Kodi chiwopsezo cha kuchuluka kwa shuga munthawi yokhala ndi pakati ndi chiyani?

Matenda a shuga ndi matenda ovuta omwe amafunika kuwunika kwa madotolo ndikuwonetsetsa kuti azidya zakudya zopatsa thanzi zomwe sizimalola kuchuluka kwa shuga m'magazi. Poganizira kuti palibe mankhwala achilengedwe omwe amatha kuthana ndi kuwonjezeka kwa glycemia bwino monga mankhwala apadera, funso labwinobwino limabuka, momwe mungachepetse shuga yamagazi panthawi yapakati. Kupatula apo, amayi omwe ali ndiudindo ayenera kusamala kwambiri pakumwa mankhwala.

Matenda a shuga

Ngati mayi woyembekezera ali ndi kuchuluka kwa shuga m'magazi, amadziwika kuti ndi matenda osokoneza bongo. Izi zimasiyanitsidwa chifukwa chakuti nthendayi imadutsa pakubadwa kwa mwana ndipo imachitika pokhapokha pakubala.

Kuchuluka kwa shuga sikungakhudze mayi woyembekezera kapena mwana wake wosabadwa, komwe kumayamba kukula kwambiri mchiberekero, komwe kumapangitsa kubereka kwambiri. Pamodzi ndi izi, amatha kukhala ndi hypoxia.

Njira zamakono zochizira zimadziwa yankho la funso la momwe mungachepetse shuga m'magazi panthawi yomwe muli ndi pakati, ndipo limakupatsani mwayi wothana ndi vutoli moyenera. Komabe, ziwerengero zamankhwala zikuwonetsa kuti azimayi omwe ali ndi matenda osokoneza bongo amayamba kukhala ndi matenda a shuga.

Zomwe Zimayambitsa Madzi Aakulu A shuga

Chimodzi mwazomwe zimachitika ndi kapamba wa munthu aliyense ndikupanga insulin, yomwe imakonza kuchuluka kwa shuga m'magazi. Insulin imagwira glucose, yemwe amalowetsedwa m'maselo a thupi la munthu, ndipo mulingo wake m'magazi umachepa. Matenda a shuga amaphatikizanso kuphwanya kapangidwe ka insulin.

Pakati pa nthawi yayitali, zinthu zambiri zimasintha mthupi la mkazi. Imaphatikizidwa ndi mitundu ina ya opareshoni. Makamaka, placenta imayamba kukhazikitsa mahomoni enaake omwe zochita zake ndizosiyana ndi insulin. Ndizabwinobwino kuti izi zimasokoneza njira zomwe zimakhudzana ndi mayamwidwe a shuga, zomwe zimayambitsa kuwonjezeka kwa shuga m'magazi.

Panthawi yobereka mwana, thanzi lake limadalira thanzi la mayi wamtsogolo. Pakakhala kulephera ndi kuperesa kwa glucose, zochulukitsa sizimangokhala magazi a mkaziyo, koma zimadziwikanso ndi placenta ndikulowa m'magazi a fetal. Izi zimabweretsa zovuta zowonjezera kwa ake, omwe sanapangidwe, kapamba.

Kodi chimachitika nchiyani pambuyo pake? Ndipo pomwe zikondazo zimangokakamizidwa kugwira ntchito ndi kubwezera kulipirira kuchuluka kwakusowa kwa insulini. Koma pamapeto pake, izi zimabweretsa kuyamwa kwa glucose ochulukirapo, womwe umayikidwa mu mawonekedwe a minofu ya adipose. Mwana wosabadwayo amakula msanga kwambiri kuposa momwe zimakhalira, zomwe zimathetsa kubadwa, ndipo si vuto lokhalo. Chowonadi ndi chakuti kukula kwa mwana wosabadwayo kuyenera kukhala koyenera, ndipo kuthamanga kwachangu kumafunikira mpweya wambiri, ndipo kuchepa kwake kumadzetsa hypoxia.

Ndani ali ndi matenda ashuga

Amayi omwe ali ndi vuto lakelo. Zotsatirazi zitha kuthandizira:

• kunenepa kwambiri,
• zakuti mavuto a shuga adachitika pathupi lapitalo,
• kupezeka kwa shuga mkodzo,
• polycystic ovary syndrome,
• chibadwa.

Pano, wina ayenera kusankha gulu la anthu omwe samakonda mavuto amtunduwu, omwe ndi:

• wosakwana zaka 25
• kusowa kwa mavuto onenepa kwambiri musanakhale ndi pakati,
• palibe zovuta zochokera kumimba zakale,
• kusowa koyambira kwa ma shuga m'magazi a tsiku ndi tsiku,
• kusowa kwa chibadwa.

Zizindikiro za matenda ashuga panthawi ya pakati

Matenda a shuga amtunduwu amatha kuchitika mwanjira yoti mkazi saganiza ngakhale pang'ono za kukhalapo kwake. Izi ndizomwe zimapangitsa kuperekera magazi koyesa panthawi yake. Ngati zotsatira za kusanthula zikuwonetsa kupatuka pang'ono, dokotalayo adzakuwunikirani mayeso mwatsatanetsatane, ndikuwonetsa njira zingapo zoyenera. Kutengera kuyesedwa kwatsatanetsatane, dokotala yemweyo amapanga lingaliro la momwe angachepetse shuga m'magazi panthawi yapakati.

Popeza kuti nthawi zosiyanasiyana zamasana shuga amatha kulowa m'thupi, kusanthula kamodzi sikungawonetse pang'onopang'ono. Pankhani imeneyi, kuyesedwa kwina, kotchedwa glycated hemoglobin, kungaikidwe.

Koma matenda ashuga sangathe kuzindikirika pokhapokha poyambira. Nthawi zina, zimadziwonetsera mu mawonekedwe otsatirawa:

• ludzu losalekeza
• kukodza pafupipafupi
• kumva kwamphamvu njala
• mavuto amawonedwe.

Komabe, kwa mayi woyembekezera, gawo limodzi mwa zizindikirozi limadziwika kwambiri popanda mavuto a shuga. Ndipo pano lingaliro lokhalo lolondola ndi kuperekera mayeso mwadongosolo.

Njira zochepetsera shuga m'magazi apakati

Choyamba, muyenera kunena za zakudya zokhazikika. Chakudya chimayenera kudyedwa m'magawo ang'onoang'ono, kangapo patsiku, osayesa kudzutsa shuga. Zakudya zomanga thupi “mwachangu” siziyenera kuperekedwa kuchakudya chilichonse (zotsekemera zimakhudzana ndi iwo). Munthawi zonse, zofunikira za menyu ziyenera kuvomerezedwa ndi katswiri wazakudya, yemwe ayenera kudziwa momwe angacheiritsire shuga pamimba.
Kuchita masewera olimbitsa thupi ndikofunikanso. Komabe, pankhani ya mayi woyembekezera, chisamaliro chachikulu chiyenera kuchitika. Koma masewera ndi ovuta kuchita. Choyamba, ndi zochita zogwira ntchito, zopatsa mphamvu zochulukirapo zimawotchedwa, chachiwiri, njira za metabolic zimathandizira, ndipo chachitatu, katunduyo amathandizira kuchepetsa shuga la magazi.

Ngati zakudya zomwe zakhazikitsidwa komanso zolimbitsa thupi sizikupatsani zotsatira zomwe mukufuna, ndipo funso loti mungachepetse shuga mumagazi limakhalabe loyenera, muyenera kutengera jakisoni wa insulin. Pogwiritsa ntchito bwino insulin, mutabereka mwana imatha kupatula kwathunthu - siyingakhale mankhwala osokoneza bongo. Chifukwa chake, ngati adotolo akupangirani mankhwalawa, musathamangire kuyang'ana osakhulupirira, chifukwa mantha ambiri omwe akukhudzana ndi nkhaniyi alibe umboni.

Koma ndi chithandizo cha insulin, ndikofunikira kuwunika mwadongosolo kusintha kwa shuga. Masiku ano, izi zitha kuchitika palokha, pogwiritsa ntchito chipangizo chotchedwa glucometer. Njira zotere ziyenera kuchitika kangapo patsiku, ndipo izi ndizoyenera ndi phindu la zomwe zapezedwa. Izi zimayenera kulembedwa mu magazini yapadera, yomwe iyenera kuwonetsedwa kwa adokotala pakubwera kotsatira.

Zoyenera kuchitidwa pa nthawi yake zimathetsa vuto la momwe mungachepetsere shuga m'mimba. Ndikofunika kuti musakhale aulesi, kusewera masewera, idyani pomwepo ndikutsatira zomwe dokotala akukulangizani. Mphamvu yodzizindikira iyenera kuthandizidwa ndi kuzindikira kuti mkazi tsopano ali ndi thayo pa thanzi la anthu awiri, ndipo ndendende gawo la mimbulu yomwe ili yofunika kwa mwana wake wosabadwa.

Tinakambirana zokhudzana ndi matenda a shuga gestational, tinayang'ana funso la yemwe angakhale nalo, ndikulemba njira zochepetsera shuga m'magazi apakati. Osadwala, yang'anani shuga, ikani mayeso panthawi!

Momwe shuga limaperekera pakati

Pakubala kwa mwana, azimayi ambiri amayamba kukhala ndi matenda osachiritsika omwe sanadzipangitse kuti azimva mwana asanabadwe. Izi ndichifukwa chakuti thupi liyenera kugwira ntchito mopanikizika. Kuti atsatire kupatuka pang'ono pazomwe zimachitika, dokotala wazachipatala amafotokozera mayeso nthawi zonse. Amayi amtsogolo amapereka magazi kwa shuga kawiri: pa kulembetsa komanso pa sabata la 24-27.

Magazi a shuga pamimba:

• 5.8 mmol / lita imodzi mukatenga magazi kuchokera mu mtsempha
• 4.0-6.1 mmol / lita imodzi yotsatsira zala

Kuwonjezeka pang'ono kwa shuga, ngati zidachitika motsutsana ndi maziko amasinthidwe a mahomoni panthawi yokhala ndi pakati, chifukwa cha kupsinjika kapena kugwira ntchito mopitirira muyeso, sikuwoneka ngati wofunika. Koma ngati shuga wamagazi aposa 7.0 mmol / lita, ndiye kuti ayenera kuchitapo kanthu mwachangu, chifukwa ichi ndi chizindikiro cha matenda a shuga. Kuzindikira koyenera kumatha kuchitika pambuyo poyesedwa mobwerezabwereza.

Kuti muwonetsetse kuti zotsatira sizolakwika, tifunika kutsatira malamulo ena pokonzekera kusanthula:

• pereka magazi m'mawa m'mimba yopanda kanthu,
• musamawotseke mano anu ndi kuwaza ndipo musagwiritse ntchito chingamu musanapite ku chipatala, popeza zonse ziwiri zimakhala ndi shuga,
• Musasinthe zakudya zomwe mumadya musanayesedwe, chifukwa izi zimatha kukhudza zomwe zikubwera.
• idyani chakudya komaliza pafupifupi maola 8 musanapereke magazi,
• kumwa madzi.

