Zomwe Muyenera Kudziwa Zokhudza Matenda a Matenda Akale Okupatsirana

Zamkati

• Kumvetsetsa matenda a shuga
• Zizindikiro za matenda ashuga
• Zomwe zimayambitsa komanso chiopsezo cha matenda ashuga
• Kuzindikira matenda ashuga
• Makalasi a matenda ashuga asanakwane
• Makalasi a matenda ashuga asanachitike
• Maphunziro a matenda ashuga
• Kuwunika ndikuchiza matenda ashuga asanakonzekere
• Zovuta zokhudzana ndi matenda ashuga panthawi yapakati
• Malangizo oti mukhale ndi pakati ngati muli ndi matenda ashuga
• Lankhulani ndi madokotala anu

Timaphatikizapo zinthu zomwe timaganiza kuti ndizothandiza kwa owerenga athu. Ngati mutagula maulalo omwe ali patsamba lino, titha kupeza ndalama zochepa. Nayi njira yathu.

Kumvetsetsa matenda a shuga

Matenda a shuga amayamba kupezeka mukakhala ndi mtundu wa 1 kapena mtundu wachiwiri wa shuga musanakhale ndi pakati. Matenda a shuga ali ndi makalasi asanu ndi anayi omwe amadalira msinkhu wanu pakuzindikira komanso zovuta zina zamatenda.

Gulu la matenda ashuga lomwe mwauza dokotala wanu za kuopsa kwa matenda anu. Mwachitsanzo, matenda anu ashuga ndi kalasi C ngati mudayamba nawo azaka zapakati pa 10 ndi 19. Matenda anu ashuga nawonso ali kalasi C ngati mwakhala ndi matendawa zaka 10 mpaka 19 ndipo mulibe zovuta zam'mimba.

Kukhala ndi shuga mukakhala ndi pakati kumawonjezera zovuta zina kwa inu ndi mwana wanu. Ngati muli ndi matenda ashuga, pakati panu pakufunika kuwunika kwina.

Zizindikiro za matenda ashuga

Zizindikiro za matenda ashuga ndi izi:

• ludzu kwambiri ndi njala
• kukodza pafupipafupi
• kusintha kwa kulemera
• kutopa kwambiri

Mimba imayambitsanso zizindikilo monga kukodza pafupipafupi komanso kutopa. Ndikofunika kuti muyang'anire kuchuluka kwa shuga wanu kuti muthandizireni komanso dokotala kuti adziwe chifukwa chake.

Zizindikiro zanu zidzakhudzana kwambiri ndi matenda anu a shuga komanso momwe mimba yanu ikuyendera.

Zomwe zimayambitsa komanso chiopsezo cha matenda ashuga

Mphunoyi imatulutsa insulini. Insulini imathandiza thupi lanu:

• gwiritsani shuga ndi zakudya zina kuchokera ku chakudya
• mafuta osungira
• kumanga mapuloteni

Ngati thupi lanu silitulutsa insulini yokwanira kapena kuligwiritsa ntchito mosayenera, ndiye kuti magazi anu m'magazi azikhala apamwamba kuposa momwe zimakhalira ndikukhudza momwe thupi lanu limagwirira ntchito.

Type 1 shuga

Mtundu wa shuga woyamba umachitika pamene kapamba wanu sangathe kutulutsa insulin. Zitha kuchitika pamene chitetezo chanu cha mthupi chimaukira molakwika kapamba wanu. Zitha kuchitika pazifukwa zosadziwika. Ochita kafukufuku sakudziwa chifukwa chake anthu amadwala matenda ashuga amtundu woyamba.

Mutha kukhala ndi matenda a shuga a mtundu woyamba ngati muli ndi mbiri yokhudza matendawa. Anthu omwe ali ndi matenda ashuga amtundu wa 1 nthawi zambiri amalandira matendawa akadali ana.

Type 2 matenda ashuga

Mtundu wachiwiri wa shuga ndi wofala kwambiri kuposa mtundu woyamba wa matenda ashuga. Zimayamba ndi kukana kwa insulin. Ngati mulibe insulin, ndiye kuti thupi lanu siligwiritsa ntchito insulini moyenera kapena silipanganso insulin yokwanira.

Kulemera kwambiri kapena kukhala ndi mbiri yakubadwa kwa matenda kumawonjezera chiopsezo chanu chotenga mtundu wachiwiri wa shuga. Kudya moperewera komanso kusachita masewera olimbitsa thupi kumawonjezeranso mwayi wanu wopeza matenda ashuga amtundu wa 2.

