Kuyeserera kwa glucose pakubala: ndikofunikira?

Mimba ndi gawo limodzi lovuta kwambiri m'moyo wa mayi aliyense. Zimakhudza thanzi lake, popeza kuyambira pachiyambi pomwe mpaka miyezi isanu ndi inayi mpaka nthawi yobadwa, njira zambiri zimachitika mthupi la mayi woyembekezerayo, zomwe zina zimasintha mthupi.

Kukhala bwino kwa mayi ndi mwana kwakukulukulu kumatengera momwe njirazi zimachitikira. Ndizotsatira zawo kuti amayi apakati azikhala ndi mayeso ambiri, pakati pomwe mayeso ololera a glucose ndi ofunika kwambiri.

Chifukwa chiyani amatero?

Amayi ambiri amachita mantha ndi kuchuluka kwa mayeso amtundu wa biochemical. Izi zimachitika chifukwa choopa thanzi la mwana wosabadwa, ndipo mwina chifukwa chokana kudzipereka ku mayeso otsatira, omwe madokotala amamulembera ndipo ndi ochuluka kwambiri. Koma ngakhale ndi chidule chowopsa GTT - kuyesa kwa glucose kumawerengedwa kuti ndi koyenera kwa mayi aliyense wapakati. Palibepo kawirikawiri zomwe zimachitika pokhapokha pochitika mosamalitsa monga momwe zikuwonekera.

Cholinga chachikulu cha mayeso okhudzana ndi glucose ndikuwona kuchuluka kwa mayamwidwe a shuga mthupi la mayi wapakati.

Phunziroli limatchedwanso "shuga katundu," chifukwa limaphatikizapo kuyendetsa shuga wina mkati. Monga lamulo, njira ya pakamwa imagwiritsidwa ntchito pamenepa.

Amayi ambiri oyembekezera nthawi zambiri amakhala ndi malingaliro abodza kuti mayesowa siwofunika kwambiri poyerekeza ndi ultrasound yokhazikika kapena mayeso okhutira hCG. Pazifukwa izi, amayesetsa kuti asiye. Komabe, pochita izi, mumayika ngozi osati thanzi lanu lokha, komanso tsogolo la mwana wanu.

Mkazi aliyense pa nthawi ya bere amakhala ndi gulu laanthu lomwe limatha kudwala matenda ashuga. Pankhaniyi, amatchedwanso matenda a shuga, chifukwa amapangika ndipo amakula chifukwa cha kuchuluka kwa kusintha kosalamulirika m'thupi la mkazi.

Kwa mayi wapakati, monga lamulo, mtundu uwu wa matenda a shuga suwopseza. Komanso, zimangokhala zokha pakangobadwa mwana, magazi onse akabwerera mwakale. Komabe, pokhapokha ngati pakhale yoyenera kukonza, matendawa amatha kusokoneza mapangidwe ndi kupititsa patsogolo mluza.

Nthawi zina, matenda osokoneza bongo amakhala mtundu wa matenda ashuga 2. Komanso, imafalikira kuchokera kwa mayi kupita kwa mwana wosabadwayo.

Ndemanga za amayi oyembekezera za kafukufukuyu zikutsimikizira kuti sizikufuna kuyesedwa kwa inu, komanso sizingakhale ndi vuto kwa inu kapena mwana wanu. Zimatsata izi Kuyeserera kwa glucose kumatha kuchitika ndipo kuyenera kuchitika m'nthawi yake, koma kuukana kumayika thanzi la mwana wanu mtsogolo.

Mpaka liti?

Malinga ndi mapuloteni azachipatala, kuyezetsa kwa glucose kumachitika kwa mayi aliyense woyembekezera panthawi zina. Masiku ano ndichikhalidwe kusiyanitsa magawo awiri ofunikira:

1. Gawo loyamba ndilovomerezeka kwa mkazi aliyense, chifukwa limakupatsani mwayi wodziwika ndi zoopsa zomwe zingayambitse matenda a shuga. Kuyesedwa kumachitika kwa mayi aliyense woyembekezera kwa nthawi yayitali mpaka masabata 24 paulendo woyamba wa dokotala aliyense waluso.
2. Pa gawo lachiwiri, kuyesedwa kwapadera kumachitika ndi kuchuluka kwa magalamu 75 a shuga otengedwa pakamwa. Nthawi zambiri, kafukufuku wotere amachitika kwa milungu 32, pafupifupi pa masabata 26-28. Ngati chiwopsezo cha matenda a shuga a m'mimba kapenanso kuopseza thanzi la mwana wosabadwayo chikuyembekezeka, mwachitsanzo, shuga ikapezeka mumkodzo wa mayi wapakati, ndiye kuti gawo lachiwiri loyeserera kulolerana kwa glucose lingachitike kale.

Kusanthula koyambirira, komwe kumachitika koyambirira, kumakhala kofanana ndi kuchuluka kwa glucose m'magazi a mayi wapakati pambuyo posala kudya pang'ono (pafupifupi maola 8). Nthawi zina mayeso amakhala ovomerezeka osasintha zakudya. Zotsatira zake ngati pali kupatuka pang'ono pa chizolowezi, mwachitsanzo, shuga wamagazi ndi ochepera 11 magawo, ndiye kuti izi ndizowona ngati zovomerezeka.

Nthawi zambiri Zizindikiro pakati pa 7.7 ndi 11.1 sichizindikiro chodziwika bwino cha matenda. Komabe, amatha kuyankhulabe za chiopsezo chowonjezereka cha matenda osokoneza bongo ochita masewera olimbitsa thupi, chifukwa chake, gawo lachiwiri loyesa limachitika nthawi zambiri pambuyo pa masiku angapo a PHTT (pambuyo poyesedwa ndi shuga).

Nthawi zina, zitsanzo zimachitika kunja kwa nthawi yomwe yakonzedweratu. Izi nthawi zambiri zimakhala zofunikira ngati dokotala akukayikira kuti akhoza kukhala ndi matenda ashuga kwa mayi woyembekezera, kapena nthawi ya bere pakakhala zovuta zina zomwe zingasokoneze chakudya chamagulu ambiri. Mikhalidwe yofananayi imaphatikizapo izi:

• Mayi woyembekezera ndi wonenepa kwambiri. Nthawi zambiri izi zitha kunenedwa ngati mayeso amisili a mayi akupitirira 30 ngakhale atakhala kuti ali ndi pakati, kuchuluka kwa minyewa ya adipose kumachulukitsa mwayi wokhala ndi matenda a shuga, chifukwa chake, pakubala, amayi otere amakhala makamaka pagulu lowonjezereka. chiopsezo.
• Kuzindikira shuga pa urinalysis. Kudzipatula kwama glucose ochulukirapo ndi impso kumangosonyeza kuti pali zovuta zina za mayamwidwe amthupi m'thupi.
• Mzimayi ali kale ndi mbiri ya matenda amishuga pakubala kwapakale.
• Makolo a mwana wosabadwa kapena abale awo apamtima, mwachitsanzo, bambo, makolo a amayi, ali ndi mtundu uliwonse wa matenda ashuga.
• Mayi woyembekezera amapezeka ndi mwana wosabadwa wamkulu.
• Mwa mayi aliwonse apakati, kubadwa kwa mwana wamwamuna wamkulu kapena womutumiza kumadziwika.
• Mayi woyembekezera atatengedwa, kuwunikira kwa shuga wamagazi kuwonetsa zotsatira pamwamba pa 5.1.

