Kana iwe uri nepamuviri, chiremba wako wepamusoro-soro angangokuudza kuti iwe unoda gestational chirwere cheshuga. Usanetseka-kuongorora chirwere cheshuga chekushaya chirwere chepabonde chikamu chinokosha chekugara uchiri kutarisirwa kusununguka. Vazhinji vakadzi vanoedzwa mumavhiki 24 kusvika ku28 ekuzvitakura. Kana uine chero njodzi dzinokonzera chirwere cheshuga, chiremba wako angatarisa kuedza shuga yako yeropa mushure mekunge iwe watanga kushanyira mwana.
Nei Uchiedzwa?
Mamwe mahomoni anowedzera panguva yekuzvitakura, kutora mishonga inokosha kubva kuna amai kumwana kuitira kuti fetus iwedzere uye ikure. Mamwe mahomoni anovhara chiito che insulin, kuve nechokwadi chokuti amai pachavo havasi kukura shuga yeropa. Kubhadhara, insulini yaamai inomuka.
Kana iye insulini yepamusoro isingagoni kuwedzera zvakakwana, kukwira kwehuga hwehuga huchapedzisira huchikonzera gestational chirwere cheshuga. Kusapomerwa, gestational chirwere cheshuga chinogona kutungamirira kumatambudziko emadzimai nemwana. Izvi zvinetso zvinogona kusanganisira:
- Macrosomia (mwana akawandisa)
- Kuwedzera kwechiitiko chekuregererwa kwechikamu chekusiya
- Kuwedzera kweropa mukati mekubata pamuviri
- Sirasi yakaderera yeropa (hypoglycemia) mucheche mushure mokuberekwa
- Stillbirth
- Kune mwana, dambudziko rokuneta uye nekukura kwechirwere cheshuga 2 gare gare muupenyu
Vakadzi vazhinji vane pamuviri vanoita zvekurwara nechirwere cheshuga havana mungozi, asi kune vamwe, zvinogona kuisa mungozi zvinogona kusanganisira:
- Kunyanya kuwandisa kana kuoma
- Kuva nemhuri yehutano hwechirwere cheshuga
- Zera 25 kana kupfuura
- Kubatana kwemazhinji (mapatya, katatu kana kupfuura)
- Gestational chirwere cheshuga muhutano hwepakutanga
- Kuva muAmerica Indian kana Alaska mazvarwa, African American, Asian, Hispanic kana Pacific Islander
Mhando dzekuedza
Miedzo miviri inowanika kuvharo yegestational chirwere cheshuga. Vazhinji vakadzi vachawana kuedza kwekudzivirira glucose kuvhiringidzika, kungoitevera nekutora maawa matatu ekugadzirwa kweglucose kana mhinduro dzavo dzichitaura.
Chirongwa Chemuviri Chekuedza Kutsungirira
Chikonzero Zvazvakaitwa: Chiedza chemuviri chekushushikana kwemashuga (chinonziwo glucose chinetso chekuongorora) ndicho chiitiko chevakadzi vose vane pamuviri. Icho chiri kure nekugadzirisa, saka usanetseka kana iwe ukawana foni iwe unoda kudzoka kuti uwane chiyero chekutevera.
Kana Zvakaitwa: Mumavhiki 24 kusvika ku28 ekuzvitakura, kana kuti kare kana uine chero njodzi.
Zvazvakaitwa: Pane zvishoma zvaungaita kuti ugadzirire kuedza uku. Panguva yekuedzwa, iwe unonwa glucola, soro inokwana 50g yeglucose. Chiremba wako achachera ropa rako kweawa imwe gare gare kuti aone kuti muviri wako unoshanda zvakadini glucose. Vamwe vakadzi vanogona kunzwa vakanyunyuta kubva muSukari chinwiwa.
Zvinoguma Zvaitika Zvaunoreva: Kana yako yeawa imwe yema plasma glucose yepamusoro yakaenzana kana yakaenzana nemamirigiramu 140 ne deciliter yeropa (mg / dL) -vamwe vanachiremba vanoisa cutoff pa 130 mg / dL-gestational chirwere cheshuga inenge ichifungidzirwa uyezve kuedzwa yakakurudzirwa. Kana yako yeawa imwe yema plasma glucose yezinga iri pasi pe 120 mg / dL, iwe unenge usina gestational chirwere cheshuga.
