Unogona Kudzivirira Gestational Chirwere cheshuga?
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Zvemukati
- Ndezvipi zvinokonzeresa zvegestational chirwere cheshuga?
- Ndingaite sei kudzikisa njodzi yangu yekubata gestational chirwere cheshuga?
- Ndeupi hukama pakati pegestational chirwere cheshuga uye insulin?
- Ndezvipi zviratidzo zvegestational chirwere cheshuga?
- Gestational chirwere cheshuga chinoonekwa sei?
- Gestational chirwere cheshuga inorapwa sei?
- Kakawanda sei shuga yangu yeropa ichaongororwa?
- Ndezvipi zvimwe zvingangobata gestational chirwere cheshuga chingakanganisa nhumbu yangu?
- Ndeapi maonero e gestational chirwere cheshuga?
- Q&A
- Mubvunzo:
- A:
Chii chinonzi gestational chirwere cheshuga?
Gestational chirwere cheshuga chiitiko chenguva pfupi chinogona kuitika panguva yekuzvitakura. Kana uine chirwere cheshuga cheshuga, zvinoreva kuti une huwandu hwakawanda hweshuga yeropa pane hwakajairika panguva yekuzvitakura.
Gestational chirwere cheshuga chinokanganisa angangoita maviri kusvika gumi muzana epamuviri muUnited States, sekureva kweCenters for Disease Control and Prevention.
Kana iwe uine gestational chirwere cheshuga, zvakakosha kuti ubatwe nekukurumidza nekuti zvinogona kukonzera matambudziko kune ese hutano hwako newemwana wako.
Zvinokonzera gestational chirwere cheshuga hazvina kunyatsonzwisiswa uye hazvigone kudzivirirwa zvachose. Asi iwe unogona kudzikisa njodzi yako yekukudziridza. Ramba uchiverenga kuti udzidze zvakawanda nezve iyi mamiriro uye zvaunogona kuita kudzikisa njodzi yako.
Ndezvipi zvinokonzeresa zvegestational chirwere cheshuga?
Gestational chirwere cheshuga chinosanganisirwa neakasiyana njodzi njodzi, kusanganisira:
- kuva pamusoro pemakore makumi maviri nemashanu
- kuva mutete
- kuva nehama yepedyo ine type 2 diabetes
- kuva nemamiriro ezvinhu anokonzera insulin kushorwa, senge polycystic ovarian syndrome (PCOS) uye kusagadzikana kweganda acanthosis nigricans
- kuva neBP yakakwira usati wabata pamuviri
- kuva nechirwere cheshuga cheshuga panguva yepamuviri yapfuura
- kuwana huwandu hwakawanda hwehuremu panguva yepamuviri pari zvino kana yapfuura
- kutora glucocorticoids
- kuva nepamuviri nezvakawanda, semapatya kana matatu
Mamwe madzinza emarudzi ariwo panjodzi yakanyanya yekukura gestational chirwere cheshuga, kusanganisira:
- VaAfrica -America
- Asia -America
- Hispanics
- Vanhu vekuAmerica
- Pacific Islanders
Ndingaite sei kudzikisa njodzi yangu yekubata gestational chirwere cheshuga?
Nzira yakanakisa yekudzikisa njodzi yako yekubata chirwere cheshuga ndeyekugara uine hutano uye kugadzirira muviri wako kuti uve nepamuviri.
Kana iwe wakanyanya kufuta, unogona kutora matanho anotevera kugadzirira nhumbu:
- Shanda kunatsiridza kudya kwako uye udye zvine hutano.
- Gadzira purogiramu yenguva dzose yekurovedza muviri.
- Funga nezvekudzikira uremu.
Taura nachiremba wako nezvenzira yakanakisa yekuti udzikise uremu, nekuti kunyangwe iwo mapaundi mashoma anogona kuita mutsauko padanho rako renjodzi rekubata chirwere cheshuga.
Kana iwe usinga shande, zvisinei kana iwe kana kwete iwe uri kunyanyisa, iwe unofanirwa zvakare kushanda kune yakajairwa kurovedza muviri kanenge katatu pavhiki. Rovedza muviri zvine mwero kwemaminitsi makumi matatu nguva imwe neimwe. Tora chikafu chine hutano chinotarisa pamiriwo, michero, uye zviyo zvakakwana.
Kana uchinge wava nepamuviri, usaedze kudzikisa huremu kutoti chiremba wako achirumbidza. Dzidza maitiro ekudzora huremu zvakachengeteka kana iwe wakanyanya uye uine pamuviri.
Kana iwe wanga uine gestational chirwere cheshuga panguva yepamberi pamuviri uye urikuronga kuve nepamuviri zvakare, udza chiremba wako. Vachaita ekutanga kuongorora kuti vaone njodzi dzako uye nekuona kuti une nhumbu yakanaka.
Ndeupi hukama pakati pegestational chirwere cheshuga uye insulin?
Mhando dzese dzeshuga dzakabatana neiyo hormone insulin. Iyo inodzora huwandu hweshuga muropa rako nekubvumira shuga kuti ifambe kubva muropa uye ive mumaseru ako.
Insulini isina kukwana kana kushandiswa kusingabatsiri kweinsulini nemaseru emuviri wako kunotungamira kune yakakwira glucose muropa. Sezvo iwe uchiwedzera uremu, muviri wako unoshandisa insulin zvishoma, saka inoda kuburitsa zvimwe kuitira kugadzirisa shuga muropa rako. Dzidza zvakawanda nezve mhedzisiro ye insulin.
Uye zvakare, kana iwe uine nhumbu placenta yako inoburitsa insulin-inodzivirira mahormone. Izvi zvinoita kuti shuga igare muropa rako kwenguva refu mushure mekudya. Mwana wako anowana zvinovaka muviri kubva muropa rako, saka zvinobatsira panguva yekuzvitakura kuti zvinovaka muviri zvive muropa rako kwenguva yakareba kuti mwana wako azviwane. Imwe nhanho yekudzivirira insulin seyakajairika panguva yekuzvitakura.
Mazinga ako eglucose anogona kukwirisa panguva yekuzvitakura kana:
- iwe waive watove nemushonga-insulini usati waita nhumbu
- ropa rako re glucose rakange ratokwira kare usati wabata nhumbu
- iwe une mamiriro anokuisa iwe panjodzi huru yekuve insulini inoshingirira
Kana yako glucose mazinga akave akakwirira zvakanyanya, iwe uchaonekwa uine gestational chirwere cheshuga.
Ndezvipi zviratidzo zvegestational chirwere cheshuga?
Kazhinji, hauzowani chero zviratidzo zvinoonekwa zvekubata chirwere cheshuga. Vamwe vakadzi vanogona kuona zviratidzo zvakapfava senge:
- kuneta
- nyota yakanyanyisa
- kuwedzera kukurumidza kwekukurumidza uye kuwanda
- ngonono
- kuwedzera kuwedzera uremu
Nekudaro, gestational chirwere cheshuga inogona kuwedzera njodzi yako yemamwe mamiriro.
Chimwe chezvakanyanya kubaya preeclampsia, iyo inokonzeresa BP uye inogona kuuraya kana ikasarapwa nekukurumidza.
Gestational chirwere cheshuga inosanganisirwa ne macrosomia, mamiriro umo mwana wako anokura zvakanyanya kukura. Macrosomia inosanganisirwa nenjodzi yakakwira yekukurumidzira kuregererwa kwekuregedza.
Gestational chirwere cheshuga chinogona zvakare kutungamira kune mwana wako ane yakaderera ropa glucose pakuzvarwa. Mune zviitiko zvehurombo husina kunyatso dzivirirwa, mwana wako ari pangozi yekuzvara mwana.
Gestational chirwere cheshuga chinoonekwa sei?
Sezvo gestational chirwere cheshuga chisingawanzo kuva nezviratidzo, chinoonekwa nekuongororwa kweropa. Chiremba wako acharaira gestational chirwere cheshuga kuongorora muyedzo panguva yako yechipiri trimester. Kana iwe uine zvimwe zvinenjodzi, iwe unogona kunge uine bvunzo yakaitwa kare mune yako yekutanga trimester.
Iko kuongorora kunogona kuitwa mune imwe yenzira mbiri. Yokutanga inonzi glucose challenge test (GCT). Munguva yekuyedzwa, iwe unonwa mhinduro yeshuga uye wotora dhonza reropa awa rimwe gare gare. Iwe haufanire kunge uchitsanya kuyedzwa uku. Kana mhedzisiro iyi yakakwidziridzwa, iwe uchafanirwa kuita kwemaawa matatu-glucose bvunzo.
Yechipiri bvunzo sarudzo ndeye glucose kushivirira bvunzo (OGTT). Munguva yebvunzo iyi, uchafanirwa kutsanya uye kutorwa ropa. Ipapo uchanwa mhinduro ine shuga, uye wobva waongorora shuga yako yeropa paawa imwe chete uye nemaawa maviri gare gare. Kana imwe yemhedzisiro iyi yakasimudzwa, iwe uchaonekwa uine gestational chirwere cheshuga.
Gestational chirwere cheshuga inorapwa sei?
Vakadzi vazhinji vanokwanisa kubata gestational chirwere cheshuga kuburikidza nedhayeti uye kurovedza muviri, izvo zvinogona kushanda zvakanyanya pakudzora huwandu hweshuga yeropa.
Iwe unozofanirwa kubhadhara zvakanyanya kune yako makabhohaidhireti kutora uye zvikamu zvako zvehukuru. Izvo zvakakoshawo kuti iwe udzivise kudya uye kunwa zvimwe zvinhu, zvinosanganisira doro, chikafu chakagadzirwa, uye sitachi yakadai semucheka mbatatisi uye mupunga chena. Tarisa uone izvi zvekudya runyorwa kune mamwe matipi pane zvaunogona uye zvausingakwanise kudya kana uine gestational chirwere cheshuga.
