Matenda a shuga a mapiritsi a shuga

Kodi pali tanthauzo lililonse pazovomerezeka za omwe amamwa ma biohackers kuti amwe metformin, kodi mankhwalawa amaletsa matenda okhudzana ndi kunenepa kwambiri, simungakhale bwino kuchokera kwa antidepressants ndipo zomwe zingachitike ngati mutamwa mankhwalawo kuchokera m'ndandanda wa World Health Organisation pazifukwa zina, werengani mu gawo la "Momwe tikuchitidwira" Chizindikiro.Ru.

Kuganiza zochepetsa thupi pofika nthawi yotentha, ambiri amakhumudwitsidwa pakugwira ntchito kwa zakudya (pambuyo pake mukufuna kudya kachiwiri) ndi masewera (omwe nawonso samachepetsa kudya). Kukana, nthawi zambiri kudzera poyeserera komanso zolakwika, pazakudya zambiri zonyansa, mutha kupita ku "zojambula zolemetsa" - mankhwala enieni. Pamaforamu kwa iwo omwe akuchepetsa, Glyukofage adzakhala wochita nawo zokakamiza kwambiri 10/20 limodzi ndi Reduxin - ndipo amatha kupita kumeneko kawiri kapena katatu pansi mayina osiyanasiyana. Tiyeni tiwone ngati akuyenera kulandira ulemu wotere.

Kuchokera pa chiyani, kuchokera ku chiyani

Siofor, Glucofage, Mohammed, Glycon, Glyformin, Metformin, Pramlintil - onse awa mankhwalawa ali ndi chinthu chimodzi chofanana: metformin yogwira yogwira kuchokera ku gulu la Biguanide. Adapangidwa kuti azichiza matenda a shuga mwa anthu omwe ali ndi impso zomwe nthawi zambiri amagwira ntchito, koma othandizira biohacking, motsogozedwa ndi Sergey Fage (omwe tidawerengapo m'nkhani ina), amalimbikitsa anthu athanzi kuti amwe kuti achepetse shuga.

Kuchuluka kwa shuga m'magazi kuyenera kukhala koyenera nthawi zonse: shuga yayikulu imakhala yofanana ndi matenda amtundu wa 2, momwe maselo amayamba kugonjetsedwa ndi insulin ndipo safuna kusunga glucose mu mawonekedwe a glycogen (zambiri zamakina ndi ubale wa shuga ndi khansa komanso kutsekemera kwa ife adalankhula mufunsidwa ndi Lewis Cantley). Mwa odwala, kupanga kwa glucose kuchokera ku mankhwala osagwiritsa ntchito calcium (mwasayansi amatchedwa gluconeogeneis) kumapangidwira katatu - ndipo metformin, monga momwe olemba nkhani mu magazini ya Diabetes amasonyezera, amathandizira kuti achepetse pafupifupi gawo limodzi mwa magawo atatu. Mwinanso, mankhwalawa amachititsa kuti maselo azikhudzana kwambiri ndi insulin, yomwe imawalamulira kuti azisunga shuga, kuchotsa magazi ndi kuwatumiza "kumalo osungirako" omwe ali glycogen. Nthawi yomweyo, ndizotheka kuti mankhwalawo amalimbananso ndi njira ina yodzaza magazi ndi shuga, kusokoneza ntchito ya glucagon ya mahomoni, omwe amatulutsa shuga, omwe amasungidwa kale m'chiwindi.

Koma zomwe Metformin imalumikizidwa kuti ipangitse njira izi sizimamveka bwino. Kuyesaku kumachitika mu vitro komanso mbewa, koma funsoli lidakali lotseguka. Ngakhale zili choncho, metformin m'thupi imangokhala ndimapuloteni amadzi a m'magazi ndipo nthawi yomweyo imathamangira m'maselo, pomwe imagunda zomwe sizikudziwika, sizikonzedwa m'thupi, ndipo maola 24 pambuyo pa uthandizi imachoka kale m'thupi ndipo simapezeka mu plasma yamagazi (Kuti mumve zambiri za pharmacokinetics, onani Diabetes & Metabolism). Koma ndikofunikira kwambiri kwa ife kuti mankhwalawa agwire ntchito. Kodi metformin imathandizira pa cholinga chake? Ndipo anthu opanda matenda ashuga, koma onenepa kwambiri?

Njira yautali wazaka zana zapitazo kuchokera ku shuga mpaka kunenepa kwambiri

Metformin, yemwe adapezeka mu 1922 ndipo pambuyo pake adapereka lingaliro kwa opanga mankhwala ngati othandizira, koma nthawi zina "achibale" owopsa, phenformin ndi buformin, amapita kwa odwala kwa nthawi yayitali. Mayesero pa anthu adayamba makumi asanu, ndipo idagulitsidwa ku United States kokha mu 1995. Koma mankhwalawo adalandira kutchuka kokwanira. Mu 80s ndi 90s, madokotala adachita kafukufuku wokhudzana ndi kugwiritsa ntchito mankhwalawa kwa odwala mazana asanu ndi awiri kuchokera kumalo ambiri azachipatala ndipo anapeza kuti metformin imachepetsa chiopsezo cha matenda a mtima ndi kufa chifukwa cha matenda okhudzana ndi matenda a mtima kuposa matenda a insulin ndi sulfonylurea . Komabe, sanachedwe kuwopseza hypoglycemia (kuchepa kowopsa komanso koopsa kwa shuga m'magazi). Zotsatira zofalitsidwa mosangalatsa mu The Lancet. Kafukufuku waposachedwa agwedeza chidaliro mu metformin ngati mankhwala othandizira kupewa matenda a mtima, ndipo muzowongolera zamakono ku Europe ndi America, ndiye kuti, kwa madokotala (mwachitsanzo, 1 ndi 2), umboni wazinthu izi za mankhwalawo ukadali wokayika.

Koma palibe amene wakana kuti amachepetsa shuga m'magazi pazaka zonsezi, tsopano akupitiliza kuperekanso metformin kwa odwala omwe ali ndi matenda ashuga. Ku US, mankhwalawa ali ndi chidaliro mwa mitundu isanu yapamwamba yomwe imatchulidwa. Nzosadabwitsa: inakhala "mzere woyamba" wa mankhwala, ndiye kuti, mankhwala oyamba okhawo ali ndi vutoli. Tsopano anali pa mndandanda wa mankhwala ofunikira malinga ndi World Health Organisation. Pali kuyerekezera kuti metformin yakhala mankhwala odziwika bwino kwambiri padziko lonse lapansi.

Chifukwa chake metformin yakhala imodzi mwa mankhwala otchuka kwambiri polimbana ndi matenda ashuga, ndipo odwala omwe ali ndi matenda a shuga a 2, monga mukudziwa, nthawi zambiri amakhala ndi vuto la kunenepa kwambiri. Poyesa mankhwala atsopano, asayansi adawona kuti odwala samakhala ndi njala ndipo nthawi zina amachepetsa thupi. Izi zidawonjezera chidwi cha azachipatala ndi nyonga yatsopano. Kaya mankhwala odziwika komanso olembetsedwa a kunenepa kwambiri, omwe amawopseza thanzi, angathandize? Mwina lidzakhala chiyembekezo kwa iwo omwe sanapulumutsidwe pochita opaleshoni ya bariatric (machitidwe kuti asinthe kuchuluka kwa m'mimba), zakudya ndi masewera? Koma bwanji ngati metformin itasandulika kukhala piritsi yamatsenga yomwe imathandizira kuchepa thupi mwamphamvu (ndikulonjeza kuchuluka kwakukulu kwa opanga)? Motsogozedwa ndi chiyembekezo choyesa, asayansi padziko lonse lapansi ayamba mayeso azachipatala omwe tikukambirana tsopano.

Matenda a shuga - Siofor

• 1 Wogwira ntchito mwachindunji ndi mawonekedwe akumasulidwe
• 2 limagwirira ntchito
• 3 Zizindikiro zakugwiritsira ntchito "Siofora" mu shuga
• 4 Mungatenge bwanji odwala matenda ashuga?
• 5 Contraindication ndi mavuto
• 6 Omvera

Mankhwala Siofor a shuga ndi amodzi mwa mankhwala otchuka komanso ogwira mtima. Zimathandizanso kuchepetsa kuchuluka kwa shuga m'magazi ndipo zimathandizira kuti izikhalabe kwa nthawi yayitali. "Siofor", yochepetsa mphamvu za shuga, ilibe gawo pa magwiridwe amtundu wa insulin (pancreatic protein protein), koma imachitapo kanthu ndipo, potero, imasintha kagayidwe kachakudya.

