Matenda a shuga komanso kusala: zabwino komanso zoipa

Njala ya matenda ashuga ndi amodzi mwa mitundu yosiyanasiyana ya mankhwalawa omwe amathandizira matenda. Pa netiweki mutha kupeza ndemanga zambiri zomwe kukana chakudya kunathandizira kuti magazi azikhala mwamphamvu kwambiri komanso kusinthitsa mkhalidwe wa kapamba. Kodi zili choncho? Kodi ndi kusala kudya kwamtundu wanji komwe kumayambitsa matenda a shuga 1 kapena mtundu 2?

Kodi kusala kudya magazi ochepa

Chizolowezi cha shuga m'magazi chimachokera ku 3,9 mpaka 5.5 mmol / l, ngakhale atakhala zaka kapena amuna kapena akazi. Kwa odwala matenda ashuga, muyeso wovomerezeka ndi 7.2 mmol / L.

M'mbuyomu, odwala matenda ashuga adaletsedwa kudya buledi, zipatso, maswiti, ndi zinthu zina zomwe zimapangitsa kudumphadumpha mu shuga. Pakadali pano, malingaliro awa adakonzedwanso - njira zamatenda a glucose amitundu yosiyanasiyana matendawa adatsimikiza.

Mtundu woyamba wamatenda - amadalira insulin - maselo a pancreatic satulutsa insulin kapena anamwalira. Kugwiritsa ntchito zakudya zamafuta kumaloledwa, koma mukamamwa Mlingo wokwanira wa timadzi timeneti.

Mtundu wachiwiri - insulin imapangidwa, nthawi zina mopitirira muyeso. Koma ma cell amthupi satha kuyanjana ndi glucose, kusokonekera kwa metabolic. Sizingadutse m'matumbo, zomwe zimapangitsa kuti pakhale chakudya champhamvu m'magazi. Mu mtundu uwu wa matenda ashuga, mankhwalawa amachokera ku chakudya chochepa chamagulu chamagulu chamagulu komanso shuga.

Malangizo a endocrinologists ali motere - zakudya zoyenera, kutenga insulin ya matenda akudalira insulini.

Ndikusowa kwa odwala matenda ashuga komanso anthu athanzi, thupi limayamba kufunafuna malo osungiramo mafuta. Mafuta amaphulika pama hydrocarbons osavuta.

Zizindikiro za kuchepa kwa shuga:

nseru
kufooka
thukuta
masomphenya apawiri
nkhalwe
kugona
chisokonezo,
kuyankhula kosayenera.

Ichi ndi chikhalidwe chowopsa kwa wodwala matenda ashuga. Zotsatira zake zimakhala zovuta komanso imfa.

Choyamba thandizo pankhaniyi ndi chakudya. Anthu odwala matenda ashuga amalangizidwa kuti azikhala ndi maswiti angapo kapena mapiritsi a shuga.

Zabwino ndi zovuta zosala kudya pothana ndi matenda ashuga

Chithandizo chamankhwala sichizindikira chithandizo cha matenda ashuga mwachangu posala kudya ngati njira yabwino yomwe ingathandize wodwalayo. Kuperewera kwa chakudya kumapanikizika ndi thupi. Kwa odwala matenda ashuga, kupsinjika kwa malingaliro kumatsutsana.

Ubwino wosala kudya ndi matenda ashuga:

kulemera kwa thupi kumachepetsedwa
kupuma dongosolo la m'mimba, kapamba,
ndi mtundu 2 wa shuga, kuletsa zakudya mwaukhondo ndi mtundu wa chithandizo,
limakupatsani mwayi wochepetsa kuchuluka kwa m'mimba, zomwe zimathandiza kuchepetsa kuchuluka kwa chakudya mukatha kudya.

Njirayi ili ndi zovuta zingapo. Kufa ndi njala ku matenda ashuga:

ogwira ntchito
chiopsezo chachikulu cha hypoglycemia,
kupsinjika kwa thupi
kuchuluka kwa ma ketoni m'thupi,
mawonekedwe akununkhira kwa acetone ndi kupezeka kwake mkodzo.

Pa 1

Pankhani yamatenda omwe amadalira insulin, maselo a pancreatic satulutsa insulin, timadzi tomwe timalimbikitsa kuyamwa kwa shuga m'magazi. Maselo samalandira zakudya ndipo wodwalayo amamva mwamphamvu njala komanso kuvutitsidwa kosafunikira kwa chilala.

Kuchuluka kwa shuga m'magazi sikudalira zakudya zoletsa kapena kusala kudya. Imakhalapo mpaka wodwalayo atavulaza insulin.

Madokotala salimbikitsa odwala otere kuti afe ndi njala. Kuti muchepetse shuga, muyenera kubayira insulin, ngakhale pakhale kusowa chakudya kwathunthu. Izi zimakwiyitsa kukula kwa hypoglycemia. Ndipo njira yokhayo yothanirana ndi vutoli ndikuwukitsa shuga pofika pakamwa kapena jakisoni.

Ndi mtundu 2

Kusala a shuga a mtundu wachiwiri ndi njira yanthawi yazakudya. Endocrinologists amalimbikitsa maphunziro kukana chithandizo ngati madzi okwanira amwedwa. Izi zimathandizira kuchepetsa thupi. Kunenepa kwambiri kumayambitsa kusokonezeka kwa metabolic ndipo kumathandizira kukulitsa matendawa.

Akatswiri amalimbikitsa odwala omwe ali ndi vuto la matenda a shuga a 2 kuti ayendetse kwa nthawi yayitali - masiku 5-7 - zigawo za kukana chakudya. Mlingo wa shuga pambuyo pamavuto a acidotic umatsitsidwa pokhapokha patsiku la 5-6. Chisankho chabwino kwambiri panthawi yakakana chakudya ndikuyang'aniridwa ndi ogwira ntchito kuchipatala.

Kukonzekera koyenera kusamba kumayambira sabata 1 musanatsuke thupi. Muyenera kusiya zakudya zolemera, zokazinga, nyama. Pang'onopang'ono muchepetse kukula kwake, chotsani maswiti ndi mowa pazakudya. Patsiku la kusala kudya, pangani enema yotsuka.

Pa gawo loyamba, kununkhira kwa acetone kudzawonekera, kusintha kwa magazi ndi kuyesa kwamikodzo. Ndikofunikira kumwa madzi osachepera malita awiri ndi zitsamba zofooka. Zakudya zilizonse ziyenera kusiyidwa. Kuchita masewera olimbitsa thupi sikuletsedwa.

Mu magawo oyambilira - tsiku kapena awiri - kukala kwamkhutu ndikotheka. Odwala omwe ali ndi matenda ashuga amalimbikitsidwa kuyeretsa thupi pamaziko a chipatala.

Kutuluka kuchokera kunjala kumakhala masiku ambiri monga nthawi yakukanira chakudya pakokha. Poyamba, timadziti, timadziti zakudya zopanda chakudya zimayambitsidwa. Zakudya zamapuloteni zimayamba kulowa mgawo patangotha sabata limodzi kuchokera kutha kwa chithandizo.

Nthawi imeneyi, kuyeretsa enemas kuyenera kuchitidwa. Kukana chakudya kumakhudzanso matumbo.

Contraindication pa mankhwala

Kudwala matenda ashuga ndiko kulepheretsa chakudya kwakanthawi. Sizoletsedwa kusala kudya kwa magulu otsatirawa a odwala:

ndi mtima pathologies a magawo osiyanasiyana,
ndi matenda amitsempha
ndimavuto amisala,
ana ochepera zaka 18
ndi matenda a kwamikodzo,
azimayi oyembekezera komanso oyembekezera.

Matenda a shuga ndi matenda apadera. Ndikosatheka kumuchiritsa, koma khalani olamulira, khalani ndi moyo wabwinobwino, perekani ana kwa wodwala aliyense. Tsatirani zakudya, imwani mankhwala omwe ali ndi mankhwala - insulin, glucophage - amayesedwa nthawi ndi nthawi ndikusangalala ndi moyo.

Zokhudza zipembedzo

Pali miyambo yambiri yachipembedzo yomwe imakhudzana ndi kukana kwakanthawi kochepa kwa chakudya. Upangiri "wokhala moyo wabwinobwino, mosasamala chipembedzo," kuyika pang'ono, sikuyenera kwa aliyense. Ngakhale izi ndizofunika pazachipatala, pewani miyambo yachipembedzo yokhudzana ndi kusala kudya.
Chiwopsezo chachikulu pakusala kudya ndi hypoglycemia. Pofuna kupewa shuga wambiri pakusala kwachipembedzo, onjezerani kuchuluka kwa shuga. Tsatani zomwe zikuchitika ngati mugwiritsa ntchito njira zowunikira mosalekeza.
Kambiranani zomwe mungachite ndi dokotala wanu musanachitike mwambowu. Mutha kupanga insulin yothandizira nthawi imeneyi. Mungafunike kuyimitsa chakudyacho kwakanthawi. Yesani kuganizira zonse momwe mungathere ndikufunsa mafunso a endocrinologist omwe amakukhudzani.

Pewani masewera olimbitsa thupi mopambanitsa mukamasala kudya. Mukakhala ndi hypoglycaemia, tengani ndalama zothandizira kupumula kwa hypoglycemia, kuphatikizapo glucagon.

Kusonyeza chikhulupiriro kumachitika osati pokana chakudya, koma chitetezo ndiye choposa zonse! Mwamwayi, lero izi zimadziwika m'madera auzimu ambiri.

Pamaso pa mankhwala

Pamaso njira zambiri zamankhwala, kusala kudya kwakanthawi kochepa kumafunikira ngati mbali yokonzekera. Ndipo apa wina akhoza kunena za kukonzekera zakudya muzosungirako ndi kuchepetsedwa kwakanthawi, ngati sichoncho kwa KITU K kamodzi - kuchuluka kwa mahomoni opsinjika.

Chochititsa chidwi chochitika chisanachitike njira zamankhwala ndizochulukirapo cha mahomoni cortisol ndi adrenaline. Uku ndikuyankha kwa thupi ku nkhawa, koma kwa odwala matenda ashuga izi zimakhala zosangalatsa kuchokera pakuwonekera kwa zotsatirapo zake. Chenjezo losavuta: mumachita mantha> pamakhala kuchuluka kwa mahomoni amthupi lanu "shuga kapena" yomwe imachitika mthupi lanu> shuga yanu imawulukira m'mitambo.
Mwa anthu opanda matenda a shuga, kuchuluka kwa insulin kumawonjezeranso pamenepa. Ndi "kapamba wosagwira ntchito," izi sizimachitika mwa anthu oyamba kumene. Chifukwa chake, mutha kufa ndi njala pokonzekera kubera, ndipo mita idzawonetsa manambala.

Inde, izi sizingachitike kwa aliyense. Zambiri zimatengera ngati mukukhala bwino, momwe mtsogolo muliri, komanso momwe mulili ndi nkhawa yanu. Komabe, zoona zimakhalabe kuti kwa anthu ambiri omwe ali ndi matenda a shuga 1, kuwongolera shuga pamkhalidwewu ndizovuta kwambiri. Nkhani yabwino: mudzazunguliridwa ndi madokotala omwe angakuthandizeni ngati pakufunika.

