Qhov tshwj xeeb ntawm tus mob ntshav qab zib hom 1 yog tias nrog tus kab mob no, tus txiav tsis ua kom tau cov tshuaj insulin nyob rau hauv txoj cai thiab yuav tsum tau muab tshuaj los ntawm sab nraud. Khoom noj khoom haus rau tus kab mob no yog ib qho tseem ceeb tshaj plaws rau kev kho kom zoo. Nrog cov kev xaiv kom zoo txaus thiab kev soj ntsuam ntshav qabzib hauv cov ntshav, tus neeg mob cov zaub mov yuav muaj ntau yam thiab tsuas txawv ntawm cov zaub mov noj qab nyob zoo ntawm cov neeg noj qab nyob zoo.
Cov hauv paus ntawm kev ntsuas kev noj haus zoo
Tus neeg mob yuav tsum noj cov zaub mov zoo li no ntawm ib zaug, uas sib haum rau cov tshuaj insulin. Qhov no tau qhia los ntawm cov kws tshawb fawb endocrinologist hauv polyclinics, zoo li hauv "tsev kho mob ntshav qab zib" tshwj xeeb, qhov chaw uas tus neeg mob tau qhia kom nyob ib txwm thiab muaj kev mob nkeeg tag nrho. Lub ntsiab lus tseem ceeb yog kev soj ntsuam cov ntshav qab zib kom tsis tu ncua kom tus neeg mob ntshav qab zib tuaj yeem saib xyuas lub cev ntawm cov tshuaj tiv thaiv rau ntau yam zaub mov thiab sau cia hauv phau ntawv teev cov zaub mov. Yav tom ntej, qhov no tuaj yeem pab nws hauv kev npaj zaub mov noj thiab yuav ua rau nws zam kom tsis txhob muaj ntshav qab zib lossis los sis ua kom rov qab muaj suab thaj hauv qab zib.
Cov neeg mob uas muaj hom 1 mob ntshav qab zib mellitus (daim ntawv them nyiaj) yuav tsum tau txais nrog cov zaub mov kom txog li 50% carbohydrates thiab kwv yees li 25% roj thiab protein ntau. Carbohydrates tau yooj yim tswj kav siv cov lej ntawm glycemic indices (GI) thiab chav ua mov ci (XE) ntawm cov zaub mov tshwj xeeb. 1 XE yog tus nqi ntawm carbohydrates hauv ib daim khob cij dawb uas hnyav txog 25 g. Khoom noj yuav tsum yog fractional. Nws zoo dua rau noj ntau dua, tab sis hauv feem me me. Tus neeg mob yuav tsum tsis txhob muaj kev tshaib plab.
Ntawm txhua pluas noj, cov mob ntshav qab zib yuav tsum, ntawm qhov nruab nrab, tau txais cov khoom noj carbohydrates hauv 7-8 XE, txawm hais tias tus nqi no tuaj yeem yog tus kheej kho los ntawm endocrinologist
Yuav ua li cas ua cov qauv ntawv qhia zaub mov?
Nws yog qhov yooj yim rau koj los sau cov ntawv qhia ua piv txwv rau ib lim tiam, suav tus nqi XE rau hauv lub tais ua ntej. Kev noj haus ntawm cov neeg mob ntshav qab zib rau ib hnub tej zaum yuav zoo li no:
- noj tshais (1 daim ntawm qhob cij, 50 g ntawm hau porridge, 1 lub qe qaib, 120 g ntawm zaub xam lav nrog 5 ml ntawm txiv ntseej roj, 2 daim biscuit ncuav qab zib, 50 g ntawm tsev muaj roj tsawg cheese, tsis muaj zog tshuaj yej tsis muaj qab zib);
- thib ob tshais (lub khob txiv lws suav lossis kua txiv birch, ib nrab ntawm nplooj tsawb tshiab);
- cov pluas su (cutlet ntawm cov nqaij uas muaj roj tsawg ua noj, ib phaj zaub kua zaub, ib qho mov, 100 g ntawm zaub lossis txiv hmab txiv ntoo, 200 ml ntawm compote lossis tshuaj yej uas tsis muaj qab zib);
- cov khoom noj txom ncauj yav tav su (ib phaj me me ntawm cov txiv hmab txiv ntoo, 1 khaub noom zoo li "Maria", khob kua txiv, uas tso cai rau ntshav qab zib);
- noj hmo (50 g ntawm zaub zaub xam lav, ib feem ntawm cov rog tsis muaj roj, 100 g ntawm hau qos yaj ywm lossis porridge, 1 kua);
- cov khoom txom ncauj lig (lub khob ntawm tsawg rog rog kefir).
