Zizindikiro zazikulu za matenda amishuga mwa amayi apakati, zovuta zomwe zingachitike ndi njira zowalepheretsera

Chimodzi mwazosiyana zamatenda a shuga omwe amapezeka mwa azimayi panthawi yoyamwitsa amatchedwa matenda a shuga.

Nthawi zambiri, matendawa amapezeka pafupi ndi pakati pa mimba iliyonse mwa amayi 5 ali pantchito. Nthawi yonyamula mwana imakhala yolemetsa yayikulu pamthupi lachikazi.

Munthawi imeneyi, matenda osiyanasiyana amawonekera, kuphatikizapo matenda ashuga azimayi oyembekezera. Kodi zimayambitsa ndi chani matenda amiseche? Chifukwa chiyani amawonekera?

Chithunzi chachipatala cha matenda ashuga

Nthawi zambiri, matendawa amazimiririka pambuyo pobadwa kwa mwana, ndipo kagayidwe kazachilengedwe kamabweza thupi kamakhala kobwinobwino. Komabe, pali chiyembekezo chodzakhala ndi matenda abwinobwino a shuga m'zaka zotsatira.

Zizindikiro zazikulu za matenda apakati a shuga

Chizindikiro chachikulu cha HD ndi shuga wamagazi ambiri. Matendawa pawokha sachidziwika.

Mkazi akhoza kumva ludzu, kutopa msanga. Kulakalaka kumayenda bwino, koma nthawi yomweyo kumachepetsa thupi.

Mkazi sakonda kulabadira zizindikiro zotere, akukhulupirira kuti izi ndi zotsatira za kutenga pakati. Ndipo pachabe. Kuwonetsera kulikonse kumapangitsa chidwi mayi woyembekezera ndipo ayenera kudziwitsa adotolo za iwo.

Zizindikiro zamatchulidwe amtunduwu

Ngati matendawa akupita patsogolo, zizindikiro zotsatirazi ndizotheka:

• pakamwa kowuma kosalekeza (ngakhale kuti madzi ambiri amamwa);
• kukodza pafupipafupi;
• ochulukirapo ndikufuna kupuma;
• masomphenya sawoneka bwino;
• kulakalaka kukukula, ndipo ndi iyo kilogalamu yama kilogalamu.

Mukumva ludzu ndikukonda kudya, ndizovuta kuzindikira zizindikiritso za matenda ashuga, chifukwa mwa mayi wathanzi, podikirira mwana, zikhumbo zake zimakulirakulira. Chifukwa chake, kuti afotokozere za matendawa, dokotala amatsogolera mayi woyembekezerayo kukachita kafukufuku wowonjezera.

Zizindikiro

Kuti adziwe matenda ake, dokotala amasankha mayi wovutikira magazi ndi mkodzo mayeso (ambiri).

Zizindikiro zodziwika bwino ndi izi:

• pamimba yopanda kanthu - kuyambira 4.1 mpaka 5.1 mmol / l;
• ndi maola awiri mutatha kudya - mpaka 7 Mmol / l.

Kafukufuku wofunikira pofufuza matenda a shuga omwe ali ndi pakati ndikuwerengera shuga kwa wodwala.

Imachitika pafupipafupi kuyambira pa sabata la 20 la bere. Ngati zotsatirazo zili ndi mfundo zapamwamba, mayi woyembekezera amayesedwa kuti ayesere kulolera kwa glucose.

Kuphatikiza apo, pamene mayi yemwe ali ndi vuto ali pachiwopsezo cha HD, kafukufuku wofananayu amachitika nthawi yomweyo, pakubwera koyamba kwa dokotala. Ngakhale glucose yofulumira, GTT imachitidwanso masabata a 24-28.

GTT ili ndi zodziwikiratu, ndipo ndiyofunikira kukonzekera.

Zotsatira zoyenera zipezeka ngati malamulo otsatirawa asungidwa:

• Masiku atatu omalizira asanawoneke, mayi wapakati amayenera kudya mwachizolowezi: kudya monga kale (osadyetsa zakudya) osati wopanda mavuto;
• chakudya chomaliza chisanafike phunziroli sichiyenera kukhala ndi 50 g yamafuta. Izi ndizofunikira kwambiri. Popeza GTT imangotengedwa pamimba yopanda kanthu, mutatha kudya maola 8 mpaka 14;
• pa kusanthula simungasute, kudya chilichonse kapena kumwa mankhwala. Ngakhale masewera olimbitsa thupi ocheperako pang'ono (kukwera masitepe) samayikidwa pambali.

Chifukwa chake, zitsanzo zoyambirira za magazi zimachitika pamimba yopanda kanthu. Pakatha mphindi 5, wodwalayo amamwa njira yothetsera shuga (1.5 tbsp yamadzi ndi ufa wothira mkati mwake). Njira inanso yamagazi imatengedwa pambuyo pa maola awiri. Ngati zonse zili mwadongosolo, ndiye kuti glycemia idzakhala 7.8 mmol / l. Mitengo yapamwamba kuyambira 7.9 mpaka 10,9 mmol / L imawonetsa kulolera pang'ono kwa glucose.

Miyezo ya 11, 0 Mmol / L kapena kuposa imawonetsa matenda ashuga. Ndi dokotala yekha yemwe angadziwe za matendawa, kudalira data kuchokera ku maphunziro apadera, komanso kudzifufuza matendawa pogwiritsa ntchito glucometer sikulondola, popeza sizolondola mokwanira.

