Matenda a shuga

Moni, Lyudmila!
Matenda a shuga a gestational mellitus - omwe ali oopsa makamaka kwa mwana, osati kwa mayi - ndi mwana yemwe amadwala shuga yowonjezera mumayi. Chifukwa chake, mukakhala ndi pakati, miyezo ya shuga ya magazi imakhala yovuta kwambiri kuposa kunja kwa mimba: miyezo ya shuga yofulumira - mpaka 5.1, mutatha kudya - mpaka 7.1 mmol / l. Ngati tazindikira kuchuluka kwa shuga m'magazi mwa mayi wapakati, ndiye kuti amadyetsa kaye chakudya. Ngati, pakadutsa zakudya, shuga abwereranso mwakale (shuga wosala - mpaka 5.1, mutatha kudya - mpaka 7.1 mmol / l), ndiye kuti mkazi amatsata zakudya ndikuwongolera shuga. Ndiye kuti, motere, insulin siinakhazikitsidwe.

Ngati shuga ya m'magazi sanabwerere kuzolowera zakudya, ndiye kuti mankhwala a insulin ndi omwe amaperekedwa (mapiritsi okhala ndi mankhwala ochepetsa shuga saloledwa kwa amayi apakati), ndipo mulingo wa insulin umakulirakulira mpaka kuchuluka kwa shuga kumatsikira pacholinga chake panthawi yomwe ali ndi pakati. Inde, muyenera kutsatira zakudya - mzimayi amalandira insulin, amatsata zakudya ndikusunga shuga m'magazi munthawi yabwinobwino kwa amayi apakati.

Kodi zizindikiro za matenda a shuga kwa amayi apakati ndi ziti?

Vutoli la metabolic lilibe zizindikilo zakunja kusanachitike kuti ultrasound iwonetse kuti mwana wosabadwayo ndi wamkulu kwambiri. Pakadali pano, ndikuthekanso kuyamba kulandira chithandizo, koma kwachedwa kwambiri. Chithandizo chimayambika isanakwane. Chifukwa chake, azimayi onse amakakamizidwa kutenga mayeso okhudzana ndi glucose pakati pa milungu 24 ndi 28 ya bere. Kuchuluka kwa shuga kwa mayi wapakati kumatha kukayikiridwa ngati mayiyo akulemera kwambiri. Nthawi zina odwala amazindikira ludzu komanso kukodza pafupipafupi. Koma izi ndizosowa. Simungadalire izi. Chiyeso chololera shuga chikuyenera kuchitika mulimonse.

Ndemanga za ogwiritsa ntchito

Ndinapatsidwanso zawonekerazi. Ndili ndi chakudya. Shuga ndi wabwinobwino. Koma chipatso chinati chachikulu. Mwinanso ndinadya mochedwa. Tiuzeni momwe matenda ashuga amakhudzira mwana. Zovuta kwambiri.

Ndili ndi keke yemweyo ndi GSM iyi!

Mu B yoyamba, zaka 10 zapitazo, shuga osala kudya adakwera kufika pa 6.4, koma ndidapitilira kadyedwe, ndidatsitsa ndikugwa pambuyo panga. GDM sanapezeka

Tsopano madotolo apsinjika ndi shuga, amachepetsa miyezo ya amayi apakati. Osapitirira 5.1 pamimba yopanda kanthu komanso musanadye

GDM idandipatsa chifukwa chakuwonjezeka kwa shuga a 5.5 pamimba yopanda kanthu komanso ndi hemoglobin yokhazikika. Malangizowo adagulitsidwa ndipo matenda sachotsedwa ngakhale ndi shuga wabwinobwino.

Ndikutsutsana ndi insulin. Koma ndilibe shuga wambiri, kuchuluka kwake kumakwera mpaka 6.0.

Anandiuza kuti azidyetsa shuga komanso kutsitsi langa shuga kunyumba. Ndinakana kupita kuchipatala masabata 32 (ndinakonzekera kuti ndikhale ndi matenda ashuga). Ngati nditsatira zakudya, ndiye kuti ndimakhala ndi shuga 4.7 m'mawa, ngati sinditsatira, ndalemba kale. Pamenepo ndinayima. Sindinalole kuti ndipange jakisoni ngati ndimapondaponda shuga pachakudya chokhwima, ndipo nditatha milungu 36 ndizosavuta kupereka kuposa kubayirira insulin ndikumakoka mpaka masabata 40, sizikudziwika chifukwa chake.

Sindikudziwa baluni yanyumbamuli ndi shuga bwanji! Mwina mfundozo zikukwera mpaka 10, ndiye sindikudziwa choti ndichitepo, ndikulavulira ngati mkodzo uli woipa ndi acetone.

Ngati insulin ndi mankhwala a matenda a shuga

Jekeseni sinafotokozedwenso pambuyo poti wapezeka ndi matendawa, poyamba azimayi amalimbikitsidwa kudya komanso kuchita zolimbitsa thupi, mankhwala azitsamba. Pambuyo pa masabata awiri, muyenera kutenga mayeso ololera a glucose. Ngati magazi othamanga a shuga aposa 5.1 mmol / L, ndipo mphindi 60 mutatenga njira ya glucose - 6.7 mmol / L, ndiye kuti insulin yimalimbikitsidwa.

Amayi omwe ali ndi zotsatira zokayikitsa ayenera kuyezetsa magazi. Zowonjezereka zitha kuperekedwa ndi kafukufuku wa glycated hemoglobin.

Insulin imasonyezedwa pamaso pa zizindikiro zosadziwika - kusokonezeka kwa fetal. Chifukwa cha shuga wokwezeka wamwazi, vuto lotchedwa diabetesic fetopathy limachitika. Zizindikiro zake zitha kutsimikizidwa ndi ultrasound:

• chipatso chachikulu
• mutu uli ndi mabwalo awiri,
• khola logontha,
• kukulira chiwindi, ndulu, mtima,
• khungu limatupa, kunenepa.
• polyhydramnios aonekera ndipo akukulira, ndi zomwe zimayambitsa zina siziphatikizidwa.

Kafukufuku wokhudzana ndi kugwira ntchito bwino kwa insulin kumatsimikizira kuti koyambirira mkazi amayamba kuigwiritsa ntchito atapezeka kuti ali ndi matenda a shuga, ndiye kuti amachepetsa chiopsezo cha ma pathologies kwa mwana wake wosabadwa.

Mapiritsi ochepetsa shuga pa nthawi ya bere amakhala akutsutsana. Izi ndichifukwa choti amachititsa kukula kwa minofu ya kapamba mu fetus.

Ndipo izi ndizambiri pazakudya za matenda ashuga.

Momwe mungachepetse shuga popanda insulin panthawi yapakati

Mukuwulula shuga ya gestational kapena kuwopseza kukula kwake, odwala onse ayenera kusintha zakudya zawo, kuwonjezera masewera olimbitsa thupi, ndikugwiritsa ntchito zitsamba zokhala ndi hypoglycemic.

