Lub rooj ntawm cov khob cij rau cov neeg mob ntshav qab zib! Yuav nyeem XE li cas?

• Lub Yim Hli 13, 2018
• Endocrinology
• Natalia Nepomnyashchaya

Kev ua txhaum ntawm cov tshuaj endocrine tuaj yeem tsim kev puas tsuaj loj rau tag nrho lub cev. Ib qho teeb meem loj tshaj plaws ntawm kev ua tsis tiav yog kev txhim kho ntshav qab zib. Nrog rau tus kab mob no, nws yog ib qho tseem ceeb kom muaj qhov sib npaug sib txawv ntawm kev nkag mus ntawm kev ua kom muaj carbohydrates thiab qab zib uas muaj cov khoom xyaw nrog zaub mov. Ib qho kev hloov pauv hauv cov ntshav qab zib cov ntshav nce siab lossis qis dua tuaj yeem ua rau muaj kev phom sij hauv lub cev - kev loj hlob ntawm cov ntshav lossis hypoglycemia. Yog li, tus neeg mob tsis tsuas saib xyuas theem ntawm cov piam thaj - muaj qhov yuav tsum tau siv kev kho mob insulin thiab ua raws li cov khoom noj kom nruj tshaj plaws. Hauv kev npaj ntawm qee yam khoom noj muaj txiaj ntsig, lub tswv yim ntawm chav ua khob cij hauv ntshav qab zib yog qhov tseem ceeb. Tab sis dab tsi yog qhov ntsuas no? Nws siv nyob qhov twg? Thiab dab tsi yog nws qhov tseem ceeb?

Kev txhais cov ntsiab lus

Chav Nyob Khob Cij (XE) yog cov kev ntsuas ntawm cov ntsiab lus carbohydrate ntawm koj cov zaub mov txhua hnub. Qhov ntsuas no tau txais thoob plaws lub ntiaj teb thiab ib txwm xav txog thaum kos cov zaub mov noj zaub mov. Niaj hnub no, kev siv cov schemes thiab cov ntxhuav ntawm cov khob cij yog siv dav tsis yog rau suav sau cov zaub mov noj txhua hnub ntawm cov neeg mob uas muaj tus kabmob hnyav no, tabsis tseem rau cov neeg uas saib xyuas lawv kev noj zaub mov thiab daim duab.

Qhov no ntau npaum li cas hauv cov grams?

Siv qhov ntsuas nruab nrab tso cai rau koj los piv rau kev xam ntawm cov khoom noj carbohydrates. Lub tswv yim ntawm chav ua khob cij hauv ntshav qab zib tau tshwm sim ua tsaug rau kev ua haujlwm ntawm German kev noj haus. Lawv tsim cov rooj tshwj xeeb hauv kev npaj ua tiav ntawm cov khoom noj khoom haus carbohydrates thiab lawv cov khoom muaj nuj nqis tau rov ua dua tshiab rau cov txheej txheem lees txais uas tsis pom zoo - ib qho khob cij uas nws qhov hnyav yog 25 g. Yog li, nws ntseeg tau hais tias nyob hauv ib chav ua mov ci muaj 10-12 g ntawm carbohydrates uas tib neeg lub cev nqus tawm. Hauv qhov xwm txheej no, cov kws tshawb fawb tau suav tias 1 XE pab txhawb kev nce ntxiv hauv cov ntshav qab zib los ntawm 2.8 mmol / litre. Txhawm rau kom them rov qab rau cov theem ntawm cov piam thaj hloov, 1.4 UNIT ntawm insulin xav tau. Qhov no txhais tau hais tias tus neeg mob ntau dua noj cov qhob cij (rau cov ntshav qab zib), ntau dua qhov kev siv tshuaj uas nws xav nkag mus rau txhawm rau them cov piam thaj hauv lub cev.

Tus nqi ntawm carbohydrates

Yog lawm, tag nrho cov khoom noj uas siv rau hauv cov zaub mov noj txawv hauv muaj pes tsawg leeg, cov txiaj ntsig lossis kev phom sij, nrog rau cov ntsiab lus tsis zoo ntawm cov zaub mov. Ntawm cov ntshav qab zib mellitus, tshwj xeeb yog them rau qhov nyiaj ntawm zom cov zaub mov uas muaj ib chav nyob hauv. Yog li, tib neeg kev txom nyem los ntawm cov tsos mob ntawm tus kab mob yuav tsum suav cov khoom noj kom ntau ntawm carbohydrate thiab paub txog qhov twg yog cov nqus kom maj mam thiab cov twg nce sai sai ntawm cov suab thaj hauv lub cev. Peb yuav tsum tsis txhob hnov ​​qab tias cov khoom lag luam muaj cov txheej txheem tsis tseem ceeb uas tsis muaj insoluble carbohydrates, uas tsuas yog tawm dhau los, thiab lawv tsis cuam tshuam rau cov piam thaj. Tseem muaj cov soluble carbohydrates uas tau koom nrog lwm cov txheej txheem hauv lub cev.

