Mimba komanso kubereka mwana ndi njira zachilengedwe kwambiri. Kwa akazi onse, osati kwa iwo okha, iyi ndi nthawi yomwe akuyembekezeredwa kwambiri m'moyo.
Kwa ena, mwambowu ndiwosangalatsa mwadzidzidzi, ndipo kwa ena amakonzedwa mosamalitsa ndi nthawi yayitali yokonzekera.
M'masiku ano, azimayi ambiri amadwala matenda oyambitsidwa ndi matenda osiyanasiyana, motero amafunsa nthawi yayitali: kodi amatha kubereka ndi kubereka? Munkhaniyi tikambirana zavutoli: kodi ndizotheka kutenga pakati ndi mtundu woyamba wa 2 ndi matenda ashuga a 2?
Chitsimikizo ndi malingaliro a madotolo
Kodi ndimatenda amtundu wanji? Amadziwikanso kuti "matenda okoma" - uku ndikolephera kwa kapamba kupanga kapena kugwiritsa ntchito insulini ya mahomoni pazolinga zake.
Hormone iyi imayenera kusinthira ndikugwiritsa ntchito shuga wopangidwa m'magazi atatha kudya zakudya zopatsa mphamvu zamagulu omwe anthu amadya. Pali mitundu iwiri ya matenda a shuga: 1 ndi 2. Chifukwa chake, mwachilengedwe, mwa azimayi omwe akudwala matendawa, funso limabuka: kodi ndizotheka kutenga pakati ndi shuga wambiri?
Zikondazo zimatulutsa insulini
Zaka makumi angapo zapitazo, madokotala mosakayikira adapereka yankho loyipa ku funso ngati zingatheke kukhala ndi pakati pa matenda ashuga. Kuzindikira matenda a shuga kunali cholepheretsa kwathunthu kupezeka kwa pakati komanso kubereka bwino kwa mwana.
Mankhwala amakono apita patsogolo, ndipo ngakhale muli ndi zovuta zina zokhudzana ndi matenda omwe amayambitsidwa ndi matendawa, lero mutha kutenga pakati ndikubereka ndi mtundu woyamba wa 2 ndi matenda ashuga. Pakadali pano pa chitukuko cha mankhwala, kukhala ndi pakati komanso kubereka ana mwa amayi omwe ali ndi matendawa ndizobwinobwino, ngakhale pali zoopsa zomwe zingachitike chifukwa cha izi.
Kukhazikitsidwa kuti ngati mayi ali ndi matenda a shuga, ndiye kuti mwana ali ndi mwayi wambiri woti athetse, ngati bambo ali ndi magawo asanu, ndipo ngati makolo onse ali ndi makumi awiri ndi zisanu.
Mzimayi wapakati ayenera kuyang'aniridwa ndikuyang'aniridwa ndi akatswiri atatu: gynecologist, endocrinologist ndi wathanzi.
Zamoyo za mayi ndi mwana nthawi yonse yomwe ali ndi pakati zimalumikizana, motero, kuyang'anira kuchuluka kwa glucose m'magazi a mayi ndikofunikira kupewa mavuto obwera chifukwa chakuchepa kwa kakulidwe ka fetus komanso zovuta zakubadwa.
Ndi kulumpha mwadzidzidzi m'magazi a shuga, kutaya kwa pang'onopang'ono kungayambitsidwe, kapena mwana azikhala wolemera, ndipo izi zimatha kuyipa kwambiri pakubadwa komanso kuvulaza mwana.
Nthawi zina zimachitika kuti mwana amabadwa ndi shuga wochepa, izi zimachitika chifukwa cha zomwe zimachitika pathupi pake, chifukwa kapamba ake amakakamizidwa kuti apange insulin yambiri chifukwa cha matenda a amayi. Pambuyo pobereka, pakapita nthawi, kuchuluka kwa glucose kumachitika, koma insulini idzapitilizidwa kupanga voliyumu imodzimodzi.
