Lefu la tsoekere le lefu la tsoekere bakeng sa lefu la tsoekere la mofuta oa 2

Bakeng sa lefu la tsoekere la mofuta oa 2, ho bohlokoa ho boloka melao ea phepo le lijo e le ho tsitsisa boleng ba tsoekere. Tlolo ea bongata ba lik'habohaedreite, ho bala litaba tse sa lokang tsa likarolo tsa bohobe, ho pheha ka tlolo ea likhothaletso, tšebeliso ea lijo tse thibetsoeng ho ka lebisa ho nyoloha ho matla ha tsoekere le ho baka mathata a kotsi.

Ba etsa insulin maemong afe a tsoekere? Potso ena e tšoenya bakuli bao netefatso ea endocrine e tiisitsoeng.

Na khatello ea "glucose" le "hemoglobin" e bokellaneng e tla lula e le boemong bo amohelehang? Phekolo ea lihormone e tla hlokahala neng? Likarabo li itšetlehile haholo ka phepo e nepahetseng.

Lintlha tsa phepelo ea lefu la tsoekere la mofuta oa 2 le li-nuances tse amanang le ts'ebeliso ea insulin li bontšitsoe sehloohong seo.

Lisosa le matšoao a lefu la tsoekere la mofuta oa 2

Endocrine pathology e hlaha khahlano le semelo sa mathata a metabolic le ho hloleha ha li-hormone. Mofuteng oa bobeli oa lefu la tsoekere, manyeme a hlahisa insulin e lekaneng kapa secretion ea homone e fokotsoe hanyane, empa lisele li sa iphaphathe le tšusumetso ea hormone. Sephetho sa ts'ebetso ea pathological ke mathata a ho monya ha tsoekere.

Ka lebaka la khaello ea matla, ho leka-lekana 'meleng le mohato oa mekhoa e mengata oa senyeha.

Ho lokisa litlolo tse mpe tsa "pancreatic", o hloka ho hlahisa insulin e ngata ka linako tsohle, e le hore bonyane karolo e nyane ea hormone e ama ho kenngoa ha glucose.

Moroalo o mongata oa ts'ebetso ea insulin o koala masoba kapele, haholo ha o na le phepo e nepahetseng, ho nona ho feta tekano, tšebeliso ea linoko tse ngata tse tsubeloang, tse tsubang, tse mafura, li-sweets.

Lintho tse hlahisang nts'etsopele ea endocrine pathology:

phatsa ea tlhaho
botenya
tlolo ea mekhoa ea metabolic,
ts'ebetso e ngata
bophelo bo sithabetsang
ho hloka phomolo le boroko,
mathata a lihormone
ts'ebetso ea methapo ea methapo le litoru tsa manyeme.

Matšoao

li-membrane tse ommeng tsa mucous
o nyoriloe kamehla
letlalo la letlalo le boreleli
urine hangata ho feta tloaelo,
pono e fifalitsoeng
phodiso e bohloko ea leqeba
Ho fokotseha ha takatso ea lijo le boima,
ho tšoha kapa ho hloka thahasello,
vagidi candidiasis (ho basali),
libido e fokotsehile, bothata ba ho se sebetse hantle (ho banna),
tahlehelo ya kutlo
ho eketseha ha khatello.

Ba sebelisa insulin hakae

Phekolo ea mofuta oa lefu la tsoekere la mofuta oa 2 e lokela ho nka lilemo le maemo a motho, mokhoa oa mosebetsi, phepo e nepahetseng, boteng ba methapo e meng e sa foleng, tekanyo ea tšenyo ea pancreatic, le boemo ba tsoekere.

Lintho tsa bohlokoa:

ngaka e nang le tsebo ea endocrinologist e hlalosetsa mokuli hore motho o lokela ho lemoha ka khutso phetoho ea liente tsa insulin, eseng ho tšoha: batho ba bangata ba nang le lefu la tsoekere ba tobane le boemo bona ba kalafo. Phapang feela ke hore motho o fuoa ente ea letsatsi le letsatsi kamora ho fumanoa, ha ba bang ba hloka ente lilemo tse 5-10 kamora ho qala kalafo.
ho hlahisoa ha insulin ha se kotlo bakeng sa khaello ea phepo e nepahetseng kapa ho se lumellane le likhothaletso, empa ke mohato oa bohlokoa ho boloka mekhoa e metle ea 'mele, ho fokotsa kotsi ea komello ea hypoglycemic,
ho lieha ho fetohela lijoeng tsa lihormone tsa polokelo ho ka lebisa ho eketseheng ho matla ha tsoekere ea glucose. Se ke oa emela haeba manyeme a sa sebetsane le mesebetsi ea hae, lijo, litafole tsa lithethefatsi tse theolelang tsoekere, ho ikoetlisa ka 'mele ha li lumelle ho boloka boleng bo botle ba tsoekere.

Liente tsa insulin li tla hlokahala neng? Khafetsa, batho ba nang le lefu la tsoekere ba mofuta oa 2 pathology ba qala kalafo ea "insulin" kamora nako e telele kamora ho fumanoa. Ho bohlokoa ho hlahloba hore na ngaka e senoletse lefu la tsoekere hore na ka nako e fe.

Ha u fana ka ente ea hormone ea polokelo, nahana ka:

Matšoao a hemoglobin ea glycated ha a fetele 7-7,5%, tsoekere - ho tloha ho 8 ho isa ho 10 mmol / l, mesebetsi ea pancreatic ea bolokoa. Mokuli a ka boloka boleng ba tsoekere nako e telele ka meriana ea molomo,
boleng ba glycohemoglobin bo eketseha ho 8% kapa ho feta, boemo ba tsoekere bo feta 10 mmol / l. Maemong a mangata, phetisetso ea liente tsa insulin e tla hlokahala pele ho lilemo tse 5.

Phekolo ea lefu la tsoekere la mofuta oa 2 lefu la tsoekere ke:

Mokuli a ka amohela:

liente tsa insulin. Lithethefatsi tsa antihyperglycemic ha li na thuso,
motswako oa litafole le liente tsa insulin. Palo ea liente li fapana ho isa ho tse peli ho isa ho tse tharo kapa ho feta ka letsatsi. Litekanyetso li boetse li khethoa ka bonngoe.

Mokuli o fumana ente:

hang kamora ho fumanoa ha hyperglycemia, netefatso ea tlhahlobo,
nakong ea kalafo, ka methati e fapaneng ea kalafo, khahlano le nalane ea tsoelo-pele ea endocrine pathology, haeba ho nka matlapa ho sa fokotse tsoekere ho boleng bo nepahetseng. Boholo bo tsoela pele ho entoa ka mor'a lilemo tse 7-10.

Ho khethoa ha kalafo ea "insulin" ea nakoana:

ka khatello ea maikutlo e nang le khatello ea kelello (ho eketseha ha khatello ea tsoekere maling ho bokuli bo tebileng le tahi, feberu) khahlano le semelo sa lefu la tsoekere la 2, ente ea insulin e fuoa nako e itseng. Ka mofuta o sebetsang oa pathology, lingaka li fumana matšoao a tsoekere a fetang 7.8 mmol / L. Pholoso e ka ba teng haholoanyane haeba lefu la tsoekere le beiloe leihlo ka hloko bakeng sa ho tsepamisoa ha tsoekere.
phetoho ea kalafo ea "insulin" ea nakoana e hlokahala maemong ao mokuli a ke keng a a noa lipilisi: pele ho nako le ka mor'a ts'ebetso ea bongaka e sebelisang thipa ka mpeng ea mala, ka ts'oaetso ea mala ea ka mpeng.

Melao ea lijo

Tafole ea No. 9 ke khetho e ntle ka ho fetisisa ea ho boloka maemo a tsoekere a le maemong a amohelehang. Lijo tsa lefu la tsoekere la mofuta oa 2 li hlile li thata, empa ka mofuta oa bokuli o ikemetseng oa insulin, ke phepo e tlang pele. Liente kapa lipilisi tsa insulin le lithethefatsi tse theolelang tsoekere ke mehato e meng.

Ela hloko! Maemong a mangata, batho ba nang le lefu la tsoekere ba ithuta ho fana ka tšebeliso ea lihormone ha manyeme a khona ho sebetsana le tlhahiso ea insulin. Ke feela mohato o thata oa pathology, keketseho e kholo ea khatello ea tsoekere, kalafo ea li-hormone e lokela ho qala ka potlako. Ha mokuli a latela melao ea phepo e nepahetseng haholoanyane, o tla lieha ho etsa tlhahiso ea insulin letsatsi le letsatsi.

Melao-motheo ea phepo e nepahetseng

Ka lefu la tsoekere la mofuta oa 2, ho bohlokoa ho latela litaelo ka tieo, ho latela melao ea ho pheha:

ka ntle ho mabitso a ja lijo tse nang le tsoekere,
Ho fana ka tatso e monate ho li-compotes, tee, litholoana puree, jelly e sebelisa li-badala tsa tsoekere: sorbitol, xylitol, fructose, stevia. Tekanyetso - joalo ka taelo ea ngaka,
ho pheha, pheha, ho baka,
nka mafura a liphoofolo le margarine ka oli ea meroho. Bacon ea letsoai le li-grape, tseo ba bangata ba li ratang, li thibetsoe. Botoro e sa lomosoang e fumaneha seoelo ebile e ja hanyane,
khomarela lijo: lula tafoleng ka nako e le 'ngoe, u se ke oa tlola ja lijo tse latelang.
o hloka ho fumana bonyane lilithara le halofo ea metsi ka letsatsi,
hana lijo tse halikiloeng, tse tsubeloang, lijo tse halikiloeng, lijo tse halikiloeng le asene, letsoai le lengata, meroho le litholoana tse halikiloeng,
boleng bo nepahetseng ba lijo tsa letsatsi le letsatsi ke ho tloha ho 2400 ho isa ho 2600 kilocalories,
etsa bonnete ba ho bala likarolo tsa bohobe, ja lijo tse nang le glycemic e tlase le index ea insulin. Webosaeteng u ka fumana litafole bakeng sa batho ba nang le lefu la tsoekere, tšebeliso ea lona e thibela ho eketseha ha khatello ea tsoekere.
amohela li-carbohydrate tse liehang ho feta (mabele, lijo-thollo, paseka e entsoeng ka koro ea durum, oatmeal, litholoana). Lahla lik'habohaedreite tse se nang thuso, tse "potlakileng". Li-halva, likuku, tsoekere, lipitsa, likuku, li-dumplings, jeme, jeme li kotsi ho batho ba lefu la tsoekere. U ke ke ua ja liswiti, mekoallo, lebese le chokolete e tšoeu. Li-chocolate tse ngata tse ntšo tse nang le cocoa ea 72% ha li lumelloe hangata, ka bongata bo fokolang: GI - likarolo tse 22 feela,
hangata jang litholoana le meroho ntle le kalafo ea mocheso. Lijong tse phehiloeng le tse phehiloeng, boleng ba GI boa eketseha, bo amang boemo ba tsoekere hampe. Mohlala, lihoete tse tala: Gl - 35, e phehiloeng - e se e le 85, liapricots tse ncha - 20, litholoana tse halikiloeng ka tsoekere - mayuniti a 91,
ja litapole ka "junifomo": GI ke lilemo tse 65. Haeba lefu la tsoekere le etsa qeto ea ho ja li-chip kapa li-fries tsa French, tsoekere e tsoha ka botlalo: index ea glycemic nakong ea ho ruruha e nyolohela ho li-unit tsa 95.

Lihlahisoa tse lumelletsoeng

Bakeng sa lefu la tsoekere, ho bohlokoa ho sebelisa lintho tse latelang le lijana:

sopho ea meroho
kefir, chisi ea chisi, yogati (mefuta e se nang mafura, ka teka-tekano),
lijo tsa leoatleng
lijo-thollo, ntle le raese le semolina,
protheine ea lehe ea khoho, yolk - nako e le 1 ka beke. Khetho e ntle ka ho fetisisa ke omelet ea protheine,
meroho bakeng sa lefu la tsoekere: zucchini, mokopu, tamati, likomkomere, li-eggplant, pelepele, mefuta eohle ea hop. Meroho e nang le index ea glycemic e ngata (litapole, lihoete tse phehiloeng le li-beet) li lumelloa hanyane, eseng ho feta makhetlo a mararo ka beke,
moro o fokolang ho "metsi a bobeli" (ka lekhetlo la pele kamora ho pheha metsi ka lintho tse tsoang ho metsi hore a a tsoe) a ipapisitse le tlhapi e mafura a tlase, likhoho tsa khoho, khoho, nama ea khomo e ka fumaneha habeli ka beke.
korong - hanyane ka hanyane, makhetlo a 'maloa ka beke, bohobe bo tsoang phofo ea Wholemeal, lijo-thollo, mokopu, rye - eseng tse fetang 300 g ka letsatsi. Li-crackers, li-pastry, pizza, pastries, likuku, paseka e theko e tlase, li-cookie tsa gingerbread, li-dumplings - ho khetholla. Bohobe bo bosoeu le bohobe li beha moeli - lenane la glycemic ke likarolo tse 100,
monokotsoai le litholoana tsa mofuta oa 2 mellitus oa tsoekere o nang le tsoekere e tlase, GI e tlase: li-cherries, plums, li-currants, liapole tse tala, liperela, aronia, litholoana tsa lamunu. Beha libanana haholo. Li-jusi tse sa tsoa kenngoa ha lia lumelloa: ho qhomela ka sekhahla mehatong ea tsoekere.
lijo tse tsoekere tse senang tsoekere. Litholoana tse molemo le beri jelly e nang le fructose, e kopantsoe le linoko, jelly, marmalade ntle le tsoekere, salate ea litholoana tse ncha le monokotsoai,
chisi e thata (hanyane ka hanyane, makhetlo a mabeli ho isa ho a mararo ka beke),
tlhapi e nang le mafura a tlase, nama ea tau, nama ea mmutla, khoho, veal, nama ea khomo.
sea kale,
oli ea limela - hanyane ka hanyane, ho thibetsoe ho kenyelletsa litlhapi le nama ho li-salads le lithuto tsa pele tse lokiselitsoeng,
li-mushroom hanyane-hanyane, tse phehiloeng kapa tse phehiloeng,
linate (ka bongata bo fokolang), makhetlo a mararo ho isa ho a mane ka beke,
meroho: dill, cilantro, onion ea selemo, parsley, lettuce,
senoelo sa kofi se thehiloeng ho chicory, tee e tala, kofi e fokolang le lebese (e hlokang mafura), metsi a liminerale (a futhumetse hanyane, ntle le khase).

Mabitso a thibetsoeng

U ke ke oa ja:

mekoallo ea chokolete
tsoekere e halikiloeng le tsoekere e hloekisitsoeng
joala
lipisi tse nang le letsoai
lihlahisoa tsa lebese tse mafura,
semolina le porridge ea raese,
lijo tse tsoekere tse tsoekere
nama ea mafura, letata, likhantsi,
nyeoe,
lijo tse ka makotikoting
soseji
mafura a liphoofolo
ho tsuba nama
mayonnaise, lisoso tse lokisitsoeng le li-ketchups,
lijo tse potlakileng
lipitsa, haholo-holo lipie tse halikiloeng,
likuku le likuku,
chokolete e tlotsitsoeng ka tsokolate e tsoekere, curd,
litholoana tse nang le GI e phahameng, ho kenyelletsa litholoana tse omisitsoeng: morara, mehla, lifeiga,
soda le ho e
halva, jeme, pastille, jeme, marmalade, lipompong tse ling ka tsoekere, mebala ea maiketsetso, tatso.

Ho thibela ho tlōla ha tsoekere ho tsoekere ho tla atleha haeba mokuli a latela lijo ka tieo, a ikoetlisa a sa ikoetlise, a sa jehe ho feta tekano, a sebelisa meriana e boletsoeng, a leka ho se sebetse ka thata, 'me a sa tšohe hangata. Se ke oa tšaba ho fetohela kalafong ea insulin kapa e 'ngoe: Tsamaiso e tlang ka nako ea liente tsa "pancreatic hormone" e thibela mathata a tebileng har'a glucose e phahameng haholo le hemoglobin e ngata. Ho bohlokoa hore batho ba haufi ba ts'ehe ts'oaetso ea lefu la tsoekere: maikutlo a nepahetseng a kalafo ea insulin ke ntlha ea bohlokoa kalafong.

Ho tsoa videong e latelang, o ka ithuta ho eketsehileng ka melao ea phepo e nepahetseng bakeng sa lefu lena, hammoho le mekhabiso ea lijana tsa phepo bakeng sa lefu la tsoekere la mofuta oa bobeli:

Mofuta oa 2 oa lefu la tsoekere - lijo le kalafo ka litlhare tsa setso tseo u ke keng ua li ja le li-menu tsa haufi

Ho thibela mafu, lits'ebetso tsohle tsa 'mele oa motho li tlameha ho sebetsa ka nepo. Tlas'a maemo a itseng, ho hlaha liphoso tse lebisang ho senyeha. Mofuta oa lefu la tsoekere la mofuta oa 2 o bua ka mafu a tsamaiso ea endocrine, a etsang hore tsoekere e lule e eketseha. Sena se bakoa ke ho hlaseleha habonolo ha mesifa.

Mofuta oa 2 oa lefu la tsoekere - ke eng

Makhopho a makhopho a hlahisa insulin 'me molemong oa ho bonahatsa lefu la mofuta oa 1, ho fokotseha hoa lona ka botlalo ho etsahala (ha ho hlahisoe ho hang).

Ha lefu la tsoekere la mofuta oa 2 le hlaha, ho haella ha mohono oa hormone ho teng. Taba ea pele, palo ea insulin e ka eketsoa kapa ea tloaeleha, ea ba ea fokotsoa haholo.

Tšusumetso ea lisele ho tsoekere e fokotseha, ho monya ha ho hlahe ka botlalo ka lebaka la hore maqhubu a mangata a feteletseng a lula ka har'a plasma.

Mokelikeli o mongata ha o hlahisoe 'meleng le liprotheine (methapo ea methapo, lesapo la kahare la sekepe) crystallize, e fokotsang tšebetso ea tsona.

Ts'ebetso ena e bitsoa glycation; e ba lebaka la mantlha la nts'etsopele ea mathata a mang a lefu la tsoekere la mofuta oa 2.

Hangata ho bonoa linthong tse fokolisang kutloisiso ea insulin ka bofokoli ba liphatsa tsa lefutso, botenya.

Ebe ho na le ts'ebetso e tsoelang pele ea ts'ebetso ea manyeme. Mothating ona, ho na le instype e jang insulin, moo ho ka khonehang ho fokotsa bongata ba glucose feela ka ho kenya insulin ka syringe e le moriana. Ho na le mabaka a joalo a kotsi a ka bakang lefu lena:

Mokhoa oa bophelo.
Mofuta o moholo oa visceral.
Khatello e phahameng.
Karolo e kholo ea lik'habohaedreite tse ntlafalitsoeng lijong (thepa e halikiloeng, chokolete, liswiti, waffle), dikahare tse tlase tsa lijo tsa semela (lijo-thollo, meroho, litholoana).
Morabe.
Phello ea lefutso (boteng ba lefu la tsoekere la mofuta oa 2 ho beng ka motho).

O mong oa mehato ea mantlha ea kalafo ho motho ea nang le lefu la tsoekere ke ho ntlafatsa lijo. Lijo li na le phello e kholo palong ea tsoekere maling a motho.

Phepo e nepahetseng ea lefu la tsoekere ha e tsamaisane le tlala, o tlameha ho khaotsa ho ja phofo, monate le ho ja meroho e mengata, litholoana tse nang le livithamini tse hlokahalang.

Motho e mong le e mong oa lefu la tsoekere o lokela ho latela melao e latelang mabapi le phepo e nepahetseng, lijo:

boteng ba boima bo feteletseng, e lokela ho ba tse tloaelehileng
ka letsatsi e lokela ho ba lijo tse 6 tse lekanang,
phokotso ea palo ea joala
fokotsa ho ja mafura a mangata,
ka letsatsi, litaba tsa khalori kaofela ha lia lokela ho feta 1800 kcal,
Phokotso ea letsoai,
ja lijo tse eketsehileng tse nang le li-trace element, li-vithamine.

Haeba u tlameha ho phekola tsoekere e ngata maling, u lokela ho hopola seo u ka se jang ka lefu la tsoekere. O tlameha ho loants'a le lefu lena bophelo bohle ba hao, ka lebaka lena, phepo e nepahetseng bakeng sa lefu la tsoekere la 2 e fetoha lijo tsa hau tse ka sehloohong. Lijana tsohle li tsamaisoa hantle, tse phehiloeng, tse besitsoeng kapa tse jeoang bocha. Se latelang ke lenane la lijo tseo u ka li kenyang tafoleng ea hau ea letsatsi le letsatsi:

nama ea mohatla, khoho, mmutla, nama ea khomo (mefuta eohle e mafura a tlase),
monokotsoai, Persimmons, kiwi le litholoana tse ling (u ke ke ua khona ho etsa libanana feela, morara) ka tekano,
lihlahisoa tsa lebese tse nang le mafura a 0-1%,
lihlapi tse mafura a tlase
mefuta eohle ea lijo-thollo, lijo-thollo, pasta li ka jeoa ka bongata
chisi e tlase e nang le mafura
mabele, bohobe
meroho efe kapa efe e ncha, meroho e makhasi a lefifi e bohlokoa haholo.

Ithute haholoanyane ka seo u ka se jang ka lefu la tsoekere.

Seo u ke keng ua se ja ka lefu la tsoekere

Ha u etsa lethathamo la lijo bakeng sa lijo nakong ea kalafo, u hloka ho itšetleha haholo ka lethathamo la seo u ke keng ua se ja ka lefu la tsoekere.

Haeba lenane le sena sehlahisoa se lakatsehang, e ka jelloa ka tekano.

Ho latela melao, phepo e lokela ho ba le bonyane glucose kapa lintho tse jarang sebete, liphio, manyeme. Ho menu ea lefu la tsoekere la mofuta oa 2 u ke ke oa kenyeletsa:

lieie, linoko, letsoai, linoko, lijana tse tsubileng,
pasta e bonolo, raese, semolina,
moroho o mafura, o matla,
tranelate e bolila, tranelate e bolila, chisi e fetisitsoeng, chisi, chisi tse monate,
Li-buns tse monate le lijo tse ling tse nang le lik'habohaedreite tse ngata tse bonolo tsa ho silila,
botoro, margarine, mayonesiise, nama, mafura a phehang,
soseji, soseji, litlhapi tse tsubjoang, soseji, mefuta e mafura ea litlhapi, likhoho le nama.

Mofuta oa 2 oa lijo tsa lefu la tsoekere

Mokuli o tla tlameha ho lekola palo ea tsoekere maling, kalafo e bolela hore lijo tsa lefu la tsoekere la mofuta oa bobeli li tla hlomphuoa.

Thibelo ea bohlokoa ka ho fetisisa e oela nthong e 'ngoe le e' ngoe e tsoekere, e halikiloeng le e halikiloeng, hobane ba beha manyeme haholo, sebete.

Ka kalafo e nepahetseng le phepo e nepahetseng, motho ha a lokela ho ba le mathata a mathata a lefu lena. Lijo tsa batho ba nang le lefu la tsoekere la mofuta oa 2 li ka shebahala tjena:

Lijoa tsa hoseng: bohobe bo felletseng ba tee, tee, lehe, oatmeal.
Lijoa tsa bobeli tsa hoseng: monokotsoai, yogurt ea tlhaho (mafura a fokolang).
Lijo tsa motšeare: salate, sechu sa khoho, sopho ea meroho, compote, bohobe.
Sekhahla: tee, chisi e nang le mafura a tlase.
Lijo tsa mantsiboea: salate ea limela, hake e apehiloeng ka tranelate e bolila, cocoa, bohobe.
Pele o robala: apole e halikiloeng, yoghur ea tlhaho.

Ithute haholoanyane hore na lijo tsa batho ba nang le lefu la tsoekere ke eng.

Kalafo ea lefu la tsoekere la mofuta oa 2 - lithethefatsi

Ntle le ho fetola lijo le lijo, mokuli o fuoa litlhare tse khethehileng tsa lefu la tsoekere la mofuta oa 2.

Ketso ea bona e etselitsoe ho fokotsa bongata ba tsoekere maling, ho hlohlelletsa tlhahiso ea insulin ka lisele ka bongata bo hlokahalang.

Phekolo ea mofuta oa lefu la tsoekere la mofuta oa 2 ke motho ka mong bakeng sa mokuli e mong le e mong, morero o lokela ho khethoa, ngaka e tlameha ho khetha. E le molao, lithethefatsi tse joalo li kenyelelitsoe nakong ea phekolo.

Glucobai, Miglitol. Meriana e etselitsoe ho inhibition, ho monya li-oligo, li-polysaccharides. Ka lebaka lena, ho bokelloa ha glucose ho plasma ho fokotseha butle.
Metformin. E bua ka lithethefatsi tsa khetho ea pele bakeng sa kalafo ea hypoglycemic kalafo ea lefu la tsoekere la mofuta oa 2, hyperglycemia, botenya. E thusa ka ho sisinyeha, ho ts'oaroa ke 'mele oa tsoekere lithong tsa mesifa, ha e lumelle sebete ho e lokolla.
Li-derazatives tsa Thiazolidinone. Ba eketsa ts'ebetso ea li-insulin receptor, hona ho thusa ho theola boemo ba tsoekere, mme profid ea lipid e beha maemong.
Meriana ea sehlopha sa 2 sa sulfonylurea. Li na le matla a susumetsang makhophong ho hlahisa insulin, ho fokotsa ho hanyetsa ha litho tsa tharollo ho lihomone.
Starlix, Novonorm. Ketso e etselitsoe manyeme, tlhahiso ea insulin e susumetsoa.

Phekolo ea litlhare tsa mofuta oa 2 lefu la tsoekere

Ha motho a kula, o leka ho sebelisa mekhoa leha e le efe e teng ea kalafo. Mofuta oa 2 lefu la tsoekere - lijo le kalafo li ka etsoa hammoho le ts'ebeliso ea litlolo tsa lapeng.

Hoa hlokahala ho buisana le ngaka pele u e nka, hobane maemong a mang ho ka ba le khohlano le lijo kapa kalafo ea lithethefatsi.

Lipheko tsa batho ba mofuta oa lefu la tsoekere la 2 hangata li sebelisoa.

Recipe 1. Ho theha mokhabiso oa makhapetla a asene, o hloka khaba e 1 ea likhaba tsa lehong. E kenyelletsa ho 500 ml ea metsi le ho pheha. Lumella moriana hore o kenelle bakeng sa lihora tse peli. Latela lijo ka lefu la tsoekere la mofuta oa 2, ho ja makhetlo a 3 ka letsatsi pele ho lijo.
Recipe 2. Bakeng sa ho pheha o hloka 1 tbsp. l sinamone, eo u hlokang ho tšela khalase ea metsi a belang. U hloka ho kenya motsoako ona halofo ea hora, ebe o beha likhaba tse 2 tsa mahe a linotsi. Tšela sehlahisoa ka sehatsetsing ho fihlela hoseng. Noa halofo hoseng, ea bobeli pele u robala.
Bakeng sa ts'ebetso ea phepo e nepahetseng bakeng sa lefu la tsoekere la mofuta oa 2, ho hlokahala hore ho hloekise 'mele oa chefo, ho ntlafatsa metabolism. Tincture ea St. John ea wort e tla thusa, nka 3 tbsp. l litlama, tšela ½ litha e le ngoe ea metsi a belang, e tlohele e tsoe lihora tse peli. Nka karolo ea boraro ea khalase pele u e ja makhetlo a 3 ka letsatsi.

Mofuta oa 2 oa lefu la tsoekere - kalafo le lijo

Mofuta oa 2 oa lefu la tsoekere ke lefu la endocrine leo ho lona ho nang le keketseho ea glucose ea mali kamehla.

Lefu lena le tšoauoa ka tlolo ea ts'ebetso ea lisele le lisele ho insulin, e hlahisoang ke lisele tsa pancreatic. Ona ke mofuta oa tsoekere o tloaelehileng ka ho fetisisa.

Mabaka a ponahalo

Hobaneng lefu la tsoekere la 2 le hlaha, hona ke eng? Lefu lena le iponahatsa ka ho hanyetsa insulin (ho hloka karabelo ea mmele ho insulin). Ho batho ba kulang, tlhahiso ea insulin e ntse e tsoela pele, empa ha e sebelisane le lisele tsa 'mele ebile ha e potlakise ho monya ha tsoekere maling.

Lingaka ha li e-so tsebe lisosa tse qaqileng tsa lefu lena, empa ho latela lipatlisiso tsa hona joale, lefu la tsoekere la mofuta oa 2 le ka hlaha ka bophahamo ba lisele tse fapaneng kapa kutloisiso ea li-insulin.

Mabaka a kotsi a lefu la tsoekere la 2 ke:

Phepo e nepahetseng: ho ba teng ha lik'habohaedreite tse hloekisitsoeng lijong (liswiti, chokolete, liswiti, li-waffles, li-pastry, jj.) Le se tlase haholo sa lijo tse ncha tsa semela (meroho, litholoana, lijo-thollo).
Ho boima haholo, haholo mofuta oa visceral.
Ho ba teng ha lefu la tsoekere ho a le mong kapa ba babeli ba amanang haufi.
Mokhoa oa bophelo bo iketlileng.
Khatello e phahameng.
Morabe.

Lintho tsa bohlokoa tse amang ho hanela lisele tsa mmele ho insulin li kenyelletsa litlamorao tsa li-hormone tsa kholo ka nako ea ho kena bohlankaneng, morabe, bong (tloaelo e kholo ea ho holisa lefu lena ho basali) le botenya.

Ho etsahalang ka lefu la tsoekere?

Kamora ho ja, tsoekere ea mali e phahama, 'me makhopho a sitoa ho hlahisa insulin, e etsahalang khahlano le semelo sa tsoekere e phahameng.

Ka lebaka leo, kutloelo-bohloko ea membrane ea sele e ikarabellang bakeng sa ho hlokomela li-hormone ea fokotseha. Ka nako e ts'oanang, leha lihormone li kena ka seleng, phello ea tlhaho ha e etsahale. Boemo bona bo bitsoa ho hanyetsa insulin ha sele e hanana le insulin.

Matšoao a lefu la tsoekere la Mofuta oa 2

Maemong a mangata, mofuta oa mellitus oa lefu la tsoekere ha o na matšoao a boletsoeng 'me lefu lena le ka hlahisoa feela ka thuto e reriloeng ea laboratori ka mpeng e se nang letho.

Ka tloaelo, kholo ea lefu la tsoekere la mofuta oa bobeli e qala ho batho kamora lilemo tse 40, ho ba batenya haholo, khatello e phahameng ea mali le lipontšo tse ling tsa metabolism ea 'mele.

Matšoao a ikhethang a tjena:

lenyora le molomo o omileng
polyuria - ho ntša metsi a mangata haholo,
letlalo la letlalo le boreleli
bofokoli bo akaretsang le mesifa,
botenya
phodiso e bohloko ea leqeba

Mokuli a ka se belaelle ho kula ha hae ka nako e telele.

O utloa molomo o omelletse hanyane, lenyora, ho hlohlona, ka linako tse ling lefu lena le ka iponahatsa e le ho ruruha hoa letlalo letlalong le lipelong tsa mucous, thrush, lefu la marenene, ho senyeha ha meno, le pono e fokotsehileng.

Sena se hlalosoa ke 'nete ea hore tsoekere e sa keneng ka har'a lisele e kena marakong a methapo ea mali kapa ka har'a lihloba tsa letlalo. Libaktheria tsa tsoekere le li-fungus li ngatafala hantle.

Kotsi ke efe?

Kotsi e ka sehloohong ea lefu la tsoekere la mofuta oa 2 ke lefu la tsoekere la lipid, le bileng le bakang tlolo ea molao ea "glucose metabolism". Maemong a 80%, khahlano le semelo sa lefu la tsoekere la mofuta oa 2, lefu la pelo le mafu a mang a amanang le ho fifala ha methapo ea methapo ea mali ke liathomo tsa methapo ea methapo.

Ntle le moo, thaepa mellitus ea 2 ea lefu la tsoekere ka mefuta e matla e kenya letsoho kholisong ea mafu a liphio, ea fokotseha pono ea mahlo le bokhoni ba letlalo bo senyehileng, bo fokotsang boleng ba bophelo haholo.

Mofuta oa 2 oa lefu la tsoekere o ka hlaha ka mefuta e fapaneng ea likhetho:

Ea pele ke ho ntlafatsa boemo ba mokuli ka ho fetola melaoana ea phepo e nepahetseng, kapa ho sebelisa sutu e le 'ngoe ea sethethefatsi se theolang tsoekere ka letsatsi,
Ea bobeli - ntlafatso e etsahala ha ho sebelisoa litlhare tse peli kapa tse tharo tsa moriana o theolang tsoekere ka letsatsi,
Ea boraro - ntle le lithethefatsi tse fokotsang tsoekere, u tlameha ho sebelisa tlhahiso ea insulin.

Haeba boemo ba tsoekere ea mali ea mokuli bo phahame haholo ho feta bo tloaelehileng, empa ho se na tšekamelo ea mathata, joale boemo bona bo nkuoa e le puseletso, ke hore, 'mele o ntse o ka sebetsana le bokuli ba metabolism ea carbohydrate.

Ts'oaetso

Ho motho ea phetseng hantle, litekanyo tse tloaelehileng tsa tsoekere li haufi le 3.5-5,5 mmol / L. Lihora tse 2 ka mor'a lijo, o khona ho nyolohela ho 7-7.8 mmol / L.

Ho fumana lefu la tsoekere, ho entsoe lithuto tse latelang:

Teko ea mali bakeng sa glucose: ka mpeng e se nang letho lekola likateng tsa glucose maling a capillary (mali ho tsoa monoaneng).
Boikemisetso ba hemoglobin ea glycosylated: bongata ba eona bo eketseha haholo ho bakuli ba nang le lefu la tsoekere.
Teko ea mamello ea tsoekere: ka mpeng e se nang letho nka ligrose tse ka bang 75 g e qhibilihile ka likhalase tse 1-1,5 tsa metsi, joale u tsebe ho kenella ha tsoekere maling maling ka mor'a lihora tse 0,5, tse peli.
Urinalysis bakeng sa 'mele ea glucose le ketone: ho fumanoa ha' mele oa ketone le tsoekere e tiisa ho fumanoa ha lefu la tsoekere.

Type 2 lefu la tsoekere

Ha ho fumanoe lefu la tsoekere la mofuta oa 2, kalafo e qala ka ho ja le ho ikoetlisa ka tsela e leka-lekaneng. Mehatong ea pele ea lefu la tsoekere, esita le ho theola boima ba 'mele ho thusa ho ntlafatsa metabolism ea' mele 'me ho fokotsa tsoekere e maling. Bakeng sa kalafo ea methati e tlang, ho sebelisoa meriana e fapaneng.

Lijo tsa hypocaloric li hlokahala bakeng sa bakuli bohle ba nang le boima ba 'mele bo feteletseng (BMI 25-29 kg / m2) kapa botenya (BMI> 30 kg / m2).

Lithethefatsi tse theolelang tsoekere li sebelisetsoa ho susumetsa lisele ho hlahisa insulin e eketsehileng, hammoho le ho fihlela mahloriso a eona a hlokahalang a plasma. Khetho ea lithethefatsi e etsoa haholo ke ngaka.

Lithethefatsi tse tloaelehileng ka ho fetisisa:

Metformin ke setheo sa antidiabetes sa khetho ea pele ho bakuli ba nang le lefu la tsoekere la mofuta oa 2, botenya le hyperglycemia e potlakileng. Sesebelisoa sena se khothaletsa ho sisinyeha le ho monya ha tsoekere linthong tsa mesifa ebile ha se lokolle tsoekere ho sebete.
Miglitol, Glucobay. Lithethefatsi tsena li thibela ho kenngoa ha li-polysaccharides le oligo. Ka lebaka leo, keketseho ea litekanyetso tsa tsoekere ea mali e ea fokotseha.
Litokisetso tsa 2nd sulfonylurea (CM) (chlorpropamide, tolbutamide, glimepiride, glibenclamide, jj.) Tsosa secretion ea insulin manyetsong le ho fokotsa ho hanyetsoa hoa li-tishu tsa peripheral (sebete, mesifa ea mesifa, lithane tsa adipose) ho lihormone.
Li-derazatives tsa Thiazolidinone (rosiglitazone, troglitazone) li eketsa ts'ebetso ea li-insulin receptors 'me ka tsela eo li fokotsa maemo a tsoekere, li etsa hore profid ea lipid e thathamise.
Novonorm, Starlix. Ama makhopho a pancreas e le ho khothaletsa tlhahiso ea insulin.

Phekolo ea lithethefatsi e qala ka monotherapy (ho nka lithethefatsi tse 1), ebe ea kopana, ka mantsoe a mang, ho kenyelletsa le taolo e le 'ngoe ea lithethefatsi tse 2 kapa ho feta tse theolelang tsoekere. Haeba meriana e kaholimo e felloa ke matla, o tlameha ho fetohela ts'ebelisong ea lihlahisoa tsa insulin.

Latela melao e bonolo

Melao ea mantlha eo mokuli oa lefu la tsoekere a lokelang ho e latela:

khomarela lijo tse matlafatsang
ikoetlise kamehla
nka meriana
hlahloba mali bakeng sa tsoekere

Ntle le moo, ho lahla lik'hilograma tse eketsehileng ho etsa hore boemo ba bophelo bo botle ba batho ba nang le lefu la tsoekere la bobeli bo be bobebe:

tsoekere ea mali e fihlella e tloaelehileng
khatello ea mali tloaelehileng
cholesterol ea ntlafala
fokotsa maoto
motho o utloa bobebe 'meleng.

U lokela ho lekanya tsoekere ea mali a hau khafetsa. Ha boemo ba tsoekere bo tsebahala, mokhoa oa phekolo ea lefu la tsoekere o ka fetoloa haeba tsoekere ea mali e se ntho e tloaelehileng.

Melao le melao-motheo ea ho theha lethathamo la bakuli ba nang le lefu la tsoekere

Lefu la tsoekere le phepo e nepahetseng

Ho tsoekere ea lefu la tsoekere, ho ba le bothata ba metabolic, bo bakoang ke hore 'mele o tšele tsoekere e sa lekanang.

Mofuta oa 1 oa lefu la tsoekere le hlaha ka lebaka la lefu la lisele tsa "pancreatic beta" le "insulin", "mokhoa oa kalafo ke" insulin ". Phepo e nepahetseng ntlheng ena e bapala karolo ea bobeli ebile e thusa tlhahisong, hammoho le ts'ebeliso ea lithethefatsi tse theolelang tsoekere le insulin.

Empa lenane la tsoekere ea mofuta oa 2 le bohlokoa haholo. Mofuta ona oa lefu la tsoekere o hlaha e le litholoana tse sa thabiseng tsa botenya, mme ho ja ke tsona kalafo ea mantlha.

Ho etsa hore ho be bonolo ho theha lenane la bakuli ba nang le lefu la tsoekere, lingaka li hlahisitse mohopolo oa yuniti ea bohobe, e na le ligrama tse 14 tsa lik'habohaedreite tse sa tsotelleng, ho sa tsotelehe mofuta le sehlahisoa sa eona, e eketsa boemo ba tsoekere ea mali ka 2,8 mmol / l mme e hloka bakeng sa ho susumetsoa ke 'mele oa likarolo tse peli tsa insulin.

Bakeng sa bakuli ba nang le insulin, ho bohlokoa haholo ho hlokomela ho ja lijo tse matlafatsang tsa letsatsi le letsatsi tse tsamaellanang le insulin e laetsoeng. Ho seng joalo, ho ka hlaha kapa ho fokotseha ha tsoekere ea mali. Lisebelisoa tsa sampole tsa lefu la tsoekere li lokela ho kenyelletsa likarolo tsa bo-18-25 tsa bohobe, tse arotsoe lijo tse tšeletseng, boholo ba lijo tse nang le lik'habohaedreite li lokela ho ba halofo ea pele ea letsatsi.