Hoʻomaʻamaʻa ka mālama ʻana i kahi maʻi type 1 i ka nānā ʻana i nā kaʻina holoʻokoʻa e pili ana i ka hoʻopaʻa ʻana i ke kō o ka glucose koko. Hoʻopili i nā lāʻau lapaʻau, i ka wā e hoʻoili ʻia ai ka insulin i loko o ke kino o ka mea maʻi, ʻo kahi nui o ka mālama ʻana i ka maʻi ka mea pono i ka pono.
Hoʻohui i ka hoʻohuihui ʻana i nā hōʻailona o ke kō, ʻo kahi meaʻai no ke ʻano type type 1 a me ka maʻa o ka lā 2 hiki ke pale i ka hoʻomohala ʻana o ka hypoglycemia (kahi hōʻemi wikiwiki i ka glucose koko). ʻAʻole kīpē ʻo ka meaʻai i ka pōloli, ua kau ʻia i ka hoʻohana ʻana i nā meaʻai haʻahaʻa haʻahaʻa haʻahaʻa i loaʻa i ka nui o nā minerala a me nā momona.
Hoʻohui aku i ka mea o ka hoʻomakeʻai ʻana i ka meaʻai ma ka mālama ʻana i nā maʻi maʻi type 1 e hiki ai iā ʻoe ke hoʻomalu i ka maʻi a emi hou i nā inikini insulin, he mea nui loa ia e kōkua ai i ka nalo o ka momona. He mea koʻikoʻi kēia no ka poʻe me ka maʻi maʻamau ʻo 2, pinepine ke kaumaha.
No ke aha e koʻikoʻi ai ka meaʻai?
ʻO ka papaʻai no nā poʻe maʻi me ka maʻi diabetes type 1 ʻole e hāʻawi i nā mea nui o ka papa ʻaina, koe wale nō i ke kō a me nā huahana kahi i loaʻa ai. Akā i ka hōʻiliʻili ʻana i ka papa hana, pono e noʻonoʻo i ka hele mai o nā maʻi concomitant a me ka pae o ka hoʻoikaika kino.
Akā, no ke aha e pono ai i nā mea maʻi e hoʻomaloka i nā lula kai i kaʻai ʻana a ʻai i nā meaʻai maʻi? Ma mua o kēlā me kēia meaʻai, pono e maʻi nā maʻi e hoʻoiho i ka insulin. ʻO kahi hemahema o ka hormone a i ʻole ka nui i loko o ke kino e alakaʻi i ka poho i ka maikaʻi maʻamau o kahi kanaka a kumu i ka hoʻomohala ʻana o nā hoʻopiʻi.
ʻO nā hopena o ka loaʻa ʻole o ka maʻi maʻi he hyperglycemia a me hypoglycemia. Hōʻaia ke ʻano mua i ka manawa ʻaʻole i hana ka insulin i ka wā e hoʻokaʻawale i nā kākoi a me ka haʻalulu ʻana o nā momona a me nā protein, e like me kahi mea i hoʻokumu ʻia ai nā ketones. Me ke kō o ke kō, ua pilikia ka mea maʻi i ka nui o nā hōʻailona leʻaleʻa (arrhythmia, ka nalowale o ka ikaika, ka hōʻeha ʻana o ka maka, ke kuʻina, ke koko koko nui), a me kaʻole o nā hana lapaʻau wikiwiki, hiki iā ia ke hāʻule i loko o kahi coma.
Me ka hypoglycemia (kahi emi i ka hoʻoliʻi o ka glucose) paʻa kekahi i nā kino ketone i loko o ke kino, hiki ke loaʻa iā ia ka nui o ka insulin, ka pōloli, hoʻonui i ka hana kino a me ka hoʻoinu. Hoʻohālikelike ka ʻōwili e nā wīwī, nāwaliwali, nā hōʻemi, ka pale ʻana o ka ʻili.
Me ka hypoglycemia koʻikoʻi, ponoʻole ka mālamaʻana i ka maʻi maʻi, no ka mea e hāʻule ai ʻo ia i loko o kahi coma a make.
He aha ka koʻikoʻi o nā kākeka a me nā wae ʻai i ka papa ʻaina o kahi maʻi maʻi?
