Odwala ambiri samvetsa chifukwa chake amachepetsa thupi ndi matenda ashuga a 2. Kuchepetsa thupi ndichimodzi mwazizindikiro zodziwika bwino za matendawa. Munthu amene shuga yake ndi yabwinobwino sangachotse mapaundi owonjezera popanda kuyeserera.
Mikhalidwe yovuta imawonedwa ngati zomwe zimayambitsa kuchepa thupi, koma sitiyenera kuyiwala za matenda osiyanasiyana. Chimodzi mwazinthu izi ndi shuga mellitus, yemwe amayamba chifukwa cha kusagwira bwino ntchito kwa chitetezo chathupi cha munthu ndipo amadziwika ndi kusakhalapo kwathunthu kapena kosafunikira m'thupi la mahomoni ochepetsa shuga - insulin.
Mosiyana ndi kuti shuga imakonda kuchitika chifukwa cha kunenepa kwambiri, ndikamapitirira kwa matendawa, anthu samanenepa, koma amayamba kunenepa. Kuchepetsa thupi mwachangu kumatha kuyambitsa zovuta zingapo - kuyambira pakukanika kwa impso kupita ku gastritis. Chifukwa chake, nkhaniyi ithandizanso kumvetsetsa chifukwa chake anthu amachepetsa thupi ndi matenda ashuga komanso momwe angakhalire akhalidwe lolemera pamlingo wamba.
Kodi ndingafunike mawu ati kuwaza?
Mwa munthu wathanzi, kulemera kwake kumasinthasintha mpaka 5 kg. Kuchulukitsidwa kwake kumatha kuphatikizidwa ndi tchuthi, tchuthi kapena kuchepa kwa zolimbitsa thupi. Kuchepetsa thupi kumachitika makamaka chifukwa cha nkhawa, komanso kufunitsitsa kwa munthu amene akufuna kutaya ma kilogalamu angapo.
Komabe, kuchepa kwambiri kwa makilogalamu 20 m'miyezi 1-1,5 kungawonetse kukula kwa matenda ashuga. Kumbali ina, kuchepa thupi koteroko kumabweretsa mpumulo kwa wodwalayo, koma kumbali yake, ndikutanthauzira kwazomwe zimayambitsa matenda oopsa.
Ndi chiyani china chomwe muyenera kulabadira? Choyamba, izi ndi zizindikiro ziwiri - ludzu losatha komanso polyuria. Pamaso pazizindikiro zotere, limodzi ndi kuchepa thupi, munthu ayenera, choyamba, kukaona endocrinologist. Dotolo, atamuyesa wodwalayo, amamuyesa mayeso a shuga wamagazi ndipo kenako amatsimikizira kapena kukana kukayikira kwa "matenda okoma".
Kuphatikiza apo, anthu omwe ali ndi shuga ambiri amatha kudandaula:
- kupweteka mutu, chizungulire;
- kutopa, kusakwiya;
- kumva kwamphamvu kwa njala;
- kusokoneza chidwi;
- matenda ammimba;
- kuthamanga kwa magazi;
- kuwonongeka kwamawonekedwe;
- mavuto azakugonana;
- khungu loyenda, kuchiritsa kwa mabala kwa nthawi yayitali;
- matenda a impso.
Munthu amene akufuna kuchepa thupi ayenera kukumbukira kuti kunenepa kwambiri, komwe sikuvulaza thupi, sikuyenera kupitirira 5 kg pamwezi. Zomwe zimayambitsa kuwonda kwambiri ndi "matenda okoma" zabodza zotsatirazi:
- Njira ya autoimmune yomwe kupanga insulin kumayima. Glucose amapanga m'magazi ndipo amatha kupezekanso ndi mkodzo. Amadziwika ndi matenda amtundu 1 shuga.
- Kuperewera kwa insulini, pamene maselo samazindikira bwino timadzi timeneti. Thupi limasowa glucose - gwero lalikulu lamphamvu, chifukwa chake limagwiritsa ntchito maselo amafuta. Ndiye chifukwa chake kuchepa thupi mu mtundu 2 wa shuga.
Popeza kusokonezeka kwa metabolic kumachitika, ndipo maselo samalandira mphamvu yofunikira, maselo amafuta amayamba kudyedwa. Zotsatira zake, odwala matenda ashuga "amawotcha" pamaso pawo.
Zikatero, munthu amadya chakudya choyenera, kenako thupi limayamba kukula.
Malangizo Ochepetsa
Kuchepetsa thupi kwambiri m'matenda a shuga a 2 ndizowopsa.
Zina mwazovuta kwambiri ndikupanga ketoacidosis, kuchepa kwa minofu yokhala m'munsi komanso kutopa kwa thupi. Kuti achepetse kulemera kwa thupi, madokotala amatipatsa mphamvu zolimbitsa thupi, mankhwala a mahomoni ndi zakudya zoyenera.
Ndi chakudya chopatsa thanzi chomwe chimaphatikizapo zakudya zomwe zili ndi mavitamini, ma amino acid, michere ndi micro yambiri, zimathandizira kuwonjezeka pang'onopang'ono kwa thupi komanso kulimbitsa chitetezo cha thupi.
Lamulo lalikulu la zakudya zabwino za anthu odwala matenda ashuga limachepetsa kuchuluka kwa chakudya chamafuta ndi mafuta. Odwala amangofunika kudya zakudya zomwe zimakhala ndi index ya glycemic yotsika.
Zakudya zapadera zimaphatikizanso kugwiritsa ntchito zakudya:
- buledi wa tirigu wathunthu;
- zopangidwa mkaka (nonfat);
- njere zonse (barele, buckwheat);
- masamba (nyemba, mphodza, kabichi, tomato, nkhaka, radish, letesi);
- Zipatso zosatsimikizika (malalanje, mandimu, pomelo, nkhuyu, maapulo wobiriwira).
