Gestational shuga - kudzisamalira

Gestational shuga ndi shuga wambiri wamagazi (shuga) yemwe amayamba panthawi yapakati. Ngati mwapezeka kuti muli ndi matenda a shuga, phunzirani momwe mungagwiritsire ntchito shuga kuti mukhale ndi thanzi labwino.

Insulini ndi timadzi tomwe timapangidwa m'chiwalo chotchedwa pancreas. Mphunoyi ili pansipa komanso kuseri kwa m'mimba. Insulini imafunika kusunthira shuga wamagazi m'maselo amthupi. Mkati mwa maselo, shuga amasungidwa ndipo kenako amagwiritsidwa ntchito ngati mphamvu. Mahomoni apakati amatha kulepheretsa insulin kugwira ntchito yake. Izi zikachitika, kuchuluka kwa shuga kumatha kuchuluka m'magazi a mayi wapakati.

Ndi matenda a shuga:

• Palibe zisonyezo nthawi zambiri.
• Zizindikiro zofatsa zimatha kuphatikiza ludzu kapena kunjenjemera. Zizindikirozi nthawi zambiri sizowopseza mayi wapakati.
• Mkazi akhoza kubala mwana wamkulu. Izi zitha kuwonjezera mwayi wamavuto pakubereka.
• Mzimayi amakhala ndi chiopsezo chachikulu chotenga magazi nthawi yomwe ali ndi pakati.

Kukhala ndi pakati ukakhala ndi thupi loyenera kumatha kuchepetsa mwayi wako wodwala matenda ashuga. Ngati mukulemera kwambiri, yesetsani kuonda musanatenge mimba.

Mukayamba kudwala matenda ashuga:

• Chakudya chopatsa thanzi chimatha kuteteza shuga m'magazi anu ndipo chingakupangitseni kusowa mankhwala. Kudya moyenera kumatha kukupewetsani kulemera kwambiri mukakhala ndi pakati. Kulemera kwambiri kungakulitse chiopsezo chanu chokhudzana ndi matenda ashuga.
• Dokotala wanu, namwino, kapena wololera amapangira zakudya zanu. Wothandizira zaumoyo wanu akhoza kukupemphani kuti muzisunga zomwe mumadya.
• Kuchita masewera olimbitsa thupi kumathandiza kuti shuga wanu wamagazi aziyang'aniridwa. Zochita zochepa monga kuyenda ndi mtundu wolimbitsa thupi komanso wotetezeka. Yesani kuyenda 1 mpaka 2 miles (1.6 mpaka 3.2 kilomita) nthawi, 3 kapena kupitilira apo pa sabata. Kusambira kapena kugwiritsa ntchito makina elliptical amagwiranso ntchito. Funsani omwe akukuthandizani kuti azichita masewera olimbitsa thupi ati, komanso kuchuluka kwake, komwe kungakuthandizeni.
• Ngati kusintha kadyedwe kanu ndi masewera olimbitsa thupi sikuwongolera kuchuluka kwa shuga wamagazi, mungafunike mankhwala akumwa (otengedwa pakamwa) kapena mankhwala a insulin (kuwombera).

Amayi omwe amatsata ndondomeko yawo ya mankhwala ndikusunga shuga wawo wamagazi mwapadera kapena pafupi ndi nthawi zonse ali ndi pakati ayenera kukhala ndi zotsatira zabwino.

Shuga wamagazi yemwe ndi wochuluka kwambiri amakweza chiwopsezo cha:

• Kubereka mwana
• Mwana wamng'ono kwambiri (choletsa kukula kwa fetus) kapena mwana wamkulu kwambiri (macrosomia)
• Ntchito yovuta kapena kubadwa kwaulesi (C-gawo)
• Mavuto ndi shuga wamagazi kapena ma electrolyte mwa mwana m'masiku oyamba atabereka

Mutha kuwona momwe mukuchitira poyesa kuchuluka kwa shuga wamagazi kunyumba. Wothandizira anu akhoza kukupemphani kuti muyang'ane shuga wanu wamagazi kangapo tsiku lililonse.

