Isifo esinjengesifo sikashukela sidinga umuntu ukuthi aqaphele indlela adla ngayo impilo yakhe yonke. Nakanjani konke ukudla neziphuzo kukhethwa ngokuya nge-glycemic index (GI). Futhi uma isithombe sicace kakhulu ngokudla, khona-ke ngotshwala konke kuyinkimbinkimbi kakhulu.
Iziguli eziningi ziyazibuza - ngingabuphuza utshwala obunesifo sikashukela sohlobo 2? Akunakwenzeka ukuphendula ngoyebo noma cha ngokungathandeki. Ngemuva kwakho konke, uma ulandela zonke izincomo futhi ungephuli umthamo ovumelekile, khona-ke ingozi yezinkinga zomzimba izoba mincane. Kodwa-ke, ngaphambi kokuhlose ukuphuza isiphuzo esinezidakamizwa, kungcono ukubonana nodokotela we-endocrinologist.
Ngezansi sizocubungula incazelo ye-GI, umphumela wayo emzimbeni wesifo sikashukela kanye namagugu esiphuzo ngasinye esinotshwala anikezwa, izincomo zinikezwa nokuthi nini futhi kanjani ukuphuza kangcono utshwala.
Inkomba ye-glycemic yotshwala
Inani le-GI liyinkomba yedijithali yomphumela wokudla noma isiphuzo kushukela wegazi ngemuva kokusetshenziswa. Ngokusho kwale mininingwane, udokotela uhlanganisa ikhambi lokudla.
Ngohlobo 2 sikashukela, ukudla okukhethwe kahle kusebenza njengekhambi eliyinhloko, futhi ngohlobo lokuqala kunciphisa ubungozi be-hyperglycemia.
Yehlisa i-GI, yehlise amayunithi wesinkwa ekudleni. Kuyafaneleka ukwazi ukuthi ngisho nawo wonke umkhiqizo ogunyaziwe kukhona okujwayelekile kwansuku zonke, okungafanele kudlule amagremu angama-200. I-GI ingakhuphuka futhi kusuka ekuvumelaneni komkhiqizo. Lokhu kusebenza kumasiphu nezitsha ezigobhoziwe.
I-GI ihlukaniswe izigaba ezintathu:
- kuze kufike kuma-50 PIECES - aphansi;
- I-50 - 70 PIERES - phakathi;
- kusuka kumayunithi angama-70 nangaphezulu - aphezulu.
Ukudla okune-GI ephansi kufanele kube yingxenye eyinhloko yokudla, kepha ukudla ngesilinganiso esiphakathi kuyivelakancane. Ukudla okune-GI ephezulu akuvunyelwe ngokuphelele, ngoba kungavimbela ukugxuma okusheshayo kushukela wegazi futhi, ngenxa yalokho, umthamo owengeziwe we-insulin emfushane.
Ngemuva kokubhekana ne-GI, manje kufanele unqume ukuthi uluhlobo luphi lotshwala ongaluphuza nesifo sikashukela, unikezwe isilinganiso sawo.
Ngakho-ke, kungenzeka ukuphuza utshwala obunjalo kushukela:
- amawayini enziwe ngotshizi ahlanganisiwe - amayunithi angama-30;
- newayini elimhlophe elomile - IZITHOMBE ezingama-44;
- newayini elibomvu elomile - IZITHUTHUKO ezingama-44;
- iwayini le-dessert - amayunithi angama-30;
- ubhiya - IZITHUTHA eziyi-100;
- i-champagne eyomile - IZITHUTHA ezingama-50;
- vodka - 0 IZITHOMBE.
Lezi zinkomba eziphansi ze-GI ezidakweni zotshwala azikhombisi ukungabi nabikho kwazo kwisifo sikashukela.
Ukuphuza ikakhulukazi kuthinta umzimba we-metabolism wesibindi, onganikeza umfutho ekwakhiweni kwe-hypoglycemia.
Utshwala neziphuzo ezivunyelwe
Ukuphuza utshwala, utshwala bungeniswa ngokushesha egazini, ngemuva kwemizuzu embalwa ukugxila kwabo egazini kuyabonakala. Utshwala ngokuyinhloko buthinta isibindi, ngenxa yalokho ukunikezwa kweglucose egazini kwehle, ngoba isibindi “simatasa” ngokulwa notshwala, obubona njengobuthi.
