Kodi ndizovuta kutenga pakati ndi matenda ashuga

Posachedwa, madokotala anali motsutsana kuti amayi omwe ali ndi vuto la shuga amatenga pakati ndikubereka ana. Zimakhulupirira kuti pamenepa, mwayi wokhala mwana wathanzi ndi wocheperako.

Masiku ano, momwe zinthu ziliri mu kortex zasintha: mutha kugula mthumba wamagazi m'magazi mu mankhwala aliwonse omwe amakupatsani mwayi woti muthane ndi shuga tsiku lililonse, ndipo ngati kuli kotheka, kangapo patsiku. Magulu ambiri othandizira ndi zipatala za amayi oyembekezera ali ndi zida zonse zofunikira poyang'anira kutenga pakati komanso kubereka ana mwa anthu odwala matenda ashuga, komanso ana oyamwitsa omwe amabadwa m'mikhalidwe yotere.

Chifukwa cha izi, zidawonekeratu kuti pakati komanso matenda ashuga ndizinthu zogwirizana kwathunthu. Mkazi yemwe ali ndi matenda ashuga amathanso kubereka mwana wathanzi lathunthu, ngati mayi wathanzi. Komabe, panthawi yoyembekezera, kuopsa kwa zovuta zomwe zimachitika mwa odwala matenda ashuga ndizambiri kwambiri, chikhalidwe chachikulu cha kutenga mimba koteroko ndikuwunikira kosalekeza ndi katswiri.

Mitundu ya Matenda A shuga

Mankhwala amasiyanitsa mitundu itatu ya shuga:

Matenda a shuga a insulinAmatchulidwanso mtundu woyamba wa matenda ashuga. Amakula, nthawi zambiri mukamakula,
Matenda osagwirizana ndi insulin, motero, lembani matenda ashuga a 2. Amapezeka mwa anthu opitirira 40 onenepa kwambiri,
Okakamiza matenda a shuga pa nthawi yomwe ali ndi pakati.

Chodziwika kwambiri pakati pa amayi apakati ndi mtundu 1, pazifukwa zosavuta kuti zimakhudza azimayi amsinkhu wobereka. Matenda a shuga a Mtundu Wachiwiri, ngakhale amakhala nawo pawokha, sakhala ochulukirapo mwa amayi apakati. Chowonadi ndi chakuti azimayi amakumana ndi mtundu uwu wa matenda ashuga kwambiri pambuyo pake, asanasiye, kapena ngakhale zitachitika. Matenda a shuga ochitika m'magazi ndi osowa kwambiri, ndipo amayambitsa zovuta zochepa kwambiri kuposa mtundu uliwonse wa matenda.

Matenda a shuga

Matenda a shuga amtunduwu amapezeka pokhapokha ngati ali ndi pakati ndipo amapita kwathunthu atabadwa mwana. Cholinga chake ndikuchulukitsa kwa zikondwerero chifukwa cha kutulutsa kwa mahomoni m'mwazi, zomwe zimayang'anizana ndi insulin. Nthawi zambiri, kapamba amathandizanso ndi izi, komabe, nthawi zina, kuchuluka kwa shuga kwa magazi kumadumphira modabwitsa.

Ngakhale kuti shuga ya gestational ndiyosowa kwambiri, ndikofunikira kudziwa zomwe zimayambitsa matenda ndi zizindikiro zake kuti mupewe kudzipezeka nokha.

Zowopsa ndi:

kunenepa
polycystic ovary syndrome,
shuga mu mkodzo musanabadwe kapena kumayambiriro kwake,
kupezeka kwa matenda ashuga m'modzi kapena abale,
matenda ashuga m'mimba yapitayi.

Zowonjezereka zomwe zimachitika mwanjira inayake, ndizomwe zimayambitsa matenda.

Zizindikiro matenda a shuga pa nthawi ya pakati, monga lamulo, samatchulidwa, ndipo nthawi zina amakhala asymptomatic. Komabe, ngakhale ngati matchulidwewo atchulidwa mokwanira, nkovuta kukayikira matenda ashuga. Weruzani nokha:

ludzu lalikulu
njala
kukodza pafupipafupi
masomphenya osalala.

Monga mukuwonera, pafupifupi zizindikiro zonsezi zimakonda kupezeka nthawi yapakati. Chifukwa chake, ndikofunikira kuti nthawi zonse komanso panthawi yake kuyesedwa kwa shuga. Chifukwa chowonjezeka pamlingo, madokotala amapereka maphunziro owonjezera. Zowonjezera pa matenda a shuga gestational →

Matenda a shuga ndi pakati

Chifukwa chake, lidasankhidwa kukhala pakati. Komabe, musanayambe dongosolo, zingakhale bwino kuti mumvetse mutuwu kuti muyerekeze zomwe zikuyembekezera. Monga lamulo, vutoli ndi lothandiza kwa odwala omwe ali ndi vuto la matenda a shuga 1 nthawi ya pakati. Monga tafotokozera pamwambapa, azimayi omwe ali ndi matenda a shuga a 2 safunanso, ndipo nthawi zambiri sangathe kubereka.