Ndizofunikanso kudziwa kuti nthawi zina, madokotala nawonso amakana kuchititsa kafukufukuyu. Pali nthawi zina pamene kutsitsa kwa glucose kumatha kukhala ndi vuto kwa mayi woyembekezera kapena mwana wake.

Zonsezi zimawerengedwa ngati zotsutsana ndi mayeso okhudzana ndi shuga:

• matenda oyamba ndi poyizoni a mayi wapakati,
• Mkhalidwe wa mkazi pakadali pano umafuna kugona;
• Mbiri ya mayi imakhala ndi matenda am'mimba, chifukwa cha zomwe amachitidwa opaleshoni
• kukhalapo kwa matenda aliwonse otupa kapena ochulukitsa a matenda apamba a pancreatic,
• The kukhalapo kwa matenda pachimake matenda limodzi ndi yogwira kutupa.

Kukonzekera kwa kusanthula

Kuti mupewe kusochera kosafunikira mu kusanthula kwa data ya GTT, ndikofunikira kukonzekera molondola kukhazikitsa kwake. Kuchita bwino kwa madotolo kumatengera ndi momwe mayi wapakati amakhudzira thanzi lake, chifukwa chake kusanachitike, amayi apakati amalimbikitsidwa:

• Zakudya zabwino zokhazikika kwa masiku osachepera atatu mayeso asanayesedwe. Ndikofunika kuti zakudya za tsiku ndi tsiku zimakhala ndi magalamu pafupifupi 150 a ma carbohydrate kuti akwaniritse zomwe zimachitika mthupi.
• Chakudya chotsiriza pamaso pa GTT chiyeneranso kukhala ndi magalamu 50-60 a chakudya.
• Loweruka la kuyeserera, pafupifupi maola 8-14 musanayambitse phunzirolo, kusala kudya kokwanira ndikofunikira. Izi nthawi zambiri zimakhala ulonda wa usiku chifukwa kuyesedwa kumachitika m'mawa. Nthawi yomweyo, boma la kumwa lilibe malire.

• Komanso, tsiku lotsatira mayeso asanakwane, ndikofunikira kupatula kudya mankhwala onse omwe ali ndi shuga kapena glucose woyenera. Ma glucocorticosteroids ambiri, beta-blockers, ndi beta-adrenergic agonists sayeneranso kutengedwa. Ndikwabwino kumwa mankhwalawa pambuyo pa GTT, kapena kudziwitsa dokotala za kuvomereza kwawo kuti athe kutanthauzira molondola zotsatira zoyeserera.
• Muyeneranso kudziwitsa dokotala wanu ngati mukumwa mankhwala a progesterone kapena progesterone.
• Nthawi zambiri, ndikulimbikitsidwa kuti musiye kusuta fodya, komanso kukhalabe ndi thupi kufikira kumapeto kwa mayeso.

Zimachitika bwanji?

Monga lamulo, GTT imachitidwa mwa kusala magazi a venous. Zomwe zimafunikira kwa mayi woyembekezera ndikutsatira malamulo okonzekera mayeso, kufika ku labotale mu nthawi kuti atenge magazi kuchokera mu mtsempha, kenako ndikudikirira zotsatira zake.

Ngati pa gawo loyamba kuchuluka kwa glucose okwanira kumatsimikizika, kwa amayi apakati izi ndi manambala kuyambira 11.1 ndi kupitirira, ndiye kuti kafukufukuyu amatha, wodwalayo amapezeka ndi matenda osokoneza bongo ndipo amatumizidwa kuti akafunsidwe ndi endocrinologist.

Ngati mayesowa akuwonetsa kuti ali ndi malire poyerekeza ndi malire ovomerezeka, ndiye kuti mayeso obwereza a m'milomo amachitika. Kuti muchite izi, mayi amamwa magalamu 75 a shuga owuma, omwe kale anali atasefa m'mililita pafupifupi 350 zamadzi oyera pamadzipa, ndipo ola limodzi zitatha izi, kuyezetsa magazi kumabwerezedwanso. Potere, kuthira kwa magazi sikuloledwa kuchokera mu mtsempha, koma kuchokera ku chala.

Kutengera ndi zomwe zikuwonetsa, kuyezetsa magazi kumatha kubwerezedwa kangapo, mwachitsanzo, maola awiri mutatha kudya shuga, maola atatu pambuyo pake, ndi zina zambiri. Chifukwa chake, pali zingapo zomwe mungachite pakamwa ya GTT, kutengera nthawi yomwe mungatenge sampuli ya magazi: maola awiri, maola atatu, maola anayi, ndi zina zambiri.

Kulemba zotsatira

Zachidziwikire, popeza kuti kukhala ndi pakati ndi njira yovuta kwambiri, kuchuluka kwa shuga m'thupi la mkaziyo kumakulitsidwa mulimonse. Komabe, pali zinthu zina zomwe zizomwe ziyenera kukhala izi:

1. 5.1 mmol / l. - ndi kusala kudya koyambirira,
2. 10 mmol / l. - mutafufuza ola limodzi mutamwa shuga pakamwa,
3. 8.6 mmol / l. - Patatha maola awiri mutamwa shuga,
4. 7.8 mmol / L. - Maola atatu mutatha kudya shuga.

Monga lamulo, ngati ziwiri mwazisonyezo zili pamwambazi zili kunja kwa mtundu wabwinobwino, izi zikutanthauza kuti mayi wapakatiyo walephera kulolerana ndi shuga. Chifukwa chake, madokotala amatha kukayikira chiopsezo chachikulu kapena ngakhale kukhalapo kwa matenda ashuga.

Musaiwale kuti nthawi zina, kuyesanso kwachiwiri kumatha kukhala koopsa, chifukwa kudula kwa shuga kumayambitsa zizindikiro zazikulu zama glucose zomwe zimachitika.

Izi zikuphatikiza chizungulire, mseru, khungu mumaso, kusanza, thukuta. Mwa zilizonse mwazizindikirozi, chipatala kapena ogwira ntchito akuyenera kuyimitsa mayeserowo ndikupereka chithandizo kwa mayi woyembekezera ndi chiwopsezo cha kukomoka kwa Hyperglycemic

Pazomwe mumayesa komanso chifukwa chake kuyesedwa kwa glucose kumaperekedwa panthawi yoyembekezera, onani vidiyo yotsatira.

