Pambuyo powerenga nkhani "Momwe Mungachepetse Magazi a shuga Kukhala Amodzimodzi," mudaphunzira zakudya zomwe zimathandizanso kuthana ndi matenda a shuga, ndipo ndi ziti zomwe siziyenera kuzipatula. Ichi ndiye chidziwitso chofunikira kwambiri pachakudya chochepa chamafuta amtundu 1 ndi matenda amtundu wa 2. M'nkhani ya lero, tikambirana momwe mungakonzekerere chakudya cham'tsogolo ndikupanga menyu.
Akatswiri odziwa ntchito amati "aliyense ali ndi matenda ake a shuga," ndizoona. Chifukwa chake, wodwala aliyense amafunikira chakudya chake chamagulu ochepa a shuga. Mfundo zoyendetsera shuga m'magazi a shuga ndizofanana kwa aliyense, koma njira yothandiza ndi yokhayo kwa aliyense wodwala matenda ashuga.
Mukukonzekera kusinthana ndi chakudya chamafuta ochepa kuti muchepetse shuga komanso kuti shuga yanu ikhale yokhazikika kwa anthu athanzi. Achibale ndi anzanu akadziwa zomwe muti mudye, adzadabwa ndipo adzakukhumudwitsani kwambiri. Iwo angakulimbikitseni kuti muyenera kudya zipatso ndi "zovuta" zamagulu, ndipo nyama ndi yoyipa. Amatha kukhala ndi zolinga zabwino, koma malingaliro apakale pazakudya zabwino za matenda ashuga.
Zikakhala zotere, wodwala matenda ashuga ayenera kukhotetsa chingwe chake ndipo nthawi yomweyo amakhala amayeza shuga. Nkhani yabwino ndiyakuti malangizo athu a shuga sayenera kuchepetsedwa. Onetsetsani kuti muli ndi mita yolondola ya shuga (momwe mungachitire, onani apa), kenako yesani kudya zakudya zomwe timalimbikitsa masiku angapo. Nthawi yomweyo pewani zinthu zoletsedwa. M'masiku ochepa, malinga ndi umboni wa glucometer, zikuwonekeratu kuti zakudya zamagulu ochepa zimachepetsa shuga m'magazi mwachizolowezi. M'malo mwake, njira iyi ndi yovomerezeka mu 100% ya milandu. Ngati magazi a shuga amakhalabe okwera, zikutanthauza kuti chakudya chobisika chimadumphira penapake muzakudya zanu.
Kukonzekera Chakudya Chotsika cha Carb
Zomwe muyenera kuchita musanayambe zakudya zamafuta ochepa pakuwongolera matenda a shuga:
- Phunzirani mosamala nkhani "Kuwerengera kwa Dose ndi Njira Yopangira Ma insulin." Mvetsetsani momwe mungawerengere kuchuluka kwa insulin "yayifupi" komanso "yowonjezereka", kutengera zomwe zimayimira shuga. Izi ndizofunikira kwambiri kuti muchepetse insulin yanu moyenera. Ngati china chake sichimamveka bwino - funsani mafunso mu ndemanga.
- Werengani nkhani yathu yatsatanetsatane ya hypoglycemia. Pendani zisonyezo za hypoglycemia yofatsa komanso momwe mungayimitsire panthawi kuti pasachitike zoopsa. Sungani mapiritsi anu a mita ndi glucose nthawi zonse.
- Ngati mukumwa mapiritsi aliwonse a shuga omwe ali mgulu la sulfonylurea, ndiye kuti azitaye. Chifukwa chomwe mankhwalawa ali ovuta akufotokozedwa mwatsatanetsatane apa. Makamaka, zimatha kuyambitsa hypoglycemia. Kugwiritsa ntchito kwawo ndikosathandiza. Matenda a shuga amatha kuthandizidwa popanda iwo, munjira zabwino komanso zotetezeka.
Nthawi zambiri, odwala matenda ashuga amapatsidwa zithunzi za zakudya zodziwika bwino kwa aliyense muofesi ya dotolo kapena m'makalasi a gulu, ndipo amalimbikitsidwa kuti azitsatira. Nthawi yomweyo, monga lamulo, sakulongosola chilichonse, chifukwa pali anthu ambiri odwala matenda ashuga, ndipo alipo ochepa ogwira ntchito zachipatala. Iyi si njira yathu ayi! Kupanga dongosolo lokhala ndi kadyedwe kokhala ndi zakudya zamagulu ochepa a shuga ndi njira imodzi yomwe imakumbutsira zokambirana zovuta za bizinesi. Chifukwa muyenera kuganizira zinthu zambiri zomwe zimasemphana wina ndi mnzake, monga zofuna za magulu osiyanasiyana pakukambirana.
Dongosolo labwino lazakudya zamagulu a shuga osachepera m'thupi ndi imodzi yomwe wodwalayo angafune ndipo angatsatire. Zitha kukhala zokhazokha, kukulitsa chizolowezi chanu cha tsiku ndi tsiku, zizolowezi zokhazikika, komanso kuphatikiza zinthu zomwe mumakonda.
Ndi chidziwitso chiti chomwe chimayenera kusungidwa musanapange mapulani a zakudya zopatsa mphamvu zamagulu ochepa a shuga:
- Zojambulidwa ndi zotsatira za kuyamwa kwathunthu kwa shuga kwa masabata 1-2. Sonyezani osati zisonyezo za shuga wa magazi zokha, komanso zambiri zofananira. Mudadya chiyani? Nthawi yanji? Ndi mapiritsi ati a shuga omwe adamwa ndipo anali kumwa? Kodi anali ndi insulin yamtundu wanji? Ndi magawo angati ndipo nthawi yanji? Zochita zolimbitsa thupi zinali chiyani?
