Kuchita masewera olimbitsa thupi a shuga

Kuchita masewera olimbitsa thupi ndizofunikira kwambiri kwa odwala matenda ashuga. Ndi matenda amtundu 1, masewera amawonedwa ngati imodzi mwanjira zopititsira patsogolo moyo wabwino, kuchita zinthu ndi anthu, komanso kulimbitsa mtima. Mtundu wachiwiri wa matenda ashuga, zolimbitsa thupi zimathandizira kuthetsa insulin kukana, hypercholesterolemia, hypertriglyceridemia ndipo imatha kutengedwa ngati njira imodzi yothandizira.

Dokotalayo angalimbikitse kulimbitsa thupi kulikonse pokhapokha atayeza mozama. Komanso, lingaliro la momwe zingathekere kupitiriza zochitika zamasewera (mutakhazikitsa matenda a shuga), ndikofunikira kugwirizanitsa ndi katswiri.

Zochita zolimbitsa thupi zimakhudza gawo la kama wamitsempha, kuthamanga kwa magazi, shuga wamagazi ndi magawo ena.

Chifukwa chake, muyenera kudutsa kaye:

kuwunika kofufuzidwa ndi katswiri wazachipatala,
electrocardiography (ECG),
Kufufuza matenda oyamba.

Nthawi zina, kuwonjezera pa glycemia, kuyesa kwamkodzo kwa matupi a ketone kumafunikiranso. Phunziroli litha kuchitidwa popanda kudziyimira pogwiritsa ntchito mikwingwirima yapadera komanso kuchuluka kwa mayeso.

Ndimakalasi ati omwe amalimbikitsidwa?

Kuchita masewera olimbitsa thupi ndi kwabwino ngati kumatithandizanso kuchitapo kanthu poyang'anira chitetezo. Asayansi amati ndizofunikira kwa munthu aliyense osachepera mphindi 150 za masewera olimbitsa thupi aerobic pamlungu. Kutalika konseku kumatheka pogwiritsa ntchito mphindi 20-30 tsiku lililonse kapena katatu pa sabata kwa ola limodzi.

Kuti mumvetsetse ngati masewera olimbitsa thupi akukwanira, yeretsani kuchuluka kwa mtima wanu komanso kupumira.

zimayambitsa kupuma pang'ono (ndizosatheka kuyimba nthawi yamtolo),
kumakwiyitsa kuwonjezeka kwa kugunda kwa mtima ndi 30-35% ya choyambirira (odwala omwe salandira beta-blockers ndi mankhwala ofanana).

Kupsinjika mopitirira muyeso kumatha kuyambitsa kupsinjika kwanthawi yayitali. Kuphatikiza apo, kuchita masewera olimbitsa thupi mopitilira muyeso kumabweretsa kusasangalala m'mthupi komanso m'maganizo. Chifukwa chake, ndikofunikira kusankha njira yoyenera komanso kukula kwamakalasi. Kwa odwala ambiri, upangiri wa katswiri wazophunzitsa masewera atha kukhala wothandiza. Katswiriyu ayenera kuchenjezedwa za matenda ake.

Kuyanjana ndikuphunzitsidwa zamasewera

Odwala omwe ali ndi matenda ashuga, omwe amadziwa bwino njira zodziyang'anira, amatha kuchita maphunziro amtundu uliwonse. Koma odwala ayenera kutenga njira yosiyanitsira masewera (yesani kupewa zopsinjika ndi zowopsa).

Chifukwa chake, m'pofunika kukana:

kudumphira m'madzi
popachika,
kusewera
kukwera mapiri
parachuting,
kukweza zolemera
aerobics
hockey
mpira
kulimbana
nkhonya etc.

Maphunziro oterowo nthawi zambiri amayambitsa hypoglycemia m'malo omwe kuli kovuta kusiya. Amakhalanso oopsa kwambiri pankhani yovulala.

Matenda okalamba komanso omwe ali ndi matendawa amatha kuchepetsa zisankho zolimbitsa thupi. Chifukwa, mwachitsanzo, zotupa za musculoskeletal system zimachepetsa kuthamanga ndi mitundu ina ya othamanga, etc.

Matenda a shuga enieni komanso zovuta zake zimapangitsanso malire osakhalitsa kapena osatha.

ndi kuchuluka kwa shuga m'magazi mpaka 13 mM / l wokhala ndi ketonuria (acetone mumkodzo),
ndi kuchuluka kwa shuga kwa 16 mM / l ngakhale popanda ketonuria,
odwala hemophthalmus kapena retinal zotupa,
Odwala m'miyezi isanu ndi umodzi yoyambirira patatha kuwala kwa laser,
odwala matenda ashuga othamanga,
odwala omwe ali ndi vuto losayendetsa magazi.

Ndikofunika kupewa masewera:

kuwonongeka pakutha kuzindikira malo a hypoglycemic,
ndi zotumphukira sensorimotor neuropathy ndi kuwonongeka kwa kupweteka ndi tactile sensitivity,
ndi kwambiri autonomic neuropathy (orthostatic hypotension, kugunda kwamphamvu, matenda oopsa),
nephropathy mu gawo la proteinuria ndi kulephera kwa aimpso (chifukwa cha chiwopsezo cha matenda oopsa),
ndi retinopathy, ngati chiopsezo cha retinal detachment chakwera.

