Zakudya za shuga > Zizindikiro

Kufotokozera kogwirizana ndi 12.07.2017

Kuchita bwino: kuchiritsa pambuyo 21 masiku
Madeti: mpaka chaka
Mtengo Wogulitsa: 1350-1450 rubles pa sabata

Malamulo onse

Mkhalidwe wa kagayidwe kazakudya chifukwa cha ubale womwe ulipo pakati pa zochitika za pancreatic b-cell zomwe zimatulutsa insulin, ndi kugwiritsidwa ntchito kwa shuga m'misempha. Pa gawo loyambirira, kugwiritsidwa ntchito kwa glucose mutatha kudya kumachepetsa - zomwe zimadziwika kuti kuphwanya zakudya zamagulu zimadziwonetsa, zomwe zimawonjezera shuga. Munthawi imeneyi, shuga othamanga amakhala abwinobwino, chifukwa amalipidwa ndi kuchuluka kwa insulin.

Kutulutsa kosalekeza kwa insulin kumatha ma cell a β, kutsekeka kwa shuga m'matumbo osiyanasiyana, ndikuwoneka kusala hyperglycemia. Mawu akuti "prediabetes" adayambitsidwa mu 90s, ndipo amaphatikiza mitundu iwiri ya kusintha kwa kagayidwe kazakudya: kusalolerana kwa glucose komanso kusala kudya kwa hyperglycemia. Nthawi zina zovuta ziwiri izi zimachitika mwa wodwala m'modzi. Ndiwopseza chitukuko. matenda ashugandipo ngati vuto la kulolera kwa glucose lili ndi chiwopsezo chowonjezeka cha matenda a mtima ndi mtima. Anthu 300 miliyoni padziko lapansi amapeza izi ndipo chaka chilichonse mu 5-10% ya odwala omwe ali ndi vuto la glucose amayamba mtundu 2 shuga. Kuwonjezeka kwa kuthamanga kwa shuga kwa magazi opitilira 5.6 mmol / L mukaphatikizidwa ndi NTG kumawonjezera ndi 65% chiopsezo chotenga matenda a shuga. Kuti mupeze zovuta izi, kuyesa kwa glucose kumachitika: kuthamanga kwa glucose kumayesedwa ndipo maola awiri atatha kumwa 75 g shuga.

Mkhalidwe wa chisanadze shuga umakonzedwa ndi chithandizo chamankhwala - zimalimbikitsidwa kwa odwala Zakudya nambala 9. Zakudya izi zimachepetsa kagayidwe kazakudya ndipo zimalepheretsa zovuta zamafuta. Amadziwika ndi kuchepa kwakukulu kwa zakudya zamafuta (zosavuta) ndi mafuta, kutsika kwa cholesterol ndi mchere (mpaka 12 g patsiku). Kuchuluka kwa mapuloteni kuli ngati malire. Kuchuluka kwa chakudya chamafuta ndi kuchuluka kwa zopatsa mphamvu zimatengera kulemera kwa wodwalayo.

Ndi kulemera kwabwinobwino, 300-350 g yamafuta amadzimadzi ndi chimanga, mkate ndi ndiwo zamasamba.

Mukakhala onenepa kwambiri, mafuta ochulukirapo amakhala ochepa magalamu 120 patsiku, pomwe nthawi yomweyo amalandila mafuta ochulukirapo komanso mapuloteni okhala ndi chakudya. Masiku osala kudya amasonyezedwanso kwa odwala, chifukwa kuwonda kumakhala ndi zotsatira zabwino pa boma la carbohydrate metabolism.

Zakudya za prediabetes sizimaphatikizapo chakudya chochepa cham'thupi:

Confectionery
shuga
kupanikizana ndi kusunga
ayisikilimu
zipatso zabwino-masamba-zipatso,
mikate yoyera
madzi
pasitala.

Ndikulimbikitsidwa kuti muchepetse (nthawi zina osapangana ndi lingaliro la dokotala):

kaloti ngati mankhwala okhuthala kwambiri,
mbatata (pazifukwa zomwezi),
beets, yomwe imakhala ndi index yayikulu ya glycemic, ndipo atatha kudya pali kulumpha kwa shuga.
Tomato chifukwa cha shuga wawo wambiri.

Popeza zakudya zomwe zimachitika m'mbuyomu usanachitike shuga zimakhazikitsidwa ndioletsa zakudya zamafuta, ndikofunikira kusankha zipatso zomwe zimakhala ndi glycemic index (GI) yochepera 55: lingonberry, mphesa, apricots, cranberries, chitumbuwa cha maapulo, maapichesi, ma sea buckthorn, plums, gooseberries, yamapichesi, ma currants ofiira. Amayenera kumamwetsa malire (gawani mpaka 200 g). Ngati zakudya zomwe zili ndi GI yambiri zimadyedwa, pamakhala kuchuluka kwakukulu kwa shuga m'magazi, ndipo izi zimayambitsa secretion ya insulin.

Kumbukirani kuti kutentha pamawonekedwe kumawonjezera GI, kotero kugwiritsa ntchito masamba omwe amaloledwa (zukini, biringanya, kabichi) mu mphodza kumatha kusokoneza shuga.

Onetsetsani kuti mwalowa zakudya:

biringanya
kabichi
letesi yofiira (ili ndi mavitamini ambiri),
zukini ndi sikwashi, zomwe zimapangitsa kagayidwe kazakudya,
glucose-kutsitsa dzungu
lipotropic mankhwala (oatmeal, soya, kanyumba tchizi),
zinthu zophatika ndi mafuta pang'ono pang'onopang'ono zomwe zimakhala ndi michere yazakudya: nyemba, buledi wopanda nzeru, ndiwo zamasamba, zipatso, njere zonse.

Zakudya zitha kuphatikizapo shugaxylitol, fructose, sorbitol) ophatikizidwa ndi kuchuluka kwa chakudya chambiri. Mutha kulowa m'malo azakudya zotsekemera saccharin. Mlingo wa tsiku ndi tsiku wa xylitol ndi 30 g, fructose ndi wokwanira 1 tsp. katatu patsiku zakumwa. Mwina iyi ndi njira yabwino kwambiri yotsekera shuga - imakhala ndi GI yochepa komanso zopatsa mphamvu, koma imakhala ngati shuga. Zambiri pazakudya zidzafotokozedwa mu gawo "Zogulitsa Zovomerezeka".

Kuti mudziwe kulolerana kwa chakudya chambiri Zakudya nambala 9 zotchulidwa osati kwa nthawi yayitali. Potengera zakudya zoyeserera, kamodzi m'masiku 5 amayendera shuga pamimba yopanda kanthu. Ndi makulidwe azizindikiro, zakudya zimakulitsidwa pang'onopang'ono, pambuyo pa masabata atatu ndikuwonjezera mkate wa 1 pa sabata. Chimodzi mwa mkate ndi 12-15 g wamafuta ndipo zimapezeka mu 25-30 g mkate, mu 2 zidutswa zamtengo, 0,5 kapu ya phala la buckwheat, 1 apulo. Pambuyo pakukulitsa kwa miyezi itatu ndi 12 XE, imayikidwa mu mawonekedwe awa kwa miyezi iwiri, kenako XE ina 4 imawonjezeredwa ndipo wodwalayo amakhala pachakudya kwa chaka chimodzi, pambuyo pake zakudya zimakulidwanso. Ngati zakudya sizisintha kukula kwa shuga, tengani mankhwalawa.

