Chirwere cheshuga muhutano hwekuzvitakura: Past
Chirwere cheshuga chisati chavapo pakuberekwa kwehutano munguva dzakapfuura kwaive nehanya zvikuru. Zvakanga zvakaoma kuti vanaamai vane chirwere cheshuga vawane pamuviri uye vakatakura vana vane utano hwakanaka kuti vataure. Pamberi pekuuya kwemaoko anochengetwa nemaoko glucometers anopa mhinduro dzinokurumidza, sironi dzinoshandiswa, mishonga inobatsira uye mirayiridzo yekutarisira, zvakanga zvakaoma kana zvisingakwanisi kuwana nekuchengetedza zvakanaka glycemic control panguva yekudzivirira-regai kuvhara zvakasimba glycemic control inoda kuderedza ngozi .
Kudzoka kuma1950, zvakanga zvisiri zvisinganzwisisiki kune vanhu vane chirwere cheshuga vakayira insulini kuti vaite izvo zvakafanana ne-mini-laboratory yakazara nemirasi yegirasi inoda kuve yakabatwa nekudhakwa newaini yakagadziridzwa nemagetsi. Nemhaka yokuti glucometers yakanga isingawanikwi, mazinga ehuga eropa haana kugona nyore nyore kana kuti nokukurumidza.
Panguva iyoyo, zvaifungwa kuti vakadzi vane chirwere cheshuga havana kukwanisa uye havafaniri kuva nevana. Vana vakawanda vainge vafa nokuti pangozi yepamusoro yekuparara kwepakutanga kwakange kusinganzwisisiki. Kusiyana kwematambudziko , kusakwana kwekuberekwa uye macrosomia inouraya upenyu (kurema kurema uremu) zvakanga zvakajairika. Upenyu hwemadzimai nemwana hwaiva pangozi.
Chirwere cheshuga mumatambudziko ekuzvitakura: Nhasi
Kuita glycemic kudzora uye kuderedzwa kwezvipingamupinyi zviri nyore kuwana ruzivo rwemazuva ano, mirayiridzo yehutungamiri, uye zvigadzirwa. Nekuronga kwakanaka, kuchengetedzeka kwepfungwa uye kusimba kwakasimba kwehuga hwehuga, mukadzi ane chirwere cheshuga muhutano anogona kuva nemukana iwoyo wechechecheche semukadzi asina chirwere cheshuga.
IA1c laboratory test inoshandiswa kuongororai mashizha ega shuga emuviri kwemakore 2-3 akapfuura. Iyo yakakwana A1c yemukadzi asina chirwere cheshuga panguva yekuzvitakura inokwana 6.3%. Iyo yakakwirira yeA1c yekutanga uye panguva yekupererwa, iyo yakakonzerwa nengozi inofanirwa. Kazhinji, zvinokurudzirwa kuchengeta mazinga A1c pasi pe6.0%, asi kwete pasi zvakanyanya kudzivisa ngozi yakawanda ye hypoglycemia
Taura nechiremba wako nezveAlc yako zvinangwa.
Kubatsira kumira kwehuga hwehuga kunoderedza njodzi yehutano hwemadzimai, fetal uye neonatal. Mushure mekunge-kudya kwehuga yehutachivi hwehutachiona ndiyo yakanyanyobatanidzwa nepamusoro ekuberekwa uremu kana macrosomia, inozivikanwawo sekuru mwana syndrome.
Chirwere cheshuga muNjodzi dzeKuberekwa Kuwedzerwa Nokusakosha kweAropa Kuda Kurapa
Pamberi uye Mukati Pakuberekwa Kwepakutanga : Kusiyana kwezvinhu uye kukurukurirana kusina kunaka.
Pashure pemavhiki gumi nemaviri 'Gestation : High insulin uye glucose mazinga mu fetus, izvo zvinogona kukonzera kukurumidza kukura uye mafuta akawanda. Macrosomia inobatanidza nekuwedzera kwekuda kwezviitiko zvekukurumidzira zvipembenene, marwadzo ekuberekwa , kufa kwekufa, uye zvinetso zvevana.
Munguva yekubata pamuviri : Kuwanda kwemashuga eropa mu fetus kunogona kukonzera hypoxia (isina kukwana okisijeni) uye acidosis mu fetus, iyo inogona kunge iri iyo inokonzerwa nehuwandu hwekuberekwa kwemadzimai muvakadzi vane hutachiwana hwehutachiwana hunoderedzwa. Kunewo njodzi yakakura ye preeclampsia, polyhydramnios (yakawandisa amniotic fluid) uye basa risina nguva.
Mushure mekuberekwa : Vana vacheche vane macrosomia nekuda kwehuwandu hwemashuga ehutachiwana hwemamai vari pangozi yakakura yekuwedzera kuneta uye kusakanganisika kweglucose kushivirira. Kudzvinyirira kusina kunaka panguva yekuzvitakura kunogonawo kukanganisa kukura kwepfungwa uye yepfungwa.
Ngozi kuna Amai : Kuwedzera kwehuga hwehuga muhutachiwana hunogonawo kuva nemigumisiro yakareba kwenguva refu, kusanganisira kuwedzera kuwedzera kwetinopathy uye nephropathy.
Verenga zvakawanda nezveShuga muKubata .
Sources
Kitzmiller, MD, MS, John L; Block, BS, RN, CDE, Jennifer M; Brown, MD, Florence M; Catalano, MD, Patrick M; Conway, MD, Deborah L; Coustan, MD, Donald R; Gunderson, RD, PHD, Erica P; Herman, MD, MPH, William H; Hoffman, MSW, LCSW, Lisa D; Inturrisi, RN, MS, CNS, CDE, Maribeth; Jovanovic, MD, Louis B; Kjos, MD, Siri I; Knopp, MD, Robert H; Montoro, MD, Martin N; Ogata, MD, Edward S; Paramsothy, MD, MS, Pathmaja; Reader, RD, CDE, Diane M; Rosenn, MD, Barak M; Thomas, RD, Alyce M; uye Kirkman, MD, M Sue. Kutarisira chirwere cheshuga chepreexist for Pregnancy: Summary of Evidence and Consensus Recommendations for Care. Dhiyabhorosi Kutarisirwa May 2008 31 (5): 1060-1079.