Kaningi, odokotela babona inhlanganisela yohlobo 2 sikashukela kanye nomfutho wegazi ophakeme esigulini esisodwa. Ngaphezu kwalokho, kulesisimo esibi, zombili lezi zifo zandisa umthelela omubi komunye nomunye emzimbeni womuntu.
Ngakho-ke, imithambo nenhliziyo, izitho zohlelo lwe-excretory, imithambo yobuchopho, kanye nemithambo emincane ye-retina yezimpawu zokubuka kwamehlo kuthinteka kakhulu.
Ngokwezibalo, ukukhubazeka ngokuqhubeka kokufa kutholakala kubantu abanjalo. Njengomthetho, umphumela obulalayo ungavela ngenxa yokufakelwa kwe-myocardial infarction, ukwephula kokuhlinzekelwa kwegazi emithanjeni yobuchopho kanye nokwehluleka kwe-renal reinal.
Ucwaningo olwenziwa ngochwepheshe lubonisa kuphela ubuhlobo obusondelene phakathi komfutho wegazi ophakeme nesifo sikashukela. Ukuze uthuthukise isimo somzimba phambi kwalezi zifo ezimbili, kubalulekile ukunikela ngomsoco ofanele we-hypertension kanye nesifo sikashukela.
Izimbangela zomfutho wegazi ophezulu kwabashukela
Njengoba umfutho wegazi ophakeme kuphela wenza inkathi yesifo sikashukela, kungakhathalekile ukuthi hlobo luni, ukunakekelwa kufanele kuthathwe ukunciphisa umthelela omubi walesi sifo esivamile.
Njengomthetho, umthombo wehypertension ezigulini ezinesifo sikashukela sohlobo 1 ibizwa ngokuthi yi-diabetesic nephropathy.
Kukulesi simo esiyimbangela enkulu yomfutho wegazi ophezulu kumaphesenti angamashumi ayisishiyagalombili awo wonke amacala. Lapho kukhona ukuphazamiseka kwe-carbohydrate metabolism yohlobo lwesibili emaphesenti angamashumi ayisikhombisa emacala, imbangela yilokho okubizwa ngokuthi yi-hypertension ebalulekile. Kepha ngamaphesenti angamashumi amathathu azo zonke izimo ze-hypertension kuyabonakala ngenxa yobukhona besifo sezinso.
Ngokwezibalo ezimangazayo, cishe amaphesenti ayisishiyagalombili eziguli ezinesifo sikashukela sohlobo lwe-2 athola lesi sifo ngenxa yomfutho wegazi ophakeme. Ukuhlanganiswa kwalezi zifo ezimbili ngokungangabazeki kuhlotshaniswa nokukhula okukhulu kwamaphesenti wokukhubazeka ngaphambi kwesikhathi nokufa kweziguli. Njengomthetho, umphumela obulalayo uvela ngenxa yokuvela kwama-pathologies ezinhliziyo.
I-Hyperlipidemia ingaba enye provocateur yokuvela kwe-hypertension. Okwamanje, kuyaziwa ukuthi ukwephulwa okukhulu kwama-metabolism wamafutha kungalandelwa kuzo zombili izinhlobo zesifo sikashukela.
Kaningi, ochwepheshe bahlangana nalezi zinhlobo ezilandelayo zokwephulwa:
- ukunqwabelana kwe-cholesterol ye-atherogenic egazini lomuntu;
- ukwanda kwama-triglycerides.
Ngokusho kocwaningo lwesikhathi eside labachwepheshe, kwaziwa ukuthi i-dyslipidemia ithinta kabi izitho zohlelo lomuntu lokukhuculula. Umphumela wale miphumela emibi wukuvela kokungasebenzi kahle kwe-endothelial.
Iqhaza elibalulekile ekubonakaleni kwezinkinga ezinso, ikakhulukazi, ukwehluleka kwezinso, kanye nokuba khona komfutho wegazi ophakeme uma kwenzeka kukhubazeka i-carbohydrate metabolism, kudlalwa ngento efana ne-angiotensin II.
Ukuqina kwayo ezinso kudlula ngokweqile izinga egazini. Njengoba wazi, le nto ine-vasoconstrictor eqinile, proliferative, prooxidant kanye ne-prothrombogenic imiphumela.
