Ib qho kab mob endocrine uas cuam tshuam dej-ntsev, lipid thiab carbohydrate metabolism hu ua mellitus mob ntshav qab zib. Pathology yog cim los ntawm kev nce ntxiv hauv cov ntshav qab zib kom pom tseeb, ib qho xwm txheej hu ua hyperglycemia.
Mob ntshav qab zib tuaj yeem yog thawj hom, thaum muaj qhov tsis txaus ntawm cov tshuaj insulin, thiab ntawm hom thib ob, uas qhov kev cuam tshuam ntawm lub cev nqaij mus rau cov tshuaj hormones hloov pauv, insulin deficiency yog qhov txheeb ze.
Muaj lwm hom mob ntshav qab zib, lawv cuam tshuam nrog cov kev mob caj ces, cov kab mob ntawm cov txiav, mob kis. Mob ntshav qab zib hauv lub cev twb xeeb tub.
Tsis hais hom mob twg los xij, tus neeg mob tau qhia kev noj zaub mov nruj, nws pab coj cov piam thaj nyob rau hauv tus naj npawb zoo, ua kom cov metabolism hauv ib txwm ua. Thaum pib ntawm tus kabmob, vim kev noj zaub mov noj ib leeg, nws yog qhov ua tau kom tswj qib glycemia nyob rau theem sib luag, tsis txhob siv tshuaj yeeb. Tab sis nyob rau hauv mob hnyav:
- kev noj haus yog qhov tseem ceeb;
- nws pab txo qhov hnyav ntawm cov tshuaj.
Tus kws endocrinologist pom zoo kom nws cov neeg mob ua raws txoj kev noj haus zoo li qub hu ua table 9. Noj cov zaub mov tau tsim los ntawm tus kws tshawb fawb nto moo ntawm lub koom haum Khoom noj khoom haus M. Pevzner, nws cov txiaj ntsig tau siv thoob plaws txhua qhov chaw tau ntau xyoo.
Lub hom phiaj tseem ceeb rau cov ntshav qab zib tau tiav nrog kev txwv ntau ntawm cov zaub mov carbohydrate. Daim Ntawv Tsis. 9 tsom rau ob qho tib si kev kho mob ntawm hom 2 mob ntshav qab zib mellitus thiab nws cov kev tiv thaiv.
Cov yam ntxwv noj haus zoo
Kev noj haus 9 rau cov ntshav qab zib yog los ntawm kev noj zaub mov kom zoo thiab sib txig, txo cov khoom noj carbohydrate, thiab tsis suav cov khoom noj kib. Qhov no yog qhov tseem ceeb, txij li ntau dhau ntawm cov rog thiab carbohydrates cuam tshuam tsis zoo rau lub xeev kev noj qab haus huv, ua rau lub siab ntawm cov kab mob.
Lub hom phiaj tseem ceeb ntawm kev noj qab haus huv hauv kev noj qab haus huv yog ua kom cov ntshav qab zib kom siab rau qhov ib txwm, txawm li cas los xij, thaum lub sijhawm npaj zaub mov, nws yuav tsum xav txog cov khoom noj muaj txiaj ntsig zoo, tsis muaj ib qho tseem ceeb tseem ceeb uas tsis muaj peev xwm ua tau.
Nws raug nquahu kom tsis suav cov piam thaj dawb los ntawm kev noj haus, siv nws lub cev hloov (hom phiaj ntuj), txwv tsis pub ntsev, rog thiab cov zaub mov muaj roj cholesterol.
Kev noj haus 9 rau hom ntshav qab zib hom 2 muab:
- siv cov protein txaus;
- kev siv cov zaub mov muaj vitamin ntau nyob rau hauv ascorbic acid;
- ib qho kev ua tiav ntawm kev haus luam yeeb, ntsim zaub mov, dej cawv.
Nws yog ib qho tsim nyog kom noj cov zaub mov hauv qhov me me, tswv yim lawv tau noj 5-6 zaug hauv ib hnub.
Feem ntau, cov zaub mov noj txhua hnub rau hyperglycemia yuav tsum ze rau cov ntsuas xws li: carbohydrates (300-340 g), tsiaj rog (55 g), zaub muaj roj (25 g), tsiaj protein (50 g), zaub protein (40 g), zaub ntsev (12 g). Raws li rau ntsev, muaj kev hloov pauv rau nws nrog txo ntsev cov ntsiab lus, qhov tseem ceeb nws yog qhov tsim nyog los haus tsuas yog xws li cov khoom lag luam.