Pono ka papa hana o kēlā me kēia lā no ka maʻi maʻi o kēlā me kēia mau palaka, nā momona (20-25%) a me nā haʻalulu (a hiki i 60%). No laila ʻaʻole e kū ka hānai koko, ʻaʻole ʻōlelo nā nutrists i ka ʻai ʻana i ka meaʻai i nā meaʻai liʻiliʻi, nā māla a me nā momona. Pili pono kēia kānāwai no nā maʻi maʻi maʻi e loaʻa mai ana i nā maʻi ʻeha gastrointestinal.
Akā hōʻike ma kahi lā maʻi lā maʻi i hōʻike ʻia nā liʻiliʻi liʻiliʻi o nā mea momona a me ka momona no ka hyperglycemia maʻi. ʻAʻole hiki ke ʻai ʻia ka calcium me ka diabetes. No laila, ʻae e hoʻomaopopo i ka mea nona ka huina a me nā ʻano i hoʻokaʻawale ʻia lākou.
ʻO kaʻoiaʻiʻo, ʻo ka kalaiwa ka gula. Hoʻohālikelike ʻia kona ʻano me ka wikiwiki o ka digestible e ke kino. Aia kekahi ʻano like me nā kāloli:
- Lohi. Hoʻopili ʻia lākou i ke kino i nā minuke 40-60, me ke kumu ʻole o ka ʻōiwi ākea a me ka ikaika i ka glucose i loko o ke koko. Kūpono ʻia i nā huaʻai, nā lau ʻai, cereals a me nā meaʻai ʻē aʻe i loaʻa ka fiber, pectin a me ka māka.
- ʻĀpana maʻalahi. Hoʻihoʻi ʻia lākou e ke kino i ka 5-25 mau minuke, ma muli o ke ʻano o ka pae ʻana o ka glucose i ke koko. Loaʻa ʻia nā mea i loaʻa i nā hua momona, nā kō, ka meli, ka pia, nā mea ʻono a me nā pālei.
ʻAʻole liʻiliʻi kahi mea nui i ka hana ʻana i kahi papa no ka maʻi maʻi no ka helu ʻana i nā ʻāpana ʻai, kahi e hiki ai iā ʻoe ke ʻike i ka mea o ke kāohi o nā ʻaiā ma kahi huahana. ʻO hoʻokahi XE he 12 kalā kō o nā kō a 25 paha mauʻaʻai o keʻokeʻo. Hiki i nā poʻe me ka maʻi maʻi ʻaina 2.5 mau papa ʻai i ka lā.
I mea e ʻike pono ai i ka ʻai pololei me ka maʻi type 1, pono ia e noʻonoʻo i nā mea kūlike o ka lawelawe ʻana o ka insulin, no ka mea e pili ana kona hopena ma ka lā o ka lā. ʻO ka nui o ka hormone no ka hoʻomaʻamaʻa i ka glucose i loaʻa mai ka 1 XE i ke kakahiaka ma ka lā 2, i kaʻaina awakea - 1,5, i ke ahiahi - 1. No ka ʻulana ʻana i ka helu XE, ua hoʻohana ʻia kahi papa ʻai kūikawā, e hōʻike ana i nā pūʻulu ʻai o ka hapa nui o nā huahana.
ʻO nā huahana hoʻohana maikaʻi a maikaʻi hoʻi no ka maʻi maʻi
Mai ka mea i hoʻopuka mua ʻia, ʻike ʻia ʻoe e hiki ke ʻai a inu i nā poʻe maʻi maʻi. Hāʻawi ʻia nā meaʻai i ka meaʻai nā low-carb, e loaʻa ai ka ʻai, ka rye roti me ka hoʻohui o ka bran, cereal (buckwheat, oatmeal), nā koikoi kiʻekiʻe.
He pōmaikaʻi ia no ka maʻi lolo i ka ʻai ʻana i nā pōpoki, nā haʻahaʻa haʻahaʻa a ʻo nā ʻōpala a hoʻi i nā huaʻai, akā hoʻokahi manawa i ka lā. Lako ʻia nā huahana ʻoi ka waiū momona, kefir, ke kīwī, ke tiikoa, kaʻaila aila, mai kahi meaʻono kīkī kīʻaha, a me nā casseroles a me nā pōneki pipi.
