Izvozvo zvinosvibisa sei Amai, Vacheche, uye Kuberekwa
Vakadzi vane pamuviri vane chirwere cheshuga vanogona kunge vane utano hwakanaka uye vana vane utano hwakanaka. Chinokosha kuchengetedza chirwere cheshuga pasi pekutonga kuti kuderedza kana kudzivirira zvinetso. Izvo zvakaoma zvikuru chirwere cheshuga ndechekuti, zvinetso zvinowanzokonzera. Uye kunyange zvazvo chirwere cheshuga chinokonzerwa nehutachiwana chinoda kuteverwa zvakasimba, kana chichitungamirirwa zvakanaka nekudya, chiito chekuita, uye mishonga kana zvichidikanwa, hazvikwanisi kuva zvakakosha se pregestational chirwere cheshuga (ane rudzi rwechipiri kana chirwere cheshuga 1 asati ava nepamuviri).
Ichokwadi, kune zvimwe zviitiko. Gestational chirwere cheshuga, semamwe marudzi evanhu vane chirwere cheshuga, chinogona kukonzera kusununguka nguva isati yasvika pamwe nezvimwe zvinetso, kunyanya kana zvichienda zvisina kutenderwa.
Chii Chinonzi Gestational Diabetes?
Muviri wako unoshandisa shuga kuti uwane simba. Tsvina inobva muropa rako ichipinda mumasero emumuviri wako uchibatsirwa nehomoni inonzi insulin. Kana imwe shuga iri mumasero, inoshandurwa kuva simba kana kuchengetwa. Asi, kana muviri usingashandisi insulin yakakwana, kana kuti haikwanise kushandisa insulini zvakanaka, zvino shuga inotambudza kupinda mumasero uye inogara muropa panzvimbo. High mazinga ehuga muropa anonzi chirwere cheshuga chinonzi diabetes mellitus. Gestational diabetes mellitus (GDM) chirwere cheshuga chinowedzera panguva yekuzvitakura. Mushure mokunge mimba inoguma, gestational diabetes inowanzoenda, uye mazinga ega shuga anowanzodzokera kumashure.
Sei Chirwere Cheshuga Chichiwedzera Kuwana Mukana Wokuzvarwa Usati Watanga?
Zvinetso zvinokonzerwa nehutachivi hwepamusoro hwehuga hunogona kuwedzera njodzi yekuberekwa nguva isati yakwana.
Zvidzidzo zvinoratidza kuti njodzi yekusununguka nguva isati yakwana nekuda kwechirwere cheshuga chirwere chikuru kana amai vane chirwere cheshuga vasati vhiki ye24 yekutakura. Mushure memavhiki makumi maviri nemaviri, mikana yekuberekwa kwekutanga inoburuka.
Kubata Kwakawanda Kwechirwere Cheshuga Kunobata Vana
Pane zvipingamupinyi zvakawanda zvinogona kuitika kubva kune gestational diabetes, zvimwe zvakanyanya kuoma kumwana wako kupfuura vamwe:
- Macrosomia: Kuwedzera shuga muropa raamai kunoenda kumwana wavo. Inogona kukonzera kukura zvakanyanya uye yakakura kudarika kuenzanisa mwana.
- Zvinetso Zvokutakura: Nemhaka yehukuru hwemwana, kukuvadzwa panguva yekuberekwa kwakafanana nemapfudzi achibatwa (dystocia) , kubuda ropa mumusoro (subdural hemorrhage), kana kuti oksijeni yakadzika (hypoxia) inogona kuitika. Kubudiswa kunogonawo kushandiswa kwekusimbisa simba kana kubvisa , uye mikana ye c-chikamu yakakwirira kwazvo.
- Hypoglycemia (shuga shoma yeropa): Mwana wemukadzi ane chirwere cheshuga anowedzera insulin kuti atarise shuga yose iyo amai vanopfuurira kwaari panguva yekuzvitakura. Mushure mokuberekwa, ruzivo rwemashuga kubva kuna amai rwakabviswa, asi mwana achiri kuwedzera insulini. Izvozvo zvinowedzera insulin yakawandisa saka inounza shuga yehuga yega yega pasi.
