Lijo tsa lefu la tsoekere ho basali baimana

Ho tsoekere ea mali e khutlele ho tloaelehileng, o hloka ho ja khaba e le 'ngoe hoseng ka mpeng e se nang letho.

Phekolong ea lefu la tsoekere ho basali baimana, ho ja ho bapala karolo ea bohlokoa. Likahare tsa "caloric" tsa lijo motšehare li lokela ho ba maemong a 1600-2200 kcal (ho tlase ho na le ho feta, ho feta hantle). U lokela ho ja makhetlo a 5 ka letsatsi (lijo tse tharo tse ka sehloohong le lijo tse 2). Tekanyetso ea letsatsi le letsatsi e baloa motheong oa boima bo tloaelehileng ba 'mele pele u ima (bakeng sa kilogram e' ngoe le e 'ngoe 35 kcal e lokela ho eketsoa).

Lijo tse khothalletsoang tsa letsatsi le letsatsi li lokela ho ba le:

  • 40-50% lik'habohaedreite (tse nang le boholo ba mefuta e rarahaneng),
  • 15-20% protheine
  • 30-35% mafura.

Ho ja lijo tse nang le khalori ho latela nako ea bokhachane le boima ba 'mele ba mosali le tšebetso ea hae ea' mele.

Melao ea phepo e nepahetseng

Nutle ea lefu la tsoekere ho basali baimana e lokela ho ba ka sebopeho sa lik'habohaedreite (eseng tse fetang 200 g ka letsatsi), karolo e setseng ke protheine, mafura le tsoekere ka mofuta oa meroho, lijo-thollo kapa wholemeal.

Lijo tse joalo li tla thusa ho phunyeletsa boemo ba tsoekere 'me e ke ke ea sokela bophelo bo botle kapa kholo e tloaelehileng ea "fetus"

  • lijo tsa hoseng tsa pele
  • lijo tsa hoseng tsa bobeli
  • lijo tsa mots'eare
  • tee ea thapama
  • lijo tsa mantsiboea
  • mokgoa o monyane pele o robala (yogati kapa sengoathoana sa bohobe).

Litlhahiso ke tsena:

  1. Tsamaisa lijo lipakeng tsa lijo. Palo e kholo ea lijo ka nako e le ngoe e ka lebisa ho eketseha ha maemo a tsoekere.
  2. Beha likarolo tse loketseng tsa starch. Lithako tse joalo li qetella li fetohile tsoekere, kahoo o hloka ho boloka tekano, e ka ba likotoana tse le 'ngoe kapa tse peli tsa bohobe nako le nako.
  3. Noa senoelo se le seng sa lebese, e leng mohloli oa bohlokoa oa calcium. Le ha ho le joalo, hopola hore lebese ke mofuta oa metsi a khase ea hydrate, ka hona ho a noe haholo ka nako ha ho khothalletsoe.
  4. Fokotsa karolo ea litholoana e nang le tsoekere e ngata ea tlhaho. U ka ja likarolo tse 1-3 tsa litholoana ka letsatsi.
  5. Ho bohlokoa haholo ho lekanya lijo tsa hoseng, hobane ho na le glucose e ngata maling ho thata ho e laola ka mpeng e se nang letho ka lebaka la phetoho e tloaelehileng maemong a lihormone. Ha ho kgothaletswe ho ja lijo-thollo, litholoana esita le lebese hoseng, ho molemo ho nka sebaka ka bohobe le protheine.
  6. Qoba lino tse nang le litholoana.
  7. Fokotsa ka matla liswese le lino tse tsoekere - likuku, likuku, lijo-thollo.

Menyu e emereng

Lenaneo la bo-'mè ba lebelletseng ba nang le bokuli le entsoe ka ho nahanela keketseho ea khafetsa ea lijo le ho kenyelletsa lijo tse nang le index e tlase le e bohareng ea glycemic. Ka tlase ke mohlala ho basali ba se nang mathata a lefu la tsoekere kapa mafu a kopaneng, matla ke 2000 kcal:

Lijoa tsa hoseng. Likhechana tse peli tsa bohobe ba lijo-thollo tse felletseng, 70 g ea chisi e halofo ea mafura, radish, onion e tala, 150 g ea yogurt ea tlhaho, tee ntle le tsoekere.

Lijoa tsa hoseng tsa bobeli. Apole e le 'ngoe e boholo bo bohareng, liseke tse 2-3 tsa bohobe ba crisp, botoro ea 10 g, ham, 40 g turkey ham, tamati.

Lunch 200 g e halikiloeng leoto la likhoho, 50 g, raese e sootho, linaoa tse tala tse 150 g, lettuce tse 200, k'habeche ea China, lihoete, pepere e khubelu, poone e nang le oli ea mohloaare le parsley, khalase ea metsi a nang le liminerale.

Phutso ea mots'eare. 150 g ea chisi ea chisi 3% mafura, perekisi, 5 lithane.

Lijo tsa mantsiboea 60 g ea bohobe, 10 g ea botoro, mahe a halikiloeng ka mahe a mabeli, li-mushroom le eiee, kofi e nang le chicory le lebese.