Zinthu Zololedwa

Zakudya zokhudzana ndi kuvutika kwa glucose zimaphatikizapo kugwiritsa ntchito mkate wa rye, ndi chinangwa ndi tirigu wamtundu mpaka 300 g patsiku.

Chovomerezeka: nyama yotsamira ndi nkhuku, zomwe zimayenera kuphikidwa kapena kuphika, zomwe zimachepetsa chakudya chama calorie. Nsomba zimasankhidwanso mitundu yazakudya: zander, hake, pollock, cod, safironi cod, pike. Njira zophikira ndizofanana.

Kuchuluka kwa phala kumachepetsedwa ndi chizolowezi cha wodwala aliyense (pafupifupi - supuni 8 patsiku): barele, barele, barele ya pearl, oat, mapira, nyemba zimaloledwa. Chiwerengero cha chimanga ndi mkate ziyenera kusinthidwa. Mwachitsanzo, ngati mumadya pasitala (ololedwa nthawi ndi nthawi), ndiye kuti patsiku ili muyenera kuchepetsa kuchuluka kwa phala ndi mkate.

Zakudya zoyambirira zimakonzedwa pambale yachiwiri, koma makamaka pamasamba. Yang'anani pamasamba azomera zamasamba ndi bowa, popeza sizochepa kalori poyerekeza ndi chimanga. Mbatata m'maphunziro oyamba amaloledwa pang'ono.

Chakudya chimaphatikizapo ndiwo zamasamba ochepa mafuta (zukini, biringanya, dzungu, nkhaka, letesi, squash, kabichi), womwe umatha kugwiritsidwa ntchito ngati mphodza kapena mtundu waiwisi. Mbatata zimadyedwa zochepa, poganizira chakudya cha munthu m'magazi - nthawi zambiri mpaka 200 g patsiku m'mbale zonse. Mafuta ambiri amakhala ndi beets ndi kaloti, kotero funso loti muwaphatikizire muzakudya limasankhidwa ndi adokotala.

Zinthu zamafuta amkaka zochepa ziyenera kukhala m'zakudya tsiku lililonse. Mkaka ndi kulimba mtima curd amadyedwa mu mawonekedwe a mkaka porridges ndi casseroles (kanyumba tchizi bwino mu mawonekedwe ake achilengedwe). Kirimu wowawasa - kokha m'mbale, komanso tchizi chamafuta ochepa 30% amaloledwa pang'ono.

Zipatso zosaphatikizidwa zimaloledwa (zatsopano, zonunkhira, mousse, zipatso zosafunikira, kupanikizana ndi xylitol). Amaloledwa kugwiritsa ntchito uchi pa 1 tsp. kawiri pa tsiku, confectionery ndi shuga m'malo (zopangira maswiti kwa odwala matenda ashuga, makeke, waffles). Mukugwiritsa ntchito kwawo, palinso mtundu - maswiti 1 kawiri pa sabata.

Batala ndi mafuta osiyanasiyana azitsamba amawaonjezera mbale. Mazira - mu kuchuluka kwa tsiku limodzi, mutha kudya owiritsa kapena ofunda. Kofi wokhala ndi mkaka ndi tiyi wokhala ndi zotsekemera, kulowetsedwa kwa rosehip, timadziti ta masamba timaloledwa.

Masamba ndi amadyera

zukini0,60,34,624 sauerkraut1,80,14,419 kolifulawa2,50,35,430 nkhaka0,80,12,815 radishi1,20,13,419 tomato0,60,24,220 dzungu1,30,37,728 ma apricots0,90,110,841 chivwende0,60,15,825 chitumbuwa0,80,511,352 mapeyala0,40,310,942 nectarine0,90,211,848 mapichesi0,90,111,346 plums0,80,39,642 maapulo0,40,49,847 lingonberry0,70,59,643 mabulosi akutchire2,00,06,431 rasipiberi0,80,58,346 currant1,00,47,543

Mphesa ndi chimanga

nsomba zam'madzi12,63,362,1313 oatmeal12,36,159,5342 chimanga cha chimanga8,31,275,0337 ngale barele9,31,173,7320 mapira akudya11,53,369,3348 balere wogulira10,41,366,3324

Zinthu zophika buledi

mkate wa rye6,61,234,2165 mkate wa chinangwa7,51,345,2227 mkate wa dotolo8,22,646,3242 buledi wathunthu10,12,357,1295

Zinthu zamkaka

mkaka3,23,64,864 kefir3,42,04,751 kirimu wowawasa 15% (mafuta ochepa)2,615,03,0158 yogati2,92,54,153 yogati4,32,06,260

Laborator diagnostics

Nthawi zambiri, anthu omwe ali ndi vuto loleza glucose amakhala ndi zizindikiro za paradidi:

furunculosis,
gum magazi
kumasula koyambirira ndi mano, matenda amkati,
Khungu ndi maliseche,
khungu lowuma
zotupa zazitali zosachiritsa ndi matenda apakhungu,
kufooka pakugonana, kusamba kwa msambo mpaka amenorrhea,
angioneuropathy osiyanasiyana kutulutsa ndi zovuta, mpaka kuchuluka retinopathy kapena * kwambiri kuwononga atherosulinosis (kuwononga endarteritis).

Kuzindikiritsa izi ndizomwe zimayesa mayeso a glucose.

Laborator diagnostics

Kuunikanso kwa zotsatira zoyeserera za mayeso a shuga a pakamwa kwa maola awiri mwa amuna ndi akazi omwe sanatenge pakati molingana ndi zomwe American Diabetes Association (1998) zikunena:

Kusala plasma glucose concentration: 6.1 ... 6.69 mmol / l,
30, 60, 90 Mphindi pambuyo kudya kwa glucose> (kwakukulu kapena kofanana ndi) 11.1 mmol / L (mwachitsanzo chimodzi),
Mphindi 120 atatha kudya shuga: 7.8 ... 11.09 mmol / L.

Kodi kuphwanya kofananako ndikotani?

Kodi kulolerana kwa glucose kumabweretsa chiyani? Ndi mkhalidwe wofanana, munthu amakhala ndi kuchuluka kwa shuga m'magazi. Kuchuluka kwa shuga ndikokwera kuposa masiku onse, koma nthawi yomweyo kutsika kuposa kumene odwala amapezeka ndi mtundu wachiwiri wa matenda a shuga.

Chifukwa chake, kulekerera mosaloledwa ndi chimodzi mwazinthu zowopsa. Kafukufuku waposachedwa akuwonetsa kuti pafupifupi gawo limodzi mwa atatu mwa odwala limayamba kudwala matenda ashuga. Komabe, malinga ndi malamulo ena ake komanso mankhwala osankhidwa bwino, kagayidwe kamunthu kamafanana.

