Ukukhathazeka okuyinhloko kwabantu abaphethwe yi-endocrine ukuphazamiseka kwe-carbohydrate metabolism ukulawula ushukela wegazi.
Ukudla izakhamzimba nokudla ukudla okungokwehlisa ukuqina koshukela emzimbeni wakho kungasiza.
Ukondliwa kuthinta kanjani ushukela wegazi?
Impilo ejwayelekile nenhlala kahle, umzimba womuntu udinga ukunikezwa njalo kwamandla. Umthombo wamandla wukudla okudla nsuku zonke okuqukethe ama-carbohydrate.
Ngemuva kokudla ngakunye, ama-carbohydrate angena emzimbeni, lapho aguqulwa abe ushukela. Ngakolunye uhlangothi, ushukela udonswa emangqamuzaneni bese kuthi lapho udilizwa, ukhiphe amandla. I-hormone i-insulin, ekhiqizwa kuma-pancreas, inikezela ukungena kwamahhala kwe-glucose kumaseli.
Lokhu kwenzeka kubantu abaphilile. Kwezifo ze-endocrine, ukusebenzisana kwe-insulin ngama-receptor amaselula kuyaphazamiseka futhi ukungena kwe-glucose kumaseli kunzima. Lokhu kungenzeka ngenxa yokumelana ne-insulin, lapho ama-receptors elahlekelwa ukuthambekela kwawo ku-hormone futhi umuntu eba nohlobo lwe-2 sikashukela mellitus. Noma ama-pancreas ayabhujiswa futhi ayeke ukukhiqiza i-insulin eyanele, njengoba kwenzeka ngesifo sikashukela sohlobo 1.
Kunoma yikuphi, ngaphandle kokungena emangqamuzaneni, ushukela uqala ukunqwabelana ngokweqile egazini, okuholela ezinkingeni ezinkulu nokuhlaselwa kwe-hyperglycemia. Ngakho-ke, nganoma yiluphi uhlobo lwesifo sikashukela, kubaluleke kakhulu ukuthi udle ngokulungile futhi udle lokho kudla okunganciphisa ukunqwabelana kashukela egazini.
Izimo ze-Glycemic
Ukuze uguqule kahle uhlelo lwakho lokudla futhi unqume ukuthi kungakanani futhi kungakanani ukudla ongakudla okwenziwa ama-carbohydrate, kuqhutshwa kuqala ukuqashwa kweglucose egazini. Okokukala kwansuku zonke kwezinga le-glycemia, ama-glucometer alula kakhulu - amadivaysi acwebile okuvumela ukuthi uthole masinyane ushukela egazini ekhaya.
Ezikhungweni zezokwelapha, ukuhlolwa kwe-glucose kwenziwa ngokuthatha isampula legazi kusuka emithanjeni esezandleni noma emunweni. Ukuhlaziywa okunjalo empeleni kwenziwa kwisisu esingenalutho, kepha ngezinhloso zokuxilonga, izifundo ezimbili zivame ukwenziwa, ngemuva kwamahora we-8 wokuzila kanye nehora ngemuva kokudla.
Izinga lezimpawu ezivumelekile liyahlukahluka ngokuya ngeminyaka:
- izingane ezingaphansi kweminyaka engu-15 - ukusuka ku-2.3 kuye ku-5.7 mmol / l;
- abantu abadala kusukela kwabaneminyaka eyi-15 kuye kwengama-60 - kusuka ku-5.7 kuye ku-6 mmol / l;
- ngemuva kweminyaka engu-60 yobudala - kusuka ku-4,5 kuye ku-6.7 mmol / l.
Uma i-glucose iphakanyisiwe, ngaphezu kwezeluleko zezokwelashwa, udinga ukuthi ushintshe indlela odla ngayo futhi ukhuphule izinga lokudla okuqukethe ushukela ophansi.
Imikhiqizo Ethambile
Ama-carbohydrate angena emzimbeni ngokudla ahlukile ngezinga lawo lokwephuka. Amanye ama-carbohydrate, lawo okuthiwa asheshayo, ayabhidlika bese aguqula ushukela asheshe kakhulu.
