Ukwanda kweglucose yegazi kuyisizathu esibucayi sokubona udokotela futhi uthole izizathu zokushintshwa kwayo.
Kunezindlela eziningana zokuxazulula le nkinga - imishanguzo esehlisa ushukela wegazi, amakhambi abantu, ukugcina indlela yokuphila esebenzayo, ukuhlela ukondleka okufanele.
Kungani izinkomba zanda?
Ukwanda koshukela wegazi kwenzeka ikakhulu ngenxa yokuqalwa kwesifo sikashukela ebantwini.
Imibandela elandelayo nayo ingadala ushintsho kuzinkomba ze-glucose kubantu abaphilile:
- ukushaqeka kobuhlungu obukhulu: ukusha, ukukhubazeka, ukuqhuma, ukulimala, ukusika;
- ukushaqeka kwe-neuropsychological, ingcindezi engokomzwelo;
- ukuphazamiseka kwe-pathological kwesibindi;
- ukuphambuka emsebenzini wezitho zesistimu ye-endocrine;
- izifo ezibangelwa yigciwane noma izifo ezithathelwanayo;
- izifo zesistimu yezinzwa;
- imisebenzi yokuhlinzwa;
- ukudla ngokweqile, ukudla ukudla okuphezulu kuma-carbohydrate;
- ukukhuluphala, ukukhuluphala;
- ukusetshenziswa kwemithi ethile: i-hormonal, psychotropic, diuretic, contracepts;
- ukuphuza ngokweqile;
- ukuntuleka kwamandla, imisebenzi yomzimba.
Izizathu ezinjalo ziholela ekwandeni kwesikhathi esifushane sokuhlushwa kwe-glucose, okujwayelekile lapho kungekho khona ama-metabolic pathologies, kanye nokukhiqizwa kwama-enzyme adingekayo ekuqhekekeni kokudla.
Izimpawu zoshukela wegazi ophezulu
Izimpawu zokuqala zivame ukudidaniswa nokubonakaliswa kokubandayo okuvamile, izifo ezibangelwa amagciwane, noma ushintsho oluhlobene nobudala. Ukuqeda lokhu kusolwa, iziguli ezitholile lezi zimpawu ezilandelayo, kunconywa ukuthi kuhlolwe igazi ngoshukela.
Izimpawu ezejwayelekile zokwanda ushukela yilezi:
- ukoma okuqinile njalo;
- umuzwa womlomo owomile;
- ukuchama ngokweqile, okubonakala ngisho nasebusuku;
- ukukhuphuka kwenani lomchamo;
- ukomiswa nokulunywa kwesikhumba;
- ukwehla kwesisindo ngenkathi kugcinwa ukuthambekela;
- ukungaboni kahle
- ubuthakathaka obukhulu, ukozela, ukukhathala okungapheli;
- isiyezi, i-migraines;
- iphunga le-acetone lapho uphefumula.
Umthamo wetshezi oludakelwe umuntu ngosuku lufika kumalitha ayi-3-5. Lokhu kungenxa yokuthi umzimba uzama ukususa ukwanda kwe-glucose egazini ngokuqoqa amanzi, okube sekukhishwa ngokusebenzisa izinso. Ngakho-ke, lapho sikhuphuka kakhulu inkomba ye-glucose yegazi, sikhulu isibalo soketshezi umuntu alahlekelwa ngumchamo osheshayo.
Umlomo owomile kungenxa yezizathu ezifanayo - ukwenza uketshezi olulahlekile, umzimba uphendula ngokuphelelwa ngumzimba ngesifiso sokuthola amanzi.
Lapho kukhona izifo ezephula ukusebenza kahle kwezinso, zingase zingahambisani nomthamo onjalo. Lesi simo siyimbangela yomfutho wegazi ophakeme.
