Ukudla kwesifo sikashukela sohlobo 1 kuvumela iziguli ukuthi zilondoloze isimo sokuxolelwa. Inani lama-carbohydrate atholakele kufanele lihambisane nomthamo we-insulin olungiselelwe.
Kuyadingeka ukuqinisekisa amazinga kashukela ajwayelekile ukuze i-glucose ingene kumaseli.
Ukushoda iba imbangela yokungasebenzi kahle kohlelo lwe-endocrine, izifo zenhliziyo, kanye nokuqina kwesibindi.
Izici zohlobo 1 sikashukela
Ngokuthuthuka kwalesi sifo, amasosha omzimba aqala ukubhubhisa amaseli we-beta abalulekile, futhi umkhiqizo we-insulin uyama. Umzimba awunawo amandla, ngoba ushukela awuphulwanga phansi, kepha ukhishwa emchanjeni. Lolu hlobo lwesifo sikashukela luthembele kwe-insulin - iziguli azinakuphila ngaphandle kwemijovo.
Kunezigaba ezi-3 zokukhula kwesifo sikashukela:
- ukukhanya - ukweqisa kancane ushukela, azikho izimpawu ezisobala zesifo sikashukela;
- isilinganiso - ukukhuphuka koshukela emchameni, kukhona ukoma emgodini womlomo, i-malaise encane;
- esindayo - ukugcwala okukhulu kwe-glucose, iziguli ziwela ngezikhathi ezithile ku-hyperglycemic noma i-hypoglycemic coma.
Ushukela omningi ulimaza imithambo yamehlo nezinso. Umsebenzi wesistimu yokujikeleza nezinzwa uyaphazamiseka, izinyawo ziyashwabana. Ezimweni ezimbi kakhulu, bayanqunywa. Ukwanda kwe-cholesterol kubangela ukukhula kwezifo zenhliziyo nezemithambo.
Izinkomba zokuqokwa
Alikho ikhambi lohlobo lokuqala lwesifo sikashukela. Iziguli kufanele ziphinde zicabange indlela yokuphila:
- ukwelashwa kwe-insulin. I-insulin yemvelo ithathelwa indawo yimithi engajova. Ngesikhathi esifanayo, ukwelashwa kubekelwe isibindi, ngoba umthwalo okuwo uyanda;
- susa ithonya lezinto ezingezinhle (ukucindezela, utshwala, i-nicotine), ukuvivinya umzimba. Kubalulekile ukubala kahle inani lokudla okudliwayo ukuze ukhiphe i-hypoglycemic coma. Ukuzithiba kuzokuvumela ukuthi uphile impilo ejwayelekile ngaphandle kwemikhawulo ekhethekile;
- landela ukudla. Ukukhetha imikhiqizo efanele kuzosiza ukunciphisa umthamo wezidakamizwa eziqukethe i-insulin.
Okubaluleke kakhulu ukudla. Inani lokuthathwa kwe-carbohydrate kufanele lihambisane ne-insulin efakiwe. Ukweqisa noma ukuntuleka kwe-hormone kubangela izinkinga.
Uma kungekho makhambi, lokhu okulandelayo kuyavela:
- hypoglycemia - Izinga le-glucose liyancipha, imizimba ye-ketone iyakhiwa, amathuba okuba ne-overdose yokwanda kwe-insulin;
- hyperglycemia -I-insulin ayikwazi ukubhekana nokuqhutshekwa kwama-carbohydrate, kukhona ukuqhekeka kwamaprotheni namafutha, kudedelwa ama-ketones.
Umongo wokudla
Iziguli zinqunyelwe ukuthi zidliwe ngo-9. Kepha esigulini ngasinye, kuyadingeka ukuqamba ukudla ngakunye, kucatshangelwa izici zomzimba.
Ukulungiswa kwenziwa yi-endocrinologist ngemuva kokuthola imiphumela yokuhlolwa nokutadisha izifo ezihambisana nabantu.
Isibonelo, ngokukhuluphala kunconyelwa ukusebenzisa izilimo eziningi zezimpande, futhi ngesifo sesibindi, u-soy, i-oatmeal, ama-extracatives, kanye noshizi omncane we-cottage shizi. Ukudla kususelwa kunqubo yokubalwa kwemali "amayunithi wesinkwa". Ikuvumela ukuthi udle iningi lokudla, obekuphoqelela ukwanda ushukela ngemithamo ye-insulin.
Izimiso eziyisisekelo zokudla:
- isidlo esisodwa akufanele singeqi i-8 XE, ngokunengqondo - 4-5 XE;
- Ungadli ama-carbohydrate ashesha ukugaya;
- inani lokudla lemikhiqizo lisatshalaliswa usuku lonke, kepha umthwalo omkhulu kufanele ube engxenyeni yokuqala. Ingalawulwa kusetshenziswa amatafula akhethekile;
- yidla kaningi, kepha ngezingxenye ezincane;
- qapha umthamo wamanzi angenayo - kuze kufike ku-1200 ml, ucubungula amasobho;
- kokusebenzisa izinto ezithokomelezelayo (ama-sweeteners);
- ukukhipha imikhiqizo lapho kunzima ukunquma i-XE;
- ukwehluka kokudla ngamavithamini namaminerali;
- qaphela njalo amazinga kashukela, uma kunesidingo, lungisa ukudla;
- yidla ngasikhathi sinye nsuku zonke;
- njalo ube ephaketheni lakho ushukela noma uswidi ozosiza ngokuhla kwe-glucose ebukhali;
- ukulawula ukusebenza komzimba.
