Mucheche amai vane chirwere cheshuga

Chibereko (mwana) chaamai vane chirwere cheshuga chinogona kuburitswa neshuga yakakwira muropa (glucose), uye nematanho epamusoro ezvimwe zvinovaka muviri, panguva yese yepamuviri.

Kune marudzi maviri echirwere cheshuga panguva yekuzvitakura:

• Gestational chirwere cheshuga - shuga yakakwira muropa (chirwere cheshuga) icho chinotanga kana kutanga kuonekwa panguva yekuzvitakura
• Pre-iripo kana pre-gestational chirwere cheshuga - kutove nechirwere cheshuga usati wabata pamuviri

Kana chirwere cheshuga chisina kunyatso kudzorwa panguva yekuzvitakura, mwana anoratidzwa kune yakakwira shuga yeropa. Izvi zvinogona kukanganisa mwana naamai panguva yekuzvitakura, panguva yekuzvarwa, uye mushure mekuberekwa.

Vacheche veamai vane chirwere cheshuga (IDM) vanowanzo kuve vakuru kune vamwe vacheche, kunyanya kana chirwere cheshuga chisina kudzorwa zvakanaka. Izvi zvinogona kuita kuti kusangana nekutsi kwemukadzi kubereka kuome uye kunogona kuwedzera njodzi yekukuvara kwetsinga uye kumwe kushungurudzika panguva yekuzvarwa. Uyezve, kuberekwa kwekurega kunowanzoitika.

An IDM inowanzo kuve nenguva dzeshuga yeropa shoma (hypoglycemia) nguva pfupi mushure mekuzvarwa, uye mukati memazuva mashoma ehupenyu. Izvi zvinodaro nekuti mwana anga ajaira kuwana shuga yakawanda kupfuura inodikanwa kubva kuna amai. Ivo vane yakakwira insulin mwero kupfuura inodikanwa mushure mekuberekwa. Insulin inoderedza shuga yeropa. Zvinogona kutora mazuva kuti vacheche 'insulin mwero vagadzirise mushure mekuzvarwa.

MaMicrosoft anowanzo kuve ne:

• Kufema kunetseka nekuda kwemapapu asina kusimba
• Yakakwirira tsvuku masero eropa kuverenga (polycythemia)
• Yakakwirira bilirubin nhanho (achangozvarwa jaundice)
• Kuonda kwemhasuru yemoyo pakati pemakamuri mahombe (ventricles)

Kana chirwere cheshuga chisina kudzorwa zvakanaka, mikana yekuparara kana mwana akazvarwa akakwirira.

An IDM ane njodzi yakanyanya yekuremara kwekuzvarwa kana amai vaine pre-huripo chirwere cheshuga chisina kunyatso kudzorwa kubva pakutanga chaipo.

Mwana mucheche anowanzove akakura kupfuura zvakajairika kune vacheche vanozvarwa mushure menguva yakareba yakafanana mudumbu raamai (rakakura zera rekubata). Mune zvimwe zviitiko, mwana anogona kunge ari mudiki (mudiki kune zera rekubata).

Zvimwe zviratidzo zvinogona kusanganisira:

• Ruvara rweganda rebhuruu, kurovera kwemoyo nekukurumidza, kufema nekukurumidza (zviratidzo zvemapapu asina kusimba kana kukundikana kwemoyo)
• Kushupika kuyamwa, kuneta, kuchema kushoma
• Kufenda (chiratidzo cheshuga yakanyanya muropa)
• Kudya zvisina tsarukano
• Puffy kumeso
• Kudedera kana kudedera achangoberekwa
• Jaundice (yero ganda ruvara)

Mwana asati azvarwa:

• Ultrasound inoitwa kuna amai mumwedzi mishoma yadarika yepamuviri yekutarisa saizi yemucheche inoenderana nekuvhurika kune nzira yekuberekwa.
• Kuongorora kukura kwemapapu kunogona kuitwa pane amniotic fluid. Izvi hazviwanzo kuitwa asi zvinogona kubatsira kana zuva rakatarwa risina kusarudzwa pakutanga kwepamuviri.

