Madokotala ndi makochi amagwirizana pa lingaliro lawo kuti kuphunzitsa matenda ashuga kuyenera kukhala gawo lofunikira m'moyo. Kuphunzitsa matenda ashuga kumatha kuchitika ndi anthu omwe ali ndi matenda oyamba a shuga komanso anthu omwe ali ndi mtundu wachiwiri wa matenda. Kuphatikiza apo, odwala omwe ali ndi vuto la mwendo chifukwa chakudutsa kwamatendawa amayenera kuchitanso masewera olimbitsa thupi.
Madokotala nthawi zambiri amati matenda ashuga si matenda, koma moyo ndi masewera komanso kulimbitsa thupi zitha kusintha moyo wa munthu wodwala matenda ashuga.
Pa maphunziro, pali kuwonjezeka kwa kuyamwa kwa glucose kuchokera m'madzi am'magazi ndimaselo am'misempha. Kukhala wathanzi la shuga kumatha kukulitsa chidwi cha insulin receptors muma cell kupita ku insulin. Izi zimadzetsa kuti shuga mutatha kuphunzitsidwa m'thupi la wodwalayo imagwa, ndipo izi zimakuthandizani kuti muchepetse kuchuluka kwa mankhwala omwe amagwiritsidwa ntchito kutsitsa shuga m'thupi. Nthawi zina, maphunziro a shuga amatha kuchepetsa kuchuluka kwa insulin yomwe imagwiritsidwa ntchito jekeseni.
Maphunziro olimbitsa thupi amakulolani kupanikizika mtima ndi masisitimu am'thupi la munthu amene akudwala matenda osokoneza bongo komanso kuchita zamtima. Cardiotraining yotere imakhala ndi phindu pamtundu wa minofu ya mtima kupewa kupewa zosokonezeka za mtima, zomwe zimachitika nthawi zambiri pakadutsa shuga.
Zikachitika kuti munthu ali ndi matenda ashuga mthupi, kuchita masewera olimbitsa thupi ndizotheka komanso kofunikira. Kuchita masewera olimbitsa thupi kumawonjezera mphamvu komanso kumalimbikitsa kudzipulumutsa.
Chifukwa cha masewera omwe ali ndi matenda ashuga:
- Kusintha njira zonse za metabolic mthupi.
- Kukula kwa shuga oxidation ndi kumwa mwa thupi lonse.
- Kukula kwa mapuloteni kagayidwe.
- Kulimbikitsa njira yogawa ndi kuwotcha mafuta.
- Mkhalidwe wamthupi umakhala bwino.
- Zowonetsa za shuga mthupi la wodwalayo zikuyandikira mkhalidwe wazolimbitsa thupi.
Pofuna kuchita masewera olimbitsa thupi mu shuga mellitus kuti asavulaze, ndikofunikira kutsatira malingaliro omwe aphunzitsidwa ndi ophunzitsa ndi endocrinologist.
Malangizo Amasewera Aakulu a Matenda a shuga
Malangizo akulu omwe akuyenera kutsatiridwa mukamachita masewera a anthu odwala matenda ashuga ndi awa:
- Kuzungulira kwa glucose m'thupi la wodwalayo kuyenera kuyendetsedwa mwamphamvu. Pachifukwa ichi, miyezo ya shuga m'magazi am'magazi imachitika musanaphunzitsidwe, panthawi yamasewera komanso mutatha maphunziro. Maphunziro ayenera kusiyidwa ngati shuga ayamba kutsika pansi.
- Kumbukirani kuti kuchita masewera olimbitsa thupi m'mawa kumayambitsa kuchepa kwa insulin yomwe mukufuna kulowa m'thupi la wodwalayo.
- Mukamaphunzitsidwa, muyenera kukhala ndi glucagon kapena chinthu chokhala ndi chakudya chambiri champhamvu kwambiri.
- Wodwalayo ayenera kutsatira zakudya zapadera komanso chakudya.
- Asanaphunzitsidwe, ngati kuli kotheka, jakisoni wa insulin m'mimba amachitika. Jakisoni wa insulin m'mwendo kapena mkono ali osavomerezeka musanayambe kuchita masewera olimbitsa thupi.
- Muyenera kudya zakudya zabwino maola angapo musanasewere masewera.
- Mukamachita masewera, muyenera kumwa madzi ambiri ndipo panthawi yophunzitsira, madzi ayenera kukhala pafupi.
