Zvaunofanira Kuziva Nezve Pregestational Chirwere cheshuga

Zvemukati

• Kunzwisisa pregestational chirwere cheshuga
• Zviratidzo zveshuga
• Zvinokonzera uye njodzi zviitiko cheshuga
• Kuongorora chirwere cheshuga
• Makirasi e pregestational uye gestational chirwere cheshuga
• Makirasi e pregestational chirwere cheshuga
• Makirasi echirwere cheshuga cheshuga
• Kuongorora uye kurapa pregestational chirwere cheshuga
• Matambudziko anosangana nechirwere cheshuga panguva yekuzvitakura
• Matipi epamuviri ane hutano kana uine chirwere cheshuga
• Taura navanachiremba vako

Isu tinosanganisira zvigadzirwa zvatinofunga zvinobatsira kuvaverengi vedu. Kana iwe ukatenga kuburikidza nehukama pane ino peji, isu tinogona kuwana diki komisheni. Heano maitiro edu.

Kunzwisisa pregestational chirwere cheshuga

Pregestational chirwere cheshuga chinoitika kana uine rudzi rwekutanga kana rudzi rwechipiri chirwere cheshuga usati wava nepamuviri. Pregestational chirwere cheshuga chine makirasi mapfumbamwe anoenderana nezera rako pakuongororwa uye mamwe matambudziko echirwere.

Kirasi yeshuga yauinayo inoudza chiremba wako nezve kuomarara kwemamiriro ako. Semuenzaniso, chirwere chako cheshuga mukirasi C kana iwe wakachikurisa pakati pemakore gumi ne19. Chirwere cheshuga chako zvakare chikamu C kana wanga uine chirwere chegumi kusvika kumakore gumi nemapfumbamwe uye usina zvinetswa zvevascular.

Kuva nechirwere cheshuga kana iwe uine pamuviri kunowedzera dzimwe njodzi kune iwe nemwana wako. Kana iwe uine chirwere cheshuga, kubata kwako kuchada kuwedzerwa kuongororwa.

Zviratidzo zveshuga

Zviratidzo zveshuga zvinosanganisira:

• nyota yakawandisa nenzara
• kugara uchiita weti
• shanduko mukurema
• kuneta zvakanyanya

Kubata pamuviri kunogonawo kukonzera zviratidzo zvakaita sekuweta kazhinji uye kuneta. Izvo zvakakosha kuti utarise yako mazinga eglucose padhuze kuti ubatsire iwe nachiremba wako kuona chikonzero chechiratidzo ichi.

Zviratidzo zvako zvichave nezvakawanda zvekuita nemabatiro aunoita chirwere cheshuga uye kuti nhumbu yako iri kufambira mberi sei.

Zvinokonzera uye njodzi zviitiko cheshuga

Iyo pancreas inogadzira insulin. Insulin inobatsira muviri wako:

• shandisa glucose nezvimwe zvinovaka muviri kubva muchikafu
• chitoro mafuta
• kuvaka mapuroteni

Kana muviri wako ukasaburitsa insulini yakaringana kana kuushandisa zvisina tsarukano, ipapo mwero wehuga yeropa rako unenge wakakwira kupfuura zvakajairwa uye uchikanganisa mashandiro anoita muviri wako.

Tora 1 chirwere cheshuga

Tora 1 chirwere cheshuga chinoitika apo pancreas yako isingakwanise kuburitsa insulin. Zvinogona kuitika kana immune system yako ikakanganisa pancreas yako. Izvo zvinogona zvakare kuitika nekuda kwezvikonzero zvisingazivikanwe. Vatsvakurudzi havana chokwadi chekuti sei vanhu vachikura mhando 1 yeshuga.

Iwe uri mukana wekukudziridza mhando 1 chirwere cheshuga kana uine nhoroondo yemhuri yechirwere. Vanhu vane chirwere cheshuga cheshuga vanowanzo gashira hutachiona panguva yehudiki.

Nyora 2 chirwere cheshuga

Rudzi rwechipiri chirwere cheshuga rwakajairika kupfuura rudzi rwechipiri chirwere cheshuga. Inotanga ne insulin kudzivisa. Kana iwe uine insulin yekudzivirira, ipapo muviri wako haushandise insulin zvakanaka kana kuti hauchaburitse insulin yakakwana.

Kuwedzeredza kana kuva nenhoroondo yemhuri yechirwere ichi kunowedzera mukana wako wekutora chirwere cheshuga cheshuga. Kuva nekudya kwakashata uye kusava nemuviri kunogona kuwedzera mukana wako wekutora chirwere cheshuga.

