Kodi ndingathe kumwa mkaka wokhala ndi matenda osokoneza bongo?

Kefir ya matenda ashuga imatha kubweretsa zabwino komanso zovulaza. Ndi phindu lake pakukumba, zimatha kusokoneza kapamba. Chifukwa chake, imatha kuledzera, koma malinga ndi zoletsa. Za momwe izi zimapwetekera, zomwe sizingaphatikizidwe, kaya kefir ndizothandiza kwa odwala matenda ashuga asanagone, werengani zambiri m'nkhaniyi.

Werengani nkhaniyi

Kodi ndingathe kumwa kefir chifukwa cha matenda ashuga?

Kefir, monga zinthu zina zamkaka, ali ndi mapindu osakayika. Zimathandizira kugaya ndi kubwezeretsa microflora yamatumbo. Kuchuluka kwa chakudya chamafuta, mafuta ndi mapuloteni ena mthupi kumadalira kuchuluka kwa chakudya. Kugwira ntchito bwino kwa matumbo kumatsimikizira kuchotsedwa kwa panthawi kwa zinthu za metabolic, komanso glucose owonjezera. Malinga ndi zizindikirazi, kefir ndi imodzi mwazomwe zimapangidwira ndikutsatsa komanso prophylactic pazakudya.

Kuti muwone ngati kefir ndiyotheka kwa wodwala yemwe ali ndi matenda ashuga, muyenera kuyisanthula ndi magawo angapo:

  • kuthekera kowonjezera msanga wamagazi (glycemia index) - wofanana ndi 15,
  • zonse zamankhwala ophatikiza (pamenepa, shuga mkaka) ndi 2-3 g pa 100 g,
  • kuchuluka kwa mikate - 200 ml yofanana ndi 1 XE,
  • zopatsa mphamvu za calorie 37-59 kutengera ndi mafuta.

Mwa zonse, kefir amaloledwa kudya odwala matenda ashuga. Monga momwe zidaphunziridwira mozama momwe zinthuzi zimapangidwira, zimakhala ndizofunikira - iyi ndiyankho la insulin, kapena index ya insulin. Kwa zakumwa za mkaka wowawasa, zimafananizidwa ndi ufa, mosakayika malonda oletsedwa. Izi zikutanthauza kuti mutatha kudya kefir, kukondoweza kwakukulu kosayenera kumachitika.

Ndi matenda amtundu wa 1, izi zimayambitsa kufulumira kwamphamvu mphamvu yake yosungirako, yomwe ili yaying'ono kale. Ndi matenda a mtundu 2, mumakhala magazi okwanira (kapena kuposa pamenepo) m'magazi. Kwambiri mulingo wake, kulimba kwa kukana kwa maselo pakuchita zake - kukana insulini. Insulin yochulukirapo imakhudzanso kukhathamiritsa kwamafuta, kumachulukitsa kuchuluka kwa mafuta m'thupi.

Ndipo pali zambiri za zakudya za matenda ashuga.

Ubwino ndi kuvulaza kwa gestational

Ubwino wa kefir kwa amayi apakati ndi monga:

  • kukakamira kwathunthu (katatu kuposa mkaka),
  • kuchuluka kwa calcium, phosphorous ndi zina zomwe zimafunikira pakukula kwa fetal ndikusungidwa kwa mafupa a mayi woyembekezera,
  • Zamkati wa mabakiteriya okhala ndi lactic acid omwe amaletsa njira yakuwunda ndi kuvunda m'matumbo,
  • kefir imaposa zakumwa zina zonse za mkaka, monga ilinso ndi mowa (yisiti) nayonso mphamvu, yomwe imawonjezera phindu la vitamini,
  • Ili ndi antibacterial and anti-yotupa, anti-allergic effect,
  • sinthana matumbo locomotor ntchito,
  • ndi gwero la ma enzymes, mapuloteni, ma amino acid ndi ma organic acid,
  • chifukwa cha tryptophan ndi magnesium imachepetsa mphamvu yamanjenje, kumasuka,
  • kuteteza DNA kuti isawonongeke,
  • kumalimbikitsa chitetezo cha mthupi.

Chimodzi mwazinthu zofunikira ndi antitumor ndi radioprotective (radiation protection), komanso kuthekera kopirira kuwonongeka kwa zimakhala ndi ma free radicals. Mapangidwe awo amalimbikitsidwa mu shuga chifukwa cha kusintha kwa kagayidwe kachakudya.

Komabe, ndi matenda ashuga omwenso amamwa, mkaka wokhala ndi mkaka wopanda kanthu umaphatikizanso:

  • gastritis yokhala ndi acidity yayikulu, Reflux ya chapamimba m'madzi mu esophagus (matenda a Reflux),
  • kusalolera kwa lactose (shuga mkaka), ndipo kefir ya tsiku limodzi ndi yovulaza, kenako lactose imakonzedwa ndi mabakiteriya.
  • zilonda zam'mimba mu gawo la chikhululukiro chosakhazikika (pali zowawa mukatha kudya, muli ndi njala),
  • aakulu kapamba
  • zilonda zam'mimba,
  • Enteritis mu pachimake siteji.

Ndingathe kumwa usiku kwa wodwala

Mapindu a zakumwa atha kupezeka pokhapokha zoletsa zonse pakugwiritsidwa ntchito zimaganiziridwa. Kuletsedwa kuvomereza usiku ndi chimodzi mwazofunikira. Izi zikuchitika chifukwa chofanana ndi insulin index. Palibe chakudya chomwe chimaperekedwa usiku, ndipo odwala omwe ali ndi mankhwala a insulin nthawi zambiri amapereka mankhwala kwa nthawi yayitali asanagone.

Pankhaniyi, kugwiritsidwa ntchito kokhazikika kwa kefir, yogati, yogati kungayambitse vuto la hypoglycemia. Nthawi yomweyo, wodwalayo samamudziwa nthawi zonse. Pamagona, dontho la shuga limatha kudziwoneka thukuta, kulota maliro, njala, kugona mosagonja ndi kudzutsidwa pafupipafupi, kulira.

Zomwe mungaphatikizire kefir ndi shuga

Zomwe kefir zimatha kupitilizidwa ndikuphatikiza ndi zina zowonjezera. Si onse omwe adzapindule ndi odwala matenda ashuga.

Kuchepetsa thupi, kuphatikiza kwa buckwheat ndi kefir kumagwiritsidwa ntchito. Nthawi yomweyo, kwa tsiku malinga ndi izi Chinsinsi, muyenera kumwa kapu ya buckwheat ndi lita imodzi ya mkaka wowawasa wowawasa. M'magawo oterowo, thupi lidzalandira chakudya chochuluka mopanda tanthauzo, kumasulidwa kosafunikira kwa insulin kudzalimbikitsidwa.

Popeza kunenepa kwambiri kumadziwika ndi odwala omwe ali ndi matenda amtundu wa 2, izi zimapangitsa kuti thupi lizikula kwambiri. Kuphatikiza apo, kapamba amakumana ndi kuchuluka kowonjezereka, komwe kumabweretsa kufalikira kwa kapamba. Odwala omwe ali ndi matenda am'mimba dongosolo, osakaniza awa nthawi zambiri amakwiya.

Chifukwa chake, buckwheat ndi kefir ya matenda a shuga sikulimbikitsidwa patsiku losala.

Spice iyi imatha kuchepetsa shuga m'magazi mwakuwonjezera chidwi cha insulini. Nthawi yomweyo, imathandizira njira zama metabolic, zimapangitsa kuti cholesterol ikhale bwino, imayenda bwino m'magazi ndikuwonjezera patency yamitsempha. Zomwe zimalepheretsa kugwiritsidwa ntchito kwake ndi kusalolera kwa aliyense.

Ndi zomwe zimachitika, tikulimbikitsidwa kuwonjezera supuni 1/5 ku yogati. Ndiye kuchuluka kwake kumatha kuwonjezeka pang'ono. Pambuyo pakuvomerezedwa miyezi iwiri, muyenera kupumula kwa masiku 10.

Onani kanema wonena za njira yogwiritsira ntchito yogati ndi sinamoni:

Ndi turmeric

Kukhalapo kwa turmeric kumapereka kukoma kwa chisumbu ku kefir ndi mtundu wachikaso. Ili ndi katundu wofanana ndi sinamoni, komanso imayenda bwino palimodzi.

Muyenera kuyamba kumwa ndi theka la supuni ya tiyi pa chikho chilichonse cha zakumwa, ndi kulolera bwino, pang'onopang'ono kuchuluka kwa zonunkhira kungabweretsedwe supuni ya khofi popanda pamwamba (theka la supuni). Njira yogwiritsira ntchito turmeric ndi kefir ndi mwezi umodzi.

Ndi nettle

Kupititsa patsogolo kagayidwe kazakudya mu prediabetes (kulolerana kwa shuga), tikulimbikitsidwa kuwonjezera ufa wa nettle ku kefir. Kuti muchite izi, chakumwa cha 200 g chidzafunika supuni yokhala pamwamba pamasamba osankhidwa. Ndiwouma komanso nthaka yopukusira khofi.

Nthawi yolimbikitsidwa yotenga ukonde ndi kefir ndi milungu 6. Kenako muyenera yopuma sabata 2.

Ndi hawthorn

Kefir ali ndi kuthekera kwachepetsa kuthamanga kwa magazi ndi chizolowezi chochita matenda oopsa. Kupititsa patsogolo mphamvu zake, mutha kukonzekera malo omwera kuchokera ku mkaka wokhala ndi mkaka ndi kulowetsedwa kwa maluwa a hawthorn. Kuti muchite izi, kutsanulira supuni ya supuni ya madzi otentha ndikuumirira kwa ola limodzi. Ndipo mu 150 ml ya kefir onjezerani 50 ml ya kulowetsedwa ndikumenya mpaka chithovu chitawonekera. Osakaniza awa ayenera kuledzera kwa miyezi 2,5.

Chithandizo cha matenda a shuga ndi kefir

Shuga mellitus amatanthauza matenda a metabolic, omwe pambuyo poyambirayo amakhala ndi njira yopitilira patsogolo. Ndi chithandizo kumatanthauza kuchepa kwa shuga m'magazi ndi insulin kapena mapiritsi wambiri. Izi zimapewa zovuta komanso zowopsa nthawi zina. Ngati ngakhale mothandizidwa ndi zomwe asayansi apanga posachedwa sizingatheke kuchiritsa matenda ashuga, kugwiritsa ntchito zakudya pazinthu zonsezi ndizotsika kwambiri.

