Atsikana omwe adadutsa mayeso a GTT (mayeso a glucose kulolerana) panthawi yomwe muli ndi pakati? Kodi mwachipeza bwanji? Woleza?

• zaka zakubadwa pakatha milungu 32. Trimester yomaliza yonyamula mwana si nthawi yabwino kuchita mayeso ngati amenewa. Chiwopsezo cha zotsatira zabwino zabodza panthawiyi ndizokwera kwambiri. Potere, kuwunika shuga ndi matenda osiyanasiyana a shuga kumachitika mwa mayi ndi mwana wake atabereka,

• kuchuluka kwa nthawi yayitali kapena kuukira kwa chifuwa chachikulu cha kapamba. Mkhalidwe wamtunduwu umayendera limodzi ndi zovuta zazikulu zamagulu zomwe zimachitika chifukwa cha kutupa kwa kapamba. Mu nthawi yovuta yamatendawa m'magazi, osati kuchuluka kwa ma enzymes omwe amathandizira pakukula kumawonjezeka, komanso zomwe shuga ndi insulin zimasintha kwambiri. Zingakhale bwino kumayesa mayeso okhudzana ndi shuga pambuyo poti chachitika,

• matenda ena a endocrine dongosolo. Ovuta matenda a Cushing, matenda oopsa hyperthyroidism, acromegaly ndi zotsutsana mu zamankhwala phunziroli,

• anakakamizidwa nthawi yayitali kugwiritsa ntchito mankhwala ena. Kutenga ma glucocorticosteroids ndi ma estrojeni kumatha kubweretsa zotsatira zabodza zabodza. Izi zitha kusokoneza tanthauzo lolondola la kusanthula.

Ndemanga za amayi ena pa intaneti zikuwonetsa kuti adayesera kudzipangira okha mayeso okhudzana ndi shuga.

Simuyenera kuchita nthawi yomweyo pazifukwa zambiri! Phunziro lotere, lochitidwa kunyumba, silikhala loyenera ndipo sapereka zotsatira zodalirika pambuyo.

Ndizofunikanso kudziwa kuti kuwononga ndalama kunyumba nthawi zina kumakhala koopsa. Chitani kuyeserera kwa glucose ndikofunikira kuchipatala choyang'aniridwa ndi akatswiri.

Khalidwe losalamulirika la kuyesedwa kotereku lingathenso kuchititsa kuti muyitane mwachangu gulu lachipatala ladzidzidzi. Amayi ena amalakwitsa kwambiri kuti amatha kusinthanitsa ndi shuga ndi chokoleti kapena chakudya wamba. Uku ndikulakwitsa kwakukulu. Pankhaniyi, ndizosatheka kukwaniritsa zotsatira zoyenera.

Kuyeserera kwa ma labulowa kumatha kuchitika m'njira zosiyanasiyana. Njira yokhazikika ndi kuyesa mkamwa ndi magalamu 75 a shuga. Pa phunziroli, mayi woyembekezera ayenera kukhala kuchipatala kwa maola 2-2,5. Izi zimapereka chiwonetsero cha ukadaulo wa kafukufukuyu.

Nthawi zambiri, mayi woyembekezera amafunsidwa kuti azikhala pabalaza ngati mayeso akuchitika mu chipatala choyenera. Zachipatala pafupipafupi zimapatsa alendo malo abwino.

Pakusanthula, mayi woyembekezera amatha kudikirira m'chipinda chapadera. Nthawi yopuma yabwino, nthawi zambiri pamakhala TV.

Ndikwabwino kufupikitsa nthawi pakati pa zitsanzo zamwazi kuti muzipenda zonse, kuwerenga buku.

Kuyesedwa kwa glucose kumachitika mu magawo angapo. Nthawi yoyamba magazi amatengedwa kuchokera m'mitsempha m'mawa. Kuti muchite izi, mayi woyembekezera ayenera kubwera kuchipatala mosamala kwambiri pamimba yopanda kanthu. Kudya nthawi yomweyo musanayambe kuphunzira ndi koletsedwa.

Madokotala amakhazikitsa nthawi yofunikira ya maola angati omwe simutha kudya chakudya chisanachitike. Nthawi zambiri amapanga kuyambira 8 mpaka 14 maola.

Ino ndi nthawi yofunika kuti mutha kupeza zotsatira zabwino mtsogolo.

Kusala kudya kwa nthawi yayitali sikofunikira, chifukwa vutoli lingayambitse kuchepa kwa glucose m'magazi a zotumphukira.

Njira yayikulu yoyeserera ndi yoti mayi woyembekezera afunsidwe kumwa kapu ya shuga. Chimakoma zokoma, zosangalatsa kwambiri.

Pakadali pano pali ma metabolites osiyanasiyana a glucose omwe angagwiritsidwe ntchito pochita mayesowa. Chimodzi mwazida zotere ndi monohydrate.

Ngati ma metabolite a glucose amathandizidwa ndi jakisoni, ndiye kuti mulingo muyezo umasintha kwambiri.

Mayi woyembekezera atamwa kapu ya shuga, magazi amatengedwa kuti azindikire glucose wina kanayi, mphindi 30 zilizonse. Kuti muwunikire zotsatira mtsogolomo, zinthu zonse zomwe zapezeka zimagwiritsidwa ntchito. Nthawi zina, kafukufuku amatha kuchitika mosiyana.

M'mabotolo ena, pofuna kusintha kukoma kwa njira yabwino yodziwira, mumapezeka mandimu pang'ono.

Izi sizikhudza zotsatira, koma zimachepetsa kwambiri nseru panthawi ya kafukufukuyu. Amayi ena, pakubwera kafukufukuyu ku chipatala, amatenga gawo la mandimu.

Citric acid ndi yabwino kwambiri kwa amayi oyembekezera omwe ali ndi gestosis yayikulu kapena chiwonetsero chosanza.

Pakadali pano, magazi a capillary samachotsedwa pachala kuti awunikidwe. Zotsatira zodalirika zimathandizira kupeza magazi a venous. Zikuwonetsa kuchuluka kwa shuga m'thupi. M'magazi a capillary, kusakanikirana ndi zamitsempha kumachitika, zomwe zimabweretsa zotsatira zosatsimikizika.

