Zakudya zopatsa thanzi kwa amayi apakati

GDM pa nthawi yapakati si kawirikawiri. Muzochitika zoterezi, ndizovuta kusankha zakudya, chifukwa simungathe kupatula chakudya kapena kusala kudya. Kuphatikiza apo, mthupi la mzimayi, njira zonse za metabolic zimachitika mochuluka, zomwe zimafunikira kuti azisungidwa pakudya kwamagulu akuluakulu a mavitamini ndikutsata zofunikira pakukula kwa mwana.

Kusankhidwa kwa zakudya kuyenera kupangidwa ndi dokotala wodziwa zambiri, chifukwa menyu ochepera-carb nthawi zambiri amakhumudwitsa ketoacidosis - magazi amakhala ndi matupi a ketone omwe ali ovulaza mwana wosabadwayo. Kusankha zakudya zoyenera, ndikofunikira kuyang'ana pa index ya thupi la mayi.

Malangizo apakati pa amayi apakati

Ndi matenda a shuga, maswiti sayenera kuperekedwa kuchakudya kapena zakudya zomwe zimayenera kuperekedwa pafupipafupi ziyenera kuperekedwa. Chakudya chama 6 chimalimbikitsidwa - zakudya zazikuluzikulu zitatu ndi zitatu.

Kusiyana pakati pa chakudya chamunthu aliyense payenera kukhala mkati mwa maola 2,5, ndipo kusiyana pakati pa chakudya choyambirira ndi chotsiriza kuyenera kukhala kopitilira maola 10. Ndi chakudya chamtengo wapatali ichi, mayi atha kuchepetsa kwambiri kuopsa kwa kulumikizidwa kwa shuga m'magazi.

Ndikofunikira kupatula vuto la kudya kwambiri, kupatula kuchuluka kwa gawo limodzi mkati mwa g g.

Ngati mayi wapezeka ndi matenda a shuga, ndiye kuti ndi bwino kutsatira kalondolondo kameneka tsiku lonse:

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

Kuti mudziwe dongosolo la zakudya m'thupi la GDM, tebulo Na. 9 limagwiritsidwa ntchito - mndandanda wazakudya kwa amayi oyembekezera omwe akutsimikiziridwa ndi a gastroenterologist M.I. Pevzner. Amapereka ma protein, mafuta komanso chakudya chamagulu ambiri.

Monga gawo la chakudya chomwe chikukonzedweratu, kuchuluka kwa chakudya zamafuta omwe amamwetsedwa kumachepetsedwa ndi 10% malinga ndi zomwe zimachitika, chifukwa chake, zakudya za tsiku ndi tsiku ziyenera kukhala ndi 200-300 g yama chakudya tsiku. Koma mapuloteni sayenera kuchepetsedwa - kuchuluka kwawo kuyenera kufananizana ndi mayendedwe achilengedwe.

Motere, zakudya zokhala ndi mapuloteni ambiri zimayenera kupezeka tsiku lililonse muzakudya zosachepera ziwiri patsiku. Ndipo mafuta ayenera kuchepetsedwa. Komanso, zokhutitsidwa zimachotsedwa kwathunthu.

Zotsatira zake, magawo a BJU ayenera kuphatikizidwa motere:

• gawo la chakudya ndi 50%,
• gawo la mapuloteni ndi 35%,
• kukhalapo kwa mafuta - 20%.

Nutritionists tikulimbikitsidwa kutsatira magawo a zonse zopatsa mphamvu kalori tsiku patsiku 2000-2500 kcal.

Kuwerengera zamawonekedwe a calorie a menyu atha kuchitika polingalira mulingo woyenera kwambiri - 35-40 kcal patsiku pa 1 kg ya thupi la mkazi.

Ndi zakudya ziti zomwe zingaphatikizidwe muzakudya

Ndi matenda ashuga, amayi oyembekezera sayenera kupatula chakudya chamafuta m'zakudya. Menyu sayenera kukhala ndi shuga, uchi, maswiti, chokoleti, zakumwa zamzitini, zakumwa zoziziritsa kukhosi za kaboni, zotsekemera.

Ndikofunikira kutsatira zakudya zisanu ndi chimodzi patsiku tsiku lonse, kugawa chakudya.

