Sikuti aliyense amadziwa momwe insulini imakhudzira thupi. Koma anthu ambiri amadziwa kuti iyi ndi timadzi tomwe kuperewera kumayambitsa kukula kwa matenda ashuga. Komabe, sikuti ndizowononga zokha, komanso kuwonjezerapo zinthuzo ndizovulaza anthu.
Insulin yayikulu imayamba chifukwa cha kupundika kwa kapamba, komwe kumapangitsa kuchuluka kwa shuga m'magazi ndikuwonekera kwa hypoglycemia. Izi zimakhudza kulemera, ndipo zikukula mwachangu. Mutha kuletsa kukula kwa kunenepa kwambiri ndikulemba matenda a shuga a 2 kudzera mu mankhwala osokoneza bongo komanso zakudya zapadera.
Zakudya zoyenera ndi insulin yowonjezera imachepetsa kukula kwa mahomoni ngakhale popanda kugwiritsa ntchito mankhwala. Zakudya zamankhwala zimathandizira kupewa kupezeka kwa hypoglycemia ndi kulephera kwa metabolism ya carbohydrate. Koma musanaphunzire za malamulo azakudya, muyenera kumvetsetsa momwe chitukuko cha hyperinsulinemia chimakhalira.
Chifukwa chiyani insulin imakwera?
Insulin ndi timadzi tating'onoting'ono tomwe timatulutsa. Ntchito yake yayikulu ndikukhazikitsa magawo a shuga m'magulu amthupi.
Koma kuchuluka kwa insulini kuyenera kupangidwa? Voliyumu imadziwikiridwa ndi machitidwe awiri. Maselo omwe amawongolera kupanga insulin amayankha shuga mumtsinje wamagazi ndi kuthamanga komwe glucose amasintha.
Ngati shuga wamagazi ndiwambiri kwambiri, zomwe zimachitika mutatha kudya, kapamba amatulutsa insulin. Ikuwunika momwe kuchuluka kwa shuga kumachepera.
Kuchulukitsa kwa mahomoni kumadalira kuchuluka kwa kuchepa kwa glucose wamagazi. Chifukwa chake, pang'onopang'ono shuga akamakakamizidwa, kuchuluka kwa insulini kumadziwika ndi kapamba.
Chifukwa chake, chomwe chikutsogolera, chifukwa chomwe kuchuluka kwa insulini m'magazi kumakwera, ndikumachepetsa shuga pang'onopang'ono ndi maselo amthupi, omwe amakhala amtundu wa shuga. Ndi matendawa, kagayidwe kazinthu kena kamasokonezedwa:
- Ma insulin receptors amasiya kuzindikira mahomoni, chifukwa chake insulin sichita ntchito yake mokwanira.
- Mukatha kudya odwala matenda ashuga, kuchuluka kwa shuga mumtsinje wamagazi kumachepetsa pang'onopang'ono.
- Chifukwa cha kuchepa kwapang'onopang'ono kwa shuga m'magazi, kapamba amayamba kupanga gawo lina la mahomoni, ndipo kuphatikiza kwake kumakhala kwakukulu kwambiri.
Palinso chifukwa china chomwe chimakhudza kuchuluka kwa insulin.
Awa ndimtundu ngati zotupa zopangidwa kuchokera ku ma cell omwe ali ndi vuto lopanga mahomoni. Ngakhale kuphwanya malamulo kotere kumachitika kawirikawiri.
Kodi kudya ndi kufunikira ndi chiyani?
Ndi prediabetes komanso koyambirira kwa chitukuko cha matendawa, Zizindikiro zopweteka nthawi zambiri zimakhala palibe. Mavuto owopsa a matenda ashuga (retinopathy, arthropathy, neuropathy) amakula pang'onopang'ono kwa nthawi yayitali popanda kuchititsa wodwalayo zovuta.
Ngati zakudya sizitsatiridwa ndi insulin yowonjezereka m'magazi, munthu ayenera kukhala wokonzekera chitukuko cha zotsatira zingapo. "Mbali" yoyambayo ndikutuluka kwa mawonekedwe a insulin-odziyimira payokha.
Zikondwerero sizingagwire ntchito mowonjezera. Zotsatira zake, kufooka kwa maselo kumachitika, ndipo kuchuluka kwa mahomoni m'magazi kudzachepa. Izi zikuthandizira kufunikira kwa insulini kwa moyo wonse, komwe kumawongolera kagayidwe kazakudya.