Ke eng se ka etsahalang le se seng

Mokhoa o mong oa ho boloka maemo a glycemia a le ka har'a meeli e tloaelehileng ke ho lekola palo ea lik'habohaedreite lijong tsa hau. Lihlahisoa tse joalo li chekiloe ebe li fetoloa glucose, e hlokahalang bakeng sa 'mele kaofela le phepo e nepahetseng ea lesea. Leha ho le joalo, palo ea lik'habohaedreite tse maemong a ho phelisoa e tlameha ho betoa leihlo ka hloko.

Mofuta le lijo-thollo li fa 'mele limatlafatsi. Ho betere ho khetha lisebelisoa tse phahameng tsa fiber. Khetho e ntle e ka ba:

  • bohobe bo felletseng ba lijo-thollo le litlolo,
  • raese e sootho le bijoux,
  • lijo-thollo
  • linaoa
  • litapole le poone.

Lebese le yogurt le tsona li fana ka lintho tse thusang 'meleng, ke karolo ea bohlokoa ea lijo. Lihlahisoa tse nang le mafura a tlase e tla ba khetho e ntle ka ho fetisisa, mohlala, soy le almond.

Litholoana tse foreshe tse nang le lero le lecha li khethoa ho feta lino le litholoana tse halikiloeng.

Mafura ha a phahamise tsoekere e ngata maling, kaha ha a na lik'habohaedreite. Leha ho le joalo, ke mohloli o kopaneng oa likhalori, ka hona, ho sebetsana le boima ba mmele, ho hlokahala hore o lekanyetse tšebeliso ea mafura. Sebetsa e tla ba:

  • linate
  • peo ea folaxe
  • avocado
  • oli ea mohloaare le ea rosa.

Lijo, tse pakiloeng bakeng sa bo-'mè ba lebelletsoeng ka lefu la methapo:

  • tsoekere, mahe a linotsi, liswiti, jeme, ice cream, halva,
  • lebese le mafura le lihlahisoa tsa lebese, tranelate, chisi e mafura,
  • mayonnaise
  • bohobe bo monate
  • litholoana tse omisitsoeng
  • lero le monate, lino tse tsoekere,
  • kofi ea tlhaho
  • mosetareta, ketchup.

Lihlahisoa tse sebetsang haholo

Karolo ea bohlokoa ho basali baimana ba nang le lefu la tsoekere e bapaloa ke ho ja ka tsela e leka-lekaneng.

Lithako tse ntlafalitsoeng haholo, haholo-holo tse nang le tsoekere e ngata, li tlameha ho tlosoa lenaneng. Ho fetella ha bona ho ama hampe manyeme, a hlahisang insulin.

Lijo tsa bo-'mè ba lebelletseng e lokela ho ba tse ngata linthong tse latelang:

  1. E ja meroho le litholoana tse ngata. Leha ho le joalo, litholoana tse ling (morara, litholoana tse omisitsoeng) li ka eketsa glycemia, ka hona li hloka ho fokola.
  2. Khetha lihlahisoa tsohle tsa lijo-thollo. Ho kenyelletsa rolls ea bohobe le lijo-thollo, raese e sootho, bijoux.
  3. Ja lijo tse halikiloeng tsa nama, joalo ka loin, tenderloin, fillet. Hoa hlokahala ho tlosa letlalo ho likhoho le mohatla.
  4. Khetha lihlahisoa tsa lebese tse nang le mafura a mangata kapa tse mafura a fokolang.
  5. Sebelisa oli ea mohloaare e tlotsitsoeng ho e-na le mafura a tiileng ha u pheha.

Leha taba ea hore lijo li ho basali ba baimana li fapane haholo, ha ho hlahlojoa lefu la tsoekere, setsebi sa phepo se ka khothaletsa phetoho morerong oa lijo tse tla thusa ho qoba mathata a nang le glucose e tlase kapa e phahameng.

U ka ja joang le lefu la tsoekere nakong ea kemolo

Tsamaiso ea portal ka kotloloho ha e khothaletse ho ikoetlisa 'me matšoao a pele a lefu lena a u khothaletsa ho ea ngakeng. Sebaka sa rona sa marang-rang se na le lingaka tse hloahloa ka ho fetesisa tseo u ka li etsang Inthaneteng kapa ka mohala. U ka khetha ngaka e loketseng kapa u tla e khetha bakeng sa rona mahala. Hape feela ha o rekota ka rona, Theko ea tlhahlobo e tla ba tlase ho feta tleliniking ka boeona. Ena ke mpho ea rona e nyane ho baeti ba rona. Eba bophelo bo botle!

