Isifo sikashukela sohlobo 2 sidinga ukwelashwa okuqhubekayo kukho konke impilo. Izinhloso eziphambili zokwelapha ukunciphisa ukubamba kwama-carbohydrate kusuka ekudleni kanye nokususwa kweshukela emzimbeni ikakhulukazi ngokwandisa izindleko zayo ezinqubweni ezibalulekile. Indima enkulu ekwelashweni kwesifo sikashukela idlalwa ngokudla okufanele, ukulawula isisindo, ukuvivinya umzimba njalo. Izidakamizwa ze-Hypoglycemic zichazwa kuphela zihlanganiswa nalezi zindlela ezingezona izidakamizwa zokunciphisa ushukela. Kepha ukuphumelela kwezinye izindlela kulinganiselwa njengokuphansi impela, ukuzinzisa i-glycemia ngosizo lwabo kungenzeka kuphela ngesilinganiso esibuthakathaka sikashukela.
Izimbangela Zoshukela Omkhulu
Isibalo esixakile sawo wonke amacala abikiwe kashukela wegazi abangelwa izinhlobo ezahlukahlukene zesifo sikashukela. Cishe i-97% yabantu abatholakala benesifo sikashukela baziwa njengohlobo 2. Ukwanda kokudlanga kwalesi sifo kuthathe ubhubhane; kule minyaka engama-30 edlule, inani leziguli likhuphuke amahlandla ayisikhombisa. E-Russia, isifo sikashukela sitholakala ngaphezu kwe-5% yabantu, kepha isilinganiso sangempela sezehlakalo siphezulu kakhulu. Esigulini ngasinye eselashwa, kunabantu abangama-2-3 asebevele begula, kepha abangakavakasheli udokotela.
Ushukela omningi osegazini uluphawu olukhulu lwesifo sikashukela. Umzimba ophilile ulawula amazinga kashukela ngokunembile. I-glucose efike nokudla isheshe idliwe: isakazeka emangqamuzaneni bese ihlukaniswa lapho, igcinwe lapho ligcinwa. Uma umuntu engadlanga isikhathi eside, isidingo se-glucose sihlangatshezwa yizindawo ezigcinwe kwimisipha nesibindi. Esikhathini sikashukela, ukulungiswa okuqondile okunjalo kuba okungenakwenzeka. Isikhathi esithile, umzimba usakwazi ukugcina ushukela ngaphakathi kokujwayelekile komzimba, kepha bese uqala ukukhula, ukukhula kwe-hyperglycemia.
Izimbangela zokukhula koshukela kuhlobo 2 sikashukela:
| Isizathu | Umphumela ku-glycemia |
| Peripheral Insulin Resistance | Kubhekwa njengokwephulwa kokuqala kwe-carbohydrate metabolism. Iphinda ibuye iphenduke ngokungabi bikho kokusabela kokuzalwa kwezicubu emiphumeleni ye-insulin. Ngenxa ye-insulin, ushukela wegazi ungangena kumaseli. Ngokumelana ne-insulin, amaseli enqaba “ukuqaphela” i-insulin, eyivimbela ekususeni ushukela. Ukunqoba lo mkhuba, umzimba ukhulisa ukuphuma kwe-insulin egazini. Esikhathini sokuqala, lokhu kwanele ukuguqula i-glycemia ngokwejwayelekile. Ngokwenyuka kokumelana ne-insulin, ushukela nawo uqala ukwanda kancane. |
| Ukwephulwa kokukhiqizwa kwe-insulin | Izigaba zokuqala zesifo sikashukela zibonakala ngokukhishwa kwe-insulin egazini hhayi ngokushesha nje ngemuva kokunyuka koshukela, kepha ngokubambezeleka okuthile. Njengoba unesifo sikashukela isikhathi eside, amangqamuzana akhiqiza i-insulin ancishisiwe, kuvela ukuntuleka kwama-hormone. Imbangela yokukhathala ukukhiqizwa isikhathi eside kwe-insulin esimweni esiphuthumayo kanye nomphumela onoshevu weglucose. |
Izici zangaphandle, njengokungasebenzi komzimba, ukukhuluphala, ukubaluleka kokudla okucolisisiwe ekudleni kubhekwa njengezizathu eziphambili zokuvela kokungamelana ne-insulin. Iningi labanesifo sikashukela libalwa ngokufakwa ngokweqile kwesisu (esiswini, ezungeze izitho) amafutha.
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%
I-Heredity idlala indima ebalulekile kodwa hhayi esinqumayo. Kusungulwe ukuthi kunabantu abaphethwe ngofuzo ukumelana ne-insulin, ukwehla okusheshayo kokuhlanganiswa kwe-insulin. Zisengozini, okungukuthi, lapho kunezici zofuzo, isifo sikashukela sizoqala ekuqaleni futhi sizothuthuka ngokwengeziwe kunokuba sikhona.
Izindlela zokukhipha ushukela omningi emzimbeni
Ushukela ophakeme njalo uyimbangela enkulu yazo zonke izinkinga zesifo sikashukela, ngakho-ke ukwelashwa kwalesi sifo kuhloswe ngaso ukusisusa.