Kukonzekera kubereka

Kumbukirani kamodzi, ngati muli ndi mtundu wina uliwonse wa matenda ashuga, mimba yokhayo ndiyotheka. Chifukwa chiyani? Chilichonse chawonekera. Mimba ikakhala mwangozi, mayi amaphunzira za izi pokhapokha masabata ochepa kuchokera tsiku lomwe mayi watenga pakati. M'milungu ingapo iyi, machitidwe ndi ziwalo zonse za munthu wam'tsogolo zimapangidwa kale.

Ndipo ngati munthawi imeneyi mwinanso kuchuluka kwa shuga m'magazi kumadumphadumpha, mapangidwe a kukhazikika sangathenso kupewa. Kuphatikiza apo, chabwino, sipangakhale kulumpha kowopsa m'misempha m'miyezi ingapo yapitayi asanakhale ndi pakati, chifukwa izi zingakhudze kukula kwa mwana wosabadwayo.

Odwala ambiri omwe ali ndi shuga yodwala sayeza shuga wamagazi pafupipafupi, chifukwa chake samakumbukira kuchuluka komwe kumawerengedwa. Sakuzifuna, ingoyesani magazi ndi kumvetsera lingaliro la adotolo. Komabe, pakukonzekera ndi kuyang'anira pakati pathupi, muyenera kuyang'anira pawokha zizindikirozi, motero muyenera kuzidziwa.

Mulingo wamba 3.3-5.5 mmol. Kuchuluka kwa shuga kuchokera pa 5.5 mpaka 7.1 mmol amatchedwa prediabetes state. Ngati mulingo wa shuga uposa kuchuluka kwa 7.1 omwe adapemphera., Alankhula kale izi kapena gawo ili la matenda ashuga.

Ndikukonzekera kuti kukonzekera kutenga pakati kuyenera kuyamba mu miyezi 3-4. Pezani mita ya shuga m'magazi kuti mutha kuwona shuga yanu nthawi iliyonse. Kenako pitani ku gynecologist wanu ndi endocrinologist Adziwitseni kuti mukufuna kubereka.

Dokotala wofufuza m'maso amayenda ndi mayiyo kuti awone ngati pali matenda obwera chifukwa cha matenda amtunduwu, ndikuwathandiza ngati pakufunika kutero. A endocrinologist angakuthandizeni kusankha mlingo wa insulin kuti mulipire. Kulumikizana ndi endocrinologist ndikofunikira nthawi yonse yovomerezeka.

Osatinso zomangirira kufunsira kwa ophthalmologist. Ntchito yake ndikuwunika ziwiya za fundus ndikuwunika momwe alili. Ngati ena a iwo akuwoneka osadalirika, amawotchedwa kuti asagwetsedwe. Kuonananso mobwerezabwereza ndi ophthalmologist ndikofunikira musanabadwe. Mavuto ndi ziwiya zamasiku am'maso zimatha kukhala zizindikilo za gawo la cesarean.

Mutha kulangizidwa kuti mupite kukacheza ndi akatswiri ena kuti akawonetsetse kuopsa kwa nthawi yomwe ali ndi pakati ndikukonzekera zotsatira zake. Pambuyo pokhapokha akatswiri onse atapereka kuwala kobiriwira kutenga pakati, ndizotheka kuletsa kubereka.

Kuyambira pano, kuchuluka kwa shuga m'magazi kuyenera kuyang'aniridwa mosamala. Zambiri zimatengera momwe izi zimachitikira bwino, nthawi zambiri kuphatikiza thanzi la mwana, moyo wake, ndi thanzi la mayi.

Contraindental pathupi ndi shuga

Tsoka ilo, nthawi zina, mayi yemwe ali ndi matenda ashuga amakhalabe opweteka. Makamaka, kuphatikiza kwa matenda ashuga ndi matenda ndi zotsatirazi ndizosagwirizana kwenikweni ndi mimba:

ischemia
kulephera kwa aimpso
gastroenteropathy
zoipa za Rhesus mwa amayi.

Zolemba zamaphunziro a mimba

M'mimba yoyambirira, mothandizidwa ndi estrogen ya azimayi oyembekezera omwe ali ndi matenda ashuga, pali kusintha pakubwezeretsa kwa chakudya chamthupi. Pankhaniyi, kuchuluka kwa insulin. Munthawi imeneyi, mlingo wa insulin tsiku lililonse, uyenera kuchepetsedwa.

Kuyambira kuyambira miyezi 4, pomwe placenta ikapangidwa, imayamba kupanga mahomoni olimbana ndi mahomoni, monga prolactin ndi glycogen. Zotsatira zake ndizosemphana ndi zochita za insulin, chifukwa chomwe kuchuluka kwa jakisoni kumayenera kuwonjezereka.

Komanso kuyambira kuyambira milungu 13 ndikofunikira kulimbikitsa kuyendetsa shuga pamagazi, chifukwa nthawi imeneyi imayamba kapamba kamwana. Amayamba kuyankha magazi a amayi ake, ndipo ngati ali ndi shuga wambiri, kapamba amayankha ndi jakisoni wa insulin. Zotsatira zake, shuga amaphulika ndikuyenda m'mafuta, ndiye kuti, mwana wosabadwayo akupeza mafuta ochulukirapo.

