Mob ntshav qab zib mellitus (DM) yog ib hom kab mob ntev nrog nws qhov tshwm sim tseem ceeb hauv daim ntawv ntawm hyperglycemia, nws ib txwm txaus ntshai tsis muaj ntau npaum li nws tshwm sim rau nws cov teeb meem.
Cov cim qhia ncaj qha ntawm ob hom ntshav qab zib yuav luag tib yam, txawm hais tias lawv txhim kho raws li qhov sib txawv.
- Ntshav Qab Zib Hom 1 yog ib yam kab mob ntawm cov kab mob, nws cov tsos mob tshwm sim sai sai thiab ncav cuag qhov siab tshaj plaws.
- T2DM yog tus kab mob uas tshwm sim nws tus kheej hauv cov neeg laus hauv cov neeg uas muaj cov kab mob metabolic uas muaj cov hlwb tiv thaiv insulin. Tau ntev, xws li ntshav qab zib tshwm sim yam tsis muaj tsos mob ntawm thawj theem. Kev nce siab ntawm cov piam thaj yog cov yam ntxwv ntawm hom 1 thiab 2 thiab ib txwm xav tau ceev nrooj los tiv thaiv kev loj hlob ntawm coma.
Cov tsos mob ntawm ntshav qab zib yog dab tsi?
Ib tug neeg tsim kev nqhis dej tsis tu ncua thaum nws tsis tuaj yeem qaug cawv (polydipsia) - qhov no yog thawj cov tsos mob ntawm tus kab mob. Feem ntau qhov nonrog los ntawm kev noj qab haus huv ntxiv nrog kev poob phaus. Tsis tas li ntawd, tus neeg mob pib raug kev tso zis ntau zaus, qhov ntim ntawm cov zis txhua hnub tuaj yeem ncav cuag li 10 litres ib hnub (polyuria), qhov muag tsis pom kev, qaug zog nce ntxiv. Cov poj niam feem ntau ua tus kab mob thrush, uas yuav luag tsis tuaj yeem kho. Txhua yam kev puas tsuaj rau daim tawv nqaij dheev pib kho tau ntev nrog kev tsim cov txheej txheem purulent. Nquag mob taub hau, khaus khaus thiab qhuav ntawm daim tawv nqaij tshwm sim, daim tawv nqaij rhiab heev txo qis, mob khaub thuas ntau zaus vim qhov txo qis hauv kev tiv thaiv. Cov ntshav qab zib ntau dua 6 mmol / l, kuj tuaj yeem tshwm sim hauv cov zis.
Etiology ntawm qhov tshwm sim
Kev kho mob ntshav qab zib kom raug tso cai rau koj kom cov ntshav qab zib kom ruaj khov, tab sis txawm li ntawd los, feem ntau cov ntshav qabzib tuaj yeem nce ntxiv yam tsis muaj laj thawj. Feem ntau ua rau muaj kab mob thiab kev ntxhov siab.
Kab mob muaj xws li mob khaub thuas thiab plab hnyuv pathologies nrog raws plab thiab lub cev qhuav dej. Tom qab ntawd cov ntshav qab zib yuav nce ntxiv. Nws tshwm sim tias tus neeg mob ntshav qab zib tsis tau txhaj tshuaj insulin lossis nws tsis haum.
Kwv yees li 90% ntawm cov neeg mob hyperglycemia tshwm sim vim kev noj zaub mov tsis txaus, hauv 10% ua rau mob ntshav qab zib hom 1. Yog tias tus neeg mob tsis muab qhov tseem ceeb rau kev noj zaub mov thiab feem ntau overloads nws cov zaub mov nrog cov carbohydrates ua kom zoo, hyperglycemia yuav tshwm sim sai. Insulin kuj tseem txhim kho, thiab nws tsis nyob deb ntawm hom 2 mob ntshav qab zib.
Cov kev cai yog dab tsi?
Txawm tias qee tus neeg nyiam hais txog qhov sib txawv ntawm cov ntshav qab zib ntawm txiv neej thiab poj niam, nws tseem yog qhov sib txawv me me. Cov qauv sib txawv raws li cov kev txwv hauv qab no:
- txog 60 xyoo - yog 3.2 - 5.5 mmol / l;
- mus txog 90 xyoo - 4, 6 - 6, 4;
- 90 thiab laus dua - mus txog 6, 7.
