GDM, masabata 32 a bere

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Ndinali ndi shuga m'njira zosiyanasiyana, ndinayamba kudzuka ndili ndi milungu 36. Zinali ngakhale 8.8. Ndinapereka insulin, ndinakana.

amandiyika. Sanasankhe chilichonse, osadandaula, zonse zikhala bwino. Ine ndekha ndinabereka ndipo mwana wathu ali wathanzi komanso wamphamvu, zomwe ndimafunitsitsanso kuchokera mumtima

O, tili ndi mayi aliyense woyembekezera kuchipatala. Ngati shuga adapezeka kamodzi kapena 5.1 ndikukwera, ikani GDS. Nthawi yoyamba yomwe ndidapereka molakwika, nsomba zazinkhanira, panali shuga 6.7. Kenako, pakubwerera, sizinakwere pamwamba pa 4.6. Monga kumbuyo. Anayitanitsa zakudya, koma sindinazitsatira, chifukwa sindinayambe kunenepa.

Chofunikira kwambiri ndichakuti muyenera kubereka pakapita nthawi. Ndipo kenako chipatsocho chimatha kukhala chimphona.

Anandipeza ndi izi. Shuga anali 5.6. Sanachitepo kalikonse, chilichonse chitachitika kubadwa

Osadandaula, kuzindikira koteroko kumapangidwa sekondi iliyonse. Ndinali ndi 5.3 pamimba yopanda kanthu, yoyeserera zakudya, kuyesera kutsatira. Pambuyo pobadwa, zonse zimakhala zabwinobwino.

Ndinadwala matenda ashuga panthawi ya pathupi, insulin inayamba kubayidwa nthawi yomweyo, chifukwa mapiritsi anali osakhala ndi pakati .Mabadwidwe anali asanathe milungu 34, cesarean. Mwanayo adabadwa wathanzi ndi 3600. Ine ndidakana insulin nditangobadwa. tsopano pa miyala.

Ndinali nayo. Panali shuga wabwinobwino pamimba yopanda kanthu, ndipo pambuyo chakudya adakweza. Kutsatira chakudya ndikayeza shuga ndikatha kudya. Ndinkadya koma mpunga wochepa, mbatata, zipatso, maswiti, buledi, ndi zina zambiri. Zamasamba onse obiriwira amatha kudyedwa momwe mungafunire. Ngakhale ngati ndimafunitsitsadi zoposa zipatso zaphikidwe kapena keke, ndimakonda kuyenda ndikangodya kapena Pilates kapena yoga kwa amayi oyembekezera. Anabereka nthawi, msungwana wathanzi. Zakudya ziyenera kutsatiridwa, kenako mwana wosabadwayo amakula kwambiri. Ngati zakudya sizikuthandizira, ndiye kuti insulin ndiyotchulidwa.

Amandiika pa sabata la 20, shuga adakhala wamtali kwambiri, amati chakudyacho ndimagawo a mkate. Omasuka kwambiri, omata, shuga anali abwinobwino, insulini sinali yofunikira! Dokotala anali wachifundo pazizindikiro za mayi wapakati, adaloleza maswiti oletsedwa, koma ndi momwe angachitire zolimbitsa thupi atamwa - kutsuka pansi kapena kuyenda maulendo ataliatali! Zimagwira ntchito 100%! Ndikupangira! M'masabata aposachedwa, chowonadi chasweka, kotero mwana wanga wamkazi wa 4220 adabadwa! Pambuyo pobadwa mwana, shuga ndimabwinobwino mwa ine ndi mwana wanga wamkazi! Ndikufuna inu thanzi ndi chipiriro.

