Zakudya za odwala matenda ashuga mu amayi apakati - pafupifupi chakudya
Zakudya za matenda a shuga kwa amayi apakati ndi njira yoyamba yothandizira matendawa. Ndi akatswiri omwe amatembenukira kutero ngati mayi wapakati abwera ndi matenda a GDM. Insulin ndi njira yokhayo yomwe imagwiritsidwa ntchito pokhapokha ngati mayi sangathe kutsatira zakudya kapena ngati alibe phindu lalikulu.
Ndikofunika kukumbukira kuti kulephera kutsatira kadyedwe ndi matenda amtunduwu kumabweretsa zovuta zambiri. Ndikosavuta kuchotsa kapena kusinthitsa shuga muzakudya zanu kuposa kuyesetsa kuthana ndi zovuta zoyipa za GDM. Chifukwa chake, ngati chithandizo cha zakudya chidalamulidwa, ziyenera kuyang'aniridwa mosamala.
Zakudya za GDM sizosiyana ndi zomwe odwala matenda ashuga. Onse omwe ali ndi matenda ashuga komanso mitundu yayikulu yamatenda, cholinga chachikulu ndikupangitsa kuti shuga azikhala ndi shuga.
Chifukwa chiyani kupereka zakudya
Ndingadye chiyani ndi GDM
Chinthu chachikulu chomwe mayi aliyense woyembekezera yemwe ali ndi vuto lotere ayenera kudziwa kuti ndi zakudya zoyenera. Ngakhale kuti matendawa ndi oopsa, sizitanthauza kuti zinthu zokhala ndi shuga zomwe zimapangidwa ziyenera kuchotsedwa kwathunthu kuzakudya. Chachikulu ndichakuti pazikhala zovomerezeka. Zololedwa ndi zoletsedwa zimapezeka pagome lotsatirali.
Mtundu wazogulitsa | Zololedwa | Zoletsedwa |
Zophika mkate ndi ufa | Rye ndi chinangwa cha tirigu, mkate wa tirigu wa gawo lachiwiri, osati malonda olemera. | Zogulitsa zilizonse kuchokera puff ndi pastry. |
Nkhuku ndi nyama | Mwanawankhosa, nkhumba, ng'ombe (nyama iyenera kukhala yotsamira), kalulu, nkhuku, nkhuku. Zakudya za soseji ndi masoseji. | Goose kapena bakha, zakudya zamzitini, soseji zilizonse. |
Zakudya zam'nyanja | Nsomba iliyonse yamafuta ochepa. Cod chiwindi m'malo ochepa. | Nsomba zamafuta, zakudya zamzitini, caviar wakuda ndi wofiira. |
Zinthu zamkaka | Mkaka, mkaka, tchizi wopanda mafuta, tchizi. Kirimu wowawasa uyenera kutengedwa ndi mafuta ochepa ndikuchepetsa kuchuluka kwake. | Tchizi chamchere ndi mafuta, zinthu zotsekemera zamkaka, zonona. |
Mazira | Kufikira mazira awiri patsiku. | Chepetsa kugwiritsa ntchito yolks. |
Masamba | Mbatata, kaloti, beets ndi nandolo zobiriwira ndikuwerengedwa kwa chakudya chamagulu. Kabichi, zukini, tomato, nkhaka, biringanya, dzungu. | Msuzi uliwonse wosakhwima komanso wosakhwima, monga sauerkraut kapena zipatso. |
Zipatso ndi zipatso | Malalanje, ma tangerines, mango, maapulo, mphesa, makangaza, kiwi. Mwambiri, pafupifupi zipatso zonse zatsopano zotsekemera komanso zowawasa. | Mphesa, nthochi, madeti, nkhuyu, ma perimmon, chinanazi. Tsamba la mphesa lingagwiritsidwe ntchito kuphika. |
Zakumwa | Tiyi ndi khofi, chicory, mwatsopano masamba ofinya masamba, zipatso zouma zipatso wopanda shuga, msuzi wochokera kuthengo kuthengo. | Mowa, msuzi wokoma, sodas, mandimu ndi shuga wowonjezera. |
Mbale | Buckwheat, mapira, oat, barele. | Semolina, chimanga, pasitala iliyonse (iyenera kukhala yochepa). Mkuyu. |
Ziphuphu | Nkhuku, mphodza, nandolo, nyemba. Zoyala zilizonse zimayenera kudyedwa zochepa. |
Mndandanda wazinthu zololedwa ndizosiyanasiyana. Zakudya zamafuta ochulukirapo monga mbewu kapena mtedza siziyenera kuperekedwa kuchakudya. Komanso, musadye batala la nandolo. Chokoleti chakuda chimatha kudya pang'ono. Mwa maswiti, simungathe kudya ayisikilimu. Ndikofunika kupatula maswiti onse, kusinthana ndi zipatso ndi zipatso.
Zomwe simungadye ndi GDM
Gome pamwambapa likufotokoza zakudya zambiri zoletsedwa kudya. Chimodzi mwa zofunikira ndi kuletsa kugwiritsa ntchito zakumwa zoledzeretsa, zomwe zimavulaza mwana wosabadwa, ngakhale mayi atakhala kuti alibe vuto ndi GDM. Zikatere, mowa umakulanso matenda omwe amayambitsa.
Chenjezo
Ngakhale kumwa mowa wambiri chifukwa cha matenda ashuga kumatha kukulitsa kuphwanya kagayidwe kachakudya m'thupi. Kutsekemera kumafunikanso kuchotsedwa kwathunthu. Chocolate, maswiti, ayisikilimu ndi maswiti ena zimawonjezera kwambiri shuga. Ngati mukufunadi china chake chokoma, mutha kudya maswiti apadera ndi ma cookie a odwala matenda ashuga. Muli zakudya zopatsa thanzi.
