Khoom noj khoom haus rau mob ntshav qab zib hauv kev xeeb tub hauv cov poj niam cev xeeb tub
GDM thaum cev xeeb tub tsis yog tsawg. Nyob rau hauv qhov xwm txheej, nws yog qhov nyuaj heev rau xaiv cov khoom noj, vim tias koj tsis tuaj yeem tsis xam lub cev los sis ua kom yoo mov. Ntxiv mus, nyob rau hauv tus poj niam lub cev, tag nrho cov txheej txheem kev zom zaub mov muaj ntau dua kev siv zog, uas yuav tsum tau khaws cia hauv kev noj haus ntawm cov pab pawg tseem ceeb ntawm cov vitamins thiab kab kawm uas tsim nyog rau kev txhim kho ntawm tus menyuam.
Qhov kev xaiv ntawm kev noj haus yuav tsum yog cov kws kho mob paub txog, vim tias cov zaub mov muaj cov zaub mov qis feem ntau ua rau ketoacidosis - cov ntshav muaj txaus nrog ketone lub cev uas tsim kev puas tsuaj rau cov menyuam hauv plab. Xaiv cov khoom noj zoo tshaj plaws, nws raug nquahu kom mob siab rau qhov ntsuas ntawm qhov ntsuas ntawm lub cev ntawm leej niam.
Cov lus qhia dav dav rau cov poj niam cev xeeb tub
Nrog rau cov ntshav qab zib hauv lub cev hauv plab, cov khoom qab zib yuav tsum tau muab cais tawm ntawm cov zaub mov noj thiab feem ntau cov zaub mov noj tsawg. Kev noj mov 6-zaug raug pom zoo - 3 lub ntsiab thiab 3 khoom noj txom ncauj.
Qhov sib txawv ntawm cov zaub mov ib leeg yuav tsum tsis pub dhau 2.5 teev, thiab qhov sib txawv ntawm cov zaub mov thawj thiab thaum kawg yuav tsum muaj ntau dua 10 teev. Nrog rau cov khoom noj muaj rog no, tus poj niam muaj peev xwm txo tau qhov txaus ntshai ntawm kev dhia mus rau hauv cov concentration ntawm cov piam thaj hauv cov ntshav.
Nws yog ib qho tseem ceeb kom tshem tawm cov mob ntawm kev hla, muab qhov loj ntawm ib feem tsis pub dhau 150 g.
Yog tias tus poj niam tau txheeb pom tias mob ntshav qab zib hauv lub cev, ces nws raug nquahu kom ua raws li kev faib khoom noj hauv calories hauv cov tais diav thoob plaws hnub:
- rau pluas tshais - 25%,
- nyob rau hauv cov muaj pes tsawg leeg noj tshais thib ob - 5%,
- rau pluas su - 35%,
- rau cov tshuaj yej tav su - 10%,
- rau noj hmo - 20%,
- khoom txom ncauj ua ntej yuav mus pw - 5%.
Txhawm rau txiav txim siab txog khoom noj khoom haus zoo rau GDM, rooj ntawv 9 yog siv - zaub mov-zaub mov rau cov poj niam cev xeeb tub uas tau npaj los ntawm tus kws kho mob leeg plab M.I. Pevzner. Nws muab qhov zoo tshaj plaws tshuav nyiaj ntawm cov protein, cov rog thiab carbohydrates.
Raws li ib feem ntawm lub tswv yim npaj khoom noj khoom haus, cov nyiaj ntawm cov zaub mov carbohydrates tau txo los ntawm 10% piv rau cov cai, vim li ntawd, kev noj zaub mov txhua hnub yuav tsum muaj 200-300 g ntawm carbohydrates ib hnub. Tab sis cov protein tsis yuav tsum tau txo qis - lawv cov lej yuav tsum sib haum rau cov npe nom physiological.