Uma isiguli sincike kwe-insulin, khona-ke ngaphambi kokuphuza utshwala, kufanele uyeke noma unciphise umthamo we-insulin, ukuze ungavuseleli i-hypoglycemia. Uphuzo oludakayo kushukela nalo luyingozi ngoba lungavusa ukwehla kokubambezeleka ushukela wegazi. Ukuze ugweme imiphumela emibi, kuyadingeka ukuqapha izinga loshukela nge-glucometer njalo emahoreni amabili, ngisho nasebusuku.
Ukubambezeleka kwe-hypoglycemia kungavusa ukushaywa ngamandla, ukushaya kwenhliziyo futhi kubangele ukulimala okungalinganiseli ohlelweni lwenhliziyo lonke. Umuntu ophuza utshwala kufanele axwayise izihlobo kusengaphambili ngesinqumo esinjengalesi, ukuze kuthi lapho kwenzeka i-hypoglycemia ikwazi ukunikeza usizo, futhi ingazibheki njengokuphuza ngokweqile.
Utshwala obulandelayo abunconywa isifo sikashukela:
- ubhiya
- utshwala;
- iqhude;
- ukububula;
- ama-tinctures.
Iziphuzo ezinjengalezi zandisa ushukela wegazi ngokushesha, bese kuthi ngemuva kwesikhashana vimba ama-enzyme wesibindi kusuka ku-glycogen kuya ku-glucose. Kuyavela ukuthi ngokuqala kokuphuza utshwala, kuphakama ushukela wegazi, bese uqala ukwehla kakhulu.
Ngokwesilinganiso esincane ungaphuza:
- newayini elibomvu elomile;
- newayini elimhlophe elomile;
- newayini le-dessert.
Uma kwenzeka kunohlobo lwesifo sikashukela esincike ku-insulin, kuyadingeka ukulungisa umthamo we-insulin isikhathi eside kusengaphambili futhi ulawule nezinga le-glucose egazini kusetshenziswa i-glucometer.
Imithetho yokuphuza
Kudala bekukholelwa ukuthi ngosizo lotshwala unganciphisa futhi uphathe ngisho noshukela wegazi ophezulu. Konke lokhu kungenxa yokuthi utshwala uqobo buyaphazamisa ukusebenza kwesibindi okujwayelekile, okuma-enzyme akhe angakwazi ukukhipha ushukela. Ngokuphikisana nalesi sizinda, kuvela ukuthi izinga loshukela wegazi liyehla.
Kodwa ukuthuthukiswa okunjalo okuncane kusongela isiguli nge-hypoglycemia, kufaka phakathi ukubambezeleka. Konke lokhu kuhlanganisa ukubalwa komthamo we-insulin, osebenza isikhathi eside futhi omfushane. Ngaphezu kwakho konke lokhu, utshwala bubhekwa njengesiphuzo esine-khalori ephezulu futhi kuthuthukisa indlala yomuntu. Ukusetshenziswa kotshwala njalo uyakwazi, kukho konke lokhu okungenhla, nakho kubangela ukukhuluphala.
Kukhona eminye imithetho kanye nemikhawulo, ukugcinwa kwayo okuzosiza umuntu onesifo sikashukela ukunciphisa kakhulu ubungozi bokunatha utshwala:
- utshwala obunamandla nobukhabhoni bunqatshelwe;
- awukwazi ukuphuza ngokwehlukana nokudla nasesiswini esingenalutho;
- imimoya ayibalwa ngokohlelo lweyunithi yesinkwa;
- kuyadingeka ukuthi ube nokudla okulula okune-carbohydrate okugaya kancane - isinkwa se-rye, pilaf enelayisi elinsundu, njll;
- usuku olwandulela ukuphuza utshwala futhi phakathi nesikhathi, ungathathi i-metformin, kanye ne-acarbose;
- njalo emahoreni amabili ukuqapha ushukela wegazi;
- uma inqubo evunyelwe yotshwala yedlulwa, khona-ke kufanele ulahle umjovo wakusihlwa we-insulin;
- ngaphandle kokuzivocavoca umzimba okusebenzayo ngosuku lokuphuza utshwala;
- izihlobo kufanele zixwayiswe ngaphambi kwenhloso yazo yokuphuza utshwala ukuze kuthi, uma kunezinkinga, zinikeze usizo lokuqala.