Anthu odwala matenda ashuga omwe safuna kudya moyenera amayenera kumwa mankhwala ambiri nthawi imodzi, kuphatikizapo sulfonylureas, yomwe imapangitsa kuti timadzi tating'ono tambiri, ichulukitse kuchuluka kwake m'magazi. Mankhwalawa amalipiritsa kagayidwe kazakudya, koma amathandizira kutuluka kwa matendawa kukhala fomu yodalira insulin.
Ngati zakudya sizitsatiridwa, odwala matenda ashuga amayamba mavuto obwera mochedwa:
- retinal atrophy;
- kuwonongeka kwa miyendo, nthawi zambiri kumatha ndikuduladula;
- kulephera kwa impso;
- kuchepa kwa zaka;
- pafupipafupi stroko komanso mtima.
Kudya ndi insulin yowonjezereka sikungachiritse matenda ashuga kwathunthu. Koma ndiye maziko othandizira matendawa, popeza kuti kudya mokwanira kumathandizira kuchepetsa shuga wamagazi ndikuchepetsa kupanga insulin.
Ngati mumadya zakudya zina zokhala ndi matenda ashuga, mutha kuchepetsa thupi. Kupatula apo, kusokonezeka kwa kagayidwe kazachilengedwe kumachitika ndi kunenepa kwambiri. Munthu wodekha pang'ono amakhala kuti insulin imakana.
Zakudya zinanso zimakuthandizani kuti muchepetse chiopsezo chokhala ndi zovuta za matenda ashuga ndikuwongolera zomwe zimachitika m'thupi.
Zololedwa ndi Zoletsedwa
Anthu odwala matenda ashuga amatha kupanga okha menus kwa sabata limodzi. Koma ayenera kudziwa zomwe mankhwala omwe amapanga insulin m'magazi akuwonjezeka kapena kuchepa. Ndikofunikanso kuonetsetsa kuti chakudyacho ndichabwino komanso chokwanira.
Ndikofunikira kukana kutenga mchere wambiri. Zovomerezeka ndizovomerezeka mpaka magalamu 10 patsiku.
Zakudya zoletsedwa ndizopatsa shuga ndi maswiti okhala nazo, zakudya zokazinga komanso zamafuta. Simungathe kudya zokometsera ndi chakudya, zokuthandizira zonunkhira.
Zinthu zina zomwe zimawonjezera insulin ya magazi:
- Confectionery
- mowa
- zipatso zokoma (nthochi, mphesa, zoumba);
- wokondedwa;
- kuphika, makeke, mikate yoyera;
- timadziti mumapaketi, koloko yabwino ndi zakumwa.
Kuti musachulukitse insulini komanso kuti musakhale ndi kulemera kwambiri, ndikofunikira kuonetsetsa kuti mankhwalawa okwanira opezeka pakudya yamasiku onse aamuna ndi 2300 kcal, kwa akazi - mpaka 1500 kcal, mwana - kuyambira 1200 mpaka 1950 kcal.
Kuchepetsa insulin m'mwazi mu zakudya kuphatikiza zakudya zokhala ndi calorie ochepa komanso otsika a glycemic index. Kodi ndi zinthu ziti zomwe zili mgululi?
Awa ndi mazira omwe amatha kuwiritsa kapena kuwaphika kuchokera kwa iwo amamu othira. Zakudya zoterezi zimaloledwa kudya katatu pa sabata.
Zakudya zamtundu wa nsomba ndi nyama zopanda khungu zimathandizanso kuti achepetse thupi. Kudya nsomba zamafuta ndizololedwa, koma mpaka kawiri pa sabata.
Zakudya zina zomwe zimachepetsa insulin:
- pafupifupi masamba onse, kupatula kukhuthala;
- zipatso zowawasa;
- njere zochokera ku mbewu zonse (bulwheat, mpunga wa bulauni, tirigu, oats);
- mbewu za mpendadzuwa, soya, tirigu (watumphuka);
- mafuta mkaka otsika.
Insulin yayikulu komanso kunenepa kwambiri ndizogwirizana kwambiri, ndiye kuti zina zonse zingagwiritsidwe ntchito, koma pang'ono. Ndikwabwino kukana chakudya chamadzulo, ndipo musanagone mumaloledwa kumwa kapu ya kefir.
