Kev noj zaub mov rau cov poj niam cev xeeb tub uas muaj ntshav qab zib

Txhawm rau cov ntshav qab zib rov qab zoo li qub, koj yuav tsum noj ib diav thaum sawv ntxov ntawm lub plab khoob.

Hauv kev kho mob ntshav qab zib hauv poj niam cev xeeb tub, kev noj zaub mov noj lub luag haujlwm tseem ceeb. Cov ntsiab lus caloric ntawm cov zaub mov nruab hnub yuav tsum nyob hauv thaj tsam ntawm 1600-2200 kcal (tsawg dua yog ntau, ntau dua yog qhov zoo dua). Koj yuav tsum noj txog 5 zaug hauv ib hnub (3 pluas mov loj thiab 2 khoom txom ncauj). Cov koob tshuaj txhua hnub yog xam raws qhov qub ntawm lub cev qhov hnyav ua ntej cev xeeb tub (rau txhua qhov hnyav 35 kcal yuav tsum tau ntxiv).

Cov kev xav noj haus zoo txhua hnub yuav tsum muaj:

40-50% carbohydrates (nrog rau qhov kev pom zoo ntawm cov ntawv nyuaj),
15-20% protein
30-35% rog.

Kev noj zaub mov kom ntau yog nyob ntawm peb lub hlis thaum cev xeeb tub thiab lub cev qhov hnyav ntawm tus poj niam thiab nws lub cev qoj ib ce.

Cov cai khoom noj khoom haus

Kev noj zaub mov zoo rau cov ntshav qab zib hauv cov poj niam cev xeeb tub yuav tsum nyob rau hauv daim ntawv ntawm carbohydrates (tsis ntau tshaj 200 g ib hnub), seem uas seem yog protein, cov rog thiab qab zib hauv cov zaub, cereals lossis wholemeal.

Kev noj zaub mov zoo li no yuav pab them rau cov piam thaj thiab yuav tsis cuam tshuam kev noj qab haus huv lossis kev loj hlob ntawm tus menyuam hauv plab:

thawj zaug noj tshais
tshais thib ob
noj su
yav tsaus ntuj tshuaj yej
noj hmo
khoom noj txom ncauj me me ua ntej mus pw (yogurt lossis hlais ib qho mov ci).

Nov yog qee qhov lus pom:

Faib cov zaub mov ntawm cov pluas noj. Cov khoom noj ntau ntawm ib lub sij hawm tuaj yeem ua rau nce hauv qib qab zib.
Teem qhov tsim nyog ntawm cov hmoov txhuv nplej siab. Cov khoom xyaw zoo li no nws thiaj li tig mus rau hauv qabzib, yog li koj yuav tsum ua kom muaj qhov sib npaug, nws tuaj yeem yog ib lossis ob daim khob cij txhua lub sijhawm.
Haus ib khob mis, uas yog qhov tseem ceeb ntawm calcium. Txawm li cas los xij, nco ntsoov tias mis yog cov qauv ua kua carbon hydrate, yog li haus nws ntau ntawm ib zaug tsis pom zoo.
Txwv txiav cov txiv uas muaj feem qab zib ntau. Koj tuaj yeem noj 1-3 feem ntawm cov txiv ntoo hauv ib hnub.
Nws yog ib qho tseem ceeb heev uas yuav tau ntsuas pluas tshais, vim hais tias kev mloog ntawm cov piam thaj hauv cov ntshav yog qhov nyuaj rau kev tswj hwm ntawm lub plab khoob vim qhov txawv txav ntawm cov qib hormone. Nws tsis pom zoo kom noj cereals, txiv hmab txiv ntoo thiab txawm tias muaj mis nyuj thaum sawv ntxov, nws yog qhov zoo dua los hloov nrog qhob cij thiab protein.
Zam kev ua kua txiv.
Txwv tsis pub noj khoom qab zib thiab khoom qab zib ntau ntau - khoom qab zib, ncuav qab zib, ncuav pastries.

Cev xeeb tub

Cov zaub mov ntawm cov niam cev xeeb tub uas muaj qhov mob tau ua rau suav txog qhov nce ntawm lub sijhawm noj zaub mov thiab suav nrog cov zaub mov muaj glycemic tsawg thiab nruab nrab. Hauv qab no yog cov qauv rau cov poj niam uas tsis muaj mob ntshav qab zib los yog cov kab mob sib kis, lub zog yog 2000 kcal:

Noj tshais. Ob lub hlais ntawm tag nrho cov qhob cij, 70 g ntawm semi-rog tsev cheese, radish, ntsuab dos, 150 g ntawm ntuj yogurt, tshuaj yej tsis muaj qab zib.

Noj tshais thib ob. Ib nrab kua-txiv lws suav, 2-3 hlais cov cij ci, 10 g butter, 40 g qaib ntxhw ham, lws suav.

Noj su 200 g ci nqaij qaib ceg, 50 g xim av mov, 150 g ntsuab taum, 200 g zaub xas lav, Suav zaub qhwv, carrots, kua txob liab, pob kws nrog txiv ntseej roj thiab zaub txhwb qaib, ib khob dej muaj ntxhia.

Noj sus yav tav su. 150 g ntawm tsev cheese 3% rog, txiv duaj, 5 tonsils.

Noj hmo 60 g ntawm qhob cij, 10 g ntawm butter, scrambled qe nrog ob qe, nceb thiab dos, kas fes nrog chicory thiab mis nyuj haus.

