Matenda a shuga ndi matenda omwe amayenda limodzi ndi kuphwanya kwa kuchuluka kwa chizindikiritso cha insulin kapena ntchito zake. Insulin ndi timadzi tofunikira timene timayendetsa glucose yemwe amayenda ndi magazi kupita ku maselo onse omwe amadalira insulin. Kupanga insulin kokwanira kapena kusapezeka kwake kumabweretsa hyperglycemia, ndiko kuti, kuchuluka kwa shuga m'magazi.
Palinso mtundu wina wa matenda osokoneza bongo omwe umakhudza azimayi omwe ali ndiudindo. Malinga ndi ziwerengero, azimayi oyembekezera omwe sanakhalepo ndi shuga m'magazi apanga GDM mwa milandu 3 mpaka 5 peresenti. Mawu akuti "gestationalabetes mellitus" amatanthauza mtundu wamatenda omwe umatha kupezeka nthawi yapakati.
Nthawi zambiri, matenda a shuga ammimba amapezeka sabata litayamba. Komanso, zomwe zimayambitsa kukula kwa matendawa sizimveka bwino. Pakati pa nthawi yonseyi, placenta imachokera ku mahomoni omwe amathandizira kukula kwa mwana wosabadwayo. Amakhulupirira kuti amathanso kulepheretsa kupanga kapena kutulutsa insulin yopangidwa ndi mayi.
Vutoli limatchedwa insulini kukana, komwe kumatanthauza kusakhazikika kwa maselo chifukwa cha insulini. Chifukwa chake, pakapita nthawi, misempha ya magazi imayamba kukwera.
Mayi akamadwala matenda ashuga, glucose wambiri amatenga mwana wosabadwayo, amasintha kukhala mafuta. Ana omwe ali ndi kulemera kwambiri nthawi zambiri amavulala mu humerus pobereka. Kuphatikiza apo, kapamba wa mwana wosabadwayo amayamba kupanga insulini yochulukirapo kuposa momwe amafunikira, kotero hypoglycemia, ndiko kuti, shuga wochepetsedwa, amatha kupezeka.
Malinga ndi ziwerengero, ngati mayi adapezeka ndi matendawa, mwana wobadwa akhoza kukhala ndi vuto la kupuma. Pakadutsa zaka zambiri, ana awa nthawi zambiri amawonetsa kunenepa kwambiri kapena kukula kwa matenda ashuga amtundu wa 2. Ndizofunikira kudziwa kuti zakudya zamatenda a shuga ndi njira yayikulu yothandizira.
Monga lamulo, matendawa amangozimiririka akangobadwa kumene. Ndizofunikanso kudziwa kuti mzimayi yemwe adadwala matenda omwe ali ndi pakati atha kukhala ndi pakati. Kuphatikiza apo, azimayi oterewa amayamba kugwera m'gulu la anthu odwala matenda ashuga.
Zowopsa
Zomwe zimayambitsa ngozi zimaphatikizapo izi:
- Nthawi zambiri hypoglycemia pa nthawi ya pakati imawonedwa mwa azimayi opitirira zaka makumi anayi.
- Choyambitsa chibadwa ndichofunikira, chifukwa, amayi apakati omwe achibale awo omwe ali ndi matenda amtundu wa 2 kapena matenda amtundu wa 2 amatha kufotokozedwa ngati gulu lowopsa. Ngati makolo onse a mayi ali ndi matenda ashuga nthawi imodzi, ngozi imachulukirachulukira.
- Kuwona kukuwonetsa kuti matendawa amapezeka kwambiri mwa azimayi omwe ali oyera.
- Kusuta.
- Kubala kwachabechabe kwa mwana wosabadwa kapena kubadwa kwa mwana wolemera makilogalamu 4,500 kumapangitsanso mayi woyembekezera kukhala pachiwopsezo.
Kulemera kwambiri kwa thupi kumakhalanso chifukwa chachikulu chodera nkhawa. Kulemera, zomwe zimachitika kuposa 25 - 30 peresenti, pafupifupi kuwonjeza kuopsa komwe kulipo. Mwachitsanzo, mayi yemwe ali ndi kutalika kwa masentimita 160 ndi kulemera kwa ma kilogalamu 70 amakhala ndi index yayikulu ya 25 ya 25.
