Ciwon sukari da barasa: Zan iya shan giya ko haramtaccen haram?
An san cewa jaraba ta lafiya da barasa ba ta dace da tunani ba. Musun shan giya yana da mahimmanci musamman yayin da jikin mutum ya kamu da cutar sankara. Bayyanar cutar ta atomatik veto da yawan shan giya. Koyaya, ciwon sukari mellitus da barasa bai kamata a ɗauka azaman ra'ayoyi dabam dabam ba: giya a cikin ciwon sukari yana cikin wasu halaye masu damar kuma har ma yana da amfani.
Raba kayan giya
Giya na giya da yawan giyar da take da shi ya kasu kashi biyu:
- Abin sha, ƙarfin abin da aka auna 40 ° C ko ƙari: vodka, cognac, whiskey. Kusan kusan sukari basa cikinsu. Matsakaicin adadin shine 50-100 ml. Masu sha'awar abinci yayin shan giya ya kamata su ƙunshi babban adadin carbohydrates.
- Strongarancin abubuwan sha mai ƙarfi waɗanda ke ɗauke da adadin glucose.
An yarda da ruwan inabi mai bushe don masu ciwon sukari a cikin adadin adadin 250 ml. Champagne, giya mai ƙarfi da giya ba a bada shawarar amfani ba. Giya kuma yana nufin giyar da aka halalta, wanda ya halatta wanda yakai 300 ml. Yana da matukar wahala mutum ya tsaya yayin shan giya, don haka ya fi kyau kar a sha shi.
Barasa ga nau'in ciwon sukari na 2
Tare da irin wannan binciken, babban abin ba shi mantawa ne cewa yawan shan giya a jiki ya zama kadan. Idan kun sha giya tare da ciwon sukari a hankali, matakin sukari na jini ya ragu da sauri. Kuma gaba daya mutanen da ke dogara da insulin ba su da shawarar shan giya kwata-kwata.
Yana da mahimmanci ga waɗanda ke cikin wannan rukuni na marasa lafiya da masu ciwon sukari su fahimci yadda barasa ke cutarwa, yadda ainihin barasa ya yi hulɗa da tsarin jikin mutum, da amfani da wannan ilimin lokacin yanke shawara ko cinyewa ko ƙin shan.
Wine da ciwon suga
Babban taken shan giya abin alfahari ne ga dukkan masu sha'awar shahararren shaye da nau'ikan sa. Amma waɗanda suke zaune tare da kamuwa da cuta na nau'in ciwon sukari na 2 na ciwon sukari, kuna buƙatar tuna cewa ba koyaushe abin da ke da amfani ga lafiyar mutum ya dace da masu ciwon sukari.
Wani amfani mai mahimmanci game da ruwan giyar ja shine ƙoshin jikin mutum tare da polyphenols. Su, bi da bi, suna taka muhimmiyar rawa wajen sarrafa adadin glucose, wanda yake da mahimmanci ga masu ciwon sukari. Lura cewa 'ya'yan inabi ba su haramta a wannan yanayin, amma a cikin adadi kaɗan. Kuna buƙatar tuna da yawan sukari a cikin giya, dangane da nau'in:
- daga 3 zuwa 5% - a bushe,
- kusan 5% a bushe-rabin,
- daga 3 zuwa 8% - a cikin semisweet,
- 10% da ƙari - a cikin wasu nau'in.
Yadda zaka kare kanka
Yawancin giya mai sa maye yana dauke da haɗarin glycemia, yayin da yake da wahala ga masu ciwon sukari su fahimci ko maye ya faru ko glycemia yana ƙaruwa, kuma mutanen da ke kusa dasu baza su iya amsawa sosai ga taimako ba, saboda basu fahimci yanayin haƙuri ba. Duk wannan yana haifar da asarar lokaci mai mahimmanci wanda zai zama dole don daidaita yanayin haƙuri. Ampoule, insulin, alkalami, glucose - waɗannan abubuwan masu ciwon sukari koda yaushe suna ɗauke dashi.
Domin kada ku cutar da kanku da shan giya, yana da kyau ku tuna waɗannan mahimman lambobi:
- Sau ɗaya a mako, ba za ku iya shan ruwan inabin 200 giya ba.