Nthawi yomweyo, gawo la zakudya zopatsa thanzi silitsutsidwa ndipo limawerengedwa kuti ndi imodzi mwazinthu zofunikira kwambiri pakuwongolera matenda a shuga. Zinthu zonse zofunika pakuchita kwa metabolic ziyenera kupezeka mu chakudya. Kefir ndiosatheka kuchiza matenda ashuga, ndipo kuchuluka kwake tsiku lililonse sikuyenera kupitilira 1 chikho. Pa kumwa mankhwalawa, zakumwa zimatha kukhala osakhudzika, kuchiritsa kwam'mimba, chitetezo chokwanira.

Kuphatikiza apo, ziyenera kukumbukiridwa kuti pali tsankho la munthu payekha pazinthu zopangidwa ndi chakudya. Chifukwa chake, kwa odwala omwe ali ndi matenda ashuga, kuwonjezera pazowonjezera zamatenda azakudya, ndikofunikira nthawi zonse kuyeza chizindikiro cha kusintha kwa shuga. Ndi mawonekedwe achilendo, muyenera kusiyanitsa zoterezi pachakudya.

Ndipo izi ndizambiri pazakudya za matenda ashuga.

Kefir ya matenda a shuga amitundu yonse amaloledwa kudya. Komanso, ziyenera kukhala zopanda zowonjezera komanso zowonjezera kuposa galasi patsiku. Sikulimbikitsidwa kumwa pamimba yopanda kanthu kapena usiku, igwiritseni ntchito ngati zokhazokha. Ngakhale zili ndi phindu lililonse, pali zotsutsana pamakumwa zakumwa. Zitsamba, zonunkhira kapena zinthu zina zikawonjezeredwa kefir, mutha kuwonjezera ndikuchepetsa kufunika kwake kwa odwala matenda ashuga.

Ndi mitundu ina ya matenda ashuga, khofi imaloledwa. Ndikofunika kumvetsetsa kuti ndi ndani amasungunuka kapenacalard, wokhala ndi mkaka kapena wopanda mkaka. Kodi makapu angati patsiku? Kodi zabwino ndi zovuta za chakumwa ndi chiyani? Kodi zimakhudza bwanji gestational, mtundu wachiwiri?

Nthawi zambiri, kunenepa kumachitika mu shuga. Kupatula apo, ubale pakati pawo uli pafupi kwambiri. Mwachitsanzo, ndi matenda amtundu wa 2 komanso matenda a shuga a 2, kusokonezeka kwamafuta ndi lipid metabolism kumabweretsa, pakati pazinthu zina, kunenepa kwambiri kwa chiwindi ndi ziwalo zonse. Kuopsa kokhala wonenepa kwambiri ndi vuto la mtima, mavuto olowa. Mankhwala, mapiritsi, zakudya, ndi masewera amagwiritsidwa ntchito. Pazinthu zovuta zokha zomwe mungathe kuchepa thupi.

Zakudya za matenda a shuga a nephropathy ziyenera kutsatiridwa. Pali mndandanda wazinthu zololedwa ndi zoletsedwa, komanso chitsanzo cha menyu wazopezeka ndi matenda.

Mosakayikira, amayi oyembekezera amayembekezeredwa chakudya cha matenda ashuga. Zakudya zosankhidwa bwino, tebulo lokonzedwa bwino lingathandize kupewa mavuto. Kodi ndizotheka kudya mavwende, vwende? Kodi ndi menyu uti womwe ungafanane ndi matenda ashuga?

Ndikofunikira kuyesa mayeso a mahomoni achikazi ngati mukukayikira kulephera kwa mahomoni, mukakonzekera kutenga pakati. Ndikofunikira kudziwa masiku omwe muyenera kutenga ndi momwe mungakonzekere molondola kuti mupeze zotsatira zolondola. Ndi kusanthula zingati zomwe zakonzedwa? Zomwe zimawoneka ngati zabwinobwino, kufotokozera zotsatira za mahomoni ogonana achikazi.

Ndi zakudya ziti komanso mankhwala azikhalidwe zomwe zimachepetsa shuga?

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Chodetsa nkhawa chachikulu cha anthu omwe akudwala endocrine kusokonezeka kwa kagayidwe kazachilengedwe ndikuwongolera shuga.

Zakudya zopatsa thanzi komanso kugwiritsa ntchito zakudya zomwe zimachepetsa kuchuluka kwa shuga m'thupi zitha kuthandiza ndi izi.

Kodi zakudya zimakhudza bwanji shuga?

Kuti mukhale ndi moyo wabwinobwino, thupi la munthu limafunikira mphamvu nthawi zonse. Mphamvu zomwe ndizopeza ndizakudya za tsiku ndi tsiku zopatsa mphamvu.

Chakudya chilichonse chikatha, mafuta amthupi amalowa m'thupi, pomwe amasinthidwa kukhala shuga. Kenako, glucose amalowetsedwa m'maselo ndipo, ndikuphwanya, amatulutsa mphamvu. Hemuloni ya insulin, yomwe imapangidwa mu kapamba, imalowetsa mpweya waulere m'maselo.

Izi zimachitika mwa anthu athanzi. Mu matenda a endocrine, kulumikizana kwa insulin ndi ma cell receptors kumasokonezeka ndipo kuyamwa kwa glucose m'maselo ndikovuta. Izi zitha kuchitika chifukwa cha kukana insulini, pamene ma receptor amataya mphamvu yawo ya mahomoni ndipo munthu amakula mtundu wachiwiri wa matenda ashuga. Kapena kapamba amawonongeka ndikusiya kupanga insulini yokwanira, monga zimachitika ndi matenda a shuga 1.

Mulimonsemo, popanda kulowa m'maselo, glucose amayamba kudziunjikira kwambiri m'magazi, zomwe zimayambitsa zovuta zazikulu ndikuwopseza kwa hyperglycemia. Chifukwa chake, ndi mtundu uliwonse wa matenda ashuga, ndikofunikira kwambiri kudya bwino ndikudya zakudya zomwe zimachepetsa kuchuluka kwa shuga m'magazi.

Mikhalidwe ya glycemic

Kuti musinthe zakudya zanu moyenera komanso kudziwa zakudya komanso kuchuluka kwa zakudya zomwe mungathe kudya, kuyang'anira kuchuluka kwa shuga m'magazi kumachitika. Kwa miyezo ya tsiku ndi tsiku ya kuchuluka kwa glycemia, glucometer ndiwothandiza kwambiri - zida zowonjezera zomwe zimakupatsani mwayi kuti mupeze kuchuluka kwa shuga m'magazi kunyumba.

M'magulu azachipatala, kuyezetsa magazi kumachitika mwa kutenga sampuli ya magazi kuchokera m'mitsempha kapena chala. Kusanthula koteroko kumachitika pamimba yopanda kanthu, koma pofuna kuzindikira, maphunziro awiri nthawi zambiri amachitika, atatha kudya maola 8 ndi ola limodzi mutatha kudya.

Chiyero chovomerezeka cha zizindikiro chimasiyana malinga ndi zaka:

  • ana osakwana zaka 15 - kuyambira 2.3 mpaka 5.7 mmol / l,
  • achikulire kuyambira wazaka 15 mpaka 60 - kuyambira 5.7 mpaka 6 mmol / l,
  • atakwanitsa zaka 60, kuyambira 4.5 mpaka 6.7 mmol / l.

Ngati shuga amakwezedwa, kuphatikiza pa upangiri wa zamankhwala, muyenera kusintha zakudya zanu ndikuwonjezera zakudya zomwe zimachepetsa shuga.

Zopatsa Pang'onopang'ono

Zakudya zomanga thupi zomwe zimalowa m'thupi kudzera mu chakudya ndizosiyana pamlingo wawo wosweka. Zakudya zamagulu ena, zomwe zimatchedwa zothamanga, zimaphwanya ndikusintha kukhala shuga mwachangu kwambiri.

Zakudya zokhala ndi chakudya choterechi chimawonedwa kuti chili ndi GI yayikulu (glycemic index). Ngati mumadya chakudya choterocho, shuga m'magazi amawonjezeka kwambiri.

Zogulitsa ngati izi zimaphatikizapo zomwe zimakhala ndi GI yoposa 50: pasitala, maswiti, ufa, zakumwa zoledzeretsa, zakudya zamafuta, chokoleti, zipatso zotsekemera. Zakudya zoterezi zimayenera kusiyidwa kwathunthu.

Zipatso za citrus, nyama zopanda pake, zinthu zonse zophika tirigu, vinyo wouma, kiwi ndi maapulo zimatha kuloledwa nthawi ndi nthawi. Pazinthu izi, GI yapakati simapitilira 50, motero sikofunikira kusiya zonse mbale zotere.

Kutsindika za zakudya za thanzi kumachitika bwino kwambiri pazakudya zomanga thupi zovuta zomwe zimakhutitsa ndikuwulutsa shuga kwa nthawi yayitali. Izi ndi zinthu zomwe zimakhala ndi GI yotsika, osapitirira 40. Izi ndi monga sitiroberi, kabichi, nandolo, nkhaka, nyemba, zukini, mkaka wotsika wamafuta, nsomba ndi nyama, burwheat ndi mpunga wamafuta. Mwa zinthu izi, zomwe zimakupatsani mwayi wochepetsera kuchuluka kwa shuga m'magazi, menyu akuluakulu a odwala matenda a shuga ayenera kuwonjezeredwa.

