Ukukhuluphala ngohlobo 2 sikashukela: okuyingozi nokuthi ukunciphisa umzimba

Ukulahlekelwa isisindo kungenye yezincomo zokuqala ezitholwa yisiguli ngemuva kokuthola izinhlobo ezi-2 zesifo sikashukela. Ukukhuluphala nesifo sikashukela kuyizinhlangothi ezimbili zesimo se-pathological esifanayo. Kusungulwe ukuthi emazweni anezinga lokuphila elithuthukisiwe, iphesenti labo bobabili abantu abanesifo sikashukela likhula ngasikhathi sinye. Umbiko wakamuva we-WHO ngale ndaba uthi: “Ngomnotho owandayo, abantu abampofu bayagula.”

Emazweni athuthukile, izigameko zesifo sikashukela phakathi kwabantu abacebile, kunalokho, ziyehla. Lokhu kungenxa yemfashini yomzimba omncane, imidlalo, ukudla kwemvelo. Ukwakha kabusha indlela yakho yokuphila akulula, ekuqaleni kufanele ulwe nomzimba wakho, uzama ukuphuma kumbuthano onesihluku. Le mizamo izovuselelwa ngomusa: lapho kutholakala isisindo esijwayelekile, ingozi yesifo sikashukela incishiswa kakhulu, futhi isifo esikhona kulula kakhulu, kwezinye izimo isinxephezelo sohlobo 2 lwesifo sikashukela singatholakala kuphela ngokushintsha imikhuba yokudla nemfundo yomzimba.

Ngabe isifo sikashukela kanye nokukhuluphala kuhlobene kanjani?

Amafutha akhona emzimbeni wanoma ngubani, ngisho nomuntu omncanyana kunabo bonke. Izicubu ze-Adipose, ezitholakala ngaphansi kwesikhumba, zisiza ukulawula ukushisa komzimba, zenza umsebenzi wokuvikela imishini. Amafutha ayizinsalela zomzimba wethu, ngokuntuleka kokudla okunempilo, sibonga ukuthi sithola amandla okuphila. Amafutha ayisitho esibalulekile se-endocrine, i-estrogen ne-leptin kwakhiwa kuwo.

Isifo sikashukela nokucindezela kuzoba yinto yesikhathi esedlule

• Ukwehlela ushukela -95%
• Ukuqedwa kwe-vein thrombosis - 70%
• Ukuqedwa kokushaya kwenhliziyo okuqinile -90%
• Ukuqeda umfutho wegazi ophakeme - 92%
• Ukwanda kwamandla ngesikhathi sosuku, ngcono ukulala ebusuku -97%

Ekusebenzeni okujwayelekile kwale misebenzi, kwanele ukuthi amafutha afinyelela ku-20% wesisindo somzimba emadodeni aze afike kuma-25% kwabesifazane. Konke okungenhla sekuvele kungokweqile okuthinta kabi impilo yethu.

Ungathola kanjani ukuthi kunamafutha amaningi emzimbeni? Ungahlolwa esikhungweni sokuqina komzimba noma wezokwelapha. Inketho elula ukubala inkomba yesisindo somzimba. Umphumela wayo ukhombisa ngokunembile ubuqiniso babo bonke abantu, ngaphandle kwabaqeqeshi bemidlalo abaqeqeshiwe.

Ukuthola i-BMI, udinga ukuhlukanisa isisindo sakho ngokulingana okuphindwe kabili. Isibonelo, ukuphakama okungu-1,6 m nesisindo esingama-63 kg, iBMI = 63 / 1.6 x 1.6 = 24,6.

Izicubu ze-Adipose emadodeni aphilile zisatshalaliswa ngokulingene; kwabesifazane, kufakwa imali esifubeni, okhalweni nasezinkalweni. Ekukhathaleni ngokweqile, izindawo eziyinhloko zokugcina zivame ukutholakala esiswini, ngohlobo lwamafutha okuthiwa yi-visceral. Idlulisela kalula ama-asidi e-gazi ibe negazi futhi inomuzwa ophansi we-insulin, ngakho-ke uhlobo lwe-visceral lokukhuluphala lubhekwa njengeyingozi kakhulu.

Ukondleka ngokweqile kwe-carbohydrate kuyimbangela eyinhloko yokukhuluphala, ukumelana ne-insulin futhi, kamuva, isifo sikashukela.