Lihlahisoa tse khothalelitsoeng bakeng sa basali ba bakhachane ba nang le lefu la tsoekere

  • Meroho e mecha ea tlhaho (lihoete, lihoete, khábeche, likomkomere),
  • Litlama tse ncha (dill, parsley, cilantro),
  • Lente, linaoa, lierekisi,
  • Peerese ea koro
  • Nuts
  • Monokotšoai le litholoana (eseng tse tsoekere) - morara, li-plums, liapole tse tala, li-gooseberries, li-currants,
  • Sopho ea meroho, okroshka,
  • Lihlahisoa tse tlase tsa lebese,
  • Nama le tlhapi,
  • Metsi a nang le liminerale
  • Lijo tsa leoatleng (shrimp, seaweed, capelin, sardine),
  • Mahe a Quail, u ka etsa likhoho,
  • Lioli tsa polyunsaturated (mehloaare, peo ea mokopu).

Bakhachane ba nang le lefu la tsoekere ba ka sebelisa litholoana tse omisitsoeng ka tekanyo e nyane, ho tloha qalong feela ba hlokahala ka metsotso e 20. soak ka metsi a belang a phehiloeng. Meroho e tsoang litholoana le litholoana tse sa tsoakoang tse ncha le tsona li na le thuso, khalase e le 1 ka letsatsi. Lijusi li lokela ho fafatsoa ka bocha, eseng ka lebenkeleng, ka lebaka la palo e kholo ea litlhare tse ho tsona. Lijo tse nang le kemolo li lokela ho kenyelletsa lijo tse tsoang liphoofolong tse tsoang ho semela. Li bohlokoa haholo ho feta kamora ho sebetsoa. Lijo tse peli li hlokahala ka liprotheine, e leng lisebelisoa tsa ho aha lisele tsa 'mele oa ngoana tse ntseng li hola. Lijo tse nang le fiber e ngata haholo (lijo-thollo kaofela) le tsona lia hlokahala ho menus ea bakhachane.

Bakuli ba lefu la tsoekere ha baa lokela ho phomola nako e telele lipakeng tsa lijo.

Lijo tse thibetsoeng ho basali ba bakhachane ba nang le lefu la tsoekere

  • Li-sweets (likuku, liswiti, cookies le waffles, jeme),
  • Nama e mafura le tlhapi,
  • Lihlahisoa tse phahameng tsa lebese tse belisitsoeng,
  • Lino tse khabisitsoeng ka khalase
  • Lijo tse halikiloeng, lijo tse ka makotikoting, lihlahisoa tse felileng,
  • Li-pastry tse monate, bohobe bo tšoeu,
  • Thutong ea pele ho li-broths tse mafura,
  • Joala bofe kapa bofe
  • Li-spice (mosetareta, perese sekareleta, pepere e khubelu), li-ketchups le lisose, marinade.

Lijong tsa basali baimana ba nang le lefu la tsoekere, mojaro o ka sehloohong oa lihlahisoa tse nang le lik'habohaedreite o lokela ho ba teng hoseng. Ho ja lijo tse ling hape ho khothaletsoa ka likhalori tse tlase, haholo-holo mantsiboea. E le hore liprotheine, mafura le lik'habohaedreite li kene 'meleng ka tsela e leka-lekaneng, li hloka ho kopantsoe. Le lefu la tsoekere la mofuta oa 1 Lijo li nkuoa ka lijo tse tlamang tsa insulin.

Ho thibela mathata a ka bang teng (hypoglycemic kapa hyperglycemic coma), nakong ea bokhachane le lefu la tsoekere ho khothalletsoa ho etsa nako le nako ho etsa li-decoctions tsa nettle, dandelion, letheka le holimo, ginseng, le peo ea folaxe. Ts'ehetso ea phytotherapeutic ha e bake ho senyeha ha metabolic nakong ea kemolo mme e thusa ho boloka maemo a tsoekere. Empa ho buisana le ngaka ea hau hoa hlokahala.

Ho basali baimana ba ka bang 5% (ba se nang lefu la tsoekere mellitus), tsoekere ea mali e ka tsoha, eaba lefu la tsoekere le bitsoang "gestational". Ka ts'oaetso e nepahetseng le kalafo e nepahetseng, moimana o tsoela ntle le mathata, ngoana o hlaha ka litheko tse tloaelehileng. Empa lijo tse tloaelehileng li hlakotsoe, joalo ka sena, ho hlokahala phepelo ea phepo e nepahetseng. Kamora ho hlaha, lefu la tsoekere la sethoathoa le nyamela maemong a mangata. Leha ho le joalo, tlhahlobo e sa khaotseng ea tlhahlobo ea mali le urine ea hlokahala, kaha ho na le monyetla oa ho ba le lefu la tsoekere la mofuta oa 2 nakong e tlang.

Lijo life kapa life tsa kalafo bakeng sa lefu la tsoekere li sebetsa hantle haholo ha li kopantsoe le ho ikoetlisa, ho tsamaea moeeng o mocha. Sena ke 'nete haholo ho basali ba nonneng haholo. Mafura a mmele a feteletseng a ama haholo litlamorao tsa insulin.

Lijo tsa lefu la tsoekere la moimana

Boemo nakong ea bokhachane ha metabolism ea carbohydrate e senyeha e bitsoa lefu la tsoekere la gestational. Makhopho a basali a imetsoe haholo. Haeba a sa khone ho sebetsa, ho hlahisoa insulin e nyane haholo, ka lebaka leo, boemo ba glucose maling bo nyoloha. Ho lokisa boemo ba mokuli, ho lokela ho lateloa lijo.