Kuchulukitsa kwa magazi kuchokera m'mitsempha pakadali kotetezeka kwambiri. Amayi ambiri amtsogolo amakhala ndi phunzirolo modekha. Kutenga kwa magazi kuchokera m'mitsempha kumanyamulidwa ndi iwo, monga lamulo, yosavuta kuposa kuwongolera chala pafupipafupi. Singano zowonda zomwe zimagwiritsidwa ntchito pochita kuwunikaku sizibweretsa ululu uliwonse.

Phunziroli, machubu apadera a vacuum amagwiritsidwa ntchito. Amakulolani kuti mutenge mwachangu magazi owopsa. Izi zimatheka chifukwa cha kusiyana kwa kukakamira pakati pa chubu ndi chilengedwe chakunja.

Mkati mwa machubu momwe magazi amasonkhanitsidwa, mumakhala mankhwala ena apadera omwe amateteza oxidation wamagazi.

Mankhwalawa amathandizanso kukhala ndi glucose kwakanthawi. Kugwiritsa ntchito kwanu kumakupatsani mwayi wabwino.

Nthawi zina, n`kotheka kuchita chimodzimodzi munthawi yomweyo kuchuluka kwa hemoglobin wa glycated.

Kuti mupeze zotsatira, chubu choyesera ndi magazi a venous amaikidwa ndi zida zapadera - kusanthula. Zida zamakono zogwiritsidwa ntchito poyesayi tsopano ndi zokha.

Amakulolani kuti musamangokhala olondola komanso zotsatira zabwino. Komabe, nthawi zina zolakwika zaukadaulo zimatha.

Nthawi zambiri izi zimachitika ngati katswiriyo apereka zitsanzo za magazi.

Asanachite zolemba zasayansi iyi, azimayi onse oyembekezera ayenera kupatsidwanso malingaliro. Kugwirizana nawo ndikofunikira kuti mupeze zotsatira zodalirika. Tiyenera kukumbukira kuti ngati mayeso obwezeretsanso a glucose akapezeka osadalirika, pamenepa dokotala adzalembanso kafukufuku wina.

Zinthu zosiyanasiyana zimatha kuyambitsa zotsatira zoyenera. Kumwa ngakhale pang'ono pang'ono zakumwa zoledzeretsa kumatha kuyambitsa zosokoneza.

Kuti mukhale ndi malingaliro olondola madzulo a phunzirolo, muyenera kusiyiratu kugwiritsa ntchito mankhwala aliwonse osokoneza bongo.

Ngati mayi woyembekezera agwiritsa ntchito fodya, ziyenera kudziwika kuti kusuta fodya tisanachitike ndipo nthawi yomweyo njira yodziwikiratu isanachitike.

Matenda opatsirana pachaka kapena kuchulukitsa kwa matenda osakhazikika a ziwalo zamkati, limodzi ndi kuwonjezeka kwa kutentha kwa thupi, zimatsogolera kuti zotsatira za phunzirolo ndizosokonekera. Masiku 2-3 musanachite mayeso amalembawa, zolimbitsa thupi siziyenera kuphatikizidwa. Ngakhale kuyeretsa kwa nyumba ndi nyumba kumatha kuchititsa kuti zotsatira zake zitha kupotozedwa.

Ngati phunzirolo likuchitika mu nthawi yotentha, zotsatira za kuyesedwa kotereku zitha kupotozedwa. Kuchepa kwa madzi nthawi zambiri kumadzetsa zosokoneza pazotsatira.

Kupsinjika kwakukuru m'maganizo m'masiku ochepa masiku owerengeka asanayesedwe kungachitike. Pankhaniyi, zotsatira zabodza zabodza komanso zabodza zitha kupezeka. Madokotala amalimbikitsa mayi woyembekezera asanakayezeze Osakhala amantha ndikuyesera kukhala odekha momwe mungathere.

Mayeso okwera a glucose okwera (PHTT) amatha kuchitika mwanjira zosiyanasiyana zamankhwala.

Ngati kuchuluka kwamphamvu kwa glucose kwapezeka mkati mwa kafukufuku, kuyesaku kuyenera kuyang'ananso. Ndipokhapo pomwe madokotala amatha kuzindikira kuti ali ndi matenda a shuga.

Mupereke magazi kuti mupeze kafukufuku uyeneranso kangapo, monga momwe amafunikira njira yochitira izi.

Matenda a shuga - Ichi ndi matenda osasangalatsa komanso kuwonjezeka kwapang'onopang'ono kwa zizindikiro zoyipa.

Kuwala mopitirira muyeso pankhaniyi kungayambitse kuti mayi woyembekezera adzalembedwe mankhwala omwe angayambitse mavuto ena. Ndi endocrinologist yekha yemwe angadziwe matenda a shuga.

Kuti achite izi, atha kutumiza amayi amtsogolo ku labotale kuti akaperekeko ndi mayeso ena othandizira.

Nthawi zambiri, shuga wamagazi amayenera kukhala osakwana 5.1 mmol / L. Pambuyo pa mphindi 60, msuzi wa shuga suyenera kupitilira 10 mmol / L. Maola 2 atatha phunziroli, magazi ake mu amayi apakati athanzi samapitirira 8.5 mmol / L.

Madokotala azindikira njira zingapo zomwe zikuwonetsa kukhalapo kwa zizindikiro za matenda osokoneza bongo m'thupi la mayi wamtsogolo. Mu mbeera eno, glucose okusinziira mu mbeera za 5.1 okutuuka ku 6.9 mmol / L. Pambuyo pa mphindi 55-60, mfundo zake zimachuluka kuposa 10 mmol / L. Pambuyo maora angapo, shuga m'magazi otumphukira amafika pazofunikira kuchokera ku 8.5 mpaka 11 mmol / L.

Pali nthawi zina zamankhwala pomwe kupangika kwa matenda ashuga kumakhala kosavuta. Pankhaniyi, shuga othamanga ayenera kukhala opitilira 7 mmol / L. Mutatha kudya yankho la shuga, shuga wamagazi amaposa 11 mmol / L. Madotolo amatha kuwona izi ngati chiwonetsero chodabwitsa cha matenda ashuga.

Ngati kuchuluka kwa mayeso okhudzika ndi glucose kumachitika pokhapokha pakati, ndiye kuti mkhalidwe wa pathological womwe umatchedwa gestationalabetes mellitus.

