Cia peb paub tias qhov no yog ntshav qab zib hom 2. Tam sim no, tus kab mob no tau dhau los ua ntau dua tsis yog hauv Russia, tab sis thoob plaws ntiaj teb. Raws li cov ntaub ntawv tshiab, dhau kaum xyoo dhau los, tus naj npawb ntawm cov neeg mob tau nce los ntawm rau caum feem pua. Hauv qhov no, nws yog ib qho tseem ceeb kom nkag siab txog cov tsos mob, provoking yam thiab muaj kev kho mob rau tus kab mob no. Ntshav qab zib Hom 2 yog dab tsi, nws yog ib qho tseem ceeb kom paub ua ntej.
Basic concepts
Hom 2 mob ntshav qab zib mellitus yog ib hom kab mob sib kis tsis zoo. Nws tuaj yeem cuam tshuam rau txiv neej thiab poj niam, feem ntau muaj hnub nyoog plaub caug xyoo. Qhov phom sij ntawm hom 2 mob ntshav qab zib mellitus (ICD-10 - E11) yog qhov tsis txaus ntseeg los ntawm ntau tus, thiab qee tus neeg mob, qhov tseeb, tsis paub txawm tias lawv lub cev raug tus kab mob.
Thiab cov uas paub txog kab mob feem ntau tsis uapaub tias nws yog dab tsi thiab nws hem dab tsi, thiab tib lub sijhawm tsis xav tias muaj kev phom sij los ntawm tus kab mob no. Yog li ntawd, hom 2 mob ntshav qab zib mellitus tuaj yeem ua rau mob hnyav heev, ua rau muaj kev hem thawj. Los ntawm txoj kev, kev tsis taus ntawm hom 2 mob ntshav qab zib kuj tseem ua tau.
Meanwhile, kev kho kom txaus nrog kev noj zaub mov kom raug tuaj yeem txwv tsis pub muaj tus kab mob no. Yog li, cia peb pib los ntawm kev tshawb nrhiav seb yog vim li cas thiab cov tsos mob ntawm tus kab mob hauv nqe lus nug.
Yog vim li cas
Yuav kom nkag siab tias mob ntshav qab zib hom 2 yog dab tsi, cia peb saib vim li cas. Lawv tuaj yeem muaj ntau haiv neeg. Hom thib ob feem ntau tshwm sim los ntawm kev noj zaub mov tsis zoo, nrog rau kev ua tsis zoo ntawm lub cev, rog dhau, kev xeeb tub, kev ntxhov siab, kev noj tshuaj rau tus kheej nrog tshuaj, piv txwv li, glucocorticosteroids, thiab lwm yam. Qhov tseeb, feem ntau qhov tseem ceeb tsis yog ib qho chaw, tab sis ib txheej ntawm ntau yam ua rau.
Kev xav txog qhov tshwm sim ntawm tus kab mob no nyob rau hauv cov nqe lus ntawm pathogenesis, nws tsim nyog sau cia tias hom 2 mob ntshav qab zib feem ntau yog tshwm sim los ntawm qhov tsis muaj insulin. Qhov no yog ib qho kev tiv thaiv uas cov protein no tsim los ntawm cov txiav ua tsis tau rau cov receptors uas nyob rau ntawm cov cell membranes. Raws li qhov tshwm sim, cov hlwb tsuas yog tsis tuaj yeem nqus cov piam thaj kom zoo, uas ua rau tsis muaj cov piam thaj, nrog rau kev sib sau ntawm cov tshuaj no hauv cov ntshav thiab nws cov deposition ntau dhau ntawm cov ntaub so ntswg. Nws yog los ntawm qhov kev ntsuas no uas suav tias yog hom mob ntshav qab zib mellitus txawv ntawmthawj hom, uas pancreas tsis tsim cov tshuaj insulin txaus.
Hom 2 mob ntshav qab zib thiab nws cov tsos mob
Cov tsos mob ntawm tus kab mob no feem ntau nyob ntawm theem ntawm tus kab mob nws tus kheej. Thaum xub thawj, tus neeg mob yuav tsis hnov mob hnyav, tshwj tsis yog tias muaj kev qaug zog ntxiv, nrog rau cov tsos mob xws li qhov ncauj qhuav, nqhis dej thiab qab los noj mov. Cov xwm txheej zoo li no feem ntau tshwm sim los ntawm kev noj zaub mov tsis raug, thiab, ntxiv rau, ua rau lub cev tsis muaj zog thiab kev ntxhov siab.
