Abaningi bahlose ukuhamba ngonyaka owedlule hhayi nje umthwalo wezikhalazo, izinkinga kanye nazo zonke izinto ezimbi ezenzekile ngalesi sikhathi, kodwa futhi okungenani ezimbalwa (noma ngisho nangaphezulu!) Amakhilogremu angeziwe, ehleli phansi ekudleni okuzwakalayo ngaphambi kwamaholide. Sifunde kudokotela obulala izidakamizwa, u-Vadim Krylov mayelana nokuthi abantu abanesifo sikashukela sohlobo lwe-2 kufanele bazinikeze yini “isipho” esinjalo.
Ungabeka eceleni "okokugcina" noma yini ngaphandle konyaka omusha. Ngakho-ke, evikini lokugcina lonyaka elihamba, kunezinto eziningi kakhulu ezidinga ukwenziwa ezidinga ukwenziwa ngokushesha (noma okungcono manje). Uma ungomunye walabo okufanele benze uhlu ngemuva kokuthenga izipho nokuhlobisa isihlahla sikaKhisimusi into ethi "ukuveza ukudla" kuvela, funda impahla yethu ngokucophelela.
Vele, uzoba nesikhathi sokunciphisa umzimba ngaphambi kwamaholide, kodwa uma unesifo sikashukela sohlobo 2, kungcono ukushesha kancane. Ngaphandle kwalokho, ugijimisa ubungozi bokungatholi imiphumela obukade uphupha ngayo. Ngeqiniso, ngeke zikujabulise kuphela, kodwa, ngokunokwenzeka, zizokuphatha kabi.
Sikholwe ngalokhu UVadim Krylov, udokotela ohlinzayo nge-endocrinologist, umondli we-KDC MEDSI kuKrasnaya Presnya.
udokotela oyi-endocrinologist, udokotela ohlinzayo nge-endocrinologist,isazi sezempilo u-Vadim Krylov
Isipesheli esiyinhloko: Izakhamizi zezondlo / i-Endocrinology
Ezemfundo: IYunivesithi yaseMoscow State Medical yokuqala. I-I.M.Sechenova,
Unyaka ka-2011
Isipiliyoni somsebenzi: iminyaka emi-5.
Ubumnandi obungathandeki
Okokuqala Ngaphambi kokudla, iziguli ezinesifo sikashukela sohlobo 2 kufanele zithinte uchwepheshe. Okufanayo kuhamba ngokuhambisana nanoma yikuphi okuthunyelwe.
Okwesibili konke ukudla okunzima okuzwakalayo akulungile. Ukuwabona, yiqiniso, ungalahlekelwa ama-5-8 kg, kepha lapho-ke isisindo sibuya futhi sikhuphuke kakhulu. Lokhu kungenxa yokuthi ekudleni okuqinile-kilojoule okuqinile, isisindo semisipha sidla ngokuyinhloko, kanti ukubuyiselwa kwesisindo ngokweqile kwenzeka ngenxa yokwanda kwenani lamafutha omzimba.
Ngo-mellitus wesifo sikashukela sohlobo lwesibili, uma kunxeshezelwa, ngokwelashwa kwesimanje, okukhethwe ngokufanele, ukubambelela ekudleni okuhlukahlukene kungenzeka.
Kodwa-ke, emhlabeni wonke, ukuthambekela manje sekudala ukuguquka kusuka ekudleni kuya ekwakhekeni komkhuba wokudla okufanele.
Ukudla okudumile okuqondwe ngokudla i-buckwheat efanayo noma i-kefir nama-apula akunakubizwa ngokuthi kulungile, ngoba le mikhiqizo cishe ayinawo amaprotheni kanye nama-carbohydrate amaningi azokwengeza ushukela egazini. Ngokuphikisana nesizinda sokudla okunjalo, izicubu zemisipha zingancipha bese kuvela izinkinga zempilo.
Njengoba unesifo sikashukela, awudingi ukuyeka ngokuphelele ama-carbohydrate, kepha izondlamzimba kufanele zilinganiselwe - ngesilinganiso esifanele samaprotheni, amafutha kanye nama-carbohydrate. Ingxenye ikhethiwe ngawodwana - kuya ngomsebenzi wesibindi nezinso esigulini.
Uma usazama ukwenza okujwayelekile, lapho kusigaba sokuqala sikashukela:
- Cishe i-50-60% yokudla kufanele kube ama-carbohydrate, ama-80% awo kufanele abe nokugaya;
- Cishe i-15-18% amaprotheni (uma umsebenzi wezinso ungakhubazekile, le paramente ihlaziywa ngudokotela ngesisekelo sokuhlolwa, umlando wezokwelapha, kanye nemiphumela yokuhlolwa kwegazi nomchamo, hhayi isiguli uqobo. Uma kunezinkinga ngezinso, inani lamaprotheni lilinganiselwe);
- Konke okunye (cishe i-20% -30%) ngamafutha.