Kuzindikira matenda ashuga

Dokotala wanu adzayesa magazi mosiyanasiyana komanso kusala kudya kuti awathandize. Werengani zambiri zamayeso ashuga.

Amayi ena amangokhala ndi matenda ashuga nthawi yapakati. Izi zimatchedwa kuti gestational diabetes. Madokotala amawunika amayi apakati ambiri kuti ali ndi matenda ashuga monga gawo la chisamaliro chawo asanabadwe.

Makalasi a matenda ashuga asanakwane

Matenda a shuga amagawika, pomwe matenda ashuga amagawika m'magulu awiri.

Makalasi a matenda ashuga asanachitike

Otsatirawa ndi magulu a matenda ashuga asanachitike:

• Kuyamba kwa kalasi A matenda ashuga kumatha kuchitika msinkhu uliwonse. Mutha kuwongolera gulu la matendawa chifukwa chodya nokha.
• Matenda a shuga a m'kalasi B amapezeka ngati mwadwala matenda a shuga mutakwanitsa zaka 20, mwakhala ndi matenda ashuga osakwana zaka 10, ndipo mulibe zovuta zam'mimba.
• Matenda a shuga a m'kalasi C amapezeka ngati mudayamba nawo azaka zapakati pa 10 ndi 19. Matenda ashuga nawonso ali kalasi C ngati mwakhala ndi matendawa zaka 10 mpaka 19 ndipo mulibe zovuta zam'mimba.
• Matenda a shuga a m'kalasi D amapezeka ngati mukudwala matenda ashuga musanakwanitse zaka 10, mwakhala ndi matenda ashuga zaka zopitilira 20, ndipo muli ndi zovuta zam'mimba.
• Kalasi F matenda ashuga amapezeka ndi nephropathy, matenda a impso.
• Matenda a shuga a m'kalasi R amapezeka ndi matenda opatsirana pogonana, matenda a maso.
• Class RF imapezeka mwa anthu omwe ali ndi nephropathy komanso retinopathy.
• Matenda a shuga a m'kalasi T amapezeka mwa mayi yemwe adaikidwa impso.
• Matenda a shuga a m'kalasi H amapezeka ndi matenda amitsempha yamagazi (CAD) kapena matenda ena amtima.

Maphunziro a matenda ashuga

Ngati simunakhale ndi matenda ashuga musanakhale ndi pakati, mumakhala ndi matenda ashuga.

Gestational shuga ili ndi magulu awiri. Mutha kuwongolera gulu la shuga la A1 kudzera pazakudya zanu. Ngati muli ndi matenda ashuga a kalasi A2, muyenera insulini kapena mankhwala am'kamwa kuti muchepetse.

Gestational matenda a shuga nthawi zambiri amakhala osakhalitsa, koma zimawonjezera mwayi wanu wopeza matenda amtundu wa 2 mtsogolo.

Kuwunika ndikuchiza matenda ashuga asanakonzekere

Mukakhala ndi pakati, mufunika kuwunika kwambiri matenda ashuga.

Zikuwoneka kuti mudzawona OB-GYN wanu, endocrinologist, komanso mwina perinatologist. A perinatologist ndi katswiri wamankhwala a amayi apakati.

Pali njira zosiyanasiyana zomwe zingayang'anire ndi kuchiza matenda ashuga asanachitike:

• Chinthu choyamba muyenera kuchita mukakhala ndi pakati ndikupita mndandanda wazakumwa ndi dokotala wanu. Mankhwala ena sangakhale otetezeka ndikumwa.
• Mudzakhalabe ndi insulini, koma mungafunikire kusintha mlingowu mukakhala ndi pakati.
• Kuwunika kuchuluka kwa magazi m'magazi ndichofunikira kwambiri. Izi zikutanthauza kuyesa magazi pafupipafupi komanso mkodzo.
• Dokotala wanu adzakudziwitsani momwe mungasinthire zakudya zanu komanso zomwe mungachite bwino inuyo ndi mwana wanu.
• Dokotala wanu amatha kugwiritsa ntchito kujambula kwa ultrasound kuti muwone kugunda kwa mtima wa mwana wanu, mayendedwe ake, ndi kuchuluka kwa amniotic fluid.
• Matenda ashuga amachepetsa kukula kwamapapu amwana wanu. Dokotala wanu amatha kupanga amniocentesis kuti aone kukula kwa mapapo a mwana wanu.
• Thanzi lanu, thanzi la mwana wanu, ndi kulemera kwa mwana wanu kumamuthandiza dokotala kudziwa ngati mungathe kuperekera kumaliseche kapena ngati mungalepheretse kubereka.
• Dokotala wanu adzapitiliza kuyang'anira kuchuluka kwa magazi m'magazi anu nthawi yobereka. Zosowa zanu za insulini zimasinthanso mukabereka.

