Ntshav qab zib insipidus yog ib yam kab mob cuam tshuam nrog kev tso zis ntxiv thaum cov piam thaj tsis tso zis. Tus kab mob no tsawg kawg yog qhov zoo sib xws rau cov ntshav qab zib, tab sis tsis muaj dab tsi rau nws.
Lub hauv paus tseem ceeb hauv kev tshwm sim ntawm ntshav qab zib insipidus yog kev ua haujlwm ntawm lub hlwb lobes thiab lub caj pas pituitary. Yeej yuav kho tsis tau txhua tus, tab sis yog kev noj haus kev ua raws, lub cev tuaj yeem coj mus rau lub xeev muaj kev noj qab haus huv. Txhawm rau ua qhov no, koj tsuas yog xav paub ntau pawg ntawm cov khoom lag luam uas yuav tsum tau cais tawm ntawm cov khoom noj, thiab cov uas yuav tsum tau hais txog.
Ntau cov khoom noj kho kom zoo raws li kev xaiv cov khoom lag luam los ntawm glycemic index (GI), tab sis cov zaub mov zoo li no haum rau cov ntshav qab zib insipidus? Txhawm rau teb cov lus nug no, lub tswvyim ntawm GI thiab nws cov txiaj ntsig ntawm lub cev yuav raug txiav txim siab hauv qab no, zaub mov noj uas tsim los rau cov neeg mob ntshav qab zib insipidus tau nthuav tawm, thiab cov zaub mov pom zoo hauv lub lis piam tau nthuav tawm.
GI rau kev noj haus kev kho mob ntshav qab zib insipidus
Feem ntau, xaiv cov khoom lag luam raws li lub hauv paus ntsiab lus no yog tsim nyog rau cov neeg mob ntshav qab zib mellitus, zoo rau cov neeg uas xav txo lawv tus luj. GI qhia txog cov nyhuv ntawm ib yam khoom tom qab nws siv rau ntawm qhov feem pua ntawm cov piam thaj hauv cov ntshav. Ntawd yog, tsawg dua tus naj npawb, cov khoom noj khoom haus phem tshaj nyob hauv cov zaub mov.
Kev noj haus rau cov ntshav qab zib insipidus, ntawm qhov tsis sib xws, yuav tsum muaj cov zaub mov nrog cov carbohydrates uas nyuaj rau rhuav thiab nrawm, nrog rau cov rog thiab qee cov protein. Tab sis rau cov neeg mob uas muaj kab mob "qab zib", cov khoom noj zoo li no tsis tuaj yeem lees txais.
Cov neeg muaj kev txom nyem los ntawm ntshav qab zib insipidus yuav tsum xaiv cov khoom lag luam rau cov zaub mov los ntawm txhua pawg ntawm GI. Nws raug nquahu los muab qhov kev nyiam rau cov uas muaj qhov nruab nrab thiab tus nqi siab.
GI faib nplai:
- 0 - 50 PIECES - qhov taw qhia tsis tshua muaj;
- 50 - 69 units - qhov nruab nrab;
- hla 70 PIECES - siab.
High GI suav nrog cov txiv hmab txiv ntoo stewed, kua txiv hmab txiv ntoo, kua txiv jelly thiab kua txiv hmab txiv ntoo - cov dej qab zib uas tseem ceeb rau cov ntshav qab zib insipidus.
Noj cov hauv paus ntsiab lus
Lub hom phiaj tseem ceeb ntawm txoj kev kho kev noj haus yog kom tsis txhob tso zis, thiab ntxiv rau, ntxiv lub cev nrog cov vitamins thiab minerals uas lawv "poob" vim yog tso zis heev.
Nws yog ib qho tseem ceeb kom noj fractionally, hauv qhov me me, 5-6 zaug hauv ib hnub, dua li ntawm kev ncua sij hawm. Cov ntsiab lus ntawm kev noj zaub mov tswj tsis tsuas yog sib txuas cov teebmeem ntawm ntshav qab zib insipidus, tab sis kuj tseem ua haujlwm ntawm lub plab zom mov.
