Cov yam ntxwv ntawm kev noj zaub mov ua ke nrog kev kuaj mob ntawm hom 1 thiab ntshav qab zib hom 2
Muaj ntshav qab zib, yuav tsum ua raws qee yam kev noj haus, uas yuav ua rau nws muaj peev xwm ua kom txhua qhov kev tawm dag zog ntawm qib siab tau zoo. Nws yog ib qho tseem ceeb heev uas kev nthuav qhia kev noj haus yog ua raws li tus mob ntshav qab zib thoob plaws lub neej, vim tias qhov no nws yuav muaj peev xwm los tham txog kev cais tawm ntawm kev txhim kho ntawm cov kev mob tshwm sim thiab lwm qhov tsis zoo. Nws raug nquahu kom txhua tus yam ntxwv ntawm ntshav qab zib noj zaub mov yuav tsum tham nrog tus kws kho mob tshwj xeeb.
Tau ntau xyoo kuv tau kawm cov teeb meem ntawm DIABETES. Nws yog txaus ntshai thaum muaj coob tus neeg tuag, thiab haj yam ua rau neeg xiam vim ntshav qab zib.
Kuv maj nrawm los qhia txoj xov zoo - Endocrinological qhov chaw tshawb fawb ntawm Lavxias Academy ntawm Medical Science tau tswj hwm los tsim cov tshuaj uas kho cov ntshav qab zib kom meej. Lub sijhawm no, qhov kev ua tau zoo ntawm cov tshuaj no tau nce siab 100%.
Lwm qhov xov xwm zoo: Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv tau txais kev nyab xeeb qhov kev saws me nyuam ntawm cov haujlwm tshwj xeeb uas them rau tag nrho tus nqi ntawm cov tshuaj. Nyob rau hauv Russia thiab CIS lub teb chaws cov ntshav qab zib ua ntej tuaj yeem tau txais txoj hauv kev kho mob PUB DAWB .
Cov kev cai tseem ceeb
Ib qho ntawm cov qauv pib ntawm kev noj haus hauv cov kab mob tau piav qhia yog qhov tawg ntawm kev noj haus. Lub ntsiab lus yog tias ib qho khoom noj twg yuav tsum tau noj kwv yees li tsib mus rau 6 zaug hauv 24 teev. Qhov no yuav ua rau muaj txiaj ntsig zoo rau kev nqus ntawm cov khoom xyaw carbohydrate los ntawm cov hnyuv nrog qhov nce ntxiv ntawm cov piam thaj hauv ntshav. Ntxiv rau, hais txog cov ntsiab cai ntawm khoom noj khoom haus, nws yog qhov yuav tsum tau them sai sai rau qhov tseeb tias cov khoom noj tau pom zoo kom siv nyob rau hauv qee lub sijhawmCov. Qhov no yog qhov tsim nyog vim tias nws ua kom muaj kev cuam tshuam cov kev cuam tshuam rau kev kho cov ntshav qab zib thiab cov tshuaj ntawm cov tshuaj tiv thaiv hormonal.
Ntxiv mus, cov kws tshaj lij taw tes hais tias nws tsim nyog yuav tsum cais tag nrho lossis txwv tsis pub siv qee yam khoom lag luam. Peb tab tom hais txog cov uas ua kom nce qib ntawm cov piam thaj hauv cov ntshav - nws tuaj yeem muaj qab zib, qee yam nqaij tsis ua haujlwm, jam. Nws yog ib qho tseem ceeb uas kev noj haus rau cov neeg mob ntshav qab zib suav nrog qhov zoo ntawm cov khoom noj kom muaj fiber ntau. Peb tab tom hais txog zaub, hmoov nplej, vim tias nws yog cov npe no uas ua kom cov piam thaj hauv ntshav nce siab txog qhov tsawg.
Nws raug nquahu kom koj them sai sai rau qhov tseeb tias cov zaub mov ua noj yuav tsum suav nrog qhov tsis tseem ceeb ntawm cov rog. Nyob rau tib lub sijhawm, tsawg kawg ib nrab ntawm lawv yuav tsum sawv cev los ntawm cov npe cog, piv txwv li, paj noob hlis, pob kws lossis txiv roj roj. Ntxiv mus, cov kws kho mob ntshav qab zib tau them sai sai rau qhov tseeb tias:
- Tus naj npawb ntawm cov calories hauv zaub mov ntawm cov menyuam yaus uas muaj ntshav qab zib yuav tsum nyob li qub txhua hnub. Nws yuav tsum sib haum nrog nws cov hnub nyoog thiab tsis cuam tshuam nrog kev qhia ntawm qhov xav tau ntawm cov tshuaj insulin,
- Nws yog ib qho tseem ceeb rau kev tswj hwm cov calories kom zoo li qub hauv kev noj mov ua ke. Yog hais txog noj tshais nyob rau txawv hnub, noj su lossis ua hmo,
- hauv txhua qhov kev hwm lwm yam, kev noj zaub mov ntawm tus neeg muaj ntshav qab zib yuav tsum tsis txawv txav ntawm lwm tus neeg noj qab haus huv.
Nws yog nws leej twg yuav taw qhia qee yam lwm yam ntawm kev noj haus yuav tsum yog thiab vim li cas qhov no tseem ceeb heev rau kev ua haujlwm ntawm lub cev.
Cov cai khoom noj khoom haus
Lub ntsiab lus tseem ceeb thiab cov cai tseem ceeb yog txhawm rau tiv thaiv cov ntshav khov hauv cov ntshav qab zib. Tshwj xeeb rau qhov no, nws tau kwv yees tias txhua yam zaub mov tau faib ua tsib ntu, noj nyob rau thaum lub xyoo ua zaub mov tseem ceeb (3 zaug) thiab khoom noj txom ncauj (2 zaug). Hauv qhov no, ntawm ib feem ntawm cov khoom siv tshuaj lom neeg, daim duab yuav tsum zoo li no:
- cov ntsiab lus ua rog tsis tshaj 30% ntawm tag nrho cov khoom noj,
- cov ntsiab lus protein tsis ntau tshaj 20%,
- cov ntsiab lus carbohydrate - seem 50%.
Txij li thaum qhov teeb meem tseem ceeb uas muaj ntshav qab zib yog cov piam thaj, qhov kev qhia tseem ceeb hauv kev npaj khoom noj yog kom txo cov piam thaj hauv lub cev. Qhov tseem ceeb kuj tseem nyob ntawm cov roj qeeb qeeb, nrog qhov koj tuaj yeem tshem ntawm tus khub tseem ceeb ntawm ntshav qab zib - tshaj qhov hnyav sai dua.
Txuas ntxiv, ntau yam malfunctions hauv daim siab ua tau. Lawv kuj yuav tsum tau maj mam muab tshem tawm uas siv cov kua mis thiab cov khoom noj muaj roj tsawg. Tsev cheese thiab tsis tshua muaj rog cheese yog qhov zoo. Txhua yam roj ntau los yog kib tau muab cais tawm.
Tsis txhob hnov qab txog qhov tshwm sim ntawm mob ntshav qab zib gestational. Nws qhov tsos yog ua tau tsuas yog thaum cev xeeb tub, xws li hauv qee tus poj niam lub cev pib los teb rau hauv txoj kev tshwj xeeb rau cov piam thaj. Nyeem ntxiv txog mob ntshav qab zib thaum muaj me nyuam hauv plab ntawm no.
Cia peb xav txog nyob rau hauv ntau dua nthuav dav lub intricacies ntawm cov pluas noj rau ob hom mob ntshav qab zib.
Muaj Hwjchim
Qhov tsim ntawm nthuav tawm lub xeev txawv txav, ua ntej ntawm txhua yam, kev qhia ntawm kev qhia zaub mov kev noj haus. Nws yog qhov tsim nyog tias cov nyiaj ntawm lub zog hauv cov zaub mov sib raug rau lub zog poob ntawm cov ntshav qab zib. Ntxiv rau, kev nkag mus sib xyaw ntawm cov khoom siv xws li cov nqaijrog, cov rog thiab cov roj kom ntau yuav tsum tau txiav txim siab tseem ceeb heev. Peb yuav tsum tsis txhob hnov qab txog cov pluas noj mov, uas yog tsib mus rau rau zaug ib hnub.
Txhua tus neeg mob ntshav qab zib paub tias tswj kev noj haus kom zoo tsuas yog ua tau los ntawm kev laij cov khoom noj kom zoo. Nws yog tsim hauv chav ua mov ci, ib qho tsis ntau dua 12 grams. piam thaj. Hauv 24 teev, los ntawm 18 txog 24 XE, kev faib tawm uas yog cov khoom noj khoom haus tseem ceeb tshaj plaws, yuav tsum nkag mus rau lub cev ntawm cov ntshav qab zib. Hais txog qhov no, cov kws kho mob ntshav qab zib tau ua kom txaus siab rau qhov tseeb tias noj tshais yuav tsum muaj los ntawm cuaj mus rau kaum chav nyob, thiab noj tshais tom ntej thiab noj khoom txom ncauj tom qab - tsis pub dhau ib lossis ob. Qhov ntau thiab tsawg yog tus neeg nruj me ntsis thiab yuav tsum tau pom zoo nrog tus kws tshaj lij.
Nws kuj tseem pom zoo tias cov khoom noj rau cov ntshav qab zib hom 2, zoo li yog rau thawj hom mob, koom nrog kev siv zaub. Qhov no yog qhov tshwj xeeb tshaj yog rau cov neeg muaj ceeb thawj. Hais txog qhov no, cov kws kho mob ntshav qab zib tau them nyiaj rau txoj kev xav tau siv cov dej qab zib tshiab thiab sauerkraut, zaub ntsuab, zaub xas lav, taum ntsuab thiab lwm yam khoom. Kuv xav rov qab hais tias lawv yuav muaj txiaj ntsig zoo tshaj yog tias lawv siv tshiab thiab zoo dua nyob rau lub caij ntawm lawv txoj kev loj hlob.
Lwm qhov tshwj xeeb ntawm kev noj haus rau ntshav qab zib yog tus cwj pwm tsis sib thooj rau daim siab. Qhov tseeb yog tias nws tau ntsib kev hloov pauv loj pathological nrog kev txhim kho kabmob. Tias yog vim li cas cov kws txawj xav kom tseem ceeb ntawm kev siv cov zaub mov no, uas suav nrog qhov sib ntxiv lipotropic. Nws tuaj yeem yog tsev me cheese, oatmeal, kua thiab lwm yam npe.
