Ukuhoxiswa kwe-Nikotine kubangela ukuthi zonke izimpawu ezingashiya ababhemayo abasha bazizwa behlukumezekile futhi bengakhululekile, kodwa kuze kube manje, ucwaningo alubonisanga ukuxhumana okuqondile phakathi kokuyeka ukubhema neshukela eliphansi legazi.
I-sugar sugar ithinteka kokubili ukubhema nokuyeka ukubhema, noma kunjalo. Ake sihlolisise ukuthi kwenzeka kanjani.
Indlela Ukubhema Okuthinta I-Blood Sugar
Uma sekufakiwe, i-nikotine enomsi kagwayi yenza kancane ukukhululwa kwe-insulini , i-hormone esisiza ushukela ukungena emangqamuzaneni emizimba yethu lapho ingasetshenziswa khona amandla.
I-insulini nayo isusa ushukela okwedlulele egazini uma kudingekile. Ngenxa yalokhu, ababhemayo bathambekele ekubeni ne- hyperglycemic kancane, okusho ukuthi banoshukela kakhulu egazini labo. Ngale ndlela, i-nicotine iyinkinga yokufuna ukudla. Ibuye ibeke ababhemayo engozini ye- type 2 yesifo sikashukela .
Ukuyeka ukubhema negazi le-Sugar
Lapho umuntu eyeka ukubhema, ushukela wegazi ophakeme kusuka ebukhosini be-nicotine buhlehlela emuva kumazinga avamile ngesikhathi, nakuba ucwaningo lubonise ukuthi okokuqala ukuyeka ukubhema kungabangela ushukela wegazi ukuphakamisa inani elincane kwabanye abantu. Okuningi kulokho ngezansi.
Isayensi asikatholakali ubufakazi obucacile bokuthi ukuyeka ukubhema kubangela ukwehla kweshukela legazi, kodwa olunye ucwaningo lwenziwe nalokhu.
Ucwaningo
Ngo-2012, uDkt. Marietta Stadler kanye neqembu lakhe baqhuba isifundo ukuze baqonde kangcono ukuthi ukuyeka ukubhema kuthinta ushukela wegazi. Iqembu elincane lababhemayo ababebhema ekuqaleni kokucwaninga, kepha bayeka ukubhema ngesikhathi socwaningo bebhekwa ukuguqulwa kweshukela egazini.
Izindwangu ze-insulini zalinganiswa ngaphambi nangemva kokuphela (ezinyangeni ezintathu nezinyanga eziyisithupha ezingabhema) kulaba bantu.
Kutholakale ukuthi laba abasha ababhemayo bekhipha i-insulin encane ezinyangeni ezintathu ezingenasimanga kunalokho abazenza ngenkathi bebhema. Ukwengeza, babonakala befaka ngaphezulu kokudla okuphezulu kwe-carbohydrate uma banikwa ukukhetha ku-buffet kunokwenza lapho bebhema.
Abacwaningi bacabanga ukuthi le spike e-insulin (okungenzeka nayo ibangele ushukela ophansi wegazi kwezinye izimo ezithile) ingase idlale ingxenye yokuthi kungani abasha ababhemayo bebonakala befisa ama-carbohydrates amaningi (ushukela). Kubonakala kuwumphumela wesikhashana wokuqeda ukubhema, noma kunjalo, ukunyamalala emva kwezinyanga eziyisithupha ngaphandle kwentuthu.
"Sikholelwa ukuthi ukuguqulwa kwe-insulin ekusithekeni kungase kuhlotshaniswe nezifiso ze-carbohydrate ezandayo kanye nokuzuza kwesisindo ababhemayo abaningi abaye balahlekelwa," kuchaza uDkt. Stadler. "Nokho, ukwanda kwe-insulin ekusithekeni kanye nokudla kwe-carbohydrate kubonakala sengathi kuyadlula umphumela wokuyeka ukubhema, njengoba lezi zinguquko zingabonakali ngemva kwezinyanga eziyisithupha, nakuba abahlanganyeli bebezitholile isisindo. "
Kubalulekile ukuqaphela ukuthi lokhu kwakuyincwajana encane yabantu abangu-27, futhi akukho uphenyo olwengeziwe olubikwe njengalokhu okwamanje. Kodwa-ke, kuphakamisa ukuthi uphenyo oluningi luyadingeka kule ndawo.