Kuphatikiza apo, ngati mwana ali woyembekezera nthawi zambiri mwana amapezeka kuti ali ndi magazi a amayi “otsekemera”, ndiye kuti mtsogolo adzakhalanso ndi matenda ashuga. Inde, panthawiyi, kulipira anthu odwala matenda ashuga ndikofunikira.

Chonde dziwani kuti nthawi iliyonse mlingo wa insulin uyenera kusankhidwa ndi endocrinologist. Katswiri wodziwa bwino yekha amatha kuchita izi mwachangu komanso molondola. Pomwe kuyesa pawokha kumatha kubweretsa zotsatirapo zoyipa.

Chakumapeto kwa mimba kukula kwa kupanga kwa ma contrainsulin mahomoni kumacheperanso, komwe kumakakamiza kuchepa kwa mlingo wa insulin. Ponena za kubadwa kwa mwana, ndizosatheka kuneneratu kuti kuchuluka kwa shuga m'magazi kudzakhala chiyani, chifukwa chake kayendetsedwe ka magazi kamachitika maola angapo aliwonse.

Mfundo zakulera za matenda ashuga

Ndizabwinobwino kuti kasamalidwe ka odwala mwa amayi otere amakhala osiyana ndi kasamalidwe ka pakati nthawi iliyonse. Matenda a shuga panthawi yokhala ndi pakati amawonetseratu mavuto kwa azimayi. Monga titha kuwona kuyambira koyambirira kwa nkhani, mavuto omwe amakhalanso ndi matendawa ayamba kuvutitsa mzimayi akukonzekera.

Nthawi yoyamba muyenera kukaonana ndi azachipatala sabata iliyonse, ndipo pakakhala zovuta zilizonse, kuchezerako kumadzakhala tsiku ndi tsiku, kapena mkaziyo akagonekedwa kuchipatala. Komabe, ngakhale zonse ziyenda bwino, mukuyenera kugona mu chipatala kangapo.

Nthawi yoyamba kugonekedwa kuchipatala kumayambiriro, mpaka milungu 12. Nthawi imeneyi, mayeso a mayiyo amachitika. Kuzindikiritsa zinthu zomwe zili pachiwopsezo komanso contraindication pa mimba. Kutengera zotsatira za mayeso, zimasankhidwa kuti zisunge kapena kupitiriza kubereka.

Nthawi yachiwiri mkazi ayenera kupita kuchipatala milungu 21-25. Pakadali pano, kuyesedwa kwachiwiri ndikofunikira, munthawi yomwe zovuta ndizomwe zimapezeka zimadziwika, ndipo chithandizo chimayikidwa. Nthawi yomweyo, mayiyo amatumizidwa kukayang'aniridwa ndi ultrasound, ndipo atachita izi amaphunzira mlungu uliwonse. Izi ndizofunikira kuwunika momwe khanda limakhalira.

Kugonekedwa kwachipatala kwachitatu ndi milungu 34-35. Komanso, kuchipatala mkazi amakhala atabadwa kale asanabadwe. Ndiponso, mlanduwo sudzachita popanda kufufuza. Cholinga chake ndikuwunika momwe mwana alili ndikusankha nthawi yakubadwa kwake komanso nthawi yake.

Popeza matenda ashuga pawokha samasokoneza kubadwa kwachilengedwe, njira iyi imakhala yofunika kwambiri. Komabe, nthawi zina matenda a shuga amabweretsa mavuto, chifukwa chomwe sichingatheke kudikirira kukhala ndi pakati. Poterepa, kuyambika kwa ntchito kumakhudzidwa.

Pali zochitika zingapo zomwe zimakakamiza madokotala kuti ayang'ane kusankha gawo la cesarean, zinthu izi ndi monga:

chipatso chachikulu
ulaliki wa pelvic
Matenda a shuga kwa mayi kapena mwana wosabadwa, kuphatikizapo ophthalmic.

Kubadwa kwa mwana mu shuga

Pa nthawi yobala mwana amakhalanso ndi zake. Choyamba, muyenera kukonzekera ngalande ya kubadwa. Ngati izi zitha kuchitika, ndiye kuti kubereka mwana kumayamba ndi kubaya kwamadzi amniotic. Kuphatikiza apo, mahomoni ofunikira amatha kuwonjezeredwa kuti apititse patsogolo ntchito. Gawo lokakamiza pankhaniyi ndi opaleshoni.

Ndikofunikira kuti azizindikira kuchuluka kwa shuga m'magazi komanso kugunda kwa mtima kwa mwana wosabadwayo pogwiritsa ntchito CTG. Ndi kukomoka kwa ntchito kwa mayi woyembekezera, oxytocin amathandizira kudzera m'mitsempha, ndikuthamanga mu shuga - insulin.

Mwa njira, nthawi zina, shuga amatha kuyendetsedwa limodzi ndi insulin. Palibe chinyengo komanso choopsa pamenepa, palibe chifukwa chokana madokotala.

Ngati, oxytocin atakhazikitsa ndi kutseguka kwa khomo pachibelekeropo, ntchito imatha kuzimiririka kapena kuzizira kwa fetal hypoxia kumachitika, othana ndi matendawa amatha kusintha. Ngati hypoxia iyamba ngakhale khomo lachiberekero lisanatsegule, ndiye kuti, kuperekera kumachitika ndi gawo la cesarean.