Video (tlanya ho bapala).

Phepo e nepahetseng bakeng sa basali ba bakhachane ba nang le lefu la tsoekere

Boloetse bona, ke molao, bo bonoa ha ho pejana ho beke ea 28 ea boimana mme bo ka tsosa nts'etsopele ea bokhachane, kahoo u ke ke ua leka ho pata matšoao a eona. Ngaka e lokela ho etsa tlhahlobo ea mamello ea tsoekere ebe e fana ka kalafo. O tla khothaletsa mosali lethathamo la lijo tseo a lokelang ho li ja. Ngoanana eaimana ea nang le lefu la tsoekere la mmele o lokela ho ba le lijo tse thehiloeng ho malebela ana:

Video (tlanya ho bapala).
  1. Hoa hlokahala ho latela mokhoa oa ho ja. Lijo tsa letsatsi le letsatsi li lokela ho kenyelletsa lijo tse tharo tse kholo le lijo tse bobebe - le linako tse tšoanang lipakeng tsa tsona.
  2. Lijo tse sebelisoang bakeng sa ho ima le lefu la tsoekere la mmele li etselitsoe ho etsa bonnete ba hore karolelano ea lik'habohaedreite, liprotheine le mafura a sebelisoang ka letsatsi ke 50: 35: 15.
  3. Metsi ka letsatsi a hlokahala hore a noe litha e le nngwe le halofo ho isa ho tse peli.
  4. Lijo tsa batho ba nang le lefu la tsoekere la basali baimana le boemo ba tsoekere bo bongata li bolela ho lahla lijo tse bonolo tse bonolo tsa nama ea nama.
  5. Lihlahisoa tsa lebese ha lia lokela ho jeoa hoseng.
  6. Lijo tsa GDM li hloka ho lahloa tsoekere le mahe a linotsi ka botlalo.
  7. Lijong tsa lefu la tsoekere la sethoathoa, basali ba baimana ba hloka ho etsa phepo e le hore ka letsatsi, ka kilogramu e le 'ngoe, ba jang 3540 kcal.
  8. Lijong tse le 'ngoe, u se ke oa kopanya lik'habohaedreite le lihlahisoa tsa protheine.

Ho na le lijo tse ling tse loketseng ho ja le bokuli. Nka ja eng ka lefu la tsoekere?

  • meroho e tala kapa e phehiloeng (ntle le lihoete, litapole),
  • monokotsoai o bolila: li-blueberries, fragole, fragole, raspberries, gooseberries, currants,
  • litholoana: morara, liapole, plums, liperela, apricots, liperekisi,
  • lijo-thollo, ntle le semolina,
  • bohobe ba rye
  • nama e phehiloeng ka oli e nyane: mefuta e metle haholo ke khoho, nama ea khomo, mohatla, sebete (tekanyo e tlase ea nama ea nama ea kolobe e amohetsoe),
  • Litlhapi tsa noka le tsa leoatle: cod, salmon e pinki, herring, sesebelisoa, capelin, carp, pollock, sardine, mackerel, whiting e putsoa,
  • caviar, shrimp,
  • mahe a likhoho
  • chisi, chisi ea ka tlung, lebese le leng,
  • linate
  • li-mushroom, linaoa, meroho.

Lijo tsa mosali oa moimana li hloka ho hana lihlahisoa tse joalo ka botlalo:

  • Lihlahisoa tse felileng
  • litapole
  • semolina porridge
  • jeme, jeme,
  • lihoete
  • mahe a linotsi
  • soseji
  • lihlahisoa tse entsoeng ka phofo tse tšoeu (baking, bijoux),
  • lino tse monate
  • ice cream
  • mehla, li-Persimmone, libanana, lifeiga, morara, liapole tse monate, mahapu,
  • Confectionery
  • limakasine
  • lero la litholoana
  • Lisebelisoa tse monate le lihlahisoa tse nang le litaba tsa bona,
  • botoro (haholo moeli).

Mefuta e 'meli ea lefu la tsoekere e fumanoe, ke mofuta oa "mellitus" o itšetlehileng ka lefu la tsoekere le mofuta oa "mellitus" o sa ts'epahalang oa insulin. Phapang pakeng tsa bona mekhoeng ea liponahatso le mekhoa ea kalafo. Lijo tsa lefu la tsoekere tse moimana li bohlokoa haholo ho mosali le molemong oa ho theha lesea. Ke ntlha ea bohlokoa molemong oa kemolo e tloaelehileng.

Lijo tsa mosali oa moimana ea nang le lefu la tsoekere li thehoa ke ngaka ka mokhoa o ka khonehang o kenang 'meleng oa livithamini, likarolo tsa trace, liprotheine. 'Me palo ea lik'habohaedreite e nyane haholo kamoo ho ka khonehang, ha ho na ho feta 250 g ka letsatsi. Ka nako e ts'oanang, lik'habohaedreite tse "bonolo" ha li kenyeletsoe basali ba baimana ba nang le lefu la tsoekere ho hang (tsoekere, likuku, liswisi, jeme).