Ndikofunikira kudziwa kuti kupatuka kwakudziwika kumatha kubwereranso mwakale pakubadwa kwa mwana.

Mkhalidwe woperewera wotere uyenera kukhala mwayi kwa amayi kuti azilamulira shuga m'magazi pafupipafupi moyo wake wonse.

Kuti muwonetsetse matenda, kufunikira kwa hemoglobin yofunikira kumafunika. Chizindikirochi chikuwonetsa mphamvu ya shuga m'magazi kwa miyezi ingapo. Pakadali pano, akatswiri ochokera kumayiko ambiri amagwiritsa ntchito chizindikiro ichi kutsimikizira kuti ali ndi matenda a shuga. Nthawi zambiri, chizindikiro cha hemoglobin wa glycated sayenera kupitirira 6.5%.

Kuyesedwa kophatikiza kotereku ndikovomerezeka kwa azimayi onse oyembekezera omwe ali pachiwopsezo chachikulu chotenga matenda a shuga.

Munthawi yonse yoyembekezera, maphunziro awa amatha kuchitika kangapo. Izi zimakuthandizani kuti mupeze zotsatira zolondola.

Pambuyo pobadwa, hemoglobin ya glycated imayesedwanso ndipo glucose wa m'magazi amayesedwa.

Ngati amayi ali pagulu lomwe liri pachiwopsezo chachikulu cha kuthekera kwa hyperglycemia, ndiye kuti kafukufuku yemwe ali ndi shuga ayenera kuchitidwa pakadutsa masabata 24-28. Kafukufuku m'mawu awa ndikowunikira kwabwino kwambiri kwa matenda ashuga. Mu mochedwa mimba, kuzindikira kupatuka kumakhala kovutirapo komanso kowopsa kwa mwana wosabadwayo.

Ngati mayeso a mayi wamtsogolo akuwonetsa zochulukirapo pazowonetsa, ndiye kuti akapatsidwa chithandizo chamankhwala chapadera. Amachepetsa kwambiri "chakudya" champhamvu m'zakudya za tsiku ndi tsiku. Kudya ma buns, maswiti ndi chokoleti kwa mayi woyembekezera pankhaniyi ndizoletsedwa.

Zipatso zathanzi zimatha kukhala njira ina m'malo mwa chakudya chowopsa chimenecho. Komabe, tiyenera kukumbukira kuti mulinso kuchuluka kwakukulu kwa fructose - shuga lachilengedwe. Gwiritsani ntchito ziyenera kulembedwa.

Zakumwa zotsekemera za kaboni wamphepo, komanso timadziti tomwe timatulutsa kuchokera ku zakudya za tsiku ndi tsiku za mayi woyembekezera, yemwe ali ndi zizindikiro za matenda amishuga, sayikidwa kwathunthu. Zakumwa zabwino kwambiri pamenepa ndizamadzi ochepa, komanso ma compotes osapsa komanso zakumwa zakumwa, zopangidwa kunyumba ndi zipatso kapena zipatso.

Nthawi yonse yotsatira ya mayi woyembekezera, yemwe ali ndi zizindikiro za matenda a shuga, amapezeka motsogozedwa ndi a endocrinologist. Kuti azindikire kukula kwa matendawo mwa mayi wapakati, magazi amatengedwa kangapo kuti adziwe kuchuluka kwa shuga komwe kumakhalako.

O, momwe mungapangire mayeso ololera a glucose panthawi yapakati, onani vidiyo yotsatira.

Zomwe anena za mayeso okhudzana ndi glucose panthawi yomwe ali ndi pakati - ndemanga za odwala

Pa nthawi yonse yoyembekezera, mayi amayesedwa ochulukirapo ndipo amayesa mayeso osiyanasiyana. Nthawi zina mayi woyembekezera satiwuza chifukwa chomwe amayeza mayeso.

Izi zimachitika chifukwa chaka chilichonse atsopano amaphatikizidwa pamndandanda wovomerezeka wazachipatala womwe umayenera kumalizidwa panthawi ya pakati.

Asanafike mayeso atsopano, mayi aliyense, ngakhale ocheperako, amasangalala. Chifukwa chake, amayi oyembekezera nthawi zambiri asanapite kwa dokotala amafufuza zidziwitso pa intaneti, kapena amawunikiranso za njira yamankhwala yomwe ikubwera.

Chomwe tikufuna kudziwa ndi kusanthula kumodzi, komwe kumakhala ndi dzina - mayeso a kulolera glucose. Tiyeni tikambirane mwatsatanetsatane chifukwa chake kuwunika kwa glucose kumafunikira, komanso kuwunika koyeserera kwa mayeso ololera a glucose.

Zotsatira zoyipa

Popeza kuyesedwa kwa glucose kumaphatikizapo kumwa njira yothetsera shuga, muyenera kumwa pamimba yopanda kanthu, kotero mavuto ena angachitike.

Kuunikaku sikunadzetse vuto lililonse kapena kumuwopseza mwana, koma mayi woyembekezera akhoza kumva chizungulire, kusanza pang'ono, kapena kufooka.

Pambuyo pakupereka magazi omaliza, mayi woyembekezera amatha kudya, kupumula ndi kupezanso mphamvu. Kuti muzindikire matenda ashuga m'mbuyomu ndikuyamba mankhwala nthawi, kuti musavulaze mwana wanu, muyenera kukhala oleza mtima pang'ono ndikupatsani mayeso a shuga.

Chachikulu ndikumvetsetsa kuti chilichonse chimachitidwa kuchitira zabwino amayi ndi mwana wake.

Maganizo a mayeso okhudzana ndi mimba

Kwenikweni, amayi oyembekezera amatsatira njirayi m'njira zabwino, chifukwa ichi ndi mayeso othandiza kwambiri omwe angachenjeze mayi woyembekezera za matenda omwe angachitike.

