Kuchepetsa thupi ndi matenda ashuga

Matenda a shuga amayambitsa zopinga zina pa moyo wamunthu. Wodwala amakakamizidwa kusintha zakudya ndi katundu pa thupi. Kukhala wonenepa kwambiri mu mtundu woyamba wa matenda ashuga ndi vuto losowa kwambiri lomwe limachitika makamaka chifukwa cha kuperewera kwa zakudya m'thupi kapena moyo wongokhala. Mutakumana ndi vuto la kunenepa kwambiri, muyenera kudziwa momwe mungachepetsere thupi ndi matenda amtundu wa 1 ndikutsatira malamulo kuti musavulaze thupi.

Malamulo a Zakudya Zopatsa Matenda a Type 1 Diabetes

Ndi kovuta kuchepetsa thupi mu mtundu woyamba wa matenda a shuga, chifukwa chake tikulimbikitsidwa kufunsa dokotala, yemwe angakupatseni zakudya zoyenera malinga ndi momwe thupi limakhalira ndi matendawa. Zakudya zimatengera zomwe zimayambitsa kuwonda. Ngati achire akuyembekezeka kudya, ndiye kuti bwino kudya katatu patsiku. Kuchepetsa thupi kuti muchepetse kunenepa kumaphatikiza zakudya zitatu kapena zisanu patsiku. Kuchepetsa thupi kuti muthe kukhwimitsa thupi komanso kulandira chithandizo nthawi yomweyo kumafuna chakudya cha 6-7 patsiku.

Kudya ndi kuchepa thupi kumalimbikitsidwa tsiku lililonse nthawi yomweyo. Kudya kwadongosolo kumatulutsa kagayidwe ndikuwonetsetsa kuti michere imayamwa.

Kwa matenda amtundu wa 1 shuga, tikulimbikitsidwa kuti tisamalire pa tebulo Na. 9. Zakudya izi sizimapatula zakudya zomwe zili ndi index ya glycemic (GI) yayikulu. Zolemba zake:

• shuga imasiyidwa, m'malo mwa shuga mumagwiritsidwa ntchito,
• chakudya chimakhala ndi mafuta ochulukirapo komanso zakudya zamafuta,
• Zakudya zimaphatikizapo mapuloteni okwanira,
• kuphatikiza zokazinga, zokometsera, chakudya chosuta, zokometsera, zakumwa zoledzeretsa ndi zakudya zamzitini,
• chakudya chizikhala chophika, chophika kapena chopaka.

Zakudya za tsiku ndi tsiku ziyenera kupatsa thupi kuchuluka kwa mavitamini ndi mchere. Ndikulimbikitsidwa kudya zipatso ndi ndiwo zamasamba zatsopano, zitsamba ndi msuzi wa rosehip nthawi zambiri. Chakudya chizikhala ndi tchizi komanso tchizi. Chifukwa cha malonda awa, malo ogulitsa mafuta amawonongeka pomwepo. Mafuta a azitona ndi nsomba zamafuta ochepa ndizololedwa.

Ndi kulemera kwambiri, tikulimbikitsidwa kuti muchepetse kudya kwa kalori tsiku ndi tsiku ndi 10-20%. Gawo lalikulu la chakudya chamoto limadyedwa musanadye nkhomaliro, kuti lisasungidwe nkhokwe, koma mukhale ndi nthawi yogaya.

Zakudya za shuga

Pa gawo loyambirira la matenda ashuga, pamene insulini sigwiritsidwe ntchito kapena kutumizidwa pang'ono, kudya No. 9A ndikulimbikitsidwa. Zakudya zamafuta izi ndizovuta. Kuchuluka kwa chakudya kuyenera kugawidwa mgawo uliwonse pa chakudya. Zakudya Zoyenera Kudya:

Zakudya zoletsedwa kudya ndi zakudya za 9A:

• shuga
• zakumwa zokoma
• wokondedwa
• kupanikizana
• zakumwa zoledzeretsa
• zipatso
• tchizi chokhala ndi mafuta opitilira 30%,
• mtedza
• kuphika,
• maswiti
• mayonesi
• zonona
• makeke

Ndi insulin nthawi ya shuga, tikulimbikitsidwa kuti tizitsatira zakudya No. 9B. Mulinso zakudya zina zopatsa mphamvu zambiri. Mbali yodziwika bwino ya tebulo No. 9B ndi kuchuluka kwamafuta, mapuloteni ndi chakudya. Gawo No. 9B limaphatikizidwa ndi zolimbitsa thupi. Mndandanda wazinthu zoletsedwa ndizofanana ndi zakudya No. 9A. Zopatsa mphamvu za zakudya zopatsa mphamvu zimachuluka chifukwa cha kuchuluka kwake.

Sikulimbikitsidwa kusiya mafuta a nyama. Zimapezeka kuchokera ku zosakaniza zachilengedwe - nyama yokonda, nsomba kapena mkaka. Simungadye mafuta ophikira mu mawonekedwe a margarine ndi kufalitsa, omwe amakhala ndi zowonjezera zambiri.

Ndikulimbikitsidwa kusinthitsa mndandanda wazakudya ndi zakudya zosiyanasiyana kuchokera kuzakudya zomwe zaloledwa, kuti wodwala matenda ashuga asamve kuwonongeka komanso kusavuta kulekerera chakudyacho. Kuchuluka kwa ma calories kumatha chifukwa chochita zolimbitsa thupi, chifukwa chomwe mafuta sakhala osungidwa.

Ngati onenepa kwambiri, ndibwino kudya zakudya zamafuta. Amathandizira kagayidwe kazakudya ndipo amathandizira kuchepetsa thupi.

