Momwe mungazindikire matenda aposachedwa a shuga mwa amayi apakati

Gestationalabetes mellitus ndikuphwanya kwa kagayidwe kazakudya, yemwe adadziwika kwa nthawi yoyamba panthawi yapakati. Zomwe zimayambitsa matendawa sizimamveka bwinobwino. Matenda a shuga nthawi yayitali amatha kubweretsa padera, kubereka asanabadwe, matenda a akhanda, komanso mavuto obwera kwanthawi yayitali mwa mayi.

Kuwunikira kwa matenda a shuga ochitika pakapita nthawi yobereka kumayesedwa kwa nthawi yoyamba pamene mkazi adzayendera dokotala. Kuyesa kotsatira kumachitika pa sabata la 24-28. Ngati ndi kotheka, mayi woyembekezerayo amawunikiranso.

Zomwe zimayambitsa matendawa

Pa nthawi yoyembekezera, gawo lina la endocrine limatuluka mthupi - placenta. Ma mahomoni ake - prolactin, chorionic gonadotropin, progesterone, corticosteroids, estrogen - amachepetsa chiwopsezo cha zimakhala za mayi kupita ku insulin. Ma antibodies ku insulin receptors amapangidwa, kuwonongeka kwa mahomoni mu placenta kumadziwika. Kagayidwe ka matupi a ketone kumalimbikitsidwa, ndipo glucose imagwiritsidwa ntchito pazofunikira za mwana wosabadwayo. Monga chipukutira, mapangidwe a insulin amalimbikitsidwa.

Nthawi zambiri, chitukuko cha kukana insulini ndizomwe zimayambitsa kuchuluka kwa shuga wamagazi mukatha kudya. Koma kumwa kwa chakudya ndi mwana wosabadwayo pophunzira kusala magazi kumadzetsa vuto la hypoglycemia. Pokhala ndi kutengera kwa chibadwa cha matenda ashuga, zida zamagetsi sizimalimbana ndi zowonjezera zomwe zimayambika ndipo matenda amakula.

Matenda a shuga panthawi yoyembekezera amakhudza thanzi la mayi ndi mwana

Pangozi ya matendawa ndi azimayi:

• onenepa kwambiri;
• zaka zopitilira 30;
• okhala ndi cholochedwa cholowa;
• wokhala ndi mbiri yosavomerezeka;
• ndi zovuta kagayidwe kazakudya adapezeka musanabadwe.

Matendawa amakula pakapita miyezi 6 ndi pakati ya pakati. Amayi omwe ali ndi matenda osokoneza bongo ali ndi kuthekera kwakukulu kokulira kwa matenda ena atatha zaka 10-15.

Kuzindikira kwa matenda abwinobwino a amayi apakati nthawi zambiri kumakhala kovuta chifukwa cha asymptomatic course. Njira yayikulu yodziwira zovuta za metabolic ndi mayeso a labotale.

Kuyeserera koyambirira

Mayi woyembekezera akalembetsedwa, kuchuluka kwa glucose kumatsimikiziridwa. Magazi a Venous amatengedwa kuti akafufuze. Simuyenera kudya osachepera maola 8 musanawunike. Mwa azimayi athanzi, chizindikirocho ndi 3.26-4.24 mmol / L. Matenda a shuga amadziwika kuti ali ndi glucose othamanga kuposa 5.1 mmol / L.

Kutsimikiza kwa shuga m'magazi a mayi wapakati - njira yofufuzira

Kusanthula kwa glycosylated hemoglobin kumakupatsani mwayi wokhazikitsa mtundu wa metabolism wa carbohydrate m'miyezi iwiri. Nthawi zambiri, mulingo wa glycosylated hemoglobin ndi 3-6%. Kuwonjezeka kwa chizindikiro mpaka 8% kukuwonetsa mwayi wokhala ndi matenda opatsirana a shuga, pomwe 8-10% chiwopsezochi chili pang'ono, ndi 10% kapena kuposa - okwera.

Onetsetsani kuti mwayang'ana mkodzo wa glucose. 10% ya amayi apakati omwe ali ndi vuto la shuga

Kuyesedwa pa milungu 24-28 ya bere

Kuyesedwa kwa shuga m'magazi panthawi yapakati

Ngati mayeso oyamba a trimester muyezo sanawonetse matenda a metabolism, kuyesa kotsatira kumachitika kumayambiriro kwa mwezi wa 6. Kutsimikiza kwa kulolera kwa glucose sikutanthauza kukonzekera kwapadera ndipo kumachitika m'mawa. Phunziroli limaphatikizapo kudziwa zomwe zili ndi chakudya cham'magazi othamanga, ola limodzi mutatha kutenga magalamu 75 a shuga, ndi maola ena awiri. Wodwala sayenera kusuta, kusuntha mwachangu, kumwa mankhwala omwe amakhudza zotsatira za kusanthula.

Ngati hyperglycemia yapezeka pakuwunika koyambirira, njira zotsatirazi sizikuchitika.

Kutsimikiza kwa shuga kulolerana ndi contraindicated milandu:

• pachimake toxicosis;
• matenda opatsirana;
• kukokoloka kwa chifuwa chachikulu;
• kufunika kopuma.

Magazi oyamba am'magazi a mayi woyembekezera amakhala wotsika kuposa omwe siamayi. Pambuyo pa ola limodzi lokweza, gawo la glycemia mwa mayi wapakati ndi 10-11 mmol / L, atatha maola awiri - 8-10 mmol / L. Kuchepetsa kuchepa kwa kuchuluka kwa shuga m'magazi panthawi ya bere kumachitika chifukwa cha kusintha kwa mayamwidwe am'mimba.

Ngati matenda a shuga apezeka pamayeso, mayiyo amalembetsa ndi endocrinologist.

Kusintha kwachidziwitso mu kagayidwe kazakudya mwa akazi ambiri amadziwika pakati pa nthawi yapakati. Kukula kwa matendawa kumatsimikiziridwa. Matenda a shuga ndi oopsa pa thanzi la mayi ndi mwana. Kuzindikira koyambirira kwa kupatuka ndikofunikira panthawi yothetsera matenda.