Chithandizo cha matenda ashuga amtundu wa 2 sayenera kuchepetsedwa kokha kugwiritsa ntchito mankhwala ochepetsa shuga. Kuti muthane ndi vutoli, pamafunika njira yolumikizira, yomwe imaphatikizapo zakudya zochizira, kuchita masewera olimbitsa thupi pafupipafupi komanso kugwiritsa ntchito othandizira, monga nicotinic acid.
Niacin ndiye mavitamini okha omwe azindikiridwa ndi mankhwala achikhalidwe osati zakudya zowonjezera, koma mankhwala enieni. Mphamvu yakuchiritsa ya vitamini PP kapena B3 (yotchedwanso nicotinic acid) imaposa chithandizo cha vitamini C.
Koma, monga mankhwala aliwonse, vitamini B3 amayenera kumwedwa mosamala, chifukwa kuchuluka kwa chikonga acid kumatha kuvulaza thupi. Chifukwa chake, musanayambe chithandizo cha matenda ashuga okhala ndi vitamini PP, ndikofunikira kudziwa za momwe angathere, monga momwe zimakhudzira thupi la wodwalayo, momwe angatengere molondola komanso ngati ali ndi zotsutsana.
Katundu
Mankhwalawa, ndi othandiza kwambiri kwa munthu aliyense, koma kugwiritsa ntchito vitamini nicotinic acid wa matenda a shuga a 2 kumathandizanso kwambiri pakuchiritsa.
Chifukwa chake, nthawi zambiri amatchedwa vitamini.
Niacin ali ndi zotsatirazi zochizira:
- Kuchiza ndi kupewa matenda a shuga a 2;
- Kupanga chakudya chopatsa mphamvu, mapuloteni ndi metabolism yamafuta;
- Kutsitsa cholesterol;
- Kupititsa patsogolo ntchito ya mtima wonse, makamaka kukonza magazi m'miyendo;
- Kupewa kwa mapangidwe a cholesterol malo ndi magazi, komanso kukula kwa atherosulinosis ndi thrombophlebitis;
- Kuthetsa kukhumudwa ndi mitsempha.
Masiku ano, nicotinic acid imapezeka m'mitundu ingapo, iliyonse yomwe ili ndi mphamvu zake zochiritsa.
Pachifukwa ichi, m'mafakitoro, acid ya nicotinic imagulitsidwa pansi pa mayina osiyanasiyana, kutengera mtundu wa vitamini uwu womwe umagwiritsidwa ntchito popanga mankhwalawa. Pakadali pano, m'mafakitare mungapeze zotsatirazi za nicotinic acid:
- Nikotinamide;
- Niacin;
- Mavitamini B3 kapena PP, nthawi zambiri monga gawo la mavitamini ena.
Nthawi yomweyo, aliyense wa iwo ndiwothandiza mwanjira yake ya matenda a shuga, chifukwa amakhudza mavuto osiyanasiyana omwe amabwera ndi matendawa.
Kuti mumvetsetse kuti ndi liti, ndi nthawi yanji ya nikotini yomwe mungagwiritse ntchito pochiza matenda ashuga, muyenera kukambirana zambiri mwatsatanetsatane.
Nikotinamide
Nicotinamide wa mtundu 2 wa shuga amathandizira kubwezeretsa kulekerera kwa minofu. Ndipo monga mukudziwa, ndi kusakhazikika kwa ma cell amkati kwa hormone iyi yomwe imakwiyitsa kukula kwa matenda osagwirizana ndi insulin. Izi ndizowona makamaka kwa odwala omwe ali ndi matenda ashuga omwe adakakamizidwa kuti asinthane ndi insulin chithandizo chifukwa chowonjezereka kwa matendawa.
Kumwa pafupipafupi kwa Nicotinamide kumawathandiza kusiya ma jakisoni onse a insulin, komanso kuchepetsa kwambiri kufunika kwa thupi kwa mankhwala ochepetsa shuga. Izi zimathandiza kupewa zovuta zazikulu zomwe nthawi zambiri zimakhala mwa odwala omwe ali ndi matenda ashuga osachiritsika.