Kodi mayeso ololera a shuga ndi otani?

Mahomoni omwe amatulutsidwa panthawi yoyembekezera amatha kuwonjezera magazi. Izi zimatsimikiziridwa mwakuthupi. Zotsatira zake, katundu pa kapamba amawonjezeka, ndipo amatha kulephera. Mwakutero, azimayi omwe ali ndi vuto la shuga ayenera kukhala ocheperapo osakhala oyembekezera. Kupatula apo, kuchuluka kwa glucose kumawonetsa kuti thupi la mayi wapakati silitulutsa insulin yokwanira, yomwe imayenera kuyang'anira shuga.

Zachilengedwe zasamalira kuteteza kapamba wa mwana yemwe akupanga shuga wambiri. Koma popeza zakudya zoyenera za mayi wapakati, monga lamulo, zimachulukitsidwa ndi chakudya, zikondamoyo za mwana zimakulirakonso katundu wolemera kale m'mimba. Werengani nkhani yothandiza pa maswiti panthawi yoyembekezera >>>

Kodi mayeso ololera wa glucose (GTT) amachitika bwanji pa nthawi yoyembekezera?

Ndikofunikira kuti mudziwe momwe glucose amalowerera m'thupi la mayi wapakati, ngati pali zolakwika zilizonse. Ndi chithandizo chake, mutha kutsimikizira kuti mukudwala matenda a shuga, kuti mupeze kuyeserera koyenera kwa kapamba.

Mu ma algorithms apakati a federal, GTT idaphatikizidwa mu 2013, kuwunika zoopsa ndi zovuta zomwe zingachitike chifukwa cha matenda osokoneza bongo kwa mwana wakhanda (fetoplacental insufficiency, hypoglycemia, etc.) ndi mayi woyembekezera (preeclampsia, kubadwa msanga, polyhydramnios, etc.).

Amakhulupirira kuti ambiri mwa amayi apakati omwe adayamba kupeza kuchuluka kwa shuga anali ndi vuto la kagayidwe kachakudya komanso kuperewera kwa shuga ndi insulin asanabadwe. Koma kuphwanya koteroko kunali kovuta kwambiri. Chifukwa chake, kuzindikira matenda ashuga pakapita nthawi ndikofunikira kwambiri.

GTT si njira yosangalatsa. Mayeso amachitika pa 24 - 28 milungu ya mimba. Pambuyo pake, mayesowo akhoza kukhala ovulaza kwa mwana wosabadwayo. Amayi amapatsidwa madzi akumwa okoma kwambiri okhala ndi magalamu 75 a shuga (pafupifupi supuni 20 za shuga) ndipo pochita izi amapereka magazi kuchokera m'mitsempha kangapo. Kwa ambiri, mayesowa amakhala mayeso enieni, ndipo kufooka, nseru ndi chizungulire sizitenga nthawi yayitali.

Zofunika! Laborator momwe GTT imagwirira ntchito imayenera kupatsa amayi apakati yankho la glucose lokonzekera. Ndi chithandizo chake chokha chomwe chitha kukwanitsa zotsatira zoyenera. Ngati mayi wapemphedwa kuti abweretse shuga, madzi, kapena mtundu wina wa chakudya, ndibwino kusiya nthawi yomweyo maphunziro amenewo.

Zizindikiro ndi zotsutsana kwa GTT

Zisonyezero za mayeso:

• Mlozera wamasamba ambiri ndi wofanana ndi 30 kg / m2 kapena kupitilira chizindikiro ichi,
• Kubadwa kwa mwana wamkulu (wolemera zoposa makilogalamu anayi) m'mimba yapitayi,
• kuthamanga
• matenda a mtima
• mbiri yakubala,
• shuga m'modzi mwa abale,
• matenda ashuga okalamba m'mbuyomu
• fibroids, thumba losunga mazira la polycystic kapena endometriosis musanakhale ndi pakati.

Nthawi yomweyo, GTT siyikulimbikitsidwa pazinthu zotsatirazi:

1. Ndi toxicosis (zambiri za toxicosis nthawi yapakati >>>),
2. pambuyo pa opaleshoni pamimba chifukwa cha malabsorption,
3. zilonda zam'mimba komanso kutupa kwam'mimba
4. mu pachimake matenda opatsirana kapena kutupa mthupi,
5. ndi matenda amtundu wa endocrine,
6. mukamamwa mankhwala omwe amasintha shuga.

Kukonzekera mayeso ndi njirayi

Ndikulimbikitsidwa kuti azimayi onse omwe sanapezeka kuti ali ndi shuga ochulukirapo kuposa 5.1 mmol / l m'magazi awo mpaka masabata 24 kuti akalandire GTT kuti athetse matenda ashupt.

Momwe mungakonzekerere mayeso ololera a glucose panthawi yapakati? Mayi woyembekezera sayenera kudya kalikonse maola 8 asanafike phunzirolo. Nthawi yomweyo, ndibwino kudya mbale yokhala ndi chakudya usiku. Mwachitsanzo, supuni 6 za phala kapena magawo atatu a buledi. Pewani kupsinjika kwamalingaliro ndi thupi tsiku lisanafike GTT.

Za momwe kuyeserera kwa glucose kumachitika panthawi yomwe muli ndi pakati, mutha kufunsa dokotala mwatsatanetsatane wazinthu zonse zamalingaliro. Pakadandaula pang'ono pazaumoyo (nose nose, malaise), ndibwino kuchedwetsa mayeso, chifukwa izi zitha kupotoza zotsatira. Muyenera kuuza dokotala za mankhwala omwe mukumwa. Mwina amathanso kukhudza kusanthula.

Nthawi zambiri njirayi imawoneka motere: mayi woyembekezera amapereka magazi pamimba yopanda kanthu. Khofi ndi tiyi zimasiyidwa m'mawa! Magazi akatengedwa kuti aunikidwe, mayiyo amapatsidwa kumwa mkaka wa glucose. Ndi nthawi ya ola limodzi, mayiyo amapereka magazi owonjezera kawiri.Pakadali pano, mkazi saloledwa kudya, kumwa, kapena kuchita masewera olimbitsa thupi, chifukwa zonsezi zimatha kukhudza zotsatira zomaliza za mayeso. Mwa amayi athanzi, maola angapo mutatha kumwa shuga, shuga wamagazi amayenera kubwerera mwakale.

Zofunika! Ngati zovuta za mayi zimam'patsa thupi zimayang'aniridwa asanabadwe, kapena anapezeka atabereka mwana, ndibwino kuti ayesere kulolera kwa glucose pakatha milungu 25.

Momwe mungawerengere zotsatira?

