ISIFO SIKASHUKELA SIKASHUKELA - IZINDLELA NEZINDLELA ZOKWELASHWA

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Isifo sikashukela yisifo esibucayi se-metabolic. Ngalesi sifo kubantu, i-carbohydrate, lipid kanye nengxenye yamaprotheni metabolism ayaphazamiseka.

Ekwelashweni okuyinkimbinkimbi kwesifo sikashukela, kusetshenziswa izindlela ezahlukahlukene zokwelapha:

ukwelashwa kokudla
ukwelashwa kwe-insulin
ukulungiswa kwendlela yokuphila.

Indlela yokwelapha enjalo njengokuzila ukudla nayo iyenziwa. Le ndlela yokwelapha ayivunyelwe ngaso sonke isikhathi yi-endocrinologists kanye ne-diabetesologists, kodwa kwezinye izimo zomtholampilo ingasebenza ngempela.

Indlala kushukela: izinzuzo nezingozi

Kunombono wokuthi ukuntuleka kokudla okuhlala isikhathi eside kubhekelwa kulabo abanesifo sikashukela. Kukholelwa ukuthi inkomba ephansi ye-glycemic, ebangelwa ukushoda kwama-carbohydrate egazini, ingadala ukuwohloka, ukugoba nezinye izimpawu ezingathandeki. Emsebenzini, ukusabela okunjalo akwenzeki nhlobo futhi akukaze kube njalo, futhi uma kwenzeka, kuvame ukwenzeka ngesimo esincane.

Indlela enjena enjalo i-contraindified ngempela kuphela ngohlobo lwesifo sikashukela 1 lubolile.

Ukwenqatshwa okuzimele kokudla akwamukeleki futhi kugqokwa ngokuphendula okungalindeleki komzimba.

Kodwa-ke, uma unesifo sikashukela ngokumelene nesizinda sokumelana ne-insulin futhi unqume ukwenza le ndlela yokwelapha, kufanele uthintane nochwepheshe.

Iziguli kufanele ziqaphele ukuthi ukuntuleka isikhathi eside kokudla kushukela kungadala i-ketonemia - ukwanda okubukhali kokuqukethwe kwamakhemikhali we-ketone (acetone) egazini. Lesi simo sihambisana nokuncipha okukhulu kwezitolo ze-glycogen ezicutshini zesibindi.

Inqubo efanayo iba ngokuwohloka kwesifo, kepha kulokhu, i-ketonemia inemvelo futhi isebenza njengohlobo lwophawu lwenkambo efanelekile yokwelashwa. Ngemuva kokuqala inkinga ye-hypoglycemic(kwenzeka cishe ezinsukwini ezingama-4-5) inani lamakhemikhali e-ketone ku-plasma liyancipha, futhi izinga le-glucose liyaqina futhi lihlala livamile kuyo yonke inqubo.

Izimiso eziyisisekelo

Ngesikhathi sokuzila, umzimba wesiguli usuka ku-carbohydrate metabolism ejwayelekile uye kumetabolism ye-lipid.

Ngalesi metabolism, kwehlukaniswa kokugcinwa kwamafutha omzimba wamandla. Le nqubo ihambisana nokubuyiselwa kwamaseli we-pancreatic: i-insulin yokucubungula ushukela ngalesi sikhathi ayidingeki futhi insimbi inesikhathi sokuvuselelwa ngokuphelele komzimba.

Abanye odokotela bakholelwa ukuthi ukuzila ukudla kuyindlela ephephile nephephe kunazo zonke.

Sebenzisa ama-acid anamafutha njengomthombo wamandla esikhundleni se-glucose kusiza ukubuyisa ama-pancreas futhi kunikeze nesibindi ukuphumula. Kuchazwa amacala okuthola ukwelashwa okuphelele kohlobo lwesifo sikashukela sohlobo II!

Imithetho yesifo sikashukela

Lapho usebenzisa ukuzila ukudla okwelashwa ngohlobo lwesifo sikashukela sohlobo II, ukunakekelwa kufanele kuthathwe nokunemba.

Ngokufanelekile, kungcono ukuqhuba umtholampilo okhethekile ngaphansi kokuqondisa ochwepheshe, yize kunjalo, akuzona zonke izikhungo zezokwelapha ezivame ukwenza le ndlela. Uma ungenalo ithuba lokufa yindlala emtholampilo, ukwelashwa kufanele kwenziwe ngaphansi kokuqondisa kwabathandekayo; Kuhle futhi ukubonisana nodokotela wakho nsuku zonke (okungenani ngocingo).