Komabe, mosasamala kanthu kuti kubereka kudzachitika mwachilengedwe, kapena mwa gawo lamkango, mwayi wokhala mwana wabwinobwino ndiwokwera kwambiri. Chachikulu ndikumvetsera thupi lanu ndikuyankha mozindikira kusintha kulikonse, ndikutsatira mosamalitsa zomwe dokotala akukuuzani.

Momwe shuga imakhudzira mimba ya mwana

Mwa azimayi ena, potengera komwe matendawa adayamba, ziwalo zam'mimba zimatha kupanga ndikuchotsa mimbayo, kulephera kubereka mwana bwinobwino, zimatha kuchitika. Amayi ambiri amakhala ndi polycestosis, yomwe ingayambitse kubereka. Chimodzi mwazizindikiro zomwe zimakhudzana ndi matenda a shuga ndi kunenepa kwambiri, pankhani iyi kulibe mavuto ndi kuchuluka kwa magazi, 50% ya azimayi awa amakhalanso ndi vuto mu gawo la kubereka, ndizovuta kwambiri kuti akhale ndi pakati. Pakadali pano, ndikofunikira kufunsa dokotala panthawi kuti athetse shuga komanso kuwonda. Zimatsimikiziridwa kuti kulemera kwambiri kumatha, ndiye kuti kukhoza kukhala ndi pakati moyenera kumawonjezeka.

Maganizo a shuga - Ili silili vuto lachikazi chokha, pali zovuta mwa abambo. Nthawi zambiri, shuga mwa amunaNthawi zambiri kumatsitsa miyezo ya testosterone ndipo nthawi yomweyo chilakolako chogonana chimazirala.

Mwa amuna kulephera kutenga pakati kumayambitsa matenda ambiri a shuga monga zotsatira zake ndi zovuta zake. Mitsempha ikawonongeka, imathanso kuwunika, komwe kumayambitsa kubereka. Nthawi zina pamakhala kuwonongeka kwa DNA mu umuna pawokha kapena kulephera kuchita bwino.

Kulephera kwa kubereka kwa mwana kumachitika osati kokha chifukwa cha thupi, komanso mavuto ammalingaliro, kupsinjika kwamanjenje ndi kugwira ntchito kwambiri. Pakadutsa nthawi yayitali, kudikirira mwana, ndipo sikugwira ntchito, amayi ambiri amakhala ndi zovuta m'maganizo, zomwe zimangokulitsa vuto lakumwalira.

Zotsatira za matenda a shuga pa amayi apakati

Ndikofunikira kuti amayi apakati omwe ali ndi matenda ashuga adziwe kuti ali pachiwopsezo ndipo amatha kukumana ndi zovuta zapakati. Zotsatira za matenda a shuga a 2 mwa akazi ali pachiwopsezo chokhala ndi mwana wodwala matenda ashuga. Malinga ndi ziwerengero, izi zimachitika mu 15-20% ya milandu, ndipo ngati muli ndi matenda a shuga 1, ndiye pafupifupi 25% ya milandu. Chiwopsezocho chimakula kwambiri ngati makolo onse akudwala matenda a shuga. Tikuyenera kunena kuti bola insulin itayamba kugwiritsidwa ntchito ngati mankhwala, kufa kwa intrauterine kunali 60%, ndipo ngakhale lero ndi mankhwala atsopano chiopsezochi ndi chachikulu

Mimba komanso matenda ashuga olumikizidwa ndikuyang'anizana ndi kumbuyo kwa chiyembekezo cha mwana, kusintha kwakukulu kumachitika m'thupi la mayi. Nthawi zambiri, kumayambiriro kwa kutenga pakati, matendawa amayenda bwino, koma mu nthawi yachiwiri ya trimester pamakhala kuwonongeka ndikukhala bwino. Hyperglycemia imayamba.

Panthawi yobereka, kusinthika kwakukulu mu shuga wamagazi kumachitika, mothandizidwa ndi mantha, kupweteka ndi kugwira ntchito mopitirira muyeso, chizungulire komanso kuwonongeka kwakukonda kumatha kukhazikika

Ngati mukudziwa kuti muli pachiwopsezo, musazengereze ndikufunsira kwa dokotala, kuwunikira koyenera mimba ndi kubereka mwana ndiye chinsinsi cha thanzi la mayi ndi mwana.

Kodi matenda ashuga amagwirizana ndi pakati?

Nkhaniyi yakonzedwera azimayi odwala matenda ashuga omwe amalota, koma chifukwa chosadziwa zina mwazinthuzi, musayerekeze kukhala ndi pakati. Zambiri zamomwe mungakhalire ndi kubereka ndikucheperachepera kwaumoyo.

Matenda a shuga ndi matenda omwe matenda awo amagona mwa kuperewera kapena kuperewera kwenikweni kwa insulin ya thupi m'thupi. Kuperewera kapena kusapezeka kwathunthu kwa insulini kumabweretsa vuto lalikulu la metabolic m'thupi ndipo limayambitsa maselo a ziwalo ndi ziwalo zina. Anthu omwe ali ndi matenda ashuga amakakamizidwa nthawi zonse kuti azikhala zoletsa, kuyambira zakudya mpaka zolimbitsa thupi. Lero tikulankhula ngati mayi yemwe ali ndi matenda otere angathe kutenga pakati komanso ngati matenda ashuga ndi pakati zimayenderana.

