ʻO KA MAʻI MAʻI GESTATIONAL - NĀ KUMU A ME NĀ HOPENA.

Send

Hoʻohālikelike ʻia ka maʻi diabetes mellitus e ka hōʻino i ka hana a me ka nui o ka insulin hormone, e hōʻoia ai i ka lawe ʻana o ka glucose i nā kahe koko ma nā puna o ke kino. Inā ʻaʻole e hoʻokō ke kino i kēia hana, e piʻi ka kiʻekiʻe o ke kō.

ʻO ka maʻi diabetes - he aha ia?

Aia kahi ʻano maʻi mellitus o kēlā me ke ʻano o ka hoʻomohala wale nō i nā wahine hāpai a hana i ka 5% o nā hihia i ʻike ʻia.

Hoʻokumu kēia puka i nā wahine i loaʻa ʻole i ka hoʻonui o ka glucose i ko lākou ola, ma kahi ma hope o ka 20 wiki o ka hapai.

Hoʻokumu ka plasenta i nā hormones ponoi no ke keiki hānau ʻole. Inā hoʻokuʻu lākou i ka insulin maternal, ulu hou ka maʻi diabetes. Aia ke kūleʻa insulin a i ʻole ka insensitivity o nā ʻāpana i ka insulin. Hoʻokumu kēia i ka hoʻonui o ke kōhi koko.

Inā loaʻa i ka wahine ka maʻi maʻi o kekahi ʻano, e hōʻiliʻili ka nui o ka glucose i loko o ke kuʻi, e hoʻohuli ana i ka momona. I kēia mau keiki, nui ka pancreas i ka nui o ka insulin e hoʻohana i ka glucose mai ka makuahine. Eia kekahi, i nā keiki hou, hiki ke hoʻemi ʻia ke kō koko. Loaʻa i nā pēpē ka hoʻouluʻana i ka momona, nā pilikia hanu, a me ka hopena o ka hoʻomohala ʻana i ke ʻano maʻi diabetes ʻano 2 i ka wā ʻelemakule.

Ma hope o ka hānau ʻana, ua nalo nā maʻi maʻi gestational; ʻo ka loaʻa ʻana o ka pilikia i ka wā o ka hapalua lua. Eia kekahi, hiki i kekahi mau wahine ke hoʻomohala i ke ʻano type type 1 a i ʻole 2.

ʻO nā mea koʻikoʻi nui no ka hoʻomohala ʻana i ka maʻi gestational ke komo pū ʻana:

ʻoi aku ka nui o nā makahiki o ka wahine ma mua o 40 mau makahiki, e pāpālua ana i ka maʻi o ka maʻi
ka heleʻana o nā maʻi ma ka pilina pili;
ʻaʻole no ka hui keʻokeʻo;
ka ʻoi paona (ʻoi ʻia ka nui o ka waihona umauma o ke kino ma mua o ka hānau ʻana);
ka hānau ʻana o kahi keiki e kau ana ma mua o 4-5 kg a i ʻole mau no ka ʻike kumu ʻole;
ulaula

Pono ke ʻano o nā wahine hāpai i ka maʻi diabetes mai ka 24th a hiki i ka 28th o ka hapalua.

Inā loaʻa nā mea kūpono, e kuhikuhi hou ke kauka i kekahi hōʻike hōʻoia hou. ʻAʻole pono ka hapanui o nā wāhine hāpai i ka insulin e lapaʻau i ka maʻi gestational.

Nā kumu a me nā hōʻailona

ʻO nā kumu nui no ka hoʻomohala ʻana i ka maʻi gestational e komo ai:

moʻomeheu;
nā maʻi autoimmune e pau ʻole nā mea maʻi pancreatic e ka ʻōnaehana pale;
hoʻonāukiuki i nā maʻi e hōʻino i ka pancreas a hoʻokūkū i ke kaʻina autoimmune;
kūlohelohe
mea ʻai.

ʻO ka hōʻailona nui o ka maʻi maʻi gestational he hoʻonui koko koko.

E like me ka hōʻike ʻana o ke ʻano maʻi maʻi gestational:

kahi hoʻonui koʻikoʻi ma ke kaupaona ʻana;
hoʻonui mahiki;
ka make mau ana o ka makewai;
ua hōʻemi ʻia kahi hana;
lilo ka momona.

Diagnosis a me ka mālama ʻana i ka maʻi diabetes gestational

ʻO GTT kahi hōʻike no ka hoʻohaʻahaʻa glucose, ʻoi aku ka maikaʻi ma mua o 20 mau pule.

Inā loaʻa kekahi wahine hāpai i ka liʻiliʻi o kekahi o nā mea e pili ana i ka maʻi maʻi gestational, a inā he kānalua, he pono e hoʻomaʻamaʻa iā ia i kahi hōʻike GTT. Ma muli o nā hopena o nā loiloi, e huki ʻia nā manaʻo e pili ana i ka hele ʻana / me ka loaʻa ʻole o ka maʻi maʻi gestational ma ka makuahine e hiki mai ana.

ʻO nā pae nui o ka hōʻike:

I ke kakahiaka, lawe ʻia ka mua koko i kekahi vein. Ma mua, pono wikiwiki ka wahine i ka liʻiliʻi o 8 mau hola.
A laila inu ka wahine hānai i kahi hoʻonā no kekahi mau minuke. ʻO ia kahi mea i kāwiliʻia o ka glucose maloʻo (50g) a me ka wai (250ml).
A mau hola i hala ma hope o ka hoʻohana ʻana i ka ʻōnaehana, lawe lākou i kekahi kiʻi koko e hoʻoholo i ke ʻano o ke kō.