- Kuporesa kunetseka: Mumavhiki masati mwana asati aberekwa, mapapu anokura uye anogadzira chimwe chinhu chinonzi surfactant. Zvipfeko zvinoputika zviduku zviduku mumapapu uye zvinoita kuti zvifadze kana mwana achifema. Kana mwana akaberekwa mangwanani, mapapu ake angave asina kuve uye asina kukwana zvakakwana. Asi, sezvo chirwere cheshuga chinokonzera kuderera kwekugadzirwa kwemhepo yepamusoro, kunyange nguva yakakwana yevana inogona kuva nemhepo yekufema .
- Zvinetso zvekudyisa : Kutapisa, shuga shoma shoma mushure mokuberekwa, uye kunetseka kufema kunogona kuita kuti kudyidzana kuve kwakaoma.
- Polycythemia: Dzimwe nguva mwana achaberekwa ane hurefu hwemasero matsvuku eropa semugumisiro wemamai ane chirwere cheshuga. Iyo inogona kuita kuti ropa rive rakakura, uye rinogonawo kuita kuti pave nematambudziko ekufema uye jaundice.
- Kuvhiringidzika kwemukoko: Zvinetso ne-placenta uye kutumirwa kwe okisijeni nemuviri zvisingakwanisi kuitika muhutano hwehutachiona hwechirwere, zvinowanzoonekwa mu pregestational chirwere cheshuga. Asi, muzviitiko zvisingawanzoitiki, kana gestational diabetes inouya mangwanani uye isingatongorwi, nyaya dzinonyadzisa dzinogona kutungamirira kune maduku kudarika vana vechidiki uye IUGR .
- Jaundice: Kuparara kwemasero matsvuku eropa kunoumba bilirubin. Apo pane zvakawanda zvebilirubin kana muviri haugoni kubvisa zvachose zvakakwana, huwandu hwebilirubin muropa hunoenda kumusoro zvichiita kuti ganda nemeso zvionekwe masikati . Vana vevanaamai vane chirwere cheshuga vanogona kutora nguva yakareba kuti vawane bilirubin yakawedzera kubva mumuviri wavo kana vasati vasvika, vakakura kudarika mavhareji, kana vane tsukatsi yepasi shoma.
- Zvenguva refu zvinonetsa: Pamwe nezvinetso zvehutachiona kana kukuvara kwekuberekwa, panewo mukana mukuru wekurasikirwa nechirwere cheshuga uye kuwedzera kudarika mushure mehupenyu.
Kubata Kwakawanda Kwechirwere Cheshuga Kunobata Amai
- Dambudziko guru rekuvandudza dzimwe nheyo dzehutano dzakadai sokukwirira kweropa uye preeclampsia
- Mukana mukuru wekutumira preemie
- Zvichida kuva nec-chikamu nekuda kwekuberekwa kusati kwaitika, zvinetso, kana mwana mukuru
- Dambudziko guru rekuwana gestational chirwere cheshuga zvakare nekumwe kuberekwa
- Kuwedzera kwechiitiko chechirwere cheshuga cheshuga
Ndiani Anowedzera Kuwana Chirwere Cheshuga Panguva Yechirwere?
Gestational chirwere cheshuga chinogona kukura mumudzimai chero upi zvake panguva yepamuviri. Zvisinei, mikana yekuwana GDM inokwira kana uine zvinhu zvinotevera zvinokonzera ngozi :
- Overweight
- Anopfuura makore makumi maviri nemashanu
- Gestational chirwere cheshuga muhutano hwepakutanga
- Mwana akapfuura uyo akanga ari mukuru wezera remakore
- Nhoroondo yePolycystic ovary syndrome (PCOS)
- Kubatana kwevakawanda (vane pamuviri wevana vanopfuura mumwechete)
- Mhuri ine chirwere cheshuga
- Rudzi rwemadzinza ane huwandu hwechirwere cheshuga seAfrica American, Native American, Pacific Islander, Asia, kana Masexico
Iwe Uchaziva Sei Kana Une Gestational Diabetes?
Sezvo zvidzidzo zvinoratidza kuti gestational chirwere cheshuga chinokanganisa kusvika 9 muzana yezvokuita pamuviri, kuongororwa kwevakadzi vose kunowanzoitika panguva dzose yekusununguka kwepamuviri . Imwe nzira iyo chiremba wako achakutarisa kuti gestational chirwere cheshuga chinosanganisira:
- Kutora Nhoroondo: Chiremba wako achakutaurira nezvemhuri yako uye nhoroondo yezvokurapa kuti uone kana iwe uri pangozi yakanyanya.