Kom ceev faj
Raws li WHO hais, txhua xyoo hauv ntiaj teb 2 lab tus tib neeg tuag los ntawm tus mob ntshav qab zib thiab nws qhov tshwm sim hnyav. Thaum tsis muaj kev txhawb nqa tsim nyog rau lub cev, ntshav qab zib ua rau muaj ntau yam kev cuam tshuam, maj mam rhuav tshem tib neeg lub cev.
Cov teeb meem feem ntau muaj: mob ntshav qab zib gangrene, nephropathy, retinopathy, trophic mob rau, hypoglycemia, ketoacidosis. Mob ntshav qab zib kuj tseem tuaj yeem ua rau kev loj hlob ntawm qog ntshav. Yuav luag txhua txhua kis, tus mob ntshav qab zib ua rau tuag taus, tawm tsam nrog ib tus mob hnyav, lossis hloov mus ua tus neeg muaj mob xiam oob qhab tiag tiag.
Cov neeg muaj ntshav qab zib ua dab tsi? Lub Chaw Tshawb Nrhiav Endocrinological ntawm Lavxias Academy ntawm Medical Science tau ua tiav qhov kev txiav txim siab uas kho cov mob ntshav qab zib mellitus kom meej.
Tsoomfwv Txoj Haujlwm "Lub Tebchaws Muaj Kev Noj Qab Nyob Zoo" Tamsis no tab tom ua haujlwm, nyob hauv lub moj khaum uas cov tshuaj no tau muab rau txhua tus neeg nyob hauv Lavxias thiab CIS. PUB DAWB Cov. Yog xav paub ntxiv, saib official lub vev xaib ntawm MINZDRAVA.
Nws yog qhov tsim nyog tias cov zaub mov ntawm tus neeg ntsib nrog ntshav qab zib yog noo nrog cov vitamins. Nws yog nyob rau hauv no hais tias nws raug nquahu tias cov cheebtsam uas nqa khoom ntawm cov vitamins yuav nkag tau rau hauv kev noj haus. Nws tuaj yeem ua tau brewer thiab tus neeg ua mov ci cov poov xab, ntxiv rau cov khoom noj hauv rosehip, SPP lossis kev noj haus ntxiv. Qhov tom kawg raug pom zoo tom qab sab laj nrog ib tus kws tshaj lij.
Peb yuav tsum tsis txhob hnov qab txog cov kev txwv, uas yog qhov tseeb tias nws pom zoo kom tsis txhob siv cov npe confectionery, ncuav mog qab zib, nrog rau khaws cia lossis khoom qab zib ua khoom noj. Nyob rau hauv kev txwv txiav npluav yog chocolate, zib ntab thiab dej khov, thiab lwm yam khoom qab zib. Cov kws tshaj lij pom zoo rau qhov tsis lees txais cov ntsim, qab ntsev, ntsim thiab haus luam yeeb cov khoom. Qee yam kev qab los noj mov thiab tais diav, suav nrog cov nqaij npuas lossis cov roj yaj, yuav dhau los ua cov khoom tsis zoo hauv cov khoom noj uas tau hais qhia.
Tsis txhob hnov qab txog kev txwv txoj kev siv cawv, txiv tsawb, txiv hmab thiab raisins. Kev hais txog kev siv suab thaj, nws yuav tsum raug sau tseg tias nws txoj kev siv yog kev tso cai, tab sis tsuas yog tshwj xeeb hauv qhov tsis tseem ceeb piv thiab tom qab kev pom zoo los ntawm cov kws kho mob ntshav qab zib. Muab tag nrho cov no, Kuv xav kos lub siab rau qhov tseeb tias kev noj haus rau ntshav qab zib hom 1, nrog rau lub thib ob, cuam tshuam txog qhov yuav tsum tau xav txog qee qhov tshwj xeeb ntawm kev noj haus.
Dab tsi ntxiv uas koj yuav tsum paub
Txhawm rau noj kom muaj ntau yam raws li qhov ua tau, nws raug nquahu kom koj kawm hloov lub tais diav uas muaj cov khoom noj ua si nrog lwm tus. Txawm li cas los xij, qhov no yuav tsum tau ua nyob rau hauv xws li txoj kev uas cov ntsuas cov piam thaj hauv ntshav tsis hloov ntau heev. Nws yog ib qho tsim nyog yuav tsum them sai sai rau qhov tseeb tias:
- xws li hloov tau tuaj yeem nqa tawm yooj yim siv cov txheej txheem tshwj xeeb ntawm chav ua mov ci (XE),
- kev ua kom tiav ntawm lub cev hnyav yuav tsum raug txiav txim siab los ua cov txheej txheem kev kho mob rau hom 2 mob ntshav qab zib mellitus. Qhov no ua tau tsuas yog noj zaub mov uas tsis muaj calorie ntau thiab kev ua kom lub cev nce ntxiv,
- nrog rau tus kab mob uas yog los ntawm thawj hom, txoj hau kev kho mob yog cov tshuaj insulin hloov kho. Tib lub sijhawm, txhua qhov kev txwv kev noj haus yog ntu nyob rau hauv qhov, uas tsis ua rau lawv tsis tshua tseem ceeb rau kev tswj hwm ib lub xeev zoo tshaj plaws ntawm kev noj qab haus huv.
Ntxiv rau, nws yog qhov yuav tsum tau them sai sai rau qhov tseeb tias thawj hom mob ntshav qab zib tso cai rau siv qee yam khoom noj, tab sis tsuas yog hauv qhov tsis muaj tsawg. Tham txog qhov no, koj yuav tsum tau them sai sai rau kev siv cov qe. Peb tab tom tham txog kev siv tsis pub ntau tshaj ob daim nyob hauv 24 teev, tab sis tsuas yog muag-hau. Tsis tas li ntawd, cov npe zoo li no tuaj yeem siv ua omelettes, zoo li thaum ntxiv qe rau lwm lub tais.
Yam 1 ntshav qab zib
Hauv kev sib piv rau qhov tseeb tias ntau tus neeg nrhiav kev tsis ua tiav ib qho lossis ib qho khoom lag luam, cov tshuaj niaj hnub ua raws li txoj cai ntawm kev sib koom ua ke rau kev kho. Hauv qhov xwm txheej no, qhov no yog qhia los ntawm tsim cov khoom noj zoo, hauv ib qho lossis lwm lub tais yuav raug ntim hauv qhov nyiaj uas tso cai. Qhov no yuav pom los ntawm tus neeg mob thiab nws lub cev yooj yim dua. Thiab nrog rau kev qhia tshwjxeeb xaiv lub cev, koj tuaj yeem ua tiav cov txiaj ntsig tiav. Yog li ntawd, koj tuaj yeem tau txais cov sijhawm teem meej meej uas yuav siv mus rau hauv kev kho mob insulin, kev noj haus thiab kis las.
Thaum lub sijhawm siv cov tshuaj insulin, nws ntau thiab lub sijhawm ntawm kev tswj hwm yuav tsum tau ua kom zoo nrog cov khoom uas muab cov kua nplaum rau lub cev. Rov qab rau cov ntshav qab zib hom 2, tsis muaj kev txwv ntau ntawm cov khoom noj, tab sis cov tshuaj insulin yuav tsum nkag mus rau hauv lub cev kom raws sijhawm thiab nws cov nyhuv yuav tsum raug coj los siv.
Mob ntshav qab zib Hom 2
Kev noj haus zoo li no tau xaiv nrog tus kws qhia noj zaub mov noj thiab tsom mus rau kev soj ntsuam kom haum rau cov protein, rog thiab carbohydrates hauv zaub mov.
Nrog nws cov kev pab, koj tuaj yeem ua raws kev tswj hwm tus nqi ntawm cov piam thaj hauv cov ntshav thiab nres kev txhim kho ntawm cov phom sij ntau dua ntawm cov kab mob hauv qab. Yog tias koj rog dhau lawm, koj tuaj yeem haus cov zaub mov muaj protein ntau kom tsis muaj kev cia siab rau cov piam thaj.
Hom zaub mov no tso cai rau koj kho cov calories, uas yuav sib txawv ntawm 2500 kcal rau 600 kcal, nyob ntawm qhov hnyav ntawm ib tus neeg thiab nws lub zog siv nruab hnub. Tab sis vim tias hom khoom noj khoom haus no tuaj yeem ua rau muaj protein ntau hauv lub cev, nws yog qhov yuav tsum tau sab laj nrog koj tus kws kho mob ua ntej.
Yog tias tsim nyog, nws yuav sau cov tshuaj vitamin complex, muaj txiaj ntsig zoo rau cov neeg mob ntshav qab zib, thiab yuav soj ntsuam tus neeg mob lub sijhawm thaum siv cov zaub mov tsis zoo.
Pub thiab Txwv cov Khoom
Ob pawg ntawm cov khoom lag luam yog cov dav heev thiab ua rau nws muaj peev xwm ua kom yooj yim ntawm kev tawm tsam ntawm lub cev muaj ntshav qab zib kom ntau li ntau tau. Xav txog ntawd yuav ua tau noj nyob rau hauv cov ntaub ntawv no:
- txhua cov zaub ntsuab, thiab zaub ntsuab ntawm txhua yam,
- cov ntses rog muaj roj tsawg
- Txhua cov nqaij ua tsis yog rog los kuj siv tau.
- tib txoj cai siv rau cov hnyuv ntxwm - yog cov rog thiab cov rog ua kom ntau li sai tau,
- txiv hmab txiv ntoo tsis muaj fructose,
- buckwheat, oats thiab millet yog muaj los ntawm cov noob zaub txhuv, vim lawv muaj cov khoom noj khoom haus qeeb qeeb,
- tawm tsam kev ntseeg nrov, mov ci tuaj yeem tau noj, tab sis tsuas yog los ntawm cov hmoov nplej wholemeal thiab nyiam dua cov nplej,
- koj tuaj yeem haus cov txiv ntoo tshiab los ntawm cov txiv hmab txiv ntoo thiab zaub uas tsim nyog, teas thiab decoctions los ntawm tshuaj ntsuab,
- Cov khoom noj siv mis rog tsawg tsawg pub rau haus.