Suav cov khob cij faib ua ntshav qab zib

Kev noj qab nyob zoo ntawm tus neeg mob feem ntau nyob ntawm qhov tseeb ntawm qhov kev suav. Tab sis yuav kom txiav txim siab rau nws tus kheej kom tau txais cov khoom noj carbohydrates ntau, nws yog qhov yuav tsum tau kawm cov khoom xyaw ntawm txhua cov khoom ua ntej txhua pluas noj. Hauv qhov no, yeej ib txwm muaj peev xwm ntawm qhov tsis raug thiab qhov raug. Qhov no yuav tsum tau siv ntawm cov rooj tshwj xeeb ntawm cov khob cij. Cov tib neeg kev txom nyem los ntawm hom I hom mob (mob ntshav qab zib ua ntshav qab zib), lawv txoj kev paub tsuas yog tsim nyog rau lub neej tag nrho. Kev txhim kho ntawm hom II mob feem ntau ua rau cov txheej txheem kev rog. Yog li, tib neeg kev txom nyem los ntawm cov ntaub ntawv los ntawm hom mob ntshav qab zib hom 2, lub rooj XE yog qhov xav tau los laij cov khoom noj uas muaj calorie. Ntawm qhov tseem ceeb dua yog kev faib khoom txaus rau lawv tau nruab hnub. Txawm li cas los xij, nyob rau hauv txhua rooj plaub, kev hloov qee yam khoom hauv kev txiav txim XE yuav tsis muaj kev coj ua.

Chav Ua Mov Nyob Hauv Cov Khoom Noj

Tus nqi niaj hnub ntawm carbohydrates nkag mus rau hauv lub cev yuav tsum tsis pub tshaj 18-25 XE. Nyob rau tib lub sijhawm, lawv yuav tsum tau muab faib ua ntau txoj hauv kev: ib zaug koj tuaj yeem siv tsis tau ntau dua 7 XE. Feem ntau cov carbohydrates yuav tsum tau noj thaum sawv ntxov. Txhawm rau sau cov zaub mov rau cov ntshav qab zib mellitus, chav ua khob cij uas yuav tsum ua raws li tus cai, nws yog qhov yuav tsum tau ua raws li feem ntau lees txais cov cai.

Kev Hais Haum Ntawm Tus Kheej

Hauv cov neeg muaj ntshav qab zib, cov XE yuav tsum nyob ntawm tes. Lawv qhia tias muaj pes tsawg lub carbohydrates muaj qee yam khoom hauv qhov nqi sib npaug rau 1 khob cij. Lawv yog lub hauv paus rau kev suav ua cov zaub mov noj txhua hnub. Txawm li cas los xij, yog tias nws cia li tshwm sim tam sim ntawd nws tsis tshwm sim, koj tus kheej tuaj yeem ua tus txiav txim tsim nyog.

Daim ntawv lo ntawm ib yam khoom feem ntau yog qhia nws cov muaj pes tsawg leeg thiab tus nqi khoom noj khoom haus. Txhawm rau hloov cov carbohydrates rau hauv cov khob cij, koj yuav tsum faib lawv tus lej los ntawm 12. Tus lej tshwm sim yog tus nqi xav tau. Tam sim no koj yuav tsum ntsuas hnyav cov khoom tsim nyog uas tus neeg mob tuaj yeem noj, tsis muaj kev ntshai rau lawv txoj kev noj qab haus huv.

Piv txwv li, 100 g ntawm ncuav qab zib dog dig muaj 50 g ntawm carbohydrates. Txhawm rau kom paub ntau npaum li cas XE muaj nyob hauv tib cov nqi ntawm lub ncuav qab zib, peb ua qhov kev kwv yees kwv yees li hauv qab no:

Yog li, 4 chav nyob qhob cij yuav tam sim no nyob hauv 100 grams ntawm ncuav qab zib. Tom qab ntawd qhov ntau tshaj plaws ntawm cov ncuav qab zib uas tuaj yeem noj tau yam tsis muaj kev saib xyuas rau koj kev noj qab haus huv yog 150 grams. Qhov ntau thiab tsawg no yuav muaj 6 lub khob cij. Qhov yuav tsum tau siv cov tshuaj insulin raug suav tshwj xeeb rau qhov hnyav ntawm lub ncuav qab zib no.