Zomwe zimapangitsa kuti pakhale kulekerera kwa glucose

Osati nthawi zonse, madokotala amatha kudziwa chifukwa chake wodwalayo wadwala matendawa. Komabe, zinali zotheka kudziwa zomwe zimayambitsa kulekerera kwa glucose:

Choyamba, ndikofunikira kutchulanso chibadwa chamtunduwu, chomwe chimachitika nthawi zambiri. Ngati wachibale wanu wapamtima ali ndi matenda ashuga, mwayi wokhala ndi vuto lotere umakula kwambiri.
Mwa odwala ena, omwe amatchedwa insulin kukana amapezeka mkati mwazofufuza, momwe chidwi cha maselo kupita ku insulin chimalephera.
Nthawi zina, kulolerana kwa glucose kumayamba chifukwa cha matenda apamba pomwe chinsinsi chake chimasokonekera. Mwachitsanzo, mavuto okhala ndi carbohydrate metabolism amatha kuwoneka motsutsana ndi maziko a kapamba.
Zomwe zimayambitsa zimatha kuphatikizanso matenda ena a endocrine system, omwe amakhala ndi vuto la metabolic komanso shuga wowonjezera wamagazi (mwachitsanzo, matenda a Itsenko-Cushing).
Chimodzi mwamavuto omwe ali pachiwopsezo ndi kunenepa kwambiri.
Kukhala moyo wongokhala kumakhudzanso thupi.
Nthawi zina kusintha kwa shuga m'magazi kumalumikizidwa ndi kumwa mankhwala, makamaka mahomoni (nthawi zambiri, glucocorticoids amakhala "osokoneza").

Matenda olekerera a glucose: Zizindikiro

Tsoka ilo, matenda oterewa nthawi zambiri amakhala asymptomatic. Odwala samakonda kudandaula za kuwonongeka kwa thanzi kapena samangozindikira. Mwa njira, kwakukulu, anthu omwe ali ndi matenda ofananawa ndi onenepa kwambiri, omwe amalumikizidwa ndi kuphwanya njira yachilengedwe.

Pamene kukulira kwa vuto la kagayidwe kazakudya, mawonekedwe a mawonekedwe amayamba kuonekera, omwe amaphatikizidwa ndi kulolerana kwa shuga. Zizindikiro mu nkhaniyi ndi ludzu, kumverera kwa pakamwa pouma komanso kuchuluka kwa madzimadzi. Chifukwa chake, kukodza pafupipafupi kumawonedwa mwa odwala. Poyerekeza zakumbuyo yamavuto amthupi ndi kagayidwe kachakudya, kuchepa kwakukulu kwa chitetezo chamthupi kumawonedwa - anthu amatenga matenda oyamba ndi mafangasi.

Kodi vuto ili ndi chiyani?

Inde, odwala ambiri omwe ali ndi vutoli amasangalala ndi mafunso okhudzana ndi kuopsa kwa kulolera kwa glucose. Choyamba, matendawa amawonedwa ngati owopsa chifukwa, ngati sanapatsidwe, chiwopsezo chokhala ndi matenda odziwika bwino, omwe ndi mtundu wachiwiri wa matenda ashuga, ndi okwera kwambiri. Komabe, matenda oterewa amawonjezera mwayi wokhala ndi matenda amtima.

Njira zoyambira matenda

Kuzindikira kwa kulekerera kwa glucose kumatha kupangidwa ndi adokotala okha. Poyamba, katswiri azichita zoyesa ndikuwonetsa anamnesis (kukhalapo kwa zodandaula zina kuchokera kwa wodwalayo, zambiri zokhudzana ndi matenda omwe amapititsidwa kale, kupezeka kwa anthu omwe ali ndi matenda ashuga m'banja, ndi zina).

M'tsogolomu, kuyezetsa magazi ambiri pamlingo wa shuga kumachitika. Zitsanzo zimatengedwa m'mawa, pamimba yopanda kanthu. Njira yofananira imachitika m'chipatala chilichonse. Monga lamulo, kuchuluka kwa shuga mwa odwala oterowo kumaposa 5.5 mmol / L. Komabe, kuti adziwitse kuzindikira koyenera, kuyesa kwapadera kwa glucose kumafunika.

Mayeso ndi zisonyezo za machitidwe ake

Kufufuza kotere ndi njira imodzi yofikira kwambiri yopezera matenda omwe amachititsa kuti "glucose kulolerana" Koma ngakhale kuyesa ndikosavuta, kukonzekera koyenera ndikofunikira pano.

Kwa masiku angapo asanamwe magazi, wodwalayo amalangizidwa kuti apewe kupsinjika ndikuwonjezera zochitika zolimbitsa thupi. Ndondomeko ikuchitika m'mawa komanso pamimba yopanda kanthu (osati kale kuposa maola 10 mutatha chakudya chatha). Choyamba, gawo lamwazi limatengedwa kuchokera kwa wodwala, pambuyo pake amamwa kumwa shuga wamphutu osungunuka m'madzi ofunda. Pambuyo maola 2, kuyezetsa magazi mobwerezabwereza kumachitika. M'malo a labotale, kuchuluka kwa shuga m'masamba kumatsimikiziridwa ndipo zotsatira zake zimayerekezedwa.

Ngati shuga asanadye shuga wamagazi anali 6.1-5,5 mmol, ndipo patatha maola awiri adalumpha kwambiri mpaka 7.8-11.0 mmol / l, ndiye titha kuyankhula kale za kuphwanya kulolerana.

M'malo mwake, akatswiri amalimbikitsa kuti aliyense amayesedwa kamodzi pa zaka ziwiri zilizonse - iyi ndi njira yothandiza kwambiri yodzitetezera yomwe ingathandize kuzindikira matenda adakali achichepere. Komabe, pali ena omwe ali pachiwopsezo chomwe kusanthula ndikofunikira. Mwachitsanzo, anthu omwe ali ndi vuto lobadwa ndi matenda ashuga, komanso odwala omwe ali ndi kunenepa kwambiri, matenda oopsa a m'magazi, cholesterol yapamwamba, atherosulinosis, neuropathy yachidziwitso chosadziwika, nthawi zambiri amatumizidwa kukayezetsa.

Glucose kulolerana vuto: mankhwala

Ngati mayeso ololera amapereka zabwino, ndiye muyenera kulumikizana ndi endocrinologist. Katswiri wokha ndi amene amadziwa chithandizo chomwe chimafunika kulolera shuga. Chithandizo pano. Komabe, wodwalayo ayenera kusintha moyo wake mwachangu momwe angathere.

