Chodetsa nkhawa chachikulu cha anthu omwe akudwala endocrine kusokonezeka kwa kagayidwe kazachilengedwe ndikuwongolera shuga.
Zakudya zopatsa thanzi komanso kudya zakudya zomwe zingachepetse kuchuluka kwa shuga m'magazi anu zingathandize.
Kodi zakudya zimakhudza bwanji shuga?
Kuti mukhale ndi moyo wabwinobwino, thupi la munthu limafunikira mphamvu nthawi zonse. Mphamvu zomwe zimaperekedwa ndizakudya za tsiku ndi tsiku zomwe zimakhala ndi chakudya.
Chakudya chilichonse chikatha, mafuta amthupi amalowa m'thupi, pomwe amasinthidwa kukhala shuga. Kenako, glucose amalowetsedwa m'maselowo, ndikasweka, amatulutsa mphamvu. Hemuloni ya insulin, yomwe imapangidwa mu kapamba, imalowetsa mpweya waulere m'maselo.
Izi zimachitika mwa anthu athanzi. Mu matenda a endocrine, kulumikizana kwa insulin ndi ma cell receptors kumasokonezeka ndipo kuyamwa kwa glucose m'maselo ndikovuta. Izi zitha kuchitika chifukwa cha kukana insulini, pomwe ma receptor amataya mphamvu yawo ya mahomoni ndipo munthu amakula mtundu wachiwiri wa matenda ashuga. Kapena kapamba amawonongeka ndikusiya kupanga insulini yokwanira, monga zimachitika ndi matenda amtundu 1 shuga.
Mulimonsemo, popanda kulowa m'maselo, glucose amayamba kudziunjikira kwambiri m'magazi, zomwe zimayambitsa zovuta zazikulu ndikuwopseza kwa hyperglycemia. Chifukwa chake, ndi mtundu uliwonse wa matenda ashuga, ndikofunikira kwambiri kudya bwino ndikudya zakudya zomwe zimachepetsa kuchuluka kwa shuga m'magazi.
Mikhalidwe ya glycemic
Kuti musinthe zakudya zanu moyenera komanso kudziwa zakudya komanso kuchuluka kwa zakudya zomwe mungathe kudya, kuyang'anira kuchuluka kwa shuga m'magazi kumachitika. Kwa miyezo ya tsiku ndi tsiku ya kuchuluka kwa glycemia, glucometer ndiwothandiza kwambiri - zida zowonjezera zomwe zimakupatsani mwayi kuti mupeze kuchuluka kwa shuga m'magazi kunyumba.
M'magulu azachipatala, kuyezetsa magazi kumachitika mwa kutenga sampuli ya magazi kuchokera m'mitsempha kapena chala. Kusanthula koteroko kumachitika pamimba yopanda kanthu, koma pofuna kuzindikira, maphunziro awiri nthawi zambiri amachitika, atatha kudya maola 8 ndi ola limodzi mutatha kudya.
Chiyero chovomerezeka cha Zizindikiro chimasiyana malinga ndi zaka:
- ana osakwana zaka 15 - kuyambira 2.3 mpaka 5.7 mmol / l;
- achikulire kuyambira azaka 15 mpaka 60 - kuchokera pa 5.7 mpaka 6 mmol / l;
- atakwanitsa zaka 60 - kuyambira 4.5 mpaka 6.7 mmol / l.
Ngati glucose amakwezedwa, kuphatikiza pa upangiri wa zamankhwala, muyenera kusintha zakudya zanu ndikuwonjezera zakudya zomwe zimachepetsa shuga.
Zopatsa Pang'onopang'ono
Zakudya zomanga thupi zomwe zimalowa m'thupi kudzera mu chakudya ndizosiyana pamlingo wawo wosweka. Zakudya zamagulu ena, zomwe zimatchedwa zachangu, zimaphwanya ndikusintha kukhala shuga mwachangu kwambiri.
Zinthu zomwe zili ndi chakudya choterechi zimawonedwa kuti zimakhala ndi GI yayikulu (glycemic index). Ngati mumadya chakudya choterocho, shuga m'magazi amawonjezeka kwambiri.
Zogulitsa ngati izi zimaphatikizapo zomwe zimakhala ndi GI yoposa 50: pasitala, maswiti, ufa, zakumwa zoledzeretsa, zakudya zamafuta, chokoleti, zipatso zotsekemera. Zakudya zoterezi zimayenera kusiyidwa kwathunthu.
