Matenda a amayi apakati omwe amapita ku Temko

Chifukwa Simunaloledwe patsamba. Lowani.

Chifukwa Simuli wogwiritsa ntchito trust (foni siyitsimikiziridwa). Sonyezani ndi kutsimikizira foni. Werengani zambiri za kudalirika.

Chifukwa Mutuwu ndi mbiri.

Ndinapezeka kuti ndili ndi GDM ndili ndi pakati, ndili ndi GTT, shuga othamanga anali 5.3, ndipo nditatha kuchita masewera olimbitsa thupi panali 6.93. Pano, chifukwa cha kudya mwachangu shuga, kuzindikira kumeneku, kuphatikizapo adatumizidwa kuti atenge hemoglobin ya glycated (ikuwonetsa kuchuluka kwa shuga m'miyezi itatu). Zinali 6.1 zokhala ndi chizolowezi chosakwana 6. Zotsatira zake, mimba yotsalayo inali pachakudya chokhwima ndikuwayetsa shuga kasanu ndi tsiku. Panalibe insulin, adamuika m'chipatala sabata limodzi ndi theka asanabadwe, pamapeto pake adabereka milungu 40 mpaka masiku 6, pambuyo pa amniotomy (kupuma kwa chikhodzodzo), mwana wamkazi 3390. Mwana wanga wamkazi ndi shuga adakhala bwino (pah-pah), ndipo ndidapita Patatha miyezi 10 kuti apereke hemoglobin wa glycated - kuposa kale. Tsopano ndaziwona ndi endocrinologist, pakadali pano ma x, kaya ndi matenda ashuga, kapena mpaka pano, koma ndichisoni, kumapeto kwa Seputembala ndidzayesedwanso.

Matenda a shuga ndi ambiri

Matenda a endocrine dongosolo la thupi logwirizana ndi matenda a metabolism metabolism amatchedwa shuga mellitus. Ntchito yolakwika ya pancreatic panthawi yachinsinsi ya insulin imabweretsa zotsatira zoyipa mu mawonekedwe a kuchuluka kwa glucose m'magazi a anthu.

Zifukwa zazikulu:

kutsika kwa kuchuluka kwa maselo β-m'matumbo omwe amapanga insulin,
njira yolakwika ya kusintha kwa mahomoni,
shuga wambiri yemwe amalowa mthupi. Kapamba sangathe kuthana ndi kupanga kuchuluka kwa insulini,
kupweteka kwakukulu kwa mahomoni ena omwe amakhudza insulin.

Glycoprotein receptors mwanjira yapadera imakhudza kagayidwe kazachilengedwe. Kuphatikiza pa kagayidwe kazakudya, pali kusokonekera mu kagayidwe ka mapuloteni, mchere, mchere, madzi. Matenda a shuga ayamba kudwala matenda amakono.

Pathology imawonetsedwa m'njira zingapo:

mtundu woyamba wa matenda umagwirizanitsidwa ndi kusakwanira katemera wa insulin. Zikondamoyo zomwe zimakhudzidwa sizitulutsa timadzi tambiri,
Munthawi yachiwiri ya matendawa, maselo a mthupi saganizira za insulin. Zotsatira zake, mahomoniwa sangathe kugawa glucose ku minofu,
matenda ashuga omwe amapezeka munthawi ya bere (gestation). Amatchedwa gestationalabetes mellitus.

Matendawa amatha kuonekera pa nthawi yomwe ali ndi pakati, koma angachitike zisanachitike.

Zinthu zazikulu pakuwoneka kwa matendawa

Nthawi zambiri kuzunzidwa kwa shuga nthawi zambiri kumabweretsa zotsatira zoyipa mu mawonekedwe a kukwanira, kuchepa chitetezo chokwanira.

Pokhapokha pachitika zinthu zina, matenda a shuga amatha.

Njira ya matenda ashuga mwa akazi onyamula mwana ndiyosiyana. Placenta ya uterine imatulutsa timadzi timene timagwira mosiyana ndi insulin.

Kuchita molakwika kwa shuga m'misempha ya amayi apakati kungakhale chifukwa cha kuchuluka kowonjezereka pa kapamba. Ndi mimba yomwe imasintha zotsatira za kuchuluka kwake.

Chiwalo cha embryonic chimapanga progesterone, lactogen, estrogens ndi cortisol, chomwe pambuyo pake chimachepetsa ntchito ya insulin. Pazinthu zina, kuchuluka kwa osokoneza insulin kumawonjezeka pakatha milungu 18 ya gestation. Monga lamulo, matenda a shuga amawonekera pakatha masabata 24-28.

Ngati mayi awona mitundu ya chithandizo chomwe katswiri amalimbikitsa, nthawi zambiri matendawa amapita pakokha atabereka.

