Cikakken magani ga masu cutar sukari al’amari ne na gaba. A halin yanzu, yin irin wannan binciken yana nufin iyakoki da yawa, maganin rayuwa, da gwagwarmaya koyaushe game da rikice-rikicen ci gaba. Abin da ya sa rigakafin ciwon sukari yana da matukar muhimmanci. Ya ƙunshi matakai da yawa masu sauƙi, wanda yawancin za'a iya bayanin su da jumlar “salon rayuwa mai lafiya”. Tare da cututtukan cuta na 2 na kowa da yawa, tasirin su yana da girma sosai: koda tare da raunin na rayuwa na yanzu, za a iya guje wa cutar sankara a cikin kashi 60% na lokuta.
Bukatar rigakafin nau'in 1 da nau'in ciwon sukari na 2
A farkon karni na 20, sanannen likita, majagaba a cikin bincike da lura da wannan cuta, Elliot Joslin, ya yi magana game da mahimmancin hana (hana) kamuwa da cutar sukari a cikin mutane masu haɗarin cutar: “Bayanan da aka tattara a cikin shekaru 30 sun nuna cewa yawan masu ciwon sukari yana haɓaka da sauri ... yanzu lokaci, yakamata a saka kulawa ta musamman ba mai yawa ga magani kamar rigakafin cutar sankara ba. Ba zai yiwu a samu sakamako mai sauri ba, amma tabbas za su bayyana a gaba kuma suna da matukar mahimmanci ga mai haƙuri. "
Bayan shekara ɗari, wannan bayanin har yanzu yana dacewa. Cutar sankarau na ci gaba da ci gaba a jiki. Wasu likitoci suna kwatanta wannan haɓakar da annoba. Tare da haɓaka arziki a cikin ƙasashe masu tasowa, cutar ta bazu zuwa sababbin yankuna. Yanzu ~ 7% na mutanen duniya suna kamuwa da cutar sankarau. Ana ɗauka cewa kamar yadda mutane da yawa basu sani ba game da ciwon su. Increasearin yawan abin da ya faru yana faruwa ne saboda nau'in 2, wanda yakai kashi 85 zuwa 95% na duk cutar da ke faruwa a cikin alƙaluma daban daban. Yanzu akwai tabbataccen tabbaci mai gamsarwa cewa ana iya hana wannan cin zarafi ko jinkirtawa shekaru da yawa idan an dauki matakan kariya a cikin haɗari.
Ciwon sukari da hauhawar jini zai zama abin da ya wuce
- Normalization na sukari -95%
- Cirewa kan jijiyoyin mara wuya - 70%
- Cire zuciyar mai karfin zuciya -90%
- Rabu da cutar hawan jini - 92%
- Increasearuwar kuzarin rana, inganta bacci da dare -97%
Kuna iya ƙayyade matsayin haɗarin ku ta amfani da gwaji mai sauƙi:
Tambayoyi | Amsa zaɓuɓɓuka | Yawan maki | |
1. Shekarunka, shekaru | <45 | 0 | |
45-54 | 2 | ||
55-65 | 3 | ||
>65 | 4 | ||
2. BMI dinka *, kg / m² | har zuwa 25 | 0 | |
daga 25 zuwa 30 | 1 | ||
sama da 30 | 3 | ||
3. Kewayen ciki **, cm | a cikin maza | ≤ 94 | 0 |
95-102 | 3 | ||
≥103 | 4 | ||
a cikin mata | ≤80 | 0 | |
81-88 | 3 | ||
≥88 | 4 | ||
4. Akwai kyawawan kayan lambu akan teburin kullun? | eh | 0 | |
a'a | 1 | ||
5. Shin kana yin sama da awanni 3 akan ayyukan jiki a cikin mako guda? | eh | 0 | |
a'a | 2 | ||
6. Shin kana shan (sha a baya) kwayoyi don rage karfin jini? | a'a | 0 | |
eh | 2 | ||
7. Shin an gano cewa ciwon sukari aƙalla sau 1 sama da al'ada? | a'a | 0 | |
eh | 2 | ||
8. Shin akwai wasu maganganu na ciwon sukari a cikin dangi? | a'a | 0 | |
Haka ne, dangi na nesa | 2 | ||
Haka ne, ɗaya daga cikin iyayen, 'yan'uwa, da yara | 5 |
* ƙaddarawar da dabara ne: nauyi (kg) / tsawo² (m)
* auna a 2 cm sama da cibiya
Tebur Nazarin Matsalar ciwon sukari:
Jimlar maki | Hadarin ciwon sukari,% | Shawarwarin Endocrinologists |
<7 | 1 | Ku ci gaba da kula da lafiyarku, kuna kan madaidaiciyar hanya. Rayuwarku a halin yanzu kyakkyawan rigakafin cutar sankara ce. |
7-11 | 4 | |
12-14 | 17 | Akwai damar kamuwa da ciwon suga. Muna ba da shawarar ziyartar endocrinologist da kuma yin gwaje-gwaje, zai fi dacewa gwajin haƙuri glucose. Don cire take hakki, ya isa canza rayuwar. |
15-20 | 33 | Cutar sukari ko ciwon sukari na iya yiwuwa, shawarar likita ya zama dole. Kuna iya buƙatar magani don sarrafa sukarin ku. |
>20 | 50 | Da alama metabolism dinka ya riga ya lalace. Ana buƙatar sarrafa glycemic na shekara don gano ciwon sukari a farkon. Ana buƙatar matuƙar yarda da matakan rigakafin cututtukan cuta: ƙaddara nauyi, karuwa a matakin aiki, abinci na musamman. |
Abin da za a iya amfani dashi don rigakafin
Yanzu, tare da babban yiwuwa, cutar 2 kawai za a iya hanawa. Dangane da nau'in 1 da sauran, nau'ikan rarer, babu irin wannan damar. An shirya cewa a nan gaba, za a aiwatar da rigakafin ta amfani da allurar rigakafi ko kuma maganin ƙwayoyin cuta.