Cov hauv paus ntsiab lus ntawm kev kho khoom noj khoom haus

• Cov ntsiab lus caloric ntawm cov zaub mov noj qab zib rau cov ntshav qab zib hauv cov zaub mov noj txhua hnub yuav tsum tau them los ntawm cov nqi zog.
• Qhov kev nqus ntawm cov protein, cov rog thiab carbohydrates yuav tsum sib npaug ntawm txhua txhua pluas noj.
• Khoom noj khoom haus muaj txiaj ntsig rau cov neeg mob - lub hauv paus ntawm cov zaub mov. Tus neeg yuav tsum noj tsawg kawg 5 zaug hauv ib hnub, noj zaub mov me me.

Dab tsi yog chav ua mov ci - rooj XE?

Lub khob cij qhob cij yog ib qho ntsuas siv los txiav txim siab ntawm cov khoom noj carbohydrates hauv cov zaub mov. Lub tswv yim nthuav tawm tau qhia tshwj xeeb rau cov neeg mob ntshav qab zib uas tau txais insulin los khaws lawv cov haujlwm tseem ceeb. Tham txog cov qhob cij qhob cij, xyuam xim rau qhov tseeb tias:

• qhov no yog lub cim uas tuaj yeem coj los ua lub hauv paus rau kev ua kom txawm tias los ntawm cov neeg uas muaj kev noj qab haus huv zoo,
• muaj ib lub rooj tshwj xeeb hauv qhov uas cov ntsuas no tau qhia rau ntau yam khoom noj thiab tag nrho cov khoom noj,
• Xam txog cov qhob cij tuaj yeem ua thiab yuav tsum tau ua kom tiav ua ntej noj mov.

Xav txog ib qho qhob cij qhob cij, them sai sai rau qhov tseeb tias nws yog sib npaug rau 10 (tsis suav cov khoom noj muaj fiber) lossis 12 grams. (suav nrog cov khoom xyaw ntawm cov khoom xyaw). Nyob rau tib lub sijhawm, nws yuav tsum muaj 1.4 pawg ntawm cov insulin rau txoj kev ceev thiab tsis muaj teebmeem ntawm lub cev. Dua li ntawm qhov tseeb tias cov chav ua mov ci (cov lus) yog nthuav tawm pej xeem, txhua tus mob ntshav qab zib yuav tsum paub tias yuav ua li cas cov lus teb suav, thiab ntau npaum li cas cov khoom noj carbohydrates hauv ib qho khob cij.

Xam thiab siv cov khob cij

Thaum qhia lub tswv yim nthuav tawm, cov kws qhia zaub mov noj ua lub hauv paus ua cov khoom lag luam zoo rau txhua tus - cov mov ci.

Yog tias koj txiav thoob ib qho loaf lossis av ci ntawm cov ncuav ci ua tej daim me me (li ib cm tuab), tom qab ntawd ces ib nrab ntawm cov txiaj ntsig muaj 25 phaus. yuav sib npaug rau ib chav ua mov ci hauv cov khoom lag luam.

Tib yam yog qhov tseeb, piv txwv li, rau ob tbsp. l (50 gr.) Buckwheat lossis oatmeal. Ib qho me me ntawm txiv apple los yog pear yog qhov ntau ntawm XE. Kev suav ntawm cov khob cij tuaj yeem nqa tawm ntawm nws tus kheej los ntawm tus mob ntshav qab zib, koj tuaj yeem tshawb xyuas cov rooj noj mov tas li. Ntxiv rau, nws yooj yim dua rau ntau tus xav txiav txim siab siv online laij lej los yog yav tas los tsim cov zaub mov nrog tus kws qhia noj zaub mov. Hauv cov zaub mov zoo li no, nws yog sau dab tsi raws nraim cov mob ntshav qab zib yuav tsum tau noj, ntau npaum li cas cov khoom siv muaj nyob rau hauv ib qho khoom lag luam, thiab qhov sib piv ntawm cov zaub mov zoo li cas ua raws. Nws raug nquahu tias:

• cov neeg mob ntshav qab zib hom 1 yuav tsum vam khom XE thiab suav lawv tshwj xeeb, vim tias qhov no cuam tshuam rau kev suav ntawm kev noj tshuaj insulin txhua hnub,
• tshwj xeeb, qhov kev txhawj xeeb no yog qhov qhia txog ntawm cov tshuaj tiv thaiv hormonal ntawm luv luv lossis ultrashort hom kev raug. Dab tsi yog nqa tawm tam sim ntawd ua ntej noj mov,
• 1 XE nce cov piam thaj ntau ntawm 1.5 mmol txog 1.9 mmol. Tias yog vim li cas lub khob cij chav ua mov ncuav yuav tsum nyob ntawm tes ua kom yooj yim suav cov lus.

