Matenda a shuga

Munkhani zomwe zili patsamba lathu, "matenda ashuga" gastroparesis "amapezeka nthawi zambiri. Uku ndikufa pang'ono kwam'mimba, komwe kumapangitsa kuchepa kwake mutatha kudya. Shuga wokwezeka wodwala kwa zaka zingapo amayambitsa zovuta zosiyanasiyana pakugwira ntchito kwamanjenje. Pamodzi ndi mitsempha ina, yomwe imalimbikitsa kupanga ma acid ndi ma enzyme, komanso minofu yofunikira pakugaya, imavutikanso. Mavuto amatha kumeza m'mimba, matumbo, kapena onse awiri. Ngati wodwala yemwe ali ndi matenda a shuga ali ndi mitundu yotchuka ya neuropathy (miyendo yowuma, kusokonezeka kwa chidwi m'miyendo, kufooka mphamvu), ndiye kuti adzakhala ndi mavuto am'mimba.

Matenda a shuga a gastroparesis amachititsa zizindikiro zosasangalatsa pokhapokha ngati kali kwambiri. Mukatha kudya, pamatha kutentha, kugona, kumva kukhuta m'mimba mutatha kudya pang'ono, kutulutsa magazi, nseru, kusanza, kudzimbidwa, mkamwa wowawa mkamwa, komanso kudzimbidwa, kusinthana ndi matenda am'mimba. Zizindikiro za vutoli ndizodziwikiratu kwa wodwala aliyense. Ngati palibe zizindikiro zomwe zatchulidwa pamwambapa, ndiye kuti nthawi zambiri timazindikira kuti tachedwa kutuluka m'mimba mutatha kudya chifukwa choti magazi sachepa. Matenda a shuga a shuga amachititsa kuti pasakhale shuga m'magazi, ngakhale wodwala yemwe ali ndi matenda ashuga atha kudya zakudya zochepa.

Ndi zovuta ziti zomwe diabetesic gastroparesis imabweretsa?

Gastroparesis amatanthauza "kupuwala pang'ono pamimba", ndipo matenda a shuga a m'magazi amatanthauza "m'mimba ofowoka odwala odwala matenda ashuga." Cholinga chake chachikulu ndikutha kwa mitsempha ya vagus chifukwa cha shuga wokwezeka wamwazi. Mitsempha iyi imagwira ntchito zambiri mthupi zomwe zimachitika popanda kudziwa, kuphatikizira kugunda kwa mtima ndi chimbudzi. Mwa amuna, matenda a shuga a neropathy a vagus amathanso kumayambitsa mavuto ndi potency. Kuti mumvetse momwe matenda ashuga a gastroparesis amawonekera, muyenera kuphunzira chithunzichi pansipa.

Kumanzere ndiye m'mimba mutatha kudya. Zapakati pake zimadutsa m'matumbo kudzera pylorus. Mawotchi olondera pachipata ndi otseguka (minofu imatsitsimuka). Gawo lam'munsi la esophagus limatsekedwa mwamphamvu kuti lisatulutsidwe ndi chakudya kuchokera m'mimba kubwerera kummero. Makoma a minofu ya m'mimba nthawi ndi nthawi amalumikizana ndikuthandizira kuyenda kwachakudya.

Kudzanja lamanja tikuwona m'mimba mwa wodwala matenda ashuga yemwe wadwala gastroparesis. Kuyenda kwazosangalatsa kwa minofu ya m'mimba sikuchitika. Pylorus imatsekedwa, ndipo izi zimasokoneza kuyenda kwa chakudya kuchokera m'mimba kupita m'matumbo. Nthawi zina, pali phula laling'ono lokha lomwe limawonedwa mu pylorus, ndi mainchesi osapitirira pensulo, kudzera momwe chakudya chamadzimadzi chimalowa m'matumbo ndi madontho. Ngati phata la mlonda la pachipata ndiye prasmodic, wodwalayo amamva kupsinjika kuchokera pansi pa msomali.

Popeza kupindika kwapansi kumatha kupuma komanso kutseguka, zomwe zili m'mimba, zodzaza ndi asidi, kutumphukira kumbuyo kwa esophagus. Izi zimadzetsa kutentha, makamaka ngati munthu wagona tulo. Emophagus ndi chubu chachikulu chomwe chimalumikiza pharynx ndi m'mimba. Mothandizidwa ndi acid, kuwotcha makoma ake kumachitika. Nthawi zambiri zimachitika kuti chifukwa cha kutentha kwanthawi zonse, mano amatha kuwonongeka.

Ngati m'mimba mulibe, monga momwe ziliri, ndiye kuti amadzaza kwambiri ngakhale chakudya chochepa. M'mavuto ovuta kwambiri, zakudya zingapo motsatana zimadzaza m'mimba, ndipo zimayambitsa kuphuka kwambiri. Komabe, nthawi zambiri, wodwalayo samakayikira kuti ali ndi gastroparesis mpaka atayamba kukhazikitsa pulogalamu yothandizira odwala matenda ashuga kapena mtundu wa matenda a 2. Malamulo athu othandizira odwala matenda a shuga amafunika kuwunika kwambiri shuga wanu wamagazi, ndipo apa vuto la gastroparesis limapezeka nthawi zambiri.

Matenda a shuga a gastroparesis, ngakhale pang'ono mawonekedwe, amasokoneza kayendedwe ka shuga. Kudya caffeine, zakudya zamafuta, mowa, kapena mankhwala ochepetsa mphamvu m'mimba kumachepetsa m'mimba ndikuwonjezera mavuto.

Chifukwa chomwe gastroparesis imayambitsa shuga m'magazi

Ganizirani zomwe zimachitika kwa munthu wodwala matenda ashuga yemwe alibe gawo loyambirira la insulin chifukwa cha chakudya. Amadzivulaza ndi insulin yofulumira musanadye kapena kumwa mapiritsi a shuga omwe amalimbikitsa kupanga insulin. Werengani chifukwa chomwe muyenera kusiya kumwa mapiritsiwo komanso mavuto omwe amabwera nawo. Ngati adalowetsa insulin kapena kumwa mapiritsi, kenako ndikulumpha chakudya, ndiye kuti shuga yake yamwazi imatsika kwambiri, mpaka kufika pa hypoglycemia. Tsoka ilo, matenda ashuga a gastroparesis ali ndi zotsatira zofanana ndi kulumpha zakudya.