Tom qab noj mov, tom qab 1-2 teev, cov piam thaj yuav nce ntxiv. Hauv cov xwm txheej zoo, cov piam thaj tuaj yeem nce mus rau 12 - 14 mmol / l. Cov neeg mob zoo li no yuav tsum tsis txhob txo cov piam thaj tam sim, tab sis maj mam.
Yuav ua li cas rau normalize ntsuas?
Ntau tus neeg txaus siab rau lo lus nug seb puas yuav txo cov ntshav qab zib sai li cas. Qhov no yog ua tiav los ntawm kev noj tshuaj lossis txhaj tshuaj insulin hauv qhov ntsuas qhov tseeb. Yog tias tsis ua raws li cov cai, koj tuaj yeem poob rau hauv coma thiab tsis nco qab.
Yuav ua li cas thiaj txo tau cov piam thaj hauv cov ntshav sai sai? Txog qhov kawg no, ntau txoj hauv kev tau tsim thiab tshawb fawb. Ntawm lawv: noj zaub mov, tshuaj kho pej xeem, kev tawm dag zog, noj tshuaj.
Sweeteners
Cov neeg mob ntshav qab zib feem ntau qhia kom hloov qab zib nrog cov khoom qab zib hauv khw muag khoom. Lawv tuaj yeem yog ntuj lossis dag. Cov khoom ntuj muaj xws li fructose, xylitol thiab sorbitol. Tab sis lawv yuav tsum raug xaiv kom raug, vim lawv kuj muaj cov khoom tsis zoo. Ntuj sweeteners tsis qhia rau kev rog, piv txwv li. Muaj fructose qab zib dua qab zib, tab sis nws qhov ntau dhau ua rau muaj kev nce hauv uric acid hauv lub cev.
Xylitol thiab sorbitol tsis nce qab zib, tab sis muab calorie ntau ntau, ua rau mob plab hnyuv thaum noj ntau dhau, ua rau tsis pom kev. Artificial hloov hauv qhov norooj plaub yog nyiam. Ntawm no, qhov nrov tshaj plaws:
- saccharin;
- sucralose;
- sodium cyclamate;
- Yaspartame;
- stevioside;
- acesulfame poov tshuaj.
Cov khoom no tsis cuam tshuam rau qib glycemia, tab sis lawv kuj muaj lawv cov contraindications:
- cores tsis qhia rau acesulfame potassium;
- saccharin - tsis yog rau cov poj niam cev xeeb tub thiab menyuam yaus;
- nws tsis qhia rau ntshav ntshav, vascular pathologies, kab mob plab.
Nws txwv tag nrho hauv ntau lub tebchaws.
Sodium cyclamate tsis qab zib li saccharin, tiv taus cua sov, tab sis kuj yog qhov tsis xav tau ntawm cov kab mob raum. Tag nrho txwv nyob rau hauv Teb Chaws Asmeskas. Feem ntau "Aspartame", nws yog ob peb puas lub sij hawm sweeter dua qab zib, tsis muaj contraindications. Thaum cua sov, qhov qab zib poob.
Yuav tshuaj li cas thiaj qhia tau
Cov tshuaj kho mob ntshav qab zib muaj ntau heev, lawv yuav tsum tau siv tom qab sab laj nrog kws kho mob ntxiv rau hom kev kho mob tseem ceeb.
- Blueberries yog qhov tseem ceeb tshaj plaws rau ntshav qab zib, lawv tuaj yeem noj yam tsis muaj kev txwv. Cov neeg mob ntshav qab zib tuaj yeem noj cov decoction ntawm nplooj blueberry thiab berries kom txo qis hyperglycemia. 1 tsp av blueberry nplooj yog brewed nyob rau hauv ib khob dej kub, sab laug rau 20 feeb. Noj peb zaug ib hnub rau ib khob. Kev kho mob yog li 6 lub hlis.
- Cov cucumbers tshiab - txhim kho cov metabolism vim muaj cov tshuaj insulin zoo li muaj nyob hauv lawv. Buckwheat yog indispensable rau ntshav qab zib:txo cov ntshav qab zib kom sai sai.
- Raws li kev tiv thaiv, buckwheat calcined ntawm hluav taws tsis muaj roj yog siv, ces hauv av rau hauv hmoov. 2 tbsp. l. buckwheat hmoov yog poured nrog yogurt los yog kefir, insisted ib hmos. Haus ib teev ua ntej noj mov.