Ndi zakudya ziti zomwe zimayenera kuchepetsedwa mu chakudya
Zina zomwe zimapangidwira matenda a shuga a gestational zitha kudyedwa, komabe, muyenera kuchepetsa kugwiritsa ntchito ndikuganizira mosamala magawo a mkate.
Izi zimaphatikizapo zotsatirazi.
- Zophika mkate ndi pasitala. Ngakhale kuti ambiri aiwo amaloledwa GDS, olemba ena amalimbikitsa kuti ziletso zizitsalira. Makamaka chidwi chake chikuyenera kulipira kwa ma dumplings, zikondamoyo, ma pie. Ndikwabwino osazigwiritsa ntchito konse, ndikusintha pasitala yapamwamba ndi Zakudyazi za mazira.
- Masamba. Chepetsani kudya kwa mbatata ndi beets, popeza ndiwowuma kwambiri, komanso kaloti.
- Zipatso. Zipatso zokoma ziyenera kukhala ndi chakudya chimodzi pa sabata. Muyeneranso kupewa kugwiritsidwa ntchito pafupipafupi kwa avocados ndi prunes.
- Zakumwa. Cocoa, zakumwa zomwe zimakhala ndi mkaka wa coconut ziyenera kukhala zochepa, koma ndi bwino kuti zisamwe, makamaka ngati pali kuchuluka kwa shuga m'magazi. Khofi ndi tiyi amaloledwa, koma muyenera kumwa popanda shuga kapena kugwiritsa ntchito zotsekemera.
Sushi ndi masikono, omwe atchuka kwambiri posachedwapa, ali ndi mapeyala, mpunga, komanso nsomba zamafuta. Chifukwa chake, ngakhale pali "kupepuka" kwamudyawu, kupezeka ndi matenda a GDM, ndibwino kungochisiya kapena kuigwiritsa ntchito kawirikawiri komanso pang'ono.
Simuyenera kuchita kuganiza kuti zinthu zomwe zili patsamba lino sizololedwa. Pali mitundu yambiri ya zakudya, kusankha komwe kumadalira mkhalidwe wa wodwala. Dokotala, akamalemba mndandanda wazitsanzo, samaganizira za matendawo, komanso kuopsa kwa vutolo.
Buku la GDM Lathanzi Labwino
Iyi ndi njira yabwino kuti mayi wamtsogolo aziyang'anira nthendayi mosamala. Nthawi zambiri, akatswiri amalimbikitsa kusunga zolemba ziwiri. Zambiri za glucometer zidzalowetsedwa mu imodzi. Izi ndizofunikira kuti adokotala azitha kuwunika kuchuluka kwa shuga mwatsatanetsatane maola angapo. Zonse muyenera kuziyeza nthawi 7 patsiku. Palibe diaries zapadera zofunika. Buku lolemba wamba lidzachita.
Zoyeserazi, monga momwe ziliri, kulibe; ndikwabwino kuti mupange tebulo momwe data ingalowe. Chachikulu ndikuti zimaphatikizapo magawo onse asanu ndi awiri (isanayambe komanso itatha chakudya chachikulu chilichonse, komanso musanayambe kugona).
Buku lazakudya ndizofotokozedwa mwatsatanetsatane pazomwe mayi wapakati adadya. Kuphatikiza apo, ndikofunikira kudziwa kuchuluka kwa zopatsa mphamvu zomwe amadya, komanso kuchuluka kwa mapuloteni, mafuta ndi chakudya chamafuta chilichonse. Zotsatira zake, zambiri zomwe zimapezeka m'mabuku onse awiriwa zimathandiza dokotala kuti azindikire kulondola kwa chithandizo chamankhwala, komanso momwe zimagwirira ntchito.
Tebulo 9 la matenda oyembekezera
Matebulo a zakudya monga Pevzner akhala akugwiritsidwa ntchito pochiza matenda ambiri kwanthawi yayitali. Kwa matenda omwe amayamba chifukwa cha kuchuluka kwa shuga m'magazi, kuphatikiza GDM, tikulimbikitsidwa kugwiritsa ntchito gome No. 9. Ndizoyenera kwa iwo omwe samalandira insulin, kapena amawalandira mumitundu yaying'ono.
Cholinga chachikulu chomwe chakudya chimatsata ndikusintha kagayidwe kazakudya m'thupi, ndikuchepetsa chiopsezo cha kusokonekera kwamafuta kagayidwe. Mfundo yayikulu yazakudya ndicho kuchuluka kwa mafuta a nyama komanso chakudya chamafuta m'zakudya. Kugwiritsa ntchito maswiti ndi shuga kumathetsiratu. Kugwiritsa ntchito mchere ndi cholesterol kumachepetsedwa. Kuphika makamaka ndi kuwiritsa kapena kuphika. Makomedwe otsekemera amaloledwa.
Zakudya za tsiku ndi tsiku
Zakudya zamafuta ocheperako, ngakhale zili zoletsa kwambiri kugwiritsa ntchito zakudya zina, zimakhala zosiyana siyana. Chakudya cham'mawa, mumatha kudya tchizi chamafuta ochepa ndi mkaka kapena phala, makamaka buckwheat. Tiyi ya chakudya cham'mawa ndizothekanso, koma osangowonjezera shuga.
Chakudya chamasana, ndikofunikira kuphika supu. Mwachitsanzo, msuzi wa kabichi yamasamba, nyama yophika. Muthanso kuphika saladi wamasamba. Pambuyo pake, muyenera kudya apulosi wobiriwira. Chakudya chamadzulo, kuphika nsomba yophika mu msuzi wa mkaka, ndikumwa kapu ya kefir musanayambe kugona. Kwa sabata ndizotheka kupanga menyu yosiyanasiyana yomwe ingakwaniritse njala ya gour iliyonse.
Pali matani a maphikidwe okoma.
Zosankha sabata
Zakudya zoyenera pafupifupi sabata lililonse za anthu odwala matenda ashuga zimatha kukhala zosiyanasiyana komanso zimadalira zomwe mayi wapakati amakonda.
