Kusala kudya ndi kuyesa kwakuthupi komanso kwamakhalidwe komwe kumakhala kocheperako kapena kwakukulu, komwe kumalumikizidwa nthawi zonse ndi kupsinjika kwa thupi. Otsatira a boma ovomerezeka nthawi zambiri amakhulupirira kuti odwala matenda ashuga sangakane chakudya ngakhale kwakanthawi kochepa. Izi ndichifukwa choti chifukwa chosowa shuga m'magazi, munthu wodwala matenda ashuga amatha kudwala matenda ena, zotsatira zake zomwe zimakhudza kwambiri ubongo, mtima, ndi ziwalo zina zofunika. Komabe, pazovuta zina, kudwala kungalimbikitsidwe kwa wodwalayo pazifukwa zochizira, komabe, zitha kuchitidwa molingana ndi zisonyezo komanso mosamalitsa woyang'aniridwa ndi adokotala.
Phindu kapena kuvulaza?
Kodi ndizotheka kufa ndi njala ndi mtundu wachiwiri wa shuga kuti matenda asungwana am'magazi ndi kuchepetsa kunenepa? Zonse zimatengera thanzi la wodwalayo, popeza kukana kudya kumayendetsedwa ndi zotsatirapo zosiyanasiyana, zabwino komanso zoyipa. Nthawi zambiri, mwa munthu wathanzi, matupi a ketone (zinthu zopangidwa ndi metabolic) amatha kupezeka m'magazi ndi mkodzo, koma kuchuluka kwake ndikosakwanira kwambiri kotero kuti samapezeka mu mayeso wamba. Panthawi yanjala, kuchuluka kwa zinthuzi kumawonjezeka kwambiri, chifukwa pomwe wodwalayo amatha kudandaula za kufooka, chizungulire komanso kununkhira kwa acetone kuchokera mkamwa. Kutha kwa vuto lomwe limatchedwa "hypoglycemic", kuchuluka kwa matupi a ketone kumachepa, kuchuluka kwa shuga m'magazi kumatsika.
Zizindikiro zonse zosasangalatsa zimasowa patsiku la 5 - la 7 la kudya, pambuyo pake mulingo wa glucose umakhala wolimba mpaka kumapeto kwa kusala. Chifukwa cha kuchepa kwa michere, michere ya gluconeogeneis imayamba kugwira ntchito. Mwanjira iyi, glucose amapangidwira kuchokera kuzomwe zimasungidwira zinthu zachilengedwe, chifukwa chomwe mafuta amawotcha, ndipo nthawi yomweyo, maselo am'thupi ndi ziwalo zina zofunika sizivutika. Thupi la wodwalayo litayankha modekha kusintha kwakuthupi kwakanthawi kokhudzana ndi kukonzanso kagayidwe kake, ndikofunika kuti nthawi ndi nthawi muzichita njirayi, popeza kukana kwakanthawi chakudya kumabweretsa zambiri.
Kusala ndi matenda a shuga a 2 kumatha kusintha thupi, chifukwa cha izi:
- kuwonda ndi kuchepa kwa mafuta m'thupi;
- kusinthika kwa metabolic (chifukwa cha izi, mafuta amawonongeka mwachangu ndipo shuga ya magazi pambuyo pake imasinthasintha);
- kuyeretsa thupi la poizoni;
- kukonza khungu;
- onjezerani chitetezo chokwanira.
Njala imaphatikizidwa ndi matenda amtundu woyamba wa 1, mosasamala kanthu za zovuta zamatenda. Pakadwala matenda amtundu wachiwiri, komanso prediabetes (kuleketsa shuga), kukana kudya kwakanthawi kochepa kaamba ka zamankhwala kungathetsedwe ngati wodwalayo alibe zotsutsana. Ndikofunika kuchita njirayi kuchipatala choyang'aniridwa ndi endocrinologists ndi gastroenterologists, koma ngati izi sizingatheke, muyenera kulumikizana ndi dokotala wanu (makamaka pafoni). Izi zimapulumutsa munthu pamavuto, ndipo ngati kuli kotheka, musokoneze nthawi yanjala.
Kuzindikira kukana chakudya kwakanthawi kumathandizanso kuti munthu ayambenso kudya. Kukhala ndi malingaliro abwino komanso kumvetsetsa zolinga zakusala kudya kumawonjezera mwayi wosavuta kupirira nthawi ino ndikuwongolera momwe thupi liliri
Zizindikiro ndi contraindication
Chizindikiro chimodzi cha kusala kudya ndi pancreatitis pachimake (kutupa kwa kapamba). Ili ndi vuto lalikulu lomwe wodwalayo amayenera kukhala kuchipatala moyang'aniridwa ndi dokotala. Nthawi zambiri, matendawa amafunika kuchitapo kanthu opaleshoni, ndipo matenda ashuga nthawi zambiri amachitika kwambiri komanso osakonzekera. Mu chifuwa chachikulu cha pancreatitis, kufa ndi njala, m'malo mwake, sikuloledwa, ndipo m'malo mwake chakudya chodekha chimalimbikitsidwa kwa wodwalayo.
Zoyipa:
Zakudya pambuyo stroko ndi shuga- njira yowonongeka yamatendawa;
- zovuta za matenda a shuga m'maso ndi zamanjenje;
- yotupa matenda am'mimba thirakiti;
- matenda oopsa a mtima, mitsempha yamagazi ndi impso;
- matenda a chithokomiro;
- zotupa zamtundu uliwonse;
- matenda opatsirana;
- kusowa kwa thupi komanso mafuta ochepa.
