Mob ntshav qab zib mellitus yog cov kab mob endocrine nyob rau hauv uas lub cev tsis muaj peev xwm ua tiav cov txheej txheem hauv metabolic, muab cov hlwb thiab cov nqaij nrog lub zog. Tus kab mob yog raws li hyperglycemia (ntshav qab zib siab). Tus mob tshwm sim vim qhov tseeb tias cov txiav tsis tau ua rau muaj insulin txaus lossis lub cev ntawm lub cev poob lawv qhov kev paub tsis txaus rau cov tshuaj no.
Hauv qab no yog cov ntsiab lus ntawm kev hloov kho khoom noj, ib qho piv txwv ntawm cov zaub mov noj txhua lub lim tiam, zaub mov qab thiab yooj yim rau cov neeg mob.
Lub luag haujlwm ntawm khoom noj khoom haus hauv ntshav qab zib
Nrog kev txhim kho ntawm "tus kab mob qab zib", lub cev tsis tuaj yeem ua tiav cov carbohydrates. Hauv cov txheej txheem ntawm kev zom zaub mov, nws yog carbohydrates (saccharides) uas tau tawg rau hauv monosaccharides, uas cov piam thaj tseem nyob. Cov tshuaj tsis nkag rau hauv lub hlwb thiab cov nqaij hauv qhov ntim uas xav tau, tab sis tseem nyob hauv cov ntshav hauv cov ntshav ntau.
Thaum hyperglycemia loj hlob tuaj, tus txiav tau txais lub teeb liab hais txog qhov yuav tsum tau tso cov kua dej mus ntxiv thauj cov suab thaj rau cov qog. Yog tias cov tshuaj insulin tsis tsim txaus, peb tab tom tham txog 1 hom mob. Nrog ib tug ploj ntawm qhov rhiab heev rau ib yam tshuaj uas ua rau lub cev, tus mob yog hais txog hom 2 pathology.
Hyperglycemia - qhov taw qhia uas yuav tsum tau kho cov ntshav qab zib
Cov nqaijrog thiab cov rog rog kuj tuaj yeem koom nrog hauv kev tsim cov piam thaj hauv lub cev, tab sis qhov no twb tau tshwm sim los rov qab ua kom cov suab thaj tom qab nws tawg hauv lub cev. Raws li cov lus tau hais dhau los, nws tuaj yeem xaus lus tias yuav ua rau cov ntshav qab zib kom nce tsis tau nce mus rau cov qib tseem ceeb, nws yog ib qho tsim nyog yuav tau txo qis me me ntawm qhov kev nkag mus hauv lub cev.
Kev noj cov zaub mov muaj roj tsawg pab daws ntshav qab zib tau li cas?
Cov kev tshawb fawb soj ntsuam tau ua rau pom tseeb qhov ua tau zoo ntawm kev siv cov ntsiab cai ntawm kev noj zaub mov zoo rau cov neeg mob ntshav qab zib. Lub hom phiaj ntawm kev noj haus zoo li no:
- txo qis hauv lub nra rau ntawm cov txiav;
- nce rhiab heev ntawm cov hlwb thiab cov nqaij hauv lub cev rau cov tshuaj insulin;
- tswj xyuas cov piam thaj hauv qhov txwv tsis pub siv;
- kev tswj hwm qhov hnyav, nws txo yog tsim nyog;
- ntxuav cov hlab ntshav ntawm cov roj ntau dhau;
- txhawb rau cov ntshav siab nyob rau hauv ib txwm txwv;
- kev tiv thaiv ntawm cov mob cuam tshuam los ntawm lub raum, cov hlab ntsha, pob nyiaj, paj hlwb.
Pib qhov twg?