Ziwerengero zina

Matenda a shuga panthawi yomwe ali ndi pakati posachedwa akuyamba kuchuluka. Malinga ndi mawerengero, kwa azimayi aliwonse oyembekezera, pali atatu omwe ali ndi magawo osiyanasiyana osokonezeka a kagayidwe kazakudya. Vutoli silimangokwiyitsa osati okhazikitsa matenda opatsirana pokhapokha, komanso ma neonatologists omwe ali ndi endocrinologists, chifukwa matendawa amakhudzana mwachindunji ndi zovuta zambiri za kubereka komanso kubereka, chiopsezo cha kusokonezeka kwaubongo, zotsatira zoyipa kwa thanzi la mayi ndi mwana, ngakhale kufa kumene! Osati kale kwambiri, madotolo sanalimbikitse amayi otere kuti akhale ndi pakati, koma masiku ano zinthu zasintha kwambiri ndipo tsopano madokotala akudziwa kuti matenda opatsirana amaperekedwa kwa 2% yokha mwa milandu yatsopano. Koma mimba ndi kubereka mwana ziyenera kukonzedwa mosamalitsa. Tikambirana mwatsatanetsatane njira zaukonzekere kutenga pakati, kubala ndi kubereka mwana kwa matenda amtundu wa 1 wa matenda ashuga ndi mtundu 2.

Matenda am'mimba komanso pakati

Akatswiri amati matenda a mtundu 1 ndi mtundu wachiwiri ndi gulu la matenda omwe ali ndi vuto lalikulu, lomwe limayambitsa chiopsezo chachikulu kwa azimayi panthawi yomwe akuyembekezera. Komabe, ndi mtundu umodzi wa matenda omwe amadziwika kuti ndiowopsa. Njira yachipatala isanayambe azimayi apakati iyambe kuyambitsa insulin, kutenga pakati komanso kubereka ana mwa azimayi amtunduwu kunatha m'njira yomvetsa chisoni: pafupifupi 40% ya amayi ndipo pafupifupi 55% ya ana amwalira chifukwa cha zovuta zina zomwe zimadza chifukwa cha kuchepa kwa insulin. Koma m'zaka zaposachedwa, chifukwa cha chitukuko cha matekinoloje azachipatala komanso kusintha kwa ntchito zamasewera a shuga, Zizindikirozi zachepa kwambiri. Komabe, azimayi omwe ali ndi matenda oterewa ali m'dera lamavuto kwambiri pa nthawi yoyembekezera komanso mwachindunji panthawi yobereka. Komabe, izi sizitanthauza kuti sungabadwe ndi matenda ashuga! Pali mikhalidwe ndi matenda ochepa kwambiri omwe kumaletsa ndi kubereka mwana ndi matenda ashuga ndi akatswiri. Mwakutero, kubereka ndi matenda a shuga ndizoletsedwa motere:

Munthawi yomweyo yogwira chifuwa chachikulu.
Matenda a mtima.
Kulephera kwakukulu kwaimpso.
Mkulu mawonekedwe a gastroenteropathy.
Njira yolepheretsa insulini yokhala ndi chidwi ndi ketoacidosis.

Kuphwanya wachibale pakati pamimba kumathandizidwanso kuti ndi vuto lomwe maukwati onse ali ndi vuto la metabolism. Koma mulimonsemo, ngati lingaliro lachitika kale, ndiye lingaliro lomaliza lokhudza kuthekera kwina kopitilira kumachitika ndi dokotala pamaziko a mbiri ya wodwalayo komanso momwe alili masiku ake. Mankhwala amadziwa milandu ya azimayi omwe ali ndi vuto lodziwikiratu kuti ali ndi pakati amakhala ndi vuto losavuta kubereka ndipo amabereka ana athanzi labwino.

Muzochitika zina zonse, azimayi omwe ali ndi vuto la metabolism wam'mimba amatha kubereka, koma ndikofunikira kufikira nkhaniyi ndiudindo wonse! Njira yothandizirana imathandizira kuchepetsa ziwonetsero zoipa za matenda ndi kubereka mwana wathanzi.

Chifukwa chiyani kuli kofunikira kukonza lingaliro?

Chofunikira ndikuti kubereka ndi matenda ashuga kuyenera kukonzekereratu. Chowonadi ndichakuti azimayi amaphunzira za kubereka komwe kumachitika nthawi yayitali kwa milungu isanu. Ndipo miyezi iwiri yoyambirira ya mimba imatengedwa kuti ndi yofunika kwambiri komanso nthawi yomweyo yovuta kwambiri: panthawiyi ziwalo zonse zofunika kwambiri zimayikidwa m'thupi la mwana wosabadwa. Ngati kutenga pakati sikunakonzedwe pasadakhale, ndiye kuti shuga wa mayiyo akhoza kukhala kuti alibe zambiri, ndipo izi zitha kukhudza thanzi la amayi ndi ana amtsogolo.

