Matenda a shuga

Gestational shuga ndi shuga wambiri wamagazi (shuga) yemwe amayamba kapena amapezeka koyamba ali ndi pakati.

Mahomoni apakati amatha kulepheretsa insulin kugwira ntchito yake. Izi zikachitika, kuchuluka kwa shuga kumatha kuchuluka m'magazi a mayi wapakati.

Muli pachiwopsezo chachikulu chotenga matenda ashuga ngati:

• Ndi akulu kuposa 25 mukakhala ndi pakati
• Amachokera ku gulu lomwe lili pachiwopsezo chachikulu, monga Latino, African American, Native American, Asia, kapena Pacific Islander
• Khalani ndi mbiri ya banja la matenda ashuga
• Anabereka mwana yemwe anali wolemera makilogalamu oposa 4 kapena anali ndi vuto lobadwa nalo
• Khalani ndi kuthamanga kwa magazi
• Mukhale ndi amniotic madzimadzi ochulukirapo
• Wakhala ndi padera kapena kubadwa mopanda tanthauzo
• Anali onenepa kwambiri musanakhale ndi pakati
• Pezani kulemera kwambiri panthawi yomwe muli ndi pakati
• Khalani ndi matenda a polycystic ovary

Nthawi zambiri, sipakhala zisonyezo. Matendawa amachitika panthawi yoyezetsa magazi asanabadwe.

Zizindikiro zofatsa, monga kuchuluka kwa ludzu kapena kunjenjemera, zitha kupezeka. Zizindikirozi nthawi zambiri sizowopseza mayi wapakati.

Zizindikiro zina zitha kuphatikiza:

• Masomphenya olakwika
• Kutopa
• Matenda omwe amapezeka pafupipafupi, kuphatikizapo a chikhodzodzo, nyini, ndi khungu
• Kuchuluka kwa ludzu
• Kuchuluka pokodza

Gestational shuga nthawi zambiri imayamba pakati pathupi. Amayi onse apakati ayenera kulandira mayeso amkamwa olekerera shuga (kuyesa vuto la glucose) pakati pa sabata la 24 ndi 28 la mimba kuti ayang'ane vutoli. Amayi omwe ali pachiwopsezo chodwala matenda ashuga atha kutenga mayesowa asanakhale ndi pakati.

Mukapezeka kuti muli ndi matenda ashuga, mutha kuwona momwe mumakhalira poyesa kuchuluka kwa shuga kwanu. Njira yofala kwambiri imaphatikizapo kumenya chala chanu ndikuyika dontho lamagazi anu pamakina omwe angakupatseni kuwerengetsa kwa glucose.

Zolinga zamankhwalawa ndikuti mulingo wa shuga (shuga) wamagazi azikhala mulingo woyenera panthawi yapakati, ndikuwonetsetsa kuti mwana wokula bwino ali wathanzi.

KUYANG'ANIRA MWANA WANU

Wothandizira zaumoyo wanu ayenera kuyang'anitsitsa inu ndi mwana wanu panthawi yonse yomwe muli ndi pakati. Kuwunika kwa fetus kumayang'ana kukula ndi thanzi la mwana wosabadwayo.

Kuyesa kosapanikizika ndi mayeso osavuta, osapweteka kwa inu ndi mwana wanu.

• Makina omwe amamva ndikuwonetsa kugunda kwa mtima wa mwana wanu (pulogalamu yamagetsi yamagetsi yamagetsi) imayikidwa pamimba panu.
• Wokupatsani akhoza kuyerekezera kugunda kwamtima wa mwana wanu ndi mayendedwe ndikudziwa ngati mwanayo akuchita bwino.

Ngati mumamwa mankhwala kuti muchepetse matenda ashuga, mungafunike kuyang'aniridwa pafupipafupi kumapeto kwa mimba yanu.

Kudya ndi kuchita masewera olimbitsa thupi

Nthawi zambiri, kudya zakudya zopatsa thanzi, kukhalabe achangu, ndikuwongolera kulemera kwanu ndizofunikira zofunika kuchiza matenda ashuga.

Njira yabwino kwambiri yoperekera zakudya zanu ndikudya zakudya zosiyanasiyana zabwino. Muyenera kuphunzira momwe mungawerenge malembedwe azakudya ndikuwayang'ana posankha zakudya. Lankhulani ndi omwe amakupatsani ngati simukudya zamasamba kapena chakudya china chapadera.