Tsiku | Chakudya cham'mawa | Chakudya chamadzulo | Chakudya chamadzulo |
Lolemba | Oatmeal pamadzi. Tchizi chamafuta pang'ono. | Tomato ndi nkhaka saladi. Msuzi wa kabichi kuchokera kumasamba atsopano. Makina odulidwa. | Ng'ombe yophika ndi Buckwheat. |
Lachiwiri | Omele kuchokera ku mazira awiri. Brynza ndi mkate wa rye. | Borsch msuzi wotsamira. Valani masamba ndi masamba. | Lentil cutlets ndi mbale yotsekera zamasamba atsopano. |
Lachitatu | Phala la barele. Curd. | Saladi wachi Greek. Tsabola wokhazikika. | Nsomba yamafuta ochepa wokhala ndi mbale yamasamba. |
Lachinayi | Mapira phala. Mitundu yamafuta ochepera a tchizi. | Msuzi Wovuta wa Vermicelli. | Turkey ndi broccoli kapena kolifulawa. |
Lachisanu | Cheesecake ndi kirimu wowawasa pang'ono. | Biringanya ndi adyo. Buckwheat phala ndi nyama. | Vinaigrette wa masamba atsopano. Kudula nkhuku. |
Loweruka | Dzira lowiritsa. Mbatata zophika. | Zakudya za masamba ndi nyama. Coleslaw ndi saladi wa phwetekere. | Yophika ng'ombe mu mkaka msuzi. |
Lamlungu | Zodula kabichi. Rye mkate. | Buckwheat ndi zigamba zotentha. | Mpunga wocheperako ndi nyama iliyonse. |
Monga zakumwa, mutha kumwa khofi kapena tiyi wopanda shuga. Ngati kuli kovuta kumwa osakhuta, kugwiritsa ntchito zotsekemera kumaloledwa. Monga chakudya cham'mawa chachiwiri komanso chakudya chamadzulo, mutha kudya zipatso zatsopano ndikuloledwa zipatso.
Zakudya Arbat ku GDM
Kuwona
The endocrinologist Arbatskaya adapanga chakudya chake chomwe amalimbikitsa kuti azitsatira azimayi omwe ali ndi vuto la GDM. Pankhaniyi, glycemic index (GI), kuchuluka kwa mayamwidwe amthupi, kuyenera kuganiziridwa ngati maziko a zakudya zoyenera. Mokulira, index iyi, imathamanga kwambiri m'magazi. Chifukwa chake, ndikofunikira kupatula kukakamiza kwa chakudya komwe kumakhala ndi index ya glycemic yayikulu muzakudya za tsiku ndi tsiku.
Chifukwa chake, ndikofunikira kupatula zotsatirazi pazakudya.
- GI - 90-100%. Wokondedwa, sodas wokoma, ma flakes chimanga, mbatata zosenda.
- GI - 70-90%. Zopangira buledi, madeti, mphesa, mowa, chiopsezo, masikono, yoghurts.
- GI - 50-70%. Mabhanana, mkate wa rye, yogurt yamphepo yachilengedwe, zipatso zabwino kwambiri.
Chilichonse chomwe chimakhala ndi glycemic index pansipa 50% iyenera kuchuluka pazakudya za mayi wapakati.
Zakudya zochepa za carb
Malinga ndi kafukufuku, zikuwonetsa zotsatira zabwino mu chithandizo cha GDM. Komanso, monga momwe ziliri ndi chakudya cha Arbat, zakudya ziyenera kukhazikitsidwa ndi kuchuluka kwa glycemic index pazakudya.
Makina olinganiza tsiku limodzi, zakudya zamtunduwu, zitha kuwoneka motere.
- Chakudya cham'mawa. 250 g ya phala (ndikofunikira kupatula semolina ndi mpunga). Magawo angapo a tchizi okhala ndi mkate wa rye. Tiyi yakuda (musawonjezere shuga).
- Chakudya cham'mawa chachiwiri. Apulo.
- Masamba saladi 100 g. Borsch. Makina odulidwa.
- Chakudya chamadzulo. 100 g ya kanyumba tchizi. Tiyi kapena msuzi wa duwa lakuthengo.
- Chakudya chamadzulo Yophika kabichi ndi nyama yophika.
Malingaliro a Katswiri
Borovikova Olga
Pazakudya zambiri, zakudya zamagulu ochepa zimatha kusiyanasiyana, makamaka ngati mumaphunzira zakudya zomwe mungadye. Pazakudya zatsatanetsatane, ndibwino kufunsa thandizo la akatswiri azakudya zofunikira kapena endocrinologist.
Gome la Chaka Chatsopano ku GDM
Tchuthichi chimakhala chifukwa chowonjezera matenda ambiri. Kuphatikiza shuga. Kwa anthu athu, tchuthi ichi chimawonedwa kukhala choyera, ndipo zakudya patsikuli sizitsatira aliyense. Ndikofunikira kuti musangokhala ndi gome lokondwerera Chaka Chatsopano, komanso kuti zisavulaze mayi wapakati.
Ndizovuta kulingalira chaka chatsopano popanda ma tangerines. Chipatso ichi chimaloledwa kuti chidyedwe, ngakhale sichingadye kwambiri, zipatso 3-4 zokha ndi zomwe zimaloledwa tsiku limodzi. Komabe, chinthu chimodzi chapamwamba cha tebulo la Chaka Chatsopano chitha kusiyidwa.
Komanso, patebulo la chikondwerero, mutha kugwiritsa ntchito mbale zotsatirazi:
- azitona akuda
- nsomba yayikulu (yophika),
- masamba apamwamba a masamba lasagna
- masoseji azakudya ndi tchizi,
- saladi (achi Greek, ochokera ku Yerusalemu artichoke, okhala ndi nsomba zam'madzi, etc.),
- zotsekemera.
