Cov zaub mov dab tsi txo cov ntshav qab zib

10 feeb Qhia los ntawm Lyubov Dobretsova 1233

Hyperglycemia - ntshav qabzib ntshav siab - yog cov cim tseem ceeb ntawm kev saib xyuas ntshav qab zib. Pathology yog tus cwj pwm txawv hauv kev tsis tuaj yeem cuam tshuam ntawm cov khoom siv hauv lub cev thiab qhov ua haujlwm hauv lub cev tshuaj hormonal.

Txhawm rau txo cov ntshav qab zib, ntshav qab zib tau raug muab tshuaj kho (insulin txhaj rau hom 1 thiab kab mob ntshav qab zib nyob hauv qhov thib ob), nrog rau kev kho lub neej.

Txhawm rau kom lub koom haum tsim nyog ntawm cov khoom noj muaj ntshav qab zib, koj yuav tsum paub tias cov zaub mov twg yog cov ua kom cov ntshav qab zib tsawg dua thiab cov khoom noj twg tuaj yeem ua rau muaj kev kub ntxhov. Ib txoj hauv kev xaiv rau cov zaub mov yuav tso cai rau cov neeg mob ntshav qab zib los txhim kho lub neej zoo thiab ua kom qeeb ntawm kev vascular cuam tshuam nrog ntshav qab zib.

Lub hauv paus ntsiab lus ntawm kev teeb tsa ntawm lub pob tawb muag khoom noj

Ntawm cov ntshav qab zib, lub ntsiab tseem ceeb rau kev xaiv cov zaub mov yog glycemic index (GI lossis GI). Cov nqi no, tsim los ntawm cov kws kho mob tshwj xeeb, qhia sai npaum li cas cov txheej txheem ntawm kev faib cov khoom, tso tawm thiab tsim cov kua nplaum, thiab xav txog tus nqi ntawm nws qhov nqus (resorption) hauv cov ntshav. Ua tsaug rau lub rooj tsim tshwj xeeb, tus neeg mob ntshav qab zib yuav yooj yim txiav txim siab tias qhov ua tau thiab yam yuav tsum tau muab pov tseg.

Cov khoom uas tso cai rau cov neeg mob ntshav qab zib tau GI - los ntawm 30 txog 70 units, cov khoom txwv tsis pub - los ntawm 70 ntsuas thiab sab saud. Qeb ib nrab yog cov khoom noj uas siv tau nrog qhov nyiaj tsawg nrog kev them nyiaj ruaj khov rau ntshav qab zib. Cov zaub mov GI siab yog nce siab hauv cov carbohydrates yooj yim. Lawv nce ntshav qab zib thiab raug rho tawm los ntawm lub laub muag khoom noj.

Tus mob ntshav qab zib tsis noj:

• cov khoom qab zib, khoom qab zib, mis nyuj khov, chocolate,
• butter ci, mov ci dawb, cov khoom lag luam los ntawm shortbread thiab puff pastry,
• ntim cov kua txiv, 3 hauv 1 kas fes hauv kas fes, cov dej ntim hauv hwj cawv, dej qab zib,
• steamed mov, nplej zom, mashed qos yaj ywm,
• vas nthiv zaub mov (hamburgers, kub dev, shawarma, kib kib thiab lwm yam),
• cov txiv hmab txiv ntoo hauv cov kaus poom stewed, jams, confiture, jam,
• tej daim, flavored khoom noj txom ncauj, granola thiab paj kws.

Qhov qeb nruab nrab (GI los ntawm 30 txog 70 units) suav nrog cov zaub mov uas raug tso cai rau noj tsawg tsawg, suav nrog qee tus yam ntxwv ntawm tus kabmob.

Thaum qhia cov zaub mov los ntawm qeb nruab nrab glycemic rau hauv kev noj haus, glycemia yuav tsum tau soj ntsuam tas li. Nws yog txwv tsis pub siv cov khoom tsawg:

• piam thaj ntau
• nyob rau theem decompensated mob ntshav qab zib,
• nrog glycemia tsis khov.

