Mankhwala ochiritsa matenda a shuga 2
Pali anthu ambiri odwala matenda ashuga padziko lapansi mwakuti kuchuluka kwawo kuli kofanana ndi kuchuluka kwa anthu ku Canada. Komanso, matenda ashuga amakula mwa munthu aliyense, ngakhale atakhala kuti ndi amuna kapena akazi komanso zaka.
Kuti thupi la munthu lizigwira ntchito moyenera, maselo ake amayenera kulandira shuga. Pambuyo polowa mthupi, shuga amawapanga pogwiritsa ntchito insulini yomwe amisokoneza ndi kapamba. Ndi kuchepa kwa timadzi tating'onoting'ono, kapena chifukwa cha kuchepa kwa chidwi cha maselo kwa icho, kukula kwa shuga kumachitika.
Ndizosangalatsa kuti anthu ambiri omwe ali ndi matenda otere samadziwa za matendawa. Koma pakadali pano, matendawa amawononga pang'onopang'ono mitsempha yamagazi ndi machitidwe ena ndi ziwalo zina.
Chifukwa chake, ngakhale atapezeka kuti ali ndi matenda a shuga panthawi yopima matenda, ndipo pakadali pano akumva bwino, chithandizo ndikofunikira. Kupatula apo, zovuta za matendawa (kuwonongeka kwa maselo amitsempha, matenda a mtima) zitha kupezeka ngakhale patatha zaka zochepa.
Kodi muyenera kudziwa chiyani za matenda ashuga?
Kanema waku TV Wokhudza Zofunika Kwambiri ndi Dr. Myasnikov akuwonetsa zatsopano zokhudza matenda ashuga. Chifukwa chake, dotolo wa gulu lalikulu kwambiri (USA), woimira sayansi ya zamankhwala (Russia) amalankhula zongopeka komanso njira zatsopano zochizira matenda a shuga pa intaneti.
A Alexander Leonidovich akuti zomwe amadziwika ndi matendawa ndi osiyanasiyana, motero wodwalayo amatha kupita kuchipatala nthawi yayitali kukalandira chithandizo mosiyanasiyana, osaganiza kuti ali ndi shuga wambiri. Nthawi imodzimodzi, munthu amatha kukhala ndi zizindikiro monga ludzu losatha, kusawona bwino, kuzizira, kutsekemera kwa magazi, kapena khungu. Hyperglycemia ikayamba pang'onopang'ono, thupi limagwirizana ndi izi popanda kupereka chizindikiro chowoneka bwino cha zovuta.
Mkhalidwe womwe wafotokozedwa pamwambapa umayamba ndi prediabetes, pomwe kuchuluka kwa shuga m'magazi kukwera mpaka milingo yoposa yokhazikika. Koma onse ndi otsika kuposa omwe amadziwika ndi matenda a shuga.
Odwala omwe ali ndi prediabetes ali pachiwopsezo. Chifukwa chake, ngati sayang'anira bwino thanzi lawo akadzakula, ndiye kuti adzayamba kudwala matenda ashuga amtundu wa 2. Koma pulogalamu ya pa TV "Yofunika kwambiri" (yotulutsa 1721 ya Epulo 24 chaka chino) imapereka chiyembekezo kwa anthu ambiri, chifukwa Dr. Myasnikov akuti musaganize za matenda ashuga ngati matenda, chifukwa kwa iwo omwe amatsatira manambala, amadya ndikuchita masewera olimbitsa thupi nthawi zonse, wowopsa.
Komanso adotolo amayang'ana kwambiri kuti chomwe chimayambitsa chitukuko cha matendawa ndi kuphwanya dongosolo la endocrine. Amayang'anira ntchito yochepa pang'onopang'ono ya thupi, monga kagayidwe kazinthu, kukula kwa maselo ndi kusasamala kwa mahomoni.
Mu thupi, ziwalo zonse ndi makina amayenera kugwira ntchito bwino, ngati china chake chayamba kugwira ntchito molakwika, mwachitsanzo, kapamba amasiya kutulutsa insulin. Pankhaniyi, mtundu 1 wa shuga umachitika. Awa ndi matenda otchedwa autoimmune omwe amapezeka ngati chamba chikugwiririka.
Thupi ili likapanda kutulutsa insulini, kutsekemera kwa glucose kumachulukanso, chifukwa kuchuluka kwakukulu kwa timadzi timene timakhala m'magazi, ndipo sikupezeka m'maselo. Chifukwa chake, mtundu wodwala wa matenda a insulin umatchedwa "kufa ndi njala pakati pa zochuluka."
Mu pulogalamu yapa TV "Pa chinthu chofunikira kwambiri", Myasnikov adzauza anthu odwala matenda ashuga za mtundu uliwonse wa matendawa. Poterepa, adotolo amayang'ana kwambiri kuti mtundu uwu wa matenda umapezeka kawirikawiri kwa odwala ochepera zaka 20.
Ndizofunikira kudziwa kuti malingaliro a asayansi okhudza zomwe zimayambitsa matendawa ndi osiyana:
- oyamba amaganiza kuti matendawa amabwera chifukwa cha kusabereka,
- omaliza amakhulupirira kuti ma virus amayambitsa nthendayi, ndikupangitsa kuti maselo oteteza chitetezo asokoneze ziphuphu.
Dr. Myasnikov pa matenda ashuga a mtundu 2 akuti amakula atakula. Koma ndikofunikira kudziwa kuti m'zaka zaposachedwa matendawa adakula. Chifukwa chake, ku USA, ana ndi achinyamata, chifukwa chogwira ntchito zochepa, akuchulukirachulukira.
Chifukwa chake, sizosadabwitsa kuti mtundu wachiwiri wa shuga umawoneka ngati matenda a anthu aulesi omwe samayang'anira thanzi lawo. Ngakhale chibadwidwe ndi zaka zimathandizanso pakukula kwa matendawa.
A Alexander Leonidovich amalankhulanso kuti palinso matenda a shuga. Matenda amtunduwu amakupezeka mu 4% ya azimayi mu 2nd trimester ya mimba.
Poyerekeza ndi mitundu ina yamatenda, mtundu uwu wa matendawa umachoka nthawi yomweyo mwana akangobadwa. Komabe, mu kanema wake, Myasnikov amayang'ana kwambiri kuti matenda ashuga a ku gestational amatha kupezeka nthawi yapakati. Palinso kuthekera kwakuti pambuyo pa 40 wodwalayo amakhalanso ndi mtundu wachiwiri wa matenda.
Koma kumvetsetsa bwanji kuti prediabetes ikukulira? Pulogalamu ya pa TV "Pa Chofunika Kwambiri pa Matenda A shuga", yomwe imawonetsedwa ndi njira ya ku Russia, Myasnikov akuti muyenera kuyeza kuchuluka kwa shuga m'magazi:
- 5.55 mmol / l - mitengo yokhazikika,
- 5.6-6.9 mmol / l - mitengo yowonjezeka,
- 5.7-6.4 mmol / l - hemoglobin wa dongo, yemwe amawonetsa prediabetes.
Myasnikov Alexander Leonidovich ndi chithandizo cha matenda ashuga: kuyikira ndi malingaliro pa mankhwala
Mankhwala ndi sayansi yovuta kwambiri, mutha kumvetsetsa mukamaliza maphunziro anu apadera zamaphunziro azachipatala.
Koma munthu aliyense tsiku ndi tsiku amakumana ndi mavuto akukhazikitsa thanzi lawo.
Anthu opanda maphunziro a udokotala nthawi zambiri amatenga liwu lililonse pachidziwitso chilichonse chokhudza momwe thupi lathu limagwirira ntchito, ndimatenda amtundu wanji komanso momwe amadziwonekera. Tsoka ilo, odwala akutembenukira ku njira yodzichiritsira, makamaka popeza ali ndi zotsatsa zambiri zokhudzana ndi mankhwala osokoneza bongo.
Chifukwa chake, ndikofunikira kuti akatswiri azachipatala azitha kufotokozera zoona zenizeni zathanzi ndi chithandizo kwa munthu. Kuti izi zitheke, mapulogalamu ambiri a pa wailesi yakanema komanso wailesi adakonzedwa momwe madokotala amafotokozera m'zinthawi zovuta zovuta zachipatala.
M'modzi mwa iwo ndi Dr. A.L. Butcher, wolemba mabuku komanso wotsogolera mapulogalamu pa TV. Kwa anthu omwe ali ndi shuga wambiri, ndizothandiza kudziwa za mankhwalawa monga matenda a shuga a Myasnikov.
Kodi matenda ashuga amapezeka liti?
Mwina si anthu onse omwe amamvetsetsa bwino matendawa. Malinga ndi dotoloyo, odwala ambiri sakhulupirira kuti ali ndi matenda ngati satsata zizindikilo zenizeni.
Amakhulupirira kuti shuga imayenera kuwonetseredwa ndi zizindikiro zomveka, thanzi loperewera.
Koma, pang'onopang'ono, kuwonjezeka kwapang'onopang'ono kwa shuga m'magazi sikungamveke kwa nthawi yayitali. Zimapezeka kuti pali zovuta zina pamene shuga adakwezedwa kale, koma munthuyo sanamvebe zomwe akuwonetsa.
Dotolo amakumbukira kuti shuga imakhazikitsidwa pamene, pakayesedwa magazi m'mimba yopanda kanthu m'mimba yopanda kanthu, cholembera cha shuga chimaposa 7 mmol / L, poyesedwa pamimba yonse - 11.1 mmol / L, ndi glycosylated hemoglobin - oposa 6.5%.ads-mob-1ads-pc-1 Dr. Myasnikov amalankhula mosiyana za matenda ashuga komanso prediabetes. Mwanjira yoyamba, kuzindikira kwawonekera kale m'mayesero azachipatala.