Madzulo, sikulimbikitsidwa kudya zipatso ndi nyama. Zakudya izi ndizosavuta kugaya m'mawa.

Koma chifukwa chamadzulo ndikofunikira kuyika tchizi tchizi, kefir, masamba owerengedwa patebulo.

Pali zofunika zina zamagulu ogulitsa:

1. Zinthu Zam mkate ndipo zakudya zamtundu wa ufa ziyenera kudyedwa pazomwe zimakhudzidwa ndi wathanzi, potengera zakudya zomwe zimaloledwa. Amaloledwa kuphatikiza mkate wa rye mumenyu, komanso zinthu kuchokera ku ufa wa tirigu wa giredi lachiwiri. Palibe zopinga za pasitala ndi mafuta osapezeka amafuta. Koma kuchokera kuphika, zopangidwa kuchokera ku mkate wamfupi kapena puff pastry ziyenera kusiyidwa. Akazi sayenera kudya makeke, makeke, ma muffins, ndi zina.
2. Pakati pa mbewu monga chimanga kutsimikizira mu zakudya ziyenera kukhala pa buckwheat, barele, mapira, barele wa pearl, oat. Komabe, apa, zoletsa pazabwino kwambiri za chakudya zimatengedwa. Zakudya zamafuta ndi mpunga ndi semolina nthawi zambiri zimasiyanitsidwa pazosankha.
3. Zakudya zamasamba zothandiza kwa thupi, chifukwa chake menyu ungasinthidwe pogwiritsa ntchito mbatata, kaloti, beets. Kuphatikizidwa kwa nandolo zobiriwira komanso nyemba ndizoyenera. Nyemba ndi mbale za mphodza zingakhale zothandiza. Nutritionists ayenera kuwongolera machulukidwe a chakudya - kupezeka kwawo sikuposa 5% m'masamba. Chifukwa chake, tikulimbikitsidwa kugwiritsa ntchito kabichi, zukini, dzungu, nkhaka, tomato, letesi. Makonda amaperekedwa kwa ndiwo zamasamba zosaphika, zophika, zophika, zophika. Sakonda zinthu zamchere komanso zotsekemera - samasiyanitsidwa konse.
4. Ndi chipatso ayenera kusamala. M'mawa, zipatso zatsopano ndi zipatso zimaloledwa. Koma muyenera kusankha mitundu okoma ndi wowawasa. Zowona, zinthu zambiri ndizoletsedwa. Izi zimagwira ntchito mphesa, zoumba, nthochi. Yoletsedwa ndi kupanikizana.
5. Mu zinthu zamkaka pali calcium wokhala ndi mapuloteni omwe amapindulitsa thupi la mkazi. Chifukwa chake, zinthu zamkaka ndizabwino kudya - mafuta ochepa a kefir, bifidok, zonona wowoneka bwino wopanda mafuta monga zowonjezera zam'mbale, zakumwa mkaka wowawasa wopanda shuga. Zinthu zokhala ndi lactose, tchizi chotsekemera tchizi ndi yogurts, kirimu wowawasa ndi tchizi zamitundu yamafuta sizili zoyenera kwa mayi woyembekezera wokhala ndi GDM.
6. Mu nyama ili ndi mavitamini, mapuloteni apamwamba kwambiri komanso mafuta. Zakudya izi ziziphatikizidwa muzakudya. Komabe, muyenera kusankha mitundu yamafuta ochepa. Gome limatha kukongoletsedwa ndi mbale za ng'ombe, nyama yamwana wamchere, kalulu, nkhuku, nkhuku. Zitha kuthiridwa mu mawonekedwe owiritsa kapena otentha. Zakudya zomwe zimakhala ndi mafuta ambiri azinyama siziyenera kudyedwa. Zakudya zamafuta zimapweteketsa thupi. Zinthu zophatikizidwa ndi soseji, nyama zamzitini siziyikidwa kunja. Frying sioyenera ngati njira yophikira.
7. Nsomba komanso wolemera mavitamini, mapuloteni ndi mafuta. Imathandizanso chifukwa imakhala ndi omega-3 acid. Pazakudya zamagulu, nsomba zopanda mafuta ndizoyenera. Itha kuwiritsa kapena kuphika. Amaloledwa kudya zinthu zamzitini mumadzi wawo kapena kugwiritsa ntchito phwetekere. Nsomba yamafuta kapena mchere, komanso nsomba zam'chitini m'mafuta, ndizoletsedwa.
8. Amayi omwe amapezeka ndi matenda osokoneza bongo a mellitus ayenera kuwonjezeredwa ku zakudya panthawi yomwe ali ndi pakati. borschndikachiromboka kugwiritsa ntchito masamba. Masamba kapena kefir okroshka ndizothandiza, koma popanda kuwonjezera masoseji kapena kvass. Akatswiri azakudya amalangizidwa kuti azigwiritsa ntchito nyama yamafuta ochepa, nsomba kapena msuzi wa bowa wa ndende zochepa. Mutha kuwonjezera zamasamba, mbewu monga chimanga, masamba a nyama. Koma mbale zamisuzi yolimba ndi mafuta ndizopikisano. Nutritionists amaloledwa kuphatikiza mazira owiritsa pamenyu. Komabe, ziyenera kukhala zochepa kwa mphindi 3-4 sabata yonseyo. Mafuta ophikira amatha kugwiritsidwanso ntchito, koma ochulukirapo - amaloledwa kugwiritsidwa ntchito ngati chovala.
9. Kupita ku bowa akatswiri azakudya nthawi zonse amakhala ndi malingaliro odabwitsa. Kumbali imodzi, ndizothandiza chifukwa zimadzaza ndi mafuta. Komabe, kumbali inayo, ndizopanga zomwe ndizovuta kugaya ndi ziwalo zogaya, zomwe zimapangitsa kuti zikhale zochulukirapo pa kapamba. Palinso mfundo ina - kuchuluka kwa malonda ake, chifukwa kusonkhanitsa kosayenera ndikusungirako kumatha kuyambitsa poizoni. Chifukwa chake, amaloledwa kugwiritsira ntchito mitundu yotetezeka ya bowa komanso waukulu.
10. Akatswiri amalimbikitsa kumwa osachepera malita 1.5 amadzimadzi patsiku. Potere, mutha kugwiritsa ntchito timadziti kapena zakumwa zatsopano zomwe sizinafike shuga. Tiyi yopanda thunzi, madzi amchere osakhala ndi kaboni wokhala ndi zisonyezo zazing'ono za mchere, zotsekera khofi ndizoyenera. Koma misuzi yamtundu wokoma, mandimu, kvass, mowa ndi zoletsedwa.