Buckwheat usiku ndi kefir kapena yogati ndi kutsanulira m'mawa kuti adye kadzutsa. Amachepetsa Msuzi Modabwitsa

Ndinali nacho kuyambira masabata 20, sindinalandiridwe mankhwala, ndinangopereka zakudya, koma mwana wanga wamkazi anabadwa pa masabata 37 ndi kulemera kwa 4050. Ndipo anali ndi hypoglycemia, shuga wochepa kwambiri.Tinayikidwa kuchipatala mwachangu choncho yesetsani kutsatira zakudya mosamalitsa

Ndidakhazikitsidwa sabata la 26, ndidapereka shuga wokhazikika ku shuga wabwinobwino, ndipo nditatha kudya 7.98 (malire a 7.8). Masabata angapo adatsata chakudya pazinthu zamkate, kenako adayima. Mwana wanga wamkazi anabadwa 3100, 51 cm wathanzi, chinthu chokhacho chinali polyhydramnios chifukwa cha GDM, atabadwa anabwereza kusanthula, zonse ndizabwinobwino.

Shuga wanga anali 5.4 pomwepo adabwera ndi State Duma. Ngakhale sanatumize kuti iigawenso, adapereka mankhwala mtima, amamwe magazi, sindinamwe mowa, nditamwa shuga 4

Bwerezani, mwina kudya maswiti madzulo, kapena kumwa.

Ndidaperekanso shuga kulumpha kwakukulu kwa milungu 36 ndikumakhalabe, cesar ndipo nthawi zambiri ndimayang'ana shuga tsiku loyamba. Koma ndikuthokoza Mulungu zonse zili bwino, shuga sizivutanso)))

Mafunso Ogwirizana Nawo

1. Ola limodzi mutatha kudya, glycemic ya 7.6 mmol / L ndi yovomerezeka. "Kukankha"NovoRapid simukufuna mulimonse, mulingo wa insulin ndi zakudya ziyenera poyamba osankhidwa mwanjira yoti athe kulipirira matenda ashuga.
2. Levemir imayendetsedwa bwino kwambiri pabedi kapena ntchafu. Izi zilibe kanthu, koma ndikulowetsa, mankhwalawa amagwira bwino ntchito.
3. Dontho la insulin kumapeto kwa singano limatha kuoneka, ndizachilendo. Insulin sayenera kutayikira kuchokera pamalo a jakisoni; muyenera kukanikiza malo a jakisoni kwa masekondi 15 mpaka 20 mutachotsa singano.

Ndichite chiyani ngati ndili ndi funso lofananalo koma losiyana?

Ngati simunapeze chidziwitso chomwe mukufuna pakati pa mayankho a funso ili, kapena ngati vuto lanu ndi losiyana pang'ono ndi lomwe laperekedwa, yesani kufunsa dotolo funso lina patsamba lomwelo ngati ali pamutu wa funso lalikulu. Mutha kufunsanso funso latsopano, ndipo patapita kanthawi madotolo athu ayankha. Ndi ufulu. Mutha kusanthula zidziwitso zofananira pankhaniyi patsamba lino kapena patsamba losaka. Tidzakhala othokoza kwambiri mutatipangira kwa anzanu pamasamba ochezera.

Medportal 03online.com imapereka zokambirana zachipatala mu kulumikizana ndi madokotala pamalowa. Apa mukupeza mayankho kuchokera kwa akatswiri enieni m'munda wanu. Pakadali pano malowa akupereka malangizo mmalo 48: a allergist, anesthetist-resuscitator, venereologist, gastroenterologist, hematologist, geneticist, gynecologist, homeopath, dermatologist, Dokotala wazachipatala, dokotala wazachipatala, dokotala wothandiza , katswiri wa matenda opatsirana, katswiri wamtima, katswiri wazodzikongoletsa, katswiri wazamalankhulidwe, katswiri wa zamankhwala, wazamalamulo wamankhwala, wamisala, wamisala, wamisala, wazachipatala, wazachipatala a, dotolo, opaleshoni ya pulasitiki, proctologist, psychologist, pulmonologist, rheumatologist, radiologist, sexologist andrologist, mano, urologist, pharmacist, herbalist, phlebologist, opaleshoni, endocrinologist.

Timayankha mafunso 96.28%..

Kuchuluka kwa shuga, masabata 26 a bere, pafupi kubaya insulin

Mweziwo unali wapamwamba kuposa masiku onse. Pofika masabata 32, adayamba kudya chilichonse ndipo zisonyezo zidayamba kuyenda bwino. Ndidabereka ndipo zonse zidapita. Za anthu onga inu. Osati phindu. Sizikudziwika chifukwa chake insulin imalangizidwa. Mwa anzanga, palibe amene akanatha pambuyo pake popanda iye.

