Gestational chirwere cheshuga - kuzvitarisira

Gestational chirwere cheshuga shuga yakakwira muropa (glucose) inotanga panguva yekuzvitakura. Kana iwe uchinge waonekwa uine gestational chirwere cheshuga, dzidza maitiro ekugadzirisa yako shuga yeropa kuitira kuti iwe nemwana wako mugare mune hutano.

Insulin ihormone inogadzirwa munhengo inonzi pancreas. Iyo pancreas iri pazasi uye kumashure kwedumbu. Insulin inodikanwa kufambisa shuga yeropa mumasero emuviri. Mukati memasero, glucose inochengetwa uye yakazoshandiswa simba. Mahormoni epamuviri anogona kutadzisa insulin kuita basa rayo. Kana izvi zvikaitika, huwandu hweglucose hunogona kuwedzera muropa remukadzi ane nhumbu.

Nejestational chirwere cheshuga:

• Iko hakuna zviratidzo muzviitiko zvakawanda.
• Zviratidzo zvakapfava zvinogona kusanganisira kuwedzera nyota kana kuzungunuka. Zviratidzo izvi kazhinji hazvisi kutyisidzira hupenyu kumukadzi ane nhumbu.
• Mukadzi anogona kuzvara mwana muhombe. Izvi zvinogona kuwedzera mukana wematambudziko nekutakura.
• Mukadzi ane njodzi huru yekuwedzera BP panguva yekuzvitakura.

Kuva nepamuviri kana iwe uri pahuremu hwako hwakakwana hwemuviri kunogona kubatsira kudzikisa mukana wako wekutora gestational chirwere cheshuga. Kana iwe uri kufutisa, edza kuonda usati wabata pamuviri.

Kana iwe ukaita gestational chirwere cheshuga:

• Kudya kwakanaka kunogona kuchengetedza shuga yako yeropa kudzorwa uye kunogona kukutadzisa kubva pakuda mushonga. Kudya zvine hutano kunogona zvakare kukuchengetedza kubva pakuwana huremu hwakawanda mukubata kwako. Kuwedzeredza uremu kunogona kuwedzera njodzi yako yekubata chirwere cheshuga.
• Chiremba wako, mukoti, kana chiremba wezvekudya achagadzira chikafu chako chete. Anopa hutano hwako anogona kukukumbira kuti uteedzere zvaunodya.
• Kudzidzira muviri kunobatsira kuchengetedza shuga yako yeropa iri pasi pesimba. Chiitiko chakaderera-chakadai sekufamba inzira yakachengeteka uye inoshanda yekurovedza muviri. Edza kufamba 1 kusvika 2 mamaira (1.6 kusvika 3.2 mamaira) panguva, katatu kana kupfuura pasvondo. Kushambira kana kushandisa elliptical muchina unoshanda futi. Kumbira mupi wako kuti ndeupi rudzi rwekurovedza muviri, uye zvakadii, zvakakunakira iwe.
• Kana uchichinja kudya kwako uye kurovedza muviri kusadzora huwandu hweshuga yeropa rako, ungangoda mushonga wemuromo (wakatorwa nemuromo) kana insulin kurapwa (mapfuti).

Vakadzi vanoteera chirongwa chavo chekurapa uye vanochengeta shuga yavo yeropa zvakajairika kana padhuze neyakajairika panguva yekuzvitakura kwavo vanofanirwa kuve nemhedzisiro yakanaka.

Ropa shuga iro rakanyanya kukwirira rinomutsa njodzi dze:

• Kuberekwa
• Mwana mudiki kwazvo (fetus kukura kurambidzwa) kana mwana muhombe kwazvo (macrosomia)
• Basa rakaoma kana kuberekwa kwekusiya (C-chikamu)
• Zvinetso neshuga yeropa kana maelectrolyte mumwana mukati memazuva mashoma apfuura mushure mekusununguka

Unogona kuona kuti uri kuita sei nekuyedza shuga yako yeropa kumba. Mupiki wako anogona kukukumbira kuti utarise shuga yako yeropa kakati wandei zuva rega rega.

