Chifukwa chiyani mayeso a glucose pa mimba - zikuwonetsa ndi contraindication

Pa nthawi yobereka, mwana wamkazi amakhala ndi nkhawa komanso amasintha kwambiri. Kusintha koteroko kungasokoneze thanzi la mtsikanayo. Nthawi zambiri, mkazi amene ali ndi vuto la toxicosis, kutupa kwa malekezero ndi kuchepa kwa magazi m'thupi.

Kuphatikiza apo, pakhoza kukhala mavuto ndi kagayidwe kazakudya, kapena monga amatchedwanso matenda ashuga. Chifukwa chake, panthawi yomwe muli ndi pakati, ndikofunikira kuti atsikana azitenga mayeso a GTT kuti achepetse chiwopsezo cha zovuta.

Chifukwa chiyani mayeso ololera a glucose panthawi yomwe muli ndi pakati

Nthawi zambiri, mtsikana amalandila ku mayeso a shuga wamagazi, pokhala osangalatsa. Pankhaniyi, mayesowa adalembedwa kuti GTT. Mukanyamula mwana, katundu pa thupi amawonjezeka, chifukwa chake, chiopsezo chotenga matenda akulu kapena kupita patsogolo kwa matekinoloje. Mu 15% ya amayi omwe ali ndi udindo, matenda a shuga amadziwika, omwe amadziwika ndi kuwonjezeka kwa shuga m'magazi.

Zomwe zimayambitsa matenda kupititsa patsogolo ndikuphwanya kapangidwe ka insulin m'magazi. Hormayo imapangidwa ndi kapamba, imayang'anira kuwongolera kuchuluka kwa shuga m'madzi a m'magazi. Mwana atatenga pathupi ndipo mwana akamakula m'mimba, thupi limafunikira kupanga PTH yowirikiza kawiri pakugwira bwino ziwalo komanso kukula kwathunthu kwa mwana wosabadwayo.

Ngati mahomoniwo sanapangidwe kokwanira, ndiye kuti kuchuluka kwa glucose m'magazi kumatuluka ndipo shuga imayamba kukula. Popewa kukula kwa matendawa komanso zovuta zake, mkazi amafunika kuyeserera mwadongosolo kuchuluka kwa shuga.

Kuvomerezedwa kapena ayi

Malinga ndi kuwunika kwa abeteteti-gynecologists, machitidwe a PHTT amayenera kuvomerezeka pakubala kwa mwana. Izi ndichifukwa choti zotsatira zabwino zimawonetsa kukula komanso kukhazikika kwa khanda.

Ngati zotsatirapo zake zili zoipa, pakhoza kukhala zotsatirapo zoyipa. Kuchulukitsa kwa shuga kumakhala kochulukirapo ndi kuchuluka kwa thupi la mwana, zomwe zimapangitsa kuti kubadwa kubwere. Chifukwa chake, atsikana aliwonse omwe ali ndiudindo ayenera kuyesedwa.

Kulemba kwake kumatenga nthawi yayitali bwanji

Nthawi yabwino kwambiri ya njirayi imawerengedwa kuti ndi mwezi wa 6-7. Nthawi zambiri, mayeserowa amatengedwa pakadutsa milungu 25 mpaka 29.

Ngati msungwanayo akuwonetsa matendawa, phunziroli limaperekedwa 1 nthawi imodzi pa trimester:

Mu gawo loyambirira la bere, kuyesa kwa glucose kumayesedwa kwa masabata 15-19.
Mu trimester yachiwiri kwa masabata 25-29.
Mu nyengo yachitatu, mpaka milungu 33 ya bere.

Zizindikiro ndi contraindication

Wothandizira, wazachipatala kapena wa endocrinologist amapereka njira yowunikira ngati mayiyo apatuka:

ngati mukukayikira kukula kwa mtundu wa matenda ashuga amitundu iwiri,
ngati mukukayikira matenda a shuga kapena ngati mwapezeka m'mayeso am'mbuyomu,
matenda ashuga
kuphwanya kagayidwe,
kulolerana kwa shuga,
kunenepa
matenda a endocrine.

