Malinga ndi WHO, chaka chilichonse, pali odwala ambiri a shuga. Chiwerengerochi chikuwonjezeka chifukwa cha kuperewera kwa zakudya m'thupi komanso moyo wawo. Mosiyana ndi mtundu woyamba wa matenda ashuga, omwe ndi cholowa, kapena wopezeka ndi matenda oopsa (hepatitis, rubella), mtundu wachiwiri umatha kupezekanso mwa anthu athanzi labwino.
Ndipo ngati odwala matenda ashuga a mtundu 1 amakakamizidwa kubaya insulin tsiku lililonse, ndiye kuti ndi chithandizo choyenera cha mtundu 2, matendawa amatha kuchepetsedwa, ochepa zakudya, masewera olimbitsa thupi ndi kugwiritsa ntchito mankhwala osiyanasiyana ndi wowerengeka.
Imfa ya matenda ashuga imatenga malo achitatu pambuyo pa matenda a khansa komanso mtima. Kuphatikiza pa matenda ashuga, wodwala yemwe walumikizana ndi endocrinologist akhoza kukhala ndi boma la prediabetes. Ndipo osatsatira zomwe dokotalayo apanga kungaphatikizepo kusinthika kwa matenda amtunduwu matenda ashuga a 2.
Anthu odwala matenda ashuga nthawi zambiri amadwala matenda osiyanasiyana, chifukwa cha kulephera kwa machitidwe onse amthupi, chifukwa kapamba sangathe kutulutsa timadzi tambiri tambiri, kapena kuti thupi silizindikira. Chifukwa chake, ndikofunikira kuti ntchito zonse za thupi zizigwiritsidwa ntchito m'njira zosiyanasiyana, zomwe kwa zaka zambiri sizitchuka.
Zithandizo zoterezi zimaphatikizapo mafuta a nsomba. Kupenda kwamakolo ambiri kumatsimikizira kugwira kwake ntchito mu shuga, ndikuwonetsa kuwonjezeka kwa chitetezo chokwanira, kuchepa kwa shuga m'magazi ndi kuwongolera kwakukulu pamthupi. Lingaliro la mafuta a nsomba ndi matenda a shuga ndiloyenera, chifukwa ngakhale malangizo omwe angagwiritsidwe ntchito, matendawa sikuti amatsutsana ndi makapisozi.
Zambiri zidzafotokozeredwe pansipa pa kuchuluka kwa mafuta am'madzi a shuga, poganizira zomwe zili mu calorie ndi index ya glycemic, momwe zilili ndi zinthu zofunika, zitha kuphatikizidwa ndi mankhwala ena, komanso njira zomwe zingatengeredwe kuti muchepetse shuga magazi.
Mafuta a nsomba ndi shuga
Mafuta a nsomba ndi mafuta a nyama omwe amachokera ku nsomba zazikulu zam'nyanja. Gwero lalikulu la zopangira zoterezi ndi ku Norway ndipo, posachedwa, America.
Pomaliza, mafuta am'madzi amachokera ku Pacific hering'i, komanso anthu aku Norwegiac kuchokera ku cod ndi mackerel. Chiwindi chimachotsedwa ku nsomba ndikutentha ndi nthunzi yamadzi, mafuta amamasulidwa.
Akateteza nsomba, ndikungogulitsa zinthu zokhazokha. Lita imodzi ya mafuta amafunika chiwindi cha 3 - 5. Ndi chiwindi chachikulu chimodzi, mutha kukwera mpaka 250 ml yamafuta.
Mafuta a nsomba, kwenikweni, ndi mankhwala apadera, mndandanda wake wa glycemic ndi zero. Mankhwalawa amapangika pokhapokha pazinthu zachilengedwe. Muli mafuta achilengedwe a polyunsaturated, monga:
- Omega - 3;
- Omega 6.
Ndi zinthu izi zomwe zimachotsa mafuta m'thupi m'magazi, omwe odwala amawonekera, omwe ali ndi matenda a shuga a 2 ndi 1. Kuphatikiza apo, mavitamini amapezeka m'mafuta a nsomba:
- Retinol (Vitamini A), yomwe imakhala ndi phindu pamawonedwe amunthu, ikupangitsa acuity ake. Ndipo kwa odwala matenda ashuga izi ndizowoneka bwino, chifukwa maso awo ali pachiwopsezo chifukwa cha matendawa. Imathandizira kuwonjezera chotchinga cha mucous nembanemba, imathandizira kuchiritsa kwa epithelium yowonongeka, imalimbikitsa kupanga collagen.
- Vitamini D - amalimbikitsa kuyamwa kwa calcium, amachepetsa mwayi wokhala ndi zotupa zoyipa, monga zatsimikiziridwa ndi bungwe lina lofufuza ku America. Zatsimikiziridwa kuti vitamini iyi imathandizira kutsitsimutsa zizindikiro za matenda apakhungu ndikuchepetsa chiopsezo cha psoriasis.
