ʻO ka maʻi diabetes gestational i nā wahine hāpai: pilikia, hoʻohui a me ka mālama ʻana

Inā he maʻi maʻamau ka maʻi maʻamau a kaulana nō hoʻi, ʻo ke ʻano maʻi gestational i ka wā o ka hapai ʻaʻoleʻike loa i kekahi. Hoʻopilikia ʻia kēia maʻi i loko o ʻehā mau hapa o nā wahine hāpai, akā pono naʻe ke ʻike no kēia maʻi, no ka mea he mea pōʻino loa ia.

ʻO ka maʻi diabetes a me nā hoʻopiʻi piha

ʻO kahi maʻi diabetes mellitus he maʻi nō ia ma ke piʻi ʻana o ke kō o ke koko i ka wā o ke keiki. Hiki i ka hopena ʻino ke hoʻopilikia i ke olakino o ke keiki e ulu ana i loko o ka ʻōpū. Me ka hoʻolālāʻana o ka maʻi i ka hapa mua o ka hāpai ʻana, aia ka hopena nui o ka kuhi hewa ʻana. ʻO ka mea e pōʻino loa ka mea i ka manawa o kēia manawa, ma muli o ka maʻi, hiki i ka pūpū ke hana i ka malenations congenital, ʻo ka mea pinepine ke hoʻopili i nā kino koʻikoʻi e like me ka lolo a me ka ʻōnaehana cardiovascular.

Inā ulu ka mellitus maʻi mellitus i ka lua o ka hapalua o ka hapai ʻana, loaʻa ka nui i ke kaupaona a hoʻoulu ʻia. Hiki i kēia ke kumu i ka hyperinsulinemia i loko o ka pēpē ma hope o ka hānau keiki ʻana, inā hiki ʻole i ka pēpē ke loaʻa ka nui o ka glucose i makemake ʻia mai ka makuahine. ʻO ka hopena, lilo ka haʻahaʻa o ka glucose o ke koko i ka haʻahaʻa loa, e pili ana i kona olakino.

Inā ʻike ʻia ka maʻi diabetes i ka wā hāpai, koi ʻia ka hoʻopiʻi olakino no laila ʻaʻole ia mai ka maʻi i ka hoʻomohala ʻana o nā ʻano ʻano hoʻopiʻi āpau ma ka pūpū ma muli o ka komo ʻole o nā mau kāmeʻa i loko o ke kino o ka wahine hāpai.

Hiki i kahi keiki me nā ala like like ʻole ke ʻike i kēia mau hōʻailona:

• ʻO ka nui a me ke kaumaha o ke keiki i ka wā hānau;
• Ka wehe ʻokoʻa ʻana o ka nui o ke kino - nā ʻāpana a me nā wāwae, ka ʻōpū ākea;
• ʻO Edema ma ke kino a me ka hōʻiliʻili nui o nā momona kino;
• ʻIli o ka ʻili;
• Pūnaewele;
• ʻO ke kōlā koko, haʻahaʻa koko kiʻekiʻe, nā haʻahaʻa o ka calcium a me ka magnesium.

ʻO ka maʻi diabetes gestational a me nā kumu no kona hoʻomohala ʻana i nā wahine hāpai

Hoʻomaopopo ka wahine hāpai i nā hoʻololi āpau o nā loli a ʻoiai ʻo ia ke kau nei i ka pēpē, hiki ke alakaʻi i nā maʻi a me nā hemahema o ke kino. I waena o kēia mau hiʻohiʻona, hiki i ka emi ʻana o ke kahe ʻana o ke kō koko koko e nā ʻōpala o ke kino ma muli o nā loli o ka hormonal, akā akahi ka wikiwiki loa e kamaʻilio e pili ana i ka maʻi maʻi.

Hōʻike pinepine ʻia ka maʻi diabetes gestational i ke kolu o ka hapala o ka hapai ma muli o nā hana hōʻemi hormonal o ke kino o ka wahine. I loko o kēia manawa, hoʻomaka ka pancreas hapai e hoʻopili i ʻekolu mau manawa i mea e mālama ai i nā hoʻololi maʻamau i ke kōʻai koko. Inā ʻaʻole kū ʻole ke kino o ka wahine i kēlā mau leo, e hōʻike ka wahine hāpai i ka maʻi maʻi gestational.

