Gestational chirwere cheshuga chinowanzoitika kamwe kamwe panguva yekuzvitakura. Kana achifanira kukuzivisa iwe, haafaniri kukunetsa iwe: zvishomanana zviyero zvekudya zvichakubvumira kuti uchengetedze zviri nani kudya kwako semugumisiro wemigumisiro yeropa rako. Tsvaga pano mazano akanakisa ekutarisira mwana ane rugare rwepfungwa.

Chii chinonzi gestational diabetes?

Zvinoenderana netsanangudzo yeWHO (World Health Organisation), gestational chirwere cheshuga, zvakare "pamuviri chirwere cheshuga", idambudziko rekushivirira kwemakhahydrates kunotungamirira ku hyperglycemia yekuoma kwakasiyana, kutanga kana kuongororwa kwekutanga panguva yekuzvitakura. pamuviri.

Saka, seimwe chirwere cheshuga, gestational chirwere cheshuga chinokanganisa mukugadzirisa shuga yeropa (yero yeshuga yeropa) inokonzera glucose yakawandisa muropa (chronic hyperglycemia).

Gestational chirwere cheshuga chinoitika muvakadzi vane pamuviri kusvika pakupera kwe2nd trimester. Inogona kunge isinganyatsooneki uye nekudaro kuenda kusingaonekwe kana kuratidza zviratidzo zvakafanana nezve mamwe marudzi echirwere cheshuga: nyota yakanyanya, kugara uye kuwanda weti, kuneta kwakanyanya, kusagadzikana kudiki, nezvimwe.

Gestational chirwere cheshuga chinogona kugara kwenguva yakareba yekuzvitakura uye chobva chanyangarika kana kuratidza chechirwere cheshuga chisingazivikanwe chekare. Muzviitiko zvese, gestational chirwere cheshuga chinofanira kunyatsoongororwa uye kurapwa nekuti chinoisa njodzi kune vese amai nemwana.

Mamiriro ezvinhu ane ngozi

Kubata pamuviri injodzi pachayo yechirwere cheshuga nekuti shanduko yehomoni inoitwa nemukadzi ane pamuviri inoita kuti pave nechimiro chemuviri we insulin resistance inogona kuwedzera panguva yekuzvitakura.

Kuongororwa kunoitwa nekuongororwa ropa kuri nyore, murabhoritari yezvokurapa, kazhinji pakati pevhiki rechimakumi maviri nemana nerechimakumi maviri nemasere reamenorrhea muvakadzi vese vane pamuviri vari panjodzi. Kuongororwa kweshuga kwekutanga kunoitwa pamudumbu usina chinhu, ipapo bvunzo yeOGTT (Oral Hyperglycemia) inofananidzwa nekupinzwa kwe24 g yeglucose mune imwe kutora. Kukosha kumwe chete pamusoro pezvikumbaridzo zvakajairika (28g / L padumbu risina chinhu; kana 75g / L 0,92 awa mushure memuromo weglucose mutoro; kana 1,80g / L maawa maviri mushure) inokwana kuona gestational chirwere cheshuga.

Kubva 2010, muFrance, diabetologists uye gynecologists vakabvumirana pamaitiro evanhu vari panjodzi ye gestational chirwere cheshuga:

• Kunonoka kubata pamuviri: muvakadzi vanopfuura makore makumi matatu nemashanu, kuwanda kunosvika 35%
• body mass index (BMI> 25kg / m²): muvakadzi vakafuta kana vakafutisa, kuwanda kunosvika 11,1% uye 19,1% zvichiteerana.
• nhoroondo yega yega gestational chirwere cheshuga: kune vakadzi vakatogadzira gestational chirwere cheshuga panguva yekuzvitakura yapfuura, kuwanda kunokwira kusvika 50%
• nhoroondo yemhuri yerudzi rwechipiri chirwere cheshuga (vabereki, mukoma, hanzvadzi)
• nhoroondo ye fetal macrosomia: uremu hwekuzvarwa kwemwana anopfuura 4 kg

Kudya kwakadzikama kunodzorwa mumacarbohydrates (shuga) ndiyo hwaro hwekutonga kwakanaka kwegestational chirwere cheshuga. Saka, kana uine gestational chirwere cheshuga, zvinangwa zvako ndezvekuchengetedza mazinga eshuga muropa mukati memiganhu inogamuchirwa uye kudzivirira kuwedzera kwakanyanya (hyperglycemia).

Kugadzirisa kukanganiswa kwekudya kwemunhu pahuwandu hweshuga yeropa, pfungwa isingazivikanwe kune veruzhinji asi iyo ruzivo rwuri kutanga kutenderera zvakanyanya, inobatsira zvikuru: iyo Glycemic Indexes (GI).