Mndandanda wazinthu zomwe zili ndi ma GI osiyanasiyana:

Zakudya monga chimanga, mkaka, ufa

Zakumwa ndi zinthu zina

chinanazi65zikondamoyo za tirigu70mtedza25 apurikoti25zoyera50biringanya caviar45 lalanje40tchizi tchizi—kupanikizana75 chivwende70bagel105vinyo wowuma45 nthochi65mpukutu wa batala90vinyo wofiira wouma45 lingonberry27dumplings ndi kanyumba tchizi63koloko75 broccoli15nsabwe ndi mbatata65walnuts20 mabulosi amatuluka20hamburger105ng'ombe yokazinga55 chitumbuwa25waffles85mpiru38 mphesa45croutons wokazinga95bowa wamchere15 chipatso cha mphesa25phala la buckwheat pamadzi53gin ndi tonic— makangaza30dzira yolk55mchere wotsekemera35 peyala35yogurt ya zipatso55zoumba70 vwende55yogati yachilengedwe 1.5%30squash caviar70 mabulosi akutchire20zukini wokazinga70shuga wopanda cocoa45 zipatso zamtchire20kefir wotsika mafuta28caramel85 nandolo zobiriwira45chimanga80tchipisi mbatata90 nkhuyu30pasitala yapamwamba83kvass35 kabichi watsopano15pasitala wolimba55ketchup20 kabichi wodala20wholemeal pasitala40CHIKWANGWANI35 sauerkraut20semolina phala mu mkaka68soseji yophika35 mbatata yophika60mkaka wachilengedwe35zipatso compote65 mbatata yokazinga98skim mkaka30cognac— mbatata zosenda90mkaka wa soya35nyama zodulira nkhumba55 kiwi55wokometsedwa mkaka85nsomba zodula55 sitiroberi35margarine53nkhanu45 cranberries43ayisikilimu73khofi wachilengedwe50 kokonati40muesli85pansi khofi40 jamu45oatmeal pamadzi60ma apricots owuma35 chimanga chophika75oatmeal mkaka65chakumwa35 anyezi15oatmeal45mayonesi65 leek20chinangwa50marmalade35 mandimu25omelet50azitona akuda20 ma tangerine45nsabwe65ma almond27 rasipiberi35Phala la barele pamadzi25wokondedwa95 mango50wosaka85nyanja kale25 kaloti35keke, keke, makeke105maolivi obiriwira20 nyanja35mkate wokazinga ndi kupanikizana90mafuta a azitona— nkhaka23mkate wowotcha ndi dzira ndi anyezi90mowa115 tsabola wokoma15pitsa tchizi65zipatso83 pichesi35mapira phala pamadzi75mafuta a masamba— parsley7phala la mpunga pamadzi70nsomba zazinkhanira zophika7 tomato15phala la mpunga mkaka80mafuta a nkhumba— radishi17mpunga wosaphika wosaphika60shuga73 chakudya chamasamba60kirimu 10%35dzungu nthanga23 tsamba letesi12batala55mpendadzuwa10 beets yophika65wowawasa zonona 20%55madzi a lalanje43 plums25soya17chinanazi48 chovala chakuda20obera75msuzi wa mphesa50 red currant33tchizi tchizi55msuzi wa phwetekere20 dzungu lopaka80tofu tchizi17msuzi wa apulosi43 katsabola17tchizi tchizi55msuzi wa soya nyemba zophika45kanyumba tchizi tchizi75masoseji30 Persimmon52tchizi cholimba—pistachios20 wokoma chitumbuwa30kanyumba tchizi 9%32ma hazelnuts20 kolifulawa yokazinga40tchizi wopanda mafuta32champagne youma43 kolifulawa yophika20curd misa50chokoleti cha mkaka75 mabuluni45halva75chokoleti chowawa25 adyo32Mkate wa Borodino43bala la chokoleti75 prunes23buledi wa tirigu135shawarma mu mkate wa pita75 mphodza zophika28mkate wa tirigu70 sipinachi13buledi wathunthu43 maapulo32galu wotentha95

Mfundo zachikhalidwe

Mfundo za zakudya zoyenera, chifukwa chomwe mungachepetse chizindikirocho komanso kupewa kuchulukitsa kwamisempha yamagazi, ziyenera kuonedwa ndi anthu odwala matenda ashuga amtundu uliwonse pamoyo:

  1. Idyani nthawi zambiri, koma zochepa. Gawani zakudya zopatsa mphamvu za tsiku ndi tsiku muzakudya zingapo, ndikofunikira kuti zikhale zochepa 5. Zakudya zomwe zili pakati pa chakudya, komanso zomwe zingapatsidwe pakokha, ziyenera kukhala zazing'ono.
  2. Tsatirani ku lamulo - zakudya zambiri zokhala ndi GI yotsika ndikupatula mbale zokhala ndi index yayikulu ya glycemic. Zogulitsa zomwe zimakhala ndi 40 mpaka 50 zimatha kudyedwa kawiri pa sabata.
  3. Ganizirani zokonda pa mphodza, zakudya zathanzi kapena zosaphika (masamba, zitsamba ndi zipatso). Nthawi zina mumatha kuphika, koma kuphika mafuta kumaletsedwa.
  4. Pophika, gwiritsani ntchito rye kapena ufa wonse wa tirigu ndi zotsekemera.
  5. Pewani njala, komanso musamadye kwambiri. Chakudya chomaliza chiyenera kukhala maola awiri asanagone.
  6. Tsiku lililonse, kumwa 1.5-2 malita a madzi oyera.
  7. Pangani glucose wamagazi musanadye ndi ola limodzi mutatha kudya. Lembani zodzikongoletsera mu kope.

Muzikhala ndi moyo wakhama, mosaganizira zaka. Masewera olimbitsa thupi, kuyenda, yoga kapena kusambira kuyenera kukhala tsiku lililonse.

Kodi kudya ndi matenda a shuga 1?

Anthu odwala matenda amtundu wa 1 amakakamizika kupangiratu jakisoni wa insulin. Mtundu woyamba wa shuga, kapamba amaphulika ndikuleka kutulutsa mahomoni.

Mlingo wa jakisoni umatengera kuchuluka kwa shuga m'magazi ndi kuchuluka kwa chakudya chambiri chamafuta. Kuti muwerengere molondola, muyenera kusunga zolemba zam'mafuta zomwe zimadyedwa komanso zizindikiro za glucose musanayambe kudya. Zakudya zamafuta zochepa zomwe zimalowa m'thupi, zimachepetsa mphamvu ya mahomoni.

Mndandanda wazinthu zoletsedwa:

  • kusuta, mchere ndi mchere wambiri
  • pasitala ndi masoseji,
  • muffin, mkate wa tirigu, shuga ndi zakudya zotsekemera,
  • nsomba zamafuta ndi nyama,
  • masamba okhuthala ndi zipatso zokoma,
  • mafuta msuzi, khofi ndi koloko.

Otsatirawa akuyenera kuwonekera patebulo:

  • skim mkaka ndi mkaka wowawasa
  • buledi wopanda tirigu, osaposa magawo awiri patsiku,
  • masamba ophika, ophika ndi ophika, zitsamba ndi mapere osatulutsa, maapulo,
  • nsomba zamafuta ochepa, bere la nkhuku ndi nyama yopanda mafuta,
  • nguluwe, mpunga
  • zipatso zimaphatikizira ndi zakudya zake popanda kukoma.

Kuthana ndi zakudya zoterezi kumathandiza kuthana ndi matendawa komanso kukhala ndi thanzi labwino.

Zakudya za matenda a shuga a 2

Odwala omwe ali ndi matenda amtundu wa 2 saikidwa jakisoni wa insulin. Homoni amapangidwa mwachilengedwe m'thupi, koma sangakhudze ma cell, zomwe zimapangitsa kuti mayamwidwe a glucose akhale osavuta. Odwala oterewa amalimbikitsidwa kumwa mankhwala omwe amachepetsa shuga ndikuwonjezera chidwi cha maselo kuti apange insulin.

Popeza kusokonezeka kwa endocrine kumachitika kawirikawiri chifukwa cha kunenepa kwambiri, ndikofunikira kuti odwala matenda ashuga a 2 asamachepetse thupi ndikusunga kuchuluka kwa glucose kudzera pakudya. Pankhaniyi, zakudya zamagulu azakudya siziyenera kukhala zopatsa mphamvu zambiri, koma odwala omwe ali ndi matenda a shuga a 2 sayenera kukhala chakudya chamagulu.

Ayenera kupatula zakudya zomwe zili ndi index yayikulu ya glycemic, ndiko kuti, kusiya zakudya zotsekemera zamafuta ndi soseji, shuga ndi kuphika batala, ndikupereka zokonda zamasamba atsopano komanso otentha, okhala ndi michere yambiri, mkaka wopanda mafuta, nyama yopanda mafuta komanso nsomba. Njira yovomerezeka pamachiritso imakhala yolimbitsa thupi nthawi zonse komanso kukana zizolowezi zoipa.

Kuchepetsa Mimba

Amayi oyembekezera amapita kukayezetsa magazi nthawi yayitali yonse. Phunziroli ndi njira yothandizira kupewa komanso kupezeka kwa nthawi yayitali azimayi apakati.

Pakadali pano, kusintha kwa mahomoni kumachitika m'thupi la mayi mtsogolomo ndipo kupanga kwa progesterone kumawonjezeka, chifukwa chomwe glucose m'magazi imatha kuchuluka.

Mulingo wovomerezeka wa shuga mwa azimayi oyembekezera simaposa 5.7 mmol / l. Kuchuluka kwa shuga pamtunda wa 7 mmol / L kumawonetsa mwayi wa matenda ashuga.

Izi nthawi zambiri zimakhala ndi zotsatirazi:

  • pakamwa lowuma ndi ludzu,
  • mavuto amawonedwe
  • kufooka ndi kugona,
  • onjezerani komanso mumakonda kukodza,
  • Khungu.

Zizindikiro zotere, kuphatikiza shuga wambiri, zimafuna kuperekedwa kwa chithandizo choyenera kupewa zovuta.

Chithandizo chachikulu cha matenda a shuga gestational ndikutsatira zakudya.

Malangizo otere nthawi zambiri amaperekedwa:

  • kusiyanitsidwa ndi zakudya zamaswiti, shuga ndi zipatso zabwino,
  • kuchepetsa mbatata ndi masamba okhuthala,
  • kukana ma muffins ndi mbale zomwe zimakhala ndi mafuta ambiri, mchere ndi zonunkhira,
  • osaloleza kuchepa kwamphamvu kwamakolo a calorie, komanso osadya kwambiri,
  • Imwani madzi ambiri abwino ndi tiyi wazitsamba,
  • musadere nkhawa pang'ono komanso kupumula
  • kuwonjezera zolimbitsa thupi - patsani nthawi yoyenda, kusambira, masewera olimbitsa thupi,
  • Nthawi ndi nthawi muzifufuza magazi ndi glucometer.

