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No ka hoʻopaʻa ʻana a i ʻole ka hoʻopaʻa ʻana no ka maʻi diabetes gestational
I ka wā hāpai, ʻike ʻia kekahi mau wahine i ka maʻi diabetes gestational. Ua wehewehe ka World Health Organization (WHO) i kēia maʻi ma ke ʻano he "maʻi o ka hoʻomanawanui ʻana i ka carbohydrate e alakaʻi ana i ka hyperglycemia o nā ʻano koʻikoʻi, hoʻomaka a ʻike mua ʻia i ka wā hāpai. »Ma lalo o nā kūlana nānā i kēia manawa, ma waena o 2 a me 6% o nā wahine hāpai e hoʻopilikia ʻia, akā hiki ke ʻoi aku ke kiʻekiʻe o kēia māhele ma kekahi mau heluna kanaka. Ma keʻano laulā, ʻo ke ʻano o kēia manawa e pili ana i ka hoʻonui ʻana i ka prevalence. ʻO nā kumu pilikia nui: ke kaumaha nui, ka makahiki, ka lāhui, ka moʻolelo ʻohana o ka maʻi diabetes, ka mōʻaukala obstetric o ka maʻi maʻi gestational a i ʻole macrosomia, polycystic ovary syndrome. Hiki i ka maʻi diabetes gestational ke hoʻopilikia i ka makuahine a me ke keiki. Ua pili me a piʻi ka pilikia o ka preeclampsia a Kaisareia. Ma ka ʻaoʻao pēpē, ka macrosomia (ke kaumaha o ka hānau ʻana ma luna o 4kg) ʻo ia ka hopena nui i hōʻike ʻia o ka maʻi diabetes gestational.
ʻO ka maʻi diabetes Gestational: ke koho ʻana i ka nānā ʻana
No kāna keiki mua, hoʻomanaʻo ʻo Elisabeth i ka nānā ʻana no ka maʻi diabetes gestational, akā i kēia manawa no ka lua, ua haʻi kāna kauka kauka iā ia ʻaʻole pono ia. ʻOiaʻiʻo, ʻaʻole ia i hōʻoluʻolu: "pehea inā e poina mākou a ʻike ʻia he maʻi maʻi iaʻu?" », Ua hopohopo ʻo ia. Ma waena o nā hoʻokolohua hāpai ʻana, ʻo nā mea i ʻōlelo ikaika ʻia a hope nā mea pono ʻole, paʻakikī ke hoʻokele i kekahi manawa. E pili ana i ka nānā ʻana i ka maʻi diabetes gestational, ua kau ʻia nā manaʻo hou i ka makahiki 2011. A hiki i kēlā manawa, pono e nānā ʻia nā wahine hāpai a pau i ka 2nd trimester, ma waena o ka pule 24 a me 28 o ka amenorrhea. Ua kapa ʻia kēia hoʻokolohua ʻO ka hyperglycemia i hoʻokomo ʻia i ka waha (OGTT), ʻo ia ka hoʻokē ʻai koko glucose i 1 hola a me 2 mau hola ma hope o ka ʻai ʻana o 70 g glucose. I kēia manawa, ua kuhikuhi wale ʻia kēia hoʻokolohua wahi a nā makuahine i ka wā e hiki mai ana. Ua ʻōlelo ʻia ʻo ka hoʻopaʻa ʻana. Ke hopohopo nei: nā wahine ma mua o 35, ʻo ka poʻe me ka BMI ʻoi aku ka nui a i ʻole like me 25, ka moʻolelo ʻohana o ka maʻi diabetes degere 1, ka maʻi diabetes gestational i ka wā o ka hāpai mua ʻana, kahi keiki i ʻoi aku kona kaumaha hānau ma mua o 4 kg (macrosomia). I ka manawa like, ua hoʻohaʻahaʻa ʻia nā paepae hyperglycemia, kahi i hoʻonui ai i ka nui o ka maʻi diabetes.
ʻAʻohe pilikia i hōʻoia ʻia me ka loaʻa ʻole o nā kumu pilikia
Ke ʻike mākou i nā pilikia perinatal (macrosomia, eclampsia, a me nā mea ʻē aʻe) i pili pono i ka maʻi diabetes gestational, hiki iā mākou ke noʻonoʻo. no ke aha i haʻalele ʻia ai ka nānā ʻōnaehana. "ʻAʻohe o mākou manaʻo ʻepekema e hiki ke hōʻoia i ka mālama ʻana i ka maʻi diabetes gestational i nā wahine ʻaʻohe kumu pilikia", wehewehe ʻo Professor Philippe Deruelle, gynecologist-obstetrician ma CHRU Lille. I nā huaʻōlelo ʻē aʻe, ʻaʻohe mea hōʻike e ʻike ʻia ka maʻi maʻi gestational i ʻike ʻia ma ka awelika makuahine e like me ka nui o ka paʻakikī e like me ka wahine i ka pilikia. ” ʻO ia ka wā e hui pū ʻia ai nā kumu e koʻikoʻi ai nā hopena », Hoʻomau ka loea. Eia hou, hiki ke hāʻawi i kēia ho'āʻo i ka lua o ka ʻanuʻu, i ka manawa o ka 7th mahina i ke kolu o ka ultrasound. ʻO kaʻoiaʻiʻo, hoʻomau ka nui o nā gynecologists e kuhikuhi i ka OGTT i nā wahine hāpai a pau, ma waho o ka mālama ʻana ma mua o ka kānalua.