Mob ntshav qab zib rau cov neeg mob nco > Lub neej muaj ntshav qab zib

Txhawm rau kom muaj kev noj qab haus huv zoo, tswj hwm kev ua haujlwm siab thiab tiv thaiv kom tsis txhob muaj teeb meem, tus neeg mob ntshav qab zib yuav tsum soj ntsuam ib qho kev kho mob tshwj xeeb thiab kev tiv thaiv kab mob hauv lub neej txhua hnub. Tag nrho cov tshuaj noj no suav ua ke rau hauv kev nco txog ntshav qab zib. Cov kev cai yooj yim ntawm memo yog raws li hauv qab no:

1. Lub hauv paus rau kev kho mob ntawm txhua hom mob ntshav qab zib yog kev noj haus. Lub zog muaj txiaj ntsig ntawm kev noj zaub mov txhua hnub yuav tsum tsis pub tshaj qhov siv lub zog tiag tiag, uas nyob hauv tus neeg laus yog 105-210 kJ (25-50 kcal) rau 1 kg ntawm lub cev hnyav. Nrog rau lub cev nyhav dhau heev lawm, lub zog tus nqi ntawm kev noj haus yog txo los ntawm 20-25%.

Qhov pom zoo ntawm cov protein, cov rog thiab carbohydrates hauv cov zaub mov: cov protein - 15-20%, cov rog - 25-30%, carbohydrates - 50-55% los ntawm cov nqi zog, 1 / 0.75 / 3.5 los ntawm qhov hnyav.

Nrog tus nqi zog ntawm kev noj zaub mov ntawm 1050 kJ (2500 kcal), nws yuav tsum muaj 100 g ntawm protein, 70-75 g ntawm cov rog, 300-370 g ntawm carbohydrates, suav nrog 25-30 zaub.

Qab zib, confectionery rau qab zib, semolina, rog thiab haus hnyuv ntxwm, cawv, npias, txiv quav ntswv nyoos, kua txiv hmab txiv ntoo ntawm cov qab zib yuav tsum tau muab cais tawm ntawm cov zaub mov noj txhua hnub. Txwv tsis pub kom muaj ntau ntawm cov khoom noj uas muaj cov khoom noj (carbohydrates) (cov khoom ci, qos yaj ywm thiab zaub mov noj, txiv ua ntau yam txiv ntoo, muaj rog). Kev noj haus yuav tsum muaj zaub, txiv hmab txiv ntoo, mis nyuj, tsev cheese.

Noj thaum lub sij hawm nruj me ntsis nrog kev qhia txog cov kua dej yog qhov tseem ceeb tshaj: tom qab txhaj ntawm cov tshuaj pleev ib ce - tom qab 15-20 feeb thiab tom qab 3-3,5 teev. Hauv kev kho cov tshuaj insulin ntev ntev (ib qho kev ncua ntawm zinc-insulin, thiab lwm yam), cov zaub mov yuav tsum noj thaum sawv ntxov tom qab txhaj tshuaj, tom qab ntawd txhua txhua 3.5-4 teev thiab 40-60 feeb ua ntej yuav mus pw.

2. Yuav tsum muaj kev ua ub ua no txhua hnub rau ntshav qab zib xav tau. Sawv ntxov, kev tawm dag zog (kev kawm), kev siv tshuaj insulin, kev noj zaub mov thiab tshuaj noj, kev so kom txaus, kev mus pw yuav tsum ua lub sijhawm uas nruj me ntsis. Zam kev ua haujlwm ntawm lub hlwb thiab lub cev. Hnub Sunday yuav tsum yog pub dawb los ntawm kev tshaj lij kev ua haujlwm txhua hnub thiab siv rau kev ua si sab nraum zoov.

3. Ua raws li kev nyiam huv thiab kev nyiam huv ntawm tsev. Kev tawm dag zog lub cev, kev ua kis las (tsis yog hom zog) muaj cov txiaj ntsig zoo ntawm kev siv metabolism, txhim kho kev siv tshuaj tua kabmob, txo kev xav tau cov tshuaj insulin, ua kom yooj yim rau cov kab mob, thiab nce kev ua haujlwm. Cawv, haus luam yeeb yog tsis tsim nyog.

4. Daim ntawv sau tshuaj rau txo cov ntshav qab zib yuav tsum noj nyob rau ib lub sijhawm lav. Ib qho kev hloov pauv ntawm cov tshuaj, hloov pauv ntawm koob tshuaj, lossis ntau dua yog li lawv qhov kev tshem tawm tsis tuaj yeem lees paub yog tsis muaj tus kws kho mob paub. Noj tshuaj pab qhov ncauj (ntsiav tshuaj) tom qab noj mov.

5. Ua kom huv thiab muaj menyuam yaus thaum tswj cov tshuaj insulin. Qhov chaw txhaj tshuaj yuav tsum tau hloov pauv kom thiaj li rov qab txhaj tshuaj hauv tib thaj chaw tsis ntau tshaj 1-2 zaug hauv ib hlis.

6. Cov neeg mob tau txais tshuaj insulin tuaj yeem txhim kho hypoglycemic tej yam kev mob, cov cim ntawm qhov tsis muaj zog, tshee hnyo ntawm tes, tawm hws, loog ntawm daim di ncauj, tus nplaig, kev tshaib kev nqhis, tsis meej pem, mus txog rau lub xeev tsis nco qab (hypoglycemic coma). Kev txhim kho ntawm cov xwm txheej zoo li no tau ua kom yooj yim los ntawm kev noj zaub mov tsis txaus los yog tsis txaus, kev qhia ntawm kev siv tshuaj ntau dhau, ua rau lub cev ua si ntau dhau. Yuav kom tshem tawm cov ntshav qab zib tsawg, nws yog ib qhov tsim nyog los noj ib qho qhob cij, ncuav qab zib, piam thaj, qab zib, uas tus neeg mob yuav tsum muaj nrog nws tas mus li.

7. Ib qho mob sib kis mob tsis txaus, siv sijhawm tsis txaus thiab ua haujlwm tsis txaus ntawm cov tshuaj insulin, lub hlwb thiab lub cev qaug zog, tag nrho cov kev ua txhaum ntawm kev noj haus niaj hnub thiab kev noj zaub mov, thiab lwm yam ua rau muaj kev cuam tshuam ntawm tus kabmob thiab kev loj hlob ntawm kev mob ntshav qab zib.

8. 8.Thaum xaiv txoj haujlwm thiab ua haujlwm rau cov neeg mob ntshav qab zib, kev txwv vim muaj cov yam ntxwv ntawm tus kab mob, qhov yuav tsum tau tiv thaiv nws cov kev mob nyhav thiab qhov ua tsis tau thaum ntxov yuav tsum raug coj los txiav txim.

9. Kev mob ntshav qab zib kho tsis yog ib qho uas nyuaj rau txoj kev sib yuav thiab tsev neeg ib txwm muaj. Txhawm rau kom paub ntxov thiab tiv thaiv kev txhim kho mob ntshav qab zib mellitus, nws yog qhov yuav tsum tau ua ntu zus (1-2 zaug hauv ib xyoos) tshuaj xyuas lawv cov menyuam.

10. Txhawm rau tiv thaiv cov kev mob tshwm sim, ntawm cov qhov mob txhab uas nquag muaj ntawm lub qhov muag, ob lub raum, mob siab, ceg, kab mob ntawm cov hlab ntsha, cov pos hniav, tus neeg mob ntshav qab zib yuav tsum nyob hauv kev saib xyuas tas mus li, tau sau npe hauv lub sijhawm ua haujlwm.

Cov ntsuas mob ntshav qab zib muaj xws li: kev noj qab nyob zoo, kev muaj mob tsis tu ncua, tsis muaj nqhis dej, lub qhov ncauj qhuav, tsis muaj cov cim ntawm kev puas tsuaj rau lub qhov muag, ob lub raum, mob siab, lub paj hlwb, ceg, qhov ncauj ntawm qhov ncauj, kev tawm ntawm 1.5-2 liv ntawm cov zis ib hnub thiab qhov qhaj lossis ib co kua nplaum ntawm cov piam thaj hauv nws, ntshav qab zib mus txog 11 mmol / l (200 mg%) yam tsis muaj kev hloov pauv hauv nws cov tshuaj nruab hnub.

Tus neeg mob uas muaj ntshav qab zib yuav tsum nrog nws nyob tas li thiab nyob hauv qhov chaw mus cuag tau “Daim npav ntawm tus neeg mob ntshav qab zib”, uas yog tsim nyog rau kev kho mob sai raws sijhawm yog thaum nws rov qab tsaug zog (tsis nco qab lawm) lub xeev.

Phab ntawv no rau tus neeg mob ntshav qab zib yuav pab ua txoj kev npaj ua zoo los tawm tsam tus kabmob.

Teem sijhawm rau cov neeg mob ntshav qab zib

Tus neeg mob ntshav qab zib yuav tsum ua raws li lub sijhawm tswj hwm kev noj tshuaj insulin lossis noj tshuaj thiab noj - hais txog lub sijhawm noj, ntau thiab ntau npaum li cas ntawm cov zaub mov. Xav txog txhua yam xwm txheej uas koj tsis tuaj yeem siv tshuaj insulin thiab txiav txim siab txog kev xaiv.

Tseem Ceeb! Muaj cov khoom siv xub pabcuam rau khoom qab zib

Yuav tsum muaj dej lim rau cov neeg mob ntshav qab zib ntawm insulin los tiv thaiv kom tsis txhob mob ntshav qab zib.

kaum daim ntawm qab zib
ib fwj txiv qaub (Pepsi, npau suav, thiab lwm yam) lossis qab zib
0.5 liter tshuaj yej
ib lossis ob lub txiv av paum
qab zib ncuav qab zib 150-200 grams,
qhaub cij ntawm dub cij tsawg kawg yog ob.

Tus mob ntshav qab zib ntawm insulin yuav tsum tsis txhob tshaib plab, nws yuav yog qhov qhia ntawm hypoglycemia.

Cov neeg mob tsis tuaj yeem raug ntxeev siab; cov neeg mob ntshav qab zib yuav tsum nkag siab qhov sib xyaw ntawm cov khoom noj hauv cov khoom noj carbohydrates, protein thiab cov rog. Yuav ua li cas qhov no lossis qhov khoom ntawd thiab nrog dab tsi ceev nce cov ntshav qab zib.

Koj yuav tsum tuaj yeem siv cov khoom qab zib thiab npaj cov tais diav muaj ntshav qab zib tshwj xeeb.

Koj yuav tsum ua tib zoo npaj ua ib qho kev tawm dag zog, los ntawm lub teeb me me (ntxuav me me ntawm chav tsev, taug kev li 2-3 kis lus mev) rau qhov hnyav - rub thiab rub rau kom hnyav rau li 2 mus rau 3 teev, kev ua kis las muaj zog. Kev tawm dag zog hauv ntshav qab zib yog qhov tsim nyog tiag tiag, vim tias lawv ua kom lub cev ntaj ntsug thiab txo cov ntshav qab zib, tab sis cov khoom siv no yuav tsum yog lub teeb lossis nruab nrab, tab sis tsis txhob poob siab.

Ntshav qab zib phau ntawv

Cov neeg mob ntshav qab zib yuav tsum khaws nws qhov chaw khaws cia, sau cia hauv ntau qhov xwm txheej:

koob tshuaj insulin
lub sijhawm thiab cov khoom xyaw ntawm txhua pluas noj, qhov hloov ntawm yam khoom noj rau hauv chav ua mov ci (tau kawg, hnub koj ua qhov kev ntsuam xyuas),
tshuaj xyuas lub sijhawm thiab cov ntshav ntsuas nrog lub ntsuas lub cev, koj qhov hnyav thiab ntshav siab,
cov tshuaj thiab cov vitamins uas tiv thaiv kab mob ntshav qab zib uas muaj tshwm sim - yam twg tau noj, thaum twg thiab nyob rau qhov twg,
mob ntshav qab zib mob ntshav qab zib (hyperglycemia thiab hypoglycemia) uas tau tshwm sim nrog koj, nrog rau kev tshawb xyuas ntawm lawv yam.

Koj yuav tsum paub qhov kev txawj ntse ntawm kev tswj ntshav qab zib - thiab ua ntej txhua yam, kawm siv cov lus qhia nplaum, nrog rau txoj hlab ntuag los txiav txim siab txog cov piam thaj hauv cov zis thiab ntshav.

Koj yuav tsum tau kho koj qhov hnyav, thiab rau qhov no koj xav tau kev teev hauv pem teb.

Cov Khoom Txwv Txwv

Cov naj npawb ntawm cov khoom uas cov neeg mob ntshav qab zib hom 1 yuav tsum tau muab tshem tawm, thiab hom 2 yuav tsum raug txo kom tsawg, suav nrog txhua cov khoom lag luam gastronomic, uas suav nrog qab qab zib, fructose thiab hmoov txhuv nplej siab: qos yaj ywm,

confectionery (suav nrog cim “rau tus mob ntshav qab zib”),
qab zib (dawb thiab xim av),
khob cij (tseem grain thiab tiaj),
mov thiab pob kws
granola, nplej zom, txiv hmab txiv ntoo,
cov piam thaj hauv cov ntsiab lus (piv txwv li txiv hmap)
qee lwm hom zaub mov.

Thawj Cov Khoom Siv rau Cov Neeg Mob Ntshav Qab Zib

Txhawm rau tiv thaiv mob hnyav thiab mob ntshav qab zib ntawm cov ntshav qab zib, nws yog ib qho tsim nyog tsim thiab tas li kho koj cov ntawv kho mob "arsenal". Yuav ua li cas kom tiav kev sib sau ua ke thiab qhov twg khaws cov tshuaj? Cov khoom pab ua ntej:

Lub txee tshuaj yuav tsum muaj ob peb pob ntawm cov ntsiav tshuaj kua nplaum, uas yog siv los tso tseg kom tsis txhob mob ntshav qab zib. Noj suab thaj, zib ntab, khoom qab zib lossis hauv tsev tsis tseem ceeb. Glucose yuav tsum. Lub neej ntawm cov ntshav qab zib feem ntau nyob ntawm nws muaj.

Naj npawb 3. Nitroglycerin

Nws raug siv los daws kev tawm tsam mob angina (angina pectoris yog ib qho mob ib ce ib txwm muaj ntshav qab zib). Kev tawm tsam yuav tshwm sim thawj zaug, thaum so los yog nrog nro (mob hauv siab). Noj cov tshuaj nitroglycerin feem ntau pab txo qhov mob. Yog tias tsis yog, lossis kev tawm tsam tsawg dua li ib feeb, tom qab ntawd qhov ua rau yuav tsum tau tsim (hnoos qeev, osteochondrosis, roj hauv cov hnyuv, thiab lwm yam).

