Diet no ka maʻi gestational ma nā wahine hāpai - he papa kuhikuhi kūpono ʻole

ʻOi no ka maʻi maʻi gestational i nā wahine hāpai i ka mālama mua ʻana no kēia maʻi. He poʻe loea i hō'āpono iā ia inā hele mai kahi wahine hāpai i ka maʻi maʻi GDM. ʻO ka insulin ke ʻano he ala maikaʻi loa i hoʻohana ʻia inā ʻaʻole hiki i ka wahine ke hahai i kahi mea ʻai a inā ʻaʻole paha he hopena koʻikoʻi.

He mea nui e hoʻomanaʻo e pili ana i ka hiki ʻole ke hahai i ka ʻai me kēia maʻi e alakaʻi ai i kahi helu o kahi hoʻopiʻi. E maʻalahi ka lawe a hoʻololi paha i ke kō i kāu meaʻaiʻai ma mua o ka hoʻāʻo ʻana e hoʻokō i nā hopena koʻikoʻi o GDM. ʻO ia ke kumu, inā i ʻōkuhi ʻia ka lāʻauʻai, pono e mālama ʻia.

ʻAi ʻole ka meaʻai no GDM i kēlā me kēia no ka maʻi maʻi. ʻOiai ma ka maʻi diabetes gestational a i nā ʻano maʻamau o ka maʻi, ʻo ka pahuhopu nui ka hoʻonui ʻana i ke kō o ke kō.

No ke aha e kākau ai i kahi meaʻai

He aha kaʻu e ʻai ai me GDM

ʻO ka mea nui e ʻike nā wahine hāpai a me kēlā me kēia maʻi ʻana. ʻOiai he koʻikoʻi nui o ka maʻi, ʻaʻole kēia manaʻo ka mea nā huahana e loaʻa i ke kō i loko o kā lākou hoʻokūkū e hoʻopau loa i ka meaʻai. ʻO ka mea nui, ʻo ia kāua ʻae ʻia. Hiki ke loaʻa nā huahana ʻae ʻia a pāpā ʻia i ka papa e hiki mai ana.

ʻO ka papa inoa o nā huahana i ʻae ʻia. ʻO nā mea momona maikaʻi loa e like me nā hua a i ʻole nā ​​lau i ʻoki ʻia i ka ʻai. Eia hoʻi, mai ʻai i ka pata pīpī. Hiki ke ʻai ʻia ke kalo ʻeleʻele i nā nui liʻiliʻi. ʻO nā huluhulu, ʻaʻohe hiki iā ʻoe ke ʻai i ka aila kalima. ʻOi aku ka maikaʻi e haʻalele i nā kaila, pau, me nā huaʻai a me nā huaʻai.

ʻAʻole hiki iā ʻoe ke ʻai me ka GDM

ʻO ka papa ma luna e wehewehe i ka nui o nā meaʻai e pāpā ʻia ʻole. ʻO kekahi o nā mea nui nui o ka pāpā ʻana i ka hoʻohana ʻana i nā mea inu wai, e hōʻeha ana i ka pūpū, ʻoiai ʻaʻole i loaʻa ka makuahine i ka GDM. I kēia hihia, hoʻohālikelike kekahi i ka mea inu o ke ʻano o ka maʻi i lalo.

Polokalamu
ʻO ka lawe ʻana i ka wai liʻiliʻi liʻiliʻi o ka waiʻona no ka maʻi maʻi gestational hiki ke hoʻonui nui i ka hōʻino ʻana i ka paʻakai kino i loko o ke kino. Pono ke hoʻopau ʻoluʻolu loa. Kālā, ʻoiʻakē, nā ʻoni a me nā mea ʻalani ʻē aʻe o ka hoʻonui ʻana i ke kō koko. Inā makemake ʻoe i kahi mea ʻoluʻolu, hiki iā ʻoe ke ʻai i ka nui a me nā kuki no nā maʻi maʻi. Loaʻa iā lākou nā huamina momona.

ʻO nā mea ʻai pono e kaupalena ʻia i ka meaʻai

ʻO kekahi mau huahana no ka maʻi gestational keʻai ʻia, eia naʻe, pono ʻoe e palena i ko lākou hoʻohana ʻana a me ka noʻonoʻo pono ʻana i nā papa ʻai.

ʻO kēia mau huahana e pili ana i kēia.

1. Bakery a me ka pasta. ʻOiai ka mea i ʻae ʻia i ka hapa nui o lākou no GDS, ua koi kekahi o nā mea kākau e hoʻopaʻa paʻa ana i kēia mau huahana. Pono ka nānā pono ʻana i nā dumplings, pancakes, pies. ʻOi aku ka maikaʻi o ka hoʻohana ʻole ʻana iā lākou a pau, a hoʻololi i ka pasta maʻamau i nā hua hua.
2. Nā laupala. Hoʻopili i ka komo ʻana i ka ʻuala a me beets, me ko lākou waiwai i ka moʻo, a me nā kāloti.
3. Hoʻōla. Pono ka palena ʻana o nā huaʻai i hoʻokahi pāʻina i hoʻokahi pule. Pono ʻoe e haʻalele i ka hoʻohana pinepine ʻana o nā avocados a me nā prunes.
4. Nā mea inu. ʻO ka waiʻu, nā mea ʻona e loaʻa ai i ka waiū niu e pono ʻia e hoʻopiʻi ʻia, akā ʻoi aku ka maikaʻi ke inu ʻole, ʻoiai inā loaʻa ka nui o ke kō koko. Ke ʻae ʻia ka kuke a me ke ʻihi, akā e inu ʻoe iā lākou me ka honi ʻole a hoʻohana ʻole i ka mea momona maikaʻi.

Nā Sushi a me nā ʻōwili, i lilo i mea kaulana loa i kēia manawa, loaʻa nā avocados, laiki, a me nā iʻa maikaʻi ʻia hoʻi. No laila, ʻoiai ka "māmā" o kēia pākaha, me ka maʻi o ka GDM, ʻoi aku ka maikaʻi o ka haʻalele ʻana iā ia a hoʻohana ʻole ʻia a me nā mea liʻiliʻi.

ʻAʻole pono ʻoe e noʻonoʻo e ʻae ʻole ʻia ka huahana ma kēia papa inoa. Nui nā ʻano hoʻohālikelike, nā koho ke pili i nā kūlana kūʻokoʻa o ka mea maʻi. ʻO ke kauka, ke hoʻoili ʻana i kahi papa kuhikuhi, e noʻonoʻo pono ʻaʻole i ka maʻi wale nō, akā ʻo ka paʻakikī o ke kūlana.

Na Pūnaewele Hoʻonoʻa o GDM

He ala maikaʻi kēia no ka makuahine e nānā pono ana e kiaʻi pono i ka maʻi. Hoʻomaʻ pinepine pinepine, ʻōlelo aku nā loea i ka mālama ʻana i ʻelua diaries. E hoʻokomo ʻia nā data glucometer i loko o hoʻokahi. Pono kēia no ke kauka e hiki ke loiloi i nā pae kō i nā kikoʻī ma nā hola like ʻole. ʻO nā mea āpau e pono ai e ana iā ia i 7 mau manawa i ka lā. ʻAʻole koi ʻia nā diaries kūikawā. E hana kahi leka uila maʻamau.

ʻAʻole kūlike ka huaʻōlelo, e like me ia, ʻoi aku ka maikaʻi o ka hana i kahi papaʻaina i mea e hoʻokomo ʻia ai nā data. ʻO ka mea nui ka mea ma o ia mau ʻehiku ʻehiku (ma mua a ma hope o ka ʻai nui, a pēlā hoʻi ma mua o ka wā hiamoe.

ʻO kahi pāʻina kai kahi kikoʻī kikoʻī kahi e pili ana i ka mea a ka wahine hāpai i ʻai ai. Eia kekahi, pono e ʻike i ka nui o nā ʻiole e ʻai ʻia ana, ʻoi pū kekahi mau protein, nā kīʻaha a me nā haʻalulu i loko o kēlā me kēia pā. I ka hopena, ʻo ka ʻikepili i loaʻa mai nā papa inoa ʻelua e ʻae i ke kauka e loiloi i ka ʻokoʻa o ka mālama ʻana i ka meaʻai, a me kona pono.

Papa 9 no ka maʻi maʻi hānō

ʻO ka papaʻai Diet e like me Pevzner i hoʻohana ʻia i ka mālama ʻana i nā maʻi he nui. No nā maʻi e pili ana i ka piʻi nui o ke kō koko, me ke GDM, ua ʻōlelo ʻia e hoʻohana i ka papa inoa 9. He kūpono ia i nā mea ʻaʻole i loaʻa ʻole i ka insulin, a e loaʻa ʻole iā ia ma nā wahi liʻiliʻi.

