Vakadzi vane chirwere cheshuga panguva yekufananidza vanofanira kunyatsorarisa utano hwavo
Zvizhinji zvehurumende zvirongwa zvomuviri zvinoumbwa mukukura kwekuberekwa mukati memavhiki manomwe ekutanga mushure mokuberekwa. Ichi chikamu - apo vamwe vakadzi vasingazivi kuti vane pamuviri - inowanzotaridzirwa nguva inonyanya kukosha yekufambira mberi muhupenyu hwose hwevanhu. Mavhiki ekutanga ekuzvitakura anonyanya kukosha kune vakadzi vane chirwere cheshuga.
Zvimwe zvinodzivirira zvinorondedzerwa pano zvinonyanya kushanda kune vakadzi vane chirwere cheshuga vanotora pamuviri, pane vakadzi vanoita gestational chirwere cheshuga panguva yekuzvitakura.
Munguva yepamuviri, gestational chirwere cheshuga hachina ngozi imwechete yezvinetso zvevabereki semhando 1 kana chirwere cheshuga chechipiri.
Vakadzi Vane Chirwere Cheshuga Vanofanira Kugadzirira Sei Kubata?
Vakadzi vane chirwere cheshuga vanofanira kuva nekuongorora kwakakwana kwemuviri vasati vaita pamuviri. Sezvo chikamu chekuongorora, vanofanirwa kupa vanachiremba vavo nhoroondo yakakwana yezvokurapa, kusanganisira nguva uye rudzi rwechirwere cheshuga, mishonga nezvimwe zvinoshandiswa zvakatorwa, uye chero nhoroondo yezvinetso zveshuga, zvakadai seuropathy (nervous damage), nephropathy (inetso kukuvara), retinopathy (kukanganiswa kwameso) uye matambudziko emwoyo.
Zvakakoshawo kuti vakadzi vane chirwere cheshuga varongedze mberi uye varambe vane hutano hwakanaka hwehuga musati vasvika pamuviri, sezvo huwandu hwehuga hwehuga munguva yekutanga kwemutatu hunogona kutungamirira kumapfupa kana kuberekwa kwevana, izvo zvisingasviki pakuchinja panguva yekukura kwechibereko mubereki.
Vasati vava nepamuviri, vakadzi vane chirwere cheshuga vanofanirawo kuva nemafungiro avo einso akaedzwa.
Kunyange zvazvo kubata pamuviri hakuwedzere kuderedza chirwere cheshuga nephropathy, vakadzi vane pamuviri vane zvirwere zvepfungwa zvakanyanya zvinowanzoita kuwedzerwa kweropa, izvo zvingakanganisa zvese zvirongwa zvemuviri uye pakupedzisira zvinokuvadza fetus.
Ndeapi Kutarisirwa Kunokosha kana Kuedzwa Kunodiwa Nevakadzi Vakwegura vane Chirwere Cheshuga?
Vakadzi vane pamuviri vane chirwere cheshuga vanofanira kunyatsotarisa kutarisa kwemaziso, kusanganisira yakazara retinini yekuongorora, mushure mekunge uye mushure mokunge vaita pamuviri, sehutachiona retinopathy (kukuvara kumidziyo yeropa re retina) inogona kukuvadza panguva yekuzvitakura.
Izvi zvinowanikwa zvikurukuru kuvakadzi vane chirwere chekushaya ropa (shuga).
Munguva yekuzvitakura, vakadzi vanofanira kuenzanisa ropa ravo rega rega kakawanda zuva nezuva: vasati vapedza kudya, mushure mokurara, uye usiku kana paine hanya neusiku hutano hwehuga (shuga shoma shoma). IAmerica Diabetes Association inorayira kutanga kwekudya glucose miviri ye 80 kusvika 110 mg / dL (milligrams per deciliter) uye mushure mekudya glucose zviyero pasi pe 155 mg / dL.
Kana vakadzi vane pamuviri vane chirwere cheshuga vane ropa rekuisa ropa mukati menge 180 mg / dL, muroni wake inofanira kuongerwa ketones (acids) kutonga kunze ketoacidosis, iyo dzimwe nguva inogona kukonzera kusununguka. Ketoacidosis inoitika kana muviri usina insulini.
Sei Kutarisa Ropa Sukari Rinonyanya kukosha Kune Vakadzi Vane Chirwere Cheshuga?
Muchidzidzo che1989, vakadzi vane chinyorwa chekutanga-pamuviri A1C inokosha (kuongorora ropa kunoyera mazinga eglucose) iyo yakakura kupfuura 9,3% yakanga ine ngozi yakanyanya yekusaparara uye kuberekwa kune vacheche vakaberekwa ne congenital anomalies. Dzidzo dzakaratidza kuti ma A1C anokosha kusvika kusvika 6% (uye 5% inofungidzirwa kuti yakanaka) inotakura mungozi mumwechete wekusununguka kwepamuviri uye kuberekwa kwekurwadziwa sekusununguka kwevasina kubata.
