Gestational chirwere cheshuga: chii chiri, zvikonzero, kurapwa uye njodzi

Zvemukati

• Zviratidzo zvikuru
• Chikonzero cheshuga cheshuga
• Kurapwa kunoitwa sei
• 1. Chikafu mukubata chirwere cheshuga
• 2. Dzidzira kurovedza muviri
• 3. Kushandiswa kwemishonga
• Njodzi dzinogona kuitika pakuzvitakura
• Maitiro ekudzivirira gestational chirwere cheshuga

Gestational chirwere cheshuga chinowanzo kukura padhuze ne3 trimester yepamuviri nekuda kwekudzivirira insulin kusakonzerwa nemahomoni epamuviri. Rudzi urwu rwechirwere cheshuga runowanzonyangarika mushure mekusununguka uye kashoma kukonzera zviratidzo, kunyangwe mune dzimwe nguva, kusaona zvakanaka uye nyota zvinogona kuitika.

Kurapa kwayo kunofanirwa kutanga panguva yekuzvitakura nekudya kwakaringana kana nekushandisa mishonga, senge yemumuromo hypoglycemic vamiririri kana insulin, zvinoenderana neshuga yeropa kukosha.

Gestational chirwere cheshuga chinogara chichirapika mushure mekusununguka, zvisinei, zvakakosha kutevedzera nemazvo kurapwa kwakataurwa nachiremba, sezvo paine njodzi huru yekubata rudzi rwechipiri chirwere cheshuga mellitus mumakore angangoita gumi kusvika makumi maviri uye nekutambura kwachiri. chirwere cheshuga mune imwe nhumbu.

Zviratidzo zvikuru

Kazhinji zviitiko zvegestational chirwere cheshuga hazvitungamire pakuonekwa kwezviratidzo kana zviratidzo, zvisinei mune dzimwe nguva kuwedzera kwekuda kudya, kuwedzera uremu, kukurudzira kukuru kuita weti, kuona kwakasviba, nyota yakawanda uye kazhinji kutapukira kwehuropi kunogona kucherechedzwa. Tarisa uone zvimwe zviratidzo zvegestational chirwere cheshuga.

Sezvo zviratidzo izvi zvakajairika mukuzvitakura, chiremba anofanira kuraira muyedzo weglucose kanokwana katatu panguva yekuzvitakura, uchive unowanzo kuve muyedzo wekutanga unoitwa mu20 vhiki yekuzvitakura. Kuti asimbise kuongororwa kwechirwere cheshuga cheshuga, chiremba anowanzokurudzira kuita glycemic curve test kuti atarise mazinga eglucose nekufamba kwenguva.

Chikonzero cheshuga cheshuga

Gestational chirwere cheshuga chinoitika muzviitiko zvakawanda mumutatu wetatu wekuzvitakura uye inonyanya kuenderana neiyo insulin kudzvinyirira iyo inovandudzwa semhedzisiro yekuwedzera kuwanda kwehomoni inoenderana nepamuviri

Izvi zvinodaro nekuti mune yechitatu trimester yepamuviri pane kuwedzera kwekuda kwekuvaka muviri, zvekuti amai vanotanga kudya macarhydrate akawanda kuti vape huwandu hwakakwana hweglucose inokodzera mwana, panguva imwecheteyo vachironga glucose yeropa ne insulin.

Nekudaro, nekuda kwehutachiona hwepamuviri, kugadzirwa kwe insulini nepancreas kunogona kudzvanywa, kuitira kuti nhengo iyi isakwanise kuwedzera mwero we insulin inogadzirwa, iyo inokonzeresa huwandu hwakawanda hweshuga muropa, zvichikonzera kukura kweshuga .

Aya mamiriro anowanzoitika kune vakadzi vane makore anopfuura makumi matatu nemashanu, vakafutisa kana vakafutisa, vane kuwanda kwemafuta mudumbu, vakapfupika muchimiro kana vane polycystic ovary syndrome.

Kurapwa kunoitwa sei

Kurapa kwechirwere cheshuga cheshuga kunovavarira kusimudzira hutano hwaamai nemwana, kudzivirira matambudziko akadai sehuremu hwakaderera hwezera rekubata uye kufema uye kusagadzikana kwemetabolism, semuenzaniso.Izvo zvakakosha kuti kurapwa kunoitwa pasi pekutungamira kweanodya, obstetrician uye endocrinologist kuitira kuti glycemic control ishande.

Kurapa kwechirwere cheshuga cheshuga kunofanirwa kuitwa kuburikidza neshanduko yekudya tsika uye chiitiko chemuviri kuitira kuti mwero wehuga yeropa uratidzwe:

1. Chikafu mukubata chirwere cheshuga

Kudya mune gestational chirwere cheshuga kunofanirwa kutungamirwa nenyanzvi yezvokudya kuitira kuti pasave nekushomeka kwehutano kuna amai kana mwana. Naizvozvo, zvinokurudzirwa kuti vakadzi vane nhumbu vadye zvekudya zvine yakaderera glycemic index, senge michero isina kuvezwa, pamwe nekuderedza huwandu hweshuga uye akareruka makabhohaidhiretsi mune chikafu.

