Malamulo 12 pa matenda ashuga

Mlingo wa kagayidwe kazakudya umayang'aniridwa ndikuwona madokotala azimayi onse panthawi yopaka bere. Ngati apezeka kuti akuchepetsa, zakudya zomwe zimayambitsa matenda a shuga oyembekezera azimayi oyembekezera (GDM) zimayikidwa koyamba. Zimasiyana kwambiri ndi zakudya zomwe zimakhala zama carb ochepa, zomwe zimagwiritsidwa ntchito kwambiri odwala matenda ashuga, popeza nthawi ino simungathe kuchepetsa kwambiri zopatsa mphamvu za tsiku ndi tsiku komanso kuchuluka kwa shuga.

Chofunikira chakudya ndichilengedwe chokwanira komanso kuchepetsedwa pang'ono wamafuta chifukwa chazomwe zimayipitsa, mchere komanso zinthu zina zamafuta. Kuchita masewera olimbitsa thupi kumatha kuwongolera magazi. Zofunikira zomwezo zimakhazikitsidwa kwa iwo - osati kuvulaza mayi ndi mwana wamtsogolo.

Zofunikira pakudya

Insulin ndi mahomoni apadera m'thupi lathu, pokhapokha ndi thandizo lake momwe tingatherere shuga kuchokera ku chakudya, ndiye kuti metabolism ya carbohydrate. Amapangidwa ndi kapamba, mulingo wake m'magazi umayendetsedwa ndi mahomoni ena. Pakati pa nthawi yayitali, mphamvu ya mahomoni mwa mkazi imasintha kwambiri komanso mwachangu. Pakadali pano, kapamba ayenera kufulumizitsa ntchito yake ndikupanga insulin yambiri kuposa kale.

Matenda a shuga ndi kupsinjika kudzakhala chinthu chakale

• Matenda a shuga -95%
• Kuthetsa kwa mitsempha thrombosis - 70%
• Kuthetsa kwa kugunda kwamtima kwamphamvu -90%
• Kuthana ndi kuthamanga kwa magazi - 92%
• Kuwonjezeka kwa mphamvu masana, kukonza kugona usiku -97%

Ngati sachita bwino pochita izi, kuchuluka kwa shuga m'magazi a mayi woyembekezera. Imakulitsa matenda a shuga nthawi ya bere, kukana insulini, komwe anthu amalemera kwambiri. Ngakhale chiwopsezo cha glucose ndichakanthawi ndipo nthawi zambiri sichimafika pamiyeso yovuta, sichinganyalanyazidwe.

Kuchulukitsa shuga kwa odwala omwe ali ndi matenda a shuga a 2 amathandizidwa bwino ndi zakudya, masewera olimbitsa thupi ndi othandizira a hypoglycemic. Kwa amayi apakati, mankhwalawa amaletsedwa, kuchita masewera olimbitsa thupi kumatheka m'mapapu okha, chifukwa chake kutsimikizika kwakukulu mu chithandizo cha matenda osokoneza bongo kumakhala pakudya. Ngati kusintha kwa zakudya sikunthandizenso kubwezeretsa shuga pazabwino (onani zofunikira), mankhwala a insulin ndi omwe amapatsidwa. Pankhaniyi, chakudya chimakhala chokhwima, koma chosalephera.

Malangizo a Zakudya

An endocrinologist adzakuzindikirani mwachangu malamulo opatsa thanzi a GDM mukangozindikira. Adzipereka mndandanda wazakudya zoletsedwa ndi zoletsedwa. Cholinga cha kadyedwe ndikuchepetsa kufunika kwa insulin, kuchepa thupi, kutsitsa chiwindi, kuyendetsa ntchito ya impso, koma nthawi yomweyo kupereka chakudya chokwanira, zonse zofunika za mayi ndi mwana zamavitamini ndi michere. Njira yokhayo yokwaniritsira izi ndikuphatikizira m'zakudya zanu pazakudya zambiri zabwino, ndikuchepetsa "zopanda kanthu" zopatsa mphamvu.

