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Kuchita masewera olimbitsa thupi a shuga kuli ndi gawo lapadera pochiza. Matendawa amafunika kukonzanso moyo wakale.
Ndikofunikira kukonza osati zakudya zokha, komanso njira zochizira. Njira yophatikizidwa ithandizira kuwongolera kukula kwa vuto lalikulu la malaise ndipo kumathandiza kupewa zovuta.
Matenda a shuga ndi masewera olimbitsa thupi
Maphunziro a systemic amakhala ndi zotsatira zabwino paumoyo wonse:
- kuchuluka wamphamvu;
- kuthamanga kwa magazi kumachepa;
- kulimba mphamvu;
- kudziletsa pakulimbitsa thupi kumakhazikitsidwa.
Maphunziro olinganizidwa bwino amabweretsa odwala omwe ali ndi matenda othandizira.
Mwachitsanzo, zimawonjezera chidwi cha thupi ndi insulin, yomwe imakupatsani mwayi wochepetsera kuchuluka kwa glucose. Kuphatikiza apo, chiwopsezo chokhala ndi matenda amtima chocheperako chimachepetsedwa, kugona kumakhala bwino, komanso kukhumudwa komanso kulimbana ndi nkhawa kumalimbitsidwa.
Kuchita zolimbitsa thupi kumawonjezera minofu pakuchepetsa kukana insulin. Cardio kulimbitsa thupi sizitsogolera kukula kwa minofu, koma zimakhudza zochita za insulin.
Kafukufuku waposachedwa awonetsa kuti masewera olimbitsa thupi amakhala opindulitsa nthawi 10 kuposa mankhwala angapo (Glucophage, Siofor).
Zotsatira zake ndizofanana molingana ndi kuchuluka kwa mafuta m'chiuno ndi minofu. Kuchuluka kwa madongosolo kumachepetsa.
Magwiridwe opitilira miyezi 2-3 kumakulitsa kwambiri insulin. Odwala amayamba kuchepa thupi kwambiri, ndipo glucose amakhala wosavuta kuwongolera.
Mtundu wa 1 wa matenda a shuga
Maphunziro ayenera kugawidwa m'magawo atatu:
- kuwotha kwa mphindi 5: squats, kuyenda m'malo mwake, katundu wamapewa;
- kukondoweza kumatenga mphindi 20-30 ndipo kuyenera kukhala 2/3 ya katundu yense;
- kuchepa mphamvu - mpaka mphindi 5. Ndikofunikira kuti musinthe ndikuthamanga kuti muziyenda, kuyenda masewera olimbitsa thupi.
Mtundu I wa matenda ashuga nthawi zambiri amadwala matenda apakhungu.
Mukatha maphunziro, muyenera kusamba kapena kupukuta ndi thaulo. Sopo iyenera kukhala ndi pH yosatenga mbali.
Mtundu wachiwiri wa matenda a shuga
Mphamvu za mtundu wachiwiri wa shuga zimathandizira kuthana ndi matendawa. Komabe, simuyenera kuchita masewera olimbitsa thupi kamodzi gulu la minofu, liyenera kusintha.
Maphunziro akuphatikizapo:
- Amphaka
- kukankha mmwamba;
- kulemera kwazitali ndi ndodo.
Maphunziro a Kadio amathandiza kulimbitsa mtima komanso kuchepetsa matenda othamanga kwa magazi:
- kuthamanga
- ski;
- kusambira
- kukwera njinga.
Kulimba kumayenera kukula pang'onopang'ono, thupi likamakula. Izi ndizofunikira pakukula kwina ndikukhalanso olimba.
Mtundu 3 wa matenda a shuga
Palibe chovomerezeka mwazachipatala cha mtundu wa matenda ashuga atatu. Kupanga kofananako kumati wodwalayo ali ndi zofananira za mtundu I ndi II.Chithandizo cha odwala chotere ndi chovuta, chifukwa madokotala sangadziwe zolondola zofunikira za thupi.
Ndi zovuta za matenda ashuga, anthu amalangizidwa kupita kukayenda.
Popita nthawi, nthawi yawo komanso kuchuluka kwawo kuyenera kuchuluka.
Matenda A shuga ndi Masewera
Zotsatira zabwino zimawonedwa mukuchita masewera olimbitsa thupi mosalekeza, komwe kumakupatsani mwayi wogawana manja ndi miyendo. Masewera otsatirawa amakwaniritsa izi:
- akuyenda
- kuthamanga;
- kusambira
- kupalasa;
- kukwera njinga.