Mwambiri, mukadwala matenda ashuga, zakudya zanu ziyenera:

• Onetsetsani mafuta ndi mapuloteni
• Perekani chakudya kudzera muzakudya monga zipatso, ndiwo zamasamba, ndi chakudya chambiri (monga mkate, chimanga, pasitala, ndi mpunga)
• Khalani ndi zakudya zochepa zomwe zimakhala ndi shuga wambiri, monga zakumwa zoziziritsa kukhosi, timadziti ta zipatso, ndi mitanda

Lankhulani ndi omwe amakupatsani zomwe zili zoyenera kwa inu. Zochita zochepa, monga kusambira, kuyenda mwachangu, kapena kugwiritsa ntchito makina elliptical ndi njira zabwino zothetsera shuga ndi magazi anu.

Ngati kuyang'anira zakudya zanu komanso kuchita masewera olimbitsa thupi sikuwongolera shuga m'magazi anu, mutha kupatsidwa mankhwala a shuga kapena mankhwala a insulin.

Pali zoopsa zambiri zakukhala ndi matenda ashuga mukamakhala ndi shuga ngati magazi sayendetsedwa bwino. Pokhala ndi ulamuliro wabwino, mimba zambiri zimakhala ndi zotsatira zabwino.

Amayi apakati omwe ali ndi matenda a shuga amakhala ndi ana okulirapo akabadwa. Izi zitha kuwonjezera mwayi wamavuto panthawi yobereka, kuphatikiza:

• Kuvulala kwa kubadwa (kupwetekedwa) chifukwa cha kukula kwakukulu kwa mwanayo
• Kutumiza ndi C-gawo

Mwana wanu amakhala ndi shuga wambiri m'magazi (hypoglycemia) m'masiku ochepa oyambirira amoyo, ndipo angafunike kuyang'aniridwa m'chipinda chachipatala cha neonatal (NICU) masiku angapo.

Amayi omwe ali ndi vuto la matenda ashuga amakhala ndi chiopsezo chowonjezeka cha kuthamanga kwa magazi nthawi yapakati komanso chiopsezo chobereka asanakwane. Amayi omwe ali ndi shuga wamagazi osalamulirika amakhala pachiwopsezo chachikulu chobadwa ndi mwana.

Pambuyo pobereka:

• Msinkhu wanu wa shuga (shuga) wamagazi nthawi zambiri umabwerera mwakale.
• Muyenera kutsatiridwa mosamala ndi zizindikilo za matenda ashuga mzaka 5 mpaka 10 zotsatira mukabereka.

Lumikizanani ndi omwe amakupatsani ngati muli ndi pakati ndipo muli ndi matenda ashuga.

Kusamalira asanabadwe komanso kumayezedwa pafupipafupi kumathandizira kuti mukhale ndi thanzi labwino komanso thanzi la mwana wanu. Kuyeza kuyerekezera asanabadwe pamasabata 24 mpaka 28 apakati kumathandizira kuzindikira kuti matenda ashuga asanakwane.

Ngati mukulemera kwambiri, kulemera kwanu pamulingo wabwinobwino (BMI) kumachepetsa chiopsezo chanu chokhudzana ndi matenda ashuga.

Kusagwirizana kwa shuga pa nthawi ya mimba

• Miphalaphala
• Matenda a shuga

Bungwe la American Diabetes Association. 14. Kuwongolera matenda ashuga pakubereka: miyezo ya chithandizo chamankhwala ashuga-2020. Chisamaliro cha shuga. 2020; 43 (Suppl 1): S183-S192. PMID: 31862757 pubed.ncbi.nlm.nih.gov/31862757/.

Landon MB, PM wa Catalano, Gabbe SG. Matenda ashuga ovuta kutenga mimba. Mu: Landon MB, Galan HL, Jauniaux ERM, et al, eds. Obstetrics a Gabbe: Mimba Yachibadwa ndi Mavuto. 8th ed. Philadelphia, PA: Elsevier; 2021: mutu 45.

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.

Moyer VA; Gulu Lankhondo Loteteza ku US. Kuwunika kwa matenda opatsirana a shuga: Ndemanga ya US Preventive Services Task Force. Ann Intern Med. 2014; 160 (6): 414-420. PMID: 24424622 pubed.ncbi.nlm.nih.gov/24424622/.