Zakudya za shuga kwa amayi apakati

Kuti magazi a shuga abwerere mwakale, muyenera kudya supuni imodzi m'mawa pamimba yopanda kanthu.

Pochiza matenda a shuga mwa amayi apakati, chakudya chimagwira ntchito yofunika kwambiri. Zakudya za caloric patsiku zizikhala mumtunda wa 1600-2200 kcal (zochepa ndizowonjezereka, zina zili bwino). Muyenera kudya mpaka kasanu patsiku (zakudya zazikulu zitatu ndi zodyera). Mlingo wa tsiku ndi tsiku amawerengedwa pamaziko a kulemera kwakuthupi kwamankhwala musanakhale ndi pakati (pa kilogalamu iliyonse 35 kcal iyenera kuwonjezeredwa).

Zakudya zomwe tsiku lililonse limalimbikitsa ziyenera kukhala:

• 40-50% chakudya (wokhala ndi mitundu yambiri),
• 15-20% mapuloteni
• 30-35% mafuta.

Kuchuluka kwa calorie kumatengera nthawi yayitali yomwe mayi amakhala woyembekezera komanso kulemera koyambirira kwa thupi la mkazi komanso zochita zake zolimbitsa thupi.

Malamulo a zopatsa thanzi

Zakudya zopatsa thanzi kwa azimayi oyembekezera ziyenera kukhala mu mawonekedwe a chakudya (osapitirira 200 g patsiku), gawo lotsalira ndi mapuloteni, mafuta ndi shuga mu mawonekedwe a masamba, chimanga kapena Wholemeal.

Zakudya zoterezi zimathandizira kuchuluka kwa shuga ndipo siziwopseza thanzi kapena kukula kwa mwana wosabadwayo:

• kadzutsa woyamba
• chakudya cham'mawa chachiwiri
• nkhomaliro
• tiyi wamadzulo
• chakudya chamadzulo
• Zakudya zazing'ono asanagone (yogurt kapena kagawo ka buledi).

Nawa malingaliro:

1. Gawani zakudya pakati pa chakudya. Zakudya zambiri panthawi imodzi zimatha kuwonjezera kuchuluka kwa shuga.
2. Ikani magawo oyenera a wowuma. Zosakaniza zoterezi zimasanduka shuga, motero muyenera kuyang'anira, zimatha kukhala chimodzi kapena ziwiri za mkate nthawi iliyonse.
3. Imwani kapu imodzi yamkaka, yomwe ndi gwero la calcium. Komabe, kumbukirani kuti mkaka ndi mawonekedwe amadzimadzi a kaboni hydrate, kotero kumamwa kwambiri nthawi imodzi osalimbikitsa.
4. Chepetsani gawo la zipatso lomwe lili ndi shuga ochulukirapo. Mutha kudya magawo atatu a zipatso patsiku.
5. Ndikofunikira kwambiri kukhalira chakudya cham'mawa, chifukwa kuchuluka kwa shuga m'magazi ndikosavuta kuwongolera pamimba yopanda kanthu chifukwa cha kusinthasintha kwachilengedwe kwa mahomoni. Sitikulimbikitsidwa kudya zakudya monga chimanga, zipatso komanso mkaka m'mawa, ndibwino kuti m'malo mwanu mukhale mkate ndi mapuloteni.
6. Pewani misuzi yazipatso.
7. Chepetsa kwambiri maswiti ndi mchere - makeke, makeke, makeke.

Menyu yokhala ndi pakati

Zakudya za amayi oyembekezera omwe ali ndi matenda zimapangidwira poganizira kuchuluka kwa chakudya pafupipafupi komanso kuphatikiza chakudya chokhala ndi index yotsika komanso yapakati. Pansipa pali zitsanzo za akazi omwe alibe matenda ashuga kapena matenda opatsirana, mphamvu ndi 2000 kcal:

Chakudya cham'mawa. Magawo awiri a buledi wopanda tirigu, 70 g wa tchizi chamafuta-mafuta, radishi, anyezi wobiriwira, 150 g yogurt yachilengedwe, tiyi wopanda shuga.

Chakudya cham'mawa chachiwiri. Pulogalamu imodzi yapakatikati, magawo awiri a mkate wowoneka bwino, 10 g batala, 40 g turkey ham, phwetekere.

Chakudya chamadzulo 200 g yophika nkhuku miyendo, 50 g bulauni, nyemba zobiriwira 150 g, letesi 200 g, kabichi yaku China, kaloti, tsabola wofiyira, chimanga ndi mafuta azitona ndi parsley, kapu yamadzi amchere.

Chakudya chamadzulo. 150 g ya kanyumba tchizi 3% mafuta, pichesi, 5 matani.

