Matenda a gestational ndi matenda ofala kwambiri omwe amachitika nthawi yapakati. Nthawi zina zimachitika modzidzimutsa, koma musalole kuti zikunyengeni: matendawa amatha kubweretsa mavuto akulu mwa mayi ndi mwana. Chifukwa chake, ndikofunikira kwambiri kuti azimayi azitha kuyang'anira kuchuluka kwa shuga kuti asavulaze mwana kapena iwowo.
Mimba, ndithudi, simatenda, komabe imakhudza kwambiri tsogolo la mayi woyembekezera. Woweruza nokha: kuchuluka kwa shuga kwa mayi yemwe sakubereka mwana, malinga ndi momwe kuwunikidwaku kunatengedwa pamimba yopanda kanthu, ndikuchokera mamilimita 3.3 mpaka 5.5 pa lita imodzi ya magazi, ndipo patatha maola awiri mutatha kudya chizindikirochi chimakwera mpaka 7, 8 mmol / l. Ngati timayankhula za amayi oyembekezera, ndiye kuti kwa iwo Zizindikiro zina ndizomwe zili zodziwika. Chifukwa chake, pamimba yopanda kanthu, kuchuluka kwa glucose awo amachokera 4 mpaka 5.2 mmol / L, ndipo akatha kudya adzafika 6.7 mmol / L. Kusintha koteroko m'magazi a shuga kumafotokozedwa ndikusintha kwamafuta m'thupi la mkazi.
Onani zosintha (zitsegulidwa pazenera latsopano)
Mitengo ya shuga pamimba: zomwe zingayambitse magwiridwe antchito
Mayi woyembekezera ayenera kuyang'anitsitsa matenda ake ndikuwonetsetsa kusintha kulikonse komwe ali nako. Kwa mtendere wanu wamalingaliro, ndizomveka kuyang'ana manambala otsatirawa - shuga wamagazi ambiri azimayi omwe ali ndiudindo ndi 3,3 mpaka 6.6 mmol / L. Tiyenera kukumbukira kuti mwana akamadikirira, pamakhala chiwopsezo chotenga matenda a shuga, omwe nthawi zina amatha kukhala ndi matenda ashuga a 2 akangobadwa. Izi zitha kufotokozedwa ndikuti pakakhala pakati kuchuluka kwa ma amino acid m'magazi a mkazi amatsika, ndipo kuchuluka kwa matupi a ketone, mosiyana, kumawonjezeka. Njira yayikulu ya insulin katulutsidwe mu azimayi omwe ali ndi vutoli ndi yotere: munthawi yovomerezeka m'mimba, magawo omwe amapangika ndi mahomoni amtunduwu wa pancreas nthawi zambiri amakhalanso amodzimodzi kapena amayamba kuchepa, ndipo pokhapokha mu nthawi yachiwiri yomwe imayamba kukula.
Mu chipatala cha oyembekezera kwa milungu 28, mayi woyembekezera amalangizidwa kuti ayesetse pakamwa magazi ake kwa ola limodzi. Zomwe zimachitika ndizotsatira zomwe zizidziwitso zomwe sizimaposa kuchuluka kwa 7.8 mmol / L. Ngati mutatenga magalamu 50 a shuga, mulingo wambiri womwe umapezeka m'magazi udzakhala wapamwamba kuposa chizindikiro ichi, ndiye muzochitika zotere muyenera kuchita mayeso a maola atatu ndi magalamu 100 a chinthu.
Zotsatira zoyesedwa kwa maola atatu, zomwe zikuwonetsa kukhalapo kwa matenda ashuga mwa mayi wapakati, zikhala pafupifupi motere:
- pambuyo pa ola limodzi - glucose pamwamba 10,5 mmol / l;
- atatha maola awiri atatha kutsata, glucose apamwamba kuposa 9,2 mmol / l;
- pambuyo pa maola atatu, kuchuluka kwa shuga kuli pamwamba pa 8 mmol / L.
Amayi ena amakhala pachiwopsezo cha matenda ashuga: omwe amakhala ndi vuto lotenga matendawa, omwe amakhala mayi ali ndi zaka 30+, amayi oyembekezera omwe zoyesayesa zawo zam'mbuyomu zimatha katatu padera (kapena more), azimayi oyembekezera omwe ali ndi matenda onenepa kwambiri, komanso omwe adakhala ndi vuto la matenda ashuga panthawi yapakati.
Nthawi zina kuchuluka kwa shuga kwa amayi oyembekezera kumayamba kusintha chifukwa chakuwonekera kwa matenda osiyanasiyana omwe m'mbuyomu sanadzipangire okha. Kuphatikiza apo, shuga owonjezera m'magazi mwina atha chifukwa chakuti mayi woyembekezera akula msanga kwambiri.
