Zakudya za odwala matenda a shuga: Zochitika zanu

Dzina langa ndi Helen Mfumukazi. Ndine wodwala matenda ashuga wazaka zopitilira 20. Ndi jakisoni woyamba wa insulin, moyo wanga unafunikira kusintha kwakukulu. Zinali zofunikira kuti pakhale zenizeni zatsopano, kuphatikizapo kufunika koonda.

Anthu odwala matenda ashuga sangathe kutsatira njira zomwe amagwiritsa ntchito kuti adyetse kunenepa. Kusintha kulikonse m'moyo komwe tiyenera kutenga mosamala.

Matenda a shuga amapangitsa mwiniwake kukhala dokotala kwa iye ndipo amakonza moyo wake mogwirizana ndi akatswiri. Ndikufuna kugawana nkhani yanga yochepetsa thupi komanso kunenepa.

Ndili ndi zaka 28, anandipeza ndi matenda a shuga a mtundu woyamba. Ndi kutalika kwa 167 masentimita ndi kulemera kosalekeza makilogalamu 57 panthawi ya kusowa kwa insulin (mpaka chithandizo chinayambika), ndinataya 47 kg. Pambuyo pa kuyambitsa insulin, ndinayamba kunenepa kwambiri. Kwa mwezi umodzi ndidachira ndi 20 kg! Nditachira pambuyo poti ndamva za matendawa, ndidaganiza zondibwezera. Madotolo adati zingakhale zovuta, koma zitheka. Ndipo ndinayamba njira yochepetsera insulin, ndikukambirana ndi endocrinologist njira zonse zomwe zingatheke.

Maziko a kuchepa thupi

Popeza ndamvetsetsa zofunikira za jakisoni ndi dongosolo la zakudya, dotolo ndi ine tinaganiza kuti ndifunika kusintha:
- machitidwe a kudya,
- tsiku ndi tsiku insulin,
- jekeseni njira.
Ndidalowa m'mabuku asayansi, ndikapeza chidziwitso chofunikira, kuvomerezedwa ndi adotolo, ndikuyamba kumasulira cholinga.

Koyambira?

Kuchepetsa matenda ashuga:
1. Muzipatula "chakudya chambiri" - maswiti, zakumwa zokhala ndi shuga, mafuta ophikira komanso makeke. Uku ndikudwala, motero siziyenera kutero, ndimangotsatira izi.
2. Ndidachotsa zakudya zopatsa thanzi (nthawi 6-7 patsiku) ndimadya 3-4 tsiku lililonse. Pang'onopang'ono ndinasiya kudya chakudya cham'mawa. Sindili ndi njala mpaka 11-12 a.m. Ndinakana kadzutsa.
3. Zakudya zokhazokha, nthawi yayitali kwambiri ya insulin, m'malo mwa masangweji, ndinangotsala mkate. Chakuda, makamaka ndi mbewu. Nthawi zonse ndimakhala ndikudandaula ndi funso loti: bwanji ndiyenera kukhala ndizonunkha ndi sangweji, ngati mwanjira iyi gawo lokhalo la chakudya ndilofunika? Ndinaona kuti “chokoma” chopezeka mu sangweji ndizopatsa mphamvu zochulukirapo zomwe sindikufuna. Chotsani!
4. Pangani nokha "zabwino" zanu. Ndapeza mbale zatsopano zathanzi ndi zinthu:
- saladi ochokera masamba komanso masamba abwino,
- mtedza ndi mbewu,
- nyama yokonda
- buledi ngati chakudya chokha.
5. Ndinkakonda zonunkhira: turmeric, ginger, tsabola wakuda. Amapanga chakudya chosavuta kwambiri, ndipo mkati mwawo muli chuma cha machiritso.
6. Ndidakondana ndimadzi. Anandisinthira tiyi, khofi, zakumwa. Khofi idangokhala kapu yam'mawa, ndikuthandizira kudzuka mwachangu. Koma nditatha mphindi 40 m'mbuyomu ndimamwa kapu yamadzi (ichi ndi chinthu choyamba chomwe chimalowa m'thupi langa m'mawa).