Mlandu wachiwiri, kutsimikizira kwa glucose kumachulukitsidwa, koma osapitilira kuchuluka kwa cholowa (ali m'gulu la 5.7-6.9 mmol / l).
Odwala otere ayenera kuyikidwa mgulu la oopsya, chifukwa chilichonse chopangitsa (kukalamba, kusachita masewera olimbitsa thupi, kupsinjika) chingayambitse kuchuluka kwa shuga m'magazi omwe amawaganizira kuti ndi shuga.
Mawonetsedwe akunja sangadziwe kupezeka komanso mtundu wa matenda ashuga, chifukwa muyenera kufunsa dokotala ndi kukayezetsa.
Pazomwe zimayambitsa
Matenda a shuga amatha kukhala osiyana, ndipo mitundu yake yosiyanasiyana imayambitsidwa ndi zinthu zambiri.
Matenda a shuga amtundu woyamba, omwe amayamba chifukwa cha kuperewera kwa insulin ndi kapamba, amatenga matenda.
Chifukwa chake, zizindikiro zake, monga lamulo, zimapezeka zaka 20 zoyambirira za moyo wamunthu. Koma pali akatswiri omwe amalingalira za kukhalapo kwa kachilombo komwe kamayambitsa matenda.
Dr. Myasnikov pa matenda a shuga a mtundu wa 2 akuti zimachitika pamene ma membala am'maselo amasungidwa ndi insulin ndipo amakula pambuyo pake.
Iyi ndi mtundu wofala kwambiri wamaphunziro. Myasnikov wa matenda ashuga a mtundu 2 akuti atha kukhalanso chifukwa cha chibadwidwe, kotero kupezeka kwa matenda omwe ali pachiwonetsero chotsatira ndi mwayi wosamalitsa bwino thanzi la munthu. Kuonjezera shuga kumapangitsa kuti musakhale ndi masewera olimbitsa thupi osakwanira.
Njira yina ya matenda ashuga - gestational - imachitika pokhapokha pakati.
Amayamba masabata aposachedwa ndipo chifukwa cha zovuta zovuta mthupi chifukwa chakuwonjezeka kwa nkhawa.
Matenda a gestational samapitilira pakubadwa kwa mwana, koma ndikubwereza mobwerezabwereza kumachitika kachiwiri.
Ndipo kukalamba, azimayi oterewa amatha kukhala ndi matenda ashuga amtundu wa 2. Ngati munthu amadya maswiti ambiri, izi sizoyambitsa kukula kwa matenda ashuga. Dotolo amakhulupirira kuti izi ndi malingaliro olakwika wamba, zomwe zili zowona pang'ono.
Kukula kwa matenda am'matumbo kumakhudzidwa ndi kuperewera kwa zakudya m'thupi kawirikawiri, koma limagwirira ilo palokha siligwirizana mwachindunji ndi kudya shuga, monga kunenepa kwambiri. Adokotala amapereka zitsanzo zomwe odwala amadwala matenda a shuga ngakhale atakhala ndi thupi lolimbitsa thupi, amatha kukhala anthu ochepa thupi.
Kudziwa zomwe zimayambitsa matenda ashuga, mutha kuchepetsa ngozi zomwezi mwa inu ndi ana anu.
Zokhudza mfundo zamankhwala
Dr. Myasnikov akuti zakudya za anthu odwala matenda ashuga ndizofunikira komanso ndizofunikira, koma izi sizitanthauza kuti munthu ayenera kudya zakudya zoyipa moyo wake wonse. Chakudyacho chimayenera kukhala chosiyanasiyana, ndipo mumatha kuphika mbale zambiri zosangalatsa kuchokera kuzinthu zololedwa.
Ngati munthu amatsatira mosamalitsa chakudya, amawunika kuchuluka kwa shuga ndikutsatira malangizo a dokotala ena, nthawi ndi nthawi amatha kumizidwa ndi maswiti okoma.
Chachikulu ndikukumbukira mfundo zoyambirira zopangira chakudya cha matenda ashuga:
- Sakanizani mapuloteni, chakudya ndi mafuta,
- Idyani mafuta ochepa
- osachulukitsa ndi mafuta amchere,
- Idyani zakudya zamphesa zambiri,
- idyani zipatso, masamba,
- idyani zakudya kangapo 6 pa tsiku (mpaka nthawi 11),
- idyani zakudya zokhazikika.
Mfundo yofunikira kwambiri pochiza matenda a shuga, malinga ndi Dr. Myasnikov, ndi masewera olimbitsa thupi.Kusewera masewera ndi matendawa ndikothandiza kwambiri.
Samangoletsa mavuto obwera chifukwa chokhala ndi ntchito zopanda thupi, komanso amathandizanso kugwiritsa ntchito shuga, yemwe ali m'magazi. Koma asanayambe maphunziro, wodwalayo ayenera kukambirana nkhaniyi ndi dokotala.
Pali ndemanga zambiri zochokera kwa Dr. Myasnikov pankhani yothandizira odwala matenda ashuga m'njira zosiyanasiyana. Dotolo amakana kugwira ntchito kwa yoga chifukwa chaichi, chifukwa amakhulupirira kuti samachiritsa munthu.
Palibe mankhwala ochiritsika ogwiritsidwa ntchito ndi Yerusalemu atitchoku, omwe amangotulutsa kagayidwe, koma samapangitsa matenda a shuga .ads-mob-2
Dotolo amawona njira zopanda pake kuchokera kwa ochiritsa, hypnosis ndi njira zina zomwe odwala amatembenukira kuti athetse matendawa.
Amakumbukira kuti matenda ashuga ndi matenda osachiritsika, ndipo wodwalayo sangathe popanda mankhwala osokoneza bongo kuti athetse kukhudzana ndi insulin kapena kuyendetsa mahomoni mwachindunji.
Dr. Myasnikov akuwonetsa kuti kudziletsa kumathandizira kwambiri pakulimbana ndi matenda ashuga. Ngati wodwala agwirizana ndi malamulo onse amakhalidwe, malangizo a dotolo, saulesi kusewera masewera komanso osagwiritsa ntchito zinthu zovulaza, amatha kukhala ndi moyo wautali popanda zovuta zowopsa, ndipo amayi amatha kubereka ana athanzi.
Kulephera kutsatira malangizo a dokotala kumatha kubweretsa zovuta komanso kukulitsa kukomoka kwa hyperglycemic.
Ndemanga za Mankhwala
Dr. Myasnikov amauzanso ena za mankhwala othandizira odwala matenda ashuga omwe madokotala nthawi zambiri amapereka. Amafotokoza zabwino kapena zowawa za izi kapena chithandizocho.
Chifukwa chake, mapiritsi a mtundu 2 wa shuga malinga ndi Myasnikov:
- kukonzekera kochokera ku gulu la sulfanylurea (Glibenclamide, Glucotrol, Maninil, Gliburide). Limbikitsani kaphatikizidwe ka insulini, amathanso kutumikiridwa limodzi ndi metformin. Zotsatira zoyipa za mankhwalawa ndizotheka kuchulukitsa shuga m'magazi ndikuwonjezera phindu kwa odwala,
- kachikachiyama. Ndiwonso ofanana ndi Metformin, koma ambiri mwa omwe ali mgululi amachotsedwa chifukwa chotsatira zoyipa zambiri.
- Prandin, Starlix. Kuchitikako ndi kofanana ndi gulu lakale, okhawo amakhala ndi mphamvu maselo kudzera pama receptor ena. Amakhala ndi vuto lowononga impso, motero amatha kupatsidwa odwala omwe ali ndi matenda a impso.
- Glucobay, Xenical. Awa ndimankhwala omwe amaperekedwa ngati shuga wa wodwalayo amadzuka atatha kudya. Amatseka ma enzyme ena okumba omwe amachititsa kuti zinthu zambiri zachilengedwe zisokonekere. Zitha kuyambitsa kukhumudwa.
- malonda-pc-3Metformin (mwanjira ya Glucofage kapena Siofor kukonzekera). Amalembedwa pafupifupi anthu onse odwala matenda ashuga akangomupeza ndi matendawa (ngati palibe zotsutsana) komanso ngakhale ndi prediabetes. Chidacho chimateteza mitsempha yamagazi kuti iwonongeke, imalepheretsa stroko, mtima, matenda a khansa. Mankhwalawa samachepetsa shuga pang'onopang'ono, amathandizira pakugwiritsidwa ntchito kwakanthawi pamaso pa insulin. Ngakhale mutatenga Metformin, wodwalayo samachuma kwambiri, ndipo mwina amachepetsa thupi. Koma njira yoteroyo imasemphana ndi matenda a impso, kulephera kwa mtima, komanso kwa odwala omwe amamwa mowa mopitirira muyeso.
- Baeta, Onglisa. Chimodzi mwazina zamakono za odwala omwe ali ndi matenda ashuga. Gwiritsani ntchito momwe kaphatikizidwe kanyengoyi amathandizira kuti muchepetse kunenepa. Mukamalandira ndalamazi, shuga amachepetsa bwino osati moonekeratu.
Kusankhidwa kwa mankhwala kumachitika kokha ndi adokotala omwe amapita. Kuti muchite izi, muyenera kukayezetsa, kuzindikira mtundu wa shuga, kukula kwake komanso, mwina, matenda okhudzana nawo.
Mankhwala olimbana ndi matenda ashuga sayenera kuledzera poganiza za ena, kugwiritsa ntchito mankhwalawa kungakulitse mkhalidwe wa wodwala.
