Munthu akapezeka ndi matenda ashuga, ayenera kusintha moyo wake kuti alipirire matendawa. Kuti muchite izi, muyenera kutsatira zakudya, kumwa mankhwala ochepetsa shuga, monga Metformin, kusewera masewera, ndipo nthawi zina mumayamba kugwiritsa ntchito mankhwala a insulin. Chifukwa chake, matendawa amatha kutha kuwongolera, koma amafunika kuchita zina.
Gawo lofunika kwambiri la chithandizo chothandiza osati matenda ashuga okha, komanso mphumu ndikuchita zolimbitsa thupi. Koma kodi ndizotheka kuthamangitsidwa ndi mphumu ndi matenda ashuga?
Mutha kuthamanga ndi matenda oterewa, chifukwa kuchita masewera olimbitsa thupi mwatsatanetsatane komanso masewera kupewa kupewa kunenepa kwambiri, kukulitsa mavuto ndi mtima ndi mitsempha yamagazi, kusintha kusintha kwamphamvu, kugwira ntchito ndi kuwonjezera chitetezo chokwanira.
Koma zabwino zambiri zochokera ku kulimbitsa thupi ndikoyambitsa kwa kagayidwe kazakudya ndi kuwonjezeka kwa mayamwidwe. Chifukwa cha izi, nthawi zina, mutha kuthana ndi kudalira kwa insulin kapena kuchepetsa kwambiri mankhwala a antidiabetes.
Kuyenda ndikuthamanga
Mtundu woyenera wa zochitika zolimbitsa thupi za matenda ashuga komanso mphumu zikuyenda. Kupatula apo, kuyenda mtunda wautali kumakhala katundu wabwino kwa thupi, pomwe glycemia imakhala yofanana, minofu imatha kutulutsa ndipo ma endorphin ayamba kupanga - mahomoni omwe amasintha machitidwe. Mwa zina, zolimbitsa thupi zolimbitsa thupi zimathandizira kuchepetsa thupi komanso zimathandizira kukulitsa kunenepa kwambiri mtsogolo.
Makamaka kuyenda ndizothandiza kwa odwala omwe, chifukwa cha thanzi, sangathe kupita nawo kumasewera. Gululi limaphatikizapo okalamba komanso omwe adwala matenda ashuga kapena ali ndi matenda ena akulu.
Ngati maphunzirowa asankhidwa moyenera, ndiye kuti palibe zovuta zomwe zingachitike. M'malo mwake, izi zimakupatsani mwayi wowotcha mafuta owonjezera, kusintha malingaliro anu ndikubwezeretsa kamvekedwe ka minofu.
Komabe, onse odwala matenda ashuga ayenera kukumbukira kuti atachita masewera olimbitsa thupi amatha kukhala ndi hypoglycemia, yomwe imadziwika ndi kutsika kwadzidzidzi mu shuga. Chifukwa chake, nthawi zonse muziyenera kunyamula zakumwa zoziziritsa kukhosi kapena mankhwala, mwachitsanzo, maswiti kapena msuzi wokoma. Ngakhale ndimadya mokwanira komanso kudya pafupipafupi, mwayi wa hypoglycemia umacheperachepera.
Ngati wodwala ali ndi matenda ashuga a 2, madokotala amalimbikitsa kuti azizolowera kuyenda kwa Nordic. Komabe masewera olimbitsa thupi amtunduwu amagwiritsidwa ntchito kuti ayambenso kugwira ntchito bwino kwa minofu ndi mafupa komanso kupewa matenda a mtima.
Ngakhale kuyenda kwa Nordic adapeza masewerawa okwanira pompano, sikunamuyimitsepo kukhala chimodzi mwazinthu zabwino kwambiri pamasewera omwe si akatswiri komanso anthu olumala. Inde, kuyenda kwa Nordic kumakupatsani mwayi wolamulira kuchuluka kwa katundu, potengera zosowa za thupi, komanso zimakupatsani mwayi kuti 90% ya minofu ikhale yabwino.
M'makalasi, muyenera kugwiritsa ntchito ndodo yapadera, yomwe ingagulidwe kumalo ogulitsira masewera. Ndodo ya kutalika kolakwika imapanga katundu wowonjezera pamsana ndi mawondo.