Kuchepetsa thupi choyamba

Kuchepetsa thupi kwanga koyambirira kunayenderana ndi chiyambi cha Lenti ya Orthodox. Ndinaganiza zoyesera.
Mu ulamuliro wa matenda a shuga a mtundu wa I, gawo lalikulu limachitika ndi kuwerengera kwa chakudya chamagulu. Chisamaliro chachiwiri chimaperekedwa kumafuta, kuchuluka kwake kuyenera kukhala kochepa. Mapuloteni nthawi zonse amafunikira, koma insulin siyikuphatikizidwa pakuyamwa kwake, kuchuluka kwake sikumaganiziridwa.

Pakusala kudya kwa Orthodox, mafuta a nyama ndi mapuloteni sawerengedwa. Amasinthidwa mwaulere ndi zosakaniza azitsamba. Kuti muchepetse kunenepa, ndinachepetsa kwambiri zakudya zamafuta ambiri, ndikuwonjezera kuchuluka kwa masamba. Magome azakudya zomwe amapezeka, omwe amapezeka m'mabuku onse a anthu odwala matenda ashuga komanso pamasamba ena, adandithandiza kuwerengetsa kuchuluka kwa chakudya chamafuta. Ndinaika chikho ndi chikho choyeza (ndiye kuti panalibe miyeso yakunyumba, tsopano ndi thandizo lawo).

Pang'onopang'ono kuchepetsa kudya tsiku ndi tsiku kwa zakudya zamafuta, ndinachepetsa kuchuluka kwa insulini yoyendetsedwa ndi magulu a 2-4 patsiku.
Moona mtima, zinali zovuta kwambiri. Koma izi zinali zovuta zamaganizidwe zomwe zimakhudzana ndikusiya madera olimbikitsira chakudya kuti mukwaniritse cholingacho.
Zotsatira zake zinandisangalatsa. Kwa masabata 7 osala kudya, ndataya 12 kg!

Zakudya zanga zomwe ndinachita lendi zinaphatikizapo:
- masamba ophika kapena ophika,
- nyemba
- mtedza ndi mbewu,
- namera tirigu
- zogulitsa soya,
- amadyera
- masamba oundana
- buledi.
Ntchitoyo itatha, ndidazindikira kuti njira yanga yatsopano yopezera chakudya komanso mankhwala a insulin idakhala nane. Ndinkakhala nawo, ndimachepetsa insulin tsiku lililonse ndikuphunzira kuyendetsa. Koma ndine munthu amene nthawi zina amadzilola yekha keke. M'nyengo yozizira, ndimawonjezera makilogalamu awiri, omwe ndikufuna kutayidwa ndi chilimwe. Chifukwa chake, ndimapitilizabe kugwiritsa ntchito njira yopewera zakudya ndikuyang'ana mipata yatsopano yolemetsa.

Njira Zolemetsa Zosavomerezeka

Masiku ano, "kuwumitsa thupi", zakudya zopanda mafuta, komanso kusala odwala matenda ashuga sikungagwiritsidwe ntchito. Ngakhale titayesetsa motani kuchepetsa kudya kwa carbohydrate, sitingakhale opanda iwo - insulin ikumangiriza. Ndizothekanso kukana insulin panthawi yazakudya: thupi limafunikira timadzi timene timayamwa. Njira zonse zochepetsera kunenepa kwa wodwala matenda ashuga ziyenera kukhazikitsidwa:
- kuchepetsa zopatsa mphamvu
- mwayi wowonjezera wowononga.

Zochita zolimbitsa thupi

Kupambana kwanga mu matenda oyamba odwala matenda ashuga sikukadatheka popanda kulimbitsa thupi kwambiri. Ndinapita ku malo ochitira masewera olimbitsa thupi a gulu wamba. Chomwe chimandisiyanitsa ndi iwo chinali chakuti nthawi zonse ndimatenga botolo la sopo wokoma ngati ndikukumana ndi vuto la hypoglycemia (silinabwereko kothandiza, koma inshuwaransiyi imakhala ndi ine nthawi zonse).
Ndinkachita masewera olimbitsa thupi katatu pa sabata. Patatha mwezi umodzi, ndidazindikira zosintha zabwino zoyambirira. Ma pilate ankandithandizira kulimbitsa minofu yanga ndikumangitsa thupi langa osagwedezeka. Ndili nawo lero, ndikusinthana ndikuyenda.

