanga mu matenda ashuga achinyamata kungathe kufotokozedwa ndi kuchepa kwa zinc (Rohn et al., 1993).

Komanso, chiwopsezo chomakula kwambiri mwa ana omwe amayi awo amadwala matenda a shuga mwina chimachitika chifukwa cha kuchepa kwa nthaka kwa nthaka. Monga cofactor ya ma enzymes angapo, monga thymidine kinases, ma polymerases a DNA, ndi kusuntha kwa superoxide, kuchepa kwa zinc kumayambitsa kulepheretsa kwa DNA biosynthesis, komanso kuwonongeka kwa ntchito yoteteza poyerekeza ndi ma free radicals a oxygen mwa osabereka (Erikson, 1984).

Mankhwala a zinc omwe amakhala ndi nthawi yayitali amakhala ndi zotsatira zabwino osati pakukula kwa mluza, komanso amathandizira kupewa kuwonongeka kwa ZNS mu prenatal alcohol syndrome (Tanaka et al., 1982).

Kusintha kwa mahomoni mu kuchepa kwa nthaka

Zinc ndi insulin zikuwonetsa maubwenzi angapo ogwira ntchito komanso a morphological. Chifukwa chake, zinc imagwira ntchito yayikulu pakuphatikizira, kudziunjikira, ndi kutulutsidwa kwa insulin m'maselo a pancreatic Langerhans (Wahid et al., 1988, Kirchgessner ndi Roth, 1983, Edmin et al., 1980).

Encyme Carboxypeptidase B, yomwe imatembenuza proinsulin kukhala insulin, imadaliranso insulin (Emdin et al., 1980). Mu zipere zosakwanira, ntchito ya michereyi imachepa pafupifupi. mwa 50% ndi kuwonjezeka kofananira kowonjezera mu ntchito za trypsin ndi 100% (Wahid et al., 1988).

Zinc ions, kumbali imodzi, zimapangitsa kuti madzi azikhala osungunuka, motero, amachepetsa mphamvu ya insulin, ndiko kuti, mpweya wambiri ndi crystallization wa insulin amadalira zinc (Emdin et al., 1980).

Pambuyo masiku 8, makoswe momwe zinc-kuchepera kwa zakudya zimadziwika kuti anali atalepheretsa kwambiri kulolerana ndi glucose, ngakhale insulin ndi glucose anali akadali abwinobwino (Park et al., 1986).

Kutengera kuchepa kwa insulin katemera, nyama zokhala ndi kuchepa kwa zinc, poyerekeza ndi nyama yochokera pagulu lolamulira lomwe lili ndi zinc zokwanira, zakhumudwitsa kwambiri kupindika kwa glucose pambuyo pobayira shuga (Kirchgessner ndi Roth, 1983).

Matenda a shuga a Zinc

Poganizira kuti magawo ambiri a anthu masiku ano ali ndi vuto la kuchepa kwa nthaka ndipo, makamaka, pankhani ya anthu odwala matenda ashuga, wina akuyenera kutuluka kuchokera ku kuwonongeka kwa impso, ziphuphu zingapo zachitika kuti ziwone zotsatira za mankhwala a zinc pazinthu zina za metabolic.

Pambuyo pa chithandizo cha milungu 6 (2x40 mg ya zincorotate / tsiku), anthu 60 odwala matenda ashuga mwa mitundu 64 ya odwala matenda ashuga II adachepetsa kwambiri kusala kwa magazi, odwala 3 okha ndi omwe sanasinthe.

Zotsatira zofananira zidachokera ku Winterberg et al. (1989): atalandira chithandizo cha masabata atatu, kuchuluka kwa shuga m'magazi omwe ali ndi makulidwe a insulin (mtundu I) adatsika kwambiri. Pogwiritsa ntchito mankhwalawa, panali kuchuluka kwakukulu kwa ma serum zinc, komanso ntchito ya alkaline phosphatase, kufunika kwa insulin, komanso kuchuluka kwa glycosylated hemoglobin, kunachepa. Zotsatira izi zidatchulidwa kwambiri mwa odwala omwe amaphatikizidwa ndi phunziroli ndi otsika serum zinc.

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:

Mayamwidwe ndi kukonza 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.

Zinc mu shuga Mu shuga, zofuna za tsiku ndi tsiku zimakwera 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.

Pakati pazinthu zophatikizidwa, Vitrum Centuri vitamini-mineral tata imadziwika. Mankhwalawa adapangidwa kuti azitha komanso kupewa matenda osiyanasiyana mwa anthu opitilira zaka makumi asanu. Ili ndi mavitamini ndi michere yambiri yofunika mukakalamba, kuphatikiza odwala matenda ashuga.

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.

Zinc amathandiza ndi matenda ashuga

Zinc itha kuthandiza ena odwala matenda ashuga kusintha kukhudzidwa kwa shuga, asayansi akumaliza mu kafukufuku watsopano wofalitsidwa mu magazini ya PNAS. Pakadali pano, asayansi amadziwa mitundu yoposa 50 ya majini omwe amayambitsidwa ndi mtundu wa shuga wachiwiri.

Pagawo lachiwiri la kafukufukuyu, maphunziro onse adalandira ma milligram 50 a zinc kawiri patsiku kwa milungu iwiri. Asayansi adaperekanso shuga kwa odzipereka ndikuyesa kuchuluka kwa shuga m'magazi 5 ndi 10 pambuyo pa jekeseni.

Zomwe zidapezedwa zidawonetsa kuti patatha milungu iwiri mutatenga zinc muophunzira popanda kusinthidwa, chidwi cha insulini chinawonjezeka ndi 26% 5 maminiti pambuyo pobayidwa poyerekeza ndi omwe adasinthidwa.

M'magulu am'mbuyomu pamutu womwewo, asayansi adapeza kuti kuchuluka kwa zinc m'magazi kumachepetsa mwayi wokhala ndi matenda ashuga. Amadziwikanso kuti anthu omwe ali ndi matenda ashuga atha kukhala okwera mumizere yawo.