Kev noj cov zaub mov kom tsis txhob muaj ntshav qab zib rau cov ntshav qab zib yuav tsum muaj txoj hauv kev zoo thiab npaj tau. Qhov koj yuav tsum ua:
- Sab laj nrog koj tus kws kho keeb (endocrinologist) seb yuav ua li cas xaiv thiab ntsuas koj cov tshuaj insulin. Koj yuav tsum muaj peev xwm ua qhov no txhawm rau txhawm rau xaiv cov tshuaj ntau npaum li cas nyob ntawm cov zaub mov ib tus neeg.
- Muaj lub ntsej muag lo rau ntawm txhais tes kom paub meej txog cov piam thaj kom huv si thiab ib yam qab zib uas nres ib qho kev ua rau cov ntshav qab zib hauv lub sijhawm.
- Cov kws tshwj xeeb yuav tsum paub lawv tus kheej nrog glycemia ntau lub lis piam dhau los. Raws li txoj cai, tom ntej ntawm cov lej, cov neeg mob qhia tias lawv noj dab tsi, theem kev qoj ib ce, muaj cov kab mob concomitant. Txhua qhov no tseem ceeb heev!
- Tus kws kho mob tseem hais meej seb puas muaj cov kev mob tshwm sim dhau los hauv tus neeg mob los yog tsis.
Endocrinologist - tus kws tshaj lij uas yuav pab koj xaiv cov zaub mov ib tus neeg
Raws li tag nrho cov ntsuas no, tus kws kho mob endocrinologist yuav pab pleev xim rau cov ntawv qhia hauv ib lub lis piam, txheeb xyuas kev ua haujlwm hauv lub cev, thiab ua tiav txoj kev kho cov tshuaj.
Ntau npaum li cas carbohydrate yuav tsum tau noj
Lo lus nug no suav hais tias yog "rab ntaj ob ntaj". Cov kws tshawb fawb cov kws tshawb fawb tau lees paub qhov kev txo qis ntawm glycemia, lub cev hnyav thiab lwm cov cim ntawm cov ntshav qab zib nrog kev noj tshuaj saccharides mus rau 30 g ib hnub. Txawm li cas los xij, ib tug xov tooj ntawm cov kws tshaj lij tau sib cav hais tias hauv kev noj haus txhua hnub yuav tsum muaj tsawg kawg yog 70 g ntawm carbohydrates.
Cov kws paub txog kev noj qab haus huv tau xaus tias muaj pes tsawg cov carbohydrates uas yuav tsum tau suav nrog cov zaub mov noj txhua hnub tsis muaj nyob. Nws raug xaiv rau txhua kis mob kho mob ib leeg zuj zus, raws li cov ntsiab lus hauv qab no:
- poj niam txiv neej thiab lub hnub nyoog ntawm tus neeg mob;
- lub cev hnyav
- Qhov ntsuas ntawm qab zib ntawm ib qho khoob khoob thiab tom qab 60-120 feeb tom qab kev noj zaub mov rau hauv lub cev.
Cov Khoom Txwv Txwv
Kev noj zaub mov kom tsawg rau cov neeg mob ntshav qab zib yog ua raws li kev faib zaub mov rau peb pawg loj: tso cai, txwv tsis pub thiab cov khoom noj uas tuaj yeem tso rau hauv ib qho zaub mov rau ib tus neeg, tab sis hauv tsawg.
Lub rooj qhia cov khoom lag luam uas koj xav tau kom tsawg li ntau tau hauv kev noj haus.