Chofunika kwambiri ndizokhazikika kwa makalasi. Ngakhale kupuma kochepa kwa masiku angapo kumachepetsa zotsatira zabwino.
Mutha kuyamba ndi kuyenda kosavuta. Phunziroli ndi lothandiza kwambiri chifukwa limakakamiza magawo antchito ambiri a insulin, omwe amapangidwa ndi thupi kapena ochokera kunja.
Ubwino wakuyenda chete:
- kukonza bwino;
- kusowa kwa zida zapadera;
- kuwonda.
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Kuyeretsa nyumba kale ndi maphunziro othandiza
Zina mwazovomerezeka zomwe zilipo:
- kuyeretsa nyumbayo;
- yenda mu mzimu watsopano;
- kuvina
- kukonza za chiwembu;
- kukwera masitepe.
Mosasamala kanthu za kuchuluka kwa zochita zolimbitsa thupi, ndikofunikira kuyang'anitsitsa kuchuluka kwa shuga. Chitani izi mkalasi, musanachitike ndi pambuyo pawo. Mankhwala onse okhudzana ndi zolimbitsa thupi ayenera kuvomerezedwa ndi adokotala.
Zotsatira zolimbitsa thupi pamagulu a shuga
Panthawi yochita masewera olimbitsa thupi pali njira zambiri zolimbitsa thupi.
Glucose omwe amalandiridwa kuchokera ku chakudya amapatsidwa minofu yogwira ntchito. Ngati pali voliyumu yokwanira, imayaka m'maselo.
Zotsatira zake, kuchuluka kwa shuga kumachepa, komwe kumakhudza chiwindi.
Malo ogulitsa glycogen omwe amasungidwa kumeneko amawonongeka, ndikupereka chakudya cha minofu. Zonsezi zimabweretsa kuchepa kwa ndende yamagazi. Njira yofotokozedwayo imapita mthupi la munthu wathanzi. Mwa odwala matenda ashuga, zitha kuchitika mosiyanasiyana.
Nthawi zambiri pamakhala zovuta zina:
- dontho lakuthwa la shuga;
- kuchuluka msanga mu shuga;
- mapangidwe a matupi a ketone.
Zomwe zikuluzikulu zomwe zimachitika motere ndi:
- kuchuluka kwa shuga;
- nthawi yophunzitsira;
- kukhalapo kwa insulin;
- kulimbitsa kwambiri.
Hypoglycemia Katetezedwe
Njira yolakwika yoika nthawi yochita masewera olimbitsa thupi imatha kubweretsa mavuto akulu.
Musanayambe makalasi okhazikika, aliyense payekha muyenera kudziwa mtundu wa masewera olimbitsa thupi omwe ali oyenera. Zambiri zolondola zidzanenedwa ndi endocrinologist.
Komabe, mulimonsemo, kuwunika kwa glucose kumachitika. Nthawi zina, kuwonjezera chakudya chopatsa thanzi ndikofunikira. Kuwonjezeka kwa chakudya chamafuta kumatha kuchitika musanayambe kuchita masewera olimbitsa thupi kapena kutengera thupi, kutengera mawonekedwe a kagayidwe.
Makina owonjezera a insulin ndi omwe adzatchule mtundu wa masewera olimbitsa thupi omwe amachitidwa. Wodwala ayenera kudziwa ndendende zomwe zimamuthandiza.
