Kuchulukitsa, patatha zaka 40, matenda amtundu wa 2 amakula. Kwenikweni, matendawa amapezeka munthu akadya mosayenera (zakudya zamafuta ndi zotsekemera), kumwa moledzera, ndudu ndikuyamba kukhala wopanda ntchito.
Komanso matendawa nthawi zambiri amapezeka mwa anthu onenepa. Chofunikanso ndicholinga chakubadwa kwa makolo.
Mtundu wachiwiri wa matenda ashuga ndi vuto la metabolic lomwe limadziwika. Zimachitika chifukwa chosazindikira maselo a minyewa kupita ku insulin.
Ngakhale kuti mawonekedwe amtunduwu safunikira kuyendetsa insulin mosalekeza, kupita patsogolo kwake kumabweretsa zovuta zambiri, monga encephalopathy, retinopathy, neuropathy, nephropathy, ndi zina zambiri. Chifukwa chake, odwala matenda ashuga ayenera kusintha kwathunthu moyo wawo. Chifukwa chake ayenera kuyang'ananso zakudya zawo, kupita kumasewera ndikusiya kuzolowera.
Chakudya chopatsa thanzi
Matenda a shuga si matenda ngati mumatsatira moyo wathanzi, womwe waukulu umakhala zakudya zopatsa thanzi. Lamulo lalikulu ndikudya chakudya m'magawo ang'onoang'ono mpaka 6 pa tsiku, kotero kuti kupumula pakati pa zokhwasula sikupitilira maola atatu.
Chakudya chiyenera kukhala chamafuta ambiri, chifukwa kuperewera kwa zakudya m'thupi mtundu wa 2 sikulakwika monga kudya kwambiri. Ndipo odwala omwe ali onenepa kwambiri ayenera kufunsa katswiri wa zakudya yemwe amasintha kadyedwe kake.
Kupatula apo, kudya zakudya zamagulu ochepa kumapangitsa kuti shuga asamayende bwino komanso kubwezeretsanso shuga, popeza kuchuluka kwa shuga m'magazi ngakhale mutatha kudya sikungakhale kuposa 6.1 mmol / l.
Njira yodwala matenda ashuga iyenera kukhala ndi kadyedwe koyenera. Zovomerezeka ndizophatikiza:
- Nsomba yamafuta ochepa ndi nyama yophika kapena yophika.
- Mkate wakuda ndi chinangwa kapena ufa wosakanizira (mpaka 200 g patsiku).
- Mitundu ndi ndiwo zamasamba - zukini, kabichi, nkhaka, radishi zimatha kudyedwa munthawi zambiri, ndipo kudya kwa beets, mbatata ndi kaloti kuyenera kukhala kochepa.
- Mazira - amathanso kudyedwa kawiri pa tsiku.
- Zakudya monga chimanga - chakudya chambiri, mafuta, mpunga, barele, ndi mapira amaloledwa masiku osadya mkate. Semolina ndibwino kupatula pachakudya.
- Leamu ndi pasitala kuchokera ku mitundu yolimba - idyani pang'ono m'malo mwa mkate.
- Msuzi wamafuta ochepa pa nsomba, nyama kapena msuzi wa masamba.
- Zipatso (mabulosi abuluu, cranberries) ndi zipatso (zipatso za zipatso, kiwi, maapulo).
Ponena za zinthu mkaka, mkaka wonse uyenera kutayidwa. Ndikofunika kupatsa chidwi ndi kefir, yogati (1-2%), yomwe mumatha kumwa mpaka 500 ml patsiku. Kugwiritsa ntchito tchizi kanyumba kochepa mafuta (mpaka 200 g patsiku) kumalimbikitsidwanso.
Ponena za zakumwa, choyambirira ndi timadziti tatsopano tothiriridwa ndi madzi. Nthawi zina mumatha kumwa khofi wofooka ndi mkaka, tiyi wakuda kapena wobiriwira.
Matenda a shuga si matenda, koma njira ya moyo, motero wodwalayo ayenera kukana kapena kuchepetsa kudya zakudya zina. Chinthu choyamba chomwe muyenera kuyiwala za shuga ndi zakudya zotsekemera (chokoleti, muffin, makeke, kupanikizana). Pazocheperako, mumatha kudya uchi, fructose ndi zotsekemera zina.