Ngati wodwala matenda ashuga amadziwa nthawi yake yam'mimba kuti apereka zomwe zili m'matumbo atatha kudya, amatha kuchepetsa jakisoni wa insulin kapena kuwonjezera NPH-insulin kuti insulin ingachedwe. Koma vuto la matenda ashuga a gastroparesis ndikosazindikira kwake. Sitikudziwa m'mbuyomu momwe kudya kwam'mimba kumatha kudya. Ngati phula palibe, ndiye kuti m'mimba mumatha kupatula mphindi zochepa, komanso mkati mwa maola atatu. Koma ngati alonda a pachipata atsekedwa mwamphamvu, ndiye kuti chakudya chimatha kukhalabe m'mimba masiku angapo. Zotsatira zake, shuga wamagazi amatha "kutsikira pansi" pamatha maola awiri atatha kudya, kenako ndikuwuluka mwadzidzidzi patatha maola 12, pomwe m'mimba umapereka matumbo ake.

Tidawerengera kusakonzeka kwa chimbudzi mu diabetesic gastroparesis. Zimapangitsa kukhala kovuta kwambiri kuwongolera shuga m'magazi odwala odwala matenda a shuga omwe amadalira insulin. Mavuto amapangidwanso kwa odwala matenda ashuga ngati amamwa mapiritsi omwe amalimbikitsa kupanga insulin ndi kapamba, omwe timalimbikitsa kuti ataye.

Zina za gastroparesis mu mtundu 2 shuga

Kwa odwala omwe ali ndi matenda a shuga a mtundu wachiwiri, matenda a shuga a shuga amachititsa kuti azikhala ndi mavuto osaneneka kuposa odwala matenda ashuga a mtundu woyamba, chifukwa ali ndi kapangidwe kake ka insulin. Kupanga kwambiri kwa insulin kumachitika pokhapokha chakudya kuchokera m'mimba chikalowa m'matumbo. Mpaka m'mimba mulibe kanthu, mafuta ochepa a insulin okha ndi omwe amakhala ndi magazi. Ngati wodwala yemwe ali ndi matenda a shuga a 2 atawona zakudya zamagulu ochepa, ndiye kuti jakisoni amalandira insulin yaying'ono, yomwe siziwopseza kwambiri hypoglycemia.

Ngati m'mimba mukutuluka pang'onopang'ono, koma mosalekeza, ndiye kuti odwala odwala matenda ashuga a 2, zochitika za maselo otetemera a pakhana nthawi zambiri zimakhala zokwanira kusunga shuga wabwinobwino. Koma ngati mwadzidzidzi m'mimba mulibe kanthu, ndiye kuti kulumpha m'magazi amwazi, omwe sangathe kuzimitsidwa nthawi yomweyo popanda jakisoni wa insulin yofulumira. Maola ochepa chabe, maselo ofooka a beta athe kupanga insulin yochulukirapo monga momwe angabwezeretsere shuga kukhala abwinobwino.

Matenda a shuga a gastroparesis ndi achiwiri kwambiri omwe amachititsa kuti shuga asinthe kwambiri pambuyo pa m'bandakucha. Ngati chakudya chanu sichinachoke m'mimba yanu panthawi, ndiye kuti kudzimbidwa kumachitika usiku. Zikakhala zotere, wodwala matenda ashuga amatha kugona ndi shuga wabwinobwino, kenako nkudzuka m'mawa ndi shuga wowonjezera. Mulimonsemo, ngati mutsatira zakudya zamafuta ochepa ndikujambulira pazovuta za insulin kapena ngati simunayerekeze matenda ashuga a 2, ndiye kuti gastroparesis sikukuwopsezeni ndi hypoglycemia. Odwala omwe ali ndi matenda ashuga omwe amatsata zakudya zoyenera komanso atamwa jakisoni wambiri amakhala ndi zovuta zambiri. Chifukwa cha matenda a diabetes a gastroparesis, amakhala ndi zovuta zambiri mu shuga komanso nthawi zambiri za hypoglycemia.

Momwe mungadziwire zovuta za shuga

Kuti mumvetsetse ngati muli ndi matenda a diabetesic gastroparesis kapena ayi, ndipo ngati ndi choncho, ndi olimba bwanji, muyenera kuphunzira zolemba za zotsatira za kudziletsa kwathunthu kwa shuga kwa masabata angapo. Ndikofunikanso kuti dokotala wofufuza m'magazi adzifufuze kuti adziwe ngati pali zovuta zam'mimba zomwe sizikugwirizana ndi matenda a shuga.

Muzoyang'ana pazotsatira za kudziletsa kwathunthu kwa shuga, muyenera kulabadira ngati zochitika zotsatirazi zilipo:

• Mwazi wamagazi panjira yokhazikika umachitika patatha maola 1-3 mutadya (sikuti nthawi iliyonse).
• Mukatha kudya, shuga amakhala wabwinobwino, kenako amakwera pambuyo pa maola 5 kapena pambuyo pake, popanda chifukwa.
• Mavuto a shuga m'mawa m'magazi opanda kanthu, ngakhale kuti wodwalayo amadya chakudya chamadzulo dzulo - maola 5 asanagone, kapena ngakhale koyambirira. Kapena shuga m'mawa amakhala ndi mosadabwitsa, ngakhale wodwalayo amadya msanga.

Ngati zochitika No. 1 ndi 2 zimachitika palimodzi, ndiye kuti zakwanira kukayikira gastroparesis. Vuto No. 3 ngakhale osapumira limakupatsani mwayi wofufuza odwala matenda ashuga. Ngati pali vuto la kuthamanga kwa shuga m'magazi, ndiye kuti wodwala wodwala matenda ashuga amatha kuonjezera pang'onopang'ono mlingo wake wa insulin kapena mapiritsi usiku. Mapeto, zimapezeka kuti usiku amalandira Mlingo wambiri wa matenda a shuga, omwe amaposa mlingo wa m'mawa, ngakhale kuti amadya m'mawa kwambiri. Pambuyo pake, kusala kudya kwam'mawa shuga azichita mosayembekezera. Masiku ena, imakwezedwa, pomwe ina imakhala yokhazikika kapena yotsika kwambiri. Kusasinthika kwa shuga ndi chizindikiro chachikulu choganiza kuti gastroparesis.

