Biologically speaking, nhumbu ndiyo nguva yekuti mukadzi anofanira kunge aine hutano. Zvinosuruvarisa, kune chikamu chikuru, munharaunda yedu yemazuva ano, vakadzi vane pamuviri vanowanzova vakadzi vanorwara. Vanowanzova vakafuta zvakanyanya, vakazvimba, vakazvimbirwa, havana kugadzikana uye vaneta.
Vazhinji vavo vanotora mishonga yekurapa chirwere cheshuga neBP. Yese yechina pamuviri yaidiwa inopera mukupfupfudzika uye nekuvhiya kubviswa kwe embryo. Kazhinji pamudzi wedambudziko rose iri vanachiremba, nyanzvi dzezvokudya, vanaamai navamwene vanoudza amai vanenge vachiberekwa kuti vanofanira kunwa kana magirazi mana emukaka pazuva kuti vawane calcium yakakwana uye vadye nyama yakawanda nguva dzose. zuva rekuwana protein.
Vazhinji vedu tinoda kuedza kudya kwedu pachedu, asi kana zvasvika kuvana vedu vasati vaberekwa, tinova vanonyanya kuchengetedza. Ndinoziva zvakaitika kwatiri. Ini naMary takaita gadziridzo dzokupedzisira kuzvokudya zvedu zvemirivo zvakasimba nguva pfupi pashure pokuberekwa kwomwana wedu wechipiri muna 1975.
Makore mashanu gare gare, Mary akava nepamuviri yechitatu yedu. Mukubwaira kweziso, akatanga kutenga chizi, hove nemazai, achidzokera kupfungwa dzekare dzokuti zvikafu izvi zvakanaka kune yakakwira mapuroteni uye calcium uye zvinoenda kure kure kune nhumbu ine hutano. Ndakakahadzika, asi ndichivimba nezvaaiziva zvakanyanya. Akaita miscarriage mumwedzi wechitatu. Ichi chiitiko chinosuruvarisa chakamumanikidza kuti afungezve nezvezvisarudzo zvake.
Makore maviri gare gare, akanga ava nepamuviri zvakare. Ndakamirira kudzoka kwechizi, kana kuti kuonekwa kwehove mumba medu, asi izvi hazvina kuitika. Chiitiko chake chekurasikirwa nemwana wekare chakamuporesa kubva patsika yake yekutungamirirwa nekutya. Mukati memwedzi mipfumbamwe yose yenhumbu, akanga asingadyi nyama, mazai, hove kana kuti zvinogadzirwa nomukaka.
Ndapota cherechedzai: Handisi kutaura kuti ndizvo zvokudya izvi zvakakonzera kuti aparadze pamuviri panguva yaakamboita pamuviri, asi chete kuti kuiswa kwezvokudya izvi nguva yekupedzisira kwakanga kusiri chokwadi chekubata pamuviri kunobudirira.
Mary anoti ane ndangariro dzakanaka dzepamuviri pekupedzisira uyu, ainzwa simba zuva nezuva uye mhete dzinogara dzakakwana zvigunwe zvake, haana kana kumbonzwa kuzvimba. Panguva yekuzvarwa kwaCraig, akange apora 9 kg chete, uye mushure mekusununguka aingorema 2,2 kg pane asati abata pamuviri. Kwapera vhiki akarasikirwa ne2,2 kg uye haana kuita zviri nani kwemakore matatu akatevera. Anonzwa kuti iyi yaiva imwe yenguva dzainyanya kufadza uye dzine utano hwakanyanya muupenyu hwake.
Tsika dzakasiyana dzinopa mazano akawanda ezvekudya kuvakadzi vane pamuviri. Dzimwe nguva chikafu chakakosha chinokurudzirwa, dzimwe nguva chikafu chinobviswa mukudya.
MuChina yekare, vakadzi vairamba kudya zvokudya zvaidavirwa kuti zvinokanganisa chitarisiko chevana vasati vaberekwa. Nyama yeKamba, somuenzaniso, yaifungidzirwa kuti yakaparira mwana kuva nemutsipa mupfupi, nepo nyama yembudzi yaifungidzirwa kuti yakapa mwana chisimbwa.
Muna 1889, Dr. Prochownik muNew England akarayira kudya kwakakosha kune varwere vake vane pamuviri. Somugumisiro wekusakwana kwechiedza chezuva, vakadzi vaishanda mumafekitari vakagadzira rickets, izvo zvakakonzera kuremara kwemapfupa echiuno uye kubereka kwakaoma. Zvitende kana kwete, kudya kwake kwakagadzirirwa kumisa kukura kwe fetus mumwedzi yekupedzisira yekuzvitakura! Kuti vawane migumisiro iyi, vakadzi vakadya kudya kweprotein yakawanda, asi zvishoma mumvura uye macalorie.
Makore makumi matatu apfuura, Joint Panel yeNyanzvi dzeChikafu neKurima Boka reWorld Health Organisation yakazivisa kuti kudya kunovaka muviri hakuna kukosha panguva yekuzvitakura. Nhasi, nyanzvi hadzibvumirani pamusoro pekukosha kwehuremu uye kukosha kwecarbohydrate, mapuroteni, uye micronutrients mukudya kwemukadzi ane pamuviri.