Qhov ntau ntawm cov protein uas koj xav tau kom tsawg, tab sis carbohydrates thiab cov rog tsis txwv. Tsuas yog tsis txhob xaiv cov rog nrog cov roj "tsis zoo" - cov roj ntsha, cov rog thiab cov ntses, ua noj nrog ntau cov roj sunflower.
Feem ntau, nws zoo dua los hloov cov paj noob hlis nrog roj txiv roj, uas tsis muaj cov roj cholesterol, tab sis, ntawm qhov tsis sib xws, yog tsom kom sib ntaus nws. Cov dej qab ntsev txhua hnub ua kom txog li 6 grams. Cov tais diav yuav tsum tsis txhob ntsev rau lub sijhawm ua noj, tsuas yog tam sim ntawd ua ntej siv.
Nws tseem tsim nyog muab txoj kev nyiam los ua noj ua haus xws li:
- rwj;
- rau ib nkawm niam txiv;
- stew cov zaub mov hauv cov kua ntses nrog kua txiv roj thiab dej;
- ci hauv qhov cub, nyiam dua hauv lub tes tsho, rau kev khaws cia ntawm txhua yam tshuaj uas muaj txiaj ntsig;
- nyob rau hauv lub tshuab ua kom qeeb qeeb, tshwj tsis yog rau hom "kib".
Thaum ib tus neeg muaj ntshav qab zib insipidus, cov zaub mov noj yuav tsum tsis txhob cais cov khoom noj uas ua rau nqhis dej, piv txwv li, khoom noj qab zib, khoom kib, txuj lom thiab khoom qab zib, cawv.
Los ntawm cov saum toj no, peb tuaj yeem paub qhov sib txawv hauv paus ntsiab lus ntawm kev kho zaub mov noj ntshav qab zib insipidus:
- cov khoom noj muaj txiaj ntsig nyob hauv cov roj (carbohydrates) thiab cov rog rog;
- kev noj protein tsawg;
- txhua hnub ua dej ntsev tsis pub ntau tshaj rau (6) grams;
- cov pluas noj 5 mus rau 6 zaug hauv ib hnub, feem;
- kev nqus dej txaus - tsawg kawg yog 2,5 litres;
- txhua hnub suav nrog hauv ntawv qhia zaub mov txiv hmab txiv ntoo, txiv ntoo, nrog rau cov kua txiv los yog kev ua kom haum;
- cov tais diav yog qhov zoo dua rau rhaub lossis ncu;
- tsis suav cov khoom seem, cov txuj lom, cov khoom noj ntsim (qej, kua);
- cawv txwv tsis pub.
Nws kuj tseem ceeb, tsawg kawg yog plaub zaug nyob rau hauv ib lub lim tiam, kom noj cov ntses ntawm cov rog tsawg. Nws muaj ntau hauv phosphorus, uas yuav tsum muaj rau kev ua haujlwm li qub ntawm lub hlwb. Uas yog, ua tsis tiav hauv nws ua rau mob ntshav qab zib insipidus. Koj tuaj yeem nqa cov roj ntses hauv qhov kom tiv thaiv, raws li cov lus qhia.
50 gram ntawm cov txiv hmab txiv ntoo qhuav hauv ib hnub yuav ua rau kom muaj cov tshuaj pleev kom plam thiab ua kom cov vasopressin endogenous tiav.
Ntawv qhia zaub mov rau lub lim tiam
Cov qauv tseem ceeb ntawm kev sau ntawv twb tau piav qhia, tab sis nws yog ib qho tseem ceeb kom nkag siab meej tias cov zaub mov twg thiab cov tais diav twg yuav tsum ua rau tus neeg mob lub rooj. Rau qhov no, cov ntawv qhia zaub mov rau lub lim tiam tau nthuav tawm hauv qab no.
