Shuga kuchuluka pa mimba - vuto lalikulu?

Mimba - ndi chinthu chodabwitsa, kwathunthu chimasintha moyo wa mkazi aliyense. Kusintha kwa kugunda kwa mtima wamng'ono, mayi amayesetsa kuchita chilichonse kuti mwana wanu amamasuka mu miyezi inayi. Mwatsoka, kwa masabata ambiri makumi anai mayi woyembekezera ayenera kuona osati chimwemwe cha msonkhano mwadzidzidzi mwanayo, komanso ambiri zomverera mawu opweteka ayende mimba. Ena mwa anzake mosalephera mimba Musatenge ngozi iliyonse kwa mwana wosabadwayo, pamene ena amafuna zonse achipatala. Chimodzi mwa mavuto aakulu pa kudikira mwanayo gestational shuga - chikhalidwe chimene kumawonjezera madzi a shuga magazi zotumphukira.

Kodi kukwezeka shuga pa mimba?

Pa koyamba wamkazi upo mayi woyembekezera amalandira Dr. malangizo kufufuza kuti aone chikhalidwe wamkulu wa mayi oyembekezerayo. Mmodzi wa kanjedza zofunika kwambiri pa mndandanda yaikulu ndi kuthandauza zili shuga m'magazi. Mukaona kuti shuga ndi kukwezeka woyembekezera, mayi anapempha kuti alandire mayesero zina ndi mankhwala ngati ndi kotheka.

Kuwonjezeka mu shuga magazi ndende si zabwinobwino kuti zingaoneke koyamba. Kusintha kwa mlingo wa shuga akapsa kuipidwa wa asilikali pathologic zikubweretsa kuwonongeka kwambiri wa mayi oyembekezerayo. Njira kunachitika thupi la mayi m'tsogolo amatipeza zimakhudzira pa chitukuko cha mwana wosabadwayo, kuwonjezera chiopsezo ndi mwana ndi zizindikiro za matenda ashuga fetopathy.

Kodi mukudziwa kuti shuga ndi wokwezeka pa mimba?

A magazi kudziwa shuga mkazi akukamba kawiri: maonekedwe choyamba mu nthawi antenatal ndipo pa masabata 22-24. Mu nkhani iyi, mayi woyembekezera sayenera kuchepetsa nokha kwa chakudya kapena chinachake kusintha kadyedwe kwa masiku atatu asanayambe kuona uchitike. magazi nthawi anatengedwa kuchokera mtsempha ndi m'mawa pa chopanda kanthu m'mimba. Choposa mfundo chovomerezeka mu ambiri a milandu akusonyeza chitukuko cha matenda a shuga gestational.

Chifukwa kukwera kwa madzi shuga?

M'mikhalidwe wabwinobwino, okhutira shuga ndi Lamulo la timadzi insulin, amene mosalekeza opangidwa ndi kapamba. Muulamuliro wake shuga amene anabwera pamodzi ndi chakudya, ndi yosintha mu maselo a thupi, kumene kuchita ntchito yake. shuga pa nthawi yomweyo yafupika. Kodi chimachitika pa mimba ndi chifukwa limagwirira bwino okhazikika latha?

Mahomoni kuti kulola kuti adzabala mwana, ndi antagonist wa insulin. Okwera shuga pa mimba kumayambitsa chakuti kapamba Sangathe kupirira ntchito zawo wotere. Mimba mahomoni yambitsa zokolola za shuga m'magazi, ndi kapamba anatha kum'manga shuga muyeso, sikokwanira. Chifukwa kukhala otchedwa gestational shuga, zoopsa zotsatira zake sizimadziwika.

Zina mwa zifukwa

Zingatanthauze kuti imeneyi mkazi aliyense mu malo chidwi kuti akuvutika ndi owonjezera shuga m'thupi. Komabe, kuchuluka shuga pa mimba si aliyense mayi woyembekezera. Kodi kumaonjezera ngozi ya matenda?

• kunenepa;

• chibadwa (shuga mu achibale);

• Development zochitika zofanana mu mimba yapita;

• polycystic n'kuwasanganiza syndrome;

• zaka zaka 25.

Zizindikiro za matenda a shuga gestational

Nthawi zambiri, mayi woyembekezera ndi n'komwe kuti iye anamuukitsa misinkhu shuga magazi. boma lake la thanzi sasintha, mwana amagwira kusuntha ndi kuvumbitsira lokha anamva opyoza wokangalika. Chiopsezo cha matenda a shuga gestational ndi kuchuluka kwa shuga m'magazi pang'onopang'ono kuonjezera, zikubweretsa mavuto aakulu.

Ndi kukula gestational misinkhu shuga adzauka, ndi milingo insulin n'kogwiritsa kutha. Chiwonetsero cha matenda a shuga amakhala ndi zizindikiro zotsatirazi:

• zonse kumverera ludzu;

• kuchuluka kudya;

• madzi pafupipafupi;

• kuona.

Pakuti molondola matenda yekha madandaulo a kuwonongeka kwa thanzi adzakhala osakwanira. Njala ndi pafupipafupi pokodza zikusonyeza kuti akazi ambiri pakati ndi shuga mwangwiro bwinobwino. Mayi woyembekezera adzakhala kulandira kudzifufuza wapadera, kulola kuti atsimikizire kapena kukana gestational shuga.

diagnostics

Pofuna kudziwa ngati shuga kwenikweni kuchuluka woyembekezera, mkazi anapereka kuti apereke magazi mtima wa shuga. Analysis yafotokozedwa kusala kudya.

Kumasulira zotsatira:

• pa 3.3 kuti 5.5 mmol / l - ponseponse;

• pa 5.5 mpaka 7 mmol / l - shuga tsankho;

• oposa 7.1 momol / l - shuga.

