Ciwon sukari mellitus cuta ce ta endocrine. Mutanen da ke fama da shi ya kamata da farko su bi ingantaccen tsarin abincin da aka ba da shawarar wannan cutar. Abincin abinci mai gina jiki don ciwon sukari shine babbar hanyar maganin jiyya.
Amma idan lura da cutar a cikin tsofaffi na iya zama iyakance ga abinci kawai, to, tare da ciwon sukari a cikin yara, a mafi yawan lokuta, ana buƙatar maganin insulin. Wannan saboda ciwon sukari a cikin yara shine yawanci ya dogara da insulin. Sabili da haka, a irin waɗannan yanayi, yakamata a haɗa abincin tare da injections na insulin.
Ciwon sukari na iya bayyana a cikin yara a kowane zamani kuma ya kasance abokin tafiya koyaushe har zuwa ƙarshen rayuwa. Tabbas, lura da abinci bai kamata ya keta mahimmancin abubuwan da yara suke buƙata na abinci ba. Wannan shine abin da ake bukata don tabbatar da haɓakar al'ada na yaro, haɓaka da tallafi daga rigakafi.
A wannan batun, lokacin ƙirƙirar abinci don yaro mai fama da ciwon sukari, mai kula da abinci dole ne ya bi ka'idodin asali.
Carbohydrate sarrafawa
Ya kamata abinci mai gina jiki ya dogara da abinci. Likita yakamata yayi la’akari da asalin cututtukan dake tattare da cutar sankara. Ya kamata a gina abincin don jariri ya sami ƙananan kitse da carbohydrates kamar yadda zai yiwu.
A cikin abincin yaro mara lafiya (wannan ya shafi manya), carbohydrates sun mamaye wuri na musamman, saboda ana ɗaukarsu sune manyan hanyoyin samar da makamashi. Abubuwan da ke da wadataccen abinci na Carbohydrate suna dauke da sinadarai masu yawa da kuma ma'adinan ma'adinai.
Tare da ciwon sukari, yin amfani da carbohydrates yana rushewa sosai, amma matakin waɗannan canje-canje ya bambanta ga carbohydrates daban-daban. Abin da ya sa kenan, idan iyaye suka ba da izinin dabi'a na carbohydrates a cikin abincin yaro tare da ciwon sukari, ya kamata su kiyaye tsayayyen abun da ke cikin carbohydrate wanda ba a riƙe shi na dogon lokaci a cikin hanji, amma yana saurin ɗaukar hankali, ta haka yana ƙara yawan haɗuwar glucose a cikin jini.
Waɗanne abinci ne da ke ɗauke da ƙananan ƙwayoyin carbohydrates? Ga jerin m:
- sukari da duk samfurori a cikin masana'antar sarrafa abin da aka yi amfani da shi (jam, jam, jelly, 'ya'yan itacen stewed);
- Taliya
- gurasa, musamman daga farin farin gari;
- hatsi, musamman semolina;
- dankali - samfurin da aka saba samunsa cikin abincin;
- 'ya'yan itatuwa (ayaba, apples).
Duk waɗannan samfuran ya kamata a sa ido a kullun idan ya zo ga abincin da yaro yake da ciwon sukari. Ya kamata a cire wasu daga cikinsu baki ɗaya.
Masu zaki
Abin baƙin ciki, sukari ga mai ciwon sukari an haramta shi har tsawon rayuwa. Tabbas, wannan abu ne mai matukar wahala kuma yawanci yakan haifar da rashi mara kyau a cikin jariri. Ba shi da sauƙi a shirya da abinci mai gina jiki ba tare da wannan samfurin ba.
An yi amfani da Saccharin na ɗan lokaci don gyara ƙarancin abinci a cikin ciwon sukari. Amma allunan saccharin za'a iya amfani dashi azaman ƙari a cikin kofi ko shayi, don haka basu sami amfani ba cikin abincin yara.
Masu zaki irin su xylitol da sorbitol kwanan nan sun zama sanannan. Duk waɗannan magunguna giya ne na polyhydric kuma ana samun su ta kasuwanci a matsayin mai zaki da mai tsarkakken tsari. Xylitol da sorbitol ana ƙara haɗa su zuwa abincin da aka gama:
- lemun tsami;
- Cakulan
- Sweets;
- Kukis
- da wuri.
