Darasi na 5
A yau, akwai kusan mutane miliyan 357 a duniya tare da ciwon sukari. A cewar kimomi, nan da shekarar 2035 yawan mutanen da ke dauke da wannan cutar zai kai mutane miliyan 592.
Accuratearin ingantattun hanyoyin bayar da magunguna zuwa ga jini sun dogara da gabatarwar insulin a ƙarƙashin fata ta amfani da catheters tare da allura, wanda dole ne a canza shi lokaci-lokaci bayan fewan kwanaki, wanda ke haifar da damuwa mai yawa ga mara haƙuri.
Koma abinda ke ciki
Inshora na insulin - dace, mai sauƙi, mai aminci
“Facin” karamin silicon square ne, sanye yake da microneedles mai dimbin yawa, nunin wanda bai wuce girman gashin ido ba. Microneedles suna da wuraren ajiya na musamman waɗanda ke adana insulin da enzymes waɗanda zasu iya samun ƙwayoyin glucose a cikin jini. Lokacin da matakin sukari na jini ya tashi, ana aika sigina daga enzymes kuma ana saka adadin insulin da ake buƙata a ƙarƙashin fata.
- acid hyaluronic
- 2-nitroimidazole.
Jelly na Royal: abun da ke ciki, kaddarorin masu amfani. Yaya ake amfani da jelly na kamuwa da cutar sankara?
Statins don rage cholesterol. Me yasa suke da ciwon sukari, menene mafi shahararrun kwayoyi?
Ta hanyar haɗuwa da su, masanan kimiyya sun karbi kwayar halitta daga waje wanda baya hulɗa da ruwa, amma a ciki yana haɗuwa da haɗin kai. Enzymes waɗanda ke lura da matakin glucose da insulin aka sa su a cikin kowane murfin - tafki.
Gluconic acid, yana lalata dukkan oxygen, yana haifar da kwayar halitta zuwa yunwar oxygen. Sakamakon rashin isashshen sunadarin oxygen, kwayar ta karye, ta saki insulin a cikin jini.
Bayan haɓakar ƙwayoyin insulin na musamman - ɗakunan ajiya, masanan kimiyya sun fuskanci tambayar ƙirƙirar hanyar da za a iya sarrafa su. Maimakon yin amfani da manyan allura da catheter, waɗanda ba su da matsala a amfani yau da kullun ga marasa lafiya, masana kimiyya sun ɓullo da allurai na microscopic ta hanyar sanya su a madadin silicon.
An kirkiro microneedles daga hyaluronic acid guda ɗaya, wanda shine ɓangare na kumfa, kawai tare da tsari mai wahala wanda allura zasu iya huda fatar mutum. Lokacin da “facin mai kaifin basira” ke shiga fatar mai haƙuri, ƙwayoyin microneedles sun ratsa jikin capillaries kusa da fata ba tare da haifar da matsala ga mai haƙuri ba.
Irƙirar "facin" yana da fa'idodi da yawa game da ingantattun hanyoyin kula da insulin - yana da sauƙin amfani, ba mai guba ba, wanda aka yi da kayan jituwa.
Bugu da kari, masana kimiyya sun sa wa kansu burin bunkasa "mafi kwazo mai hankali" wanda aka kirkira ga kowane mai haƙuri, la'akari da nauyinta da kuma haƙurin mutum akan insulin.
Menene abin da endocrinologist yayi da sau nawa yake buƙatar ziyartar masu ciwon sukari?
Glucometer Contour TS a kwatancen Ascensia: fa'idodi da rashin amfani. Kara karantawa anan.
Koma abinda ke ciki
Gwajin farko
Anyi nasarar yin amfani da sabon facin cikin mice tare da ciwon sukari na 1. Sakamakon binciken ya kasance raguwa a cikin matakan sukari na jini a cikin mice na awa 9. A yayin gwajin, rukunin mice sun sami daidaitattun allurar insulin, kungiyar ta biyu an bi da su da “smart patch”.
A karshen gwajin, ya zama cewa a farkon rukuni na beraye, matakan sukari na jini bayan aikin insulin ya ragu sosai, amma kuma ya sake tashi zuwa mummunan halin. A rukuni na biyu, an lura da raguwar sukari zuwa matakin al'ada a cikin rabin sa'a bayan aikace-aikacen "facin", ya kasance a wannan matakin don sauran awa 9.
Basal insulin
Zai yiwu rushewar asali (basal) mai yiwuwa ta hanyar gabatarwar insulins ɗan adam na matsakaici (NPH-insulin) ko analogues na aikin insulin tsawon lokaci.