Ndizachilendo kuti retinol pafupifupi imalowa kwathunthu ndi thupi. Izi zimatheka chifukwa chakuti mayamwidwe a vitamini awa ndi 100%. Chinanso chomwe chimakhala ndi mafuta a nsomba ndikuwonjezereka kwa ntchito zoteteza thupi.
Izi ndizofunikira kwambiri kwa odwala matenda ashuga, chifukwa amatengeka kwambiri ndi matenda ang'onoang'ono. Ndipo izi ndizodzaza ndi glycemia, chifukwa nthawi ya matenda amtundu wa insulin suwoneka bwino, motero ma ketones amatha kupezeka mumkodzo. Ayenera kuyang'aniridwa ndi zingwe zoyeserera za ketone ndi kuyeza shuga wamagazi ndi glucometer osachepera kanayi patsiku.
Mafuta a nsomba chifukwa cha matenda ashuga amalimbikitsidwa ndi European Association of Endocrinologists, chifukwa cha kusawona bwino kwa thupi la wodwalayo. Chachikulu ndikuwerengera molondola komanso kutsata malamulo onse omwa mankhwalawo.
Wodwala amatenga makapisozi amafuta a nsomba kokha pamimba yonse - mkati, kapena chakudya. Palibe ma fanizo osokoneza bongo. Mtengo woyamba wa makapisozi ku Russian Federation, kutengera chigawo, udzachokera ku rubles 50-75 pachilichonse. Mtengo ungasiyane pa kuchuluka kwa mankhwalawo pachimake chimodzi kapena phukusi.
Mankhwalawa, ovomerezedwa ndi tchuthi chotsutsa, atha kugulidwa ku pharmacy iliyonse. Pansi pa ulangizi wathunthu wotenga makapu amafuta a nsomba ndikuwunika mtundu 1 ndi mtundu wa 2 odwala matenda ashuga.
Malangizo ogwiritsira ntchito mankhwalawa
Kuphatikizika kwa mankhwalawa kumaphatikizapo mafuta a nsomba, omwe amaphatikizapo:
- mafuta a polyunsaturated Omega - 3, 6;
- retinol - 500 IU;
- Vitamini D - 50 IU;
- oleic acid;
- palmitic acid.
Chipolopolocho chimakhala ndi gelatin, madzi ndi glycerin. Makapisozi amayenera kumwedwa panthawi ya chakudya. Mankhwala omwe amagwiritsidwa ntchito amatsukidwa ndi madzi ambiri.
Zoyipa zomwe mafuta a nsomba amaletsedwa kotheratu:
- hypercalcemia;
- matenda aakulu a impso ndi chiwindi, komanso mu gawo la kufalikira kwa matendawa;
- aakulu kapamba;
- urolithiasis;
- tsankho limodzi la magawo a mankhwala;
- chifuwa chotseguka;
- matenda ashuga hepatosis;
- chithokomiro;
- mimba
- nthawi ya mkaka wa m`mawere;
- sarcoidosis;
- zaka za ana mpaka zaka zisanu ndi ziwiri.
Mfundo yomaliza ya contraindication imalembedwa mu malangizo okha mwa Unduna wa Zaumoyo wa Russian Federation, womwe umaletsa kuyikidwa kwa mankhwalawa monga mapiritsi ndi mapiritsi a ana.
Moyang'aniridwa ndi dokotala, agwiritseni ntchito kwa anthu azaka zapakati pa 65 ndi kupitilira, omwe muli ndi matenda amtima (kulephera kwa mtima, kuwonongeka kwa mtima) komanso chilonda.
Mlingo wa munthu wamkulu umaphatikizapo kumwa makapisozi atatu katatu patsiku ndi kapu yamadzi. Imwani ozizira kapena madzi ofunda. Palibe vuto kuti musamwe madzi otentha, ndiye kuti kaphatikizidwe kamadzataya mphamvu zake zochizira. Osabera.
Njira ya chithandizo cha matenda a shuga a 2 ndi 1 amatsimikiziridwa ndi endocrinologist wokhazikika. Sitikulimbikitsidwa kumwa mankhwalawa kwa mwezi wopitilira umodzi osapuma miyezi iwiri.
Ndemanga za mafuta owola ambiri sananenedwe. Komabe, ngati mutamwa mlingo waukulu kuposa momwe mankhwalawo amalembera, bongo la retinol, lomwe ndi gawo la mankhwalawa, lingachitike. Kenako, mwina, munthuyo azikhala ndi masomphenya awiri, kutulutsa magaziamu kumayambira, nembanemba limatha ndipo pakamwa padzaoneka.
Ndi mankhwala osokoneza bongo a vitamini D, kamwa yowuma, ludzu losalekeza, kukhumudwa kwam'mimba, kutopa, kusakwiya, kupweteka kwa molumikizana, kuwonekera kwa magazi kumawonedwa.