Tab sis qhov tseeb, qhov ua rau yog qhov tshwm sim ntawm pathology. Raws li tus kab mob loj hlob tuaj, cov tsos mob yuav suav nrog kev kho mob tsis zoo ua ke nrog kev tiv thaiv tsis muaj zog, mob thiab o ntawm cov leeg, tsis xis nyob hauv lub taub hau, thiab dermatitis. Kev rog rog hauv hom 2 mob ntshav qab zib muaj ntau heev. Hmoov tsis zoo, rau ntau tus, qhov mob no tshwm sim tsis muaj kev cuam tshuam txog thaum nws mus txog theem tsis txaus siab lossis ua rau tus neeg mus rau hem.
Peb yuav tham kom ntxaws txog kev kho mob ntshav qab zib hom 2 thiab khoom noj khoom haus hauv qab no.
Kev kho mob
Qhov tseeb, niaj hnub no tsis muaj txoj hauv kev zoo txaus uas ua rau kom nqus tau cov piam thaj, nrog rau qhov no, qhov tseem ceeb hauv kev kho mob yog txo qis cov piam thaj ntau dhau hauv cov ntshav. Tsis tas li ntawd, kev siv zog tau ua kom txo qis qhov hnyav thiab coj rov qab mus rau qhov qub, vim tias cov ntaub so ntswg adipose muaj ntau lub luag haujlwm tseem ceeb hauv kev tsim cov kab mob no.
Qhov tseem ceeb cuam tshuam rau qhov tshwm simKev txhim kho ntawm cov teeb meem hauv hom 2 mob ntshav qab zib mellitus, muaj kev ua txhaum ntawm cov txheej txheem ntawm lipid metabolism. Cov roj (cholesterol) ntau dhau ntawm qhov sib txawv ntawm qhov yuav tsum tau ua tuaj yeem ua rau muaj kev txhim kho ntawm angiopathy. Los ntawm txoj kev, hom 2 mob ntshav qab zib muaj ntau heev hauv kev rog.
Basic Therapies
Ntshav Qab Zib, xa mus rau hom thib ob, yog kab mob uas xav tau kev kho mob ntev thiab tsis tu ncua. Qhov tseeb, txhua txoj kev siv tau muab faib ua peb pawg hauv qab no:
- noj tshuaj tshwj xeeb.
- Hloov tus cwj pwm thiab kev ua neej.
Kev kho tau zoo suav nrog kev tawm tsam ntawm pathology nws tus kheej thiab nrog cov kab mob sib xyaw ua ke ntawm kev rog, kub siab, angiopathy, neuropathy, kev nyuaj siab, thiab lwm yam.
hom mob ntshav qab zib no yog kho raws li tus neeg mob sab nraud thiab hauv tsev. Kev mus pw hauv tsev kho mob, raws li txoj cai, yog raug rau cov neeg mob hyperosmolar thiab hyperglycemic coma. Tsis tas li ntawd, cov neeg mob uas muaj ketoacidosis, mob hnyav neuropathy thiab angiopathy, mob stroke, thiab lwm yam yuav tsum tau nyob rau hauv kev saib xyuas nruj heev.
Yuav tshuaj dab tsi yog tshuaj rau ntshav qab zib hom 2?
Qhov tseeb, txhua yam tshuaj rau ntshav qab zib tau muab faib ua ob pawg:
- txhais tau tias cuam tshuam cov txheej txheem ntawm kev tsim cov tshuaj insulin.
- Tshuaj tsis yog.
Cov tshuaj tseem ceeb ntawm pawg thib ob yog Metformin los ntawm qeb ntawm biguanides. Cov tshuaj no feem ntau yog muab rau cov ntshav qab zib hom 2. Nws tsis cuam tshuampancreatic hlwb thiab tswj cov ntshav qabzib nyob rau theem ib txwm. Cov cuab yeej tsis hem tus neeg mob nrog qhov txo qis hauv qib ntawm cov khoom no. Lawv kuj hlawv rog thiab txo qab los noj mov, uas ua rau kom txo qhov hnyav tshaj hauv cov neeg mob. Muaj tseeb tiag, kev noj tshuaj ntau dhau ntawm cov tshuaj no tuaj yeem ua rau muaj kev phom sij, vim tias qhov tshwm sim ntawm cov kab mob loj heev uas muaj feem pua ntawm cov neeg tuag tsis suav nrog, uas tshwm sim los ntawm lactic acidosis.
