Nā hoʻāʻo loiloi glucose i ka wā hāpai

ʻO kahi hōʻike loiloi glucose kahi hōʻike maʻamau i ka wā hāpai e nānā i ke kiʻekiʻe o ka glucose (kō) o ka wahine hāpai.

ʻO ka mimikō Gestational ke kō koko kiʻekiʻe (diabetes) i hoʻomaka a i ʻole i loaʻa i ka wā hāpai.

KA HOʻOLOHE ANA I ʻelua ʻĀina

I ka wā o ka hana mua, e loaʻa iā ʻoe kahi hōʻike loiloi glucose:

• ʻAʻole pono ʻoe e hoʻomākaukau a hoʻololi paha i kāu papaʻai i kēlā me kēia ʻano.
• E noi ʻia ʻoe e inu i kahi wai i loaʻa ka glucose.
• E huki ʻia kou koko i hoʻokahi hola ma hope o kou inu ʻana i ka hopena glucose e nānā ai i ke kiʻekiʻe o ka glucose koko.

Inā kiʻekiʻe loa kāu glucose koko mai ka ʻanuʻu mua, pono ʻoe e hoʻi no kahi hoʻāʻo tolerance glucose 3-hola. No kēia hōʻike:

• Mai ʻai a inu paha i kekahi mea (ʻē aʻe ma kahi o ka wai o ka wai) no 8 a 14 mau hola ma mua o kāu hōʻike. (ʻAʻole hiki iā ʻoe ke ʻai i ka wā o ka hoʻāʻo.)
• E noi ʻia ʻoe e inu i kahi wai i piha ka glucose, 100 gram (g).
• E huki ʻia kou koko ma mua o kou inu ʻana i ka wai, a 3 mau manawa hou aʻe i kēlā me kēia 60 mau minuke ma hope o kou inu ʻana. I kēlā me kēia manawa, e nānā ʻia kāu pae kō glucose.
• E ʻae ma ka liʻiliʻi he 3 mau hola no kēia hōʻike.

KA HOAʻI ANA HELU

Pono ʻoe e hele i ka hale hana i hoʻokahi manawa no kahi hōʻike tolerance glucose 2 hola. No kēia hōʻike:

• Mai ʻai a inu paha i kekahi mea (ʻē aʻe ma kahi o ka wai o ka wai) no 8 a 14 mau hola ma mua o kāu hōʻike. (ʻAʻole hiki iā ʻoe ke ʻai i ka wā o ka hoʻāʻo.)
• E noi ʻia ʻoe e inu i kahi wai i piha ka glucose (75 g).
• E huki ʻia ʻoe i ke koko ma mua o kou inu ʻana i ka wai, a 2 mau manawa hou aʻe i kēlā me kēia 60 mau minuke ma hope o kou inu ʻana. I kēlā me kēia manawa, e nānā ʻia kāu pae kō glucose.
• E ʻae ma ka liʻiliʻi he 2 mau hola no kēia hōʻike.

No ka hoʻāʻo ʻanuʻu ʻelua a i ʻole hōʻike ʻanuʻu hoʻokahi, e ʻai i kāu meaʻai maʻamau i nā lā ma mua o kāu hōʻoia. E noi i kāu mea mālama ola inā hiki i kekahi o nā lāʻau āu e lawe ai ke hoʻololi i kāu mau hopena hōʻike.

ʻAʻohe o ka hopena o ka hapanui o nā wahine mai ka hōʻike tolerance glucose. ʻO ka inu ʻana i ka hopena glucose e like me ka inu ʻana i kahi soda momona loa. Hoʻomaopopo paha kekahi mau wahine i ka nauseated, sweaty, a i ʻole lightheaded ma hope o ka inu ʻana i ka hopena glucose. He mea maʻamau ʻole nā ​​hopena ʻē aʻe mai kēia hoʻāʻo.

Nānā kēia hōʻike no ka maʻi kō. ʻO ka hapa nui o nā wahine hāpai i kahi hōʻike loiloi glucose ma waena o 24 a me 28 mau pule o ka hāpai ʻana. E hana ʻia paha ka hōʻike ma mua inā he pae glucose kiʻekiʻe kāu i kāu mimi i kāu wā kipa prenatal maʻamau, a inā he nui kou makaʻi no ka maʻi kō.

ʻO nā wahine i loaʻa ka haʻahaʻa i ka maʻi kō no ka maʻi diabetes ʻaʻole paha e loaʻa iā lākou kahi hōʻike loiloi. I mea haʻahaʻa haʻahaʻa, pono kēia mau ʻōlelo āpau i ka ʻoiaʻiʻo:

• ʻAʻole ʻoe i hoʻokolohua e hōʻike aʻe i ke kiʻekiʻe o kāu glucose koko ma mua o ka maʻamau.
• He haʻahaʻa ka pilikia o kāu hui lāhui no ka maʻi kō.
• ʻAʻohe ou ʻohana kekelē mua (makua, kaikaina, a keiki) me ka maʻi kō.
• ʻOi aku ʻoe ma mua o 25 mau makahiki a he kaupaona maʻamau.
• ʻAʻole i loaʻa iā ʻoe nā hopena maikaʻi ʻole i ka wā o ka hāpai mua.

