Chakudya cha munthu aliyense chimayenera kukhala chopatsa mphamvu komanso chokwanira. Wodwala yemwe ali ndi matenda ashuga ayenera kudya zakudya zotere zomwe glucose amalowetsa m'magazi pang'onopang'ono. Mawu akuti "okoma" amatanthauza zinthu zambiri zosiyanasiyana. Kodi uchi umawonjezera shuga? Kapena kodi liyenera kuletsedwa m'zakudya za matenda ashuga?
Kusanthula kwa "choletsa" uchi
Pofuna kusiyanitsa menyu ake ndikugwiritsa ntchito michere yambiri, wodwala matenda ashuga ayenera kuganizira zosankha zosakaniza ndi mbale. Kugwiritsa ntchito moyenera komanso mwachangu ma switi "oletsedwa" ndikotheka. Mwachitsanzo, kupanikizana ndi chokoleti - pamalo a shuga (xylitol, sorbite).
Uchi wodziwika bwino umaphatikizapo izi: 100 g za malonda, poyerekeza ndi maswiti ena:
Zakudya zokoma | Mapuloteni, g | Mafuta, g | Zakudya zopatsa mphamvu, g | Mtengo wamagetsi, kcal |
wokondedwa | 0,3-3,3 | 0 | 80,3-335 | kuyambira 308 |
chokoleti (chamdima) | 5,1-5,4 | 34,1-35,3 | 52,6 | 540 |
kupanikizana | 0,3 | 0 | 72,5 | 299 |
prunes | 2,3 | 0 | 65,6 | 264 |
shuga | 0-0,3 | 0 | 98-99,5 | 374-406 |
Zomwe zimapangidwira payokha ndizosiyanasiyana. Zimasinthasintha ndipo zimatengera zinthu zambiri, kuphatikiza mtundu wazogulitsa ndi ukadaulo wopanga.
Monga mukudziwa, matenda a shuga amakhudzana ndi kusokonezeka kwa metabolic. M'thupi la wodwalayo, insulini ya mahomoni ndi yaying'ono kapena kapamba wake samatulutsa konse. Pambuyo pa mayamwidwe, chakudya chimalowa m'mimba, kenako matumbo (mayamwidwe a uchi amayamba mkamwa). Ziphuphu zimanyamulidwa m'thupi lonse popanda kulowa m'maselo opanda insulin. Ndi kulipidwa kwabwino kwa matendawa, minofu imamwalira ndi njala, kuchuluka kwa shuga m'magazi kumakulitsidwa.
![](http://img.diabetesentity.com/img/diab-2020/8187/povishaet-li-med-uroven-sahara-v-krovi.jpg)
Pali chikhalidwe cha hyperglycemia, limodzi ndi ludzu lokwanira, kukodza. Shuga amalowa m'matumbo ena popanda insulin (ubongo, minyewa yamanjenje, ma lens amaso). Zowonjezera - zapukutidwa mkodzo kudzera mu impso, kotero thupi limayesetsa kudziteteza kuti liziwonjezera.
Ngati mukugwiritsa ntchito uchi, kuyang'ana pamagulu oyendera ndikofunikira. Kuthamanga shuga kumayenera kukhala kwa 5.5 mmol / L mwa munthu wathanzi komanso wodwala ndi matenda a shuga 1. Odwala amtundu wa 2, atha kukhala mayunitsi 1-2, chifukwa cha kusintha kwa zaka. Miyeso imatengedwanso maola awiri mutatha kudya, nthawi zambiri osapitirira 8.0 mmol / L.
Mluku ndi fructose mu uchi
Kodi uchi umatulutsa shuga wamagazi kapena ayi? Monga chakudya chilichonse chopatsa mphamvu, pa liwiro linalake, zomwe zimatengera mtundu wa zinthu zomwe zili mgulu la zinthu. Uchi wachilengedwe, pafupifupi wofanana, kutengera mitundu, uli ndi monosaccharides: glucose ndi fructose (levuloses).
Mitundu ya uchi | Zinthu zamtundu wa glucose,% | Zamkati wa fructose,% |
Acacia | 35,98 | 40,35 |
Buckwheat | 36,75 | 40,29 |
Clover | 34,96 | 40,24 |
Mtengo wa Linden | 36,05 | 39,27 |
Rasipiberi | 33,57 | 41,34 |
Mtengo wa apulo | 31,67 | 42,00 |
Kuphatikizika kwina kumaphatikizapo:
- madzi
- zinthu za mchere;
- organic zidulo;
- masamba mapuloteni;
- BAS.