Malangizo oyambira amitundu yonse yamatenda am'mimba ndi kuwunika zakudya. Zinthu zonse zokhala ndi shuga, confectionery, mbatata, zipatso zotsekemera, uchi uyenera kuchotsedwa kwathunthu kwa iwo. Ndikulimbikitsidwa kuti muchepetse gawo la chakudya chosinthidwa:

• chakudya zamzitini
• masoseji,
• nyama ndi zakudya zam'madzi
• mankhwala omalizidwa
• msuzi
• chakudya chofulumira
• timadziti
• koloko
• maapulo
• marinade.

Nyama yamafuta, yokazinga ndi zonunkhiritsa amaletsedwanso.

Mndandanda wake ukuphatikizapo:

• masamba abwino komanso ophika
• kanyumba tchizi 2-5%, zakumwa zopanda mkaka popanda zowonjezera za zipatso ndi shuga,
• nyama yokonda, nsomba, nkhuku, nsomba zam'madzi,
• chimanga kuchokera ku mbewu zonse (kupatula semolina, mazira, mpunga woyera),
• mkate wa rye ndi chinangwa
• mafuta masamba, mtedza,
• amadyera
• zipatso, zipatso zosavomerezeka.

Muyenera kudya kasanu ndi kamodzi patsiku - zakudya zitatu zazikuluzikulu, ziwiri zokhwasula-khwasula ndi mkaka wowawasa musanalowe. Zakudya ziyenera kukonzedwa mwatsopano, zimakhala ndi zinthu zomwe zimalidwa kudera lokhala. Tikamakhala kosavuta menyu komanso zakudya zamasamba ndi mkaka monga momwe zimakhalira, zimakhala zosavuta kukwaniritsa zofunika.

Zochita zolimbitsa thupi

Kuchulukitsa gawo lonse la zochitika kumathandiza kuthana ndi kukana kwa minofu kupita ku insulin yawo. Ndi njira imeneyi yomwe imayambitsa kupezeka kwa matenda ashuga. Kuchita masewera olimbitsa thupi kumathandizanso kamvekedwe ka thupi, kumalepheretsa kuchuluka kwa mafuta.

Onani kanema wonena za zovuta zomwe amayi oyembekezera amakhala nazo:

Katundu woyenera akuphatikizira kuyenda, kusambira, yoga, masewera olimbitsa thupi amayi apakati. Kutalika konse kwamakalasi osachepera mphindi 150 pa sabata kuti athandizidwe.

Mankhwala azitsamba

Zomwe zimapangidwazo zimaphatikizapo zitsamba zomwe zimakhala ndi phindu pa kagayidwe kachakudya. Tiyenera kudziwa kuti panthawi yoyembekezera amapatsidwa ndi adokotala okha. Njira zothandizira kwambiri ndizothandiza:

• zipatso ndi masamba a buliberries, lingonberries,
• masamba a nyemba
• masamba a birch, mtedza, currant, sitiroberi wamtchire,
• masiponji, hawthorn,
• mbewu za fulakesi
• kusalidwa kwa chimanga.

Amatha kutengedwa payekhapayekha kapenanso kuphatikizidwa kwa zitsamba 2-3. Phytopreparations ya Multicomponent imatha kuyambitsa mavuto osiyanasiyana, motero ndikwabwino kusankha mankhwala osakanikirana a 1-2 ndikuphatikizira wina ndi mnzake.

Zizindikiro

Zomwe zili pachiwopsezo cha matenda ashuga gestational zalembedwa pamwambapa. Amayi omwe adakhalapo amayenera kutenga kuyeserera kwa glucose pakukonzekera kutenga pakati. Mukamayesedwa, kuyezetsa magazi kumatengedwa, ndiye kuti wodwalayo amapatsidwa shuga kuti amwe, magazi amatengedwanso pambuyo pa maola 1 ndi 2. Mu anthu omwe ali ndi vuto logaya la metabolism, shuga amakwezedwa pambuyo poyamwa shuga. Mwinanso mayeso atha kuzindikira mtundu wa 1 kapena matenda ashuga akale. Palibe zinthu zomwe zingachitike pachiwopsezo, mayeso a kuleza mtima kwa glucose satengedwa panthawi yomwe akukonzekera, koma kale panthawi yoyembekezera, kumayambiriro kwake kachitatu.

Kuyesedwa kwa matenda ashuga ndi chiyani?

Tengani mayeso ololera a glucose. Zimatenga maola awiri kapena atatu ndipo pamafunika zitsanzo zingapo zamagazi. Madokotala osiyanasiyana amachititsa kafukufukuyu ndi yankho la 50, 75 kapena 100 magalamu a shuga. Kuwunikira kwa hemoglobin ya glycated ndi kosavuta, koma pamenepa sikoyenera, chifukwa kumapereka mochedwa kwambiri.

Pambuyo popititsa muyeso wololera wa glucose, kuwunika kwa matenda osokoneza bongo amapangidwa ngati chimodzi mwazipamwamba chikuposa mtengo wake. M'tsogolomu, mankhwala a insulini amasankhidwa mwanjira yoti achepetse kuchuluka kwa glucose, 1 ndi 2 maola atatha kudya. Tikubwereza kuti kagayidwe kachakudya kagayidwe kachinsinsi kamabisidwa. Itha kuwoneka mu nthawi pokhapokha mothandizidwa ndi mayeso a magazi a shuga. Ngati matendawa atsimikiziridwa, muyenera kuyang'ananso kuthamanga kwa magazi ndi ntchito ya impso. Kuti muchite izi, adotolo adzalembera mayeso owonjezera a magazi ndi mkodzo, ndikukulangizani kuti mugule njira yowunika magazi kunyumba.

Mchitidwe wamagulu a shuga mwa amayi apakati

Werengani nkhani yatsatanetsatane, "Chiwopsezo cha Magazi." Mvetsetsani momwe izi zilili zosiyana kwa amayi apakati komanso magulu ena onse a anthu. Nkhaniyi imanenanso momwe mipherezeroyo imasiyanirana pochotsa matenda ashuga kumayiko akunja komanso m'maiko olankhula Chirasha. Zambiri zimawonetsedwa mwanjira ya matebulo osavuta.

Onaninso ulalo wa kanema pansipa. Mmenemo, Dr. Bernstein amauza chomwe shuga weniweni ali ndi amayi apakati ndi zakudya zomwe ziyenera kukhala. Phunzirani momwe mungapiririre ndi ma insulin ochepa kapena musanabaye jakisoni, mutatha kudya moyenera.

Momwe mungachepetse shuga mu shuga ya gestational?

Chithandizocho ndikuchepetsa shuga la wodwalayo osati kuwonjezerapo kuti asatsike pang'ono. Njira zokwaniritsira cholinga ichi zikufotokozedwa mwatsatanetsatane patsamba lino. Palibe magome omwe amagwiritsidwa ntchito. Zakudya zimayikidwa, zomwe, ngati ndi zofunika, zimaphatikizidwa ndi jakisoni wa insulin. Kuchita masewera olimbitsa thupi mozama kumathandizira kuti shuga achepetse. Koma samalimbikitsidwa kwa amayi apakati, kuti asayipitse mimba.