Sulfonylurea derivatives yog cov neeg sawv cev ntawm lwm pab pawg tshuaj uas cuam tshuam rau kev tsim cov tshuaj insulin. Lawv ncaj qha txhawb cov beta hlwb ntawm pancreas, vim lawv tsim cov tshuaj insulin ntau ntxiv. Tab sis kev noj tshuaj ntau dhau ntawm cov tshuaj no ua hem tus neeg mob nrog qhov pib ntawm qhov teeb meem hypoglycemic. Cov tshuaj no feem ntau yog ua ke nrog Metformin.
Muaj lwm hom tshuaj. Cov chav kawm ntawm cov tshuaj uas txhim kho insulin ntau lawm suav nrog incretin mimetics nrog inhibitors. Tab sis cov no yog cov tshuaj tshiab, thiab txog tam sim no lawv kim heev. Lawv qhov kev nqis tes ua cuam tshuam nrog kev cuam tshuam ntawm kev sib txuas ntawm cov piam thaj nce glucagon nrog rau kev nce hauv cov haujlwm ntawm incretins (hormones ntawm lub plab zom mov), yog li ua kom cov insulin ntau lawm.
Tseem muaj ib yam tshuaj uas tiv thaiv kev nqus cov piam thaj, peb tab tom tham txog "Acarbose". Cov cuab yeej no tsis cuam tshuam rau kev tsim cov tshuaj insulin. Nws yog feem ntau sau rau hauv prophylacticLub hom phiaj, txhawm rau tiv thaiv kev txhim kho ntshav qab zib.
Tam sim no kuj muaj tshuaj rau hom 2 mob ntshav qab zib mellitus, uas ua rau kom cov kua qabzib tso rau hauv cov zis, thiab cov tshuaj uas ua rau kom cov hlwb rhiab heev. Kev kho mob insulin tsis tshua siv hauv kev kho mob ntshav qab zib hom 2. Feem ntau nws yog siv thaum tsis muaj txiaj ntsig ntawm kev kho nrog lwm cov tshuaj, nrog rau kev tiv thaiv keeb kwm yav dhau los ntawm cov ntshav qab zib decompensated, thaum lub txiav txiav ua tiav thiab tsis tuaj yeem tsim cov tshuaj insulin txaus.
Ntawm lwm tus, tam sim no, ua ib feem ntawm kev kho mob ntawm daim ntawv no, cov tshuaj tau siv hauv daim ntawv ntawm "Glibenclamide", "Chlorpropamide", "Tolazamide", "Repaglinide", "Nateglinide", ". Exenatide", "Liraglutide", "Lixisenatida" thiab lwm yam.
Means "Defort"
Nov yog ib qho tshuaj tshiab rau ntshav qab zib, ua lub sijhawm tshwj xeeb kom tshem tau cov tsos mob ntawm tus kab mob no. Nws pab tshem tawm nws qhov laj thawj. Raws li cov neeg tsim tawm, cov tsos mob ntawm lub qhov ncauj qhuav, kev xav mus ib txhis ntawm kev tshaib kev nqhis lossis, qhov tsis sib xws, tsis qab los noj mov, mob nqaij, nqhis dej tas li, nrog rau cov teeb meem ntawm lub plab zom mov (txhua yam tshwm sim ntawm hom 2 mob ntshav qab zib) yuav. raug tshem tawm los ntawm Difort hauv ib hlis xwb.
Nws tsim nyog sau cia tias cov tshuaj no tsim nyog rau kev kho mob ntawm hom 1 thiab hom 2 mob ntshav qab zib thiab suav tias muaj txiaj ntsig zoo ntawm txhua theem ntawm tus kab mob hauv nqe lus nug. Nws tuaj yeem siv tsis muaj kev txhawj xeeb txog kev noj qab haus huv, vim nws muaj kev nyab xeeb kiag li. Cov khoom xyaw ntuj tsis tsuas yog restorerhiab heev rau insulin, tab sis kuj txhim kho kev ua haujlwm ntawm lub plawv, vascular, endocrine, genitourinary, paj hlwb thiab digestive systems.
Defort ua haujlwm li cas?