| Cov pab pawg | Cov Neeg Tseem Ceeb |
| Hmoov nplej thiab nplej zom | Mov ci thiab ncuav muffin los ntawm hmoov nplej ntawm thawj qib thiab qib siab, nplej zom, ncuav puff |
| Thawj qhov kev kawm | Borsch thiab kua zaub ntawm nqaij npuas lossis nqaij ntses cov nqaij ntshiv, khoom noj mis nyuj ua ntej kawm nrog cov mij |
| Nqaij thiab hnyuv ntxwm | Nqaij npuas, duck, Goose, haus sausages, salami sausages |
| Ntses | Rog ntau yam, caviar, haus thiab salted ntses, cov kaus poom ntses |
| Khoom noj siv mis | Muaj roj ua rau lub cev muaj roj qaub, qhiav qab zib, tsw qab yogurt, ua las ntsev |
| Cereals | Semka, nplej dawb (txwv) |
| Txiv hmab txiv ntoo thiab zaub | Tuav carrots, hau beets, figs, txiv quav ntswv nyoos, hnub tim, raisins |
| Lwm cov khoom lag luam thiab tais diav | Cov kua ntses, horseradish, mustard, haus dej cawv, haus dej haus, kua txiv qaub |
Cov Khoom Uas Tso Cai
Tus neeg mob yuav tsum tsis txhob ntshai tias ib qho tseem ceeb ntawm cov khoom lag luam yuav tsum tau txwv. Muaj ntau daim ntawv teev cov khoom noj uas pub tsawg-carb uas yuav muab tau cov ntshav qab zib nrog txhua yam tsim nyog, cov vitamins thiab kab kawm.
| Cov pab pawg | Cov Neeg Tseem Ceeb |
| Mov ci thiab hmoov nplej | Mov ci raws li hmoov ntawm qib qib thib ob, txhuv, nrog pob kws. Cov kab ke ntawm cov hmoov nplej hauv cov khoom noj pub rau hauv qhov xwm txheej ntawm kev txo qis ntawm kev noj mov |
| Thawj qhov kev kawm | Zaub borscht thiab kua zaub, kua zaub kua zaub, kua zaub nqaij, nqaij ntses tsawg thiab ua kua nqaij ntses |
| Nqaij khoom | Nqaij nyuj, nqaij menyuam nyuj, nqaij qaib, luav, qaib cov txwv |
| Ntses thiab nqaij ntses | Crucian carp, pike perch, trout, pollock, txhua yam nqaij nruab deg |
| Khoom noj txom ncauj | Fresh zaub xam lav, vinaigrette, zucchini caviar, sauerkraut, txiv quav txiv ntoo, tsau herring |
| Zaub | Txhua yam tshwj tsis yog hau qos hau, carrots thiab beets (txwv) |
| Txiv Hmab Txiv Ntoo | Apricots, txiv ntoo qab zib, txiv ntoo qab zib, mangoes thiab kiwis, txiv puv luj |
| Mis thiab Mis los | Kefir, tsis muaj roj-tsawg tsev cheese thiab qaub cream, fermented ci lub mis, qaub mis |
| Lwm cov khoom lag luam | Nceb, txuj lom, cereals, butter (txog 40 g ib hnub) |
| Dej qab zib | Cov ntxhia dej tsis muaj roj, tshuaj yej, compote, haus kua txiv, tshuaj ntsuab tshuaj ntsuab |
Dab tsi cuam tshuam rau kev xaiv cov khoom?
Thaum tsim cov ntawv qhia zaub mov ntawm tus kheej, tus mob ntshav qab zib yuav tsum xav txog ntau tus ntsuas:
- Lub glycemic index yog qhov sib npaug digital uas qhia tau ntau npaum li cas ntawm cov piam thaj hauv cov ntshav nce siab tom qab noj ib lossis lwm yam khoom.
- Qhov insulin Performance index yog qhov taw qhia uas qhia tias yuav tsum muaj cov tshuaj hormones ntau npaum li cas thiaj li rov qab glycemic mus txog qib qub tom qab noj ib qho khoom lossis ib qho tais diav.
- Tus nqi noj haus yog lub tswvyim uas qhia txog cov khoom muaj txiaj ntsig zoo ntawm cov khoom siv hauv cov txheej txheem los muab lub cev nrog lub zog.