Iko-Maawa matatu Glucose Kutambudzika Kuedzwa
Chikonzero nei zvakaitwa: Kuchengetedza kana kubvisa gestational chirwere cheshuga.
Kana Yakaitwa : Mushure mekunge mawana kuverenga kusinganzwisisiki pane imwe yemaawa yemuromo glucose test tolerance test.
Zvazvakaitwa: Unofanirwa kutsanya kwemaawa 10 kusvika ku14 isati yasvika. Iva nechokwadi chekukurukura chero mishonga ipi yaunenge uchitora nachiremba wako kuti uone kana ingapindira nemigumisiro yekuedza.
Uyu muedzo wakafanana neawa imwe yemuromo inonzi glucose tolerance test, kunze kwekumwa soroga ikozvino ine 100g ye glucose, kwete 50g. Ropa rokutanga rinotorwa usati wanwa glucola. Izvi zvinonzi kutora gorosi yako yekutsanya. Ropa rinodhonza zvakare mushure meawa imwe, maawa maviri nemaawa matatu.
Kuedza-Kutora Mazano
- Pamusana pekudikanwa kwemaawa 10 kusvika ku14, vakadzi vakawanda vanongoronga chiitiko chekutanga chinhu mangwanani.
- Vamwe vanhu vangave vachinetseka kana kuti vasina musoro panguva iyi. Iyo pfungwa yakanaka kuva nomutyairi akasarudzwa, kana zvichibvira, uye kuunza zvokudya kuti adye apo muedzo wapera.
- Uya nemagazini kana bhuku kuitira kuti uve nechimwe chinhu chekuita pakati pekuongorora ropa (kana iwe uine maawa matatu ega glucose tolerance test).
Mhinduro Dzokuedzwa
Kuverengeka kusinganzwisisiki kwechikamu chimwe nechimwe chemuedzo ndechekuti:
- Kutsanya: 95 mg / dL kana kupfuura
- Iawa imwe: 180 mg / dL kana kupfuura
- Maawa maviri: 155 mg / dL kana kupfuura
- Maawa matatu: 140 mg / dL kana kupfuura
Zvitsva Zvitsva
Kana imwe yekuverenga isingaiti, chiremba wako angaratidza dzimwe shanduko yekudya uye zvichida achidzokorora chiyero gare gare pakubata kwako. Zvinyorwa zviviri kana kupfuura zvisinganzwisisi zvinoreva kuti iwe unobata chirwere cheshuga.
Kutarisira gestational diabetes kunogona kusanganisira:
- Kuchinja mukudya kwako
- Nguva dzose kurovedza muviri
- Insulin
- Glyburide (inorapwa mumuromo)
- Kumba glucose kuongorora zuva rose
- Miedzo yokuwedzera kuti uone kuti mwana wako ari kukura sei
Nenzira inofadza, vazhinji vakadzi vanoona mazinga ehuga eropa yavo anodzokera kune avo vhiki mukati memavhiki matanhatu ekuberekwa. Zvisinei, kuva nechirwere cheshuga chirwere chinogona kuratidza kuwedzera kwengozi yekuvandudza rudzi rwechipiri chirwere cheshuga munguva yemberi. Kuchengeta uremu hwehutano hwakanaka kuburikidza nekudya kwakanyatsonaka uye kugara uchirovedza muviri kunogona kubatsira kuderedza ngozi iyi.
> Sources:
> International Diabetes Center. Gestational chirwere cheshuga chekuita mazano. Minneapolis (MN): International Diabetes Centre; 2003.
> American Pregnancy Association. Glucose chinetso chekuongorora uye glucose kuvhiringidzika kuedzwa.
> American Diabetes Association. Gestational chirwere cheshuga.
> American College yeVadzidzi uye Gynecologists. Chirwere cheshuga uye pamuviri.
> US National Library of Medicine uye National Institutes of Health. Medline Plus: Glucose Kutsungirira Test.