I-glucose, ingena emzimbeni ngokudla, ngenxa yokuphazamiseka kwe-metabolic ayikwazi ukungena kumaseli. Njengoba kungumthombo oyinhloko wamandla ubuchopho kanye nohlelo lwezinzwa, ukushoda kwalo kuholela ekulahlekelweni kwamandla, ukukhathala, ikhanda.
Ngokuphikisana nesizinda sokulamba kweglucose, umzimba udonsa amandla ngokusebenzisa i-oxidation yamafutha, kepha ukufakwa okunjalo kukhombisa ukwanda kwenani lamakhompiyutha e-ketone. Ngakho-ke iphunga le-acetone elisuka emlonyeni, elikhombisa ukwanda koshukela wegazi.
Ekuthuthukisweni kwamagciwane namagciwane fungal, igazi elimnandi liyindawo enhle yokuzala okusebenzayo. Ngakho-ke, iziguli zivame ukuba nezinkinga ngokuphulukiswa kwamanxeba, ukusikeka noma ezinye izilonda zesikhumba.
Imithi Yezidakamizwa
Ukufundwa ushukela wegazi okujwayelekile kungu-4.5-6.5 mmol / L. Uma lezi zibalo zidlula ku-7.0 mmol / L esiswini esingenalutho, kanye namahora ayi-11.2 mmol / L 2 ngemuva kokudla, khona-ke kukhona izinsolo zokuthuthuka kwesifo sikashukela esigulini.
Kulesi simo, kuphuthumayo ukufuna usizo lukadokotela we-endocrinologist ukusiza ukwehlisa lezi zinkomba.
Imithi inqunywa uchwepheshe ngemuva kokuhlolwa okuningiliziwe kanye nokuqinisekiswa kokutholwa, inikezwe uhlobo lwesifo sikashukela.
Uhlobo lwe-insulin yesifo sikashukela selashwa ngemijovo yokulungiselela i-insulin. Umuthi lo uphathwa yisiguli ngokuzimela ngokunqenqemeni ngamasirinji akhethekile ezinkalweni, emathangeni noma emahlombe.
Ungashesha ukwehlisa ushukela wegazi ngokulungiselela okufishane kwe-insulin, kwezinye izimo, odokotela bahlanganisa imijovo namaphilisi okwehlisa ushukela.
Ukuphathwa okunjalo kumele kwenziwe impilo yonke. Imithamo, uhlobo lwe-insulin, inani lomjovo ngosuku lakhethwa isiguli ngasinye, kucatshangelwa ubudala, nobunzima besifo, izici zomzimba womzimba.
Ngohlobo 2 sikashukela, amaphilisi asetshenziswa anciphisa ushukela wegazi. I-Normalize ushukela izosiza: Maninil, Siofor, Metformin, Diabeteson nabanye.
Funda kabanzi ngamaqembu okungenzeka wezidakamizwa ezisetshenziselwa ukwelapha isifo sikashukela sohlobo 2 lapha.
Umsebenzi womzimba
Ukuvivinya umzimba njalo kukhulisa ukuzwela kwezicubu zomzimba womuntu ku-insulin, kuthuthukisa umphumela wamatafula anciphisa ushukela.
Ngaphezu kwalokho, ukuzivocavoca ngokomzimba kusiza ukuqeda amakhilogremu angeziwe, ukuthuthukisa ukusebenza kwezitho zesistimu yezinhliziyo, ukulawula ukusebenza kwe-metabolism, okubaluleke kakhulu kohlobo lwesifo sikashukela sohlobo 2.
Kufanele unake iqiniso lokuthi ukusebenza ngokomzimba kuthinta abantu abanesifo sikashukela ngezindlela ezihlukile. Imithwalo elinganiselayo inomphumela omuhle esimeni sesiguli, ngoba umsebenzi wayo izicubu zishisa ushukela omningi kunokuphumula, ngaleyo ndlela kunciphisa ukusebenza kwawo.
Ukuvivinya umzimba isikhathi eside kungaba nomphumela ophambene. Lapho lo mthwalo ukhula kakhulu, ushukela ukhipha isibindi ngokwengeziwe, futhi liphezulu negazi lakhe egazini.