- Yi amfani kawai a lokacin abinci, wanda a jikinsa akwai abubuwan carbohydrates ko kuma kai tsaye bayan abinci. Kafin babban idi, ya kamata ku sami cizo don kauce wa yawan yin maye da maye.
- Yi la'akari da jadawalin abinci mai gina jiki da injections na insulin - rage yawan magunguna idan an shirya cinye ruwan inabin.
- An haramta yin amfani da giya don maye giya.
- Kada ku sha barasa kafin zuwa gado: coma wanda ba a sani dashi ba na iya haifar da mutuwa.
- Alkahol da motsa jiki ba koyaushe suke jituwa ba.
Wadannan shawarwari ga masu ciwon sukari suna da matukar muhimmanci. Idan ka yi watsi da su kuma ka sha, alal misali, lita na giya, to, matakin suga na jini zai tashi sosai, kuma zai faɗi sosai. Sa'o'i 4 bayan shan adadin abin sha da aka nuna, mutum na iya kasancewa cikin yanayin annuri.
Vodka don ciwon sukari
Abin sha da za a iya samu a kan tebur na manyan kantunan a fili ba lallai ba ne ga mai haƙuri da ciwon mara. Tasirin vodka bayan shiga cikin jinin mutum ya dogara ne da raguwa mai yawa a matakan sukari, wanda ke kawo yanayin kusa da hypoglycemia. Kuma wannan an cika shi da cutarwar asali, haɗarin wanda ba a iya sanin sa.
Shan vodka a cikin ciwon sukari kafin ko bayan ɗaukar shirye-shiryen insulin yana nufin tsoratar da mummunan aiki a cikin ayyukan hormones waɗanda ke cire abubuwa masu cutarwa daga hanta. Wani lokacin vodka yana taimakawa a lokuta idan matakin glucose ya tashi sosai. Zai iya rage sukari da mamaki. Wannan mai yiwuwa ne kawai na wani ɗan gajeren lokaci, ƙarin taimakon likita ya zama dole kawai.
Godiya ga vodka, ana fara narkewar abinci kuma ana sarrafa sukari, amma metabolism ya rikice. Abin da ya sa magani vodka ga masu ciwon sukari hanya ce mai haɗari wanda ba zai haifar da kyakkyawan sakamako ba.
Zan iya shan giya tare da ciwon sukari
Beer yana da ikon wartsakewa, gaisuwa. Don ƙin mai haƙuri mai nau'in nau'in 2 na mai kumburi, wanda zai zama zaɓi mafi karɓa, wani lokacin mutuwa tana kama da haka. Shan ƙananan allurai giya tare da nau'in ciwon sukari na 2, idan mai haƙuri bashi da sauran contraindications, magani yana ba da izini, gabatar da ƙuntatawa masu zuwa:
- mata na iya shan giya tare da nau'in ciwon suga 2 sau 2 a wata,
- maza - ba fiye da 1 lokaci na mako daya.
Babu masu shayarwa ba tare da abun da ke cikin carbohydrate mai girma ba: kwalban abin sha mai kumfa yana riƙe da g 13. Yawan cin abinci na yau da kullun na carbohydrates ga masu ciwon sukari kada ya wuce g g 180. An bada shawarar kada ku sha giya don ciwon sukari. Amma, idan a lokutan bukukuwan ranakun hutu kuna so ku ji ɗanɗano giya, ya kamata ku bi ka'idodin:
- Kada ku sha giya a kan komai a ciki.
- Ka ware giya idan sukari ya wuce al'ada.
- Ya kamata a zaɓi giya mai haske, wanda ke nuna rashin masu haɓaka dandano na musamman.
- Zai fi kyau a sayi giya tare da ƙarancin giya.
Me zai faru idan kun sha giya ba daidai ba?
Binciken fasalin jikin mutum, fama da ciwon sukari, a bayyane yake cewa adadin glucose din baya canzawa zuwa makamashi. Kuma don kada ya tara, jiki yana neman cire shi yayin fitar urin. Wani lokaci sukari yakan faɗi cikin sauri, ƙwanƙwasa jini yakan faru. A nau'in haɗarin haɗarin ta akai-akai duk masu ciwon sukari ne masu dogaro da insulin.
