ʻO Diabetes Gestational

Anter

• He aha ka mimikō hānau?
• He aha nā hōʻailona o ka ʻōpū diabetes?
• He aha ke kumu o ka diabetes diabetes?
• ʻO wai ka mea e makaʻu i ka maʻi kō?
• Pehea e ʻike ʻia ai ka maʻi diabetes?
• Hōʻike hoʻāʻo Glucose
• Hōʻike ʻanuʻu hoʻokahi
• Hōʻaʻo ʻālua pālua
• Pono wau e hopohopo e pili ana i ka maʻi diabetes ʻano 2 pū kekahi?
• Aia kekahi mau ʻano o ka mimikō hāpai?
• Pehea e mālama ai i ka maʻi diabetes?
• He aha kaʻu e ʻai ai inā loaʻa wau i ka maʻi diabetes?
• Kalepona
• Pūmua
• Momona
• He aha nā pilikia e pili ana i ka maʻi kō?
• He aha ke kuanaʻike no ka mimikō hānau?
• Hiki ke pale ʻia ka maʻi diabetes gestational?

He aha ka mimikō hānau?

I ka wā hāpai, hoʻomohala kekahi mau wahine i nā pae kō kō kiʻekiʻe. ʻIke ʻia kēia ʻano he diabetes diabetes mellitus (GDM) a i ʻole he diabetes maʻamau. Hoʻolālā maʻamau ka maʻi diabetes Gestational ma waena o nā wiki 24th a me 28th o ka hāpai ʻana.

Wahi a nā Centers for Disease Control and Prevention, ua manaʻo ʻia e loaʻa ma 2 a 10 pakeneka o nā hāpai keiki ma United States.

Inā hoʻomohala ʻoe i ka maʻi diabetes ʻoiai hāpai ʻoe, ʻaʻole ia he manaʻo ua loaʻa ʻoe i ka maʻi diabetes ma mua o kou hāpai ʻana a i ʻole loaʻa iā ia ma hope. Akā hāpai ka mimikō hāpai i kou makaʻu i ka hoʻomohala ʻana i ka maʻi ʻano 2 i ka wā e hiki mai ana.

Inā mālama maikaʻi ʻole ʻia, hiki iā ia ke hāpai i ka makaʻu o kāu keiki i ka ulu ʻana i ka maʻi kō a hoʻonui i ka hopena o nā pilikia no ʻoe a me kāu pēpē i ka wā hāpai a hānau.

He aha nā hōʻailona o ka ʻōpū diabetes?

Kākaʻikahi ka maʻi diabetes hāpai i nā ʻōuli. Inā ʻoe e ʻike i nā hōʻailona, ​​akahai paha lākou. Pākuʻi ʻia lākou:

• luhi
• ʻike hihi ʻole
• make wai nui loa
• hemahema pono e mimiki
• ʻūhū

He aha ke kumu o ka diabetes diabetes?

ʻAʻole ʻike ʻia ke kumu kikoʻī o ka ʻōpū hāpai, akā he mea nui paha nā homone. Ke hāpai ʻoe, hana i kou kino i ka nui o kekahi mau hormones, e like me:

• lactogen placental kanaka (hPL)
• nā hormoni e hoʻonui ai i ke kūpaʻa o ka insulin

Hoʻopili kēia mau hormona i kāu placenta a kōkua i ke kākoʻo i kou hāpai ʻana. I ka hala ʻana o ka manawa, hoʻonui ka nui o kēia mau hormones i kou kino. Hoʻomaka paha lākou e pale aku i kou kino i ka insulin, ka hōmona e hoʻoponopono ai i kāu kō kō.

Kōkua ka insulin i ka neʻe ʻana o ka glucose mai kou koko i loko o kāu mau hunaola, kahi e hoʻohana ai no ka ikehu. I ka hāpai ʻana, lilo maoli kou kino i mea pale i ka insulin, no laila e loaʻa ka nui o ka glucose i kou kahawai koko e hāʻawi ʻia i ka pēpē Inā ikaika loa ke kūpaʻa o ka insulin, hiki i kāu pae glucose koko ke piʻi kūleʻa ʻole. Hiki i kēia ke kumu i ka maʻi diabetes.

ʻO wai ka mea e makaʻu i ka maʻi kō?