Ukulayisha imithwalo kuholela ezimweni ezicindezelayo, futhi ezibangela ukwanda koshukela.
Ngosizo lokuzivocavoca olwenziwe kahle, unganciphisa ukusebenza.
Izimiso zokukhetha umthwalo oludingekayo:
- Ukuqina kwamakilasi kufanele kukhethwe ngejubane eliphakathi.
- Khulisa umthwalo kancane kancane.
- Isikhathi samakilasi akufanele singeqi imizuzu engama-20.
- Uhlelo lokuqeqesha kumele lubandakanye ukuzivocavoca ngamandla.
- Ukuvivinya umzimba kuyasiza ekushintsheni neminye imisebenzi - i-yoga, i-Pilates, ukuqina komzimba.
- Umthwalo akufanele uholele ekukhathaleni okukhulu.
Ngemuva kwamakilasi, umuntu kufanele azizwe ephapheme, ekhuthele, angabuzwa ubuhlungu nokungajabuli.
Ezinye izinhlobo zomsebenzi owenziwe ngomzimba nazo zilusizo kwabashukela:
- i-aerobics, lapho kusebenze khona umsebenzi wemisipha emikhulu, ukushaya kwenhliziyo kuyashesha;
- ukwelula umzimba kukuvumela ukuba uphumule futhi unciphise ukungezwani kwemisipha ngemuva kokunye ukusebenzisa;
- amandla omzimba asiza ukuqinisa izicubu zemisipha nethambo, ukushisa amakhalori, ukunciphisa isisindo.
Ukuntuleka kwamandla kwansuku zonke kulimaza kakhulu inhlala-kahle yabantu abanesifo sikashukela, kuqongelela uwoyela omningi emzimbeni, kuphazamise ukusebenza kwezitho zangaphakathi, konakalise imithambo yegazi nokuhlangana.
Kunezimo lapho kunganconywa ukuzivocavoca:
- ukuba khona kwe-acetone ohlotsheni lwesifo sikashukela esincike ku-insulin;
- ngezinkinga zesifo, lapho umthwalo owengeziwe emikhunjini uphulwa;
- emakhubeni aphezulu kashukela.
Umthwalo ngesikhathi samakilasi kufanele uvumelane nodokotela oholayo, ngoba ukuzivocavoca ngokweqile emidlalweni kwehlisa kakhulu ushukela wegazi, futhi kungaholela ekhefeni le-hypoglycemic.
Udokotela uzoncoma futhi achaze izici zokudla ngesikhathi sekilasi, alungise umthamo we-insulin noma ama-hypoglycemic agents.
Isifundo sevidiyo sokuzivocavoca kwezokwelapha:
Ukondleka kwezokwelapha
Ukunakwa ezigulini ezihlushwa amazinga kashukela aphezulu kufanele kunikezwe ukondleka okufanele. Kuyadingeka ukuhlukanisa phakathi kokudla okungadliwa kushukela futhi okufanele kulahlwe. Imithetho enjalo kufanele ibe yinto esejwayelekile esigulini.
Kunoma yikuphi, ukondleka kufanele kube nokulinganisela futhi kube nempilo. Ukuze ulungiselele ukudla, kufanele usebenzise imikhiqizo emisha, uqaphele imibuso yokuphatha ukushisa.
Kunconywa ukufaka aboshukela ekudleni:
- i-buckwheat, i-oatmeal, okusanhlamvu kwebhali, kuphekwe emanzini noma ubisi olungenawo fat;
- inyama, izinhlobo zezinhlanzi eziqukethe okungenani inani lamafutha;
- isibindi senkukhu, ikalikuni;
- ulimi lwenyama yenkomo;
- ubisi olunamafutha amancane nemikhiqizo yobisi;
- ukudla kwasolwandle;
- imifino, ngaphandle kwamazambane: ukhukhamba, u-anyanisi, iklabishi, utamatisi, i-zucchini, isaladi, i-pepper, izaqathe, ama-beet;
- amaqanda
- ushizi wesokisi;
- izithelo, amajikijolo ezinhlobonhlobo ezingafakiwe;
- uwoyela wemifino ngamanani amancane;
- isinkwa sikakolweni esigcwele noma inhlama engenamvubelo.
