ʻAiʻai no ka maʻi gestational i nā wahine hāpai
ʻAʻole hanana maoli ka GDM i ka wā hāpai. I ia kūlana, he mea paʻakikī loa ke koho i kahi meaʻai, no ka mea, ʻaʻole hiki iā ʻoe ke hoʻohui me ka hōʻalo i nā paleola a hele paha i ka hoʻokē ʻai. Eia kekahi, i ka kino o ka wahine, hoʻomau nā kaʻina loina metabolic i ka ikaika loa, e koi ai i ka mālama ʻana i ka papa o nā hui nui o nā huaora a me nā mea pono e pono ai no ka hoʻomohala ʻana o ke keiki.
ʻO ka koho ʻana o ka meaʻai e pono e ke kauka ʻike, ʻoiai ma kahi papa liʻiliʻi haʻahaʻa e hoʻonāukiuki i ka ketoacidosis - kūmole ke koko me nā ketone kino e hoʻopōʻino i ka pūpū. Ke koho ʻana i ka mea ʻai pono, e aʻo ʻia e kālele ʻana i ka mākuhi o ke kino o ka makuahine.
ʻO nā ʻōlelo hoʻolālā no ka wahine hāpai wahine
Me ka maʻi maʻi gestational, pono e hoʻokaʻawale ʻia nā sweets mai ka meaʻai a me kaʻai pinepine ʻia ka fractional. Hoʻomaopopo ʻia kahi pāʻina 6-manawa - 3 mau kīlani nui a 3 mau makana.
Pono ka hoka ma waena o nā meaʻai a pau i loko o nā hola he 2, a ʻo ka hapa ma waena o ka papa mua a me ka hope i ʻoi aku ma mua o nā hola 10. Ma kēia hana kīnā ʻole, hiki i ka wahine ke hōʻemi nui i nā kaupalena o nā huki i loko o ke kō o ke kō.
He mea nui e kāpae i nā hihia o ka overeating, hoʻolako i ka nui o kahi hapa i loko o 150 g.
Inā ua loaʻa kahi wahine i ka maʻi gestational, a laila e aʻo e pili ana i ka puʻunaue ʻana o nā kalaka i nā pā i loko o ka lā:
- no kaʻaina kakahiaka - 25%,
- i ke ʻano o ka ʻaina kakahiaka ʻelua - 5%,
- no kaʻaina awakea - 35%,
- no kaʻaina ahiahi - 10%,
- no ka ʻaina awakea - 20%,
- snack ma mua o kahi hiamoe - 5%.
No ka hoʻoholo ʻana i ka hoʻolālā meaʻai no GDM, papa helu 9 he mea hoʻohana - kahi papa ʻai no ka wahine hāpai i hāpai ʻia e kahi gastroenterologist M.I. PeVzner. Hāʻawi ia i ke koena maikaʻi loa o nā palaka, nā momona, a me nā momona.
Ma kahi hapa o ka papa ʻai momona i hāpai ʻia, hoʻemi ʻia ka nui o nā poki i ka mea i hoʻemi ʻia e 10% e pili ana i ka pākeke, ma ke ʻano, ʻo ka pāʻai i kēlā me kēia lā e like me ka 200-300 g o nā pakanikena i kēlā me kēia lā. Akā ʻaʻole e hōʻemi nā mea hoʻomalu - e pono i ko lākou helu e kūlike i ka inoa o ka physiological.
I kēia mea, pono nā meaʻai kīʻaha o ka protein i kēlā me kēia lā i ka liʻiliʻi o ka pāʻina 2 i ka lā. A pono e hoʻemi ʻia nā momona. Eia kekahi, hoʻokaʻawale loa ka saturated.
A ʻo ka hopena, pono e hoʻohui pū nā ʻōiwi BJU e like me kēia:
- ka 50% ka hoʻemi ʻana o nā powa,
- ka uku like o ka protein ke 35%,
- ka hikiʻole o ka momona - 20%.
Noi aku nā poʻe Nutritionists e pili i nā mea hoʻohālike o ka huina o ka nui o ka calorie o kaʻai i kēlā me kēia lā i loko o 2000-2500 kcal.
Hiki ke helu ʻia o ka waihona kaloli o ka waihona ma ka mālama ʻana i ke kūlana kūpono loa - 35-40 kcal i kēlā me kēia lā 1 kg o ka paona o ka wahine.
ʻO nā meaʻai e hiki ke hoʻokomo i ka meaʻai
Me ka maʻi maʻi gestational, pono nā wahine hāpai i ka hoʻokaʻawale aʻe i nā mea pale i kālai ʻia mai ka meaʻai. ʻAʻole pono ka papa papa ʻaina i ka meli, ka meli, nā mea ʻala, ka siki, nā wai kīʻala, nā mea ʻala o ka carbonated, nā mea momona.
He pono e hoʻokō i nā meaʻai ʻaono i ka lā i ke ao, a ka hāʻawi kaʻawale ʻana i nā mea kālai.
