Ciwon koda

A cikin labaran akan shafin yanar gizon mu, galibi ana samun “mai ciwon sukari koda”. Wannan wani juzu'i ne na ciki, wanda ke haifar da jinkirin ɓoyewa bayan cin abinci. Rashin girman sukari na jini na tsawan shekaru yana haifar da rikice-rikice iri iri a cikin aiki na tsarin juyayi. Tare da sauran jijiyoyi, waɗanda ke motsa samar da acid da enzymes, da tsokoki da ake buƙata don narkewa, suma suna wahala. Matsaloli na iya haɓaka tare da ciki, hanji, ko duka biyun. Idan mai haƙuri da ciwon sukari yana da wasu halaye na yau da kullun na neuropathy (ƙafafun bushe, asarar ji a cikin kafafu, rauni rauni), to tabbas zai sami matsalolin narkewa.

Ciwon sukari yana haifar da alamun rashin jin daɗi ne kawai idan yana da ƙarfi. Bayan cin abinci, za'a iya samun ƙwannafi, ƙwanƙwasawa, jin cikewar ciki bayan karamin abinci, bloating, tashin zuciya, amai, maƙarƙashiya a cikin bakin, har maƙarƙashiya, alternating tare da gudawa. Bayyanar cututtuka na wannan matsala sun kasance ɗaiɗaikun mutane a cikin kowane haƙuri. Idan babu alamun cututtukan da aka lissafa a sama, to yawanci zamu binciko maganin jinkirtaccen lokaci bayan cin abinci saboda ƙarancin sukari na jini. Ciwon sukari yana sanya wahalar kula da sukarin jini na yau da kullun, koda kuwa mai ciwon sukari yana bin tsarin abinci mai ƙayyadaddun carbohydrate.

Wadanne matsaloli ne masu ciwon sukari ke haifar?

Gastroparesis yana nufin "m inna na ciki", kuma mai ciwon sukari na nufin “mara nauyi a cikin marasa lafiya da masu ciwon sukari.” Babban dalilin shine rashin nasarar farjin na farji saboda yawan sukarin jini wanda ya dan tsawa. Wannan jijiya tana amfani da ayyuka da yawa a cikin jikin mutum wanda ke faruwa ba tare da sani ba, gami da bugun zuciya da narkewa. A cikin maza, cututtukan ciwon sukari na jijiya na farji na iya haifar da matsaloli tare da iko. Don fahimtar yadda ake nuna gastroparesis na ciwon sukari, kuna buƙatar yin nazarin hoton da ke ƙasa.

A gefen hagu shine ciki a cikin yanayin al'ada bayan cin abinci. Abun da ke ciki ya hankali ya shiga cikin hanji ta hanyar ƙwayar jini. Baƙon ƙofa mai buɗewaɗaɗaɗaɗa take buɗewa (an saki jiki da tsoka). Sparshen sphincter na esophagus an kulle shi sosai don hana rufewa da shigowa da abinci daga ciki da baya cikin esophagus. Ganuwar tsokoki na ciki lokaci-lokaci suna aiki kuma suna ba da gudummawa ga al'ada abinci abinci.

Daga gefen dama mun ga ciki na mai ciwon suga da ke da ciwan ciki. Matsayi na yau da kullun motsi na tsokoki ganuwar ciki baya faruwa. An rufe pylorus, kuma wannan ya rikice tare da motsa abinci daga ciki zuwa cikin hanji. Wani lokaci, kawai za a iya ganin ɗan rata a cikin pylorus, tare da diamita ba fiye da fensir ba, wanda abincin ruwa mai gudana ya gudana cikin hanji tare da saukad da. Idan bawul ƙarar ƙofar yana da spasmodic, to mai haƙuri na iya jin ƙwanƙwasa daga ƙasa na cibiya.

Tunda ƙananan sphincter na esophagus suna annashuwa kuma suna buɗe, abubuwan da ke ciki na ciki, cike da acid, zubar da baya cikin esophagus. Wannan yana haifar da ƙwannafi, musamman idan mutum yana kwance a sarari. Kwayar tumatir itace ce mai fadi wanda ke haɗa hanjin ciki da na ciki. A ƙarƙashin tasirin acid, ƙone katangarsa ke faruwa. Yana faruwa sau da yawa saboda ƙwannafin zuciya na yau da kullun, har ma an lalata hakora.

Idan ciki bai wofi ba, kamar yadda yake a al'ada, to mutumin zai ji ya cika yawan abinci har ma bayan karamin abinci. A cikin mafi yawan lokuta, abinci da yawa a jere suna tarawa a ciki, kuma wannan yana haifar da zubar jini. Koyaya, a akasarin halaye, mai ciwon sukari baya tunanin cewa yana da ciwan ciki har sai ya fara aiwatar da tsarin kula da masu cutar sukari na nau'in 1 ko nau'in kula da masu cutar siga 2 Tsarin kula da cututtukan mu na ƙwaƙwalwar ƙwayar cuta yana buƙatar kulawa da hankali game da sukarin jininka, kuma a nan ana gano matsalar gastroparesis yawanci.

Ciwon sukari koda, koda a cikin saukin sa, yakan sa hanu da ikon sarrafa sukari na yau da kullun. Amfani da maganin kafeyin, abinci mai kitse, barasa, ko maganin tricyclic antidepressants na iya rage kiba a ciki da kuma matsalolin dake damun su.

Me yasa gastroparesis ke haifar da jijiyoyi a cikin sukari na jini

Ka yi la’akari da abin da ya faru da mai ciwon sukari wanda kusan ba shi da kashi na farko na ɓoye insulin dangane da abinci. Ya sa kansa da kansa cikin hanzari kafin a ci abinci ko kuma ya ɗauki magungunan masu ciwon sukari da ke ta haɓaka samar da insulin. Karanta abin da ya sa ya kamata ka daina shan waɗannan kwayoyin cutar da kuma irin lahani da suke kawowa. Idan yayi allurar insulin ko shan kwaya, sannan ya tsallake abinci, to, sukarin jininsa zaiyi raguwa sosai, har zuwa matakin hauhawar jini. Abin baƙin ciki, ciwon sukari koda yana da guda iri guda kamar tsallake abinci.