Nthawi zina, anthu samazindikira kwenikweni za glucose, nthawi zina akusowa kwa insulin. Kafukufuku wamakono atsimikizira kuti minofu ya pancreatic siyikhudzidwa ndi matenda a shuga.

Zotsatira zoyipa za matendawa

Ndi kuvutitsidwa kwa zakudya zotsekemera, vuto la majini, kuchuluka kwa kapamba, matenda ashuga amapezeka panthawi ya bere.

Nthawi zambiri, matendawa amawonekera sabata la 28 la bere.

Kuwonetsa kwambiri matendawa kungasokoneze mwana.

Nthawi zina, matendawa amasowa pambuyo pobadwa mwa iwo okha popanda zotsatira zake. Shuga wambiri akamachitika pakubala, ntchito yayikulu ya amayi ndikuchepetsa zomwe zimayambitsa matenda ashuga ndikusintha chakudyacho. Kukhala ndi moyo wathanzi kumasintha kwambiri mkhalidwe osati wa mayi woyembekezera, komanso wa mwana.

Zotheka ndi zovuta za matenda ashuga panthawi ya bere:

matenda amisempha ya fetus mapangidwe,
kuchuluka kwamatumbo oyamba munthawi yoyamba kubereka,
kubadwa msanga.

Kuwoneka kwa matenda ashuga kumayambiriro kwa kutenga pakati kumatha kukhudza kupangidwe koyenera kwa ubongo, mitsempha yamagazi, komanso dongosolo lamanjenje la mwana wosabadwayo.

Pambuyo pake, shuga wambiri amatha kubweretsa kukula kwachilendo kwa mwana wosabadwa. Glucose yemwe amalowa m'thupi la mwana mokulira alibe nthawi yoti akonzedwe ndi kapamba. Shuga wosavomerezeka amasinthidwa kukhala mafuta, woyikidwa mthupi lake.

M'tsogolo, izi zidzasokoneza thanzi la mwana. Kuzolowera kuchuluka kwa shuga, khandalo lidzasowa shuga, zomwe zingayambitse matenda a shuga.

Matenda ngati amenewa amatha kukhazikitsidwa chifukwa cha kupezeka kwa ultrasound. Atazindikira kuti ali ndi matenda obadwa nawo a shuga ndi zisonyezo zoyenera, dokotalayo amatha kubereka mwana pamapeto a bere.

Makhalidwe a shuga kwa mwana:

kunenepa kwambiri kwa fetal (macrosomia) - zoposa 4 kg,
kuyanʻanila kukula kwa thupi la mwana,
kuperewera kwa chiwindi ndi impso,
ntchito ya mwana wosabadwayo ndi kupuma kulephera,
mkulu wa adipose minofu ya mwana wosabadwayo.

Zotsatira zoyipa za mayi woyembekezera ndi mwana:

kuchuluka kwamadzi amniotic,
pamakhala chiopsezo cha kuzizira kwa mwana,
shuga wambiri amakonda kukula kwa mabakiteriya,
chiopsezo chovulala pakubadwa kwa mwana chifukwa cha mwana wosabadwa wamkulu,
kuledzera ndi matupi acetone opangidwa m'chiwindi,
fetal hypoxia ndi preeclampia wamkati ziwalo.

Woopsa milandu, chiopsezo chachikulu cha kubadwa msanga. Kubadwa kumatha kutha ndi imfa ya mwana, kuvutikira mzimayi wosabereka.

Magulu owopsa

Matenda a shuga amawopa mankhwalawa, ngati moto!

Muyenera kungolemba ...

Mkazi aliyense panthawi yotsitsa amatha kudziwa kuti ndi njira ziti zomwe zimayambitsa kuchuluka kwa shuga m'magazi. Kufunsidwa koyenera ndi dokotala kufotokozera mwatsatanetsatane njira yosinthira zakudya zam'madzi ndi moyo panthawi yomwe mayi ali ndi pakati, zomwe zimakhudza thanzi la mayi woyembekezera.

Nthawi zambiri, kuchuluka kwa shuga m'magazi pakachitika bere:

kunenepa
wazaka 30 wazaka 30,
kulemera kwa zaka 20 mpaka kutenga pakati,
achibale apamtima odwala matenda ashuga
kusasamala kwa mahomoni, kusagwira bwino ntchito kwa thumba losunga mazira,
shuga wokwera pang'ono musanakhale ndi pakati,
matenda a endocrine
matenda ashuga okalamba m'mimba yapitayi.

Chifukwa chake, ngati mkazi agwiritsa ntchito mankhwala osafunikira panthawi yomwe ali ndi pakati, ali ndi vuto lakumatenda a shuga, amakhala pachiwopsezo.

Kupumula kwakanthawi kwamatenda omwe angayambike chifukwa cha matendawa, muyenera kuganizira mosamala za zomwe zingachitike zomwe zikusonyeza kuti mayi ali ndi matenda ashuga.