Ubwino wopindulitsa

Chinthu choyenera kuchita mutapezeka kuti mudwala matenda ashuga ndikusanthula zakudya zanu kuti muzitsatira izi:

1. Patebulo la mayi woyembekezera yemwe ali ndi matenda ashuga ayenera kupezeka pazinthu zosiyanasiyana, ndipo kuyandikira kwambiri maonekedwe ake, ndibwino. Ndikofunikira kuti chakudyacho chikhale ndi chakudya chamagulu onse: nyama, nsomba, chimanga, nyemba, masamba, mkaka, zipatso ndi zipatso. Zakudya zoterezi ndizokhazokha zomwe zingakwaniritse kufunikira kwa zamoyo ziwiri pazinthu zofunikira. Ngati zopangidwa kuchokera pagulu linalake sizikuphatikizidwa m'zakudya chifukwa cha chifuwa kapena zomwe mumakonda, onetsetsani kuti mwadziwitsa dokotala za izi. Adzisankhira m'malo ena owonjezera kapena apatsanso mavitamini owonjezera.
2. Zakudya zopatsa mphamvu za calorie pa nthawi ya mimba zimawerengeredwa kutengera 30 kilocalories pa kilogalamu iliyonse ya kulemera. Ngati mayi ndi wonenepa kwambiri, zakudya zake zimatha kuchepetsedwa. Chiwerengero chololedwa chochepa kwambiri cha ma kilocalories ndi 12 pa kilogalamu ya thupi. Kuletsa kumeneku kumayambitsidwa kwambiri, pomwe kulemera kwa mayi wapakati kumaposa 100 makilogalamu, ndipo pali kukana kwamphamvu kwa insulin. Nthawi zambiri, muyenera kudya pafupifupi 2000 kcal patsiku, m'miyezi yotsiriza pang'ono.
3. Kuti mukhale pafupi ndi calorie ofunikira, zakudya zamafuta othamanga ndi mafuta a nyama samachotsedwa muzakudya. Chakudya chopanda mashuga ogaya mosavuta chimachulukitsa shuga m'magazi pang'ono ndi pang'ono, ndiye kuti kapamba amatha kupewa kupsinjika kwambiri. Chitsogozo chofuna kudziwa chakudya chamafuta ndi chidziwitso cha glycemic. Nthawi zambiri, ndimatenda a shuga, mumatha kudya zakudya ndi GI> 50, ndendende, chiwerengerochi chimatsimikiziridwa ndi dokotala kutengera kuchuluka kwa magazi - yang'anani magome a glycemic indices of product.
4. Mafuta a nyama, ma kanjedza ndi mafuta a kokonati ali ndi mafuta ambiri. Amathandizira kusokonezeka kwa metabolic, amathandizira kukulitsa kunenepa kwambiri, kufooketsa insulin. Mafuta oterowo mu zakudya samaloledwa kupitilirapo 10%, ndiye kuti pafupifupi 20 g patsiku. Ndikwabwino kuwapeza kuchokera ku mkaka ndi mazira.
5. Kuti amayi apakati azitha kulowa ndi shuga m'magazi nthawi ya shuga, zakudya zimayenera kuperekedwa pafupipafupi. Pakati pa kadzutsa kokhazikika, chakudya chamasana komanso chakudya chamadzulo, muyenera kuyitanitsa zoziziritsa kukhosi zina zitatu. Zopatsa mphamvu zimagawidwa mofananamo tsiku lonse. Sitiyenera kuloleza malo omwe khofi yekha amaledzera chakudya cham'mawa, ndipo theka la chakudya chokwanira cha shuga chimadyedwa nthawi yamadzulo.