- Dziwani za kuchuluka kwa mapiritsi a insulin ndi / kapena matenda a shuga amakhudzira shuga wanu wamagazi. Ndiponso - kuchuluka kwa shuga m'magazi anu kumachulukitsa 1 gramu iliyonse yama chakudya.
- Ndi nthawi yanji ya tsiku yomwe mumakhala ndi shuga wambiri? M'mawa, pachakudya chamadzulo kapena madzulo?
- Kodi zakudya ndi mbale zomwe mumakonda ndi ziti? Kodi ali pamndandanda wazinthu zololedwa? Ngati inde - zabwino kwambiri, aphatikizeni mu pulogalamuyo. Ngati sichoncho, lingalirani zomwe zisinthe. Odwala omwe ali ndi matenda amtundu wa 2, nthawi zambiri pamakhala kudalira kwamaswiti kapena kawirikawiri kumamidwe wamafuta. Mapiritsi a Chromium picolinate amathandizira kuchotsa izi. Kapena phunzirani momwe mungapangire maswiti malinga ndi maphikidwe a chakudya chamafuta ochepa.
- Ndi nthawi yanji komanso nthawi ziti zomwe mumakonda kudya kadzutsa, nkhomaliro komanso chakudya chamadzulo? Ndi zakudya ziti zomwe mumakonda kudya? Kodi mumadya zochuluka motani? Ndikulimbikitsidwa kwambiri kuti mugule ndi kugwiritsa ntchito muyeso wamakhitchini.
- Kodi mumamwa mankhwala a matenda ena kupatula shuga omwe angakhudze magazi anu? Mwachitsanzo, ma steroid kapena beta blockers.
- Ndi zovuta ziti zomwe zachitika kale? Ndizofunikira kwambiri - kodi pali matenda a diabetes a gastroparesis, i.e., akuchedwa kuyimitsa m'mimba mutatha kudya?
Kuchepetsa kuchuluka kwa mapiritsi a insulin ndi shuga
Ambiri mwa odwala matenda ashuga atatembenukira ku chakudya chamafuta ochepa amazindikira kuchepa msanga kwa magazi m'thupi, ngati izi zisanachitike. Mwazi umatsikira pamimba yopanda kanthu, makamaka mukatha kudya. Ngati simusintha mapiritsi a insulin ndi / kapena mapiritsi a shuga, ndiye kuti hypoglycemia yoopsa ndiyotheka. Chiwopsezo ichi chimayenera kumvetsedwa komanso njira zomwe zimatengedweratu kuti muchepetse.
Mabuku achingelezi achingerezi omwe amathandizira odwala matenda ashuga okhala ndi zakudya zamagulu ochepa amathandizira kuti muyambe kuvomereza mndandanda ndi adotolo wanu, kenako ndikumayamba kudya m'njira yatsopano. Izi ndizofunikira, molumikizana ndi katswiri, kukonzekera pasadakhale kuti muchepetse Mlingo wa mapiritsi a insulin ndi / kapena matenda a shuga. Tsoka ilo, munyumba malangizo awa sangagwiritsidwe ntchito. Ngati endocrinologist kapena katswiri wazakudya atazindikira kuti musintha zakudya zamagulu ochepa a shuga, mudzangomukhumudwitsa, ndipo simupeza uphungu wothandiza kuchokera kwa iye.
Mafunso ndi mayankho okhudza Zakudya Zochepa Zakudya Zam'mafuta - Kodi ndingadye zakudya za soya? - Onani ndi ...
Wolemba Sergey Kushchenko Disemba 7, 2015
Ngati tsamba la a Diabetes-Med.Com limakula pafupipafupi (gawani ulalo ndi anzanu!), Monga momwe anakonzera, ndiye kuti mu nthawi ya 2018 mpaka 2025, zakudya zamagulu ochepa zimakhala njira yodziwika yochizira matenda ashuga m'maiko olankhula Russia. Madokotala adzakakamizidwa kuti azindikire izi ndi kusiya zakudya zoyenera. Koma tikufunikirabe kukhala ndi moyo mpaka nthawi yosangalatsa iyi, makamaka popanda kulumala chifukwa cha zovuta za matenda ashuga. Chifukwa chake, muyenera kuchitapo kanthu panokha, "mwachisawawa, ngati usiku mgulu la taiga." M'malo mwake, zonse sizowopsa, ndipo mutha kuchepetsa chiopsezo cha hypoglycemia kukhala pafupifupi zero. Momwe mungachitire - werengani.
Tsamba lathu ndi gwero loyamba lomwe limalimbikitsa kuchiza matenda a shuga amtundu wa 1 komanso mtundu wa 2 wokhala ndi chakudya chochepa chama Russia. Kuchokera pakugonjera kwathu, izi zimafalitsidwa mwachangu pakati pa odwala matenda ashuga ndi pakamwa. Chifukwa iyi ndi njira yokhayo yochepetsera shuga m'magazi kuti ikhale yabwinobwino ndikuthana ndi zovuta za shuga. Kuthandiza odwala matenda ashuga omwe amakhala ndi "chakudya choyenera" sikuthandiza, ndipo mwina munaonapo nokha.