Imikhiqizo equkethe ama-carbohydrate anjalo ibhekwa ukuthi ine-GI ephezulu (inkomba ye-glycemic). Uma udla isidlo esinjalo, ushukela egazini ukhuphuka kakhulu.
Imikhiqizo efanayo ifaka leyo ene-GI engaphezu kuka-50: i-pasta, amaswidi, ufulawa, iziphuzo ezidakayo, ukudla okunamafutha, ushokoledi, izithelo ezimnandi. Izibiliboco ezinjalo kufanele zishiywe ngokuphelele.
Izithelo zeCitrus, inyama ethambile, izimpahla eziphekiwe zokusanhlamvu, newayini elomile, i-kiwi kanye nama-apula angavunyelwa ngezikhathi ezithile nenani elincane. Kule mikhiqizo, i-GI evamile ayidluli ku-50, ngakho-ke asikho isidingo sokushiya ngokuphelele izitsha ezinjalo.
Ukugcizelela kokudla okunempilo kwenziwa kangcono ekudleni okuqukethe ama-carbohydrate ayinkimbinkimbi agcwele futhi akhulule ushukela isikhathi eside. Lokhu kuyimikhiqizo ene-GI ephansi, hhayi ngaphezulu kwama-40. Lokhu kufaka ama-sitrobheli, iklabishi, uphizi, ukhukhamba, ubhontshisi, i-zucchini, ubisi lwe-skim, izinhlanzi nezitsha zenyama, i-buckwheat nelayisi elinsundu. Kule mikhiqizo, ekuvumela ukuthi wehlise ngokushesha i-glucose egazini, imenyu enkulu yeziguli ezinesifo sikashukela kufanele ifakwe.
Ithebula lemikhiqizo enama-GI ahlukile:
Izithelo nemifino | I-GI | Amakhekhe, imikhiqizo yobisi, ufulawa | I-GI | Iziphuzo neminye imikhiqizo | I-GI |
---|---|---|---|---|---|
uphayinaphu | 65 | ama-pancake kafulawa | 70 | amantongomane | 25 |
ibhilikotsi | 25 | emhlophe qanda | 50 | isitshalo seqanda | 45 |
i-orange | 40 | ushizi we-feta | - | ujamu | 75 |
ikhabe | 70 | bagel | 105 | newayini elimhlophe elomile | 45 |
ubhanana | 65 | umqulu webhotela | 90 | newayini elibomvu elomile | 45 |
i-lingonberry | 27 | amadombolo nge-cottage shizi | 63 | usawoti | 75 |
broccoli | 15 | amadombolo ngamazambane | 65 | ama-walnuts | 20 |
amabhlogo ayahluma | 20 | hamburger | 105 | othosiwe inyama yenkomo | 55 |
cherry | 25 | ama-waffles | 85 | lwesinaphi | 38 |
amagilebhisi | 45 | ama-croutons athosiwe | 95 | amakhowe anosawoti | 15 |
izithelo zomvini | 25 | iphalishi le-buckwheat emanzini | 53 | gin kanye tonic | - |
ihalananda | 30 | isikhupha seqanda | 55 | iwayini le-dessert | 35 |
eliphakathi kwe | 35 | yogurt yezithelo | 55 | omisiwe | 70 |
ikhabe | 55 | yogurt yemvelo 1.5% | 30 | squash caviar | 70 |
ijikijolo | 20 | zucchini othosiwe | 70 | ushukela cocoa wamahhala | 45 |
sitrobheli zasendle | 20 | i-kefir enamafutha amancane | 28 | i-caramel | 85 |
uphizi oluhlaza | 45 | amabhlogo ommbila | 80 | ama-potato chips | 90 |
amakhiwane | 30 | ibanga eliphakeme le-pasta | 83 | kvass | 35 |
iklabishi entsha | 15 | pasta onzima | 55 | ketchup | 20 |
iklabishi elihanjisiwe | 20 | pasta ubani | 40 | i-fiber | 35 |
sauerkraut | 20 | semolina iphalishi obisini | 68 | umvimba ophekwe | 35 |
amazambane abilisiwe | 60 | ubisi lwemvelo | 35 | izithelo compote | 65 |
amazambane athosiwe | 98 | skim ubisi | 30 | i-cognac | - |
amazambane abunjiwe | 90 | ubisi soya | 35 | ukusikwa kwengulube | 55 |
kiwi | 55 | uncibilike ubisi | 85 | izinhlanzi ezisikiwe | 55 |