Kuongorora chirwere cheshuga

Chiremba wako achaita akateedzana ehurongwa uye kutsanya kuongororwa kweropa kuvabatsira kuti vaongorore. Verenga zvimwe nezve bvunzo cheshuga.

Vamwe vakadzi vanongoita chirwere cheshuga panguva yepamuviri. Izvi zvinonzi gestational chirwere cheshuga. Vanachiremba vanoongorora vakadzi vazhinji vane nhumbu chirwere cheshuga sechikamu chekutarisirwa kwavo kwepamuviri.

Makirasi e pregestational uye gestational chirwere cheshuga

Pregestational chirwere cheshuga chakakamurwa kuita, nepo gestational chirwere cheshuga chakakamurwa kuita maviri makirasi.

Makirasi e pregestational chirwere cheshuga

Aya anotevera makirasi e pregestational chirwere cheshuga:

• Kutanga kwekirasi A chirwere cheshuga kunogona kuitika chero zera. Iwe unogona kudzora iyi kirasi yeshuga nekudya chete.
• Kirasi B chirwere cheshuga chinoitika kana iwe ukava nechirwere cheshuga mushure memakore makumi maviri, wakave nechirwere cheshuga pasi pemakore gumi, uye hauna zvinetswa zvevascular.
• Kirasi C chirwere cheshuga chinoitika kana iwe ukachigadzira pakati pemakore gumi ne19. Chirwere cheshuga zvakare chikamu C kana wanga uine chirwere chegumi kusvika pagumi nemapfumbamwe makore uye hauna zvinetswa zvevascular.
• Kirasi D chirwere cheshuga chinoitika kana iwe ukava nechirwere cheshuga usati wasvika makore gumi, wave neshuga kweanopfuura makore makumi maviri, uye une zvinetswa zvevascular.
• Kirasi F chirwere cheshuga chinoitika nephropathy, chirwere cheitsvo.
• Kirasi R chirwere cheshuga chinoitika ne retinopathy, chirwere cheziso.
• Kirasi RF inoitika mune vanhu vane zvese nephropathy uye retinopathy.
• Kirasi T chirwere cheshuga chinoitika mumukadzi akaiswa itsvo.
• Kirasi H chirwere cheshuga chinoitika necoronary arteri chirwere (CAD) kana chimwe chirwere chemwoyo.

Makirasi echirwere cheshuga cheshuga

Kana iwe usina chirwere cheshuga kusvika iwe ukava nepamuviri, une gestational chirwere cheshuga.

Gestational chirwere cheshuga chine makirasi maviri. Iwe unogona kudzora kirasi A1 chirwere cheshuga kuburikidza nedhayeti yako. Kana iwe uine kirasi A2 chirwere cheshuga, iwe unoda insulin kana mishonga yemumuromo kuti udzore iyo.

Gestational chirwere cheshuga chinowanzo kuve chenguva pfupi, asi zvinowedzera mukana wako wekukura mhando 2 chirwere cheshuga gare gare muhupenyu.

Kuongorora uye kurapa pregestational chirwere cheshuga

Munguva yekuzvitakura kwako, iwe uchada kuwedzerwa kuongororwa kwechirwere cheshuga.

Zvichida iwe uchaona yako OB-GYN, endocrinologist, uye pamwe perinatologist. A perinatologist inyanzvi yemamai-fetal mushonga.

Nzira dzakasiyana siyana dzinowanikwa kuongorora uye kubata pregestational chirwere cheshuga:

• Chinhu chekutanga iwe chaunofanirwa kuita kana iwe ukava nepamuviri kuenda pamusoro pemutsara wako wemishonga nachiremba wako. Mimwe mishonga inogona kunge isina kuchengetedzeka kutora panguva yekuzvitakura.
• Iwe ucharamba uchitora insulin, asi iwe ungatofanira kugadzirisa dosi panguva yepamuviri.
• Kuongorora ako eropa glucose mwero chinhu chekutanga. Izvi zvinoreva kutora nguva zhinji kuongororwa ropa uye weti.
• Chiremba wako anokuzivisa iwe maitiro ekugadzirisa dhayeti yako uye zvipi zviitwa zvakakunakira iwe nemwana wako.
• Chiremba wako anogona kushandisa imaging yeultrasound kuti aongorore kurova kwemoyo wemwana wako, mafambiro, uye huwandu hweamniotic fluid.
• Chirwere cheshuga chinogona kudzora kukura kwemapapu emwana wako. Chiremba wako anogona kuita amniocentesis kuti atarise kukura kwemapapu emwana wako.
• Hutano hwako, hutano hwemwana wako, uye huremu hwemwana wako zvinobatsira chiremba wako kuona kana iwe uchigona kununura kusangana nekutsi kwemukadzi kana kana kuendesa kwecharea kuchidikanwa.
• Chiremba wako anozoramba achiongorora huwandu hweglucose yeropa rako padhuze panguva yebasa nekutakura. Yako insulin inoda inogona kuchinja zvakare mushure mekusununguka.

