Chaka Chatsopano chisanachitike pali zifukwa zambiri zotsatirira upangiri wa imodzi mwa zikondwerero zazikulu zaku Russia "kuwaza ufiti mumdima wamagalasi." Koma kodi mukudziwa momwe thupi lanu lidzachitire “matsenga” oterowo?
Mtengo wa Khrisimasi, ma tangerines ndi champagne - izi ndi zomwe ambiri mwa ife timayanjana ndi chiyambi cha Chaka Chatsopano. Mfundo yachitatu ikubweretsa mafunso ambiri kwa anthu omwe ali ndi matenda ashuga. Kodi ndizotheka kupereka chikho cha vinyo wonyezimira kutchuthi kapena ndikofunikira kuyima pamadzi amchere? Zoyenera kuchita ndi zakumwa zazikulu - kodi ndizoletsedwa? Kuti mowa ndiwolandirika pamaso pa anthu odwala matenda ashuga, tidafunsa pa endocrinologist Lira Gaptykaeva.
Katswiri wathu akutiuza zomwe ziyenera kukhala mugalasi yomwe tiziukitsa chaka chikubwerachi, chifukwa chake sikulimbikitsidwa kumwa zakumwa zoledzeretsa pamasiku apakati pa sabata, ndikukumbutsaninso za maganizidwe ofunika omwe odwala matenda ashuga ayenera kuganizira pokonzekera mndandanda wa tebulo la chikondwerero.
M'malo ouma
Pofuna kupewa zovuta zathanzi, anthu omwe ali ndi matenda ashuga ayenera kusankha bwino mowa. Kugwiritsa ntchito moyenera vinyo wovomerezeka ndikovomerezeka - yoyera ndi yofiyira, komanso brutus (azimayi, chifukwa cha zovuta za metabolic, amatha kulandira kapu imodzi ya champagne, amuna - awiri, popeza mowa umathetsedwa mwachangu pakati pa thupi lamphongo). Mutha kumwa ngakhale vodika kapena cognac, chinthu chachikulu ndikuti mowa siwokoma, ndipogalasi ndilalikulu kwambiri.
Ndikofunikira kuyang'anira kuchuluka kwa oledzera: 20 magalamu (malinga ndi mowa wopanda pake) ndiye malire.
Vinyo wokoma ndi theka-okoma (kuphatikiza owala), mowa ndi mowa wophatikizika (pokhapokha atapangidwa kuchokera ku vinyo wouma komanso wopanda shuga) sawerengedwa.
Zachidziwikire kuti mudamvapo zokhudzana ndi mabanja omwe ali ndi ma gastronomic - zakumwa zoziziritsa kukhosi ndi zodyera zomwe zimathandizana bwino, ndikuwunikira kukoma. Potere, kuphatikiza koyenera potsatira mfundo zina kumakhala koyenera: vinyo wowuma + "wosakwiya" mafuta, omwe angathandize kupewa kuthamanga kwa shuga m'magazi. Mafuta amathandiziranso kuyamwa kwa mowa, kotero kuphatikiza monga "nyama + masamba saladi" kapena "nsomba + masamba" ndikofunikira. Mwanjira imeneyi, mumachepetsa chiopsezo cha hypoglycemia.
Mowa umalepheretsa michere mu chiwindi ndi kusokoneza gluconeogeneis (njira yopanga glucose kuchokera pamapuloteni). Chiwindi chimatha kudziwidwa ngati chosungira ma carbohydrate, omwe "amasungidwa" momwemo m'matumbo a glycogen, omwe amalowa m'magazi m'masiku a shuga masana. Ngati chiwindi chatanganidwa ndikuchotsa mowa, ndiye kuti kudzipangitsa kwa glucose komwe kumatuluka ndikutulutsa kwake m'magazi kumayamba kuvutika.
M'malo mwake, 0,45 ppm ndikokwanira kusokoneza kutulutsa shuga. Chifukwa chake, mowa umatha kuchepetsa shuga m'magazi kwakanthawi, ndipo sizichitika mukangomwa kumwa. Dontho la shuga m'magazi chifukwa cha zakumwa zoledzeretsa lingachedwetse maola 12 mutatha kumwa. Mfundoyi iyenera kukumbukiridwa ndi odwala omwe ali ndi matenda a shuga omwe amadalira insulin, momwe ntchito ya maselo a beta amachepera. Kumwera mowa kwa iwo nthawi zonse kumakhala koopsa cha hypo-condition.
Pokhazikika!
Ngati munthu wodwala matenda ashuga amatenga mankhwala ochepetsa shuga (makamaka omwe amalimbikitsa maselo a beta) kapena insulin, ndipo nthawi zina amakhala ndi mashuga osakhazikika, ndiye kuti, shuga ayenera kuyezedwa musanadye, maola awiri pambuyo pake, asanagone ( koma pamimba yopanda kanthu). Ngati tchuthi chayandikira, ndiye kuti muyenera kudziwa ngati wodwalayo ali mu chiphuphu.
Ngati yankho ndi ayi, ndiye kuti mowa uyenera kuthetsedweratu. Mlingo wambiri wa mowa ungayambitse hypoglycemia komanso matenda a shuga. Mwamuna yemwe ali ndi insulin yemwe amamwa kwambiri, adayiwala kudya ndikugona, chiopsezo osati thanzi lake lokha, koma moyo wake. Pofuna kupewa zotheka, kuchuluka kwa glucose m'magazi atamwa mowa asanagone wodwala wodwala matenda ashuga ayenera kukhala osachepera 7 mmol / l.
Aliyense amavina
Monga mukudziwira, zolimbitsa thupi zilizonse, mosasamala mtundu wa shuga wodwala yemwe ali naye, choyamba kapena chachiwiri, zimapangitsa kuti chidwi cha minofu chikhale ndi insulin, ndipo kuchuluka kwa shuga m'magazi kumatsika motsutsana ndi maziko ake. Munthu yemwe amagwiritsa ntchito mankhwala ochepetsa shuga amamwa ndikuyenda modzipereka (kuvina, mwachitsanzo, kapena kusewera mipira ya chipale chofewa), ngozi ya hypoglycemia imakulanso. Mfundo imeneyi iyeneranso kukumbukiridwa.
Ngati wodwalayo akufuna kudziwa njira yodyetsera, ndiye kuti ngakhale katunduyo akuyembekezeka, ayenera kuchepetsa mlingo wa insulin yochepa. Kuphatikiza apo, ndikofunikira kutsatira mfundo iyi: "Kwa ola lililonse lochita zolimbitsa thupi muyenera kudya mkate umodzi wa chakudya chimodzi."
Madokotala aku Europe nthawi zambiri amalimbikitsa odwala kuti ayesetse "mowa poyesa" shuga asanafike tchuthi, asankhe tsiku, akonze shuga, amwe, adye, ayesere kangapo. Zikuwoneka kuti ndizomveka kunena za munthu wina.
Zizindikiro za kukomoka ndi kuledzera zili zofanana kwambiri, chifukwa chake samalani ndikuchenjeza munthu amene akupezekapo kuphwandako pasadakhale zomwe zingachitike. Kupanda kutero, ngati china chake chichitikadi, akhoza kuwerengera molakwika mkhalidwe wanu, ndipo cholakwikacho chikuwopseza kuti musinthe kukhala mavuto akulu.