I ke ahiahi, ʻaʻole i ʻōlelo ʻia e ʻai i nā hua a me ka ʻai. ʻOi aku ka maʻalahi o kēia mau meaʻai i ka kakahiaka.
Akā no ke ahiahi ua ʻōlelo ʻia e kau i ka pīkī kuke, kefir, nā mea kanu ʻupena ma ka papa.
Aia kekahi koi i nā hui huahana hotel:
- Nā huahana huahana a me nā kīʻaha o ka palaoa palaoa e hoʻopau i ka nui i hoʻoholo ʻia e ka meaʻai noholā, i kau ʻia i ka ʻuna ʻomaʻomaʻo. Hoʻomaopopo ia e hoʻokomo i ka berena rye i ka papa kuhikuhi, a me nā huahana mai kā ka palaoa palaoa o ka papa 2. ʻAʻohe pilikia pale no ka huahana o ka palaoa i kālai ʻole a me ka momona. Akā mai ka palaoa, mai waiho ʻia nā huahana mai ka pōkole a i ʻole puff pastry. ʻAʻole pono nā wahine i ʻai i nā kuki, nā pōpō, nā muffins, a pēlā aku.
- I waena o nā meaʻala ʻO ka manaʻo i ka mea ʻai e pono ai ma ka buckwheat, barley, millet, pearl barley, oat. Eia nō naʻe, eia ka mea i hoʻopili ai i ka saturation o nā kalapona he nui i mālama ʻia. Hōʻike pinepineʻia nā meaʻai me ka laiki a me ka semolina mai ka papa kuhikuhi.
- Nā lau ʻai i kai he mea pono i ke kino, a no laila hiki ke hoʻonohonoho 'ia ka papa inoa ma o ka hoʻopili ʻana i ka ʻuala, kāloti, mau ʻamo. He kūpono hoʻi ka lawelawe ʻana i nā pī me nā pīniu. E kōkua ka pīpī a me nā pāʻai lentil. Pono ka poʻe Nutritionist e hoʻomalu i ka saturation o nā kaʻe - ʻaʻole iʻoi aʻe ma mua o 5% i ko lākou mau lau. No laila, ua kauoha ʻia e hoʻohana i ka kāpeti, zucchini, paukena, kukama, kamato, lettuce. Hāʻawi ʻia ka makemake i nā mea kanu ʻai ʻia, ʻuma, ʻoki ʻia, kālua ʻia. ʻAʻole aloha lākou i nā huahana paʻakai a ʻili - ua pau ʻole lākou.
- Me nā hua e makaʻala. I ke kakahiaka, ua ʻae ʻia nā huaʻai a me nā huaʻai. Akā pono ʻoe e koho i nā ʻano momona a ʻono. ʻOiaʻiʻo, pāpā ʻia nā huahana he nui. Hoʻopili ʻia kēia pili i nā hua waina, ke kīleʻa, nā maiʻa. Lele ʻia a me ke kūleʻa.
- I nā huahana dairy aia ka calcium me nā protein e pono ai i ke kino o kahi wahine. No laila, kūpono nā huahana pāwali no ka meaʻai - ke kefir low-fat, bifidok, haʻahaʻa haʻahaʻa momona e like me nā mea hoʻohui i nā kīʻaha, inu waiū-waiū me ka ʻole gula. ʻO nā huahana momona i ka lactose, ke kime kīkē momona a me nā yoghurts, kaʻaila momona a me nā ʻālike o nā ʻano momona momona ʻaʻole kūpono no kahi wahine hāpai me GDM.
- I nā huahana ʻai piha i ka huaora, nā momona a me nā momona maikaʻi. Pono e hoʻokomo i kēia mau meaʻai i ka meaʻai. Akā, pono ʻoe e koho i nā ʻano haʻahaʻa haʻahaʻa. Hiki ke hoʻokaʻawale ʻia ka papa ʻaina me nā kīʻaha o ka pipi, veal, 'ōpala, moa, pipi. Hiki iā lākou ke hoʻopau ʻia i loko o ka loʻa hoʻolapalapa a ʻaʻa paha. ʻAi ʻia nā meaʻai e loaʻa nā loina holoholona he nui. Hoʻopilikia ka ʻiʻo momona i ke kino. ʻO nā huahana ʻokiʻoki a me nā sausage, hoʻoneʻe ʻia ka ʻiʻo keʻa. ʻAʻole kūpono kēlā me ka lawehala ma ke ʻano o ka kuke ʻana.
- Nā iʻa momona kekahi i nā huaora, nā protein a me nā momona. Loaʻa nō hoʻi ia i ka loaʻa o nā waikena omega-3. No nā meaʻai meaʻai, kūpono nā iʻa momona. Hiki ke hoʻolapalapa ʻia a paʻa paha. ʻAe ʻia ia e ʻai i nā huahana i ʻaia i loko o kā lākou wai iho a i ʻole ka hoʻohana ʻana i ka kamato. ʻO nā mea momona a paʻakai ʻia paha, a me nā iʻa paʻala i ka aila, ʻaʻole ʻia.