Chakudya chamadzulo 60 g wa buledi, 10 g wa batala, mazira osenda ndi mazira awiri, bowa ndi anyezi, khofi wokhala ndi chicory ndi mkaka.

Zotheka ndi zomwe sizingachitike

Njira imodzi yosungirira kuchuluka kwa glycemia mkati mwazinthu zofananira ndikuwunika kuchuluka kwa chakudya chamagulu muzakudya zanu. Zogulitsa zotere zimayimbidwa ndikusinthidwa kukhala glucose, zomwe ndizofunikira kwa thupi lonse komanso thanzi la mwana. Komabe, kuchuluka kwa chakudya chamagulu am'magazi kuyenera kuyang'aniridwa mosamala.

Zowola ndi mbewu zimapatsa thupi zakudya. Bwino kusankha zosakanizira zazingwe zambiri. Kusankha bwino kungakhale:

• buledi ndi tirigu wathunthu
• mpunga wa bulauni ndi pasitala,
• chimanga
• nyemba
• mbatata ndi chimanga.

Mkaka ndi yogati zimaperekanso zinthu zopindulitsa m'thupi, ndizofunikira kwambiri pachakudya. Zophatikiza zamafuta ochepa zimakhala chisankho chabwino kwambiri, mwachitsanzo, zosakaniza za soya ndi almond.

Zipatso zokhala ndi fiber yayikulu amakonda kuposa misuzi ndi zipatso zamzitini.

Mafuta samatulutsa kuchuluka kwa shuga m'magazi, chifukwa mulibe chakudya. Ngakhale zili choncho, ndizophatikiza zopatsa mphamvu zopatsa mphamvu, motero, kuti muchepetse kunenepa, ndikofunikira kusamala kwamafuta. Zothandiza zidzakhala:

• mtedza
• mbewu za fulakesi
• mapeyala
• mafuta a maolivi ndi opusa.

Chakudya, chomwe chimaperekedwa kwa amayi oyembekezera omwe ali ndi matenda:

• shuga, wokondedwa, maswiti, kupanikizana, ayisikilimu, halva,
• mkaka wamafuta ndi mkaka, zonona, tchizi wamafuta,
• mayonesi
• buledi wokoma
• zipatso zouma
• msuzi wokoma, zakumwa zotsekemera,
• khofi wachilengedwe
• mpiru, ketchup.

Zinthu zothandiza kwambiri

Udindo wofunikira kwa amayi apakati omwe ali ndi matenda ashuga umasewera ndi kudya moyenera.

Zosakaniza zokonzedwa bwino, makamaka zomwe zimakhala ndi shuga wambiri, zimayenera kuchotsedwa pamenyu. Kuchulukirapo kwawo kumakhudza kapamba, yemwe amapanga insulin.

Zakudya za amayi oyembekezera ziyenera kukhala zambiri mu zosakaniza izi:

1. Idyani masamba ndi zipatso zambiri. Komabe, zipatso zina (mphesa, zipatso zouma) zimatha kuwonjezera glycemia, chifukwa chake zimayenera kukhala zochepa.
2. Sankhani zinthu zonse za tirigu. Phatikizanipo ndi zokupatsani mkate ndi tirigu wathunthu, mpunga wamafuta, pasitala
3. Idyani nyama zotsamira, monga m'chiuno, tendloin, fillet. Ndikofunikira kuchotsa khungu ku nkhuku ndi nkhuku.
4. Sankhani zinthu zamkaka zokhala ndi mafuta ochepa kapena mafuta ochepa.
5. Gwiritsani ntchito mafuta a maolivi, omwe amagwiriridwa m'malo mwa mafuta olimba pophika.

Ngakhale kuti zakudya mwa amayi apakati ndizosiyana kwambiri, pozindikira matenda osokoneza bongo, wowonjezera zakudya atha kukuwonetsa kusintha kwa chakudya chomwe chingathandize kupewa mavuto okhala ndi shuga wambiri kapena wotsika wamagazi.

Momwe mungadye ndi matenda a shuga panthawi yokhala ndi pakati

Dongosolo la portal sikuti limalimbikitsa kuti mudzipangire nokha ndipo, pazizindikiro zoyambirira za matendawo, limakulangizani kuti mukaonane ndi dokotala. Tsamba lathu lili ndi madokotala aluso kwambiri, omwe mungapange nthawi yokumana pa intaneti kapena pafoni. Mutha kusankha dokotala woyenera kapena mutha kukusankhirani zaulere. Komanso pokhapokha pojambula kudzera mwa ife, Mtengo wakufunsira udzakhala wotsika kuposa chipatala chokha. Izi ndi mphatso yathu yaying'ono kwa alendo athu. Khalani athanzi!

