Thayipha sikashukela 2: ekwelapheni. ukuphathwa Modern abanesifo sikashukela sohlobo 2

Omunye pathologies kunazo owaziwa ezithinta uhlelo endocrine kuyinto sikashukela. Imiphumela Ukugula kusuka kumsebenzi ababuthakathaka hormone pancreatic. Uma ngokuphelele is hhayi kukhiqizwa, wathola ukuthi hlobo kuqala, zonke ezinye izimo - yesibili. I degree of sikashukela zihlukaniswa ezingeni ukwencika isiguli insulini.

Kungani abantu behlupheka kusuka Uhlobo II sikashukela

Muva nje, njengoba umlando cishe zonke izifo, abantu abanesifo sikashukela sohlobo 2 kwaba isifo abantu abadala. Ngokuvamile kwenzeka iziguli esezikhulile kuka engamashumi amane. Kuze kube manje, intsha ngisho kungenziwa okwatholakala "sikashukela soHlobo 2." Ukwelashwa sifo njalo kunqunywa ngamunye futhi lincike umlando lesiguli. Nokho, bonke abantu ngilugcinile ukuhlukumeza ephikelelayo carbohydrate umzimba nge ukuthuthukiswa nezinkinga insulin receptor.

Izimbangela sikashukela:

1. Bofuzo (lezinceku) nezici ezithile.
2. Ukukhuluphala kubangelwa ukuphila umzimba kanye nokudla ngokweqile.
3. Izejwayezi ezimbi.
4. Ukuba khona kwamanye izifo kohlelo endocrine (hypo-, i-hyperthyroidism, zokugula pituitary cortex adrenal).
5. Inkinga yezifo ezibucayi kwamanyikwe (pancreatitis, umdlavuza).
6. Umfutho ophakeme wegazi.
7. ukudla izinhlelo, ekudleni.

amaqembu ingozi

Izimbangela sikashukela, ingqondo ekuthuthukiseni lesi sifo, lungase luboniswe abanye izici ezengeziwe. Ngakho, abasengozini bahlanganisa abaseminyakeni engaphezu kuka engamashumi amane. Ngaphezu kwalokho, uma kukhona yofuzo, "push" ukuthuthukiswa sifo izimo ezifana izifo ezinzima, ukuhlukumezeka, ukuhlinzwa, ukukhulelwa, ukucindezeleka okukhulu futhi eside ukuthatha imithi ethile.

Ihlahlubo insulini ancike

Isifo sikashukela ububonisa asinazo izimpawu ezisobala sivame ukuba phakathi elabhorethri kwamakhemikhali igazi ukuhlaziywa noma urinalysis. Ukugula sanda kancane kancane kakhulu, kodwa uyakwazi singaholela ezinkingeni okuzokwenziwa kuchaziwe ngezansi.

Uma umuntu washaya kakade leso sifo efana abanesifo sikashukela sohlobo 2, ukwelashwa kanye uphethwe is hhayi kwenziwe, umzimba wakhe usaqhubeka ukukhiqiza insulini. Synthesis-hormone okuthiwa i kungase kwanele, inkinga eyinhloko ukuthi azwelayo musa abonise uzwela kuso.

Inkomba soshintsho insulin yokufakelwa kuba amazinga kashukela egazini, nezinye zindlela. Enolaka, ukuthuthukiswa eside lesi sifo iza Ukuwohloka ephelele beta amaseli kwamanyikwe. Uma they atrophied cishe ngokuphelele, ohlotsheni ukwelashwa iqondiswa i-hormone kwemiqondo.

Uma nginesifo sikashukela sohlobo 2, ukwelashwa nge-insulini ushintsho ngokuvamile ubufakazi balokho. Isiguli kumelwe ibhekane uhla egcwele izifundo ezikhethekile thembeke kutholakale izinga ukukhiqizwa kwama-hormone ukusabela kuso kwamaseli beta.