Iyo Glycemic Index yechikafu kugona kwayo kuwedzera glycemia (yero yeshuga yeropa) kana ichienzaniswa nereferensi kukosha, glucose.

Iyo yakakwirira iyo Glycemic Index (GI) yechikafu, iyo inowedzera kuwedzera shuga yeropa zvakanyanya. Reverse ichokwadi. Chinangwa, kana iwe uine gestational chirwere cheshuga, ndechekudya yakaderera kana yepakati GI chikafu, kana kuti urege kudzivirira yakakwira GI chikafu chinosimudza shuga yako yeropa zvakanyanya.

Heino rondedzero isina-inoperera yezvikafu zvine yakakwira GI uye matipi ekuzvitsiva kuitira kuchengetedza kunakidzwa kwekudya patafura panguva yekuzvitakura kwako:

Zvinwiwa zvinotapira

Zvinwiwa zvine shuga, zvingava zvechisikigo (muto wemichero) kana kuti kwete (soda kana manyuchi) zvinokwidza shuga muropa. Zvimwe chetezvo ndizvo zvinoshamisa nyaya yezvinwiwa zvakapfava izvo zvaizowedzera shuga yeropa zvakanyanya seyemhando yemhando. Uropi hwaizonyatsoona zvinonaka seshuga chaiyo.

Zano: Sarudzo ichiri kana mvura inopenya, yakajeka kana yekuwedzera kunakidza kubata neaizi cubes uye chimedu cheremoni kana mint mashizha. Tomato kana majusi emiriwo zvakare yakanaka imwe nzira yeaperitifs, semuenzaniso. Kana iwe uchida girazi remuchero wemuchero, zvibatsire kune girazi duku (150 ml) raunogona kutora panzvimbo yechidimbu chemuchero. Ingova nechokwadi chekuti unogara uchinwa mushure mekunge watanga kudya kwako kuti udzikise maitiro ayo pakusimudza shuga yako yeropa. Muchidimbu: usanwa muto wemichero padumbu risina chinhu!

Paridza, uchi, jamu uye shuga

Inopararira, ingave yakasikwa kana kwete, isina mafuta emichindwe kana kwete, ine shuga yenzimbe kana kwete, inowedzera shuga yeropa zvakanyanya. Izvo zvakafanana zvinoenda kune chena shuga, brown shuga uye brown shuga, asi zvakare, zvakanyanya kunyanya kune yemhando jamu nehuchi.

Zano: Mangwanani, pane toast yako, sarudza bota. Nguva nenguva, pakupera kwevhiki semuenzaniso, zvibvumire kuenzana nepunipuni yejamu pasina shuga yakawedzerwa yauchawana mune organic kana dietetic chikamu. Kuti unotapira zvinwiwa zvako, sarudza agave sirasi kana fructose, iyo iwe yauchawana zvakare muzvitoro zvikuru muchikamu cheorganic. GI yavo inoenderana ne15 uye 30 inopesana ne100 yehuga. Kana iri kupararira, iyo yose yealmond puree isina shuga yakawedzerwa iyo iwe unogona kuwedzera syrup shoma yeagave, ndiyo imwe nzira yakanakisisa yekushandisa nguva nenguva.

Sweet dessert uye pastries

Madhishi akadai semakeke, madhirimu ekirimu uye maaizi cream anofanirwa kudyiwa nenzira yakasarudzika kupihwa maitiro azvo pashuga yeropa. Zvakafanana zvinoenda kune zvihwitsi, zvihwitsi uye chokoreti mabara akagadzirwa anenge akaderera emhando yeshuga.

Zano: usazvinyime dessert yakanaka kana ichiita kuti ude, asi chete kana mhedzisiro yeshuga yeropa ichibvumira uye kunyanya pane dzimwe nguva. Kamwe pavhiki inoita kunge iri frequency inonzwisisika. Zvakare, kana iwe ukawira dessert inotapira, iva nechokwadi chekuipedza pakupera kwekudya, mushure mekudya huwandu hwakanaka hwemiriwo iyo inoderedza glycemic mutoro wekudya.

Zviyo zvakanatswa uye chingwa chena

Zviyo zvinogara zvakapfuma mufiber, mavhitamini, zvicherwa uye trace elements. Asi izvi zvinovaka muviri zvinodzikira sezvo zviyo zvichigadziriswa nekunatswa. Aya ndiwo mabatiro anoita chingwa chichena (uye chingwa chakazara) chine mhedzisiro inenge yakafanana neshuga chena pashuga yeropa. Classic pasta zvakare chigadzirwa chezviyo chakagadziriswa zvakanyanya uye chakanatswa kusvika painokwidza mazinga eshuga yeropa.