Ndikofunika kukumbukira kuti ngati nthawi ya pakati mulingo wa glucose m'magazi utasintha kuchokera 5.1 mpaka 6.9 mmol / lita, ndiye kuti palibe chifukwa chodera nkhawa. Matenda azisamba azitha pambuyo pobereka. Koma ngati index ya shuga ndi 7.0 kapena kupitirira mmol / lita, kuwunika kwa shuga wowonekera kumapangidwa. Mankhwala ake ayenera kupitiliza pambuyo pobadwa kwa mwana.

Zifukwa zakukula

Katundu wowonjezereka m'thupi panthawi yapakati imakhudza ziwalo zonse ndi machitidwe, kuphatikiza kapamba, yemwe amayang'anira kupanga insulin. Ma mahormoni omwe amayamba kugwira ntchito nthawi ya gestation, amathandizira kuti magazi azitha kulowa m'magazi ndikuyamba kuthana ndi insulin.

Zomwe zimayambitsa shuga m'magazi panthawi yapakati zingakhalenso chifukwa cha zovuta za impso. Nthawi zambiri samakwanitsa kukonza shuga wambiri. Ngati amayi asanatengere mkazi anali ndi kupatuka mu ntchito ya endocrine dongosolo kapena chiwindi, ndiye kuti pokhudzana ndi mwana izi zitha kupangitsa kuti matendawa akhazikike.

Zomwe zimayambitsa kukula kwa matenda ashuga okhudza azimayi oyembekezera ndi monga:

• zaka zopitilira 30
• onenepa kwambiri
• matenda osiyanasiyana
• chibadwire
• matenda a shuga m'mimba wapitawu kapena kubadwa kwa mwana wamkulu.

Matenda abwinobwino a shuga samawonetsedwa nthawi yapakati. Itha kupezeka pokhapokha kuwunikira. Komabe, zizindikiro zina mwina zikuwonetsa kuti simuyenera kuyembekezera phunzirolo, koma muyenera kuchitapo kanthu mwachangu.

Zizindikiro za kuchuluka kwa shuga pa nthawi yomwe ali ndi pakati ndi monga: kukodza kwambiri, kuchuluka kwa kudya komanso kuchuluka kwambiri, kumva pakamwa pouma, kumva ludzu, kuthamanga magazi, kufooka kwathunthu komanso kuperewera. Zizindikiro za kukhala ndi matenda ashuga zimaphatikizapo mavuto amawonedwe.

Komabe, ngakhale mutakhala ndi pakati mukhala ndi chidwi chambiri kapena ludzu, musachite mantha. Kungoyesedwa kwakuthupi ndi mayeso apadera ndi omwe angatsimikizire kapena kutsutsa zovuta zomwe zachitika.

Kodi chiwopsezo cha shuga wambiri kwa mayi ndi mwana ndi chiani?

Shuga wokwera m'mimba panthawi yoyembekezera ndi wowopsa kwa onse mayi ndi mwana. Ngati matenda a shuga adayamba kale asanakhale ndi pakati, ndiye kuti panthawi yovutikapo ingachitike ndi mtima, impso, kapena ziwiya za fundus ya mkazi. Nthawi zambiri, poyerekeza ndi shuga wambiri, matendawo amkodzo amatha. Chiwopsezo chochotsa mimbayo chikukula, popeza glucose owonjezera amawononga mitsempha yamagazi ya placenta, yomwe imayamba kukalamba mwachangu. Zotsatira zake, mwana wosabadwayo alibe michere ndi mpweya.

Matendawa omwe amayamba chifukwa cha shuga amatha kutsogolera kukula kwa toxosis, limodzi ndi kunenepa kwambiri, edema, kuthamanga kwa magazi ndi hypoxia ya fetal. Nthawi zambiri, matendawa amayambitsa kupotoza kwa chingwe cha umbilical komanso zovuta pakubala.

Mwana amakhalanso ndi shuga wambiri. Amatha kuyamba kudwala matenda ashuga. Zovuta zam'mimba zimawonetsedwa m'miyeso yayikulu ya mwana wosabadwayo, yemwe amapezeka nthawi ya ultrasound mu gawo lachiwiri la mimba ndipo amalemera oposa 4 kg pakubadwa. Matenda a amayi amatha kuyambitsa matenda m'thupi, matenda a muubongo, mavuto am'mitima ya mwana ndi wosabadwayo. Ngati simutenga nthawi yake, izi zikuwopseza imfa ya mwana wosabadwa. Zomwe zili m'mapapu osakhazikika komanso hypoglycemia yayikulu.

Njira zochepetsera

Pa nthawi yoyembekezera, kuti muchepetse shuga wambiri, ndikofunikira kumayesedwa, kupatula zakudya zopatsa shuga, komanso kuchita masewera olimbitsa thupi.

Kudya moyenerera kumathandizira kuti shuga asakhale ndi mafuta ambiri. Koma muyenera kusankha mosamala kwambiri: mukakhala ndi pakati, simungadzile malire pazakudya. Choyamba, kupatula zakudya zopatsa mphamvu zambiri komanso zopatsa mphamvu zamafuta m'zakudya, lembani zakudya zopepuka zama vitamini menyu. Chifukwa chake simungathe kuwonjezera shuga m'magazi, komanso kuchepetsa kulemera, kukhazikitsa kagayidwe. Idyani nthawi 5-6 patsiku m'magawo ang'onoang'ono. Osamadya kwambiri kapena kudya usiku. Mochulukitsa, maola 2 mutadya chakudya, imwani 0,5 tbsp. kefir.

Pewani zakumwa zoledzeretsa ndi zotsekemera. Yesetsani kuti musadye masamba, maswiti, zonunkhira komanso nyama yofuka. Izi zimathandizira kukwera msanga kwamagazi a shuga. Musachotserepo chakudya pompopompopompo. Samalani zakudya zomwe zimachepetsa shuga: nsomba ndi nsomba zam'madzi, zopatsa mkaka ndi zipatso, ndiwo zamasamba ndi zophukira za tirigu. Zakudya za tsiku ndi tsiku za amayi apakati ziyenera kuphatikizapo 25 g ya fiber. Mumakonda mbale zophika, zophika kapena zopatsa mphamvu. Imwani pafupifupi 1.5 malita amadzi patsiku.

Mutha kuchepetsa shuga ndi masewera olimbitsa thupi. Mwachitsanzo, kuyenda mu mpweya watsopano kumathandizira kuti kagayidwe kazikhala kolimbitsa chitetezo cha mthupi. Komabe, onetsetsani kuti kuchita masewera olimbitsa thupi kumaphatikizapo katundu wambiri komanso sikumayambitsa kufupika. Kumbukirani: panthawi yoyembekezera, simungathe kuwerama msana wanu kwambiri, kusuntha modzidzimutsa, kudumpha, kutambasula kapena kugwedeza miyendo yanu. Pachifukwachi, siyani kukwera mafunde, kuyendetsa madzi oundana ndi kupalasa njinga. Mwa masewera olimbikitsidwa ndi kusambira, yoga, Pilates ndi fitball. Kuchita masewera olimbitsa thupi konseku kumakhala ndi phindu pa kukhala wathanzi, kulimbitsa minofu, kukonza magazi kupita ku placenta, komanso kumathandizira kupumula kwamalingaliro ndi thupi.

Zithandizo za Folk zimathandizira kuchepetsa shuga msanga panthawi yapakati. Koma musanagwiritse ntchito panthawi yomwe muli ndi pakati, onetsetsani kuti mwakumana ndi dokotala. Mutha kusintha shuga ndi sinamoni. Onjezani pang'ono ndi khofi kapena makeke. Chimakhazikika kaboni kagayidwe kachakudya sauerkraut. Yerusalemu artichoke amadziwika kuti ndi chida chotchuka. Pukuta muzu pa grater, sakanizani ndi mafuta a azitona ndipo idyani ngati saladi. Kapena konzani decoction ndi kumwa katatu pa tsiku, 100 ml iliyonse. Zothandiza pa tsamba la shuga Bay. Thirani mapepala 10 a 3 tbsp. madzi otentha ndikulola kuti atuluke kwa maola atatu. Imwani kulowetsedwa katatu patsiku mugalasi.

Ngati njira zomwe zalembedwazi sizikubweretsa zotsatira, dokotala yemwe akupezekapo akhoza kukupatsani mankhwala omwe ali ndi insulin. Pafupipafupi wa kayendetsedwe ndi Mlingo amasankhidwa payekha.

Kupewa

Matenda a shuga amapezeka kwambiri mwa amayi omwe ali pachiwopsezo. Ndizosatheka kuthetsa kupezeka kwake, koma kutsatira malamulo osavuta kungathandize kuchepetsa matenda. Khalani ndi moyo wathanzi. Yang'anirani kulemera ndi zakudya. Siyani kusuta. Ngati ndi kotheka, pezani glucometer ndikuyeretsa magazi anu nthawi ndi nthawi.Pamaso pa hyperglycemia, tsatirani malangizo a dokotala. Musaphonye mfundo za mayeso ndikusintha mankhwalawo kutengera ndi matendawo.

Mwazi waukulu wamagazi ndimavuto akulu panthawi yapakati. Komabe, kukhazikitsidwa kwa malingaliro a adotolo ndikuwonetsetsa kwa njira zopewera kupewa kupewa zotsatira zosasangalatsa kwa mwana ndi mkazi. Komabe, onse mayi ndi mwana ayenera kuyang'aniridwa ndi dokotala.

Magazi ndi mkodzo mayeso a shuga pa nthawi yapakati: miyambo ndi kupatuka

Kwa milungu makumi anayi yonyamula mwana, mayi woyembekezera amachita zinthu zambiri zowunikira ndi kuwunikira.

Kupenda kofala kwambiri kwa mayi wapakati kumaphatikizapo maphunziro a biomaterial: magazi ndi mkodzo.

Amathandizira kutsatira mkhalidwe waumoyo osati mayi wokha, komanso khanda. Zosintha zilizonse, ngakhale zazing'ono mthupi zimasintha zomwe zimachitika nthawi yomweyo. Chifukwa chake, ndikofunikira kuti musanyalanyaze upangiri wa katswiri ndikuyang'anira momwe thanzi lakhalira. Ndikofunikira kutenga mayesowa mosamalitsa pa nthawi.ads-mob-1

Kuwongolera kuchuluka kwa shuga, madokotala amayenera kupereka kuyesedwa kwa magazi pakupezeka kwa glucose panthawi yapakati kwa odwala awo.

Zizindikiro zodziwika bwino za thupilo m'thupi pakubala ziyenera kusintha mkati:

1. Kuchokera pachala - 3 - 5.6 mmol / l.
2. Kuchokera m'mitsempha - 3,9 - 6 mmol / l.

Mukatha kadzutsa, nkhomaliro kapena chakudya chamadzulo, glycemia imatha kukhalabe mumtunda wa 5.4 - 5.8 mmol / L.