![](http://img.diabetesentity.com/img/diab-2020/8187/povishaet-li-med-uroven-sahara-v-krovi-2.jpg)
Chosangalatsa cha glucose mu uchi wa apulo, zambiri - buckwheat; kuchuluka kwa fructose - laimu, zosiyanasiyana izi zimawerengedwa kuti ndizabwino kwambiri
Kukhala ndi formula imodzi yayikulu, glucose ndi fructose zimasiyana mumapangidwe a mamolekyulu. Mapangidwe ophatikizika a organic amatchedwanso, motero, mphesa ndi zipatso zamasamba. Amamezedwa mwachangu ndi thupi. Pakangotha mphindi zochepa (3-5), zinthu zimalowa m'zigawo zamagazi. Fructose amadzutsa shuga m'magazi pafupipafupi katatu kuposa momwe amkonzera "mnzake" wa mankhwala. Amakhala ndi mankhwala ofewetsa thukuta, levulosis sayenera kudyedwa yoposa 40 g patsiku.
Glucose ndiye gwero lalikulu lamphamvu mthupi. Amakhala m'magazi nthawi zonse mu 0,1% kapena kuchokera 80 mpaka 120 mg pa 100 ml. Kuchulukitsa msinkhu wa 180 mg kumawonetsa kusokonezeka kwa kagayidwe kazakudya kabwino, kuyamba ndi kukula kwa matenda ashuga. Sorbitol, yomwe imagwiritsidwa ntchito ngati sweetener, imapezeka ndi kuchepetsa shuga.
Kudziwitsa kuti ma protein a uchi amalowa m'magazi sikokwanira. Kuchulukitsa, zimatsimikiziridwa ndi deta kuchokera pamatafura pa glycemic index (GI). Ndiwachibale ndipo limawonetsa kuchuluka kwazomwe chakudya chimasiyanitsidwa ndi mtundu wamba (glucose yoyera kapena mikate yoyera). Uchi uli ndi GI, malinga ndi magawo osiyanasiyana, ofanana ndi 87-104 kapena, pafupifupi, 95,5.
Chosangalatsa ndichakuti index ya glucose payekha ndi 100 kapena kuposerapo, fructose ndi 32. Zamoyo zonse zomwe zimachulukitsa shuga ziyenera kumwedwa mosamala kwambiri - munthu wodwala matenda ashuga wokhala ndi mbiri yowonjezereka ali ndi chiwopsezo chotenga matenda a endocrine.
Kodi munthu wodwala matenda ashuga amafunika uchi mwachangu liti?
Uchi umagwiritsidwa ntchito kuyimitsa hypoglycemia. Kutsika kwakuthwa kwa shuga m'magazi a wodwala matenda ashuga kumatha kuchitika chifukwa:
- kudumpha chakudya chotsatira;
- kulimbitsa thupi kwambiri;
- bongo wa insulin.
Njirayi ikukula mwachangu ndipo zopangidwa ndi shuga pompopompo zimafunika popewa tsoka. Uchi pa izi adzafunika 2-3 tbsp. L., mutha kupanga chakumwa chokoma kutengera. Sizimakwiyitsa mucous membrane wa larynx ndi esophagus. Pambuyo pake, wodwalayo ayenera kudya apulo kapena makeke, kugona pansi ndikudikirira kuti zinthu zikhala bwino.
Kuti mudziwe zamtunduwu, muyenera kuyesa kudya uchi wochepa (1/2 tsp.).
![](http://img.diabetesentity.com/img/diab-2020/8187/povishaet-li-med-uroven-sahara-v-krovi-3.jpg)
Ana, kuti tisayang'ane mwachangu komanso popanda kudzipereka kuti musayambitse uchi, ndibwino kuwapatsa ndi chakudya china (phala, zipatso)
Chifukwa chake, hypoglycemia iyimitsidwa, koma osati kwathunthu. Kuchokera ku uchi wotsekemera, shuga m'magazi amakwera mofulumira. Kenako chizindikirocho chikuyamba kutsika, chifukwa insulin ikupitirirabe kuchita. Kuti alipire gawo lachiwiri, wodwala matenda ashuga ayenera kugwiritsa ntchito mtundu wina wa chakudya (wa ma mkate awiri) - sangweji yopanda mkate komanso zokhala ndi burosi (kabichi, saladi wobiriwira, kaloti). Masamba sangalole shuga m'magazi kukwera kwambiri.
Contraindication ogwiritsa ntchito uchi mu mankhwala amathandizira munthu payekha kuti asunge njuchi. Itha kudziwonetsa motere:
- urticaria, kuyabwa;
- mphuno zam'mimba;
- mutu;
- kudzimbidwa.
Odwala akulangizidwa kuti azigwiritsa ntchito popangira njuchi mosaposa 50-75 g, kutalika kwa 100 g, kutengera mtundu wa odwala matenda ashuga komanso m'malo ena wamagulu ochulukitsa. Kuti muchite zochizira, kuti zitheke, uchi umatengedwa pakati pa chakudya, wotsukidwa ndi madzi owiritsa (tiyi kapena mkaka).
Uchi ndimavitamini komanso chakudya chamagulu a odwala matenda ashuga. Pambuyo pakugwiritsa ntchito, maselo aubongo amalandila mphamvu zoyenera, ndipo wodwalayo alibe chikhumbo chofuna kudya maswiti oletsedwa - shuga ndi zinthu zomwe zimakhala nazo.