Asanakhalepo matenda ashuga komanso mimba

Ngati muli ndi matenda ashuga, angakhudze mimba yanu, thanzi lanu, komanso thanzi la mwana wanu. Kuyika magawo a shuga m'magazi mosiyanasiyana nthawi yonse yomwe muli ndi pakati kumatha kupewa mavuto.

Nkhaniyi ndi ya azimayi omwe ali ndi matenda ashuga omwe akufuna kukhala ndi pakati kapena ofuna kutenga pakati. Gestational shuga ndi shuga wambiri wamagazi yemwe amayamba kapena amapezeka koyamba ali ndi pakati.

Amayi omwe ali ndi matenda ashuga amakumana ndi zoopsa zina ali ndi pakati. Ngati matenda a shuga sakhala othandiza, mwanayo amakhala ndi shuga wambiri m'mimba. Izi zitha kupangitsa ana kubadwa opunduka komanso mavuto ena azaumoyo.

Masabata asanu ndi awiri oyamba ali ndi pakati ndi pamene ziwalo za mwana zimakula. Izi nthawi zambiri musanadziwe kuti muli ndi pakati. Chifukwa chake ndikofunikira kukonzekera pasadakhale powonetsetsa kuti magazi anu asungika m'magazi musanatenge mimba.

Ngakhale ndizowopsa kuziganizira, ndikofunikira kudziwa mavuto omwe angakhalepo panthawi yapakati. Amayi ndi mwana ali pachiwopsezo chazovuta ngati matenda ashuga samayendetsedwa bwino.

Zowopsa za mwana ndi izi:

• Zolepheretsa kubadwa
• Kubadwa koyambirira
• Kutaya mimba (kupita padera) kapena kubereka mwana
• Mwana wamkulu (wotchedwa macrosomia) amachititsa chiopsezo chowonjezeka chovulala panthawi yobadwa
• Shuga wamagazi atabadwa
• Kupuma kovuta
• Jaundice
• Kunenepa kwambiri muubwana ndi unyamata

Ngozi ya amayi ndi awa:

• Mwana wokulirapo akhoza kubweretsa zovuta kubereka kapena gawo la C
• Kuthamanga kwa magazi ndi mapuloteni mumkodzo (preeclampsia)
• Mwana wamkulu amatha kusokoneza mayiyo komanso amakhala pachiwopsezo chovulala panthawi yobadwa
• Kukulira kwa matenda ashuga m'maso kapena impso

Ngati mukukonzekera kutenga pakati, lankhulani ndi omwe amakuthandizani azaumoyo wanu miyezi isanu ndi umodzi musanatenge mimba. Muyenera kukhala ndi shuga wabwino wamagazi osachepera miyezi 3 mpaka 6 musanatenge mimba komanso nthawi yonse yomwe muli ndi pakati.

Lankhulani ndi omwe amakupatsani zomwe zimakhudza shuga zanu musanatenge mimba.

Musanakhale ndi pakati, mufunika:

• Cholinga cha mulingo wa A1C ochepera 6.5%
• Sinthani zosintha zanu pakudya ndi zizolowezi zanu kuti muthane ndi shuga ndi magazi anu
• Pitirizani kulemera bwino
• Konzani mayeso musanatenge mimba ndi omwe amakupatsani ndikufunsani za chisamaliro cha mimba

Mukamayesa mayeso, omwe amakuthandizani adzatero:

• Onani hemoglobin yanu ya A1C
• Onetsetsani chithokomiro chanu
• Tengani zitsanzo zamagazi ndi mkodzo
• Lankhulani nanu mavuto aliwonse a shuga monga mavuto amaso kapena impso kapena mavuto ena azaumoyo monga kuthamanga kwa magazi

Wopereka chithandizo adzakambirana nanu za mankhwala omwe ali otetezeka kugwiritsa ntchito komanso omwe sangatetezedwe mukakhala ndi pakati. Nthawi zambiri azimayi omwe ali ndi matenda ashuga amtundu wa 2 omwe amamwa mankhwala ashuga amafunika kusinthana ndi insulini panthawi yapakati. Mankhwala ambiri a shuga sangakhale otetezeka kwa mwana. Komanso, mahomoni oyembekezera amatha kulepheretsa insulini kugwira ntchito yake, chifukwa chake mankhwalawa sagwiranso ntchito.

Muyeneranso kukaonana ndi dokotala wanu wamaso ndikumupimitsa maso ake ashuga.

Mukakhala ndi pakati, mudzagwira ntchito ndi gulu lazachipatala kuti mutsimikizire kuti inu ndi mwana wanu mumakhala athanzi. Chifukwa chakuti mimba yanu imaonedwa kuti ili pachiwopsezo chachikulu, mudzagwira ntchito ndi mayi wobereka yemwe amakhala ndi pakati pangozi zoopsa (katswiri wazachipatala cha amayi apakati). Woperekayo atha kuyesa kuti aone thanzi la mwana wanu. Mayesowo atha kuchitidwa nthawi iliyonse mukakhala ndi pakati. Mugwiranso ntchito ndi mphunzitsi wa matenda ashuga komanso katswiri wazakudya.