Yog li, cov ntshav qab zib xav tau kom paub txog kev suav cov khob cij qhob txhawm rau kom muaj cov ntshav qab zib kom cov ntshav qab zib. Qhov no yog qhov tseem ceeb ntawm hom 1 thiab 2 yam kab mob. Qhov zoo dua yog tias, thaum piav qhia kom paub laij kom raug, lub laij lej online tuaj yeem siv nrog rau kev suav nrog phau ntawv suav.

Cov kws kho mob tau qhia txog qhov tseeb txog tus mob ntshav qab zib! Mob ntshav qab zib yuav ploj mus nyob rau hauv 10 hnub yog tias koj haus nws sawv ntxov. »Nyeem ntxiv >>>

Ntau npaum li cas XE xav tau rau cov ntshav qab zib?

Thaum nruab hnub, tus neeg xav tau siv ntawm 18 txog 25 chav nyob qhob cij, uas yuav tau muab faib ua tsib txog rau pluas noj. Txoj cai no tsis cuam tshuam tsis tsuas yog mob ntshav qab zib hom 1, tab sis kuj tseem cuam tshuam rau hom ntshav qab zib 2. Lawv yuav tsum tau laij raws qhov sib lawv liag: rau pluas tshais, su, hmo. Cov pluas noj no yuav tsum muaj los ntawm peb txog tsib chav khob cij, thaum khoom noj txom ncauj - ib lossis ob chav nyob rau hauv thiaj li yuav cais tawm cov kev tsis zoo rau qib ntawm cov piam thaj hauv tib neeg cov ntshav.

Hauv ib pluag mov yuav tsum tsis txhob noj ntau tshaj xya khob cij.

Rau cov neeg mob ntshav qab zib, nws yog ib qho tseem ceeb tias feem ntau ntawm cov khoom muaj cov carbohydrates tau coj los tau meej meej thaum thawj ib nrab ntawm hnub.

Tham txog qhob cij qhob cij hauv ntshav qab zib, lawv them rau qhov tseeb tias yog koj tswj kom noj ntau dua li tau npaj cia, tom qab noj mov tas koj yuav tsum tos me ntsis. Tom qab ntawd qhia cov tshuaj insulin me me, uas tshem tawm qhov nyiam ntawm kev hloov hauv qab zib.

Cov lus ntawm kev siv tau ntawm XE rau cov neeg sib txawv

Qhov teeb meem yog tias koj tsis tuaj yeem ua qhov no ntau dhau thiab siv ntau dua 14 units ntawm insulin (ua ntej) ua ntej noj mov rau ib zaug. Vim li ntawd nws thiaj tseem ceeb heev uas koj yuav tau xav thiab suav ua ntej tias yuav noj dab tsi rau ib hnub rau cov neeg mob ntshav qab zib hom 2. Yog tias cov piam thaj qib siab zoo tshaj plaws ntawm cov pluas noj, koj tuaj yeem noj txhua yam hauv 1 X XE yam tsis tas yuav siv tshuaj insulin. Nws yuav tsum tsis txhob hnov ​​qab tias lub rooj ntawm cov qhob cij rau cov neeg mob ntshav qab zib yuav tsum tau nyob ntawm tes.

Cov khoom uas yuav tuaj yeem noj thiab xav kom tshem tawm

Txhua yam zaub mov uas yuav los yog noj tsis tau los ntawm cov ntshav qab zib tsim nyog tshwj xeeb. Ua ntej tshaj, koj yuav tsum tau them sai sai rau cov hmoov nplej. Ib yam ntawm lawv cov ntau yam uas tsis nplua nuj yuav noj tau los ntawm tus mob ntshav qab zib. Txawm li cas los xij, nws yuav tsum nco ntsoov tias:

• qis tus nqi tau pom nyob hauv cov qhob cij Borodino (li 15 grams) thiab hauv cov hmoov nplej, nplej zom,
• dumplings thiab pancakes nrog tsev cheese yog qhov txawv ntawm qhov feem ntau ntawm cov chav ua mov ci, yog li ntawd lawv tsis pom zoo kom qhia rau hauv cov khoom noj muaj txiaj ntsig,
• Tsis pom zoo noj cov zaub mov los ntawm qeb hmoov nplej hauv ib pluag mov tsis pom zoo.