sitrobheli | 35 | imajarini | 53 | izinti zomkhuhlane | 45 |
cranberries | 43 | u-ayisikhilimu | 73 | ikhofi yemvelo | 50 |
ukhukhunathi | 40 | muesli | 85 | ikhofi lomhlabathi | 40 |
ugqumugqumu | 45 | oatmeal emanzini | 60 | ama-apricots omisiwe | 35 |
ummbila obilisiwe | 75 | i-oatmeal porridge obisini | 65 | notshwala | 35 |
anyanisi | 15 | oatmeal | 45 | imayonesi | 65 |
ileki | 20 | ummbila | 50 | marmalade | 35 |
ulamula | 25 | omelet | 50 | iminqumo emnyama | 20 |
ama-tangerines | 45 | amadombolo | 65 | ama-alimondi | 27 |
raspberries | 35 | Iphalishi lebhali emanzini | 25 | uju | 95 |
imango | 50 | umqhekezi | 85 | ulwandle lwasendulo | 25 |
izaqathe | 35 | ikhekhe, ikhekhe, amakhukhi | 105 | iminqumo eluhlaza | 20 |
ulwandle ulugwetshwe ulwandle | 35 | uphayi othosiwe ngejamu | 90 | amafutha e-olive | - |
ukhukhamba | 23 | uphayi obhakwe ngeqanda no-anyanisi | 90 | ubhiya | 115 |
upelepele omnandi | 15 | ushizi wepitsa | 65 | ama-popcorn | 83 |
peach | 35 | amabele iphalishi emanzini | 75 | uwoyela wemifino | - |
iparsley | 7 | iphalishi elayisi emanzini | 70 | crayfish ebilisiwe | 7 |
utamatisi | 15 | iphalishi elayisi ebisini | 80 | amafutha engulube | - |
isithombo | 17 | irayisi engaphekiwe ebilisiwe | 60 | ushukela | 73 |
isidlo semifino | 60 | ukhilimu 10% | 35 | imbewu ithanga | 23 |
ulethisi weqabunga | 12 | ibhotela | 55 | imbewu yelanga | 10 |
ama-beet abilisiwe | 65 | ukhilimu omuncu 20% | 55 | ujusi we-orange | 43 |
plums | 25 | ufulawa we-soy | 17 | ujusi wepayinaphu | 48 |
i-currant emnyama | 20 | abapheki | 75 | ujusi wamagilebhisi | 50 |
i-currant ebomvu | 33 | ukhilimu ushizi | 55 | ujusi utamatisi | 20 |
ithanga elibhakwe | 80 | ushizi we-tofu | 17 | ujusi we-apula | 43 |
dill | 17 | ushizi we-feta | 55 | isosi yesoya | |
ubhontshisi abilisiwe | 45 | ama-pancake e-cottage shizi | 75 | amasoseji | 30 |
i-Persimmon | 52 | ushizi onzima | - | pistachios | 20 |
umthondo omnandi | 30 | ushizi wasekhishini 9% | 32 | ama-hazelnuts | 20 |
ukholifulawa othosiwe | 40 | ushizi wekhishi ongenawo amafutha | 32 | i-champagne eyomile | 43 |
ukholifulawa obilisiwe | 20 | isigaxa curd | 50 | ushokolethi wobisi | 75 |
aluhlaza okwesibhakabhaka | 45 | halva | 75 | ushokoledi omnyama | 25 |
ugarlic | 32 | Isinkwa se-Borodino | 43 | ibha chocolate | 75 |
ama-prunes | 23 | isinkwa sikakolweni | 135 | shawarma in pita isinkwa | 75 |
ilenti ebilisiwe | 28 | isinkwa rye-kakolweni | 70 | ||
isipinashi | 13 | isinkwa esiphelele sokusanhlamvu | 43 | ||
ama-apula | 32 | inja eshisayo | 95 |
Izimiso zokudla
Imigomo yokudla okufanele, sibonga lapho wehlise khona inkomba futhi uvikele ukwanda okukhulu kwamazinga kashukela egazini, kufanele kubhekwe ngabanesifo sikashukela sanoma yiluphi uhlobo kuyo yonke impilo:
- Yidla kaningi, kepha ungaphansi. Hlukanisa ukudla okwenzelwe ikhalori yansuku zonke ekudleni okuningana, kufiseleka ukuthi okungenani kube okungenani 5. Izikhathi zokudla, kanye nokudla ngokwazo, kufanele kube kuncane.