Malonda olimbikitsidwa azimayi oyembekezera omwe ali ndi matenda ashuga

• Masamba atsopano (kaloti, beets, kabichi, nkhaka),
• Zitsamba zatsopano (katsabola, parsley, cilantro),
• Lenti, nyemba, nandolo,
• Phula lamphaka
• Zakudya zazingwe
• Zipatso ndi zipatso (osati zotsekemera) - mphesa, ma plamu, maapulo wobiriwira, jamu, othandizira,
• Masamba ophikira masamba, okroshka,
• Zinthu zamafuta ochepa mkaka,
• Nyama ndi nsomba,
• Madzi amchere
• Zakudya zam'madzi (shrimp, seaweed, capelin, sardine),
• Mazira anyani, mutha nkhuku,
• Mafuta a polyunsaturated (maolivi, nthanga za maungu).

Amayi oyembekezera omwe ali ndi matenda ashuga amatha kugwiritsa ntchito zipatso zouma m'miyeso yaying'ono, pokhapokha ndiyofunikira mphindi 20. zilowerere madzi ozizira owiritsa. Zakudya zochokera ku zipatso zatsopano zosakoma ndi zipatso zimathandizanso, kapu imodzi patsiku. Timadziti tifunika kufinya kumene, osati sitolo, chifukwa kuchuluka kwazomwe zimatetezedwa. Zakudya zoyembekezera ziyenera kuphatikizapo zakudya zosaphika zam'mera. Ndizothandiza kwambiri kuposa kukonza. Zakudya ziwiri zimafunika ndi mapuloteni, omwe ndi zida zomangira maselo a mwana wokukula. Zakudya zokhala ndi CHIKWANGWANI (tirigu wathunthu) zimafunikanso pamankhwala oyembekezera.

Odwala odwala matenda ashuga sayenera kupumula nthawi yayitali pakati pa chakudya.

Zakudya zoletsedwa mwa amayi apakati omwe ali ndi matenda ashuga

• Maswiti (makeke, maswiti, makeke ndi ma waffle, kupanikizana),
• Mafuta ndi nsomba,
• Mafuta okhathamiritsa amkaka ambiri,
• Zakumwa za kaboni
• Nyama zakusuta, zakudya zam'chitini, zinthu zomalizidwa,
• Makeke okoma, mkate woyera,
• Maphunziro oyambira msuzi wamafuta,
• Mowa uliwonse
• Zonunkhira (mpiru, horseradish, tsabola wofiira), ketchups ndi soseji, marinades.

Pazakudya za amayi apakati omwe ali ndi matenda ashuga, katundu wambiri wazinthu zokhala ndi ma kabolera ayenera kupezeka m'mawa. Zakudya zinanso zimalimbikitsidwa ndi zakudya zochepa zopatsa mphamvu, makamaka madzulo. Kuti mapuloteni, mafuta ndi chakudya chamagulu alowe mthupi moyenera, amafunika kuphatikizika. Ndi matenda a shuga 1 Zakudya zimatengedwa ndi zovuta insulin.

Pofuna kupewa zovuta (hypoglycemic kapena hyperglycemic coma), panthawi yokhala ndi vuto la shuga ndikulimbikitsidwa kuti nthawi ndi nthawi mumapangidwe a zilembo, dandelion, m'chiuno, ginseng, ndi mbewu ya fulakesi. Thandizo la phytotherapeutic silimapangitsa kulephera kwa kagayidwe kachakudya panthawi yokhala ndi pakati komanso kumathandizira kukhala ndi shuga. Koma kukambirana ndi dokotala ndikofunikira.

Pafupifupi 5% ya amayi apakati (osadwala matenda a shuga), shuga m'magazi amatha kuwuka, kenako matenda a shuga omwe amatchedwa "gestational". Ndi matenda anthawi yake komanso chithandizo choyenera, mimba imakhalapo popanda zovuta, mwana amabadwa ndi mitengo yokhazikika. Koma chakudya chokhazikika chimalephera, monga momwe amakhalira, chakudya chofunikira ndichofunika. Pambuyo pa kubadwa, matenda a shuga amisala nthawi zambiri. Komabe, kuyezetsa magazi ndi mkodzo pafupipafupi ndikofunikira, popeza pali mwayi wokhala ndi matenda ashuga a 2 mtsogolo.

Zakudya zilizonse zochizira odwala matenda ashuga ndizothandiza kwambiri kuphatikiza zolimbitsa thupi, kuyenda mu mpweya watsopano. Izi zimachitika makamaka kwa azimayi omwe ali onenepa kwambiri. Mafuta owonjezera thupi amakhudza kwambiri zovuta za insulin.