Amayi ambiri amakhala ndi pakati ndi matenda ashuga nthawi yomweyo, koma muyenera kukonzekera izi osachepera miyezi isanu ndi umodzi lingaliro lokonzekera.

Nthawi yonseyi, mzimayi amayenera kuyang'anira magazi ake nthawi zonse ndikukhala ndi kuyesedwa kwa shuga. Mitsempha yamagazi ikayamba kukhala yabwinobwino, mutha kulola kutenga pakati.

Zindikirani: Mu matenda a shuga, kutenga pakati kumatha kuwonedwa kuchipatala chilichonse, osati kumalo komwe mukukhalamo kapena komwe mumakhala. Chifukwa chake, zidzakhala zolondola kwambiri pasadakhale, ngakhale asanakhale ndi pakati, kuti mudziwane ndi akatswiri azachipatala komanso ma endocrinologists ndikusankha akatswiri odziwa bwino komanso odziwa bwino ntchito yawo. Thanzi la mwana wosabadwa limatengera chidziwitso cha madokotala!

Momwe mungachite mutakhala ndi pakati

Mkazi akangodziwa za pakati, ayenera kulembedwa, kuphatikiza pa muyeso wa mayeso onse oyambira amayi, amayenera kuperekanso magazi a shuga. Pa nthawi yoyembekezera kunyumba, magawo a shuga amatengedwa 4-5 patsiku ndipo, ndikofunikira, osati maola awiri mutatha kudya, koma ola limodzi.

Pamapeto pa mimba yoyamba ndi matenda a shuga a 2, adokotala amachepetsa insulin. Kuyambira pano, kuwongolera kwambiri shuga kumafunikira. Type 2 shuga mellitus amathandizira kuti munthu azichulukitsa kwambiri thupi, chifukwa mkazi yemwe ali ndi pakati ayenera kuchepetsa kuchuluka kwa zopatsa mphamvu. Munthawi yonse yobereka mwana, muyenera kutsatira zakudya zokhwima. Zakudya No. 9 zimatengedwa ngati maziko, koma akatswiri amapanga kusintha kwamunthu payekha.

Munthawi yachiwiri yomwe mayi amakhala ndi pakati, azimayi onse amapita kukayezetsa matenda ashuga. Omwe ali ndi vuto lodziwikiratu sayeneranso kunyalanyaza kuyesa matenda ashuga. Kafukufukuyu amathandiza kupeza zizindikiritso zolondola kwambiri za kuchuluka kwa shuga m'magazi a mayi wapakati ndipo ngati kuli koyenera, chitani zinthu zoyenera.

Kupereka

Mu trimester yachitatu, kuyang'anira magazi nthawi zonse kumachitidwanso ndipo funso loti kubadwa kudzachitika bwanji matenda ashuga atha kusankha. Kodi ndizotheka kubereka mu matenda a shuga nokha kapena muyenera kuchita zaesere, adokotala asankha. Type 2 shuga mellitus nthawi zambiri amayambitsa mwana wosabadwayo, chifukwa chake, nthawi zambiri, azimayi amakhala cesarean. Lingaliro pa chithandizo chogwira ntchito limapangidwa pokambirana ndi madokotala.

Ngati mimbayo inali yodekha, kuwunika kwa ultrasound kunawonetsa kuti kukula kwa mwana wosabadwayo ndi kochepa, ndiye kuti mutha kubereka mwachilengedwe. Pa nthawi yobereka, katswiri amayang'anira momwe mayi akuchira ndi mwana wosabadwa.

Kukhala ndi pakati pa matenda ashuga sikovuta, kumakhala kovuta kwambiri kupirira ndikubereka mwana wathanzi bwinobwino. Kuti muchite izi, muyenera kutsatira malingaliro a akatswiri odziwa bwino, kuwunika momwe muliri ndikuyembekeza zotsatira zabwino!

Kulingalira kwa mwana ndi kubereka mwana mu shuga: ndi zovuta ziti zomwe zingachitike ndipo zingalephereke?

Mimba komanso kubereka mwana ndi njira zachilengedwe kwambiri. Kwa akazi onse, osati kwa iwo okha, iyi ndi nthawi yomwe akuyembekezeredwa kwambiri m'moyo.

Kwa ena, mwambowu ndiwosangalatsa mwadzidzidzi, ndipo kwa ena amakonzedwa mosamalitsa ndi nthawi yayitali yokonzekera.

M'masiku ano, azimayi ambiri amadwala matenda oyambitsidwa ndi matenda osiyanasiyana, motero amafunsa nthawi yayitali: kodi amatha kubereka ndi kubereka? Munkhaniyi tikambirana zavutoli: kodi ndizotheka kutenga pakati ndi matenda amtundu 1 komanso mtundu wa matenda ashuga a 2? Ads-pc-2

Chiwonetsero ndi malingaliro a madokotala

Kodi matenda ndi chiyani? Amadziwikanso kuti "matenda okoma" - uku ndikolephera kwa kapamba kupanga kapena kugwiritsa ntchito insulini ya mahomoni pazolinga zomwe anakonza.

