Help!!

How do you keep a clean home?? This first trimester has me so miserable and exhausted. I've literally ran out of dishes and everything is just strewn about. I have a puppy so you can only imagine the damage that she does. My boyfriend doesn't help. It's literally smelly and dirty and disgusting and I feel helpless to get anything done. I'll force myself up and try to tackle it and 10-15 minutes in I need to nap. I feel so nauseous all the time. I'm too embarrassed to hire a cleaning lady at this point. What gets y'all feelin well and motivated?