Ngati mtsikana wapezeka ndi kukayikira kapena kupezeka kwa matenda, ndiye kuti njira zakulera zimayenera kuwunika ndipo ngati pakufunika kuthandizidwa, muthane ndi matenda a pathologies. Ngati mayi anali kale ndi matenda ashuga asanatenge pathupi, dokotala wokhazikika amapanga mayeso amomwe amapangira shuga nthawi yayitali panthawi yotsatsira shuga.

Si amayi oyembekezera onse omwe amaloledwa kuchita izi.

Amakanizidwa kuti ayesedwe ngati wodwalayo:

kusalolera payekha kapena Hypersensitivity kuti glucose,
matenda am'mimba
matenda otupa / matenda opatsirana
pachimake toxicosis
nthawi yobereka
chikhalidwe chovuta chofunikira kugona kosalekeza.

Kuti mudziwe ngati nkotheka kupereka magazi, ndi dokotala wokhazikika amene angathe kufufuzira mzimayi ndikutola mbiri yonse yazachipatala.

Kukonzekera mayeso

Asanayambe kufufuza matenda okhudzana ndi glucose, adotolo ayenera kumuuza wodwalayo ndikumuwuza momwe angakonzekerere bwino.

Kukonzekera kotengera magazi a venous ndi awa:

zitsanzo zamagazi zimangotengedwa pamimba yopanda kanthu (mtsikana sayenera kudya maola 9 mpaka 10 musanakonze),
Musanazindikire, simungathe kumwa madzi otumphukira, mowa, khofi, cocoa, tiyi, msuzi - madzi akumwa okha oyeretsedwa amaloledwa,
machitidwe akulimbikitsidwa m'mawa,
musanawunike, muyenera kukana kumwa mankhwala ndi mavitamini, chifukwa izi zitha kusintha zotsatira za kafukufukuyu,
tsiku lisanafike mayeso sikulimbikitsidwa kuchita kupsinjika kwamthupi ndi m'maganizo.

Kuphatikiza pazofunikira zoyambirira za maphunziro, dokotala amatha kusintha zakudya za mayi:

kwa masiku 3-4 simungathe kudya zakudya, konzani masiku osala kudya ndikusintha zakudya,
m'masiku 3-4 muyenera kudya zosachepera 150-200 g zamankhwala tsiku,
Maola 10 asanachitike, msungwanayo ayenera kudya osachepera 55 g wamafuta.

Kodi shuga amayesedwa bwanji?

Zochenjera za mayeso a labotale ziyenera kumuwuza wodwala. Njira yonseyi imatenga osaposa mphindi 5-7. Wothandizira ma labotale amatenga zitsanzo zamagazi kuchokera m'mitsempha ya mkazi ndikuyika mu chubu choyesera. Zotsatira zoyeserera zimadziwika nthawi yoyamba kuyesedwa. Ngati mulingo wokwezeka, kuzindikira kwake ndi matenda osokoneza bongo. Pankhaniyi, wodwalayo amapatsidwa zakudya zapadera, njira yothandizira komanso njira zothetsera shuga.

Ngati tsatanetsataneyo ali pansipa, ndiye kuti wodwalayo amapatsidwa njira zowonjezera zomwe zimayambitsa kupatuka. Ndi kafukufuku wowonjezera, mkazi amapatsidwa yankho lamadzi ndi shuga yambiri ya 80 g, ndikofunikira kumwa m'mphindi 5. Pambuyo pakupuma kwa maola awiri, magazi amatengedwanso. Wothandizira labotale amagwiritsa ntchito diagnostics, ndipo ngati zotulukazo zikuwonetsa zikhalidwe, ndiye kuti mwambowo umabwerezedwa pambuyo pa ola limodzi. Ngati mayeso atatu atatha, chizindikirocho sichisintha, ndiye kuti madokotala azindikira kuti palibe matenda a shuga.

Zizindikiro zomwe zimawonetsa matenda ashuga

Mtsikanayo amadziwika kuti ali ndi matenda a shuga ngati, malinga ndi zotsatira za kafukufukuyu, zolembedwa zotsatirazi zikupezeka:

kuchuluka kwa plasma glucose pa kusanthula koyamba kumaposa 5.5 mmol / l.,
pambuyo pa machitidwe a 2, mulingo unakwera kufika pa 12 mmol / l.,
pambuyo pa mayeso atatu, mulingo uli pamwamba 8.7 mmol / L.