Yogwira ntchito mwachangu ndi mawonekedwe omasulidwa

Mankhwala omwe amapezeka ali ndi mankhwala - metformin, omwe amathandiza kukonza kagayidwe kake, cholesterol yotsika ndi shuga m'magazi. Amapondera metformin ndi njala, zomwe ndizofunikira kwa anthu omwe akufuna kuthana ndi kunenepa kwambiri. Kuphatikiza apo, mankhwala othandizira amachepetsa kuchuluka kwa shuga ndi chiwindi, kumapangitsa kuyamwa kwa insulin ndi minofu ndikulepheretsa kuyamwa kwa shuga ndi matumbo, ndikuwonjezera kuyamwa kwake ndi minofu. Kukonzekera kotsika kwa shuga kumachitika mu mapiritsi omwe ali ndi mlingo wina:

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Makina ogwira ntchito

Musanayambe kumwa Siofor chifukwa cha matenda ashuga, ndikofunikira kuti muzidziwa bwino zomwe zimachitika. Mankhwalawa a hypoglycemic amapangidwira kuchepetsa magazi. Zofunikira zake, metformin, imagwira glycogen synthase, imalimbikitsa kapangidwe ka glycogen m'maselo. Metformin imathandizira pakumanga kwa lipid, imathandizira kuchepetsa cholesterol ndi triglycerides. Mankhwala omwe afotokozedwawa amachita mwachangu, kuthetsa kusamvetsetseka ndi zina mwazomwe zimayenderana ndi matenda a shuga a 2. Ndikofunika kudziwa chinthu china chofunikira kwambiri cha Siofor - kuthekera kuchepetsa kwambiri thupi, komwe mu shuga kumadumphadumpha. chifukwa chake, nthawi zambiri imagwiritsidwa ntchito pakuchepetsa thupi.

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Zowonetsa kugwiritsa ntchito "Siofora" mu shuga

Mankhwalawa amagwira bwino matenda oopsa, chifukwa amachepetsa kuthamanga kwa magazi.

Ndikulimbikitsidwa kugwiritsa ntchito Siofor pa matenda a shuga a 2, kuchuluka kwa hemoglobin komanso kuchepa kwa thupi ndi masewera olimbitsa thupi komanso zakudya zoyenera. Mapiritsi amathandizira kwambiri mu matenda oopsa, chifukwa amatha kuchepetsa kuthamanga kwa magazi. Mankhwala amathandizidwa ndi matenda osokoneza bongo komanso othamangitsidwa ndi cholesterol komanso triglycerides m'thupi. Pochiza matenda a shuga, Siofor amagwiritsidwa ntchito ngati monotherapy, koma ndibwino kugwiritsa ntchito mankhwalawa kuphatikiza ndi mankhwala ena a hypoglycemic ndi insulin.

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Momwe angatenge odwala matenda ashuga?

Chithandizo cha matenda osokoneza bongo a shuga ndi mankhwala a Siofor ayenera kuchitika pokhapokha atakambirana ndi katswiri woyenera. Pankhaniyi, muyenera kupita kwa endocrinologist kuti mukapangana. Dokotalayo adzapereka mankhwala othandizira atangowerenga momwe wodwalayo alili ndi zotsatira zake. Mlingo wake umasankhidwa aliyense payekha kwa wodwala aliyense, kutengera zaka komanso kuopsa kwa matendawa. Anthu odwala matenda ashuga amafunika kutenga "Siofor" nthawi yayitali, pokhapokha mwa njira imeneyi ndizotheka kuchepetsa shuga ya magazi ndikukhazikitsa malire ovomerezeka. Kuti chithandizo cha matenda ashuga azigwira bwino kwambiri, ndikofunika kumwa mankhwala ochepetsa shuga moyenera. Chithandizo chimayamba ndi mlingo wa 500 mg. Mafakitale aledzera pakudya, kawiri pa tsiku kuchokera maola 12 okha. Pambuyo pa masabata awiri, mlingo umawonjezereka mpaka 0,5 g 3 tsa / maola 24

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Contraindication ndi zoyipa

Kuwonongeka kwa magazi ndikuphwanya mankhwalawa.

Simuyenera kugwiritsa ntchito mankhwala ochepetsa shuga a matenda ashuga amtundu 1, chifukwa ndi matenda awa sikuthandiza konse. Madotolo samapereka mankhwala oti "Siofor" athetse kupuma kwathunthu kwa mapuloteni am'madzi a 2, komanso ngati kugwira impso, chiwindi ndi minofu yamtima imalephera. Chotsutsa chomwe munthu angagwiritse ntchito ndi kulowerera m'mitsewa, kuchepa magazi, uchidakwa komanso kuperewera kwa magawo a mankhwala. Sitikulimbikitsidwa kuti mugwiritse ntchito Siofor musanayesedwe ndi X-ray, pomwe mumagwiritsidwa ntchito kusiyana kwayodini. Amasungidwa kuti athandize odwala matenda ashuga ndi mankhwala okonzekera ana aang'ono, odwala okalamba, amayi oyamwitsa ndi amayi omwe ali m'malo. Cholepheretsa china chovomerezeka ndi kuvomerezedwa kwa lactose ndi kuphwanya koyenera kwa acid-base.

Zizindikiro zoyipa nthawi zambiri zimadziwika kumayambiriro kwa mankhwalawa ndipo zimadziwoneka ngati mseru wambiri, kusanza ndi kufooka wamba.

Kuphatikiza apo, Siofor imatha kupangitsa kuchepa kwa vitamini B12 m'thupi, zomwe zimapangitsa kuchepa kwake. Nthawi zambiri, izi zimachitika chifukwa chogwiritsa ntchito mankhwalawa. Poona zizindikiro zosonyeza kuti thupi silikuyenda bwino chifukwa cha mankhwala, wodwalayo ayenera kusiya kupita kuchipatala ndi kukaonana ndi dokotala. Pambuyo pake, kuti tipewe kukulitsa zovuta, tifunika kutsatira mosamalitsa madokotala omwe amapezeka ndikumwa mapiritsi panthawi yachakudya kapena atangomaliza kudya.

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Ogonjera

Mankhwala othandizira, metformin, amagwiritsidwa ntchito popanga zamankhwala komanso popanga zida zina zamankhwala zomwe zimapangidwa kuti zizigwiritsa ntchito kuchuluka kwa shuga. Ngati ndi kotheka, mankhwalawa amatha kulowa m'malo mwa Siofor. Chifukwa chake, nthawi zambiri amathandizidwa pochiza matenda osokoneza bongo:

Mankhwalawa amatha kusintha ndi Metformin.

Ngati wodwala ali ndi vuto la Metformin, ndiye kuti dokotalayo angapatseni mankhwala othandizira omwe ali ndi chinzake china pakuphatikizika, koma ndiwofanana ndi achire. Poterepa, mankhwala osokoneza bongo Diabeteson azigwira bwino ntchitoyo ndikusintha kuchuluka kwa shuga m'magazi.

Mtundu 2 wa shuga: chithandizo

Matenda a 2 a shuga amapezeka 90-95% ya onse odwala matenda ashuga. Chifukwa chake, matendawa ndi ochulukirapo kuposa mtundu 1 wa shuga. Pafupifupi 80% ya odwala omwe ali ndi matenda a shuga 2 amalemera mopitirira muyeso, ndiye kuti, matupi awo amapitilira muyeso wa 20%. Komanso, kunenepa kwawo nthawi zambiri kumadziwika ndi kufalikira kwa minofu ya adipose pamimba ndi thupi lapamwamba. Chithunzicho chimakhala ngati apulo. Izi zimatchedwa kunenepa kwam'mimba.

Cholinga chachikulu cha webusayiti ya Diabetes-Med.Com ndikupereka njira yeniyeni komanso yothandiza ya matenda ashuga a 2. Amadziwika kuti kusala kudya komanso kulimbitsa thupi kwa maola angapo patsiku kumathandizira kuti adwale. Ngati mwakonzeka kutsatira regimen yolemetsa, ndiye kuti simudzafunika kubaya insulin. Ngakhale zili choncho, odwala safuna kufa ndi njala kapena "kugwira ntchito molimbika" m'makalasi ophunzirira zolimbitsa thupi, ngakhale kupweteka kwambiri chifukwa cha kuphedwa ndi matenda ashuga. Timapereka njira zothandiza kuti muchepetse shuga m'magazi kuti akhale abwinobwino komanso kuti akhale otsika. Amakhala odekha polemekeza odwala, koma nthawi yomweyo amakhala othandiza kwambiri.

Maphikidwe a chakudya chamafuta ochepa a shuga 2 amapezeka pano.

Pansipa m'nkhaniyi mupezapo mtundu wothandiza wa matenda a shuga a 2:

• wopanda njala
• wopanda zakudya zopatsa mphamvu zochepa, zopweteka kwambiri kuposa kufa kwathunthu ndi njala,
• osagwira ntchito molimbika.

Phunzirani kwa ife momwe mungayendetsere matenda a shuga a 2, kutsutsana ndi zovuta zake komanso nthawi yomweyo kumva kukhala kwathunthu. Simuyenera kuchita kukhala ndi njala. Ngati mukufuna jakisoni wa insulin, ndiye kuti phunzirani kuchita mosapweteketsa, ndipo mankhwalawo amakhala ochepa. Njira zathu zimalolera mu 90% ya milandu kuti ichiritse bwino matenda a shuga a 2 komanso popanda jakisoni wa insulin.

Mwambi wodziwika bwino: "aliyense ali ndi matenda ake a shuga," kutanthauza kuti kwa wodwala aliyense, zimachitika mwa njira yake. Chifukwa chake, pulogalamu yothandizira odwala matenda a shuga imatha kukhala payokha. Komabe, njira zambiri zochizira matenda amtundu wa 2 wafotokozedwa pansipa. Ndikulimbikitsidwa kuti muzigwiritsa ntchito ngati maziko omangira pulogalamu yapayekha.