Tus mob ntshav qab zib yuav tsum nco ntsoov tias 12 g ntawm carbohydrates yog 1 khob cij qhob cij (XE). Rau txhua cov khoom lag luam, koj yuav tsum xam cov khoom noj carbohydrates thiab txhais lawv mus rau XE.
Cov glycemic index (GI) ntawm cov khoom kuj tseem ceeb, koj tuaj yeem pom nws hauv lub rooj tshwj xeeb.
Dab tsi tuaj yeem ua thiab tsis txhob noj ntshav qab zib
Nws raug nquahu kom ua los ntawm cov zaub mov uas muaj cov vitamins thiab tshuaj lom txaus uas txhawb cov rog rog kom ua tsis zoo. Koj yuav tsum tau them sai sai rau tsev cheese, cheese, tshuaj ntsuab, zaub tshiab, oatmeal, ntxiv nkauj xwb roj txiv roj, cov roj ntshiv ntau yam thiab nqaij. Cov dej qab zib raug tso cai rau haus tsis qab zib, nws tuaj yeem yog kua txiv hmab txiv ntoo, dej qab zib ntawm cov txiv ntoo qhuav, kua txiv hmab txiv ntoo thiab tshuaj yej ntsuab.
Endocrinologist tau sib cav hais tias nrog hom ntshav qab zib hom 2 nws muaj txiaj ntsig muaj xws li rye, xua, hom qoob mog nplej ntawm qib kawm thib ob hauv kev noj haus, kev siv lub khob noom cookie tsis zoo siv tau. Cov zaub mov muab rau npaj kua zaub los ntawm zaub, nqaij ntshiv thiab nqaij ntses nqaij ntses, okroshka, borsch, kua zaub nrog kua zaub uas tso cai thiab nqaij qaib nqaij xyaw nqaij.
Yuav tsum tau noj nqaij: nqaij nyuj, nqaij tsiaj, nqaij qaib cov txwv, cov nqaij ntshiv, nqaij yaj. Los ntawm cov nqaij zoo li no nws yog qhov ua tau kom noj ntshav qab zib hnyuv ntxwm. Cov kaus poom ntses yog siav hauv lws suav, cov lus 9 tau tso cai rau koj qee zaum siv me ntsis salted herring, aspic los ntawm cov ntses ntshiv.
Tsis tas li nyob rau hauv qhov khoom noj yuav tsum muaj:
- mis nyuj
- khoom noj siv mis;
- tsis muaj rog rog qaub cream;
- ghee thiab butter;
- cheese (tsis muaj ntsev thiab tsis-rog);
- qe (tsis pub ntau tshaj ib nkaub ib hnub).
Porridge tuaj yeem noj xws li: buckwheat, pearl barley, barley, oat, millet. Nws yog qhov zoo rau haus ntau ntawm legumes, qhov no yuav pab ua rau kom muaj qhov tsis muaj zaub protein.
Txhawm rau kom tsis txhob nce cov ntshav qab zib, koj yuav tsum haus cov zaub, lawv tuaj yeem ua hau, ci lossis nqaij nyoos. Tus neeg mob ntshav qab zib yuav tsum nkag siab tias muaj cov khoom noj uas muaj cov roj zaub (carbohydrates) nyob hauv zaub, yog li no cov zaub ntsuab no tau noj tsawg. Piv txwv li, noj mus rau hauv tus account qhov ntau npaum li cas ntawm carbohydrates, qos yaj ywm, hau carrots thiab beets, cov kaus poom ntsuab peas yog noj.
Ntau tus neeg mob yuav txaus siab rau cov zaub xam lav ntawm zaub, nqaij nruab deg, cov kua ntses uas muaj roj tsawg (txwv tus naj npawb ntawm cov kua ntses ntawm mustard, horseradish).