ʻO ka pahuhopu nui kēia o ka mālamaʻai ʻana o ke ʻano o ka hoʻoliʻoli i ka metabolism o nā ʻaina ma ke kino, a e hoʻemi i ka hoʻemi ʻana o ka metabolism momona momona. ʻO ka mea nui o ka meaʻai ka mea nui o nā holoholona holoholona a me ka maʻalahi e hoʻokaʻawale i nā hāmeʻe i ka meaʻai. Hoʻokuʻu loa ʻia ka hoʻohana ʻana o nā pale a me ke kō. Hoʻemi ʻia ka hoʻohana ʻana o ka paʻakai a me ka kolamu. ʻO ka kuki maikaʻi ma ka ʻū ʻana a i ʻole ka palaoa. ʻAe ʻia nā wahi aloha.

Papa helu o kēlā me kēia lā

ʻO kēia kīʻai haʻahaʻa, ʻoiai ke kau i nā palena nui i ka hoʻohana ʻana i kekahi mau meaʻai, hiki ke ʻokoʻa. No ka ʻaina kakahiaka, hiki iā ʻoe ke ʻai i ka tiʻī moʻo moa ka momona liʻiliʻi me ka waiū a i ʻole ka porridge, ʻoi aku ka maikaʻi i ka buckwheat. Hiki nō ke kuke no ka ʻaina kakahiaka, akā ʻaʻole e hoʻohui i ke kō.

No kaʻaina awakea, ʻoi aku ka maikaʻi o ka kuke ʻana i ka momona. Ma keʻano hoʻohālike, kahi kupa laupili vegetarian, ʻai iʻa. Hiki iā ʻoe ke kuke i ka palaoa huakai. Ke wā ma hope iki, pono ʻoe e ʻai i ka ʻōmaʻomaʻo. No ka ʻaina ʻaina, hoʻomoʻa i ka iʻa i loko o ka waiū waiū, a inu i kahi aniani o ke keʻa ma mua o ka hiamoe. Hoʻokahi he he makina ke hana nei i ka papa ʻaina manuahi e hoʻopiha i nā pōloli o kekahi paka.

Aia he mau ʻoni momona.

Papa no ka pule

Hiki i kahi mea noʻeono i ka hopena no ka maʻi maʻi ʻokoʻa a ʻokoʻa ka hilinaʻi o ka mea i makemake ʻia e ka wahine hāpai.

E like me nā mea inu, hiki iā ʻoe ke inu i ke kofe a iʻa paha me ka ʻole gula. Inā paʻakikī ke inu inu ʻole ʻia, e ʻae ʻia ka hoʻohana ʻana o nā mea ʻala ʻae. Ma kahi ʻaina kakahiaka ʻelua a me kaʻaina awakea, hiki iā ʻoe ke ʻai i ka hua hou a ʻae i nā hua waina.

ʻAʻaiʻai i Kai Arbat ma GDM

Nānā
Hoʻokumu ka mea endocrinologist Arbatskaya i kāna meaʻai ponoʻī, e hōʻike ana ʻo ia i ka nānā ʻana i nā wahine i loaʻa i ka GDM. I kēia hihia, ʻo ka glycemic index (GI), ka nui o ka manawa e hele mai ai ke ʻano o nā pale o ke kala, pono e ʻike ʻia i ke kumu o ka pono kūpono. ʻOi aku ka kiʻekiʻe o kēia ʻōlelo, ʻoi aku ka wikiwiki o ke kō o ke koko. No laila, he mea pono ke kāpae i ka hoʻokomo ʻana o ka meaʻai i loaʻa ka index glycemic kiʻekiʻe i ka papaʻai o kēlā me kēia lā.

No laila, pono e haʻalele i nā huahana no kēia mau meaʻai.

1. GI - 90-100%. ʻO ka meli, ka sodas momona, nānala huapalaoa, nā moʻo kanu kālai.
2. GI - 70-90%. ʻO nā huahana bakery, nā lā, nā hua waina, ka waiʻona, ka mōʻī, nā mea kalaka, nā ʻāhu.
3. GI - 50-70%. ʻO nā maiʻa, rye roti, kaono kaiʻai maoli kūlohelohe, nā hua momona loa.

ʻO nā mea āpau i loaʻa he glycemic index ma lalo o 50% e lanakila i kaʻai o ka wahine hāpai.

ʻO kaʻaiʻai haʻahaʻa

Wahi a nā noiʻi, hōʻike ia i nā hopena maikaʻi loa i ka mālamaʻana o GDM. Pēlā nō, e like me ka meaʻai o ka Arbat, pono ke kau ʻia o ka ʻai e pili ana i ka nui o ka pae glycemic haʻahaʻa i ka meaʻai.

ʻO kahi papa ʻōlelo iki no hoʻokahi lā, me kahi ʻaina o kēia ʻano, e like me ka aʻe.

1. ʻAina kakahiaka. 250 g o ka palaoa (pono nō e hoʻokaʻawale i ka semolina a me ka laiki). ʻO kekahi hapa o ka waiū me ka palaoa rye. Kāwele ʻeleʻele (mai hoʻohui i ke kō).
2. ʻO ka lua kakahiaka. ʻO ka ʻōlio.
3. Nā kuke hua ʻai 100 g. Nā ʻōpala wai.
4. Ka ʻai ahiahi. 100 g ke kōkō liʻiliʻi. ʻO ka kuke a i ʻole ka rose o ka pua.
5. Kai ʻaina Hoʻokomo ʻia me ka palaoa iʻa.

Hoʻohui Uʻi
Borovikova Olga
I ka laulā maʻamau, hiki i ka papaʻaina o kahi papa haʻahaʻa haʻahaʻa loa ke ʻano kūlike, ʻoiai inā ʻoe e mālama pono ana i nā meaʻai i hiki iā ʻoe ke ʻai. No ka ʻatikala hou aku, ʻoi aku ka maikaʻi e ʻimi i ke kōkua o kahi mea hoʻomaʻemaʻe aiʻole i ka endocrinologist.

ʻO ka papaʻaina Hou Hou ma GDM

Ua lilo kēia lā i kumu hoʻokipa o nā maʻi lehulehu. Pākuʻi ʻana i ka maʻi maʻi. No ko mākou poʻe, ua ʻike ʻia kēia pākela, a ʻo ka ʻai ʻole i kēia lā ʻaʻole i ukali ʻia e kekahi kanaka. He mea nui ia e hana wale nō ʻaʻole i ka papaʻaina Hou Hōʻano Hou, akā ʻo ka mea nō ia ʻaʻole ia e hoʻopōʻino i ka wahine hāpai.

He mea paʻakikī e noʻonoʻo i kahi makahiki hou me ka ʻole o nā tangerines. ʻAe ʻia ka hua i hoʻopau ʻia, eia naʻe ʻaʻole hiki ke ʻai nui ʻia, ʻokoʻa wale nō nā huaʻai 3-4 i hoʻokahi lā. Eia nō naʻe, waiho ʻia kahi mea laʻa o ka papaʻaina o ka Makahiki Hou.

Eia kekahi, ma ka papa ʻaina, hiki iā ʻoe ke hoʻohana i nā papa i lalo nei:

• kaʻaila ʻoliva
• turkey turki (baked),
• ʻōleʻa palaʻa hou
• ka wai ʻaʻai a me ke kīwī,
• uala (mai Helene, mai Ierusalema artichoke, me ka kai lawaiʻa, me kekahi mea,).
• ʻae ʻia nā mea ʻono.

I ka nui holoʻokoʻa, hiki ke maʻalahi nui i ka papa inoa o ka New Year. ʻO ka mea nui e hoʻomanaʻo ʻia ʻo ka wehe ʻana i ka waiʻona. ʻO ka wahine hāpai me kahi GDM pāpā ʻia ʻo ia hoʻi kahi aniani o ka champagne. ʻOi aku ka maikaʻi ma ke ʻano me ia me nā mea inu ʻokoʻa.

ʻAʻole hiki iā ʻoe ke momona

ʻO nā papa mua

Aāpai ʻia e ʻai i nā kīʻaha me GDM. ʻO kekahi o nā mea ʻoluʻolu a me ka maʻalahi e hoʻomākaukau i ka kīʻaha, ʻo ia ka mea palaʻai i ka palaʻai me nā ʻaila.

No ka hoʻomākaukau ʻana, pono ʻoe i kēia ʻāpana:

• kau kumu 150 g
• 2 papa iʻa
• 1 kā hale nui,
• 1 pulelala rala,
• parsley a me ka dill.

ʻO ka mea mua pono ʻoe e kāohi i nā ʻoliki a me ka ʻalā a me ka palaoa i ka aila ʻaila ma luna o ka wela wela a hiki i kahi ʻulaʻula. E ninini i nā mea kanu i ka wai, ka paʻakai a kuke a hiki i ka wā kuke. E kāwili i nā mea āpau i loaʻa i kahi kāwele a hoʻomau i ka hoʻomohala ʻana no nā minuke 10-15. Ma hope o ka kuke ʻana, e ninini i loko o ka pā a hoʻohui i nā lāʻau hou.

Nui nā koho no nā ʻenekia huakaʻi e ʻae ʻia e ʻai me GDM. No ka laʻana, ʻae ʻia ka kaulana “Helene” no kēia maʻi. Akā ʻo ka ʻāpala a me ka meaʻai kiki i kēlā me kēia mea ʻoi loa ʻoi aku ka maikaʻi.

