Matenda a shuga a Gestational nthawi zambiri amapezeka mwadzidzidzi panthawi yomwe ali ndi pakati. Ngati akuyenera kukuchenjezani, sayenera kukudetsani nkhawa: zakudya zochepa zomwe zingakuthandizeni kuti muzitha kuyendetsa bwino zakudya zanu chifukwa cha zotsatira za magazi anu. Pezani apa malangizo abwino oyembekezera mwana ndi mtendere wamumtima.

Kodi matenda a shuga a gestational ndi chiyani?

Malinga ndi kutanthauzira kwa WHO (World Health Organisation), matenda a shuga a gestational, komanso "matenda a shuga omwe ali ndi pakati", ndi vuto la kulolerana kwamafuta omwe amatsogolera ku hyperglycemia mosiyanasiyana mosiyanasiyana, kuyambira kapena kupezeka koyamba panthawi yomwe ali ndi pakati. mimba.

Choncho, monga matenda ena a shuga, matenda a shuga a gestational ndi kusokonezeka kwa kayendetsedwe ka shuga m'magazi (shuga wamagazi) kumayambitsa shuga wambiri m'magazi (chronic hyperglycemia).

Gestational shuga mellitus amapezeka mwa amayi apakati chakumapeto kwa 2 trimester. Zitha kukhala zowoneka bwino ndipo motero sizimazindikirika kapena kukhala ndi zizindikiro zofanana ndi zamtundu wina wa matenda ashuga: ludzu lamphamvu, kukodza pafupipafupi komanso kochulukirapo, kutopa kwambiri, kusapeza bwino pang'ono, ndi zina zambiri.

Matenda a shuga a Gestational amatha kukhala nthawi yonse yomwe ali ndi pakati kenako kutha kapena kukhala chizindikiro cha matenda a shuga omwe sanadziwike. Nthawi zonse, matenda a shuga a gestational amayenera kuyang'aniridwa mosamala ndikuthandizidwa chifukwa amaika chiopsezo kwa mayi ndi mwana.

Zowopsa

Mimba ndi chiwopsezo cha matenda a shuga pawokha chifukwa kusintha kwa mahomoni komwe mayi wapakati amakumana nako kumapangitsa kuti thupi likhale lopanda insulini lomwe limatha kukulirakulira panthawi yomwe ali ndi pakati.

Kuyezetsa kumachitika mwa kuyezetsa magazi kosavuta, mu labotale yachipatala, nthawi zambiri pakati pa sabata la 24 ndi 28 la amenorrhea mwa amayi onse oyembekezera omwe ali pachiwopsezo. Kuyesedwa koyamba kwa shuga m'magazi kumachitika m'mimba yopanda kanthu, kenako kuyesa kwa OGTT (Oral Hyperglycemia) komwe kumafanana ndi kulowetsedwa kwa 75 g shuga pakutenga kamodzi. Mtengo umodzi wopitilira malire wamba (0,92g / L pamimba yopanda kanthu, kapena 1,80g / L ola 1 pambuyo pa kuchuluka kwa shuga m'kamwa, kapena 1,53g / L pambuyo pa maola 2) ndikwanira kuzindikira matenda a shuga.

Kuyambira 2010, ku France, akatswiri a matenda a shuga ndi azimayi agwirizana pamiyeso ya anthu omwe ali pachiwopsezo cha matenda a shuga a gestational:

• mochedwa kutenga pakati: mwa amayi azaka zopitilira 35, kuchuluka kumafikira 14,2%
• index mass index (BMI> 25kg / m²): mwa amayi onenepa kwambiri kapena onenepa kwambiri, kuchuluka kumafika 11,1% ndi 19,1% motsatana.
• mbiri yamunthu ya matenda a shuga a gestational: kwa amayi omwe adayamba kale kukhala ndi matenda a shuga panthawi yomwe ali ndi pakati, kuchuluka kumakwera mpaka 50%.
• mbiri yabanja yamtundu wa 2 shuga (makolo, mchimwene, mlongo)
• mbiri ya fetal macrosomia: kulemera kwa mwana woposa 4 kg

Zakudya zopatsa thanzi zomwe zimayendetsedwa ndi ma carbohydrate (shuga) ndiye maziko owongolera bwino matenda a shuga a gestational. Chifukwa chake, ngati muli ndi matenda a shuga a gestational, zolinga zanu ndikusunga kuchuluka kwa shuga m'magazi movomerezeka ndikupewa kukwera kwambiri (hyperglycemia).

Kuwongolera momwe zakudya zimakhudzira kuchuluka kwa shuga m'magazi, lingaliro lomwe silidziwika kwa anthu wamba koma lomwe chidziwitso chake likuyamba kufalikira, ndilothandiza kwambiri: Glycemic Indexes (GI).

