Chii chinokonzera gestational chirwere cheshuga?
Chikonzero chekugadziriswa kwechirwere chakadai mumadzimai anotarisira kunopera mukunzwa kwemasero emuviri kune hormone insulin, i.e. iyo inonzi inonzi insulin kushorwa. Izvi zvinokonzerwa nekushandura muhutori hwemadzimai akazvitakura.
Saka, zvinonzwisisika kuti kutanga kubva mu20 vhiki yekubata pamukadzi, kuiswa kwe insulini muropa kunowedzera. Chikonzero cheizvi kuvhara kwemazana ehomoni nemazana emakemikari ayo ayo placenta pachayo inogadzira. Panguva imwechete kune kuwedzera kwehutachiona hwehomoni nepancreas, iyo inoedza kuchengetedza shuga yepamusoro mune zvisizvo nenzira iyi. Izvi zvinoshamisa mumishonga zvakange zvichinzi inonzi counterinsulin.
Izvi zvinokosha zvakare kutaura kuti pane izvo zvinonzi izvo zvinokonzera kukura kwekuputsa. Pakati pavo pane:
- overweight;
- kuvapo kwechirwere cheshuga kune hama yechizvarwa (maitiro ekuberekwa);
- kuberekwa kwecheche mucheche pamuviri akapfuura;
- polyhydramnios;
- kusakwanisa.
Ndezvipi zviratidzo zvinoratidza kukurudzirwa kwechirwere cheshuga muhutano?
Zvakakosha kuziva kuti mumatambudziko mazhinji, mukadzi anotakura mwana haaone chero kuchinja. Anodzidza nezvekuvapo kwechirwere mushure mokunge ropa riongororwa nehutachiona.
Saka, maererano nemitemo iripo, iyi parameter inofanirwa kuva nemafungiro anotevera: apo kupa ropa kutsanya 4.0-5.2 mmol / l, uye maawa maviri mushure mokudya zvisingaiti 6.7 mmol / l. Izvi zviratidzo zvinoshanda pamatambudziko aya apo ropa sampuli yekuongorora inowanikwa zvakananga kubva mumutsipa.
Kuziva gestational diabetes mellitus munguva pfupi, chiitiko ichi chekuongororwa chinorayirwa kune vakadzi vose vane pamuviri vasina chavangapomerwa, kunyange pavanyoresa. Mune mamiriro ezvinhu apo kuisa ropa kweglucose kunosvika kumucheto wepamusoro wezviyero izvi kana kupfuura kupfuura, kuongorora kunodzokororwa kuti uve nechokwadi chezvakarurama zvemigumisiro.
Nechirwere chakanyanya chekushaya simba, apo gorosi yekutapisa inodarika chimiro neye kana kupfuura, zvinotevera zvinogona kutaurwa:
- nyota nguva dzose;
- kuwedzera kuwedzerwa uye kuwedzera kwezuva nezuva diuresis;
- kuora mwoyo.
Ko kurapwa kwegestational diabetes kunobatwa sei?
Vakadzi ivavo vakawana chirwere ichi, vanachiremba vanonyanya kupa mirayiridzo yekuvandudza kudya kwavo kwezuva nezuva. Kusimbiswa hakusi kungofanana nezvakagadzirwa neshuga nema carbohydrates muzvokudya, asiwo pane koriori yehuwandu hwezvokudya.
Nekuvandudzwa kwechirwere chirwere cheshuga panguva yekuzvitakura, mukadzi anokurudzirwa kudya kunosimbisa mitemo inotevera:
- Zvokudya zvinofanira kutorwa muzvikamu zviduku, katatu pazuva. Muchiitiko ichi, kwete zvinopfuura zviviri zvakare, mukati-kati "snack" zvichave zvisina kunaka. Kumbodhi kunofanira kuva ne40-45% mahydrohydrates, uye kwekudya kwemanheru vanofanira kuva 10-15%.
- Kubva pakudya kunokosha kubvisa zvachose mafuta, pamwe nekudya zvakabikwa. Panguva imwecheteyo, kushandiswa kwezvinhu zvakangoerekana zvakagadzirwa nemakhahydrates (kuvhengana, pastry, michero) zvishoma.
- Iwe haugoni kudya kudya kwechinguva.
Uyezve, panguva yekurapa chirwere cheshuga chinokonzera chirwere cheshuga panguva yekuzvitakura,
Kana tikataura pamusoro pemigumisiro inogona kuitika yechirwere chacho, fetus inogona kuva nexiaxia, kushungurudzika mubasa, kuporesa kunetseka (kuporesa dambudziko rekurwadziwa), hypoglycemia, chirwere cheshuga chinokwana (masimba makuru, uremu hwekemikari 4 kana kupfuura, kutyiswa kwemuviri, kufema kwemashutu uye t .).
Madzimai, mushure mokuberekwa, kune mikana yakawanda yekukura chirwere cheshuga chechipiri. Munguva yekubata muviri, chirwere cheshuga nephropathy (isina simba renal function), retinopathy (retinal pathology), njodzi yakawanda yekuvandudza mamiriro akadai se preeclampsia uye eclampsia , mushure mekubuda ropa.