Zvinokurudzirwa kupa zvakasarudzika kuzvikafu zvakaderera mumakabhohaidhiretsi kana zvine zvine makabhohaidhireti akaomarara, ayo ari iwo ane yakaderera glycemic index nekuda kwehuwandu hwakawanda hwefibre yavanayo. Nekudaro, zvinogona kukurudzirwa kuti vakadzi vane nhumbu vanodya zviyo zvese, nyama, hove, mbeu yemafuta, mukaka uye zvigadzirwa uye mbeu. Ona zvimwe nezvekudya mune gestational chirwere cheshuga.

Izvo zvakakosha kuti glucose yeropa inoyerwa padumbu risina chinhu uye mushure mekudya kukuru, sezvo zvichikwanisika kuti vese mukadzi ane nhumbu nachiremba vanokwanisa kuve nemasimba eropa rehuga, kuwedzera kune icho icho, maererano glucose mazinga, wezvehutano anogona kuchinja chirongwa chekudya.

Zvekare tarisa vhidhiyo inotevera kuti uwane rumwe ruzivo nezve kudya kwejestational chirwere cheshuga:

2. Dzidzira kurovedza muviri

Maekisesaizi akakosha kusimudzira hutano hwemukadzi akazvitakura uye nekuchengetedza kutenderera kweglucose mazinga akaenzana. Muitiro wekubata nhumbu wakachengeteka kana pasina zvinhu zvinogona kuisa njodzi kuhupenyu hwaamai kana hwemwana zvinozivikanwa. Naizvozvo, zvakakosha kuti kurovedza kwacho kutange mushure mekubvumidzwa kwechiremba uye kuti kunoitwa pasi pekutungamira kwehunyanzvi hwepanyama.

Muitiro wekurovedza muviri nevakadzi vane nhumbu vane chirwere cheshuga cheshuga inosimudzira kuderera kweuwandu hweglucose kutsanya uye mushure mekudya, pasina chikonzero chekushandisa insulin kudzora kutenderera kwemazinga eglucose.

Kunyangwe vachinzi vakachengeteka, vakadzi vane pamuviri vanofanirwa kungwarira pamberi, panguva uye mushure mekurovedza muviri, sekudya chinhu usati waekisesaiza, kunwa mvura usati, panguva uye mushure mekuita chiitiko, kutarisisa kusimba kwekurovedza muviri uye kutarisisa kuoneka kwechiratidzo chero chipi zvacho. kana chiratidzo chinoratidza kukanganiswa kwekurovedza muviri, kwakadai sekubuda ropa muchikadzi, chibereko chechibereko, kurasikirwa kweamniotic fluid, kushaya simba kwemhasuru uye kufema kunetseka usati waekisesaiza.

3. Kushandiswa kwemishonga

Iko kushandiswa kwemishonga kunowanzo kuratidzirwa apo chirwere cheshuga chisina kudzorwa uye huwandu hweropa glucose inomiririra njodzi huru kumukadzi ane nhumbu nemwana wake, uye kana mazinga eglucose asinga gadzikise kunyangwe neshanduko mukudya tsika uye kurovedza muviri neimwe nzira.

Nekudaro, chiremba anogona kukurudzira kushandiswa kwemuromo hypoglycemic vamiririri kana insulin, iyo inofanirwa kukurudzirwa nachiremba uye kushandiswa maererano nekutungamira kwake. Izvo zvakakosha kuti mukadzi atore chiyero cheropa glucose zuva nezuva uye panguva dzinoratidzwa nachiremba kuitira kuti zvigone kuongororwa kana kurapwa kuri kushanda.

Njodzi dzinogona kuitika pakuzvitakura

Zvinetso zvegestational chirwere cheshuga zvinogona kukanganisa mukadzi ane nhumbu kana mwana, izvo zvinogona kuva:

Njodzi idzi dzinogona kudzikiswa kana mukadzi akatevera kurapwa nemazvo, nekudaro, mukadzi ane nhumbu ane chirwere cheshuga cheshuga anofanirwa kuteverwa mukutarisirwa nenjodzi yekusununguka.

Maitiro ekudzivirira gestational chirwere cheshuga

Gestational chirwere cheshuga hachigone kudzivirirwa nekuti chakabatana neshanduko yemahormone inowanzove nepamuviri, zvisinei, njodzi yekuvandudza gestational chirwere cheshuga inogona kuderedzwa ne:

• Iva pahuremu hwakakodzera usati wabata pamuviri;
• Kuchengeta prenatal;
• Wedzera uremu zvishoma nezvishoma uye zvishoma nezvishoma;
• Idya uine hutano uye
• Dzidzira kurovedza muviri zvine mwero.

Gestational chirwere cheshuga chinogona kumuka mune vakadzi vane nhumbu vanopfuura makore makumi maviri nemashanu, vakafutisa kana kana mukadzi ane nhumbu asingashiviriri shuga. Nekudaro, inogona zvakare kukura mune vakadzi vadiki kana vakadzi vane huremu hwakaenzana nekuda kwekuchinja kwehomoni.