Ngati mfundozo ndizoposa 6.4, ndiye zomveka kuonera katswiri.

Kuphatikiza pa magazi, ndikofunikira kuti muzichita mayeso a mkodzo pafupipafupi.

Izi zikuthandizira kudziwa panthawi yomwe wodwalayo amakonda. Kukhalapo kapena kusapezeka kwa mkodzo mumkodzo kumadziwika kuti ndiwolemu wa glucose.

Nthawi zambiri, siziyenera kukhala mkodzo. Koma nthawi zina zimachitika kuti kuperekedwa kwa kuwunika kotsatira kungawonetsere kupezeka kwa shuga.

Osakhumudwa: nthawi zina zimachitika. Mlandu umodzi sunasonyeze kukhalapo kwa mavuto mthupi. Komanso, nthawi zambiri shuga wokwanira panthawi yoyembekezera imatha kudziwika ngati chodabwitsa chakuthupi.

Shuga aliyense wolowa m'thupi amasandulika kukhala glucose. Ndiye gwero lalikulu la michere ndi mphamvu yofunikira yama cell ofiira a m'magazi. Zimagwira ntchito yofunika kwambiri pakugwira ntchito kwa ubongo. Kuti mupeze mphamvu, chinthu chomwe chikufunsidwa chimawotchedwa ndi thupi m'mphindi.

Momwe mungachepetse shuga m'magazi apakati kunyumba

Choyamba, muyenera kukumbukira kuti kudya zakudya zoyenera ndi njira yabwino kwambiri yosungitsira mankhwalawa. Chakudya chimayenera kudyedwa m'magawo ang'onoang'ono, kangapo patsiku. Chisamaliro chiyenera kuchitidwa kuti mankhwalawa asatseguke.

Zakudya zopatsa mphamvu mosavuta ziyenera kuphatikizidwa ndi zakudya:

M'njira zonsezi, tsatanetsatane wa menyu uyenera kukambirana ndi wazamankhwala azakudya. Adzakuwuzani momwe mungachepetsere kuchuluka kwa shuga kukhala manambala wamba. Izi ndizowona makamaka kwa amayi omwe ali ndi maudindo.

Udindo wofunikira pakubala umachitika ndi zolimbitsa thupi. Komabe, kusamala sikuyenera kuyiwalika. Simungathe kuchita popanda masewera. Ndi ntchito yogwira, mutha kuthana ndi ma calorie osafunikira omwe amapezeka ndi chakudya. Kuphatikiza apo, metabolism imathandizira kwambiri. Kuchita masewera olimbitsa thupi kumathandizira kuchepetsa shuga.

Ngati izi sizipereka zomwe zikuyembekezeredwa, ndiye kuti muyenera kugwiritsa ntchito jakisoni wa insulin. Atabereka, amatha kuzimiririka.

Sadzakwiyitsa anthu osakonzekera.

Ngati dotolo adapereka mankhwala ozikidwa ndi mahomoni a kapamba omwe adachokera, ndiye kuti palibe chifukwa chothamangira kukana, chifukwa mantha ambiri omwe amaphatikizidwa ndi izi sakuvomerezeka.

Lingaliro lalikulu pakupanga zakudya zoyenera ndi shuga wambiri ndikuchepetsa kuchuluka kwa chakudya.

Pazakudya za tsiku ndi tsiku, ndibwino kuti musankhe:

Zogulitsa ziyenera kuphikidwa, kuwiritsa, kuwotchera ndi kukazinga (njira yotsirizayi siyenera kugwiritsidwa ntchito nthawi zambiri).

Shuga wophika ayenera kusinthidwa ndi xylitol kapena sorbitol. Tifunikabe kuchepetsa kugwiritsa ntchito mchere, mbatata, beets, chimanga (makamaka zotsekemera zamzitini), nandolo zobiriwira, kaloti ndi nthochi.ads-mob-2

Kafukufuku wa zamankhwala watsimikizira kuti kusewera masewera kumatsitsa shuga wako wamagazi panthawi yapakati. Kuchita masewera olimbitsa thupi kuyenera kukhala koyenera kuti kusawononge thanzi ndi moyo wa mwana wosabadwa.

Mankhwala ochepetsa shuga panthawi yoyembekezera ndiyo njira yokhayoovomerezeka yolimbikitsira kuchuluka kwa shuga. Kumwa mankhwalawa ndikosavuta kwambiri ndipo sikugwirizana ndi kugwiritsa ntchito njira zowononga zachilengedwe.

Maphikidwe a mankhwala ena kuti achepetse kuchuluka kwa shuga asandulika gawo lofunika kwambiri pakudya kwa mayi yemwe wanyamula mwana.

Koma, chenjezo liyenera kuchitika apa: kutali ndi njira zonse ndiotetezeka kwa mwana wosabadwa.

Musanagwiritse ntchito chomera chomwe mwasankha kuti musinthe shuga, muyenera kufunsa dokotala.

Musamale osati ndi zitsamba zokha. Sitikulimbikitsidwa kuti muyambe kudya zakudya zomwe sizinapezeke m'zakudya. Palibenso chifukwa choyesera zokonda mukanyamula mwana.

Panthawi yapakati, kusintha kwa ma horoni a Cardinal kumachitika.

Izi ndichifukwa chakuti thupi likukonzekera kubereka. Tizilombo tonse ta m'magazi a endocrine timagwira nawo ntchito izi, kuphatikizapo kapamba, yemwe amapanga insulin.

Pakachitika vuto lalikulu mthupi, minofu imatha kumva kukhathamiritsa kwa ma protein a protein, glucose pafupifupi samatengeka, mulingo wake umachuluka. Amayi amadziwika kuti ali ndi matenda ashuga kapena amisala.

Njira zochizira shuga mu mkodzo panthawi yoyembekezera zimayikidwa ndi adokotala okha. Ndikofunika kutsatira zakudya zoyenera. Zakudya ziyenera kukhala zochepa komanso zolondola. Zakudya zotsekemera ndi ufa siziyenera kuphatikizidwa. Simungadye zipatso kuchokera ku zipatso zokoma.

Mzimayi yemwe ali ndi gawo labwino ayenera kuwonetsetsa kuti zakudya zake ndizolondola komanso nthawi yomweyo zosiyana. Simungathe kudya mopitilira muyeso, muyenera kudya zakudya kangapo patsiku, osati m'magawo akulu, kuphatikizapo zokhwasula-khwasula.

Zakudya zabwino ziyenera kukhalapo. Kupanda kutero, kupanikizika m'matumbo kumatha kugwa kwambiri. Izi zimadzetsa mavuto pa mwana wosabadwa.

Amayi omwe ali ndi matenda a matenda amiseche amayenera kuyang'anira kuwonda. Sabata imatha kupeza kilogalamu imodzi, osapitilira apo. Mukapitirira kulemera kovomerezeka, mavuto azaumoyo adzawonekera. Izi zimabweretsa mtolo wowonjezera m'thupi.

Malinga ndi malingaliro onse a dokotala, shuga mu mkodzo payokha amadzisintha. Kuti muchite izi, dikirani pang'ono.

M'malo mwa maswiti ndi zipatso, chakudyacho chimayenera kulemekezedwa ndi zovuta za carbo, zomwe zimamwa nthawi yayitali. Ndizololedwa kudya fiber. Ndizothandiza osati kwa mayi zokha, komanso kwa mwana wosabadwa.

Zoyenera kuchita ngati shuga m'magazi amatsitsidwa panthawi yapakati

Masiku enieni a matendawa amatsimikiziridwa ndi katswiri payekha - obstetrician-gynecologist.

Ichi ndichifukwa chake amayi sayenera kuphonya mayeso a pafupipafupi komanso mayeso azachipatala owerengera.

Ndikofunika kuti mayi azitsatira mfundo zathanzi labwino komanso yoyenera, kupewa kudya zakudya zoperewera kwambiri. Maswiti amayenera kutayidwa kwathunthu, komanso zakudya zamafuta ndi zamafuta ambiri .ads-mob-2

Akatswiri amalimbikitsa amayi omwe amatha kudya pafupipafupi, koma m'magawo ang'onoang'ono. Izi zimathandiza kupewa kudya kwambiri komanso kukhalabe wopanda nkhawa. Ndikofunikira kuyang'ana zamasamba, nkhuku ndi zakudya zam'nyanja.

Kuti shuga ya magazi asatuluke, simuyenera kutenga nawo mbali mumadzi otsekemera, omwe amadziwika kuti ndi chakudya cham'mimba chambiri. Ndikofunikanso kupatsa thupi ntchito zokwanira zamagalimoto, zomwe zimakupatsani mwayi kuti muwotche zopatsa mphamvu kuchokera ku chakudya. Ziyenera kukhala zowonjezereka m'mweya watsopano. Ndikofunikanso kuyang'anira thupi lanu, kupewa kupewa mapaundi owonjezera.

Kupanda kutero, mutha kukumana ndi zovuta. Amayi oyembekezera amayenera kupita ku dotolo pafupipafupi, kukayezetsa ndi kuyesa mayeso onse, omwe amakhala akusinthiratu kusintha kwa thupi.

• Imakhazikika pamisempha ya shuga kwa nthawi yayitali
• Imabwezeretsa kapangidwe ka insulin

1. 
   Nikberg, I.I. Matenda a shuga / I.I. Nickberg. - M.: Zdorov'ya, 2015. - 208 c.
2. 
   Endocrinology. Big Medical Encyclopedia, Eksmo - M., 2011. - 608 c.
3. 
   Matenda a shuga Kupewa, kuzindikira ndi kuchiza ndi njira zachikhalidwe komanso zachikhalidwe. - M: Ripol Classic, 2008 .-- 256 p.

Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwa zaka zoposa 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka pamalowo kuti athetse zovuta osati ntchito. Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusaitiyi, kufunsana ndi akatswiri ndizofunikira nthawi zonse.

Kuchuluka kwa shuga ndi zonyansa mwa mayi wapakati

Zowoneka bwino, zomwe zikuwonetsa kuchuluka kwa shuga munthawi ya phwando zisasiyane ndi zomwe ambiri amagwirizana nazo. Mukamatenga magazi pamimba yopanda kanthu, magazi a shuga sayenera kupitirira mamililita 5.5 (mmol / l). Malire otsika ndi 3.5 mmol / L.

Mukatha kudya, shuga wamagazi amatuluka mwachilengedwe. Chakudya chomwe chimalowa mthupi chimasweka, glucose amapangidwa, omwe amamwa ndi magazi. Mtengo wokwanira umakhazikitsidwa ola limodzi mutatha kudya. M'tsogolomu, zizindikiro za shuga zimayamba kuchepa. Kukhazikika kwathunthu kwa glycemia kumachitika pambuyo pa maola atatu.

Panthawi ya bere, kuwonjezeka pang'ono kwa shuga m'magazi kumaloledwa. Makhalidwe osatsata ndi awa:

• kuchokera 5.1-5.5 mmol / l - m'magazi osala kudya,
• mpaka 8,9 mmol / l - ola limodzi mutatha kudya,
• mpaka 7.8 mmol / l - atatha maola awiri.