ʻO ka hui pilikia, ma ke ʻano he kānāwai, loaʻa nā wahine me kekahi mau hōʻailona olakino. ʻOiai ʻoiai, ʻo ka hiki ʻana o kēia mau ʻano, ʻaʻole hiki ke hōʻoia i ka wahine hāpai i ka hoʻomohala ʻana i ka maʻi gestational. ʻAʻole hiki nō hoʻi ke haʻi me ka maopopo e ʻike ʻole kēia maʻi i nā wahine ʻaʻole loaʻa nā hōʻailona i kākau ʻia ma lalo nei.

Hōʻino ka wahine hāpai i kēia wahine:

• I ka loaʻa ʻana o ke kaumaha kino nui ʻana ʻaʻole wale nō i ka wā hāpai, akā nō hoʻi;
• Hoʻomaʻo pinepine ʻia ka maʻi i nā poʻe no nā lāhui e like me nā ʻAsia, Latinos, Negroes, ʻAmelika.
• ʻO nā wahine me ka glucose kiʻekiʻe o ka urine;
• Hapa gula kūlohelohe a prediabetes;
• ʻO nā wahine ma kona ʻohana aia nā maʻi me ka maʻi maʻi maʻi maʻi;
• Hānau ʻia ka wahine i ka lua o ka manawa, i loaʻa ai ka nui o ka hānau hānau i ka pēpē mua;
• ʻO ka hānau hānau ʻana o kahi keiki make i ka wā mua o ka hānau mua;
• ʻO ka wahine e maʻi ana i ka maʻi gestational i ka wā o kahi hāpai mua;
• ʻO nā wahine hāpai a me nā polyhydramnios.

ʻO ka hoʻomohala ʻana o ka maʻi i nā wahine hāpai

Inā loaʻa nā hōʻailona kānalua, ʻo ka mea mua e hana ai, ʻo ke kūkākūkā ʻana i ke kauka e hana i nā hoʻokolohua ponoʻī a hana i kahi hoʻokolokolo, hoʻokumu i ka aha o ke kō i ke kō a ma ka wā hāpai.

Eia kekahi, nā wahine a pau e lawe ana i kahi keiki e loaʻa ana i kahi laikini kanikau mandatory i ka manawa o 24-28 mau pule o ka hapai e ʻike i ka maʻi maʻi gestational. No ka hana ʻana i kēia, hana ʻia kahi hōʻike koko no ke kōʻai koko.

Ma hope o kēlā, pono ʻoe e inu i ka wai momona, kahi i kāwili ʻia ai ka 50 g o ke kō. 20 mau minuke i hala, lawe ʻia ka koko venous mai kahi wahine hāpai i nā maʻi laboratorium. No laila, hoʻohālikelike ʻia nā hopena a huli aku ia i ka wikiwiki a hoʻomaʻemaʻe pono i ke kino me ka absorption o ka glucose. Inā loaʻa ka hōʻailona i loaʻa he 7.7 mmol / l a ʻoi paha ia, e kau ke kauka i kahi loiloi hou e pili ana i kahi ʻōpū ʻole ma hope o ka wahine hānai e ʻai no kekahi mau hola.

ʻO ka maʻi diabetes a me kāna mālama ʻana

E like me ke maʻi maʻamau, pono e pili nā wahine hāpai i kekahi mau lula i hiki ʻole ke hōʻino i ka pēpē i hānau ʻole a me lākou iho.

• ʻO kēlā me kēia lā ʻehā mau manawa i kahi lā e pono ai e hana i kahi hōʻike no ka pae o ka glucose i ke koko. Pono ʻoe e mālama i kahi ʻōpū ʻole a me nā hola ʻelua ma hope o ka ʻai.
• He mea nui ia e lawe pinepine i ka urine no ka nānā ʻana i mea e pale ai i ka hoʻokumu ʻia o nā kino ketone i loko, kahi mea e hōʻike nei i ka mālama ʻole ʻana i ka maʻi.
• Ua kuhikuhi ʻia nā wahine hāpai i kahi meaʻai kūikawā a me kekahi meaʻai.
• ʻO ka wahine ma kahi kūlana no ka pale ʻana, mai poina e pili ana i ka hoʻomaʻamaʻa kino a me ke ʻano no nā wahine hāpai;
• He mea nui ia e nānā i kou pono ponoʻī a pale i ka loaʻa ʻana o ka paona;
• Inā pono, mālama ʻia ka insulin i nā wahine hāpai e mālama i ke kino. Ke ʻae ʻia nei nā wahine i ka noho ʻana i kēia ʻano o ka hoʻopiha ʻana i ka hapa o ka insulin i ka maʻi diabetes gestational.
• Pono e kiaʻi pinepine i ka neʻe ʻana i ke koko a hōʻike i nā loli a ke kauka.

