Nā pilikia o ka hānau hānau ʻana i ka maʻi kō

Anter

• Nā pilikia no ka makuahine
• Nā pilikia no ka pēpē
• Pehea e hōʻemi ai i ka makaʻi
• Pehea ka postpartum o ka mimikō hānau?

ʻO nā wahine hāpai i ʻike ʻia me ka maʻi diabetes ʻoi aku ka nui o ka makaʻu i ka hānau ʻōpiopio, e hoʻoulu nei i ka hana a me ka lilo ʻana o ka pēpē ma muli o kā lākou ulu nui ʻana. Eia nō naʻe, hiki ke hoʻemi ʻia kēia mau pilikia i ka mālama ʻana i ke kiʻekiʻe o ke kō i ke kō ma o ka hāpai ʻana.

ʻO nā wahine hāpai e mālama i kā lākou glucose koko ma lalo o ka kaohi a ʻaʻohe o lākou pēpē kaupaona ma mua o 4 kg hiki ke kali a hiki i ka 38 mau pule o ka hāpai ʻana no ka hana maʻamau ʻole a hiki ke loaʻa i kahi hānau maʻamau, inā ʻo kēia kā lākou makemake. Eia nō naʻe, inā hōʻoia ʻia he ʻoi aku ka nui o ka pēpē ma mua o 4 kg, e ʻōlelo paha ke kauka i kahi ʻāpana cesarean a i ʻole ka hoʻokomo ʻana i ka hānau ma 38 mau pule.

Kuhi ʻia ka maʻi diabetes Gestational e ka hoʻomanawanui ʻole i nā haʻalako i hiki, no ka manawa mua, i ka wā o ka hāpai ʻana, a ʻoi aku ka nui o nā pilikia e pili ana inā kū ʻia i ke kau mua o ka hāpai keiki.

Nā pilikia no ka makuahine

ʻO nā makaʻi o ka hānau hānau ʻana i ka mimikō ʻōpū, i hiki i nā wahine hāpai, ke:

• Lōʻihi ka hānau keiki maʻamau ʻana ma muli o ka maikaʻi ʻole o ka uterine contractility;
• Pono e hoʻoulu i ka hana me nā lāʻau e hoʻomaka a hōʻeleu i ka lawe maʻamau;
• Laceration o ka perineum i ka wā o ka hānau maʻamau, ma muli o ka nui o ka pēpē;
• ʻO ka maʻi urinary tract a me ka pyelonephritis;
• Eclampsia;
• Hoʻonui i ka wai amniotic;
• Nā maʻi hypertensive;

Eia hou, ma hope o ka hānau ʻana, ʻike paha ka makuahine i kahi lohi i ka hoʻomaka ʻana o ka hānai ʻana i ka waiū. E aʻo pehea e hoʻoponopono ai i nā pilikia hānai pinepine.

Nā pilikia no ka pēpē

Hiki i nā maʻi diabetic ke hōʻike i nā pilikia i ka pēpē i ka wā hāpai a i ʻole ma hope o ka hānau ʻana, e like me:

• Hānau ma mua o ka lā i manaʻo ʻia, ma muli o ka haki ʻana o ka ʻeke amniotic ma mua o 38 mau pule hānau;
• Hoʻoemi i ka oxygenation i ka wā hānau hānau;
• Hypoglycemia ma hope o ka hānau ʻana;
• Ka hāpai keiki ma kēlā me kēia manawa o ka hāpai ʻana a i ʻole ka make ma hope koke o ka hānau ʻana;
• Hyperbilirubinemia;
• ʻO ka hānau ʻana me ke kaumaha i ʻoi aku ma mua o 4 kg, kahi e hoʻonui ai i ka makaʻu o ka hoʻomohala ʻana i ka maʻi kō i ka wā e hiki mai ana a me ka ʻeha ʻana i kahi hoʻololi i ka poʻohiwi a i ʻole ka haʻi o ka clavicle i ka wā o ka hānau maʻamau;

Hoʻohui ʻia, ʻeha paha nā keiki i ka momona, diabetes a me nā maʻi maʻi maʻi i ka wā makua.

Pehea e hōʻemi ai i ka makaʻi

I mea e hōʻemi ai i nā pilikia o ka mimikō hāpai, he mea nui ka mālama ʻana i ka glucose koko i kēlā me kēia lā, ka nānā pono ʻana i ka glucose koko i kēlā me kēia lā, ka ʻai pono ʻana a me ka hoʻoikaika kino ʻana, e like me ka hele wāwae, aerobics wai a hoʻomaʻamaʻa kaumaha paha, ma kahi o 3 manawa i ka pule.

Pono paha kekahi mau wahine hāpai e hoʻohana i ka insulin inā ʻaʻole lawa kaʻai a me ka hoʻoikaika kino e kaohi ai i ke kō kō. Hiki i ka mea hānau hānau, me kahi endocrinologist, ke kuhikuhi i nā injection i kēlā me kēia lā.

E aʻo hou aʻe e pili ana i ka mālama ʻana i ka maʻi kō.

E nānā i ke wikiō e hiki mai ana a aʻo pehea e hiki ai i ka ʻai ʻana ke hōʻemi i nā makaʻu o ka mimikō hāpai

Pehea ka postpartum o ka mimikō hānau?

Pono ma hope o ka lawe ʻana, pono e ana ʻia ka glucose koko i kēlā me kēia 2 a 4 mau hola, i mea e pale aku ai i ka hypoglycemia a me ka ketoacidosis, nā mea maʻamau i kēia wā. ʻO ka maʻamau, normalize ke glycemia i ka wā postpartum, akā naʻe, aia kahi pilikia e hoʻomohala ka wahine hāpai ʻano 2 ma kahi o 10 mau makahiki, inā ʻaʻole ia e lawe i kahi ʻano olakino olakino.

Ma mua o ka hoʻokuʻu ʻia ʻana o ka haukapila, pono e ana ʻia ka glucose koko i loko o ka makuahine i mea e hōʻoia ai ua hana maʻamau. ʻO ka maʻamau, hoʻopau ʻia nā antidiabetic waha, akā pono i kekahi mau wahine e hoʻomau i ka lawe ʻana i kēia mau lāʻau ma hope o ka hānau ʻana, ma hope o ka loiloi e ke kauka, i mea e hōʻeha ʻole ai i ka hānai ʻana i ka waiū.

Pono e hoʻokō ʻia ka glucose intolerance test 6 a 8 mau pule ma hope o ka lawe ʻana, e hōʻoia he maʻamau mau ke kō glucose. Pono e paipai ʻia ka hānai ʻana no ka mea nui ia no ka pēpē a no ka mea kōkua ia me ka lilo o ke kaumaha ma hope o ka hānau ʻana, ka mālama ʻana o ka insulin a me ka nalo ʻana o ka maʻi kō.

Inā mālama ka glucose koko ma hope o ka lawe ʻia ʻana, hiki ke ola i ka ʻāpana cesarean a me episiotomy e like me ke ʻano o nā wahine i loaʻa ʻole ka maʻi diabetes, akā, inā ʻaʻole e hoʻi ka waiwai i ka maʻamau, ʻoi aku ka lōʻihi o ka hoʻōla.