Mlozera wa Glycemic wa chakudya ndikutha kwake kukulitsa glycemia (shuga wamagazi) poyerekeza ndi mtengo wofotokozera, shuga.

Kukula kwa Glycemic Index (GI) yazakudya, kumawonjezera shuga wamagazi kwambiri. Kumbuyo ndikoyenera. Cholinga, ngati muli ndi matenda a shuga, ndikudya zakudya zochepa kapena zapakati za GI, kapena kupewa zakudya zamtundu wa GI zomwe zimakweza shuga wanu wamagazi kwambiri.

Nawu mndandanda wosakwanira wazakudya zomwe zili ndi GI yayikulu komanso malangizo oti muwatsitse kuti mukhalebe osangalala kudya patebulo nthawi yonse yomwe muli ndi pakati:

Zakumwa zokoma

Zakumwa zotsekemera, kaya zachilengedwe (madzi a zipatso) kapena ayi (soda kapena manyuchi) zimakweza shuga m'magazi. N'chimodzimodzinso ndi zakumwa zopepuka zomwe zingawonjezere shuga wamagazi monga momwe zimakhalira kale. Ubongo umazindikiradi zotsekemera ngati shuga weniweni.

Langizo: Kukonda madzi osasunthika kapena othwanima, omveka bwino kapena osangalatsa kwambiri ndi ayezi ndi kagawo kakang'ono ka mandimu kapena timbewu tonunkhira. Madzi a phwetekere kapena masamba ndi njira yabwino yopangira ma aperitifs, mwachitsanzo. Ngati mumakonda kapu ya madzi a zipatso, dzithandizeni ku kapu yaing'ono (150 ml) yomwe mungatenge m'malo mwa chipatso. Ingotsimikizirani kuti mumamwa nthawi zonse mukangoyamba kudya kuti muchepetse zotsatira zake pakukweza shuga wamagazi. Mwachidule: musamamwe madzi a zipatso pamimba yopanda kanthu!

Kufalitsa, uchi, kupanikizana ndi shuga

Kufalikira, kaya ndi organic kapena ayi, opanda mafuta a kanjedza kapena ayi, ndi shuga wa nzimbe kapena ayi, kumawonjezera shuga wamagazi kwambiri. Zomwezo zimapitanso kwa shuga woyera, shuga wofiirira ndi shuga wofiirira, komanso, makamaka makamaka pa jams tingachipeze powerenga ndi uchi.

Langizo: M'mawa, pa toast yanu, sankhani batala. Nthawi ndi nthawi, kumapeto kwa sabata mwachitsanzo, dziloleni kuti mukhale ofanana ndi supuni ya jamu popanda shuga wowonjezera omwe mudzapeza mu gawo la organic kapena dietetic. Kuti mukomerere zakumwa zanu, sankhani madzi a agave kapena fructose, omwe mumapezanso m'masitolo akuluakulu pagawo lachilengedwe. GI yawo ndi 15 ndi 30 motsutsana ndi 100 ya shuga. Ponena za kufalikira, puree yonse ya amondi popanda shuga wowonjezera womwe mungathe kuwonjezera madzi a agave, ndi njira yabwino kwambiri yogwiritsira ntchito nthawi zina.

Zakudya zotsekemera komanso makeke

Zakudya zotsekemera monga makeke, zokometsera zonona ndi ayisikilimu ziyenera kudyedwa mwapadera kwambiri poganizira momwe zimakhudzira shuga wamagazi. Zomwezo zimapitanso kwa maswiti, maswiti ndi chokoleti chopangidwa pafupifupi mashuga otsika kwambiri.

Langizo: musadziletse mchere wabwino ngati umakupangitsani kufuna, koma ngati zotsatira za shuga m'magazi zimalola ndipo makamaka nthawi zina. Kamodzi pa sabata zikuwoneka kuti ndizoyenera. Apanso, ngati mugwera mchere wotsekemera, onetsetsani kuti mumadya kumapeto kwa chakudya, mutatha kudya masamba ambiri omwe angachepetse kuchuluka kwa glycemic pazakudya.

Woyengeka mbewu zambewu ndi mkate woyera

Zipatso zimakhala ndi fiber, mavitamini, mchere komanso kufufuza zinthu. Koma ubwino wopatsa thanzi umenewu umachepa pamene chimangacho chimakonzedwa ndi kuyeretsedwa. Umu ndi momwe mkate woyera (ndi mkate wopanda ufa) umakhudzira pafupifupi zofanana ndi shuga woyera pa shuga wamagazi. Pasitala yachikale ndi chinthu chambewu chomwe chakonzedwa kwambiri ndikuyengedwa mpaka pomwe chimawonjezera shuga m'magazi.