Kuyadingeka ukususa imikhiqizo kwimenyu enomthelela ekuqongeleleni ushukela egazini futhi ilayishe ama-pancreas:
- inyama enamafutha, inhlanzi, isinqumelo;
- ubisi olwenziwe ekhaya, ushizi wekotishi, ukhilimu omuncu, ukhilimu;
- i-semolina, okusanhlamvu kwelayisi;
- amazambane
- amasoseji, amasoseji;
- i-pasta emhlophe efulawa;
- ukubhaka, i-confectionery, namakhekhe;
- izithelo ezimnandi, izithelo ezomile: ubhanana, amakhabe, amapetshisi, amagilebhisi, omisiwe, amabhilikosi omisiwe, izinsuku;
- iziphuzo ezinoshukela;
- amaswidi, ushokoledi, amakhekhe.
Ngaphezu kwalokho, akufanele ulayishe ama-pancreas ngenyama ebhemayo, isipayisi, ukudla okumuncu, izinongo, amasoso, izimpahla zekotini.
Ukupheka kungcono kunobilisiwe, ku-stewed, kubhakwe noma kufakwe uswidi, ngenani elincane likasawoti kanye nokwethosa.
Kuyadingeka ukuthi udle ukudla ezingxenyeni ezincane kaningana ngosuku, okuqukethwe kwekhalori yenani eliphelele lokudla akufanele kudlule i-2400 kcal ngosuku.
Amanzi kufanele adakwe kuze kufike kumalitha ama-2 ngosuku. Kungaba ngamanzi angahlanzwa ngaphandle kwegesi, iziphuzo zezithelo noma iziphuzo zezithelo ngaphandle koshukela, iziphuzo ezintsha ezivela ezitsheni noma imifino engafakiwe. Ezithombeni zokuphuza itiye nekhofi emnyama ngaphandle koshukela, ama-decoction kusuka kumakhambi okwelapha avunyelwe.
Ukuphuza ama-juices wesitolo akunconyiwe; aqukethe ushukela kanye nezivikelo eziyingozi emzimbeni.
Ngohlobo 1 sikashukela, ukudla okuqinile kungumthetho omkhulu wokugcina uzizwa ujabule. Ngohlobo 2 sikashukela, ukondleka okufanele kuzokusiza wehlise isisindo.
Ividiyo Yesifo Sikashukela Sikashukela:
Izindlela zabantu
Izindlela zokupheka zokwehlisa okuqukethwe ushukela emzimbeni zingasetshenziswa njengezinyathelo ezengeziwe zokwelashwa kwe-insulin. Azinikezi imiphumela esheshayo, kepha ziyakwazi ukuqinisa isenzo semithi ye-insulin noma eyehlisa ushukela. Abanesifo sikashukela sanoma yiluphi uhlobo abakwazi ukwenza ngaphandle kwezidakamizwa.
Unganciphisa kanjani ushukela kusuka kwizithako zemvelo, abelaphi bendabuko bazotshela:
- I-Jerusalema artichoke. Izilimo eziyizigaxa zalesi sitshalo zinoshukela omningi, zibe nokunambitheka okumnandi, nokunambitheka kancane. Ungayisebenzisa iluhlaza, njenge-powder noma ukumnika. Iparele lobumba lilinganisa izinqubo ze-metabolic zomzimba, lihlanze izinto eziyingozi kanye nobuthi. Ukwehlisa ushukela wegazi, kunconywa ukuthi udle ngendlela eluhlaza nsuku zonke ama-tubers wesitshalo. Ukuze ulungiselele impuphu, nezilimo eziyizigaxa kufanele zikhethwe kahle, zomiswe bese zisikwa. Thatha isipuni esingu-1 ngaphambi kokudla kwasekuseni, ubude bokuphathwa obunjalo abunamkhawulo.