Zotsatira zenizeni zimadziwika ndi wothandizira zasayansi pambuyo magawo awiri a zochitikazo. Ngati kusanthula kunachitika masiku angapo pambuyo pa woyamba ndipo zotsatira zake zimakhala chimodzimodzi, ndiye kuti matendawo adatsimikizika.

Ngati matendawa atsimikizira, ndiye kuti mtsikanayo apatsidwa chithandizo chamankhwala chimodzi. Muyenera kutsatira malangizo onse a dokotala ndikutsatira malamulo ena. Mayi woyembekezera adzafunika kusintha zakudya, kuchepetsa zochitika zolimbitsa thupi ndikuyendera katswiri kuti aziyang'anira momwe zinthu ziliri. Mu matenda pachimake matenda, zowonjezera ma labotale mankhwala ndi utsogoleri wa mankhwala zotchulidwa.

Ndi matenda awa, mayi amayenera kukayezetsanso shuga miyezi isanu ndi umodzi atabereka. Izi ndizofunikira kuti muchepetse chiopsezo chotenga zovuta zazikulu mthupi, popeza nthawi yakumapeto imafooka kwambiri.

Ngati ndingavomereze kuyesedwa

Amayi ambiri amawopa kukayezetsa mayeso a glucose, amawopa kuti zingavulaze mwana wosabadwayo. Mchitidwewu pawokha nthawi zambiri umapangitsa kuti msungwanayo asakhale bwino. Popeza pambuyo pake mseru, chizungulire, kugona ndi kufooka nthawi zambiri kumabuka. Kuphatikiza apo, mwambowu nthawi zambiri umatenga pafupifupi maola 2-3, pomwe palibe chomwe ungadye. Chifukwa chake, amayi oyembekezera akuganiza zovomera kukayezetsa.

Malinga ndi akatswiri, njirayi iyenera kuchitidwa, osavomerezeka kuikana. Kupatula apo, ndi GTT yomwe imathandiza kuzindikira kukula kwa zovuta ndikuthandizira kuthana nazo munthawi. Kupita patsogolo kwa matenda ashuga kumatha kupangitsa kuti mayi akhale woyembekezera komanso kumabweretsa mavuto pakubala.

Kodi kuchuluka kwa shuga mwa mayi wapakati ndi komwe kumawopseza kupatuka kwake pazikhalidwe zonse, kanema akuwuzani.

Kodi ndi liti ndipo bwanji

Chiyeso chololera cha Glucose, kapena mayeso a OSalivan, "Shuga katundu", GTT - onsewa ndi mayina a kusanthula kumodzi kuti adziwe kuchuluka kwa shuga komwe thupi limatenga. Kodi ndi chiyani ndipo chimatchedwa kuti chilankhulo chosavuta? Mwanjira ina, uku ndi kuzindikira koyambirira kwa matenda ashuga, komwe, malinga ndi ziwerengero, amakhudza pafupifupi 14% ya amayi apakati.

Kuopsa kwa matendawo sikungachepetse. Wina amakhulupirira molakwika kuti zimangobweretsa kubadwa kwa mwana wamkulu ndipo, monga chotulukapo chake, kubala kovuta. Koma ululuwu suletsa kupweteka komanso kusweka. Ana omwe amayi awo anali ndi gestational matenda ashuga amatenga zizindikiro za matenda ashuga - apa ndi pamene vuto la polysystemic limachitika, endocrine ndi metabolism dysfunctions. Chifukwa chiyani amayi amtsogolo ali pachiwopsezo?

Panthawi yosangalatsa, njira yopangira insulin imasokonezeka. M'malo mwake, zonse zimayenda mwachizolowezi, koma mikhalidwe ya kukula kwamwanayo, izi sizokwanira. Koma chinthu ichi ndi chofunikira pakuwongolera shuga. Ngati dotolo wakufotokozerani izi, palibe mafunso kuchokera kwa mayi wokhudzana ndi chifukwa chomwe GTT imatengedwera komanso ngati ikufunika.