Momwe mungachepetse shuga m'mawa pamimba yopanda kanthu?

Werengani nkhani yatsatanetsatane, "Shuga pamimba yopanda kanthu m'mawa." Ndi chilolezo cha dokotala wanu, yesani kupaka insulin usiku umodzi, monga momwe adalembera. Nkhaniyi imakambanso za mapiritsi a metformin. Komabe, mankhwalawa nthawi zambiri samaperekedwa kuti amayi apakati azichepetsa shuga ya magazi awo. Gwiritsani ntchito zakudya zokhazokha komanso insulin.

Matenda amiseche: chithandizo

Njira yayikulu yothandizira ndi zakudya. Ngati ndi kotheka, amathandizidwa ndi jakisoni wa insulini moyenera kuwerengera Mlingo, malinga ndi chiwembu. Madokotala mwachizolowezi amapereka malangizo patebulo la 9. Komabe, izi sizithandiza amayi apakati kuti abweretsenso shuga pakubadwa. Webusayiti endocrin-patient.com imalimbikitsa zakudya zamagulu ochepa zamoto kuti muchepetse vuto la shuga m'magazi. Zakudya izi ndizoyenera kwa ana ndi amayi apakati. Werengani zambiri za izo pansipa. Ponena za zochitika zolimbitsa thupi, azimayi oyembekezera ayenera kusamala kuti asawononge thanzi lawo komanso kuti asakwatire. Kambiranani nkhaniyi ndi dokotala. Kuyenda mahatchi kumakhala kotetezeka komanso kothandiza.

Kodi kuopsa kwa matendawa ndi chiani?

Matenda a shuga okhudzana ndi mayeso amatha kusokoneza mwana wosabadwayo. Pofika nthawi yobadwa, mwana amatha kukhala ndi thupi lolemera kwambiri - 4.5-6 kg. Izi zikutanthauza kuti kubadwa kumakhala kovuta ndipo gawo lachiwerewere limafunidwa. Mtsogolo, ana oterewa ali ndi chiopsezo chowonjezereka cha kunenepa kwambiri komanso mavuto ena. Poyerekeza ndi momwe azimayi apakati angatengere matenda osokoneza bongo, chiopsezo cha preeclampsia chimakulanso. Uku ndi kusokonezeka komwe kumadziwika ndi kuthamanga kwa magazi, kutupa, komanso mawonekedwe a mapuloteni mumkodzo. Zitha kuwononga moyo wa mayi ndi mwana. Zikatero, madokotala nthawi zambiri sakhala ndi chisankho koma kubala mwana asanakwane.

Kulemera kwambiri kwa thupi la mwana wosabadwayo kumatchedwa macrosomia. Khanda lobadwa chatsopano limakhala ndi kupuma, kuchepera kwa minofu, kuletsa chidwi chotsitsa, edema ndi jaundice. Izi zimatchedwa diabetesic fetopathy. M'tsogolomo, pakhoza kukhala kulephera kwa mtima, kusala mu malingaliro ndi thupi. Mkazi amakhala ndi chiopsezo cha matenda a shuga a mtundu wocheperako pang'ono. Zakudya zama carb zotsika zimapewe mavuto panthawi yomwe muli ndi pakati. Imasinthasintha shuga ndi kuthamanga kwa magazi. Mlingo wofunika wa insulin umachepetsedwa kwambiri. Odwala ambiri amatha kusiyiratu kupatsidwa mankhwala a insulin kwinaku akusunganso shuga m'magazi.

Kodi matenda ashuga azisamba amatha kubereka?

Inde, vutoli nthawi zambiri limazimiririka mwana akangobadwa. The placenta amasiya kukhudzanso tsogolo la mahomoni. Chifukwa cha izi, kuchepa kwa insulin komanso kuchuluka kwa glucose m'magazi kumakhala kwabwinobwino. Odwala ambiri amafunika jakisoni wa insulin mpaka pakubereka. Komabe, ngati mankhwalawa omwe amaperekedwa ndi mahomoni amenewa sasiya kugwira ntchito panthawi, pambuyo pakubereka shuga amachepetsa kwambiri. Madokotala nthawi zambiri amaganizira izi pokonzekera jakisoni wa insulin. Atatuluka kuchipatala, mayiyo amakhala pachiwopsezo cha matenda a shuga a mtundu wachiwiri. Pakhoza kukhalanso mavuto panthawi yotsatira yotsatira. Chifukwa chake, ndizomveka kutsatira zakudya zamafuta ochepa popewa.

Madotolo amati mwanjira yachakudya # 9 azimayi omwe ali ndi matenda ashuga. Zakudya izi zimaphatikizira kuchepa kwa mafuta ndi calorie, kudya kangapo ka 5-6 patsiku m'magawo ang'onoang'ono. Werengani zambiri za iwo mu nkhani ya “Pezani chakudya pala 9”. Vuto ndilakuti sizithandiza kuteteza shuga panthawi yapakati. Chifukwa chakudyachi chimadzaza ndi zakudya zomwe zimapangitsa shuga wamagazi. Kuphatikiza apo, chifukwa cha kuletsa kwa calorie, odwala amakhala ndi njala yopitilira muyeso. Pafupipafupi zakudya zamafuta sizithandiza kuzimitsa. Kuchepetsa kwakukulu kwa kudya kwa caloric panthawi yoyembekezera ndi lingaliro lokayikitsa.

Tsamba la endocrin-patient.com limalimbikitsa kudya zakudya zamafuta ochepa kuti muchepetse matenda ashuga. Zimachotsa kwathunthu zakudya zomwe zimachulukitsa shuga wamagazi mukatha kudya. Chifukwa chake, shuga amabwerera mwakale ndikukhazikika. Zakudya izi zimathandizanso kuthamanga kwa magazi, kumathandizanso edema komanso kuchepetsa chiopsezo cha preeclampsia. Amagwiritsidwa ntchito kwambiri pochiza matenda amtundu wa 2 komanso matenda a shuga. Kuyambira ndi shuga wambiri panthawi yomwe muli ndi pakati kumathandizanso, popanda mavuto oyipa.

Onani vidiyo yokhudza momwe mapuloteni, mafuta ndi chakudya zimakhudzira shuga m'magazi. Matenda a shuga a Gestational amakambitsidwamo kwa mphindi 5-7.

Ndi kuthekera kwakukulu, ndizotheka kuchita popanda jakisoni wa insulin. Ndipo ngati mukusowa, mufunika mankhwalawa ochepa.

Anthu omwe amatsata zakudya zama carb otsika amatha kukhala ndi ma ketones (acetone) mkodzo wawo. Madokotala nthawi zambiri amawopseza amayi apakati kuti acetone mu mkodzo amawonjezera mwayi wolakwika. Izi sizowona. Mu theka lachiwiri la kubereka, ma ketoni mumkodzo amatha kupezeka pafupifupi azimayi onse, mosasamala za zakudya zawo. Amayi aku America adapeza kale zambiri zosagwiritsidwa ntchito mosavomerezeka pogwiritsa ntchito zakudya zochepa zama carb nthawi yapakati. Izi zinali zabwino. Zinadziwika kuti palibe chifukwa chowonjezeranso zipatso kapena mafuta ena aliwonse pazinthu zomwe zaloledwa kuti athetse acetone. Onani shuga yanu pafupipafupi ndi glucometer, ndipo ndibwino kuti musayeze ma ketoni mumkodzo wanu konse.