- Jerusalem artichoke - muaj cov tshuaj insulin thiab pab ua kom ntshav qab zib zoo. Ib tug hmoov yog npaj los ntawm nws peeled qhuav tubers, noj 1 tsp. hauv ib hnub. Nws kuj tseem txhim kho kev ua haujlwm ntawm lub plab zom mov thiab ntxuav cov hlab ntsha.
- Pab kua txiv hmab txiv ntoo los ntawm: zaub qhwv tshiab, radish, qos yaj ywm tshiab, taub dag, zucchini, carrots, kua txiv lws suav, kua txiv hmab txiv ntoo. Txhua tus ntawm lawv normalize txoj haujlwm ntawm lub plab zom mov.
- Lo lus teb rau lo lus nug ntawm yuav ua li cas txo cov ntshav qab zib sai sai tau dhau los ua cov khoom muaj txiaj ntsig zoo rau cov ntshav qab zib li cov kua txiv hmab txiv ntoo tshiab. Nws normalizes qab zib zoo thiab noj ntawm 0.5 tbsp. l.
noj cov kua txiv txhua hnub tsis tsuas yog normalizes qab zib, nws txo qhov o, normalizes roj cholesterol, txhim kho kev ua haujlwm ntawm lub plab zom mov.
Cov zaub mov twg txo cov ntshav qab zib sai? Cov uas muaj zinc sai sai pab txo qhov ntim feem ntawm qab zib. Nws yog ib feem ntawm cov tshuaj insulin thiab yog ib qho tshuaj tiv thaiv rau cov tshuaj tiv thaiv. Pom muaj nyob rau hauv sprouted nplej, siab, nqaij nyuj, nqaij qaib siab, ceev, prunes, qhuav apricots, cauliflower, radishes, carrots thiab lwm yam khoom.
Qee cov zaub mov nrov dua
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- Oat noob yog ib qho piv txwv zoo ntawm qhov koj tuaj yeem txo cov ntshav qab zib sai sai. Ib khob ntawm oat noobBoil rau ib teev hauv 1.5 liv dej, tom qab txias lawv haus txhua lub sijhawm yam tsis muaj kev txwv.
- Koj yuav pom cov txiaj ntsig hauv 3 lub lis piam.
- Lilac - sau thaum caij nplooj ntoos hlav thiab qhuav. 2 tbsp. l. brew raum nyob rau hauv ib khob dej, insist nyob rau hauv ib tug thermos rau 6 teev thiab haus ua ntej noj mov. Lilac nplooj yog brewed li tshuaj yej thiab haus cawv yam tsis muaj kev txwv.
- Horseradish cag yog lwm txoj hauv kev los txo cov ntshav qab zib. Nws yog tov nyob rau hauv daim ntawv grated nrog yogurt 1: 10. Noj 1 tbsp. l. ua ntej txhua pluas noj. Cov txiaj ntsig tau zoo, tab sis tshwm sim hauv ib hlis.
- Oak acorns. Oak acorns sau nyob rau hauv lub caij nplooj zeeg yuav tsum tau ntxuav thiab qhuav. Sib tov rau hauv hmoov. Siv ib tug / hauv 1 tsp., ntxuav nrog tshuaj yej los yog dej. Nov yog txoj hauv kev cawm txoj sia uas teb cov lus nug ntawm yuav ua li cas txo cov ntshav qab zib sai sai.
- Cov dos ci yog ib txoj hauv kev ua pov thawj thiab txhim khu kev qha los txo qis hyperglycemia. Kev kho mob li ntawm ib hlis. 1 ci dos noj txhua hnub thaum sawv ntxov ntawm lub plab khoob, tom qab 2-3 hnub cov suab thaj txo qis.
Koj tuaj yeem txo cov ntshav qab zib sai sai nrog cov tshuaj pej xeem tsis yog los ntawm kev noj cov dos ci, tab sis kuj los ntawm kev noj cov noob txiv ntoo, flax - lawv tau noj ib pinch ib hnub.
txoj kev ceev kom txo qab zib
Yuav txo cov ntshav qab zib li cas sai sai? Cov kua txiv hmab txiv ntoo ntawm tag nrho cov txiv qaub yog tov nrog lub qe nyoos thiab qhov sib tov yog qaug cawv thaum sawv ntxov ntawm lub plab khoob rau 3 hnub. Qhov no yog ib txoj kev ua tau zoo heev. Tom qab 1, 5 - 2 lub lis piam, chav kawm tuaj yeem rov ua dua.