No ka hoʻomākaukau ʻana āu e pono ai:

• huki 150 g
• kāloti 150 g
• kamato 150 g
• kukama 100 g
• kekahi lau lettuce
• lana maoli 100 ml.

No ka hoʻomākaukau i kēia ʻano leʻaleʻa pono, pono ʻoe e ʻoki i nā lau āpau i loko o nā cubes, e hoʻolapalapa i ka honu a ʻulaʻī. Kāwili i nā mea kanu a pau, paʻakai a ninini i ka yogurt. Ma ka lalo o ka ipu e pono ai ʻoe e kau i nā lau lettuce no kahi lawelawe nani.

Nā Dumplings

E kuke i nā dumplings hiki ke hoʻohana me ka GDM maʻalahi. ʻO ka mea nui, ʻo ia ka hoʻoponopono pololei. No ka palaoa, pono ʻoe i ka palaoa rye, kahi hua manu a me ka paʻakai liʻiliʻi. Pono pono e ʻoki i ka palaoa me ka wai. E like me ka hoʻopiha ʻana no kēlā mau dumplings, hiki iā ʻoe ke hoʻohana i ka moa minced me ka hoʻohui ʻana i nā mea ʻai like e like me ke kolu a i ʻole ka luʻu, i lawe ʻia i loko o nā liʻiliʻi.

Kālea Kamakau Cheerole

No ka kuke ʻana, ʻaʻole pono ʻoe i nā ʻano pono.

No kēia ʻaina kahi e pono ai ʻoe:

• 500 g kaleka pākaha momona,
• ʻona
• puna momona
• 5 hua.

E ʻoki i ka nui a hiki i ka puaʻa a hoʻomohala i kahi pūpū o nā mea momona iā lākou. ʻO Yolks, ma ke ʻano, pono e hoʻohui ʻia i ka curd a kāwili maikaʻi, mai hoʻopoina e hoʻohui i kahi papa o ka soda. Hoʻohui i nā lua a kau i ka umu, hoʻomoʻa ʻia a hiki i 180 degere, no 30 mau minuke. Ma hope o kēia manawa, wehe i ka casserole a lawelawe.

Hoʻomaopopo ʻia no kēlā me kēia maʻi āpau me GDM no kaʻaina kakahiaka. ʻO kekahi mea hoihoi loa he porridge o ka buckwheat me nā ʻaluna.

No ka hoʻomākaukau ʻana i ka porridge "Smolensk", pono ʻoe i nā huahana hou:

• 2 ipu kīwī
• 1 ka wai o ka wai
• 150 g o ka mauʻu
• hoʻokahi ʻāpana nui
• aila ʻaila
• ka paakai.

Pono e ʻōpī nā ʻōpala porcini hou a kālua ʻia, a laila ʻū ʻia i ka wai paʻakai. Ma hope o kēlā, hoʻokaʻawale iā lākou mai ka wai, a ninini i ka palaʻai me ka hupa hopena a kuke a hiki i ka palupalu. Kālepa maikaʻi i ka ʻākala a me ka kō i ka aila a hiki i ka ʻulaʻula gula, a laila e hoʻohui i ka mauʻu i ia a me ka palaoa no nā minuke hou. Ma hope o ka mākaukau ʻana o ka bakwapi, hoʻohui i nā ʻūpī a me nā aniani i laila.

He aha e kuke ai mai ka pipi

ʻO nā pī eiwa - kahi mākaʻi o kaʻao. ʻAʻohe hoʻoikaika pilikino i loko o nā pīpī mea nui.Hoʻomaopopo nā mea hōʻike i ke hoʻohui ʻana iā ia i mau mea ʻai a i ʻole ka ʻaha ʻaila. E kiʻi i ka momona maikaʻi loa a mālama i nā mea kanu momona a pau, ʻoi aku ka maikaʻi e hoʻomoʻa i ka pīpī no 8 mau hola i ka wai anuanu ma mua o ka mālama ʻana i ka wela.

Hoʻohui ʻaina ʻaila ʻaʻa

Hōʻike Manaʻo
Borovikova Olga
Me GDM, hiki nō iā ia ke ʻai i nā kīʻaha i hoʻomākaukau ʻia ma kēia ala. Hāʻawi ʻia ka hoʻomākaukau ʻana o kekahi kīʻaha i ʻae ʻia. ʻO ka mea nui, ʻo ia ka hāʻawi ʻana i ke kaila kuke kūpono. He mea kūpono loa ia e kuke i loko o ka kuke pīkī pīkī līkī, ke kūʻono i ka mea i hōʻike ʻia ma luna. I ka kuke ʻana, koho i ke ʻano papa palaoa.

Hōʻike nā wahine

He 32 makahiki wau. I koʻu wā hapai ma hope, ua hōʻike wau i ka maʻi maʻi gestational. I ka hopena, ua ʻōlelo ke kauka e hahai i ka ʻai. Akā iaʻu, he mea paʻakikī loa ia, no ka mea makemake wau e ʻai i nā meaʻai maikaʻi. Ua hiki iaʻu ke loaʻa i nā kīleʻa he nui no ka poʻe maʻi me ka maʻi diabetes, no laila i kēlā me kēia lā ke hiki iaʻu ke ʻai i kahi kīʻaha maikaʻi. Ua hala ʻo ka hāpai ʻana a me nā hoʻopiʻi ʻole. ʻAʻole au inu i kekahi lāʻau lapaʻau. Hoʻohana wale ʻia nā meaʻai.

I koʻu wā hānau hapai mua, ua loaʻa iaʻu ke piʻi ʻana o ke kō koko koko. Ua ʻōlelo ke kauka ʻo ia ʻo GDS. Ua wehewehe lākou iaʻu i ke ʻano o ia mea, i kuhikuhi ʻia i ka ʻai. ʻAʻole wau i noho ma luna o ia mea, hoʻopilikia pinepine ʻia. A ʻo ka hopena, ua mālama ʻia ʻo ia i ka hale maʻi ma muli o ka nui o ka loaʻa o ke kō. Ua hoʻomaka lākou e hoʻokomo i ka insulin. I ka wā o ka hapalua ʻelua, ʻaʻole ia e hoʻomaka i ka haʻalele ʻana i nā loiloi o ka loea a mālama i ka ʻai i nā manawa āpau. Hele nā ​​mea āpau me nā hoʻopiʻi ʻole ʻana.

Petrukhin V.A., Burumkulova F.F., Titova T.V., Golovchenko M.A., Kotov Yu.B. (2012). "Ka nui o ka maʻi gestational ma Moscow wahi: nā hopena screening." "ʻO ka Pūʻulu Lūkini o ka Obstetrician-Oncologist - No. 4".

Kulakova V.I. (2006). "Obstetrics a me Gynecology (Nā Hana Hapa). M .: GEOTAR — Pāpā.

Dedov I.I., Shestakova M.V. (2013). "Algorithms no ka mālama lapaʻau kūikawā no nā poʻe maʻi me ka maʻi mellitus (6th edition)."

Medvedeva M.V. (2006). "Ultrometry Ultrasonic (nā papa kuhikuhi a me nā helu helu)." M .: "Mau Pono".

E pili ana i ka mea kākau: Borovikova Olga

gynecologist, kauka ultrasound, geneticist

Ua puka 'o ia mai ke Kulanui Kauka Hana Hoʻo Kuban State, kahi haina me ka kekeke ma Genetics.

Ka hana o ka hoʻomohala ʻana o ka maʻi gestational

Ma ka waenakonu o ka lua o ka trimester, hoʻonui i ka placenta ka hana o nā ʻāina e pale i ka hana o ka insulin. I ka pane, e hoʻomaka ana ka pancreas e hana ma ka nui ʻoi.

ʻO nā meaʻai momona kiʻekiʻe, ke ʻano maʻalahi o ka noho ʻana, ka nui o ke kaumaha o ka makuahine e hiki mai ana e hoʻonui i ke ʻano o ka insensitivity i ka insulin. Hoʻokumu ka Hyperglycemia (ka hoʻomau i ka piʻi o ka glucose i ke kino) ma ke kino. No ka hōʻemi i ka meli i kahi pae kūpono, pono ʻoe i kahi meaʻai a me / a i ka hoʻoponopono hoʻoponopono ʻana.

He aha ka pilikia o ka maʻi maʻi i nā wahine hāpai?

ʻAʻole hoʻoweliweli ka maʻi maʻi gestational i ka makuahine e kali mai ana. ʻO ia ke kumu o ka hoʻomohala ʻana o nā pathologies i nā ʻōnaehana kino āpau. Nā hopena o GDM:

• maʻi hana maʻi hamama (hormonal failed),
• kaʻeʻe ʻana o ke kahe koko i loko o nā ʻāpana,
• preeclampsia (popopō maʻamau)
• preeclampsia (edema),
• pilikia pilikia
• maʻi maʻi maʻi urinary
• polyhydramnios
• ka pono no ka caesarean section,
• hoohaahaa kuapono,
• ka hoʻomohala ʻana o ka maʻi diabetes type 2 ma hope o ka hānau keiki ʻana,
• ʻopi momona.