Mwambiri, menyu a Chaka Chatsopano akhoza kukhala ochuluka. Chinthu chachikulu chomwe muyenera kukumbukira ndikupatula mowa. Mayi woyembekezera wokhala ndi GDM amaletsedwa ngakhale kapu ya champagne. Ndikwabwino kusiya m'malo mwake ndikumwa zakumwa zina zabwino.
Simungathe kupambananso
Maphunziro oyambira
Ndikulimbikitsidwa kudya soups ndi GDM. Chimodzi mwazinthu zosangalatsa komanso zosavuta kukonza mbale ndi msuzi wamasamba wokhala ndi bowa.
Kuti mukonzekere, mufunika izi:
- opambana 150 g
- 2 squash sing'anga
- Karoti 1 wamkulu,
- Anyezi 1 wapakati,
- parsley ndi katsabola.
Choyamba muyenera kuwaza anyezi ndi bowa ndi mwachangu mumafuta a masamba pa kutentha kwapakatikati mpaka golide wa bulauni. Thirani masamba ndi madzi, mchere ndikuphika mpaka kuphika. Pogaya zosakaniza zonse zomwe zimapezeka mu blender ndikupitilira kuthira kwa mphindi 10-15. Mukatha kuphika, thirani mbale ndikuwonjezera zitsamba zatsopano.
Pali zosankha zambiri zamaphikidwe a saladi omwe amaloledwa kudya ndi GDM. Mwachitsanzo, "Greek" wodziwikayu amaloledwa ku matendawa. Koma shrimp ndi masamba saladi ndizosasangalatsa komanso zosangalatsa.
Kuti mukonzekere muyenera:
- shrimp 150 g
- kaloti 150 g
- tomato 150 g
- nkhaka 100 g
- masamba a letesi
- yogati yachilengedwe 100 ml.
Kuti mukonzekere saladi wokoma uyu, muyenera kudula masamba onse kukhala ma cubes, wiritsani shrimp ndi kuyisenda. Sakanizani zosakaniza zonse, mchere ndi kutsanulira yogati. Pansi pa mbale muyenera kuyikira masamba owerengeka kuti mukatumikire mokongola.
Zingwe
Kuphika ma dumplings omwe angagwiritsidwe ntchito ndi GDM ndikosavuta. Chachikulu ndikupanga mtanda molondola. Pa ufa, mumafunika ufa wa rye, dzira ndi mchere pang'ono. M'pofunika kusaka mtanda ndi madzi. Monga kudzazidwa kwa ma dumplings oterowo, mutha kugwiritsa ntchito nkhuku yowiritsa ndi kuwonjezera zamasamba monga Beijing kabichi kapena ginger, amatengedwa pang'ono.
Cottage Cheese Casserole
Pophika, simukufunikira zosakaniza zambiri.
Pankhani iyi muyenera:
- 500 g tchizi chochepa mafuta,
- koloko
- supuni yotsekemera
- Mazira 5.
Amenyani azungu mpaka chithovu chiwonekere ndikuwonjezera supuni yotsekemera kwa iwo. Ulks, iwonso, uyenera kuwonjezeredwa ku curd ndi kusakaniza bwino, osayiwala kuwonjezera supuni ya koloko. Phatikizani ma misa onse ndikuyika mu uvuni, otentha mpaka madigiri a 180, kwa mphindi 30. Pambuyo pa nthawi ino, chotsani casserole ndikumatumikira.
Chalangizidwa kwa wodwala aliyense yemwe ali ndi GDM pa chakudya cham'mawa. Chimodzi mwosangalatsa kwambiri ndi phala la buckwheat ndi bowa.
Kuti mukonzekere phala ya "smolensk", mudzafunika zotsatirazi:
- 2 makapu buckwheat
- 1 kapu imodzi yamadzi
- 150 g wa bowa
- anyezi wamkulu
- mafuta a masamba
- mchere.
Bowa watsopano wa porcini amafunika kusenda ndi kudula bwino, kenako ndikuwuphika m'madzi amchere. Zitatha izi, chotsani pamadziwo, ndikuthira msuziwo chifukwa cha msuzi ndikuwuphika mpaka wachifundo. Chekani anyezi ndi mwachangu mu mafuta mpaka golide wagolide, kenako onjezani bowa ndipo mwachangu kwa mphindi zochepa. Mukatha kukonzekera, yikani bowa ndi anyezi kwa iye.
Zoyenera kuphika ku chickpea
Nandolo zakum'mawa - nthumwi ya ma legamu. Palibe mbale zilizonse zomwe anapiye opangira.Akatswiri amalimbikitsa kuti aziwonjezera mu sopo kapena masamba a masamba. Kuti mumve kukoma kwabwino kwambiri ndikusunga michere yonse, ndibwino kuti muziwiritsa anapiye kwa maola 8 m'madzi ozizira musanayambe kutentha.
Zophika Pang'onopang'ono
Kubwereza Katswiri
Borovikova Olga
Ndi GDM, imaloledwanso kudya mbale zomwe zimakonzedwa motere. Ndimalola kukonzedwa kwa mbale zilizonse zololedwa. Chofunikira kwambiri ndikugwiritsa ntchito boma loyenera kuphika. Ndiwophweka kuphika pophika tchizi pang'onopang'ono tchizi, chomwe chawonetsedwa pamwambapa. Mukamaphika, sankhani yophika.
Ndemanga za akazi
Ndili ndi zaka 32. Pazaka zanga zomaliza, anandipeza ndi matenda osokoneza bongo. Zotsatira zake, adotolo adati atsatire zakudya. Koma kwa ine zinali zovuta kwambiri, chifukwa ndimakonda kudya zakudya zokoma. Ndinakwanitsa kupeza maphikidwe ambiri a odwala omwe ali ndi matenda ashuga, motero tsiku lililonse ndimatha kudya chakudya chokoma. Mimba imodzimodziyo idadutsa popanda zovuta. Sindinamwe mankhwala aliwonse. Pamafunika mudye.