Nkhaniyi ndikupitiliza nkhani ya "Type 1 kapena Type 2 shuga: Koyambira." Chonde werengani nkhani yoyamba, apo ayi mwina china chake sichingakhale chomveka pano. Ma nuances amathandizo amathandizira pansipa, pomwe matenda a shuga a 2 amadziwika bwino. Muyenera kuphunzira momwe mungapewere matenda oyambawa. Kwa odwala ambiri, malingaliro athu ndi mwayi wokana jakisoni wa insulin. Mtundu wachiwiri wa matenda ashuga, zakudya, masewera olimbitsa thupi, kumwa mapiritsi ndi / kapena insulin zimayamba kutsimikizidwa kwa wodwalayo, poganizira kukula kwa matenda ake. Kenako imasinthidwa nthawi zonse, kutengera zotsatira zomwe zapezedwa kale.

Momwe mungachitire bwino matenda a shuga a 2

Choyamba, phunzirani gawo la "Komwe mungayambire chithandizo cha matenda ashuga" mu nkhani ya "Type 1 kapena 2abetes: komwe mungayambire". Tsatirani mndandanda wa zochita zomwe zalembedwa pamenepo.

Njira yothandiza yothandizira matenda a shuga a 2 imakhala ndi magawo anayi:

• Gawo 1: Zakudya Zochepa za Zakudya Zamthupi
• Gawo lachiwiri: Zakudya zochepa zama carbohydrate kuphatikiza zochitika zolimbitsa thupi molingana ndi njira yochitira masewera olimbitsa thupi mosangalatsa.
• Gawo 3. Zakudya zochepa zama carbohydrate kuphatikiza masewera olimbitsa thupi komanso matenda a shuga omwe amalimbikitsa kumva kukoka kwa minofu.
• Gawo 4. Zovuta, zosasamalidwa. Chakudya chopatsa mphamvu zama thupi pang'ono komanso masewera olimbitsa thupi kuphatikizapo jakisoni wa insulin, limodzi ndi mapiritsi a shuga kapena opanda shuga.

Ngati zakudya zamagulu ochepa zimachepetsa shuga m'magazi, koma osakwanira, ndiye kuti, sizingatheke, ndiye kuti mbali yachiwiri ndi yolumikizidwa. Ngati chachiwiri sichilola kuti ngongole zonse za matenda ashuga zisinthidwe, ndiye kuti zimawonjezera mapiritsi atatu. Munthawi zovuta komanso zanyalanyaza, pamene wodwalayo ayamba kudwala kwambiri, amatenga gawo limodzi. Kuchuluka kwa insulini komwe kumafunikira kuti kubwezeretsenso shuga kwa magazi.Nthawi yomweyo, amapitiliza kudya zakudya zamafuta ochepa. Ngati munthu wodwala matenda ashuga akhazikika bwino pakudya ndi kuchita masewera olimbitsa thupi mosangalala, ndiye kuti nthawi zambiri mumafunikira insulini yaying'ono.

Chakudya chamafuta ochepa sichofunikira kwenikweni kwa odwala amtundu wa 2 omwe ali ndi matenda ashuga. Ngati mupitiliza kudya zakudya zomwe zimadzaza ndi chakudya, ndiye kuti palibe chomwe mungalote kuti muchepetse shuga. Choyambitsa matenda a shuga a 2 ndikuti thupi sililekerera zakudya zomwe mumadya. Zakudya zopatsa mphamvu zopatsa mphamvu zimachepetsa shuga m'magazi mwachangu komanso mwamphamvu. Komabe, kwa anthu ambiri odwala matenda ashuga, sikokwanira kungokhala ndi shuga wamagazi, monga mwa anthu athanzi. Pankhaniyi, tikulimbikitsidwa kuphatikiza chakudya ndi masewera olimbitsa thupi.

• Maphunziro akuthupi a matenda ashuga. Masewera olimbitsa thupi mosangalatsa
• Kuthamanga bwino, kusambira ndi zina zina zolimbitsa thupi
• Kulimbitsa thupi (kuphunzitsa zolimbitsa thupi) zamtundu 1 komanso matenda ashuga 2
• Momwe mungaphatikizire masewera olimbitsa thupi aerobic ndi anaerobic
• Kwa odwala matenda a shuga omwe ali ndi zovuta - zolimbitsa thupi ndi ma dumbbells opepuka

Ndi matenda 2 a shuga, ndikofunikira kuchita zochiritsira kuti muchepetse ziphuphu. Chifukwa cha izi, njira "yakuwotcha" m'maselo ake a beta imalepheretseka. Njira zonse zimapangidwira kusintha kwamtundu wa maselo kuti agwiritse ntchito insulin, i.e., kuchepetsa insulin. Matenda a shuga a Mtundu 2 amatha kuthandizidwa ndi jakisoni wa insulin pokhapokha ngati ali ovuta kwambiri, osapitirira 5-10% ya odwala. Izi zikufotokozedwa mwatsatanetsatane kumapeto kwa nkhaniyi.

Zoyenera kuchita:

• Werengani nkhani yakuti, “Insulin Resistance.” Ikufotokozanso momwe mungathane ndi vutoli.
• Onetsetsani kuti muli ndi mita ya glucose yolondola (momwe mungachitire izi), kenako kuyeza shuga la magazi anu kangapo tsiku lililonse.
• Yang'anirani kwambiri kuwongolera magazi anu mutatha kudya, komanso pamimba yopanda kanthu.
• Sinthani ku chakudya chochepa chamafuta. Idyani zakudya zovomerezeka zokha, pewani zakudya zoletsedwa.
• Chitani masewera olimbitsa thupi. Ndi bwino kuthamanga molingana ndi luso la kuthamanga kwambiri, makamaka kwa odwala omwe ali ndi matenda ashuga a 2. Kuchita masewera olimbitsa thupi ndikofunikira kwa inu.
• Ngati zakudya zamafuta ochepa osakanikirana ndi maphunziro akuthupi sizokwanira, ndiye kuti, mudakhalabe ndi shuga mutatha kudya, ndiye kuti muwonjezere mapiritsi a Siofor kapena Glucofage.
• Ngati zonse pamodzi - zakudya, masewera olimbitsa thupi ndi Siofor - sizithandiza kwenikweni, pokhapokha pokhapokha mutayenera kubaya insulini usiku komanso / kapena m'mawa pamimba yopanda kanthu. Pakadali pano, simungathe popanda dokotala. Chifukwa chiwembu cha insulin mankhwala ndi endocrinologist, osadziimira palokha.
• Mulimonsemo, kanizani zakudya zamafuta ochepa, ngakhale atanena chiyani adokotala, amene angakupatseni insulin. Werengani momwe mungapangire mankhwala othandizira odwala matenda a shuga. Ngati mukuwona kuti dokotala akukupatsani mankhwala a insulini “kuchokera padenga”, osayang'ana mbiri yanu ya kuchuluka kwa shuga, musagwiritse ntchito malingaliro ake, koma pitani ndi katswiri wina.

Kumbukirani kuti nthawi zambiri, insulin iyenera kuperekedwa kokha kwa odwala omwe ali ndi matenda amtundu wa 2 omwe ndi aulesi kwambiri kuti athe kuchita masewera olimbitsa thupi.

• Zakudya zochepa zopatsa mphamvu
• Zakudya zamafuta ochepa
• Jakisoni wa insulin
• Mapiritsi ochepetsa shuga

Zomwe simuyenera kuchita

Osatengera zochokera ku sulfonylurea. Onani ngati mapiritsi a shuga omwe mudapatsidwa ndi ochokera ku sulfonylurea. Kuti muchite izi, werengani malangizo mosamala, gawo "Zogwira ntchito". Ngati zili kuti mukumwa sulfonylureas, ziwitsani.

Chifukwa chomwe mankhwalawa ali ovuta akufotokozedwa apa. M'malo mozitenga, onetsani shuga m'magazi anu ndi chakudya chochepa chamafuta, zolimbitsa thupi, mapiritsi a Siofor kapena Glucofage, ndipo ngati ndi kotheka, insulini. Ma endocrinologists amakonda kupereka mapiritsi osakanikirana omwe amakhala ndi sulfonylureas + metformin. Sinthani kuchokera kwa iwo kukhala "pure" metformin, ndiye kuti, Siofor kapena Glucofage.