Kuyenda ndi Chifinishi ndi ndodo yapadera kumapangitsa kuti katunduyo akhale wofewa komanso wathanzi. Kuphatikiza apo, makalasi okhazikika pamasewerawa amalimbitsa chitetezo chokwanira, ndipo koposa zonse, amapezeka kwa anthu omwe ali ndi matenda osiyanasiyana.
Kuthamanga kwa kayendedwe kamasankhidwa payekha, pomwe palibe miyezo yodziwika. Chifukwa chake, kutsamira ndi kukankha motsutsana ndi ndodo, munthu amatha kuyenda mumayimbidwe ake, zomwe zimamupangitsa kuti azitha kukhala bwino komanso kulimbitsa chitetezo chake.
Pankhani yothamanga, zitha kukhala zothandiza kumayambiriro kwa matenda ashuga, pomwe wodwala samadwala matenda onenepa kwambiri, komanso osakhala ndi zowonjezera zina. Koma ngati kuyenda kumawonetsedwa kwa aliyense, ndiye kuti pali zoletsa zina pakuthamangira:
- retinopathy
- kukhalapo kwa makilogalamu oposa 20 a kulemera kwakukulu;
- matenda ashuga kwambiri, pamene glycemia siilamulidwa, zomwe zingayambitse zotsatira zoyipa za nkhawa.
Pazifukwa izi, kuthamanga ndi koyenera kwa odwala matenda ashuga. Chifukwa cha kutentha kwapalori kofulumira, kulimbitsa minofu, kuphatikiza mankhwala othandizira kudya komanso kugwiritsa ntchito mankhwala antidiabetesic monga Metformin, mutha kusintha kwambiri kagayidwe kachakudya ndikuwalipira matenda ashuga.
Komabe, simungathe kuthamanga mtunda wautali komanso kuthamanga kwambiri. Ndikulimbikitsidwa kuti ndiyambe ndikuyenda, kupanga mafupa ndi ma sprains.
Kukula kwa katunduyo kuyenera kuwonjezeka pang'onopang'ono, osangogawana nawo mwayi. Zowonadi, ndi mphumu ndi matenda ashuga, ntchito yayikulu sikuti ndikupeza masewera opambana, koma kukhazikitsa njira za metabolic.
Komabe, ndikofunikira kukumbukira kuti kulemera pang'ono kokha komwe kumapangitsa kuti muchepetse kuchepa kwa thupi ndikuchepetsa chiopsezo cha matenda a mtima ndi mtima, kulimbitsa chitetezo chokwanira komanso kupewa kuteteza zovuta za matenda ashuga.
Awo odwala matenda ashuga omwe akumva bwino sayenera kukhala aulesi ndikusintha kuthamanga ndikuyenda, chifukwa katunduyo ayenera kukhala wodekha, koma osavuta.
Malamulo a Matenda a shuga
Pali malingaliro angapo omwe ndiofunika kutsatira matenda ashuga.
Chifukwa chake, musanayambe kalasi, muyenera kuyeza glucose wamagazi.
Kuphatikiza apo, wodwala matenda ashuga ayenera kukhala ndi chakudya chamagulu mwachangu, mwachitsanzo chidutswa cha shuga kapena chokoleti.
Pambuyo kuthamanga, ndikofunikira kumwa kapu ya madzi osenda bwino kapena mudya chipatso chokoma. Ngati kuchuluka kwa shuga kumakwezedwa poyamba, mungafunike kukhala ndi zakudya zamkati mukamachita masewera olimbitsa thupi.
Komanso, kwa odwala matenda ashuga, zotsatirazi ziyenera kuonedwa:
- ntchito mwa mphamvu ndikukweza katundu wambiri ndi contraindified;
- katundu aliyense ayenera kulimbikitsidwa pang'onopang'ono, osapirikiza;
- muyenera kuchita pafupipafupi, chifukwa kuphunzira kwakanthawi kochepa kumakhala kovutitsa thupi;
- Simungachite masewera olimbitsa thupi pamimba yopanda kanthu, chifukwa izi zimatha kutsitsa kuchuluka kwa shuga;
- ndibwino kuthamanga musanadye chakudya cham'mawa komanso maola awiri mutatha kudya chakudya cham'mawa.
