Nrog kev sib txawv me ntsis ntawm cov ntshav qab zib hauv cov poj niam thiab tus txiv neej, nws yog qhov yuav tsum tau ua tam sim ntawd ntsuas - kho cov zaub mov noj. Tom qab tag nrho, yog tias cov piam thaj ntau ntxiv yog qhov tsis tu ncua, tom qab ntawd ib tus neeg tuaj yeem mob ntshav qab zib mellitus - kab mob thib peb hauv ntiaj teb no.
Feem ntau, kev hloov pauv no cuam tshuam los ntawm tib neeg tom qab tsib caug xyoo uas tsis tau noj zaub mov kom raug thiab tsis tau koom nrog ua kis las. Txhawm rau cov ntshav nce li qub, nws yog qhov yuav tsum tau hloov pauv txoj kev ntawm lub neej - muab kev nyiam rau cov khoom noj kom zoo. Tsis txhob haus dej cawv thiab tawm dag zog tsawg kawg yog peb mus rau plaub zaug hauv ib lub lim tiam.
Txawm li cas los xij, kom txo qis ntshav qab zib, koj yuav tsum ua raws li kev noj haus tshwj xeeb - qhov no yog qhov tseem ceeb uas tsis siv tshuaj. Tshooj lus no yuav muab tso rau hauv tsab xov xwm no, uas tham txog yam khoom noj twg los ntawm cov piam thaj kom ua raws, uas tsis yog tshuaj lag luam los txo cov ntshav qab zib kom tsawg.
Cov hauv paus ntawm kev noj haus kev kho mob
Tus poj niam lub cev tseem muaj mob sai dua rau tus mob ntshav qab zib, tshwj xeeb yog tom qab 50 xyoo. Yog li ntawm lub hnub nyoog no, koj yuav tsum mus ntsib tus kws kho mob endocrinologist tsawg kawg ib xyoos ib zaug. Yog tias koj tsis muaj sijhawm txaus mus pw hauv tsev kho mob, txais ib qho glucometer. Cov ntshav qabzib feem ntau muaj nqis ntawm 4.1 - 5.9 mmol / L. Nrog lub hnub nyoog, tus nqi yuav nce siab me ntsis, nce mus rau 6.9 mmol / L.
Yog tias muaj cov ntshav yoo ntshav sai li ntawm 7 lossis 8 mmol / l, tom qab ntawd ib tus neeg yuav tsum xav txog kev txo qis, vim tias cov mob no hu ua mob ntshav qab zib thiab, yog tias kho tsis tau, ib hom ntshav qab zib insulin feem ntau yuav tshwm sim.
Dab tsi yuav tsum noj cov zaub mov noj nrog cov ntshav qab zib kom siab - ua ntej txhua yam, nws tshem tawm qhov kev noj haus ntawm cov carbohydrates ntau thiab tswj cov dej tshuav.
Rau cov uas muaj txoj haujlwm ua kom cov ntshav qab zib kom tsawg, koj yuav tsum ua raws li txoj cai hauv qab no:
- tshem tawm cov khoom lag luam nrog "npliag" carbohydrates - qab zib, chocolate, khoom qab zib, khoom qab zib ua los ntawm cov hmoov nplej, dej qab zib, txiv hmab txiv ntoo thiab kua txiv hmab txiv ntoo;
- muab qhov kev nyiam rau khoom noj siav thiab khoom noj;
- saib xyuas kev noj qab haus huv - tso kev haus cawv, haus luam yeeb;
- nyob rau hauv lub xub ntiag ntawm qhov hnyav tshaj, txo cov calories kom tsawg mus rau 1800 - 200 kcal;
- ua raws li lub hauv paus ntsiab lus ntawm kev xaiv khoom noj nrog qis glycemic index;
- cov khoom noj txhua hnub suav nrog kev siv cov khoom noj siv mis, vim muaj qhov ntsuas cov roj ua kom muaj zog.
Rau ntau tus neeg, saib cov cai saum toj no, lo lus nug tshwm sim ntawm qhov no txhais li cas - glycemic thiab insulin indices. Nws yog cov ntsuas no tau siv hauv kev npaj noj tshuaj kho mob.
Txhawm rau txo cov ntshav qab zib hauv cov neeg laus thiab menyuam yaus, nws tseem ceeb tsis yog tsuas yog xaiv cov khoom noj rau cov zaub mov noj, tab sis tseem yuav tsum ua zaub mov kom raug rau lawv kom tsis txhob noj zaub mov muaj calorie ntau ntau thiab roj cholesterol ua rau muaj kev phom sij rau kev noj qab haus huv.
Qhov tseeb yog tias nrog "mob qab zib" kab mob, kev txhawb kev tiv thaiv cov ntshav txhaws ntxiv, thiab cov roj (cholesterol) phem yog ib qho ntawm nws cov txiaj ntsig.
