Kodi Mungapewe matenda ashuga am'mimba?

Zamkati

• Kodi ndi zoopsa ziti zomwe zimayambitsa matenda ashuga?
• Kodi ndingatani kuti ndichepetse chiopsezo cha matenda ashuga?
• Kodi pali kugwirizana kotani pakati pa matenda a shuga ndi insulin?
• Kodi Zizindikiro Za Matenda a Shuga?
• Kodi matenda a shuga amapezeka bwanji?
• Kodi matenda ashuga amachitidwa bwanji?
• Kodi shuga yanga yamagazi imayesedwa kangati?
• Kodi matenda ena a shuga angakhudze bwanji kutenga mimba kwanga?
• Kodi chiyembekezo cha matenda ashuga okhudzana ndi matendawa chimakhala chotani?
• Mafunso ndi mayankho
• Funso:
• Yankho:

Kodi matenda ashuga otani?

Gestational shuga ndichikhalidwe chakanthawi chomwe chitha kuchitika mukakhala ndi pakati. Ngati muli ndi vuto la matenda ashuga, zikutanthauza kuti muli ndi shuga wambiri kuposa momwe mumakhalira mukakhala ndi pakati.

Matenda a shuga amakhudza pafupifupi 2 mpaka 10 peresenti ya mimba ku United States, malinga ndi Centers for Disease Control and Prevention.

Ngati muli ndi matenda ashuga obereka, ndikofunika kulandira chithandizo mwachangu chifukwa zimatha kubweretsa zovuta m'thupi lanu komanso la mwana wanu.

Zomwe zimayambitsa matenda a shuga sizimvetsetsedwa bwino ndipo sizingapewereke kwathunthu. Koma mutha kuchepetsa chiopsezo chanu chokhala nacho. Pitirizani kuwerenga kuti mudziwe zambiri za vutoli komanso zomwe mungachite kuti muchepetse chiopsezo chanu.

Kodi ndi zoopsa ziti zomwe zimayambitsa matenda ashuga?

Gestational shuga imalumikizidwa ndi zoopsa zosiyanasiyana, kuphatikizapo:

• kukhala wazaka zopitilira 25
• kukhala wonenepa kwambiri
• kukhala ndi wachibale wapafupi ndi matenda a shuga amtundu wa 2
• kukhala ndi zovuta zomwe zimayambitsa kukana kwa insulin, monga polycystic ovarian syndrome (PCOS) ndi vuto la khungu acanthosis nigricans
• kukhala ndi kuthamanga kwa magazi musanatenge mimba
• kukhala ndi vuto la matenda ashuga panthawi yomwe anali ndi pakati
• kunenepa kwambiri panthawi yapakati kapena yapita
• kutenga glucocorticoids
• kukhala ndi pakati pochulukitsa, monga mapasa kapena atatu

Mitundu ina ili pachiwopsezo chachikulu chotenga matenda ashuga, kuphatikiza:

• Anthu aku Africa-America
• Anthu aku Asia-America
• Zamatsenga
• Amwenye Achimereka
• Anthu Akuzilumba za Pacific

Kodi ndingatani kuti ndichepetse chiopsezo cha matenda ashuga?

Njira yabwino yochepetsera chiopsezo cha matenda ashuga ndikukhala wathanzi ndikukonzekeretsa thupi lanu kuti mukhale ndi pakati.

Ngati mukulemera kwambiri, mutha kuchita izi kuti mukonzekere kutenga pakati:

• Yesetsani kukonza zakudya zanu ndi kudya zakudya zabwino.
• Khazikitsani chizolowezi chochita masewera olimbitsa thupi.
• Ganizirani za kuchepa thupi.

Lankhulani ndi dokotala wanu za njira yabwino kwambiri yochepera thupi, chifukwa ngakhale mapaundi ochepa atha kusintha kusiyana kwanu pachiwopsezo cha matenda ashuga.

Ngati simukuchita kanthu, mosasamala kanthu kuti ndinu onenepa kapena ayi, muyenera kuyesetsanso kuchita masewera olimbitsa thupi katatu pamlungu. Muzichita masewera olimbitsa thupi kwa mphindi 30. Muzidya zakudya zopatsa thanzi zomwe zimayang'ana masamba, zipatso, ndi mbewu zonse.

Mukakhala ndi pakati, musayese kuchepetsa thupi pokhapokha dokotala atavomereza. Phunzirani momwe mungachepetsere thupi bwinobwino ngati muli onenepa komanso muli ndi pakati.

Ngati mudakhalapo ndi matenda ashuga pa nthawi yapakati ndipo mukukonzekera kudzakhalanso ndi pakati, uzani dokotala wanu. Adzawonetsetsa koyambirira kuti adziwe zomwe zili pachiwopsezo ndikuonetsetsa kuti muli ndi pakati.

Kodi pali kugwirizana kotani pakati pa matenda a shuga ndi insulin?

