Hiki iā ʻoe ke kāohi i ka Diabetes Gestational?

Anter

• He aha nā mea pilikia no ka maʻi kō?
• Pehea e hiki ai iaʻu ke hoʻohaʻahaʻa i kuʻu makaʻu o ka mimikō hānau?
• He aha ka pilina ma waena o ka diabetes hāpai a me ka insulin?
• He aha nā hōʻailona o ka ʻōpū diabetes?
• Pehea e ʻike ʻia ai ka maʻi diabetes?
• Pehea e mālama ai i ka maʻi diabetes?
• Ehia mau manawa e hoʻāʻo ʻia ai kaʻu mau kō kō.
• Pehea e hiki ai i ka maʻi diabetes ke hoʻohuli i koʻu hāpai ʻana?
• He aha ke kuanaʻike no ka mimikō hānau?
• Q&A
• Q:
• A:

He aha ka mimikō hānau?

ʻO ka maʻi diabetes Gestational kahi kūlana kūlohelohe e hiki ke hana i ka wā hāpai. Inā loaʻa ʻoe i ka maʻi diabetes, ʻo ia hoʻi he ʻoi aku ke kiʻekiʻe o kāu kō kō ma mua o ka maʻamau i ka wā hāpai.

Hoʻopilikia ka maʻi diabetes Gestational ma kahi o 2 a 10 pākēneka o nā hāpai keiki ma ʻAmelika Hui Pū ʻIa, e like me nā Centers for Disease Control and Prevent.

Inā loaʻa iā ʻoe ka maʻi ʻaʻai hāpai, he mea nui ia e mālama koke ʻia ma muli o ka hopena o nā pilikia no kou olakino a me kāu pēpē.

ʻAʻole maopopo maopopo nā kumu o ka mimikō hāpai a ʻaʻole hiki ke pale ʻia a puni. Akā hiki iā ʻoe ke hoʻohaʻahaʻa i kou makaʻu i ka hoʻomohala ʻana iā ia. E hoʻomau i ka heluhelu ʻana e aʻo hou aʻe e pili ana i kēia ʻano a me nā mea hiki iā ʻoe ke hōʻemi i kāu makaʻu.

He aha nā mea pilikia no ka maʻi kō?

Pili ʻia ka diabetes ʻoi loa me nā ʻano pilikia like ʻole, e like me:

• ʻoi aku ma mua o 25 mau makahiki
• ke kaumaha nui
• he pili pili loa me ka maʻi diabetes type 2
• ke loaʻa nei nā kumu e kū ai i ka pale ʻana o ka insulin, e like me polycystic ovarian Syndrome (PCOS) a me ka ʻili maʻi acanthosis nigricans
• ke kiʻekiʻe o ke koko kiʻekiʻe ma mua o ka hāpai ʻana
• Loaʻa i ka maʻi diabetes i ka wā o ka hāpai mua
• ke kiʻi nei i kahi nui o ke kaupaona i ka wā o ka hāpai mua a i ʻole ma mua
• lawe ana i nā glucocorticoids
• e hāpai ana me nā mea nui, e like me nā māhoe a i ʻole nā ​​kolikolu

ʻOi aku ka nui o ka makaʻu o kekahi mau lāhui no ka hoʻomohala ʻana i ka maʻi diabetes, e like me:

• ʻAmelika ʻAmelika
• ʻAmelika-ʻAmelika
• Nā Hepanika
• ʻAmelika ʻAmelika
• Nā Pāpuni Pākīpika

Pehea e hiki ai iaʻu ke hoʻohaʻahaʻa i kuʻu makaʻu o ka mimikō hānau?

ʻO ke ala ʻoi loa e hoʻohaʻahaʻa ai i kou makaʻi no ka mimikō ʻōpū ʻo ka noho olakino a hoʻomākaukau i kou kino no ka hāpai keiki.

Inā kaumaha nui ʻoe, hiki iā ʻoe ke hana i nā kaʻina hana e hoʻomākaukau ai no ka hāpai keiki:

• Hana e hoʻomaikaʻi i kāu papaʻai a ʻai i nā meaʻai olakino.
• Hoʻokumu i kahi papa hana hoʻoikaika kino maʻamau.
• E noʻonoʻo i ka hoʻohaʻahaʻa kaumaha.

