Isisekelo sokwelashwa kwezifo eziningi, kubandakanya uhlobo 1 noma isifo sikashukela 2, ukudla okuthile. Amaphutha amancane avamile ekudleni noma ukubuyela kwesiguli emikhubeni yokudla yangaphambilini kungandisa inkambo yenqubo ye-pathological futhi kubangele imiphumela engenakuphikwa. Imikhiqizo yotshwala ingawuthinta kabi umzimba womuntu onempilo ephelele, ngakho-ke, kufanele isetshenziswe ngokuqapha ngokweqile futhi ngokungavamile kakhulu ngabantu abaphethwe yiluphi uhlobo lwesifo sikashukela.
Utshwala bumthinta kanjani umuntu onesifo sikashukela?
Isimo esiyisisekelo sokunxephezela isifo sikashukela nokuvimbela izinkinga ezingaba khona ukugcina amanani ajwayelekile eglucose egazini.
Lokhu kungatholakala ngokusebenzisa imithetho elula:
- landela ukudla okuyisipesheli, okubandakanya ukunciphisa usuku nosuku inani lama-carbohydrate;
- thatha izidakamizwa ukwehlisa ushukela wegazi, okujwayelekile isifo sohlobo 2;
- enze ngokwendlela ebekwe wumjovo kadokotela wohlelo lwama-insulin omfushane nolude (oludingekayo ngohlobo 1 sikashukela).
Abantu abaningi abaqale ukuhlangana nokuxilongwa kwesifo sikashukela bathola kunzima ukuthola indlela entsha yokuphila, kanye nokuyeka ukudla okujwayelekile, lapho ngezinye izikhathi noma ngamaholide kuphela, kodwa bekukhona neziphuzo ezinamandla. Kungakho kubalulekile ukuthi isiguli ngasinye sazi ukuthi izinhlobo ezahlukene zotshwala ziyahambisana yini nokudla okunconyelwe lesi sifo, futhi nokuthi hlobo luni lomkhiqizo lukhiqiza ukulimala okuncane.
Izinqubo emzimbeni ngaphansi kwethonya lotshwala:
- Inani le-glucose ekhiqizwa isibindi lehliselwa egazini, elinyusa umthwalo entweni. Uma kwenzeka kunesidingo esingalindelekile se-glucose, isibindi ngeke sikwazi ukubuyisa imali yaso ngesikhathi esifanele ngenxa yokukhishwa kwe-glycogen.
- Ama-carbohydrate athathwe ngumuntu kanye notshwala adonswa kancane, okuyingozi kakhulu kubantu abanesifo sohlobo 1, lapho i-insulin ifakwa emzimbeni, yakha ukweqisa. Izinga elikhuphukile le-hormone ngesikhathi sokuphuza utshwala liholela ekubulaweni kwamaseli futhi kungenza impilo yomuntu ibe yimbi. Lapho bedakiwe, abantu abanesifo sikashukela bayakwazi ukuphuthelwa amasampula okuqala we-hypoglycemia, okuwukuthi, ukwehla okukhulu kwe-glucose egazini, ukuthatha imizwa yabo yokujwayeka okwenzeka ngemuva kokuphuza kakhulu.
- I-Alcohol, njengokwahluka okuningi kumenyu yesiguli, iphakeme kakhulu kumakhalori. Kufanele kukhunjulwe ukuthi ekwakhiweni kotshwala azikho izinto eziwusizo ezidingekayo ukuze uhlanganyele ezinqubweni ze-metabolic, ngakho-ke kuholela ekubekweni ngokweqile kwe-lipids egazini kanye nokukhuluphala, okuyingozi kumuntu onesifo sikashukela.
- Izifo ezingamahlalakhona ezikhona zesibindi nezinso ziyafutheka, kanti nenkambo ye-pathologies ehlukahlukene yesistimu yenhliziyo nayo iyakhula.
- Ngemuva kokuphuza utshwala, isifiso sokudla siyanda, ngakho-ke umuntu angaqala ngokudla ngokungalawuleki adle ama-carbohydrate, okuholela emzimbeni wakhe ku-hyperglycemia (ukwenyuka okubukhali kwenani likashukela wegazi).
- I-ethyl alcohol, eyingxenye yokukhiqiza utshwala, inegalelo ekunqotshweni kwezinzwa ezizungezayo.
Kubalulekile ukukhumbula ukuthi iziguli ezinesifo sikashukela kufanele ziphuze imishanguzo ethile ngezikhathi ezithile ukuze zilondoloze imithambo yegazi futhi zinciphise nengozi yokuthuthuka okusheshayo kwezinkinga ezingakwazi ukuhambisana ngisho nenani elincane lolo naluphi uhlobo lomkhiqizo wotshwala.
Yiziphi izinhlobo zotshwala ezikhethwa ushukela?