Zakudya za amayi apakati a shuga

Zomwe zimachitika pakakhala pathupi pamene zimapatsa mphamvu kagayidwe kazakudya zimatchedwa matenda a shuga. Zikondwerero zazimayi zimadzaza. Ngati sangakwanitse kugwira ntchitoyo, ndiye kuti insulin yochepa kwambiri imapangidwa, chifukwa chake, mulingo wamagazi m'magazi umakwera. Kuti muwongolere mkhalidwe wa wodwalayo, zakudya ziyenera kutsatiridwa.

Zakudya zoyenera kwa amayi apakati omwe ali ndi matenda ashuga

Matendawa, monga lamulo, amapezeka palibe kale kuposa sabata la 28 la kutenga pakati ndipo angayambitse kusokonezeka kwa fetal, kotero simungayese kubisala zomwe zikuwonetsa. Dokotala ayenera kuunikanso kuloza kwa glucose kenako kupereka mankhwala. Amalimbikitsa mkazi mndandanda wazakudya zomwe ndi zabwino kudya. Mtsikana woyembekezera yemwe ali ndi vuto la matenda akayakaya ayenera kukhala ndi kadyedwe kake kutengera malangizo awa:

1. Ndikofunikira kutsatira zakudya zazing'ono. Zakudya za tsiku ndi tsiku ziyenera kuphatikizapo zakudya zitatu zazikulu ndi zina zazakudya zazing'ono - pamodzi ndi nthawi yomweyo.
2. Zakudya za amayi omwe ali ndi pakati komanso matenda osokoneza bongo amapangidwira kuti awonetsetse kuti kuchuluka kwa chakudya cham'mimba, mapuloteni, ndi mafuta omwe amadya patsiku ndi 50:35:15.
3. Madzi patsiku amafunika kumwa kamodzi ndi theka mpaka malita awiri.
4. Zakudya za odwala matenda ashuga azimayi oyembekezera komanso kuchuluka kwa shuga kumatanthauza kukanidwa kwathunthu kwa chakudya chamagetsi mosavuta.
5. Katundu wa mkaka sayenera kudyera m'mawa.
6. Zakudya za GDM zimafunika kukana kwathunthu shuga ndi uchi.
7. Pamadyedwe azakudya zam'mimba a shuga, amayi apakati amafunika kudya kuti patsiku pa kilogalamu imodzi ya kulemera pafupifupi 3540 kcal.
8. Pachakudya chimodzi, musaphatikize zakudya zama protein ndi mapuloteni.

Pali zakudya zina zomwe ndizabwino kudya ndi matenda. Ndingadye chiyani ndi matenda ashuga:

• masamba ophika kapena owiritsa (kupatula kaloti, mbatata),
• zipatso zosapsa: mabulosi abulosi, sitiroberi, sitiroberi, rasipiberi, gooseberries, currants,
• zipatso: mphesa, maapulo, ma plums, mapeyala, ma apricots, mapichesi,
• tirigu, kupatula semolina,
• mkate wa rye
• nyama yophika ndi mafuta pang'ono: mitundu yabwino kwambiri ndi nkhuku, ng'ombe, nkhuku, chiwindi (nkhumba yocheperako ndizovomerezeka),
• nsomba zamtsinje ndi nsomba zam'nyanja: nsomba zamkati, pinki nsomba, hering'i, nsomba, capelin, carp, pollock, sardine, mackerel, whiting bluu,
• caviar, shrimp,
• mazira a nkhuku
• tchizi, tchizi chanyumba, mkaka wina,
• mtedza
• bowa, nyemba, amadyera.

Kudya kwa mayi wapakati kumafunika kukanidwa kwathunthu kwazinthu zotere:

• mankhwala omalizidwa
• mbatata
• semolina phala
• kupanikizana, kupanikizana,
• kaloti
• wokondedwa
• masoseji
• zinthu zoyera za ufa (buledi, pasitala),
• zakumwa zokoma
• ayisikilimu
• masiku, maessi, nthochi, nkhuyu, mphesa, maapulo okoma, mavwende,
• Confectionery
• mafupa
• zipatso zamasamba
• zotsekemera ndi zinthu zomwe zili nazo,
• batala (kwakukulu malire).

Mitundu iwiri ya matenda a shuga yazindikirika, awa ndi mtundu wa 1 wodwala matenda a shuga ndi mtundu wachiwiri wa insulin wodalira shuga. Kusiyana pakati pawo mu njira zowonetsera ndi njira zamankhwala. Zakudya za odwala matendawa ndizofunikira kwambiri kwa mkazi komanso mapangidwe a mwana wosabadwayo. Ndi gawo lofunikira pa njira yokhazikika yokhala ndi pakati.