Othandizira zakudya sanalangizidwe kuti achite nawo zipatso zotsekemera (nthochi, ma Persimmons, mavwende) ndi zipatso zouma (madeti, zoumba zouma). Komanso zoletsedwa ndi mowa, kvass ndi mandimu.
Iwo omwe sangakhale moyo wopanda maswiti ayenera kukonda zakudya zamafuta omwe amagulitsidwa m'misika yamagolosale m'madipatimenti apadera a odwala matenda ashuga. Komabe, ndikofunikira kukumbukira kuti zosaposa 30 g za zotsekemera zilizonse zimatha kudyedwa patsiku.
Kuphatikiza apo, muyenera kusiyira nyama yokazinga, mafuta, kusuta nyama, mankhwala omalizidwa, pastes ndi masoseji. Sibwino kudya mkate woyera ndi makeke okhala ndi chimera.
Zogulitsa zina pagulu loletsa:
- nsomba zamchere komanso zosuta;
- pasitala kuchokera ku ufa wapamwamba kwambiri kapena woyamba 1;
- batala ndi mafuta ena ophikira;
- marinade ndi ma pickles;
- mayonesi ndi msuzi wofanana.
Zochita zolimbitsa thupi
Njira yodwala matenda ashuga imaphatikizapo masewera okakamiza. Komabe, kukula ndi kuchuluka kwa katunduyu kuyenera kutsimikiziridwa ndi dokotala. Kupatula apo, ndikulimbitsa thupi, maselo amafunikira shuga ochulukirapo.
Thupi la munthu wathanzi limadzimiririra lokha shuga. Koma mwa anthu odwala matenda ashuga, makina awa sagwira ntchito nthawi zonse, motero pangafunikire kusintha kuchuluka kwa insulin kapena makonzedwe ena a shuga.
HLS ya matenda ashuga, kuphatikiza masewera, imakhala ndi zotsatira zabwino mthupi la wodwalayo. Kupatula apo, katundu wolemera amachepetsa kulemera kwambiri, kukonza chiwopsezo cha minyewa kupita ku insulin ndikuletsa kukula kwa zovuta zokhudzana ndi mtima.
Moyo wamasewera monga mtundu wachiwiri wa shuga umatanthawuza kutsatira malamulo ena angapo:
- Kuchotsa katundu kwambiri;
- ndizoletsedwa kukweza zolemera;
- simungathe kuchita zam'mimba, zomwe zingayambitse hypoglycemia ndi chikomokere;
- m'makalasi muyenera kutenga lokoma nanu (maswiti, chidutswa cha shuga);
- ngati chizungulire ndi kufooka kwambiri zikachitika, maphunziro ayenera kusiyidwa.
Masewera omwe amalimbikitsidwa ndi monga kuvina, kulimbitsa thupi, kusambira, tennis, mpira wamiyendo, volleyball. Kuyenda pang'ono ndikuyenda ndikuwonetsedwanso, ndipo zochitika zowonjezera ziyenera kutayidwa.
Kuphatikiza apo, upangiri wa madokotala umabweranso ku mfundo yoti musanayambe kuchita masewera olimbitsa thupi ndikofunikira kuyeza kuchuluka kwa shuga. Makhalidwe abwinobwino amachokera pa 6 mpaka 11 mmol / l.
Komanso, simungayambe kuchita nawo ntchito yayitali komanso yogwira ntchito ndipo muyenera kudziwa momwe kuchita zolimbitsa thupi kumakhudzira shuga.
Kutalika kwa maphunziro oyamba sikuyenera kupitirira 15, ndipo m'makalasi otsatirawa mutha kuwonjezera katundu ndi nthawi.
Zizolowezi zoyipa ndi ntchito
Matenda a shuga ndi njira ya moyo, chifukwa chake kusuta ndi matenda sikuvomerezeka. Kupatula apo, zimathandizira kuchepa kwamitsempha yamagazi, zomwe zimayambitsa mavuto a mtima.
