Matenda a shuga okhudzana ndi pakati komanso kubereka: Malangizo azachipatala, njira zamankhwala ndi kupewa

Matenda a Gestational matenda a shuga ndi matenda omwe amapezeka mwagonana pakapita nthawi yayitali.

Pa nthawi ya mayeso, adotolo amatha kudziwa kuti ali ndi mayi yemwe sanakhalepo ndi shuga, koma kulekerera shuga.

Izi zimatchedwa boma la prediabetes. Mwa azimayi omwe ali ndi mwayi wosangalatsa, kuchuluka kwa shuga mthupi kumatha kuchuluka pambuyo pakudya, ndipo asanadye - palibe mavuto.

Kodi chithandizo chamankhwala a matenda amiseche ndi chiyani? Yankho likupezeka pansipa m'nkhaniyi.

Kuzindikira ndi kuzindikira njira

Nthawi zambiri, omwe amawaganizira kuti ali ndi shuga amapezeka theka lachiwiri lokhala ndi pakati. Komanso, izi zimasowa kwathunthu mwana akabadwa.

Mzimayi amatha kubereka mwana, pomwe akuchita kuphwanya kagayidwe kazakudya. Ndiye muyenera kuchita chiyani mutazindikira kuchuluka kwa shuga?

Mulimonsemo, cholinga cha mankhwalawa ndi chimodzimodzi - kusunga kuchuluka kwa shuga pamlingo wamba. Izi zidzakuthandizani kuti mubereke mwana wathanzi kwathunthu. Kodi mungazindikire bwanji chiopsezo chogonana kwabwinobwino kuti mukhale ndi matenda ashuga? Izi zitha kupangitsa kuti mayi akhale woyembekezera.

Ngakhale pakukonzekera kubadwa kwa mwana wosabadwa, mkazi payekha amatha kuyesa kuchuluka kwa chiwopsezo cha matenda ashuga:

1. kukhalapo kwa mapaundi owonjezera kapena kunenepa kwambiri (msungwana aliyense payekha amatha kuwerengera cholembera chake);
2. kulemera kwa thupi kwakula kwambiri pambuyo pobwera;
3. mkazi woposa zaka makumi atatu;
4. pathupi pakale panali matenda a shuga. Madokotala adapeza kuchuluka kwa shuga mu mkodzo. Chifukwa cha izi, mwana wamkulu kwambiri adabadwa;
5. pali abale omwe ali ndi vuto lalikulu la carbohydrate metabolism;
6. polycystic ovary syndrome.

Kodi matenda ashuga ammimba amadziwika bwanji? Amayi onse kuyambira pa 23 mpaka sabata la 30 la kubereka amapatsidwa mayeso apadera a kulolerana kwa glucose. Kuphatikiza apo, mkati mwake, shuga amawerengedwa osati pamimba yopanda kanthu komanso maola ochepa, komanso maminiti 50 atatha kudya.

Izi ndi zomwe zimatilola kudziwa kukhalapo kwa mtundu wa matenda ashuga omwe mukufunsidwa. Ngati ndi kotheka, dokotala amapereka malangizo ena okhudza chithandizo.

Kutanthauzira kwa mayeso am'magazi a pakamwa kuti mupeze matendawa:

1. pamimba yopanda kanthu, shuga ayenera kukhala mpaka 5 mmol / l;
2. pambuyo ola limodzi - osakwana 9 mmol / l;
3. patatha maola awiri - osakwana 7 mmol / l.

Mwa amayi omwe ali ndi mwayi wosangalatsa, kuchuluka kwa shuga mthupi pamimba yopanda kanthu kuyenera kukhala kwabwinobwino. Chifukwa cha izi, kuwunika kochitika pamimba yopanda kanthu sikolondola komanso molondola.

Maupangiri azachipatala a matenda a shuga

Amapereka chidziwitso choyambira chazomwe zimapangidwira matenda ndi matenda amiseche. Ngati mayi yemwe ali ndi vutoli wapezeka ndi matendawa, ndiye kuti amayenera kupatsidwa zakudya zapadera, zolimbitsa thupi zokwanira ndipo amalangizidwa kuyeza magazi ake pafupipafupi kangapo tsiku lililonse.

Izi ndi mfundo za kuchuluka kwa shuga m'magazi a plasma omwe amayenera kusungidwa panthawi ya bere:

1. ha m'mimba yopanda kanthu - 2.7 - 5 mmol / l;
2. ola limodzi mutatha kudya - osakwana 7.6 mmol / l;
3. patatha maola awiri, 6.4 mmol / l;
4. pogona - 6 mmol / l;
5. nthawi kuyambira 02:00 mpaka 06:00 - 3.2 - 6.3 mmol / l.

Ngati zakudya zoyenera komanso kuchita masewera olimbitsa thupi sizithandiza mokwanira kubwezeretsa shuga, ndiye kuti mayi yemwe ali ndi chidwi ndi mankhwala amapatsidwa jakisoni wa mahomoni ochita kupanga. Ndi chithandizo chiti chomwe mungagwiritse ntchito kuti mupereke ngati chadokotala.

Chithandizo cha mankhwala osokoneza bongo a amayi apakati

Mimba ikachitika pamene mukumwa Metformin kapena Glibenclamide, ndizotheka kukulitsa kubereka kwa mwana.

Mankhwala ena onse opangidwa kuti achepetse glucose ayenera kusiyidwa kapena kusinthidwa ndi insulin.

Mapiritsi a Metformin

Pankhaniyi, ndikofunikira kuti mutenge kokha mahomoni a pancreatic a chiyambi chopanga. Chiri chololedwa kugwiritsa ntchito insulini kukonzekera kwa nthawi yochepa komanso yapakatikati, nthawi yochepa komanso yochepa yokhudzana ndi insulin.