Idan mai ciwon sukari ya san lokacin da hanjinsa zai ba da abinda ke ciki a cikin hanji bayan cin abinci, zai iya jinkirta allurar insulin ko kuma ya ƙara insulin NPH-insulin cikin sauri don rage aikin. Amma matsalar masu ciwon sukari shine rashin sa'a. Ba mu taba sanin yadda saurin ciki zai zama komai ba bayan cin abinci. Idan babu murfin pylorus, to, ciki zai iya zama wofi bayan wasu 'yan mintoci, kuma gaba daya cikin awanni 3. Amma idan bawul mai tsaron ƙofa yana rufe sosai, to abinci zai iya kasancewa a cikin ciki tsawon kwanaki. A sakamakon wannan, sukari na jini na iya faɗuwa "a ƙasa da plinth" 1-2 sa'o'i bayan cin abinci, sannan ba zato ba tsammani tashi sama bayan sa'o'i 12, lokacin da ciki ya ba da abin da ke ciki zuwa hanjin.

Mun bincika yiwuwar narkewar narkewa a cikin gastroparesis mai ciwon sukari. Yana ba shi wahala sosai don sarrafa sukarin jini a cikin marasa lafiyar da ke fama da ciwon sukari. Hakanan ana haifar da matsaloli ga masu ciwon sukari idan sun dauki magungunan ƙwayar cuta wanda ke motsa samar da insulin ta hanyar ƙwayar ƙwayar cuta, wanda muke ba da shawarar bayarwa.

Siffofin gastroparesis a cikin nau'in ciwon sukari na 2

Ga marasa lafiya da ke fama da ciwon sukari na 2, masu ciwon sukari suna haifar da ƙarancin matsaloli sama da na marasa lafiya da ke ɗauke da ciwon sukari na 1, domin har yanzu suna samin samin ƙwayar kansa ta hanji. Muhimmancin samarda insulin na faruwa ne kawai lokacin da abinci daga ciki ya shiga hanjin. Har sai ciki ya zama fanko, kawai basal (mai azumi) maida hankali ne akan insulin a cikin jini. Idan mai haƙuri da masu ciwon sukari na 2 suna lura da karancin abinci mai ƙwayar carbohydrate, to a cikin injections sai ya karɓi allurar insulin kaɗan, wanda ba ya haifar da babbar barazanar hawan jini.

Idan ciki yana narkewa a hankali, amma a hanzarta gudu, to a cikin marasa lafiya da ke da nau'in ciwon sukari na 2, ayyukan ƙwayoyin beta na cikin jiki yawanci sun isa su kiyaye jinin al'ada. Amma idan ba zato ba tsammani ciki ya zama fanko, to, akwai tsalle cikin sukari na jini, wanda ba za'a iya kashe shi nan da nan ba tare da allurar insulin sauri ba. A cikin 'yan awanni kaɗan, ƙwayoyin beta masu rauni za su iya samar da insulin da yawa kamar yadda suke iya dawo da sukari zuwa al'ada.

Cutar sankarar mahaifa ita ce abu na biyu da ya zama sanadin yawaitar yawan sukari da safe bayan fitowar alfijir safe. Idan abincin abincinku bai bar ciki a kan lokaci ba, to narkewa zai faru da dare. A cikin irin wannan yanayin, mai ciwon sukari na iya zuwa gado tare da sukari na al'ada, sannan sai a farka da safe tare da ƙara yawan sukari. A kowane hali, idan ka bi tsarin karancin carbohydrate kuma ka sanya allurai na karancin insulin ko kuma kar a saka shi kwatankwacin ciwon sukari na 2, to sai gastroparesis baya yi maka barazanar kamuwa da ciwon suga. Marasa lafiya masu ciwon sukari da ke bin “daidaitaccen abinci” kuma suna saka allurai na insulin suna da matsaloli da yawa. Sakamakon cututtukan mahaifa, suna fuskantar muhimmi a cikin sukari da kuma yawan lokuttan cututtukan cututtukan jini.

Yadda za a gano wannan rikitarwa na ciwon sukari

Don fahimtar ko kuna da ciwon sukari ko ba haka ba, kuma idan haka ne, yaya ƙarfin, kuna buƙatar nazarin bayanan sakamakon jimlar sarrafa kansa na sukari na makonni da yawa. Hakanan yana da amfani mutum yayi nazarin gastroenterologist don gano idan akwai matsaloli tare da cututtukan gastrointestinal wadanda basu da alaƙa da ciwon suga.

A cikin bayanan sakamakon cikakken ikon sarrafa sukari, kuna buƙatar kulawa da hankali game da ko yanayin halayen da ke ciki:

• Yawan jinin da ke ƙasa da al'ada yakan faru awanni 1-3 bayan cin abinci (ba lallai bane duk lokacin).
• Bayan cin abinci, sukari ya zama al'ada, sannan ya tashi bayan sa'o'i 5 ko kuma daga baya, ba ga wani dalili bayyananne ba.
• Matsaloli tare da sukari na safiya a cikin jini a kan komai a ciki, duk da cewa mai ciwon sukari ya ci abincin dare a safiyar jiya - 5 hours kafin ya tafi barci, ko ma a baya. Ko sukari na safe da safe yana nuna halin rashin tabbas, duk da cewa mai haƙuri yana ci da wuri.