- Kuongorora kwepanyama: Kuongorora kwakakwana kunogona kupa chiremba zvinyorwa nezvehutano hwako hwehutano uye kuratidza chero zviratidzo nezviratidzo zvehupfu yakakura yeropa kana insulin kudzivisa.
- Glucose Kuedzwa Kweropa: Kushuga kweropa rekudya kunopfuura 126 mg / d, shuga yekusagadzikana yeropa inopfuura 200 mg / dL, kana HA1C ye 6.5 muzana kana hukuru hwepamusoro kune GDM uye kazhinji zvinoreva iwe uchada kuwedzerwa kuongororwa .
- Glucose Challenge Muedzo: Pane imwe nguva pakati pevhiki ye24 ne28 yekuzvitora, chiremba wako anorayira kuongorora kuongorora. Iwe uchanwa tsukamu yemvura, ipapo iwe uchava neropa rekuongorora imwe nguva gare gare kuona kuti muviri wako unobata sei shuga. Kana zvikwereti zvinoratidza kudikanwa kwekuongororwa kwakawanda, iwe uchange uine zvakafanana, asi kuedza kwenguva refu kunonzi oral oral glucose tolerance test (OGGT).
Zvaunogona Kuita Pamusoro peKutsvaga kweGestational Diabetes
Kana chiremba wako achikuudza kuti une gestational diabetes, iwe uchacherechedzwa zvakanyanya kuti udzivise zvinetso. Chinhu chinonyanya kukosha chaunogona kuita ndechiedza kuchengeta mazinga ehuga eropa pasi pekutonga nekutevera matanho aya:
- Dzidza kuti ungaedza sei mashuga ako eropa.
- Dzidzira muviri uye udye hutano kuti uchengetedze shuga yako pasi.
- Iwe unogona kutora mishonga kana hutachiwana hwehuga hwako husingagoni kudzorwa nekudya uye kurovedza muviri chete.
- Endai kumisangano yako yese yekusununguka uye tevera mazano nemirairo iyo wako wehutano wehutano anokupa.
Chii Chaunofanira Kuita Mushure Mokuberekwa Kwemwana Wako Akaberekwa?
Ona chiremba wako. Ramba uchitevera nachiremba wako kuti uve nechokwadi chokuti gestational chirwere cheshuga chinodarika. Kana zvikasadaro, chiremba wako acharamba achiongorora shuga yako uye anokubata iwe rwechirwere cheshuga chechipiri.
Chengetedza mararamiro akanaka. Ramba uchidya kudya kwakanaka uye ushande nguva dzose. Zvokudya uye kurovedza muviri zvinogona kuchengeta shuga yako yeropa pane hutano hwakanaka uye kuderedza dambudziko rokuneta uye kuwedzera chirwere cheshuga chechipiri mune ramangwana.
Anoberekwa. Kuberekwa kunoponesa kunyange kana huwandu hwemashuga eropa hwako huripo hurefu mushure mekuita pamuviri . Chirwere cheshuga hachikuvadzi mukaka wemazamu . Kunyanya, kuyamwisa kunobatsira iwe nemwana wako. Hakusi kungoita chete kuti uremerwe uremu , asi kunogonawo kuderedza ngozi yerudzi rwechipiri chirwere cheshuga iwe nevana vako gare gare muupenyu.
> Sources:
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> Gomella TL, Cunningham MD, Eyal FG. Neonatology: kutungamira, maitiro, pa-kudana, matambudziko. Mc Graw Hill & Lange. 2013: 844-9.
> Hay WW. Kutarisira kwechecheche amai vane chirwere cheshuga. Mazuva ano chirwere cheshuga chinoshuma. 2012 Feb 1; 12 (1): 4-15.
> Hedderson MM, Ferrara A, Sacks DA. Gestational diabetes mellitus uye madhigirii maduku ekudzivirira hyperglycemia: kusangana nehuwandu hwehutachiwana hwekuzvarwa kwepakutanga. Obstetrics uye Gynecology. 2003 October 31; 102 (4): 850-6.
> Ngai I, Govindappagari S, Neto N, Marji M, Landsberger E, Garry DJ. Mhedzisiro yekuzvitakura apo gestational diabetes mellitus inoratidzwa mushure mekunge kana mushure mavhiki makumi maviri nemasere ekuberekwa. Obstetrics & Gynecology. 2014 Mbudzi 1; 123: 162S-3S.