Kanema waku TV "Pa chinthu chofunikira kwambiri: matenda a shuga." Mu kanemayi, Dr. Myasnikov amalankhula za matenda a shuga a 2 komanso momwe angachitire:
Dr. Myasnikov amalimbikitsa odwala kuti azisintha bwino moyo wawo.
Ngati mwana wadwala kunyumba, muyenera kutsatira zakudya zoyenera ndi iye, osangoleketsa zokhazokha.
Chifukwa chake mwana azolowera kukhala ndi moyo wathanzi ndipo zimakhala zosavuta kuti azisamalira thanzi lake mtsogolo. Ngati munthu wadwala atakula, ayenera kutsatira.
Chithandizo cha Matenda a shuga - Dr. Myasnikov
Alexander Leonidovich Myasnikov ndi dokotala wotchuka yemwe amapereka mawonekedwe atsopano a shuga.
Akuyambiranso kuwunika koyambirira kwa matendawa mothandizidwa ndi othandizira amakono komanso ochiritsira panthawi yake, omwe amapewa zovuta zomwe zimachitika chifukwa cha matenda ashuga.
Zotsatira za matenda ashuga pa thanzi la anthu
Dr. Myasnikov, polankhula za matenda ashuga, akuti pali malingaliro olakwika ambiri - kumwa shuga wambiri kumabweretsa kudwala. Zomwe zimayambira sizili mu izi, koma chifukwa choti pali shuga wambiri m'magazi.
Glucose ndi njira yolimbikitsira maselo aliwonse mthupi omwe amafalikira chifukwa cha insulin. Zimapangidwa ndi kapamba. Kuwonongeka kwa gland kumabweretsa kuti insulini imapangidwa molakwika kapena yambiri, yomwe imatentha matenda. Magazi amafooka, chifukwa chakuti glucose samamwa bwino - izi zimabweretsa ludzu.
Kusiyana pakati pa matenda ashuga amtundu 1 ndikuti pali kusakwanira kwa kupanga kwa mahomoni ndi tezi, mtundu wa 2 - zigawo za khungu sizikuwona insulini.
Pali matenda abwinobwino a shuga, omwe amapezeka mwa amayi apakati, koma pambuyo pobadwa, amayima.
Zoyambitsa zazikulu za matenda ashuga
Pazifukwa za Alexander Myasnikov, shuga imayambitsidwa ndi zinthu zingapo. Vutoli ndikuphwanya zinthu zachilengedwe za endocrine system. Pancreas ikangisokoneza ntchito kuti ikwaniritse ntchito yake, pamakhala chiwopsezo cha matenda.
Butcher, polankhula za matenda a shuga a mtundu wachiwiri, akuti matenda ashuga amawonekera pazifukwa zingapo:
Zakudya zabwino
Kukula kwa matenda ashuga sikudalira kuchuluka kwa maswiti omwe mumamwa, koma momwe mumadyera ndikofunikira.
Anthu nthawi zambiri amagwiritsa ntchito zinthu zazikuluzikulu zomwe zimakhala ndi mafuta: kuphika nyama, masoseji, nyama "yofiyira", nsabwe.
Izi zimaphatikizapo zinthu zamkaka: mkaka womwewo, ayisikilimu ndi tchizi. Kuyambira ubwana, ndikofunikira kupanga mafuta amkaka otsika kwambiri.
Kuphatikiza apo, zinthu zophika, zonunkhira komanso maswiti zili ndi chisonyezo chachikulu cha glycemic, popeza pali mafuta ndi mafuta owopsa okha.
Zatsimikiziridwa kuti zakumwa zokoma za kaboni kuyambira nthawi yaunyamata zimayambitsa mphumu komanso mafupa.
Zonsezi mosasamala za BMI (index ya thupi), cholowa ndi kubadwa zimapereka chidwi chachikulu pakukula kwa matendawa.
Mwazi wamagazi nthawi zonse umakhala 3,8 mmol / L
Momwe mungasungire shuga kukhala wabwinobwino mu 2019
Zizolowezi zoipa
Kusuta kumavulaza thanzi. Izi zatsimikiziridwa ndi kuyesa kambiri komwe kumawonetsa momwe chizolowezichi chimakhudzira kukula kwa matendawa.
Mwayi wopezeka ndi matenda a matendawa umachulukirapo kangapo ngati munthu ali pachiwopsezo. Zinthu zovulaza za utsi wa ndudu zimalowa m'magazi amthupi ndikufalikira kwa ziwalo, ndikupanga metabolism ndikuwononga maselo.
Kunenepa kwambiri kwa amuna, ndiye kuti, kuwonjezeka kwa mafuta osunthika m'chiuno, kumathandizanso kuti matenda a matenda amitsempha. Kuphatikiza pa kukhala ndi moyo wongokhala, kukhalapo kwamafuta mothandizidwa ndi ukulu kumawonjezera mwayi wodwala.
Mankhwala Ena
Ena mwa mankhwalawa ndi beta blockers. Ngakhale amathandiza kuchiza kuthamanga kwa magazi ndi angina pectoris, mankhwalawa amachepetsa mphamvu ya insulin. Amatha kuwerengedwa ndi diabetogenic.
Mndandanda wa ndalama zotere ndi wautali ndipo ena otchuka amatha kutchedwa: Beta-Zok, Obzidan, Nebilet, Atenolol. Kugwiritsidwa ntchito ndi othamanga a curly kapena anthu omwe amabweretsa matupi awo mu mawonekedwe opukutidwa, ma steroid ndi mahomoni okula nawonso amagwera m'gululi, zomwe zimapangitsa kuti shuga azingowonjezereka.
Zaka zimasintha
Munthu akamakula komanso amakula, ndiye kuti amatenga matenda. Ngati chizolowezi chofuna kudziunjikira mafuta chikukula ndi zaka, ndiye kuti chiwopsezocho chimakulanso, motero. Ngakhale kulemera kwa makanda ndi mtundu wa kunenepa kwambiri zimaganiziridwa ndikuwonjezereka kowonjezereka.
Pochiza matenda a shuga kunyumba, akatswiri akulangizani DiaLife. Ichi ndi chida chapadera:
- Amasinthasintha shuga
- Amayang'anira ntchito ya pancreatic
- Chotsani puffness, limayendetsa madzi kagayidwe
- Amawongolera masomphenya
- Zoyenera akulu ndi ana.
- Alibe zotsutsana
Opanga alandila ziphaso zonse zofunika ndi ziphaso za mbiri ku Russia komanso m'maiko oyandikana.
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Gulani pa tsamba lovomerezeka
Khalidwe labwino
Kuchita masewera olimbitsa thupi mosakwanira komanso kuchita masewera olimbitsa thupi nthawi zonse kumawalimbikitsa. Kafukufuku ambiri akuwonetsa kuti mwakuchita masewera olimbitsa thupi moyenera mutha kulimbana ndi matenda a matenda a khansa, khansa, komanso matenda ashuga. Ngakhale kukhala okalamba ofooka, kuchita masewera olimbitsa thupi osavuta kumatha kukhala nthawi yayitali.
Zowopsa kugona ndi kuwaza. Kukhetsa maola opitilira 8 ndi chiopsezo cha matenda.
Komanso, matenda ashuga amatha kuyambitsidwa ndi zinthu zina:
- kuthamanga kwa magazi,
- matenda ashuga gestational pa mimba
- cholesterol owonjezera.
A Myasnikov adatchulapo chimodzi chokhudza matenda a shuga, omwe amati odwala omwe ali ndi matendawa salinso ndi "cholesterol" wamba, ndipo mfundo "imakhala yochepera".
Momwe mungadziwire matenda a shuga
Malinga ndi Myasnikov okhudzana ndi matenda ashuga, odwala nthawi zambiri sakhulupirira izi, chifukwa sizikugwirizana ndi zomwe akukumana nazo pa nthawi ya chithandizo. Popeza si onse a iwo amene akumva kuwawa, ndipo palibe zoonekeratu kuti matendawa ali ndi matendawa.
Masewera a glucose pang'onopang'ono komanso pang'onopang'ono, palibe zizindikiro zooneka m'thupi. Pali zinthu zina zomwe zimapangitsa shuga kupitirira zizolowezi, koma munthuyo samamva izi.
Dokotala amakumbukira kuti kupezeka kwa matenda ashuga kumachitika pokhapokha ngati mayeso a labotale atapangidwa. Ngati zikuwonetsa:
- shuga amapitilira 7 mmol / l,
- shuga wokhala ndi m'mimba wathunthu - 11.1 mmol / l,
- glycosylated hemoglobin - oposa 6.5%.
Malinga ndi dokotala Myasnikov, pali kusiyana pankhani ya matenda ashuga komanso prediabetes. Matendawa amadziwika pambuyo poyesedwa kuchipatala, ndipo prediabetes imakhala chizindikiro cha kufalikira kwa chizindikiro cha shuga (5.7-6.9 mmol / l). Anthu amalemba mtundu wachiwiri pachiwopsezo, chifukwa chilichonse pazomwe zili pamwambapa chimatha kubweretsa izi.
Chithandizo cha Myasnikov
Dr. Myasnikov, polankhula za matenda ashuga, amalimbikitsa momwe angachiritsire matenda amenewa. Kunena zowona, ndizosatheka kuchira, koma mutha kupulumutsa moyo popanda zovuta.
Malangizo akulu amaikidwa makamaka m'malamulo atatu: zakudya, masewera komanso kutsatira malangizo azachipatala. Zonsezi zimachepetsa komanso zimathetsa zovuta zonse zotheka, ndipo thupi limagawa bwino insulini.