Nicotinamide amathandizira kuimitsa kuwonongeka kwa maselo a pancreatic ndikuwongolera kwambiri mkhalidwe wake, womwe uli wofunikira kwambiri mu mtundu wa 1 komanso matenda a shuga a 2. Nicotinic acid wamtunduwu amathandizira kusintha mapangidwe a kapamba ndikuthandizira kupanga kwa insulin.
Chifukwa chake, mankhwalawa amagwira ntchito makamaka pamagawo oyamba a matenda ashuga, pomwe matendawa sanakhalepo ndi nthawi yowononga kwambiri minofu ya kapamba. Kuphatikiza apo, mankhwalawa ndi chida chabwino kwambiri popewa matenda a shuga kwa anthu omwe ali ndi chiyembekezo chodwala.
Chuma china chofunikira cha Nicotinamide ndiko kutukula kagayidwe kazakudya komanso michere ya protein. Izi zimangolimbikitsa kuchepetsa magazi, komanso kusintha mphamvu ya thupi, potipatsanso wodwalayo mphamvu.
Kuphatikiza kosangalatsa pakuchiritsa kwa Nicotinamide ndi mphamvu yake yofatsa. Izi nthawi zambiri zimagwiritsidwa ntchito ngati tranquilizer yofatsa, yopanda vuto, yomwe imathandizira kuthetsa nkhawa, neurosis ndi matenda ena amisala omwe nthawi zina amakula mwa anthu omwe ali ndi matenda oopsa monga matenda a shuga.
Niacin
Niacin amatenga gawo lalikulu pakusinthira mtima wamagazi ndikusintha kayendedwe ka magazi, kuphatikizanso malekezero ena am'munsi, omwe amathandiza kupewa kukulitsa vuto limodzi la matenda ashuga - phazi la matenda ashuga.
Izi zimachepetsa bwino mafuta a cholesterol m'magazi a wodwala, zomwe zimawonjezera kuwonongeka kwa kayendedwe ka magazi mu matenda a shuga. Kuchita kwa niacin kuchepetsa kwambiri zomwe zili m'magazi a wodwala ndikofunikira kwambiri kwa anthu onenepa kwambiri.
Izi zimathandiza kupewa zovuta zambiri, mwachitsanzo, kukula kwa mitsempha ya mitsempha ndi mwendo thrombophlebitis, omwe amapezeka kawirikawiri mwa anthu omwe ali ndi mbiri yayitali ya matenda ashuga. Kuphatikiza apo, Katunduyu wa Niacin amateteza mtima wa wodwala ku mavuto obwera chifukwa cha kuchuluka kwa shuga, komwe kumatha kubweretsa zovuta m'misempha yamtima. Mankhwalawa, hemoglobin mu shuga imakhalabe yofanana.
Zosathandizanso kudziwa ngati munthu ali ndi matenda oopsa ngati matenda a shuga ali ndi chuma chinanso cha Niacin, chomwe chimathandiza kupewa magazi. Monga mukudziwa, kuchuluka kwa glucose wokhazikika kumatha kupangitsa magazi kukhala akhungu komanso ma viscous, omwe ndi owopsa ku thanzi la odwala matenda ashuga. Niacin samangochepetsa magazi okha, komanso madzi amitsempha yamagazi, potero amasintha magazi mthupi lonse.
Monga Nikotinamide, Niacin amatenga nawo gawo pang'onopang'ono pokonza thupi, amathandizira kuwotcha shuga ndi mafuta, kuwasandutsa mphamvu zoyera. Palibe gawo lofunikira kwambiri lomwe limaseweredwa ndi niacin mu kulowetsedwa kwa mapuloteni, komanso kusintha kwa mafuta kukhala zinthu zapadera za eicosanoids, zomwe ndizofunikira kwambiri pakugwira ntchito kwa kagayidwe ka metabolic.
Niacin amathandizanso kuchepa kwa triglycerides, kuwonjezeka komwe kumakhala chimodzi mwazizindikiro zoyambirira za chitukuko cha matenda osokoneza bongo a fomu yachiwiri.