6. Osadumpha chakudya chomwe mwakonza. Munthawi yanjala, mwana alibe chakudya, chomwe chingasokoneze kukula kwake. Kuphatikiza apo, shuga amachepetsa panthawiyi, kenako amakula mwachangu pa chakudya choyamba. Zimatsimikiziridwa kuti kukwera kwa glucose pakapita nthawi yanjala ndikokwera kuposa chakudya chomwe chili ndi yunifolomu yofanana. Pazifukwa zomwezo, sizingatheke kupanga masiku osala kudya shuga kapena musadye madzulo.
7. Ndi matenda amiseche, mwayi wokhala ndi toxosis wapamwamba umakwezeka. Zimafunika kuyang'aniridwa kwachipatala. Kuti muchepetse matenda am'mawa, osagona m'mawa, mumatha kumwa madzi, ochepa acidified ndi mandimu, tiyi wobiriwira wokhala ndi timbewu tonunkhira, gala mkate kapena mkate.
8. GDM imathandizira kuchulukitsa kwa magazi. Mwazi wakachetechete umapereka okosijeni oyipa ndi michere kwa mwana wosabadwayo. Pakukulitsa izi, mayi woyembekezera ayenera kutetezedwa kuti asathe madzi m'thupi. Kuti muchite izi, malita 1.5 amadzimadzi, makamaka madzi oyera, amayenera kupita m'mimba yokumba tsiku lililonse. Tiyi ndi khofi amachepetsa makapu atatu patsiku. Njira ina yabwinoko ndi madzi ndi kulowetsedwa kwa rosehip.
9. Zakudya za anthu odwala shuga ayenera kukhala ndi masamba ambiri. Kuyandikira kwambiri mawonekedwe awo achilengedwe, ndibwino. Ndiye kuti, kabichi watsopano mu saladi ndi bwino kupatsa, ndipo phwetekere lonse limakhala lothandiza kwambiri kuposa ketchup kuchokera pamenepo. Chepetsa masamba omwe ali ndi GI yayikulu - mbatata, turnips, dzungu. Mbatata zosenda mu masambawa sizimaphatikizidwa kwathunthu ndi zakudya.
10. Tsiku lililonse, zipatso zimayenera kukhala pamenyu. Chipatso chonse kapena kapu ya zipatso yokhala ndi buledi kapena zopindika ndizosavuta kwambiri. Zipatsozi zimayenderana ndi zofunikira zamasamba: ziyenera kukhala zatsopano, zonse, osati zoyera, osati kusalidwa. Mwanjira iyi, CHIKWANGWANI chimasungidwa kwambiri, chomwe chimachepetsa kukweza kwa magazi m'magazi. Ndi chifukwa chosakhalapo kapena kuchuluka kochepa kwa fiber mu shuga komwe timadziti timaletsedwa, ngakhale kufinya kumene - onani zinthu zomwe zili ndi fayilo yambiri.
11. Zakudya zosachepera ziwiri ziyenera kuphatikiza nyama mapuloteni - nyama ndi nsomba. Mapuloteni oyamwa bwino amapezekanso muzakudya zam'madzi, koma amayenera kugwiritsidwa ntchito mosamala, chifukwa nthawi zambiri ndimomwe zimayambitsa zovuta, ndipo pakakhala pakati povuta ndi matenda ashuga, chiopsezo cha mitundu yatsopano ya ziwopsezo chimawonjezeka. Malamulo ophikira: chotsani khungu, dulani mafuta onse, kenako ndikuphika, kuphika kapena kuphika.
12. Zinthu zamkaka - gwero labwino kwambiri la calcium, lofunikira pakukula kwa mafupa a mwana. Ngati pa nthawi ya pakati pali kusowa kwake, chinthu ichi chimatengedwa kuchokera m'mafupa, mano, misomali ya amayi. Tchizi ndi zakudya mkaka wowawasa ndi bwino kupukusidwa - yoghurts, kefir, yogati. Mukamagula yoghurt, muyenera kuyang'ana mawonekedwe awo, chifukwa shuga ndi wowuma zimawonjezeredwa kwa iwo, zoletsedwa mu matenda ashuga.