No. 5. Tshuaj qaug cawv

Laxative (tswm ciab, quav nyab nplooj, buckthorn tawv ntoo, thiab lwm yam). Mob ntshav qab zib, kev cem quav ntev heev yuav tsis taus. Lawv tuaj yeem ua rau mob hnyuv (qhov tawg ntawm qhov quav, los ntshav). Lawv tej kev kho mob yuav zoo heev.

Kev npaj cov vitamin ua kom zoo rau kev txhim kho cov metabolism thiab ua kom rov muaj zog ntxiv (rov ua kom ntshav dua qub) (txhim kho cov ntshav ncig). Nrog rau ntshav qab zib, cov hlab ntsha raug kev txom nyem (lawv kev coj ua phem zuj zus). Yog li, kev siv AEvita los ua qhov tsim nyog.

No. 11. Adrenergic thaiv cov kab mob (anaprilin, propranolol, verapamil)

Txhim kho cov pa oxygen rau lub siab ua haujlwm. Siv los daws cov kev tawm tsam ntawm tachycardia. Qee qhov xwm txheej, nrog kev ua txhaum ntawm lub plawv lub plawv, lawv tau coj los tas li. Anaprilin (propranolol) muaj ntau yam kev tiv thaiv. Thaum nws noj, cov cim qhia ntawm hypoglycemia (tsis muaj lub plawv nres nrawm) yuav muab zais. Hauv kev kho mob ntshav qab zib nrog sulfanilurea kev npaj (glibenclamide, maninyl, thiab lwm yam), anaprilin tsis siv. Muaj cov ntaub ntawv pov thawj tias anaprilin txo qis tsim cov tshuaj insulin los ntawm tus txiav ua kab mob Adrenoblockers, yog tias tsim nyog, yuav tsum raug kho los ntawm tus kws kho plawv.

Qhia Txog Tus Neeg Mob Ntshav Qab Zib: Cov Lus Qhia

Yog li, kev qhia txog ntshav qab zib suav nrog cov cai dav dav hauv qab no:

Tus mob ntshav qab zib yuav tsum tau nkag siab meej txog cov tshuaj thiab lawv lub hom phiaj,
cov ntshav qab zib hom 1 xav tau ntau hom insulin (ua haujlwm sai thiab ntev), thiab cov neeg mob uas mob ntshav qab zib hom 2 xav tau tshuaj uas txo cov ntshav qab zib kom tsawg,
cov neeg mob ntshav qab zib ntawm ob hom no yuav tsum tau noj cov tshuaj sib txawv txhawm rau tiv thaiv kev mob (hlab ntsha, plawv, raum thiab qhov muag feem ntau raug kev txom nyem). Nws kuj tseem yuav tsum tau muaj kev saib xyuas kom dav ntxiv txhawm rau txhim kho lub cev nrog cov vitamins thiab minerals,
cov neeg mob ntshav qab zib yuav tsum tau txais kev coj ua hauv kev txiav txim, nrog rau txoj cai rau kev siv tshuaj insulin thiab cov tsos mob uas qhia txog kev kwv yees ntawm hypo- thiab hyperglycemia. Nws raug nquahu kom ib txwm muaj nrog koj txhais tau tias tuaj yeem tshem tawm qhov txaus ntshai,
kev noj haus yog qhov yuav tsum tau ua. Kev tsim txom ntawm ib qho khoom lossis kev ua kom tiav ntawm kev tshem tawm cov carbohydrates yog qhov tsis lees paub.

Nws kuj tseem muaj cov lus qhia cais tawm rau cov neeg mob uas muaj ntau hom ntshav qab zib:

1 homCov. Tus mob ntshav qab zib hom 1 mob ntshav qab zib yuav tsum ua raws li lub sijhawm tswj hwm ntshav insulin.Txwv tsis pub, qhov muaj kev pheej hmoo ntawm lub qog ntshav nce siab vim nce siab tshaj qhov tau teev tseg. Yuav tsum muaj insulin txhaj tshuaj nrog koj! Kuj tseem ceeb tshaj rau cov neeg mob uas muaj ntshav qab zib hom 1 yog qhov ntsuas cov ntshav qab zib nyob hauv tsev siv cov glucometer, nrog rau kev ua raws li nruj rau kev noj haus thiab zaub mov noj,
2 hom. Tus mob ntshav qab zib hom 2 raug mob los ntawm insulin-ywj siab daim ntawv ntawm tus kab mob, yog li lawv tau txhaj tshuaj insulin tsuas yog muaj mob hnyav (feem ntau cov kev ntsuas no yuav tsum muaj rau cov neeg laus uas tsis tswj lawv cov ntshav qab zib thiab tsis noj tshuaj). Cov neeg mob zoo li no yuav tsum tau siv cov tshuaj uas muaj suab thaj txo qis, thiab kev noj haus. Kev ntsuas txhua hnub ntawm cov piam thaj hauv tsev nrog hom 2 ntshav qab zib kuj tseem yuav tsum ua.

Qhia Txog Cov Khoom Noj Ntshav Qab Zib

Cov carbohydrates yooj yim, uas lub cev nqus tau sai sai, ua rau nce qib ntawm cov piam thaj ntau ntau, yog qhov txaus ntshai rau kev noj qab haus huv thiab lub neej muaj ntshav qab zib. Cov neeg mob yuav tsum ua raws li kev noj haus thiab muaj kev paub txog cov khoom noj khoom noj (lawv cov muaj pes tsawg leeg, calories, qhov kev kwv yees ntawm lub cev, cov khoom muaj txiaj ntsig thiab cov txiaj ntsig).

Nws yog qhov tsim nyog rau cov neeg mob ntshav qab zib kom noj fractionally, hauv feem me me, txog li 5-6 zaug hauv ib hnub. Kev nquag nquag noj ntawm cov zaub mov me me ua rau nws muaj peev xwm tswj cov qib ntshav qabzib thiab tshem tawm lub zog dhia hauv cov ntsuas no. Hauv qhov no, ib qho kev coj mus muag yuav tsum tau tshem tawm, txij li cov zaub mov hnyav tuaj yeem ua rau hyperglycemia.

Tsis tas li, cov neeg mob ntshav qab zib yuav tau tshem tawm qhov tshaib plab. Qhov tsis muaj zaub mov noj raws sijhawm tuaj yeem ua rau lub ntsej muag ntshav qis, thawj cov pov thawj ntawm qhov uas yog lub siab tshaib plab.

Hauv 20s ntawm lub xyoo pua 20, cov kws tshaj lij tau tsim cov ntsiab lus ntawm kev noj zaub mov zoo rau cov neeg mob ntshav qab zib, uas tau tso cai thiab

Kev txwv cov khoom rau cov neeg mob ntshav qab zib

Cov. Cov npe no tau txiav txim siab raug thiab raug siv los ntawm cov kws tshaj lij txog niaj hnub no.

Kev noj qab haus huv

Cov khoom uas lees txais suav nrog:

porridge (cov nplej, txhuv, txiv duaj barley, buckwheat),
hmoov khoom (siav nrog cov hmoov txhuv lossis buckwheat hmoov),
zaub (taub dag, zaub qhwv, txaij, zucchini),
taum (peas thiab taum)
txiv ntoo (txiv apples, txiv kab ntxwv thiab lwm tus uas muaj suab thaj qab zib tsawg kawg nkaus).

Cov khoom lag luam no tuaj yeem noj txhua hnub, tsis muaj kev ntshai ntawm lub ntsej muag ntxiv nyob hauv qab phom mus rau theem txaus ntshai.

Cov yam ntxwv ntawm txoj kev ua neej ntawm tus mob ntshav qab zib

Cov neeg mob ntshav qab zib yuav tsum ua raws li txoj kev noj haus niaj hnub.

Kev tsim txom, kev ua haujlwm ntawm lub zog, kev tswj hwm insulin, kev noj tshuaj, noj mov, mus pw thiab lwm yam tseem ceeb yuav tsum tau ua nyob rau lub sijhawm tau teem cia.

Qaug zog yuav tsum tsis txhob pub, ob qho tib si ntawm lub hlwb thiab lub cev.Cov. Hnub so, koj yuav tsum tau so los ntawm cov teeb meem thiab cov haujlwm txhua hnub.

Kev ua raws li cov cai ntawm kev tu cev thiab kev tu cev hauv tsev yog qhov yuav tsum tau ua, vim nws yuav pab kom tsis txhob muaj qhov tshwm sim xws li kev tsim cov tawv nqaij mob thiab mob, mob taw taw thiab ntau lwm qhov cuam tshuam nrog tus kab mob.

Tus mob ntshav qab zib xav tau ua kom ib ce muaj zog. Taug kev, ua luam dej, ntsuas kev caij tsheb kauj vab, taug kev yav tsaus ntuj thiab lwm yam kev ua rau muaj kev cuam tshuam ntawm cov suab thaj.

Kev nquag ua hauj lwm rau cov neeg mob ntshav qab zib yog qhov zoo tshaj plaws kev zam, vim hais tias thaum ua haujlwm aerobic lossis lub cev hnyav dhau los, cov piam thaj yuav hloov txawv.

Txhawm rau tiv thaiv cov xwm txheej phom sij, tus neeg mob yuav tsum muaj cov khoom qab zib muaj txiaj ntsig ua ntej, nrog rau cov khoom lag luam tsim nyog rau tshem tawm cov ntshav qab zib (10 daim suab thaj, 0.5 liv dej qab zib, ncuav qab zib qab zib nyob rau hauv tus nqi ntawm 150-200 g, 2 qhaub cij ntawm cov ncuav dub thiab lwm yam. txuas ntxiv).

Kev lees txais cov tshuaj nrog hypoglycemic thaj chaw yog nqa tawm tsis tu ncua. Tib yam siv rau kev txhaj tshuaj insulin.

Kev siv cov glucometer, uas koj tuaj yeem ntsuas cov suab thaj hauv tsev, kuj tseem yuav tsum ua.

Kev Tiv Thaiv Kab Mob Ntshav Qab Zib

muaj nyob hauv kev ua neej kho thiab ntau kawg ua raws li cov lus pom ntawm kws kho mob.

Peb tab tom tham txog kev tsim kho kev noj zaub mov kom raug, ntsuas kev ntsuas kom tsis tu ncua thiab tiv thaiv kom tsis txhob nce siab lossis qis dua cov piam thaj mus rau theem tseem ceeb, kev tawm dag zog lub cev kom zoo thiab tu cev kom huv.

Tsis tas li, txhawm rau txhawm rau tiv thaiv kom tsis txhob muaj teeb meem, cov neeg mob yuav tsum tau paub txog kev paub uas yuav pab kom pom tias txoj kev nyob ze ntawm kev phom sij (hyper- thiab hypoglycemia), thiab cov cai ntawm cov kev pabcuam ua ntej. Tsis tas li, cov kev paub tseeb yuav tsum muaj los ntawm tus neeg mob cov neeg txheeb ze.

Kev Npaj Khoom Noj rau Neeg Mob Ntshav Qab Zib

Sim ua kom txawv koj cov zaub mov kom zoo nrog kev nquag noj cov txiv hmab txiv ntoo thiab zaub, siv cov ntsiab cai ntawm tus zaj sawv - qhov ntau ntawm cov paj ntawm ib lub phaj!
Siv cov hmoov nplej uas tsis muaj zaub mov ua ib sab zaub: zaub ntsuab, zaub ntsuab, zaub cob pob, ntsuab taum thiab taum pauv.
Thaum xaiv cov peev txheej ntawm qeeb-zom cov carbohydrates, muab kev nyiam ua kom muaj whole grains. Yog tias nplej yog xim av. Yog hais tias nplej zom los ntawm durum nplej.
Nquag siv cov legumes hauv koj cov zaub mov noj kom tsawg.
Noj cov nqaij ntshiv thiab nqaij yaj. Tsis txhob hnov qab nqaij qaib thiab ntses.
Tsis txhob hnov qab suav cov khoom noj muaj roj tsawg hauv pluas tshais thaum sawv ntxov: mis nyuj, yogurt, tshij.
Rau kev ua noj, siv qhov tsawg kawg ntawm cov roj zaub ua kua.
Txo koj cov ntsev kom tsawg rau 3800 mg ib hnub twg.
Kev siv tshuaj Cholesterol yuav tsum raug txo mus rau 200 mg ib hnub twg.
Tswj qhov loj me.

Cov cai rau kev hloov cov khoom mus rau cov khob cij

Khoom siv qhob cij thiab bakery *

1 daim	Cov khob cij dawb	20 g
1 daim	Brown khob cij	25 g
Rusks, khaub noom (khaub noom qhuav)	15 g

* Dumplings, pancakes, pancakes, pies, cheesecakes, dumplings, meatballs kuj muaj cov carbohydrates, tab sis tus nqi ntawm XE yog nyob ntawm daim ntawv qhia thiab qhov loj ntawm cov khoom.

Cov nplej zom

1-2 tbsp. spoons raws li cov khoom ntawm cov khoom

Cov tshuab raj, cov mij, cov nplej, cov nplej zom *

15 g

* Hauv daim ntawv nyoos, hauv daim foos, 1 XE yog muaj nyob hauv 2-4 tbsp. dia cov khoom (50 g), nyob ntawm cov khoom ntawm cov khoom.

Cov pob kws, pob kws, hmoov

1 tbsp. ib rab diav	Groats (muaj) *	15 g
1/2 phaus nrab	Pob kws	100 g
3 tbsp. khoom siv diav	Nyob kas poom pob kws	60 g
4 tbsp. khoom siv diav	Pob kws flakes	15 g
1 tbsp. ib rab diav	Hmoov nplej (muaj)	15 g
2 tbsp. khoom siv diav	Oatmeal	20 g

* Cov zaub mov nyoos, hau rhaub (porridge) 1 XE muaj nyob hauv 2 tbsp. dia nrog ib lub roob (50 g).

