Lingaliro la kukana insulini limatanthawuza kuchepa kwa chidwi cha maselo pakupanga kwa insulin. Izi anomaly nthawi zambiri zimawonedwa mwa odwala matenda a shuga, koma nthawi zina, kukana insulin kumawonekeranso mwa anthu athanzi labwino.
Matenda monga polycystic ovary syndrome (PCOS) amawonekera nthawi zambiri mwa amayi omwe ali ndi matenda a endocrine. Amadziwika ndi kusintha kwa ntchito ya ovarian (kuchuluka kapena kusakhalitsa kwa ovulation, kuchepetsedwa kwa msambo). Mu 70% ya odwala, PCa akuwonetsa kukhalapo kwa mtundu 2 wa shuga.
Kukana kwa Spyera ndi insulini ndizogwirizana kwambiri ndipo pakadali pano, asayansi akutenga nthawi yambiri akuwerenga chibwenzi chawo. Pansipa, matendawa pawokha, chithandizo cha matenda a polycystic, kuzindikira ndi mwayi wokhala ndi pakati mwachilengedwe, ubale wapakati pa polycystic ndi insulin ya mahomoni, ndi chithandizo cha zakudya zamatendawa zidzafotokozedwa mwatsatanetsatane.
Polycystic
Matendawa adapezeka kumayambiriro kwa zaka zana zapitazi ndi asayansi awiri aku America - Stein ndi Leventhal, kotero kuti matenda a polycystic amatchedwanso kuti Stein-Leventhal syndrome. The etiology ya matenda awa siinaphunzire kwathunthu. Chimodzi mwazizindikiro zazikulu ndikuwonekera kwa katulutsidwe wama mahomoni ogonana achimuna m'thupi la mayi (hyperandrogenism). Izi zimachitika chifukwa cha kusokonezeka kwa ntchito ya adrenal kapena ovarian.
Pankhani ya PCOS, ovary ili ndi chizindikiro cha morphological - polycystosis, popanda neoplasms iliyonse. Mu thumba losunga mazira, kapangidwe ka Corpus luteum kumavulala, kupanga kwa progesterone kumatsekedwa, pali kuphwanya mzere wa kuvunda kwa msambo ndi kusamba.
Zizindikiro zoyambirira zomwe zikuonetsa Stein-Leventhal syndrome:
- Kusakhalapo kapena kuchedwa kwa msambo;
- Tsitsi lochulukirapo m'malo osafunikira (nkhope, kumbuyo, chifuwa, ntchafu zamkati);
- Ziphuphu, khungu lamafuta, tsitsi lamafuta;
- Kulemera kwakukulu mpaka 10 kg pakanthawi kochepa;
- Kuchepetsa tsitsi
- Kukoka pang'ono pang'onopang'ono pamimba pamsana pa msambo (ululu wammbuyo ululu sichimadziwika).
Kusintha kwachilendo kwa ovomerezeka mwa akazi kumayendetsedwa ndi kusintha kwa mahomoni omwe ma pituitary ndi mazira amapanga. Pa msambo, kuvunda kumachitika pafupifupi milungu iwiri isanayambe. Thumba losunga mazira limatulutsa timadzi timene timayamwa, komanso progesterone, yomwe imakonzekeretsa chiberekero kuti dzira loyambitsidwa. Pocheperapo, amapanga testosterone wamwamuna. Ngati kutenga pakati sikuchitika, ndiye kuti kuchuluka kwa mahomoni kumachepetsedwa.
Ndi polycystosis, thumba losunga mazira limatulutsa kuchuluka kwa testosterone. Zonsezi zimatha kuyambitsa kubereka komanso zizindikiro zomwe zili pamwambapa. Ndikofunikira kudziwa kuti mahomoni azakugonana achikazi amawonekera mthupi kokha chifukwa cha kupezeka kwa mahomoni achimuna, kuwasintha. Amakhala kuti popanda kukhalapo kwa mahomoni achimuna, chachikazi nawonso sichitha kupangidwa mthupi la mkazi.
Izi ziyenera kumvetsedwa, popeza kulephera pamalumikizidwe amtunduwu kumabweretsa ovary ya polycystic.
Zizindikiro
Kuti adziwitse polycystic, dokotala wamatsenga akuyamba kusonkhanitsa anamnesis. Wodwalayo ayenera kunena za madandaulo ake ndi zizindikiro za matendawa - kuzengereza kusamba, kulephera kutenga pakati, kupweteka pamimba, kusakhazikika kwa tsitsi, ziphuphu. Ndikofunikira kudziwa nthawi yomwe zizindikirazo zinayamba kuwonekera.
