Lefu la tsoekere la tsoekere le fetoha seoa sa ho ata ha baahi. E fumanoa ho bana, bacha le batho ba baholo. Bakuli ba nang le lefutso le boima ba pepesetsoa ho lona ha ba pepesetsoa ts'oaetso, mathata a ho ja le khatello ea maikutlo.
Nako ea lefu la tsoekere e itšetleha ka hore na keketseho ea tsoekere ea mali e koaheloa hakae ke tšebeliso ea lithethefatsi tse ikhethileng, hore na lijo tse khothalelitsoeng le ho ikoetlisa ka nako e itseng li ka bonoa joang.
Bakuli bohle ba labalabela ho ithuta ho fokotsa tsoekere ea mali kapele ho lefu la tsoekere. Mokhoa o nepahetseng bakeng sa batho ba nang le ts'oaetso e tšoanang ke tšebeliso e kopaneng ea mekhoa eohle e ka thusang ho tsitsisa glycemia maemong a sepheo.
Phokotso ea tsoekere ea insulin
Ho eketsa tsoekere ho lefu la tsoekere ke sesupo sa ho haella ha insulin. Lisosa tsa boemo bona mofuteng oa 1 oa lefu la tsoekere ke tšenyo ea lisele tsa pancreatic le khaello ea insulin e felletseng. Bakeng sa ho theola tsoekere, o hloka ho kenya insulin ka ente.
Ho khothalletsoa hore bakuli ba joalo ba qale kalafo ea "insulin" kapele kamoo ho ka khonehang e le ho thibela mathata a komello, a kenyeletsang komello. Ka komello ea ketoacidotic le hyperosmolar, bakuli ba ka shoa haeba ba sa theole glycemia ea bona. Sena se bakoa ke chefo ea khatello e phahameng ea tsoekere maling.
Ho sebelisa lithethefatsi tsa insulin ho theola tsoekere ea mali ho lefu la tsoekere ke tsela e sebetsang ka ho fetisisa le e potlakileng. Ka nako e ts'oanang, mokhoa oa taolo ea lithethefatsi, o ts'oanang hantle le secretion ea tlhaho ea manyeme, o sebelisetsoa kalafo e tsoelang pele.
Bakeng sa morero ona, mefuta e 'meli ea "insulin" hangata e laetsoe - nako e telele (e telele), e nkang sebaka sa tlhaho, boemo ba basal le ho theola tsoekere ea mali ho tloha lihora tse 16 ho isa ho tse 24 kapa ho feta. Kahoo, ka mohlala, sethethefatsi se secha - Tresiba insulin, e entsoeng ke Novo Nordisk, e theola tsoekere ea mali ka lihora tse 40.
Li-insulin tse sebetsang ka nako e telele mofuteng oa pele oa lefu la tsoekere li kopantsoe le tse khutšoane, tse tsamaisoang pele ho lijo, li tiisa tsoekere ea mali ka mor'a ho ja lijo tse nang le lik'habohaedreite. Mofuta oa 2 lefu la tsoekere, ts'ebeliso ea insulin e nkang nako e telele e kopantsoe le matlapa kapa mokhoa o le mong oa ho laola glycemia.
Ho fokotsa tsoekere ea mali ho tsoekere e sebelisa insulin joang? Ho na le mekhoa e mengata ea ho etsa sena:
- Serokonyana sa insulin. Mokhoa oa setso oa batho ba lefu la tsoekere ha o bonolo haholo, empa o theko e tlase.
- Pene ea Syringe. Mokhoa o bonolo, o batlang o se na bohloko, o potlakile.
- Pompo ea insulin. E entsoe ka mokhoa o phethahetseng, empa ha se batho bohle ba ka e bontšang.
- Mokhoa oa ho leka ke setsi sa "insulin" se nang le li-miconeedles, tseo e 'ngoe le e' ngoe ea tsona e nang le insulin e nang le li-insulin le li-enzyme tse arabang maemo a tsoekere.
Lipilisi tsa glucose tse theolang mali
Ho fokotseha ha tsoekere ea mali ho mofuta oa 2 lefu la tsoekere ho ka fumaneha ka ho sebelisa meriana ea molomo. Haeba ngaka e na le mosebetsi - mokhoa oa ho fokotsa tsoekere ea mali kapele, bakuli ba fuoa meriana e tsoang sehlopheng sa sulfanylurea: Manninil, Diabeteson MV, Amaril, Glimaks, Glyurenorm.
E ne e le e 'ngoe ea pele e fuoang bakuli ba nang le lefu la tsoekere, empa hajoale lipontšo tsa bona tsa tšebeliso li na le moeli, kaha li baka keketseho ea insulin ho tsoa makhophong ka lebaka la ho nyahama ha morao. Phetohelo ea bobeli ke hore lithethefatsi tse joalo li ka theola boemo ba tsoekere bo tlase haholo.
Meglitinides le eona ke karolo ea sehlopha sa ba hlohlelletsang insulin secretion (sephiri), ba fana ka phokotso e potlakileng ea tsoekere ea mali ho feta chelete e tsoang sehlopheng sa sulfanylurea, nako ea ts'ebetso ea bona e haufinyane haholo, ka hona ba laola keketseho ea glycemia e etsahalang kamora ho ja.
Kotsi ea ho ba le tlhaselo ea hypoglycemia bakeng sa lithethefatsi tsa sehlopha sena e tlase, kahoo hangata e laeloa bakuli ba tsofetseng. Repaglinide (NovoNorm) e nooa hoseng 'me e le ea bobeli ka shoalane pele ho lijo, 0.5 mg ka' ngoe, Starlix (nateglinide) e ka nooa metsotso e 10 pele ho lijo pele ho lijo tse ling le tse ling tse 120-180 mg.
Mekhoa e tsoang ho sehlopha sa Biguanide (Siofor, Metformin Sandoz) e theola tsoekere ea mali ka ho khutsisa ho monya hoa eona ka popelong le ho etsoa ha limolek'hule tse ncha sebeteng 'me hangata ho feta kamoo ba bang ba laetsoeng kalafo ea lefu la tsoekere la mofuta oa 2. Litokisetso tsa Metformin li eketsa kutloisiso ea li-receptor ho insulin.
Matšoao bakeng sa tsamaiso ea metformin ho lefu la tsoekere:
- Ho nona haholo.
- Polycystic ovary syndrome.
- Lefu la tsoekere.
- Lefu la tsoekere.
Ka kalafo ea metformin, ho ka khoneha ho theola litaba tsa hemoglobin e glycated, e bonts'ang tsoekere e lefsitsoeng ka likhoeli tse tharo, kaha ho theola tsoekere ea mali ka nako e khuts'oane ha hoa lekana ho thibela mathata. Ts'ebeliso ea metformin e thusa ho fokotsa kotsi ea infaration ea myocardial, le litekanyetso tsa lefu.
Ntle le meriana ena ea lefu la tsoekere la hyperglycemia, ho fanoa ka litlhare tsa alpha-glycosidase inhibitor. Meriana ena e thibela ho phatloha ha lik'habohaedreite tse rarahaneng ka har'a tsoekere, hammoho le ho kenngoa ha glucose e tsoang mala ka maling. Tsena li kenyelletsa acarbose (Glucobay), nako eo hoseng e sebelisoang ka tekanyo ea 50 mg e eketsoa hanyane ka hanyane ho isa ho 300 mg ka letsatsi.
Litokisetso Januvia, Bayeta, Galvus ke karolo ea sehlopha se secha sa "incretomimetics" se eketsang tlhahiso ea lihormone tse ikhethileng, li-insretin, mala.
Ka tekanyo ea tsoekere e tloaelehileng kapa e phahameng, lihormone tsena li hlohlelletsa ho kopana le ho lokolloa ha insulin.
Lijo tsa lijo
Molemong oa ho phekola lefu la tsoekere, ho ke ke ha khoneha ho atleha ka meriana feela, hobane li ke ke tsa sireletsa khahlanong le ho fetoha ha tsoekere ea mali ha ho ja lijo tse nang le lik'habohaedreite tse bonolo. Lihlahisoa tse nang le bokhoni ba ho eketsa tsoekere ea mali kapele le ka mokhoa o makatsang ha lia lokela ho ba teng lijong tsa bakuli, ho sa tsotelehe mofuta le kalafo ea lefu lena.
Maemong ana, phepo le tsoekere ea mali e tsitsisang phytopreparations, hammoho le ho ikoetlisa ka sethala li ka lekana ho lefella hyperglycemia maemong a pele a lefu lena.
Melao ea mantlha ea ho hlophisa lijo bakeng sa batho ba nang le lefu la tsoekere ke ho ja ka thata ho latela liente tsa insulin kapa lithethefatsi tse theolelang tsoekere, ho ja hangata makhetlo a 6 ka letsatsi, likarolo tse nyane tsa lijo bakeng sa sejo se seng le se seng, esita le ho ajoa ha lik'habohaedreite letsatsi lohle.
Ha hoa lumelloa ho kenyelletsa lethathamong le fokotsang tsoekere ea mali:
- Li-sweets, tsoekere, mahe a linotsi, litholoana tse monate.
- Lihlahisoa tsa phofo e tšoeu
- Lero, bijoux, semolina, motsoalous.
- Li-jeke tse pakiloeng, litholoana tse ka makotong, lino tse tsoekere.
Kaha lefu la tsoekere le tšositse metabolism ea mafura, phepo e fana ka thibelo kapa ho sa khetholloe ka botlalo lihlahisoa tsa nama e nang le mafura, lijo tse halikiloeng, mafura a tsoang ho nama kapa tlhapi, lihlahisoa tsa lebese tse mafura le mafura a ho pheha. Lijo tsa tsoekere li na le protheine e felletseng ha u ntse u fokotsa lik'habohaedreite tse bonolo le mafura a liphoofolo.
Bakeng sa ho fa 'mele lijo tsa tsoekere, ho kgothaletswa ho pheha sopho ea meroho, lisalame tse tsoang merohong e mecha ka oli ea meroho, nama le lijana tsa tlhapi tse tsoang mefuteng e nang le mafura a tlase, lijana tsa meroho kapa tsa lijo-thollo.
Lenane la lijo-thollo tse lumelletsoeng le kenyelletsa oat, balkwheat le harese ea perela, legumes. Ho molemo ho sebelisa meroho e seng monokotšoai: zucchini, mefuta eohle ea k'habeche, likomkomere, tamati e tala, li-eggplant, pepere ea tšepe le Jerusalema artichoke. U ka ja bohobe ba rye, lijo-thollo kaofela kapa mabele.
Lihlahisoa tsa lebese tse nang le mafura a mahareng, mahe, lijo tsa leoatleng, monokotsoai o sa lomosoang le litholoana tse bolila li ka kenyelletsoa lijong tsa batho ba nang le lefu la tsoekere. Lijo tsa lefu la tsoekere li kenyelletsa lijo tse fokolang kapa lijana tse nang le tsoekere e tsoekere, hammoho le lino ka mokhoa oa tee ea limela, moro oa rose rose, chicory.
Lijo tse ka fokotsang tsoekere ea mali li kenyeletsa:
- Blueberries
- Morara
- Lekala.
- Linoko: ginger, sinamone, turmeric.
- Onion.
Tsoekere ea mali e theola litlama
Ts'ebeliso ea litlama tsa litlama ka mokhoa oa infusions kapa li-decoctions, li-tincture le li-extracts kalafo e rarahaneng ea lefu la tsoekere e thusa ho ntlafatsa tsoekere ea lik'habohaedreite le mafura, eketsa kutloisiso ea lithethefatsi tse fokotsang tsoekere, hape ka bonolo li fokotsa glucose ea mali ntle le kotsi ea hypoglycemia.
Kameho ea limela lits'ebetsong tsa metabolic e amana le ho ba teng sebopeho sa eona sa likarolo tsa insulin, e leng, inulin, biguanides, flavonoids, zinki. Ho fokotseha ha tsoekere ea mali ho fihlella ka ho ntlafatsa lits'ebetso tsa metabolic, hammoho le ho tsamaisa phallo ea tsoekere ka seleng.
Limela tse ngata li na le li-antioxidants tse sirelletsang liseleng hore li se ke tsa senyeha ka li-radicals tsa mahala tse bonoang ha glucose ea mali e phahame. Li-antioxidants li ka sireletsa methapo ea mali le lisele tsa methapo ka ho thibela nts'etsopele ea mathata a lefu la tsoekere.
Phytotherapy bakeng sa lefu la tsoekere e etsoa ke limela tse joalo:
- Fokotsa ho hanyetsa insulin ka ho kopanya insulin le li-receptors: lekhasi la bay, motso oa ginseng, motso oa ginger, saber le arnica.
- Ka litaba tsa inulin: burdock, Jerusalema artichoke, dandelion le chicory. Boholo ba inulin metso ea limela tsena. Inulin e eketsa kutloisiso ea insulin hape e tlosa tsoekere e ngata.
- Ho tsosolosa ts'ebetso ea pancreatic: peo ea folaxe, makhasi a walnut.
- Sireletsa insulin ho tloha timetsong: linaoa tsa makhasi, galega, li-blueberries.
Ntle le moo, ho eketsa ho itšireletsa mafung le ho hanyetsa lintho tse bohloko, sebelisa Rhodiola rosea, Eleutherococcus, motso oa licorice le Schisandra.
Ho ntlafatsa ts'ebetso ea liphio le ho potlakisa ho felisoa ha tsoekere e feteletseng ka har'a moroto, lekhasi la cranberry, knotweed, li-Horsetail le li-buds tsa birch li etsoa.
Mokhoa oa ho theola tsoekere ka ho ikoetlisa?
Ho ikoetlisa khafetsa ho thusa ho eketsa matla a ho sebetsa le mamello ea bakuli ba nang le lefu la tsoekere, hammoho le ho ntlafatsa phallo ea mali liseleng le ho matlafatsa lits'ebetso tse akaretsang tsa metabolic. Motsoako o khethiloeng ka nepo o potlakisa ho chesoa ha glucose, ho fokotsa boemo ba glycemia.
Ntle le moo, ho netefalitsoe hore mosebetsi oa ho ikoetlisa 'meleng o nang le lefu la tsoekere o eketsa ts'ebetso ea kalafo ea insulin le ts'ebeliso ea lithethefatsi tse khahlanong le lefu la tsoekere, tse fokotsang lethal dose le ho qoba nts'etsopele ea litlamorao ho ts'ebeliso.
Bakuli ba ikoetlisang ba na le thuso haholo ho bakuli ba boima bo feteletseng, hobane ba ka thusa ho fokotsa ho beha mafura, e leng se lebisang ho tloaelehileng lits'ebetsong tsa metabolic le ho thusa hore ho be le lefu la tsoekere la mofuta oa 2.
Ka tekanyo e fokolang ea lefu la tsoekere, ho ikoetlisa ho bontšoa ho latela melao e latelang:
- Boikoetliso bo etsoa ho lihlopha tsohle tsa mesifa.
- Ho sisinyeha ho etsoa ka bophahamo bo boholo.
- Lebelo la mosebetsi le tsamaea butle ebile le bohareng.
- Sebelisa boikoetliso ba 'mele.
- Nako ea thuto e tsoa metsotso e 30 ho isa ho e 45.
- Ho khaola pakeng tsa letoto la boikoetliso metsotso e 1-2.
- Qalong ea litlelase, futhumala - metsotso e 5, qetellong - boikoetliso ba ho ikhatholla hammoho le boikoetliso ba ho phefumoloha - metsotso e 7.
Medical dosed walk, ho tloha 2 ho isa ho 5 km, lipapali, ho sesa, ho matha, e sebelisoa e le meroalo. Bakeng sa lefu la tsoekere le itekanetseng, meroalo e bobebe e bontšoa nako e sa feteng metsotso e 20.
Maemong a tebileng, lefu lena le lebisa tlhokomelo ho boemo ba pelo le methapo, bakuli ba joalo ba bontšoa haholo li-gymnastics tsa phefumoloho le rarahaneng e bonolo ho feta nako e fetang metsotso e 15. Ho ikoetlisa ka lefu la tsoekere ha ho kgothaletswe ho phekola lefu lena, le ho fokolisa ts'ebetso ea mmele.
Phekolo e joalo ha e fuoe ho fokotseha ho hoholo ha tsoekere ea mali, mathata a khatello ea mali, lefu la pelo, bakeng sa mathata a tebileng ka har'a sebete le liphio, hammoho le nts'etsopele ea neuropathy ka ho theha leoto la lefu la tsoekere. Video e sehloohong sena e tla u bolella tsela e 'ngoe ea ho fokotsa tsoekere ea mali.
