Kunzwisisa Basa reShiabhesi muKushandura Musha uye Runbirth
Apo vanhu vanodya, zvikafu zvinoputsika mumugwagwa wezvokudya mukati mezvinhu zvakajeka, kusanganisira glucose (rudzi rwehuga). Glucose inofanirwa mafuta kune inenge yose inenge iri mumuviri womunhu, kusanganisira uropi hunoshanda. Kuti muviri ushandise glucose semasimba, inoda hormone inozivikanwa se insulin, iyo inobudiswa nhengo inonzi pancreas.
Mu chirwere cheshuga, insulini yemunhu haikwani, zvichiita kuti zvibvirire kuti muviri uwane uye ushandise simba raunoda kubva paglucose.
Marudzi eShuga
Tora 1 - Type 1 chirwere cheshuga (chinonzi pane insulin-dependent diabetes mellitus, kana IDDM) chisingagumi, kazhinji upenyu hurefu, umo pancreas haisi kubudisa insulini. Zvimwe zvinokonzera chirwere hazvizivikanwi, asi zvakajeka kuti maitiro ezvirwere zvezvirwere zvezvirwere zvinokonzerwa kuti atanga kurwisa pancreas. Inowanzoongororwa muhuduku. Zviratidzo zvinowanzova kuneta, nyota yakanyanya uye nzara, kunyanyisa kunyorera, uye kuora kurasikirwa. Urwu hwechirwere cheshuga hunoda munhu kuti awane insulini, zvichida kuburikidza nemakisi mairi zuva rega rega, kana pombi inopfuurira. Hakuchina mushonga werudzi rwechirwere cheshuga.
Tora 2 - Mukati 2 chirwere cheshuga masero emuviri anovaka kushorwa ne insulin, kunyange apo pancreas inokwanisa kubudisa yakakwana insulin.
Rudzi rwechipiri chirwere cheshuga (chinonziwo kwete insulin chinorwara nechirwere cheshuga mellitus, kana kuti NIDDM) chinowanzoonekwa kuvanhu vakuru, asi chinogona kukura muvana. Inowanzokonzerwa nekunyanyisa, mararamiro ehupenyu, makore, uye maitiro ezvakaberekwa. pano ingozi yakawedzerwa yerudzi rwechipiri chirwere cheshuga chevanhu vane nhoroondo yemhuri yechirwere, vanhu veAfrica-American, Native America, Asia-America, Latino, uye Pacific Islander nhaka, uye vakadzi vane chirwere cheshuga cheshuga.
Zviratidzo izvi zvakafanana nechirwere cheshuga cheshuga. Kurapa kunogona kusiyana nekuchinja kwezvokudya uye kushandiswa kumishonga yemishonga, kana kuti zvinogona kuvharidza insulin. Hapana chirwere chechirwere cheshuga chechipiri, asi chirwere chinogona kunyatsorongedzwa zvokuti hapana kurapwa kunodiwa kunze kwekuchinja kwehupenyu.
Gestational - Gestational chirwere cheshuga (GDM) chinongowanikwa panguva yekuzvitakura. Kufanana nechirwere chechirwere cheshuga, mune gestational diabetes, muviri haugoni kushandisa zvakakwana kushandiswa kwe insulini inokonzerwa nepancreas. Vanenge vose vakadzi vane pamuviri vane uwandu hwekugona kwavo kushandisa glucose zvakanaka kuburikidza nehutachiona hwehutachiona hwekuita pamuviri, asi havasi vose vanozoita gestational chirwere cheshuga. Vanenge 4% chete yevakadzi vachakudziridza GDM. Zvimwe zvinokonzera ngozi zvinofanana neyechirwere cheshuga chechipiri, asiwo zvinosanganisira nhoroondo yepamusoro yekumanikidza kweropa, yakatanga kuberekwa mwana mukuru (kupfuura 8 lbs 5 oz), kana kana iwe uri kupfuura 35 panguva yekuzvitakura. GDM inogona kurapwa nekudya kwekudya asi inogona kuisa insulin injini kana ropa sutu risingagoni kudzorwa kuburikidza nekudya chete.