Tenga kune-kumba kweropa glucose kana kumba-weti yeglucose bvunzo.

Matambudziko anosangana nechirwere cheshuga panguva yekuzvitakura

Vakadzi vazhinji vane chirwere cheshuga vanotakura uye vanonunura vacheche vasina hutano hwakakomba. Nekudaro, kana iwe uine chirwere cheshuga, iwe nemwana wako mune njodzi yakawedzera yezvinetso. Zvakakosha kuti uzive kwavari.

Matambudziko anogona kukanganisa amai panguva yekuzvitakura anosanganisira:

• weti, dundira, uye hutachiona
• kuwedzera kweropa, kana preeclampsia; mamiriro aya anogona kukonzera itsvo nechiropa kusagadzikana
• kuwedzera kwechirwere cheshuga chine chekuita neshuga
• kuwedzera kwezvinetso zveitsvo zvine chekuita neshuga
• dhirivhari yakaoma
• kudiwa kwekutorerwa kwekuregedza

Yakakwira glucose mazinga, kunyanya mune yekutanga trimester, inogona kuwedzera njodzi yekuzvarwa kwekuremara. Matambudziko anogona kukanganisa mwana anosanganisira:

• kusununguka
• kuzvarwa nguva isati yakwana
• kurema kuberekwa uremu
• yakaderera ropa glucose, kana hypoglycemia, pakuzvarwa
• kuchena kwenguva refu kweganda, kana jaundice
• mweya wekufema
• kuberekwa kusakwana, kusanganisira kuremara kwemoyo, tsinga dzeropa, huropi, musana, itsvo, uye nzira yekugaya
• kuberekwa

Matipi epamuviri ane hutano kana uine chirwere cheshuga

Kana iwe uine chirwere cheshuga, kuongorora hutano hwako kunotonyanya kukosha kana wafunga kuita mwana. Kana ukakurumidza kutanga kuronga, zvirinani. Tevedza iwo matipi pazasi epamuviri ane hutano.

Taura navanachiremba vako

• Ona wako endocrinologist uye wako OB-GYN kuti uve nechokwadi chekuti une hutano hwakanaka uye chirwere cheshuga chiri pasi pesimba. Kuchengeta chirwere cheshuga kwakanyatso chengetwa kwemwedzi yakati wandei usati wabata pamuviri kunogona kudzikisira njodzi dzako nemwana wako.
• Udza chiremba wako nezve yese yemishonga uye zvinowedzera iwe zvauri kutora izvozvi. Kana iwe uri nepamuviri, vaudze nezvese emishonga uye ekuwedzera awakatora kubva pakuva nepamuviri.
• Folic acid inobatsira kupisa kukura kwakanaka uye kusimudzira. Kumbira chiremba wako kana iwe uchifanira kutora folic acid kana mamwe akakosha mavitamini.
• Tora mavitamini epamuviri kana chiremba wako achikurudzira.
• Kumbira chiremba wako kuti zvinangwa zvako zveglucose zveropa zvinofanirwa kuvei.
• Ona chiremba wako zvakare pakarepo paunofunga kuti iwe une pamuviri. Ita shuwa kuti vanachiremba vako vanotaurirana.
• Chengetedza nguva dzese dzekusununguka.
• Udza chiremba wako nezve chero zviratidzo zvisina kujairika ipapo ipapo.

Tenga mavitamini epamuviri.

Gamuchira mararamiro ane hutano

• Chengetedza chikafu chine hutano chinosanganisira akasiyana miriwo, zviyo zvese, uye michero. Sarudza zvigadzirwa zvemukaka zvisina mafuta. Wana mapuroteni muchimiro chebhinzi, hove, uye nyama dzakaonda. Chikamu chekutonga chakakoshawo.
• Tora kurovedza muviri zuva rega rega.
• Ita shuwa kuti iwe uri kuwana yakaenzana huwandu hwekurara manheru ega ega.

Gadzirira

• Funga kupfeka chitupa chinozivikanwa chinoratidza kuti une chirwere cheshuga.
• Iva nechokwadi chekuti wawakaroorana naye, waunofambidzana naye, kana mumwe munhu wepedyo newe anoziva zvekuita kana iwe uine emergency emergency.