Mankhwala abwino ochepetsa shuga

Mankhwala ochepetsa shuga omwe amapangidwira pakamwa sayenera kugwiritsidwa ntchito panthawi ya bere. Amayi omwe ali ndi maudindo amayenera kusamutsidwa kupita ku insulin.

Insulin

Mu matenda a shuga amtunduwu, insulin ndiye muyeso wagolide. Homoni wa pancreatic amathandiza kusunga glycemia pamlingo wovomerezeka.

Chofunika kwambiri: insulin siyingadutse mwa placenta.Mu shuga, monga lamulo, insulin yayikulu imasungunuka, yochepa.

Itha kupangidwira kupangidwanso mobwerezabwereza, komanso kulowetsedwa kosalekeza. Amayi ambiri omwe ali ndi maudindo amawopa kuti atengeka ndi mahomoni. Koma wina sayenera kuchita mantha ndi izi, chifukwa izi ndizowona zosatsimikizika.

Pambuyo pa kuponderezedwa kwa pancreatic kutha ndipo thupi limapezanso mphamvu, insulin yaumunthu iyambanso kupanga.

Matenda a kunyumba

Pang'onopang'ono imatsogolera ku mlingo wotsikirapo wa ma cell a pancreatic.

Kupitilira apo, zofunikira zikutsalira chimodzimodzi.

Nthawi zina, pamakhala mwayi wokonza momwe thupi liliri.

Mankhwala othandizira

Zakudya zoyenera kwa odwala matenda amisempha ndi monga:

1. muyenera kudya kasanu ndi kamodzi patsiku. Zakudya za tsiku ndi tsiku ziyenera kukhala ndi zakudya zazikulu zitatu ndi zazing'ono ziwiri;
2. ndikofunikira kusiya kotheratu kugwiritsa ntchito chakudya chopatsa mphamvu. Izi zimaphatikizapo maswiti, malonda ophika buledi ndi mbatata;
3. Onetsetsani kuti mwayezera shuga yanu pafupipafupi monga momwe mungathere ndi glucometer. Palibe chowawa. Izi zichitike mphindi makumi asanu ndi limodzi itatha chakudya chilichonse;
4. Pazakudya zanu za tsiku ndi tsiku muzikhala theka la chakudya, gawo limodzi mwa magawo atatu a mapuloteni athanzi;
5. Mphamvu yonse ya kadyedwe imawerengeredwa pafupifupi 35 kcal pa kilogalamu ya kulemera kwanu koyenera.

Zochita zolimbitsa thupi

Njira yothandizira kupewa matenda ashuga ndi zinthu zokwanira zolimbitsa thupi. Monga mukudziwa, kusewera masewera kumachepetsa chiopsezo cha kuchepa kwa thupi.

Koma azimayi omwe saleka kuchita masewera olimbitsa thupi atanyamula mwana samatengera mwayi wofanana ndi gawo limodzi mwa magawo atatu.

Zithandizo za anthu

Mankhwala osokoneza bongo athandizira kusintha kagayidwe komanso kusintha kapangidwe ka insulin.

Nayi maphikidwe abwino:

1. Choyamba, ikani ndimu yatsopano pa grater yabwino. Muyenera kupeza supuni zitatu za kuzimiririka. Muzu wa parsley wokazinga ndi adyo wowotcha ayenera kuwonjezedwa pano. Zotsatira zosakaniza ziyenera kukakamizidwa kwa sabata limodzi. Muyenera kugwiritsa ntchito supuni yotsekemera katatu patsiku. Chida chimenecho ndichotetezedwa konse kwa akazi onyamula mwana;
2. Mutha kupanga zamasamba zatsopano kuchokera ku masamba aliwonse atsopano. Imakhutitsa thupi ndi zinthu zambiri zofunikira komanso michere yambiri, komanso imapangitsanso kupanga kwa insulin ndi kapamba.

Kusunga cholembedwa cha kudziletsa

Dongosolo lodzipenda lokha lofunikira likufunika kuti dokotala wodziwa bwino azisintha momwe masinthidwe am'magazi a plasma.

Zochitika pambuyo pake

Mwana akabadwa, mayi ayenera kupita kukamuwona pafupipafupi monga momwe angathere kuti awone kusintha kwa thupi.

Zizindikiro zakuchotsa mimba

Zizindikiro zakuchotsa mimbayo zikuphatikiza:

1. zotchulidwa komanso zowopsa mtima ndi mtima;
2. matenda ashuga nephropathy;
3. matenda a shuga ophatikizidwa ndi Rh chifukwa chosavomerezeka;
4. shuga kwa bambo ndi mayi;
5. shuga wophatikizidwa ndi ischemia.

Kupewa kwa GDM

Monga tanena kale, mayi ayenera kumakhala moyo wakhazikika komanso kuchita masewera. Ndikofunikanso kuwunikira zakudya zomwe mumadya. Komabe muyenera kuyang'anira kuchuluka kwa thupi lanu. Amayi oyembekezera ayenera kupewa kunenepa kwambiri.

Makanema okhudzana nawo

Pazinthu zamakono pakuzindikiritsa komanso kuchitira odwala matenda amisala mu kanema:

Ngati mudadwala matenda ashuga pamimba, kenako mwana atabadwa, anasowa, ndiye kuti simuyenera kupuma. Pali mwayibe kuti mudzapezeka ndi matenda a shuga 2 pakapita nthawi.

Mwambiri, mumakhala ndi kukana kwa insulin - kusamva bwino kwa mahomoni a kapamba. Ndipo zili ngati zili bwino, thupi limagwira ntchito bwino. Ndipo pa mimba, katundu pa iye amakula kwambiri. Chifukwa cha izi, amasiya kutulutsa insulini yoyenera.