Kuyeserera kwamimba kwa shuga

Pa nthawi yonse yoyembekezera, azimayi amayenera kuyesa mayeso osiyanasiyana. Chimodzi mwazomwe chimaphatikizapo kuyesedwa kwa glucose, komwe kungathandize kuzindikira matenda omwe amadziwika kuti ndi gestational komanso kuletsa kukula kwake kukhala mawonekedwe odziwika bwino - shuga mellitus wa gulu lachiwiri.

Popeza izi sizichitika mwa amayi onse apakati - monga ziwerengero zimawonetsa, pafupifupi 7% ya onse ali ndi matendawa, ndikofunikira kukhazikitsa kukhalapo kapena kusapezeka kwa GDM munthawi yake kuti mayi ndi mwana wosabadwayo asavutike, ndipo vutolo silikukula kukhala matenda ovuta kwambiri posachedwa.

Amayi oyembekezera ayenera kupereka magazi a glucose kuti apewe zovuta zomwe zimachitika chifukwa cha kusintha kwachilengedwe m'thupi la mayi lomwe limayenderana ndi nthawi yonse ya bere. Izi zipangitsa kuti azitha kuyang'anira momwe thupi limayendera ndipo ngati kuli kotheka, lipatseni zinthu zomwe zikusowapo.

Chifukwa chiyani GTT imalembedwa panthawi yoyembekezera?

Chiyeso cha GTT nthawi zambiri chimaperekedwa kwa amayi apakati. Chifukwa cha kuchuluka kwambiri kwa thupi, ndizotheka kutulutsa matenda omwe alipo, komanso kuyambitsa atsopano, kuphatikizapo matenda a shuga.

Chimodzi mwazomwe chimayambitsa matendawa chimatha kutchedwa kuti insulin yoperewera, pomwe ipangidwira pang'ono kuchuluka kwa voliyumu yofunika, pomwe imayang'anira madongosolo a shuga ndikupanga nkhokwe posintha kutembenuka mphamvu.

Ndikusowa kwa insulin, glucose sangatengeke bwino, zomwe zimayambitsa matenda ashuga mwa amayi apakati, omwe amatha kukhala amitundu ina yamatendawa.

Madokotala amalimbikitsa kufunikira kwa mayeso motere:

• kuwona zonyansa m'thupi pakapita nthawi;
• matenda ashuga amtundu wamtumbo amatha kuchitika mwanjira yamakono;
• kukhalapo kwa matenda ashuga kungayambitse vuto lolakwika;
• mwana akhoza kubadwa ndi mavuto azaumoyo.

Nthawi zambiri, matenda opatsirana a matenda ashuga amatha kumapeto kwa nthawi yokhala ndi pakati, koma zotsatira zake zimakhala zotetezeka makamaka pakuwunika koyenera ndi kuchira.

Kanema pazomwe zimayambitsa matenda ashuga:

Zizindikiro zakusanthula kovomerezeka

Kuyeza kumeneku kumayesedwa ngati gawo lovomerezeka kwa azimayi omwe:

• shuga wamatenda am'mimba panthawi yapakati;
• ngati kuchuluka kwa mthupi kumachokera pa 30 ndi kupitilira, komanso ngati mayi woyembekezera panthawi yobadwa kale anali ndi ana akulu kuchokera 4 kg kapena kupitilira;
• ngati mayi woyembekezera ali ndi abale ake omwe ali ndi matenda ashuga.

Malangizo pakuyesa kotere atha kuperekedwa ndi madokotala monga endocrinologist, psychapist, gynecologist ndi ena ena, pankhani ya:

• amakayikira omwe ali ndi matenda oyamba a gulu loyamba kapena lachiwiri;
• kukula kwa mkhalidwe patsogolo pa chitukuko cha matenda a shuga;
• gestational shuga mellitus;
• kuphwanya impso, chiwindi, kapamba;
• kagayidwe kachakudya matenda;
• matenda a endocrine;
• mavuto onenepa kwambiri;
• ngati urinalysis akuwonetsa shuga.

Ngati zoterezi zapezeka, dokotalayo ayenera kusankha njira zingapo za nthawi yonse yomwe ali ndi pakati, kuchititsa kuwunika kwakanthawi kwa mayendedwe a mayiyo ndi kusintha kwa mayiyo. Ngati zizindikiro za matenda ashuga zapezeka, mayi woyembekezera ayenera kudandaula kwa dokotala za kusintha kwa thupi.

Contraindations poyesa

Sikuti milandu yonse imalola kuyesa kwa glucose.

Amayi oyembekezera omwe ali ndi kuphwanya malamulo monga:

• kupezeka kwa toxicosis, chifukwa chomwe pali kuthekera kwakukulu kwa kusamwa njira yotsekemera (kusanza kosayembekezeka), chifukwa chomwe glucose sangatenge;
• zovuta ndi matenda am'mimba;
• pachimake cholecystopancreatitis;
• Ngati malo ogona okhazikika amalembedwa;
• matenda opatsirana;
• kukhalapo kwa kutupa (kumakhudza kuyeserera kwa mayesowo);
• Matenda a Crohn;
• zilonda zam'mimba;
• kunyentchera mochedwa.

Ngakhale kuyesedwa kwakukulu kwa kulolera kwa glucose pakupeza matenda a shuga, pali njira zina zomwe zingagwiritsidwe ntchito kuzindikira.