Chitsutso chosiyana ndi kukalamba kwa wodwalayo. Nthawi zambiri, madokotala salimbikitsa odwala omwe ali ndi vuto la shuga omwe ali ndi zaka zopitilira 70 chifukwa ali ndi thupi lopanda mphamvu ndipo amafunika kulandira kawirikawiri michere kuchokera kunja.
Momwe mungakonzekerere?
Kukhalabe wathanzi komanso kuchepetsa chiopsezo cha zovuta, kukonzekera koyenera musanadye chakudya sikofunikira kuposa kukana chakudya. Pafupifupi sabata isanakwane "njira yothandizira", muyenera kutsatira zakudya zomwe zimaphatikizapo kuchuluka kwa chakudya chopepuka, makamaka chachiyambi. Maziko azakudya ayenera kukhala masamba ndi zipatso zosapsa, ndipo kugwiritsa ntchito nyama ndi nsomba kuyenera kuchepetsedwa. Tsiku lililonse pamimba yopanda kanthu muyenera kumwa 1 tbsp. l mafuta a azitona kapena chimanga. Izi zikuthandizira kukhazikika kwamatumbo ndikuwonjezera thupi ndi mafuta achilengedwe osaphatikizika.
Madzulo a njala, muyenera:
- kudya chakudya pafupifupi maola 3-4 asanagone;
- yeretsani matumbo ndi enema ndi madzi oyera ozizira (kugwiritsa ntchito mankhwala othandizira mankhwala osokoneza bongo ndi osayenera kwambiri);
- osagona pasanafike pakati pausiku kuti ubwezeretse mphamvu.
Ngati kudwala kumapangitsa kuti wodwala asamve bwino, ndiye kuti izi ziyenera kutayidwa. Kupanikizika kwambiri kumatha kuyambitsa zovuta za shuga ndi ma spikes m'magazi a magazi. Kotero kuti kukana chakudya sikungokhala ndi zotsatirapo zoyipa, muyenera kusamala osati thanzi lokha, komanso mtima wake.
Mukasala kudya, muyenera kumwa madzi oyera, omwe amatenga mbali pazinthu zosiyanasiyana komanso amathandizira kuti mukhale ndi njala. Thupi limafunikanso kuti lizithamangitsa kagayidwe komanso kukhalabe ndi magazi abwinobwino.
Kodi mungadziteteze bwanji pazotsatira zoyipa?
Njala ya matenda ashuga amtundu wachiwiri iyenera kukhala masiku 7 kapena kupitirira (kutengera momwe thupi limakhalira ndi matendawa). Ndi kukana chakudya kwanthawi yayitali komwe metabolism imakonzedwanso, chifukwa chake glucose amayamba kupanga kuchokera ku ma organic omwe si chakudya. Zotsatira zake, thupi lamunthu limachepa, mphamvu ya minofu ya insulin ikukwera, ndipo kuchuluka kwa shuga m'magazi kumapangitsa thupi kusinthasintha.
Koma asanalowe kudya kwa nthawi yayitali kwa wodwalayo, ayenera kuyesa kudya kwa maola 24-72 kuti adotolo athe kuwona momwe njirayi ikuyenereranira wodwala. Kulekerera kwa anthu odwala matenda ashuga ndikosiyana ndi anthu onse, ndipo nthawi zonse pamakhala chiopsezo cha kukomoka kwa hypoglycemic, chifukwa chake kusamala pankhaniyi ndikofunikira kwambiri.
M'masiku otsatirawo osala kudya, wodwalayo ayenera:
- kuyang'anira shuga wamagazi nthawi zonse;
- kuwunika kugunda kwa mtima ndi kuthamanga kwa magazi;
- kumwa madzi ambiri akumwa opanda mpweya (osachepera 2,5 malita);
- tsiku ndi tsiku muziimbirana ndi adotolo ndipo mudzamuwuza zovuta zake;
- ngati zizindikiro za hypoglycemia zikuchitika, pitani kuchipatala msanga.
Pomaliza kusala, ndikofunikira kuti mubwererenso ku zakudya zabwinobwino komanso mosamala. M'masiku oyambirirapo, ndibwino kuti muchepetse zakudya zomwe zingachitike pokhapokha musadye 2-3. Zakudya, ndibwino kuti muzikonda zakudya zodyera, masamba ndi masamba, osenda mucous. Pambuyo pokana kwa nthawi yayitali chakudya, nyama yoonda yotsukidwa iyenera kuyambitsidwa muzakudya musanayambike masiku 7-10. Zakudya zonse munthawi ya "kutuluka" kuchokera ku njala ziyenera kukhala zochepa, zonse mwakanthawi komanso mwakathithi. Chifukwa chake, mbale zotentha ndi zakumwa, komanso mchere ndi zonunkhira zotentha ndizoletsedwa kwathu pano.
Njala si njira yachikhalidwe yolimbikitsidwa ya matenda a shuga a 2. Kukana kwa chakudya (ngakhale kwa nthawi yochepa) kumatheka pokhapokha ngati atakambirana ndi adokotala ndikupereka mayeso ofunika a labotale. Popanda zotsutsana, izi zimatheka, koma ndikofunikira kuti munthu amvere thupi lake. Ngati njirayi imawoneka yolimba kwambiri kwa wodwala, ndibwino kuti muchepetse zakudya zabwino komanso masewera olimbitsa thupi, zomwe zimaperekanso zotsatira zabwino.
