Matenda a shuga amtundu uliwonse mwa mitundu itatuyi (yoyamba, yachiwiri, yokhudzana ndi malingaliro) amasintha moyo wa munthu. Popewa kuthamanga kwa shuga m'magazi, ndikofunikira kutsatira zakudya zotchulidwa ndi endocrinologist. Kusankha kwazomwe mukugulitsa malinga ndi tebulo la glycemic index (GI).
Mtengo uwu umawonetsa kuchuluka kwa shuga m'magazi mutadya chakudya kapena chakumwa china. Odwala omwe amadalira insulin amafunikiranso kuganizira kuchuluka kwa XE - angati mikate ingapo pa chakudya chimodzi.
Kutengera izi, magawo a mkate amawonetsa kuchuluka kwa insulin yochepa, yochepa kwambiri pakubayira. Komanso, malonda ake amakhala ndi chindapusa cha insulin chomwe chikuwonetsa momwe inshuwaransi imabisamo insulin mukatha kudya.
Madokotala amaletsa odwala kumwa mowa uliwonse, koma si ambiri amene akufuna kusiya mowa wodziwika, ndipo nkhaniyi ifotokozedwa m'nkhaniyi. Otsatirawa ndikukambirana ngati kungakhale kotheka kumamwa mowa ndi matenda ashuga, kuchuluka kwake momwe kungakulitsire shuga m'magazi, glycemic yake ndi insulin index, omwe amamwa mowa ndi matenda osokoneza bongo a mellitus mtundu 2, ndipo kwakukulu, ngati mowa ndi mtundu wa 2 shuga zikugwirizana.
Kodi glycemic index yamowa ndi chiyani?
Ndi matenda 2 a shuga, odwala amadya chakudya chokhala ndi index yotsika ya glycemic, ndiko kuti, mpaka magawo 49 akuphatikizidwa. Kuchuluka kwa chakudya chotereku sikumatha, mwachidziwikire, kumatha malire. Mwololedwa osapitilira katatu pa sabata pali zinthu zomwe zimakhala ndi mtengo wapakatikati, kuchokera pa 50 mpaka 69 mayunitsi. Koma matendawa ayenera kukhala mumalo akhululuka. Zakudya zokhala ndi chisonyezo chokwera, chokulirapo kapena chofanana ndi mayunitsi 70, zimapangitsa shuga m'magazi, ndipo zimayambitsanso hyperglycemia.
Kuphatikiza apo, zakudya za anthu odwala matenda ashuga ayenera kukhala ochepa-calorie, chifukwa nthawi zambiri odwala matenda ashuga omwe amadalira insulin amakhala onenepa. Mlozera wa insulin ulinso chidziwitso chofunikira, ngakhale sichikhala chofunikira posankha zinthu zamankhwala azakudya. Mlozera wa insulin umawonetsa kuyankha kwa kapamba ku chakumwa kapena chakudya, mokulira, ndibwino.
Kuti mumvetsetse ngati mowa ungagwiritsidwe ntchito kwa matenda ashuga, muyenera kudziwa zonse zomwe zikuperekedwa pansipa:
- mndandanda wa mowa wa glycemic ndi 110;
- cholembera cha insulin ndi magawo 108;
- mowa wopanda mowa uli ndi zopatsa mphamvu za 37 kcal, zakumwa za 43 kcal.
Mukayang'ana kuzizindikiro izi, mawuwo akunena motsimikiza kuti ndi shuga mungamwe mowa. Kumbukirani, palibe mowa wathanzi kwa odwala matenda ashuga, kapena opepuka, amdima kapena osamwa.
Mowa umachulukitsa shuga wamagazi ndipo umakhudza kwambiri mkhalidwe wamunthu.
Kuopsa kobisika
Malingaliro a shuga ndi mowa ndi owopsa chifukwa chakumwa ichi ndimagalamu 100 ali ndi magalamu 85 a chakudya. Mabakiteriya amamwetsa mowa ndikuphatikiza malungo, omwe ndi abwino kugaya chakudya mosavuta. Chifukwa chake, zakumwa za mowa zimakulitsa kuchuluka kwa shuga m'magazi.