Zochita zolimbitsa thupi ndi insulin

Odwala omwe amalandila chithandizo cha insulin panthawi yophunzirira masewera nthawi zambiri amakhala ndi vuto la hypoglycemic. Ntchito ya dokotala komanso wodwalayo ndikuti alepheretse kuchepa kwa shuga m'magazi.

Malangizo akuwonetsa popewa izi:

imwani michere yowonjezera (1-2 XE ya ola lililonse la katundu),
khalani wodziyang'anira nokha musanayambe kuchita masewera olimbitsa thupi,
kunyamula chifukwa cha kuponya kwakuthwa kwa shuga m'magazi 1-2 XE mu mawonekedwe a chakudya osavuta (juwisi, tiyi wokoma, maswiti, shuga).

Ngati katundu wocheperako amakonzekera pafupifupi chakudya chikangotha, ndipo shuga wa glucometer ali pamwamba 13 mM / L, ndiye kuti zakudya zamafuta sizofunikira.

Ngati katunduyo ndi wautali komanso wamphamvu, ndiye kuti muyenera kuchepetsa mlingo wa insulin ndi 20-50%. Ngati zochitika zolimbitsa thupi ndizochulukirapo ndipo zimatha kuposa maola 2-4, pamakhala chiopsezo cha hypoglycemia pakupumula kwa usiku wotsatira komanso m'mawa tsiku lotsatira. Kuti mupewe izi, ndikofunikira kuchepetsa mlingo wa insulin yamadzulo ndi 20-30%.

Kuopsa kwa vuto la hypoglycemic komanso kuopsa kwake kumakhala kwa munthu aliyense payekhapayekha.

mulingo woyamba wa glycemia,
tsiku ndi tsiku Mlingo wa insulin,
mtundu wa insulin
kukula ndi kutalika kwa katundu,
digiri ya kusintha kwa wodwala ku makalasi.

M'badwo wodwala komanso kupezeka kwa matenda omwe amakhalanso ndi vuto.

Kuchita masewera olimbitsa thupi okalamba

Ngakhale odwala okalamba omwe ali ndi matenda ochulukirapo amafunika kulimbikitsidwa kuchita masewera olimbitsa thupi. Odwala oterewa amatha kulimbikitsidwa kuti athe kugwira ntchito zolimbitsa thupi, kuyenda, kugwira ntchito zolimbitsa thupi kunyumba. Kwa odwala olumala, zolimbitsa thupi zimapangidwa kuti zizigwira ntchito pabedi (mutagona kapena mutakhala).

Okalamba, zolimbitsa thupi zimawongolera zakukhosi ndipo zimathandizira kuti azicheza ndi anzawo.

Katundu wosankhidwa bwino:

kusintha kudziwa insulin
kuchepetsa kufunika kwa mankhwala
kuchepetsa chiopsezo cha kuyambuka ndi kupitilira kwa atherosulinosis,
zimathandizira kuti matenda a kuthamanga kwa magazi akhalere.

Malinga ndi kafukufuku wazachipatala, anthu okalamba amamvera kwambiri maphunziro akuthupi kuposa unyamata. Powonjezera maphunziro azolimbitsa thupi kuthandizira, mutha kuwona zotsatira zabwino nthawi zonse.

Mukapereka maphunziro kwa odwala okalamba, ndikofunikira kuganizira zokhudzana ndi ukalamba. Ndikofunikira kwambiri kuwongolera ntchito zamtima.

Pa maphunziro, ndikofunikira kuti zisunge zamkati mwa 70-90% yazaka zambiri. Kuti mupeze mtengo, muyenera kuchotsa zaka za wodwalayo kuchokera ku 200 ndikuchulukitsa ndi 0.7 (0.9). Mwachitsanzo, kwa wodwala wazaka 50, mtima wofuna: (200-50) × 0,7 (0.9) = 105 (135) kumenya pamphindi.

Muyeneranso kuyambitsa maphunziro ndi kuwongolera magazi komanso kubwereza njirayi kangapo pamisonkhano. Asanayambe kulongedza, kupanikizika kuyenera kukhala kosakwana 130/90 mm Hg. Ndikofunikira kusunga kukwera kwa miyambo ya systolic ndi diastolic panthawi yochita masewera olimbitsa thupi mu 10-30%.

Kuphunzitsa odwala onenepa kwambiri

Kuphatikizidwa kwa kunenepa kwambiri ndi matenda a shuga ndizofanana kwambiri ndi matenda amtundu wa 2. Odwala oterowo, kuchita masewera olimbitsa thupi ndikofunikira pakulimbitsa thupi. Pulogalamu yochepetsa thupi nthawi zonse imaphatikizapo maphunziro. Cholinga chawo ndikuwonjezera kugwiritsa ntchito mphamvu tsiku ndi tsiku.

Odwala onenepa kwambiri, ngakhale kuyenda ndi njira yabwino komanso yosavuta yophunzitsira. Zochita zathupi izi sizifunikira zida ndi zida zapadera. Mutha kulowetsa izi nthawi iliyonse pachaka.

