Ntshav qab zib insulin thiab zaub mov noj rau ntshav qab zib hom 2

Txog tus mob ntshav qab zib hom 2, nws yog ib qho tseem ceeb uas yuav tau nco ntsoov txog kev cai noj zaub mov thiab kev noj haus txhawm rau tswj kom muaj qab zib. Kev ua txhaum ntawm tus nqi ntawm cov nyiaj carbohydrates, kev teev tsis raug ntawm lub khob cij, ua noj ua haus nrog kev ua txhaum cov lus pom zoo, kev siv cov zaub mov txwv tsis pub tuaj yeem ua rau cov ntshav qabzib ntau, thiab ua rau muaj teeb meem txaus ntshai.

Ntawm qib dab tsi ntawm cov piam thaj ua lawv cov tshuaj insulin? Lo lus nug no txhawj xeeb cov neeg mob nyob rau hauv leej twg endocrine pathology tau lees paus.

Yuav ua rau lub siab zoo ntawm cov piam thaj thiab glycated hemoglobin khaws cia hauv qhov zoo? Thaum twg yuav tsum tau muaj kev kho mob hormone? Cov lus teb feem ntau nyob ntawm kev noj haus zoo.

Cov yam ntxwv ntawm kev noj haus rau hom ntshav qab zib hom 2 thiab nuances cuam tshuam nrog kev siv tshuaj insulin yog xav hauv tsab xov xwm.

Yam tshwm sim thiab cov tsos mob ntawm tus mob ntshav qab zib hom 2

Cov kab mob endocrine txhim kho tiv thaiv keeb kwm ntawm cov teeb meem hauv lub cev tsis txaus siab thiab qhov tsis ua hauj lwm hormonal. Hauv hom mob ntshav qab zib hom thib 2, cov txiav ua tsim cov tshuaj insulin txaus lossis lub zais ntawm cov tshuaj hormone tsawg me ntsis, tab sis cov ntaub so ntswg yog qhov tsis txaus ntseeg ntawm lub zog ntawm lub cev. Ib qhov txiaj ntsig ntawm cov txheej txheem pathological yog teeb meem nrog kev nqus ntawm cov piam thaj.

Vim tias tsis muaj lub zog, qhov sib npaug hauv lub cev thiab chav kawm ntawm ntau cov txheej txheem raug cuam tshuam.

Txhawm rau kho qhov tseeb ntawm pancreatic, koj yuav tsum tsim cov tshuaj insulin txhua lub sijhawm, yog li tsawg kawg ntawm ib feem me me ntawm cov tshuaj hormones cuam tshuam rau kev nqus ntawm cov piam thaj.

Kev thauj mus ntev dhau ntawm cov keeb kwm ntawm insulin kuj sai sai ua rau lub qog, tshwj xeeb nrog kev noj zaub mov tsis raug, kev siv lub cev ntau dhau, kev noj ntau dhau los ntawm ntsim, haus, khoom noj muaj roj, muffins, qab zib.

Qhov tseeb ua rau kev txhim kho ntawm cov kab mob endocrine pathology:

kev tshuaj ntsuam genetic predisposition
rog dhau
ua txhaum ntawm cov txheej txheem hauv metabolic,
ua haujlwm dhau, txo qis tiv thaiv,
lub neej ntxhov siab
tsis muaj so thiab pw tsaug zog,
hormonal ntshawv siab
pathological kev thiab qog ntawm lub txiav.

Cov tsos mob

qhuav qog ua kua
pheej nqhis dej
khaus tawv
tso zis ntau zaus dua li ib txwm,
qhov muag plooj
qhov txhab kho qhov txhab tsis zoo
kev hloov pauv hauv qab los noj mov thiab qhov hnyav,
poob siab los yog tsis nco qab,
paum candidiasis (nyob rau hauv cov poj niam),
txo qis libido, mob erectile kawg (hauv txiv neej),
hnov lus
nce siab.

Nyob rau theem dab tsi ntawm cov piam thaj ua lawv cov tshuaj insulin

Kev kho mob ntawm hom 2 mob ntshav qab zib mellitus yuav tsum coj mus rau hauv lub hnub nyoog thiab cov yam ntxwv ntawm tus neeg, hom kev ua haujlwm, khoom noj khoom haus, muaj lwm cov kab mob ntev, kev puas tsuaj ntawm pancreatic puas, thiab qab zib qib.

Tseem ceeb nuances:

tus kws endocrinologist uas paub txog tau piav qhia rau tus neeg mob tias ib tug yuav tsum maj mam xav tias qhov hloov mus rau cov tshuaj insulin, tsis txhob ntshai: ntau tus neeg mob ntshav qab zib tau ntsib txoj kev kho no. Qhov sib txawv tsuas yog tias ib qho tau muab tshuaj hno txhua hnub tom qab kuaj mob, thaum lwm tus xav tau kev hno 5-10 xyoo tom qab pib kho,
kev qhia ntawm cov tshuaj insulin tsis yog kev rau lub txim rau kev ua tsis zoo lossis tsis ua raws li cov lus pom zoo, tab sis ib qho kev ntsuas tseem ceeb los tswj kev ua kom zoo tshaj plaws ntawm cov txheej txheem ntawm lub cev, txo txoj kev pheej hmoo ntawm hypoglycemic coma,
kev ncua sij hawm hauv kev hloov mus rau kev txhaj tshuaj ntawm cov tshuaj hormones cia tuaj yeem ua rau nce siab nyob hauv qab zib. Tsis txhob tos yog tias tus txiav tsis mob siab rau nws lub luag haujlwm, kev noj zaub mov noj, ntsiav tshuaj ntawm cov tshuaj uas muaj suab thaj, kev ua kom lub cev tsis tso cai tswj cov txiaj ntsig zoo qab zib.