ʻO ka maʻi ka mea nui no ka hoʻomohala ʻana. ʻO nā hopena paha o ke maʻi maʻi gestational no ke keiki e like me kēia:

• ka ulu nui ʻana o ka iwi adipose (macrosomia),
• pōpilikia hanenital
• hānau keiki hānauʻauʻau,
• ka loaʻa ʻana o ka maʻi diabetes type 2 in a new keiki,
• hypoxia
• make ʻole o ke keiki.

ʻO ka mea nui o kaʻai ʻana i ka mālama ʻana i ka maʻi diabetes i nā wahine hāpai

Me ke kō o ka haʻahaʻa, ua hoʻopau ka mea hoʻokūkū hoʻokūkū i ka pilikia o ka hoʻomaʻemaʻe ʻana o ka maikaʻi, ka loaʻa ʻana o ka paona, ka hoʻomohala ʻana i nā ala o nā ʻanoʻuhane o ka makuahine a me ke keiki.

ʻO ka hoʻohālikelike ʻana i nā papa hana ke alakaʻi i ka pono o ka lāʻau lapaʻau (injections insulin) i ka hoʻohui ʻana i ka ʻai koʻikoʻi.

Diet no nā wahine hāpai i ka maʻi maʻi gestational

Pono ka papaʻai o ka makuahine e manaʻo ai e hāʻawi i kahi kūpono o ka calorie a me kahi hoʻonohonoho piha o nā mea pono e pono ai no ka hoʻokumu ʻana o ka pūpū.

ʻO ka wahine i kahi kūlana e loaʻa ana i ke kō ka wai kiʻekiʻe e mālama i nā lula holo aʻe:

1. ʻAi liʻiliʻi, 3 mau manawa i nā ʻāpana liʻiliʻi, a me nā pālelika 2-3 ma waena o lākou.
2. E inu i kahi nui o nā wai kaila i kēlā me kēia lā (mai 1.5 lita).
3. E wehe i nā meaʻai momona a me nā momona i nā momona momona.
4. Hoʻokuʻu mai i ka papaʻaina he nui o ka fiber e ʻoli ana i ke kō ʻana o ke kō.
5. E hōʻemi i nā momona a me nā meaʻai māmā i ka meaʻai, e hoʻohuli i kahi papaʻaina i momona i ka momona a me nā hoʻoliʻoliʻu paʻakikī.

ʻAi ʻia ka meaʻai me ka hoʻonui ʻana i ka kō i ka wā kū

ʻO nā mea kūpono no ka maʻi diabetes gestational o nā wahine hāpai i ke ʻano o ka wehe ʻana o ka huahana i nā huahana e like me:

• nā kuʻe ʻana o nā ʻano āpau,
• nā waiū momona momona a me nā huahana waiū momona,
• kaʻaila, inu waiʻala i loaʻa ka honi,
• nā hua momona (hou, kēkahi, maloʻo),
• nā meaʻai aiaa a me nā mea ʻai laulu.
• semolina, laila keʻokeʻo.

He aha kāu e ʻai ai me ka ʻole palena

Hiki ke mālama ʻia ka piha ʻana i ka wā holoʻokoʻa, me ka mālama ʻana i kēlā me kēia papa i kēlā me kēia lā:

• wholemeal berena uliuli,
• kāʻei i ka puhaka e pili ana i ka pauna a pupa a i ʻole ka mea ʻai ai,
• ʻO nā mea kanu kākoi-ʻai maikaʻi (kāpī ke keʻokeʻo, broccoli, cauliflower, Brussels sprout, salads o nā ʻano ʻano paukena, mauka, zucchini, huaʻala, kukama),
• bean
• ʻōpū
• nā ʻōpala
• kahi moa, iʻa a me nā mea ʻā, hoʻomo ʻia a hupa ʻia paha,
• nā ipu mai ka palaoa a iʻa ʻaila ʻole.
• nā waiū haʻahaʻa a me nā huahana hoʻolimalima,
• nā huaʻala a me nā huaʻai ʻole.

Kaʻaʻai protein

No kaʻai ʻana no GDM i nā wahine hāpai i hāʻawi i nā hapa hapakolu o nā meaʻai i hoʻopau ʻia i nā meaʻai momona. Hoʻohui lākou i ka papa hana ma ka liʻiliʻi he 2 manawa i ka lā. He kūpono nā moena kamaliʻi haʻahaʻa a me ke kefir, nā ʻōmato i kāpī ʻole ʻole me ka mālama ʻole i ka waiū. ʻO nā kumuwaiwai ʻē aʻe o ke olakino olakino ua hoʻolapalapa ʻia a i ʻole ʻai ʻia (pipi, veal, moa). E hoʻohui i nā mea pā i ka papahele e kōkua i ke kai a me ka iʻa, nā kai lawaiʻa, nā hua, nā lāʻau hou. Hōʻike papa kuhikuhi no ka lā:

1. Ka ʻaina kakahiaka: oatmeal, ʻeleʻele a me ka pōpō makika, kīkī ʻaha.
2. Ka ʻaina kakahiaka ʻelua: ʻo ka mea ʻai kāwili me nā ʻāpana ʻōpala, ka wai momona.
3. ʻAina awakea: kahi hānai moa me nā mea noi neʻe, nā pīpī i loko o ka buckwheat, ʻokiʻoki iʻa ʻia me ka iʻa.
4. Snack: ka mea ʻoki haʻahaʻa a me ka ʻona.
5. ʻAiina: kāpī ʻia, kāwei palaoa, ʻāala hānai.
6. I ka pō: kaʻaila maoli a i ka berena rye.

Pūnaehana kalapona

ʻOi aku ma mua o ka hapalua o ka papa wahine o ka wahine hānai e pili ana i ka ʻōnaehana hānai momona e pono i nā cereals, legumes a me nā cereals, pasta mai ka palaoa durum.

ʻO kahi hiʻohiʻona o ka papaʻai i kēlā me kēia lā e momona i nā kaola:

1. Ka ʻaina kakahiaka: ʻo ka pā i loko o ka wai.
2. ʻAiʻaina: huehala ʻaila, ʻaina brown.
3. ʻAno iʻa Kaʻa: ʻāpala iʻa ʻaila me ka aila ʻaila, ʻāala hū i hoʻohuihui ʻia me ka laiki brown, stewal veal.
4. Snack: crackers, spinach salad.
5. ʻAiina: mashed patele me ka palupalu, nā pī maka, decoction o nā mea kanu.
6. I ka pō: yogurt, palaoa rye.

Ka ikehu o ka meaʻai

Hoʻokumu ka haʻawina kalona o nā meaʻai i kēlā me kēia lā i ke kiʻekiʻe a me ke kaumaha o ka wahine ma mua o ka hāpai ʻana. Pono ke koho ʻia nā huahana i emi ka nui o ka kino o ka wahine. He hopena koʻikoʻi kēia ma waena o ka maʻi gestational a me ke ʻano type type 2.

ʻO kaʻoiaʻiʻo ʻo nā wahine hāpai i ka "ketosis o ka pololi." ʻO ka mau kalapona ka mea nui o ka ikehu wikiwiki, akā inā ʻaʻole inā, hoʻomaka ka kino e hoʻohana i nā ʻōmala ma ke ʻano he "wahie". ʻAʻole hewa kēia, akā, ʻaʻole ma ka wā hāpai. ʻO ka meaʻokoʻa ka nui o ka ikehu ka mea e pono ai no ka hoʻomohala a me ka ulu ʻana o ke keiki, a me ka hoʻohana ʻana i nā momona momona e kū nei i ka nui o nā huahana (ketones), mea ʻona no ka makuahine a me ka keiki.

ʻO ia ke kumu, inā ʻike ʻia nā ketones i loko o ke kaomi a i ʻole koko o kahi wahine hāpai (a ʻaʻole kiʻekiʻe ke kō koko koko), a laila e nui ka hānai ʻia o ka wahine, ʻaʻole hoʻi ka ʻai ʻana aʻe.

Kahi ka helu o ke kalaka i kēlā me kēia lā ma muli o ke kaila nui o kona kino (BMI = kaumaha kino kino (ma ka kg) / (kiʻekiʻe * kiʻekiʻe) (i nā mika)

Papa - ʻO ka nui o ka ikehu o ka meaʻai o nā wahine hāpai me ka maʻi maʻi gestational

Kuhi ʻia ka waiwai o ka ʻai e 1800-2400 kcal i ka lā.

Hiki iā ʻoe ke kuhikuhi iā ia e like me kēia:

Hoʻowahāwahā ka hoʻouka ʻana i ka wā hāpai.

Mana mode aku

Eia hou, kekahi hiʻohiʻona o ka maʻi maʻamau i nā hanana "wikiwiki wikiwiki". Hōʻā ka puna koko i ke kahe ʻana i ka pēpē i ka pēpē, no laila ua pōloli koke ka makuahine.

Ma ka lima ʻē aʻe, ka nui o ka glucose ka mea e hoʻomaʻamaʻa loa i ka pēpē (ʻo ia hoʻi ka ʻokoʻa ma waena o ka maʻi maʻi gestational - nui ka pēpē, akā he hewa kona kino. Ma kekahi ʻaoʻao, i mea e pale ai i ka pōloli i nāwaliwali, pono e mālama mau i ka lawa o ke kō o ke koko.

