Kunenepa kwambiri ndi matenda ashuga ambiri nthawi zambiri zimakhala zofanana. Chifukwa cha insulini, mafuta ochulukirapo amadziunjikira m'thupi la munthu, ndipo nthawi yomweyo, timadzi tambiri timaloledwa.
Minofu yambiri ya adipose m'thupi la wodwalayo, kukana kwake kwambiri kwa insulini, komanso mahomoni ambiri m'magazi, kunenepa kwambiri kumawonekera. Ndiye kuti, bwalo loipa limapezeka, lomwe limatsogolera ku matenda monga matenda a shuga mellitus (mtundu wachiwiri).
Kuti mubweretse kuchuluka kwa glucose pamlingo wofunikira, muyenera kutsatira zakudya zamafuta ochepa, zolimbitsa thupi zolimbitsa thupi, komanso mankhwala (otchulidwa ndi dokotala) ndizosafunikira kwenikweni.
Muyenera kuganizira momwe mungachiritsire kunenepa kwambiri komanso matenda ashuga, komanso mapiritsi omwe anthu onenepa amathandizira kuchepetsa thupi. Kodi ndi mankhwala ati omwe dokotala angakupatseni, ndipo ndi chiyani chomwe chingathandize kuthana ndi matendawa?
Kunenepa kwambiri monga chiopsezo cha matenda ashuga
Kafukufuku wambiri akuwonetsa kuti kukana insulini komanso kunenepa kwambiri ndizomwe zimayambitsa chibadwa. Izi zimachitika chifukwa cha majini omwe ana amatengera kwa makolo awo. Asayansi ena amawatcha kuti majini omwe "amathandizira kuti mafuta achulukane."
Thupi la munthu, lomwe limakonda kukhala wonenepa kwambiri, limakhala ndi mafuta ochulukirapo panthawiyo pamene ali ochulukirapo. Nthawi yomweyo, kuchuluka kwa shuga m'magazi kumatuluka. Ichi ndichifukwa chake matenda ashuga ndi kunenepa kwambiri zimalumikizana.
Kuphatikiza apo, kukulira kwa kunenepa kwambiri, kumapangitsa maselo ambiri kukhala ogonjera ma cell insulin. Zotsatira zake, kapamba amayamba kuzipanga mokulira, ndipo kuchuluka kwa timadzi timeneti kumapangitsa kuti mafuta azikundana kwambiri.
Ndizofunikira kudziwa kuti majini omwe amathandizira kuti mafuta azikula mthupi amapangitsa kuti pakhale kusowa kwa mahomoni ngati serotonin. Kuperewera kwache kumabweretsa malingaliro osatha a kukhumudwa, kusasamala ndi njala yosatha.
Makamaka kugwiritsa ntchito mankhwala ochulukitsa kumakuthandizani kuti muzitha kuzindikira kwakanthawi, motero, kuchuluka kwawo kumapangitsa kutsika kwa insulin, komwe kumayambitsa matenda a shuga.
Zinthu zotsatirazi zingayambitse kunenepa kwambiri komanso matenda ashuga:
- Khalidwe labwino.
- Zakudya zoyipa.
- Kugwiritsa ntchito molakwika zakudya za shuga ndi shuga.
- Mavuto a Endocrine
- Zakudya zoperewera, kutopa kwambiri.
- Mankhwala ena a psychotropic amatha kubweretsa kulemera.
Ndikufuna asayansi apeze njira yochizira matenda ashuga komanso kunenepa kwambiri, koma mpaka pano izi sizinachitike. Komabe, pali mankhwala ena omwe amathandizira kuchepetsa wodwala, ndipo samamuletsa.
Mankhwala
Odwala ambiri ali ndi chidwi chofuna kuthana ndi kunenepa kwambiri ndi matenda ashuga, ndipo ndi mankhwala ati omwe angathandize polimbana ndi kunenepa kwambiri?
Chithandizo cha antidepressant cha matenda ashuga chimathandiza kuchepetsa kuchepa kwa chilengedwe cha serotonin, chifukwa chomwe zomwe zimakhala mthupi zimachulukana. Komabe, njirayi ili ndi zovuta zake zingapo. Chifukwa chake, pazochitika zambiri, pamakhala mankhwala omwe amalimbikitsa kwambiri kupanga serotonin.