Insulin, lapho kwatholakala ukuthi uhlobo lwesibili lwesifo sikashukela, esimisiwe ezimweni ezibucayi, okungukuthi, Ukuwohloka ephelele amaseli.

Kungakhathaliseki noma cha ukuba linqume insulini, aqashelwe ngokucophelela ebalulekile amazinga kashukela egazini. Nokho, thatha izikhathi ezimbalwa ngosuku, ukuhlolwa laboratory akukwazi. Thola usizo kusukela yembobo igazi glucose amamitha, isibonelo, OneTouch Khetha - kuba icwecwe, kulula ukuthatha nawe futhi uhlole i-glucose izinga lakho inkokhelo lapho idingeke khona. Kusiza esibonakalayo yokuqinisekisa ngesiRashiya, izimpawu ngaphambi nangemva kokudla. Idivayisi ezinzima elula ukuyisebenzisa, ngesikhathi esifanayo futhi uhluke nesilinganiso ukunemba. ungakwazi ukugcina isifo ngaphansi kolawulo ngosizo imitha ephathekayo.

izimpawu

Umzimba akusho Nokho ukunikeza lingaze, ukuqonda ukuthi impilo usengozini ukusiza kwale mibandela elandelayo:

• cishe njalo, ukoma ezinzima;
• elambile kakhulu ngisho emva kokudla;
• umlomo njalo owomile;
• ukuchama kaningi;
• ukukhathala, ukukhathala, ngenxa yobuthakathaka;
• ukuphathwa ikhanda;
• angaboni kahle;
• ukuncipha iyehla iyenyuka ukunciphisa noma ukunyusa.

Uma umuntu ngokuvamile kunjani isimo, kungcono ukuthi zihlolelwe uhlobo lokuqala noma lesibili sikashukela. Uma lesi sifo itholwa ngendlela efanele usaqala kungaba ligweme izinkinga ezingase zivele.

Akuvamile livela zimpawu ezilandelayo:

• kancane-ephulukisa ukusikeka kanye amanxeba;
• ukulunywa, ikakhulukazi imbilapho;
• abukhali, ukwanda ngokungenabulungisa esisindo;
• izifo njalo fungal;
• amnyama e imbilapho, emakhwapheni, entanyeni (Acanthosis nigricans);
• esibuhlungu kanye ndikindiki emikhawulweni;
• ehle libido.

ukwelashwa

ukuhlola Modern, okuvumela ukuthola eziyimbangela yezinkinga ezizuzwa umzimba carbohydrate, kusiza ukusungula izimbangela zesifo sikashukela insulini nasekuthengeni. Ngakho, ayabelwe ukwelashwa okuphumelelayo, okusikisela Ukukhetha izidakamizwa ukuthi ukunciphisa amazinga e-glucose sithembele izimbangela zezinkinga. Futhi wathwala izifo yokwelapha, eyasebenza njengodonga isici ekuthuthukiseni izifo, olwenziwa ekuqedeni ukuxakeka. I indima ebalulekile eyadlalwa zokuvimbela screening njalo ukuvakashelwa endocrinology.

imithi

Uma monotherapy ehlanganisa wezokudla esiqinile, kuyinto ingaphumeleli, ngokuvamile zidinga ukuqashwa izidakamizwa ekhethekile ukunciphisa amazinga kashukela egazini. Eminye yesimanje kwemithi (esiqokiwe kuphela udokotela ukuba khona ngemva kokumiswa izimbangela destabilization umzimba carbohydrate) musa ukukhipha ukusetshenziswa kwama-carbohydrate. Lokhu kusiza ukuvimbela okuvela kuyo uthi hypoglycemic. Ukukhethwa kwe-nomuthi ethile futhi zemithi ukwakha eyenziwa ikhumbula umlando wempilo ngabanye lesiguli kanye nezici. Musa ukuthatha imithi yokwelapha isifo sikashukela ngeseluleko ngesinye isiguli, ubani-ke kwasiza, noma nje ngokwakho, kungenjalo angase abangele ingozi ungalungiseki emzimbeni wakho.

ejenti kwemithi esetshenziselwa ukwelapha (wonke amaqembu lezi imithi contraindicated ngokuphelele ngesikhathi sokukhulelwa futhi uma owesifazane ukusuthisa ingane ubisi lwebele):

1. A ikhambi sikashukela, bohlanga sulfonylurea, isibonelo, "Amaryl" izidakamizwa "Glyurenorm", "Manini", "Diabeton".
2. amathuluzi kuqhathaniswa ezintsha ukuthi ukubuyisela nozwela amaseli insulin (imithi "Avandia", "rosiglitazone", "Actos", "Pioglitazone").
3. Izidakamizwa "Siafor" futhi analogs yawo metformin biguanide.
4. Inhlanganisela ukuthaka imithi efana Glibomet ejenti ' "," Metaglip "," Glyukovans ".
5. Imithi ukuthi ekulawuleni amazinga kashukela emva kokudla, noma, ngamanye amazwi, glinides.
6. Ukuthaka imithi ukubambezeleka ukugaya carbohydrate emathunjini bese ukugaya yabo okwalandela, isib, "miglitol" izidakamizwa "Dibikor", "Acarbose".
7. dipeptidyl peptidase inhibitor (antidiabetics ejwayelekile).

nemithi Innovative kanye nokwelashwa

liraglyutidov imithi iqembu kuphela inhlobo yayo. Umgomo we operation isekelwe umsebenzi sekulingisa GPL-1, i-hormone yemvelo enikezela ekuqhamukeni nezindlela ezintsha ekwelapheni lesi sifo ngendlela efanele usaqala.

Ekugcineni kuyafaneleka ukuthi umbandela wezizwe ukuphumelela ekwelapheni isifo siba inkomba ezingeni-hemoglobin glycated.

Umgomo oyinhloko yokwelapha

1. Ukukhuthazwa ka zamagama evamile insulin zemvelo.
2. Ukulungiswa inani lipids eziqukethwe igazi.
3. Ukwehlisa izinga ukumuncwa glucose egazini lisuka emathunjini, encishisiwe digestibility yayo.
4. Ukwandisa ukuzwela kwezicubu neuropathy kule hormone.

Physiotherapy

Iziguli ngokuvamile zibonisa uhlobo olufanayo umsebenzi. Kungaba ukugijima lula, ngebhayisikili, ukubhukuda, ukuhamba, ukuhamba. Umbuso kanye Izinga umzimba setha wabahambisa, esekelwe izici ngamunye umuntu.

Ukulapha nokuvikela yezinkinga

Isici esibalulekile ekugwemeni izinkinga yokuthola ukulawula umfutho wegazi. Ukuxilongwa ngokuzenzakalelayo idlulisela iziguli isengozini enkulu ngisho at kokuphakama eliphansi ezingeni. Uma umuntu uhlushwa umfutho ophezulu wegazi, kuba ufana khona ezintathu ezengeziwe engcupheni. Lokhu kungukuphula amafutha (lipid) Ukwakheka igazi (dyslipidemia), ukukhuluphala nokuvusa ukubhema.

izinyathelo ngalokwenetisako ngokuphindaphindiwe sehlise ukushona, kuncishiswe ingozi yezifo esimiso senhliziyo nemithambo yegazi, ukuvimbela ukuqhubeka ukwehluleka kwezinso ngesikhathi zokukhula ezihlukene. Ukwelashwa okuhloswe ngazo ukunciphisa blood pressure, kufanele kwenziwe ngobudlova, ngisho kulezo ziguli ababonisa nomfutho wegazi ophezulu omnene. Kuyinto isidingo evikela izinso futhi isesimweni esihle jikelele.

Uma kungenzeka, gwema ukusebenzisa imithi, lokhu kungaphazamisa ukuzwela kwezicubu insulin. Isifo sikashukela kubathinta kabi umzimba futhi igazi glucose amazinga amafutha, ngakho le mithi futhi kufanele indiva.

Abantu abaphethwe Uhlobo II sikashukela, ngokuvamile kufanele ukwabela inhlanganisela yemishanguzo antihypertensive. Ukuqala lokhu kwelashwa kunilungele esinjengalesi lapho ingcindezi level 140/90 mm / HG. Art. Uma udokotela angeke wehlise ukucindezela ngokucacisa iqhakambisa kuyindlela yokuphila, le yokwelapha iqala ezingeni 130/80 mm / HG. Art.

Odokotela bathi ngokuvamile baphawula isidingo yokulungiswa lipid umzimba iziyaluyalu. Administration izidakamizwa ukuthi ukulawula Ukwakheka amanoni negazi, kunciphisa ukushona kwabantwana by 37-48%.

Ukwelashwa nokuvikelwa peripheral sikashukela

inkinga enjalo ithinta u-75% ezigulini ukuthuthukisa isifo sikashukela iminyaka eminingana. Njengomthetho, uhlushwa imizwa neuropathy incipha ukuzwela lapho kushintsha izinga lokushisa, lapho kuthiwa esibuhlungu, ukuba ndikindiki evutha nasemilenzeni. Lokhu ukunqotshwa - eyingozi enkulu okuholela ukwakheka syndrome ka "unyawo sikashukela". In the ukungabikho ukwelashwa umphumela uba ukusikwa kwamalungu umlenze.

Udaba ekwelapheni peripheral imele wedwa. Ngaphandle eziyisisekelo, prescribers, ukulalela umonakalo oxidative kumaseli ukuthi ukuvikela imithambo yegazi kanye nezinzwa, ukuvimbela ukuqhubeka isifo sokuqina kwemithambo yegazi. Le mithi kufanele isenzo hepatoprotective, okungukuthi, ukuvikela isibindi.

Tea abanesifo sikashukela

imithi Esemthethweni akuvamile uyavuma kusebenta njengezindlela zokwelapha ezivamile. Nokho, itiye sikashukela isivele eyaziwako abasemkhakheni wezesayensi isiphuzo okunempilo ukuthi kusiza iziguli sifinyelele ukuphulukiswa.

Sikhuluma ebangeni ekhethekile okuthiwa "itiye Izigodlo." Ngokocwaningo olwenziwa olusemthethweni, iziguli emva ukusetshenziswa umuzwa kalula, kuqubule amandla, amandla necala, kubangelwa ukunciphisa umzimba futhi ukuzinza imisebenzi asemangqamuzaneni omzimba.

yokwelapha Tea, esebenza esebenzisa Antioxidants izingxenye asebenzayo, inomthelela receptor cell, ukusebenza kwabo eliletha ukuthula futhi ukuvuselelwa. Ngenxa lezi imithelela amaseli onesifo kukhona umzimba uphilile futhi wonke abahilelekile yokutakula.

Thola "itiye Izigodlo" kungaba endaweni eyodwa - esigodlweni sezindela ongcwele eBelarus. Izindela bakwazi ukwakha lenhlanganisela eziyingqayizivele amakhambi enamandla futhi ezingavamile. Isiphuzo usebonisile ekulenzeni libe namandla emphakathini yesayensi, abantu abanesifo sikashukela sohlobo 2, ukwelapha ogxile la makhambi, eshiya amasonto amabili, ukuthi waqinisekisa ngokugcwele uphenyo. Isiguli womuntu Kunconywa ukuba banamathele imiyalelo ezisesandleni inqubo yokwelapha itiye.