Pafupifupi, zinthu za zinc zomwe zili m'thupi la munthu ndi 1, 5 - 3 g (mwa akazi - 1.5, mwa amuna - 2,5 - 3 g), pomwe 60% amakhala ndi mafupa komanso minofu, 20% - pakhungu. Mulingo wapamwamba kwambiri wama micronutrient uli m'maselo ofiira am'magazi ndi ma cell oyera am'magazi, mu prostate gland ndi umuna mwa amuna.

Zinc amatenga nawo gawo pakuphatikizika kwa mapuloteni, mafuta ndi chakudya, komanso amathandizira pa ntchito ya leukocytes, antibodies, mahomoni, chithokomiro cha chithokomiro, chomwe chimakulitsa kukana kwa thupi ndikuwonjezera phokoso la mabala. Ilinso ndi ntchito yotulutsa pansi pochotsa mpweya woipa m'thupi.

Zinc imapezeka mu nkhumba, nkhuku, chiwindi cha ng'ombe, tchizi, mkaka, mazira, walnuts, nthanga dzungu, nsomba, nsomba zam'madzi, nyemba, bowa, mbatata, maapulo ndi plums.

Masiku ano, anthu oposa 285 miliyoni ali ndi matenda a shuga. Malinga ndi International Diabetes Federation, matendawa amatenga miyoyo mamiliyoni anayi pachaka. Matenda a shuga monga chifukwa cha imfa ndiwachitatu kwambiri padziko lapansi. Mu 2004, Boma la Russia lidazindikira kuti matenda ashuga ndi matenda ofunika kwambiri.

Zowonjezera zama zinc (zowonjezera zinc) pofuna kupewa matenda ashuga a 2

Kafukufuku wina akuti zinc zimapangitsa kuti shuga azikhala ndi shuga. Mu matenda a shuga, zovuta za shuga zomwe zimachedwa, monga kuwonongeka kwa impso, mitsempha, ndi maso, zimatha kukhazikika. Komanso chiopsezo cha zovuta zamtima, monga kugwidwa ndi angina ndi stroko, chikuchulukirachulukira.

Zinc (wa mchere) amagwira ntchito yofunika kwambiri pantchito ya insulin, ndipo, kuonjezera kwa zinki, kwa odwala omwe ali ndi insulin kukana kungalepheretse matenda ashuga.

Zotsatira Zofunikira

Palibe kafukufuku yemwe adapereka chidziwitso pazotsatira zazikuluzikulu za odwala (kuzindikira kwatsopano kwa mtundu wachiwiri wa matenda ashuga, zotsatira zoyipa, moyo wokhudzana ndi thanzi, kufa kwa zifukwa zonse, zovuta za matenda ashuga, zotsatira zachuma. kuchuluka kwa insulin ndi magazi lipid (makamaka cholesterol ndi triglycerides) sizinatsimikizidwe.

Zinc mu matenda a shuga a insulin

Monga mukudziwa, zinc ndi gawo la molekyu ya insulin. Komabe, chofunikira kwambiri, zinc zimasinthasintha mphamvu ya thupi iyi ya ma cell pazinthu zotumphukira. Monga kafukufuku woyeserera akuwonetsa, muzochitika za kuchepa kwa nthaka ya zinc, chidwi cha insulin chitha kuchepa, komanso kukana kwa insulin kumatha kukulira, ndipo mosemphanitsa, kugwiritsa ntchito zinc kumathandizira kubwezeretsa kulolerana kwa glucose.

Zink mu thupi la munthu

Zinc imagwira m'thupi ntchito zingapo zofunika:

ndi gawo limodzi la ma enzymes ambiri omwe amapanga maselo amagazi (mwachitsanzo, maselo ofiira) nthaka ndi gawo la ziwalo zam'mimba zomwe zimapangitsa kuti chitetezo cha mthupi chizigwira bwino

Chofunikira cha tsiku ndi tsiku cha zinc mu wamkulu ndi pafupifupi 15 mg pa tsiku. Amayi oyembekezera komanso oyamwitsa amalimbikitsidwa 16-22 mg wa nthaka ya zinc.

Zinc kuchepa kwa thupi kumachitika pamene:

kugwiritsa ntchito kuchuluka kwa mkaka ndi mkaka wokhathamiritsa; kugwiritsa ntchito mankhwala oletsa kubereka a mahomoni ndi corticosteroid mahomoni (prednisone, triamcinolone, cortisone); kumwa mowa kwambiri; zilonda zam'mimba, kupweteka m'matumbo, kapamba) kuchita masewera olimbitsa thupi kwambiri (mwachitsanzo, osewera)

Kuperewera kwa zinc kumabweretsa matenda ena. Makamaka, kupezeka kwa ziphuphu wamba kumalumikizidwa ndi kuchepa kwa nthaka. Kuphatikiza apo, nthaka ya zinc imatha kuthandizira pakuthothoka tsitsi komanso kuchepa kwa tsitsi, kuyimitsa khungu, misomali yothina. Chimodzi mwazizindikiro zakusowa kwa zinc m'thupi ndi mawanga oyera pa misomali ndi brittle misomali.

Zinc imathandizira machiritso a mabala ndi zilonda zam'mimba, mabedi a pamimba, amayaka. Mineral ndiyofunikira kuti magwiridwe antchito a abambo abereke. Kuchepa kwa nthaka ya zinc kungayambitse kufooka kwa kugonana pagalimoto, kuwonongeka mu umuna wabwino. Mu matenda amtundu wamphongo, zinc imagwiritsidwa ntchito limodzi ndi mavitamini A ndi E.

