SHUGA WAMKULU PANTHAWI YOYEMBEKEZERA: ZOTSATIRA ZA MWANA NDI MAYI WOYEMBEKEZERA

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Kuyambira tsiku loyamba la kutenga pakati komanso nthawi yonse yovomerezeka, thupi la mkazi limagwira ntchito mosiyana.

Pakadali pano, njira zama metabolic zimatha kugwira ntchito, ndipo maselo amatha kutaya insulin. Zotsatira zake, glucose samamwa kwambiri, ndipo kuphatikiza kwake mthupi kumachuluka.

Izi zikuwopseza kukula kwamavuto akulu kwambiri. Chifukwa chake, chiwopsezo chotani cha shuga wapakati pamimba.

Mulingo wa shuga m'magazi a amayi apakati

Zisonyezo za kagayidwe kazakudya mu amayi apakati ali ndi miyezo yawo.

Nthawi yoyamba yomwe mayi adutsa kuyesedwa kwa magazi koyambirira, ndipo chisonyezo (cham'mimba chopanda) chikuyenera kusungidwa mkati mwa mulingo wa 4.1-5.5 mmol / l.

Kuchulukitsa zofunika kukhala 7.0 mmol / L kapena zambiri kumatanthauza kuti mayi woyembekezera wayambitsa matenda owopsa a shuga (kuwonetsa), kutanthauza kuti amapezeka mu nthawi ya perinatal. Izi zikutanthauza kuti pambuyo pobadwa matendawa amakhalabe, ndipo amayenera kuthandizidwa.

Miyezo yamagazi (komanso pamimba yopanda kanthu) yofanana ndi 5.1-7.0 mmol / l, mayiyo amakhala ndi matenda a shuga. Matendawa amakhala ndi azimayi oyembekezera okha, ndipo atabereka, monga lamulo, zizindikirizo zimazimiririka.

Ngati shuga ndiwokwera, amatanthauza chiyani?

Kapamba (kapamba) ndiye amachititsa chizindikirochi.

Mafuta omwe amapangidwa ndi kapamba amathandizira kuti shuga (monga gawo la chakudya) azitha kulowetsedwa ndi maselo, ndipo zomwe zimakhala m'magazi, motero, zimachepa.

Amayi oyembekezera ali ndi mahomoni awo apadera. Zotsatira zake ndizosemphana ndi insulin mwachangu - zimawonjezera shuga. Zikondazo zikasiya kugwira ntchito yake bwino, magazi ambiri amapezeka.

Imalowa mu placenta m'magazi a mwana wosabadwayo ndikuwunyamula (osapangidwa kwathunthu) mu kapamba. Amayamba kupanga insulin kwambiri, amasilira msanga shuga ndikusandutsa mafuta. Zotsatira zake, mwana akupeza kulemera mwachangu.

Kukula kwa fetal mofulumira kumafunikira mpweya wabwino, womwe umapatsa placenta. Koma ziwiya zake zimawonongeka ndi shuga wambiri, ndipo mwana wamtsogolo akuchepa kwambiri mpweya.

Zizindikiro zophatikiza

Ngati chakudya chamagetsi m'magazi a mayi wapakati chimaposa zochepa zovomerezeka, samakumana ndi zovuta zilizonse. Nthawi zambiri, zam'madzi zimapezeka pokhapokha kukakumana ndi adokotala.

Koma ngati shuga awonetsa zofunika kwambiri kwa nthawi yayitali, mayi woyembekezera azindikire izi:

ludzu limazunzika mosalekeza. Ziribe kanthu kuti mkazi amamwa zochuluka motani, ndikufuna zochulukirapo;
kukakamiza kukodza kumakhala pafupipafupi;
masomphenya amagwa;
nthawi zambiri mumafuna kudya zinazake zokoma;
kumva kusasangalala.

Ngati zizindikiro ziwiri zolembedwazo zapezeka, dokotala ayenera kudziwitsidwa za iwo.

Simuyenera kuchita chilichonse nokha, simungadzivulaze nokha, komanso mwana.

Kuopsa kotenga matenda osokoneza bongo

Matenda a shuga a mayi woyembekezera amakhala ndi mavuto ambiri paumoyo, amachititsa kuti akhale ndi pakati, chifukwa amathandizira kukulitsa zovuta zamatenda.

Ichi ndi pyelonephritis, matenda a mtima, kapena kufinya kwa retina.

Choopsa chachikulu cha matenda ashuga ndicho chiopsezo chotayika.Kuchotsa mimbayo ndi matenda omwe alipo kale (malinga ndi ziwerengero) kumachitika mu gawo limodzi mwa magawo atatu aliwonse akazi. Cholinga chake ndi kukalamba koyambirira kwa placenta. Matenda a shuga amawononga mitsempha yake, ndipo mpweya wabwino kupita kwa mwana wosabadwayo umatha.

