Gestational Chirwere cheshuga (GDM): Zvinokonzera, Zviratidzo, Njodzi Uye Kurapa

Mazita Akanakisa Evana

Pasi:

Zuva Rekuzvarwa:

Tumira

Nditumire Neemail Ratidza Pane Saiti

Just In

• 7 hrs apfuura Chaitra Navratri 2021: Zuva, Muhurta, Tsika Uye Kukosha Kwemutambo uyu
• 
• 8 hrs apfuura Hina Khan Anobwinya Kumusoro Nemhangura Green Girazi Shadow Uye Glossy Nude Miromo Tora Iko Kutarisa Mune Mashoma Akareruka Matanho!
• 10 hrs apfuura Ugadi Uye Baisakhi 2021: Spruce Up Yako Festive Tarisa NaCelebs-Akafuridzirwa echinyakare Masutu
• 13 hrs apfuura Mazuva ese Horoscope: 13 Kubvumbi 2021

Usapotsa

• Sravana Sameeralu Serial 4th Technology BSNL Inobvisa Kuisirwa Mitero Kubva Kure Yakareba Broadband Kubatana
• Nhau Kumbh mela vanodzoka vanogona kuwedzera denda re COVID-19: Sanjay Raut
• Mitambo IPL 2021: BalleBaazi.com inogamuchira mwaka nemushandirapamwe mutsva 'Cricket Machao'
• Mafirimu Vira Sathidar Aka Narayan Kamble Kubva Kudare Anopfuura Nekuda Kwe COVID-19
• Mota Kabira Inofamba Hermes 75 Yakakwira-Yekumusoro Kwezvekutengesa Kuendesa Magetsi Scooter Yakatangwa MuIndia
• Zvemari Goridhe Mutengo Unowira Kwete Zvakawanda Kushushikana kweNBFCs, Mabhangi Anoda Kuva Akarinda
• Dzidzo CSBC Bihar Mapurisa Constable Yekupedzisira Mhedzisiro 2021 Yakaziviswa
• Kufamba 10 Nzvimbo Dzakanakisa dzekushanyira Mu Maharashtra Muna Kubvumbi

Kubata kunoda kumwe kuchengetedzwa uye kunetseka. Kana iwe uri mukadzi ane chirwere cheshuga ane pamuviri, unofanirwa kuve wakangwarira. Chirwere cheshuga chinowanikwa panguva yekuzvitakura chinonzi gestational chirwere cheshuga. Izvi zvichaisa nhumbu yako muchikamu chengozi nekuda kwemikana yekuparara, kuremara kwekuzvara, kuberekwa, kufa nguva isati yakwana uye mwana akawandisa ^[1] . Gestational chirwere cheshuga chakakamurwa kuva mapoka maviri, Kirasi A1 (iyo inogona kudzorwa kuburikidza nekudya chete) uye Kirasi A2 (inoda insulin kana mishonga yemumuromo kudzora mamiriro).

Kana mukadzi achinge abata pamuviri, muviri wake unopinda mukuchinja kwakawanda uye zvakare, anogona kunge achinetsekana nemamwe matambudziko akanangana nevakadzi vane nhumbu. Kana mukadzi achinge abata gestational chirwere cheshuga, huwandu hweshuga yeropa hunogona kuwedzera zvakanyanya uye izvi zvinogona kukonzera zvimwe zvinhu zvese kumwana naamai ^[piri] .

Nekudaro, imwe yenyaya idzo dzakanyanya kunzwiwa nezvemazuva ano panguva yekuzvitakura iko kuitika kwechikadzi cheshuga. Iwo mahormone anogona kuita kuti shuga yeropa ikwire kana iwe uri nepamuviri, kusimudzira mikana yekuve nepamuviri yakaoma uye ine njodzi. Nekudaro, imwe inogara ichikurudzirwa kuti ugare uine tariro kunyangwe gestational chirwere cheshuga chikaonekwa ^{[3] [4]} .