Cov khoom noj uas ua hauj lwm zoo tsis nce ntshav qab zib muaj glycemic index qis. Raws li kev noj haus kho mob "Daim Ntawv 9.", Cov zaub mov no qhia txog tag nrho cov zaub mov muaj ntshav qab zib. Khoom noj khoom haus tsim los ntawm cov khoom lag luam nrog qis glycemic kev ua si pub koj:

• normalize ntshav qabzib
• tshem tawm hypercholesterolemia,
• Txo cov koob tshuaj txo qis cov ntsiav tshuaj (lossis insulin),
• ruaj khov ntshav (ntshav),
• ntxiv dag zog rau kev tiv thaiv
• txo qhov txaus ntshai ntawm kev tawm tsam hyperglycemic.

Thaum sau cov ntawv qhia zaub mov, ntxiv rau GI, nws yog ib qho tsim nyog yuav tsum coj mus rau hauv cov lus qhia txog calories ntawm txhua lub tais thiab cov khoom lag luam. Nrog rau kev rog nrog cov neeg mob ntshav qab zib hom 2, koj tsis tuaj yeem nqa nrog cov zaub mov muaj calorie ntau. Lub Cheebtsam sib xyaw ntawm cov tais diav yuav tsum raug soj ntsuam los ntawm qhov sib piv ntawm cov ntsiab lus ntawm calorie thiab glycemic. Txhua hnub calorific tus nqi yuav tsum ua raws li cov cai ntawm 2200-2500 kcal.

Tsis muaj cov piam thaj txo cov khoom lag luam nrawm li tshuaj. Qee cov dej qab zib muaj pes tsawg GI (dej, tshuaj yej ntsuab), tab sis lawv tsis txo qis thawj cov ntshav qab zib hauv cov ntshav, tab sis tsuas yog tsis nce ntxiv. Ib qho khoom noj twg uas nkag mus rau hauv lub cev tau tawg thiab ua tiav, thaum lub sijhawm cov kua nplaum nyob hauv lub cev. Tus nqi ntawm nws qhov kev nkag mus rau hauv cov ntshav yog tswj hwm los ntawm cov khoom xyaw ua noj.

Cov carbohydrates yooj yim yog nqus tau tam sim ntawd, uas ua rau cov ntshav qab zib nce siab. Kev zom cov carbohydrates thiab cov protein ua rau lub zog xav tau ntau lub zog, yog li cov ntshav qab zib nce siab qeeb thiab nyob hauv qhov txwv ua tau. Lub cev kev noj qab haus huv zoo uas ua rau qis thiab tswj tau glycemia yog raws li:

• noj cov zaub mov kom tsim nyog,
• tsis muaj qhov "tawg" hauv txoj kev noj haus,
• Ua kom tau raws li cov cai ntawm kev xaiv khoom noj thiab kev cai ua noj.

Cov tshuaj ntsuab (dill, zaub txhwb qaib) thiab zaub (nrog rau kev zam ntawm beets) yog nyob rau sab saum toj ntawm daim ntawv teev cov zaub mov zoo haum rau cov ciaj ciam ntawm cov khoom noj muaj ntshav qab zib. Txawm li cas los xij, ib qho yuav tsum tsis txhob xav tias yuav txo cov ntshav qab zib, cov ntshav qab zib tau raug yuam kom noj cov khoom noj uas muaj tsob ntoo cog xwb. Txhua qeb zaub mov suav nrog cov khoom noj nyab xeeb thiab tsis muaj mob.

Kev noj qab haus huv protein

Cov protein ntau yog qhov chaw ntawm cov amino acids, los ntawm cov kua nplaum tsim thaum lub sij hawm gluconeogenesis, yog li cov protein tsis tuaj yeem koom nrog txo qis qab zib. Tab sis cov protein ntau maj mam nqus los ntawm lub cev, thiab cov kua nplaum tsim tsis nkag rau cov ntshav tam sim ntawd. Nrog rau txoj cai ua ke ntawm cov protein nrog pub mis uas yog tais zaub mov thiab zaub, lawv yuav inhibit qhov nce ntawm glycemic. Kev noj cov protein txhua hnub yog 25% ntawm tag nrho cov zaub mov noj.