Chifukwa chakuti mkhalidwe waumoyo wa mwana wawo ndicho chinthu chachikulu kwa azimayi, iwo amakwaniritsa machitidwe onse a mayeso opirira shuga ndikupereka upangiri kwa iwo omwe sanayang'anizane ndi kusanthula kumeneku. Zachidziwikire, pali zingapo zabwino komanso zoyipa posanthula izi. Mfundo zabwino:

• kufunika. GTT iyenera kudutsidwa mosalephera kuwongolera thanzi la mwana ndi amayi,
• njira yaulere. Kusanthula kumeneku kumayendetsedwa ndikuchitika mu chipatala cha anakubala kumalo olembetsa. Chokhacho chomwe muyenera kugula ndi botolo la glucose. Kwenikweni, dokotala wazachipatala yemwe amakuonani amalemba mankhwala, malinga ndi momwe mungalandire shuga pamtengo wotsika,
• chitetezo. Kuphatikiza pa zizindikiro zochepa za malaise, njirayi ilibe zotsatirapo zoyipa.

Zoyipa:

• kufooka mseru. Nthawi zina azimayi amamva izi atatha kudya shuga,
• kukhala nthawi yayitali kuchipatalachi. Popeza mayesowa amakhala pafupifupi maola 3-4, nthawi yonseyi muyenera kuti mukhale kuchipatala, zomwe zimapangitsa kuti mayi wapakati asakhale ndi pakati. Nthawi zambiri, mndandanda wautali wotopa umakhala wambiri, wodwala ambiri komanso wopanda mipando,
• njala. Ndikofunikira kuti musadye kalikonse kwa nthawi yayitali. Kuphatikiza apo, mutamwa shuga, simuloledwa kumwa ngakhale madzi,
• angapo magazi zitsanzo. Njira yopanda kusangalatsa, komanso yopweteka.
• yankho losasangalatsa. Glucose imadzipaka m'madzi ochepa, pambuyo pake imayenera kuledzera mwachangu. Nthawi zambiri izi zimakhala zovuta kwambiri chifukwa cha kukoma kwa amayi apakati.

Monga momwe zidakhalira, pali mfundo zoyipa pang'ono kuposa zabwino. Koma zovuta zonse zitha kupilira ndikugonjetsedwa, kudziwa zomwe mayi woyembekezera amabweretsa kwa mwana wake ndi iyemwini.

Makanema okhudzana nawo

Ndemanga ya mayeso okhudzana ndi glucose panthawi yapakati:

Zambiri zanenedwa zakufunika ndi kuyeserera kwa mayeso a glucose. Ndikwabwino kwambiri kuti kuyezetsa kumeneku kumayendetsedwa ndi dokotala wodziwitsa mayi yemwe akukupatsani, chifukwa si azimayi onse omwe amalimbikira kukayesa payekha, makamaka pamene ali ndi pakati.

Chifukwa chake, tsatirani malingaliro a dokotala wanu wazamankhwala ndipo musapatuke pakukuchitika mayeso azachipatala. Popeza matenda atapezeka panthawiyo amakulitsa chitsimikizo cha kupulumutsidwa kwathunthu kwa iwo.

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

Phunzirani zambiri. Osati mankhwala. ->

Chifukwa chani ndipo ndani angafunike kuyesedwa kwa glucose pakubala?

Nthawi zambiri, mzimayi amalandila malangizo oyesa mayeso okhudzana ndi glucose panthawi iyi, pamenepa, m'ndondomeko yomwe amalembedwa kuti GTT.

Mimba ndi nthawi yovuta kwambiri kwa mayi, pomwe kupsinjika kowonjezereka kwa thupi kumatha kupangitsa kuchuluka kwa matenda omwe alipo kapena kukulira kwatsopano komwe kumatha kudzipangitsa kumverera pokhapokha pakulankhula kwa mwana.

Matendawa amaphatikizapo matenda a shuga, kapena matenda ashuga azimayi oyembekezera: malinga ndi ziwerengero, pafupifupi 14% ya amayi apakati omwe ali ndi matendawa.

Chomwe chitukuko cha matenda osokoneza bongo chimaphwanya ndikupanga insulin, kaphatikizidwe kake m'thupi kakang'ono kuposa kofunikira.

Ndiye insulini yopangidwa ndi kapamba yomwe imayang'anira kuchuluka kwa shuga m'magazi ndikuyipeza (ngati palibe chifukwa chosintha shuga kukhala mphamvu). Pa nthawi yomwe mayi ali ndi pakati, mwana akamakula, thupi limafunikira kupanga insulin yochulukirapo kuposa masiku onse.

Ngati izi sizingachitike, insulini sikokwanira kuti shuga azikhazikika, kuchuluka kwa shuga kumawonjezera, zomwe zimapangitsa kukula kwa matenda ashuga mwa amayi apakati.

Muyeso wovomerezeka wa glucose pakumeta uyenera kukhala wa akazi:

• omwe adakumana ndi izi m'mimba mwa m'mbuyomu,
• yokhala ndi mndandanda wamakumi 30 ndi kupitirira, womwe usanabadweko mudabereka ana akulu akulu olemera kuposa 4.5 kg,
• ngati m'modzi mwa abale apakati ali ndi matenda a shuga.

Matenda a gestational apezeka, mayi woyembekezera afunika kuwongoleredwa ndi madokotala.

Kuyeserera kwa glucose pakakhala pakati kumachitika ndi zitsanzo zamwazi m'mawa pamimba yopanda kanthu. Madzulo (pafupifupi maola 8) simungathe kudya, m'mawa ndizoletsedwa kumwa khofi.

Kuphatikiza apo, "shuga katundu" umachitika pokhapokha ngati palibe madandaulo: ngakhale mphuno yaying'ono ikhoza kupotoza zotsatira zoyesedwa. Muyenera kuchenjezanso dokotala wanu za kumwa mankhwala aliwonse musanayesedwe.

Tsiku loti mayeso ayambike, ndikulimbikitsidwa, pakati pazinthu zina, kupewa kupsinjika kwamalingaliro ndi thupi.

Chiyesocho chimapereka magazi m'mitsempha, kenako dokotala amupatse "chakudya chotsekemera" chapadera chomwe chili ndi pafupifupi 100 g shuga. Ola limodzi pambuyo pakupanga koyamba, kenako ola linanso, magaziwo adzatengedwanso kuti akawonedwe.

Chifukwa chake, katswiriyo amatsimikizira momwe kuchuluka kwa shuga m'thupi kumasinthira komanso ngati amasintha ambiri: mwachizolowezi, kuchuluka kwa glucose pambuyo poti kukwera tambala kukwera kwambiri, koma kenako pang'onopang'ono kumachepa ndikufika pamlingo wake woyamba mu maola awiri.