Hauv qhov no, cov khoom noj muaj protein ntau yuav tsum muaj nyob hauv ib hnub tsawg kawg 2 pluas hauv ib hnub. Thiab cov rog rog yuav tsum raug txo kom tsawg. Ntxiv mus, saturated tau muab tshem tawm kom meej.
Raws li qhov tshwm sim, cov lej BJU yuav tsum muab sib xyaw ua ke raws li hauv qab no:
- qhov kev faib ua feem ntawm carbohydrates yog 50%,
- qhov feem ntawm cov protein yog 35%,
- muaj qhov muaj roj - 20%.
Cov neeg noj zaub mov zoo raug pom zoo ua raws li cov kev txwv ntawm tag nrho cov calories ntau hauv cov zaub mov noj ib hnub twg hauv 2000-2500 kcal.
Kev suav ntawm cov ntsiab lus ntawm cov zaub mov calories tuaj yeem ua rau hauv qhov kev txiav txim siab zoo tshaj plaws - 35-40 kcal ib hnub rau 1 kg ntawm tus poj niam lub cev qhov hnyav.
Cov zaub mov dab tsi tuaj yeem raug tso hauv qhov khoom noj
Nrog rau cov ntshav qab zib hauv lub cev hauv plab, cov poj niam cev xeeb tub yuav tsum cais tawm cov khoom noj zom tau yooj yim ntawm cov carbohydrates los ntawm kev noj haus. Cov ntawv qhia yuav tsum tsis txhob muaj qab zib, zib ntab, khoom qab zib, chocolate, hauv cov kua txiv, hauv cov dej qab zib, cov dej qab zib.
Nws yog ib qho tsim nyog yuav tsum ua raws li rau rau pluas noj nyob rau ib hnub thoob plaws hnub, ncu faib cov carbohydrates.
Nyob rau yav tsaus ntuj, nws tsis pom zoo kom noj txiv hmab txiv ntoo thiab nqaij. Cov zaub mov no yooj yim rau kev zom thaum sawv ntxov.
Tab sis rau yav tsaus ntuj nws pom zoo kom muab tsev me cheese, kefir, stewed zaub rau saum rooj.
Muaj qee qhov tshwj xeeb ntawm cov khoom lag luam hauv tsev so:
- Cov Khoom Ci thiab cov khoom noj ntawm hom hmoov nplej yuav tsum tau noj nyob rau hauv qhov ntau npaum li cas los ntawm tus neeg noj zaub mov zoo, raws li kev tso cai ntawm kev noj zaub mov carbohydrates. Nws tau tso cai rau suav nrog cov mov ci hauv zaub mov, nrog rau cov khoom lag luam los ntawm cov hmoov nplej nplej ntawm qib 2. Tsis muaj kev phom sij rau cov nplej zom thiab tsis-rog hmoov. Tab sis los ntawm ci, cov khoom los ntawm shortbread lossis puff pastry yuav tsum tau muab tso tseg. Cov poj niam yuav tsum tsis txhob noj khoom qab zib, ncuav, ncuav muffins, thiab lwm yam.
- Ntawm cov cereals yuav tsum hais txog hauv cov khoom noj yuav tsum yog buckwheat, barley, millet, pearl barley, oat. Txawm li cas los xij, ntawm no, kev txwv ntawm kev pom qhov zoo tshaj plaws ntawm cov carbohydrates tau coj mus rau hauv tus account. Lauj kaub tais diav nrog mov thiab semolina feem ntau yog tsis suav cov zaub mov.