Gulani glucose yamagazi kunyumba kapena kuyesa mkodzo wakunyumba.

Zovuta zokhudzana ndi matenda ashuga panthawi yapakati

Amayi ambiri omwe ali ndi matenda ashuga amanyamula ndikubereka ana athanzi popanda zovuta zina. Komabe, ngati muli ndi matenda ashuga, inu ndi mwana wanu mumakhala pachiwopsezo chachikulu chazovuta. Ndikofunika kudziwa za iwo.

Zovuta zomwe zingakhudze mayi ali ndi pakati ndi awa:

• kwamikodzo, chikhodzodzo, ndi matenda ukazi
• kuthamanga kwa magazi, kapena preeclampsia; vutoli limatha kuyambitsa vuto la impso ndi chiwindi
• kukulirakulira kwa mavuto amaso okhudzana ndi matenda ashuga
• kukulirakulira kwa mavuto a impso okhudzana ndi matenda ashuga
• kubereka kovuta
• chosowa chobayira

Kuchuluka kwa shuga, makamaka m'nthawi ya trimester yoyamba, kumatha kuonjezera chiopsezo cha zolepheretsa kubadwa. Zovuta zomwe zingakhudze mwana ndi monga:

• kupita padera
• kubadwa msanga
• kulemera kwambiri
• shuga wotsika magazi, kapena hypoglycemia, pakubadwa
• chikasu cha khungu, kapena jaundice
• kupuma movutikira
• zolepheretsa kubadwa, kuphatikizapo zopindika za mtima, mitsempha ya magazi, ubongo, msana, impso, ndi njira yogaya chakudya
• kubala mwana

Malangizo oti mukhale ndi pakati ngati muli ndi matenda ashuga

Ngati muli ndi matenda ashuga, kuwunika thanzi lanu kudzakhala kofunikira kwambiri mukasankha kukhala ndi mwana. Mukangoyamba kukonzekera, ndibwino. Tsatirani malangizo omwe ali pansipa kuti mukhale ndi pakati.

Lankhulani ndi madokotala anu

• Onani wanu endocrinologist ndi OB-GYN wanu kuti muwonetsetse kuti muli ndi thanzi labwino komanso matenda anu ashuga ali m'manja. Kusunga matenda a shuga moyenera kwa miyezi ingapo musanatenge mimba kumatha kuchepetsa ngozi kwa inu ndi mwana wanu.
• Uzani dokotala wanu za mankhwala onse ndi zowonjezera zomwe mukugwiritsa ntchito pano. Ngati muli ndi pakati, auzeni zamankhwala onse ndi zowonjezera zomwe mudatenga kuyambira pomwe mudakhala ndi pakati.
• Folic acid imathandizira kulimbikitsa kukula ndi chitukuko. Funsani dokotala ngati muyenera kumwa folic acid kapena mavitamini ena apadera.
• Tengani mavitamini asanabadwe ngati dokotala akuvomereza.
• Funsani dokotala wanu za zolinga zanu zenizeni za shuga.
• Onaninso dokotala wanu nthawi yomweyo mukamaganiza kuti muli ndi pakati. Onetsetsani kuti madokotala anu amalankhulana.
• Sungani maimidwe onse asanabadwe.
• Uzani dokotala wanu za zachilendo chilichonse nthawi yomweyo.

Gulani mavitamini asanabadwe.

Tsatirani zizolowezi zabwino pamoyo wanu

• Khalani ndi chakudya chopatsa thanzi chomwe chimaphatikizapo masamba osiyanasiyana, mbewu zonse, ndi zipatso. Sankhani zamkaka zopanda nonfat. Pezani mapuloteni ngati nyemba, nsomba, ndi nyama zowonda. Kuwongolera magawo ndikofunikanso.
• Muzichita masewera olimbitsa thupi tsiku lililonse.
• Onetsetsani kuti mukugona mokwanira usiku uliwonse.

Khalani okonzeka

• Ganizirani kuvala chibangili chachizindikiro chamankhwala chomwe chikuwonetsa kuti muli ndi matenda ashuga.
• Onetsetsani kuti mnzanu, mnzanu, kapena winawake wapafupi akudziwa zoyenera kuchita ngati mwadwala mwadzidzidzi.