Dab tsi yog qhov ua tau thiab dab tsis yog

Ib txoj hauv kev los tswj cov qib glycemia hauv kev txwv ib txwm muaj yog los saib xyuas cov nyiaj ntawm cov carbohydrates hauv koj cov zaub mov noj. Cov khoom lag luam zoo li no tau zom thiab hloov mus rau hauv cov piam thaj, uas yog qhov tsim nyog rau lub cev tag nrho thiab tus me nyuam txoj kev noj haus. Txawm li cas los xij, tus nqi ntawm cov carbohydrates hauv ib qho kev mob pathological yuav tsum tau ua tib zoo saib xyuas.

Cov hmoov txhuv nplej siab thiab cov nplej muab lub cev nrog cov as-ham. Zoo dua los xaiv cov khoom xyaw fiber ntau. Qhov kev xaiv zoo yuav yog:

cov qhob cij thiab cov crackers,
nplej xim av thiab nplej zom, buckwheat,
cereals
taum
qos yaj ywm thiab pob kws.

Mis thiab kua mis nyeem qaub kuj muab cov tshuaj muaj txiaj ntsig zoo hauv lub cev, lawv yog cov khoom noj muaj txiaj ntsig. Cov khoom muaj roj tsawg yuav yog qhov kev xaiv zoo tshaj plaws, piv txwv li, kua zaub thiab almond cov khoom xyaw.

Cov txiv hmab txiv ntoo muaj fiber ntau tshiab dua li kua txiv thiab txiv ntoo hauv koos poom.

Cov rog rog tsis tsa cov ntsiab lus ntawm cov piam thaj hauv cov ntshav, vim tias lawv tsis muaj carbohydrates. Txawm li cas los xij, lawv yog cov khoom siv thev naus laus zis, vim li no, los tswj cov hnyav, nws yog qhov tsim nyog kom sib npaug ntawm kev rog ntawm cov rog. Pab tau yuav:

txiv ntoo
flax noob
av daj
txiv ntseej thiab roj.

Khoom noj khoom haus, uas yog contraindicated rau kev cia siab leej niam nrog pathology:

qab zib, zib ntab, khoom qab zib, jam, mis nyuj khov, halva,
rog mis thiab khoom noj siv mis, qab zib, rog cheese,
mayonnaise
qab zib noj
txiv hmab txiv ntoo qhuav
kua txiv, dej qab zib,
ntuj kas fes
mustard, ketchup.

Cov khoom siv muaj txiaj ntsig zoo tshaj plaws

Lub luag haujlwm tseem ceeb rau cov poj niam cev xeeb tub uas muaj ntshav qab zib tau ua si los ntawm kev noj zaub mov kom zoo.

Cov khoom xyaw ua tiav, tshwj xeeb tshaj yog cov uas muaj cov piam thaj hauv qab zib, yuav tsum tau muab tshem tawm hauv cov ntawv qhia zaub mov. Lawv dhau los ua rau muaj kev cuam tshuam cov txiav, uas tsim cov tshuaj insulin.

Kev noj haus ntawm cov niam uas xav tias yuav tsum muaj nplua nuj nyob hauv cov khoom hauv qab no:

Noj ntau ntau cov zaub thiab txiv hmab txiv ntoo. Txawm li cas los xij, qee cov txiv hmab txiv ntoo (txiv hmab, txiv hmab txiv ntoo qhuav) tuaj yeem nce glycemia, yog li lawv yuav tsum tau txwv.
Xaiv cov khoom tseem ceeb. Suav cov mov ci thiab cov khaub noom nplej, txhuv xim av, nplej zom.
Noj cov nqaij rog ntawm cov nqaij ntshiv, xws li loin, tenderloin, fillet. Nws yog ib qho tsim nyog yuav tsum tau tshem tawm cov tawv nqaij los ntawm nqaij qaib thiab qaib cov txwv.
Xaiv cov khoom siv mis nyuj uas muaj cov ntsiab lus tsis muaj roj lossis cov ua tsis muaj rog.
Siv cov txiv roj, rapeseed roj es tsis txhob siv cov roj ua kom zoo rau kev ua noj.

Txawm hais tias kev noj zaub mov noj hauv cov poj niam cev xeeb tub muaj ntau yam zoo sib xws, thaum kuaj xyuas cov ntshav qab zib mellitus, tus neeg noj zaub mov zoo tuaj yeem hais qhia kom muaj kev hloov pauv hauv cov phiaj xwm khoom noj uas yuav pab kom tsis txhob muaj teeb meem nrog cov ntshav qabzib lossis ntshav qabzib.

Yuav noj li cas thiaj li muaj ntshav qab zib thaum cev xeeb tub

Lub chaw tswj hwm portal tsis hais qhov tshuaj rau tus kheej thiab, thaum thawj cov tsos mob ntawm tus kab mob, qhia koj kom sab laj nrog kws kho mob. Peb lub portal muaj cov kws kho mob tshwj xeeb zoo tshaj plaws, uas koj tuaj yeem teem caij online lossis hauv xov tooj. Koj tuaj yeem xaiv lub kws kho mob haum koj tus kheej lossis peb yuav xaiv nws rau koj kiag li pab dawbCov. Thiab tsuas yog thaum sau los ntawm peb, Tus nqi rau kev sab laj yuav raug qis dua nyob hauv tsev kho mob nws tus kheej. Nov yog peb qhov khoom plig me me rau peb cov neeg tuaj saib. Noj qab nyob zoo!

