Glucose kuongorora kuongororwa panguva yekuzvitakura

Kuongororwa kweglucose kuyedza kunoitwa panguva yepamuviri kunoongorora mukadzi ane nhumbu ropa (shuga).

Gestational chirwere cheshuga shuga yakakwira muropa (chirwere cheshuga) icho chinotanga kana kuwanikwa panguva yekuzvitakura.

KUVIMBIDZWA KWENYAYA MBIRI

Pakati pechikamu chekutanga, iwe uchave uine bvunzo yekuongorora glucose:

• Iwe haufanire kugadzirira kana kushandura dhayeti yako neimwe nzira.
• Iwe uchakumbirwa kunwa mvura ine glucose.
• Ropa rako rinozodhonzwa awa rimwe mushure mekunwa mhinduro yeglucose kuti utarise muyero weropa rako.

Kana ropa rako glucose kubva padanho rekutanga rakanyanya kukwirisa, iwe uchafanirwa kudzoka kwemaawa matatu-eglucose shiviriro bvunzo. Kune uyu bvunzo:

• Usadye kana kunwa chero chinhu (kunze kwemasipi emvura) kwemaawa masere kusvika gumi nemana usati waedzwa. (Iwe zvakare haugone kudya panguva yekuyedzwa.)
• Iwe uchakumbirwa kunwa mvura ine glucose, 100 gramu (g).
• Uchave neropa rakakweverwa usati wanwa iro mvura, uye zvakare katatu dzimwe maminetsi makumi matanhatu mushure mekumwa. Nguva imwe neimwe, ropa rako rehuga rinotariswa.
• Bvumira kanenge maawa matatu bvunzo iyi.

KUMWE-STEP KUEDZA

Iwe unofanirwa kuenda kubazi kamwechete kwemaawa maviri-glucose kushivirira bvunzo. Kune uyu bvunzo:

• Usadye kana kunwa chero chinhu (kunze kwemasipi emvura) kwemaawa masere kusvika gumi nemana usati waedzwa. (Iwe zvakare haugone kudya panguva yekuyedzwa.)
• Iwe uchakumbirwa kunwa mvura ine glucose (75 g).
• Uchave neropa rakakweverwa usati wanwa mvura yacho, uyezvezve ka2 kese maminetsi makumi matanhatu mushure mekunwa. Nguva imwe neimwe, ropa rako rehuga rinotariswa.
• Rega kanokwana maawa maviri bvunzo iyi.

Kune ese maviri-nhanho bvunzo kana-imwe-nhanho bvunzo, idya chako chakajairwa chikafu mumazuva pamberi pekuedzwa kwako. Kumbira mubatsiri wako wezvehutano kana paine chero mishonga yaunotora inogona kukanganisa mhedzisiro yako.

Vazhinji vakadzi havana kana mhedzisiro kubva kune iyo glucose shiviriro bvunzo. Kunwa mhinduro yeglucose kwakafanana nekunwa soda inotapira kwazvo. Vamwe vakadzi vanogona kunzwa kunetsekana, kudikitira, kana nemusoro musoro mushure mekunge vanwa mhinduro yeglucose. Yakakomba mhedzisiro kubva kuiyedzo haina kujairika.

Iyi bvunzo inoongorora gestational chirwere cheshuga. Vazhinji vakadzi vane pamuviri vane bvunzo yekuongorora glucose pakati pemasvondo makumi maviri nemana makumi maviri nemasere ekubata. Muedzo unogona kuitwa kare kana uine huwandu hweglucose mumuti wako panguva yekushanya kwako kwepamuviri, kana kana uine njodzi yakakura yeshuga.

Vakadzi vane njodzi yakaderera yechirwere cheshuga vanogona kunge vasina bvunzo yekuongorora. Kuti uve nenjodzi yakaderera, zvese izvi zvirevo zvinofanirwa kuve zvechokwadi:

• Hauna kumbove nemuyedzo wakaratidza kuti ropa rako glucose rakanga rakakwira kupfuura zvakajairwa.
• Dzinza rako rine njodzi yakaderera yeshuga.
• Iwe hauna chero vekutanga-degree hama (mubereki, mukoma, kana mwana) ane chirwere cheshuga.
• Iwe uri mudiki pane makore makumi maviri nemashanu ekuberekwa uye une huremu hwakajairika.
• Iwe hauna kuve nemhedzisiro yakaipa panguva yepamuviri pekutanga.

KUVIMBIDZWA KWENYAYA MBIRI

Kazhinji yenguva, mhedzisiro mhedzisiro yeglucose yekuyedza bvunzo ishuga yeropa yakaenzana kana kuti isingasviki 140 mg / dL (7.8 mmol / L) 1 awa mushure mekunwa mhinduro yeglucose. Mhedzisiro mhedzisiro zvinoreva kuti hauna gestational chirwere cheshuga.

