Kulimbikitsidwa kwa moyo wathanzi kumayang'ana thupi lokongola, lonyowa mwa amayi ndi abambo. Koma sikuti aliyense amene akufuna kutaya mapaundi owonjezera amalimbana ndi ntchitoyi kwathunthu. Kunenepa kwambiri nthawi zambiri kumayenderana ndi matenda a shuga, omwe amachedwetsa njirayo. Kuchepetsa thupi ndi matenda ashuga osavulaza thanzi? Kodi zakudya zimathandizanso kuti matenda ashuga azikhala bwino?
Gulu loyipa
Si anthu onse onenepa kwambiri omwe ali ndi matenda ashuga, ngakhale kuti matendawo a mtundu wachiwiriwo ndiokwera. Ma "insulin" ya mahomoni amatenga nawo mbali popanga mafuta opanikizika, omwe mwa magwiridwe ake amathandizira kuphatikizira shuga ndi maselo. Izi ndi zoyenera kuchita. Mphamvu yama cell imachokera ku shuga. Koma pakhoza kulephera m'thupi pazifukwa ziwiri:
Zakudya zopatsa thanzi zimatsogolera pakupanga shuga wambiri. Maselo safuna mphamvu zambiri ndipo amakana shuga, omwe amakhala m'madzi a m'magazi. Ntchito ya insulin ndikuchotsa shuga m'magazi. Njira yokhayo yosinthira kukhala mafuta. Mafuta ochulukirapo, makamaka othamanga komanso okhala ndi chindoko chachikulu cha glycemic, amakhala ndi mafuta ambiri.- Maselo amataya insulin sensitivity. "Chotsekera" mkati mwa khungu chimatsekedwa ndipo glucose sangathe kulowa mkati mwake. Kuchuluka kwa mahomoni kumawonjezeka chifukwa ubongo umalandira chidziwitso cha kuchuluka kwa shuga m'magazi. Glucose wambiri, insulin yambiri - kachiwiri, kugwiritsidwa ntchito kumafunika, ndiye kuti, pali kutembenuka kwamafuta.
Zakudya zopatsa thanzi zimatsogolera pakupanga shuga wambiri. Maselo safuna mphamvu zambiri ndipo amakana shuga, omwe amakhala m'madzi a m'magazi. Ntchito ya insulin ndikuchotsa shuga m'magazi. Njira yokhayo yosinthira kukhala mafuta. Mafuta ochulukirapo, makamaka othamanga komanso okhala ndi chindoko chachikulu cha glycemic, amakhala ndi mafuta ambiri.Chithunzichi chimapezeka mwa anthu omwe ali ndi mbiri ya matenda ashuga a 2 kapena boma la prediabetes.
Anthu onenepa akuyesera kuti athetse michere yazakudya zambiri ndikusintha zakudya zopanda protein. Vuto ndiloti thupi limatha kupeza mphamvu kuchokera kwa chakudya chambiri. Mavuto ena amakula omwe amayambitsa mshuga wa odwala matenda ashuga komanso momwe alili.
Kuchepetsa thupi mu shuga kuyenera kukhala koyenera komanso pang'onopang'ono. Ndi nthenda yachiwiri, kuchepa thupi kumathandizira kuchepetsa kuchuluka kwa shuga komanso kumatha kuthetseratu matenda ashuga.
Kodi anthu amtundu wa ashuga Awiriwa amalemera
Ngati matenda a shuga a mtundu wa 2 ndi omwe amayamba chifukwa cha kuperewera kwa zakudya m'thupi, njira yamoyo komanso kulemera kwambiri kwa munthu wazaka zina, ndiye kuti mtundu 1 umachitika chifukwa cha kuchepa kwa kupanga kwa insulini kapena kusapezeka kwathunthu kwa thupi.
Anthu awa si onenepa kwambiri, chifukwa kuchuluka kwa mahomoni kudzera mu jakisoni sikupitirira chizolowezi.
Kuchuluka kwa insulini kuyenera kuchulukitsidwa ndikusintha mlingo. Ngati jakisoni ochulukirachulukira, mankhwalawo amawonjezeranso odwala. Mankhwala obayidwa adzadziunjikira ndikuwonjezera glucose m'mafuta.
Mulimonse momwe zingakhalire, munthu ayenera kuchepa thupi. Kuchepetsa thupi - kunenepa kwa shuga.
Kusintha zizolowezi
Kuchepetsa kulemera kwa matenda ashuga a 2 ndikwachidziwikire ngati mungafikire njira yodziwira zazomwe zimayambitsa kunenepa. Anthu ambiri "m'thupi" amakhulupirira kuti kuchepetsa makalori opezeka menyu kapena kuchepetsa magawo mukamadya, kulemera kumasungunuka pamaso pa maso. Magulu onse, maswiti, chimanga, pasitala, mbatata amachotsedwa, koma madera ovuta amakula ndi kudumphadumpha. Kuwerengera kwa calorie a mtundu wachiwiri kwa odwala matenda ashuga kungangowonjezera kusokonezeka kwamanjenje komanso kumva kuti mulibe mphamvu. Kuperewera kwa shuga kumatha kuyambitsa mavuto akulu:
- Kuwonongeka kwa ubongo ntchito;
- Kukonzanso kwa khungu kuyimitsidwa;
- Kulephera kwamkati ndi mtima;
- Kuphwanya kwa conduction mu mantha;
- Glycemic coma;
- Kukhumudwa
- Kupanda mphamvu.