Cov khoom pom zoo rau cov poj niam cev xeeb tub uas muaj ntshav qab zib

Tej zaub tshiab (carrots, beets, cabbage, dib),
Cov tshuaj ntsuab (dill, zaub txhwb qaib, cilantro),
Lentils, taum, taum pauv,
Cereal porridge
Cov noob ntoo nyoos
Cov txiv hmab txiv ntoo thiab txiv hmab txiv ntoo (tsis qab zib) - txiv kab ntxwv qaub, plums, txiv apples ntsuab, gooseberries, currants,
Zaub kua zaub, okroshka,
Kev noj siv mis muaj roj tsawg,
Cov nqaij ntshiv thiab ntses,
Cov ntxhia dej
Nqaij ntses (cws, seaweed, capelin, sardine),
Qij qe, koj tuaj yeem ua qaib,
Cov roj polyunsaturated (txiv ntseej, noob taub dag).

Cov poj niam cev xeeb tub uas muaj ntshav qab zib tuaj yeem siv cov txiv hmab txiv ntoo qhuav hauv qhov me me, tsuas yog thaum pib lawv tsim nyog rau 20 feeb. tsau hauv dej txias npau. Cov kua txiv los ntawm cov txiv hmab txiv ntoo uas tsis qab zib thiab cov txiv ntoo tshiab kuj tseem siv tau, 1 khob ib hnub. Cov kua txiv yuav tsum yog cov tshiab zom zaws, tsis yog hauv khw, vim yog cov ntau ntawm cov dej muaj tshuaj nyob hauv. Cov zaub mov cev xeeb tub yuav tsum muaj cov zaub mov ntawm cov hauv paus chiv keeb ntawm cov nroj tsuag. Lawv muaj txiaj ntsig zoo dua li kev ua tiav tom qab. Ob pluas noj yuav tsum muaj cov protein, uas yog lub tsev cov ntaub ntawv rau lub hlwb ntawm lub cev loj hlob ntawm tus menyuam. Cov khoom noj muaj fiber ntau (nplej tseem muaj) yog qhov tseem ceeb rau cov menus cev xeeb tub.

Cov neeg mob ntshav qab zib yuav tsum tsis txhob muaj sijhawm so ntev nruab nrab ntawm pluas noj.

Txwv tsis pub cov zaub mov hauv cov poj niam cev xeeb tub muaj ntshav qab zib

Khoom qab zib (khoom qab zib, khoom qab zib, ncuav qab zib thiab waffles, jam),
Rog tej nqaij thiab ntses,
Cov khoom noj muaj roj ua kom muaj roj ntau,
Si haus
Nqaij cov nqaij, cov kaus poom zaub mov, cov khoom lag luam ib nrab,
Qab zib pastries, khob cij dawb,
Thawj cov chav hauv rog rog,
Ib qho cawv
Ntsim (mustard, horseradish, kua txob liab), ketchups thiab cov kua txob, marinades.

Hauv kev noj haus ntawm cov poj niam cev xeeb tub uas muaj ntshav qab zib, lub luag haujlwm tseem ceeb ntawm cov khoom muaj cov roj carbohydrates yuav tsum nyob rau thaum sawv ntxov. Kev noj haus ntxiv yog pom zoo nrog cov ntsiab lus tsis muaj calorie, tshwj xeeb tshaj yog nyob rau yav tsaus ntuj. Txhawm rau kom muaj cov protein, rog thiab carbohydrates kom nkag mus rau hauv lub cev sib npaug, lawv yuav tsum muaj kev sib koom ua ke. Nrog ntshav qab zib hom 1 cov pluas noj yog siv cov tshuaj insulin uas yuav tsum tau ua.

Txhawm rau tiv thaiv cov teeb meem tshwm sim (hypoglycemic los yog hyperglycemic coma), thaum cev xeeb tub nrog ntshav qab zib mellitus nws raug pom zoo ua ntu zus los ua kom cov decoctions ntawm nettles, dandelion, sawv duav, ginseng, thiab noob flax. Kev pabcuam Phytotherapeutic tsis ua rau metabolic tsis ua haujlwm thaum cev xeeb tub thiab pab tswj kom muaj suab thaj. Tab sis kev sab laj nrog koj tus kws kho mob yog qhov pom zoo.

Hauv kwv yees li 5% ntawm cov poj niam cev xeeb tub (tsis mob ntshav qab zib mellitus), ntshav qab zib yuav nce siab, thiab tom qab ntawv ntshav qab zib tau tshwm sim, uas yog hu ua "kev xeeb tub". Nrog kev kuaj mob kom raws sij hawm thiab kev kho kom raug, cev xeeb tub tau yam tsis muaj teeb meem, tus menyuam yug los nrog tus nqi sib luag. Tab sis cov zaub mov li ib txwm tau tso tseg, zoo li qhov no, yuav tsum tau siv tshuaj kho kom zoo. Tom qab yug tau los, mob ntshav qab zib hauv lub cev tsis ploj hauv feem ntau. Txawm li cas los xij, kev tshuaj xyuas cov ntshav thiab zis tsis tu ncua yog qhov tsim nyog, vim tias muaj qhov zoo li ntawm kev tsim hom ntshav qab zib 2 nyob rau yav tom ntej.

Txhua yam kev noj haus rau ntshav qab zib kom ua tau zoo tshaj plaws nrog kev tawm dag zog, taug kev hauv huab cua ntshiab. Qhov no muaj tseeb tshwj xeeb rau cov poj niam uas rog dhau. Tshaj lub cev rog dhau los ntau cuam tshuam cov teebmeem ntawm insulin.

Kev noj haus rau cev xeeb tub mob ntshav qab zib

Cov xwm txheej no thaum cev xeeb tub thaum cov metabolism hauv carbohydrate tsis muaj zog yog hu ua ntshav qab zib hauv hlwb. Tus poj niam lub txiav luam yog dhau dhau lawm. Yog tias nws tsis nrog lub luag haujlwm, tom qab ntawd cov kua dej hauv ntshav tsawg dhau los, vim li ntawd, cov ntshav piam thaj hauv lub cev nce siab. Txhawm rau txhim kho tus neeg mob lub neej, kev noj zaub mov noj yuav tsum ua raws.