Ngati misempha ya glucose ikhalabe yokwezeka mu zitsanzo zokonzanso, mayi woyembekezera amapezeka ndi matenda a shuga.

Zizindikiro zomwe zimawonetsa matenda ashuga

Matenda a shuga oyembekezera amakhazikitsidwa ndi kuyeserera kwa glucose ngati:

• kuchuluka kwa shuga m'magazi mukamayang'ana pamimba yopanda kanthu m'mawa yoposa 5.3 mmol / l,
• Pambuyo pa ola limodzi, shuga wamagazi amapitilira 10 mmol / l,
• pambuyo pa maola 2, glucose amakhala pamwamba 8.6 mmol / L.

Tiyenera kudziwa kuti dokotala womaliza amapezeka ndi dokotala pambuyo pa “magawo awiri” oyeserera pamasiku osiyana, ndipo ngati kuchuluka kwa glucose kudalembedwa nthawi zonse ziwiri.

Kupatula apo, ndizotheka kuti kuyesa kwa glucose nthawi imodzi panthawi yapakati kumatha kuwonetseranso zotsatira zabodza, mwachitsanzo, ngati malamulo onse okonzekera kuyesedwa sanatsatidwe, ngati pali kuphwanya chiwindi, ndi endocrine pathologies kapena kukhalapo kwa potaziyamu ochepa kwambiri m'thupi.

Ngati matendawa adapezeka ndi matendawa, mayiyo ayenera kuyanjananso ndi adotolo. Chifukwa chake, muyenera kusintha zakudya, kuchita masewera olimbitsa thupi moyenera kumakhala "mthandizi" wabwino pamankhwala.

Amayi omwe ali ndi matenda osokoneza bongo amayenera kupita kwa dokotala pafupipafupi kuti akamupime mayeso, pomwe amayi ake ndi mwana amawayendera.

Powonjezera owonjezera angafunikenso kuwunika kukula ndi kukula kwa mwana wosabadwayo.

Nthawi zambiri, kubereka pamaso pa matenda a shuga kwa mayi woyembekezera kumakonzekera kwa milungu 37- 38. Pambuyo pa kubadwa, pambuyo pa masabata 6, mayiyu adzayesedwanso poyesa glucose - mothandizidwa, katswiri adziwa ngati matenda a shuga anali ogwirizana pokhapokha ngati ali ndi pakati.

Makamaka a beremennost.net Tatyana Argamakova

Kodi mayeso ololera a shuga ndi otani?

Uku ndi kuyesa komwe amayi onse oyembekezera amakhala nawo popanda izi. Ndi iyo, mutha kuzindikira matenda ashuga komanso ngakhale mutamakonda. Ndipo izi zimathandizanso kuwunika ndikusintha mayendedwe apakati.

Mimba ndi nthawi yomwe zilonda zonse ndi zofooka za mayi wamtsogolo zimatha kuchoka, chifukwa katundu pa thupi lathunthu komanso mbali iliyonse yamkati payokha ndilokulira.

Matenda a gestational (omwe sanakhalepo asanakhale ndi pakati komanso omwe adayamba panthawiyi) ndi amodzi mwa matenda.

Sichichitika kawirikawiri: ziwerengero zamilandu zimati shuga ngati imeneyi imapezeka mwaoposa 4% ya amayi onse apakati omwe amalembetsedwa mwalamulo m'makliniki.

Kodi ndi chifukwa chiyani matenda ashuga oopsa amakhala oopsa?

Pali zoopsa, komanso zazikulu kwambiri. Ngati matenda ashuga adayamba kumayambiriro kwa mimba, zimatha kubweretsa padera, kapena kudzutsa mawonekedwe a ziwalo zofunika, monga mtima ndi ubongo. Kukula kwa matendawa mtsogolomo (wachiwiri ndi wachitatu trimester) kumabweretsa kukula kwakukulu ndi kulemera kwa mwana wosabadwayo.

Ndipo atabereka mwana, mwana akamasiya kulandira shuga wambiri kuchokera kwa mayi, amakhala ndi shuga wambiri. Matenda a chifuwa cha matenda a shuga amawoneka khanda ngati silichira ndipo osapezeka kuti ali ndi matenda a shuga kwa amayi ake pa nthawi.

Zizindikiro za matendawa zimaphatikizapo kukula kwa khanda, thupi losagawika, kutupa, jaundice, matenda amtundu wamapapo.

Ndani angadwale matenda a shuga

Malinga ndi ziwerengero, magulu otsatirawa amakonda kwambiri kukulitsa matendawa:

1. Amayi onenepa kwambiri.
2. Amayi kumayiko monga Africa American, Latin America, Asia ali pachiwopsezo chachikulu.
3. Ngati mayesowo atavumbula kulekerera kwa glucose (matenda a shuga sapezeka pamenepa, koma azimayi ali pachiwopsezo chachikulu).
4. Shuga wambiri wa mkodzo.
5. Choyipa. Ndiye chifukwa cha izi, kuphatikiza chifukwa, kuti dokotala adzakufunsani za matenda amtundu uliwonse pakati panu komanso abale anu.
6. Kubadwa m'mbuyomu kumatha kubadwa kwa mwana wamkulu kapena wakufa.
7. Matenda a gestational adapezeka ali ndi mimba yapitayi.
8. Madzi okwera: kuchuluka kwa madzi amniotic kumakhala kwakukulu kwambiri kuposa kwabwinobwino.

Kodi mayeso ololera wama glucose amachitika bwanji panthawi yoyembekezera?

Mwazi umatengedwa kuchokera m'mitsempha m'mawa. Kenako mkazi amafunika kumwa madzi otsekemera (ololera pang'ono kukoma) - yankho la shuga.

Pambuyo pake, magazi amatengedwa maulendo ena awiri - ola limodzi pambuyo pakumwa madzi ndi 2.

Mwina chizungulire pang'ono kapena ngakhale kudana pang'ono ndi mseru, chifukwa ndi bwino ngati mungakhale ndi munthu wina pakampani, kapena simuyenera kupita kokayenda mukuyembekezera kuyezetsa magazi kwina kopitilira kuchipatala.