Munthawi yonse yoyembekezera, ogwira ntchito zachipatala amayang'anira mkhalidwe wa mayi wapakati pochita mayeso a labotale. Nthawi zambiri, zizindikiro za matenda ashuga poyerekeza ndi zochitika zapakati pa gestation sizioneka.

Zizindikiro zina zokhudzana ndi matenda amtundu wa shuga zitha kupezeka:

ludzu mwadongosolo popanda chifukwa
kukodza pafupipafupi,
kudumphira m'magazi kuthamanga,
kulakalaka kapena kusowa kwake,
chophimba pamaso
kuyabwa mu perineum.

Zizindikiro zitha kupezeka pazifukwa zina. Koma chifukwa cha kuopsa kwa matendawa, kuyang'ana akatswiri kudzakhala kofunikira kuti mupewe matendawa.

Kuti mudziwe zoyenera, kuyezetsa magazi a labotale ndikofunikira. Poyamba, kuyamwa magazi kumachitika pamimba yopanda kanthu, chachiwiri - ola limodzi mutatha kudya 50 g shuga. Kachitatu muzindikiridwenso pambuyo pa maola awiri. Njirayi imamveketsa bwino za momwe glucose amachokera m'mwazi wa mkazi.

Ngati zizindikirozo sizili bwino, ichi sikuti chifukwa chokhala ndi mantha. Kungoyesedwa mobwerezabwereza ndi komwe kumamveketsa bwino chithunzicho. Kuphatikiza pa zizindikiro za matendawa, zotsatira zoyipa zimatha kukhudzidwa ndi kupsinjika kwakanthawi koyamba kapena podya maswiti ambiri, zolimbitsa thupi. Chifukwa chake, asanadziwe komaliza, dokotalayo amamuunikiranso.

Njira zamankhwala

Tanthauzo la chithandizo ndikuchotsa zinthu zoyipa zomwe zimakhudza kuyambika kwa matenda ashuga. Kuyendetsa magazi pafupipafupi ndikutsatira malingaliro onse a dokotala, kuyezetsa magazi pafupipafupi kudzakhala njira yabwino yopezera chithandizo.

Malangizo kwa amayi omwe ali ndi matenda ashuga panthawi ya bere:

kudziyimira kosalekeza kwa magazi masana pogwiritsa ntchito glucometer. Mwazi wam'mawa m'mimba yopanda kanthu, musanadye komanso pambuyo maola 1.5,
kuwunika kwa mkodzo acetone. Kukhalapo kwake kumayankhula za shuga wosaphunzitsidwa,
mwatsatanetsatane muyezo wamagazi,
kuwongolera kunenepa komanso kupatsa thanzi zakudya zoyenera.

Ngati matenda a shuga apezeka ndipo ali mokhazikika, chithandizo cha jakisoni wa insulini ndi mankhwala. Piritsi yamtundu wa chithandizo pazochitika zotere ndi yosakwanira.

Zakudya zoyenera komanso masewera olimbitsa thupi okwanira

Kuchita bwino kwa matenda ashuga okalamba kumafuna kuwongolera kudya kwamphamvu thupi. Kamodzi m'mimba, amatenga msanga, ndikupangitsa kulumpha lakuthwa mu shuga.

Porridge ndi masamba osaphika omwe ali ndi fayilo yambiri sangalole kuti chakudya chizilimbitsidwa mwachangu kwambiri.

Muyenera kudya kangapo patsiku pamagawo ochepa. Kukula kwa ntchito kuyenera kugawidwa moyenera tsiku lonse. Poterepa, ndikofunikira kuwongolera kudya mafuta oyipa, kupatula zakudya zamchere.

Zokonda ziyenera kuperekedwa kwa mbalame yoyeretsedwa pakhungu, mitundu yochepa yamafuta nyama yophika pa grill kapena yonyowa. Simungathe kuchepetsa kumwa kwamadzi oyera popanda upangiri wa dokotala.

Chakudyacho chimayenera kukhala ndi masamba osaphika, mkaka. Palibe amene angatchule chinthu chofunikira ngati chitsamba chambiri. Ndi mothandizidwa ndi chakudya chomwe chili ndi masoka achilengedwe kuti chithunzi cha matendawa chitha kusintha.

Buckwheat amathandizira kusintha magazi m'thupi

Zopindulitsa zomwe zimapangidwira minofu yazakudya zimachepetsa kuthira kwa chakudya, zomwe zimapangitsa shuga m'magazi. Zotsatira zake, kapamba ndi ziwalo zina za mkazi zikugwira ntchito bwino.

Ndikofunikira kuyang'anitsitsa shuga m'magazi panthawi ya mankhwala a insulin, chifukwa hypoglycemia imatha kuchitika ndi zochitika zolimbitsa thupi.