Idan yanayi No. 1 da 2 sun faru tare, to wannan ya isa don tuhumar gastroparesis. Halin No. 3 ko da ba tare da sauran ba zai baka damar bincikar cututtukan koda. Idan akwai matsaloli tare da sukari na safiya a cikin jini a kan komai a ciki, to mai haƙuri yana iya sannu a hankali yana ƙara yawan ƙwayar insulin ko allunan da dare. A ƙarshe, ya juya cewa a cikin dare yana karɓar ƙwayar ƙwayar cuta mai mahimmanci, wanda ya fi ƙarfin asirin safe, duk da cewa yana cin abinci da wuri. Bayan haka, jinin azumi na safe zaiyi halin rashin tabbas. A wasu ranakun, zai kasance a ɗaukaka, yayin da a wasu mutane zai zama al'ada ko ma mara nauyi. Rashin tabbas shine sukari shine babban alama don zargin gastroparesis.

Idan muka ga cewa saurin jinin suga na safe yana yin halin rashin sanin tabbas, to zamu iya yin gwaji don tabbatar ko musun maɗaukacin mahaifa. Wata rana tsallake abincin dare kuma, saboda haka, kada kuyi insulin azumi kafin abincin dare. A wannan halin, da dare kuna buƙatar yin amfani da kashi na yau da kullun na karin insulin da / ko magungunan ciwon sukari na dama. Auna sukarin jininka kafin lokacin bacci, sannan kuma da safe akan komai a ciki, da zaran kun farka. Ana tsammanin za ku sami sukari na al'ada da dare. Idan ba tare da sukari ba, sukari da safe ya zama al'ada ko ya ragu, to, mafi kusantar, gastroparesis yana haifar da matsaloli tare da shi.

Bayan gwajin, yi abincin dare da yawa don da yawa kwana. Kalli yadda sukarinka yake aiki da yamma kafin lokacin bacci da kuma gobe da safe. Sannan a sake maimaita gwajin. Bayan haka kuma, ci abincin dare 'yan kwanaki da tsaro. Idan sukari na jini ya zama al'ada ko mara kyau da safe ba tare da abincin dare ba, kuma idan kun ci abincin dare, wani lokacin yakan juya da safiyar gobe, to tabbas kuna da cututtukan mahaifa. Zaka iya kulawa da sarrafa shi ta amfani da hanyoyin da aka bayyana daki daki.

Idan mai ciwon sukari ya ci abinci a “daidaitaccen” abincin, wanda aka cika shi da carbohydrates, to, sukarin jininsa a kowane yanayi zai yi aiki ba tare da la’akari da komai ba, la’akari da kasancewar gastroparesis.

Idan gwaje-gwajen ba su ba da sakamako ba tare da matsala ba, to ana buƙatar bincika ta masanin ilimin likitanci kuma gano idan akwai ɗaya daga cikin matsalolin masu zuwa:

• ciwon ciki ko duodenal miki;
• erosive ko cututtukan ƙwayar cuta na atrophic;
• haushi na ciki;
• hiatal hernia;
• Cutar celiac (rashin lafiyan gluten);
• sauran cututtukan gastroenterological.

Gwajewar da mai ilimin gastroenterologist zai yi amfani a kowane yanayi. Matsalar cututtukan gastrointestinal, wadanda aka jera a sama, suna da kyau ga magani idan kun bi shawarar likita sosai. Wannan magani yana taimakawa inganta hawan sukari a cikin sukari.

Hanyoyi don sarrafa gastroparesis na ciwon sukari

Don haka, an tabbatar da cewa kun bunkasa cututtukan hanji, bisa ga sakamakon yawan sarrafa kansa na sukari na jini, da kuma bayan maimaitawa da yawa na gwajin da aka bayyana a sama. Da farko, kuna buƙatar koya cewa ba za a iya ɗaukar wannan matsalar ba ta hanyar jigilar insulin. Irin wannan ƙoƙarin zai haifar da tsalle-tsalle a cikin sukari jini kuma yana ƙaruwa da rikice-rikice na ciwon sukari, har ila yau suna ƙara haɗarin haɗarin hypoglycemia. Don magance gastroparesis mai ciwon sukari, kuna buƙatar ƙoƙari don inganta ƙwayar ciki bayan cin abinci, kuma an bayyana hanyoyin da yawa a ƙasa.

Idan kana da cututtukan gastroparesis, to matsala a rayuwa ta fi ta sauran marasa lafiya da ke aiwatar da shirin kula da ciwon sukari irin na 1 ko shirin kula da masu ciwon sukari na 2. Kuna iya ɗaukar wannan matsala a ƙarƙashin kulawa da kuma kula da sukari na jini na yau da kullun idan kun bi tsarin a hankali. Amma wannan yana ba da fa'idodi masu mahimmanci. Kamar yadda kuka sani, ciwon sukari na faruwa ne sakamakon lalacewar jijiyar ƙwayar ƙwayar cuta wanda ya haifar da sukarin jini na hawan jini. Idan an horar da cutar sankara na tsawon watanni ko shekaru, to sai an dawo da aikin jijiyoyin. Amma wannan jijiya yana sarrafa ba kawai narkewa ba, har ma bugun zuciya da sauran ayyukan m. Za ku sami gagarumin ci gaba na kiwon lafiya, ban da magance cututtukan gastroparesis. Lokacin da ciwon sukari na ciwon sukari ya ƙare, da yawa maza za su iya inganta iko.

Hanyoyi don inganta shafewar gastric bayan cin abinci sun kasu kashi hudu:

• shan magani;
• motsa jiki na musamman da tausa a lokacin da bayan abinci;
• ƙananan canje-canje a cikin abincin abinci;
• mummunan canje-canje na tsarin abinci, yawan amfani da ruwa mai ruwa ko abincin rabin ruwa.

A matsayinka na mai mulkin, duk waɗannan hanyoyin kadai ba su aiki sosai, amma tare za su iya samun sukarin jini na yau da kullun har ma a cikin mafi yawan lokuta. Bayan kun karanta wannan labarin, zaku gano yadda zaku daidaita su da al'adun ku da abubuwan da kuke so.

Makasudin lura da cututtukan cututtukan mahaifa sune:

• Rage cikakke ko kuma dakatar da bayyanar cututtuka - farkon jinƙai, tashin zuciya, belching, ƙwannafi, zubar jini, maƙarƙashiya.
• Rage aukuwar matsalar karancin sukari bayan cin abinci.
• Normalization na sukari jini da safe a kan komai a ciki (babban alamar gastroparesis).
• Sugararancin sukari mai ƙarancin laushi, ƙarin sakamako mai tsayayye na cikakkiyar ikon sarrafa jini cikin jini.