- Namathela emthethweni - ukudla okuningi nge-GI ephansi futhi ungafaki izitsha ezine-index ephezulu ye-glycemic. Imikhiqizo enenkomba engama-40 kuye kwangama-50 ingadliwa kabili ngesonto.
- Nikeza izintandokazi ukudla okuphekiwe, ukudla okunoshukela noma okuluhlaza (imifino, amakhambi nezithelo). Kwesinye isikhathi ungabhaka, kepha ukuthosa emafutheni akuvunyelwe.
- Ukuze ubhaka, sebenzisa i-rye noma ufulawa wokusanhlamvu okuphelele noswidi.
- Gwema ukulamba, kepha futhi ungadli ngokweqile. Ukudla kokugcina kufanele kube amahora angama-2-2 ngaphambi kokulala.
- Nsuku zonke, phuza amalitha ayi-1.5-2 wamanzi ahlanzekile asekhona.
- Kala ushukela wegazi ngaphambi kokudla kanye nehora elilodwa ngemuva kokudla. Qopha izinkomba kubhukwana.
Hola indlela yokuphila esebenzayo, kungakhathalekile iminyaka yobudala. Ukuzivocavoca, ukuhamba, i-yoga noma ukubhukuda kufanele kube nsuku zonke.
Ungadla kanjani nesifo sikashukela sohlobo 1?
Izinhlobo 1 diabetesics ziyaphoqeleka ukuthi zihlele ngokuqinile imijovo ye-insulin. Ngohlobo 1 sikashukela, amanyikwe ayabhidlika bese eyeka ukukhiqiza i-hormone.
Umthamo womjovo uncike ekuhlolweni koshukela egazini kanye nenani lama-carbohydrate asheshayo. Ukuyibala kahle, udinga ukulandela izinkomba zama-carbohydrate adliwayo nezinkomba ze-glucose ngaphambi nangemva kokudla. Ama-carbohydrate amancane angena emzimbeni, ehlisa umthamo we-hormone.
Uhlu lwemikhiqizo enqatshelwe:
- obhemayo, osikiweyo kanye nezitsha ezinosawoti ngokweqile;
- i-pasta namasoseji;
- muffin, isinkwa sikakolweni, ushukela kanye nama-dessert amnandi;
- izinhlanzi ezinamafutha nezitsha zenyama;
- imifino ethosiwe nezithelo ezinhle;
- amasoseji enamafutha, ikofi noshukela.
Okulandelayo kufanele kubonakale etafuleni:
- ubisi lwe-skim nemikhiqizo yobisi omuncu;
- isinkwa esiphelele sokusanhlamvu, hhayi ngaphezu kwezingcezu ezimbili ngosuku;
- imifino emisha, ebilisiwe ne-stewed, amakhambi kanye namapheya angenafakiwe, ama-apula;
- inhlanzi enamafutha amancane, isifuba senkukhu nenyama ebusayo;
- i-buckwheat, i-oatmeal nelayisi elinsundu;
- ama-compotes wezithelo kanye nejeli ngaphandle kobuhle obungeziwe.