Ndili ndi insulin, komanso matenda ashuga, koma pamimba yopanda kanthu ndili ndi shuga wabwinobwino ndipo sindikufuna kugwa mu ola limodzi (koma nditatha milungu itatu ndazindikira mtundu wa zinthu zomwe izi zimachitika, ndiye kuti ndikudikirira wakuchonderera wanga kuchokera kutchuthi kuti akambirane naye). Ndimadulira mwachidule insulin Novorapid katatu patsiku mphindi 10 musanatenge chakudya chachikulu 6 mayunitsi. Ndinkawopa kudzipatsa jakisoni ndekha (m'mimba), koma ndikhulupirireni, sizowopsa ndipo mwina ndinganene. Atanena za insulin, iyenso, anayamba kuda nkhawa kwambiri za mwana, koma pambali pake, azimayi oyembekezera sangachite chilichonse kuchokera kuchipatala. Kulemera ndi zabwino komanso zovuta kuti ndilingalire. chinthu chachikulu ndikuti zonse zimadongosolo ndi mwana. Ndimapemphera kwa Mulungu kuti izi zitha pambuyo pathupi (akuti izi nthawi zina zimachitika)

O, nthawi yachedwa kwambiri, koma ndilembanso, ndizowopsa kuti ndidzigwere, lero, kwa nthawi yoyamba, ndili ndi misozi m'maso mwanga ndinadzipangira belu laling'ono. Ndipo ngati zitha kapena ayi. Mayi anga anali ndi matenda a shuga pa nthawi yobereka ndipo chilichonse chimayenda m'mene anali kubereka, ngati sichinali kupsinjika kwambiri (magetsi kudandaula sooooo.) Ndiye sakananena chilichonse asadakalambe. Matenda a shuga ochitika m'magazi amadziwika chifukwa chakuti mimba ikatha zonse zimatha, zomwe zikutanthauza kusiya insulini, sindikumvetsa, izi ndizopusa, ndi mawu okhulupirika, sizodziwikiratu, koma pang'onopang'ono zimathetsedwa ngati mankhwala onse ndipo mumakhala moyo wamtendere. Delirium, yomwe sinathetsedwe panthawiyo, zikutanthauza kuti sinali GDS kale, yomwe ndi matenda a shuga pakuwonetsa kwake

Patsiku la kubadwa, insulin siilowetsedwa pambuyo pawo, motero. Tsiku lotsatira ndinapezeka ndi matenda ashuga. Pali mfundo mu chakudya. Khalani, simudzanong'oneza bondo. Musalole, koma, ngati china chake chalakwika ndi mwana, musadzifunse. Ngati muli ndi mafunso lembani

Zowonadi, mumkhalidwe wovuta ngati uja wokhala ndi pakati, kuli bwino kuonana ndi dokotala. Koma, zoona, malamulo onse ogwiritsira ntchito mankhwalawa alipo. Insulin ndi timadzi timene timathandiza kuti shuga azigwira ntchito moyenera chifukwa cha pakati. Itha kugwiritsidwa ntchito ndi amayi oyembekezera, popeza siwoloka gawo. Pa nthawi yoyembekezera, mtundu wapadera wa insulin umagwiritsidwa ntchito - yochepa, osungunuka. Amagwiritsidwa ntchito ngati njira yobwereza kapena kulowetsedwa kosalekeza. Zimachitika kuti insulini imafunikanso pakubadwa kwa mwana. Kuphatikiza apo, insulin yokhala ndi nthawi yayitali ilipo. Amapangidwa kuti ayendetsere usiku ndi kulandira chithandizo chamankhwala ochepa. Mukamagwiritsa ntchito mankhwala kapena mtundu wina wa mankhwalawa, ndikofunikira kuganizira zomwe munthu amachita mthupi lililonse. Panthawi yapakati, chithandizo cha matenda ashuga chimatha kusiyana ndi matenda abwinobwino monga shuga wambiri. Chofunikira kwambiri panthawiyi ndikusunga kuchuluka kwa glucose pamlingo wopewa kuthana ndi zovuta kwa mayi ndi mwana. Pa nthawi yoyembekezera, matenda ashuga amayenera kuyang'aniridwa mosamala komanso udindo waukulu. Mzimayi amayenera kuonedwa ndi katswiri wazakudya, wazakudya za m'mimba, gwiritsani ntchito endocrinologist, ndipo apewe kupsinjika kwakukulu kwakuthupi komanso kwamalingaliro.