Cov tshuaj muaj pes tsawg leeg ntawm cov tshuaj pib nws txoj haujlwm tsuas yog thaum siv ua ke nrog cov activator. Cov khoom xyaw nquag nkag mus rau hauv cov hnyuv me, qhov chaw uas lawv ua ke nrog cov enzymes ntuj thiab nkag mus rau hauv cov ntshav hauv ib nrab teev. Nrog nws, cov khoom raug xa mus rau peptide hlwb, pib lawv txoj haujlwm ruaj khov thiab tswj lawv qhov rhiab heev rau insulin.
T2DM thiab kev noj haus
Khoom noj khoom haus ua lub luag haujlwm tseem ceeb hauv kev kho mob ntshav qab zib hom 2. Lub ntsiab ntawm kev hloov cov zaub mov yog kev tswj cov as-ham nkag mus rau hauv lub plab zom mov. Kev noj zaub mov tsim nyog yog txiav txim siab los ntawm tus kws kho mob endocrinologist, uas yog ua tiav ib tus zuj zus rau txhua tus neeg mob, suav nrog kev mob ntshav qab zib tag nrho, kab mob sib kis, kev ua neej, hnub nyoog, thiab lwm yam.
Hnub no, muaj ntau hom kev noj zaub mov uas siv rau hom ntshav qab zib no. Txhua tus ntawm lawv tau ua pov thawj lawv tus kheej zoo kawg nkaus thiab sib txawv ntawm ib leeg tsuas yog hauv qee cov ntsiab lus. Tab sis lawv pom zoo tias cov qauv ntawm kev noj zaub mov carbohydrate thaum muaj mob yog nruj me ntsis txwv.
Ua ntej ntawm tag nrho cov, qhov no yuav tsum ua nrog cov khoom uas muaj cov ntsiab lus ceev, uas yog, cov uas tau nqus los ntawm lub plab zom mov nrog xob laim. Raws li txoj cai, lawv muaj nyob rau hauv qab zib, jam, ntau yam khoom qab zib, thiab, ntxiv rau, lawv muaj xws li chocolate, ice cream, khoom qab zib, ci pastries. Tshaj downgradingcov carbohydrates, nws yuav tsum tau siv zog los txo qhov hnyav, vim qhov hnyav ntawm lub cev ua haujlwm ua ib qho tseem ceeb ua rau tus kab mob no hnyav dua.
cov lus qhia ntxiv
Nws raug nquahu kom haus dej kom ntau ntxiv kom cov kua dej ntxiv tawm tsam keeb kwm ntawm kev tso zis ntau zaus, uas feem ntau nrog ntshav qab zib. Nrog rau qhov no, nws yuav tsum tau tso tseg cov dej qab zib, xws li cola, txiv qaub, kvass, kua txiv hmab txiv ntoo thiab tshuaj yej nrog qab zib. Qhov tseeb, koj tsuas tuaj yeem haus cov dej qab zib uas tsis muaj piam thaj, peb tab tom tham txog cov ntxhia thiab dej dawb, tshuaj yej tsis muaj qab zib thiab kas fes. Nws yuav tsum nco ntsoov tias cawv kuj tsis suav nrog, vim nws cuam tshuam cov metabolism hauv qabzib. Noj zaub mov tsis tu ncua, uas yog, tsawg kawg peb zaug hauv ib hnub, thiab nyiam dua tsib lossis rau. Koj yuav tsum tsis txhob zaum ntawm lub rooj tam sim ntawd tom qab kev tawm dag zog lub cev. Dab tsi ua tau nrog ntshav qab zib hom 2 thiab yam tsis yog, nws yog qhov zoo dua kom paub ua ntej.
tso cai thiab txwv cov zaub mov
Ua ntej txiav txim siab nthuav dav cov khoom lag luam uas tuaj yeem siv rau tus kab mob no, cia peb nco qab cov qauv uas lawv tau xaiv:
- Lawv yuav tsum tsis muaj carbohydrates. Tsuas yog lawv qhov chaw nyob tsawg kawg nkaus xwb.
- qis glycemic index.
- Cov ntsiab lus ntawm cov vitamins thiab cov txiaj ntsig zoo.
- yuav tsum tau noj qab thiab noj qab heev.
Muaj ob peb yam khoom uas ua tau raws li cov cai no. Tsim kom muaj kev nyab xeeb thiab appetizing zaub mov rau tus neeg mob ntshav qab zib tsis yog qhov nyuaj txhua. Kawm pom kevcov as-ham uas tuaj yeem noj nrog cov kab mob no, xav txog lawv hauv pab pawg.