Tare da shan barasa, yawan zubar jini yana faruwa sau da yawa - hanta ba zata yi aiki daidai ba saboda barasa. Musamman ma dangane da shan giya ba tare da abinci ba. Alkahol yana tsokani toshewar carbohydrates a cikin hanta, wanda ke haifar da tsalle-tsalle a cikin glucose, to kuwa ya fadi sosai. Sakamakon irin wannan tsalle-tsalle-tsalle-tsalle ne.
A cikin maza, yawan yin jima'i yakan raunana. Gudanar da sukari na jini ya sa ya zama da wuya ga barasa da ƙwayoyi masu rage sukari su zama masu jituwa. Duk wani cikas a cikin aiki da tsarin mai juyayi tare da amfani da giya mara kyau yana ƙaruwa.
Contraindications
Ciwon sukari mellitus yawanci yana tare da wasu cututtukan cututtukan ciki wanda aka haramta barasa. Wadannan sun hada da:
- Ciwon mara na kullum Tare da ciwon sukari, irin wannan cutar tana da haɗari sosai, kuma shan giya yana ɓarna da mummunar cutar cututtukan fata. Dysfunction na wannan sashin jiki na iya tsokanar da ciwon sikila kuma yana haifar da ƙarancin samar da insulin.
- Cirrhosis na hanta ko hepatitis na kullum. Hanyar da ba'a iya canzawa ta lalacewar hanta tare da mutuwar ƙirar ƙwayoyin cuta da maye gurbinsu tare da ƙwayoyin fibrous.
- Gout Nau'in cututtukan da ke haifar da cutar yawanci tare da cystitis, urolithiasis, m renal gazawar.
- Cutar koda. (Pyelonephritis, glomerulonephritis).
- Ketoacidosis (kasancewar jikin ketone a cikin fitsari).
- Neuropathy.
- Tsinkayar jini zuwa hauhawar jini.
Kammalawa
Bayanin “barasa da nau'in ciwon sukari 2” yakamata ya zama sananne ga duk masu ciwon sukari, da kuma dangin marasa lafiya. A cikin karamin abu, barasa da ciwon sukari na iya zama tare na dogon lokaci ba tare da cutar da jikin mai haƙuri ba.
Tare da hanyar da ta dace don magani, amfani da abinci na mutum ga masu ciwon sukari, inda ake lissafin adadin kuzari don abubuwan da zasu iya shafar jini, yana haifar da matakan glucose, yana yiwuwa a rage halayyar haƙuri da ƙarancin rashi saboda ƙarancin jin daɗin rayuwa, wanda ga wasu mutane ke giya sha.
Babbar Ethanol
Mutanen da ke shan maye na yau da kullun suna fuskantar tasirin cutar tasirin cutar ethanol da samfuran lalata. Amincewa da manyan allurai na abubuwan shan giya mai karfi:
- yana da tasirin mai guba kai tsaye akan ƙwayar cuta, yana lalata tsarin nama a matakin salula (har zuwa atrophy na sel beta),
- stimulates da hanawa (rage) na insulin,
- yana haifar da ƙarancin insulin juriya (juriya) da shi, yana haifar da haƙuri ta glucose,
- rushe tsarin ayyukan metabolism,
- yana tsokani kiba saboda yawan kuzari mai yawa
- yana haifar da aikin hanta mai rauni.
Barasa - “provocateur” na cututtukan cututtukan zuciya
Idan ethanol ya shiga jiki, har ma a cikin taro da ƙima, yana haifar da tasirin hypoglycemic. Wannan yana wakiltar babban haɗarin haɗari ga rayuwa ga marasa lafiya da ke fama da cututtukan endocrine. Dangane da bayanan asibiti, 20% na abubuwan da ke rikodin rikicewar cututtukan hypoglycemic mai tsanani suna faruwa ne saboda yawan shan barasa. Nazarin ya nuna cewa shaye-shayen maraice na sha "mai karfi", ko da a cikin ƙananan allurai, yana sa gobe da safe a cikin marasa lafiya da ke fama da ciwon sukari mellitus babban raguwa a cikin glucose na jini (ƙasa da 3.5 mmol / l).