Odwala omwe ali ndi matenda a shuga a m'mellitus, pamakhala mkodzo wowonjezera chifukwa cha izi, chifukwa cha kuchepa kwa nthaka m'thupi. Pakadali pano, mchere umafunika ndi matenda ashuga, he:

kumawonjezera chidwi cha maselo ku glucose kumachepetsa cholesterol m'magazi ndikofunikira kuti kugwira ntchito kokwanira kwa kapamba kumathandizira kuchiritsa mabala, mabala, zilonda zam'mimba

Zinc imagwiritsidwa ntchito pochiza matenda amaso. Mwachitsanzo, mankhwalawa koyambira kwa matenda a cataract, komanso kupewa kupewa kwake. Asayansi akhazikitsa zomwe zingapangitse kuti mchere usamayende. Zinc imalepheretsa kubereka kwa ma virus a herpes, Epstein-Barr, enteroviruses. Kuphatikiza apo, akatswiri angapo amalimbikitsa kuphatikiza ndi zinc pothandizira matenda amtundu wamanja (mwachitsanzo trichomoniasis).

Chifukwa chake, kugwiritsa ntchito zinc kumakhala koyenera kuti:

mankhwalawa komanso kupewa matenda oyamba ndi mavairasi a brittleness, dryness ndi tsitsi, ziphuphu, kuyabwa pakhungu (kuphatikizapo matupi awo sagwirizana), misomali yovunda, kuchepa kwa potency, prostatitis, adenoma ya prostate, zilonda zapakhosi, zilonda zam'mimba, matumbo

Zinthu zambiri zimakhala ndi zinc:

nsomba zam'nyanja (nsomba zam'madzi, nsomba zam'madzi, shrimp, squid, etc.) chiwindi tchizi zolimba nyemba zamchere zopangira bowa (zipatso zam'madzi, mbalame yamchere, rasipiberi, honeysuckle, blackcurrant, sea buckthorn) dzungu ndi nthungu

Ndipo apa zinthu za zinc mu zinthu zina (mg wa zinc pa 100 g ya mankhwala):

Oysters - 45 Cocoa ufa - 7 mg Nyama - 6 mg Crabs - 6 Impso - 4 Chiwindi - 4 Tchizi - 3-4 Sardines - 3 Chiwindi - 3 Maamondi - 3 Wokondedwa - 3 Sesame - 3 Walnuts - 3 Hazel - 2 Peanuts - 2 Ketchup - Maapulo 0,4 - 0

Pewani kuyamwa kwa zinc:

mowa wamphamvu khofi wamphamvu tiyi wowawasa mkaka mazira obiriwira ndiwo zamasamba zobiriwira (mwachitsanzo sipinachi, saladi)

Izi zikutanthauza kuti ndikosayenera kuphatikiza zakudya zomwe zili ndi zinc ndi zinthu zomwe zimapangitsa kuti zichitike (mwachitsanzo, kumwa kachiromboka ndi mkaka).

Kodi kuchiritsa matenda ashuga a 2?

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:

Sulfonylureas. Mbali imodzi, mankhwala a gululi amachititsa kuti insulini ipangike, ndipo, kumbali ina, amachepetsa kukana kwa insulin.
Metformin - kumawonjezera kukhudzika kwa minofu ya thupi kupita ku insulin, kumbuyo komwe kulemera kwa wodwalayo kumachepa, kapangidwe ka lipid magazi kamayenda bwino.
Amachokera ku Thiazolidinone - muchepetse kuchuluka kwa shuga ndikukhazikitsa kuchuluka kwa lipids m'magazi.
Alpha Glucosidase Inhibitors - tilepheretseni mayamwidwe am'mimba mu chakudya cham'mimba.
Dipeptidyl Peptidase-4 Inhibitors - onjezerani zamphamvu za ma cell a pancreatic beta kuti akhale shuga.
Amayamwa - onjezerani shuga wodalira popanga insulin ndikuchepetsa kutulutsa shuga kwambiri.

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.

Zakudya zama carb ochepa ndizofunikira kwambiri pa chithandizo

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:

Agologolo - 80-90 g (55% nyama).
Mafuta - 70-80 g (30% masamba).
Zakudya zomanga thupi - 300-350 g.

Nayi zitsanzo mndandanda wazakudya tebulo nambala 9 patsikulo:

Chakudya cham'mawa - 200 g wa tchizi chochepa mafuta kanyumba ndi zipatso zovomerezeka.
Zakudya - 1 lalanje kapena mphesa.
Chakudya chamadzulo - masamba msuzi ndi kagawo ka mkate wa chinangwa, yophika ng'ombe.
Zakudya - 150 g wa masamba saladi.
Chakudya chamadzulo - nsomba zonenepa kwambiri zokhala ndi mbale yazakudya.
Maola 2-3 asanagone - kapu yamkaka.

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

Zochita zolimbitsa thupi ngati njira yowongolera matenda a shuga a 2

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.

Chifukwa chake, kuwonjezeka kwa ntchito zamagalimoto, ndikukhala olondola kwambiri - kubwezeretsa kwa magwiridwe antchito a anthu - kumateteza kagayidwe kazinthu tokhala m'thupi.

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.

Mankhwala achikhalidwe sachiritsa matenda ashuga okha, koma amathandizanso kukhala ndi shuga panthawi yayitali:

Buckwheat groats. Buckwheat yaying'ono imathiridwa ndi 1 lita imodzi ya mkaka wowawasa ndikusiyidwa usiku. M'mawa muyenera kudya monga chakudya cham'mawa. Itha kudyedwa tsiku lililonse la 2 kapena kuchepera.
Mbewu za fulakesi Tengani 2 tbsp. l mbewu, pogaya bwino ndi kutsanulira 0,5 l madzi owiritsa. Valani mafuta, bweretsani kwa chithupsa ndikugwiritsitsa kwa mphindi 5-7. Idyani m'mawa pamimba yopanda kanthu kwa masiku 60.
Celandine. Udzu wouma umawonjezeredwa mumtsuko wa theka lita mpaka kumadzaza kotala la voliyumu. Kenako imathiridwa pamlomo ndi madzi otentha. Imaphatikizidwa kwa maola angapo. 100 ml ya msuzi tsiku lililonse amatengedwa mphindi 15-20 musanadye katatu. Pamene kulowetsedwa konse kuledzera, muyenera kupuma masiku 15. Kwa chaka, chithandizo chitha kuchitidwa katatu.
Nyemba Zoyera. Thirani madzi osalala mu kapu ndikuwonjezera nyemba 15. Siyani usiku, ndipo m'mawa idyani pamimba yopanda kanthu. Zakudya zochepa pa sabata zidzakhala zokwanira.