Zipatso za citrus, nyama zopanda mphamvu, zinthu zonse zophika tirigu, vinyo wouma, kiwi ndi maapulo zimatha kuloledwa nthawi ndi nthawi. Pazinthu izi, GI yapakati simapitilira 50, motero sikofunikira kusiya zonse mbale zotere.
Kutsindika za zakudya za thanzi kumachitika bwino kwambiri pazakudya zomanga thupi zovuta zomwe zimakhutitsa ndikuwulutsa shuga kwa nthawi yayitali. Izi ndi zinthu zokhala ndi GI yotsika, osapitirira 40. Izi ndi monga sitiroberi, kabichi, nandolo, nkhaka, nyemba, zukini, mkaka wopendekera, nsomba ndi mbale za nyama, buckwheat ndi mpunga wamafuta. Mwa zinthu izi, zomwe zimakupatsani mwayi wochepetsera kuchuluka kwa shuga m'magazi, menyu akuluakulu a odwala matenda ashuga ayenera kuwonjezedwa.
Mndandanda wazinthu zomwe zili ndi ma GI osiyanasiyana:
Zipatso ndi masamba | GI | Zakudya monga chimanga, mkaka, ufa | GI | Zakumwa ndi zinthu zina | GI |
---|---|---|---|---|---|
chinanazi | 65 | zikondamoyo za tirigu | 70 | mtedza | 25 |
apurikoti | 25 | zoyera | 50 | biringanya caviar | 45 |
lalanje | 40 | tchizi tchizi | - | kupanikizana | 75 |
chivwende | 70 | bagel | 105 | vinyo wowuma | 45 |
nthochi | 65 | mpukutu wa batala | 90 | vinyo wofiira wouma | 45 |
lingonberry | 27 | dumplings ndi kanyumba tchizi | 63 | koloko | 75 |
broccoli | 15 | nsabwe ndi mbatata | 65 | walnuts | 20 |
mabulosi amatuluka | 20 | hamburger | 105 | ng'ombe yokazinga | 55 |
chitumbuwa | 25 | waffles | 85 | mpiru | 38 |
mphesa | 45 | croutons wokazinga | 95 | bowa wamchere | 15 |
chipatso cha mphesa | 25 | phala la buckwheat pamadzi | 53 | gin ndi tonic | - |
makangaza | 30 | dzira yolk | 55 | mchere wotsekemera | 35 |
peyala | 35 | yogurt ya zipatso | 55 | zoumba | 70 |
vwende | 55 | yogati yachilengedwe 1.5% | 30 | squash caviar | 70 |
mabulosi akutchire | 20 | zukini wokazinga | 70 | shuga wopanda cocoa | 45 |
zipatso zamtchire | 20 | kefir wotsika mafuta | 28 | caramel | 85 |
nandolo zobiriwira | 45 | chimanga | 80 | tchipisi mbatata | 90 |
nkhuyu | 30 | pasitala yapamwamba | 83 | kvass | 35 |
kabichi watsopano | 15 | pasitala wolimba | 55 | ketchup | 20 |
kabichi wodala | 20 | wholemeal pasitala | 40 | CHIKWANGWANI | 35 |
sauerkraut | 20 | semolina phala mu mkaka | 68 | soseji yophika | 35 |
mbatata yophika | 60 | mkaka wachilengedwe | 35 | zipatso compote | 65 |
mbatata yokazinga | 98 | skim mkaka | 30 | cognac | - |
mbatata zosenda | 90 | mkaka wa soya | 35 | nyama zodulira nkhumba | 55 |
kiwi | 55 | wokometsedwa mkaka | 85 | nsomba zodula | 55 |
sitiroberi | 35 | margarine | 53 | nkhanu | 45 |
cranberries | 43 | ayisikilimu | 73 | khofi wachilengedwe | 50 |
kokonati | 40 | muesli | 85 | pansi khofi | 40 |
jamu | 45 | oatmeal pamadzi | 60 | ma apricots owuma | 35 |
chimanga chophika | 75 | phala la oatmeal mkaka | 65 | chakumwa | 35 |
anyezi | 15 | oatmeal | 45 | mayonesi | 65 |
leek | 20 | chinangwa | 50 | marmalade | 35 |
mandimu | 25 | omelet | 50 | azitona akuda | 20 |
ma tangerine | 45 | nsabwe | 65 | ma alimondi | 27 |
rasipiberi | 35 | Phala la barele pamadzi | 25 | wokondedwa | 95 |
mango | 50 | wosaka | 85 | nyanja kale | 25 |
kaloti | 35 | keke, keke, makeke | 105 | maolivi obiriwira | 20 |