Video (nyem mus ua si).

Cov khoom noj kom tsim nyog rau cov poj niam cev xeeb tub muaj ntshav qab zib hauv lub cev

Tus kab mob, raws li txoj cai, raug kuaj pom tsis muaj ntxov tshaj li 28 lub lim tiam ntawm cev xeeb tub thiab tuaj yeem ua rau menyuam tsis muaj zog ntawm kev loj hlob, yog li koj tsis tuaj yeem sim zais nws cov tsos mob. Tus kws kho mob yuav tsum ua ib qho kev soj ntsuam ntawm kev tso ntshav qabzib thiab tom qab ntawv sau tshuaj kho. Nws yuav pom zoo rau tus poj niam cov npe khoom noj uas nws zoo dua rau noj. Ib tus ntxhais cev xeeb tub uas muaj ntshav qab zib hauv lub cev yuav tsum tau nws tus kheej noj zaub mov noj raws li cov lus qhia no:

Video (nyem mus ua si).

Nws yog ib qho tsim nyog kom ua raws li kev noj haus fractional. Kev noj haus txhua hnub yuav tsum muaj peb pluas noj thiab khoom txom ncauj - nrog tib lub sijhawm ua ke.
Kev noj haus rau cev xeeb tub thiab ntshav qab zib hauv lub cev yog tsim los xyuas kom meej tias qhov sib piv ntawm cov carbohydrates, cov protein, thiab cov rog noj ib hnub yog 50:35:15.
Dej ib hnub twg yuav tsum tau haus ib thiab ib nrab rau ob liv.
Kev noj haus rau kev mob ntshav qab zib hauv kev xeeb tub ntawm cov poj niam cev xeeb tub thiab cov ntshav qab zib siab txhais tau tias yog qhov kev tsis lees paub ntawm kev ua kom yooj yim thiab zom tau cov carbohydrates.
Cov khoom noj siv mis nyuj yuav tsum tsis txhob noj thaum sawv ntxov.
Kev noj haus rau GDM yuav tsum ua tiav kev tsis lees noj qab zib thiab zib ntab.
Txog kev noj zaub mov rau kev mob ntshav qab zib hauv nruab nrog cev, cov poj niam cev xeeb tub yuav tsum ua zaub mov kom ib hnub rau ib phaus ntawm qhov hnyav haus 35-40 kcal.
Hauv ib pluag mov, tsis txhob muab cov khoom xyaw carbohydrate thiab protein.

Muaj qee yam khoom noj uas zoo rau noj nrog kab mob. Kuv yuav noj dab tsi nrog ntshav qab zib:

zaub nyoos los yog hau siav (tsis suav carrots, qos yaj ywm),
qaub txiv hmab txiv ntoo: blueberries, txiv pos nphuab, txiv pos nphuab, txiv pos, txiv pos, txiv ntoo,
txiv hmab txiv ntoo: txiv kab ntxwv qaub, txiv apples, plums, pears, apricots, txiv duaj,
cereals, tshwj tsis yog semolina,
rye qhob cij
nqaij siav nrog qhov tsawg kawg nkaus ntawm cov roj: hom zoo tshaj plaws yog nqaij qaib, nqaij nyuj, nqaij qaib ntxhw, mob siab (qhov tsawg kawg yog nqaij npuas nqaij yog xam tau),
dej thiab ntses hiav txwv: cod, ntses liab ntses liab, herring, perch, capelin, carp, pollock, sardine, mackerel, xiav dawb,
caviar, cws,
nqaij qaib qe
cheese, tsev cheese, qee cov mis,
txiv ntoo
nceb, legumes, zaub ntsuab.

Kev noj zaub mov ntawm tus poj niam cev xeeb tub yuav tsum muaj kev tsis lees txais cov khoom lag luam zoo li no:

semi-tiav cov khoom lag luam
qos yaj ywm
semolina porridge
daig, jam,
carrots
zib ntab
cov hnyuv ntxwm
cov hmoov nplej dawb (khoom ua mov ci, nplej zom),
dej qab zib
mis nyuj khov
hnub, persimmons, tsawb, figs, txiv quav ntswv nyoos, txiv mab txiv ntoo qab zib, qab zib,
Kev sib cav sib ceg
lub suab muffins
kua txiv
cov khoom qab zib thiab khoom lag luam nrog lawv cov ncauj lus,
butter (ho txwv).

Ob hom ntshav qab zib tau raug txheeb xyuas, cov no yog cov tshuaj insulin-tiv thaiv hom 1 mob ntshav qab zib mellitus thiab hom 2 tsis mob ntshav qab zib-insulin-tiv thaiv ntshav qab zib mellitus. Qhov sib txawv ntawm lawv hauv cov txheej txheem ntawm kev ua kom pom thiab cov hau kev ntawm kev kho mob. Kev noj haus rau mob ntshav qab zib tseem ceeb heev rau tus poj niam thiab rau kev tsim tus me nyuam hauv plab. Nws yog lub ntsiab lus tseem ceeb rau txoj kev ua kom cev xeeb tub.