Qos

1 pc (luaj li cas ntawm cov qe qaib loj)	Nyaj	75 g
2 tbsp. khoom siv diav	Mashed qos yaj ywm	90 g
2 tbsp. khoom siv diav	Kib qos	35 g
Qos yaj ywm qhuav (tej daim)	25 g

Mis thiab kua mis ua kua

1 khob	Mis, Ntxhw, Kefir	250 ml
Yogurt ntuj	200 g

Zaub, Taum, Ceev

3 daim, nruab nrab	Carrots	200 g
1 daim, nruab nrab	Beetroot	150 g
1 tbsp. qhuav diav	Taum	20 g
7 tbsp. spoons tshiab	Peas	100 g
3 tbsp. hau cawv	Taum	50 g
Ceev	60-90 g *

* Nyob ntawm hom

Txiv hmab txiv ntoo thiab txiv ntoo (nrog pob zeb thiab tev)

2-3 daim, nruab nrab	Apricots	110 g
1 daim (hla ntu)	Pineapple	140 g
1 daim	Lub taub	270 g
1 daim nruab nrab	Txiv kab ntxwv	150 g
1/2 pieces, nruab nrab	Tsawb	70 g
7 tbsp. khoom siv diav	Lingonberry	140 g
12 daim, me me	Txiv hmap	70 g
15 daim	Txiv duaj	90 g
1 daim nruab nrab	Pomegranate	170 g
1/2 loj	Cov txiv kab ntxwv qaub	170 g
1 daim me	Txiv moj coos lossis kua txiv	90 g
1 daim	Melon	100 g
8 tbsp. khoom siv diav	Blackberry	140 g
1 loj	Kiwi	110 g
10 daim, nruab nrab	Txiv pos nphuab	160 g
6 tbsp. khoom siv diav	Gooseberry	120 g
8 tbsp. khoom siv diav	Txiv duaj	160 g
2-3 daim, nruab nrab	Cov kab npauj	150 g
1 daim nruab nrab	Txiv duaj	120 g
3-4 daim, me me	Plums	90 g
7 tbsp. khoom siv diav	Currant	120 g
1/2 pieces, nruab nrab	Pauj kev chim	70 g
7 tbsp. khoom siv diav	Npauj npaim tuaj	90 g
1/2 khob	Cov kua txiv txiv	100 ml
Dried txiv ntoo	20 g

Lwm cov khoom lag luam

2 diav	Granulated qab zib	10 g
2 daim	Qaug qab zib	10 g
1/2 khob	Dej qab zib ntxhoo dej	100ml
1 khob	Kvass	250 ml
Mis nyuj khov	65 g
Cwj Vwm	20 g
Zib ntab	12 g

Kev kuaj mob ntshav qab zib mellitus hauv cov menyuam yaus ua rau nrov nrov thiab ua rau ceeb toom. Kev kho mob kom zoo yuav tsum muaj haujlwm ntau thiab ua lub siab ntev rau cov niam txiv, vim tias tsuas yog siv tshuaj insulin nrog kev noj haus xwb yuav ua rau muaj txiaj ntsig zoo. Kev noj zaub mov zoo rau cov ntshav qab zib yuav tsum sib haum rau lub cev kev xav ntawm lub hnub nyoog, thaum lub sijhawm tag nrho cov khoom noj carbohydrates yuav tsum tau tshem tawm tag nrho, cov rog yuav tsum muaj kev txwv, thiab lub zog niaj hnub tus nqi yuav tsum tswj xyuas los ntawm kev nce tus naj npawb ntawm cov tsiaj thiab zaub protein. Muaj qee kis, kev mob ntawm tus menyuam muaj mob tuaj yeem them taus los ntawm kev noj zaub mov nkaus xwb.

Thaum mus txog ntawm kev npaj cov zaub mov rau cov menyuam yaus muaj ntshav qab zib mellitus, nws yuav tsum nco ntsoov tias qhov no yog lub cev loj hlob, thiab nws xav tau tsis muaj tsawg tshaj li lwm cov khoom noj muaj txiaj ntsig, vitamins rau lub cev tag nrho, kev xav thiab kev sib deev, tswj lub luag haujlwm ntawm lub cev. Tus nqi ntawm cov khoom xyaw tseem ceeb yuav tsum sib haum nrog lub hnub nyoog cov qauv, qhov siab thiab lub cev nyhav.

Cov muaj protein, g		Cov rog, g		Cov roj nplej, g	Qab zib tus nqi	Kcal tauj ib hnub
Tag Nrho	Ntawm no, cov tsiaj keeb kwm	Tag Nrho	Ntawm uas yog ntawm cov nroj tsuag keeb kwm	Cov roj nplej, g	Qab zib tus nqi	Kcal tauj ib hnub
Txog li 3 xyoos	53	35	38	10	160	185	1145
4–6	70	45	48	12	205	240	1465
7–10	80	45	55	15	235	275	1700
11-14, M	95	65	65	15	280	325	2005
11-14, D	85	50	60	15	255	297	1830
15-17, M	100	60	70	18	300	350	2155
15-17, D	90	55	65	16	270	315	1940

Cov khoom lag luam tshwj xeeb thiab tsis suav

Nqaij, nqaij qaib, ntses. Cov nqaij rog muaj roj tsawg, nqaij yaj, nqaij menyuam nyuj, tsiaj luav, nqaij npuas, nqaij ntses uas muaj roj tsawg, tus nplaig, hauv daim siab me, daim nqaij qaib muaj rog thiab qaib cov txwv. Koj tuaj yeem kho koj tus menyuam kom mob ntshav qab zib thiab kev noj haus hnyuv ntxwm. Raug tshem tawm: cov nqaij rog thiab haus luam yeeb, rog ntses, cov nqaij ntses thiab tus tshis, nqaij hnyuv ntxwm, zaub mov hauv kaus poom, caviar.
Khoom noj siv mis. Koj tuaj yeem noj cov mis nyuj, roj tsawg tsev cheese, tsis tshua muaj rog cheese, khoom noj siv mis, nyob rau hauv qhov tsawg tsawg qaub cream. Cov roj nplaum, cov zaub mov muaj roj, ua kom muaj qab ntsev, chees muaj qab zib Cov roj uas tau muab cais tawm.
Lub cev rog. Nqaij butter thiab roj zaub tau tso cai. Cov rog ntawm cov tsiaj keeb kwm, margarine raug tshem tawm.
Cov qe. 1 lub qe tauj ib hnub. Txwv tsis pub lossis tshem tawm cov nkaug tagnrho. Txij li thaum muaj kev txwv rau cov qe, nws yog qhov zoo dua rau lawv ntxiv rau lwm cov tais diav - zaub nyoos, pancakes, casseroles.
Kua zaub Txhua hom zaub kua zaub raug tso cai - borsch, kua zaub beetroot, kua zaub zaub qhwv, okroshka, kua zaub ntawm cov nqaij thiab kua zaub nqaij. Mis kua zaub nrog ntxiv ntawm semolina, mov, nplej zom, rog rog ua kom tsis suav nrog.
Cereals thiab hmoov khoom. Cov zaub mos yog zaub mov muaj cov zaub mov carbohydrate, yog li koj yuav tsum noj lawv li ib feem ntawm kev txwv rog. Nws raug nquahu kom noj cov zaub mov tsis ntau dua ib zaug ib hnub. Koj tuaj yeem noj cov buckwheat, barley, millet, pearl barley, oatmeal. Kev tso cai tso cai. Khob cij yog pub rye, nplej nrog xua, nplej los ntawm hmoov nplej hauv qab qib kawm thib ob, protein-nplej.

Cov menyuam muaj ntshav qab zib yuav tsum ua tib zoo saib lawv cov zaub mov noj.

Ob peb txoj cai thaum noj cov hmoov nplej:

tsis txhob noj pasta thiab kua zaub ci rau tib lub sijhawm,
tom qab cov hmoov nplej (nplej zom, dumplings, pancakes), qos yaj ywm, nws yog qhov zoo dua rau noj zaub xam lav ntawm zaub qhwv lossis zaub qhwv, cov fiber ntau uas lawv muaj yuav maj mam qhov nqus ntawm carbohydrates,
nws yog qhov muaj txiaj ntsig ntau dua los ua ke qos yaj ywm nrog dib thiab zaub qhwv, tab sis tsis txhob noj mov, hnub, raisins tom qab qos qos.

Buckwheat thiab oatmeal tuaj yeem siv rau hauv kev npaj ntawm pancakes. Cov ncuav qab zib thiab ncuav qab zib, mov (tshwj xeeb yog xim dawb), semolina, nplej zom tau raug tshem tawm lossis txwv tsawg.

Zaub. Cov zaub ua si yuav tsum yog cov zaub mov noj txhua hnub. Qhov txiaj ntsig yog cov txiv hmab txiv ntoo uas muaj xim ntsuab thiab ntsuab. Nws pom zoo kom haus cov zaub qhwv, zucchini, txaij, taub dag, zaub xam lav, dib, txiv lws suav ntau dua li lwm cov zaub. Cov txiv hmab txiv ntoo hauv Jerusalem artichoke yog cov khoom lag luam zoo tshaj plaws rau cov ntshav qab zib, lawv txo cov ntshav qab zib. Cov qos yaj ywm muaj tsawg tsawg. Marinades raug cais tawm.
Txiv hmab txiv ntoo thiab khoom qab zib. Nws raug tso cai noj cov txiv qab zib thiab txiv qaub, txiv pears, plums, txiv duaj, dib liab, txiv mab txiv ntoo, pomegranates, cov txiv hmab txiv ntoo, txiv nkhaus taw, currants, txiv ntoo, txiv ntoo, txiv pos nphuab, gooseberries ua ib hom ntawv. Ua ntej muab rau tus menyuam, leej niam nws tus kheej yuav tsum sim ua kom cov txiv hmab txiv ntoo thiab cov txiv ntoo tsis qab zib heev. Koj tuaj yeem muab cov khoom qab zib rau koj cov menyuam, npaj raws qab zib suab thaj, hauv cov zib ntab tsim nyog. Qab zib, zaub mov ua noj siav rau qab zib, chocolate, txiv quav ntswv nyoos, hnub tim, raisins, khov mis, figs raug cais tawm. Kev tsis nyiam, tab sis qee zaum siv tau ntawm txiv tsawb, persimmons thiab pineapples.
Cov kua ntses thiab txuj lom. Cov ntses kib muaj pub, hauv me me hauv zaub, dos thiab qij. Nws yog ib qho tsim nyog yuav tsum tau txwv rau menyuam yaus hauv ntsev, mustard, kua txob thiab horseradish. Cov ntsim, cov roj, ua kua qab ntsev yog tsis suav nrog.
Dej qab zib. Cov kua txiv ua kua txiv thiab kua txiv uas muaj suab thaj tsis suav nrog menyuam cov zaub mov noj. Nws raug nquahu kom siv cov kua zaub rosehip, kua txiv qaub uas tsis muaj qab zib (blueberry, lingonberry, kua ntsuab, blackcurrant, txiv qaub, txiv kab ntxwv, txiv kab ntxwv qaub), kua zaub hauv tsev thiab kua txiv lws suav. Ib qho kua txiv twg yuav tsum tsis pub tshaj li lub hnub nyoog ib txwm teev (li 1 khob rau cov menyuam hnub nyoog qis dua 6 xyoo, thiab tsis pub ntau tshaj 1.5 iav rau cov menyuam muaj hnub nyoog kawm ntawv). Tus me nyuam tseem yuav tau txais txiaj ntsig los ntawm teas thiab infusions los ntawm cov tshuaj ntsuab muaj txiaj ntsig txo cov ntshav qab zib, muaj txiaj ntsig zoo rau kev ua haujlwm hauv nruab nrog: nplooj lingonberry, cov paj xiav cov paj xiav, nplooj nettle, nplooj cag dandelion, noog roob roob, txiv ntoo txiv ntoo, txiv ntoo dub, vitamin cov nqi.

Yuav ua li cas rau niam txiv ntawm cov me nyuam uas mob ntshav qab zib

Tsis suav cov carbohydrates ceev ceev los ntawm menyuam cov zaub mov (qab zib, qab zib, semolina thiab mov, nplej hmoov nplej, kua txiv qab zib, tej zaum txiv quav ntswv nyoos, txiv tsawb, txiv puv luj, persimmons), hloov cov npe uas muaj cov khoom noj uas tsis muaj calorie ntau nrog cov muaj fiber ntau:

rye hmoov los yog tib nplej, tab sis nrog ntxiv ntawm xua,
pearl barley, oatmeal, buckwheat, pias,
zaub (nrog rau cov qos yaj ywm), txiv hmab txiv ntoo, thiab kua txiv hmab txiv ntoo.

Lus Cim! Cov nplua nuj fiber ntau ua rau kom nqus ntawm cov piam thaj, ntxuav cov ntshav ntawm cov cholesterol. Cov fiber muaj nyob hauv cov zaub nyoos, ua tsis tau - zaub, hmoov nplej wholemeal, thiab legumes.

Nws raug nquahu kom siv cov cereals rau cov menyuam muaj ntshav qab zib tsis pub ntau tshaj 1 zaug hauv ib hnub.

Kev noj zaub mov kom tsawg txhua hnub yuav tsum ua ntu zus.

Coj mus rau hauv tus account lub cwj pwm ntawm tus menyuam, tshwj xeeb tshaj yog cov kev coj noj coj ua hauv tsev neeg. Txhua tus tswvcuab ntawm tsev neeg uas muaj menyuam mob ntshav qab zib yuav tsum ua raws li cov zaub mov muaj ntshav qab zib, qhov no yuav pab nws muaj zog, tsis xav tias tsis muaj txiaj ntsig, tsis zoo li lwm tus neeg.

Thaum siv cov insulin luv luv, carbohydrates yuav tsum tau xa tawm ib nrab ib teev tom qab nws tswj hwm.

Thaum siv cov kua dej ntawm qhov kev txiav txim siab ntev - ib teev tom qab nws tswj hwm thiab tom qab ntawd txhua 2-3 teev.

Tsis tas li, thaum siv lub caij ntev-ua yeeb yam insulin, yuav tsum muaj cov khoom txom ncauj me me nyob nruab nrab ntawm 3 pluas noj loj.

Ua ntej kev tawm dag zog, koj yuav tsum muaj khoom noj txom ncauj.

Yog tias tsis muaj teebmeem tshwm sim ntawm tus kabmob, tom qab ntawd cov protein thiab roj ntau npaum li cas tuaj yeem noj nws raws hnub nyoog.

Cov protein, cov rog thiab carbohydrates kom siv rau hauv ib qho ratio ntawm 1: 0.8: 3. Lawv yuav tsum nkag mus rau tus menyuam lub cev raws li lub hnub nyoog ib zaug, hloov tsis pub dhau 10 g, qab zib yuav tsum muaj xwm yeem.

Hloov cov koob tshuaj insulin, raws li cov ntsuas ntawm cov ntshav qab zib, qab los noj mov, kev siv lub cev, hloov pauv ntawm kev noj zaub mov.

Lub sij hawm pub khoom noj

Pluas tshais - 7.30–8.00,
Noj su - 9.30-10.30,
Noj su - 13.00,
Noj su thaum tav su - 16.30-17.00,
Noj hmo - 19.00–20.00.