Makina akale a "kugunda kapena kuthamanga"
Mfundo yosangalatsa yokhudza kupsinjika kwa mahomoni. Chisinthiko chayika "zida kapena" kuyenda "mthupi lathu. Ubongo wathu utazindikira kuti china chake chikutivutitsa, timakhala ndi nkhawa, timadzi tambiri totulutsa timadzi tambiri totulutsa mthupi. M'malo mwake, dongosolo lonse lamanjenje limatiwuza kuti: "muli pachiwopsezo, muyenera kudziteteza kapena kuthawa." Mchitidwe wamanjenje umasokonezeka, ndipo magazi amatengedwa kuchokera ku ziwalo "zosafunikira" zomwe zili pachiwopsezo kupita kumiyendo (chifukwa chake chosangalatsa m'mimba).
Kafukufuku awonetsa kuti titha kuchepetsa pang'ono izi pogwiritsa ntchito zolimbitsa thupi pang'ono. Ma squats ochepa chabe amatsitsa misempha yanu ya cortisol mwachangu. Chifukwa chake, mukakhala ndi msonkhano wofunikira, ulaliki kapena mayeso, yesani kuchita zolimbitsa thupi pang'ono. Izi zikuthandizani kuti mukhale omasuka, kumva bwino komanso kuti ubongo wanu uziyenda bwino panthawi yofunikira.

Choyeretsa zakudya ndi ma detox

Chikhalidwe chodziwika bwino pakupezeka muzakudya ndikutsuka kapena zakudya zama detox. Zambiri mwa izo zimakhazikika pamalingaliro opanda sayansi omwe "poizoni" amadziunjikira m'thupi. Lingaliro ili siligwirizana ndi kafukufuku aliyense. Thupi limapangidwa kuti lisaunjike zinyalala zamtundu uliwonse. China chake ndikuti ngati mwadya kapena kumwa china chosakhala bwino, chakupha kapena kudwala. Koma nthawi yomweyo, zizindikirazi zidzakhala zowoneka bwino kotero kuti mudzafunika chithandizo chodzidzimutsa, osati timadziti a Detox.

Kumbali inayi, machitidwe osala kudya kwakanthawi kochepa (pamadzi ndi pouma), komanso masiku osala kudya amawonetsa mbali yawo yabwino yathanzi. Kwenikweni, zotsatira zake zimakhala zosiyana, mukamadya zolakwika nthawi zambiri ndikupatsanso thupi pang'ono.
Kuchokera pakuwona sayansi, sizikupanga nzeru kugula zinthu zapadera za detox. Nthawi zambiri, maofesi ngati amenewa ndi okwera mtengo kwambiri, ndipo gawo lalikulu kwambiri lomwe limakula kwambiri, gawo limodzi lazinthu zomwe zimayesedwa. Zotsatira zake, mukuyenera kuwononga ndalama zambiri osamvetsetsa zotsatira ndi zovuta zake.
Kuchokera pakuwona kuwongolera kwa matenda ashuga, kugwiritsa ntchito mapulogalamu ngati amenewa kungakugwetsereni muyeso wokhazikika. Musaiwale kuti zakudya zomwe zimakhala ndi michere yambiri zomwe zimapangidwa mu mawonekedwe amadzimadzi, zimatha kukhudza kwambiri shuga. Mwachitsanzo, zakumwa zamasewera zitha kukhala ndi 6 mpaka 12% mafuta osavuta.

Ndizothandiza kwambiri kutsatira zakudya zoyenera, ndimakudya ochulukirapo - masamba ndi zipatso, ndikumwa madzi okwanira. Madzi osefa wamba amathamangitsa kagayidwe kachakudya ngati mumamwa malinga ndi momwe thupi lanu limagwirira ntchito.

Malamulo onse osala kudya ndi matenda

Njira yayikulu yothanirana ndi matendawa ndi zakudya zapadera zomwe zimathandiza kuchepetsa kuchuluka kwa shuga m'magazi. Chifukwa chaichi amalimbikitsa kudya zakudya zotsika za glycemic index, ndiye kuti, shuga ochulukirapo akangokulira.

Ngati matendawa ndi oopsa, ndiye kuti wodwalayo amayamba kubaya insulin yopanga. Kuyambira pano, wodwalayo amadalira mankhwalawa, chifukwa kapamba amasiya kupanga mahomoni pawokha pakapita nthawi.

Njala idzabwezeretsa kagayidwe kazachilengedwe, kuchuluka kwa mahomoni, komanso:

tulutsani ziphuphu ndi chiwindi ku sumu, apatseni mpumulo.
limbitsa bwino ziwalo zonse ndi machitidwe a thupi,
yeretsani thupi la mankhwala oopsa
kuchepetsa kulemera.

Pambuyo pakusala koyenera, mkhalidwe wamtendere umakhazikika, kukana kupsinjika, chitetezo chokwanira chikuwonjezeka, kukoma kwa zinthu zachilengedwe kumabwezeretseka, kufunitsitsa kusuntha kumawonekera.

Magulu oyipa

Munthu akakhala ndi njala, glycogen yomwe imapezeka m'chiwindi ndi mafuta amayamba kuwonongeka, zomwe zimapangitsa kuti ma cell a ketone awoneke m'magazi.

Mu odwala matenda ashuga, kuchuluka kwa zinthuzi kumawonjezedwa kale chifukwa chakulephera kugwiritsa ntchito insulin. Chifukwa chake, matendawa akadwala masiku atatu oyamba akhoza kukhala ovuta:

Acetonemialimodzi ndi kununkhira kwa acetone kuchokera mkamwa, pamene kuchuluka kwa zinthu zokhala ngati acetone kumagwira ntchito yofunika kwambiri ya plasma, komwe kutsekereza ntchito ya machitidwe onse ofunikira ndi chikomokere ndikotheka.

Kupanda kutero, chodabwitsa ichi chimatchedwanso ketonemia.

Ketonurialimodzi ndi kukodza pafupipafupi. Mimbulu imakhala ndi fungo laapulo. Zotsatira zake ndikutha madzi m'thupi ndikuchotsa mchere wofunikira, mavitamini ndi michere m'thupi.

Chifukwa chake, odwala omwe alibe nzeru ayenera kuchita kusala kokha moyang'aniridwa ndi akatswiri odziwa ntchito.

Kukonzekera ndikulowa mu kusala kudya kwa matenda ashuga a 2

Masiku asanu asanasambemwa kudya zakudya zamagulu a mafuta a glycemic otsika ndi 30 ml ya mafuta apamwamba (ozizira). Izi ndi monga:

masamba ambiri

Anyezi wophika ndiwothandiza kwambiri kwa matenda ashuga. Imaphikidwa osavomerezeka mu uvuni mpaka zofewa. Mutha kudya kuchuluka kulikonse patsiku. Itha kuphatikizidwa ndi chakudya mkate ndi mafuta a maolivi.

Zamasamba onse amadyedwa monga masaladi kapena mutaphika (kuphika).

Mwa izi, mutha kuphika phala m'madzi ndi mafuta ndi masamba. Chipatso chowola - maapulo obiriwira, ma apricots, mapichesi, mapeyala, maula chitumbuwa.

Amalimbikitsidwa kudya ola limodzi asanadye kaye. Ndikwabwino kuphika maapulo mu uvuni.

Zakudya Zakudya palibe shuga kuchokera ku mbewu zonse - zosaposa 50 g patsiku.

Ndikwabwino kugula zinthu zofunikira pasadakhale, kuti mukakonzekera musagonjere poyeserera kuti mugule ndi kudya zakudya zoletsedwa. Mulinso:

nyama iliyonse
nsomba ndi nsomba zam'nyanja,
zopangidwa mkaka
mazira
shuga, mchere,
tiyi, khofi, zakumwa zoziziritsa kukhosi,
zopera zoyera, kuphatikiza ndi confectionery.

Nthawi imeneyi ndiyofunikira kuti matumbo azitsuka poyambira poizoni, komanso kuti azitha kufa ndi njala, zomwe ndizovuta kwa anthu ambiri wathanzi.

Ndikofunika kudya pakukonzekera nthawi zambiri, pambuyo pa maola awiri ndi atatu, koma m'magawo ang'onoang'ono, kuyamwa kumimba kuti mutambasulidwe.

M'nyengo yozizira, ndibwino kuphika mbewu zamphesa ndi masamba, m'chilimwe - saladi masana ndikuwupatsa masamba odyera.

Musanadye kadzutsa, mutha kudzichiritsa kuti mwapsa yofinya kumene kapena madzi a karoti, omwe asanagwiritsidwe ntchito ayenera kuchepetsedwa ndi madzi muyezo wa 1: 1.

Izi zidzakusangalatsani ndipo zidzayeretsa thupi lanu.

Patsiku lomaliza musanasale kudya, ndikofunikira kuti mupange enema yotsuka ndi madzi owiritsa ndi kutentha kwa madigiri 35-37. Nthawi yabwino njirayi, malinga ndi biorhythms, ndi maola 22.

Malamulo oyambira

Ndikofunika kuchita kumenyedwa ndi matenda omwe mukufunsidwa kuchipatala, moyang'aniridwa ndi madokotala.

Munthawi yonse ya kukana kudya, muyenera kumwa madzi okha. Kutentha kwake kuyenera kukhala pafupi ndi kutentha kwa thupi (madigiri 36-37).

Pansi chiletso ndi:

zolimbitsa thupi,
hypothermia
kumwa mankhwala osavomerezeka ndi dokotala (izi ndi zowopsa m'moyo).

Ngati kusala kumachitika podziyimira pawokha, ndiye kuti panthawiyi ndikosayenera kugwira ntchito, kukhala pakati pa anthu ambiri. Zambiri zokhudzana ndi chakudya komanso kukonzekera kwake ziyenera kupewedwa.

Masiku atatu oyamba akusala amawona kufooka, kuzizira, chizungulire, kusinthasintha kwa machitidwe, kukhumudwa. Ichi ndi chifukwa cha kuchuluka kwa matupi a ketone m'mwazi. Mutha kuchepetsa vutoli poyenda mu mpweya watsopano, malo osambira ofunda ndi kutentha kwa madigiri 40-45 kwa mphindi 10, komanso kugona.

Tiyenera kudziwa kuti kulakalaka chakudya kumakulitsa katundu m'maso. Chifukwa chake, mukasala kudya, ndikosayenera kuwerenga kwambiri, kuwonera makanema apa TV, ndi zina zambiri.

Kuchepetsa njala kungathandize:

magawo angapo amadzi otentha,
nyimbo zapamwamba zapamwamba
kupuma kwamisempha pamodzi ndi kupumira kosazama.

Patatha masiku atatu, mkhalidwe umakhazikika, njala yopweteka imatha.

Ngati mukukumva chizungulire kwambiri, kusawona bwino, kuloza pamaso, nseru, muyenera kudziwitsa dokotala wanu kapena kuimbira ambulansi (ngati mukufa ndi njala kunyumba). Potere, simungayambe kudya, makamaka ngati kusala kumatha maola opitilira 24. Izi zakupha.

Kutuluka malamulo

Potuluka moyenera ku njala, tikulimbikitsidwa:

patsiku loyamba, imwani masamba okhawo odziwitsidwa kumene (kupatula ma beets) timadziti tothiriridwa ndi madzi 1: 1, kasanu patsiku.
Mu chachiwiri - mutha kuwonjezera zakumwa kuchokera ku zipatso zomwe zili ndi GI yotsika ndikuwonjezera zamkati. Amafunikiranso kuti azisenda ndi madzi.
Mu lachitatu - chakudya chamadzulo, mbatata zosenda bwino kuchokera ku apulo wobiriwira wobiriwira amawonjezeredwa.
Lachinayi - kuzakudya zam'mbuyomu, mutha kuwonjezera supuni zamasamba 150 zamasamba zamasana.