Godiya ga wannan, kewayon samfuran da aka ba da izinin masu ciwon sukari ya haɓaka, kuma yara masu fama da ciwon sukari suna da damar da za su ci zaƙi.
Yin amfani da maye gurbin sukari don sorbitol da xylitol yana haɓaka kewayon samfuran da halayen ɗanɗano. Bugu da ƙari, waɗannan magungunan suna kawo darajar caloric da carbohydrate na abincin masu ciwon sukari kusa da ƙimar al'ada.
Anyi amfani da Xylitol don ciwon sukari tun daga 1961, amma an fara amfani da sorbitol sosai a farkon - tun daga 1919. Darajar masu daɗin zaƙi shine cewa suna carbohydrates waɗanda basa tsokani cigaban glycemia kuma basa haifar da sakamako masu illa, waɗanda suke da banbanci sosai da sukari.
Sakamakon bincike na asibiti ya nuna cewa xylitol da sorbitol ana bayyanasu ta hanyar jinkirin shan ruwa daga wasu ƙwayoyin carbohydrates da aka sani. Ga mai haƙuri da ciwon sukari, wannan ingancin yana da matukar muhimmanci.
Tunda glucose a cikin hanji yana shiga cikin hanzari, jikin mutumin da yake da dangi ko cikakken rashin insulin yana saurin cika shi da sauri.
Fats
Koyaya, samfura waɗanda a cikin xylitol suke a maimakon sukari ba za a iya kira daɗaɗɗa don masu ciwon sukari ba. Wannan ya faru ne saboda gaskiyar cewa dangane da abun mai, wannan abincin (musamman kayan lefe, cakulan, kukis da waina) yana da matukar wahala na tsibirin Langerhans da ke cikin ƙwayar cuta.
Mahimmanci! Yawan kitse a cikin ciwon sukari yakamata ya zama sau da yawa ƙasa da abincin lafiyar jariri. Wannan ya faru ne saboda manyan take hakkin metabolism na lipid-fat a cikin ciwon sukari. Cin abinci gaba ɗaya ba tare da mai ƙima ba, ba shakka, ba a yarda da shi ba, tunda wannan sinadarin yana samar da jiki da makamashi da kuma bitamin mai mai narkewa, waɗanda suke da mahimmanci don ayyukan kimiyyar.
Saboda haka, tare da wannan cutar, abincin yana ba da damar amfani da man shanu kawai da man kayan lambu, kayan lambu na iya zama ½ abincin yau da kullun. Yana da shi cewa amfana da tasiri matakin matakin m mai rikitarwa a cikin ciwon sukari mellitus. A cikin ƙuruciya, har ma fiye da haka tare da ciwon sukari, babu buƙatar yin amfani da nau'ikan kitsen mai ƙiba (nau'in ɗan rago, ɗan guba da mai naman alade).
Adadin yawan kitse na yau da kullun a cikin abincin karamin mai ciwon sukari kada ya wuce 75% na adadin mai a cikin menu na yaro mai lafiya na daidai wannan shekaru.
Duk lokacin da zai yiwu, abincin yakamata ya dace da shekarun ilimin mutum. Wannan ya zama dole domin yaro ya girma ya girma daidai. Ganin iyakokin da aka ƙirƙira don sauƙaƙe yiwuwar yanayin islet, daidaituwa game da bukatun ilimin halittu da abinci yana da farko shine ƙirƙirar daidaito tsakanin kalori, bitamin, sunadarai da abubuwan haɗin ma'adinai.
Bukatar marasa lafiya na masu ciwon sukari a cikin sunadarai ya kamata a gamsu sosai (2-3 grams da 1 kg na nauyin jiki kowace rana, daidai da shekaru). A lokaci guda, aƙalla kashi 50 na furotin na dabba ya kamata a adana shi a cikin abincin.
Domin jikin yaron ya cika da abubuwa masu ƙoshin abinci, dole ne a shigar da ƙaramin naman, musamman nama mai ƙoshin abinci a cikin abincin yaran. Rago da naman alade za su yi.