Gestational chirwere cheshuga chinoitika chete panguva yekuzvitakura. Inoratidza huwandu hweshuga panguva yekuzvitakura iyo yaive yakajairika usati wabata pamuviri. Mamiriro acho anowanzo kurapwa apo iwe unosununguka mwana. Dzimwe nguva, zvinowedzera mikana yekuti iwe uwedzere rudzi rwechipiri chirwere cheshuga, kunyange zvisingawanzoitika ^[3] .

Zvinokonzera Gestational Chirwere cheshuga

Icho chaicho chikonzero chinokonzera kukura kwemamiriro acho hachizivikanwe. Zvisinei, zvakasimbiswa kuti mahomoni anoita basa guru mukusimudzirwa kwemamiriro acho.

Munguva yekuzvitakura, mahormone anogadzirwa neiyo placenta anokonzera kuvakwa kweshuga muropa rako, izvo zvinoguma nekugwinya kwechirwere cheshuga ^[5] . Sezvineiwo, pancreas dzako dzinogona kuburitsa insulin yakaringana kubata izvi. Nekudaro, mune dzimwe nguva, kana zvikasadaro, huwandu hweshuga yeropa hunokwira kutungamira kune gestational chirwere cheshuga.

Ndezvipi zvikonzero zvegestational chirwere cheshuga?

Zviratidzo zveGestational Chirwere cheshuga

Kazhinji, mamiriro acho haakonzere chero zviratidzo kana zviratidzo. Zviratidzo zvinokonzerwa zvinogona kuve zvakapfava uye zvinotevera ^[6] .

• Kuona kwakashata
• Kuneta
• Kuchengeta
• Nyota yakanyanya
• Kunyanyisa kuda kuita weti

Zvisinei, zvinofanirwa kucherechedzwa kuti mazhinji ezviratidzo zvinosanganisirwa nejestational chirwere cheshuga zvakajairika uye zvinoonekwa mune vazhinji vakadzi vane nhumbu. Izvi zvinosanganisira zviratidzo sekuneta, kuwedzera nyota, kuda kurutsa uye kurutsa. Nekuda kwehunhu hwezviratidzo, vanogona kuenda vasingacherechedzwe, vachiisa vese amai pamwe nemwana panjodzi ^[7] .

Ngozi dzeGestational Chirwere cheshuga

Iwe uri mukana wekuita gestational chirwere cheshuga kana iwe

• vane nhoroondo yechirwere cheshuga
• wakamboita gestational chirwere cheshuga panguva yako yekutanga nhumbu
• vaive vakafuta kupfuura vasati vabata pamuviri
• yaive neshuga yakakwira muropa
• vane BP yakakwira
• ndakabereka mwana muhombe kare
• akawana huremu hwakawanda panguva yekuzvitakura
• vari pamusoro pemakore makumi maviri nemashanu
• vari kutarisira vacheche vakawanda
• kuva nepamuviri kana kubereka mwana akafa
• une polycystic ovary syndrome (PCOS), acanthosis nigricans, kana mamwe mamiriro anosanganiswa ne insulin kushorwa. ^{[8] [9]}

Zvinetso zveGestational Chirwere cheshuga

Kana paine kushayikwa kwekuchengetwa uye kutarisirwa, mamiriro acho anogona kuwedzera uye kutungamira kumatambudziko anogona kukanganisa hutano hwemwana naamai. ^[9] .

Zvinetso zvine chekuita nemamiriro ezvinhu zvinotevera:

• Kufema kunetseka
• Kurema kwakakura kuberekwa
• Pafudzi dystocia (inokonzeresa banda recheche kuti rinamatire mumugodhi wekuzvarwa panguva yebasa)
• Shuga shoma yeropa
• Kukurumidza kutumira
• Kuwedzera mikana yekuendeswa kweKesariya
• Rufu rweNonatal
• Macrosomia

Kuongororwa kweGestational Chirwere cheshuga

Inowanzoitika mukati mehafu yepiri yekuzvitakura kwako. Zviratidzo zveizvi zvinogona kuve kudiwa kwekutarisa kakawanda, kunzwa uine nyota kupfuura zvakajairwa, kunzwa kunzwa nzara uye kuda kudya zvakanyanya. Kunyangwe izvi zviratidzo zvichikwanisa kuve zvinobatana nezviratidzo zvekubata wega, kazhinji kuongororwa kwejestational chirwere cheshuga kunosanganisira bvunzo inoitiswa panguva yako yekuita nhumbu kuongorora kuongororwa ^[10] .