Ukudla kweziguli kuhlinzekela ukuthola amaprotheni amaningi, okubaluleke kakhulu kubantu abanezifo ezithathelwanayo kanye nokuphazamiseka kwezimpawu zezitho zomzimba.
Ukwelashwa nge-Vitamin
Ngohlobo 1 sikashukela, kunconywa ukuthi kuqinisekiswe ukuthathwa kwalezi zinto ezilandelayo:
- uvithamini e - i-antioxidant, ithuthukisa ukugeleza kwegazi ku-retina, ibuyiselele ukungena kwe-renal;
- uvithamini C - kuthuthukisa ukungatheleleki, kubambezela ukuthuthukiswa kwamabala, kuqinisa imithambo yegazi;
- uvithamini a - antioxidant, kuthuthukisa umbono, kuvuselela imisebenzi yokuzivikela, kusebenze ukukhula kweselula;
- Amavithamini we-B - dambisa ukucasuka, usekele uhlelo lwezinzwa;
- uvithamini H - kunciphisa ukugxila kwe-glucose, kulawula izinqubo zamandla;
- i-lipoic acid - Kwezinga umzimba metabolism wamafutha kanye carbohydrate.
Amayunithi esinkwa
Izinga lokuhlanganiswa kokudla kohlobo lwesifo sikashukela kwakuyunithi lwesinkwa (i-XE), lilingana no-12 g wama-carbohydrate. Kukhona amatafula akhethekile wokudala imenyu ngokushesha. I-XE ingumkhawulo, kepha kwesinye isikhathi ikuvumela ukuthi "ungene" emikhiqizweni engavunyelwe.
Ukusatshalaliswa kwe-XE kwimenyu yansuku zonke:
Ibhulakufesi (4 XE):
- isithelo esisodwa;
- iphalishi likakhokho;
- ingilazi yobisi;
- isinkwa esinama okusanhlamvu nofulawa we-wholemeal;
- itiye noma ikhofi.
Isidlakela (1 XE):
- amabhisikidi owomile, izithelo;
- ikhofi noma itiye.
Isidlo sasemini (2 XE):
- inhlanzi, ushizi, inyama, iqanda;
- isinkwa, ilayisi, amazambane;
- isaladi yemifino;
- izithelo noma isobho
Isidlakela (1 XE):
- amabhisikidi owomile, izithelo;
- isiphuzo sokudla, itiye, ikofi.
Ukudla kwakusihlwa (4 XE):
- inhlanzi, inyama, ushizi, iqanda;
- isaladi yemifino;
- ilayisi, amazambane, isinkwa;
- I-dessert engafakiwe, izithelo.
Dinner 2 (1 XE):
- amakhukhi owomile, isinkwa, izithelo;
- yokudla uphuze itiye.
Amamenyu angaguqulwa ukuze ahambisane nezinto ozithandayo. Kodwa-ke, noma iziphi izinguquko kufanele zixoxwe nge-endocrinologist.
Izincomo nemikhiqizo evunyelwe
Uma kunesifiso sokubala i-XE engxenyeni ngayinye, abezempilo banikeza izincomo ezilandelayo:
- ukubhaka, i-semolina ne-pasta kungathathelwa indawo imikhiqizo kakolweni, i-rye ne-bakery bakery, kepha ngezingxenye ezincane;
- sebenzisa ukubhaka, imikhiqizo ye-confectionery ku-sorbitol ne-xylitol kuphela;
- yenza ama-mousses, ama-jellies kusuka kumajikijolo angenakuthunyelwa;
- kanye ngosuku ukupheka amaqanda aqhekeziwe noma amaqanda abilisiwe;
- yidla ngentshiseko irayisi, i-pearl-ibhali, i-oat, ibhali, iphalishi kakolweni;
- umthombo wamaprotheni uzoba inyama ebusayo, imikhiqizo yenyama yokudla;
- Sebenzisa imifino nebhotela;
- umzimba kumele uthole inani elidingekayo lezinto zokulandela umkhondo, ezanele ezinhlanzini ezomile, ekudleni kwasolwandle, kumasobho nenyama;
- ngezikhathi ezithile ungazama u-ayisikhilimu omuncu, i-apula no-orange;
- Pheka kuphela imifino enama-carb aphansi
- sebenzisa imikhiqizo yobisi yesikimu ngaphandle kwemikhawulo. Usuku luvunyelwe ukudla kuze kufike ku-0,2 kg kashizi we-cottage shizi. Njengesidlakela, iyogathi ephansi yekhalori, ubisi olubilisiwe olubilisiwe, i-kefir, iyogathi kufanelekile. Kwesinye isikhathi kuvumelekile ukuphambukisa ukudla ngokudla okuncane kokhilimu omuncu noshizi.
