Pre-huripo chirwere cheshuga uye nhumbu

Kana iwe uine chirwere cheshuga, chinogona kukanganisa kubata kwako, hutano hwako, uye hutano hwemwana wako. Kuchengeta shuga yeropa (glucose) mazinga ari akajairika huwandu hwese kuburikidza nepamuviri pako kunogona kubatsira kudzivirira matambudziko.

Chinyorwa ichi ndechevakadzi vane chirwere cheshuga uye avo vanoda kuve kana vane nhumbu. Gestational chirwere cheshuga shuga yakakwira muropa inotanga kana kutanga kuongororwa panguva yekuzvitakura.

Vakadzi vane chirwere cheshuga vanotarisana nenjodzi panguva yekuzvitakura. Kana chirwere cheshuga chisinganyatso kudzorwa, mwana anoonekwa neshuga yeropa mudumbu. Izvi zvinogona kukonzera kuremara kwekuzvarwa uye mamwe matambudziko ehutano muvacheche.

Mavhiki manomwe ekutanga epamuviri ndipo panokura nhengo dzemwana. Izvi zvinowanzoitika usati waziva kuti une nhumbu. Saka zvakakosha kuti uronge mberi nekuona kuti ropa rako rehuga glucose riri munzvimbo yakatarwa usati wabata pamuviri.

Kunyange zvichityisa kufunga nezvazvo, zvakakosha kuti uzive matambudziko anogona kuitika panguva yekuzvitakura. Vese amai nemwana vari panjodzi yezvinetso kana chirwere cheshuga chisina kudzorwa zvakanaka.

Ngozi dzemwana dzinosanganisira:

• Kuremara kwekuzvarwa
• Kuberekwa kwekutanga
• Kurasikirwa nepamuviri (kupererwa) kana kubereka mwana akafa
• Mwana muhombe (anonzi macrosomia) anokonzera kuwedzera njodzi yekukuvara panguva yekuzvarwa
• Shuga shoma yeropa mushure mekuberekwa
• Kufema kunetseka
• Jaundice
• Kufutisa muhudiki uye kuyaruka

Ngozi kuna amai inosanganisira:

• Mwana wekuwedzera-muhombe anogona kutungamira kune yakaoma kuendesa kana C-chikamu
• Kuwedzera kweropa neprotein mumuti (preeclampsia)
• Mwana muhombe anogona kukonzera kusagadzikana kuna amai uye nekuwedzera njodzi yekukuvara panguva yekuzvarwa
• Kuwedzera kweziso rechirwere cheshuga kana matambudziko eitsvo

Kana iwe uri kuronga kuve nepamuviri, taura nemupi wako wekuchengeta hutano kweinenge mwedzi mitanhatu usati wabata pamuviri. Iwe unofanirwa kuve neropa rakanaka glucose rekudzora kanokwana 3 kusvika kumwedzi mitanhatu usati wabata pamuviri uye zvese panguva yekuzvitakura kwako.

Taura nemupi wako nezve izvo zvinangwa zvako zveshuga zveropa zvinofanirwa kunge zviri usati waita nhumbu.

Usati wabata pamuviri, iwe unoda ku:

• Vavarira yeA1C nhanho isingasviki 6.5%
• Ita chero shanduko dzinodiwa pakudya kwako uye maitiro ekurovedza muviri kutsigira yako yeropa glucose uye zvinangwa
• Chengetedza huremu hune hutano
• Rongedza bvunzo yepamuviri-yepamuviri nemupi wako uye bvunza nezve kuchengetwa kwepamuviri

Pakati pekuongorora kwako, mupi wako acha:

• Tarisa hemoglobin yako A1C
• Tarisa yako thyroid level
• Tora ropa uye weti sampuli
• Taura newe nezve chero chirwere cheshuga senge matambudziko eziso kana eitsvo matambudziko kana mamwe matambudziko ehutano akadai seBP

Mubatsiri wako achataura newe pamusoro pemishonga yakachengeteka kushandisa uye isina kuchengeteka kushandisa panguva yekuzvitakura. Kazhinji vakadzi vane chirwere cheshuga cheshuga vanotora mushonga weshuga yemukanwa vanofanirwa kuchinjira kune insulin panguva yekuzvitakura. Mishonga yakawanda yeshuga inogona kunge isina kuchengetedzeka kumwana. Zvakare, mahormone epamuviri anogona kutadzisa insulin kuita basa rayo, saka mishonga iyi haishande zvakare.

Iwe unofanirwa zvakare kuona chiremba weziso rako uye uine chirwere cheshuga bvunzo.

Munguva yekuzvitakura kwako, iwe uchashanda pamwe neboka rezvehutano kuve nechokwadi chekuti iwe nemwana wako munoramba mune hutano. Nekuti nhumbu yako inoonekwa seyakanyanya njodzi, unozoshanda nachiremba anozvara uyo ane hunyanzvi mukutakura nhumbu dzine njodzi (chiremba wemishonga wechibereko). Uyu mupi anogona kuita bvunzo kuti atarise hutano hwemwana wako. Bvunzo dzinogona kuitwa chero nguva paunenge uri nepamuviri. Iwe zvakare uchashanda nemudzidzisi weshuga uye chiremba wezvekudya.

