Ngokuphambuka okuncane koshukela wegazi kwabesifazane nabesilisa, kuyadingeka ukuthatha izinyathelo ngokushesha - lungisa ukudla. Ngemuva kwakho konke, uma ukukhuphuka kweglucose okujwayelekile kujwayelekile, khona-ke umuntu angathola isifo sikashukela - isifo sesithathu esibulala kakhulu.
Imvamisa, lokhu kuphambuka kuthinteka kubantu ngemuva kweminyaka engamashumi amahlanu abangadli kahle futhi abangazange babandakanyeke kwezemidlalo ejwayelekile. Ukulungisa izibalo zegazi ngokwejwayelekile, kuyadingeka ukuthi ngokuyisisekelo ushintshe indlela yokuphila - nikeza ukukhetha kokudla okufanele. Yenqaba utshwala nokuzivocavoca okungenani kathathu kuya kane ngesonto.
Kodwa-ke, ukwehlisa ushukela wegazi, udinga ukunamathela ekudleni okukhethekile - lokhu kuyindlela ephambili engeyona yezokwelapha. Lo mbhalo uzonikezwa kulo mbhalo, oxoxa ngokuthi yikuphi ukudla okuvela ushukela ukunamathela kuwo, yiziphi izindlela ezingezona ezokwelapha ukunciphisa amazinga kashukela egazini.
Izisekelo zokwelapha zokudla
Umzimba wesifazane uthambekele kakhulu kwisifo sikashukela, ikakhulukazi ngemuva kweminyaka engama-50. Ngakho-ke kule minyaka, kufanele uvakashele i-endocrinologist okungenani kanye ngonyaka. Uma ungenaso isikhathi esanele sokuya esibhedlela, thola i-glucometer. Amanani weglucose ejwayelekile aqala ku-4.1 - 5.9 mmol / L. Ngobudala, inani lingakhuphuka kancane, lifike ku-6.9 mmol / L.
Uma kukhona ushukela wegazi osheshayo we-7 noma 8 mmol / l, khona-ke umuntu kufanele acabange ngokunciphisa, ngoba lesi simo sibizwa ngokuthi yi-prediabetes futhi, uma ukwelashwa kunganakwa, uhlobo lwe-usulin oluzimele olunesifo sikashukela cishe lungakhula.
Yini okufanele idliwe ngoshukela ophezulu wegazi - okokuqala, kuqeda ukusetshenziswa okuphezulu kwama-carbohydrate futhi kugcinwe ibhalansi yamanzi.
Kulabo abanomsebenzi wokunciphisa ushukela wegazi, kufanele unamathele kule mithetho elandelayo:
- khipha imikhiqizo enama-carbohydrate "angenalutho" - ushukela, ushokoledi, amaswidi, namakhekhe enziwe ngofulawa kakolweni, iziphuzo ezimnandi, izithelo nezithelo zamajikijolo;
- nikeza ukuthanda ukudla okubilisiwe nokunambithekile;
- qaphela indlela yokuphila enempilo - ukuyeka utshwala, ukubhema;
- phambi kwesisindo ngokweqile, sinciphise ukutholwa kwekhalori ku-1800 - 200 kcal;
- bambelela kumgomo wokukhetha ukudla ngenkomba ephansi ye-glycemic;
- ukondla nsuku zonke kufaka phakathi ukusetshenziswa kwemikhiqizo yobisi, ngenxa yenkomba ye-insulin ephezulu.
Kubantu abaningi, uma ubheka le mithetho engenhla, umbuzo uphakama ukuthi kusho ukuthini lokhu - ama-glycemic kanye nama-insulin indices. Yilezi zinkomba ezisetshenziselwa ukulungiswa kokudla okwelaphayo.
Ukwehlisa ushukela wegazi kubantu abadala nasezinganeni, kubalulekile hhayi nje ukuthi ukwazi ukukhetha ukudla okunomsoco, kodwa futhi ukubapheke ngendlela efanele, ukuze ugweme ukudla okuphezulu kwekhalori ne-cholesterol okuyingozi empilweni.
Iqiniso ngukuthi ngesifo "esimnandi", isisusa sokuqhekeka kwemithambo yegazi siyakhuphuka, kanti ikholesterol embi ingenye yezimbangela zayo.
