Ambiri akufuna kupita mchaka chatha osati zodandaula, mavuto ndi zinthu zonse zoipa zomwe zidachitika panthawiyi, komanso zowonjezera zingapo (kapena zowonjezerapo!) Mapaundi owonjezera, ndikukhala pansi pazakudya asanakhale tchuthi. Taphunzira kuchokera kwa a endocrinologist, katswiri wazakudya Vadim Krylov za ngati kapena anthu odwala matenda amtundu wa 2 ayenera kudzipatsanso mphatsoyi.
Mutha kuyika pambali "pambuyo pake" china chilichonse kupatula Chaka Chatsopano. Chifukwa chake, sabata yomaliza ya chaka yomwe imachoka, pali zinthu zambiri zofunikira kwambiri zomwe zikufunika kuchitika mwachangu (kapena bwino tsopano). Ngati muli m'gulu la omwe Mukuyenera kuchita mndandanda atagula mphatso ndikukongoletsa mtengo wa Khrisimasi zomwe zimapezeka "zanenedwe", werengani zinthu zathu mosamala.
Zachidziwikire, mudzakhala ndi nthawi yocheperako thupi musanatchuthi, koma ngati muli ndi matenda a shuga a 2, ndibwino kuti muchepetse magazi pang'onopang'ono. Kupanda kutero, mumakhala pachiwopsezo chosapeza zotsatira zomwe mumalota. Moona, sangakukondweretsani, koma, mwina, angakukhumudwitseni.
Mutitsimikizire izi Vadim Krylov, endocrinologist, dokotala wa opaleshoni ya endocrinologist, wathanzi KDC MEDSI pa Krasnaya Presnya.
endocrinologist, opaleshoni ya endocrinologist,katswiri wazakudya Vadim Krylov
Makamaka apadera: Nutritionists / Endocrinology
Maphunziro: Yoyamba University State Medical University. I.M.Sechenova,
Chaka cha 2011
Zochitika pantchito: Zaka 5.
Zosangalatsa zokayikitsa
Choyamba Asanayambe kudya, odwala omwe ali ndi matenda a shuga a 2 ayenera kufunsa katswiri. Zomwezo zimapita kuti zitsatidwe ndi zolemba zilizonse.
Kachiwiri Zakudya zonse zolimbitsa thupi sizolakwika. Kuziwona, ndizachidziwikire, mutha kutaya makilogalamu 5-8, koma ndiye kuti nthawi zambiri kulemera kumabwereranso ndipo ngakhale kumakulanso. Izi ndichifukwa choti pazakudya zophatikiza zama calorie ochepa, minofu yambiri imadyedwa, ndipo kupindulitsa kulemera kumachitika chifukwa cha kuchuluka kwa mafuta m'thupi.
Ndi matenda a shuga a mtundu wachiwiri, ngati alipira, ndi chithandizo chamakono, chosankhidwa molondola, kutsatira zakudya zosiyanasiyana ndikotheka.
Komabe, padziko lonse lapansi, chizolowezi tsopano chikupanga kusintha kuchokera pakudya kupita ku kupangidwa kwa chizolowezi choyenera cha zakudya zoyenera.
Zakudya zotchuka zodziwika pakudya za buckwheat kapena kefir ndi maapulo sizimatchedwa zolondola, chifukwa mankhwalawa alibe protein komanso mafuta ambiri omwe amalimbikitsa shuga m'magazi. Poyerekeza ndi zakudya zotere, minofu yambiri imatha kuchepa ndipo mavuto azachipatala amawonekera.
Ndi matenda ashuga, simukuyenera kusiyiratu chakudya, koma zakudya ziyenera kukhala zokwanira - ndi mulingo woyenera wa mapuloteni, mafuta ndi chakudya. Gawo lake limasankhidwa payekha - kutengera ntchito ya chiwindi ndi impso mwa wodwala.
Ngati mukuyesetsabe kupanga mitundu yambiri, ndiye poyambira matenda ashuga:
- Pafupifupi 50-60% yazakudya ziyenera kukhala zopatsa mphamvu, 80% ya izo iyenera kugaya;
- Pafupifupi 15-18% ndi mapuloteni (ngati ntchito ya impso sinayendetsedwe, gawo ili limawunikidwa ndi dokotala pamaziko a mayeso, mbiri yakale ya zamankhwala, komanso zotsatira za kuyesa kwa magazi ndi mkodzo, osati wodwala iyemwini. Ngati pali zovuta ndi impso, kuchuluka kwa mapuloteni kumakhala kochepa);
- China chilichonse (pafupifupi 20% -30%) ndi mafuta.