Kuchuluka shuga shuga ndi insulin

Komanso, ndimatenda a shuga, musanyalanyaze kuyang'ana kwa ultrasound kuti musatengere chitukuko cha mwana, kupezeka kwa mavuto a mtima ndi kupezeka kwazovuta zina. Ndikofunikira kwambiri kutsatira zakudya. Zakudya zopatsa mphamvu ziyenera kukhala zopatsa mphamvu 30-30 kwa kilogalamu iliyonse ya kulemera kwa mkazi.

Zokhudza kuperekera insulin kwa amayi apakati, njirayi imachitika pogwiritsa ntchito ma syringes apadera. Mbale zimagwiritsidwa ntchito popanga ndende ya 100 U / ml. Mlingo umasiyana malinga ndi mseru waubongo. Chifukwa chake, mu trimester yoyamba, mlingo ungakhale 0.6 U / kg, wachiwiri - 0,7 U / kg, wachitatu - 0,8 U / kg. Kwa amayi apakati, 2/3 ya tsiku ndi tsiku insulin imayendetsedwa asanadye chakudya cham'mawa, chotsalira - asanadye chakudya chamadzulo. Pankhaniyi, gawo limodzi mwa magawo atatu a theka la m'mawa limakhala ndi insulin yochepa, kupumulirako ndikutenga insulini. Amabaya mankhwala oterewa m'mafuta onenepa.

Mwachindunji pakukonzekera, insulin yaying'ono imagwiritsidwa ntchito. Nthawi yomweyo, misempha ya shuga imayang'aniridwa. Ngati kuchuluka kwake kuyenera kusinthidwa, ndiye kuti shuga ya peresenti isanu amagwiritsidwa ntchito kudzera m'mitsempha. Pakatha masiku anayi kapena asanu mwana atabadwa, mayiyo amamugwiritsa ntchito mankhwala osokoneza bongo kwa nthawi yayitali. Komabe, amayi apakati amafunika kulandira chithandizo cha insulin moyang'aniridwa ndi dokotala nthawi zonse.

Onani Mtundu Wathunthu: Insulin Ikula. Zoyenera kuchita pa mimba?

Moni madokotala okondedwa!

Ndili ndi zaka 29, kutalika 168 masentimita, kulemera ndisanakhale ndi pakati 65 kg, tsopano ndi 74,5 kg. Mimba ndi milungu 22-23, yachiwiri. Chithunzichi chidatha pang'onopang'ono kwa masabata asanu ndi limodzi ndi zisanu ndi chimodzi mu 2004. Mimba iyi idachitika pambuyo pa kukondweretsedwa ndi clostilbegit + metformin, mothandizidwa ndi Duphaston (40 mg / tsiku) ndi jekeseni (magawo 1500 pambuyo masiku atatu pa 4).

Kusamba kunayamba pa zaka 12, kusazungulira kwa masiku 28-45, kusamba kumakhala kowawa kwambiri, osati kuchuluka.