Chinthu chachiwiri chomwe chimakhudza shuga m'magazi ndi zochitika zolimbitsa thupi. Ndikofunika kupezeka m'magulu azachipatala akuthupi. Kukhala kofunikira kuyenda mwakachetechete mumweya wabwino. Zojambula pabanja m'nkhalangozi sizingodzaza thupi ndi mpweya, komanso kuchepetsa nkhawa, kuchepetsa nkhawa, komanso kukonza kugona.

Matenda a amayi oyembekezera

Ngati munthawi ya bere, matenda a shuga adapezeka, ndiye kuti akatswiri pa nthawi yomwe amagwira ntchito amayang'anira kuwunika kwa magazi a mayiyo amene ali mu ntchito ndi mkhalidwe wa mwana wosabadwayo.

Lingaliro lokhala ndi gawo la cesarean limatengedwa mavuto atabuka.

Pakadutsa nthawi yobereka, kuwunika kwa shuga kumachitikanso osati mwa amayi okha, komanso mwa mwana. Ngati ndi kotheka, wobadwa kumene amaphatikizidwa ndi njira ya shuga kudzera m'mitsempha.

Kuwoneka kwa gestational kumawonjezera chiopsezo chokhala ndi matenda amtundu wa 2 kumapeto kwa nthawi yobereka. Chifukwa chake, ndikofunikira kuti muchepetse zinthu zonse zomwe zingakhudze matendawa. Kuwunikira mosalekeza kwa mndandanda wazinthu za glycemic nthawi zina kumayambitsa zovuta.

Koma matenda oopsa ngati amenewa amafunika kumangodziyang'anira nokha. Type 2 shuga mellitus amatha kupita mu mawonekedwe opunduka, omwe amakhala ndi zotsatirapo zoyipa. Kupitilira insulin jakisoni kumakhudza kwambiri moyo.

Makanema okhudzana nawo

Zomwe muyenera kudziwa zokhudza matenda ashuga:

Komabe, mantha popanga matenda sakhala oyenera. Matenda a gestational si sentensi. Kuunikiridwapo ndi azimayi omwe ali ndi matendawa akuwonetsa kuti kuwongolera kwathunthu pazakudya zopatsa thanzi ndikofunikira kuchita zolimbitsa thupi ndikofunikira.

Kutsatira kwathunthu ndi malingaliro a akatswiri pa nthawi yomwe ali ndi pakati kumawonjezera mwayi wothetsa matendawa ndipo sizingawononge thanzi la mwana. Pambuyo pake, ndikukwaniritsidwa kosasinthika kwa zofunikira, matenda a shuga samabwerenso.

Boyko Inessa Borisovna

Akatswiri azamisala, Wothandizira pa intaneti. Katswiri kuchokera pamalowa b17.ru

Ndinali nayo, ndipo zizindikirocho zinali mpaka magawo 12 pambuyo pa katundu. Mwana wanga wamkazi ali ndi zaka 4 kale, ndikuthokoza Mulungu, zonse zili bwino.

wokondwa kwambiri chifukwa cha inu! ndipo muli bwino tsopano? Ndidauzidwa kuti ndidzakhala pambuyo pa a Ges. matenda a shuga omwe ali pachiwopsezo komanso atatha kutenga pakati

Inde, mulibe matenda ashuga. ndinakulanditsani, monga ambiri.

Tsatirani zakudya, onani magazi pafupipafupi (monga adokotala ananena) ndipo zonse zikhala bwino. Chinthu chachikulu usiku ndikusadya maswiti, kapena zipatso zotsekemera, chifukwa m'mawa mulingo wa glucose m'magazi udzakulitsidwa pang'ono (chipangizocho chikuwonetsani).
Ndinali ndi matenda ashuga. Ndinkatsata kadyedwe, nthawi zonse ndimatenga magazi kuchokera pachala ndipo ndimayang'ana kuchuluka kwa shuga. Ndipo zonse zinali bwino. Mwanayo anabadwa wathanzi, kulemera kwake komanso kutalika kwake kunali kwabwinobwino. Mwa njira, mukufunikirabe kutsatira zakudya miyezi itatu itabadwa kuti magazi a shuga abwererenso.

Tsatirani malangizo anu azakudya ndi madokotala. Chilichonse chidzakhala bwino! Osadandaula! Matenda a shuga oyembekezera, mwatsoka, siwachilendo.