Chithandizo cha pakati

M'milandu yambiri (mpaka 70%), matendawa amasinthidwa ndi zakudya. Mzimayi woyembekezera amayeneranso kukhala wokhoza kudziyimira payekha payekha.

Mankhwala othandizira pakudya kwa HD amachokera pazotsatira izi:

• zakudya za tsiku ndi tsiku zimakonzedwa kotero kuti zimaphatikizapo 40% mapuloteni, 40% mafuta ndi 20% chakudya;
• phunzirani kudya pang'ono: kangapo patsiku ndi maola atatu;
• ndi kunenepa kwambiri, muyeneranso kuwerengera zopatsa mphamvu: zosaposa 25 kcal pa kilogalamu iliyonse. Ngati mayi alibe owonjezera mapaundi - 35 kcal pa kilogalamu. Kuchepetsa zakudya zopatsa mphamvu ziyenera kukhala zosamalitsa komanso zosalala, popanda njira zovutirapo;
• maswiti, komanso mtedza ndi mbewu, sizimachotsedwa kwathunthu kuzakudya. Ndipo ngati mukufunadi kudya maswiti - m'malo mwake ndi zipatso;
• Osamadya zakudya zouma (Zakudyazi, phala, mbatata zosenda);
• perekani zokonda zophika komanso zotentha;
• kumwa kwambiri - magalasi 700 amadzimadzi patsiku;
• tengani mavitamini ndi dokotala wanu, chifukwa mankhwalawa ali ndi shuga;
• yesani kuchepetsa kuchuluka kwa mafuta m'zakudya, ndikuchepetsa mapuloteni mpaka 1.5 g pa kg. Chulukitsani zakudya zanu ndi masamba.

Ngati chakudyacho sichinapereke zotsatira zomwe zimayembekezeredwa, ndipo kuchuluka kwa glucose kumakhala kwakukulu, kapena wodwalayo sayesa mkodzo wowoneka bwino ndi shuga wabwinobwino, mankhwala a insulini amatchulidwa.

Mlingo komanso kusintha komwe kumachitika pambuyo pake kumatsimikiziridwa ndi adokotala okha malinga ndi kulemera kwa amayi apakati komanso msinkhu woyembekezera.

Zilonda zitha kuchitidwa palokha, mutaphunzitsidwa ndi endocrinologist. Nthawi zambiri, msambo umagawidwa Mlingo iwiri: m'mawa (musanadye kadzutsa) komanso madzulo (mpaka chakudya chomaliza).

Mankhwala a insulini sangathetseretu kudya, amapitilira nthawi yonse ya mimba.

Zovuta zotheka

Chiwopsezo chotenga zovuta zingapo mu mwana wosabadwayo ndicholimba kwambiri makamaka poyambapo.

Cholinga cha izi ndikuti mwana amadya glucose a amayi, ndipo insulin siyakukwana. Iyemwini sangatulutse timadzi tambiri, popeza kapamba sanapangepo.

Amayamba kukhazikika lachiwiri ndikuyamba kugwiritsa ntchito shuga m'mimba mwa mayi ndi kwa mayi. Pankhaniyi, hyperinsulinemia imayamba. Chiwopsezo chake ndikuti pali kuphwanya kwa mpweya wa mwana wosabadwa. Mchere wocheperako umakhala wopanda ngozi kwa mwana, umapangitsa magazi kuyenda m'magazi ndipo umawopseza kukula m'maganizo.

HD yosasinthika imasinthanitsa pakati:

• mzimayi wodwala amatha kubereka gestosis ndi polyhydramnios;
• matenda amkodzo thirakiti limatha kupatsira mwana;
• nthawi zambiri kumachitika ketoacidosis, yomwe imayambitsa chidakwa chonse cha mayi;
• pafupifupi ziwalo zonse zimavutika: maso, impso, mtsempha wamagazi ndi mtima;
• mwana wosabadwayo amalemera kwambiri (macrosomia), ndipo kubadwa kwachilengedwe kumaloledwa ndi gawo la caesarean;
• Kukula kwa intrauterine kumalepheretseka.

Zochitika pambuyo pake

Ngati mayi woyembekezera ali ndi HD, ndiye kuti matendawa angatenge matenda ashuga awonjezereka kangapo.

Uwu ndi chiopsezo chachikulu. Chifukwa chake, mkazi amawonetsedwa nthawi zonse atabadwa. Chifukwa cha miyezi 1.5, ayenera kuwunika kagayidwe kazakudya.

Ngati zotsatirapo zake zili zabwino, kuwunikanso zowonjezereka kumachitika zaka zitatu zilizonse. Koma ngati kuphwanya kwa kulekerera kwa glucose kwapezeka, zakudya zapadera zimapangidwa, ndipo kuwonera kumawonjezeka mpaka 1 nthawi pachaka.

Mimba zonse zotsatila pankhaniyi ziyenera kukonzedwa, chifukwa shuga (nthawi zambiri mitundu iwiri) imatha kubereka patadutsa zaka zingapo pambuyo pobadwa. Zochita zolimbitsa thupi ziyenera kuchuluka.

Makanema okhudzana nawo

Zokhudza matenda ashuga apakati mwa azimayi apakati omwe ali mu vidiyo:

Ngakhale atakhala ndi matenda ashuga, mkazi amatha kubereka ana ambiri athanzi. Chachikulu ndichoti mudziwe zamatenda nthawi yomweyo ndikuyamba chithandizo chake.