Indlela Ukuyeka Ukubhema Kungabangela I-Blood Sugar Ukuphakama
Ucwaningo oluqhutshwa kuJohns Hopkins School of Medicine lubonisa ukuthi ukuyeka ukubhema kungabangela abanye ababhemayo ukuthi bangabungozi be-type 2 yesifo sikashukela ngenxa yenzuzo yesisindo esivame ukuhambisana nokuyeka ukubhema.
Babashesha ukukhumbuza ababhemayo ukuthi izinzuzo zokuyeka kude zidlula izingozi, noma kunjalo, ezihlanganisa isifo senhliziyo nezinhlobo eziningi zomdlavuza .
Ukususwa kulokhu kuzokukhumbula ukudla nokuzivocavoca uma uyeka ukubhema. Nakuba ukuzuza kwesisindo kuvamile, akuqinisekiswa nakanjani. Ungagwema iningi noma yonke inzuzo evamile ye-8- kuya ku-10-pounds uma uqaphela.
Abantu abaningi abathola isisindo esikhulu ngemva kokuyeka baye bashintsha kakhulu indlela yokudla ababenayo njengababhemayo.
Ukukhathazeka uma unesifo sikashukela
Abantu abane-type 2 yesifo sikashukela bangabhekana nokwanda kwehukela legazi kanye nezingozi zempilo ezihambisanayo eminyakeni emithathu yokuqala ngemva kokuyeka ugwayi.
Abacwaningi baseBrithani bahlaziya amarekhodi ezokwelapha ababhemayo abadala abangu-10 692 (isilinganiso seminyaka engama-62 ubudala) ababehlala nesifo sikashukela cishe iminyaka engu-6. Leli qembu lalihlanganisa nabantu abangu-3 131 abayeka futhi baqhubeka bengabhemi okungenani ngonyaka owodwa.
I-hemoglobin ebizwa nge-glycated (ebizwa ngokuthi i-HbA1c noma i-A1c) inikeza isithombe esihle samanqamu egazini egazi lomuntu phakathi nezinyanga ezimbili noma ezintathu ezedlule. Amazinga A1c alinganiswa ngezikhathi ezithile kulawo maqembu amabili. Labo abayeke ukubhema bathola ukwanda kwe-A1c cishe ngamaphesenti angu-0.21 ngaphezu kwabalingani babo bokubhema.
Ekupheleni kweminyaka emithathu, kodwa, i-A1c ibuyele emazingeni afana nalabo ababhemayo abanesifo sikashukela.
Kubalulekile ukuphawula ukuthi nakuba lolu cwaningo lubonisa ukunyuka okwesikhashana kwegciwane leshukela lababhemayo ababhemayo, imiphumela emihle yokuyeka ugwayi ifanelekile le ngozi yesikhashana.
Abashayeli abasha ababhekene nesifo sikashukela kufanele bahlale besondelene nabodokotela babo ekupheleni kokuphela ukuze ishukela legazi lihlolwe futhi imithi ilungiswe, uma kunesidingo.
Izifiso Ze-Sugar ne-Dopamine
Lapho i-nicotine ingena ebuchosheni, "ngokushesha" i-dock receptors. Lokhu kubangela ukukhululwa kwe-dopamine, futhi kubangele ababhemayo ukuthi bacabange ukuthi "ukubhema injabulo." I-dopamine ivame ukubizwa ngokuthi i-hormone ehle ngenxa yalokhu. Linikeza umvuzo osheshayo futhi kucatshangwa ukuthi yindlela esenza ngayo umlutha wento.