Ndikofunikira kuonetsetsa kuti kulemera kwa thupi kumadutsa malire oyenera. Mwachilengedwe, kukhala pachakudya chokhazikika kapena kukhetsa thupi ndi masewera olimbitsa thupi sikuyenera. Muyenera kulimbana ndi mapaundi owonjezera, kusintha pang'onopang'ono zakudya komanso kuwonjezera masewera olimbitsa thupi. Mwa njira, maphunziro ayenera kukhala okhazikika - katatu katatu pa sabata. M'pofunika kusiya kusuta, chifukwa chikhalidwe choipachi chimatsogolera pakuchepa kwa mitsempha yamagazi ndikuwonongeka kwa maselo a pancreatic.

Inde, muyenera kuyang'anitsitsa kuchuluka kwa shuga m'magazi, kumayesedwa pafupipafupi ndi endocrinologist ndikuyesa mayeso ofunika - izi zimapangitsa kudziwa kupezeka kwa zovuta munthawi yake.

Ngati mankhwalawa sakuthandiza, dokotala angakupatseni mankhwala ena omwe amachepetsa shuga. Koma ndikofunikira kumvetsetsa kuti panacea yapadziko lonse lapansi yamatenda kulibe.

Kudya moyenerera ndi gawo limodzi la mankhwala

Zachidziwikire, pochiza matenda oterewa, zakudya zimagwira ntchito yofunika kwambiri. Kulekerera kwa shuga wambiri kumafuna zakudya zapadera. Choyamba, ndikofunikira kusintha regimen yodya. Odwala amalangizidwa kuti azidya kangapo ka 5-7 patsiku, koma magawo azikhala ochepa - izi zikuthandizani kuti muthe kugaya katundu.

Ndi kusintha kwina kotani komwe kulephera kwa glucose kumafuna? Zakudya pankhaniyi ziyenera kupatula maswiti - shuga, maswiti, makeke otsekemera saloledwa. Kuphatikiza apo, ndikofunikira kuchepetsa kuchuluka kwa zinthu zomwe zimakhala ndi chakudya chamafuta ochepa - izi ndi chakudya ndi zinthu zophika buledi, pasitala, mbatata, etc. Akatswiri amalimbikitsanso kuchepetsa kuchuluka kwa mafuta - osagwiritsa ntchito nyama, mafuta, mafuta anyama. Panthawi yokonzanso, ndikuyeneranso kusiya khofi ngakhale tiyi, chifukwa zakumwa izi (ngakhale zopanda shuga) zimakonda kuwonjezera milingo yamagazi.

Kodi wodwalayo ayenera kudya chiyani? Choyamba, awa ndi masamba ndi zipatso. Zitha kuthiriridwa zosaphika, zophika, kuphika. Pulogalamu yofunikira ya mapuloteni imatha kupezeka ndikulowetsa mitundu yosiyanasiyana yamafuta am'madzi ndi nsomba, mtedza, nyemba, mkaka ndi mkaka.

Njira zodzitetezera

Kulekerera kwa shuga wambiri kungakhale koopsa kwambiri. Ndipo pankhaniyi, ndikosavuta kupewetsa matenda amtunduwu kuposa kuthana ndi vuto la matenda ashuga. Kuti thupi lizigwira bwino ntchito, muyenera kutsatira malamulo ena osavuta.

Pongoyambira, muyenera kusintha kadyedwe. Akatswiri amalimbikitsa zakudya zopatsa chidwi - idyani katatu patsiku, koma nthawi zonse m'magawo ang'onoang'ono. Zakudya zatsiku ndi tsiku ziyenera kuchepetsa kuchuluka kwa maswiti, makeke komanso zakudya zonenepetsa kwambiri, m'malo mwake muli zipatso, masamba ndi zakudya zina zopatsa thanzi.

Ndikofunikira kuyang'anira thupi ndikuwapatsa thupi ntchito zolimbitsa thupi zofunika. Zachidziwikire, kuchita masewera olimbitsa thupi mochulukirapo kungakhalenso koopsa - katundu ayenera kuchuluka pang'onopang'ono. Zachidziwikire, maphunziro akuthupi amayenera kukhala okhazikika.

Zinthu zopangidwa ndi nyama

ng'ombe18,919,40,0187 lilime la ng'ombe13,612,10,0163 ng'ombe19,71,20,090 kalulu21,08,00,0156 nkhuku16,014,00,0190 nkhuku19,20,70,084 mazira a nkhuku12,710,90,7157

Mafuta ndi Mafuta

batala0,582,50,8748 mafuta a chimanga0,099,90,0899 mafuta a azitona0,099,80,0898 mafuta a mpendadzuwa0,099,90,0899 ghee0,299,00,0892

Zakumwa Zofewa

madzi amchere0,00,00,0- khofi0,20,00,32 nthawi yomweyo chicory0,10,02,811 tiyi wakuda wopanda shuga0,10,00,0-

Madzi ndi ma compotes

madzi a maula0,80,09,639 msuzi wa phwetekere1,10,23,821 dzungu dzungu0,00,09,038 msuzi wa rosehip0,10,017,670 msuzi wa apulosi0,40,49,842

* Zambiri zili pa 100 g yazogulitsa

Zogulitsa kwathunthu kapena pang'ono

Simungamwe madzi otsekemera, mandimu pa shuga, kudya jamu ndi jams (kokha ndi xylitol). Zakudya zotsekemera, zophika, ice cream, tchizi zotsekemera, yogurts zotsekemera, mpunga, pasitala ndi semolina zimaphatikizidwa. Ndi malonda awa, saloledwa kugwiritsa ntchito sopo wamkaka.

Nyama yamafuta ndi ma broth, nyama zosuta, mafuta ophikira, masoseji, kirimu ndi oletsedwa. Ndikwabwino kukana chakudya chokazinga. Pochepa, mutha kudya chiwindi ndi mazira a mazira.

Ndikofunika kuti musadye zam'chitini, zakudya zonunkhira komanso mchere wambiri, msuzi wazonunkhira.

Zizindikiro za kulolera shuga

Nthawi zambiri, kulekerera shuga kumapangitsa kuti asymptomatic.
Nthawi zambiri, odwalawa ndi onenepa kwambiri kapena onenepa kwambiri.
Ndi kukulira kwa vuto la kagayidwe kazakudwala komanso kukula kwa matenda a shuga 2, zizindikiro zotsatirazi zitha kujowina:
- ludzu, kamwa yowuma, kuchuluka kwa madzi,
- kukodza pafupipafupi
- kuchepa chitetezo chokwanira, chizolowezi chotupa komanso matenda a fungus.

Kukonzekereratu kwa banja: ngati makolo ali ndi matenda ashuga, ndiye kuti chiwopsezo chotenga matendawa chimakula kangapo.
Kuphwanya mphamvu ya maselo kuti insulin (insulin kukana).
Kunenepa kwambiri
Kuphwanya kupanga kwa insulin, mwachitsanzo, chifukwa cha kutupa kwa kapamba.
Khalidwe labwino.
Matenda ena a endocrine omwe amaphatikizidwa ndi kuchuluka kwa mahomoni a contra-hormonal (kuwonjezera kuchuluka kwa glucose), mwachitsanzo, matenda a Itsenko-Cushing ndi matenda (matenda omwe mulingo wamahomoni a adrenal cortex amakhala okwera).
Kumwa mankhwala ena (mwachitsanzo, glucocorticoids - mahomoni a adrenal).