Kenako, dokotala wofufuza zamankhwala amamufufuza. Cervical ntchofu amatengedwa kuti akhazikitse kuchuluka kwa estrogen. Mwambiri, kutenga anamnesis, kupereka mayeso okakamira ndi zakubereka kumapereka lingaliro loyambirira la momwe wodekha amakhudzidwira ndi momwe thupi limagwirira ntchito.
Kusanthula kwakukulu kwa matenda ndi transvaginal ultrasound, yomwe imawonetsa kuchuluka kwa thumba losunga mazira, kuphatikizira kwa ma kapisozi, streral hyperplasia ndi kukhalapo kwa cysts.
Kuchokera pamwambazi, mutha kusiyanitsa pakati pa magawo azidziwitso:
- Mbiri kutenga;
- Kuyesa kwa azachipatala;
- Kuyesedwa kwa kuchuluka kwa mahomoni;
- Transvaginal ultrasound.
Ndizofunikira kudziwa kuti kuyesa kwa mahomoni sikugwira ntchito ngati njira yayikulu pakuwunikira, koma chithandizo chinanso cha wodwalayo chimatsimikiziridwa kuchokera kuzowonetsa.
Chithandizo ndi zotsatira zake
Ziyenera kudziwika nthawi yomweyo kuti chithandizo cha opaleshoni cha PCOS ndichosowa kwambiri ndipo sichikutsimikizira kuti mtsogolo mudzachotsedwa matenda ambiri a polycystic. Mankhwala onse amachokera pakumwa mankhwala ndikutsatira malamulo ochepa kwa odwala.
Chithandizo chimayamba ndi kuchotsera kwa zizindikiro. Wodwalayo ayenera kugwira ntchito kuti achepetse kulemera kwake. Kuti muchite izi, tikulimbikitsidwa kutsatira zakudya zomwe kudya tsiku ndi tsiku ndi 1800 kcal. Kupitilira, mutha kuchita minofu kunyumba yomwe imalimbitsa ntchito zobwezeretsanso komanso mafayilo a mitsempha. Apa adotolo amakakamizidwa kupereka malingaliro ake.
Kukonzekera kwa glitazone kumayikidwa pamaso pa matenda a shuga a 2. Cholinga chawo ndi kuchepetsa kukana insulini, komwe kumakwiyitsa polycystic syndrome. Kuika koteroko kuyenera kuchitika ndi endocrinologist. Pamsika wamankhwala pali mitundu yambiri yosanja ya mapiritsi, otchuka kwambiri omwe ndi:
- Poiglitazone;
- Pioglara
- Peouno
- Diaglitazone;
- Amalvia
- Miyezo ya Mdyerekezi.
Mankhwala othandizira amatha kuphatikizidwa ndikusamba madzi osamba mwachitsanzo:
- Conifers;
- Saline;
- Kuchokera potola zitsamba.
Kubwezeretsanso nthawi ya msambo ndi chinthu chinanso chofunikira pakumwedwa. Pazinthu izi, mankhwala ophatikizira pakamwa amagwiritsidwa ntchito, omwe si androgenic m'chilengedwe. Mutha kusankha zotsatirazi:
- Belara;
- Vidora;
- Jarnin;
- Bonade;
- Marvelon
- Atatu Mersey;
- Regulon;
- Novinet.
Lemberani kwa mwezi umodzi mogwirizana ndi malangizo, pambuyo pake kupumula kwa masiku 25 mpaka 30 kuyenera kutengedwa. Ndikwabwino kuti gynecologist amasankha mankhwalawo, chifukwa ngakhale kukhala ndi mawonekedwe ofanana, kuyeserera kwawo kungakhale kosiyana.
Musaiwale za kutenga mavitamini a B, ascorbic acid ndi vitamini E.
Polycystic imayambitsa kusabereka, koma imathandizidwa. Ngati mayi sakukonzekera kukhala ndi pakati, ndiye kuti izi sizikunena kuti pakufunika chithandizo chamankhwala chosafunikira.
Chifukwa chake, ngati wodwalayo samachiza matenda, izi zitha kuchititsa kuti khansa ikhale mkati mwa chiberekero. Zimachitika chifukwa chakuti timadzi timadzi tambiri timene timagwira pa chovala, chifukwa chakuti chiberekero sichikuchotsa gawo lamkati, monga momwe zimakhalira pakapita msambo, koma limakula modabwitsa.