Zakudya za matenda a shuga pofuna kuchepetsa thupi
Odwala ambiri omwe ali ndi matenda a shuga a 2 safunika shuga wochepa chabe kuti akhale abwinobwino, komanso amachepetsa thupi. Nthawi yomweyo, odwala omwe ali ndi matenda amtundu woyamba 1 onenepa kwambiri nawonso akusowa. Njira yayikulu ndi iyi: choyamba timagwiritsa ntchito zakudya zamafuta ochepa kuti muchepetse shuga. Pankhaniyi, kulemera kamodzi pa sabata, koma musadandaule za kuchepetsa thupi. Chisamaliro chonse chimaperekedwa kuzizindikiro za glucose!
Tikaphunzira kukhala ndi shuga wabwinobwino m'magazi tisanayambe kudya, timakhala mu boma latsopano kwa milungu ingapo ndipo timayang'anitsitsa. Ndipo pokhapokha ngati mukufunikira, sinthani zina kuti muchepetse kunenepa kwambiri. Zolemba zapadera patsamba lathu zidzagwiritsidwanso ntchito pankhani yofunika iyi.
Ngati mumayesa kuchepa thupi komanso / kapena kuchepetsa shuga m'magazi mothandizidwa ndi zakudya zama "calorie" ochepa, mutha kuzindikira kuti sikuti amangothandiza, komanso kuvulaza. Tiyerekeze kuti mwadya chakudya chamadzulo, koma kotero kuti mudanyamuka patebulo ndikumva njala komanso kusakhutira. Mphamvu zamphamvu zakuzindikira zimakukokerani mufiriji, sizingatheke, ndipo zonse zimatha ndikusokosera kwamadzulo usiku.
Panthawi yamagulu osalamulirika, odwala matenda ashuga amadya zakudya zoletsedwa zamatumbo ambiri, chifukwa omwe magazi awo amayamba kulowa m'malo. Ndipo kenako ndizovuta kwambiri kuti ichepetse nthaka kuchoka pamlengalenga. Mapeto ake ndikuti muyenera kudya zakudya zololedwa ndi kudya zokwanira kuti mudzuke patebulo podzaza, koma osadya kwambiri. Monga momwe mungathere, phatikizani zakudya zomwe mumakonda mu chakudya chanu.
Timapanga menyu
Tsopano tiwona momwe mungapangire mndandanda wazakudya zamagulu ochepa zamafuta a shuga omwe angakukwaniritseni bwino. Palibe njala yokhazikika! Kukonzekera zakudya zabwino za anthu odwala matenda ashuga kumatha kukuthandizani ndi kuchuluka kwa kukhitchini, komanso magome a zinthu zomwe zili muzakudya.
Choyamba, timakhazikitsa kuchuluka kwa zakudya zomwe timadya pa chakudya chilichonse. Akuluakulu odwala matenda ashuga pakudya chamafuta ochepa amalangizidwa kuti adye mpaka magalamu 6 a chakudya cham'mawa, mpaka magalamu 12 pa chakudya chamasana komanso kuchuluka kwa chakudya chamadzulo. Mafuta okwana magalamu 30 patsiku, zosatheka. Zonsezi ndizopangira mafuta pang'onopang'ono, zokha kuchokera kuzinthu zomwe zikhale pagulu lololedwa. Osamadya zakudya zoletsedwa, ngakhale zili zochepa!
Kwa ana omwe ali ndi matenda ashuga, kudya tsiku lililonse kwamankhwala ochulukirapo kumayenera kuchepetsedwa molingana ndi kulemera kwawo. Mwana amatha kukula mwangwiro komanso makamaka popanda chakudya. Ma acino ofunikira ndi mafuta ofunikira alipo. Koma simupeza kutchulidwa kwachilengedwe kofikira kwina kulikonse. Musadyetse mwana yemwe ali ndi matenda ashuga ngati simumamufunira mavuto osafunikira.
Chifukwa chiyani sitipereka chakudya chamagulu m'zakudya za anthu odwala matenda ashuga? Chifukwa masamba ndi mtedza kuchokera mndandanda wamaloledwa amakhala ndi mavitamini, michere, mchere ndi fiber. Ndiponso, mwina, zinthu zina zothandiza zomwe sayansi sinakhale nayo nthawi yoti muzitulukire.
Gawo lotsatira ndikusankha kuchuluka kwa mapuloteni omwe mungafunikire kuwonjezera mafuta osokoneza bongo kuti muthe kuchokera pagome ndikumverera khunyu, koma osadya mopambanitsa. Mungachite bwanji izi - werengani nkhani ya "Mapuloteni, Mafuta ndi Zakudya Zam'madzi pa Zakudya za Matenda A shuga". Pakadali pano, kukula kwa khitchini ndikothandiza kwambiri. Ndi chithandizo chawo, mutha kumvetsetsa bwino lomwe tchizi cha 100 g cha tchizi, momwe 100 g yaiwisi yosiyanasiyana imasiyanirana ndi 100 g ya steak yokonzedwa yopangidwa, ndi zina zotero. Onaninso matebulo azakudya kuti muwone kuchuluka kwa mapuloteni ndi mafuta omwe ali ndi nyama, nkhuku, nsomba, mazira, shellfish, ndi zakudya zina. Ngati simukufuna kudya chakudya cham'mawa, ndiye kuti simungathe kuchita izi, koma onetsetsani kuti mumadya kadzutsa ndi mapuloteni.
Kuti muchepetse shuga m'magazi anu a shuga, chinthu chachikulu ndikuchepetsa chakudya chamagulu m'zakudya zanu, ndikusiyiratu kudya zakudya zamthupi zomwe zimagwira mwachangu. Zilinso ndi kuchuluka kwa mapuloteni omwe mumadya. Monga lamulo, kuchuluka kwa mapuloteni oyenera inu kadzutsa, nkhomaliro ndi chakudya chamadzulo sizingadziwike chimodzimodzi nthawi yoyamba. Nthawi zambiri kuchuluka kumeneku kumalongosoledwa m'masiku ochepa.