Hoʻopau i kahiʻaiʻai no ka maʻi

I ka ʻike ʻia o ka maʻi maʻi gestational, ua kuhikuhi ʻia nā wāhine hāpai i ka meaʻai kūikawā. ʻO kahi mea kūpono kūpono a me ke hoʻoponopono koʻikoʻi e kōkua i ka pale ʻana i ka maʻi a halihali i ke keiki me nā hopena ʻole. ʻO ka mea mua, pono nā wahine i ke kūlana e mālama i ko lākou pono ponoʻī i mea e hoʻonui ai i ka hana o ka insulin.

ʻOiai, ua contraindicated ka pōloli i ka wā hapai, no laila he mea nui ka loaʻa i ke keka i nā mea pono pono āpau, e makaʻala i ka maikaʻi o nā meaʻai o nā huahana, akā hōʻole i nā meaʻai kiʻekiʻe-calorie.

Hōʻoia ʻia ka hahai ʻana o nā wahine hāpai i kekahi mau lula e kōkua ai i ka kū i ka maʻi a me ke ola i ke ola.

• Pono e ʻai i nā ʻāpana liʻiliʻi, akā pinepine. ʻAi kakahiaka kakahiaka, ʻaina awakea a me ka pāʻina me nā mea ʻai ʻekolu a ʻekolu. I ke kakahiaka pono ʻoe e ʻai i ka meaʻai, he 45 ka nui o ka momona me nā ʻaora. I ke ahiahi, pono ʻoe e ʻai i ka ʻai me kahi ʻaina momona ma kahi o 30 mau lemona.
• He mea nui e hōʻole i nā meaʻai momona a me ka iʻa, me ka meaʻai hoʻi, ka mea e loaʻa ai ka nui o nā mea i kālai ʻia a maʻalahi ka ʻai. Mālama wale nō, ʻo ia nā ʻano waiwai āpau, nā ʻalā, nā muffins, a me nā hua waina, nā maiʻa, nā lau, nā persimmons, nā cherries. ʻO nā kīʻaha ma hope o ka hoʻomoʻa ʻana i ke koko hiki ke hoʻonui nui i nā ʻōhumu o ke koko, aʻo nā huahana ʻoi mau ka hoʻomaʻamaʻa ʻana a loaʻa kahi kiʻekiʻe o ke kaloli. Ke hoʻopau pono nei i kā lākou kikowaena, pono ʻoe i kahi nui o ka insulin. ʻAno ka nele ʻana i ka maʻi maʻi.
• Me nā toxicosis kakahiaka, ua ʻōlelo ʻia e mālama i kahi pā me nā pīpī paʻakai ma hope o ka moena. Ma mua o ke ala ʻana, pono ʻoe e ʻai i kekahi mau kuki, ma hope a hiki iā ʻoe ke hele palekana a holoi.
• He mea kūpono ʻole ia e haʻalele i nā huahana kūikawā no ka kuke koke, i kūʻai ʻia i nā hale kūʻai. Hoʻopili koke ʻia lākou a hoʻomākaukau a inā ʻoe e ʻai wikiwiki. Eia naʻe, loaʻa i nā huahana like ka hōʻailona o ka hopena ma hope o kā lākou hoʻohana ʻana i ke kō koko koko, hoʻohālikelike me nā kūlohelohe kūlohelohe. No kēia kumu, mai hōʻino maikaʻi i ka salupapeka wikiwiki, pāliki koke i nā ʻeke a me nā cereals i hoʻopaʻa ʻia.
• I ka wā hāpai, ua ʻōlelo ʻia e ʻai i nā meaʻai me nā mea momona a hiki i ka hiki. He mau huaʻai nui kēia, nā lau ʻai, ka laiki, nā kīʻaha cereal, berena a pēlā aku. No nā kīkaha, pono ʻoe e ʻai ma kahi o 35 mauʻu o ka fiber. Maikaʻi kēlā mea no nā wahine hāpai, ʻaʻole wale nā ​​mea maʻi me ka maʻi maʻi maʻi. E hoʻomaikaʻi ʻo Fiber i ka hana bowel ma o ka hoʻohaʻahaʻa ʻana i ka momona momona a me ka glucose i loko o ke kahe koko. Eia kekahi, loaʻa nā huahana i nā minerin a pono ponoʻi.
• Pono e mau o nā momona iʻoi aku ma mua o 10 mau pakeneka o ka nuiʻai. Manaʻo ʻia e hoʻokaʻawale i nā mea momona a pau, ʻaʻole hiki iā ʻoe ke ʻai i ka sausages, ka puaʻa, ka hipa, nā aniani, a me ka io iʻa. Hiki iā ʻoe ke kahakaha i kēia papa inoa o nā huahana me nā ʻai ʻai manu, me ka moa, ka pipi momona haʻahaʻa, mauka, a me nā iʻa. Pono ʻoe e kuke i ka ʻai i ka aila ʻaila, ke hoʻohana ʻana i ka kuke kuke, ka ʻaʻa ʻana a i ʻole ma ka umu. Pono e hoʻoneʻe ʻia ka momona momona a ʻulaʻula ma mua o ka kuke ʻana. Eia kekahi, pono ʻoe e haʻalele i nā momona e like me ka margarine, mayonnaise, nā huaʻai, ka waiū keke, nā ʻāʻī, nā kinikini momona.
• Ma ka liʻiliʻi a me ka hapalua lita o kekahi wai me kaʻole o nā hue, pono pono e inu ka wai.
• E kōkua nā lau ʻai i nā momona ʻē aʻe i ka nui o nā huaora a ʻaʻole hōʻino i ke olakino. I kekahi helu, hiki iā ʻoe ke ʻai i nā tōmato, nā ʻōpala, nā kukama, kāpala, huala, zucchini. Kūpono ia mau meaʻai ma waena o ka ʻaina kakahiaka, ka pāʻina a me ke pāʻina. I ka hoʻohuiʻana i nā salads, hiki ke lawe ʻia nā meaʻai.
• Pono ia e hōʻoia i ka loaʻa o ke kino a me nā mea hāpai i kahi nui o nā minima a me nā waiolamu. No kēia, hiki i ke kauka ke kuhikuhi i ka hoʻokomo o nā mea lapaʻau hou e kūpono i nā wahine hāpai. ʻOkoʻa nō hoʻi ka waiū mai nā hipp maʻa e kōkua i ka mālama pono ʻana o ka wai kūpono.