Zomwe simuyenera kuchita

Kodi muyenera kuchita chiyani

Osadalira kwambiri madokotala, ngakhale olipidwa, kuzipatala zakunjaMukhale ndi udindo pazamankhwala anu. Khalani pa zakudya zamafuta ochepa. Yang'anirani shuga yanu yamagazi mosamala. Ngati ndi kotheka, jekeseni insulin mu Mlingo wochepa, kuwonjezera pa zakudya. Chitani masewera olimbitsa thupi. Lowani nawo nkhani ya a Diabetes-Med.Com. Osamva ludzu, osachepetsa kudya kalori, osamva njalaIdyani zakudya zabwino komanso zopatsa thanzi zomwe zimaloledwa kudya zakudya zamagulu ochepa. ... koma osamadya kwambiri, ngakhale ndi zakudya zovomerezeka zamafuta ochepaLekani kudya mukadadya kale kapena zochepa, koma mumatha kudya Osachepetsa mafuta anuIdyani mazira, batala, nyama yamafuta modekha. Penyani cholesterol yanu yamagazi kuti ibwerere mwakale, kwa aliyense amene mumamudziwa. Nsomba zam'madzi zamchere ndizofunikira kwambiri. Osalowe m'malo omwe muli ndi njala ndipo mulibe chakudya choyeneraM'mawa, konzani komwe mudzadya ndi chiyani masana. Zonyamula zokhwasula-khosi - tchizi, nkhumba yophika, mazira owiritsa, mtedza. Osamwa mapiritsi owopsa - sulfonylureas ndi ma dongoWerengani nkhani yokhudza mankhwala a shuga mosamala. Mvetsetsani mapiritsi omwe ali ovuta komanso omwe alibe. Musayembekezere zozizwitsa kuchokera pamapiritsi a Siofor ndi GlucofageKukonzekera kwa Siofor ndi Glucofage kumachepetsa shuga ndi 0.5-1.0 mmol / l, osatinso. Sangabwezeretse jakisoni wa insulin. Osasunga pamiyeso ya mita ya glucosePangani shuga wanu tsiku lililonse katatu. Chongani mita kuti muone ngati ndi yolondola. Ngati zingakhale kuti chipangizocho chagona, chitayeni nthawi yomweyo kapena perekani kwa mdani wanu. Ngati mukukhala ndi zingwe zosakwana 70 pamwezi, zikutanthauza kuti mukuchita zolakwika. Musachedwe kuyamba kwa mankhwala a insulin ngati kuli kofunikiraMavuto a shuga amabwera ngakhale shuga atatha kudya kapena m'mawa pamimba yopanda kanthu ndi 6.0 mmol / L. Ndipo ngakhale zili choncho. Insulin idzakulitsa moyo wanu ndikuwongolera. Pangani abwenzi ndi iye! Phunzirani luso la jakisoni wopanda ululu komanso momwe mungawerengere kuchuluka kwa insulin. Musakhale aulesi kuti muchepetse matenda anu a shuga, ngakhale maulendo azamalonda, mopanikizika, ndi zina zambiri.Sungani zolemba zanu podziyang'anira, makamaka mwamagetsi, zabwino kwambiri pa Google Docs Sheets. Fotokozani tsiku, nthawi yomwe mudadya, shuga, magazi ndi kuchuluka kwa insulin, zomwe zinali zolimbitsa thupi, nkhawa, ndi zina zambiri.

Phunzirani mosamala nkhani ya “Momwe mungachepetse insulin. Zomwe zimathanso kudya komanso kudya pang'onopang'ono mafuta. ” Ngati mukuyenera kuwonjezera kuchuluka kwa insulin, ndiye kuti mukuchita zosayenera. Muyenera kuyimilira, kuganizira mozama ndikusintha china chake pazochita zanu zamankhwala.

Maphunziro akuthupi komanso mapiritsi ochepetsa shuga

Lingaliro lalikulu ndikusankha masewera olimbitsa thupi omwe amakusangalatsani. Mukachita izi, ndiye kuti muzichita masewera olimbitsa thupi pafupipafupi kuti musangalale. Ndipo kusintha shuga m'magazi ndi kukonza thanzi ndi "mavuto." Njira yotsika mtengo yokwanira yophunzirira zolimbitsa thupi ndi chisangalalo ndi thanzi labwino malinga ndi momwe buku la “Chi-run. Njira yosinthira - - mwachimwemwe, popanda kuvulala ndi kuzunzidwa. " Ndimalimbikitsa.

Pochiza matenda a shuga a 2, pali zozizwitsa ziwiri:

• Zakudya zamafuta ochepa
• Kuthamangira malinga ndi njira ya bukhu "Chi-jogging".

Tikukambirana za zakudya zotsika pang'ono zamagulu owonjezera mwatsatanetsatane apa. Pali zolemba zambiri pamutuwu patsamba lathu chifukwa ndi njira yayikulu yothanirana ndi matenda ashuga amtundu wa 2. Pankhani yothamanga, chozizwitsa ndikuti mutha kuthamanga kuti musazunzidwe, koma musangalale. Mukungoyenera kuphunzira momwe mungayendetsere bwino, ndipo bukuli lithandiza kwambiri. Pathamanga, "mahomoni achisangalalo" amapangidwa m'thupi, omwe amakhala ngati mankhwala osokoneza bongo. Kuthamangitsana malinga ndi njira ya Chi-jogu ndi koyenera ngakhale kwa anthu omwe ali ndi mavuto. Ndikofunika kusintha kuthamanga ndi makalasi pamatimu ochita masewera olimbitsa thupi. Ngati simukufuna kuthamanga, koma kusambira, tennis kapena cycling, ndipo mutha kulipirira - ku thanzi lanu. Kungokhala kuchitidwa pafupipafupi.

Ngati mwayesa kudya zakudya zamagulu ochepa monga momwe mwapangira ndikukhulupirira kuti zimathandizanso, yesaninso "Chi-run". Phatikizani zakudya zamagulu owonjezera komanso masewera olimbitsa thupi. Izi ndizokwanira kuti 90% ya odwala omwe ali ndi matenda ashuga a 2 achite popanda insulin ndi mapiritsi. Mutha kusungitsa kuchuluka kwa shuga m'magazi anu mwabwinobwino. Izi zikutanthawuza shuga mutatha kudya osaposa 5.3-6.0 mmol / L ndi hemoglobin wa glycated osapitirira 5.5%. Izi sizongopeka, koma cholinga chenicheni chomwe chitha kukwaniritsidwa m'miyezi yochepa.

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Kuchita masewera olimbitsa thupi kumawonjezera chidwi cha maselo a thupi kupita ku insulin. Izi ndizofunikira kwambiri kwa odwala omwe ali ndi matenda ashuga a 2. Mapiritsi a Siofor kapena Glucofage (the yogwira mankhwala metformin) amagwiranso ntchito zimodzimodzi, koma nthawi zambiri amakhala ofooka. Mapiritsi awa nthawi zambiri amayenera kulembedwa kwa odwala matenda ashuga, omwe ndi aulesi kwambiri kuchita masewera olimbitsa thupi, ngakhale atakhala okopa bwanji. Timagwiritsanso ntchito metformin ngati njira yachitatu ngati chakudya chochepa chamafuta komanso kuchita masewera olimbitsa thupi sikokwanira. Uku ndikuyesa kwaposachedwa kwa mitundu yayikulu yodwala matenda a shuga 2 kuti mupereke insulin.

Pakufunika ma insulin

Matenda a 2 a shuga mu 90% ya milandu amatha kuwongoleredwa kwathunthu popanda jakisoni wa insulin. Zida ndi njira zomwe tatchulazi ndi zothandiza kwambiri. Komabe, ngati wodwala matenda ashuga "adayamba kukumbukira", ndiye kuti kapamba wake wavutika kale, ndipo insulin yakeyo sikupangidwa mokwanira. M'mikhalidwe yonyalanyazidwa, ngati simupaka insulin, shuga ya magazi imakwezedwa, ndipo zovuta za matenda ashuga zikungofika pakona.

Pochiza matenda a shuga a mtundu wachiwiri ndi insulin, pali mfundo zofunika zotsatirazi. Choyamba, insulin nthawi zambiri imayenera kukhala kutiikirira odwala omwe ali aulesi. Monga lamulo, chisankho ndi: insulin kapena maphunziro akuthupi. Apanso ndikukulimbikitsani kuti mupitenso kokasangalala. Kulimbitsa thupi mu masewera olimbitsa thupi kumathandizanso chifukwa kumawonjezera chidwi cha maselo kuti apange insulin. Ndi kuthekera kwakukulu, chifukwa cha maphunziro akuthupi, insulin ingathetsedwe. Ngati sizotheka kusiya jakisoni kwathunthu, ndiye kuti mlingo wa insulin udzachepa.

Kachiwiri, ngati munayamba kuchiza matenda a shuga a mtundu wanu 2 ndi insulin, sizitanthauza kuti tsopano mutha kusiya kudya. M'malo mwake, gwiritsitsani chakudya chamafuta ochepa kuti mudutse ndi ma insulin ochepa. Ngati mukufuna kuchepetsa Mlingo wa insulin pano - Chitani masewera olimbitsa thupi ndikuyesera kuonda. Kuti muchepetse kunenepa kwambiri, mungafunikire kuchepetsa kuchuluka kwa mapuloteni pazakudya zamagulu ochepa. Werengani zida zathu za momwe mungamwere jakisoni wa insulin mopweteka komanso momwe mungachepetsere shuga.

Chachitatu, odwala matenda a shuga a mtundu wachiwiri amalepheretsa kuyamba kwa mankhwala a insulin mpaka omaliza, ndipo izi ndizopusa kwambiri. Wodwala ngati mwadzidzidzi komanso atamwalira msanga chifukwa cha vuto la mtima, titha kunena kuti anali ndi mwayi. Chifukwa pali zosankha zoyipa:

• Mimbulu ndikuduladula miyendo,
• Khungu
• Imfa yolimbitsa mtima chifukwa cholephera aimpso.