Njira yofala kwambiri yowunika ndikudula chala chanu ndikukoka dontho lamagazi. Kenako, mumayika magazi pompopompo (makina oyesera) omwe amayesa magazi anu. Zotsatira zake ndizokwera kwambiri kapena zochepa kwambiri, muyenera kuyang'anitsitsa kuchuluka kwa shuga wamagazi.

Omwe amakupatsirani amatsatira shuga wanu wamagazi nanu. Onetsetsani kuti mukudziwa momwe msinkhu wanu wa shuga uyenera kukhalira.

Kusamalira shuga wanu wamagazi kumawoneka ngati ntchito yambiri. Koma amayi ambiri amalimbikitsidwa ndi chikhumbo chawo chowonetsetsa kuti iwo ndi mwana wawo apeza zotsatira zabwino kwambiri.

Wothandizira anu amayang'anitsitsa inu ndi mwana wanu panthawi yonse yomwe muli ndi pakati. Izi ziphatikizapo:

• Kuyendera ndi omwe amakupatsani sabata iliyonse
• Zojambulajambula zomwe zimawonetsa kukula kwa mwana wanu
• Kuyesa kosapanikizika komwe kumawonetsa ngati mwana wanu akuchita bwino

Ngati mukufuna insulini kapena mankhwala am'kamwa kuti muchepetse shuga wanu wamagazi, mungafunikire kuti muwapatse ntchito 1 kapena 2 milungu isanakwane.

Amayi omwe ali ndi matenda ashuga oyamwitsa ayenera kuyang'aniridwa bwino atabereka. Ayeneranso kupitiliza kukayezetsa kudokotala kudzalandira zizindikiro za matenda a shuga.

Shuga wamagazi ambiri amabwerera mwakale pambuyo pobereka. Komabe, azimayi ambiri omwe ali ndi vuto la matenda ashuga amakhala ndi matenda ashuga pasanathe zaka 5 mpaka 10 atabereka. Vuto lake limakula kwambiri mwa akazi onenepa kwambiri.

Itanani omwe akukuthandizani za mavuto otsatirawa okhudzana ndi matenda ashuga:

• Mwana wanu akuwoneka kuti akuyenda pang'ono m'mimba mwanu
• Mwasokoneza masomphenya
• Ndinu aludzu kuposa zachilendo
• Mumakhala ndi nseru ndi kusanza zomwe sizingathe

Ndi zachilendo kukhumudwa kapena kukhumudwa chifukwa chokhala ndi pakati komanso matenda ashuga. Koma, ngati kutengeka uku kukukulamulani, itanani omwe akukuthandizani. Gulu lanu lazachipatala lilipo kuti likuthandizeni.

Mimba - matenda ashuga; Kusamalira asanabadwe - matenda ashuga

American College of Obstetrics ndi Gynecology; Komiti Yazochita Zolemba - Zobereka. Yesetsani Bulletin Na. 137: Gestational shuga mellitus. Gynecol Woletsa. 2013; 122 (2 Pt 1): 406-416. PMID: 23969827 www.ncbi.nlm.nih.gov/pubmed/23969827. (Adasankhidwa)

Bungwe la American Diabetes Association. 14. Kuwongolera matenda ashuga pakubereka: miyezo ya chithandizo chamankhwala ashuga - 2019. Chisamaliro cha shuga. 2019; 42 (Suppl 1): S165-S172. PMID: 30559240 www.ncbi.nlm.nih.gov/pubmed/30559240.

Landon MB, PM wa Catalano, Gabbe SG. Matenda ashuga ovuta kutenga mimba. Mu: Gabbe SG, Niebyl JR, Simpson JL, et al, olemba. Obstetrics: Mimba Yachibadwa ndi Mavuto. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 40.

Metzger BE. Matenda a shuga ndi mimba. Mu: Jameson JL, De Groot LJ, de Kretser DM, et al, olemba. Endocrinology: Akuluakulu ndi Ana. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier Saunders; 2016: chap 45.

• Matenda a shuga ndi Mimba