Odwala akulangizidwa kuti ayambe ndikuyenda pang'ono pang'onopang'ono mu mpweya watsopano. Pang'onopang'ono, muyenera kuwonjezera nthawi yayitali komanso kuthamanga kwamakalasi. Kuyenda ndi malo oyenera kulimbitsa thupi lanu tsiku ndi tsiku.

Mutha kuphatikizapo kuyendayenda tsiku ndi tsiku. Izi zimakulitsa kudzipereka kwa oleza mtima. Mwachitsanzo, ndikofunikira kuyenda gawo la njira yogwirira ntchito. Mutha kusiyiratu zoyendera za anthu wamba komanso zapagulu, okwera, okwera.

Odwala ophunzitsidwa bwino amathanso kupatsidwa masewera olimbitsa thupi. Mwachitsanzo, kusambira, kupalasa, kusambira ndi koyenera kwa odwala omwe ali ndi kunenepa kwambiri. Izi katundu zimaphatikizapo magulu akulu a minofu. Amathandizira pakugwiritsa ntchito mphamvu mwachangu, zomwe zikutanthauza kuti amachepetsa thupi.

yambitsani makalasi onse ndi kutentha,
pang'onopang'ono kuwonjezera mphamvu ndi nthawi yayitali yophunzitsira,
kusiyanitsa masewera olimbitsa thupi
siyani masewera mukangodya,
thamangitsani mumsewu wautali wolimbana ndi kunenepa kwambiri,
siyani kuphunzira pokhapokha ngati mukumva bwino (chizungulire, zizindikiro za hypoglycemia, kupweteka kwa mtima).

Ndikofunikira kwambiri kuti odwala onenepa kwambiri apewe katundu wambiri yemwe amadzaza mtima. Kuti musankhe njira yoyenera, muyenera kuwerengera momwe zimakhalira mukamachita masewera olimbitsa thupi ndipo mukangotsiriza kuchita. Ngati kugunda kwamtima kwambiri, ndikofunikira kuti muchepetse nthawi yayitali yolimbitsa thupi komanso kuuma kwawo. Pang'onopang'ono, kulolerana kumakulirakulira. Kenako ndizotheka kuwonjezera nthawi yophunzitsanso.

Kuchepetsa thupi kuchepa thupi kudzera m'masewera kumachitika pang'onopang'ono komanso pang'onopang'ono. Kuchepetsa thupi kupitirira miyezi 6 kuyenera kukhala 10% ya kulemera koyambirira.

Matenda a shuga ndi masewera olimbitsa thupi

Maphunziro a systemic amakhala ndi zotsatira zabwino paumoyo wonse:

kuchuluka wamphamvu
kuthamanga kwa magazi kumachepa
mphamvu imachuluka
kudziletsa pakulimbitsa thupi kumakhazikitsidwa.

Maphunziro olinganizidwa bwino amabweretsa odwala omwe ali ndi matenda othandizira.

Mwachitsanzo, zimawonjezera chidwi cha thupi ndi insulin, yomwe imakupatsani mwayi wochepetsera kuchuluka kwa glucose. Kuphatikiza apo, chiwopsezo chokhala ndi matenda amtima chichepetsedwa, kugona kumakhala bwino, kukhumudwa komanso kupsinjika kumalimbitsidwa.

Musanayambe makalasi, muyenera kufunsa dokotala.

Kuchita zolimbitsa thupi kumawonjezera minofu pakuchepetsa kukana insulin. Cardio kulimbitsa thupi sizitsogolera kukula kwa minofu, koma zimakhudza zochita za insulin.

Kafukufuku waposachedwa awonetsa kuti masewera olimbitsa thupi amakhala opindulitsa nthawi 10 kuposa mankhwala angapo (Glucophage, Siofor).

Zotsatira zake ndizofanana molingana ndi kuchuluka kwa mafuta m'chiuno ndi minofu. Kuchuluka kwa madongosolo kumachepetsa.

Magwiridwe opitilira miyezi iwiri imakulitsa kwambiri insulin. Odwala amayamba kuchepa thupi kwambiri, ndipo glucose amakhala wosavuta kuwongolera.

Mtundu wa 1 wa matenda a shuga

Maphunziro ayenera kugawidwa m'magawo atatu:

sakani kwa mphindi 5: squats, kuyenda malo, katundu mapewa,
kukondoweza kumatenga mphindi 20-30 ndipo kuyenera kukhala 2/3 ya katundu wonse,
kuchepa mphamvu - mpaka mphindi 5. Ndikofunikira kuti musinthe ndikuthamanga kuti muziyenda, kuyenda masewera olimbitsa thupi.

Mtundu I wa matenda ashuga nthawi zambiri amadwala matenda apakhungu.

Mukatha maphunziro, muyenera kusamba kapena kupukuta ndi thaulo. Sopo iyenera kukhala ndi pH yosatenga mbali.

Mtundu wachiwiri wa matenda a shuga

Mphamvu za mtundu wachiwiri wa shuga zimathandizira kuthana ndi matendawa. Komabe, simuyenera kuchita masewera olimbitsa thupi kamodzi pagulu limodzi, azisinthasintha.