Zakudya za mayi wapakati wokhala ndi shuga zimapangidwa ndi dokotala mwanjira yoti momwe angathere amalowa m'thupi la mavitamini, kufufuza zinthu, mapuloteni. Ndipo kuchuluka kwa chakudya chamafuta kumakhala kocheperako, osapitirira 250 g patsiku. Komanso, "zosavuta" zophatikiza zamafuta sizimaperekedwa kwa amayi oyembekezera omwe ali ndi matenda ashuga konse (shuga, makeke, maswiti, kupanikizana).

Zakudya za shuga ziyenera kukhala ndi pakati:

Kwaniritsani zofunikira za thupi,

1. Kuti mukhale wopatsa, muyenera kudya pang'ono, koma nthawi 6,
2. Khazikitsani thupi ndi zinthu zofunikira,
3. Muli zakudya zomwe sizimachulukitsa thupi,
4. Muli magwero ndi mayamwidwe pang'onopang'ono a chakudya.

Amayi oyembekezera omwe ali ndi matenda ashuga komanso onenepa kwambiri sayenera kudya zosaposa 1900 kcal patsiku. Izi ndizofunikira kwambiri kotero kuti kulemera kwa makanda osapitirira 4500 g: kupewa kuvulala pakubala ndi ma pathologies a mwana wosabadwayo.

Zakudya za anthu odwala matenda ashuga: makanema, malingaliro ambiri ndi malangizo othandiza

Matenda a shuga a Gestationalabetes (GDM) ndi njira yomwe imakhazikika mwa amayi atatu oyembekezera chifukwa cha kupangika kwa insulin kukokana kwa maselo komanso kuperewera kwa mafuta m'thupi. Nthawi zambiri, imakhala ndi njira yotsika ndipo siyimavutitsa mkazi, koma imakhudza mayendedwe abambo ndi mapangidwe a mwana wosabadwayo.

Ndikofunikira kuchiza matendawa, ndipo nthawi zambiri kuposa momwe matenda a labotale amakhalira angapangidwe mwa kuwongolera moyo komanso kuchiritsa odwala. Ndizachilendo kwambiri kugwiritsa ntchito mankhwala a insulin. Ndipo zakudya ndizotani pa shuga yemwe ali ndi pakati motere: tiyesa kulingalira menyu ndi mfundo zofunika pambiri popenda.

Mumadya bwanji?

Matenda a shuga m'magazi nthawi zambiri amatchedwa matenda omwe amaphatikizana ndi kuchuluka kwa matenda a glucose monosaccharide m'magazi panthawi yacakudya kapena pambuyo podziwitsa shuga wa glucose, yemwe adayamba kudziwonetsa ali ndi pakati (nthawi zambiri osati masabata 16-30).

Cholinga chenicheni ndi makina azomwe zimapangidwira kukula kwa matenda sizinafotokozedwe bwino ndi asayansi, komabe, nthawi zambiri GDM imalumikizidwa ndi kusintha kwamahomoni komwe kumachitika m'thupi la mzimayi, komanso kuchepa kwa wachibale kumverera kwa maselo olandila ma cell insulin.

Zina mwamavuto:

• zaka zopitilira 30
• kunenepa
• cholowa chamadwala a shuga,
• mbiri yakubadwa kumene kapena mwana wosabadwa wamkulu,
• polyhydramnios.

Kilogalamu iliyonse yowonjezera imakhala yangozi yaumoyo.

Pambuyo pobadwa, kuchuluka kwa mahomoni amabwerera ku zomwe zinali zenizeni, ndipo kuchuluka kwa shuga m'magazi kumakhalanso kwamtundu wina.

Tcherani khutu! Amayi onse omwe ali ndi GDM pasanathe masabata 6 atabadwa amapatsidwa mayeso wotsatira. Izi ndizofunikira kupatula chitukuko cha "chowonadi" cha shuga, chomwe chimawonetsedwa panthawi yapakati.

Zizindikiro zodziwika bwino mu GDM zitha kukhala zofatsa

Njira yayikulu yochizira matendawa komanso kuphatikiza kagayidwe kazakudya pakadali pano ndi chakudya.

Zakudya za amayi apakati omwe ali ndi matenda ashuga zimakhazikitsidwa pa mfundo izi:

Tcherani khutu! Zakudya za anthu odwala matenda ashuga sizitanthauza kusiya zakudya zambiri ndi njala. Kuletsedwa kwa Carbohydrate kumangogwira gawo lawo lophatikizika mosavuta. Pokhapokha mutalangizidwa ndi adotolo, chimanga, buledi, mbatata ndi ma polysaccharides ena "osakwiya" akhoza kudyedwa, koma pang'ono.

