Nthawi zina pakati pa nthawi yomwe mayi ali ndi pakati, amayi omwe amakhala ndi shuga m'magazi amadzuka ndipo shuga imayamba. Vutoli limatchedwa "gestationalabetes".
Pafupifupi nthawi zonse mwa amayi apakati, kuchuluka kwa glucose m'magazi kumangowonjezera kokha mutatha kudya. Pamodzi ndi chithandizo chokwanira, zakudya zapadera za amayi apakati omwe ali ndi shuga yayikulu zimayikidwa ndi dokotala ndipo ziyenera kuyang'aniridwa mosamalitsa.
Zakudya zoyenera za mayi wapakati wokhala ndi shuga wambiri ndiye njira yabwino yopeŵera mavuto: mwana wosabadwa kwambiri, hypoxia. Zakudya zimathandizira kukhala ndi shuga pamlingo woyenera mpaka kubadwa. Pambuyo pobadwa, kuchuluka kwa shuga kumatsikira pamlingo womwe mukufuna ndikukhazikika kwathunthu. Chifukwa chake, bwanji komanso momwe mungachepetse shuga m'magazi panthawi yomwe muli ndi pakati?
Zomwe zimayambitsa hyperglycemia
Kasitomala ndiye amachititsa kuti pakhale insulin ya mahomoni. Pa nthawi ya pakati, katundu pa iye amawonjezeka.
Polephera kuthana ndi katundu, glandyo ilibe nthawi yopatsa thupi kuchuluka koyenera kwa insulin, komwe kumakhudza kuchuluka kwa glucose kuposa muyeso wovomerezeka.
The placenta chisa mahomoni omwe ali ndi vuto lina la insulin, kukulitsa shuga. Zimakhalanso chinthu chofunikira kwambiri pakukula kwa matenda.
Kuchuluka kwa glucose kumayambitsa kuphwanya zochita za thupi. Kulowa mu placenta m'magazi a mwana wosabadwayo, kumawonjezera katundu pa zikondamoyo za mwana wosabadwayo. Zikondamoyo za mwana wosabadwayo zimagwira ntchito kuvala, kubisa insulin yambiri. Izi zimabweretsa kukulitsa kugaya kwa glucose, kuisintha kukhala mafuta. Kuchokera pamenepa, mwana wosabadwayo amakula kwambiri.
Kuthamanga metabolism kumatanthauza kudya mpweya wambiri.
Popeza kudya kwake kuli kochepa, ichi chimakhala chifukwa cha fetal hypoxia.
Ngati tilingalira za kukhala ndi pakati pa matenda ashuga a mtundu woyamba, ndemanga za madokotala zikuwonetsa kuti popanda zovuta kubereka mwana wathanzi, muyenera kukayezetsa kuchipatala atangoyamba kumene matenda.
Zinthu Zoyambitsa
Mwa azimayi 100 apakati, anthu 10 akukumana ndi vuto lotsekula magazi.
Matenda a shuga oyembekezera amakhala ndi amayi oyembekezera omwe amakhala ndi izi:
- kunenepa
- kukhalapo kwa shuga mkodzo;
- kuchuluka kwa shuga m'mimba yapitayi;
- shuga m'mbale;
- polycystic ovary syndrome;
- zaka zopitilira 25.
Zimachitika kuti mzimayi samazindikira kuti ali ndi matenda ashuga, omwe mu mawonekedwe ofatsa alibe zizindikiro. Chifukwa chake, kuyezetsa magazi kwa shuga kuyenera kumwedwa panthawi yake. Ngati shuga amakwezedwa, dokotala amafufuza kuti amuwonjezere. Zimakhala ndi kudziwa kuchuluka kwa shuga mutatha kutenga 200 ml ya madzi okhala ndi shuga.
Nthawi zambiri ndi kuchuluka kwa shuga, amayi oyembekezera amakhala ndi nkhawa ndi zotsatirazi:
- kuluma kowuma pakamwa;
- pafupifupi ludzu losathetseka;
- pafupipafupi kufunika kukodza;
- kuchuluka kwamkodzo;
- anjala nthawi iliyonse masana;
- kuwonongeka kwamawonekedwe;
- kuwonda;
- kufooka wamba, kutopa;
- kuyabwa kwa nembanemba.
Ngakhale chimodzi mwazizindikiro zomwe tafotokozazi chidziwitsa, muyenera kuuza dokotala nthawi yomweyo.
Zakudya za amayi apakati omwe ali ndi shuga wamagazi ambiri
Kuchepetsa matenda ashuga mwa amayi apakati ndikuyenera kukhalabe ndi shuga ovomerezeka, mosasamala nthawi yakudya.
Momwe mungachepetse shuga wamagazi panthawi yapakati:
- kukana chakudya chopanda pake mwa kusintha zakudya zabwino;
- idyani osachepera 5 pa tsiku kuti mupewe kuzizira kwa shuga;
- khalani ndi chidwi ndi zakudya zamafuta ochepa;
- Amatha maswiti, koma ochepa Mlingo;
- samalani kwambiri BZHU osati kudya mopambanitsa.
