ʻO ka maʻi diabetes a me ka hāpai mua

Inā loaʻa ka maʻi diabetes, hiki iā ia ke hoʻopili i kou hāpai ʻana, kou olakino, a me ke olakino o kāu pēpē. ʻO ka mālama ʻana i nā kō kō (glucose) i nā pae maʻamau ma o kou hāpai ʻana hiki ke pale i nā pilikia.

ʻO kēia ʻatikala no nā wahine i loaʻa i ka maʻi diabetes a makemake e lilo a hāpai paha. ʻO ka mimikō Gestational ke kō koko kiʻekiʻe e hoʻomaka a ʻike mua ʻia i ka wā hāpai.

ʻO nā wahine i loaʻa i ka maʻi diabetes e kū i kekahi mau pilikia i ka wā hāpai. Inā ʻaʻole mālama maikaʻi ʻia ka maʻi diabetes, hōʻike ʻia ka pēpē i ke kiʻekiʻe o ke kō i ke kō. Hiki i kēia ke kumu i nā kīnā hānau a me nā pilikia olakino ʻē aʻe i nā pēpē.

ʻO nā hebedoma 7 mua o ka hāpai keiki ke ulu nā mea o ke pēpē. ʻO ka manawa pinepine kēia ma mua o kou ʻike he hāpai ʻoe. No laila he mea nui e hoʻolālā i mua e ka hōʻoia ʻana i ka pae o nā kō glucose i ka pae i hoʻopaʻa ʻia ma mua o kou hāpai ʻana.

ʻOiai makaʻu ia e noʻonoʻo ai, he mea nui e ʻike i nā pilikia e hiki ke kū i ka wā hāpai. Aia nā makuahine a me nā pēpē i ka makaʻu no nā pilikia ke mālama ʻole ʻia ka maʻi kō.

Nā pilikia o ka pēpē me:

• Hewa hānau
• Hānau hānau mua
• Ka nalowale ʻana o ka hāpai keiki (hāpai keiki) a hānau hānau hou paha
• ʻO ka pēpē nui (i kapa ʻia ʻo macrosomia) ke kumu e hoʻonui ai i ka ʻeha o ka wā hānau
• Kopa kō haʻahaʻa ma hope o ka hānau ʻana
• Pilikia hanu
• ʻO Jaundice
• ʻO ka momona i ka wā kamaliʻi a me ka ʻōpio

Aia i ka makaʻu no ka makuahine:

• Hiki i kahi pēpē keu ke alakaʻi i kahi hānau paʻakikī a i ʻole C-ʻāpana
• ʻO ke koko kiʻekiʻe me ka protein i ka mimi (preeclampsia)
• Hiki i ka pēpē nui ke hoʻonāukiuki i ka makuahine a hoʻonui i ka hōʻeha i ka wā hānau
• Hoʻonui i ka pilikia o ka maka diabetic a i ʻole nā ​​puʻupaʻa

Inā ke hoʻolālā nei ʻoe i kahi hāpai, e kamaʻilio me kāu kauka olakino ma kahi o 6 mau mahina ma mua o ka hāpai ʻana. Loaʻa iā ʻoe ke kaohi kō glucose maikaʻi ma ka liʻiliʻi he 3 a 6 mau mahina ma mua o kou hāpai ʻana a me nā mea āpau i kou wā hāpai.

E kamaʻilio me kāu mea hāʻawi e pili ana i kāu mau pahuhopu kō kō ma mua o kou hāpai ʻana.

Ma mua o ka hāpai ʻana, makemake ʻoe e:

• Pahuhopu no kahi pae A1C ma lalo o 6.5%
• E hana i nā loli e pono ai i kāu papaʻai a me nā ʻano hoʻoikaika kino e kākoʻo i kāu glucose glucose a me nā pahuhopu
• Mālama i kahi kaupaona olakino
• E hoʻolālā i kahi hoʻokolohua ma mua o ka hāpai ʻana me kāu mea hāʻawi a nīnau e pili ana i ka mālama hāpai ʻana

Ma kāu hōʻike, e hāʻawi ana kāu mea hāʻawi:

• E hōʻoia i kāu hemoglobin A1C
• E hōʻoia i kāu pae thyroid
• E lawe i nā hāpana koko a me ka mimi
• E kamaʻilio pū me ʻoe e pili ana i nā pilikia o ka maʻi diabetes e like me nā pilikia o ka maka a i ʻole nā ​​pilikia o ke kīhāpai a i ʻole nā ​​pilikia olakino ʻē aʻe e like me ke kaʻe kiʻekiʻe

E kamaʻilio pū kāu mea lawelawe iā ʻoe e pili ana i nā lāʻau e palekana e hoʻohana ai a me nā mea palekana ʻole e hoʻohana ai i ka wā hāpai. ʻO ka manawa pinepine nā wahine me ka maʻi diabetes 2 e pono ke hoʻololi i ka insulin i ka wā hāpai. ʻAʻole palekana ka nui o nā lāʻau diabetes no ka pēpē. Eia kekahi, hiki i nā homona hāpai ke pale i ka insulin mai ka hana ʻana i kāna hana, no laila ʻaʻole holo pono kēia mau lāʻau.

E ʻike pū ʻoe i kāu kauka maka a loaʻa i kahi hoʻokolohua maka diabetic.

