Pa nthawi ya pakati, kusintha zina kumachitika mthupi la mkazi.
Ndipo mayeso ena a labotale akhoza kukhala ndi miyezo yosiyana. Izi zimakhudzanso kuchuluka kwa glycemia.
Chizindikiro ichi chiyenera kuyang'aniridwa bwino. Kupanda kutero, pali chiopsezo chovulaza mluza ndi thanzi la mayi woyembekezera. Kodi shuga wovomerezeka mutatha kudya mwa amayi apakati ndi chiyani, momwe mungapewere matenda ashuga - nkhaniyi ifotokoza zonsezi.
Kodi mgulu la glycemic wabwinobwino mumatha kudya chiyani?
Mwa mkazi wathanzi yemwe amapereka magazi kuti asala kudya shuga, chizindikirocho chizikhala mulingo kuyambira 3,4 mpaka 6.1 mmol / L.
Maola angapo mutatha kadzutsa, kuwonjezera kwa 7.8 mmol / l ndikololedwa. Ndipo pali kuchepa pang'onopang'ono kwa muyezo.
Ponena za amayi oyembekezera, apa malamulo ndi osiyana. Izi zimachitika chifukwa cha ma metamorphoses omwe amapezeka m'thupi la mayi wapakati.
Zoyenera kudziwa: M'mitundu yambiri, zotsatirazi zimatanthauzanso njira yamisikelo yamagazi: imatengedwa kuchokera mu mtsempha kapena chala. Ndikofunikanso kuganizira kuti chakudya chomaliza chinali chiyani, panali zakudya ziti zopatsa mphamvu zomwe zidadyedwa.
Kuthamanga magazi a glucose kuchokera pachala kumatha kusiyana 3,4 mpaka 5.6 mmol / L. Zotsatira za 4-6.1 mmol / L zimadziwika kuti ndizabwinobwino ndi endocrinologists mukamatenga zofunikira kuti zisinthe kuchokera mu mtsempha.
Mulingo wa shuga unakhazikitsidwa ola limodzi mutatha kudya panthawi yoyembekezera pamlingo wa 6.7 mmol / L.
Ndipo chizolowezi chomwa shuga m'masiku awiri mutatha kudya amayi apakati sichikhala choyenera kuposa 6mol / l. Nthawi iliyonse masana, shuga mpaka 11 mmol / L amaloledwa. Ndi mtengo wapamwamba wa chizindikiro ichi, matenda ashuga ayenera kukayikiridwa.
Ngati gestational kapena shuga mellitus ikakula, ndikofunikira kuyesa kuyika gawo la glycemia pafupi kwambiri momwe mungathere.
Madotolo amalangiza amayi apakati omwe ali ndi gestational kapena matenda ashuga kuti akwaniritse izi:
- kuthamanga shuga sikokwanira kuposa 5.3 mmol / l;
- glycemia ola pambuyo chakudya cham'mawa - pafupifupi 7.8 mmol / l;
- mu maola awiri - mpaka 6.7 mmol / l.
Kodi kupatuka kuzinthu wamba kumatanthawuza chiyani?
Mzimayi yemwe wanyamula mwana amakakamizidwa kuwunika thanzi lake nthawi zonse, kumuuza dokotala wazachipatala za kusintha kwakuchepa kwa thanzi lake.
Popeza pa nthawi yoyembekezera, mwayi wokhudzana ndi matenda osokoneza bongo umakula kwambiri.
Ngati shuga yosala kudya imakhala yayikulupo kuposa chakudya mukamadya pakati, zikutanthauza kuti ndibwino kupangana ndi endocrinologist.
Ndi matenda a shuga a shuga, shuga wa m'magazi ndiwokwera kuposa masiku onse, koma wotsika kuposa munthu yemwe ali ndi matenda a shuga a 2. Chochitika chofananachi chikufotokozedwa ndikuti kuchuluka kwa ma amino acid m'magazi amatsika kwambiri ndipo kuchuluka kwa matupi a ketone kumawonjezeka.
Ndikofunikira kudziwa zowonetsa za shuga. Popeza kuthamanga kwa shuga kumabweretsa zotsatirapo zingapo zosasangalatsa:
- kufa kwa fetal;
- kunenepa
- mtima matenda;
- hypoxia kapena asphyxia pakubala;
- hyperbilirubinemia;
- kukula kwa matenda a shuga 2;
- kupuma kwamavuto a ana;
- matenda a shuga a mwana;
- kuvulala kwa mafupa ndi zovuta zina zamagetsi zamkati mwa mwana.
Kuwonetsedwa kwa matenda ashuga okhupuka nthawi zambiri amakhala ofatsa: nthawi zambiri azimayi oyembekezera samalabadira ngakhale pang'ono zomwe matendawa amatenga. Izi zimabweretsa vuto lalikulu. Ndikosavuta kudziwa matendawa potenga mayeso amwazi mu labotale. Mutha kuyeseza nokha mnyumbamo.
Kuti muchite izi, muyenera kugula chipangizo chapadera - glucometer. Madokotala ati kuti glycemia yachangu iyenera kukhala yotalikirana 5 mpaka 7 mmol / L. Kulekerera kwa glucose pambuyo pa ola limodzi mukatha kudya 10 mmol / l, ndipo patatha maola awiri - osaposa 8.5 mmol / l. Zowona, munthu ayenera kuganizira kuchuluka kwa cholakwika cha glucometer.