Inā ʻaʻole kōkua ka meaʻai i ka hoʻoponopono ʻana i ka pae o ka glucose i ke koko, e kuhikuhi ke kauka i kahi maʻi me ka insulin.

ʻO ka hopena o ka maʻi ma ka hānau keiki ʻana

Ma hope o ka hānau ʻia ʻana o ke keiki, pau nā maʻi maʻi gestational i loko o kahi wahine e nalo mau. I ka maʻiʻai, hoʻomohala wale kēia maʻi ma nā 20 hapa mau o nā hihia. ʻOiai, hiki i ka maʻi āpau ke loaʻa kahi hopena maikaʻiʻole i ka lawe ʻana.

No laila, pinepine i ka wā e hoʻoilo i ka ʻōpū, hānau nui kahi pēpē. ʻO nā nui nui e hiki i ka pilikia o ka hana ma ka hana o ka hana. Hoʻomaʻamaʻa pinepine ke kauka hāpai i ka ʻaoʻao cesarean. Inā hānau maoli ka pēpē, aia kekahi pōʻino i ka ʻōpū o ka ʻōpū o ka pēpē, ʻo ka hoʻohui, hiki i nā keiki ke hoʻomohala i ke maʻi ma hope.

I nā keiki i hānau ʻia i nā makuahine me ka maʻi o ka maʻi maʻi gestational, hoʻohaʻahaʻa ʻia ka nui o ke kō o ke koko, akā naʻe, hoʻopiha iki ʻia kēia hema ma o ka hānai ʻana. Inā loaʻa kahi hapa o ka waiū, ua kuhikuhi ka pēpē ma o ka hānai ʻana me ke kōkua o nā ʻano hui. Hoʻonohonoho pono ʻia ke pēpē a ana ʻo ke kō koko koko o ke pēpē me ke ana a ma hope o kēlā me kēia hānai.