Kungenzeka yini ukuthola isifo sikashukela kumaswidi?

Impilo emnandi ivame ukuholela ezinkingeni zempilo. Ngabe kukhona ushukela oshukela? Ngokusho kwe-WHO, eRussia abantu abayizigidi eziyisishiyagalolunye nesigamu babhaliswe ngokusemthethweni abanesifo sikashukela. Ngokuqagela kwezokwelapha, ngo-2030 leli nani ku-Russian Federation lizosondela ezigidini ezingama-25.

Abasadingi ukwelashwa okwamanje, kodwa kufanele bashintshe indlela yabo yokuphila ukuze bangafi ngaphambi kwesikhathi emiphumeleni yesifo sikashukela. Ukukhokhelwa uthando lwamaswidi angabizi kungaba ushukela.

Noma yimuphi umuntu ophothule esikoleni kufanele akwazi ukuxazulula uhlelo lwe-equation yokulingana, kepha akakwazi ukuzakhela uhlobo lokuzivocavoca umzimba we-aerobic, ahambisane namandla akhe, noma ukudla kwansuku zonke. Futhi uMnyango Wezempilo, okwamanje, uxwayisa: "Amaswidi avusa ushukela!". Ingabe wonke ama-carbohydrate ayingozi kubantu abaphilile, futhi ngamanani amangaki?

Izimbangela zesifo sikashukela

Odokotela abaningi bathi isifo sikashukela, ikakhulukazi uhlobo lwesibili, siyimpindiselo yendlela yokuphila nokuthandwa yizitho zomzimba. Lapho singadli ngenxa yokuthi silambile, kodwa ukuze sigcwalise isikhathi sethu, ukukhuphula isimo sethu sokuzijabulisa futhi ngesikhathi nje sokuzenzela, ushintsho olubi kuhlelo lwe-endocrine alunakugwenywa. Isibonakaliso esiyinhloko sesifo se-asymptomatic ukwanda koshukela egazini, okungatholakala nganoma yikuphi ukuhlolwa okujwayelekile.

Uhlelo lokugaya lubhidliza ushukela kusuka kuma-carbohydrate (ama-pastries, okusanhlamvu, i-pasta, amazambane, amaswidi, izithelo) ku-glucose, i-fructose ne-sucrose. Iglucose kuphela inikezela amandla ahlanzekile emzimbeni. Izinga layo kubantu abaphilile lisuka ku-3.3-5.5 mmol / L, amahora ama-2 ngemuva kokudla - lize lifike ku-7 mmol / L. Uma okwejwayelekile kudlulwa, kungenzeka ukuthi lowo muntu unamaswidi adliwe ngokweqile noma osesimweni sesifo se-prediabetes.

Isizathu esiyinhloko sokuvela kwesifo sikashukela sohlobo 2 ukungazweli kwamaseli kune-insulin yawo, eyakhiqizwa ngumzimba ngokweqile. I-capsule yamafutha evala iseli esimweni sohlobo lwesisu sokukhuluphala, lapho izitolo zamafutha zigxiliswe ikakhulukazi esiswini, kunciphisa ukuzwela kwehomoni. Amafutha we-Visceral, atholakala ekujuleni kwezitho, avuselela ukukhiqizwa kwama-hormone akhuthaza uhlobo 2 sikashukela.

Umthombo oyinhloko wamafutha afakwa kwizitho akawona amanoni, njengoba abantu abaningi becabanga, kodwa ama-carbohydrate asheshayo, kufaka namaswidi. Phakathi kwezinye izizathu:

• I-Heredity - kokubili uhlobo lokuqala nolwesibili lwesifo sikashukela sinesibalo sofuzo (5-10%), izimo zangaphandle (ukuntuleka kokuvivinya umzimba, ukukhuluphala) zandisa isithombe;
• Ukutheleleka - ezinye izifo (ama-mumps, i-Coxsackie virus, i-rubella, i-cytomegalovirus ingaba yisisusa sokuqala isifo sikashukela;
• Ukukhuluphala - izicubu ze-adipose (inkomba yesisindo somzimba - ngaphezu kwama-25 kg / sq. M) kusebenza njengesithiyo esinciphisa ukusebenza kwe-insulin;
• Umfutho wegazi ophakeme kanye nokukhuluphala kanye nesifo sikashukela kubhekwa njengeziqu ezingatheni;
• I-Atherossteosis - ukuphazamiseka kwemetabolism ye-lipid kunomthelela ekwakhekeni kwama-plaque kanye nokuncipha kombhede we-vascular, umzimba wonke uhlushwa ukunikezwa kwegazi okungalungile - ukusuka ebuchosheni kuya emaphethelweni aphansi.

Engcupheni futhi kuneminyaka yobudala obuvuthiwe: igagasi lokuqala lomqedazwe wesifo sikashukela liqoshwa odokotela ngemuva kweminyaka engama-40, elesibili - ngemuva kwengama-65. Isifo sikashukela sibhangqwe nge-atherosclerosis yemithambo yegazi, ikakhulukazi leyo enikela ngegazi kumanyikwe.

Kuma-4% abantu abasha abafika minyaka yonke abajoyina amazinga abanesifo sikashukela, i-16% ngabantu abangaphezu kweminyaka engama-65.

Iziguli ezine-hepatic and renal pathologies, abesifazane abane-ovary polycystic, abantu abathanda indlela yokuphila yokuhlala, kanye nawo wonke umuntu othatha izidakamizwa ze-steroid kanye nezinye izinhlobo zezidakamizwa, nazo zigcwalisa uhlu oludabukisayo.

Ngingakwazi ukuthola ushukela ngesikhathi sokukhulelwa?. Uma isisindo sengane esanda kuzalwa idlula ama-4 kg, lokhu kusikisela ukuthi owesimame waba nokuxhuma ushukela ngesikhathi sokukhulelwa, ama-pancreas ekuphenduleni akhuphule ukukhiqizwa kwe-insulin kanye nesisindo se-fetus. Umuntu osanda kuzalwa angaba nempilo (unohlelo lakhe lokugaya ukudla), kepha unina usevele une-prediabetes. Okusengozini yizingane ezingakashayi isikhathi, ngoba ama-pancreas wazo akwenziwanga kahle.

Izimpawu zokuthi udla ushukela omningi kule vidiyo

Isifo Sikashukela: Izinganekwane Namaqiniso

Izincazelo zochwepheshe ngenhlangano yezondlamzimba yesifo sikashukela azihlali ziqondwa yilabo abangakholwayo, ngakho-ke abantu bazimisele ukusabalalisa izinganekwane, zizicebise ngemininingwane emisha.