Maphunziro akuphatikizapo:

squat
kukankha mmwamba
kulemera kwazitali ndi ndodo.

Maphunziro a Kadio amathandiza kulimbitsa mtima komanso kuchepetsa matenda othamanga kwa magazi:

kuthamanga
kumayenda
kusambira
kukwera njinga.

Odwala matenda ashuga asinthane mphamvu ndi katundu wa Cardio: tsiku limodzi lothamanga, ndipo lachiwiri kuchita nawo masewera olimbitsa thupi.

Kulimba kumayenera kukula pang'onopang'ono pamene thupi likukula. Izi ndizofunikira pakukula kwina ndikukhalanso olimba.

Mtundu 3 wa matenda a shuga

Matenda a shuga amawopa mankhwalawa, ngati moto!

Muyenera kungolemba ...

Palibe chovomerezeka mwazachipatala cha mtundu wa matenda ashuga atatu. Kupanga kofananako kumati wodwalayo ali ndi zofananira za mtundu I ndi II.

Chithandizo cha odwala chotere ndi chovuta, chifukwa madokotala sangadziwe zolondola zofunikira za thupi.

Ndi zovuta za matenda ashuga, anthu amalangizidwa kupita kukayenda.

Popita nthawi, nthawi yawo komanso kuchuluka kwawo kuyenera kuchuluka.

Pa masewera olimbitsa thupi, madzimadzi amatayika. Kumwa madzi ambiri nthawi yochita masewera olimbitsa thupi kuti mubwezeretse madzi moyenera

Matenda A shuga ndi Masewera

Zotsatira zabwino zimawonedwa mukuchita masewera olimbitsa thupi mosalekeza, komwe kumakupatsani mwayi wogawana manja ndi miyendo. Masewera otsatirawa amakwaniritsa izi:

akuyenda
kuthamanga
kusambira
kupalasa
kukwera njinga.

Chofunika kwambiri ndi kuchuluka kwa makalasi. Ngakhale kupumula pang'ono kwa masiku ochepa kumachepetsa zotsatira zabwino.

Mutha kuyamba ndi kuyenda kosavuta. Phunziroli ndi lothandiza kwambiri chifukwa limakakamiza magawo antchito ambiri a insulin, omwe amapangidwa ndi thupi kapena ochokera kunja.

Ubwino wakuyenda chete:

kukonza bwino,
kusowa kwa zida zapadera,
kuwonda.

Kuyeretsa nyumba kale ndi maphunziro othandiza

Zina mwazovomerezeka zomwe zilipo:

kukonza m'nyumba
yenda mu mzimu watsopano
kuvina
kukonza chiwembu,
kukwera masitepe.

Musayambe mwadzidzidzi ndi kuphunzitsidwa kwambiri. Pankhani ya matenda ashuga, kuwonjezereka pang'ono komanso pang'onopang'ono zolimbitsa thupi kumakhala bwino. Mwachitsanzo, kuyenda ndi galu kumatha kutalikitsidwa tsiku lililonse kwa mphindi zingapo.

Mosasamala kanthu za kuchuluka kwa zochita zolimbitsa thupi, ndikofunikira kuyang'anitsitsa kuchuluka kwa shuga. Chitani izi mkalasi, musanachitike ndi pambuyo pawo. Mankhwala onse okhudzana ndi zolimbitsa thupi ayenera kuvomerezedwa ndi adokotala.

Zotsatira zolimbitsa thupi pamagulu a shuga

Panthawi yochita masewera olimbitsa thupi pali njira zambiri zolimbitsa thupi.

Glucose omwe amalandiridwa kuchokera ku chakudya amapatsidwa minofu yogwira ntchito. Ngati pali voliyumu yokwanira, imayaka m'maselo.

Zotsatira zake, kuchuluka kwa shuga kumachepa, komwe kumakhudza chiwindi.

Malo ogulitsa glycogen omwe amasungidwa kumeneko amapasuka, ndikupereka chakudya cha minofu. Zonsezi zimabweretsa kuchepa kwa ndende yamagazi. Njira yofotokozedwayo imapita mthupi la munthu wathanzi. Mwa odwala matenda ashuga, zitha kuchitika mosiyanasiyana.

Nthawi zambiri pamakhala zovuta zina:

dontho lakuthwa la shuga,
kuchuluka msanga m'magazi,
mapangidwe a matupi a ketone.

Zomwe zikuluzikulu zomwe zimachitika motere ndi:

mulingo woyamba wa shuga
nthawi yophunzitsira
kukhalapo kwa insulin
kukula kwa katundu.

Hypoglycemia Katetezedwe

Njira yolakwika yoika nthawi yochita masewera olimbitsa thupi imatha kubweretsa mavuto akulu.

Musanayambe makalasi okhazikika, aliyense payekha muyenera kudziwa mtundu wa masewera olimbitsa thupi omwe ali oyenera. Zambiri zolondola zidzanenedwa ndi endocrinologist.