Zakudya zothandiza kugaya chakudya ndi:

• mkate wa chinangwa
• mkate wa ndani
• nyama zamafuta ochepa (ng'ombe, kalulu, nkhuku)
• nsomba zotsamira m'mawonekedwe ophika kapena owiritsa,
• mazira a nkhuku (zosaposa zidutswa ziwiri patsiku),
• mafuta ochepa mkaka,
• Zatsopano zamasamba
• amadyera
• msuzi wamafuta ochepa ndi msuzi wokhala ndi masamba (bowa, nyama, nsomba),
• chimanga (kupatula semolina ndi mpunga),
• zipatso zochepa za shuga ndi zipatso.

Zosankha zachitsanzo za pohududen

Mukamachepetsa thupi, tikulimbikitsidwa kuti tizitsatira zakudya zopatsa thanzi. Kupanga menyu kuli bwino pasadakhale kwa masiku angapo, kukumbukira malingaliro onse ndikuwerengera kuchuluka kwa mapuloteni, chakudya ndi mafuta. Zakudya za pafupifupi tsiku ndi tsiku zitha kuwoneka motere:

• Chakudya cham'mawa: phala yokhala ndi mafuta ambiri, tchizi chochepa kwambiri, chakumwa cha khofi chopanda shuga.
• nkhomaliro: kapu yamkaka yamafuta ochepa,
• nkhomaliro: kabichi kabichi yophika mu mafuta a masamba, nyama yophika, mafuta odzola,
• chakudya cham'mawa: apulo wobiriwira,
• chakudya chamadzulo: nsomba yophika kapena yophika, kabichi schnitzel, tiyi,
• musanagone: kefir.

Njira yachiwiri yazakudya:

• chakudya cham'mawa: oatmeal, tchizi chamafuta ochepa wokhala ndi mkaka, khofi,
• nkhomaliro: odzola,
• nkhomaliro: masamba borsch, buckwheat, nyama yophika yophika, tiyi,
• nkhomaliro
• chakudya chamadzulo: vinaigrette, dzira, tiyi wobiriwira,
• musanagone: kapu ya yogati.

Njira yachitatu yochepetsera kunenepa:

• kadzutsa: mapira mapira, dzira lowiritsa, chakumwa cha khofi,
• chakudya cham'mawa chachiwiri: mtengo wa tirigu,
• nkhomaliro: nyama yophika yophika, mbatata yosenda, tiyi wobiriwira,
• chakudya cham'mawa: kapu ya kefir,
• chakudya chamadzulo: tchizi chamafuta ochepa wokhala ndi mkaka, oatmeal, tiyi,
• musanagone: apulo.

Mtundu wachinayi wa zakudya:

• chakudya cham'mawa: barele wa barele, saladi wa kabichi, dzira lowiritsa, khofi,
• nkhomaliro: kapu yamkaka yamafuta ochepa,
• nkhomaliro: mbatata zosenda, kachere, chiwindi cha ng'ombe, zipatso zambiri zouma,
• Chakudya chamasana: zakudya zonunkhira,
• chakudya chamadzulo: kabichi wowotcha, nkhuku yophika, tiyi,
• musanagone: kefir.

Chitani masewera olimbitsa thupi kuti muchepetse kunenepa

Kuchita masewera olimbitsa thupi ndi njira imodzi yothandiza kwambiri yochepetsera kunenepa kwambiri. Choyamba, odwala matenda ashuga amayenera kuwongolera zochitika zolimbitsa thupi kutengera ndi momwe alili komanso kuchuluka kwa matendawo. Kuphatikiza apo, ndikofunikira kuwonjezera kudya kwa calorie. Atasankha kusewera masewera, zakudya No. 9A imasinthidwa ndi tebulo No. 9B.

Musanayambe kuchita masewera olimbitsa thupi, muyenera kufunsa katswiri yemwe adzatsimikizire kuchuluka kovomerezeka kwa maphunziro. Ndi matenda 1 a shuga, kuchita masewera olimbitsa thupi mosavulaza kungawononge thanzi lanu.

Anthu odwala matenda ashuga a mtundu woyamba sakuvomerezeka nthawi zonse. Ngati wodwala kale adakhala moyo wongokhala ndipo sanachite nawo masewera olimbitsa thupi, ndiye kuti ayenera kuyamba ndi masewera olimbitsa thupi osavuta, kuyenda, kuyenda njinga. Omwe adasewera masewera amakhala okonzekera bwino. Komabe, maphunziro amalimbikitsidwa moyang'aniridwa ndi madokotala nthawi zonse. Makalasi a Aerobics ophatikizidwa ndi katundu wamagetsi ndioyenereradi.

Kuchepetsa thupi la matenda ashuga 1 sichinthu chovuta, koma ndiyotheka. Zakudya zoyenera komanso masewera olimbitsa thupi zimakuthandizani kuti muchepetse thupi komanso mukhale wathanzi. Chachikulu ndikutsatira zomwe dokotala akutsimikiza, kutsatira zakudya komanso kuchita zovomerezeka. Kanemayo pansipa amafotokoza momwe angachepetse thupi ndi matenda a shuga 1.

Kodi madotolo aku China ati chiyani pa matenda oopsa

Ndakhala ndikuchiza matenda oopsa kwa zaka zambiri. Malinga ndi ziwerengero, mu 89% ya milandu, matenda oopsa amachititsa munthu kugunda kwamtima kapena kugunda kwam'magazi ndipo munthu akafa. Pafupifupi magawo awiri mwa atatu a odwala tsopano amafa zaka 5 zoyambirira za matendawa.

Mfundo yotsatirayi - ndikotheka komanso kofunikira kuti muchepetse kupanikizika, koma izi sizichiritsa matendawa palokha. Mankhwala okhawo omwe samasemphana ndi mfundo zamankhwala achi China ndipo amagwiritsidwa ntchito ndi akatswiri otchuka a mtima kuchiritsa matenda oopsa ndi Hyperten. Mankhwalawa amakhudza zomwe zimayambitsa matendawa, zomwe zimapangitsa kuti athetseretu matenda oopsa. Kuphatikiza apo, pansi pa pulogalamu ya feduro, aliyense wokhala ku Russian Federation akhoza kulandira ZAULERE .