Cov zaub mov yog npaj raws li hauv qab no:
- siav siav;
- rau ib nkawm niam txiv;
- ci.
Kev noj zaub mov noj nrog cov ntsiab lus saum toj no tuaj yeem siv tsis yog tias cov piam thaj hauv ntshav tau nce siab hauv tus neeg laus thiab menyuam yaus, tab sis kuj tseem muaj ntshav siab. Feem ntau, cov kev cai ntawm kev noj zaub mov cuam tshuam txog kev noj zaub mov kom zoo - lawv ib txwm ua haujlwm ntawm lub plab zom mov, tshem tawm qhov hnyav tshaj thiab cov cholesterol tsis zoo.
Cov ntawv qhia zaub mov rau lub lim tiam yog ua los ntawm cov khoom lag luam nrog GI tsawg thiab cov roj nqus insulin siab.
Glycemic (GI) thiab Insulin (II) Cov Khoom Lag Luam Index
GI yog tus nqi ntawm kev zom thiab tawg ntawm cov piam thaj hauv cov ntshav tom qab noj ib yam khoom lossis haus dej haus. Kev noj haus kom txo ntshav qab zib cov zaub mov yog ua los ntawm cov khoom noj uas muaj txiaj ntsig glycemic txog 49 chav nyob. Cov khoom lag luam no tsuas muaj nyuaj ua kom zom cov carbohydrates. Nrog cov piam thaj siab, cov khoom lag luam nrog qhov nruab nrab glycemic tus nqi ntawm 50 - 69 units yuav tsum tau muab cais tawm ntawm cov ntawv qhia zaub mov. Tab sis yog tias cov piam thaj cov dej qab zib tau ruaj khov, tom qab ntawd nws raug tso cai rau suav nrog cov khoom lag luam no txog peb zaug hauv ib lub lis piam hauv kev noj haus, ib qho kev pabcuam ncav cuag 150 grams.
Cov khoom lag luam uas muaj cov "tsis muaj" carbohydrates, lawv qhov ntsuas yog 70 units thiab sab saud, yuav tsum tawm ntawm cov ntshav qab zib lub rooj mus ib txhis, vim los ntawm lawv cov concentration ntawm cov piam thaj hauv cov ntshav nce mus rau qhov tsis txaus ntseeg.
Nrog rau kev nce siab hauv cov ntshav qab zib, yuav tsum tau them rau cov zaub mov uas muaj cov roj insulin siab. Tus nqi qhia tau tias yuav ua li cas sib sib zog nqus dej ntawm cov txiav ua rau ib qho khoom lag luam tshwj xeeb (nws ua cov tshuaj insulin). Cov tshuaj insulin ntau tshaj yog cov khoom siv mis thiab mis nyuj.
Txhawm rau kev ua kom cov ntshav suav zoo, cov khoom lag luam yuav tsum ua raws li cov lus hauv qab no:
- tsis tshua muaj glycemic Performance index;
- siab insulin index;
- cov ntsiab lus tsis muaj calorie.
Nws yog qhov ua txhaum vim tias ntseeg tias cov zaub mov tsis muaj calorie ntau yog rau tus neeg uas muaj teeb meem rog dhau.
High-calorie zaub mov tsis zoo cuam tshuam rau kev ua haujlwm ntawm lub txiav thiab pab ua rau txhaws cov hlab ntshav, vim nws muaj qhov ntsuas siab ntawm cov roj (cholesterol) phem.
Cov Khoom Tseem Ceeb
Ntshav qab zib cov ntshav cov zaub mov yuav tsum muaj nyob hauv koj cov zaub mov noj kom tsawg. Thawj qhov chaw nyob hauv daim ntawv no tau muab cov khoom noj mis nyuj uas muaj suab thaj - kefir, yogurt, yogurt hauv tsev, kua mis uas muaj suab thaj.
Cov ntawv qhia zaub mov rau txhua hnub yuav tsum ua kom lub cev tau txais tag nrho cov vitamins thiab minerals uas tsim nyog. Tom qab tag nrho, kev nce siab hauv cov piam thaj tsis cia nws nqus cov txiaj ntsig zoo.
Kev noj zaub mov zoo rau lub cev kuj yog siv los ua zaub mov. Yog li, ib tus neeg yuav tsum tsis txhob muaj kev tshaib kev nqhis thiab kev noj qab haus huv. Qhov ua tau zoo tshaj ntawm cov zaub mov yog tsib mus rau rau zaus nyob rau ib hnub, hauv qee qhov me me.