Aia ʻoe i kahi makaʻu kiʻekiʻe loa i ka hoʻomohala ʻana i ka maʻi diabetes inā ʻoe:

• ma luna o 25 mau makahiki
• loaʻa ke koko kiʻekiʻe
• he moʻolelo ʻohana ko ka maʻi diabetes
• ua keu kaupaona ma mua o kou hāpai ʻana
• loaʻa ka nui ma mua o ka nui maʻamau o ke kaumaha ʻoiai ʻoe hāpai
• ke kali nei i nā pēpē he nui
• hanau ma mua he pēpē kaupaona ma mua o 9 paona
• Loaʻa i ka maʻi diabetes i ka wā i hala
• ua loaʻa i kahi keiki hānau ʻole i hōʻike ʻole ʻia a hānau hou paha
• aia ma luna o nā glucocorticoids
• loaʻa i ka polycystic ovary syndrome (PCOS), acanthosis nigricans, a i ʻole nā ​​ʻano ʻē aʻe e pili ana i ka pale ʻana o ka insulin.
• loaʻa iā ʻApelika, ʻAmelika ʻAmelika, ʻĀkia, ʻAilana Pakipika, a i ʻole Hispanic kūpuna

Pehea e ʻike ʻia ai ka maʻi diabetes?

Paipai ka American Diabetes Association (ADA) i nā kauka e nānā maʻamau i nā wahine hāpai no nā hōʻailona o ka maʻi kō. Inā ʻaʻohe ou ʻike i ka mōʻaukala a me nā pae kō kō maʻamau i ka hoʻomaka o kou hāpai ʻana, e nānā paha kāu kauka iā ʻoe no ka maʻi kō i ka wā he 24 a 28 mau pule ou.

Hōʻike hoʻāʻo Glucose

E hoʻomaka paha kekahi mau kauka me kahi hōʻike ʻaʻaʻa glucose. ʻAʻole pono kahi hoʻomākaukau no kēia hōʻike.

E inu ʻoe i kahi hopena glucose. Ma hope o hoʻokahi hola, e loaʻa iā ʻoe kahi hōʻoia koko. Inā kiʻekiʻe kou kiʻekiʻe kō kō, hiki i kāu kauka ke hana i kahi hoʻokolohua tolerance kō glucose ʻekolu mau hola. Hoʻohālikelike ʻia kēia i ka hoʻāʻo ʻana ʻelua ʻanuʻu.

Hōʻalo kekahi mau kauka i ka hoʻāʻo ʻana i ka ʻaukake glucose a hana wale nō i kahi hoʻokolohua ahonui glucose ʻelua hola. Hoʻohālikelike ʻia kēia i kahi hoʻokolohua ʻanuʻu.

Hōʻike ʻanuʻu hoʻokahi

1. E hoʻomaka kāu kauka ma ka hoʻāʻo ʻana i kāu pae kō kō kō.
2. E noi lākou iā ʻoe e inu i kahi hopena e loaʻa ana he 75 mau (g) ​​o nā haʻalako.
3. E hōʻoia hou lākou i kāu pae kō kō ma hope o hoʻokahi hola a me ʻelua mau hola.

E koho paha lākou iā ʻoe me ka maʻi diabetes inā loaʻa iā ʻoe kekahi o kēia mau mea:

• ʻo ka hoʻokē ʻai ʻana i ke kiʻekiʻe o ke kō i ke kiʻekiʻe ma mua a i ʻole ka mea like me 92 milligrams i kēlā me kēia deciliter (mg / dL)
• hoʻokahi-hola ka nui o ke kō kō ma mua o ka like o 180 mg / dL
• ʻelua mau hola ke kō i ke kiʻekiʻe o ke kō ma mua o ka 153 mg / dL

Hōʻaʻo ʻālua pālua

1. No ka hōʻoia ʻanuʻu ʻelua, ʻaʻole pono ʻoe e hoʻokē ʻai.
2. E noi lākou iā ʻoe e inu i kahi hopena e piha ana he 50 g kō.
3. E hoʻāʻo lākou i kou kō kō ma hope o hoʻokahi hola.

Inā ma kēlā manawa ua ʻoi aku ke kiʻekiʻe o kāu kō kō ma mua o ka 130 mg / dL a i ʻole 140 mg / dL, e alakaʻi lākou i kahi hoʻokolohua hope ʻelua i kekahi lā ʻokoʻa. ʻO ka paepae no ka hoʻoholo ʻana i kēia e hoʻoholo ʻia e kāu kauka.

1. I ka lua o ka hoʻāʻo, e hoʻomaka kāu kauka ma ka hoʻāʻo ʻana i kāu pae kō kō kōkē hoʻokē ʻai.
2. E noi lākou iā ʻoe e inu i kahi hopena me 100 g kō i loko.
3. E hoʻāʻo lākou i kou kō kō i hoʻokahi, ʻelua, a ʻekolu mau hola ma hope.