Ngati tiona kuti m'mawa othamanga shuga m'magazi amakhala osakonzekera, titha kuyeserera kutsimikizira kapena kutsutsa matenda a shuga. Tsiku lina mudumphe chakudya chamadzulo, motero, musamwe jakisoni mwachangu musanadye. Pankhaniyi, usiku muyenera kugwiritsa ntchito mlingo woyenera wa insulin komanso / kapena mapiritsi a shuga oyenera. Muyeza shuga m'magazi anu musanagone, kenako m'mawa pamimba yopanda kanthu, mutangodzuka. Amayesedwa kuti mudzakhala ndi shuga wabwinoko usiku. Ngati popanda shuga, shuga m'mawa adakhala wamba kapena amachepetsa, ndiye kuti, gastroparesis imayambitsa mavuto.

Pambuyo poyesererako, idyani chakudya chamadzulo masiku angapo. Onani momwe shuga yanu imakhalira madzulo asanagone komanso m'mawa wotsatira. Bwerezaninso kuyesanso. Ndiponso, idyani chakudya masiku angapo ndikuwonera. Ngati shuga m'magazi ndilabwinobwino kapena yotsika m'mawa popanda chakudya, ndipo mukadya chakudya chamadzulo, nthawi zina chimadzuka m'mawa, ndiye kuti muli ndi matenda a shuga. Mudzatha kuugwira ndikuwongolera pogwiritsa ntchito njira zomwe zafotokozedwera pansipa.

Ngati wodwala matenda ashuga amadya chakudya chamagulu "owonjezera," omwe amakhala ndi shuga, magazi ake amathanso kukhala osadalirika, mosasamala kanthu za kukhalapo kwa gastroparesis.

Ngati kuyesaku sikumapereka zotsatira zosatsutsika, ndiye kuti muyenera kuyesedwa ndi dokotala wa gastroenterologist kuti mudziwe ngati pali zovuta zotsatirazi:

• zilonda zam'mimba kapena zilonda zam'mimba;
• erosive kapena atrophic gastritis;
• m'mimba kukwiya;
• heratal hernia;
• matenda a celiac (ziwonetsero);
• matenda ena a m'matumbo.

Kuyesedwa ndi gastroenterologist kungakhale kothandiza mulimonse. Mavuto omwe ali ndi matenda am'mimba, omwe atchulidwa pamwambapa, amayankha bwino ngati mukutsatira malangizo a dokotala mosamala. Mankhwalawa amathandizira kusintha kwa shuga m'magazi a shuga.

Njira zowongolera odwala matenda ashuga

Chifukwa chake, zidatsimikiziridwa kuti mwapanga matenda a shuga a shuga, malinga ndi zotsatira za kudziletsa kwathunthu kwa shuga wamagazi, komanso pambuyo pobwereza kangapo koyesera komwe tafotokozazi. Choyamba, muyenera kudziwa kuti vutoli silitha kuthandizidwa ndi insulin. Kuyesayesa koteroko kumangoyambitsa kudumpha m'magazi ndikukulitsa zovuta za matenda ashuga, komanso kumawonjezera chiopsezo cha hypoglycemia. Kuti muthane ndi matenda a diabetes a gastroparesis, muyenera kuyesa kukonza matumbo atatha kudya, ndipo njira zingapo zafotokozedwera pansipa.

Ngati muli ndi gastroparesis, ndiye kuti kuvutikira m'moyo kumakhala kwakukulu kwambiri kuposa odwala ena onse omwe akukhazikitsa pulogalamu yathu yothandizira odwala matenda ashuga a mtundu wa 2 kapena pulogalamu yachiwiri yothandizira matenda ashuga. Mutha kuthana ndi vutoli ndikukhala ndi shuga wabwinobwino pokhapokha ngati mumatsatira mosamalitsa. Koma izi zimapereka zabwino. Monga mukudziwa, matenda a diabetes a gastroparesis amachitika chifukwa cha kuwonongeka kwa mitsempha ya vagus yomwe imayamba chifukwa cha shuga wokwezeka wamwazi. Ngati matenda ashuga amalangidwa kwa miyezi ingapo kapena zaka, ntchito ya mitsempha ya vagus imabwezeretseka. Koma mitsempha iyi imangolamulira chimbudzi, komanso kugunda kwa mtima ndi zina zochitika mthupi. Mudzalandira kusintha kwathanzi labwino, kupatula kuchiritsa gastroparesis. Matenda a shuga atatha, amuna ambiri amatha kusintha potency.

Njira zothandizira kutsuka kwa m'mimba mutatha kudya zimagawidwa m'magulu anayi:

• kumwa mankhwala;
• olimbitsa thupi ndi kutikita minofu mukatha kudya;
• kusintha kwakung'ono pakudya;
• Kusintha kwakukuru pakudya, kugwiritsa ntchito zakudya zamadzimadzi kapena zamadzimadzi.

Monga lamulo, njira zonsezi zokha sizigwira ntchito mokwanira, koma palimodzi zimatha kukwaniritsa shuga yabwinobwino ngakhale muzovuta kwambiri. Mukawerenga nkhaniyi, mutha kuwona momwe mungazisinthire kuzolowera zomwe mumakonda komanso zomwe mumakonda.

Zolinga zochizira odwala matenda a shuga:

• Kuchepetsa kapena kufafaniza kwathunthu kwa zizindikiro - kukwiya koyamba, nseru, kupindika, kutentha kwadzidzidzi, kutulutsa magazi, kudzimbidwa.
• Kuchepetsa kuchuluka kwa shuga wotsika mukatha kudya.
• Matenda a shuga m'magazi pamimba yopanda kanthu (chizindikiro chachikulu cha gastroparesis).
• Supu yosalala imayenda, zotsatira zokhazikika za kudziletsa kwathunthu kwa shuga.