Nutle ea lefu la tsoekere e lokela ho ba moimana:

Kholisa litlhoko tsa 'mele ka botlalo,

  1. E le ho fapa-fapana, ho hlokahala hore u je hanyane, empa bonyane makhetlo a 6,
  2. Kholisa 'mele hantle ka lintho tse nang le thuso,
  3. Tloaelo ea phepelo ea lijo tse sa eketseheng boima ba 'mele,
  4. E-na le mehloli ea ho monya lik'habohaedreite butle.

Bakhachane ba nang le lefu la tsoekere le ba batenya ha baa lokela ho qeta ho feta 1900 kcal ka letsatsi. Sena se bohlokoa haholo e le hore boima ba lesea le sa tsoa tsoaloa bo se ke ba feta 4500 g: ho qoba likotsi nakong ea tlhaho ea ngoana le li-pathologies ka popelong.

Lijo tsa lefu la tsoekere tseimana: menus, likhothaletso tse akaretsang le malebela a bohlokoa

Lefu la tsoekere la Gestational (GDM) ke lefu le hlahang ho 3-4% ea bo-mme ba lebelletsoeng ka lebaka la sebopeho sa karohanyo e ntle ea insulin ea lisele le metabolism e senyehileng ea carbohydrate. Hangata, e na le tlhaiso ea matšoao a tlase ebile ha e khathatse mosali, empa e ama hampe moimana le pōpelo ea lesea.

Hoa hlokahala ho phekola lefu lena, 'me hangata ho fapana le ho se khetholle liteko tsa laboratori ho ka fihlelleha ka khalemelo ea bophelo le phepo e nepahetseng. Ho tloaelehile haholo ho sebelisa kalafo ea insulin. Lijo tse thehiloeng ho lefu la tsoekere le moimana ke eng: re tla leka ho nahana ka li-menu le li-nuances tsa bohlokoa tlhahlobisong ea rona.

U ja joang?

Lefu la tsoekere la sethoathoa ho ngaka hangata le bitsoa lefu le amanang le keketseho ea methapo ea tsoekere maling le mononong o tsoang maling nakong ea phepo e tloaelehileng kapa kamora mojaro oa glucose oa tlhahlobo, o ileng oa iponahatsa ka nako ea boimana pele (hangata eseng libeke tse 16-30).

Lebaka le nepahetseng le mochine oa nts'etsopele ea pathology ha li e-so hlakisoe ke bo-rasaense, leha ho le joalo, hangata GDM e amahanngoa le liphetoho tsa lihormone tse etsahalang 'meleng oa mosali, hammoho le ho fokotseha hoa kutloisiso ea li-cell receptors ho "insulin" ea "hormone".

Har'a lintho tse kotsi:

  • tse fetang lilemo tse 30
  • botenya
  • lefutso le boima la lefu la tsoekere,
  • nalane ea bokhachane kapa mpa e kholo,
  • polyhydramnios.

K'hilojule e 'ngoe le e' ngoe e eketsehileng e kotsi bophelong.

Kamora ho hlaha, lihormone li khutlela mekhoeng ea tsona ea pele, 'me khatello ea tsoekere maling e boetse e tloaelehile.

Ela hloko! Basali bohle ba nang le GDM kamora libeke tse 6 kamora ho hlaha ba fuoa tlhahlobo ea tlhahlobo. Sena se hlokahala ho kenyelletsa nts'etsopele ea lefu la "tsoekere" la tsoekere, le ileng la bonahala nakong ea kemolo.

Matšoao a "Khale" ho GDM a kanna a ba bonolo

Mokhoa o ka sehloohong oa ho phekola lefu lena le ho tloaela metabolism ea "carbohydrate" ke lijo.

Phepo e nepahetseng ea basali baimana ba nang le lefu la tsoekere e ipapisitse le melao-motheo e latelang:

Ela hloko! Lijo tsa lefu la tsoekere ho hang ha li bolele ho tlohela lijo tse ngata le tlala. Lithibelo tsa lik'habohaedreite li sebetsa feela karolong ea bona e silang habonolo. Ntle le haeba ho khothalletsoe ke ngaka, lijo-thollo, bohobe, litapole le li-polysaccharides tse "liehang" li ka jelloa, empa ka teka-tekano.

Lijo tsa basali baimana ba nang le lefu la tsoekere li khothaletsa tšebeliso ea mefuta e latelang ea lihlahisoa:

  • bohobe bo felletseng
  • meroho efe kapa efe
  • linaoa
  • li-mushroom
  • lijo-thollo - haholo-holo nyalothe, harese ea perela, oat, buckwheat,
  • nama e hlephileng
  • lihlapi
  • mahe a likhoho - likhomphutha tse 2-3. / beke.,
  • lihlahisoa tsa lebese
  • litholoana tse bolila le monokotsoai,
  • oli ea limela.