Nthawi zambiri, kudya komanso kuchita masewera olimbitsa thupi kumakupatsani mwayi wokhala ndi shuga pamlingo wovomerezeka, osangotengera mankhwala komanso jakisoni wa insulin. Pambuyo pobala, kuchuluka kwa glucose nthawi zambiri kumabweranso kwachilendo, koma zimachitika kuti gestational shuga mellitus imasanduka shuga wokhazikika ndipo amafunikira chithandizo cha moyo wonse.

Makanema pazakudya zam'mayi azimayi apakati:

Zithandizo za anthu

Mutha kuchepetsa kuchuluka kwa shuga pogwiritsa ntchito mankhwala othandizira komanso mankhwala ena azikhalidwe.

Izi zitha kukhala zothandiza kumayambiriro kwa matendawa kapena kuphatikiza ndi njira zochizira zotchulidwa ndi dokotala:

  1. Njira yabwino yochepetsera kulemera ndikuwongolera kuchuluka kwa shuga ndi chisakanizo cha buckwheat ndi kefir. Usiku, supuni yaiwisi yosaphika yotsanulira imatsanuliridwa mu kapu ya kefir ndipo m'mawa mapangidwe onse amamwa. Phukusi lotere liyenera kukonzekera osachepera masiku 5.
  2. Mutha kugwiritsa ntchito mandimu. Iyenera kuchotsedwa mandimu akulu akulu 6 ndikuwonjezeredwa zamkati kuchokera ku 350 g ya cloves wa adyo komanso kuchuluka komweko kwa muzu wa parsley. Kusakaniza konseku kumayikidwa m'firiji kwa masiku 14, kenako ndikudya theka la ola musanadye kadzutsa, nkhomaliro ndi chakudya chamadzulo kwa 1 tsp.
  3. Amadziwika kuti amachepetsa mphamvu ya shuga, dandelion wamba. Masamba omwe amatengedwa mchaka amathiridwa ndi madzi kwa mphindi 30, kenako amawonjezeredwa ku saladi ya amadyera ndi yolika yolk. Mutha kudzaza mavitamini osakaniza ndi kirimu wowonjezera wamafuta kapena mafuta a azitona.
  4. Masamba a sitiroberi ang'ono ndi oyeneranso izi. Amatha kuyanika kapena kugwiritsidwa ntchito mwatsopano, kuwiritsa ndi madzi otentha ndipo pambuyo pa mphindi 15 kulowetsedwa, kumwa tsiku lonse lapansi ngati tiyi. Kumwa koteroko sikuti kumangochepetsa kuthamanga, komanso kuthandizira kuchotsa edema ndi mchenga mu impso.
  5. Zomera zamtchire zimakhala ndi katundu wofanana. Masamba ake amapangidwa ngati sitiroberi ndipo chakumwa chimatha kutentha tsiku lonse.
  6. Chosonkhanitsa chimapangidwa ndi magawo ofanana a masamba a nyemba, masamba a lingonberry, manyazi a chimanga ndi mahatchi. Chilichonse chimaphwanyidwa ndikuphatikizidwa. Supuni kusakaniza ndi kapu ya madzi owiritsa ndikuyimira kwa maola osachepera atatu. Imwani kapu yachitatu ya kapu ya kulowetsedwa m'mawa, masana ndi madzulo.

Izi maphikidwe onse ndi othandiza komanso amatha kuyang'anira mulingo wa glycemia, koma chithandizo chanyumba chikuyenera kuthana ndi mankhwala ndi zakudya, osachotsa. Izi ndizofunikira kwambiri kwa anthu odwala matenda ashuga amtundu 1, pomwe jakisoni wa insulin sayenera kuphonya.

Njira zina zochepa zochepetsera shuga:

Ndi matenda a shuga a mtundu 2, kugogomezera kwakukulu pa chithandizo cha mankhwalawa ndi zakudya zamagulu ochepa komanso shuga yochepa, komanso kupangira mankhwala ndi zosakaniza kungakhale njira yothandizira komanso yothandizira.

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Kudya kwa matenda ashuga

Popeza zakudya zama protein ndi mapuloteni osavomerezeka kuti aziphatikizidwa, zakudya za anthu odwala matenda ashuga pakatha mimba zimayamba ndi kugawa kwa zinthu m'magulu awiri:

Mimba mumatha kudya zipatso zamtundu uliwonse.

  • K1st imaphatikizapo magwero azopatsa mphamvu:
    • mbewu zonse, kupatula semolina ndi mpunga,
    • zipatso: makamaka maapulo, mapeyala, zipatso ndi zipatso zamapichesi,
    • masamba kupatula mbatata,
    • Mutha kudya zipatso zilizonse, koma musanadye nkhomaliro.
    • buledi wathunthu.
  • Magulu achiwiri a mapuloteni ndi awa:
    • nyama
    • nsomba (yopanda mafuta),
    • nsomba zam'nyanja
    • mazira
    • mkaka ndi mkaka wokhala ndi mafuta ochepa amkaka,
    • nandolo ndi nyemba
    • nyemba.

Zakudyazi ziyenera kukhala ndi magwero ololedwa a mafuta a polyunsaturated, omwe amathandiza kuyamwa kwa michere:

Mndandanda wazakudya ndi zakudya zomwe siziperekedwa mndandanda wazakudya zamiseche:

Sizoletsedwa kuphatikiza uchi, maswiti, zipatso zam'madzi, zakumwa za kaboni pamenyu.

M'masabata oyamba kudya, mzimayi amatha kukhala ndi chidwi chofuna kudya zakudya ndi mafuta wowuma, koma kulakalaka kumeneku kuyenera kulipiridwa ndi mndandanda wosankhidwa bwino. Zosankha zachitsanzo za GDM zaperekedwa pagome:

Kodi matenda amishuga ndi chiyani

Monga mitundu ina ya matenda ashuga, GDM ndi nthenda ya endocrine. Amakhala ndi kusalingana pakati pa insulin yomwe imapangidwa m'thupi ndi glucose kuchokera kunja. Zomwe zimayambitsa matendawa sizikudziwika, koma njira yamatendawa imadziwika. Mimba ikayamba, ndipo mwana wosabadwayo ayamba kukula mu chiberekero, placenta imapanga mahomoni olimbana ndi mahomoni. Zikondamoyo zimakulanso kupanga insulin - nthawi zambiri 3. Popita nthawi, kufunika kwa insulin kumakulirakulira.

Pakalipano, pali kukana kwakuthupi kwa insulin. Izi ndichifukwa cha zinthu monga kuchepa kwa zochitika zolimbitsa thupi komanso kuchuluka kwa thupi la mzimayi, zomwe nthawi zambiri zimayamba chifukwa cha kuperewera kwa zakudya m'thupi. Chifukwa chake, kapamba samatulutsa insulin yokwanira. Zotsatira zake, pali kusalinganika kwa mahomoni.

Zotsatira zake, shuga amayamba kudziunjikira m'thupi la amayi oyembekezera. GDM imapezeka ngati index ya shuga ndi yokwera kuposa zizindikiro zotsatirazi:

  • pamimba yopanda kanthu - 5.1 mmol / l.,
  • ola limodzi mutatha kudya - 10 mmol / l,
  • Maola awiri mutadya - 8.6 mmol / l,
  • Maola atatu mutatha kudya - 7.8 mmol / l,
  • kuphunzira mosasamala - 11 mmol / l.

Kwa kukhulupirika, mayeso awiri nthawi zambiri amachitidwa.

Mwambiri, matenda amtundu wa shuga amakhala asymptomatic. Kwa odwala matenda ashuga, zizindikiro monga kukodza mwachangu, ludzu lochulukirapo, ndi kufooka nthawi zambiri zimadziwika. Amayi omwe ali ndi GDM samakonda kudandaula, kapena amawauza kuti adziwike ndi zizindikiro zokhudzana ndi gestation palokha.

Matenda a shuga amakula pakati pa mimba - pa 16-30 milungu, nthawi zambiri pamasabata 24-28.

Ndani akudwala ndi GDM?

GDM si matenda osowa chotere, amakhudza 14% ya amayi onse apakati.

Zomwe zingayambitse matenda ashuga:

  • zaka zopitilira 40
  • GDM panthawi yapakati yokhala ndi pakati,
  • kuchuluka kwa thupi kwa mwana pa nthawi yayitali,
  • kutenga pathupi kapena kufa kwa feteleza m'mimba nthawi yapakati,
  • onenepa kwambiri
  • kubadwa kwamwambo (kukhalapo kwa achibale omwe ali ndi matenda ashuga 2).

Kuphatikiza pa matenda ashuga, amayi amtsogolo amatha kupezeka ndi matenda amtundu 1 kapena matenda a shuga.

Kuopsa kwa matenda ashuga

Chifukwa chakuchepa kwake, GDM mowoneka siziwopseza mayi pazotsatira zoyipa. Osachepera, zotsatira zowopsa za thupi zomwe zimawonetsedwa mwa odwala omwe ali ndi matenda ashuga. Koma kuvulaza mwana wosabadwayo ndikusokoneza njira yokhala ndi pakati, GDM ndiyotheka.

Choyamba, magazi omwe ali pakati pa mayi ndi mwana wosabadwayo amasokonezeka. Ndi gestational matenda a shuga, kukulitsa zovuta zina pakapangidwe kamwana ndikotheka. Izi zitha kukhala, mwachitsanzo, zolakwika za mtima kapena za ubongo.

Koma chodziwika kwambiri ndi kuchuluka kwachuluka kwa mwana. Mwana ali m'mimba amakula "ngwazi" yeniyeni. Koma chisangalalo, kwenikweni, sichokwanira pano, popeza kulemera kwakukulu kwa mwana wosabadwayo nthawi zambiri kumabweretsa kuti mayi sangathe kubereka payekha, ndipo adzafunika gawo la cesarean. Pambuyo pobadwa, mwana wotere amakhala ndi hypoglycemia, ndiye kuti, kuchuluka kwa glucose m'magazi kumatsika pansi pang'ono.