Onani ulalo wa kanema pansipa. Ikuthandizani nkhawa zanu za acetone.Dziwani kuchuluka kwa chakudya chamagulu omwe muyenera kudya kadzutsa, chakudya chamasana komanso chakudya chamadzulo kuti muchepetse matenda a shuga, dzitchinjirize ku edema, kuthamanga kwa magazi ndi zovuta zina.

Kodi ndingadye chiyani ndi matenda ashuga?

Gwiritsani ntchito mndandanda wazinthu zololedwa, mndandanda wazinthu zoletsedwa komanso mndandanda wazitsanzo sabata. Mutha kupeza maphikidwe opangidwa kale ndikubwera ndi yanu, ngati zingakhale ndi zinthu zovomerezeka kupatula zonse zoletsedwa. Chakudyacho chimatha kukhala chosiyanasiyana, chokoma komanso chosangalatsa, ngakhale choko, kutengera bajeti. Ili ndi mapuloteni onse ofunikira, mafuta abwinobwino achilengedwe, mavitamini ndi fiber. Zopatsa mphamvu sizofunikira pakukula kwa fetal. Amayi oyembekezera omwe ali ndi vuto la matenda ashuga amatha kupweteketsa. Chifukwa chake, ndibwino kuwachotsa mu zakudya.

Odwala amakonda kwambiri zinthu zotsatirazi: chimanga, njere, mtedza, makeke, mkaka. Porridge ndi makeke mwachisawawa zimawonjezera shuga. Ayenera kusiyidwa kwathunthu chifukwa amabweretsa mavuto ambiri. Mbewu za mpendadzuwa zimatha kudyedwa popanda shuga ndi zotsekemera zina. Mitundu ina ya mtedza ndi yoyenera kwa inu, ina siabwino kwambiri. Mtedza wabwino kwambiri ndi Brazil, macadamia ndi hazelnuts. Zabwino ndi walnuts, ma almond ndi mtedza. Mtedza wama Cashew suyenera kudyedwa. Mtedza ndi nthangala zimakhala ndi thanzi mu mawonekedwe osaphika kusiyana ndi yokazinga. Zabwino sizithira mchere pofuna kupewa edema. Mwa zinthu zamkaka, tchizi cholimba ndizoyenera kwambiri. Mutha kuwonjezera zonona ku khofi, pali yogurt yoyera yoyera popanda zipatso ndi zotsekemera. Kugwiritsira ntchito kanyumba tchizi ndikwabwino kuchepetsa.

Chifukwa chiyani samatha kudya maswiti?

Uchi ndi maswiti ena nthawi yomweyo komanso modabwitsa zimawonjezera kuchuluka kwa shuga m'magazi. Mutha kutsimikiza poyesa shuga mutatha kudya ndi glucometer. Ngati kutenga pakati kumavuta chifukwa cha matenda ashuga, izi zimapweteka kwa mayi ndi mwana wake wosabadwa. Mutha kugwiritsa ntchito stevia ngati cholowa m'malo mwa shuga. Kudya moyenera chokoleti chakuda, chokhala ndi cocoa pafupifupi 86%, chololedwa.

Kodi ndingadye zipatso zamtundu wanji?

Cherry, sitiroberi, ma apricots, zipatso ndi zipatso zilizonse zimachulukitsa shuga m'magazi motero zimapweteketsa kuposa zabwino. Ndi bwino kusazidya konse. Amayi oyembekezera omwe ali ndi shuga ambiri amathandizidwa ndi zakudya zamafuta ochepa kwa zaka zambiri. Mpaka posachedwa, adalimbikitsidwa kuwonjezera kaloti, beets ndi zipatso kuzinthu zovomerezeka ndikuvomerezeka kuti achotse acetone mu mkodzo. M'zaka zaposachedwa, ziwerengero zapeza, zomwe zikuwonetsa kuti izi sizofunikira.

Amayi mazana angapo aku America adatsimikizira kuti adabereka ana athanzi popanda mavuto, kutsatira zakudya zazing'ono zamatumbo nthawi yonse yoyembekezera, kuthetseratu zipatso. Zakudya zoletsedwa panthawi yomwe ali ndi pakati zimayambitsa kulemera kwambiri, zimathandizira edema, kuwonjezera shuga, kuthamanga kwa magazi komanso chiopsezo cha preeclampsia. Kodi ndichabwino kuti mudzipangire nokha mavuto onsewa chifukwa chakanthawi yokonda zipatso?

Zipatso zouma ndizovulaza monga zipatso ndi zipatso zatsopano. Kufunika kokufunikira kwa zipatso ndi zakudya zina zamafuta ambiri ndi zabodza. Zakudya zomanga thupi, mosiyana ndi mapuloteni ndi mafuta, sizinthu zofunikira kwambiri kwa amayi apakati, magulu ena onse a akulu ndi ana. Kuchuluka kwa shuga m'mimba kumawonetsa kusalolera kwa thupi lanu. Chifukwa chake, ayenera kuchepetsedwa kapena kupatula kwathunthu kuzakudya. Mukalandira michere yonse yofunikira ndi mavitamini kuchokera kwa amadyera, mtedza, kabichi ndi masamba ena ololedwa. M'malo mwa zipatso panthawi yomwe muli ndi pakati, dzithandizireni zakudya zabwino kapena nsomba zam'nyanja.

Ndi insulin iti yomwe imagwiritsidwa ntchito

Pa nthawi yoyembekezera, si mankhwala onse omwe amaloledwa. Gwiritsani ntchito mankhwala omwe chitetezo chimakhazikitsidwa kwa mayi woyembekezera ndi mwana. Mankhwalawa akuphatikizapo ma insulin omwe amapangidwa ndi chibadwa:

• ultrashort - Humalog, Novorapid,
• yochepa - Humulin R, Actrapid NM, Insuman mwachangu,
• kuchitapo kanthu kwanthawi yayitali - Levemir, Insuman Bazal, Humulin NPH.

Munthawi zonse, amasankhidwa payekha. Dongosolo la kayendetsedwe kawo limatengera zomwe anapezazo patsiku lofufuza shuga tsiku lililonse. Amayi oyembekezera nthawi zambiri amafunikira kuchipatala mu dipatimenti ya endocrinology kuti akhazikitse mankhwala a insulin.

Kuyeza kwa shuga m'magazi kumachitika m'mawa mopanda kanthu, ndiye musanadye chilichonse komanso mphindi 60 ndi 120 mutatha kudya. Zoyenera ndizofunikira ndi usiku pa 2, 4 ndi 6 maola kuti adziwe momwe angadziwire insulin.