Preeclampsia chirwere chinoitika mumadzimai akazvitakura uye chinoratidzwa neBP uye mapuroteni ari muweti. Mukuwedzera, varwere vane preeclampsia vanowanzova nekuzvimba mumakumbo nemaoko.
Mukutanga kwema1940, mukuedza kuderedza dambudziko rekuita preeclampsia, vakadzi vane pamuviri vakarayirwa kuderedza kunwa kwavo munyu uye dzimwe nguva vairongedzerwa kudzvinyirira kudya uye diuretics kuderedza uremu kusvika 6,8-9,06 kg. Zvinosuruvarisa, chimwe chemigumisiro isingadikanwi yekudya uku kwaiva kuberekwa kwevana vane uremu hushoma uye kufa kwakanyanya.
Kudiwa kwekudzivirira uremu hwemuviri hwakawandisa hwaive chikamu chedzidziso yezvekurapa uye kuita kusvika 1960, apo zvakaonekwa kuti kurambidzwa uku kwaiwanzoita kuti vazvarwe vana vadiki vane njodzi huru yerufu. Vanachiremba vazhinji kubva panguva iyoyo havarambidze vakadzi vane pamuviri mukudya uye vanopa zano kuti varege kunetseka nezvekurema kwakanyanya. Vose amai nomwana zvino kazhinji kazhinji zvikuru, uye ikoku kunowedzerawo ngozi yorufu uye kudikanwa kwechikamu chokuvhiya.
Nzira yekuberekwa yemukadzi, sekutonga, inogona kupotsa nyore mwana anorema kubva pa 2,2 kusvika ku 3,6 kg, iyo inorema iyo fetus inosvika panguva yekuzvarwa kana amai vakadya zvokudya zvezvirimwa zvine utano. Asi kana amai vakadyisa, mwana ari mudumbu make anosvika pahuremu hwe4,5 kusvika 5,4 kg – saizi yakakurisa kuti ipfuure nepachiuno chaamai. Vana vakura vanonyanya kuoma kubereka, uye somugumisiro, njodzi yekukuvara uye rufu inowanzoitika. Zvakare, njodzi yekukuvadza kune hutano hwaamai uye kudiwa kwechikamu cheKesariya kunowedzera ne50%. Saka, kana amai vakawana zvokudya zvishomanana, ipapo mwana wacho ari muduku zvikuru, uye kana pane zvokudya zvakawanda, mwana wacho akanyanya kukura.
Iwe haudi akawandisa ekuwedzera macalorie kuti utakure mwana. Ingori 250 kusvika ku300 makorikori pazuva panguva yechipiri neyechitatu trimesters. Vakadzi vane pamuviri vanonzwa kuwedzera kwechido, kunyanya mukati mekupedzisira maviri ekupedzisira ekuzvitakura. Nekuda kweizvozvo, vanodya chikafu chakawanda, kuwana macalorie akawanda uye zvimwe zvezvese zvinovaka muviri. Caloric kudya kunofungidzirwa kuwedzera kubva ku2200 kcal kusvika ku2500 kcal pazuva.
Zvisinei, mumativi akawanda enyika, vakadzi havawedzeri zvokudya zvavo. Pane kudaro, vanowana mamwe mabasa omuviri. Vakadzi vane pamuviri vanoshanda nesimba vanobva kuPhilippines nekumaruwa eAfrica vanowanzowana macalorie mashoma pane vasati vava nepamuviri. Sezvineiwo, kudya kwavo kwakapfuma mune zvinovaka muviri, zvirimwa zvekudya zvinopa zviri nyore zvese zvaunoda kutakura mwana ane hutano.
Mapuroteni, hongu, chinhu chakakosha chekudya, asi vazhinji vedu takasvika pakuzviona senge mashiripiti anosarudza hutano uye kubata pamuviri kwakabudirira. Ongororo yevakadzi vane pamuviri vekuGuatemala avo vaidya zvisingaite yakawana kuti uremu hwekuzvarwa hwakatarwa nehuwandu hwemacalorie aidyiwa naamai, pane kuvapo kana kusavapo kweprotein supplement mukudya kwavo.
Vakadzi vakagamuchira supplemental protein vakaratidza zvakaipisisa. Mapuroteni ekuwedzera akatorwa nevakadzi vane pamuviri mu70s akatungamira kuwedzera uremu muvacheche, kuwedzera kwekuzvarwa kusati kwasvika uye kuwedzera kwekufa kwevacheche. Pasinei nekutaura kuti pamuviri-hune hutano hwehutachiwana hunogona kudziviswa nekudya kweprotein yakawanda, hapana humwe uchapupu hwokuti kudya kweprotein yakawanda panguva yekuzvitakura kunobatsira-mune dzimwe nguva, inogona kunge ichikuvadza.
Mumwedzi mitanhatu yekupedzisira yekuzvitakura, magiramu 5-6 chete pazuva anodiwa naamai nemwana. Sangano reWorld Health Organization rinokurudzira 6% yemacalorie kubva muprotein kuvakadzi vane pamuviri uye 7% kune vanaamai vanoyamwisa. Aya mapuroteni anogona kuwanikwa nyore nyore kubva kune zvinomera: mupunga, chibage, mbatatisi, bhinzi, broccoli, zucchini, maranjisi uye sitiroberi.
John McDougall, MD