Mob ntshav qab zib mellitus yog pathology ntawm endocrine apparatus, tshwj xeeb tshaj yog tus txiav, uas yog tus cwj pwm los ntawm tsis muaj tseeb los yog tus txheeb ze tsis muaj zog insulin thiab tshwm sim los ntawm cov lej ntau ntawm cov piam thaj hauv cov ntshav. Tus kab mob yuav tsum kho cov neeg mob cov zaub mov noj thiab ua raws li cov lus qhia los ntawm cov kws tshwj xeeb.
Kev noj haus ntshav qab zib yog suav tias yog lub hauv paus ntawm txoj kev kho. Nws yog nrog nws tias kev kho mob pib hauv thawj theem pib ntawm pathology. Muaj cov xwm txheej uas paub txog kev sib xyaw nrog kev noj zaub mov noj nrog kev ua kom lub cev, uas ua rau nws tuaj yeem them nyiaj rau cov kab mob hauv qab thiab txo cov tshuaj insulin thiab cov tshuaj noj hauv qhov ncauj.
Endocrinologist - tus pab cuam ntawm txoj hauv kev los tiv thaiv tus kab mob
Cov ntaub ntawv dav dav
Kev sib koom tes ntawm cov neeg endocrinologist thiab cov kws paub noj zaub mov ua ke yog sawv cev los ntawm kev txhim kho hauv cov lus 9 yog kev noj haus rau ntshav qab zib. Qhov kev noj haus no tau lees paub tias yog qhov zoo tshaj plaws raws li cov txheej txheem ntawm kev txhim kho ntawm "tus kab mob qab zib" thiab nws cov kev tshwm sim. Nws ua raws cov khoom noj khoom haus zoo tsim nyog, uas muab tus neeg lub zog xav tau, tab sis tib lub sijhawm muaj kev hloov pauv ntawm cov khoom nkag "lub tsev" (cov protein, lipids thiab carbohydrates).
Daim Ntawv 9 yog cov lus qhia dav dav hais txog dab tsi los noj rau ntshav qab zib, thiab vim li cas yuav tsum tau muab pov tseg lossis cov txwv tsawg. Hauv cov lus qhia ntau ntxiv, kev noj haus tau txiav txim siab los ntawm tus kws kho mob tau koom nrog cov ntsiab lus hauv qab no:
- Cov xwm txheej them cov kab mob;
- kev noj qab haus huv ntawm tus neeg mob;
- muaj hnub nyoog
- glycemia qib;
- muaj cov surges hauv qab zib ntawm ib plab khoob los yog tom qab noj mov;
- kev siv tshuaj kho mob;
- tus neeg mob hnyav;
- muaj cov teeb meem tshwm sim los ntawm qhov ntsuas pom lub qhov muag, lub raum, thiab lub paj hlwb.
Cov yam ntxwv ntawm kev noj haus kev kho mob
Noj zaub mov zoo rau ntshav qab zib yog ua raws cov ntsiab lus hauv qab no:
Noj rau hom ntshav qab zib hom 1 rau ib vas thiv- Tus nqi ntawm cov protein nyob rau hauv cov zaub mov noj txhua hnub yuav tsum tau nce los ntawm 50% mus rau 60%. Qhov no yuav tsum tau ua nyob rau hauv cov nuj nqis ntawm protein tshuaj ntawm tsob ntoo keeb kwm.
- Qib ntawm lipids tau txais yog txo txij li 35% mus rau 25% vim qhov kev txwv ntawm cov tsiaj rog.
- Txo cov nyiaj carbohydrates hauv zaub mov ntawm 40-50% mus rau 15%. Kev zom zaub mov carbohydrates yuav tsum tau hloov nrog cov zaub mov uas muaj fiber ntau thiab lwm yam kev noj haus fiber ntau.
- Txwv tsis pub muaj suab thaj hauv ib qho kev qhia. Koj tuaj yeem siv cov khoom hloov pauv - fructose, xylitol lossis cov khoom ntuj tsim - qab zib phoov, ntuj zib.
- Qhov kom zoo dua yog muab rau cov tais diav uas muaj cov vitamins thiab zaub mov tseem ceeb hauv qhov muaj pes tsawg leeg, txij li cov ntshav qab zib tau pom los ntawm kev tshem tawm ntau yam ntawm cov tshuaj no vim yog polyuria.
- Kev kho mob ntshav qab zib rau cov ntshav qab zib dua li cov nqaij siav, noj nqaij thiab ua kom sov.
- Koj tuaj yeem siv cov dej haus tsis pub ntau tshaj 1.5 litres ib hnub, txwv ntsev kom txog 6 g.
- Kev noj haus yuav tsum muaj ntau yam, noj mov txhua 3-3.5 teev.