- Zaub lauj kaub tais diav muaj txiaj ntsig zoo rau lub cev, thiab yog li ntawd cov ntawv qhia zaub mov tuaj yeem sib txawv los ntawm kev thov cov qos yaj ywm, carrots, beets. Ib qho ntawm cov taum ntsuab thiab taum pauv kuj haum. Taum thiab lentil tais yuav pab tau zoo. Cov kws qhia zaub mov noj haus yuav tsum tswj hwm kev kub siab los ntawm carbohydrates - lawv qhov kev tshwm sim tsis pub ntau tshaj 5% hauv zaub. Yog li ntawd, nws pom zoo kom siv cov zaub qhwv, zucchini, taub dag, dib, txiv lws suav, zaub xas lav. Qhov Kev Nyiam muab rau cov zaub nyoos cov zaub nyoos, cov tais ci, hau, ci. Lawv tsis fond ntawm cov khoom qab ntsev thiab khoom lag luam pickled - lawv raug cais tawm tag nrho.
- Nrog txiv hmab txiv ntoo yuav tsum tau ceev faj. Thaum sawv ntxov, cov txiv hmab txiv ntoo thiab txiv ntoo tshiab tau txais kev tso cai. Tab sis koj yuav tsum xaiv ntau hom qab zib thiab qaub. Muaj tseeb, ntau yam khoom siv txwv tsis pub. Qhov no siv rau txiv quav ntswv nyoos, raisins, txiv tsawb. Txwv tsis pub thiab jam.
- Hauv cov khoom noj siv mis muaj calcium uas tsuas yog cov roj ntsha muaj txiaj ntsig zoo rau tus poj niam lub cev. Yog li ntawd, cov khoom noj siv mis muaj txiaj ntsig zoo rau kev noj zaub mov - muaj roj tsawg kefir, bifidok, cov roj ntsha uas muaj roj tsawg ua cov tshuaj ntxiv rau lub tais, qaub-mis haus tsis muaj qab zib. Cov khoom lag luam nyob hauv lactose, qab zib tsev cheese thiab yoghurts, qaub cream thiab cheeses ntawm cov rog ntau yam tsis haum rau tus poj niam cev xeeb tub nrog GDM.
- Hauv cov nqaij muaj cov vitamins, cov protein zoo thiab cov rog. Cov zaub mov no yuav tsum muaj nyob hauv cov khoom noj. Txawm li cas los xij, koj yuav tsum xaiv ntau hom roj tsawg. Lub rooj tuaj yeem ua kom zoo nkauj nrog cov tais diav ntawm nqaij nyuj, nqaij tawv, luav, nqaij qaib, qaib ntxhw. Lawv tuaj yeem noj hauv cov ntawv npau npau lossis ci. Cov zaub mov uas muaj cov tsiaj rog ntau yuav tsum tsis txhob noj. Cov nqaij rog yuav ua rau lub cev tsis zoo. Cov khoom haus luam yeeb thiab hnyuv ntxwm, cov nqaij hauv koos poom tsis suav nrog. Frying tsis haum yog ib txoj hauv kev ntawm kev ua noj.
- Ntses kuj nplua nuj nyob hauv cov vitamins, protein thiab cov rog. Nws kuj tseem muaj txiaj ntsig hauv qhov nws muaj omega-3 acids. Txog kev ua zaub mov ua noj, nqaij ntses ntshiv yog qhov tsim nyog. Nws tuaj yeem muab rhaub lossis ci. Nws raug tso cai kom noj cov zaub mov hauv kaus poom hauv lawv tus kheej kua txiv los yog siv txiv lws suav. Cov muaj rog lossis ntsev qab ntsev, nrog rau cov ntses kaus poom hauv cov roj, yog txwv tsis pub.
- Cov poj niam uas tau txheeb pom tias mob ntshav qab zib hauv lub cev yuav tsum tau muab ntxiv rau hauv cov zaub mov noj thaum cev xeeb tub. borschthiabkab laum siv zaub. Zaub los yog kefir okroshka yuav pab tau zoo, tab sis tsis tas yuav ntxiv cov hnyuv ntxwm lossis kvass. Cov kws qhia zaub mov kev noj haus qhia kom siv cov nqaij muaj roj tsawg, ntses lossis nqaij ntses ntawm lub cev tsis muaj zog. Koj tuaj yeem ntxiv zaub, cereals, nqaij me rau nws. Tab sis cov tais diav ntawm cov kua zaub muaj zog thiab roj yog contraindicated. Cov khoom noj khoom haus tau tso cai kom suav cov qe siav ntawm cov zaub mov. Txawm li cas los xij, nws yuav tsum txwv rau 3-4 daim thoob plaws hauv lub lim tiam. Cov roj zaub tuaj yeem siv tau, tab sis siv tsawg tsawg - nws tau tso cai siv tsuas yog kev hnav khaub ncaws.