Zano: hongu, ramba uchidya zvigadzirwa zvezviyo senge pasta uye mupunga nguva dzose, asi sarudza iyo yese pasta uye brown mupunga vhezheni. Uyewo sarudza basmati mupunga inova iyo yakasiyana-siyana inowedzera shuga yeropa zvishoma. Uyezve funga nezve bulgour, quinoa, lentils, patsanurwa peas, chickpeas uye bhinzi dzakaomeswa kusiyanisa mafaro. Zvikafu izvi hazvina zvazvinoita pakusimudza shuga yemuropa. Zvechingwa, sarudza bran chingwa uye dema chingwa semuenzaniso. Uye kana ukagadzira chingwa chako, chiite nehupfu hwezviyo hwauchawana muchikamu cheorganic chesupermarket yako.

matapiri

Mbatata, chero nzira yavo yekubika uye yekugadzirira, ibhomba chairo reglycemic: GI yavo inotangira pa65 kusvika 95.

Zano: unogona kutsiva mbatatisi mundiro dzako dzese dzine mbatatisi (GI = 50): gratin, soup, raclette, nezvimwe. gara uchivaperekedza neyakasvibira saladhi kuti uenzanise iyo glycemic mutoro wekudya. Chakanakira kugara uchidya kanenge saradhi yakawanda sembatatisi.

Zvibereko nemiriwo

Zvibereko nemiriwo chikafu chehutano chakanyanya kunaka izvo, pamusoro pekupfuma mumavhitaminzi, zvicherwa, fiber uye antioxidants, zvinoita kuti shuga yeropa iwedzere zvine mwero.

Uyezve, kana mimwe michero ichizivikanwa kuti inotapira, papaya chete yakaibva kwazvo, guava nebhanana (ine mavara paganda) inofanira kudyiwa zvine mwero kudzivirira spikes mushuga yeropa. Kune mimwe michero, huwandu hwayo huchangogumira kushumiro imwe pakudya. Zvakanakisisa ndezvekudya muchero pakupera kwekudya kuti udzikise kuwedzera kweshuga yeropa.

Miriwo inofanira kudyiwa pamadiro, pasina chinosara.

Legumes

Legumes, inonziwo "pulses", inosanganisira: lentils (maranjisi, girini, dema), nyemba, nyemba dzakaomeswa (pink, tsvuku, chena, dema, kokonati, azuki, tarbais, mung, flageolet, cornilla), bhinzi yakakura, pizi ( patsanura, chick, chose).

Legumes zvakare ine zvisingarambike zvinovaka muviri zvinobatsira panguva yekuzvitakura: akapfuma mumapuroteni uye akakosha amino acids, fibers nemaminerari, vhitamini B9, iwo ane mhedzisiro isingaite pashuga yeropa. Kuita kuti zvive zvakanyanya kudyiwa, mazano maviri: zvinyudze usiku hwose mumvura inotonhora nesvina remonimu kana kuwedzera teaspoon yekubika soda kumvura yekubika.

Dairy zvinogadzirwa

Zvigadzirwa zvemukaka, zvakapfuma mu calcium uye mapuroteni, angave kubva kumombe, gwai kana mbudzi, zvinofanirwa kufarirwa panguva yekuzvitakura. Aya ndiwo yogati, kubvaage blanc, faisselle uye diki Swiss. Chenjera, zvisinei, kuti urege kuvavhiringidza nemafuta edhizeri uye mamwe madhirita azere pamasherufu esupamaketi. Kune zvigadzirwa zvemukaka, zviri nani kuzvisarudza zviri pachena uye kuwedzera kubata kwako kwekunaka: sinamoni, muto wemonamu, mhodzi yevanilla, nezvimwe. Uye wadii kusanganisa chigadzirwa chemukaka nemuchero mutsva uye mashoma echando cubes kuita chinwiwa chinonaka chinozorodza.

Nyama, hove uye mazai 

Yakapfuma mumapuroteni asiwo mumafuta acids uye mavitamini, nyama, hove uye mazai iboka rose rekudya risingafaniri kuregererwa panguva yekuzvitakura. Kunyanya sezvo pasina chimwe chezvikafu izvi chine makabhohaidhiretsi: ivo havazowedzere shuga yako yeropa.

Sarudza kugovera nyama, hove kana mazai maviri, zvose zvemasikati uye kudya kwemanheru. Uye iva nechokwadi chekudya hove kanenge kaviri pavhiki (kusanganisira hove dzine mafuta kamwe chete) nokuda kwehupfumi hwayo muOmega-2.