Kazhinji, pakati pemavhiki makumi maviri nemasere kusvika makumi maviri nemasere, chiremba wako anokuraira bvunzo kuti utarise gestational chirwere cheshuga.

Kurapa KweGestational Chirwere cheshuga

Muchiitiko chekuonekwa kuti une chirwere ichi, chirongwa chekurapa chichaenderana nemazinga eshuga eropa ezuva nezuva.

Iwe unozodikanwa kuti uedze shuga yako yeropa usati usati uye mushure mekudya.

Mune zvimwe zviitiko, majekiseni e insulin anokurudzirwa kuti abatsire kudzora huwandu hweshuga yeropa ^{[gumi neimwe]} .

Mhedzisiro YeGestational Chirwere cheshuga Pane Mwana

Sezvo mwana wako achiwana zvinovaka muviri kubva muropa rako, iwe uine gestational chirwere cheshuga chingabatawo mwana. Mwana anochengeta iyo yekuwedzera shuga iri muchimiro chemafuta izvo zvinoita kuti iye akure kukura kupfuura zvakajairwa. Ikoko kunogona kuve nekumwe kunetseka kwepamuviri senge kunotevera ^[12] :

• Panogona kuve nekukuvara kumucheche panguva yekusununguka nekuda kwekuwedzera saizi yemwana.
• Mwana anogona kuberekwa aine yakaderera mashuga eropa uye zvicherwa.
• Panogona kuve nekuzvarwa pre-term.
• Mwana aigona kuzvarwa aine jaundice.
• Panogona kunge paine matambudziko ekufema kwenguva pfupi.

Kunze kweizvi, mwana anogona zvakare kuve nemukana wakawedzera wekuwedzera kufutisa uye chirwere cheshuga panguva dzekupedzisira dzehupenyu hwake. Vana vakadai vanofanirwa kukurudzirwa kuchengetedza mararamiro ane hutano kubva pakutanga ^[13] .

Kugadzirisa Gestational Chirwere cheshuga

Kana iwe ukaonekwa kuti une gestational chirwere cheshuga, chiremba wako anga achinyatso kukuongorora. Iwe zvakare unozokumbirwa kushanyira chiremba wako kuti uongororwe kakawanda uye ungazodikanwa kuti uite zvinotevera ^{[14] [gumi neshanu]}

• Tarisa shuga yako yeropa kanokwana kana pazuva. Chengetedza otomatiki-digital ropa glucose yekutarisa muchina kumba.
• Wana weti bvunzo inoitwa nguva nenguva kuti utarise kuvapo kwemaketone. Izvi zvinoitirwa kuongorora kana chirwere cheshuga chiri pasi pesimba.
• Kugara uchirovedza muviri. Unogona kusvika kune varairidzi vanozogona kukutungamira zvakanakisa nezve zviitwa zvinokodzera uye zvine hutano kuita panguva yekuzvitakura.
• Tsvaga chiremba kana chiremba wezvekurudziro kuti ugadzire dhayeti ine hutano. Chikafu chako chinofanirwa kunge chisinga wedzere shuga yeropa.

