Kuyezetsa magazi poyesa kutenga mimba

Kuyezetsa magazi ndikuyezetsa mwachizolowezi panthawi yoyembekezera komwe kumawunika kuchuluka kwa shuga (shuga) wa mayi wapakati.

Gestational shuga ndi shuga wambiri m'magazi (matenda ashuga) omwe amayamba kapena amapezeka panthawi yapakati.

KUYESA KWA MBIRI

Pachigawo choyamba, mudzayesedwa kuyezetsa magazi:

• Simuyenera kukonzekera kapena kusintha zakudya zanu mwanjira iliyonse.
• Mudzafunsidwa kumwa zakumwa zomwe zili ndi shuga.
• Magazi anu adzakokedwa ola limodzi mutamwa kumwa shuga kuti muwone kuchuluka kwa shuga wamagazi.

Ngati shuga m'magazi anu kuyambira gawo loyamba ndilokwera kwambiri, muyenera kubwerera kuti mukayese mayeso a ola limodzi la ola limodzi. Pachiyeso ichi:

• Musadye kapena kumwa chilichonse (kupatula kupopera madzi) kwa maola 8 mpaka 14 musanayezedwe. (Inunso simungadye nthawi ya mayeso.)
• Mudzafunsidwa kumwa zakumwa zomwe zili ndi shuga, magalamu 100 (g).
• Mudzakoka magazi musanamwe madziwo, komanso kangapo katatu pakatha mphindi 60 zilizonse mutamwa. Nthawi iliyonse, kuchuluka kwa magazi m'magazi anu kumayang'aniridwa.
• Lolani osachepera maola atatu kuti ayesedwe.

KUYESA-STEPI YIMODZI

Muyenera kupita ku labu nthawi imodzi kuti mukayesedwe kwa ola limodzi la maora awiri. Pachiyeso ichi:

• Musadye kapena kumwa chilichonse (kupatula kupopera madzi) kwa maola 8 mpaka 14 musanayezedwe. (Inunso simungadye nthawi ya mayeso.)
• Mufunsidwa kuti muzimwa madzi omwe ali ndi shuga (75 g).
• Mudzatengedwa magazi musanamwe madziwo, komanso kangapo kawiri pamphindi 60 zilizonse mutamwa. Nthawi iliyonse, kuchuluka kwa magazi m'magazi anu kumayang'aniridwa.
• Lolani osachepera maola awiri kuti ayesedwe.

Pama mayeso onse awiri kapena gawo limodzi, idyani chakudya chanu chachizolowezi masiku asanakwane mayeso anu. Funsani wothandizira zaumoyo wanu ngati mankhwala omwe mungamwe angakhudze zotsatira zanu.

Amayi ambiri samakhala ndi zovuta zoyesedwa ndi kulolerana kwa shuga. Kumwa njira yothetsera shuga ndikofanana ndi kumwa koloko wokoma kwambiri. Amayi ena amatha kumva kunyoza, kutuluka thukuta, kapena kumutu mopepuka atamwa mankhwala a shuga. Zotsatira zoyipa zoyesazi sizachilendo.

Kuyesaku kumayang'ana matenda a shuga. Amayi ambiri apakati amayesedwa mayeso a shuga pakati pa milungu 24 ndi 28 ya mimba. Mayesowa amatha kuchitidwa kale ngati muli ndi shuga wambiri mumkodzo wanu mukamapita pafupipafupi, kapena ngati muli ndi chiopsezo chachikulu cha matenda ashuga.

Amayi omwe ali ndi chiopsezo chochepa cha matenda ashuga sangayesedwe. Kukhala pachiwopsezo chochepa, zonsezi ziyenera kukhala zowona:

• Simunakhaleko ndi mayeso omwe adawonetsa kuti magazi m'magazi anu anali apamwamba kuposa zachibadwa.
• Fuko lanu lili ndi chiopsezo chochepa chodwala matenda ashuga.
• Mulibe achibale oyamba (kholo, m'bale, kapena mwana) omwe ali ndi matenda ashuga.
• Ndinu ochepera zaka 25 ndipo muli ndi thupi lolemera.
• Simunakhale ndi zotsatirapo zoyipa mukakhala ndi pakati koyambirira.

KUYESA KWA MBIRI

Nthawi zambiri, zotsatira zoyeserera poyesa shuga ndimashuga amwazi omwe amafanana kapena ochepera 140 mg / dL (7.8 mmol / L) ola limodzi mutamwa mowa. Zotsatira zabwinobwino zikutanthauza kuti mulibe matenda ashuga.