Chakudya cha tsiku lililonse chimayenera kugawidwa m'magawo asanu ndi limodzi, ndipo akhale ochepa. Kuphatikiza apo, ndi kutopa kwambiri kwa odwala, tikulimbikitsidwa kutenga uchi wochepa kuti ubwezeretse chitetezo chamthupi. Wodwala matenda ashuga ayenera kupanga menyu kuti kuchuluka kwa mafuta mu chakudya chonse mpaka 25%, kaboni - 60%, ndi mapuloteni - pafupifupi 15%. Amayi oyembekezera amalangizidwa kuti awonjezere kuchuluka kwa mapuloteni muzakudya zawo mpaka 20%.
Katundu waku chakudya umagawanidwa tsiku lonse. Gawo la zopatsa mphamvu zomwe zimadyedwa panthawi ya chakudya chachikulu ziyenera kuchokera 25 mpaka 30%, ndipo panthawi yazakudya - kuyambira 10 mpaka 15%.
Kodi ndizotheka kuchiritsa kukhumudwa kotero pakudya chakudya chokha? Ndizotheka, koma zopatsa thanzi ziyenera kuphatikizidwa ndi masewera olimbitsa thupi a matenda ashuga, izi zimakhala ndi zotsatira zake mwachangu komanso zowonjezereka. Inde, wodwala akamafuna kulemera thupi, si bwino kumangodzilimbitsa mtima chifukwa chogwira ntchito mopitirira muyeso. Koma kuyenda mpaka mphindi 30 patsiku kumangopindulitsa. Kuyenda mokhazikika kwa thupi kumathandizira kulimbitsa minofu, kukonza kupuma ndi mtima.
Tiyenera kukumbukira kuti chamoyo chathanzi "chimanenepa" kwanthawi yayitali. Chifukwa chake, muyenera kukhala oleza mtima ndikutsatira malangizo onse a dokotala.
Zotsatira za kuchepa thupi mwadzidzidzi
Kuchepetsa msanga matenda ashuga kumatha kuyambitsa matenda ena akuluakulu. Choyamba, pali kuphwanya njira zonse za metabolic, ndipo chachiwiri, thupi limayamba kubwereka mphamvu kuchokera ku minofu minofu, kenako kuchokera m'misika yamafuta.
Munthu wodwala matenda ashuga yemwe wachepetsa kwambiri thupi kwakanthawi kochepa ali ndi mwayi woledzera kwambiri. Kuchuluka kwa poizoni ndi zinthu za metabolic sizimadziunjikira m'magazi a munthu wathanzi, komabe, kulemera kukacheperachepera, thupi silingachotse zinthu zonse zovulaza. Njira ngati imeneyi imadzetsa vuto lalikulu, chifukwa nthawi zina zotsatira zakupha zimakhala zotheka.
Kuphatikiza apo, dongosolo logaya chakudya limavutika kwambiri. Chifukwa chakuchepetsa thupi, wodwala aliyense wachiwiri amatha kudandaula za kudzimbidwa, popeza luso lake la magalimoto limalephera. Komanso, kuchepa thupi kwambiri kumatha kukhudza kapamba ndi chikhodzodzo. Chifukwa chake, pancreatitis ndi gastritis ndimatenda osadabwitsa omwe amapezeka panthawi yochepa thupi.
Zotsatira zakuphwanya kwamchere wamchere wamchere, ma pathologies osiyanasiyana a chiwindi ndi impso amapezeka. Zotsatira zosasinthika zimatha kukhala kulephera kwa chiwindi kapenanso kukula kwa chiwindi. Ponena za chiwalo chophatikizidwa, kuchepetsa thupi kumakhala kowopsa kwambiri ngati pali miyala mu impso kapena chizolowezi chopanga.
Monga mukuwonera, kufooka kwa thupi kumakhudza ntchito ya impso ndi chiwindi.
Kuphatikiza apo, munthu wodwala matenda ashuga yemwe wakula mafuta kenako akufuna kuti achepetse thupi ndi chidwi chofuna kuchepetsa mankhwala ayenera kudziwa zotsatirazi. Kumwa mankhwalawa kumasokoneza ntchito ya impso.
Palinso ma pathologies ena omwe amachitika chifukwa cha kuchepa thupi. Mwachitsanzo, matenda omwe amaphatikizidwa ndi chithokomiro cha chithokomiro, hypoparathyroidism. Zovuta zina za kuchepa thupi zimaphatikizapo:
- Kutsitsa magazi.
- Kuzindikira kwa kukumbukira ndi kusamalira.
- Caries, tsitsi lalifupi ndi misomali.
- Kutupa kwa m'munsi.
Kuchepetsa thupi kwambiri, mayiko osiyanasiyana amakhumudwa. Anthu adzakhala athanzi pokhapokha mogwirizana ndi matupi awo ndi malingaliro awo. Thupi likachepa, ndipo "kugona" kwa mpweya m'maganizo kumachitika, kumabweretsa zosokoneza m'malingaliro. Zotsatira zake, wodwalayo amakhumudwa.
Tsoka ilo, madokotala sanapeze yankho la funso loti angachiritse matenda ashuga amtundu wa 2 kosatha, sangathe kuchiritsidwa chimodzimodzi monga mtundu 1. Chifukwa chake, pakufunika kutsatira malingaliro onse a adotolo, makamaka zakudya zoyenera komanso zolimbitsa thupi kuti mupewe kukula kwa aimpso mthupi, matenda ammimba, kusowa kwa chiwindi ndi zinthu zina.
Kanemayo munkhaniyi amafotokoza za njira zochizira, zomwe zimapangidwa kuti munthu azikhala wathanzi.