Zaku iya kaiwa ga maki 3 na ƙarshe daga wannan jerin idan kuna bi da gastroparesis kuma a lokaci guda bi abincin low-carbohydrate. Zuwa yau, babu wata hanyar da za a iya kawar da yawan sukari ga marassa lafiyar da ke bin “daidaitaccen” abincin da ke cike da carbohydrates. Saboda irin wannan abincin yana buƙatar allurar insulin da yawa, waɗanda ke yin aiki da rashin tabbas. Koyi menene hanyar ɗaukar haske idan ba ku aikata shi ba tukuna.

Magunguna a cikin nau'i na Allunan ko syrup ruwa

Babu wani magani da zai iya warkar da cututtukan mahaifa duk da haka. Abinda kawai zai iya kawar da wannan matsalar cutar sankara shine sukarin jini na al'ada tsawon shekaru a jere. Koyaya, wasu magunguna na iya hanzarta kwashewa bayan cin abinci, musamman idan gastroparesis ɗinku yana da laushi ko matsakaici. Wannan yana taimakawa sauƙin fitar hawainiya a cikin sukari na jini.

Yawancin masu ciwon sukari dole ne su sha kwayoyin magani kafin kowane abinci. Idan gastroparesis yana cikin tsari mai laushi, to yana iya yiwuwa a sami haɗin kai tare da magani tun kafin abincin dare. Don wasu dalilai, narkewar abincin dare a cikin marasa lafiya da ciwon sukari shine mafi wuya. Wataƙila saboda bayan abincin dare suna yin motsa jiki a ƙasa da lokacin rana, ko saboda mafi yawan ɓangarorin ana cin abinci don abincin dare. Ana tsammanin cewa narkewar ciki bayan abincin dare kuma yana da saurin hankali a cikin mutane masu lafiya fiye da sauran abinci.

Magunguna don cututtukan hanji na iya zama a cikin nau'ikan allunan ko syrups na ruwa.Allunan yawanci ba su da tasiri, saboda kafin su fara aiki, dole ne su narkar da ciki a cikin ciki. Idan za ta yiwu, zai fi kyau a yi amfani da magunguna na ruwa. Duk kwayayen da kuka sha don maganin cututtukan koda masu ciwon sukari dole ne a dandana su sosai kafin hadiye su. Idan kun ɗauki Allunan ba tare da tauna ba, to, zasu fara aiki ne bayan afteran awanni.

Super Papaya Enzyme Plus - Allunan cin abinci na enzyme Chewable

Dr. Bernstein a cikin littafinsa Dr. Maganin ciwon sukari na Bernstein ya rubuta cewa shan enzymes na narkewa yana taimaka wa masu ciwon sukari a cikin yawancin masu cutar da shi. Musamman, ya yi iƙirarin cewa marasa lafiya musamman suna yaba Super Papaya Enzyme Plus. Waɗannan wayoyi kaɗan ne da aka ɗanɗana allunan. Suna magance matsalolin hana haihuwa da kuma hana juna cuta, da yawa masu ciwon sukari suna taimaka wajan fitar da ire-iren sufanci a cikin sukarin jini da suka samu sakamakon gastroparesis.

Super Papaya Enzyme Plus ya ƙunshi enzymes papain, amylase, lipase, cellulase da bromelain, waɗanda ke taimakawa narkewar furotin, fats, carbohydrates da fiber yayin da suke cikin ciki. An ba da shawarar ɗanɗana allunan 3-5 tare da kowane abinci: kafin ku fara ci, tare da abinci, da kuma bayan sa. Wannan samfurin ya ƙunshi sihiri da sauran kayan zaki, amma a ƙaramin abu, wanda bai kamata ya sami sakamako mai mahimmanci a cikin sukarin jininka ba. Na ambata a nan wannan samfurin musamman tare da enzymes na narkewa, saboda Dr. Bernstein ya rubuta game da shi a cikin littafinsa. Zazzage umarnin kan yadda ake yin oda samfurori akan iHerb tare da bayarwa a cikin nau'ikan fakitin wasiƙar.

Motilium (domperidone)

Don maganin cututtukan mahaifa, Dr. Bernstein ya ba da wannan maganin a sashi mai zuwa - ku ɗanɗana allunan 10 MG guda 1 1 kafin cin abinci ku sha gilashin ruwa, zaku iya soda. Karka kara yawan sashi, domin hakan na iya haifarda matsaloli da karfin iko a cikin maza, haka kuma ga rashin haila a cikin mata. Domperidone shine kayan aiki, kuma Motilium shine sunan kasuwanci wanda ake siyar da maganin.

Motilium yana motsa tashin abinci daga ciki bayan cin abinci ta hanya ta musamman, ba kamar sauran magungunan da aka bayyana a wannan labarin ba. Sabili da haka, yana da kyau a yi amfani da shi tare da wasu kwayoyi, amma ba tare da metoclopramide ba, wanda zamu tattauna a ƙasa. Idan sakamako masu illa suna faruwa daga shan Motilium, to, sun ɓace lokacin da suka daina amfani da wannan magani.

Metoclopramide

Metoclopramide wataƙila shine mafi ƙarfafawa mai ƙarfi don narkewar ciki bayan cin abinci. Yana aiki kamar domperidone, yana hana (hanawa) tasirin dopamine a cikin ciki. Ba kamar yankin pamperidone ba, wannan magani yana shiga cikin kwakwalwa, saboda haka yakan haifar da mummunar illa - rashin jin daɗi, damuwa, da kuma abubuwan da ke kama da cutar ta Parkinson. A cikin wasu mutane, waɗannan sakamako masu illa suna faruwa nan da nan, yayin da wasu kuma - bayan watanni da yawa na magani tare da metoclopramide.