Tarira: mg / dL zvinoreva mamirigiramu padhisita uye mmol / L zvinoreva mamirioni pa litita.Idzi inzira mbiri dzekuratidzira kuti yakawanda sei glucose muropa.

Kana ropa rako glucose rakakwirira kupfuura 140 mg / dL (7.8 mmol / L), nhanho inotevera ndiyo yekumwa glucose kushivirira bvunzo. Uyu muedzo ucharatidza kana uine gestational chirwere cheshuga. Vazhinji vakadzi (vangangoita vaviri kubva pavatatu) vanotora bvunzo iyi havana gestational chirwere cheshuga.

KUMWE-STEP KUEDZA

Kana yako glucose level yakaderera pane iyo isina kujairika mhedzisiro inotsanangurwa pazasi, hauna gestational chirwere cheshuga.

KUVIMBIDZWA KWENYAYA MBIRI

Iko kusarongeka kweropa kukosha kweiyo 3-awa 100-gramu yemumuromo glucose shiviriro bvunzo ndeiyi:

• Kutsanya: kwakakura kupfuura 95 mg / dL (5.3 mmol / L)
• 1 awa: yakakura kupfuura 180 mg / dL (10.0 mmol / L)
• 2 awa: yakakura kupfuura 155 mg / dL (8.6 mmol / L)
• 3 awa: yakakura kupfuura 140 mg / dL (7.8 mmol / L)

KUMWE-STEP KUEDZA

Iko kusarongeka kweropa kukosha kweiyo 2-awa 75-gramu yemumuromo glucose shiviriro bvunzo ndeiyi:

• Kutsanya: kwakakura kupfuura 92 mg / dL (5.1 mmol / L)
• 1 awa: yakakura kupfuura 180 mg / dL (10.0 mmol / L)
• 2 awa: yakakura kupfuura 153 mg / dL (8.5 mmol / L)

Kana imwe chete yeropa rako reropa ichikonzeresa mumuromo wemaglucose shiviriro bvunzo iri pamusoro pane zvakajairwa, wako mupi anogona kungo tarisa iwe kuti uchinje zvimwe zvekudya zvaunodya. Ipapo, mupi wako anogona kukuyedza zvakare mushure mekunge wachinja chikafu chako.

Kana inopfuura imwe yeropa rako glucose mhinduro yakakwira kupfuura zvakajairwa, iwe une gestational chirwere cheshuga.

Unogona kunge uine zvimwe zvezviratidzo zvakanyorwa pamusoro pasi pemusoro wakanzi "Muedzo Uchanzwa Sei."

Pane njodzi shoma inosanganisirwa nekutorwa kweropa rako. Tsinga uye tsinga zvinosiyana muhukuru kubva kumunhu kuenda kune mumwe uye kubva kune rimwe divi remuviri kuenda kune rimwe. Kutora muyero weropa kubva kune vamwe vanhu kunogona kunetsa kupfuura kune vamwe.

Dzimwe njodzi dzinosangana nekutorwa kweropa idiki, asi dzinogona kusanganisira:

• Kuwedzera kubuda ropa
• Kufenda kana kunzwa kushaya musoro
• Akawanda punctures ekutsvaga mutsinga
• Hematoma (kuwanda kweropa pasi peganda)
• Utachiona (hushoma njodzi chero nguva ganda parinovhunika)

Oral glucose kushivirira bvunzo - nhumbu; OGTT - kubata pamuviri; Glucose dambudziko bvunzo - nhumbu; Gestational chirwere cheshuga - glucose kuongorora

American Chirwere cheshuga Association. 2. Kupatsanura uye Kuongorora Chirwere cheshuga: Maitiro Ekurapwa Kwechirwere cheshuga-2020. Chirwere cheshuga. 2020; 43 (Suppl 1): S14-S31. PMID: 31862745 pubmed.ncbi.nlm.nih.gov/31862745/.

Komiti Yezvekudzidzira Bulletins - Obstetrics. Dzidzira Bulletin Nhamba 190: Gestational chirwere cheshuga mellitus. Obstet Gynecol. 2018; 131 (2): e49-e64. PMID: 29370047 pubmed.ncbi.nlm.nih.gov/29370047/.

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.

Moore TR, Hauguel-De Mouzon S, Catalono P. Chirwere cheshuga mukuzvitakura. Mu: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Sirivha RM, eds. Creasy uye Resnik's Maternal-Fetal Mushonga: Misimboti uye Dzidzira. 8th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 59.