No laila, i ka lā pono e loaʻa i ka ʻaina kakahiaka, ʻaina awakea, kaʻaina ʻaina a me 3 mau pōkoki. Hiki iā ʻoe ke kaʻana i kēia mauʻaina. ʻO ia, ua hoʻoholo ka wahine i ka nui a me kāna mea e ʻai ai i ka lā, a laila e hoʻokaʻawale iā ia i nā manawa āpau i 6-8 mau lā i kēlā lā.

ʻO ka ʻaina kakahiaka e like me ka wā hiki. E liʻiliʻi, akā pono. Pili kēia i nā wahine hāpai a pau, a me ka maʻi maʻi gestational, ʻo ia ka mea ʻai mua e alakaʻi ana i ke kōʻai maʻamau no ka lā holoʻokoʻa.

ʻO ka hana hoʻohālike o nā huahana

I kēia manawa, ʻike ʻia ka hoʻohālikelike e pili ana i ka papa o nā wahine hāpai i ka maʻi maʻi.

Laki - Nutritional hoʻolālā kahiʻaiʻai no ka maʻi gestational i nā wahine hāpai

No ka mea kēia maʻi maʻi maʻi, pono ka nānā nui i ka hāleʻe. Ke koho nei i nā huahana kikoʻī, pono ia e noʻonoʻo i kā lākou glycemic index - ka nui o ka hoʻonui o ka glucose koko. Ua hoʻoholo hoʻoholo ʻia kēia ʻōlelo no ka hapanui o nā kīʻaha.

ʻO ka hoʻohaʻahaʻa iho i ka kuhikuhiʻana glycemic, e hoʻolōʻihi ʻia ke kō o ke koko. ʻOi aku ka maikaʻi ma ka hāʻawi ʻana i ka makemake i nā huahana me kahi haʻahaʻa haʻahaʻa a me ke kiʻekiʻe o kēia alapine.

Hōʻike ka papa i nā hōʻailona o nā huahana i hoʻopau loa.

Palapala - Glycemic indices no kekahi mau meaʻai

Pono e hoʻololi ʻia nā meaʻai no nā wahine hāpai i ka maʻi maʻi gestational. ʻAʻole hiki iā ʻoe ke ʻai i ka “kīleʻa olakino maikaʻi” i kēlā me kēia lā.

Ke hoʻokaʻawale ʻana i nā huahana o ka mea i kalaiwa ʻia, hoʻohana ʻia ke kumu kūlike: ka hāʻawi ʻana mai i nā ʻano like ʻole o nā palekali, a ukali ʻia e ka mea o loko o ke kulana.

Palapala - Kūlike o nā huahana i hoʻololi ʻia

ʻO ke kāwili ʻana i nā ʻano huahana like ʻole i loko o kahi kīʻaha e hoʻolohi i ka hoʻonui o ka glucose koko.

ʻO nā huaʻala, nā huapalapala a me nā mea macro

Aia nā hōʻike me ka maʻi maʻi gestational, ʻoi ka pono o kekahi mau waiva a me nā minela i ʻoi aku ma mua o ka "maʻamau" wahine. I kekahi mea, pono ka hoʻokō o nā lāʻau lapaʻau kūikawā me ke kauka. ʻAʻohe

• kūʻai aku i nā minerala a me nā mea paʻakikī i ka poʻe me ka maʻi maʻi (e loaʻa paha iā lākou kahi nui nui o ka momona-soluble vitamin A, he mea weliweli no ka pūpū),
• ho'āʻo e hoʻopiha i ka pono me ka meaʻai (no ka laʻana, ʻoi aku ka maikaʻi ʻo iodine e like me ke alakaʻi ʻana e ke kauka, ʻaʻole hoʻi nā walnuts, ʻo ia hoʻi kekahi "ʻokoʻa" no ka maʻi diabetes.

Noho ka Vitamin D ma kahi ʻokoʻa. Ma ka lāʻau lapaʻau kūloko, ma ke ʻano he kuʻuna no ka poʻe keiki no ka pale ʻana a me ka mālama ʻana o ka rickets. Eia naʻe, ua maikaʻi ʻia kona hopena maikaʻi i ka maʻi diabetes, me ke ʻano gestational.

Kuhi ʻia ka ʻai o ka nui o ka huaora D e hōʻemi i ka nui o ka maʻi maʻi i nā keiki, ua kōkua i kā lākou hoʻomohala maikaʻi.

ʻOiai ke kuhikuhi nei no ka lāʻau lapaʻau, ʻaʻole pono nā prophylactic dosis i nā hoʻokolohua hoʻoliʻi, ʻoi aku ka maikaʻi ma mua o ka hoʻoholo ʻana i nā mea o ka vitamin D i ke koko a kūkā me kahi kauka.

Nā huahana kūʻai

Ma ke ʻano o ka maʻi maʻi, ka huakaʻi wai gula - nā mea momona (fructose, sorbitol, xylitol), nā mea momona (aspartame) - ʻaʻole i ʻōlelo ʻia e hoʻohana ʻia i ka wā hāpai, ʻoiai, ʻaʻole i hoʻoholo ʻia ka hopena o ka palekana o kā lākou hoʻohana.

Ke hoʻolako nei ka maʻi maʻi i kahi huaʻōlelo e kū'ē i ka waiʻona - ma kahi o ka hopena i hoʻopōʻino i ka ʻōpio, ʻo ka ethanol i nā wahine hāpai i hiki ke hōʻeha i ka nui o ke koko (hypoglycemia) a hiki i ka nalowale o ka ʻike.

ʻO ka loiloi o ka "hoʻoponopono" o ka meaʻai

Pehea e maopopo ai ke ʻano like ʻo ka meaʻai a ua hana pono nā mea a pau? ʻO kēlā mau kaʻa i hoʻonui ka nui o ke kaumaha o ke kino.

Hoʻohui ʻia ka paona momona keu ma mua o 1 kg i kēlā me kēia mahina ma ka trimester mua a ʻoi aku ma mua o 2 kg i ka lua a me ke kolu. ʻO ka loaʻa maʻamau o ka hebedoma mua i ka trimester mua he 80-117 g, ma ka lua a me ke kolu - 300-460 g.

No laila, mai nā mea i hōʻike mua ʻia, hiki iā ʻoe ke hana i kahi papa kuhikuhi.

Papa - papa kuhikuhi no ka maʻi hānai maʻi

ʻOiai he mea lapaʻau kēia no ka maʻi gestational, he mea nui ia e hoʻomaopopo he koʻikoʻi nui ka hoʻomaʻamaʻa. Kōkua lākou i ka hoʻomaikaʻi ʻana i ka naʻau o ka insulin a hoʻoponopono i ka glycemia.

Pono ke kau ʻia nā hoʻomaʻamaʻa (150 mau minuke o ka hele wāwae ikaika i kēlā me kēia pule, ʻauʻau, kahi hōʻuluʻulu aerobic) a me kēlā me kēia kanaka, i ka nānā ʻana i ka hana pilikino a ka wahine ma mua o ka wā hapai. Pono e kāpae i ka hoʻonui ʻia ʻana o ka maʻi kino ma luna o nā ʻōpū o ka ʻōpū.

ʻO ka hoʻoponopono ʻana i ka meaʻai ʻoiai he hoʻokahi wale nō ke kikowaena a i hui pū ʻia me ka hoʻoikaika kino, i ka haʻalele ʻana o ka normalization o ka glycemia, ʻaʻole hoʻohana ʻia ma mua o ʻelua pule.

Lā ʻia nā lāʻau lapaʻau hypoglycemic i ka wā hapai.

Inā ʻaʻole i hōʻea ka ʻike o ka wai koko koko i nā wiki he 2, ua kuhikuhi ʻia ka lāʻau lapaʻau. I ke koho ʻana i ka therapy insulin, ua alakaʻi ʻia ka mea maʻi e ka endocrinologist.

Aia ka wahine i loaʻa i ka maʻi mellitus maʻi gestational no ka hoʻomohala ʻana i ke ʻano type type 2 i ka wā e hiki mai ana, pono ia e hoʻokō i nā manaʻo no nā hoʻololi ʻana i ke ola i ka wā e hiki mai ana.

ʻO ka ʻike maka mua o ka maʻi pākaʻi kalepa o ka wahine hāpai a me ka nānā ʻana i kēia ʻano hiki iā ia ke hōʻemi i nā hōʻeha i pili i ke ʻano o ka maʻi maʻi maʻi hyperglycemia ma ke ʻano o ka piha ʻana, ka olakino o ka pēpē a me ka wahine iho.

He mea nui ia e hāʻawi i nā noi no ka ola olakino i ka wā e hiki mai ana, i hāʻawi ʻia i ka nui o ka ulu ʻana o ka hoʻomohala ʻana i ka maʻi mellitus maʻi maʻi, a hoʻomākaukau no ka wā hāpai.