Kenako muyenera kudya sopo wamasamba wosenda ndi timadziti tatsopano kwa masiku ambiri momwe kusala kumakhalako.

Kenako amayamba kuyambitsa malonda m'zakudya motere: mkaka wowawasa, nsomba (osati yokazinga), mazira, nyama, ndi masiku 3-5. Ngati palibe chikhumbo chodya mapuloteni amanyama, ndiye kuti simuyenera kukakamiza.

Mukamasiya kusala kudya ndizovuta kudzipatula pakudya, makamaka odwala matenda ashuga omwe ali ndi kulemera kwakukulu. Chifukwa chake, ndikofunikira kubwereza kachiwiri: kuti tipewe zovuta zazikulu, kufa ndi njala makamaka kuchitika kuchipatala.

Kodi mungakhale ndi njala kangati?

Mtundu wachiwiri wa matenda ashuga, kusala kudya kumadalira kutalika kwa njirayi. Ndikosavuta kuwerengetsa kuti masiku asanu akukonzekera, sabata losala komanso sabata lotulutsidwa limatenga masiku 19. Zimatenga miyezi itatu kuti mubwezeretse thupi. Chifukwa chake, nthawi ina tidzakhala ndi njala m'miyezi inayi.

Kusala kwa milungu iwiri kumabwerezedwa pambuyo pa miyezi 5-6. Kugwedezeka kwamvula komwe kumadza ndi matendawa sikulimbikitsidwa.

Contraindication

Njala siyenera kuchitidwa kwa odwala omwe ali ndi matenda a shuga 2 omwe amalembedwa ndi:

matenda a mtima (mtima ischemia, atherosulinosis, etc.),
kuwonongeka kwamawonekedwe
khunyu komanso zovuta zina zolimbikitsa.

Sikuti ndikofunikira kukana chakudya kwanthawi yayitali kuti mukhale mankhwalawa kwa anthu omwe ali ndi vuto lalikulu pamaganizidwe amanjala. Ayenera kuyesa kusala kudya masiku omwe akulimbikitsidwa ndi adokotala.

Matenda a 2 a shuga amawoneka ngati matenda osachiritsika. Koma asing'anga achikhalidwe amakhulupirira kuti mothandizidwa ndikusala kudya moyenera, mutha kuyimitsa matendawa ndikuwabwezeretsa njirayo. Koma kutentheka sikuyenera pano. Anthu odwala matenda ashuga ayenera kukhala ndi njala mosamala kwambiri, kutsatira mosamalitsa malamulo onse ndi malingaliro, moyang'aniridwa ndi katswiri.

Chifukwa chiyani odwala matenda ashuga sayenera kukhala ndi njala? Kodi chimachitika ndi chiyani kwa thupi?

Pakuperewera kwa chakudya m'thupi kapena kufa ndi njala, odwala matenda ashuga amayamba machitidwe omwe amayambitsa kuchepa kwa shuga. Zakudya zam'madzi zikagwera mkati mwa thupi, shuga amawuka. Wodwala matenda ashuga akakhala ndi vuto la chakudya, chakudya sichilowa m'matumbo, motero, kuchuluka kwa shuga m'magazi sikuwonjezereka, ndipo mwina kungachepe. Musaiwale kuti pakagwa njala munthu amene ali ndi matenda ashuga, kusintha kumachitika mthupi.

Panthawi imeneyi, mafuta onse, mapuloteni komanso michere yambiri amakhudzidwa. Izi ndichifukwa chosowa gwero lamphamvu lolowa mthupi la wodwala.
Chiwindi chimagwira ntchito chifukwa cha glycogen.
Thupi limathetsa zakumwa zonse, pokhapokha ngati wodwalayo amamwa madzi ambiri.
Shuga wamagazi amachepa.
Sabata limodzi ndikokwanira kuti munthu azolowere zinthu zatsopano. Munthawi imeneyi, njira zonse za metabolic zimakhazikika.
M'masiku oyambilira panjala, thupi limafunikira chakudya, ndipo wodwalayo amadzuka pang'ono.
Fungo la acetone lochokera mkamwa mwa wodwala limaloledwa.

Tsoka ilo, sizikudziwika mpaka kumapeto kuti njala ya munthu yemwe ali ndi matenda ashuga imatsogolera. Palibe yankho limodzi pa izi, chifukwa chamoyo chilichonse chimakhala chosiyana ndi zina zonse. Sankhani kuti mukhale ndi njala kapena ayi, zingachitike mutakambirana ndi adokotala. Ngati ndi kotheka, iyenera kuyang'aniridwa mukasala kudya.

Mwatsatanetsatane pakusala kwachithandizo ndi matenda a shuga a 2

Kanema (dinani kusewera).

Mpaka pano, palibe malingaliro osatsutsika pamatenda amtundu wa 2 shuga. Poyang'ana koyamba, zikuwoneka kuti njira yofananira yothetsera mavuto monga kunenepa kwambiri kwa thupi ndiyolondola. Ndipo, poyeserera kudya ndi matenda a shuga a 2, wodwalayo sangataya ma kilogalamu osafunikira okha, komanso kusintha kwambiri shuga zomwe zili mthupi.

Ndipo komabe, malingaliro a akatswiri pankhaniyi amasintha. Wina amakhulupirira kuti kusala ndi matenda a shuga a 2 ndilothandiza kwambiri, koma pokhapokha gawo loyambira matenda. Ochirikiza chiphunzitsochi amati yankho lotere lidzathetseratu kulumikizana kowonongera kwa shuga m'thupi. M'malingaliro awo, kufa ndi njala ndikosavomerezeka ngati matenda amtundu wa 1 apezeka. Pankhaniyi, kuyesaku sikungatheke kuyesa kulikonse kuti muchepetse zakudya, chifukwa izi zitha kukhala zowononga mkhalidwe wa wodwalayo. Ndiye, zenizeni ndi ziti, ndizotheka kuti odwala matenda ashuga achepetse zakudya zamafuta, komanso momwe angachitire bwino?

Kanema (dinani kusewera).

Kufunika kolimbana ndi kunenepa kwambiri mu mtundu wachiwiri wa matenda ashuga

Vuto la kuchuluka kwambiri m'matenda a matenda ashuga a 2 limakhala lofunikira kwambiri. Mfundo yofunika kuikumbukira ndi yoti kukwera kwamankhwala mokulira kumakulitsa kuchuluka kwa insulini. Insulin yayikulu, imathandizira kuwotcha minofu ya adipose, ngakhale ilipo.

Nthawi yomweyo, insulini yowonjezereka imathandizira kuchepetsa shuga m'magazi, chifukwa cha momwe wodwala wodziwira matenda amtundu wa 2 amakhala akumva njala. Ndipo kupondera kudya ndi chakudya kumathandizira kuti muchepetse kunenepa kwambiri.

Ndipo, ngati wodwala matenda ashuga ali ndi mavuto awiri, kuphatikizapo mtundu wachiwiri wa matenda ashuga komanso onenepa kwambiri, ndiye kuti kubweretsa kulemera kofunikira kumayenera kukhala cholinga cha wodwalayo. Ngati wodwalayo atha kutsika ma kilogalamu odedwa ndikuchepetsa thupi, ndiye kuti mphamvu zama cell kupita ku insulin ya mahomoni opangidwa ndi kapamba imakulirakulira.

Izi zipangitsa kuti odwala omwe ali ndi matenda ashuga azikhala athanzi komanso kuti magazi a shuga azikhala athanzi. Zithandizanso kuti odwala azitha kupereka mankhwala ochepa omwe amamwa kuti akhale ndi shuga.

Monga njira imodzi yoyendetsera mapaundi owonjezera ikuyenera kuwonedwa ngati kusala kwachithandizo. Ndikofunika kukumbukira kuti ndi matenda monga matenda ashuga, kufa ndi njala kumayang'aniridwa ndi katswiri wazachipatala. Chifukwa chake, kukambirana ngati kuli kotheka kufa ndi matenda a shuga kukhala abwino.

Mfundo zofunika kuchiritsa odwala ndi matenda a shuga

Potsutsana pamutu wamomwe mungapangire kusala kudya kochiritsa ndi kusokonekera kwa endocrine, ziyenera kutchulidwa kuti katswiri aliyense amapereka njira yake. Madokotala ena amakhulupirira kuti ngati munthu atafuna kukhazikika, amafunika kusala nthawi yayitali. Wina, m'malo mwake, ndiwotsimikizira kuti masiku 10 akwanira kuti akwaniritse zotsatira zomwe akufuna.

Zotsatira za mayesowa zikuwonetsa, ngakhale chithandizo chamatenda a shuga masiku atatu osachepera zakudya zochepetsa thupi zimachepetsa kwambiri zomwe zili mthupi la wodwalayo ndikuwonjezera bwino moyo wake.

Monga tafotokozera pamwambapa, ndi matenda monga matenda a shuga a 2, ndibwino kufa ndi njala moyang'aniridwa ndi dokotala yemwe amayang'anira kuchuluka kwa shuga ndikupeza kuchuluka kwamadzi. Kuwona uku ndikofunikira makamaka pakusala kudya koyamba. Ngati pali zotheka, ndiye kuti chithandizo cha matenda ashuga mwachangu ndichabwino kupita kuchipatala.

Monga ndi matenda monga matenda a shuga, komanso nthawi ina iliyonse, ndibwino kuti mukamayandikira kugwa ndi kukonzekera koyenera ndikusiyira osavomerezeka mwanjira iliyonse:

Masiku angapo chilala chisanayambe, zakudya za anthu odwala matenda ashuga a 2 ziyenera kukhala zakudya zamagulu okha, komanso magalamu 30 40 a mafuta a azitona.
Mankhwala osokoneza bongo asanayambe kudya, enema amatsuka.
Osawopa kuti m'masiku asanu ndi limodzi oyamba fungo la acetone lidzawoneka kuchokera kumlomo wamkamwa. Ichi ndi chizindikiro kuti vuto la hypoglycemic likuchitika ndipo zomwe ma ketoni m'mwazi amachepetsa.
Popita nthawi, kuchuluka kwa glucose m'magazi kumakhazikika ndipo kumakhalabe choncho mpaka kumapeto kwa njala.
Kuletsa kudya zakudya zamankhwala kumathandizanso chifukwa chifukwa cha izi, kagayidwe kazakudya mthupi kamakhala ngati mtundu wake, katundu pa chiwindi ndi kapamba amachepetsa. Izi zimakuthandizani kuti musinthe ntchito ya ziwalozi, zomwe zimabweretsa kutha kwa zizindikiro za kuphwanya lamulo monga matenda ashuga.
Ndikulimbikitsidwa kuti muzitha masiku ochepa mutatha kusala, kudya zakudya zokha, pang'onopang'ono kuwonjezera mphamvu zawo. M'masiku awa, zakudya ziwiri patsiku zidzakhala zokwanira.

Mankhwala atatha, akatswiri amalimbikitsa kudya supu zamasamba ambiri ndi masaladi momwe mungathere, komanso mtedza Wachi Greek. Izi zipulumutsa zotsatira zake kwakanthawi.

Chifukwa chake, ndizotheka kukonza kusala kwachithandizo kwakanthawi ngati mtundu wa matenda ashuga a 2. Komabe, izi ziyenera kuchitika pokhapokha ngati mothandizidwa ndi adokotala akupita.

Akatswiri ambiri amavomereza kuti ndibwino kungokhala ndi njala kwa nthawi yoyamba osapitilira masiku 10. Izi zimapangitsa:

sinthani katundu pachilonda,
sakani kagayidwe kachakudya,
sinthani ntchito zapamba.

