Wodwala, ali ndi pakati matenda ashuga - ndi chiyani ndipo amathandizidwa bwanji?

Nthawi yapakati, thupi la mkazi limasintha kwambiri.

Komabe, pamodzi ndi kusintha komwe anakonza panthawiyi, nthawi zambiri matenda osiyanasiyana omwe sanali kudziwika kwa mayi woyembekezera amabwera.

Zina mwazomwe zimachitika ndi matenda a shuga.

Zolemba za matendawa

Matenda a shuga a Gestational ndi mtundu wa shuga womwe umachitika nthawi yoyembekezera. Kuphatikiza pa mawonekedwe awa, adokotala amathanso kudziwa matenda osokoneza bongo omwe amafotokozedwa chifukwa cha kulolerana kwa shuga.

Zomwe zimayambitsa kupatuka ndikuchepa kwa chidwi cha maselo amthupi kupita ku insulin yotulutsa chifukwa cha kuchuluka kwambiri kwa mahomoni apakati m'magazi.

Nthawi zambiri, mwa amayi oyembekezera, shuga amatuluka pokhapokha chakudya, ndipo m'mawa pamimba yopanda kanthu, chizindikirocho chimakhala chokhazikika. Ngati mayi adadwala matenda ashuga asanatenge pakati, matendawa sangapite kulikonse.

Monga lamulo, matenda a shuga omwe amapezeka pakukonzekera kwa mwana amapezeka theka lachiwiri la pakati ndipo amadzisala atangobereka.

Mulimonsemo, mosasamala mtundu wa matendawa, mayi ayenera kuyesetsa kukhalabe ndi shuga pamlingo wovomerezeka kuti apewe zovuta pakubala komanso kupirira mwana wathanzi.

Kodi chowopsa pamwana ndi chiani?

Mwana wosabadwayo, yemwe amayi amanyamula, amalandila kwa iye mu glucose wofunikira, koma osati insulin. Chifukwa chake, kagayidwe kachakudya kamachitika.

Pankhani ya kukhalapo kwa zovuta m'mayi, kuwonjezeka kwa glucose kumatha, komwe kumakhala kowopsa makamaka mu trimester yoyamba, pamene mwana wosabadwayo sanayambebe insulin yake.

Pambuyo pa masabata 12, thupi la fetal likhoza kudzipangira payekha payekha, pamakhala vuto la hyperinsulinemia, lomwe lingayambitse kukula kwa ana hypoglycemia, kuvulala pa nthawi yobereka, komanso kuphwanya thupi.

Ngati vutoli lingadziwike panthawi yake, kuchitapo kanthu ndikuwunika momwe zinthu ziliri, ndikotheka kukhala ndi mwana wathanzi kwathunthu ndikuchotseratu zovuta pakukonzekera kwa amayi.

Zimayambitsa chitukuko ndi zochitika

Chomwe chimayambitsa kukula kwa matenda ashuga gestational sichimveka bwinobwino.

Akatswiri amati imodzi mwazinthu zomwe zimayambitsa kuwonekera kwa kuphwanya ndikuletsa njira ya insulin yotulutsidwa ndi mahomoni apakati, omwe amachititsa kukula kwa thanzi ndi kukula kwa mwana wosabadwayo.

Zina mwazinthu izi ndizofunikira zowonjezereka za mayi wamtsogolo mu shuga, zomwe sizofunikira thupi lake lokha, komanso mwana wosabadwayo. Chifukwa chake, kuchuluka kwa insulin kumayambira, komwe kumasokoneza kapamba.

Kuphatikiza apo, chomwe chimayambitsa kukula kwa matenda ashuga mwa amayi apakati chingakhale michere yosiyanasiyana ya autoimmune, cholowa chamtsogolo, chotupa chomwe chimasamutsidwa ndi amayi poyambanso kupezeka ndi matenda, kupangika kwa polycystic pamazira, zizolowezi zoipa ndi zina zambiri.

Zotsatira ndi zoopsa

Matenda a shuga amawopa mankhwalawa, ngati moto!

Muyenera kungolemba ...