Dokotala endocrinologist amathandiza mankhwalawa

Nsomba ndi nsomba zam'nyanja

ankasuta nsomba26,89,90,0196 nsomba zamzitini17,52,00,088 Sardine mu mafuta24,113,9-221 cod (chiwindi m'mafuta)4,265,71,2613

Menyu (Makonda Amphamvu)

Kwa wodwala aliyense, kuchuluka kwa chakudya chamafuta kumawerengeredwa ndi adokotala ndipo tsiku lililonse amayenera kutsatira. Kuchuluka kwa chakudya chamagulu kumayenera kugawika chakudya chambiri pa 5-6.

Zotsatira zatsiku ndi tsiku zomwe zingakhale ndi:

200 g ya kanyumba tchizi
100-130 g a nyama kapena nsomba,
20 g wa batala ndi kirimu wowawasa,
400 ml mkaka ndi mkaka,
50 g chimanga (oat kapena buckwheat),
100-200 g wa rye mkate,
800 g zamasamba
300 g zipatso (200 g maapulo ndi 100 g mphesa).

Mukamapanga chakudya, munthu ayenera kutsatira kagawidwe kazake ka mphamvu zake:

kadzutsa ndi 20%
nkhomaliro 10%
nkhomaliro 30%
tiyi wamadzulo 10%
20% - chakudya chamadzulo,
chakudya chamadzulo 10%.

Otsatirawa ndi gawo lazovomerezeka zomwe ambiri amavomereza:

Chakudya cham'mawa	tchizi tchizi phala la buckwheat tiyi wa fructose.
Chakudya cham'mawa chachiwiri	mkate wa chinangwa zipatso.
Chakudya chamadzulo	borscht nkhuku yophika zukini wogwira, odzola zipatso pa xylitol.
Tiyi yapamwamba	apulo.
Chakudya chamadzulo	nsomba yophika kabichi schnitzel, tiyi
Usiku	yogati.

Chakudya cham'mawa	tchizi omelet ndi masamba khofi.
Chakudya cham'mawa chachiwiri	masamba saladi msuzi wa rosehip.
Chakudya chamadzulo	msuzi wamasamba ng'ombe yophika vinaigrette compote.
Tiyi yapamwamba	ma cookie chipatso cha mphesa.
Chakudya chamadzulo	nsomba masamba saladi msuzi.
Usiku	kefir.

Chakudya cham'mawa	kabichi ndi saladi wa nkhaka ndi batala, nyama yophika tiyi
Chakudya cham'mawa chachiwiri	chipatso cha mphesa.
Chakudya chamadzulo	borscht zodula nkhuku, chakudya chamasamba msuzi wamasamba.
Tiyi yapamwamba	ma cookies a biscuit odzola zipatso.
Chakudya chamadzulo	kanyumba tchizi, phala la mkaka wamchere tiyi
Usiku	kefir.

Ubwino ndi kuipa

Ubwino	Chidwi
Muli zakudya zotsika mtengo komanso zakudya zodziwika bwino Matenda a metabolism amafuta ndi mafuta.	Chovuta kulekerera chifukwa choletsa zamafuta osavuta.

Ndemanga ndi Zotsatira

Zakudya zamankhwala ndizosiyanasiyana ndipo zimaphatikizapo zinthu zomwe zimakhala ndi index ya glycemic yocheperako komanso ndizochepa ma carbohydrate. Izi zimathandiza kuti shuga azikhala bwino komanso kuti muchepetse kunenepa kunenepa, chifukwa chake, odwala ambiri amawunika momwe amagwirira ntchito. Komabe, ndemanga zinalemba kuti kadyedwe kake ndizovuta kuvomereza chifukwa chosowa maswiti ndi makeke. Pankhaniyi, thanzi la thanzi ndilofunika kuposa keke kapena mkate. Ndi matenda a kagayidwe kazinthu, pakulimbikitsidwa ndi dokotala, zakudya zimatha kukulitsidwa.

«... Adazindikiritsa izi ali ndi zaka 12. Zaka 20 zadutsa kale, koma palibe matenda ashuga, popeza zaka zonsezi ndakhala ndikuyang'anira malingaliro a endocrinologist pazakudya - choletsa ufa, wokoma, kuphatikiza zolimbitsa thupi. Iyi ndi njira ya moyo, koma ndiyabwino kuposa matenda a shuga. Ndipo banja lathu lili ndi chiyembekezo chodwala matenda ashuga 2. Chifukwa cha zakudya zopatsa thanzi, shuga wanga ndimakhala wathanzi kwa zaka zambiri. Khalidwe ili limathandizira kuti musaleme.»,
«... Amayikira zakudya pa mimba kwa milungu 23, atapima mayeso atazindikira izi. Ndidayiwona mosamalitsa, chifukwa ndimawopa mwana komanso zovuta zina. Ndinagula kachipangizo koyesera shuga m'magazi ndipo ndikatha kudya ndimayesa. Pambuyo pa milungu iwiri ndidapanga mpumulo wazakudya ndikudya maswiti, nthawi yomweyo shuga adakwera. Chifukwa chake muyenera kudya zakudya zonse. Dokotala adalangiza kuti alembe zinthu zonse ndipo nthawi yomweyo ziziwoneka zomwe shuga akuwonjezereka ndikupatula izi. Simungathe kukhala okoma, zipatso zambiri sizingatheke, koma ndi zinthu zazing'ono, komanso chifukwa cha thanzi la mwana komanso lanu»,
«... Anandipatsa chakudya pa sabata la 25 la mimba ndipo adandiwuza kuyeza shuga kanayi: pamimba yopanda kanthu, pafupifupi ola limodzi mutadya kadzutsa, nkhomaliro ndi chakudya chamadzulo. Sindinadyeko zilizonse zotsekemera, zoyera zoyera, pasitala, mbatata, mphesa, nthochi, zipatso zouma, njere zochepa. Kunali chilimwe ndi masamba ambiri - ndipo ndinapita kwa iwo. Ndinkadya buledi wa rye, wopanda shuga, ndipo maapulo okha omwe ndimadya zipatso (okwera imodzi pachakudya chimodzi). Ndinkadya maola atatu aliwonse, ndimayetsa shuga nditatha kudya. Pa chakudya kwa miyezi iwiri. Iwo adati ngati pachakudya chotere shuga sikhala pamwamba pa chizolowezi, ndimadya ndipo ngati sizithandiza, adzalemba mapiritsi. Nthawi zambiri ndimakhala ndimatenda osokoneza: shuga, kulemera, ndipo chifukwa chake zimandivuta. Kulemera kosintha ndi shuga, ndipo zonse zidakonzedwa, chinthu chachikulu ndikutsatira zakudya».