E kamaʻilio me kāu kauka e pili ana i ke ala ʻoi loa no ka lilo ʻana o ke kaupaona, no ka mea, hiki i kekahi mau paona ke hana i kahi ʻokoʻa i kāu pae pilikia no ka maʻi kō.

Inā hana ʻole ʻoe, me ka nānā ʻole inā ʻoi aku kou kaumaha, pono nō hoʻi ʻoe e hana i ka hoʻoikaika kino maʻamau ma ka liʻiliʻi he ʻekolu mau manawa o ka pule. Hoʻomaʻamaʻa kūpono no ka liʻiliʻi ma 30 mau minuke i kēlā me kēia manawa. Lawe i kahi papaʻai olakino e kia ana i nā mea kanu, nā huaʻai, a me nā hua holoʻokoʻa.

I ka manawa e hāpai ana, mai hoʻāʻo e lilo i ka kaumaha ke ʻole ke kauka i aʻoaʻo mai iā ia. E aʻo pehea e lilo ai ke kaupaona me ka palekana inā ʻoe e momona a hāpai.

Inā ua loaʻa ʻoe i ka maʻi diabetes ma mua o kahi hāpai mua a ke hoʻolālā nei ʻoe e hāpai hou, e haʻi i kāu kauka. E hana lākou i ka kānana mua e ʻike ai i kāu mau pilikia a hōʻoia i kou hāpai ʻana i ke olakino.

He aha ka pilina ma waena o ka diabetes hāpai a me ka insulin?

Pili nā ʻano diabetes āpau i ka hormone insulin. Hoʻoponopono ia i ka nui o ka glucose i kou koko ma ka ʻae ʻana i ke kō e neʻe mai ke koko a i kāu mau hunaola.

ʻO ka lawa ʻole o ka insulin a hoʻohana ʻole ʻole paha o ka insulin e nā hunaola o kou kino e alakaʻi i nā kiʻekiʻe glucose i loko o ke koko. Ke loaʻa nei ʻoe i ke kaupaona, hoʻohana liʻiliʻi kou kino i ka insulina, no laila pono e hana hou aʻe i mea e hoʻoponopono ai i ke kō i kou koko. E aʻo hou e pili ana i nā hopena o ka insulin.

Eia hou, ke hāpai ʻoe i kāu placenta e hoʻopuka i nā homone-insulina. Mālama kēia i ke kō i loko o kou koko ma hope o ka pāʻina ʻana. Loaʻa i kāu pēpē nā mea momona mai kou koko, no laila he mea maikaʻi i ka wā hāpai no nā mea momona i loko o kou koko i hiki ai i kāu pēpē ke komo iā lākou. Kūpono kekahi pae o ke kūpaʻa ʻana o ka insulin i ka wā hāpai.

Hiki ke kiʻekiʻe loa kāu pae glucose i ka wā hāpai inā:

• ua kūpaʻa ʻo ʻoe i ka insulin ma mua o ka hāpai ʻana
• ua kiʻekiʻe ke kiʻekiʻe o kāu kō glucose ma mua o ka hāpai ʻana
• he mau kūlana kāu e hoʻokau ai iā ʻoe i ka makaʻu nui aʻe no ka lilo ʻana i mea pale ʻole i ka insulin

Inā kiʻekiʻe loa kāu mau glucose, e ʻike ʻia ʻoe me ka maʻi diabetes.

He aha nā hōʻailona o ka ʻōpū diabetes?

ʻO ka mea maʻamau, ʻaʻole ʻoe e ʻike i kekahi hōʻailona o ka mimikō hāpai. ʻIke paha kekahi mau wahine i nā ʻōuli mālie e like me:

• luhi
• make wai nui loa
• hoʻonui i ka wikiwiki urinary a me ke alapine
• ʻūhū
• hoʻonui māhuahua waiwai

Eia nō naʻe, hiki i ka diabetes diabetes ke hoʻonui i kou makaʻu i nā kūlana ʻē aʻe.

ʻO kekahi o nā mea ʻoi loa ka preeclampsia, ka mea e hoʻokumu i ke koko kiʻekiʻe a hiki ke make inā ʻaʻole mālama koke ʻia.

