Gestational shuga: chomwe chiri, zoyambitsa, chithandizo ndi zoopsa

Zamkati

• Zizindikiro zazikulu
• Zomwe zimayambitsa matenda ashuga
• Momwe mankhwalawa amachitikira
• 1. Chakudya cha matenda ashuga
• 2. Kuyeserera zolimbitsa thupi
• 3. Kugwiritsa ntchito mankhwala
• Zowopsa za kutenga mimba
• Momwe mungapewere matenda ashuga

Gestational shuga nthawi zambiri imayamba pafupi ndi 3 trimester ya mimba chifukwa cha insulin kukana kuyambitsidwa ndi mahomoni amimba. Matenda amtunduwu nthawi zambiri amasowa akabereka ndipo samayambitsa matenda, ngakhale nthawi zina, kusawona bwino komanso ludzu zimatha kuchitika.

Chithandizo chake chiyenera kuyambika panthawi yomwe ali ndi pakati ndi chakudya chokwanira kapena kugwiritsa ntchito mankhwala, monga otsekemera am'kamwa kapena insulin, kutengera kuchuluka kwa shuga m'magazi.

Matenda a shuga amachiritsidwa nthawi zonse akabereka, komabe, ndikofunikira kutsatira moyenera chithandizo chofunidwa ndi adotolo, popeza pali chiopsezo chachikulu chotenga mtundu wa 2 wa matenda ashuga pafupifupi zaka 10 mpaka 20 komanso kuvutika nawo. shuga mu mimba ina.

Zizindikiro zazikulu

Matenda ambiri a matenda ashuga samapangitsa kuti zizindikilo zizioneka, koma nthawi zina chiwonjezeko cha njala, kunenepa, chilakolako chofuna kukodza, kusawona bwino, ludzu lambiri komanso matenda am'mikodzo pafupipafupi amatha kuzindikirika. Onani zizindikiro zina za matenda ashuga.

Popeza zizindikilozi ndizofala pakakhala pakati, dokotala ayenera kuyitanitsa mayeso a shuga osachepera katatu panthawi yomwe ali ndi pakati, nthawi zambiri amakhala mayeso oyamba sabata la 20 lokhala ndi pakati. Pofuna kutsimikizira kuti matenda a shuga amapezeka bwanji, dokotala nthawi zambiri amalimbikitsa kuti azichita mayeso a glycemic curve kuti awone kuchuluka kwa shuga pakapita nthawi.

Zomwe zimayambitsa matenda ashuga

Gestational shuga imapezeka nthawi zambiri m'gawo lachitatu la mimba ndipo imakhudzana kwambiri ndi kukana kwa insulin komwe kumachitika chifukwa cha kuchuluka kwa mahomoni okhudzana ndi pakati.

Izi ndichifukwa choti m'nthawi yachitatu ya mimba pamakhala chiwonjezeko chazakudya zofunikira, kotero kuti mayi ayambe kudya chakudya chambiri kuti apereke shuga wokwanira woyenera kwa mwanayo, pomwe nthawi yomweyo amawongolera shuga wamagazi ndi insulin.

Komabe, chifukwa cha mahomoni oyembekezera, kutulutsa kwa insulin ndi kapamba kumatha kuponderezedwa, kotero kuti chiwalo ichi sichitha kukulitsa kuchuluka kwa insulin yopangidwa, yomwe imayambitsa shuga wambiri m'magazi, zomwe zimayambitsa matenda a shuga .

Izi zimachitika pafupipafupi kwa azimayi omwe ali ndi zaka zopitilira 35, onenepa kwambiri kapena onenepa kwambiri, ali ndi mafuta ochulukirapo m'mimba, amafupika msinkhu kapena ali ndi matenda a ovary a polycystic.

Momwe mankhwalawa amachitikira

Chithandizo cha matenda opatsirana pogonana chimalimbikitsa kulimbikitsa thanzi la mayi ndi mwana, kupewa zovuta monga kulemera kochepera kwa msinkhu wamisala komanso kupuma ndi zovuta zamagetsi, mwachitsanzo.Ndikofunikira kuti chithandizo chizichitika motsogozedwa ndi katswiri wazakudya, wobereka komanso endocrinologist kuti kuwongolera kwa glycemic kugwire bwino ntchito.

Chithandizo cha matenda ashuga oberekera chiyenera kuchitika posintha kadyedwe ndi zochitika zolimbitsa thupi kuti magulu a shuga azitha kuwongoleredwa:

1. Chakudya cha matenda ashuga

Zakudya mu matenda ashuga oyembekezera ziyenera kutsogozedwa ndi katswiri wazakudya kuti pasakhale zoperewera kwa mayi kapena mwana. Chifukwa chake, tikulimbikitsidwa kuti amayi apakati adye zakudya zokhala ndi kagayidwe kochepa ka glycemic, monga zipatso zosasenda, komanso kuchepetsa kuchuluka kwa shuga ndi chakudya chosavuta mu zakudya.