Momwe mungasinthire menyu malinga ndi zotsatira za masiku oyamba
Tiyerekeze kuti mwasankha kaye kuti mwakhuta ndi kudya magalamu 60 a mapuloteni pakudya kwamasana. Izi ndi magalamu 300 a mapuloteni (nyama, nsomba, nkhuku, tchizi) kapena mazira 5 a nkhuku. Pochita, zimapezeka kuti 60 magalamu a mapuloteni samakhala okwanira kapena, m'malo mwake, ochulukirapo. Pankhaniyi, chakudya chamasana chotsatira mumasintha kuchuluka kwa mapuloteni, pogwiritsa ntchito maphunziro a dzulo. Ndikofunikira kuti musinthe mosiyanasiyana mlingo wa insulin kapena mapiritsi anu a shuga musanadye. Tikukulimbikitsani kuti nthawi zambiri zakudya zama protein sizimawerengeredwa mukamawerengera kuchuluka kwa insulin, koma pazakudya zochepa zama carbohydrate, zimawerengedwa. Werengani nkhani ya "Kuwerengeredwa kwa Dose ndi Njira Yopangira Ma insulin Administration" zamomwe mungachitire izi.
Pakupita masiku ochepa, mudzadziwitsa kuchuluka kwa mapuloteni anu pachakudya chilichonse. Pambuyo pake, yesani kuisunga nthawi zonse, monga kuchuluka kwa chakudya. Kuneneratu kwa shuga wamagazi mukatha kudya kumadalira kuchuluka kwa mapuloteni komanso chakudya chamagulu omwe mumadya. Nthawi yomweyo, ndikofunikira kumvetsetsa bwino momwe mlingo wa insulin musanadye zimadalira kuchuluka kwa zakudya zomwe mukufuna kudya. Ngati mwadzidzidzi muyenera kudya zochulukirapo kapena zochepa kuposa masiku onse, ndiye kuti mutha kusintha molondola mlingo wa insulin.
Moyenerera, shuga m'magazi anu akamaliza kudya amakhalabe yemweyo monga analili asanadye. Kukula kosaposa 0.6 mmol / l ndikuloledwa. Ngati shuga amadzuka mwamphamvu kwambiri mutatha kudya, ndiye kuti china chake chimayenera kusinthidwa. Chongani mafuta obisika azakudya zanu. Ngati sichoncho, ndiye kuti muyenera kudya zakudya zovomerezeka kapena kumwa mapiritsi ochepetsa shuga musanadye. Momwe mungakwaniritsire kuthana ndi shuga mukatha kudya wafotokozedwanso m'nkhaniyo, "Momwe zakudya zopatsa mphamvu, mapuloteni, ndi insulin zimakhudzira shuga."
Kangati patsiku muyenera kudya
Malangizo pazakudya ndizosiyana kwa odwala matenda ashuga omwe amathandizidwa ndi insulin ndi omwe satero. Ngati simukubaya jakisoni, ndiye kuti ndibwino kudya kangapo patsiku. Ndi mawonekedwe awa, simungathe kudya mopitirira muyeso, kuthandizira shuga wamagazi ndikuwakhalabe abwinobwino, monga anthu omwe alibe shuga. Nthawi yomweyo, tikulimbikitsidwa kuti tisadye kamodzi pa maola 4 aliwonse. Mukachita izi, ndiye kuti kuchuluka kwa shuga m'magazi kuchokera pa chakudya cham'mbuyomu kumatha kukhala ndi nthawi kutha musanakhale pansi patebulo.
Ngati mutabayidwa insulin "yayifupi" kapena "ultrashort" musanadye, muyenera kudya maola 5 aliwonse kapena ochepera, ndiye kuti katatu pa tsiku. Ndikofunikira kuti zotsatira za muyeso wa insulini zisoweke musanapange jekeseni wotsatira. Chifukwa chakuti ngakhale mlingo wapambuyo wa insulin yochepa ukadalipo, sizingatheke kuwerengera ndendende momwe mlingo wotsatira uyenera kukhalira. Chifukwa cha vutoli limatengera matenda a shuga omwe amadalira insulin, ndikosayenera kwambiri kumangokhala osadya.
Nkhani yabwino ndiyakuti mapuloteni azakudya, mosiyana ndi chakudya chamagulu, amakhala ndi mtima wokhutira. Chifukwa chake, kupirira maola 4-5 mpaka chakudya chotsatira nthawi zambiri kumakhala kosavuta. Kwa odwala ambiri omwe ali ndi matenda ashuga a 2, kudya kwambiri kapena kususuka kwambiri ndi vuto lalikulu. Zakudya zamafuta ochepa zimakhala zokha zimathetsa vutoli.Kuphatikiza apo, tikhala ndi zolemba zowonjezera zokhala ndi malangizo enieni a momwe mungathanirane ndi vuto la kudya.
Chakudya cham'mawa
Ngati wodwala matenda ashuga akufuna kuthandizidwa moyenera, ndiye choyamba amafunika masabata 1-2 kuti azitha kuwonetsetsa kuti ali ndi shuga. Zotsatira zake, amaphunzira momwe zizindikiro zake zamagazi zimakhalira nthawi zosiyanasiyana patsiku. Anthu ambiri odwala matenda ashuga amavutika kwambiri kuchotsa shuga m'magazi akatha kudya chakudya cham'mawa. Cholinga cha izi, mwina, ndizomwe zimachitika m'mawa. Pazifukwa zina, m'mawa, insulin siyothandiza kwenikweni kuposa masiku onse.