Sib tham txog cereals thiab cereals, cov kws tshaj lij tau mob siab rau cov txiaj ntsig ntawm buckwheat, oatmeal. Nws yuav tsum tau yug los hauv lub siab tias kua porridge yog yam ntxwv los ntawm kev nqus nrawm dua. Hauv qhov no, nrog cov piam thaj siab nws tau pom zoo kom ua cov zaub mov tuab, thiab nrog qab zib tsawg - semolina, piv txwv li. Qhov xav tau tsawg kawg rau kev siv nyob rau hauv daim ntawv teev yog cov kaus poom pob kws thiab cov pob kws hluas.

XE faib rau txhua hnub

Kev ceeb toom tag nrho cov yam ntxwv ntawm cov khoom noj tau siv, ib tus tsis tuaj yeem pab tab sis them nyiaj rau cov qos yaj ywm thiab, tshwj xeeb, hau qos yaj ywm. Ib nrab qos qos yog ib tug XE. Mashed qos yaj ywm rau hauv cov dej nce siab hauv qab zib theem, thaum cov qos yaj ywm hau tag nrho nce tus nqi qeeb dua. Lub npe kib yuav ua txawm ntau qeeb dua. Cov hauv paus qoob loo uas tseem tshuav (carrots, beets, taub) yuav zoo rau hauv kev noj haus, tab sis nws yog qhov zoo tshaj plaws los siv cov npe tshiab.

Hauv daim ntawv teev cov khoom noj mis nyuj, cov uas tau cim los ntawm qhov feem pua ​​ntawm cov roj tsawg yuav yog qhov tsim nyog tshaj. Hauv qhov no, piv txwv, koj yuav tsum tso tseg kev siv mis nyuj tag nrho. Txawm li cas los xij, txhua hnub koj tuaj yeem siv ib khob kefir, ib qho me me ntawm tsev tshiab tshiab cheese, rau cov txiv ntoo twg thiab lwm cov khoom lag luam (piv txwv, zaub ntsuab) tuaj yeem ntxiv.

Yuav luag txhua cov txiv ntoo thiab txiv hmab txiv ntoo pom zoo thiab siv tau rau cov ntshav qab zib. Txawm li cas los xij, txij li lawv, zoo li legumes, suav nrog ntau ntawm carbohydrates, nws yog qhov tsim nyog yuav tau kho lawv qhov sib piv kom tsis suav cov dhia hauv ntshav qab zib. Yog tias cov ntawv qhia ua zaub mov kom haum, tom qab ntawd cov kws kho ntshav qab zib tau noj cov txiv hmab txiv ntoo thiab cov khoom qab zib ntau, muaj kev lom zem rau cov txiv pos nphuab tsis muaj khoom qab zib hauv khw.

Cov kws kho mob pom zoo kom noj cov txiv pos nphuab, txiv ntoo qab zib, gooseberries, xim liab thiab xim dub. Txawm li cas los xij, xav txog cov txiv ntoo ntawm cov txiv ntoo qab zib, cov txiv ntoo qab zib. Muaj pes tsawg lub khob cij muaj? Nws yog qhov tseem ceeb heev uas yuav tau txiav txim ua ntej los ntawm kev nyeem lub rooj tshwj xeeb. Nws tseem yuav tseem ceeb:

• txwv tsis pub siv cov kua txiv uas tau yuav thiab muab coj los sib xyaw vim tias muaj cov khoom txuag thiab lwm yam khoom tsis zoo hauv lawv,
• tshem tawm cov khoom qab zib thiab khoom noj los ntawm cov khoom noj. Qee zaum, koj tuaj yeem npaj cov ncuav qab zib txiv ntoo, ncuav qab zib hauv tsev, siv lawv tsis tshua txaus siab tom qab,
• ntses thiab nqaij khoom tsis raug rau XE, vim tias lawv tsis muaj carbohydrates. Txawm li cas los xij, kev sib koom ua ke ntawm nqaij lossis ntses thiab zaub yog ib lub caij nyoog los xam cov ntsuas uas tau nthuav tawm.

Yog li, txhua tus mob ntshav qab zib yuav tsum paub txhua yam txog cov khob cij thiab lawv cov kev xam. Qhov ntsuas no yuav pab tswj hwm cov ntshav qab zib kom zoo thiab txo qhov uas ntxim muaj teeb meem. Tias yog vim li cas nyob rau hauv tsis muaj qhov xwm txheej yuav tsum tsis txhob raug saib tsis taus lub sijhawm ua tiav ntawm cov khob cij.