Kukula kosafunikira koma koperewera kwa shuga m'magazi ndi chizindikiro cha mkhalidwe wa matenda ashuga. Kukonda kwamakhalidwe ndi 1.5 mmol kumadziwika kuti ndi GDM. Milingo yayikulu ya shuga m'magazi ndi mtundu wa matenda a shuga (mtundu wachiwiri wa matenda omwe adayamba kuwonekera atabadwa mwana).

Poyamba, mayi amapereka kuyesedwa kwa magazi akalembetsedwa ngati ali ndi pakati. Kafukufuku wotsatira amachitika ngati gawo lokakamiza kuwunikira (mayeso athunthu), omwe amapatsidwa kamodzi trimester. Zotsatira zosakhutiritsa za magazi, kuthana ndi shuga kumachitika nthawi zambiri. Zomwe zimayambitsa matenda a prediabetes kapena GDM ndi GTT (kuyesa kwa glucose).

Kuyesako kumachitika mu labotale ndipo kumakhala ndi:

• Kuchokera pakuyezetsa magazi pamimba yopanda kanthu,
• "Glucose katundu" (gawo lochititsa chidwi la madzi amchere amaperekedwa kwa wodwala),
• kubwereza magazi pambuyo pa ola limodzi,
• kusanthula komaliza m'maola awiri.

Kuphatikiza pa GTT, mayi wapakati amayesedwa magazi kuti adziwe kuchuluka kwa HbA1C (glycosylated hemoglobin), kuyesa kwamkodzo kuti adziwe matupi a glucose ndi ketone (acetone). Kuwonetsedwa kwa matenda ashuga komanso prediabetes nthawi zambiri kumayenderana ndi theka lachiwiri la mimba.

Njira zosinthira shuga m'magazi

Njira zokhazikitsira glycemia mu nthawi ya perinatal ilibe kusiyana kwakukulu kuchokera pazomwe amalimbikitsa kuti achepetse shuga. Choyamba, mkazi ayenera kudziwa bwino zoyambira zodzilamulira. Kuti muchite izi, muyenera kugula glucometer yosunthika (chipangizo choyeza shuga), mumakonda kuyeza zinthu ndi kulemba zotsatira zake kuti muwone momwe mphamvu ya shuga ilili.

Njira yayikulu yothetsera shuga m'magazi ndikusintha momwe mayi amadya. Glucose ndiye maziko azakudya za maselo aubongo, mafupa am'mitsempha ndipo ndiye gwero lalikulu lamphamvu lothandizira thupi lonse.

Mwa amayi apakati, kufunika kwa glucose kuwirikiza, ndipo zokonda zam'mimba zimasinthanso. Kukondera pamaseweredwe a tsiku ndi tsiku opita ku ma monosaccharides (ma carbohydrate osavuta) kumapangitsa kuti kapamba lipange insulin mwadzidzidzi.

Zakudya zopanda pake zimayambitsa mapaundi owonjezera. Kupatuka kuzizolowereka kumawerengedwa kuti kumawonjezera kulemera kwaoposa 500-600 gr. sabata iliyonse (munthawi yachiwiri ndi yachitatu ya mimba). Kuphatikiza apo, mu theka lachiwiri la nthawi yovutitsa, zochitika zolimbitsa thupi za mkazi zimachepa.

Kuchulukana kwachilendo kwa BMI (index ya misa ya thupi) chifukwa chogwiritsa ntchito maswiti kwambiri komanso kusunthika kwakanthawi kumabweretsa kuchepa kwa chidwi cha maselo kuti insulini - insulin kukana, komanso kuwonongeka kwa kapamba. Glucose samaperekedwa "ku adilesi", maselo amasiyidwa popanda chakudya, zomwe zimawopseza thanzi la mayi ndi mwana wamtsogolo.

Chakudya chapadera chomwe chimatengera mfundo za zakudya za odwala omwe ali ndi matenda ashuga "Gawo No. 9" amathandizira kuthetsa mavuto azakudya. Kutengera menyu wolondola, shuga amabwerera mwakale pakapita milungu ingapo. Njira yachiwiri yofunikira kwambiri yotsitsira ma shuga ndi njira zamakalasi zophunzitsira bwino.

Njira ya hypodynamic ndi njira yachindunji yamavuto a metabolic, kulemera, komanso kukana insulini. Tikadula, malinga ndi msinkhu wokhazikika, zochita zolimbitsa thupi, maselo amthupi amakhala ndi mpweya, womwe umawonjezera chidwi chawo ndikuthandizira kukhazikika kwa kagayidwe kazinthu.

Ndi mpweya wabwino wabwinobwino, zoopsa zomwe zimapangitsa kuti mwana akhale ndi pakati kapena kubereka asanakwane. Kuphatikiza apo, kukhala ndi kamvekedwe ka minofu kumathandizira kwambiri pakukonzekera. Chofunikira ndikutsatira katundu ndi kukonzekera kwamthupi kwa wodwalayo. Kuchita masewera olimbitsa thupi sikuyenera kuchitidwa pogwiritsa ntchito mphamvu. Katundu onse pamimba ndi oletsedwa.

Kukula kwa maphunzirowa kuyenera kuvomerezeredwa ndi gynecologist. Monga mankhwala a adjunct, ma decoctions ndi ma tinctures opangidwa molingana ndi njira zachikhalidwe zamankhwala zimagwiritsidwa ntchito kuti muchepetse magazi. Sikuti mankhwala azitsamba onse omwe amaloledwa kugwiritsidwa ntchito pakubereka mwana. Musanayambe chithandizo, ndikofunikira kukaonana ndi endocrinologist ndi dokotala wochita zam'mimba wochititsa mayi kutenga pakati.

Zosankha

Ngati sizotheka kuchepetsa shuga m'magazi ndimankhwala olimbitsa thupi komanso masewera olimbitsa thupi, mayiyo amapatsidwa jekeseni wambiri wa mankhwala a insulin m'mimba. Mankhwala a insulini si owopsa kwa mwana wosabadwayo, chifukwa mankhwalawa samadutsa chotchinga chake.

Kuchulukitsa kwa jakisoni, mtundu wa mankhwalawa ndi mlingo wake amasankhidwa payekha. Mankhwala apiritsi a Hypoglycemic (hypoglycemic) pa nthawi yomwe ali ndi pakati sagwiritsidwa ntchito chifukwa cha mphamvu zawo zapadziko lapansi. Mukazindikira za GDM, mayi ayenera kupita ku makalasi ku Sukulu ya Matenda a shuga.

Zoyambira za zakudya mu nthawi ya perinatal

Mfundo zazikuluzonse zandalama zoyenera kwa amayi apakati omwe ali ndi shuga wamkulu ndi:

• Muchepetse kuchuluka kwa chakudya chambiri m'zakudya zanu. Monosaccharides ndi ma disaccharides amatha kukonzedwa mwachangu ndi matumbo, ndipo glucose amalowa m'magazi mumachitidwe okakamizidwa. Zakudya zamafuta zosavuta zimaphatikizapo mitundu yonse ya maswiti ndi zakumwa za shuga.
• Chulukitsani zakudya zatsiku ndi tsiku ndi zinthu zomwe zimakhala ndi mitundu yambiri yazakudya.Choyambirira, ndiwo, masamba, mitundu ya zipatso, chimanga, mbewu ndi nyemba. Kuphatikiza pa CHIKWANGWANI, chomwe chimachepetsa njira za metabolic, zinthu izi zimakhala ndi michere ndi mavitamini ofunikira panthawi yapakati.
• Sinthani theka la mafuta a nyama ndi mafuta a masamba muzakudya. Mafuta ochokera kwachinyama amakhumudwitsa kuchuluka kwa cholesterol pa epithelium (khoma lamkati lamitsempha yamagazi), ndizomwe zimapangitsa kuti atherosulinosis ichitike. Mafuta ophika masamba, pambali yake, amapindulitsa chifukwa cha zomwe zili zofunikira za polyunsaturated acids Omega-3 ndi Omega-6.
• Chepetsa zakudya zamchere ndi mchere. Kuchita zinthu zotere kumachepetsa kudzikuza komanso osadzaza impso.
• Onetsetsani kwambiri GI (glycemic index) ndi kuchuluka kwa chakudya chomwe mumamwa. GI imayang'anira kuchuluka kwa mapangidwe ndi kuyamwa kwa shuga, m'munsi mwake, ndibwino. Pokhala ndi glucose wambiri, zinthu zomwe zimakhala ndi GI units 40 amayiloledwa. Zakudya za caloric za zakudya za tsiku ndi tsiku ziyenera kupangidwa pamlingo wa 35-40 kcal pa kilogalamu ya thupi. Kulakalaka kudya komwe kumachitika mwa amayi apakati kuyenera kuyang'aniridwa, kuti asakhale ndi mtima wadyera (chakudya chimodzi chokwanira chimapereka magilogalamu 350-400 a chakudya).
• Patsani thupi ndi madzi ofunikira. Zakumwa zoyenera kumwa ndi theka ndi malita a madzi patsiku.
• Lowetsani muzakudya zomwe zimalepheretsa glycemia pamlingo wovomerezeka, ndi zakumwa zomwe zimachepetsa shuga.
• Tsatirani malamulo azakudya zopatsa chidwi (m'magawo ang'onoang'ono, maola aliwonse a 3-4).
• Kanani kukonza zinthu mwanjira yokondweretsa. Frying imawonjezera mphamvu yamphamvu yomaliza. Kuphatikiza apo, ma carcinogens omwe ali ovulaza thanzi amapangidwa pakuphika. Amayi oyembekezera amafunikiridwa mbale zophikidwa ndi kudyetsa, kuphika mu zojambulazo, kuwira, kuwotcha.
• Kuchulukitsa mapuloteni. Choyamba, zakudya zamapuloteni sizikhala ndi phindu lililonse pa shuga. Kachiwiri, ma amino acid ofunika omwe mwana wam'tsogolo amafunikira amapangidwa kuchokera ku mapuloteni. Chachitatu, zinthu zama protein zimakulolani kuti musakhale ndi njala yayikulu pakati pa chakudya, chomwe chimaletsa kudya kwambiri.

Kusintha kwathunthu kwa zakudya zama protein sikuletsedwa. Pankhaniyi, kuperewera kwa mavitamini ndi michere kumatha kuyamba chifukwa cha kuchuluka kwa uric acid.

Zakudya zamagulu komanso zakudya zoletsedwa

Kusankhidwa kwazinthu za amayi apakati omwe ali ndi shuga ambiri kumachitika ndi kuchuluka kwa michere (mafuta, mapuloteni ndi ma carbohydrate) mwa iwo. Zakudya zokhala ndi mafuta ochepa, mafuta ochepa, komanso mafuta ochepa a nyama ndizoyenera kudya.