Kugwiritsa ntchito mayeso ololera a glucose, mutha kutsata kusintha kwa kuchuluka kwa shuga m'magazi. Ndipo kodi pali kusintha kulikonse kuzisonyezo konse. Ndizomveka kuti mutatenga yankho la shuga, kuchuluka kwa shuga m'magazi kumawonjezeka kwambiri, koma patatha maola ochepa izi zimayenera kufika pamlingo woyamba.

Matenda oyembekezera omwe ali ndi pakati amatha kuganiziridwa ngati kuchuluka kwa glucose kosala kupitirira 5.3 mmol / L. Mzimayi amagwera m'dera langozi ngati, patatha ola limodzi chitatha kafukufukuyu, chizindikirochi chimakhala chachikulu kuposa 10 mmol / L, ndipo maola 2 atatha 8.6 mmol / L.

Chifukwa chake, miyambo ya kuyeserera kwa glucose panthawi yokhala pakati imakhala yochepera kuposa izi. Kuzindikira komaliza kumatha kuchitika pambuyo poyesedwa kwachiwiri tsiku lina. Kupatula apo, zotsatira zabwino zabodza sizingadziwike kuti kukonzekera kwa GTT kwachitika molakwika.

Kodi ndi chiyani chinanso chomwe muyenera kudziwa chokhudza mayeso okhudzana ndi glucose panthawi yomwe muli ndi pakati musanatenge? Zotsatira za GTT zitha kukhala zolakwika ngati muli ndi vuto la chiwindi lomwe mwasokoneza, zinthu zochepa za potaziyamu m'thupi kapena pali endocrine pathologies.

Malangizo kwa amayi apakati

Ngati maphunziro onse amachitidwa molondola, ndipo mayiyo akuwululirabe matenda a shuga, izi sizitanthauza kuti muyenera kukonzekera insulin. Pafupifupi 80 - 90% ya milandu, kusintha kwa zakudya ndi moyo ndizokwanira. Kuphatikiza zakudya, zakudya zopatsa thanzi zamasamba atsopano ndi zipatso, zolimbitsa thupi zolimbitsa thupi, pang'onopang'ono kuchepetsa shuga m'magazi ndikupewa mankhwala.

Kuti mupeze zakudya zabwino, onani e-Book Chinsinsi cha zakudya zoyenera kwa mayi wam'tsogolo >>>

Mlingo wamavuto okhudzana ndi pakati komanso kubereka ana chifukwa cha matenda ashuga, omwe sanapezeke pazifukwa zilizonse, akadali otsika kwambiri. Koma ngati matendawa adadziwika, m'malo mwake, nthawi zina angakhudze mayiyo. Kuyendera pafupipafupi kuchipatala ndi kuyesedwa kwa labotale kukhoza kuwononga thanzi la mayi wapakati.

Pafupifupi mwezi ndi theka atabadwa, azimayi amayambiranso kuyesedwa kwa glucose, zomwe zikuwonetsa ngati shuga idalumikizidwa kokha ndi "nyengo yosangalatsa". Kafukufuku angatsimikizire kuti kuchuluka kwa glucose kwabwereranso kwazonse.

Kodi akutani?

Nthawi zambiri, amayi oyembekezera amafunsa madokotala chifukwa chomwe amayesedwa kuyesa kwa glucose ngati alibe pachiwopsezo. Ngati kuthamanga kwa shuga m'magazi, njira zingapo ndizovomerezeka pamimba.

Gawani aliyense monga njira yodzitetezera

Kubala mwana nthawi yakusintha kwakukulu mwa mkazi. Koma zosinthazi sizikhala zabwino nthawi zonse. Thupi limakumana ndi kusintha kwakukulu, kubala mwana wamtsogolo.

Popeza kuchuluka kwakukulu komwe thupi limakumana nako konse, ma pathologies ena amawonekera pokhapokha kuyembekezera mwana. Matenda monga shuga.

Muzochitika izi, kukhala ndi pakati kumathandizira kukhala chinthu choyambitsa matenda. Chifukwa chake, ngati njira yodzitetezera, kusanthula kwa GTT panthawi yapakati ndikofunikira komanso kofunikira.

Zowopsa

Kusanthula palokha sikowopsa. Izi zikugwira ntchito pa mayeso opanda katundu.

Pakuyerekeza ndi kafukufuku yemwe wachitika ndi masewera olimbitsa thupi, "mankhwala osokoneza bongo" ambiri a shuga amatha. Izi zimachitika pokhapokha ngati mayi woyembekezera ali ndi kuchuluka kwa glucose kale, koma padzakhala zizindikilo zomwe zikuwonetsa bwino kuti kuphwanya kagayidwe kazachilengedwe.

OGTTs sachitidwa pachabe. Pa nthawi yoyembekezera, katunduyu amayesedwa nthawi zopitilira 2 pokhapokha ngati akukayikira kwambiri matenda ashuga. Ngakhale magazi amaperekedwa kamodzi kokha (trimester) osalephera, chifukwa chake, mulingo wa shuga m'magazi ukhoza kupezeka popanda katundu wowonjezera.

Idyani zipatso zosiyanasiyana

Monga momwe amathandizira pa zamankhwala zilizonse, GTT imakhala ndi zotsutsana zingapo, mwa iwo:

• kubereka kapena kubereka shuga
• kuchuluka kwa matenda osachiritsika am'mimba (gastritis, zovuta, etc.),
• matenda oyambitsidwa ndi mavairasi (kapena matenda amtundu wina),
• koopsa Inde.

Palibe kupangika kwa munthu payekha, kuyesedwa kumakhala koyenera ngakhale pakati. Kuphatikiza apo, kuweruza ndi ndemanga, samapereka chisangalalo chochuluka pamakhalidwe.

Kugwedezeka kwa glucose kwa mayi kumatchedwa "madzi okoma," omwe ndi osavuta kumwa. Inde, ngati mayi wapakati samadwala toxosis. Kusapeza bwino pang'ono kumasiya kufunika kotenga magazi katatu maora awiri.

Komabe, m'makiriniki amakono ambiri (Invitro, Helix), magazi ochokera m'mitsempha amatengedwa mopanda kupweteka ndipo samasiya malingaliro osasangalatsa, mosiyana ndi mabungwe ambiri azachipatala azamasamba. Chifukwa chake, ngati pali kukayikira kapena nkhawa, ndibwino kuti mupereke kuwongolera kwa chindapusa, koma ndi mulingo wolimbikitsidwa.

Osadandaula - zonse zikhala bwino

Kuphatikiza apo, mutha kulowa glucose nthawi zonse, koma chifukwa cha izi muyenera kubayanso. Koma simuyenera kumwa chilichonse. Glucose imayambitsidwa pang'onopang'ono kuposa mphindi 4-5.

Kwa ana ochepera zaka 14, kusanthula kumatsutsana. Kwa iwo, imachitika kokha mwa kutenga magazi osalemera glucose.