Mutha kufikira mfundo zitatu zomaliza kuchokera pamndandandawu ngati mungagwiritse gastroparesis ndipo nthawi yomweyo mumatsata zakudya zamafuta ochepa. Mpaka pano, palibe njira yochotsera shuga omwe amapereka kwa odwala omwe ali ndi "omwe" omwe amakhala ndi chakudya chamagulu ambiri. Chifukwa chakuti zakudya zotere zimafunikira jakisoni waukulu wa insulin, yemwe amakhala osakonzekera. Dziwani momwe njira zoyezera kuwala zili ngati simunachitebebe.

Mankhwala mu mawonekedwe a mapiritsi kapena madzi manyumwa

Palibe mankhwala omwe angachiritse odwala matenda a shuga. Chokhacho chomwe chitha kuthana ndi zovuta za shuga uyu ndi shuga wabwinobwino kwa zaka zingapo motsatizana. Komabe, mankhwala ena amatha kufulumizitsa kuthira m'mimba mutatha kudya, makamaka ngati gastroparesis yanu ili yofatsa kapena yochepa. Izi zimathandiza kusinthasintha kusinthasintha kwa shuga m'magazi.

Anthu ambiri odwala matenda ashuga amayenera kumwa mapiritsi asanadye. Ngati gastroparesis ali wofatsa, ndiye kuti mwina mutha kupezana ndi mankhwala musanadye chakudya chamadzulo. Pazifukwa zina, kugaya chakudya chamadzulo mwa odwala omwe ali ndi matenda ashuga ndizovuta kwambiri. Mwina chifukwa atadya chakudya chamadzulo sachita masana, kapena chifukwa gawo lalikulu limadyedwa chakudya chamadzulo. Amayesedwa kuti m'mimba mukamaliza chakudya chamadzulo ndimathanso kudya anthu athanzi kuposa chakudya.

Mankhwala a matenda a shuga a gastroparesis atha kukhala ngati mapiritsi kapena madzi amadzimadzi.Mapiritsi nthawi zambiri sagwira ntchito, chifukwa asanayambe kuchita zinthu, ayenera kusungunuka ndikuyamba kulowa m'mimba. Ngati ndi kotheka, ndibwino kugwiritsa ntchito mankhwala amadzimadzi. Mapiritsi aliwonse omwe mumamwa a matenda a diabetes a gastroparesis ayenera kutafuna mosamala musanameze. Ngati mumwa mapiritsi osatafuna, ndiye kuti ayamba kumangokhala maola ochepa.

Super Papaya Enzyme Plus - Mapiritsi a Enzyme Chewable

Dr. Bernstein mu buku lake Dr. Dokotala a matenda a shuga a Bernstein alemba kuti kumwa michere yam'mimba kumathandizira odwala matenda ashuga gastroparesis mwa ambiri mwa odwalawo. Makamaka, akuti odwala makamaka amatamanda Super Papaya Enzyme Plus. Awa ndi miyala yosiyanasiyana yosinthika. Amathetsa mavuto a kutulutsa magazi ndi kuyamwa, ndipo odwala matenda ashuga ambiri amathandiza kusinthasintha kwa shuga m'magazi omwe amakumana nawo chifukwa cha gastroparesis.

Super Papaya Enzyme Plus ilinso ndi ma enzymes papain, amylase, lipase, cellulase ndi bromelain, omwe amathandiza kugaya mapuloteni, mafuta, chakudya ndi michere adakali m'mimba. Ndikulimbikitsidwa kutafuna mapiritsi a 3-5 pachakudya chilichonse: musanayambe kudya, ndi chakudya, komanso mukatha. Izi zimakhala ndi sorbitol ndi zotsekemera zina, koma zochepa, zomwe siziyenera kukhala ndi chidwi ndi shuga m'magazi anu. Pano ndikunena za mankhwala omwe ali ndi michere yokugaya, chifukwa Dr. Bernstein amalemba za iye m'buku lake. Tsitsani malangizo a momwe mungayitanitsire malonda pa iHerb poperekera ma phukusi amakalata.

Motilium (domperidone)

Kwa odwala matenda a shuga a shuga, Dr. Bernstein amafotokoza mankhwalawa mwanjira yotsatirayi - kutafuna mapiritsi awiri a 10 mg ola limodzi musanadye ndi kumwa kapu yamadzi, mutha kutsata. Musachulukitse mlingo, chifukwa izi zimatha kubweretsa mavuto ndi potency mwa amuna, komanso kuchepa kwa msambo kwa akazi. Domperidone ndiye chinthu chogwira ntchito, ndipo Motilium ndi dzina lamalonda lomwe mankhwalawo amagulitsidwa.

Motilium imalimbikitsa kutuluka kwa chakudya kuchokera m'mimba mutatha kudya mwapadera, osati monga mankhwala ena omwe afotokozedwera. Chifukwa chake, ndikofunikira kugwiritsa ntchito kuphatikiza ndimankhwala ena, koma osati ndi metoclopramide, yomwe tikambirana pansipa. Ngati mavuto abwera chifukwa chotenga Motilium, ndiye kuti amadzimiririka akasiya kugwiritsa ntchito mankhwalawa.

Metoclopramide

Metoclopramide mwina ndiyomwe imalimbikitsa kwambiri zam'mimba mutatha kudya. Imakhala ngati domperidone, kuletsa (kuletsa) zotsatira za dopamine m'mimba. Mosiyana ndi domperidone, mankhwalawa amalowa mu ubongo, kotero nthawi zambiri amayambitsa zovuta zoyipa - kugona, kukhumudwa, nkhawa, ndi masanjidwe omwe amafanana ndi matenda a Parkinson. Mwa anthu ena, izi zimachitika nthawi yomweyo, pomwe ena - atatha miyezi ingapo ya chithandizo ndi metoclopramide.

Katemera wa zotsatira zoyipa za metoclopramide ndi diphenhydramine hydrochloride, yomwe imadziwika kuti diphenhydramine. Ngati makina a metoclopramide anali ndi zovuta zoyipa kwambiri kotero kuti amafunikira kuthandizidwa ndi diphenhydramine hydrochloride, ndiye kuti metoclopramide iyenera kusiyidwa kosatha. Kulekeratu mwadzidzidzi kwa metoclopramide ndi anthu omwe amathandizidwa kwa miyezi itatu kapena kupitilira apo kungayambitse chikhalidwe cha psychotic. Chifukwa chake, mlingo wa mankhwalawa mpaka zero uyenera kuchepetsedwa pang'onopang'ono.