Masiku ano, palinso njira zosavuta, koma zothandiza zolimbitsa thupi - thupi. Ndizoyenera odwala matenda ashuga. Tsopano ndimaziphunzitsa kunyumba.

Chikumbutso chochepetsa thupix odwala matenda ashuga

Aliyense amene wasankha kusintha kulemera ayenera kukumbukira izi: wodwala matenda ashuga ayenera nthawi zonse kuwongolera thanzi lake kupewa matenda oopsa a hypoglycemia. Zosintha zomwe zikupezeka pakudya ndi zochita zolimbitsa thupi, izi ziyenera kulimbikitsidwa:
1. Chiyambire cha kusintha konse, kusinthasintha kwakuthwa m'machitidwe abwino ndi zofunikira za kusanthula kuyenera kukambirana ndi endocrinologist.
2. Kuyang'anira shuga ndi magazi mosalekeza. Mu sabata yoyamba ya kusintha, kuyezetsa magazi kuyenera kuchitidwa:
- m'mimba yopanda kanthu m'mawa,
- pamaso pa insulin iliyonse,
- chakudya chilichonse musanadye ndi maola awiri
- asanagone.
Kusanthula deta kumathandizira kusintha kuchuluka kwa insulin ndi chakudya chamafuta. Ndi zizindikiro zokhazikika pamikhalidwe yatsopano ya zakudya komanso masewera olimbitsa thupi, mutha kubwerera ku chiwonetsero chanu chachikhalidwe.
3. Nthawi zonse khalani ndi chakudya (sopo wokoma, shuga, uchi) kuti muchepetse vuto la hypoglycemia.
4. Pogwiritsa ntchito zingwe zoyeserera, chitani mayeso a mkodzo kuti pakhale matupi a ketone (acetone). Ngati ena apezeka, dziwitsani adotolo kuti achitepo kanthu.

Dokotala wanga woyamba, yemwe adandidziwitsa za matenda ashuga, adanena kuti DIABETESI SIYI CHIWANDA, koma YOPHUNZITSIRA.
Inemwini, ndinalandira izi ngati mutu wa moyo, ndipo ndinapanga moyo wanga momwe ndimafunira. Ndakhala ndikhala kuyambira pamenepo.

Kuyamba kwa zakudya

Musaiwale za madzi omwe amwedwa masana. Chisankho changa chinali madzi oyera osavuta, omwe amathanso kumwa tiyi, khofi, koloko, misuzi ndi zakumwa zina. Ndidagwiritsa ntchito mankhwala azitsamba monga njira ina, koma chifukwa cha mawonekedwe omwe ali ndi kukoma kwake sindingathe kumwa iwo kwa nthawi yayitali. Madzi ndiye njira yabwino kwambiri yosankhidwa malinga ndi zomwe amakonda.

Kodi mungachepetse bwanji shuga osadzipha?

makssis February 13, 2005 6: 14 p.m.

Katyushka February 14, 2005 1:22 AM

Juris February 14, 2005 2:11 AM

Maroussia February 14, 2005 3:09 p.m.

tany February 14, 2005 3:28 p.m.

makssis "Feb 19, 2005 4:29 p.m.

Ruslana February 19, 2005

makssis.
Nditayamba jekeseni ndinayamba kuda nkhawa kwambiri. Choyamba ndinapeza 10 kg., Ndiye zinanso. Cholinga cha izi chinali chinthu chimodzi chokha - Perekol.
Tsopano zatha chaka chimodzi kuchokera pamene ndidagwiritsa ntchito njira ya Jura. Kwa chaka chino, ndinabwereranso pamagawo omwe ndinali nawo ndili ndi zaka 17. Ndinasinthiratu zovala. Chosangalatsa ndichakuti ndimapitilirabe kuchepa thupi. Ndinayeneranso kupita kwa akatswiri .. Ndidauzidwa kuti izi zimachitika chifukwa choti ndimadya pang'ono .. Koma nthawi zonse ndimadya monga izi, koma nthawi yomweyo ndimatha kuchira.
Chifukwa chake bwerezani mankhwala anu. Kodi muli ndi mafinya aliwonse? Kangati?
Ndipo, tisayiwale kuti mumadyadi. Mwina chowonadi ndichakuti mumagwiritsa ntchito zakudya zamafuta ndi mafuta .. Lembani mwachitsanzo tsiku lonse lanu. Makamaka ndi Mlingo ndi Mashuga ..