Izinkinga ezimbi kakhulu ze-carbohydrate metabolism kuhlobo 2 sikashukela ziphuma kumfutho wegazi ophakeme.
Ngaphezu kwalokho, isabelo sebhubesi leziguli ezinale nkinga zinamakhilogremu angeziwe, ukuphazamiseka kwe-lipid metabolism, futhi emuva kwesikhashana, kubhekene nokwephulwa kokubekezelelwa kwe-carbohydrate. Lokhu kuboniswa yi-hyperglycemia ngokushesha ngemuva kokwethulwa komthamo othile kashukela.
Imenyu yokudla okuphansi kwe-carb yeziguli ezikhulu kakhulu ezinesifo sikashukela
Lapho kukhona ukuthathwa kwe-glucose engalungisiwe, ekhona nge-hypertension, ochwepheshe batusa ukudla okukhethekile.
Ukudla okwenzelwe umfutho wegazi ophakeme nesifo sikashukela kuboniswa ngokuqukethwe okuphansi kwe-carbohydrate, okuthathwa njengeyona ndlela efanelekile yokunciphisa nokugcina ezingeni elidingekayo zonke izinkomba zokuhlushwa kweglue glucose.
Ngaphezu kwalokho, ukudla okunjalo kuzonciphisa kakhulu isidingo somzimba se-insulin. Ukudla okunjalo kwesifo sikashukela sohlobo II nge-hypertension kungasebenza kuphela uma isifo sezinso esingalapheki singakakhuli.
Isixazululo esihle kakhulu ukusetshenziswa kwaso esigabeni se-microalbuminuria. Ungakhohlwa ukuthi ukwehlisa amazinga kashukela egazi kuthuthukisa kakhulu ukusebenza kwezinso. Kodwa-ke, ezigabeni ezibucayi kakhulu zesifo, kuyenqatshelwe ngokuphelele ukusebenzisa ukudla okunjalo ngaphandle kwemvume kadokotela ohambelayo.
Izidingo eziphambili zokudla kwesiguli:
njengoba ukukhuluphala kuyimbangela enkulu yesifo sikashukela, iziguli kudingeka zilondoloze ukulinganisela okuthile ekusebenzeni kokudla. Umgomo oyisisekelo wale ndima ungokulandelayo - umuntu kufanele asebenzise ama-kilocalories amaningi awachitha isikhathi esithile. Leli nani akumele lidlule. Uma umuntu enomkhuba wokuthola isisindo, khona-ke okuqukethwe kwekhalori yokudla kwakhe kufanele kuncishiswe cishe ngekota;- umzimba wesiguli kumele wamukele zonke izakhamzimba nezakhamzimba ezidingekayo empilweni yakhe ejwayelekile. Kungale ndlela kuphela lapho ukuphuculwa kwazo zonke izinqubo ze-metabolic kungatholwa;
- ama-carbohydrate agaywe kalula anqatshelwe ngokuphelele. Ngohlobo lwesibili lwe-mellitus yesifo sikashukela, lo mthetho ubaluleke kakhulu;
- isiguli akufanele singeqi ekudleni kwansuku zonke kokudla okugcwele ngama-lipids. Cishe ama-50 g wamafutha ngosuku. Ukunxephezela amafutha ezilwane, ungasebenzisa zonke izinhlobo zamafutha zemifino nemikhiqizo equkethe amafutha emifino. Uma nje zidliwa njalo, ukugcwala ngokweqile kwamafutha kumaseli wesibindi kungavinjelwa;
- Qiniseka ukulandela ukudla.
njengoba ukukhuluphala kuyimbangela enkulu yesifo sikashukela, iziguli kudingeka zilondoloze ukulinganisela okuthile ekusebenzeni kokudla. Umgomo oyisisekelo wale ndima ungokulandelayo - umuntu kufanele asebenzise ama-kilocalories amaningi awachitha isikhathi esithile. Leli nani akumele lidlule. Uma umuntu enomkhuba wokuthola isisindo, khona-ke okuqukethwe kwekhalori yokudla kwakhe kufanele kuncishiswe cishe ngekota;
Kubalulekile kakhulu ukuthi ungakhohlwa ukuthi ukudla kufanele kuthathwe okungenani kane ngosuku.
Lo mthetho wegolide awunconywa ukuthi wephulwe, ikakhulukazi uma isiguli sifaka i-insulin. Uma ihanjiswa kabili ngosuku, khona-ke udinga ukudla okungenani izikhathi eziyisithupha ngosuku engxenyeni encane.
