Type 2 shuga mellitus amadziwika ndi kuphwanya mayankho a metabolic ku endo native kapena exulin. Izi zimabweretsa kuwonjezeka kwa shuga m'magazi. Mimba yokhala ndi matenda a shuga a 2 ili ndi zovuta zake. Ndipo choyambirira, izi zimachitika chifukwa cha kunenepa kwambiri komanso kugwiritsa ntchito mankhwala omwe amakonzekera.
Monga lamulo, dokotala yemwe amapezekapo amamulembera zinthu zoterezi nthawi yayitali (NPH) m'mawa ndi usiku. Pankhani yoika insulin yochepa, kugwiritsa ntchito kwake kumachitika ndi zakudya (nthawi yomweyo imakhudza katundu wa carbohydrate). Ndi dokotala yekhayo amene amasintha mlingo wa mankhwala okhala ndi insulin. Kuchuluka kwa zinthu zomwe zimagwiritsidwa ntchito poyerekeza ndi shuga kumadalira kuchuluka kwa insulini.
Mankhwala a odwala matenda ashuga ayenera kuyikidwa kokha ndi dokotala
Kukonzekera Kwa Mimba
Ndi matenda awa, mimba siinapatsidwe. Koma mtundu uwu wa shuga nthawi zambiri umakhala limodzi ndi kupezeka kwa kunenepa kwambiri. Chifukwa chake, pokonzekera mwana, kuchepa thupi ndikofunika kwambiri. Izi ndichifukwa choti munyengo yonyamula mwana, katundu pa mtima, mafupa amawonjezeka kwambiri, omwe samangowonjezera mwayi wa thrombophlebitis, mitsempha ya varicose, komanso imakhudza thupi lonse. Kwa onenepa kwambiri, gawo la cesarean limagwiritsidwa ntchito.
Ndi matenda a shuga a 2, madokotala amalimbikitsa kukonzekera pakati.
Kuyambira isanatenge pathupi kuyenera:
- shuga wamagazi ochepa;
- khazikitsani milingo ya shuga;
- phunzirani kupewa hypoglycemia;
- kuteteza kukula kwa zovuta.
Izi ndizofunikira, chifukwa zimalola kuti mwana wabadwa, wathanzi lokwanira abadwe ndikuthandizira thanzi la amayi panthawi yokhazikika. Ndipo m'nthawi yochepa izi sizingatheke. Palibe zolepheretsa kutenga pakati pa mimba pamene kuchuluka kwa glucose kumakhala ndi zokhazikika: pamimba yopanda kanthu - min. 3.5 max 5.5 mmol / l., Asanadye - min. 4 max 5, 5 mmol / L., maola awiri mutatha kudya - 7.4 mmol / L.
Amayi oyembekezera omwe ali ndi matenda ashuga amayenera kuyang'aniridwa ndi dokotala.
Njira ya mimba kudalira insulin
Panthawi ya bere, nthawi ya shuga siyokhazikika. Kutengera ndi msinkhu wakubala, njira yamomwe matenda amasinthira amasiyanasiyana. Koma zonsezi ndizizindikiro zaumwini. Zimatengera mkhalidwe wa wodwala, mawonekedwe a matendawa, mawonekedwe a thupi la mkazi.
Pali magawo angapo a matendawo.
- Choyamba trimester. Pakadali pano, njira yamaphunziro imatha kuyenda bwino, kuchuluka kwa shuga kumachepa, pamakhala chiopsezo cha hypoglycemia. Ndi zizindikirozi, adokotala amatha kuchepetsa mlingo wa insulin.
- Wachiwiri trimester. Nthawi ya matendawa imakula. Mlingo wa hyperglycemia ukuwonjezeka. Kuchuluka kwa insulin yomwe ikugwiritsidwa ntchito ikukula.
- Wachitatu trimester. Pakadali pano, maphunziro a shuga amakhalanso bwino. Mlingo wa insulin umatsitsidwanso.
Zofunika! Pambuyo pa kubadwa, kuchuluka kwa shuga m'magazi kumatsika msanga, koma pambuyo pa sabata kumakhala kofanana ndi momwe zinaliri asanakhale ndi pakati.
Mayi woyembekezera yemwe ali ndi matenda a shuga a 2 amatha kugonekedwa kangapo kuchipatala. Kumayambiriro kwa nthawi, matendawa amayesedwa kuchipatala. Mu trimester yachiwiri, kugonekedwa ku chipatala kumachitika kuti mupewe mavuto pambuyo pakukula kwa matendawa, mu trimester yachitatu - kuchitira njira zowonjezera ndikusankha njira yakubala.
Amayi oyembekezera omwe ali ndi matenda ashuga amayenera kuyang'anira shuga wawo wamagazi tsiku lililonse.
Mavuto omwe angakhalepo panthawi yomwe muli ndi pakati
Insulin yokumbira isanapangidwe (1922), kutenga pakati, komanso makamaka kubadwa kwa mwana mwa mkazi yemwe ali ndi matenda ashuga, sikunali kofunikira. Izi zimachitika chifukwa chosasinthika komanso anovulatory (chifukwa cha pafupipafupi hyperglycemia) mizere ya kusamba.
Zosangalatsa! Asayansi masiku ano sangathe kutsimikizira: kuphwanya ntchito yogonana kwa azimayi omwe amadalira insulin makamaka kumayambitsa matenda ovarian kapena hypogonadism yachiwiri chifukwa cha kusapeza kwa hypothalamic-pituitary system.
Kufa kwa azimayi oyembekezera omwe anali ndi matenda ashuga nthawi imeneyo anali 50%, ndipo ana akhanda adafika 80%. Ndi kuyambitsa kwa insulin machitidwe azachipatala, chizindikiro ichi chinali chokhazikika. Koma mdziko lathu lino, kutenga pakati ndi matenda ashuga tsopano kumaonedwa ngati chiwopsezo chachikulu kwa mayi ndi mwana.
Mu shuga mellitus, kupititsa patsogolo kwa matenda amitsempha kumatha.
Ngati mayi woyembekezera azitsatira malangizo onse azachipatala, mwana wake amabadwa wathanzi kwathunthu
Pakuwonjezeranso kwa gestosis mwa mayi wapakati, zotsatirazi zikuwonetsedwa:
- kuthamanga kwa magazi;
- kutupa
- mapuloteni mumkodzo.
Pankhani ya preeclampia motsutsana ndi matenda a shuga aimpso, kuopseza moyo wa mayiyo ndi mwana kumachitika. Ichi ndi chifukwa cha kukhazikika kwa aimpso chifukwa cha kuwonongeka kwakukulu mu ntchito ya ziwalo.
Kuphatikiza apo, nthawi zambiri zimachitika ndi matenda a shuga a mellitus omwe amangochotsa mimbayo mu trimester yachiwiri. Amayi omwe ali ndi vuto la mtundu wa 2, monga lamulo, amabereka nthawi.
Kukhala ndi pakati pa matenda a shuga a 2 kuyenera kuyang'aniridwa ndi dokotala. Ndikulipira chidziwitso cha matenda am'mimba komanso kuzindikira kwakanthawi kwamatenda, mimba imadutsa mosatekeseka, mwana wathanzi komanso wamphamvu adzabadwa.
