Hmoov tsis zoo, tus kab mob zoo li ntshav qab zib hom 2 cuam tshuam ntau thiab ntau tus neeg txhua xyoo. Hais txog kev tuag, nws nyob qib thib ob, thib ob rau oncology. Kev phom sij ntawm cov kab mob zoo li no tsis yog tsuas yog nce qib tas li ntawm cov piam thaj, tab sis qhov tsis ua haujlwm ntawm yuav luag txhua lub cev.
Ib tug kab mob "qab zib" tsis tau kho, koj tsuas tuaj yeem txo qis qhov kev pheej hmoo ntawm cov teeb meem thiab tsis txhob muaj hom mob ntshav qabzib-insulin. Yuav kom lub cev muaj suab thaj ntau ntau, cov neeg endocrinologist feem ntau hais txog kev noj haus kom tsawg thiab ua kom ib ce muaj zog tas li. Nws hloov tawm tias hom 2 mob ntshav qab zib mellitus thiab kev noj zaub mov noj yog qhov tseem ceeb thiab kev kho mob thawj zaug.
Yog hais tias nrog kev pab ntawm kev noj haus kev noj haus nws tsis tuaj yeem ua kom tiav cov txiaj ntsig xav tau, koj yuav tsum pib noj cov tshuaj qab zib, piv txwv li, Stralik, Metformin lossis Glucobay. Nws tseem yog qhov tsim nyog nyob hauv tsev los saib xyuas ntshav suav nrog lub ntsej muag glucometer.
Txhawm rau kom nkag siab qhov ua rau muaj kev mob nkeeg zoo li no thiab muaj txiaj ntsig zoo nrog nws, cov ntsiab cai ntawm kev noj zaub mov yuav tau piav qhia hauv qab no, cov npe ntawm cov khoom tso cai yuav nthuav tawm, nrog rau kev kho mob.
Cov ua rau thiab cov tsos mob
Ntshav qab zib yog hais txog cov kab mob ntawm cov endocrine thaum cov ntshav qab zib cov ntshav nce siab tas li. Qhov no yog vim qhov txo qis hauv qhov ua rau muaj kev puas tsuaj ntawm cov hlwb, nrog rau cov ntaub so ntswg ua rau cov tshuaj insulin, uas ua rau cov txiav ua tiav.
Nws yog qhov tsim nyog tias lub cev ua cov tshuaj no hauv cov khoom tsim nyog, tab sis cov cell tsis hnov mob nrog nws. Tus mob no yog hu ua insulin tsis kam.
Tsis muaj ib qho tseem ceeb thiab qhov tshwj xeeb rau qhov tshwm sim ntawm hom 2 mob ntshav qab zib mellitus, tab sis cov kws kho mob tau txheeb xyuas cov kev pheej hmoo, ib qho yog hnub nyoog 40 xyoo. Nws yog hnub nyoog no uas cov ntshav qab zib feem ntau tshawb pom. Tab sis qhov no tsis txhais tau hais tias tus kab mob tau tshwm sim muaj zog. Feem ntau, tus neeg mob tsuas tsis quav ntsej cov tsos mob ntawm tus mob ntshav qab zib tau ntau xyoo, yog li ua rau lub cev ploj.
Cov cim ntawm ntshav qab zib:
- kev nqhis dej
- qhov ncauj qhuav
- maj mam kho ntawm qhov txhab thiab puas;
- nquag tso zis;
- kev nkees;
- tsaug zog
Yog tias tsawg kawg ib qho ntawm cov tsos mob tshwm sim nws tus kheej, nws raug nquahu kom mus ntsib tus kws kho qhov muag endocrinologist ua ib qho kev txheeb xyuas txhawm rau txhawm rau tshem tawm lossis paub meej tias muaj mob. Kev kuaj mob yog qhov yooj yim heev - kev xa cov ntshav txha caj qaum thiab capillary. Yog koj paub cov tsos mob thiab kev kho yuav zoo.