Phepo e hlokahalang bakeng sa basali baimana ba nang le lefu la tsoekere ba hloka ho behelletsoe ka thoko lijong:

  • tsoekere le tse tsoekere,
  • mahe a linotsi
  • ho boloka, jams, jams,
  • liswiti, likuku, likuku, likuku tsa gingerbread, li-roll le li-pastry tse ling,
  • ice cream
  • lero la litholoana le lipalesa,
  • lino tse tsoekere tse nang le tsoekere
  • litholoana tse monate - libanana, morara, li-Persimmon, mahapu, matsatsi, lifeiga,
  • semolina le li-groats tsa raese.

Kotsi e ka sehloohong ke tsoekere le liswiti.

Leha ho na le meeli e itseng, ho ja le GDM ho ka ba le bophelo bo botle, bo monate ebile, haholo-holo, bo fapaneng. Lenane la basali ba nang le lefu la tsoekere le ka lekanyetsoa tafoleng e ka tlase.

Lethathamo: Lijo tse lekaneng tsa basali ba nang le lefu la tsoekere:

Ramatiki ea lefu la tsoekere (Gestationalabetes) (HD) ke lefu la carbohydrate metabolism (prediabetesic state) kapa lefu la tsoekere la methapo ea methapo e fapaneng. Matšoao a bona a hlaha ho tloha bekeng ea 14 ea boimana. Ntle le tšusumetso e mpe khōlong ea bokhachane le ts'okelo ea ho senyeheloa ke mpa, HD e ka baka lefu la tsoekere, nts'etsopele ea bofokoli ba pelo le methapo ea boko ho lesea.

Lefu la tsoekere la basali ba baimana ke hoo e ka bang 100% ea karolo ea cesarean, hobane likotsi tse mpe nakong ea pelehi li eketseha haholo ho ngoana le ho mme.

Ho fihlela ho 14% ea banana baimana ba angoa ke mofuta ona oa lefu la tsoekere. Ho 10% ea basali ba kileng ba e-ba le bona, mofuta oa 2 lefu la tsoekere oa hlaha lilemong tse 10 tse tlang.

Lisosa tsa HD ke:

  • manyeme a fokotsang,
  • e sa lekaneng, bakeng sa tsela e tloaelehileng ea bokhachane, secretion ea insulin.

Ho fokotseha ha kutloisiso ea lisele tsa mesifa le lisele tsa adipose ho insulin ho bakoa ke ho putlama hoa mmele ka lijo tse thata tse fetileng, tšoaetso ea vaerase.

Hangata, li-HD li bonoa ho basali ba nang le "sehlopha" sa maloetse a sa foleng, lefu la "tsoekere la" lefu la tsoekere, le ba belehang ka mor'a li-kilogram tse mashome a mararo, tsoalo e fetileng ea lesea le leholo (tse fetang 4 kg) le polycystic ovary habeli li beha habeli kotsi ea HD.

Ts'oaetso ea HD maemong a morao a bokhachane e bakoa ke taba ea hore basali ha ba tsotelle ts'ebetso ea ho fetisa teko ea "mamello ea molomo ea lihora tse peli", e tlamang ho feta pakeng tsa libeke tse 24 ho isa ho tse 28. Setšoantšo sa bohata nakong ea tlhahlobo mme, ka lebaka leo, tlhahlobo ea morao-rao ea tlhahlobo ea HD e etsahala ka lebaka la hore basali ba baimana ha ba latele boemo bo ka sehloohong ba ho fetisa tlhahlobo - ho e fetisetsa ka mpeng e se nang letho.

Ho bohlokoa ho tseba hore ka lefu la tsoekere ho basali baimana, litekanyetso tsa tsoekere tse potlakileng li lula li le maemong a tloaelo bakeng sa li-trimesters, le mathata a thibelo ea insulin a hlaha feela ka lebaka la takatso ea lijo. Boea ba basali ba baimana, ho hloka tsebo ea ho rarahana ha ho itokisetsa tlhahlobo le ho se tsitse ka phoso ka pele sampole ea pele ea mali e lebisa ho se fumanehe ho HD. Ka hona, ho khothalletsoa ka matla hore u boloke melao ena e latelang ka tieo:

  • ja ka matsatsi a 3 pele ho ts'ebetso ntle le lithibelo tse kholo,
  • letsatsi le leng le le leng u je le limatlafatsi tse fetang 150 g tse fumanehang merohong, litholoana, linoko le lijo-thollo tse fumanehang ka bongata.
  • hlokomela mmuso o tloaelehileng oa ho ikoetlisa - ho eketseha kapa ho fokotseha ha mojaro ho ka fana ka setšoantšo se lerootho,
  • fokotsa tekanyo ea lik'habohaedreite ho ligrama tse 40 bosiung bo fetileng,
  • ho itima lijo (ka tšebeliso e tlamang ea metsi a ntseng a le teng) pele o nka mali ka kotloloho e lokela ho ba ho tloha ho lihora tse 8 ho isa ho tse 14.

Liphetho tsa tlhahlobo ena li ka angoa ke sefuba sa hao sa morao-rao le meriana e itseng. Tlhahlobo ea HD e etsoa feela kamora tlhahlobo e habeli ea tlhahlobo.