Malangizo omwe akuwonetsedwa ndiwofala komanso pafupifupi. Aliyense wodwala yemwe akuchita nawo masewera olimbitsa thupi, dokotala-endocrinologist payekhapayekha amasintha Mlingo wa insulin, zakudya komanso kuchuluka kwa zochita zolimbitsa thupi. Ndi shuga wamagazi opitilira 250 mg%, wodwala matenda ashuga sayenera kuloledwa kuchita masewera olimbitsa thupi. Masewera amadziwikanso pakapangidwe ketoacidosis mthupi.
Maphunzirowa asanachitike, kuyesedwa kwa nkhawa kuyenera kuchitika, pomwe kumachitika kupezeka kwa mitundu yosiyanasiyana yamatenda oyambitsidwa ndi matenda a shuga m'thupi.
Kupanga masewera omwe ali ndi matenda ashuga kumaloledwa pokhapokha kulandira zotsatira zonse zoyesedwa ndi kuwunika kwawo.
Asanayambe masewera mwatsatanetsatane, dokotala amayenera kupereka malingaliro kwa wodwalayo momwe angachitire masewera olimbitsa thupi.
Munthu aliyense ali ndi machitidwe ake amthupi, motero dotolo amakulitsa mayankho ake poganizira mtundu wa matenda ndi machitidwe a thupi.
Ndi matenda a shuga a 2 kapena mtundu 1 wa shuga, pamakhala masewera olimbitsa thupi omwe amatha kupindulitsa thupi komanso osawapweteka.
Malamulo oyambira olimbitsa matenda a shuga
Musanayambe makalasi olimbitsa thupi pafupipafupi, muyenera kufunsa dokotala. Pokhapokha wodwala m'mawu omwe amathandizira wodwala amatha kudziwa mbiri yonse yamatendawa ndipo amatha kuwunika momwe wodwalayo alili. Dokotala yemwe amapita ndi amene amawona kuti ndi katundu wotani amene amaloledwa kuloledwa m'thupi komanso kuchuluka kwake.
Funso la kusankha masewera olimbitsa thupi komanso kulimba kumasankhidwa payekhapayekha, mwachitsanzo, maphunziro omwe amalimbikitsidwa kwa munthu m'modzi wokhala ndi matenda ashuga a 2 sangakhale oyenera kwa munthu wina yemwe ali ndi mtundu womwewo wa matenda ashuga. Izi zimachitika chifukwa choti chamoyo chilichonse chimakhala ndi zomwe chimachita payokha.
Pa maphunziro, kuchuluka kwa shuga mthupi kuyenera kuyang'aniridwa .. Masewera olimbitsa thupi akapatsidwa thupi, kutsika kwa glucose kumachitika. Zotsatira zake kuti dokotala yemwe akuchiza wodwalayo ayenera kutsitsa muyeso wa insulin wa jakisoni. Kuti mudziwe kuchuluka kwake komwe kumafunikira kuti muchepetse kuchuluka kwa mankhwala omwe ali ndi insulin, ndikofunikira kuyeza kuchuluka kwa shuga m'magazi pamimba yopanda nthawi ndi theka la ola litatha.
Kuti mupereke zotsatira zabwino mthupi, katundu pophunzitsidwa, mwachitsanzo, ndi mtundu wa 2 shuga, ziyenera kuwonjezeka pang'onopang'ono. Njirayi imakupatsani mwayi wophunzitsira osati minofu ya thupi, komanso kuchita maphunziro a minofu ya mtima - zomwe zimadziwika kuti ndi Cardio zolimbitsa thupi, zomwe zimalimbitsa kwambiri myocardium ndikuwongolera magwiridwe antchito a thupi, kupewa zomwe zimachitika chifukwa chakukula kwa matenda ashuga.
Kutalika kwa maphunziro kuyenera kuyamba ndi mphindi 10-15 kamodzi patsiku ndipo pang'onopang'ono kuwonjezeka mpaka mphindi 30-40. Ndikulimbikitsidwa kuphunzitsa masiku 4-5 pa sabata.
Pambuyo kusintha mtundu wa insulin yomwe imagwiritsidwa ntchito, zakudya ziyenera kusintha. Mu zakudyazi, munthu ayenera kuganizira kuchepa kwa kuchuluka kwa insulin yogwiritsidwa ntchito komanso zosowa za thupi zimachulukana mokhudzana ndi maphunziro kuti apereke mphamvu.
Kusintha kwa kadyedwe ka kusintha kwa moyo kumachitika ndi katswiri wa matenda ashuga.