Pothana ndi matenda a diabetes a gastroparesis, Dr. Bernstein amapereka mankhwala a metoclopramide pokhapokha ovuta kwambiri, chifukwa zotsatira zoyipa zimachitika ndipo zimakhala zoopsa. Musanagwiritse ntchito chida ichi, yesani njira zina zonse zomwe talemba mndandandandawu, kuphatikizapo masewera olimbitsa thupi, kutikita minofu ndi kusintha kwa zakudya. Tengani metoclopramide ikhoza kuperekedwa ndi dokotala komanso muyezo womwe akuwonetsa.

Betaine hydrochloride + pepsin

Betaine hydrochloride + pepsin ndi kuphatikiza kwamphamvu komwe kumapangitsa kutsika kwa chakudya chodyedwa m'mimba. Chakudya chochuluka chikamabisidwa m'mimba, nthawi zambiri chimatha kulowa m'matumbo. Pepsin ndi enzyme yokumba m'mimba. Betaine hydrochloride ndi zinthu zomwe zimapangidwa ndi hydrochloric acid, zomwe zimawonjezera acidity yam'mimba. Musanayambe kumwa betaine hydrochloride + pepsin, pimani ndi katswiri wa gastroenterologist ndikuwonana naye. Ganizirani kuchuluka kwa madzi mumimba wanu. Ngati acidity ndi yokwera kapena yabwinobwino - betaine hydrochloride + pepsin siyabwino. Ichi ndi chida champhamvu, koma ngati chikugwiritsidwa ntchito popanda kutsimikizira kwa dokotala, zotsatira zake zimakhala zazikulu. Amapangidwira anthu omwe acidity yawo ndi yapamwamba. Ngati acidity yanu ndiyabwinobwino, ndiye yesani Super Papaya Enzyme Plus enzyme kit, yomwe tidalemba pamwambapa.

Betaine hydrochloride + pepsin angagulidwe ku mankhwalawa monga mapiritsi Acidin-Pepsin

kapena oda kuchokera ku USA ndikutumiza makalata, mwachitsanzo, mwanjira yowonjezera iyi

Dr. Bernstein adalimbikitsa kuyamba ndi piritsi limodzi kapena kapisozi mkati mwa chakudya. Osamamwa betaine hydrochloride + pepsin pamimba yopanda kanthu! Ngati kutentha kwa m'mtima sikuchitika kuchokera kumbale imodzi, ndiye kuti nthawi ina mukadzayesa kuwonjezera kuchuluka kwa mankhwalawa mpaka 2, kenako pamabotolo atatu pachakudya chilichonse. Betaine hydrochloride + pepsin simalimbikitsa mitsempha ya vagus. Chifukwa chake, chida ichi chimathandizira ngakhale muzovuta kwambiri za matenda a shuga. Komabe, ali ndi zopinga zambiri komanso malire ake. Contraindication - gastritis, esophagitis, zilonda zam'mimba kapena zilonda zam'mimba.

Zolimbitsa Thupi Zomwe Zimathamanga Mafuta Atatha Kutha

Mankhwala olimbitsa thupi ndi othandiza kwambiri kuposa mankhwala pochiza matenda a shuga. Komanso ndi yaulere ndipo ilibe zotsatira zoyipa. Monga momwe ziliri ndi zovuta zina zonse zokhudzana ndi matenda a shuga, mankhwala amafunikira okhawo omwe ali ndi ulesi kwambiri kuti athe kuchita masewera olimbitsa thupi. Chifukwa chake, tiyeni tiwone zomwe zimathandizira kutifulumizire chakudya kuchokera m'mimba mutatha kudya. M'mimba yathanzi, minofu yosalala ya makoma imagwirizana modekha kuti chakudya chitha kudutsa m'mimba. M'mimba yomwe idakhudzidwa ndi matenda a diabetes a gastroparesis, mawonekedwe a makhoma ndi otupa ndipo sagwidwa. Ndipo mothandizidwa ndi masewera olimbitsa thupi osavuta omwe tidzafotokozere pansipa, mutha kuyeseza izi ndikuchita mwachangu komanso kuthamanga ndi chakudya kuchokera m'mimba.

Muyenera kuti mwazindikira kuti kuyenda mukamadya chakudya kumatha kukumba chimbudzi. Izi ndizofunikira kwambiri kwa odwala omwe ali ndi matenda ashuga a gastroparesis. Chifukwa chake, zolimbitsa thupi zoyambirira zomwe Dr. Bernstein adalimbikitsa zikuyenda mwachangu kapena mwachangu kwa ola limodzi mutatha kudya, makamaka mutadya chakudya chamadzulo. Timalimbikitsa kuti musayende nkomwe, koma kuthamangitsana molingana ndi luso la Chi-run. Mwa njirayi, mungakonde kuthamanga ngakhale mutatha kudya. Onetsetsani kuti kuthamanga kumatha kukupatsani chisangalalo!

Ntchito yotsatira idagawidwa ndi Dr. Bernstein ndi wodwala yemwe adamuzindikira kuchokera kwa wophunzitsa ake a yoga ndipo adawonetsetsa kuti zimathandizadi. Ndikofunikira kujambula m'mimba mwakuya momwe mungathere kuti amamatire nthiti, kenako ndikuwakhomerera kuti ikhale yayikulu komanso yotumphuka, ngati ng'oma. Mukatha kudya, mungolankhula mobwerezabwereza mobwerezabwereza monga momwe mungathere. Pakupita milungu kapena miyezi ingapo, minofu yanu yam'mimba imakhala yolimba komanso yolimba. Mutha kubwereza zolimbitsa thupi kangapo musanatope. Cholinga ndikuchipha nthawi zingapo. Ma reps 100 amatenga mphindi zosakwana 4. Mukaphunzira kuchita kubwereza 300-400 ndikugwiritsa ntchito mphindi 15 nthawi iliyonse mukatha kudya, kusinthasintha kwa shuga m'magazi kumakhala kosalala.