Lapho ukhetha utshwala, iziguli ezinesifo sikashukela kudingeka zinake izici eziningana ngasikhathi sinye:
- inani lama-carbohydrate avezwe njengezengezo ezahlukahlukene ezinikeza utshwala ukunambitheka okucebile futhi kwandise okuqukethwe kwekhalori komkhiqizo;
- inani lotshwala be-ethyl esiphuzweni.
Ngokusho kochwepheshe abaningi emkhakheni wezokudla okudla, u-1 g wotshwala obumsulwa ngu-7 kcal, futhi inani elifanayo lamafutha liqukethe i-9 kcal. Lokhu kubonisa okuqukethwe okuphezulu kwekhalori kwemikhiqizo yotshwala, ngakho-ke ukuphuza ngokweqile kuholela ekuzuzeni isisindo ngokushesha.
Ukuvimbela ukukhuluphala, abantu abanesifo sikashukela bavunyelwe ukuphuza iziphuzo ezishisayo ezilandelayo:
- i-vodka / cognac - hhayi ngaphezu kwe-50 ml;
- iwayini (elomile) - kuya ku-150 ml;
- ubhiya - kuze kufike ku-350 ml.
Izinhlobo ezivinjelwe zotshwala zibandakanya:
- utshwala;
- ama-cocktails amnandi, ahlanganisa iziphuzo ezinekhabhoni, kanye namajusi;
- ama-liqueurs;
- i-dessert newayini elivikelwe, i-champagne emnandi ne-semi.
Kubalulekile ukukhumbula ukuthi utshwala kufanele busetshenziswe ngamanani amancane, ezingxenyeni ezincane nasezikhondweni ezinde.
Ithebula libonisa izinkomba zekhalori zotshwala:
Igama lesiphuzo | Inani le-carbohydrate (g) | Inani le-kcal |
---|---|---|
Iwayini neChampagne | ||
I-dessert (ushukela ongu-20%) | 20 | 172 |
Iqinile (kufika ku-13% ushukela) | 12 | 163 |
I-Liqueur (ushukela ongu-30%) | 30 | 212 |
Ushukela-omnandi (kufika ku-8% ushukela) | 5 | 88 |
Isomiso eyomile (kufika ku-5% ushukela) | 3 | 78 |
Imnandi | 8 | 100 |
Omile (akukho ushukela) | 0 | 64 |
Ubhiya (okubonisa ingxenye yento eyomile) | ||
Ukukhanya (11%) | 5 | 42 |
Ukukhanya (20%) | 8 | 75 |
Okumnyama (20%) | 9 | 74 |
Okumnyama (13%) | 6 | 48 |
Ezinye iziphuzo | ||
IVodka | 0 | 235 |
Utshwala | 40 | 299 |
I-Cognac | 2 | 239 |
Kungenzeka yini ukuthi womise iwayini?
Iwayini, ngokusho kwabantu abaningi kanye nezazi zezempilo, ukuphela kwesiphuzo esidakayo, lapho sidliwa ngamanani amancane, sinikeza izinzuzo zomzimba. Lokhu kungenxa yokuthi ekwakhiweni kotshwala obunjalo kunezakhi ezithile ezinganciphisa amazinga kashukela egazi futhi zibuyisele ukuzwela kwamaselula ku-insulin. Kungakho kubalulekile ukwazi ukuthi yisiphi isiphuzo sewayini esizoba nomthelela owelaphayo emzimbeni.
Ngaphezu kokuqukethwe kwekhalori yesiphuzo, indima ebalulekile idlalwa ngombala, okuncike kubuchwepheshe bokukhiqiza, unyaka, izinhlobonhlobo nendawo yokuvunwa kwamagilebhisi. Kumawayini amnyama kukhona i-polyphenolic compounds eziwusizo emzimbeni, kuyilapho zinhlobo ezikhanyayo zingenjalo. Kungakho inketho enhle kakhulu yeziguli ezinesifo sikashukela ingaba iwayini elibomvu noma le-owomile.
Ubhiya ubathinta kanjani abanesifo sikashukela?
I-Beer, ngenxa yokuqukethwe kwayo okuphezulu kwe-carbohydrate, ithathwa njengesiphuzo esine-khalori ephezulu kakhulu. Ukusetshenziswa kwalolu hlobo lotshwala ngumuntu onesifo sikashukela sohlobo 2 cishe ngeke kuholele enkingeni enkulu yezempilo, kodwa esigulini esincike ku-insulin kungadala i-hypoglycemia. Naphezu kokunambitheka okumnandi kwesiphuzo, umthamo we-insulin ngaphambi kokuphuza kufanele uncishiswe ukugwema ukwehla okubukhali koshukela.
Ukuphuza ubhiya kungenzeka kuphela lapho kungekho ukuguquguquka okubukhali kushukela egazini, kanye noshukela onxephezelwe.
Ngingakwazi ukuphuza i-vodka?