Nws tuaj yeem hloov tau thiab tsis ua raws li nruj me ntsis, tsom mus rau tus kheej nyiam kev nyiam. Ntxiv rau cov kua dej uas tau qhia hauv daim ntawv qhia zaub mov, tus neeg mob ntshav qab zib insipidus yuav tsum ntxiv haus kua txiv, jelly thiab txiv hmab txiv ntoo txhawm kom ua rau lub cev poob.
Hauv qhov ua piv txwv no, tus neeg mob yuav tsum noj 6 zaug hauv ib hnub, tab sis qhov no tsis yog ib txwm ua tau nyob rau hauv lub suab ntawm lub neej tam sim no. Yog tias koj tsis tuaj yeem noj tau tag nrho, tom qab ntawd cov khoom noj txom ncauj rau cov neeg mob yuav tsum ua kom muaj lub dag zog, yog li, lub khob ntawm cov khoom noj mis lossis txiv hmab txiv ntoo yuav ua rau muaj kev tshaib plab rau ob peb teev.
Hnub Monday:
- thawj pluas tshais - cov txiv hmab txiv ntoo nyias (kua txiv, txiv kab ntxwv, txiv tsawb), lub caij nrog 100 grams ntawm kefir, tshuaj yej qab zib, qhob cij thiab butter;
- thib ob noj tshais - omelet nrog zaub (los ntawm ib lub qe), ib daim ntawm cov mov ci rye, kua txiv lws suav;
- noj su - buckwheat kua zaub, nrog rau pob kws nplej rau cov ntshav qab zib pom zoo los ntawm cov kws kho mob vim tias muaj cov ntsiab lus ntau ntawm cov vitamins, steamed ntses cutlet, taub dag caviar, ib daim ntawm qhob cij, kas fes nrog qab zib;
- tav su tshuaj yej - ib khob ntawm jelly, 50 grams Walnut;
- thawj noj hmo - cabbage stewed nrog mov, chav nqaij qaib cutlet, txiv hmab txiv ntoo qhuav compote;
- lub thib ob noj hmo yog txiv hmab txiv ntoo yogurt.
Tuesday:
- thawj noj tshais - tsev me cheese kua zaub nrog txiv tsawb, txiv ntoo tshiab compote;
- thib ob tshais - hlaws barley pob kws nrog nceb, tshuaj yej, qhob cij thiab butter;
- noj su - zaub kua zaub, zaub stew (zucchini, lws suav, dos thiab tswb kua txob), nqaij nyug hau, kas fes nrog qab zib;
- tav su tshuaj yej - 200 grams ntawm tej txiv ntoo;
- thawj noj hmo - pike ci rau ntawm cov zaub hauv ncoo, ib qho hlais ntawm qhob cij rye, kua txiv kab ntxwv;
- zaum ob hmo yog khob ryazhenka.
Hnub Wednesday:
- thawj zaug noj tshais - jelly, ib nplais ntawm cov ncuav txhuv, ib qho kua;
- thib ob noj tshais - hiav txwv dej qab ntsev (hiav txwv dej cawv, hau qe hau, dib, hnav khaub ncaws - kua mis nyeem tsis qab), ib qho mov ci;
- cov pluas su - tsis muaj kua zaub, pea puree, kua nqaij qaib gravy siab, kua txiv qhuav compote, ob peb lub hnab;
- cov khoom noj txom ncauj tom qab - zaub xam lav, ib qho mov ci, kas fes nrog qab zib;
- thawj noj hmo - pilaf nrog nqaij nyug, hau beets nrog prunes, txiv ntoo qhuav compote;
- thib ob noj hmo - ib khob ntawm yogurt, 50 grams ntawm qhuav apricots lossis raisins.