Matakan da za su iya rage hadarin kamuwa da ciwon siga na yara a cikin yara:
- Kula da cututtukan Normoglycemia yayin daukar ciki a cikin mata masu fama da cutar siga. Glucose yana shiga jinin yaro kuma yana cutar da cutar kansa.
- Rashin shayarwa nono akalla watanni 6. Yi amfani kawai da ƙwaƙwalwar ƙwaƙwalwar yarinyar da aka daidaita
- Immarfafa rigakafi: hardening, alurar rigakafin lokaci, mai dacewa, ba mai tsattsauran ra'ayi ba, bin ka'idodin tsabta. Yin amfani da magungunan da ke motsa tsarin na rigakafi, kawai kamar yadda mai kulawa da immunologist ya umarta.
- Abinci mai gina jiki, mafi yawan abinci da abinci iri-iri, kayan sarrafa kayan lambu kaɗan. Ingancin abinci na bitamin D daga abinci (kifi, hanta, cuku). Yin rigakafin rashi na wannan bitamin a farkon shekarar rayuwa.
- Motsa motsi na akalla sa'a ɗaya a rana. Haɓaka haƙuri na jiki, haɓaka dabi'ar wasa wasanni.
Yin rigakafin kamuwa da ciwon sukari na 2 yafi inganci. Ya hada da:
- matsakaici a abinci;
- rage cin abinci mai narkewa cikin sauri;
- bin ka’idar tsarin shaye shaye;
- normalization na nauyi;
- aikin jiki;
- akan gano matsala ta farko - magungunan da ke rage juriya cikin insulin.
Normalization na ruwa daidaitawa da kiyayewa
An yi imani da cewa 80% na jikin mutum ruwa ne. A zahiri, waɗannan lambobin kaɗan masu kuɗi ne. Wannan adadin ruwan mai dauke da sifofi ne kawai ga jarirai. A cikin jikin mutane, 51-55% na ruwa, a cikin mata - 44-46% saboda yawan ƙwayoyin mai. Ruwa ruwa ne mai isa ga dukkan abubuwa, ba tare da isasshen adadin shi ba, ba kwai na insulin ba, balle fitowar sa zuwa cikin jini, kuma gulukos a cikin sel don karbar makamashi mai yiwuwa ne. Rashin ruwa mai saurin lalacewa yana kawo halayen cutar gudawa na shekaru da yawa, wanda ke nufin cewa don rigakafin shi wajibi ne don daidaita ma'aunin ruwa.
Ana tsabtace ruwa koyaushe daga jiki tare da fitsari, feces, to, iska mai ƙuna. Ana kiyasta girman asarar yau da kullun a 1550-2950 ml. Bukatar ruwa a zazzabi na jiki shine 30-50 ml a kowace kilogiram na nauyi. Wajibi ne a sake daidaita ma'aunin ruwa tare da ruwan sha na yau da kullun ban da gas. Soda, shayi, kofi, giya ba su dace da wannan dalilin ba, tun da suna da tasirin diuretic, shi ke nan, suna haɓaka haɓakar ruwa.
Abincin da ya dace shine mabuɗin don sukari na al'ada
Babban tsarin abinci mai gina jiki don rigakafin ciwon sukari shine matsakaici a abinci. Kamar yadda lura da masana harkar abinci suka nuna, mutane sukan sabawa girman da kuma kayan abincin da ake ci. Mun yi la’akari da lafiyar abinci fiye da yadda take. Saboda haka, yayin gano babban yiwuwar kamuwa da ciwon sukari, abu na farko da yakamata ayi shine a fara ajiye littafin abinci. Yi ƙoƙarin yin la'akari da abincinku na kwanaki da yawa, ƙididdige yawan adadin kuzari, abun da ke gina jiki, kimanta ƙididdigar glycemic na duk jita-jita da nauyin glycemic a kowace rana. Wataƙila, bayanan da aka samu zai zama abin takaici, kuma abincin zai zama da canzawa sosai.
Ka'idojin rigakafin ciwon sukari dangane da magani na tushen shaida:
- Lissafin darajar adadin caloric na yau da kullun la'akari da aikin jiki. Idan asarar nauyi ya zama dole, ana rage shi da 500-700 kcal.