Mpikisano woterewu wapakati umathandizanso kuti ziwalo zithandizenso. Pankhaniyi, matendawa amasiya kupita patsogolo. Pamodzi ndi izi, odwala atatha kusala kwachangu amalolera hypoglycemia bwino kwambiri. Chiwopsezo cha zovuta zomwe zimayambitsidwa ndi kuchuluka kwadzidzidzi mu glucose zimacheperanso.

Malinga ndi anthu ambiri omwe ali ndi matenda ashuga, kusala kwachithandizo kumawapatsa mwayi w kuiwala za matenda awo. Ena mwa odwala amathanso kusala kudya konyowa komanso konyowa. Ndi kusala kouma, ndikofunikira kukana osati kudya zokha, komanso kumwa madzi.

Chifukwa chake, kusala kwachithandizo ndi njira yabwino kumalola anthu odwala matenda ashuga kudziwa zotsatira zabwino za mchitidwewu. Ndikofunikira ndipo ndikuyenera kutsatira malingaliro omwe alipo ndikuchita izi pokhapokha ngati mukugwirizana ndikuyang'aniridwa ndi katswiri wazachipatala.

Matenda a shuga ndi matenda omwe amasintha kwambiri moyo wa munthu. Zimachitika pamene thupi limasowa kwambiri insulin kapena osazindikira. Ngati tikulankhula za mtundu wachiwiri wa nthendayi, ndiye kuti kayendetsedwe ka mahomoni tsiku ndi tsiku sikofunikira, koma kuti akhalebe ndi moyo wathanzi, wodwalayo ayenera kuyesetsa: kutsatira zakudya, kuchita masewera olimbitsa thupi. Kusala matenda a shuga a mtundu wachiwiri kumathandizanso.

Mankhwala othandizira odwala matenda a shuga mellitus 2: chithandizo cha matenda osokoneza bongo omwe ali ndi njala

Madokotala amavomereza kuti chifukwa chachikulu chomwe chikulepheretsa matendawa ndi kunenepa kwambiri komanso zakudya zopanda thanzi. Kusala kumathetsa mavuto awiri nthawi imodzi: kumathandizira kuchepetsa kulemera ndipo, chifukwa chokana maswiti, kumabweretsa kuchuluka kwa shuga m'magazi.

Kulemedwa kwa ziwalo zamkati monga chiwindi ndi kapamba kumachepa mukasiya kudya. Njira ndi ziwalo zimayamba kugwira ntchito bwino, ndipo nthawi zambiri izi zimapangitsa kutsekeka kwathunthu kwa zizindikiro za matenda ashuga, kumalola wodwala kukhala ndi moyo wathunthu ndikukhala wokondwa.

Ngati nthawi yosala kudya imabwera mpaka masabata awiri, ndiye kuti nthawi imeneyi zinthu zimasintha kwambiri kuti zizikhala bwino m'thupi:

ziwalo zam'mimba zimasiya kukhala ndi katundu wambiri chifukwa chogwirira ntchito nthawi zonse ndi zinthu zovulaza zomwe zikulowa.
bwino kagayidwe, kuthandiza kulimbana kunenepa,
ntchito ya pancreatic yabwezeretsedwa,
thupi limalekerera mawonetseredwe a hypoglycemia mosavuta,
mwayi wokhala ndi zovuta za mtundu 2 wa shuga umachepa,
ziwalo zonse ndi machitidwe awo ayamba kugwira ntchito mu konsati,
matenda a shuga amasiya kuyenda.

Popeza nthawi yosala kudya ndi yayitali, ndikofunikira kumwa madzi nthawi zonse, koma akatswiri ena amati zotsatira za mankhwalawa zidzakhala bwino ngati mutalowa m'masiku ochepa "owuma" pomwe palibe kanthu kuchokera kunja, ngakhale madzi, komwe kumalowa m'thupi.

Kuchita bwino kwamankhwala kumakambidwabe, njira yokhayo yomwe madokotala amapereka odwala matenda ashuga ndi mapiritsi omwe amachotsa shuga m'magazi. Ngati wodwala samadwala matenda a mtima komanso matenda ena okhala pachimake, kusala kudya kumathandiza kuthana ndi matendawa m'njira "yathanzi" kwambiri.

Njala imagwira ntchito chifukwa chakuti thupi limayamba kugwiritsa ntchito zake zomwe zimasungidwa mafuta ndi zakudya zina zikaleka kulowa kuchokera kunja. Insulin - timadzi tomwe timasungidwa ndi chakudya - timapangidwa ndi thupi tikamasala kudya chifukwa cha "ma depos" amkati. Nthawi imodzimodziyo, pamakhala kutulutsidwa kwa poizoni ndi zinthu zina zoyipa zomwe zimadziunjikira nthawi yoperewera. Kuti ntchito yoyeretsa ipite mwachangu, muyenera kutsagana ndi kukana chakudya pomwa madzi osachepera 2-3 malita tsiku.

Therapy imathandizira kubwezeretsa njira za metabolic ku liwiro lawo labwinobwino, lofunikira kwa odwala matenda ashuga. Matenda awo amachepa chifukwa cha zakudya zoperewera komanso matenda. Kugwiritsa ntchito bwino kwa metabolism kumakupatsani mwayi wotaya mapaundi owonjezera osasintha zakudya moyenera. Mlingo wa glycogen womwe umapezeka m'matumbo a chiwindi umatsika, ndipo pakalandira mafuta acids, omaliza amasinthidwa kukhala chakudya.

Anthu ena omwe ali ndi njala amasiya kutsatira njirayi, atayamba kuona zinthu zatsopano komanso zachilendo. Anthu ambiri ali ndi fungo la acetone lochokera mkamwa mwawo. Koma chifukwa cha izi zili m'matumbo a ketone omwe amapanga nthawi yake. Izi zikusonyeza kuti vuto la hypoglycemic likupanga lomwe likuika pachiwopsezo pamoyo wa odwala matenda ashuga, makamaka akafika pa mtundu woyamba wa matenda ashuga. Mtundu wachiwiri wa anthu odwala matenda ashuga amaloleza kuletsa zakudya mosavuta.

Kuti kusala kudya kupindule, munthu ayenera kutsatira malamulo okhwima. Monga chithandizo china chilichonse, pamafunika wodwalayo kuti azikhala wosasinthika, woganizira mkhalidwe wake, komanso wodekha.

Pa gawo loyamba, muyenera kupita kwa dokotala ndikukayezetsa. Munthu wodwala matenda ashuga amawonetsa kusala kwanthawi yayitali, zomwe zimatheka kokha ndi thanzi labwino. Kutalika kwakukulu kwa kusala kuli milungu iwiri. Sikuti aliyense amatha kukwanitsa izi - poyamba muyenera kuyambira ndi masiku ochepa kuti thupi lizolowera dziko latsopano. Ngakhale masiku 3-4 osakhala ndi chakudya azikhala athanzi komanso zimapangitsa kuti shuga asakhale ndi plasma.

Ngati wodwalayo ali wonenepa kwambiri komanso pali matenda ena ambiri, ndiye kuti ndi bwino kuyamba kutsatira njira imeneyi moyang'aniridwa ndi achipatala. Zoyenera, katswiri, endocrinologist komanso wazakudya ayenera nthawi yomweyo kutsogolera wodwala wotere. Kenako kuwongolera kuzisonyezo zonse ndikotheka. Wodwala iyemwini amatha kuyeza kuchuluka kwa shuga kunyumba.

Kukonzekera kofunikira komwe kumakhazikitsa thupi panjala. Kukonzekera kumaphatikizapo:

kudya zakudya zochokera azitsamba m'masiku atatu omaliza musanasale kudya,
kuwonjezera magalamu 30 amafuta a mbewu ya azitona ku chakudya,
kuzolowera kugwiritsa ntchito malita atatu amadzi oyera
enema patsiku lomaliza kusanachitike njala kuti achotse zinyalala za chakudya ndi zinthu zowonjezera zomwe zimadetsa m'mero.

Kukonzekera zamaganizo ndikofunikanso. Ngati wodwalayo akumvetsetsa bwino zomwe zidzamuchitikire panthawi ya chithandizo, kuchuluka kwa kupsinjika kumatsika. Ngati mkhalidwe wama psycho umakhala wamavuto, munthuyo nthawi zonse amakopeka kuti athetse nkhawa komanso mantha ndi chakudya - monga njira yosavuta komanso yotsika mtengo kwambiri yosangalalira ndi chisangalalo. Zisokonezo ndizosapeweka mwa iwo omwe sanadziyike okha kuti athe kutsatira malamulo ndikupeza zotsatira zabwino.

Njirayi ndi yosiyana popeza suyenera kungolowa moyenera, komanso kutuluka molondola. Ngati izi sizichitika, ndiye kuti zizindikiro zonse za matenda ashuga zimabwereranso, ndipo zotsatira zake sizingachitike.

Malamulo otuluka pakumenyedwa ndi njala ndi osavuta:

Kwa masiku osachepera atatu saloledwa kudya mafuta, osuta, owotcha,
mndandanda wa sabata yoyamba uyenera kukhala ndi supu, mafuta amadzimadzi, zakumwa zachilengedwe, mkaka ndi Whey, zipatso zamasamba ndi zakudya zina zosavuta kugaya,
ndiye kuti mutha kulowa maphikidwe a porridge, nyama yonyowa ndi sopo pamsuzi wa nyama,
mutha kuwonjezera chakudya chambiri - poyamba zimakhala zokwanira kuyambitsa chakudya chambiri kawiri pa tsiku, pang'onopang'ono kubweretsa kuchuluka kwa magawo asanu kapena asanu ndi limodzi,
Zakudya zambiri zizikhala ndi masamba a masamba ndi sopo, mtedza ndi zipatso, kotero kuti kuthana ndi vuto la njala kumatenga nthawi yayitali.

Muyenera kuti muchoke kusala kudya kwamasiku ambiri m'mene adakhalako. Chifukwa chake mutha kuwonjezera mphamvu yake ndikuchepetsa zovuta za matendawa.

Amakhulupirira kuti kuti musunge vutoli, muyenera kugwiritsa ntchito mankhwalawa pafupipafupi, koma sikofunikira kuti muchepetse zakudya ndi michere kwa nthawi yayitali nthawi iliyonse. Ndikokwanira kuti odwala matenda ashuga azitha kumenyedwa ndi njala masiku awiri kapena atatu.

Mukamaganiza zankhondo yayitali, muyenera kumvetsetsa kuti magwiridwe ake azikhala apamwamba kuposa a masiku awiri. Izi ndichifukwa choti zochizira zimawonekera patsiku lachitatu kapena lachinayi la kuyeretsa thupi. Pakadali pano, vuto la acidotic limachitika. Thupi laumunthu limayamba kugwiritsa ntchito malo osungirako mkati kuti likhale ndi moyo, litaima kaye kuti chakudya chizituluka kunja.

Kulemera kwambiri kwa wodwalayo kumachotsedwa bwino m'masiku oyambira, koma mizere yambiri imachitika chifukwa cha kutulutsidwa kwa madzi, mchere ndi glycogen. Kulemera komwe kumapita masiku otsatirawa ndi mafuta osaneneka, omwe ndi mdani woipa kwambiri wa odwala omwe ali ndi matenda.

Ngakhale kuoneka bwino kwa njirayi, pali zochitika zina momwe kumayambira kapena kupitiriza kusala kudya sikungatheke.