Inde, mulibe matenda ashuga. ndinakulanditsani, monga ambiri.

makamaka musakhale wamanjenje
Zonse zikhala bwino

wolemba, mvera positi ╧4, akunena zonse molondola. Ndili ndi milungu 30 kale, chinthu chomwecho ndi matenda a shuga. palibe amene akudziwa chifukwa ndi komwe amachokera, amalingalira kuti kuchokera pakusintha kwa mahomoni ndi ntchito ya placenta, ingoyesani kupatula masikono onse, makeke, maswiti pazakudya, idyani zipatso zodyera. ndi gd, makanda amadzaza mafuta ochulukirapo, motero amabadwa amakula, zomwe zimatha kubweretsa zovuta pakubadwa kwa mwana wosabadwa - zikwizikwi, m'malo osowa kwambiri, kuwonongeka kwa ciraicle mwa mwana, ndi hypoglycemia mwana atabadwa. ngati mumatsatira zakudya ndikupatsa thanzi. katundu (monga kuyenda), zonse zikhala bwino. palibe cholakwika ndi kupezeka kwa matendawa, ekclamsia (kuthamanga kwa magazi panthawi yoyembekezera) ndi yoyipa kwambiri komanso yowopsa, ndipo izi ndizo, zinthu zazing'ono. zonse zikhala bwino ndi inu.

zikomo Ndili ndi milungu 30. dzulo tsiku lonse limayeza magazi, lero, ngakhale lili labwinobwino. Ndili ndi mantha kwambiri kuti matenda ashuga angayambenso m'tsogolo. adotolo adati 50 peresenti ya chiwopsezo. ndi zambiri. Abambo a mwamuna wanga anali ndi matenda ashuga, tsopano mlongo wa abambo ake adwala.

Ndinali nditapeza masabata 28. Mpaka kumapeto kwa pakati, adasunga zakudya ndikumayang'ana magazi ake tsiku lililonse. ndinabereka bwino, zonse zimachitika ndi mwana wanga wamkazi. komanso kuda nkhawa kwambiri.
Tsopano ndili pachiwopsezo ndipo ndiyenera kufufuzidwa zaka ziwiri zilizonse.

anayeza ma 2 maola atatha nkhomaliro. 7.6, koma osapitirira 7.00. anadya bowa wofiirira mu msuzi wa phwetekere, schnitzel wa nkhuku ndi masamba saladi. pa chakudya chamadzulo, masisitere okha ndi saladi lero ziyenera. :-(

mukusowa pasitala wocheperako, tsopano sindikukumbukira momwe gawo liyenera kukhalira, simunaphunzitsidwe kuwerengera? kumeneko mwayerekeze makapu kapena magalamu. + Schnitzel yophikanso mkate komanso chakudya. yesani kudya popanda iwo. nyama ndi ndiwo zamasamba zimakhala zopanda malire, koma taganizirani zonse zopatsa mphamvu.ndipo ngati mukuwona kuti mwina mwadya zoposa zomwe muyenera kudya, ingoyeserani kuyendayenda pang'ono, ndangodutsa nyumba pano ndi apo ndipo shuga adatsika.

Ndagula pasitala yofiirira. Mwina simungathe schnitzel kuchokera ku mkate ndi phala la phwetekere. anati mutha kuwotcha ndi mpunga ndi mbatata, 1/3 yokha ya mbale

ma brown akuyenera kuganiziridwanso, pali mafuta ambiri m'malo amodzi. mu phala la phwetekere, onetsetsani kuti akupezeka. pasitala, mpunga, mbatata, zonse ndizotheka, zochepa chabe. Panjira, adandilangiza ku basmati, pali mafuta ochepa kumeneko. Ndikukumbukira kuti ndinali ndi pulogalamu yapadera yowerengera, wazakudya adalongosola chilichonse. kodi wauzidwa

adauza, koma osati mwatsatanetsatane kotero zomwe zingakhale magalamu. anakwera 1/3 ya mbale yakumbuyo ndi nyama. oletsedwa kwathunthu. shuga, mphesa, nthochi, buledi woyera. Kwa masiku awiri sindinadye maswiti kupatula maapulo. Dzulo mutadya chakudya chamadzulo ndinadwala, kufooka, nseru. kuyeza pambuyo 2 maola - 2.7. Nthawi yomweyo ndinadya yogati ndi shuga lachilengedwe.

Ndili ndimasabata 29. Ndipo amaikanso shuga a azimayi oyembekezera ((tsopano shuga wopanda m'mimba amadzuka mpaka 5.8 ndi 6.) akufuna kupereka mankhwala a insulin ((ngakhale shuga ndi yabwinobwino masana

Ndinali nayo, ndipo zizindikirocho zinali mpaka magawo 12 pambuyo pa katundu. Mwana wanga wamkazi ali ndi zaka 4 kale, ndikuthokoza Mulungu, zonse zili bwino.

Ndidandiuza pamimba yopanda kanthu ili 5.3, nditatha kudya maola awiri pambuyo pake chizolowezi ndi 7.00. Sindikukhala ku Russia, koma kodi zikutsatani?

Dokotala adandiuzanso kuti kwa amayi apakati chizolowezi chimafika pa 5.1, ndimakhala ndi 5 m'mawa ndikumaikirabe dd ((((

Adokotala azachipatala adandiuza kuti pamimba yopanda kanthu pali 6, ndipo dotolo wina adati 5.5, yemwe ukhulupirire, ukudziwa ma horseradish.