Kodi ndingagwiritse ntchito fructose pa matenda achisangalalo?

Fructose ndi chinthu chowopsa kuposa shuga. Amayamba kuwonjezera shuga m'magazi osati atangodya, koma pambuyo pake.

Onerani kanema wapa fructose mu shuga. Ikufotokoza za zipatso, uchi wa njuchi, ndi zakudya zapadera za anthu odwala matenda ashuga.

Fructose samatengeka nthawi yomweyo, koma kwa maola ambiri. Amakwanitsa kuyambitsa mavuto akulu mthupi mwake. Zakudya za anthu odwala matenda ashuga okhala ndi izi ndizopezeka poyizoni. Khala kutali ndi iwo. Fructose, yomwe imapezeka mu zipatso ndi zipatso, imawonjezera chiopsezo cha matenda amtundu wa 2 ndipo imakulitsa matendawa. Umboni wowonjezereka ukukulirakulira kuti umalimbikitsa kukula kwa gout ndikuwonjezera kuzunzika kwake.

Mukafunikira kusintha shuga m'magazi, ovuta kwambiri, simungathe kuchita popanda insulini. Zakudya zamafuta ochepa, zomwe tafotokozazi, zimapereka mwayi kwa amayi ambiri omwe ali ndi pakati kuti apewe shuga wopanda jakisoni. Odwala ena amafunikirabe insulin. Kwa iwo, zakudya zochepa zamafuta ochulukitsa kangapo zimachepetsa kuchuluka kwa mahomoni. Chonde dziwani kuti madotolo am'nyumba sanazolowere kuchuluka kwa insulin.

Ngati muphatikiza zipatso, maswiti ndi zakudya zina zoletsedwa m'zakudya zanu, muyenera kuwonjezera kuchuluka kwa jakisoni. Potere, shuga amadzalumpha kapena kukwera kwambiri. Lankhulani ndi dokotala wanu ngati mukufuna kubaya insulin. Ngati ndi choncho, pezani dongosolo la insulin limodzi ndi dokotala. Werengani zambiri pazankhani "Kuwerengera kuchuluka kwa insulin yayitali usiku ndi m'mawa" komanso "Kusankhidwa kwa mapiritsi aifupi ndi a insulin ya m'mimba musanadye."

Kodi ndi insulin iti yomwe imagwiritsidwa ntchito pa GDM?

Choyamba, insulin yayitali imayamba kubayidwa. Nthawi zambiri, Levemir adalembedwa. Chifukwa umboni wotsimikizika wapezeka wamtunduwu wa insulin kwa amayi apakati. Muthanso kugwiritsa ntchito imodzi mwa mankhwala omwe akupikisana nawo Lantus kapena Tresiba. Ndiosafunika kubaya insulin Protafan wapakatikati kapena imodzi mwanjira zake - Humulin NPH, Insuman Bazal, Biosulin N, Rinsulin NPH.

Woopsa milandu, mungafunike jakisoni wambiri kapena waifupi wa insulin musanadye. Amatha kukupatsani mankhwala Humalog, Apidra, Novorapid, Actrapid kapena ena.

Amayi oyembekezera omwe amakhala ndi zakudya zotsika za carb nthawi zambiri safunika kupaka jekeseni mwachangu asanadye. Kupatula pokhapokha ngati matenda a shuga amtundu wa 1 akulakwitsa chifukwa cha matenda ashuga.

Pakadali pano, ndibwino kupewa mitundu ya insulini yomwe imapangidwa mkati. Gwiritsani ntchito mankhwala omwe mwalandira, ngakhale mutakhala kuti mumagulira ndalama zanu. Tikubwerezanso kuti kudya zakudya zamafuta ochepa kumachepetsa kuchuluka kwa insulini nthawi 2-7 poyerekeza ndi zomwe madotolo adazolowera.

Kodi insulin imachotsedwa bwanji pambuyo pobadwa mwana mu shuga ya gestational?

Amayi atangobadwa kumene, kufunika kwa insulin mu matenda ashuga achikazi amatsika kwambiri. Chifukwa placenta imaleka kubisalira zinthu zomwe zimachepetsa chidwi cha thupi ku timadzi timeneti. Mwambiri, zidzatheka kuthetseratu jakisoni wa insulin. Ndipo shuga wamagazi sadzauka, ngakhale izi zatheka.

Mukapitiliza kubayila insulin mutabereka mwana mu Mlingo wofanana ndi nthawi yomwe muli ndi pakati, kuchuluka kwa glucose kumatha kutsika kwambiri. Mwambiri, hypoglycemia idzachitika. Komabe, madokotala nthawi zambiri amadziwa za ngoziyi. Amachepetsa Mlingo wa insulin kwa odwala awo munthawi kuti athe kupewa.

Amayi omwe adwala matenda ashuga amalangizidwa kuti azikhala ndi zakudya zamafuta ochepa atabereka. Muli ndi chiwopsezo chachikulu chokhala ndi matenda a shuga 2 mutatha zaka 35-40. Chotsani zopatsa mphamvu zamafuta m'zakudya zanu kuti mupewe izi.

18 ndemanga pa matenda ashuga

Masana abwino, Sergey!
Ndili ndi zaka 30, kutalika 155 cm, kulemera 47 kg. Pa nthawi yoyembekezera, ndinapeza 8-9 kg, koma zonse pambuyo pobadwa zidatha. Pa nthawi yoyembekezera (panali IVF) pambuyo pa GTT, kuwunika kwa GDM kunapangidwa, shuga pamapindikira 3.68 - 11.88 - 9.35. Mwazi unatengedwa kuchokera ku chala. Anapereka hemoglobin wa glycated 4.77%, C-peptide 0.98 (wabwinobwino kuchokera ku 1.1). Zakudya ndi masewera olimbitsa thupi zinathandiza. Kusala shuga kwakhala kwangwiro. Palibe insulin yomwe idalembedwa. Ndikulimbikitsidwa kubwereza GTT miyezi itatu mutabadwa. Ndikuyembekezera kupita ku endocrinologist ndikusankhidwa kwa GTT. Kuyeza shuga ndi glucometer kunyumba, ndidapeza kuti akudya mafuta, amakula mu ola limodzi mpaka 7-8, nthawi zina 9. Ndinaleka kugwiritsa ntchito chilichonse kuchokera pamndandanda wazakudya zoletsedwa, ndikudutsa mayeso. Glycated hemoglobin 5.17%, C-peptide 0.64 (yachilendo kuchokera ku 1.1), insulin 1.82 (yachilendo kuchokera ku 2.6), shuga 3.56. Kodi mungandiuzeko ngati kuchuluka kwa C-peptide kumawonetsa kusasintha kwa matenda ashuga? Ndili ndi mantha kuti ndisanapite ku endocrinologist m'masiku 5 ndiyamba misala. Pali zambiri zochepa pazokhudza izi. Kusala kudya shuga kumakhala kwabwinobwino m'zakudya zanga; kumakhalanso kosavuta ndikamadya chakudya. Mwanayo adabadwa popanda zizindikiro za zovuta, kulemera kwa 3700, kutalika 53. Zikomo kwambiri chifukwa cha thandizo lanu!