Ukuhambisana nokudla okunjalo kuzosiza ukulawula lesi sifo futhi ube nempilo enhle.
Ukudla kwesifo sikashukela sohlobo 2
Iziguli ezinesifo sikashukela sohlobo 2 azinqunyelwe imijovo ye-insulin. I-hormone ikhiqizwa ngokwemvelo emzimbeni, kepha ayikwazi ukuthinta amangqamuzana, okwenza ukungena kwe-glucose kube lula. Iziguli ezinje zinconyelwa ukuthatha izidakamizwa ezokwehlisa ushukela bese zandisa ukuzwela kwamangqamuzana ukuya ku-insulin.
Uma unikezwe ukuthi ukuphazamiseka kwe-endocrine kuvame ukwenzeka ngenxa yokukhuluphala, kubalulekile ukuthi abanesifo sikashukela sohlobo 2 banciphise isisindo futhi balondoloze amazinga abo e-glucose ngokudla. Kulokhu, umsoco wokudla kufanele ulinganiselwe futhi ungabi nekhalori ephezulu, kepha iziguli ezinesifo sikashukela sohlobo 2 akufanele zibe ekudleni okulambile.
Badinga ukungafaki ukudla okunenkomba ye-glycemic ephezulu, okungukuthi, bashiye izitsha ezinoshukela ezinoshukela noshukela, ushukela kanye namakhekhe, banikeze ukukhetha emifino emisha nenamafutha, ecebile ngemikhiqizo yemikhiqizo yobisi enoshukela omuncu, inyama enamafutha nenhlanzi. Iphuzu lokuphoqelela ekwelashweni imisebenzi ejwayelekile yokomzimba nokunqatshelwa kwemikhuba emibi.
Ukwehlisa ushukela okhulelwe
Abesifazane abakhulelwe bahlala behlola igazi le-glucose ngesikhathi sokukhulelwa. Lolu cwaningo luyindlela yokuvimbela evunyelwe ukuvikela futhi ifike ngesikhathi sikashukela kubantu besifazane abakhulelwe.
Ngalesi sikhathi, ushintsho lwamahomoni lwenzeka emzimbeni kamama esizayo futhi ukukhiqizwa kwe-progesterone, ngenxa yalokho ushukela egazini ungakhuphuka.
Isimo esivumelekile sikashukela kwabesifazane abakhulelwe asidluli ku-5.7 mmol / l. Amazinga kashukela angaphezu kuka-7 mmol / L akhombisa amathuba esifo sikashukela.
Lokhu kuvame ukuhambisana nezimpawu ezilandelayo:
- umlomo owomile nokoma okhuphukayo;
- Izinkinga zokubuka;
- ubuthakathaka kanye nokubola;
- thumeka futhi uvame ukuchama;
- isikhumba esikhanyayo.
Izimpawu ezinjalo, ezihlanganiswa nokugxila kashukela omningi, zidinga ukwelashwa okufanele ukuvimbela izinkinga.
Ukwelashwa okukhulu kwesifo sikashukela sokuthomba ukulandela ukudla.
Izincomo ezinjalo zivame ukunikezwa:
- ukungafakwa ekudleni kwamaswidi, ushukela omsulwa nezithelo ezimnandi;
- khawula amazambane kanye nemifino ecebile yesitashi;
- yenqaba ama-muffin nezitsha ezinamafutha amaningi, usawoti kanye nezinongo;
- ukungavumeli ukwehliswa ngokweqile kokuqukethwe kwekhalori yezitsha, kodwa futhi nokungadli ngokweqile;
- phuza amanzi amaningi ahlanzekile netiye lamakhambi;
- ungakhathazeki kancane futhi uphumule kakhulu;
- khulisa umsebenzi wokuzivocavoca - babele isikhathi sokuhamba, ukubhukuda, ukuzivocavoca kwasekuseni;
- hlola njalo igazi nge-glucometer.
