A Rasha, mutane masu fama da cutar sankara suna da mutane sama da miliyan uku. Toari ga ci gaba da amfani da insulin ko kwayoyi, masu ciwon sukari dole ne a ko da yaushe su kula da abincinsu. Dangane da wannan, tambayar ta zama dacewa: yadda ake kirga raka'a gurasa.
Sau da yawa yana da wahala ga marasa lafiya su aiwatar da lissafin kai tsaye, yin la'akari da komai akai akai kuma kirgawa koyaushe ba zai yiwu ba. Don sauƙaƙe waɗannan hanyoyin, ana amfani da tebur-mai ƙidaya tebur wanda ke jera ƙimar XE ga kowane samfurin.
Gwanin burodi shine takamaiman mai nuna alama wanda ba shi da ƙima daga glycemic index don ciwon sukari. Ta hanyar yin lissafin XE daidai, zaku iya samun 'yanci mafi girma daga insulin, da rage sukarin jini.
Mecece abincin burodi
Ga kowane mutum, lura da ciwon sukari yana farawa tare da shawarar likita, a lokacin da likita ya ba da cikakken bayani game da halayen cutar kuma yana ba da takamaiman tsarin abincin ga mai haƙuri.
Idan akwai bukatar yin magani tare da insulin, to za a tattauna yawan maganin ta da gudanarwar ta daban. Tushen magani shine yawanci karatun yau da kullun na yawan gurasar burodi, haka kuma sarrafawa akan sukari na jini.
Don bin ka'idodin jiyya, kuna buƙatar sanin yadda ake ƙididdige CN, yawancin jita-jita daga abincin da ke dauke da carbohydrate don ci. Kada mu manta cewa a ƙarƙashin rinjayar irin wannan abincin a cikin sukari na jini yana ƙaruwa bayan mintina 15. Wasu carbohydrates suna haɓaka wannan alamar bayan minti 30-40.
Wannan ya faru ne sakamakon raunin abinci wanda ya shiga jikin mutum. Yin nazarin carbohydrates "mai sauri" da "jinkirin" abu ne mai sauƙi. Yana da mahimmanci a koya yadda ake ƙididdige yawan kuɗin yau da kullun, da aka ba kuzarin samfuran samfuran da kasancewar abubuwa masu cutarwa da amfani a cikinsu. Don sauƙaƙe wannan aikin, an ƙirƙiri kalma a ƙarƙashin sunan "rukunin abinci".
Wannan kalma ana ɗaukar maɓalli a cikin samar da sarrafa glycemic a cikin wata cuta kamar su ciwon sukari. Idan masu ciwon sukari sunyi daidai da XE, wannan yana inganta tsarin aiwatar da ladabtarwa game da mushewar cututtukan carbohydrate. Correctlyididdigar yawan adadin waɗannan raka'a zai dakatar da hanyoyin cututtukan da ke haɗuwa da ƙananan ƙarshen.
Idan muka yi la’akari da rukunin burodi ɗaya, to daidai yake da gram 12 na carbohydrates. Misali, burodin hatsin rai daya yakai kimanin gram 15. Wannan ya dace da XE guda. Madadin jumlar "naúrar abinci" a wasu halaye, ana amfani da ma'anar "sashin carbohydrate", wanda shine 10-12 g na carbohydrates tare da sauƙi mai narkewa.
Ya kamata a lura cewa tare da wasu samfurori waɗanda ke ɗauke da karamin rabo na carbohydrates na digestible. Wadannan abincin da suke da kyau ga masu ciwon sukari sun hada da yawancin kayan lambu. A wannan yanayin, ba za ku iya ƙididdigar gurasar ba. Idan ya cancanta, zaku iya amfani da sikelin ko tuntuɓi tebur na musamman.
Ya kamata a lura cewa an ƙirƙiri lissafi na musamman wanda zai ba ku damar ƙididdigar gurasar daidai lokacin da yanayin ya buƙace shi. Dangane da halayen jikin mutum a cikin ciwon sukari mellitus, rabon insulin da kuma yawan carbohydrates na iya bambanta sosai.
Idan abincin ya ƙunshi gram 300 na carbohydrates, to wannan adadin ya dace da raka'a gurasa 25. A farkon, ba duk masu ciwon sukari ke sarrafa ƙididdigar XE ba. Amma tare da aikatawa na yau da kullun, mutum a cikin ɗan gajeren lokaci zai iya "ta ido" ƙayyade adadin raka'a a cikin takamaiman samfurin.
A tsawon lokaci, ma'aunai zasu zama daidai kamar yadda zai yiwu.
Kirgawa gurasa burodi da kuma yawan insulin
Lissafin raka'a gurasa yakamata ya kasance kullun don an samar da yawan adadin carbohydrates a cikin abincin. A tsawon lokaci, mutum zai tantance farantin XE kai tsaye ba tare da yin awo mai nauyi ba.