Kodi Ceptide yotsika ngati imeneyi imawonetsa kusintha kosasintha kwa matenda ashuga?

Inde Simukulemera mopambanitsa, pang'ono panu pa insulini komanso kulekerera bwino kwa zakudya zamafuta. Uwu ndiye shuga woyambira wa autoimmune. Mimba imatha kukulimbikitsani kuti muyambitse.

Ndili ndi mantha kuti ndisanapite ku endocrinologist m'masiku 5 ndiyamba misala.

Simuyenera kuda nkhawa. Matendawa, kuyambira atakula, ndi osavuta. Siziwononga moyo wabwino komanso sizichepetsa kutalika kwake, ndikuwongolera bwino.

Muyenera kuchita:
1. Tsatirani kwambiri zakudya zamafuta ochepa, yesetsani kusamutsira banja lonselo.
2. Phunzirani momwe mungadzipatsire jakisoni wosapweteka ndi syringe ya insulin pogwiritsa ntchito saline pophunzitsira, monga tafotokozera apa - http://endocrin-patient.com/vvedenie-insulina/.
3. Onani shuga, mwachitsanzo, kamodzi pa masabata awiri.
4. Khalani okonzekera kubaya insulin nthawi ya chimfine ndi matenda ena opatsirana.

Mukapanda kuchita zonsezi, ndiye kuti atakwanitsa zaka 40-60 “maluwa” a shuga atha kukhala pamiyendo, m'maso, komanso impso. Mukutha mwachangu kuposa anzanu. Komabe, sizovuta kusunga shuga mwanjira zonse, ndipo kutsatira malamulowa sikusokoneza moyo. Mutha kuchita chilichonse, kukhala ndi ana otsatirawa.

Popita nthawi, pangafunike kubaya insulin, ngakhale mutatsata chakudya. Komabe, mankhwalawa sadzakhala othandiza kuyerekeza ndi omwe amagwiritsidwa ntchito ndi madotolo am'nyumba ndi odwala matenda ashuga. Simudzakhala ndizowopsa zomwe odwala matenda ashuga amadalira.

Simungavomereze kukhala ndi shuga wamagazi 6-7, komanso koposa pamenepo. Iyenera kuyendetsedwa ndi insulini mpaka maola 3.9-5,5 osachepera maola 24 patsiku.

Sergey, zikomo! Mwathetsa kukayikira kwanga kotsiriza. Chonde ndiuzeni, akuti alembe GTT yachiwiri, popeza milungu 12 yadutsa kuchokera pakubadwa. Kodi ndizoyenera kuchita m'malo anga? Ndikumvetsetsa kuti kuyesaku sikungathetse vutoli, ndipo padzakhala zovulaza kuchokera ku kuchuluka kwa glucose.
Ndipo za insulin. Ndiye kuti mpaka ndikadule, ngati shuga ndi wabwinobwino, koma mukhale okonzeka? Pepani ndikafunsa mafunso opusa. Ndikufuna kudziwa momwe ndingapangire zokambirana ndi endocrinologist wanga. Ndidakali mukulambira za momwe zinthu ziliri. Komabe, ndikhulupirira malingaliro anu. Zikomo patsogolo!

Ndiuzeni, chonde, ndikupanga GTT yachiwiri. Kodi ndizoyenera kuchita m'malo anga?

Kuyesedwa kwa glucose, kumakhalanso kuyesa kwa glucose (GTT), ndizomveka kuchita pokhapokha pakati. Chifukwa glycated hemoglobin imapereka zotsatira zoyipa pokhapokha shuga wokwera atavulaza kale mwana wosabadwayo.

Kuphatikiza pa amayi oyembekezera, palibe amene ayenera kuchita GTT. Zimakhala zoyipa kwambiri kuzunza ana ndi kusanthula kumeneku. Khalani ndi mita yolondola ya glucose kunyumba. Onani hemoglobin wa glycated pafupipafupi.

M'malo motenga GTT, mutha kuyeza shuga kunyumba ndi glucometer katatu - musanadye chakudya ndi chakudya, kenako maola 1 ndi 2 mutatha. Malinga ngati chipangizocho ndicholondola. Ngakhale magazi a glucose a kunyumba abwino amapereka malire ena olakwika. Koma samasokoneza. Akuluakulu, palibe amene angavomereze kuyesedwa kwa kuyeza shuga kunyumba ndi glucometer m'malo mopititsa mayeso a labotale.

kuvulaza kuchokera kutsegulidwe wa shuga uzikhala

Muyenera kukhala maola 2-3 mu labotale pamalo amanjenje. Inde, kuvulaza kochokera kukweza shuga kulinso inde.

Ndipo za insulin. Ndiye kuti mpaka ndikadule, ngati shuga ndi wabwinobwino, koma mukhale okonzeka?

Chabwino. Musakhale aulesi kuphunzira momwe mungapangire jakisoni ndi ma insulin syringes ndi phineological saline.

Ndikufuna kudziwa momwe ndingapangire zokambirana ndi endocrinologist wanga.

An endocrinologist imangofunika kokha chifukwa cha kulumala, insulin yaulere komanso maubwino ena. Zonsezi sizimawalira. Pokhapokha ngati padzakhale zovuta zina za matenda ashuga, zomwe mukuyesetsa kupewa. Simuyenera kupita ku endocrinologist.

Moni Ndimakondwera ndi lingaliro lanu ngati ndidapezeka ndi matenda osokoneza bongo. Zaka 33 zaka, kutalika 169 masentimita, kulemera kwa makilogalamu 81, zomwe makilogalamu 10 adachulukirachulukira nthawi yomwe ali ndi pakati. Tsopano 29 milungu ya mimba. Zotsatira za kupindika kwa shuga: kusala - 5.3, 1 ora pambuyo kudya shuga - 8.4, patatha maola awiri - 8.7. Nthawi yomweyo ndinapatsidwa matenda oopsa, ngakhale zotsatira zake zinali zochepa kuposa zachilendo. Ndisanadutse mayeso, ndinapanikizika, chifukwa panali pamzere ndi chinyengo pansi pa chitseko, ndimayenera kuyenda mtunda wautali, sindingathe kuvomereza konse tsiku lija. Komanso, madzulo sindinamwe madzi - ndimaganiza kuti ndizosatheka. Madokotala andilowetsa kale kuchipatalako kwa ine, ngati kuti akusokoneza. Kodi izi ndi zowona? Kodi muyenera kuperekera insulin?

Madokotala andilowetsa kale kuchipatalako kwa ine, ngati kuti akusokoneza. Kodi izi ndi zowona?

Funso lanu silingayankhidwe mopanda chidwi. Mulimonsemo, shuga wanu wamagazi ndiwokwera kuposa momwe mungafunire. Ngakhale mutazindikira kuti matendawa ndi olondola, ndikofunika kuti musinthe zakudya zamafuta ochepa panthawi ya pakati, komanso kupewetsa matenda a shuga a 2.