Ukudla kulungiswa ngalezi zindlela ezilandelayo:
- kuphekwe;
- kwabashadikazi;
- kubhakwe.
Ukudla okunezi zimiso ezingenhla akukwazi ukusetshenziselwa hhayi kuphela uma ushukela wegazi ukhuphukile kumuntu osemdala nasenganeni, kodwa nangomfutho wegazi ophakeme. Ngokuvamile, le mithetho yokwelashwa kokudla iphathelene nokudla okufanele - yenza umsebenzi wepheshana lesibeletho ube ngokwejwayelekile, aqede isisindo ngokweqile kanye ne-cholesterol embi.
Imenyu yeviki yenziwa ngemikhiqizo ene-GI ephansi kanye ne-insulin index ephezulu.
I-Glycemic (GI) ne-Insulin (II) Index Yomkhiqizo
I-GI yinani lokungena nokuqhekeka kwe-glucose egazini ngemuva kokudla umkhiqizo othile noma ukuphuza isiphuzo. Ukudla okunciphisa ushukela wegazi kwenziwa ngokudla okunenani lama-glycemic lama-unit angama-49. Le mikhiqizo iqukethe kuphela ubunzima bokwehlisa i-carbohydrate. Ushukela omningi, imikhiqizo enenani eliphakathi le-glycemic lama-50 - 69 amayunithi kufanele ingafakwa kwimenyu. Kepha uma ushukela ejwayelekile usuzinzile, uvunyelwe ukufaka le mikhiqizo kuze kube kathathu ngesonto ekudleni, okuhlinzekwayo kufinyelela kumagremu ayi-150.
Imikhiqizo equkethe ama-carbohydrate "angenalutho", inkomba yawo ingamayunithi angama-70 nangaphezulu, kufanele ashiye ithebula leshukela sikashukela unomphela, ngoba kusuka kuwo ukugcwala kweglucose egazini kukhuphukela emikhawulweni engamukeleki.
Ushukela wegazi ophakeme, ukunakwa kufanele kukhokhwe ekudleni okunenkomba ephezulu ye-insulin. Inani libonisa ukuthi ama-pancreas aphendula ngokunamandla kangakanani kumkhiqizo othile (kukhiqiza i-insulin). Inani eliphakeme kakhulu le-insulin yimikhiqizo yobisi nemikhiqizo yobisi.
Ukulungisa izibalo zegazi ngokwejwayelekile, imikhiqizo kumele ihlangabezane nale mibandela elandelayo:
- inkomba ye-glycemic ephansi;
- inkomba ye-insulin ephezulu;
- okuqukethwe okuphansi kwekhalori.
Kuyiphutha ukukholelwa ukuthi ukudla okunama-khalori aphansi kungomuntu onezinkinga zokukhuluphala ngokweqile.
Ukudla okunama-khalori aphezulu kuthinta kabi ukusebenza kwamanyikwe futhi kunomthelela ekuqhekekeni kwemithambo yegazi, ngoba kuqukethe inkomba ephezulu ye-cholesterol embi.
Imikhiqizo Ewusizo
Ukudla okwehlisa ushukela egazini kufanele kube khona ekudleni kwakho kwansuku zonke. Indawo yokuqala kulolu hlu ihlalwa yimikhiqizo yobisi ebilisiwe - i-kefir, iyogathi, i-yogurt eyenziwe ekhaya, ubisi olubilisiwe olubilisiwe.
Imenyu yansuku zonke kufanele yenziwe ukuze umzimba uthole ngokugcwele wonke amavithamini kanye namaminerali adingekayo. Ngemuva kwakho konke, ukwanda koshukela akumvumeli ukuthi amunce ngokuphelele izinto ezizuzisayo.
Ukwelashwa kokudla futhi ukusetshenziswa okuhle kokudla. Ngakho-ke, umuntu akufanele azizwe elambile futhi edla ngokweqile. Inani elifanele lokudla liphindwe kahlanu kuya kweziyisithupha ngosuku, ezingxenyeni ezincane.