Pili pū ʻia ka diabetes ʻoi loa me ka macrosomia, kahi ʻano e ulu nui ai kāu pēpē. Pili ʻia ʻo Macrosomia me kahi kiʻekiʻe o ka makaʻu no ka hoʻouna cesarean pilikia.

Hiki i ke diabetes diestational ke alakaʻi i kāu pēpē e loaʻa i ka glucose koko haʻahaʻa i ka wā hānau. I nā hihia o ka mimikō hāpai ʻole maikaʻi ʻole ʻia, nui ka makaʻu o kāu pēpē no ka hānau hānau.

Pehea e ʻike ʻia ai ka maʻi diabetes?

Ma muli o ka loaʻa ʻole o nā ʻōuli o ka mimikō hāpai, ʻike ʻia e kahi hōʻike koko. E kauoha aku kāu kauka i kahi hōʻike loiloi diabetes ʻōpū i loko o kāu trimester ʻelua. Inā loaʻa iā ʻoe kekahi mau kumu pilikia, loaʻa paha iā ʻoe ka hoʻokolohua i hana mua ʻia i kāu trimester mua.

Hiki ke hana i ka kānana ma hoʻokahi o nā ala ʻelua. Kapa ʻia ka mea mua he hōʻike ʻaʻa ʻa glucose (GCT). I ka wā o ka hoʻokolohua, inu ʻoe i kahi hopena kō a lawe i kahi kahakaha koko i hoʻokahi hola ma hope. ʻAʻole pono ʻoe e hoʻokē ʻai no kēia hōʻike. Inā hoʻokiʻekiʻe ʻia kēia hopena, pono ʻoe e hana i kahi hōʻike glucose ʻekolu hola.

ʻO ka lua o nā koho hoʻāʻo kahi hōʻike tolerance glucose (OGTT). I loko o kēia hoʻokolohua, pono ʻoe e hoʻokē ʻai a loaʻa i kahi kahakaha koko. A laila e inu ʻoe i kahi hopena kō, a nānā i kāu glucose koko i hoʻokahi hola a me ʻelua mau hola ma hope. Inā hoʻokiʻekiʻe ʻia kekahi o kēia mau hopena, ʻike ʻia ʻoe me ka maʻi diabetes.

Pehea e mālama ai i ka maʻi diabetes?

Hiki i nā wahine he nui ke hoʻokele i ka maʻi diabetes ma o kaʻai a me ka hoʻoikaika kino, i hiki ke maikaʻi loa i ka kaohi ʻana i nā pae kō kō.

Pono ʻoe e nānā i ka nānā kūikawā i kāu lawe ʻana i ka ʻaʻāpāpā a me ka nui o kāu mahele. He mea nui nō hoʻi iā ʻoe e hōʻalo i ka ʻai ʻana a me ka inu ʻana i kekahi mau mea, e like me ka wai ʻona, nā meaʻai i hana ʻia, a me nā starches e like me ka uala keʻokeʻo a me ka laiki keʻokeʻo. E nānā i kēia papa inoa meaʻai no nā ʻōlelo aʻoaʻo hou aʻe e pili ana i ka mea hiki a hiki ʻole ke ʻai inā loaʻa ka maʻi diabetes.

E paipai kāu kauka i kahi papa ʻaina a me ka hoʻolālā hoʻoikaika kino. Nā hana i palekana i ka hana ʻana i ka wā o ka hāpai ʻana:

• Pilates
• yoga
• hele wāwae
• ʻauʻau
• holo ʻana
• hoʻomaʻamaʻa kaumaha

Pono ʻoe e nānā i kāu mau kō i ke kō e hōʻoia i ka kiʻekiʻe ʻole o kāu glucose.

Inā maikaʻi ʻole ka ʻai a me ka hoʻoikaika kino wale nō, pono paha ʻoe e lawe pū i ka insulin.

Ehia mau manawa e hoʻāʻo ʻia ai kaʻu mau kō kō.

E hōʻoia pinepine kāu kauka i kāu mau kō i ke kō no ke koena o kou hāpai ʻana, a pono ʻoe e hoʻāʻo i kāu mau pae i kēlā me kēia lā ma ka home.