Beer yokhala ndi matenda amtundu woyamba amakhala ndi vuto la hypoglycemia, lomwe ngati silichiritsidwa, lingayambitse chikomokere. Chowonadi ndi chakuti mowa uliwonse, mosasamala kuti mumwa uti umamwa magazi, umawonedwa ndi thupi ngati chiphe. Mphamvu zake zonse adaponyedwa kuti azisamalira mowa mwachangu. Nthawi yomweyo, shuga amatulutsidwa m'magazi.
Komabe, odwala omwe amapaka insulin kwa nthawi yayitali amadziika pangozi kuti alandire shuga wotsika kwambiri m'thupi poletsa kutulutsa shuga. Chifukwa chake, ngati mukuganiza zakumwa mowa wambiri ndi matenda ashuga, muyenera kudya zakudya zovuta kuzimitsa chakudya.
Kuti muchepetse kuwonongeka kwa mowa, muyenera kutsatira malamulo angapo:
- Imwani chakumwa cham'mimba chokha;
- muchepetse kuchuluka kwa insulin yochepa pasadakhale (yamtundu woyamba wa shuga);
- chololedwa ngati chakudya chokwanira kudya zakudya zomwe zili ndi GI wamba;
- osamwa mowa wambiri patsiku;
- tengani kuwerenga kwa magazi ndi glucometer.
Kodi ndizotheka kuti odwala matenda ashuga akhale ndi mowa kapena ayi - lingaliro loterolo limakhala m'manja mwa wodwalayo, popeza chiwopsezo cha zovuta pambuyo pomamwa chimakhala chachikulu.
Ngati mumamwa mowa wambiri, izi zimapangitsa kuti aledzeretsedwe ndipo wodwalayo sangathe kuzindikira kukula kwa glycemia. Chifukwa chake, ndikofunikira kuchenjeza okondedwa anu za kuopsa kwa zovuta komanso thandizo loyamba.
Kumbukirani kuti mowa ndi shuga ndizophatikiza zowopsa. Ngati mukuganizabe kumwa zakumwa zoledzeretsa, ndiye kuti ndibwino kusankha vinyo wouma, wotsekemera, champagne kapena vodka.
Sizoletsedwa kumwa mowa wa anthu odwala matenda ashuga ngati awa:
- ngati pali kufalikira kwa matenda "okoma";
- pamimba yopanda kanthu;
- munthawi ya kumwa mankhwala.
Dokotala aliyense wa endocrinologist angati mowa womwe umadwala matenda a shuga umayambitsa kuchuluka kwa shuga m'magazi ndipo umayambitsa zovuta pazinthu zomwe akufuna.
Kumwa mowa kumapangitsa shuga kukhala wowonjezera komanso kusokoneza magwiridwe antchito amthupi lonse.
Chofufumitsa cha Brewer's
Odwala ena amakhulupirira molakwika kuti mowa wokhala ndi matenda a shuga a 2 ndi 1 amatha kukhala ndi phindu pa thupi chifukwa cha yisiti yomwe ilimo. Komabe, izi ndizolakwika. Izi ndi theka la mapuloteni ndipo zimakhala ndi otsika glycemic index - osaziyimira mowa. Zoonadi, mu mowa, GI yapamwamba imatheka chifukwa cha chimera.
Zachidziwikire, yisiti yofulula kwa matenda ashuga ndi yothandiza, monga zikuwonetsedwera ndikuwunika kwa odwala. Muli 18 amino acid, mavitamini ndi michere ingapo. Chithandizo cha yisiti chimagwiritsidwa ntchito ngati chithandizo chofanana, koma osati chachikulu.
Yisiti ya Brewer's mu shuga imakwaniritsa thupi la munthu ndi vitamini-mineral tata ndipo nthawi zambiri imakhala yothandiza pantchito ya zinthu zambiri zolimbitsa thupi. Mutha kuzitenga osati kuchokera ku shuga, komanso kwa kapamba, kuchepa magazi, mu nthawi ya postoperative.
Ndi zinthu zopindulitsa ziti zomwe zimapezeka mu yisiti:
- ma amino acid;
- Mavitamini a B;
- magnesium
- zinc;
- zomanga thupi zopezeka mosavuta.
Zinc ndi magnesium, imalumikizana, imakulitsa chiwopsezo cha maselo kupita ku insulin yobisika. Chifukwa chake, kupanga yisiti kuchokera ku mtundu wa shuga womwe sukudalira insulin kumakhulupirira kuti ndizothandiza.