Chidziwitso: mg / dL amatanthauza mamiligalamu pa desilita imodzi ndipo mmol / L amatanthauza millimoles pa lita imodzi.Izi ndi njira ziwiri zosonyezera kuchuluka kwa shuga m'magazi.

Ngati magazi anu amagazi ndiwoposa 140 mg / dL (7.8 mmol / L), gawo lotsatira ndikoyesa kulekerera kwa shuga. Mayesowa awonetsa ngati muli ndi matenda ashuga. Amayi ambiri (pafupifupi awiri mwa atatu) omwe amayesedwa samadwala matenda ashuga.

KUYESA-STEPI YIMODZI

Ngati kuchuluka kwanu kwa glucose ndikotsika poyerekeza ndi zovuta zomwe zafotokozedwa pansipa, mulibe matenda ashuga.

KUYESA KWA MBIRI

Mwazi wosazolowereka woyeserera kwa ola limodzi la 100-gramu 100 yolekerera magazi ndi awa:

• Kusala kudya: wamkulu kuposa 95 mg / dL (5.3 mmol / L)
• Ola limodzi: wamkulu kuposa 180 mg / dL (10.0 mmol / L)
• Ola 2: kuposa 155 mg / dL (8.6 mmol / L)
• Ola la 3: kuposa 140 mg / dL (7.8 mmol / L)

KUYESA-STEPI YIMODZI

Mwazi wosazolowereka woyeserera kwa ola limodzi la 75-gramu 75 yolekerera glucose ndi:

• Kusala kudya: wamkulu kuposa 92 mg / dL (5.1 mmol / L)
• Ola limodzi: wamkulu kuposa 180 mg / dL (10.0 mmol / L)
• Ola 2: kuposa 153 mg / dL (8.5 mmol / L)

Ngati magazi anu amodzi am'magazi amabweretsa kuyezetsa magazi pakamwa ndikoposa momwe zimakhalira, omwe amakupatsani angakuuzeni kuti musinthe zakudya zina zomwe mumadya. Kenako, omwe amakupatsani akhoza kukuyesaninso mutasintha zakudya zanu.

Ngati gawo limodzi mwazotsatira zamagulu anu m'magazi ndizoposa zachilendo, muli ndi matenda ashuga.

Mutha kukhala ndi zina mwazizindikiro zomwe tazitchula pamwambapa pamutu wakuti "Momwe Muyeso Udzamverere."

Pali chiopsezo chochepa chotenga magazi anu. Mitsempha ndi mitsempha imasiyana mosiyanasiyana kuchokera pa munthu wina kupita kwina komanso kuchokera mbali imodzi ya thupi kupita mbali inayo. Kutenga magazi kwa anthu ena kumatha kukhala kovuta kuposa ena.

Zowopsa zina zomwe zimakoka magazi ndi zochepa, koma mwina ndi izi:

• Kutaya magazi kwambiri
• Kukomoka kapena kumva mopepuka
• Ma punctures angapo kuti mupeze mitsempha
• Hematoma (magazi omanga pansi pa khungu)
• Kutenga (chiopsezo chochepa nthawi iliyonse khungu likasweka)

Mayeso apakhungu olekerera shuga - mimba; OGTT - mimba; Mayeso a zovuta za glucose - mimba; Gestational shuga - kuyezetsa magazi

Bungwe la American Diabetes Association. 2. Gulu ndi Kuzindikira Matenda a Shuga: Miyezo Ya Chithandizo Cha Zamankhwala Mu Shuga-2020. Chisamaliro cha shuga. 2020; 43 (Suppl 1): S14-S31. PMID: 31862745 adasankhidwa.ncbi.nlm.nih.gov/31862745/.

Komiti Yazochita Zolemba - Zobereka. Yesetsani Bulletin No. 190: Gestational shuga mellitus. Gynecol Woletsa. 2018; 131 (2): e49-e64. PMID: 29370047 adasankhidwa.ncbi.nlm.nih.gov/29370047/.

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.

Moore TR, Hauguel-De Mouzon S, Catalono P. Matenda ashuga ali ndi pakati. Mu: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, olemba. Creasy ndi Resnik's Maternal-Fetal Medicine: Mfundo ndi Kuchita. 8th ed. Philadelphia, PA: Elsevier; 2019: mutu 59.