Hnub Thursday:
- thawj zaug noj tshais - kas fes nrog qab zib, ob peb cov ncuav ntawm ncuav nrog daim siab pate;
- noj su - hau lentils, pollock, stewed hauv soob kua txiv, kua txiv los ntawm cov txiv hmab txiv ntoo tshiab;
- noj su - zaub kua zaub, tawv tawv vermicelli, hau quail, zaub xam lav, ntsuab tshuaj yej nrog ib qho hlais ntawm tsaus chocolate;
- cov khoom noj txom ncauj rau yav tav su - jelly, ib qho hlais ntawm qhob cij rye, txiv hmab txiv ntoo qhuav;
- thawj noj hmo - meatballs nyob rau hauv lws suav, ib daim ntawm qhob cij, kua txiv hmab txiv ntoo;
- thib ob noj hmo - ib khob ntawm yog tsis muaj qab zib yogurt, ob peb walnuts.
Hnub Friday:
- thawj tag kis - cov txiv hmab txiv ntoo nyias ua ke nrog kefir, tshuaj yej;
- thib ob noj tshais - mis oatmeal nrog cov txiv hmab txiv ntoo qhuav, kua txiv muaj ntau lub txiv ntoo;
- noj su - meatball kua zaub, zom qos yaj ywm, ntses ntses, zaub xam lav, kua txiv hmab txiv ntoo qhuav, ntau lub hnab;
- cov khoom noj txom ncauj rau yav tav su - tsev cheese ua raws caij nyoog nrog qab zib ntawm 15% rog, cov txiv hmab txiv ntoo qhuav;
- thawj noj hmo - pilaf nrog nqaij qaib lub siab, zaub xam lav, kas fes nrog qab zib;
- zaum thib ob yog khob kua mis nyeem qaub.
Hnub Saturday:
- thawj pluas tshais - tsev me cheese kua zaub nrog txiv tsawb;
- thib ob noj tshais - omelet nrog zaub los ntawm ib lub qe, hau squid, kua txiv kab ntxwv;
- noj su - zaub kua zaub, stewed zaub hauv lub lauj kaub rau ntshav qab zib thiab chav ua noj nqaij qaib cutlet, ib qho hlais ntawm cov qhob cij rye, cov txiv hmab txiv ntoo qhuav compote;
- tav su tshuaj yej - 200 grams ntawm tej txiv ntoo;
- thawj noj hmo - stewed nceb nrog nqaij qaib, ib nplais ntawm qhob cij, kas fes nrog qab zib, hlais cov chocolate tsaus;
- thib ob noj hmo - ib khob ntawm ryazhenka, ib txhais tes ntawm cov txiv hmab txiv ntoo qhuav.
Hnub Sunday:
- thawj zaug noj tshais - zaub zaub xas lav nrog qaub cream 15% roj, ib qho hlais ntawm cov ncuav ci ncuav, kua txiv;
- thib ob noj tshais - tsev pheeb suab cheese dumplings, tshuaj yej nrog txiv qaub;
- cov pluas su - ntses kua zaub, veal pilaf, zaub xam lav, ib qho mov ci, cov txiv ntoo tshiab compote;
- tav su tshuaj yej - oatmeal hauv mis nrog txiv hmab txiv ntoo qhuav, tshuaj yej;
- thawj zaug noj hmo - zaub qhwv zaub ntsuab, nqaij qaib tsuav, hlais mov ci, tshuaj yej nrog hlais tsaus chocolate;
- thib ob noj hmo - luam theej duab ntawm kefir, ob peb walnuts.
Xws li kev noj zaub mov ua kom haum rau kev ua kom ntshav qab zib insipidus li qub. Tab sis ua ntej nws siv, kev sab laj ntawm kws kho mob yog qhov tsim nyog.
Hauv cov yeeb yaj kiab hauv tsab xov xwm no, Dr. Myasnikov hais txog kab mob ntshav qab zib insipidus.