Meaʻai: he aha ka mea a ʻaʻole hiki ke hana i ka wā hāpai

ʻO kaʻoiaʻiʻo, me kēlā maʻi like, pono ʻoe e haʻalele i kekahi mau huahana a pale iā ʻoe iho. He pono kēia ʻaʻole wale no ka makuahine hāpai, akā no ka maʻi hoʻi o ka pūpū, hiki ke hōʻeha ʻia ma ke ʻano maʻi gestational diabetes mellitus: hiki i ka maʻi ke alakaʻi i nā malenations congenital, he hoʻonui i ka nui o ka pēpē, a me ka lohi i ka hoʻomohala ʻana o nā nūwī a me nā ʻōnaehana.

Kaukaʻi nā kauka i ke pili ʻana i nā kānāwai kūikawā o ka ʻai ʻai.

1. Pono ʻoe e hoʻāʻo e ʻai i ka manawa like.
2. ʻAʻole hiki ke hoʻopau ʻia ka meaʻai wikiwiki.
3. I kēlā me kēia lā pono ʻoe e inu i ka 1,5-2 lita o ka wai (8 mau aniani).
4. Pono ka helu o ka kalaka ma ka pae o 30-35 kcal i ka 1 kg o ka paona i kēlā me kēia lā.
5. E noʻonoʻo pono e hoʻopili i nā lawelawe liʻiliʻi 5 o nā mea kanu non-starchy a me nā huaʻai i loko o kaʻai.
6. Pono e kāohi i ke kō koko. No ka hana ʻana i kēia, pono e ana ia i hoʻokahi hola ma hope o kēlā me kēia pāʻina.
7. Pono e hoʻokaʻawale ʻia nā ʻōpala māmā a i ʻole ko lākou hoʻopau i ka liʻiliʻi. Ke kamaʻilio nei mākou e pili ana i nā ʻuala, nā ʻulikini a me nā huahana palaoa.
8. E hoʻokaʻawale ʻia ka nui o BJU e like me kēia: 40% - nā hōʻiliʻili paʻakikī, ʻaʻole iʻoi aku ma mua o 30% - nā momona momona, 30-60% - nā protein.
9. ʻO ke kumumanaʻo o ka pono fractional. Hoʻohui ʻia ka nui o nā pāʻina, ʻo ia ka ʻaina kakahiaka piha, ʻaina awakea a me nā pāʻina ʻelua a ua hoʻohui ʻia ʻelua mau pōpoki - ʻo ka ʻaina 2 a i kaʻaina ahiahi a i ʻole ka pāʻina ahiahi. Pono nā wahi liʻiliʻi.

A ʻo nā huahana i papa ʻia, hoʻokomo lākou i ka confectionery, pastries, iʻa a me ka pulu.

ʻOi aku ka maikaʻi ke lawe i ka ʻai me nā momona "huna" (sausages, sausages, sausages) a me ka pēnale, puaʻa, puaʻa a me ka iʻa hānai i nā meaʻai.

Hāʻawi ʻia ka makemake i ka turkey, pipi, moa a me nā iʻa. Eia nō kekahi, ke kuke ʻana, pono ʻoe e hoʻokaʻawale i nā mea laupala (ka lard, ka ʻili o ka moa) a koho i ke ʻano "ʻano meaʻai" kuke - kuke, ʻaila, kīloi a me ka kuke.

ʻO ka meloola a me ka ʻono kuluma, ka pata a me ka margarine, nā nati a me nā huaʻaʻī, ka ʻū a me ka tiū cream, nā waiū a me nā mea momona maikaʻi, ka wai ʻala, ka ʻuala, semolina ua hoʻohui pū ʻia i ka papa inoa o nā momona i pāpā ʻia. Pono e mālama ʻia nā huahana me nā haʻaleka a ʻoi loa e mālama ʻia: ʻoi aku ka maikaʻi o ke kāpae ʻana i nā maiʻa, ka persimmons, nā hua waina, nā cherries a me nā fiku.

ʻO nā Crackers a me nā pāliki momona ma luna o ka ʻōpū ʻole e pōmaikaʻi ai inā pōʻino nāu i ke kakahiaka. Hiki i nā ʻāpana liʻiliʻi ke ʻai ʻole me ka ʻole e puka pono mai i kahi moe. Akā inā loaʻa pinepine ka maʻi kala, ʻoi aku ka maikaʻi o ke ʻike i ke kauka. Me ka maʻi mellitus maʻi gestational i nā wahine hāpai, pono e hoʻopau i ka 20-35 g o ka fiber i kēlā me kēia lā, a loaʻa iā ia ka hapa nui o ka cereals, ka laiki, ka pasta, nā mea kanu a me nā hua, ka ʻai palaoa āpau.

ʻO ka papa inoa keʻokeʻo "e komo me nā kukama, kamato, celery a me ka kāpeti, zucchini a me ka zucchini, ka lettu a me nā polosa, nā pua nani, nā ihe, a me nā hua momona.

Kika Kai 9

ʻO kāna mea nui o ka hōʻemi ʻana i ka hoʻokomo o nā pehu a me ka momona o ka ʻono o nā ipu.

Hiki ke koho ʻia ka papa inoa o nā huahana maikaʻi a ʻaʻole like nā mea maikaʻi e pili ana i ka papa ʻaina o ka glycemic index (hōʻemi haʻahaʻa kalima). ʻO ka haʻahaʻa o ka helu, ʻoi aku ka maikaʻi o ka huahana.

Pono nā Diabetics e hoʻopiha i ka papaʻai me nā mea pono e pono ai, ʻai i nā meaʻai me ka ascorbic acid a me nā huaora B (rose hip, bran). E noʻonoʻo e pili pū aku i nā greens, nā hua ʻai hou, nā huaʻai a me nā lau, ʻai kīkī, oatmeal, kaʻa momona haʻahaʻa, ke kō i ka papaʻaina. ʻOi aku ka maikaʻi ma ka hoʻohana ʻana i ka ʻaila ʻoliva ma kahi e hana ai i ka salad ʻaila.

Hōʻikeʻike hoʻohālike no GDS no hoʻokahi pule

I ka wā hāpai, ua kūkulu hou ʻia ke kino o ka wahine a hoʻomaka ka hana i kahi ʻano wikiwiki. I kekahi manawa aia nā "hopena hopena" i ke ʻano o nā maʻi me nā manaʻo ʻole i ʻike ʻole ʻia. ʻAʻole ke kahi maʻi maʻi Gestational, a me ka meaʻai pono, ʻaʻohe mea hoʻopilikia e hoʻopilikia i ka makuahine ʻāpono. ʻO ka mea nui e hoʻomaopopo ʻo ia ka ʻai, ʻaʻole ia he pololi a me nā pale, akā kau palena ʻia ka manawa.

He aha ka ʻokoʻa ma waena o ka maʻi diabetes a me ka maʻi gestational?

Aia ka ʻokoʻa o kā lākou ʻokoʻa i ka hāʻawi ʻana i nā maʻi gestational i kahi wahine ʻaʻole i loaʻa ʻole i ke koko koko kiʻekiʻe ma mua o ka wā hāpai, ʻaʻole like i nā maʻi me ka maʻi mellitus. Ma ke kānāwai, ma hope o ka hānau ʻana o kahi pēpē, ua hoʻihoʻi hou ka kino o ka wahine a hoʻi hou ka pae glucose i ka maʻamau.

He aha ka pilikia o ka maʻi maʻi gestational?

ʻO ka pōʻino ka meaʻoi aku ka nui o ke kō i loko o ke koko a pili ʻino i ka kino āpau o ka wahine hāpai, kāna mau kaʻina hana. Pane kekahi wahine i ka hōʻeha, e hōʻike ana iā ia iho i loko o nā hōʻailona i lalo iho:

1. Putu maloʻo.
2. Pāʻai wikiwiki.
3. ʻO ka makemake mau e inu i ka wai.

I kēia hihia, ʻaʻole ʻo ka wahine hāpai wale nō e ʻeha, akā ʻo kāna wahine hoʻi.

Aia kekahi wahine i hālāwai i kēia pilikia ma ka wā hapai ma ka endocrinologist, nāna i kuhikuhi i ka ʻai e pono ai no ia me ka maʻi maʻi gestational.

He aha ka meaʻokoʻa o ka meaʻai?

I mea e hoʻomaopopo ai i ka mea e pili ana ka meaʻai, pono ʻoe e hoʻomaopopo, no ka mea ʻoi ka nui o ke kō o ke koko a ka wahine e hoʻonui.

ʻO ke kumu nui no ka hoʻomohala ʻana i ka maʻi gestational ʻo ka nele o ka insulin. He mea paʻakikī i ka pancreas e kāpae i ka nui o ka hormone. ʻAʻole ona manawa e hana ai i kēia, nā mea e alakaʻi ai i kahi pīpī i loko o ke kō i ke koko o ka wahine hāpai.

No laila, pono ʻoe e haʻalele i nā kalaka maʻalahi i ka meaʻai a hoʻonui i ka nui o nā lau ʻai i loko o nā huaʻai a me nā huaʻai ma loko. ʻO kēia ke kūlana nui o ka meaʻai i nā wahine hāpai me ka maʻi gestational.

A laila, ʻike mākou i nā kikoʻī koʻikoʻi o nā lula o ka meaʻai.

He aha ka mea hāpai i ka lāʻau inu wai hānai?