5-hydroxytryptophan ndi tryptophan zimathandizira kupangira serotonin. Mankhwala a 5-hydroxytryptophan amalimbikitsa kupanga "mahansa", omwe amakhudza kwambiri zakhudzidwa.
Choyamba, mankhwalawa amakhala ndi vuto, motero ndizovomerezeka kumwa panthawi yokhala ndi nkhawa, ndi neurosis komanso mantha.
Zomwe mungagwiritse ntchito 5-hydroxytryptophan:
- Mu matenda a shuga, mlingo umasiyana kuchokera pa 100 mpaka 300 mg. Amayamba ndi kuchuluka kochepa, ndipo chifukwa chosowa mankhwalawa, mlingo umakulirakulira.
- Mlingo wa tsiku ndi tsiku wa mankhwalawa amagawika pawiri, mwachitsanzo, amatengedwa m'mawa ndi madzulo.
- Tenga chakudya chopanda kanthu m'mimba tisanadye.
Kuyankha bwino pazakudya zowonjezera, komabe, sikukukhudzani kukula kwa zoyipa zomwe zimagwiritsidwa ntchito: kuwonjezeka kwa kupanga kwa gesi, kusokoneza kwam'mimba ndi m'mimba thirakiti, kupweteka pamimba.
Tryptophan ndi mankhwala omwe amalimbikitsa kupanga mahomoni serotonin, melatonin, ndi kinurinine. Kuti mukhale ndi kagayidwe kabwinoko, ndikofunikira kudya musanadye, mutha kumwa ndi madzi (osati zakumwa zamkaka).
Ngati tiyerekeza mankhwalawa omwe amafulumizitsa njira ya synthesis ya mahomoni, ndiye kuti 5-hydroxytryptophan imakhudzanso, ndipo imalekeredwa bwino ndi odwala.
Siofor (chinthu chachikulu yogwira ntchito metformin) ndi glucofage ndi mankhwala othandizira odwala matenda amtundu wa 2.
Mankhwalawa amawonjezera kukhudzika kwa maselo kupita ku insulin, chifukwa chake zomwe zimapezeka m'thupi zimachepa, zomwe zimapangitsa kuti magazi asinthe.
Mankhwala ena
Mosakayikira, mankhwala okha sangathe kuthana ndi matenda monga matenda a shuga, kunenepa kwambiri (chithunzi). Dokotala aliyense wotsogola padziko lapansi anganene kuti chithandizo cha matenda a shuga sichingokhala mankhwala okhometsedwa, komanso masewera olimbitsa thupi, kutsatira zakudya zotsika ndi carb.
Kunenepa kwambiri, zolimbitsa thupi ndi gawo lofunikira, ndipo zimathandizira chithandizo cha matenda oyambira. Kuchulukanso kwa matenda ashuga kumakhalanso kofunikira.
Chifukwa chakuti pophunzitsa ntchito minofu ikuchulukirachulukira, chiwopsezo cha maselo kupita ku insulin chimakulirakonso, kayendedwe ka shuga kupita ku maselo kumathandizidwa, kufunikira kwakukulu kwa timadzi timene kumachepa. Zonsezi pamodzi zimabweretsa kuti glucose imasinthidwa, thanzi limayenda bwino.
Chachikulu ndikupeza mtundu wamasewera womwe umathandiza kuti muchepetse thupi, pomwe osatsogolera kutopa ndi kupsinjika kwakanthawi. Zambiri za kuchepetsa kulemera kwa shuga:
- Kuchepetsa thupi kuyenera kukhala kosalala, osapitilira ma kilogalamu 5 pamwezi.
- Kuwonongeka mwadzidzidzi kilogalamu imodzi ndi njira yowopsa yomwe ingayambitse zovuta zazikulu.
- Masewera abwino kwambiri akuthamanga, akusambira. Samathandizira kukula kwa minofu, pomwe zimakhudza magwiridwe antchito amtima.