Payokha, ndi koyenera kuwunikira zinthu zomwe zimakhala ndi insulin yachilengedwe. Izi zikuphatikizapo Yerusalemu artichoke, squash ndi dzungu. Masamba a Blueberry amakhalanso ndi insulin yachilengedwe. Chakudya choterocho chimachulukitsa kuchuluka kwa mahomoni m'magazi, choncho ayenera kugwiritsidwa ntchito mosamala komanso magawo ang'onoang'ono.
Kudziwa mndandanda wazinthu zololedwa komanso zoletsedwa, mutha kupanga mndandanda wazomwe mungakwanitse. Zikuwoneka ngati:
- Choyamba kadzutsa - ena oyera obera, oatmeal mkaka wopanda shuga, tiyi ndi stevia.
- Chakudya chamasamba - anaphika wobiriwira wobiriwira.
- Chakudya chamasana - masamba ochepa kapena msuzi wa nyama, nkhuku yofinya kapena nyama yodulidwa, nyama yankhumba, masamba ophika.
- Chakudya chamadzulo masana - 200 ml ya kefir yokhala ndi ma biscuit cookies, tchizi chamafuta pang'ono ndi zipatso.
- Chakudya chamadzulo - mpunga wa bulauni ndi fillet ya nsomba, masamba, msuzi wa phwetekere.
Zopatsa thanzi komanso zoyenera kutsatira pa Hyperinsulinemia
Munthu akachulukitsa insulini, samva kufooka, maonekedwe ake akuipiraipira, komanso kukalamba kwa thupi kumathandizira. Chizindikiro china cha hyperinsulinemia ndi matenda oopsa.
Pofuna kupewa kupitirira kwa zizindikiro zomwe tafotokozazi, ndikofunikira kuphunzira malamulo atatu ofunikira pakudya - musadye chakudya chamadzulo pambuyo pa 18 00, idyani chakudya chamafuta ndi mafuta asanafike chakudya chamasana, zakudya zamafuta ochepa ndizomwe zimaloledwa kudya chakudya chamadzulo.
Chinthu champhamvu chomwe chikukulitsa kukula kwa hyperinsulinemia ndi njala. Pakati pa chakudya, yopuma sayenera kupitirira maola atatu. Chifukwa chake, muyenera kunyamula chakudya chosafunikira (maapulo, ma cookie odya).
Osati zakudya zokha zopatsa insulin. Zimathandizanso kumwa khofi, zakumwa zoledzeretsa komanso kusuta. Zonsezi zimakhumudwitsa kagayidwe kachakudya ndikuwonjezera index ya glycemic.
Komabe, insulini yotsika imakhudzanso thupi, zomwe zimatha kukhala ndi hyperglycemia ndi hypoglycemia, yomwe ana amatengeka kwambiri, chifukwa amakhala olimbikira ndipo amatha kudya mphamvu mosavuta. Pofuna kuti muchepetse kuchepa kwambiri kwa ndende mu thupi musanayambe kuchita masewera olimbitsa thupi, munthu wamkulu ndi mwana ayenera kudya zakudya zopatsa mphamvu ndi zopatsa mphamvu zopatsa mphamvu.
Kuti khazikitse shuga, ndikulimbikitsidwa kuti nthawi ndi nthawi muzidya zakudya zamafuta ambiri a omega-3. Iyi ndi nthanga ya maungu, mafuta a nsomba ndi mafuta opendekeka.
Chromium ndi gawo lina lofunikira lomwe limalepheretsa kukula kwa hyperinsulinemia. Izi zimapezeka mu zipatso, nsomba zam'madzi, masamba ndi mtedza.
Kuphatikiza pa chakudyacho, pamene ziwalo zimatulutsa insulin yambiri, madokotala amatenga Duphaston. Zotsatira za mankhwalawa ndizofanana ndi mphamvu ya progesterone. Mukamamwa mankhwalawo, kulemera kumatayika msanga.
Wodwala wodwala matenda a shuga akumwa mankhwalawa akuti wataya ma kilogalamu 4 pa sabata. Ndemanga zina zokhudza chida ichi ndi zabwino.
Mankhwalawa nthawi zambiri amaphatikizidwa ndi zovuta. Mapiritsi amamwa kawiri patsiku pa 10 mg kwa miyezi 3-6. Koma mukamamwa Dufaston, mutu, kuchepa magazi, zotupa zam'mimba komanso zotsatira zina zitha kuwoneka, choncho chithandizo chikuyenera kuyang'aniridwa ndi achipatala.
Momwe mungachepetse insulin kudzera muzakudya ikufotokozedwa mu kanema m'nkhaniyi.