Tikuyankhula za kuukira kwa hypoglycemia. Kwa anthu omwe ali ndi mbiri ya matenda ashuga, matendawa ndi owopsa. Chifukwa chake, muyenera kudziwa zisonyezo zake kuti muchitepo kanthu nthawi ndikudziteteza.

Hypoglycemia imadziwika chifukwa chakuti thupi limasowa shuga. Amapatsa zizindikiro, kupangitsa wodwala kumva nseru, kufooka, chizungulire, kugona, kumva kusangalatsidwa kwa zomwe akuwona, kusinthasintha kwa machitidwe, kusinthika kwa kuyankhula komanso kuzindikira. Zizindikiro zimatha kumangilira mwachangu ndikupanga kugwa komaso kufa. Kuti mudzitulutse pamavuto a hypoglycemic, muyenera kudya maswiti, supuni ya uchi kapena piritsi ya glucose. Popewa kukula kwa kuukira, mutha kuwonjezera shuga kapena uchi pang'ono pakumwa kwanu tsiku ndi tsiku.

Simungasinthe njira iyi yoyeretsera pamaso pa zopatuka zotsatirazi:

mtima
mavuto amisala
mitsempha yam'mitsempha,
matenda a urogenital.

Kuletsedwaku kumagwiranso ntchito kwa amayi apakati komanso oyembekezera, komanso kwa anthu azaka zosakwana 18.

Moyo wamakono komanso chakudya chopanda malire chomwe chingagulidwe chimayambitsa kuchuluka kwa odwala matenda ashuga padziko lonse lapansi. Iliyonse ya yomwe ingathetse vutoli, njira imodzi ndiyothandiza kusala kudya.

“Matenda okoma” ndi amodzi mwa matenda ofala kwambiri padziko lapansi. Nkhani yothandizadi ndimayendedwe a matenda amenewa amakhalabe omasuka nthawi zonse. Chifukwa chake, madokotala ndi asayansi akuyesera kuti apeze njira zowonjezereka zothanirana ndi matendawa.

Ngati tikulankhula za njira yosachiritsika yoperekera matenda a carbohydrate metabolism, ndiye kuti muyenera kuyang'anira chidwi cha matenda a matenda a shuga. Njirayi ili ndi othandizira ambiri komanso otsutsa pakati pa madokotala ndi odwala.

Njira yapamwamba yothana ndi matendawa imakana, koma, monga momwe zimawonekera, kudziletsa pakudya kumachepetsa shuga wamagazi ndikusintha thanzi la wodwalayo, ndipo kumamuthandiza.

Wodwala aliyense ayenera kukumbukira kuti kukwaniritsa izi mthupi lake kumakhala ndi zotsatira zoyipa, ndipo izi zimagwira ntchito makamaka kwa iwo omwe akufuna kuyesa kudya ndi matenda ashuga a mtundu woyamba.

Ndiye chifukwa chake sungakane kudya popanda kuyang'aniridwa ndi dokotala. Njira zabwino zitha kukhala ngati munthu ayamba kufa ndi njala kuchipatala, komwe angapereke chisamaliro chadzidzidzi ngati kuli kofunikira.

Pokha, kupewa zakudya kumakhala ndi njira yofananira ya maphunzirowa, komanso "matenda okoma".

Njira yosintha mthupi ndi motere:

Masiku atatu oyambira popanda chakudya amabweretsa kufooka ndi kufooka.
Popeza mphamvu sizichokera kunja, thupi liyenera kugwiritsa ntchito mafuta osungirako mafuta, mapuloteni komanso zakudya zamafuta.
Chiwindi chimayamba kugwira ntchito mwachangu, kuwononga glycogen wamkati.
Chifukwa cha kulephera kupereka machitidwe onse ndi ziwalo zonse ndi shuga, njira yopangira matupi a ketone imayambitsidwa. Ketonemia ndi ketonuria ikuyenda bwino.
Fungo lonunkhira la acetone kuchokera mkamwa lingawonekere.
Patsiku la 5-7, thupi limapangidwanso kuti lizigwira ntchito m'njira yatsopano, kuchuluka kwa matupi a ketone akubwerera mwachizolowezi, kagayidwe kake ndikukhazikika.
Pali kuchepa kwa kuchuluka kwa shuga m'magazi, omwe amatha kukhazikika potsatira malamulo a chithandizo chamtunduwu.

Chofunikira kwambiri kwa wodwala ndikuwunika pafupipafupi zaumoyo komanso kuyang'aniridwa ndi dokotala. Kwa anthu ambiri, kusala kudya koyamba ndi matenda a shuga a 2 kumatha kuwapangitsa kuti asaone kapena kufa. Nthawi zambiri, izi zimachitika chifukwa cha njira zolakwika.

Kusala kwachiwiri kwa matenda ashuga: maubwino ndi zopweteketsa

Akatswiri ambiri a endocrinologists mobwerezabwereza amaonanso zoopsa zomwe zimadikira odwala omwe amakhala osadziletsa kudya kwanthawi yayitali. Mwanjira ina, akulondola.

Zotsatira zoyipa zazikulu zomwe zimadza ngati njira yolakwika ya chithandizo chotere ikhoza kukhala:

Hypoglycemia yayikulu ndi kukula kwa chikomokere,
General malaise
Matenda am'mimba
Kupsinjika

Ndikofunika kudziwa kuti kukana chakudya kumatheka pokhapokha matendawa atadwala. Kuopsa kwa "nthenda yokoma" ndi matendawo omwe amadalira insulin ndi zotsutsana kwathunthu ndi mankhwalawa.

Zotsatira zabwino za njala mu mtundu 2 wa matenda ashuga ndi:

Kutsika kwa kuchuluka kwa shuga m'magazi,
Matenda a chakudya ndi mafuta,
Kuchepetsa thupi
Kusintha kwa thupi kuti muchepetse kuchuluka kwa chakudya chomwe mumadya.

Chofunika kwambiri ndi njira iyi ya chithandizo ndikutsatira njira zonse ndi njira zamakhalidwe.

Kuti mupeze phindu lokwanira kuchokera mu kudziletsa, muyenera kukonzekera bwino.

Kuti muchite izi, muyenera:

Masiku angapo musanachiritsidwe, kanizani nyama mbale.
Pitani mukatenge zipatso ndi ndiwo zamasamba.
Tsukani matumbo ndi enema.
Kuchulukitsa kumwa kwa madzi mpaka malita atatu patsiku.

Kutalika kwa kusala lokha kumayenera kukhala masiku 5-10, kutengera thanzi la wodwalayo. Panthawi yoletsa, wodwala amaloledwa kugwiritsa ntchito madzi wamba. Ndikwabwino ngati chidziwitso choyambirira cha kudziletsa chikuchitika mu chipatala moyang'aniridwa ndi madokotala.

Chofunikanso kwambiri ndi njira yothana ndi njala. Pambuyo masiku 10, mutha kugwirira mwachangu mitundu yonse ya zinthu zabwino. Ndikofunikira kukhazikitsa chakudya pang'onopang'ono.

Ndikofunika kuyamba ndi decoctions masamba ndi zipatso purees, ndiye owonjezera msuzi, mbewu monga chimanga. Pakatha masiku 2-3 mutayambiranso chakudya chokwanira mutha kubwerera ku zakudya zachikhalidwe.

Ndizoyenera kunena kuti kukana chakudya kwa masiku 1-3 sikubweretsa phindu. Chifukwa chake, simuyenera kubwezanso thupi mosafunikira. Akamaliza maphunziro amtunduwu, munthu amawona kupepuka m'thupi, kusintha kwa thanzi. Manambala omwe ali pamamita amachepetsa kwambiri.

Chithandizo cha matenda a shuga a mtundu wachiwiri mwa kusala kudya ndi imodzi mwanjira zoopsa zolimbikitsira thupi. Odwala omwe ali ndi vuto lalikulu la matenda kapena matenda opatsirana sayenera kutembenukiranso. Komabe, palibe amene angaletse munthu kuti ayesetse zaumoyo wawo.

Chachikulu ndikuyang'ana ndi dokotala musanayambe kudziletsa. Ndikofunikira kuyesedwa kwathunthu ndikuyenerera kwa kukana chakudya. Kwa odwala ambiri, mchitidwewu ungayambitse kupanga matenda atsopano.

Kusala kudya ndi njira yothira mankhwala ena. Munthu modzipereka amakana chakudya (ndipo nthawi zina madzi) pofuna kuyeretsa thupi la poizoni ndi poizoni kuti machitidwe omwe amaphatikizidwa ndi chimbudzi asinthidwe kukhala "kuchira". Malangizo a mankhwalawa athandiza anthu ambiri kusiya mavuto azaumoyo wawo.

Kuvutika ndi matenda a shuga mellitus kumakuthandizani kuti muchepetse kunenepa, musinthe shuga, muthane ndi kupititsa patsogolo kwa hyperglycemia. Chachikulu ndikutsatira malamulo ena ndikukambirana ndi katswiri kuti mupewe mavuto.

M'mbuyomu, hyperglycemia amadziwika kuti ndi matenda osachiritsika. Chifukwa chakukanda chakudya, wodwalayo adakakamizidwa kudya tinthu tating'onoting'ono, ndipo zotsatira zake adafa kutopa. Njira itapezeka yochizira matenda owopsa, akatswiri adayamba kuphunzira mwakhama zakudya za odwala.

Zambiri zimadalira mtundu wa shuga:

Mu mtundu woyamba wa matenda a shuga a mellitus (insulin), maselo a kapamba amatha kusweka kapena satulutsa insulin yokwanira. Odwala amatha kudya zakudya zamagulu okha pokhapokha ngati angayambitse mahomoni osowa.
Mtundu wachiwiri, insulin imapangidwa, koma yokwanira, ndipo nthawi zina yowonjezera. Thupi silitha kuthana ndi glucose yemwe amabwera ndi chakudya, ndipo metabolism imasokonezeka. Ndi matenda amtunduwu, chakudya cham'magazi ndi glucose ndizochepa.

Kuperewera kwa zakudya m'thupi, onse odwala matenda ashuga komanso anthu athanzi, kumabweretsa kuti thupi likuyang'ana mafuta ochulukirapo. Njira zimayambira pomwe ma cell am'magazi amapanga chakudya chambiri.

Mutha kuthana ndi hyperglycemia posala kudya nthawi yayitali, koma hypoglycemia imayamba.

Chifukwa cha kuchepa kwa shuga, zizindikiro zotsatirazi zimachitika:

nseru
ulesi
kutuluka thukuta kwambiri
masomphenya apawiri
kukomoka
kusakhazikika
mawu achipongwe.

Kwa odwala matenda ashuga, iyi ndi njira yoopsa, yomwe imatha kubweretsa kukomoka kapena kufa - werengani za matenda okomoka.

Koma palibe amene angakane phindu losala kudya shuga. Izi zikuphatikiza:

kuwonda
kutsitsa kwam'mimba, chiwindi ndi kapamba,
kagayidwe matenda
kuchepa kwamphamvu kwam'mimba, komwe kumathandizira kuchepetsa kulakalaka mutasala kudya.

Pakukana chakudya, odwala matenda ashuga amakhala ndi vuto la hypoglycemic, momwe kuchuluka kwa shuga m'magazi kumatsika kwambiri. Matupi a Ketone amadziunjikira mkodzo ndi magazi. Ndi thupi lawo lomwe limagwiritsa ntchito mphamvu. Mkulu pazinthu izi zimakwiyitsa ketoacidosis. Chifukwa cha njirayi, mafuta ochulukirapo amachoka, ndipo thupi limayamba kugwira ntchito mosiyanasiyana.

Pankhani ya hyperglycemia, opanga njira zosala kudya amalimbikitsa kuletsa kugwiritsa ntchito madzi ndi madzi amodzi, ndipo mtsogolomo, masiku angapo (kumenyedwa ndi njala kumatha miyezi 1.5).

Ndi matenda a cell omwe amadalira insulin, zomwe zimakhala m'magazi sizimadalira kuti chakudya chawamwa kapena ayi. Zizindikiro za Hyperglycemic zidzakhalabe mpaka jakisoni wa mahomoni atayambitsidwa.

Zofunika! Kusala kudya ndi matenda amtundu woyamba amatsutsana. Ngakhale munthu atakana chakudya, izi sizingathandize, koma zimapangitsa kukomoka kwa hyperglycemic coma.

Njala yamtundu wa 2 shuga imadziwikika ngati mtundu wina wa zakudya. Endocrinologists nthawi zina amalimbikitsa kukana chakudya, koma ndi boma lokwanira kumwa. Njirayi ikuthandizani kuti muchepetse thupi, chifukwa kunenepa kwambiri kumachepetsa mphamvu ya kagayidwe kachakudya ndikuwonjezera thanzi la odwala matenda ashuga, ndikuthandizira kukula kwa matendawa. Kutsitsa zizindikiro za shuga kumalola njira yoyenera yokana chakudya, njira yabwino yothetsera njala, chakudya choyenera mukatha kudya chakudya.

Akatswiri amalimbikitsa kupewa kudya ndi matenda a shuga a 2 masiku masiku 5-10. Pambuyo pamavuto a hypoglycemic, shuga amawongolera pokhapokha patsiku la 6. Ndikwabwino nthawi imeneyi kupempha thandizo la akatswiri azachipatala kuti azimuyang'anira.

Kukonzekera kumayambira sabata 1 musanatsuke thupi. Odwala

kukana nyama nyama, yokazinga, zakudya zolemera,
kupatula kugwiritsa ntchito mchere,
kukula kwake kumachepetsedwa
mowa ndi maswiti amachotsa kotheratu
patsiku losala kudya, amapanga enema yotsuka.

Kumayambiriro kwa chithandizo chanjala, kusintha kwa mayesowo a mkodzo ndikotheka, kununkhira komwe kumapereka ma acetone. Komanso fungo la acetone limatha kumveka kuchokera mkamwa. Koma vuto la hypoglycemic likadutsa, zinthu za ketone mthupi zimachepa, fungo limadutsa.

Zakudya zilizonse ziyenera kusiyidwa, koma osakana kumwa madzi ambiri, kuphatikizapo mankhwala azitsamba. Amaloledwa kuchita masewera olimbitsa thupi.M'masiku oyambilira, kumasuka kwanjala ndikotheka.

Kodi mumazunzidwa ndi kuthamanga kwa magazi? Kodi mukudziwa kuti matenda oopsa amathanso kukopeka ndi mtima ndi kumenyedwa? Sinthani nkhawa zanu. Maganizo ndi mayankho okhudza njira zomwe mwawerenga apa >>

Njira yakuchoka kusala kudya imatenga masiku ambiri monga nthawi yodziletsa pakudya. Pambuyo pa mankhwala, masiku atatu oyambilira amwe zipatso ndi ndiwo zamasamba mu mawonekedwe osungunuka, osapewa chakudya cholimba. Mtsogolomo, chakudyacho chimaphatikizapo timadziti totsekemera, mbewu zopanda mafuta (oatmeal), Whey, masamba decoctions. Mutachoka panjala, chakudya chama protein sichitha kutha kuposa milungu iwiri.

Zakudya za munthu wodwala matenda ashuga ayenera kuphatikizapo saladi za masamba, supu zamasamba, masamba a mtedza: kotero zotsatira za njirazi zikhala kwa nthawi yayitali. Panthawi yochira, ndikofunikira nthawi zonse kuyeretsa enemas, popeza ntchito yamatumbo pakagwa njala imasokonekera.

Zofunika! Matenda a shuga a 2 amasala kudya kawiri pachaka. Nthawi zambiri kuposa ayi.

Kukana kwa nthawi yayitali kwa odwala omwe ali ndi hyperglycemia ndi koletsedwa pamaso pa concomitant pathologies. Izi zikuphatikiza:

matenda amtima
zovuta zamitsempha
mavuto amisala
chiwindi ndi impso
matenda okhudzana ndi kwamikodzo dongosolo.

Kusala sikuti ndikulimbikitsidwa kwa azimayi panthawi yomwe akubala mwana ndi ana osaposa zaka 18.

Akatswiri ena, omwe amatsutsa njira ngati izi pochiritsa matenda ashuga, amakhulupirira kuti kukana chakudya kumakhudza thupi la wodwalayo. Amati kukhazikitsa kagayidwe komanso kuthana ndi matenda a hyperglycemic kumathandizira kudya zakudya zabwino komanso kuwerengera magawo a mkate omwe amalowetsa m'mimba.

Ndi chithandizo chamankhwala, muyenera kumwa madzi oyera mu kapu iliyonse theka la ola. Kusiya chomenyedwa ndi njala kwamasiku awiri simungadye kalikonse, ingomwa apulo kapena msuzi wa kabichi wothiriridwa ndi madzi. Kenako msuzi mu mawonekedwe ake oyera, pambuyo pake - masamba ophatikizika ndi masamba a viscous. Mutha kuyamba kudya nyama isanakwane kuposa masabata awiri ndi atatu.

Onetsetsani kuti mwaphunzira! Kodi mukuganiza kuti mapiritsi ndi insulin ndi njira yokhayo yoyeserera shuga kuwongolera? Sichowona! Mutha kutsimikizira izi nokha ndikuyamba kuzigwiritsa ntchito. werengani zambiri >>

Kusala kudya ndi matenda a shuga a 2: ndizotheka komanso momwe mungachitire bwino

Matenda a 2 a matenda a shuga nthawi zambiri amakhudzidwa ndi anthu onenepa kwambiri omwe amakhala moyo wongokhala.

Mchitidwe wamanjenje wa anthu otere ndi wosakhazikika, wokonda kuperewera kwa mitsempha komanso kupsinjika. Ichi ndi chimodzi mwazomwe zimayambitsa matendawa.

Ndi chitukuko cha matendawa, mahomoni ake omwe amapangidwa ndi kapamba sangatenge nawo gawo mokwanira pazochita za metabolic, kulowa mkati mwa maselo kudzera zimagwira. Imakhalabe m'madzi a m'magazi, potero kumachulukitsa shuga.

Ngati matendawa ndi oopsa, ndiye kuti wodwalayo amayamba kubaya insulin yopanga. Kuyambira pano, wodwalayo amadalira mankhwalawa, chifukwa kapamba amasiya kupanga mahomoni pawokha pakapita nthawi.

Njala idzabwezeretsa kagayidwe kazachilengedwe, kuchuluka kwa mahomoni, komanso:

tulutsani ziphuphu ndi chiwindi ku sumu, apatseni mpumulo.
limbitsa bwino ziwalo zonse ndi machitidwe a thupi,
yeretsani thupi la mankhwala oopsa
kuchepetsa kulemera.

Ndi mtundu wachiwiri wa matenda ashuga, kusintha kosatha ndikotheka kwa masabata awiri kapena awiri. Munthawi imeneyi, thupi limayendetsa osati kudziyeretsa yokha, komanso kukhazikitsa pulogalamu yodzipulumutsa yokha.

Munthu akakhala ndi njala, glycogen yomwe imapezeka m'chiwindi ndi mafuta amayamba kuwonongeka, zomwe zimapangitsa kuti ma cell a ketone awoneke m'magazi.

Mu odwala matenda ashuga, kuchuluka kwa zinthuzi kumawonjezedwa kale chifukwa chakulephera kugwiritsa ntchito insulin. Chifukwa chake, matendawa akadwala masiku atatu oyamba akhoza kukhala ovuta:

Acetonemialimodzi ndi kununkhira kwa acetone kuchokera mkamwa, pamene kuchuluka kwa zinthu zokhala ngati acetone kumagwira ntchito yofunika kwambiri ya plasma, komwe kutsekereza ntchito ya machitidwe onse ofunikira ndi chikomokere ndikotheka.

Kupanda kutero, chodabwitsa ichi chimatchedwanso ketonemia.

Ketonurialimodzi ndi kukodza pafupipafupi. Mimbulu imakhala ndi fungo laapulo. Zotsatira zake ndikutha madzi m'thupi ndikuchotsa mchere wofunikira, mavitamini ndi michere m'thupi.

Chifukwa chake, odwala omwe alibe nzeru ayenera kuchita kusala kokha moyang'aniridwa ndi akatswiri odziwa ntchito.

Masiku asanu asanasambemwa kudya zakudya zamagulu a mafuta a glycemic otsika ndi 30 ml ya mafuta apamwamba (ozizira). Izi ndi monga:

masamba ambiri

Zamasamba onse amadyedwa monga masaladi kapena mutaphika (kuphika).

Mwa izi, mutha kuphika phala m'madzi ndi mafuta ndi masamba.
Chipatso chowola - maapulo obiriwira, ma apricots, mapichesi, mapeyala, maula chitumbuwa.

Amalimbikitsidwa kudya ola limodzi asanadye kaye. Ndikwabwino kuphika maapulo mu uvuni.

Zakudya Zakudya palibe shuga kuchokera ku mbewu zonse - zosaposa 50 g patsiku.

Ndikwabwino kugula zinthu zofunikira pasadakhale, kuti mukakonzekera musagonjere poyeserera kuti mugule ndi kudya zakudya zoletsedwa. Mulinso:

nyama iliyonse
nsomba ndi nsomba zam'nyanja,
zopangidwa mkaka
mazira
shuga, mchere,
tiyi, khofi, zakumwa zoziziritsa kukhosi,
zopera zoyera, kuphatikiza ndi confectionery.

Nthawi imeneyi ndiyofunikira kuti matumbo azitsuka poyambira poizoni, komanso kuti azitha kufa ndi njala, zomwe ndizovuta kwa anthu ambiri wathanzi.

Ndikofunika kudya pakukonzekera nthawi zambiri, pambuyo pa maola awiri ndi atatu, koma m'magawo ang'onoang'ono, kuyamwa kumimba kuti mutambasulidwe.

M'nyengo yozizira, ndibwino kuphika mbewu zamphesa ndi masamba, m'chilimwe - saladi masana ndikuwupatsa masamba odyera.

Musanadye kadzutsa, mutha kudzichiritsa kuti mwapsa yofinya kumene kapena madzi a karoti, omwe asanagwiritsidwe ntchito ayenera kuchepetsedwa ndi madzi muyezo wa 1: 1.

Izi zidzakusangalatsani ndipo zidzayeretsa thupi lanu.

Patsiku lomaliza musanasale kudya, ndikofunikira kuti mupange enema yotsuka ndi madzi owiritsa ndi kutentha kwa madigiri 35-37. Nthawi yabwino njirayi, malinga ndi biorhythms, ndi maola 22.

Ndikofunika kuchita kumenyedwa ndi matenda omwe mukufunsidwa kuchipatala, moyang'aniridwa ndi madokotala.

Munthawi yonse ya kukana kudya, muyenera kumwa madzi okha. Kutentha kwake kuyenera kukhala pafupi ndi kutentha kwa thupi (madigiri 36-37).

Pansi chiletso ndi:

zolimbitsa thupi,
hypothermia
kumwa mankhwala osavomerezeka ndi dokotala (izi ndi zowopsa m'moyo).

Tiyenera kudziwa kuti kulakalaka chakudya kumakulitsa katundu m'maso. Chifukwa chake, mukasala kudya, ndikosayenera kuwerenga kwambiri, kuwonera makanema apa TV, ndi zina zambiri.

Kuchepetsa njala kungathandize:

magawo angapo amadzi otentha,
nyimbo zapamwamba zapamwamba
kupuma kwamisempha pamodzi ndi kupumira kosazama.

Patatha masiku atatu, mkhalidwe umakhazikika, njala yopweteka imatha.

Potuluka moyenera ku njala, tikulimbikitsidwa:

patsiku loyamba, imwani masamba okhawo odziwitsidwa kumene (kupatula ma beets) timadziti tothiriridwa ndi madzi 1: 1, kasanu patsiku.
Mu chachiwiri - mutha kuwonjezera zakumwa kuchokera ku zipatso zomwe zili ndi GI yotsika ndikuwonjezera zamkati. Amafunikiranso kuti azisenda ndi madzi.
Mu lachitatu - chakudya chamadzulo, mbatata zosenda bwino kuchokera ku apulo wobiriwira wobiriwira amawonjezeredwa.
Lachinayi - kuzakudya zam'mbuyomu, mutha kuwonjezera supuni zamasamba 150 zamasamba zamasana.

Kenako muyenera kudya sopo wamasamba wosenda ndi timadziti tatsopano kwa masiku ambiri momwe kusala kumakhalako.

Kusala kwa milungu iwiri kumabwerezedwa pambuyo pa miyezi 5-6. Kugwedezeka kwamvula komwe kumadza ndi matendawa sikulimbikitsidwa.

Njala siyenera kuchitidwa kwa odwala omwe ali ndi matenda a shuga 2 omwe amalembedwa ndi:

matenda a mtima (mtima ischemia, atherosulinosis, etc.),
kuwonongeka kwamawonekedwe
khunyu komanso zovuta zina zolimbikitsa.

Matenda a Gressor M. Matenda. Zambiri zimadalira inu (lotanthauziridwa kuchokera ku Chingerezi: M. Gressor. "Matenda a shuga, osokoneza bongo", 1994). SPb., Nyumba yosindikiza "Norint", 2000, masamba 62, kufalitsidwa kwa makope 6000.
Akhmanov, Matenda a M.S. Chilichonse chomwe muyenera kudziwa (+ DVD-ROM) / M.S. Akhmanov. - M: Vector, 2010 .-- 352 p.
M. Akhmanov "Njira Yopulumutsira Matenda a shuga", St. Petersburg, "Nevsky Prospect", 2002

Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwa zaka zoposa 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka pamalowo kuti athetse zovuta osati ntchito. Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusayiti, kukambirana ndi akatswiri ndizofunikira nthawi zonse.

Kusala Kutha Kuchiritsa Matenda A shuga

Matenda a shuga - matenda omwe amasokoneza kagayidwe kachakudya, zomwe zimapangitsa kuchuluka kwa glucose m'misempha, ndikugonjetsedwa kwawo kotsatira. Anthu omwe akudwala matendawa amati sangathe kuleketsa njala.

Nthawi yomweyo, amatchulanso kuti shuga yochepa ya m'magazi ingayambitse kukomoka komanso zizindikilo zosiyanasiyana zosokoneza moyo wabwino. M'malo mwake, kusala kudya kumatsutsana mwa mtundu woyamba wa matenda ashuga.

Ndi kusinthaku, thupi liyenera kuwononga mafuta omwe amasungidwa ndi minofu kuti lipeze ma calorie ofunikira kapena, makamaka, mphamvu.

Mu shuga, metabolism imamangidwa makamaka pamafuta. Ndi kusala kwachiwonetsero, maselo a pancreatic omwe amapanga insulini yogulitsa glucose amatha kuchira, chifukwa shuga imakhala chizindikiro chosafunikira cha magazi.

Kusala kudya kwa masiku osakwana atatu kulibe ntchito, popeza pamenepa njala ndi mpumulo chabe, machiritso amayamba patsiku lachinayi. M'masiku oyamba, misa imatayika kokha chifukwa cha kuchepa kwa mchere, madzi ndi glycogen, chifukwa chake kulemera uku kumabweranso mwachangu kwambiri.

Pankhani ya matenda a shuga, ndikofunika kuchitira kukonzekera kusala kudya. Choyamba, ndikofunikira kuchita zoyeretsa, ndipo ndikofunikira kuchita kusala kwayekha moyang'aniridwa ndi akatswiri. Kuphatikiza apo, njira yolondola yanjala ndi gawo lalikulu - chakudya chobwezeretsa.

Chifukwa chake, kusala ndi matenda a shuga ndi njira yothandizira kwambiri. Nthawi imeneyi, maselo a kapamba amabwezeretsedwa ndikupumula, ndipo thupi limaphunziranso kugwiritsa ntchito mphamvu ina - mafuta acids.

Katundu pa chiwindi amachepetsa. The normalization magwiridwe antchito onse a ziwalo ndi ziwalo amayamba, kuphwanya komwe, ndi chimodzi mwazomwe zimayambitsa matenda ashuga. Komanso, pakusala kudya, thupi la wodwala limaphunzira kulekerera hypoglycemia, ndiko kuti, kukomoka chifukwa cha kuchepa kwambiri kwa shuga m'magazi (nthawi zambiri kumakwezedwa).

Pakadutsa masiku 5-7 njala, pakachitika vuto la hypoglycemic, kuchuluka kwa glucose kumachitika, komanso kumakhala koyenera komanso kopitilira apo. Kusala mwachidule ndi shuga kumabweretsa zotsatira zochepa.

Zingothandizanso kupukusa chakudya cham'mimba, komanso kuyambitsa kusintha kwa thupi kukhala chakudya chamthupi. Njira zochiritsira zomwe zimapangitsa kuti kuchira azisala zimangoyambika vuto litatha.

Kusala komanso shuga

Pali lingaliro kuti ndizoletsedwa kugwiritsa ntchito njira yosala kudya kwa anthu omwe ali ndi matenda ashuga. Endocrinologists a shuga amagwiritsa ntchito mitundu yapadera, zakudya, mankhwala omwe amachepetsa shuga ya magazi, ndi insulin.

Malangizo pakugwiritsira ntchito kosala kusiyanasiyana kwa zakudya amati mu mtundu wachiwiri wa shuga, womwe suvuta ndi zovuta zam'mimba, kusala kudya kwamunthu aliyense kumagwiritsidwa ntchito bwino. Mchitidwe wa matenda ashuga ndi njala ulinso ndi zomwezi.

Mwachitsanzo, ndi matenda ashuga komanso njala, ketonemia ndi ketonuria zimachitika. Munthu wathanzi amakhala ndi zotsika za thupi la ketone m'magazi ake. Koma pakusala, komanso kwa anthu omwe ali ndi matenda osokoneza bongo kwambiri, kuchuluka kwa matupi a ketone m'magazi kumakwera mpaka 20 mmol / L.

Vutoli limatchedwa ketonemia ndipo limapanikizidwa ndi kuchuluka kwa matupi a ketone mumkodzo - njira ya ketonuria. Ngati munthu wathanzi 40 mg wa matupi a ketone amuchotsedwa mu mkodzo patsiku, ndiye kuti odwala odwala matenda ashuga kuchuluka kwa matupi a ketone kumatha kufika 50 g kapena kupitilira.

Zomwe zimapangitsa ketonemia panthawi yanjala ndi matenda a shuga ndi omwewo - kuchepa kwambiri kwa kuchuluka kwa glycogen m'chiwindi.Matupi a Ketone amayamba kupanga mwachangu m'chiwindi. Ziwalo zotumphukira mu shuga komanso mukasala kudya mumatha kugwiritsa ntchito matupi a ketone kuchita ntchito zamphamvu.

Koma chifukwa cha kuchuluka kwa matupi a ketone, ziwalo ndi minofu sizitha kuthana ndi oxidation, chifukwa chake, ketonemia imachitika. Ngati, pakusala, ketonemia ili yovunda ndipo imagwiritsidwa ntchito ndi thupi kusintha kuti mumalize zakudya zamkati, ndiye kuti mukudwala matenda ashuga, ketonemia ikuwonetsa kuwonongeka.

Mukasala kudya, vuto la glycoglycemic limachitika tsiku lachisanu kapena lachisanu ndi chiwiri, chifukwa chake, kuchuluka kwa ma ketoni m'mwazi amatsika, ndipo kuchuluka kwa glucose kumachitika. Vutoli limapitilira panthawi yonse yosala kudya. Mu shuga, kusala kudya kwa nthawi yayitali komanso yayitali kumalimbikitsidwa.

Kusala kumalimbikitsidwa mu chipatala choyang'aniridwa ndi madokotala ndi akatswiri akusala kudya, makamaka kwa odwala omwe ali ndi matenda a shuga a 2. Kutsiliza kolondola ndi kusala kudya panthawi yakachira ndikofunika kwambiri.

Mukakhala ndi vuto la njala, kagayidwe kachakudya mu thupi kamasinthidwa, katundu wambiri pa kapamba ndi chiwindi amachepa. Zonsezi zimakhudza ntchito ya ziwalo izi, zimasinthasintha magwiridwe antchito awo ndikuwongolera njira ya matenda ashuga.

Kuphatikiza apo, ziwalo zonse ndi machitidwe zimabwezeretseka, matenda omwe amakhala omwe amayambitsa matenda a shuga. Chifukwa chake, titha kunena kuti kugwiritsa ntchito kusala kudya m'matenda a shuga, makamaka ndi mitundu yake yofatsa, kumathandizira matenda ndipo kumatha kuchiritsa matenda.

Zipatala zambiri zakunja posala kudya zimachiza matenda a shuga a 2, ndipo ngakhale nthawi zina mtundu woyamba. Kumbukirani kuti matenda ashuga si chilango cha kuphedwa. Ngati munthu akufuna kubwezeretsa thanzi lake, ndiye kuti adzachichita ndipo kusala kudya kungamuthandize mu izi.

Kodi ndizotheka kusala kudya shuga

Ubwino wa kusala kudya ndi matenda ashuga ndizovuta, pali zifukwa zambiri. Mpaka pano, mtundu 1 wa matenda ashuga, ndiye kuti, amadalira insulini, ndikutsutsana kwathunthu. Ndikufuna kuwonjezera kuti ndikugwirizana kwathunthu ndi izi: mzere wowonda kwambiri umagawa maubwino ndi ngozi yakufa.

Nthawi zambiri, munthawi ya metabolism, mapangidwe a matupi a ketone amapezekanso, koma mosasamala. Panthawi yanjala, matupi ambiri a ketone amapangidwira, mulingo wawo m'magazi umachuluka kwambiri, popeza pali kuwonongeka kochulukira kwamafuta kuti apeze gwero lamphamvu pakalibe chakudya.

Chifukwa chake, thanzi likukula. Likukhalanso chimodzimodzi ndondomeko ya acidosis. Ndizomveka kuganiza kuti kusala ndi matenda ashuga kumalimbitsa njirayi ndikuwonjezera mwayi wokhala chikomokere. Kumbali inayi, gawo lamphamvu lazoyendetsa matenda m'matenda a metabolic limadziwika, chifukwa chake sikoyenera kukana.

Kusala kudya ndi mtundu wa 2 shuga mellitus (insulin Independent) ndizovomerezeka, kuphatikiza mu khola, fomu yolumikizidwa komanso moyang'aniridwa ndi dokotala. Aliyense, ngakhale anthu athanzi labwino, amafunikira kuzolowera thupi kuti lisokoneze zakudya. Chotetezedwa komanso chololedwa kwambiri kwa aliyense ndichizolowezi chosala kudya tsiku limodzi kapena awiri sabata iliyonse.

Ndalamazi ndizofunikira, popeza kulolerako ndi kosiyana kwa aliyense. Ngati munthu akuvutitsidwa ndi zowawa za ludzu ndi ludzu, pobwerera kuchakudya amabwezeretsa mwachangu zolemerazo ndi chiwongola dzanja. Pankhaniyi, simuyenera kuvutika, koma ndibwino kungochepetsa zakudya zomwe mumadya.

Kukonzekera kusala ndikofunikira: kusinthanitsa kuti mubzale chakudya ndikutsuka matumbo masiku 3-5 asanayambe. Ndikutsimikiza kufunika koyeretsa matumbo, chifukwa pakakhala kudya, zakudya zomwe zimapezeka m'matumbo zimayamwa m'magazi m'malo mwake. Ndikofunikanso kumwa malita 2-2,5 amadzi oyera tsiku lililonse, m'magawo ang'onoang'ono.

Pambuyo pakukonzekera koyenera, zotsatira zabwino za njala zimawonjezeka, pakukonzekera kwake, katundu pa kapamba ndi chiwindi amachepetsa, ndipo kusokonezeka kwa metabolic kumayendetsedwa. Nthawi zina izi ndizokwanira kuti zithetse zomwe zimayambitsa matenda ashuga, ndipo munthu amachira.

Matenda othandizira odwala matenda a shuga amachitika m'makliniki apadera komanso m'malo azachipatala malinga ndi njira zotsimikiziridwa, poganizira momwe matendawa alili, kupezeka kwa zovuta, kuchuluka kwa wodwala komanso vuto lakelo.

Mukakhala kuchipatalako, munthu safunika kuda nkhawa za chakudya choyenera mukamakonzekera kudya komanso akamachokapo, pali malo abwino okhala ndikuyang'aniridwa ndi achipatala. Ngati ndi kotheka, sinthani njala ndikuthandizira wodwala.

Zomwe zimayambitsa kufa ndi matenda ashuga

Matenda a shuga ndi amitundu iwiri - yoyamba ndi yachiwiri. Nthawi zambiri, mtundu woyamba wa shuga umakula muubwana ndi unyamata, ndipo wachiwiri mwa anthu achikulire. Mtundu woyamba wa shuga wambiri, kapamba (pazifukwa zosadziwika zasayansi) amasiya kupanga kwathunthu mankhwala a insulin, omwe thupi la munthu limamwa shuga.

Pachifukwa ichi, kuchuluka kwa shuga m'magazi a munthu amene akudwala matenda amishuga 1 kukuchulukirachulukira, zomwe zimawononga ntchito ya ziwalo zambiri. Njira yokhayo yothetsera vutoli ndi jakisoni wa insulin yonse.

Chiwopsezo chokhala ndi matenda amtundu wa 2 ndichokwera mwa anthu onenepa kwambiri. Ndizomveka kuganiza kuti kuphatikiza kulemera kwa odwala matenda ashuga kungathandize kwambiri kubweretsa kuchuluka kwa shuga m'magazi pazizindikiro zofunika.

Kodi njira yothamanga kwambiri yotayira mapaundi owonjezera ndiyotani? Chilichonse ndichopepuka - muyenera kudya zopatsa mphamvu zochepa kuposa kumawononga. Zabwino, musawawononge konse, i.e. kudya ndi njala. Ziyenera kuvomerezedwa kuti chithandizo chosala kudya sichinavomerezedwe mogwirizana ndi akatswiri. Kodi tinganenenji za njala ya munthu wodwala.

Sangakanidwe zomveka, popeza aliyense amadziwa kuti kapamba amayamba kupanga insulin chifukwa cha zakudya. Ngati kulibe chakudya, ndiye kuti thupi lilibenso njira ina yotulukiramo, momwe mungagwiritsire ntchito malo ake obisika ndi kukonza mafuta amkati, omwe munthu wonenepa kwambiri amakhala nawo.

Ndikofunikira kukumbukira nzeru za anthu - "pomwe wonenepa akuchepa, wonenepa akufa". Mulimonsemo, musanasankhe kusala kudya, muyenera kufunsa dokotala. Ndibwino kuti njira yosala kudya imachitika mu chipatala moyang'aniridwa ndi akatswiri.

Funso la kutalika kwa kusala, kachiwiri, liyenera kulingaliridwa payekhapayekha. Kafukufuku akuwonetsa kuti ngakhale kukana kudya kwa masiku 3-4 kungachepetse kuchuluka kwa shuga m'magazi a mtundu wa 2 wodwala matenda ashuga ndikusintha momwe alili.

Chifukwa cha njala iyenera kukonzekera. Nthawi zambiri, masiku angapo asanafike kudya kwathunthu, tikulimbikitsidwa kuti muzidya masamba azinthu zam'mera zokha ndi 30 40 g yamafuta azitona aliyense. Nthawi yomweyo asanayambe kusala kudya, enema oyeretsa amachitika. M'masiku ochepa oyamba ndi njala kuchokera mkamwa ndi mkodzo, mumanunkhiza acetone.

Zakudya ziwiri zidzakhala zokwanira patsiku. Mukamasiya mkhalidwe wanjala, musadalire mchere ndi zinthu zomanga thupi. Zokonda ziyenera kuperekedwa ku saladi ndi soups zamasamba - ichi ndiye chinsinsi chakusungira kwakanthawi yayitali chifukwa chotsatira.

Kodi pali phindu lililonse kusala kudya ndi matenda ashuga?

Njala ndi kukana kudya kapena kungodzipereka popanda kudya (ndipo nthawi zina madzi). Pali zosintha zambiri pakusala:

njira yamphumphu, yowuma, yolumikizana (malinga ndi G.A. Voitovich), kasiketi (cyclic), yovuta kuvuta, mkodzo (malinga ndi G.P. Malakhov, malinga ndi V.A. Erofeev), wosakanikirana (mkodzo komanso wamba), akusala kudya Yu. S. Nikolaev, malinga ndi P. Bragg, malinga ndi G. Shelton.

Kwenikweni, kusiyana ndikukulola kapena kuletsa kudya kwamadzi (pamadzi kapena pouma). Kusala kudya kwachipatala kumalimbikitsa kuti kwakanthawi kukanirane ndi madzi, ndiko kuti, kusamba, kusamba kapena kusamba pang'ono, kusambitsa pakamwa komanso kusamba m'manja.

Kusiyanako kumakhudzanso madzi omwe angamwe - madzi osalala kapena tiyi, tiyi, timadziti, kapena mkodzo wanu. Chinsinsi cha kupha chakudya cha njala ndikusinthana kwa nthawi yakudya ndi louma (tsiku limodzi kuchokera tsiku limodzi kapena tsiku limodzi pambuyo pa masiku awiri).

Posala kudya, ndikofunikira kusunga malamulo oyambira ndipo makamaka njira yolondola yothanirana ndi njala, popeza zovuta zazikulu zimachitika mukatuluka chakudya mosayenera. Mwa nthawi, tsiku limodzi, masiku atatu, sabata, kusala kudya kwakutali kumasiyanitsidwa (kuyambira masiku 10 mpaka 1 mwezi).

Njira yosala kudya iyenera kuyang'aniridwa ndi madokotala, makamaka ngati pali matenda akulu a mtima, endocrine kapena makina am'mimba. Kusala kwachipatala kumakhala ndi zabwino komanso zopweteka, monga njira ina iliyonse yamankhwala.

Anthu osiyanasiyana ali ndi kusala kudya komweko m'njira zosiyanasiyana ndikupereka zotsatira zosiyana - zimatengera kulemera kwa thupi, malamulo, zaka, thupi, kupezeka kwa matenda osachiritsika, moyo, zakhazikitsidwa, nyengo, ntchito komanso ngakhale tsiku ndi tsiku.

Zotsutsana ndi zovulaza

Kukana chakudya ndi kupsinjika kwa thupi. Kusala kudya kwanthawi yayitali kumakhala koopsa. Ndi kukomoka (kukana kwathunthu chakudya kwazoposa masiku 25 mpaka 40 kapena kuletsa kwambiri zopatsa mphamvu kwa nthawi yayitali), njira yakufayo imayamba m'thupi.

kupsinjika ndi kugona tulo, chitetezo chochepa mphamvu chimachepa, chitetezo chamthupi chimagwa, ngakhale kufa kuchokera ku matenda opatsirana ndikotheka, mkhalidwe wakunja wa khungu, misomali ndi mucous nembanemba zimakulirakulira, dongosolo la kubereka limachoka (mtundu wanji wa mtundu wawo ungakhalebe!) minofu atrophy (munthu sangathenso kuyenda), minyewa imasweka kuyesa kubwezeretsanso michere m'magazi, kuchuluka kwa poizoni kumadziunjikira, impso sizingathe kuthana ndi poizoni, komanso kufufuza. quently, ndi poizoni mankhwala kuwola, ndiyeno akutembenukira kutali wamanjenje dongosolo ndi minofu mtima akafa lomaliza.

Mwambiri, ndi kutentheka kwa kugunda kwadzidzidzi kwanjala, ndikofunikira kulingalira mfundo iyi - muyika moyo wanu pachiwopsezo! Kufa ndi njala kumatha kukhala koopsa kwa ana ndi achinyamata - pali kukula ndi mapangidwe a thupi, momwe mulibe chilichonse chowoneka bwino komanso palibe choyipa (ma pathologies sangaganizidwe).

Amayi samalimbikitsidwa kuti azitha kufa ndi njala nthawi yapakati (yopusa), nthawi yobereka isanakadutse chaka chimodzi pambuyo pobadwa pali kukonzanso kwa thupi, m'masiku oyamba asanabadwe komanso azimayi (komanso opusa). Climax imasilira - kenako ndi njala.

Chinthu chachikulu pakusala kudya - musavulaze!

Kuwona kufa ndi matenda a shuga mellitus, palibe kusagwirizana, madokotala onse amakhulupirira mogwirizana: kukana kwathunthu chakudya cha shuga ndizovomerezeka! Masiku anjala omwe ali ndi matenda ashuga ndi cholakwika chachikulu chomwe chitha kubweretserani mavuto ena.

Izi zimachotsera wodwalayo njira yoyenera yothandizira, zimayambitsa kusokonezeka kwakukulu kwa metabolic. Njala ikamamwa mankhwala ochepetsa shuga imabweretsa hypoglycemia, mpaka kukomoka.

Ubwino ndi zoyipa

Ubwino wa kusala matenda ashuga ndi monga:

Kutsitsa magazi
Kukhazikika kwa chakudya chamafuta ndi mafuta,
Kuchepetsa thupi
Zowonjezera pazakudya zochepa.

Zoyipa zomwe kusala kudya kwa anthu odwala matenda ashuga ndikukuwona kuti kuchuluka kwa shuga m'magazi kumachepa, pamakhala chiwopsezo chokhala ndi vuto la hypoglycemic, zinthu zambiri zimachepa, kugaya chakudya, thupi limapanikizika.

Kukana kwa chakudya cha shuga kumaloledwa m'magawo oyamba a matendawa. Ndi zoletsedwa kuti anthu odwala matenda amtundu 1 afe ndi njala. Izi zimatha kusintha kwambiri m'thupi la wodwalayo.