Chiwopsezo chocheperako

Zakudya za anthu odwala matenda ashuga amakhudza:

• Kuletsedwa kwathunthu kwa mowa, ndizosatheka ngakhale kapu yophiphiritsa ya champagne, popeza mowa "umasunthira" shuga m'magazi: poyamba pamakhala kuwonjezeka chifukwa cha shuga omwe ali mmenemo, ndiye kuchepa chifukwa cha zovuta za chiwindi, ndiye kukula kwina kwamphamvu pachakudya chotsatira;
• kukana zinthu zomalizidwa, chakudya chofulumira, msuzi wopangidwa mwaluso. Zogulitsa izi nthawi zambiri sizimakwaniritsa zofunikira zamafuta ndi chakudya chamafuta;
• Kuletsedwa kwa tiyi ndi khofi, chifukwa caffeine ndi tannin zimakhudza mitsempha yamagazi, motero akudwala matenda ashuga;
• M'malo mwatsopano masamba ndi zipatso. Ngati sizikupezeka, kusakaniza kwazizira kofulumira ndi njira ina yabwino;
• okhazikika kalori. Kudyetsa kwambiri zilizonse kungasokoneze njira ya zovuta, chifukwa kilogalamu iliyonse yatsopano yamafuta imathandizira kukana insulin. Amayi oyembekezera omwe satsatira izi amafunikira jakisoni wa insulin.

Osachotsa shuga oletsedwa m'malo ndi shuga. Pa nthawi yoyembekezera, kuphatikiza muzakudya zonse zopanga ma enques (cyclamate, aspartame, acesulfame, saccharin) ndizoletsedwa. Xylitol simalimbikitsidwanso, chifukwa imachulukitsa katundu pa chiwindi. Pa nthawi yapakati, ndimaloga a shuga achilengedwe okhawo omwe amaloledwa, koma ndi matenda osokoneza bongo, kudya kwawo kumakhala kochepa chifukwa chazopezeka zambiri zamafuta.

Ndi dokotala yekhayo amene angapereke mankhwala mavitamini, malangizo a mankhwalawa ayenera kuwonetsa kuti amaloledwa panthawi yomwe ali ndi pakati. Zakudya zowonjezera mavitamini ndi mankhwala ochepetsa thupi ndizoletsedwa kwathunthu. Simungatenge othandizira a hypoglycemic, chifukwa amaphwanya zakudya za mwana wosabadwayo.

Thandizo labwino pakudya kwa odwala matenda ashuga ndi kuchita zolimbitsa thupi. Ayenera kupatsidwa masiku osachepera atatu pa sabata, makamaka ola limodzi tsiku lililonse. Panthawi yapakati, mayendedwe ataliatali komanso makalasi mu dziwe amalimbikitsidwa.

Zitsanzo za Zakudya Zatsiku ndi Tsiku

Njira yokoma komanso yathanzi pazakudya zodziwika bwino

M'malo mwake mutha kudya zakudya zina zoletsedwa panthawi ya matenda ashuga.