Kev noj haus ntawm cov poj niam cev xeeb tub muaj ntshav qab zib yog tsim los ntawm kws kho mob hauv txoj kev uas ntau li ntau tau nkag mus rau hauv lub cev ntawm cov vitamins, kab kawm, cov protein. Thiab tus nqi ntawm carbohydrates yog me me li sai tau, tsis pub tshaj 250 g ib hnub. Nyob rau tib lub sijhawm, cov “carbohydrates” yooj yim tsis suav rau cov poj niam cev xeeb tub uas muaj ntshav qab zib txhua (qab zib, ncuav, khoom qab zib, jam).

Kev noj zaub mov zoo rau ntshav qab zib yuav tsum tau muaj menyuam:

Nkag siab lub cev lub zog xav tau,

Txhawm rau kev tshaj lij, koj yuav tsum noj me ntsis, tab sis tsawg kawg 6 zaug,
Tshuav ncaj lub cev nrog cov tshuaj uas muaj txiaj ntsig,
Kev noj haus ntawm cov khoom noj uas tsis ua kom lub cev hnyav,
Muaj cov khoom siv nrog kev nqus ntawm cov carbohydrates qeeb.

Cov poj niam cev xeeb tub uas muaj ntshav qab zib thiab rog yuav tsum haus tsis ntau tshaj 1900 kcal ib hnub. Qhov no yog qhov tseem ceeb tshwj xeeb kom qhov hnyav ntawm tus menyuam yug tsis tshaj 4500 g: kom tsis txhob muaj kev raug mob thaum yug menyuam thiab pathologies hauv tus menyuam.

Kev noj haus rau mob ntshav qab zib: poj niam, cov lus qhia dav dav thiab cov lus qhia muaj txiaj ntsig

Mob ntshav qab zib Gestational (GDM) yog ib txoj kev kho mob uas nthuav dav nyob rau hauv 3-4% ntawm cov niam uas tseem muaj vim tias muaj qee yam cuam tshuam los ntawm cov insulin feem ntau ntawm cov hlwb thiab cuam tshuam ntawm cov metabolism. Feem ntau, nws muaj cov yam ntxwv qis thiab tsis thab poj niam, tab sis nws cuam tshuam rau lub sijhawm cev xeeb tub thiab tsim ntawm lub cev xeeb tub.

Nws yog ib qho tsim nyog los kho tus kab mob, thiab ntau zaus dua li tsis ua qhov tsis tu ncua ntawm kev sim yuav tau los ntawm kev kho lub neej thiab kev noj zaub mov zoo. Nws muaj tsawg kawg yog qhov chaw uasi rau kev kho mob insulin. Thiab dab tsi yog khoom noj muaj txiaj ntsig raws li cov ntshav qab zib muaj menyuam raws li: peb yuav sim los xyuas cov zaub mov thiab cov tseem ceeb ntawm peb qhov kev tshuaj xyuas.

Koj noj li cas?

Mob ntshav qab zib hauv kev kho mob feem ntau yog hu ua tus kab mob cuam tshuam nrog kev nce kab mob ntxiv nyob rau hauv cov ntshav qabzib hauv cov ntshav thaum noj zaub mov zoo lossis tom qab kuaj ntshav qabzib, uas ua rau pom nws tus kheej thaum cev xeeb tub (feem ntau tsis 16-30 lub lis piam).

Qhov tseeb vim li cas thiab kev txhim kho ntawm kev txhim kho pathology tseem tsis tau hais meej los ntawm cov kws tshawb fawb, txawm li cas los xij, feem ntau GDM cuam tshuam nrog kev hloov hormonal tshwm sim hauv tus poj niam lub cev, nrog rau tus txheeb ze txo qhov tsis hnov mob ntawm cell receptors rau hormone insulin.

Ntawm cov kev pheej hmoo:

dhau 30 xyoo
rog dhau
muaj lub nra hnyav rau cov ntshav qab zib,
keeb kwm ntawm stillbirth los yog loj fetus,
polyhydramnios.

Txhua qhov hnyav ntxiv yog qhov phom sij rau kev noj qab haus huv.

Tom qab yug los, cov theem ntawm cov tshuaj hormones rov qab mus rau nws qhov tseem ceeb, thiab cov ntsiab lus ntawm cov piam thaj hauv cov ntshav kuj tseem zoo li qub.

Ua tib zoo mloog! Txhua tus poj niam nrog GDM tsis pub dhau 6 lub lis piam tom qab yug tus me nyuam tau raug kuaj xyuas kev soj ntsuam rov qab. Qhov no yog qhov tsim nyog los tshem tawm txoj kev loj hlob ntawm "muaj tseeb" ntshav qab zib, uas tau tshwm sim thaum cev xeeb tub.

Cov tsos mob "Classic" hauv GDM tej zaum yuav mob sib khuav

Cov qauv tseem ceeb ntawm kev kho tus kab mob thiab kev ua haujlwm ntawm cov metabolism carbohydrate yog qhov kev noj haus tam sim no.

Cov kab mob kev noj haus ntawm cov poj niam cev xeeb tub muaj ntshav qab zib yog ua raws cov qauv hauv qab no:

Ua tib zoo mloog! Kev noj qab zib rau ntshav qab zib nyob rau hauv tsis muaj mob tsis txhais tau tias muab cov zaub mov feem ntau thiab tshaib plab. Kev txwv carbohydrate tsuas yog siv rau lawv txoj kev zom yooj yim xwb. Yog tias tsis muaj kev pom zoo los ntawm tus kws kho mob, cereals, mov ci, qos yaj ywm thiab lwm yam polysaccharides "qeeb" tuaj yeem noj tau, tab sis nyob hauv kev sim.

