ʻO KA HĀNAI MOMONA I KA WĀ HĀPAI: NĀ HOPENA NO KE PĒPĒ A ME KA MAKUAHINE MANAʻO

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Mai ka lā mua o ka ʻenehana a i ka manawa o perinatal, hana ʻia ke kino o ka wahine ma ke ʻano ʻē.

I kēia manawa, hiki i nā kaʻina kaʻina metabolic ke hana hewa, a maule paha nā naʻau i ka naʻau. I ke hopena, ʻaʻole hoʻopili piha ka glucose i ka nui, a piʻi nui ka ʻike i ke kino.

Hoʻoweliweli kēia i ka hoʻolālā ʻana o nā hōʻeha koʻikoʻi nui. No laila, he aha ka pōpilikia o ke kō kiʻekiʻe i ka wā hāpai.

ʻO ke ʻano o ka glucose i ke koko o nā wahine hāpai

Hōʻike nā mea hōʻike i nā hana kalepona i nā wahine hāpai.

ʻO ka manawa mua loa ka wahine e hele ai i kahi hoʻāʻo koko i ka wā mua, a ʻo ka hōʻailona (ma kahi ʻōpū ʻole) e mālama ʻia i loko o ka pae o 4.1-5.5 mmol / l.

ʻO ka hoʻonui ʻana i nā waiwai i ka 7.0 mmol / L a i ʻole ke ʻano ua hoʻomaka ka manaʻo makuahine i ka hoʻoweliweli ʻana i ka maʻi diabetes (ʻike), ʻo ia ka mea i loaʻa i ka manawa perinatal. ʻO kēia ke ʻano ma hope o ka hānau ʻana ke hoʻomau ʻia ka maʻi, a e hoʻomau ʻia ka mālama ʻana.

I ka helu pono o ke kō koko koko (ma ka ʻōpū ʻole) e pili ana i ka 5.1-7.0 mmol / l - loaʻa ka wahine maʻi maʻi gestational. ʻO kēia maʻi ka hoʻohālikelike wale i nā wahine hāpai, a ma hope o ka hānau keiki ʻana, ma ke ʻano he kānāwai, nalowale nā hōʻailona.

Inā kiʻekiʻe ke kō, he aha ka manaʻo?

Na ke ao nei ka pancreas (pancreas) i kēia hōʻailona.

ʻO ka insulin i hana ʻia e ka pancreas e kōkua i ka glucose (ma ke ʻāpana o ka meaʻai) i hili ʻia e nā sela, a me kona ʻike ma loko o ke koko, e like me ka emi.

Loaʻa i nā wahine hāpai i kā lākou iho ponoʻī. Kūlike pololei kā lākou hopena i ka insulin - hoʻonui lākou i nā helu glucose. Ke hoʻokō nei ka pancreas e hoʻokō i kāna hana, ua hele nui ke ʻano o ka glucose.

Ua komo i loko o ka plasenta i ke koko o ka pūpū a lawe ʻia ʻo ia (ʻaʻole kū aʻe i kā piha) ma ka pancreas. Hoʻomaka ʻo ia e hana ikaika i ka insulin, hoʻoiho koke i ka glucose a hoʻololi i ka momona. ʻO ka hopena, ua loaʻa ke kaumaha i ke keiki.

ʻO ka hoʻolaʻa hoʻokaʻawale kūpono o ka lālani, pono ke hāʻawi i ka lako o ka oxygen keiki maikaʻi, ka mea e hāʻawi ai i ka plasenta. Akā ua hōʻino ʻia kāna mau moku e ke kō, a ʻo ka pēpē i ka wā e hala ʻole ana ka oxygen.

Nā hōʻailona hōʻailona

Inā hōʻemi ke kaila o ke kalapona i ke koko o kahi wahine hāpai i nā kumu ʻae ʻia a ʻae ʻia, ʻaʻole ia e ʻike i kahi hōʻike ʻino. ʻO ka pinepine, ʻike ʻia ka pathology i ka manawa o ke kipa e hele mai i ke kauka.

Akā inā hōʻike ka glucose i nā kumu kiʻekiʻe no kahi lōʻihi lōʻihi, e nānā ka makua ʻāpono i kēia mau hōʻailona:

makewai mau loa. ʻAʻole no ka nui o ka wahine e inu i nā wai, makemake hou au i nā mea hou aku;
koi pinepine ʻana i ka urinate;
ua hāʻule ka ʻike;
pinepine ka makemake e ʻai i kahi mea momona;
ʻaʻole kū maikaʻi.

Inā ma kahi o ka ʻelua o nā hōʻailona i hōʻike ʻia, pono e ʻike ke kauka e pili ana iā lākou.

ʻAʻole pono ʻoe e hana iā ʻoe iho, ʻaʻole hiki iā ʻoe ke hōʻopoino iā ʻoe iho, akā, ʻo ke pēpē hoʻi.

ʻO ka ʻōpilikia o ka hoʻomohala ʻana i ka maʻi gestational

ʻO ka maʻi o ka makuahine hāpai he hopena maikaʻi loa ia e pili ana i ke olakino, hoʻopiʻi i ka hapai, no ka mea ke kōkua ʻia o ka hoʻomohala ʻana i nā pilikia nui.

ʻO kēia ka pyelonephritis, maʻi o ka naʻau, a i ʻole detachment o ka retina.