Musanayambe kuchepa thupi ndi matenda ashuga, muyenera kufunsa katswiri wa zakudya komanso endocrinologist.
Njirayi iyenera kuyang'aniridwa kuti kusintha kwakanthawi kochepa kwa mankhwala (insulin kapena mapiritsi kuti muchepetse shuga). Mafuta akayamba kuchepa, glucose amatha kuchepa kapena kubwerera mwakale.
Akatswiri nthawi zonse amalimbikitsa kuti azisinthanso kadyedwe. Kupanga munthu wamkulu chotere ndikovuta. Zakudya zimasankhidwa momwe zimapatsa mphamvu, koma zothandiza kwa odwala matenda ashuga. Onetsetsani kuti mwasungira zolemba za zakudya, zomwe zimalemba zonse zatsiku.
Ndi kuchepa thupi kwamtundu 1 komanso mitundu yachiwiri ya odwala matenda ashuga, zolimbitsa thupi ndizofunikira. Kulimbitsa thupi kumathandizira kukulitsa chidwi cha maselo ku insulin ndikusintha glucose kukhala mphamvu, osati mafuta.
Kuti muchepetse kunenepa, muyenera kudya
Zakudya zopatsa thanzi kwa odwala matenda ashuga ayenera kukhala athunthu. Thupi limafunikira mapuloteni, mafuta, michere ndi mavitamini. Makamaka chidwi chake chikuyenera kuperekedwa kwa chakudya chamafuta, omwe amapezeka mumitundu yambiri. Sikuti mafuta onse omwe ndi ofanana. Amadziwika ndi glycemic index (GI):
- Zosavuta ndi GI yayitali - kamodzi m'thupi, amasinthidwa mwachangu kukhala shuga ndikuyamwa ndi maselo. Ngati chakudyacho chili ndi kuchuluka kwa zinthu zotere, ndiye kuti pali shuga wambiri. Insulin imasanduka mafuta ochulukirapo, ndikupanga zina zitha kupezeka kuti kulibe chakudya china.
- Kuphatikizika ndi GI yotsika - kugawanika kumayamba pang'onopang'ono, mphamvu imalowa m'thupi m'zigawo zofanana. Palibe chowonjezera chomwe insulin ikanamasulira kukhala mafuta. Njala singachitike mpaka maola 4-5 mutatha kudya.
Pakuphatikiza chakudya chophatikizika bwino cha mankhwala ophatikizika ndi mapuloteni ndi mafuta, chakudya chochepa kwambiri cha odwala matenda ashuga chimapangidwa.
Kuti mumvetsetse zakudya zomwe zimakhala zovuta kudya, muyenera kuphunzira mndandanda wazakudya zamafuta ochepa za GI ndikuwerengedwa mosamala zolembedwazi.
Kuti muchepetse kunenepa kwambiri m'matenda a shuga, muyenera kuphunzira kupanga menyu tsiku ndi tsiku ndikugula zinthu zofunikira pasadakhale. Njira iyi imathetsa zisokonezo ngati pali kumverera kwanjala, ndipo nthawi ikutha.
Type 1 and Type 2 diabetesics sayenera kudumpha chakudya cham'mawa kuti asasokoneze kuchuluka kwa shuga. Ndikwabwino kusiya khofi ndi chicory kapena tiyi, chifukwa khofi imayambitsa kukodza kwambiri ndipo imatha kutsitsa madzi.
Mu matenda a shuga, pali vuto la zakumwa zochepa zam'madzi chifukwa cha glucose owonjezera.
Kutalika pakati pa chakudya sikuyenera kupitirira malire a 5 maola. Zoyenera, ngati pali gawo la maola 4 pakati pa kadzutsa, nkhomaliro ndi chakudya chamadzulo. Zosakhazikika ndizovomerezeka, koma poganizira kuwunika kwamisempha pogwiritsa ntchito glucometer. Pa gawo la kuchepa thupi, chida ichi chizikhala nthawi zonse.
Chakudya chochepetsa thupi ndi matenda ashuga amtundu wa 2 chiyenera kupangidwa ndi katswiri wazakudya nthawi yoyamba. Popeza mumvetsetsa tanthauzo la kadyedwe koyenera ndikuwona zotsatira zabwino, mutha kusintha maphikidwe a mbale ndi menyu, poganizira zomwe mumakonda.