1. Noma ngubani odla amaswidi amaningi ngokuqinisekile uzogula ngesifo sikashukela. Uma ukudla kudliwe ngokulinganayo futhi izinqubo ze-metabolic zivamile, ukunakwa okwanele kuyakhokhelwa kwezemidlalo futhi azikho izinkinga zofuzo, amanyikwezi enempilo, amaswidi asezingeni elifanele futhi angaphansi kwemingcele efanelekile ayoba usizo kuphela.
2. Ungaqeda isifo sikashukela ngemithi yabantu. Umuthi we-herbal ungasetshenziswa kuphela ekwelapheni okuyinkimbinkimbi, kuphela i-endocrinologist engalungisa umthamo wemithi ye-insulin ne-hypoglycemic kuleli cala.
3. Uma kunesifo sikashukela emndenini, amathuba okuba nesifo sikashukela asondele ku-100%. Ngokuncike kuzo zonke izincomo, indlela yokuphila enempilo, ubungozi bokubulala ama-pancreas akho lincane.
4. I-Alcohol isiza ukwehlisa ushukela wegazi. Lapho kungekho i-insulin, empeleni bazama ukwelapha abanesifo sikashukela. Kepha ushintsho lwesikhashana esifushane ku-glucometer luchazwa kuphela iqiniso lokuthi utshwala buvimbela ukukhiqizwa kwe-glucogen yisibindi, kodwa luvimbela ngokuphelele yonke imisebenzi yalo.
5. Ushukela ungathathelwa indawo nge-fructose ephephile. Okuqukethwe kwe-calorie kanye ne-glycemic index ye-fructose akuyona ngaphansi kweshukela elicwengiwe. Idonswa kancane, ngakho-ke imiphumela yaso emzimbeni ayibonakali kalula, noma kunjalo, abathengisi kuphela abayibheka njengomkhiqizo wokudla. I-Sweeteners nayo akuyona inketho: okungenani, lokhu akulusizo lwe-ballast, futhi okubi kakhulu, ama-carcinogens angathi sína.
6. Uma owesifazane enoshukela omningi, akufanele akhulelwe. Uma owesifazane osemusha ophelele wonke engenazo izinkinga zesifo sikashukela, lapho ehlela ukukhulelwa, udinga nje ukuthi ahlolwe ngethemba lokuthi odokotela ngeke bamelane nokukhulelwa.
7. Ushukela omningi, ukuzivocavoca umzimba kuphambene. Ukusebenza kwemisipha kuyisidingo sokwelashwa kwesifo sikashukela, ngoba kusiza ukuthuthukisa ukwelashwa nokuqunjelwa kweglucose.

Kuvidiyo ungabona ingxoxo nomongameli weRussia Diabetes Association M.V. I-Bogomolov, iphawula ngakho konke ukuqagela kanye namaqiniso ngesifo sikashukela.

Ukwenqatshwa kwamaswidi nokuvimbela ushukela

Ingxenye eyodwa kwezintathu yabantu abakhuluphele banezinkinga zokufaka ushukela. Lokhu akusho ukuthi lapho wenqaba amakhekhe, amaswidi kanye noshukela omnandi, awukhishwe ngokuzenzakalelayo eqenjini eliyingozi. Isisindo somzimba sinomthelela ekubeni khona okuqhubekayo kwama-carbohydrate okusheshayo ekudleni.:

• Ilayisi elimhlophe ophucuziwe;
• I-confectionery evela kufulawa we-premium;
• Ushukela ocolisisiwe kanye ne-fructose.

Imikhiqizo equkethe ama-carbohydrate ayinkimbinkimbi, asetshenziswa kancane asiza ukuvivinya amandla awo

• Ilayisi le-brown paddy;
• Imikhiqizo yebhikawozi evela kufulawa we-wholemeal nge-bran;
• Okusanhlamvu okuphelele;
• Ushukela onsundu.

Uma izinkomba ze-glucometer zingakhathazeki, ungazijabulisa nangoshokoledi noma ngobhanana - ama-antidepressants wemvelo athuthukisa ukukhiqizwa kwe-endorphin - ihomoni yesimo esihle. Kubalulekile ukulawula lokhu ukuze ukuqeda ingcindezi ngosizo lokudla okunama-khalori amaningi akuwona umkhuba. Okokuqala, lesi sexwayiso sisebenza kulabo abasemthethweni womthethosisekelo othambekele ekukhuluphisweni noma abanezihlobo ezinesifo sikashukela emndenini.

Uma okungenani ezinye zezici zobungozi zesifo sikashukela zikhona, ukuvimbela kufanele kubhekwane kusenesikhathi. Izimiso zalo eziyisisekelo zilula futhi zitholakala.