Kukithi ku-endocrinologist ukuthi inqume ukuthi kungenzeka yini ukuphuza utshwala nokuthi imiphi imithamo, uma kunobunzima besifo somuntu. Vele, akekho ongavumela noma ahlukanise ukusetshenziswa kwesifo sikashukela esinotshwala, kumele yena uqobo ahlole ukulimala kusuka emiphumeleni yotshwala emzimbeni wonke.
Kufanele wazi ukuthi utshwala kubantu abanesifo sikashukela buhlukaniswe izigaba ezimbili. Esokuqala sifaka iziphuzo ezinamandla - i-rum, i-cognac, i-vodka. Umthamo ovumelekile ongadluli kwe-100 ml. Iqembu lesibili lifaka amawayini, i-champagne, notshwala, umthamo wabo wosuku ofinyelela kuma-300 ml.
Iziphakamiso Zethebula Lesifo Sikashukela
Kungakhathaleki ukuphuza utshwala, ukudla kukashukela kufanele kukhethwe ngokwesibonakaliso se-glycemic. Endabeni yotshwala, kufanele udle ukudla okungenamsoco okuphatheka kancane okugaya ukudla - isinkwa se-rye, pilaf enerayisi elinsundu, izitsha ezinzima eziseceleni nezitsha zenyama. Ngokuvamile, ama-carbohydrate anjengalawa adliwa kakhulu ekuseni, lapho umsebenzi womzimba womuntu ususenqabeni.
Ukudla kwansuku zonke kwesiguli kufanele kufake izithelo, imifino nemikhiqizo yezilwane. Amafutha, ufulawa nokudla okumnandi akufakiwe kumenyu. Imikhiqizo yeflour ivunyelwe kumenyu, kuphela kufanele iphekwe nge-rye noma i-oatmeal.
Akufanele sikhohlwe ngesilinganiso esincane sokudla koketshezi, okungamalitha ama-2. Ungbala isidingo sakho esisodwa, ngoba ama-akhawunti we-khalori ayi-1 adliwayo we-1 ml koketshezi.
Isifo sikashukela singadakwa:
- itiye eliluhlaza nelomnyama;
- ikhofi eluhlaza;
- ujusi katamatisi (akukho ngaphezu kwama-200 ml ngosuku);
- i-chicory;
- lungiselela ama-decoctions ahlukahlukene, ngokwesibonelo, phisa i-tangerine ikhasi.
Lesi siphuzo sizojabulisa isiguli hhayi kuphela ngokunambitheka okumnandi, kodwa futhi sizoba nomphumela omuhle kakhulu ohlelweni lwezinzwa, futhi sandise ukumelana komzimba nezifo ze-etiologies ezahlukahlukene.
Amajusi wezithelo zesifo sikashukela ayahambelana, noma enziwa ngezithelo ezine-GI ephansi. Isiphuzo esinjalo singavusa i-hyperglycemia. Ukuba khona kwabo ekudleni kuvunyelwe ngezikhathi ezithile, hhayi ngaphezulu kwama-70 ml, kuxutshwe namanzi bese kuthi ivolumu engu-200 ml.
Kukhona nemithetho yokucubungula ezishisayo izitsha. Konke ukudla kweshukela okunoshukela kulungiswa ngamafutha amancane wemifino. Ukwelashwa okushisa okulandelayo kuvunyelwe:
- isitshulu;
- ubilise;
- kwabashadikazi;
- ku-microwave;
- kwi-grill;
- kuhhavini;
- kumpheki ohamba kancane, ngaphandle kwemodi ye- "Fry".
Ukuhambisana nayo yonke imithetho engenhla kuqinisekisa ukulawulwa kwesiguli kwamazinga kashukela egazini ngaphakathi kwemikhawulo ejwayelekile.
Ividiyo ekulesi sihloko iqhubeka nengqikithi yesifo sikashukela notshwala.