ʻO ka maʻi diabetes Gestational: he aha ia, kumu, mālama a me nā pilikia
Anter
- Nā hōʻailona nui
- Kumu o ka hāpai diabetes
- Pehea e hana ai i ka lāʻau
- 1. ʻO ka meaʻai i ka maʻi kō
- 2. Hoʻomaʻamaʻa i nā hoʻoikaika kino
- 3. Hoʻohana o nā lāʻau
- Nā pilikia kūpono no ka hāpai keiki
- Pehea e hōʻalo ai i ka maʻi diabetes
Hoʻokumu pinepine ka maʻi diabetes Gestational ma kahi o ka 3 trimester o ka hāpai ʻana ma muli o ke kūpaʻa o ka insulin i hoʻokumu ʻia e nā hormones o ka hāpai keiki. Nalo maʻamau kēia ʻano maʻi diabetes ma hope o ka lawe ʻana a hana iki i nā ʻōuli, ʻoiai i kekahi mau hihia, ʻike ʻia ka ʻike a me ka make wai ʻole.
Pono e hoʻomaka i kāna mālama ʻana i ka wā o ka hāpai ʻana me kahi papaʻai kūpono a i ʻole me ka hoʻohana ʻana i nā lāʻau, e like me nā mea hypoglycemic oral a i ʻole ka insulin, e pili ana i nā koina kō kō.
ʻAneʻane hiki ke hōʻola ʻia ka maʻi maʻisā Gestational ma hope o ka lawe ʻana, akā naʻe, he mea nui e ukali pono i ka lāʻau i noi ʻia e ke kauka, no ka mea aia ka makaʻu nui i ka hoʻomohala ʻana i ka maʻi maʻamau i 2 mau maʻi ma kahi o 10 a 20 mau makahiki a me ka ʻeha pū kekahi. diabetes i kekahi hāpai keiki ʻē aʻe.
Nā hōʻailona nui
ʻO ka hapa nui o nā maʻi diabetes hāpai ʻole e alakaʻi i ka hiʻohiʻona o nā ʻōuli a me nā hōʻailona, akā i kekahi mau manawa ka hoʻonui ʻana o ka makemake, loaʻa ke kaumaha, kahi makemake nui e mimi, ʻike i ka blur, ʻike nui ka make wai a me nā maʻi urinary pinepine. E nānā i nā ʻōuli ʻē aʻe o ka diabetes diabetes.
E like me ka maʻa mau o kēia mau ʻōuli i ka hāpai keiki, pono i ke kauka e kauoha i ka hōʻike glucose ma ka liʻiliʻi he 3 mau manawa i ka wā hāpai, ʻo ia ka hōʻike mua i hana ʻia ma ka pule 20 o ka hāpai keiki. E hōʻoia i ke kuhi o ka mimikō hāpai, koi pinepine ke kauka i ka hana ʻana i ka hōʻike glycemic curve e nānā i nā pae glucose ma mua o ka manawa.
Kumu o ka hāpai diabetes
Kū ka maʻi diabetes Gestational i ka hapanui o nā hihia i ke kolu o ka trimester o ka hāpai ʻana a pili nui ʻia i ke kūpaʻa ʻana o ka insulin i hoʻomohala ʻia ma ke ʻano he hopena o ka hoʻonui ʻia o ka nui o nā hormoni e pili ana i ka hāpai keiki.
ʻO kēia no ka mea i ke kolu o ka trimester o ka hāpai keiki ke piʻi nei ka nui o nā koi hānai, no laila e hoʻomaka ka makuahine e ʻai i nā ʻōpikipiki hou e hāʻawi i nā glucose kūpono kūpono no ka pēpē, ʻoiai ka manawa like e hoʻoponopono ana i ka glucose koko e ka insulin.
Eia nō naʻe, ma muli o nā kōpū hāpai, hiki ke kāohi ʻia ka hana o ka insulin e ka pancreas, i hiki ʻole ai i kēia meaola ke hoʻonui i nā kiʻekiʻe o ka insulin i hana ʻia, i kumu ai ka nui o ke kō i ke koko, e hopena ai i ka maʻi kō. .