Kuganiza Mwamagawo
Tsopano Chaka Chatsopano chisanakhalepo nthawi yochepa, ndipo kwachedwa kudya, koma ndizotheka kupanga zikhalidwe zoyenera kudya ndikutsatira m'tsogolo.
Malinga ndi kuchuluka kwa mabungwe apadziko lonse a endocrinologists ndi akatswiri azakudya, onse aku America ndi ku Europe, kuchuluka kolondola kwa kulemera ndi zotsatira zabwino ndikutayika kwa 10% ya kulemera komwe kulipo m'miyezi isanu ndi umodzi.
M'malo mwake, miyezi isanu ndi umodzi pambuyo poyambira kuchepa kwa thupi, kusintha kwa zakudya, kagayidwe kazakudya nthawi zonse kumachepetsa, zomwe sizimakhudzanso zotsatira zina mwanjira yabwino. Chifukwa chake, munthu sayenera kuchepetsa thupi mwadzidzidzi, mosazungulira, koma moyenera, chifukwa njira zokhazokha zopangidwa moyang'aniridwa ndi katswiri zimathandizira kudya moyenera komanso kuwongolera kunenepa kosalekeza.
Zolakwika zamtengo
Ngati odwala omwe ali ndi matenda a shuga a mtundu wachiwiri atenga chithandizo chakufa pogwiritsa ntchito mankhwala apadera omwe "amafinya" insulin kuchokera ku kapamba, ndiye kuti akakhala ndi njala kapena akana chakudya, akhoza kukhala ndi vuto lalikulu monga hypoglycemia, ndiko kuti, kuchepa kwa shuga m'magazi omwe angayambitse mpaka kuseka.
Ndipo ndi shuga wambiri m'magazi, kuchepa kwake kwakanthawi kungapangitse kuwonongeka kosawoneka bwino. Chifukwa chake, nthawi zonse ngati mukufuna kuchepetsa kunenepa, anthu omwe ali ndi matenda a shuga a 2 ayenera kuonana ndi endocrinologist. Dokotala ndithudi atenga anamnesis, ndipo, potengera zomwe zapezedwa, apatseni malangizo pazokondweretsa. Adzatengera jenda, zaka, comorbidities, ngakhale mtundu wa wodwalayo. Zotheka kuti posintha mtundu wa zakudya, kuchuluka kwa shuga m'magazi kudzasinthanso - wina azichita izi pafupipafupi, wina kangapo - zimatengera momwe munthu yemwe amadwala matenda ashuga amadya poyamba.
Zambiri zosavuta
Kuti muchepetse kunenepa, muyenera kutsatira malangizo awa:
- Ndikofunikira kugona mokwanira - osachepera maola 6-8.
- Onetsetsani kuti mwawonjezera zamasamba ndi zipatso zazakudya. Masamba 5 ndi zipatso zitatu (kapena 1 kg) ziyenera kudyedwa patsiku, kupatula nthochi, mphesa ndi zipatso zouma.
- Onetsetsani kuti mumamwa kapu yamadzi musanadye komanso mutatha kudya.
• Chakudya cham'mawa ndi chimanga ndi tirigu, makamaka ndi zipatso, koma osawonjezera shuga ndi batala. Ndikutsimikizanso kuti malangizo onse okhudza kugwiritsa ntchito mankhwala ena a shuga ndi achilengedwe, ndipo pankhani iliyonse ndiyofunika kukaonana ndi dokotala.
Sauna ndi kusamba amaloledwa ngati palibe zotsutsana ndi mtima. Ndikwabwino kuwayendera osati kuwonda, koma kukonza magazi ochepa komanso kuwonjezera chitetezo chokwanira. M'malo mwake, sauna, kusamba, kukulunga, kutikita minofu sizithandiza kuchepa thupi. Amathandizira kuti pakanthawi pang'ono achepetse madzi owonjezera. Koma kutikita minofu sikungakhale kopanda tanthauzo ngati palibe zotsutsana ndi mitsempha.