nyanja | 35 | mkate wokazinga ndi kupanikizana | 90 | mafuta a azitona | - |
nkhaka | 23 | mkate wowotcha ndi dzira ndi anyezi | 90 | mowa | 115 |
tsabola wokoma | 15 | pitsa tchizi | 65 | zipatso | 83 |
pichesi | 35 | mapira phala pamadzi | 75 | mafuta a masamba | - |
parsley | 7 | phala la mpunga pamadzi | 70 | nsomba zazinkhanira zophika | 7 |
tomato | 15 | phala la mpunga mkaka | 80 | mafuta a nkhumba | - |
radishi | 17 | mpunga wosaphika wosaphika | 60 | shuga | 73 |
chakudya chamasamba | 60 | kirimu 10% | 35 | dzungu nthanga | 23 |
tsamba letesi | 12 | batala | 55 | mpendadzuwa | 10 |
beets yophika | 65 | wowawasa zonona 20% | 55 | madzi a lalanje | 43 |
plums | 25 | soya | 17 | chinanazi | 48 |
chovala chakuda | 20 | obera | 75 | madzi a mphesa | 50 |
red currant | 33 | tchizi tchizi | 55 | msuzi wa phwetekere | 20 |
dzungu lopaka | 80 | tofu tchizi | 17 | msuzi wa apulosi | 43 |
katsabola | 17 | tchizi tchizi | 55 | msuzi wa soya | |
nyemba zophika | 45 | kanyumba tchizi tchizi | 75 | masoseji | 30 |
Persimmon | 52 | tchizi cholimba | - | pistachios | 20 |
wokoma chitumbuwa | 30 | kanyumba tchizi 9% | 32 | ma hazelnuts | 20 |
kolifulawa yokazinga | 40 | tchizi wopanda mafuta | 32 | champagne youma | 43 |
kolifulawa yophika | 20 | curd misa | 50 | chokoleti cha mkaka | 75 |
mabuluni | 45 | halva | 75 | chokoleti chakuda | 25 |
adyo | 32 | Mkate wa Borodino | 43 | bala la chokoleti | 75 |
prunes | 23 | buledi wa tirigu | 135 | shawarma mu mkate wa pita | 75 |
mphodza zophika | 28 | mkate wa tirigu | 70 | ||
sipinachi | 13 | buledi wathunthu | 43 | ||
maapulo | 32 | galu wotentha | 95 |
Mfundo zachikhalidwe
Mfundo za zakudya zoyenera, chifukwa chomwe mungachepetse chizindikirocho komanso kupewa kuthamanga kwamagazi a shuga, ziyenera kuonedwa ndi anthu odwala matenda ashuga amtundu uliwonse pamoyo:
- Idyani nthawi zambiri, koma zochepa.
Gawani zakudya zopatsa mphamvu za tsiku ndi tsiku muzakudya zingapo, ndikofunikira kuti zikhale zochepa 5. Zakudya zomwe zili pakati pazakudya, komanso zomwe zingapatsidwe zina, ziyenera kukhala zazing'ono.
- Tsatirani ku lamulo - zakudya zambiri zokhala ndi GI yotsika ndikupatula mbale zokhala ndi index yayikulu ya glycemic. Zogulitsa zomwe zimakhala ndi 40 mpaka 50 zimatha kudyedwa kawiri pa sabata.
- Ganizirani zokonda pa mphodza, zakudya zathanzi kapena zosaphika (masamba, zitsamba ndi zipatso). Nthawi zina mumatha kuphika, koma kuphika mafuta ndizoletsedwa.
- Pophika, gwiritsani ntchito rye kapena ufa wonse wa tirigu ndi zotsekemera.
- Pewani njala, komanso musamadye kwambiri. Chakudya chomaliza chiyenera kukhala maola awiri asanagone.
- Tsiku lililonse, kumwa 1.5-2 malita a madzi oyera.
- Pangani glucose wamagazi musanadye ndi ola limodzi mutatha kudya. Lembani zodzikongoletsera mu kope.
Muzikhala ndi moyo wakhama, mosaganizira zaka. Masewera olimbitsa thupi, kuyenda, yoga kapena kusambira kuyenera kukhala tsiku lililonse.
Kodi kudya ndi matenda a shuga 1?
Anthu odwala matenda amtundu wa 1 amakakamizika kupangiratu jakisoni wa insulin. Mtundu woyamba wa matenda ashuga, kapamba amaphulika ndikuleka kutulutsa mahomoni.