Kuphatikiza apo, polycystic imatha kutsagana ndi kutaya magazi kwambiri pamaso pa msambo komanso kupweteka kwapafupipafupi.
Zakudya za polycystic ndi insulin kukana
Monga tafotokozera kale, zomwe zimapangitsa kuti pakhale polycystic ovary syndrome sizimamveka bwino, koma kafukufuku ambiri asayansi adawona kupezeka kwa matendawa kwa anthu omwe ali ndi matenda osokoneza bongo, makamaka mtundu wachiwiri. Kafukufuku wambiri wachitidwa pankhaniyi.
Polycystic ndi shuga zimagwirizanitsidwa ndi chizindikiro chimodzi chodziwika - kunenepa kwambiri. Kuti muchepetse ndikugwira ntchito zonse za mthupi pogwira ntchito, ndikofunikira kuti muchepetse kulemera ndikuwonekera, komwe kungawerengeredwe ndi endocrinologist.
Zakudya ndizimodzi mwazigawo zazikulu za mankhwala othandizira. Mukamadya, muyenera kudya zakudya zotere:
- Zamasamba
- Zipatso
- Zinthu monga mkaka ndi mkaka;
- Nyama ndi nsomba zamitundu yamafuta ochepa.
M'malo mwake, aliyense wodwala matenda ashuga amadziwa kuti zakudya zosankhidwa bwino zimatha kuyendetsa shuga m'magazi, zomwe zimathandiza kupewa polycystic. Mndandanda wazinthu zololedwa ndizochulukirapo ndipo kusankha kwawo kuyenera kutengera chizindikiro cha glycemic index ndi ma calorie.
Zakudya zonse zochokera ku GI ziyenera kusankhidwa ndi izi:
- Ku 50 PIECES - simungathe kuchepetsa kuchuluka kwawo;
- Mpaka 70 mayunitsi - osowa mu chakudya;
- Kuyambira 70 mayunitsi ndi pamwambapa - pansi pa oletsedwa mwamphamvu.
Porridge ndi gawo lofunikira kwambiri lamagetsi komanso malo osungira zinthu, mwachitsanzo, oatmeal imakwaniritsa zoposa theka la zofuna za thupi tsiku ndi tsiku. Otsatirawa amaloledwa ku mbewu monga chimanga:
- Buckwheat;
- Barele;
- Mpunga wakuda;
- Mpunga wa mpunga (ndiwo chinangwa, osati phala);
- Oatmeal (phala yoletsedwa).
White mpunga ndi semolina mu zakudya odwala matenda ashuga sadzatha. Mpunga wa brown umakhala njira yabwino kwambiri yoyera ndipo siyabwino kwambiri, uyenera kuphikika kwakanthawi kochepa, mphindi 40 - 45.
Zipatso zimadyedwa bwino pakudya m'mawa, monga glucose omwe amalowa m'magazi amatha kutengeka ndi zochitika zolimbitsa thupi, zomwe anthu ambiri amakhala nazo m'mawa. Gawo la tsiku ndi tsiku silidutsa 250 g. Zipatso zotsatirazi ndizololedwa:
- Apple
- Ngale
- Apurikoti
- Chitumbuwa chokoma;
- Jamu;
- Nectarine;
- Strawberry
- Ma rasipiberi;
- Zipatso zamtundu uliwonse wa lalanje - lalanje, mandarin, ndimu;
- Persimmon;
- Cheramu maula;
- Sitiroberi zamtchire;
- Blueberries
- Cur cur ofiira ndi akuda;
- Makangaza
Mkaka ndi mkaka wowawasa wowaka mkaka ndi chakudya chabwino kwambiri chopepuka. pafupifupi zinthu zonse izi ndizochepa-kalori ndipo zimakhala ndi GI yaying'ono, kupatula kirimu wowawasa, curd ndi batala. Malonda a mkaka otsatirawa ndi mkaka wowawasa amaloledwa:
- Tchizi chamafuta pang'ono;
- Kefir;
- Chiwegi;
- Ryazhenka;
- Mkaka wonse;
- Mkaka wocheperako;
- Mkaka wowonda;
- Tofu Cheese.