Nws tuaj yeem txo cov ntshav qab zib sai sai nrog cov tshuaj pej xeem thaum pib los ntawm kev noj cov decoctions los ntawm nploojqus strawberry, qus raspberry, linden, dandelion (tshiab dandelion nplooj lawv tus kheej muaj insulin), nettle, birch buds.
Linden paj tuaj yeem siv dav dav siv tshuaj yej. Parsley ntxiv dag zog rau cov hlab ntsha thiab kuj txo cov ntshav qab zib.
Decoction ntawm dandelion cag - 1 tsp. crushed keeb kwm nyob rau hauv ib khob ntawm boiling dej, insist ib nrab ib teev. Cov ntsiab lus haus cawv thaum nruab hnub hauv 4 qhov sib faib.
Eleutherococcus tincture - noj 20 tee ua ntej noj mov 3 zaug hauv ib hnub.
Koj tuaj yeem txo cov ntshav qab zib sai nrog nplooj nplooj. Ib decoction ntawm cov nplooj no ua sai sai, nws pab txiav txiav zoo. 10 nplooj ntawm laurel yog nchuav nrog dej kub hauv 300 ml thiab infused rau ib hnub. Kuj noj ib khob peb lub hlis twg 3 zaug hauv ib hnub ua ntej noj mov.
YPlantain kua txiv - 2 tbsp. l. peb zaug ib hnub.
Turmeric yog tshuaj kub. Lawv noj ib qho infusion ntawm cov txuj lom no: nws yog dipped nyob rau hauv lub ntsis ntawm ib tug riam rau hauv ib khob ntawm boiling dej rau infusion. Txais 2 zaug ib hnub.
npias poov xab - siv tsis tau tsuas yog hauv kev kho mob ntshav qab zib, tab sis kuj rau nws txoj kev tiv thaiv. Haus 2 tsp. 3 zaug ib hnub.
tshuaj ntsuab uas txo cov ntshav qab zib.
- Yuav txo cov ntshav qab zib sai sai. Yooj yim heev - koj yuav tsum siv hawthorn. Nws ua zoo li nplooj nplooj. Rau ib tug decoction, ncuav ib tug puv tes ntawm hawthorn berries nrog dej txias thiab boil rau 15 feeb. Cov dej sov yog ntxiv rau lub strained broth kom txog thaum lub ntim yog replenished. Txais tos rau 1 tbsp. l. 3 zaug ib hnub twg. Hawthorn decoctions khaws cia tsis pub dhau 48 teev, ces nws cov txiaj ntsig tau ploj lawm.
- taum pods - siv ob qho tib si infusions thiab decoctions. Ncuav ib txhais tes ntawm qhuav podsboiling dej. Infuse rau 7 teev thiab noj ib nrab khob peb zaug ua ntej noj mov. Decoction - 4 tbsp. l. qhuav pods, ncuav 0.5 liv dej, boil rau 20 feeb. Noj tib koob.
- Muab faib ntawm walnuts kuj yog ib qho cuab yeej zoo: 2 khob dej kub rau 2 lub rooj. diav partitions insist 20 feeb. Txais tos rau 1 tbsp. l. ua ntej noj mov.
- Chicory. Cov khoom muaj insulin, organic acids, bioflavonoids, vitamins thiab kab kawm.
Yuav txo cov ntshav qab zib li cas sai sai? Yog tias tus neeg mob ntshav qab zib tau noj ib yam ntawm cov zaub mov txwv tsis pub, tom qab ntawd raws li lub tsheb thauj neeg mob, txhawm rau tiv thaiv cov piam thaj los ntawm kev dhia, cov nplooj ntawm cov nroj tsuag cuff yog siv. Lub infusion yog ua li no: 1 tsp. qhuav, crushed nplooj yog brewed nyob rau hauv ib khob ntawm boiling dej thiab tom qab txias, tag nrho cov ntim ntawm infusion yog qaug dej qaug cawv 2 zaug ua ntej thiab tom qab noj mov. Lub cuff, ntxiv rau txo cov suab thaj, relieves cardialgia.
khoom noj puas tuaj yeem pab tiv thaiv hyperglycemia?
