ʻO ka maʻi diabetes Gestational - mālama pilikino

ʻO ke kōkōhō Gestational ke kō kiʻekiʻe o ke kō (glucose) i hoʻomaka i ka wā hāpai. Inā ua ʻike ʻia ʻoe me ka maʻi kō, e aʻo pehea e hoʻokele ai i kāu kō kō e hiki ai iā ʻoe a me kāu pēpē ke noho olakino.

ʻO ka insulin ka hone i hana ʻia i loko o kahi lālā i kapa ʻia ka pancreas. Aia ka pancreas ma lalo a ma hope o ka ʻōpū. Pono ka insulin i ka neʻe ʻana i ke kō kō i loko o nā huna o ke kino. Ma loko o nā pūnaewele, mālama ʻia ka glucose a ma hope e hoʻohana ʻia no ka ikehu. Hiki i nā homone hāpai ke pale i ka insulin mai ka hana ʻana i kāna hana. Ke hiki kēia, hoʻonui ka pae glucose i ke koko o ka wahine hāpai.

Me ka mimikō hānau:

• ʻAʻohe hōʻailona ma nā hihia he nui.
• Pākuʻi ʻia nā ʻōuli akahai me ka hoʻonui ʻia o ka make wai a i ʻole ka shakiness. ʻAʻole hoʻoweliweli pinepine kēia mau ʻōuli i ka wahine hāpai.
• Hānau paha kahi wahine i kahi pēpē nui. Hiki i kēia ke hoʻonui i ka manawa o nā pilikia me ka lawe ʻana.
• ʻOi aku ka nui o ka makaʻu o ka wahine no ke koko kiʻekiʻe i ka wā hāpai.

ʻO ka hāpai ʻana inā ʻoe ma kāu kaupaona kino kūpono hiki ke kōkua i ka hoʻohaʻahaʻa ʻana i kou manawa e loaʻa ai ka maʻi diabetes. Inā kaumaha nui ʻoe, e hoʻāʻo e lilo i kaupaona ma mua o ka hāpai ʻana.

Inā hoʻomohala ʻoe i ka maʻi diabetes:

• Hiki i kahi papaʻai olakino ke mālama i kāu kō kō a kaohi a mālama iā ʻoe mai ka pono o ka lāʻau. Hiki i ka ʻai olakino ke pale iā ʻoe mai ka loaʻa ʻana o ke kaumaha i kou hāpai ʻana. Hiki i ka loaʻa ʻana o ke kaupaona ke hoʻonui i kou makaʻu no ka diabetes diabetes.
• ʻO kāu kauka, kahu hānai, a i ʻole mea mālama hānai e hana i kahi papaʻai nāu wale nō. E noi paha kāu mea mālama ola iā ʻoe e nānā i kāu mea e ʻai ai.
• E kōkua ka hoʻoikaika i ka mālama ʻana i kāu kō kō. ʻO kahi hana haʻahaʻa e like me ka hele wāwae kahi ʻano palekana a maikaʻi hoʻi o ka hoʻoikaika kino. E hoʻāʻo e hele wāwae 1 a i 2 mile (1.6 a 3.2 mau kilomita) i ka manawa, 3 a ʻoi aku paha mau manawa i kēlā me kēia pule. ʻO ka ʻauʻau ʻana a hoʻohana ʻana paha i kahi mīkini elliptical mīkini e like pū kekahi. E nīnau i kāu mea hāʻawi i ke ʻano o ka hoʻoikaika kino, a pehea ka nui, kūpono no ʻoe.
• Inā hoʻololi i kāu papaʻai a me ka hoʻoikaika ʻana ʻaʻole e kaohi i kāu pae kō kō, e pono paha iā ʻoe ka lāʻau waha (lawe ʻia e ka waha) a i ʻole ka insulin therapy (shot).

ʻO nā wahine e ukali i kā lākou papa hana lapaʻau a mālama i kā lākou kō kō kō a maʻamau a kokoke paha i ka maʻamau i ko lākou hāpai ʻana e loaʻa kahi hopena maikaʻi.

ʻO ke kō kō i kiʻekiʻe loa e hāpai i nā makaʻi no:

• Hānau hānau
• Pēpē liʻiliʻi loa (ka palena o ka ulu ʻana o ka fetal) a i ʻole pēpē nui loa (macrosomia)
• Hana hana paʻakikī a hānau cesarean paha (C-ʻāpana)
• Nā pilikia me ke kō kō a i ʻole nā ​​electrolytes i ka pēpē i nā lā mua ma hope o ka hānau ʻana

Hiki iā ʻoe ke ʻike i kāu hana maikaʻi ʻana ma ka hoʻāʻo ʻana i kāu pae kō kō i ka home. E noi paha kāu mea hāʻawi iā ʻoe e nānā i kāu kō kō i nā manawa he nui i kēlā me kēia lā.