Ntau yam kev noj haus thiab khoom noj khoom haus hauv qhov me me - cov khoom noj kho kom zoo
Tseem Ceeb! Kev noj haus rau ntshav qab zib muaj feem cuam rau 2200 kcal ntawm lub zog tauj ib hnub. Hloov cov calories nyob rau hauv ib qho kev qhia lossis lwm qhov yog txiav txim siab los ntawm tus kws tshaj lij koom nrog tshwj xeeb.
Cov khoom thiab lawv cov yam ntxwv
Txhawm rau noj mov nrog cov ntshav qab zib, koj yuav tsum pleev xim rau cov zaub mov ib tus kheej rau ib hnub, muab cov ntsiab lus ntawm cov calories thiab glycemic index ntawm cov khoom. GI - qhov ntsuas uas pom tseeb ntawm kev nce siab hauv qib ntawm cov piam thaj hauv lub cev tom qab noj zaub mov lossis zaub mov. Kev ntsuas qis dua, cov khoom lag luam zoo dua rau tus neeg mob yog txiav txim siab.
| Cov pab pawg khoom | Koj tuaj yeem noj muaj ntshav qab zib | Uas cov zaub mov raug txwv los yog txwv |
| Mov ci thiab ci | Biscuits, inedible pastries, qhob cij yob, crackers, pancakes, pancakes | Sab saum toj-qib hmoov nplej qhob cij, yob, bagel, pies, rolls, loaf |
| Thawj qhov kev kawm | Cov kua zaub thiab borscht ntawm cov ntses thiab cov nceb kua zaub, kua zaub zaub, kua zaub qhwv, thawj cov chav kawm raws li kua zaub los ntawm cov nqaij ntshiv | Cov mis nyuj ua ntej chav kawm, kev siv cov nplej zom hauv kev ua noj, rog nqaij rog |
| Nqaij khoom | Nqaij nyuj, nqaij tawv, luav, yaj, nqaij qaib, quail | Rog cov nqaij npuas, caj dab, tawm hws, hnyuv ntxwm, nqaij nqaj, nqaij siav, nqaij ntses, os |
| Ntses thiab nqaij ntses | Pollock, trout, crucian carp, pike perch, cov kaus poom hauv nws cov kua txiv, soaked herring thiab kelp | Cov kab yeeb, nqaij ntses kib, muaj roj ntau yam, caviar, cov kaus poom hauv qab thiab cov ntses crab |
| Cov qe | Nqaij qaib, quail | Tsis pub ntau tshaj 1.5 nqaij qaib, kev txwv rau kev siv yolk |
| Khoom noj siv mis thiab mis los | Cov kua mis nyeem qaub uas tsis muaj cov khoom ntxiv, mis, tsev cheese thiab qaub qab zib ntawm cov roj tsawg cov ntsiab lus, cheesecakes, casserole, ntsev me ntsis ntsev, fermented ci mis, kua mis qaub | Cov hauv tsev muaj roj ntau qaub-cream thiab tsev cheese, tsw qab yogurt |
| Cereals thiab nplej zom | Buckwheat, millet, nplej, barley, pob kws nplej, oatmeal, txhuv xim av | Mov nplej dawb, semolina |
| Zaub | Txhua tus paub, txawm li cas los xij, qee qhov yuav tsum tau txwv. | Hau, kib, stewed carrots, qos yaj ywm thiab beets |
| Txiv Hmab Txiv Ntoo | Txhua tus tsuas yog cov uas tau hais hauv seem txwv. | Cov txiv kab ntxwv, tangerines, hnub tim, txiv tsawb |
| Khoom qab zib | Zib ntab, maple phoov, stevia extract, piam thaj hloov | Jelly, mousse, khoom qab zib, jam, mis nyuj khov, khoom qab zib |
| Dej qab zib | Dej, kua txiv, tshuaj yej, kas fes (hauv me me), cov ntsiab lus tsis muaj qab zib | Cawv, dej daj ntshiab tawm |
Kev noj zaub mov rau cov poj niam cev xeeb tub uas muaj ntshav qab zib
Kev noj zaub mov kom zoo rau cov poj niam thaum lub sijhawm yug tus menyuam yog qhov tseem ceeb heev. Yuav ua li cas yog tias lub cev xeeb tub "ntsib" nrog ntshav qab zib mellitus, thiab glycemia indices yuav tsum tau tswj nyob hauv kev txwv siv tau.
Yuav noj li cas thiaj li muaj ntshav qab zib, tus poj niam yuav qhia lawv tus kws endocrinologist. Cov ntawv qhia zaub mov yuav tsum tau kho kom thiaj li tsis tsuas muaj txo cov piam thaj hauv cov ntshav, tab sis leej niam thiab nws tus menyuam tau txais txhua yam tshuaj tsim nyog rau kev txhim kho thiab lub neej.