Kuphatikiza ndi zakudya zama carb ochepa, kutenga Niacin kumakupatsani mwayi wochepetsera zomwe zili m'magazi a wodwala ndikuchepetsa kukula kwa matendawa.
Malangizo ogwiritsira ntchito mankhwalawa
Nikotinamide. Kuti mupeze chithandizo chomwe mungafune kulandira ndi Nikotinamide, iyenera kutengedwa, mosamala kuona kuchuluka kofunikira. Nthawi zambiri, endocrinologists amalangizidwa kuti azitsatira njira yotsatira ya chithandizo:
- Imwani mankhwalawa 25 mg pa kilogalamu imodzi ya kulemera kwa munthu. Munjira iyi ya chithandizo, mlingo wa tsiku ndi tsiku wa munthu wamkulu ndi pafupifupi 1750 mg.
- Ngati mankhwalawa akuwoneka kuti ali ochulukirapo, mutha kugwiritsa ntchito njira ina yosavuta yochizira. Kuti muchite izi, muyenera kumwa mankhwalawa kawiri patsiku - m'mawa ndi madzulo, 500 mg ya Nicotinamide.
Niacin. Pali malingaliro angapo amomwe mungatenge Niacin molondola. Nawa awiri a iwo:
- Muyenera kuyamba kumwa mankhwalawa ndi 100 mg patsiku, ndikuwonjezera pang'onopang'ono mlingo mpaka kufikira kiwango cha 1000 mg patsiku;
- Mutha kuyamba kumwa Niacin nthawi yomweyo ndi 500 mg katatu patsiku. Mlingo uwu uyeneranso kuchuluka pang'onopang'ono, koma osati zochuluka. Imwani mankhwalawa 1000 mg katatu patsiku moyang'aniridwa ndi achipatala okha.
Malangizo apadera
Kuti mankhwalawa a nicotinic acid abweretse odwala omwe ali ndi shuga yekha, ndikofunikira kutsatira mosamalitsa malangizo omwe angagwiritsidwe ntchito, omwe akuti:
- Musapitirire Mlingo woyenera mwakufuna kwanu. Kugwiritsa ntchito kwambiri nicotinic acid kumatha kuvulaza thanzi la munthu;
- Musanayambe maphunziro a mankhwala a nicotinic acid mu shuga, muyenera kufunsa dokotala. Ndikofunika kukumbukira kuti mankhwalawa ali ndi contraindication;
- Pofuna kupewa kuyanjana ndi mankhwala osafunikira, nicotinic acid sayenera kumwa ndi mankhwala ena kapena zowonjezera chakudya;
- Mlingo uyenera kukhala wocheperako, popeza kuchuluka kwa mavitamini amenewa kukhoza kuvulaza mwana wosabadwa;
- Odwala omwe amatenga oposa 1000 mg a nicotinic acid tsiku lililonse amafunikira kupendedwa miyezi itatu iliyonse kuti adziwe chiwindi.
Ubwino wa kukonzekera kwa nicotinic acid ndikuti insulin yogwira ntchito nthawi zambiri imalumikizana nawo.
Mtengo
Mtengo wa ochiritsira wa nicotinic acid nthawi zambiri umakhala wosapitirira ma ruble 100, ndipo nthawi zambiri umachokera ku ruble 15 mpaka 30. Komabe, pochiza matenda a shuga, osati mavitamini PP ofunikira, koma kufunikira kwake komwe kumagwira ntchito kwambiri - Niacin ndi Nicotinamide.
Mankhwalawa sakhala okwera mtengo kwambiri ndipo amatenga ma ruble 700. Mtengo wapakati wa mankhwalawa m'mafakisi ku Russia ndi 690 rubles. Koma ndikofunikira kumvetsetsa kuti pogula mankhwalawa, wodwala matenda a shuga amalandira mankhwala omwe angamuthandizedi. Kanemayo munkhaniyi akuwonetsa zomwe zimayambitsa matenda ashuga.