Kodi muyenera kuperekera insulin?

Muyenera kusinthira pakudya chamagulu ochepa a carb, kudya zakudya zovomerezeka zokha - http://endocrin-patient.com/chto-mozhno-est-pri-diabete/.

Khalani pamenepo kwa masiku atatu, mumayezera glucose wanu kangapo patsiku, makamaka m'mawa pamimba yopanda kanthu komanso maola awiri mutatha kudya. Nthawi zambiri, abwereranso kwina popanda jakisoni wa insulin.

Nthawi zina, kudya sikokwanira. Kenako polumikizani insulin, mwachitsanzo, Levemir. Yambani ndi milingo yotsika ya mayunitsi 1-3, osati mwachangu ndi apamwamba, monga momwe madokotala amazolowera.

Moni. Ndili ndi zaka 40, kulemera kwa makilogalamu 117, kutalika kwa masentimita 170, masabata awiri apakati 29. Panthawi yoyembekezera ndinapeza 20 kg. Kuthamanga shuga 5.2 - 5.8. Insomir wa Levomir adapangidwira 3 m'mawa komanso kuchuluka komweko madzulo. Ndimatsatira chakudya. Chonde ndiuzeni, kodi ndizotheka kulowetsa insulin ya Levemir ndi Tujeo?

Chonde ndiuzeni, kodi ndizotheka kulowetsa insulin ya Levemir ndi Tujeo?

Kwa odwala matenda ashuga omwe amatsata zakudya zama carb ochepa, ndikokwanira kudzipangira okha ndi mapiritsi ochepa a insulin, kangapo ochepera kuposa oyenera. Mlingo wotere, Levemir ndi Tujeo kukonzekera kwenikweni sikubweretsa mavuto. Ndili ndi odwala omwe amavulala ndi Tujeo ndipo ali bwino.

Komabe, sindikutsimikiza ngati mayiko a CIS alola kale Tujeo amayi apakati kapena ayi. Fotokozerani izi.

Kuthamanga shuga 5.2 - 5.8. Insulin yotchulidwa

Mafuta anu osala kudya sakhala okwera kwambiri. Sinthani zakudya zamafuta ochepa omwe afotokozedwa patsamba lino.Ndizotheka kwambiri kuti simudzafunika kubaya insulin konse.

Moni Ndiuzeni chochita ndi zinthu zomwe sizili m'ndandanda wazololedwa ndi zoletsedwa? Kodi kuchuluka kwa chakudya chamagalimoto kokwanira kwambiri kuyenera kukhala pati, kuti athe kuloleza GDM? S shuga yothamanga yokha imangowonjezereka, masana 1 mutatha kudya, imakhalabe mkati mwa 6.0.

Zoyenera kuchita ndi zinthu zomwe siziri m'ndandanda wazololedwa ndi zoletsedwa?

Mutha kugwiritsa ntchito mita kuwona momwe amakhudzira shuga wanu wamagazi

Kodi kuchuluka kwa chakudya chochuluka kumayenera kuyenera kupezeka mu malonda, kotero kuti ndikuloledwa

Osapitilira 10-12%. Mwambiri, zimatengera kuchuluka kwa kukhudzika kwa chakudya chamafuta awa.

Masana abwino Zikomo chifukwa chatsambali. Ndikhulupilira yankho lanu.
Zaka zanga ndili ndi zaka 35, kutalika kwa 170 masentimita, tsopano masabata 12 ali ndi pakati, masekeli 72 kg.
Ndili ndi ana anayi, pakali pano ali ndi pakati chachisanu. Pachinayi, matenda a GDM anapangidwa, kutengera GTT, yomwe idachitika sabata la 28. Kusala shuga inali 6.1, ndipo maola awiri mutatha kudya - zodziwika. Ndinkasunga chakudya, ndimagula glucometer. Mimba yonse idakhala kuti shuga azisungidwa nthawi zonse. Ana onse ndi akulu, kupatula oyamba, koma sitimamuganizira, adabadwa asanakwane. Pambuyo pa kubadwa, palibe kuchuluka kwa shuga m'magazi, ngakhale sindinatsatire zakudya. Ndinangoyesera kuti ndisadye ufa ndi maswiti, koma kwa ine ndizovuta kwambiri. Ndimakumbukira nthawi yakudya ngati zoopsa. Adafuwula, adagonja ana. Anapatsa hemoglobin wa glycated ponseponse pakati komanso pambuyo pobala - zomwe zinali zofunikira.
Tsopano ndi milungu 12 yokha, ndipo kuthamanga kwa shuga pa glucometer ndi 5.7-6.1. Mukatha kudya, ola limodzi ndi awiri akadali malire. Kukhazikanso pansi pazakudya.
Ndili ndi funso kwa inu: kodi GDM yangayi? Kodi ndichifukwa chiyani nthawi zonse ndimangokhala ndikukweza shuga m'mawa? Tsiku lachitatu pachakudya. Dzulo ndidagwera pichesi imodzi masana, chakudya chotsalacho chinali mapuloteni ndi mafuta okha, ndipo m'mawa 6.1. Kodi chiwopsezo chachikulu m'tsogolomo cha matenda ashupi enieni ndi chiyani?

Ndili ndi funso kwa inu: kodi GDM yangayi?

Sanamvetsetse zomwe mukutanthauza

Kodi ndichifukwa chiyani nthawi zonse ndimangokhala ndikukweza shuga m'mawa?

Umu ndi momwe zimakhalira ndi anthu ambiri odwala matenda ashuga

Kodi chiwopsezo cha matenda ashuga m'tsogolo ndi chachikulu motani?

Muli ndi chiopsezo chachikulu cha matenda ashuga, matenda amtima oyamba, kapena sitiroko. Mimba iliyonse imakhala ikukulitsa zovuta za metabolic.

Zimatengera zolinga zanu komanso cholinga chanu.

Masana abwino Zaka 32 zaka, woyamba kubereka, masabata 32, 68 makilogalamu, kutalika 179 cm, pamaso kulemera anali 60 kg. Shuga m'mawa anali 5.2-5.5, nditatha kudya mpaka 7.2, ndinadya, osapatsa zipatso zonse, ndinapatsidwa 6 insulin. Funso langa ndi: ngati nditatha kudya ndimakhala ndi shuga kuyambira m'mawa mpaka 5.0 ndipo nditatha kudya mpaka 7.0, ndikufunika kupaka insulin?

Ngati ndadya ndikadwala kuyambira m'mawa mpaka 5.0 ndipo nditatha kudya mpaka 7.0, ndikufunika kupaka jakisoni?

Zingakhale zosafunikira kwenikweni.

Osawopa kutsatira zakudya zamafuta ochepa, monga tafotokozera patsamba lino, panthawi yomwe muli ndi pakati. Si owopsa komanso othandiza kwambiri.