Ingantaccen insulin 'basal:
- Bai kamata yayi babban koshin aiki ba don guje wa haɗarin hauhawar jini,
- da bambancin aiki kaɗan (sakamako iri iri ɗaya a kowace rana) don tabbatar da kyakkyawan iko da sukari na jini
NPH-insulin | Analogs na Insulin na mutum | |
---|---|---|
Babban aiki | Akwai Babban haɗarin hauhawar jini | A'a Riskarancin haɗarin hauhawar jini |
Veriability aiki | Babban Yawan jini a cikin ranaku daban-daban | Kadan Rana guda ɗaya na jini a cikin kwanaki daban-daban |
Tsawon Lokaci aiki | Kasa da 24 2 allura a rana | har zuwa 24 hours 1-2 injections a rana |
Bolus insulin
Don yin kwaikwayon ɓoyewar prandial (bolus), ana amfani da insulin insulins-ins-ins na matsanancin-gajeran aiki.
Insulin '' mafi kyawun '' bolus insulin:
- ya kamata ya fara aiki da sauri, mafi dacewa nan da nan bayan gudanarwa. Arfin gudanar da maganin nan da nan kafin, lokacin ko da bayan abincin ya ba da damar yin amfani da shi,
- babban matakin aiki yakamata ya haɗu da narkewar narkewa (sa'o'i 1-2 bayan cin abinci): tabbatar da matakin glucose na al'ada bayan an ci abinci,
- gajeren lokacin aiki: ikon da zai iya hana jinkirta cutar bayan abinci.
Babban halayen insulin analogues a gaban insulins mutum ne:
- yuwuwar gudanarwa kai tsaye kafin abinci ko a cikin mintina 10 bayan fara cin abinci, yayin da ake gudanar da gajeren zango a cikin mintuna 20-30 kafin cin abinci,
- kololuwar aiki yana da ma'ana kuma yana haɗuwa da sha na carbohydrates: ingantaccen sarrafa glycemic bayan cin abinci,
- gajarta lokacin aiki (awa 3-4), wanda ke rage haɗarin hauhawar jini.
Akwai hanyoyi guda 2 don canzawa asirin jiki na insulin:
1. Bayanin allura mai yawa (maganganu: tushen-bolus regimen, ingantaccen tsarin kula da insulin):
- gabatarwar insulin basal sau 1-2 a rana a hade tare da insalin '' insulin '' bolus insulin kafin kowane abinci.
2. Ci gaba da aikin insulin na gaba ta amfani da famfon din insulin (magana: famar yin insulin):
- gabatarwar analog na ultrashort na insulin ko gajeran insulin dan adam (da wuya) a cikin yanayin cigaba,
- a cikin wasu famfunan akwai yuwuwar ci gaba da lura da matakan glucose na jini (tare da ƙarin shigarwa na firikwensin).
Lissafin kashi na insulin a cikin tsarin injections da yawa
Jimlar yawan insulin na yau da kullun da kuke buƙatar yin lissafi tare da likitan ku, saboda ya dogara da dalilai da yawa, kuma sama da duka akan nauyi da tsawon lokacin cutar.
Kashi na basal insulin:
- 30-50% na adadin yau da kullun
- ana gudanar da su sau 1 ko sau biyu a rana, gwargwadon bayanan aikin insulin a lokaci guda,
- Ana amfani da kashi gwargwadon iko ta hanyar cimma niyya wanda yake yin azumi matakin glucose din jini kuma kafin manyan abinci,
- sau ɗaya a kowane mako 1-2 yana da kyau a auna glucose a 2-4 a.m. don keɓance ƙwayar cuta,
- ana kimanta cancantar gwargwado ta hanyar cimma niyya matakin azumtar glucose din jini (na wani insulin da ake sarrafawa kafin lokacin bacci) da kuma gabanin abinci (na adadin insulin da aka gudanar kafin karin kumallo),
- tare da tsawan aikin jiki, ana iya buƙatar rage ƙarfin kashi.
Inganta insulin kashi kwaskwarima:
Insulin aiki mai tsawo - ba tare da la'akari da lokacin gudanarwa ba, ana aiwatar da gyaran gwargwadon matsakaiciyar glucose na azumin kwanaki 3 da suka gabata. Ana yin gyaran aƙalla sau 1 a kowanne mako:
- idan akwai hypoglycemia, to za a rage yawan kashi 2 raka'a,
- idan matsakaita glucose mai azumi yana cikin kewayon manufa, to ba a bukatar karuwa da kashi,
- idan matsakaita mai glucose na azumi ya fi wanda aka yi niyya, to lallai ya zama dole a kara kashi ta hanyar raka'a 2. Misali, yin azumin glucose na jini na 8.4 da 7.2 mmol / L. Manufar jiyya shine gulukumi mai azumi 4.0 - 6.9 mmol / L. Matsakaicin matsakaici na 7.2 mmol / l ya fi ƙarfin maƙasudi, sabili da haka, ya zama dole a ƙara yawan kashi ta hanyar raka'a 2.