Pono ka wahine e inu a hiki i ʻekolu mau wai inu wai maʻemaʻe i ka lā. Ponoʻo ia e haʻalele i nā kīʻaha i lalo iho nei:

1. Kaʻu wai.
2. Nā wai papa ʻona.
3. Kvass - ia home a me ka hale kūʻai.
4. Hoʻohui ʻia nā hua a me nā mea kanu ʻai.
5. ʻO Yoghurts me kaʻaila a me nā toppings.
6. Nā huahana Alakika.
7. ʻO nā mea inu e loaʻa ai nā mea momona, nā mea maoli a me nā mea kūlohelohe.

Mai luna aʻe e hiki i ka manaʻo ʻia e oki i ka wahine i ka inu ʻana i ka wai maʻemaʻe wale nō, ka wai inu ʻole ʻia, compote a me nā wai wai i nā huaʻai hou a me nā lau.

He aha ka pōʻino e pili ana i ka meaʻai paʻa ʻole?

Pono ke kaulike no ka maʻi maʻi gestational. ʻO ka ʻai ʻohi ʻole ʻia e hoʻopilikia i ke olakino wahine a me kāna pēpē. Eia kekahi, hiki i kēia ke kumu i ka maʻamau maʻamau a me ka hana o ka hana. Eia nā hopena i manaʻo ʻia i ka wā e ʻai ai i nā wahine hāpai i ka maʻi maʻi, ʻaʻole i kūpaʻa i nā ʻōnaehana:

1. ʻO ka ulu mua o ka placenta hele mua ʻana, no laila ʻo kahi pēpē i hānau ʻole ʻia, e hōʻeha lākou i ka hapa o ka oxygen a me nā mea hoʻonaʻauao.
2. Aia paha kahi pilikia hilahila ma waena o ka wahine hāpai a me ka wahine.
3. ʻO ke ʻano o nā kīnā koko, e hele koke mai paha, hiki ke alakaʻi i ka thrombosis.
4. Hiki i ka pūpū ke hana nui loa, kahi e alakaʻi ai i nā ʻōmole i ka wā lawe.
5. Hiki paha i ke keiki ia mea hoʻomohala a ʻaʻole paha i pili i nā makahiki gestational o ka makuahine.

ʻO ia ke kumu e nānā pono ai i ka ʻai no ka maʻi maʻi gestational i nā wahine hāpai. E kōkua ʻo ia i ka hoʻomanawanui i ka pēpē olakino a kū mālie i ka wā hāpai.

Pono e hoʻomanaʻo ʻia ʻaʻole ka pili ʻana o kaʻai i ka hōʻeha ʻana i ka pono o ka wahine, akā i ka mālama ʻana i kona olakino a me ke olakino o kāna pēpē hānau.

Maʻaʻai momona i ka wā o ka maʻi maʻi gestational

ʻO ke kūpono, ʻo kahi wahine ke ʻai a ʻelima mau manawa i ka lā. ʻO kēia kakahiaka kakahiaka, ʻaina awakea, kaʻaina awakea, ʻaina awakea a me ka ʻaina awakea. I kēia hihia, hiki i nā wā hoʻomaha ma waena o nā papa kahi o nā hola 2.5-3. He huʻihuʻi ʻole ʻia nā kaʻa ʻana ʻole. He aha kaʻu e ʻai ai me ka maʻi maʻi gestational i nā wahine hāpai?

Pono e hoʻokaʻawale ʻia nā pale momona maikaʻi me nā protein. ʻOi aku ka maikaʻi inā aia nā meaʻai ʻai kalapona no nā papa ʻekolu ʻekolu, a me nā kīʻaha momona a nā pōpoki. No ka hana, inā i kau ka ʻai i ka pasta i hana ʻia mai ka durum palaoa a me ka umauma moa, a ua hoʻololi ʻia ka manu me ka hua ʻai, a ʻo ka umauma me nā mea ʻai ʻia e ʻai ʻia no ka ʻaina.

Pono hoʻopau nā huaʻai, momona i nā momona, akā hiki ke ʻai ʻia nā lau i nā meaʻai he nui i ka wā o kēlā me kēia ʻaina.

ʻĀpana kalila

I mea e hoʻoulu maikaʻi ai ka pēpē, pono ia eʻai i ka papaʻai no ka maʻi gestational diabetes mellitus o 200-300 mau pākeke pākia. E pili ana kēia:

1. Pahu pasta.
2. Buckwheat, oatmeal a me nā cereals ʻē aʻe. ʻO ka semolina a me ka raiki.
3. Nā huahana palaoa palaoa palaoa.
4. ʻO nā lau momona a me nā ʻanoʻuala (parsley, dill, salad, celery).
5. Nā hua pīpī (nā pīni a me nā pīni).
6. ʻO nā huaʻai me kahi hōʻailona o ka hopena o nā huahana meaʻai ma hope o kā lākou pau ʻana i ke koena o ka glucose koko ʻaʻole iʻoi aku ma mua o 60. Hoʻopili kēia i nā huaʻai āpau, me ka ʻike ʻole i nā maiʻa, ka melons, ka wai, nā paina, nā kōmani a me nā lā. ʻOi aku ka maikaʻi o ka ʻai ʻana i nā hua citrus, nā pears, nā pears a me nā hua.
7. No nā huaʻai, pono ke hāʻawi ʻia i nā gooseberries, currants, nā huaʻala, nā blueberries a me nā raspberry.

E hoʻopau pono i nā huahana e loaʻa i nā kinakaleka digestible i kā lākou hui, kahi e hiki ai ke hoʻonui i ke kōhi koko. ʻO kēia mau huahana me:

1. Nui mau ʻano pastries.
2. Hoʻohālikini, kaʻaila, kaʻaila a me nā hana lāʻau i hana ʻia.
3. ʻO nā mea āpau a pau. Kāpoi, ʻaʻa, keke, nā pōpō.
4. Beets a me nā kāoboti paila.
5. ʻO ka mea kanu.

Pono nā kāloli i ka 40% o ka nui o ka meaʻai.

A pehea ehia mau protein?

Pono lākou ma ka liʻiliʻi o 120 gram i kēlā me kēia lā. Pono e koho i nā kumu o ka protein:

1. ʻO nā mea momona haʻahaʻa. E pili pū ana kēia i ka moa, pipi a me ka veal.
2. Ka moa a me ka momona o ka pipi.
3. ʻO ka iʻa a me ka iʻa kai he ʻalala kūmole, pollock, blue whiting, cod.
4. Nā hua manu a ʻokiʻoki paha. Hiki iā lākou ke kahakaha a i ʻole omelet mai lākou.
5. Mai nā huahana paʻahana, pono ʻoe e koho i ke kīwī kīwī, kefir, ka waiū, nā ʻano haʻahaʻa haʻahaʻa o ke kīwī paʻakikī.
6. Mai nā ʻōmaʻomaʻo huakaʻi, hiki iā ʻoe ke ʻai i ka pala me nā manamana.

ʻAi ʻia ka meaʻai a pau e kālua ʻia. E poina e pili ana i ka pīpī ʻana i ka manawa o kou kūlana kūpono!

ʻO ka meaʻai ʻaina o kēlā me kēia lā e 20%.

Pāʻālua momona

Diet no nā wahine hāpai me ka maʻi gestational pili i ka hoʻohana ʻana i nā momona momona. Hiki ke loaʻa ma kēia mau huahana:

ʻO ka nui o nā waikawa polyunsaturated i loko o ka papaʻai e pono ai e pili ana i ka 30%.

Nā Pole Fole a me nā ʻĀpana A

Diet no ka maʻi diabetes i ka wā hapai e komo ka kaʻa mau ʻana o nā huahana i loaʻa ka folic acid a me ka vitamina A.

Aia ka waikawa Folic:

1. ʻEluʻi
2. Kāwīwīpeka me ka hua ʻai.
3. ʻO ka keʻokeʻo a me ka cauliflower.
4. Broccoli
5. Asparagus
6. Hoʻōla.

ʻO nā mea ʻai i lalo loa i nā momona A:

1. Kāleka
2. Piolo
3. ʻO ka pipi a me ka momona pipi.
4. Kīwaha

Pono e hānai ʻia e lawe ʻia ka ʻai holoʻokoʻa e ka neʻe ʻana i ka endocrinologist. Ua hoʻohālike ʻia ka lāʻau lapaʻau kūʻokoʻa!

ʻAʻole pono nā mea ʻai eʻai ai no ka mahele maʻi o ka maʻi hānau, a pehea ʻole e ʻai ai

ʻAi loa ʻia nā huahana hou.

1. Lalo ʻia me ka ketchup. Hiki iā ʻoe ke hoʻololi iā lākou me ka pōkō pā.
2. ʻOhi ʻia, paʻaua, ʻaleka a me nā meaʻai iʻai.
3. Ka meli a me ka momona.
4. Nā huaʻai me kahi hōʻailona o kā lākou hopena i ke kōpaʻa koko ma luna o 60.