Hanyar giya yawan haila ba a yi nazari cikakke ba, koyaya, masana kimiyya sun yarda cewa wannan mummunan tasirin barasa ana sulhunta shi ta hanyar lalacewar ƙwayar jijiyar girma na hormone girma da daddare. An sani cewa hormone girma, wanda ke ɗaukar aiki mai aiki a cikin metabolism metabolism, tare da isasshen samar da ƙwayar ƙwayar ƙwaƙwalwar ƙwayar mahaifa, yana ƙara haɗuwa da glucose a cikin jini.
Yawancin marubuta suna jaddada banbancin tasirin barasa akan ƙwayar glucose. An lura da hana gluconeogenesis (hanya don samarda glucose daga mahallin da ba ta carbohydrate) da aka danganta da cin zarafin yiwuwar redox (yiwuwar sake canzawa).
Ethanol yana haɓaka tasirin hypoglycemic na wasu magunguna na likita (alal misali: beta-adrenergic receptor blockers wanda aka yi amfani dashi wajen maganin hauhawar jini). Mafi sau da yawa, hypoglycemia yayin shan barasa ana rikodin shi a cikin tsauraran marasa lafiya marasa lafiya a duk matakan shan giya. Koyaya, ana iya lura da tasirin a cikin mutanen da basu da jaraba bayan cinikin kwayoyi masu yawa na giya ko lokacin shan giya a cikin komai a ciki.
Haɗin kai
Zuwa yau, sakamakon binciken kimiyya game da dangantakar da ke tsakanin yawan shan barasa da giya da kuma haɗarin nau'in I da nau'in ciwon sukari na II suna haɗuwa da sabani. Yawancin nazarin cututtukan cututtukan cuta sun tabbatar da kasancewar kyakkyawar alaƙa tsakanin mashahuri mai sa maye da kuma faruwar cutar ta nau'in II, ba tare da la'akari da nau'in shekaru da jinsi na mai sha ba. Game da karfin giya, bincike ya gano cewa shan giya mai karfi na kara hadarin kamuwa da cutar endocrine da kashi 80% idan aka kwatanta da karancin giya da giya.
A yawancin halaye, yawan shan "gram ɗari" ba shi da ma'ana tare da aikin shan sigari. Dangane da lura da likitocin, masu shan sigari masu nauyi tare da kwarewa suna shiga rukunin hadarin na musamman saboda karuwar juriyarsu. Ba ya buƙatar shaidu na musamman cewa "saiti" na waɗannan jaraba masu haɗari: shan sigari da shan giya suna ƙara saurin kamuwa da ciwon sukari sau da yawa.
A cikin 'yan shekarun nan, ƙungiyar ilimin kimiyya tana yin muhawara sosai game da batun kasancewar dangantaka tsakanin rage haɗarin cutar tare da cin abinci na yau da kullun na ƙananan abubuwan sha. Tabbas, yayin gudanar da bincike, an kafa dangantakar da ba ta dace ba ta hanyar ci gaba mai saurin kamuwa da cutar sankara tare da yawan shan barasa a matakin giram 25-50 na ethanol kowace rana. A wannan yanayin, tasirin kariya ya fi fitowa fili a cikin mutanen da suka manyanta na mata da maza, ba a ɗaukar nauyin gado, marasa shan sigari kuma ba masu kiba ba.
Rashin daidaituwa a cikin sakamakon binciken ya samo asali ne daga dalilai da yawa:
- ƙabilanci da ƙabilar jama'a,
- salon rayuwa a cikin jama'a,
- ta amfani da hanyoyin dabaru daban-daban,
- yawanci yin watsi da ƙididdigar jiki a cikin ƙididdigar "lafiya",
- Abubuwan da ke da alaƙa da shekaru "na ciwon sukari mellitus (alal misali: gaskiyar cewa cutar a cikin yara ita ce mafi yawan lokuta a cikin haihuwa).