Maganin rigakafin cututtukan sakamako na metoclopramide shine diphenhydramine hydrochloride, wanda aka sani da diphenhydramine. Idan aikin metoclopramide yana da mummunan tasirin sakamako wanda ya buƙaci a kula dashi tare da diphenhydramine hydrochloride, to ya kamata a watsar da metoclopramide har abada. Katsewa daga metoclopramide kwatsam ta hanyar mutanen da aka kula da su na tsawon watanni 3 ko fiye da hakan na iya haifar da halayyar psychotic. Saboda haka, kashi na wannan maganin zuwa sifili ya kamata a rage hankali.

Don magance cututtukan mahaifa, Dr. Bernstein ya ba da izinin metoclopramide kawai a cikin mafi mahimman lokuta, tun da sakamako masu illa na faruwa sau da yawa kuma suna da mahimmanci. Kafin amfani da wannan kayan aiki, gwada duk sauran zaɓuɓɓukan da muka lissafa a cikin labarin, gami da motsa jiki, canjin abinci da kuma canje-canje na abinci. Metaukar metoclopramide kawai likita zai iya tsarawa kuma a cikin sashi wanda ya nuna.

Betaine hydrochloride + pepsin

Betaine hydrochloride + pepsin shine haɗin haɗin ƙarfi wanda ke ƙarfafa rushewar abincin da aka ci a ciki. Yawancin abinci yana narkewa a cikin ciki, shine mafi kusantar hakan shine zai hanzarta shiga hanjin. Pepsin abinci ne mai narkewa. Betaine hydrochloride wani abu ne wanda aka samar da hydrochloric acid, wanda ke kara girman ciki. Kafin shan betaine hydrochloride + pepsin, yi wani binciken tare da masanin cututtukan cututtukan zuciya kuma ku yi shawara da shi. Auna acidity na ruwan lemon ka. Idan acidity ya haɓaka ko ma da al'ada - betaine hydrochloride + pepsin bai dace ba. Wannan kayan aiki ne mai ƙarfi, amma idan aka yi amfani da shi ba tare da shawarar mai ilimin likitanci ba, sakamakon zai zama mai tsauri. An yi shi ne don mutanen da acidity ɗin su ke da yawa. Idan acidity dinku na al'ada ne, to gwada gwada kit ɗin enzyme Super Papaya Enzyme Plus, wanda muka rubuta game da sama.

Betaine hydrochloride + pepsin za'a iya sayowa a kantin magani a cikin nau'ikan Allunan Acidin-Pepsin

ko yin oda daga Amurka tare da isar da sako, alal misali, a cikin wannan wannan ƙari

Dr. Bernstein ya ba da shawarar farawa tare da kwamfutar hannu 1 ko kwalliya a tsakiyar cin abinci. Karka taɓa ɗaukar betaine hydrochloride + pepsin akan komai a ciki! Idan ƙwannawar zuciya ba ta faruwa daga ɗayan capsule ɗaya ba, to a lokaci na gaba zaku iya ƙoƙarin ƙara yawan zuwa 2, sannan kuma zuwa capsules 3 na kowane abinci. Betaine hydrochloride + pepsin baya motsa jijiya farji. Saboda haka, wannan kayan aiki partially taimaka ko da a cikin mafi tsanani lokuta na masu ciwon sukari gastroparesis. Koyaya, yana da contraindications da iyakoki da yawa. Contraindications - gastritis, esophagitis, miki mai ciki ko duodenal miki.

Motsa jiki da ke Ingantar da Jin Danshi Bayan Abinci

Harkokin jiki yana da inganci fiye da magani don kula da ciwon sukari. Hakanan yana da kyauta kuma baya da illa. Kamar yadda a duk sauran yanayin da ke da alaƙa da ciwon sukari, ana buƙatar magunguna kawai ga waɗannan marasa lafiya waɗanda basu da isasshen motsa jiki. Don haka, bari mu ga abin da darasi yake hanzarta kwashe abinci daga ciki bayan cin abinci. A cikin ciki mai lafiya, tsokoki mai laushi na bangon suna da kwanciyar hankali don ba da damar abinci su wuce ta hanji. A cikin ciki wanda ke fama da cututtukan mahaifa, musculature na ganuwar sun gaji kuma baya kwantawa. Ya juya cewa tare da taimakon motsa jiki na jiki mai sauƙi, wanda zamuyi bayani a ƙasa, zaku iya ɗaukar waɗannan kwangilolin kuma ku hanzarta kwashe abinci daga ciki.

Dole ne ku lura cewa yin tafiya bayan abinci yana inganta narkewar abinci. Wannan tasirin yana da mahimmanci musamman ga marasa lafiya da masu ciwon sukari. Saboda haka, motsa jiki na farko da Dr. Bernstein ya ba da shawarar shine yin tafiya a matsakaici ko saurin sauri na awa 1 bayan cin abinci, musamman bayan abincin dare. Muna ba da shawarar ma yin tafiya, amma tseren hutawa gwargwadon hikimar Gudun. Ta wannan hanyar, zaku so ku gudu ko da bayan cin abinci. Tabbatar cewa Gudun na iya ba ku farin ciki!

Darasi na gaba an raba shi tare da Dr. Bernstein ta hanyar haƙuri daga likitan da ya gane shi daga mai koyar da yoga kuma ya tabbata cewa yana taimaka sosai. Wajibi ne a zana ciki kamar yadda zai yiwu domin su manne wa hakarkarin, sannan kuma su dunguma ta yadda ya zama babba kuma convex, kamar dutsen. Bayan cin abinci, rhythmically maimaita wannan sauƙin aikin sau da yawa kamar yadda zaku iya. A cikin 'yan makonni ko watanni, tsokoki na ciki za su yi ƙarfi da ƙarfi. Kuna iya maimaita motsa jiki sau da yawa kafin kun gaji. Manufar shine a kashe shi sau ɗari a jere. 100 sakewa suna ɗaukar minti 4. Lokacin da kuka koyi yin maimaitawa 300-400 kuma ku ciyar da mintina 15 a kowane lokaci bayan cin abinci, zazzabi a cikin sukari na jini zai zama mai santsi sosai.