1. Ukudla okufanele. Ababelethi bayadingeka ukulawula indlela yokuziphatha kwezingane. EMelika, lapho i-soda bun ibhekwa njengengwadla ejwayelekile, ingxenye yesithathu yezingane ihlushwa ukukhuluphala kanye nohlobo 2 sikashukela.
2. Ukulawulwa kwamanzi emzimbeni. Ukucubungula i-glucose akunakwenzeka ngaphandle kwamanzi ahlanzekile nokho. Ifaka igazi, ivimbela ukwakheka kwezigaba zegazi, ithuthukise ukuphuma kwegazi ne-lipid metabolism. Ingilazi yamanzi ngaphambi kokudla kufanele ibe yinto esejwayelekile. Azikho ezinye iziphuzo ezizongena esikhundleni samanzi.
3. Ukudla okuphansi kwe-carb. Uma kunezinkinga ngama-pancreas, inani lamabele, amakhekhe, imifino ekhula ngaphansi komhlaba, izithelo ezimnandi kufanele zincishiswe. Lokhu kuzokwehlisa umthwalo ohlelweni lwe-endocrine, kusize ukwehlisa isisindo.
4. Imithwalo yemisipha efanelekile. Ukuzivocavoca kwansuku zonke okuhambelana nobudala kanye nesimo sempilo kuyimfuneko yokuvimbela hhayi isifo sikashukela kuphela, kodwa futhi ne-pathologies ye-inhliziyo nezinye izinkinga eziningi. Ukuzilolonga okubizayo kungathathelwa indawo ukuhamba komoya omusha, ukukhuphuka izitebhisi (esikhundleni sesikhulisi), imidlalo esebenzayo nabazukulu, kanye nebhayisekili esikhundleni semoto.
5. Ukusabela okulungile ekucindezelekeni. Okokuqala, kufanele sigweme ukuxhumana nabantu abanolaka, ama-pessimists, iziguli ezinamandla ampofu, sizama ukugcina ukuthula kunoma iyiphi imvelo, singanqotshwa ukucasuka. Ukwenqaba emikhubeni emibi (utshwala, ukudla ngokweqile, ukubhema), okuthiwa kudambisa ingcindezi, kuzosiza ekuqiniseni uhlelo lwezinzwa nokugonywa. Kufanele futhi ubheke ikhwalithi yokulala, ngoba ukungalali njalo kuthinta hhayi impilo yengqondo kuphela.
6. Ukwelashwa ngesikhathi samakhaza Njengoba ama-virus angadala inqubo ye-autoimmune ekhuthaza ukukhula kwesifo sikashukela, izifo kufanele zichithwe ngokushesha. Ukukhethwa kwezidakamizwa akufanele kulimaze ama-pancreas.
7. Ukuqapha izinkomba zikashukela. Isigqi sesimanje sempilo akuvumeli wonke umuntu ukuba anake ngokwanele impilo yabo. Wonke umuntu osengozini yesifo sikashukela kufanele aqaphele njalo amazinga kashukela ekhaya naselebhu, aqophe izinguquko kudayari, futhi abonane nodokotela wezengqondo.

Ngokusho kwe-International Diabetes Association, bangu-275 wezigidi sikashukela emhlabeni. Muva nje, izindlela zokwelapha, futhi empeleni isimo sengqondo ngalesi sifo sishintshe kakhulu, bobabili kodokotela nasezigulini. Yize kungatholakali umuthi wokugomela isifo sikashukela, abanesifo sikashukela banethuba lokulonda impilo ejwayelekile. Abaningi babo bathole imiphumela ephezulu kwezemidlalo, kwezombusazwe nakwezobuciko. Inkinga yanda kuphela ngokungazi kwethu nokungasebenzi kwethu, okubangelwa yimibono nezahlulelo eziyiphutha. Ngabe ushukela ungakhula usuka koshukela?

Hhayi amaswidi aholela kwisifo sikashukela, kepha isisindo esithe xaxa isigamu sabantu baseRussia banoma iyiphi iminyaka. Akukhathalekile ukuthi bakwenze kanjani lokhu - amakhekhe noma umvimba.

Uhlelo oluthi “Live Healthy” kuvidiyo, lapho uSolwazi E. Malysheva ephawula ngezinganekwane mayelana nesifo sikashukela, obunye ubufakazi bokuthi: