Njodzi dzekuzvara mukubata chirwere cheshuga

Zvemukati

• Ngozi kuna amai
• Ngozi kumwana
• Nzira yekuderedza njodzi
• Yakadii iyo postpartum ye gestational chirwere cheshuga

Vakadzi vane nhumbu vanoonekwa kuti vane gestational chirwere cheshuga vane mukana wakakura wekutambura nguva isati yakwana, zvichikonzera basa uye kunyange kurasikirwa nemucheche nekuda kwekukura kwavo kwakanyanya. Nekudaro, njodzi idzi dzinogona kudzikiswa nekuchengetedza huwandu hweshuga yeropa hunodzorwa nemazvo panguva yese yepamuviri.

Vakadzi vane nhumbu vanochengeta ropa ravo glucose richidzorwa uye vasina vana vane huremu hunopfuura makirogiramu mana vanogona kumirira kusvika mavhiki makumi matatu nemasere ekubata kuti basa risvike ratanga, uye vanogona kuve neyakajairika yekusununguka, kana ichi chiri chishuwo chavo. Nekudaro, kana zvikaratidzirwa kuti mwana ane zvinopfuura makirogiramu mana, chiremba anogona kupa chikamu checesarean kana kuburitswa kwekusvitswa pamasvondo makumi matatu nemasere.

Gestational chirwere cheshuga chinoonekwa nekusashivirira kumahydrohydrate anoitika, kekutanga, panguva yepamuviri, uye kune dzimwe njodzi dzakabatana kana zvikaitika panguva yekutanga kwetatu yenhumbu.

Ngozi kuna amai

Njodzi dzekuzvara mukubata chirwere cheshuga, dzinogona kuitika mumadzimai ane nhumbu, dzinogona kuve:

• Kuberekwa kwenguva refu kunoitika nekuda kwehurombo uterine chibvumirano;
• Inoda kukurudzira vashandi nemishonga yekutanga kana kukurumidza kuendesa kwese;
• Laceration yeiyo perineum panguva yakajairika yekusununguka, nekuda kwehukuru hwemucheche;
• Urinary turakiti hutachiona uye pyelonephritis;
• Eclampsia;
• Kuwedzera amniotic fluid;
• Hypertensive zvinetso;

Uye zvakare, mushure mekusununguka, amai vanogona zvakare kuona kunonoka mukutanga kwekuyamwisa. Dzidza maitiro ekugadzirisa matambudziko akajairika ekuyamwisa.

Ngozi kumwana

Gestational chirwere cheshuga chinogona kuunza njodzi kumwana panguva yekuzvitakura kana kunyangwe mushure mekusununguka, senge:

• Kuberekwa zuva risati ratarisirwa, nekuda kwekutsemuka kweamniotic sac pamberi pemasvondo makumi matatu nemasere ekubata;
• Yakaderera oxygenation panguva yekusununguka;
• Hypoglycemia mushure mokuberekwa;
• Kubvisa nhumbu chero nguva yekubata kana kufa nguva pfupi yapfuura kusununguka;
• Hyperbilirubinemia;
• Kuzvarwa uine huremu hunopfuura 4 kg, izvo zvinowedzera mukana wekubata chirwere cheshuga mune ramangwana uye chekutambura kumwe kuchinjika papfudzi kana kutyoka kweclavicle panguva yakajairika yekusununguka

Uye zvakare, vana vanogona kutambura nekufutisa, chirwere cheshuga uye chirwere chemoyo muhukuru.

Nzira yekuderedza njodzi

Kuti kuderedze njodzi dzegestational chirwere cheshuga, zvakakosha kuchengetedza glucose yeropa iri pasi pesimba, kutarisa capillary ropa glucose zuva nezuva, kudya nemazvo uye kurovedza muviri, sekufamba, mvura maekisesaizi kana kudzidzisa huremu, kanokwana katatu pasvondo.

Vamwe vakadzi vane nhumbu vangangoda kushandisa insulin kana kudya uye kurovedza muviri zvisina kukwana kudzora shuga yeropa. Chiremba wechiremba, pamwe ne endocrinologist, vanogona kupa majekiseni ezuva nezuva.

Dzidza zvakawanda nezve kurapwa kweye gestational chirwere cheshuga.

Tarisa vhidhiyo inotevera uye dzidza kuti kudya kunogona sei kudzikisa njodzi dzegestational chirwere cheshuga:

Yakadii iyo postpartum ye gestational chirwere cheshuga

Pakarepo mushure mekusununguka, ropa reropa rinofanira kuyerwa maawa maviri kusvika mana, kuitira kudzivirira hypoglycemia uye ketoacidosis, izvo zvakajairika panguva ino. Kazhinji, glycemia inowanzoitika mushure mekusununguka, zvisinei, kune njodzi yekuti mukadzi ane nhumbu achakura rudzi rwechipiri chirwere cheshuga mune angangoita makore gumi, kana akasatora hupenyu hwakanaka.

Chipatara chisati chaburitswa, iro ropa raamai amai glucose rinofanira kuyerwa kuitira kuti rione kuti rakatogadzirwa kare. Kazhinji, antidiabetics yemumuromo inomiswa, asi vamwe vakadzi vanofanirwa kuramba vachinwa mishonga iyi mushure mekusununguka, mushure mekuongororwa nachiremba, kuti varege kukuvadza kuyamwa.

Iko kusagadzikana kwekushushikana kweglucose kunofanirwa kuitwa mavhiki matanhatu kusvika masere mushure mekusununguka, kuratidza kuti glucose yeropa ichiri yakajairika. Kuyamwisa kunofanirwa kukurudzirwa nekuti kwakakosha kumwana uye nekuti kunobatsira nekupera kwekubereka uremu, insulin mutemo uye nekutsakatika kwechirwere cheshuga.

Kana ropa reropa richiramba richidzorwa mushure mekusununguka, kuporeswa kwechikamu chekusiyiwa uye episiotomy kunoitika nenzira imwecheteyo sevakadzi vasina chirwere cheshuga cheshuga, zvisinei, kana hunhu hukasadzokera pane zvakajairwa, kupora kunogona kutora nguva yakareba.