Zatsopano mu Type 2 Shuga

Popeza chifukwa chachikulu chopewera minofu kukokana ndi insulin ndi kunenepa kwawo, ndizomveka kuwongolera chithandizo panjira yochepetsera mafuta. Izi zitha kuchitika osati mothandizidwa ndi kuwonda konsekonse, komanso kugwiritsa ntchito njira zamankhwala kuti muchepetse kuchuluka kwa maselo amafuta, makamaka m'chiwindi.

Pakadali pano akuyesedwa nyama mitochondrial kudzipatula njira. Kupangidwa ndi asayansi, mankhwalawa niclosamide ethanolamine amathandizira kuti awononge mafuta ochulukirapo komanso shuga. Ngati mayeserowo atakhala opambana, njira yatsopanoyi isinthira chithandizo cha matenda ashuga a mtundu 2.

Dera lina lolimbikitsa - tsinde cell mankhwala.

Omwe akupangira njirayi amakhulupirira kuti maselo omwe amayambira pamankhwala a wodwala, akaphatikizidwa m'thupi, amapita ku ziwalo zomwe zadzaza kwambiri ndikusintha ziwalo zowonongeka.

Pankhani ya matenda ashuga, kapangidwe ka maselo a pancreatic beta asinthidwa ndipo mwakutero, katulutsidwe kamatenda a glucose omwe amapezeka ndi insulin ndikulowetsedwa kwake ndi minofu yake kudzasintha.

Malo ena omwe asayansi akufunafuna njira yothetsera vuto la matenda ashuga ndi mtundu wa kagayidwe kazakudya chifukwa kuphatikiza zakudya za wodwala ndizomera zazomera. Pankhaniyi, chatsopanocho ndi chakale chosaiwalika.

Zakudya zoperewera, kusakhala bwino m'zakudya zatsopano, zimapangitsa kunenepa kwambiri komanso matenda a shuga. Izi zikutanthauza kuti ndikofunikira kukhathamiritsa kapangidwe kazakudya, ngakhale zitakhala kuti sizingachitike ndi zinthu, koma mothandizidwa ndi kukonzekera kokhala ndi fiber.

Nkhaniyi ifotokoza za njira zina zamankhwala komanso zamakono: http://diabet.biz/lechenie/novoe-v-lechenii-saxarnogo-diabeta-texnologii-metody-preparaty.html.

Pamsika pali zakudya zokwanira zokhala ndi chakudya cham'madzi, zomwe zimachepetsa kuyamwa kwa chakudya, kuyeretsa m'mimba, ndikuchepetsa chilako. Ndipo ngakhale izi sizingatchulidwe kuti mankhwala othandizira odwala matenda ashuga amtundu wa 2, CHIKWANGWANI pamodzi ndi njira zina zimawonjezera mphamvu polimbana ndi matendawa.

Kuphatikiza apo, aliyense wodwala matenda ashuga ayenera kudziwa malamulo othandiza kupewa matenda ashuga a 2.

Mawonekedwe a chithandizo cha amuna, akazi ndi ana

Njira zakumwambazi ndizoyenera kwa odwala onse omwe ali ndi matenda ashuga, koma nthawi yomweyo amawunikira zina za amuna, akazi ndi ana.

Matenda a 2 a shuga mwa amuna amayambitsa kwambiri njira yakulera:

Mu umuna wamadzimadzi, kuchuluka kwa umuna kumakhala kochepa kwambiri, komwe kumayambitsa kubereka.
Kuchuluka kwa shuga m'magazi kumayambitsa kutsika kwa testosterone, komwe kumakhudza libido.
Magetsi omwe amaperekedwa ku ziwalo za machitidwe obala amachepetsa kwambiri, zomwe zimapangitsa kuti pakhale gawo kapena kusakwanira kwathunthu.

Chifukwa chake, chithandizo cha matenda amtundu wa 2 m'magazi zimaphatikizaponso njira zochizira kuti muchepetse zotsatira zakumwambazi. Ngati wodwala agwirizana ndi malingaliro onse a dokotala pokhudzana ndi chithandizo cha matenda ashuga komanso chithandizo chamankhwala chodwalitsa, thanzi lake m'magawo onse limakhalabe pamlingo wokwanira.

Mtundu wa matenda osokoneza bongo a m'mayi mwa azimayi umakhudzidwa kwambiri ndi kukula kwa mahomoni, kapena, kusinthasintha kwake kokhudzana ndi kusamba kwa msambo, kutenga pakati, komanso kusamba.

Chifukwa chake, kuchuluka kwa shuga m'magazi kumakwera masiku ochepa asanamve ndipo kumachepa ndi kuyamba kwake.

Chithunzi chomwechi, pokhapokha pamlingo wokulirapo, chimawonedwa pakubadwa - shuga imakwera kwambiri theka lachiwiri la kubereka ndikuchepera pambuyo pobereka.

Mkulu wa glucose pa nthawi ya kusamba sangathe kulosera momveka bwino - amasintha mosayembekezereka, monga momwe zimakhalira ndi mahomoni ambiri panthawiyi.

Poyerekeza ndi maziko awa, mankhwalawa a shuga mu azimayi, chidwi chapadera chimaperekedwa pakudziyang'anitsitsa shuga wamagazi, komanso thanzi la maganizo. Ndi neurosis, ma infusions azitsamba amalimbikitsidwa kwambiri.