Izi ndi zovuta za matenda ashuga zomwe mdani woipa kwambiri sangafune. Chifukwa chake, insulin ndi chida chabwino chomwe chimapulumutsa kuchokera kwa omwe mumadziwana nawo kwambiri. Ngati zikuwoneka kuti insulini singagawidwe, ndiye kuti yambani kubayitsa mwachangu, osataya nthawi.

• Chithandizo cha matenda a shuga ndi insulin: yambani apa. Mitundu ya insulin ndi malamulo ake kuti isungidwe.
• Insulin yamtundu wanji kuti mupeze jakisoni, munthawi yanji komanso mulingo uti. Njira za matenda ashuga amtundu 1 ndi matenda amitundu iwiri.
• Ma insulin, ma syringe zolembera ndi singano kwa iwo. Ndi ma syringe omwe ndi bwino kugwiritsa ntchito.
• Lantus ndi Levemir - omwe akukhala insulin. Sinthani shuga m'mawa pamimba yopanda kanthu
• Ultrashort insulin Humalog, NovoRapid ndi Apidra. Insulin yochepa yaumunthu
• Momwe mungapangire insulin kuti mupeze molondola Mlingo wotsika
• Chithandizo cha mwana wa matenda a shuga 1 amachepetsa insulin Humalog
• Pampu ya insulini: zabwino ndi zowopsa. Chithandizo cha insulin

Pakachitika khungu kapena kudula dzanja, munthu wodwala matenda ashuga nthawi zambiri amakhala ndi zaka zingapo zolemala. Munthawi imeneyi, akutha kuganiza mofatsa za momwe adalili pamene sanayambe jekeseni wa insulin pa nthawi ... Kuthandizira mtundu uwu wa matenda a shuga a mtundu 2 si "o, insulin, zodabwitsa bwanji", koma "phula, insulini!".

Lembani zolinga ziwiri za matenda ashuga

Tiyeni tiwone zochitika zingapo kuti tiwonetse momwe tingakwaniritsire chithandizo chenicheni. Chonde werengani nkhani yoti “Zolinga Zakuchiritsira Matenda a shuga”. Muli zofunikira. Malingaliro am'tsogolo pakukhazikitsira zolinga za matenda a shuga a 2 akufotokozedwa pansipa.

Tiyerekeze kuti tili ndi wodwala matenda a shuga a 2 omwe amakwanitsa kuthana ndi shuga ndimagawo ochepa a calcium komanso kuchita masewera olimbitsa thupi mosangalala. Amatha kuchita popanda matenda a shuga komanso mapiritsi a insulin. Wodwala matenda ashuga ayenera kuyesetsa kukhalabe ndi shuga m'magazi a 4.6 mmol / L ± 0,6 mmol / L isanachitike, pakudya kapena pambuyo pake. Adzatha kukwaniritsa izi pokonzekera pasadakhale chakudya.Ayenera kudya zakudya zamagulu ochepa, koma azindikira kuchuluka kwa chakudya chake. Muyenera kuphunzira momwe mungapangire menyu wazakudya zamafuta ochepa. Kutumiza kumayenera kukhala kokulirapo kuti munthu adzuke patebulo podzaza, koma osamwa mopitirira muyeso, ndipo nthawi yomweyo shuga wamagazi amasandulika kukhala wabwinobwino.

Zolinga zomwe muyenera kuyesetsa kuchita:

• Shuga pambuyo pa 1 ndi 2 maola chakudya chilichonse - osapitirira 5.2-5,5 mmol / l
• Mafuta a m'mawa m'mimba yopanda kanthu osaposa 5.2-5,5 mmol / l
• Glycated hemoglobin HbA1C - pansipa 5.5%. Zoyenera - pansipa 5.0% (anthu otsika kwambiri).
• Zowonetsera cholesterol "yoyipa" ndi triglycerides m'magazi ndizomwe zili bwinobwino. Cholesterol "Chabwino" chimatha kukhala chokwera kuposa zofanizira.
• Kupsinjika kwa magazi nthawi zonse osapitirira 130/85 mm RT. Art., Palibe mavuto oopsa (mungafunikenso kutenga zakudya zowonjezera matenda oopsa).
• Atherosermosis sikuti imayamba. Mkhalidwe wamitsempha yamagazi suwonjezereka, kuphatikiza m'miyendo.
• Zizindikiro zabwino zoyeserera magazi ku chiwopsezo cha mtima (C-reactive protein, fibrinogen, homocysteine, ferritin). Awa ndi mayeso ofunikira kwambiri kuposa cholesterol!
• Kutaya kwamaso kumayima.
• Kukumbukira sikuwonongeka, koma kumakhala bwino. Zochita zam'kati nazonso.
• Zizindikiro zonse za matenda ashuga a m'mimba zimatha kwathunthu patangopita miyezi yochepa. Kuphatikiza phazi la matenda ashuga. Neuropathy ndikusinthika kwathunthu.

Tiyerekeze kuti adayesa kudya zakudya zamafuta ochepa, ndipo monga chotulukapo chake, amakhala ndi shuga wamagazi atatha kudya ndi 5.4 - 5.9 mmol / L. The endocrinologist anganene kuti izi ndizabwino. Koma tinena kuti izi ndizopitilira izi. Kafukufuku wa 1999 adawonetsa kuti zoterezi zimapangitsa kuti chiwopsezo cha matenda a mtima chiwonjezeke ndi 40%, poyerekeza ndi anthu omwe shuga ya m'magazi itatha kudya sapitirira 5.2 mmol / L. Tikulimbikitsa wodwala wotere kuti azichita masewera olimbitsa thupi mosangalala kuti achepetse magazi ake ndi kuwafikitsa pamlingo wa anthu athanzi. Kugwira ntchito bwino kumakhala kothandiza kwambiri, ndipo kumathandizanso kudabwitsa shuga.

Ngati simungathe kukopa wodwala yemwe ali ndi matenda a shuga a 2 kuti achite masewera olimbitsa thupi, ndiye kuti apatsidwa mapiritsi a Siofor (metformin) kuphatikiza pa chakudya chamagulu ochepa. Mankhwala Glucophage yemweyo ndi Siofor yemweyo, koma osakhalitsa. Ndiwosavuta kuyambitsa zovuta - kutulutsa ndi kutsekula m'mimba. Dr. Bernstein amakhulupiriranso kuti Glucofage amachepetsa shuga nthawi yayitali 1.5 kuposa Siofor, ndipo izi zimapangitsa kuti mtengo wake ukhale wokwera.

Zaka zambiri za matenda ashuga: mlandu wovuta

Lingalirani za zovuta zina za matenda ashuga a mtundu wachiŵiri. Wodwalayo, wodwala matenda ashuga kwa nthawi yayitali, amatsatira kadyedwe kochepa kam'mimba, amatenga metformin, komanso amaphunzira masewera olimbitsa thupi. Koma shuga wake wamagazi atatha kudya amakhalabe wokwera. Zikatero, kuti muchepetse shuga m'magazi kuti akhale abwinobwino, muyenera kudziwa kaye pambuyo paphwando lomwe shuga ya magazi imakwera kwambiri. Pazomwezi, kuwongolera kwathunthu kwa shuga kumachitika sabata ziwiri zilizonse. Ndipo yeserani nthawi yomwe mumamwa mapiritsi, komanso yesani kusintha Siofor ndi Glucofage. Werengani apa momwe mungayang'anire shuga m'mawa pamimba yopanda kanthu ndikatha kudya. Mutha kuchita zomwezo ngati shuga wanu sakonda kudzuka m'mawa, koma nkhomaliro kapena madzulo. Ndipo pokhapokha ngati zonsezi zithandizira, ndiye kuti muyenera kuyamba kubayirira insulin 1 kapena 2 kawiri pa tsiku.

Tiyerekeze kuti wodwala yemwe ali ndi matenda a shuga a 2 amafunikirabe mankhwala a "insulin" omwe amakhala nthawi yayitali usiku komanso / kapena m'mawa. Ngati atsatira zakudya zamagulu ochepa, ndiye kuti adzafunika insulin yaying'ono. Pancreas imapitilizabe kupanga yake insulin, ngakhale siyokwanira. Koma ngati shuga m'magazi achuluka kwambiri, ndiye kuti zikondazo zimazimitsa kupanga insulin. Izi zikutanthauza kuti chiopsezo cha hypoglycemia chochepa, ndipo mutha kuyesa kutsitsa shuga wamagazi mpaka 4,6 mmol / L ± 0,6 mmol / L.

Nthawi zina zikuluzikulu zikakhala kuti “zatha”, odwala omwe ali ndi matenda a shuga a 2 samangofunikira jakisoni wa insulin "yomwe imakhalitsa", komanso jekeseni wa insulin "yayifupi" musanadye. Odwala oterowo ali ndi vuto lofanana ndi matenda a shuga 1. Njira yakuchizira matenda a shuga a 2 omwe ali ndi insulini amangoyikidwa ndi endocrinologist, musachite nokha. Ngakhale kuwerenga nkhani yoti "Njira za insulin."