Malamulo owonjezera okhudzana ndi matenda ashuga
Mukamachita maphunziro, ndikofunikira kuti muzilamulira zomwe mumamva. Ndikofunikira kudziwa ngati simuyenera kuchita masewera olimbitsa thupi patsiku linalake malinga ndi kuchuluka kwa shuga m'thupi la wodwalayo. Zikakhala kuti m'mawa kuchuluka kwa shuga m'madzi am'madzi ndi ochepa kuposa 4 mmol / L kapena kupitirira mtengo wa 14 mmol / L, ndibwino kusiya masewera. Izi ndichifukwa choti ndi shuga wochepa kwambiri m'thupi, kukula kwa hypoglycemia kumatha kuchitika panthawi yophunzirira, ndipo ndikutulutsa kwambiri, m'malo mwake, hyperglycemia imayamba.
Kuchita masewera olimbitsa thupi a shuga kuyenera kuyimitsidwa ngati wodwalayo apuma movutikira kwambiri, akumva zosasangalatsa pamtima, kupweteka mutu komanso chizungulire. Ngati mukuzindikira zizindikirazi panthawi yophunzitsira, muyenera kufunsa dokotala kuti mumupatse malangizo komanso kusintha kwa zovuta zolimbitsa thupi.
Simuyenera kusiya mwadzidzidzi kukhala olimba. Kuti mukhale ndi zotsatira zabwino mthupi, makalasi amayenera kukhala achizolowezi. Zovuta zamasewera sizimawoneka nthawi yomweyo, koma patapita nthawi. Mukasiya kuchita masewera olimbitsa thupi, zotsatira zabwino zomwe zimakhala sizikhala motalika, ndipo shuga ya m'magazi imadzukanso.
Mukamachititsa makalasi mchipinda cholimbitsa thupi muyenera kusankha nsapato zoyenera. Izi ndichifukwa choti mukamayendetsa masewera, mapazi a wodwalayo amakhala ndi katundu wolemera, yemwe, ngati nsapatoyo sanasankhe bwino, angayambitse chimanga ndi ma scuffs.
Izi sizovomerezeka kwa wodwala yemwe ali ndi matenda osokoneza bongo, makamaka kwa odwala omwe ali ndi matenda a shuga a 2, omwe minyewa yam'miyendo imatha kukhazikika. Izi zikachitika, pali kuphwanya kwa magazi kumadera ena akumunsi.
Khungu pamiyendo chifukwa cha matendawa limayamba kudwala ndipo limayamba kuonda komanso kuvulala mosavuta. Zilonda zomwe zimaperekedwa pakhungu loterolo zimachiritsidwa kwakanthawi. Ma tizilombo atalowa muvulaza, mafinya amadzaza, ndikachotsedwa, chilonda chimapezeka pamalo a bala, omwe nthawi yayitali amayambitsa zovuta, monga zilonda zam'mimba.
Posankha kuchita zolimbitsa thupi, muyenera kusankha mtundu woyenera wolimbitsa thupi m'makalasi anu. Chisankho chimatengera kupezeka kapena kusapezeka kwa matenda owonjezera.
Nthawi zina, masewera olimbitsa thupi akhoza kulumikizidwa pakukhazikitsa zolimbitsa thupi.
Malangizo kwa odwala omwe akuchita masewera olimbitsa thupi
Kugwiritsa ntchito mphamvu zolimbitsa thupi kumakhala ndi tanthauzo lothandiza m'thupi la wodwalayo pokhapokha ngati zakudya zadwala zasinthidwa ndipo wodwalayo amadya molingana ndi zakudya zatsopano komanso mosamala malinga ndi dongosolo lomwe lakonzedwa.
Pochita masewera olimbitsa thupi, wodwala yemwe ali ndi matenda ashuga amayenera kuwongolera thanzi lake komanso matupi ake. Zizindikiro zoyambirira ngati zayamba kupatuka, wodwalayo akulangizidwa kukana kuchita masewera olimbitsa thupi.
Tiyenera kukumbukira kuti kuchita masewera olimbitsa thupi ndi zida zamagetsi ndizowopsa. Osamapanikizika kwambiri mthupi.
Ndikofunikira kuyamba kupha ndi zojambula kapena zolemera pambuyo poti thupi likonzekere moyenerera zolimbitsa thupi.
Mukamapanga masewera olimbitsa thupi, ayenera kusinthidwa kuti minofu yolumikizana ipangike.
Pambuyo pothana ndi anaerobic katundu mthupi, nthawi yopuma iyenera kupumulitsidwa kwathunthu minofu minofu. Kanemayu mu mndandanda uno akupitiliza mutu wa masewera a shuga.