Kev noj zaub mov kom tsis tshua muaj carb kuj tseem siv ntau qhov kev txwv txiav txim siab uas yuav tsum tsis txhob saib tsis taus. Tus lej ntawm kev noj haus yog 9 thiab nws feem ntau hu ua "9 lub rooj." Cov ntawv teev npe no suav nrog cov khoom lag luam uas yuav tsum tsis txhob ua kom tiav los ntawm kev noj haus, tab sis rau lawv yuav tsum tau kho nrog huab ceev faj:
- cawv yog yam tsis txaus siab thiab tsis muaj zog,
- cov kua txiv thiab nectars yuav tsum tsis txhob noj, vim tias lawv tau ua nrog ntau qab zib,
- tsis txhob siv cov khoom ntim muaj suab thaj, uas suav nrog txhua hom khoom qab zib, suav nrog cov khoom qab zib thiab khaws cia,
- nws raug nquahu kom muab pov tseg txhua hom pickles, nrog rau cov khoom noj ntsev thiab zaub mov qab ntsev, thiab lwm yam khaws cia nrog ntsev,
- nruj nreem cov nqaij siav tsis muaj xyaw nrog zaub mov,
- Mov nplej, nplej zom thiab semolina muaj qhov txawv ntawm cov zaub mov uas nce qib qab zib, yog li ntawd lawv txoj kev siv kuj yog qhov tsis txaus siab,
- Nws tsim nyog muab cov zaub mov noj nrog cov muaj roj ntau,
- Nws raug nquahu kom tsis txhob noj cov noog rog,
- txhua yam mob yuav tsum tau kav.
Kwv yees li ib lub lim tiam
Raws li kev coj ua qhia, cov khoom noj no tau tsim kom txhua lub tais muaj txiaj ntsig zoo li sai tau, thiab cov zaub mov txawv yog ua raws li kev ntsuas ntsuas ntawm cov khoom ntau. Ntawm ib sab, qhov no yuav ua rau qee qhov tsis yooj yim. Tab sis ntawm qhov tod tes, tau txais siv rau kev noj zaub mov zoo li no tsis tuaj yeem tsuas yog tswj tau cov piam thaj li qub, tab sis kuj poob phaus hauv txoj hauv kev zoo thiab noj qab haus huv.
Tias yog vim li cas cov kws kho mob qhia kom ua raws li lub rooj 9 rau txhua tus neeg mob hnyav. Kev txwv kev noj haus ntawm cov khoom noj no ua rau lub cev ua haujlwm ntawm ntau yam hauv nruab nrog, uas muaj kev cuam tshuam zoo rau kev ua haujlwm ntawm cov kab mob endocrine. Nyeem ntxiv txog kev noj haus kev noj haus tus lej 9 nyob ntawm no.
Ua piv txwv, cov ntawv qhia ua zaub mov tau nthuav tawm rau cov neeg mob uas mob ntshav qab zib mellitus qib ob, uas yog, tsis-insulin-kev vam khom.
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Kev Ntsuam Xyuas Poob phaus
Olga:Ua tsaug rau Vajtswv mob ntshav qab zib tau dhau los ntawm kuv, tab sis kuv tau hnov txog kev noj haus zoo li no. Tus kws kho mob tau qhia, hais tias nws yuav muaj kev noj qab haus huv zoo, tsis zoo li ntau cov zaubmov nyiam. Kuv txiav txim siab sim nws. Dua li ntawm qhov tseeb tias kev noj haus yog tshuaj kho mob, nws muaj peev xwm ua kom poob ceeb thawj 8 phaus. Tab sis, ntawm chav kawm, txhua yam tsis zoo tam sim ntawd, Kuv yuav tsum tau tos. Tab sis qhov tshwm sim them tawm.
Elena:Kuv tau txais mob ntshav qab zib, yog li kuv yuav tsum siv rooj 9 li prophylaxis. Kuv tsis paub tias kuv yuav tau “dhia” cov piam thaj uas tsis muaj nws li cas, tab sis thaum cov teeb meem pib nrog cov kev ntsuas pib, cov kws kho mob hais kom hloov mus rau kev noj zaub mov noj. Kuv tau txais ib tus glucometer, nrog nws Kuv saib xyuas qib hauv qab zib kom txog thaum txhua yam zoo.
Victor:Tom qab 30, muaj teeb meem nrog kev rog pib, thiab muaj ntshav qab zib tau pib loom ntawm lub qab ntug. Kuv yuav tsum tau mus rau lub rooj 9 thiaj li daws tau qhov teeb meem no. Raws li qhov tshwm sim, los ntawm 120 nws muaj peev xwm rov qab ua kom tiav rau 98, tab sis qhov no, txuas nrog kev cob qhia ob peb zaug hauv ib as thiv. Thaum xub thawj nws nyuaj, tab sis tom qab ntawd kuv tau siv nws. Yog li kuv qhia tswv yim rau cov uas xav daws teeb meem.
Kev noj haus rau ntshav qab zib hom 2, rau ib lub lim tiam, cov khoom lag luam pub thiab txwv tsis pub
Mob ntshav qab zib mellitus yog ib qho loj ntawm cov kab mob endocrine system, uas yuav tsum muaj kev soj ntsuam tas li los ntawm tus neeg mob thiab kws kho mob. Txhua tus neeg uas tau txheeb xyuas tus mob no yuav pom zoo tias feem pua ntawm cov kev txwv thiab kho mob pom zoo yog rau kev noj zaub mov noj txhua hnub. Qhov tseeb, qhov no yog qhov kev kho mob tseem ceeb, uas ntawm chav kawm ntawm tus kab mob ncaj qha nyob, nrog rau cov xwm txheej dav dav ntawm tus neeg mob.
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Yog tias koj muaj ntshav qab zib hom 2, kev noj haus yog qhov tseem ceeb los nco, yog li nws zoo tshaj los luam nws kom nws ib txwm nyob ntawm koj lub qhov muag thiab koj ua raws li nws. Coob tus neeg ntseeg yuam kev tias tsis muaj ib yam dab tsi yuav tshwm sim los ntawm ob peb khob dej cawv lossis los ntawm kaum ob lub chocolates. Cov kev cuam tshuam zoo li no tsuas cuam tshuam tag nrho koj cov kev siv zog thiab tuaj yeem ua rau qhov xwm txheej tseem ceeb uas yuav tsum tau rov ua haujlwm sai, lossis txawm tias qhov tsis lees noj cov khoom noj.
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Ua ntej tshaj, koj yuav tsum khaws cov ntawv sau zaub mov noj (online lossis ntawm daim ntawv), sau txhua yam uas koj haus txhua hnub, thiab ua raws li lwm cov teeb meem kev noj haus zoo.
Hauv cov neeg mob ntshav qab zib uas, ntawm kev tsis quav ntsej lossis txhob txwm, tsis ua raws li kev noj haus ua ntej kuaj mob, ua rau muaj ntau ntawm cov carbohydrates hauv zaub mov noj, cov hlwb poob lawv qhov tsis haum rau insulin. Raws li qhov tshwm sim, cov piam thaj hauv cov ntshav yuav loj hlob thiab ib txwm nyob ntawm tus nqi siab. Kev noj zaub mov zoo rau cov neeg mob ntshav qab zib muaj rov qab mus rau lub hlwb li qub insulin rhiab heev, uas yog lub peev xwm nqus suab thaj.
Txwv txiav cov calories kom tsawg thaum tswj hwm nws cov nqi zog rau lub cev.
Noj thaum yuav luag tib lub sijhawm. Yog li, koj yuav ua tiav lub cev tawm ntawm cov metabolism hauv thiab lub plab zom mov.
Lub zog hluav taws xob ntawm cov khoom noj yuav tsum tau cuam tshuam qhov kev siv lub zog tiag tiag.
Ib qho uas yuav tsum tau tsib mus rau rau pluas noj nyob rau ib hnub, nrog rau cov khoom txom ncauj me me (feem ntau yog rau cov neeg mob insulin).
Kwv yees li ntawm cov zaub mov tseem ceeb hauv calories ntau. Feem ntau cov carbohydrates yuav tsum tau noj thaum sawv ntxov.
Ntxiv cov zaub tshiab muaj nplua nuj nyob hauv fiber ntau los ntawm cov uas tso cai rau txhua lub tais kom txo qis kev nqus ntawm cov suab thaj yooj yim thiab tsim satiety.
Hloov chaw qab zib nrog kev tso cai nyab xeeb thiab cov qab zib hauv cov khoom ib txwm.
Noj khoom qab zib tsuas yog hauv cov zaub mov yooj yim, tsis noj khoom txom ncauj, txwv tsis pub muaj lub siab dhia ntshav qab zib.
Kev nyiam rau cov khoom qab zib uas muaj cov zaub muaj roj (txiv ntoo, yogurt), txij li thaum muaj cov rog ntau ntau tuaj yeem ua rau cov khoom qab zib nqus qeeb.
Txwv tsis pub cov roj carbohydrates ntau.
Kev txwv nruj heev ntawm kev zom cov zaub mov tsis yooj yim, kom txog thaum lawv ua tiav.
Txwv kev txwv tsis pub noj ntawm cov tsiaj rog.
Cov kev txo qis lossis tshem tawm cov ntsev ntau.
Kev tsis suav cov zaub mov tom qab kis las lossis kev ua si.
Qhov tshwj xeeb yog kev hla dhau, uas yog, ntau dhau ntawm txoj hnyuv zom zaub mov.
Kev txwv tsis pub tshaj lossis txwv tsis pub haus cawv (txog qhov muaj feem thib ib hnub). Koj yuav tsum tsis txhob haus dej ntawm lub plab khoob.
Kev noj haus txhua hnub ntawm cov kua dej pub dawb - 1.5 liv.
Kev siv ntawm kev noj haus txoj kev npaj ntawm kev npaj.
Qee qhov ua kom zoo ntawm cov ntshav qab zib
Koj tsis tuaj yeem siv sijhawm ntev ntev hauv cov khoom noj thiab tshaib plab.
Noj tshais yuav tsum tsis txhob saib xyuas.
Lauj kaub tais diav yuav tsum tsis txhob txias dhau lossis kub.
Noj mov kawg tsis pub dhau ob teev ua ntej yuav mus pw.
Thaum noj mov, zaub tau noj ua ntej, tom qab los ntawm cov khoom noj protein (tsev cheese, nqaij).
Yog tias muaj cov zaub mov carbohydrates ntau hauv ib qho kev pabcuam ntawm cov zaub mov, yuav tsum muaj cov rog lossis cov protein kom txo qis ntawm kev zom ntawm lub qub.
Nws yog qhov zoo dua rau haus dej los yog tso cai haus ua ntej noj mov, tab sis tsis muaj ib qho twg tsis haus lawv nrog zaub mov.
Koj tsis tuaj yeem nce GI ntawm cov khoom los ntawm kev ntxiv cov hmoov nplej, ntxiv rau kib lawv, breading hauv batter thiab breadcrumbs, seasoning nrog roj thiab rwj (taub dag, beets).
Thaum ua zaub ua noj cutlets, koj tsis tuaj yeem siv lub loaf, hloov nws nrog zaub, oatmeal.