Kwenzekani emzimbeni ngokudla ngokweqile:

1. Onke amakhalori angazange achithwe empilweni agcinwe emafutheni.
2. Ngokweqile kwezicubu ze-adipose, okuqukethwe kwama-lipid egazini kuyakhuphuka, okusho ubungozi besifo se-vascular. Ukugwema lokhu, i-insulin iqala ukwenziwa ngesibalo esandayo emzimbeni, omunye wemisebenzi yayo ukuvimbela ukweqiwa kwamafutha.
3. Ama-carbohydrate amaningi aholela ekhuphukeni kweglucose yegazi. Udinga ukususwa egazini ngesikhathi esifushane, futhi ukukhiqizwa kwe-insulin okuphezulu kuyasiza kulokhu futhi. Abathengi abakhulu be-glucose yimisipha. Ngokuphila kokuhlala phansi, isidingo sabo samandla siphansi kakhulu kunalokho okuza nokudla. Ngakho-ke, amaseli womzimba ayenqaba ukuthatha ushukela, angayinaki i-insulin. Lesi simo sibizwa ngokuthi yi-insulin ukumelana. Lapho likhuphuka izinga likashukela ne-insulin egazini, liqina ngokwengeziwe namaseli.
4. Ngasikhathi sinye, ukukhuluphala komuntu kuyaqina, isizinda se-hormonal siyaphazamiseka, kuvela izinkinga zemithambo yegazi. Ubunzima balezi ziphazamiso bubizwa ngokuthi yi-metabolic syndrome.
5. Ekugcineni, ukumelana ne-insulin kuholela esimweni esiyindida - kukhona ushukela ophakeme njalo egazini, kanti izicubu ziyafa yindlala. Ngalesi sikhathi, sesingasho nje ukuthi umuntu usenesifo sikashukela sohlobo 2.

Iyini ingozi yokukhuluphala kwabaneshukela

Ukulimala kwesisindo ngokweqile kushukela:

• ephakamisa njalo i-cholesterol yegazi, okuholela ekushintsheni kwe-atherosulinotic emikhunjini;
• ngokunciphisa imithambo yegazi, inhliziyo iphoqelelwa ukuba isebenze ngaphansi komthwalo ongaguquki, ogcwele ukushaya kwenhliziyo nezinye izifo;
• ukungavikeleki kahle kwemithambo yegazi kuqinisa zonke izinkinga ezingapheli zesifo sikashukela: kunengozi eyandayo yokuqunjelwa i-retinal, ukwehluleka kwezinso, i-gangrene onyaweni lwesifo sikashukela;
• ukukhuluphala izikhathi ezingama-3 ingozi ephezulu ye-hypertension;
• isisindo esandayo sakha umthwalo ngokweqile emalungeni nasemgogodleni. Abantu abakhuluphele bavame ukuzwa izinhlungu ezingapheli zamadolo kanye ne-osteochondrosis;
• abesifazane abakhuluphele ngokweqile izikhathi 3 bakhulisa amathuba umdlavuza webele;
• Kwabesilisa, ukukhiqizwa kwe-testosterone kuyancipha, ngakho-ke, ukusebenza kocansi kuya buthaka, umzimba wakheka ngohlobo lowesifazane: okhalweni olubanzi, amahlombe amancane;
• ukukhuluphala kuyalimaza i-gallbladder: ukuhamba kwayo kukhubazekile, ukuvuvukala nesifo se-gallstone kuvame kakhulu;
• isikhathi sokuphila sincishisiwe, inhlanganisela yohlobo 2 sikashukela onokukhathala konyusa ingozi yokufa ngezikhathi eziyi-1.5.

Unganciphisa kanjani isisindo sikashukela

Bonke abantu badinga ukulwa nokukhuluphala, noma ngabe banesifo sikashukela. Ukulahlekelwa isisindo kuvumela ukulawulwa okungcono kwesifo sohlobo 2. Ngaphezu kwalokho, isifo sikashukela sivinjelwa kahle: ngokulahleka kwesisindo okufika ngesikhathi, ungavimbela, futhi kubuye kuphazanyiswe ukuphazamiseka kwasekuqaleni kwe-metabolic.

Naphezu kweqiniso lokuthi kukhona ukusesha okuqhubekayo kwezindlela zokwelapha zokwelapha ukukhuluphala, okwamanje bangasekela isiguli kancane ekulweni nokukhuluphala. Indima enkulu ekwelashweni isadlalwa ngokudla nangemidlalo.