Kuphatikiza apo, kusowa kwa shuga kumatha kudwala matenda akulu:

• kukhumudwa
• kusokonezeka kwa ubongo,
• kusabala
• kulephera kwa mtima ndi impso,
• mwayi wokhala ndi vuto la glycemic,
• kusiya kwachilengedwa cell kukonzanso.

Muyenera kukumbukira nthawi zonse kuti mutha kuyamba kulimbana ndi kunenepa kwambiri mutakambirana ndi endocrinologist komanso wathanzi.

Akatswiri ayenera kusintha kuchuluka kwa mankhwala (mapiritsi kuti muchepetse shuga kapena insulini). Kutengera kuchuluka kwa kuchepa kwa maloosungira mafuta, zizindikiro za shuga zitha kuchepa kapena kubwereranso mwakale.

Zotsatira zomaliza zakuchepa thupi nthawi zonse zimatengera momwe wodwalayo wasinthira, komanso ngati adayamba kudya bwino. Zakudya zoyenera, momwe zakudya zochepa zomwe zimadziwika ndi thupi la odwala matenda ashuga, zimathandiza kuchepetsa thupi komanso kuchepetsa shuga.

Kuphatikiza apo, muyenera kusunga kabuku kamapadera komwe zinthu zonse zomwe zimadyedwa patsiku zimalembedwa.

Zakudya zoyenera ziyenera kukhala ndi zakudya zamafuta ochepa. Ubwino waukulu wazakudya zoterezi ndizokhudzana ndi mfundo yoti munthu amadya mokwanira komanso moyenera, ndipo nthawi yomweyo amachotsa mapaundi owonjezera.

Anthu odwala matenda ashuga saloledwa kudya zakudya zotsatirazi:

• margarine
• zipatso zamasamba
• mafuta tchizi,
• shuga (ngakhale mu Mlingo wochepetsetsa),
• mpendadzuwa
• uchi uchi
• mafuta kanyumba tchizi
• mtedza
• citro, mandimu ndi zakumwa zina za kaboni.
• kuphika
• nyama yamafuta
• batala
• nsomba zamafuta
• mafuta a masamba
• Mitima, impso, chiwindi ndi nyama zina zamkati,
• malonda a soseji
• zipatso.

Poyamba, zitha kuwoneka kuti ndizogulitsa zonse zomwe zimawonedwa kuti ndizoletsedwa, koma sizili choncho. Zakudya za anthu odwala matenda ashuga ndizosiyanasiyana ndipo zimakhala zosakaniza za thanzi, zotsika thupi.

Zakudya zopatsa mphamvu zochepa komanso zamafuta oyaka:

Za masamba, kabichi, kaloti ndi Yerusalemu artichoke amadziwika kuti ndi othandiza kwambiri, mwa zipatso - mapeyala ndi maapulo.

Ndikofunika kulingalira kuti akatswiri azakudya adapanganso mndandanda wina wazakudya zomwe zitha kudyedwa ndi anthu odwala matenda ashuga, koma ochepa:

Aliyense wodwala matenda ashuga ayenera kukumbukira kuti kudya zakudya zoyenera ndi kiyi wa moyo wabwino komanso wautali.

Kutengera ndi mtundu wanji wa matenda a shuga omwe adapezeka, akatswiri amapanga zakudya zambiri. Chilichonse chimayenera kulemekezedwa, popeza thanzi la wodwala limatengera izi.

Lolemba:

• chakudya cham'mawa: 70 g saladi watsopano wa karoti, phala la oatmeal mkaka 180 g, batala wowala 5 g, tiyi wopanda mafuta,
• nkhomaliro: saladi watsopano 100 g, borsch wopanda nyama 250 g, stew 70 g, mkate,
• chakudya chamadzulo: zamzitini / nandolo zatsopano 70 g, kanyumba tchizi casserole 150 g, tiyi.

Lachiwiri:

• kadzutsa50 g ya nsomba yophika, 70 g yatsopano saladi kabichi, mkate ndi tiyi,
• nkhomaliro: 70 g yophika nkhuku, msuzi wamasamba 250 g, apulo, compote wosaphatikizidwa,
• chakudya chamadzulo: dzira limodzi, cutlets cutlets 150 g ndi mkate.

Lachitatu:

• kadzutsa: Tchizi cha 180 g chaching'ono chotentha kwambiri, phala lambiri laling'ono la tiyi ndi tiyi,
• nkhomaliro: masamba supu 270 g, nyama yophika 80 g, kabichi wowotcha 150 g,
• chakudya chamadzulo: stewed masamba 170 g, masamba a nyama 150 g, msuzi kuchokera ku chiuno cha rose, mkate wa chinangwa.

Lachinayi:

• kadzutsa: phala la mpunga 180 g, beets owiritsa 85 g, chidutswa cha tchizi ndi khofi,
• nkhomaliro: squash caviar 85 g, nsomba msuzi 270 g, yophika nkhuku yodyetsa 170 g, ndimu yopanga tokha wosapanda shuga,
• chakudya chamadzulo: masamba saladi 180 g, buckwheat porridge 190 g, tiyi.

Lachisanu:

• kadzutsa: saladi watsopano wa kaloti ndi maapulo 180 g, tchizi cha 150 g mafuta ochepa, tiyi,
• nkhomaliro: nyama goulash 250 g, masamba msuzi 200 g, squash caviar 80 g, mkate ndi compote,
• chakudya chamadzulo: phala la tirigu ndi mkaka 200 g, nsomba zophika 230 g, tiyi.

Loweruka:

• kadzutsa: mkaka phala 250 g, grated karoti saladi 110 g, khofi,
• nkhomaliro: msuzi ndi vermicelli 250 g, 80 g yophika mpunga, 160 g stewed chiwindi, compote, mkate,
• chakudya chamadzulo: ngale ya barele phala 230 g, squash caviar 90 g.