I-vodka iqukethe utshwala, obuhlanjululwe ngamanzi, futhi ngokufanelekile kungabikho ukungcola kwamakhemikhali. Ngeshwa, izinhlobo zanamuhla zemikhiqizo ekhiqizwayo zifaka izinto eziyingozi, eziwuthinta kabi umzimba wesiguli osuvele sibuthakathaka onesifo sikashukela.
IVodka, yize ingumkhiqizo ophuzo oludakayo onesifo sikashukela, ayikukhiphi ukuqala kwe-hypoglycemia ebambezelekile ezigulini ngenxa yamandla ayo okwehlisa ushukela wegazi. Lolu hlobo lotshwala, oluhlanganiswe ne-insulin etholakala ngomjovo, luphazamisa ukufakwa kotshwala ngokuphelele yisibindi futhi kuphazamisa izinqubo ze-metabolic emzimbeni.
Imiphumela yokuphuza utshwala
Ukuphuza utshwala nabantu abanesifo sikashukela kungaholela emiphumeleni emibi futhi esongela impilo.
Lokhu kufaka phakathi:
- I-Hypoglycemic coma - isimo somzimba lapho ushukela uncishiselwa amanani abucayi aphansi.
- I-Hyperglycemia - isimo lapho inani leshukela likhulu kakhulu kunokujwayelekile. I-Coma nayo ingakhula phakathi kwamanani aphezulu kashukela.
- Ukuqhubeka kwesifo sikashukela, ezozenza izwakale esikhathini esizayo esiseduze futhi iziveze ngesimo sezinkinga ezithuthukisiwe (i-nephropathy, i-retinopathy, i-polyneuropathy, i-angiopathy yesifo sikashukela nabanye).
Imvamisa, ngemuva kokuphuza utshwala, i-hypoglycemia iyakhula, lapho inani le-insulin noma lamaphilisi lingaphezu kwalokho okudingekayo. Uma umuntu ephuthelwa ama-harbinger okuqala wesimo esinjengalesi (ukuthuthumela, ukujuluka ngokweqile, ukozela, ukukhubazeka kwenkulumo), ukudla okulula nje ngeke kumsize ekutholeni ukwazi. Indlela efana nokuphathwa kwe-glucose ye-intravenous izosetshenziswa futhi ingadinga nokuhlala esibhedlela.
Ividiyo emayelana nomthelela wotshwala emzimbeni womuntu:
Unganciphisa kanjani ukulimala?
Ungavikela imiphumela engathandeki emzimbeni womuntu ephuze utshwala ngokulandela le mithetho ebalulekile elandelayo:
- Ungabuphuzi utshwala esiswini esingenalutho. Futhi kwenqatshelwe ukufaka isidlo esiphelele notshwala, ukuze ungaqhubeki nokuqinisa umuzwa wendlala. Ngaphambi kokuphuza, kufanele ube nokudla okulula.
- Uma uphuza iziphuzo ezinamandla, kubalulekile ukudla isilinganiso esijwayelekile sokudla ukuvikela i-hypoglycemia.
- Iwayini kufanele lihlanjululwe ngamanzi angahlanzwa ahlanzekile ukuze kuncishiswe okuqukethwe kwikhalori yalo.
- Ngesikhathi nangemva kokuphuza utshwala, udinga ukukala ngezikhathi ushukela wegazi lesiguli. Ukulawula lokhu kunconywa ukuthi udlulele ezihlotsheni zesiguli,okufanele ixwayiswe kusengaphambili ngokusetshenziswa kotshwala nezingozi ezingaba khona.
- Kuyadingeka ukuphuza kuphela inani elincane lotshwala futhi uqiniseke ukulungisa umthamo wemithi ngokwesilinganiso esamukelwe seziphuzo ezinamandla.
- Ukuze ugweme ukwanda okubukhali koshukela, ungathathi izinhlobo ezivinjelwe zotshwala.
- Ngemuva kotshwala, ukusebenza ngokomzimba kufanele kuqedwe ngokuphelele.
- Kwenqatshelwe ukuxuba izinhlobo ezahlukene zotshwala.
- Kubalulekile ukuthi ulawule inani lama-carbohydrate nama-kilojoule afakwe ukuze uguqule izinga lakho leshukela ngesikhathi ngomjovo we-insulin noma izidakamizwa.
Kungaba nzima kakhulu kumuntu onesifo sikashukela ukuzikhawulela kulokho akuthandayo kokunambitha noma akuqede ngokuphelele ekudleni kwakhe. Kepha kubalulekile ukuqonda ukuthi lesi sifo sidinga ukunamathela emithethweni eqinile ephathelene nokudla okungenamsoco ukuze sigweme izinkinga eziyingozi.
I-Alcohol, yize iletha izikhathi ezimnandi zesikhashana empilweni yomuntu, akuyona into edingekayo, ngaphandle kwayo akunakwenzeka ukuba khona. Kungakho abantu abanesifo sikashukela kufanele bacindezele isifiso sokuphuza utshwala ngangokunokwenzeka, noma okungenani bagcine konke ukuncoma okubalwe ngenhla ngenkathi bekuthatha.