Subarancin carbohydrates mara ƙaranci da raguwa a cikin adadin mai a cikin abinci yayin riƙe nauyin furotin yana haifar da canji a cikin rabo daga manyan abubuwan abinci a cikin abincin marasa lafiya.
Ga yara na makarantar firamare da kuma yaran makarantan gaba da masu fama da cutar sankara, da ma'anar daidaitawa B: W: Y 1: 0.8-0.9: 3-3.5. Ganin cewa lafiyayyun yara na tsararraban su ɗaya ne, 1: 1: 4 ne. Ga matasa da kuma daliban makarantar sakandare 1: 0.7-0.8: 3.5-4, maimakon umarnin 1: 1: 5-6.
Wajibi ne a yi ƙoƙari don tabbatar da cewa yawan adadin carbohydrates a cikin abincin mai haƙuri da ciwon sukari ya kasance mai daidaituwa kuma an daidaita shi daidai da abun da ke cikin fats da sunadarai, shekaru da nauyin yaro. Wannan buƙatar tana da mahimmanci musamman ga labile na cutar, wanda galibi ana samun sa a yara da matasa.
A wasu halaye, aiwatar da ka’idar sarrafa kayan yau da kullun na carbohydrates ya zama mai yiwuwa ne saboda sauyawa samfuran, wanda ke faruwa daidai da darajar su na carbohydrate.
M Musanya
Kuna iya amfani da wannan rabo: sha'ir ko buckwheat a cikin adadin 60 g yana daidai da abun da ke cikin carbohydrate zuwa 75 g na fari ko 100 g na baƙar fata, ko 200 g dankali.
Idan ba shi yiwuwa a ba wa yaron samfurin da ake buƙata a lokacin da aka ƙayyade, ana iya maye gurbin sa da samfurin tare da adadin carbohydrates. Don yin wannan, kuna buƙatar koyon yadda ake tarawa.
Bugu da ƙari, marasa lafiya da ke da insulin-dogara da sukari koda yaushe suna ɗaukar kowane samfuran tare da carbohydrates nan take (Sweets, sukari, kukis, Rolls). Zasu taka rawar "kula da gaggawa" yayin da yanayin haɓaka na rashin hauhawar jini. Za'a iya samun cikakken dantaccen ra'ayi daga jerin da ke ƙasa.
Dangane da abun da ke cikin carbohydrate, 20 g farin gurasa ko 25 g na farin gurasa za'a iya maye gurbinsa:
- lentil, Peas, wake, alkama gari - 18 g;
- masu fasa - 17 g;
- oatmeal - 20 gr;
- taliya, semolina, masara, sha'ir, buckwheat, hatsi, shinkafa - 15 gr;
- karas - 175 gr;
- apples ko pears - 135 g;
- lemu - 225 g;
- apples bushe - 20 gr;
- cherries mai dadi - 100 gr;
- peaches, apricots raspberries, cikakke gooseberries, currants, plums - 150 gr;
- inabi - 65 gr;
- furannin furanni - 180 gr;
- duk madara - 275 gr.
Dangane da mai mai, ana iya maye gurbin 100 na gram nama:
- 3 qwai
- 125 gr cuku na gida;
- 120 gr na kifi.
Ta hanyar adadin furotin, an maye gurbin 100 g nama mai kirim:
- 400 gr kirim mai tsami, cream;
- 115 g na man alade.
Baya ga yin lissafin abubuwan da ke tattare da abubuwan abinci da adadin kuzari a cikin abincin, dole ne a kirga darajar sukari yau da kullun. Zai iya ƙayyade yawan adadin carbohydrates a abinci da furotin ½. Wannan lissafin yana da muhimmanci don tantance haƙuri da carbohydrate da daidaitawar carbohydrate abinci a cikin mara lafiya jariri.