Zoyenera kuchita ngati matenda amiseche apezeka

Mwa anthu athanzi, poyankha kudya shuga mthupi, pamakhala mlingo wa insulini wina, womwe umayamba kuwongolera kuchuluka kwa shuga m'magazi. Kwa odwala matenda a shuga, kuchuluka kwa insulini sikokwanira, chifukwa chake, shuga wambiri amawona m'magazi.

Amayi oyembekezera, ngakhale atakhala kuti ali ndi nthawi yayitali, amakhala okakamizidwa kuti azicheza ndi dokotala pafupipafupi, kukayezetsa ndi kupeza mayeso osiyanasiyana.

Pankhani yopezeka ndi matenda a shuga, muyenera kupita kwa dokotala kukayezetsa magazi pafupipafupi, chifukwa tsopano kwakhala kofunikira kwambiri kuwunikira kuchuluka kwa shuga m'magazi.

Kuphatikiza apo, adotolo adzalembera zakudya zapadera za odwala matenda ashuga ndikulimbikitsa ntchito zapadera zolimbitsa thupi. Ngati kuli kofunika, dokotalayo amatha kupereka mankhwala a insulin.

Zakudya za matenda ashuga

Mayi aliyense woyembekezera ayenera kuyesetsa kupeza chakudya choyenera, kuti chakudya chamagulule sichidutsa chizolowezi (ngakhale mwana kapena mayi wake safuna choonjezera), ndipo panali mavitamini ndi michere yokwanira mkati mwake kuti mwana akule bwino. Mimba ikayenda bwino, popanda kupatuka, mutha kudzilowetsa ndekha kwinakwake, mudzilolere nokha chinthu chotere. Koma ngati mayi wapezeka ndi matenda a shuga, malamulowo amakhala okhazikika:

1. Imwani osachepera 1.5 malita patsiku.
2. Pewani zakudya zonona, zokazinga, zotsekemera komanso zonona. Pasakhale mafuta "othamanga" aliwonse azakudya.
3. Idyani nthawi 5-6 patsiku, kugawa chakudya motere: Zakudya zazikulu zitatu, zokhazikika zazing'ono.
4. Pewani zakudya zomwe zimapezeka pompopompo komanso zakudya zilizonse zothamanga: Zakudya zotere zimakhala ndi index ya glycemic kuposa masiku onse, ndipo ndi matenda ashuga izi sizovomerezeka!
5. Chotsani mitundu yonse yamatchups ndi mayonesi.
6. Chulukitsani zakudya zanu ndi fiber. Idyani mbewu monga chimanga, tirigu, msuzi wa tirigu, masamba, mkate ndi tirigu.
7. Mumakonda nyama yopendekera yokhala ndi mafuta ochepa: Turkey, nsomba, nkhuku.

Kuyambira pano, munthu akuyenera kutsogoleredwa ndi mndandanda wazogulitsa wa glycemic kuti athe kupanga mndandanda wa tsiku lililonse. Kutsika GI iyi, ndibwino - onani chithunzichi.

Mwachidule

Tidaphunzira mwatsatanetsatane momwe mayeso ololera wama glucose ali panthawi yapakati, zomwe ziyenera kukhala pazotsatira zoyesa magazi kuchokera mu mtsempha. Matenda a gestational ndi vuto losowa koma lowopsa. Ngati mungazindikire munthawi komanso kusintha moyenera momwe mumakhalira panthawi yoyembekezera, ndiye kuti zonse zitha.

Nthawi yomweyo, mutha kutaya mwana wanu kapena kumubweretsera moyo wokhala ndi mavuto ambiri, ngati simukuazindikira matendawo munthawi yake ndikuchitapo kanthu.

Chifukwa chake, ngati dokotala akukuwuzani mayeso okulolera a glucose, musazengereze, pitani! Ndikwabwino kufa ndi njala pang'ono ndikumangogwedeza thupi lanu pang'ono kuposa kudziimba mlandu kwa moyo wanu wonse chifukwa cha zotsatira zomwe sizowopsa kuganiza!

Kodi mayeso ololera a glucose ndi chiyani (GTT)

Masiku ano, akatswiri a gynecologists ndi endocrinologists amakhulupirira kuti kuyeserera kwa glucose kuyenera kuyikidwa kwa mayi aliyense yemwe wanyamula mwana. Izi ndichifukwa choti m'zaka zaposachedwa chiwerengero cha azimayi oyembekezera omwe ali ndi shuga wamagazi akukulira.

Ngati akukayikira kuti angayambitse matenda ashuga, dokotala amamuuza mayiyo kuti azikayezetsa magazi

Mutha kupeza misonkhano ina yosankha izi.

Nthawi zambiri imatchedwa curve ya shuga, kuchuluka kwa shuga, kuyesa kwa glucose, ndipo pamapeto pake, mayeso a O'Salivan.

Ndi chithandizo chake, kuthekera kwa thupi la mkazi kuyamwa glucose amatsimikiza, ndipo kuphwanya njirazi kumadziwikanso.

Pakadali pano, pafupifupi mayi aliyense wabwinobwino amakhala ndi vuto la metabolic. Ndipo zodabwitsazi monga matenda amisala sikungosowa.

Chiyeso chololera cha glucose chimakupatsani mwayi wodziwa izi pamlingo woyamba wa chitukuko: ngakhale malingaliro a shuga m'magazi akadali olephera. Uku ndiye kufunikira kwa kusanthula.

Ngakhale matenda ashuga azimayi apakati samakhala pachiwopsezo chachikulu ndikuwonongeka patapita nthawi, amafunika chithandizo choyenera komanso chofunikira panthawi yake, ndipo ngati sanachiritsidwe, amadutsa mu matenda a mtundu wachiwiri ndi njira yobisika.

Ndani akuwonetsedwa kusanthula

Kwenikweni azimayi onse oyembekezera ali pachiwopsezo chotenga matenda a shuga. Kusanthulaku kukuwonetsedwa makamaka kwa iwo omwe adazindikira:

• kudziwikiratu kwamtsogolo
• kunenepa kwambiri komanso kunenepa kwambiri, kuphatikiza kulemera kwakukulu panthawi yapakati,
• kukhalapo kwa mwana wosabadwa wamkulu komanso kubadwa kwa mwana wamkulu m'mbuyomu,
• magazi akulu kapena mkodzo
• matenda ashuga okalamba nthawi yapakati.