Langizo: Inde, pitirizani kudya zakudya zambewu monga pasitala ndi mpunga nthawi zonse, koma sankhani mtundu wonse wa pasitala ndi mpunga wa bulauni. Komanso kondani mpunga wa basmati womwe ndi wosiyanasiyana womwe umachulukitsa shuga wamagazi pang'ono. Ganiziraninso za bulgour, quinoa, mphodza, nandolo zogawanika, nandolo ndi nyemba zouma kuti musinthe zosangalatsa. Zakudya izi sizimakhudza kukweza shuga wamagazi. Kwa mkate, kondani mkate wa bran ndi mkate wakuda mwachitsanzo. Ndipo ngati mupanga mkate wanu, chitani ndi ufa wambewu womwe mudzapeza mu gawo la organic la supermarket yanu.

Mbatata

Mbatata, mosasamala kanthu za njira yophikira ndi kukonzekera, ndi bomba lenileni la glycemic: GI yawo imachokera ku 65 mpaka 95.

Langizo: mutha kusintha mbatata muzakudya zanu zonse zomwe zili ndi mbatata (GI = 50): gratin, supu, raclette, ndi zina zambiri. nthawi zonse muwaperekezeni ndi saladi yabwino yobiriwira kuti muchepetse glycemic katundu wazakudya. Ndibwino kuti nthawi zonse muzidya saladi wambiri ngati mbatata.

Zipatso ndi ndiwo zamasamba

Zipatso ndi ndiwo zamasamba ndi zakudya zopatsa thanzi zomwe, kuwonjezera pa kukhala ndi mavitamini, mchere, fiber ndi ma antioxidants, zimapangitsa kuti shuga wamagazi achuluke pang'ono.

Komanso, ngati zipatso zina zimadziwika kuti ndizotsekemera, mapapaya okhawo okhwima kwambiri, magwava ndi nthochi (zokhala ndi mawanga pakhungu) ziyenera kudyedwa pang'onopang'ono kuti mupewe kuchuluka kwa shuga m'magazi. Kwa zipatso zina, kuchuluka kwake kumangokhala pa chakudya chimodzi. Zabwino ndikudya chipatso kumapeto kwa chakudya kuti muchepetse kukwera kwa shuga m'magazi.

Zamasamba ziyenera kudyedwa mwakufuna, popanda kupatula.

Mitundu

Nyemba, zomwe zimatchedwanso "pulses", zimaphatikizapo: mphodza (malalanje, zobiriwira, zakuda), mphodza, nyemba zouma (pinki, zofiira, zoyera, zakuda, kokonati, azuki, tarbais, mung, flageolet, cornilla), nyemba zazikulu, nandolo ( kugawanika, nkhuku, lonse).

Zakudya za nyemba zimakhalanso ndi thanzi losatsutsika pa nthawi ya mimba: mapuloteni olemera ndi ma amino acid ofunikira, ulusi ndi mchere, vitamini B9, amakhudza kwambiri shuga wamagazi. Kuti zikhale zowonjezereka, nsonga ziwiri: zilowetseni usiku wonse m'madzi ozizira ndi kufinya mandimu kapena kuwonjezera supuni ya tiyi ya soda kumadzi ophika.

mkaka

Zakudya za mkaka, zokhala ndi kashiamu wochuluka ndi zomanga thupi, kaya zimachokera ku ng'ombe, nkhosa kapena mbuzi, ndizofunikira kwambiri panthawi yomwe ali ndi pakati. Awa ndi ma yoghurts, fromage blanc, faisselle ndi ang'onoang'ono a Swiss. Samalani, komabe, kuti musawasokoneze ndi zokometsera zotsekemera ndi zotsekemera zina zomwe zimapezeka pamasitolo akuluakulu. Kwa mkaka, ndi bwino kuwasankha momveka bwino ndikuwonjezera kukhudza kwanu: sinamoni, mandimu, mbewu za vanila, ndi zina zotero. Mukhozanso kuwonjezera zipatso zanu zatsopano kapena kuzidya ndi compote yanu. Ndipo bwanji osasakaniza mkaka ndi zipatso zatsopano ndi ayezi ochepa kuti mupange zakumwa zotsitsimula zokoma.

Nyama, nsomba ndi mazira 

Olemera mu mapuloteni komanso mafuta acids ndi mavitamini, nyama, nsomba ndi mazira ndi gulu lonse chakudya kuti sayenera kunyalanyazidwa pa mimba. Makamaka popeza palibe zakudya izi zomwe zili ndi chakudya: sizingawonjezere shuga wanu wamagazi.

Sankhani nyama, nsomba kapena mazira awiri, masana ndi chakudya chamadzulo. Ndipo onetsetsani kuti mumadya nsomba kawiri pa sabata (kuphatikiza nsomba zonenepa kamodzi) chifukwa cha kuchuluka kwake mu Omega-2.