Gestational shuga pa mimba. Matenda, zizindikiro, mankhwala ndi zakudya

miyezi zonse zisanu ndi zinayi kuchokera pamene lingaliro mwana ziridi yomangika nthawi mu moyo wa aliyense ndi mkazi aliyense. Mkubwela kwa mwana wosabadwayo m'mimba mwa thupi mayi amafunika mphamvu zambiri. Nthawi zambiri mu nthawi ino zimasiyanasiyana kuti njira zonse kagayidwe kachakudya mu thupi. Komanso, nthawi zambiri pali insulin yozungulira gestational.

Adipose minofu, chiwindi, minofu ndi atengeke pang'ono kwa timadzi insulin. Mu chochitika cha sinali bwino kuchuluka shuga m'magazi, amene nthawi zambiri kumatanthauza maonekedwe a shuga. Matenda kawirikawiri wapezeka pa kufufuza chizolowezi kuchipatala antenatal. Kwa milungu 24 yokha mwazi venous zikutengedwa kusanthula ndi trimester lachitatu ankanyamula wapadera mayeso - shuga limaoneka lokongola.

zambiri

Gestational shuga pa mimba - ichi ndithu matenda aakulu amene amafuna njira kulemba chithandizo. Chifukwa cha matenda ndi nthenda zimam'patsa kagayidwe, ndipo makamaka, yafupika shuga kulolerana.

Mu United States mobwerezabwereza maphunziro pa nkhaniyi. Malinga ndi malipoti, shuga gestational azimayi anapezeka pa udindo 4% ya milandu. Asayansi European analengeza zomwe. Amadziwika kuti kuchuluka kwa matenda zimasiyanasiyana 1 pafupifupi 14% ya chiwerengero cha mimba. 10% ya amayi akabereka ndi matenda a ichi, chimene kenako n'kukhala mtundu 2 shuga.

Amenewa ndi mkulu matenda kuwanda lonse bwanji dziko, poyamba pa zonse, kusowa akazi a kuzindikira za zotheka zotsatira za matenda. Chifukwa cha ochepa kufunafuna oyenerera kuchipatala.

ndi kuopseza a shuga pa mimba chiyani?

Choyamba, ndi zoyipa pa mwana wosabadwayo m'mimba mayi. Pa magawo oyambirira a shuga zingachititse padera kapena kuyambitsa mitundu yosiyanasiyana ya zopindika chitukuko cha nyumba ubongo ndi mwana mtima. Ngati matendawa anawapeza mu magawo ina (2-3 trimesters), mwina kwambiri kukula kwambiri yoopsa yomwe imatsogolera ku matenda ashuga fetopathy. Zizindikiro zazikulu za matenda imatengedwa onenepa (kuposa 4 kg), matenda kupuma, thupi imbalances hypoglycemia.

Monga chimaposa mimba?

Pankhaniyi, simungathe kupereka yankho lenileni la funso limeneli, chifukwa onsewa ndi osiyana. Mkazi zambiri anavomereza kuchipatala katatu. Kwa nthawi yoyamba mu mimba oyambirira chitadutsa anayendera zonse, zotsatira zomwe dokotala wasankha pa kusamala ndi kasamalidwe ka mimba, komanso mankhwala prophylactic. The chachiwiri nthawi hospitalization imachitika kwa nthawi ya masabata 20, monga izo zinali pa nthawi zimenezi zikhoza mavuto oyamba. Pa masabata 32 dokotala amasankha njira ndi nthawi za kubadwa m'tsogolo.

Amene kwambiri atengeke matenda?

shuga Gestational pa mimba amakhala mu kukhalapo kwa kutengera za kumtundu, amene akuyendera mchikakamizo cha zinthu zingapo monga:

• onenepa;

• zizindikiro za kwambiri shuga mu mkodzo ;

• zosiyanasiyana matenda a zimam'patsa kagayidwe;

• zaka (zaka zoposa 30);

• toxicosis isanafike ndi gestosis;

• zosiyanasiyana chisokonezo dongosolo mtima;

• padera kobwereza.

The zifukwa

Gestational shuga akufotokozera mu akazi chifukwa utachepa tilinazo maselo a thupi bwino kuti insulin yake. Ichi ndi chifukwa kuchepetsa mahomoni m'magazi, amene nthawi anati izo pa mimba. Komanso azimayi mofulumira amachepetsa magazi shuga msinkhu, chifukwa tsopano pamafunika ndi mwana wosabadwayo ndi latuluka. Chifukwa cha zinthu zonse pamwamba ankaona compensatory kuwonjezeka kupanga insulin mwachindunji ndi kapamba. Kotero, n'chifukwa chake nthawi zambiri mwazi wa akazi mu udindo wa zolozerazi kuchuluka penapake. Ngati muli kapamba sangathe kulimbana ndi ntchito zawo, ndicho chitukuko cha kuchuluka kofunika insulin, osauka gestational shuga.

zizindikiro

Kuwonjezeka mlingo wa shuga ndi matenda ndi zambiri negligible. Choncho zizindikiro zoonekeratu mimba n'zochepa kwambiri. Nthawi zina, pali ludzu pafupipafupi pokodza, komanso khungu youma. Komabe, zizindikiro zonse zazindikirika ndi akazi monga wonena za mkhalidwe wawo.

