Maererano nekuongororwa kwakaitwa 2014 neCenters for Disease Control and Prevention, kupararira kwegestational chirwere cheshuga kunokwana 9.2%. Vakadzi vane pamuviri vasati vambova nechirwere cheshuga, asi vane huwandu hwehuga hwepamusoro panguva yekuzvitakura vanonzi vane gestational chirwere cheshuga. Inowanzooneka pakati nepakati chechipiri chemitatu, mushure mokunge mwana aumbwa, asi apo iri kubatikana kukura.
Gestational chirwere cheshuga chinonyangarika mushure mokuberekwa kwechecheche. Kana uchinge wapora chirwere cheshuga, iwe uri pangozi yekuti uwane zvakare munguva yekubata pamuviri. Zvechokwadi, kana wave uine chirwere cheshuga cheshuga, mikana yako iri 2 mu3 iyo ichadzoka munguva yekuzorora kwekupedzisira.
Mukuwedzera, iwe uriwo mungozi yakawanda yekukura chirwere cheshuga chechipiri. Vanaamai vane chirwere cheshuga cheshuga vane kanguva kadha-gumi kwenguva yakareba yerudzi rwechipiri chirwere cheshuga. Vanewo nengozi yakakura yekuvandudza prediabetes uye nguva isati yapera yemwoyo. Gestational chirwere cheshuga chinofanira kunge chichimuka kune chero amai vanotarisira kuita mararamiro emararamiro kwete kwete chete nehutano hwemucheche, asiwo kuitira kuti vagone kudzivisa kuwedzera zvirwere izvi mushure mokunge mwana aberekwa.
Ndiani Ari pangozi yeGestational Diabetes
Zvizhinji zvezvipingamupinyi zvinokonzera gestational diabetes zvinodzora. Kana uri kuronga kuva nemwana, kugadzirisa zvimwe zvehupenyu hwako zvinogona kubatsira kuderedza ngozi yako.
Mashoko akanaka ndeokuti kunyange kana iwe ukaonekwa kuti une gestational diabetes, unogona kunge uine mwana ane utano. Heano zvimwe zvezvikonzero zvinowanzoisa njodzi:
- Kuwedzerwa muviri - neBMI ye30 kana kupfuura - kurasikirwa ne-20% yemutoro womuviri wako kunogona kuderedza ngozi yako
- Nhoroondo yemhuri yeTsika 2 chirwere cheshuga
- Kana iwe uri mukwegura - ane makore 35 kana kupfuura
- Kana iwe wakambopa vana vakakura (pakati pe 8 lbs 5 oz uye 9 lbs 14 oz.)
- Kana iwe uine kuwedzera kweropa
- Iwe uri muEpanland, African American, Native America, South kana East Asia, kana yePacific Island.
- Kana uine cholesterol isina kunaka
- Kana iwe utsi
- Kana iwe usingakwanisi kubata muviri wakakwana
- Kana iwe uri chikafu chisina kunaka
Chinokonzera Gestational Diabetes
Kunyange zvazvo pasina chikonzero chakajeka chegestational chirwere cheshuga, kune dzimwe pfungwa dzekuti sei vamwe vakadzikadzi vachikudziridza. Paunenge uine pamuviri, muviri wako unoda insulin kuitira kuti ugone kushandisa glucose kuti uite mafuta. Apo mwana anowedzera, inotsigirwa neparcenta. Iyo placenta inobereka marudzi akasiyana-siyana emahomoni, ayo anobatsira mwana kukura, asi aya mahomoni chaiwo anogonawo kudzivisa kuita kwe insulin mumuviri waamai. Somugumisiro, masero anenge asingagoni kurwisana ne insulini amai vari kuita uye ropa rehuga rinomuka.
Kuwedzerwa shuga kunogona kuyambuka placenta, zvichiita kuti pancreas mwana aite insulini kuti abvise shuga. Nemhaka yokuti mwana ari kuwana simba rakawanda kupfuura iro rinofanira kukura, shuga yakawedzerwa inochengetwa semafuta. Izvi zvinogona kutungamirira ku "macrosomia", aka, "mafuta mwana". Macrosomia inogona kukonzera nharo dzepfudzi pakuberekwa uye kuwedzera vana vari pangozi yekuve yakanyanyisa uye kukura chirwere cheshuga gare gare muupenyu.
Uyezve, vacheche vanoberekerwa kumadzimai avo vasina kudzora ropa remashuga, vanogona kunge vane njodzi dzemaodzanyemba dzisingazvarwa pakuberekwa (nemhaka yekuwedzera insulin vari kuita), izvo zvinogona kutungamirira kumatambudziko ekufema. Ichi ndicho chikonzero chakakosha kuti vanaamai vose vaongorore gestational diabetes uye kuti avo vane chirwere cheshuga cheshuga vanochengeta ropa ravo rinenge rakachengetedzwa zvakasimba.
Kubata Kwakaita Chirwere Cheshuga Kunobatwa Sei?
Kuchengetedza kwakanaka kwepabonde kunokosha kune vose vanaamai vane pamuviri, asi kunyanya kukosha kuvakadzi vanotakura zvinhu zvinokonzera kushaya chirwere cheshuga. Kamwe kana mukadzi ave nepamuviri, kuramba kuripo nekugadzwa kwechiremba kunokosha.
Gestational chirwere cheshuga chinowanzoedzwa pakati pemasvondo makumi maviri nemaviri nemasere ekuberekwa. Kana iwe ukaedza kuti uve nechirwere chekuita chirwere cheshuga, unoda kudzidza nzira yekudzivirira zvakakwana shuga yeropa kuitira kuti uve nechokwadi chekuti iwe pachako uye mwana wako.
Kazhinji, pasi pehutungamiri hwehutano hwehutano hwehutano, hutano hwakanaka, hwakaringana hunoenderana nemahydrohydrates, nekuwedzera zvekudzidzira zvinogona kufamba nenzira yakareba kurongedza gestational chirwere cheshuga. Carbohydrates ndiwo mishonga inokonzera sukari yeropa yakawanda, naizvozvo iwe unoda kunzwisisa kuti makhaidhijidhi anobva kupi uye kuti ungasarudza sei marudzi akanaka emakhahydrates ehutano hwakanaka hwehuga.
Kuita muviri kunobatsira kupisa shuga uye kunovandudza insulin kudzivisa saka kupinda muitiro wakanaka kunobatsirawo kuisa muropa ropa rako rega. Kana iwe usati wamboita zvekare, kungofamba chete kunogona kubatsira chaizvo utano hwako. Mune mamwe mamiriro ezvinhu, apo kudya uye kuita zvekurovedza muviri hazvina kukwana kudzora sutu yeropa pane iyo, insulini inoshandiswawo kuchengetedza mazinga eropa mushuga sepedyo zvakasviba sezvazvinogona. Tora yako yezvechipatara ichakupa mararamiro eshuga eropa rako uye inokudzidzisa kuti ungashandisa sei glucometer yako. Kudzora kwakanaka kuchaita kuti munhu ave nemufaro, uye woutano.
> Mharidzo: Barbie Cervoni MS, RD, CDE
> Resources:
> American Diabetes Association. Chii chinonzi Gestational Diabetes.
> Feig DS, Zinman B, Wang X, Hux JE. Njodzi yekukura kwechirwere cheshuga mellitus mushure mekuongororwa kwegestational chirwere cheshuga. CMAJ 2008; 179: 229
> American Diabetes Association. Gestational Diabetes. http://www.diabetes.org/are-you-at-risk/lower-your-risk/gdm.html?referrer=https://www.google.com/