Kodi ndingatengere shuga wanga nthawi yayitali bwanji? Nthawi yoyamba yotumizira ku phunziroli imaperekedwa kwa mayi wamkazi pamasabata 24 mpaka 28, koma onse payekhapayekha. Mwachitsanzo, ngati pali pakati pachiwiri, ndipo nthawi yoyamba yomwe matenda awonekera, atha kutumizidwa kwa othandizira pakatha masabata 16-18 ndi omwe adzabwezeretsanso pakatha masabata 24. Mwinanso, kufotokozera chifukwa chake mayesowa amachitika kawiri pa nkhaniyi sikuyenera.

Mwa njira, izi sizokhazokha zomwe zimayendera lamulo. Pali gulu lotchedwa chiopsezo, pomwe oimira nkhani yabwino amagwera, omwe mwayi wawo wopanga insulin kale. Zokhudza:

onenepa - ngati mayeso amisukulu opitilira 30, adzalimbikitsidwa kuti awunikenso pamasabata 16,
Chimodzimodzinso azimayi omwe ali ndi shuga mkodzo wawo,
omwe ali ndi abale apamtima odwala matenda ashuga
m'magazi a plasma omwe ndi apamwamba kuposa 5.1 mmol / l,
yemwe amakayikira mwana wosabadwa wamkulu kapena m'mbuyomu mwana wamkulu adabadwa (wolemera kuposa makilogalamu anayi),
amene mizu yake imapita ku Middle East kapena ku South Asia.

Amayi amitundu yomwe amakhala komwe amakhala atakonzeka kale kuti akwaniritse matendawa.

Kukonzekera ndi kuchita palokha

Kukonzekera kwa GTT sikwachilendo. Pakupita masiku atatu mphindi zisanachitike, amayi amalimbikitsidwa kudya, mwachizolowezi. Mwanjira ina, onetsetsani kuti kuchuluka kwa chakudya chopatsa mphamvu patsiku ndi pafupifupi 150 g

Ndikofunika kuti chakudya chamadzulo chizikhala ndi pafupifupi 30 g, kapena 50 g yamafuta. Chachikulu ndichakuti
iyemwini sanakhale mochedwa kuposa m'ma 8-14 usiku. Koma lamuloli siligwira ntchito pakumwa madzi. Imwani zakumwa usiku modekha ngati mukufuna.
Tsiku latha, osavomerezeka kumwa mankhwala omwe ali ndi shuga pakapangidwe. Itha kukhala mu syitussive syrups, mavitamini, kuphatikiza mankhwala okhala ndi chitsulo. Mankhwala a Glucocorticosteroid, diuretics, psychotropic, antidepressants, mahomoni ena amathanso kukhudza zotsatira zake, motero ayenera kusiyidwa pakadali pano.

Kodi njira yabwino yokonzekera GTT ndi iti? Tsiku lisanachitike chochitika, ngati kuli kotheka, pewani kupsinjika kwamalingaliro ndi thupi. Kusuta, kumwa zakumwa zoledzeretsa ndikothekanso, komabe, ndikudzipukusa ndi kapu ya khofi m'mawa, izi ndizowona makamaka kwa amayi omwe, chifukwa cha kukakamizidwa, sangathe popanda iwo.

Kodi kuyesedwa kwa glucose kumachitika bwanji? M'malo mwake, palibe chilichonse chovuta mkati mwake, chifukwa uku ndi kuyesa kwamagazi kuchokera m'mitsempha. Amachita, amapeza zotulukapo zake, ndipo ngati zili pamwambapa, amapeza matenda a shuga ndikummasula mayi wapakati. Momwe mungasinthire ngati zotsatira zake zili zotsika?

Tsopano ndi nthawi ya “shuga” uja. Mayi woyembekezera amapatsidwa 75 g ya glucose yomwe imasungunuka mu 250 ml ya madzi ofunda (pafupifupi 37 - 40 madigiri). Kukoma kwa tambala ndikofanana, koma simungathe kukana. Chokhacho chomwe mkazi angachite ndikuchotsa amanyazi mwa iye ndi kuwonjezera mandimu pang'ono. Izi zimatchedwa kuyesedwa pakamwa ndipo ilinso ndi malamulo ake: muyenera kumwa madzi ndi glucose m'mphindi 3 mpaka 5.