Thaum twg yuav tsim nyog txhaj tshuaj insulin? Feem ntau, cov neeg mob ntshav qab zib nrog hom 2 pathology pib kho cov tshuaj insulin tom qab lub sijhawm ntev tom qab kuaj mob. Nws yog ib qho tseem ceeb uas yuav tau txiav txim siab nyob rau theem dab tsi kws kho mob tau qhia txog ntshav qab zib.

Thaum kws kho mob txhaj tshuaj ntawm ib lub zog cia, xav txog:

qhov ntsuas ntawm glycated hemoglobin tsis pub tshaj 7-7,5%, piam thaj - ntawm 8 txog 10 mmol / l, pancreatic functions raug khaws cia. Tus neeg mob tuaj yeem tswj hwm cov ntshav qab zib kom ntev ntev nrog tshuaj noj ntawm qhov ncauj,
glycohemoglobin qhov tseem ceeb yog nce rau 8% lossis ntau dua, cov piam thaj ntau dua 10 mmol / l. Feem ntau, qhov kev hloov mus rau kev txhaj tshuaj insulin yuav xav tau ntxov dua tom qab 5 xyoos.

Insulin txoj kev kho mob ntshav qab zib hom 2 yog:

Tus neeg mob yuav tau txais:

txhaj tshuaj cov kua dej. Antihyperglycemic tshuaj yog qhov tsis muaj txiaj ntsig,
kev sib xyaw ntawm cov ntsiav tshuaj nrog cov tshuaj insulin. Tus lej ntawm cov kev txhaj tshuaj nws txawv ntawm ib mus txog ob rau peb lossis peb lossis ntau ib hnub. Dosage tseem xaiv tau ib tus zuj zus.

Tus neeg mob tau txais kev txhaj tshuaj:

sai li sai tau tom qab kuaj pom muaj hyperglycemia, kev paub tseeb ntawm kev kuaj mob,
thaum kho, nyob rau ntau theem ntawm kev kho mob, tawm tsam keeb kwm ntawm kev muaj mob ntawm endocrine pathology, yog tias noj cov ntsiav tshuaj tsis txo qab zib rau cov txiaj ntsig zoo. Ntau tus neeg mus txhaj tshuaj tom qab 7-10 xyoo.

Teem sijhawm kho cov insulin ib ntus:

nrog kev ntxhov siab hyperglycemia (kev nce ntxiv nyob rau hauv qabzib nyob rau hauv kev mob hnyav nrog intoxication, kub taub hau) tiv thaiv keeb kwm ntawm tus mob ntshav qab zib hom 2, txhaj tshuaj insulin raug rau qee lub sijhawm. Nrog ib daim ntawv tseem ceeb ntawm cov kab mob pathology, cov kws kho mob kuaj pom cov suab thaj ntawm ntau tshaj 7.8 mmol / L. Rov muaj feem ntau yog tias mob ntshav qab zib yog ua tib zoo soj ntsuam rau cov ntshav qabzib ntau,
kev hloov mus rau kev kho mob insulin ib ntus yog xav tau nyob rau hauv cov xwm txheej uas tus neeg mob tsis tuaj yeem haus tshuaj: nyob rau lub sijhawm ua ntej thiab tom qab phais mob nrog kev phais mob txoj hnyuv, nrog mob plab hnyuv.

Kev cai noj haus

Rooj ntawv 9 yog qhov kev xaiv zoo tshaj plaws rau kev tswj xyuas cov qib qab zib hauv qhov txwv tsis pub tshaj. Kev noj haus rau hom ntshav qab zib hom 2 yog nruj heev, tab sis nrog hom mob insulin-ywj siab, nws yog khoom noj khoom haus uas ua kom dhau los. Cov kev txhaj tshuaj lossis cov tshuaj insulin thiab cov tshuaj txo cov ntshav qab zib yog ib qho kev ntsuas ntxiv.

Ua tib zoo mloog! Feem ntau, cov neeg mob ntshav qab zib kawm ua kom sib luag nrog kev siv qog thaum cov txiav ua kab mob tuaj yeem tiv thaiv kev tsim tawm ntawm cov tshuaj insulin. Tsuas yog nrog theem mentsis ntawm pathology, qhov tseem ceeb nce ntxiv hauv qab zib, kev kho qog yuav tsum tau pib kho sai sai. Qhov ntau dua qhov ua kom tus neeg mob ua raws li cov cai kev noj haus, koj yuav ncua sijhawm ntev dua ntawm kev tsim cov tshuaj insulin txhua hnub.

Kev dav dav ntawm kev noj zaub mov

Nrog tus mob ntshav qab zib hom 2, nws yog ib qho tseem ceeb kom ua raws nraim cov lus qhia, ua raws li kev cai ua noj ua haus:

cais tawm ntawm cov npe khoom noj muaj piam thaj,
Txhawm rau muab cov khoom qab ntxiag rau compotes, tshuaj yej, txiv hmab txiv ntoo puree, jelly siv cov piam thaj hloov: sorbitol, xylitol, fructose, stevia. Tsuas noj - raws cov kws kho mob qhia,
chav ua noj, ua noj, ci,
hloov cov rog tsiaj thiab roj nplawm nrog roj roj. Salty nqaij sawb thiab greaves, uas ntau tus hlub, yog txwv. Cov hmoov tsis muaj roj thiab tsis muaj zaub txaus noj,
ua raws li kev noj haus: zaum ntawm lub rooj tib lub sijhawm, tsis txhob hla pluas noj tom ntej,
koj yuav tsum tau muaj tsawg kawg yog ib thiab ib nrab litres kua ib hnub,
tsis kam yws, haus luam yeeb ntau hom zaub mov, ncuav pastry, pickles thiab pickles, tshaj ntsev, cov kaus poom zaub thiab txiv hmab txiv ntoo,
tus nqi zoo ntawm lub zog ntawm kev noj txhua hnub yog los ntawm 2400 txog 2600 kilocalories,
nco ntsoov suav cov khob cij qhob cij, noj zaub mov nrog glycemic thiab insulin qis. Ntawm lub vev xaib koj tuaj yeem nrhiav rooj rau cov neeg mob ntshav qab zib, kev siv ntawm uas zam kev nce ntxiv hauv qabzib
txais cov khoom noj uas ua kom yuag qeeb (pob kws, cereals, nplej zom ua los ntawm durum nplej, oatmeal, txiv hmab txiv ntoo). Tsis kam lees tias muaj txiaj ntsig tsawg, "carbohydrates" ceev. Halva, ncuav qab zib, piam thaj, ncuav qab zib, ncuav qab zib, dumplings, jam, jam yog cov teeb meem rau cov neeg mob ntshav qab zib. Koj tsis tuaj yeem noj cov khoom qab zib, tuav, mis thiab dawb chocolate. Dub ntau ntau chocolate nrog 72% cocoa tsis tshua muaj pub, hauv cov khoom me me: GI - tsuas yog 22 chav nyob,
ntau tshaj noj cov txiv hmab txiv ntoo thiab zaub yam tsis muaj kev kho mob kub. Hauv cov zaub mov ci thiab hau, GI qhov tseem ceeb nce ntxiv, uas cuam tshuam rau qib qab zib. Piv txwv li, cov carrots nyoos: Gl - 35, hau - twb muaj 85, tshiab apricots - 20, txiv hmab txiv ntoo hauv kaus poom nrog piam thaj - 91 chav nyob,
noj qos yaj ywm hauv “cov tsoos tsho”: GI yog 65. Yog tias cov neeg mob ntshav qab zib txiav txim siab noj zaub kib lossis kib kib, tom qab ntawv qab zib nce siab ntxiv: glycemic index thaum kib nce mus txog 95 units.

Cov Khoom Uas Tso Cai

Txog ntshav qab zib, nws siv tau los siv cov khoom thiab tais diav nram qab no:

zaub kua zaub
kefir, tsev me cheese, kua mis nyeem qaub (hom tsis muaj rog, hauv kev sim),
nqaij nruab deg
cereals, tshwj tsis yog nplej thiab semolina,
nqaij qaib qe protein, yolk - 1 zaug hauv ib lub lis piam. Qhov kev xaiv zoo tshaj plaws yog cov protein omelet,
zaub rau mob ntshav qab zib: zucchini, taub dag, txiv lws suav, dib, lws cev, kua txob, txhua hom zaub qhwv. Cov zaub uas muaj glycemic siab (qos yaj ywm, hau carrots thiab beets) raug tso cai me ntsis, tsis pub ntau tshaj peb zaug hauv ib lub lis piam,
qaug zog cov kua hauv "thib ob hauv dej" (thawj thawj zaug tom qab txau cov kua nrog cov tshuaj muaj kua kom ntws) raws li cov ntses muaj roj tsawg, nqaij qaib ntxhw, nqaij qaib, nqaij nyug tuaj yeem tau ob zaug ib as thiv,
ceg - me ntsis los ntawm me ntsis, ob peb zaug hauv ib lub lis piam, qhob cij los ntawm hmoov nplej wholemeal, grain, taub dag, txhuv - tsis ntau tshaj 300 g ib hnub. Cov khoom ntim khoom qab zib, ncuav qab zib, ncuav qab zib, ncuav qab zib, ncuav qab zib, mov nplej pheej yig, khaub noom gingerbread, dumplings - kom tsis txhob cais tawm. Dawb qhob cij thiab loaf txwv tsis pub dhau - lub glycemic Performance index yog 100 units,
cov txiv hmab txiv ntoo thiab cov txiv hmab txiv ntoo rau hom 2 mob ntshav qab zib mellitus nrog cov piam thaj hauv qab, GI tsawg: txiv ntoo qab zib, plums, currants, txiv tsawb ntsuab, pears, aronia, txiv hmab txiv ntoo. Nquag muab cov txiv tsawb. Cov kua txiv tshiab uas tsis tau nyem yog txwv tsis pub muaj: muaj cov dhia nrawm hauv qabzib,
tsis muaj qab zib cov khoom qab zib. Siv txiv hmab txiv ntoo thiab Berry jelly nrog fructose, compotes nrog sweeteners, jelly, marmalade tsis muaj qab zib, zaub xam lav ntawm cov txiv hmab txiv ntoo thiab txiv ntoo tshiab,
nyuaj cheese (me me los ntawm me me, ob rau peb zaug ib lub lim tiam),
cov muaj rog ntses, nqaij qaib ntxhw nqaij, nqaij qaib, nqaij qaib, nqaij nyuj, nqaij nyuj,
hiav txwv kale,
cov roj zaub - me ntsis los ntawm me ntsis, nws txwv tsis pub ntxiv cov ntses thiab nqaij rau zaub nyoos thiab npaj thawj cov chav kawm,
nceb - me ntsis los ntawm me me, hau los yog ci,
txiv ntoo (hauv qhov ntau me me), peb mus rau plaub zaug hauv ib asthiv,
zaub ntsuab: dill, cilantro, caij nplooj ntoos hlav dos, zaub txhwb qaib, zaub xas lav,
cov dej qab zib hauv kas fes, tshuaj yej ntsuab, kas fes tsis muaj zog nrog mis nyuj (yuav tsum tsis muaj rog), dej ntxhia (sov me ntsis, tsis muaj roj).