Zizindikiro

Kusanthula madandaulo a matenda.
- Monga lamulo, odwala samadandaula, kulekerera kwa glucose ndikofunikira kupeza mwangozi.
- Ndi kukulira kwa vuto la kagayidwe kazakudwala komanso kukula kwa matenda a shuga 2, zizindikiro zotsatirazi zitha kujowina:
  - ludzu, kamwa yowuma, kuchuluka kwa madzi,
  - kukodza pafupipafupi
  - kuchepa chitetezo chokwanira, chizolowezi chotupa komanso matenda a fungus.
Kusanthula kwa mbiri yakale ya zamankhwala (mbiri yachitukuko) matendawa: funso la momwe matendawa adayambira ndikukula.
Kupimidwa kawirikawiri (monga lamulo, odwala ndi onenepa kwambiri kapena onenepa kwambiri).
Katswiri wofulumira wamagazi - magazi okwera (pamwamba 5.5 mmol / l, koma ochepera 6.1 mmol / l) amakhala ndi khalidwe.
Mayeso a kulolerako a glucose (mayeso a kulolera glucose) - amachitidwa kuti athe kuyang'ana momwe thupi limagwirira kuyamwa. Mwazi wa m'magazi umatsimikiziridwa poyamba komanso maola awiri mutatha kudya madzi amchere a glucose. Nthawi zambiri, mukamayang'anidwanso, zonona za glucose siziyenera kupitirira 7.8 mmol / L. Manambala okwanira amawonetsera kuphwanya kwa kagayidwe kazakudya:
- shuga wama 7.8-11.1 mmol / l akuwonetsa kupezeka kwa kulolerana kwa shuga.
- Makhalidwe pamwamba 11.1 mmol / L akuwonetsa kukhalapo kwa matenda a shuga.

Chithandizo cha kulolerana kwa shuga

Chithandizo cha kulolerana kwa shuga m'magazi amachepetsa makamaka osakhala mankhwala:
- Kudya - kupatula maswiti (shuga, maswiti, makeke), kuletsa kwa chakudya cham'mimba chochepa (mkate, pasitala, mbatata), kuletsa mafuta (batala, nyama yamafuta, mafuta anyama, masoseji),
- zakudya zopatsa thanzi (zakudya zazing'ono m'malo 5-6 patsiku),
- masewera olimbitsa thupi nthawi zonse. Masewera olimbitsa thupi amalimbikitsidwa kwa nthawi ya mphindi 30-60, makamaka tsiku lililonse, koma osachepera katatu pa sabata.
- kukhala ndi kulemera kwakanthawi kwamthupi: BMI (index ya kuchuluka kwa thupi - cholembera chowerengera monga kulemera kwa thupi la munthu (ma kilogalamu) wogawika ndi kutalika kwamamitala (mita) pakati pa 18.5 -25 kg / m 2, kulimbana ndi kunenepa kwambiri (ndi zakudya zabwino, masewera olimbitsa thupi)).
Ndi kuperewera kwa mankhwala osagwiritsa ntchito mankhwala, ndizotheka kugwiritsa ntchito mankhwala omwe amachepetsa glucose wamagazi (othandizira a hypoglycemic agents).

Kulolerana kwa shuga - kumatanthauza chiyani?

Zakudya zilizonse zamagetsi zomwe zimagwidwa m'mimba zimaphwanyidwa kukhala glucose ndi fructose, glucose yomweyo imalowa m'magazi. Kuchuluka kwa shuga kumapangitsa kapamba. Amatulutsa insulin. Zimathandizira shuga kuchokera m'magazi kulowa m'maselo a thupi - imakulitsa mapuloteni am'mimba omwe amayendetsa glucose mu cell kudzera mu membrane wamaselo. M'maselo, limagwira ntchito ngati gwero lamphamvu, limalola kayendedwe ka metabolic, popanda kugwiritsa ntchito thupi la munthu sikukanatheka.

Munthu wamba amatenga pafupifupi maola awiri kuti ayamwe gawo la glucose lomwe limalowa m'magazi. Kenako shuga amabwerera mwakale ndipo ndi ochepera 7.8 mmol pa lita imodzi yamagazi. Ngati nambala iyi ndi yokwera, izi zikuwonetsa kuphwanya kwa kulolera kwa glucose. Ngati shuga ndi oposa 11.1, ndiye kuti tikulankhula za matenda ashuga.

Kulekerera kwa shuga wa glucose (NTG) kumatchedwanso "prediabetes".

Ichi ndi zovuta matenda a metabolic, omwe akuphatikizapo:

kuchepa kwa mankhwala a insulin chifukwa chosakwanira kugwira ntchito kwa kapamba,
kuchepa kwamphamvu kwa mapuloteni a nembanemba mpaka insulin.

Kuyesedwa kwa shuga kwa shuga komwe kumachitika m'mimba yopanda kanthu, ndi NTG, nthawi zambiri kumawonetsa kuperewera (komwe shuga ndi kwabwinobwino), kapena shuga kumachulukitsa pang'ono, popeza thupi limatha kusakaniza shuga onse omwe amalowa m'magazi usikuwo asanatenge kuwunika.

Palinso kusintha kwina kwa kagayidwe kazakudya - kuwonongeka kwa glycemia (IHF). Izi matenda amadziwika pomwe kuchuluka kwa shuga pamimba yopanda kanthu kumaposa zomwe zimachitika, koma zochepa kuposa zomwe zimakupatsani mwayi wofufuza matenda ashuga. Glucose italowa m'magazi, imakwanitsidwa kukonzedwa mu 2 hours, mosiyana ndi anthu omwe ali ndi vuto la glucose.

Mawonetsero akunja a NTG

Palibe zizindikiro zotchulidwa zomwe zingasonyeze mwachindunji kupezeka kwa munthu kuphwanya shuga. Kuchuluka kwa shuga m'magazi a NTG kumawonjezeka pang'ono komanso kwakanthawi kochepa, kotero kusintha kwa ziwalo kumachitika pokhapokha zaka zochepa. Nthawi zambiri zizindikiro zowopsa zimawonekera pokhapokha pakuchepa kwamatenda a glucose, pomwe mutha kulankhula za kuyambika kwa matenda ashuga 2.

Samalani izi:

Pakamwa pakamwa, kumwa madzi ambiri kuposa masiku onse - thupi likuyesetsa kuchepetsa kuchuluka kwa shuga mwa kuchepetsa magazi.
Kukodza pafupipafupi chifukwa cha kuchuluka kwa madzimadzi.
Amadzuka mwadzidzidzi m'magazi a magazi atatha kudya zopatsa mphamvu zam'thupi zomwe zimapangitsa kuti pakhale kutentha komanso chizungulire.
Mutu womwe umayamba chifukwa cha kuzungulira kwa ziwalo zaubongo.

Monga mukuwonera, Zizindikiro izi siziri mwachindunji ndipo ndizosavuta kuzindikira NTG pamaziko awo. Zizindikiro za glucometer yakunyumba sikuti nthawi zonse imakhala yothandiza, kuchuluka kwa shuga komwe kumawululidwa ndi chithandizo chake kumafuna kutsimikiziridwa mu labotale. Pozindikira NTG, kuyezetsa magazi kwapadera kumagwiritsidwa ntchito, kutengera momwe munthu angadziwire ngati munthu ali ndi vuto la metabolic.