Gawo la zakudya zochepa ndi chakudya chokhala ndi index ya glycemic, yololedwa ndi glycemia yokhazikika. Kuchulukana komanso pafupipafupi kwa kugwiritsa ntchito zinthu zochepa kuyenera kuvomerezedwa ndi adokotala.

Yerusalemu artichoke

Muzu uwu umadziwika ndi mankhwala monga njira yotithandizira kuti shuga azikhala wamphamvu. Ndi gawo limodzi lazakudya zowonjezera zomwe zimapangidwira kuchiza matenda ashuga. Ndi shuga ochulukirapo panthawi yomwe muli ndi pakati, ndikofunikira kumwa msuzi watsopano watsopano (150-200 ml / tsiku), tengani madzi a mu Yerusalemu atitchoku.

Zotsirizirazo zitha kugulidwa ku malo ogulitsa mankhwala, kapena kuphika kunyumba. Kuti izi zitheke, muzu uyenera kupukutidwa, kufinya. Wiritsani chifukwa chamadzi pa moto wochepa mpaka madzi. Tengani kukhala supuni musanadye.

Magawo a Walnut

Muli zinthu zomwe zimalepheretsa mapangidwe a shuga. Kuti mukonzekere decoction, muyenera 40 gr. zopangira. Magawo amayenera kudzazidwa ndi ½ lita imodzi ya madzi otentha ndi kuwira kwa ola limodzi pa moto wochepa. Sefa madzi ndi kumwa supuni 1.5 musanadye.

Zipatso za shrub zimathandizira kukhazikika kwa shuga m'magazi komanso kutsika kwa magazi (kuthamanga kwa magazi). Ndi chizolowezi chochita matenda oopsa, ndikofunika kumwa compote kuchokera ku viburnum zipatso (wopanda shuga). Chipangizocho sichoyenera ngati pakati muli ndi hypotension.

Spice ili ndi mphamvu ya hypoglycemic. Cinnamon timiti (osati ufa) tikulimbikitsidwa kuti mugwiritse ntchito. Ayenera kuwonjezeredwa tiyi ndi kefir.

Zitsamba zochepetsa shuga ziyenera kugwiritsidwa ntchito mosamala, poyang'ana mosamala ma contraindication. Galega (chikopa cha mbuzi) ndi burdock rhizome, omwe ali ndi matenda ambiri a shuga, amaletsedwa kuti azigwiritsidwa ntchito mu nthawi ya perinatal.

Kuchuluka kwa shuga kwa akazi omwe amakhala ndi mwana ndi chinthu chofala. Izi ndichifukwa cha kusokonekera kwa mahomoni ndi metabolic. Proteerone yogwira yogonana, yomwe imasunga mwana wosabadwa, imalepheretsa kupezeka kwa insulini, kupewa glucose kuti igawe m'magazi onse. Kulephera kwa kagayidwe kachakudya kumayambitsa kumwa kwambiri maswiti, BMI yayikulu, kusowa kwa magalimoto.

Kuchepetsa kuchuluka kwa shuga m'magazi kumathandiza:

• dongosolo labwino la chakudya. Mukapanga chakudya, ndikofunikira kudalira chakudya chamagulu a shuga "Table No. 9".
• maphunziro azolimbitsa thupi nthawi zonse. Pokonzekera katunduyu, muyenera kuganizira za momwe mayi aliri komanso msinkhu wampaka.
• mankhwala achikhalidwe, ovomerezeka kuti azigwiritsidwa ntchito mu nthawi ya perinatal.

Woopsa milandu, wodwala mankhwala insulin. Kunyalanyaza kwa hyperglycemia kungayambitse kuchotsa kwamimba, kukulira kwa intrauterine pathologies kwa mwana, kuperekera zovuta.

Chifukwa chiyani amayi apakati amatenga shuga?

Pa nthawi yoyembekezera, thupi la mkazi limamangidwanso, zomwe mwachilengedwe zimakhudza kuchuluka kwa shuga m'magazi. Chifukwa chake, mwachizolowezi chimayendetsedwa ndi insulin yotulutsidwa ndi kapamba. Mothandizidwa ndi gawo la mahomoni, glucose kuchokera ku chakudya imayamba kulowa m'maselo a thupi la munthu, ndipo ntchito yake m'magazi imachepa.

Mahomoni apakati omwe atulutsidwa ndi placenta ali ndi vuto lotsatira la insulin, ndiko kuti kuchuluka kwa shuga. Pofotokozera chifukwa chake shuga amatuluka, akatswiri amalabadira zodziwika kuti:

• Katundu wa mumtima amalowa, nthawi zina, chitsulo sichichita ndi ntchito yake.
• Zotsatira zake, kuchuluka kwa shuga m'magazi kumayamba kupitirira zizolowezi,
• shuga wambiri amachititsa kagayidwe kazakudya kwa mayi ndi mwana wake,
• glucose, kuphatikiza apo, imadutsa mwa placenta kulowa m'magazi a fetal, zomwe zimapangitsa kuti katunduyu azikula.

Zikumba za mwana wosabadwa zimayenera kugwira ntchito ndi mphamvu ziwiri ndikutchingira gawo lalikulu la mahomoni. Kukula kwa shuga sikugwirizana kwenikweni ndi kusintha kwa thupi la mzimayi panthawi yoyembekezera, komanso kukhala m'magulu ena omwe ali pachiwopsezo.

Mndandandawu ndi azimayi omwe adakhala ndi pakati pambuyo pa 30, onenepa kwambiri, akudwala matenda osiyanasiyana. Kuphatikiza apo, azimayi omwe ali ndi vuto lotengera matenda ashuga komanso kupezeka kwa matendawa m'mimba yapitayi ndi omwe ali pachiwopsezo.

M'mikhalidwe yovomerezeka, shuga amapezeka ndi insulin, yomwe imapangidwa mosalekeza ndi kapamba. Mothandizidwa ndi, glucose, yemwe amabwera ndi chakudya, amapita pang'onopang'ono m'maselo a thupi, amagwira ntchito yake pamenepo. Magazi a shuga amachepetsa. Chimachitika ndi chiyani pamimba ndipo chifukwa chiyani makina okhazikitsawa amalephera?

Ma mahomoni omwe amalola kuti mwana abadwe ndi okonda insulin. Kuchulukitsa kwa shuga pa nthawi yapakati ndi chifukwa chakuti kapamba sangathe kuthana ndi ntchito yake mikhalidwe yotere.

Ma mahomoni apakati amathandizira kutulutsa shuga m'magazi, ndipo palibe insulin yokwanira yomwe ingathe kumanga shuga kwambiri. Zotsatira zake, omwe amatchedwa shuga woyembekezera amatenga, omwe ali owopsa pazotsatira zake zosakonzekera.

Zomwe zimayambitsa hyperglycemia

Kukula kwa matenda amiseche kumayankhulidwa ngati mayi wapakati ali ndi mphamvu zomwe zimawonetsa kuchuluka kwa glucose wabwinobwino wamagazi (hyperglycemia) komanso mawonekedwe a shuga mkodzo (glucosuria). Kuphatikiza apo, kuyesa kumodzi koyenera komwe kumakhala ndi zotsatirapo zoyipa sikungachitire umboni zaumoyo, koma ndizosiyana ndi momwe thupi limakhalira.

Chifukwa chiyani izi zikuchitika?

Kasitomala ndiye amachititsa kuti pakhale insulin ya mahomoni. Pa nthawi yapakati, katundu pa iye amawonjezeka.

Polephera kuthana ndi katundu, glandyo ilibe nthawi yopatsa thupi kuchuluka koyenera kwa insulin, komwe kumakhudza kuwonjezeka kwa glucose pamlingo wovomerezeka wovomerezeka.

Katswiriyu amatulutsa timadzi timene timapangitsa kuti magazi asungunuke. Zimakhalanso chinthu chofunikira kwambiri pakukula kwa matenda.

1. Khalidweli.
   Kukhazikika kwa vuto la shuga m'thupi nthawi zambiri kumakhala patsogolo pa matenda. Ngati pakhala zovuta zina m'banjamo, mayi woyembekezera amayenera kuwongolera shuga pamlingo wokonzekera.
2. M'badwo.
   Amayi onse opitilira zaka 35 wobala mwana amakhazikika m'gulu lowopsa.
3. Madzi ambiri.
   Ma polyhydramnios amniotic fluid amatha kukhala othandizira pakukula kwa shuga mkati mwa nthawi.
4. Kukula kwa khanda
   Chipatso chachikulu cholemera makilogalamu 4.5 ndikuwonjezeka kwa masentimita 60 chimatsogolera ku katundu wambiri ku chithokomiro cha chithokomiro, chifukwa chake, mwayi wopanga matenda opangira matenda ndikupanga mahomoni a protein ukuwonjezeka.
5. Makanda obadwa kumene kapena kuchotsa pakati.
6. Kubwereza kolakwika, koposa katatu.
7. Chithandizo cha osabereka ndi mahomoni mankhwala.
8. Mayi woyembekezera woyembekezera.

Kodi chiwopsezo cha hyperglycemia ndi chiyani kwa mayi ndi mwana wosabadwa?

Kuchulukitsa kwa shuga panthawi ya bere kumakhala koopsa osati kokha kwa mayi yemwe akubereka, komanso kwa mwana wosabadwa. Ngati mayi woyembekezera ali ndi nthenda yodziwika bwino kapena isanakwane asanabadwe, akhoza kuyamba zovuta monga kuwonongeka kwa impso, mitsempha yamagazi ya fundus, komanso minofu ya mtima.

Zinthu zomwe zaperekedwa zimatha kupita patsogolo pang'onopang'ono pakati pa mimba. Mwachitsanzo, kuwonongeka kwa ziwiya za fundus kumadzaza ndi mawonekedwe a retinal komanso kuwonongeka pang'ono, komanso kuwonongeka kwa minofu yamtima - kukula kwa kulephera kwa mtima.

Shuga wapakati pamimba

Shuga wamba wamagazi mwa amayi apakati pamimba yopanda kanthu ayenera kukhala kuchokera 3,3 mpaka 5.5 mmol. Mwanjira yomwe mayi akapezeka ndi matenda ashuga (kuperewera kwa shuga), kuyezetsa magazi kuchokera pa 5.5 mpaka 7.1 mmol. Kukhalapo kwa matenda ashuga kudzatsimikiziridwa ndi 100% ya shuga monga kuchokera pa 7.1 mpaka 11.1 mmol.

Zitheka kuchepetsa shuga m'magazi mwa mayi wapakati pokhapokha ngati zovuta mu thupi. Izi zikutanthauza kusintha kwa zakudya ndi zakudya, koma ngati simungathe kusintha shuga chifukwa chazakudya zoyenera, mankhwala a insulin ndi omwe amakwaniritsidwa. Mlingo wa ndalama zomwe zimaperekedwa zimayikidwa ndi katswiri pomwe ali kuchipatala.