Kodi umboni wa matenda?

Matenda a shuga gestational zikutanthauza ndi magazi kuti misinkhu shuga ndi wapadera shuga kulolerana mayeso (OGTT).

GTT mitundu iwiri malingana njira makonzedwe a shuga anamasulidwa mu mankhwala: mtsempha ndi m'kamwa. Pakuti chimake chachiwiri wodwala akuitanidwa kumwa zotsekemera mayeso madzi amene muli ndendende 50 g shuga. Patatha mphindi 20, iye akutenga venous magazi nyemba (anatsimikiza mtima wokhutira a shuga). Ngati mlingo shuga upambana 140 mg / DL, ndipo ayenera pochitika ndi mtsempha shuga kulolerana mayeso.

Mu phunziro lino, ndikofunika kutsatira zinthu zina. Choyamba odwala onse tikulimbikitsidwa pa masiku asanu isanafike tsiku akufuna mayeso ndodo kuti ntchito mwachizolowezi ndi zakudya, koma zimam'patsa zili zakudya ayenera kukhala woposa 150 ga Nkofunika kukumbukira kuti chitsanzo magazi ikuchitika okha m'mawa ndi pa chopanda kanthu m'mimba. Wodwala akulimbikitsidwa kudya maola 14 pamaso yobereka wa kuwunika. Pochita phunziro yokha bwino kukhala mu mkhalidwe bata.

Kodi tiyenera kuwaona motani?

Gestational shuga pa mimba nthawi zambiri zovuta chifukwa chakuti mkazi ali pafupi kanayi pa tsiku kuyeza magazi shuga. Nkofunika kukumbukira kuti mankhwala Pankhaniyi mwamtheradi contraindicated, popeza kungam'lepheretse kukula kwa mwana m'mimba.

Pa nkhani ya mankhwala, mu nkhani iyi, akatswiri amalangiza kumamatira zakudya zina, kumaona ntchito a shuga. Ngati nsonga pamwamba musataye zotsatira anakhumba, insulin zakonzedwa.

Kodi chimasiyanitsa zakudya mu matenda?

Gestational shuga pa mimba zikusonyeza kulemekeza zakudya zina. Monga tanenera kale pamwambapa, kudya zakudya zopatsa nthanzi kawirikawiri chinsinsi chithandizo bwino matenda. Akatswiri amalangiza kuti Mulimonsemo osati kuchepetsa phindu zakudya chakudya, ndi bwino kuchepa wokhutira caloric. Pansipa ife kupereka malangizo othandiza pa kudya pang'ono ndi matenda izi.

• Idyani zakudya kakang'ono ndipo ayenera kukhala nthawizonse pa nthawi inayake.

• Ndi bwino kuti achotse kwathunthu kwa zakudya tsiku zakudya zonse yokazinga ndi mafuta, ndi zidyeke chakudya (mwachitsanzo, makeke, maswiti) ndi kusala chakudya.

• Kodi kudya shuga kungakhale? Zakudya zabwino zathu zosiyanasiyana dzinthu, zipatso ndi ndiwo zamasamba, pasta (yekha lonse mbewu). Mu zonse mankhwala amenewa muli yambiri CHIKWANGWANI, umene uli wofunika kwambiri pa mimba.

• The zakudya angagwiritsidwe ntchito otsika-mafuta ndi nyama nsomba, ndi bwino kuchepetsa kadyedwe a sausages, frankfurters ndi sausages.

• Cook chakudya steamed kapena yophikidwa mu uvuni, ntchito kuchuluka kochepa mafuta.