E koho paha lākou iā ʻoe me ka maʻi kō inā loaʻa iā ʻoe ma lalo o ʻelua o kēia mau waiwai.

• ʻo ka hoʻokēʻai ʻana i ke kiʻekiʻe o ke kō i ke kō a i ʻole 95.9 mg / dL a i ʻole 105 mg / dL
• ʻoi aku ka nui o ke kō kōkō o hoʻokahi hola ma mua o ka like o 180 mg / dL a i ʻole 190 mg / dL
• ʻelua mau hola ke kō i ke kiʻekiʻe o ke kō ma mua o ka like o 155 mg / dL a i ʻole 165 mg / dL
• ʻekolu mau hola ke kō o ke kō ma mua o ke kūlike me 140 mg / dL a i ʻole 145 mg / dL

Pono wau e hopohopo e pili ana i ka maʻi diabetes ʻano 2 pū kekahi?

Paipai pū ka ADA i nā kauka e hoʻopaʻa i nā wahine no ka maʻi diabetes type 2 i ka hoʻomaka o ka hāpai ʻana. Inā loaʻa iā ʻoe nā mea pilikia no ka maʻi diabetes type 2, e hoʻāʻo paha kāu kauka iā ʻoe no ke ʻano o kāu kipa prenatal mua.

ʻO kēia mau pilikia i loaʻa:

• ke kaumaha nui
• noho hoonoho wale ana
• me ke koko kiʻekiʻe
• loaʻa nā haʻahaʻa haʻahaʻa o ka maikaʻi (HDL) cholesterol i kou koko
• ke loaʻa nā kiʻekiʻe o nā triglycerides i kou koko
• ka loaʻa ʻana o ka moʻaukala ʻohana
• ka loaʻa ʻana o ka mōʻaukala i hala o ka diabetes diabetes, prediabetes, a i ʻole nā ​​hōʻailona o ke kūpaʻa o ka insulin
• hānau mua i kahi pēpē i ʻoi aku kona kaumaha ma mua o 9 paona
• no ʻApelika, ʻōiwi ʻAmelika, ʻĀkia, ʻAilika Pākīpika, a i ʻole he moʻohana Hepanika

Aia kekahi mau ʻano o ka mimikō hāpai?

Māhele ʻia ka maʻi diabetes Gestational i ʻelua mau papa.

Hoʻohana ʻia ka papa A1 e wehewehe i ka maʻi kō ʻōpū i hiki ke mālama ʻia ma o ka papaʻai wale nō. ʻO ka poʻe me ka mimiki A2 hāpai mua e pono i ka insulin a i ʻole nā ​​lāʻau oral e kaohi i ko lākou kūlana.

Pehea e mālama ai i ka maʻi diabetes?

Inā ʻike ʻia ʻoe me ka maʻi kō, e pili ana kāu papa hana i kāu kiʻekiʻe kō kō i loko o ka lā.

I ka hapanui o nā hihia, e aʻo aku kāu kauka iā ʻoe e hōʻoia i kāu kō kō i mua a ma hope o ka ʻai ʻana, a mālama i kou ʻano ma ka ʻai ʻana i ke olakino a me ka hoʻoikaika mau.

I kekahi mau hihia, hoʻohui paha lākou i nā injection insulin inā pono. Wahi a ka Mayo Clinic, he 10 a 20 paha pākēneka wale nō o nā wahine me ka maʻi kō e pono ai ka insulin e kōkua i ka mālama ʻana i kā lākou kō kō.

Inā paipai kāu kauka iā ʻoe e nānā i kāu mau kō kō, hiki iā lākou ke hāʻawi iā ʻoe me kahi mea nānā pono glucose.

Kauoha paha lākou iā lākou i nā injection insulin no ʻoe a hiki i kou hānau ʻana. E noi i kāu kauka e pili pono ana i ka manawa o kāu mau inikula insulin e pili ana i kāu ʻai a me ka hoʻoikaika kino e hōʻalo i ke kō kō kō.

Hiki i kāu kauka ke haʻi aku iā ʻoe i ka mea e hana ai inā hāʻule haʻahaʻa kou kō kō kō a i ʻole kū kiʻekiʻe ma mua o kā lākou.

He aha kaʻu e ʻai ai inā loaʻa wau i ka maʻi diabetes?

ʻO ka papaʻai kaulike ke kī i ka mālama pono ʻana i ka maʻi kō. ʻO ka mea nui, pono i nā wahine me ka maʻi diabetes ke nānā pono i kā lākou momona, ka protein, a me ka momona momona.

