ʻO ke ʻano maʻi maʻi gestational (GDM) kahi ʻano o kēia maʻi e hoʻomohala ana i nā wahine i ka wā hāpai. Loaʻa koke ka hapanui o ka wahine i ka maʻi hānau ʻana, akā i ka hiki ʻole iā ia ke alakaʻi i nā ʻōpiopio, pono ʻoe e hahai i kekahi kīnā. I ka hapanui pinepine, aʻo ka mea maʻi e pili ana i ka hoʻonui nui o ka glucose i loko o ke koko i ka manawa o ka lua o ka hapai i ka wā o ka hoʻāʻo. Hoʻomaopopo kēia loiloi i nā wahine āpau e kali ana i kahi pēpē, ʻoi aku hoʻi ka poʻe me ka mōʻaukala o ka maʻi maʻi. ʻO ke kō koko koko kiʻekiʻe, lawe ʻia ma ka ʻōpū ʻole, ʻaʻole i hoʻoholo mau ʻia, a ua ʻike ʻia kahi hoʻāʻo e hoʻāno i ka glucose.
He aha ka pōʻino o ka meaʻai keʻokeʻo?
Hiki i ka maʻi diabetes ke hoʻopilikia i ka hānau ʻana a me ka hānau ʻana. Inā ʻai ka mea maʻi me ke kāohi ʻole ʻana, hiki i ka maʻi ke "ʻoki i hala" a alakaʻi i kēlā mau hopena:
- ka wā kahiko o ka plasenta;
- kahi hana ʻino ma waena o ka makuahine a me ka ʻōpio;
- ka hoʻopaʻapaʻa ʻana i ke koko o ka wahine hāpai a me ka hoʻokumu ʻana o nā clots i loko, e hiki ke hele mai a e hana i ka trombosis (hana i nā kīʻaha koko);
- ke hoʻonui nui ʻana i ke kaumaha o ke kino fetal, e hoʻoweliweli ana i nā hoʻopiʻi i ka hānau keiki;
- hoʻomohala ʻana i ka hānau keiki ʻole.
Kūponoʻai Diet
Pono ka papa hana o kēlā me kēia lā no ka maʻi maʻi gestational i loko o 6 mau pāʻina. Ke pale nei i ke kumumanaʻo o ka pono fractional i ka pīhoihoi koke i ka wai koko. Eia kekahi, me kēia hoʻoponopono kai, ʻaʻole manaʻo ka wahine hāpai i ka pōloli nui, kahi paʻakikī ke kū i kēia mokuʻāina. ʻAʻole pono ka huina o ka calorie intake ma mua o 2000-2500 kcal i kēlā me kēia lā. ʻAʻole pono ia e hoʻowahāwahā i kēlā mea, ʻoiai ka hana o ke kino wahine hāpai i lalo o ke kaumaha, a pono e loaʻa iā ia ka ʻai no ka uku o ke ikehu.
Hiki wale i ke kauka ke helu i ka waiwai kūpono o ka ʻai. No ka hana i kēia, lawe ʻo ia i nā hiʻohiʻona o ke kino, ka index body body a me nā ʻano ʻē aʻe o ka wahine. Pono e mālama i ka momona i ka loaʻa ʻana o ka paona a ma ka manawa like ʻaʻole e hoʻohiolo i ke kino. ʻO kahi pūʻulu o kahi o ka 1 kg o ke kūpaʻa o ke kino i kēlā me kēia mahina ma ka trimester mua, a ʻoi aku ka nui ma mua o 2 kg i kēlā me kēia mahina ma ka lua a me ke kolu o ka hoʻomaʻamaʻa ʻia i manaʻo ʻia he mea maʻamau. Hōʻaha ka nui o ke kaumaha i ka kaumaha ma luna o ke kino holoʻokoʻa a hoʻonui i ka nui o ka edema, hoʻonui i ke kaomi a me nā hoʻopiʻi mai ka kōpī.
Kālai ʻia ka mea ʻai no ke diabetes gestational:
- ua pāpā ʻole ʻia ia e hoʻohana i nā meaʻai a me ka meaʻai wikiwiki.
- i ke koho ʻana i nā mea kalaiʻe, pono ke hāʻawi ʻia i ka makemake i kā lākou koho "lohi" i hoʻopau ʻia no ka manawa lōʻihi a ʻaʻole alakaʻi i nā loli kaumaha i ke kōhi koko (ʻike ʻia lākou i loko o ka cereals, nā mea kanu);
- 60 mau minuke ma hope o kēlā me kēia pāʻina āu e pono ai e ana i ka heluhelu o ka mita a hoʻopaʻa ʻia iā lākou i kahi diary kūikawā;
- ʻO ke kumu o ka meaʻai e pono ai nā kuki a me nā huaʻai me kahi huaʻōlelo glycemic haʻahaʻa.