Kev noj haus ntawm cov poj niam cev xeeb tub uas muaj ntshav qab zib pom zoo siv cov khoom lag luam hauv qab no:

cov mov ci tag nrho
tej zaub
taum
nceb
cereals - nyiam dua millet, pearl barley, oat, buckwheat,
nqaij ntshiv
ntses
nqaij qaib qe - 2-3 pcs. / lub lim tiam.,
khoom noj siv mis
qaub txiv hmab txiv ntoo thiab txiv ntoo,
zaub roj.

Soj ntsuam kev noj haus rau cov poj niam cev xeeb tub uas mob ntshav qab zib yuav tsum tau ua kev cais tawm ntawm kev noj haus:

qab zib thiab cov qab zib,
zib ntab
khaws cia, jams, jams,
khob noom, khoom qab zib, khoom qab zib, cov qhob noom gingerbread, yob thiab lwm cov ncuav qab zib,
mis nyuj khov
kua txiv thiab kua txiv ntoo,
haus suab thaj
qab zib txiv hmab txiv ntoo - tsawb, txiv quav ntswv nyoos, persimmons, melon, hnub, figs,
semolina thiab mov nplej.

Qhov phom sij txaus ntshai yog qab zib thiab qab zib.

Txawm hais tias muaj qee yam kev txwv, noj nrog GDM tuaj yeem noj qab nyob zoo, qab thiab feem ntau tseem ceeb, sib txawv. Cov khoom noj kwv yees kwv yees ntawm cov poj niam cev xeeb tub muaj ntshav qab zib muaj nyob hauv qab no.

Cov lus: Sib npaug khoom noj rau cov poj niam uas muaj ntshav qab zib gestational:

Mob ntshav qab zib Gestational (HD) yog ib cov teeb meem carbohydrate metabolism (mob ntshav qab zib) los yog ntshav qab zib mellitus ntawm qhov sib txawv heev. Lawv cov tsos mob tshwm sim los ntawm 14 lub lim tiam ntawm cev xeeb tub. Ntxiv nrog rau qhov cuam tshuam tsis zoo ntawm kev xeeb menyuam hauv plab thiab kev hem tias yuav nchuav menyuam, HD tuaj yeem ua rau mob ntshav qab zib, kev txhim kho lub plawv tsis zoo thiab lub hlwb kev ua haujlwm hauv tus menyuam mos.

Mob ntshav qab zib ntawm cov poj niam cev xeeb tub yuav luag yog 100% kev qhia txog kev phais menyuam, vim tias qhov kev pheej hmoo thaum mob plab hnyav muaj zog ntxiv, ob leeg rau tus menyuam thiab leej niam.

Nce txog 14% ntawm cov menyuam ntxhais cev xeeb tub yog cuam tshuam los ntawm hom mob ntshav qab zib no. Hauv 10% ntawm cov poj niam uas muaj nws, mob ntshav qab zib hom 2 yuav loj hlob dhau 10 xyoo tom ntej

Qhov ua rau muaj HD yog:

qaug zog txiav
tsis txaus, rau lub cev ib txwm muaj ntawm cev xeeb tub, insulin secretion.

Kev poob qis hauv kev nkag siab ntawm cov leeg nqaij thiab cov kua ntswg adipose rau insulin yog los ntawm kev ua kom lub cev ua kom qis dua los ntawm kev noj haus dhau los, cov kab mob kis.

Feem ntau, HDs raug pom rau cov poj niam uas muaj "pob paj" ntawm cov kab mob mus ntev, "mob ntshav qab zib tsis txaus" muaj txiaj ntsig, thiab cov neeg yug tom qab 30. Ntau tshaj qhov hnyav, kev yug menyuam dhau los (dhau 4 kg), thiab polycystic syndrome yuav luag ob npaug ntawm HD.

Kev qhia paub ntawm HD hauv cov theem lig ntawm cev xeeb tub yog vim qhov tseeb tias cov poj niam tsis quav ntsej txog cov txheej txheem dhau "ob-teev ntawm qhov ncauj txog kev noj qab haus huv", uas yog qhov yuav tsum tau ua dhau ntawm 24 thiab 28 lub lis piam. Daim duab cuav thaum lub sijhawm tshuaj ntsuam thiab, vim li ntawd, tom qab tus tsos mob HD tshwm sim vim qhov tseeb tias cov poj niam cev xeeb tub tsis ua raws li cov kev mob tseem ceeb rau txoj kev ntsuas dhau - kom dhau ntawm lub plab khoob.

Nws yog ib qho tseem ceeb kom paub tias muaj ntshav qab zib hauv cov poj niam cev xeeb tub, cov ntshav qabzib tau ntau dhau ntawm cov yam ntxwv rau kev txiav ntshav, thiab insulin secretion ntshawv siab tshwm sim tsuas yog hauv cov lus teb rau kev noj zaub mov. Cov poj niam qhov chaw mos ntawm cov poj niam cev xeeb tub, tsis lees paub txog qhov tseem ceeb ntawm kev npaj rau qhov kev xeem thiab khoom noj txom ncauj ua ntej cov kev kuaj ntshav thawj zaug ua rau tsis-pom ntawm HD. Yog li, nws raug nquahu kom koj ua raws li txoj cai hauv qab no:

noj rau 3 hnub ua ntej cov txheej txheem tsis muaj kev txwv tseem ceeb,
txhua hnub noj ntau tshaj 150 g ntawm carbohydrates uas pom muaj nyob hauv zaub, txiv hmab txiv ntoo, legumes thiab whole grain lis,
saib cov kev ua haujlwm ib txwm muaj ntawm lub cev - nce lossis txo qis yuav tuaj yeem muab cov duab zim zuag,
txwv kev ua kom tsawg ntawm carbohydrates rau 40 grams hmo ua ntej,
yoo mov (nrog rau qhov yuav tsum tau haus dej tseem) ua ntej noj ntshav ncaj qha yuav tsum yog 8 txog 14 teev.