ʻO ke ala maʻamau e nānā ai ma ke kuʻi ʻana i kou manamana lima a me ke kahakaha ʻana i kahi kulu o ke koko. A laila, kau ʻoe i ke kulu koko i loko o kahi monitor (mīkini hoʻāʻo) e ana i kou kō glucose. Inā kiʻekiʻe a haʻahaʻa paha ka hopena, pono ʻoe e nānā pono i kāu pae kō kō.

E hāhai kāu mau mea lawelawe i kāu pae kō kō me ʻoe. E ʻike pono i kāu pae kō kō.

ʻO ka mālama ʻana i kāu kō kō e like me ka nui o ka hana. Akā hoʻonāukiuki ʻia nā wahine he nui e ko lākou makemake e hōʻoia i loaʻa iā lākou a me kā lākou pēpē ka hopena kūpono maikaʻi loa.

E nānā pono kāu mea hāʻawi iā ʻoe a me kāu pēpē i kou hāpai ʻana. E hoʻopili kēia:

• Kipa me kāu mea hoʻolako i kēlā me kēia pule
• Nā ultrasound e hōʻike ana i ka nui o kāu pēpē
• ʻO kahi hoʻokolohua hoʻokaumaha ʻole e hōʻike ana inā maikaʻi kāu pēpē

Inā makemake ʻoe i ka lāʻau insulin a i ʻole ka lāʻau waha e kaohi i kāu kō kō, pono paha ʻoe e hana i ka hana i hoʻokahi a i ʻole 2 mau pule ma mua o kou lā palena.

Pono e nānā pono ʻia nā wahine me ka maʻi kō ma hope o ka hānau ʻana. Pono lākou e hoʻomau i ka nānā ʻana i nā wā e hōʻike mai ai i nā keʻena maʻi no nā hōʻailona o ka maʻi kō.

ʻO ke kiʻekiʻe o ke kō i ke kō e hoʻi pinepine i ka maʻamau ma hope o ka hānau ʻana. Eia nō naʻe, hoʻomohala nā wahine he nui me ka diabetes hāpai i loko o ka 5 a 10 mau makahiki ma hope o ka hānau ʻana. ʻOi aku ka makaʻu ma nā wahine momona.

Kāhea i kāu mea hoʻolako no nā pilikia e pili ana i ka maʻi diabetes:

• Ke neʻe nei paha kāu pēpē i kou ʻōpū
• Ua pohihihi ʻoe i ka hihiʻo
• ʻOi aku ʻoe i ka make wai ma mua o ka maʻamau
• He lōlō kou a me ka luaʻi e hele ʻole

He mea maʻamau ka manaʻo kaumaha a i ʻole i ke ʻano o ka hāpai ʻana a me ka loaʻa ʻana i ka maʻi kō. Akā, inā hoʻokahakaha kēia mau naʻau iā ʻoe, e kāhea i kāu mea hāʻawi. Aia i laila kāu hui mālama ola e kōkua iā ʻoe.

Hāpai keiki - hāpai kō diabetes; Mālama prenatal - mimikū hānau

Ke Kulanui ʻAmelika o nā Obstetrics a me Gynecology; Komite no nā hoʻomaʻamaʻa Bulletins - Obstetrics. Hoʻolaha Bulletin Helu 137: Gestational diabetes mellitus. ʻO Obstet Gynecol. 2013; 122 (2 Pt 1): 406-416. PMID: 23969827 www.ncbi.nlm.nih.gov/pubmed/23969827.

ʻAhahui Diabetes ʻAmelika. 14. Ka mālama ʻana i ka maʻi kō i ka hāpai ʻana: nā kūlana o ka mālama olakino i ka maʻi kō - 2019. Mālama Diabetes. 2019; 42 (Hōʻawi 1): S165-S172. PMID: 30559240 www.ncbi.nlm.nih.gov/pubmed/30559240.

Landon MB, Catalano PM, Gabbe SG. ʻO ka maʻi diabetes mellitus e hoʻokūkū nei i ka hāpai ʻana. I: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Nā Obstetrics: Nā Pregnancies Maʻamau a me nā pilikia. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 40.

ʻO Metzger BE. Diabetes mellitus a me ka hāpai keiki. I: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Makua a Pediatric. ʻEpekema 7 Piladelapia, PA: Elsevier Saunders; 2016: chap 45.

• Diabetes a me ka hāpai keiki