Txwv Lub Npe

Koj tsis tuaj yeem noj:

chocolate kab laum
granulated qab zib thiab ua kom zoo qab zib
cawv
salted cheeses
cov khoom noj muaj roj,
semolina thiab nplej porridge,
khoom noj qab zib nrog qab zib
rog npuas, os, os,
tawm tsam,
cov kaus poom zaub mov
cov hnyuv ntxwm
tsiaj rog
muab nqaij noj
mayonnaises, npaj cov kua ntsw thiab ketchups,
cov khoom noj ceev
ncuav ncuav, tshwj xeeb tshaj yog kib ncuav,
ncuav thiab ncuav qab zib,
chocolate-coated curd qab zib, curd,
txiv hmab txiv ntoo nrog GI siab, suav nrog cov txiv hmab txiv ntoo qhuav: txiv hmab, hnub tim, txiv mab txiv ntoo,
dej qab zib zoo
halva, jam, pastille, jam, marmalade, lwm yam khoom qab zib nrog qab zib, xim cuav, tsw.

Kev tiv thaiv ntawm cov piam thaj hauv ntshav qab zib yuav ua tiav yog tias tus neeg mob nruj me ntsis rau kev noj zaub mov noj, ua lub cev kev kawm, tsis noj ntau dhau, noj tshuaj, sim tsis txhob ua haujlwm dhau, thiab tsis tshua ntshai. Tsis txhob ntshai hloov mus rau kev kho qee yam lossis tag nrho cov tshuaj insulin: kev tswj hwm raws sij hawm ntawm kev txhaj tshuaj tiv thaiv kab mob pancreatic txwv tsis pub muaj kev cuam tshuam loj thaum muaj cov ntshav qabzib thiab glycated hemoglobin. Nws yog ib qho tseem ceeb uas cov neeg nyob ze pab txhawb rau tus mob ntshav qab zib: tus yam ntxwv zoo rau kev kho tshuaj insulin yog qhov tseem ceeb hauv kev kho.

Los ntawm cov yeeb yaj kiab hauv qab no, koj tuaj yeem kawm paub ntau ntxiv txog cov cai kev noj zaub mov zoo rau tus kabmob, nrog rau kev qhia ua zaub mov noj rau cov ntshav qab zib ntawm yam thib ob:

Hom 2 mob ntshav qab zib mellitus - kev noj haus thiab kev kho mob nrog tshuaj ntsuab pej xeem uas koj tsis tuaj yeem noj thiab ib qho zaub mov kwv yees

Txhawm rau tiv thaiv cov kab mob, tag nrho cov kab ke ntawm tib neeg lub cev yuav tsum ua haujlwm kom raug. Nyob rau qee qhov xwm txheej, kev ua tsis tiav tshwm sim uas ua rau lub cev tsis zoo. Hom 2 mob ntshav qab zib mellitus yog hais txog cov kab mob ntawm cov kab mob endocrine, uas ua rau cov ntshav qabzib nce ntxiv. Qhov no yog vim qhov ua kom cov nqaij tsis haum.

Ntshav Qab Zib Hom 2 - nws yog dab tsi

Qhov txiav ua cov kua dej insulin thiab nyob rau hauv cov ntaub ntawv ntawm qhov kev ua kom paub ntawm tus kabmob 1, nws qhov txo qis kiag li tshwm sim (nws tsis tsim txhua).

Thaum tus mob ntshav qab zib hom 2 huam vam meej, tus txheeb ze uas tsis muaj cov tshuaj hormones yog tsim los. Ua ntej, ntau npaum li cas ntawm cov tshuaj insulin tuaj yeem raug nce lossis qub, thiab tom qab ntawd txo qis.

Qhov ua tau ntawm lub hlwb mus rau cov piam thaj txo qis, kev nqus tsis tshwm sim vim tag nrho vim cov ntau ntau nyob hauv lub ntshav.

Cov kua nplaum ntau dhau tsis raug cais tawm ntawm lub cev thiab cov qauv protein (cov leeg nqaij, cov kab hauv cov hlab ntsha) crystallize, uas txo lawv txoj haujlwm.

Tus txheej txheem no hu ua glycation; nws dhau los ua lub hauv paus tseem ceeb ntawm kev txhim kho cov teeb meem txuas ntxiv hauv ntshav qab zib hom 2.

Ntau zaus pom nyob rau hauv cov ntaub so ntswg uas tsis zoo rhiab rau insulin nrog kev mob caj ces, rog.

Tom qab ntawd muaj ib qho kev txo qis kev ua haujlwm zoo ntawm kev ua tiav ntawm tus txiav. Nyob rau theem no, ib qho tshuaj insulin-subtype loj hlob tuaj, uas nws yuav ua tau kom txo qis ntshav qabzib tsuas yog los ntawm txhaj cov tshuaj insulin nrog lub koob txhaj tshuaj raws li cov tshuaj. Muaj cov kev pheej hmoo txaus ntshai no tuaj yeem ua rau txoj kev loj hlob ntawm tus kabmob:

Passive lub neej.
Rog hom visceral.
Siab siab.
Qhov ntau ntawm cov nplua nuj carbohydrates hauv cov zaub mov (khoom ci, chocolate, khoom qab zib, waffles), cov ntsiab lus tsawg ntawm cov khoom noj cog (cereals, zaub, txiv hmab txiv ntoo).
Haiv Neeg.
Kev mob caj ces (qhov muaj ntshav qab zib hom 2 hauv cov txheeb ze).

Ib ntawm cov kauj ruam kev kho mob rau cov ntshav qab zib yog kev xaiv noj zaub mov zoo. Khoom noj muaj qhov cuam tshuam zoo ntawm cov piam thaj hauv tib neeg lub cev.

Khoom noj khoom haus rau ntshav qab zib tsis cuam tshuam nrog kev tshaib plab, koj yuav tsum tsum tsis txhob noj hmoov, qab zib thiab noj zaub ntxiv, txiv hmab txiv ntoo, uas muaj cov vitamins kom tsim nyog.

