Pa nthawi yobereka, ngati thupi la mkazi lili ndi thanzi, ndiye kuti kukhalapo kwa hypoglycemia kumachitika kamodzi. Odwala omwe ali ndi matenda a shuga 1, kuchuluka kwa shuga kumatha kudutsa malire a 3.5 mmol / L. Ili ndiye gawo lomaliza la shuga. Zizindikiro zikakhala zochepa, ndiye kuti hypoglycemia imachitika.
Chifukwa chiyani amayi apakati amakhala ndi hypoglycemia?
Pa nthawi yoyembekezera, kukonzanso kwa thupi kwa thupi kumawonedwa m'thupi la mayi woyembekezera. Chifukwa cha mahomoni, zosintha zotsatirazi zimachitika mthupi la mayi wapakati:
- ntchito ya enzymatic imawonjezeka;
- njira za kagayidwe kachakudya mu thupi zimathandizira;
- ntchito ya pancreatic ndi chithokomiro imakhala bwino.
Nthawi zambiri zomwe zimatsimikiza ndizakuti kapamba amapanga insulini yambiri, yomwe imatha kukhala chothandizira pakukula kwa hypoglycemia.
Nthawi zambiri m'miyezi itatu yoyamba kubereka, mkazi amakhala ndi nkhawa ya toxosis. Ndi zizindikiro zazikulu, kusanza ndikotheka, ndipo chifukwa chake, kuchepa madzi m'thupi, kuperewera kwa zakudya, kuphatikizapo kuchepa kwa glucose wa plasma komanso kupezeka kwa hypoglycemia.
Hypoglycemia imatha kukhala mwa mayi nthawi yapakati, ngati angaganize kuchepa thupi ndi zakudya zama carb ochepa. Thupi limafunikira michere yochulukirapo kuti munyamule mwana, chifukwa chake, muyenera kudya zakudya moyenera, mogwirizana ndi adokotala.
Wodwala yemwe ali ndi matenda a mtundu woyamba 1 omwe amagwiritsa ntchito insulin, hypoglycemia imatha kuchitika mukamaperewera michere, insulin yambiri, kapena ngati zakudya ndi chithandizo cha matenda sizitsatiridwa moyenera. Pafupifupi zifukwa zomwezi zimatha kukhala ndi kuchuluka kwa shuga wa m'magazi ochepetsa matenda a shuga a 2.
Nthawi zambiri, chikhalidwe cha hypoglycemia pa nthawi ya pakati chimakhala ndi sabata 16-16. M'miyezi itatu yoyambirira ya mwana, mwana amakula kwambiri, chifukwa chake, kupatuka kulikonse kungakhudze moyo wa mkazi.
Zambiri za hypoglycemia
Kuchuluka kwa glucose m'madzi am'magazi kumachepa, kusowa kwa njira zosiyanasiyana kumachitika. Chikhalidwe cha zovuta izi zimatengera mtundu wa momwe ziliri.
Hypoglycemia imachitika:
- mawonekedwe owala;
- kwambiri;
- mu otsutsa - hypoglycemic chikomokere.
Vutoli limatha kuchitika mwadzidzidzi kapena pang'onopang'ono. Zimatengera momwe magazi a magazi amatsikira msanga.
Poyamba, momwe zimachitikira zimawonedwa mu ma cell aubongo, chifukwa ndizokhudza kwambiri shuga.
Shuga amathandizira maselo a muubongo. Ubongo umayimira tiziwalo timene timatulutsa adrenaline. Chifukwa cha izi, glycogen yophatikizika pang'ono imasinthidwa kukhala shuga, yomwe imathandiza thupi kwakanthawi kochepa.
Njira yofananira siyingagwiritsidwe ntchito mobwerezabwereza, chifukwa kuchuluka kwa glycogen kumakhala ndi malire. Ngati palibe chomwe chikuchitika pofuna kukhazikitsa shuga m'magazi, ndiye kuti vutoli lidzakulanso.
Zizindikiro za hypoglycemia:
- kuchuluka kwanjala;
- dziko chizungulire;
- kumverera kwa nkhawa;
- mutu
- minofu ikunjenjemera;
- khungu lotumbululuka;
- arrhythmia;
- kuchuluka kwa mtima;
- kuchuluka kwa kuthamanga kwa magazi;
- Ndi zovuta, kutha kuzindikira komanso kulephera kwamtima mwadzidzidzi kumatha kuchitika.