NPH-insulin - titration algorithm don basal insulin iri ɗaya ne:
- tsarin titration algorithm na kashinda ake bayarwa a lokacin bacci yayi kama da tsarin titration algorithm na insulins da suka dade suna aiki,
- titration algorithm na kashi wanda ake sarrafawa kafin karin kumallo ya yi daidai da tsarin titration algorithm na insulins da ke aiki na lokaci mai tsawo, amma, ana yin shi gwargwadon matsakaiciyar jini kafin abincin dare.
Kashi na Prandial Insulin aƙalla 50% na adadin yau da kullun kuma ana gudanar dashi kafin kowane abinci wanda ke ɗauke da carbohydrates.
Yawan yana dogara da:
- yawan carbohydrates (XE) wanda kuka shirya don cin abinci,
- Ayyuka na jiki bayan shirin insulin (ana iya buƙatar rage kashi)),
- Ana tantance isasshen magani ta hanyar kaiwa ga matakin glucose na jini wanda aka yiwa niyya awa 2 bayan cin abinci,
- buƙatun mutum na insulin a 1 XE (da safe a 1 XE yawanci yana buƙatar karin insulin fiye da rana da maraice). Lissafin bukatun insulin mutum daya a 1 XE ana aiwatar dashi gwargwadon Dokar 500: 500 / jimlar yau da kullun = 1 1 rukunin insulin paldial ya zama dole don ɗaukar X g na carbohydrates.
Misali: jimlar yau da kullun = raka'a 60. 500/60 = 1 Rukunin insulin prandial ana buƙatar shi don ɗaukar 8.33 g na carbohydrates, wanda ke nufin cewa sha don 1 XE (12 g), 1.5 Ana buƙatar sashin 1.5 na prandial insulin. Idan abubuwan da ke cikin carbohydrate a cikin abinci shine 24 g (2 XE), kuna buƙatar shigar da raka'a 3 na insulin paldial.
Gyara insulin Kashi Ana amfani da insulin-gajere ko insalin insulin na gajere-gajere) don daidaita haɓakar glucose a cikin jini (da safe, kafin cin abinci na gaba ko bayan shi, da dare), kuma ya zama dole a gaban cutar mai kumburi da cuta ko kamuwa da cuta.
Hanyoyin don yin lissafin yawan daidaitawar insulin
Akwai hanyoyi da yawa don yin ƙididdigar yawan daidaitawa, dole ne kuyi amfani da mafi dacewa da fahimta a gare ku.
Hanyar 1. Ana lissafta sashin daidaitawa gwargwadon yawan yawan insulin yau da kullun (basal da prandial insulin):
- a wani matakin glycemia har zuwa 9 mmol / l, ƙarin insulin management (“poplite”) ba a buƙatar,
- a matakin glycemia na 10-14 mmol / l, kashi na daidaitawa (“poplite”) kashi 5% ne na yawan insulin na yau da kullun. A matakin glycemia sama da 13 mmol / l, sarrafa acetone a cikin fitsari ya zama dole,
- a matakin glycemia na 15-18 mmol / l, kashi na daidaitawa (“poplite”) shine 10% na yawan maganin yau da kullun. A matakin glycemia sama da 13 mmol / l, sarrafa acetone a cikin fitsari ya zama dole,
- a matakin glycemia fiye da 19 mmol / l, kashi na daidaitawa (“poplite”) kashi 15% ne na yawan kwayoyin cutar yau da kullun. A matakin glycemia sama da 13 mmol / L, sarrafa acetone a cikin fitsari ya zama dole.
Hanyar 2. Lissafin kashi na daidaitawa yana yin la'akari da jimlar adadin yau da kullun da kuma daidaitawar hankali zuwa insulin ko kuma yanayin gyara (alamomi na mutum).
Mai hankali sosai yana nuna yawan mmol / l guda ɗaya na insulin yana rage matakin glucose a cikin jini. A cikin lissafin, ana amfani da dabarun masu zuwa:
- "Mulkin 83" don insulin gajeriyar aiki:
Mai saukin kamuwa da damuwa (mmol / l) = 83 / a kowace rana na insulin - "Doka 100" don maganin insulin-gajere na gajeran aiki:
coefficient na hankali (mmol / l) = 100 / a kowace rana na insulin
Misalin lissafi
Jimlar yau da kullun na insulin shine raka'a 50. Kuna samun iskancin insulin na gajere-gajere-wanda yake nuna cewa coefficient na hankali yana da rarrabuwa 100 kashi 50 = 2 mmol / L.