Masana abwino Ndili ndi zaka 30, mimba yachiwiri ndi zaka 1.3 pambuyo woyamba. Tsopano GDM yakhala ili pachakudya chazakudya kuyambira masabata 29. Ndi mayeso ati omwe akuyenera kuchitidwa pambuyo pobadwa kwa ana kuti mufufuze zoopsa zomwe zingayambitse matenda obwera chifukwa cha matenda ashuga ndikumvetsetsa zomwe ndili nazo ndi metabolism ya carbohydrate? Kuti pali zoopsa ndipo ndikofunika kumamatira ku zakudya moyo wanga wonse, ndidazindikira.

Ndi mayeso ati omwe akuyenera kuchitidwa pambuyo pobadwa kwa ana kuti mufufuze zowopsa zam'tsogolo zomwe zingayambitse matenda ashuga

Sakufunikira kuchitika kamodzi, koma kumayesedwa. Osachepera kamodzi pachaka - glycated hemoglobin ndi C-peptide.

Masana abwino, ndili ndi zaka 29, matenda ashuga ali ndi zaka 8, ndimakhala ndi pakati. Panali funso ndi insulin. Pakadali pano ndimalandila Tujeo ndi Apidra. Ndinawerenga kuti ma insulin awa sanawerenge ndipo amakhudza mwana wosabadwayo. Mukuganiza kuti ndi ma insulini amtundu wanji omwe ali otetezeka kwa mwana wosabadwa? Ndikufuna zabwino kwambiri.

Ndili ndi zaka 29, matenda ashuga ali ndi zaka 8, ndimakhala ndi pakati

Werengani nkhani ya Vkontakte pagulu "chisangalalo cha kukhala mai", mpaka chidakhudzidwa. Popeza mudwala matenda anu a shuga, m'maganizo muchichulukitse ndi zonse zomwe zalembedwa pamenepo. Muli pachiwopsezo chachikulu. Kwa azimayi ambiri odwala matenda ashuga, kubereka komanso kubereka mwana sizachilendo. Koma kwa ambiri, samadutsabe. Sangolembera pa intaneti. Mukakhala ndi vuto ndi impso kapena maso, sizikhala choncho.

Sikuti ndimakusankhani 100%. Koma ndikuchenjezani kuti chiwopsezochi ndi chachikulu. Ndikwambiri nthawi zambiri kuposa momwe zimawonekera "kuchokera kunja", mpaka mutalowa "mkati".

Mukuganiza kuti ndi ma insulini amtundu wanji omwe ali otetezeka kwa mwana wosabadwa?

Ngati ndi kotheka, chokani ku Tujeo kupita ku Levemir. Koma izi ndizosafunikira kwambiri kuposa kuperewera kwa zakudya, kusankha bwino Mlingo wa insulin, kuyang'anira shuga ndi mayeso ena pafupipafupi.

Mlingo wa matenda ashuga

Nthawi zambiri, azimayi amapatsidwa jakisoni 4 wa insulin. Atatu a iwo amasungidwa mphindi 30 asanadye. Mankhwala ogwirira ntchito pang'ono amagwiritsidwa ntchito, ndipo achinayi (owonjezera) amalamulidwa maola 22. Jekeseni womaliza sakhala aliyense.

Ndipo mutatha kudya, zomwe muli nazo sizokwanira kuthana ndi insulin, chifukwa chake muyenera kuziwonjezera.

Kuwerengera Mlingo kumachitika malinga ndi kuchuluka kwa shuga m'magazi, trimester ya mimba. M'miyezi itatu yoyambirira, kufunikira kwa timadzi tokhala m'munsi 1 pa kilogalamu imodzi yakulemera kwa thupi. Nthawi zambiri, odwala amatha kuyendetsa shuga m'magazi ndi zakudya kapena kuwonjezera milingo yaying'ono ya mahomoniwo.

Kuwongolera shuga

Trimester yachiwiri ndi yovuta kwambiri kwa matenda ashuga. Mwa mayi wapakati, mlingo umawonjezera pafupifupi nthawi 1.5-2, ndipo pachitatu pancreas ya pancreas imayamba kugwira ntchito, palibe chifukwa chachikulu.

Munthawi yobereka mwana pambuyo pa insulin, matenda a hypoglycemia nthawi zambiri amachitika. Amayambitsidwa ndi dontho lakuthwa mu shuga. Chifukwa chake, ndikofunikira:

• tsatirani kwambiri malangizo pa nthawi yakudya pambuyo pa jakisoni,
• kutha kudziwa kuchuluka kwa mahomoni malinga ndi kuchuluka kwa shuga ndi kuchuluka kwa chakudya chamagulu,
• yogawa chakudya chamagulu tsiku lonse,
• yang'anani shuga wa magazi osachepera kasanu patsiku.

Ndipo pali zambiri za mankhwala a shuga a shuga.

Kuikidwa kwa insulin kumawonetsedwa kwa amayi apakati omwe ali ndi matenda osokoneza bongo omwe ali ndi chakudya chosakwanira, masewera olimbitsa thupi komanso mankhwala azitsamba. Jekeseni wa mahormone amagwiritsidwanso ntchito poonetsa zizindikiro za matenda ashuga a m'mimba. Kusankha mankhwala, dongosolo la makonzedwe ndi mlingo wake, ndikofunikira kuwunika kuchuluka kwa shuga ndimagawo a trimester. Ngati chithandizo cha insulin ndi chofunikira, ndikofunikira kutsatira mosamalitsa malangizo othandizira kupangira zakudya, nthawi ya chakudya, komanso kudziyang'anira wega wamagazi.

Muyenera kudya zipatso za matenda ashuga, koma si onse. Mwachitsanzo, madokotala amalimbikitsa mitundu 1 ndi 2, yamatenda a shuga kwa amayi apakati. Mungadye chiyani? Ndani amachepetsa shuga? Zomwe sizotheka?

Mosakayikira, amayi oyembekezera amayembekezeredwa chakudya cha matenda ashuga. Zakudya zosankhidwa bwino, tebulo lokonzedwa bwino lingathandize kupewa mavuto. Kodi ndizotheka kudya mavwende, vwende? Kodi ndi menyu uti womwe ungafanane ndi matenda ashuga?

Ngati matenda a shuga ndi odalirika, glucometer amakhala anzawo osasinthika a wodwalayo. Ndikofunikira kusankha bwino ndikuzindikira zomwe zikuwonetsa. Kodi chofunikira ndi chiyani pamtundu woyamba ndi wa 2, ndimatenda amisala? Kodi mungapeze bwanji glucometer yaulere?

Matenda a shuga amathandizidwanso kwa iwo omwe amangodziwikiratu mawonekedwe ake, komanso mwa omwe akudwala. Gulu loyamba lifunika kupewa. Njira zazikulu zomwe zili mwa ana, abambo ndi amayi zimachepetsedwa pakudya, zolimbitsa thupi ndi moyo wabwino. Ndi mtundu wachiwiri, komanso 1, yachiwiri ndi yachiwiri imachitika popewa zovuta.

Chimodzi mwa mankhwala abwino kwambiri ndi shuga. Mapiritsi amathandizira pochiza mtundu wachiwiri. Momwe mungamwe mankhwalawo?