Yintoni ebangela i-gestational diabetes?
Isizathu sokuphuhliswa kweso sifo kumama olindelekileyo kunciphisa ubuninzi beeseli zomzimba kwi-hormone insulin, i-e. okubizwa ngokuba yi-insulin. Oku kubangelwe utshintsho kwimvelaphi ye-hormonal kubafazi abakhulelweyo.
Ngoko, kusekwa ukuba ukususela kwiveki ye-20 yokukhulelwa kwintombi, ukuxinwa kwe-insulin egazini kwanda. Isizathu salokhu kukuvimba ngokukhawuleza kwehomoni ngalawo maqumrhu e-biological ukuba i-placenta ngokwayo idibanisa. Ngelo xesha, kukho ukwanda kwenyakatho ye-hormone yi-pancreas, ezama ukugcina isantya kwizinga eliqhelekileyo ngale ndlela. Le ngxaki yonyango iye yabizwa ngokuba yi-counterinsulin.
Kwakhona kuyimfuneko ukuthetha ukuba kukho izinto ezibizwa ngokuba negalelo ekuphuhliseni ukuphulwa. Phakathi kwazo:
- u bunzima;
- ubukho besifo sikashukela kwisihlobo esilandelayo (i-genetic predisposition);
- ukuzalwa komntwana omkhulu ekukhulelwe kwangaphambili;
- polyhydramnios;
- ukungakwazi.
Ziziphi iimpawu ezibonisa ukuphuhliswa kwesifo sikashukela ngokukhulelwa?
Kubalulekile ukuba kuqaphela ukuba kwiimeko ezininzi, umfazi ophethe umntwana akaqapheli nayiphi na utshintsho. Ufunda malunga nobukho bentsholongwane emva kokuhlolwa kwegazi kwizinga le-glucose.
Ngoko, ngokwemiqathango ekhoyo, le pharamitha kufuneka ibe nexabiso elilandelayo: xa kunika igazi i-4.0-5.2 mmol / l, kwaye iiyure ezingama-2 emva kokutya akukho ngaphezu kwama-6.7 mmol / l. Ezi zikhombisi zivumelekile kula maxesha xa i-sampuli yegazi kuhlalutyo lwenziwa ngqo kwi-vein.
Ukuchonga isifo sikashukela esifanelekileyo ngesaziso esifutshane, olu hlobo lokuxilongwa luyalelwe bonke abafazi abakhulelwe ngaphandle, nangona xa bebhalisa. Kwimeko apho i-glucose yegazi igxininiso ifinyelela kumda ophezulu walezi xabiso okanye iwadlula, uhlalutyo luphindaphindiwe ukuze kuqinisekiswe ukuchaneka kweziphumo.
Ngomlinganiselo obunzima wokukhubazeka, xa ingxube ye-glucose idlula umgangatho omnye okanye ngaphezulu, oku kulandelayo kuya kuqatshelwa:
- ukoma njalo;
- ukwanda kwamanzi kunye nokwanda kwe-diuresis yemihla ngemihla;
- mbono.
Njani unyango lwe-gay
Abo bafazi abaye bafumana esi sifo, oogqirha bazinikela ngokukodwa imiyalelo yokuhlaziya ukutya kwabo kwansuku zonke. Ukugxininiswa akukona kuphela kwimixholo yeshukela kunye ne-carbohydrates ekudleni, kodwa nakwi-calorie okuqukethwe kokutya.
Ngokuphuhliswa kwesifo sikashukela ngexesha lokukhulelwa, umfazi unconywa ukutya okuncedisa le migaqo elandelayo:
- Ukutya kufuneka kuthathwe kwiincinci ezincinci, amaxesha amathathu ngosuku. Kule meko, akungekho ngaphezu kweyesibini, eyongezelelweyo "i-snack" iya kuba yinto engabonakaliyo. Ukutya kwasekuseni kufuneka kube ne-40-45% ye-carbohydrate, kwaye ukuze sidle, kufuneka ibe ngu-10-15%.
- Ukususela ekudleni kuyimfuneko ukuphelisa ngokupheleleyo amanqatha, kunye nokutya okuthosiweyo. Ngexesha elifanayo, ukusetyenziswa kwe-carbohydrates efana neyofana (i-confectionery, i-pastry, iziqhamo) iyancipha.
- Awukwazi ukutya ukutya kwangoko.
Kwakhona, ngexesha lokunyangwa kwesifo sikashukela esinesifo sikashukela ngexesha lokukhulelwa,
Ukuba sithetha ngemiphumo engaba yintlupheko, umntwana osenokuba ngumntwana, u-asphyxia, ubandezeleke emsebenzini, ukuphefumula ukuphefumula (ukuphefumula kwesifo sengqondo), u-hypoglycemia, ubulwelwe besifo sikashukela (ubukhulu obukhulu, ubunzima obuyi-4 kg okanye ngaphezulu, ukuphulwa komzimba, ukuvuvukala kwezicubu kunye .).
Kuyabasetyhini, emva kokubeleka, kukho ukuphakama okuphezulu kokuphuhlisa uhlobo lwesifo sikashukela se-2. Ngexesha lokuxhamla, isifo se-sophefu (isifo esingathintekiyo somzimba), i-retinopathy (i-retinal pathology), ingozi enkulu yokwanda kweemeko ezinjenge- preeclampsia kunye ne- eclampsia , emva kokuphuma kwegazi.