Komabe, mulimonsemo, kuwunika kwa glucose kumachitika. Nthawi zina, pamafunika kuwonjezera phindu la zakudya. Kuwonjezeka kwa chakudya chamagulu kumatha kuchitika musanayambe kuchita masewera olimbitsa thupi kapena kutengera thupi, kutengera mawonekedwe a kagayidwe.

Makina owonjezera a insulin ndi omwe adzatchule mtundu wa masewera olimbitsa thupi omwe amachitidwa.Wodwala ayenera kudziwa ndendende zomwe zimamuthandiza.

Pali malingaliro angapo:

pafupipafupi ndikofunikira kwambiri mu shuga. Sabata iliyonse, m'makalasi osachepera atatu amachitika, nthawi yake imakhala yopitilira mphindi 30,
kukulitsa katundu m'nthawi yocheperako kumawonjezera kufunikira kwa chakudya chamafuta, omwe amalowetsedwa mwachangu. Kuchita masewera olimbitsa thupi pang'ono, kwa nthawi yayitali kumafunikira insulini yowonjezereka komanso kuchuluka kwa michere,
katundu akachuluka, mwayi wokhala ndi kuchepa kwa hypoglycemia ukuwonjezeka. Izi zikutanthauza kuti insulini imagwira ntchito molimbika maola angapo pambuyo pochita masewera olimbitsa thupi. Chiwopsezocho chimakulitsidwa ngati zochitikazo zikadakhala zatsopano.
ndi katundu wanthawi yayitali, ndizovomerezeka kuchepetsa kuchuluka kwa insulin, kugwira ntchito kwake komwe kumachitika pambuyo pa maola 2-3,
ndikofunikira kumverera thupi. Zomva zowawa zimawonetsa nthenda yonyansa m'thupi. Kusakhudzidwa kuyenera kukakamiza kuchepetsa kuchuluka kapena kutalika kwa maphunziro. Munthu wodwala matenda ashuga amafunika kupewa kukula kwa zizindikiritso zazikulu (kunjenjemera, malovu, ludzu ndi ludzu, kukodza pafupipafupi), komwe kumayambitsidwa ndikusintha kowopsa kwamlingo wa glucose. Idzayambitsa mokulira maphunziro,
zolimbitsa thupi ziyenera kuwonjezera kuwonjezera pa chakudya chopatsa thanzi, osati chowiringula chifukwa cha chikhalidwe chake chopanda pake. Kudya zopatsa mphamvu zochulukirapo ndi chiyembekezo choti mudzayaka nthawi yochita masewera olimbitsa thupi sikofunikira kuchita. Izi zimabweretsa zopinga pazoyang'anira kulemera,
Seti ya masewera olimbitsa thupi ayenera kuganizira zaka za wodwalayo. Pakadutsa zaka zochepa, kuchulukitsa pang'ono pokha ndizokwanira,
Chitani zolimbitsa thupi zonse mosangalala,
Simungathe kuthana ndi kuchuluka kwa glucose oposa 15 mmol / l kapena kupezeka kwa ma ketones mumkodzo. Iyenera kutsikira mpaka 9.5 mmol / l.,
yaitali insulin iyenera kuchepetsedwa ndi 20-50%. Miyeso yopitilira shuga m'makalasi ingathandize kusintha mlingo,
tengani mafuta osavuta kumakalasi kuti muchepetse kuchepetsa shuga,
kwa odwala omwe ali ndi zakudya zama carb ochepa, pomwe amachepetsa shuga, amatha mpaka 6-8 g wamafulumira.

Njira zopewera

Pakulimbitsa thupi, odwala matenda ashuga ayenera kutsatira malamulo awa:

yerekezerani kuchuluka kwa shuga
ndi katundu wambiri, tengani 0.5 XE maola 0.5 aliwonse,
ndi zolimbitsa thupi, kuchepetsa kuchuluka kwa insulin ndi 20-40%,
poyamba zizindikiro za hypoglycemia, muyenera kudya chakudya cham'mimba,
Mutha kusewera masewera ndi shuga wambiri m'magazi,
gawani bwino zolimbitsa thupi.

Ndikofunikira kupanga ndandanda:

olimbitsa m'mawa
masewera olimbitsa thupi maola angapo pambuyo pa nkhomaliro.

Contraindication

Zochita zolimbitsa thupi mu shuga zimakhala ndi zotsutsana:

shuga ndi oposa 13 mmol / l ndi kupezeka kwa acetone mu mkodzo,
shuga wambiri - mpaka 16 mmol / l,
kuzizira kwam'mimba, kukha magazi kwa diso,
odwala matenda ashuga phazi
zosakwana miyezi 6 zatha laser retinal coagulation,
matenda oopsa
kusazindikira kwa zizindikiro za hypoglycemia.

Sikuti katundu onse ndi oyenera kwa odwala matenda ashuga. Alangizidwa kuti apewe masewera osautsa komanso nthawi zopsinja:

kudumphira m'madzi
kukwera mapiri
kulemera
popachika,
nkhondo iliyonse
aerobics
masewera osewerera: mpira, hockey.