Puas muaj peev xwm nrog hom 2 mob ntshav qab zib hom 2?
Ntsuab
Dab tsi rau peb txhua tus yog lub hauv paus ntawm kev noj haus, rau cov neeg mob ntshav qab zib yog, hmoov tsis zoo, nyob rau hauv kev txwv tsis pub dhau. Porridges rau hom 2 mob ntshav qab zib, nrog rau cov hmoov nplej thiab nplej zom, yog txwv tsis pub, vim tias lawv muaj ntau cov carbohydrates, uas yuav tsum tsis suav nrog koj cov zaub mov. Koj tuaj yeem muab kev nyiam rau cov kev xaiv txawv hauv daim ntawv ntsuab buckwheat lossis mov quinoa, uas muaj cov carbohydrates tsawg tshaj plaws. Tab sis tsuas yog kev zam, thaum koj xav tau ntau heev.
zaub - ok los tsis yog?
Puas yog zaub mov ntshav qab zib hom 2? Lawv tsim ib feem tseem ceeb ntawm tus neeg mob noj zaub mov. Yuav luag txhua tus ntawm lawv muaj qhov qis glycemic Performance index thiab qis qis ntawm carbohydrates. Kuj tseem muaj kev zam:
- Eggplants, nrog rau txiv lws suav, zucchini, zaub qhwv, dos, taum, yog cov zaub tso cai rau daim ntawv no ntawm tus kab mob.
- Daim npe txwv cov qoob loo muaj cov qos yaj ywm hau thiab kib, pob kws, beets, taub dag.
Koj tuaj yeem lossis tsis tuaj yeem noj zaub rau tus kab mob no, nyob ntawm qhov xwm txheej. Txawm li cas los xij, txhua yam yuav tsum tau kho lub luag haujlwm. Koj yuav tsum tsis txhob overdo nws nrog cov khoom tso cai, tab sis cov kev txwv categorical kuj tsis yog kiag li. Nws tag nrho yog nyob ntawm seb tus kab mob nyob rau hauv ib tug neeg mob, cov tshuaj tiv thaiv ntawm nws lub cev. Txwv tsis pub cov khoom me me yuav tsis ua mobnyob rau hauv qhov xwm txheej uas nws tau them nyiaj los ntawm kev noj zaub mov nruj uas cuam tshuam nrog lwm yam khoom noj khoom haus tsis zoo.
Yuav noj dab tsi ntxiv nrog ntshav qab zib hom 2?
Ntaus
Mis nrog nws cov derivatives raug tso cai nyob rau hauv hom 2 mob ntshav qab zib thiab txawm pom zoo. Cov khoom noj mis nyuj muaj peb lub luag haujlwm tseem ceeb:
- Lawv nkag rau cov hnyuv nrog cov kab mob uas txhim kho microflora ntawm mucosa.
- Tiv thaiv lub plab zom mov los ntawm cov kab mob putrefactive.
- muaj txiaj ntsig zoo rau qib ketone thiab qabzib.
Thaum xaiv cov khoom noj mis nyuj rau tus neeg mob ntshav qab zib, ib tus yuav tsum nco ntsoov tib txoj cai: nws yuav tsum muaj roj tsawg. Mis nrog tsev cheese, muaj roj tsawg ntau yam nyuaj cheese, curdled mis nyuj thiab qaub cream yuav tsum yog lub hauv paus ntawm tus neeg mob noj cov zaub mov. Tab sis kuj muaj kev zam. Qee cov khoom noj mis nyuj muaj qhov ntsuas glycemic siab.
txiv hmab txiv ntoo thiab txiv ntoo, zaub
Koj tuaj yeem noj dab tsi los ntawm cov txiv hmab txiv ntoo uas muaj ntshav qab zib hom 2? Lawv tsis raug txwv, tab sis tseem nyiam yuav tsum tau muab rau cov zaub uas muaj cov khoom noj tsis txaus noj fiber ntau. Muaj tseeb, ntau yam zaub, piv txwv li, qos yaj ywm, carrots thiab beets muaj ntau cov hmoov txhuv nplej siab, yog li lawv cov kev suav nrog hauv cov zaub mov yuav tsum txwv. Cov txiv hmab txiv ntoo rau ntshav qab zib hom 2 tuaj yeem noj hauv qhov nruab nrab, thiab tsuas yog cov uas tsis muaj cov carbohydrates ntau dhau (hmoov tsis zoo, muaj ntau ntawm cov txiv tsawb, txiv hmab txiv ntoo thiab cov txiv ntoo). Lawv tsis pom zoo vim tias lawv tuaj yeem ua rau cov ntshav qab zib nce ntxiv.