Ukudla

Imithetho Yokondla:

1. Ukudla okune-GI ephezulu (ama-carbohydrate asheshayo) kuqedwa ngokuphelele futhi ukudla okuphezulu kuma-carbohydrate ahamba kancane kuncishiswa kakhulu. Isisekelo sokudla kwabanesifo sikashukela esinyanyisayo ukudla okudla amaprotheni nemifino eningi le-fiber.
2. Ngaso leso sikhathi, okuqukethwe okuphelele kwekhalori kuyancipha. Ukushoda nsuku zonke kufanele kube ngu-500, ubukhulu be-1000 kcal. Ngaphansi kwalesi simo, ukuncipha kwesisindo esingu-2-4 kg ngenyanga kuyatholakala. Ungacabangi ukuthi akwanele. Noma ngabe leli lijubane, amazinga kashukela kushukela anciphisa kakhulu ngemuva kwezinyanga ezi-2. Kodwa ukunciphisa umzimba okusheshayo kuyingozi, ngoba umzimba awunaso isikhathi sokuzivumelanisa, kwenzeka izicubu zomzimba, ukuntuleka okukhulu kwamavithamini namaminerali.
3. Ukuze sinciphise ubungozi be-thrombosis futhi sithuthukise ukumbumbuluzwa kwemikhiqizo yokuqhekeka kwamafutha, kuyadingeka ukuqinisekisa ukutholakala kwamanzi okwanele. Okujwayelekile kumuntu omfishane 1.5 amalitha akwanele kwiziguli ezikhuluphele. Izinga lamanzi lansuku zonke (kucatshangelwa okuqukethwe yimikhiqizo) libalwa njenge-30 g nge-1 kg yesisindo.

Umsebenzi womzimba

Ukuze wehlise isisindo sikashukela, imithwalo yanoma yiluphi uhlobo iyafaneleka, ukusuka epaki kuya ekuqeqesheni kokuqina. Kunoma yikuphi, isidingo sokwanda kwe-glucose siyanda futhi ukumelana ne-insulin kuyancipha. I-insulin egazini iba incane, okusho ukuthi amafutha aqala ukuhlehla ngokushesha okukhulu.

Imiphumela emihle inikezwa ukuqeqeshwa kwe-aerobic - ukugijima, imidlalo yeqembu, i-aerobics. Ngokukhuluphala, iningi lazo alitholakali ngenxa yezizathu zempilo, ngakho-ke ungaqala nganoma yiluphi uhlobo lomsebenzi womzimba, kancane kancane lube nezinkinga futhi lukhulise ijubane lokuqeqeshwa.

Kubantu kude nemidlalo, ngemuva kokuqala kwamakilasi, izicubu ziyabuyiselwa ngenkuthalo futhi ziqiniswe. Ngokunyuka kwesisindo semisipha, ukusetshenziswa kwekhalori yansuku zonke nakho kuyakhuphuka, ngakho-ke ukuncipha kwesisindo kuyanda.

Ukusekelwa kwezidakamizwa

Izidakamizwa ezilandelayo zingasiza ukuqeda ukukhuluphala:

• Uma isisindo esandisiwe sibangelwa isifiso esingenakuvinjwa samaswidi, imbangela ingaba ukuntuleka kwe-chromium. I-Chromium picolinate, ama-200 mcg ngosuku, izosiza ukubhekana nakho. Awukwazi ukuyiphuza ngesikhathi sokukhulelwa kanye nokwehla okukhulu kwesifo sikashukela, ukuqina kwezinso kanye nesibindi.
• Ukunciphisa ukumelana ne-insulin, i-endocrinologist ingabeka iMetformin ezigulini ezinesifo sikashukela sohlobo lwe-2 nesifo sangaphambi kwesifo sikashukela.
• Ngesikhathi sokuncipha kwesisindo, okuqukethwe kwamafutha acid egazini kuzokhula okwesikhashana, okugcwala i-thrombosis. Ukufafaza igazi, i-ascorbic acid noma amalungiselelo nayo, ngokwesibonelo, iCardiomagnyl, ingabekwa.
• Amaphilisi wamafutha enhlanzi azosiza ukwehlisa i-cholesterol yegazi.

Endabeni yokukhuluphala ngokweqile kwe-3rd degree, izindlela zokuhlinzwa zingasetshenziswa, ngokwesibonelo ukuhlinzwa kokuhlinzwa noma ukubopha kwesisu.

Amaviki okuqala ukuncipha kungaba nzima: kuzoba nobuthakathaka, ikhanda, isifiso sokuyeka. I-acetone ingatholwa umchamo. Lokhu kwenzeka okujwayelekile okuhambisana nokuqhekeka kwamafutha. Uma uphuza amanzi amaningi futhi ugcina ushukela ojwayelekile, i-ketoacidosis ayisongeli isiguli sikashukela.