Ucwaningo lwesayensi futhi "itiye Izigodlo"

Thayipha sikashukela 2, ukwelapha okwenzeka ngokulandelana amasu of imithi yendabuko, ngokuvamile wawuqhubeka, okubangela ukusabela okungekuhle kakhulu odokotela. Nokho, uma kuqhathaniswa, itiye umbono washintsha in a isiqondiso akuhambisani okuphambene.

Ukukhomba zonke izakhiwo yalesi siphuzo abacwaningi amathathu lokhu kuhlola, wakhe ubuhanjelwe iqembu lamavolontiya. Ngemva abantu 27 abaphethwe yilesi sifo, kwavele Yiqiniso okwelashwa, imiphumela elandelayo atholakele

1. Ngo-89% eziguli zitholiwe abukhali ukwehla kashukela. Ubudala iqembu izifundo zazisuka engu-25 kuya ku 69.
2. Ngo amavolontiya 27, ezinzile cell ukuvuselelwa eziye zembulwa.
3. A ekwenteni ncono isimo nenhlalakahle.
4. Emzimbeni, yathuthuka kakhulu izinqubo umzimba.
5. Tea sikashukela lenyuka libido ezingabantu.

izimiso umsoco, noma monotherapy

Ukudla abantu kokutshelwa ngokukhubazeka kwengane kumele babhekane isikimu wamaqhuzu. Kufanele ahlele 5-6 ukudla nsuku zonke. Ukudla sikashukela - kuyinto okungcono ukudla subkaloriynaya for 25 kcal kg isisindo.

Isiguli kufanele ngakususi carbohydrate digestible, wengeza zokwelapha Ukudla ukudla okune-fibre.

Fibre Izinzuzo Ukuze Sikashukela

I-cellulose kuboniswa ukusebenzisa uma ukwehluleka carbohydrate umzimba. cellulose Vegetable kunciphisa ukumuncwa glucose esiswini, nakho kunciphisa lokuhlushwa yayo egazini. Imikhiqizo equkethe lokhu fibre yemifino, okukhipha zanqwabelana ubuthi, kwamukele noma yiluphi uketshezi ngokweqile. ewusizo Ikakhulukazi kuyoba abantu abaye okhuluphele ngaphezu sikashukela. Ezigcwalise e ipheshana wokugaya ukudla, fibre kubangela satiety futhi kusiza ukunciphisa okuqukethwe kwama-kilojoule ukudla ngaphandle kokudala indlala okungabekezeleleki.

Umthelela esiphezulu bungatholakala ngokuthatha fibre e ukudla, kanye carbohydrate ayinkimbinkimbi. Okuqukethwe amazambane kumele kungagcini imenyu, ngaphambi ukwelashwa ukushisa kungcono cwilisa nezilimo eziyizigaxa. carbohydrate Khanyisa atholakala beet, izaqathe, uphizi, avunyelwe ukuthatha kanye ngosuku. Ngaphandle kokudla izivimbelo Ukudla kusivumela zokuthuthukisa ukondleka squash, ukhukhamba, zucchini, Sorrel, iklabishi, isitshalo seqanda, ithanga, ulethisi, upelepele Bulgarian, kohlrabi. Ibonisa ukusetshenziswa izithelo izithelo izinhlobo elungisiwe. Ukuqapha kufanele lisetshenziswe ubhanana, amakhiwane, Persimmon.

imikhiqizo Bakery kufanele futhi umelelwa esincane. Kungcono ukuba makudle isinkwa futhi bran. Ngisho okusanhlamvu kanye nemikhiqizo wokudla akhethwa okusekelwe okuqukethwe fibre. ukusetshenziswa kuvunyelwe zebhali, nokunye okufana nokolweni, oat, corn oluthile lokudla. Ukudla sikashukela njalo iqukethe lezi okusanhlamvu.