Ma muli o nā meaʻaiʻaiʻai hiki ke alakaʻi i ka nele o kekahi mau mau māmā no ka hoʻomohala piha o ka pūpū, pono e hoʻohana ka wahine hāpai i nā mea paʻakikī o nā vitamina a me nā minela i kūʻai ʻia ma ka lāʻau kūʻai. Loaʻa iā ia kahi manawa i loaʻa mai i ka mālama ʻana i ka obstetrician-gynecologist wale nō.

Pono ka ʻōpū o nā maʻi hapai me nā maʻi maʻi gestational e komo i nā meaʻai i nā mea i hoʻopilikia ʻia ʻaʻole wale nō ka pancreas wale nō, akā ʻo ka ʻōnaehana holoʻokoʻa holoʻokoʻa.

Hiki i ka mea hānai kūpono ke hoʻoulu i ka hoʻoulu ʻana o ka puʻuwai, kahi mea maʻamau i ka wā o ka wā hāpai.

ʻO kēlā ʻano ʻaina maʻamau me ka momona, pono e haʻalele ʻia, no ka mea hiki ke alakaʻi ʻia i ka kūlana emaciated o ka wahine, i hoʻohālikelike ʻia i kona kūlana. No laila, kuhikuhi pinepine ʻia nā wāhine i ka wā postpartum no ka hoʻihoʻi.

Ma mua o ka hele ʻana e hele ai, e mama ka meaʻai a hui pū ʻia nā huahana me nā huaʻai, nā mea kanu me nā iʻa.

ʻO ka mea pōʻino, ʻo nā pale a me ke kō e hoʻopau pono ʻia.

ʻO kahiʻaiʻai no ka hebedoma

ʻO kēia papa kuhikuhi no ka maʻi maʻi gestational e pono ai nā ʻōlelo i lalo:

1. No ka pāʻina awakea, me ka haki ʻole, pono ka wahine i ka ʻai.
2. Pono ka ʻai ʻana i ka ʻai a i ka palaoa rye.
3. Hiki iā ʻoe ke inu i ka kalaka rosehip, kaʻaila ʻole me ke kō, nā wai maloʻo maloʻo a me ka wai maʻemaʻe.

ʻO nā kīʻaha a pau e kuke ʻia a ʻai ʻia!

Lā Kūʻai

1. Hoʻomaka ka ʻaina kakahiaka i ka paila bakwheat, kahi mea e ʻuke ʻia ma ka wai. Hiki ke hoʻohui ʻia i ka palaoa a i ʻole ka moa i loko o ka porridge.
2. No kahi kakahiaka kakahiaka, kahi kīʻaha o ke kefir a i ʻole kahi liʻiliʻi o ke kākāʻau i kūpono i kūpono.
3. Hāʻawi ʻia ka ʻaina awake i ka eggplant egg a me nā mea ʻai moa me ka ʻole o ka palaoa.
4. No kahi papa awakea awakea, hiki iā ʻoe ke leʻaleʻa iā ʻoe iho me ka umauma moa i hānai ʻia a me kahi ʻāpana o ka huʻu laukala i paʻa ʻia me ka ʻaila ʻoliva.
5. E ʻike ʻia ka ʻaina ʻaina e nā ʻokiʻoki a me nā ʻano lāʻau like ʻole a i ʻole nāʻaila kālala (kukama a kamato).
6. Inā ʻaʻole e haʻalele ka manaʻo o ka pōloli iā ʻoe ma mua o ka moe, a laila inu i kahi aniani o ke kefir kūlohelohe.

Papa ʻ Tuesdaylelo

1. ʻO ka papa ʻaina kakahiaka i kahi ʻāpana oatmeal me nā apricots maloʻo a me nā hua maloʻo ʻē aʻe.
2. ʻO ka mea kīʻaha i mua loa he laulala huala a me ke aniani o ka holina maoli.
3. No kaʻaina awakea e loaʻa ai kahi mea kīʻaha o cod fillet a me ka cauliflower stewed me nā nati a me nā mea ʻoi.
4. Hōʻike ʻia ka lua ʻōlelo lua e ka ʻoli manu mai ka umauma moa a i ʻole umukū umauma me kaʻaila waiū.
5. No ka ʻaina awakea, e hoʻomākaukau iā ʻoe iho i ka huehole Kaisara a i ʻole mea ʻala huakai e pili ana i nā kukama, nā ʻaka, ka ʻakaʻaka, ka ʻula, nā ʻuala a me nā aniani.
6. ʻO kahi aniani o ka waiū i hoʻomoʻo ʻia e kūkulu iā ʻoe no ka moeʻuhane maikaʻi.

Wā kahu

1. E hālāwai me ke kakahiaka me nā hua i hoʻolapalapa a me kahi kikoʻai. Hiki iā ʻoe ke ʻoki iā lākou mai ka meaʻai ʻaʻai a ʻai ʻole.
2. Ma hope o nā hola 2.5, loaʻa i kahi ʻākala a i kahi kāwele hoʻi o ka palaoa palaoa a me nā kao.
3. No kaʻaina awakea e loaʻa ai ka aʻai mai ka pī a me ka beīlī Pīlī i ka palaoa me ka mea i hana ʻia mai ka huaʻai a me nā ʻano mea ʻē aʻe.
4. Nā mea hoʻolale ahiahi e leʻaleʻa iā ʻoe me ka lepa pink a i ʻole pollock.
5. ʻO kahi pāʻina o ka pasta premium a me ka broccoli e lawe mai iā ʻoe i ka hauʻoli.
6. Ma mua o ka hele ʻana e hele ai, koho i kefir a i ka ʻono maoli.

Papa ʻaina

1. ʻO ka ʻaina kakahiaka he pahu omala mai ʻekolu a ʻehā hua.
2. ʻO ka ʻōmai mua ka mea ʻalani a i ʻāpala hoʻi.
3. Maʻa ʻaina awakea e hele mai i ka pala ʻaʻai, ka umukupa a me kahi ʻāpana o ka hua ʻai.
4. No nā meaʻai awakea awakea hiki ke ʻai i ka hua citrus.
5. E hoʻomake ʻoe iā ʻoe me nā pīpī ulaula, a ma mua o ka hele ʻana o ka moena, inu i kahi aniani o ka waiū mahana.

Helu Pōʻalima

1. I ke kakahiaka, e mālama iā ʻoe iho i kahi mākato huawhenua me ka wai lemon.
2. ʻAe kahi pīpī i loko o ka waiū. No nā mea makemake ʻole i ka waiū kazhi, hiki iā ʻoe ke kuke i ka buckwheat ma luna o ka wai.
3. No kaʻaina awakea, hiki iā ʻoe ke kuke i ka momona pīʻī a me ka umauma moa me ka mau lau.
4. Puhi ka puaʻa no kahi ʻuʻina e ʻai - he aha kāu e pono ai!
5. ʻO ka ʻaina ʻaina he huehue o ka Kāleʻa o Beijing, pā, kōnala a me ʻelua mau hua hua.
6. Ma mua o ka hele ʻana e hiamoe, e ʻai i kahi ʻāpana liʻiliʻi o ka laana kuke.

Papaha ʻaina Pāpā

1. I ke kakahiaka, he hua keʻokeʻo keʻokeʻo a me kahi pīpī o ka berena rye me ka tīhi.
2. Huʻai ʻaila no ka meaʻemaka mua.
3. Nā hale ʻaina me ka moa a me ka palaoa huʻu no ka ʻaina awakea.
4. Nā ʻāpana ipu iʻa piha no ka ʻaina awakea.
5. ʻO nā pīpī nui a me nā kāpī casserole no ka ʻaina awakea.
6. Ma mua o ka hele ʻana e moena, he aniani o kefir maoli.

Lālia papa

1. Hoʻomaka ka kakahiaka kakahiaka me nā cheesecakes a me kaʻaila momona.
2. Hoʻoulu hua no ka ʻaina kakahiaka.
3. ʻO kahi pākana a me ka loina iʻaʻai no ka ʻaina awakea.
4. Kūpono o nā ʻano lau like ʻole no ka ʻaina awakea.
5. I ke ahiahi, e ʻoluʻolu e kālua i ka iʻa iʻa ʻia.
6. Ma mua o ka hele ʻana e hiamoe, ʻo ka ʻoni kūlohelohe ka hopena kūpono loa.

He huaʻōlelo o ka hopena

I ka hopena, hiki iā mākou ke ʻōlelo ʻo ia i ka maʻi diabetes i ka wā o ka hānau ʻana o ke keiki, ʻaʻole ia he paukū! ʻO ka mea kūpono a me kaʻai ʻana i ka wahine hāpai me ka maʻi gestational ke kōkua ʻole i ka mālama ʻana i ka ʻōpū a hānau mai i kahi pēpē maikaʻi, akā e ʻae nō ka noho ʻana o ka makuahine i kahi ʻano maikaʻi ma hope o ka hānau ʻana, no laila, e hoʻopili ʻia nā mea kūpono a me nā huaʻai āpau, a ʻaʻole i mālama i ka laha momona ma loko o ka ʻōpū a me nā ʻaoʻao . ^ E Ha yM.

Mai poina e hoʻopau i ka nui o ka wai inu i ka wā o ka lā, me ka teas, ka maloʻi maloʻo maloʻo a me nā wai i paʻa hou ʻia.