Lamlungu:

• kadzutsa: chidutswa cha tchizi chamafuta ochepa, phala la buckwheat 260 g, saladi wa beet 90 g,
• nkhomaliro: pilaf yokhala ndi nkhuku 190 g, msuzi wokhala ndi nyemba 230 g, biringanya wophika, mkate ndi msuzi wa zipatso kuchokera ku cranberries watsopano,
• chakudya chamadzulo: cutlet 130 g, dzungu phala 250 g, masamba abwino a saladi 100 g, compote.

Lolemba:

• kadzutsa: 200 g phala, 40 g tchizi, 20 g mkate, tiyi wopanda mafuta,
• nkhomaliro: 250 g borsch, saladi wa masamba 100 g, nyama yofinya yolimitsa 150 g, kabichi wodyetsedwa 150 g, mkate,
• chakudya chamadzulo: 150 g yophika nkhuku yophika ndi 200 g ya saladi.

Lachiwiri:

• kadzutsa: steamed omelet 200 g, venal yophika 50 g, tomato watsopano, khofi wopanda tiyi kapena tiyi,
• nkhomaliro: masamba saladi 200 g, msuzi wa bowa 280 g, bere yophika 120 g, 180 g yophika dzungu, 25 g mkate,
• chakudya chamadzulo: stew kabichi wowawasa kirimu 150 g, 200 g a nsomba yophika.

Lachitatu:

• kadzutsa: zakudya kabichi akhazikitsa ndi nyama 200 g, 35 g yotsika mafuta wowawasa kirimu 20 g mkate, tiyi,
• nkhomaliro: masamba saladi 180 g, nsomba zophika kapena nyama 130, yophika pasitala 100 g,
• chakudya chamadzulo: kanyumba tchizi casserole wokhala ndi zipatso 280 g, msuzi wa duwa lakuthengo.

Lachinayi:

Lachisanu:

• kadzutsa: kanyumba kochepa mafuta 180 g, kapu ya yogati,
• nkhomaliro: masamba saladi 200 g, mbatata zophika 130 g, nsomba yophika 200 g,
• chakudya chamadzulo: watsopano masamba saladi 150 g, cutamamu cutlet 130 g

Loweruka:

• kadzutsa: mchere wambiri wowonda 50 g, dzira limodzi lophika, nkhaka watsopano, tiyi,
• nkhomaliro: borscht 250 g, kabichi waulesi akhazikitsa 140 g, wowawasa wowawasa kirimu 40 g,
• chakudya chamadzulo: watsopano wobiriwira nandolo 130 g, nkhuku yofiyira mafilimu 100 g, biringanya wophika 50 g.

Lamlungu:

• kadzutsa: buckwheat porridge 250 g, nyama yamwana wamkati 70 g, tiyi,
• nkhomaliro: msuzi pa msuzi wa bowa 270 g, nyama yowiritsa yophika 90 g, stewed zukini 120 g, 27 g mkate,
• chakudya chamadzulo: 180 g nsomba zophika zojambulazo, 150 g mwatsopano sipinachi ndi 190 g stewed zucchini.

Ngati wodwalayo ndi wonenepa kwambiri komanso ali ndi chisonyezo chachikulu cha glucose, ndiye kuti munthuyo ayenera kuganizira momwe angakonzere mavutowo. Tinalemba kuti kuchepa kwa thupi ndi 6-7% ya kuchuluka kwa munthu kumabweretsa kutsika kwa glucose, komanso, kumachepetsa kwambiri kuthamanga kwa magazi, komwe kumakhudza thanzi la munthu. Nthawi yomweyo, zilibe kanthu kuti ndi wamkulu bwanji? Tikataya ma kilogalamu ochepa, oyeserera ayamba kuwonetsa zotsatirazi:

• kutsika kwa shuga
• kuchepetsa mafuta m'thupi
• kusintha kwakukulu kwa hypotension ndi kuchepetsa matenda oopsa.

Kuphatikiza apo, zochulukitsa pamiyendo ndi mafupa zimachotsedwa, zomwe zimathandiza kupewa matenda a mafupa.

Koma musanayambe njira zopangira zakudya, muyenera kufunsira kwa akatswiri oyenera. Thupi la odwala matenda ashuga limafunikira njira yapadera yothetsera vuto la kunenepa kwambiri. Mwachitsanzo, unyinji wazakudya za ultramodern zimatsutsana, kuphatikiza apo, zolimbitsa thupi ziyenera kuchitidwa moyenera. Zotsatira zake, upangiri waukatswiri umafunika, makamaka ngati munthu akufunika kumwa jakisoni wa insulin kapena kumwa mankhwala.

Malinga ndi North American Institute of Health, akaphatikiza zakudya zoyenera komanso masewera olimbitsa thupi, chiopsezo cha matenda a shuga amachepetsa pafupifupi 60%!

Mukamachepetsa thupi, akatswiri azakudya amalimbikitsa kuti azisamalira zakudya zawo pa 1490 kcal patsiku. Komabe, wina sayenera kuyiwala kuti kuchuluka kwa zopatsa mphamvu zomwe zimadyeka sikuyenera kutsika pansi pa 1010 kcal. Ngati wodwalayo adya pang'ono, thupi lake limakhala ndi vuto la kuchepa kwa mphamvu, ndipo zonse zimatha ndi kuti minofu yofooka ndipo mafuta amatsalira.

Ma calorie ambiri amaphatikizapo mafuta. Ndikofunika kusiyanitsa zakudya ndi mafuta ambiri. Kuphatikiza pa batala ndi mafuta anyama, zomwe zimakonda kukhala wamba wa USSR, mafuta amapezeka muzopangidwa ndi nyama, parmesan ndi zinthu zina zamkaka kwambiri. Kuphatikiza apo, mafuta amapezeka muzinthu zanyama monga mitsempha (yomwe imayenera kuchotsedwa musanadye) komanso pakhungu la nkhuku.