Nrog kev ua tsis tau zoo ntawm cov zaub, koj yuav tsum ua cov tais ci, ntau yam pastes thiab pastes los ntawm lawv.
Txhob noj thaum 80% txaus.
Vim li cas koj yuav tsum coj mus rau hauv tus account GI (glycemic index) mob ntshav qab zib?
GI - qhov ntsuas kev muaj peev xwm ntawm cov khoom lag luam tom qab lawv nkag mus hauv tib neeg lub cev ua rau kev nce ntshav qab zib. Nws yog qhov tshwj xeeb tshaj yog xav txog nrog tshuaj insulin thiab mob ntshav qab zib mellitus ntau.
Txhua cov glycemic index muaj txhua yam khoom. Yog li, qhov ntau dua nws yog, qhov ntau dua cov ntshav qab zib cov ntshav nce siab thiab rov ua haujlwm dua.
Qeb GI faib txhua yam zaub mov nrog qis (txog 40) feem ntau (41-70) thiab GI siab (ntau dua 70 units). Koj tuaj yeem nrhiav cov rooj noj mov nrog cov khoom tawg rau cov pab pawg no lossis online laij lej rau suav GI ntawm lawv cov portals thiab chaw so rau lawv hauv lub neej txhua hnub.
Lawm, tag nrho cov zaub mov uas muaj GI siab yuav tsum tau muab cais tawm ntawm kev noj haus, tshwj tsis yog cov khoom noj uas muaj txiaj ntsig rau lub cev muaj ntshav qab zib. Hauv qhov no, GI tag nrho ntawm cov zaub mov noj yog txo qis los ntawm qhov kev txwv ntawm cov khoom noj carbohydrate ntxiv.
Kev noj zaub mov zoo yuav tsum muaj cov khoom noj uas muaj qhov nruab nrab (me me) thiab qis (feem ntau) GI.
Chav tsev qhob cij lossis XE yog lwm qhov ntsuas tsim los pab tshem tawm cov carbohydrates. Nws tau txais nws lub npe los ntawm ib qho ntawm "cib" qhob cij, uas tau los ntawm kev txiav ib qho loaf zoo li ntawd, thiab tom qab ntawd rau ib nrab: xws li 25-gram daim muaj 1 XE.
Feem ntau cov zaub mov muaj xws li carbohydrates, thaum lawv tsis sib txawv hauv cov khoom, muaj pes tsawg leeg thiab calories. Yog li, nws yog qhov nyuaj los txiav txim siab noj zaub mov noj txhua hnub uas tsim nyog rau cov neeg mob insulin - tus nqi ntawm cov khoom noj carbohydrates yuav tsum tau sib haum nrog cov koob tshuaj insulin.
Xws li kev suav txheej suav tias yog thoob ntiaj teb thiab tso cai rau koj los xaiv cov koob tshuaj uas yuav tsum tau siv tshuaj insulin. Qhov ntsuas XE tso cai rau koj los txheeb xyuas cov carbohydrate feem yam tsis muaj qhov hnyav, thiab, hauv peb lub tswv yim, hauv cov ntim ntau yam uas yooj yim rau kev nkag siab (rab diav, iav, thooj, thooj, thiab lwm yam). Tau kwv yees tias muaj pes tsawg lub khob cij noj ib zaug thiab ntsuas ntshav qab zib, ib tug neeg mob ntshav qab zib mellitus ntawm pab pawg 2 tuaj yeem nkag rau qhov tshuaj uas yuav tsum tau muaj ntawm insulin nrog kev txiav txim luv ua ntej noj mov.
qab zib theem tom qab noj 1 XE nce los ntawm 2.8 mmol / l,
1 XE suav nrog kwv yees li 15 g ntawm carbohydrate zom,
Yuav tsum muaj 2 khob dej ntawm insulin kom nqus 1 XE,
kev ua noj txhua hnub yog 18-25 XE, nrog rau faib rau rau pluas mov (3-5 XE - cov zaub mov tseem ceeb, 1-2 XE - khoom noj txom ncauj).
1 XE yog sib npaug: 30 g ntawm qhob cij xim av, 25 g ntawm qhob cij dawb, 0.5 khob ntawm buckwheat lossis oatmeal, 2 prunes, 1 kua nruab nrab, thiab lwm yam.
Pub siv thiab Tsis tshua Muaj Khoom Siv Khoom Noj
Cov zaub mov noj uas tso cai rau ntshav qab zib yog pawg uas tuaj yeem noj tau yam tsis muaj kev txwv.
Muaj ntshav qab zib, yuav tsum ua raws qee yam kev noj haus, uas yuav ua rau nws muaj peev xwm ua kom txhua qhov kev tawm dag zog ntawm qib siab tau zoo. Nws yog ib qho tseem ceeb heev uas kev nthuav qhia kev noj haus yog ua raws li tus mob ntshav qab zib thoob plaws lub neej, vim tias qhov no nws yuav muaj peev xwm los tham txog kev cais tawm ntawm kev txhim kho ntawm cov kev mob tshwm sim thiab lwm qhov tsis zoo. Nws raug nquahu kom txhua tus yam ntxwv ntawm ntshav qab zib noj zaub mov yuav tsum tham nrog tus kws kho mob tshwj xeeb.
Tau ntau xyoo kuv tau kawm cov teeb meem ntawm DIABETES. Nws yog txaus ntshai thaum muaj coob tus neeg tuag, thiab haj yam ua rau neeg xiam vim ntshav qab zib.
Kuv maj nrawm los qhia txoj xov zoo - Endocrinological qhov chaw tshawb fawb ntawm Lavxias Academy ntawm Medical Science tau tswj hwm los tsim cov tshuaj uas kho cov ntshav qab zib kom meej. Lub sijhawm no, qhov kev ua tau zoo ntawm cov tshuaj no tau nce siab 100%.
Lwm qhov xov xwm zoo: Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv tau txais kev nyab xeeb qhov kev saws me nyuam ntawm cov haujlwm tshwj xeeb uas them rau tag nrho tus nqi ntawm cov tshuaj. Nyob rau hauv Russia thiab CIS lub teb chaws cov ntshav qab zib ua ntej tuaj yeem tau txais txoj hauv kev kho mob PUB DAWB .
Ib qho ntawm cov qauv pib ntawm kev noj haus hauv cov kab mob tau piav qhia yog qhov tawg ntawm kev noj haus. Lub ntsiab lus yog tias ib qho khoom noj twg yuav tsum tau noj kwv yees li tsib mus rau 6 zaug hauv 24 teev. Qhov no yuav ua rau muaj txiaj ntsig zoo rau kev nqus ntawm cov khoom xyaw carbohydrate los ntawm cov hnyuv nrog qhov nce ntxiv ntawm cov piam thaj hauv ntshav. Ntxiv rau, hais txog cov ntsiab cai ntawm khoom noj khoom haus, nws yog qhov yuav tsum tau them sai sai rau qhov tseeb tias cov khoom noj tau pom zoo kom siv nyob rau hauv qee lub sijhawmCov. Qhov no yog qhov tsim nyog vim tias nws ua kom muaj kev cuam tshuam cov kev cuam tshuam rau kev kho cov ntshav qab zib thiab cov tshuaj ntawm cov tshuaj tiv thaiv hormonal.
Ntxiv mus, cov kws tshaj lij taw tes hais tias nws tsim nyog yuav tsum cais tag nrho lossis txwv tsis pub siv qee yam khoom lag luam. Peb tab tom hais txog cov uas ua kom nce qib ntawm cov piam thaj hauv cov ntshav - nws tuaj yeem muaj qab zib, qee yam nqaij tsis ua haujlwm, jam. Nws yog ib qho tseem ceeb uas kev noj haus rau cov neeg mob ntshav qab zib suav nrog qhov zoo ntawm cov khoom noj kom muaj fiber ntau. Peb tab tom hais txog zaub, hmoov nplej, vim tias nws yog cov npe no uas ua kom cov piam thaj hauv ntshav nce siab txog qhov tsawg.
Nws raug nquahu kom koj them sai sai rau qhov tseeb tias cov zaub mov ua noj yuav tsum suav nrog qhov tsis tseem ceeb ntawm cov rog. Nyob rau tib lub sijhawm, tsawg kawg ib nrab ntawm lawv yuav tsum sawv cev los ntawm cov npe cog, piv txwv li, paj noob hlis, pob kws lossis txiv roj roj. Ntxiv mus, cov kws kho mob ntshav qab zib tau them sai sai rau qhov tseeb tias:
- Tus naj npawb ntawm cov calories hauv zaub mov ntawm cov menyuam yaus uas muaj ntshav qab zib yuav tsum nyob li qub txhua hnub. Nws yuav tsum sib haum nrog nws cov hnub nyoog thiab tsis cuam tshuam nrog kev qhia ntawm qhov xav tau ntawm cov tshuaj insulin,
- Nws yog ib qho tseem ceeb rau kev tswj hwm cov calories kom zoo li qub hauv kev noj mov ua ke. Yog hais txog noj tshais nyob rau txawv hnub, noj su lossis ua hmo,
- hauv txhua qhov kev hwm lwm yam, kev noj zaub mov ntawm tus neeg muaj ntshav qab zib yuav tsum tsis txawv txav ntawm lwm tus neeg noj qab haus huv.
Nws yog nws leej twg yuav taw qhia qee yam lwm yam ntawm kev noj haus yuav tsum yog thiab vim li cas qhov no tseem ceeb heev rau kev ua haujlwm ntawm lub cev.
Qhov tsim ntawm nthuav tawm lub xeev txawv txav, ua ntej ntawm txhua yam, kev qhia ntawm kev qhia zaub mov kev noj haus. Nws yog qhov tsim nyog tias cov nyiaj ntawm lub zog hauv cov zaub mov sib raug rau lub zog poob ntawm cov ntshav qab zib. Ntxiv rau, kev nkag mus sib xyaw ntawm cov khoom siv xws li cov nqaijrog, cov rog thiab cov roj kom ntau yuav tsum tau txiav txim siab tseem ceeb heev. Peb yuav tsum tsis txhob hnov qab txog cov pluas noj mov, uas yog tsib mus rau rau zaug ib hnub.
Txhua tus neeg mob ntshav qab zib paub tias tswj kev noj haus kom zoo tsuas yog ua tau los ntawm kev laij cov khoom noj kom zoo. Nws yog tsim hauv chav ua mov ci, ib qho tsis ntau dua 12 grams. piam thaj. Hauv 24 teev, los ntawm 18 txog 24 XE, kev faib tawm uas yog cov khoom noj khoom haus tseem ceeb tshaj plaws, yuav tsum nkag mus rau lub cev ntawm cov ntshav qab zib. Hais txog qhov no, cov kws kho mob ntshav qab zib tau ua kom txaus siab rau qhov tseeb tias noj tshais yuav tsum muaj los ntawm cuaj mus rau kaum chav nyob, thiab noj tshais tom ntej thiab noj khoom txom ncauj tom qab - tsis pub dhau ib lossis ob. Qhov ntau thiab tsawg yog tus neeg nruj me ntsis thiab yuav tsum tau pom zoo nrog tus kws tshaj lij.