Ukuze unciphise ukugcwala kweglucose egazini, udinga ukukhetha kuqala imikhiqizo enjalo:
- imifino - zonke izinhlobo iklabishi, utamatisi, ukhukhamba, u-anyanisi, i-garlic, i-artichoke, iminqumo, ama-beet amasha, u-celery kanye izaqathi;
- okusanhlamvu - ama-buckwheat, i-oats, isipelingi, ukolweni, ama-barley groats;
- inyama engenayo nenhlanzi, ukudla kwasolwandle;
- izithelo namajikijolo - amajikijolo, zonke izinhlobo zezithelo zikawolintshi, ama-sitrobheli, ama-apula, amapheya, ama-raspberries, amaplamu;
- imikhiqizo yobisi - ushizi wekotishi onamafutha amancane, iyogathi eyenziwe ekhaya, ubisi olubilisiwe olubisiwe, iyogathi;
- lungisa izimpahla ezibhakiwe kuphela ezinhlotsheni ezinjalo zikafulawa - i-rye, i-buckwheat, i-amaranth, i-oatmeal, i-flaxseed, isipele;
- ukusetshenziswa kwesinkwa sikakolweni kufanele kuthathelwe indawo yisinkwa sokudla noma imikhiqizo kafulawa we-rye.
Uma umuntu ejwayele ukudla kakhulu, futhi lokhu kudla kukuqeda lokhu, khona-ke udinga ukuphuza ingilazi yamanzi ahlanziwe ngaphambi kokudla.
Ungacabangi ukuthi itafula lokudla liyinothe. Ukusuka ohlwini olubanzi lokudla "okuphephile", ungalungisa izitsha eziningi ezimnandi.
Imikhiqizo Eyingozi
Lapho ukudla ushukela osezingeni eliphezulu kufanele kube yi-carb ephansi, yize abanye odokotela begcizelela ukuthi kudliwe amaprotheni, kepha empeleni akulungile. Njengoba ngokudla okunamaprotheni, amavithamini, amaminerali ne-fiber kungena emzimbeni ngamanani amancane. Okungukuthi, i-fiber isiza ukunciphisa ushukela wegazi, ngenxa yokumuncipha kancane.
Kuyacaca ukuthi, okokuqala, imikhiqizo enoshukela ayifakwa - amaswidi ezitolo, amakhekhe, ushokoledi, iziphuzo ezinekhabhoni, izithelo ezikheniwe kanye namajikijolo. Futhi, noma yikuphi ukuphuza utshwala akuvinjelwe, yize abaningi benama-GI aphansi. Qiniseka ukuthi ulahla imikhiqizo ekhulisa i-glucose egazini.
Iqiniso ngukuthi utshwala, kuze kube yilapho lucubungulwa ngumzimba, luvimbela ukukhishwa kweglucose. Ngemuva kokuqalwa kotshwala, ushukela uzonyuka ngokushesha, ongakhulisa i-hyperglycemia ebantwini. Futhi kuleli cala, kuphakama umbuzo - unganciphisa kanjani ushukela wegazi. Uma amanani ephezulu kakhulu, khona-ke thatha izidakamizwa ezinciphisa ushukela, isibonelo, iMetformin noma i-Diabeteson.
Labo abafuna ukubuyisa izinkomba ze-glucose kunejwayelekile, udinga ukulahla le mikhiqizo:
- amazambane, ama-beet aphathwe ukushisa, isilimo esidliwayo esinamagatsha anamanzi, izaqathi;
- amabele, mamalyga, ilayisi;
- ikhabe, ikhabe, uphayinaphu, i-Persimmon;
- omisiwe, amakhiwane, ubhanana owomile;
- imikhiqizo yobisi enamafutha - u-Ayran, uTani, ubisi lwembuzi, ubisi oluhlanganisiwe, ukhilimu omuncu, ukhilimu;
- imayonnaise, i-ketchup, amasosa wesitolo, ngaphandle kwe-soya;
- inhlanzi enamafutha, inyama, inhlanzi isalalisiwe.
Ukwelashwa okungeyona yezidakamizwa ushukela ophezulu akuyona nje kuphela ukwelashwa kokudla, kukhona isinxephezelo esengeziwe - ezemidlalo nemithi yendabuko.
Isinxephezelo Esingeziwe seGlucose ephezulu
Uma ushukela wegazi ukhuphukile, kepha isiguli besidla ukudla okune-carb ephansi izinsuku eziningi noma unyaka wonke, isinxephezelo esengeziwe sesifo siyadingeka.