Ndipo kulemera kwanu sikuli kwakukulu! Awa ndiye malire apamwamba a chizolowezi ..

Piritsi February 19, 2005 11:39 p.m.

Maroussia February 21, 2005 12:22

makssis February 26, 2005 4:56 p.m.

Maroussia "Feb 28, 2005 10:28 AM

makssis Mar 06, 2005 6:37 p.m.

Ruslana »Mar 07, 2005 12:20 PM

Alice "Apr 16, 2005 1:32 p.m.

Piritsi "Apr 16, 2005 10:10 PM

Alice, chabwino, iwe umakulanso ku china chilichonse. Zomwe mukufuna, simukufuna, ndipo kulemera (ndi kutalika, motsatana) kudzakulitsa! Chifukwa chake, zosintha "zoyera" sizikhala 20 kg, koma zochepa.

Kapena mukufuna kulemera monga momwe muli ndi zaka 11?

Njira ya matendawa

Matenda a shuga ndi endocrine matenda omwe amakula ndi kupita patsogolo ndi matenda a metabolic. Zimachitika chifukwa chokhazikitsidwa ndi insulin kukaniza mthupi - mkhalidwe womwe maselo a minofu ya thupi amasiya kuyamwa. Kukula kwake kumachitika m'magawo angapo:

1. Zikondazo zimatulutsa insulini yochepa,
2. Zomwe zimapangira insulin m'matimu zimatha kulephera kumangiriza ma insulin chifukwa chowonongeka kapena kuwonongeka.
3. Thupi "limawona" zoterezi ngati kusowa kwa kupanga insulin ndikutumiza chizindikiro ku ubongo kuti chikufunika zochulukirapo,
4. Kapamba amatulutsa insulini yambiri, yomwe sinakhale ndi vuto,
5. Zotsatira zake, ndi mtundu wa 2 shuga mellitus, insulin yambiri "yopanda ntchito" imadziunjikira m'magazi, yomwe imayipa yokhudza thupi.
6. Pancreas imagwira ntchito mopitilira muyeso, yomwe imapangitsa kutsika kwake komanso kuchuluka kwa minofu yam'mimba.

Chifukwa chake, matendawa akapezeka msanga, mokulira umakhala kuti ziphuphu zakumwa pang'ono ndipo ntchito yake imasinthidwa chifukwa kuchotsedwa kwa insulin.

Chifukwa chiyani?

Kukula kwa matendawa kumachitika pazifukwa zambiri. Ena mwa iwo ndi otsimikizika.

• Makamaka. Matenda amtunduwu timabadwa nawo, chifukwa chake, iwo omwe ali ndi abale omwe akudwala matendawa amayenera kuyang'anitsitsa kuchuluka kwa shuga m'magazi awo, kamodzi pachaka amayeza mayeso kuti akhazikitse kulolera kwa glucose,
• Zomwe zimachitika mu intrauterine zimakhudzanso matenda. Nthawi zambiri, amakula ana omwe amabadwa wolemera kuposa 4.5 kapena osaposa 2.3 kg,
• Kulephera kuchita zolimbitsa thupi kumachepetsa kagayidwe ndipo kamayambitsa zovuta zake. Zochita zolimbitsa thupi zomwe munthu amakhala nazo tsiku ndi tsiku, zimachepetsa mwayi wokhala ndi matenda amtunduwu.
• Zizolowezi zoipa (kusuta, mowa) zingayambitsenso matenda a metabolic,
• Kunenepa kwambiri kapena kunenepa kwambiri ndi komwe kumayambitsa matenda. Zolemba zambiri za insulin zimapezeka mu minofu ya adipose. Ndi kukula kwambiri, amawonongeka kapena kuwonongeka. Chifukwa kuchepetsa kulemera kwa matenda ashuga ndi gawo lofunika kwambiri pamankhwala.
• Ukalamba amathanso kukhala chifukwa. Ndi m'badwo, mphamvu ya zolandilira imachepa.