Cov hauv paus ntsiab lus ntawm kev noj zaub mov zoo thaum cev xeeb tub:
- Cov ntsiab lus calories ntau yuav tsum nyob rau hauv thaj tsam ntawm 1800-1900 kcal. Qhov ntau cov khoom siv dag zog yuav nkag mus rau hauv lub cev, tus pojniam yuav nce sai sai. Tawm tsam keeb kwm ntawm "kab mob qab zib" qhov no tsis tsim nyog, kev pheej hmoo ntawm macrosomia thiab lwm yam kab mob pathologies hauv plab yog nce ntau zaug.
- Cov zaub mov yuav tsum yog cov seem thiab ntau zaus (6 zaug hauv ib hnub hauv qhov me me). Qhov no yuav tiv thaiv qhov pib ntawm kev tshaib plab.
- Nce cov khoom noj cog kom ntau. Lawv muaj cov as-ham ntau dua li tom qab kho cua sov.
- Txwv txiav ntsev thiab haus dej kom tsis txhob mob raum.
Cov poj niam cev xeeb tub uas muaj mob "kab mob qab zib" tuaj yeem siv tshuaj ntsuab los kho cov tshuaj tiv thaiv mob ntshav qab zib (ketoacidosis, coma). Cov no tuaj yeem yog cov tshuaj ntsuab tshuaj ntsuab thiab kho kom zoo nkauj raws li dandelion, rosehip, nettle, thiab noob flax, kom txo qab zib thiab txhawb cov txheej txheem hauv lub cev. Lub peev xwm ntawm lawv txoj kev siv yuav tsum tau tham nrog tus thawj coj tshwj xeeb.
Txhawb Txoj Cai Glycemia Zoo Li Cas Thaum Cev Xeeb Tub - Daim Ntawv Cog Lus rau Cov Menyuam Muaj Kev Noj Qab Nyob Zoo
Khoom noj khoom haus me nyuam
Kev noj haus rau ntshav qab zib hauv cov neeg laus yog qhia meej thiab yooj yim. Tab sis dab tsi yog tias tus me nyuam muaj mob? Nws nyuaj dua rau nws los piav tias luav yuav tsum tau hloov nrog rye cij, thiab kom tsis txhob noj khoom qab zib txhua yam. Cov kws tshaj lij pom zoo rau txhua tsev neeg ntawm tus menyuam muaj mob kom ua raws li cov khoom noj uas tau xaiv los ua kev noj zaub mov noj. Qhov no yuav ua rau tus menyuam tsis xav tias nws tau ploj ntawm qee yam lossis tsis zoo li txhua tus neeg.
Kev noj zaub mov rau cov me nyuam muaj ntshav qab zib muaj cov yam ntxwv li nram no:
- tom qab qhia txog cov insulin luv luv los yog ultrashort, koj yuav tsum pub mis rau 10-15 feeb;
- yog tias cov insulin ntev siv, kev noj zaub mov yuav tsum tshwm sim ib teev tom qab txhaj, tom qab ntawd txhua 3 teev;
- cov fractional noj hauv feem me me raws sijhawm;
- cov khoom noj txom ncauj me me ua ntej kev tawm dag zog lossis kev kawm;
- qhaj tsis muaj teeb meem - ib lub ntees kom haus cov protein, lipids thiab carbohydrates raws li hnub nyoog;
- nws yog qhov tsim nyog suav nrog cov khoom noj carbohydrate hauv cov khoom noj ua ke tib lub sijhawm;
- Kev kho cua sov yog tib yam rau cov neeg laus, thiab yog hais tias ketoacidosis, zom cov khoom noj, ua tiav cov khoom ntshiab.
Ntshav qab zib mellitus - ib tug kab mob uas tuaj yeem loj hlob rau hauv cov laus thiab menyuam yaus
Yog tias tus menyuam tseem tos cov rooj noj mov hauv khw noj mov lossis tsev noj mov, koj yuav tsum txhawj txog cov tais diav uas tau qhia ua ntej thiab ntsuas qhov tseeb ntawm cov tshuaj insulin. Nws yog ib qho tseem ceeb kom nco ntsoov tias hauv tsev kawm ntawv, hauv kev zais ntawm niam txiv, tus me nyuam tuaj yeem tsoo cov khoom noj kom yuag. Ntawm no, cov haujlwm ntawm cov niam txiv yuav tsum qhia meej cov ntawv qhia zaub mov txhua lub limtiam thiab thov kom tus kws qhia ntawv hauv chav kawm, yog tias ua tau, saib qhov ntau thiab qhov ntawm cov khoom siv.
Ntawv qhia zaub mov
Noj zaub mov rau cov mob ntshav qab zib yuav tsum tau ua tib zoo suav laij. Cov kws tshaj lij pom zoo tias cov neeg mob pib sau ntawv rau nws tus kheej los kho cov ntawv qhia zaub mov, cov ntsuas nyob rau tom qab hnub, cov xwm txheej ntawm lub cev, cov ntaub ntawv ntxiv.
