Kupewa Matenda a shuga - Zoyenera Kuchita Kuti Mupewe Matenda

Kuchiritsa kotheratu kwa matenda ashuga ndi nkhani yamtsogolo. Pakadali pano, kupeza matendawa kumatanthauza zambiri zomwe sitingathe kuchita, kuchira kwa moyo wonse, komanso kumangokhalira kulimbana ndi zovuta zomwe zikupita patsogolo. Ichi ndichifukwa chake kupewa matenda ashuga ndikofunikira kwambiri. Mulinso njira zingapo zosavuta, zomwe zambiri zimatha kufotokozedwa ndi mawu oti "moyo wathanzi". Ndi nthenda yofala kwambiri yamtundu 2, kugwira ntchito kwawo ndikwambiri kwambiri: ngakhale ndi zovuta zoyambirira za kagayidwe kachakudya, matenda a shuga angapeweke mu 60% milandu.

Kufunika kopewa matenda amtundu wa 2

Kumayambiriro kwa zaka za m'ma 1900, dokotala wodziwika bwino, yemwe ndi mpainiya wofufuza komanso kuchiza matendawa, Elliot Joslin, adanena za kufunika kopewa (kupewa) matenda osokoneza bongo kwa anthu omwe ali pachiwopsezo chachikulu cha matendawa. Nthawi, chisamaliro chapadera sichiyenera kulipidwa mopitilira kuchuluka kwa chithandizo chamankhwala popewa matenda ashuga. Sizotheka kupeza zotsatira mwachangu, koma adzawonekeranso mtsogolo ndipo ndizofunikira kwambiri kwa wodwala yemwe angathe kukhala nawo. "

Pambuyo pa zaka zana limodzi, mawu awa adakali othandizabe. Chiwopsezo cha matenda ashuga chikukulirakulirabe. Madokotala ena amayerekezera kukula kumeneku ndi mliri. Ndi chuma chochulukirapo m'maiko omwe akutukuka kumene, matendawa afalikira m'magawo atsopano. Tsopano ~ 7% ya anthu padziko lapansi pano amapezeka ndi matenda ashuga. Amayesedwa kuti ambiri sadziwa za matenda awo. Kuchuluka kwa matendawa kumachitika makamaka chifukwa cha mtundu 2, womwe umapangitsa 85 mpaka 95% ya anthu onse omwe amadwala matendawa mosiyanasiyana. Tsopano pali umboni wambiri wotsimikizira kuti kuphwanya izi kungalepheretsedwe kapena kuchedwa kwakanthawi ngati njira zodzitetezera zitatengedwa pachiwopsezo.

Matenda a shuga ndi kupsinjika kudzakhala chinthu chakale

• Matenda a shuga -95%
• Kuthetsa kwa mitsempha thrombosis - 70%
• Kuthetsa kwa kugunda kwamtima kwamphamvu -90%
• Kuthana ndi kuthamanga kwa magazi - 92%
• Kuwonjezeka kwa mphamvu masana, kukonza kugona usiku -97%

Mutha kudziwa kuchuluka kwa ngozi zomwe mungagwiritse ntchito poyesa mayeso:

* mogwirizana ndi kakhazikitsidwe: kulemera (kg) / urefu² (m)

* muyeza 2 cm pamwamba pa msomali

Tebulo Lachiwopsezo cha Atsopano

Zomwe zingagwiritsidwe ntchito kupewa

Tsopano, mwakuchulukirachulukira, mtundu wachiwiri wa matenda ndi omwe ungathe kupewedwa. Pogwirizana ndi mtundu 1 ndi mitundu ina, yachilendo, palibe zotheka. Amakonzekera kuti mtsogolomo, kupewa kudzachitika pogwiritsa ntchito katemera kapena majini.