Mukuledzera kosatha, kuwerengetsa mapapu, impso ndi minofu yofewa, kulephera kwa mtima ndi impso, komanso vuto la kukula kwa ana limatha.
Chithandizo cha bongo
- Kuthetsa kwa zizindikiro ndi apakhungu mankhwala;
- pa kumwa kwa madzi ambiri.
- Mankhwala oti mupeze zakumwa za mafuta a nsomba sizinadziwikebe.
Wodwala yemwe akutenga ma anticonvulsants ndi barbiturates ayenera kukumbukira kuti vitamini D amachepetsa mankhwala. Ndipo retinol amachepetsa ntchito ya glucocorticosteroids. Osamatenga mafuta a nsomba ngati panthawi yomwe munthu akugwiritsa ntchito estrogens.
Zakudya zamafuta a nsomba zimaphatikizidwa kwa amayi apakati ndi amayi panthawi yoyamwitsa.
Ngati mumatenga mafuta am'madzi mu zikhalidwe zomwe zimakhazikitsidwa, ndiye kuti chiwopsezo cha zotsatira zoyipa chimachepetsedwa mpaka zero. Kuchepetsa chabe kwa kuchuluka kwa magazi komwe kumatha kuonedwa.
Alumali moyo wa mankhwalawa ndi zaka ziwiri kuyambira tsiku lotulutsidwa, osungidwa m'malo amdima osavomerezeka ndi ana. Ndi zoletsedwa kotheratu kutenga mafuta a nsomba molumikizana ndi mavitamini, omwe amaphatikizapo mavitamini A ndi D.
Kulandila kwa mafuta a nsomba sikukhudza kuyendetsa galimoto ndipo kumavomerezeka mukamagwira ntchito ndi zinthu zomwe zimafuna kuti anthu azikumbukira.
Kutsitsa magazi
Matenda a shuga a Type 2, ngati 1, amakakamiza wodwala kuti azitsatira zakudya mosamalitsa. Kutsatira malangizo onse, wodwalayo nthawi zina amachepetsa kuwonjezeka kwa shuga m'magazi. Muyenera kumwa madzi ambiri tsiku lililonse momwe mumatha calorie, pamlingo wa 1 calorie pa 1 ml ya madzi. Koma osachepera malita awiri amadzi patsiku.
Idyani nthawi 5-6 patsiku, ndikugawa chakudyacho m'magawo ang'onoang'ono. Zakudya zopatsa thanzi ziyenera kuchitika nthawi yomweyo, kuti thupi lizitha kusintha magwiridwe antchito a insulin.
Musaiwale zamankhwala olimbitsa thupi, zomwe zimapangitsa kuti shuga ayambe kumveka. Makalasi amayenera kuchitika tsiku lililonse. Mutha kuyang'ana pamitundu iyi yamaphunziro akuthupi:
- kusambira
- Kuyenda
- amayenda mumlengalenga.
Mutha kuphatikiza mitundu iyi ya masewera olimbitsa, kusinthana pakati pawo. Chifukwa chake, wodwalayo sangangokhudza shuga m'magazi, komanso amalimbikitse magulu osiyanasiyana am'misempha, kusintha magazi m'matumbo, kukhutitsa magazi ndi mpweya ndikuwonjezera kukana kwa thupi ku mabakiteriya komanso matenda osiyanasiyana a etiology.
Mutha kuyang'ana ku mankhwala azitsamba omwe ali ndi matenda ashuga, omwe alibe zotsutsana. Broth imakonzedwa pamaziko azitsamba ndi zipatso. Mwachitsanzo, ma stigmas a chimanga amakhala ndi amylase, omwe amatha kuchepetsa kutulutsa shuga m'magazi. Komanso ndi nkhokwe ya mavitamini ndi michere.
Simungathe kuvutikanso ndi Chinsinsi, koma mugule kusalidwa kwa chimanga ku pharmacy iliyonse. Tengani madontho 20, katatu patsiku, mukatha kudya, mutasakaniza Tingafinye ndi madzi ochepa. Njira ya mankhwala ndi mwezi umodzi. Kenako muyenera kupuma kwa milungu iwiri kapena itatu. Musayembekezere chithandizo chamanthawi yomweyo.
Mankhwala azitsamba amatanthauza kudziunjikira kwa zinthu zachilengedwe zopindulitsa m'thupi. Zotsatira zake zitha kuwonekera pokhapokha miyezi isanu ndi umodzi. Musanaganize zophatikiza mankhwala atsopano odwala odwala matenda ashuga, muyenera kuonana ndi endocrinologist pasadakhale. Koma vidiyo yomwe yatchulidwa munkhaniyi ikuthandizani kuti mupeze nsomba za matenda ashuga.
