Magazi ndi mafuta m'thupi la munthu. Ili ndiye gwero lamphamvu kwambiri lamaselo onse, ndipo ma cell amagwiritsidwa ntchito poyerekeza makamaka ndi momwe amapangira shuga. Gawo lomweli limalowa m'thupi ndi chakudya, limagawika m'mimba m'mimba mwa mamolekyulu.
Zitatha izi, shuga ndi zinthu zina zofunika zimamezedwa, koma zinthu zosaphatikizika (slags) zimatuluka kudzera mu ziwalo za m'mimba.
Kuyesa kwa shuga wamagazi: bwanji
Glucose ndi monosaccharide (i. Chakudya chopatsa mphamvu). Imafunikira ndi maselo onse amthupi, ndipo chinthu ichi, ngati chili chofunikira kwa thupi la munthu, titha kufanizira ndi mafuta amoto. Popanda galimoto yomaliza sipapita, ndipo ndi thupi: popanda glucose, machitidwe onse sangagwire ntchito moyenera.
Kuchuluka kwa glucose m'magazi kumapangitsa kuti magazi a anthu athe kuyesedwa, ichi ndi chimodzi mwazofunikira kwambiri (kuphatikizapo kuthamanga kwa magazi, kugunda kwa mtima). Shuga wamba yemwe amakhala ndi chakudya, mothandizidwa ndi insulin yapadera ya m'madzi, amawonongeka ndikumapita nawo magazi. Ndipo shuga wambiri akamadya, ndiye kuti michere yambiri imatulutsa.
Mfundo yofunika: kuchuluka kwa insulin yomwe imapangidwa ndi yochepa, ndiye kuti shuga yowonjezera imayikidwa mu minofu, m'chiwindi, komanso m'maselo a adipose minofu. Ndipo ngati munthu adya shuga mopyola muyeso (ndipo izi lero, mwatsoka, ndizofala kwambiri), ndiye kuti dongosolo lovuta la mahomoni, maselo, michere ya metabolic imalephera.
Koma kulephera kumatha kuchitika osati kokha chifukwa chogwiritsa ntchito maswiti. Izi zimachitikanso ngati vuto lakudya, chifukwa chokana chakudya, chakudya chosakwanira kulowa mthupi. Potere, kuchuluka kwa glucose kumatsikira, ndipo ma cell aubongo samalandira zakudya zoyenera. Zimakhudza kusokonezeka kwa glucose komanso kukanika kwa pancreatic.
Kuzindikira shuga
Anthu amangoti "mayeso a shuga." Mawu awa akuwonetsa kuchuluka kwa shuga omwe amapezeka m'magazi. Ndipo iyenera kuyimitsidwa pakanthawi kena - 3.5-5,5 mmol / l. Umu ndi momwe thanzi labwino limawonekera, kutsimikizira kuti zonse zili mu dongosolo la carbohydrate metabolites pakadali pano. Ndipo kagayidwe kazakudya kokha ndi dongosolo lomwe thanzi la ziwalo zina limadalira.
Matenda a shuga ndi imodzi mw matenda ofala kwambiri. Ofufuzawo akuti m'zaka 10 kuchuluka kwa odwala matenda ashuga kudzachulukanso. Izi zikusonyeza kuti zinthu zomwe zimayambitsa matendawa ndizofala kwambiri kotero kuti thupi lilibe mwayi wokana izo.
Kuzindikira matendawa kumachulukana. Pali njira zingapo zophunzitsira zomwe zimakudziwitsani mwachangu zomwe zili muyezo wa shuga m'thupi la wodwalayo.
Njira zina ndi izi:
- Kuphatikiza kwamwazi. Kusanthula kotereku kumawerengedwa ngati chida chodziwitsa aliyense, chomwe chimagwiritsidwa ntchito poyesa munthu komanso pophunzira kuyesa. Zimathandizira kuwongolera nthawi yomweyo mzere wonse wa magawo ofunikira, kuphatikizapo shuga.
- "Mayeso a kulolerana ndi glucose okhala ndi katundu." Kafukufukuyu akuwonetsa kuchuluka kwa shuga m'magazi am'magazi. Munthu amapemphedwa kuti apereke magazi pamimba yopanda kanthu, ndiye kuti amamwa kapu yamadzi ndi shuga wothira madzi. Ndipo zitsanzo zamagazi zimabwerezedwa theka lililonse la maola awiri. Iyi ndi njira yolondola yodziwira matenda ashuga.