Ntchito yofananira yomwe muyenera kuchita mutatha kudya. Kukhala kapena kuyimirira, kugwada m'mbuyo momwe mungathere. Kenako yendani mtsogolo momwe mungathere. Bwerezani kangapo mzere momwe mungathere. Ntchito iyi, komanso yomwe yaperekedwa pamwambapa, ndiyophweka, ingaoneke yopusa. Komabe, zimathandizira kutulutsidwa kwa chakudya kuchokera m'mimba mutatha kudya, kuthandizira ndi matenda a shuga a gastroparesis, ndikuwongolera kuwongolera kwa shuga wamagazi mukalangidwa.

Kutafuna chingamu - njira yothetsera matenda a shuga a gastroparesis

Mukafuna kutafuna, ma cell amamasulidwa. Simangokhala ndi ma enzymes am'mimba, komanso imathandizira kusintha kosavuta kwa minofu pamakoma am'mimba ndikutsitsimutsa pyloric vala. Chungamu chopanda shuga sichikhala ndi gramu 1 ya xylitol, ndipo ndizokayikitsa kuti zingakhale ndi vuto lalikulu m'magazi anu. Muyenera kutafuna mbale imodzi kapena ngalande kwa ola lathunthu mutatha kudya. Izi zimasintha njira ya matenda ashuga a gastroparesis, kuwonjezera pa zolimbitsa thupi ndi kusintha kwa zakudya. Osagwiritsa ntchito ma mbale angapo kapena ma dumplings motsatana, chifukwa izi zimatha kukweza shuga lanu lamagazi.

Momwe mungasinthire zakudya za odwala matenda ashuga kuti azilamulira gastroparesis

Njira zopewera kudya matenda a shuga a gastroparesis ndi othandiza kwambiri kuposa mankhwala. Makamaka ngati muwaphatikiza ndi masewera olimbitsa thupi omwe afotokozedwa gawo lapita. Vuto ndilakuti anthu omwe ali ndi matenda ashuga sakonda kusintha kwa zakudya zomwe zimayenera kukhazikitsidwa. Tiyeni tiwonetse zosintha izi, kuyambira zosavuta mpaka zovuta:

• Muyenera kumwa magalasi awiri amadzi musanadye chilichonse. Madzi awa sayenera kukhala ndi shuga ndi zakudya zina, komanso khofi ndi mowa.
• Chepetsani magawo a fiber, kapena siyani kudya. CHIKWANGWANI chomwe chimakhala ndi masamba, chomwe kale chimaperera mu blender, mpaka theka lamadzi.
• Tafuna zakudya zonse zomwe mumadya pang'onopang'ono komanso mosamala. Tchafu aliyense kuluma kangapo 40.
• Chotsani nyama muzakudya zomwe sizikhala mu chopukusira nyama, mwachitsanzo pitani kuma-nyama. Pewani nyama zonse zomwe ndizovuta kugaya. Iyi ndi ng'ombe, mbalame yamafuta, nkhumba ndi masewera. Ndiosafunanso kudya nsomba za nkhono.
• Idyani chakudya cham'mawa kwambiri, maola asanu ndi limodzi ndi zisanu ndi chimodzi asanadutse. Chepetsani mapuloteni anu pakudya chamadzulo, kusamutsa mapuloteni ena kuchokera ku chakudya cham'mawa kupita ku kadzutsa komanso nkhomaliro.
• Ngati simukubaya jakisoni mwachangu musanadye, ndiye kuti musadye katatu pa tsiku, koma pafupipafupi, katatu, m'malo ochepa.
• Muzovuta kwambiri za matenda ashuga gastroparesis, sinthani ku zakudya zamadzimadzi ndi zamadzimadzi.

Mimba yomwe imakhudzidwa ndi matenda a shuga a gastroparesis, sungunuka komanso osakonzeka kupanga ubongo ungapangitse nkhata ya nkhumba ndikugudubuza koloko yolowera pachipata. Muzobisika, izi sizovuta chifukwa valavu yolondera pachipata ndi lotseguka. Ngati matenda ashuga a gastroparesis ali ofatsa, chiwongolero cha shuga m'magazi chitha kuyenda bwino mukamachepetsa gawo lazakudya zamafuta, zichotsetseratu, kapena kupera masamba mu blender kuti athandizire kugaya. Osagwiritsa ntchito mankhwala othimbirira omwe ali ndi CHIKWANGWANI mumtundu wa nthomba za fulakesi kapena nthata yamabala.

Tumizani gawo lamapuloteni anu pakudya kwa nkhomaliro ndi chakudya cham'mawa m'malo mwa chakudya chamadzulo

Anthu ambiri amakhala ndi chakudya chachikulu cha masana. Chakudya chamadzulo, amadya kwambiri nyama kapena zakudya zina zama protein. Kwa odwala matenda a shuga omwe apanga gastroparesis, kudya koteroko kumathandizira kwambiri kuyendetsa shuga m'magazi pamimba yopanda kanthu. Mapuloteni anyama, makamaka nyama yofiyira, nthawi zambiri amatseka ma pyloric vala m'mimba, yomwe imachepetsedwa chifukwa cha kuphipha kwa minofu. Chithandizo - Sinthani zina mwa mapuloteni anu aminyama chakudya cham'mawa komanso nkhomaliro.

Musasiye zosaposa magalamu 60 a mapuloteni pazakudya zamadzulo, ndiye kuti, zosaposa 300 magalamu a chakudya chama protein, ngakhale zochepa ndizabwino. Itha kukhala nsomba, nyama mwa mawonekedwe a nyama kapena minofu ya ng'ombe, tchizi kapena mazira. Onetsetsani kuti chifukwa cha izi, shuga m'mawa pamimba yopanda kanthu ayandikira kwambiri. Inde, mukasamutsa mapuloteni kuchokera ku chakudya chamadzulo kupita ku chakudya china, ndiye kuti kuchuluka kwa insulin yofulumira musanadye kuyeneranso kusunthidwa pang'ono. Mwinanso, kuchuluka kwa mapiritsi a insulin kapena a shuga usiku amatha kuchepetsedwa popanda kuwononga shuga m'mawa.