Njira zomwe zingachepetse chiopsezo cha matenda amtundu wa 1 ana:

1. Kusunga Normoglycemia pa nthawi yapakati azimayi omwe ali ndi matenda ashuga. Mluza umalowa m'magazi a mwana ndikusokoneza kapamba kake.
2. Kuyamwitsa kwa miyezi isanu ndi umodzi. Gwiritsani ntchito formula wakhanda yokhayo.
3. Kulimbitsa chitetezo chokwanira: kuumitsa, katemera wa nthawi yake, wololera, osati wotengeka, kutsatira malamulo aukhondo. Kugwiritsa ntchito mankhwala omwe amalimbikitsa chitetezo cha mthupi, pokhapokha ngati akuwuzani.
4. Zakudya zopatsa thanzi, zakudya zabwino kwambiri komanso zamitundu mitundu, zomwe zimakonzedwa masamba pang'ono. Kudya mavitamini D okwanira kuchokera ku chakudya (nsomba, chiwindi, tchizi). Kupewa kuperewera kwa vitaminiyu mchaka choyamba cha moyo.
5. Kuyenda kosagwira kwa ola limodzi patsiku. Kukula kwa kupirira kwamthupi, kukulitsa chizolowezi chosewera masewera.

Kupewera kwa matenda ashuga amtundu wa 2 ndikothandiza kwambiri. Mulinso:

• kuchuluka chakudya;
• yafupika kudya zakudya zopatsa mphamvu;
• kutsatira mtundu wathanzi kumwa;
• Matenda a kulemera;
• zolimbitsa thupi;
• mutazindikira zovuta zoyambirira - mankhwala omwe amachepetsa insulin.

Matenda a madzi osungirako ndi kukonza kwake

Amakhulupirira kuti 80% ya minofu ya anthu ndi madzi. M'malo mwake, ziwerengerozi ndizochulukirapo. Chiwerengerochi cha madzimadzi chimadziwika kwa akhanda. Mu thupi la amuna, 51-55% yamadzi, mwa akazi - 44-46% chifukwa chamafuta ambiri. Madzi ndi chosungunulira pazinthu zonse, popanda kuchuluka kwake, osatinso insulini, kapena kutulutsa kwake m'magazi, kapena glucose m'maselo kuti alandire mphamvu ndizotheka. Kuchepa kwa madzi m'thupi kumabweretsa kuchuluka kwa matenda osokoneza bongo kwa zaka zingapo, zomwe zikutanthauza kuti kupewa kwake ndikofunikira kuti madzi asungidwe bwino.

Madzi amatulutsidwa m thupi ndi mkodzo, ndowe, kenako, ndi mpweya. Kuchulukitsa kwa tsiku ndi tsiku kumawerengeredwa ndi 1550-2950 ml. Kufunika kwa madzi pa kutentha kwa thupi ndi 30-50 ml pa kg iliyonse ya kulemera. Ndikofunikira kubwezeretsani mulingo wamadzi ndi madzi wamba akumwa popanda mpweya. Soda, tiyi, khofi, zakumwa zoledzeretsa sizoyenera kuchita izi, chifukwa zimakhala ndi diuretic zotsatira, ndiye kuti, zimapangitsa kuti madzi am'madzi atuluke.

Zakudya zoyenera ndizofunikira kwambiri kuti munthu akhale shuga wabwino

Lamulo lalikulu la zakudya zopewera matenda ashuga ndi kuperewera kwa chakudya. Monga momwe akatswiri azakudya akuwonetsa, anthu nthawi zambiri amawerenga molakwika kuchuluka kwa zakudya zomwe zimadyedwa. Timakonda kuwona chakudya chathu kukhala chabwino kuposa momwe chilili. Chifukwa chake, pozindikira kuthekera kwakukulu kwa matenda ashuga, chinthu choyamba kuchita ndikuyamba kusunga buku lazakudya. Yesani kwa masiku angapo kuti muyeze zakudya zanu, kuwerengera zopezeka m'thupi, zakudya zamagulu, kuyerekezera kuchuluka kwa mndandanda wazakudya zonse komanso kuchuluka kwa glycemic patsiku. Mwambiri, zomwe zapezedwa zidzakhala zokhumudwitsa, ndipo zakudya ziyenera kusintha kwambiri.