Kuchuluka kwa malo omwera mokoma nawonso ndi osiyana. Mwana akakhala ndi kulemera kosakwana 42 kg, mlingo wa shuga umachepetsedwa.

Chifukwa chake, kuchita mayesowo pokonzekera bwino ndikutsatira malangizowo sikubweretsa vuto. Ndipo pakapita nthawi, matenda osokoneza bongo omwe ndi osadziwika amawopsa kwa mwana wosabadwayo ndi mayi.

Kagayidwe koyenera, kuphatikiza kagayidwe kazakudya, ndikofunikira pakukula kwa mwana wosabadwayo komanso thupi la mayi panthawi yapakati. Chipangizochi chazindikirika chikuyenera kusintha, chomwe chidzaperekedwa ndi woyang'anira-gynecologist.

Kukhalapo kwa matenda osokoneza bongo amachititsa kuti mayi akhale ndi pakati komanso kubereka. Chifukwa chake, ndikofunikira kuti alembetse koyambirira ndikusintha zomwe zimapangitsa kuti magazi asakhale ndi matenda komanso kuti achepetse kuvulaza.

Chifukwa chake, popereka kuwunika kumeneku kwa amayi amtsogolo, simuyenera kudandaula, koma onetsetsani mayesowo moyenera. Kupatula apo, kupewa ndi chithandizo chabwino kwambiri, makamaka ngati sichikhala ndi moyo umodzi, koma awiri nthawi imodzi.

Za wolemba: Borovikova Olga

gynecologist, dokotala wa ultrasound, geneticist

Anamaliza maphunziro ake ku Kuban State Medical University, komwe amaphunzira digirii ku genetics.

Zambiri

Matenda a shuga mu amayi apakati (gestational) ali ndi kusiyana poyerekeza ndi maphunziro akale a matendawa. Choyamba, izi zimakhudza kuchuluka kwa mayesedwe - kuti kwa omwe siamayi oyembekezera kumayambitsa kuphwanya kagayidwe kazakudya, kwa azimayi oyembekezera kungatengedwe ngati chizolowezi. Ichi ndichifukwa chake kuyesa kwapadera kwa glucose molingana ndi njira ya O'Salivan kumachitika kuti aphunzire amayi apakati. Kusanthula kumakhudzana ndikugwiritsa ntchito zomwe zimadziwika kuti "shuga katundu", zomwe zimathandizira kuzindikira kuyambitsa kwa shuga m'thupi.

Chidziwitso: amayi oyembekezera ali pachiwopsezo chotenga matenda a shuga. Ichi ndichifukwa chokonzanso njira za kagayidwe kachakudya mthupi, chifukwa chomwe kuphwanya kogwirizana kwa chinthu chimodzi kapena china kumatheka. Kuphatikiza apo, matenda osokoneza bongo amatha kukhala asymptomatic kwa nthawi yayitali, chifukwa chake ndizovuta kuzindikira ngati alibe GTT.

Matenda a gestational pa seti siyowopsa ndipo amadzisankhira yekha pakabadwa mwana. Komabe, ngati simupereka chithandizo chothandizira chomwe chimakhala chotetezeka kwa mayi ndi mwana, chiwopsezo cha zovuta zimakulira. Komanso kukula kwa mtundu wachiwiri wa matenda osokoneza bongo a shuga kuyenera kusankhidwa kuchokera ku zowopsa kwa mkazi.

Matenda a gestational ali ndi chiwopsezo chowonjezereka cha kunenepa kwambiri, kulolera glucose, ndi matenda amtundu wa 2 wa ana 1.

Migwirizano ya GTT mwa amayi apakati

Kuwunikira kwa kulolera kwa glucose kuyenera kuchitika pakadutsa masabata 16-18, koma pasanathe milungu 24. M'mbuyomu, kafukufukuyu adzakhala wosasintha, popeza kukana (kukana) kwa insulin mwa amayi oyembekezera kumayamba kuchuluka kokha mu trimester yachiwiri. Kuyesedwa kuchokera masabata 12 ndikotheka ngati wodwala ali ndi shuga wowonjezera pakuwunika kwamkodzo kapena magazi.

Gawo lachiwiri la kuyesedwa limayikidwa pa masabata a 24-26, koma osapitirira 32, popeza kumapeto kwa gawo lachitatu la shuga kukhala kowopsa kwa mayi ndi mwana.

Ngati zotsatira za kusanthula zikugwirizana ndi zomwe zimapezeka kuti munthu wapezeka ndi matenda a shuga, ndiye kuti mayi woyembekezerayo amatumizidwa kwa endocrinologist kuti apereke mankhwala othandiza.

GTT imalembedwa kuti azimayi onse oyembekezera azisinkhasinkha matenda ashuga pakati pa milungu 24 mpaka 28 ya bere.

Kuyesedwa kwa glucose kumayesedwa kwa amayi apakati mpaka milungu 24 omwe amagwera pachiwopsezo:

• kupezeka kwa matenda ashuga m'mabanja,
• chitukuko cha matenda ashuga apakati m'mimba yapitayi,
• kuchuluka kwamankhwala kumapitirira gawo 30 (kunenepa kwambiri),
• mayi wazaka 40 ndi kupitilira
• mbiri ya polycystic ovary 2
• wokhala ndi mwana wamkulu (kuyambira 4-4,5 kg) kapena mbiri yakubadwa kwa ana akulu,
• kuwunika kwamkati mwa mkodzo wapakati kunawonetsa kuchuluka kwa shuga,
• kuyezetsa magazi kunawonetsa shuga ya plasma yoposa 5.1 mmol / L, koma m'munsi mwa 7.0 mmol / L (chifukwa kusala glucose pamwamba 7 mmol / L ndi pamwamba 11.1 mmol / L mwachitsanzo mwachangu kumakupatsani mwayi wopanga shuga shuga.)

Kuyesaku sikothandiza pankhani zotsatirazi:

• toxosis yoyambirira wokhala ndi zizindikiro zotchulidwa,
• matenda a chiwindi
• kapamba (kutupa kwa kapamba) mwamphamvu,
• zilonda zam'mimba (zowonongeka kwa mzere wamkati wam'mimba),
• zilonda zam'mimba, gastritis,
• Matenda a Crohn (zotupa za m'mimba m'mimba),
• kutaya matenda (kufulumizitsa kayendedwe ka m'mimba m'matumbo),
• kupezeka kwa zotupa, ma virus, matenda kapena bakiteriya,
• mimba mochedwa
• ngati kuli kotheka, kutsatira kupumula pogona kwambiri,
• pa glucose wopanda m'mimba mulingo wa 7 mmol / l kapena kuposa,
• mukumwa mankhwala omwe amalimbikitsa kuchuluka kwa glycemia (glucocorticoids, mahomoni a chithokomiro, thiazides, beta-blockers).