Qhov tshwm sim ntawm ntshav qab zib yog feem ntau pom nyob rau hauv cov pawg ntawm cov neeg:
- hnub nyoog tshaj 40;
- hnyav dua qub plab hom;
- kev noj haus tsis zoo, thaum lub teeb carbohydrates (khoom qab zib, cov hmoov nplej khoom) yeej nyob hauv kev noj haus;
- kev ua neej nyob sedentary yam tsis muaj kev tawm dag zog lub cev;
- ntshav siab;
- muaj ntshav qab zib hauv cov txheeb ze ze tshaj plaws.
Thaum kho cov kab mob "qab zib", koj yuav tsum nruj rau cov zaub mov noj kom txo qis ntshav qabzib.
Kev kho noj haus
Kev noj zaub mov zoo rau kev ua kom yog, nrog rau kev tawm dag zog lub cev yuav yog kev kho mob ntshav qab zib. Ib qho ntawm cov kev cai tseem ceeb tsis yog kom tshaib lossis nqhis. Tus naj npawb ntawm cov zaub mov yog rau 6 zaug hauv ib hnub. Noj hmo kawg tsawg kawg yog ob peb teev ua ntej yuav mus pw.
Yam 2 ntshav qab zib thiab kev noj haus kev noj qab haus huv tswj cov ntshav qab zib. Txog li ib nrab ntawm cov khoom noj txhua hnub yuav tsum yog zaub. Tsis tas li, cov zaub mov noj txhua hnub yuav tsum suav nrog cov khoom noj mis nyuj, txiv hmab txiv ntoo, nqaij lossis ntses, thiab cov khoom noj siv mis.
Lub cev ntawm cov ntshav qab zib mob ua rau poob cov vitamins thiab cov zaub mov ploj. Qhov no yog vim muaj kev ua haujlwm tsis zoo hauv cov txheej txheem hauv kev zom zaub mov tsis yog ntawm cov endocrine xwb. Yog li ntawd, nws yog ib qho tseem ceeb kom noj zaub mov muaj txiaj ntsig.
Los ntawm saum toj no, peb tuaj yeem paub qhov txawv cov ntsiab cai ntawm kev noj zaub mov:
- cov pluas noj noj rau hauv me me, rau zaus ib hnub;
- cov kua dej tsawg kawg - ob liv;
- Tsis txhob tshaib plab los sis hlais;
- noj hmo yuav tsum yog lub teeb, koj yuav tsum txwv koj tus kheej rau lub khob ntawm cov khoom noj muaj mis lossis 150 grams ntawm tsev cheese;
- txiv hmab txiv ntoo yuav tsum muaj nyob hauv pluas tshais;
- hauv kev npaj zaub mov tais tsuas siv cov khoom siv raws caij nyoog;
- Cov khoom rau xaiv raws li GI.
Tag nrho cov khoom noj uas muaj ntshav qab zib yuav tsum muaj qhov qis glycemic index. Endocrinologist ua raws li qhov ntsuas no hauv kev npaj noj haus kho mob.
Ntxiv nrog rau kev soj ntsuam kev noj zaub mov zoo, ib qho yuav tsum tsis txhob hnov qab txog kev kho cua sov uas tso cai, uas yog tsom rau qhov tsis muaj cov roj (cholesterol) phem hauv cov tais diav.
Ua noj tau haus nyob hauv txoj kev nram no:
- rwj;
- rau ib nkawm niam txiv;
- hauv microwave;
- ci hauv qhov cub;
- hauv kev ua kom qeeb qeeb;
- stew, siv ib qho me me ntawm zaub roj.
Nws yog ib qho tsim nyog yuav tsum tau kawm cais lub tswv yim ntawm GI thiab kom kawm paub ntawm nws tus kheej, ua kom zaub mov noj, raws li tus kheej nyiam saj.
Qhov tseeb tiag, kev xaiv cov khoom zoo rau cov mob ntshav qab zib yog qhov dav heev thiab tso cai rau koj ua zaub mov ntau yam zaub mov zoo.