Chirwere Cheshuga Chinobatsira Sei Kuberekwa?
Sezvo muviri wose wakabatwa nehuga, insulini inokosha pakushanda kwakakodzera kwemitambo yose yemitumbi.
Kushushikana kwekutapuka kweropa kunogona kutungamirira kumatambudziko akawanda pakuberekwa kwaamai nevana.
- Polyhydramnios - Izvi zvinoreva kuva neamniotic zhinji, uye vakadzi vane chirwere cheshuga vane mikana yekuwana izvi.
- Hypertension - inozivikanwa kakawanda sehuwandu hwehuwandu hwemhepo, inogona kukonzera kuvhara kwekukura kwe intrauterine (IUGR), kuberekwa, uye inogona kuva chiratidzo chekutanga kutangira, izvo zvinotakura zvinetso zvayo kumwana.
- Kukura Kwekuwedzera - IUGR inotanga kuitika semugumisiro weupemha, iyo inogona kukura kuvakadzi vane chirwere cheshuga panguva yekuzvitakura. Zvisinei, iyo inogonawo kukonzerwa nehosha yevascular, kazhinji mumhando 1 yevanhu vane chirwere cheshuga, avo vasina ropa rakanyanya. Icho chinokonzerwa nehutano hwehutano hwehutano hwemucheche mushure mokuberekwa. Kuberekwa kunorema kunokonzerawo kukonzera kwekufa kwevana muUnited States.
- Dambudziko rekuzvarwa - Vana vakaberekwa nevakadzi vane chirwere cheshuga vane mungozi yakakura yekukurira kusakwana kwepabonde, zvakadai sekushaya mwoyo uye neural tube defects .
- Kuparadzana - Vakadzi vechibhaibheri vane ngozi yakawanda yekuparara .
- Macrosomia (kana Kuwedzera Kuwedzera Weight) - Kana mwana achangoberekwa ari pamusoro pemavhareji (kazhinji anopfuura mapaundi 9, 4 ounces, kana kuti kupfuura 90th percentile kutarisirwa kwemazera emakore ekutenda), inonzi macrosomia. Vana vaduku vari pangozi yezvinetso mukuendesa sepafystocia uye vanogona kutungamira kudikanwa kuburikidza ne c-chikamu.
- Kutanga Kutengeswa - Vakadzi vechibhaabhesi vari pangozi yekugadzirira kutangira. Vana vacheche vasati vasvika mavhiki makumi matatu nemaviri ekuperekera mujeri vari pangozi yekudyisa nekufema zvinetso, zvinetso zvehutano kwenguva refu, nekufa.
- Kuberekwa - Kunyange vakadzi vane chirwere cheshuga vane njodzi yakawanda yekuva nechecheche, kuronga kwemashuga emuropa kunobvisa zvachose njodzi iyi.
Kutungamirirwa kweShuga
Zviri nani kutarisa shuga yako yeropa panguva yekudzivirira, mukana wakanaka wekuti uve nehutano hwakanaka, hwepamuviri. Zvinokosha kuti uite mirayiridzo yechiremba wako sekuchenjerera sezvaunokwanisa. Insulini yomukadzi inoda kuchinja panguva yose yekuzvitakura, saka kana ukacherechedza shanduko yekushandurwa muhuga yega yega yekuverenga ropa, unofanira kuzivisa chiremba wako.
- Ropa Sukari Kuongororwa - Vakadzi vane pamuviri vane chirwere cheshuga vanotarisirwa kutarisa shuga yavo yeropa kakawanda pazuva kuti vaone kuti kudya kwavo uye mishonga yemishonga inodzora shuga yenyu yeropa. Kuongororwa kunoitwa nemichina yakakosha uye inoda kuti iwe unyeke munwe wako kana kuti forearm (zvichienderana nekutarisa kwako) kuti uwane donho reropa. Kana iwe ukaonekwa kuti une gestational chirwere cheshuga panguva yaunenge uine pamuviri, iwe ucharayirirwa kuti ungashandisa sei kuongorora kwako uye unotarisira kuratidza kushandiswa kwakakodzera.