- Aƙalla rabin kilo na Legrip, kayan lambu da 'ya'yan itatuwa a rana.
- Amfani da hatsi da hatsi gabaɗaya daga gare su.
- Iyakance sukari zuwa 50 g kowace rana, gami da abin da aka samo cikin abinci da abubuwan sha.
- Amfani da kayan lambu, tsaba da kwayoyi a matsayin tushen mai.
- Iyakataccen cikakken (har zuwa 10%) da fats mai ƙanshi (har zuwa 2%).
- Cin naman alade.
- Kayan kayayyakin madara masu dauke da mai mai mai yawa amma ba mai kyauta mai yawa.
- Kifi yi jita-jita sau 2 ko fiye a mako.
- Rage yawan barasa zuwa 20 g kowace rana ga mata, 30 g ga maza cikin yanayin ethanol.
- Abincin yau da kullun na 25-35 g na fiber, galibi saboda sabo kayan lambu tare da babban abun ciki.
- Iyakance gishirin zuwa 6 g kowace rana.
Da amfani: game da abinci mai gina jiki ga masu ciwon sukari a nan - diabetiya.ru/produkty/pitanie-pri-diabete-2-tipa.html
Aiki na jiki da ciwon sukari
Aikin ƙwaƙwalwa shine hanyar mafi yawan ƙwayar cuta don rage juriya na insulin, babban dalilin cutar sankara. An gano cewa ana lura da kyakkyawan sakamako tare da ƙoƙarin yau da kullun tsawon minti 30 ko fiye. Tare da mafi yawan wasanni mafi wuya, rigakafin ciwon sukari ya zama ƙasa da tasiri. Mafi kyawun zaɓi shine haɗuwa da motsa jiki da motsa jiki da ƙarfi.
Shawarwarin kan mafi kyawun amfani da motsa jiki a cikin rigakafin cutar sankara:
Shawarwari | Aerobic motsa jiki | Trainingarfafa horo |
Mitar horo a mako | 3 ko fiye sau, hutu tsakanin motsa jiki bai wuce 2 ba. | Sau 2-3. |
M tsanani | A farkon - haske da matsakaici (tafiya a saurin hanzari), tare da karuwa da jimiri - mafi wuya (gudana). | Zuwa gajiya mai tsoka. |
Lokacin horo | Don haske da matsakaici masu nauyi - mintuna 45, don tsananin - minti 30. | Kimanin bada 8, kowane har zuwa 3 saiti na 9-15 maimaitawa. |
Wasan da aka fi so | Jogging, tafiya, iyo, ciki har da ruwa, keke, tsallake, horo na kungiyar. | Darasi mai ƙarfi don manyan rukunin tsoka. Kuna iya amfani da simintin biyu da nauyin ku. |
Baya ga ayyukan jiki da canje-canje a cikin abinci mai gina jiki, hanyoyin rashin magunguna sun hada da: daina shan sigari, kawar da kasala mai wahala, magance damuwa da rashin bacci.
Game da ciwon sukari - diabetiya.ru/pomosh/fizkultura-pri-diabete.html
Magungunan rigakafi
Yawancin lokaci matakan kariya na sama sun isa don hana ciwon sukari. An wajabta magunguna ne kawai ga waɗanda ke fama da rashin daidaituwa na glucose, amma har yanzu ba za su iya zama masu ƙoshin lafiya ba kamar su masu ciwon sukari. Kuma har ma a wannan yanayin, suna ƙoƙari su ba jiki dama don shawo kan matsalolin rashin daidaituwa ta hanyar kansa. Idan sakamakon ba su gamsu da watanni 3 bayan canji a cikin abinci da kuma fara horo, ƙirar kulawa ta gaggawa ga masu ciwon sukari suna ba da shawarar ƙara magunguna zuwa matakan rigakafin da suka gabata.
A mafi yawan lokuta, ana ba da fifiko ga metformin - magani ne wanda ke shafar juriya na insulin. Yana rage hadarin kamuwa da cutar sukari da kusan kashi 31%. Mafi kyawun alƙawari tare da BMI sama da 30.
Don rage sakamakon rashin bin ka'idodin abincin, zaku iya amfani da kwayoyi waɗanda ke shafar shaye-shayen carbohydrates da fats. Wadannan sun hada da:
- Acarbose (Allunan Glucobai) yana hana shigowar glucose cikin tasoshin. Fiye da shekaru 3 na amfani, zaku iya rage haɗarin ciwon sukari da kashi 25%.
- Voglibose yana aiki akan manufa iri ɗaya. Yana da mafi kyawun ingancin rigakafin cutar sankara, kusan 40%. Dole ne a shigo da magungunan Voglibose daga kasashen waje, saboda ba su da rajista a cikin Tarayyar Rasha.
- Orlistat yana rage adadin kuzari na abinci ta hanyar toshe narkewar kitse da cire su a asalinsu tare da feces. Fiye da shekaru 4 na shiga, yana ba ku damar rage yawan ciwon sukari da 37%, duk da haka, 52% na mutane sun ƙi magani saboda sakamako masu illa. Sunayen kasuwanci na Orlistat sune Xenical, Orsoten, Listata, Orlimax.