Zida zoonjezera zolemetsa zama shuga
Zakudya zokhazokha pazokha sizokwanira kuti muchepetse kunenepa kwa matenda a shuga 1 kapena 2. Kuphatikiza apo, madokotala amalangiza:
- Zochita zolimbitsa thupi popanda kukopa;
- Kumwa mapiritsi apadera othandizira kuchepetsa kukana kwa insulin kwa maselo amthupi mu shuga.
Kwa odwala matenda ashuga, masewera ayenera kuchita. Kuchita masewera olimbitsa thupi mokwanira kumathandizira kuti shuga ndi mahomoni azikhala mwamphamvu.
Palibenso chifukwa chofunira masewera olimbitsa thupi kapena masewera olimbitsa thupi mpaka thukuta. Zikhala zopanda ntchito. Njira zabwino zowotcha ma calories a shuga ndikuyenda tsiku lililonse mwachangu. Wina akusambira pafupi. Mutha kusinthanitsa katunduyu. Kutalika sikuyenera kukhala kochepera ola limodzi.
Ndi kulemera kwambiri, kuthamanga ndi mphamvu zazikulu zamagetsi kumatsutsana. Mafupa ndi mafupa amakumana ndi nkhawa chifukwa cha ma kilogalamu, ndipo shuga wambiri amachititsa kutupa, mafupa a brittle ndikuchepetsa kutanuka kwamitsempha yamagazi. Zotheka kugwa, kuvulala komanso kuthamanga kwa magazi. Masewera azikhala osangalatsa.
Zakudya za Matenda a shuga
Kubwezeretsa chidwi cha maselo a thupi kupita ku insulin mu mtundu 2 wa shuga, mapiritsi, zomwe zimagwira ntchito yomwe ndi metformin, thandizo. Mtengo wodziwika bwino komanso wotsika mtengo ndi mankhwala a Siofor. Kulandila kwake kuyenera kuvomerezeredwa ndi adotolo, omwe azindikire mlingo woyenera. Mu kaphatikizidwe kazamankhwala, pali mapiritsi ena ena malinga ndi metformin. Mankhwalawa amatha kugwiritsidwanso ntchito ndi mtundu wa 1 odwala matenda ashuga kuti achepetse kuchuluka kwa jakisoni wa insulin.
Zimakhala zovuta kuti munthu amene wazolowera zakudya zina azolowere moyo watsopano. Ndi kovuta kwambiri kukana chakudya ngati chidakhala chisangalalo chokha. Pamafunika kuyambitsidwa kwa mankhwala okhala ndi chromium, zinc, mafuta a nsomba, omwe amachepetsa kudalira kwamafuta m'thupi.
Nthawi zina zakumwa za odwala omwe ali ndi matenda ashuga amayenera kuthandizidwa ndi katswiri wazamisala kapena wamisala. Muyenera kuthyola mkombowo mavuto atakakamira ndikuwonjezera kulemera kwatsopano. Nthawi zina, kuchepetsa thupi kumayamba ndi gawo ili, chifukwa mavuto onse mumutu wa munthu.
Kodi kuchepa thupi msanga ndizotheka ndi shuga
Kwa munthu aliyense, lingaliro la kunenepa kwambiri ndi munthu payekha. Kwa wina, makilogalamu 5 akuwoneka ngati vuto lalikulu, koma wina akufuna kuchepetsa kulemera ndi theka.
Kuchepetsa thupi mwachangu ndi matenda a shuga ndikotheka ngati mutsatira malangizo a dokotala. Koma kodi ndizotetezeka nthawi zonse?
Anthu ambiri omwe ali ndi matenda a shuga a mtundu wachiwiri amalimbana ndi kunenepa kwambiri. Mafoda amawunjikana kwazaka zambiri, mafuta osindikizira kumkati wamkati ndipo, mwina, adatsogolera kusintha zina. Pa gawo loyambirira, kuchepa thupi kumadziwika, chifukwa madzi ochulukirapo ayamba kutuluka. Koma zimatenga nthawi kuti muchepetse mafuta.
- Choyamba, kuchuluka kwa shuga komanso kuchuluka kwa insulin kuyenera kubwerera mwakale;
- Maselo amayambitsa makina osinthira shuga kukhala mphamvu;
- Kagayidwe kake kabwezeretsedwe ndipo mafuta ochulukirapo agawika, koma wogawana, kuti asadzaze dongosolo lazinthu zowonjezera.
Pomaliza
Kunenepa kwambiri m'matenda a shuga kumachitika mwadongosolo lachiwiri la matenda, pomwe bwalo limatseka ndikusoweka kiyi yofunikira m'njira zina zothandizira kuchepetsa kuwonda. Anthu odwala matenda ashuga a Mtundu 1 amakhalanso ndi vuto loti azitha kulemera kwambiri chifukwa chomwa mowa wambiri komanso osagwirizana ndi insulin. Mutha kuchepa thupi ndi matenda ashuga ngati mupanga kuyesetsa kuti muchotse kudalira zakudya. Mtundu wachiwiri, kuchira kwathunthu kwa matenda ashuga ndikovomerezeka ngati mubwezeretsanso thupi lanu.