Mayi aliyense woyembekezera ayenera kuyezedwa matenda a shuga pakatikati pa sabata la makumi awiri ndi anayi ndi makumi awiri ndi asanu ndi atatu. Kusanthula kukatsimikizira kupezeka kwa matendawa, kuyesanso kwachiwiri kumachitika, pomwe wodwalayo amamwa shuga wina.
Monga lamulo, insulin sikugwiritsidwa ntchito pochiza matenda a shuga. Ndikokwanira kwa wodwalayo kusiya zizolowezi zoipa ndikulandila mlingo wovomerezeka wolimbitsa thupi. Kuphatikiza apo, chakudyacho chimathandiza ndi matenda osokoneza bongo, popanda mankhwala ovuta kwambiri pakadakhala osagwira ntchito.
Zizolowezi Zoyenera Kudya
Chakudya chapadera chitha kuperekedwa ndi endocrinologist, yemwe amatsogozedwa ndi maphunziro oyamba. Zakudya zopatsa thanzi panthawiyi zimapezanso zakumwa zina zabwino komanso zabwino.
Chofunikira kwambiri pachakudya ndichakuti wodwalayo ayenera kuchepetsa kuchuluka kwa zakudya zomwe zimakhala ndi chakudya chambiri. Ndiko kuti, tilewe njira zamaswiti, koma kuwonjezera kuchuluka kwa zipatso ndi ndiwo zamasamba.
Dokotala wodzipereka komanso wowonjezera zakudya zanyumba amapereka malingaliro potengera luso la zopangira zamafuta kuti achepetse kuchuluka kwambiri kwa kapamba, ndi ziwalo zina zingapo, zomwe zimaphatikizanso chiwindi ndi impso. Matupi awa amakhala atadzaza kale njira zambiri zama metabolic.
Mayi woyembekezera ayenera kutsatira malamulo awa:
Mosakayikira, zakudya zonse zomwe zimadyedwa ziyenera kukhala zabwino, zosiyanasiyana. Kufunika kumeneku kukufotokozedwa ndikuti mwana wosabadwayo ayenera kulandira zinthu zochulukirapo, michere ndi mavitamini, kotero kuti kukula kwake kwatha.
Gome la pakati limayenera kukhala lolemera momwe mungathere. Komabe, muyenera kukumbukira nthawi zonse kuchuluka kwa momwe mudyera, popeza chithandizo chilichonse, mulingo wofunikira kwambiri. Zakudya zamankhwala zimatanthawuza kuti chakudya chimakhala ngati mankhwala.
Wodwala wodwala matenda ashuga ayenera kuphunzira kudziwa zakudya zabwino mwa kapangidwe kake. Zophatikiza zama carbohydrate ziyenera kuchepetsedwa ndi theka kuchokera pa mulingo wamba. Amaphatikizidwa ndi chakudya cham'mimba, komanso zakudya zilizonse zotsekemera zomwe zimafunikira m'malo ndi zakudya zabwino, monga sipinachi, kaloti, broccoli.
Masamba osaphika amakhala ndi kuchuluka kwa michere mumitundu yawo yonse yaiwisi. Kuchokera kwa iwo mutha kupanga saladi zatsopano ndi kuwonjezera kwa mpendadzuwa kapena mafuta a maolivi. Maphikidwe oterewa ndi othandiza makamaka m'chilimwe. Shuga ayenera kuthetsedweratu, m'malo ndi uchi utha kugwiritsidwa ntchito.
- Kuti muthane ndi shuga m'magazi am'magazi, ndikofunikira kudziwa index yake ya glycemic musanadye mankhwala ena ake. Anthu odwala matenda ashuga samalimbikitsidwa kugwiritsa ntchito zakudya zomwe zili ndi index ya glycemic pamtunda 60.
- Mayi woyembekezera yemwe ali ndi vuto la matenda ashuga amayenera kudya zamadzimadzi zambiri, koma malinga ndi malire omwe dokotala amaletsa kutupa. Ndikofunikira kupatula kwathunthu kuchokera ku zakumwa zotsekemera, ma syrups, kvass, magawo ogulidwa ndi zina zotero.
- Wodwala ayenera kuchepetsa kudya mafuta. Zakudya zamafuta sizimapindulitsa mayi kapena mwana wosabadwayo, chifukwa chake panthawi yokhala ndi pakati ndikwabwino kuchotsa zakudya zophika ku menyu. Mutha kudya kwambiri.
