ʻO ka maʻi kō Gestational

ʻO ke kōkōhō Gestational ke kō kiʻekiʻe o ke kō (glucose) e hoʻomaka a ʻike mua ʻia paha i ka wā o ka hāpai ʻana.

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.

ʻOi aku ʻoe i ka makaʻu no ka diabetes diabetes inā ʻoe:

• Ma mua o 25 mau makahiki ke hāpai ʻoe
• E hele mai kahi lāhui kūpilikiʻi ʻoi aku ka kiʻekiʻe, e like me Latino, ʻAmelika ʻAmelika, ʻAmelika ʻAmelika, ʻĀkia, a i ʻole Pacific Islander
• Loaʻa kahi moʻolelo ʻohana o ka maʻi diabetes
• Hānau ʻia kahi pēpē i kaupaona ʻia ma mua o 9 paona (4 kg) a i ʻole he kīnā hānau
• Loaʻa i ke koko kiʻekiʻe
• Loaʻa ka nui o ka wai amniotic
• Ua loaʻa i kahi hāʻule ʻole i wehewehe ʻole ʻia a hānau hānau hou paha
• Ua kaumaha ma mua o kou hāpai ʻana
• Loaʻa ka nui o ke kaumaha i kou wā hāpai
• Loaʻa i ka polycystic ovary syndrome

ʻO ka hapanui o ka manawa, ʻaʻohe ʻōuli. Hana ʻia ka hōʻailona ma kahi o ka kānana prenatal maʻamau.

Hiki ke loaʻa nā ʻōuli akahai, e like me ka hoʻonui ʻana i ka make wai a i ʻole ka shakiness. ʻAʻole hoʻoweliweli pinepine kēia mau ʻōuli i ka wahine hāpai.

Hiki i nā ʻōuli ʻē aʻe ke:

• ʻIke makapō
• Ka luhi
• ʻO nā maʻi pinepine, me nā maʻi o ka maʻi ʻaʻai, ʻūpā, a me ka ʻili
• Hoʻonui wai make wai
• Hoʻonui i ka urination

Hoʻomaka pinepine ka maʻi diabetes ʻoi loa i ka hapalua o ka hāpai ʻana. Pono i nā wahine hāpai āpau ke loaʻa i kahi hōʻike tolerance glucose kūmau (hōʻike hoʻāʻo glucose) ma waena o ka pule 24th a me 28th o ka hāpai ʻana e nānā ai no ke ʻano. ʻO nā wahine i loaʻa nā pilikia no ka maʻi diabetes hiki ke loaʻa i kēia hōʻoia ma mua i ka hāpai ʻana.

I ka manawa e ʻike ʻia me ka maʻi kō, hiki iā ʻoe ke ʻike i kāu hana maikaʻi ʻana ma ka hoʻāʻo ʻana i kāu pae glucose i ka home. ʻO ke ala maʻamau ka hoʻopili ʻana i kou manamana lima a kau i kahi kulu o kou koko ma kahi mīkini e hāʻawi iā ʻoe i kahi heluhelu glucose.

ʻO nā pahuhopu o ka mālama ʻana e mālama i ke kiʻekiʻe o ke kō kō (glucose) ma waena o nā palena maʻamau i ka wā o ka hāpai ʻana, a e hōʻoia i ke olakino o ka pēpē ulu.

Ke kiai nei i kau bebe

Pono kāu mea mālama ola e nānā pono iā ʻoe a me kāu pēpē i ka wā o ka hāpai ʻana. E nānā ka Fetal Monitoring i ka nui a me ke olakino o ka ʻōpū.

ʻO kahi hōʻike nonstress he mea maʻalahi, ʻaʻohe hōʻike painless no ʻoe a me kāu pēpē.

• Hoʻokomo ʻia kahi mīkini i lohe a hōʻike i ka puʻuwai puʻuwai o kāu pēpē (monitor fetal electronic) ma kou ʻōpū.
• Hiki i kāu mea hoʻolako ke hoʻohālikelike i ke kumu o ka puʻuwai puʻuwai o kāu pēpē i nā neʻe a ʻike inā e holo maikaʻi ana ka pēpē.

Inā lawe ʻoe i ka lāʻau e kāohi ai i ka maʻi diabetes, pono paha ʻoe e nānā pinepine ʻia i ka hopena o kou hāpai ʻana.

KA HANA ME KA HANA

I nā manawa he nui, ʻo ka ʻai ʻana i nā meaʻai olakino, ka hana mau ʻana, a me ka mālama ʻana i kou kaupaona nā mea e pono ai e mālama i ka maʻi kō.

ʻO ke ala ʻoi loa e hoʻomaikaʻi ai i kāu papaʻai ka ʻai ʻana i nā ʻano meaʻai olakino. Pono ʻoe e aʻo pehea e heluhelu ai i nā lepili ʻai a nānā iā lākou ke hoʻoholo ʻana i ka meaʻai. E kamaʻilio i kāu mea hāʻawi inā he meaʻai ʻole ʻoe a i ʻole i kahi papaʻai kūikawā ʻē aʻe.