A ce matakin glycemia shine 12 mmol / L, matakin manufa shine 7 mmol / L, don haka ya zama dole don rage matakin glycemia ta 5 mmol / L. Don yin wannan, kuna buƙatar shigar da 5 mmol / L ta kashi 2 mmol / L = 2.5 raka'a (zagaye har zuwa 3 raka'a, sai dai idan alƙawirin alkalami yana tare da matakin kashi na 0.5 Units) na insulin-short insulin.
Bayan gabatarwar adadin daidaituwa na insulin gajeren aiki, yana da bukatar a jira awanni 3-4 da awanni 2-3 bayan gabatarwar analog na ultrashort. Bayan haka sake sake gwada matakin glucose a cikin jini kuma, in ya cancanta, shigar da satin daidaitawa.
A gaban acetone, sashin daidaitawa zai zama mafi girma saboda raguwa a cikin ƙwayar insulin. Idan kuna da alamun ketoacidosis, kira motar asibiti
1. Idan hauhawar jini ta kasance ranar da zaku ci,
sannan ya zama dole a kara kashi na insulin na gyaran jiki a lissafin kashi na prandial insulin
Yana da kyau cewa kashi ba ya wuce raka'a 20, yana da kyau a rage adadin carbohydrates kuma ku ci daga baya, tare da daidaituwa na glycemia. Matsakaicin insulin gajeran aiki fiye da raka'a 10, yana da kyau ka rarraba ka shiga cikin wurare 2.
Idan kuna shirin cin abinci, kuma matakin glycemia kafin cin abinci ya yi yawa, to kuna buƙatar ƙara tazara tsakanin allura da abinci zuwa minti 40-45 don insulin na ɗan gajeren lokaci da kuma har zuwa mintuna na 10-15 don analog na matsanancin-gajere. Idan glycemia ya fi 15 mmol / l, to, zai fi kyau mu guji abinci, gabatar da insulin gyaran jiki kawai da kuma jinkirta abinci har sai glucose ya daidaita
a cikin jini.
2. Hyperglycemia kafin lokacin bacci
Yana da haɗari a gabatar da kashi na daidaitawa saboda haɗarin cutar rashin ƙwaƙwalwar maraice.
- bincika dalilin kuma ku guji maimaitawa,
- zaku iya ƙin abun ciye-ciye kafin lokacin kwanciya,
- Idan kuwa kun yanke shawarar kula da insulin na gyaran jiki, bincika glucose ɗinku da jini a cikin 2 a.m.
3. Sanadin hauhawar jini da safe
- manyan matakan glucose a cikin jini kafin lokacin kwanciya, da sakaci,
- karancin kashi na insal na basal kafin lokacin kwanciya (kafin lokacin bacci, matakin glucose al'ada ne, amma tare da yin maimaitawa sau 2-4 a.m. an lura da karuwarsa). Wajibi ne a kara yawan kwayoyin ta hanyar raka'a 2 kowane kwana 3 har sai an samu sakamako,
- farkon kulawa da insulin na basal ("bai isa ba" har safiya ") - jinkirta allura don awanni 22-23,
- maimaitawar hyperglycemia: ƙara yawan glucose bayan rashin haihuwar rashin barci. Zai bada shawara sau ɗaya kowace mako 1-2 don sarrafa matakin glucose a cikin jini a 2-4 a.m. Idan an gano hypoglycemia, an dakatar dashi ta hanyar ɗaukar 1-2 da sauri dige dige-dige, kuma kashi na insulin basal wanda ake sarrafawa kafin lokacin bacci ya ragu da raka'a 2,
- sabon abu na "sanyin alfijir na safe": karuwa a cikin glycemia da 5-6 da safe a matakan yau da kullun kafin lokacin bacci da kuma a 2-4 da safe. Yana da alaƙa da wuce haddi na cortisol, wanda ke cutar da aikin insulin.
Don gyara sabon yanayin "wayewar gari" za ku iya:
- amfani da “poplite” na insulin-gajeran aiki ko kuma isharar insulin-insulin-ana ana,
- Canja wurin allurar NPH-insulin a wani lokaci mai zuwa,
- gudanar da aikin insulin insulin aiki mai tsawo. Kuna iya zaɓar zaɓin ku ta hanyar tuntuɓar likitanka.
4. Sanadin hauhawar jini bayan cin abinci
- hawan jini a gaban abinci, ba a kula da shi ba,
- XE ba daidai ba ya lissafa
- kuskuren lissafin buƙatun insulin paldial a 1 XE,
- ba a la'akari da glycemic index ba,
- akwai "ɓoye" hypoglycemia.
Kwayoyin hana haihuwa don kamuwa da cutar siga
Don lura da gidajen abinci, masu karatunmu sunyi nasarar amfani da DiabeNot. Ganin shahararrun kayan wannan samfurin, mun yanke shawarar ba da shi ga hankalin ku.