Txhua tus mob ntshav qab zib yuav tsum ua raws li txoj cai hauv qab no hais txog khoom noj khoom haus, khoom noj:

nyob rau hauv lub xub ntiag ntawm tshaj qhov hnyav, nws yuav tsum tau zoo li qub,
ib hnub yuav tsum tau 6 zaub mov noj sib npaug,
txo cov cawv kom tsawg
txo cov rog ua kom tsawg,
ib hnub, tag nrho cov ntsiab lus hauv calorie yuav tsum tsis pub ntau tshaj 1800 kcal,
ntsev txo,
noj zaub mov ntau nrog cov kab kawm, vitamins.

Yog tias koj yuav tsum noj ntshav qabzib ntau dhau hauv cov ntshav, koj yuav tsum nco ntsoov txog yam koj tuaj yeem noj nrog cov ntshav qab zib. Koj yuav tsum tawm tsam tus kab mob tag nrho koj lub neej, vim qhov no, khoom noj khoom haus rau ntshav qab zib hom 2 ua koj cov zaub mov tseem ceeb. Txhua lub lauj kaub tais diav yog qhov zoo tshaj plaws stewed, hau, rhaub lossis noj tshiab. Hauv qab no yog cov npe khoom noj uas yuav suav nrog hauv koj cov rooj noj mov txhua hnub:

cov nqaij ntawm qaib cov txwv, nqaij qaib, luav, nqaij nyug (txhua hom roj tsawg),
berries, persimmons, kiwi thiab lwm yam txiv hmab txiv ntoo (koj tsis tuaj yeem tsuas yog txiv tsawb, txiv hmab) nyob rau hauv sim,
cov khoom siv mis ua uas muaj cov roj ntsha ntawm 0-1%,
muaj roj ntses tsawg
txhua yam kev ua zaub ua mov, cereals, nplej zom tau noj tau hauv kev sim,
tsis muaj rog tsev cheese
xua, tseem mov,
cov zaub tshiab, cov zaub ntsuab tsaus yog qhov tshwj xeeb tshaj yog siv tau.

Kawm ntxiv txog yam koj tuaj yeem noj nrog cov ntshav qab zib.

Dab tsi koj tsis tuaj yeem noj nrog ntshav qab zib

Thaum koj ua daim ntawv piv txwv rau zaub mov noj thaum kho koj tus mob, koj yuav tsum cia siab rau ntau qhov uas koj tsis tuaj yeem noj nrog cov ntshav qab zib.

Yog tias cov ntawv teev npe tsis muaj cov khoom xav tau, ces nws tuaj yeem noj tau rau hauv kev sim.

Raws li txoj cai, noj zaub mov noj yuav tsum muaj cov piam thaj tsawg kawg lossis cov khoom ua haujlwm uas thauj cov nplooj siab, ob lub raum, cov txiav. Hauv cov ntawv qhia rau hom mob ntshav qab zib hom 2, koj tsis tuaj yeem suav nrog:

kib, ntsim, ntsim, ntsim, ntsim nqaij,
nplej zom mos, mov, semolina,
greasy, muaj zog si,
rog ua roj, qab zib rau qab zib, tshiav cheese, cheeses, qab rog Cov cheese,
qab zib buns thiab lwm yam khoom noj uas muaj ntau yooj yim zom tau cov carbohydrates,
butter, margarine, mayonnaise, nqaij, ua noj cov rog,
hnyuv ntxwm, hnyuv ntxwm, nqaij ntses, nqaij hnyuv ntxwm, roj ntau hom ntses, nqaij qaib thiab nqaij.

Yam 2 mob ntshav qab zib

Tus neeg mob yuav tsum tau soj ntsuam cov piam thaj hauv ntshav mus tas li, kev kho mob txhais tau tias cov khoom noj rau cov ntshav qab zib hom 2 yuav raug hwm.

Qhov kev txwv tseem ceeb tshaj plaws poob rau txhua yam qab zib, ci thiab kib, vim tias lawv hnyav thauj cov txiav, mob siab.

Nrog rau kev kho kom zoo thiab khoom noj khoom haus, ib tus neeg yuav tsum tsis txhob muaj teeb meem ntawm kev cuam tshuam ntawm tus kab mob. Kev noj haus rau hom ntshav qab zib hom 2 tej zaum yuav zoo li no:

Pluas tshais: tag nrho cov qhob cij, tshuaj yej, qe, oatmeal.
Thib ob noj tshais: txiv ntoo, ntuj yogurt (tsis muaj rog).
Noj su: zaub xam lav, nqaij qaib stew, zaub kua zaub, compote, qhob cij.
Khoom txom ncauj: tshuaj yej, roj tsawg tsev cheese.
Noj hmo: zaub xam lav, ci nqaij ci rau hake hauv qab zib, cocoa, ncuav.
Ua ntej yuav mus pw: ci kua, yogurt ntuj.

Kawm ntxiv txog kev noj zaub mov zoo rau cov mob ntshav qab zib yog dab tsi.

Hom 2 kho mob ntshav qab zib - tshuaj

Ntxiv nrog rau kev kho cov khoom noj tau zoo thiab kev noj haus, tus neeg mob tau muab tshuaj tshwj xeeb rau hom ntshav qab zib hom 2.

Lawv qhov kev txiav txim yog txhawm rau txo cov piam thaj hauv cov ntshav, txhawb kev tsim cov tshuaj insulin los ntawm cov cell hauv cov khoom xav tau.

Kev kho mob ntawm hom 2 mob ntshav qab zib mellitus yog rau txhua tus neeg mob, cov txheej txheem yuav tsum tau xaiv, tus kws kho mob yuav tsum tau xaiv. Raws li txoj cai, cov tshuaj no muaj nyob rau hauv chav kawm ntawm kev kho mob.