Pamene shuga mlingo pa 7.1 mmol / l mayi woyembekezera anatumiza upo kuti m'thupi yemwenso ndi kutsimikiza matenda ndi kukhala njira mankhwala.

Kuchuluka shuga mu mkodzo pa mimba ananenanso za chitukuko cha matenda a shuga gestational. Nthawi zambiri, shuga wapezeka mu magawo kenako, pamene matenda wapita patali. Shuga mu mkodzo amasonyeza kuti impso salinso kupirira ntchito yake, choncho kumaonjezera ngozi ya matenda ziwalo zonse ndi machitidwe a thupi wamkazi.

Koopsa ndi gestational shuga?

akazi ambiri pakati safuna chithandizo cha akatswiri poganiza kuti postpartum shuga mlingo adzakhala ndichepe palokha. Iwo sazindikira zimene zili zoopsa kwambiri kwa magazi shuga pa mimba. Zotsatira za shuga gestational akhoza kukhala wachisoni kwambiri. Akazi ndi shuga magazi kumaonjezera ngozi ya kujowina preeclampsia (a chikhalidwe yodziwika ndi edema ndi kuthamanga kwa magazi mimba mochedwa). Komanso kumachititsa matendawo mu impso ndi dongosolo mkodzo. Musaiwale kuti kubadwa mwa akazi ndi zambiri shuga zimachitika oyambirira.

Kodi shuga bwanji mwana wosabadwayo?

misinkhu okwera a shuga magazi mayi amakhudza chikhalidwe mwana. Zovuta zizindikiro zimenezi zinayamba pamene mimba amatchedwa matenda ashuga fetopathy. Pamene mwana wabadwa kudwala ili lalikulu koposa makilogalamu 4.5. Koma kwambiri kulemera sizikutanthauza kuti mwanayo akhale wathanzi. M'malo mwake, kwa ashuga fetopathy khalidwe kwanthawi mu kukula. Chifukwa cha kusowa surfactant (zinthu zikhale zosavuta kutsegula pobadwa) mu akhanda amalembedwa matenda osiyanasiyana kupuma. Nthawi zambiri kukhala pathological matenda a chikasu ndiyo, ndipo zosiyanasiyana matenda a ubongo.

Chithandizo cha Gestational shuga

Ambiri amayi oyembekezera ndi mantha kupeza mkulu shuga pa mimba. Kodi kuchita ngati zichitika kuti inu mosavuta? Choyamba, mkazi ayenera kuonana ndi katswiri. The m'thupi yemwenso adzakhala kupenda mkhalidwe wa mayi woyembekezera ndipo malingana ndi kuopsa kwa nthenda ya mankhwala mankhwala kutero.

Nthawi zambiri, machenjerero a amayi apakati ndi shuga yafupika kusintha zakudya. The normalization wa milingo insulin m'magazi kumatha kufunika zida zankhondo katundu mu mawonekedwe a mahomoni. Kudya shuga magazi pa mimba zikuphatikizapo mfundo zotsatirazi:

• tsiku chakudya lagawidwa pakati mapulotini, chakudya mafuta mu chiŵerengero 20-25%, 35-40% ndipo 35% motero.

• Pa nthawi yonse ya mimba ndi kuchepetsa pang'onopang'ono wambiri caloric kwa 25-30 kcal pa makilogalamu 1 kulemera.

• Kuchokera ntchito tsiku amakonda aliyense chakudya zidyeke (makamaka maswiti).

Zikatero, ntchito zakudya yekha sangathe kuzitsogolera kuchepetsa shuga m'magazimo wabwinobwino, amayi apakati ndi Kwalamulidwa insulin. mlingo kusankha amachita m'thupi yemwenso. Iye oyang'anira mayi m'tsogolo pa nthawi yonse gestation nasintha mlingo umene anapatsidwa mankhwala ngati ndi kotheka.

chithandizo Emergency mu shuga

Woyembekezera, akazi onse ndi shuga, Ndi bwino kugula munthu shuga magazi mita. mankhwala akhoza nthawi iliyonse fufuzani shuga m'magazi zotumphukira ndi kuchitapo kanthu koyenera pa kusintha kwake. Gestational shuga n'koopsa zichuluke mu ndende shuga, koma nalephera ake lakuthwa. okhumudwa kusokoneza kufooka mwadzidzidzi, imfa ya chikumbumtima ndipo ngakhale chikomokere.

Kodi kulera magazi anu shuga mimba, amene amayenda kupewa mavuto amene angabwere chifukwa cha matenda a shuga? Iye ayenera kukumbukira kuti boma lake la chizungulire komanso kufooka ndi zizindikiro aakulu amene amafuna thandizo mwamsanga. Zizindikiro woyamba wa kugwa shuga mayi woyembekezera bwino mwamsanga kudya zinthu zokoma. Izi zikhoza kukhala maswiti, chinaikidwa m'manja mokakamiza pa mlandu kapena chidutswa cha chokoleti. Pofuna kupewa vuto limeneli, mayi woyembekezera ayenera kudya bwino, musaiwale monga chakudya chanu si zokoma, komanso mankhwala othandiza.

Gestational shuga nthawi zambiri paokha amachoka wangobereka kumene. Sayenera kumasuka - akazi amene akhala akukonza kudwala ili pa mimba kwambiri kumaonjezera ngozi ya matenda a shuga woona. Pakuti kupewa matenda oopsa tikulimbikitsidwa kusintha zakudya zanu, kuwonjezera zolimbitsa thupi ndi kuwunika zonse misinkhu shuga magazi. Compliance ndi malamulo amenewa angathandize mkazi muzindikire zolakwika aliyense mu udindo thanzi ndi kutenga miyezo zofunika kuthetsa zizindikiro zosasangalatsa.