Vakadzi vane huwandu hwakanyanya kupfuura huwandu hwehuga hwehuga, pasinei nokuti vane gestational, rudzi rwekutanga 1 kana rudzi rwechipiri chirwere cheshuga, vanoitawo kuva nevana vaduku.
Izvi zvinotungamirira kune njodzi huru yekukuvara kwepfudzi uye brachial plexus (mitsipa inobatanidza musana nechiuno nepfudzi) kumucheche panguva yekuberekwa.
Chirwere cheshuga chisina kumira chinosanganiswawo ne-pre-eclampsia (high blood pressure) uye kusati kwasvika.
Pane zvishoma zvinyorwa pamusoro pemigumisiro ye hyperglycemia (shuga yepamusoro yeropa) pakukura kwenguva refu kwe fetus.
Kune Diabetes Mishonga Inofanira Kudziviswa Pakunenge Muchembera Here?
Vakadzi vane chirwere chechirwere cheshuga vanotora mishonga yemuromo nokuda kwehutano hwehuga inofanira kushanduka kuti vasashandise insulini vasati vava nepamuviri uye pamuviri wese. Kunyange zvazvo mamwe mishonga inorwisa antidiabetic yakadzidzwa uye yakawanikwa yakachengeteka pamuviri, insulini ndiyo nzira yakanakisisa uye yakachengeteka yekudzora shuga yeropa munguva yekudzivirira.
Mishonga yakawanda yeropa mishonga inogona kuva nengozi kumucheche; saka, kazhinji mishonga iyi inofanira kumira musati mimba kana ropa rinogona kuchengetedzwa pasi pe 130/80 mmHg nekudya kwemanyu oga. Kana kukanganiswa kweAropa mishonga inonyanya kukosha, vakadzi vanogona kushandiswa kune mishonga mutsva vasati vaita pamuviri. Kunyanya, angiotensin-kushandura enzyme inhibitors uye angiotensin receptor blockers zvakanakisisa nokuda kweropa rekudzivirira kutarisa kune vakadzi vasingasviki vane chirwere cheshuga; zvisinei, izvi hazvina kuchengeteka kana zvichishandiswa nemukadzi ane chirwere cheshuga uye ane pamuviri. Saizvozvowo, cholesterol-kuderedza mishonga inofanira kumira zvakare pakuberekwa.
Ndezvipi Zvokudya uye Kuita Zvemishonga Zvinotarisirwa Kune Vakwegura Vaneshuga Cheshuga?
Zvokudya zvinovaka muviri zvakakosha chaizvo kuvakadzi vane pamuviri vane chirwere chekutanga uye chirwere cheshuga chechipiri. Nenzira yakawanda, vakadzi vane pamuviri uye vanoyamwisa vane chirwere cheshuga vanofanira kunwisa makirogiramu 15 kusvika ku17 pamapundi emuviri wezuva nezuva, kunyange zvazvo izvi zvinogona kusiyana kubva kumunhu kusvika kune mumwe munhu uye zvinofanira kukurukurwa neboka rekuchengetedza chirwere cheshuga zvisati zvaitika, panguva, uye mushure mokunge avete pamuviri uye mukoti.
Zvinonyanya kukosha zvekudya mune chirwere chechirwere cheshuga zvinosanganisira kudya kwezuva nezuva kwekudya uye kushandiswa kwezvokudya zvekurara, nekugadzirisa insulin maererano nemabasa uye zvekudya zvekuchengetedza huwandu hwehuga hwepamusoro kana huri pasi kuti uchengete zvakanyanya hyperglycemia uye hypoglycemia, maererano.
Chikafu ndiyo inonyanya kukosha yekurapa kweglucose muropa yechirwere cheshuga.
Vakadzi vane pamuviri vane chirwere cheshuga chirwere cheshuga vanofanira kutaura nevana vavo vane chirwere cheshuga, uye vane chirwere cheshuga chekudya, kuti vaone zvinangwa zvavo zvezuva nezuva makori, mahydrohydrates, kudya kwezvokudya muzvokudya, uye nguva yekudya zuva rose.
Kudzidzira muviri kunobatsira vakadzi vane pamuviri vane chirwere cheshuga chechipiri, sezvo chinobatsira kugadzirisa mhinduro yemuviri kune insulini. Vakadzi vane chirwere cheshuga 1 vakashandisa vasati vaita pamuviri vanogona kuramba vachiita basa panguva yekuzvitakura. Zvisinei, vakadzi vane chirwere cheshuga chechirwere cheshuga avo vasina kujaira kuita zvepabonde vanowanzoita hypoglycemia nekuita zvekuita panguva yekuzvitakura; nekuda kwechikonzero ichi, vakadzi ava havasi kurayirwa kuti vatange chirongwa chekudzidzira kana vaine pamuviri.
Sources:
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Delahanty, Linda M. naDavid K. McCulloch. "Kufungidzirwa Kwezvokudya Mufudzi 2 Chirwere Cheshuga Mellitus." UpToDate.com 2007. UpToDate. 18 Sept. 2007 (kubhadhara)
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