Nws kuj tseem pom zoo tias cov khoom noj rau cov ntshav qab zib hom 2, zoo li yog rau thawj hom mob, koom nrog kev siv zaub. Qhov no yog qhov tshwj xeeb tshaj yog rau cov neeg muaj ceeb thawj. Hais txog qhov no, cov kws kho mob ntshav qab zib tau them nyiaj rau txoj kev xav tau siv cov dej qab zib tshiab thiab sauerkraut, zaub ntsuab, zaub xas lav, taum ntsuab thiab lwm yam khoom. Kuv xav rov qab hais tias lawv yuav muaj txiaj ntsig zoo tshaj yog tias lawv siv tshiab thiab zoo dua nyob rau lub caij ntawm lawv txoj kev loj hlob.
Lwm qhov tshwj xeeb ntawm kev noj haus rau ntshav qab zib yog tus cwj pwm tsis sib thooj rau daim siab. Qhov tseeb yog tias nws tau ntsib kev hloov pauv loj pathological nrog kev txhim kho kabmob. Tias yog vim li cas cov kws txawj xav kom tseem ceeb ntawm kev siv cov zaub mov no, uas suav nrog qhov sib ntxiv lipotropic. Nws tuaj yeem yog tsev me cheese, oatmeal, kua thiab lwm yam npe.
Raws li WHO hais, txhua xyoo hauv ntiaj teb 2 lab tus tib neeg tuag los ntawm tus mob ntshav qab zib thiab nws qhov tshwm sim hnyav. Thaum tsis muaj kev txhawb nqa tsim nyog rau lub cev, ntshav qab zib ua rau muaj ntau yam kev cuam tshuam, maj mam rhuav tshem tib neeg lub cev.
Cov teeb meem feem ntau muaj: mob ntshav qab zib gangrene, nephropathy, retinopathy, trophic mob rau, hypoglycemia, ketoacidosis. Mob ntshav qab zib kuj tseem tuaj yeem ua rau kev loj hlob ntawm qog ntshav. Yuav luag txhua txhua kis, tus mob ntshav qab zib ua rau tuag taus, tawm tsam nrog ib tus mob hnyav, lossis hloov mus ua tus neeg muaj mob xiam oob qhab tiag tiag.
Cov neeg muaj ntshav qab zib ua dab tsi? Lub Chaw Tshawb Nrhiav Endocrinological ntawm Lavxias Academy ntawm Medical Science tau ua tiav qhov kev txiav txim siab uas kho cov mob ntshav qab zib mellitus kom meej.
Tsoomfwv Txoj Haujlwm "Lub Tebchaws Muaj Kev Noj Qab Nyob Zoo" Tamsis no tab tom ua haujlwm, nyob rau hauv lub moj khaum uas cov tshuaj no tau muab rau txhua tus neeg nyob hauv Lavxias thiab CIS PUB DAWB Cov. Yog xav paub ntxiv, saib official lub vev xaib ntawm MINZDRAVA.
Nws yog qhov tsim nyog tias cov zaub mov ntawm tus neeg ntsib nrog ntshav qab zib yog noo nrog cov vitamins. Nws yog nyob rau hauv no hais tias nws raug nquahu tias cov cheebtsam uas nqa khoom ntawm cov vitamins yuav nkag tau rau hauv kev noj haus. Nws tuaj yeem ua tau brewer thiab tus neeg ua mov ci cov poov xab, ntxiv rau cov khoom noj hauv rosehip, SPP lossis kev noj haus ntxiv. Qhov tom kawg raug pom zoo tom qab sab laj nrog ib tus kws tshaj lij.
Peb yuav tsum tsis txhob hnov qab txog cov kev txwv, uas yog qhov tseeb tias nws pom zoo kom tsis txhob siv cov npe confectionery, ncuav mog qab zib, nrog rau khaws cia lossis khoom qab zib ua khoom noj. Nyob rau hauv kev txwv txiav npluav yog chocolate, zib ntab thiab dej khov, thiab lwm yam khoom qab zib. Cov kws tshaj lij pom zoo rau qhov tsis lees txais cov ntsim, qab ntsev, ntsim thiab haus luam yeeb cov khoom. Qee yam kev qab los noj mov thiab tais diav, suav nrog cov nqaij npuas lossis cov roj yaj, yuav dhau los ua cov khoom tsis zoo hauv cov khoom noj uas tau hais qhia.
Tsis txhob hnov qab txog kev txwv txoj kev siv cawv, txiv tsawb, txiv hmab thiab raisins. Kev hais txog kev siv suab thaj, nws yuav tsum raug sau tseg tias nws txoj kev siv yog kev tso cai, tab sis tsuas yog tshwj xeeb hauv qhov tsis tseem ceeb piv thiab tom qab kev pom zoo los ntawm cov kws kho mob ntshav qab zib. Muab tag nrho cov no, Kuv xav kos lub siab rau qhov tseeb tias kev noj haus rau ntshav qab zib hom 1, nrog rau lub thib ob, cuam tshuam txog qhov yuav tsum tau xav txog qee qhov tshwj xeeb ntawm kev noj haus.
Txhawm rau noj kom muaj ntau yam raws li qhov ua tau, nws raug nquahu kom koj kawm hloov lub tais diav uas muaj cov khoom noj ua si nrog lwm tus. Txawm li cas los xij, qhov no yuav tsum tau ua nyob rau hauv xws li txoj kev uas cov ntsuas cov piam thaj hauv ntshav tsis hloov ntau heev. Nws yog ib qho tsim nyog yuav tsum them sai sai rau qhov tseeb tias:
- xws li hloov tau tuaj yeem nqa tawm yooj yim siv cov txheej txheem tshwj xeeb ntawm chav ua mov ci (XE),
- kev ua kom tiav ntawm lub cev hnyav yuav tsum raug txiav txim siab los ua cov txheej txheem kev kho mob rau hom 2 mob ntshav qab zib mellitus. Qhov no ua tau tsuas yog noj zaub mov uas tsis muaj calorie ntau thiab kev ua kom lub cev nce ntxiv,
- nrog rau tus kab mob uas yog los ntawm thawj hom, txoj hau kev kho mob yog cov tshuaj insulin hloov kho. Tib lub sijhawm, txhua qhov kev txwv kev noj haus yog ntu nyob rau hauv qhov, uas tsis ua rau lawv tsis tshua tseem ceeb rau kev tswj hwm ib lub xeev zoo tshaj plaws ntawm kev noj qab haus huv.
Ntxiv rau, nws yog qhov yuav tsum tau them sai sai rau qhov tseeb tias thawj hom mob ntshav qab zib tso cai rau siv qee yam khoom noj, tab sis tsuas yog hauv qhov tsis muaj tsawg. Tham txog qhov no, koj yuav tsum tau them sai sai rau kev siv cov qe. Peb tab tom tham txog kev siv tsis pub ntau tshaj ob daim nyob hauv 24 teev, tab sis tsuas yog muag-hau. Tsis tas li ntawd, cov npe zoo li no tuaj yeem siv ua omelettes, zoo li thaum ntxiv qe rau lwm lub tais.
Kev noj haus rau cov ntshav qab zib hom 1 thiab ntshav qab zib hom 2 tau tsim tshwj xeeb rau qhov no thiab coj mus rau hauv tus yam ntxwv thiab muaj txiaj ntsig zoo ntawm cov khoom lag luam kom ntau li ntau tau.
Lub ntsiab lus tseem ceeb thiab cov cai tseem ceeb yog txhawm rau tiv thaiv cov ntshav khov hauv cov ntshav qab zib. Tshwj xeeb rau qhov no, nws tau kwv yees tias txhua yam zaub mov tau faib ua tsib ntu, noj nyob rau thaum lub xyoo ua zaub mov tseem ceeb (3 zaug) thiab khoom noj txom ncauj (2 zaug). Hauv qhov no, ntawm ib feem ntawm cov khoom siv tshuaj lom neeg, daim duab yuav tsum zoo li no:
- cov ntsiab lus ua rog tsis tshaj 30% ntawm tag nrho cov khoom noj,
- cov ntsiab lus protein tsis ntau tshaj 20%,
- cov ntsiab lus carbohydrate - seem 50%.
Txij li thaum qhov teeb meem tseem ceeb uas muaj ntshav qab zib yog cov piam thaj, qhov kev qhia tseem ceeb hauv kev npaj khoom noj yog kom txo cov piam thaj hauv lub cev. Qhov tseem ceeb kuj tseem nyob ntawm cov roj qeeb qeeb, nrog qhov koj tuaj yeem tshem ntawm tus khub tseem ceeb ntawm ntshav qab zib - tshaj qhov hnyav sai dua.
Txuas ntxiv, ntau yam malfunctions hauv daim siab ua tau. Lawv kuj yuav tsum tau maj mam muab tshem tawm uas siv cov kua mis thiab cov khoom noj muaj roj tsawg. Tsev cheese thiab tsis tshua muaj rog cheese yog qhov zoo. Txhua yam roj ntau los yog kib tau muab cais tawm.
Tsis txhob hnov qab txog qhov tshwm sim ntawm mob ntshav qab zib gestational. Nws qhov tsos yog ua tau tsuas yog thaum cev xeeb tub, xws li hauv qee tus poj niam lub cev pib los teb rau hauv txoj kev tshwj xeeb rau cov piam thaj. Nyeem ntxiv txog mob ntshav qab zib thaum muaj me nyuam hauv plab ntawm no.
Cia peb xav txog nyob rau hauv ntau dua nthuav dav lub intricacies ntawm cov pluas noj rau ob hom mob ntshav qab zib.
Hauv kev sib piv rau qhov tseeb tias ntau tus neeg nrhiav kev tsis ua tiav ib qho lossis ib qho khoom lag luam, cov tshuaj niaj hnub ua raws li txoj cai ntawm kev sib koom ua ke rau kev kho. Hauv qhov xwm txheej no, qhov no yog qhia los ntawm tsim cov khoom noj zoo, hauv ib qho lossis lwm lub tais yuav raug ntim hauv qhov nyiaj uas tso cai. Qhov no yuav pom los ntawm tus neeg mob thiab nws lub cev yooj yim dua. Thiab nrog rau kev qhia tshwjxeeb xaiv lub cev, koj tuaj yeem ua tiav cov txiaj ntsig tiav. Yog li ntawd, koj tuaj yeem tau txais cov sijhawm teem meej meej uas yuav siv mus rau hauv kev kho mob insulin, kev noj haus thiab kis las.