Asanakhale ndi pakati ndinadutsa mayeso otsatirawa:

Folliculogenesis - ovulation mu masoka kuzungulira tsiku la 24 la kuzungulira kwa mapangidwe a cystic Corpus luteum (NLF?)
DHEA-SO4 2.96 umol / L (muyezo wa labotale 0.9 - 11.7)
FSH 9.44 mIU / mL (muyezo 2.8 - 11.3)
LH 7.86 mIU / mL (masiku 1.1 - 11.6)
Prolactin 373 mIU / mL (masiku 40.3 - 503)
Testosterone 1.16 nmol / L (chizolowezi 0 - 2.8)
Insulin musanadye 14.9 uIU / mL (muyezo 4.3 - 15.3)
Maola awiri mutatha kudya 43.9 uIU / mL
Magazi a shuga 3.2, okhala ndi kulemera kwa 4.0
Homocysteine ​​7.81 umol / L (pafupipafupi 5 mpaka 12)
TTG 4.12 mIU / L (muyezo 0.4 - 4)
T4 yaulere 10 pmol / L (machitidwe 10.3 - 24.5

Pambuyo pa mimba
TTG 2.06 mIU / L (machitidwe 0.4 - 4) NDIMALANDIRA L-TYROXIN 50 MKG / SUT
T4 yaulere 19.7 pmol / L (machitidwe 10.3 - 24.5)
AT ku TPO ochepera 10 IU / mL
17OH-progesterone 1.52 ng / ml (mwachizolowezi 1.3 - 3.0)
DHEA-SO4 4.94 umol / L (masiku 3.1 - 12.5)
Homocysteine ​​8.46 umol / L (chizolo 5 mpaka 12)

Kodi ndikofunikira kutenga mayeso owonjezera chifukwa cha kuchuluka kwa insulin asanakhale ndi pakati? Kodi Mlingo wa 50 μg L-thyroxine ndiwokwanira kukonza subclinical hypothyroidism?

Zikomo patsogolo panu chifukwa cha kukambirana kwanu!

Kuchulukitsa thyroxine ku 75 mcg osachepera, insulin ikhoza kupewedwa konse
Ndinu wazaka zopitilira 25 - ndipo muyenera kuchititsa OGTT (kuyezetsa magazi ndi shuga) kuti musamayankhe shuga wambiri masabata 24- 28 ndi shuga achangu

Chilichonse ndichachidziwikire. Zikomo kwambiri!
Koma ndikufunika kuperekanso magazi kwa TSH komanso T4 yaulere nditachulukitsa mulingo wa L-thyroxine?

Mu lingaliro, zinali zofunikira kotala iliyonse, osati yeniyeni
Ngati mukulira mawa -TG m'masabata 8, sv T4 mono komanso koyambirira koma osafunikira kwenikweni

Zikomo kwambiri chifukwa choyankha mwachangu chotere! Ndikukweza muyeso kuyambira mawa m'mawa, ndikupereka mayeso monga mwalimbikitsa: Bo:

Insulin sinafunike kuyang'aniridwa, koma popeza adawoneka - chifukwa chiyani zotsatira zabwinobwino (malire a zomwe zidali pa fomu zolembedwa) amazindikiridwa ngati "kuwonjezeka"?

Insulin 2 mawola atatha kudya 43.9 uIU / mL - adotolo adalankhula zambiri ndikumuuza Metformin pa mlingo wa 500 katatu patsiku. Kodi unayenera kumwa ?: Bn:

Nanga tingatani ndi mtima wofuna kuchitira anthu athanzi?
o mabala onse sindiwo mfundoyi - insulin idakhala chodzikanira pakufufuza kosafunikira kwenikweni

Mukatha kudya, insulin iyenera kuchuluka kwambiri poyerekeza ndi kusala kudya, palibe malamulo omveka bwino. Mwazi wanu wamagazi ndi wabwinobwino. Pali zodziwikiratu zomwe zimayimira makina a metformin, ndipo kuchuluka kwa insulin sikunakhalepo chifukwa choikidwiratu. Ndi PCOS, metformin imawonjezera kukondoweza, koma insulini ilibe nazo ntchito! Mwambiri, iwalani za izi.

Ndiye kuti, monga ndikumvera, kuchuluka kwa insulini ndikwabwino ndipo palibe chifukwa chobwereranso metformin pambuyo pathupi? Patsani !: Ab:

Izi sizimaliza OGTT, yomwe imachitidwa ndi aliyense wazaka zopitilira 25, makamaka ngati banja lili ndi matenda ashuga

Inde, zoona, ndikupereka izi.