Kuzindikira kuphwanya

Kuphwanya kulolerana kungakhazikike modalirika pogwiritsa ntchito kuyesa kwa shuga. Pakuyesa uku, magazi othamanga amatengedwa kuchokera mu mtsempha kapena chala ndipo zomwe zimatchedwa "kusala kwa shuga" ndizotsimikizika. Pomwe kuwunikirako kubwerezedwa, ndi shuga kupitanso muyeso, titha kulankhula za matenda ashuga okhazikika. Kuyesa kwinanso pankhaniyi ndikosatheka.

Ngati shuga pamimba yopanda kanthu ndi kwambiri (> 11.1), kupitilizanso sikungakutsatireni, chifukwa kuunikanso mopitilira kungakhale kosavulaza.

Ngati shuga yosala imatsimikiziridwa mkati mwa malire oyenera kapena kupitirira pang'ono, zomwe zimadziwika kuti zimachitika: amapatsa kapu yamadzi ndi magalamu 75 a shuga kuti amwe. Maola awiri otsatira adzayenera kukhala mkati mwa labotale, kudikirira kuti shuga ayambe kugaya. Pambuyo pa nthawi iyi, ndende ya glucose imatsimikizidwanso.

Kutengera ndi deta yomwe yapezeka chifukwa cha kuyesedwa kwa magazi, titha kulankhula za kukhalapo kwa kusokonezeka kwa kagayidwe kazakudya kwa michere:

Norm

Nthawi yoyeserera kwa gluu

Mlingo wa glucoseGLUmmol / l

Magazi am'manja

M magazi a vein

Pamimba yopanda kanthu

GLU Kwa ma ruble 147 okha!

Mfundo yayikulu yochepetsera kunenepa ndikuchepetsa kudya kwanu kwa tsiku ndi tsiku.

Kuti mupeze zofunika pazopatsa mphamvu, muyenera kudziwa phindu la kagayidwe kake kofunikira:

Okwatirana	M'badwo	Kusinthanitsa kwakukulu, mu kcal (kulemera kwa thupi mwanjira ikufotokozedwa mu kg, kutalika - mita)
Amuna	Zaka 18-30	15.4 * misa + 27 * kukula + 717
	Zaka 31-60	11.3 * misa + 16 * kukula + 901
	> Zaka 60	Kukula kwa 8.8 * misa + 1128 * - 1071
Akazi	Zaka 18-30	13.3 * misa + 334 * kukwera + 35
	Zaka 31-60	8.7 * misa + 25 * kukula + 865
	> Zaka 60	9.2 * misa + 637 * kukula - 302

Ndi masewera olimbitsa thupi, chiwonetserochi chikuwonjezereka ndi 30%, chakwera - ndi 50%. Zotsatira zake zimachepetsedwa ndi 500 kcal. Chifukwa cha kuchepa kwawo kuti kuchepa thupi kumachitika. Ngati zopatsa mphamvu za tsiku ndi tsiku zimakhala zosakwana 1200 kcal kwa akazi ndi 1500 kcal kwa amuna, ziyenera kukwezedwa pazofunikira izi.

Zochita zolimbitsa thupi zomwe zingathandize

Kusintha kwakhalidwe pakuwongolera metabolic kumakhalanso ndi masewera olimbitsa thupi tsiku ndi tsiku. Samangolimbitsa mtima ndi mitsempha yamagazi, komanso zimakhudza kagayidwe kachakudya. Aerobic zolimbitsa thupi tikulimbikitsidwa kuthana ndi vuto la kulekerera kwa maselo. Izi ndi zolimbitsa thupi zilizonse zomwe, ngakhale zimakulitsa zimachitika, koma zimakulolani kuchita nthawi yayitali, kuyambira 1/2 mpaka ola limodzi patsiku. Mwachitsanzo, kuyenda mwachangu, kuthamanga, chilichonse mu dziwe, kupalasa njinga mwatsopano kapena panjinga yochitira masewera olimbitsa thupi, masewera a timu, kuvina.

Mutha kusankha zolimbitsa thupi zamtundu uliwonse, poganizira zomwe mumakonda, mulimbidwe wolimba komanso matenda omwe mumakumana nawo. Muyenera kuyamba kuchita masewera olimbitsa thupi pang'onopang'ono, kuyambira mphindi 10-15, pakati pamakalasi, kuwunika kuthamanga kwa mtima (HR).

Mulingo wapamwamba wamtima amawerengedwa ngati zaka 222 zakutha. Pa maphunziro, zimachitika kuti zimayenera kukhala pamlingo wa 30 mpaka 70% wa mtima wokwanira.

Kuchita masewera olimbitsa thupi kuyenera kuphatikizidwa ndi dokotala

Mutha kuyendetsa bwino dzanja lanu, kuima pang'ono, kapena kugwiritsa ntchito zibangili zapadera. Pang'onopang'ono, pamene kulimba kwa mtima kumayenda bwino, nthawi yolimbitsa thupi imakulitsidwa mpaka 1 ora 5 masiku sabata.

Kuti mukhale ndi vuto labwino ngati kulolerana kwa glucose kuli koyenera, muyenera kusiya kusuta, chifukwa chikonga chimavulaza osati mapapu, komanso kapamba, choletsa kupanga insulini.

Ndikofunikanso kukhazikitsa tulo tokwanira. Kusowa tulo nthawi zonse kumapangitsa kuti thupi lizigwira ntchito mopsinjika, kumapangitsa mafuta onse osagwiritsidwa ntchito. Usiku, kutulutsidwa kwa insulin kumachepetsedwa mwakuthupi, kapamba amapuma. Kuletsa kugona kumamuzunza kwambiri. Ndiye chifukwa chake zakudya zam'mawa ndizowopsa kwambiri komanso zonenepa kwambiri chifukwa cha kuchuluka kwambiri kwa shuga.

Mankhwala

Mu magawo oyamba a kusungunuka kwa shuga, gwiritsani ntchito mankhwala omwe amachepetsa shuga, osavomerezeka. Amakhulupirira kuti kumwa mapiritsi asanachitike kumatha kufulumizitsa kukula kwa matenda ashuga. NTG iyenera kuthandizidwa ndimankhwala okhwima, masewera olimbitsa thupi komanso kuwongolera shuga mwezi uliwonse.

Ngati wodwalayo ali ndi kudziletsa, pakatha miyezi yochepa, shuga wamagazi amasiya kukula kuposa momwe amapangira. Pankhaniyi, chakudyacho chitha kupitilizidwa kuphatikiza chakudya chamagulu omwe adaletsedwa kale ndikukhala moyo wabwino popanda chiopsezo cha matenda ashuga. Ndibwino ngati mungathe kukhala ndi zakudya komanso masewera olimbitsa thupi mukalandira chithandizo. Mulimonsemo, anthu omwe adakumana ndi vuto la glucose kulolera ndipo adathana nalo, ayenera kuchita kuyeserera kwa glucose kawiri pachaka.