A he aha nā meaʻai e ʻai ai i ka maʻi hānai e lilo i slimmer? ʻO ke papa inoa o nā meaʻai like ʻole e alakaʻi ʻia e nā mea kanu (kāloti, kāpeti, beets, maukuhi, ka pōpō pepa, hua manu, kukama, zucchini, kamato) a me nā greens. Hiki ke ʻai ʻia nā ʻuala, akā ma ka kakahiaka.
ʻO nā meaʻai ʻē aʻe i koho ʻia no ka maʻi maʻi hakahaka 1 he mau huawa a me nā huaʻai:
- mauʻu ʻōpala;
- quince;
- lingonberry;
- ʻōpū;
- mauna lehu;
- apana
- Kālepa;
- nā huaʻomoʻa citrus;
- Nāui wili
- Cherryau
- nā lālā;
- pīpī;
- pomeraite;
- ʻōpala.
He aha nā mea ʻē aʻe e ʻai ai me ka maʻi maʻi? Hāʻawi i nā meaʻai e pono ai i loko o ka meaʻai ka iʻa iʻa (pike perch, hake, tuna, kīkē) a me ka ʻiʻo (ka pipi, pipi, moa, manuahi).
E ʻae ʻia nā meaʻai momona ʻokoʻa, akā i ka palena liʻiliʻi a me nā mea hoʻohālike gula. Hāʻawi ʻia nā Palapala - nā lau a me nā pata, akā a hiki i 10 g i kēlā me kēia lā.
Me ka maʻi diabetes, hiki iā ʻoe ke inu i ka lāʻau lāʻau, ʻeleʻele, kaʻaila ʻōmaʻomaʻo a me nā kīʻaha kīwele ʻole. Paipai wai ʻole nā carbonated, ʻohe wai meli, ʻōkuhi rosehip i ʻōlelo ʻia. Hoʻohana ʻia nā wai momona a i ʻole compotes mai i nā huaʻai a me nā huaʻai.
A he aha nā mea maʻi me nā mea maʻi ʻole eʻai ai? Me kēia maʻi, pāpā ʻia ka ʻai ʻana i ka confectionery a me ka pastry. ʻAʻole pau nā mea maʻi i loko o ka insulin i ka honi, ka meli a me nā mea i loaʻa iā lākou (ka wai, aila kaila, ka momona, nā kīkale, nā kīkena.)
ʻO ka ʻiʻo momona (hipa, puaʻa, ka kuʻikena, poki), nā mea i poki ʻia, ka ʻalima a me ka iʻa paʻakai - ʻaʻole ʻia ʻia kēia mau huahana no ka maʻi maʻi. ʻAʻole pono nā meaʻai i kālua ʻia a momona, no laila, e waiho ʻia nā momona momona, nā iakū, ka waiū i loko ʻia, ka waiū i hoʻomohala ʻia, ka momona, ka mea momona a me nā mea momona i koe.
He aha hiki ʻole ke ʻai ʻia e nā poʻe hilinaʻi o ka insulin i nā mea he nui? ʻO nā meaʻai ʻē aʻe i pāpā ʻia i ka maʻi diabetes:
- kīlala
- laiki, semolina, pasta haʻahaʻa haʻahaʻa;
- nā mea ʻala
- mālama;
- nā hua momona a me nā hua maloʻo (ka maiʻa, huehue, nā hua, nā lā, nā percimmons).
Akā ʻaʻole naʻe ma ka meaʻai i luna wale nō. ʻO kekahi kīʻai no ke ʻano maʻi type 1 e pili ana i ka hōʻole ʻana i ka waiʻona, ka mea nui ka waiʻona, ka pia a me nā meaina ʻono.
Nā rulaʻaiʻai a me ka papa kuhikuhi
ʻO ka meaʻai no nā maʻi maʻi type 1 ʻaʻole wale ke ʻai i nā meaʻai meaʻai i ʻāpono ʻia. He mea koʻikoʻi ia e pili pono i ka meaʻai.
Pono nā lālima 5-6 i kēlā me kēia lā. Ka nui o ka meaʻai - nā ʻāpana liʻiliʻi.
Hiki paha ma hope o ka 8 pm i hiki ai. ʻAʻole pono ke pale ʻia nā meaʻai, ʻoiai hiki kēia i ke alakaʻi i ka hypoglycemia, ʻoiai inā ua paʻi ʻia ka mea maʻi me ka insulin.