Txhawm rau kom qeeb ntawm kev txhim kho atherosclerosis, raws li ib txwm muaj tus mob ntshav qab zib, thiab tsis nce phaus ntxiv, nws yog qhov yuav tsum tau tshem tawm cov txwv tsis pub cov khoom lag luam ntawm cov qeb protein los ntawm cov ntawv qhia zaub mov: nqaij npuas, nqaij yaj, nqaij pastes, stew, ntses kaus poom, sausages.

Cereals thiab Legumes

Legumes thiab nplej ua khoom noj yog nplua nuj hauv cov zaub mov me me uas tsim nyog rau lub cev. Lawv muaj peev xwm tswj cov txheej txheem metabolic, txhim kho kev zom zaub mov. Cereals thiab legumes tau ua tiav qeeb, uas tso cai rau koj kom muaj lub siab xav ntawm lub sijhawm ntev.

Dua li ntawm qhov tseeb hais tias tsis yog txhua yam kev ua qoob ua si muaj qis glycemic kev ua, lawv qhov kev kho cua sov txo GI. Legumes inhibit qhov tawg ntawm cov zaub mov thiab qhov tsim muaj cov piam thaj. Cov khoom noj muaj txiaj ntsig ntawm cov zaub protein muaj nyob hauv cov zaub tsis muaj qis dua yog qhov muaj txiaj ntsig rau cov tsiaj protein.

Legumes thiab cereals pub rau cov ntshav qab zib:

• oats (oatmeal lossis cereal),
• barley (barley thiab cov niam barley),
• taum paj, taum, lentils,
• cov kua taum thiab taum pauv, chickpeas (nrog ceev faj vim muaj cov ntsiab lus hauv calorie).

Ntxiv nrog rau kev muaj txiaj ntsig zoo, taum ntsuab tau siv hauv kev kho mob hauv pej xeem ntshav qab zib. Taum nplooj tsawb muaj tshuaj uas txo cov suab thaj nyob ntev. Cov chav kawm qhov nqus ntawm taum ntawm taum nplooj txo cov piam thaj. Txhawm rau txo cov calorie cov ntsiab lus ntawm cov tais diav, cov ntshav qab zib tau pom zoo kom ua zaub mov rau ntawm cov dej.

Seasonings thiab txuj lom

Ntsim seasonings thiab txuj lom ua kom zoo rau cov metabolism hauv qabzib. Thaum qee lub caij muaj ntxiv rau cov zaub mov, qib qab zib tom qab noj (tom qab noj mov) tsis mus dhau qhov txwv tsis pub. Qhov zoo no yog siv dav hauv tshuaj ntsuab. Ntau cov khoom siv tshuaj ntsuab thiab infusions uas txo qis cov ntsiab lus ntawm cov piam thaj hauv cov ntshav muaj cov tshuaj tsw qab. Nrog rau lawv txoj kev siv ua ke, glycemia tuaj yeem txo qis.

• Oregano (oregano). Nws muaj antispasmodic, kab mob thiab detoxifying zog.
• Kua txob dub. Txhim kho txoj haujlwm ntawm cov enzymes digestive, txhim kho cov ntshav ncig, suab nrov, txo kev txhim kho roj.
• Lub cij. Nws yog tshuaj tua kabmob, tshuaj tua kabmob, tua kabmob, tua kabmob (immunomodulating agent).
• Kov Txwv Stimulates endocrine pancreatic muaj nuj nqi, ua rau cov metabolism.
• Bay nplooj ntoos. Laurel cov tshuaj si siv rau hauv cov tshuaj pej xeem ua tshuaj los txo cov ntshav qab zib.
• Cardamom. Txhim kho cov txheej txheem plab zom mov, muaj qhov ua kom zoo rau lub hauv nruab nrab lub paj hlwb (nruab nrab cov hlab ntsws).
• Cinnamon Khaws kev noj qab haus huv ntawm cov plab hnyuv siab raum ntawm lub zeem muag, ntxiv dag zog rau cov leeg hlwb, ua kom zoo sai ntawm cov qhov txhab thiab ua kom puas ntawm daim tawv nqaij, txo cov roj cholesterol, txhawb cov metabolism.
• Qhiav Cag Nws ua kom cov txheej txheem hauv lub cev hloov pauv, ua kom cov hlab ntshav ntxiv, txhim kho cov ntshav ncig, thiab pab ua kom lub cev nyhav. Vim yog cov ntsiab lus inulin, qhiav muaj peev xwm ruaj khov glycemia.