Hauv cov khoom noj khoom haus, nws pom tias suav nrog cov txiv hmab txiv ntoo tshiab, cov txiv hmab txiv ntoo qab zib thiab qab zib, ib qho me me ntawm ntuj muv. Yog tias cov ntshav qab zib xav noj zaub mov ntau, koj yuav tsum xaiv cov khoom uas ua los ntawm cov khoom qab zib hloov. Xws li tuaj yeem muas tau hauv cov khw muag khoom noj hauv chav haujlwm kev noj zaub mov noj lossis npaj ntawm nws tus kheej, nco ntsoov txiav txim siab glycemic qhov ntsuas ntawm cov sib xyaw.
Nrog ntshav qab zib hom 2, lub cuaj lub rooj txwv tsis pub noj:
- cawv
- rog zaub;
- khob noom cookie;
- nplej zom, mov, mis kua zaub nrog semolina;
- muaj rog rog, nqaij, nqaij ua noj kaus poom.
Cov kev txwv zoo sib xws ntawm kev noj zaub mov noj thiab ntshav qab zib hom 1.
Cov kws kho mob qhia kom muab cov ntsev, cov rog, cov ntses uas haus luam yeeb, cov roj cov kaus poom, cov roj qaub, cov roj qab ntsev.
Koj tuaj yeem tsis tau noj fermented ci mis, cream, salted cheeses, ci mis, ci lus ci. Nws yog teeb meem rau haus cov kua txiv qab zib, kua txiv qaub, noj jam, txiv hmab txiv ntoo qhuav (raisins, hnub tim, figs) nrog hyperglycemia. Txiav nqaij tsawb, khoom qab zib thiab txiv quav ntswv nyoos, nqaij thiab nqaij ua rog.
Cov kab ntawv nrog GI qhov ntsuas thiab cov khoom lag luam txwv tsis pub tuaj yeem rub tawm ntawm Is Taws Nem.
Liaj noj qab zib qab zib
Nws yog qhov zoo tagnrho rau cov ntshav qab zib kom noj cov nqaij cutlets, xws li lub tais tso dag rau tus neeg mob lub cev nrog qhov tsim nyog ntawm cov tsiaj protein thiab yuav tsis ua teeb meem rau cov txiav ua qab.
Rau ua noj ua haus, koj yuav tsum noj 200 g ntawm nqaij, grind nrog rab los yog nqaij grinder. Nws yog ib qho tseem ceeb kom yuav cov nqaij, tsis yog cov nqaij minced. Hauv qhov no, tus neeg mob paub tseeb tias nws noj cov khoom pub rau nws.
Hauv cov mis, soak 20 g ntawm crackers, sib txuas nrog lawv nrog nqaij, lub caij me ntsis nrog ntsev thiab kua txob dub. Cutlets yog tsim los ntawm cov nqaij minced, ci hauv qhov cub rau 15 feeb (kub 180 degrees). Ib feem yog tso cai rau ncuav me me ntawm butter.
Ib qho zaub mov zoo heev yog cov kua zaub kua zaub, rau nws txoj kev npaj nws yog qhov yuav tsum tau ua raws li cov khoom lag luam hauv qab no:
- 400 g taub dag;
- 50 g carrots;
- 50 g celery;
- 50 g dos.
Cov zaub txiav mus rau hauv cubes, muab tso rau hauv ib lub lauj kaub, ncuav 1.5 liv dej, rhaub rau li 25 feeb tom qab npau. Cov zaub tiav yog raug tsoo rau hauv rab, xyaw nrog ntsev kom saj, thiab hliv rau hauv daim hlau. Txhawm rau txhim kho qhov qab, nws yog qhov tsim nyog los ntxiv me me ntawm roj-tsis muaj qaub cream.
Lwm lub tais uas haum nrog zaub mov noj tus lej 9 yog paj npleg. Zuaj 70 qaub-kua txiv apples, 130 g ntawm zucchini, ntxiv 30 ml ntawm skim mis, 8 teaspoons ntawm hmoov (nyiam dua coarse), nqaij qaib qe. Qhov sib tov yog muab tso rau hauv lub tais ci, ua noj hauv qhov cub li 20 feeb.