Mitundu yonse ya matenda ashuga imafanana ndi hormone insulin. Imayang'anira kuchuluka kwa shuga m'magazi anu polola kuti shuga isunthe m'magazi ndikulowa m'maselo anu.

Kusakwanira kwa insulini kapena kugwiritsa ntchito insulini mopanda tanthauzo ndi maselo amthupi lanu kumabweretsa milingo yambiri yamagazi m'magazi. Mukayamba kunenepa, thupi lanu limagwiritsa ntchito insulini moyenera, chifukwa chake limafunikira kutulutsa zochulukirapo kuti lizitha kuyendetsa shuga m'magazi anu. Dziwani zambiri za zotsatira za insulin.

Kuphatikiza apo, mukakhala ndi pakati placenta yanu imatulutsa ma hormone oteteza insulin. Izi zimapangitsa shuga kukhala m'magazi anu nthawi yayitali mutadya. Mwana wanu amapeza zakudya zamagazi m'magazi anu, motero zimapindulitsa panthawi yoyembekezera kuti michere ikhale m'magazi anu nthawi yayitali kuti mwana wanu azitha kuzipeza. Kuchuluka kwa insulin kukana ndikwabwino panthawi yapakati.

Magulu anu a shuga amatha kukwera kwambiri panthawi yapakati ngati:

• munali osamva mankhwala a insulin musanakhale ndi pakati
• magazi anu a shuga anali atakwera kale asanakhale ndi pakati
• muli ndi zifukwa zomwe zimakupatsani chiopsezo chachikulu chokhala osagwiritsa ntchito insulin

Magazi anu akachuluka kwambiri, mudzapezeka kuti muli ndi matenda ashuga.

Kodi Zizindikiro Za Matenda a Shuga?

Nthawi zambiri, simudzakhala ndi zidziwitso zilizonse za matenda a shuga. Amayi ena amatha kukhala ndi zizindikiro zochepa monga:

• kutopa
• ludzu lokwanira
• kuchulukitsa kwamkodzo komanso pafupipafupi
• kukuwa
• kuchulukitsa kunenepa

Komabe, matenda ashuga obereka angapangitse chiopsezo cha zovuta zina.

Chimodzi mwazovuta kwambiri ndi preeclampsia, yomwe imayambitsa kuthamanga kwa magazi ndipo imatha kupha ngati singachiritsidwe mwachangu.

Gestational shuga imagwirizananso ndi macrosomia, vuto lomwe mwana wanu amakula kwambiri. Macrosomia imalumikizidwa ndi chiopsezo chachikulu chobwezera mwadzidzidzi.

Gestational shuga amathanso kupangitsa kuti mwana wanu azikhala ndi magazi ochepa pakubadwa. Mukakhala ndi matenda ashuga osayang'aniridwa bwino, mwana wanu amakhala pachiwopsezo chobadwa ndi mwana.

Kodi matenda a shuga amapezeka bwanji?

Popeza kuti matenda ashuga obereka nthawi zambiri samakhala ndi zizindikilo zilizonse, amadziwika ndi kuyesa magazi. Dokotala wanu amalamula kuti mukayezetse mayeso okhudzana ndi matenda ashuga mukamayesetsa kutenga nawo gawo lachiwiri. Ngati muli ndi zifukwa zina zoopsa, mungayesedwe koyambirira koyambirira kwa trimester yanu yoyamba.

Kuwunika kumatha kuchitika m'njira imodzi mwanjira ziwiri. Yoyamba amatchedwa kuyesa mayeso a glucose (GCT). Mukamayesedwa, mumamwa mankhwala otsekemera ndi kutenga magazi patatha ola limodzi. Simuyenera kuchita kusala mayeso. Zotsatira izi zikakwezedwa, muyenera kuyesa mayeso a shuga kwa maola atatu.

Njira yachiwiri yoyesera ndi kuyesa kulolerana ndi shuga (OGTT). Mukamayesedwa, muyenera kusala kudya ndikukoka magazi. Kenako mudzamwa mankhwala otsekemera, ndipo magazi anu aziyendera magazi ola limodzi ndi maola awiri pambuyo pake. Ngati imodzi mwazotsatirazi yakwera, mudzapezeka kuti muli ndi matenda ashuga.

Kodi matenda ashuga amachitidwa bwanji?

Amayi ambiri amatha kuthana ndi vuto la matenda ashuga kudzera pakudya ndi kuchita masewera olimbitsa thupi, zomwe zitha kukhala zothandiza pakuchepetsa shuga.

Muyenera kulipira mwapadera zomwe zimadya chakudya chambiri ndi magawo anu. Ndikofunikanso kuti mupewe kudya kapena kumwa zinthu zina, kuphatikizapo mowa, zakudya zopangidwa ndi zothandizidwa, ndi sitashi monga mbatata zoyera ndi mpunga woyera. Onani mndandanda wazakudyawu maupangiri ena pazomwe mungadye komanso zomwe simungadye ngati mukudwala matenda ashuga.