Zitha kuzindikirika kuti chifukwa chosamutsa gawo la mapuloteni kuchokera ku chakudya cham'mawa ndikuyamba kudya masana, shuga wanu ayamba kuwonjezeka pambuyo pa chakudya, ngakhale mutasintha molondola kuchuluka kwa insulin musanadye. Izi ndizoyipa zochepa kuposa kupilira shuga wambiri usiku wonse. Ngati simukubaya jakisoni wambiri musanadye, ndiye kuti mudye katatu pa tsiku m'magawo ang'onoang'ono kuti shuga azikhala okhazikika komanso pafupipafupi. Ndipo ngati simukubayira insulini konse, ndiye kuti ndibwino kudya kangapo ka 5-6 patsiku m'magawo ang'onoang'ono. Kumbukirani kuti ngati mutaba jakisoni wambiri musanadye, muyenera kudya maola asanu aliwonse kuti zotsatira za insulin zisadutse.

Kumwa mowa ndi khofi kumachepetsa kuthamangitsidwa kwa chakudya m'mimba mutatha kudya. Zomwe zimachitika peppermint ndi chokoleti. Zinthu zonsezi ziyenera kupewedwa, makamaka pakudya chamadzulo, ngati matenda anu a shuga a gastroparesis ali ochepa kapena oopsa.

Zakudya zamadzimadzi ndi zamadzimadzi - njira yothandiza kwambiri ya gastroparesis

Njira yayikulu yochizira matenda ashuga gastroparesis ndikusinthira ku zakudya zamadzimadzi kapena zamadzimadzi. Ngati izi zachitika, ndiye kuti munthu amataya gawo lalikulu la chisangalalo cha kudya. Anthu ochepa ngati izi. Komabe, iyi ingakhale njira yokhayo yowonetsetsa kuti shuga m'magazi odwala matenda ashuga ali pafupi kwambiri. Ngati mukuyang'anira kwa miyezi ingapo kapena zaka, ndiye kuti kugwira ntchito kwa mitsempha ya vagus pang'onopang'ono kudzachepa ndipo gastroparesis ikadutsa. Kenako ndizotheka kudya mwachizolowezi popanda kusiya kuwongolera shuga. Nthawi ina, Dr. Bernstein nayenso adapita motere.

Zakudya zowonjezera zamadzimadzi zokhala ndi matenda am'mimba a shuga a gastroparesis zimaphatikizapo chakudya cha ana ndi yogurt yoyera yonse ya mkaka. Mutha kugula zamasamba ochepa mafuta m'golosale, komanso zakudya zopanda nyama zamafuta zamafuta monga mitsuko ndi chakudya cha ana. Muyenera kuphunzira malembedwe mosamala posankha zinthu izi. Momwe mungasankhire yogati, tidzakambirana pansipa. Yogati okha ndioyenera, omwe siamadzimadzi, koma mawonekedwe a zakudya. Zikugulitsidwa ku Europe ndi USA, koma ndizovuta kupeza izo m'maiko olankhula Russia.

M'nkhani yopanga menyu wazakudya zamagulu owonjezera, tinanena kuti masamba ambiri omwe amapangidwa, amalimbikitsa shuga mwachangu. Kodi izi zikugwirizana bwanji ndikulimbikitsidwa kudya masamba owerengeka amadzimadzi a shuga a gastroparesis? Chowonadi ndi chakuti ngati vuto la shuga ili limayamba, ndiye kuti chakudya chimalowa m'mimba kuchokera m'mimba kulowa m'matumbo pang'onopang'ono. Izi zimagwiranso ntchito kumasamba amadzimadzi amadzimadzi okhala ndi zakudya za ana. Ngakhale masamba “ofatsa” kwambiri samakhala ndi nthawi yokweza shuga m'magazi kuti achepetse mphamvu ya insulin yomwe mumabayidwa musanadye. Ndipo, mwachidziwikire, zidzakhala zofunikira kuchepetsa kuchepa kwa insulin yochepa musanadye, kusakaniza ndi a NPH-insulin protafan.

Ngati mutembenukira ku theka lamadzi zakudya kuti muchepetse matenda a shuga, ndiye yesetsani kupewa kuperewera kwa thupi lanu. Munthu yemwe amakhala moyo wongokhala ayenera kudya magalamu 0,8 a mapuloteni pa 1 kg ya thupi lake labwino patsiku. Zakudya zamapuloteni zimakhala ndi pafupifupi 20% ya mapuloteni oyera, i.e., muyenera kudya pafupifupi magalamu anayi a mapuloteni pa 1 makilogalamu olemera a thupi. Ngati mukuganiza za izi, ndiye kuti izi sizokwanira. Anthu omwe amachita maphunziro akuthupi, komanso ana ndi achinyamata omwe amakula, amafunikira mapuloteni 1.5-2 nthawi yambiri.

Yogwiritsa ntchito mkaka yoyera mkaka ndimtundu wambiri (!) Yoyenera kudya zakudya zamagulu ochepa a shuga, kuphatikizapo matenda ashuga a shuga.Ndikutanthauza kuti yogurt yoyera ngati mafuta, osati amadzimadzi, osakhala opanda mafuta, osatinso ndi shuga, zipatso, malo osungirako, ndi zina zambiri ku Europe ndi USA, koma osati m'maiko olankhula ku Russia. Mu yogati iyi pofuna kulawa, mutha kuwonjezera Stevia ndi sinamoni. Osamadya yogurt yamafuta ochepa chifukwa imakhala ndi zakudya zochuluka kuposa matenda ashuga.

Timagwiritsa ntchito zakudya zamadzimadzi kuti tiletse matenda a diabetes a gastroparesis ngati theka-lamadzi silithandiza kwenikweni. Izi ndi zinthu zapadera kwa anthu omwe akuchita ntchito yolimbitsa thupi. Zonsezi zimakhala ndi mapuloteni ambiri, zimagulitsidwa ngati ufa womwe umayenera kuchepetsedwa m'madzi ndikuledzera. Ndife oyenera okha omwe amakhala ndi mavitamini pang'ono osakhala owonjezera a "chemistry" monga anabolic steroids. Gwiritsani ntchito mapuloteni omanga opangidwa kuchokera ku mazira kapena Whey kuti mumange asidi onse amino omwe thupi lanu limafunikira. Zopatsa Zoyimbitsa Mapuloteni a Soy Sindizo Zabwino Kwambiri. Zitha kukhala ndi zinthu - ma sterols - mu mawonekedwe ofanana ndi estrogen yaikazi.