M'mimba yanga yoyamba, ndinapeza kuchuluka kwa shuga m'magazi. Adotolo adati chinali GDS. Adandifotokozera kuti chinali chiyani, adandipatsa zakudya. Ine kwenikweni sindinakhale pamenepo, ndinaphwanya nthawi zambiri. Zotsatira zake, adagonekedwa m'chipatala chifukwa cha kuwonjezeka kwa shuga. Adayamba kubaya insulin. Pa mimba yachiwiri, sanayambenso kunyalanyaza malangizo a katswiri ndikusunga zakudya nthawi zonse. Chilichonse chinkapita popanda zovuta.
Petrukhin V.A., Burumkulova F.F., Titova T.V., Golovchenko M.A., Kotov Yu.B. (2012). "Kufalikira kwa matenda ashuga okalamba ku Moscow: zotsatira zake." "Bulletin yaku Russia ya Obstetrician-Oncologist - No. 4".
Kulakova V.I. (2006). "Obstetrics and Gynecology (Zithandizo Zamankhwala). M: GEOTAR-Media.
Dedov I.I., Shestakova M.V. (2013). "Ma algorithms azithandizo zapadera zamankhwala kwa odwala omwe ali ndi matenda osokoneza bongo (6th edition)."
Medvedeva M.V. (2006). "Akupanga fetometry (ma meza ndi ma piogram)." M: "Nthawi Yeniyeni".
Za wolemba: Borovikova Olga
gynecologist, dokotala wa ultrasound, geneticist
Anamaliza maphunziro ake ku Kuban State Medical University, komwe amaphunzira digirii ku genetics.
Limagwirira kukula kwa gestational shuga
Pakati pa trimester yachiwiri, placenta imachulukitsa kupanga mahomoni omwe amalepheretsa insulin. Poyankha, kapamba amayamba kuzipanga zazikulu.
Zakudya zopatsa mphamvu zochulukirapo, moyo wongokhala, kunenepa kwambiri kwa mayi wam'tsogolo kumakulitsa chikhalidwe cha insulin. Hyperglycemia (kuchuluka kolimba kwa glucose) kumayamba mthupi. Kuti muchepetse shuga kukhala mulingo wovomerezeka, muyenera kudya ndi / kapena kukonza.
Kodi chiwopsezo cha matenda ashuga mwa amayi apakati ndi chiani?
Matenda amisala siziwopseza mayi woyembekezera. Zimakhala chifukwa cha chitukuko cha ma pathologies m'thupi lonse. Zotsatira za GDM:
- diabetesic fetopathy (kulephera kwa mahomoni),
- kuphwanya magazi mu minofu,
- preeclampsia (mochedwa toxicosis),
- preeclampsia (edema),
- mavuto a impso
- matenda a kwamkodzo thirakiti
- polyhydramnios
- kufunika kwa gawo la caesarean,
- kuchotsa pamimba,
- kukula kwa mtundu wa 2 matenda ashuga pambuyo pobadwa,
- kunenepa.
Matendawa ndi oopsa kwambiri kwa mwana wosabadwa. Zotsatira za matenda okhudzana ndi shuga kwa mwana zimatha kukhala izi:
- kukula kwambiri kwa adipose minofu (macrosomia),
- kusokonezeka kwa ziwalo zamkati,
- asphyxia,
- kuopsa kwa matenda ashuga a 2 mwa akhanda,
- hypoxia
- intrauterine imfa ya mwana.
Kufunika kwa zakudya mankhwalawa kwa amayi apakati
Ndi shuga ochepa, zakudya zoyenera zimathetsa vuto la kuwonongeka kwa thanzi, kunenepa kwambiri, kukulira kwa ma pathologies a mantha a mayi ndi mwana.
Kuphwanya mankhwala kumapangitsa kuti pakhale kufunika kwa mankhwala osokoneza bongo (jakisoni wa insulin) kuwonjezera pa chakudya chokhwima.
Zakudya za amayi apakati omwe ali ndi vuto la shuga
Mankhwala a mayi woyembekezera ayenera kupereka zokwanira zopatsa mphamvu zokwanira ndi zinthu zonse zofunika kuti apangidwe mwana wosabadwayo.
Mayi yemwe ali ndi vuto la shuga ayenera kutsatira malamulo awa:
- Idyani pang'ono, katatu pakadali kakang'ono, kuphatikiza 2-3 pakati pawo.
- Imwani madzi okwanira tsiku lililonse (kuchokera ku malita 1.5).
- Musasiyiretu nyama yokazinga ndi mafuta omwe amakhala ndi chakudya chamagulu ambiri.
- Chotsani m'zakudya zochuluka zomwe zimachedwa kuyamwa kwa shuga.
- Chepetsani mafuta ndi zakudya zosavuta m'zakudya, sinthani ku menyu okhala ndi mapuloteni komanso michere yambiri.
Zakudya zoletsedwa ndi shuga wowonjezereka panthawi ya gestation
Zakudya zoyenera kwa odwala matendawa azimayi apakati zimatanthawuza kupatula zinthu monga:
- chinsinsi cha mitundu yonse,
- mkaka wamafuta ambiri ndi mkaka wowawasa,
- timadziti, zakumwa zoziziritsa kukhosi zokhala ndi shuga,
- zipatso zabwino (zatsopano, zamzitini, zouma),
- Zakudya zamzitini ndi nyama zofufuta,
- semolina, mpunga woyera.
Zomwe mungathe kudya popanda zoletsa
Kumverera kwodzaza masana kumatha kusungidwa, kuphatikiza pazakudya za tsiku ndi tsiku zotere:
- buledi wakuda
- kuvala msuzi malinga ndi msuzi wa nkhuku kapena masamba,
- masamba osapatsa bwino chakudya (kabichi yoyera, broccoli, kolifulawa, Brussels zikumera, saladi zamitundu yonse, dzungu, zukini, biringanya, nkhaka),
- nyemba
- bowa
- chimanga
- nkhuku, nsomba ndi nyama, yophika kapena yosenda,
- mbale kuchokera ku mazira owiritsa kapena otentha,
- mkaka wopanda mafuta ndi mkaka,
- Zipatso zopanda zipatso ndi zipatso.