GI khoom siv hauv kev kho kev noj haus
Daim ntawv qhia glycemic yog qhov ntsuas uas qhia txog cov nyhuv ntawm ib qho khoom lag luam tom qab nws siv rau kev nce ntshav qab zib. Cov khoom lag luam nrog GI tsis tshua muaj qhov nyuaj ua kom zom cov carbohydrates, uas tsis tsuas yog tsim nyog rau tus neeg mob, tab sis kuj rau lub sijhawm ntev muab nws lub siab xav.
Tus mob ntshav qab zib xav tau xaiv los ntawm cov pawg ntawm cov khoom noj uas muaj GI tsawg. Cov zaub mov nrog tus nqi nruab nrab muaj peev xwm nyob hauv kev noj haus tsuas yog qee zaus, tsis pub ntau tshaj ob zaug hauv ib as thiv. GI siab ntawm cov khoom lag luam muaj peev xwm tsa cov ntshav qabzib mus rau 4 mmol / l hauv lub sijhawm luv luv.
Lub glycemic index ntawm cov khoom tau muab faib ua peb pawg. Tab sis ntxiv nrog rau tus nqi no, koj yuav tsum tau them sai sai rau cov ntsiab lus hauv calorie ntawm cov zaub mov. Yog li, qee cov zaub mov muaj cov nqi ntawm xoom, tab sis nws muaj cov roj (cholesterol) tsis zoo thiab cov ntsiab lus calorie siab.
Cov rog ci yuav coj nws, uas tsis muaj carbohydrates thiab muaj 0 chav nyob, tab sis nws yog kiag li contraindicated rau cov ntshav qab zib. GI faib:
- 0 - 50 PIECES - qis;
- 50 - 69 PHOO - nruab nrab;
- hla 70 PIECES - siab.
Muaj ib lub rooj tshwj xeeb ntawm cov khoom siv nrog qhov ntsuas, kom nws yooj yim dua rau tus neeg mob los sau cov ntawv qhia zaub mov. Qee cov khoom lag luam tom qab kho cua sov tuaj yeem txhim kho qhov ntsuas ntau heev - cov no yog beets thiab carrots. Hauv daim ntawv nyoos lawv raug tso cai, tab sis ua noj hauv qab qhov txwv.
Noj tshuaj tso cai rau koj ua zaub mov los ntawm cov zaub li no:
- noob dos loj;
- txhua hom zaub qhwv - zaub qhwv dawb thiab xim liab, Zaub pob txhaws, zaub paj, zaub paj ntsuab;
- qij
- lws suav;
- Txiv lws suav
- taum ntsuab thiab taum paj asparagus;
- lentils
- peas;
- quav;
- lub dib.
Coob tus neeg tau siv los muaj qos yaj ywm saum lawv cov lus. Tab sis nrog tus kab mob "qab zib", nws yog qhov zoo dua rau nws tsis kam vim tias qhov siab GI. Hauv qee qhov tsis tshua muaj tshwm sim, thaum nws tseem txiav txim siab kom tsis txhob haus cov kaus poom, lawv yuav tsum xub muab cov dej tso rau hauv dej ib hmos. Yog li, koj tuaj yeem tshem tawm cov hmoov txhuv nplej siab thiab qis dua me ntsis qhov ntsuas.
Cov zaub ntsuab rau cov ntshav qab zib yog qhov chaw ntawm cov vitamins, minerals thiab fiber. Tsis tsuas yog cov zaub nyoos tshiab tau npaj los ntawm lawv, tab sis kuj yog sab zaub mov, nrog rau cov tais diav ntau. Ntau yam kev saj tau tso cai nrog zaub ntsuab - zaub ntsuab, zaub xas lav, oregano, basil, dill thiab parsley.
Txiv hmab txiv ntoo yog ib qho tseem ceeb sib luag hauv kev kho kev noj haus. Kev tso cai txhua hnub yuav tsum tsis pub tshaj 150 - 200 grams. Koj tsis tuaj yeem ua kua txiv los ntawm txiv hmab txiv ntoo txawm tias muaj qhov ntsuas qis. Nrog txoj kev kho no, lawv poob fiber ntau thiab qabzib nkag mus rau hauv cov hlab ntshav.