Izimiso eziyisisekelo monotherapy

1. A komkhawulo abalulekile okuqukethwe usawoti ekudleni.
2. Isigamu fat kudliwe - kuyinto amafutha Lokudabuka zemifino.
3. Imikhiqizo kufanele ayegcwele izingxenye amaminerali namavithamini.
4. Usuku ovunyelwe ukusebenzisa 30 ml utshwala, engasekho.
5. Ukuyeka ukubhema.
6. Ukuvinjelwa broths eqinile, okunamafutha inhlanzi, inyama, ushizi, khekhe, ayi, ukhukhamba futhi marinades, semolina, irayisi.
7. ukusetshenziswa ngendlela engamukeleki njalo ice cream, ukudla okunoshukela, ushukela, ezinegwebu iziphuzo, ayo okunoshukela, sezimoto.

isinkwa amayunithi

Isinkwa iyunithi - lena okulingana 10 amagremu ushukela 25 amagremu isinkwa. Lesi simiso eziklanyelwe ngokuqondile lula ukwakheka kwabantu imenyu abaphethwe yilesi sifo. amatafula ekhethekile zinto zenzelwe ukuthi kube lula kakhulu ukubala carbohydrate. Ezimweni eziningi, inqubo isetshenziswa, uma isifo sikashukela kungokwalabo Uhlobo lokuqala, kodwa iziguli ezine-ukhuluphele nawo uyadingeka.

Indima okunomsoco nokuphila sikashukela

Umbuzo ka sizodlani for ukunakekelwa sikashukela iziguli eziningi. Sicela uqaphele ukuthi ngisho noma ukuthola lesi sifo carbohydrate kukhona isici esibalulekile ukudla. Ukudla kufanele kube ephezulu grade, ehlanganisa zonke izinto zibaluleke. Lapho umzimba ugxile carbohydrate, synthesis kanye ekuqongeleleni amandla. Ngakho-ke, ukudla kufanele kube ingxenye eyinkimbinkimbi, ama-carbohydrate kancane okuyinto kancane kancane kwandisa ezingeni glucose.

Ukwakha kahle zokupheka abanesifo sikashukela sohlobo 2, kufanele ifundwe Inkomba (Glycemic) imikhiqizo kuqhathaniswa okumsulwa glucose ipharamitha elilingana 100.

Zilinganiselwa ku-20% yokudla kufanele kube amaprotheni okuvela ezilwaneni nemifino. Nokho, ukugwema umthamo ngokweqile amaprotheni wesilwane ngokunenzuzo kuthinta izinso esibindini. Izinga eyanele ingatholakala imidumba.

Ungadliwa for sikashukela achazwayo ngamafutha elinganiselwe, kodwa hhayi iqedwe ngokuphelele. Kumele kukhunjulwe ukuthi eziqukethwe amaqanda, amantongomane, inhlanzi, inyama. ngokuhamba kwesikhathi, izibalo efanayo iyoba umkhuba futhi ngeke eyisicefe ngakho.

isiphetho

Nesikashukela soHlobo 2, ukwelashwa wenziwa khona ngaphansi esiqinile kweso lwezokwelapha ezikhoselweni, kodwa hhayi belashwa ngokuphelele. Ukuzizwa izinga ngokuphila impilo enhle, kufanele banamathele ezimisweni esikudlayo ezinhle nokulawula isifo nge uvakashelwa njalo kuya endocrinology.

Abantu abenza ukuthi nginesifo sikashukela, kufanele uzilungiselele ukuthi ukuphila kuyoba ngaphansi kolawulo esiqinile. Lokhu kunjalo ngokukhethekile yokudla kanye nendlela yokuphila. Nakuba lesi sifo, okuyinto iphathelene uhlobo lwesibili, Akunzima ngakho njengoba okokuqala, kudingeka umuntu nangentando ukuzithiba.

Uma ungahambisani izincomo yezokwelapha, II uhlobo kalula ukushintshela ku mina, okuyinto kakhulu kuthuntubeza ikhono lomuntu izinga lempilo. Ngakho musa disparage impilo yabo, kumelula ukulahlekelwa.