- ʻO nā wahine i loaʻa ʻia i ka maʻi mellitus maʻi gestational e pono e hoʻohui ʻia i ka papaʻai i ka wā hāpai. Nā ʻaihueabeetroot ka hoʻohana ʻana i nā lau ʻai. Pono ka lau a ʻo ke kefir okroshka e koe, akā me ka ʻole o ka hoʻohui ʻana i nā sausages a i ʻole kvass. Hoʻomaopopo nā Nutrist e hoʻohana i ka ʻai momona haʻahaʻa, nā iʻa a me ka mea ʻono mau o ka hoʻohaʻahaʻa haʻahaʻa. Hiki iā ʻoe ke hoʻohui i nā lau, nā kō, ka ʻeke manu me ia. Akā ua hoʻohālikelike nā kīʻaha ma nā momona a me nā momona. Hāʻawi ʻia nā mea Nutrist e hoʻokomo i nā hua i hoʻolapalapa ʻia ma ka papa kuhikuhi. Eia nō naʻe, e kaupalena ʻia i nā ʻāpana he 3-4 i ka hebedoma. Hiki ke hoʻohana ʻia ka ʻaila huehue, akā ma kahi ʻano liʻiliʻi - ʻae ʻia ia e hoʻohana wale ʻia me ke kapa komo.
- I ka ʻohi mau ke ʻano o nā meaʻai hanohano ma ke ʻano. Ma ka tasiʻaoʻao, ʻae lākou no ka mea e hoʻokaʻawale nei ia me nā ʻaina. Akā, ma ka ʻaoʻao ʻē aʻe, he huahana ia e paʻakikī i ka hoʻoweliweli ʻia e nā ʻōnaehana, kahi e hana ai i kahi ukana nui loa ma ka pancreas. Aia kahi ʻano ʻē aʻe - ke ʻano o ka huahana, no ka mea ʻo ka hōʻiliʻili pono ʻole a me ka mālama ʻana e hiki ai ke hoʻonāukiuki i ka make nui. No laila, hiki iā ia ke hoʻohana i nā ʻano palekana wale nō a me nā pihi ʻona.
- Paipai nā mea hōʻike i ka inu ma kahi o ka 1.5 mau punela o ka wai i kēlā me kēia lā. I kēia hihia, hiki iā ʻoe ke hoʻohana i nā wai momona hou a i ʻole nā mea inu me ka honi. Mea ʻāpono, hoʻoleʻa wai ʻole carbonated me nā mea liʻiliʻi e hōʻike ai i ka mineralization, kūpono nā mea kīkī. Akā ua hoʻohāʻī ʻia nā wai ʻona o ka ʻano momona, kolo, kvass, ka wai inu.
Kūlana ʻoia i kēlā me kēia lā
ʻO ka poʻe maʻi e loaʻa ana i ka GDM i ka wā hāpai, ua aʻo ʻia e pili i ka papa inoa me nā huahana i ʻae ʻia.
Pale ke ʻano o nā meaʻai maʻamau i kēlā me kēia lā:
- No kaʻaina kakahiaka(ma 7-30) pono ke ʻai ʻana i ka ʻai kīʻaha ʻaina liʻiliʻi, i hoʻoheheʻe ʻia me ka waiū, he pāoʻi oatmeal, ʻona me ka hoʻohui ʻole.
- ʻAina kakahiaka (ma 10-00) hiki ke hoʻolako ʻia me nā hua, e like me nā apu.
- Ma ka ʻaina ʻaina ma 12-30 Hiki iā ʻoe ke hoʻomākaukau i kahi pālato me nā kukama a kamato, kahi pā i ka mea meʻa me ka ʻalē o ka palaoa ʻai, he hapa o ka pasta a me kahi pōpō me ka wīwī puaʻa.
- No kaʻaina awakea awakea ma 15-00 Hiki iā ʻoe ke inu i kahi ipu o ka waiū a ʻai i 20 g o ka palaoa.
- ʻO ka papaʻaina mua loa ma 17-30 Hiki iā ʻoe ke hoʻokaʻawale me kahi ʻāpana o ka loko o ka bakwīat iʻa me ka iʻa ʻoli ʻia a me kahi aniani o ka ʻāpā i kū ʻole ʻia.
- Snack no ka ʻaina ʻelua ma mua o ka hele ʻana e moe e kau ʻia ma kahi aniani o kefir a me kahi ʻāpana liʻiliʻi o ke kīpī.
I ka wā hāpai, pono ʻoe e kiaʻi mau i ka lohi o ke kō i loko o ke koko. Hana i kēia ma ka liʻiliʻi 4 mau lā i ka lā e hoʻohana ana i nā glucometer.
Kauka ʻia nā kauka i ke ana ʻana i ke ana i ke kakahiaka, me ka hola ma hope o ka lawe ʻana i nā kīʻaha nui.