Yalimbikitsidwa tsiku lililonse

Odwala omwe ali ndi GDM panthawi yapakati, ndikofunika kuti azitsatira menyu ndi zinthu zovomerezeka.

Zakudya zabwino zatsiku ndi tsiku zingaphatikizeponso:

1. Chakudya cham'mawa(nthawi ya 7-30) Ndikofunika kuti muzidya tchizi chochepa cha mafuta ophikira, chotsekedwa mkaka, phala la oatmeal, tiyi wopanda zowonjezera.
2. Chakudya cham'mawa chachiwiri (nthawi ya 10-00) Mutha kupatsa zipatso, monga maapulo.
3. Ndi chakudya chamadzulo pa 12-30 Mutha kukonza saladi ndi nkhaka ndi tomato, mbale yophika ndi supuni yophika ya nyama yopendekeka, gawo la pasitala ndi msuzi wokhala ndi duwa lakuthengo.
4. Kwa chakudya chamasana masana pa 15-00 Mutha kumwa kapu imodzi ya mkaka ndikudya 20 g ya mkate.
5. Mgonero woyamba ndi 17-30 Mutha kusinthana ndi gawo la phala la buckwheat ndi nsomba zowotchera ndi kapu ya tiyi wopanda mafuta.
6. Osaneneka chakudya chamadzulo chachiwiri musanagone muyenera kukhala ndi kapu ya kefir ndi mkate pang'ono.

Pa nthawi yoyembekezera, muyenera kuyang'anira kuchuluka kwa shuga m'magazi. Chitani izi kangapo 4 pa tsiku pogwiritsa ntchito glucometer.

Madokotala amalimbikitsa kutenga miyeso m'mawa, komanso ola limodzi mutatha kudya mbale zazikulu.