Isinqumo Isisindo
Manje ngaphambi koNyaka Omusha kunesikhathi esincane esisele, futhi sekwephuze kakhulu ukudla, kepha kungenzeka futhi kudingekile ukwakha izindlela zokudla ezifanele futhi uzilandele ngokuzayo.
Ngokwemininingwane evela ezinhlanganweni zamazwe omhlaba ze-endocrinologists kanye nezazi zokudla okunempilo, omabili aseMelika naseYurophu, isilinganiso esifaneleko sokunciphisa isisindo kanye nomphumela omuhle ukulahleka kwe-10% yesisindo esikhona ezinyangeni eziyisithupha.
Eqinisweni, izinyanga eziyisithupha ngemuva kokuqala kokuncipha kwesisindo, izinguquko ezondlekeni, imetabolism ihlala yehla, okungathinti umphumela owengeziwe ngendlela engcono kakhulu. Ngakho-ke, umuntu akufanele alahlekelwe isisindo ngokuzumayo, nge-spasmodically, kepha ngokuncintisana, ngoba izindlela zokudla ezakheke kahle kuphela ngaphansi kokuqondisa kukachwepheshe zizosiza ukudla kahle futhi zilawule isisindo ngokuqhubekayo.
Iphutha lentengo
Uma iziguli ezinesifo sikashukela sohlobo lwe-2 sikashukela zithatha ukwelashwa okuphelelwe yisikhathi zisebenzisa izidakamizwa ezikhethekile "ezifaka" i-insulin kusuka kumanyikwe, lapho-ke uma zibulawa yindlala noma zinqabe ama-carbohydrate, lokho kungabhekana nesimo esibucayi njenge-hypoglycemia, okungukuthi, ukuncipha kwegazi glucose okungaholela ukuya ekhefini.
Futhi ngezinga eliphakeme likashukela egazini, ukuncipha kwalo okubukhali kungakhubaza ukulimala okubukwayo okungabonakali. Ngakho-ke, ngaso sonke isikhathi uma ufuna ukunciphisa isisindo, abantu abanesifo sikashukela sohlobo 2 kufanele babonane nodokotela oyisazi se-endocrinologist. Udokotela ngokuqinisekile uzoqoqa i-anamnesis, futhi, ngokususelwa kwimininingwane etholakele, anikeze izincomo ezenzelwe umuntu ngokudla okunempilo. Bazoncika ebulilini, eminyakeni yobudala, kuma-comorbidities, ngisho nakuhlanga lomguli. Kungenzeka ukuthi uma kushintshwa uhlobo lokudla, imvamisa yokulinganisa ushukela wegazi nayo izoshintsha - othile kuzodingeka akwenze lokhu kaningi, omunye umuntu kaningi kancane - kuya ngokuthi umuntu onesifo sikashukela udle kanjani ekuqaleni.
Amaqiniso alula
Ukuze wehlise isisindo, kufanele uhambisane nezincomo ezilandelayo:
- Kuyadingeka ukulala ngokugcwele - okungenani amahora angama-6-8.
- Qiniseka ukuthi ungeza imifino nezithelo ezintsha ekudleni. Imifino emi-5 nezithelo ezi-3 (noma mayelana ne-1 kg) kufanele kudliwe ngosuku, ngaphandle kwebhanana, amagilebhisi nezithelo ezomisiwe.
- Qiniseka ukuthi uphuza ingilazi yamanzi ngaphambi nangemva kokudla.
• Ukudla kwasekuseni nge okusanhlamvu nezinhlamvu, mhlawumbe ngezithelo, kepha ngaphandle koshukela ne bhotela. Ngiphinde ngikugcizelele ukuthi onke amathiphu mayelana nokusetshenziswa kwemikhiqizo ethile yesifo sikashukela asemvelweni ejwayelekile, futhi esimweni ngasinye esithile kufanelekile ukubonana nodokotela wakho.
I-Sauna nebhavu zivunyelwe uma kungekho okuphikisana kusuka ohlelweni lwenhliziyo. Kungcono ukuzivakashela hhayi ngenxa yokulahlekelwa isisindo, kepha ukuthuthukisa i-microcirculation yegazi nokukhulisa ukungazetheki. Eqinisweni, i-sauna, ukugeza, ukugoqa, ukusikisela akusizi ekunciphiseni isisindo. Basiza kuphela ukususa isikhashana ngokweqile uketshezi. Kepha ukubhucungwa akusoze kwaba okungenamsoco uma kungekho zinto eziphikisayo ezivela ku-neurology.