Anthu ambiri molakwika amakhulupirira kuti kuchokera kumafuta azomera samakhala mafuta konse, koma ngakhale kuchepa thupi. Izi ndi zolakwika, chifukwa mafuta a masamba ndiopatsa thanzi kwambiri: magalamu 100 a chinthucho amaphatikizapo pafupifupi 900 Kcal! Zotsatira zake, valani mbale za saladi ndi ketchup kapena msuzi wa mpiru. Ngati munthu sangathe kuchita chilichonse popanda mafuta, muyenera kuthira mlingo wa tsiku ndi tsiku mu thanki yaying'ono (mwachitsanzo, magalamu 30, makamaka maolivi amkuwa), popeza mukathira mbale ya saladi kuchokera m'botolo, nthawi zambiri zimakhala zosatheka kukhalabe ndi chizindikiritso cha mphamvu.

Ndipo, mosakayikira, ndikofunikira kuthetseratu zonse zomwe zimayambira muzakudya. Iwalani za poto. Patsani chisankho chanu kuti chiphike ndi kuphika zakudya ndi mafuta ochepa.

Kwa odwala matenda ashuga, ndikofunikira kuphatikiza shuga "othamanga" komanso "osangalatsa". Katswiri wa endocrinologist akunena kuti odwala matenda ashuga ayenera kukhala kutali ndi zakudya zopepuka. "Ndikwabwino kugwiritsa ntchito zopatsa mphamvu zamagalimoto zokhala ndi chizindikiro cha glucose m'njira zosaposa 70%," akuwalimbikitsa.

Madokotala amati kuti muchepetse thupi, muyenera kusunga shuga komanso insulin mokwanira m'thupi. Kuti mukwaniritse izi, muyenera:

1. Idyani nthawi yomweyo tsiku lililonse. Izi ndizofunikira makamaka pamene wodwala wavulala insulin. Thupi limazolowera dongosolo ndipo pamapeto pake limayamba kugwira ntchito ngati wotchi.
2. Idyani zambiri m'magawo ang'onoang'ono - mpaka katatu pa tsiku. Chifukwa chake chakudyacho chizithilira mwachangu komanso moyenera, ndipo ma insulin ya m'madzi idzagwiritsidwira ntchito bwino kwambiri, chifukwa kulumpha kwakukulu mu mtengo wa glucose m'magazi kudzatha.

Kuti muchepetse kunenepa, mumafunika zakudya zamafuta ambiri. Izi zikuphatikiza ndi masamba a chinangwa kapena mkate wopanda tirigu, nyemba za nyemba, nandolo, oatmeal, ufa wa mphodza, mphira, barele, masamba a zipatso a emaroni. Mosakayikira, ndikofunikira kuchotsa maswiti pazakudya. Kuphatikiza apo, wina ayenera kusamala kudya zipatso za shuga, monga mphesa ndi ma apricots owuma.

Kwa odwala matenda ashuga, siochulukirapo pamasewera omwe amakhala ngati mwadongosolo. Pakulimbitsa thupi, shuga imawonongeka mwachangu, ndipo wodwalayo amafunikira insulin yochepa kwambiri. Kuphatikiza apo, amawononga ma calorie, ndikupanga nawo mafuta ochulukirapo. Kuchepetsa thupi mu shuga sikungatheke popanda maphunziro akuthupi.

Ngati m'mbuyomu wodwalayo sanali kukonda masewera, muyenera kuyamba ochepa. Pa maphunziro oyamba, mphindi 15-20 za kuyenda mwachangu ndizoyenera. Popita nthawi, muyenera kuwonjezera nthawi mpaka 40- 40 mphindi 5-6 pa sabata. Pofuna kupewa monotony, ndikofunikira kupita kukasambira kapena kukwera njinga.

Komabe, munthu sayenera kuyiwala za zokambirana ndi dokotala. Ngati munthu amamwa mankhwala ochepetsa mphamvu ya shuga kapena kupanga jakisoni wa insulin, dokotalayo angakulimbikitseni kuti mutatha masewera aliwonse ofatsa, muzitha mafuta okwana magalamu 18 a chakudya. Dokotala adzakulangizaninso kuti muthane ndi miyeso ya glucose musanayambe kuchita masewera olimbitsa thupi ndikuuzeni zoyenera kuchita ndi mitundu yosiyanasiyana ya Zizindikiro.

Nthawi zambiri, odwala omwe ali ndi shuga m'magazi amakhala ndi kulemera kowonjezereka, ndipo akafunsidwa ndi endocrinologist, amafunsa funso kuti: "Kodi mungachepetse bwanji thupi kuti mupewe matenda ashuga?" Si chinsinsi kuti kulemera kowonjezera kumawonjezera mwayi wokhala ndi vutoli, popeza pamodzi ndi kuchuluka kulemera kumachepetsa malire a chidwi ndi zinthu za insulin.

Pokhapokha kutsatira zakudya zoyenera mungakhale ndi moyo wabwino kwambiri ndikuthandizira thupi lanu kuchotsa zomwe zimapangitsa kuti matendawa apangidwe.

Momwe Mungalimbane Ndi Anthu Olemera Kwambiri Ndi Mitundu Yosiyanasiyana ya shuga

Kuchuluka kwa shuga a shuga amtundu wa 1 odwala matenda ashuga amafunika kudya (21-26 Kcal pa kilogalamu imodzi ya kulemera kwa thupi). Anthu odwala matenda ashuga ayenera kudya kangapo patsiku, osati katatu, monga chizolowezi.

Mutha kuchepa thupi ndi matendawa pakuchotsa zopatsa mphamvu zazakudya menyu ndikuchotsa zakumwa zamchere.

Patebulo yodyera, wodwala matenda ashuga ayenera kukhala ndi masamba. Mwa mafuta onse omwe amadyedwa patsiku, theka la zakudya liyenera kukhala ndi mafuta osakhazikika.