Mavitamini akuluakulu a B azitha kukhala ndi zotsatira zabwino mu ubongo wamanjenje. Mapuloteni omwe amapezeka mosavuta amachepetsa chilakolako chofuna kudya, zomwe ndizofunikira pamaso pa kunenepa kwambiri kwa thupi.
Chofufumitsa cha Brewer's cha shuga chimaloledwa motere: supuni ziwiri, kawiri patsiku. Ndikofunika kumwa iwo mphindi 20 chakudya chisanafike.
Malangizo a Dokotala Pathanzi
Matenda a shuga a Type 2 amatha kutha kuwongoleredwa ngati mutakulitsa chakudya choyenera chama carb. Zogulitsa zimatengedwa ndi GI yotsika komanso zopatsa mphamvu zopatsa mphamvu. Kuphika kumachitika pokhapokha pogwiritsa ntchito njira zina zamafuta - kuphika, kutsitsa, kusenda, mu microwave komanso grill.
Ndi mtundu wachiwiri wa matenda, simuyenera kungosankha bwino zakudya zamatenda odwala matenda ashuga, komanso kutsatira mfundo za zakudya za matenda a shuga a mtundu wachiwiri. Muyenera kudya m'magawo ang'onoang'ono, kangapo, kasanu kapena kasanu pa sabata, makamaka nthawi imodzi. Ngati chinthu chatsopano chalowetsedwa mumenyu, fufuzani ngati akuwonjezera shuga m'magazi.
Monga tafotokozera kale, mowa ndi matenda ashuga sizigwirizana, koma siwokhako zakumwa zomwe zimayenera kutayidwa. Pali zinthu zingapo zomwe ndizoletsedwa kwathunthu kwa iwo omwe ali ndi matenda amtundu uliwonse.
Ndi zakudya ndi zakumwa ziti zomwe sizimachotsedwa muzakudya:
- zakumwa zokoma za kaboni, mowa, zipatso ndi mabulosi, timadzi tokoma;
- shuga yoyera, chokoleti, maswiti, makeke oyera oyera;
- mafuta, okazinga zakudya;
- masoseji, chakudya zamzitini, nsomba zamalonda;
- mafuta a mkaka, mafuta a mkaka;
- nyama yamafuta ndi nsomba;
- semolina, mpunga, pasitala, mapira, phala ya chimanga.
Zakudya za calorie za tsiku ndi tsiku siziyenera kupitirira 2300 - 2500 kcal, koma ngati wodwalayo ali ndi thupi lochulukirapo, kuchuluka kwama calories kuyenera kutsitsidwa kufika ku 2000 kcal.
Madzi okwanira ayenera kupezeka m'zakudya - malita awiri.
Zowonjezera Zowonjezera Zachangu
Ndi shuga wambiri, sikokwanira kungomatira chithandizo chamankhwala, muyenera kuchita masewera olimbitsa thupi pafupipafupi - iyi ndi chiphuphu chabwino kwa odwala matenda ashuga. Zochita zolimbitsa thupi zimaphatikizapo kugwiritsa ntchito mphamvu, ndiko kuti, pokonza shuga. Chifukwa chake, shuga wambiri amawonongeka ndi thupi.
Koma osachulukitsa mu phunziroli, maphunziro azolimbitsa thupi ayenera kukhala odziletsa, kutalika kwa makalasi ndi mphindi 45-60, katatu mpaka kanayi pa sabata. Ngati ndi kotheka, khalani ndi mpweya wabwino.
Masewera omwe madokotala amalimbikitsa:
- kusambira
- kuyendetsa njinga
- Ochita masewera
- Yoga
- masewera, kuyenda kwa Nordic;
- kuthamanga.
Mankhwala achikhalidwe ndi "omenyanso" wogwira mtima omwe ali ndi matenda "okoma". Mutha kubzala masamba obiriwira omwe ali ndi matenda ashuga m'mapu kapena kumwa Yerusalemu artichoke manyuchi, chimwano. Mankhwala onse achilengedwe awa amagulitsidwa kumalo ogulitsira mankhwala.
Kanemayo munkhaniyi akukamba za kuopsa kwa mowa.