Hormone iyi imayenera kusinthira ndikugwiritsa ntchito shuga wopangidwa m'magazi atatha kuwonongeka kwa chakudya chamagulu omwe amaperekedwa ndi anthu. Pali mitundu iwiri ya matenda ashuga: 1 ndi 2. Chifukwa chake, mwachilengedwe mwa akazi omwe ali ndi matendawa, funso limabuka: kodi ndizotheka kutenga pakati ndi shuga wambiri?

Zikondamoyo zimapanga insulin

Zaka makumi angapo zapitazo, madokotala mosakayikira adapereka yankho loyipa ku funso ngati zingatheke kukhala ndi pakati pa matenda ashuga. Kuzindikira matenda a shuga kunali cholepheretsa kwathunthu kupezeka kwa pakati komanso kubereka bwino kwa mwana.

Mankhwala amakono apita patsogolo, ndipo ngakhale pali zovuta zina zomwe zimayenderana ndi matenda omwe amayambitsidwa ndi matendawa, lero mutha kutenga pakati ndikubereka ndi mtundu woyamba wa 2 ndi matenda ashuga. Pakadali pano pa chitukuko cha mankhwala, kukhala ndi pakati komanso kubereka ana mwa amayi omwe ali ndi matenda otere ndikobwinobwino, ngakhale kuli kwangozi zomwe zingachitike chifukwa cha izi.

Kukhazikitsidwa kuti ngati mayi akudwala matenda a shuga, ndiye kuti mwana ali ndi mwayi wambiri woti atenge, ngati bambo ali ndi magawo asanu, ndipo ngati makolo onse ali ndi makumi awiri ndi zisanu.

Mzimayi wapakati ayenera kuyang'aniridwa ndikuyang'aniridwa ndi akatswiri atatu: gynecologist, endocrinologist ndi wathanzi.

Zamoyo za mayi ndi mwana nthawi yonse yoyembekezera zimalumikizana, motero kuyang'anira kuchuluka kwa shuga m'magazi a mayi ndikofunikira kupewa mavuto obwera chifukwa chakuchepetsa kukula kwa mwana wosabadwa ndi chibadwa .ads-mob-1

Ndi kulumpha kwadzidzidzi m'magazi a shuga, kutaya kwa pang'onopang'ono kungayambitsidwe, kapena mwana azikhala wolemera, ndipo izi zimatha kuyipa kwambiri pakubadwa komanso kuvulaza mwana.

Nthawi zina zimachitika kuti mwana amabadwa ndi shuga wochepa, izi zimachitika chifukwa cha zomwe zimachitika pathupi pake, chifukwa kapamba ake amakakamizidwa kuti apange insulin yambiri chifukwa cha matenda a amayi. Pambuyo pobereka, pakapita nthawi, kuchuluka kwa glucose kumachitika, koma insulini idzapitilizidwa kupanga voliyumu imodzimodzi.

Contraindication pa mimba

Ngakhale atachita bwino kwambiri komanso zamankhwala amakono, komanso chifukwa chotheka kukhala ndi pakati ndikubereka shuga, pali zotsutsana zingapo zomwe zimalepheretsa njirayi.

Matenda a shuga amayika gawo lalikulu pamachitidwe a machitidwe onse a mthupi, ndipo pakakhala pakati, zimachulukana nthawi zambiri, zomwe zimawopseza osati mwana wosabadwa yekha, komanso moyo wa mayi.

Pali matenda angapo okhudzana omwe amasokoneza nthawi yayitali komanso kubereka bwino kwa mwana yemwe ali ndi matenda ashuga:

matenda a mtima
chifuwa chachikulu
kulephera kwambiri kwaimpso
Rhesus - mkangano,
insulin yolimbana ndi matenda ashuga
gastroenteropathy.

M'mbuyomu, kuwonjezereka kwa ngozi yodziwira matenda a shuga kwa makolo onse awiriwo kwatchulidwa, izi ndizophatikizanso kwa mimba. Apa mukufunikira upangiri wokwanira kuphatikiza upangiri waukatswiri wazomwe mungapezere mwayi wokhala ndi mwana wathanzi.

Palibe kukayikira kuti mimba ya mayi yemwe ali ndi matenda ashuga iyenera kukonzedwa, osati mwadzidzidzi, pokonzekera bwino thupi pafupifupi miyezi isanu ndi umodzi isanachitike. Mzimayi amakakamizika kuwongolera kwathunthu kuchuluka kwa shuga m'magazi ake, kupatula kugwiritsa ntchito mankhwala owonjezera ndi mavitamini, kupeza madokotala abwino komanso odziwa bwino omwe adzawonedwe mtsogolo.

Mitundu ya matenda ashuga mwa amayi apakati

Monga tafotokozera pamwambapa, ndizotheka kutenga pakati ndi matenda a shuga a mtundu woyamba ndi wachiwiri, koma awa si mitundu yokhayo yomwe imapezeka mwa amayi omwe ali ndiudindo.