Lamulo lomwe wodwala wokhala ndi matenda a shuga a 2 ayenera kukakamizidwa ndikutsatira: kuchepetsa kumwa (kapena kuchotsa kwathunthu kuchokera menyu) mafuta a nyama, mafuta, mkaka watsopano, kirimu wowawasa ndi tchizi chanyumba. Kuphatikiza apo, ndibwino kuchotsa kuchokera ku ayisikilimu wazakudya, tchizi zolimba ndi pulasitiki ndi zinthu zokhala ndi nyama - masoseji, soseji, mphodza, etc. nsomba zaonda, fillet turkey, bakha, masewera oseketsa komanso venal ziyenera kukhala gwero la mapuloteni. Kusamala kwakukulu kuyenera kutengedwa m'mafuta a azitona, soya wa marc ndi kugwiriridwa.

Za mazira a nkhuku, dzira la mazira sayenera kukhala pamndandanda nthawi zambiri 1-2 pa sabata. Zakudya izi zimaphatikizanso kuwerengera kuchuluka kwa magawo a tirigu ndikuwunika momwe menyu ulili. Pokhala ndi zakudya zotere, mavitamini amayenera kupezekanso, makamaka magulu A ndi D. A surrogate, ndiye kuti, wogwirizira ndi shuga, angathe kuonedwa ngati perlite kapena xylitol. Kuchita bwino kwa njirazi kuchepetsa shuga m'magazi kumagwirizana mwachindunji ndi kuchepa kwa thupi.

Fotokozani

Matenda a mtima komanso mikwingwirima ndizomwe zimayambitsa pafupifupi 70% ya imfa zonse padziko lapansi. Anthu asanu ndi awiri mwa anthu khumi amafa chifukwa chotseka mitsempha ya mtima kapena ubongo.

Choyipa chachikulu ndikuti anthu ambiri saganiza kuti ali ndi matenda oopsa. Ndipo amaphonya mwayi wokonza kena kake, kumadzipangitsa kufa.

• Mutu
• Zosangalatsa pamtima
• Madontho akuda patsogolo pa maso (ntchentche)
• Kupanda chidwi, kusakwiya, kugona
• Masomphenya opanda pake
• Kutukwana
• Kutopa kwambiri
• Kutupa kwa nkhope
• Kunenepa komanso kuzizira kwa zala
• Kupanikizika kumapitilira

Ngakhale chimodzi mwazizindikirozi chikuyenera kukupangitsani kuganiza. Ndipo ngati pali awiri, musazengereze - muli ndi matenda oopsa.

Momwe mungathanirane ndi matenda oopsa pakakhala kuchuluka kwa mankhwala omwe amawononga ndalama zambiri?

Mankhwala ambiri sangachite bwino, ndipo ena amatha kupweteketsa! Pakadali pano, mankhwala okhawo omwe amavomerezedwa ndi Unduna wa Zaumoyo pa matenda oopsa ndi Hyperten.

Mpaka February 26th. Institute of Cardiology, pamodzi ndi Unduna wa Zaumoyo, ukuchita pulogalamu " wopanda matenda oopsa"Momwe Hyperten amapezeka ZAULERE , onse okhala mumzinda ndi dera!

Matenda A shuga

Zakudya zilizonse zimatanthauzira zakudya zina. Zolakwika ndi zovulaza ndizomwe zimafuna kukanidwa kwa zinthu zofunikira komanso zofunikira pofunafuna m'chiuno choonda, m'mimba, phala, etc.

Matenda a shuga kunyumba. Patha mwezi kuchokera pamene ndayiwala za kudumphira shuga komanso kumwa insulin. O, momwe ine ndimavutikira, kukomoka kosalekeza, kuyimba mwadzidzidzi. Kodi ndapita kangati kwa endocrinologists, koma amangonena chinthu chimodzi - "Tengani insulin." Ndipo tsopano masabata 5 apita, popeza kuchuluka kwa shuga m'magazi ndikwabwinobwino, osati jakisoni imodzi ya insulin ndipo chifukwa chonse cha nkhaniyi. Aliyense amene ali ndi matenda ashuga ayenera kuwerenga!

Izi sizotheka konse, makamaka kwa odwala matenda ashuga. Zakudya zopatsa thanzi za shuga ziyenera kukhala zopatsa thanzi, zopatsa mavitamini ndi fiber, komanso zakudya zamagulu ochepa.

Zakudya zabwino kwambiri zamitundu 1 ndi 2 shuga ndizochepa-carb. Adawonetsera kuti ndiwofunikira pakuthawa mapaundi owonjezera osavulaza thupi lonse. Koma ndikofunikira kumvetsetsa kuti zakudya za matenda amtundu woyamba 1 ndizosiyana pang'ono ndi zakudya za matenda amtundu wa 2.

Kusiyana kwakukulu ndikuti poyamba, imagwira gawo lothandizira mankhwalawa ndipo idapangidwa kuti izikhala ndi shuga. Amapangidwa kutengera mlingo wa insulin.

Matenda a 2 a shuga nthawi zambiri amakula mwa anthu onenepa. Kulemera kwambiri kumachepetsa chidwi cha maselo ku insulin. Kuchuluka kwake m'magazi sikulola kuti minofu yamafuta ichoke m'thupi.

Zotsatira zake ndi bwalo loipa. Mapaundi owonjezera amatsogolera ku matenda ashuga, ndipo shuga imayambitsa mapaundi owonjezera ndipo zimakhala zovuta kuti zithetse mavuto onse awiri. Mwa izi, chakudya chamagulu a odwala matenda ashuga 2 chikufunika.

Chovuta chachikulu cha anthu onenepa kwambiri ndikusankha kudya zakudya zochepa zopatsa mphamvu. Zotsatira zake kuchokera pamenepo zidzakhala kufooka, mantha, ngakhale kukomoka ndi njala. Nthawi yomweyo, minofu yamafuta sidzapita kulikonse.