ʻOi aku ka pinepine o kēia kūlana i nā wahine ʻoi aku ma mua o 35 mau makahiki, ke kaupaona a me ka momona paha, loaʻa ka hōʻiliʻili o ka momona ma ka ʻaoʻao o ka ʻōpū, pōkole ke kino a i ʻole polycystic ovary syndrome.
Pehea e hana ai i ka lāʻau
Hoʻolālā ka mālama ʻana no ka mimikō hāpai e hāpai i ke olakino o ka makuahine a me ka pēpē, e hōʻalo ana i nā pilikia e like me ke kaumaha haʻahaʻa no nā makahiki hānau a me nā maʻi hanu a me nā metabolic.He mea nui e mālama ʻia ka lāʻau ma lalo o ke alakaʻi ʻana a kahi mea lapaʻau, kauka hāpai lāʻau a me ka endocrinologist i mea e maikaʻi ai ka kaohi glycemic.
Pono e mālama i ka mimikō ma o ka loli ʻana i ka ʻano ʻai a me ka hoʻoikaika kino ʻana i mea e mālama ʻia ai nā pae glucose glucose.
1. ʻO ka meaʻai i ka maʻi kō
Pono e alakaʻi ʻia ka papaʻai i ka diabetes diabetes e ka mea hānai no laila ʻaʻohe hemahema o ka meaʻai no ka makuahine a pēpē paha. No laila, koi ʻia i nā wahine hāpai e ʻai i nā meaʻai me ka papa kuhikuhi glycemic haʻahaʻa, e like me nā hua i hōʻike ʻole ʻia, a me ka hoʻēmi ʻana i ka nui o ke kō a me nā huaʻaleʻale maʻalahi i ka papaʻai.
Paipai ʻia e hāʻawi i ka makemake i nā meaʻai i haʻahaʻa i nā haʻuki a i ʻole nā huʻikena paʻakikī, ʻo ia nā mea loaʻa kahi papa inoa glycemic haʻahaʻa ma muli o ka nui o nā fiber i loaʻa iā lākou. No laila, koi ʻia i nā wahine hāpai e hoʻopau i nā hua holoʻokoʻa, ka ʻiʻo, nā iʻa, nā ʻaila, nā waiū a me nā derivatives a me nā ʻanoʻano. E ʻike hou aʻe e pili ana i ka papaʻai i ka mimikō hāpai.
He mea nui e ana ʻia ka glucose koko ma ka ʻōpū hakahaka a ma hope o ka ʻai nui, no ka mea he hiki i ka wahine hāpai a me ke kauka ke kaohi i nā kiʻekiʻe o ka glucose koko, i ka hoʻohui i ka ʻoiaʻiʻo, e like me ka nā pae glucose, hiki i ke nutristist ke hoʻololi i ka papa ʻai.
E nānā pū hoʻi i ke wikiō aʻe no ka ʻike hou aku e pili ana i ka papaʻai no ka maʻi diabetes.
2. Hoʻomaʻamaʻa i nā hoʻoikaika kino
He mea nui ka hoʻoikaika kino e hāpai i ke olakino o ka wahine hāpai a mālama i ke kaulike o nā pae glucose e holo nei. Palekana ka hana o nā hana hāpai keiki ke ʻike ʻole ʻia nā mea e weliweli ai ke ola o ka makuahine a pēpē paha. No laila, he mea nui e hoʻomaka ka hoʻomaʻamaʻa ma hope o ka ʻae ʻia ʻana o ka lāʻau lapaʻau a hana ʻia lākou ma lalo o ke alakaʻi a kahi loea aʻo kino.
ʻO ka hoʻomaʻamaʻa ʻana o ka hoʻoikaika kino e nā wahine hāpai me ka maʻi diabetes hāpai i ka hoʻemi ʻana i ka nui o ka hoʻokē ʻai glucose a ma hope o ka ʻai ʻana, me ka ʻole o ka pono o ka hoʻohana ʻana i ka insulin e kāohi i nā pae glucose e holo nei.