Mokulira kuchuluka kwa shuga kwa mayi woyembekezera, ndikoyenera komwe kumapangitsa macrosomia (kudyetsa mwana wosabadwayo).

Zikatero, mwana ali m'mimba amakula msanga kwambiri, koma kukula ndi kuchuluka kwa ubongo wake kumakhalabe kwabwinobwino.

Kulemera msanga kumathandizira kuti munthu abadwe msanga, komanso mavuto pakubala. Kuphatikiza apo, kuthekera kwa kubereka kapena kusanza, kusokonezeka kwa impso ndikukula kwa zovuta za pambuyo pake kumawonjezeka.

Kuti apewe mavutowa, madokotala nthawi zambiri amapitilira kuyitanidwa kuti abereke. Poterepa, njira yogwira ntchito popanda zovuta kapena ndi chiwerengero chocheperako ndiyotheka.

Pathogenesis ndi etiology

Mu nthawi yoyembekezera, pamakhala kupatsira shuga kwa mayi kupita kwa mwana wosabadwayo. Nthawi yomweyo, pafupifupi kuyambira chiyambi cha trimester yachiwiri, kuchepa kwa chidwi cha minofu kupita ku insulin kumachitika, chifukwa chomwe kuwonjezeka kwa kupanga kwa insulin kumatha.

Thupi limapanga insulin

Ngakhale pali mawonekedwe ena mwadzidzidzi akusokonezeka ndi mawonekedwe a kusintha kwa "wathanzi" m'thupi la mayi wapakati, makina a chitukuko cha matenda ashuga ndi munthu payekha.

Mosiyana ndi shuga, odwala matenda ashuga alibe mndandanda wazizindikiro womwe ungasonyeze kuti sukuyenda bwino. Chitsimikizo chowonekera cha kuyambika kwa njira ya matenda ashuga ndiwowonjezera kuchuluka kwa shuga m'magazi.

Nthawi zambiri, amayi apakati omwe ali ndi vuto la matenda osokoneza bongo amatha kusintha motere:

• kuchuluka kwambiri kwa mayi woyembekezera (kuchuluka kwa magalamu 300 pa sabata),
• ludzu lalikulu
• kufunikira kogwiritsa ntchito chimbudzi pafupipafupi,
• kusowa kwa chakudya
• kutopa.

Mwana wosabadwayo panthawiyi akukonzekera kuwonetsa mbali zolakwika za thupi, kupangika kwama minofu yambiri komanso kuwonjezeka kwambiri kwa thupi.

Zizindikiro

Gawo loyamba mu magawo azidziwitso owunika ndikuwunika kuopsa kwa matenda ashuga.

Chifukwa chake, panthawi yomwe mayi wamtsogolo adzalembetsedwere kuchipatala chakutsogolo, adotolo ayenera kuganizira zofunikira zina (zaka ndi kulemera kwa mayi woyembekezera, kuyambika kwa matenda ashuga panthawi yapambuyo, kubadwa kwa ana olemera kuposa makilogalamu 4, kubereka, kukhalapo kwa kubadwa kwa cholowa ndi mfundo zina zambiri).

Gawo lachiwiri ndikupereka magazi a glucose. Kufufuza kotereku kumachitika kangapo panthawi yapakati. Ngati chizindikiro chizidutsa 5 mmol / l, mayi woyembekezera atumizidwa kukayezetsa magazi.

Pankhani ya kukhalapo kwa zizindikiro zodziwika pakapita milungu 24 mpaka 28 ya mayeso, kuyezetsa mobwerezabwereza kumachitika. Ndi nthawi imeneyi yomwe mutha kupeza zotsatira zolondola kwambiri.

Ngati mayi woyembekezera adapezeka kuti ali ndi matenda osokoneza bongo, amamulembera zolimbitsa thupi, kudya, komanso kuwongolera shuga tsiku lonse (muyeso umalimbikitsidwa pafupifupi nthawi 5-6 patsiku).