1. [1]Sermer, M., Naylor, C. D., Gare, D. J., Kenshole, A. B., Ritchie, J. W. K., Farine, D., ... & Chen, E. (1995). Mhedzisiro yekuwedzera kusagadzikana kwehydrohydrate pamigumisiro yemadzimai-emucheche muvakadzi ve3377 vasina gestational chirwere cheshuga: iyo Toronto Tri-Hospital Gestational Chirwere cheshuga Chirongwa cheAmerica chezvekubereka uye gynecology, 173 (1), 146-156.
2. [piri]American Chirwere cheshuga Association. (2004). Kuchengetedza chirwere cheshuga, 27 (suppl 1), s88-s90.
3. [3]Muvezi, M. W., & Coustan, D. R. (1982). Maitiro ekuongorora bvunzo dzegastational chirwere cheshuga .American jenareta rekubereka uye gynecology, 144 (7), 768-773.
4. [4]Kim, C., Newton, K. M., & Knopp, R. H. (2002). Gestational chirwere cheshuga uye chiitiko cherudzi rwechipiri chirwere cheshuga: kuongororwa kwakarongeka Chirwere cheshuga, 25 (10), 1862-1868.
5. [5]Kamwe, C. A., Hiller, J. E., Moss, J. R., McPhee, A. J., Jeffries, W. S., & Robinson, J. S. (2005). Mhedzisiro yekurapwa kwejestational chirwere cheshuga mellitus pamhedzisiro yekuzvitakura. New England Journal of Medicine, 352 (24), 2477-2486.
6. [6]Bellamy, L., Casas, J. P., Hingorani, A. D., & Williams, D. (2009). Tora 2 chirwere cheshuga mellitus mushure mekubata gestational chirwere cheshuga: yakarongeka ongororo uye meta-ongororo. Lancet, 373 (9677), 1773-1779.
7. [7]Buchanan, T. A., & Xiang, A. H. (2005). Gestational chirwere cheshuga mellitus. Chinyorwa chekuongororwa kwekiriniki, 115 (3), 485-491.
8. [8]Boney, C. M., Verma, A., Tucker, R., & Vohr, B. R. (2005). Metabolic syndrome muhucheche: kusangana nehuremu hwekuzvarwa, kuneta kwemadzimai, uye gestational chirwere cheshuga mellitus. Pediatrics, 115 (3), e290-e296.
9. [9]Chokwadi, G. D.F (1986). Chii chinonzi Gestational Diabetes?.
10. [10]Koivusalo, S. B., Rönö, K., Klemetti, M. M., Roine, R. P., Lindström, J., Erkkola, M., ... & Andersson, S. (2016). Gestational chirwere cheshuga mellitus inogona kudzivirirwa nehupenyu hwekupindira: iyo Finnish Gestational Diabetes Kudzivirira Kudzidza (RADIEL): kuongororwa kwakajairwa kutarisirwa. Chirwere cheshuga, 39 (1), 24-30.
11. [gumi neimwe]Kamana, K. C., Shakya, S., & Zhang, H. (2015). Gestational chirwere cheshuga mellitus uye macrosomia: ongororo yemabhuku. Annals yeNutrition neMetabolism, 66 (Suppl. 2), 14-20.
12. [12]Aroda, V. R., Christophi, C. A., Edelstein, S. L., Zhang, P., Herman, W. H., Barrett-Connor, E., ... & Knowler, W. (2015). Mhedzisiro yehupenyu hwekupindira uye metformin mukudzivirira kana kunonoka chirwere cheshuga pakati pevakadzi vane uye vasina gestational chirwere cheshuga: iyo Dhivhosi Kudzivirira Chirongwa mhedzisiro kudzidza gumi-gore kuteedzera. Iyo Journal yeClinical Endocrinology & Metabolism, 100 (4), 1646-1653.
13. [13]Kampmann, U., Madsen, L. R., Skajaa, G. O., Iversen, D. S., Moeller, N., & Ovesen, P. (2015). Gestational chirwere cheshuga: kiriniki yekuvandudza.World magazini yechirwere cheshuga, 6 (8), 1065.
14. [14]American Chirwere cheshuga Association. (2017). Kurongwa uye kuongororwa kwechirwere cheshuga Kuchengetwa kwechirwere cheshuga, 40 (Supplement 1), S11-S24.
15. [gumi neshanu]Damm, P., Houshmand-Oeregaard, A., Kelstrup, L., Lauenborg, J., Mathiesen, E. R., & Clausen, T. D. (2016). Gestational chirwere cheshuga mellitus uye mhedzisiro yenguva refu kuna amai nevana: maonero anobva kuDenmark. Diabetologia, 59 (7), 1396-1399.

Horoscope Yako Yemangwana

Kuziva

Nditumire Neemail Ratidza Pane Saiti