Mwanjira yomwe khanda lobadwa chatsopano limalemera oposa 4.5 kg ndi kutalika kwa 55-60 cm, zitha kunenedwa kuti amayi ake anali ndi shuga wamagazi kwambiri panthawi yoyembekezera.
Zizindikiro za shuga okwanira mwa amayi apakati
Dokotala atha kusamala ndi zizindikiro zina zotchulidwa zomwe zikuwonetsa kuchuluka kwa shuga m'magazi a mayi wapakati. Zizindikirozi nthawi zambiri zimadziwika kuti:
- kumangokhalira kumva njala;
- kamwa yowuma
- kukodza pafupipafupi;
- kumangokhala ndi ludzu;
- kufooka kosalekeza;
- kuthamanga kwa magazi.
Kuti mudziwitse bwino komanso osapatula matenda monga matenda am'mbuyomu, ndikofunikira kutenga magazi ndi mayina a mkodzo. Ngati deta yomwe yapezedwa ndiyokwera pang'ono kuposa yabwinobwino, sizokayikitsa kuti dokotalayo ayamba kumveka phokoso, chifukwa mimba imakhudzanso kuchuluka kwa metabolic: kotero, mutatha kudya, shuga kuchokera m'magazi amalowetsedwa ndi maselo pang'onopang'ono kwambiri mwa amayi omwe akuyembekezera kuposa azimayi omwe sakuyembekezera mwana.
Kodi glucose angafanizidwe bwanji?
Choyamba, ndikofunikira kulabadira zomwe amayi amtsogolo amadya. Malonda onse ayenera kukhala athanzi komanso apamwamba. Ndikofunikira kuti muchepetse chakudya chamafuta pang'ono kuchokera pacakudya chanu ndikuchepetsa zakudya zamafuta. Mndandanda wazinthu zomwe siziloledwa kwa amayi apakati ndi:
- Chocolate
- tchizi
- mayonesi;
- lonse mkaka womasuka;
- nyama ya bakha ndi tsekwe;
- masoseji;
- mafuta;
- nyama yokazinga;
- mbatata zosenda;
- ayisikilimu;
- wowawasa zonona;
- timadziti;
- zipatso zokoma;
- zakumwa zozizilitsa kukhosi.
Mkazi yemwe ali ndi udindo ayenera kukonda zakudya zopatsa mphamvu pang'onopang'ono. Mndandanda wazinthu zololedwa zikuwoneka motere:
- mpunga
- zitsamba;
- mbatata zophika;
- nyemba;
- masamba
- durum tirigu pasitala;
- nyama ya kalulu;
- Chikuku
- nyama yamwana wamwamuna.
Musaiwale za malonda omwe ali ndi vuto la antiidiabetes. Gawoli lili ndi:
- radish;
- kaloti;
- adyo
- parsley;
- oats;
- balere;
- mkaka wa soya;
- kaloti;
- kabichi;
- Tomato
- nsomba
- nsomba
- mackerel;
- masamba obiriwira obiriwira.
Ndikofunika kuphatikiza quince, gooseberries, currants, lingonberries, yogati, mafuta ophikira kanyumba tchizi, komanso mandimu mu chakudya chochuluka.
Vuto lazakudya la mayi woyembekezera limakhala kuti, mbali imodzi, ayenera kuyesetsa kudya zakudya zomwe zimapangitsa kuti shuga azikhala magazi ake pamlingo woyenera, ndipo, osayiwala kuti pakukula komanso kukula mwana wamtsogolo amafunafuna zinthu ndi mavitamini.
Chifukwa chake, tikulimbikitsidwa kuti amayi oyembekezera omwe ali pachiwopsezo chokhala ndi matenda ashuga azikhala ndi gawo logona shuga - glucometer. Chifukwa cha chipangizochi, mutha kuyeza miyezo ya shuga mumagazi anu nthawi iliyonse. Poyeza, ndikofunikira kudziwa kuti kuchuluka kwa shuga kungachepe pang'ono pokhapokha ngati mayi woyembekezera atasamba mosiyana, kusamba ndi madzi ozizira kapena kudzipatsa mphamvu pang'ono.
Ngati mayi wokhala ndi udindo adya moyenera komanso moyang'anitsitsa momwe thanzi lake lilili, ndiye pankhani iyi samasamala za thanzi lake lokha, komanso za mwana wam'tsogolo. Pachifukwa ichi, ndikofunikira kwambiri kuyeza kuchuluka kwa glucose, kumayesa mayeso onse munthawi yake ndikuwongolera zakudya zanu.