Wasu hanyoyi na iya yin tasiri ga sukarin jini. Koyi game da zaɓuɓɓukan sarrafa haihuwa ga mata masu ciwon sukari.
Mace da ke da ciwon sukari dole ne ta fuskanci irin wannan matsalolin da galibin mata ke fuskanta, kamar zabar hanyar hana haihuwa. Koyaya, ba kamar matan da ba su da ciwon sukari ba, dole ne ta yi la’akari da yadda nau’in hana haihuwa da ta zaɓa za ta shafi sukarin jininta.
Ciwon sukari da magungunan hana haihuwa
A da, ba a ba da shawarar kwayoyin hana daukar ciki ba ga mata masu fama da cutar sankara saboda canje-canje na hormonal da magani zai iya haifar. Manyan allurai na kwayoyin halittar jiki na iya yin tasiri ga sukarin jini, wanda hakan ke sanya ya zama da wahala mata su iya sarrafa ciwon su. Koyaya, bincike a cikin sabon tsari ya haifar da saurin haɗarin hormone. Sabbin kwayoyin hana daukar ciki, irin su Jess na shiri, amintattu ne ga mata da yawa, ba wai kawai da masu ciwon suga ba. Idan baku da gogewa ta amfani da wannan rigakafin, karanta karatun likita game da allunan. Matan da ke da ciwon sukari waɗanda suka yanke shawarar yin amfani da kwayoyin hana haihuwa, ya kamata su ɗauki mafi ƙarancin yiwuwar su iyakance tasirin maganin a kan cutar sankara.
Amma, mata masu shan kwayoyin hana daukar ciki ya kamata su tuna cewa har yanzu akwai karuwar hatsarin amai ko rauni a cikin mata ta amfani da wannan hanyar maganin hana haihuwa. Tun da mutane masu ciwon sukari suna da haɗarin haɓakar cututtukan zuciya, mata ya kamata su nemi likita.
Ciwon sukari da sauran hanyoyin hana haihuwa
Maganin hana daukar ciki ba shine kawai hanyar yin amfani da kwayoyin ba don hana daukar ciki. Hakanan akwai allura, abubuwan fashewa, zoben da faci.
Inje shine ya zama sanannen zabi domin allura guda daya na depot medroxyprogesterone acetate (Depo-Provera) na iya hana daukar ciki har zuwa watanni uku. Yin amfani da wannan hanyar, mata ya kamata suyi tunani game da hana haihuwa sau hudu a shekara. Koyaya, tunda allurar tana amfani da progestin na hormone, ana iya samun sakamako masu illa kamar ƙimin nauyi, hauhawar gashi, mara nauyi, ciwon kai, da damuwa.
Idan bakya son allurar kowane wata uku, zaku iya kokarin dasa maganin hana haihuwa. Wannan itace ƙaramin filastik wanda ya dace da fata na ƙashin hannu. Lokacin da abin ya shigo, sai ya fitar da progestin, hormone daya azaman allura.
Wata sabuwar na'ura da aka haɗa a cikin rukunin hana haihuwa ita ce zobe ta farji, wacce aka sa wa kwana 21. Ana sanya wannan zobe a cikin babba na farjin, lokacin da yake wurin, baku jin shi. Hannun zobe yana ba kawai progestin, amma har ma da estrogen, wanda ke nufin cewa matan da ke amfani da shi na iya fuskantar tasirin sakamako waɗanda suka yi kama da maganin ƙwaƙwalwar ƙwayar cuta.
A ƙarshe, akwai facin hanawa. Kamar sauran filayen magunguna, alal misali, wanda ke taimaka muku daina shan sigari, ƙwayoyin hana haihuwa suna aiki ne idan an shafa fata. Facin ya saki estrogen da progestin a cikin sati daya, sannan kuma aka sake shi da wani sabo, ana yin wannan ne na duka sati uku a jere. Ba a saka facin na sati na hudu (a lokacin haila), sannan sake zagayowar. Hakanan, tasirin sakamako na iya zama kama da maganin hana haihuwa ko zoben farji, da akwai wasu hangula a yankin fatar inda kake amfani da facin.
Kamar kwayoyin hana daukar ciki, wasu nau'ikan hana daukar ciki na iya shafar sukarin jininka. Idan ka yanke shawarar amfani da ɗayan waɗannan hanyoyin, ƙila kuna buƙatar daidaita sashi na maganin ciwon sukari.