Noj haus txhua hnub yuav tsum nyob rau tib lub sijhawm.

Kev hloov pauv los ntawm kev pom zoo thiab kev nquag ntawm cov khoom noj carbohydrate yuav tsum tsis pub ntau tshaj 15-20 feeb. Yog tias tsis tuaj yeem noj cov zaub mov hauv lub sijhawm, ces nws yuav zoo dua los noj nws 20 feeb ntxov dua lub sijhawm tsim nyog.

Cov khoom noj carbohydrates yuav tsum tau muab faib kom meej meej rau lub moos nruab hnub.

Rau cov menyuam yaus preschool uas tsis mus kawm hauv tsev kawm ntawv kindergarten, lub tshais 1 thiab 2 tuaj yeem rov pib dua 1 teev tom qab. Thaum 21.00 tej zaum yuav muaj noj hmo ntxiv. Cov tub hluas ntxhais hluas raug tso cai ua tshais ntxiv.

Ua noj

Zoo li txhua tus menyuam muaj ntshav qab zib, nws raug nquahu kom noj nqaij npuas, hau rhaub, ncw, ci, siv roj tsawg los yog kib nrog cov roj tsawg.

Nrog qhov tsis txaus ntseeg nyob rau hauv daim ntawv ntawm ketoacidosis, nws yuav tsum tau ua zaub mov noj mashed, mashed. Tsis txhob siv cov khoom lag luam khaus.

Nrog rau qhov mob ntshav qab zib ntawm lub plab zom mov, nws yuav tsum noj ntau yam zaub mov rau ob niam txiv, haus cov zaub mov muaj fiber ntau hauv kev cawv, thiab haus cov dej ntxhia kom ua rau lub plab ntawm lub plab.

Muab cov nqaij hloov pauv

Lus Cim! Chav ua mov ci (XE) yog chav nyob sib xyaw qhia los ntawm German kev noj haus, nws sib npaug 12.0 g ntawm carbohydrates lossis 20-25 g ntawm qhob cij. 1 XE nce ntshav qabzib los ntawm 2.8 mmol / L. Kwv yees li 1.3 U ntawm insulin yog xav tau rau 1 XE.

Kuv tuaj yeem xam XE hauv cov khoom kuv tus kheej li cas? Ntawm kev ntim ntawm txhua yam khoom muaj qhov taw qhia "100 g ntawm cov khoom muaj ntau cov carbohydrates." Qhov ntau npaum li cas ntawm cov nyiaj carbohydrates yuav tsum tau muab faib los ntawm 12, qhov tshwm sim cov duab sib haum mus rau XE cov ntsiab lus ntawm 100 g, tom qab ntawd suav qhov nyiaj koj xav tau los ntawm txoj kev faib ua feem.

Qab zib	2 tsp., 2 daim, 10 g
Zib ntab, jam	1 tbsp. l., 2 tsp., 15 g
Fructose, sorbitol	1 tbsp. l., 12 g

Mis, kefir, yogurt, yogurt, lee, whey	1 khob, 250 ml
Mis hmoov	30 g
Concentrated mis yam tsis muaj piam thaj	110 ml
Qab zib curd	100 g
Syrniki	1 nruab nrab, 85 g
Mis nyuj khov	65 g

Lub khob noom cookie nyoos: puff / poov xab	35 g / 25 g
Tej pob zeb qhuav qhuav los yog nplej zom	1.5 tbsp. l., 20 g
Cereal porridge	2 tbsp. l., 50g
Hau nplej zom	3,5 tbsp. l., 60 g
Fritters, pancakes thiab lwm yam ncuav	50 g
Ua Ncuav Quav	15 g
Ua Ncuav Quav	2 pcs
Ua Ncuav Quav	4 pc
Cov hmoov nplej zoo, cov hmoov txhuv nplej siab	1 tbsp. l., 15 g
Cov hmoov nplej dawb	2 tbsp. l., 20 g
Nplej nyom 12 tbsp. diav nrog ib sab saum toj 50 g	12 tbsp. l nrog rau sab saum toj, 50 g
Paj Kws	10 tbsp. l., 15 g
Cutlet, hnyuv ntxwm lossis nqaij hnyuv ntxwm hau	1 pc, 160 g

Mov dawb, tej yob	1 daim, 20 g
Dub rye mov ci	1 daim, 25 g
Noj mov ci	2 daim, 25 g
Rusks, lub tshuab ziab khaub ncaws, khob cij khaub cij, khob cij, pob zeb tawg	15 g

Peas (tshiab thiab nyob kas poom)	4 tbsp. l nrog tus swb, 110 g
Taum, Taum	7-8 Kos duab. l., 170 g
Pob kws	3 tbsp. l nrog tus swb, 70 g lossis ½ pob ntseg
Qos	1 nruab nrab, 65 g
Mashed qos yaj ywm rau hauv dej, kib qos yaj ywm	2 tbsp. l., 80 g
Fab Kis kib	2-3 tbsp. l., 12 pcs., 35 g
Qos daim tawv nyias	25 g
Qos pancakes	60 g
Muesli, pob kws thiab txhuv nplej (npaj ua tshais)	4 tbsp. l., 15 g
Beetroot	110 g
Zaub pob qe thiab zaub pob liab liab, zaub xas lav, kua txob liab, txiv lws suav, zaub nyoos, rutabaga, zaub kav, zucchini, dib, zaub txhwb qaib, zaub txhwb qaib thiab dos, zaub ntsuab, radish, rhubarb, turnip, zaub ntsuab, nceb	200 g
Bo carrots carrots	150-200 g

Apricot	2-3 nruab nrab, 120 g
Quince	1 loj, 140 g
Pineapple (nrog tev)	1 daim loj, 90 g
Txiv kab ntxwv (nrog / tsis tev)	1 nruab nrab, 180/130 g
Niam mab liab (nrog tev)	250 g
Txiv tsawb (nrog / tsis tau tev)	1/2 pcs. Wed qhov tseem ceeb 90/60 g
Lingonberry	7 tbsp. l., 140 g
Cherry (nrog pits)	12 pcs., 110 g
Txiv hmap	10 Pcs. Wed, 70-80 g
Cwj	1 me me, 90 g
Pomegranate	1 pc loj, 200 g
Grapefruit (nrog / tsis tev)	1/2 pc., 200/130 g
Tev melon	130 g
Blackberry	9 tbsp. l., 170 g
Tsiaj Npua Teb	8 tbsp. l., 170 g
Kiwi	1 pc., 120 g
Txiv Pos Nphuab	10 nruab nrab, 160 g
Txiv kab ntxwv lwj	120 g
Gooseberry	20 pcs., 140 g
Txiv qaub	150 g
Txiv duaj	12 tbsp. l., 200 g
Tangerines (nrog / tsis tev)	2-3 pcs. Wed, 1 loj, 160/120 g
Nectarine (nrog rau pob txha / tsis muaj pob txha)	1 pc nruab nrab, 100/120 g
Txiv duaj (nrog pob zeb / tsis muaj pob zeb)	1 pc nruab nrab, 140/130 g
Plums	80 g
Ntsuab currant	8 tbsp. l., 150
Liab currant	6 tbsp. l., 120 g
Dawb currant	7 tbsp. l., 130 g
Pauj kev chim	1 pc., 70 g
Qab zib Cherry (nrog rau to)	10 pcs., 100 g
Npauj npaim, blueberries	8 tbsp. l., 170 g
Rosehip (txiv hmab txiv ntoo)	60 g
Kua	1 pc., 100 g
Dried txiv ntoo	20 g

Grape, plum, kua, liab currant	80 ml
Cherry, Txiv kab ntxwv, txiv kab ntxwv qaub, Blackberry, Mandarin	125 ml
Tub Pos Lis	160 ml
Txiv duaj	190 ml
Txiv lws suav	375 ml
Beetroot thiab kua txiv zaub ntug hauv paus	250 ml

Txiv laum huab xeeb nrog tev	45 pcs., 85 g
Hazelnuts thiab Walnuts	90 g
Almonds, txiv ntoo thuv, txiv ncuav pias	60 g
Lub txiv ntseej ntoo	40 g
Sunflower noob	50 g

Nqaij, ntses, qaub cream, unsweetened cheese thiab tsev cheese raws li XE tsis suav.

Kwv yees xam ntawm XE rau tus me nyuam:

1-3 xyoos	4-10 xyoo	11-18 xyoos
1-3 xyoos	4-10 xyoo	M	D
Noj tshais	2	3	4–5	3–4
Noj tshais thib ob	1–1,5	2	2	2
Noj su	2	3–4	5	4
Muaj cov tshuaj yej siab	1	1-2	2	2
Noj hmo	1,5–2	2–3	4–5	3–4
2nd noj hmo	1,5	2	2	2

Qhov cuam tshuam cuam tshuam txog qab zib piam

Cov carbohydrates yooj yim (qab zib, chocolate, confectionery, jam, marmalade thiab compote, zib ntab, cov txiv hmab txiv ntoo qab zib) zom sai dua ntau dua li cov carbohydrates (cov hmoov txhuv nplej siab, legumes, nplej, nplej, qos yaj ywm, pob kws, nplej zom), lawv lwj pib tam sim thaum nws nkag rau hauv lub qhov ncauj kab noj hniav.
Cov zaub mov txias yog nqus tau qeeb dua.
Maj mam nqus cov carbohydrates los ntawm cov khoom noj muaj roj, cov zaub mov uas muaj fiber ntau.
Kev ua kom lub cev tseem poob qis hauv cov ntshav qab zib. Yog li, koj yuav tsum noj cov zaub mov ntxiv 30 feeb ua ntej kev tawm dag zog, noj khoom noj txom ncauj thaum lub sij hawm rub tawm ntev. Txog kwv yees li 30 feeb ntawm kev tawm dag zog lub cev, yuav tsum noj 15 g ntawm carbohydrates ntxiv.

Yog tias muaj dab tsi pauv hauv tus menyuam lub siab (rog nkag ua rog)

Kev hloov pauv hauv daim siab ua rau mob ntshav qab zib mellitus tsis yog qhov teeb meem tsawg, yog tias koj tsis tawm tsam nws, thaum kawg nws muaj peev xwm ua rau tus neeg mob ntshav qab zib tsis xeev. Txhawm rau tiv thaiv cov rog rog, yuav tsum ua raws li txoj cai hauv qab no:

Txo cov rog tsawg los ntawm ib lub hlis ntawm cov ntsiab lus muaj hnub nyoog lub cev. Qhov nyiaj no yuav txaus rau lub cev tiv thaiv kab mob, kev noj cov vitamins-soluble fat thiab cov rog hauv lub cev.
Cov zaub ua muaj rog yuav tsum yog 5-25% ntawm tag nrho cov rog. Siv feem ntau butter thiab zaub roj.
Koj yuav tsum tau noj cov zaub mov uas pab tshem tawm cov rog hauv lub siab: tsev me cheese, cod, cov khoom lag luam los ntawm oatmeal thiab cereals, rog rog mutton.
Nrog cov lus hais hloov pauv hauv siab, cov rog tau raug cais tawm ntawm cov zaub mov los ntawm 85-90%. Qhov seem ntawm 10-15% yog los ntawm cov rog pom hauv mis thiab nqaij. Roj tsuas yog siv los ua zaub mov ua khoom kib. Tab sis cov vitamins-fat-soluble yuav tau noj ntxiv nyob rau hauv daim ntawv ntawm kev npaj vitamin.
Raws li cov qab zib, zib ntab tau tso cai thiab pom zoo.

Mob ntshav qab zib hnub no

Yog tias koj ntseeg tias cov ntaub ntawv ntawm lub koom haum saib xyuas kev noj qab haus huv, tom qab ntawd daim duab ntawm tus kabmob yog raws li nram no:

Thaum muaj hnub nyoog 20–79 xyoo, kwv yees li 6% ntawm cov neeg muaj mob - cov ntaub ntawv no tau qhia thaum ntxov 2010.

Raws li kev kwv yees ua ntej ntawm cov kws tshawb fawb, txog xyoo 2030, kwv yees li 500 lab tus tib neeg yuav muaj mob xws li mob ntshav qab zib.

Rau lub sijhawm xyoo 2010 hauv tebchaws Russia tau sau txog 9.5 lab tib neeg uas muaj tus kabmob no. Thiab los ntawm 2030, yuav muaj kwv yees li 10.3 lab tus neeg hauv Lavxias.

Ib qho ntawm cov kab mob uas muaj lub txim loj yog cov ntshav qab zib kom meej meej, lawv tuaj yeem ua rau mob hnyav thiab tuag taus, tab sis cov neeg no yog nyob ntawm cov neeg, uas tsis ntau dua 70, thiab ib nrab ntawm cov neeg tuag tau hais tshwj xeeb rau poj niam ib nrab ntawm tib neeg.

Muaj neeg tuag coob heev los ntawm tus kab mob no tau pom muaj nyob hauv cov tebchaws uas tib neeg muaj txoj kev ua neej nyob tsawg thiab tsis ua raws txoj cai los tswj kev mob ntshav qab zib.

LEEJ TWG muab cov ntaub ntawv qhia tias pes tsawg tus neeg tuag ntawm xyoo 2010 txog 2030 yuav nce siab, uas yog ob zaug.

Txhawm rau tiv thaiv tus kabmob txhawm kom ua rau muaj kev noj qab haus huv, koj yuav tsum ua tus coj kev noj qab haus huv, tsis txhob haus cawv, ua kis las li niaj zaus, tswj koj lub cev kom yuag.

Tiv Thaiv Mob Ntshav Qab Zib - Memo

Ntshav qab zib tsis tuaj yeem kho tsis tau, tab sis tuaj yeem tiv thaiv ntawm tib theem. Txoj hauv kev zoo tshaj plaws kom ua tiav cov txiaj ntsig no yog kev paub txog tus kab mob no. Txawm li cas los xij, koj tuaj yeem pab koj tus kheej yog tias tsim nyog.

Kev Tiv Thaiv Ntshav Qab Zib yuav pab koj tswj koj txoj kev noj qab haus huv:

Cov tsos mob ntawm tus kab mob

muaj yog xav tau rau cov dej haus ntau,
tso zis muaj ntau yam
nws qhuav hauv kuv lub qhov ncauj
qhov tsis muaj zog dav dav hauv lub cev yog ua kom pom - nrog rau cov leeg,
kev tshaib kev nqhis
cov poj niam nyob ntawm qhov chaw mos ua tau khaus
Kuv ib leeg tsaug zog tas li thiab nkees.
qhov txhab tsis zoo
cov neeg muaj ntshav qab zib hom 1 poob phaus heev, thiab rau cov uas muaj ntshav qab zib hom 2, nws yog rog.

