Mlembi: Monica Porter
Tsiku La Chilengedwe: 15 Kuguba 2021
Sinthani Tsiku: 19 Novembala 2024
Anonim
Kuzindikira Matenda A shuga: Kodi Kunenepa Kofunika? - Thanzi
Kuzindikira Matenda A shuga: Kodi Kunenepa Kofunika? - Thanzi

Zamkati

Matenda ashuga ndi omwe amayamba chifukwa cha shuga wambiri m'magazi. Ngati muli ndi matenda ashuga, thupi lanu silimathanso kuyendetsa bwino magazi anu.

Ndi nkhambakamwa wamba kuti anthu onenepa okha ndi omwe amakhala ndi matenda ashuga, onse mtundu wa 1 ndi mtundu wa 2. Ngakhale ndizowona kuti kunenepa kumatha kukhala chinthu chimodzi chomwe chimawonjezera chiopsezo cha munthu kudwala matenda ashuga, ndi chithunzi chimodzi chokha chachikulu.

Anthu amitundu yonse ndi makulidwe - inde, zolemera - amatha kukhala ndi matenda ashuga. Zinthu zambiri kupatula kulemera zimatha kukhala ndi chiwopsezo chimodzimodzi pachiwopsezo chokhala ndi vutoli, kuphatikizapo:

  • chibadwa
  • mbiri ya banja
  • moyo wongokhala
  • kusadya bwino

Matenda a shuga ndi kulemera

Tiyeni tiwone momwe kulemera kungathandizire pachiwopsezo cha mtundu wa 1 ndi mtundu wa 2 shuga, komanso zinthu zambiri zosafunikira zomwe zingakhudze chiopsezo chanu.

Lembani 1

Mtundu woyamba wa matenda ashuga ndi matenda omwe amadzimangirira okha. Mwa anthu omwe ali ndi matenda a shuga amtundu wa 1, chitetezo chamthupi chimagwiritsa ntchito maselo a beta omwe amapanga insulin m'mapapo. Mphukira sizingathenso kutulutsa insulini.


Insulin ndi hormone yomwe imasuntha shuga kuchokera m'magazi anu kupita m'maselo. Maselo anu amagwiritsa ntchito shuga ngati mphamvu. Shuga amatha kukhala m'magazi anu popanda insulin yokwanira.

Kulemera si chiwopsezo cha mtundu woyamba wa matenda ashuga. Chokhacho chodziwikiratu chomwe chimayambitsa matenda ashuga amtundu woyamba ndi mbiri yabanja, kapena chibadwa chanu.

Anthu ambiri omwe ali ndi matenda ashuga amtundu wa 1 ali mgulu la "zachilendo" la index ya thupi (BMI). BMI ndi njira yoti madotolo azindikire ngati mukulemera bwino kutalika kwanu.

Imagwiritsa ntchito chilinganizo choyerekeza mafuta amthupi lanu kutengera kutalika kwanu ndi kulemera kwanu. Nambala ya BMI yomwe ikubwera ikuwonetsa komwe mulipo onenepa kwambiri kuti muchepetse. BMI yathanzi ili pakati pa 18.5 ndi 24.9.

Mtundu wa shuga woyamba umapezeka mwa ana. Komabe, ngakhale kuchuluka kwakukula kwa kunenepa kwambiri kwa ana, kafukufuku akuwonetsa kuti kulemera si chiwopsezo chachikulu cha matenda amtunduwu.

Kafukufuku wina adapeza kuti kuchuluka kwa matenda ashuga amtundu wa 2 kumayenderana ndi kuchuluka kwa kunenepa kwambiri kwa ana, koma osati mtundu 1.Abbasi A, et al. (2016).Kuchuluka kwa thupi ndi kuchuluka kwa mtundu 1 ndi mtundu wa 2 shuga kwa ana ndi achikulire ku UK: kafukufuku wamagulu owonera. KODI:
doi.org/10.1016/S0140-6736 (16)32252-8


Lembani 2

Ngati muli ndi matenda a shuga a mtundu wachiwiri, kapamba wanu wasiya kutulutsa insulin yokwanira, maselo anu alimbana ndi insulin, kapena onse awiri. Oposa 90 peresenti ya odwala matenda ashuga ali mtundu wachiwiri wa shuga.Zambiri zokhudza matenda ashuga. (2019).

Kulemera ndichinthu chimodzi chomwe chingathandize kukulitsa matenda amtundu wa 2. Akuti 87.5 peresenti ya achikulire aku US omwe ali ndi matenda amtundu wa 2 ndi onenepa kwambiri.Lipoti la ziwerengero za matenda ashuga, 2017. (2017).

Komabe, kulemera sizinthu zokhazokha. Pafupifupi 12.5 peresenti ya akulu aku US omwe ali ndi matenda amtundu wa 2 ali ndi ma BMI omwe ali athanzi kapena abwinobwino.Lipoti la ziwerengero za matenda ashuga, 2017. (2017).

Zowopsa za mtundu wa 2 shuga

Anthu omwe angawoneke ngati owonda kapena owonda atha kukhala ndi matenda ashuga amtundu wa 2. Zinthu zingapo zimatha kupereka:

Chibadwa

Mbiri ya banja lanu, kapena chibadwa chanu, ndiimodzi mwazomwe zimayambitsa chiwopsezo cha mtundu wachiwiri wa matenda ashuga. Ngati muli ndi kholo lomwe lili ndi mtundu wachiwiri wa matenda ashuga, chiopsezo chanu pamoyo wanu ndi 40 peresenti. Ngati makolo onse ali ndi vutoli, chiopsezo chanu ndi 70 peresenti.Prasad RB, ndi al. (2015). Ma genetics amtundu wa 2-msampha-zotheka komanso mwayi. KODI:
10.3390 / majini6010087


Mafuta distnthano

Kafukufuku akuwonetsa kuti anthu omwe ali ndi matenda amtundu wa 2 omwe amakhala olemera amakhala ndi mafuta owoneka bwino. Uwu ndi mtundu wamafuta ozungulira ziwalo zam'mimba.

Amatulutsa mahomoni omwe amakhudza shuga ndikusokoneza kagayidwe ka mafuta. Mafuta owoneka bwino amatha kupangitsa kuti thupi la munthu wonenepa kwambiri liziwoneka ngati mbiri ya munthu wonenepa kwambiri, ngakhale akuwoneka wowonda.

Mutha kudziwa ngati muli ndi kulemera kotere m'mimba mwanu. Choyamba, yesani m'chiuno mwanu mainchesi, kenako yesani m'chiuno mwanu. Gawani kuyeza kwanu m'chiuno ndi muyeso wanu wam'chiuno kuti mupeze chiuno chanu mpaka m'chiuno.

Chiuno m'chiuno mpaka m'chiuno

Ngati zotsatira zanu ndi 0.8 kapena kupitilira apo, zikutanthauza kuti muli ndi mafuta owoneka bwino. Izi zitha kukulitsa chiopsezo cha matenda ashuga amtundu wa 2.

Cholesterol wokwera

Cholesterol yayikulu imatha kukhudza aliyense. Chibadwa chanu, osati kulemera kwanu, chimatsogolera ku cholesterol yanu.

Kafukufuku wina anapeza kuti pafupifupi kotala la anthu aku America omwe sali onenepa kwambiri ali ndi vuto loyambitsa kagayidwe kachakudya. Izi zimaphatikizapo cholesterol yambiri kapena kuthamanga kwa magazi.Wachilengedwe RP, et al. (2008). Olemera kwambiri omwe ali ndi chiopsezo cha cardiometabolic clustering ndi kulemera kwake komwe kumayenderana ndi chiopsezo cha cardiometabolic: Kukula ndi kulumikizana kwa 2 phenotypes pakati pa anthu aku US (NHANES 1999-2004). KODI:
10.1001 / archinte

Matenda a shuga

Gestational diabetes ndi mtundu wa matenda ashuga omwe azimayi amakula ali ndi pakati. Analibe matenda ashuga asanakhale ndi pakati, koma atha kukhala ndi ma prediabetes ndipo samadziwa.

Mtundu wa matenda a shuga nthawi zambiri umaganiziridwa ngati mtundu woyambirira wamatenda amtundu wa 2. Amapezeka mu 2 mpaka 10 peresenti ya mimba.Matenda a shuga. (2017).

Matenda ambiri ashuga omwe amatenga msinkhu amatha nthawi yomwe mimba yatha. Komabe, azimayi omwe anali ndi vutoli ali ndi pakati amakhala ndi chiopsezo chachikulu chotenga matenda amtundu wa 2 m'zaka 10 pambuyo pathupi, poyerekeza ndi azimayi omwe analibe matenda ashuga.Herath H, ndi al. (2017). Gestational shuga mellitus ndi chiopsezo cha mtundu wa 2 shuga zaka 10 pambuyo poti amayi ali ndi pakati ku Sri Lankan Women-Kafukufuku wamagulu omwe amabwerera m'mbuyo. KODI:
10.1371 / journal.pone.0179647

Pafupifupi theka la azimayi onse omwe amadwala matenda ashuga ali ndi pakati pambuyo pake adzadwala matenda ashuga amtundu wa 2.

Kubereka mwana woposa mapaundi 9

Amayi omwe ali ndi vuto la matenda ashuga amakhala ndi ana omwe ndi akulu kwambiri, olemera mapaundi asanu ndi anayi kapena kupitilira apo. Sikuti izi zimangopangitsa kuti kubereka kukhale kovuta kwambiri, koma matenda ashuga omwe angatengere nthawi yayitali amathanso kukhala mtundu wachiwiri wa matenda ashuga.

Kukhala chete

Kuyenda ndikofunikira kuti mukhale ndi thanzi labwino. Kusasuntha kungakhudze thanzi lanu. Anthu okhala ndi moyo wongokhala, osatengera kulemera kwawo, ali pachiwopsezo chowirikiza kawiri chiopsezo chodwala matenda ashuga amtundu wa 2 kuposa anthu omwe ali otakataka.Biswas A, et al. (2015). Kukhala kwakanthawi komanso mgwirizano wake ndi chiopsezo cha matenda, kufa, komanso kugona mchipatala mwa akulu: Kuwunika mwatsatanetsatane ndikuwunika meta. KODI:

Kusadya bwino

Chakudya chosayenera sichimangokhala kwa anthu onenepa kwambiri. Anthu onenepa kwambiri amatha kudya zakudya zomwe zimawaika pachiwopsezo cha matenda ashuga amtundu wa 2.

Malinga ndi kafukufuku wina, kudya shuga wambiri kumawonjezera chiopsezo cha matenda ashuga, ngakhale utatha kuwerengetsa thupi, kuchita masewera olimbitsa thupi, komanso kuchuluka kwa kalori.Basu S, ndi al. (2013). Chiyanjano cha shuga mpaka kuchuluka kwa anthu odwala matenda ashuga: Kusanthula kwachuma kwama data obwereza-bwereza. KODI:
10.1371 / journal.pone.0057873

Shuga amapezeka muzakudya zotsekemera, komanso zakudya zina zambiri, monga zokhwasula-khwasula zosakaniza ndi ma saladi. Ngakhale msuzi zamzitini zitha kukhala zosocheretsa shuga.

Kusuta

Kusuta kumawonjezera chiopsezo cha matenda angapo, kuphatikizapo matenda ashuga. Kafukufuku wina adapeza kuti anthu omwe amasuta ndudu 20 kapena kupitilira apo tsiku lililonse amakhala ndi chiopsezo chodwala matenda ashuga kawiri kuposa anthu omwe samasuta, ngakhale atakhala olemera.Manson JE, et al. (2000). Kafukufuku woyembekezeredwa wosuta ndudu komanso kuchuluka kwa matenda ashuga pakati pa madokotala achimuna aku US. KODI:

Kuchotsa manyazi

Anthu omwe ali ndi matenda ashuga, makamaka anthu onenepa kwambiri, nthawi zambiri amasalidwa komanso kunamiziridwa zabodza.

Izi zitha kupanga zolepheretsa kupeza chithandizo chamankhwala choyenera. Zitha kupewanso anthu omwe atha kukhala ndi matenda ashuga koma omwe ali "onenepa" kuti asadziwike. Amatha kukhulupirira zabodza, kuti ndi anthu okhawo onenepa kwambiri kapena onenepa kwambiri omwe amatha kukhala ndi vutoli.

Zikhulupiriro zina zimatha kusokoneza chisamaliro choyenera. Mwachitsanzo, nthano yodziwika yoti matenda ashuga amadza chifukwa chodya shuga wambiri. Ngakhale kuti chakudya chopatsa shuga chingakhale gawo limodzi la zakudya zopanda thanzi zomwe zimawonjezera chiopsezo cha matenda ashuga, sizomwe zimayambitsa matendawa.