Pali malingaliro angapo:
- pafupipafupi ndikofunikira mu shuga. Sabata iliyonse, maphunziro osachepera atatu amachitika, nthawi yake imakhala yopitilira mphindi 30;
- kuwonjezera katundu pakanthawi kochepa kumawonjezera kufunikira kwa chakudya chamafuta, omwe amakamizidwa mwachangu. Kuchita masewera olimbitsa thupi kwa nthawi yayitali kumafunikira utsogoleri wowonjezera wa insulini komanso kuwonjezeka kwa chakudya chopatsa mphamvu;
- katundu akachuluka, mwayi wokhala ndi kuchepa kwa hypoglycemia ukuwonjezeka. Izi zikutanthauza kuti insulini imagwira ntchito molimbika maola angapo pambuyo pochita masewera olimbitsa thupi. Chiwopsezo chikuwonjezeka ngati makalasi anali mu mpweya watsopano;
- ndi katundu wanthawi yayitali, ndizovomerezeka kuchepetsa kuchuluka kwa insulin, kugwira ntchito kwake komwe kumachitika pambuyo pa maola 2-3;
- ndikofunikira kumva thupi. Kumva kupweteka kumawonetsera njira zosowa m'thupi. Kusakhudzidwa kuyenera kukakamiza kuchepetsa kukula kapena kutalika kwa maphunziro. Munthu wodwala matenda ashuga amafunika kupewa kukula kwa zizindikiro zazikulu (kunjenjemera, malovu, ludzu ndi ludzu, kukodza pafupipafupi), komwe kumayambitsidwa ndi kusintha kwakuthwa m'magulu a shuga. Idzapangitsa kukomoka kochita kuphunzitsidwa;
- zolimbitsa thupi ziyenera kuwonjezera kuwonjezera pa chakudya chopatsa thanzi, osati chowiringula chifukwa cha chikhalidwe chake chopanda pake. Kudya zopatsa mphamvu zochulukirapo ndi chiyembekezo choti mudzayaka nthawi yochita masewera olimbitsa thupi sikofunikira kuchita. Izi zimapangitsa zopinga kuyendetsa thupi;
- Seti ya masewera olimbitsa thupi ayenera kuganizira zaka za wodwalayo. Pazaka zamtsogolo, kuwonjezeka pang'ono kwa katundu kumakhala kokwanira;
- kuchita zolimbitsa thupi zonse mosangalala;
- Simungathe kuthana ndi kuchuluka kwa glucose oposa 15 mmol / l kapena kupezeka kwa ma ketones mumkodzo. Iyenera kutsikira mpaka 9.5 mmol / l.;
- yaitali insulin iyenera kuchepetsedwa ndi 20-50%. Miyeso yopitilira shuga mkati mwa makalasi ingakuthandizeni kusintha mlingo;
- tengani mafuta osavuta kumakalasi kuti muchepetse kuchepetsa shuga;
- kwa odwala omwe amakhala ndi zakudya zama carb ochepa, mukatsitsa shuga, kudya mpaka 6 g wa chakudya chambiri.
Njira zopewera
Pakulimbitsa thupi, odwala matenda ashuga ayenera kutsatira malamulo awa:
- Nthawi zonse kuyeza shuga;
- ndi katundu wambiri, tengani 0,5 XE maola 0,5 onse;
- ndi zolimbitsa thupi, kuchepetsa kuchuluka kwa insulin ndi 20-40%;
- poyamba zizindikiro za hypoglycemia, chakudya cham'mimba chofunikira;
- Mutha kusewera masewera okha ndi shuga wambiri m'magazi;
- gawani bwino zolimbitsa thupi.
Ndikofunikira kupanga ndandanda:
- olimbitsa thupi m'mawa;
- masewera olimbitsa thupi maola angapo pambuyo pa nkhomaliro.
Contraindication
Zochita zolimbitsa thupi mu shuga zimakhala ndi zotsutsana:
- kuchuluka kwa shuga kupitirira 13 mmol / l ndi kupezeka kwa acetone mu mkodzo;
- zofunikira za shuga - mpaka 16 mmol / l;
- kufinya kwam'mimba, kukha magazi kwa diso;
- odwala matenda ashuga phazi;
- zosakwana miyezi 6 zapita pambuyo laser retinal coagulation;
- matenda oopsa
- kusazindikira kwa zizindikiro za hypoglycemia.
Sikuti katundu onse ndi oyenera kwa odwala matenda ashuga. Alangizidwa kuti apewe masewera osautsa komanso nthawi zovuta:
- kudumphira m'madzi
- kukwera mapiri;
- kulemera;
- popachika;
- nkhondo ili yonse;
- aerobics
- masewera osewerera: mpira, hockey.
Makanema okhudzana nawo
Malamulo oyambira amakalasi olimbitsa thupi odwala matenda ashuga:
Pofuna kuthana ndi nthawi ya matenda ashuga, kuwonjezera pa zakudya zoyenera, kuchita masewera olimbitsa thupi ndikofunikira. Komabe, wodwalayo ayenera kudziwa zomwe amalola kuti azichita. Kuphatikizika kumapangidwa payekhapayekha poganizira zaka za matenda, matenda osachiritsika komanso momwe wodwalayo alili.