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He aha ka mimikō hānau?
Ke kamaʻilio nei mākou e pili ana i ka maʻi diabetes ke kiʻekiʻe ke kiʻekiʻe o ke kō koko ma mua o ka maʻamau. ʻIke ʻia kēia maʻi i kekahi manawa no ka manawa mua i ka wā hāpai keiki. ʻO ia ka ʻO Diabetes Gestational. ʻO ka World Health Organization (WHO) wehewehe ʻo ia ʻo "a ʻO ka hoʻomanawanui ʻana i ka carbohydrate e hopena i ka hyperglycemia “. ʻIke pinepine ʻia ma hope o ka lua o ka trimester a hele maoli i ka wā postpartum. ʻO ka pololei liʻiliʻi, i ka manawa o ka hāpai ʻana, hiki iā mākou ke ʻike kikokiko i 2 diabetes, hana mua. ʻO ka mea pōʻino, hoʻomau kēia ma hope o ka hānau ʻana.
Inoaia
ʻOi aku ka pilikia o kekahi mau wahine i ka maʻi diabetes gestational ma mua o nā mea ʻē aʻe.
Pehea e nānā ai no ka maʻi diabetes gestational?
Ua koho ʻia e hana ma Farani a ka nānā 'ana i nā makuahine e hiki mai ana.
Pilikia:
- nā wahine ma luna o 35,
- ʻO ka poʻe me ka BMI ʻoi aʻe a i ʻole like me 25,
- ka poʻe me ka mōʻaukala ʻohana o ka maʻi diabetes degere 1,
- nā wahine i loaʻa i ka maʻi diabetes gestational i ka wā hāpai mua,
- a ʻo ka poʻe i hānau keiki i ʻoi aku ke kaumaha o ka hānau ʻana ma luna o 4 kg (macrosomia).
Nānā: pono ʻoe e loaʻa hoʻokahi wale nō o kēia mau pae hoʻohālike e noʻonoʻo ʻia "i ka pilikia". I kēia hihia, hoʻoikaika ʻia ka nānā ʻana i ke kō koko (ke koko koko).
I kēia manawa, pono e nānā i nā wāhine hāpai ma ke kūkākūkā mua ʻana ma o ka hoʻokē ʻai ʻana i ka glucose koko (hoʻāʻo koko). Pahuhopu : Mai haʻalele i ka maʻi diabetes type 2. ʻO nā wahine āpau i loaʻa ka pae ma lalo o 0,92 grams no ka lita i manaʻo ʻia he mea maʻamau.
Hoʻonohonoho ʻia kahi hoʻokolokolo hou ma waena o ka pule 24 a me 28 o ka hāpai ʻana. He hōʻike koko koko kēia i hana ʻia ma ka ʻōpū ʻole, 1 a laila 2 mau hola ma hope o ka lawe ʻana 75 g glucose. Kapa ʻia kēia hoʻāʻo "Orally Induced Hyperglycemia" (OGTT). Loaʻa iā ʻoe ka maʻi diabetes gestational inā ʻoi aku ʻoe ma mua o 0,92 g / l ma ka ʻōpū ʻole, 1,80 g / l i 1 hola a me 1,53 g / l i 2 mau hola. Hoʻokahi wale nō o kēia mau waiwai e hana i ka maʻi.
ʻO ka maʻi diabetes gestational: he aha nā pilikia no ka pēpē a me ka makuahine?
ʻO ka makuahine e hiki mai ana nāna e hāʻawi i a ʻO Diabetes Gestational nānā pono ʻia i ka wā hāpai. Hiki i kēia pathology ke hoʻonui i ka pilikia o kekahi mau pilikia:
- He pilikia o preeclampsia (ke koko kiʻekiʻe i ka wā hāpai)
- ʻO ka nui o ka pilikia o ka hāʻule ʻana, ʻoi aku ka nui o ka maʻi diabetes type 2
- ʻO ke kaumaha nui o ka pēpē, hiki ke hoʻopilikia i ka wā o ka hānau ʻana, ka hopena i ka nui o nā ʻāpana cesarean.
- KA " pilikia o ke keiki »I ka pau ʻana o ka hāpai ʻana ma muli o ka nele o ka oxygenation o ka pēpē
- ʻO ka pilikia o ka ʻeha hanu inā hoʻomaka ka maʻi diabetes i ka hoʻomaka ʻana o ka hāpai ʻana a ʻo ka hānau mua ʻana
- A hypoglycemia i nā lā mua o ka pēpē, hiki ke alakaʻi i ka haʻalele ʻana a i ʻole ka nalowale o ka ʻike a me ka hopu ʻana. Pili pololei ia i ke kiʻekiʻe o ke kō koko o ka makuahine i nā lā he ʻumi ma mua o ka hānau ʻana.
I loko o ke wikiō: Sugars i ka mimi: he aha ka hana?
He aha nā lāʻau lapaʻau no ka maʻi diabetes gestational?
- E kūkākūkā i kahi meaʻai i ka wā e ʻike ʻia ai ka maʻi diabetes gestational. Hāʻawi ʻo ia iā ʻoe i kahi meaʻai i hoʻopili ʻia : ka hoʻopau ʻana i ke kō wikiwiki, ka hāʻawi ʻana i nā starches ma luna o nā ʻai ʻekolu. Hiki paha iā ia, ma muli o nā loiloi koʻikoʻi, e hoʻi hou i nā injections insulin.
- E nānā i kāu kōpaʻa koko e like me ka helu i ʻōlelo ʻia e kāu kauka i kēlā me kēia lā. E haʻi iā ia inā ʻoi aku ka nui ma mua o 0,95 g / l ma mua o ka ʻai ʻana a me 1,20 g / l ma hope o ka ʻai ʻana.
- E pae i ka unahi hoʻokahi manawa i ka pule! A ke kaupaona mau hiki i kāu kauka ke hoʻololi i kāu lapaʻau a kōkua maikaʻi iā ʻoe e hoʻokele i kāu waiwai kaumaha.
- Hoʻoikaika kino! Manaʻo nā kauka e hele wāwae, ʻauʻau, ke kauʻana ai ole ia, he nā haʻuki hāpai kūikawā, 30 min 3 a 5 manawa o ka pule.
E hoʻomaha, inā e hahai maikaʻi ʻoe, e hahai ʻoe i ka ʻai, e hele maikaʻi loa kou hāpai ʻana. I ka maʻi diabetes gestational, hiki ke hānau ʻia i nā ʻano hana makuahine a pau (koe nae ka prematurity, malformation ko'iko'i a i 'ole ke ano o ka ulu ana o ka fetal). A me ka nūhou maikaʻi: ʻAʻole loaʻa ka pēpē i ka maʻi diabetes. ʻAʻole pili kēia pilikia i ke kiʻekiʻe o ke kō koko o ka makuahine akā i ka lawe ʻia ʻana o kahi hapa o kāna ʻano moʻo. Ma kou ʻaoʻao, hiki iā ʻoe ke ʻai maʻamau i ka lā ma hope o ka hānau ʻana. ʻO ka s e hoʻomau ʻia nā pae kō koko i nā lā ma hope o ka hānau ʻana a i kekahi mau pule ma hope. E makaʻala, ʻo ka pōʻino, nui ka pilikia o ka hoʻomohala hou ʻana i ka maʻi maʻi gestational i kou wā hāpai hou.
ʻO kahi ʻōlelo aʻo: mai kali i nā hoʻokolohua hōʻemi nui i nā kō wikiwiki i loko o kēia hāpai hou, ʻaʻole pono ʻoe e hele i kahi meaʻai kūikawā!