Wani motsa jiki makamancin wannan da kuke buƙatar yin bayan cin abinci. A zaune ko a tsaye, tanƙwara da baya gwargwadon ikonka. Daga nan sai a jingina da gaba yadda ya kamata. Maimaita sau da yawa a jere kamar yadda ba za ku iya ba. Wannan aikin, da wanda aka bayar a sama, abu ne mai sauqi qwarai, zai iya ma da alama wauta ce. Koyaya, suna hanzarta kwashe abinci daga cikin ciki bayan cin abinci, taimakawa tare da cutar kansar hanji, da inganta sarrafa sukari na jini idan aka hore ku.

Chewing danko - magani don maganin ciwon koda

Idan kun tauna, ana sakin yau. Ba wai kawai ya ƙunshi enzymes na narkewa ba, har ma yana ƙarfafa ƙanƙan ƙwayar tsoka a jikin bangon ciki kuma yana kwantar da bawul ɗin pyloric. Gilashin da ba ta da sukari ba ya ƙunshi fiye da gram 1 na xylitol, kuma wannan ba shi da alama yana da babban tasiri ga sukarin jininka. Kuna buƙatar tauna farantin ɗaya ko dragee na tsawon awa ɗaya bayan cin abinci. Wannan yana inganta yanayin cututtukan koda, bayan motsa jiki da canje-canje na abinci. Karku yi amfani da faranti da dama ko ɓarnar a jere, saboda wannan na iya ɗaga sukari jininka.

Yadda za a canza abincin mai ciwon sukari don sarrafa gastroparesis

Hanyoyin abinci don sarrafa gastroparesis masu ciwon sukari sun fi magunguna kyau. Musamman idan kun haɗu da su tare da abubuwan motsa jiki da aka bayyana a sashin da ya gabata. Matsalar ita ce mutanen da ke da ciwon sukari ba sa son canjin abincin da ke buƙatar aiwatarwa. Bari mu lissafa waɗannan canje-canje, daga mafi sauki zuwa ga mafi rikitarwa:

• Dole ne ku sha akalla gilashin 2 na ruwa kafin kowane abinci. Wannan ruwa bai kamata ya ƙunshi sukari da sauran carbohydrates ba, kazalika da maganin kafeyin da barasa.
• Rage rabo daga zare, ko ma dakatar da cin shi gaba ɗaya. Fiber dauke da kayan lambu, a baya kara a cikin blender, har sai Semi-ruwa.
• Chew duk abincin da kuke ci a hankali a hankali. Ku ɗanɗani kowace ciji sau 40.
• Kawar da nama daga abincin da ba a kasa a cikin mai ba da nama, i.e. je zuwa kofofin nama. Cire gabaɗaya naman da suke da wahalar narkewa. Wannan naman sa ne, tsuntsu mai kiba, naman alade da wasa. Hakanan ba a ke so a ci kifin baƙi.
• Yi abincin dare da wuri, awanni 5-6 kafin lokacin kwanciya. Rage furotin ku a abincin dare, canja wurin wasu daga cikin furotin daga abincin dare zuwa karin kumallo da abincin rana.
• Idan bakayi allurar azumi kafin abinci ba, to, kada ku ci sau 3 a rana, amma mafi yawancin lokuta, sau 4-6, a cikin kananan rabo.
• A cikin mafi yawan lokuta mai rikitarwa na gastroparesis, canzawa zuwa rabin-ruwa da abinci mai ruwa.

A cikin ciki wanda ke fama da cututtukan gastroparesis, mai narkewa da fiber mai sa maye zasu iya ƙirƙirar abin toshe kwalaba kuma gabaɗaya maƙullan ƙofa mai kunshe. A halin da ake ciki na yau da kullun, wannan ba matsala bane saboda bawul ƙofar ta buɗe. Idan mai ciwon sukari yana da laushi, sarrafa sukari na jini na iya haɓaka lokacin da ka rage ɓangarorin fiber na abin da ake ci, ka cire shi gaba ɗaya, ko a kalla a niƙa kayan lambu a cikin ruwa don inganta narkewar su. Karka yi amfani da kayan maye waɗanda ke ɗauke da fiber a nau'in flax tsaba ko ƙyamar ƙuma (psyllium).

Canja wurin wani sashin furotin ku don abincin rana da karin kumallo maimakon abincin dare

Yawancin mutane suna da mafi yawan abincin yau da kullun don abincin dare. Don cin abincin dare, suna cin abinci mafi girma na nama ko wasu abincin furotin. Ga marasa lafiya da masu ciwon sukari da suka ci ciki, irin wannan abincin yana daɗa wuyar sarrafa sukari na jini da safe a kan komai a ciki. Abubuwan gina jiki na dabbobi, musamman nama mai jan nama, yawancin lokaci yakan lullube valve ɗin ciki a cikin ciki, wanda ya kumbura saboda ƙwayar tsoka. Magani - Transferauke da ɗan abincin abincin dabbobinku don karin kumallo da abincin rana.

Bar ƙanƙanin furotin sama da 60 na abinci don abincin dare, wato, ba fiye da gram 300 na abinci na furotin ba, kuma ƙasa da mafi kyawu. Zai iya zama kifi, nama a cikin nau'i na meatballs ko minced naman sa steak, cuku ko qwai. Tabbatar cewa sakamakon wannan ma'aunin, sukari da safe akan komai a ciki zai zama kusa da al'ada. Tabbas, lokacin da kake canja wurin furotin daga abincin dare zuwa wasu abinci, to kashi ɗaya ɗin na insulin mai sauri kafin abinci shima yana buƙatar jujjuya shi. Wataƙila, za a iya rage yawan ƙwayar insulin na tsawon lokaci ko magungunan ciwon sukari da daddare ba tare da lalata sukarin jini na safiya ba.