Zakudya za matenda

Malamulo a "machitidwe azakudya" ndikutsatira malingaliro osavuta:

1. chakudya chizikhala chopindika. Zakudya za 5-6 patsiku zikulimbikitsidwa, zitatu zomwe zikhale zazikulu, zotsalazo zimakhala zokhwasula-khwasula,
2. Kuchokera muzakudya muyenera kupatula zakudya zomanga thupi zomwe zimayamwa mwachangu (ufa, zotsekemera, mbatata),
3. muyenera kuyeza kuchuluka kwa shuga ndi glucometer mukatha kudya chilichonse,
4. sayenera kudya mopambanitsa
5. Zakudya ziyenera kukhala motere: 40-45% yazakudya zamafuta athanzi, 30% yamafuta athanzi ndi 25-60% ya mapuloteni.

Makani Ovomerezeka

Ntchito yololedwa:

• mtedza waiwisi
• supu zamasamba, zipatso zovomerezeka, okroshka,
• nyemba
• zopangidwa ndi soya
• masamba abwino
• madzi amchere ndi timadzi tokonzedwa tatsopano,
• phala (oatmeal, buckwheat, tirigu),
• zipatso zouma
• Zipatso zopanda zipatso ndi zipatso (mapeyala, maapulo, mandimu ndi zina).

Sizikulimbikitsidwa kugwiritsa ntchito zotsekemera nthawi zonse, chifukwa zimatha kukhala zosokoneza.

Masewera olimbitsa thupi

Zochita zolimbitsa thupi ziyenera kukhala zopatsa malire, zobweretsa chisangalalo.

Chitani masewera olimbitsa thupi mwanjira iliyonse: kuyenda, kusambira, masewera olimbitsa thupi ndi zina zotero. Mimba zolimbitsa thupi pa nthawi ya mimba ndi zotsutsana.

Ngati mukukhala osasangalala, sinkhaninso gawo lina nthawi ina. Komanso, mukamaphunzirira, yang'anani moyo wanu wabwino. Nthawi zambiri pa mimba, amayi apakati amakhala ndi hypoglycemia.

Popewa kusasangalala, yambani phunziroli ola limodzi mutatha kudya. Komanso, mutangochita maphunziro anu, mumatha kudya sangweji kapena apulo.

Mankhwala

Pa nthawi yoyembekezera, azimayi am'tsogolo omwe ali ndi matenda ashuga amatha kupatsidwa mankhwala opititsa patsogolo kufalikira kwa magazi mu unyolo wa mayi ndi mwana

Mndandanda wa mankhwalawa umaphatikizapo Magnesia, mavitamini a magulu A, E, gulu B.

Pambuyo pake, mungafunike kugwiritsa ntchito insulin. Komanso, kupatula fetal hypoxia, Pentoxifylline, Riboxin kapena Piracetam amagwiritsidwa ntchito.

Mankhwala omwe agwiritsidwa ntchito amatengera momwe mayi ndi mwana amakhalira, komanso pa trimester.

Nthawi yoyenera yobereka kwa GDM ndi masabata 39 mpaka 40.

Koma ngati pakadutsa masabata 38 kulemera kwa fetal kumaposa magalamu 3900, nthawi yobadwa imayamba. Pansi pa mawonekedwe a mutu, kusankha kwabwino kwambiri ndikubala kwachilengedwe.

Komabe, mayi yemwe ali mu ntchito ayenera kuyeza kuchuluka kwa shuga pakadutsa maola awiri aliwonse.

Kupewa

Ngati mudadwala matenda ashuga panthawi yomwe muli ndi pakati, kenako kudutsa, musapumule, chifukwa pambuyo pake mutha kupezeka ndi matenda a shuga a 2.

Chifukwa chake, tikulimbikitsidwa kuwunikira nthawi ino ndikuchita pafupipafupi njira zopewera.

Pambuyo pobala, pa masabata 6-12, pimani kuyezetsa matenda ashuga.

Pambuyo pake, tikulimbikitsidwa kukayezedwa zaka zitatu zilizonse. M'pofunikanso pamoyo wanu watsiku ndi tsiku kulimbitsa thupi lanu ndikuchita masewera olimbitsa thupi ndikutsatira zakudya (zakudyazo zimayenera kukhala ndi mapuloteni komanso mafuta athanzi, ndikulola chakudya kukhala chochepa).