Txhawm rau txo qhov kev nyeem ntawm cov piam thaj hauv cov ntshav, koj yuav tsum tau muab qhov kev nyiam ua rau cov khoom lag luam zoo li no:
- zaub - zaub qhwv ntawm txhua hom, txiv lws suav, dib, dos, qij, Jerusalem artichoke, txiv ntseej, tshiab beets, celery thiab carrots;
- cereals - buckwheat, oats, spelled, nplej, barley groats;
- cov nqaij ntshiv thiab ntses, nqaij nruab deg;
- txiv hmab txiv ntoo thiab cov txiv hmab txiv ntoo - gooseberries, txhua hom ntawm txiv hmab txiv ntoo, txiv pos nphuab, txiv apples, pears, raspberries, plums;
- cov khoom noj siv mis - muaj roj tsawg ntawm tsev cheese, qhob noom xim kasfes hauv tsev, fermented baked milk, yogurt;
- npaj cov khoom ci tsuas yog los ntawm cov ntau hom hmoov nplej - rye, buckwheat, amaranth, oatmeal, flaxseed, spelled;
- kev siv cov nplej pob kws yuav tsum tau muab hloov nrog cov khoom noj ncuav lossis ncuav nplej.
Yog tias ib tus neeg muaj kev lom zem rau kev noj zaub mov kom ntau, thiab cov zaub mov no tshem tawm qhov no, koj yuav tsum tau haus ib khob dej huv ua ntej noj mov.
Tsis txhob kwv yees tias cov zaub mov noj lub rooj yog monotonous. Los ntawm cov npe khoom noj muaj txiaj ntsig "muaj kev nyab xeeb", koj tuaj yeem npaj ntau yam zaub mov qab.
Cov Khoom Phom Sij
Thaum cov ntshav qab zib kom muaj ntshav qab zib kom tsawg yuav tsum muaj cov carb qis, txawm hais tias qee tus kws kho mob hais kom noj protein ntau, tab sis qhov no tsis muaj tseeb. Txij li nrog cov khoom noj muaj protein, vitamins, minerals thiab fiber ntau nkag mus rau hauv lub cev hauv cov khoom me me. Uas yog, fiber ntau pab txo cov ntshav qab zib, vim nws txoj kev nqus qeeb.
Nws yog qhov tseeb tias, ua ntej txhua yam, cov khoom lag luam nrog qab zib tsis suav nrog - cov khoom qab zib, khoom qab zib, chocolate, dej haus, cov txiv hmab txiv ntoo hauv kaus poom thiab txiv hmab txiv ntoo. Tsis tas li, ib qho dej cawv uas txwv tsis pub muag, txawm tias ntau tus neeg muaj GI tsawg. Nco ntsoov tias tso tseg cov khoom uas ua rau muaj kev nce siab ntxiv ntawm cov piam thaj hauv cov ntshav.
Qhov tseeb yog cawv, txog thaum nws ua tiav los ntawm lub cev, inhibits qhov kev tso tawm ntawm cov piam thaj. Tom qab assimilation ntawm dej cawv, qabzib yuav nce sai, uas tuaj yeem tsim kho hyperglycemia hauv tib neeg. Thiab hauv qhov no, lo lus nug tshwm sim - yuav ua li cas txo cov ntshav qab zib. Yog tias qhov muaj nuj nqis ntau dhau, ces siv tshuaj txo cov ntshav qab zib, piv txwv li, Metformin lossis Diabeton.
Cov neeg uas xav nqa cov piam thaj hauv qab no rov qab zoo li qub, koj yuav tsum tso tseg cov khoom no:
- qos yaj ywm, kho kom sov-beets, celery, carrots;
- millet, mamalyga, mov;
- dib liab, dib liab, txiv puv luj, persimmon;
- raisins, figs, qhuav txiv tsawb;
- cov khoom noj muaj roj mis - Ayran, Tuav, tshis mis nyuj, mis ua, cov qab zib, qab zib;
- mayonnaise, ketchup, khw cov kua ntsw, tsuas yog kua txob;
- roj oily, nqaij, nqaij ntses.
Cov kev kho mob tsis muaj tshuaj rau cov ntshav qab zib siab tsis yog tsuas yog kho kev noj zaub mov, muaj cov nyiaj ntxiv - cov kis las thiab cov tshuaj ib txwm muaj.
Kev Them Nyiaj Ntxiv rau Cov Kev Siv Lub Cev Tsis Txaus Qab Zib
Yog tias cov piam thaj hauv ntshav tau nce siab, tab sis tus neeg mob tau noj zaub mov tsis muaj roj ntau ntau hnub lossis ntau xyoo, yuav tsum them nyiaj ntxiv rau tus kabmob no.