ʻOiai, ʻo ia kaʻai ʻana i nā wahine me ke ʻano maʻi gestational i kaʻai ʻana 9. ʻO ke kōkua i ka hoʻohaʻahaʻa ʻana i ke kō o ke koko ma o kaʻaiʻai. ʻAʻole nā wahine hāpai i nā lāʻau lapaʻau e hōʻemi i ke kahe koko. Hiki ke hoʻoponopono ʻia i ke ʻano lawe ʻia ma muli o nā mea paʻa o ka meaʻai.
Ua hoʻonoho ʻia nā mea ʻono naʻauao maikaʻi i ka wā hapai, no ka mea hiki iā lākou ke hoʻopilikia i ka hoʻomohala ʻana o ka pūpū.
Nā ʻĀina huahana
He aha nā mea e ʻai ʻia e ka makuahine manaʻolana, ka mea i hōʻike ʻia me ka maʻi maʻi gestational? ʻO ka papa inoa o nā meaʻai a me nā kīʻaha he ākea loa, a me ka hoʻolālā noʻonoʻo ʻana i ka meaʻai i kekahi mau lā ma mua, hiki i nā kīnā ke ʻano ʻoliʻoli a me nā meaʻono. I mea e hana like ai i nā hana o ka hanu ʻana ke hana ʻoluʻolu, hiki ke hoʻokaʻawale ʻia ka nui o ka nui o ke kaloli o ka meaʻai maʻamau.
Hoʻopiʻi i nā wahine hāpai- kakahiaka kakahiaka - 25%;
- ʻaina lua - 5%;
- ʻaina awakea - 35%;
- kaʻaina ahiahi - 10%;
- ʻaina ʻaina - 20%;
- ʻaina awakea - 5%.
Mai ka ʻai ʻana i ka ʻai, hiki iā ʻoe ke ʻai i ka pīpī, turkey, moa a me ka haʻalulu haʻahaʻa. ʻAʻole iʻoi aku ma mua o ka manawa o ka hebedoma me kahi mea lapaʻau olakino, hiki iā ʻoe keʻai i ka puaʻa, akā ʻo ia wale nō kona mau māhele momona. Hoʻopau maikaʻi ʻia nā ʻōpala ma ka moa a i kāhea mau mea ʻai (i ka wā e kuke ai i ka moa, ua ʻōlelo ʻia e hoʻololi i ka wai ʻelua). Hoʻohana ʻia nā huahana wai momona momona ʻole, akā ʻoi aku ka maikaʻi ma ka haʻalele ʻana i ka waiū piha. Kaumaha loa kēia huahana no ka hoʻowalewale ʻana a me nā wahine hāpai no ka mea hiki iā ia ke hōʻalo i nā pilikia ʻoi.
I ka nui o nā meaʻai, hiki iā ʻoe ke ʻai i kēia meaʻai:
- nā haʻahaʻa glycemic index sayur;
- nā cereere;
- hua manu
- nā kinapo a me nā hua;
- iʻa a me ke kai kūʻai;
- pākaʻi paʻō paʻakikī ʻole me kahi momona momona o 20-45%;
- ʻōpū.
ʻO ka hopena therapeutic no GDM ʻaʻole i hoʻopilikia i ka pōloli. I ka wā hapai, he mea weliweli nui e hoʻolalelale i ke kino i kēlā me kēia kaumaha, no laila ʻoi aku ka maikaʻi o ka noʻonoʻo ʻana ma o ka ʻai i mua a loaʻa mau kahi meaʻai olakino me ʻoe inā wale nō. I ka hoʻolālā ʻana i ka papa hana ma mua no ka lā, hiki i ka wahine ke pale i ka hōʻeha ʻana o ka pōloli nui a i ka manawa like ʻo ia e pale iā ia iho mai ka hoʻopiʻi ʻana o ka maʻi.
Ma kahi o nā mea momona, ʻoi aku ka maikaʻi o ka ʻai ʻana i nā huaʻai holoʻokoʻa. ʻO kā lākou mea momona a me nā mea momona ʻē aʻe ma mua o nā wai maoli maoli-gula i hoʻoilo ʻia i hanaʻia mai nā mea maka huaʻai.
Inā ʻike ʻia ka wahine hāpai i ka pōloli nui ma waena o ka papaʻaina, a laila ʻoi paha ke aniani o ka kefir hina haʻahaʻa ʻo kāna meaʻai maikaʻi loa
Nā huahana kūʻai
Me ka maʻi maʻi gestational i nā wahine hāpai, ʻaʻole e hoʻokaʻawale ʻia nā meaʻai a me nā kīʻaha mai ka meaʻai.
- kahalaha;
- keʻokeʻo keʻokeʻo mai ka palaoa uku;
- i ai nā ʻoki, nā paʻakai a me nā mea ʻai pā;
- mea ono hoʻi me ka meli;
- nā mea kanu a me nā hua me kahi kiʻekiʻe glycemic index;
- huʻihuʻi;
- haleʻaʻai, ketchup a me ka mayonnaise.