Yog, tau kawg, muaj ob peb txoj cai noj zaub mov yooj yim rau qhov no:
- khoom noj qis GI prevail;
- noj ntau cov nplej muaj fiber ntau ntau;
- ntau zaub thiab txiv hmab txiv ntoo - lawv muaj cov vitamins, antioxidants thiab fiber ntau;
- los ntawm cov rog, cov rog polyunsaturated yog qhov zoo dua.
Txo qhov ntau thiab tsawg - tsawg calories koj noj, qhov hnyav dua koj nce.
Kev noj haus
Kev noj zaub mov yog cov tshuaj tseem ceeb rau ntshav qab zib hom 2. Nws yuav tsum yog tsawg carb.
Ib txwm carbohydrates ib hnub - 20 - 30 grams, faib los ntawm3 kev txais tos. Cov khoom noj uas txo cov ntshav qab zib sai yog cov carbohydrates tsawg, GI tsawg. Qhov no tau ua pov thawj scientific. Nrog xws li kev noj haus, tom qab 2-3 hnub, qab zib pib poob.
Cov roj (cholesterol) thiab ntshav siab normalizes hauv 2 lub lis piam. Kev noj zaub mov tsawg-carbohydrate tso cai rau koj kom txo tau cov tshuaj insulin ntau zaus. Cov ntsiab lus calorie ntawm cov khoom noj no yuav tsum muaj txaus rau tag nrho lub cev tus nqi.
Cov khoom noj GI siab tsis suav nrog - khoom qab zib, qhob cij, pastries, dej qab zib, nqaij liab rog.
Cov zaub mov uas muaj GI nruab nrab tuaj yeem noj tsis pub ntau tshaj 3 zaug hauv ib hnub, hauv qhov me me. Cov no yog pineapples, txiv kab ntxwv, beets, instant oatmeal, rye qhob cij, macaroni thiab cheese, ice cream, persimmons, ntev nplej nplej, gooseberries, blueberries, lingonberries.
Lub hauv paus ntawm kev noj zaub mov yuav tsum yog cov khoom noj GI tsawg:
- legumes;
- hiav txwv ntses thiab nqaij nruab deg;
- Nyob qaib qus, luav, veal;
- turkey;
- qe;
- fermented mis nyuj cov khoom nruab nrab % roj cov ntsiab lus (tsawg % roj cov ntsiab lus tau ua tiav tiav nrog lactose);
- nyuaj cheeses hauv me me;
- txiv hmab txiv ntoo qhuav thiab txiv ntoo;
- cov txiv hmab txiv ntoo hauv zos.
Paj zaub yog feem ntau, los ntawm ib teev, tsis muaj kev noj ntau dhau thiab tshaib plab.
Khoom noj uas txo cov suab thaj
Koj tuaj yeem noj tau zoo thiab ntau yam los ntawm kev ua noj nrog:
- txhua yam zaub qhwv;
- txiv lws suav;
- cucumbers;
- zucchini thiab taub dag;
- eggplant;
- luka,
- asparagus.
Butter and soy products are not txwv tsis pub, ntsev 1-2 g ib hnub twg. Txwv cov qos yaj ywm! Tau mus rau hauv tus cwj pwm ntawm khaws spinach, qej, legumes, celery, horseradish, txiv kab ntxwv, nceb, tswb kua txob, Jerusalem artichoke, blueberries thiab lwm yam berries, lettuce nyob rau hauv koj lub tub yees. Zaub mov tsis kib, tsuas yog steamed los yog ci.
Pills kom txo qab zib
Koj tuaj yeem txo cov ntshav qab zib thiab tshuaj sai sai. Lawv tuaj yeem ua tau ntau yam.
YSulfonylurea raws. Lub sijhawm siv tau yog ib hnub, lawv maj mam txo qhov kev ua tau zoo thiab tsis txhob cia li dhia. Txhawb nqa pancreatic beta hlwb thiab txo cov nqaij mos insulin tsis kam. Cov no suav nrog chlorpropamide, tolazamide, glibenclamide, maninil, thiab lwm yam.
Biguanides - yog siv los ua ib qho ntxiv rau hauv cov neeg mob ntshav qab zib hom 2, txo qis insulin tsis kam ntawm cov hlwb. Cov no suav nrog: "Bagomet", "Metfogamma", "Glucofage", "Siofor".
Tshuaj uas ua rau qeeb nqus cov carbohydrates - Acarbose, Guarem, Bayetta, Glucobay.