Cov no yog kab tias cov khoom xyaw zoo tagnrhotxhua yam kab mob ntshav qab zib. Lawv tsis muaj carbohydrates uas cuam tshuam rau qib qabzib. Lawv qhov Performance index yog xoom. Muaj ob peb yam uas yuav tsum nco ntsoov thaum suav nrog ntses thiab nqaij hauv koj cov zaub mov:
- Lawv tsis tshua npaj ua zaub mov rau lawv tus kheej, thiab yog butter lossis hmoov ntxiv, qhov ntsuas nce.
- Lub sijhawm tshav kub kuj cuam tshuam rau glycemic Performance index ntawm cov zaub mov. Yog li, koj yuav tsum xaiv cov zaub mov nrog lub sijhawm ua noj luv tshaj plaws.
Cov nqaij tsuas yog tsis pom zoo rau cov neeg mob ntshav qab zib yog yaj, uas tuaj yeem ua rau muaj qhov tshwm sim ntawm comorbidities. Preference yuav tsum tau muab rau cov khoom noj sausages thiab sausages. Lawv tsis oversaturate nrog cov txuj lom thiab tsis cuam tshuam qhov concentration ntawm qabzib.
Nws tseem yooj yim nrog ntses. Mob ntshav qab zib mellitus raug tso cai ib yam ntawm nws hom, tshwj tsis yog cov kab txawv txawv. Lub luag haujlwm tseem ceeb yog ua los ntawm txoj kev npaj. Dab tsi yog qhov tsis zoo ntawm hom 2 mob ntshav qab zib los ntawm ntses? Haus luam yeeb thiab ntsev yog txwv tsis pub. Nws yog qhov zoo tshaj rau noj boiled. Koj tuaj yeem noj nws tsis pub ntau tshaj 150 grams tauj ib hnub, thiab suav nrog hauv cov ntawv qhia peb lossis plaub zaug hauv ib lub lis piam.
Tim 2 mob ntshav qab zib ceg mob
Nyob rau hauv cov neeg mob uas muaj tus kab mob no, ntau yam kev hloov pauv ntawm ob txhais ceg feem ntau tshwm sim, thiab txawm tias muaj teeb meem tshwm sim (piv txwv li, callus lossis tawg) tuaj yeem ua rau muaj teeb meem loj: kev loj hlob ntawm tus mob ntshav qab zib ko taw (ulcer)., gangrene). Cov laj thawj tseem ceeb rau kev loj hlob ntawm cov kab mob xws li:
- MuajKev puas tsuaj rau paj hlwb peripheral fibers, piv txwv li neuropathy, uas ua rau txo qis hauv peripheral rhiab heev.
- Impaired blood flow in the arteries of the ob txhais ceg vim atherosclerosis. Hauv hom 2 mob ntshav qab zib mellitus, tus mob no tshwm sim heev.
- Kev tshwm sim ntawm deformity ntawm ko taw ntawm ko taw.
Cov tsos mob ntawm kev loj hlob ntawm peripheral neuropathy tuaj yeem yog qhov tshwm sim ntawm kev nkag siab, nrog rau kev nqhis dej, cuam tshuam cov paj hlwb uas poob rhiab heev rau qhov kub thiab qhov mob, nrog rau lub siab. Qhov no txhais tau hais tias tus neeg mob yuav tsis hnov nws raug mob, piv txwv li, nws tsis tuaj yeem pom ib yam khoom txawv teb chaws hauv nws nkawm khau, thiab ntxiv rau, nws yuav tsis hnov qhov kub hnyiab yog tias txhais taw sov los ntawm qhov cub kom txog thaum lub qhov txhab tsim.
Qhov swb ntawm cov paj hlwb tuaj yeem ua rau deformation ntawm cov ntiv tes thiab ko taw ntawm ko taw, uas tseem xaus rau hauv qhov txhab. Qhov laj thawj tseem ceeb ntawm atherosclerosis hauv ntshav qab zib mellitus yog qhov tsis zoo ntawm kev tswj glycemic nrog rau cov ntshav siab, atherogenic lipid teeb meem thiab kev haus luam yeeb.