Zakudya za amayi apakati omwe ali ndi matenda ashuga amalimbikitsa kugwiritsa ntchito mitundu iyi:

• buledi wathunthu
• masamba aliwonse
• nyemba
• bowa
• chimanga - makamaka mapira, barele, mafuta,
• kudya nyama
• nsomba
• mazira a nkhuku - ma PC atatu. / sabata.,
• zopangidwa mkaka
• zipatso zouma ndi zipatso,
• mafuta a masamba.

Zakudya zamankhwala kwa amayi apakati omwe ali ndi matenda ashuga amafunika kuwachotsa kwathunthu pazakudya:

• shuga ndi zotsekemera,
• wokondedwa
• amateteza, jams, jams,
• maswiti, makeke, makeke, makeke amphaka a gingerb, masikono ndi makeke ena,
• ayisikilimu
• zipatso zamkati ndi timadzi tokoma,
• zakumwa zoziziritsa kukhosi za kaboni
• zipatso zotsekemera - nthochi, mphesa, ma Persimm, mavwende, masiku, nkhuyu,
• semolina ndi mpunga groats.

Choopsa chachikulu ndi shuga ndi maswiti.

Ngakhale pali zina zomwe sangathe kuchita, kudya ndi GDM kumatha kukhala kwabwinobwino, kotsekemera ndipo, koposa zonse, ndizosiyanasiyana. Zakudya zofananira za mayi wapakati wokhala ndi shuga zimafotokozedwa pansipa.

Gome: Zakudya zoyenera kwa amayi omwe ali ndi matenda ashuga:

Matenda a Gestationalabetes (HD) ndi matenda a carbohydrate metabolism (prediabetesic state) kapena matenda osokoneza bongo a mitundu yosiyanasiyana. Zizindikiro zawo zimachitika kuyambira sabata la 14 la mimba. Kuphatikiza pa zovuta zomwe zimachitika pakukula kwa fetal komanso kuopseza panjira yolakwika, HD imatha kuyambitsa matenda ashuga, kukhazikika kwa zolakwika za mtima ndi mawonekedwe aubongo khanda.

Matenda a shuga amayi apakati ndi chisonyezo pafupifupi 100% cha magawo a cesarean, popeza zowopsa zomwe zimachitika panthawi yogwirira ntchito zimachulukirachulukira, kwa mwana ndi amayi.

Mpaka 14% ya atsikana omwe ali ndi pakati amakhudzidwa ndi matenda amtunduwu. Mwa azimayi 10% omwe amakhala ndi matendawa, mtundu 2 wa matenda ashuga umayamba zaka 10 zikubwerazi.

Zomwe zimayambitsa HD ndi:

• kapamba wofooka,
• osakwanira, mwanjira yabwinobwino yoyembekezera, kutulutsidwa kwa insulin.

Kuchepa kwa chidwi cha maselo am'mimba komanso minyewa ya adipose kupita ku insulin kumachitika chifukwa cha kuchepa kwa thupi ndi zakudya zam'mbuyomu zamkati, ma virus.

Nthawi zambiri, ma HD amawonekera mwa amayi omwe ali ndi "maluwa" omwe ali ndi matenda osachiritsika, "osadwala matenda ashuga", komanso iwo obala pambuyo pa 30 kilogalamu. Kuonjezera kwa kubadwa kwa mwana wamkulu (wopitilira makilogalamu anayi), ndi polycystic ovary syndrome pafupifupi kuwopsa kwa HD.

Kuzindikirika kwa HD kumapeto kwa mimba kumachitika chifukwa amayi sakusamala njira yodutsira "maola awiri pakumvera kwa glucose", yomwe imayenera kudutsa pakati pa sabata la 24 ndi 28. Chithunzi chabodza pakuwunikira ndipo, monga chotulukapo, chidziwitso cham'tsogolo chazindikiritso cha HD chimachitika chifukwa chakuti amayi apakati satsatira chikhalidwe chachikulu pakupita mayeso - kuwupatsira pamimba yopanda kanthu.

Ndikofunikira kudziwa kuti odwala matenda ashuga mwa amayi apakati, kuchuluka kwa glucose kosakhalitsa kumakhalabe kotchuka kwa trimesters, ndipo zovuta za insulin zotulutsira thupi zimachitika pokhapokha chifukwa chakudya. M'mimba mwa azimayi oyembekezera, kusazindikira zovuta zakukonzekera kuyesedwa ndi kusakidwa mwangozi musanatenge sampuli yoyamba yamwazi kumabweretsa kusazindikira HD. Chifukwa chake, ndikulimbikitsidwa kuti musunge malamulo otsatirawa:

• idyani kwa masiku atatu musanachite zinthuzo popanda zoletsa zazikulu,
• tsiku lililonse muzidya zakudya zopatsa mphamvu zoposa 150 g zomwe zimapezeka m'masamba, zipatso, nyemba ndi mbewu zonse za chimanga,
• Onani momwe zinthu zimakhalira zolimbitsa thupi - katundu wambiri kapena wocheperako amatha kupereka chithunzi,
• chepetsa kudya kwa mafuta ambiri mpaka magalamu 40 usiku watha,
• kusala kudya (ndi kukakamira kudya kwamadzi) musanatenge magazi mwachindunji kuyenera kukhala kuyambira maola 8 mpaka 14.