Ma ka laulā, ke loaʻa ʻoe i ka maʻi diabetes hāpai, pono i kāu papaʻai:

• E kaulike i ka momona a me nā protein
• Hāʻawi i nā huehue ma o nā meaʻai e hoʻopili ana i nā huaʻai, nā mea kanu, a me nā huehue paʻakikī (e like me ka berena, cereal, pasta, a me ka laiki)
• E haʻahaʻa i nā meaʻai i loaʻa ka nui o ke kō, e like me nā mea inu momona, nā wai momona huaʻai, a me nā pā

E kamaʻilio me kāu mea hoʻolako e pili ana i nā hana kino e kūpono iā ʻoe. Nā hana hoʻoikaika haʻahaʻa, e like me ka ʻauʻau ʻana, ka hele wāwae wikiwiki ʻana, a i ʻole ka hoʻohana ʻana i ka mīkini elliptical nā ala palekana e kaohi ai i kou kō kō a me ke kaupaona.

Inā mālama ʻole i kāu papaʻai a me ka hoʻoikaika kino ʻana i kāu kō kō, hiki iā ʻoe ke kuhikuhi ʻia i ka lāʻau diabetes a i ʻole ka insulin therapy.

Nui a hewahewa nā pilikia o ka loaʻa ʻana o ka maʻi kō i ka wā hāpai ʻole ke kāohi maikaʻi ʻole ʻia ke kō kō. Me ka kaohi maikaʻi, ʻo ka hapa nui o nā hāpai hāpai i nā hopena maikaʻi.

ʻO nā wahine hāpai me ka diabetes diabetes hāpai i ka nui o nā pēpē i ka wā hānau. Hiki i kēia ke hoʻonui i ka manawa o nā pilikia i ka manawa o ka lawe ʻana, me:

• Ka hōʻeha hānau (trauma) ma muli o ka nui o ka pēpē
• Lawe ʻia e C-ʻāpana

Loaʻa paha i kāu pēpē nā wā o ke kō kō kō (hypoglycemia) i nā lā mua o ke ola, a pono e nānā ʻia i loko o kahi keʻena mālama mālama neonatal (NICU) no kekahi mau lā.

Loaʻa i nā makuahine me ka diabetes diabetes kahi hoʻonui i ka makaʻu no ke koko kiʻekiʻe i ka wā hāpai a hoʻonui i ka makaʻu no ka hānau mua. ʻO nā makuahine me ke kō kō kūpaʻa koʻikoʻi ʻole ʻia ka kiʻekiʻe o ka makaʻu no ka hānau hānau.

Ma hope o ka lawe ʻana:

• ʻO ke kiʻekiʻe o ke kō a me ke kō (glucose) e hoʻi pinepine i ka maʻamau.
• E ukali pono ʻoe iā ʻoe no nā ʻōuli o ka maʻi kō ma hope o 5 a 10 mau makahiki ma hope o ka hānau ʻana.

Kāhea aku i kāu mea hāʻawi inā hāpai ʻoe a loaʻa iā ʻoe nā ʻōuli o ka maʻi kō.

Mālama ka mālama mua ʻana a me ka nānā ʻana i nā manawa maʻamau i ka maikaʻi o kou olakino a me ke olakino o kāu pēpē. ʻO ka loaʻa ʻana o ka loiloi prenatal ma 24 a 28 mau pule o ka hāpai ʻana e kōkua e ʻike mua i ka maʻi kō.

Inā ʻoi nui kou, ke lawe nei i kou kaupaona i loko o ka helu o ka nui o ke kino (BMI) e hōʻemi i kou makaʻi no ka maʻi kō.

ʻO ke ahonui Glucose i ka wā hāpai

• ʻO Pancreas
• ʻO ka maʻi kō Gestational

ʻAhahui Diabetes ʻAmelika. 14. Ka mālama ʻana i ka maʻi diabetes i ka hāpai ʻana: nā hae o ka mālama olakino ma diabetes-2020. Mālama Diabetes. 2020; 43 (Hōʻawi 1): S183-S192. PMID: 31862757 pubmed.ncbi.nlm.nih.gov/31862757/.

Landon MB, Catalano PM, Gabbe SG. ʻO ka maʻi diabetes mellitus e hoʻokūkū nei i ka hāpai ʻana. I: Landon MB, Galan HL, Jauniaux ERM, et al, eds. Nā Kāpena Gabbe: Nā Pregnancies Maʻamau a me nā Pilikia. 8th ed. Piladelapia, PA: Elsevier; 2021: chap 45.

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.

ʻO Moyer VA; ʻO ka Hana Hana Hana Hana Preventive US. Nānā ʻia no ka mimikō ʻōpū: ka ʻōlelo aʻoaʻo a ka US Preventive Services Force. ʻO Ann Intern Med. 2014; 160 (6): 414-420. PMID: 24424622 pubmed.ncbi.nlm.nih.gov/24424622/.