I-Sugar iphinde iholele ukukhululwa kwe-dopamine, ngakho-ke kuyisimo esiqondakalayo sokuntuleka kwe-nicotine eyenza ababhemayo bebade futhi bengakhululekile. Sidla ushukela, uthole ukuphuza okuhle kwe-dopamine futhi kancane, ukuphazamiseka kokukhishwa kwe-nicotine kukhululeka.
Lokhu akusilo ukufaka endaweni enhle, kodwa, ngoba njengoba sonke sazi, izifiso zeshukela esizidlayo zenza kuphela izifiso zeshukela (umlutha!) Futhi kungakapheli sikhathi, isikhala sokugezela siqala ukuhamba ngendlela ephakeme.
Ukukhetha okungcono kungaba ukusebenzisa ukuzivocavoca ukuze unciphise ukukhishwa kwe-nicotine. Kungase kuthathe isiyalo esincane ukuqala, kodwa ukusebenzela isithukuthuku siphinde sikhiphe i-dopamine futhi sisize umuntu ukuba agweme ukuzuza kwesisindo esithintekayo.
Ukukhishwa kwemithi ukuyeke ama-Aids
Uma uthatha u-Zyban (bupropion hydrochloride) noma i-Chantix (i-varenicline tartrate) ukukusiza ukuyeka ukubhema, kungenzeka ukuthi ukudla kwakho kunciphise futhi awudli okwanele.
Zombili lezi mithi zinomthelela ohlangothini wokuvimbela ukudla, ngakho-ke kungenzeka ukuthi ushukela ophansi wegazi lungenzeka ngenxa yalokho.
Qinisekisa ukuthi udla okwanele usuku lonke ukugcina ushukela wegazi lakho liqinile. Uma ungelambile, yidla ukudla okuncane / ukudla okuncane okulula zonke amahora ambalwa, njenge-ounce ushizi nge-apula noma i-almonds encane eneglasi elincane lejusi elivuthiwe.
Okubalulekile
Ukuyeka ukubhema kuthinta ushukela wegazi, kodwa kuze kube yimanje, isayensi iye yabonisa ngokucacile ukulungiswa phakathi kokuyeka ukubhema nokunyuka kwe-ushukela wegazi.
Uma uthola izimpawu zokuhoxiswa kwe-nicotine ukuthi umsolwa uhlobene noshukela wegazi eliphansi, bheka ukuthi udla kanjani nsuku zonke, nokuthi ngabe isifiso sakho sithintekile yini ukuyeka ukusiza.
Ukulungisa ushukela wegazi ophansi, udle ukudla okuncane noma ukudla okulula okunye usuku lonke. Ukwengeza, qiniseka ukuthi uthola ukuzivocavoca okwanele nokuphumula ukuze ukhumbule ezinye izinkinga zokuxoshwa kwe-nicotine.
Yiba nesineke kuwe. Kuzothatha isikhashana ukuzwa ukujwayelekile futhi uma uyeka ukubhema, kodwa uzothola ibhalansi yakho futhi ekugcineni uzokuzwa kangcono kakhulu kunakho okwenze ngesikhathi ugwaya.
Imithombo:
European Society of Endocrinology. Imiphumela yokuqeda ukubhema komsebenzi we-B-Cell, ukuzwela kwe-insulini, isisindo somzimba, nesifiso. http://www.eje-online.org/content/170/2/219.full.
I-Johns Hopkins School of Medicine. Ukuyeka ukubhema kungase kukhulise ingozi yesifo sikashukela. http://archive.gazette.jhu.edu/2010/01/11/smoking-cessation-may-increase-diabetes-risk/.
Izikhungo zezempilo zikazwelonke. Inhlangano Phakathi Kokuqeda Ukubhema Nokulawulwa Kwama-Glycemic in Iziguli Eziphethe Uhlobo LweSifo Sikashukela: I-THIN Study Database Cohort. http://www.ncbi.nlm.nih.gov/pubmed/25935880.