Kubadwa mwana asanabadwe, asphyxiation, kapena kufa kwa fetal m'mimba ndikothekanso. Mimba imathanso kukhala yovuta chifukwa cha preeclampsia kapena eclampsia.

Kuzindikira ndi kuchiza matenda a shuga

Chifukwa chake, GDM iyenera kuthandizidwa, apo ayi kutenga pakati kumabweretsa mavuto akulu. Kuzindikira kumachitika mayi atangolembetsedwa, m'masabata oyamba a kubereka. Kuyesedwa kwa shuga kumachitidwanso pakatikati kemimba komanso kumapeto, musanabadwe.

Zakudya zomwe zimagwiritsidwa ntchito kwambiri pochiza GDM. Chakudya choyenera ndichithandizo chofatsa kwambiri kwa mayi ndi mwana, popeza mankhwala onse omwe amachepetsa shuga tsopano ndi osatetezeka kwa mwana wosabadwa. Pokhapokha ngati matendawa agwirizana ndi kusintha kwa zakudya, amayi amapatsidwa jakisoni wa insulin. Komabe, pankhaniyi, zakudya zimakhalabe njira yothandizira yamankhwala.

Zakudya Zapakati za Matenda Akulumala

Komabe, kusankha zakudya kwa amayi apakati omwe ali ndi GDM sikophweka. Njira zosinthika monga kupatula kwathunthu kwa chakudya chamagulu kuchokera menyu kapena kufa ndi njala sizili bwino pano. Tiyeneranso kudziwa kuti mimba ndi nthawi yomwe njira zonse za thupi za mkazi zimathandizira.Mavitamini ndi michere yonse yofunikira ayenera kukhalabe m'zakudya, chifukwa mwana yemwe akukula ayenera kulandira zakudya zonse zofunika. Kuphatikiza apo, zakudya zama carb otsika zimakhala zowawa ndi kukula kwa ketoacidosis - mawonekedwe mu magazi a matupi a ketone omwe ali oopsa kwa mwana wosabadwayo. Mukamasankha njira yodyetsera, muyenera kuganiziranso zofunikira za thupi.

Malangizo azakudya

Muyenera kudya pafupipafupi. Masana pakhale zakudya zazikulu zitatu ndi zitatu. Kupumula kwabwino pakati pa chakudya ndi maola 2,5. Kutalikirana pakati pa chakudya choyambirira ndi chotsiriza sikuyenera kupitirira maola 10. Chakudya choterocho chimapewa kupindika kwamwadzidzidzi m'magazi a magazi. Kuwononga kwambiri kuyenera kupewedwa. Wotumikira sayenera kupitirira 150 g.

Zinthu zopezeka mkati mwa zakudya zosiyanasiyana zimalimbikitsidwa kuti zigawidwe motere:

  • chakudya cham'mawa - 25%
  • chakudya cham'mawa chachiwiri - 5%,
  • nkhomaliro - 35%
  • tiyi wamadzulo - 10%
  • chakudya chamadzulo - 20%
  • akamwe zoziziritsa kukhosi asanagone - 5%.

Zakudya za anthu odwala matenda amiseche nthawi zambiri zimachokera pa tebulo la shuga Na. 9, lomwe buku la Soviet gastroenterologist M.I. Pevzner. Zakudya izi ndizoyenera pazofunikira zazikulu za zakudya - mapuloteni, mafuta ndi chakudya.

Choyamba, m'zakudya izi kuchuluka kwa chakudya chambiri amachepetsa poyerekeza ndi zomwe zimachitika, koma osati zochuluka, pafupifupi 10%. Kuchuluka kwa chakudya chamagulu muzakudya kuyenera kukhala 200-300 g patsiku. Kuchuluka kwa mapuloteni muzakudya ndikofanana ndi chilengedwe. Zakudya zosachepera ziwiri patsiku zizikhala ndi zakudya zama protein. Chakudya chopatsa thanzi malinga ndi njira No. 9 chimatanthauzanso kuchepa kwa mafuta. Mafuta okhathamiritsa amachotsedwa kwathunthu kuzakudya.

Mlingo pakati pazakudya zake:

Zakudya zonse zopatsa mphamvu ndizakudya za 2000-2500 kcal patsiku. Kapenanso mutha kuwerengera zinthu zonse zopezeka tsiku ndi tsiku kuti 35-40 kcal pa kilogalamu ya kulemera.

Ndi zakudya ziti zomwe siziyenera kuphatikizidwa ndi zakudya zomwe zimayambitsa matenda ashuga?

Osadandaula - mndandanda waletsedwa siwokulira, ndipo sangakhudze kwambiri thanzi la mayi.

Choyambirira, ndikofunikira kupatula shuga ndi mbale zokhala ndi zakudya zamafuta ochulukirapo ku menyu:

  • wokondedwa
  • confectionery (maswiti, makeke, makeke),
  • amateteza, kupanikizana, komanso kupanikizana,
  • timadziti ta fakitale tili ndi shuga,
  • sodas zabwino
  • zotsekemera zotsekemera
  • chokoleti
  • ayisikilimu
  • makeke ndi mikate yoyera.

Kudya kumaphatikizanso kuletsa pasitala, mbatata, ndi nyemba. Ndikwabwino kuwatula pakudya. Kuchuluka kwa mchere womwe umagwiritsidwa ntchito kumachepetsedwa kwambiri.

Kuphatikiza apo, ndikofunikira kupatula mbale yokazinga ndi mafuta, chifukwa amapanga katundu pa kapamba.

Zinthu zomwe zasuta, nyama yophika, soseji, margarine, mafuta anyama, zakudya zomwe zimakhalidwa nthawi yomweyo ndizoletsedwa. Mayonesi, masoso, batala ndi mafuta a masamba ali ochepa. Zolocha zophatikizira shuga siziphatikizidwanso.

Zinthu zophika buledi

Wodwala wazakudya atha kuphatikiza mankhwala ochepa okha. Analoleza mkate wakuda, mkate wa chinangwa, koma osapitirira 200 g patsiku. Mkate Woyera wopangidwa kuchokera ku ufa wa tirigu woyamba ndi makeke saloledwa.

Kuchuluka kwa madzi akumwa kuyenera kuwonjezeka mpaka malita 1.5 patsiku. Mwa zakumwa, mwatsopano zophika zokha kapena timadziti totsekemera popanda shuga, tiyi wopanda phindu, madzi amchere ndi mchere wochepa, olowa m'malo mwa khofi amaloledwa. Khofi ndi bwino kumwa ofowoka komanso ochepa. Zokometsera zotsekemera, colas, mandimu, kvass siziloledwa. Mowa umaletsedwa kotheratu.

Zinthu zamkaka

Zinthu zamkaka zimakhala ndi calcium komanso mapuloteni ambiri, motero zimakhala zothandiza kwa mayi woyembekezera. Zakudya zokha zokhala ndi lactose (mkaka wonse), tchizi chotsekemera komanso tchizi cha curd, mafuta wowawasa wowonda, yoghurt yotsekemera, mafuta otsekemera ayenera kusiyanitsidwa ndi zakudya. Malonda a mkaka wowawasa amalimbikitsidwa - mafuta ochepa a kefir, bifidok. Ayenera kudyedwa tsiku lililonse. Kirimu wowawasa wopanda mafuta amadyedwa ngati chowonjezera m'mbale.

Masamba ndi zipatso

Chakudya chizikhala ndi masamba atsopano. Zakudya zam'munsi zochepa za glycemic ziyenera kukondedwa. Zipatso ndi masamba omwe ali ndi GI pamwambapa 50 (madeti, nthochi, mphesa, chivwende, mbatata, beets), zipatso zouma (zouma, ma apricots, nkhuyu) ndizoletsedwa. Zamasamba monga kaloti ndi maungu ndizochepa, makamaka tikaphika.

Ponseponse, zipatso ndi ndiwo zamasamba ndizothandiza kwambiri, chifukwa zimasintha matenthedwe, zimakhala ndi michere yambiri komanso mavitamini, makamaka vitamini C ndi folic acid. Zamasamba zimadyedwa pafupifupi 200-250 g patsiku. Zipatso zopatsa thanzi zambiri zimaperekedwa m'mawa.

Bowa amakhalanso amaloledwa chifukwa amakhala ochepa mafuta. Komabe, ngati wodwalayo adya bowa, ndiye kuti akuyenera kusamala, popeza chakudyachi chimavuta kugaya ndikupanga katundu pa kapamba.

Nyama ndi nsomba

Zakudya zamafuta ndi nsomba zimayambitsa mavitamini, mapuloteni apamwamba komanso chitsulo. Chifukwa chake, ayenera kukhalapo mukudya. Komabe, ngati mayi woyembekezera adya chakudya chamafuta amnyama, ndiye kuti izi zitha kuvulaza thupi lake. Chifukwa chake, muyenera kusankha mitundu yochepa yamafuta a nyama ndi nkhuku - nyama yamwana wamkati, nkhuku, nkhuku. Nkhumba, bakha ndi tsekwe ndizoletsedwa. Mutha kudya pafupifupi nsomba zilizonse, chifukwa mafuta omwe amapezeka mu nsomba amakhala ndi omega-3 acids. Kuphatikiza apo, muyenera kulabadira njira yotentha yochapira nyama kapena nsomba. Zakudya zophika kapena zosafunikira zimakondedwa; Mbale zambiri zimadyedwa m'mawa.

Zinthu zina

Kuletsedwa kwamphamvu kwa pasta kumayambitsidwanso. Ngati mukufunadi, ndiye kuti mutha kuwadya kawiri pa sabata. Ndikofunikira kuchepetsa kuchuluka kwa mkate muzakudya.

Kuyambira pamaphunziro oyamba, soups wopanda mafuta pazomera zamasamba ndi nkhuku, borscht, msuzi kabichi, msuzi wa bowa amaloledwa.

Mwa njere, pafupifupi chilichonse chimaloledwa, kupatula mpunga ndi semolina.

Mazira owiritsa amaloledwa (zosaposa zidutswa za 3-4 pa sabata).

Mafuta ophikira azigwiritsidwa ntchito pazambiri zochepa (kungovala).