Thaum ua zaub mov noj, cov txiv ntoo thiab cov txiv hauv qab no raug tso cai:
- Cherry
- Apricot
- pear;
- kua mis;
- persimmon;
- currants dub thiab liab;
- txhua hom ntawm cov txiv hmab txiv ntoo - txiv kab ntxwv, txiv qaub, txiv kab ntxwv qaub, mandarin, pomelo thiab txiv qaub;
- gooseberry;
- qab zib kua txiv;
- txiv duaj.
Muaj ntau ntau yam tshuaj muaj txiaj ntsig hauv cov txiv ntoo qhuav, tsis pub ntau tshaj 50 gram nyob rau hauv ib hnub. Nws yog qhov zoo ntxiv cov txiv hmab txiv ntoo qhuav rau cov zaub mov, yog li tsim cov zaub mov puv zaub mov. Cov txiv hmab txiv ntoo qhuav nrog tsawg GI - qhuav apricots, prunes thiab figs.
Nqaij, offal, ntses thiab nqaij ntses kuj yog ib hnub nyob rau txhua hnub hauv cov zaub mov. Nyob rau tib lub sijhawm, cov ntses yuav tsum muaj tsawg kawg yog peb zaug hauv cov khoom noj txhua lub lim tiam. Tsawg-rog hom nqaij thiab ntses yog xaiv. Cov tawv nqaij thiab cov seem ntawm cov rog yog tshem tawm ntawm lawv, nyob rau hauv uas tsis muaj cov vitamins, tab sis tsuas yog cov cholesterol.
Cov khoom lag luam hauv qab no yog kev pom zoo los ntawm endocrinologist:
- nqaij qaib ua si;
- luav nqaij;
- qaib ntxhw;
- nqaij nyuj;
- quail;
- nqaij qaib mob siab;
- nqaij nyug siab;
- nqaij nyug nplaig;
- nqaij nyuj ua ntsws.
Tsis muaj kev txwv rau txoj kev xaiv ntawm cov nqaij nruab deg. Los ntawm ntses, koj tuaj yeem xaiv pollock, hake, pike lossis perch.
Cov hmoov nplej yog qhov chaw ntawm lub zog, yog li lawv muab lub siab xav ntawm lub sijhawm ntev. Qee tus ntawm lawv muaj GI siab, tshwj xeeb hauv cov nplej dawb. Nws lwm txoj yuav yog xim av (xim av) mov, nws GI yog 50 PIECES. Nws siav ntev me ntsis - txog 45 feeb.
Pearl barley yog suav tias yog cov txiaj ntsig zoo tshaj plaws, nws GI tsuas yog 22 PIECES. Lwm hom cereals kuj tau tso cai:
- barley groats;
- thoob ham;
- oatmeal;
- nplej nplej.
Los ntawm txoj kev, lub thicker lub porridge, qis dua nws qhov ntsuas.
Muaj qee qhov kev txwv ntawm cov khoom noj siv mis thiab mis ua. Tag nrho cov ntawm lawv yog nyob ntawm cov zaub mov muaj roj. Yog li ntawd, nws yuav muaj kuab kom tsis txhob kam txais qaub cream, margarine thiab butter.
Tshuaj kho mob nkeeg
Yog hais tias nrog kev pab los ntawm kev noj haus kev noj qab haus huv nws tsis tuaj yeem ua tiav qhov xav tau yam xav tau, tus kws kho mob tau yuam kom sau cov tshuaj txo cov ntshav qab zib. Lawv cov xaiv hauv khw muag tshuaj muaj ntau heev.
Kev noj tshuaj rau tus kheej yog txwv, vim txhua lub ntsiav tshuaj muaj qhov tshwm sim tsis zoo. Tsuas yog tus kws endocrinologist tuaj yeem xaiv cov tshuaj muaj txiaj ntsig rau tus neeg mob, suav txog nws tus yam ntxwv ntawm lub cev thiab chav kawm ntawm tus kabmob.