Hom kua zaub thiab cereals tuaj yeem hloov pauv tau txhua hnub, thaum tseem nco ntsoov txog cov zaub mov uas tsis pom zoo siv rau hauv cov ntshav qab zib. Hloov cov kua txiv nrog biscuits, koj tuaj yeem haus dej ntxhia nrog txiv hmab txiv ntoo (nws yog qhov zoo dua rau qhov tsis lees ntawm cov txiv hmab txiv ntoo qhuav vim muaj GI siab). Thaum ua zaub mov noj, koj yuav tsum muab txoj kev nyiam ua ci, npau thiab ncu. Rog thiab kib zaub mov tsim ib qho kev tsis txaus ntseeg ntawm tus txiav thiab mob siab, uas yog li muaj kev mob ntshav qab zib.
Cov kua txiv hmab txiv ntoo tsis yog qhov tseem ceeb rau cov ntshav qab zib hom 1, tab sis qee qhov muaj txiaj ntsig zoo. Qhov no yog qhov tseeb tshwj xeeb rau plum, kua thiab birch kua txiv, vim tias lawv tsis yog qab zib heev thiab muaj ntau ntawm cov tshuaj biologically zoo.
Pros thiab Cons ntawm Noj Tsawg-Carb Noj Qab Haus Huv
Muaj cov neeg txhawb nqa ntawm kev noj zaub mov kom tsawg hauv carbohydrates, uas muab rau tus neeg mob noj thiaj li tas li uas, ua ke nrog kev txhaj tshuaj ntawm insulin, normalize cov ntshav qab zib hauv cov ntshav. Cov khoom tseem ceeb nyob rau hauv cov ntaub ntawv no yog:
- nqaij qaib qe;
- zaub ntsuab;
- cov nqaij nruab deg thiab ntses;
- cov nqaij ntshiv, nqaij qaib;
- nceb;
- butter;
- tsis tshua muaj rog cheese.
Cov khoom lag luam hauv qab no raug txwv:
- tag nrho cov khoom qab zib;
- txiv hmab txiv ntoo (txhua yam tsis suav);
- cereals;
- qos yaj ywm
- tswb kua txob;
- beets;
- taub dag
- carrots.
Ntxiv rau, zoo rau txhua yam khoom siv mis nyuj ua (tshwj tsis yog cov roj ntsha yogurt thiab ib qho qab zib me me), zib ntab, cov kua ntsw thiab cov khoom qab zib (xylitol thiab fructose) tsis suav nrog. Ntawm ib sab, kev noj zaub mov tsis ua rau muaj kev hloov pauv siab hauv cov qib ntawm cov piam thaj hauv cov ntshav thiab tso cai rau koj txo qis ntawm cov tshuaj insulin, uas, tau kawg, yog ib qho ntxiv. Tab sis thaum siv tsuas yog cov khoom lag luam ntawd, lub cev muaj yuav luag tsis muaj chaw txaus los kos lub zog ntawm. Coob leej neeg uas tau sim ua raws li cov khoom noj no tau ntev dhau los tsis txaus siab txog cov hauv qab no:
- qaug zog thiab qaug zog;
- cov kev xav hauv lub siab tsis zoo, kev txhoj puab heev thiab kev txob txob vim qhov kev txwv nruj tshaj plaws ntawm qab zib thiab lwm yam khoom noj tau paub hauv cov khoom noj;
- plab hnyuv nyiam cem quav.
Kev noj haus uas tsis muaj cov carb qis tsis yog txoj hauv kev ua kom cov ntshav qab zib tswj tau, txawm hais tias qee qhov chaw txawv teb chaws pom tias nws ua tau zoo heev. Txawm li cas los xij, feem ntau peb tab tom tham txog mob ntshav qab zib hom 2, nyob rau hauv uas ib tus neeg xav tau kom nruj me ntsis cov piam thaj hauv lub cev.
Kev ua tiav kev cais tawm ntawm cov piam thaj yooj yim los ntawm kev noj zaub mov tuaj yeem ua rau muaj kev tsis zoo thiab txo qis kev ua haujlwm, vim tias lub hlwb yuav tsis muaj ib qho twg ntawm cov piam thaj.
Yuav kom ua raws li cov khoom noj no rau hom ntshav qab zib 1 lossis tsis yog moot taw tes. Tsuas yog tus kws tsim nyog endocrinologist tuaj yeem teb nws, uas pheej saib xyuas tus neeg mob thiab paub txog tus neeg tsis ua haujlwm zoo ntawm nws kev noj qab haus huv. Nws kuj yog qhov nyuaj rau kev xav ntawm kev noj cov zaub mov uas muaj cov carbohydrates tsawg txhua lub sijhawm, yog li kev pheej hmoo ntawm kev plam cov zaub mov nce ntxiv. Feem ntau cov neeg sawv cev ntawm cov tshuaj hauv tebchaws tseem pom zoo tias cov neeg raug tsim txom cov mob ntshav qab zib hom 1 tsis yog yam tseem ceeb. Yog tias tus neeg xav zoo li qub, nws tsis muaj teeb meem, thiab nws paub paub ntsuas cov tshuaj insulin kom raug, tom qab ntawd, raws li txoj cai, nws tuaj yeem noj kom muaj kev sib luag, soj ntsuam hauv txhua qhov kev ntsuas.