Qee lub sij hawm koj tuaj yeem ua khoom qab zib tsis muaj qab zib. Rau cov khoom qab zib rau lub rooj tooj 9, koj tuaj yeem ua ib lub txiv kab ntxwv noj. Ib lub txiv kab ntxwv yog hau rau 20 feeb, tso cai rau kom txias, tshem tawm cov pob txha, zom rau ntawm rab. Tom ntej no, koj yuav tsum yeej ib lub qe nrog lub qab zib hauv ib rab, lub caij mus saj nrog cov kua txiv qaub, ntxiv me ntsis zest, 100 g ntawm av txiv ntoo txiv ntoo. Pawg:
- sib tov;
- ua ke nrog ib qho huab hwm coj loj;
- hliv rau hauv pwm;
- 40 feeb ci hauv qhov cub (kub 180 degrees).
Cov ntawv qhia yooj yim no tsis tas yuav noj zaub mov ntev thiab yuav hais rau tus neeg mob ntshav qab zib hnub nyoog. Nov yog khoom noj muaj 9 lub rooj uas muaj ntshav qab zib hom 2.
Ntawv qhia zaub mov rau lub lim tiam
Hauv qhov ua piv txwv no, koj tuaj yeem pom cov zaub mov noj txhua hnub rau tus mob ntshav qab zib, ntsuas zaub mov tau muab faib ua 5 pluas noj. Txog rau pluas tshais, pluas su, noj ntau tshaj 200 g ntawm cov zaub mov, rau pluas su 400 g, pluas tshais txom ncauj tshaj plaws 150, thiab noj hmo txog 300. Thaum ua tiav cov phiaj xwm khoom noj khoom haus, GI ntawm cov khoom lag luam tau raug suav. Tus nqi ntawm cov zaub mov noj yog pom zoo los ntawm yuav luag txhua tus neeg mob ntshav qab zib. Yog tias koj ua raws li cov lus qhia ntawm kws kho mob, lub rooj rau cov ntshav qab zib yuav yog ib yam zoo li no.
Hnub Monday: txiv hmab txiv ntoo nrog cov nqaij npuas roj uas tsis muaj roj ntau; tsis muaj rog rog kefir; braised zaub qhwv tsis muaj butter, zaub kua zaub, ci ci yaj; dib thiab zaub qhwv zaub xam lav; qhov cub ci zaub, ci ntses.
Hnub Tuesday: buckwheat porridge; txiv apples tsis muaj piam thaj compote, borsch, hau los yog ci nqaij nyuj; decoction ntawm qhuav rosehip berries, zaub xam lav, steamed ntses.
Hnub Wednesday:
- millet porridge, kua tshiab;
- ib txiv kab ntxwv;
- cov kua txob, okroshka;
- zaub ntug hauv paus thiab zaub kav;
- yaj nrog zaub (koj tuaj yeem ci).
Hnub Thursday: omelet los ntawm ob lub qe dawb, tsis muaj qab hau yogurt; pob ntseg, nqaij goulash, hlaws barley; stewed cabbage, steamed nqaij qaib cutlets.
Hnub vas Xuv: tsev cheese cheese tev; rosehip Txoj kev lis ntshav; lws suav kua zaub, kua ntses ncuav, kelp zaub xam lav (seaweed); Qaib qe zaub xam lav, ci nqaij qaib.
Hnub Saturday: tsis tshua muaj rog lub tsev cheese nrog tshiab tshiab; nqaij qaib; cov kua zaub kua zaub, kua zaub xam lav nrog lws suav; nqaij qaib ua nqaij; hau cws thiab taum ntsuab.
Hnub Sunday:
- ib qho pear, bran porridge;
- ib lub qe;
- qaib ntxhw thiab zaub stew;
- vinaigrette;
- stew nrog zaub.
Yog tias cov lus 9 rau cov ntshav qab zib kom nruj me ntsis, tus neeg mob tuaj yeem suav rau qhov cov ntshav qab zib hauv lub cev sai sai, ua rau muaj kev noj qab haus huv zoo. Nrog rau kev rog dhau hoom, lub rooj noj mov muaj ntshav qab zib pab txo qhov hnyav, nce rau kom loj hlob.
Thaum tsis muaj contraindications, cov kws kho mob xav pom zoo ua ke hauv lub xov tooj 9 nrog kev ua kis las, nquag taug kev hauv huab cua ntshiab. Thaum cov mob no tau ntsib, ntshav qab zib tuaj yeem tswj hwm lub neej.
Txog cov cai tswj kev noj haus zaub mov noj kom ntshav qab zib 9 rau ntshav qab zib yuav qhia cov yeeb yaj kiab hauv tsab xov xwm no.