Don samun ikon yin hukunci game da haƙuri ga carbohydrates da daidaitawar carbohydrate, ban da ƙimar sukari na abincin, kuna buƙatar ƙayyade adadin asarar kullun a cikin fitsari. Don yin wannan, yi amfani da bayanin martaba na glucosuric, wanda ke ba da cikakken ra'ayi ba kawai game da adadin ƙwayoyin carbohydrates da ba a ɓoye ba, har ma game da matakin glycosuria a cikin tsaka-tsakin yanayi na yau daidai da ƙarar kayan abincin da ake ci a lokaci guda.
Gyara abinci
Abincin yara na masu fama da ciwon sukari, dangane da lokaci na cutar ya kamata ya sami gyara da ya dace. An riga an ambata a sama cewa mafi yawan abubuwan da ake buƙata na abinci mai gina jiki don sauƙaƙa farji (rage yawan narkewa mai narkewa da kawar da sukari) ana gabatar da su a cikin sashin ƙananan ƙwayar cuta da kuma a farkon matakin bayyanar cutar sankara.
Haɓaka yanayin ketoacidosis yana buƙatar ba kawai rage adadin adadin kuzari a abinci ba, har ma da ƙuntatawa mai yawa game da adadin mai a cikin abincin yara.
A wannan lokacin, abinci mai gina jiki ya zama ya fi dacewa. Daga menu kana buƙatar cire gaba ɗaya:
- cuku
- man shanu;
- kirim mai tsami;
- madarar mai.
Wajibi ne a maye gurbin waɗannan abincin da abincin da yake a cikin carbohydrates:
- dankali ba tare da ƙuntatawa ba;
- zaki da yi
- burodi
- 'ya'yan itatuwa masu zaki;
- sukari.
A cikin lokacin da coma da kuma bayan shi, da abinci ya kamata kunshi 'ya'yan itace da kayan lambu ruwan' ya'yan itace, mashed dankali, jelly. Sun ƙunshi salts na calcium kuma suna da alkaline dauki. Masana ilimin abinci sun ba da shawarar shigar da ruwan ma'adinan ruwa na ruwa (borjomi) a cikin abincin. A rana ta biyu ta jihar bayan-coma, ana ba da burodi, akan na uku - nama. Za'a iya gabatar da mai a cikin abinci kawai bayan ketosis ya ɓace.
Yadda ake sarrafa samfuran ciwon sukari
Yin aikin dafuwa na kayayyakin abinci dole ne yayi daidai da yanayin canje-canjen cutar ko cututtuka masu alaƙa.
Misali, tare da ketoacidosis, abincin yakamata ya barrancewar cututtukan gastrointestinal yara a matakin injiniyan da sunadarai. Sabili da haka, samfura ya kamata a mashi (mashed), kowane nau'in haushi ya cire.
Kula! A cikin ciwon sukari mellitus, akwai babban yiwuwar cututtukan cututtukan mahaifa da hanta da hanji. Saboda haka, ga marasa lafiya da ciwon sukari, mafi cikakken na da aiki da samfuri na bada shawarar.
Daidai, abinci ya kamata a steamed, kuma adadinsa ya zama matsakaici, amma yana dauke da fiber mai yawa. Gurasa ya fi kyau a ci a cikin gari wanda aka bushe, kar a manta da ruwa mai ma'adinai.
Yayin shirye-shiryen abincin, marasa lafiya da masu ciwon sukari suna buƙatar ba da babbar kulawa ga samfuran da ke ɗauke da magungunan lipotropic:
- wasu nau'in ɗan rago da naman alade.
- naman maroƙi;
- kifi
- oat da shinkafa groats;
- gida cuku, kefir, madara.
Abincin abinci na yaro mara lafiya ya kamata ya haɗa da waɗannan samfuran. Lokacin yin lissafin abincin don yara 'yan shekaru 3, akwai shawarwari daban. Matasa suna kara yawan furotin da sauran abubuwa. Amma duk abin da ya kamata yayi daidai da matakin aikin jiki na ƙungiyar matasa.
Ya kamata a kula da abinci mai gina jiki na yaro mai ciwon sukari aƙalla sau ɗaya a cikin ranakun 10-14 akan tsarin marasa lafiya. Lokacin lura da yaro a gida, ana ba da shawarar lissafin abinci na mutum daidai da shekaru, matakin aiki na jiki da nauyin jiki.