Ciwon sukari da barasa: Gano
Ta taƙaita bayanin da ke sama, ana iya jayayya: mutanen da ke fama da nau'in I da nau'in ciwon sukari na II ana iya shan giya, ciki har da giya, a cikin abubuwan da aka yarda da su. Amintaccen “giya” na yau da kullun shine cikakkiyar matsayin mutum kuma ya dogara ba kawai kan nauyin jiki ba, har ma a kan yanayin kiwon lafiya gaba ɗaya. Dangane da bayanin WHO, yarda da kullun na barasa shine liyafa: don maza - 25 ml na ethanol, ga mata - 12 ml. Dangane da shaye-shaye masu shaye-shaye, yawan abincin yau da kullun ba shi da aminci ga maza: vodka - 80 ml ko giya - 750 ml, ga mata: vodka - 40 ml, giya - 350 ml.
Insulin-da kuma insulin-da ke fama da cutar sankara
Ciwon sukari mellitus (DM) cuta ce ta endocrine wacce cuta ta haifar da amfani da glucose, wanda zai iya zama nau'ikan biyu:
- Nau'i na 1 - cuta mai narkewa ta rashin insulin.
- Nau'in na 2 - yanayin haɓakar ƙwayoyin sel mai taushi zuwa insulin an rage shi cikin ƙwaƙwalwa.
Abincin da ke sa maye ga nau'o'in cututtukan cututtukan cututtukan mahaifa an san shi da takamaimansa.
Siffofin metabolism na barasa
Bayan shan ethanol, kashi 25% na abu yana cikin ciki, 75% a cikin ƙananan hanji. Bayan 'yan mintoci kaɗan, ethanol ya ƙaddara a cikin plasma, yana kai mafi yawan fifiko bayan mintuna 45. 10% na giya ana fesawa a cikin huhu da kuma mafitsara, 90% yana oxidized. Daga urinary fili, wakili ya sake farfadowa.
Shin zai yiwu a sha giya tare da ciwon sukari? Cutar sankara da giya suna haɗuwa. An ƙaddara sigogi na plasma ta hanyar yawan barasa da aka ɗauka: ƙananan ƙananan sun fi ƙarfin tsokana hyperglycemia matsakaici (bayan minutes30 mintuna), babban kundin - yanayin jinkirin hypoglycemic, canjin haɗari ga hypoglycemic coma (ƙirar jini gami da halaye na nau'ikan nau'ikan barasa
Wace irin giya zan iya sha tare da ciwon sukari, binciken da kwararrun masana WHO suka gudanar. Dangane da nazarinsu, yawan shan barasa a kullum shine gram 25 ga maza masu lafiya da kuma gram 12 ga mata masu lafiya.
An tabbatar da abubuwan sha mai ƙarfi na Ethanol na:
Shin yana yiwuwa a sha giya tare da ciwon sukari? Likitoci ba su musanta wannan yiwuwar ba. Yisti na Brewer ya hada da bitamin, mai daɗin kitse da aminocarboxylic acid, abubuwan da ke motsa jini wanda ke motsa jini da inganta aikin hepatocytes. Sabili da haka, giya tare da nau'in ciwon sukari na 2 na iya zama da amfani. Sakamakon haka, giya da ciwon sukari suna dacewa a cikin ƙananan kima. Ganin yawan wuraren giya, matsakaici a cikin shan giya ya dace.
Yin amfani da barasa a cikin nau'in 1 na ciwon sukari an yarda da shi a ƙididdige ƙasa da shawarar da aka bayar a sama don rage haɗarin lafiyar. Haramcin shan giya mai yawa haramun ne. Barasa a cikin nau'in ciwon sukari na 2 ba ya bayar da shawarar yawancin adadin endocrinologists a kowane.
A bu mai kyau a gabatar da tabo a cikin kayan maye tare da tinctures.
Idan akai la'akari da yadda ethanol ke shafar metabolism, taboo kuma ya rufe sauran rukunin giya tare da halayen hypoglycemia, cututtukan cuta mai narkewa na metaboline purine (gout) ko lipid metabolism (hypertriglyceridemia, high LDL), pathologies na tsarin juyayi (ciwon sukari polyneuropathies), gabobin parenchymal da gland rufin ciki. An haramta shi sosai don shan giya tare da waɗannan nosologies, saboda yana da haɗari. Daga ciwon sukari mellitus yayin ɗaukar ethanol, canje-canje na cututtukan cuta da kuma rashin aiki na gabobin masu haɗari na iya haɓaka cikin hanzari, cutar sukari sabili da haka cuta tana haifar da bayyanar cututtukan giya, kamar yadda ethanol ya fi dacewa da bayyanar cututtuka na ciwon sukari.