No ka hana ʻana i kēia, e hoʻohana ʻoe i kahi nila liʻiliʻi e lawe i kahi laʻana o ke koko mai kou manamana lima, kahi āu e kau ai ma kahi kaha hoʻāʻo i ka mika glucose koko. E haʻi aku kāu kauka iā ʻoe i ka helu e nānā ai. Inā kiʻekiʻe loa kāu glucose, e kelepona koke i kāu kauka.

Ma waho aʻe o ka hoʻāʻo ʻana ma ka home, e kipa pinepine aku ʻoe i kāu kauka inā loaʻa ka maʻi diabetes. E makemake paha kāu kauka e hoʻāʻo i kāu mau pae glucose i ke keʻena i hoʻokahi manawa i ka mahina e hōʻoia i kāu heluhelu home.

Pehea e hiki ai i ka maʻi diabetes ke hoʻohuli i koʻu hāpai ʻana?

Loaʻa paha iā ʻoe nā ultrasound pinepine pinepine e nānā i ka ulu ʻana o kāu pēpē. E hana paha kāu kauka i kahi hoʻokolohua nonstress e hōʻoia i ka hoʻonui o ka puʻuwai o kāu pēpē ke hana lākou.

E paipai paha kāu kauka i ke komo ʻana inā ʻaʻole hoʻomaka ka hana ma kāu lā palena. ʻO kēia no ka mea hiki i ka lawe ʻana ma hope o ka lā ke hoʻonui i kāu mau pilikia inā loaʻa i ka maʻi diabetes.

He aha ke kuanaʻike no ka mimikō hānau?

Hele maʻamau ka maʻi diabetes Gestational ma ona iho ma hope o kou hānau ʻana. E hoʻāʻo kāu kauka i kāu kō i ke kō he 6 a 12 mau pule ma hope o kou hānau ʻana e hōʻoia i hoʻi kāu mau pae i ka maʻamau. Inā ʻaʻole lākou, loaʻa paha iā ʻoe ka maʻi ʻaʻano 2.

ʻOiai inā hoʻi hou kāu kō kō i ka mea maʻamau ma hope o ka hiki ʻana o kāu pēpē, hāʻawi ka maʻi diabetes gestational iā ʻoe i ka nui o ka makaʻu no ka hoʻomohala ʻana i ka maʻi ʻano 2 ma hope i kou ola. Pono ʻoe e hoʻāʻo ʻia i kēlā me kēia 3 mau makahiki e ʻike pono i ke kiʻekiʻe o nā kō glucose i loko o ka maʻamau.

Inā loaʻa ʻoe i ka maʻi diabetes, ʻoi aku ka nui o ka pilikia o kāu pēpē i ka lilo ʻana i kaupaona a hoʻomōhala ʻana i ka maʻi diabetes ʻano 2 ke nui lākou. Hiki iā ʻoe ke hōʻemi i kēia makaʻu e:

• hānai umauma
• ke aʻo ʻana i kāu keiki i nā ʻano papaʻai olakino mai ka wā ʻōpio
• paipai i kāu keiki e hoʻoikaika kino i ko lākou ola

Q&A

Q:

E hoʻonui ana ka ʻai ʻana i nā meaʻai kō i koʻu wā hāpai hāpai i kuʻu makaʻi no ka maʻi kō?

A:

ʻAʻole e hoʻonui ka ʻai ʻana i nā meaʻai kō i kou makaʻala no ka maʻi kō. Inā kuhi ʻia ʻoe me ka ʻōpū o ka mimiko he mea nui ia e mālama i kāu lawe ʻana i ka waiʻopa no ka mālama pono ʻana i nā pae kō kō. E hoʻopili kēia i ka mālama ʻana i kāu lawe ʻana i nā meaʻai kō. ʻO kekahi o kēia mau meaʻai, e like me ka soda a me ka wai, ʻai koke me ka wikiwiki ma mua o nā meaʻai ʻona āpau i loaʻa nā olonā, a piʻi aʻe paha ke kō i nā kō, a ʻoi aku hoʻi inā lawe wale ʻia. E launa me kahi dietitian i hoʻopaʻa inoa ʻia inā ʻike ʻia ʻoe me ka maʻi diabetes i hiki ai iā ʻoe ke ʻike he mālama pono ʻoe i kāu papaʻai.