Ngokuvamile, ukudla nokuzivocavoca kukuvumela ukuba ulondoloze ushukela ezingeni elamukelekayo ngaphandle kokusebenzisa imijovo nemijovo ye-insulin. Ngemuva kokubeletha, amazinga eglucose avame ukubuyela kokujwayelekile futhi, kepha kwenzeka ukuthi i-mellitus yesifo sikashukela sokuphefumula iphenduka ushukela ojwayelekile futhi idinga ukwelashwa okuhlala isikhathi eside.
Izinto zevidiyo kushukela wokukhulelwa kwabesifazane abakhulelwe:
Amakhambi esintu
Unganciphisa amazinga kashukela ngosizo lwe-decoctions yezitshalo zokwelapha neminye umuthi wendabuko.
Lokhu kungasebenza ezigabeni zokuqala zesifo noma kuhlanganiswe nezindlela zokwelapha ezibekwe udokotela wakho:
- Indlela enhle yokwehlisa isisindo nokulawula ushukela okuxubekile ingxube ye-buckwheat ne-kefir. Ebusuku, i-spoonful ye-buckwheat eluhlaza ebunjiwe ithululelwa engilazini ye-kefir futhi ekuseni konke ukwakheka kudakiwe. I-cocktail enjalo kufanele ilungiselelwe okungenani izinsuku ezingama-5.
- Ungasebenzisa i-zest lemon. Kuzodingeka ukuthi isuswe ku-lemons enkulu eyi-6 futhi ingezwe epulpiti kusuka ku-350 g yamakheli wegalikhi nenani elifanayo lempande ye-parsley. Yonke le ngxube ibekwa esiqandisini izinsuku eziyi-14, bese idliwa uhhafu wehora ngaphambi kwesidlo sasekuseni, isidlo sasemini nesidlo sakusihlwa nge-1 tsp.
- Yaziwa ngezakhiwo zayo ezinciphisa ushukela, i-dandelion ejwayelekile. Amaqabunga aqoqwe entwasahlobo athelwa ngamanzi imizuzu engama-30, bese engezwa kusaladi yemifino ne-yolk ebilisiwe. Ungagcwalisa le ngxubevithamini ngo-ukhilimu omuncu ophansi noma ngamafutha omnqumo.
- Amacembe ama-sitrobheli amancane nawo afanelekile kulezi zinhloso. Zingomiswa noma zisetshenziswe zisha, zibiliswe ngamanzi abilayo futhi ngemuva kwemizuzu engu-15 yokumnika, phuza usuku lonke ngendlela yetiye. Ukuphuza okunjalo ngeke kwehlise inani eliphakeme kuphela, kepha futhi kuzosiza ukuqeda i-edema nesihlabathi ezinso.
- Ama-raspberries amahlathi anezici ezifanayo. Amaqabunga awo ayenziwa njengotshani bese isiphuzo sidliwa sifudumele usuku lonke.
- Iqoqo lenziwa ngezingxenye ezilinganayo zamaqabunga obhontshisi, amaqabunga e-lingonberry, ama-stigmas ommbila kanye namahhashi. Konke kuchotshoziwe futhi kuxutshwe. Faka ingxube nengilazi yamanzi abilisiwe bese ume okungenani amahora amathathu. Phuza ingilazi yesithathu yokufakwa ekuseni, ntambama nakusihlwa.
Zonke lezi zindlela zokupheka zisebenza kahle futhi ziyakwazi ukulawula izinga le-glycemia, kepha ukwelashwa kwasekhaya kufanele kuhambisane nokwelashwa kwezidakamizwa kanye nokudla, futhi kungakuhleli ngokuphelele. Lokhu kubaluleke kakhulu kubantu abanesifo sikashukela sohlobo 1, lapho imijovo ye-insulin kungafanele iphuthelwe.
Izindlela ezimbalwa ezimbalwa zokunciphisa izinga le-glucose yakho:
Ngokwesifo sikashukela sohlobo 2, ukugcizelela okuyinhloko ekwelashweni ekudleni kokudla kanye nasekuphuzeni izidakamizwa ezinciphisa ushukela, kanye nama-decoction okwelapha kanye nokuxutshwa kungaba yindlela esekelayo nesekelayo.