Mlingo wa jakisoni umatengera kuchuluka kwa shuga m'magazi ndi kuchuluka kwa chakudya chambiri chamafuta. Kuti muwerengere molondola, muyenera kuyang'ananso zakudya zamagulu omwe amaperekedwa ndi zakudya za glucose musanadye komanso pambuyo pake. Zakudya zamafuta zochepa zomwe zimalowa m'thupi, zimachepetsa mphamvu ya mahomoni.
Mndandanda wazinthu zoletsedwa:
- kusuta, kuzifutsa ndi mchere wamafuta kwambiri;
- pasitala ndi masoseji;
- muffin, mkate wa tirigu, shuga ndi zakudya zotsekemera;
- nsomba zamafuta ndi mbale za nyama;
- masamba okhuthala ndi zipatso zokoma;
- mafuta msuzi, khofi ndi koloko.
Otsatirawa akuyenera kuwonekera patebulo:
- skim mkaka ndi mkaka wowawasa;
- buledi wa tirigu wathunthu, osaposa magawo awiri patsiku;
- masamba ophika, ophika ndi owotchera, zitsamba ndi masamba osawerengeka, maapulo;
- nsomba yamafuta ochepa, bere la nkhuku ndi nyama yokonda;
- Buckwheat, oatmeal ndi mpunga wa bulauni;
- zipatso zimaphatikizira ndi zakudya zake popanda kukoma.
Kugwirizana ndi zakudya zoterezi kumathandizira kuwongolera matendawa komanso kukhala ndi thanzi labwino.
Zakudya zamtundu wa shuga
Odwala omwe ali ndi matenda amtundu wa 2 saikidwa jakisoni wa insulin. Timadzi timene timapangidwa mwachilengedwe mthupi, koma sizingakhudze ma cell, zomwe zimapangitsa kuti mayamwidwe a glucose akhale osavuta. Odwala oterewa amalimbikitsidwa kumwa mankhwala omwe amachepetsa shuga ndikuwonjezera chidwi cha maselo kuti apange insulin.
Popeza kusokonezeka kwa endocrine kumachitika kawirikawiri chifukwa cha kunenepa kwambiri, ndikofunikira kuti odwala matenda ashuga a mtundu wachiwiri achepetse kulemera ndikuwonetsetsa kuchuluka kwa glucose kudzera pakudya. Pankhaniyi, zakudya zamagulu azakudya siziyenera kukhala zopatsa mphamvu zambiri, koma odwala omwe ali ndi matenda a shuga a 2 sayenera kukhala chakudya chamagulu.
Ayenera kupatula zakudya zomwe zimakhala ndi glycemic index yayikulu, ndiye kuti, asiye zakudya zotsekemera zamafuta ndi soseji, shuga ndi makeke, ndikupatsani zokonda zamasamba atsopano komanso otentha, okhala ndi michere yambiri, zakudya zamafuta ochepa mkaka wopanda mchere, nyama yopanda mafuta komanso nsomba. Njira yovomerezeka pamachiritso imakhala yolimbitsa thupi nthawi zonse komanso kukana zizolowezi zoipa.
Mimba shuga yotsika
Amayi oyembekezera amapita kukayezetsa magazi nthawi yayitali yonse. Phunziroli ndi njira yothandizira kupewa komanso kupeza nthawi yake matenda a shuga kwa amayi apakati.
Pakadali pano, kusintha kwa mahomoni kumachitika m'thupi la mayi mtsogolo ndipo kupanga kwa progesterone kumawonjezereka, chifukwa chomwe glucose m'magazi imatha kuchuluka.
Mulingo wovomerezeka wa shuga mwa azimayi oyembekezera simaposa 5.7 mmol / l. Kuchuluka kwa shuga pamtunda wa 7 mmol / L kumawonetsa mwayi wa matenda ashuga.
Izi nthawi zambiri zimakhala ndi zotsatirazi:
- kamwa yowuma ndi ludzu lochulukirapo;
- mavuto amawonedwe;
- kufooka ndi kugona;
- kutulutsa mawu ndipo nthawi zambiri kukodza;
- Khungu.
Zizindikiro zotere, kuphatikiza shuga wambiri, zimafunikira chithandizo choyenera kupewa zovuta.
Chithandizo chachikulu cha matenda a shuga gestational ndikutsatira zakudya.