Ndi shuga wabwinobwino wamagazi ndi kupezeka kwa zinthu zomwe zimayambitsa kukonzekera kwa matenda ashuga, dokotala amakupatsani mayeso

Phunziro limakhala lalitali bwanji

Ngati mayi woyembekezera amatchulidwa kuti ali pagulu langozi, ndiye kuti kafukufukuyu amachitika kawiri. Kwa nthawi yoyamba, kusanthula kwakonzedwa mu trimester yachiwiri, kuyambira sabata la khumi ndi chisanu ndi chimodzi la bere. M'mbuyomu, popondera shuga sichikhala ndi chifukwa, chifukwa zovuta zonse za metabolic, kuphatikizapo insulin, zimayamba kukhazikika ndikupita patsogolo, kuyambira nthawi ino.

Kuwunikiranso mobwerezabwereza kumachitika kumapeto kwa trimester: kuyambira makumi awiri ndi anayi, kumatha ndi sabata la makumi awiri ndi zisanu ndi zitatu la mimba. Izi ndizofunikira kuti zitsatire momwe kayendedwe kamene kamayendera, komanso kuwunikira bwino kwa kukonza kwa izi. Phunziroli likhonza kupatsidwa kachitatu.

Koma siziyenera kuchitika pasanathe sabata la makumi atatu ndi mphiri la pakati, chifukwa zimatha kusokoneza mwana wosabadwa.

Zoyeserera pamaphunziro

Ngakhale zili zofunikira komanso zofunikira pakuwunika, kafukufukuyu ali ndi zotsutsana nazo. Sizikulimbikitsidwa kwa iwo omwe ali:

• toxosis yayikulu (kuchuluka kwa shuga m'magazi kungakulitse vutolo),
• utatu wachitatu wa mimba, kuyambira sabata yamakumi atatu ndi iwiri,
• zilonda zam'mimba ndi duodenum,
• matenda opatsirana
• matenda opatsirana a kapamba, makamaka kapamba,
• matenda opatsirana a ndulu, makamaka cholecystitis,
• matenda opatsirana oteteza kumatenda, kuphatikiza matenda a Crohn,
• zochitika zotsika za azimayi, makamaka kutsatira kupumula kwa kama, etc.

Toxicosis ndi imodzi mwazinthu zazikulu zotsutsana ndi mayeso a kulolera shuga

Momwe mungakonzekerere kusanthula

Asanadutse mayeso ololera wa glucose, kukonzekera kwina ndikofunikira. Mulinso:

• kutsika kwa kuchuluka kwa chakudya m'zochitika zamadzulo m'maphunziro (sayenera kupitirira magalamu makumi asanu),
• kuthetsedwera kwa mankhwala omwe ali ndi sucrose, kapena omwe amathandizira kuwonjezeka kapena kuchepa kwa shuga wamagazi,
• tsiku lisanafike phunzirolo, chotsani ku zakudya zamaphikidwe, maswiti ndi zinthu zina mwakuyamwa kwawoko,
• kuyimitsa chakudyacho osachepera maola 10 phunzirolo lisanachitike,
• kumwa kopanda malire kwa madzi oyera akumwa popanda mpweya.

Madzulo a phunziroli, pakakhala zosagwirizana, madzi amathanso kuledzera osapanda malire

Kodi kusanthula kuli bwanji?

Phunziroli limakhala ndi kuchuluka kwa magawo atatu kapena anayi a magazi kuchokera kwa wodwala, pambuyo pake mulingo wa glucose womwe umapezeka m'zinthu zachilengedwe.

Malo ofunikira poyeserera ndi kupuma kwa mota (mayiyo ayenera kukhala pampando) ndikugwiritsa ntchito madzi a shuga.

Asanatenge madzi a shuga, mayi woyembekezera amatenga magazi kuti awunikenso

Poyamba, monga momwe amachitira poyeserera shuga, magazi a venous amatengedwa kuchokera kwa mkazi. Kuti zitheke, catheter amayikidwa m'mitsempha.

Ngati zotsatira zake ndi zapamwamba kwambiri, ndiye kuti phunzirolo, monga lamulo, limatha pamenepo ndipo kuchuluka kwa shuga sikumachitika.

Ngati mfundozo zili pafupi ndi malire kumtunda kwa chizolowezi kapena kupitirira pang'ono, ndiye kuti kuwunikirako kumachitika mopitilira apo.

Glucose ufa umagulidwa mu mankhwala ndikupukutidwa nthawi yomweyo musanagwiritse ntchito.

Kuthira shuga kumatenga madzi otsekemera. Amakonzedwa ndikusakaniza kapu yamadzi ofunda, oyera oyera ndi 75 magalamu a shuga.

Ndikofunika kumwa kumwa osakaniza mu gulp imodzi kapena, ngati izi sizingachitike, patatha mphindi zisanu (koma osatinso). Kubwereza magazi mobwerezabwereza kumachitika pambuyo pa ola limodzi ndi maola awiri pambuyo pake.

Ngati zotsatira zake ndi zochulukirapo, ndiye kuti kafukufukuyu amatha, ndipo mayi woyembekezera akupezeka ndi matenda opatsirana a shuga, ngati mfundozo zili mkati mwazonse, ndiye chifukwa chodalirika cha zotsatira zoyeserera, magazi amatengedwa nthawi inanso - maora atatu mutatha kumwa madzi a shuga. Pazikhalidwe zabwino, matenda amapezeka. Mu nthawi yonse yowerengera, zochitika zimapangidwa mwa akazi.

Kuphatikiza magazi kwina kumachitika 1, 2 ndi 3 patatha maola a shuga

Zotsatira zakuyesa

Magazi a shuga m'magazi omwe ali ndi pakati komanso osabereka ndi osiyana pang'ono. Amayi onse oyembekezera adzakhala ndi shuga pang'ono. Izi ndichifukwa choti pa chitukuko chabwinobwino cha mwana wosabadwayo, shuga ndi ofunika, yemwe akuyenera okwanira awiri. Komabe, pali malire pazomwe zilipo.