- Mishonga uye Insulin - Kunyange zvazvo Chimwe chechipiri chirwere cheshuga chinogona kushandisa mishonga yemuromo kuti ichengetedze shuga yavo yeropa pasati yava nepamuviri, kwete yose mishonga yemuromo yakachengeteka pamuviri. Insulin injections inopa yakanakisisa uye yakanyatsogadzirisa kutarisa kwehuga munguva yekubata pamuviri. Kunyange vakadzi vakanga vachishandisa insulin vasati vaita pamuviri vachatora regimen itsva kugadzirisa shuga yavo yeropa pavanenge vane pamuviri. Zvakakosha kutevera mishonga yako mishonga zvakanyatsonaka.
- Zvokudya zvinovaka muviri - Kutevera chirwere cheshuga panguva yekuzvimba ndeimwe yenzira dzinokosha dzekutarisira shuga yako yeropa. Kunyangwe iwe uchangobva kuongororwa ane gestational chirwere cheshuga, kana kuti wakagara nehutachiona hwechirwere chepfungwa 1 hwako hupenyu hwako hwose, kusangana nemunhu ane chikafu kunogona kukubatsira iwe kudzidza nzira yekuita zvakasarudzwa zvezvokudya pauri "kudya kwemaviri."
- Kuongorora Kuongororwa - Sezvo vakadzi vane chirwere cheshuga vari pangozi yezvipingamupinyi zvakawanda pakuberekwa, vanoda kuongororwa kwepabonde. Iwe unogona kunge uine zvimwe kana zvose zvinotevera:
Nguva Yekudaidza Chiremba Wako
Kana iwe une chirwere cheshuga chero nguva ipi zvayo paunenge uine pamuviri, kutarisirwa kusununguka kunokosha. Iwe unoda rubatsiro rwekuchengeta kurapa kwako kwehuga yeropa nemishonga yemishonga. Pamusana pezvipingamupinyi zvinokonzerwa nechirwere cheshuga pakuberekwa, unofanirwa kuziva nezveratidzo dzinotevera. Bvunza chiremba wako kana iwe uchinge uine chero chekutevera uye kana uine mamwe mimwe mibvunzo kana zvinetso.
- Zviratidzo zve shuga yakaderera yeropa : kutambudzika, kuputika, kuzununguka, kurira kwemiromo kana rurimi, kukwikwidza mwoyo, kuvhiringidzika, kunetseka kutaura. Kana shuga yakaderera yeropa isingateereri, inogona kuguma kusaziva, coma, kana kunyange rufu.
- Zviratidzo zveShuga yepamusoro yeropa : nyota yakawanda, kuwedzera kukura, kuoma muromo, kushungurudza / kurutsa, kuvhiringidzika, kukufema nokukurumidza, kufema-kunhuvhuta, kutadza kuziva. Kusachengetedzwa kwemashuga eropa yakakwirira kunogona kuita kuti coma uye rufu.
- Kuderera kwekutama kwekuberekwa
- Utsi hwakanyanya hunosimbiswa neTylenol
- Kurwisana kunorwadza kazhinji
- Vaginal bleeding bleeding that is heavy like the menstrual period
- Mushonga wemvura yakachena kubva mumukadzi
- Uturu hwakanyanya hwepamuviri
Sources:
American Diabetes Association. Statistics.
Nzvimbo dzeDaase Control uye Kudzivirira. National Diabetes Fact Sheet 2011.
March weDeses, Chirwere cheshuga muKuberekwa.
National Institutes of Health. Kune Vakadzi vane Chirwere Cheshuga: Mufambisi Wenyu weKubata. National Diabetes Information Clearing House.