- Kusanthula kwa glycated hemoglobin. Njirayi imawunika kuphatikiza kwa hemoglobin ndi glucose. Ngati shuga wamagazi ndiwambiri, mulingo wa glycogemoglobin udzakhala wokwera. Umu ndi momwe ma glycemia amagundira (i.e. glucose okhutira) amawerengedwa pa mwezi umodzi mpaka watatu. Mitundu yonse ya odwala matenda ashuga ayenera kumawerengera pafupipafupi.
- Kuyeserera kwa glucose kwa C-peptide. Ndipo njirayi imatha kumaliza ntchito yama cell omwe amapanga insulin. Kusanthula kumatsimikizira mtundu wa shuga. Ndizofunikira kwambiri pakuwonetsetsa kuti matendawa ali ndi mitundu iwiri.
Kuphatikiza pa mayesedwe ofunikira awa, mayesowa amathandizira kuchuluka kwa fructosamine komanso kuwunika kwapadera kwamlingo wa lactate. Njira yoyamba ndi yofunika kwambiri pochiza matenda ashuga; imapereka mwayi kwa madotolo kuti awerenge momwe njira zawo zochiritsira zilili zabwino. Njira yachiwiri imawululira kuchuluka kwa lactic acid, imapangidwa ndi thupi kudzera mu anaerobic glucose metabolism (i.e., metabolism yopanda mpweya).
Ndipo palinso njira yofotokozera motengera zomwe zimachitika zomwe zimaphunziridwa pakuwunika kwa zasayansi. Koma pakapita nthawi kafukufukuyu ndiwosavuta kwambiri, kuposa apo, amatha kuchitidwa munthawi iliyonse (kuphatikiza kunyumba). Dontho la magazi liyenera kuyikidwa pa mzere woyesera, womwe umayikidwa mu gawo lapadera la mita, ndipo pambuyo pa mphindi zochepa zotsatira zimakhala pamaso panu.
Momwe mungapezere mayeso a shuga
Kafukufukuyu amatenga ngati magazi a wodwala kuchokera ku chala kapena mphete; amachitidwa m'mawa m'mimba yopanda kanthu. Maphunziro ena apadera safunika. Chinthu chachikulu chomwe wodwalayo ayenera kudziwa ndikuti simungathe kudya chilichonse musanawunikidwe, monga kumwa (madzi oyera okha ndikotheka), koma nthawi yomweyo, kuyimitsa pakati pakuperekera kusanthula ndi chakudya chomaliza sikuyenera kupitirira maola 14.
Ndikofunikanso kuti madzulo atawerengera, munthu sakhala wamanjenje, mahomoni amayamba kupanga zomwe zimakumana ndi mahomoni apachifukwiti, ndichifukwa chake kusantaku kungawone kuchuluka kwa shuga. Koma izi sizikunena za matenda ashuga. Magazi amayenera kubwezeretsedwanso.
Momwe mungasinthire kuwunika bwino
Masiku ano m'mafomu omwe amaperekedwa kwa wodwala, sikuti amangodziwonetsa yekha, komanso malire ake. Ndipo munthu mwiniyo amatha kuwona ngati mfundo zina zili zofanana muzoyeneranso.
Chitsogozo patsambalo lotsatirali:
- Mwa munthu wamkulu, chikhalidwe cha shuga ndi 3.89-5.83 mmol / L. Koma pafupipafupi mungapeze mitundu yonga 3.3-5.5 mmol / L. Mfundo zonsezi zimatha kuonedwa ngati chizolowezi.
- Mwa anthu omwe ali m'badwo wa 60+, mawonekedwe apamwamba adzakhala magawo 6.38.
- Mlingo wabwinobwino wa shuga mwa mayi wapakati udzakhala magawo 3,3-6.6. Kwa nthawi ya bere, kuwonjezeka pang'ono kwa shuga ndi chizolowezi.
Ngati kuwunika kunawonetsa kuchuluka kwa shuga, izi zikuwonetsa hyperglycemia. Zambiri zoterezi zimatha kunena za matenda ashuga. Koma osati nthendayi yokha yomwe ingabisidwe kumbuyo kwa mfundo za shuga zapamwamba, imatha kukhala chizindikiro cha endocrine pathologies, matenda a chiwindi, ndi matenda a impso, komanso chizindikiritso cha pancreatitis yovuta kwambiri kapena yovuta.
Ngati shuga ndiwopanda vuto, ndiye kuti ndimatenda a shuga?