Kuti mulipirire izi, ndikulimbikitsidwa kudya zakudya zophatikiza kawiri pakudya cham'mawa kuposa chakudya chamadzulo komanso chamadzulo. Mutha kukhala ndi kadzutsa wopanda chakudya chilichonse, koma mulimonsemo, yesetsani kuti musadutse chakudya cham'mawa. Idyani zakudya zomanga thupi m'mawa uliwonse. Makamaka malangizowa amagwira ntchito kwa anthu onenepa kwambiri. Ngati kuli kofunikira, nthawi zina mungalumphe chakudya cham'mawa. Ngati izi sizingasinthe kukhala kachitidwe. M'mikhalidwe yotere, limodzi ndi chakudya, wodwala matenda ashuga nawonso amasemphana ndi insulin yochepa asanadye ndipo samamwa mapiritsi ake ochepetsa shuga.
Anthu ambiri omwe ali ndi vuto lokonda kunenepa kwambiri azaka zapakati pa 35-50 abwera moyo wotere chifukwa anali ndi chizolowezi chosakhala ndi chakudya cham'mawa. Kapenanso amangozolowera kudya chakudya cham'mawa chokha ndi chakudya, mwachitsanzo, mafunde a phala. Zotsatira zake, munthu woteroyo amakhala ndi njala kwambiri pakati pa tsiku ndiye kuti amadya kwambiri chakudya chamasana. Chiyeso chodumpha chakudya cham'mawa chimatha kukhala champhamvu, chifukwa chimasunga nthawi, ndipo m'mawa simumvanso njala. Komabe, ndichizolowezi choyipa, ndipo zotsatira zake zazitali zimakhala zowonongeka paumoyo wanu, thanzi lanu komanso thanzi lanu.
Kodi kudya chakudya cham'mawa? Idyani zakudya zomwe zimaloledwa kudya zamafuta ochepa. Kanani mwamphamvu zinthu kuchokera pamndandanda woletsedwa. Zosankha zamtundu uliwonse ndi tchizi, mazira mwanjira iliyonse, cholowa cha soya, khofi ndi zonona. Pazifukwa zosiyanasiyana, odwala omwe ali ndi matenda a shuga amtundu woyamba ndi 2 amalangizidwa kuti azidyera chakudya chamadzulo kuposa 6:00 pm - 6:30 pm. Kuti mudziwe momwe mungachitire izi, ikani alamu pafoni yanu nthawi ya 17.30. Akalira, donthotsani chilichonse, pitani chakudya chamadzulo, "ndipo dziko lonse lapansi liziyembekezera." Chakudya chamadzulo cham'mawa chikadzakhala chizolowezi, mupeza kuti tsiku lotsatira, nyama, nkhuku, kapena nsomba zimapita kukadya nkhomaliro. Ndipo inunso mudzagona bwino.
Kuchuluka kwa chakudya komanso mapuloteni a chakudya cham'mawa amafunika kukhazikika tsiku lililonse, monga zakudya zanu zina. Timayesetsa kusinthanitsa zakudya ndi zakudya zosiyanasiyana kuti tidye mosiyanasiyana monga momwe tingathere. Nthawi yomweyo, timawerenga magome a zomwe zili muzakudya ndikusankha magawo azigawo kuti kuchuluka kwathunthu kwamapuloteni ndi zakudya azikhala nthawi zonse.
Chakudya chamadzulo
Timakonza chakudya chamasana malinga ndi mfundo zomwezo monga chakudya cham'mawa. Kuchuluka kwovomerezeka kwa chakudya chamafuta kumawonjezeka kuchoka pa 6 mpaka 12 magalamu. Ngati mukugwira ntchito muofesi ndipo simumatha kupeza chitofu, ndiye kuti kudya zakudya zabwinobwino kuti mukhale mkati mwa chakudya chamafuta ochepa. Kapenanso zidzakhala zodula kwambiri, makamaka kwa odwala omwe ali ndi matenda a shuga a mtundu wachiwiri a thupi lalikulu komanso omwe ali ndi chidwi chambiri.
Malo okhazikitsidwa pachakudya muyenera kupewa chilichonse. Tiyerekeze kuti mwabwera ndi chakudya mwachangu ndi anzanu ndipo adalamula hamburger. Anasiyira zingwe zonse pa thireyi, ndipo anangodya zodzaza nyama. Zikuwoneka kuti zonse ziyenera kukhala zabwino, koma shuga mosadumphadumpha atatha kudya. Chowonadi ndi chakuti ketchup mkati mwa hamburger ili ndi shuga, ndipo simungathetse.
Chakudya chamadzulo
Mu gawo lazakudya pamwambapa, tafotokoza chifukwa chake muyenera kuphunzira kudya chakudya chamadzulo komanso momwe mungachitire. Kasikil’owu, osadilanga mpe mu kuma kia longo. Chifukwa mapuloteni omwe adyowa amapatsa kumverera kwachifundo kwa nthawi yayitali. Uwu ndi mwayi wawo wawukulu wophatikiza chakudya ndi chisangalalo cha iwo omwe amadya zakudya zamafuta ochepa. Timayenda nthawi zonse tili okhuta komanso okhuta, ndipo anthu omwe amadya zakudya zamafuta ochepa komanso otsika pang'ono amakhala ndi njala nthawi zonse motero amakhala ndi mantha.