Ponena za mowa, amatha kuledzera m'matenda a shuga m'magulu ochepa, chifukwa mowa samakulitsa shuga. Komabe, zakumwa zokhala ndi shuga (zakumwa zoledzeretsa, ma viniga, zotumphukira, mapini) ndizoletsedwa. Njira yabwino kwambiri ndi kapu ya vinyo wouma wofiira.
Khalidwe labwino ndi matenda ashuga zimatha kuphatikizidwa kokha ngati munthu asankha mtundu woyenera wa zochitika zomwe zimamulola kutsatira zochitika za tsiku ndi tsiku, kuwunika zakudya, kuchita masewera olimbitsa thupi komanso kumwa nthawi. Chifukwa chake, posankha ntchito, ziyenera kuperekedwa kwa akatswiri monga:
- dokotala wamankhwala;
- Olemba mabuku
- owerengera chuma;
- wosunga nkhokwe;
- loya ndi zinthu.
Ndipo ntchito yokhudzana ndi mankhwala oyipa omwe amakhala ndi ndandanda yosasinthika iyenera kusiyidwa. Komanso, musasankhe zapadera zomwe zimafunikira chidwi chachikulu (woyendetsa, woyendetsa, wamagetsi) ndikugwira ntchito ozizira kapena m'masitolo otentha.
Kuphatikiza apo, ma profesiti omwe amayanjana ndi chiwopsezo kwa anthu komanso odwala matenda ashuga iye (wapolisi, wozimitsa moto, wowongolera) ndi osayenera.
Malangizo ena
DLS ya matenda ashuga imatanthawuza kupuma mokhazikika ndi kuyenda. Kupatula apo, izi zimapangitsa wodwalayo kukhala ndi malingaliro abwino. Komabe, ziyenera kukumbukiridwa kuti paulendowu kutha kuchitika "matenda" kapena "nyanja".
Kuphatikiza apo, kusintha nthawi yanu kumatha kusokoneza thanzi lanu. Komanso, simungayikirenso dzuwa nthawi yayitali padzuwa lotseguka.
Nanga bwanji za katemera? Katemera wodziletsa atha kuperekedwa chifukwa cha matenda ashuga, koma pokhapokha ngati amalimbikira kulipiritsa, pomwe kuchuluka kwa shuga m'magazi ndikwabwinobwino ndipo mulibe acetone mu mkodzo. Ngati matendawa ali pachiwopsezo cha kubwezeretsa, ndiye kuti katemera amaloledwa pokhapokha ngati pakufunika (chimfine, tetanus, diphtheria).
Popeza anthu odwala matenda ashuga nthawi zambiri amakhala ndi vuto la mano komanso mano, amafunika kuwunika ukhondo pakamwa. Ndiye kuti, tsitsani mano m'kamwa ndi mswaki tsiku lililonse, kutsuka mano anu m'mawa ndi madzulo kwa mphindi ziwiri, gwiritsani ntchito maluwa ndi phula yapadera.
Amayi omwe ali ndi matenda osokoneza bongo omwe amadalira insulin ayenera kusankha njira zakulera mosamala. Kuti izi zitheke, muyenera kutsatira malamulo otsatirawa:
- kumwa mapiritsi okhala ndi estrogen ambiri kumalimbikitsidwa;
- mukamamwa mankhwala ophatikizira omwe ali ndi progesterone ndi estrogens, kufunikira kwa insulin kumawonjezeka;
- ngati pali zovuta ndi zotengera, muyenera kupatsidwa njira zoletsa kulera (makondomu).
Chifukwa chake, ngati mumatsatira malamulo onse, pitani pafupipafupi ku endocrinologist, musadumphe chakudya ndipo musaiwale za maphunziro akuthupi, ndiye kuti matenda ashuga ndi moyo zingakhale zogwirizana. Kuphatikiza apo, nthawi zina odwala matenda ashuga omwe amatsatira malangizo onse azachipatala amamva bwino kuposa omwe amadwala matenda a hyperglycemia, koma omwe samayang'anira thanzi lawo. Zoyenera kuchita ndi zomwe mungadye ndi matenda ashuga - mu kanema munkhaniyi.