Tus yam ntxwv ntawm kev noj haus noj haus lej 9 thiab dab tsi yog qhov xav tau?
Kev noj zaub mov kom nruj rau cov ntshav qab zib hom 1 feem ntau tsis tshua raug hais, tab sis thaum pib ntawm tus kab mob nws tsuas yog tsim kho ib tus neeg tus cwj pwm thiab nkag siab cov ntsiab cai tshiab ntawm nws kev noj zaub mov. Noj zaub mov 9 yog qhov kev noj haus zoo rau kev mob ntshav qab zib nyob rau theem ntawm xaiv cov koob tshuaj zoo tshaj plaws ntawm insulin. Nws yog tus cwj pwm los ntawm cov kev ntsuas txo cov tsis txaus thiab cov kev txwv ntawm cov tsiaj rog.
Txawm hais tias noj cov ntshav qab zib twg ua raws, nws yog ib qho zoo kom tshem tawm lossis txo kom tsawg kev haus cawv. Lawv nce ntawm kev pheej hmoo ntawm hypoglycemia thiab coj mus rau kev txhim kho ntawm cov hlab ntsha teeb meem.
Cov khoom uas yuav noj tau nrog cov zaub mov no:
- cereals ntawm dej;
- khob cij (rye, bran thiab hom hmoov nplej ntawm 2 ntau yam);
- kua zaub tsis muaj kua thiab kua zaub nrog nqaij ntshiv, nceb, ntses thiab nqaij ntses;
- unsweetened compotes thiab kua txiv nrog ib tus nqi ntawm cov piam thaj;
- muaj roj ntau hom nqaij thiab ntses hauv daim ntawv ci thiab hau;
- qis GI zaub thiab txiv hmab txiv ntoo;
- butter;
- tsis muaj roj zaub tawv tawv;
- kefir;
- mis nyuj
- tsev cheese ntawm cov ntsiab lus qis hauv cov rog tsawg lossis ua kom tsis muaj rog kiag li;
- pastries unsweetened;
- vinaigrette;
- taub dag;
- nqaij nyuj hau siav;
- txiv roj thiab pob kws roj rau zaub xam lav hnav khaub ncaws.
Nrog rau cov pluas noj no, koj tsis tuaj yeem noj cov khoom noj muaj roj, muaj kev tsis sib haum, khob cij dawb, khoom qab zib thiab chocolate. Cov nqaij rog thiab ntses, marinades, cov kua ntsw thiab cov nqaj ua rau nqaj, cov nqaij uas haus luam yeeb, cov khoom noj ib nrab thiab cov khoom noj uas muaj roj muaj roj los ntawm cov zaub mov muaj roj. Qhov nruab nrab, tus mob ntshav qab zib yuav tsum noj li 2200-2400 kcal ib hnub, nyob ntawm tus qauv ntawm lub cev thiab thawj qhov hnyav. Thaum lub caij noj zaub mov, lub cev muaj kev tawm tsam kev tawm tsam los ntawm kev ua kom tau cov carbohydrates thiab tuaj yeem nquag teb rau lawv nrog kev pab los ntawm cov tshuaj insulin.
Nrog rau kev noj zaub mov tsim, nws raug nquahu kom txhim kho ib qho kev cai noj haus thiab kev noj haus tib lub sijhawm, ua ntej ua qhov no, txhaj tshuaj insulin. Nws yog qhov zoo tshaj rau faib cov zaub mov ntawm ib hnub rau 6 pluas noj, ntawm uas rau noj su, noj tshais thiab noj hmo yuav tsum muaj qhov sib npaug ntawm cov zaub mov hauv ib feem pua. Qhov ntxiv 3 khoom noj txom ncauj yog qhov tseem ceeb rau kev tswj kev noj qab haus huv thiab tiv thaiv kom tsis txhob mob ntshav qab zib. Kev noj haus rau hom ntshav qab zib hom 1 yog qhov tseem ceeb ntawm kev ua neej. Ua tsaug rau kev noj zaub mov zoo, kev txhaj tshuaj insulin, thiab kev tswj ntshav qab zib hauv lub cev, kev noj qab haus huv tuaj yeem nyob ntev ntev thiab ntshav qab zib tuaj yeem ploj.