Zomwe zimayambitsa matenda a shuga a insulin - palokha

Akatswiri amavomereza kuti chomwe chimayambitsa matenda a shuga 2 ndicho makamaka kukana kwa insulini - kuchepa kwa chidwi cha maselo kuti apange insulin. Kuwonongeka ndi kapamba wa kutulutsa mphamvu ya insulin kumachitika pokhapokha matendawa atadwala. Kumayambiriro kwa matenda a shuga a 2, kuchuluka kwa insulin kumazungulira m'magazi. Koma amachepetsa shuga m'magazi, chifukwa ma cell sazindikira kwambiri zomwe amachita. Kunenepa kwambiri akuti kumapangitsa insulin kukana. Ndipo mosinthanitsa - kulimba kwambiri kukana insulini, kuchuluka kwa insulini kumazungulira m'magazi ndipo minofu yamafuta imasonkhana mwachangu.

Kunenepa kwambiri pamimba ndi mtundu wapadera wa kunenepa kwambiri komwe mafuta amadziunjikira pamimba, m'thupi lam'mwambamwamba. Mwa munthu yemwe wakula kwambiri m'mimba, chiuno chake chimakhala chokulirapo kuposa m'chiuno mwake. Mzimayi yemwe ali ndi vuto lomwelo amakhala ndi chiuno cha 80% kapena kupitirira m'chiuno mwake. Kunenepa kwambiri pamimba kumayambitsa kukana kwa insulin, ndipo amalimbikitsana. Ngati kapamba sangathe kupanga insulin yokwanira kuti iwaniritse kufunika kwake, matenda a shuga a 2 amachitika. Ndi matenda 2 a shuga, insulin mthupi sikokwanira, koma m'malo mwake nthawi 2-3 kuposera apo. Vuto ndilakuti maselo samalabadira bwino. Kulimbikitsa kapamba kuti apange insulin yochulukirapo ndiye kuchiritsa kwakufa.

Ochuluka a anthu potengera kuchuluka kwa chakudya masiku ano komanso moyo wongokhala amakhala pang'onopang'ono chifukwa cha kunenepa kwambiri komanso kukana insulini. Mafuta akamaunjikana m'thupi, katundu pancreas amapitilira. Mapeto ake, maselo a beta sangathe kuthana ndi kupanga insulin yokwanira. Magazi a shuga m'magazi sakhala abwinobwino. Izi zimathandizanso kuti ma cell a beta azitsamba, aphedwe kwambiri. Umu ndi momwe mtundu wachiwiri wa shuga umakhalira.

Kusiyana pakati pa matendawa ndi matenda amtundu 1 shuga

Chithandizo cha matenda amtundu 1 komanso matenda amtundu wa 2 chikufanana m'njira zambiri, koma zilinso ndi kusiyana kwakukulu. Kuzindikira kusiyana kumeneku ndikofunikira kuti muwongolere bwino shuga yanu yamagazi. Matenda a 2 a shuga amakula pang'onopang'ono komanso modekha kuposa matenda amtundu 1. Mafuta a shuga a mtundu 2 a shuga sakonda kukwera mpaka ku cosmic. Komabe, popanda kulandira chithandizo mosamala, amakhalabe okwera, ndipo izi zimayambitsa kukula kwa zovuta za shuga zomwe zimayambitsa kulumala kapena kufa.

Kuchuluka kwa shuga m'magulu 2 a shuga kumayambitsa mitsempha yodutsa, kumawononga mitsempha yamtima, mtima, maso, impso ndi ziwalo zina. Popeza njirazi nthawi zambiri sizimayambitsa ziwonetsero, mtundu wa shuga wachiwiri umatchedwa "wakuphayo". Zizindikiro zoyipa zimatha kuchitika ngakhale zotupa zitasinthika - mwachitsanzo, kulephera kwa impso. Chifukwa chake, ndikofunikira kuti musakhale aulesi kutsatira njira komanso kutsatira njira zochizira, ngakhale ngati palibe chomwe chimapweteketsa. Ikadwala, imachedwa kwambiri.

Poyambirira, matenda a shuga a 2 ndi matenda oopsa kuposa matenda ashuga 1. Pafupifupi wodwalayo alibe choopseza "kusungunuka" kukhala shuga ndi madzi ndikufa movutikira milungu ingapo. Popeza palibe zizindikiro zoyipa poyamba, matendawa amatha kuperewera, pang'ono ndi pang'ono kuwononga thupi. Matenda a 2 a shuga ndiwo amachititsa kwambiri kulephera kwa impso, kudula miyendo, komanso khungu lonse padziko lonse. Zimathandizira kukulitsa matenda a mtima ndi stroko mwa odwala matenda ashuga. Mankhwalawa nthawi zambiri amakhala limodzi ndi matenda obwera ndi ukazi mwa amayi komanso kusabala kwa amuna, ngakhale izi ndizopusira poyerekeza ndi vuto la mtima kapena stroko.

Kutsutsana ndi insulin kuli m'mitundu yathu

Tonse ndife mbadwa za iwo omwe anapulumuka nthawi yayitali yanjala. Maselo omwe amawonetsa kunenepa kwambiri komanso kukana insulini ndi othandiza kwambiri ngati akusowa chakudya. Muyenera kulipira pa izi ndikukhala ndi chizolowezi chowonjezereka cha matenda ashuga 2 munthawi yabwino yomwe anthu akukhala nayo tsopano. Chakudya chamafuta ochepa nthawi zingapo amachepetsa chiopsezo cha matenda ashuga a 2, ndipo ngati ayamba kale, amachepetsa kukula kwake. Pofuna kupewa komanso kuchiza matenda a shuga a 2, ndibwino kuphatikiza chakudya ichi ndi maphunziro akuthupi.

Kukana kwa insulin kumachitika chifukwa cha majini, mwachitsanzo, chibadwidwe, koma osati iwo okha. Kuzindikira kwam'maselo kwa insulin kumachepa ngati mafuta ochulukirapo mwa mawonekedwe a triglycerides azungulira m'magazi. Wamphamvu, ngakhale osakhalitsa, kukana insulini mu labotale nyama kumachitika chifukwa cha kulowetsedwa kwa jekeseni a triglycerides. Kunenepa kwambiri pamimba ndi komwe kumayambitsa kutupa kosatha - njira ina yolimbikitsira kukana kwa insulin. Matenda opatsirana omwe amayambitsa njira zotupa amatengera momwemo.

Limagwirira a chitukuko cha matenda

Kutsutsa kwa insulin kumawonjezera kufunikira kwa insulin. Masewera okwanira a insulin m'magazi amatchedwa hyperinsulinemia. Zimafunika "kukankha" glucose m'maselo m'magulu a insulin. Kupereka hyperinsulinemia, kapamba amagwira ntchito ndi kupsinjika kwakukulu. Insulin yambiri m'magazi imakhala ndi zotsatirazi:

• kumawonjezera kuthamanga kwa magazi
• imawononga mitsempha yam'mimba kuchokera mkati,
• kumawonjezera kukana kwa insulin.

Hyperinsulinemia ndi insulin kukana amapanga bwalo loipa, kulimbikitsana. Zizindikiro zonse zomwe zatchulidwa pamwambapa zimatchedwa metabolic syndrome. Zimatenga zaka zingapo, mpaka ma cell a beta a kapamba "atha" chifukwa cha kuchuluka kwambiri. Pambuyo pa izi, shuga wowonjezera wamagazi amawonjezeredwa pazizindikiro za metabolic syndrome. Ndipo mwatha - mutha kuzindikira matenda ashuga amtundu wa 2. Mwachidziwikire, ndibwino kuti musabweretse matenda ashuga, koma kuyamba kupewa momwe mungathere, ngakhale pagawo la metabolic. Njira zabwino kwambiri zopewera izi ndi chakudya chamafuta ochepa, komanso maphunziro akuthupi osangalatsa.

Matenda a shuga a 2 amakula - mwachidule. Ma genetic amayambitsa + njira zotupa + triglycerides m'magazi - zonsezi zimayambitsa kukana kwa insulin. Nayo, imayambitsa hyperinsulinemia - kuchuluka kwa insulin m'magazi. Izi zimapangitsa kuwonjezera kuchuluka kwa minofu ya adipose pamimba ndi m'chiuno. Kunenepa kwambiri kwam'mimba kumawonjezera triglycerides m'magazi ndipo kumathandizira kutupa kosatha. Zonsezi zimachepetsa chidwi cha maselo ku insulin. Mapeto ake, maselo a pancreatic beta amasiya kuthana ndi kuchuluka kowonjezereka ndikufa. Mwamwayi, kusiya njira zoyipa zomwe zimayambitsa matenda a shuga a 2 sikovuta. Izi zitha kuchitika ndi chakudya chamafuta ochepa komanso kuchita masewera olimbitsa thupi mosangalala.