Contraindication pa mimba
Ngakhale atachita bwino kwambiri komanso kupeza bwino kwa zamankhwala zamakono, komanso kuti ndizotheka kubereka ndi kubereka matenda ashuga, pali zotsutsana zingapo zomwe zimalepheretsa njirayi.
Matenda a shuga amayika gawo lalikulu pamachitidwe a machitidwe onse a mthupi, ndipo pakakhala pakati, zimachulukana nthawi zambiri, zomwe zimawopseza osati mwana wosabadwa yekha, komanso moyo wa mayi.
Pali matenda angapo okhudzana omwe amasokoneza nthawi yayitali komanso kubereka bwino kwa mwana yemwe ali ndi matenda ashuga:
- matenda a mtima;
- chifuwa chachikulu
- kulephera kwambiri kwaimpso;
- Rhesus - kusamvana;
- insulin yolimbana ndi matenda a shuga;
- gastroenteropathy.
M'mbuyomu, kuwonjezereka kwa ngozi yodziwira matenda a shuga kwa makolo onse awiriwo kwatchulidwa, izi ndizophatikizanso kwa mimba. Apa mukufunikira upangiri wokwanira kuphatikiza upangiri waukatswiri wazomwe mungapezere mwayi wokhala ndi mwana wathanzi.
Palibe kukayikira kuti mimba ya mayi yemwe ali ndi matenda ashuga iyenera kukonzedwa, osati mwadzidzidzi, pokonzekera bwino thupi pafupifupi miyezi isanu ndi umodzi isanachitike. Mzimayi amakakamizika kuwongolera kwathunthu kuchuluka kwa shuga m'magazi ake, kupatula kugwiritsa ntchito mankhwala owonjezera ndi mavitamini, kupeza madokotala abwino komanso odziwa bwino omwe adzawonedwe mtsogolo.
Mitundu ya matenda ashuga mwa amayi apakati
Monga tafotokozera pamwambapa, ndizotheka kutenga pakati ndi matenda osokoneza bongo a mtundu woyamba komanso wachiwiri, koma izi sizinthu zokhazo zomwe zimapezeka mwa azimayi omwe ali ndi udindowu.
Matenda a shuga amayambitsa zovuta zambiri mwa mayi ndi mwana, chifukwa chake akatswiri amaonetsetsa chidwi chawo ndikuchigawa m'magulu awa:
- kapangidwe - alibe zizindikiro zamankhwala, matendawa amapangidwa pamaziko a maphunziro ndi kusanthula;
- kuwopseza - Amatha kukhala mwa amayi apakati omwe ali ndi vuto lotsogola, kukhala opanda cholowa komanso kudwala kwambiri, kukhala ndi ana omwe abadwa ndilemera kwambiri, opitilira 4.5 kg. Mwa amayi oyembekezera oterowo, glucosuria amapezeka - shuga mumkodzo, kuwonetsa kuperewera kwaimpso kwa shuga. Kuwunikira komanso kuwongolera kuyenera kukhala kosazindikiritsa vutoli;
- kufotokoza - Amapezeka pogwiritsa ntchito mayeso a glucosuria ndi glycemia. Iagawika m'mitundu itatu: yopepuka, yapakatikati komanso yolemera. Yotsirizika imaphatikizidwa ndi kuwonongeka kwa impso, retina, zilonda zam'mimba, zotupa za mtima, matenda oopsa.
Palinso mtundu wina wa matenda ashuga - opatsa thupi, omwe amakula mwa amayi athanzi labwino panthawi yomwe ali ndi pakati, pafupifupi 3 - 5%. Zimafunikira chisamaliro ndikuwongoleredwa ndi madokotala. Pambuyo pobadwa kwa mwana, amatha kubwerera ali ndi pakati.
Imadziwika sabata pafupifupi 20, zomwe zidachitikadi sizinadziwikebe. Mahomoni opangidwa ndi placenta amatsekera insulin ya amayi, zomwe zimapangitsa kuti shuga azikhala ndi magazi ambiri.