Txhawm rau noj zaub mov kom zoo nrog ntshav qab zib, nws tsis tas yuav txwv koj tus kheej hauv txhua yam, koj tsuas yog xav ua raws li kev pom zoo ntawm cov kws tshwj xeeb. Thaum xub thawj, koj tuaj yeem nug koj tus kws kho mob kom kho cov ntawv qhia ua zaub mov.
Piv txwv
Noj tshais: Oatmeal ntawm dej, lub khob ntawm unsweetened compote.
Khoom txom ncauj: 3-4 apricots.
Noj su: Zaub kua zaub, radish nyias nrog qaub cream, qhob cij, tshuaj yej.
Khoom txom ncauj: Rusk, lub khob ntawm blueberry kua txiv.
Noj hmo: Qos cutlets, hau pollock fillet, lws suav nyias, qhob cij, dej muaj ntxhia tsis muaj roj.
Khoom txom ncauj: Ib khob ntawm kefir lossis fermented ci mis nyuj.
Ntshav qab zib cov zaub mov txawv
Ntxiv mus, koj tuaj yeem paub koj tus kheej nrog ob peb tus piv txwv ntawm cov tais diav uas tau tso cai nrog "kab mob qab zib".
| Npe | Cov khoom xyaw | Muaj nta |
| Cov zaub hauv qaub cream thiab lws suav | 350 g zucchini; 450 g ntawm zaub paj; 4 tbsp amaranth hmoov nplej; 2 tbsp zaub muaj roj; ib khob ntawm muaj roj tsawg rog qaub cream; 2 tbsp ketchup (koj tuaj yeem nyob hauv tsev); clove ntawm qej; cov ntsev. | Zucchini txiav rau hauv kab, cauliflower ntxuav thiab disassembled rau hauv daim. Boil zaub nyob rau hauv salted dej kom txog thaum kev sib tw. Cov roj ua muaj roj, qaub cream thiab ketchup yog sib xyaw rau hauv cov roj kib. Ib me ntsis hmoov yog qhia, ces tws qej. Muab cov zaub thiab nqaij xyaw ua mov, simmer rau 5-7 feeb dua li tsawg cua sov. Ua ntej pab, kho kom zoo nkauj nrog txiv lws suav thiab tshuaj ntsuab. |
| Cov nqaij qe | 0.5 kg ntawm minced nqaij (yuav los yog siav hauv tsev); ntsuab xiab sub; 3 tbsp amaranth hmoov nplej; 200 g taub dag; ntsev, kua txob. | Stuffing yog ua ke nrog tws dos, hmoov thiab grated taub dag. Ntsev thiab kua txob ntxiv rau saj. Cov kem qe kheej kheej kheej kheej lossis kheej kheej. Koj tuaj yeem ua noj nyob rau hauv broth, ntxiv lws suav muab tshuaj txhuam lossis tsuas yog siv zog. |
| Txiv ntoo kua zaub | 2 khob ntawm currant; 0.5 kg ntawm cov txiv hmab txiv ntoo tsis qab; 1 tbsp hmoov txhuv nplej siab; 3 g ntawm stevia extract; ? tbsp zib ntab. | Txhawm rau npaj cov khoom qab zib rau cov kua zaub, koj yuav tsum ncuav stevia hauv 500 ml ntawm dej npau. Simmer rau txog ib teev. Ib nrab ntawm currant yuav tsum tau hauv av nrog rab diav lossis scrolled hauv cov nqaij grinder, ncuav ib liter ntawm dej npau npau, qhia cov hmoov txhuv nplej siab. Txiav lub txiv apples. Ncuav cov txiv hmab txiv ntoo uas tseem tshuav nrog Txoj kev lis ntshav ntawm currants, ntxiv stevia. Yog tias khoom qab zib tsis txaus, koj tuaj yeem ntxiv zib ntab rau saj. |
Txhawm rau ua raws kev noj haus rau ntshav qab zib, memos raug suav hais tias yog cov neeg pab zoo tshaj plaws. Nrog lawv cov kev pab, koj tsis tuaj yeem nkim sijhawm nrhiav cov ntaub ntawv hauv cov ntawv lossis hauv Is Taws Nem. Npaj rooj nrog cov ntsuas ntawm GI, cov calories, cov ntsiab lus ntawm "cov khoom siv hauv tsev" tuaj yeem npaj thiab dai rau ntawm lub tub yees, muab tso rau hauv tus kheej qhov chaw khaws cia. Qhov no tseem muaj cov ntawv qhia ua ntej tsim. Ua raws li cov lus pom zoo ntawm tus kws tshwj xeeb yog tus yuam sij rau lub neej zoo rau tus neeg mob.
