Umkhawulo ophezulu we-glucose amayunithi angama-5.5. Ngenxa yezizathu eziningi ezingezinhle, ushukela ungakhuphuka ngokulingene emazingeni aphezulu angenakufinyeleleka, okumele ancishiswe. Ngakho-ke, kuphakama umbuzo: yini okufanele uyenze uma ushukela wegazi engu-14?
I-diabetes mellitus iyindlela engalapheki ebonakala ngokuphulwa kwe-digestibility ye-glucose emzimbeni womuntu. Amazinga kashukela aphezulu ngaphezulu kwesikhathi eside aholela ekusebenzeni okungaphazamiseki kwazo zonke izitho zangaphakathi nezinhlelo.
Ukuvimbela ukuthuthukiswa kwezinkinga, lesi sifo kufanele silawulwe ngokudla okuthuthukisa impilo, ukuvivinya umzimba kahle, ukuthatha imishanguzo (uma ichazwe ngudokotela), nangezinye izindlela.
Kuyadingeka ukuthi ucabangele ukuthi yiziphi izindlela ongazisebenzisa, nokuthi yini okufanele ukwenze ukwehlisa ushukela wegazi ufike ezingeni elifunwayo? Iglucose ikwehlisa kanjani ukondleka okufanele nokuzivocavoca umzimba? Ngabe izindlela zokwelapha ezingezinye zisiza?
Ukwelashwa kwesifo sikashukela sohlobo 1
Kunezinhlobo eziningi zesifo sikashukela esingamahlalakhona, kepha ama-pathologies ajwayelekile kakhulu uhlobo 1 nohlobo 2 lokugula. Ukugula kohlobo lwesibili kwenzeka emaphesheni angama-90% ezithombe zemitholampilo, futhi, uhlobo lwe-1 kutholakala cishe ezigulini ezingama-5- 10.
Ukwelashwa kwesifo sikashukela kuqukethe ekwethulweni kwe-hormone emzimbeni womuntu, ukudla okufanele kanye nokuzivocavoca umzimba. Uma isiguli sinamaphawundi angeziwe, khona-ke udokotela angancoma ngaphezu kwalokho amaphilisi. Isibonelo, Siofor.
Kodwa-ke, ukukhuluma kakhulu, inqubo yezokwelapha ikhombisa ukuthi amaphilisi awadlali indima ebaluleke kakhulu, ngobuningi bamacala, enkambisweni yokwelashwa, ungakwenza ngaphandle kokuqokwa kwabo.
Ngakho-ke, izindawo eziyinhloko zokwelapha yilezi:
- Insulin
- Ukudla
- Ezemidlalo
Iziguli zinentshiseko ngentshiseko yezindlela ezintsha nezihlolwayo ezazibasindisa kuma-insulin nsuku zonke. Kwenziwa ucwaningo impela, kepha akukho okuqhamukayo okwenziwe kuze kube manje.
Ngakho-ke, okuwukuphela kwendlela ekuvumela ukuthi uphile ngokugcwele futhi usebenze ngokujwayelekile imijovo ye-hormone "enhle endala".
Uma ushukela ukhuphuke waya kuyunithi eyi-14-15, yini okufanele yenziwe? Ngeshwa, yi-insulin kuphela ezosiza ukwehlisa izinkomba, kepha lezi zinyathelo ezilandelayo zizosiza ukuvimbela ukwanda okuphindaphindiwe kokuqukethwe kwe-glucose emzimbeni:
- Kufanele sithathe umthwalo wemfanelo ophelele ngempilo yethu kanye nokuphila kwethu isikhathi eside, ngoba isifo sikashukela singunaphakade. Kuyadingeka ukutadisha imininingwane ngesifo esingelapheki, unamathele kuzo zonke izincomo zikadokotela.
- Ukujova i-insulin isikhathi eside ebusuku nasekuseni. Kubalulekile ukuphatha i-hormone esebenza ngokushesha ngaphambi kokudla. Umthamo unqunywa kuphela ngudokotela ohambelayo.
- Gada ushukela wegazi kaningana ngosuku. Bala inani lama-carbohydrate ekudleni.
- Ukudla kwakho kufanele kudalwe ngendlela yokuthi i-glucose ingakhuphuki kakhulu ngemuva kokudla. Lokhu kudinga ukuyeka konke ukudla okuvusa ushukela.