Izikhathi ezimfishane zokuzila (okufika ezinsukwini ezi-3) ezinesifo esiyinkimbinkimbi se-endocrine azisebenzi - zinciphisa kancane ipheshana lokugaya ukudla, kepha zingakhiqizi umphumela wokulapha ozinzile. Umphumela wokwelapha uqala kusukela ezinsukwini ezi-4. Umphumela owengeziwe wokwelapha ukujwayezwa kwesisindo somzimba.

Inqubo idinga isikhathi sokulungiselela, kufaka phakathi ukuhlanza umzimba nokulungiselela kwengqondo

Ngesikhathi sokulashwa, kuyadingeka ukuthi i-ketone compounds nobunye ubuthi bususwe emzimbeni ngendlela esheshayo. Ukuze wenze lokhu, udinga ukusebenzisa inani elikhulu lamanzi (cishe amalitha ama-3 ngosuku). Amanzi kufanele aphuzwe ngezingxenye ezincane.

Zilungiselele iphunga elingemnandi le-acetone ephuma emlonyeni, ehambisana nokwenziwa okwandisiwe kokuhlanganiswa kwe-ketone emzimbeni. I-Ketonuria nayo izoba khona - okuqukethwe okuphezulu kwe-acetone kumchamo.

Odokotela abasebenza ngokudla izakhamzimba kanye nama-endocrinologists basebenzise izindlela ezahlukahlukene. Abanye bagcizelela isikhathi eside (ngaphezu kwamaviki amabili), abanye bakholelwa ukuthi isifundo sezinsuku eziyishumi sizokwanela. Ucwaningo lukhombisa ukuthi ngisho nokuzila ukudla okwenziwa izinsuku ezi-4 kunomthelela omuhle emazingeni kashukela futhi kuthuthukisa nesimo esivamile seziguli.

Isikhathi sokulungiselela sifaka:

Ukuhambisana nokudla okuqinile izinsuku ezintathu ngaphambi kokuqala: ngalezi zinsuku kufanele udle imikhiqizo yezitshalo kuphela kanye no-40-50 g wamafutha omnqumo nsuku zonke;
Yenza i-enema yokuhlanza ngokushesha ngaphambi kweseshini.

Iphunga le-acetone elisuka emlonyeni libonakala cishe ezinsukwini ezingama-4-6 ngemuva kokuqala kwekhambi lokwelashwa, bese liyanyamalala: izinga lama-ketones liyancipha, futhi inani le-glucose libuyele kokujwayelekile futhi lihlala linjalo kuze kube sekupheleni kokwelashwa. Kusukela ngosuku 4, izinqubo ze-metabolic zenziwa zenziwe ngendlela ejwayelekile, umthwalo kuma-pancreas nesibindi uyancipha: ukusebenza kwalezi zitho kuyanda. Zonke izimpawu zesifo sikashukela ezigulini eziningi ziqedwe ngokuphelele.

Kuyadingeka ukwazi imithetho yokuphuma okunekhono kusuka ekubulaweni yindlala.

Ezinsukwini zokuqala ezingama-3 kunconyelwa ukusebenzisa kuphela uketshezi olunezakhi, kancane kancane ukhulisa okuqukethwe kwabo kilojoule.
Ukudla kabili ngosuku kwanele.
Ukusebenzisa inani elikhulu likasawoti nemikhiqizo yamaprotheni kuyinto engathandeki.

Esikhathini esizayo, imigomo yokudla okudla ekudleni kufanele ilandelwe ukuze kugcinwe umphumela wezokwelapha otholakele.

Contraindication

Ukuphikisana ngokuphelele nesifo sikashukela:

Ukuba khona kwesifo sikashukela sohlobo 1 (isifo se-autoimmune esibangelwa ukuntula ngokuphelele kwe-insulin);
Ukuba khona kokuphazamiseka kwemithambo yegazi (i-atherosclerosis ethuthukayo);
Ukuba khona kwe-pathologies ebucayi yezitho zombono;
Ukuba khona kwesifo senhliziyo.

Akunconyelwe ukwenza ukuzila okwelashwa kweziguli ezingakwazi ukubekezelela isikhathi eside ngaphandle kokudla. Le ndlela ayilungele abantu abantula isisindo kanye nenani elincane lezicubu ze-adipose emzimbeni.

Ukusetshenziswa kwendlala eyelaphayo (ikakhulukazi amafomu athambile nalinganiselayo enkambo yalesi sifo), abanye ochwepheshe babheka okuwukuphela kwendlela yokuthola lesi sifo. Le ndlela ingasithuthukisa kakhulu isimo seziguli, ngesinye isikhathi iselapha ngisho nalapha. Ngokubambisana nezicubu ze-adipose eziguqulwa zibe amandla, lesi sifo uqobo siyasuka. Isipiliyoni semitholampilo yakwamanye amazwe sibonisa ukuthi umphumela wokulapha osimeme kungenzeka nangesifo sikashukela sohlobo 1.