Mukamasala magazi, kusanthula kuyenera kuwonetsa zinthu zosaposa 5.1 mmol / L. Ola limodzi mutatha kumwa madzi a shuga, chizindikirocho sichikuyenera kupitirira 10 mmol / L, patatha maola awiri - osapitirira 8.6 mmol / L, ndipo patatha maola atatu - osapitirira 7.8 mmol / L.

Zoyenera kuchita ndi zotsatira zoyipa

Ngati mukukayikira kukhazikitsidwa kwa matenda ashuga, othandizira-gynecologist amatumiza mayi woyembekezera kwa endocrinologist kuti akupatseni chithandizo chanthawi yake.

Popanda chithandizo choyenera, mkazi amakhala pachiwopsezo chotsalira ndi matenda m'tsogolo, komanso kuchuluka kwa shuga m'magazi kungakhudze kukula kwa mwana - zimathandizira kuwonjezera kulemera kwa thupi, kukula kwa mtima ndi vuto la ubongo.

Glucose wamkulu m'magazi a amayi amasokoneza thanzi la mwana wosabadwa

Kodi matenda amishuga ndi chiyani

Matenda a shuga a Gestational ndi mtundu wa shuga omwe umayamba mwa amayi nthawi yapakati. Cholinga cha izi makamaka ndi kusalingana kwa mahomoni m'thupi, komwe kumayambitsa chitukuko cha kusokonekera kwa metabolic mu mawonekedwe a insulin kukana.

Choopsa kwambiri ndichakuti matenda am'mimba alibe zizindikiro. Chizindikiro chokha chodalirika ndikuwonjezera shuga m'magazi ndi mkodzo. Madokotala amalipira chidwi chachikulu kwambiri pakukula kwambiri kwa amayi apakati, kumva ludzu, komanso kuwonjezeka kwamkodzo tsiku lililonse. Zizindikiro izi zitha kuwonetsa mosatulutsa kukula kwa matenda ashuga.

Ngati zonyansa zikupezeka, chithandizo chamankhwala chimayikidwa nthawi yomweyo. Imachitika pang'onopang'ono. Popeza kumwa mankhwala omwe shuga m'magazi amaletsedwa panthawi yapakati, Zizindikiro zimasinthidwa ndikusintha kwa moyo, zakudya zapadera ndi insulin.

Zakudya ndi moyo

Kuti achepetse kuchuluka kwa shuga m'magazi, mkazi amalangizidwa kuti azisiya zakudya zomwe zimakhala ndi zakudya zamagulu m'thupi lawo. Amaphatikizapo:

• kuphika ndi kuphika,
• maswiti
• timadziti ndi zakumwa zotsekemera,
• chakudya chofulumira
• masamba okhuthala (makamaka mbatata ndi ena).

Kuphatikiza apo, chiletso chimayikidwa pazakudya zokazinga ndi zamafuta ndi sosi zosiyanasiyana.

Kuphika makeke ndi maswiti - gwero la matenda ashuga

Zinthu zothandiza pa nthawi ya pakati komanso matenda ashuga ndi:

• masamba (kabichi, zukini),
• amadyera
• nyemba
• nyama ndi nsomba,
• chimanga
• chimanga.

Poterepa, zophatikiza zamafuta mu chakudya cha tsiku ndi tsiku siziyenera kupitirira makumi anayi. Ndikulimbikitsidwa kudya pafupipafupi komanso pang'ono. Chosankha chophikira chomwe amakonda ndikuphika ndikuphika mu uvuni. Popanda contraindication, kuchuluka kwa madzimadzi omwe adamwa patsiku ayenera kukhala osachepera malita ndi theka.

Ndikofunikira kwambiri kuyang'anira kayendetsedwe kazinthu zamagalimoto: kuchita zolimbitsa thupi pafupipafupi kumathandiza kuti muchepetse shuga

Gawo lofunika ndikusintha kwa zochita za mayi wapakati. Kuchita zolimbitsa thupi molimbitsa thupi kumatha kukhalabe ndi kamvekedwe ka minofu komanso kupewa kuti muchepetse kunenepa kwambiri. Zabwino kwambiri ndizoyenda, masewera olimbitsa thupi azimayi oyembekezera komanso kusambira.

Kuphatikiza apo, kuyang'anira kuchuluka kwa shuga m'magazi ndikofunikira, komwe muyenera kugula glucometer. Kuyamwa magazi kumachitika m'mimba yopanda kanthu ndikatha kudya kwakanthawi.

ndikofunikira kuyang'anira shuga wanu wamagazi tsiku lililonse

Mankhwala a insulin

Kuyamba kugwiritsa ntchito mankhwala a insulin makamaka pamene kusintha kwamoyo komanso njira zamankhwala sizinapereke zotsatira zoyenera. Amayi oyembekezera amapatsidwa insulin puffs, mlingo womwe umawerengeredwa ndi adokotala potengera kuchuluka kwa shuga m'magazi.

Kupereka, monga lamulo, kumachitika ndi gawo la caesarean. Mwana amabadwa ndi shuga wochepa wamagazi. Popita nthawi yayitali, zizindikiro zikugwirizana.

Ngati kusintha njira yanu ndi zakudya sizithandizira, mankhwala a insulin ndiye njira yokhayo yochizira matenda ashuga.

Kuzindikira kwa matenda ashuga gestational nthawi zambiri ndikabwino. Koma izi zikuyenera kuvomerezedwa ndi madokotala onse.

Atabereka miyezi itatu, mkazi ayenera kuyang'anira kuchuluka kwa shuga m'magazi ndikutsatira zakudya zina.

Izi ndizofunikira kuti tizindikire kusintha kwa matenda kwa nthawi yowonekera ndikuti tipewe kukula kwa zovuta mtsogolo.

Kutsatira malangizo azachipatala kumalepheretsa kusintha kwa matenda kukhala mawonekedwe owonekera

Ndemanga ndi chidziwitso cha azimayi omwe adutsa GTT

Chiyeso chololera glucose ndi phunziroli lofunikira lomwe limathandiza kuzindikira matenda amtunduwu monga gestationalabetes mellitus munthawi. Chifukwa cha kuwunika, madokotala amapereka chithandizo chofunikira munthawi yake, zomwe zimathandiza kupewa mavuto akulu mtsogolo kwa onse omwe ali ndi pakati komanso kwa mwana.

• Ekaterina Pokataeva
• Sindikizani