Txheeb xyuas koj tus kheej rau qhov muaj kab mob lossis qhov tshwm sim rau nws, koj tsuas yog xav ua qhov kev tshawb fawb tsim nyog. Yog tias koj pom hauv koj cov ntshav qabzib tshaj li qhov tau tso cai, thiab hauv kev txheeb xyuas ntawm cov zis yuav muaj ntau ntxiv rau acetone thiab qabzib.

Mob ntshav qab zib yog dab tsi

Txhawm rau txiav txim siab yuav ua li cas tiv thaiv koj tus kheej lossis tiv thaiv tus kab mob, koj yuav tsum to taub tias mob ntshav qab zib yog dab tsi.

Mob ntshav qab zib mellitus yog ib yam kab mob endocrine uas cov thyroid caj pas cuam tshuam. Raws li qhov tshwm sim, cov tshuaj insulin tsis muab zais rau hauv lub cev hauv qhov tsim nyog, vim tias qib uas cov piam thaj hauv cov ntshav nce siab. Cov piam thaj yog cov carbohydrate uas yog lub luag haujlwm rau cov metabolism hauv lub cev thiab yog lub hauv paus ntawm lub zog. Thaum cov insulin tsis txaus, cov piam thaj yuav tsis nqus. Nws ua rau cov ntshav nce ntxiv, ua rau muaj mob hu ua hyperglycemia. Lub cev poob nws qhov chaw ntawm lub zog thiab ua kom tsis muaj zog.

Yog tias muaj cov tsos mob pom nyob rau hauv tus neeg, ces koj yuav tsum tam sim ntawd sab laj tus kws kho mob thiab tau kuaj mob.

Ua rau mob ntshav qab zib

Cov ua rau ntshav qab zib yog:

noob neej
rog lossis rog dhau,
lub neej tsis muaj sia
Tshaj dhau, kev siv cov khoom tsim kev puas tsuaj.

Kev rog dhau los yog suav tias yog qhov feem ntau ua rau ntshav qab zib. Txhua tus neeg uas tau pom tias cov phaus ntxiv yog qhov muaj kev pheej hmoo.

Cov poj niam cev xeeb tub uas tau nce phaus ntau dhau thaum coj tus menyuam mus rau qhov muaj feem yuav muaj ntshav qab zib txawm tias 15 xyoo tom qab yug menyuam tas. Cov menyuam ntxhais uas tau ntsib tus mob ntshav qabzib ntau dua thaum lub sijhawm cev xeeb tub (mob ntshav qab zib hauv lub cev xeeb tub), tab sis tom qab xa cov cim tawm rov qab zoo li qub, kuj yuav tsum tau kuaj xyuas tas li los ntawm endocrinologist.

Muaj teeb meem tshwm sim ntawm tus kab mob

Hyperglycemia hauv ntshav qab zib yog fraught nrog txoj kev txhim kho ntawm cov teeb meem ntawm kev ua mob hnyav.

Cov teeb meem uas nquag muaj nrog tus mob yog:

kev mob plawv
teeb meem tsis pom kev
dermatological kab mob
muaj teeb meem ntawm cov hniav thiab pos hniav
malfunction ntawm daim siab thiab ob lub raum,
poj laib
impotence
ntxiv lawm tshob nyob rau hauv cov poj niam
ua txhaum nyob rau hauv lub cev ntas, thiab lwm yam.

Muaj cov ntaub ntawv hais txog tus kab mob, nws yuav yooj yim rau tus neeg muaj ntshav qab zib los tiv thaiv tus kab mob. Dab tsi txhua txhua tus neeg mob ntshav qab zib yuav tsum nco ntsoov tuaj yeem nyeem hauv qab no.

Ntshav Qab Zib Memo

Ntshav qab zib mellitus yog qhov tsis tuaj yeem kho, tab sis nws tuaj yeem tswj tau thiab nyob tas lub neej. Hauv cov neeg mob uas ua raws li cov cai thiab cov lus pom zoo, kev ua haujlwm ntawm cov ntshav qab zib yog ib txwm pom, qhov xwm txheej ntawm lub cev tau txhim kho thiab tiv thaiv kab mob ntxiv. Ib tus neeg tuaj yeem tuaj yeem tshem tawm cov phaus ntxiv thiab txhua yam teebmeem ntsig txog ntshav qab zib.

Kev tiv thaiv ntshav qab zib thiab ceeb toom rau cov neeg uas tsis xav kom muaj teebmeem kev noj qab haus huv:

soj ntsuam cov ntshav qab zib (nws raug nquahu los yuav ib qho glucometer),
tsis tu ncua tshuaj los ntawm cov kws kho mob
ua raws li cov kev ua txhua hnub
ua raws li kev kho kev noj haus
qoj ib ce, ua si kis las,
noj tshuaj uas koj tus kws kho mob sau tseg raws li cov lus qhia,
coj lub neej noj qab nyob zoo, tawm haujlwm tsis zoo,
Tsis txhob ua haujlwm ntau dhau ntawm koj tus kheej nrog kev ua haujlwm, caij so txhua xyoo (nws pom zoo kom siv nws ntawm chaw noj qab haus huv lossis hauv sanatoria)
haus ib hnub ib txwm dej (txog li 2 liters),
Tsis txhob ntshai.

Kev ua tiav ntawm cov kev cai yooj yim no los ntawm kev nco rau cov neeg mob ntshav qab zib mellitus lav txog kev txhim kho hauv kev noj qab haus huv, thiab nrog ntshav qab zib hom 2, txawm tias rov ua tiav ntawm cov txiav thiab ua rau ntshav qab zib tsis txaus.

Yam 1 Tiv Thaiv Mob Ntshav Qab Zib Hom 1

Kev txheeb cais los ntawm World Health Organization (WHO) qhia tias kev muaj mob ntshav qab zib hom 1 ntau dua ntawm cov menyuam uas noj niam mis txij thaum yug los. Qhov laj thawj rau qhov no feem ntau cov kua mis sib xyaw ua ke muaj cov protein protein, uas ua rau muaj qhov ua tsis zoo ntawm cov txiav ua kab menyuam hauv menyuam yaus. Vim li ntawd, nws muaj qhov pheej hmoo ntawm kev tsim hom ntshav qab zib hom 1 yav tom ntej. Ib qho ntxiv, cov khoom sib xyaw ua ke tsis tuaj yeem ua kom lub cev tiv thaiv tsis muaj zog thiab tiv thaiv tus menyuam los ntawm kis kab mob thiab kis kabmob.

Yog li, kev pub niam mis yog qhov zoo tshaj tiv thaiv kev tiv thaiv ntshav qab zib.

Cov menyuam yaus ntawm cov kis pheej hmoo tsis zoo yog cov kab mob sib kis tau yooj yim. Raws li kev tiv thaiv kab mob, lawv yuav tsum tau ntxiv dag zog rau lawv lub cev nrog kev pab ntawm immunostimulants.

Hom 2 tiv thaiv ntshav qab zib

Feem coob cov neeg mob ntshav qab zib (li 90%) muaj hom mob 2. Nrog nws, cov tshuaj insulin tsis raug pom tau los ntawm lub cev, cov piam thaj tsis tawg thiab zwm rau hauv tus neeg mob cov ntshav.

Cov kev tiv thaiv rau tus mob ntshav qab zib hom 2 yog qhov khoom noj khoom haus zoo rau lub cev thiab tawm dag zog.

Kev ua tiav ntawm ob qho xwm txheej no yuav tiv thaiv tus neeg mob los ntawm kev txhim kho ntawm qhov teeb meem.

Noj zaub mov zoo rau ntshav qab zib

Kev noj zaub mov kom zoo yog ib qho tseem ceeb rau kev tiv thaiv ntawm hom 1 thiab ntshav qab zib hom 2. Yog tsis muaj kev yoo noj, kev kho yuav ua rau tsis muaj txiaj ntsig, thiab cov piam thaj hauv ntshav yuav txuas ntxiv mus, uas yog qhov txaus ntshai heev.

Cov carbohydrates yooj yim yog cov mob ntshav qab zib tshaj plaws. Lawv yog qhov ua rau muaj cov ntshav qab zib ntau ntxiv. Yog li, cov khoom noj uas muaj cov carbohydrates yooj yim yuav tsum tau muab cais tawm ntawm cov khoom noj no.

Txoj kev noj haus zoo, uas tau tsim tshwj xeeb rau cov neeg mob ntshav qab zib, yog hu ua "Cov Lus 9".

Cov yam ntxwv ntawm cov khoom noj yog:

khoom noj khoom haus 5-6 zaug hauv ib hnub (nrog tib tus nqi ntawm cov carbohydrates ntawm txhua qhov koob tshuaj),
kev noj zaub mov yuav tsum muaj 60% carbohydrates, 20 - rog thiab 20 - cov protein,
feem me me
cais tawm cov ua kom muaj cov carbohydrates los ntawm cov ntawv qhia zaub mov (qab zib, zib ntab, qab zib),
ua kom cov roj nyeem kom tsawg
noj zaub mov ntau nyob rau hauv fiber ntau thiab complex carbohydrates,
qhov kev nyiam yog muab rau cov zaub mov siav, ua noj, ua noj thiab ci.

Thaum lub caij hloov kev noj haus, ib tug neeg yuav tsum noj zaub mov uas tsis nce ntshav qab zib.

Cov khoom no suav nrog:

cereals (barley, buckwheat, pearl barley, millet, oat),
taum
tag nrho rye lossis buckwheat qhob cij,
zaub (zucchini, zaub qhwv, txaij, taub dag, txiv lws suav),
cov txiv hmab txiv ntoo thiab cov txiv uas tsis qab zib (txiv apples, pears, currants, blueberries, txiv ntoo qab zib, txiv kab ntxwv thiab kiwi),
zaub ntsuab, lav,
nqaij ntshiv, nqaij qaib, ntses,
cov khoom noj siv mis tsis ua rog.

Nws yog qhov tsim nyog los txwv kev siv cov zaub muaj hmoov txhuv nplej siab. Lawv raug tso cai kom noj tsis ntau tshaj 200 g hauv ib hnub:

Cov zaub mov uas raug txwv tsis pub muaj:

qab zib, zib ntab
Butter ci
ncuav, ncuav ncuav,
khoom qab zib
mis nyuj khov thiab lwm yam khoom qab zib,
rog nqaij thiab ntses,
rog
khob cij dawb
mov, semolina, pob kws grits,
cov txiv hmab txiv ntoo thiab cov txiv hmab txiv ntoo qhuav (tsawb, txiv hmab, hnub tim, thiab lwm yam),
yuav cov kua txiv thiab kua txiv kab ntxwv,
yogurts qab zib thiab lwm yam khoom noj siv mis nrog toppings,
haus luam yeeb, ntsim, qab ntsev,
hwm nplej nplej zom
cawv
qab zib fizzy haus.

Tus mob ntshav qab zib yuav tsum nco ntsoov txoj cai tseem ceeb - khoom noj khoom haus yuav tsum muaj ntau yam. Nws yog ib qho tseem ceeb uas, nrog rau cov zaub mov, tus neeg tau txais cov vitamins thiab lwm yam tshuaj tseem ceeb rau lub neej ntawm lub cev.

Cov cai los pab koj txhim kho koj tus kheej hauv kev nyob, lossis ntawv nco rau cov neeg mob ntshav qab zib

Ntshav qab zib mellitus yog ib yam kab mob uas tsis tuaj yeem tshem tawm. Tab sis qhov no tsis tau txhais hais tias nyob rau hauv qhov kev tshwm sim xws li kev kuaj mob, koj tuaj yeem tso koj tus kheej xaus.

Tus mob ntshav qab zib tsis yog kab lus, tab sis yog txoj kev ua neej. Thiab qhov no yuav tsum nco ntsoov txog. Qhov tseeb, kev sib koom tes nrog txoj kev mob nkeeg no tsis nyuaj. Qhov loj tshaj plaws yog ua raws li qee qhov kev cai thiab coj los ntsuas uas tsim nyog nyob rau lub sijhawm.

Mob ntshav qab zib yog dab tsi?

Ntshav qab zib yog ib pab pawg ntawm cov kab mob uas nws cov paib nquag tau ua txhaum kev cuam tshuam ntawm cov metabolism metabolism. Muaj ob peb hom kabmob no:

Yam 1 ntshav qab zib.
Mob ntshav qab zib Hom 2.
Mob ntshav qab zib cev xeeb tub.

Ntshav qab zib mellitus yog tus cwj pwm los ntawm kev nce ntxiv hauv cov ntshav qabzib, kev nqhis dej thiab polyuria.

Tus lej 14. Tshuaj tua kab mob

Qhov kev xav tau rau lawv siv yuav tshwm sim yam tsis tau xav txog. Tej zaum qhov xwm txheej yuav muaj xws li tias lawv daim ntawv thov yuav tsum tau muab haujlwm rau koj tus kheej. Thaum noj tshuaj tua kab mob, nco ntsoov tias nyob rau hauv parallel nws yog ib qhov tsim nyog yuav tsum tau siv tshuaj yeeb tshuaj uas kho lub plab hnyuv microflora, yog li tiv thaiv qhov tshwm sim ntawm dysbiosis.

Kev ntshav siab

Kev mob ntshav qab zib yog ib qho mob thaum cov ntshav qab zib cov ntshav qis dua qhov kev tso cai. Hauv cov ntshav qab zib mellitus, ib qho kev nyiam ntawm lub qog ntshav qab zib tseem muaj txawm tias cov menyuam yaus uas ua raws li kev noj zaub mov kom zoo thiab lub koob tshuaj insulin. Rau tib neeg lub cev, qhov ua rau cov ntshav qab zib tsawg dua nws muaj kev phom sij ntau dua li qhov nce ntxiv, vim tias tsis muaj cov piam thaj, lub hlwb tau raug ua ntej ntawm txhua yam, cov teeb meem loj heev tuaj yeem tshwm sim uas tsis tuaj yeem hloov tau. Txhawm rau kom zam lub txim tsis zoo, tus menyuam yuav tsum muaj ob peb daim piam thaj, piam thaj. Tsis tas li, kev pabcuam ua ntej tuaj yeem yog lub khob ntawm qab zib jelly, tshuaj yej, ncuav qab zib (5 daim), ncuav dawb (1-2 daim). Tom qab nws tau zoo, koj yuav tsum muab koj tus menyuam cov semolina lossis cov qos yaj ywm ci ntsa iab. Cov mis nyuj khov yog tsis tsim nyog rau cov kev pabcuam ua ntej rau cov ntshav khov (hypoglycemia), txawm hais tias nws muaj suab thaj, nws txoj kev nqus tau qeeb vim yog cov ntsiab lus rog thiab qhov kub ntawm qhov khoom.