- Mus de nceb tus neeg noj zaub mov zoo ib txwm muaj tus cwj pwm tsis meej xwm. Ntawm ib sab, lawv tau siv vim tias lawv tau saturated nrog carbohydrates. Txawm li cas los xij, ntawm ib sab, nws yog ib yam khoom uas nyuaj rau kev zom ntawm cov plab hnyuv plab zom mov, uas tsim ib qho kev thauj khoom ntau dhau ntawm lub txiav. Muaj lwm qhov taw tes - qhov zoo ntawm cov khoom, vim tias kev sau tsis raug thiab kev cia khoom tuaj yeem ua rau mob lom ntau. Yog li, nws tau tso cai kom siv tsuas muaj kev nyab xeeb hom nceb thiab hauv kev noj tshuaj loj heev.
- Kws txawj qhia kom haus tsawg kawg 1.5 litres cov kua dej ib hnub. Hauv qhov no, koj tuaj yeem siv cov kua dej los yog haus uas tsis muaj qab zib. Cov dej haus tsis muaj kuab, tsis muaj dej-carbonated ntxhia dej nrog cov cim me me ntawm kev ua kom tau, kev hloov kas fes yog qhov tsim nyog. Tab sis cov kua txiv ntawm hom qab zib, kua qaub, kvass, cawv txwv tsis pub.
Pom zoo cov zaub mov txhua hnub
Cov neeg mob uas tau raug mob los ntawm GDM thaum cev xeeb tub, nws raug nquahu kom ua raws li cov zaub mov nrog cov khoom lag luam uas tau tso cai.
Cov khoom noj zoo txhua hnub yuav suav nrog:
- Txog rau noj tshais(ntawm 7-30) nws raug nquahu kom noj cov zaub mov qis hom tsev cheese, diluted nrog mis, oatmeal porridge, tshuaj yej tsis muaj tshuaj ntxiv.
- Noj tshais thib ob (thaum 10-00) Koj tuaj yeem muab cov txiv ntoo, xws li txiv avpaum.
- Noj hmo thaum 12-30 Koj tuaj yeem npaj zaub xam lav nrog zaub qhwv thiab txiv lws suav, ib lub tais kua zaub nrog lub hlais ntawm cov nqaij ntshiv, ib feem ntawm cov nplej zom thiab kua zaub nrog cov hav zoov loj.
- Rau qhov khoom noj txom ncauj thaum nruab hnub ntawm 15-00 Koj tuaj yeem haus ib khob mis thiab noj 20 khob cij.
- Thawj pluas noj yog nyob ntawm 17-30 Koj tuaj yeem muaj ntau yam sib xyaw nrog ib feem ntawm buckwheat porridge nrog stewed ntses thiab ib khob ntawm unsweetened tshuaj yej.
- Khoom txom ncauj rau ob hmo ua ntej mus pw yuav tsum tau txwv nrog lub khob ntawm kefir thiab ib qho me me ntawm lub khob cij.
Thaum cev xeeb tub, koj yuav tsum tau saib xyuas tas li ntawm cov piam thaj hauv ntshav. Ua qhov no tsawg kawg 4 zaug hauv ib hnub uas siv glucometers.
Cov kws kho mob pom zoo kom ntsuas kev ntsuas thaum sawv ntxov, nrog rau ib teev tom qab noj cov tais tseem ceeb.