ʻO ka mea mua, ke kuhikuhi nei ke kauka i ka mea maʻi i kahi hoʻokaʻina koko e ʻike i ke kiʻekiʻe mua a hoʻopaʻa i ka maʻi o ka maʻi gestational. A laila e hoʻomalu ʻo ia inā i loko o nā palena maʻamau a i ʻole ma waho o kona mau palena.

Kūkala ke kauka i kahi ʻano lapaʻau e pili ana i kēia:

nā meaʻai kūpono a me kaʻai;
ka hoʻohana ʻana o kahi mea hana kūikawā no ke ana ʻana i ke kōpaʻa;
lāʻau lapaʻau maʻi, a inā pono, inikini insulin.

Hiki i nā hoʻopiʻi a me ke pale ʻana

ʻO nā maʻi maʻi gestational ke ʻano nei i nā hoʻopiʻi:

hypoglycemia;
ke koko kiʻekiʻe, naʻau puʻuwai;
maʻi kino maʻi ʻole;
makapō, nā kalaka a me nā mea ʻē aʻe o nā hiʻohiʻona ʻike;

lohi o nā hōʻeha;
gangrene
nā maʻi pinepine ʻana o nā palupalu palalupa, nā ʻili, a me nā hopena;
ʻoliuli o nā hopena ma muli o ka neuropathy.

Ma ka liʻiliʻi o ka kānalua o ka maʻi gestational, pono ke kūkākūkā o ke kauka. No ka hōʻalo ʻana i ka hoʻomohala ʻana o ka maʻi, pono e hahai ʻia nā ʻōlelo hope aʻe:

e hāhai i kaʻai haʻahaʻa ma ke kō a me ka momona;
ʻai nā meaʻai i ka momona;
e lilo na pauna;
ʻai maʻamau a me ka mahele, e nānā ana i nā ʻano like ʻole o ka manawa ma waena o ka ʻai;
Pono nā lā e hana i nā hoʻomaʻamaʻa, e mālama ana i ke kaupaona ʻana;
e nānā mau i ka maka o kona kino, ʻoi aku ka wāwae, i ʻole e hala i ka helehelena o nā hōʻeha a me nā maʻi;
mai hele i kapa;
holoi holoi i nā wāwae i kēlā me kēia lā me ka palake pēpē, e holoi mālie ma hope o ka holoi ʻana a hoʻopili i ka pauku talcum ma nā wāwae;
pono e hana pono loa ka ʻūlū ʻana me ka mālama pono i nā manamana wāwae;
mālama pono;
mālama i ke kūlana maʻamau o nā niho a me ka lua waha.

ʻAʻole i koi ʻia:

E hoʻomoʻi a ninini i ka wai wela ma kou mau wāwae.
Mai hoʻohana i ka patch no ka mālama ʻana i ka palaoa a me nā huahana ʻē aʻe no ka mālama ʻana i nā hōʻeha ma nā wāwae i kūʻai ʻia i loko o kahi kīhāpai.
Hoʻolako ʻia ka gula hoʻōla, nā ʻono, ka meli a me nā mea ʻē aʻe, nā momona a me nā paʻakai.

Nā hopena o ka maʻi gestational ma ke kūkulu ʻana i ka maʻi hānau

Ua hoʻonui ka nui o ke kō kōʻai koko i ka makuahine e manaʻo ai i kāna keiki hānau ʻole.

He mau hoʻopiʻi kona e like me maʻi maʻi maʻi hamama. ^ E Ha yM. ʻO ka pinepine i nā wahine me ka maʻi maʻi, hānau ʻia nā keiki nui i kuhi ʻia ka manawa a ʻaʻole hiki iā lākou ke hana i kā lākou hana. E alakaʻi kēia i kēlā mau pilikia:

mea hanu
cardiovascular;
neurological.

Ma 1/5 o nā hihia a pau, hiki no i kekahi ke hoʻokahuli i kahi ʻē aʻe - ke kaupaona ʻana o ke kino haʻahaʻa.

I loko o kēlā mau pēpē, ʻaʻohe lawa o ka pae o ke koko, e pono ai ka infusion o ka glucose a me nā hoʻonā kūikawā paha ma hope o ka hānau ʻana. I nā lā mua, hoʻomohala nā keiki i ka jaundice, hoʻemi ka nui o ko lākou kino a me ka neʻe lohi ʻana. Hiki ke hoʻomaopopo ʻia ka hemorrhages ma ka ʻili o ka ʻāpana holoʻokoʻa o ke kino, cyanosis a me ke ʻano nui.

ʻO ka hōʻike nui loa o ka maʻi fetopathy maʻi ma nā pēpē he make kiʻekiʻe.

Inā ʻaʻole i loaʻa ka wahine hāpai i ka lāʻau kūpono i ka wā hapai, a laila mālama ʻia ka make ma 75% o nā hihia a pau. Me ka mākaʻikaʻi kūikawā, ua emi kēia waiwai ma 15%

I mea e pale ai i nā hopena o ka maʻi maʻi ma luna o ka pēpē hānau, pono e kiaʻi pono ana i ke kiʻekiʻe o ke kōʻai koko. Pono ʻoe e hahai i nā ʻōlelo aʻoaʻo a ke kauka, lapaʻau i kēia maʻi a ʻai pololei.

Hiki iā ʻoe ke koho a hana i kahi manawa me ke kauka i kēia manawa:

Send