Kwa wodwala yemwe sanakhalepo nawo pamasewera, tikulimbikitsidwa kuti nthawi zonse muwerenge thanzi lawo, funsani ndi dokotala wanu za mtundu wa katundu. Ndi kunenepa kwambiri kwa digiri 2, pamakhala katundu wolemera pamtima, kotero mutha kuyamba kuchita masewera olimbitsa thupi poyenda mwachidule kwa mphindi 10 patsiku.
Popita nthawi, nthawi ikukwera mpaka theka la ola, kuthamanga kwa maphunziro kumathandizira, ndiye kuti, wodwalayo amapita patsogolo mwachangu. Chifukwa chake muyenera kuchita katatu kapena katatu pa sabata.
Ngati zolimbitsa thupi, zakudya ndi mankhwala sizithandiza kuonda, ndiye njira yokhayo ingathandize - opaleshoni. Ndi opareshoni yomwe imathandizira odwala matenda ashuga kuthana ndi vuto la kudya kwambiri.
Ndizofunikira kudziwa kuti pali maopaleshoni osiyanasiyana, ndipo ndi dokotala yekha yemwe angasankhe njira yodalirika yothandizira.
Zakudya zotere
Odwala ambiri anayeserera mobwerezabwereza kuti athetse mapaundi owonjezera, amangodya zakudya zochepa zama calorie. Komabe, machitidwe akuwonetsa kuti sizotheka kuchita izi nthawi zonse, ndipo mapaundi owonjezera amatha kuyimirira kapena kubwerera posachedwa.
Zakudya ndizoletsa zina muzakudya, ndipo wodwalayo sangathe kutsatira zonse zomwe amafuna ndikuwongolera, zomwe zimayambitsa kusokonekera, kudya kwambiri, vutolo limakulitsidwa, vutoli silithetsa.
Monga lamulo, kuchuluka kwakukulu kwa mafuta ndi thupi ndi mtundu wa 2 matenda a shuga ndi zotsatira za kudalira kwa chakudya, chifukwa chomwe munthu watenga chakudya chambiri kwa nthawi yayitali.
M'malo mwake, ili ndi vuto lalikulu, titha kufanizira ndi kusuta, munthu akamachita zonse zotheka kusiya ndudu. Koma kulephera kocheperako, ndipo chilichonse chimabwerera lalikulu.
Kuti muthane ndi vuto losokoneza bongo, kuphatikiza koyenera kumakhala kudya, kumwa mankhwala apadera omwe amachepetsa chilakolako chanu chofuna kukhala ndi moyo wokwanira. Malamulo oyambira azakudya zama carb ochepa:
- Idyani zakudya zazing'ono.
- Osamapuma nthawi yayitali pakati pa chakudya.
- Thungani chakudya bwino.
- Nthawi zonse muziwongolera shuga mukatha kudya (izi zingakuthandizeni chida chapadera choyeza shuga, chotchedwa glucometer).
Kuti muthane ndi kudalira kwa chakudya chamafuta, mufunika mphamvu zambiri. Ndipo wodwalayo ayenera kumvetsetsa kuti ngati simutsatira malamulo onse a zakudya, osayang'anira shuga, sangathenso, ndipo posachedwa zovuta zingapo zimathandizira chithunzi chachipatala.
Chikhumbo chofuna kudya michere yamafuta sikuti ndi chabe, ndimatenda omwe amafunikira chisamaliro chapadera, ndipo mkhalidwe wamunthu wotere sungathe kunyalanyazidwa. Ziwerengero zikuwonetsa kuti chaka ndi chaka anthu ambiri amafa chifukwa chamadya kwambiri komanso kunenepa kwambiri chaka chilichonse.
Kunenepa kwambiri komanso matenda a shuga nthawi zonse kumafuna njira imodzi komanso yolumikizirana. Ndipo kuphatikiza kokha kwa mankhwala, kudya mosamalitsa komanso kuchita masewera olimbitsa thupi ndi komwe kungakonze zinthu. Mu kanema mu nkhaniyi, Elena Malysheva awunikanso zakudya zamagulu ashuga.