Malinga ndi ziwerengero, azimayi 10% omwe ali ndi udindowu amakhala ndi matenda ashuga. Monga lamulo, zimawonekera kumapeto kwa yachiwiri kapena yachitatu trimester. Koma mu 90% ya milandu, matenda amisala popanda chithandizo pambuyo pobadwa kwa mwana. Zowona, azimayi oterewa ali pachiwopsezo chotenga matenda amitundu iwiri mtsogolo.Palinso shuga. Amadziwika ndi ma labotera zizindikiro:
- kusala kudya glycemia ndi wofanana kapena wapamwamba kuposa 7 mmol / l;
- glycated hemoglobin ili pamtunda wa 6.5%;
- Maola angapo mutatha chakudya, shuga amaposa 11 mmol / l.
Popeza podzafika kumapeto kwa lachiwiri ndi lachitatu matendawa pamakhala chowopseza kuti insulin itulutsidwe, ma gynecologists pa masabata 28 nthawi zambiri amapatsidwa mayeso a pakamwa ola limodzi a glycemia. Chizindikiro chokhazikika chimafika pa 7.8 mmol / l. Ngati mayi atatenga magalamu 50 a shuga, kuwunikirako kunawonetsa zotsatira zapamwamba, ndiye kuti dokotalayo amapereka mayeso a maola atatu pogwiritsa ntchito magalamu 100 a shuga.
Mayi woyembekezera amapezeka ndi matenda ashuga ngati zotsatira zake ziyesedwa:
- Pambuyo pa ola limodzi m'mwazi, glycemia imaposa mtengo wa 10,5 mmol / L.
- Pambuyo maola angapo - oposa 9.2 mmol / L.
- Pambuyo maola atatu, chizindikirocho chili pamwamba pa 8 mmol / L.
Ndikofunika kuyang'ana gwirisi yanu pafupipafupi ndikudziwa shuga yanu yamaola ola limodzi mutatha kudya mwa amayi apakati.
Zizindikiro
Madokotala amalimbikitsa azimayi omwe ali ndi mwana kuti azisinthasintha magazi awo. Ngati chiwonetsero cha matenda ashuga chikuwoneka, kuwunika kuyenera kuchitika kale kuposa momwe anakonzera.
Zowona kuti mulingo wa glycemia ukuwonjezeka zikuwonetsedwa ndi zizindikiro izi:
- ludzu lakuya, lomwe silimatha ngakhale kumwa madzi ambiri;
- kuchuluka kwa tsiku ndi tsiku mkodzo. Pankhaniyi, mkodzo ndi wopanda mtundu;
- njala yosatha;
- kusinthasintha kwakachulukidwe kachuma;
- kufooka ndi kutopa kwambiri.
Kuti adziwe zoyenera, kupatula matenda obwera chifukwa cha shuga, dokotala amamuwuza kuti ayesere mkodzo ndi magazi.
Zotsatira zapamwamba pang'ono ndi njira yabwinobwino. Izi zikufotokozedwa ndikuti pakatulutsa bere, kapamba amakhala pansi pamtolo winawake ndipo sangathe kugwira ntchito mokwanira. Izi zimayambitsa shuga pang'ono. Kupatuka kwamphamvu pazomwe zimachitika kumawonetsa matenda a endocrine.
Momwe mungabweretsere mulingo wa glycemia pa mtengo wokhazikika?
Shuga wamagazi amatsimikiziridwa makamaka ndi zakudya. Kubwezeretsa kuchuluka kwa glycemia ku zakudya zabwinobwino, zakudya zina zapamwamba ziyenera kudyedwa.
Kuchokera pamenyu muyenera kuchotseratu michere yonse yosavuta, yomwe imadziwika ndi kusweka kwapadera:
- tchizi
- chokoleti;
- masoseji;
- nyama yankhumba yokazinga;
- lonse kapena wopindika mkaka;
- phala la phwetekere, mayonesi, msuzi wazokometsera .;
- mbatata zosenda;
- wowawasa zonona;
- zipatso zokoma;
- zakumwa zozizilitsa kukhosi za carbonated ndi timadziti ta sitolo;
- tsekwe ndi nyama bakha;
- ayisikilimu;
- mafuta apanyumba.
Ndikulimbikitsidwa kudya michere yambiri, yomwe imadziwika ndi kuchepa kwakutali.
Madokotala amalimbikitsa kupangira zakudya zopatsa thanzi izi:
- zitsamba;
- masamba abwino kapena ophikira;
- mpunga
- pasitala wolimba;
- mbatata zophika ndi uvuni;
- mphodza, nyemba ndi nyemba zina;
- nyama yanzimbe;
- Chikuku
- nyama ya kalulu.
Pali zinthu zomwe zimakhala ndi katundu wodwala. Izi zimaphatikizapo sipinachi, adyo, barele wa pearl, oatmeal, tomato, kaloti, radives, mkaka wa soya ndi kabichi. Komanso, akatswiri azakudya amalangiza kudya quince, zipatso za lingonberry ndi jamu, tchizi chokhala ndi mafuta ochepa, kumwa kefir ndi yogati. Ma lemoni nawonso amaloledwa pang'ono.
Makanema okhudzana nawo
Katswiri pa shuga wamagazi nthawi yapakati:
Chifukwa chake, mwa amayi apakati, kuchuluka kwa glycemic kumasiyana ndi komwe kumakhazikitsidwa kwa azimayi osabereka. Izi ndichifukwa chosintha mthupi la mayi woyembekezera. Ngati mutadya kadzutsa mulingo wa glycemia ndiwopamwamba kuposa 6.7, ndikofunikira kukayikira kukula kwa matenda. Tiyenera kudziwa kuti amayi apakati amakhala ndi vuto lotenga matenda ashuga. Pambuyo pobadwa, zizindikilo zonse zimabwereranso ku nthawi zonse. Koma nthawi zina, matenda a shuga a 2 amapezeka. Chifukwa chake, ndikofunikira kuyang'anitsitsa zamtundu wa glucose ndipo, pakupatuka pang'ono pazachidziwikire, kukaonana ndi endocrinologist.