Mu ana, matenda a shuga a 2 amawonetseredwa ndikuwathandizidwanso chimodzimodzi ndi akulu. Chisamaliro chachikulu chimaperekedwa pakuzindikira koyambirira, popanda mankhwala a matenda ashuga. Popeza mankhwala aliwonse amakhala ndi zotsatirapo ndipo amawonekera m'thupi la ana osalimba kwambiri kuposa wamkulu.

Mankhwalawa matenda a shuga a ana 2, ndikofunikira kubetcha pakuwonjezera masewera olimbitsa thupi komanso kudya mokhazikika pamoto wamphamvu. Mutha kuphunzira zambiri za matenda ashuga ana pano.

: Mankhwala osagwiritsa ntchito mankhwala osokoneza bongo a 2 shuga

Pamodzi ndi njira zakuchizira matenda a shuga amitundu iwiri, njira zingapo zoyambirira zimaperekedwa masiku ano. Njira imodziyi ikukambidwa mu kanema wotsatira:

Munkhani yotsatira, tikambirana mwatsatanetsatane za kupezeka kwa matenda a shuga a mtundu wachiwiri. Timalongosola zomwe zimayambitsa maonekedwe, Zizindikiro, njira zina zochizira komanso kupewa zovuta.

Chithandizo cha matenda a shuga a mtundu wachiwiri ndi mutu wa maphunziro ambiri m'zaka zaposachedwa. Mankhwala ndi pharmacology akuyang'ana mwachangu njira zatsopano zolimbana ndi matendawa. Pomwe akupangidwira, masiku ano chithandizo ndi pulogalamu yonse yomwe imaphatikizapo kudya mokwanira, kukhala ndi moyo wakhama, ndipo pamavuto akulu, kumwa mankhwala.

Chifukwa chiyani odwala matenda ashuga ayenera kudya zinc ndi kuchuluka kwake

Kugwiritsa ntchito zinc mu shuga

Pazocheperako, zinthu zambiri ndi zinthu zake ndizothandiza pa thanzi la munthu. Chofunika kwambiri ndicho kudyetsa kwamthupi ndi matenda ashuga.

Pankhaniyi, simungathe popanda mavitamini a magulu A, B ndi C, koma ndizofunikira bwanji? Kodi ndichitsulo china chotchedwa zinc? komanso hirudotherapy.

Za momwe zimakhudzira thupi la aliyense wa odwala matenda ashuga komanso momwe angagwiritsire ntchito pambuyo pake m'nkhaniyo.

Pokhala wogwira ntchito mwachilungamo, nthaka imadziwika ndi zabwino zambiri zomwe sizitha kuchepetsedwa mu shuga. Makamaka, tikulankhula:

kuthekera kwakhudza magwiridwe antchito a mahomoni a pituitary, omwe amatha kukwaniritsidwa komanso Ayurveda,
zabwino zamagazi,
kupweteketsa mavuto apamba omwe nthawi zambiri amadwala matenda ashuga.

Kuphatikiza apo, kufunika kwake sikumapezeka mwa anthu athanzi okha, komanso matenda a shuga, mitundu yoyamba ndi yachiwiri, komanso kutikita minofu. Izi ndi zomwe zimapangitsa zinc kukhala yochuluka kwambiri.

Iwo omwe ali ndi matenda a shuga amadziwa bwino zomwe zimachitika.

Izi ndi zizindikiro monga kusakhazikika kwa njira zonse za metabolic, index yayikulu ya thupi, ludzu, kukodza pafupipafupi, komanso, kuwonjezeka kwa kuchuluka kwa shuga m'magazi.

Tiyenera kukhazikika pam mfundo yomaliza, chifukwa zimatengera kuchira Pafupifupi, ndi momwe thupi litha kuthana ndi glucose omwe akubwera komanso kukula kwa chiwerengero chofunikira cha mahomoni.

Ngati thupi laumunthu lili munthawi yokhazikika, ndiye kuti mahomoni amachititsa kuthana ndi shuga wambiri. diagnostics zomwe ndizovuta kwambiri.

Kupanda kutero, wodwalayo amakhala ndi vuto lokwanira, ndipo izi zimawononga thanzi.

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

Kuphatikiza pa kutenga nawo gawo pakuthandizira kuzungulira kwa kayendedwe kazinthu komanso kukonza ziwalo zogaya, mcherewu umathanso:

zimakhudza kuchuluka kwa ntchito ya insulin,
kukhala chitsimikizo cha metabolism yoyenera yamafuta.

Komabe, makamaka za zabwino zomwe zinc zimasiyananso chifukwa chake ziyenera kugwiritsidwa ntchito pa matenda ashuga.

Kodi maubwino amatenga zinc?

Monga momwe mukudziwira, insulini ndi gawo lofunikira kwambiri lama cell metabolism m'thupi. Cholinga chake ndikuwongolera kuchuluka kwa shuga m'magazi.

M'modzi mwa anthu omwe adakumana ndi matenda ashuga, akuwonekeranso ndi kuchuluka kwamafuta a insulin, omwe sangathe kuchita ntchito zake zonse moyenera.

Komabe, ndi zinc yomwe imagwiritsidwa ntchito mu shuga, imatha kukonza cholakwikachi. Ndili othokoza kuti njira zonse zomwe zimagwirizanitsidwa ndi metabolism zimabwezeretseka.

Chimodzi mwazinthu zabwino zambiri zomwe zaperekedwa ziyeneranso kuganiziridwa kuti chimagwira ntchito pochiritsa mabala mwachangu, salola kuti cholesterol iyidwe m'thupi.

Kuphatikiza apo, zinki zimapangitsa kuchiritsa vuto lalikulu ngati kusabereka ndipo zimakhudza magwiridwe antchito a mahomoni okula, omwe ndi ofunikira kwambiri ku matenda ashuga.

Izi ndizopindulitsa zomwe zaperekedwa, koma malamulo ake ndi oti azigwiritsa ntchito?