Thaum lub sijhawm siv cov tshuaj insulin, nws ntau thiab lub sijhawm ntawm kev tswj hwm yuav tsum tau ua kom zoo nrog cov khoom uas muab cov kua nplaum rau lub cev.
Rov qab rau cov ntshav qab zib hom 2, tsis muaj kev txwv ntau ntawm cov khoom noj, tab sis cov tshuaj insulin yuav tsum nkag mus rau hauv lub cev kom raws sijhawm thiab nws cov nyhuv yuav tsum raug coj los siv.
Kev noj haus zoo li no tau xaiv nrog tus kws qhia noj zaub mov noj thiab tsom mus rau kev soj ntsuam kom haum rau cov protein, rog thiab carbohydrates hauv zaub mov.
Nrog nws cov kev pab, koj tuaj yeem ua raws kev tswj hwm tus nqi ntawm cov piam thaj hauv cov ntshav thiab nres kev txhim kho ntawm cov phom sij ntau dua ntawm cov kab mob hauv qab. Yog tias koj rog dhau lawm, koj tuaj yeem haus cov zaub mov muaj protein ntau kom tsis muaj kev cia siab rau cov piam thaj.
Hom zaub mov no tso cai rau koj kho cov calories, uas yuav sib txawv ntawm 2500 kcal rau 600 kcal, nyob ntawm qhov hnyav ntawm ib tus neeg thiab nws lub zog siv nruab hnub. Tab sis vim tias hom khoom noj khoom haus no tuaj yeem ua rau muaj protein ntau hauv lub cev, nws yog qhov yuav tsum tau sab laj nrog koj tus kws kho mob ua ntej.
Yog tias tsim nyog, nws yuav sau cov tshuaj vitamin complex, muaj txiaj ntsig zoo rau cov neeg mob ntshav qab zib, thiab yuav soj ntsuam tus neeg mob lub sijhawm thaum siv cov zaub mov tsis zoo.
Ob pawg ntawm cov khoom lag luam yog cov dav heev thiab ua rau nws muaj peev xwm ua kom yooj yim ntawm kev tawm tsam ntawm lub cev muaj ntshav qab zib kom ntau li ntau tau. Xav txog ntawd yuav ua tau noj nyob rau hauv cov ntaub ntawv no:
- txhua cov zaub ntsuab, thiab zaub ntsuab ntawm txhua yam,
- cov ntses rog muaj roj tsawg
- Txhua cov nqaij ua tsis yog rog los kuj siv tau.
- tib txoj cai siv rau cov hnyuv ntxwm - yog cov rog thiab cov rog ua kom ntau li sai tau,
- txiv hmab txiv ntoo tsis muaj fructose,
- buckwheat, oats thiab millet yog muaj los ntawm cov noob zaub txhuv, vim lawv muaj cov khoom noj khoom haus qeeb qeeb,
- tawm tsam kev ntseeg nrov, mov ci tuaj yeem tau noj, tab sis tsuas yog los ntawm cov hmoov nplej wholemeal thiab nyiam dua cov nplej,
- koj tuaj yeem haus cov txiv ntoo tshiab los ntawm cov txiv hmab txiv ntoo thiab zaub uas tsim nyog, teas thiab decoctions los ntawm tshuaj ntsuab,
- Cov khoom noj siv mis rog tsawg tsawg pub rau haus.
Kev noj zaub mov kom tsis tshua muaj carb kuj tseem siv ntau qhov kev txwv txiav txim siab uas yuav tsum tsis txhob saib tsis taus. Tus lej ntawm kev noj haus yog 9 thiab nws feem ntau hu ua "9 lub rooj." Cov ntawv teev npe no suav nrog cov khoom lag luam uas yuav tsum tsis txhob ua kom tiav los ntawm kev noj haus, tab sis rau lawv yuav tsum tau kho nrog huab ceev faj:
- cawv yog yam tsis txaus siab thiab tsis muaj zog,
- cov kua txiv thiab nectars yuav tsum tsis txhob noj, vim tias lawv tau ua nrog ntau qab zib,
- tsis txhob siv cov khoom ntim muaj suab thaj, uas suav nrog txhua hom khoom qab zib, suav nrog cov khoom qab zib thiab khaws cia,
- nws raug nquahu kom muab pov tseg txhua hom pickles, nrog rau cov khoom noj ntsev thiab zaub mov qab ntsev, thiab lwm yam khaws cia nrog ntsev,
- nruj nreem cov nqaij siav tsis muaj xyaw nrog zaub mov,
- Mov nplej, nplej zom thiab semolina muaj qhov txawv ntawm cov zaub mov uas nce qib qab zib, yog li ntawd lawv txoj kev siv kuj yog qhov tsis txaus siab,
- Nws tsim nyog muab cov zaub mov noj nrog cov muaj roj ntau,
- Nws raug nquahu kom tsis txhob noj cov noog rog,
- txhua yam mob yuav tsum tau kav.
Raws li kev coj ua qhia, cov khoom noj no tau tsim kom txhua lub tais muaj txiaj ntsig zoo li sai tau, thiab cov zaub mov txawv yog ua raws li kev ntsuas ntsuas ntawm cov khoom ntau. Ntawm ib sab, qhov no yuav ua rau qee qhov tsis yooj yim. Tab sis ntawm qhov tod tes, tau txais siv rau kev noj zaub mov zoo li no tsis tuaj yeem tsuas yog tswj tau cov piam thaj li qub, tab sis kuj poob phaus hauv txoj hauv kev zoo thiab noj qab haus huv.
Tias yog vim li cas cov kws kho mob qhia kom ua raws li lub rooj 9 rau txhua tus neeg mob hnyav. Kev txwv kev noj haus ntawm cov khoom noj no ua rau lub cev ua haujlwm ntawm ntau yam hauv nruab nrog, uas muaj kev cuam tshuam zoo rau kev ua haujlwm ntawm cov kab mob endocrine. Nyeem ntxiv txog kev noj haus kev noj haus tus lej 9 nyob ntawm no.
Ua piv txwv, cov ntawv qhia ua zaub mov tau nthuav tawm rau cov neeg mob uas mob ntshav qab zib mellitus qib ob, uas yog, tsis-insulin-kev vam khom.
- thawj tshais: tsis muaj rog tsev cheese - 200g nrog berries - 40g,
- tshais thib ob: ib khob ntawm kefir,
- noj su: zaub kua zaub - 150ml, ci yaj - 150g, zaub stewed - 100g,
- txom ncauj yav tav su: cabbage thiab dib zaub xam lav lub caij nrog txiv roj roj - 100g,
- noj hmo: grilled dorado ntses - 200g, zaub steamed - 100g.
- thawj zaug noj tshais: buckwheat porridge nrog mis 150g,
- tshais thib ob: ob lub txiv av ntsuab
- noj su: borscht (tsis muaj nqaij) - 150ml, nqaij nyuj hau - 150g, txiv ntoo qhuav tsis muaj qab zib,
- yav tsaus ntuj tshuaj yej: broth ntawm qus sawv - 150ml,
- noj hmo: hau ntses - 200g, zaub tshiab - 150g.
- thawj tshais: tsev cheese casserole - 150g,
- tshais thib ob: ib tug decoction ntawm Rose hips - 200ml,
- noj su: zaub qhwv kua zaub (tsis muaj nqaij) - 150ml, ntses ncuav - 150g, zaub tshiab - 100g,
- txom ncauj yav tav su: hau qe
- noj hmo: steamed nqaij patties - 200g, stewed zaub qhwv - 150g.
- thawj tshais: ob lub qe omelet nrog zaub 150g,
- tshais thib ob: haus cov kua mis nyeem qaub 150ml,
- noj su: zaub cob pob qab zib - 150ml, kua txob kua txob -200g,
- yav tsaus ntuj tshuaj yej: zaub ntug hauv paus casserole nrog tsev cheese -200g,
- noj hmo: nqaij qaib skewers - 200g, ci zaub - 150g.
- thawj zaug noj tshais: millet porridge 150g, kua,
- tshais thib ob: 2 lub txiv kab ntxwv
- noj su: ntses kua zaub 200ml, nqaij goulash -100g, barley porridge -100g,
- txom ncauj yav tav su: ib khob ntawm kefir, bran - 100g,
- noj hmo: nqaij cutlets - 150g, buckwheat porridge -100g, ci asparagus -70g.
- thawj tshais: bran 150g, kua,
- tshais thib ob: mos-hau qe
- noj su: zaub stew nrog cov nqaij (nqaij nyuj lossis nqaij yaj) - 200g,
- txom ncauj yav tav su: zaub xam lav ntawm txiv lws suav thiab celery stalks - 150g,
- noj hmo: yaj stew nrog zaub - 250g.
- thawj zaug noj tshais: roj-dawb lub tsev cheese 100g nrog yogurt 50g,
- tshais thib ob: grilled qaib mis 100g,
- noj su: zaub kua zaub - 150ml, nqaij goulash - 100g, zaub xam lav los ntawm celery stalks thiab txiv apples - 100g,
- txom ncauj yav tav su: txiv hmab txiv ntoo - 125g,
- noj hmo: hau cws - 200g, ntsuab taum rau ib nkawm - 100g.
Olga:Ua tsaug rau Vajtswv mob ntshav qab zib tau dhau los ntawm kuv, tab sis kuv tau hnov txog kev noj haus zoo li no. Tus kws kho mob tau qhia, hais tias nws yuav muaj kev noj qab haus huv zoo, tsis zoo li ntau cov zaubmov nyiam. Kuv txiav txim siab sim nws. Dua li ntawm qhov tseeb tias kev noj haus yog tshuaj kho mob, nws muaj peev xwm ua kom poob ceeb thawj 8 phaus. Tab sis, ntawm chav kawm, txhua yam tsis zoo tam sim ntawd, Kuv yuav tsum tau tos. Tab sis qhov tshwm sim them tawm.
Elena:Kuv tau txais mob ntshav qab zib, yog li kuv yuav tsum siv rooj 9 li prophylaxis. Kuv tsis paub tias kuv yuav tau “dhia” cov piam thaj uas tsis muaj nws li cas, tab sis thaum cov teeb meem pib nrog cov kev ntsuas pib, cov kws kho mob hais kom hloov mus rau kev noj zaub mov noj. Kuv tau txais ib tus glucometer, nrog nws Kuv saib xyuas qib hauv qab zib kom txog thaum txhua yam zoo.