Ndipo adandiuza kuti pamimba yopanda kanthu thunthu ndi 5.1. Aliyense amatero mosiyanasiyana. Zotsatira zake, sizikudziwika kuti ndizowonetsa liti.

Ndili m'mawa ndili ndi m'mimba wopanda kanthu 5.4-6.1 masana ndichizolowezi ndipo nthawi yamadzulo imadzuka mpaka 8 (ndipo madzulo sindimadya zoletsedwa)

Ndili ndi milungu 32. Amayika ma Ges. matenda ashuga Kugonjetsedwa kwa shuga 7 pa tsiku. Ndikamadya kawiri pa sabata, 5.1 ili pamimba yopanda kanthu. Insulin idalembedwa usiku.

Ndipo kuyambira pa chiyambi cha pakati pomwe ndinawonetsa 6.2 pamimba yopanda kanthu, ndayamba kuyesa mayeso. Ndimawopa kwambiri mwana. Ndili ndi zaka 31 ndipo uwu ndi mimba yoyamba. Ndimapemphera kwa Mulungu kuti zonse zili bwino ndi mwana

Ndidakhala ndi gsd mu 2006, sindikukumbukira manambala, koma mwana wanga wamkazi adabadwa pasanathe masabata makumi atatu ndi limodzi. Ndipo 3280, panali zovuta zambiri zosasangalatsa, tsopano akuchita bwino. Tsopano nthawi ili ndi masabata 26, shuga ndiwokwera, ndagonekedwa m'chipatala ndikuwonera, sinditenga zoopsa zina zilizonse. Zakudya zimathandizirabe. Koma muyenera kuyeza tsiku lililonse pamimba yopanda kanthu ndikatha kudya

Ndili ndi milungu 32. Amayika ma Ges. matenda ashuga Kugonjetsedwa kwa shuga 7 pa tsiku. Ndikamadya kawiri pa sabata, 5.1 ili pamimba yopanda kanthu. Insulin idalembedwa usiku.

Ndili ndi milungu 13, gsd. chonde ndiuzeni amene amawonera komwe, sindinapatsidwe malangizo ku LCD, sakudziwa. Ndidayimba foni ku 1gradskaya, mu CD, pomwe Arbatka N.Yu. akuti amagwira pa tel 536-91-16, adandiuza kuti sakudziwa izi, ndipo amayi onse apakati omwe ali ndi maternity ward amatumizidwa ku 25 (.) R / d. ndendende 25, osati 29.

Pafupifupi milungu itatu yapitayo ndinapatsidwa GDM (shuga ya 5.3 yosala), Ber. tsopano masabata 10. Adandiuza kuti nditsatire zakudya, ndipo amanditumiza kudera la GDM kuti ndikaonane pambuyo poti wapezeka masabata 12. Magazi adatenganso nthawi 1 yokha, Lachisanu ndikudziwa zotsatira zake. Ndikuwoneka kuti ndimakhala ndi nkhawa kwambiri kuposa gynecologist wanga.

Moni, pamasabata 12 ndinapatsidwa matenda a shuga, shuga amawonjezeka mamilimita 11.8. Ndiuzeni chakudyacho! Sindikufuna insulini. Sindingathe kudzipangira chakudya!

Ndili ndi milungu 32. Amayika ma Ges. matenda ashuga Kugonjetsedwa kwa shuga 7 pa tsiku. Ndikamadya kawiri pa sabata, 5.1 ili pamimba yopanda kanthu. Insulin idalembedwa usiku.

Moni, pamasabata 12 ndinapatsidwa matenda a shuga, shuga amawonjezeka mamilimita 11.8. Ndiuzeni chakudyacho! Sindikufuna insulini. Sindingathe kudzipangira chakudya!

Ndiuzeni, kodi mudakhalabe ndi insulin mutabereka?

Kunali komwe pathupi ponsepo, koma poyamba sanandiyang'anire - zotsatira zake ndi khanda lalikulu lomwe linali asanabadwe ndi maphwando onse ndi kubwezeretsa mwana asanabadwe. Tsopano zonse zili bwino. Mwana wazaka 10. Ndipo chachiwiri, shuga idakwera, monga momwe zimawonekera kwa ine usiku, chifukwa nthawi zambiri ndimathamangira pang'ono, ndipo m'mawa kusanthula kunali kwabwino. Komano m'mawa chidayamba 7.0. Ikani endocrinology ndipo izi ndi zoona kwambiri. Zakudya ndi mbiri ya shuga. Mapeto ake onse, insulin. Amandibweza. Koma ndachepa thupi ndipo koposa zonse, mwana amakhala wathanzi ndipo insulin idachotsedwa. Chilichonse ndichopambana. Ndipo ndichotsereni kunyumba kuchokera kuchipatala osati kuchipatala.