Chinthu chosangalatsa kwambiri chomwe tapulumutsa pamapeto. Zimapezeka kuti mafuta osasangalatsa omwe amayenderera m'magazi mu mawonekedwe a triglycerides si mtundu wamafuta omwe mumadya konse. Kuchulukitsa kwa triglycerides m'magazi sikuchitika chifukwa cha kudya mafuta azakudya, koma chifukwa chodya zakudya zam'mimba komanso kudzikundikira kwa minofu ya adipose mwanjira yokhudza kunenepa kwambiri pamimba. Kuti mumve zambiri, onani nkhani yakuti "Mapuloteni, Mafuta, ndi Zosakhazikika Zomwe Zili m'gulu la Zakudya za Matenda a shuga." M'maselo a adipose minofu, osati mafuta omwe timadya amadzisonkhanitsa, koma omwe thupi limatulutsa kuchokera kumankhwala azakudya mothandizidwa ndi insulin. Zakudya zachilengedwe zachilengedwe, kuphatikiza mafuta azinyama, ndizofunikira komanso zathanzi.

Type 2 matenda a insulin

Odwala omwe ali ndi matenda a shuga a mtundu wachiwiri omwe apezeka posachedwa, monga lamulo, akupitiliza kupanga awo a insulin ambiri. Kuphatikiza apo, ambiri a iwo amapanga insulin yochulukirapo kuposa anthu oonda opanda shuga! Kungoti thupi la odwala matenda ashuga salinso ndi insulin yokwanira chifukwa cha kukana kwambiri insulin. Chithandizo chofala kwa matenda amishuga amtundu 2 pamenepa ndikuwonjezera kapamba kuti apangitse insulini kwambiri. M'malo mwake, ndibwino kuchitapo kanthu kuti muwonjezere chidwi cha maselo kuti muchite insulin, i.e., kuti muthandizire kukana kwa insulin (momwe mungachitire izi).

Ngati atachira moyenera komanso moyenera, ndiye kuti odwala ambiri omwe ali ndi matenda a shuga a 2 adzabwezeretsa shuga awo mwachizolowezi popanda jakisoni wa insulin. Koma ngati singasiyidwe kapena kuthandizidwa ndi njira “zachikhalidwe” za abambo operekera zakudya m'thupi (zakudya zam'matumbo ambiri, mapiritsi a sulfonylurea), posachedwa maselo a pancreatic beta "adzathedwa" kwathunthu. Ndipo kenako jakisoni wa insulini adzakhala wofunikira kwambiri kuti wodwalayo apulumuke. Chifukwa chake, lembani matenda ashuga amtundu wa 2 amasintha bwino kukhala mtundu wamphamvu wa shuga. Werengani pansipa momwe mungadzichiritsire moyenera kuti mupewe izi.

Mayankho a Odwala Amafunsa Kawirikawiri

Chithandizo chachikulu cha matenda a shuga a 2 ndichakudya chamafuta ochepa. Ngati simutsatira, koma kudya zakudya zabwino zomwe zadzaza ndi mafuta owopsa, ndiye kuti palibe nzeru. Palibe mapiritsi kapena akutsikira, zitsamba, chiwembu, etc. zingathandize. Malingaliro anga, amabweretsa zabwino zenizeni. Koma amatha kusintha ndi mavitamini B-50 m'mapiritsi. Berlition ndi dontho la alpha lipoic acid. Amatha kuyesedwa ndi matenda a shuga, kuphatikiza pa chakudya chamagulu ochepa, koma osakhala m'malo mwawo. Werengani nkhani ya alpha lipoic acid. Actovegin ndi Montidol wogwira - sindikudziwa.

Diaglazide ndi mtundu wa sulfonylurea. Awa ndimapiritsi oyipa omwe amatha (atatha, "awotcha") kapamba wanu. Zotsatira zake, matenda anu amtundu wa 2 asintha kwambiri matenda ashuga 1. Kwa endocrinologist yemwe adalemba mapiritsi awa, titi moni, chingwe ndi sopo. M'mikhalidwe yanu, simungathe kuchita popanda insulini mwanjira iliyonse. Yambani kuzibaya mwachangu mpaka mavuto atasintha. Phunzirani ndikutsatira pulogalamu yothana ndi matenda a shuga 1. Letsaninso diformin. Tsoka ilo, mwapeza tsamba lathu litachedwa kwambiri, ndiye kuti mutha kubaya insulin mpaka kumapeto kwa moyo wanu. Ndipo ngati ndinu aulesi kwambiri, ndiye kuti patapita zaka zochepa mudzakhala olumala chifukwa cha zovuta za matenda ashuga.

Dokotala wanu akunena zoona - ichi ndi prediabetes. Komabe, zoterezi, kufalitsa mapiritsi ndizotheka komanso kosavuta. Pitani pa zakudya zamafuta ochepa pomwe mukuchepetsa thupi. Koma musakhale ndi njala. Werengani nkhani za metabolic syndrome, kukana insulini komanso momwe mungachepetse kunenepa. Moyenera, inu, komanso zakudya, mumachitanso masewera olimbitsa thupi mosangalala.

Zomwe mukufotokozera sizinenso kapena zabwinobwino, koma sizabwino. Chifukwa m'maminiti ndi maora pomwe shuga amayamba kukwera, zovuta za matenda ashuga zimayamba kukhazikika. Ziphuphu zimagwira kumapuloteni ndikusokoneza ntchito yawo. Ngati pansi amathiridwa ndi shuga, imakhala yolimba ndipo zimavuta kuyiyenda. Momwemonso, glucose wophika mapuloteni "amamatira". Ngakhale mutakhala kuti mulibe matenda ashuga, kulephera kwa impso kapena khungu, chiopsezo chodwala mwadzidzidzi mtima kapena matenda opha ziwalo adakali okwera kwambiri. Ngati mukufuna kukhala ndi moyo, ndiye kuti tsatirani pulogalamu yathu mosamalitsa matenda a shuga a 2, musakhale aulesi.

Simunalembe chinthu chachikulu. Shuga osapitirira 6.0 - pamimba yopanda kanthu kapena mutatha kudya? Kuthamanga shuga ndi zamkhutu.M shuga wokha mukatha kudya ndi wofunikira. Ngati mutha kuwongolera bwino shuga mutatha kudya ndi zakudya, ndiye pitirizani ntchito yabwino. Palibe mapiritsi kapena insulin. Zikadangokhala kuti wodwala sanachotsere "chakudya" chanjala. Ngati mudawonetsa shuga pamimba yopanda kanthu, ndipo mutatha kudya mumayesa kuwayeza, ndiye kuti uku ndikumangirira mutu wanu mumchenga, monga nthiwatiwa zimachitira. Ndipo zotsatirazo zidzakhala zoyenera.

Mukakhala pachakudya "chanjala", mwachepetsa katundu pancreas anu. Chifukwa cha izi, adachira pang'ono pang'ono ndipo adatha kupilira. Koma ngati mungabwerere pazakudya zopanda thanzi, ndiye kuti kuchotsedwa kwa matenda ashuga kutha posachedwa. Komanso, palibe maphunziro akuthupi omwe angakuthandizeni ngati mumadya mafuta ambiri. Matenda a shuga a Type 2 amatha kutha kuwongoleredwa osati ndi zakudya zochepa zama calori, koma ndi chakudya chamafuta ochepa. Ndikupangira kuti mupite ku icho.

Ndikotheka kuthana ndi matenda a shuga a 2 m'mbuyomu moyo wanga wonse ndikudya popanda mapiritsi ndi insulini. Koma pa izi muyenera kutsatira zakudya zamafuta ochepa, osakhala ndi calorie "yanjala", yomwe imalimbikitsidwa ndi mankhwala. Ndikamadya chakudya chamagulu, odwala ambiri amalephera. Zotsatira zake, kulemera kwawo kwamphamvu ndi kapamba "watentha". Pambuyo kulumpha kangapo, ndizosatheka popanda mapiritsi ndi insulin. Mosiyana ndi izi, zakudya zamagulu ochepa zimapatsa mtima, ndizokoma komanso zapamwamba. Anthu odwala matenda ashuga amasangalala, osagonjetsedwa, amakhala osakhala mapiritsi ndi insulini.

Ndinu ochepa thupi, palibe kulemera kowonjezera. Anthu ocheperako alibe mtundu 2 wa shuga! Matenda anu amatchedwa LADA, mtundu 1 wa shuga wofatsa. Shuga siwokwera kwambiri, koma wokwera kwambiri kuposa wabwinobwino. Siyani vuto ili osakumanapo. Yambirani chithandizo kuti zovuta pamiyendo, impso, mawonekedwe a maso asatukuke. Musalole kuti shuga iwononge zaka zagolide zomwe zikubwera.

Dokotala wanu samaphunzira za matenda ashuga, monga ambiri ogwira nawo ntchito. Anthu oterewa amathandizira LADA mwa odwala awo momwemonso mtundu wachiwiri wa shuga. Chifukwa cha izi, chaka chilichonse odwala masauzande ambiri amafa msanga. Maninil - mapiritsi owononga, ndipo kwa inu ali owopsa kangapo kuposa odwala omwe ali ndi matenda a shuga a 2. Werengani nkhani yatsatanetsatane, "Matenda a LADA: Diagnosis and Treatment Algorithm."