Zotsatira za mayesowa zimakhudzidwa ndi kuzizira kwanu komanso mankhwala ena. Kuzindikira kwa HD kumachitika pokhapokha kuyesedwa kwa gawo 2.

Ngakhale ndizotsatira zoyipa, HD akapanda kukhazikitsidwa, mutaphunzitsidwa ndi dokotala wamkazi kuofesi ya adotolo, ndikofunikira kuti azilamulira pawokha shuga pakatha sabata.

Kuchita masewera olimbitsa thupi, jakisoni wa insulini komanso kadyedwe ka matenda amiseche ndi njira zazikulu zochizira. Osadzisilira! Mlingo wa jakisoni wa mahomoni ndi mankhwala a insulin amatsimikiziridwa ndi gynecologist.

Mu 2010, WHO idasindikiza mtsogolo kusintha kwakukulu pa malangizo a amayi omwe ali ndi vuto la kuperewera kwa zakudya:

1. Mosiyana ndi njira yodyetsera odwala omwe ali ndi matenda ashuga, amayi apakati samalimbikitsidwa kuti azitsatira zakudya zamafuta ochepa, omwe amalangizidwa kuti asinthe nthawi yomweyo yoyamwitsa.
2. Sankhani chakudya chofunikira kwambiri “chofulumira” m'zakudya - maswiti, makeke ndi zakudya zamatumbo.
3. Pangani menyu yanu pakudya mafuta tsiku lililonse kuchokera ku magawo 80-100 (omwe analimbikitsidwa kale mpaka 350g).
4. Kuwerengera kwa mapuloteni, mafuta achilengedwe ndi chakudya chamagulu azikhala 40% - 20% - 40%.

Muwerengere kuchuluka kwa menyu a tsiku ndi tsiku mowerengera osaposa 35 kilogalamu pa kilogalamu imodzi ya kulemera kwamthupi (BMI) ndi kulemera kwakanthawi kwamlungu sabata iliyonse (BMI):

BMI = (BMI + BMI) * 35 kcal

BMI imawerengeredwa ndi njira:

BMI = 49 + 1.7 * (0.394 * kutalika masentimita - 60)

BMI (mu kg) imatengedwa patebulo:

Zakudya zamasiku ano zimapereka dongosolo lotsatirali komanso malingaliro abwino pazowerengera ndi malingaliro:

Ola limodzi mutatha kudya, azimayi oyembekezera omwe ali ndi matenda a HD amayenera kuwunika kuchuluka kwa shuga m'magazi:

Pophika, ndibwino kugwiritsa ntchito ukadaulo wophika, "wowotcha" kapena kuphika mu uvuni.

Mukakonza menyu, gwiritsani ntchito magome a glycemic ndi insulin index, kuwerengera ndikuwona kuchuluka kwa glycemic katundu, komanso gwiritsani ntchito zinthu zomwe zalembedwa pansipa:

• tchizi zolimba
• wowawasa mkaka wowonda,
• yogati yachilengedwe (yokhala ngati odzola) ikhoza kugwiritsidwa ntchito kuvala masaladi,
• batala kirimu batala,
• nyama ndi nkhuku
• nsomba ndi nsomba zam'nyanja, zam'nyanja (zopanda shuga),
• mazira
• masamba obiriwira - avocados, nkhaka, squash, biringanya, mitundu yonse ya kabichi, kolifulawa, broccoli, nyemba za katsabola wobiriwira, sipinachi, zonunkhira zabwino, anyezi wobiriwira ndi tsabola wotentha,
• ochepa masamba owerengeka kuchokera mndandanda oletsedwa - kaloti, dzungu, beets ndi anyezi (chakudya chamasana chokha),
• bowa
• soya ndi zinthu kuchokera mmenemo zazing'ono, mkaka wa soya ndi ufa wa soya,
• Mbale wa ku Brazil ndi ma hazelnuts, nthanga za mpendadzuwa (mpaka 150 g nthawi imodzi),
• Mlingo wabwino wamchere ndi mapiritsi okhala ndi magnesium,
• madzi a phwetekere - 50 ml pa phwando (mutayesa),
• tiyi, khofi, khofi ndi zonona - palibe shuga.