Malamulo 8 azakudya omwe amachititsa kuti azimayi apakati azisala

Matenda a shuga - matenda omwe amaphatikizidwa ndi kuchepa kwa chakudya cha metabolism. Matendawa amapezeka mwa azimayi pa nthawi ya bere. Matendawa ndi mtundu wa matenda ashuga. Pathology imawonekera patatha milungu 20 yoyembekezera.

Matenda a shuga ndi ena mwa matenda oopsa. Chifukwa cha kukula kwa matendawa mwana, kubadwa kwa matenda a mtima ndi ubongo kumatha kuchitika. Matendawa ndi asymptomatic. Ili ndiye chiopsezo chachikulu cha mtundu uwu wa matenda ashuga. Pathology imatha kupezeka pokhazikitsa mayeso a magazi.

Kuzindikira matendawa kumayambiriro kumatsimikizira kuthandizira kwake. Pachifukwa ichi, ndikulimbikitsidwa kuti muziyendera dokotala pafupipafupi ndikumayesa mayeso oyenera.

Ngati matenda amtundu wa shuga apezeka, mankhwalawa amachitika kunyumba. Chinthu chachikulu chomwe chikuyenera kuchitidwa koyamba ndikusintha zakudya. Zakudya ndizomwe zimayambira bwino matendawa.

Amayi amalangizidwanso kuti asamakhale moyo wongokhala. Kuchita zinthu zolimbitsa thupi modekha kumayambitsa kuphatikiza kwa insulini, yomwe ndi yofunika kwambiri kwa mtundu uliwonse wa matenda ashuga, komanso kuthandizira kupewa kunenepa kwambiri.

Ndikulimbikitsidwa kusambira kapena kuchita masewera olimbitsa thupi m'mawa. Muyeneranso kuyenda zochulukirapo. Zochita zapadera zidzasankhidwa ndi adokotala.

Chachikulu sikuti kugwira ntchito mopitilira muyeso, kusachita mwadzidzidzi masewera olimbitsa thupi komanso masewera olimbitsa thupi omwe amachititsa katundu m'mimba.
Ngati mayi wapezeka ndi matenda a shuga gestational panthawi yoyembekezera, ndikofunikira kuyeza kuchuluka kwa shuga m'magazi. Kudzimbidwa kumachitika tsiku lililonse musanadye komanso pambuyo chakudya.

Njira ina yochizira matenda ndi kudzera jakisoni wa insulin. Ndondomeko limayikidwa popanda mphamvu ya kudya ndi masewera olimbitsa thupi. Mlingo ndi nthawi ya mankhwala zimadziwika ndi dokotala.

Mimba gestational matenda ashuga potengera kuchepa kwa zakudya zamafuta ochepa. Menyuyi muyenera kukhala ndi masamba ndi zipatso zatsopano.

Ndikofunikira kusinthira ku zakudya zapamwamba. Ndikulimbikitsidwa kudya zakudya kangapo patsiku (5-7), magawo azikhala ochepa kukula.

Lamulo linanso lothandiza pankhani yodwala matendawa ndi kudya mapuloteni mosiyana ndi chakudya chambiri. Nthawi yomweyo, zipatso zimatha kudya zokha. Kuletsa kumeneku sikugwira ntchito kwa masamba; akhoza kudya nthawi iliyonse.

Ndikofunikira kuganizira kuchuluka kwa mafuta, mapuloteni ndi chakudya. Pali chizolowezi chilichonse cha michereyi. Tsiku lililonse limaloledwa 120 g mapuloteni. Ponena za chakudya, ndiye kuti mtengo wawo watsiku ndi tsiku ndi 300 gr, koma mutha kugwiritsa ntchito zakudya zomwe zimatchedwa wathanzi. Mlingo wamafuta tsiku ndi tsiku - 180 gr. Mafuta okha osasinthika amaloledwa.

Amayi ambiri oyembekezera amadzifunsa: kodi ndizotheka kudya makangaza ndi walnuts ndi HD? Ganizirani zofunikira zawo:

Ndikulimbikitsidwa kuti muchotse zinthu zotere mumenyu:

  • wokondedwa, kupanikizana, kupanikizana,
  • mpunga ndi semolina phala,
  • shuga ndi maswiti aliwonse
  • ayisikilimu
  • zinthu zabwino za ufa
  • maapulo okoma, nthochi, mavwende, nkhuyu, madeti, masimu ndi mphesa,
  • zakumwa zotsekemera za kaboni komanso sitolo komanso masamba a pharmacy.

Zina mwa zokhudzana ndi matenda a shuga a gestational zitha kudyedwa, koma zochepa. Nanga mungadye chiyani, koma zochepa (tebulo):

Zomwe mungadye ndi matenda a shuga:

  • nyemba
  • ng'ombe, oat, barele wa peyala, mapira ndi barele,
  • bowa
  • zipatso zatsopano zomwe sizikuletsedwa,
  • mafuta ochepa mkaka,
  • Zatsopano zamasamba zatsopano
  • nkhuku - nkhuku, nkhuku,
  • ng'ombe
  • mafuta a masamba
  • buledi wopangidwa ndi ufa wa wholemeal.

    Ndi HD, ndikofunikira kuti muthe kulemba bwino zakudya zanu zatsiku ndi tsiku. Izi zimapereka kuchuluka kwa shuga m'magazi.

    Kwa odwala matenda ashuga, madokotala amalimbikitsa kudya moyenera. Zakudyazo ziyenera kuphatikizapo zakudya zomwe zili ndi mapuloteni, mafuta komanso michere yambiri. Chakudya chokhacho chimalepheretsa kulumikizana ndi shuga m'magazi. Pachifukwa ichi, munthawi yobala mwana, zakudya zamafuta ochepa ndizoletsedwa.
    Kuphatikiza apo, azimayi panthawi yoyembekezera amafunika mphamvu zambiri. Mupereke chakudya chake.

    Ndi matenda a shuga akumwa, kumwa kumayenera kutsatiridwa. Ndikulimbikitsidwa kumwa madzi osachepera 1.5 malita tsiku. Izi zikugwira ntchito kumadzi wamba, tiyi wobiriwira, msuzi wa phwetekere, zakumwa za zipatso, mkaka ndi mkaka.
    Mitundu yotsatira ya zakumwa ndizoletsedwa:

    • msuzi wokoma
    • mmatumba ndi timasamba ta mankhwala,
    • madzi a mchere a carbonated
    • madzi
    • kvass
    • zopaka mkaka wokhala ndi mafuta ambiri owonjezera ndi zina zowonjezera popanga,
    • zakumwa zoledzeretsa zilizonse, kuphatikizapo mowa wopanda mowa.

    Mndandanda wazakudya 1

    Chakudya cham'mawa: kagawo kakang'ono ka mafuta owiritsa, okometsedwa ndi batala, tiyi.
    Zovuta: peyala, sangweji yaying'ono.
    Chakudya chamadzulo: msuzi wowerengeka wa nkhuku, kachidutswa kakang'ono ka nyama yamchere yophika, saladi wama beets okometsedwa ndi mafuta a masamba.
    Zovuta: 2 ma PC masikono ndi gawo laling'ono la tchizi chosawoneka ndi kirimu wowawasa.
    Chakudya chamadzulo: mbatata yosenda ndi nandolo zobiriwira, kachidutswa kakang'ono ka mkate, kapu yamadzi a phwetekere.
    Zovuta: kapu ya kefir, sangweji tchizi.

    Mndandanda wa mbale 2

    Chakudya cham'mawa: oatmeal ndi batala, tiyi.
    Zovuta: kanyumba tchizi casserole ndi kirimu wowawasa.
    Chakudya chamadzulo: borsch yotsika, chidutswa cha mkaka wowotcha kapena wowotchera wopanda khungu, chidutswa chaching'ono cha mkate.
    Zovuta: chipatso chilichonse chololedwa.
    Chakudya chamadzulo: Buckwheat, saladi wamasamba wokometsedwa ndi mafuta a masamba, kachidutswa kakang'ono ka nsomba zamafuta ochepa, chidutswa cha mkate.
    Zovuta: nandolo yosenda, kachidutswa kakang'ono ka tchizi, kapu ya phwetekere.

    Mndandanda wazakudya 3

    Chakudya cham'mawa: barele ndi batala, tiyi.
    Zovuta: gawo laling'ono la tchizi tchizi ndi wowawasa wowawasa, apulo wobiriwira.
    Chakudya chamadzulo: msuzi wapa turkey, gawo la phala la tirigu ndi kagawo ka nsomba zamafuta ophika pang'ono, mkate pang'ono.
    Zovuta: saladi wa masamba owerengeka ndi mafuta a masamba.
    Chakudya chamadzulo: kabichi wowotchera, kachidutswa kakang'ono ka nsomba zonenepa kwambiri, chidutswa cha mkate.
    Zovuta: yogurt yoyera yachilengedwe, kachinthu kakang'ono ka buledi.

    Mndandanda wazakudya 4

    Chakudya cham'mawa: mapira okhala ndi batala, tiyi.
    Zovuta: zipatso zilizonse zatsopano kuchokera pamndandanda wololedwa, sangweji tchizi.
    Chakudya chamadzulo: msuzi wa nyemba, saladi yamasamba, nkhuku yophika yopanda khungu, mkate pang'ono.
    Zovuta: kanyumba tchizi ndi wowawasa zonona.
    Chakudya chamadzulo: mbatata yosenda, kachidutswa kakang'ono ka nsomba yophika kapena yophika yamitundu yamafuta ochepa, mkate.
    Zovuta: mkaka wowotchera wowotchera, mkate pang'ono ndi tchizi.

    Takupezerani kanema wosangalatsa wa mtsikana waku Canada yemwe adamupeza. Kanemayo amakunena mwatsatanetsatane za mtundu wanji wa zakudya zofunika kwa mayi wam'tsogolo, munthawi yovuta iyi.

    Zakudya za matenda a shuga gestational ndiye njira yofunika kwambiri yothandizira matenda a matenda a mtima. Kutengera uphungu wa zakudya, matendawa sangavulaze khanda.

    Kefir ya matenda ashuga imatha kubweretsa zabwino komanso zovulaza. Ndi phindu lake pakukumba, zimatha kusokoneza kapamba. Chifukwa chake, imatha kuledzera, koma malinga ndi zoletsa. Za momwe izi zimapwetekera, zomwe sizingaphatikizidwe, kaya kefir ndizothandiza kwa odwala matenda ashuga asanagone, werengani zambiri m'nkhaniyi.