Glucobai, Miglitol. Cov tshuaj kho yog tsom rau inhibition, nqus ntawm oligo, polysaccharides. Vim qhov no, cov kev txuam nrog cov piam thaj hauv ntshav tau qeeb qeeb.
Metformin. Hais txog cov tshuaj ntawm thawj qhov kev xaiv rau kev kho ntshav qab zib hauv kev kho mob ntshav qab zib hom 2, hyperglycemia, rog. Nws pab nrog kev txav, assimilation los ntawm lub cev suab thaj hauv cov ntaub so ntswg ntawm cov leeg, tsis pub lub siab ua haujlwm rau nws.
Thiazolidinone derivatives. Lawv nce kev ua haujlwm ntawm insulin receptors, qhov no pab txo qis dua ntawm cov piam thaj, thiab lipid profile normalizes.
Cov tshuaj ntawm sulfonylurea pab pawg 2 tiam. Lawv muaj lub zog txhawb rau ntawm tus txiav ua tiav cov kua dej, txo qhov tsis kam ntawm cov ntaub so ntswg rau lub cev.
Starlix, Novonorm. Qhov kev txiav txim yog tsom rau qhov txiav, lub zog tsim tawm ntawm cov tshuaj insulin.

Kev kho mob hom 2 tshuaj kho tus mob ntshav qab zib

Thaum ib tug neeg dhau tus mob, nws sim siv txhua txoj hauv kev kho. Hom 2 mob ntshav qab zib mellitus - kev noj haus thiab kev kho mob tuaj yeem nqa tau ua ke nrog kev siv cov zaub mov noj hauv tsev.

Nws yog ib qho tsim nyog yuav tsum sab laj tus kws kho mob ua ntej noj nws, vim hais tias muaj qee kis nws yuav muaj kev tsis sib haum nrog kev noj haus lossis tshuaj noj.

Xws li tshuaj ntsuab rau hom ntshav qab zib hom 2 feem ntau siv.

Daim ntawv qhia 1. Txhawm rau tsim kom muaj kev ntxig ntawm cov tawv ntoo aspen, koj xav tau 1 tablespoon tablespoon ntawm ntoo shavings. Ntxiv nws rau 500 ml dej thiab boil. Cia cov tshuaj rau infuse rau 2 teev. Ua raws li kev noj haus rau hom ntshav qab zib hom 2, noj 3 zaug ib hnub ua ntej noj mov.
Daim ntawv qhia 2. Rau kev ua noj koj xav tau 1 tbsp. l cinnamon, uas koj xav tau hliv ib khob ntawm cov dej npau npau. Koj yuav tsum tau infuse qhov sib tov rau ib nrab ib teev, tom qab ntawd muab 2 diav ntawm zib ntab. Muab cov khoom tso rau hauv tub yees kom txog thaum sawv ntxov. Haus ib nrab thaum sawv ntxov, thib ob - ua ntej yuav mus pw.
Rau cov txiaj ntsig ntawm cov khoom noj rau cov ntshav qab zib hom 2, nws yog ib qho tsim nyog yuav tsum ntxuav lub cev ntawm co toxins, txhim kho metabolism. St. John lub wort tincture yuav pab, noj 3 tbsp. l tshuaj ntsuab, ncuav ½ liv ntawm cov dej npau, cia nws brew rau 2 teev. Siv ib feem peb ntawm ib khob ua ntej noj mov 3 zaug hauv ib hnub.

Ntshav qab zib Hom 2 - kev kho mob thiab kev noj haus

Type 2 diabetes mellitus yog ib yam kab mob endocrine uas muaj ntshav txhaws nyob rau hauv tas mus li.

Tus kab mob yog tus cwj pwm los ntawm kev ua txhaum ntawm kev muaj peev xwm ntawm cov hlwb thiab cov ntaub so ntswg rau insulin, uas yog tsim los ntawm cov hlwb pancreatic. Nov yog hom mob ntshav qab zib feem ntau.

Vim li cas rau qhov tsos

Vim li cas tus mob ntshav qab zib hom 2 tshwm sim, thiab nws yog dabtsi? Tus kab mob kis tau nws tus kheej nrog insulin tsis kam (tsis muaj lub cev tawm tsam insulin). Hauv cov neeg muaj mob, kev tsim cov tshuaj insulin txuas ntxiv, tab sis nws tsis cuam tshuam nrog lub cev lub cev thiab tsis nrawm rau kev nqus ntawm cov piam thaj los ntawm cov ntshav.

Cov kws kho mob tsis tau txiav txim siab cov ncauj lus kom ntxaws ntawm tus kab mob, tab sis raws li kev tshawb fawb tam sim no, ntshav qab zib hom 2 tuaj yeem tshwm sim nrog kev sib txawv ntawm cov ntim lossis cov teeb meem txais tshuaj insulin.

Qhov txaus ntshai rau cov ntshav qab zib hom 2 yog:

Cov khoom noj tsis zoo: muaj cov ua kom zoo ntawm cov carbohydrates hauv cov zaub mov (khoom qab zib, chocolate, khoom qab zib, waffles, ncuav pastries, thiab lwm yam) thiab cov ntsiab lus qis heev ntawm cov khoom noj tshiab cog (zaub, txiv hmab txiv ntoo, zaub mov).
Rog dhau hwv, tshwj xeeb tshaj yog visceral yam.
Muaj cov ntshav qab zib hauv ib lossis ob tus txheeb ze ze.
Sedentary lub neej.
Siab siab.
Haiv Neeg.

Lub hauv paus tseem ceeb cuam tshuam cov ntaub so ntswg tiv thaiv cov tshuaj insulin suav nrog cov txiaj ntsig ntawm kev loj hlob cov tshuaj hormones thaum lub sijhawm tiav nkauj tiav nraug, haiv neeg, tub los ntxhais (ib tug ntau dua ntawm kev muaj mob rau cov poj niam), thiab kev rog.

Ua li cas rau cov ntshav qab zib?

Tom qab noj mov, ntshav qab zib nce siab, thiab tus txiav tsis tuaj yeem tsim cov insulin, uas tshwm sim tiv thaiv keeb kwm ntawm cov piam thaj siab.