Matenda a shuga amawopseza kuti akhale ndi mochedwa toxicosis. Chomwe chimapanga ndikuperewera kwa estrogen chifukwa cha kuwonongeka kwa placenta ndi thumba losunga mazira. Mu shuga, chithunzichi chimawonedwa theka la odwala. Mwachitsanzo: mwa amayi athanzi - 3% yokha ya amayi omwe ali ndi pakati.

Polyhydramnios (60% ya milandu), kupindika kwa ma umbilical, ndi mawonekedwe a pelvic a mwana wosabadwayo nthawi zambiri amapezeka. Zolakwika ngati izi za pakati zimayambitsa gawo la caesarean.

Zotsatira za shuga wambiri panthawi yoyembekezera kwa mwana

Matenda a shuga m'mayi amawopseza mwana ndi zovuta zonse. Mankhwala amatcha matenda a shuga.

Kupatuka komwe kumakhala kofulumira kwambiri. Panthawi yobadwa, mwana amakhala wamkulu kwambiri - zoposa 4 kg.

Izi zimamupweteka kwambiri, mwachitsanzo, kuchoka kwa khomo lachiberekero la khomo pachibelekeropo kumachitika. Kuphatikiza apo, makanda akuluakulu omwe amayi awo anali kudwala matenda a shuga nawonso ali pachiwopsezo.

Popanda chithandizo choyenera, zolakwika zina zimapezekanso: mafupa owopsa a mwana, zomwe zimachitika muubongo, mtima, impso, mapapu osakhazikika.

Mavuto omwe angakhalepo pakubala kwa mwana

Matenda a shuga kwa mayi woyembekezera amakhala ndi vuto losagwira bwino lomwe. Zotsatira zake, polyhydramnios imachitika.

Mwana akatenga cholakwika (mwachitsanzo, ofananira nawo) asanabadwe, kutuluka kwa chingwe cha umbilical ndikotheka. Pali chiopsezo cha fetal hypoxia. Nthawi zambiri, pofuna kupewa zovuta, mkazi amakhala wokonzekera gawo la cesarean.

Matenda a shuga a gestational angayambitse matenda a shuga a 2. Chifukwa chake, amayi otere ayenera kuyang'anira shuga wawo nthawi zonse (adawunikidwa zaka zitatu zilizonse).

Zoyenera kuchita

Muli zakudya komanso zakudya zopatsa thanzi

Amadziwika kuti kudya matenda a shuga ndi njira yofunika kwambiri yopezera shuga.

Chifukwa chake, mayi woyembekezera yemwe ali ndi matenda amtunduwu amalimbikitsidwa kutsatira izi:

phunzirani kudya pang'ono: idyani pang'ono, koma mpaka katatu pa tsiku. Kutumikira sikuyenera kupitirira 250 g;
Simungathe kufa ndi njala;
muzidya zakudya zanu, monga mwana ayenera kudya mokwanira;
kusiya maswiti konse kapena kudya pang'ono;
kutha kudziwa GI yamalonda;
sinthani mchere ndi zipatso kapena uchi;
kumwa zakumwa zokwanira patsiku;
chakudya chotsiriza chikuyenera kukhala maola atatu asanagone.

Ndibwino ngati mukugwirizana pazinthu zosiyanasiyana zamadyera ndi dokotala.

Zochita zolimbitsa thupi

Mwamuna wamtsogolo amafunikira mpweya m'moyo, motero ndikofunikira kuti mayi akhale mu mpweya watsopano momwe zingathekere.

Metabolism imayenda bwino kwambiri ngati atayenda pafupipafupi.

Ndipo masewera olimbitsa thupi amathandizira kuchotsa zopatsa mphamvu zosafunikira, ndipo, chifukwa chake, kilogalamu. Zochita zolimbitsa thupi zamtundu uliwonse zimathandizira kuti insulini ikwaniritse ntchito yake, chifukwa mafuta amalepheretsa kugwira ntchito moyenera.

Palibenso chifukwa chodzichepetsera ndi zolimbitsa thupi zolimbitsa thupi komanso kuyendera masewera olimbitsa thupi tsiku ndi tsiku. Kuyenda mwachangu kapena kukwera madzi padziwepo ndikokwanira. Maora 2-3 a ntchito zochuluka pa sabata zidzakhala zokwanira.

Ngati mayi woyembekezera sanakhalepo nawo m'masewera kale, ayenera kuyamba ndi zolimbitsa thupi zazing'onoting'ono, pang'onopang'ono kuwonjezera zochulukira.