- Isihluthulelo sokugcina impilo yakho umsebenzi ojwayelekile womzimba, esiza ukukhulisa ukuzwela kwamangqamuzana ukuya ku-hormone. Ngaphezu kwalokho, ezemidlalo zizonciphisa amathuba we-pathologies yesifo senhliziyo, zithinte impilo yonke.
- Nqaba utshwala, ukubhema.
Kumele kuqashelwe ukuthi ekwelashweni kwesifo sikashukela, iziguli eziningi ziphendukela komunye umuthi ukuze zithole usizo. Ngeshwa, ukuzijwayeza kukhombisa ukuthi ngalolu hlobo lwe-pathology, izitshalo zokwelapha zokunciphisa ukugxila kashukela wegazi azisebenzi kakhulu.
Umgomo oyinhloko wesifo sikashukela ukufinyelela amazinga kashukela ngaphakathi amayunithi angama-5.5, kokubili esiswini esingenalutho nangemva kokudla.
Yilezi zibalo ezibonakala njengokujwayelekile kumuntu ophilile, futhi zivikele nezinkinga ezingaba khona ze-pathology.
Thayipha isifo sikashukela sesi-2
Uhlobo lwesibili lwesifo sikashukela esingamahlalakhona luyindlela evame kakhulu uma uyiqhathanisa nohlobo lokuqala lokugula. Futhi kutholakala cishe amaphesenti angama-90 wamacala. Cishe i-80% yeziguli zikhuluphele noma ikhuluphele.
Izibalo zezokwelapha zibonisa ukuthi isisindo somzimba weziguli seqa isilinganiso esifanele okungenani okungenani i-20%. Ngaphezu kwalokho, ukukhuluphala "kukhethekile." Njengomthetho, kubonakaliswa ngokufakwa kwamafutha esiswini nasesikhathini somzimba. Ngamanye amagama, ukwakheka komuntu kuthatha isimo se-apula.
Uma uhlobo lokuqala lwesifo esingamahlalakhona ludinga ukuphathwa ngokushesha kwe-insulin, ngoba ukusebenza kwamaphanese kukhubazekile, khona-ke ngohlobo lwesibili lwe-pathology, udokotela uzama ekuqaleni ukubhekana nezindlela zokwelapha ezingezona izidakamizwa.
Ngakho-ke, isifo sikashukela sizophathwa ngalezi zindlela ezilandelayo:
- Ukudla okufanele, okubandakanya ukudla okuphansi kuma-carbohydrate, futhi ungangezi amazinga kashukela ngemuva kokudla.
- Umsebenzi omuhle womzimba.
Ukuzivocavoca kwezokwelapha kukhombisa ukuthi ukudlala ezemidlalo (ukugijima kancane, ukuhamba ngejubane nezinye) kusiza ukwehlisa amazinga kashukela emzimbeni futhi uzinze ezingeni elidingakalayo lihambisana nokudla.
Kwezinye izimo, udokotela angancoma amaphilisi asiza ukwehlisa ushukela wegazi. Kodwa-ke, azinqunyelwe ngokushesha, kuphela ngemuva kokwehluleka ukufeza umphumela wokwelapha ngalezi zindlela ezingenhla.
Isiguli ngasinye esinesifo sikashukela sinezinga laso noshukela esihlosiwe, Kunconywa ukuthi ulwele.
Okuhle - uma isiguli sinciphisa izinkomba ziye kumayunithi angama-5.5, hhayi kubi - uma kuya kumayunithi ayi-6.1.
Ushukela 14, yini okufanele uyenze?
Ngeqiniso, yize kunjalo ukwanda kwezifo ezingamahlalakhona, imininingwane eminingi kanye nezinye izici, ayikho indlela yokwelashwa efanelekile engasindisa isiguli ngokuphelele ezinkingeni.
Isifo sikashukela mellitus sidinga ukwelashwa kusukela lapho satholakala, kuze kube sekupheleni kwempilo. Uma ngamanye amagama, bese kuthi ngemuva kokuthola lesi sifo, isiguli kuzofanela siqonde ukuthi indlela yaso yokuphila isishintshe kakhulu.