Ngati simungasinthe moyo wanu chifukwa cha matenda obwera chifukwa cha inu, kunenepa kwambiri, kulephera kwa wodwala komanso kuchuluka kwa shuga m'magazi, chithandizo chamankhwala cha hypoglycemic ndiyotheka. A endocrinologist amatha kuwerengetsa tonorma, acarbose, amaryl, glucobai ndi mankhwala ena. Zochita zawo zimakhazikitsidwa ndi kuchepa kwa mayamwidwe am'mimba m'matumbo, ndipo, chifukwa chake, kutsika kwa magazi ake m'magazi.

Onetsetsani kuti mwaphunzira! Kodi mukuganiza kuti kuyamwa kwa mapiritsi ndi insulini kwa nthawi yonse yokhayo ndi njira yokhayo yosungira shuga m'manja? Sichowona! Mutha kutsimikizira izi nokha ndikuyamba kuzigwiritsa ntchito. werengani zambiri >>

Matenda a shuga - ndi chiyani?

M'mbuyomu, mitundu yatsopano ya shuga yotchedwa kulumpha m'magazi a shuga - yayikulu komanso yotsika. Masiku ano, vutoli lafalikira kwambiri moti layamba kukhala matenda osiyanasiyananso. Ngakhale mutamayesa mkodzo pafupipafupi komanso kukayezetsa magazi, zotsatira zake zimakhala zochepa. Koma mukadutsa mayeso omwe amadziwika kuti glucose kulolerana, ndiye kuti awonetsetse ngati pali matenda kapena ayi. Kutengera zotsatira za kuyesedwa kotere, zitha kudziwa ngati glucose amamwa kapena ayi, ndipo mulingo wa insulin ndi chiyani?

Kuyesedwa kwa magazi ndi mkodzo sikuwonetsa shuga. Tsimikizani kuti mwazindikira kapena mwatsimikiza kungangoyesa mayeso a glucose.

Chifukwa chiyani ma spikes mu glucose amatsogolera ku shuga? Chifukwa choti shuga wodwala angathe kukhala wamphamvu masiku ano, ndipo mawa watsika. Ndipo kupanga wodwalayo chizindikiritso cha matenda ashuga ndizosatheka. Potengera maziko a kusakhazikika kwa kagayidwe kachakudya, dongosolo la endocrine limapitilizabe kugwira ntchito, zomwe zikutanthauza - kupanga kwa tsiku ndi tsiku insulin.

Zowonjezera! Glucose imakhala ndi mphamvu mthupi la munthu, ndipo imagwira nawo mbali m'thupi.

Pamene kulekerera kwa glucose nsalu kumachitika ndikuyesera kukhala koyenera, zikutanthauza ngozi zazikulu za matenda ashuga. Ngati munthu sayang'anira thanzi lake komanso osachepera 2 pachaka kuti achite mayeso otere, ndiye kuti imfa imatha kuchitika. Cholinga chake ndi chosavuta - matendawa sanazindikiridwe pa nthawi yake ndipo sanayambire kuwachiritsa. Endocrinologists amati: kuyambira pomwe kulephera pakupanga shuga m'thupi mpaka kumayambiriro kwa matenda ashuga, zaka 10 zitha. Popeza ndaphonya panthawiyi, osayamba kulandira mankhwala, wodwalayo amafupikitsa moyo wake kangapo.

Mimba komanso matenda ashuga

Munthawi iliyonse, kuchuluka kwa shuga ndi kugaya kwa thupi kumachepa. Chifukwa chake, pali chiopsezo cha matenda ashuga amtunduwu (gestational). Mwa mayi wapakati, chidwi ndi kupangika kwa insulin ya m'madzi chimachepa, ntchito ya endocrine system imachepa. Cholinga chake ndikulephera kwa mahomoni omwe amayamba chifukwa cha kuchuluka kwa progesterone, estrogen ndi gonadotropin (mahomoni apakati). Ngati simuzindikira kusintha kumeneku m'magazi, ndiye kuti mwana akabadwa, wodwalayo ali pachiwopsezo chodziwonetsa mtundu wa matenda a shuga 2.

Kodi chiwopsezo chodwala matenda a shuga ndi chiyani kwa mayi woyembekezera?

Matenda a shuga opatsirana amatsogolera kubadwa asanakwane komanso owopsa kwambiri - pakufa kwa thupi la mwana wosabadwayo. Kuti mupewe izi, mayi yemwe ali pachiwonetsero chazoyambira komanso zonse zoyipa zam'mimba zimayenera kuchita mayeso ololera a glucose.

Ndikofunikira!Kodi muli ndi pakati komanso m'masabata oyamba? Chitani kuyeserera kwa glucose mu labu pakali pano. Ngati mulingo wake ndi wokwera, funsanani ndi endocrinologist - muyenera kukhala ndi shuga wamagazi ambiri. Kupanda kutero, mimbayo imapitilira ndi zovuta, mpaka kumwalira kwa mwana wosabadwayo.

Masewera a glucose ndi insulin sakhala ndi ziwonetsero zomwe zimakhazikika (zimachulukitsa kapena kuchepa), izi zimayambitsa matenda a mwana wosabadwayo. Mkazi ayamba kubadwa asanakwane. Trimester yachiwiri imadutsa wathanzi: kuwona kumachepetsedwa, ntchito ya impso imayatsidwa, ziwalo zamkodzo zimayatsidwa, kuthamanga kwa magazi kumasokonezeka (chifukwa chomwe mwana samalandira kuchuluka kwa mpweya ndi michere kudzera mu placenta).

Amayi oyembekezera omwe amakhala ndi matendawa amathandizidwa kudzera mu zakudya. Zimakhazikitsidwa ndikugwiritsa ntchito masamba, zipatso, mkaka, nsomba komanso kupatula kwathunthu kwa chakudya ndi maswiti. Ngati masiku 30 akudya zakudya zopitilira muyeso sizikuyenda bwino mayeso, ndiye kuti mayi woyembekezera akuwonetsedwa insulin.

Kupewa kulekerera shuga

Kusungabe thupi labwinobwino (kudzera m'zakudya zabwino, masewera olimbitsa thupi)
Chakudya chabwino:
- kudya zamafuta ochepa, zotsekemera ndi ufa,
- monga zipatso, masamba, mavitamini ndi michere muzakudya zanu tsiku ndi tsiku,
- chakudya chamagulu - m'malo ochepa 5-6 pa tsiku.
Kuchita masewera olimbitsa thupi wokwanira
- kuyenda kwamtunda, kuyenda, kuthamanga, kusambira, kuyendetsa njinga,
- Katundu sayenera kukhala wowonjezera, kutalika ndi kulimba pang'ono pang'onopang'ono,
- maphunziro olimbitsa thupi ayenera kukhala okhazikika, osachepera katatu pa sabata.

Dziwani ZOTHANDIZA

Kukambirana ndi dokotala ndikofunikira