Leha ho bile le litholoana tse mpe, ha HD e sa thehoa, kamora ho ikoetlisa le ngaka ea basali ofising ea ngaka, ho hlokahala hore ka mokhoa o ikemetseng o laole tsoekere ea mali hang ka beke.

Mekhoa ea ho ikoetlisa ea 'mele, liente tsa insulin le ho ja lijo tsa lefu la tsoekere ke mekhoa e ka sehloohong ea kalafo. Se ke oa inahanela! Litekanyetso tsa liente tsa homone le mofuta oa kalafo ea insulin li hlahisoa ke ngaka ea mafu a basali.

Ka 2010, WHO e phatlalalitse ka molao liphetoho tse kholo ho tataiso ea phepo e nepahetseng bakeng sa basali ba nang le lefu la tsoekere:

  1. Ho fapana le mokhoa oa phepo o nepahetseng bakeng sa bakuli ba nang le lefu la tsoekere, basali ba baimana ha ba khothalletsoe ho latela mokhoa oa ho ja lijo tse bobebe tse tlase tse khothalletsoang hore li fetohe hang hang kamora nako ea ho anyesa.
  2. Khetholla lik'habohaedreite tse "potlakileng" ho tsoa lijong - liswiti, lijo-thollo le lijana tsa litapole.
  3. Etsa moralo oa hau oa lijo ka ho ja lijo tse nang le lik'habohaedreite letsatsi le letsatsi ho tloha lipalo tsa ligrama tse 80-100 (tseo pele li neng li khothaletsoe ho fihlela 350g).
  4. Karolelano ea liprotheine, mafura a tlhaho le lik'habohaedreite li lokela ho ba maemong a 40% - 20% - 40%.

Bala boleng ba "caloric" ba menyu ea letsatsi le letsatsi ka karolelano ea li-kilojou tse fetang tse 35 ka kilo e le 'ngoe ea boima ba' mele (BMI) le phaello ea beke le beke nakong ea kemaro (BMI):

BMI = (BMI + BMI) * 35 kcal

BMI e baloa ka foromo:

BMI = 49 + 1.7 * (0.394 * bophahamo ka cm - 60)

BMI (in kg) e nkuoa tafoleng:

Lijo tsa mehleng ea kajeno li fana ka kemiso le boleng ba boleng bakeng sa lipalo le likhothaletso tse kaholimo:

Ka hora e le ngoe ka mor'a lijo, basali baimana ba nang le lefu la HD ba lokela ho lekola likhahla tsa tsoekere ea mali:

Bakeng sa ho pheha, ho molemo ho sebelisa theknoloji ea ho pheha, "ho utsoa" kapa ho baka ka ontong.

Ha u etsa lethathamo la motho ka mong, sebelisa litafole tsa glycemic le insulin index, ho bala le ho bona boemo bo loketseng ba mojaro oa glycemic, hape u sebelise lihlahisoa tse thathamisitsoeng ka tlase feela.

  • lifuba tse thata
  • curd ea lebese le bolila,
  • yogurt ea tlhaho (jelly-like) e ka sebelisoa feela bakeng sa li-salads tsa ho roala,
  • botoro ea botoro, botoro,
  • nama le likhoho
  • lihlapi le lijo tsa leoatle, lihlapi tsa leoatle (ntle le tsoekere),
  • mahe
  • meroho e tala - li-avocados, likomkomere, squash, li-eggplant, mefuta eohle ea k'habeche, kholifulawa, broccoli, linaoa tse tala tsa botala, spinach, meroho e metenya, eiee e tala le pepere e chesang,
  • palo e nyane haholo ea meroho e tala e tsoang lenaneng le hanetsoeng - lihoete, mokopu, li-beet le lieie (bakeng sa lijo tsa mots'eare feela),
  • li-mushroom
  • soya le lihlahisoa tse tsoang ho eona ka bongata bo nyane, lebese la soya le phofo ea soya,
  • Nate ea Brazil le li-hazelnuts, peo ea soneblomo (ho fihlela ho tse 150 g ka nako),
  • tekanyetso e lekaneng ea letsoai le matlapa a nang le magnesium,
  • lero la langa le le lej - 50 ml ka ho amohela (kamora tlhahlobo),
  • tee, kofi, kofi e nang le tranelate - ha ho tsoekere.