Kuphatikiza pa kugwiritsa ntchito mankhwala omwe amachepetsa shuga, muyenera kuyang'anitsitsa kuchuluka kwa shuga. Kunyumba, azimayi oyembekezera amatha kugwiritsa ntchito glucometer pamenepa. Kuphatikiza apo, masewera olimbitsa thupi amalimbikitsidwa kwambiri ngati palibe contraindication.

Ndikofunikira kuti izi ndizofunikira kwambiri zomwe zimathandizira kutulutsa kamvekedwe, kupatula kuwonjezeka kwa kulemera ndi kusungidwa bwino. Maziko a moyo uno amayenda pafupipafupi mu mpweya wabwino, kusambira ndi masewera olimbitsa thupi, kuchotsa kupsinjika pamimba.

Kuthamanga, kukwera njinga ndi kukwera njinga komanso masewera ena ovuta ndikulimbikitsidwa kuti kupewe.

Chitani zolimbitsa thupi kwa amayi apakati molingana ndi malingaliro a dokotala. Kulankhula za momwe mungachepetse shuga m'magazi apakati, tchulani izi:

• zochitika zilizonse zolimbitsa thupi ziyenera kuchitidwa molingana ndi thanzi labwinobwino la mayi wapakati.
• kupweteka kumbuyo kapena pamimba ndi chizindikiro cha kusiya kuchita masewera olimbitsa thupi. Uwu ndi nthawi yolumikizana ndi katswiri yemwe afotokoze ngati angapitenso patsogolo,
• amayi oyembekezera omwe amagwiritsa ntchito insulin, tikulimbikitsidwa kukumbukira kuti zochitika zilizonse zolimbitsa thupi zitha kuchepetsa shuga m'magazi.

Pofuna kupatula hypoglycemia, tikulimbikitsidwa kuwunikira zizindikiro za shuga isanayambe kapena itatha maphunziro. Ngati maola awiri adatha kuchokera chakudya chomaliza, ndiye kuti chithunzichi chimalimbikitsidwa kwambiri musanayambe kugwira ntchito yolimbitsa thupi. Chisamaliro chapadera chimaperekedwa pazakudya za mayi woyembekezera, yomwe ili yankho ku funso la momwe mungachepetse shuga.

Kuchuluka kwa shuga m'magazi kumayezedwa mu timadontho-timadzi pa lita. Mwa mayi woyembekezera, shuga ndi 5.8 mmol / lita ngati panali mpanda kuchokera kumitsempha komanso kuchokera ku 4.0 mpaka 6.1 mmol / l ngati phunziroli lidayambika kuchokera kumunwe. Kukula pang'ono kwa glucose kumaloledwa, chifukwa izi zitha kuchitika pakusintha kwa mahomoni m'thupi chifukwa cha kupsinjika kapena ntchito yambiri.

Ngati kuwunika mobwerezabwereza kwa hemoglobin ya glycated kwawonetsa kuchuluka kwamahomoni, ndiye kuti izi zimapatsa dokotala chifukwa chodziwitsa mayi wapakati yemwe ali ndi matenda osokoneza bongo.

Izi zimapangitsa kuti mahomoni ambiri apangidwe ndi mahomoni ambiri. Izi zimabweretsa kutsekereza kupanga insulin, yomwe imaphwanya shuga.

Kuperewera kwa mahomoni kumapangitsa kuti shuga achulukane ndipo, chifukwa chake, alibe mphamvu yofunikira pakukula kwa mwana wosabadwayo komanso ntchito zofunikira za thupi la mayi. Shuga simalowa m'maselo ndipo samawonongeka, chifukwa chomwe thupi la mzimayi limakumana ndi vuto la mphamvu nthawi yapakati.

Kuyesa kwa shuga m'magazi pa nthawi yoyembekezera

Madokotala ambiri amakhulupirira kuti chizindikiro cha glucose pa nthawi yomwe mayi ali ndi pakati ndi 6.9 - izi sizoyambitsa nkhawa - munthawi imeneyi, titha kuyembekezera kubadwa kwa mwana pambuyo pobadwa. Komabe, ngati shuga amakwezedwa kuchokera ku 7.0 mmol / L kapena kuposa, ndiye kuti matenda a "chiwonetsero cha shuga" amawoneka. Izi zikutanthauza kuti matenda a mzimayi adzakhalabe mwana atabadwa, ndipo chithandizo chikuyenera kupitilizidwa.

Ngati mayi ali ndi shuga wambiri atanyamula mwana, ndiye, malinga ndi ziwerengero zamankhwala, kuchotsa modziimbira kumachitika mwa magawo atatu aliwonse. Chomwe chimapangitsa izi ndi kukalamba mwachangu kwa placenta, zotengera zake zomwe zimawonongeka chifukwa cha glucose owonjezera. Chifukwa cha izi, mwana wosabadwayo amapatsidwa michere ndipo mpweya umakhala wochepa.

Njira yolakwika ya chikoka cha shuga imawoneka pachiwopsezo chachikulu cha toxicosis, yomwe imadziwika ndi edema, kunenepa kwambiri, hypoxia ya fetal, komanso kuthamanga kwa magazi. Amayi omwe ali ndi shuga wambiri amakonda:

• polyhydramnios
• kupotokola,
• kuwonongeka kwamawonekedwe
• kuyamwa
• matenda opatsirana
• kulephera kwa mtima.

Zotsatira za mwanayo

Mwana wosabadwayo wokhala ndi kuchuluka kwa glucose m'magazi a amayi amakhala ndi zotupa zomwe zimatchedwa diabetesicopopathy. Vutoli limaphatikizapo kukula kwa mwana, pamene mwana ali kale patsogolo m'litali lachiwiri la nthawi ya kubereka malinga ndi ultrasound. Monga lamulo, pa nthawi yobadwa, kulemera kwake kumaposa 4 kg. Kulemera koteroko kumatha kubweretsa kuvulala.

Chithandizo cha matenda a shuga mwa amayi omwe akuyembekezera ziyenera kuphatikizapo magawo anayi:

• Mobwerezabwereza wodziyang'anira wa glycemia.
• Mankhwala a insulin.
• Zakudya.
• Dosed (poganizira kulimbitsa thupi ndi thanzi la mkazi) zolimbitsa thupi.

Kuphatikiza apo, mzimayi amayenera kupita pafupipafupi kwa gynecologist ndi endocrinologist, kukayezetsa (shuga wamagazi, glycated hemoglobin ndi mayeso ena ngati kuli kotheka), kukayezedwa ndi ultrasound ndi CT scan ya mwana wosabadwayo.

Chofunika kwambiri ndikudya chamagulu olimbitsa thupi nthawi yanthawi ya bere. Ganizirani zakudya ziti zomwe zimachepetsa shuga m'magazi panthawi yapakati.

Choyamba, zakudya zamtsogolo zamayi ziyenera kuphatikizapo masamba ndi zipatso, zomwe zimakhala ndi fiber yambiri. Amalimbikitsidwa kuti azidyedwa yaiwisi kapena yophika. Zipatso ziyenera kusankhidwa ndi zakudya zochepa za fructose ndikudya pokhapokha mutatha kudya.

Malonda am'madzi amayenera kudyedwa pang'ono chifukwa cha chakudya chamafuta ambiri. Lokoma ayenera kugwiritsidwa ntchito potsekemera kuphika.

Pochulukitsa, mutha kudya nyama zamtundu wochepa ndi nsomba, ndibwino kuziziritsa.

Zopangira mkaka wowonda ziyenera kusankhidwa kokha ndi mafuta ochepa.

Zofunikira kwambiri panthawiyi ndi mbewu monga chimanga (makamaka buckwheat, tirigu ndi chimanga), zomwe, chifukwa cha zomwe zili lipotropic m'mapangidwe awo, osangokulitsa kuchuluka kwa shuga m'magazi, komanso zodzaza thupi ndi ma microelement ofunikira. Kuphatikiza apo, kupezeka kwa zakudya monga chimanga mu zakudya kumabweretsa phindu ku cholesterol.

Kuwona malingaliro omwe ali pamwambapa, mudzakwaniritsa zotsatira zomwe mukufuna - kuchuluka kwa shuga pamakhala koyenera nthawi zonse.

Ngati munganene kuchuluka kwa shuga m'magazi panthawi yomwe muli ndi pakati, matenda am'mimba amadziwika. Mwamwayi, masiku ano madokotala amadziwa momwe angachepetse shuga m'magazi panthawi yoyembekezera ndikuonetsetsa kuti thanzi la mayi ndi mwana ndilabwino.

Njira zotsatirazi zikuthandizani kuti muchepetse kapena kuchepetsa shuga.

Kuwongolera shuga

Gawo loyamba lothana ndi chitetezo cha thanzi la mayi ndi mwana wake ndilo kugula kwa glucometer.

Muyenera kuzolowera msanga njira yoyezera kuchuluka kwa shuga m'magazi, chifukwa ziyenera kuchitika kangapo patsiku: pamimba yopanda kanthu, musanadye, nthawi yomweyo musanadye, asanagone, 3 koloko m'mawa.

Zakudya zoyenera zimachepetsa vuto la shuga

Zakudya zoyenera

Zakudya za matenda ashuga

Shuga wopanda magazi (glucose) ndi chizindikiro choopsa, chosonyeza matenda oopsa. Ndizowonjezera kuwonjezeka komanso kuchepa kwake, koma njira yoyamba imayendera limodzi ndi kupangika kwa matupi a ketone - zinthu zoopsa zomwe zimakhala ndi poizoni m'thupi.

Kuchepetsa matenda ashuga mwa amayi apakati ndikuyenera kukhalabe ndi shuga ovomerezeka, mosasamala nthawi yakudya.

Momwe mungachepetse shuga wamagazi panthawi yapakati:

1. kukana zakudya zopanda pake posinthira kuzakudya zopatsa thanzi,
2. Idyani nthawi zosachepera 5 patsiku kuti mupewe kuzizira kwa shuga,
3. khalani ndi zakudya zamafuta ochepa,
4. Idyani maswiti, koma pamlingo wochepa kwambiri,
5. samalani kwambiri BZHU osati kudya mopambanitsa.

Zakudya zopatsa thanzi ndiwo maziko a chakudya chopatsa thanzi kwa amayi apakati omwe ali ndi shuga wambiri. Amagawidwa kukhala osavuta komanso ovuta. Kugwiritsa ntchito mafuta osavuta owonjezera ayenera kuchepetsedwa, chifukwa zimakhala ndi fructose ndi glucose, zomwe zimapangitsa shuga m'magazi. Izi ndi monga njuchi komanso pafupifupi mitundu yonse yazipatso.

Zakudya zopatsa thanzi ndizofunikira pakudya tsiku lililonse. Kamodzi m'thupi, zimalepheretsa kuchuluka kwa shuga m'magazi. Chakudya chizikhala ndi mbale zomwe zimakhala ndi chakudya chamagulu owonjezera.

Kuti mukhale ndi thanzi labwino, thupi limafunikira mapuloteni, omwe amapezeka muzinthu zambiri. Chidwi chachikulu ndi shuga wambiri ziyenera kuperekedwa kwa zinthu zamkaka zomwe zimakhala ndi mafuta ochepa.