Nws yog ib qho tseem ceeb uas yuav tsum xav txog kev kho cua sov thaum ua noj, vim nws muaj peev xwm cuam tshuam rau kev ua tau zoo ntawm glycemic indices. Raws li txoj cai, GI cov naj npawb hauv cov zaub nyoos thiab txiv hmab txiv ntoo yog qis dua hauv cov nqaij hau, ci los yog stewed. Tus neeg mob yuav tsum coj mus rau qhov no thaum xam qhov tshuaj ntawm cov tshuaj insulin.
Kev noj zaub mov noj rau ntshav qab zib - nws tuaj yeem tsis tsuas yog muaj txiaj ntsig, tab sis kuj muaj qab hau
Lub Zog Kho Cov Kev Cai
Yog li kom tus neeg mob tau txais qhov tsim nyog ntawm cov tshuaj muaj txiaj ntsig, tab sis tsis ua mob rau lawv lub cev, cov cai hauv qab no yuav tsum raug pom:
Noj dab tsi nrog mob ntshav qab zib hom 2- Noj mov yuav tsum tau nquag thiab hauv me me (4 txog 8 zaug hauv ib hnub). Nws raug nquahu kom noj nyob rau tib lub sijhawm. Qhov no txhawb cov haujlwm ua haujlwm kom zoo ntawm tus txiav.
- Tus nqi ntawm cov carbohydrates noj yuav tsum tau faib tusyees ntawm tag nrho cov zaub mov tseem ceeb.
- Kev noj txhua hnub los ntsuas los ntawm tus kws kho mob ib leeg zuj zus. Tus mob ntshav qab zib nrog qhov hnyav nruab nrab ntawm 2600-2800 kcal.
- Noj zaub mov zoo, nrog rau kev noj ntau dhau, raug txwv tsis pub noj.
- Nws yog ib qho tsim nyog yuav tsum tau tso tseg cov cawv, kom tsis pub haus luam yeeb, qaub, zaub mov qab.
- Qhov Kev Nyiam muab rau cov ncu ci, ci, ci, hau zaub mov.
Cov qauv rau kev noj haus zoo rau
Yuav luag txhua tus neeg mob ntshav qab zib nyiam ua li cas lawv thiaj li paub tias kev noj zaub mov zoo pab tau. Cov kev ua tau zoo yuav raug lees paub los ntawm cov ntsuas hauv qab no:
- kev noj qab haus huv;
- qhov tsis muaj pathological kev tshaib kev nqhis thiab, hloov chaw, hnyav dua hauv plab tom qab noj mov;
- poob phaus;
- ib txwm muaj ntshav siab;
- normalization ntawm lipid metabolism (cov roj cholesterol, triglycerides);
- kev siv ceev ceev glycemia ntsuas qis dua 5.5 mmol / l;
- qab zib cov duab 2 teev tom qab noj tsawg dua 6.8 mmol / l;
- glycated hemoglobin qib qis dua 6.5%.
Ntawv qhia zaub mov rau hnub ntawd
Kev txhim kho ntawm cov zaub mov uas tsis tshua muaj carb zoo rau cov neeg mob ntshav qab zib tuaj yeem daws tsis tau tsuas yog los ntawm tus kws koom nrog endocrinologist, tab sis kuj los ntawm tus neeg noj zaub mov zoo uas paub txog cov yam ntxwv tshwj xeeb hauv kev kuaj mob.
Ib qho piv txwv ntawm cov ntawv qhia zaub mov ib tus neeg:
- noj tshais - hau qe qaib lossis ob peb quail, qhob cij thiab butter, tshuaj yej;
- khoom txom ncauj No. 1 - khob ntawm blackberry;
- cov pluas su - borsch, millet porridge, boiled qaib ntxhw fillet, compote;
- cov khoom txom ncauj No. 2 - txiv kab ntxwv;
- noj hmo - buckwheat, stewed zaub, qhob cij, haus kua txiv;
- khoom noj txom ncauj No. 3 - lub khob ntawm kefir, khaub noom qhuav.
Khoom txom ncauj yog qhov yuav tsum tau noj kom muaj ntshav qab zib txhua hnub.