Ciwon sukari da na’urar cikin ciki
Na'urar Intrauterine (IUDs) sune na'urorin da aka shigar cikin mahaifa. IUD tana kasancewa a cikin wani ɗan lokaci na lokaci har sai likitan ya cire shi. Don dalilai waɗanda likitoci ba su fahimta sosai ba, IUD ta hana kwai daga ciki ya shiga cikin bangon mahaifa don haka yana taimakawa hana juna biyu. Kodayake robar mahaifa hanya ce mai kyau ta hana haihuwa, ɗayan haɗarin amfani da na'urar shine kamuwa da cuta a cikin mahaifa.
Matan da ke da ciwon sukari sun riga sun kasance cikin haɗari mafi girma na kamuwa da cuta saboda rashin lafiya, don haka wannan nau'in hana haihuwa na iya kasancewa ba zaɓi mafi kyau ba idan kuna da ciwon sukari.
Ciwon sukari da hanyoyin shawo kan hana haihuwa
Tare da damuwa game da cututtukan da ake ɗauka ta hanyar jima'i, hanyoyin hanawa suna karuwa sosai tsakanin mata. Ta hana maniyyi kaiwa ga mahaifa, rage hadarin ciki, da kuma yaduwar cuta.
Ga yawancin mata, hanyoyin shamaki na iya zama ingantacciyar hanyar hana haihuwa, kuma kwaroron roba da diaphragms na farji baya shafar sukarin jini. Yana da mahimmanci, duk da haka, fahimtar cewa hanyoyin hana shinge suna da tsananin lalacewa sama da Allunan kuma ya kamata a yi amfani dasu da kyau, tare da kowace ma'amala ta jima'i. Bugu da kari, mata masu fama da ciwon sukari na iya samun hadarin kamuwa da kamuwa da cuta mai yisti yayin amfani da diaphragm.
Ciwon sukari da Hauka
A ƙarshe, wataƙila mafi amincin hanyar hana haihuwa, shine haifuwa ta amfani da hanyar tiyata da ake kira jijiyoyin mahaifa. Wannan, koyaushe, hanya ce ta hana haihuwa idan mace tana cikin tiyata. Dogaro da wannan hanyar yana da girma Pro, kuma gaskiyar cewa kullun na iya zama "a kan" idan ba ku da kashi 100 cikin 100 tabbata cewa ba ku son yara.
Wani batun kuma da yake yarda da wannan hanyar ga mata masu fama da cutar siga shine cewa sanya maye ba ya tasiri ga matakin jini na mace. Koyaya, aikin ba shi da haɗari, gami da kamuwa da cuta da sauran rikitarwa.
Duk abin da kuka zaɓa, ingantacciyar hanyar hana haihuwa tana da mahimmanci ga mata masu fama da cutar sankara, kamar yadda ba a tsara haihuwa cikin haɗari ga lafiyar uwa da ɗa. Shan alhaki don lafiyar haihuwar ku shine ya sanya ku cikin kujerar direba.
Iri samfuran Oat
Bambancin dandano na oat samfuri ne sakamakon aikin gishirin. Lokacin da aka cire hular daga wannan hatsi, an kiyaye kwasfa da amfrayo. Wannan yana ba da gudummawa ga riƙewar fiber da abinci iri-iri a cikin hatsi daga wannan hatsi. Processingarin sarrafa oatmeal yana ba ku damar samun nau'ikan samfura daban daban.
- Ana samo Oatmeal ta hanyar sarrafa wannan hatsi, tare da ƙwanƙwasawa. Bayan wannan, ana yawaita sukari, gishiri da sauran kayan masarufi.
- Nan da nan oat flakes ke gudana ta hanyar shiri iri ɗaya azaman flakes na yau da kullun, tare da bambanci kawai kasancewar an fiɗa su sosai kafin a gama laulayi.
- Abincin da ba a kare daga wannan hatsi galibi ana amfani dashi don yin hatsi.
- Ana samun hatsi mai kaifi ta hanyar niƙa tare da ruwan ƙarfe.
- Bran daga wannan hatsi shine harsashi na hatsi wanda aka samo a ƙarƙashin husk. Wannan kayan yana kasancewa a cikin oatmeal da kuma cikin hatsi duka da alkama na ankara. Hakanan ana sayar da Oat bran azaman samfuran daban.
- Ana amfani da Oatmeal a cikin yin burodi, sau da yawa haɗe tare da sauran nau'in gari.
Smalleraramar ƙaramar sarrafa fasahar sarrafa hatsi oat tana ƙarƙashin, ƙananan ƙirar glycemic index. Sabili da haka, lokacin da ka zaɓi samfuri tare da mai, yi ƙoƙarin guje wa oatmeal nan da nan.