Patatha ola limodzi mutatsanulira galasi, magaziwo amatengedwanso, kenako ndikumayesanso pambuyo pa mphindi 60. Pazonse, zimapezeka kuti magazi amatengedwa kawiri pambuyo pa katundu wa shuga ndi gawo la 1 ora. Ngati zotsatira zake zili zabwino, dikirani mphindi zina 60 ndikutenganso magaziwo. Izi zimatchedwa kuyesa kwa 1, 2, 3-maola O'Salivan. Mwa njira, m'malo amodzi payokha amatha kutenga magazi kwa nthawi yachinayi kuti akhale otetezeka.

Ndikotheka kumaliza njira yomwe idakonzedweratu pokhapokha, potsatira zotsatira zake, zikuwonetsa kupezeka kwa matenda ashuga mwa amayi apakati. Tiyenera kudziwa kuti kumwa, kudya, kuyenda panthawi yoyesedwa sikuloledwa, zonsezi zimatha kukhudza magwiridwe antchito. Moyenera, muyenera kukhala phee ndikudikirira kuti amalize.

Chonde dziwani kuti m'malo ena antchito amatha kudziwa kuchuluka kwa glycemia ndi glucometer. Kuti muchite izi, pogwiritsa ntchito chipangizo chapadera, magazi amatengedwa kuchokera ku chala, kenako ndikusunthidwa kuti ayesedwe. Ngati zotsatira zake ndizosakwana 7.0 mmol / L, phunziroli limapitilizidwa mwa kutenga magazi kuchokera m'mitsempha.

Momwe mungasinthire

Kutsatsa zotsatira kumayenera kuchitika kokha ndi katswiri. Ngati m'mimba yopanda kanthu m'magazi a glucose m'magazi anali ochepera 5.1 mmol / l, ndiye chizolowezi. Ngati chizindikiro choposa 7.0% chokhazikika, matenda a shuga akuwonetsedwa.

Zotsatira mkati:

5.1 - 7.0 mmol / l mukamasamba koyamba,
10,0 mmol / l ola limodzi mutatsitsa shuga,
8.5 - 8.6 mmol / l maola 2 atatha kudya shuga,
7.7 mmol / L pambuyo maola atatu akuwonetsa matenda ashuga.

Mulimonsemo, simuyenera kukhumudwa ndi kudziwiratu. Chowonadi ndi chakuti zotsatira zoyipa zabodza ndizothekanso. Apa ndipamene palibe matenda, ngakhale zotsatira za kusanthula zikuwonetsa kukhalapo kwake. Izi zimachitika osati pongonyalanyaza malamulo okonzekera. Zovuta mu chiwindi, endocrine pathologies, komanso kuchepa kwa potaziyamu m'magazi zitha kupusitsanso katswiri, zomwe zimakhudza mayendedwe.

Ndemanga kuchokera kwa iwo omwe anatero

Izi ndi ndemanga za amayi oyesedwa ndi shuga:

“Ndidayesa masabata 23. Sindinkafuna, koma koti ndipite. Tambalayo ndi yonyansa (koma sindimakonda maswiti). "Ndidakhala ndikugwiritsa ntchito mpumulo nditapeza mpanda womaliza, koma mutu wanga udali kutuluka pang'ono ndikapita kunyumba."

“Ndinayesanso kuyeserera kwa ntchito yolipira. Mtengo wake unali pafupifupi ma ruble 400. Mu malo amodzi adapatsa mwayi wopepuka, akatenga magazi kamodzi pambuyo pamtolo, koma ndidakana. Ndinaganiza kuchita chilichonse mogwirizana ndi malamulo. ”

Ngakhale kuti shuga ya gestational ndiyowopsa, simuyenera kuopa nayo kwambiri, bola ikapezeka munthawi yake. Nthawi zambiri, amayi amalangizidwa kuti azingosintha kadyedwe ndikupita kukalimba kwa amayi apakati.