Chiremba wako anokurudzira chirongwa chekudya uye chirongwa chekurovedza muviri. Maekisesaizi akachengeteka kuita panguva yekuzvitakura anosanganisira:
- Pilates
- yoga
- kufamba
- kushambira
- achimhanya
- kurema kudzidzisa
Iwe unodawo kuongorora mashuga eropa rako kuti uve nechokwadi chekuti glucose yako haina kunyanya kukwirira.
Kana kudya uye kurovedza muviri chete kusingabatsiri, ungangoda kutora insulin zvakare.
Kakawanda sei shuga yangu yeropa ichaongororwa?
Chiremba wako anozoongorora wega shuga yako yeropa mazinga nguva dzese dzenhumbu yako, uye iwe uchafanirwa kuyedza ako mazinga zuva nezuva kumba.
Kuti uite izvi, iwe unoshandisa tsono diki kutora sampuro yeropa kubva pachigunwe chako, icho chaunozoisa pamutsetse wekuyedza mumitha yeglucose yeropa. Chiremba wako anokuudza iwe huwandu hwenhamba yekutarisa. Kana glucose yako yakanyanya kukwirira, danaidza chiremba wako ipapo ipapo.
Kunze kwekuyedza kumba, iwe unenge uchishanyira chiremba wako kakawanda kana uine gestational chirwere cheshuga. Chiremba wako angangoda kuyedza yako glucose mazinga muhofisi kamwe chete pamwedzi kuti uverenge kuverenga kwako kumba.
Ndezvipi zvimwe zvingangobata gestational chirwere cheshuga chingakanganisa nhumbu yangu?
Iwe unogona kunge uine kakawanda ultrasound kuti utarise kukura kwemwana wako. Chiremba wako anogona kuita nonstress test kuti ave nechokwadi chekuti mwana wako wemwoyo unowedzera pavanenge vachishanda.
Chiremba wako anogona zvakare kukurudzira kuburitswa kana basa risingatangi nezuva rako rakatarwa. Izvi zvinodaro nekuti kutumira kwemazuva ekupedzisira kunogona kuwedzera njodzi dzako kana uine gestational chirwere cheshuga.
Ndeapi maonero e gestational chirwere cheshuga?
Gestational chirwere cheshuga chinowanzoenda choga mushure mekubereka. Chiremba wako anozoongorora shuga yako yeropa masvondo matanhatu kusvika gumi nemaviri mushure mekuzvara kwako kuti ave nechokwadi chekuti nhanho dzako dzadzokera pane zvakajairwa. Kana vasina, unogona kunge uine chirwere cheshuga chechipiri.
Kunyangwe kana shuga yako yeropa yadzokera kune yakasarudzika mushure mekunge mwana wako asvika, gestational chirwere cheshuga inokuisa iwe panjodzi yekuwedzera rudzi rwechipiri chirwere cheshuga gare gare muhupenyu. Iwe unofanirwa kuongororwa makore ese matatu kuti uve nechokwadi chekuti huwandu hweropa reropa rako hwakajairika.
Kana iwe uine chirwere cheshuga cheshuga, mwana wako ariwo panjodzi yakanyanya yekuwedzeredza kana kusimudzira rudzi rwechipiri chirwere cheshuga kana vakura. Iwe unogona kudzikisa njodzi iyi ne:
- kuyamwisa
- kudzidzisa mwana wako tsika dzakanaka dzekudya kubva achiri mudiki
- kukurudzira mwana wako kuti ave anoshanda mukati mehupenyu hwavo hwese
Q&A
Mubvunzo:
Ko kudya chikafu chine shuga panguva yangu yepamuviri kuchawedzera njodzi yangu yekubata gestational chirwere cheshuga?
A:
Kudya zvikafu zvine shuga hakuwedzeri njodzi yako yekubata chirwere cheshuga. Kana iwe ukabatwa uine gestational chirwere cheshuga zvichange zvakakosha kuti utarise yako makabhohaidhireti kutora kuti unyatsogadzirisa yako mashuga eropa. Izvi zvinosanganisa kubata kwako kudya kweshuga chikafu. Zvimwe zvezvikafu izvi, zvakaita sesoda uye muto, zvinogaya nekukurumidza kupfuura zvimwe zvekudya zvine makabhohaidhireti zvine fiber, uye zvinogona kukwirisa huwandu hweshuga yeropa, kunyanya kana ikatorwa yega. Sangana nemudyuti akanyoreswa kana iwe ukabatwa nechirwere cheshuga kuitira kuti uve nechokwadi chekuti urikugadzirisa kudya kwako nenzira kwayo.
Peggy Pletcher, MS, RD, LD, CDEAmhinduro dzinomiririra pfungwa dzenyanzvi dzezvehutano. Zvese zvirimo ndezvechokwadi zvine ruzivo uye hazvifanire kutorwa sezano rekurapa.