Panthawi ya bere, hypoglycemia imakhala pachiwopsezo kwa mwana wosabadwayo, yemwe nthawi yomweyo salandila zakudya zofunika, ndipo chitukuko chake chimasokonekera. Kuchepa kwambiri kwa glucose kapena kulumpha mwachangu m'magazi, mwana wosabadwayo akhoza kufa.
Palinso funso lofunika ngati matenda ashuga amatengera, ndipo sayenera kunyalanyazidwa.
Zotsatira za hypoglycemia pa mimba
Hypoglycemia imavulaza mkazi komanso mwana wake wosabadwa. Popeza mkazi amakhala ndi kuphwanya kwa magazi kwa chinthu cham'magazi, amapitiliza kukumbukira ndi kuganiza. Kuphatikiza apo, pankhani iyi, pamapeto a pakati, mayi amatha kudwala matenda a shuga.
Kwa mwana wosabadwa, vuto la hypoglycemia lingawopseze zotsatirazi:
- mwana akhoza kubadwa ndi chitukuko chamkati, ndiko kuti, ndi mkhutu kugwira ntchito kwa mtima, minofu michere kapena osiyanasiyana kupatuka kwa anatomical mbali;
- pali macrosomia wa mwana wosabadwayo, pomwe kulemera kwake kungachuluke, momwe angachitire gawo la cesarean
- hypoglycemia ingayambitse polyhydramnios;
- kuphwanya ntchito ya placenta;
- kuopseza kuti atayika.
Chinthu chachikulu chomwe muyenera kukumbukira: kuyambitsa chithandizo chofunikira ndikuchotsa zovuta zosafunikira, ndikofunikira kudziwa ngati mayiyo ali ndi hypoglycemia asanamwali, kapena ngati akuyenera kulandira chithandizo cha matenda ashuga panthawi ya pakati.
Mu njira yoyamba, pali mwayi woteteza mwayi wokhala ndi matenda a shuga a mwana.
Njira zopewera hypoglycemia pa nthawi yapakati
Pofuna kupewa zovuta zosafunikira, mayi woyembekezera yemwe ali ndi matenda ashuga ayenera kulembetsedwa kumayambiriro kwa mimba ndi endocrinologist ndi gynecologist kuti atenge mayeso pafupipafupi.
Kuteteza mwana wosabadwayo, mayi woyembekezera ayenera kuyang'anira kuchuluka kwa shuga tsiku lililonse. Kuti muchite izi, gwiritsani ntchito glucometer, mwachitsanzo, mawonekedwe a satellite, kapena zingwe zoyeserera.
Shuga yofulumira magazi ndi 3.5-5,5 mmol / L; mukatha kudya, adzakhala 5.5-7.3 mmol / L. Panthawi zosiyanasiyana zobala mwana, kupezeka kwa shuga kumatha kusintha, dokotala amawongolera chizindikirocho.
Ngati mayi woyembekezera ali ndi vuto la hypoglycemia, pomwe akumva kufooka, chizungulire, palpitations, shuga wamagazi osakwana 3.0 mmol / l, ndiye kuti mayiyo amafunika thandizo:
- Ngati kusanza kwambiri, kukhudzika, wodwala wosazindikira, 1 mg ya glucagon iyenera kutumikiridwa mwachangu. Chida ichi chiyenera kukhala pafupi nthawi zonse.
- Ngati mayi woyembekezera amatha kumwa, mutha kum'patsa chakumwa 0,5 makapu a madzi a maapulo, lalanje kapena mphesa. Ndi bwino kum'patsa 10 g ya shuga yankho la 5%. Simuyenera kudya mkaka, zipatso, ndi zakudya zomwe zimakhala ndi fiber, mapuloteni, komanso michere yaying'ono pang'onopang'ono, chifukwa glucose samapangika mwachangu. Kuchedwetsa nthawi kumatha kukulitsa vuto la hypoglycemia.
- Zowonjezera shuga ziyenera kuyang'aniridwa mphindi 15 zilizonse mpaka zitakhala zabwinobwino. Pokhapokha ngati pali zizindikiro za hypoglycemia, mayi wapakati sayenera kusiyidwa osakhudzidwa ndi madokotala kapena abale, ndikofunikira kupitiliza kum'patsa juwisi m'magawo ang'onoang'ono.