Komanso, kamodzi pa kotala muyenera kukayezetsa magazi. Tengani urinalysis kwa cholesterol ndi microalbuminaria pachaka.
Mwa zina, kufunsira ndi ophthalmologist ndikofunikira, komanso electrocardiogram.
Zakudya, munthu ayenera kutsatira kuchuluka kwamafuta, mapuloteni ndi chakudya. Tengani chakudya tsiku lililonse mpaka 11. Pofunika zakudya zokhuthala muzakudya.
Kuwongolera kwakukulu kwa matendawa, kapena m'malo mwake, shuga m'magazi a 1 mtundu wa shuga, amakonzedwa ndikulowetsa insulin.
Ndi matenda a shuga a 2, dokotala Myasnikov amupatsa mankhwalawa - "Metformin." Zimawonjezera kukhudzika kwa ma cell receptors, kukhazikitsa njira za metabolic, komanso kuchepetsa shuga m'magazi. Ndikulimbikitsanso matenda a hyperglycemia. Mankhwalawa amatengedwa patsiku kuchokera 500 mg mpaka 2 g. Ophatikizidwa ndi mankhwala: Enap, Aspirin, Limprimar.
Imathandizira kagayidwe kazinthu zopanga mankhwala Fobrinol American opangidwa.
Kuphatikizira kwa mankhwalawa kumayikidwa ndi dokotala endocrinologist, komwe maphunziro akuthupi amakhala malo ofunikira.
Ma Butchers amalankhula bwino za Yerusalemu artichoke, chifukwa imathandizira njira zama metabolic.
Mankhwala abwino kwambiri malinga ndi Myasnikov
M'mavidiyo ambiri, Ma Butters akuwulula momwe angasankhire moyenera mankhwala omwe akukhala bwino.
Amanena kuti kuphatikiza koyenera kwa mankhwalawa, mutha kuthana ndi matendawa popanda zovuta zoyipa.
Glucofage ndikulimbikitsidwa kwa odwala omwe amawonjezera shuga atatha kudya. Zimalepheretsa kulowa kwa ma enzymes ena m'matumbo, ndikuyambitsa polysaccharide m'njira yake yoyenera. Poterepa, padzakhala zotsatira zoyipa ngati zotulutsa kapena zotumphuka zomasuka.
Xenical ndi kukonza piritsi. Zimalepheretsa ma enzymes pamlingo wa kapamba. Zimalepheretsa kuyamwa kwamafuta, zomwe zimapangitsa kuti achepetse kulemera kwambiri kwa thupi ndikupangitsa cholesterol kukhala yofanana.
Koma pankhaniyi, muyenera kudziwa za mavuto omwe angakhalepo: kukhumudwa m'mimba (mseru, kusanza), chilonda cham'mimba.
Chifukwa chake, kuyang'anira kwa adokotala ndikofunikira.
Kupanga kwa insulin kumatheka chifukwa cha mankhwala a mtundu wa sulfanilurea: glucotrol, glyburide, maninyl, glibenclamide. Zotsatira zoyipa - zimawonjezera kulemera, kuchepa kwamphamvu kwa shuga.
Matenda a shuga nthawi zonse amayambitsa zovuta zakupha. Mwazi wambiri wamagazi ndi woopsa kwambiri.
Lyudmila Antonova mu Disembala 2018 adafotokoza mwatsatanetsatane za chithandizo cha matenda ashuga. Werengani kwathunthu
Kodi nkhaniyo inali yothandiza?
Malingaliro A.L. Ogwetsa matenda a shuga
Malingaliro a Dr. Myasnikov pankhani ya matenda ashuga amawululira zenizeni za matendawa ndikuwonetsa zinthu zatsopano. Amalimbikira pakuwazindikira koyambirira ndi momwe angachitire panthawi yake chithandizo chokwanira, kuti odwala matenda ashuga azitha kukhala moyo wathunthu kwa zaka zambiri.
Pali pulogalamu yapa kanema wawayilesi "Pa chinthu chofunikira kwambiri", pomwe katswiri wodziwika kwambiri wa gulu lapamwamba kwambiri, woimira asayansi yaku Russia a Alexander Leonidovich Myasnikov, atenga nawo mbali.
Mukamalankhula, mutu wa nthano zomwe ziripo ndi njira zaposachedwa pothana ndi matenda a shuga mellitus (DM) zikuwululidwa. Dokotala amayang'ana kwambiri kuti zisonyezo za matenda amishuga ndizosiyana kwambiri, ndipo nthawi zambiri amafanana ndi zizindikiro za matenda ena.
Chifukwa chake, anthu amayamba kuyendera akatswiri osiyanasiyana, kuyesera kuti athane ndi zovuta zilizonse za matenda, koma osati matenda a shuga.
Pachifukwa ichi, munthu sangathe kupeza matenda munthawi yake. Ndipo pokhapokha ngati dokotala atakuwonetsani njira yoyeserera magazi kuyeza mulingo wa shuga, matenda amawulula. Koma sizichitika nthawi zonse.
Amakhala kuti m'magawo oyambilira kwambiri, ndipo izi zimatchedwa prediabetes, kutsekemera kwa glucose sikokwanira kwambiri kukhazikitsa matenda ashuga.
Chifukwa chake, ndikofunikira kulabadira mwatsatanetsatane zizindikiro zotere monga kufuna kumamwa nthawi zonse, pakamwa mopitilira, kuzizira kwambiri, kuchepa kwa kuthupi kowoneka, magazi kuchokera m'mkamwa komanso khungu louma.
Chizindikiro ichi chimatha kuwoneka moseketsa, chifukwa chake odwala matenda ashuga amati kuchepa kwa masomphenyawo kutopa, khungu louma - kusintha kokhudzana ndi ukalamba, magazi - pamavuto amano ndi zina. Kuphatikiza apo, odwala oterowo sauza madokotala omwe akukambirana nawo za matendawa, chifukwa chake, akatswiri, sangayikenso shuga.
Myasnikov akuti chomwe chikuyambitsa matenda a shuga ndi kusokonekera mu dongosolo la endocrine. Mawu oterewa ndi oyenera chifukwa ndi dongosolo lino momwe kuthamanga kwa kayendetsedwe ka metabolic, kukula kwa maselo atsopano, ndi mkhalidwe wa mahomoni kumadalira.
Ngati magwiridwe amachitidwe a endocrine asokonekera, ndiye kuti kulephera kumachitika m'magulu ena amkati, chifukwa ziwalo zonse zimalumikizana bwino.
Ndipo chofunikira kwa odwala matenda ashuga, pamakhala vuto linalake mu kapamba (kapamba), ndipo ndiamene amayambitsa insulin.
Chifukwa chake, kapamba samapanga insulin yokwanira kuti ipondereze shuga, chifukwa chomaliza chimadziunjikira mu Mlingo waukulu m'madzi amkati, osati m'maselo.
Pachifukwachi, shuga mellitus wa mawonekedwe omwe amadalira insulin ali ndi dzina lodziwika "lanjala pakati pazambiri."
Poterepa, matenda amtundu wa 1 amakula, omwe amatanthauza matenda a autoimmune.
Dr. A.L. Myasnikov akuti matenda a shuga omwe amadalira insulin nthawi zambiri amapezeka ali aang'ono kwambiri (mpaka zaka 20), koma mtundu wa matenda ashuga 2 (osagwirizana ndi insulin) - atatha m'badwo uwu.
Mpaka lero, palibe mgwirizano pakati pa asayansi pankhani ya matenda ashuga. Ena mwa iwo amati matendawa amakula chifukwa cha kulephera kwa chibadwa, cholowa chobadwa nacho, ena amati ma virus omwe amakhudza ma cell a chitetezo chathupi, ndipo iwonso, amawukira ziphuphu.
Ngakhale kuti mtundu 2 wa shuga umadziwika ndi chitukuko paukalamba, matendawa adakula kwambiri m'zaka zaposachedwa.
Kutengera ndi ziwerengero zochokera ku United States of America, ngakhale ana tsopano akuvutika ndi matenda amtunduwu. Izi ndichifukwa cha moyo wopanda ntchito.
Ngati pamaso pa ana amasewera masewera olimbitsa thupi, tsopano ambiri a iwo amakhala nthawi yawo yonse yaulere pamakompyuta.
Malinga ndi a Alexander Leonidovich, pali matenda amtundu wa shuga, omwe amapezeka panthawi ya gestation makamaka mu trimester yachiwiri. Fomuyi ndiyosowa kwambiri, mwa 4-5% yokha mwa milandu yonse.
Mankhwala safunikira, popeza kuchuluka kwa glucose kumachitika pokhapokha atabadwa.
Komabe, chidwi chimadziwika kuti shuga yambewu nthawi zambiri imachitika pakubadwa kwachiwiri ndipo imatha kupezeka ngakhale itadutsa zaka 40.
Kutengera ndi mawu a dokotala, prediabetes imatha kupezeka mwa kuzindikira kuchuluka kwa shuga m'magazi omwe atengedwa pamimba yopanda kanthu. Kusintha:
- mpaka 5,5 mmol pa lita - palibe prediabetes,
- kuyambira 5.55 mpaka 6.9 - zizindikiro zowonjezera,
- kuyambira 5.7 mpaka 6.4 - prediabetes ilipo.
Ngati mukufuna kudziwa tsatanetsatane wa prediabetes kuchokera mkamwa mwa Myasnikov, onerani kanema uyu. Zikutiuza chifukwa chake matendawa ndi oopsa, komanso momwe mungazipezere munthawi yake, chifukwa chake Metformin amagwiritsidwa ntchito pochiza, komanso zovuta za shuga zomwe zingakhale nazo.