Munguva yepamuviri, sezvo muviri wako uchichinja uye mwana wako achikura, ako eropa glucose mazinga anozochinja. Kuva nepamuviri kunoitawo kuti zviome kuona zviratidzo zveshuga muropa. Saka iwe unozoda kuongorora shuga yako yeropa kazhinji kanokwana kasere pazuva kuti uve nechokwadi chekuti unogara mune yako tarisiro renji. Iwe unogona kubvunzwa kuti ushandise inoenderera glucose kutarisa (CGM) panguva ino.

Heano zvakajairwa zvinangwa zveshuga zveropa panguva yekuzvitakura:

• Kutsanya: Asingasviki 95 mg / dL
• Iawa rimwe mushure mekudya: asingasviki 140 mg / dL, OR
• Maawa maviri mushure mekudya: asingasviki 120 mg / dL

Kumbira mupiki wako kuti yako chaiyo tarisiro renji inofanira kunge iri uye kangani kuyedza yako shuga yeropa.

Iwe unozofanirwa kushanda nachiremba wako wezvekudya kuti uchengete zvaunodya panguva yepamuviri kuti ikubatsire kudzivirira yakaderera kana yakakwira shuga yeropa. Nyanzvi yako yezvokudya inoongororawo huremu hwako.

Vakadzi vane nhumbu vanoda mazana matatu macalorie pazuva. Asi uko macalorie aya anobva kunhau. Kwekudya kwakaringana, unofanirwa kudya zvakasiyana siyana zvine hutano chikafu. Kazhinji, iwe unofanirwa kudya:

• Zvakawanda zvezvibereko zvizere nemiriwo
• Zviverengero zvakaenzana zvemapuroteni akaonda uye mafuta ane hutano
• Zviyero zvine mwero zvezviyo zvakakwana, zvakadai sechingwa, zviyo, pasita, uye mupunga, pamwe nemiriwo ine sitachi, senge chibage nemapizi
• Zvishoma chikafu chine shuga yakawanda, senge zvinwiwa zvinotapira, majusi emichero, uye mapeke

Iwe unofanirwa kudya matatu madiki- kusvika pakati-epakati-saizi yekudya uye imwe kana kupfuura zvinwiwa zuva rega rega. Usasvetuke kudya uye zvekudya. Chengeta huwandu uye mhando dzechikafu (makabhohaidhiretsi, mafuta, uye mapuroteni) zvakafanana zuva nezuva. Izvi zvinogona kukubatsira iwe kuchengetedza shuga yako yeropa yakasimba.

Wako mupi anogona zvakare kuratidza yakachengeteka chirongwa chekurovedza muviri. Kufamba kazhinji ndiyo iri nyore nzira yekurovedza muviri, asi kushambira kana zvimwe zvakaderera-maitiro maitiro zvinogona kushanda futi. Kuita maekisesaizi kunogona kubatsira iwe kuchengetedza shuga yako yeropa mukutonga.

Basa rebasa rinogona kutanga zvakasikwa kana kuti rinogona kukwezva. Wako mupi anogona kupa chirevo cheC-chikamu kana mwana akakura. Mupiki wako anozotarisa huwandu hweshuga yeropa panguva uye mushure mekusununguka.

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.

Paunenge uchinge wasvika kumba, iwe uchafanirwa kuramba uchinyatso tarisa ako mashuga eropa. Kushaikwa kwekurara, kuchinja marongero ekudya, uye kuyamwisa zvinogona kukanganisa mashuga eropa. Saka nepo iwe uchifanira kutarisira mwana wako, zvakangokoshawo kuzvitarisira iwe pachako.

Kana mimba yako isina kurongwa, taura nemupi wako wezvehutano ipapo ipapo.

Fonera wako mupi weanotevera matambudziko ane chekuita nechirwere cheshuga:

• Kana iwe usingakwanise kuchengeta shuga yako yeropa mune yakatarwa renji
• 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 - chirwere cheshuga; Chirwere cheshuga uye kubata pamuviri; Kubata chirwere cheshuga

American Chirwere cheshuga Association. 14. Kutungamira kwechirwere cheshuga pakubata. Maitiro Ekurapwa mune Chirwere cheshuga. 2019; 42 (Kuwedzera 1): S165-S172. PMID: 30559240 www.ncbi.nlm.nih.gov/pubmed/30559240.

Nzvimbo dzekuchengetedza Dziviriro uye Kudzivirira webhusaiti. Type 1 kana Type 2 Diabetes uye Pamuviri. www.cdc.gov/pregnancy/diabetes-types.html. Yakagadziridzwa June 1, 2018. Yakasvika Gumiguru 1, 2018.

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.

Sangano reNational Institute of Diabetes uye Digestive uye Kidney Zvirwere webhusaiti. Kubata kana uine chirwere cheshuga. www.niddk.nih.gov/health-information/diabetes/diabetes-pregnancy. Yakagadziridzwa Ndira, 2018. Yakasvika Gumiguru 1, 2018.