Mukakhala ndi pakati, thupi lanu likamasintha komanso mwana wanu akukula, kuchuluka kwa magazi m'magazi anu kumasintha. Kukhala ndi pakati kumathandizanso kuti zizindikire zizindikilo za shuga wotsika magazi. Chifukwa chake muyenera kuwunika shuga wanu wamagazi nthawi zisanu ndi zitatu patsiku kuti muwonetsetse kuti mukukhazikika. Mutha kufunsidwa kuti mugwiritse ntchito kuwunika kwa glucose mosalekeza (CGM) panthawiyi.

Nazi zifukwa zomwe shuga amagawana pakati pa pakati:

• Kusala kudya: Osakwana 95 mg / dL
• Ola limodzi mutatha kudya: osakwana 140 mg / dL, OR
• Maola awiri mutadya: osakwana 120 mg / dL

Funsani omwe akukuthandizani kuti akwaniritse zomwe mukufuna komanso nthawi yayitali kuti muyese shuga wanu wamagazi.

Muyenera kugwira ntchito ndi katswiri wanu wazakudya kuti musamalire zomwe mumadya mukakhala ndi pakati kuti zikuthandizeni kupewa shuga wotsika kapena magazi. Katswiri wanu wa zamankhwala ayang'ananso kunenepa kwanu.

Amayi oyembekezera amafuna makilogalamu owonjezera 300 patsiku. Koma komwe ma calories awa amachokera kuzinthu. Kuti mukhale ndi chakudya choyenera, muyenera kudya zakudya zosiyanasiyana zabwino. Mwambiri, muyenera kudya:

• Zipatso zambiri ndi ndiwo zamasamba
• Mapuloteni ochepa komanso mafuta athanzi
• Mbewu zochepa, monga mkate, chimanga, pasitala, ndi mpunga, komanso masamba owuma, monga chimanga ndi nandolo
• Zakudya zochepa zomwe zimakhala ndi shuga wambiri, monga zakumwa zoziziritsa kukhosi, timadziti ta zipatso, ndi mitanda

Muyenera kudya chakudya chochepa chochepa pang'ono mpaka pang'ono komanso tsiku limodzi kapena angapo tsiku lililonse. Osadumpha chakudya ndi zokhwasula-khwasula. Sungani kuchuluka ndi mitundu ya chakudya (chakudya, mafuta, ndi mapuloteni) chimodzimodzi tsiku ndi tsiku. Izi zitha kukuthandizani kuti shuga wanu wamagazi akhazikike.

Wothandizira anu angathenso kupereka malingaliro otetezeka. Kuyenda nthawi zambiri kumakhala kosavuta kuchita masewera olimbitsa thupi, koma kusambira kapena zochitika zina zochepa zimathandizanso. Kuchita masewera olimbitsa thupi kungakuthandizeni kuti shuga wambiri wamagazi aziwongolera.

Ntchito ikhoza kuyamba mwachilengedwe kapena itha kuyamba. Wothandizira anu akhoza kupereka gawo la C ngati mwanayo ndi wamkulu. Wothandizira anu amayang'ana kuchuluka kwa shuga m'magazi anu mukamabereka.

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.

Mukafika kunyumba, muyenera kupitiliza kuyang'anitsitsa kuchuluka kwa shuga m'magazi anu. Kusagona, kusintha magawidwe akudya, ndi kuyamwitsa zonse zimatha kukhudza shuga. Chifukwa chake ngakhale muyenera kusamalira mwana wanu, ndikofunikira kuti mudzisamalire nokha.

Ngati mimba yanu sinakonzekere, kambiranani ndi omwe akukuthandizani nthawi yomweyo.

Itanani omwe akukuthandizani za mavuto otsatirawa okhudzana ndi matenda ashuga:

• Ngati simungathe kusunga shuga m'magazi anu mu chandamale
• Mwana wanu akuwoneka kuti akuyenda pang'ono m'mimba mwanu
• Mwasokoneza masomphenya
• Mumamva ludzu kwambiri kuposa masiku onse
• 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 - shuga; Matenda a shuga ndi mimba; Mimba ndi matenda ashuga

Bungwe la American Diabetes Association. 14. Kusamalira Matenda a Shuga Mimba. Miyezo Yachipatala mu Matenda A shuga. 2019; 42 (Wowonjezera 1): S165-S172. PMID: 30559240 www.ncbi.nlm.nih.gov/pubmed/30559240.

Malo Othandizira Kuteteza ndi Kuteteza tsamba lawebusayiti. Type 1 kapena Type 2 Shuga ndi Mimba. www.cdc.gov/pregnancy/diabetes-types.html. Idasinthidwa pa June 1, 2018. Idapezeka pa Okutobala 1, 2018.

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.

Nyuzipepala ya National Institute of Diabetes ndi Digestive and Impso. Mimba ngati muli ndi matenda ashuga. www.niddk.nih.gov/health-information/diabetes/diabetes-pregnancy. Idasinthidwa Januware, 2018. Idapezeka pa Okutobala 1, 2018.