Victor:Tom qab 30, muaj teeb meem nrog kev rog pib, thiab muaj ntshav qab zib tau pib loom ntawm lub qab ntug. Kuv yuav tsum tau mus rau lub rooj 9 thiaj li daws tau qhov teeb meem no. Raws li qhov tshwm sim, los ntawm 120 nws muaj peev xwm rov qab ua kom tiav rau 98, tab sis qhov no, txuas nrog kev cob qhia ob peb zaug hauv ib as thiv. Thaum xub thawj nws nyuaj, tab sis tom qab ntawd kuv tau siv nws. Yog li kuv qhia tswv yim rau cov uas xav daws teeb meem.
Feem ntau ntawm cov neeg uas tau ntsib txoj kev tsis txaus siab no xws li mob ntshav qab zib mellitus (DM) tau paub zoo tias qhov kev kuaj mob no txhais tau tias yog kev tshuaj xyuas tag nrho kev ua neej. Ua ntej tshaj, qhov no siv rau kev noj zaub mov zoo. Muaj tseeb tiag, niaj hnub no tsis muaj cov ntsiav tshuaj zoo li no tau tsim, qhov kev nqus ntawm qhov ntawd yuav cawm tus mob ntshav qab zib los ntawm qhov yuav tsum tau ua raws li qee yam zaub mov noj.
Ntau phau ntawv tau sau txog ntshav qab zib. Thiab tsis muaj leej twg ntawm lawv yog qhov tseeb tias kev noj zaub mov zoo rau cov ntshav qab zib yog ib hom kev kho mob rau tus kabmob uas tsim nyog rau txiv neej thiab poj niam. Tom qab tag nrho, ntshav qab zib yog qhov mob endocrine uas cuam tshuam ncaj qha rau ib qho ntawm cov tshuaj hormones tseem ceeb hauv lub cev - insulin. Cov tshuaj insulin yog tsim nyob rau hauv lub txiav thiab tsim nyog rau kev nqus ntawm cov piam thaj los ntawm kev zom zaub mov.
Raws li koj paub, ib qho khoom noj twg muaj peb qho tseem ceeb - protein, cov rog thiab carbohydrates. Tag nrho cov kev sib xyaw ua si lub luag haujlwm tseem ceeb, tab sis cov khoom noj carbohydrates (cov piam thaj) muaj qhov tseem ceeb. Nws yog cov carbohydrates uas yog qhov tseem ceeb ntawm lub zog rau cov cell hauv tib neeg lub cev. Ntau tshwj xeeb, tsuas yog ib qho tshuaj yeeb yam ua cov haujlwm no - cov piam thaj, uas zwm rau chav kawm ntawm monosaccharides. Lwm hom carbohydrates yooj yim tau hloov mus ua cov piam thaj hauv ib txoj kev los sis lwm qhov. Cov carbohydrates zoo sib xws suav nrog fructose, sucrose, maltose, lactose, thiab hmoov txhuv nplej siab. Thaum kawg, muaj cov polysaccharides uas tsis nqus ntawm txhua qhov ntawm cov hnyuv. Cov tebchaw ntawd suav nrog pectins, cellulose, hemicellulose, pos hniav, dextrin.
Cov kua nplaum tuaj yeem ywj pheej nkag mus rau hauv lub cev lub cev tsuas yog tias nws los txog ntawm cov hlwb - hlwb hlwb. Hauv txhua lwm yam mob, kua nplaum xav tau hom "yuam sij". Qhov no yog "qhov tseem ceeb" thiab yog insulin. Cov protein no khi rau qee cov receptors ntawm phab ntsa, ua kom qabzib tuaj yeem ua nws txoj haujlwm.
Lub hauv paus rau cov ntshav qab zib yog ib qho txhaum ntawm cov txheej txheem no. Ntawm ntshav qab zib hom 1, muaj qhov tsis muaj qhov txaus insulin. Qhov no txhais tau hais tias cov piam thaj poob qhov "qhov tseem ceeb" ntawm insulin thiab tsis tuaj yeem nkag mus rau hauv lub hlwb. Qhov ua rau tus mob no feem ntau yog tus kab mob pancreatic, vim tias cov tshuaj tua kab mob insulin txo qis lossis poob rau xoom.
Ntawm yam ntshav qab zib hom 2, hlau tsim insulin txaus. Yog li, cov piam thaj muaj qhov "tseem ceeb" uas tso cai rau nws nkag mus rau hauv cov hlwb. Txawm li cas los xij, nws tsis tuaj yeem ua qhov no vim tias lub "xauv" yog qhov yuam kev - uas yog, lub hlwb tsis muaj cov protein tshwj xeeb kom haum cov tshuaj insulin. Tus mob no feem ntau muaj kev loj hlob zuj zus thiab muaj ntau yam ua rau, muaj ntau los ntawm cov rog hauv lub cev mus rau kev hloov caj ces. Nrog txoj kev loj hlob ntawm cov kab mob pathology, lub cev yuav pib ua yam tsis muaj qhov insulin tsis txaus.
Ob qhov xwm txheej tsis coj tus neeg mus ua qhov zoo. Firstly, qabzib uas tsis nkag rau hauv lub hlwb yuav pib mus rau hauv cov ntshav, yog tso rau hauv ntau cov nqaij, ua rau lawv. Thib ob, lub cev pib ua kom tsis muaj lub zog uas nws yuav tsum xub tau txais los ntawm cov piam thaj.
Kev noj zaub mov kom pab tau ob qho tib si ntawm cov mob no li cas? Nws yog npaj los ntxiv rau kev kho mob ntshav qab zib, thiab kom sai li sai tau los kho cov teeb meem metabolic tsis txaus.
Ua ntej tshaj plaws, nws yog lub stabilisation ntawm cov ntshav qabzib nyob rau qib, txij li muaj cov piam thaj ntau ntxiv ua rau muaj kev puas tsuaj rau ntau yam kabmob. Ua ntej tshaj plaws, cov ntshav qab zib tsis zoo cuam tshuam rau cov hlab ntsha, ntshav ncig tsis zoo, vim qhov kev tshwm sim ntawm cov mob thiab cov txheej txheem necrotic hauv cov ntaub so ntswg raug pom, kev tiv thaiv kab mob tsawg dua. Cov kev mob hnyav hnyav tau muaj uas cuam tshuam ncaj qha rau tus neeg mob kom ua rau muaj neeg tuag taus - mob plawv, mob hlab ntsha hlwb, mob caj dab.
Kev kho mob ntshav qab zib ntawm thawj ntau yam, ua ntej txhua yam, yuav tsum tau tsom mus rau theem ntawm qib siab ntawm carbohydrates hauv cov ntshav.Txij li muaj hom ntshav qab zib no, tus neeg mob tau yuam kom siv cov tshuaj insulin, qhov ntau ntawm cov khoom noj carbohydrates nrog cov zaub mov yuav tsum sib haum rau cov piam thaj uas insulin tuaj yeem tswj hwm. Txwv tsis pub, yog tias muaj cov insulin ntau dhau los yog tsawg, ob qho hyperglycemic (cuam tshuam nrog cov piam thaj siab) thiab cov ntshav hypoglycemic (cuam tshuam nrog cov piam thaj tsawg) yuav ua tau. Ntxiv mus, hypoglycemia nyob rau hauv cov ntshav qab zib mellitus, raws li txoj cai, tsis yog tsawg dua, lossis tseem muaj kev phom sij ntau dua hyperglycemia. Tom qab tag nrho, cov piam thaj tsuas yog qhov tseem ceeb ntawm lub zog rau lub hlwb, thiab nws cov ntshav tsis txaus tuaj yeem ua rau muaj kev phom sij loj heev uas ua rau lub cev tsis ua pa lawm.
Yog tias koj tau kuaj mob ntshav qab zib mellitus, tom qab ntawv noj zaub mov noj yuav tsum tsis txhob ua raws li ob peb hnub, tab sis tas koj lub neej, vim hais tias kom deb li deb tsis muaj txoj hauv kev los kho tus mob. Txawm li cas los xij, qhov no tsis txhais tau tias tus neeg mob yuav tau mus ib txhis tsis muaj kev zoo siab uas tau txais los ntawm nws cov zaub mov uas nws nyiam. Kev noj zaub mov kom zoo, nrog rau kev noj tshuaj txo cov ntshav qab zib thiab tshuaj insulin, yuav pab ua kom lub chav kawm muaj tus kab mob, thiab hauv qhov no, tus neeg muaj peev xwm them taus qee yam kev ywj pheej hauv kev noj zaub mov. Yog li, txoj kev kho tshuaj thiab khoom noj khoom haus, pab txhawb rau qhov ib txwm ua ntawm cov metabolism hauv kev noj haus, yog lub hauv paus ntawm kev tiv thaiv ntshav qab zib. Yog lawm, kev kho mob nrog rau kev kho mob pej xeem kuj tseem tuaj yeem, tab sis tsuas yog kev tso cai ntawm tus kws kho mob koom nrog.
Kev kho rau kev noj qab haus huv hauv ntshav qab zib yog tsis muaj kev sib cav tam sim no los ntawm cov kws tshaj lij. Kev noj haus rau cov neeg mob ntshav qab zib yog tsim los xav txog hom mob ntshav qab zib (1 lossis 2), cov xwm txheej dav dav ntawm tus neeg mob, qib ntawm kev loj hlob ntawm cov kab mob, cov kab mob sib kis, theem ntawm kev tawm dag zog, kev noj tshuaj los ntawm tus neeg mob, thiab lwm yam.
Txhua tus neeg muaj kev noj zaub mov ntev ntev thiab nyiam cov zaub mov nyiam. Thaum ua cov pluas noj haus, cov kws kho mob ntshav qab zib yuav tsum ua tus lej saib xyuas no.
Qhov zoo tshaj plaws ntawm kev ua kom tiav ntawm cov pluas noj yog qhov tseem ceeb tshaj plaws hauv kev npaj ntawm kev noj tshuaj tiv thaiv kab mob. Koj tsis yog cia li noj txhua yam uas ib tug neeg tau noj ua ntej thiab hloov nws nrog cov sib txawv kiag li. Nws tsuas yog tsim nyog yuav tau hloov kho cov zaub mov kom yoog rau ib tus neeg, tshem tawm cov teeb meem los ntawm nws. Nws yog ib qho tseem ceeb tshwj xeeb kom ua raws li lub hauv paus ntsiab lus no ntawm kev kho mob nkeeg hauv cov menyuam yaus, vim tias ib tus neeg laus tuaj yeem yuam nws tus kheej, thiab yaum cov menyuam kom noj yam tsis zoo rau nws yuav nyuaj dua. Tsis tas li, tsis tas yuav los nrog cov ntawv qhia zaub mov noj muaj ntshav qab zib tshwj xeeb, vim tias muaj cov zaub mov zoo paub ua raws li qhov xav tau ntawm lub rooj noj haus.