Cov txiaj ntsig ntawm kev ntsuas no tuaj yeem cuam tshuam los ntawm koj tus mob khaub thuas tam sim no thiab qee yam tshuaj noj. Kev kuaj mob ntawm HD yog tsuas ua tom qab kev ncua 2-ntawm txoj kev kuaj.

Txawm hais tias muaj qhov tshwm sim tsis zoo, thaum HD tsis tsim, tom qab kev cob qhia nrog poj niam tus kws kho mob hauv kws kho mob chaw ua haujlwm, nws yog qhov yuav tsum tau tswj nws tus kheej cov ntshav qab zib ib hlis ib zaug.

Kev tawm dag zog lub dag zog, kev txhaj tshuaj insulin thiab kev noj zaub mov noj ntshav qab zib hauv lub cev yog cov kev kho mob tseem ceeb. Tsis txhob tus kheej noj tshuaj! Qhov ntau npaum li cas ntawm cov kev txhaj tshuaj ntawm cov tshuaj hormones thiab cov tshuaj insulin kho yog txiav txim los ntawm tus kws kho mob poj niam.

Hauv xyoo 2010, LEEJ TWG tau luam tawm cov kev hloov tseem ceeb rau daim ntawv qhia zaub mov noj rau cov poj niam mob ntshav qab zib hauv lub cev:

Tsis zoo li txheej txheem kho mob kev noj qab haus huv rau cov neeg mob ntshav qab zib, cov poj niam cev xeeb tub tsis pom zoo kom ua raws li cov zaub mov noj qis, uas tau qhia kom hloov mus rau tam sim ntawd tom qab kawg lub sijhawm pub mis niam.
Ua kom tiav cov "carbohydrates" ceev ceev los ntawm cov khoom noj - khoom qab zib, pastries thiab cov tais diav qos.
Tsim cov zaub mov koj tus kheej nrog rau kev noj zaub mov carbohydrates txhua hnub los ntawm kev xam 80-100 grams (yav dhau los pom zoo txog 350g).
Qhov feem ntawm cov protein, cov rog ntuj thiab carbohydrates yuav tsum nyob hauv thaj tsam li 40% - 20% - 40%.

Xam cov nqi caloric ntawm cov zaub mov noj txhua hnub hauv qhov ntsuas tsis ntau tshaj 35 kilocalories rau 1 kg ntawm lub cev qhov hnyav (BMI) thiab lub cev hnyav nce txhua lub sijhawm thaum cev xeeb tub (BMI):

BMI = (BMI + BMI) * 35 kcal

BMI tau muab xam los ntawm mis:

BMI = 49 + 1.7 * (0.394 * qhov siab hauv cm - 60)

BMI (hauv kg) npaum li cas los ntawm lub rooj:

Cov khoom noj tshiab niaj hnub no muaj cov caij nyoog thiab cov txiaj ntsig zoo rau cov kev suav sau thiab cov lus pom zoo:

Ib teev tom qab txhua pluas noj, cov poj niam cev xeeb tub muaj tus mob HD yuav tsum saib xyuas lawv cov ntshav qabzib:

Rau kev ua noj, nws zoo dua yog siv cov thev naus laus zis ntawm lub ncu, "ncu" lossis ci hauv qhov cub.

Thaum kos duab ntawm cov ntawv qhia zaub mov rau tus kheej, siv cov ntxhuav ntawm glycemic thiab insulin indexes, suav thiab soj ntsuam qhov theem kom zoo ntawm glycemic load, thiab tseem tsuas yog siv cov khoom lag luam hauv qab no:

tawv chees
qaub mis nyuj curd,
kua mis nyeem qaub ntuj (zoo li jelly) tsuas yog siv rau hnav khaub ncaws lav,
butter cream, butter,
nqaij thiab nqaij qaib
ntses thiab nqaij ntses, seaweed (tsis muaj piam thaj),
qe
cov zaub ntsuab - avocados, dib, taub txaij, txaij, txhua yam zaub qhwv, zaub paj, zaub cob pob, ntsuab asparagus taum, zaub ntsuab, ntsim ntsuab, ntsuab dos thiab kua txob kub,
cov zaub nyoos me me los ntawm daim ntawv txwv tsis pub muaj - carrots, taub dag, beets thiab dos (rau noj su nkaus xwb),
nceb
kua thiab cov khoom lag luam los ntawm nws hauv qhov ntau me me, kua mis thiab kua taum pauv,
Brazil txiv ntoo thiab hazelnuts, noob paj noob hlis (txog li 150 g ntawm ib zaug),
noj pes tsawg ntsev thiab ntsiav tshuaj muaj magnesium,
kua txiv lws suav - 50 ml ib qhov txais tos (tom qab sim),
tshuaj yej, kas fes, kas fes nrog qab zib - tsis muaj qab zib.