Yuav ua li cas tuaj yeem hloov cov khoom qab zib?

Nws nyuaj rau menyuam yaus tso khoom qab zib. Txhawm rau kom tsis txhob tsim txom tus menyuam, muab nws hloov rau qab zib kom muaj cov kab mob zoo - cov khoom qab zib.

Cov menyuam yaus muaj qhov cuam tshuam rau qhov tsis muaj qab zib, yog li kev siv cov khoom hloov ua suab thaj yog kev tsis xwm yeem.

Xylitol thiab sorbitol. Raug rau hauv txoj hnyuv ntau dua li cov piam thaj. Vim tias qhov tsis txaus siab tshwj xeeb saj, cov menyuam yaus muaj peev xwm tsis kam yuav lawv. Lawv muaj qhov tsis zoo rau lub plab zom mov ntawm tus menyuam, muaj qhov ua kom laxative, rau cov laj thawj no, cov khoom qab zib tsis pom zoo rau cov menyuam yaus, tsuas yog cov nyiaj me me raug tso cai rau cov hluas (txog 20 g).

Fructose. Cov piam thaj tsawg thiab sucrose cuam tshuam rau theem ntawm cov piam thaj hauv cov ntshav, tsis xav tau cov insulin, tsis muaj kev cuam tshuam zoo rau lub cev. Nws yog cov txiaj ntsig qab zib txiv ntoo. Nws tuaj yeem yuav tom khw. Fructose nyob hauv txhua cov txiv ntoo thiab txiv hmab txiv ntoo nrog lub qab zib. Hauv zib ntab, fructose nrog qab zib yog pom hauv kwv yees sib npaug.

Yog li hais tias cov me nyuam tsis muaj lub siab xav noj cov khoom qab zib yam tsis pub leej twg paub los ntawm lawv niam lawv txiv, npaj khaub noom, compotes, ncuav mog qab zib, qab zib thiab lwm yam khoom qab zib siv cov khoom qab zib thiab indulge koj cov menyuam nrog lawv.

Mob ntshav qab zib mellitus hauv ib tus menyuam yaus txog ib xyoos

Cov menyuam yaus hnub nyoog qis dua ib xyoos, txawm tias muaj ntshav qab zib mellitus, yuav tsum tau noj niam mis ntev dua, tsuas yog leej niam cov kua mis muaj peev xwm muab tau lub cev tag nrho nrog cov zaub mov tsim nyog.

Yog tias vim li cas thiaj li pub mis niam tsis tau, ces koj yuav tsum xaiv cov sib xyaw tshwj xeeb nrog cov piam thaj hauv qab. Noj mov yuav tsum ua raws nraim lub sijhawm pom zoo kom ua nyob ntawm 3 teev nruab nrab ntawm kev pub mis. Cov khoom noj sib xyaw ua ke tau qhia raws li tus qauv lees paub thaum muaj hnub nyoog 6 hli, nws tau nquahu kom pib nws nrog kua zaub thiab zom cov qos yaj ywm, thiab, tab sis tsis kawg, muab cov khaub noom ntse.

Mob ntshav qab zib mellitus hauv cov menyuam yaus rog

Cov menyuam yaus rog dhau yuav tsum tau lub cev qhov hnyav. Lawv yuav tsum tau muaj kev txwv ntau nyob hauv cov rog thiab carbohydrates, rau lub hom phiaj no cov khoom lag luam hauv qab no yog raug rau kev cais tawm ntawm cov ntawv qhia zaub mov:

qab zib
khoom qab zib
Kev sib cav sib ceg
nplej hmoov nplej,
nplej zom
semolina.

Khoom Noj Khoom Noj Sab Nraud thiab Cov Sijhawm Tshwj Xeeb

Raws li rau cov tog neeg, cafes thiab menyuam yaus tsev noj mov, cov niam txiv tsis tas yuav txhawj xeeb, nws tsuas yog qhia kom paub cov ntawv qhia zaub mov ua ntej thiab suav cov nyiaj carbohydrates rau qhov tseeb kev xam ntawm cov koob tshuaj insulin, thaum cov kev ua si sab nraum zoov yuav tsum tau coj mus rau hauv tus account, txij li kev ua si lub cev ua rau muaj qee yam zaub mov.

Noj su tom tsev kawm ntawv. Ntawm no, cov niam txiv yuav tsum txhawj xeeb ua ntej thiab nrhiav cov ntawv qhia zaub mov rau lub lim piam tom ntej, tom qab ntawd nrog kev pab los ntawm tus kws qhia ntawv hauv chav kawm kom tswj hwm tus menyuam tau noj ntau npaum li cas hauv tsev kawm ntawv.

Me nyuam yaus feem ntau tsis kam noj zaub mov, tsis qab los noj mov. Hauv cov xwm txheej zoo li no, nws yooj yim heev rau kev siv ultra-luv-insulin, uas tuaj yeem siv tau tam sim ntawd tom qab noj mov, suav rau qhov ntim ntawm cov zaub mov tiag tiag.

Ntshav qab zib yog ib qho kab mob insidious uas cuam tshuam feem ntau ntawm lub qhov muag thiab lub raum. Tab sis yog tias koj ncaj qha rau kev noj haus, xam xyuas qhov tseeb ntawm koob tshuaj insulin, tom qab ntawd nrog tus kab mob no koj tuaj yeem nyob lub neej ntev, zoo siab thiab zoo nkauj.

10 txoj cai yooj yim

1. Lub hauv paus rau kev kho mob ntawm txhua hom mob ntshav qab zib yog kev noj haus. Lub zog muaj txiaj ntsig ntawm kev noj zaub mov txhua hnub yuav tsum tsis pub tshaj qhov siv lub zog tiag tiag, uas nyob hauv tus neeg laus yog 105-210 kJ (25-50 kcal) rau 1 kg ntawm lub cev hnyav. Nrog rau kev rog dhau hus, lub zog ntawm tus nqi ntawm kev noj haus yog txo los ntawm 20-25%.

Pom zoo kom muaj cov protein, rog thiab carbohydrates hauv cov zaub mov: B - 15-20%, W - 25-30%, Y - 50–55% los ntawm lub zog muaj nqis, 1: 0.7 (0.75): 2.5–3 , 5 los ntawm hnyav.

Nrog rau lub zog muaj nqis ntawm kev noj haus ntawm 1050 kJ (2500 kcal), nws yuav tsum muaj 100 g ntawm protein, 70-75 g ntawm cov rog, 300-370 g ntawm carbohydrates, suav nrog 25-30 zaub sawv daws yuav.

Noj thaum lub sij hawm nruj me ntsis nrog kev qhia ntawm insulin yog qhov tseem ceeb: tom qab txhaj tshuaj ntawm cov tshuaj insulin - tom qab 15-20 feeb thiab tom qab 3–3,5 teev. Thaum kho nrog insulin rau kev ncua ntev (kev ncua ntawm zinc-insulin, thiab lwm yam), cov zaub mov yuav tsum tau noj thaum sawv ntxov tom qab txhaj tshuaj, tom qab ntawd txhua txhua 3.5-4 teev thiab 40-60 feeb ua ntej yuav mus pw.

3. Ua raws li kev nyiam huv thiab kev nyiam huv ntawm tsev.

Kev tawm dag zog lub cev, kev ua kis las (tsis yog hom zog) muaj cov txiaj ntsig zoo ntawm kev siv metabolism, txhim kho kev siv tshuaj tua kabmob, txo kev xav tau cov tshuaj insulin, ua kom yooj yim rau cov kab mob, thiab nce kev ua haujlwm.

Cawv, haus luam yeeb yog tsis tsim nyog.

4.Yuav cov tshuaj txos txo qis yuav tsum noj nyob rau lub sijhawm uas tau nruj me ntsis. Ib qho kev hloov pauv ntawm cov tshuaj, hloov pauv ntawm koob tshuaj, lossis ntau dua yog li lawv qhov kev tshem tawm tsis tuaj yeem lees paub yog tsis muaj tus kws kho mob paub. Noj tshuaj pab qhov ncauj (ntsiav tshuaj) tom qab noj mov.

8. Thaum xaiv txoj haujlwm thiab kev ua haujlwm rau tus neeg mob ntshav qab zib, kev txwv tsis txaus vim muaj cov yam ntxwv ntawm tus kabmob, qhov yuav tsum tau tiv thaiv nws cov teeb meem thiab qhov ua tsis tau thaum ntxov yuav tsum raug coj los txiav txim.

9. Kev mob ntshav qab zib kho tsis yog ib qho uas nyuaj rau txoj kev sib yuav thiab tsev neeg ib txwm muaj.

Txhawm rau kom paub ntxov thiab tiv thaiv kev txhim kho mob ntshav qab zib mellitus, nws yog qhov yuav tsum tau ua ntu zus (1-2 zaug hauv ib xyoos) tshuaj xyuas lawv cov menyuam.

10. Txhawm rau tiv thaiv cov kev mob tshwm sim, ntawm cov qhov txhab feem ntau ntawm lub qhov muag, ob lub raum, siab, ceg, kab mob ntawm cov hlab ntsha, cov pos hniav, tus neeg mob ntshav qab zib mellitus yuav tsum nyob hauv kev saib xyuas mob tas li, sau npe hauv lub tsev kawm ntawv sib faib.

Tiv Thaiv Tus Mob Ntshav Qab Zib

Ntshav qab zib yog kab mob ntawm cov endocrine system cuam tshuam nrog kev cuam tshuam ntawm metabolic. Txij li thaum etiology ntawm hom 1 thiab ntshav qab zib hom 2 sib txawv, kev tiv thaiv ob hom ntshav qab zib thiab kev kho mob ntawm cov kabmob no tseem yuav sib txawv.

Kev tiv thaiv ntawm hom 1 mob ntshav qab zib

Ntshav Qab Zib Hom 1 yog ib tus kabmob uas cov kabmob ntshav qab zib ntawm pancreatic beta tsis tso cov insulin, uas yog qhov tsim nyog rau kev piam ntawm cov piam thaj hauv cov ntshav. Tus kab mob tuaj yeem tshwm sim los ntawm ib tus neeg raug mob sab nraud (mob, mob plig), uas ua rau mob nqaij hlav thiab ua mob rau cov nqaij hlav hlwb tuag. Yog li, kev tiv thaiv ntawm tus mob ntshav qab zib hom 1 txo rau kev ua yeeb yam nram no.

1. Kev pub niam mis. Raws li kev tshawb fawb los ntawm WHO, ntawm cov menyuam yaus uas muaj ntshav qab zib muaj ntau tus menyuam uas noj niam mis txij thaum yug los. Qhov no yog vim qhov tseeb tias cov kua mis sib xyaw ua ke muaj cov nyuj cov protein, tuaj yeem cuam tshuam rau txoj haujlwm zais cia ntawm cov txiav. Ib qho ntxiv, kev pub niam mis rau menyuam pab txhim kho kev tiv thaiv ntawm tus menyuam, thiab yog li ntawd tiv thaiv nws los ntawm kis kab mob thiab kis kabmob. Yog li, kev pub mis niam yog suav tias yog kev tiv thaiv zoo tshaj plaws ntawm hom ntshav qab zib hom 1.

2.Kev tiv thaiv kab mob sib kis. Cov kab mob kis tau yooj yim tshaj rau cov menyuam yaus muaj feem muaj mob ntshav qab zib hom 1, yog li, cov tshuaj tiv thaiv kab mob xws li interferon thiab lwm txoj kev ntxiv dag zog tiv thaiv kev tiv thaiv tau siv los ua cov tshuaj tiv thaiv.

Hom 2 tiv thaiv ntshav qab zib

Ntawm txhua tus neeg mob ntshav qab zib, kwv yees li 90% ntawm tib neeg muaj ntshav qab zib hom 2. Thaum muaj cov kabmob no, cov insulin tsim tawm los ntawm tus txiav ua tsis taus los ntawm lub cev thiab tsis koom nrog kev rhuav tshem cov piam thaj. Cov laj thawj rau cuam tshuam nrog cov metabolic no yog:

rog dhau
tsis muaj kev tawm dag zog, kev thab plaub,
cov zaub mov tsis zoo uas muaj cov rog ntau thiab yooj yim carbohydrates,
kev tshuaj ntsuam genetic predisposition.

Kev tiv thaiv tus mob ntshav qab zib hom 2 yog li nram no.

Noj zaub mov, fractional khoom noj haus txog 5 zaug hauv ib hnub. Qhov kev nqus ntawm cov carbohydrates ua kom zoo (qab zib, zib ntab, jams, thiab lwm yam) thiab cov rog uas muaj cov rog ntau yuav tsum raug txo kom tsawg. Lub hauv paus ntawm cov khoom noj khoom haus yuav tsum yog cov carbohydrates thiab cov zaub mov muaj txiaj ntsig ntawm cov tshuaj fiber ntau. Hauv feem pua cov ntsiab lus, cov ntsiab lus ntawm carbohydrates hauv cov zaub mov yuav tsum yog 60%, rog - kwv yees li 20%, protein - tsis ntau dua 20%. Muab qhov kev nyiam rau cov nqaij qaib dawb, cov ntses muaj roj tsawg, zaub mov zaub, npaj tshuaj ntsuab, txiv hmab txiv ntoo stewed yam tsis ntxiv qab zib. Hloov cov zaub mov kib nrog boiled, stewed, ci. Khoom qab zib, haus dej qab zib, cov khoom qab zib, cov dej qab zib nrog rau qab zib, cov khoom noj ceev, haus luam yeeb, qab ntsev, yog tias ua tau, cais tawm ntawm cov khoom noj. Tsuas yog hauv qhov no, kev tiv thaiv mob ntshav qab zib yuav muaj txiaj ntsig zoo. Ntxiv mus, kev noj haus ntshav qab zib tseem hu ua kev kho mob ntshav qab zib tseem ceeb. Tom qab tag nrho, tsis muaj zaub mov txwv, tsis muaj kev kho yuav muab cov nyhuv yam xav tau.

Activity Kev qoj ib ce tsim nyog. Kev tawm dag zog lub cev ua rau lub cev ua kom lub cev zom zaub mov zoo dua ntxiv thiab muaj cov tshuaj insulin rhiab heev.

Thaum twg yog xav txog ib qho muaj peev xwm ua ntshav qab zib

Yog tias koj cov phaus ntxiv tuav hauv lub duav, tom qab ntawv twb muaj feem yuav muaj ntshav qab zib. Faib ntawm lub duav los ntawm lub duav. Yog tias daim duab ntau dua 0.95 (rau txiv neej) thiab 0.85 (rau poj niam) - koj muaj kev pheej hmoo!