Ukulandela kuphela yonke imithetho nezincomo kuzokuvumela ukuthi uhole indlela ejwayelekile, futhi ngeke uvumele ubunzima. Noma yikuphi ukuphambuka ekudleni, njll. kuzodala ukuthi ushukela ukhuphuke kakhulu, aze afike amayunithi ayi-14 noma ngaphezulu.
Isifo sikashukela senza amaphutha amaningi athinta ngokushesha i-glucose emzimbeni. Cabanga okuvame kakhulu kubo:
- Indlala. Awukwazi ukulamba bese uzibekela imingcele ekudleni, leyo ndlela ngokuqinisekile ngeke ikulethe. Kunconywa ukudla okumnandi futhi okuhlukahlukene, kepha yodwa leyo mikhiqizo efakwe ohlwini oluvunyelwe.
- Awukwazi ukudla kakhulu, noma ngabe ukudla okuqukethe ukudla okuqukethe inani elincane lama-carbohydrate. Kuyadingeka ukuqeda isidlo ngokushesha, njengoba isiguli sizizwa sigcwele.
- Musa ukuwela ezimweni lapho indlala izenza zizizwe, kepha akukho ukudla “okujwayelekile” kwalesi simo. Ngakho-ke, udinga ukuhlela usuku lwakho ekuseni, uphathe ukudla okulula.
- Ukulawula ushukela okungalingani. Kunconywa ukukala izinkomba ze-glucose kuze kube izikhathi ezingama-7 ngosuku, ngemuva kokudla, ukulayisha nokunye.
- Uma ukwelashwa kwe-insulin kudingeka, akunakuphikwa ukuthi kuhlehliswe. I-hormone isiza ukwelula isikhathi sokuphila, ithuthukise kakhulu ikhwalithi yayo.
Ochwepheshe besifo sikashukela bayalulekwa ukuba bagcine idayari yokulawula lapho bezoqopha khona yonke imininingwane ngosuku lwabo.
Ungarekhoda imininingwane ngezinkomba zikashukela kuyo, noma ngabe bekukhona ukucindezela, yikuphi ukusebenza ngokomzimba, okwenzekile ngesikhathi sasemini, ibhulakufesi, isidlo sakusihlwa, ukuthi uzizwe kanjani nezinye izinto.
Ukudla okunempilo okwehlisa ushukela
Ukudla kwanoma yisiphi isifo sikashukela kufanele kususelwe kokudla okunamanani amancane ama-carbohydrate ekwakhekeni kwawo, okuqukethwe kwamafutha aphansi, okuqukethwe okuphansi kwekhalori. Kungcono ukunikela ngemifino nezithelo zonyaka, eziqukethe amavithamini amaningi nezakhi zamaminerali.
Akukulimazi ukudla umkhiqizo omningi wamakhorali, ngoba asiza ukwehlisa amazinga kashukela emzimbeni, ukuvimbela ukwakheka kwe-cholesterol embi, kukuvumela ukuthi uthole okwanele futhi ungazizwa ulambile.
Kanye nokudla okufanele, kuphoqelekile ukukhumbula ukuvivinya umzimba njalo. Ukwelapha isifo sikashukela kuyindlela eyinkimbinkimbi, futhi kusiza kuphela ukunciphisa amathuba okuba nezinkinga.
Ukwenza ushukela wegazi ube ngokwejwayelekile, kunconywa ukuthi unake lokhu kudla okulandelayo:
- Ukudla inyama. Ungadla inyama yenkomo, inkukhu, i-veal. Kuyelulekwa ukukhetha ukupheka noma ukubhaka. Ungadla izinhlanzi ezinamafutha.
- Amakhekhe kufanele abe ekudleni nsuku zonke. Kubandakanya amavithamini amaningi, amaprotheni, amaminerali ekwakhiweni kwawo, akuthinta kabi ukugcwala kwe-glucose emzimbeni womuntu.
- Ungadla izithelo ezifaka ushukela omncane. Futhi kunconyelwa ukuzisebenzisa ngemuva kwesidlo esikhulu.
- Imikhiqizo yobisi olu-Sour ilungile emzimbeni, kepha akufanele ihlukunyezwe.
- Imifino emisha, ebilisiwe, enosiwe iyisisekelo sokudla. Kunqatshelwe ngokuphelele ukuthambisa.
- Kuvunyelwe ukudla imikhiqizo kafulawa, kepha kuphela yileyo mikhiqizo lapho inani elincane lama-carbohydrate.