Kuphatikiza apo, pamasewera ndikofunikira kugula nsapato zapamwamba komanso zabwino. Kwa odwala matenda ashuga, lamuloli ndilofunika kwambiri, chifukwa ngakhale kukanda pang'ono kumatha kukhala vuto lalikulu, chifukwa chilema chitha kuchira kwa nthawi yayitali.
Anthu omwe ali ndi matenda ashuga omwe asankha kuyamba kuthamanga ayenera kufunsa katswiri wa masewera olimbitsa thupi omwe angayerekezere ngozi zonse ndikusankha mtundu wabwino ndi nthawi yamakalasi. Chifukwa chake, ndi gawo lotsogola la matenda ashuga ndi mphumu, izi zimatha kuyenda pang'ono pang'onopang'ono (mpaka mphindi 15), ndipo ndi chikhalidwe chokhazikika komanso chindapusa cha matendawa, kutalika kwa maphunziro kungafikire mpaka ola limodzi la kuyenda mwachangu kapena mphindi 30.
Onse odwala matenda ashuga ayenera kukumbukira kuti isanayambe kapena itatha zolimbitsa thupi amatha kukhala ndi hypoglycemia kapena hyperglycemia. Kuti shuga m'magazi asatsike kwambiri, muyenera kutsatira zakudya mosamala, kuthamanga pafupipafupi komanso nthawi yomweyo.
Komanso, musanayambe kulimbitsa thupi, muyenera kuyeza glycemia. Asanayambe makalasi, tikulimbikitsidwa kukaonana ndi dokotala yemwe amasintha mankhwala a insulin komanso zakudya. Ndikofunikira kuwonjezera kuchuluka kwa madzi omwe amwedwa, chifukwa nthawi yolimbitsa thupi thupi limataya madzi ambiri.
Ndikangodumphira shuga, wodwala matenda ashuga amatha kupweteka, chifukwa chake, ngakhale atakhala kuti ali ndi matendawa osagwiritsa ntchito inshuwaransi ndi glycemia, masewera amathanso kutsutsana. Kwa odwala omwe ali ndi zaka zopitilira 35 ndi njira yayitali ya matendawa (kuyambira zaka 10), ndikofunika kuchita mayeso apadera musanaphunzitsidwe.
Kuphatikiza apo, pali zinthu zina zowopsa. Mwachitsanzo, kusuta fodya kapena kuchepa kwa magazi (atherosulinosis), komwe kumapangitsa kuti mankhwala achulukane kwambiri komanso kupewa kungangoyendetsa, komanso kuyenda kosavuta.
Kuchita Zantchito Kukweza Mankhwala Osokoneza bongo
Ngakhale kupita patsogolo kwamankhwala, njira zabwino zolimbana ndi kunenepa kwambiri, ngati kale, ndizosewera komanso zakudya zoyenera.
Komabe, pali mankhwala angapo, mphamvu yake yomwe imatsimikiziridwa ndi madokotala ambiri, kuthandiza kuthamangitsa njira za metabolic komanso kuchepetsa kuchuluka kwa shuga.
Gulu lazopeza zamagetsi limapereka zinthu zingapo zochepetsa thupi. Mankhwala abwino kwambiri akuphatikiza Metformin ndi zithunzi zake Siofor ndi Glucofage. Awa ndi othandizira osavulaza omwe ali ndi zovuta, monga zikuwonetsedwera ndi maphunziro ambiri.
Ndikofunikanso kuwunikira ndalama zina, zomwe ndi:
- Sibutramine (Meridia, Reduxin, Lindaxa, Goldline) ndi mankhwala otchuka omwe amachepetsa chilakolako chofuna kudya, koma samamasulidwa popanda kulandira mankhwala, chifukwa ali ndi zotsatira zoyipa zingapo.
- Orlistat (Orsoten, Xenalten, Xenical) - imaletsa njira yoyamwa mafuta, koma ngati phwando lake siliphatikizidwa ndi chakudya, sizingagwire ntchito ndipo zimapangitsa kukhumudwa.