Yog li ntawd, qhov kev hloov pauv ntawm cov cell membrane lub luag haujlwm rau kev lees paub ntawm cov tshuaj hormones poob qis. Tib lub sijhawm, txawm tias cov tshuaj hormones nkag mus rau hauv lub cev, qhov tshwm sim ntuj tsis tshwm sim. Tus mob no yog hu ua insulin tsis kam thaum lub cell muaj peev xwm tiv thaiv cov tshuaj insulin.

Cov tsos mob ntawm Ntshav Qab Zib Hom 2

Feem ntau, hom 2 mob ntshav qab zib mellitus tsis muaj cov tsos mob hais tawm thiab txoj kev kuaj mob tau tsim muaj nrog txoj kev tshawb nrhiav kev npaj rau lub plab khoob.

Feem ntau, kev txhim kho ntawm cov ntshav qab zib hom 2 pib rau cov neeg tom qab 40 xyoo, hauv cov neeg rog dhau, ntshav siab thiab lwm yam kev tshwm sim ntawm cov metabolic syndromes hauv lub cev.

Cov tsos mob tshwj xeeb yog li hauv qab no:

nqhis dej thiab lub qhov ncauj qhuav
polyuria - tso zis ntau dhau,
khaus tawv
dav dav thiab cov leeg tsis muaj zog,
rog dhau
qhov txhab kho qhov txhab tsis zoo

Tus neeg mob yuav tsis xav tias nws muaj mob tau ntev.

Nws muaj qhov ncauj qhuav me ntsis, nqhis dej, khaus, qee zaum tus kab mob tuaj yeem ua rau nws tus kheej ua paug rau ntawm daim tawv nqaij thiab cov qog ua paug, tawm ntsej muag, mob pos hniav, ua kom hniav, thiab tsis pom kev.

Qhov no tau piav qhia los ntawm qhov tseeb tias cov piam thaj uas tsis nkag mus rau hauv cov hlwb nkag mus rau cov phab ntsa ntawm cov hlab ntshav lossis hla ntawm qhov hws ntawm daim tawv nqaij. Thiab ntawm cov kab mob suab thaj thiab fungi muab ntau txig.

Dab tsi yog qhov txaus ntshai?

Qhov phom sij tseem ceeb ntawm cov ntshav qab zib hom 2 yog qhov tsis txaus lipid metabolism, uas ua rau lub neej puas ua txhaum cai ntawm cov metabolism hauv qabzib. Nyob rau hauv 80% ntawm cov neeg mob, tawm tsam keeb kwm ntawm hom 2 mob ntshav qab zib, mob plawv thiab lwm yam kab mob cuam tshuam nrog txhaws ntawm lumen ntawm cov hlab ntsha los ntawm atherosclerotic plaques tsim.

Tsis tas li ntawd, hom 2 mob ntshav qab zib mellitus nyob rau hauv cov ntawv loj ua rau kev loj hlob ntawm cov mob raum, txo qhov muag pom, thiab lub ntsej muag tsis zoo rau lub cev muaj peev xwm, uas txo tau lub neej zoo.

Ntshav qab zib Hom 2 tuaj yeem tshwm sim nrog ntau qhov kev xaiv:

Qhov thib ib yog txhawm rau txhim kho tus neeg mob lub neej los ntawm kev hloov pauv cov ntsiab lus ntawm khoom noj khoom haus, lossis los ntawm kev siv qhov ntau kawg ib zaug ntawm cov tshuaj muaj suab thaj txo ib hnub,
Qhov thib ob - kev txhim kho tshwm sim thaum siv ob lossis peb tsiav tshuaj ntawm cov ntshav qab zib cov tshuaj ib hnub,
Qhov thib peb - ntxiv rau txo cov ntshav qab zib cov tshuaj, koj yuav tsum yog lub caj dab qhia txog insulin.

Yog hais tias tus neeg mob cov ntshav qab zib hauv lub siab nws siab dua li ib txwm, tab sis tsis muaj kev cuam tshuam rau cov teeb meem, ces tus mob no yog suav tias yog nyiaj them rov qab, uas yog, lub cev tseem tuaj yeem tiv thaiv kev cuam tshuam ntawm cov metabolism.

Kev kuaj mob

Hauv cov neeg muaj kev noj qab haus huv, cov piam thaj ib txwm li ntawm 3.5-5.5 mmol / L. 2 teev tom qab noj mov, nws muaj peev xwm nce mus txog 7-7.8 mmol / L.

Cov kev tshawb fawb hauv qab no yog ua los kuaj ntshav qab zib:

Kev kuaj ntshav rau cov piam thaj: ntawm lub plab khoob txiav txim seb cov piam thaj hauv cov ntshav capillary (ntshav los ntawm tus ntiv tes).
Kev txiav txim siab ntawm glycosylated hemoglobin: nws cov nyiaj tau nce ntau hauv cov neeg mob ntshav qab zib mellitus.
Kev ntsuam xyuas rau cov ntshav qabzib kam rau ua: rau ntawm lub plab khoob yuav siv li 75 g ntawm cov piam thaj hauv 1-1.5 khob dej, tom qab ntawd txiav txim siab qhov concentration ntawm cov piam thaj hauv cov ntshav tom qab 0.5, 2 teev.
Urinalysis rau cov piam thaj thiab ketone lub cev: kuaj pom ntawm ketone lub cev thiab cov piam thaj ua pov thawj rau kev kuaj ntshav qab zib.

Mob ntshav qab zib Hom 2

Thaum kuaj pom tus kab mob ntshav qab zib hom 2, txoj kev kho pib nrog kev noj haus thiab ua kom ib ce muaj zog. Hauv cov theem pib ntawm ntshav qab zib, txawm tias poob ceeb thawj me me yuav pab ua kom lub cev ntawm cov plhaws cov metabolism thiab txo qis cov suab thaj nyob hauv lub siab. Rau kev kho ntawm theem tom qab, ntau yam tshuaj siv.