Zakudyazi ziyenera kukhala zamagulu omwe amamwa zakudya zochepa, koma simungathe kuzisiyiratu. Ndizofunikira mphamvu ndi moyo.

Njira yothetsera vutoli ndi kupanga zakudya za munthu payekha, kuphatikiza mapuloteni, mafuta ndi chakudya zamagulu ochulukirapo, poganizira zomwe zikuwonetsa thupi. Calorie kudya, sikuyenera kupitirira 1.5-2,000 kcal patsiku. Kuti zisakhale zosavuta kutsatira, ndi bwino kupaka menyu tsiku lililonse.

Mafuta ochepa

Kulakwitsa kwina ndikochita bwino pakudya zamafuta ochepa kapena opanda mafuta kwambiri. Inde, kudya mafuta kumafunika kuchepetsedwa, koma osaphatikizidwa kwathunthu.

Kusowa kwamafuta pang'ono mu chakudya kumabweretsa kuti thupi, likazindikira kusowa kwakukulu, limayamba kudziunjikira mwachangu. Chifukwa chake, kulemera ndi kuchuluka kwa thupi kumachuluka ndipo, kuwonjezera apo, mwachangu.

Ndi zakudya zamafuta ochepa, ngati kuchepa thupi kumachitika, zimachitika kokha chifukwa cha kuchepa kwa minofu. Zotsatira zake - kufooka, kugona, kumva njala yosatha, ndi zina ndi izi, kuchepa thupi ndi matenda a shuga sikugwira ntchito.

Kuchuluka kwa mafuta omwe amadwala odwala matenda ashuga amayenera kudya ndi pomwe amapita kuchipatala, poganizira zomwe zimachitika mthupi. Pankhaniyi, ndikofunikira kusiyanitsa pakati pa zakudya zopatsa thanzi zomwe zimakhala zamafuta komanso zovulaza.

Zakudyazi ziyenera kuphatikizapo mafuta ndi masamba. Amakhala ndi ma calorie apamwamba, chifukwa chake musatengeke nawo. Koma ngati mulingo wocheperako womwe mumakhala saladi yomweyo ndi mafuta omwewo, ndiye kuti mafutawa ayenera kulowa mthupi. Zinthu monga nyama yofuka, soseji, nyama yokhala ndi mafuta ambiri, etc. ziyenera kuyikidwa pambali.

Glucose ndi insulin bwino

Kuti muchepetse thupi msanga ndi matenda a shuga a 2, ndikofunikira kukhalabe ndi shuga komanso insulin. Mwa kusintha kuchuluka kwa shuga m'magazi, maselo amatha kuyamba kukhala ndi insulin.

Insulin imachepetsa kuchepa kwa mapaundi owonjezera, chifukwa chake, kuchuluka kwake kumakhala kochulukirapo, kuchotsa kunenepa kwambiri sikungatheke. Chifukwa chake, chilichonse chiyenera kukhala chovomerezeka. Izi sizovuta kuti zitheke.

Choyamba, muyenera kukhala ndi regimen nokha, makamaka kwa iwo omwe amafunika kubaya insulin. Popeza mwaphunzira kudya nthawi yomweyo, munthu azitha kubayira insulin molondola ndipo sipadzakhala zisokonezo m'thupi.

Mkhalidwe wachiwiri ndikuti muyenera kudya pafupipafupi komanso pang'ono. The pafupipafupi chakudya ayenera kukhala 5-6 pa tsiku, pamene magawo ang'onoang'ono. Menyuyi muyenera kukhala ndi zakudya zomwe zili ndi mavitamini komanso fiber. "Dozi" wamkulu kwambiri wamagulu azakudya ayenera kudya m'mawa.

Kuti muwunikire mosamala, zimakhala zosavuta kujambula menyu kwa sabata limodzi. Choyamba, amakulolani kudzaza zakudya zanu ndimitundu yosiyanasiyana yathanzi, ndipo chachiwiri, kuwunika bwino. Zakudya zoterezi ziyenera kuphatikizapo zinthu zotsatirazi:

• nyemba zobiriwira
• masamba
• nyama ndi nsomba (zopanda mafuta),
• zipatso (zopanda shuga),
• chimanga (munthawi yovomerezeka)
• tiyi, khofi, mwatsopano (shuga wopanda).

Amayenera kumadyedwa yophika, kuwotchera, kuwotcha kapena kuwotchera. Muyenera kuiwaliratu za kukazinga. Dzazani mbale ndi mchere, zonunkhira ndi zonunkhira ndizofunikira pokhapokha pazokha kapena kupatula kwathunthu.

Kuchita masewera olimbitsa thupi a shuga

Njira inanso yochepetsera kunenepa ndi zolimbitsa thupi. Kuphatikiza apo, zimathandiza thupi, chifukwa zimakulolani kuti mukhale ndi thupi labwino komanso kupewa zovuta zambiri (mawonekedwe opindika, ndi zina zambiri).

Koma muyenera kumvetsetsa kuti masewera ndi osiyana. Kwa ena, kuyenda wamba sikokwanira, ndipo kumayenda makilomita angapo patsiku. Enawo sangathe kuthamanga konse, chifukwa kuchokera pamenepa amakumana ndi mavuto ambiri.

Zonse mu zakudya komanso masewera, chilichonse chikuyenera kuchitika popanda kutentheka. Kuchepetsa kulemera kwa matenda ashuga kumafuna kuchuluka kwamasewera monga katundu, kuchuluka kwake. Simungathe kukhala tsiku limodzi mu masewera olimbitsa thupi, ndipo bodza lachiwiri muli pabedi.