Zakudya zomanga thupi
Zakudya za GDM mwa amayi apakati zimapereka kuti pafupifupi gawo limodzi mwa magawo atatu a chakudya chakumwa tsiku lililonse chomwe chimapangidwa ndi zakudya zama protein. Amaphatikizidwa mumenyu osachepera 2 pa tsiku. Yophika tchizi wonenepa wokhala ndi mafuta ochepa komanso kefir, yogurt yopanda mafuta popanda zoteteza, mkaka. Zina zomwe zimapatsa mapuloteni athanzi ndi nyama yophika kapena yophika (ng'ombe, nyama yamphongo, nkhuku). Kuphatikiza mitundu yosiyanasiyana menyu kumathandiza nsomba zam'nyanja ndi mitsinje, nsomba zam'madzi, mazira, zitsamba zatsopano. Zosankha zamasiku:
- Chakudya cham'mawa: oatmeal, mkate wakuda ndi sangweji ya batala, tiyi wopanda mafuta.
- Chakudya cham'mawa chachiwiri: tchizi chofufumitsa ndi magawo apulosi, msuzi wamasamba.
- Chakudya chamasana: msuzi wa nkhuku wokhala ndi maluwa a rye, phala la buckwheat, zodulira zansomba.
- Zovuta: tchizi wopanda mafuta ndi lalanje.
- Chakudya chamadzulo: kabichi wodyetsa, Turkey wophika, msuzi wazitsamba.
- Usiku: yogurt yachilengedwe ndi mkate wa rye.
Njira yazakudya zopatsa mphamvu
Zoposa theka la zakudya zomwe mayi woyembekezera amatenga tsiku lililonse zomwe zimamatira mthupi la zakudya zophatikiza ndi zakudya zimafunikanso monga chimanga, nyemba ndi phala, phala lochokera ku tirigu wa durum.
Chitsanzo cha zakudya za tsiku ndi tsiku zopatsa mphamvu:
- Chakudya cham'mawa: phala lalikulu lambiri pamadzi, tiyi wopanda mafuta.
- Chakudya chamadzulo: saladi wamasamba, mkate wopanda bulauni.
- Chakudya chamasana: soseji yophika ndi mafuta a azitona, msuzi wamasamba wokometsedwa ndi mpunga wa bulauni, nyama yamchere yamchere.
- Zosadya: zopangira, saladi wa sipinachi.
- Chakudya chamadzulo: mbatata zosenda popanda batala, nandolo zobiriwira, decoction yamasamba.
- Usiku: yogati, mkate wa rye.
Kufunika kwa chakudya
Zopatsa mphamvu za zakudya za tsiku ndi tsiku zimatengera kutalika ndi thupi la mzimayi musanakhale ndi pakati. Zogulitsa ziyenera kusankhidwa kuti thupi la mzimayi lisachepe. Uku ndikusiyana pakati pa matenda amisala ya gestational and Type 2.
Chowonadi ndi chakuti amayi apakati amakhala ndi "ketosis yanjala." Zakudya zomanga thupi ndi gwero lalikulu lamphamvu, koma ngati mulibe, thupi limayamba kugwiritsa ntchito mafuta ngati "mafuta". Izi sizoyipa, koma osati panthawi yomwe muli ndi pakati. Chodabwitsa ndichakuti mphamvu zambiri zopezeka zimafunikira kuti mwana akule ndikukula, ndipo kugwiritsa ntchito mafuta achilengedwe kumapangitsa kuchuluka kwa zopangidwa ndi ma ketones (ma ketones), zoopsa kwa mayi ndi mwana.
Ndiye chifukwa chake, ngati ma ketoni akapezeka mumkodzo kapena magazi a mayi wapakati (ndipo shuga ya magazi siwambiri), ndiye kuti mkaziyo ayenera kudyetsedwa kwambiri, osadyetsa zakudya zowonjezera.
Chiwerengero cha zopatsa mphamvu patsiku chimawerengeredwa potengera mtundu wake wama index (BMI = kulemera kwa thupi (mu kg) / (kutalika * kutalika) (m'mamita)
Gome - Mphamvu ya chakudya chama amayi apakati omwe ali ndi matenda osokoneza bongo
Mtengo wa chakudya wolingalira uzikhala 1800-2400 kcal patsiku.
Mutha kuwerengera motere:
Kusala kudya panthawi yoyembekezera ndi koletsedwa!
Mphamvu yamphamvu
Apanso, china cha matenda ashuga ndi chodabwitsa "chanjala". Mwazi wamagazi umadutsa mwaulere kupita kwa mwana, chifukwa chake amayi amakhala ndi njala.
Kumbali imodzi, shuga ochulukirapo amachititsa kuti mwana akhale wamkulu (ichi ndi kusiyana pakati pa matenda ashuga - mwana ndi wamkulu, koma thupi lake ndi lolakwika). Komabe, pofuna kupewa kukomoka ndi njala, ndikofunikira kukhalabe ndi shuga lokwanira.
Chifukwa chake, masana muyenera kukhala ndi kadzutsa, nkhomaliro, chakudya chamadzulo ndi zitatu. Mutha kugawa zakudya izi. Ndiye kuti, mayi amasankha kuchuluka ndi zomwe adzadya patsiku, kenako ndikugawa zonsezo mpaka 6-16 pa tsiku.
Chakudya cham'mawa chimayenera kukhala choyambirira. Zing'ono, koma zofunika. Izi zikugwira ntchito kwa amayi onse apakati, ndipo ndimatenda a shuga, ndiye chakudya choyamba chomwe chimatsogolera shuga tsiku lonse.
Makhalidwe oyendetsera zinthu
Mpaka pano, kuphatikiza kotsatira mu zakudya za amayi apakati omwe ali ndi matenda ashuga kumadziwika kwambiri.