Kuchiritsa

Chidziwitso: ngati gawo loyambirira la mayeso liwiro la shuga m'magazi limaposa 7 mmol / l, ndiye kuti matenda ena owonjezera (kutsimikiza kwa glycosylated hemoglobin, C-peptide) amadziwika, matendawo ndi “mtundu wina wa matenda a shuga” (mtundu wanyimbo 1, mtundu 2). Pambuyo pa izi, kuyesedwa mkamwa ndi katundu koletsedwa.

Pali zinthu zingapo zosintha mayeso:

• magazi a venous okha ndi omwe akuwonetsa (magazi ochepa kapena osavomerezeka samalimbikitsidwa)
• mfundo zokhazikitsidwa sizikusintha ndi nthawi yakusasamala,
• mutatsitsa, phindu limodzi ndilokwanira kuzindikira matenda ashuga,
• mutalandira zotsatira zosakanikirana, mayesowo amabwerezedwa pambuyo pa masabata awiri kuti musankhe zotsatira zabodza,
• kusanthula kumabwerezedwa pambuyo pobadwa kuti zitsimikizire kapena kutsutsana ndi matenda ashuga.

Zinthu zomwe zingakhudze izi:

• kuchepa kwa micronutrient (magnesium, potaziyamu) m'thupi,
• zosokoneza mu endocrine system,
• matenda a matenda
• kupsinjika ndi nkhawa
• zolimbitsa thupi zosavuta (kuyendayenda m'chipindacho poyesa),
• kumwa mankhwala okhala ndi shuga: mankhwala a chifuwa, mavitamini, ma beta-blockers, glucocorticosteroids, kukonzekera kwachitsulo, ndi zina zambiri.

Kukhazikitsidwa ndikutanthauzira kusantaku kumachitika ndi gynecologist, endocrinologist.

Kukonzekera kwa GTT

Kupanga kuyesa kwa glucose kuloleza, kupereka magazi kwa venous kumaganiziridwa, motero, malamulo okonzekera kubwezeretsa ndi muyezo:

• magazi amaperekedwa kokha pamimba yopanda kanthu (kupuma pakati pa chakudya osachepera maola 10),
• patsiku loyesedwa mutha kumwa madzi okha opanda mpweya, zakumwa zina ndizoletsedwa,
• Ndikofunika kuphunzitsidwa m'mawa m'mawa (kuyambira 8.00 mpaka 11.00),
• dzulo la kusanthula, ndikofunikira kusiya mankhwala osokoneza bongo ndi mavitamini, chifukwa mankhwala ena amatha kupotoza zotsatira zoyeserera.
• tsiku loti tsikuli lichitike, ndikofunika kuti musamagwire ntchito kwambiri mwakuthupi kapena mwamalingaliro,
• Ndi zoletsedwa kumwa mowa ndi kusuta fodya usanapendekeze.

Zowonjezera zofunika kudya:

• Masiku atatu chisanachitike vena ndizoletsedwa kutsatira zakudya, masiku osala kudya, kusala kwamadzi kapena kusala, kusintha zakudya,
• komanso masiku atatu musanayesedwe, muyenera kudya magalamu osachepera 150. chakudya patsiku, pomwe chakudya chomaliza chamadzulo chizikhala pafupifupi 40-50 g. chakudya.

Kuyesedwa mwa amayi apakati

Njira ya OSalivan imaphatikizapo kuyesa kwa glucose koyenera ndi magawo atatu.

Gawo 1

Mphindi 30 asanafike mayeso, wodwalayo ayenera kukhala pansi / kugona kuti apumule,

Wothandizira paramedic amatenga magazi kuchokera m'mitsempha ya ana kudzera mwa chotupa, pambuyo pake amatumizidwa ku labotale.

Zotsatira za sitepe iyi zimathandiza dokotala kuti adziwe "shuga wambiri wamitsempha yamagazi" ngati kuchuluka kwa shuga m'magazi kumadutsa mphamvu zomwe zili 5.5 mmol / L. Ndipo "shuga wodalirika wodalirika" ngati zotsatira zake ndizoposa 7.0 mmol / L. Ngati mayesowa sanatchulidwe kapena zotsatira zomwe zapezedwa ndizosadabwitsa, pitani pagawo lachiyeso.

Gawo lachiwiri

Thupi limapatsidwa "katundu" wapadera monga njira yothira shuga (75 g ya shuga wowuma pagalasi lamadzi ofunda). Pakupita mphindi 5, wodwalayo ayenera kumwa madziwo ndikungokhala (osagona) kwa ola limodzi. Kunenepa kwa zakumwa kungayambitse mseru, kotero kumaloledwa kumachepetsa pang'ono ndi mandimu othira. Pambuyo pa ola limodzi, kuyamwa kwa magazi kumachitika.

Gawo lachitatu

Patatha maola awiri atamwa njirayi, kupatsanso magazi ena mobwerezabwereza kumachitika. Pakadali pano, adotolo amatsimikizira kapena amakana kuwunika kwa matenda a shuga.

Mitundu ya mayeso ololera a glucose

Ndimasankha mitundu ingapo ya mayeso:

• pamlomo (PGTT) kapena pakamwa (OGTT)
• intravenous (VGTT)

Kodi kusiyana kwawo kofunikira ndi kotani? Chowonadi ndi chakuti zonse zili momwe zingapangire chakudya. Izi zomwe zimatchedwa "glucose katundu" zimachitika pakangotha ​​mphindi zochepa kuchokera pakupanga magazi koyambirira, ndipo mudzapemphedwa kuti mumwe madzi otsekemera kapena njira yothetsera shuga iperekedwe mwachangu.

Mtundu wachiwiri wa GTT umagwiritsidwa ntchito kwambiri kawirikawiri, chifukwa kufunikira koyambitsa mafuta amkati m'magazi a venous kumachitika chifukwa chakuti wodwalayo sangathe kumwa madzi otsekemera iyemwini. Kufunika kumeneku sikuchitika nthawi zambiri. Mwachitsanzo, ndi toxosis yayikulu mwa amayi apakati, mayi amatha kupatsidwa “glucose” kudzera m'mitsempha.Komanso, mwa odwala omwe amadandaula za kukhumudwa kwa m'mimba, pokhapokha ngati pali kuphwanya mayankho a zinthu pakukonzanso michere, palinso kufunika kukakamiza shuga mwachindunji m'magazi.

Zizindikiro za GTT

Odwala otsatirawa omwe angapezeke ndi matendawa, atha kuzindikira zovuta zotsatirazi atha kulandira kuchokera kwa katswiri wazachipatala, gynecologist kapena endocrinologist:

• kukayikira kwa mtundu wachiwiri wa matenda ashuga a m'matenda (ngati akupanga matenda), ngati matendawa alipodi, posankha ndi kusintha kwa mankhwalawa "matenda a shuga" (mukamawunika zotsatira zabwino kapena kusowa kwa chithandizo).
• lembani 1 matenda ashuga, komanso podziyang'anira,
• shuga wokayikitsa kapena kupezeka kwake,
• prediabetes
• kagayidwe kachakudya matenda
• zolakwika zina mu ziwalo zotsatirazi: kapamba, tiziwalo timene timatulutsa, zotupa, chiwindi,
• kulolerana kwa shuga,
• kunenepa
• matenda ena a endocrine.