Cov pab pawg txaus ntshai rau qhov tshwm sim ntawm tus mob ntshav qab zib hom 2 suav nrog cov poj niam thaum lub sijhawm cev xeeb tub tau ntau dua 17 kg thiab yug tau menyuam yaus uas hnyav dua 4.5 kg. Txawm hais tias tom qab cev xeeb tub qhov hnyav rov qab mus rau qhov qub thiab cov metabolism hauv plhaws rov qab los nyob rau qhov qub, hom 2 mob ntshav qab zib tuaj yeem tshawb pom tom qab 10-20 xyoo. Txawm li cas los xij, yog tias koj kho koj cov zaub mov hauv lub sijhawm, kev tawm dag zog thiab kev poob phaus, tom qab ntawd koj yuav tuaj yeem rov qab cov metabolism hauv lub cev thiab tiv thaiv kev mob ntshav qab zib.

Nrog rau txoj kev loj hlob tsis zoo, hyperglycemia yog qhov kev txom nyem, uas yog, qib ntawm cov piam thaj hauv cov ntshav nce siab tom qab noj mov, yog li ua rau kev tawm tsam tshiab ntawm kev tshaib plab. Raws li qhov tshwm sim, lub cev hnyav nce ntxiv.

Tau koom nrog hauv kev tiv thaiv kab mob ntshav qab zib hom 2, koj ua kom muaj txiaj ntsig rau tag nrho lub cev. Tom qab tag nrho, kev noj zaub mov kom zoo, kev tawm dag zog lub cev, tswj lub cev nyhav yog cov ntsiab lus tseem ceeb rau kev tiv thaiv ntawm cov mob hnyav xws li mob hlab ntsha tawg, plawv nres, tawg, txhaws, thiab ntau lwm yam mob!

Ntshav Qab Zib Tiv Thaiv: Cov Memo rau Cov Neeg Mob

Mob ntshav qab zib mellitus yog hu ua endocrine pathology, vim tias muaj kev ua txhaum ntawm cov metabolism ntawm carbohydrates hauv tib neeg lub cev. Lub sijhawm no, tus kabmob no tsis tuaj yeem kho tau, tabsis kev kho kom zoo txaus pab txhawm rau txhim kho txoj kev nyob zoo, thiab tiv thaiv kom tsis txhob muaj teebmeem.

Ib qho ntawm cov ntsiab lus ntawm kev kho tau zoo yog kev noj zaub mov kom zoo, ua raws li qhov yuav pab txo qis kev siv tshuaj, zoo li ua kom tsis txhob muaj kev vam meej ntawm tus kab mob.

Ib qho ntxiv, nws raug pom zoo rau cov neeg mob ntshav qab zib kom ua lub neej kom nquag plias, ua kom lub cev zoo tshaj plaws rau hauv lawv lub neej.Kev xyaum qhia tau tias kev tawm dag zog txhua hnub pab txhawb tus kabmob.

Nws yuav tsum tau txiav txim siab tias dab tsi yog memo rau kev tiv thaiv ntshav qab zib? Tus neeg mob txoj cai noj haus dab tsi yuav tsum ua raws, thiab cov khoom noj ntshav qab zib muaj dab tsi ntxiv?

Cov yam ntxwv ntawm kev noj haus hauv ntshav qab zib

Qhov phom sij tseem ceeb rau tus neeg mob ntshav qab zib yog cov zaub mov carbohydrates, uas tuaj yeem ua rau cov piam thaj hauv lub cev ntau ntxiv. Tias yog vim li cas thiaj tau noj zaub mov tshwj xeeb rau cov neeg mob.

Raws li tau rov qab los ntawm thib nees nkaum ntawm lub xyoo pua xeem, cov lus txheej cuaj tau tsim, uas yog cov kev cai tswj hwm thiab cov lus pom zoo txog khoom noj khoom haus. Thaum tsom kwm cov txheej txheem no, nws yog ib qho tsim nyog yuav tau noj ntau, thaum nyob hauv qhov me me.

Nws yog ib qho tseem ceeb uas txhua feem suav nrog kwv yees li ntawm tib co carbohydrates hauv nws cov lus. Los ua kom yooj yim ntawm lawv kev xam, cov kws kho mob tau qhia lub sij hawm xws li chav ua mov ci. Ib chav ua mov ci sib npaug 12 grams ntawm carbohydrates. Thiab ib hnub twg, nws raug tso cai rau cov neeg mob ntshav qab zib kom tsis txhob noj ntau tshaj 25 khob cij.

Nws yuav tsum raug sau tseg tias mob ntshav qab zib hom 2, cov neeg mob rog dhau los yog rog dhau, yog li kev noj haus No. 8 raug pom zoo rau cov neeg mob ntawd. Nws txhais tau hais tias qhov ntau tshaj calories rau cov ntsiab lus ntawm cov zaub mov ib hnub tsis ntau tshaj 1800 calories.

Phau ntawv tshwj xeeb tau tsim rau cov neeg muaj ntshav qab zib, uas qhia tias muaj ntau cov khoom noj uas tau tso cai rau noj:

Porridge (barley, hlaws barley, millet, buckwheat).
Taum khoom (taum pauv thiab taum pauv).
Bakery cov khoom uas muaj cov ciab los yog ntxiv nrog cov hmoov nplej buckwheat.
Zaub (zucchini, txaij, zaub qhwv, taub dag).
Txiv hmab txiv ntoo (txiv kab ntxwv, txiv apples thiab lwm yam).

Tag nrho cov zaub mov saum toj no tuaj yeem noj txhua txhua hnub, thaum tsis tau ntshai tias cov piam thaj yuav nce siab sai tom qab noj mov. Tsis tas li ntawd xwb, lawv pab kom saturate lub cev, tshem tawm qhov kev xav ntawm kev tshaib kev nqhis.

Nrog rau qhov ceev faj, nws pom zoo kom noj cov qos yaj ywm, carrots thiab beets, vim tias lawv muaj qhov ntau ntawm cov hmoov txhuv nplej siab.

Lub hom phiaj kev noj haus rau cov neeg mob ntshav qab zib

Ib tug neeg uas muaj ntshav qab zib yuav tsum mus ntsib tus kws qhia noj zaub mov noj tom qab tsim kev tshuaj ntsuam kom nws tuaj yeem pab txhim kho txoj kev noj zaub mov kom noj qab haus huv. Kev ua raws li cov lus qhia no yuav pab tswj cov ntshav qabzib, tswj kom lub cev tsis nyhav, thiab txo qhov muaj feem yuav ua mob plawv.

Thaum ib tus neeg noj ntau dhau ntawm cov calories thiab cov rog, nws lub cev pib nce qib hauv glycemia. Yog tias cov ntshav qabzib tsis tswj hwm, qhov no tuaj yeem ua rau muaj teeb meem loj - piv txwv li, kev txhim kho kab mob ntshav qab zib ketoacidosis, kev puas tsuaj rau cov hlab ntsha, cov hlab ntsha, raum, thiab lub plawv. Rau feem ntau cov neeg mob uas muaj ntshav qab zib hom 2, kev noj zaub mov zoo yuav pab txo kom yuag, uas, ntxiv rau txo qis glycemia, muaj ntau lwm cov txiaj ntsig kev noj qab haus huv.

Cov ntsiab cai ntawm khoom noj khoom haus zoo rau ntshav qab zib

Cov hauv paus ntsiab lus ntawm kev noj zaub mov zoo rau ntshav qab zib suav nrog:

Txwv txiav kev noj haus ntawm cov khoom noj uas muaj cov khoom noj carbohydrates ntau (noj cov zaub mov carb tsawg).
Noj zaub mov hauv qhov me me, faib zaub mov rau tag nrho ib hnub.
Noj txaus nplej, txiv hmab txiv ntoo, thiab zaub txhua hnub.
Txo cov roj ntau hauv cov zaub mov noj.
Txwv txiav kev haus cawv.
Kev txwv ntsev.

Tus kws qhia khoom noj khoom haus zoo tuaj yeem pab koj tsim cov khoom noj kom noj qab nyob zoo raws li koj lub hom phiaj, qab qab thiab ua neej nyob. Nws tseem tuaj yeem piav qhia rau tus neeg mob tias yam zaub mov twg zoo rau nws.

Zog tshuav

Cov neeg mob ntshav qab zib yuav tsum sib piv cov zaub mov noj nrog lub zog siv thaum nruab hnub. Cov calories ntau dhau yuav ua rau koj qhov hnyav ntxiv. Kev rog dhau los yog rog dhau los ua rau muaj kev tswj ntshav qab zib thiab ua rau muaj kev phom sij, mob plawv, thiab mob cancer.

Nws yog ib qho tsim nyog yuav tsum tau txwv kom tsis txhob siv cov khoom noj muaj calorie ntau, xws li khoom qab zib, khoom qab zib, qab zib, kua txiv, chocolate - uas yog, koj yuav tsum ua raws li cov zaub mov muaj qab zib tsawg. Cov khoom noj zoo ntawm qee tus neeg mas kuj muaj kuab, tab sis lawv noj ntau dhau. Ib txoj hauv kev los txo koj cov calorie kom tsawg yog kom koj qhov ntau thiab tsawg tsawg.

Kev tawm dag zog lub cev kuj tseem muaj ntau cov txiaj ntsig kev noj qab haus huv. Nrog rau txoj kev noj qab haus huv zoo, kev tawm dag zog kom ib ce tuaj yeem pab tswj cov ntshav qab zib, txo cov roj cholesterol thiab triglycerides, thiab tswj lub cev tsis muaj mob.

Cov rog yog qhov ntau tshaj plaws ntawm lub zog piv nrog rau lwm pab pawg ntawm cov khoom. Noj ntau dhau ntawm lawv tuaj yeem ua rau nce phaus, uas ua rau kev tswj cov ntshav qab zib. Txawm li cas los xij, qee yam ntawm cov rog yog qhov tsim nyog rau kev noj qab haus huv zoo. Muaj ob peb hom ntawm lawv:

Rog Rog Nws yog ib qho tseem ceeb rau koj tsis txhob noj cov khoom noj muaj roj ntau. Lawv pom nyob hauv cov tsiaj cov khoom lag luam (cov nqaij rog, mis, butter, cheese). Ntawm cov zaub cov rog, cov txiv maj phaub roj, cov txiv maj phaub mis thiab cov tshuaj nplaum ua kom noo.
Polyunsaturated thiab monounsaturated rog. Kev siv cov roj me me ntawm cov rog no tuaj yeem ua kom paub tseeb tias kev nqus ntawm cov roj ntsha tseem ceeb thiab cov vitamins. Polyunsaturated rog muaj nyob hauv cov roj ntawm paj noob hlis, kua taum, pob kws, noob txiv hmap thiab noob hnav, thiab hauv cov roj ntses (herring, mackerel, sardine, salmon thiab tuna). Monounsaturated cov rog tau pom nyob hauv cov txiv roj thiab rapeseed roj, avocados thiab qee cov margarines. Noob, noob txiv, thiab txiv laum huab xeeb muaj cov sib xyaw ua ke ntawm cov tshuaj.

Carbohydrates ua lub luag haujlwm tseem ceeb hauv tib neeg cov zaub mov noj. Lawv yog qhov zoo tshaj plaws hauv lub zog rau tib neeg lub cev, tshwj xeeb tshaj yog rau lub hlwb. Ntawm peb lub cev tseem ceeb, carbohydrates feem ntau cuam tshuam txog ntshav qab zib cov ntshav. Hauv ntau cov neeg mob ntshav qab zib, txo lawv (xws li Bronstein noj zaub mov muaj roj tsawg) tuaj yeem pab tswj tus mob. Txawm li cas los xij, yog tias ib tus neeg xav kom txwv tsis pub cov khoom noj carbohydrate ntau hauv nws cov zaub mov noj, nws yuav tsum sab laj nrog tus kws kho mob endocrinologist ua ntej ua qhov no.

Tag nrho cov khoom siv carbohydrate ua rau kev tsim cov piam thaj thiab nce nws qib hauv cov ntshav, tab sis qee qhov lawv ua nws maj mam thiab lwm tus sai. Txhawm rau piav qhia sai npaum li cas cov khoom noj carbohydrate yog nqus thiab nkag rau hauv cov ntshav, cov tswvyim ntawm glycemic index tau qhia. Cov zaub mov uas muaj glycemic Performance index maj mam nkag mus rau cov ntshav thiab kom tsawg dua cuam tshuam rau cov ntshav qab zib cov ntshav. Cov no suav nrog oatmeal porridge, whole grain bread, lentils, legumes, mis nyuj, yogurt, nplej zom thiab feem ntau cov txiv ntoo tshiab.

Txawm hais tias nws muaj txiaj ntsig zoo, zib ntab yog cov khoom noj carbohydrate nrog lub siab glycemic index, uas txhais tau tias tom qab nws siv nyob rau hauv cov ntshav qabzib theem nce siab. Khoom noj rau cov ntshav qab zib yuav suav nrog cov piam thaj tsawg. Txawm li cas los xij, cov zaub mov nrog cov ntsiab lus siab yuav tsum tau noj kom tsawg. Muaj cov ntawv sau ua tuaj yeem txo cov piam thaj kom haus lossis hloov nws nrog lwm cov khoom qab zib.

Cov khoom muaj protein yog qhov tseem ceeb rau lub cev kom loj hlob thiab rov qab los. Proteins tsis tawg rau cov piam thaj, yog li lawv tsis ncaj qha nce nws qib hauv cov ntshav. Txawm li cas los xij, nrog cov ntshav qab zib mob nephropathy, koj yuav tsum tau txwv lawv cov nyiaj hauv kev noj haus.

Cov kev mob cuam tshuam nrog kev puas tsuaj rau cov hlab ntsha loj

Myocardial infarction tshwm sim vim kev puas tsuaj rau cov hlab ntsha ntawm lub plawv. A mob viav vias yog tib leeg viav vias, tab sis hauv lub hlwb. Nrog lub plawv nres thiab mob hlab ntsha tawg, cov hlab ntsha loj yog cuam tshuam vim qhov tsim ntawm atherosclerotic plaques.Ntawm cov ntshav qab zib mellitus, cov lipid metabolism yog qhov tsis txaus, uas ua rau kev txhim kho sai ntawm cov plaques atherosclerotic plaques, yog li niaj zaus kuaj xyuas cov qib "lipids tsis zoo": triglycerides (TG) thiab qis lipoproteins (LDL), thiab "zoo" siab lipids (HDL) yuav tsum tau OK.