Ndikulimbikitsidwa kudya mafuta azamasamba (mpaka 30 g patsiku). Mu nyama ndi nsomba, amakonda mitundu yamafuta ochepa, kuchepetsa kudya kwamafuta a nyama mthupi.

Zakudya zokhala ndi shuga wambiri mwa amayi apakati ziyenera kupangidwa kuti muchepetse kumwa kwa mafuta osavuta am'magazi, osavomerezeka a BJU:

• zopatsa mphamvu - 50% yazakudya zonse,
• mapuloteni ndi mafuta --otsala 50%.

Mayi amatenga magazi kukayezanso magazi kawiri: kuwonekera koyamba kuchipatala cha antenatal komanso kwa milungu 22-25. Nthawi yomweyo, mayi woyembekezera sayenera kudzipatula pakudya kapena kusintha zakudya zina masiku atatu masiku oyenera asanakonzekere.

Magazi nthawi zambiri amatengedwa kuchokera m'mitsempha m'mawa wopanda kanthu. Kuchulukitsa zovomerezeka nthawi zambiri kumawonetsa kukula kwa matenda ashuga.

Choyamba muyenera kukonza zakudya zanu. Ndipo pa izi muyenera kutsatira malamulo awa:

1. Matenda a shuga amayambitsa kuphwanya kwa kagayidwe kazakudya, kamene mayi sakanawona asanakhale ndi pakati. Chidule cha matendawa ndi GDM. Mzimayi yemwe shuga wambiri m'magazi nthawi zonse amakhala ndi nkhawa kwambiri amadwala GDM.
2. Kupanga kwa mahomoni ambiri kuyambira masiku oyambirira a kukhala ndi pakati kumatha kuyambitsa ntchito ya insulin. Imaphwanya shuga yomwe imalowa m'magazi kuti isinthe kukhala mphamvu yofunikira pa moyo wa mayi komanso kukula kwa mwana. Kuphwanya ntchitoyi kumayambitsa chitukuko cha matenda ashuga.
3. Kusowa kwa insulini kumabweretsa kuchuluka kwa shuga m'magazi, sikuphwanya, sikulowa m'maselo ndipo, motero, thupi limayamba kumva njala. Mwamwayi, njira yowerengera iyi ikupezeka mwa azimayi oyembekezera ochepa.
4. Amayi oyembekezera omwe ali ndi matenda ashuga:

• Nthawi zambiri azimayi opitirira zaka 25 amakonda kwambiri zovuta za metabolic kuposa amayi achichepere,
• matenda obadwa nawo amatenga gawo lofunikira pakudziwikitsa za matenda amtunduwu, onenepa sikuti amangokulitsa kagayidwe kamisempha, komanso amakhudza kugwira ntchito kwa chithokomiro cha chithokomiro.
• Kutenga pathupi mobwerezabwereza mochulukira nthawi zopitilira 3 kungasokoneze kwambiri mwayi wokhala ndi pakati, komanso kungapangitse kusokonezeka kwa kagayidwe kachakudya ka magazi ndi kuchuluka kwa shuga m'magazi,
• matenda obwera pambuyo pa mimba yoyamba,
• mwana wamkulu kwambiri wam'mimba wopitilira, woposa 4 kg, womwe umatha kupangitsa kuti chithokomiro cholimba chizigwira bwino ntchito.
• ana obadwa ndi ana omwe ali ndi matenda opititsa patsogolo zinthu,
• polyhydramnios pa nthawi yapakati.

1. Ngati mukuwona chiwonetsero cha zinthu zoposa 3 pazomwe zili pamwambapa, muyenera kufunsa wa endocrinologist ndikuwunikira shuga wanu wamagazi pafupipafupi.
2. Malinga ndi ziwerengero, 3% yokha mwa azimayi oyembekezera omwe ali ndi GDM amakula shuga wokhazikika, pomwe amayi ena onse, kuchuluka kwa shuga pambuyo pobala mwana kumaberekanso kwazonse.
3. Pafupifupi 10% ya azimayi amadwala matenda ashuga panthawi ya pakati, ndipo samakayikiranso. Kupereka kwa mayeso panthawi yake ndi dokotala yemwe akupezekapo akuwonetsa kukhudzana kwa matendawa. Ngati mulingo wa shuga m'magazi kamodzi ungadutse 5 mmol / l, dokotala amayenera kupereka kuyesa kwa shuga.
4. Mwachilengedwe, kuchuluka kwa shuga m'magazi tsiku lonse kumasintha. Kuti mupeze chithunzi chodalirika, dokotala amayenera kupereka mayeso owonjezera ngati ali ndi mayeso a glycated hemoglobin. Kusanthula kumeneku kukuwonetsa kale kuchuluka kwa shuga m'magazi masiku 10 apitawa.

1. Wodwala wodwala matenda a shuga ayenera kutsatira zakudya mosasamala. Zakudya za nthawi zisanu ndi chimodzi zimaperekanso mphamvu kwa mayi woyembekezera komanso kwa mwana wake. Njira iyi ya zakudya imateteza mkazi kuti asachulukane mwadzidzidzi m'magazi amwazi oyambitsidwa ndi chithokomiro cha chithokomiro.
2. Chinanso chofunikira chakudya ndicho kupatula zakudya za maswiti ndi zakudya zokhala ndi chakudya chamafuta ambiri. Kuchuluka kwa zovuta zamankhwala osokoneza bongo siziyenera kupitirira theka la chakudya chonse chodyedwa patsiku. Kutengera ndi kuyesedwa komanso kuchuluka, madokotala omwe amapezekawo amakonzera chakudya cha mayi.
3. Ndikofunika kulabadira zolimbitsa thupi panthawiyi. Mayi woyembekezera akamachita masewera olimbitsa thupi, mwana amalandira magazi ochulukirapo, motero amakhala wathanzi. Mwa mkazi, motere, shuga amawonongeka mwachangu, zopatsa mphamvu zambiri zimatsitsidwa ndikulemera zimachepa.
4. Komabe, sizotheka nthawi zonse kutsitsa kuchuluka kwa shuga ndi zakudya komanso masewera. Ngati njirazi sizili zokwanira, adotolo amafotokozera jakisoni wowonjezera wa insulin. Osawopa izi, ma insulin opanga alibe vuto kwa mayi komanso mwana yemwe akukula, kupatula izi palibe chomwe chimawonjezera. Pambuyo pobadwa mwana, njira yopangira insulin mthupi la mayi itasintha, jakisoni amatha kusiyidwa bwino.

Zizindikiro za matenda a shuga

Ngati magazi a shuga akwera, nthawi zonse amayenda limodzi ndi zizindikiro zapadera. Komabe, ambiri samalabadira, zomwe zimabweretsa zovuta kwa mzimayi ndi mwana wake.

Kusintha kulikonse pamikhalidwe kuyenera kuganiziriridwa kupatula shuga pakakhala pakati.

Chifukwa chake, magazi a shuga akachuluka pa nthawi yomwe ali ndi pakati, mayiyo amakhala ndi nkhawa nthawi zonse, yodandaula chifukwa cha njala, madandaulo a kukodza pafupipafupi. Kuphatikiza apo, mawonetseredwe azachipatala amawonetsedwa ndikumverera kosatha kwa ludzu, kufooka kosalekeza komanso kuthamanga kwa magazi.

Pofuna kupatula zizindikiro zomwe zaperekedwa, tikulimbikitsidwa kuti timvetsetse zifukwa zomwe akuwonjezera shuga.

Zizindikiro

Pofuna kudziwa ngati shuga amakwiradi panthawi yomwe ali ndi pakati, mayi amapemphedwa kuti apereke magazi kuti adziwe kuchuluka kwa shuga. Kusanthula kumaperekedwa pamimba yopanda kanthu.

• kuyambira 3.3 mpaka 5.5 mmol / l - zambiri,

• kuchokera 5.5 mpaka 7 mmol / l - kulolerana kwa shuga,

• zopitilira 7.1 momol / l - shuga.

Ndi shuga wamagulu opitilira 7.1 mmol / l, mayi woyembekezerayo amatumizidwa kuti akaonane ndi endocrinologist kuti atsimikizire kuti ali ndi matendawa ndikupanga njira zamankhwala.

Kuchulukitsa shuga kwa mkodzo panthawi yoyembekezera kumasonyezanso kukula kwa matenda ashuga. Nthawi zambiri, shuga amapezeka pambuyo pake, pomwe matendawa apita kutali kwambiri. Shuga mkodzo akuwonetsa kuti impso sizigwirizana ndi ntchito yawo, zomwe zikutanthauza kuti chiopsezo cha zovuta kuchokera ku ziwalo zonse ndi kachitidwe ka thupi la mkazi zimakulirakulira.

Chithandizo cha hyperglycemia mwa amayi apakati

Matenda a shuga ndi matenda ogwirizana ndi kusokonezeka kwa kagayidwe kachakudya m'thupi, zomwe zikutanthauza kuti ntchito yake yayikulu ndikulipiritsa.

Matenda a pancreatic gland amakhala ndi mtundu wa matenda ashuga 1, chifukwa chomwe ma cell a beta satulutsa insulin yokwanira, ndipo nthawi zina satero. Poterepa, ndikofunikira kubwezeretsa chinthu kuchokera kunja ndi jekeseni.

Matenda a 2 a shuga amafunika kuwunika pafupipafupi magazi a shuga. Kuti izi zitheke, muyenera kumwa mankhwala ochepetsa shuga omwe adokotala amuuzani. Kuphatikiza apo, odwala ayenera kukhala ndi moyo wathanzi, kukana kumwa mowa ndi zakudya zamafuta, kuchita masewera olimbitsa thupi ndikutsatira zakudya zapadera.

Ndiye, ndizakudya ziti zomwe zimachepetsa shuga m'magazi a 2 shuga?

Kuti muchepetse shuga m'magazi, muyenera kudya zakudya zambiri zamafuta ndi madzi. Masamba amalimbikitsidwa kuti adyedwe yaiwisi kapena yofinya.

Zakumwa zochepa zama calorie ziyenera kutsekemera. Izi sizingotsitsa shuga wamagazi anu, komanso kukukhalitsani bwino.

Nyama ndi mkaka uyenera kudyedwa ndi mafuta ochepa. Maeleri ndi ma legamu amaloledwa kuti azikudya mopanda malire.

Amayi oyembekezera ambiri amachita mantha akapeza kuti ali ndi shuga wamkulu panthawi yapakati. Kodi muyenera kuchita chiyani ngati zoterezi zachitika? Choyamba, mkazi ayenera kufunafuna uphungu wa akatswiri. Endocrinologist amawunika momwe mayi aliri m'tsogolo ndipo, malingana ndi kuopsa kwa matendawa, adzalembera chithandizo chofunikira.

• Zakudya za tsiku ndi tsiku zimagawidwa pakati pa mapuloteni, mafuta ndi chakudya mu 20-25%, 35-40% ndi 35%, motero.