Otsatira a shuga amaphatikizidwa m'gulu la anthu omwe ali pachiwopsezo, chifukwa chake ayenera kuwunika bwino thanzi lawo.
M'magazini No 1721 ya pulogalamu yapa TV "Pa chinthu chofunikira kwambiri", yomwe idalengezedwa pa Epulo 24, 2017, Myasnikov akuwonetsa kuti anthu onse sazindikira matenda ashuga ngati matenda, koma amangofunikira kukhala ndi moyo wathanzi komanso wokangalika. Kenako matendawa sadzakhala owopsa. A Alexander Leonidovich amapereka njira zoterezi:
- Ndikofunikira kuchita masewera olimbitsa thupi pafupipafupi kapena kuchitira zolimbitsa thupi tsiku lililonse. Chifukwa chokha chomwe chimapangitsa kukhala ndi moyo wautali ndi ntchito zolimbitsa thupi. Monga mukudziwa, ndikukhalitsa mokhazikika, zochitika zokhazikika zimapangidwa mu njira yoyendayenda osati kokha. Chifukwa chake, ma pathologies ambiri ndi matenda a shuga amuka. Panalinso nthawi zina pamene okalamba kwambiri adakhalapo ndi moyo atayamba kuchita masewera olimbitsa thupi, monga akunena. Anatuluka pabedi, ngakhale izi zisanachitike, adadziona ngati ofooka, ndipo mayendedwe adawalola kuchotsa ululu wolumikizana. Kodi tinganenenji za matenda ashuga, momwe njira zonse za metabolic zimasokonezeka kwambiri.
- Ndikofunikira kupatula kusuta ndi kumwa mowa. Izi ndizotsimikizika zasayansi zomwe zayikidwa patsogolo pambuyo pa maphunziro ambiri. Nikotini ndi mowa zimasokoneza machitidwe onse amkati mwa thupi. Ndi chololedwa kumwa osaposa magaloni awiri aini patsiku komanso owuma nthawi zonse.
- Simungathe kutsanulira ndikugona. Nthawi zambiri kugona kwa tsiku lililonse ndi maola 6-8. Pakadali pano machitidwe omwe ali mthupi sangasokonezedwe.
- Makamaka chidwi chake chikuyenera kulipira pakudya. Ndipo sizokhudza maswiti konse, mutha kuzidya, koma muziwonetsetsa. Zili zovulaza kudya mafuta omwe amapezeka, omwe amapezeka mumkaka wokhathamira wokhala ndi mafuta ambiri, nyama yofiira, masoseji, nyama zosuta, ayisikilimu, zakudya zotentha komanso zakudya zina zofanana. Ndizowopsa makamaka kumwa mashuga a shuga.Chitani zokonda pamadzi oyera, misuzi yachilengedwe ndi ma compotes. Idyani zamasamba zatsopano ndi zipatso, zopaka ndi kuphika wopanda mafuta. Ndikofunikira kwambiri kudya CHIKWANGWANI, ndiye kuti, mafuta ochokera ku mbewu zonse, amathandiza kupewa matenda ashuga. Kuchokera pa zipatso, amakonda mabulosi abulu, nthochi, maapulo, mapeyala ndi mphesa.
- Tiyi yobiriwira yothandiza komanso khofi wachilengedwe. Koma patsiku lomwe simumatha kumwa makapu oposa atatu.
- Choyambitsa chiopsezo ndikusowa kwa vitamini D, motero nsomba zizipezeka pagome nthawi 4 kapena sabata.
- Ngati mwalandira chithandizo chilichonse, tsatirani malangizo onse a dokotala, chifukwa mankhwala osokoneza bongo ambiri amatha kuyambitsa zovuta monga kagayidwe kazakudya, kusintha kwa kapamba kapenanso shuga wamagazi owonjezera. Pazifukwa zomwezo, osadzilimbitsa.
Mitundu ya Metformin
Metformin, mtengo womwe umatengera zinthu zingapo, umagulitsidwa ku pharmacy pokhapokha ngati mukumvera kuchokera kwa dokotala. Metformin yatulutsa ndemanga zabwino kuchokera kwa madokotala omwe amawona odwala omwe ali ndi matenda ashuga. Pali mayina angapo ogulitsa:
- Metformin Richter ndi imodzi mwazida zotchuka kwambiri, ndemanga zake zomwe zimakhala zabwino,
- Metformin Zentiva ndi mtundu wina womwe mungapezeko ndemanga zabwino,
- Metformin Teva ndi amodzi mwa mankhwala omwe amapezeka kwambiri mu 500 mg, ndemanga zake ndizabwino, zonse kuchokera kwa madokotala ndi odwala.
Metformin Richter mu Mlingo wa 500 mg adapeza ndemanga zabwino chifukwa chakugawa kwake kosiyanasiyana mumafakisi ndi mtengo wotsika mtengo. Malinga ndi madokotala ambiri, mankhwalawa ndi amodzi mwa othandizira kwambiri a hypoglycemic.
Metformin Richter mu Mlingo wa 850 mg nawonso adapeza malingaliro abwino, koma satchuka kwambiri, chifukwa chake, sawunikidwa nthawi zambiri. Izi ndichifukwa choti kuwerengetsa kuchuluka kwa mapiritsi kuti mupeze tsiku lililonse 2 mg kungakhale kovuta. Chifukwa chake, titha kunena kuti mankhwalawa ndi othandizanso, koma osokoneza pakugwiritsa ntchito nthawi zonse.
Nthawi zambiri pamasamba azachipatala mumatha kupeza mapiritsi a Metformin otchedwa Ozone (OZON), monga zikuwonera ndemanga za odwala omwe adalandira mankhwalawa.
Njira yosavuta kwambiri yotulutsira mankhwala ndi mapiritsi a 500 mg ndi metformin pa 1000 mg, ndemanga zimachitira umboni kuphweka kwa kuwerengera kwa pafupifupi tsiku lililonse la mankhwalawa.
Matenda a shuga siwodwalitsa - njira zitatu zakuchira
Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.
Werengani zambiri apa ...
Matenda a shuga ndi mzere pakati pa magwiridwe antchito a thupi lonse komanso matenda ashuga. Ndi iyo, kapamba amatulutsa insulini, koma ochepa.
Anthu omwe ali ndi vutoli ali pachiwopsezo cha matenda a shuga a mtundu wachiwiri.
Matendawa amatha kuthandizidwa. Kuti muwongolere vutoli komanso kuti mukhale ndi thanzi labwino, muyenera kusintha moyo wanu ndikubwezeretsa shuga m'magazi wamba. Izi zithandiza kupewa matenda ashuga.
Matenda a shuga amatha kuchitika maselo a mthupi atayamba kutengeka ndi insulin, zomwe nthawi zina zimapangitsa kuti shuga wamagazi akwere.
Chimodzi mwazovuta za odwala ndi matenda ashuga a shuga. Zimachitika ndimagazi a shuga osagawika.
Zomwe zimayambitsa kukodza pafupipafupi zimaperekedwa m'nkhaniyi.
Ngati mankhwalawa sanayambike munthawi yake, zovuta zimatha, matenda enieni a 2 amatha, ndipo mitsempha ya magazi, mathero amitsempha, masomphenya, ndi ziwalo zina zimakulirakulira.
Mu ana, prediabetes imapezeka kawirikawiri monga akulu. Itha kuchitika pambuyo pa matenda opatsirana kapena opaleshoni yayikulu.
Zomwe zimayambitsa matenda a shuga?
Anthu onenepa kwambiri omwe amakhala moyo wongokhala. Komanso, kukula kwa prediabetes kumachitika mwa iwo omwe abale awo apamtima amadwala matenda ashuga.
Amayi omwe adadwala matenda ashuga pobereka mwana amatha kupeza matendawa kuposa amayi athanzi.
Nthawi zambiri, anthu ambiri sazindikira zizindikiro za prediabetes, kapena samawalabadira. Zizindikiro zina za matendawa zimatha kutsimikiziridwa kokha ndi mayeso a labotale.
Timalimbikitsa kuyang'ana thanzi lanu ngati:
- Kuyesedwa kwanu kwa magazi sikwachilendo.
- Mukunenepa kwambiri.
- Mukuposa zaka 45.
- Muli ndi matenda ovary a polycystic.
- Munayamba kudwala matenda ashuga panthawi ya pakati.
- Muli ndi cholesterol yayikulu ndi triglycerides m'magazi anu.
Zizindikiro zazikulu za prediabetes:
- Vuto kugona. Ndi kagayidwe kachakudya kagayidwe kachakudya, ntchito za mahomoni m'thupi zimalephera, kupanga kwa insulin kumachepa. Izi zingayambitse kusowa tulo.
- Zowonongeka, khungu loyera. Chifukwa chokhala ndi shuga wambiri, magazi amawonda ndipo amadutsa moyipa kudzera m'matumbo, maukonde ocheperako a capillaries. Zimayambitsa kuyabwa; mavuto ammaso amayamba.
- M ludzu, kukodza pafupipafupi. Kuti muchepetse magazi okhathamira, thupi limafunikira madzi ambiri, kotero pamakhala kufunikira kosamwa. Kumwa madzi ambiri, munthu amayamba kuvutika kukokana pafupipafupi. Chizindikirochi chimachotsedwa pambuyo pa kuchuluka kwa glucose m'magazi sikuchepera mpaka 5.6-6 mol.
- Kuchepetsa kwambiri thupi. Maselo a insulini amapangidwa ochepa, shuga kuchokera m'magazi samatengeka kwathunthu ndi thupi, ndichifukwa chake maselo amalandila chakudya chopanda mphamvu komanso mphamvu yokhala ndi moyo wabwinobwino. Zotsatira zake, pamakhala kuchepa thupi, kuchepa thupi msanga.