Imikhiqizo kufanele iqinisekise ukusebenza okujwayelekile kwesikhumba se-Prostate, esenziwa buthaka yisifo. Kungcono ukupheka ukudla ku-hlupha, ubilise, ukhokho ubhake. Yize amaprotheni kufanele aqhamuke ekudleni, akufanele weqe uphawu lwe-60%. Imikhiqizo ye-Herbal, ama-decoctions kanye ne-infusions isiza amazinga aphansi we-glucose.
Ukwehla kwesisindo
Umsebenzi wokudla osezingeni eliphansi le-carb ukulungisa izinto ezidliwayo ukuze kuqedwe ushukela omningi. Ukudla okulinganiselwe kwama-carbohydrate kuvusa ukucutshungulwa kokugcinwa kwamafutha. Ukuguqulwa kwenzeka emavikini angama-1-2, okukuvumela ukuthi wenze ngokwejwayelekile isisindo, ukhulule ukucindezelwa kwepancreas enesifo, futhi ulawule okuqukethwe ushukela.
Ukudla kilojoule ephansi kuthuthukiswa ngakunye. Izimiso eziyisisekelo:
- izingxenye ezincane - amahlandla ama-6 ngasikhathi sinye. Indlela yokuphila yesiguli ibekwe ekudleni kwansuku zonke: kwama-kilojoule asebenzayo - 1500-3000, angasebenzi - kilojoule ayi-1200-1800;
- isisekelo sokudla kufanele kube ngamaprotheni;
- ukuvinjelwa ushukela nezithelo ezinoshukela. I-30 g kuphela ngesimo se-sweeteners evunyelwe;
- ama-carbohydrate asheshayo athatha indawo ethambile;
- iningi lokudla lithathwa isidlo sasekuseni nasemini. Ukudla kwakusihlwa kungama-20% kilojoule yansuku zonke.
- lawula ukugeleza kwamanzi.
Imenyu eyisampula yosuku:
- ibhulakufesi: i-pearl barley porridge (i-buckwheat, amaqanda aqhekekile, inhlanzi entshontshiwe), ushizi (i-cottage shizi casserole, isithelo esisikiwe), isinkwa esinsundu.
- ibhulakufesi elilula: ingilazi ye-kefir engenamafutha (ujusi, ushizi wekotishi onamajikijolo).
- isidlo sasemini: isaladi yemifino, i-borscht eluhlaza (ipea noma isobho lamakhowe, isobho leklabishi), isisulu somusi (ibele elibilisiwe, ukudla kwasolwandle).
- isidlo sasemini: isithelo esisodwa noma ingilazi yejelly (i-salter cracker, i-compote, i-jelly).
- isidlo sakusihlwa: inhlanzi ebhakwe (isibindi ebilisiwe, isoufflé curd,) iklabishi elihanjisiwe (amaqanda ahlahliwe, imifino ebhakwe ngamakhowe, ifilidi lonogwaja abilisiwe), itiye (compote).
- isidlo sakusihlwa 2: ingilazi yobisi olunamafutha amancane (i-kefir, ijeli yezithelo).
Yini okungavunyelwe kwabanesifo sikashukela?
Kuyenqatshelwe ngokuphelele ukusebenzisa:
- ukubhaka, i-confectionery neminye imikhiqizo kafulawa;
- uju, ujamu;
- iziphuzo zekhabhoni;
- imikhiqizo ekheniwe futhi ekheniwe, inhlanzi enosawoti;
- ama-carbohydrate alula;
- umhluzi onamafutha nesobho;
- imikhiqizo eseqedile;
- amajikijolo amnandi, izithelo - amagilebhisi, ubhanana, umango, amakhiwane, izinsuku;
- inyama enamafutha nethosiwe;
- ukudla okubabayo, okubhemayo, okunama-acid;
- imigqumo ekhanyayo, noma yisiphi isiga esimnandi se-curd.
Kunconywa ukwethula umkhawulo we:
- usawoti;
- ushukela
- Macaroni
- kusetshenzwe irayisi elimhlophe;
- ukubhema inyama, amasoseji;
- amabhlogo ommbila;
- imicabango;
- amantongomane
- usoso wezimboni;
- iziphuzo ezinekhofi;
- imifino enokuqukethwe okuphezulu kwama-carbohydrate (afinyelela ku-100 g wokudla okuphelele kuvunyelwe): ummbila, uphizi, amazambane, izigaxa, izaqathe, ama-beet.
Amavidiyo ahlobene
Izimiso eziyisisekelo zokudla okunesifo sikashukela sohlobo 1:
Abantu baphila nesifo sikashukela sohlobo lwami isikhathi eside kakhulu, ngokuya ngezincomo ze-endocrinologist. Ukubaluleka okukhulu kufakwe kwikhwalithi nenani lokudla elichithiweyo. Indlela yokuhlanganisa ukudla nge-XE ikuvumela ukuthi usebenzise cishe yonke imikhiqizo.