Abun hatsi
Tsakanin duk hatsi, hatsi yana ɗauke da ƙaramar adadin carbohydrates (58%). Beta-glucans (wani nau'i na polysaccharide wanda aka wakilta ta hanyar ƙwayoyin oat bran fibers na ruwa) wanda ke cikin samfura daga wannan hatsi suna ba da gudummawa ga daidaiton ƙwayoyin cholesterol da sukari. Oats kuma yana dauke da abubuwan gina jiki masu yawa, wadanda suka hada da bitamin B da abubuwan ma'adinai:
Wannan hatsi ya ƙunshi motsin anthranilic acid amides, wanda ke da antihistamine da kaddarorin anti-kumburi da magance atherosclerosis.
Amfanin samfuran Oat
Haɗin abinci daga wannan hatsi a cikin abincin don sarrafa cutar sukari nau'in 2 yana da fa'idodi da fa'ida. Fa'idodin sune kamar haka.
- Suna taimakawa wajen daidaita matakan sukari saboda babban fiber ɗin su da ƙananan glycemic index. A cikin tsattsauran ra'ayi, hatsi daga wannan hatsi na iya rage adadin insulin da ake buƙata ga mai haƙuri.
- Suna da kyau ga lafiyar zuciya kuma suna taimaka wa ƙananan cholesterol. Babu matsala idan akace cin mai da maganin cututtukan zuciya abubuwa ne da suka dace da juna.
- Zai iya rage buƙatar allurar insulin ko yawansu.
- Idan an dafa shi gaba, oatmeal na iya zama zaɓin karin kumallo mai sauri da sauƙi.
- Oatmeal yana da wadatar arziki a cikin fiber, yana haifar da dogon ji na cika kuma yana taimakawa wajen sarrafa nauyin jikin mutum.
- Kyakkyawan tushen tasirin carbohydrates, yana ba da tushe na kuzari na rana.
- Yana taimaka wajen daidaita narkewar abinci.
Cons na Oatmeal
Oatmeal shine ingantaccen samfurin ga yawancin marasa lafiya da ke dauke da ciwon sukari na 2. Koyaya, yana da mahimmanci don gujewa nau'ikan oatmeal waɗanda aka cakuɗe da kayan abinci iri iri, sukari da gishiri.
Oatmeal na iya samun sakamako mara amfani ga marasa lafiya da ke dauke da gastroparesis. Ga waɗanda ke fama da ciwon sukari na nau'in 2 da gastroparesis, fiber a cikin oatmeal na iya zama cutarwa kuma yana cutar da magani sosai. Ga masu ciwon sukari ba fama da cututtukan gastroparesis ba, babban rashin amfani shine cinye oatmeal.
- Flamelence saboda babban fiber abun ciki. Ana iya magance wannan ta hanyar shan ruwa yayin shan oatmeal.
- Abubuwan da aka samo na abinci a cikin wasu nau'in oatmeal na iya aiki a kanku. Wasu mutane suna amfani da fakitin oatmeal ɗin da aka rarraba. Koyaya, yawanci suna ɗauke da abubuwa masu ƙari a cikin sukari, masu zaki ko wasu kayan abinci '' ingantawa 'waɗanda ke cutar da marasa lafiya da ke ɗauke da ciwon sukari na 2, waɗanda zasu cutar da jiyya sosai.
Dafa Oatmeal
Akwai kowane dalili na masu ciwon sukari don cinyewa sau 3-6 na samfuran oatmeal a kowace rana (1 bawan shine ¼ kofin hatsi). Oatmeal yawanci an shirya shi a cikin ruwa ko madara, tare da ƙari na kwayoyi, 'ya'yan itatuwa da sauran kayan haɓaka dandano. Yawancin lokaci ana shirya shi a gaba, kuma da safe kawai suna dumama shi don karin kumallo, wanda ya dace sosai.
Ya kamata a shirya nau'ikan samfura daban daban na mai a hanyoyi daban-daban. Yawancin lokaci ana ƙara oatmeal ko hatsi a cikin ruwan sanyi, an kawo shi tafasa da dafa shi na ɗan lokaci akan ƙarancin zafi. Abincin hatsi gaba ɗaya daga wannan hatsi yana buƙatar ƙarin ruwa da lokacin dafa abinci. Atasarin ƙasa yana tsaka-tsaki a cikin waɗannan alamun.
Me zai iya kuma ba zai yiwu ba
Abincin Oat na iya zama babban abincin rage cin abinci don sarrafa ciwon sukari na 2, amma idan an dafa su da kyau. Waɗannan sune ka'idoji da masu ciwon sukari ya kamata su bi yayin yin oatmeal.
- Sanya kirfa, ginger, kwayoyi ko berries.
- Madadin oatmeal, zai fi kyau a yi amfani da hatsi daga tsintsiyar mai ko, har ma mafi kyau, hatsi mai ƙanshi.
- Dafa a cikin madara mai kitse ko a ruwa.