- Kukokana usiku, kutentha thupi. Kuperewera kwa zakudya m'thupi komanso kusowa mphamvu kumakhudza minofu, kukokana kumayamba. Kuchuluka kwa shuga kumayambitsa kutentha thupi.
- Migraines, mutu ndi akachisi. Ngakhale kuwonongeka kochepa kwa ziwiya kumatha kupweteketsa mutu ndi kulemera m'mutu ndi miyendo.
- Mwazi wamagazi, womwe umawonedwa patatha maola awiri mutatha kudya, umawonetsa matenda ashuga.
Zabodza zokhudza matenda a shuga malinga ndi Myasnikov
Pali zikhalidwe zambiri zabodza zomwe zimakhudzana ndi matenda ashuga omwe anthu wamba mopanda kukhulupirira amakhulupirira. Dokotala A.L. Mabatani amawachotsa:
- Amakhulupirira kuti matenda ashuga amapezeka motsutsana ndi maziko a kuzunza shuga. Myasnikov akuti chifukwa chomwe matendawa amakulira chimayamba chifukwa chosowa insulini. Chifukwa ndi iye amathandizira kuti magazi azunguruka m'magazi kulowa m'magazi.
- Anthu odwala matenda ashuga amadabwitsidwa chifukwa choti tsopano asintha kwathunthu chakudya, chomwe chikhala chakudya komanso mbale zopanda pake. Ndipo, ayi. Aliyense wodwala matenda ashuga amatha kugula maswiti, chifukwa masiku ano zinthu zambiri zotsekemera za fructose zimapangidwa. Zosankhazo zingakhale zosiyanasiyana mosiyanasiyana monga momwe mungathere, chifukwa mumatha kuphika masamba, nyama yotsamira kapena nsomba mu mphodza, wophika, wowotchera kapena wowiritsa. Muthanso kudya mbatata, chimanga ngakhale mkate woyera, koma ochepa.
- Amankhwala akuti anthu onenepa kwambiri amatha kudwala matenda ashuga, popeza adwaletsa kagayidwe kazakudya. Inde zilipo, koma anthu owonda alinso ndi shuga. Kuphatikiza apo, ulesi chabe, womwe umangokhala moyo wakhazikika, ungatengere matenda.
- Ambiri amalimbikitsa kuchita yoga, poganiza kuti imachiritsa matenda ashuga okha. Ndimangofunsa funso limodzi - chifukwa chiyani odwala matenda ashuga ambiri ku India? Kupatula apo, kuchuluka kwa anthu mdziko muno ali ndi luso ili. Mwa njira, ndi Amwenye omwe amadya insulin kwambiri padziko lonse lapansi.
- Pali mawu oti zinthu zovuta kukhala ndi hyperglycemia. Izi ndi zoyipa, chifukwa kukhudzidwa kwa m'maganizo kumangokhalira kuchitika. Ndiye kuti, ndi mtundu wothandizira.
- Kwa akazi, matenda ashuga ndi owopsa chifukwa samatha kubereka ndi kubereka. Zamkhutu zonse, chifukwa mkazi wodwala matenda ashuga amakonzekereratu kuti adzakhala ndi pakati. Ndipo pankhaniyi, endocrinologist ndi gynecologist adzalemba chithandizo chapadera, chifukwa chomwe mwana wosabadwayo amapanga molondola, ndipo mayi woyembekezera amva bwino.
- Anthu ambiri amaganiza kuti matenda ashuga amatengera pafupifupi 99. Izi siziri choncho. Chifukwa ngati mayi akudwala, ndiye kuti kuchuluka kwa matendawa ndi 7% yokha, koma bambo akadwala - 10%. Koma muzochitika ngati makolo awiri akudwala matenda a shuga, kuchuluka kumawonjezeka pang'ono.
Maziko othandizira odwala matenda ashuga, malinga ndi Myasnikov, ndikukwaniritsa zofunika zitatu:
- kutsatira zakudya
- kuchita masewera olimbitsa thupi
- tsatirani malangizo azachipatala.
Zotsatira zamankhwala malinga ndi Myasnikov:
- Matenda oopsa a hyperglycemia, njira ya mankhwala yochokera pa Metformin imalimbikitsidwa. Zomwe zimachitika tsiku lililonse zimachokera ku 500 mpaka 2,000 mg. Chida ichi chimachepetsa shuga, chimaletsa zovuta. Pamodzi ndi izo, ndikulimbikitsidwa kutenga Aspirin, Enap ndi Liprimar. Palinso Fobrinol wina wopanga mankhwala waku America, wopanga kufulumizitsa kagayidwe.
- Kuphatikiza apo, kamodzi miyezi itatu iliyonse, ndikofunikira kuyesa hemoglobin yachilengedwe cha glycosylated. Ndipo pachaka kuyezetsa kwamikodzo kwamkodzo kumachitika chifukwa cha cholesterol ndi microalbuminaria. Kufunsira kwa ophthalmologist ndi electrocardiogram ndikofunikira.
- Pa chithandizo ndi kupitirira, wodwalayo ayenera kutsatira zakudya zomwe zimaganizira kuchuluka kwa mafuta, chakudya komanso mapuloteni. Kudya kumayenera kuchitika kuyambira 6 mpaka 11 pa tsiku. Zinthu zovomerezeka zomwe zili ndi wowuma.
- Malo apadera mankhwalawa amakhala ndi zolimbitsa thupi. Kukhazikitsidwa kwa chithandizo cha mankhwalawa kumachitika ndi endocrinologist.
- Mabuluzi amatanthauza zitsamba zina. Mwachitsanzo, mutha kugwiritsa ntchito Yerusalemu artichoke. Zachidziwikire, sizichulukitsa kuchuluka kwa shuga, koma zimathandizira kwambiri njira zama metabolic.
Mabuluzi amatsutsa motsimikiza zopindulitsa za shuga pa hypnosis, yoga, ndi njira zina zosagwirizana. Chifukwa matenda a shuga sangathe kuchiritsidwa popanda kugwiritsa ntchito mankhwala osokoneza bongo, zakudya komanso maphunziro olimbitsa thupi.
Chimachitika ndi chiani ndi thupi?
Ndikulakwitsa kuganiza kuti shuga imayamba chifukwa chomwa shuga wambiri. Choyambitsa matendawa ndi kuchuluka kwa glucose m'magazi. Glucose ndi gwero lamphamvu kwa moyo wa maselo. Homoni yapadera, insulin, imanyamula glucose kuchokera m'magazi kupita m'maselo; amapangidwa ndi kapamba. Kuperewera kapena kusakwaniritsidwa kwa timadzi timeneti kumayambitsa matenda omwe amatchedwa matenda a shuga. Kuchulukitsa kwa glucose wamagazi osagwiritsidwa ntchito kumapangitsa kuti magaziwo akhale oweruka. Thupi limakwaniritsa kufunika kwa kuchepa kwa magazi ndi kufunikira kosalekeza kwa kumwa. Mitundu yotsatirayi yamatenda imatsimikiziridwa:
Shuga amachepetsedwa nthawi yomweyo! Matenda a shuga m'kupita kwa nthawi angayambitse matenda ambiri, monga mavuto amawonedwe, khungu ndi tsitsi, zilonda zam'mimba, zilonda zam'mimba komanso matenda otupa! Anthu amaphunzitsa zinzake zowawa kuti azisintha shuga. werengani.
- Mtundu woyamba wa matenda ashuga - pamene gland singatulutse mahomoni okwanira.
- Matenda a 2 a mtundu - insulin ili m'magazi, koma ma cell a cell sawazindikira.
- Zokongoletsa - zimayamba mwa amayi apakati ndipo zimazimiririka pambuyo pobereka.
Chithandizo ndi matenda am'mimba
Kudziwa kukhalapo kwa prediabetes kumathandizira kuyezetsa magazi kwa msanga, komwe kumachitika m'mawa m'mimba yopanda kanthu. Nthawi zina, mayeso a kulolera glucose amaperekedwa.
Ngati, malinga ndi zotsatira za kusanthula, kuchuluka kwa glucose kuposa 110 mg / dl kapena kupitirira 6.1 mmol pa lita, izi zikuwonetsa kukhalapo kwa matenda.
Popanga matenda, amafunika kuti ayambe kulandira chithandizo, pomwe zotsatira zake zimadwalanso wodwalayo.
Muyenera kuwunika zomwe mumadya, kusiya zizolowezi zoyipa ndikulowera masewera tsiku ndi tsiku munthawi yanu (kuyambira mphindi 10-15 patsiku). Ndikulimbikitsidwa kuwongolera kuthamanga kwa magazi ndi cholesterol.
Nthawi zina, kuphatikiza pa izi, katswiri atha kukulemberani mankhwala ena apadera, monga metformin.
Kafukufuku wochitidwa ndi asayansi aku America adawonetsa kuti kusintha kwamakhalidwe ndi machitidwe odya wathanzi amachepetsa chiopsezo cha matenda ashuga.
Zomwe zimayambitsa matenda ashuga otchedwa Butchers?
Zomwe zimayambitsa kukula kwa matenda ashuga, malinga ndi Alexander Leonidovich, ndi kusokonekera kwa dongosolo la endocrine, komwe kumachitika motsutsana ndi maziko a zinthu izi:
- chibadwire
- kunenepa
- kusayenda bwino
- mimba
- kuperewera kwa zakudya m'thupi
- zosintha zokhudzana ndi zaka
- kumwa mitundu yina ya mankhwala,
- matenda oopsa
- atherosulinosis.
Myasnikov amawunikanso za mankhwala osokoneza bongo
Dokotala Myasnikov adapereka ndemanga pamankhwala ena okhudzana ndi matenda a shuga:
- Gulu la Sulfonylurea. Mankhwala osokoneza bongo amathandizira pakupanga insulin yachilengedwe, koma amatha kuchepetsa kwambiri shuga m'magazi, angayambitse kunenepa kwambiri. Kuphatikiza apo, ali ndi zovuta zingapo zoyipa. Mwa zithandizo zoterezi pali odziwika kwambiri: Glucotrol, Glibenclamide, Gliburid, Maninil.
- Starlix ndi Prandin Kukumbukira njira zam'mbuyomu munjira zambiri, koma amachita zinthu popanda kufooka.
- Xenical ndi Glucobay zitha kuikidwa kokha ngati shuga atatha kudya. Chifukwa ntchitoyi ikufuna kuthana ndi michere ya m'mimba. Zotsatira zoyambirira zimakhudza kugaya chakudya.
- Siofor ndi Glyukofazh. Mankhwala osokoneza bongo amachokera ku metformin. Popanda zotsutsana, ndizoyenera mtundu uliwonse wa matenda ashuga. Itha kugwiritsidwa ntchito ngati prophylactic. Thandizani ku matenda a shuga ndende popanda kuchepetsa kwambiri. Kuphatikiza apo, tetezani magazi ndi mtima. Palibe mphamvu yakulemera. Wodwala amatha, mmalo mwake, amuchotsetse pang'ono (motsutsana, ndi kunenepa kwambiri).
- Onglisa ndi Baeta a m'badwo waposachedwa wa mankhwala. Limbikitsani kupanga insulin, kuchepa thupi. Chodabwitsa ndichakuti kuchuluka kwa glucose kumatsika pang'onopang'ono, kotero palibe kulumpha kwadzidzidzi.
Butteri limalimbikitsa kwambiri kuti asadzipangire nokha, chifukwa kudya mankhwala osawerengeka kumabweretsa zotsatira zoyipa. Pamodzi ndi chithandizo chamankhwala, ndikofunikira kukhala ndi kudziletsa komanso kupanga zinthu mwadongosolo. Ndipo tsatirani mosamalitsa malangizo a endocrinologist wanu.
Chakudya cha Matenda A shuga
Zakudya zoyenera ziyenera kuyamba ndikuchepetsa ma servings. Zakudyazo ziyenera kuphatikizapo zakudya zomwe zimakhala ndi fiber: masamba a masamba, zipatso, nyemba, masamba.
Zakudya izi sizimangodzaza m'mimba mwachangu komanso zimakhutitsa njala, komanso zimapereka kupewa matenda a shuga.
Ubwino wazakudya zopatsa thanzi:
- Zimalimbikitsa kuchepa thupi.
- Imathandizira matenda a shuga.
- Chakudyachi chimakhala ndi zinthu zofunikira: mavitamini, michere ndi michere yambiri.
Kudya moyenera kumathandiza kupewa kapena kuchedwetsa kukula kwa matendawa.
Mu prediabetes, zotsatirazi zikulimbikitsidwa:
- Kuchepetsa kudya zamafuta kwambiri.
- Pewani zopatsa mphamvu mu zakudya zanu.
- Chepetsa maswiti ndi mchere.
Ndikofunika kukumbukira kuti kuchokera pazakudya zitatu zazikulu (chakudya, mafuta ndi mapuloteni), zakudya zam'magazi zimakhudza kwambiri kuchuluka kwa shuga m'magazi.
Kupewa komanso chithandizo
Tsoka ilo, palibe machiritso a matenda ashuga. Koma mutha kuthandizanso wodwalayo. Chifukwa chake, malangizo a Dr. Myasnikov amawonjezeranso pansi poti wodwalayo ayenera kuphunzira malamulo atatu oyambira.Uku ndi kudya, malangizo onse azachipatala ndi masewera, omwe angathandize kuchepetsa kuchepa kwa matendawa, ndipo thupi liyamba kugwiritsa ntchito bwino insulin.
Masiku ano, chithandizo chotchuka cha matenda a shuga ndi Yerusalemu artichoke chadziwika. Zowonadi, muzu wamizu uyu mumakhala chakudya china chotchedwa insulin. Lilinso ndi mavitamini, fiber, omwe ali ndi phindu pa machitidwe a metabolic. Koma masamba awa sangakhale malo okhazikika a insulin, makamaka ngati maselo alibe insulin.
Channel Russia mu pulogalamu "Pa chinthu chofunikira kwambiri" (Novembala 14 kumasulidwa) akuwonetsa mitundu iwiri ya mankhwala othandizira odwala. Awa ndi Metformin ndi Fobrinol.
Metformin sikuti imangothandiza kuchepetsa kuchuluka kwa shuga m'magazi, komanso imalepheretsa kukula kwa zovuta. Chifukwa chake, pakalibe contraindication, chithandizo chovuta chikuyenera kuchitika, kuphatikizapo kumwa mankhwala atatu:
- Metformin
- Enap kapena ma satini ena,
- Aspirin
Dr. Myasnikov adalimbikitsanso kuti odwala matenda ashuga amwe mankhwala atsopano aku America - Fobrinol. Chida ichi chimalepheretsa chitukuko cha matenda ashuga nephropathy ndi zovuta zina, popeza zimapangitsa kagayidwe kachakudya kagayidwe kachakudya. Ndipo monga mukudziwa, ndi kulephera kwa kagayidwe kazakudya kamene kamatsogolera ku mitundu iwiri ya matenda.
Chifukwa chake, ndimomwe mungathanirane ndi matenda a shuga malinga ndi njira ya Myasnikov? Alexander Leonidovich, akuwona kuti hyperglycemia yosatha ndi yomwe imayambitsa zovuta zonse za matenda ashuga, motero amalangizidwa kuti azichita chithandizo chokwanira, kuphatikiza kutenga Metformin 500 (mpaka 2000 mg patsiku), Aspirin, Liprimar ndi Enap.
Dokotala adalimbikitsanso kuti ayesere kuyesedwa kwa glycosylated hemoglobin kamodzi miyezi itatu, kamodzi pachaka kutenga urinalysis ya microalbuminuria ndi cholesterol. Komanso, chaka chilichonse ndikofunikira kuchita ECG ndikuwunikidwa ndi ophthalmologist.
Dr. Myasnikov muvidiyoyi munkhaniyi ayankhula njira zabwino kwambiri zochizira matenda ashuga.
- Imakhazikika pamisempha ya shuga kwa nthawi yayitali
- Imabwezeretsa kapangidwe ka insulin
Makanema okhudzana nawo
Kanema waku TV "Pa chinthu chofunikira kwambiri: matenda a shuga." Mu kanemayi, Dr. Myasnikov amalankhula za matenda a shuga a 2 komanso momwe angachitire:
Dr. Myasnikov amalimbikitsa odwala kuti azisintha bwino moyo wawo. Ngati mwana wadwala kunyumba, muyenera kutsatira zakudya zoyenera ndi iye, osangoleketsa zokhazokha. Chifukwa chake mwana azolowera kukhala ndi moyo wathanzi ndipo zimakhala zosavuta kuti azisamalira thanzi lake mtsogolo. Ngati munthu wadwala atakula, ayenera kutsatira.
- Imakhazikika pamisempha ya shuga kwa nthawi yayitali
- Imabwezeretsa kapangidwe ka insulin
Zomwe zimayambitsa matenda a shuga malinga ndi Myasnikov
Dr. Myasnikov amatchula zifukwa zingapo zomwe zimayambitsa kukula kwa matenda ashuga. Chimodzi mwazifukwa zazikulu zomwe dokotala amatcha kusokonezeka kwa endocrine system. Ndizomwe zimayambitsa matenda amtundu wa shuga, pomwe zikondazi pang'ono kapena kwathunthu sizigwirizana ndi ntchito yake yayikulu.
Kunenepa kwambiri ndi komwe kumayambitsa matenda a shuga a 2.
Zomwe zimayambitsa matenda a shuga 2 zimakhala:
- cholowa
- zakudya zopanda thanzi
- zaka
- onenepa kwambiri
- zizolowezi zoipa
- kumangokhala
- mankhwala ena.
- Matenda a shuga pamimba
- cholesterol yayikulu
- kuthamanga kwa magazi.
Kusuta ngati chifukwa cha matenda
"Kusuta n'koipa," anatero Myasnikov yekha. Kuyesa kambiri kukuwonetsa kuti chizolowezi ichi chimakhudzanso kukula kwa matenda ashuga. Ngati wodwala ali pachiwopsezo, mwayi wokhala ndi matenda a nkhuku umachulukana nthawi zina. Utsi wa ndudu nthawi yomweyo umalowa m'magazi ndikufalikira thupi lonse, ndikuchepetsa kagayidwe kazakudya ndi kuwononga maselo, omwe amachepetsa kwambiri mwayi wokhala ndi matenda ashuga.
Kunenepa kwambiri ngati chinthu choopsa
Kukula kwa chiuno ndikofunikira pakuwunika zomwe zingayambitse matenda a matenda ashuga. Dr. Myasnikov akuti kunenepa kwambiri kwamtundu wamphongo, komwe ndiko m'chiuno, kwakukulu kumakulitsa chiopsezo chokhala ndi matenda. Kuchuluka kwa mafuta ochulukirapo ndikutsimikiza kuyambira pakubadwa, ndipo kuphatikiza kwamafuta ochulukirapo komanso kukhala ndi moyo wokhazikika kumawonjezera mwayi wamatenda.