Cov zaub, txiv hmab txiv ntoo, thiab kua txiv ntoo

Cov txiaj ntsig ntawm cov txiv hmab txiv ntoo yog lub hauv paus ntawm kev noj haus ntawm cov ntshav qab zib. Vim nws cov tshuaj lom neeg muaj pes tsawg leeg, txiv hmab txiv ntoo, zaub thiab txiv ntseej:

• normalize glycemia,
• nce siab tiv thaiv
• ntxiv dag zog rau cov phab ntsa ntawm cov hlab ntsha thiab txo cov roj cholesterol,
• tswj lub plab zom mov thiab quav.
• pab txhawb kom poob phaus,
• tswj cov qib ntshav siab.

Cov zaub feem ntau muaj cov zaub mov glycemic tsawg thiab pom zoo rau kev siv txhua hnub.

Cov txiv hmab txiv ntoo rau kev noj zaub mov noj txhua hnub yuav tsum tau xaiv raws li cov lus glycemic index. Cov txiv hmab txiv ntoo, zaub thiab txiv ntseej yog qhov muaj txiaj ntsig zoo tshaj plaws tau txiav txim siab tsis yog los ntawm GI, tab sis kuj yog los ntawm muaj cov tshuaj muaj txiaj ntsig zoo rau cov ntshav qab zib.

• thaum ci txiv hmab txiv ntoo, ua noj beets thiab carrots, stewing zucchini thiab txaij lawv GI nce,
• unrefined peels yog digested nyob rau hauv hom qeeb, yog li ntawd, kua nplaum nkag mus rau hauv cov hlab ntshav maj mam,
• kev sib xyaw ntawm cov protein nrog zaub thiab txiv hmab txiv ntoo inhibits qhov nqus ntawm cov piam thaj.

Txiv hmab txiv ntoo, zaub thiab txiv hmab txiv ntoo

Kev siv cov kua txiv kom pab ua kom coj li qub thiab tswj tau cov suab thaj hauv cov ntshav. Cov dej qab zib tuaj yeem npaj tau los ntawm ib qho khoom lag luam los yog sib xyaw ua ke rau kev tso cai ntawm cov txiv hmab txiv ntoo, txiv hmab txiv ntoo thiab zaub kom saj. Txhawm rau txo cov kev ntxhov siab ntawm cov kua txiv tshiab zom zaws, nws pom zoo kom dilute lawv nrog cov ntxhia dej (tsis muaj roj) lossis dej rhaub. Koj tsis tuaj yeem ntxiv qab zib rau cov dej haus.

Piv txwv ntawm cov kua txiv uas muaj kev noj qab haus huv thiab lawv cov GI:

• txiv lws suav - 15 chav nyob,
• kua, txiv kab ntxwv, zaub ntug hauv paus - 40 units,
• txiv puv luj - 46 units,
• txiv kab ntxwv qaub, txiv kab ntxwv - 48 chav nyob.

Yeem

Hom tsis muaj hom kabmob endocrine pathology - GDM (mob ntshav qab zib hauv lub cev xeeb tub), muaj kev txhim kho hauv 10% ntawm cov pojniam thaum cev xeeb tub. Rau kev kho mob ntawm pathology, cov ntsiav tshuaj muaj suab thaj tsis yog siv, vim yog lawv cov teebmeem teratogenic rau cov me nyuam hauv plab.