Liaj noj qab zib qab zib
Lub rooj noj haus rau cov ntshav qab zib muaj feem xyuam rau kev npaj cov tais diav uas muaj glycemic index tsawg, tab sis tib lub sijhawm muab lub cev nrog cov nyiaj tsim nyog ntawm cov khoom siv dag zog, cov vitamins, kab kawm.
Ntses khoom qab zib
Cov khoom xyaw hauv qab no yuav tsum tau npaj:
- 300 g fillet ntawm pollock;
- 100 g ntawm qhob cij (koj tuaj yeem siv cov khob cij nplej ntawm qib qib thib ob);
- 25 g butter;
- 1/3 khob mis;
- 1 dos.
Khob cij yuav tsum tau muab ត្រាំ rau hauv cov mis nyuj, tev thiab tws dos. Hla txhua yam ua ke nrog ntses los ntawm ib tug nqaij grinder. Ntxiv cov nqaij minced, ntxiv me kua txob hauv av. Daim ntawv cov khoom, ncu pa. Thaum muab kev pabcuam, koj tuaj yeem dai nrog zaub ntsuab.
Ntses fillet cutlets yuav dai tsis tsuas yog txhua txhua hnub, tab sis kuj yog lub rooj noj mov festive
Blueberry rye pancakes
Cov khoom xyaw rau cov tais:
- nqaij qaib qe - 2 pcs .;
- stevia tshuaj ntsuab - 2 g;
- tsev cheese - 150 g;
- blueberries - 150 g;
- dej qab zib - 1 tsp;
- de ib tug ntsev;
- zaub muaj roj - 3 tbsp. l .;
- rye hmoov - 2 khob.
Nws yog ib qho tsim nyog los npaj lub qab zib Txoj kev lis ntshav ntawm stevia. Ua li no, nchuav nyom hauv ib khob ntawm lub rhaub dej thiab tawm rau ib lub hlis twg ntawm ib teev. Cov qe, tsev cheese thiab stevia Txoj kev lis ntshav yog sib xyaw rau hauv ib lub thawv cais. Hauv lwm qhov, ntsev thiab rye hmoov. Tom qab ntawd cov pawg no tau sib xyaw ua ke, dej qab zib, zaub roj thiab txiv ntseej yog ua kom paub. Maj mam muab sib tov. Lub khob noom cookie tau npaj txhij rau ci.
Cauliflower Zrazy
Cov khoom xyaw
- zaub paj dawb - 1 lub taub hau;
- hmoov nplej - 4 tbsp. l .;
- zaub muaj roj - 3 tbsp. l .;
- de ib tug ntsev;
- cov hauv paus dos ntsuab;
- nqaij qaib qe - 1 pc.
Kev noj cov zaub mov muaj carb tsawg tuaj yeem muaj ntau yam thiab noj qab nyob zoo.
Disassemble lub taub hau cabbage rau hauv daim, rhaub hauv salted dej rau ib quarter ntawm ib teev. Cov zaub tiav lawm yuav tsum tau muab sib zog, ua ke nrog hmoov thiab ntsev. Teeb ib nrab rau ib teev. Nyob rau lub sijhawm no, rhais lub qe, tsuav nws thiab sib tov nrog dos.
Cutlets yog tsim los ntawm cov zaub pob, ntau cov qe-dos txhaws yog qhwv hauv. Yob lub zrazy hauv cov hmoov nplej. Tom qab ntawd lawv siav nyob rau hauv lub lauj kaub lossis hauv qhov cub.
Tseem Ceeb! Los ua cov khoom noj khoom haus, koj yuav tsum siv cov hmoov nplej.
Kev noj haus yog qhov tseem ceeb rau txhua tus neeg mob ntshav qab zib. Qhov no tso cai tsis tsuas yog tiv thaiv kev txhim kho ntawm cov teeb meem ntawm tus kab mob, tab sis kuj tswj hwm tus neeg mob lub neej zoo hauv qib siab.