Qhov zoo tshaj plaws nyob rau hauv cov piam thaj tuaj yeem haus tau nrog kev pab ntawm cov tshuaj suav daws. Tab sis tsis txhob tos rau cov txiaj ntsig hluav taws xob nrawm nrawm, cov khoom ntuj tsim yuav tsum muaj ntau txaus hauv lub cev. Yam tsawg kawg nkaus kev kho mob yog kaum plaub hnub, thiab qhov siab tshaj plaws txog rau peb caug hnub. Nws yog txwv tsis pub nws tus kheej nce qhov ntau npaum li cas ntawm cov tshuaj tiv thaiv tinctures thiab decoctions, txawm tias muaj txiaj ntsig zoo kho tsis pom.
Ua ntej pib kev kho tus kheej, koj yuav tsum ceeb toom koj tus kws kho mob txog qhov kev txiav txim siab no kom nws muaj peev xwm ntsuas tau daim duab txuas ntxiv mus rau qhov kev kis mob. Qhov zoo ntawm cov tshuaj ntsuab yog tias nws muaj tus nqi qis thiab siab tau.
Kom cov ntshav qab zib tuaj yeem raug tshem tawm los ntawm cov lus txhais tau tias:
- ib tug nqus ntawm nyom tshis;
- pob kws stigma extract;
- noj taum pods;
- brew blueberry nplooj.
Nws yog qhov tsim nyog kom tau tshuaj ntsuab thiab txiv hmab txiv ntoo ntawm cov nroj tsuag ntawm chaw muag tshuaj. Koj yuav tsum tsis txhob khaws thiab yuav cov khoom xyaw tshuaj ntsuab hauv cov lag luam ntuj tsim, vim tias lawv ib puag ncig zoo thiab tsis zoo.
Nws kuj tseem yuav tsum suav nrog kev ua kom zoo nkauj hauv cov khoom noj uas ua rau muaj kev tiv thaiv ntawm lub cev thiab ua haujlwm li qub ntawm lub cev ua haujlwm tseem ceeb. Lub rosehip broth thiab tshuaj yej ua los ntawm cov khoom noj tshiab ntawm cov nqaij mos nyoos thiab qhuav tangerine tau zoo.
Kev ntsuam xyuas lub cev yuav pab kom cov ntshav rov zoo li qub sai dua. Lawv yuav tsum tsis tu ncua, tsawg kawg peb mus rau plaub zaug hauv ib lub lis piam, li 50 txog 60 feeb. Nws raug nquahu kom coj cov chav kawm hauv cov huab cua ntshiab. Ua ntej kev kawm tawm dag zog lub cev muaj khoom noj txom ncauj me me - zaub xam lav, ib txhais tes ntawm cov txiv ntoo thiab noob txiv, 150 grams ntawm cov khoom noj muaj mis.
Tsis txhob xav tias nrog cov piam thaj hauv siab, cov ntsiab lus ntawm ntshav qab zib thiab kis las tsis sib xws. Ntawm qhov tsis sib xws, txhua tus neeg endocrinologist insists ntawm cov chav kawm ib txwm muaj. Koj tuaj yeem xaiv los ntawm cov kis las hauv qab no, vim yog kev siv dag zog tseem tsis tau pom zoo rau cov neeg mob.
Cov kev ua si hauv qab no yog kev pom zoo:
- kev caij tsheb kauj vab
- ua luam dej
- dhia;
- Kev ncaws pob
- Yoga
Yog tias cov piam thaj hauv ntshav tau nce ntxiv, tom qab ntawd nws tsim nyog ncua chav kawm kom txog thaum ntsuas pom ua tau zoo.
Kev tswj hwm txhua hnub yuav pab ua rau kom muaj txiaj ntsig zoo ntawm kev kho mob tsis siv tshuaj. Tsawg kawg li xya txog yim teev yuav tsum tau mob siab rau pw tsaug zog, nyiam dua tib lub sijhawm. Lub hauv paus ntsiab lus ntawm kev noj zaub mov no muaj txiaj ntsig zoo rau kev ua haujlwm ntawm lub plab zom mov, vim tias lub cev pib tsim cov enzymes rau kev ua zaub mov noj.
Yog tias, siv tag nrho cov hau kev no, nws tsis tuaj yeem yog ib txwm ua kom cov concentration ntawm cov piam thaj hauv cov ntshav, tom qab ntawd nws yog qhov tsim nyog tias tus kws kho mob endocrinologist tau sau tshuaj rau cov ntshav qab zib:
- Metformin 850 lossis 1000;
- Ntshav Qab Zib;
- Khoom Plig Ntsuas;
- Minidiab;
- Pioglitazone.
Saib xyuas cov ntsiab cai ntawm kev noj zaub mov noj ntshav qab zib tuaj yeem kho cov ntshav qab zib. Txawm li cas los xij, nws yog qhov tsim nyog thoob plaws lub neej kom ua raws li cov zaub mov muaj roj tsawg thiab ua rau lub neej noj qab haus huv.
Daim vis dis aus hauv tsab xov xwm no tham txog cov ntsiab lus ntawm kev ua kom muaj piam thaj ntau.