    Werengani nkhaniyi

    Kefir, monga zinthu zina zamkaka, ali ndi mapindu osakayika. Zimathandizira kugaya ndi kubwezeretsa microflora yamatumbo. Kuchuluka kwa chakudya chamafuta, mafuta ndi mapuloteni ena mthupi kumadalira kuchuluka kwa chakudya. Kugwira ntchito bwino kwa matumbo kumatsimikizira kuchotsedwa kwa panthawi kwa zinthu za metabolic, komanso glucose owonjezera. Malinga ndi zizindikirazi, kefir ndi imodzi mwazomwe zimapangidwira ndikutsatsa komanso prophylactic pazakudya.

    Kuti muwone ngati kefir ndiyotheka kwa wodwala yemwe ali ndi matenda ashuga, muyenera kuyisanthula ndi magawo angapo:

    • kuthekera kowonjezera msanga wamagazi (glycemia index) - wofanana ndi 15,
    • zonse zamankhwala ophatikiza (pamenepa, shuga mkaka) ndi 2-3 g pa 100 g,
    • kuchuluka kwa mikate - 200 ml yofanana ndi 1 XE,
    • zopatsa mphamvu za calorie 37-59 kutengera ndi mafuta.

    Mwa zonse, kefir amaloledwa kudya odwala matenda ashuga. Monga momwe zidaphunziridwira mozama momwe zinthuzi zimapangidwira, zimakhala ndizofunikira - iyi ndiyankho la insulin, kapena index ya insulin. Kwa zakumwa za mkaka wowawasa, zimafananizidwa ndi ufa, mosakayika malonda oletsedwa. Izi zikutanthauza kuti mutatha kudya kefir, kukondoweza kwakukulu kosayenera kumachitika.

    Ndi matenda amtundu wa 1, izi zimayambitsa kufulumira kwamphamvu mphamvu yake yosungirako, yomwe ili yaying'ono kale. Ndi matenda a mtundu 2, mumakhala magazi okwanira (kapena kuposa pamenepo) m'magazi. Kwambiri mulingo wake, kulimba kwa kukana kwa maselo pakuchita zake - kukana insulini. Insulin yochulukirapo imakhudzanso kukhathamiritsa kwamafuta, kumachulukitsa kuchuluka kwa mafuta m'thupi.

    Ndipo pali zambiri za zakudya za matenda ashuga.

    Ubwino wa kefir kwa amayi apakati ndi monga:

    • kukakamira kwathunthu (katatu kuposa mkaka),
    • kuchuluka kwa calcium, phosphorous ndi zina zomwe zimafunikira pakukula kwa fetal ndikusungidwa kwa mafupa a mayi woyembekezera,
    • Zamkati wa mabakiteriya okhala ndi lactic acid omwe amaletsa njira yakuwunda ndi kuvunda m'matumbo,
    • kefir imaposa zakumwa zina zonse za mkaka, monga ilinso ndi mowa (yisiti) nayonso mphamvu, yomwe imawonjezera phindu la vitamini,
    • Ili ndi antibacterial and anti-yotupa, anti-allergic effect,
    • sinthana matumbo locomotor ntchito,
    • ndi gwero la ma enzymes, mapuloteni, ma amino acid ndi ma organic acid,
    • chifukwa cha tryptophan ndi magnesium imachepetsa mphamvu yamanjenje, kumasuka,
    • kuteteza DNA kuti isawonongeke,
    • kumalimbikitsa chitetezo cha mthupi.

    Chimodzi mwazinthu zofunikira ndi antitumor ndi radioprotective (radiation protection), komanso kuthekera kopirira kuwonongeka kwa zimakhala ndi ma free radicals. Mapangidwe awo amalimbikitsidwa mu shuga chifukwa cha kusintha kwa kagayidwe kachakudya.

    Komabe, ndi matenda ashuga omwenso amamwa, mkaka wokhala ndi mkaka wopanda kanthu umaphatikizanso:

    • gastritis yokhala ndi acidity yayikulu, Reflux ya chapamimba m'madzi mu esophagus (matenda a Reflux),
    • kusalolera kwa lactose (shuga mkaka), ndipo kefir ya tsiku limodzi ndi yovulaza, kenako lactose imakonzedwa ndi mabakiteriya.
    • zilonda zam'mimba mu gawo la chikhululukiro chosakhazikika (pali zowawa mukatha kudya, muli ndi njala),
    • aakulu kapamba
    • zilonda zam'mimba,
    • Enteritis mu pachimake siteji.

    Mapindu a zakumwa atha kupezeka pokhapokha zoletsa zonse pakugwiritsidwa ntchito zimaganiziridwa. Kuletsedwa kuvomereza usiku ndi chimodzi mwazofunikira. Izi zikuchitika chifukwa chofanana ndi insulin index. Palibe chakudya chomwe chimaperekedwa usiku, ndipo odwala omwe ali ndi mankhwala a insulin nthawi zambiri amapereka mankhwala kwa nthawi yayitali asanagone.

    Pankhaniyi, kugwiritsidwa ntchito kokhazikika kwa kefir, yogati, yogati kungayambitse vuto la hypoglycemia. Nthawi yomweyo, wodwalayo samamudziwa nthawi zonse. Pamagona, dontho la shuga limatha kudziwoneka thukuta, kulota maliro, njala, kugona mosagonja ndi kudzutsidwa pafupipafupi, kulira.

    Zomwe kefir zimatha kupitilizidwa ndikuphatikiza ndi zina zowonjezera. Si onse omwe adzapindule ndi odwala matenda ashuga.

    Kuchepetsa thupi, kuphatikiza kwa buckwheat ndi kefir kumagwiritsidwa ntchito. Nthawi yomweyo, kwa tsiku malinga ndi izi Chinsinsi, muyenera kumwa kapu ya buckwheat ndi lita imodzi ya mkaka wowawasa wowawasa. M'magawo oterowo, thupi lidzalandira chakudya chochuluka mopanda tanthauzo, kumasulidwa kosafunikira kwa insulin kudzalimbikitsidwa.

    Popeza kunenepa kwambiri kumadziwika ndi odwala omwe ali ndi matenda amtundu wa 2, izi zimapangitsa kuti thupi lizikula kwambiri. Kuphatikiza apo, kapamba amakumana ndi kuchuluka kowonjezereka, komwe kumabweretsa kufalikira kwa kapamba. Odwala omwe ali ndi matenda am'mimba dongosolo, osakaniza awa nthawi zambiri amakwiya.

    Chifukwa chake, buckwheat ndi kefir ya matenda a shuga sikulimbikitsidwa patsiku losala.

    Spice iyi imatha kuchepetsa shuga m'magazi mwakuwonjezera chidwi cha insulini. Nthawi yomweyo, imathandizira njira zama metabolic, zimapangitsa kuti cholesterol ikhale bwino, imayenda bwino m'magazi ndikuwonjezera patency yamitsempha. Zomwe zimalepheretsa kugwiritsidwa ntchito kwake ndi kusalolera kwa aliyense.

    Ndi zomwe zimachitika, tikulimbikitsidwa kuwonjezera supuni 1/5 ku yogati. Ndiye kuchuluka kwake kumatha kuwonjezeka pang'ono. Pambuyo pakuvomerezedwa miyezi iwiri, muyenera kupumula kwa masiku 10.

    Onani kanema wonena za njira yogwiritsira ntchito yogati ndi sinamoni:

    Kukhalapo kwa turmeric kumapereka kukoma kwa chisumbu ku kefir ndi mtundu wachikaso. Ili ndi katundu wofanana ndi sinamoni, komanso imayenda bwino palimodzi.

    Muyenera kuyamba kumwa ndi theka la supuni ya tiyi pa chikho chilichonse cha zakumwa, ndi kulolera bwino, pang'onopang'ono kuchuluka kwa zonunkhira kungabweretsedwe supuni ya khofi popanda pamwamba (theka la supuni). Njira yogwiritsira ntchito turmeric ndi kefir ndi mwezi umodzi.

    Kupititsa patsogolo kagayidwe kazakudya mu prediabetes (kulolerana kwa shuga), tikulimbikitsidwa kuwonjezera ufa wa nettle ku kefir. Kuti muchite izi, chakumwa cha 200 g chidzafunika supuni yokhala pamwamba pamasamba osankhidwa. Ndiwouma komanso nthaka yopukusira khofi.

    Nthawi yolimbikitsidwa yotenga ukonde ndi kefir ndi milungu 6. Kenako muyenera yopuma sabata 2.

    Kefir ali ndi kuthekera kwachepetsa kuthamanga kwa magazi ndi chizolowezi chochita matenda oopsa. Kupititsa patsogolo mphamvu zake, mutha kukonzekera malo omwera kuchokera ku mkaka wokhala ndi mkaka ndi kulowetsedwa kwa maluwa a hawthorn. Kuti muchite izi, kutsanulira supuni ya supuni ya madzi otentha ndikuumirira kwa ola limodzi. Ndipo mu 150 ml ya kefir onjezerani 50 ml ya kulowetsedwa ndikumenya mpaka chithovu chitawonekera. Osakaniza awa ayenera kuledzera kwa miyezi 2,5.

    Shuga mellitus amatanthauza matenda a metabolic, omwe pambuyo poyambirayo amakhala ndi njira yopitilira patsogolo. Ndi chithandizo kumatanthauza kuchepa kwa shuga m'magazi ndi insulin kapena mapiritsi wambiri. Izi zimapewa zovuta komanso zowopsa nthawi zina. Ngati ngakhale mothandizidwa ndi zomwe asayansi apanga posachedwa sizingatheke kuchiritsa matenda ashuga, kugwiritsa ntchito zakudya pazinthu zonsezi ndizotsika kwambiri.

    Nthawi yomweyo, gawo la zakudya zopatsa thanzi silitsutsidwa ndipo limawerengedwa kuti ndi imodzi mwazinthu zofunikira kwambiri pakuwongolera matenda a shuga. Zinthu zonse zofunika pakuchita kwa metabolic ziyenera kupezeka mu chakudya. Kefir ndiosatheka kuchiza matenda ashuga, ndipo kuchuluka kwake tsiku lililonse sikuyenera kupitilira 1 chikho. Pa kumwa mankhwalawa, zakumwa zimatha kukhala osakhudzika, kuchiritsa kwam'mimba, chitetezo chokwanira.