Ngakhale zina mwazomwe zimayambitsa kusalankhula, odwala matenda ashuga, ngakhale atayambitsa matendawa, ayenera kusintha kwambiri moyo wawo. Kukana zizolowezi zoyipa, kuchepa thupi komanso kuwonjezera masewera olimbitsa thupi kumapangitsa kuti chithandizo cha mankhwala chikhale chothandiza kwambiri. Komanso omwe ali pachiwopsezo ndi anthu omwe achibale awo ali ndi matenda ashuga, motero amafunikanso kuwunika, kupita kumalo ochitira masewera olimbitsa thupi kuti apewe kumwa mowa ndi kusuta, chifukwa zonsezi zimawonjezera mwayi wokhala ndi matendawa.

Mosasamala zomwe zimayambitsa matendawa, chithandizo chake chikuyenera kuchitika ndi dokotala woyenera. Ngakhale pali maphikidwe ena otchuka ochepetsa shuga, amangogwiritsa ntchito mwanjira kapena ayi. Kugwiritsa ntchito kwawo kukhoza kukhala pachiwopsezo cha moyo komanso kuyambitsa zovuta zazikulu.

Ngati muli ndi zisonyezo zoyambirira za matendawa, monga pakamwa pouma, kusinthasintha kwakuthwa m'thupi kapena kuchiritsa kwambiri mabala, muyenera kufunsa dokotala. Pambuyo popimidwa kwathunthu, kuphatikiza kuyezetsa magazi ndi maphunziro ena, ndikuwazindikira, dokotala amatha kukupatsani chithandizo chamankhwala komanso chofunikira m'zochitika zonse.

Chithandizo cha mankhwala osokoneza bongo imakhala poika mankhwala ovuta. Amathandizanso m'njira zitatu:

1. Chepetsani shuga m'magazi
2. Yambitsani kupanga kwa insulin
3. Sinthani ntchito ya insulin receptors.

Nthawi zambiri, mankhwala amodzi amatha kuchita zonse zitatu. Dokotala amafotokozanso ena mankhwala kuti achepetse kukula kwa zovuta. Wodwala akamayamba kupita kwa dokotala, ndiye kuti mankhwalawo amatha kukhala ndi vuto lofanana ndi matenda a shuga 2 kapena ngati matendawa ndi ofanana.

Khalidwe labwino

Gawo lalikulu la chithandizo chathanzi la mtundu wachiwiri wa shuga limapangidwa ndi zinthu zomwe wodwala angatenge kunyumba. Munjira zambiri, moyo wa wodwala umakhudza kuthandizira kwake. Popanda kusintha izo, ngakhale mankhwala a mankhwala sangakhale othandiza.

• Onjezerani zolimbitsa thupi. Iyi si njira yabwino yochepetsera thupi ndi matenda a shuga a 2 komanso matenda oopsa, komanso payekha imathandizira kagayidwe. Zotsatira za ma surges, kuchuluka kwa shuga sikudzachitika. Insulin ipangidwa mokwanira, ndipo ma receptor amagwira ntchito molimbika,
• Penyani zakudya zanu. Chepetsani kuchuluka kwa mapuloteni komanso zakudya zamafuta, ndipo musamadye zakudya zomwe zimakhala ndi ma monosaccharides ndi maswiti. Kwa ambiri, ndiyinso njira yabwino yochepetsera kulemera ndi matenda ashuga a 2,
• Ngati njira ziwiri zomwe zafotokozedazi sizokwanira. Chitani khama kuti muchepetse kunenepa. Mungafunike choletsa pazakudya kapena njira zina zomwe dokotala angakulimbikitseni. Kutsika kwamafuta amthupi kumabweretsa kubwezeretsanso kwa ma receptor ndikuwawononga pang'ono,
• Siyani zizolowezi zoyipa zomwe zingakhudze kagayidwe. Kwenikweni, ndiko kusuta ndi kumwa mowa (womwe, kuwonjezera apo, umapangitsa kunenepa kwambiri).