Gome - Zakudya zopatsa thanzi zopatsa shuga kwa amayi apakati
Popeza ichi ndi matenda ashuga, chakudya chamagulu chimakhala chofunikira kwambiri. Mukamasankha malonda enieni, ndikofunikira kulingalira mtundu wawo wa glycemic - kuchuluka kwa kuchuluka kwa shuga m'magazi. Chizindikiro ichi chatsimikiziridwa kale mwamphamvu ku mbale zambiri.
Kutsikira kwa glycemic index, kumachepetsa shuga m'magazi. Ndikwabwino kuti muzikonda zinthu zomwe zili ndi zotsika komanso zapakatikati za paramuyi.
Gome limawonetsera zomwe zikugulitsidwa kwambiri.
Gome - Glycemic indices a zakudya zina
Zakudya zopatsa thanzi kwa amayi apakati omwe ali ndi vuto la matenda ashuga ayenera kukhala osiyanasiyana. Simungathe kudya “phala” lomwelo tsiku lililonse.
Mukasinthira zophatikiza zama carbohydrate, mfundo yofananayo imagwiritsidwa ntchito: kugawa magulu osiyanasiyana azakumwa, kenako ndikutsatiridwa ndi gulu.
Gome - Kufanana kwa zinthu zosinthidwa
Kuphatikiza mitundu yosiyanasiyana ya zinthu mumbale imodzi kumachepetsa kuwonjezeka kwa shuga wamagazi.
Mavitamini, zinthu zazing'ono ndi zazikulu
Pali umboni kuti pobadwa ndi matenda ashuga, kufunikira kwa mavitamini ndi michere yambiri ndikofunikira kuposa kwa amayi apakati "wamba". Mulimonsemo, kukhazikitsidwa kwa mankhwala enaake kuyenera kuvomerezedwa ndi adokotala. Ayi sichoncho:
- mugule mineral ndi mavitamini ma protein aanthu omwe ali ndi matenda ashuga (atha kukhala ndi kuchuluka kwa mavitamini A osungunuka A, omwe ali oopsa kwa mwana wosabadwayo),
- yesani kukwaniritsa zosowa ndi chakudya (mwachitsanzo, ayodini amatengedwa bwino kwambiri monga momwe dokotala wakunenera, osati walnuts, omwe atha kukhala "owonjezera" a shuga.
Vitamini D amakhala m'malo osiyana ndi ena. Mankhwala am'nyumba, amauzidwa ana kuti azitha kupewa komanso kuchiza ma ricores. Komabe, zabwino zake pa matenda ashuga, kuphatikiza gestational, zatsimikiziridwa kale.
Amadziwika kuti kudya zowonjezera za vitamini D kumachepetsa mwayi wa matenda osokoneza bongo kwa ana, kumawathandiza kukulira m'maganizo.
Ngakhale malangizo a mankhwalawa akuwonetsa kuti mlingo wake wa prophylactic sufunikira mayeso a labotale, ndikofunikira nthawi zonse kudziwa zomwe zili ndi vitamini D m'magazi ndikuwonana ndi dokotala.
Katundu Woletsedwa
Pankhani ya matenda ashuga, shuga analogues - zotsekemera (fructose, sorbitol, xylitol), zotsekemera (aspartame) - sizikulimbikitsidwa kuti zizigwiritsidwa ntchito panthawi yomwe ali ndi pakati, popeza nkhani yachitetezo cha kugwiritsa ntchito kwawo sichinathebe.
Matenda a shuga amayambitsa mawu owonjezera pokana mowa - kuwonjezera pa kuvulaza kwa mwana wosabadwayo, ethanol mwa amayi apakati angayambitse kuchepa kwambiri kwa shuga m'magazi (hypoglycemia) mpaka kutaya chikumbumtima.
Kuyesedwa kwa "kulondola" kwa zakudya
Kodi mungamvetse bwanji kuti zakudya zili ngati izi ndipo zonse zimachitika molondola? Kuyeserera koteroko ndi kuwonjezeka koyenera kwa kulemera kwa thupi.
Koyamba kulemera kwa thupi | Kulemera, makilo |
---|---|
Otsika | mpaka 18 |
Zabwinobwino | 10–12 |
Kunenepa kwambiri | 7–8 |
Kulemera kwambiri kumawerengedwa kuti ndi woposa 1 kg pamwezi mu trimester yoyamba ndi 2 kg yachiwiri ndi yachitatu. Kupeza kwachilendo kwa sabata loyamba la trimester ndi 80-00 g, kwachiwiri ndi kwachitatu - 300-460 g.
Chifukwa chake, kuchokera pazomwe tafotokozazi, mutha kupanga mndandanda wazowonetsa.
Tebulo - Menyu ya matenda oyembekezera
Popeza iyi ndi njira yothandizira matenda a shuga, ndikofunikira kudziwa kuti kuchita masewera olimbitsa thupi ndi gawo lofunikira. Amathandizira kukonza insulin sensitivity komanso kusintha glycemia.
Zochita zolimbitsa thupi ziyenera kuchitika (ma mphindi 150 oyenda mwachangu pa sabata, kusambira, masewera olimbitsa thupi) komanso payekha, poganizira zolimbitsa thupi za mkazi asanamenye. Ndikofunikira kupatula kupsinjika kwamphamvu pamimba pamimba.
Kukonzanso zakudya monga chokhacho chothandizira kapena kuphatikiza zolimbitsa thupi, pakakhala matenda a glycemia, sikugwiranso ntchito kuposa milungu iwiri.
Mankhwala obisika a hypoglycemic pa nthawi yomwe ali ndi pakati ndi oletsedwa.
Ngati phindu la shuga la magazi simukufikiridwa mu masabata awiri, mankhwala a insulin ndi omwe amapatsidwa. Popereka mankhwala a insulin, wodwalayo amatsogozedwa ndi endocrinologist.