Kanye nemikhiqizo enempilo, leyo enconyelwa kakhulu ayinconywa. Lokhu kufaka phakathi iziphuzo ezinekhabhoni, iziphuzo ezidakayo, i-confectionery, ama-pastries, ukudla okumnandi kufaka phakathi izithelo ezimnandi.
Ukuzilolonga kukhombisa ukuthi ukudla okwenziwa amasonto amabili, ngokuhambisana nezincomo ezibhalwe ngenhla, kukuvumela ukuthi wehlise ushukela ube ezingeni elidingakalayo, futhi uzinze kuwo.
Ukwehliswa ushukela ngemithi yabantu
Kusukela kudala, abantu baye baphendukela ezitshalweni zokwelapha, ezibasizile ukulwa nezifo ezahlukahlukene. Kuze kube manje, kunezindlela eziningi zokupheka ezisuselwa kumakhambi okwelapha nezinye izinto ezinomthelela ekwehliseni ushukela ngempumelelo.
Ukufakwa kweqabunga leBay kwehlisa ngokushesha ushukela. Uma i-glucose imile cishe ku-14, khona-ke ungasebenzisa iresiphi: thatha amaqabunga amancane ayishumi asomile ayisi-250 ml wamanzi.
Zibambe ngotshwala, uvale isitsha ngesivimbo, shiya amahora angama-24 ukugcizelela. Thatha u-50 ml ufike ezikhathini ezi-4 ngosuku ngokushesha ngaphambi kokudla. Isikhathi sokwelashwa siyizinsuku eziyi-15. Ukuzijwayeza kukhombisa ukuthi iyiqabunga le-bay elithinta kahle ukusebenza kwamanyikwe.
Ukupheka okusebenzayo kuzosiza ukunciphisa ushukela:
- Govuza inani elincane le-turmeric ku-250 ml koketshezi ofudumele. Phuza ingilazi ekuseni nakusihlwa. Yehlisa ushukela, ibuyise indlela yokugaya ukudla.
- Shaya iqanda eluhlaza, engeza ujusi welamula eyodwa kulo. Thatha isipuni esisodwa izikhathi ezintathu ngosuku esiswini esingenalutho. Isifundo sithatha izinsuku ezintathu.
Amajusi wemifino namajikijolo asiza ushukela omncane, kepha kuphela asanda kulungiswa. Isibonelo, i-apula, amazambane, isanqante, utamatisi nojusi wethanga.
Uma isiguli siphendukela emithini yabasebenzi, khona-ke kufanele sibhekele ukwelashwa kwayo okuyinhloko. Ngakho-ke, kunconywa okokuqala ukubonana nodokotela.
Ushukela ophakeme, yini okufanele uyenze?
Lapho zonke izindlela sezihloliwe, ukuvivinya umzimba nokudla okufanele akusizi ukulwa noshukela, futhi kusezingeni eliphakeme, khona-ke udokotela ubheka ukuthatha imishanguzo.
Amacwecwe anconywe ngawodwana, njengoba kunjalo nangokuvama kokuphatha. Udokotela unquma umthamo omncane, ubheka amandla ashukela, futhi ngale ndlela, uthola umthamo ophelele.
Amacwecwe ahlukaniswe izigaba ezimbili. Iqembu lokuqala lifaka i-sulfonylurea derivatives (glycoside), ebonakala ngokuncipha koshukela egazini. AmaBiguanides adluliselwa eqenjini lesibili.
Kukholelwa ukuthi iqembu lesibili lisebenza kangcono, ngoba linomphumela ohlala njalo wokunciphisa ushukela, alithinti ukusebenza kwamanyikwe (Metformin, Glucofage, Siofor).
Ukuze uthole isinxephezelo esihle sesifo sikashukela, asikho isidingo sokunciphisa kuphela amazinga kashukela emzimbeni wesifo sikashukela, kodwa futhi nasekuzinzeni ezingeni lelitshe. Lokhu kuphela kukuvumela ukuthi uphile impilo egcwele, futhi uvikele nezinkinga ezinokwenzeka zohlobo 1 nohlobo 2 lwesifo sikashukela.
Isazi sevidiyo ekulesi sihloko sizokhuluma ngokuthi sehlisa kanjani ushukela wegazi.