Zachidziwikire, kusanthula kamodzi sikokwanira kupanga matenda. Ngati pali zoyipa zilizonse zapezeka (mbali zonsezo), mayeserowa amakhala obwereza, wodwalayo amaphunzitsidwa maphunziro apamwamba.
Nthawi zambiri, kusanthula koyamba kumawonetsa shuga wambiri, koma izi zimachitika chifukwa cha kuyesetsa kwakuthupi tsiku lotsatira la mayeso kapena kugwedezeka mwamphamvu kwamphamvu. Ngakhale kumwa mowa tsiku lisanafike kusanthula kungakhudze zotsatira.
Pali cholowa chomwe chimatchedwa madokotala prediabetes, ndipo gawo ili likhoza kuthandizidwa, osapatsanso mpata matendawa kuti apite patsogolo.
Kodi mayunitsi 5.5 ndiwazonse?
Inde, zizindikilo zotere zimawonetsa kuti kagayidwe kazachilengedwe m'thupi limayenda bwino. Odwala ena okayikira amawona kuti chizindikiro cha 5.5 ndichofunika kwambiri pazomwe zikuchitika, ndikuyamba kuda nkhawa. Zoterezi sizachilendo kwa hypochondriacs, anthu omwe amatha "kufunafuna" matenda mwa iwo okha, makamaka, osakhalapo.
M'malo mwake, chizindikiritso chotere ndicho chizolowezi, ndipo palibe kukayika pa izi. Ndipo ngati mukukayikirabe, pitani kaye mayeso patapita nthawi (musadandaula tsiku lotsatira).
Shuga amasintha ngakhale masana, chifukwa msambowo sudzakhala womwewo pakuwunikira nthawi zosiyanasiyana.
Ngati mgwirizanowo sunathebe, muyenera kuchitapo kanthu. Mwakutero, kutenga kupewa kwathunthu kwa matenda ashuga ndi zina za metabolic pathologies. Izi ndizothandiza kwa aliyense, ndipo njira zoyenera zodzitetezera mosakayikira zitha kukhala zothandiza.
Maphunziro akuthupi motsutsana ndi matenda a shuga
Ndizosatheka kunyalanyaza kufunika kochita zinthu zolimbitsa thupi kuti mukhale wathanzi. Zingamveke, pali mgwirizano wanji pakati pa maphunziro akuthupi ndi glucose yemweyo? Koma kulumikizana ndikuyandikira kwambiri: zolimbitsa thupi kumawonjezera ma cell omwe ali ndi insulin. Izi, zimatsitsa kapamba - sikuyenera kugwira ntchito mopitilira zomwe amapangira insulin.
Chifukwa chake, othamanga komanso anthu otha kuchita masewera olimbitsa thupi zimawavuta kusungirako shuga panthawi yovomerezeka. Nthawi yomweyo, maphunziro akuthupi ndiofunikira osati kwa iwo omwe ali m'gulu lowopsa la matenda ashuga. Izi ndizothandiza kwa aliyense, kupatula, ndipo ndizothandiza kwa anthu onenepa kwambiri.
Kunenepa kwambiri sikuchitika pachabe kuyerekeza ndi bomba lomwe lili ndi nthawi. Zimakhala zovulaza pamachitidwe ambiri omwe amapezeka m'thupi la munthu, ntchito yamagulu onse. Ndipo anthu onenepa kwambiri angathe kukhala odwala matenda ashuga kuposa anthu omwe amalemera bwinobwino.
Ndi mtundu wanji wamaphunziro oyenera? Matenda a kagayidwe kazakudya umapangidwa bwino ndi mphamvu, aerobic ndi maphunziro apamwamba kwambiri. Ndipo ngati maphunziro akuthupi akukhala gawo la moyo wa munthu, makalasi amakhala achizolowezi, okhala ndi katundu wambiri, mumachitidwe oyenera, ndiye kuti kupanga insulini kudzakhala kwabwinobwino.
Malangizo 6 a shuga
Osati masewera okha omwe amawaganizira kuti ndi njira yomwe ingateteze munthu kuti asadwale matenda ashuga. Endocrinologists adapereka malingaliro angapo osavuta, kukhazikitsa omwe sikutanthauza ndalama zapadera kuchokera kwa wodwala, kapena zoyesayesa zina zazikulu.