Felisa nakong ea bokhachane eseng feela lihlahisoa tsa tsoekere le lijo tse nang le tsoekere tse tsoang lijong. Hoo e batlang e le ho tlola hoa tsoekere e maling ho ka fumanoa lihlahisoa tse 'maloa, ka hona, nakong ea kemero le HD, ho bohlokoa ho khetholla ka botlalo:

  • Litholoana tse tsoekere, tsoekere le mahe a linotsi,
  • Lijo tsohle tse monate le liswiti, ho kenyeletsoa tse tšoailoeng e le "lefu la tsoekere", "lijo",
  • lijana tsohle tse nang le lijalo tsa lijo-thollo le lijo-thollo tse hloekileng tse tsoang ho bona (ho kenyeletsoa lierekisi tse sootho le tse hlaha),
  • litapole
  • phofo efe kapa efe (li-noodle), bohobe (ho kenyeletsoa lijo-thollo kaofela) le lihlahisoa tse bakiloeng ka phofo ea koro le lijo-thollo tse ling,
  • bohobe ba ja, bohobe ba korong,
  • lijo-thollo leha e le life tsa lijo-thollo kapa hoseng
  • litholoana tsohle le lino tse tsoekere,
  • Jerusalema artichoke, pepere ea tšepe, lihoete, lihoete le mokopu,
  • mofuta leha e le ofe oa linaoa
  • lihlahisoa tsohle le lijana tsohle tse tsoang ho tamati e nkeloang mocheso,
  • lebese, lihlahisoa tsa lebese tse halikiloeng (kefir, lebese le kolobelitsoeng, yoghur) le lebese le tlotsitsoeng, Whey e thibetsoe ka thata,
  • licheke tse bonolo tsa sessert joaloka Feta, Mozzarella, jj.
  • mafura a tlase, a monate kapa yoghur e nang le litholoana,
  • Lijo tsohle tse lokisitsoeng le sopho e entsoeng ka makotong,
  • margarine, asene ea balsame,
  • peanse, cashews,
  • lino tse monate.
  • Le ka mohla, Ho ts'oaroa ho hong le ho hong ho baka ho tlola ka matla tsoekere ea mali, le haeba lijana li na le lijo tse lumelloang.
  • Kamehla lula u e-na le ho hong bakeng sa ho fumana lijo tse bobebe tse tsoang lenaneng la lijo tse lumelloang, ho iphelisa linakong tse thata le ho u pholosa melekong.
  • Ho etsa lethathamo le hlakileng la beke le ho le latela ka tieo ho fana ka litholoana tse ntle tsa taolo ho DG.
  • Ho ntlafatsa lijo tsa hau, etsa lethathamo la hau la mamello ea lijo - ka ho lekanya tekanyo ea tsoekere maling maling le lihora tse peli kamora ho ja le glucometer. Etsa bonnete ba hore o sheba karabelo ea chisi ea chisi e nang le bolila, tamati e sa tsoa khuoa, linate le lipeo.
  • Phuputso e entsoeng ke Canadian Institute of Nutrition ka 2015 e bontšitse hore litholoana tsa morara li ka ba le phello e ts'oanang le lithethefatsi tsa metformin 'meleng. Leha o thibetsoe ka thata ho ja tholoana efe kapa efe, etsa bonnete ba hore u sheba karabelo ea hau ho tholoana ena.

Ha u reka lijo, linoko le linoko, sheba hore na ke lijo life tse tsoekere tse nang le tsoekere.

Ka lefu la tsoekere la letsoalo, ho thibetsoe ka matla ho sebelisa lipilisi le lipilisi tse theolelang tsoekere e maling! E re che ho metformin-e nang le Siofor le Glucofage.

Kamora 'HD ea ho qetela le pheletso ea ho anyesa molemong oa ho thibela kholo ea tsoekere ea mofuta oa 2 le ho theola boima ba' mele, o lokela ho ja lijo tse matla tsa carb tse tlase ho tloha ho 20 ho isa ho 40 g ya lik'habohaedreite ka letsatsi.

Ho eletsoa hore ho etsoe tlhahlobo ea lefu la tsoekere libekeng tse 8 ho isa ho tse tšeletseng kamora ho beleha le ho hlahloba hemoglobin ea bonyane ka nako e le ngoe ho lilemo tse 3.


  1. Vladislav Vladimirovich Privolnev, Valery Stepanovich Zabrosaev und Nikolay Vasilyevich Danilenkov Diabetesic foot, LAP Lambert Academic Publishing - M., 2013. - 92 leq.

  2. Dreval A.V. Li-syndromes tsa Endocrine. Tlhahlobo le kalafo, GEOTAR-Media - M., 2014. - 416 c.

  3. Ametov A.S. Granovskaya-Tsvetkova A.M., Kazey N.S. Mellitus ea lefu la tsoekere e sa ts'epheng insulin: metheo ea pathogenesis le kalafo. Moscow, Mokhatlo oa Bongaka oa Bongaka oa Russia oa Lekala la Bophelo la Russian Federation, 1995, maqephe a 64, ho phatlalatsoa ha ho boletsoe.

E re ke itsebise. Lebitso la ka ke Elena. Ke qetile lilemo tse fetang 10 ke sebetsa ke le setsebi sa endocrinologist. Ke lumela hore hajoale ke setsebi lebaleng la ka mme ke batla ho thusa baeti bohle ba sebakeng sena ho rarolla mesebetsi e rarahaneng eseng joalo. Lisebelisoa tsohle tsa sebaka sena sa marang-rang li bokelloa ebe li sebetsoa ka hloko e le hore li fetise litaba tsohle tse hlokahalang ka hohle kamoo ho ka khonehang. Pele o sebelisa se hlalosoang webosaeteng, ho hlokahala tumellano ea ho buisana le litsebi kamehla.

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