Maphunziro ayenera kukhala tsiku lililonse, koma kuganizira mawonekedwe a thupi. Nthawi zonse muyenera kuyamba zazing'ono, mwachitsanzo, ndikuyenda koyenera. Ndiye kufulumizirani ndi kuwonjezera nthawi. Kusambira ndi madzi aerobics kumathandizanso kwambiri. Madzi pang'ono amachepetsa katundu, amene amakupatsani mphamvu zolimbitsa thupi nthawi yayitali komanso nthawi yayitali.

Anthu odwala matenda ashuga ayenera kupanga anzawo ndi njinga. Kukwera kapena kudumpha sikofunikira, ingokhalani panja paki kapena pagombe. Paulendo, pafupifupi magulu onse a minofu amatembenuka, ndipo mgwirizano umaphunzitsidwa. Kuphatikiza apo, zimangoyambitsa chisangalalo ndikuthandizira kusonkhanitsa malingaliro.

Kukonzekera kwapadera

Poyesa kupeza njira yochepetsera kunenepa ndi matenda ashuga, ena amayang'anitsitsa njira zosiyanasiyana za mankhwala omwe amati amakulolani kuchepa thupi. Amakhala ndi zida zapamwamba kwambiri zomwe sizimafuna katundu wolemera.

Ena mwa iwo amakulolani kuti mukwaniritse zomwe mukufuna, koma ndikofunikira pamtengo. Nthawi zambiri, mapiritsi a zakudya amakhala ndi zinthu zomwe zimaphatikizidwa, zimamupweteketsa kwambiri.

Zachidziwikire, chifukwa cha izi, munthu modzidzimutsa amataya makilogalamu. Koma izi ndizovuta zolemetsa. Amayambitsidwa ndi kuledzera kwa thupi, komwe kumawononga mphamvu zake zonse ndi nyonga zake polimbana ndi zinthu zoyipa.

Zina mwa mankhwalawa ndi zomwe zimakhala ndi majeremusi. Ikangokhala m'mimba, tiziromboti timayamba kudya zomwe zili, chifukwa chake munthu amakhala ndi njala nthawi zambiri, amatha kudya zodabwitsa komanso nthawi yomweyo amachepetsa thupi kwambiri.

Zosankha zonsezi ndi zovulaza munthu wathanzi, ndipo kwa odwala matenda ashuga, ndizowopsa. Choyenera, kumwa mankhwalawa kumangokhala kopanda tanthauzo ndipo kungokhudza pang'ono mphamvu ya thupi.

Kupeza mankhwala othandizadi komanso otetezedwa kuti muchepetse kunenepa tsopano ndi zovuta kwambiri, chifukwa pali njira zingapo. Tiyeneranso kuganizira kuti pazifukwa zina bwenzi, mnansi, ndi zina zotere, achepetsa thupi, sizowona kuti zithandiza thupi lawo.

Kumwa mankhwala aliwonse muyenera kukambirana ndi dokotala. Komabe, akatswiri ambiri odziwa bwino amalangiza kuponyera mwanjira imeneyi pamutu panu ndikuyika thupi lanu mothandizidwa ndi njira zachilengedwe komanso zothandiza.

Mfundo zina zofunika

Kuyang'aniridwa kwakukulu kuyenera kulipidwa kuti chikhumbo chichepetse thupi panthawi yapakati. Seti lakuthwa mopitirira muyeso ndipo, chifukwa chake, mtundu wachiwiri wa matenda ashuga si wachilendo pakadali pano. Palibe chowopsa, chifukwa nthawi zambiri zinthu zimayamba chifukwa cha kulephera kwa mahomoni ndipo zimadutsa pakubadwa kwa mwana.

Sikuti tifunika kuyesetsa kuti tichotse chilichonse chokwanira. Mukungofunika kutsatira zakudya, zomwe amakambirana ndi adotolo, chifukwa pano zakudya zoyenera zimabwera ndikuyembekezera kuti zimakhudza zamoyo ziwiri nthawi imodzi.

Kuchita masewera olimbitsa thupi ndikofunikanso. Sizovuta kuthana ndi kunenepa kwambiri, komanso zimathandizira kukonzekera kubadwa.Chifukwa cha izi, palinso masewera olimbitsa thupi osiyana ndi amayi apakati.

Ngati mwana wonenepa kwambiri, ndiye kuti zinthu zili chimodzimodzi. Muyenera kutsatira zakudya zosamalitsa ndikupeza nthawi yamasewera. Zakudyazo zimasinthidwanso payekha, pamene thupi limakula ndikukula, chifukwa chake pali zinthu zomwe zimayenera kuphatikizidwa pamenyu.

Ndili ndi zaka 47, ndinapezeka kuti ndili ndi matenda ashuga a 2. M'masabata angapo ndinapeza pafupifupi 15 kg. Kutopa nthawi zonse, kugona, kumva kufooka, kuwona kunayamba kukhala pansi.

Nditakwanitsa zaka 55, ndinali nditadzibaya kale ndi insulin, zonse zinali zoipa kwambiri. Matendawa adapitilirabe, kuukiridwa kwakanthawi kunayamba, ambulansi imandibwezera kuchokera kudziko lina. Nthawi zonse ndimaganiza kuti nthawi ino ikhala yomaliza.

Chilichonse chinasintha mwana wanga wamkazi atandilola kuti ndiwerenge nkhani imodzi pa intaneti. Simungayerekeze m'mene ndimamuyamikirira. Nkhaniyi inandithandiza kuthana ndi matenda ashuga, omwe amati ndi osachiritsika. Zaka 2 zapitazi ndidayamba kusuntha kwambiri, nthawi yamasika ndi chilimwe ndimapita kumayiko tsiku lililonse, ndikumalima tomato ndikugulitsa pamsika. Azakhali anga amadabwa ndimomwe ndimapangira chilichonse, komwe ndimapeza mphamvu zambiri, sakhulupirira kuti ndili ndi zaka 66.

Ndani akufuna kukhala ndi moyo wautali, wamphamvu komanso kuiwalako za matenda oyipawa kwamuyaya, tengani mphindi 5 ndikuwerenga nkhaniyi.