Tshem tawm thaum lub cev xeeb tub tsis yog tsuas yog cov piam thaj thiab qab zib uas muaj los ntawm cov khoom noj. Kwv yees li ntawm qhov dhia hauv ntshav qab zib tuaj yeem tau los ntawm ntau cov khoom lag luam, yog li ntawd, thaum cev xeeb tub nrog HD, nws yog qhov yuav tsum tau ua kom tag nrho:

sweeteners, piam thaj thiab zib ntab hloov pauv,
txhua yam zaub mov qab zib thiab qab zib, suav nrog cov khoom noj uas yog “mob ntshav qab zib”, “khoom noj”,
tag nrho cov tais diav uas muaj cov qoob loo qoob loo thiab cov cereals ntshiab ntawm lawv (suav nrog cov nplej daj thiab cov tsiaj qus),
qos yaj ywm
ib cov hmoov nplej (mov), mov ci (suav cov nplej) thiab cov khoom bakery ua los ntawm cov hmoov nplej thiab lwm cov cereals,
khoom noj qhob cij, mov ci, khaub noom,
tej cereal los yog muesli rau pluas tshais thiab noj tshais thaum sawv ntxov,
tag nrho cov txiv ntoo thiab cov kua txiv ntoo,
Jerusalem artichoke, tswb kua txob, beets, carrots thiab taub dag,
tej legumes
tag nrho cov khoom lag luam thiab tais diav los ntawm kev kho cua sov txiv lws suav,
mis, khoom noj siv mis (kefir, fermented ci mis, kua mis nyeem qaub) thiab kua mis, mis whey yog txwv tsis pub,
cov khoom noj qab zib uas muag muag xws li Feta, Mozzarella, thiab lwm yam.
tsis muaj rog, qab zib lossis kua mis nyeem qaub nrog txiv hmab txiv ntoo,
tag nrho cov zaub mov tiav thiab cov kaus poom kua zaub,
margarine, balsamic vinegar,
txiv laum huab xeeb, txiv ntoo,
qab zib fizzy haus.

Tsis txhob ua ntau tshaj! Txhua txoj kev ua rau ua rau cov ntshav qabzib hauv lub ntsej muag, txawm tias cov tais diav los ntawm cov khoom noj tau tso cai.
Yuav tsum muaj ib yam dab tsi nrog koj rau khoom noj txom ncauj los ntawm cov npe khoom noj pub rau, los txhawb koj tus kheej hauv lub sijhawm nyuaj thiab txuag koj ntawm kev ntxias.
Kev suav cov zaub mov ntshiab rau lub lim tiam thiab nruj me ntsis tom qab nws muab cov txiaj ntsig zoo ntawm kev tswj hwm los ntawm DG.
Txhawm rau ua kom koj cov zaub mov zoo, ua kom koj daim ntawv teev cov khoom noj kom txhob muaj teeb meem - los ntawm kev sim ntsuas cov ntshav qabzib hauv cov ntshav 1 thiab 2 teev tom qab noj mov nrog glucometer. Nco ntsoov xyuas qhov tshuaj tiv thaiv rau qaub tsev mis-cheese, txiv lws suav tshiab, txiv ntoo thiab noob.
Kev tshawb fawb los ntawm Canadian lub koom haum ntawm Cov Khoom Noj Hauv Xyoo 2015 qhia tias txiv kab ntxwv qaub tuaj yeem muaj cov nyhuv zoo xws li cov tshuaj metformin rau hauv lub cev. Txawm hais tias muaj kev txwv tsis pub noj ntau yam txiv ntoo, nco ntsoov xyuas koj cov tshuaj tiv thaiv rau cov txiv no.

Thaum mus yuav zaub mov, txuj lom, thiab khoom noj khoom haus, saib daim ntawv qhia txog cov piam thaj los hloov cov piam thaj.

Nrog rau cov ntshav qab zib hauv kev xeeb tub, nws yog txwv tsis pub noj tshuaj noj thiab tshuaj noj uas txo cov ntshav qab zib! Hais tsis tau kom metformin-muaj Siofor thiab Glucofage.

Tom qab HD dhau los thiab qhov kawg ntawm kev pub niam mis rau kev tiv thaiv kom tsis txhob loj hlob ntawm hom 2 mob ntshav qab zib mellitus thiab ua rau lub cev hnyav dua, koj yuav tsum hloov mus rau kev noj zaub mov kom tsis muaj carb tsawg (los ntawm 20 txog 40 g ntawm carbohydrates ib hnub).

Nws raug nquahu kom kuaj ntshav mob ntshav qab zib hauv 8-12 lub lis piam tom qab yug thiab kuaj glycated hemoglobin tsawg kawg 1 zaug hauv 3 xyoos.

Vladislav Vladimirovich Privolnev, Valery Stepanovich Zabrosaev und Nikolay Vasilyevich Danilenkov Kev Mob Ntshav Qab Zib, LAP Lambert Kev Kawm Txuj Ci - M., 2013. - 92 p.
Dreval A.V. Endocrine syndromes. Kev kuaj thiab kho mob, GEOTAR-Media - M., 2014. - 416 c.
Ametov A.S. Granovskaya-Tsvetkova A.M., Kazey N.S. Cov kab mob ntshav qab zib tsis yog-insulin-cov ntshav qab zib: cov hauv paus ntawm pathogenesis thiab kev kho mob. Moscow, Lavxias Medical Academy ntawm Ministry of Health ntawm Lavxias Federation, 1995, 64 nplooj ntawv, ncig tsis teev.

Cia kuv qhia kuv tus kheej. Kuv lub npe yog Elena. Kuv tau ua haujlwm li endocrinologist rau ntau dua 10 xyoo. Kuv ntseeg hais tias tam sim no kuv yog tus kws tshaj lij hauv kuv daim teb thiab kuv xav pab txhua tus neeg tuaj saib lub vev xaib kom daws qhov nyuaj thiab tsis yog li cov haujlwm. Txhua cov ntaub ntawv rau lub xaib tau sau thiab ua tib zoo ua kom tiav thiaj li xa ntau li ntau tau cov ntaub ntawv tsim nyog. Ua ntej thov cov ntaub ntawv uas tau piav qhia hauv lub vev xaib, kev sab laj yuav tsum nrog cov kws tshwj xeeb ib txwm tsim nyog.