Moni madokotala okondedwa!

Mimba masabata 28-29. Lero ndalandira zotsatira za mawunikidwe:

T4 yaulere 10.4 pmol / L (yachibadwa kwa amayi apakati 2-3 trimester 8.2-24.7)
TSH 0.955 Me / L (yachibadwa kwa amayi apakati 2-3 trimester 0.2-3.5)

Ndimamwa L-thyroxine 75 mcg patsiku. Ndiuzeni chonde, kodi ndifunika kuwonjezera kuchuluka kwa L-thyroxine?

Tithokoze chifukwa cha yankho lanu!

Zotsatira zabwino: ay: Timasiya zonse monga zilili.
Kodi kusanthula matenda ashuga kwatsana ndi kuti? Tidalemba za izi kuchokera pa uthenga woyamba!

Zikomo kwambiri chifukwa cha yankho lanu!

Ponena zowunika za matenda ashuga, momwe zinthu ziliri motere: Ndinayetsa mayeso (shuga) kuchipatala. Sindikudziwa zotsatira zamanambala, adotolo amangoti zonse zili bwino. Pazifukwa zina, palibe mawu akuti ...: mad:

Masana abwino Okondedwa madokotala, ndikubwerera kwa inu kuti mundithandizire.

Mimba ndi masabata 31-31. Pakudutsa kuyesedwa kwa magazi pamimba yopanda kanthu kuchokera m'mitsempha, kuchuluka kwa shuga kwa 5.96 kunapezeka.

Insulin kapena metformin pa nthawi ya pakati?

Ndi chiyani chinanso chomwe chikuyenera kuchitidwa? Woyang'anira adati mukungofunika kuchepetsa kugwiritsa ntchito maswiti. Kodi ndiyenera kuyesanso ndi katunduyo? Kodi glucose amatanthauza kuti matenda ashuga apanga?

Muli pachiwopsezo cha matenda osokoneza bongo ndipo sitikudziwa ngati zomwe OGTT zinafufuzidwa moyenera nthawi yomwe zimayenera kuchitidwa

Kusala shuga wa plasma pambuyo pa masabata 28 (masabata awa amatengedwa chifukwa cha kuchuluka kwa zochitika za mahomoni olimbana ndi mahomoni, kufunikira kwa kulowererapo kwa mwana wosabadwayo - sindinapeze nthawi yomwe nthawi yayitali idakambitsidwira - ndipo ndikupempha thandizo la akatswiri ashuga), ndikuganiza, liyenera kuganiziridwa molingana ndi malamulo omwewo glucose yemwe samakhala ndi pakati - ndipo palibe chilichonse chosonyeza kuti munthawi imeneyi padzakhala zofunikira zofanana ndi glucose wotsika ngati pa masabata 24, sindinakumane ndi chilichonse, komanso sindinakwaniritse chofunikira chofufutira mpweya wachiwiri TT
Mwanjira ina, ndimagwirizana ndi lingaliro lochepetsa maswiti, ndimawonjezera lingaliro lakuwongolera glycemia ndipo ngakhale mutatha kudya

Galina Afanasevna, zikomo kwambiri chifukwa cha yankho!

Nditsatira kadyedwe ndipo nditatha sabata limodzi ndidzagawiranso magazi shuga asanale komanso akatha kudya.

Zikomo kachiwiri!

Moni madokotala okondedwa!

Mimba yanga inatha bwino - pa masabata 39 masiku 6 mtsikana wabadwa 3900 kg 54 cm: Bp:
Chonde ndiuzeni ngati ndikofunikira kubwerera ku mlingo woyambirira wa L-thyroxine, yomwe inali isanachitike mimba (50 mg) kapena ndiyenera kupitiliza kumwa 75 mg monga momwe mayi ali woyembekezera?

Zikomo kwambiri chifukwa cha yankho!

Thyroxine imasindikizidwa mkg, pakapita nthawi, kusintha kwakukulu pakufunika kwa mankhwalawa ndikotheka, ndizomveka kumveketsa momwe zinthu zilili panthawi yolandira mankhwalawa