    Kuphatikiza apo, ziyenera kukumbukiridwa kuti pali tsankho la munthu payekha pazinthu zopangidwa ndi chakudya. Chifukwa chake, kwa odwala omwe ali ndi matenda ashuga, kuwonjezera pazowonjezera zamatenda azakudya, ndikofunikira nthawi zonse kuyeza chizindikiro cha kusintha kwa shuga. Ndi mawonekedwe achilendo, muyenera kusiyanitsa zoterezi pachakudya.

    Ndipo izi ndizambiri pazakudya za matenda ashuga.

    Kefir ya matenda a shuga amitundu yonse amaloledwa kudya. Komanso, ziyenera kukhala zopanda zowonjezera komanso zowonjezera kuposa galasi patsiku. Sikulimbikitsidwa kumwa pamimba yopanda kanthu kapena usiku, igwiritseni ntchito ngati zokhazokha. Ngakhale zili ndi phindu lililonse, pali zotsutsana pamakumwa zakumwa. Zitsamba, zonunkhira kapena zinthu zina zikawonjezeredwa kefir, mutha kuwonjezera ndikuchepetsa kufunika kwake kwa odwala matenda ashuga.

    Ndi mitundu ina ya matenda ashuga, khofi imaloledwa. Ndikofunikira kumvetsetsa kuti ndi ndani amasungunuka kapenacalard, wokhala ndi mkaka kapena wopanda mkaka. Kodi makapu angati patsiku? Kodi zabwino ndi zovuta za chakumwa ndi chiyani? Kodi zimakhudza bwanji gestational, mtundu wachiwiri?

    Zakudya za matenda a shuga a nephropathy ziyenera kutsatiridwa. Pali mndandanda wazinthu zololedwa ndi zoletsedwa, komanso chitsanzo cha menyu wazopezeka ndi matenda.

    Mosakayikira, amayi oyembekezera amayembekezeredwa chakudya cha matenda ashuga. Zakudya zosankhidwa bwino, tebulo lokonzedwa bwino lingathandize kupewa mavuto. Kodi ndizotheka kudya mavwende, vwende? Kodi ndi menyu uti womwe ungafanane ndi matenda ashuga?

    Nthawi zambiri, kunenepa kumachitika mu shuga. Kupatula apo, ubale pakati pawo uli pafupi kwambiri. Mwachitsanzo, ndi matenda amtundu wa 2 komanso matenda a shuga a 2, kusokonezeka kwamafuta ndi lipid metabolism kumabweretsa, pakati pazinthu zina, kunenepa kwambiri kwa chiwindi ndi ziwalo zonse. Kuopsa kokhala wonenepa kwambiri ndi vuto la mtima, mavuto olowa. Mankhwala, mapiritsi, zakudya, ndi masewera amagwiritsidwa ntchito. Pazinthu zovuta zokha zomwe mungathe kuchepa thupi.

    Ndikofunikira kuyesa mayeso a mahomoni achikazi ngati mukukayikira kulephera kwa mahomoni, mukakonzekera kutenga pakati. Ndikofunikira kudziwa masiku omwe muyenera kutenga ndi momwe mungakonzekere molondola kuti mupeze zotsatira zolondola. Ndi kusanthula zingati zomwe zakonzedwa? Zomwe zimawoneka ngati zabwinobwino, kufotokozera zotsatira za mahomoni ogonana achikazi.

    Zakudya za amayi apakati gestational shuga: menyu

    Mimba ndi nthawi yosangalatsa m'moyo wa mayi aliyense. Komabe, iyi ndiyinso nthawi yomwe thupi lake ndi thanzi lake zimayesedwa kuti alimbitse mphamvu, ndipo mkazi mwiniyo amafunika udindo wowonjezereka komanso chisamaliro kwa iye ndi mwana wake wosabadwa. Mwa zina mwa matenda omwe amakhudza thupi la mayi woyembekezera, matenda a shuga a m'mimba kapena matenda abwinobwino ndi amodzi mwa osapweteketsa mtima. Koma matendawa amatha kupondereza kwambiri njira yoyembekezera. Mwamwayi, pali njira zodalirika zothetsera matendawa. Ndipo njira zofunikira kwambiri zochizira ndi zakudya - zakudya zoyenera za amayi oyembekezera.

    Monga mitundu ina ya matenda ashuga, GDM ndi nthenda ya endocrine. Amakhala ndi kusalingana pakati pa insulin yomwe imapangidwa m'thupi ndi glucose kuchokera kunja. Zomwe zimayambitsa matendawa sizikudziwika, koma njira yamatendawa imadziwika. Mimba ikayamba, ndipo mwana wosabadwayo ayamba kukula mu chiberekero, placenta imapanga mahomoni olimbana ndi mahomoni. Zikondamoyo zimakulanso kupanga insulin - nthawi zambiri 3. Popita nthawi, kufunika kwa insulin kumakulirakulira.

    Pakalipano, pali kukana kwakuthupi kwa insulin. Izi ndichifukwa cha zinthu monga kuchepa kwa zochitika zolimbitsa thupi komanso kuchuluka kwa thupi la mzimayi, zomwe nthawi zambiri zimayamba chifukwa cha kuperewera kwa zakudya m'thupi. Chifukwa chake, kapamba samatulutsa insulin yokwanira. Zotsatira zake, pali kusalinganika kwa mahomoni.

    Zotsatira zake, shuga amayamba kudziunjikira m'thupi la amayi oyembekezera. GDM imapezeka ngati index ya shuga ndi yokwera kuposa zizindikiro zotsatirazi:

    • pamimba yopanda kanthu - 5.1 mmol / l.,
    • ola limodzi mutatha kudya - 10 mmol / l,
    • Maola awiri mutadya - 8.6 mmol / l,
    • Maola atatu mutatha kudya - 7.8 mmol / l,
    • kuphunzira mosasamala - 11 mmol / l.

    Kwa kukhulupirika, mayeso awiri nthawi zambiri amachitidwa.

    Mwambiri, matenda amtundu wa shuga amakhala asymptomatic. Kwa odwala matenda ashuga, zizindikiro monga kukodza mwachangu, ludzu lochulukirapo, ndi kufooka nthawi zambiri zimadziwika. Amayi omwe ali ndi GDM samakonda kudandaula, kapena amawauza kuti adziwike ndi zizindikiro zokhudzana ndi gestation palokha.

    Matenda a shuga amakula pakati pa mimba - pa 16-30 milungu, nthawi zambiri pamasabata 24-28.

    GDM si matenda osowa chotere, amakhudza 14% ya amayi onse apakati.

    Zomwe zingayambitse matenda ashuga:

    • zaka zopitilira 40
    • GDM panthawi yapakati yokhala ndi pakati,
    • kuchuluka kwa thupi kwa mwana pa nthawi yayitali,
    • kutenga pathupi kapena kufa kwa feteleza m'mimba nthawi yapakati,
    • onenepa kwambiri
    • kubadwa kwamwambo (kukhalapo kwa achibale omwe ali ndi matenda ashuga 2).

    Kuphatikiza pa matenda ashuga, amayi amtsogolo amatha kupezeka ndi matenda amtundu 1 kapena matenda a shuga.

    Chifukwa chakuchepa kwake, GDM mowoneka siziwopseza mayi pazotsatira zoyipa. Osachepera, zotsatira zowopsa za thupi zomwe zimawonetsedwa mwa odwala omwe ali ndi matenda ashuga. Koma kuvulaza mwana wosabadwayo ndikusokoneza njira yokhala ndi pakati, GDM ndiyotheka.

    Choyamba, magazi omwe ali pakati pa mayi ndi mwana wosabadwayo amasokonezeka. Ndi gestational matenda a shuga, kukulitsa zovuta zina pakapangidwe kamwana ndikotheka. Izi zitha kukhala, mwachitsanzo, zolakwika za mtima kapena za ubongo.

    Koma chodziwika kwambiri ndi kuchuluka kwachuluka kwa mwana. Mwana ali m'mimba amakula "ngwazi" yeniyeni. Koma chisangalalo, kwenikweni, sichokwanira pano, popeza kulemera kwakukulu kwa mwana wosabadwayo nthawi zambiri kumabweretsa kuti mayi sangathe kubereka payekha, ndipo adzafunika gawo la cesarean. Pambuyo pobadwa, mwana wotere amakhala ndi hypoglycemia, ndiye kuti, kuchuluka kwa glucose m'magazi kumatsika pansi pang'ono.

    Kubadwa mwana asanabadwe, asphyxiation, kapena kufa kwa fetal m'mimba ndikothekanso. Mimba imathanso kukhala yovuta chifukwa cha preeclampsia kapena eclampsia.

    Kodi ndiyenera kutsatira zakudya nditabereka?

    Nthawi zambiri, matenda osokoneza bongo amadutsa amayi atatha kubereka. Komabe, pokhapokha, pofuna kupewa kukula kwa matenda ashuga amitundu iwiri, zakudya zimalimbikitsidwa kuti zizigwirizana ndi miyezi ina itatu itatha ntchito.


    1. "A Akhmanov" Matenda a shuga si chiganizo. Za moyo, tsogolo komanso chiyembekezo cha odwala matenda ashuga. " St. Petersburg, yosindikiza nyumba "Nevsky Prospekt", 2003

    2. Kalits, I. Odwala odwala matenda a shuga / I. Kalits, J. Kelk. - M.: Valgus, 1983 .-- 120 p.

    3. Dongosolo lophikira la Dietetic, Nyumba Yofalitsa Maphunziro a Universal Science Science UNIZDAT - M., 2014. - 366 c.
    4. Adasinthidwa ndi Charles Charles G. Brook D. Brook, Rosalind S. Brown Guide to Pediatric Endocrinology: Monograph. , GEOTAR-Media - M., 2014 .-- 352 p.

    Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwa zaka zoposa 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka patsamba lino kuti athetse zovuta koma osati ntchito. Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusaitiyi, kufunsana ndi akatswiri ndizofunikira nthawi zonse.

  • Kusiya Ndemanga Yanu