Ukwehla okungcono kakhulu koshukela kungadakwa ngosizo lwemithi yendabuko. Kepha ungalindi imiphumela ekhanya ngokukhanya kombani, izakhi zemvelo kumele zibuthane ngokwanele emzimbeni. Inkambo ephansi yokwelapha iyizinsuku eziyishumi nane, kanti isezingeni elingafika ezinsukwini ezingamashumi amathathu. Kuyenqatshelwa ngokuzimela ukwandisa umthamo we-tinctures athathwe kanye nama-decoctions, noma ngabe umphumela omuhle wokwelapha awubonakali.
Ngaphambi kokuqala ukuzelapha, udinga ukuxwayisa udokotela wakho ngalesi sinqumo ukuze akwazi ukuhlola ngokwengeziwe isithombe esikhona sesifundo. Inzuzo yokwelapha ngamakhambi ukuthi inezindleko eziphansi nokutholakala okuphezulu.
Ushukela wegazi ophakanyisiwe ungaqedwa ngezindlela ezinjalo zemvelo:
- i-decoction yembuzi yotshani;
- ukukhipha inhlamba
- udle ubhontshisi;
- phisa amaqabunga aluhlaza okwesibhakabhaka.
Kuyadingeka ukuthola amakhambi nezithelo zezitshalo ezitolo zezidakamizwa. Akufanele ugcine futhi uthenge izithako zemithi ye-herbal ezimakethe zemvelo, ngoba ubungane babo bemvelo nekhwalithi yabo akwaziwa.
Kuyadingeka futhi ukufaka ama-decoctions ekudleni okwandisa imisebenzi yokuvikela yomzimba nokwenza umsebenzi ojwayelekile womzimba ubonakale. Umhluzi we-rosehip netiye elenziwe ngezikhumba ze-tangerine ezintsha nezomile zakhiwe kahle.
Ukuhlolwa ngokomzimba kuzosiza ukubuyisela ukuhlolwa kwegazi emuva kokujwayelekile ngokushesha okukhulu. Kufanele zibe njalo, okungenani kathathu kuya kane ngesonto, imizuzu engama-50 kuye kwayi-60. Kungcono ukuqhuba amakilasi emoyeni ohlanzekile. Ngaphambi kwemfundo yokuzivocavoca umzimba kuvunyelwe ukudla okulula - isaladi yemifino, izithelo ezimbalwa namantongomane, amagremu ayi-150 womkhiqizo wobisi obilisiwe.
Ungacabangi ukuthi ngokuqukethwe kwe-glucose ephezulu, imiqondo yesifo sikashukela nemidlalo ayihambelani. Ngokuphambene nalokho, noma iyiphi i-endocrinologist iphikelela ngezigaba ezijwayelekile. Ungazikhetha kule midlalo elandelayo, ngoba ukusebenza ngokomzimba okuqinile akukanconyelwa iziguli.
Imidlalo elandelayo iyanconywa:
- ukuhamba ngebhayisikile
- ukubhukuda
- ukugijima;
- Abasubathi
- Yoga
Uma ushukela wegazi ukhuphukile, kufanelekile ukuhlehlisa amakilasi kuze kube yilapho izinkomba zizinza.
Ama-regimen nsuku zonke azosiza ukukhulisa umphumela wezokwelapha ongewona izidakamizwa. Okungenani amahora ayisikhombisa kuya kwayisishiyagalombili kufanele anikelwe ukulala, kungcono ngasikhathi sinye. Lo mgomo wokudla okunempilo unomphumela omuhle ekusebenzeni kwamapheshana esiswini, njengoba umzimba uqala ukukhiqiza ngokuphelele ama-enzyme wokulungiswa kokudla.
Uma, sisebenzisa zonke lezi zindlela, bekungenzeki ukuthi kube ngokwejwayelekile i-glucose egazini, lapho-ke kubalulekile ukuthi i-endocrinologist ibeke izidakamizwa ezinciphisa ushukela:
- Metformin 850 noma i-1000;
- Isifo sikashukela;
- IGlurenorm;
- Minidiab;
- I-Pioglitazone.
Ukulandela imigomo yokwelashwa kwesifo sikashukela kungaqinisa ushukela wegazi. Kodwa-ke, kuyadingeka kukho konke impilo ukunamathela ekudleni okuphansi kwe-carb futhi uphile impilo enempilo.
Ividiyo ekulesi sihloko ikhuluma ngemigomo yokudla ushukela ophezulu.