Nzira yakajairika yekutarisa ndeye kubaya chigunwe chako uye kudhonza donhwe reropa. Ipapo, iwe unoisa kudonha kweropa mune yekutarisa (muchina wekuyedza) unoyera ropa rako glucose. Kana mhedzisiro yacho yakanyanya kukwirira kana kudzikira, iwe uchafanirwa kunyatso tarisa yako huwandu hweshuga yeropa.

Vako vanopa vanoteedzera yako yeropa shuga nhanho newe. Ita shuwa kuti iwe uzive izvo yako yeropa shuwa chikamu chinofanira kuve.

Kugadzirisa shuga yako yeropa kunogona kuratidzika sebasa rakawanda. Asi vakadzi vazhinji vanokurudzirwa nechishuwo chavo chekuti vave nechokwadi chekuti ivo nemwana wavo vane mhedzisiro yakanaka.

Mupi wako anonyatso tarisa iwe nemwana wako panguva yako yepamuviri. Izvi zvinosanganisira:

• Kushanya nemupi wako vhiki rega
• Ultrasound inoratidza saizi yemwana wako
• Chiyero chisina kushushikana chinoratidza kana mwana wako ari kuita zvakanaka

Kana iwe uchida insulin kana mushonga wemumuromo kudzora shuga rako reropa, ungangoda kuve nebasa rakamisikidza 1 kana maviri mavhiki zuva rako risati rasvika.

Vakadzi vane gestational chirwere cheshuga vanofanira kutariswa zvakanyanya mushure mekusununguka. Ivo vanofanirwa zvakare kuramba vachiongororwa kukiriniki kusarudzwa kwemazino zviratidzo zvechirwere cheshuga.

Yakakwira shuga yeropa mazinga anowanzo dzokera kune akajairwa mushure mekusununguka. Zvakadaro, vakadzi vazhinji vane gestational chirwere cheshuga vanokura chirwere cheshuga mukati memakore mashanu kusvika gumi mushure mekusununguka. Ngozi yacho yakakura kuvakadzi vakafutisa.

Fonera wako mupi weanotevera matambudziko ane chekuita nechirwere cheshuga:

• Mwana wako anoita kunge ari kufamba zvishoma mudumbu rako
• Wakadzima kuona
• Iwe une nyota kupfuura zvakajairwa
• Une kusvotwa uye kurutsa kusingaendi

Zvakajairika kunzwa uchinetseka kana kushushikana nezvekuva nepamuviri uye kuva neshuga. Asi, kana aya manzwiro achikukurira, daidza wako mupi. Chikwata chako chekuchengetedza hutano chiripo kuti chikubatsire.

Kubata - gestational chirwere cheshuga; Kuchengetwa kwepabonde - gestational chirwere cheshuga

American College yeOstetrics uye Gynecology; Komiti Yezvekudzidzira Bulletins - Obstetrics. Dzidzira Bulletin Nha. 137: Gestational chirwere cheshuga mellitus. Obstet Gynecol. 2013; 122 (2 Pt 1): 406-416. PMID: 23969827 www.ncbi.nlm.nih.gov/pubmed/23969827.

American Chirwere cheshuga Association. 14. Management yechirwere cheshuga mukuzvitakura: zviyero zvekurapwa mune cheshuga - 2019. Chirwere cheshuga. 2019; 42 (Chinyorwa 1): S165-S172. PMID: 30559240 www.ncbi.nlm.nih.gov/pubmed/30559240.

Landon MB, Catalano PM, Gabbe SG. Chirwere cheshuga chinokanganisa kubata. Mune: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Obstetrics: Yakajairwa uye Dambudziko Pamuviri. 7th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 40.

Metzger BE. Chirwere cheshuga mellitus uye nhumbu. Muna: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Vakuru uye Chiremba. 7th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits.

• Chirwere cheshuga nepamuviri