Zai iya zama cewa sakamakon canja sashi na furotin daga abincin abincin dare zuwa karin kumallo da abincin rana, sukari ku bayan waɗannan abincin zai fara ƙaruwa, koda kun canza daidai insulin insulin abinci kafin abinci. Wannan shi ne mafi ƙarancin mugunta fiye da jure yawan sukarin jini a cikin daren duka. Idan bakada allurar azumi kafin abinci, to, ku ci sau 4 a rana a cikin kananan rabo domin sukari ya zama ingantacce kuma yana kusa da al'ada. Kuma idan bakada allurar insulin kwata-kwata, to ya fi kyau ku ci sau 5-6 a rana a cikin ƙananan yankuna. Ka tuna cewa idan kun yi allurar cikin sauri kafin cin abinci, kuna buƙatar cin kowane 5 hours don sakamakon abubuwan insulin ya ƙaru.

Barasa da sinadarin kafeyin yana sanya jinkirin fitar da abinci daga ciki bayan ya ci abinci. Haka kuma tasirin barkono da cakulan. Duk waɗannan abubuwan ya kamata a guji, musamman a abincin dare, idan ƙwayar cutar kumburin kumburin ku ta matsakaici ko mai tsanani.

Semi-ruwa da abinci mai guba - magani mai mahimmanci don maganin gastroparesis

Mafi kyawun magani ga cututtukan mahaifa shine canzawa zuwa abinci mai ruwa-ruwa ko abinci mai ruwa. Idan an yi wannan, to mutum ya rasa babban sashi na jin daɗin ci. Mutane kima ne kamar wannan. A gefe guda, wannan na iya zama hanyar kawai don tabbatar da cewa sukarin jini a cikin masu ciwon sukari yana kusan zuwa al'ada. Idan ka adana shi tsawon watanni ko shekaru, to aikin na jijiyoyin zai dawo sannu a hankali kuma gastroparesis zai wuce. Sannan zai yuwu a ci kullum ba tare da yin sulhu da sarrafa sukari na jini ba. A wani lokaci, Dr. Bernstein da kansa ya tafi wannan hanyar.

Miyar abinci mai ruwa-ruwa-ruwa ga mai ciwon sikari koda sun hada da abincin jariri da farin farin madara. Kuna iya siyan kayan marmari mai karaba a cikin shagon, da kuma kayayyakin dabbobi masu kara kuzari a cikin kwalba tare da abincin jariri. Kuna buƙatar yin nazarin lamuran a hankali lokacin zabar waɗannan samfuran. Yadda za a zabi yogurt, zamu tattauna a ƙasa. Yogurt kawai ya dace, wanda ba ruwa bane, amma a cikin hanyar jelly. Ana sayar da shi a Turai da Amurka, amma yana da wuya a samu shi a cikin ƙasashen masu magana da Rasha.

A cikin wata kasida game da kirkirar menu don rage cin abinci mai-carbohydrate, mun nuna cewa mafi yawan kayan lambu suna sarrafawa, da sauri suna haɓaka sukari na jini. Ta yaya wannan ya kasance daidai da shawarar da za a ci kayan lambu da ke da ruwa na rabin-ruwa don cututtukan mahaifa? Gaskiyar ita ce idan wannan rikicewar ciwon sukari ya haɓaka, to abincin yana shiga ciki daga ciki zuwa cikin hanji a hankali. Wannan kuma ya shafi kayan lambu mai ruwa mai ruwa-ruwa daga kwalba tare da abincin jariri. Koda yawancin kayan lambu masu “taushi” marasa galihu suna da lokacin haɓaka sukari na jini a cikin lokaci don ci gaba da tafiya tare da aikin insulin na azumin da kuka yiwa allurai kafin cin abinci. Kuma a lokacin, wataƙila, zai zama dole don rage aikin insulin gajere kafin cin abinci, haɗa shi tare da matsakaita na NPH-insulin protafan.

Idan ka canza zuwa abinci mai rabin-ruwa don sarrafa ciwan hanji, to yi kokarin hana karancin furotin a jikinka. Mutumin da yake jagorantar zaman rayuwa yakamata ya cinye 0.8 na furotin a kowace 1 kg na madaidaicin nauyin jikinsa a rana. Abincin furotin ya ƙunshi kusan 20% na ingantaccen furotin, i.e., kuna buƙatar cin kimanin 4 grams na samfuran furotin ta 1 kilogiram na ƙoshin lafiyar jiki. Idan kayi tunani game da shi, to wannan bai isa ba. Mutanen da suke yin ilimin motsa jiki, har ma da yara da matasa waɗanda suka girma, suna buƙatar sau 1.5-2 fiye da furotin.

Cikakken madara farin yogurt shine samfuri a cikin matsakaici (!) Ya dace da rage cin abinci mai-carbohydrate don ciwon sukari, gami da cututtukan koda.Ina nufin farin yogurt a cikin nau'i na jelly, ba ruwa ba, ba mai-mai ba, ba tare da ƙari na sukari ba, 'ya'yan itace, adana, da sauransu. Ya zama ruwan dare gama gari a Turai da Amurka, amma ba a cikin ƙasashen masu magana da Rasha ba. A cikin wannan yogurt don dandano, zaku iya ƙara stevia da kirfa. Kada ku ci yogurt mai ƙima-mai-ƙarfi saboda yana ƙunshe da ƙwayoyin carbohydrates fiye da ciwon sukari.

Muna amfani da abincin ruwa don sarrafa gastroparesis mai ciwon sukari a cikin yanayi inda rabin-ruwa bai taimaka sosai. Waɗannan samfurori ne na musamman ga mutanen da suke aiki da inganta jikin mutum. Dukkansu suna dauke da furotin mai yawa, ana siyar dasu a cikin foda wanda dole ne a narkar da shi a ruwa kuma ya bugu. Mun dace ne kawai ga waɗanda ke ɗauke da ƙaramar carbohydrates kuma, hakika, babu wani ƙari na “sunadarai” kamar anabolic steroids. Yi amfani da furotin mai gina jiki wanda aka yi daga ƙwai ko whey don samun dukkanin amino acid ɗin da jikinka yake buƙata. Soy Protein Kayan Jikin Gina Ba shine Mafi Kyawun zaɓi ba. Zasu iya ƙunsar abubuwa - sterols - a tsari wanda yayi kama da estrogen hormone na mace.