- Ndikoletsedwa kunyalanyaza chakudya. Zakudya za tsiku ndi tsiku ziyenera kugawidwa magawo asanu mpaka asanu ndi limodzi, zimadyedwa pafupifupi nthawi zonse. Mayi woyembekezera sayenera kufa ndi njala. Monga chakudya, mutha kugwiritsa ntchito kapu ya kefir, chidutswa cha tchizi wopanda mafuta ochepa, mtedza wowerengeka, yogati yopanda shuga ndi zina zotero.
Ndibwino ngati chakudyacho chilipo padera, pomwe mfundo zake sizingaphwanyidwe, mwachitsanzo, ngati mayi woyembekezera akupita kwinakwake, ayenera kukonzekera ulendowo ndikumadya chakudya kuchokera kuzosankha zovomerezeka. Kodi lamuloli lingawonedwe? Kuti muchite izi, ingogulani chidebe cha chakudya chomwe chiri chosavuta kunyamula.
Ndingadye chiyani?
Ngati matenda amiseche apezeka, mayi woyembekezera akhoza kukhala ndi mndandanda wazinthu zotere:
- mitundu iliyonse ya zipatso yokhala ndi zipatso, kuphatikiza rasipiberi, sitiroberi, mabulosi am'madzi, gooseberries ndi zina;
- uchi yaying'ono Mlingo;
- masamba aliwonse ophika kapena aiwisi, kupatula mbatata;
- chimanga, kupatula semolina;
- zipatso, kuphatikiza ma apricots, mapichesi, zipatso za mphesa, mapeyala ndi zina zotero;
- mazira a nkhuku, kuphatikiza ndi nthunzi ya amamu. Komabe, osaposa dzira limodzi patsiku;
- zovala zophika ndi rye;
- nsomba zam'madzi zamafuta ochepa komanso nsomba zam'mtsinje, monga kuyera kwamtambo, mackerel, cod, capelin, ndi zina;
- nyama, pokonza yomwe mafuta ochepa anali kugwiritsidwa ntchito. Zokonda zimaperekedwa bwino ku nkhuku ndi ng'ombe;
- shrimp ndi caviar;
- mkaka wa nonfat, tchizi choko ndi tchizi;
- amadyera, nyemba, bowa;
- mtedza.
Ndi
Palinso mndandanda wazakudya zoletsedwa. Mayi woyembekezera yemwe akudwala matenda ashuga ayenera kusiyiratu zakudya zomwe zili ndi index yayikulu ya glycemic. Izi zimaphatikizapo semolina phala, zakudya zamitundu mitundu, jamu, ayisikilimu ndi maswiti ena. Zina mwa zipatsozo ndizoletsedwa, kuphatikiza nthochi, ma supimmoni, mavwende, nkhuyu ndi masiku.
Komanso, shuga mumtundu uliwonse sayenera kuphatikizidwa ndi zakudya. Malinga ndi lingaliro la adotolo, uchi wamba wa linden ungagwiritsidwe ntchito kutsekemera tiyi ndi mbewu monga chimanga. Komabe, izi sizikwaniritsidwa nthawi zonse. Chifukwa chake, potengera zomwe wodwalayo ali nazo, uchi amathanso kuikidwa monga zopangidwa zoletsedwa.
Komabe, funsoli silokhala uchi wokha, komanso mitundu yonse ya misuzi yazipatso. Mwachitsanzo, makangaza a makangaza ndi othandiza kwambiri mu shuga.
Amayi ndi bwino kusankha zakumwa zamasamba, zophika ndi manja awo kunyumba. Ndi zoletsedwa kumwa zinthu zogulidwa, ngakhale zitayikidwa zikusonyeza kuti alibe shuga. Maphikidwe onse ayenera kukhala okonzekera kuganizira malamulo awa.
- wokondedwa;
- masoseji;
- zinthu zoyera za ufa (buledi, pasitala);
- zakumwa zozizilitsa kukhosi;
- ayisikilimu;
- madeti, maimoni, nthochi, nkhuyu, mphesa, maapulo okoma, mavwende;
- Confectionery
- ma muffins;
- zipatso zamasamba;
- zotsekemera ndi zinthu zomwe zili nazo;
- batala (kwakukulu malire).
Momwe mungadye ndi matenda a shuga a gestational afotokozere akatswiri omwe ali mu vidiyoyi.