ʻOiai i manaʻo ʻia he palekana, pono e makaʻala nā wahine hāpai ma mua, i ka wā a ma hope o ka hoʻolālā, e like me ka ʻai ʻana i kekahi mea ma mua o ka hoʻoikaika kino, inu wai ma mua, i ka wā a ma hope o ka hana, e nānā ana i ka ikaika o ka hoʻoikaika kino a me ka nānā ʻana i ke ʻano o nā hōʻailona. a i ʻole ka ʻōuli e hōʻike ana i ke keakea ʻana o ka hoʻoikaika kino, e like me ke kahe ʻana o ka maʻi puʻupuʻu, ka hoʻoliʻiliʻi uterine, ka nalo ʻana o ka wai amniotic, nāwaliwali o nā mākala a me ka paʻakikī e hanu ma mua o ka hoʻoikaika kino
3. Hoʻohana o nā lāʻau
Hōʻike pinepine ʻia ka hoʻohana ʻana i nā lāʻau i ka wā kaohi ʻole ʻia ka maʻi diabetes a kiʻekiʻe nā kūmole glucose kiʻekiʻe i ka makaʻu nui no ka wahine hāpai a me kāna pēpē, a ke hoʻokau ʻole ka pae o ka glucose me nā loli o ka ʻano ʻai a me ka hoʻoikaika kino ma kekahi ʻano ʻē.
No laila, hiki i ke kauka ke koi aku i ka hoʻohana ʻana o nā mea hana hypoglycemic waha a i ʻole ka insulin, i pono e koi ʻia e ke kauka a hoʻohana ʻia e like me kāna alakaʻi. He mea nui e lawe ka wahine i ke ana o ke kō glucose i kēlā me kēia lā a i nā manawa i hōʻike ʻia e ke kauka i hiki ai ke hōʻoia inā maikaʻi ka mālama ʻana.
Nā pilikia kūpono no ka hāpai keiki
Hiki i nā pilikia o ke kōkō ke hāpai i ka wahine hāpai a i ʻole ka pēpē, ʻo ia ka:
Nā pilikia no ka hāpai | Nā pilikia no ka pēpē |
ʻO ka haki ʻana o ka ʻeke aminotic ma mua o ka lā i manaʻo ʻia | ʻO ka hoʻomohala ʻana i ka maʻi palaho hanu, ʻo ia ka paʻakikī i ka hanu ʻana i ka wā hānau |
Hānau kūmau | Nui loa ka pēpē no nā makahiki hānau, ka mea e hoʻonui ai i ka makaʻu o ka momona i ka wā kamaliʻi a i ʻole ʻōpio |
Fetus ʻaʻole huli i lalo ma mua o ka lawe ʻana | Nā maʻi puʻuwai |
Hoʻonui i ka makaʻu o ka pre-eclampsia, kahi piʻi kiʻekiʻe o ke kahe o ke koko | ʻO Jaundice |
Hiki o ka hoʻouna cesarean a i ʻole ka laceration o ka perineum i ka wā o ka hānau maʻamau ma muli o ka nui o ka pēpē | Hypoglycemia ma hope o ka hānau ʻana |
Hiki ke hoʻemi ʻia kēia mau pilikia inā hahai pololei ka wahine i ka mālama ʻana, no laila, pono e ukali ʻia ka wahine hāpai me ka maʻi kō i ka mālama prenatal kiʻekiʻe.
Pehea e hōʻalo ai i ka maʻi diabetes
ʻAʻole hiki ke kāohi ʻia ka mimikō maʻamau no ka mea pili ia i nā loli hormonal maʻamau o ka hāpai ʻana, akā, hiki ke hoʻēmi ʻia ka makaʻu o ka hoʻomohala ʻana i ka maʻi diabetes ma o:
- E ma ke kaupaona kūpono ma mua o ka hāpai ʻana;
- Mālama i ka mālama hānau ʻana;
- E hoʻonui mālie i ke kaumaha;
- ʻAi maikaʻi a
- E hoʻomaʻamaʻa i ka hoʻoikaika kino.
Hiki ke kū i ka maʻi diabetes Gestational i nā wahine hāpai ma mua o 25 mau makahiki, ka nui a i ʻole ke hoʻomanawanui ʻole ka wahine hāpai i nā kō. Eia nō naʻe, hiki ke hoʻomohala i nā wahine ʻōpio a i ʻole nā wahine o ke kaupaona maʻamau ma muli o nā loli hormonal.