Duk wani abin da ke dauke da giya ana daukar ciki yayin daukar ciki har zuwa shekaru 18.
Dokoki don shan barasa a cikin ciwon sukari
Baya ga iyakokin da ke sama, dole ne a kiyaye waɗannan buƙatu masu zuwa:
- Bai kamata a sha giyar ethyl a ciki ba,
- ethanol an yarda dashi kawai tare da raunin ciwon sukari yayin ko bayan abinci,
- Yana da kyau a yi amfani da abinci mai cike da kayan polysaccharides - samfuran da aka samo ta hanyar yin burodi, dankalin masara, tsiran tsiran alade,
- a ranar ethanol ci an haramta yin amfani da biguanides da hib-glucosidase inhibitors,
- kimanin awa 3 bayan shan ruwa, ana nuna ma'aunin plasma,
- Idan yawan giya ya wuce sigogin da aka yarda, yana da kyau a yi watsi da yawan ƙwayar insulin da maraice, ko wasu wakilai masu ɗauke da cutar,
- tare da yuwuwar cigaban yanayin rashin haihuwa, ya zama dole a kiyaye shayi mai dadi, dakatar da barasar giya ta hanyar yin allurar glucagon ba shi da tasiri,
- A yayin bikin yana da kyau a sanar da wadanda ke wurin game da cutarwar su.
Dangane da abubuwan da aka ambata, masu zuwa ne abubuwan ƙarshe bayyananne:
- Barasa a cikin ciwon sukari wata hanya ce da ba a so don magance hyperglycemia, kodayake bisa ga sababbin hanyoyin kiwon lafiya a cikin ciwon sukari, zaku iya shan barasa.
- Vodka don nau'in ciwon sukari na 2 ana ba da izinin a cikin alamun kawai yayin rashin halartar takaddun kai tsaye akan cin abinci na ethanol tare da wajibcin kiyaye ka'idodin "masu ciwon sukari" don shan barasa. Vodka don ciwon sukari yakamata ya kasance mai inganci.
- Tare da nau'in ciwon sukari na 1 da na 2, yana da kyau a yi amfani da tafarnuwa tare da horseradish. Saboda halayen warkarwa na musamman, waɗannan kayan marmari sun zama kayan aiki masu mahimmanci kawai a cikin tsarin kwasa-kwasan farko da na biyu. Za'a iya cinye jita-jita na laushi a cikin nau'i na kayan yaji da kayan ado.
- Ethanol guba ne na rayuwa; sakamakonsa na tsari ne. Wannan yana ba da damar fahimtar dalilin da yasa tasirin giya ke shafar ayyukan dukkan gabobin, kuma ga wane dalili nau'in shan giyar da ake yawanci ba shi da tsari. Musamman ma lokacin da ya zo ga disulfiram-kamar halayen.
Sakamakon shan barasa a cikin ciwon sukari
Rashin kamuwa da cutar siga da giya na iya haifar da sakamako wanda ba zai yuwu ba.
Abubuwan da ke biyo baya sune sakamakon haɗari huɗu masu haɗari na haɗuwa da giya da magunguna:
- Hypoglycemic halayen. Hadarin yana ƙaruwa tare da amfani da sulfonylurea.
- Lactic acidosis yanayi ne mai matukar hatsari wanda zai iya faruwa lokacin shan biguanides.
- Disulfiram-kamar halayen sune yawanci sakamakon haɗin gwiwar ethanol tare da kwayoyi na hypoglycemic roba.
- Ketoacidosis yanayi ne mai hatsarin gaske wanda ya haifar da kuzarin gluconeogenesis da glycogenesis a kan tushen karuwar amfani da kitse mai kitse tare da samuwar sassan jikin ketone. Ketoacidosis na barasa mai lalacewa shine ya haifar da tarin yawa na β-hydroxybutyrate, wanda ke rikita batun ganewar asali ta amfani da matakan gwaji.
Sabili da haka, ya kamata a tuna cewa karfin jituwar ethyl kuma an cire mafi yawan kwayoyi. Wannan gaskiyar ta farko game da ciwon sukari ya kamata a la'akari dashi.