Malangizo okhudzana ndi matenda a shuga

1. Kuwerenga tsiku ndi tsiku caloric phindu poganizira zolimbitsa thupi. Ngati kuchepa kwa thupi kumafunikira, kumachepetsedwa ndi 500-700 kcal.
2. Osachepera kilogalamu ya nyemba, masamba ndi zipatso patsiku.
3. Kugwiritsa ntchito mbewu zamphesa ndi zinthu zina kuchokera pamenepo.
4. Kuchepetsa shuga mpaka 50 g patsiku, kuphatikizapo omwe amapezeka kale muzakudya ndi zakumwa.
5. Kugwiritsa ntchito mafuta a masamba, mbewu ndi mtedza monga magwero a mafuta.
6. Chepetsa malire (mpaka 10%) ndi trans mafuta (mpaka 2%).
7. Kudya nyama yopendekera.
8. Zinthu zamkaka zokhala ndi mafuta ochepa koma osakhala mafuta kwathunthu.
9. Zakudya za nsomba kawiri kapena kawiri pa sabata.
10. Kuchepetsa kumwa kwa 20 g patsiku kwa akazi, 30 g kwa amuna malinga ndi Mowa.
11. Zakudya za tsiku ndi tsiku 25-25 g za fiber, makamaka chifukwa cha masamba abwino okhala ndi zambiri.
12. Kuchepetsa mchere kwa 6 g patsiku.

Zothandiza: Zakudya zamatenda a shuga pano - diabetiya.ru/produkty/pitanie-pri-diabete-2-tipa.html

Zochita zolimbitsa thupi komanso matenda ashuga

Ntchito yolimbitsa thupi ndiyo njira yachilengedwe kwambiri yochepetsera kukana insulin, chomwe chimayambitsa matenda ashuga. Zinapezeka kuti zotsatira zabwino zimawonedwa pogwiritsa ntchito zolimbitsa thupi kwa mphindi 30 kapena kupitilira. Ndi masewera osowa kwambiri, kupewa matenda a shuga kumakhala kothandiza. Kusankha kwabwino kwambiri ndikuphatikiza masewera olimbitsa thupi komanso kulimbitsa thupi.

Malangizo pakugwiritsa ntchito zolimbitsa thupi moyenera popewa matenda ashuga:

Kuphatikiza pakuchita masewera olimbitsa thupi komanso kusintha kwa zakudya m'thupi, njira zomwe sizigwiritsa ntchito mankhwalawa zopewera zimaphatikizapo: kusiya kusuta fodya, kuthetsa kutopa kwambiri, kuchitira kupsinjika ndi vuto la kugona.

Za matenda ashuga - diabetiya.ru/pomosh/fizkultura-pri-diabete.html

Mankhwala othandizira

Nthawi zambiri njira zodzitetezera pamwambazi ndizokwanira kupewa matenda ashuga. Mankhwala amangoperekedwa kwa okhawo omwe ali ndi vuto la glucose metabolism, komabe sangakhale oyenerera kukhala ndi matenda a shuga. Ndipo ngakhale zili choncho, amayesetsa kupatsa thupi mwayi wothana ndi zovuta zomwe zimabweretsa payekha. Ngati zotsatira zake sizikukwaniritsa miyezi itatu itatha kusintha kwa kadyedwe ndikuyamba maphunziro, madokotala omwe amathandizira odwala matenda ashuga amalimbikitsa kuwonjezera mankhwala munjira zodzitetezera m'mbuyomu.

Nthawi zambiri, zokonda zimaperekedwa kwa metformin - mankhwala omwe amakhudza insulin. Amachepetsa chiopsezo cha matenda ashuga pafupifupi 31%. Kulumikizana kwambiri ndi BMI pamwambapa 30.

Ndizotheka kuchepetsa zotsatira za kusagwirizana ndi zakudya mothandizidwa ndi mankhwala omwe amakhudza kuyamwa kwa mafuta ndi mafuta ambiri. Izi zikuphatikiza:

• Acarbose (mapiritsi a Glucobai) amaletsa kulowa kwa glucose m'matumbo. Pazaka 3 zogwiritsidwa ntchito, mutha kuchepetsa chiopsezo cha matenda ashuga ndi 25%.
• Voglibose amagwiritsanso ntchito mfundo zomwezi. Ili ndi mphamvu yapamwamba kwambiri yopewa matenda a shuga, pafupifupi 40%. Mankhwala a Voglibose adzayenera kutumizidwa kuchokera kunja, popeza sawalembetsedwa ku Russian Federation.
• Orlistat imachepetsa chakudya chama calorie poletsa chimbudzi cha mafuta ndikuchichotsa mu mawonekedwe awo oyamba ndi ndowe. Kupitilira zaka 4 zokuvomerezani, zimakuthandizani kuti muchepetse anthu odwala matenda ashuga ndi 37%, komabe, 52% ya anthu amakana kulandira chithandizo chifukwa cha zovuta zina. Mayina amalonda a orlistat ndi Xenical, Orsoten, Listata, Orlimax.