Chizolowezi chodyera chakudya chamadzulo m'mawa chimapereka zabwino ziwiri:
- Mudzagona bwino.
- Mukamadya chakudya cham'mawa, mumatha kudya nyama, nsomba ndi zakudya zina "zolemetsa" zam'mawa.
Ngati mumakonda kumwa vinyo pachakudya chamadzulo, ndiye kuti onani kuti zakudya zouma zokha ndizoyenera kudya zakudya zotsika mtengo. Kuchuluka kwa moyenera zakumwa za anthu odwala matenda ashuga ndi kapu imodzi ya mowa kapena kapu imodzi ya mowa pang'ono kapena tambala imodzi, yopanda shuga ndi misuzi ya zipatso. Werengani zambiri mulemba "Mowa mu Mtundu 1 ndi Matenda Awiri A shuga: Mutha, Koma Mopatsa Modekha". Ngati mumachiza matenda a shuga ndi insulin, ndiye kuti m'nkhaniyi ndikofunikira kwambiri kuti mudziwe momwe mowa umakhalira ndi momwe mungapewere.
Pali malingaliro osiyanasiyana okonzekera chakudya chamadzulo kwa odwala omwe adwala matenda a diabetesic gastroparesis, i.e., akuchedwa kutulutsa m'mimba chifukwa cha kuchepa kwa mitsempha. Mu anthu odwala matenda ashuga otere, chakudya kuyambira m'mimba kupita m'matumbo chimakhala chosiyana nthawi iliyonse, chifukwa chake shuga atatha kudya amakhala osakhazikika komanso osadalirika. Matenda a shuga a shuga ndi vuto lalikulu lomwe limapangitsa kuti shuga azithamanga, ndipo nthawi yamadzulo imabweretsa mavuto.
Matenda a shuga a shuga amatha kudzetsa shuga kapena magazi ochepa pogona. Ino ndi nthawi yomwe simungathe kuyesa shuga yanu ndikusintha ndi jakisoni wa insulin kapena mapiritsi a shuga. Pali nthawi zina pamene odwala matenda ashuga omwe amakhala ndi zakudya zamagulu ochepa amatha kukhala ndi shuga wokhazikika masana, koma chifukwa cha gastroparesis usiku, amakhalabe nayo. Panthawi imeneyi, zovuta za matenda ashuga zipita patsogolo.
Zoyenera kuchita - muyenera kuchitapo kanthu kuti muchepetse kutulutsa kwam'mimba. M'miyezi ikubwera, nkhani yatsatanetsatane yokhudza matenda ashuga a gastroparesis ndi chithandizo chake ipezeka patsamba lathu. Sinthani masamba obiriwira a chakudya chamadzulo ndi owiritsa kapena owotcha. Kumbukirani kuti ali ophatikiza. Chifukwa chake, masamba ochepa ophatikizidwa ndi kutentha amakhala ndi chakudya chofanana. Ndipo muyenera kudya mapuloteni ochepa pakudya chamadzulo kuposa chakudya chamasana.
Zosakhazikika pakati zakudya zazikulu
Zakudya zamtunduwu zimagwiritsidwa ntchito pochepetsa njala, mukafuna kudya kwambiri, ndipo chakudya chotsatira chachikulu sichinafike. Anthu odwala matenda ashuga omwe amathandizidwa pogwiritsa ntchito njira zokhazo, ndiye kuti, kutsatira zakudya “zopatsa thanzi,” amakakamizidwa kubaya Mlingo waukulu wa insulin usiku komanso / kapena m'mawa. Chifukwa chake, kwa iwo, zakudya zazokhazikika pakati pa chakudya chachikulu ndizofunikira.
Amakakamizidwa kuti azikhala ndi zokhwasula, chifukwa waukulu Mlingo wa insulin wotsika kwambiri. Izi ziyenera kulipidwa. Ngati simukulephera kudya, ndiye kuti pakati pa tsiku odwala matenda ashuga azidzakumana ndi zochitika zingapo za hypoglycemia. Pansi pa regimenyi, kayendetsedwe ka shuga m'magazi sikudafunso.
Ngati mutsatira zakudya zamafuta ochepa, ndiye kuti zinthu zili zosiyana kwambiri. Zakudya zamtunduwu sizokakamiza konse ayi. Chifukwa chakudya chamafuta pang'ono, wodwala matenda ashuga amakhala ndi mphamvu zochepa za insulin. Chifukwa cha izi, kuthamanga kwa shuga m'magazi kumakhalabe kwabwino, monga mwa anthu athanzi. Komanso, yesani kupewa kupewetsa chakudya pakati pazakudya zazikulu. Izi zili choncho makamaka kwa odwala matenda ashuga omwe amabaya insulin yochepa musanadye.
Pazakudya zamafuta ochepa a shuga, timalimbikitsidwa kudya zosaposa 6 magalamu a chakudya m'mawa, kenako zosaposa 12 magalamu a chakudya masana ndi kuchuluka komweko kungachitike madzulo. Lamuloli likugwira ntchito pazakudya zazikulu ndi zokhwasula-khwasula. Ngati mukukhalabe ndi chakudya, ngakhale mutatichenjeza, yesani kudya zakudya zopanda mafuta. Mwachitsanzo, nkhumba yophika pang'ono kuchokera ku nyama yachilengedwe kapena magawo a nsomba. Chakudya chofulumira kapena chakudya chochokera kumakina ogulitsira ndizoletsedwa! Pimani shuga m'magazi anu musanachitike komanso kuti mumve momwe zakudya zamkati zimakhudzira.