Chiyesocho sichidachite bwino pokhapokha posankha deta ya matenda omwe amamuganizira, komanso machitidwe owunika.

Pazifukwa zotere, ndikosavuta kugwiritsa ntchito kusanthula kwama biochemical magazi kapena mita yamagazi. Zachidziwikire, kunyumba ndizotheka kupenda magazi athunthu. Nthawi yomweyo, musaiwale kuti kusanthula kulikonse kosunthika kumalola kachigawo kakulakwitsa, ndipo ngati mungaganize zopereka magazi a venous kuti aunike ma labotale, zizowerezo zidzasiyana.

Kuti mudziwongolere nokha, ndizokwanira kugwiritsa ntchito owunikira, omwe, mwa zina, sangawone kuchuluka kokha kwa glycemia komanso kuchuluka kwa glycated hemoglobin (HbA1c). Zachidziwikire, mita ndi yotsika mtengo kuposa kuyesa magazi a biochemical Express, kukulitsa mwayi wophunzitsira bwino.

GTT zotsutsana

Si aliyense amene amaloledwa kuchita mayesowa. Mwachitsanzo, ngati munthu:

• vuto la shuga
• matenda am'mimba thirakiti (mwachitsanzo, kuchuluka kwa kapamba am'mimba),
• pachimake yotupa kapena matenda opatsirana,
• toxosis yayikulu,
• ntchito itatha,
• kufunika kopuma.

Mawonekedwe a GTT

Tidamvetsetsa momwe mungapezere mwayi wolumikizira mayeso okhudzana ndi shuga. Tsopano nthawi yakwana yoti mupeze mayesowa molondola.

Chimodzi mwazinthu zofunikira kwambiri ndikuti sampling yoyamba ya magazi imachitika pamimba yopanda kanthu ndipo momwe munthu wakhalira asanapereke magazi zimakhudzanso zotsatira zomaliza. Chifukwa cha izi, GTT imatha kutchedwa "capricious", chifukwa imakhudzidwa ndi izi:

• kugwiritsa ntchito zakumwa zoledzeretsa (ngakhale pang'ono zakumwa zoledzeretsa zimasokoneza zotsatira),
• kusuta
• zolimbitsa thupi kapena kuchepa kwake (ngati mumasewera kapena mukuchita masewera olimbitsa thupi),
• kuchuluka kwa momwe mumatha kudya zakudya za shuga kapena madzi akumwa (zikhalidwe zomwe mumadya zimakhudza mayesowa),
• zinthu zopsinjika (kusokonezeka kwamanjenje kawirikawiri, nkhawa kuntchito, kunyumba panthawi yolowa ku sukulu yophunzitsira, kuti mupeze chidziwitso kapena mayeso odutsa, etc.),
• Matenda opatsirana (matenda opumira pachakudya, matenda opatsirana pachimake, chimfine kapena mphuno yakumwa, chimfine, tonsillitis, etc.),
• mkhalidwe wogwira ntchito (munthu akavulala pambuyo pochita opaleshoni, saloledwa kuyesa mtundu uwu).
• kumwa mankhwala (okhudza malingaliro a wodwala, kutsika kwa shuga, mahomoni, mankhwala othandizira kagayidwe kachakudya ndi zina zotero).

Monga tikuwona, mndandanda wazomwe zimakhudza zotsatira zoyesedwa ndizitali kwambiri. Ndikwabwino kuchenjeza dokotala wanu za izi pamwambapa.

Pankhani imeneyi, kuwonjezera pa iyo kapena ngati mtundu wina wodziwitsa za matenda

Itha kutha kupatsirana pakati pa nthawi yobereka, koma imatha kuwonetsa zotsatira zabodza chifukwa chakuti kusintha kwachangu komanso koopsa kumachitika mthupi la mayi wapakati.

Njira zoyesera magazi ndi zigawo zake

Tiyenera kunena nthawi yomweyo kuti ndikofunikira kutsimikizira zowerengera zikuzindikira kuti magazi omwe adasanthulidwa panthawi yoyesedwa.

Mutha kulingalira magazi onse a capillary komanso magazi a venous. Komabe, zotsatira sizosiyana kwambiri. Chifukwa chake, mwachitsanzo, ngati tiwona zotsatira za kusanthula magazi kwathunthu, ndiye kuti zidzakhala zochepa poyerekeza ndi zomwe zimapezeka panthawi yoyesa zigawo zamagazi zomwe zimapezeka kuchokera ku mtsempha (plasma).

Ndi magazi athunthu, zonse ndi zomveka: adalasa chala ndi singano, adatenga dontho la magazi kuti liwunikidwe bwino. Pazifukwa izi, pamafunika magazi ambiri.

Ndi venous ndizosiyana pang'ono: zitsanzo zoyambirira za magazi kuchokera mu mtsempha zimayikidwa mu chubu choyesera chozizira (ndikwabwino, ndithudi, kugwiritsa ntchito chubu yoyesera, ndiye kuti makina owonjezera omwe asungidwe magazi sangakhale ofunika), omwe ali ndi mankhwala osungirako omwe amakupatsani mwayi kuti mupulumutseni sampuli mpaka mayeso omwe. Ili ndi gawo lofunikira kwambiri, chifukwa zinthu zosafunikira siziyenera kusakanikirana ndi magazi.

Zosungidwa zingapo nthawi zambiri zimagwiritsidwa ntchito:

• 6mg / ml yonse ya sodium fluoride

Imachepetsa ma enzymatic njira m'magazi, ndipo panthawi imeneyi imawaletsa. Chifukwa chiyani izi ndizofunikira? Choyamba, magazi samayikidwa pachabe mu chubu chozizira. Ngati mudawerengapo kale nkhani yathu ya hemoglobin ya glycated, ndiye kuti mukudziwa kuti kutentha, "hemoglobin" ndi "shuga", magazi atakhala ndi shuga wambiri kwa nthawi yayitali.

Kuphatikiza apo, chifukwa cha kutentha komanso kugwiritsa ntchito mpweya, mpweya umayamba “kuzimiririka” mwachangu. Amasungunuka, amakula poizoni. Pofuna kupewa izi, kuphatikiza ndi sodium fluoride, chophatikizira china chimawonjezeredwa ku chubu choyesera.

Zimasokoneza kuchuluka kwa magazi.