- Fluoxetine (Prozac) ndi mankhwala othana ndi mavutowo omwe amapondereza serotonin.
- Acarbose (Glucobai) - amachepetsa kuyamwa kwa chakudya chamagulu, koma ndimatenda osayenera angayambitse matenda otsegula m'mimba.
M'pofunikanso kutchulanso mafuta owotchera mafuta omwe akatswiri othamanga omwe amatenga. Awa ndi ma peptides, anabolics, Ephedrine ndi Clenbuterol.
Koma kwa odwala matenda ashuga, Metformin ikhala njira yabwino kwambiri. Chifukwa chake, muyenera kuganizira za mankhwalawa mwatsatanetsatane.
Chidachi ndi cha gulu la Biguanides, momwe zimakhalira ndi chifukwa choletsa gluconeogeneis. Zimawonjezeranso chidwi cha insulin cha ma peripheral receptors ndipo zimathandizira kuyamwa kwa glucose ndi minofu.
Metformin ikhoza kuchepetsa shuga, komanso zomwe zili mkati mwake chakudya. Mankhwala samalimbikitsa insulin, chifukwa chake, sayambitsa hypoglycemia.
Monga tafotokozera pamwambapa, mankhwalawa amathandizira kuchepetsa kwambiri minyewa ya shuga, limodzi ndi kunenepa kwambiri. Imayambitsa anaerobic glycolysis, imachepetsa chilimbikitso ndi kugaya kwa glucose m'matumbo am'mimba, imapatsa zotsatira za fibrinolytic ndi lipid-kuchepetsa.
Mlingo wa tsiku ndi tsiku ndi gramu imodzi. Pambuyo pa masiku 10-14, kuchuluka kumatha kuwonjezereka, komwe kumatsimikiziridwa ndi kuchuluka kwa shuga.
Pakatikati muyeso wokonzekera ndi 1.5 -2 g, momwe mulitali ndi magalamu atatu. Kuti muchepetse zotsatira zoyipa za mankhwalawa m'mimba, kuchuluka kwa mankhwalawa kumagawika pawiri, katatu.
Mapiritsi amatengedwa munjira kapena mukatha kudya ndi madzi. Mlingo wa odwala okalamba amawerengedwa kutengera mtundu wa impso zawo.
Ponena za zoyipa, mutatha kutenga Metformin nthawi zambiri pamakhala mavuto am'mimba, monga kupweteka kwam'mimba, nseru, kusowa kudya, kutsegula m'mimba komanso kusanza. Nthawi zambiri, zizindikiro zotere zimawonekera koyambirira kwa chithandizo, koma zimangopanga zokha.
Nthawi zina ndi hypersensitivity mankhwala, wodwala amakula erythema wofatsa. Ndipo m'mawu ena odwala matenda ashuga atatha kumwa mankhwala ngati Metformin 850, pali kuyamwa bwino kwa vitamini B12 ndi kuchepa kwake m'magazi, zomwe zimayambitsa matenda a meWIblastic anemia ndi hematopoiesis.
Nthawi zina, lactic acidosis imayamba. Poterepa, piritsi laimitsidwa.
Zoyipa pa kutenga Metformin ndi:
- matenda a shuga ndi ketoacidosis;
- zaka mpaka 15;
- wandewu
- kusanza kapena kusanza;
- pachimake myocardial infarction;
- odwala matenda ashuga phazi;
- vuto la impso ndi chiwindi;
- malungo
- lactic acidosis;
- matenda opatsirana ndi zina zambiri.
Chifukwa chake, mu shuga, kumwa mankhwala othana ndi kunenepa kwambiri kuyenera kuphatikizidwa ndi kuthamanga kapena kuyenda. Izi zimachepetsa ndikukhazikika moyenera, kukhazikika kwa glycemia, kusintha magwiridwe antchito a mtima ndi mitsempha yamagazi, kuchepetsa kuchuluka kwa triglycerides ndi cholesterol m'magazi.
Kanemayo munkhaniyi akukamba za zabwino zothamangira matenda ashuga.