Ndidakhala ndi gsd mu 2006, sindikukumbukira manambala, koma mwana wanga wamkazi adabadwa pasanathe masabata makumi atatu ndi limodzi. Ndipo 3280, panali zovuta zambiri zosasangalatsa, tsopano akuchita bwino. Tsopano nthawi ili ndi masabata 26, shuga ndiwokwera, ndagonekedwa m'chipatala ndikuwonera, sinditenga zoopsa zina zilizonse. Zakudya zimathandizira mpaka pano. Koma muyenera kuyeza tsiku lililonse pamimba yopanda kanthu ndikatha kudya

Mphepo Zokhudzidwa. matenda ashuga opanga ubongo mwa omwe abereka kale? Kodi pali zovuta zina zachitukuko?

Moni, ikani GDM. Kuyesa kwa glucose (pamimba yopanda 3.7, ola pambuyo pa shuga 75, 17.3, pambuyo pa maola 2 8.) Atapezeka shuga mkodzo, sanabwerezenso. Kuthamanga shuga 3.8-4.1 nthawi zonse. ola limodzi mutatha kudya mpaka 7, nthawi zina limakwera mpaka 8.5. Anamuika kuchipatala ndipo, ndi shuga, 6.2, atatha kudya, adawalowetsa ndi insulin yochepa. Sindikudziwa zoyenera kuchita .. sindikufuna insulini, koma madokotala amalimbikira ((

Tsiku labwino)
Atsikana okondedwa, nditakhala ndi pakati ndidakali ndi insulin LEVEMIR (ma syringe 5) ndi NOVORAPID (zolembera 3 za syringe) + bonasi ya singano kwa iwo. Ngati mukufuna wina ayimbire (89250946080 Moscow) ndigulitsa ndi kuchotsera kwakukulu.
Ndipo GDM si yoopsa ngati mutsatira zakudya ndi malangizo a dokotala. Tithokoze Mulungu ndinabereka, zonse zikuyenda bwino, adandichotsera kuti andipeze ndipo mwana wanga wamkazi ali ndi shuga wabwino.

Moni, pamasabata 12 ndinapatsidwa matenda a shuga, shuga amawonjezeka mamilimita 11.8. Ndiuzeni chakudyacho! Sindikufuna insulini. Sindingathe kudzipangira chakudya!

Ndiuzeni, kodi mudakhalabe ndi insulin mutabereka?

natalya
Moni, pamasabata 12 ndinapatsidwa matenda a shuga, shuga amawonjezeka mamilimita 11.8. Ndiuzeni chakudyacho! Sindikufuna insulini. Sindingathe kudzipangira chakudya!
Natya, mukudandaula chiyani kuwonjezera jakisoni wa insulin? Insulin yochokera kunja siyidatumizidwa kwa mwana wosabadwayo - siyingamupweteke. Zilonda zam'mimba - sizipweteka konse, chifukwa mafuta sakhala ndi mathero amitsempha. Pambuyo pobadwa, jakisoni imathetsedwa.
Zakudya: Muyenera kulandira zakudya zosachepera 12 za XE patsiku (zipatso, mkaka) Zochepa sizingatheke - padzakhala ndalama zogwiritsira ntchito mthupi - zitha kuvulaza mwana wosabadwayo ndi inu. Koma pa 12 XE mukukayikira kuti musinthe shuga yayikulu kwambiri (11.8). Tiyeneranso kukumbukira kuti nthawi ya masabata 12-16 imadziwika ndi kusintha kwa matenda ashuga, kuyambira masabata 16, kutsutsana ndi insulin kumawonjezeka. Ngati pamasabata 12 - 11.8 - jakisoni sangapewe. Mu trimester yachiwiri, pancreatic fetus imalumikizidwa ndikupanga shuga la magazi a amayi - katundu yemwe siwothandiza kwa mwana. Mwachita bwino, mwapeza matendawa munthawi yoyamba! Kutsiliza - chakudya + insulin - mayi ndi mwana ndi athanzi komanso osangalala!

Masana abwino, ndili ndi masabata 28, GSD kuyambira masabata 16. Prick insulin, mayunitsi okwanira 14 (usiku), komanso othamanga magawo 6 musanadye chakudya chachikulu. Chonde ndikuuzeni, m'mawa sazar ndiyabwino, koma ola limodzi mutadya 7.7-8.4. Kodi ndingathe kudzutsa ma unit 8 (insulin) ndisanadye.