Chotsani pakati pa mimba osati zakudya zilizonse zokhala ndi shuga komanso zopatsa shuga. Pafupifupi kulumikizana komweko m'magazi a shuga kumatha kupezeka kuchokera ku zinthu zingapo, chifukwa chake, panthawi yoyembekezera ndi HD, ndikofunikira kupatula kwathunthu:

• zotsekemera, shuga ndi uchi wogwirizira,
• Zakudya ndi maswiti okoma onse, kuphatikiza zomwe zidalembedwa ngati "matenda ashuga", "zakudya",
• mafuta onse omwe ali ndi mbewu zamphesa ndi tirigu wabwino (kuphatikizapo bulauni ndi mpunga wamtchire),
• mbatata
• ufa uliwonse (Zakudyazi), buledi (kuphatikiza mbewu zonse) ndi zinthu zophika buledi zopangidwa ndi ufa wa tirigu ndi mbewu zina
• buledi, mkate, chinangwa,
• mbewu iliyonse yam'madzi kapena chakudya cham'mawa,
• zipatso zonse ndi misuzi yazipatso,
• Yerusalemu artichoke, belu tsabola, beets, kaloti ndi dzungu,
• nyemba zilizonse
• zinthu zonse ndi mbale kuchokera ku tomato wothira kutentha,
• mkaka, mkaka wowotchera mkaka (kefir, mkaka wowotchera, yogati) ndi mkaka wokakamira, Whey ndi yoletsedwa mwamphamvu,
• tchizi zofewa monga Feta, Mozzarella, etc.,
• mafuta ochepa, okoma kapena yogati yokhala ndi zipatso,
• Zakudya zonse zakonzedwa ndi sopo zamzitini,
• margarine, viniga wa basamu,
• mtedza, ma cashews,
• zakumwa zonunkhira bwino.

• Osamadya mopambanitsa! Kudyera kulikonse kumabweretsa kulumpha kowopsa m'magazi a magazi, ngakhale mbale zikhale ndi zakudya zovomerezeka.
• Nthawi zonse khalani ndi china chake chosakira pamndandanda wazakudya zololedwa, kudzichirikiza munthawi zovuta ndikukupulumutsani ku mayesero.
• Kupanga mndandanda wachidziwikire sabata ndi kutsatira mosamalitsa kumapereka zotsatira zabwino zowongolera DG.
• Kuti muwonjezere zakudya zanu, pangani mndandanda wanu wa kulekerera chakudya - poyesa kuchuluka kwa shuga m'magazi 1 ndi 2 mutatha kudya ndi glucometer. Onetsetsani kuti zikuwoneka bwanji tchizi wowawasa mkaka tchizi, tomato watsopano, mtedza ndi mbewu.
• Kafukufuku wopangidwa ndi Canadian Institute of Nutrition mu 2015 adawonetsa kuti zipatso zamphesa zimatha kukhala ndi zotsatira zofanana ndi mankhwala a metformin m'thupi. Ngakhale oletsedwa kudya chipatso chilichonse, onetsetsani kuti mwayesedwa bwanji chipatsochi.

Mukamagula zakudya, zonunkhira, ndi zokometsera, yang'anani kulembera kwa shuga kapena shuga.

Ndi matenda a shuga a gestational, ndizoletsedwa kumwa mapiritsi ndi zakudya zomwe zimachepetsa shuga ya magazi! Nenani kuti Metformin-yomwe ili ndi Siofor ndi Glucofage.

Pambuyo pa HD yapita komanso kutha kwa kuyamwitsa kuti muchepetse kukula kwa matenda a shuga a 2 ndikuwonjezera kulemera kwake, muyenera kusinthana ndi zakudya zamafuta ochepa (kuyambira 20 mpaka 40 g wama chakudya tsiku).

Ndikofunika kuyesedwa kwa matenda ashuga m'masabata 8-12 mutabadwa ndikuwunika hemoglobin osachepera 1 nthawi yazaka zitatu.

1. 
   Vladislav Vladimirovich Privolnev, Valery Stepanovich Zabrosaev und Nikolay Vasilyevich Danilenkov Diabetesic phazi, LAP Lambert Academic Publishing - M., 2013. - 92 p.
2. 
   Zolemba A.V. Endocrine syndromes. Kuzindikira komanso kulandira chithandizo, GEOTAR-Media - M., 2014. - 416 c.
3. 
   Ametov A.S. Granovskaya-Tsvetkova A.M., Kazey N.S. Osadalira insulin wodwala matenda osokoneza bongo: zoyambira za pathogenesis ndi mankhwala. Moscow, Russian Medical Academy of the Ministry of Health of the Russian Federation, 1995, masamba 64, kufalitsidwa sikunatchulidwe.

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.