Makanema okhudzana nawo

Malamulo oyambira kukhala olimba ku matenda ashuga:

Pofuna kuthana ndi nthawi ya matenda ashuga, kuwonjezera pa zakudya zoyenera, kuchita masewera olimbitsa thupi ndikofunikira. Komabe, wodwalayo ayenera kudziwa zomwe amalola kuti azichita. Kuphatikizika kumapangidwa payekhapayekha potengera zaka za matenda, matenda osachiritsika komanso momwe wodwalayo alili.

Malangizo Amasewera Aakulu A shuga

Malangizo akulu omwe akuyenera kutsatiridwa poyeserera masewera a anthu omwe ali ndi matenda ashuga ndi awa:

Ndikofunikira kuyendetsa mwamphamvu kuchuluka kwa shuga m'thupi la wodwalayo. Pachifukwa ichi, miyezo ya shuga m'magazi am'magazi imachitika musanaphunzitsidwe, panthawi yamasewera komanso mutaphunzitsidwa. Maphunziro ayenera kusiyidwa ngati shuga ayamba kutsika pansi.
Kumbukirani kuti kuchita masewera olimbitsa thupi m'mawa kumayambitsa kuchepa kwa insulin yomwe mukufuna kulowa m'thupi la wodwalayo.
Pa maphunziro, muyenera kukhala ndi glucagon kapena chogulitsa chomwe chili ndi chakudya chamagulu ambiri othamanga.
Wodwala ayenera kutsatira mosamalitsa zakudya zapadera ndi chakudya.
Asanaphunzitsidwe, ngati kuli kotheka, jakisoni wa insulin m'mimba amachitika. Jakisoni wa insulin m'mwendo kapena mkono ali osavomerezeka musanayambe kuchita masewera olimbitsa thupi.
Muyenera kudya zakudya zabwino maola angapo musanasewere masewera.
Mukamachita masewera, muyenera kumwa madzi ambiri ndipo panthawi yophunzitsira, madzi ayenera kukhala pafupi.

Malangizo omwe akuwonetsedwa ndiwofala komanso pafupifupi. Aliyense wodwala matenda ashuga, amene amapita ku endocrinologist amachita kusintha kwa mankhwala a insulin, zakudya ndi kuchuluka kwa zochita zolimbitsa thupi. Ndi shuga wamagazi opitilira 250 mg%, wodwala matenda ashuga sayenera kuloledwa kuchita masewera olimbitsa thupi. Masewera amadziwikanso pakapangidwe ketoacidosis mthupi.

Pamapeto pa maphunzirowa, kuyesedwa kwa nkhawa kuyenera kuchitidwa, pomwe kupezeka ndi mitundu yosiyanasiyana yamatenda oyambitsa matenda a shuga imayang'aniridwa.

Kupanga masewera omwe ali ndi matenda ashuga kumaloledwa pokhapokha kulandira zotsatira zonse zoyesedwa ndi kuwunika kwawo.

Asanayambe masewera olimbitsa thupi, dokotala amayenera kupereka malangizo kwa wodwalayo momwe angachitire masewera olimbitsa thupi.

Munthu aliyense ali ndi machitidwe ake amthupi, motero dotolo amakulitsa mayankho ake poganizira mtundu wa matenda ndi machitidwe a thupi.

Ndi matenda a shuga a 2 kapena mtundu 1 wa shuga, pamakhala masewera olimbitsa thupi omwe amatha kupindulitsa thupi komanso osavulaza.

Malamulo oyambira olimbitsa matenda a shuga

Musanayambe makalasi olimbitsa thupi pafupipafupi, muyenera kufunsa dokotala. Pokhapokha wodwala m'mawu omwe amathandizira wodwala amatha kudziwa mbiri yonse yachipatala ndipo amatha kuwunika momwe wodwalayo alili. Dokotala yemwe amapita ndi amene amawona kuti ndi katundu wotani amene amaloledwa kuloledwa m'thupi komanso kuchuluka kwake.

Funso la kusankha masewera olimbitsa thupi komanso kulimba kumasankhidwa payekhapayekha, mwachitsanzo, maphunziro omwe amalimbikitsidwa kwa munthu m'modzi wokhala ndi matenda ashuga a 2 sangakhale oyenera kwa munthu wina yemwe ali ndi mtundu womwewo wa matenda ashuga. Izi zimachitika chifukwa choti chamoyo chilichonse chimakhala ndi zomwe chimachita payokha.

Pa maphunzirowa, kuchuluka kwa glucose m'thupi kuyenera kuyang'aniridwa. Mafuta akakhala ndi thupi, kutsika kwa glucose kumachitika. Zotsatira zake kuti dokotala yemwe akuchiza wodwalayo ayenera kutsitsa muyeso wa insulin wa jakisoni. Kuti mudziwe kuchuluka kwake komwe kumafunika kuti muchepetse mankhwala omwe amapezeka ndi insulin, ndikofunikira kuyeza kuchuluka kwa shuga m'magazi pamimba yopanda phunzirolo ndi theka la ora litatha maphunziro.