Ushukela ungashiya umzimba wethu ngezindlela ezimbili:
- Hlukanisa izicubu ezingaphakathi, usinike amandla. Umthengi oyinhloko we-glucose amangqamuzana emisipha. Ukuqinisa ukuqhekeka kwayo, kuzodingeka ukwandise imisebenzi yemisipha. Inketho enhle umsebenzi omude, kodwa hhayi wokuqina okuphezulu kwemisipha emikhulu. Kulokhu, umzimba udinga ukuqinisekisa ukuhamba njalo komoya ohlanzekile. Izibonelo zemithwalo enjalo zihamba isikhathi eside ngejubane elisheshayo, ukugijimela, ukubhukuda okusebenzayo, kanye nokuhamba ngamabhayisekili. Ngale ndlela, ushukela ongaphansi kuka-14 mmol / L ungasuswa ngokushesha. Uma i-glycemia iphakeme, kunamathuba amaningi okuthi i-insulin ayanele egazini, okusho ukuthi i-glucose ngeke ikwazi ukuphuma emithanjeni, futhi izicubu zizolamba. Ukwenza ngcono ukwephuka kwe-glucose, iziguli zingabekwa ngemithi yokunciphisa ukumelana ne-insulin nokuvuselela ukukhiqizwa kwe-insulin.
- Ushukela othile ophezulu ungashiswa. Lapho nje i-glycemia iqala ukwedlula isilinganiso esibucayi (cishe ama-10 mmol / L), izinso ziyalayishwa bese ziyeka ukubuyisa lonke ushukela egazini. Isenzo sezidambisigciwane zesidakamizwa esivela ekilasini lama-glyphlozines (Forsig, Attokana, Jardins) sisuselwa kule ndlela yokuxoshwa kweglucose. Zinciphisa izinga lapho izinso zikwazi ukukhipha ushukela emzimbeni ngomchamo. Ukusetshenziswa kwale mishanguzo kuhlotshaniswa nomthwalo omningi ohlelweni lokuchama kanye nengozi eyengeziwe yokutheleleka.
Ukudla okufanele
Umzimba wethu uyakwazi ukusebenzisa isilinganiso esilinganiselwe se-glucose, ngakho-ke ngesifo sikashukela, ukudonsa ushukela egazini kuncishiswa ngokudla okuhlala kukho konke.
Izici eziyinhloko zalokhu kudla:
- Kunciphise okuqukethwe kwekhalori. Zonke izazi zesifo sikashukela zinconywa ukunciphisa umzimba zibe okwejwayelekile. Kodwa-ke, ukunciphisa isisindo esincane kunikeza imiphumela emihle. Ngenxa yokuncipha kokumelana ne-insulin, ukwehla kokuzila ukudla kwe-glucose ngesikhathi sokunciphisa isisindo ngo-5-10% wesisindo sokuqala kungaba yi-1-1,5 mmol / l, okuqhathaniswa namandla esenzo seminye imishanguzo ye-antidiabetes.
- Ukunciphisa umthwalo we-glycemic. Kulokhu, imikhiqizo enenkomba ye-glycemic enkulu kune-50 ayifakiwe kwimenyu, futhi inani lokudla kwe-carbohydrate lehlisiwe kakhulu - amatafula emikhiqizo ye-GI.
- Ukukhanselwa ngokuphelele koshukela, ukushintshwa okungenzeka esikhundleni soshukela - okufakwa esikhundleni sikashukela kushukela.
- Ngisho nokudla kwe-glucose ukuqeda ukugcwala kwe-glycemic phakathi nosuku: sihlukanisa yonke imikhiqizo equkethe i-carbohydrate ibe yimithamo engama-5-6. Kuzo zonke izidlo, i-fiber kufanele ibe khona, ngendlela yesimo semifino emifushane: iklabishi, imifino, ama-radishes, njll.
- Imikhiqizo engokwemvelo kakhulu: esikhundleni sosage - inyama ebambekayo, esikhundleni sejusi - izithelo. Imifino emisha ayifiseleki, hhayi i-stewed, okusanhlamvu nemikhiqizo yesinkwa - okusanhlamvu okuphelele.
- Ukunciphisa amafutha agcwele ukuze kunciphise ingozi yezinkinga ze-vascular. Amafutha emifino nenhlanzi enamafutha asele ekudleni.
Umgomo wokulawulwa kokudla okunamandla okunjalo ukusiza umzimba ukhiphe i-glucose ezicutshini. Ukuze wenze lokhu, udinga ukufezekisa ukugeleza kweglucose egazini ngezingxenye ezincane.
Bonke abanesifo sikashukela bayalulekwa ukuthi bagcine idayari yokudla lapho bedla khona ukudla namazinga kashukela ngemuva kokudla. Ngokuhlaziya idatha yedayari enjalo, ungaqonda ukuthi yikuphi ukudla okunomthelela omkhulu ushukela, uhlele kancane (300 g ngeviki), kepha ulahlekelwe isisindo njalo.