Matenda a shuga amayambitsa zovuta zambiri za mayi ndi mwana, chifukwa chake akatswiri amaonetsetsa chidwi chawo ndikuchigawa m'magulu awa:

kapangidwe - alibe zizindikiro zamankhwala, matendawa amapangidwa pamaziko a maphunziro ndi kusanthula,
kuwopseza - Amatha kukhala mwa amayi apakati omwe ali ndi vuto lotsogola, kukhala opanda cholowa komanso kudwala kwambiri, kukhala ndi ana omwe abadwa ndilemera kwambiri, opitilira 4.5 kg. Mwa amayi oyembekezera oterowo, glucosuria amapezeka - shuga mumkodzo, posonyeza kuperewera kwaimpso kwa glucose. Kuwunikira ndi kuwongolera kuyenera kukhala kosazindikiritsa vutoli,
kufotokoza - Amapezeka pogwiritsa ntchito mayeso a glucosuria ndi glycemia. Iagawika m'mitundu itatu: yopepuka, yapakatikati komanso yolemera. Yotsirizika imaphatikizidwa ndi kuwonongeka kwa impso, retina, zilonda zam'mimba, zotupa za mtima, matenda oopsa.

Palinso mtundu wina wa matenda ashuga - opatsa thupi, omwe amakula mwa amayi athanzi labwino panthawi yomwe ali ndi pakati, pafupifupi 3 - 5%. Zimafunikira chisamaliro ndikuwongoleredwa ndi madokotala. Pambuyo pobala mwana wamwamuna amwalira, amatha kubwerera ali ndi pakati mobwerezabwereza.

Imadziwika sabata pafupifupi 20, zomwe zidachitikadi sizinadziwikebe. Mahomoni opangidwa ndi placenta amatsekera insulin ya amayi, zomwe zimapangitsa kuti shuga azikhala ndi magazi ambiri.

Chiwopsezo cha matenda ashuga:

azimayi opitirira makumi anayi
ngati pali wachibale wapafupi ndi matendawa.
azimayi a mitundu ina kupatula Caucasoid,
osuta
onenepa kwambiri
Kubala mwana wam'mbuyomu wolemera kuposa 4.5 kg.

Matenda a shuga m'mimba mwa abambo komanso kutenga pakati kwa mwana

Ngati bambo akudwala matenda ashuga kwa zaka zambiri, matendawa amasiya kukhudzika kwa thupi, zomwe zimapangitsa kuti azigwira ntchito yake moyenera, ndikupangitsa matenda ambiri.

Vuto limodzi la matenda ashuga ndilovuta kubala komanso kusabereka.ads-mob-2

Chifukwa cha matendawa, mitsempha yayikulu komanso yayikulu imawonongeka, kayendedwe kabwinobwino ka magazi kamasokonezeka. Matenda a shuga ophatikizika amayambitsa zovuta mu kugwira ntchito kwa impso ndi genitourinary system.

Mimbayo imakhala yocheperako, umuna sungathe kutuluka pakumatheka, ibwerera ku chikhodzodzo, chifukwa chake umuna sungachitike.

Moyo wamtsogolo wamtsogolo

Onse atatu oyang'anira kuyembekezera khanda amayenera kuyang'aniridwa kwathunthu ndi madokotala onse omwe akukhudzidwa ndi njira yopambana ya pakati.

Choyamba, mayi woyembekezera amayesedwa kwathunthu ndi akatswiri monga gynecologist, endocrinologist, wathanzi ndi geneticist, kenako, poganizira zolemba zonse ndikutsatira malangizowo, nthawi yapadera ya moyo wamayi imayamba.

Mayi woyembekezera ayenera kudya moyenerera malinga ndi zakudya Na. 9. Chepetsani kudya kwamafuta ndi chakudya chamagulu, kuwonjezera kuchuluka kwa mapuloteni. Shuga, uchi, maswiti, kupanikizana kwathunthu samachotsedwa.

Muyenera kumwa mavitamini ndi michere yambiri. Chiwerengero chonse cha zopatsa mphamvu za tsiku ndi tsiku siziyenera kupitirira 3,000. Idyani kwambiri pofika ola, ndipo odwala onse amakhala ndi insulin. Mankhwala amkamwa samachotsedwa panthawiyi.

Panthawi yonse yomwe mayi ali ndi pakati, mkazi amalowetsedwa kuchipatala kuti akawunikire katatu.

Atangolembetsa, pakatha masabata 20 - 24 komanso pa 32 - 34 kuti asinthe makulidwe a insulin.

Mu trimester yomaliza, njira yolerera mwana imatsimikiziridwa, kutengera mtundu wake wamthupi, lingaliro limapangidwa mwanjira yachilengedwe, kapena kugwiritsa ntchito gawo la cesarean.

Makanema okhudzana nawo

Kodi ndizotheka kubereka mwana wathanzi lathunthu? Momwe muyenera kuchita mukakhala ndi pakati? Mayankho mu kanema:

Matenda a shuga chifukwa cha kupita patsogolo kwa zamankhwala si sentensi, zomwe zikutanthauza kuti mutha kubereka ndi kubereka ndi matenda oterewa. Amayi okha ndi omwe amafunika kulandira upangiri kuchokera kwa akatswiri onse omwe akukhudzidwa ndi njirayi ndikukonzekera miyezi 9 kuti asinthe moyo wawo wonse.

Kutengera malamulo onse ndi zofunikira za madotolo, mwayi wobala mwana wathanzi komanso wamphamvu umachulukitsidwa nthawi zambiri, ndipo zovuta zomwe zimakhudzana ndi matendawa zimathetsedwa.