KA HOʻOLOHE ANA I ʻelua ʻĀina

ʻO ka hapanui o ka manawa, kahi hopena maʻamau no ka hoʻāʻo ʻana o ka glucose he kō kō e like a emi paha ma mua o 140 mg / dL (7.8 mmol / L) 1 hola ma hope o ka inu ʻana i ka hopena glucose. ʻO kahi hopena maʻamau ʻaʻohe ou maʻi diabetes.

Kaha: mg / dL ʻo ia hoʻi nā milligrams no deciliter a me mmol / L ʻo ia hoʻi nā millimoles i kēlā me kēia lita.ʻO kēia nā ala ʻelua e hōʻike ai i ka nui o ka glucose i loko o ke koko.

Inā ʻoi aku ka kiʻekiʻe o kāu kōkōkō ma mua o 140 mg / dL (7.8 mmol / L), ʻo ka hana hou aʻe ka hoʻāʻo ʻana o ka glucose tolerance waha. E hōʻike kēia hōʻike inā loaʻa ʻoe i ka maʻi kō. ʻO ka hapa nui o nā wahine (ma kahi o 2 mai 3) e lawe i kēia hōʻike ʻaʻohe o lākou diabetes maʻamau.

KA HOAʻI ANA HELU

Inā haʻahaʻa kāu pae glucose ma mua o nā hopena maʻamau i wehewehe ʻia ma lalo, ʻaʻohe ou maʻi diabetes.

KA HOʻOLOHE ANA I ʻelua ʻĀina

ʻO nā kumukūʻai maʻamau o ke koko no ka hoʻāʻo ʻana o ka glucose glucose 3-hola he 3-hola:

• Ka hookeai: ʻoi aku ma mua o 95 mg / dL (5.3 mmol / L)
• 1 hola: ʻoi aku ma mua o 180 mg / dL (10.0 mmol / L)
• 2 hola: ʻoi aku ma mua o 155 mg / dL (8.6 mmol / L)
• 3 hola: ʻoi aku ma mua o 140 mg / dL (7.8 mmol / L)

KA HOAʻI ANA HELU

ʻO nā kumukūʻai maʻamau o ke koko no ka hoʻāʻo ʻana o ka glucose glucose 2-hola he 2 hola:

• Ka hookeai: ʻoi aku ma mua o 92 mg / dL (5.1 mmol / L)
• 1 hola: ʻoi aku ma mua o 180 mg / dL (10.0 mmol / L)
• 2 hola: ʻoi aku ma mua o 153 mg / dL (8.5 mmol / L)

Inā hoʻokahi wale nō o kāu kōpaʻa glucose i hopena i ka hōʻike tolerance glucose ma ka waha ʻoi aku ka kiʻekiʻe ma mua o ka maʻamau, e ʻōlelo wale paha kāu mea hāʻawi iā ʻoe e hoʻololi i kekahi o nā meaʻai āu e ʻai ai. A laila, hōʻoia paha kāu mea hāʻawi iā ʻoe ma hope o kou loli ʻana i kāu papaʻai.

Inā ʻoi aku ma mua o hoʻokahi o kāu mau kō glucose i kiʻekiʻe ma mua o ka maʻamau, loaʻa ʻoe i ka maʻi diabetes.

Loaʻa paha iā ʻoe kekahi o nā ʻōuli i helu ʻia ma luna ma lalo o ke poʻo inoa i kapa ʻia ʻo "Pehea e ʻike ai ka hoʻāʻo."

ʻAʻohe pilikia iki i ka lawe ʻia ʻana o kou koko. ʻOkoʻa nā aʻa a me nā aʻa i ka nui mai kekahi kanaka a i kekahi ʻē aʻe a mai kekahi ʻaoʻao o ke kino i kekahi. ʻOi aku ka paʻakikī o ka lawe ʻana i kahi laʻana koko mai kekahi poʻe ma mua o nā poʻe ʻē aʻe.

ʻO nā pilikia ʻē aʻe e pili ana i ke kau ʻana o ke koko he liʻiliʻi, akā hiki ke hoʻopili ʻia:

• Kahe nui ke koko
• Pāleʻale a ʻoluʻolu paha
• Nā punctures he nui e ʻimi i nā uaua
• Hematoma (kūkulu koko ma lalo o ka ʻili)
• Maʻiʻaʻai (i iki kamepiula i kēlā me kēia manawa ka ʻili i haki)

Hōʻike hoʻomanawanui glucose ʻaʻano - hāpai keiki; OGTT - hāpai keiki; Hōʻike hoʻāʻo Glucose - hāpai keiki; ʻO ka maʻi diabetes Gestational - kānana glucose

ʻAhahui Diabetes ʻAmelika. 2. Classification a me Diagnosis o Diabetes: Nā kūlana o ka mālama olakino ma Diabetes-2020. Mālama Diabetes. 2020; 43 (Hōʻawi 1): S14-S31. PMID: 31862745 pubmed.ncbi.nlm.nih.gov/31862745/.

Komite no nā hoʻomaʻamaʻa Bulletins - Obstetrics. Hoʻolaha Bulletin Helu 190: Gestational diabetes mellitus. ʻO Obstet Gynecol. 2018; 131 (2): e49-e64. PMID: 29370047 pubmed.ncbi.nlm.nih.gov/29370047/.

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.

Moore TR, Hauguel-De Mouzon S, Catalono P. Diabetes i ka hāpai keiki. I: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, eds. ʻO Medicine a Maternal-Fetal a Creasy a me Resnik: Nā Manaʻo a me ka Hoʻomeheu. 8th ed. Piladelapia, PA: Elsevier; 2019: chap 59.