Teeb meem cuam tshuam nrog kev txhab nrog cov hlab ntsha me me

Cov teeb meem no tseem hu ua microvascular. Cov no suav nrog: retinopathy (mob rau lub qhov muag), nephropathy (mob raum), mob ko taw ko taw mob ntshav qab zib, mob polyneuropathy (mob tsis haum, thiab lwm yam), mob hlwb (sib koom puas) thiab lwm yam teeb meem. Txhua yam kev hloov pauv no ua tau zoo zuj zus lawm thiab xav tau kev kho mob ntev.

Tswj kev noj qab haus huv cov metabolism hauv ntshav qab zib

Nrog rau theem siab ntawm cov piam thaj hauv cov ntshav (tshaj 9-10 mmol / L), lub cev pib ua rau nws tawm hauv cov zis, yog li poob lub zog tseem ceeb uas yuav tsum tau los txhawm rau lub cev.

Txhawm rau kom muaj kev noj qab haus huv metabolism, koj yuav tsum:

- txo caloric kom tsawg rau 1200 - 1700 kcal / hnub,
- tshem tawm cov roj carbohydrates uas ua rau cov ntshav qab zib sai sai,
- txo cov rog kom tsawg
- nce noj nqaij,
- ua kom lub cev nquag,
- ua raws li cov lus pom zoo ntawm tus kws kho mob tuaj koom.

Yuav soj ntsuam li cas thiaj li yuav kho tau tus mob ntshav qab zib?

Nws yog ua tau rau taug qab ua raws li kev noj haus thiab kev kho mob los ntawm theem ntawm glycated hemoglobin hauv cov ntshav. Qhov ntsuas no qhia qhov nruab nrab ntawm cov piam thaj hauv 3 lub hlis dhau los. Nrog rau kev nce qib hauv qab zib - nws ntau dhau yuav "lo" rau hemoglobin, glycolizing ("suab thaj") nws.

Kuaj ntshav Qab zib

Hom kev kuaj ntsuas Cov Nquag Kev Taw Qhia

Ntshav siab 1-3 zaug hauv ib hnub Tsis siab dua 135/85 hli Hg
Glycated hemoglobin 1 lub sijhawm hauv 3-4 lub hlis Tsis siab tshaj 7.5%
Kev txiav txim siab ntawm cov protein nyob hauv cov zis tsawg kawg 1-2 zaug hauv ib xyoo Tsis tuaj lossis tsis pub tshaj 30 mg / hnub
Mus ntsib tus kws kho qhov muag txog 1-2 zaug nyob rau ib xyoos;

Ntshav Qab Zib Ua Kev Nco Ntxiv

Txhua tus neeg mob ntshav qab zib, yuav kom tsis txhob raug nws tus mob thiab cov teeb meem tshwm sim, yuav tsum ua raws li cov lus pom zoo los ntawm cov kws tshaj lij txhawm rau tiv thaiv kev loj hlob ntawm tus kab mob.

Cov txheej txheem kis mob hnyav, kev txhaj tshuaj me me lossis tsis raug txhaj tshuaj, mob hlwb lossis lub cev ntau dhau, ua txhaum txoj kev noj tshuaj txhua hnub thiab lwm yam ua rau mob siab dua ntawm cov kab mob, pab txhawb kev mob ntshav qab zib ua kom rov qab tuaj.

Qhov thib ob ntawm ntshav qab zib tawm nws lub cim ntawm cov haujlwm kev ua haujlwm ntawm tus neeg. Thaum xaiv txoj haujlwm, nws yog qhov yuav tsum tau txiav txim siab txiav txim siab uas ua raws li cov yam ntxwv ntawm pathology.

Nws raug nquahu kom nco ntsoov tias cov kabmob uas tau them nyiaj yuav tsis ua kev cuam tshuam rau ib txwm muaj lub neej tag nrho, kev sib yuav thiab kev sib raug zoo.

Cov lus pom zoo rau cov ntshav qab zib:

Txhawm rau txheeb xyuas thiab tiv thaiv kev loj hlob ntawm tus kab mob hauv koj cov menyuam, koj yuav tsum kuaj koj tus menyuam ntau zaug nyob hauv ib lub xyoo.
Txhawm rau tiv thaiv cov kev mob ntawm cov pathology, nws raug nquahu kom mus ntsib kws kho mob tsis tu ncua.

Cov ntsiab lus hauv qab no ua cov cim taw qhia ntawm tus kab mob uas them nyiaj: kev nyob zoo, kev coj ua ib txwm, tsis muaj qhov nqhis dej tas mus li, lub cev qhuav ntawm lub qhov ncauj, tsis muaj cov cim ntawm qhov pom kev tsis zoo, lub hauv nruab nrab cov hlab ntsha.

Ib tug neeg mob uas muaj ntshav qab zib yuav tsum nrog nws nyob lossis nyob hauv ib qho chaw yooj yim “Daim npav ntawm tus neeg mob ntshav qab zib”, uas yuav tsum tau saib xyuas sai li sai tau yog tias nws huam yuaj.

Kev tiv thaiv ntawm thawj hom mob ntshav qab zib

Ntshav Qab Zib Hom 1 yog kab mob kev nkeeg vim cov kabmob hlwb uas ua haujlwm tsis ua tsim cov tshuaj insulin.Cov xwm txheej sab nraud tuaj yeem ua rau tus mob: kab mob autoimmune, kis kab mob thiab lwm yam.

Raws li kev txheeb cais los ntawm World Health Organization, peb tuaj yeem hais tias ntawm cov neeg mob ntshav qab zib muaj ntau cov menyuam yaus uas tsis tau txais mis noj ntxiv txij thaum lawv yug los.

Qhov tseeb no yog txiav txim siab los ntawm qhov tseeb tias cov khoom neeg sib xyaw ua ke muaj cov protein tivthaiv ntawm cov mis nyuj, uas tuaj yeem cuam tshuam tsis zoo rau kev ua haujlwm ntawm tus txiav.

Ib qho ntxiv, kev pub mis niam kom pab txhawb tus menyuam lub cev kom tsis muaj zog, yog li, nws txo qhov ua rau muaj kev sib kis thiab kis tus kab mob. Yog li ntawv thiaj li pub mis niam rau menyuam yog qhov kev tiv thaiv zoo tshaj plaws ntawm ntshav qab zib hom 1.

Rau cov menyuam yaus uas muaj kev pheej hmoo, kab mob ntawm kev kis tau tus mob yog qhov txaus ntshai heev. Yog li, raws li prophylaxis, nws raug nquahu kom siv cov tshuaj tiv thaiv kabmob (immunostimulants) thiab lwm yam tshuaj los txhim kho lub cev tiv thaiv kabmob.

Kev tiv thaiv hom mob ntshav qab zib zaum ob

Ntawm cov neeg mob ntshav qab zib, ntau dua 90% ntawm cov neeg mob tau txais los ntawm hom mob thib ob. Tawm tsam tom qab ntawm cov kab mob pathology no, cov tshuaj hormones uas tsim los ntawm cov txiav tsis pom los ntawm cov nqaij mos ntawm lub cev, thiab yog li tsis koom nrog kev siv suab thaj.

Cov laj thawj ntawm cov ntshav qab zib hom thib ob tuaj yeem ua tau li hauv qab no: kev rog dhau los lossis rog rog ntawm txhua ntu, kev ua neej nyob sedentary, uas ua rau muaj txiaj ntsig zoo rau kev sib sau hauv cov phaus ntxiv, kev noj zaub mov tsis zoo, uas suav nrog ntau ntawm carbohydrates, qab zib thiab rog.

Ntxiv rau, muaj keeb caj ces uas tuaj yeem ua rau kev txhim kho hom ntshav qab zib zaum ob. Cov kws tshawb fawb tau teeb tsa hais tias ib qho kev teeb tsa ntawm cov noob caj noob ces tuaj yeem sib kis tau los ntawm qub txeeg qub teg, uas, nyob rau hauv kev cuam tshuam ntawm kev tshwm sim tsis zoo, ua rau muaj kev ua txhaum ntawm kev ua haujlwm ntawm lub txiav.

Kev tiv thaiv kab mob ntshav qab zib suav nrog ob lub ntsiab:

Cov khoom noj kom zoo.
Kev ua kom lub cev zoo tshaj plaws.

Nws yog qhov tseeb tias cov kev ua kis las me me yuav txhim kho kev zom zaub mov hauv lub cev, pab txhawm rau kev txhawm rau kev nqus, thiab tib lub sijhawm nce tus neeg mob cov ntaub so ntswg mus rau insulin.

Mob ntshav qab zib memos yuav tsum tsis yog kev ntsuas ib ntus xwb, tab sis yog ib txoj kev ntawm lub neej uas koj yuav tsum ua raws nraim.

Ua tib zoo saib xyuas koj txoj kev noj qab haus huv!

Tus neeg mob nyob rau hauv lub xeev cov neeg mob ntshav qab zib lossis hauv qhov muaj ntshav qab zib mellitus yuav tsum nco ntsoov tias nws yog ib qho tseem ceeb kom ua raws li cov lus pom zoo los ntawm cov kws kho mob koom thiab tsis muaj qhov tshwj xeeb rau tus kheej! Kev siv tshuaj nws tus kheej yuav ua rau muaj kev pheej hmoo tshwm sim.

Koj tuaj yeem nyob nrog ntshav qab zib - qhov tseem ceeb yog tiv thaiv koj tus kheej los ntawm kev txhim kho ntawm cov teeb meem, thiab yog tias qee qhov ntawm lawv tau tshwm sim, tsis txhob cia lawv vam meej!

Cov ntaub ntawv npaj tau los ntawm lub taub hau. kev tiv thaiv kev kho mob txee, kws kho mob ntawm qeb siab tshaj plaws S.V. Shabardine

Thaum twg nws yog qhov tsim nyog los xav txog kev mob ntshav qab zib tau?

Yog tias tus neeg muaj rog rog lossis cov phaus ntxiv, uas yog tsim tsa kom nruj rau thaj chaw duav, tom qab ntawd twb muaj qhov kev pheej hmoo ntawm kev tsim muaj kab mob qab zib. Txhawm rau kom nkag siab tias ib tus neeg muaj kev pheej hmoo lossis tsis yog, koj yuav tsum faib lub duav los ntawm lub duav.

Thaum rau cov txiv neej daim duab ntau dua 0.95, thiab rau kev sib deev ncaj ncees ntau dua 0.85, ces cov neeg no muaj kev pheej hmoo.

Cov pab pawg muaj kev phom sij kuj suav nrog cov poj niam uas, thaum lub sijhawm yug tus menyuam tau nce ntau dua 17 phaus, thiab tib lub sijhawm lawv yug menyuam uas hnyav tshaj 4 phaus. Txawm hais tias lub cev hnyav rov qab los rau tom qab yug me nyuam, tom qab 10-15 xyoo kev muaj peev xwm kuaj pom ntshav qab zib tsis tau txiav txim siab.

Txawm li cas los xij, yog tias koj xav txog qhov yuav tshwm sim sai tom qab yug menyuam, mus rau hauv kev ua kis las, noj kom raug thiab muaj qhov sib npaug, tom qab ntawd feem ntau koj yuav tuaj yeem rov ua dua lub luag haujlwm ntawm cov txheej txheem metabolic thiab tiv thaiv kev loj hlob ntawm pathology.

Kev tiv thaiv mob ntshav qab zib yog qhov koob hmoov rau tag nrho lub cev. Cov txheej txheem khoom noj khoom haus kom zoo, ua kom lub cev zoo, thiab tswj lub cev lub cev yog lub hauv paus ntsiab lus uas yuav pab tiv thaiv ntau yam teeb meem ntawm cov kab mob. Cov kws tshwj xeeb yuav tham txog kev tiv thaiv ntshav qab zib hauv kev yees duab hauv tsab xov xwm no.

Qhia koj qab zib lossis xaiv tus tub los ntxhais rau cov lus pom zoo. Tshawb nrhiav. Nrhiav tsis pom. Nrhiav. Tsis pom. Pom. Nrhiav. Nrhiav tsis pom.

Yuav ua li cas tsis nco "thawj" kev mob ntshav qab zib thiab nws cov kab mob plawv?

Yam 2 ntshav qab zib mellitus feem ntau cuam tshuam los ntawm cov neeg laus dua 40 xyoo. Tus kab mob ntshav qab zib tsis tuaj yeem kis zoo li mob khaub thuas lossis mob ntsws. Cov laj thawj tseem ceeb ntawm txoj kev loj hlob yog txoj kev muaj keeb thiab kev rog. Tsis tas li ntawd, kev ntxhov siab poob siab, kev noj zaub mov tsis zoo, kab mob ntawm lub plab zom mov, kis kab mob, thiab lub hnub nyoog nrawm txhim kho kev mob ntshav qab zib. Nrog rau kev loj hlob hauv lub hnub nyoog rau txhua txhua 10 xyoo, qhov ntau ntawm cov ntshav qab zib yuav nce ntxiv 2 zaug.

Hauv cov kabmob no, tus txiav ua tiav cov tshuaj insulin, tab sis nws tsis ua haujlwm zoo (feem ntau vim yog cov ntaub so ntswg ntau heev adipose). Vim li ntawd, cov piam thaj ntau hauv cov ntshav thiab nws qib nce siab. Maj mam, cov txiav ua lub cev qhuav dej, uas ua rau cov kua dej hauv lub cev tsis txaus thiab ua rau cov ntshav qab zib ntau ntxiv - cov kab mob hyperglycemia muaj txiaj ntsig ntxiv.

Hyperglycemia - cov ntshav qab zib ntau dua li ib txwm.

Cov ntshav qab zib theem tsis:

Kev yoo mov (ua ntej noj mov) 3.3-5.5 mmol / L

2 teev tom qab noj mov, mus txog 7.8 mmol / L

- ntau dua 50% ntawm cov neeg mob tsis muaj tsos mob,

Mob ntshav qab zib mellitus

Teem sijhawm rau cov neeg mob ntshav qab zib

Ntshav qab zib phau ntawv

Cov Khoom Txwv Txwv

Thawj Cov Khoom Siv rau Cov Neeg Mob Ntshav Qab Zib

Naj npawb 3. Nitroglycerin

No. 5. Tshuaj qaug cawv

No. 11. Adrenergic thaiv cov kab mob (anaprilin, propranolol, verapamil)

Qhia Txog Tus Neeg Mob Ntshav Qab Zib: Cov Lus Qhia

Qhia Txog Cov Khoom Noj Ntshav Qab Zib

Kev noj qab haus huv

Cov yam ntxwv ntawm txoj kev ua neej ntawm tus mob ntshav qab zib

Kev Tiv Thaiv Kab Mob Ntshav Qab Zib

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