Ngati mukukadya zodyera, onetsetsani kuti chakudya chanu cham'mbuyomu chatayika kale. Izi ndizofunikira kuti phindu lake pakuwonjezera shuga m'magazi sizingokhala ndi zotsatira zazowonongera. Ngati mumabayira insulin yochepa musanadye, ndiye kuti musanamwe, muyenera kuperekanso jakisoni wokwanira kuti muimitse. Zotsatira za jakisoni waposachedwa wa insulin zitha kuwonekera ndi mphamvu ya zomwe zidachitika m'mbuyomu, ndipo izi zidzatsogolera ku hypoglycemia. Pochita izi, zonsezi zikutanthauza kuti maola 4 ochepa, makamaka maola 5, ayenera kuchoka kuzakudya zam'mbuyomu.
Ndikosayenera kwambiri kukhala ndi chakudya cham'masiku oyamba mutatha kudya zakudya zamagulu ochepa. Munthawi imeneyi, regimen yanu yatsopano sinakhazikikebe, ndipo mukupitiliza kudziwa mayendedwe oyenera a insulin, zakudya zama protein ndi mapuloteni. Ngati muli ndi chakudya, simudzatha kudziwa zinthu zomwe zingapangidwe ndi / kapena inshuwaransi yomwe imayenera “kutsutsa” kusinthasintha kwa shuga m'magazi.
Zimakhala zovuta kupenda buku lokhalo lodziyang'ana wekha ngati wodwala matenda ashuga atha kudya nawo usiku atadya. Mukadzuka m'mawa wotsatira ndikukwera kwambiri, kapena mosinthanitsa, shuga wochepa kwambiri m'magazi, ndiye kuti simungathe kudziwa zomwe munalakwitsa. Muli ndi vuto lolakwika la insulin usiku wonse? Kapena kodi mlingo wa insulin yochepa musanadye zolakwika? Kapena kodi munalakwitsa ndi kuchuluka kwa chakudya chamafuta m'mbale? Sizotheka kudziwa. Pali vuto limodzimodzilo ndi zakudya zazakudya nthawi ina iliyonse masana.
Yesani kudikirira mpaka chakudya chanu chomaliza chadzimbidwa musanadye kachiwiri. Komanso zochita za kuchuluka kwa insulin yochepa yomwe mudayilowetsa nthawi yoyamba chakudya isanathe. Ngati mumagwiritsa ntchito insulin yayifupi musanadye, ndiye kuti maola 5 ayenera kudutsa pakati pa chakudya. Ngati sichinagwiritsidwe, ndiye kuti maola 4 akukwana.
Ngati mukumva kukhala ndi njala kale kuposa masiku onse ndipo mukufuna kuluma, ndiye kuti muyambe kumayeza shuga ndi glucometer. Njala ikhoza kukhala chizindikiro choyamba cha hypoglycemia chifukwa cha kubaya insulin yambiri. Ngati shuga alidi otsika, ndiye muyenera kusintha nthawi yomweyo potenga mapiritsi a glucose atatu. Chifukwa chake mudzapewa hypoglycemia, yomwe imakhala pachiwopsezo cha kufa kapena kulumala.
Chakudya cha mapuloteni, mosiyana ndi chakudya chamafuta, chimapereka kukhumudwa kosatha. Lamulo lachitsulo kwa onse odwala matenda ashuga: wanjala - fufuzani shuga! Pazakudya zamafuta ochepa, simuyenera kukhala ndi kumva kwamphamvu kwa njala musanadutse maola 4-5 mutatha kudya. Chifukwa chake, muyenera kusamala ngati zikuwoneka. Ngati mupeza hypoglycemia, siyimitsani kaye, kenako yang'anani komwe munalakwitsa. Mwinanso amadya pang'ono kapena adalowa jakisoni kwambiri.
Kusankha mtundu wa insulin yochepa kuti "uzimitse" pang'onopang'ono
Gawoli limangokhala kwa okhawo omwe ali ndi matenda a shuga omwe amathandizidwa ndi jakisoni wa insulin "yifupi" kapena "ultrashort" asanadye. Amaganiziridwa kuti mwaphunzira kale mosamala nkhani "Kuwerengera kwa mtundu ndi luso la kuperekera mankhwala a insulin", ndipo zonse zakudziwikiratu. Zomwe sizikudziwikiratu - mutha kufunsa ndemanga. Amaganiziranso kuti mwawerengera kale chifukwa chake ndibwino kuti musinthe kuchokera ku insulin yochepa kupita yochepa kufupika pakudya chamafuta ochepa. Kusankhidwa kwa Mlingo wa insulin, womwe umayenera "kuzimitsa" snack, uli ndi mawonekedwe ake, ndipo akufotokozedwa pansipa.
Tikukumbutsaninso: kwa odwala omwe ali ndi matenda amtundu woyamba 1 omwe amalandira jakisoni wa insulini yothamanga musanadye, ndibwino osakhala ndi chakudya chambiri. Komabe, pali odwala matenda ashuga a thupi osalimba omwe samatha kudya chakudya chochuluka panthawi yotsalira kuti akhale ndi moyo maola 4-5 chakudya chotsatira chisanachitike. Mulimonsemo, ayenera kudya pafupipafupi.
Kusankha mtundu wa insulin yochepa kuti "muimitse" pang'onopang'ono utha kuzachitika pogwiritsa ntchito njira yosavuta kapena "yapamwamba". Njira yosavuta ndi motere. Muli ndi zofunikira kudya zomwe mumadya nthawi zonse komanso zomwe mumadziwa kale kuchuluka kwa insulin. Tiyerekeze kuti mwasankha kudya pang'ono ndikudya 1/3 ya chakudya chanu chokwanira. Pankhaniyi, musanakhwime, mumangolowa jakisoni wa gawo limodzi mwa insulin.