Zakudya zopatsa thanzi ndiwo maziko a chakudya chopatsa thanzi kwa amayi apakati omwe ali ndi shuga wambiri. Amagawidwa kukhala osavuta komanso ovuta. Kugwiritsa ntchito mafuta osavuta ayenera kuchepetsedwa, chifukwa zimakhala ndi fructose ndi glucose, zomwe zimapangitsa shuga m'magazi. Izi ndi monga njuchi komanso pafupifupi mitundu yonse yazipatso.
Zakudya zopatsa thanzi ndizofunikira pakudya tsiku lililonse. Kamodzi m'thupi, zimalepheretsa kuchuluka kwa shuga m'magazi. Chakudya chimayenera kukhala ndi mbale zomwe zimakhala ndi chakudya chamagulu ambiri.
Zakudya zopatsidwa ndi mapuloteni
Kuti mukhale ndi thanzi labwino, thupi limafunikira mapuloteni omwe amapezeka muzakudya zambiri. Chidwi chachikulu ndi shuga wambiri ziyenera kuperekedwa kwa zinthu zamkaka zomwe zimakhala ndi mafuta ochepa. Ndikulimbikitsidwa kudya mafuta azamasamba (mpaka 30 g patsiku). Mu nyama ndi nsomba, amakonda mitundu yamafuta ochepa, kuchepetsa kudya kwamafuta a nyama mthupi.
Zakudya zokhala ndi shuga wambiri mwa amayi apakati zimayenera kupangidwira m'njira zochepetsera kumwa kwa mafuta osavuta a carbohydrate, monga kuchuluka kwa BJU:
- zopatsa mphamvu zovuta - 50% yazakudya zonse;
- mapuloteni ndi mafuta --otsala 50%.
Mndandanda wazinthu zololedwa shuga wambiri:
- rye, chinangwa, mkate wathunthu;
- msuzi wophika mu msuzi wa masamba uyenera kudyedwa pafupipafupi;
- msuzi pa nyama yopendekera kapena msuzi wa nsomba;
- nyama yokonda, nsomba ndi nkhuku;
- mbale zamkati kuchokera masamba ophika kapena ophika, masaladi;
- zitsamba zatsopano: parsley, katsabola, sipinachi, basil, ndi zina zambiri;
- mbale zamkati za mbewu pang'ono;
- omelet kuchokera 1 dzira patsiku kapena dzira lowiritsa;
- zipatso ndi zipatso mu mawonekedwe osakhwima kapena mawonekedwe akumwa zipatso, zakumwa za zipatso popanda shuga: zipatso za zipatso, cranberries, currants, sitiroberi, maapulo a Antonovka;
- zopangidwa mkaka zopanda mafuta ambiri. Amaloledwa kudya mwatsopano kapena mawonekedwe a cheesecake ndi puddings. Ndikwabwino kupewa kirimu wowawasa, kirimu wamafuta ndi tchizi;
- msuzi wofatsa pamaso msuzi wokhala ndi mizu, phwetekere;
- kuchokera ku zakumwa, tiyi ndi mkaka, zakumwa za zipatso kuchokera ku zipatso zowawasa, tomato kapena zipatso ziyenera kukondedwa. Mutha kumwa pafupifupi malita 1.5 amadzimadzi patsiku.
Pansi choletsa kwambiri, zinthu zotsatirazi:
- confectionery ndi makeke;
- chokoleti ndi ayisikilimu;
- shuga, kupanikizana ndi kupanikizana;
- nyama zamafuta;
- kusuta, zonunkhira, marinade;
- zokometsera zokometsera ndi mowa;
- zipatso zomwe zimakhala ndi mapuloteni osavuta;
- zoumba ndi zipatso zouma.
Zosintha zazitsanzo za tsiku limodzi
Zakudya zoyenera za shuga wambiri kwa mayi woyembekezera:
- chakudya cham'mawa:tiyi ndi mkaka, oatmeal flakes ndi 1 tsp. uchi ndi theka la apulo;
- chakudya cham'mawa chachiwiri:saladi ya phwetekere ndi zitsamba, omelet kuchokera dzira limodzi, kagawo ka mkate wa rye;
- nkhomaliro:phala la buckwheat, saladi wowotchera, chidutswa cha nsomba zonyezimira (pollock kapena hake), lalanje;
- chakudya chamadzulo:kanyumba tchizi casserole, madzi a kiranberi;
- chakudya chamadzulo:chidutswa cha mkate wopanda tirigu, kapu ya mafuta wopanda kefir ndi zitsamba zosankhidwa.
Kanema wothandiza
Zinthu zomwe zimachepetsa shuga yamagazi mwa amayi apakati omwe ali ndi matenda ashuga:
Kuchita moyenera chithandizo choyenera, kudya mokwanira komanso kuchita masewera olimbitsa thupi kumathandiza mayi woyembekezera kuti achepetse shuga. Chofunikira kukumbukira ndikuti pokonzekera kukhala mayi, mayi samadzisamalira yekha, komanso moyo wa mwana wake wosabadwa, komanso kupatula mwayi wodzipatsa wekha mankhwala.
