Gestational chirwere cheshuga

Gestational chirwere cheshuga shuga yakakwira muropa (glucose) inotanga kana kutanga kuongororwa panguva yekuzvitakura.

Mahormoni epamuviri anogona kutadzisa insulin kuita basa rayo. Kana izvi zvikaitika, huwandu hweglucose hunogona kuwedzera muropa remukadzi ane nhumbu.

Iwe uri panjodzi huru yekubata gestational chirwere cheshuga kana iwe:

• Wakura kudarika makumi maviri nemashanu kana iwe uri nepamuviri
• Uya kubva kurudzi rwakakura zvine njodzi, senge Latino, African American, Native American, Asia, kana Pacific Islander
• Iva nenhoroondo yemhuri yeshuga
• Akazvara mwana airema anodarika mapaundi 9 kana aive nehurema hwekuzvarwa
• Iva neBP yakakwira
• Iva neakawanda amniotic fluid
• Wakave nekusanzwisisika kwepamuviri kana kubereka mwana akafa
• Wakange wakanyanya kufuta usati wabata pamuviri
• Wana huremu hwakawandisa panguva yako yepamuviri
• Iva ne polycystic ovary syndrome

Kazhinji yenguva, hapana zviratidzo. Iko kuongororwa kunoitwa panguva yekujaira kwepabonde.

Zviratidzo zvakapfava, senge yakawedzera nyota kana kuzununguka, inogona kunge iripo. Zviratidzo izvi hazviwanzo kutyisidzira hupenyu kumukadzi ane nhumbu.

Zvimwe zviratidzo zvinogona kusanganisira:

• Kuona kwakashata
• Kuneta
• Kakawanda kutapukirwa, kusanganisira iyo yedundira, nyini, uye ganda
• Kuwedzera nyota
• Kuwedzera weti

Gestational chirwere cheshuga kazhinji chinotanga pakati nepamuviri. Vese vakadzi vane nhumbu vanofanirwa kugamuchira yemumuromo glucose kushivirira bvunzo (glucose dambudziko bvunzo) pakati pe 24 ne28 vhiki yekubata kuti vatarise mamiriro acho. Vakadzi vane njodzi dzekubata chirwere cheshuga cheshuga vanogona kuve nemuedzo uyu pakutanga kwepamuviri.

Paunenge uchinge waonekwa uine gestational chirwere cheshuga, unogona kuona kuti uri kuita sei nekuyedza yako glucose level kumba. Nzira yakajairika inosanganisira kubaya chigunwe chako uye kuisa donhwe reropa rako pamushini unozokupa kuverenga kweglucose.

Zvinangwa zvekurapa ndezvekuchengetedza huwandu hweshuga yeropa (glucose) mukati memiganhu yakajairika panguva yepamuviri, uye kuve nechokwadi chekuti mwana ari kukura ane hutano.

KUTARISIRA MWANA WAKO

Mubatsiri wako wehutano anofanira kunyatsoongorora iwe nemwana wako panguva yese yepamuviri. Fetal yekutarisa inoongorora kukura uye hutano hwe "fetus".

Chiyero chisina kunetsa ndecheyedzo yakapusa, isingarwadzi iwe nemwana wako.

• Mushini unonzwa uye unoratidza kurova kwemoyo wemwana wako (electronic fetal monitor) inoiswa padumbu rako.
• Mubatsiri wako anogona kuenzanisa maitiro ekurova kwemoyo wemwana wako nekufamba uye aone kana mwana ari kuita zvakanaka.

Kana iwe ukatora mushonga kudzora chirwere cheshuga, ungangoda kuongororwa kazhinji kazhinji kusvika kumagumo epamuviri.

KUDYA NOKUEDZESA

Muzviitiko zvakawanda, kudya chikafu chine hutano, kugara uchishanda, uye kugadzirisa huremu hwako ndizvo zvese zvinodiwa kuti ubate gestational chirwere cheshuga.

Nzira yakanakisa yekuvandudza kudya kwako ndeyekudya zvakasiyana siyana zvine hutano chikafu. Iwe unofanirwa kudzidza kuverenga zvinyorwa zvekudya uye kuzvitarisa kana uchiita sarudzo dzekudya. Taura nemupi wako kana iwe uri wezvirimwa kana pane imwe yakakosha kudya.