• Munthawi yonse yoyembekezera, pamakhala kuchepa kwapang'onopang'ono kwa zakudya zopezeka caloric mpaka 25-30 kcal pa 1 kg yolemera.

• Zakudya zopatsa mphamvu zilizonse zomwe zimapezeka mosavuta (makamaka maswiti) sizimachotsedwa pakudya tsiku lililonse.

Zikatero, mothandizidwa ndi chakudya chokha, sizingatheke kusintha shuga, mayi woyembekezera amapatsidwa insulin. Kusankhidwa kwa mlingo kumachitika ndi endocrinologist. Amayang'anitsanso mayi woyembekezera nthawi yonse yoyembekezera, ndipo ngati ndi kotheka, amasintha mlingo wa mankhwala wololedwa.

Mankhwala a insulin

Ndizotheka kuchepetsa shuga m'magazi panthawi yomwe muli ndi ma insulin; amayi omwe asinthidwa amakhala ndi mankhwala ochepetsa shuga m'magazi. Ngati mayi anali ndi matenda a shuga omwe amadalira insulin asanabadwe, thupi lake limafunikira insulin yokwanira nthawi iliyonse yomwe ali ndi pakati.

Ichi ndichifukwa chake ndikofunikira kwambiri kuwongolera kuchuluka kwa glycemia pafupipafupi monga momwe dokotala amafotokozera, kuti asinthe mlingo wa mankhwalawa ndikupatuka pang'ono.

Amayi oyembekezera omwe ali ndi shuga yocheperako amatha kuwongolera zakudya zomwe amapeza m'magazi. Komabe, malingaliro oterowo ayenera kuperekedwa ndi endocrinologist.

Ngati dokotala akuwona kuti chiwopsezo cha thanzi la mayi kapena mwana wosabadwa, mkaziyo amusamutsira insulin. Zokhudza wowerengeka azitsamba kuti muchepetse shuga, ndizowopsa kuwapeza nthawi yapakati.

Amayi oyembekezera ali ndi kuchuluka kwambiri kwa chitukuko cha hypoglycemia, ketoacidosis ndi zovuta zina za matenda osokoneza bongo kuposa odwala omwe si oyembekezera.

Mankhwala

Kunja kwa pakati, mankhwala omwe amachepetsa shuga ya magazi amagwiritsidwa ntchito kuwongolera matenda ashuga. Zolimbikitsa kuponderezana zimachitidwanso. Poyembekezera mwana, mankhwalawa satchulidwa. Kugwiritsa ntchito mankhwalawa kumasokoneza chitukuko cha mwana wosabadwayo ndipo kumatha kubweretsa zotsatira zosasangalatsa.

Insulin imagwiritsidwa ntchito kuwongolera shuga m'magazi panthawi yapakati. Mlingo umasankhidwa payekha. Ndikofunika kuti mutatha kugwiritsa ntchito insulin mkhalidwe wa mayiyo suwonjezereka, ndipo shuga amakhalabe wokhazikika.

Njira zoyenera kuperekera shuga kwa amayi apakati:

• kusala shuga 3.3-5,5 mmol / l,
• glucose mutatha kudya - 5.0-7.8 mmol / l,
• glycated hemoglobin ochepera 6.5%.

Mwazi wa magazi uyenera kuyang'aniridwa tsiku lililonse kangapo patsiku. Miyeso imatengedwa musanadye, maola awiri mutatha kudya komanso pogona. Mamita a glucose onyamula ayenera kugulidwa kuti adziwe shuga. Kutengera ndi zomwe zapezeka, kuchuluka kwa insulin kumawerengeredwa.

Mawonekedwe ndi zotsatira zake

Magazi omwe amakhala akudzikweza nthawi zonse amadzimva ndi zizindikiro monga:

• ludzu
• kukodza pafupipafupi komanso kopatsa chidwi,
• kufooka
• njala yosalekeza (nthawi zina mosinthanitsa)
• kuyabwa mu urethra (ndi glucosuria),
• kuchuluka kwa kuthamanga kwa magazi.

Kuzindikira komaliza kumachitika pambuyo poyesedwa kwa labotale. Kwa amayi apakati, kusala shuga m'magazi a 3.3-6.10 mmol / L kumawoneka ngati kwachilendo. Maola awiri mutatha kudya chakudya chamafuta, sayenera kupitirira 6.99 mmol / L. Kuzindikira shuga mu mkodzo (glucosuria) kumawonetsa hyperglycemia ochulukitsa 10 mmol / L.

Kusemphana kwa mahomoni (insulin ndi estrogen) kumatha kusokoneza thanzi la mayi osati yekhayo, komanso mwana wosabadwa, ngati mayi ali ndi pakati samayang'anira mayeso ndikuchita zonse zotheka kuti muchepetse kuchuluka kwa shuga m'magazi.

Matenda osavomerezeka a shuga angayambitse kubadwa msanga komanso matenda ashuga kapena "kudyetsa mwana wosabadwayo." Mwana wotere amabadwa ndi kulemera kwakukulu komanso kutukuka kosasinthika (miyendo yayikulu, miyendo yopyapyala), wakhanda nthawi zambiri amakhala ndi vuto la kupuma kwa jaundice komanso kupuma, komanso hypoglycemia. Ana awa amafunika kuwayang'anira nthawi zonse.

Kukonza zakudya

Pa nthawi yoyembekezera, ndikofunikira kuti mwana alandire zinthu zonse zofunika kuti akule bwino, chifukwa chake zakudya zomwe mayi woyembekezera sayenera kukhala wovuta kwambiri, ngakhale atakhala ndi shuga wambiri. Mu zakudya azimayi ayenera kupezeka mokwanira komanso mapuloteni, komanso mafuta, komanso michere yambiri (yoyimiriridwa makamaka ndi fiber).

Mwambiri, ndizofunikira kuti zikuwoneka motere:

• Zakudya zomanga thupi zosavuta (shuga) - 0%.
• Zakudya zomanga thupi - 40 - 50%.
• Mapuloteni - 20 - 30%.
• Mafuta - 30% (makamaka polyunsaturated).

Ndi bwino kudya nthawi zambiri, koma m'malo ochepa. Mukamagwiritsa ntchito insulin, ndikofunikira kuwerengera magawo a mkate pakudya iliyonse. Ngati muyezo wotsatira wa glycemia uwonetsa kuchepa kwa shuga, komwe kumachitika nthawi zambiri pakati, mayi amaloledwa kudya china chake chokoma.

Zakudya zoyenera ndizofunikira kwambiri kupanga shuga wambiri. Kuphatikiza zakudya kumathandizira kagayidwe kazakudya ndipo nthawi zambiri kumakuthandizani kuchita popanda kugwiritsa ntchito mankhwala.

Zochita zolimbitsa thupi

Ntchito yamagalimoto ya mayi wapakati imawonjezera kuchuluka kwa mpweya womwe umalowa mthupi la mwana ndikuwonetsetsa kuti kagayidwe kake kamakhala kolimba. Minyewa yambiri imadyedwa, ndipo mulingo wake umakhala wofanana. Kuphatikiza apo, kuthekera kwa kukula kwakukula kwambiri kwa fetal kumachepetsedwa.

Zovuta zilizonse pamimba siziphatikizidwa. Kuphatikiza apo, simuyenera kuchita nawo masewera olimbitsa thupi - skating, ski ,iking.

Ndikofunika kuti musangokhala mopitirira muyeso, chifukwa nthawi yobala mwana si nthawi yoti mudzitulutse thukuta zisanu ndi ziwiri ndikukhala ndi mbiri. Ndikofunikira kupuma molondola ndipo, ngati mukusowa, musokoneze zolimbitsa thupi zilizonse.

Ndi mankhwala a insulin, masewera amatha kubweretsa hypoglycemia, choncho onetsetsani kuti mwawunika magazi musanayambe kuphunzitsa ndikumakhala ndi chilichonse chokoma ndi inu ngati shuga atachepa.

Insulin

Mosiyana ndi mantha a amayi oyembekezera, insulin ndiyotetezeka kwathunthu kwa amayi onse oyembekezera komanso ana awo. Imaletseka nthawi yomweyo pakubadwa kwa mwana, sizichititsa kuti azisokoneza.

Jekeseni wa mankhwala amachepetsa shuga. Amayikidwa pa vuto la kusachita bwino kwa masewera olimbitsa thupi komanso ndi standardoglycemia.

Ndondomeko ya jakisoni imatsata kapamba. Asanadye, insulin yochepa imayendetsedwa, zomwe zimayambitsa makamaka kudya. Nthawi yonse, insulin yayitali imayambitsidwa - secal secretion yofunikira pakati pa chakudya.

Mankhwalawa amatumizidwa ndi cholembera kapena cholembera. Ma regimen oyambira kutsata insulin sangakhale oyenera, chifukwa chake ndikofunikira kukaonana ndi dokotala posachedwa, yemwe angasankhe dongosolo labwino kwambiri.

Mapiritsi ochepetsa shuga amaletsedwa mwamphamvu kuti amayi apakati azitenga chifukwa cha kulowetsedwa kwa zosakaniza za mankhwalawa kudzera mu placenta ndi zovuta zawo pakukula kwa mwana wosabadwayo.

Zithandizo za anthu

Zochita zawo siziyenera kuchepetsedwa, chifukwa maphikidwe amayesedwa nthawi. Kuphatikiza apo, zosakaniza zonse zakukonzekera mankhwala azisamba ndizachilengedwe komanso zotsika mtengo.

Musanagwiritse ntchito mankhwala azitsamba, ndikofunikira kukaonana ndi dokotala. Kutengera nthawi yomwe mayiyo ali ndi pakati, amasankha zitsamba zoyenerera ndikupatsa mankhwala.

Decoctions ndi ma tinctures pazotsatira zotsatirazi amatha kupatsa bwino komanso bwino kukwaniritsa zotsatira za hypoglycemic:

• mabulosi oyera
• udzu wa oat
• nyemba nyemba
• ma bulosi (onse masamba ndi zipatso),
• tsamba
• sinamoni
• mbewu za fulakesi
• lilac masamba
• makungwa a Aspen.

Kuphatikiza pa zitsamba, kabichi yoyera ndi yoyera, msuzi wa mbatata, msuzi wa karoti ndi karoti, nettle ndi phulusa la m'mapiri amaonedwa kuti ndi othandiza pochotsa shuga.

Chimodzi mwazinthu zazikulu pakusankhidwa kwa wowerengeka azitsamba kuti athane ndi shuga yayikulu magazi ndikusowa kwawo kwa diuretic.

Mlingo wamankhwala amakono umakupatsani mwayi wochepetsa shuga m'magazi panthawi yomwe muli ndi pakati komanso kupewa zotsatira zosafunikira, komabe, mkazi yemwe ali ndiudindo sayenera kuyang'anitsitsa thanzi lake, kadyedwe ndi kulemera kwake, chifukwa ali ndi udindo paumoyo ndi thanzi la munthu wocheperako yemwe amavala pansi pa mtima wake .