I kou wā hāpai, e hana ʻoe me kahi hui olakino e hōʻoia i ke olakino olakino a me kāu pēpē. Ma muli o ka manaʻo nui ʻia o kou hāpai ʻana, e hana pū ʻoe me kahi kauka hānau nāna i loea i nā hāpai hānau kiʻekiʻe (kauka lapaʻau fetal). Hana paha kēia mea hāʻawi i nā hoʻokolohua e nānā i ke olakino o kāu pēpē. E hana ʻia paha nā hoʻokolohua i kēlā me kēia manawa ke hāpai ʻoe. E hana pū ʻoe me kahi mea aʻo diabetes a me kauka.

I ka wā o ka hāpai ʻana, ke loli ke kino a ulu aʻe kāu pēpē, e loli ke kiʻekiʻe o ke kō glucose iā ʻoe. He mea paʻakikī hoʻi ka hāpai ʻana e ʻike i nā ʻōuli o ke kō kō kō. No laila pono ʻoe e nānā i kāu kō kō i nā manawa he 8 mau manawa i ka lā e ʻike pono ai ʻoe e noho i kāu pae pae. E noi paha ʻoe e hoʻohana i ka mālama ʻana i ka glucose mau (CGM) i kēia manawa.

Eia nā pahuhopu kō kō kō ma ka wā hāpai:

• ʻO ka hoʻokē ʻai: ʻoi aku ma mua o 95 mg / dL
• Hoʻokahi hola ma hope o ka pāʻina ʻana: ma lalo o 140 mg / dL, OR
• ʻElua mau hola ma hope o ka pāʻina ʻana: ma lalo o 120 mg / dL

E noi i kāu mea nāna e hāʻawi mai i kāu pae pahuhopu kikoʻī a pehea e hōʻoia ai i kāu kō kō.

Pono ʻoe e hana me kāu kaukaʻai e hoʻokele i ka mea āu e ʻai ai i ka wā hāpai e kōkua iā ʻoe e hōʻalo i ke kō kō a haʻahaʻa a kiʻekiʻe paha. E nānā pono kāu kaukaʻai i kāu loaʻa kaupaona.

Pono nā wahine hāpai ma kahi o 300 mau keu kalori i ka lā. Akā kahi mai kēia mau calorie mai nā mea nui. No ka papaʻai kaulike, pono ʻoe e ʻai i nā ʻano meaʻai olakino like ʻole. Ma ka laulā, pono ʻoe e ʻai:

• Nui nā hua a me nā lau
• Ka nui o nā protein proteine ​​a me nā momona momona
• Kahi hapa o nā hua āpau, e like me ka berena, cereal, pasta, a me ka laiki, a me nā mea kanu starchy, e like me ka palaoa a me ka pī.
• ʻOi aku ka nui o nā meaʻai i loaʻa ka nui o ke kō, e like me nā mea inu momona, nā wai momona huaʻai, a me nā pā

Pono ʻoe e ʻai i ʻekolu mau meaʻai liʻiliʻi a liʻiliʻi paha a hoʻokahi a ʻoi paha nā meaʻai māmā i kēlā me kēia lā. Mai hōʻalo i ka ʻai a me nā meaʻai māmā. Mālama i ka nui a me nā ʻano o nā meaʻai (nā ʻaʻā, nā momona, a me nā protein) i like i kēlā me kēia lā. Hiki i kēia ke kōkua iā ʻoe e mālama i kou kō kō.

E ʻōlelo paha kāu mea hāʻawi i kahi hoʻolālā hoʻoikaika palekana. ʻO ka hele wāwae ke ʻano maʻalahi o ka hoʻoikaika kino, akā hiki i ka ʻauʻau ʻana a i ʻole nā ​​hana hoʻohaʻahaʻa haʻahaʻa ke hana pū kekahi. Hiki i ka hoʻoikaika kino ke kōkua iā ʻoe e mālama i kāu kō kō.

E hoʻomaka kūlohelohe paha ka hana a hoʻokomo ʻia paha. Hōʻike paha kāu mea hāʻawi i kahi ʻāpana C inā nui ka pēpē. E nānā kāu mea hāʻawi i kāu pae kō kō i ka wā a ma hope o ka lawe ʻana.

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.

Ke hōʻea ʻoe i ka home, pono ʻoe e hoʻomau e nānā pono i kāu pae kō kō. ʻO ka hiamoe ʻole, hoʻololi i nā papaʻai, a me ka waiū hānai hiki ke hoʻopili i nā pae kō kō. No laila ʻoiai ʻoe e pono e mālama i kāu pēpē, he mea nui ia e mālama iā ʻoe iho.

Inā hoʻolālā ʻole ʻia kou hāpai ʻana, e hoʻokaʻaʻike koke aku i kāu kauka.

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

• Inā ʻaʻole hiki iā ʻoe ke mālama i kāu kō kō i ka pae i hoʻopaʻa ʻia
• 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 - diabetes; Mālama diabetes a me ka hāpai hāpai ʻana; Hapai me ka maʻi diabetes

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

Nā kikowaena no ka pūnaewele Disease Control a me Prevent. ʻAno 1 a i ʻole ʻAno 2 Diabetes a me ka hāpai keiki. www.cdc.gov/pregnancy/diabetes-types.html. Hoʻohou i Iune 1, 2018. Loaʻa iā ʻOkakopa 1, 2018.

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 ka National Institute of Diabetes a me Digestive a me nā maʻi maʻi hakuʻala. Hapai inā he maʻi diabetes ʻoe. www.niddk.nih.gov/health-information/diabetes/diabetes-pregnancy. Hoʻohou Ianuali, 2018. Loaʻa iā ʻOkakopa 1, 2018.