• Iwo ali osavomerezeka kuti asiye kumwa boma zolondola (malita osachepera awiri a madzi akadali koyera patsiku).

nkhawa zolimbitsa

Daily zolimbitsa thupi ndi zothandiza kwambiri kwa amayi oyembekezera, popeza kukhala minofu kamvekedwe, thanzi ndi insulin kanthu, kuteteza zikamera wa mafuta owonjezera. Kumene, mu nkhani iyi katundu ayenera kukhala odziletsa. Akazi amalangizidwa m'kalasi pa anati yoga, kuti tsiku lililonse ndi nezi yaing'ono, kusambira mu dziwe. Muyenera Musaononge ntchito yogwira (kukwera kavalo, liwiro lapamatalala ndi kutsetsereka), monga iwo angayambitse choipa. Nkofunika kusintha chiwerengero cha katundu wina nthawi, zochokera kale umoyo wa mimba yokha.

chisamaliro postnatal

Nthawi yomweyo pambuyo pa kubadwa, gestational shuga mu akazi, monga ulamuliro, kukuchitika, koma zina kungachititse kuti zosokonezeka. Monga tanenera kale, mwana wabadwa ali pafupi kwambiri moti nthawi zambiri zofunika amachita gawo la Kaisara. Chinthu ndi pamene pobereka zachilengedwe zikuoneka kuti asataye kubadwa.

Mwana wobadwa ndi wotsikirapo mlingo wa shuga, koma palibe miyeso wapadera normalization ake sizikhudza. shuga mlingo yekha akubwera kubwerera mwakale, ngati mayi ndi kuyamwitsa mwana. chizindikiro ayenera mosalekeza kuunikira akatswiri ku zipatala umayi.

Ngati mkazi mosamalitsa kutsatira zofunikira za dokotala woyembekezera, mwana wake sizikuopseza gestational shuga, yobereka zidzachitika mwamtendere.

Ngati mkazi ndi kunyalanyaza zovuta mankhwala woyembekezera, ndiye kuphwanya akhoza kuyamba chakuti wakhanda adzakhala ashuga fetopathy. Iwo amakhala ndi zinthu zotsatirazi:

• matenda a chikasu ndiyo;

• Kuchuluka magazi clotting;

• minofu edema;

• chisokonezo thupi kufanana chilengedwe (mwachitsanzo, amamwa woonda nthambi);

• zosiyanasiyana matenda kupuma.

Potsiriza kugonjetsa matendawa, monga matenda a shuga gestational, zakudya ayenera patsogolo, ndipo pambuyo kubadwa. Kutsatira zakudya okhwima bwino bola ngati shuga magazi si kwathunthu kubwerera mwakale.

Akatswiri akazi onse ndi matenda izi kuchita mayeso chaka. Akuti mmodzi mwa anthu asanu akazi amene anali matenda, wam'peza undiagnosed mtundu 2 shuga.

zodzitetezera

Malinga ndi akatswiri, kupewa chitukuko cha matenda kwenikweni zovuta. Nthawi zambiri akazi amene ali pa chiopsezo, ndipo alibe amadwala matenda a shuga.

Nkofunika kudziwa kuti kukonzekera kukhala pakati pambuyo matenda ayenera kutenga malo moyang'aniridwa ndi achipatala komanso si zaka kale kuposa 2 atabadwa m'mbuyomu. Kutatsala miyezi yochepa nthawi imeneyi tikulimbikitsidwa kuti ayambe kuwunika kulemera awo, kutumikiridwa mu ndandanda tsiku la thupi, ndi chidwi pa dokotala, zomwe kudya shuga.

Chikuonetseratu mwamtheradi mankhwala aliwonse iwe uyenera nthawizonse onetsetsani ndi katswiri. Chinthu ndi ntchito mosadziletsa mankhwala, kuphatikizapo mankhwala olera, kungachititse chitukuko cha matenda, monga matenda a shuga gestational.

akatswiri Reviews ndi akazi kale atabereka kuti pa nkhani ya njira woyenera pa mbali ya dokotala Mwina ziyende bwino kwa zinthu kwambiri. M'pofunikanso pambuyo maonekedwe a mwana wobadwa kupitiriza kuwunika thupi lake. Mwachitsanzo, patapita miyezi 1.5 m'pofunika kuchita mayeso kudziwa mlingo shuga. Kuchokera pa zotsatira zake katswiri adzakupatsani malangizo ake pa tsogolo la zakudya ndi makhalidwe ambiri, komanso anaika tsiku lotsatira ulamuliro mayeso.

Pomaliza

Ndiyeno, ayenera kukumbukira kuti matenda ndi kugwilizana ndi malangizo onse a dokotala pafupifupi amanyamula kuopseza thanzi mwana. Nkofunika Pankhaniyi ndithu kusintha maganizo awo m'njira yake pochitika mayeso onse, kudya bwino. Mungapeze maphikidwe chidwi kwa odwala ndi shuga, iwo akhala akugwira osati zatsopano kwambiri amayi, komanso mwamuna wake. Akatswiri amalangiza wambiri zina, thupi, ndi madzulo kukayenda ndi wokondedwa wanu. Ngati mkazi kusintha chakuti mimba amapita bwino, chifukwa kuwala zikuoneka wathanzi kwathunthu mwana.