I kēlā kakahiaka i kēlā me kēia kakahiaka pono ʻoe e hoʻopaʻa i ke kō. Inā hoʻokomo pololei ʻia ka hānō lapaʻau no ka maʻi type o ka maʻi 1 a huli ʻia nā ʻōlelo a pau, a laila ke ʻano o ka glucose i loko o ke koko o ka sutra ma mua o ka hoʻonā ʻana o ka insulin i ʻole eʻoi aku ma mua o 6 mmol / L.
Inā maʻamau ka ʻike ʻana o ke kō, ua ʻae ʻia ke kakahiaka kakahiaka 10-20 mau minuke ma hope o ka hoʻokele ʻana o ka hormone. Ke hoʻomaka nei nā kumu glucose ma 8-10 mmol / l, e hoʻoneʻe i ka papaʻaina no hoʻokahi hola, a i mea e hoʻolioli ai i ka pōloli ua hoʻohana lākou i kahi māka me nā mea ʻai a ʻāpala.
Me ka maʻi 'āpau 1, pono ia e hahai wale i kahi kīʻai, akā e pili ana i ka meaʻai, e hoʻoponopono i ka nui o ka insulin. ʻO ka nui o nā kalaiwa e hoʻopau ai i ka nui o nā lāʻau lapaʻau i mālama ʻia.
Inā hoʻohana ʻia ka insulin hoʻonāla waena, a laila e hoʻopaʻa ʻia i ʻelua mau manawa i kēlā lā (ma hope o ke ala ʻana, ma mua o ka hiamoe. Me kēia ʻano o ka insulin insulin, ua hōʻike ʻia kahi ʻaina kakahiaka mua, no ka mea ua mālama ʻia ka hāmeʻa i ke ahiahi i ka hana.
4 mau hola ma hope o ka wana i ka wana i kakahiaka e ʻae ʻia e ʻai aʻai. Pono pū ka ʻina ʻaina mua, a ma hope o ka hoʻonā ʻana o ka lāʻau hiki ke ʻai ʻoe i ka ʻoluʻolu loa.
Inā hoʻohana ʻia kahi ʻano o ka hormone e like me ka insulin ka lōʻihi, kahi i kau ʻia ma ke kino i ka manawa 1 i kēlā lā i kēia lā, e hoʻohana ʻia no ka mālama o ka maʻi maʻi, a laila pono e hoʻohana ʻia ka insulin wikiwiki i ka lā holoʻokoʻa. Me kēia ala o ka insulin insulin, hiki i nā kīʻaha nui ke hanu, a hiki ke ʻoluʻolu nā kīmaha, no laila, ʻaʻole e hoʻomaha ka mea maʻi.
He kūpono nui i ka maʻamau o ke kiʻekiʻe o ka glucose i mea haʻuki. No laila, he mea hoʻohui i ka therapy nīnū a me ka meaʻai, no ka maʻi type o ka ʻōiwi, pono e hoʻomaʻamaʻa a hele paha i ka wāwae no 30 mau minuke i ka lā.
No nā mea loaʻa i ka maʻi maʻi type 1, ke ʻano like o kēia lā i kahi lā:
- ʻAina kakahiaka. Porridge, kaʻaila me ka hili gula, berena.
- ʻAi awakea ʻO nā kuki Galetny a he ʻōmaʻomaʻo paha.
- ʻAi awakea Huala ʻai, ʻai, kālai, kālai, ʻokiʻoki.
- Ka ʻai ahiahi. Hua leʻa, hopa hua nonfat ʻaina keke.
- Kai ʻaina Kaʻaʻai iʻa ʻia a iʻa paha, nā lau ʻai.
- ʻAi ʻia ka lua. He aniani o kefir.
No hoi, no ka maʻi pākēpē o ka maʻi 1, hōʻemi ʻia ke kaupaona ʻana, ʻoi aku ka helu ʻana. 9. E like me kāna mau rula, ke ʻano like nei ke ʻano o nā lā o kēlā me kēia lā: ʻo ka ʻaina kakahiaka i ka waiū momona, kīwī pākī a me kaʻaila me ka hē ʻole. Ma mua o ka ʻai ʻana, hiki iā ʻoe ke inu i kahi aniani o ka wai maʻemaʻe me ka lemon.