Yog li, txhawm rau tiv thaiv qhov tshwm sim ntawm atherosclerosis, cov xwm txheej saum toj no yuav tsum tau tswj hwm. Cov tsos mob tseem ceeb ntawm tus kab mob no ntawm qhov qis qis yog qhov pom ntawm qhov mob thaum taug kev, uas ploj mus qee lub sijhawm tom qab nres. Yog tias tus neeg mob ntshav qab zib muaj cov tsos mob no, koj yuav tsum tsis txhob haus luam yeeb tam sim ntawd. Ntawm lwm yam, nws yuav tsum tsis tu ncua noj tshuaj uas yuav tswj lub siab thiab txo cov atherogenic lipids hauv cov ntshav. Hauv qee qhov xwm txheejCov tshuaj uas txhim kho cov ntshav ntws mus rau sab nraud tuaj yeem siv tau.
Kev noj haus
Tam sim no xav txog cov zaub mov nrog cov zaub mov rau ntshav qab zib hom 2, uas tuaj yeem siv los ua ib feem ntawm kev noj zaub mov kom muaj tus kab mob no:
- Ib qho ntawm cov tais diav uas zoo meej rau cov khoom noj txom ncauj yav tav su yog ci txiv apples nrog tsev cheese. Yog li, cia peb kawm seb yuav ua li cas ua noj lawv. Ua li no, koj xav tau 150 grams tsev cheese, rau apples, ob dia hmoov qab zib, ib pinch ntawm vanilla thiab tib tus nqi ntawm starch. Apples yog qhov zoo tshaj plaws coj mus rau tib qhov loj. Lawv cov xim thiab qib tsis muaj teeb meem. Ntxuav cov txiv hmab txiv ntoo thiab txiav tawm "caps". Siv ib lub teaspoon, ua tib zoo tshem tawm cov tub ntxhais nrog cov noob, thaum tawm hauv cov phab ntsa tuab. Tom qab ntawd muab cov tsev cheese nrog hmoov qab zib, starch, vanilla thiab qe qe rau hauv lub tais blender. Txheej rau hauv homogeneous loj. Koj tuaj yeem ntxiv raisins qhuav yog tias koj nyiam. Apples tau muab tso rau hauv ib daim ntawv tsim nyog, yav tas los greased nrog butter. Sau lawv nrog tsev cheese sau thiab ci ntawm ib puas thiab cuaj caum degrees hauv qhov cub rau peb caug feeb.
- Lwm daim ntawv qhia tsim nyog yuav yog liab salmon siav hauv lub cooker qeeb. Ntxiv rau 500 grams ntses, koj yuav xav tau 150 grams ntawm taum ntsuab thiab fennel, nrog rau ib nrab ib tug txiv qaub thiab ib diav ntawm txiv roj roj. Tag nrho cov zaub yog ntxuav thiab qhuav. Taum thiab asparagus txiav rau hauv ob centimeters. Fennel yog peeled los ntawm thawj txheej thiab tws. Lub cooker qeeb yog teem rau frying hom, txiv roj roj yog poured. Tom qab ntawd txhua yam yog kib thiab stirred rau peb feeb, tsis muaj ntxiv. Txiv qaub yog txiav nyob rau hauv ib nrab. Tshem lub zest ntawm ib nrab thiab nyem tawm cov kua txiv hmab txiv ntoo. Maj mam ntsev zaub, sib tov thiab theem. Ces teem lub "extinguishing" hom rau kaum tsib feeb. Cov ntses yog nteg tawm ntawm ib lub hauv ncoo zaub, ncuav nrog txiv qaub kua txiv thiab sprinkled nrog zest. Ncuav rau hauv ob tablespoons dej, kaw lub hau thiab coj mus rau kev npaj.
Peb suav tias yog ntshav qab zib hom 2. Nws yog ib yam kab mob loj uas yuav tsum tau noj zaub mov nruj thiab saib xyuas kev kho mob tsis tu ncua. Nws yog ib qho tsim nyog sau cia tias kev ua raws li cov lus pom zoo kho mob ntawm cov teeb meem no tso cai rau koj txo qis nws cov kev phom sij rau lub cev.