Kuti musakonde maswiti, ndikukulangizani kuti mutenge zowonjezera. Choyamba, chromium picolinate, monga tafotokozera apa. Ndipo pali chida changa chachinsinsi - ichi ndi L-glutamine ufa. Kugulitsidwa m'masitolo azakudya zamagulu. Ngati mungayitanitse kuchokera ku USA kudzera pa ulalo, zitha kukhala zotsika mtengo kamodzi ndi theka. Sungunulani supuni yothira ndi kapu ya madzi ndikumwa. Kusunthika kumadzuka msanga, chilakolako cha kususuka chimatha, ndipo zonsezi ndi zopanda vuto, ngakhale zothandiza thupi. Werengani zambiri za L-glutamine m'buku la Atkins "Supplements." Tengani pamene mukumva chikhumbo chachikulu cha "kuchimwa" kapena prophylactically, makapu awiri a yankho tsiku lililonse, mwamphamvu pamimba yopanda kanthu.

Amayi anu ali kale ndi matenda ashuga amtundu wa 2 ndipo ali ndi mtundu woyamba wa matenda ashuga. Yambani kubayila insulin nthawi yomweyo! Ndikukhulupirira kuti sinachedwe kupulumutsa mwendo kuti musadulidwe. Ngati amayi akufuna kukhala ndi moyo, muwaloleni aphunzire mtundu wa 1 wa chithandizo cha matenda ashuga ndikuwukhazikitsa. Kanani jakisoni wa insulin - osatota! Madokotala anu atawonetsa kuti alibe chidwi. Mutasintha shuga ndi jakisoni wa insulin, ndikofunikira kudandaula kwa olamulira akuluakulu. Patulani yomweyo ma glucovans.

Ndikukulangizani kuti musinthe mwachangu ku zakudya zamagulu ochepa ndikuwonetsetsa. Komanso muzilimbitsa thupi mosangalala. Pitilizani kumwa Diaformin, koma osayamba matenda a shuga. Chifukwa chiyani Diabetes imakhala yoyipa, werengani apa. Pokhapokha ngati masabata awiri atangokhala ndi chakudya chochepa thupi shuga wanu atatha kudya akhala pamwamba 7.0-7.5, ndiye kuti yambani kubayiranso insulin - Lantus kapena Levemir. Ndipo ngati izi sizokwanira, ndiye kuti mungafunenso jakisoni wa insulin mwachangu musanadye. Ngati muphatikiza zakudya zama carbohydrate otsika ndi maphunziro akuthupi ndikutsatira boma mwachangu, ndiye kuti mwina mungathe kuchita popanda insulini.

Miyezo yovomerezeka ya shuga ya odwala omwe ali ndi matenda ashuga ndi yokwanira kuchulukitsa 1.5 kuposa anthu athanzi. Izi ndiye chifukwa chake muli ndi nkhawa. Koma ife ku Diabetes-Med.Com tikuvomereza kuti odwala matenda ashuga onse amayesetsa kusunga shuga yawo chimodzimodzi ndi anthu omwe ali ndi chakudya chamafuta. Werengani zolinga za matenda ashuga. Zimangothandiza kwa inu. Mwanjira iyi, palibe chodandaula. Funso lina ndikuti mupitiliza nthawi yayitali bwanji? Mukutsatira boma lovuta kwambiri. Pewani matenda ashuga kudzera pa njala yoopsa. Ndikukhulupirira kuti posakhalitsa mungathe kugwa, ndipo "kubwerezanso" kudzakhala tsoka. Ngakhale ngati simukuswa, ndiye chotsatira nchiani? 1300-1400 kcal patsiku - izi ndizochepa kwambiri, sizikwaniritsa zosowa za thupi. Muyenera kuwonjezera kuchuluka kwa zopatsa mphamvu za tsiku ndi tsiku kapena mudzayambiranso kusala ndi njala. Ndipo ngati muwonjezera ma calorie chifukwa cha chakudya, ndiye kuti katundu pa zikondwererozi adzachuluka ndipo shuga adzakwera. Mwachidule, sinthani zakudya zamafuta ochepa. Onjezani zopatsa mphamvu za tsiku ndi tsiku kudzera mu mapuloteni komanso mafuta. Ndipo kupambana kwanu kudzatenga nthawi yayitali.

Kuwongolera kwa shuga m'magazi: Malangizo omaliza

Chifukwa chake, mumawerenga kuti ndi mtundu wothandiza wa mtundu wa 2 wa matenda a shuga omwe ali. Chida chachikulu ndichakudya chamafuta ochepa, komanso kuchita masewera olimbitsa thupi molingana ndi njira yophunzitsira thupi mwakusangalala. Ngati zakudya zoyenera ndi maphunziro olimbitsa thupi sizokwanira, ndiye kuwonjezera pa iwo, mankhwalawa amagwiritsidwa ntchito, ndipo ovulala kwambiri, jakisoni wa insulin.

• Momwe mungachepetse shuga m'magazi kuti azikhala ndi zakudya zochepa
• Mtundu wa 2 wa mankhwala a shuga. Mapiritsi othandizira komanso oopsa a shuga
• Momwe mungasangalalire ndi maphunziro akuthupi
• Chithandizo cha matenda a shuga omwe ali ndi jakisoni wa insulin: yambani apa

Timapereka njira zothandiza kuti tipewe kuthana ndi magazi, ngakhale ogwira ntchito. Amapereka mwayi wambiri kuti wodwala wodwala mtundu wa 2 azitsatira malangizowo. Komabe, kuti mupeze njira yabwino yothandizira matenda anu ashuga, muyenera kugwiritsa ntchito nthawi komanso kusintha kwambiri moyo wanu. Ndikufuna kupangira buku lomwe, ngakhale siligwirizana mwachindunji ndi chithandizo cha matenda ashuga, lidzakulimbikitsani. Ili ndiye buku "Wamng'ono chaka chilichonse."

Wolemba wake, Chris Crowley, ndi loya wakale yemwe, atapuma pantchito, adaphunzira kukhala momwe amakondera, kuphatikizanso, mu boma losunga ndalama mosamalitsa. Tsopano akuchita mwakhama maphunziro akuthupi, chifukwa ali ndi chilimbikitso pamoyo. Poyang'ana koyamba, ili ndi buku lonena za chifukwa chake ndikofunikira kuchita maphunziro akuthupi muukalamba kuti muchepetse ukalamba, komanso momwe mungachitire bwino. Chofunika kwambiri, amakambirana chifukwa chokhala ndi moyo wabwino komanso zabwino zomwe mungapeze. Bukuli lidakhala desktop kwa mazana masauzande aopuma ku America, ndipo wolemba - ngwazi yadziko. Kwa owerenga tsamba la Diabetes-Med.Com, "zambiri zamaganizidwe" m'bukuli ndizothandizanso kwambiri.

Odwala omwe ali ndi matenda a shuga a 2, oyambira, "amalumpha" m'magazi a magazi kuchokera kumtunda wotsika kwambiri amatha kuonedwa. Choyambitsa vutoli sichinatsimikizidwebe. Zakudya zamagulu ochepa zimapukusa bwino izi, zimapangitsa odwala kumva bwino. Komabe, nthawi ndi nthawi, shuga wamagazi amatha kutsika mpaka 3,3-3.8 mmol / L. Izi zimagwira ngakhale kwa odwala omwe ali ndi matenda a shuga a 2 omwe samathandizidwa ndi insulin.

Ngati shuga m'magazi apezeka kukhala 3.3-3.8 mmol / l, ndiye kuti si hypoglycemia yayikulu, koma imatha kuyambitsa kusasamala komanso kugunda kwamkwiyo. Chifukwa chake, tikulimbikitsidwa kuphunzira momwe mungamayimitse hypoglycemia, komanso kukhala ndi mapiritsi a glucometer ndi glucose nanu pankhaniyi. Werengani nkhani yakuti “Chitetezo Choyamba. Zomwe mukufunikira kuti mukhale ndi matenda ashuga kunyumba komanso nanu. "

Ngati muli okonzeka kuchita chilichonse ndi matenda ashuga a 2, ngati simukuyenera kukhala "pansi" pa insulin, ndichoncho! Tsatirani mosamala zakudya zamafuta ochepa kuti muchepetse kupanikizika ndi kupangitsa maselo anu a beta akhale amoyo. Phunzirani masewera olimbitsa thupi mosangalatsa, ndipo chitani. Chitani kuchuluka kwa magazi nthawi zonse. Ngati shuga yanu ikadalipobe pakudya chamafuta ochepa, muziyesa mapiritsi a Siofor ndi Glucofage.

Kuthamanga, kusambira, kuyendetsa njinga kapena mitundu ina yolimbitsa thupi - ndi kothandiza kwambiri maulendo khumi kuposa piritsi lililonse lotsitsa shuga. Nthawi zambiri, jakisoni wa insulini ndi wofunikira kwa odwala omwe ali ndi matenda amtundu wa 2 omwe ali aulesi kuchita masewera olimbitsa thupi. Kuchita masewera olimbitsa thupi ndikosangalatsa, ndipo jakisoni wa insulin ndi kusokonezeka kwakukulu. Chifukwa chake "dziganizireni nokha, sankhani nokha."