Kuti thupi lizigwira ntchito ngati wotchi, akatswiri amalimbikitsa kuti pakhale pafupifupi 25 mg wa zinc mu shuga kwa maola 24. Chifukwa chake, nthaka ya zinc ikhoza kupezeka ngati muphatikiza muzakudya monga:

mwanawankhosa
nyama,
nyama ya nkhumba
mphukira za tirigu.

Zinc imadziwikanso ndi nthanga za maungu, mpiru, mkaka, mazira ndi yisiti ya brewer. Koma kuti mupeze zonse zofunika tsiku ndi tsiku, mudzafunika china kuposa kugwiritsa ntchito zomwe mwapereka.

Masiku ano mumasitolo ogulitsa mankhwala mutha kuwona zinc mumtundu wotchedwa chelated.

Imapezeka ngati makapisozi kapena mapiritsi, chifukwa chake imawerengedwa ngati chakudya chowonjezera. Mitundu ina ya mankhwala apangidwa yomwe ili ndi mcherewu, koma nthaka yokhala ndi mafuta othandiza kwambiri ndiyothandiza. Komabe, ndikofunikira kugwiritsa ntchito zinc, makamaka ndi shuga, pokhapokha mutakumana ndi katswiri.

Zakudya zokhala ndi Zinc

Kuphatikiza apo, kugwiritsa ntchito mankhwalawa kumakhala kopambana komanso kothandiza ngati zinthu zomwe zili mumenyu a matenda ashuga zili ndi vitamini A, calcium, ngakhale phosphorous. Kukumbukira zabwino za chinthuchi komanso momwe amagwiritsidwira ntchito, munthu sayenera kuyiwala za contraindication achindunji.

Zokhudza contraindication

Popeza zochitika za gawo loperekedwa, tiyenera kungoganizira nthawi zina pomwe kugwiritsidwa ntchito sikungakhale kosayenera. Izi ndi:

zaka mpaka 12 ndi zaka 60,
magawo aliwonse a mimba,
mavuto am'mimba, khungu ndi genitourinary system,
kusalolera payekha pazitsulo ndi ma ayoni ake.

Mu milandu yomwe yaperekedwa, kugwiritsidwa ntchito kwa zinc kumakhala kosafunikira kwenikweni, mwadongosolo. Kupatula apo, izi zitha kupangitsa kuti pakhale poizoni wambiri wa chakudya, komanso zovuta zina zofananira zomwe ngakhale munthu wooneka wathanzi ayenera kuthana nazo.

Nthawi yomweyo, thupi likafooka ndi matenda ashuga, chisamaliro chapadera chiyenera kuonedwa. Ndiye chifukwa chake musanayambe kugwiritsa ntchito zinc kawirikawiri, muyenera kufunsa katswiri yemwe angadziwe kuthekera kwa njira imeneyi.

Potere, mankhwalawa adzakhala othandiza 100%.

Udindo wama mavitamini mu shuga ndi kugwiritsa ntchito kwawo

Poona zovuta zakupita patsogolo, zakudya zamunthu wamakono zochulukazo sizisintha kukhala zabwino, zimakhala ndi zakudya zabwino komanso zopatsa mphamvu, zomwe zimapangitsa kuti zakudya zatsopano komanso zachilengedwe ziziyenda bwino.

Zomwe zimachitika pakusintha kotereku ndikuchepa kwa thupi ndi mavitamini ndi ma microelements, omwe ndi othandizira komanso ofunikira kwambiri pakukhudzidwa kwakuthupi komanso moyo wabwinobwino.

Kafukufuku wambiri wa biomedical wochititsidwa ndi sayansi yam'nyumba akuwulula mitundu yosiyanasiyana ya kuchepa kwa ma hypo- ndi mavitamini omwe amachitika mwanjira yamtundu wokhala ndi zisonyezo zosafotokozera, zosadziwika zomwe zili ponseponse mwa anthu.

Pamodzi ndi kuchepa kwa mavitamini, palinso kuchepa kwa zinthu zazing'ono komanso zazikulu (calcium, ayodini, zinki, ndi zina).

Kusowa kwa maumboni owoneka bwino kumalola hypovitaminosis kukhalabe wosadziwika kwa nthawi yayitali. Kusowa kwa Vitamini kumapezeka pafupifupi pagulu lililonse la anthu. Momwe hypovitaminosis imayendera limodzi ndi matenda osachiritsika ndipo makamaka matenda a shuga amayenera kutchulidwa mwapadera.

Shuga mellitus, yemwe ali ndi mitundu yambiri ya zamankhwala ndi mitundu, ndi njira yokhazikika yachilengedwe chonse. Matendawa amayambitsidwa ndi kuchepa kwa insulin kapenanso kwathunthu, chifukwa cha zomwe zimachitika m'thupi zimasokonekera ndipo kagayidwe kazakudya kamasokonekera kamasokonezeka kwambiri, kamene kamayambitsa kusokonezeka kwamachitidwe ambiri azamoyo.

Akuluakulu kulumala ndi kufa pafupipafupi pakati odwala omwe ali ndi matenda ashuga kumayamba chifukwa cha zovuta za matendawa: kuwonongeka kwa ziwiya zazing'onoting'ono ndi zazikulu zomwe zimayambitsa matenda a impso, mtima, neuropathy, ndi chitukuko cha matenda ammimba.

M'mitundu yonse ya matenda ashuga, makamaka kuwonongeka kwakanthawi ndi njira yayitali, kusintha kwa ma metabolism kumachitika mu kagayidwe kazinthu kokhala ndi mavitamini osungunuka am'madzi ndi ma coenzymes awo.

Mkhalidwe wa wodwala wodwala matenda ashuga umakakamizidwa ndi zovuta zomwe zimapangitsa kuti pakhale chakudya champhamvu chomwe chimalepheretsa kuperekera mavitamini ndi mchere kwa wodwala, momwe amakumana ndi vuto lochulukirapo chifukwa cha matendawa.

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.