Momwemonso, sikuti aliyense amene amadwala matenda a shuga ndi wonenepa kwambiri kapena wonenepa kwambiri. Makamaka, anthu omwe ali ndi matenda amtundu wa 1 nthawi zambiri amakhala ndi thanzi labwino. Ena atha kukhala ochepera kunenepa chifukwa kuwonda msanga ndichizindikiro cha vutoli.

Nthano ina yodziwika koma yovulaza ndiyakuti anthu omwe ali ndi matenda a shuga amadzibweretsera vutoli. Izi ndi zabodza. Matenda a shuga amapezeka m'mabanja. Mbiri yakubanja ya vutoli ndichimodzi mwazinthu zoopsa kwambiri.

Kumvetsetsa matenda ashuga, chifukwa chake kumachitika, ndipo ndani amene ali pachiwopsezo atha kukuthandizani kuti mumvetsetse zabodza zomwe zimapitilira zomwe zingalepheretse anthu omwe ali ndi vutoli kupeza chisamaliro choyenera.

Zitha kukuthandizaninso - kapena mwana, wokwatirana naye, kapena wokondedwa wina - kupeza chithandizo choyenera mtsogolo.

Malangizo ochepetsera chiopsezo

Ngati muli ndi chimodzi kapena zingapo zomwe zingayambitse matenda ashuga amtundu wa 2, mutha kuchitapo kanthu kuti muchepetse mwayi wakukula kwa vutoli. Nazi zina zomwe mungachite kuti muyambe:

  • Yendani. Kuyenda pafupipafupi kumakhala koyenera, ngakhale mutakhala wonenepa kwambiri kapena ayi. Khalani ndi mwayi wochita masewera olimbitsa thupi kwa mphindi 150 sabata iliyonse.
  • Idyani chakudya chanzeru. Zakudya zopanda pake sizabwino, ngakhale mutakhala oonda. Zakudya zopanda thanzi komanso zakudya zopanda thanzi zingakulitse chiopsezo cha matenda ashuga. Ganizirani kudya chakudya chomwe chili ndi zipatso, ndiwo zamasamba, ndi mtedza. Makamaka, yesetsani kudya masamba obiriwira obiriwira. Kafukufuku akuwonetsa kuti masambawa amachepetsa chiopsezo cha matenda a shuga ndi 14 peresenti.Carter P, ndi al. (2010). Kudya zipatso ndi ndiwo zamasamba komanso kuchuluka kwa matenda ashuga amtundu wa 2: Kuwunika mwatsatanetsatane ndikuwunika meta.
  • Imwani pang'ono. Anthu omwe amamwa mowa pang'ono - pakati pa 0,5 ndi 3.5 zakumwa tsiku lililonse - atha kukhala ndi chiopsezo chochepa cha matenda ashuga 30% poyerekeza ndi anthu omwe amamwa kwambiri.Koppes LL, et al. (2005). Kumwa mowa pang'ono kumachepetsa chiopsezo cha matenda a shuga amtundu wa 2: Kusanthula meta kwa omwe akuyembekezeka kuwunika.
  • Onetsetsani manambala anu amadzimadzi pafupipafupi. Ngati muli ndi mbiri yokhudza banja la cholesterol kapena kuthamanga kwa magazi, ndibwino kuti muziyang'ana manambalawa ndi dokotala nthawi zonse. Izi zitha kukuthandizani kuti mupewe kapena kupewa zinthu monga matenda ashuga kapena matenda amtima.
  • Siyani kusuta. Mukasiya kusuta, zimabweretsa chiopsezo chanu cha matenda ashuga kubwerera munthawi yake. Izi zimathandiza kuti thupi lanu lizitha kusamalira shuga wambiri wamagazi.

Mfundo yofunika

Matenda ashuga amatha kupezeka mwa anthu amitundu yonse. Kulemera ndi chiopsezo cha mtundu wachiwiri wa shuga, koma ndichimodzi chokha chazithunzi zikafika pazowopsa.

Zina mwaziwopsezo za matenda ashuga ndizo:

  • moyo wongokhala
  • matenda ashuga
  • cholesterol yambiri
  • mafuta akulu am'mimba
  • kusuta
  • mbiri ya banja

Ngati muli ndi nkhawa mutha kukhala ndi matenda ashuga, kapena ngati muli ndi chimodzi kapena zingapo zoopsa, pangani nthawi yoti mukalankhule ndi dokotala wanu.

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