Yadda za a allurar insulin kafin abinci don daidaitawa da gastroparesis

Hanyoyin da ake amfani dasu don amfani da insulin cikin sauri kafin abinci basu dace da yanayi na gastroparesis mai ciwon sukari ba. Suna haɓaka haɗarin hauhawar jini saboda gaskiyar cewa abinci yana sannu a hankali kuma ba shi da lokacin haɓaka sukari na jini a cikin lokaci. Sabili da haka, wajibi ne don rage aikin insulin. Da farko dai, gano tare da taimakon glucometer, tare da wane jinkiri abincin da kuke ci yana narkewa. Hakanan maye gurbin insulin ultrashort kafin abinci tare da gajere. Kuna iya ƙoƙarin yankan shi ba minti 40-45 kafin cin abinci, kamar yadda muke yi koyaushe, amma kafin ku zauna ku ci abinci. A wannan yanayin, yi amfani da matakan don magance gastroparesis, wanda muka bayyana a sama a cikin labarin.

Idan, duk da wannan, ɗan insulin ɗan gajeren lokaci har yanzu yana aiki da sauri, to gwada gwada shi a tsakiyar cin abinci ko da kun gama cin abincin. Maganin da ya fi dacewa shine maye gurbin wani ɓangare na kashi na gajeren insulin tare da matsakaicin NPH-insulin. Cutar zazzabin cizon sauro shine kawai halin da ake ciki yayin da aka bashi damar haɗa nau'ikan insulin daban-daban a allura guda.

A ce kuna buƙatar allurar cakuda 4 raƙuman insulin da 1 rami na matsakaitan NPH-insulin. Don yin wannan, da farko ka saka raka'a 4 na gajeriyar insulin cikin sirinji, kamar yadda ka saba. Sanya allurar sirinji a cikin murfin NPH-insulin kuma girgiza tsarin duka sau da yawa. Nan da nan ka ɗauki 1 UNIT na insulin daga vial har sai ƙwayoyin protamine suna da lokaci don daidaitawa bayan girgiza, da misalin 5 U na iska. Hawan iska zai taimaka wajen gajarta gajere da NPH-insulin a cikin sirinji. Don yin wannan, juya sirinji a gaba sau da dama. Yanzu zaku iya yin amfani da cakuda insulin har ma da ɗan iska. Juyin iska mai iska ba zasu haifar da lahani ba.

Idan kana da ciwon suga, to kar kayi amfani da insulin ultrashort azaman insulin cikin sauri kafin abinci. Domin ko da ɗan gajeren insulin ɗin yayi aiki da sauri a cikin irin wannan yanayin, har ma fiye da haka, ultrashort, wanda ke yin aiki da sauri, bai dace ba. Ana iya amfani da insulin Ultrashort kawai azaman bolus ɗin gyara don daidaita al'ada sukarin jini. Idan kun shigar da cakuda gajere da NPH-insulin kafin abinci, zaku iya shigar da ƙusar mai sauyawa kawai da safe bayan farkawa. A matsayin insulin mai saurin motsa jiki kafin abinci, zaku iya amfani da gajeriyar hanya ko kuma gajerar tazara da NPH-insulin.

Cutar sankarar mahaifa: binciken

Ciwon sukari cuta ce wacce take matukar rikitarwa game da sarrafa sukari na jini, koda kun kasance akan wani nau'in kula da ciwon sukari na nau'in 1 ko kula da ciwon sukari na 2 da kuma kan abinci mai karancin carbohydrate. Controlauki aikin sarrafa gastroparesis da mahimmanci. Idan, duk da wannan matsalar, kuna koyon tsayayyen kula da sukarin jini na yau da kullun, to bayan monthsan watanni ko shekaru, aikin farjin farji zai murmure sannu a hankali, ciki zai yi aiki kullum. Amma har zuwa wannan lokacin, dole ne ku tsayar da tsarin mulki.

Ko da babu alamun bayyananniyar matsalolin narkewa, cututtukan hanji da ke haifar da rage yawan sukarin jini. Kayi tunanin cewa idan babu alamun ciwon ciki, to ba za'a iya sarrafa gastroparesis ba. Idan baku kula da wannan ba, jijiyoyin sukari na jini zai ci gaba kuma rikicewar ciwon sukari zai haɓaka wanda ke haifar da nakasa ko farkon mutuwa.

Dole ne ku raba hanyoyin daban-daban da aka bayyana a wannan labarin. Duk lokacin da kuka samu hanyoyin da zasu taimaka muku wajen sarrafa gastroparesis, hakan zai zama sakamakon da ya fi kyau. Iyakar abin da banda shine kada kuyi amfani da magungunan metoclopramide da Motilium (domperidone) tare. Saboda waɗannan kwayoyi suna yin kusan iri ɗaya, kuma idan an sha su a lokaci guda, to, haɗarin sakamako masu illa suna ƙaruwa sosai. Kamar yadda aka saba, motsa jiki hanya ce mai inganci kuma mai aminci, ta fi magani.

Ana tsammanin idan kun dauki alpha lipoic acid, yana taimakawa wajen kula da cutar neuropathy masu ciwon sukari, gami da matsaloli tare da ƙwayar farji. Amma bayanai game da wannan batun ya sabawa juna, kuma magungunan alfa-lipoic acid suna da tsada sosai. Sabili da haka, ba mu mai da hankali a kansu ba a cikin labarin. Amma yin amfani da abinci mai gina jiki na abinci mai gina jiki don gina jiki zai iya taimaka muku da kyau yadda zaku iya sarrafa sukarin jinin ku da gastroparesis.