Zakudya zamafuta ndi nsomba ziyenera kukhala tsiku ndi tsiku patebulo la wodwalayo, monga chakudya chamadzulo ndi chakudya chamadzulo choyamba. Mitundu yonse ya nyama, nyama yapa nsomba ndi nsomba zimasankhidwa kuti zizitsamira, khungu limachotsedwa. Mutha kudya zinthu zotere:
- Nyama yankhuku;
- Turkey;
- Ng'ombe;
- Nyama ya Kalulu;
- Ng'ombe ya chiwindi;
- Lilime la ng'ombe;
- Chiwindi cha nkhuku;
- Pike
- Hake;
- Pollock.
Ndikofunikira kusankha bere kuchokera ku nkhuku, koma mutha kugwiritsa ntchito ham, pochotsa mafuta ndi khungu. Ili ndi gawo lochulukirapo lazinthu zofunika kwambiri ngati chitsulo.
Samaloledwa kupitiliza dzira limodzi patsiku, ngakhale GI yake ili mkati movomerezeka, koma kuchuluka kwa cholesterol mu yolk kumakulitsidwa.
Masamba ndiye maziko azithandizo zamankhwala. Zitha kudyedwa zatsopano komanso kukonza zakudya za odwala ashuga okhala ndi mavitamini ndi michere yambiri. Otsatirawa aloledwa:
- Biringanya
- Anyezi;
- Garlic
- Phwetekere
- Turnip;
- Zambiri;
- Kaloti (zatsopano);
- Broccoli
- Kabichi yoyera;
- Kholifulawa;
- Tsabola wobiriwira ndi wofiira;
- Tsabola wokoma.
Chithandizo cha kutentha kwa zinthu zizichitika motere:
- Kwa okwatirana;
- Wiritsani;
- Stew;
- Pa grill;
- Mu microwave;
- Wophika pang'onopang'ono.
Chisankho choyenera cha malonda ndi kukonzekera kwawo - awa ndi theka chabe mwa malamulo azakudya. Muyenera kukonzekera dongosolo lazakudya ndikuzindikiritsa kuchuluka kwake.
Zakudya zopatsa thanzi kwa shuga ziyenera kukhala zowerengeka, kuchuluka kwa chakudya 5-6 patsiku, m'magawo ang'onoang'ono. Komanso, munthu asayiwale za kuchuluka kwa madzi - malita awiri patsiku. Ndipo ndibwino kuwerengera nthawi zonse malinga ndi zopatsa mphamvu zomwe zimadyedwa - kalori imodzi ndi wofanana ndi ml.
Zakudya zonse zimakonzedwa bwino pogwiritsa ntchito mafuta ochepa a masamba, kuti musachulukitse zakudya zopatsa mphamvu.
Mavitamini
Kudya kwa Vitamini kumathandiza kwambiri kuti thupi lonse lizigwira ntchito, ndipo ndizofunikira kwambiri pakakhala polycystic ovary syndrome. Amayi omwe ali ndi mtundu wachiwiri wa matenda ashuga sapatsana pakubadwa komanso kuti mayi ayambe kudwala, ndikofunikira kukulitsa chithandizo chokhala ndi mavitamini pochiza PCOS.
Mwachitsanzo, mavitamini onga a Doppelherz a odwala matenda ashuga amalemeretsa thupi la mzimayi wokhala ndi mavitamini ambiri a B, E, ndi zinthu zambiri zokutsatira:
- Calcium
- Chrome;
- Magnesium
- Zinc
- Folic acid;
- Nikotinamide;
- Biotin.
Mlingo wawo ndiwothandiza kwambiri, piritsi limodzi lokha patsiku limakhala ndi zakudya. Mavitamini oterewa amakhudzanso njira zonse za metabolic, zimawonjezera kukana kwa thupi kumatenda komanso mabakiteriya osiyanasiyana.
Tsoka ilo, ndimatenda a shuga, mavitamini ndi zinthu zina sazidzaza mthupi la wodwalayo mulingo woyenera. Ichi ndichifukwa chake wodwalayo amafuna mavitamini pafupipafupi.
Kukwanira kwamagulu osiyanasiyana a mavitamini ndi michere kumalepheretsa kukula kwa matenda ambiri ndikulimbitsa chitetezo cha mthupi. Mavitamini a Doppelherz a odwala matenda ashuga ali ndi mavitamini ofunikira khumi ndi zinthu zingapo zofunika kuti azitsatira, kapangidwe kake kamalimbikitsidwanso ndi selenium.
Mu kanema mu nkhaniyi, mutu wa polycystic syndrome komanso ubale wake ndi insulin kukaniza ukupitilizidwa.
