Ke haʻi aku kāu kauka iā ʻoe he maʻi diabetes gestational kou, e makaʻu iki paha ʻoe, ʻeā? Ke noʻonoʻo nei paha ʻoe, 'He aha ka mea e hiki mai ana iaʻu a me kaʻu pēpē?' Akā, mai hopohopo. He ʻano kēia e hoʻopilikia ai i nā makuahine he nui a hiki ke mālama pono ʻia. ʻO ka mea nui loa, ʻo ia ke kāohi i kou pae kō koko a mālama iā lākou pēlā. Inā hana ʻoe pēlā, e olakino a palekana ʻoe a me kāu pēpē. No laila e nānā kākou i ka mea hiki iā kākou ke hana e mālama ai i kēia ʻano.
ʻO ka mea mua, e noʻonoʻo kākou i kā kākou meaʻai a me ka mea inu.
ʻO ka hana mua a koʻikoʻi loa i ka mālama ʻana i kēia kūlana, ʻo ia ka hahai ʻana i kahi papaʻai olakino . Hiki i kāu kauka ke kuhikuhi iā ʻoe e ʻike i kahi meaʻai no kēia. He manaʻo maikaʻi kēia, no ka mea, hiki i kahi meaʻai ke hana i kahi papaʻai kūikawā iā ʻoe a hiki iā ʻoe ke pili. Pono kēia hoʻolālā e kōkua iā ʻoe e mālama i kāu maʻi diabetes me ka hāʻawi ʻana i kāu pēpē e ulu ana me ka nui kūpono o nā calorie a me nā meaʻai.
ʻO ka maʻamau, e haʻi aku kāu kauka meaʻai iā ʻoe i ka nui o nā calorie āu e pono ai i kēlā me kēia lā ma muli o kou kiʻekiʻe a me kou kaumaha. Pono ka wahine o ke kaumaha maʻamau ma waena o 2,200 a me 2,500 calories i kēlā me kēia lā. Eia nō naʻe, inā ʻoi aku kou kaumaha, e ʻōlelo ʻia paha ʻoe e hōʻemi i kēlā nui i kahi o 1,800 calories.
E aʻo aku lākou iā ʻoe pehea e kaulike ai i kāu ʻai. ʻO ke ʻano o ka ʻai a lākou e manaʻo nei e like paha me kēia:
| ʻAno hānai | Ka pakeneka o nā calorie i kēlā me kēia lā e ʻai ʻia | Nā Laʻana |
|---|---|---|
| Pūmua | 10% - 20% | Moa, iʻa, hua manu, tīhi, waiū, yogurt, lentil, chickpeas, pīni ʻōmaʻomaʻo. |
| Momona | Ma lalo o 30% | Nā nati (cashews, peanuts), avocado, ʻaila ʻoliva. (Nā Momona Kūpaʻa - pono e emi ma lalo o 10%) |
| Nā kalapona | ʻO ke koena 40% - ma kahi o 50% | ʻO ka laiki ʻeleʻele, ka buckwheat, ka ʻoka, ka berena (ʻoi aku me ka bran), nā mea kanu a me nā huaʻai. |
E hoʻomanaʻo, he mau meaʻai starch nā kalapona a ko kākou kino e hoʻololi ai i ke kō, no laila he mea nui e ʻai iā lākou i nā ʻāpana liʻiliʻi i ka lā a pau, ma mua o ka ʻai ʻana iā lākou i nā ʻāpana nui i ka manawa hoʻokahi.
ʻO ka hoʻoikaika kino kāu hoaaloha maikaʻi loa ma kēia huakaʻi.
Inā ʻaʻohe pilikia iā ʻoe a i ʻole kāu pēpē, e ʻōlelo maoli kāu kauka e hoʻokomo ʻoe i ka hoʻoikaika kino i kāu hana maʻamau i kēlā me kēia lā. E ho'āʻo e hana i ka hana kaulike no 15 a 30 mau minuke i ka hapa nui o nā lā.
I ka ʻōlelo maʻalahi, ke hoʻoikaika kino ʻoe, hoʻomaka ka hormone insulin, ka mea e kōkua i nā hunaola o kou kino e hoʻohana i ke kō i loko o kou koko, e hana me ka ʻoi aku ka maikaʻi. ʻOi aku ka maʻalahi o ka hoʻomalu ʻana i kou pae kō koko.
Akā he mea nui loa kēia:
- E kamaʻilio me kāu kauka a nīnau pololei i nā hoʻomaʻamaʻa kino kūpono loa iā ʻoe a me kāu pēpē, a pehea ka lōʻihi e hana ai ʻoe iā lākou.