Vitamini chithandizo ndi gawo lofunikira kwambiri pa zovuta zovuta za matenda a shuga ndi zovuta zake. Koma zikuwonekeratu kuti mothandizidwa ndi zakudya wamba zimakhala zovuta kukhutiritsa kufunikira kwa wodwala mavitamini ndi mchere.

Chifukwa chake, kudya kwatsiku ndi tsiku kwamankhwala amamineral mineral ndizodziwika kwambiri komanso koyenera. Pankhani ya odwala omwe ali ndi matenda ashuga, kukonzekera kwa mavitamini wamba sikungathe kukwaniritsa zosowa zawo za mavitamini ndi mchere, zomwe zimasiyana ndi zomwe zimakhala mwa anthu athanzi.

Makamaka kwa odwala matenda ashuga, mavitamini ndi michere yokonzekera imapangidwa poganizira matenda awo. Mwa opanga akunja, VervagFarma ndi mafakitale a Doppelherz amatulutsa mankhwalawa.

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.

Zinc kwa matenda ashuga

Zinc amatanthauza zitsulo, zomwe pang'ono mu thupi la munthu ziyenera kukhalapo.

Chochita chachikulu cha chinthu ichi chamafuta chimapangidwa ndi kapamba, kayendedwe ka magazi ndi magwiridwe antchito a gitu. Anthu odwala matenda ashuga amafuna zinc komanso anthu athanzi.

Chifukwa chiyani matenda ashuga amafunika 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.

Chizindikiro chofunikira kwambiri ndi shuga wambiri.

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.

Ubwino wa zinc kwa odwala matenda ashuga

Pakupanga kagayidwe, insulini imagwira ntchito yofunika kwambiri, ndipo palibe mahomoni ena m'thupi omwe angangoikonzanso.Ntchito yayikulu ya insulin ndikuwongolera kuchuluka kwa shuga m'magazi.

Mu shuga mellitus, insulin siyichita ntchito yake yonse ndipo zinc imatha kukopa ma horoni m'njira zabwino. Izi zamankhwala zimathandizira kubwezeretsa kagayidwe.

Phindu la zinc kwa wodwala matenda ashuga limaphatikizanso kuti chitsulo ichi chimapangitsa machiritso mofulumira, zimalepheretsa kuyatsidwa kwa cholesterol yoyipa m'magazi, zimathandiza kuthana ndi kusabereka ndipo zimapangitsa matenda kukula kwa mahomoni.

Zofunika! Kuti thupi lake lizigwira ntchito moyenera, wodwala matenda ashuga ayenera kuonetsetsa kuti mankhwalawa amakhala ndi 15 mg tsiku lililonse. Pamodzi ndi chakudya, zinc zimatha kupezeka kuchokera ku nyama (nkhumba, mwanawankhosa), tirigu ndi mphukira za mpiru, maungu. Mulinso ndi zinc m'mazira ndi mkaka, ngakhale yisiti ya brewer.

Zoyenera kugula kuti mukhale miyezo ya zinc?

Ngakhale mutamadya zakudya zambiri zokhala ndi zinc, zimakhala zovuta kuti munthu wodwala matenda ashuga azikwanira pazitsulo zofunika. Pachifukwachi, mumafakisi mungagule zinc m'njira zamapiritsi kapena mapiritsi. Nthawi zambiri amagwirizana ndi zowonjezera zachilengedwe.

Komanso, mavitamini ambiri amakhala ndi chitsulo chofotokozedwacho. Kugwiritsa ntchito zinc kuyenera kumalumikizidwa ndi kuphatikizidwa kwa zakudya zamagulu azakudya zambiri za phosphorous, vitamini A ndi calcium.

Pakadali pano, makampani opanga mankhwala amapanga mankhwala abwino omwe ndi othandiza kwambiri.

Zinc mtundu 2 shuga: momwe mungagwiritsire ntchito kuyimitsidwa mankhwalawa?

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.

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

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.

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.

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.

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

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.

Pali mitundu yambiri ya zakudya zomwe zili ndi zomwe ndizosakira zinc.

Mndandanda wazakudya zomwe zili ndi zinc ndizambiri:

Mwanawankhosa.
Chingwe cha nkhumba.
Patula tirigu.

Komanso, imakhala yambiri m'mbewu za maungu, muzinthu zamkaka ndi mpiru. Alinso ndi yisiti yofulula. Inde, kuti thupi laumunthu lipeze zinc zokwanira, muyenera kuzindikira kuti kungodya zakudya zonsezi sikokwanira. Zakudya zopatsa mphamvu zamapulogalamu ashuga ziyenera kutsatiridwa, makamaka ngati mukunenepa kwambiri.

Zachidziwikire, mutha kusinthitsa njira yothandizira mankhwalawo ndikugwiritsa ntchito chinthucho ngati mapiritsi kapena mapiritsi. Komanso, mukuyenera kudziwa kuchuluka kwake kwa mankhwalawa ndipo muzikumbukira kuti kuchuluka kwa zinc kumakhudzanso thupi, komanso kuchepa kwake.

Masiku ano, palinso mitundu ina ya mankhwala, yomwe imaphatikizapo chinthu ichi. Koma nthawi zambiri zimalimbikitsidwa kuti muzigwiritsa ntchito ngati chowonjezera chachilengedwe.

Pazakudya za odwala matenda ashuga aliyense ayeneranso kukhala ndi zakudya zomwe zimakhala ndi vitamini A, phosphorous ndi calcium.

Mutha kumwa mavitamini, omwe ali ndi zinthu zonsezi pamwambapa. Koma adokotala wokha omwe ayenera kulandira mankhwala, simuyenera kusankha mankhwalawo ndikuyamba kuwagwiritsa ntchito. Kupanda kutero, mutha kungokulitsa vuto lanu.

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.

Sonyezani shuga yanu kapena sankhani jenda kuti muyiyikire.

Mtundu wachiwiri wa shuga - mankhwala ndi zakudya

Mtundu wachiwopsezo wa shuga wachiwiri ndi matenda amtundu wa endocrine momwe mumakhala kuchuluka kwa shuga m'magazi.