Mushure mekunge mwana azvarwa:

• Shuga yeropa yemwana ichaongororwa mukati meawa yekutanga kana maviri mushure mekuzvarwa, uye kutariswa nguva nenguva kudzamara zvagara zvakajairika. Izvi zvinogona kutora zuva kana maviri, kana kutopfuura.
• Mwana anozotariswa zviratidzo zvekunetseka nemoyo kana mapapu.
• Bilirubin yemwana inozotariswa asati aenda kumba kubva kuchipatara, uye nekukurumidza kana paine zviratidzo zvejaundice.
• Echocardiogram inogona kuitwa kutarisa kukura kwemoyo wemwana.

Vese vacheche vanozvarwa kuna amai vane chirwere cheshuga vanofanirwa kuongororwa shuga shoma yeropa, kunyangwe kana vasina zviratidzo.

Kuedza kunoitwa kuona kuti mwana ane glucose yakakwana muropa:

• Kupa munguva pfupi mushure mekuzvarwa kunogona kudzivirira shuga shoma muropa mune mashoma kesi. Kunyangwe kana chirongwa ichi chiri chekuyamwisa, mwana angangoda imwe fomula panguva yekutanga kwemaawa masere kusvika makumi maviri nemana kana shuga yeropa iri shoma.
• Zvipatara zvakawanda zvava kupa gel dextrose (shuga) mukati medama remwana pachinzvimbo chekupa fomura kana mukaka waamai usina kukwana.
• Shuga yeropa yakaderera isinganatsiridzike nekudyisa inorapwa nehurume hune shuga (glucose) nemvura inopihwa kuburikidza netsinga (IV).
• Muzviitiko zvakakomba, kana mwana achida shuga yakawanda, fluid ine glucose inofanira kupihwa kuburikidza neumbilical (dumbu bhatani) mutsinga kwemazuva akati wandei.

Kazhinji, mucheche angangoda rutsigiro rwekufema kana mishonga yekurapa zvimwe zvinokonzerwa nechirwere cheshuga. High bilirubin mazinga anorapwa neyakareruka kurapa (phototherapy).

Kazhinji, zviratidzo zvevacheche zvinoenda mukati memaawa, mazuva, kana mavhiki mashoma. Nekudaro, moyo wakawedzerwa unogona kutora mwedzi yakati kuti kuti uve nani.

Kashoma kwazvo, shuga yeropa inogona kunge yakadzika zvekuti inokanganisa huropi.

Ngozi yekuzvara mwana yakakwira mumadzimai ane chirwere cheshuga chisina kunyatsodzorwa. Kune zvakare mukana wekuwedzera wehuwandu hwehurema hwekuzvarwa kana matambudziko:

• Kuberekwa kwemoyo kukanganisa.
• Yakakwira bilirubin nhanho (hyperbilirubinemia).
• Mapapu asina kusimba.
• Neonatal polycythemia (mamwe maseru matsvuku eropa kupfuura akajairwa). Izvi zvinogona kukonzera kuvhara mumidziyo yeropa kana hyperbilirubinemia.
• Mudiki kuruboshwe colon syndrome. Izvi zvinokonzera zviratidzo zvemukati kuvhara.

Kana iwe uri nepamuviri uye uchiwana kuchengetwa kwepamuviri nguva dzese, kuyedzwa kwemazuva ese kucharatidza kana iwe uchikura gestational chirwere cheshuga.

Kana iwe uri nepamuviri uye uine chirwere cheshuga chisiri pasi pesimba, daidza wako mupi ipapo ipapo.

Kana iwe uri nepamuviri uye usiri kuwana rubatsiro rwepamberi, danai mupi wekusangana.

Vakadzi vane chirwere cheshuga vanoda kuchengetwa zvakanyanya panguva yekuzvitakura kudzivirira matambudziko. Kudzora shuga yeropa kunogona kudzivirira matambudziko mazhinji.

Kunyatsoongorora mucheche mumaawa ekutanga uye mazuva mushure mekuzvarwa kunogona kudzivirira matambudziko ehutano nekuda kweshuga yeropa shoma.

IDM; Gestational chirwere cheshuga - IDM; Kuchengetwa kwekuzvarwa - mai vane chirwere cheshuga

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