Cov yam ntxwv ntawm kev txhim kho ntawm lub rooj noj tshuaj tiv thaiv rau cov poj niam cev xeeb tub
Rau cov poj niam cev xeeb tub, kev noj zaub mov tshwj xeeb yog tsim nyog, suav txog tus yam ntxwv ntawm tus neeg mob lub cev. Nws yog ib qho tseem ceeb uas cov txheej txheem muab rau cov poj niam cev xeeb tub yuav tsis ua mob rau nws txoj kev noj qab haus huv nkaus xwb, tab sis nws tseem muaj kev nyab xeeb rau nws tus menyuam hauv plab. Hauv cov khoom noj khoom haus zoo li no, cov poj niam yuav tsum tau txais tag nrho cov as-ham uas tsim nyog rau kev txhim kho menyuam yaus.
Kev noj haus rau ntshav qab zib kuj tseem yog qhov tseem ceeb. Txawm li cas los xij, cov lus pom ntawm cov khoom noj khoom haus xav tau ntau npaum li cas nws yuav tsum tau noj zaub mov rau ntshav qab zib sib txawv. Lub tsev kawm ntawv ib txwm muaj ntawm kev mob ntshav qab zib yog qhov kev xav tias yog tias ib tug neeg noj 5-6 zaug hauv ib hnub, tom qab ntawv qhov no muab qhov kev kho mob siab tshaj plaws. Thaum nruab hnub yuav tsum muaj 3 pluas noj (peb tab tom tham txog pluas tshais, su thiab hmo). Ib pluag mov twg muaj 2-3 tais. Tsis tas li, tus neeg mob tuaj yeem ua 2 lossis 3 khoom noj txom ncauj, muaj 1 hom zaub mov, nruab hnub. Nws raug nquahu kom npaj cov zaub mov kom cov zaub mov noj los ntawm tus neeg mob txhua txhua hnub nyob rau tib lub sijhawm.
Txhua pluas noj yuav tsum muaj cov calories kom tsawg. Tag nrho cov calories yuav tsum tau faib kwv yees li qhov no:
- thaum noj tshais - 25%,
- thaum lub tshais thib ob - 10-15%,
- thaum lub sijhawm noj su - 25-30%,
- thaum tav su - 5-10%,
- thaum noj hmo - 20-25%,
- thaum noj mov zaum ob - 5-10%,
Tab sis tseem muaj cov neeg ua raws li qhov kev xav pom tias nws yog qhov zoo tshaj rau tus neeg mob noj zaub mov 2-3 zaug thaum nruab hnub kom tsis txhob tsim lub nra hnyav rau ntawm cov txiav. Lub tswv yim nthuav dav yog tias nws yog qhov zoo tshaj kom ib tus neeg noj cov khoom noj uas muaj carbohydrate feem ntau thaum sawv ntxov.
Ntawm no yog qee qhov kev cai tsim los ntawm cov kws kho mob ntshav qab zib ua rau kom txoj kev kho mob:
- nws yog ib qho tsim nyog uas tus neeg yuav noj rau lub sijhawm kawg tsis pub dhau 3 teev ua ntej yuav mus pw,
- thaum noj mov, cov khoom noj muaj fiber ntau yuav tsum mus thawj ntawm cov npe,
- yog tias ib tus neeg noj khoom qab zib me me, nws yog qhov zoo dua rau lawv noj thaum noj mov tseem ceeb, thiab tsis yog khoom noj txom ncauj, vim tias tom kawg muaj qhov ua rau cov piam thaj hauv ntshav nce ntxiv,
- tus neeg mob yuav tsum tsis txhob noj noj tom qab kev tawm dag zog lub cev, tom qab kev ntxhov siab,
- nws yog ib qho tsim nyog uas ib tus neeg noj noj kom tsawg, tsis txhob noj ntau dhau thiab tawm ntawm lub rooj noj mov nrog lub siab me.
Mob ntshav qab zib xav tau ntau yam kev txwv, thiab qee tus kws kho mob txwv tsis pub lawv cov neeg mob koom nrog kev noj mov, vim hais tias, raws li txoj cai, lawv tau nrog los ntawm kev noj ntau dhau thiab kev noj cov zaub mov uas muaj zaub mov ntau. Txawm li cas los xij, qhov no tsis yog tas li txoj hauv kev. Koj yuam tsis tau ib tus neeg ib txwm noj mov hauv tsev, tsis txhob mus rau tom khw noj mov, cafes, noj mov, lossis qhua. Firstly, nws tsis yooj yim sua, thiab thib ob, nws yuav tsum coj mus rau hauv tus account tias kev noj mov tsis tsuas yog lub cev, tab sis kuj ua lub luag haujlwm.
Kev tsis quav ntsej rau cov ntsiab lus no ua rau tus neeg mob tsis ua raws li nws txoj kev noj haus thiab soj ntsuam cov txheej txheem ntawm kev noj zaub mov. Qhov no negates tag nrho kho nyhuv. Yog li, txoj kev daws teeb meem tseeb yuav tsis yog kev txwv, tab sis kev qhia tus neeg mob hauv kev txawj ntse los txiav txim siab qhov kev phom sij ntawm cov khoom thiab hloov lawv nrog ntau qhov tsim nyog. Txawm li cas los xij, yog tias tus neeg mob koom nrog ib rooj noj mov, ces nws yuav tsum tsis kam haus cawv. Qhov tseeb tiag, txawm tias ib tug neeg noj kom zoo, kev haus dej haus cawv muaj peev xwm tiv thaiv txhua txoj kev mob siab. Kev haus dej cawv Ethyl ua rau cuam tshuam cov metabolism hauv cov zaub mov tseem ceeb ntawm cov zaub mov (cov protein, carbohydrates thiab cov rog), ua rau kev ua haujlwm ntawm cov kabmob uas tseem ceeb tshaj plaws (feem ntau yog daim siab), thiab tuaj yeem ua rau lub cev tsis muaj zog.
Nta ntawm kev ua noj thiab txwv txoj hau kev ua noj
Kev noj zaub mov kom zoo tsim nyog yuav tsum ua tib zoo suav nrog kev ua noj ua haus. Kev kho cua sov ntev tsis pom zoo. Yog li ntawd, txhua lub tais diav yuav tsum yog ib lub rhaub lossis ncu. Nws yuav tsum nco ntsoov tias kev kho cua sov nce lub glycemic Performance index.
Ua los ntawm ci nqaij, sib hlib, ua zaub mov nrawm, cov zaub mov tiav ib nrab yog txwv. Nws tsis pom zoo kom siv cov mayonnaise, ketchup, cov kua ntses thaum cov tais diav.
Cov khoom lag luam uas muaj cov hmoov txhuv nplej siab zoo dua yog qhov zoo tshaj plaws kom tsis txhob rhaub lossis zom, vim tias cov hmoov txhuv nplej siab yooj yim dua tom qab ua tiav. Yog li ntawd, cov qos yaj ywm tau hau zoo tshaj hauv tev, thiab cereals tsis tas yuav tsum muab zom.
Cov tais diav yuav tsum tsis txhob muaj qhov chaw txias lossis kub, tab sis nrog ntsuas kub ntawm + 15-66 ° С.
Hauv ntau cov khoom noj muaj ntshav qab zib, cov tswvyim ntawm glycemic index (GI) yog siv dav. Lo lus no hais txog qhov muaj peev xwm ntawm cov khoom ua rau muaj kev nce ntxiv hauv qabzib. Qhov ntsuas no tsis sib xws rau xws li cov ntsiab lus tsis txaus siab ntawm cov ntsiab lus carbohydrate thiab cov calories. Qhov ntau dua ntawm glycemic Performance index, qhov sai dua cov piam thaj theem nce. Raws li txoj cai, nrog qhov sib npaug ntawm cov carbohydrates hauv ntau cov khoom lag luam, GI yog siab dua nyob rau hauv cov uas qhov feem ntawm cov khoom noj uas muaj cov carbohydrates yooj yim dua thiab cov ntsiab lus ntawm cov nroj tsuag fibers tsawg dua. Ib qho GI tsawg dua 40 yog suav tias yog qis, qhov nruab nrab ntawm 40 txog 70, thiab qhov siab tshaj 70. Nws yog qhov tshwj xeeb tshaj yog xav txog GI rau cov neeg mob insulin-tiv thaiv ntshav qab zib mellitus thiab mob hnyav ntawm hom 2 ntshav qab zib. Yog li, GI tuaj yeem raug siv los txhawm rau txhawm rau pom kev noj zaub mov zoo.
Cov npe hauv qab no qhia cov glycemic Performance index ntawm ntau yam zaub mov.
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Romanova E.A., Chapova O.I. Mob ntshav qab zib mellitus. Phau Ntawv Qhia, Eksmo - M., 2015 .-- 448 p.
Nikolaychuk, L.V. 1000 zaub mov txawv rau cov neeg mob ntshav qab zib mellitus / L.V. Nikolaychuk, N.P. Zubitskaya. - M .: Phau Ntawv Tsev, 2004. - 160 p.- Kazmin V.D. Mob ntshav qab zib mellitus. Yuav ua li cas kom tsis txhob muaj teeb meem thiab lub neej ntev. Rostov-on-Don, Phoenix Publishing House, 2000, 313 nplooj ntawv, ncig 10,000 daim ntawv luam.
- Cov Lus Qhia rau Chaw Kho Mob Endocrinology. - M.: Tshuaj, 2014 .-- 664 p.
Cia kuv qhia kuv tus kheej. Kuv lub npe yog Elena. Kuv tau ua haujlwm li endocrinologist rau ntau tshaj 10 xyoo. Kuv ntseeg hais tias tam sim no kuv yog tus kws tshaj lij hauv kuv daim teb thiab kuv xav pab txhua tus neeg tuaj saib lub vev xaib kom daws qhov nyuaj thiab tsis yog li cov haujlwm. Txhua cov ntaub ntawv rau lub xaib tau sau thiab ua tib zoo ua kom tiav thiaj li xa ntau li ntau tau cov ntaub ntawv tsim nyog. Ua ntej thov cov ntaub ntawv uas tau piav qhia hauv lub vev xaib, kev sab laj yuav tsum nrog tus kws tshaj lij yog ib txwm tsim nyog.