Matendawa amadziwika ndi kuphwanya chiwopsezo cha maselo ndi minyewa kupita ku insulin, yomwe imapangidwa ndi ma cell a pancreatic. Umu ndi mtundu wa 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.

Chimachitika ndi chiyani ndi matenda ashuga?

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.

Zizindikiro za matenda a shuga a Type 2

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.

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.

Type 2 shuga

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 omwe ali ndi thupi lolemera (BMI 25-29 kg / m2) kapena kunenepa kwambiri (BMI> 30 kg / m2).

Mankhwala ochepetsa mphamvu ya shuga amagwiritsidwa ntchito pofuna kusangalatsa maselo kuti apange insulin yowonjezereka, komanso kuti akwaniritse kuyika kwake plasma. Kusankhidwa kwa mankhwala kumachitika ndi dokotala.

Mankhwala odziwika kwambiri a antiidiabetes:

Metformin ndi mankhwala oyamba odwala odwala matenda ashuga a mtundu 2, kunenepa kwambiri komanso kusala kudya kwa hyperglycemia. Chida ichi chimalimbikitsa kusunthika ndi kuyamwa kwa shuga m'matumbo am'mimba ndipo samatulutsa shuga ku chiwindi.
Miglitol, Glucobay. Mankhwalawa amalepheretsa kuyamwa kwa ma polysaccharides ndi oligo. Zotsatira zake, kuchuluka kwa shuga m'magazi kumayamba kuchepa.
Kukonzekera kwa 2nd sulfonylurea (CM) kukonzekera (chlorpropamide, tolbutamide, glimepiride, glibenclamide, ndi zina zotere) kumathandizira kubisalira kwa insulin mu kapamba ndikuchepetsa kukana kwa zotumphukira zimakhala (chiwindi, minofu minofu, adipose minofu).
Thiazolidinone zotumphukira (rosiglitazone, troglitazone) zimachulukitsa zochitika za insulin receptors ndipo potero zimachepetsa kuchuluka kwa shuga, kusintha mawonekedwe a lipid.
Novonorm, Starlix. Gwiritsani kapamba kuti muchotsere insulin.

Chithandizo cha mankhwala osokoneza bongo chimayamba ndi monotherapy (kumwa mankhwala 1), kenako ndikuphatikizidwa, ndiye kuti, kuphatikiza pa kuphatikiza kwa mankhwala a 2 kapena kupitirira apo a shuga. Ngati mankhwala omwe ali pamwambawa ataya ntchito, ndiye muyenera kusintha kugwiritsa ntchito mankhwala a insulin.

Mtundu wachiwiri wa matenda ashuga

Kuchiza matenda a shuga a 2 kumayambira ndi zakudya zomwe zimakhazikitsidwa motengera mfundo izi:

kuchuluka zakudya 6 pa tsiku. Muyenera kudya pafupipafupi nthawi zonse,
Musapitirire kalori pamwamba 1800 kcal,
kunenepa kwambiri kumafuna kusintha,
chiletso chamafuta
kuchepetsa mchere,
kuchepetsa mowa
chakudya chokhala ndi mavitamini ndi michere yambiri.

Zinthu zomwe siziyenera kulekedwa kapena kuperewera:

okhala ndi chakudya chamafuta ambiri: maswiti, masikono, ndi zina zambiri.
zonunkhira, zamchere, zokazinga, zosuta komanso zonunkhira.
batala, margarine, mayonesi, kuphika ndi nyama.
mafuta wowawasa zonona, zonona, tchizi, feta tchizi, tchizi cha curd.
semolina, mbewu monga mpunga, pasitala.
mafuta msuzi ndi msuzi wamphamvu.
masoseji, masoseji, masoseji, nsomba zamchere kapena zosuta, mafuta amtundu wa nkhuku, nsomba, nyama.

Mlingo wa fiber kwa odwala omwe ali ndi matenda ashuga amasiya 3540 g patsiku, ndipo ndikofunikira kuti 51% yazakudya zokhala ndi masamba, 40% ya chimanga ndi 9% ya zipatso, zipatso, bowa.

Zitsanzo za anthu odwala matenda ashuga a tsikulo:

Chakudya cham'mawa - phala la oatmeal, dzira. Mkate Khofi
Zokhwasula - yogurt wachilengedwe ndi zipatso.
Chakudya chamadzulo - msuzi wamasamba, bere la nkhuku ndi saladi (kuchokera ku beets, anyezi ndi mafuta a azitona) ndi kabichi yabwino. Mkate Compote.
Zakudya zazing'ono - tchizi chamafuta ochepa. Tiyi
Chakudya chamadzulo - hake wophika wowawasa zonona, saladi wa masamba (nkhaka, phwetekere, zitsamba kapena masamba ena aliwonse amphaka) ndi mafuta a masamba. Mkate Cocoa
Chakudya chachiwiri (maola angapo asanagone) - yogati yachilengedwe, apulo wophika.

Malangizowa ndi ofala, popeza wodwala aliyense ayenera kukhala ndi njira yakeyake.

Tsatirani malamulo osavuta

Malamulo oyambira omwe wodwala matenda ashuga ayenera kutsatira:

gwiritsitsani zakudya zabwino
masewera olimbitsa thupi pafupipafupi
kumwa mankhwala
cheke magazi

Kuphatikiza apo, kuchotsa mapaundi owonjezera kumathandizira thanzi la anthu omwe ali ndi matenda amtundu wa 2:

shuga wamagazi amafika pakapita masiku onse
kuthamanga kwa magazi kumatulutsa
cholesterol bwino
kuchepetsedwa phazi katundu
munthu amamva kupepuka m'thupi.

Muyenera kumadziyesanso nokha magazi anu. Mlingo wa shuga ukadziwika, njira yothandizira odwala matenda ashuga imatha kusinthidwa ngati shuga sikhala yachilendo.