Ngaphambi kokukhulisa ukondleka kwesifo sikashukela sohlobo 2 kanye nomfutho wegazi ophakeme, kubalulekile ukuthi ekugcineni unqume ukubekezelelwa kwe-glucose. Okokuqala udinga ukwenza lokho okubizwa ngokuthi yinguqulo yecala, lapho uzokwazi ukuthola ukuguquguquka okuqondile ekuqoqweni koshukela egazini.
Uma kungakapheli amasonto amabili izinga likashukela wegazi libuyele kokujwayelekile, khona-ke inani lama-carbohydrate alishwayo lingandiswa kancane kancane. Ucwaningo lukhombisa ukuthi ukwandisa ukugcwala kwama-lipids emzimbeni kungaholela ekuqhubekeni kwesifo sikashukela ngokushesha.
Izitsha ezinoshukela, kanye nokudla okunamafutha, kufanele zigadwe eduze. Zingadliwa kuphela ngamanani amancane. Ukulimala okukhulu kungadalwa ukudla okuqukethe ama-carbohydrate namafutha ngamanani amakhulu (ushokoledi, u-ayisikhilimu, amakhekhe, ama-dessert ahlukahlukene).
Imikhiqizo evunyelwe futhi evinjelwe
Uma isiguli sitholakala sinesifo sikashukela kanye nomfutho wegazi ophakeme ngasikhathi sinye, khona-ke odokotela bayeluleka ukuthi lehlise kakhulu izinga lokudla kosawoti lifinyelela kumagremu amahlanu ngosuku.
Uma uhlobo olunamandla lomfutho wegazi ophakeme lwatholakala, kuyodingeka uyilahle ngokuphelele. Iya ekudleni kwe-hyposalt kungenzeka kuphela ngemuva kwesikhathi esithile.
Elinye iphuzu elibalulekile ukuthi usawoti ufakwa kangcono hhayi ngesikhathi sokupheka, kepha ngesikhathi sokudla. Ngakho-ke, inani likasawoti wezinsuku zonke elidliwayo lizoncishiswa kakhulu.
Ngemuva kwenkathi ethile yesikhathi, izinketho zomuntu zokunambitha zishintsha kakhulu. Usawoti ungathathelwa indawo izinongo ezahlukahlukene nezithelo ezimuncu. Kuyaqapheleka futhi ukuthi akuvunyelwe ukusebenzisa ingxube kasawoti wasolwandle enezinongo. Ingasetshenziswa kuphela ukwengeza ekudleni okwenziwe ngomumo.
Kepha ngokuqondene nohlu lwemikhiqizo enqatshelwe, lokhu kungafaka:
- inyama ebhemayo namasoseji;
- ukudla okuhlukahlukene okusemathinini;
- ukhukhamba;
- izitsha ezinosawoti kanye nososo;
- ukudla okusheshayo okungathengwa kunoma yiliphi esitolo;
- ukudla okusheshayo.
Kubalulekile kakhulu ukuthi ungakhohlwa ukuthatha i-calcium ne-magnesium ukuze ube nomfutho ophakeme kumfutho wegazi ophakeme. Kepha, umthamo walezi zinto kufanele ube olinganiselayo.
Ividiyo elusizo
Izisekelo Zokudla Kwesifo Sikashukela Sohlobo 2:
Ukudla kwesifo sikashukela kanye nomfutho wegazi ophakeme kungenziwa ngokuzimela, kepha udokotela ohambelayo angakwenza futhi lokhu. Uzosho ngokuningiliziwe ngawo wonke ama-nuances nemithetho yokudla, atshele ukuthi yikuphi ukudla okungadliwa nokuthi yikuphi okungadliwayo. Indlela enekhono kulo msebenzi izosivumela ukuthi sisungule imisebenzi ejwayelekile yempilo futhi sinciphise zonke izingozi ezikhona zempilo.
Futhi, umuntu akufanele akhohlwe ngokuvakasha njalo ehhovisi likadokotela ayohlolwa nokuhlolwa okuphoqelelwe. Isiguli ngasinye esinezinkinga zomfutho we-hypertension nge-carbohydrate metabolism kufanele sigadwe udokotela ohambelayo ukuze avikele impilo yakhe ngangokunokwenzeka.