Kuti mupereke zotsatira zabwino mthupi, katundu pophunzitsidwa, mwachitsanzo, ndi mtundu wa 2 shuga, ziyenera kuwonjezeka pang'onopang'ono. Njirayi imakupatsani mwayi wophunzitsira osati minofu ya thupi, komanso kuchita maphunziro a minofu ya mtima - zomwe zimadziwika kuti ndi Cardio zolimbitsa thupi, zomwe zingalimbitse myocardium ndikuwongolera magwiridwe antchito a thupi, kupewa kutulutsa zovuta zomwe zimakhudzana ndi kupitilira kwa matenda a shuga.

Kutalika kwa maphunziro kuyenera kuyamba ndi mphindi 10-15 kamodzi patsiku ndipo pang'onopang'ono kuwonjezeka mpaka mphindi 30 mpaka 40. Ndikulimbikitsidwa kuchita masewera olimbitsa thupi masiku 4-5 pa sabata.

Pambuyo kusintha mtundu wa insulin yomwe imagwiritsidwa ntchito, zakudya ziyenera kusintha. Pazakudya, munthu ayenera kuganizira kuchepa kwapakati pa insulin, komanso kuchuluka kwa zosowa za thupi popereka mphamvu yophunzitsira.

Kusintha kwa kadyedwe ka kusintha kwa moyo kumachitika ndi katswiri wa matenda ashuga.

Malamulo owonjezera okhudzana ndi matenda ashuga

Mukamachita maphunziro, ndikofunikira kuti muzilamulira zomwe mumamva. Ndikofunikira kudziwa ngati simuyenera kuchita masewera olimbitsa thupi patsiku linalake malinga ndi kuchuluka kwa shuga m'thupi la wodwalayo. Zikakhala kuti m'mawa kuchuluka kwa shuga wa plasma kumakhala kochepera 4 mmol / L kapena kupitirira mtengo wa 14 mmol / L, ndibwino kusiya masewera. Izi ndichifukwa choti ndi shuga wochepa kwambiri mthupi, kukula kwa hypoglycemia ndikotheka panthawi yophunzitsira, ndipo ndikutulutsa zambiri, m'malo mwake, hyperglycemia imayamba.

Kuchita masewera olimbitsa thupi a shuga kuyenera kuyimitsidwa ngati wodwalayo apuma movutikira kwambiri, kumverera kosasangalatsa pamtunda wamtima, kupweteka mutu komanso chizungulire. Ngati mukuzindikira zizindikirazi panthawi yophunzitsira, muyenera kufunsa dokotala kuti mumupatse malangizo komanso kusintha kwa zovuta zolimbitsa thupi.

Simuyenera kusiya mwadzidzidzi kukhala olimba. Kuti mukhale ndi zotsatira zabwino mthupi, makalasi amayenera kukhala achizolowezi. Zovuta zamasewera sizimawoneka nthawi yomweyo, koma patapita nthawi. Mukasiya kuchita masewera olimbitsa thupi, zotsatira zabwino zomwe zimakhala sizikhala motalika, ndipo shuga ya magazi imadzukanso.

Mukamachititsa makalasi mchipinda cholimbitsa thupi muyenera kusankha nsapato zoyenera. Izi ndichifukwa choti mukamayendetsa masewera, mapazi a wodwalayo amakhala ndi katundu wolemera, yemwe, ngati nsapatoyo sanasankhe bwino, angayambitse chimanga ndi ma scuffs.

Izi sizovomerezeka kwa wodwala yemwe ali ndi matenda osokoneza bongo, makamaka kwa odwala omwe ali ndi matenda a shuga a 2, omwe minyewa ya m'miyendo imatha kukulira. Izi zikachitika, pamakhala kuphwanya magazi kumadera ena akumunsi.

Khungu pamiyendo chifukwa cha matendawa limayamba kuuma ndipo limayamba kuwonda komanso kuvulala mosavuta. Zilonda zomwe zimaperekedwa pakhungu loterolo zimachiritsidwa kwakanthawi. Ma tizilombo atalowa muvulaza, mafinya amadzaza, ndikachotsedwa, chilonda chimapezeka pamalo a bala, omwe nthawi yayitali amayambitsa zovuta, monga zilonda zam'mimba.

Posankha kuchita zolimbitsa thupi, muyenera kusankha mtundu woyenera wolimbitsa thupi m'makalasi anu. Chisankho chimatengera kupezeka kapena kusapezeka kwa matenda owonjezera.

Nthawi zina, masewera olimbitsa thupi akhoza kulumikizidwa pakukhazikitsa zolimbitsa thupi.

Malangizo kwa odwala omwe akuchita masewera olimbitsa thupi

Kugwiritsa ntchito mphamvu zolimbitsa thupi kumakhala ndi tanthauzo lothandiza m'thupi la wodwalayo pokhapokha ngati zakudya zadwala zasinthidwa ndipo wodwalayo amadya molingana ndi zakudya zatsopano komanso mosamala malinga ndi dongosolo lomwe lakonzedwa.

Mukamachita masewera olimbitsa thupi, wodwala yemwe ali ndi matenda ashuga amayenera kuwongolera thanzi lake komanso kuchuluka kwa thupi. Zizindikiro zoyambirira ngati zayamba kupatuka, wodwalayo akulangizidwa kukana kuchita masewera olimbitsa thupi.

Tiyenera kukumbukira kuti magwiridwe antchito olimbitsa thupi omwe ali ndi zida zamagetsi ndi owopsa. Osamapanikizika kwambiri mthupi.

Kuti muyambepo ndi zojambula kapena zolemera ziyenera kukhala kuti thupi litakonzekera mokwanira zolimbitsa thupi.

Mukamapanga masewera olimbitsa thupi, ayenera kusinthidwa kuti minofu yolumikizana ipangike.

Pambuyo pothana ndi anaerobic katundu mthupi, nthawi yopuma iyenera kupumulitsidwa kwathunthu minofu minofu. Kanemayu mu mndandanda uno akupitiliza mutu wa masewera a shuga.

Ndimasewera amtundu wanji omwe ndingathe kuchita ndi matenda ashuga?

Matenda a shuga a mellitus (DM) si chopinga pa maphunziro aliwonse. Pali kafukufuku wotsimikizira kuti kulimbitsa thupi komanso kuchita masewera olimbitsa thupi kumathandizanso kuti magazi aziyenda bwino.

Kuchita zolimbitsa thupi kumathandizira kuti minofu ikhale yolimba, ndipo minofu, imayamwa glucose bwino. Ma insulin receptors amayamba chidwi kwambiri ndi insulin, yomwe imalola mtundu I odwala matenda ashuga kuchepetsa kuchuluka kwa mankhwala. Kuphatikiza kwa kuphunzitsidwa kwa mphamvu ndi Cardio kumathandizira kuwotcha mafuta osakanikirana komanso kufulumira msanga kwa omwe ali ndi matenda ashuga II.

Kutsutsana ndi mitolo ya matenda a shuga sichoncho, koma musanayambe makalasi, muyenera kufunsa kaye ndi dokotala wanu kuti mumve malingaliro, sinthani zakudya ndi kumwa kwa mankhwalawa. Muyenera kupita kwa dokotala ngakhale mutakonzekera kuchita masewera olimbitsa thupi olimbitsa thupi, monga kusambira kapena yoga.

Kumbukirani kuti masewera ena olimbitsa thupi kapena mtundu wonse wa thupi sungakhale woyenera kwa inu ngati mutavulala ndi minyewa ya mafupa, mitsempha ya varicose, matenda amtima, komanso matenda a ziwalo zam'maso.

Zoletsa Zosangalatsa

Anthu omwe ali ndi matenda ashuga ayenera kudzimvetsera kwambiri komanso kumva momwe akumvera:

Yang'anirani shuga yamagazi ndikujambulira zizindikiro m'mawa wopanda kanthu, musanaphunzitsidwe ndi mphindi 30 pambuyo pa masewera.
Pangani dongosolo lamagulu oyenera azakudya musanayambe kulimbitsa thupi - onetsetsani kuti mumadya zakudya zamafuta pafupifupi maola awiri musanayambe kulimbitsa thupi. Ngati nthawi yake yatha kuposa theka la ola, muyenera kumamwa madzi a zipatso kapena yogati kuti mupeze gawo lochepa la zakudya zam'mimba zosafunikira komanso kupewa hypoglycemia. Nthawi zina, ndikofunikira kupanga chakudya cham'madzi musanayambe makalasi, koma mfundo zonse izi zikuyenera kukambirana ndi dokotala.
Matenda a shuga a Type II amayambitsa neuropathy ya m'miyendo - kufalikira kwa magazi m'matumbo kumasokonekera ndipo bala lililonse limatha kukhala chilonda chenicheni. Chifukwa chake, sankhani nsapato zoyenera ndi zovala zoyenera. Sungani zovala zanu bwino ndikuyang'anirani miyendo yanu mutatha kulimbitsa thupi.
Ngati m'mawa mulingo wa shuga uli m'munsi mwa 4 mmol / l, kapena pamwamba pa 14 mmol / l, ndiye kuti ndibwino kukana masewera lero.
Dzisamalire - yambani ulendo wanu kulowa mdziko lolimbitsa thupi ndi zosavuta zolimbitsa thupi, pang'onopang'ono kuwonjezera nthawi yawo, kenako mphamvu (calorizator). Kwa oyamba kumene, poyambira padzakhala mphindi zazifupi za mphindi 5 mpaka 10, zomwe pang'onopang'ono mudzabweretsa mphindi 45. Pofupikirako phunzirolo, nthawi zambiri mumatha kuchita masewera olimbitsa thupi. Kutalika kokwanira ndi 4-5 zolimbitsa zolimbitsa thupi pa sabata.

Ndikofunikira kwambiri kuti odwala matenda ashuga azikhala osasinthasintha komanso athanzi pang'onopang'ono. Zotsatira zamasewera zitha kuwunikira pambuyo poti mwakhala mukuphunzira pafupipafupi, koma sizingatheke pokhapokha mukasiya zamasewera ndikubwerera m'moyo wanu wakale. Kuphunzitsa kumachepetsa shuga yanu, ndipo yopuma yayitali imakulitsa. Kuti muzikhala bwino nthawi zonse, sankhani masewera ochepa omwe angatheke, achite nawo pafupipafupi komanso mosangalatsa.