Malangizo a Endocrinologists:
- Madzi ndiye gwero lalikulu lamadzi akubwera. China chilichonse, kuphatikiza misuzi ndi zakumwa zozizilitsa kukhosi, ndizosangalatsa, koma sizingatheke kuti chakumwa chachilengedwe chokhala ndi shuga komanso zowonjezera zambiri zabwino. Madzi samathetsa ludzu lokha - limasunga glucose ndi insulin moyang'aniridwa. Kafukufuku wina wamkulu adatsimikiza kuti anthu onenepa kwambiri omwe amamwa madzi ochepa okha m'malo mwa sopo panthawi ya chakudya samangokhala ndi kuchepa kwa shuga, komanso kuchuluka kwa insulin.
- Chitani masewera olimbitsa thupi. Inde, kufunikira kumeneku nthawi zambiri kumagwirizanitsidwa ndi mikhalidwe ya munthu, koma izi ndi zomwe zimachitika pamene kulimba kwamakhalidwe kudzawonjezera thanzi lathanzi. Kuti muchepetse thupi sikufunika kupitiliza zakudya zamafuta. Pali lingaliro losavuta lazakudya zoyenera, pomwe mndandanda wazakudya zololedwa sichingokhala mndandanda wocheperako. Koma pali malamulo ena ophikira, kuphatikiza zakudya, zopatsa mphamvu, ndi zina zotere. Mwa munthu wonenepa kwambiri, mafuta amadzinga kuzungulira pamimba, komanso mozungulira chiwindi, chifukwa chomwe thupi limayamba kumva insulin.
- Siyani kusuta. Pali kafukufuku yemwe adawulula: mwa munthu yemwe amasiya kusuta, zaka zisanu zitatha izi, chiopsezo cha matenda osokoneza bongo amachepetsa pafupifupi 13%. Zaka makumi awiri pambuyo pake, chiwopsezo chikufanana ndi zisonyezo zomwe anthu omwe sanasutepo amatha kudzitamandira.
- Idyani zakudya zazing'ono. Chakudya chomwe chili pambale chiziwoneka ngati simumva njala kwambiri, ndipo mukudya pang'ono. Idyani pang'onopang'ono, lolani thupi kupeza nthawi yokwanira. Chizindikiro ku ubongo chokhudza satiety chachedwa, chifukwa munthu amakonda kudya kwambiri. Chowonadi chimodzi chokha ndi chokwanira: mwa anthu omwe amasinthira chakudya m'magawo ang'onoang'ono, chiwopsezo cha matenda a shuga chimachepetsedwa ndi 46%.
- Pezani zakudya zamafuta ambiri. Itha kukhala osungunuka komanso osasungunuka. CHIKWANGWANI chosungunuka, cholocha madzi, chimapanga kaphatikizidwe ka zakudya m'thupi, kamene kamachepetsa ntchito yokumba. Izi zikutanthauza kuti shuga amalowa m'magazi pang'onopang'ono. CHIKWANGWANI chopanda magetsi chimalepheretsanso shuga kukula kwambiri.
- Kupewera kwa kuchepa kwa Vitamini D. Ngati kuchuluka kwa cholecalciferol m'mwazi ndikwabwinobwino, ndiye kuti chiwopsezo cha matenda amtundu 2 chatsitsidwa mpaka 43%. Vitamini A ali ndi zabwino m'maselo omwe amapanga insulin. Kuti mupange kuperewera kwake komwe kulibe dzuwa lachilengedwe, muyenera kuphatikiza mu mndandanda wamafuta amitundu ya nsomba ndi cod chiwindi.
Mfundo ina - musataye khofi. Zakumwa zabwino sizabwino monga momwe malingaliro ake amakhalira. Kapu ya tsiku ndi tsiku ya khofi imathandizira kuchepetsa ngozi ya matenda ashuga ndi 10 mpaka 54%! Kusinthaku kumatsimikiziridwa ndi kuchuluka ndi kuchuluka kwa chakumwa chomwe mumamwa. Koma khofi yekhayo ndiyomwe imayenera kuledzera popanda shuga. Mwa njira, tiyi ali ndi zotsatira zofananira.
Matenda a shuga ndi matenda omwe amathanso kukhudza munthu nthawi iliyonse. Zowonadi, mwa anthu amtundu 40+ mwayi wokhala ndi matenda ndiwowonjezereka, ndipo zinthu zomwe zimayambitsa matendawa zimangowonjezera izi.
Chifukwa chake, ndi shuga pamtengo wa 5.5, ndikofunikira kutenga chitetezo cha matendawa kuti chizindikiro ichi chikhalebe pamlingo wabwino kwa zaka zambiri zikubwera.
Kanema - Shuga ndi ubongo wathu.