ʻO ka ʻai mau ʻana - i nā manawa a pau i kēlā me kēia ʻelua hola - hiki ke kōkua iā ʻoe e kaohi i kāu pae kō kō.

Kalepona

ʻO ka hoʻokaʻawale kūpono ʻana i nā meaʻai momona e kōkua i ka pale ʻana i nā koʻi kō kō.

Kōkua kāu kauka iā ʻoe e hoʻoholo pono i ka nui o nā pākeke e ʻai ai i kēlā me kēia lā. Paipai paha lākou iā ʻoe e ʻike i kahi kauka lapaʻau i hoʻopaʻa inoa ʻia e kōkua i nā hoʻolālā papaʻai.

ʻO nā koho koho kōpoki olakino ke:

• palaoa holoʻokoʻa
• laiki palaunu
• nā pī, nā pi, nā lihi, a me nā legume ʻē aʻe
• mea ʻai starchy
• huaʻai kō haʻahaʻa

Pūmua

Pono nā wahine hāpai e ʻai i ʻelua a ʻekolu paha ʻāpana o ka protein i kēlā me kēia lā. ʻO nā kumuwaiwai maikaʻi o ka protein e hoʻopili i nāʻiʻo momona a me nā moa, nā iʻa, a me nā tofu.

Momona

ʻO nā momona momona e hoʻopili i kāu papaʻai me nā nati unsalted, nā hua, ka ʻaila ʻoliva, a me ka avocado. E kiʻi i nā ʻōlelo aʻoaʻo hou aʻe e pili ana i ka mea e ʻai ai - a hōʻalo - inā loaʻa ʻoe i ka maʻi diabetes.

He aha nā pilikia e pili ana i ka maʻi kō?

Inā mālama maikaʻi ʻole ʻia kāu diabetes diabetes, hiki ke kiʻekiʻe aʻe kou kiʻekiʻe o ke kō i ke kiʻekiʻe ma mua o ka wā o kou hāpai ʻana. Hiki i kēia ke alakaʻi i nā pilikia a hoʻololi i ke olakino o kāu keiki. ʻO kahi laʻana, ke hānau ʻia kāu pēpē, loaʻa paha iā ia:

• he kaumaha hānau kiʻekiʻe
• nā pilikia hanu
• kō kō kō haʻahaʻa
• ʻO ka dystocia poʻohiwi, ka mea e hoʻopili ai i ko lākou poʻohiwi i ka puka hānau i ka wā o ka hana

Hiki paha iā lākou ke makaʻu kiʻekiʻe aʻe i ka hoʻomohala ʻana i ka maʻi kō ma hope o ke ola. ʻO ia ke kumu he mea nui e lawe i nā kaʻina hana e mālama i kāu maʻi diabetes ma o ka ukali ʻana i kāu papa hana lapaau i koi ʻia e kāu kauka.

He aha ke kuanaʻike no ka mimikō hānau?

Pono e hoʻi i kāu kō kō i ka maʻamau ma hope o kou hānau ʻana. Akā ke hoʻomohala nei i ka diabetes diabetes hāpai i kou makaʻu o ka maʻi diabetes type 2 ma hope i ke ola. E noi i kāu kauka pehea e hiki ai iā ʻoe ke hoʻohaʻahaʻa i kou makaʻu i ka hoʻomohala ʻana i kēia mau ʻano a me nā pilikia e pili ana.

Hiki ke pale ʻia ka maʻi diabetes gestational?

ʻAʻole hiki ke pale āpau i ka maʻi kō. Eia nō naʻe, hiki i ka ʻimi ʻana i nā ʻano olakino ke hōʻemi i kou manawa o ka hoʻomohala ʻana i kēia ʻano.

Inā hāpai ʻoe a loaʻa kekahi o nā mea pilikia no ka diabetes diabetes, e hoʻāʻo e ʻai i ka papaʻai olakino a hoʻoikaika i ka hoʻoikaika kino maʻamau. ʻOiai ʻo ka hana māmā, e like me ka hele wāwae, he mea pōmaikaʻi paha.

Inā ʻoe e hoʻolālā ana e hāpai i ka wā e hiki mai ana a ʻoi aku kou kaumaha, ʻo kekahi o nā mea maikaʻi loa hiki iā ʻoe ke hana me kāu kauka e lilo i ka kaumaha. ʻOiai ʻo ka lilo ʻana o kahi kaupaona o ke kaupaona hiki ke kōkua iā ʻoe e hōʻemi i kou makaʻu i ka maʻi diabetes.

E heluhelu i kēia ʻatikala ma ka Paniolo.