Dokotala wanu amalangiza dongosolo la chakudya ndi nthawi yochitira masewera olimbitsa thupi. Zochita zomwe zili zotetezeka panthawi yoyembekezera ndi monga:

• Ma Pilates
• yoga
• kuyenda
• kusambira
• kuthamanga
• kuphunzitsa kulemera

Muyeneranso kuwunika kuchuluka kwa shuga wamagazi kuti shuga wanu asakhale wokwera kwambiri.

Ngati zakudya ndi masewera olimbitsa thupi zokha sizothandiza, mungafunikire kumwa insulin.

Kodi shuga yanga yamagazi imayesedwa kangati?

Dokotala wanu amayesa kuchuluka kwa shuga m'magazi anu nthawi yonse yomwe muli ndi pakati, ndipo muyenera kuyesa kuchuluka kwanu tsiku lililonse kunyumba.

Kuti muchite izi, mugwiritsa ntchito singano yaying'ono kuti mutengeko magazi pachala chanu, chomwe mudzayika pamayeso oyeserera mumiyuzi yamagazi. Dokotala wanu angakuuzeni kuchuluka kwa nambala yomwe muyenera kuyang'ana. Ngati shuga wanu ndiwokwera kwambiri, itanani dokotala wanu nthawi yomweyo.

Kuphatikiza pa kuyesa kunyumba, mudzakhala mukuchezera dokotala wanu pafupipafupi ngati mukudwala matenda ashuga. Dokotala wanu angafune kuyesa kuchuluka kwama glucose anu muofesi kamodzi pamwezi kuti atsimikizire kuwerenga kwanu kunyumba.

Kodi matenda ena a shuga angakhudze bwanji kutenga mimba kwanga?

Mutha kukhala ndi ma ultrasound pafupipafupi kuti muwone kukula kwa mwana wanu. Dokotala wanu akhoza kuyesa mayeso osapanikizika kuti awonetsetse kuti kugunda kwa mtima wa mwana wanu kukuwonjezeka akagwira ntchito.

Dokotala wanu angakulimbikitseninso kutengeka ngati ntchito siyiyamba patsiku lanu. Izi ndichifukwa choti kubereka pambuyo posachedwa kumatha kukulitsa zoopsa mukakhala ndi matenda ashuga.

Kodi chiyembekezo cha matenda ashuga okhudzana ndi matendawa chimakhala chotani?

Gestational shuga nthawi zambiri imatha yokha ukangobereka. Dokotala wanu adzakuyesani magazi anu m'masabata 6 mpaka 12 mutabereka mwana kuti awonetsetse kuti milingo yanu yabwerera mwakale. Ngati sanatero, mwina mungakhale ndi matenda a shuga a mtundu wachiwiri.

Ngakhale shuga wanu wamagazi abwereranso mwakale mwana wanu akangobwera, matenda ashuga am'mawere amakuikani pachiwopsezo chachikulu chotenga matenda amtundu wa 2 mtsogolo. Muyenera kukayezetsa zaka zitatu zilizonse kuti muwonetsetse kuti magazi m'magazi anu ndi abwinobwino.

Mukadakhala kuti mukudwala matenda ashuga, mwana wanu amathanso kukhala wonenepa kwambiri kapena kukhala ndi matenda amtundu wachiwiri akamakula. Mungathe kuchepetsa chiopsezo ichi ndi:

• kuyamwitsa
• kuphunzitsa mwana wanu zizolowezi zoyenera kudya kuyambira ali mwana
• kulimbikitsa mwana wanu kuti azichita masewera olimbitsa thupi pamoyo wawo wonse

Mafunso ndi mayankho

Funso:

Kodi kudya zakudya zotsekemera panthawi yomwe ndili ndi pakati kudzawonjezera chiopsezo changa cha matenda ashuga?

Wosadziwika wodwala

Yankho:

Kudya zakudya zotsekemera sikuwonjezera chiopsezo chanu cha matenda ashuga. Ngati mungapezeke kuti muli ndi vuto la matenda ashuga ndikofunikira kuyang'anira zomwe mumadya kuti mugwiritse ntchito bwino shuga. Izi zikuphatikiza kuyang'anira kudya kwanu zakudya zopatsa shuga. Zina mwa zakudyazi, monga soda ndi madzi, zimadya mofulumira kuposa zakudya zina zamadzimadzi zomwe zimakhala ndi ulusi, ndipo zimatha kutulutsa shuga, makamaka ngati zitengedwa zokha. Kambiranani ndi katswiri wazakudya ngati mwapezeka kuti muli ndi matenda ashuga kuti mukhale otsimikiza kuti mukuyang'anira zakudya zanu moyenera.

Peggy Pletcher, MS, RD, LD, CDEA mayankho amayimira malingaliro a akatswiri athu azachipatala. Zonse zomwe zili ndizachidziwikire ndipo siziyenera kuonedwa ngati upangiri wa zamankhwala.