- ʻAʻole kūpono nā kānaka a pau i ke ʻano hoʻoikaika kino like. ʻOiai nā mea maʻalahi e like me ka hele wikiwiki a i ʻole ka ʻauʻau ʻana, pono e nānā ʻia me kāu kauka ma mua o ka hoʻomaka ʻana.
E nānā pono i kou pae kō koko.
ʻO ke ala maikaʻi loa e nānā ai i ka pono o kāu ʻai a me ka hoʻoikaika kino, ʻo ia ke nānā i kou pae kō koko ma ka home. Pono e hana mau ʻia kēia. ʻO ka mea liʻiliʻi i hoʻohana ʻia no kēia ua kapa ʻia ʻo ia he glucometer . Inā ʻaʻohe āu, hiki i kāu kauka ke hāʻawi iā ʻoe i hoʻokahi. E wehewehe ʻo ia pehea e hoʻohana ai.
ʻO ka maʻamau, e noi ʻia ʻoe e nānā i kou pae kō koko ma mua a ma hope o ka ʻai ʻana, a hoʻokahi a ʻelua paha hola ma hope o kēlā me kēia ʻai ʻana . E kākau i kēia mau pae a lawe pū me ʻoe i ka manawa i koho ʻia e kāu kauka.
I kekahi manawa pono paha ke kōkua o ka lāʻau lapaʻau.
Inā ʻaʻole hiki iā ʻoe ke kaohi i kou pae kō koko me kāu mau hoʻoikaika maikaʻi loa, ka ʻai ʻana, a me ka hoʻoikaika kino, e haʻi aku kāu kauka iā ʻoe e hoʻomaka e lawe i ka lāʻau lapaʻau. Mai hopohopo no kēia. ʻAʻole kēia he hemahema ma kou ʻaoʻao. ʻO kēia ke pale aku i kāu pēpē .
Hiki iā ʻoe ke hoʻomaka me kahi pila maʻi diabetes (no ka laʻana, Metformin). Akā inā ʻaʻole ia e kaohi i kou kō koko, pono paha ʻoe e hoʻohana i nā inikini insulin ma ke ʻano he hana aʻe. Eia hou, e hoʻomanaʻo he palekana kēia no ka pēpē.
Mālama pū mākou i ka ulu ʻana o ke keiki.
Ke piʻi aʻe ke kō koko o ka makuahine, hele pū kēlā kō keu i ka pēpē. A laila hana ke kino o ka pēpē i ka insulin hou aʻe. Hana kēia insulin e like me ka hormone ulu. Hiki i kēia ke hoʻoulu i ka pēpē e ulu nui loa (Macrosomia) .
No kēia kumu, e nānā pono kāu kauka i ka nui o kāu pēpē i nā pule hope loa o kou hāpai ʻana. Inā he kānalua ua nui loa ka pēpē, hiki iā ia ke hana i kahi ultrasound .
I ka hapanui o ka manawa, hiki i nā makuahine me ka maʻi diabetes gestational ke hānau maʻamau. Eia nō naʻe, inā nui loa ke pēpē, hiki i ke kauka ke kuhikuhi i kahi ʻoki cesarean.
He aha ka mea e hana ma hope o ka hānau ʻana?
Ma hope o ka hānau ʻana o ke pēpē, e nānā ke kauka inā ua hoʻi hou kou pae kō koko i ka maʻamau.
- ʻO ka maʻamau, hana hou ʻia kahi hoʻāʻo ma kahi o 6 mau pule ma hope o ka hānau ʻana.
- He mea nui loa ke hoʻāʻo ʻia no ka maʻi diabetes ma ka liʻiliʻi hoʻokahi manawa i ka makahiki ma hope o kēlā, no ka mea, ʻo ka poʻe i loaʻa i ka maʻi diabetes gestational e ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o ka Type 2 Diabetes i ka wā e hiki mai ana.
Leka Lawe-Home
- ʻAʻohe mea e hopohopo ai no ka maʻi diabetes gestational. He kūlana ia e hiki ke kaohi maikaʻi ʻia.
- ʻO kāu mau lāʻau lapaʻau nui ʻelua he ʻai olakino a me ka hoʻoikaika kino . E kamaʻilio me kāu kauka e pili ana i kēia mau mea.
- E like me ka ʻōlelo a kāu kauka, e nānā i kou pae kō koko ma ka home i nā manawa maʻamau a hoʻopaʻa iā lākou.
- Inā ʻaʻole hiki iā ʻoe ke kāohi i kou pae kō me ka ʻai a me ka hoʻoikaika kino wale nō, mai makaʻu e hoʻohana i ka lāʻau lapaʻau a kāu kauka i kuhikuhi ai. No kou palekana a no kāu pēpē ia.
- ʻOiai ma hope o ka hānau ʻana, he mea nui e hana i nā hoʻokolohua maʻamau e like me ke kauoha a ke kauka.
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