Amakhala ndi inocated, ndipo m'magazi anga, mulingo wa nkhaka ndi wabwinobwino, komanso kuchokera ku еч. Dokotala wanga wazachipatala adachita chida chosathandizira, adapereka nthambo ya razi popanda chosinthira (zikuwoneka kuti licorice mwina ndiyabwino). Kupereka matenda katatu patsiku)))

Atsikana atsikana! Ndilinso ndi shuga. Kuyambira pa Januware 30 mpaka lero ndimakhala pachakudya ichi. Chifukwa Zipatso, maapulo obiriwira okha ndiwo ankandilola. Zakudya zanga ndizochepa. Pasanathe milungu iwiri, adataya 4.5 kg. Zodwala za shuga ndizabwinobwino, ndipo masiku ano endocrinologist akufunanso kupatula njira yokhotakhota yozungulira ((((((((.).) Ngakhale, malinga ndi mayeso a mkodzo, kufa ndi njala. (((Ngakhale gynecologist wanga ali ndi nkhawa!) ndiye mamuna wanga amawoneka wofunsa kwambiri kuti ndakhala pa udzu womwewo, lero ndikubwera kunyumba ndikulira.

Ndinalinso ndi gsd. Kairi anagona m'zipatala za amayi 29. Ndinakana insulini, ndipo sindikudandaula. Mwanayo ali ndi chaka chimodzi. Wobadwa 2700. Tithokoze Mulungu zonse zili bwino. Zowopsa zambiri.

mukusowa pasitala wocheperako, tsopano sindikukumbukira momwe gawo liyenera kukhalira, simunaphunzitsidwe kuwerengera? kumeneko mwayerekeze makapu kapena magalamu. + Schnitzel yophikanso mkate komanso chakudya. yesani kudya popanda iwo. nyama ndi ndiwo zamasamba zimakhala zopanda malire, koma taganizirani zonse zopatsa mphamvu. ndipo ngati mukuwona kuti mwina mwadya zoposa zomwe muyenera kudya, ingoyeserani kuyendayenda pang'ono, ndangodutsa nyumba pano ndi apo ndipo shuga adatsika.

Ndidzabereka Sechenov. Koma pokhapokha kuti kuyambira pomwe amadziwika kuti pali shuga (panali shuga 5'3) yemwe amayamba kudya amawonedwa ndi endocrinologist yemweyo.
Kuzindikira kwa GDS nthawi zambiri sikumveka. Ine moona ndinapita kwa endocrinologist mpaka 37 kokha kuti ndikathe kubereka mwa mtundu womwewo.
Ndinali pachakudya. Ndi kuchuluka kwa shuga mpaka 7'0 mutatha kudya, zakudya zinasinthidwa kukhala chithunzi chovuta. MABODZA onse amakweza shuga pamwamba pa 7'0. Mikate ya FinCrisp yokha, pasitala wa Barilla ndi mbatata zotentha sizinawonjezere zinthu zanga zamafuta.
Ndipo ngakhale izi, wina amayenera kuyang'anira kuchuluka (kuyeza pasitala m'matumba. M'malo mwanga, sipayenera kupitilira 5).
Ndazindikira kuti shuga amachepetsedwa ndi 1, ngati mutadya mukangoyenda pang'ono, yendani (musakhale pa benchi).
Endocrinologist adandiuzanso kuti zakudya zamafuta zimachepetsa kuyamwa kwa chakudya chamagulu ambiri. Chepetsani, koma osachotsa! Kuyeserera kwa glucometer: nditatha mafuta ophatikiza ndimafuta, shuga wanga amakhala wabwinobwino pambuyo pa ola limodzi, koma pambuyo pa theka ndi theka - pamwamba 7. Chifukwa chake, musadzitamandire mukamaganiza kuti "Ndadya eclair, croissant, mkate, ndipo zonse zili bwino ndi shuga" .
Ngakhale shuga yofulumira imakhala yokwera ngati mumadya mutatha 8 pm. Mwachitsanzo, kumwa kefir nthawi ya 12 usiku, yomwe imapatsa shuga 5.5 chabe ndipo m'mawa pamimba yopanda gluceter imakhala yofanana - 5.1-5.2, yomwe ndiwokwera kuposa momwe zimakhalira pa 5.0.
Upangiri wanga kwa aliyense: ngati ngakhale mu trimester yoyamba muli ndi shuga kuchokera m'mitsempha pamwamba 5.1, musadikire kuyesedwa kopirira glucose, koma pitani mwachangu kwa endocrinologist wokhoza. M'malo mwanga, ndimadandaula kuti ndinamvera dotolo kuchokera ku ZhK, ndikudikirira miyezi inanso kuti ndikhale ndi mayeso, omwe sindinkafunanso, ndipo ndinangopereka chiwopsezo chowonjezera pa ziphuphu. The endocrinologist kunyumba yabanjayi anandiuza kuti nthawi yomweyo ndimayenera kudya chakudya chapadera, nditayambiranso kudya.

Moni, pamasabata 12 ndinapatsidwa matenda a shuga, shuga amawonjeza mamilimita 11.8. Ndiuzeni chakudyacho! Sindikufuna insulini. Sindingathe kudzipanga ndekha chakudya!