Tikulimbikitsidwa kuti tisankhe zakudya zomwe zili ndi mavitamini ochepa kapena zomwe zili ndi chakudya chambiri, zomwe ndizomwe zili ndi vuto la glycemic chifukwa chokwera kwambiri kwa fiber. Chifukwa chake, mwina kungalimbikitsidwe kuti amayi apakati amadya mbewu zonse, nyama, nsomba, mbewu zamafuta, mkaka ndi zotumphukira ndi mbewu. Onani zambiri zakudya m'thupi la matenda ashuga.

Ndikofunikira kuti shuga wamagazi ayesedwe pamimba yopanda kanthu komanso mukatha kudya, chifukwa ndizotheka kuti mayi wapakati komanso adotolo amatha kuwongolera magazi m'magazi, kuphatikiza kuti, malinga ndi magulu a shuga, wodyetsa zakudya angasinthe dongosolo la kudya.

Onaninso kanema wotsatirawu kuti mumve zambiri pazakudya za matenda a shuga:

2. Kuyeserera zolimbitsa thupi

Kuchita masewera olimbitsa thupi ndikofunikira kuti mukhale ndi thanzi la mayi wapakati komanso kuti shuga azizungulira moyenera. Mchitidwe wochita masewera olimbitsa thupi ndiwotetezeka ngati palibe zomwe zingaike pachiwopsezo moyo wa mayi kapena mwana zidziwike. Chifukwa chake, ndikofunikira kuti machitidwewo ayambe pambuyo povomerezedwa ndi azachipatala komanso kuti amachitika motsogozedwa ndi katswiri wazophunzitsa zolimbitsa thupi.

Kuchita masewera olimbitsa thupi kwa amayi apakati omwe ali ndi matenda ashuga okhudzana ndi matenda a shuga kumalimbikitsa kuchepa kwa kusala kwa shuga komanso mukatha kudya, osafunikira kugwiritsa ntchito insulini kuti muchepetse kuzungulira kwa shuga.

Ngakhale amaonedwa kuti ndi otetezeka, amayi apakati amafunika kukhala osamala asanachite zolimbitsa thupi, komanso atamaliza kuchita masewera olimbitsa thupi, monga kudya china musanachite masewera olimbitsa thupi, kumwa madzi musanachite masewera olimbitsa thupi, nthawi yayitali komanso itatha, kuwonetsetsa kukula kwa masewera olimbitsa thupi ndikuwonetsetsa mawonekedwe a chizindikiro chilichonse kapena chizindikiro chomwe chikuwonetsa kusokonezeka kwa masewera olimbitsa thupi, monga kutuluka magazi kumaliseche, kufinya kwa chiberekero, kutayika kwa amniotic fluid, kufooka kwa minofu ndi kupuma movutikira musanachite masewera olimbitsa thupi.

3. Kugwiritsa ntchito mankhwala

Kugwiritsa ntchito mankhwala nthawi zambiri kumawonetsedwa ngati matenda a shuga ali osalamulirika ndipo kuchuluka kwa shuga m'magazi kumayimira chiopsezo chachikulu kwa mayi wapakati ndi mwana wake, komanso pamene milingo ya shuga siyimasintha ngakhale pakudya komanso kuchita masewera olimbitsa thupi mosiyanasiyana.

Chifukwa chake, adotolo amalimbikitsa kugwiritsa ntchito mankhwala opatsirana pogwiritsira ntchito mankhwala osokoneza bongo kapena insulin, zomwe ziyenera kulimbikitsidwa ndi adotolo ndikugwiritsa ntchito molingana ndi malangizo ake. Ndikofunika kuti mayiyo amwe kuyeza kwa magazi tsiku ndi tsiku komanso munthawi zomwe adokotala awonetsa kuti zitha kutsimikiziridwa ngati chithandizo chikugwiradi ntchito.

Zowopsa za kutenga mimba

Zovuta za matenda ashuga okhudzana ndi kutenga pakati zimakhudza amayi apakati kapena mwana, omwe atha kukhala:

Zowopsa izi zitha kuchepetsedwa ngati mayi atsatira chithandizocho moyenera, chifukwa chake, mayi wapakati yemwe ali ndi vuto la matenda ashuga ayenera kutsatiridwa ndi chiopsezo chotenga msanga asanabadwe.

Momwe mungapewere matenda ashuga

Matenda a shuga a m'mimba sangathe kupewedwa nthawi zonse chifukwa amadza chifukwa cha kusintha kwa mahomoni omwe ali ndi pakati, komabe, chiopsezo chokhala ndi matenda ashuga amatha kuchepetsedwa ndi:

• Khalani ndi kulemera koyenera musanakhale ndi pakati;
• Chitani chisamaliro chobereka;
• Lonjezerani kulemera pang'onopang'ono komanso pang'onopang'ono;
• Idyani wathanzi komanso
• Yesetsani kuchita masewera olimbitsa thupi.

Matenda ashuga amatha kubadwa mwa amayi apakati opitilira zaka 25, onenepa kwambiri kapena mayi wapakati akakhala kuti sakufuna shuga. Komabe, imathanso kukula mwa azimayi achichepere kapena azimayi olemera chifukwa chakusintha kwama mahomoni.