Ma muli o ke kīnā ʻole o nā āpau i ka ʻaina o ka wahine hāpai, ʻaʻole hiki iā ia ke hāʻawi piha i ke kino i nā huaora a me nā minela. No ka pale ʻana i ka nele o kēia mau mea, pono ʻoe e lawe i nā ʻōmai kalepa kūikawā no nā wahine i kahi kūlana. Nui nā ʻano o ia ʻano lāʻau, no laila e pono ke kuhikuhi ʻia e nā mea nānā wale nō i kahi maʻi-gynecologist.
Me GDM, ʻaʻole hiki iā ʻoe ke ʻai i ka momona momona a me ka palaoa, no ka mea e pili ana ka meaʻai like i ka pancreas a hoʻoweliweli ka hana ʻana a nā mea āpau o nā papa kūnaʻi. ʻO Heartburn, ʻo ia ka mea pinepine i ka wā i ka wā o ka hapai ʻana, ʻoiai i nā wahine olakino, me ke maʻi maʻi e hōʻemi ma muli o nā hewaʻai. No laila, ʻoi aku ka maikaʻi o ka ʻai ʻana ma ka papa ʻaina ʻawaʻawa, ka ʻōpala a me nā paʻakai. No ka mea like, ʻaʻohe ʻōlelo a nā wahine hāpai i ka komo ʻana i ka berena brown (ʻoi loa ka momona).
ʻO kahi kīʻaha haʻahaʻa haʻahaʻa, kaulana i waena o kekahi mau kauka a me ka maʻi maʻi, ʻaʻole hiki iā ia ke hāʻawi i kahi wahine i ka nui o ka ikehu a me nā mea momona. Eia kekahi, ʻo ka hōʻole loa kūpono e hoʻolaleliluli nei, nā momona momona hiki ke alakaʻi i ke kaumaha a me ka maikaʻiʻole. Hōʻalo nā wahine hāpai i nā ʻano like ʻole. Hiki ke hoʻolako ʻia kahi papa ʻaina haʻahaʻa i kekahi mau wahine ma hope o ka hānau keiki ʻana i mea e pale ai i ka hoʻomohala ʻana i ka maʻi maʻamau, akā hiki i ke kauka ke hana i kēlā hoʻoholo.
ʻAi ʻia nā huaʻai i ke kakahiaka, me ka mea he nui ka nui o nā koina, a ʻoi aku ka maʻalahi ma ke kino ke hoʻomaʻū iā lākou.
Pono ka ʻaina o ka ʻaina a me ka hui ʻana o nā kāī ʻaina, nā mea kanu, nā iʻa lau a i ʻole kai paha. ʻAno a me nā mea ʻalaʻeha, no laila, ʻaʻole kūlike ia no ka hoʻohana ʻana me ka maʻi maʻi gestational.
Hōʻikeʻike papahele no ka lā
Pono ka papa o nā wahine hāpai maikaʻi i ka 50-55% o nā koina paʻakikī a me ka maʻalahi, ʻoiai nā mea maʻi me ka maʻi gestational e hōʻemi i kēia nui o ke kō. I ka awelika, pono e kālai ka ʻai i ka 35-40% o ka nui o ka nui o ka ʻai, ʻoiai ka nui o ka protein e waiho no ka like me ka poʻe olakino. ʻO ka hōʻemi ʻana i nā kapikoki i ka meaʻai e kōkua i ka pale ʻana i ka nui o kahi fetus nui, kahi cesarean a me nā hoʻopiʻi hana.
ʻO kahi papa hoʻohālike no ka lā e like me kēia:
- ʻaina ʻaina - ʻaʻa pākī iho-ʻoka momona, ʻoatemeal ma luna o ka wai, ʻaha me ke kō;
- ʻaina kakahiaka ʻelua - ʻele ʻele;
- ʻaina awakea - kāwele turkey fillet, ʻaila maiʻa, kalala mai kāloti, mau māmato a me nā kukama, ʻōwili, kīwili hua me ka ʻaila ʻole;
- kaʻaina ahiahi - mau iʻa;
- ʻaina ʻaina - paila kīwī, ʻono lau i loko o ka ʻaila, ʻona ʻole me ke kō;
- snack ma mua o kahi hiamoe - he aniani o ke kefir, kahi ʻāpana o ka palaoa palaoa a pau.
I ke ahiahi, ʻaʻole i ka ʻai, ʻoi aku ka maikaʻi o ka ʻai ʻana i ka iʻa, ʻoi aku ka maʻalahi o ka hoʻomoʻi ʻana a me ka manawa like ʻo ia ke kīwī nei i ke kino me nā mea kanu meaola nui. ʻAʻole hiki ke hoʻohui ʻia ka Sugar i kēlā me nā mea inu. Hoʻolaha ʻia e hoʻolālā i nā meaʻai no ka manawa ma waena o ka mua a me ka pāʻina hope ʻaʻole iʻoi aku ma mua o 10 mau hola.