Kukonzekera ndi kuyeserera kwa mayesowo

Kuyesaku kumachitika mwa kutenga magazi kuchokera m'mitsempha. Osamadya chakudya musanachite izi. Pankhani yovomerezeka, kuyezetsa magazi mobwerezabwereza kumachitika pambuyo pa theka la ola kapena ola limodzi, ngati zotsatira zoyambirira zikuwonetsa zambiri kuposa zomwe zimachitika, kuyesedwa kumayimitsidwa komanso matenda osokoneza bongo amatha kukayikiridwa.

Ndi magwiridwe antchito, izi zimachitika:

• muyenera kumwa njira yothetsera shuga;
• pambuyo pa mphindi 60, kuyesaku kumachitidwanso;
• Bwerezani mayeserowa mpaka kanayi.

Musanagonjere, palibe chifukwa chovomerezeka:

• idyani chakudya (mutha kuthirira madzi);
• mowa
• kusuta
• mankhwala ndi maantibayotiki.

Zinthu zonsezi zimatha kukhudza zosokoneza pazotsatira. Ndikofunikira kutsatira zakudya ndikudya mwachangu masiku atatu omaliza kuti chakudyacho chili ndi magalamu 150 tsiku lililonse tsiku lililonse.

Ndikofunikanso kuonetsetsa kuti:

• anali ndi zinthu zabwinobwino za magnesium;
• kunalibe zovuta za endocrine;
• kunalibe nkhawa;
• kunalibe zochitika zolimbitsa thupi.

Kutsatira ndizofunikira zonsezi kudzakhudza zotsatira zenizeni. Madotolo ayenera kudziwitsa mayi woyembekezera kuti ayenera kukhala wodekha mayeso asanamalize ndikuyesa kumwa njira yothetsa shuga pasanathe mphindi 5 pambuyo poyesa magazi koyambirira. Njira yothetsera vutoli imakhala ndi kukoma kwambiri komanso kokhala ndi shuga, kotero ngati pali kuledzera, sikuti aliyense angachite izi popanda kusanza.

Kutanthauzira kwa Zotsatira

Mfundo zotsatirazi mmol / l siziyenera kupitirira:

• pamimba yopanda kanthu - 5.1;
• Mphindi 60 atatha shuga - 10;
• maora angapo mutatha kukweza shuga - 8.6;
• Maola atatu mutatha kukweza shuga - 7.8.

Ngati zosachepera ziwiri mwa izi zikuwonetsa izi kapena malire pamtengo wokwanira, ndiye kuti adokotala angakayikire matenda a shuga. Chiyeso chothetsera chisakanizo sichichita pamene zotsatira zakusala kupitirira 7 mmol / L.

Ngati zotsatira za GTT panthawi yobereka magazi a venous pamimba yopanda kanthu imaposa mtengo wa 7 mmol / l, ndiye kuti mayi woyembekezera amakayikiridwa ndi matenda a shuga. Pakadali pano, kutumizidwanso kwazotsatira sikumasankhidwa kale kuposa masabata awiri kupatula zizindikiro zabodza mu kafukufukuyu. Koma, ngakhale mutakhala ndi zotsatirapo zoyipa, kuwunika sikupangidwa. Pankhaniyi, mayi woyembekezera akhoza kulembetsa ndi endocrinologist.

Chitsimikizo cha matenda komanso njira zamankhwala

Kusanthula kumodzi sikokwanira kuti mupange matenda. Mukapatsanso kusanthula, ngati zizindikirazi zikutsimikiziridwa, adokotala azitha kuzindikira pokhapokha ngati abereka. Komanso, pambuyo pobadwa kwa mwana, ndizoyenera kuti mukhale ndi mayeso a GTT kuti muwonetsetse ngati shuga idalumikizidwa ndi pakati kapena ayi.

Amayi oyembekezera omwe achulukitsa kuchuluka kwa mayeso a glucose ayenera kutsatira zakudya zapadera ndi regimen. Ndi zakudya zokha zomwe zimatha kusintha matupi athu komanso kuchepetsa shuga.

Choyamba, muyenera kuchepetsa kumwa kwa zinthu zomwe zili ndi shuga, ndikugwiritsanso ntchito mitundu yosavuta yazopatsa mphamvu ndi zovuta. Izi zimalola posachedwa kusintha mkhalidwe wa mayi wapakati.

Malamulowa ayenera kutsatiridwa:

• kudya kwa tsiku ndi tsiku kwa madzi - osachepera malita 1.5 (madzi okha opanda mpweya amawaganizira);
• kuthetseratu yokazinga ndi mafuta;
• zakudya ziyenera kukhala zopangika, ndikofunikira kugawa chakudya m'mapwando a 5-6, muyenera kudya pang'ono ndi maola awiri aliwonse;
• kupatula zakudya zothamanga ndi zakudya zomwe zimapezeka pompopompo;
• Chotsani ketchup, mayonesi pazakudya (zitha kusinthidwa ndi kirimu wowonjezera mafuta);
• osamadya nkhumba;
• buledi wamba m'malo mwa mkate wathunthu.

Mumakonda zotsatirazi:

• nsomba zamafuta ochepa (mwachitsanzo, hake, pollock);
• nyama yazakudya (nkhuku, nyama yamwana wamphongo, mwanawankhosa);
• chimanga;
• durum tirigu pasitala;
• masamba
• mafuta mkaka otsika.

Kuphatikiza pa zakudya, ndikofunikira kuchita maphunziro akuthupi. Masewera opepuka amafunikira, mutha kuyenda kwambiri - zonsezi zimathandizira kusintha. Zochita zanu zonse zimayenera kukhala zogwirizana ndi adokotala anu kuti asavulaze mwana.