Lub hom phiaj ntawm cov tshuaj uas muaj suab thaj kom ntshav qab zib yog los txhawb kev noj cov zaub mov pancreatic kom muaj cov tshuaj insulin ntau ntxiv kom nws nyob rau hauv cov ntshav hauv qhov yuav tsum tau ua.
SAUM - 5 cov tshuaj uas nrov tshaj plaws rau kab mob "qab zib":
- Glucobai - txo qhov feem ntawm kev nqus ntawm polysaccharides hauv cov ntshav;
- tshuaj ntawm cov pab pawg sulfonylurea, piv txwv li, Glisoxepide, yog tsom ntawm kev txo qis cov tshuaj insulin;
- Pioglitazone (thiazolidinone derivatives) - txhawb lub siab ntawm cov hlwb thiab cov ntaub so ntswg rau insulin;
- Novonorm - nce qhov ua tau zoo ntawm tus txiav, yog li nws ua cov tshuaj insulin ntau dua.
- ntau npaum li cas cov tshuaj Metformin 850 lossis 1000 tsub kom muaj kev cuam tshuam ntawm cov hlwb thiab cov ntaub so ntswg rau insulin.
Kev kho cov tshuaj pib nrog kev teem caij tsuas yog ib qho ntawm cov tshuaj saum toj no.
Yog tias txawm hais tias qhov no tseem tsis tuaj yeem ua kom ib txwm muaj qib ntawm cov piam thaj hauv cov ntshav, tom qab ntawd cov kev kho mob suav nrog ntau pawg ntawm cov piam thaj hauv cov ntsiav tshuaj.
Ntxiv kev ntsuas
Thaum muaj mob ntshav qab zib hom 2, kev kho yuav tsum muaj kev ua kom lub cev zoo. Qhov no ua rau cov nyiaj tau zoo tshaj plaws rau qib siab qab zib.
Ntawd yog, thaum ua kis las kis las hauv lub cev, tag nrho cov txheej txheem metabolic tau nrawm dua, thiab cov piam thaj tau nrawm dua.
Cov lus qhia no yuav tsum muab tsawg kawg ib nrab teev hauv ib hnub. Yog tias koj tsis tuaj yeem ua txhua hnub, tom qab ntawd tsawg kawg koj yuav tsum taug kev hauv huab cua ntshiab ko taw rau plaub caug feeb.
Koj tuaj yeem xaiv cov kev tawm dag zog no rau cov neeg mob ntshav qab zib ntawm hom ob:
- Yoga
- Nordic taug kev
- Taug kev
- dhia;
- kev caij tsheb kauj vab
- ua luam dej.
Yog tias ib tus neeg xav kawm ntawv tom tsev, tom hauv Is Taws Nem muaj ntau cov yeeb yaj kiab qhia tshwj xeeb rau cov neeg mob ntshav qab zib.
Yog tias qhov kev cob qhia yuav tshwm sim sab nraum lub tsev thiab tom qab lawv muaj qhov zoo ntawm kev tshaib kev nqhis, tom qab ntawd ib qho khoom noj ntxiv raug tso cai - khoom noj txom ncauj. Qhov kev xaiv zoo tshaj yuav yog 50 gram ntawm cov txiv ntoo, uas muaj cov protein tsis muaj roj, muaj GI tsawg thiab zoo heev rau kev tawm tsam kev qab los noj mov. Tsuas yog tsis tshaj qhov tso cai cuam tshuam ntawm txhua hnub, vim hais tias xws li cov khoom lag luam muaj qhov muaj calorie ntau.
Los ntawm tag nrho cov saum toj no, nws yuav tsum xaus lus tias qhov tshwm sim ntawm ntshav qab zib tuaj yeem raug txo los ntawm kev siv ob txoj cai nkaus xwb: ua raws cov qauv ntawm kev noj zaub mov noj ntshav qab zib thiab tawm dag zog tsis tu ncua.
Hauv daim yeeb yaj kiab hauv tsab xov xwm no, tus kws kho mob yuav tham txog qhov tseem ceeb ntawm kev noj zaub mov noj rau ntshav qab zib hom 2.