Amayi omwe adakhala ndi matenda osokoneza bongo omwe ali ndi chiwopsezo chokhala pachiwopsezo chotenga matenda amitundu iwiri mtsogolomo, zomwe zimafunikira kuti azitsatira malangizowo pakasintha moyo wawo mtsogolo.
Kuzindikira koyambirira kwa vuto la carbohydrate metabolism mwa mayi woyembekezera ndikuwunika izi kumapangitsa kuti athe kuchepetsa zoopsa zomwe zimakhudzana ndi chikoka chaching'ono cha hyperglycemia pakupangika kwa mwana wosabadwayo, thanzi la wakhanda ndi mkazi yemwe.
Ndikofunikira kupereka malingaliro a moyo wathanzi mtsogolomo, chifukwa chowonjezera chiopsezo chokhala ndi matenda a shuga, ndikukonzekera kutenga mtsogolo.
Thanzi: zomwe zingachitike ndi zomwe sizingachitike panthawi yapakati
Zachidziwikire kuti, ngati muli ndi vuto lotere, muyenera kusiya zinthu zina ndikudziletsa. Izi ndizothandiza osati kwa mayi woyembekezera, komanso kwa mwana wosabadwayo, yemwe amatha kudwala matenda oopsa a m'matumbo: matendawa angayambitse kusokonezeka kwawoko, kuwonjezeka kwa kukula kwa mwana wosabadwayo, komanso kuchedwa pakupanga dongosolo lamanjenje ndi mafupa.
Madokotala amalimbikitsa kutsatira malamulo apadera a kakhalidwe:
- Muyenera kuyesa kudya nthawi yomweyo.
- Zakudya zachangu sizingathe.
- Tsiku lililonse muyenera kumwa 1.5-2 malita a madzi (magalasi 8).
- Zakudya za calorie ziyenera kukhala pa 30-30 kcal pa 1 kg ya kulemera kwa tsiku.
- Onetsetsani kuti mwaphatikizanso masamba asanu omwe ali osapsa ndi zipatso muzakudya.
- Ndikofunikira kuti muchepetse shuga. Kuti muchite izi, ziyenera kuyesedwa ola limodzi mukatha kudya.
- Zakudya zamafuta pang'ono ziyenera kutayidwa kwathunthu kapena kuchepetsedwa kwake. Tikulankhula za mbatata, maswiti ndi zinthu zopangidwa ndi ufa.
- Kuchuluka kwa BJU kuyenera kugawidwa motere: 40% - zovuta zamankhwala, osaposa 30% - mafuta athanzi, 30-60% - mapuloteni.
- Mfundo za chakudya chamagulu. Chiwerengero cha chakudya ndi 5-6, pomwe chakudya cham'mawa chokwanira, nkhomaliro ndi chakudya chamadzulo zimawonjezeredwa ndikuwonjezera mitundu iwiri - chakudya cham'mawa chachiwiri ndi chakudya chamadzulo kapena chakudya chamadzulo. Zigawo ziyenera kukhala zazing'ono.
Zazomwe zimaletsedwa, zimaphatikizapo confectionery, makeke, okazinga ndi mafuta.
Ndikwabwino kuchotsa nyama yokhala ndi mafuta "obisika" (soseji, soseji, soseji), komanso nyama yankhumba, nkhumba, mwanawankhosa ndi nyama yosuta.
Makonda ayenera kuperekedwa kwa nkhuku, ng'ombe, nkhuku ndi nsomba. Kuphatikiza apo, mukaphika, muyenera kuchotsa zinthu zamafuta (mafuta anyama, khungu la nkhuku) ndikusankha njira "zopangira zakudya" kuphika - kuwira, kutsitsa, kuphika ndi kuwotcha.
Mayonesi ndi kirimu wowawasa, batala ndi margarine, mtedza ndi mbewu, soseji ndi tchizi tchizi, timadziti ndi koloko wokoma, mowa, zakudya, semolina zimawonjezedwanso pamndandanda wa mafuta oletsedwa. Zinthu zomwe zili ndi chakudya chamafuta chamagetsi ziyeneranso kuthandizidwa mosamala: ndibwino kupatula nthochi, ma Persimm, mphesa, yamatcheri ndi nkhuyu.
Zoyala ndi makeke amchere pamimba yopanda kanthu zidzakhala zopindulitsa ngati nseru ikudandaula m'mawa. Zidutswa zochepa zimatha kudyedwa osagona mwachindunji. Koma ngati nseru nthawi zambiri imavutika, ndibwino kupita ku dokotala. Ndi gestational shuga mellitus mwa amayi apakati, ndikofunikira kudya 20-35 g ya fiber patsiku, ndipo imapezeka makamaka monga chimanga, mpunga, pasitala, masamba ndi zipatso, buledi wonse wa tirigu.
“Zoyera” zizikhala ndi nkhaka, phwetekere, udzu winawake ndi kabichi, zukini ndi zukini, masamba ndi masamba, nyemba zobiriwira, bowa, ndi zipatso zouma.
Zakudya Pazakudya 9
Chofunikira chake ndichakuti muchepetse chakudya chamafuta ambiri ndi zopatsa mphamvu zonse za kalori.
Mndandanda wazinthu zothandiza koma osati zabwino ungathe kusankhidwa kutengera tebulo la glycemic index (kuchuluka kwa chakudya cha carbohydrate). Kutsitsa mtengo, kumathandizanso kwambiri pamalowo.
Odwala matenda ashuga ayenera kudzaza zakudya muzakudya zonse zofunika, muzidya zakudya za ascorbic acid ndi mavitamini a B (rose m'chiuno, chinangwa). Onetsetsani kuti muphatikiza amadyera, zipatso zatsopano, zipatso ndi ndiwo zamasamba, tchizi chanyumba, oatmeal, nsomba zamafuta ochepa, tchizi menyu. Ndikwabwino kugwiritsa ntchito mafuta a azitona ngati chovala cha saladi.