Momwe mungabayitsire insulin musanadye kuti agwirizane ndi gastroparesis

Njira zomwe zimagwiritsidwa ntchito mwachangu ndi insulin musanadye sizoyenera kukhala ndi matenda a shuga. Amawonjezera chiopsezo cha hypoglycemia chifukwa chakuti chakudya chimatengedwa pang'onopang'ono ndipo alibe nthawi yakukweza shuga m'magazi panthawi. Chifukwa chake, ndikofunikira kuchepetsa kuchepa kwa insulin. Choyamba, pezani mothandizidwa ndi glucometer, momwe chakudya chodyedwacho chimachepetsedwa. Ikani insulin yambiri musanadye ndi yochepa. Mutha kuyesa kuwaza osati mphindi 40-45 musanadye, monga timakonda, koma musanakhale pansi kuti mudye. Pankhaniyi, gwiritsani ntchito njira zowongolera gastroparesis, yomwe tafotokozera pamwambapa.

Ngati, ngakhale zili choncho, insulini yochepa imathanso kuchita mwachangu, ndiye kuti yesani kubayira pakati pakudya kapena mukamaliza kudya. Njira yotsogola kwambiri ndikusintha gawo lina la insulin yochepa ndi sing'anga NPH-insulin. Matenda a shuga a gastroparesis ndi okhawo omwe amaloledwa kusakaniza mitundu ingapo ya insulini imodzi.

Tiyerekeze kuti mukufunikira kubaya mankhwala osakanikirana anayi a insulin yifupi ndi 1 unit ya sing'anga ya NPH-insulin. Kuti muchite izi, mumayamba jekeseni magawo anayi a insulin yachidule mu syringe, mwachizolowezi. Kenako ikani singano ya syringe mu vial ya NPH-insulin ndikugwedeza gawo lonse kangapo mwamphamvu. Nthawi yomweyo tengani 1 UNIT ya insulin kuchokera ku vial mpaka tinthu tating'onoting'ono tokhala ndi nthawi yokwanira kukhazikika mutagwedezeka, komanso pafupifupi 5 U ya mpweya. Mabatani am'mlengalenga amathandizira kusakaniza kufupika ndi NPH-insulin mu syringe. Kuti muchite izi, tembenuzirani syringe kangapo. Tsopano mutha kubaya insulini yosakanikirana ndi mpweya wocheperako. Mabatani am'mlengalenga osavulaza sangawononge chilichonse.

Ngati muli ndi matenda a diabetes a gastroparesis, ndiye kuti musagwiritse ntchito insulin yolimba ngati insulin musanadye. Chifukwa ngakhale insulini yocheperako wamba imachitika msanga kwambiri pamkhalidwe wotere, ndipo makamaka, ultrashort, yomwe imagwira ntchito mwachangu kwambiri, siyabwino. Ultrashort insulin ingagwiritsidwe ntchito ngati cholowera kukonza kuti shuga achulukuke. Ngati mungabaye jekeseni yochepa komanso ya NPH-insulin musanadye, mutha kulowa m'manda pokhapokha mutadzuka. Monga insulin yachangu musanadye, mutha kugwiritsa ntchito yochepa kapena osakaniza aafupi komanso a NPH-insulin.

Matenda a matenda ashuga: zopezedwa

Matenda a shuga a shuga ndi zovuta zomwe zimapangitsa kuti shuga azithamanga magazi, ngakhale mutakhala kuti muli ndi mtundu wa chithandizo cha matenda a shuga 1 kapena mtundu wa 2 matenda a shuga komanso mukudya zakudya zochepa. Muzisamala kwambiri ndi gastroparesis. Ngati, ngakhale muli ndi vutoli, muphunzira kukhala ndi shuga wabwinobwino, ndiye kuti pakatha miyezi ingapo kapena zaka, kugwira ntchito kwa mitsempha ya vagus kumachira pang'onopang'ono, ndipo m'mimba imagwira ntchito bwino. Koma kufikira nthawi ino, muyenera kuyang'anitsitsa maulamuliro.

Ngakhale patakhala kuti palibe chizindikiro chodziwika bwino cha matenda ammimba, matenda a shuga amachepetsa kwambiri shuga. Musaganize kuti ngati palibe chizindikiro cha kudzimbidwa, ndiye kuti gastroparesis sangathe kuwongolera. Ngati simutsatira izi, ma shuga a m'magazi amapitilira ndipo zovuta za matenda ashuga zimayamba zomwe zimayambitsa kulumala kapena kumwalira msanga.

Muyenera kugawana njira zosiyanasiyana zomwe zikufotokozedwa m'nkhaniyi. Mukamapeza njira zomwe zimakuthandizani kuti muchepetse gastroparesis, zotsatira zake zimakhala bwino. Kupatula kokha sikugwiritsa ntchito mankhwalawa Metoclopramide ndi Motilium (domperidone) palimodzi. Chifukwa mankhwalawa amachita pazinthu zomwezo, ndipo ngati atengedwa nthawi yomweyo, ndiye kuti chiopsezo cha zotsatira zoyipa chimawonjezeka kwambiri. Monga mwachizolowezi, masewera olimbitsa thupi ndi njira yothandiza komanso yotetezeka, kuposa mankhwala.

Amaganiza kuti ngati mutenga alpha lipoic acid, imathandiza kuchitira matenda am'mimba, kuphatikizapo mavuto ndi mitsempha ya vagus. Koma zidziwitso pankhaniyi ndizotsutsana, ndipo zowonjezera za alpha-lipoic acid ndizokwera mtengo kwambiri. Chifukwa chake, sitiyang'ana pa iwo m'nkhaniyo. Koma kugwiritsa ntchito zakudya zamapuloteni pomanga thupi kumatha kukuthandizani kuti muchepetse shuga komanso magazi a gastroparesis.