Pangozi ya matenda ashuga:
- azimayi opitirira zaka makumi anayi;
- ngati pali wachibale wapafupi ndi matendawa;
- azimayi a mitundu ina kupatula Caucasoid;
- osuta
- onenepa kwambiri;
- Kubala mwana wam'mbuyomu wolemera kuposa 4.5 kg.
Matenda a shuga m'mimba mwa abambo komanso kutenga pakati kwa mwana
Amuna, monga azimayi, amatenga matendawa, ali ndi zofananira komanso mitundu yosiyanasiyana.Ngati bambo akudwala matenda ashuga kwa zaka zambiri, matendawa amasiya kukhudzika kwa thupi, zomwe zimapangitsa kuti azigwira ntchito yake moyenera, ndikupangitsa matenda ambiri.
Vuto limodzi la matenda ashuga ndilovuta kubereka komanso kusabereka.
Chifukwa cha matendawa, mitsempha yayikulu komanso yayikulu yowonongeka, kayendedwe kabwinobwino ka magazi kamasokonezeka. Matenda a shuga ophatikizika amayambitsa zovuta mu kugwira ntchito kwa impso ndi genitourinary system.
Mimbayo imakhala yocheperako, umuna sungathe kutuluka pakumatheka, ibwerera ku chikhodzodzo, chifukwa chake umuna sungachitike.
Moyo wamtsogolo wamtsogolo
Matenda onse atatu, podikirira kuwonekera kwa mwana, ayenera kuyang'aniridwa kwathunthu ndi madokotala onse omwe akukhudzidwa ndi mayendedwe opambana a pakati.
Choyamba, mayi woyembekezera amayesedwa kwathunthu ndi akatswiri monga gynecologist, endocrinologist, wathanzi ndi geneticist, kenako, poganizira zolemba zonse ndikutsatira malangizowo, nthawi yapadera ya moyo wamayi imayamba.
Mayi woyembekezera ayenera kudya moyenerera malinga ndi zakudya Na. 9. Chepetsani kudya kwamafuta ndi chakudya chochuluka, onjezerani mapuloteni. Shuga, uchi, maswiti, kupanikizana kwathunthu samachotsedwa.
Muyenera kumwa mavitamini ndi michere yambiri. Chiwerengero chonse cha zopatsa mphamvu za tsiku ndi tsiku siziyenera kupitirira 3,000. Idyani kwambiri pofika ola, ndipo odwala onse amakhala ndi insulin. Mankhwala amkamwa samachotsedwa panthawiyi.
Pakati pa nthawi yonse yomwe mayi ali ndi pakati, mayi amawonekera kuchipatala kuti amupatse katatu.
Atangolembetsa, pakatha masabata 20 - 24 komanso pa 32 - 34 kuti asinthe ma protein ndi inshuwaransi.
Mu trimester yomaliza, njira yolerera mwana imatsimikiziridwa, kutengera mtundu wake wamthupi, lingaliro limapangidwa mwanjira yachilengedwe, kapena mothandizidwa ndi gawo la cesarean.
Makanema okhudzana nawo
Kodi ndizotheka kubereka mwana wathanzi lathunthu? Momwe muyenera kuchita mukakhala ndi pakati? Mayankho mu kanema:
Matenda a shuga chifukwa cha kupita patsogolo kwa zamankhwala si sentensi, zomwe zikutanthauza kuti mutha kubereka ndi kubereka ndi matenda oterewa. Mayi yekha ndi amene amafunikira kulandira upangiri kuchokera kwa akatswiri onse omwe akukhudzidwa ndi njirayi, ndikukonzekera miyezi 9 kuti asinthe moyo wawo wonse.
Kutengera malamulo onse ndi zofunikira za madokotala, mwayi wobala mwana wathanzi komanso wamphamvu umachuluka, ndipo zovuta zomwe zimakhudzana ndi matendawa zimathetsedwa.