Kenako chubu chimayikidwa pa ayezi, ndipo zida zapadera zimakonzedwa kuti zigawike magazi kukhala zigawo zikuluzikulu. Plasma ndiyofunikira kuti ipangidwe pogwiritsa ntchito centrifuge ndipo, pepani chifukwa cha tautology, kuphatikiza magazi. Plasma imayikidwa mu chubu china choyesera ndipo kuwunika kwake mwachindunji kwayamba kale.

Zachinyengo zonsezi ziyenera kuchitika mwachangu ndipo mkati mwakanthawi kamphindi makumi atatu. Ngati plasma yapatulidwa pambuyo pa nthawi iyi, ndiye kuti kuyesa kungaganizidwe kwalephera.

Kuphatikiza apo, ponena za kusanthula kwina kwa magazi a capillary ndi venous. Laborator angagwiritse ntchito njira zosiyanasiyana:

• glucose oxidase njira (masiku 3.1 - 5.2 mmol / lita),

Kuti tizinena mosavuta komanso mosakhazikika, zimakhazikika pa enzymatic oxidation ndi shuga oxidase, pamene hydrogen peroxide imapangidwa kumalo ogulitsira. Orthotolidine yopanda utoto, mothandizidwa ndi peroxidase, amapeza mtundu wowoneka bwino. Kuchuluka kwa tinthu tina tokhala ngati utoto "kumayankhula" zamagalasi. Zochulukirapo za izo, zimachulukanso kuchuluka kwa shuga.

• Njira ya orthotoluidine (masiku 3.3 - 5.5 mmol / lita)

Ngati poyambirira pali makutidwe a okosijeni malinga ndi enzymatic reaction, ndiye kuti izi zimachitika mwa acidic sing'anga ndipo mphamvu yake imachitika mothandizidwa ndi mankhwala onunkhira ochokera ku ammonia (iyi ndiye orthotoluidine). Zomwe organic zimachitika, zimachitika chifukwa cha zomwe glucose aldehydes imatulutsa. Ma machulukidwe amtundu wa "momwe" yankho limayambira akuwonetsa kuchuluka kwa shuga.

Njira ya orthotoluidine imawonedwa yolondola kwambiri, motero, imagwiritsidwa ntchito kwambiri pakuwunika magazi ndi GTT.

Mwambiri, pali njira zambiri zodziwira glycemia omwe amagwiritsidwa ntchito poyesa ndipo onse agawidwa m'magulu akulu akulu: colometric (njira yachiwiri, yomwe tidawunikira), enzymatic (njira yoyamba, yomwe tidawunikira), reductometric, electrochemical, strips test (yogwiritsidwa ntchito mu glucometer ndi ena ojambula ojambula)

Magazi a venous 2 patatha maola 2 mutatha chakudya

Ngati tikulankhula za kuchuluka kwa shuga mwa anthu athanzi, ndiye kuti ndimasamba othamanga a magazi oposa 5.5 mmol / lita, titha kulankhula za metabolic syndrome, prediabetes ndi zovuta zina zomwe ndi chifukwa chophwanya kagayidwe kazakudya.

Pankhaniyi (mwachidziwikire, ngati matendawa atsimikiziridwa), ndikulimbikitsidwa kuwunikiranso mayendedwe anu onse. Ndikofunika kuti muchepetse kumwa kwa zakudya zotsekemera, zinthu zophika mkate ndi masitolo onse ophika. Osamwa zakumwa zoledzeretsa. Osamamwa mowa ndikudya masamba ambiri (abwino akaphika).

An endocrinologist amathanso kutumiza wodwalayo kukayezetsa magazi ndi kuyezetsa ma endocrine a dongosolo la anthu.

Ngati tikulankhula kale odwala ndi matenda a shuga, ndiye kuti mitengo yawo imatha kusiyanasiyana. Chikhoterero, monga lamulo, chimalunjikitsidwa pakuwonjezera zotsatira zomaliza, makamaka ngati zovuta zina za matenda a shuga zapezeka kale. Kuyesedwa uku kumagwiritsidwa ntchito poyesa kwakanthawi mayendedwe kapena kusinthika kwa chithandizo. Ngati zizindikirozo ndizapamwamba kwambiri kuposa zoyambazo (zopezeka kumayambiriro kwa matenda), ndiye kuti titha kunena kuti mankhwalawo sathandiza. Sizinapereka zotsatira zoyenera ndipo, mwina, dokotala yemwe akupezekapo amapereka mankhwala angapo omwe amachepetsa shuga.

Sitikulimbikitsa kugula mankhwala olembetsedwa mwachangu. Ndibwinonso, kuti muchepetse kuchuluka kwa zinthu zomwe ndikugula mkate (kapena musawakane), ndichotseretu maswiti onse (osagwiritsa ntchito zotsekemera) ndi zakumwa zotsekemera (kuphatikiza "maswiti" azakudya pa fructose ndi zina zama shuga), kuwonjezera zolimbitsa thupi ( Onaninso glycemia isanachitike, musanayambe maphunziro ndi pambuyo pa maphunziro: onani mndandanda wazolimbitsa thupi). Mwanjira ina, tengani zoyeserera zonse popewa matenda obwera ndi matenda ashuga komanso zina zake.

Wina akanena kuti sangathe kusiya zakudya zotsekemera, zonona, mafuta, safuna kusuntha ndi kutuluka thukuta, kuwotcha mafuta owonjezera, ndiye kuti sakufuna kukhala wathanzi.

Matenda a shuga samayanjana ndi umunthu. Kodi mukufuna kukhala athanzi? Ndiye khalani nawo pompano! Kupanda kutero, zovuta za matenda ashuga zidzakudya inu kuchokera mkati!

Mimba mayeso kulolera

Mwa amayi apakati, zinthu ndizosiyana pang'ono, chifukwa pakubala mwana, thupi la azimayi limakhala lopanikizika kwambiri, lomwe limadya chakudya chambiri cha amayi. Ayenera kutsatira zakudya zomwe zili ndi mavitamini, michere ndi michere yambiri, zomwe zimayenera kutumizidwa ndi dokotala. Koma ngakhale izi, nthawi zina, sizokwanira ndipo ziyenera kuthandizidwa ndi mavitamini okwanira.

Chifukwa cha chisokonezo china, amayi oyembekezera nthawi zambiri amapita kutali ndikuyamba kudya zinthu zazikulu kuposa zomwe zimafunikira kuti mwana akule bwino. Izi zili choncho makamaka kwa chakudya chamagulu chomwe chili mu chakudya china. Izi zimatha kuvulaza mphamvu ya mkazi komanso, zimakhudza mwana.

Ngati hyperglycemia yotalikirapo imawonedwa, ndiye kuti matendawa angapangidwe - matenda a shuga (GDM), omwe muyezo wa hemoglobin wa glycated amathanso kuwonjezeka.

Ndiye, kodi izi zimapangitsa kuti azindikire izi?