Kev noj zaub mov hypocaloric yog qhov tsim nyog rau txhua tus neeg mob uas muaj lub cev nyhav dhau los (BMI 25-29 kg / m2) lossis rog dhau (BMI> 30 kg / m2).

Cov tshuaj uas tsis muaj piam thaj yog siv los ua kom lub hlwb tsim cov tshuaj insulin ntxiv, thiab ua tiav nws cov ntshav ua kom tsim nyog. Kev xaiv cov tshuaj yog nqa tawm nruj los ntawm tus kws kho mob.

Cov tshuaj tiv thaiv kev phom sij tshaj plaws:

Metformin yog qhov tshuaj tiv thaiv kab mob ntshav siab thib ib rau cov neeg mob ntshav qab zib hom 2, rog thiab yoo mov hyperglycemia. Cov cuab yeej no txhawb nqa qhov txav thiab nqus ntawm cov piam thaj hauv cov leeg nqaij thiab tsis tso tawm suab thaj los ntawm lub siab.
Miglitol, Glucobay. Cov tshuaj no inhibit qhov nqus ntawm polysaccharides thiab oligo. Raws li qhov tshwm sim, qhov nce ntawm cov piam thaj hauv ntshav cov ntshav yuav ua rau qeeb qeeb.
2nd tiam sulfonylurea (CM) npaj (chlorpropamide, tolbutamide, glimepiride, glibenclamide, thiab lwm yam) txhawb kev zais ntawm cov tshuaj insulin hauv cov txiav thiab txo qhov tsis kam ntawm peripheral cov ntaub so ntswg (nplooj siab, cov leeg nqaij, adipose nqaij) rau cov tshuaj hormones.
Thiazolidinone derivatives (rosiglitazone, troglitazone) nce qhov kev ua haujlwm ntawm insulin receptors thiab yog li txo cov ntshav qabzib, ua lub cev lipid profile.
Novonorm, Starlix. Cuam tshuam cov txiav ua ntej los txhawb kev tsim cov tshuaj insulin.

Kev kho tshuaj pib nrog monotherapy (noj 1 tshuaj), thiab tom qab ntawd nws tau los ua ke, uas yog, suav nrog kev coj ua ib txhij ntawm 2 lossis ntau dua cov tshuaj muaj suab thaj. Yog tias cov tshuaj hais saum toj no poob lawv qhov kev ua tau zoo, ces koj yuav tsum hloov mus rau kev siv cov khoom insulin.

Ua raws li kev cai yooj yim

Cov cai tseem ceeb uas cov neeg mob ntshav qab zib yuav tsum siv:

lo rau txoj kev noj qab haus huv
tawm dag zog tsis tu ncua
noj tshuaj
tshuaj xyuas ntshav qab zib

Txuas ntxiv, kom tshem tawm cov phaus ntxiv normalizes cov xwm txheej kev noj qab haus huv ntawm cov neeg muaj ntshav qab zib hom 2:

ntshav qab zib cov ntshav nce mus txog li ib txwm
ntshav siab normalizes
roj txhim kho
txo ko taw load
tus neeg pom tau tias lub teeb nyob rau hauv lub cev.

Koj yuav tsum ntsuas koj cov ntshav qab zib koj tus kheej tsis tu ncua. Thaum paub txog qib ntshav qab zib, txoj hauv kev yuav kho ntshav qab zib tuaj yeem hloov kho yog tias cov piam thaj hauv ntshav tsis zoo li qub.

Cov cai thiab cov hauv paus ntsiab lus ntawm kev tsim cov ntawv qhia zaub mov rau cov neeg mob ntshav qab zib

Mob ntshav qab zib thiab zaub mov noj haus

Ntawm cov ntshav qab zib mellitus, qhov kev cuam tshuam ntawm metabolic tshwm sim, vim lub cev ua kom lub cev tsis muaj cov piam thaj hauv lub cev.

Hom 1 mob ntshav qab zib mellitus tshwm sim vim kev tuag ntawm pancreatic beta cells thiab insulin deficiency; txoj kev kho mob yog kev hloov tshuaj insulin. Khoom noj khoom haus nyob rau hauv cov ntaub ntawv no ua lub luag haujlwm theem qis thiab pabcuam hauv cov xwm txheej, ua ke nrog kev siv cov tshuaj txo cov ntshav qab zib thiab cov tshuaj insulin.

Tab sis cov ntawv qhia rau cov ntshav qab zib hom 2 yog qhov tseem ceeb heev. Hom ntshav qab zib no tshwm sim yog qhov tsis zoo lub zog ntawm kev rog, thiab kev noj haus yog qhov kev kho mob tseem ceeb.

Txhawm rau kom yooj yim los tsim cov ntawv qhia zaub mov rau cov neeg mob ntshav qab zib, cov kws kho mob tau qhia lub tswv yim ntawm chav ua khob cij, nws muaj txog 14 gram ntawm cov carbohydrates zom, tsis hais txog hom thiab ntau npaum li cas ntawm cov khoom, nws nce cov ntshav qab zib kom qis los ntawm 2.8 mmol / l thiab yuav tsum tau rau kev siv los ntawm lub cev ntawm 2 pawg ntawm insulin.

Rau cov neeg mob uas muaj cov tshuaj insulin, nws yog ib qho tseem ceeb heev kom soj ntsuam kev noj cov zaub mov txhua hnub uas cuam tshuam los ntawm cov tshuaj insulin. Txwv tsis pub, qhov nce lossis txo qis hauv cov ntshav qab zib yuav tshwm sim. Daim ntawv qhia zaub mov noj qab zib rau cov ntshav qab zib yuav tsum suav 18-25 khob cij, muab faib ua 6 pluas noj, feem ntau ntawm cov zaub mov carbohydrate muaj nyob rau thawj ib nrab ntawm ib hnub.