Muzhinji, kana uine chirwere cheshuga cheshuga, chikafu chako chinofanirwa:

• Iva pakati nepakati mumafuta uye mapuroteni
• Govera makabhohaidhiretsi kubudikidza nezvikafu zvinosanganisira michero, miriwo, uye makabhohaidhiretsi akaomarara (senge chingwa, zviyo, pasita uye mupunga)
• Iva wakaderera muzvikafu zvine shuga yakawanda, senge zvinwiwa zvinotapira, majusi emichero, uye makeke

Taura nemupi wako nezve zviitiko zvemuviri zvakakunakira iwe. Maitiro ekudzikira-epasi, senge kushambira, kufamba nekukurumidza, kana kushandisa elliptical muchina inzira dzakachengeteka dzekudzora shuga rako reropa uye huremu.

Kana uchitarisira kudya kwako uye kurovedza muviri kusadzora shuga rako reropa, unogona kupihwa mushonga weshuga kana insulin kurapwa.

Kune njodzi dzakawanda dzekuve neshuga mukuzvitakura kana shuga yeropa isina kunyatso kudzorwa. Nemaitiro akanaka, nhumbu zhinji dzine mibairo yakanaka.

Vakadzi vane nhumbu vane chirwere cheshuga cheshuga vanowanzoita vana vakakura pakuzvarwa. Izvi zvinogona kuwedzera mukana wematambudziko panguva yekuendesa, kusanganisira:

• Kukuvara kwekuzvarwa (trauma) nekuda kwehukuru hwakakura hwemwana
• Kuendeswa neC-chikamu

Mwana wako anowanzo kuve nenguva dzeshuga yeropa shoma (hypoglycemia) mukati memazuva mashoma ekutanga ehupenyu, uye angangoda kuongororwa mune neonatal intensive care unit (NICU) kwemazuva mashoma.

Vanamai vane chirwere cheshuga cheshuga vane njodzi yakawedzera yekuwedzera kweropa panguva yekuzvitakura uye nenjodzi yekuwedzera yekutakura preterm. Vanamai vane yakakomba isingadzorwe shuga yeropa vane njodzi yakakura yekubereka vakafa.

Mushure mekusununguka:

• Yako yakakwira ropa shuga (glucose) danho rinowanzo dzokera pane zvakajairwa.
• Iwe unofanirwa kunyatsoteedzerwa kune zviratidzo zvechirwere cheshuga pamusoro peanotevera makore mashanu kusvika gumi mushure mekusununguka.

Bata mupi wako kana iwe uri nepamuviri uye uine zviratidzo zvechirwere cheshuga.

Kuchengetwa kwekutanga kwepamuviri uye kuongororwa nguva dzose kunobatsira kuvandudza hutano hwako uye hutano hwemwana wako. Kuwana kuongororwa kwepamuviri pamasvondo makumi maviri nemasere kusvika makumi maviri ekuberekwa kunobatsira kuona gestational chirwere cheshuga pakutanga.

Kana iwe uri kufutisa, kuwana huremu hwako mukati meyakajairwa body mass index (BMI) renji kunodzora njodzi yako yegestational chirwere cheshuga.

Kusagadzikana kweglucose panguva yekuzvitakura

• Pancreas
• Gestational chirwere cheshuga

American Chirwere cheshuga Association. 14. manejimendi cheshuga mukuzvitakura: zviyero zvekurapwa mune cheshuga-2020. Chirwere cheshuga. 2020; 43 (Suppl 1): S183-S192. PMID: 31862757 pubmed.ncbi.nlm.nih.gov/31862757/.

Landon MB, Catalano PM, Gabbe SG. Chirwere cheshuga chinokanganisa kubata. Mune: Landon MB, Galan HL, Jauniaux ERM, et al, eds. Obstetrics yaGabbe: Yakajairika uye Dambudziko Pamuviri. 8th ed. Philadelphia, PA: Elsevier; 2021: chitsama 45.

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.

Moyer VA; US Yekudzivirira Services Task Force. Kuongororwa kwechirwere cheshuga cheshuga mellitus: US Preventive Services Task Force kukurudzira chirevo. Ann Mukati Med. 2014; 160 (6): 414-420. PMID: 24424622 pubmed.ncbi.nlm.nih.gov/24424622/.