- Ama-Blueberries. Ukwelashwa kwesifo sikashukela, kusetshenziswa amaqabunga aluhlaza okwesibhakabhaka, okuthi, ngenxa yomthamo oqukethwe kuzo, njenge-insulin, akwazi ukuguqula okuqukethwe kweglucose. Ukufakwa kwamacembe ezitshalo kuyanconywa nokwehlisa i-visual acuity in diabetesics. 3 wezipuni zamacembe omisiwe athululelwa izinkomishi ezintathu zamanzi abilayo futhi ugcizelele imizuzu engama-30 ukuya kwengama-40. Leli nani lidakwa ngosuku, lihlukaniswe ngemithamo emithathu.
- Ubhatata. Ujusi wamazambane ubuyisela ukugaya, wehlise ushukela. Thambisa amazambane, gxobhoza ujusi, thatha isigamu sengilazi ekuseni nakusihlwa ngaphambi kokudla.
- Ama-beet, izaqathe. Ijusi entsha evela kule imifino idliwa phakathi nosuku, izikhathi ezi-3-4.
- Ama-raspar, ama-sitrobheli asendle. Itiye elisuka emaqabungeni, lithathwe lifudumele, lihlanze igazi, lisuse uketshezi oluningi, liphinde linciphise ukuvuvukala.
- I-Dandelion. Amaqabunga e-Dandelion aqukethe i-analogue ye-insulin ekwakhiweni kwawo, asetshenziswa njengesengezo kumasaladi. I-decoction ilungiselelwe kusuka ezimpandeni: isipuni senziwe kabusha ngengilazi yamanzi abilayo, egcizelelwa imizuzu engu-15. Thatha amagremu angama-50 izikhathi ezine ngosuku.
- I-Birch buds. Ngoshukela, ama-birch efihlekile abilisiwe imizuzu eyi-10, afaka amahora ayi-6. Umthamo wansuku zonke yizipuni ezintathu, izingilazi ezi-2 zamanzi.
- Buckwheat. Ama-grits asemhlabathini nge-grinder yekhofi esimweni se-powder. Ukudla kwasekuseni, yidla isipuni sengxube, esigcotshwe phansi nge-kefir ephansi.
- Ifilakisi. Imbewu yesitshalo ichotshoziwe, igcwele amanzi abilayo, faka imizuzu engama-30. To the ukumeda kokuqeda engeza amaconsi ambalwa kalamula, phuza ngaphandle kokuhlunga. Ku ithisipuni elilodwa le-powder, thatha ingilazi yamanzi abilayo, ngemuva kokuthatha ungadli ukudla amahora amabili. Imbewu yefilakisi ingafakwa kumasaladi nakwezinye izitsha.
- I-infusions yamakhambi. Amanye amakhambi anganciphisa ushukela wegazi. Phakathi kwezitshalo ezinjalo kukhona i-linden, hawthorn, nettle, lingonberry, dandelion, iSt John wort, inja rose.
- Iqabunga le-Bay. Ukuze ulungiselele ukumnika, thatha amaqabunga ayi-10 esitshalo, uthele ku-thermos, uthele amanzi abilayo, ushiye usuku. Phuza izikhathi ezi-3 ngosuku ngaphambi kokudla. Leli khambi linciphisa izinqubo zokuvuvukala, kuqinisa ukungatheleleki, futhi liphansi noshukela wegazi.
Ezokwelapha zinikeza izindlela eziphumelelayo zokuxazulula inkinga kashukela omkhulu wegazi. Njengoba eseqale ukwelashwa ngendlela esifike ngesikhathi, isiguli sizonciphisa kakhulu ubungozi bokuthola ama-coms ashukela, usongo lomonakalo kwezinye izitho zomzimba.