Abin da ba zai iya zama ba
- Kada ku ci oatmeal a cikin ƙananan jaka ko oatmeal nan take. Wadannan nau'ikan oatmeal sau da yawa suna dauke da ƙari masu yawa a cikin sukari, gishiri, da sauransu waɗanda ke cutar da duka marasa lafiya da ke fama da ciwon sukari na 2 da waɗanda ba sa fama da wannan cutar.
- Kada ku ƙara drieda fruitsan 'ya'yan itace da yawa a cikin oatmeal, saboda yawanci suna ɗauke da sukari da yawa.
- Kada ku zagi masu zaki. Wasu suna ƙara sukari, zuma, ruwan sukari ko kuma syrup a oatmeal, wanda ke rage mahimmancin lafiyar masu cutar siga kuma zai iya cutar da maganin ta.
- Kada kuyi amfani da man shanu ko madara mai cike da mai mai kyau.
Fara ranar da oatmeal
Babu buƙatar a hada da oatmeal a cikin kowane abinci. Amma gwada cin oatmeal yau da kullun don karin kumallo. Kuna iya ƙara yawan abincinku na oatmeal ta hanyar sauya ɗan girke girkenku na gargajiya, ta maye gurasar da garin oatmeal. Hakanan zaka iya nika oatmeal tare da gasa kofi don yin amfani dashi a girke-girke na gida da yawa. Yi amfani da girke-girke iri-iri, gami da samfura daga wannan hatsi, don inganta abincinku.
Oat broth
Ta yaya ƙwanƙolin oats zai zama da amfani ga masu ciwon sukari? Ta hanyar kanta, ba magani bane ga ciwon sukari, amma zai zama da amfani, tunda yana da tasiri na wankewa da farfadowa, yana daidaita narkewar abinci. Hippocrates da kansa, ya gamsu da kaddarorin warkar da wannan shuka, ya bada shawarar shan broth a madadin shayi.
Ganyen yana kunshe da abubuwa masu amfani iri-iri da kuma microelements da ke wucewa daga hatsi oat zuwa ƙashin ruwa yayin aikin zafi mai laushi. Abu ne mai sauki ka sa a gida, kuma zaka iya sha shi kullun. Za'a iya shirya ƙwanin hatsi na wannan hatsi ta hanyoyi daban-daban, amma yana da mahimmanci a tuna da wasu ƙa'idodi.
- Wajibi ne a yi amfani da hatsi gabaɗaya, zai fi dacewa da husk, saboda haka ya fi amfani.
- Ana iya shirya kayan adon abinci daga flakes na oatmeal na dogon dafa abinci, amma fa'idodi daga gareta zai ragu sosai.
- Hanyoyin girke-girke na shirya kayan ado sun bambanta kuma sun dogara da yanayin lafiyar wani mutum.
- Don tsabtace jiki, kayan kwalliya nace a thermos, simmer a cikin wanka wanka ko tafasa a kan zafi kadan.
A wata hanya mai sauƙi, zuba a maraice cokali 2 na ruwan tafasa 1 tablespoon na ƙwayayen hatsi, kuma tafasa don mintuna 5-10 da safe, zuriya da sha kafin cin abinci. Sha broth a cikin karamin sips game da rabin sa'a kafin cin abinci. Daidaitaccen ma'aunin yau da kullun na kayan ado an yarda da shi sosai tare da gwani.
Oat bran
Oat bran porridge da aka dafa akan ruwa zai kasance mai kyau da lafiya farkon har zuwa ranar. Cupaya daga cikin kofin irin wannan porridge ya ƙunshi adadin kuzari 88, 25 g na carbohydrates, 1.8 g na mai da 7 g na furotin.
Matsalar ƙwayar ƙwayar cuta ta fizir ɗin al'ada shine daidaita cholesterol da matakan sukari. Lura cewa a cikin 'yan kasuwa akwai wadatattun oat da aka shirya ta amfani da hanyoyin fasaha daban-daban, kuma wannan yana shafar tsarinsu da tasiri kan kiwon lafiya da lura da mutanen da ke fama da ciwon sukari na 2.
Kafin sayan, a hankali bincika bayanin akan abun da aka rubuta akan kunshin. An fi son nau'in oat bran da akayi aikin ƙarancin sarrafawa kuma suke ɗauke da mafi yawan adadin fiber.
Kariya da aminci
Dukkanin kwayoyin halitta mutum ne kuma yana bada amsa daban ga samfuran daban daban. Auna sakamakon tasirin oatmeal a matakin sukari ta hanyar amfani da ma'aunai na bin bayan shan wannan samfurin. Kowane haƙuri tare da nau'in ciwon sukari na 2 ya kamata ya nemi likita kafin yayi canje-canje masu mahimmanci ga abincin su don guje wa mummunan tasirin magani.