Khalidweli
Achibale oyambira ndi matenda ashuga ndi chifukwa chachikulu chokhalira (kamodzi pa miyezi isanu ndi umodzi) kuwunika kwamagazi wamagazi. Heredity simatchedwa choyambitsa chachikulu kwambiri cha matendawa, koma zimangodziwitsa munthu amene ali pachiwopsezo. Koma ziwerengero zomwe zidapezedwa ndi Myasnikov zikuwonetsa kuti mwa 1% yokha mwa odwala omwe amachititsa matenda awowa ndi chibadwa.
Mankhwala osokoneza bongo amayambitsa kukula kwa matendawa
Mankhwala ena amachititsa kuti munthu adwale matenda ashuga. Mankhwala akuluakulu omwe amachulukitsa chiopsezo, Mabatani amaphatikizapo:
- okodzetsa - mankhwala a thiazide ndi ena olembedwa "co-" kapena "kuphatikiza" m'dzina,
- beta-blockers - amachepetsa chidwi cha maselo, kuphatikiza insulini,
- maantibayotiki ena - amachititsa kuti shuga azikula pang'ono komanso osafunikira.
Khalidwe labwino
Dr. Myasnikov akuti kuchita masewera olimbitsa thupi pafupipafupi kumatha kuchiritsa matenda ambiri, ndipo chifukwa chake kusapezeka kwa matendawa kumawonjezera chiopsezo cha matendawa. Kafukufuku akutsimikizira kuti anthu omwe ali ndi moyo wongokhala amatha kukhala ndi shuga yambiri pamsana. Ndipo anthu okalamba omwe akuchita masewera olimbitsa thupi osavuta kwambiri amatha kupewa ma pathologies ambiri.
Kodi chimachepetsa chiopsezo ndi chiyani?
Anthu omwe ali pachiwopsezo ayenera kupenda magazi awo pafupipafupi. Kuti muchepetse chiopsezo chokhala ndi matenda am'magazi, Myasnikov amalimbikitsa kuchita izi:
- khalani moyo wokangalika ndipo, ngati kuli kotheka, muzichita masewera olimbitsa thupi pang'ono,
- kuchepetsa kulemera komanso kupewa kunenepa kwambiri,
- lekani zizolowezi zoyipa,
- imwani shuga wochepa ndi trans mafuta, m'malo mwatsopano masamba, zipatso ndi CHIKWANGWANI,
- imwani mankhwala okhawo omwe mwawongoleredwa ndi dokotala.
Kuzindikira matendawa
Mlingo wabwinobwino wamagulu a shuga ndi 5.55, kuwonjezeka kwa mulingo uwu ndi pafupifupi Alexander Alexander Myasnikov akulimbikitsa kuyitanira odwala matenda ashuga ndikuwalangiza mwachangu kuti ayambe kulandira chithandizo.
Kwa nthawi yayitali, matendawa amatha kukhala asymptomatic ndipo amatha kutsimikiziridwa ndi kuyezetsa magazi. Zizindikiro zakukula kwa matendawa:
- ludzu losalekeza
- kukodza pafupipafupi komanso kopatsa chidwi,
- kuwonongeka kwamawonekedwe
- kusala shuga m'magazi mutabweza 7.0,
- kuyuma ndi kuyabwa kwa epithelium,
- pafupipafupi matenda
- chilonda chachitali.
Chithandizo cha matenda a mtima
Palibe mankhwala oti muthetse matendawa. Mtundu woyamba wa matenda ashuga, majakisoni a insulin amatengedwa ndipo matendawa amawongoleredwa. Ngati matenda a shuga a mtundu 2 apezeka, Dr. Myasnikov akulangizani kuti ayambe kulandira mankhwalawa Metformin, yomwe imawonjezera chidwi cha ma cell receptors, ndi Fobrinol, yomwe imachepetsa kagayidwe kazinthu. Ndikofunikira kutsatira zakudya ndikumakhala ndi moyo wakhama. Kuwunikira pafupipafupi komanso kufunsana ndi katswiri zimathandizira kukhala ndi moyo wabwinobwino komanso kusamva bwino.
Kodi zikuwonekabe zosatheka kuchiritsa matenda ashuga?
Poona kuti mukuwerenga izi tsopano, kupambana polimbana ndi shuga wambiri sikuli kumbali yanu.
Ndipo mudaganizapo kale za chithandizo kuchipatala? Ndizomveka, chifukwa shuga ndi matenda oopsa, omwe, ngati sanapatsidwe, amatha kufa. Udzu wokhazikika, kukodza mwachangu, masomphenya osalala. Zizindikiro zonsezi mumazidziwa nokha.
Koma kodi ndizotheka kuchitira zomwe zimayambitsa m'malo mothandizira? Timalimbikitsa kuwerenga nkhani yokhudza matenda aposachedwa a shuga. Werengani nkhani >>
Mankhwala othandizira pakamwa
Mankhwala othandizira pakamwa amagwiritsidwa ntchito pokhapokha ngati odwala matenda ashuga omwe maselo awo mu kapamba amatha kupanga insulini, kapena chifukwa chosakwanira kuchuluka kwa insulini yopangidwira zosowa zamthupi pokonza shuga, yomwe ndiyomwe imayambitsa matenda ashuga.
- Imakhazikika pamisempha ya shuga kwa nthawi yayitali
- Imabwezeretsa kapangidwe ka insulin
Pali anthu ambiri odwala matenda ashuga padziko lapansi mwakuti kuchuluka kwawo kuli kofanana ndi kuchuluka kwa anthu ku Canada. Komanso, matenda ashuga amakula mwa munthu aliyense, ngakhale atakhala kuti ndi amuna kapena akazi komanso zaka.
Kuti thupi la munthu lizigwira ntchito moyenera, maselo ake amayenera kulandira shuga. Pambuyo polowa mthupi, shuga amawapanga pogwiritsa ntchito insulini yomwe amisokoneza ndi kapamba. Ndi kuchepa kwa timadzi tating'onoting'ono, kapena chifukwa cha kuchepa kwa chidwi cha maselo kwa icho, kukula kwa shuga kumachitika.
Ndizosangalatsa kuti anthu ambiri omwe ali ndi matenda otere samadziwa za matendawa. Koma pakadali pano, matendawa amawononga pang'onopang'ono mitsempha yamagazi ndi machitidwe ena ndi ziwalo zina.
Chifukwa chake, ngakhale atapezeka kuti ali ndi matenda a shuga panthawi yopima matenda, ndipo pakadali pano akumva bwino, chithandizo ndikofunikira. Kupatula apo, zovuta za matendawa (kuwonongeka kwa maselo amitsempha, matenda a mtima) zitha kupezeka ngakhale patatha zaka zochepa.
Zakudya za Matendawa
Zakudya za anthu odwala matenda ashuga zimathandiza kwambiri pochiza matenda onse a shuga. Kutengera ndi kuopsa kwa matendawa, mankhwala (mapiritsi kapena insulin) angatengedwe limodzi ndi zakudya.
Zakudya zikuwonetsa kuti kuchuluka ndi mapangidwe a menyu amakwaniritsa zofunikira za munthu m'modzi, kutengera zomwe amakonda, kukhalabe wamphamvu komanso magwiridwe ake. Cholinga chachikulu cha zakudya zopatsa thanzi (monga njira imodzi yochiritsira matenda ashuga) ndikukwaniritsa kukhala ndi thanzi labwino, kukhala ndi thupi loyenera komanso chothandiza pa machitidwe a shuga.
Zakudya zoyenera zimachedwetsa kuyambika kwa zovuta zokhudzana ndi matenda a shuga pakapita nthawi yayitali.
- Chakudya chizikhala cholongosoka kuyambira maphwando atatu komanso zakudya zazing'ono ziwiri patsiku. Pasakhale mipata kapena mayanjano.
- Mukamasankha zakudya muzakudya zanu za tsiku ndi tsiku muyenera kukhala 50-60% chakudya ndi zakudya zomwe sizimayambitsa mwadzidzidzi magazi a shuga - ma nyemba, mitundu ina ya pasitala, mpunga, pomwe shuga
- Pafupifupi 30% yamafuta (mpaka 10% ya chakudya chomwe chili ndi mafuta ambiri azinyama: batala, mafuta anyama, mafuta a mkaka, mazira, nyama, pafupifupi 20% ya zakudya zomwe zili ndi mafuta osakwaniritsidwa - mafuta a masamba - mafuta a azitona, mafuta a soya, dzungu, mafuta a chimanga margarine, amondi, hazelnuts, mtedza wokhala ndi mafuta ofunikira achilengedwe ofunikira kupangira metabolism)
- 15-20% mapuloteni (nyama nyama - nsomba, nsomba, mkaka, mazira ndi masamba - nyemba, nandolo, nyemba, soya, bowa).
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Mowa uli ndi phindu lalikulu la calorific, komanso umapangitsa kuti mafuta asamayende bwino, zimatha kuyambitsa zovuta zina nthawi imodzi, ndipo, monga lamulo, sizili zovomerezeka kwa anthu odwala matenda ashuga.
Kuwerengera kwa caloric tsiku lililonse kumatsimikiziridwa payekha kutengera mndandanda wamasamba a thupi. Aliyense wodwala matenda ashuga ndikofunikira kudziwa kuchuluka ndi kuchuluka kwa zinthu zomwe angapezeke kuchokera kuzakudya zake, ndipo luso lake komanso kulingalira pakukonza ndi kupatsa chakudya kumamupangitsa kuti azisangalala ndi zakudya komanso thanzi labwino.
Kuthamanga Kugwira Ntchito ndi Kuunika Kwa odwala
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.