Izindlela zabantu ezisebenzayo
Emithini yabantu, kusetshenziswa amakhulukhulu ama-infusions, ama-decoctions nezinye izidakamizwa zesifo sikashukela. Izindlela eziningi zokupheka zisebenza njengokubuyiselwa okujwayelekile noma zisiza ukuvikela izinkinga eziningi zesifo. Kodwa-ke, kukhona lezo ezinciphisa ukumelana ne-insulin, okungukuthi, zisiza i-insulin ukususa ushukela omningi:
| Kusho | Indlela yokusebenzisa | Isenzo |
| Isinamoni Amagxolo asezingeni eliphakeme kuphela afanele: mncane, agqinsiwe lapho usikiwe futhi untekenteke. | Kusetshenziswa ekuphekeni. Njengomsoco ngaphambi kokulala, abanesifo sikashukela bayanconywa ukuba baphuze ingilazi ye-kefir ngesinamoni. | I-antiseptic, antioxidant, ukugaya okujwayelekile. Kunobufakazi bomphumela omuhle kushukela nama-lipids egazi. |
| Bean Flaps | Ngendlela decoction, ukulungiselela ilitha 1 (ingxenye yansuku zonke) thatha ama-20 g amaqabunga omisiwe. Ezinye izindlela zokupheka zingatholakala lapha. | Ziqukethe i-protein glucokinin, esebenza emizimbeni yethu njenge-insulin. |
| I-chicory | Izimpande ezomile nezomhlaba zisetshenziswa njengesengezo sokudla. Ikhofi yemvelo enesifo sikashukela kungcono ukuthatha indawo nge-analog evela ku-chicory. | I-inulin ekwakhiweni kwayo ibambezela ukumuncwa kwama-carbohydrate, isiza ukwenza ngokwejwayelekile i-lipid metabolism. |
| I-Jerusalema artichoke | Ungadla okuluhlaza, wenze ujusi. okuningi ngezinzuzo ze-artichoke zeJerusalema. | |
| I-anyanisi, ugalikhi | Kusetshenziswa ekudleni okuluhlaza, gawula ngaphambi kokudla. | I-Allicin ekwakhiweni kwale mifino inciphisa ukumelana ne-insulin. |
| I-Grass galega (ithambo lezimbuzi) | Ukumenywa - 1 tsp engilazini yamanzi, phuza u-6 tbsp ngosuku. Emuthweni omkhulu, umuthi unobuthi. Bona ezinye izindlela zokupheka zezinja. | Kuqukethe i-analogue yezitshalo ye-metformin. Ukusetshenziswa isikhathi eside akufiseleki ngenxa yemiphumela enobuthi. |
Amakhambi we-Folk enza okubi kakhulu kunemithi, umphumela obonakalayo wokusetshenziswa kwawo ungatholakala kuphela ezigabeni zokuqala zesifo sikashukela.
Ushukela ophakeme kanye nengcindezi
Ukucindezelwa kwesikhashana nje kwenza umuntu acabange futhi enze kahle, ahlanganise izinsiza zangaphakathi. Kepha ukucindezelwa okungapheli kuhlala kuthinta umzimba wethu ngokulimaza. Izinkinga ezibangelwa yilezo azikhawulwanga ikhanda, ukuphazamiseka kokulala, ukudangala. Ukusabela okungokwemvelo ekucindezelweni ukukhululwa kwe-norepinephrine ne-adrenaline, i-cortisol. Onke la mahomoni angabaphikisi be-insulin, okungukuthi, acindezela ukusebenza kwawo, kanti ushukela wegazi uyanda. Uma ukucindezela kuba njalo, ingozi yokuba nesifo sikashukela inyuka kakhulu. Kuba nzima kakhulu kumuntu onesifo sikashukela esikhona ukulawula i-glycemia, futhi izinkinga zizokhula ngokushesha.
Ngokwezinga elithile, ukwenqaba kwesifo sikashukela ukucabanga ngokugula kwakhe ngezikhathi ezinjalo nakho kunomthelela emazingeni kashukela. Umuntu onengcindezi uvame ukusebenzisa kabi utshwala, akhohlwe ngokuzivocavoca, weqa amaphilisi noshukela wokukala, bese wephula nokudla. Iningi labantu abaneshukela likashukela abanobudlelwano obuqondile phakathi kwesimo esingokomzwelo nokudla, bazama "ukubamba" ukucindezela.
Ukuhoxisa ushukela omningi kuleli zwe kunzima kakhulu, ngakho-ke, iziguli ziyalulekwa ukuthi zinciphise amazinga okucindezela nganoma iyiphi indlela:
- uma kungenzeka, khipha imithombo yemizwa engemihle;
- zama izivivinyo zokushintsha ukungezwani komzimba nokuphumula kwemisipha;
- ukukhulisa ukusebenza komzimba, kwesinye isikhathi ngamandla;
- zama ukuhlaziya izimo ezicindezelayo, khuluma ungagcini kuwe;
- qala ukusebenza nge-psychotherapist, uma kunesidingo, khetha umuthi.