Don yin wannan, zaku iya kewaya da gilashin, girman yanki ko adadin 'ya'yan itatuwa da kayan marmari. A kusan dukkanin cibiyoyin kiwon lafiya da ke mai da hankali kan ciwon sukari, akwai makarantun da ake kira masu ciwon sukari. Sun bayyana wa masu ciwon sukari menene XE, yadda ake kirga su da yadda zasu samar da abincinsu na dogon lokaci.
Unitsungiyoyin gurasar masu ciwon sukari sune mahimman magana don shawarwari na farko tare da mai ba da lafiya. Zai fi kyau a rarraba su cikin manyan abinci uku. Unitsaya daga cikin raka'a biyu ko biyu za'a iya barin abin ciye-ciye.
A nau'in 1 na ciwon sukari mellitus, ana nuna amfani da insulin na tsayi da sauri. Don guje wa hypoglycemia saboda raguwa da glucose na jini, kuna buƙatar amfani da 1 ko 1.5 XE.
Ba'a ba da shawarar shan fiye da 7 XE a kowane abinci ba. Mutanen Obese da ke da ciwon sukari ya kamata su shirya abincinsu don kada a ƙare fiye da g + carbohydrates a cikin kwana ɗaya.
Misali, idan ma'aunin abinci na yau da kullun ya zama 10, to, zai fi kyau a yi amfani da su gabaɗaya ta rarrabu cikin hanyoyi da yawa:
- na karin kumallo - 2 XE,
- na abincin rana - 1 XE,
- na abincin rana - 3 XE,
- domin abun ciye-ciye na yamma - 1 XE,
- na abincin dare - 3 XE.
Hakanan zaka iya barin 2 XE don abincin dare, kuma amfani da rukunin abinci na ƙarshe don abincin dare na biyu. Don gobe a fi son cin hatsi, suna karɓar jiki a hankali, yayin da sukari ba zai ƙara yin kiba ba.
Kowane yanki na abinci yana buƙatar wani adadin insulin idan ya zo ga nau'in ciwon sukari na 1. 1 XE na iya haɓaka glucose na jini da kimanin 2.77 mmol / L. Don ramawa wannan rukunin, kuna buƙatar shigar da insulin daga raka'a 1 zuwa 4.
Tsarin al'ada na ɗaukar insulin a cikin rana ɗaya sananne:
- da safe don rama raka'a ɗaya zaka buƙaci a ɓangaren insulin,
- a cikin abincin rana don rukunin mutum yana amfani da 1.5 IU na insulin,
- don abincin dare, kuna buƙatar daidai adadin XE da insulin.
Don rama da ciwon sukari kuma ci gaba da glucose na al'ada, kuna buƙatar kulawa da canje-canje a cikin yanayin ku koyaushe. Nuna ma'aunin sukari yau da kullun tare da glucometer. Dole ne a yi wannan kafin cin abinci, sannan kuma, dangane da ƙimar glucose da yawan adadin da ake so na XE, a saka allurar a gwargwadon ƙarfin da ya dace. Awanni biyu bayan cin abinci, matakin sukari kada ya wuce 7.8 mmol / L.
Game da ciwon sukari na nau'in na biyu, insulin baya buƙatar gudanar da shi, ya isa ya ɗauki Allunan a kai a kai kuma ku bi abincin.
Hakanan wajibi ne don iya ƙididdigar XE da kansa.
Kayan samfuran da guraben abinci
Duk mutanen da aka gano da cutar sankara za su jima ko ba jima ba za su fahimci mahimmancin ƙididdigar gurasa. Masu ciwon sukari dole ne su koyi yin lissafin adadin XE cikin samfuran da aka gama don tattara abubuwan abincinsu da kyau.
Don yin wannan, ya isa sanin yawan samfurin da adadin carbohydrates a cikin gram 100. Idan aka ƙayyade adadin carbohydrates zuwa 12, to, zaka iya gano ƙimar XE a cikin 100 grams. Misali, samfurin da aka gama yana nauyin gram 300, wanda ke nufin cewa darajar da aka samu ta XE ya kamata a ƙara sau uku.
Lokacin ziyartar wuraren cin abinci, yawanci yafi wahala ga masu ciwon sukari suyi tawaya a cikin XE, tunda ainihin girke-girke na shirya jita-jita da kuma jerin abubuwanda ake amfani dasu basu samu ba. A cikin samfuran da aka gama waɗanda aka bayar a cikin cafes ko gidajen cin abinci, za'a iya samun adadin adadin kayan haɗin, wanda ke rikita batun mai ciwon sukari game da yawan XE.
Tare da ciwon sukari, yawan shan madara, hatsi da 'ya'yan itatuwa masu dadi ya kamata a iyakance. Koyaya, irin waɗannan samfuran suna cikin kowane yanayi na wajibi don cikakken aiki na jiki. Sabili da haka, yana da daraja amfani da teburin gurasa na gurasa, wanda nan da nan yake nuna adadin XE a cikin samfurin musamman.
Abubuwan da aka ba da izini ga ciwon sukari
Tushen abincin yau da kullun yakamata ya zama abincin da ya ƙunshi ƙaramar adadin gurasa.