• m'malo masoseji - kudya pastroma kuchokera ku chifuwa cha nkhuku kapena nkhuku. Fillet imathiridwa ndimadzi amchere kwa maola awiri (kapu ya supuni yamchere). Kenako imabayidwa m'malo angapo ndi mpeni ndikuwakha ndi osakaniza: supuni ya masamba mafuta, mchere pang'ono, zokometsera zilizonse, mwanjira iliyonse - zamkati la adyo. Chomalizidwa chotsirizidwa chimayikidwa mu uvuni wokonzekereratu (250 ° C) kwa mphindi 15. Kenako, osatsegula chitseko, uvuniyo umazimitsidwa ndipo chotsekeracho chimasiyidwa mkati mwake mpaka kuziziratu. Chomalizidwa chimakhala chachifundo komanso chowutsa mudyo;
• yogati yakunyumba Amakonzedweratu kwambiri: bweretsani mkaka umodzi wamkaka wokhala ndi mashelufu amoyo ku chithupsa, kenako ozizira mpaka 40 ° C. Thirani mkaka mu kapu yamagalasi, onjezerani 1 tbsp. sungani yogati popanda shuga ndi zina zowonjezera, sakanizani bwino, tsekani chivundikiro ndi kukulunga. Mutha kuyiyika batire kapena thumba lamafuta. Mu maola 7 malonda akhala okonzeka. Kuti mupeze yogati yowonda kwambiri, mutha kuwongolera seramu yomwe imatuluka pang'onopang'ono kudzera mu sume yabwino kapena zigawo zingapo za gauze;
• m'malo osungira mafakitale - mavalidwe apamwamba a saladi. Yoghur ndi mandimu yakonzedwa mophweka: mu supuni ziwiri za yogati yopanga tokha ndikuyika supuni ya mandimu, zitsamba zosankhidwa. Mutha kusiyanitsa kukoma ndikuwonjezera tchizi-mafuta ochepa, mpiru, nkhaka zosankhidwa, zitsamba.

Zakudya zopatsa thanzi komanso masewera atabereka

Pakapita ola limodzi atabadwa, shuga amakhala mwa mayi woyembekezera. Mawonekedwe a mahomoni amakhala osinthika, kufunikira kwa insulin kumachepetsedwa kwambiri. Nthawi zina, odwala matenda ashuga amatha kupitirirabe pambuyo pobadwa kwa mwana, chifukwa cha ichi amakambirana za kuyambika kwa matenda a 2. Zoterezi zimatha kuchitika ngati pakati pakukhudza molakwika mphamvu ya kapamba kuti apange insulin, mkaziyo ndi wonenepa kwambiri, kapena zochita zamagalimoto zimatsutsana.

Pofuna kudziwa zaumbanda zomwe zadutsa kale, mayi yemwe adabereka adalembetsa ndi endocrinologist. Kuyesedwa kwa shuga (kawirikawiri glycated hemoglobin kapena kuyesa kwa glucose) kuyenera kuchitika pakatha miyezi itatu, ndikubwereza zaka zitatu zilizonse, patatha zaka makumi anayi - pachaka.

Nkhani yatsatanetsatane yokhudza kuyesedwa kwa shuga pano - diabetiya.ru/analizy/glyukozotolerantnyj-test-kak-sdavat-normy.html

Mwana amakhalanso ndi chiopsezo chowonjezereka cha kunenepa kwambiri ndi matenda a shuga, chifukwa chake zimawonedwa kwa ana. Mayi akakhala ndi chakudya chambiri, ndipo akamakonda kwambiri shuga, magazi amakhala osavutikanso kwambiri.

Kuti muchepetse kuthekera kwa matenda ashuga mwa amayi, muyenera:

1. Mutabereka, muchepetse kunenepa. Mfundo zachakudya ndizofanana: sitipatula maswiti ndi mafuta osapatsa thanzi, timatsata chakudya chamagulu.
2. Phatikizaninso masewera ochitika tsiku ndi tsiku. Poyamba, awa amatha kuyenda ndi munthu woyenda pansi mothamanga kwambiri, kenako kuphunzitsira kunyumba, mumsewu kapena kumalo olimbitsa thupi. Chofunikira chokhacho chofunikira kuchitira masewera olimbitsa thupi ndikoyambira kosalala. Ndizosatheka kufinya minofu kwambiri, chifukwa izi zimatha kukhudza kuchuluka kwa mkaka ndi kapangidwe kake. Choyimira chachikulu ndi kusowa kapena kupweteka pang'ono kwa minyewa pambuyo pophunzitsidwa.
3. Osamagwiritsa ntchito chakudya chamafuta m'tsogolo.

Mutha kuwerengenso:

• Pezani tebulo la 9 - lopangidwa makamaka kwa anthu omwe ali ndi shuga ambiri.
• Kodi ndingadye zipatso zamtundu wanji zokhala ndi matenda ashuga (mndandanda waukulu)