Kusintha kwa moyo mwa iwo okha kumatha kukhala ndi zotsatirapo zabwino komanso kumachepetsa kwambiri kuchuluka kwa shuga ndikulipira kulumpha kwake.

Osati kulemera?

Ndi matenda amtunduwu, nthawi zambiri kuwonda kumawonedwa. Izi zitha kukhala chifukwa cha zinthu ziwiri. Yoyamba mwa izi ndi kulephera kwa endocrine, kusintha kwa kagayidwe kazinthu ndi kagayidwe. Ichi ndi chifukwa chosasangalatsa kwambiri, koma ndizochulukirapo kuposa chachiwiri. Nthawi zambiri, kunenepa kwambiri kumachitika chifukwa chodya kwambiri, chifukwa anthu odwala matenda ashuga nthawi zambiri amakhala ndi njala.

Chifukwa china chomwe chimapangitsa kuti anthu azidwala ndi matenda amakula ndikuphwanya kusefukira kwa impso. Zotsatira zake, madzi amasungidwa m'thupi, ndipo kutupa kumachitika.

Koma kodi odwala ena amadabwa kuti chifukwa chiyani amachepetsa shuga? Izi zimachitika pokhapokha ngati insulini ilibe thupi, i.e. pomwe sipangidwe konse. Izi zimachitika pakuwonongeka kwa maselo a pancreatic beta omwe amapanga izi chifukwa cha pathological autoimmune process, i.e., yokhala ndi matenda a shuga 1. Mtundu wachiwiri, kuchepa thupi kumakhala kochepa kwambiri komanso kosakwanira.

Kuchepetsa thupi: Zakudya

Njira yabwino yochepetsera kunenepa ndi matenda a shuga a 2 ndi chakudya chamafuta ochepa, chomwe sichingothandiza kuchepetsa kunenepa, komanso kuchepetsa matenda a shuga. Pali malingaliro ambiri pazakudya. Komabe, ngati china chilichonse chikukayikira, ndibwino kufunsa dokotala kuti adziwe ngati zingagwiritsidwe ntchito?

Kuchuluka kwa zopatsa mphamvu patsiku sikuyenera kupitirira 1500. Ndikofunika kudya zakudya zachilengedwe zokha, zopsinjika, kapena zatsopano. Pewani zakudya zakonzedwe komanso soseji, zomwe zimakhala ndi zoteteza zambiri zomwe zimatha kuwonjezera shuga. Osamadya zakudya zokazinga, komanso zinthu zomwe zakonzedwa pogwiritsa ntchito batala yambiri (batala kapena masamba). Tayani kwathunthu zakudya zotsekemera komanso zonona.

Udindo wofunikira umachitika ndimadongosolo oyenera a zakudya. Idyani zakudya zitatu patsiku osakudya kapena kudya zakudya zazing'ono nthawi zonse. Chofunikira chachikulu ndikuti dongosolo la chakudya lotere liyenera kukhala tsiku ndi tsiku.

Kuchepetsa thupi: Kuchita masewera olimbitsa thupi

Osanyalanyaza masewera olimbitsa thupi. Zotsatira zake, kuchepa thupi kumatha kuchitika ndi matenda ashuga a 2. Kupatula apo, ndipamene thupi limagwirira ntchito kuti glucose wophatikizidwa m'thupi umapangidwira mphamvu yofunikira kuti minofu ichite. Ngakhale pambuyo poti mwaphwanya zakudya, kuchita masewera olimbitsa thupi kungathandize kupewa kulumpha mu shuga.

Kuchulukitsa kwa katundu sikofunikira monga kukhazikika kwake. Njira yabwino ndikuyenda m'mawa. Yambani ndikuyenda kwa mphindi 30 mpaka 40 tsiku lililonse kwa sabata limodzi. Pambuyo pake, thupi lizolowera katundu. Tsopano mutha kulowa nawo masewera olimbitsa thupi. Komabe, sikuyenera kukhala kumverera kwa kutopa kwambiri ndi kupsinjika. Mutha kukonda kusambira kapena kupalasa njinga. Njirazi zimathandizanso kuchepa thupi kwa matenda a shuga a 2.