Tus poj niam cev xeeb tub tau sau tseg rau kev noj zaub mov kom lub cev tsis muaj piam thaj hauv ntshav. Cov neeg mob ntshav qab zib, noj zaub mov raws li cov cai ntawm cov khoom noj muaj ntshav qab zib, txo txoj kev pheej hmoo ntawm kev muaj peev xwm txawv txav ntawm intrauterine kev loj hlob ntawm tus menyuam thiab muaj teeb meem thaum lub sijhawm yug menyuam. Kev tsis ua raws li kev noj haus rau GDM ua rau kev mob qog nqaij hlav hauv lub cev, uas tuaj yeem nres tsuas yog los ntawm txhaj tshuaj insulin rau hauv plab.

Cov Kev Cai Tswj Dav Dav Dav

Cov khoom noj uas muaj ntshav qab zib yuav tsum ua raws li cov cai ntawm cov zaub mov muaj ntshav qab zib. Txhawm rau kev loj hlob ntawm glycemia, koj yuav tsum:

• tshem tawm cov khoom noj qab zib thiab dej qab zib, ncuav qab zib, ncuav khoom qab zib, thiab lwm yam, los ntawm cov ntawv qhia zaub mov,
• tswj lub zog ntawm tus nqi thiab glycemic Performance index ntawm txhua lub tais thiab nws cov khoom xyaw xyaw,
• saib xyuas lub khob haus dej (txog li 2 liv dej nyob rau ib hnub) thiab cov tshuaj noj kom tsawg (txhua 3-4 teev),
• saib xyuas cov zaub mov noj kom tsawg (hauv cov zaub mov tseem ceeb - tsis pub ntau tshaj 350 gr.),
• tsis suav cov zaub mov muaj tsiaj nplua nuj,
• tsis kam siv tais diav npaj rau ntawm lub grill los yog kib hauv lub lauj kaub,
• qhia cov zaub, txiv thiab txiv hmab txiv ntoo rau hauv cov zaub mov noj txhua hnub,
• txo ntsev noj kom tsawg.

Kev noj haus yog tsim los ntawm cov khoom pom zoo los ntawm endocrinologist nrog GI tsawg.

Qhov xav tias nce ntshav qab zib qhia tias muaj ntshav qab zib ntau ntxiv. Tus kab mob yog rov tsis tau thiab yog nrog ntau yam mob hnyav ntxiv. Lub hom phiaj tseem ceeb ntawm kev kho mob yog txhawm rau ua kom lub cev tsis muaj zog thiab tso ntshav qab zib kom qis npaum li qhov ib txwm muaj.

Hauv kev sib txuam nrog kev siv tshuaj kho mob, cov neeg mob ntshav qab zib tau muab tshuaj tshwj xeeb kho kom noj qab haus huv, cov hauv paus ntawm cov khoom noj uas muaj glycemic index tsawg. Yog tias koj muaj teeb meem los tsim cov ntawv qhia zaub mov noj txhua hnub, koj yuav tsum nrhiav kev pab ntawm tus kws endocrinologist thiab tus kws qhia zaub mov kom noj qab nyob zoo. Hauv nroog Moscow thiab lwm lub nroog loj, cov chaw muaj ntshav qab zib tshwj xeeb thiab Cov Tsev Kawm Ntawv Mob Ntshav Qab Zib ua haujlwm, qhov chaw uas koj tuaj yeem tau txais cov lus qhia noj haus.

Nws yog qhov tseem ceeb kom nkag siab tias tsis muaj teeb meem dab tsi yog ib yam khoom siv muaj txiaj ntsig, nws tsis muaj lub zog zoo tib yam li tshuaj uas txo cov suab thaj. Nws yog tsis yooj yim sua los hloov qhov kev txhaj tshuaj insulin lossis tshuaj pleev ntshav hypoglycemic nrog zaub nrog cov kua qis. Nws tsis yog cov khoom lag luam tshwj xeeb uas pab txo qis thiab ruaj khov hauv cov ntshav qab zib, tab sis kev tsim nyog kev noj qab haus huv.