Rabonsu a menu na yau da kullun shine 60%.
Za'a iya cinye masu ciwon sukari:
- Kayan mai kitse da kayan abinci,
- zucchini
- qwai
- radish
- radish
- salatin
- ganye
- kwayoyi a cikin iyaka mai iyaka,
- kararrawa barkono.
- cucumbers
- kwai
- namomin kaza
- Tumatir
- ruwan kwalba.
Mutanen da ke da ciwon sukari yakamata su ƙara yawan kifin da suke cin ire-iren mai. An bada shawara a ci abinci tare da irin wannan kifi har sau uku a mako. Kifi ya ƙunshi kitse marasa kitse da furotin, waɗannan abubuwan sun rage tasirin cholesterol yadda yakamata. Don haka, zaka iya kare kanka daga ci gaba:
- bugun zuciya da cutar sankara,
- bugun jini
- thromboembolism.
Lokacin ƙirƙirar abincin yau da kullun, kuna buƙatar la'akari da yawan abincin rage sukari. Wadannan sun hada da:
- kabeji
- innabi
- Kudus artichoke
- nettle
- tafarnuwa
- flax tsaba
- durƙusa
- chicory
- karewa.
Nama mai cin abinci ya ƙunshi furotin da kayan abinci masu mahimmanci. Babu raka'a gurasa. Ana iya cinye har zuwa 200 g kowace rana a cikin jita-jita da yawa. Yana da mahimmanci a yi la’akari da ƙarin kayan aikin waɗannan jita-jita.
Abincin abinci tare da ƙarancin ƙwayar glycemic ba cutarwa ga lafiyar, amma a lokaci guda suna ciyar da jiki tare da abinci mai gina jiki da bitamin. Amincewa da samfurori tare da ƙananan adadin gurasar burodi yana ba ku damar guje wa tsalle-tsalle a cikin glucose kuma yana hana bayyanar rikitarwa na rayuwa.
Misali Abincin XE na Mara lafiyar mai ciwon suga
Duk wani samfurin abinci ya ƙunshi carbohydrates 12-15, wanda yake daidai da rukunin burodi ɗaya.
Xaya daga cikin XE yana ƙara yawan sukarin jini ta wani adadin, wanda yake 2.8 mmol / L.
Don wannan alamar, ana buƙatar 2 PIECES na cirewar insulin.
Menu a ranar farko:
- karin kumallo: 260 g nunannun kabeji da salatin karas, gilashin shayi,
- na abincin rana; miyan kayan lambu, 'ya'yan itacen busassun ganye,
- na abincin dare: mataccen kifi, kefir 250 ml mai mai kitse,
Tea, compotes da kofi ana ɗauka ba tare da sukari ba.
Menu a rana ta biyu:
- karin kumallo: 250 g na karas da apple salatin, kopin kofi tare da madara,
- don abincin rana: borsch haske da 'ya'yan itace compote,
- na abincin dare: 260 g oatmeal da yogurt mara kyau.
Menu a rana ta uku:
- karin kumallo: 260 g na burodin buckwheat, gilashin madara mai ƙoshin mai,
- abincin rana: miya mai kifi da 250 keff mai keff,
- na abincin dare: salatin tare da apple da kabeji, kofi.
Wannan misali ne na tushen abinci na XE don fahimtar gabaɗaya. Yin amfani da wannan adadin waɗannan samfuran zai iya rage nauyin a kan narkewa mai narkewa kuma ya rasa nauyi.
Ga mutanen da ke da ciwon sukari iri iri, abincin mai cin ganyayyaki ya dace. Wajibi ne a tabbatar cewa an samarda adadin adadin furotin a jikin mutum. Rashin furotin ana sauƙaƙe ta manyan cokali 8 na cuku na gida.
Likitoci sun yi gargadin cewa yunwa tana da matukar hadari ga masu ciwon sukari. Yawancin abinci mai gina jiki na yau da kullun na iya haifar da mummunan halayen jiki saboda karancin carbohydrates. A irin wannan yanayin, yana da wuya ka tsara matakan sukari na jini.
Mafi kyawun abincin da ake amfani da shi don ciwon sukari shine rage yawan cinyewa:
- nunannun kayan lambu da 'ya'yan itatuwa mara amfani,
- man shanu
- nau'ikan mai kitse.
Tabbatar saka idanu game da yanayin tunanin mutum-tunanin mutum da tsarin bacci.
Kammalawa
Idan kun iya yin abinci yadda yakamata ga masu ciwon sukari, wannan zai hana samuwar haɗari. Don ƙididdige amfanin yau da kullun na gurasa, kuna buƙatar samun takaddara na musamman.
Dangane da matuƙar bayani, likita ya ba da izinin amfani da insulin dogon aiki da kuma insulin aiki na gajerar lokaci. An zabi allurai daban-daban, yin la'akari da matakin sukari a cikin jini.
Yadda za'a kirga raka'a gurasa an bayyana shi a cikin bidiyon a wannan labarin.