Malangizo otere nthawi zambiri amaperekedwa:
- kusiyanitsidwa ndi zakudya zamaswiti, shuga ndi zipatso zabwino;
- kuchepetsa mbatata ndi masamba okhuthala;
- kukana ma muffin ndi mbale zokhala ndi mafuta ambiri, mchere ndi zonunkhira;
- osaloleza kuchepetsedwa kochulukira kwa zakudya za calorie, komanso osadya kwambiri;
- imwani madzi oyera ambiri ndi tiyi wazitsamba;
- musadere nkhawa pang'ono ndikupumulirani kwambiri;
- onjezerani zolimbitsa thupi - perekani nthawi yoyenda, kusambira, masewera olimbitsa thupi;
- Nthawi ndi nthawi muzifufuza magazi ndi glucometer.
Nthawi zambiri, kudya komanso kuchita masewera olimbitsa thupi kumakupatsani mwayi wokhala ndi shuga pamlingo wovomerezeka popanda kugwiritsa ntchito jakisoni ndi jakisoni wa insulin. Pambuyo pobadwa kwa mwana, kuchuluka kwa glucose nthawi zambiri kumabweranso kwachilendo, koma zimachitika kuti gestational shuga mellitus imasanduka shuga wokhazikika ndipo imafunikira chithandizo cha nthawi yayitali.
Makanema pazakudya zam'mayi azimayi apakati:
Zithandizo za anthu
Mutha kuchepetsa kuchuluka kwa shuga mothandizidwa ndi mankhwala azomera komanso mankhwala ena azikhalidwe.
Izi zitha kukhala zothandiza kumayambiriro kwa matendawa kapena kuphatikiza ndi njira zochizira zotchulidwa ndi dokotala:
- Njira yabwino yochepetsera kulemera ndikuwongolera kuchuluka kwa shuga ndi chisakanizo cha buckwheat ndi kefir. Usiku, supuni yaiwisi yosaphika yotsanulira imatsanulira mu kapu ya kefir ndipo m'mawa mapangidwe onse amamwa. Phukusi lotere liyenera kukonzekera osachepera masiku 5.
- Mutha kugwiritsa ntchito mandimu zest. Iyenera kuchotsedwa mandimu akulu akulu 6 ndikuwonjezeredwa zamkati kuchokera ku 350 g ya cloves wa adyo komanso kuchuluka komweko kwa muzu wa parsley. Kusakaniza konseku kumayikidwa m'firiji kwa masiku 14, kenako ndikudya theka la ola musanadye kadzutsa, nkhomaliro ndi chakudya chamadzulo kwa 1 tsp.
- Amadziwika kuti amachepetsa mphamvu ya shuga, dandelion wamba. Masamba omwe amatengedwa mchaka amathiridwa ndi madzi kwa mphindi 30, kenako amawonjezeredwa ku saladi ya amadyera ndi yolika yolk. Mutha kudzaza mavitamini osakaniza ndi kirimu wowonjezera wamafuta kapena mafuta a azitona.
- Masamba a sitiroberi ang'ono ndi oyeneranso izi. Amatha kuyanika kapena kugwiritsidwa ntchito mwatsopano, kuwiritsa ndi madzi otentha ndipo pambuyo pa mphindi 15 kulowetsedwa, kumwa tsiku lonse lapansi ngati tiyi. Kumwa koteroko sikuti kumangochepetsa kuchuluka, komanso kuthandizira kuchotsa edema ndi mchenga mu impso.
- Zomera zamtchire zimakhala ndi katundu wofanana. Masamba ake amapangidwa ngati sitiroberi ndipo chakumwa chimatha kutentha tsiku lonse.
- Chosonkhanitsa chimapangidwa ndi magawo ofanana a masamba a nyemba, masamba a lingonberry, manyazi a chimanga ndi mahatchi. Chilichonse chimaphwanyidwa ndikuphatikizidwa. Supuni kusakaniza ndi kapu ya madzi owiritsa ndikuyimira kwa maola osachepera atatu. Imwani kapu yachitatu ya kulowetsedwa m'mawa, masana ndi madzulo.
Izi maphikidwe onse ndi othandiza komanso amatha kuyang'anira mulingo wa glycemia, koma chithandizo chanyumba chikuyenera kuthana ndi mankhwala ndi zakudya, osachotsa. Izi ndizofunikira kwambiri kwa anthu omwe ali ndi matenda amtundu 1, pomwe jakisoni wa insulin sayenera kuphonya.
Njira zina zochepa zochepetsera shuga:
Ndi matenda a shuga a mtundu 2, kugogomezera kwakukulu pa chithandizo cha mankhwalawa ndi zakudya zamagulu ochepa komanso shuga yochepa, komanso kupangira mankhwala ndi zosakaniza kungakhale njira yothandizira komanso yothandizira.