Njira iyi ndi yoyenera pokhapokha ngati mwatsimikizira kale ndi glucometer kuti shuga yanu ndi yabwinobwino, i.e. bolus yofunikira siyofunika. Kodi chakudya ndi kukonza - muyenera kudziwa mu nkhani ya: "Dose calculation and Technique for Insulin Administration". Njira yotsogola ndi kuchita mokwanira kuwerengera malinga ndi momwe tafotokozera m'nkhaniyo. Mwa izi, timakumbukira kuti kuchuluka kwa insulini yochepa musanadye chakudya ndi kuchuluka kwa malo okhala ndi chakudya komanso malo okhala.
Popeza mudadya zokhwasula, mudikirira maola 5, ndiye kuti mumadumphira chakudya chotsatira. Izi ndizofunikira kuti muwone ngati mulingo wa insulin, mapuloteni ndi zakudya zinasankhidwa bwino. Muzipima shuga m'magawo awiri mutatha kudya chakudya, komanso maola ena atatu, i.e. maola 5 mutatha kudya osakonzekera. Ngati shuga wamagazi amapezeka wabwino nthawi zonse, zikutanthauza kuti aliyense adachita zoyenera. Poterepa, nthawi yotsatira mukapanda kudumphira chakudya chomwe mwakonzekera. Ingolowani pazakudya zomwezo ndikulowetsani insulin yomweyo. Kupatula apo, mwazindikira kale kuti ndizolondola poyesa.
Ngati muli ndi njala kwambiri, ndiye kuti mutha kubaya insulini yochepa kwambiri m'malo mwa yofupikitsa kuti musunthe mwachangu. Kupatula apo, mutabaya insulin yayifupi, muyenera kudikirira mphindi 45, ndipo pambuyo pa ultrashort - mphindi 20 zokha. Koma izi zitha kuchitika pokhapokha mutadziwiratu momwe ultrashort insulin imakuchitirani.
Nthawi zambiri ultrashort insulin imakhala yolimba nthawi 1.5-2 kuposa yifupi. Ndiye kuti, mlingo wa insulin ya ultrashort uyenera kuyikiridwa ⅔ kapena ½ wa muyeso wa insulin yochepa pazakudya zofanana. Ngati mutabaya jekeseni yomweyo ya insulin, monga mumakonda kubayitsa pang'onopang'ono, ndiye kuti mudzakumana ndi hypoglycemia. Zoyesera ndi insulin ya ultrashort zimayenera kuchitika pasadakhale m'malo abwinobwino, osati m'malo ovuta kwambiri komanso opsinjika.
Njirayi ndiyosavuta: gwiritsani ntchito zakudya zomwe zimangokhala ndi mapuloteni ndi mafuta azakudya, ndipo mulibe zomanga thupi konse. Nkhumba yophika, kusenda kwansomba, mazira ... Potengera izi, mutha kubaya insulin yachilendo ndikuyamba kudya pambuyo mphindi 20. Chifukwa chakuti mapuloteni m'thupi amasintha glucose pang'onopang'ono, ndipo insulin yochepa imakhala ndi nthawi yogwira ntchito panthawi.
Tinafotokoza njira yowerengera insulin, yomwe imakhala yovuta kwambiri. Koma ngati mukufuna kuwongolera matenda anu a shuga, ndiye kuti palibenso njira ina yothandizira. Odwala matenda ashuga samadandaula kuti awerenge mosamala ma insulin ndi chakudya. Koma ali ndi zovuta za matenda ashuga, ndipo timasunga magazi a shuga a 4.6-5.3 mmol / L, ngati anthu athanzi. Odwala omwe amayesa kuchiza matenda awo a shuga pogwiritsa ntchito njira "zachikhalidwe" samayimba kulota zotulukapo.
Zovuta: Chenjezo lomaliza
Tivomerezane: Zakudya zopanda pake ndizofunikira kwambiri chifukwa odwala matenda ashuga omwe amakhala ndi zakudya zamagulu ochepa samatha kukhalanso ndi shuga. Choyamba muyenera kuphunzira nkhani yolembedwa kuti: "Zomwe shuga zimatha kupitilizidwa kudya zakudya zamagulu ochepa, komanso momwe mungazikonzere." Ganizirani mavuto omwe afotokozedwa pamenepo. Koma ngati simusangalala kwambiri ndi zotsatirapo, ndiye kuti, magaziwo akadumpha, ndiye kuti kutembenukirakukufikira
Vuto loyamba ndi zokhwasula-khwasula ndikuti amasokoneza kusanthula kwa buku loziyang'anira pawokha. Takambirana mwatsatanetsatane m'nkhaniyi. Vuto lachiwiri ndilakuti anthu sazindikira kuchuluka kwa chakudya chomwe angadye akakhala ndi chakudya. Ngakhale mutadya kwambiri zakudya zovomerezeka, zonse zomwezi, shuga wamagazi amawonjezeka chifukwa cha malo odyera achi China.Ngati kuyesa kuchepetsa kudya kwambiri sikugwira, ndiye werengani nkhaniyo kuti “Mapiritsi ochepetsa chidwi chofuna kudya. Momwe mungagwiritsire ntchito mankhwala a shuga kuti muchepetse kuda kwanu. ”
Ndidzakhala wokondwa kuyankha mafunso anu m'ma ndemanga.