No ka ʻaina kakahiaka, pākaha bele me ka pīpī, ʻānai ʻia a pipi paha i lawelawe ʻia. I ka wā awakea, hiki iā ʻoe ke ʻai i ka borsch lau, nā ʻala kuke, ka soy a i ka hua a me ka huaʻaʻa.
ʻO kahi ʻeleʻele a iʻa paha kahi māka kūpono e like me nā makana. ʻO ka papaʻaina maikaʻi ʻo ia e hoʻomoʻa ʻia i ka iʻa, kahi māati me ka kāpeti a me nā ʻona kō i kā ʻia me ka ʻaila ʻoliva. I ʻelua lā a hiki iā ʻoe ke inu i nā mea inu a ʻai i nā mea ʻono me nā mea momona (sucrose, fructose).
Ke hoʻohana nei i kahi papa inoa o nā huahana i ʻae ʻia, hiki i kahi maʻi maʻi kūʻokoʻa ke hana kūʻokoʻa i kahi papa no ka hebedoma. Akā he mea kūpono e hoʻomanaʻo e like me ka hahai ʻana i ka papaʻaina, ʻaʻole hiki iā ʻoe ke inu i ka wai ʻawa a me nā mea inu momona.
Nā hiʻohiʻona o nā meaʻai no nā keiki
Inā ua hoʻomaka ka maʻi maʻi i ke keiki, a laila e loli loa kāna meaʻai ʻana. Hoʻomaopopo nā kauka i ke hoʻololi ʻana i kahi meaʻai kūpono, ma kahi o nā haʻalulu o nā lā he nui ma mua o 60%. ʻO ka koho maikaʻi loa no ka hoʻomaʻamaʻa ʻana i ka papa ʻaina no ka mālama ʻana i ka maʻi ʻano type 1 i nā keiki he meaʻai no ka 9.
Hoʻomaʻamaʻa pinepine ʻia nā pēpē pēpē e like me ka sīkū, mālama, ʻōlohelohe, kīkē, nā keke a me nā kuki no kahi keiki me ka maʻi maʻi. No ka maʻi type 1, hana ʻia ke papa ʻaina no nā keiki i kēlā me kēia lā, me nā kīʻaha mai nā ʻano ʻai (kāloti, kukama, ʻōpala, kamato), ʻai momona (moa, veal), iʻa (cod, tuna, hake, pollock),
ʻO nā hua a me nā huaʻai, ua ʻōlelo ʻia e hānai i ke keiki me nā hua apala, ʻāwī, nā huaʻōpala, nā raspberry, nā cherries. A i ke kaʻina ʻana o nā mea ʻono no nā keiki, pono ia e hoʻohana i ka momona (sorbitol, fructose),
Akā ma mua o kou hoʻololi i kāu keiki i ka meaʻaiʻai haʻahaʻa, pono ʻoe e hoʻoponopono i ke pae o ka glycemia. Pono ia e pale i nā keiki mai ke hoʻoikaika kino a me ke kaumaha. Manaʻo ia e hoʻokomo i nā hana haʻuki i ka papa o kēlā me kēia lā i ka wā e hoʻopili pono ai ka mea maʻi i ka meaʻai hou.
A he aha ka mea e pono ai i loko o ka mālama ʻana i ka maʻi diabetes inika ʻano 1 i nā keiki keiki? Hōʻike ʻia e hānai i ke keiki i ka waiū umauma ma mua o ka makahiki mua o ke ola. Inā ʻaʻole hiki ke lactation no kekahi mau kumu, ua hoʻohana ʻia nā mea hui me ka hoʻoliʻi haʻahaʻa ʻana i ka nui o ka glucose.
He mea nui hoʻi ia e hahai i ka hoʻoponopono ʻai. Hāʻawi ʻia nā keiki ma lalo o hoʻokahi makahiki o nā meaʻai piha e like me kahi ʻano kikoʻī. I ka wā mua, aia kāna papa inoa i ka waiʻaila a me nā mea ʻai mashed. A hoʻāʻo lākou e hoʻokomo i nā cereals i loko o kaʻai no ka maʻi mellitus ma hope.
ʻO nā loiloi o ka mālamaʻai ʻana i nā meaʻai ʻai no ke ʻano maʻi type 1 i wehewehe ʻia i ke wikiō ma kēia ʻatikala.