ʻO ka pilikia nui loa o ka maʻi hānai o ka maʻi ʻaʻai.ʻO ka wehe i ka kala me ka maʻi diabetes (e like me nā helu helu) e loaʻa ana i kahi hapakolu o nā wahine i ka hana. ʻO ke kumu ke ala kahiko o ka placenta. Hoʻopilikia ke kālaʻai i kāna mau koko koko, a komo ka ʻemi maʻamau i ke keiki kāne a pau.

Ua hoʻoweliweli ka maʻi Sugar e hoʻomohala i ka maʻi laʻala. ʻO ke kumu ke haʻahaʻa nei ka hoʻolālā o ka estrogen ma muli o ka hanaʻino ʻana i ka placenta a me ovaries. Ma ka maʻi diabetes, ʻike ʻia kēia kiʻi ma ka hapalua o nā maʻi. No ka hoʻohālikelike: i nā wahine olakino - wale nō i ka 3% o nā hāpai.

Hoʻonui pinepine ʻia nā polyhydramnios (60% o nā hihia), twisting umbilical cord, a me nā hōʻike pelvic o ka pūpū. ʻO nā meaʻino ʻole o ka hāpai ʻana i hoʻoweliweli ʻia me ka caesarean mahele.

ʻO ka hopena o ke kōhi kiʻekiʻe i ka wā hāpai ʻana no ke pēpē

Ua hoʻoweliweli ka maʻi maʻi maʻi i ka makuahine i ke keiki me ka nui o ka mau hōʻeha. Ua kapa ʻia e ka lāʻau lapaʻau ka maʻi fetopathy maʻi maʻi.

ʻO ka hana maʻamau maʻamau ʻoi aku ka momona. ^ E Ha yM. I ka manawa hānau, lilo ka pēpē nui - ʻoi aku ma mua o 4 kg.

He traumatic loa kēia no ia, no ka laʻana, ka neʻe ʻana o ka vertebrae cervical i ka wā hānau. Eia kekahi, nui nā pēpē nui e maʻi ana nā makuahine me ka maʻi diabetes.

I ka haʻalele ʻana o ka hoʻomaʻamaʻa kūpono, ʻike ʻia nā hemahema ʻē aʻe: ʻo ke poʻo kuʻuna o ke keiki, nā mālamalama congenital o ka ʻōpū, ka puʻuwai, ka ʻōpū, nā maʻi kūlohelohe.

Hiki i nā ʻōmole hōʻeha i ka wā hānau

ʻO ka maʻi maʻamau o ka wahine hāpai wahine he hopena maikaʻi loa ia o nā membranes. I ke hopena, loaʻa ka polyhydramnios.

Inā lawe ka pēpē i kahi hewa (no ka laʻana, lateral) i mua o ka hānau ʻana, hiki i ka ʻāpana o ke kaula umbilical. Loaʻa kahi pilikia o ka hypoxia fetal. ʻO ka maʻamau, no ka pale ʻana i nā hōʻeha, ua mākaukau kekahi wahine no ka ʻāpana cesarean.

Hiki i ke maʻi maʻi Gestational ke kumu i ka lolo diabetes type 2. No laila, pono nā wahine e kiaʻi i kā lākou gula i nā manawa āpau (a nānā i kēlā me kēia 3 mau makahiki).

He mea e hana

ʻO nā hiʻohiʻona meaʻai a me nā meaʻai maikaʻi

Ua ʻike ʻia he mea ʻai na ka honu o ke kō i ke kumu kūlohelohe no ka hoʻohālikelike ʻana i nā kumu glucose.

No laila, ua hāpai ikaika ʻia kahi wahine hāpai i kēlā me kēia kuʻuna e hahai i nā ʻōlelo aʻe:

e aʻo liʻiliʻi i ka ʻai ʻana: ʻai liʻiliʻi, akā 6 i ka manawa i kēlā lā. ʻAʻole pono ʻo ka lawelawe i ka 250 g;
ʻAʻole hiki iā ʻoe ka pololi;
e hoʻoponopono i kāu papaʻai, me ke keiki e ʻai pono ai;
hāʻawi iki i nā ʻaina ʻole a ʻai liʻiliʻi paha;
hiki ke hoʻoholo i ka GI o nā huahana;
e hoʻololi i nā ʻono me ka hua a i ʻole ka meli;
inu i nā wai i kēlā me kēia lā;
ʻo ka ʻai hope loa e lilo i 3 mau hola ma mua o ka hiamoe.

He maikaʻi inā inā e'āpono i nā nuances āpau o ka meaʻai me kāu kauka.

Hoʻohana pilikino

Pono ke kanaka o ka wā e hele aku i ka oxygen i ke ola, no laila he mea nui ia no ka makuahine i loko o ke ea hou i ka mea hiki ke loaʻa.

E holomua ʻo Metabolism inā e hele maʻamau ʻo ia.

A kōkua pilikino hoʻomaʻemaʻe i ke kalaiwa aku pono ʻole, a, no laila, kilograms. E kōkua ka hoʻoikaika kino o kēlā me kēia ʻano i ka hana a ka ʻāhina e hoʻokō hou ana i kāna hana, no ka mea, e pale ʻia ka momona mai ka hana maʻamau.

ʻAʻole pono e hōʻino ʻoe iā ʻoe iho me nā mea hoʻonāwaliwali o nā papa hana a me nā huakaʻi hele ʻana i kēlā me kēia lā. Ua lawa ka hele wāwae hele ʻana a hele paha i ka ʻauʻau. E lawa ka nui o nā hola 2-3 i kēlā me kēia pule.

Inā ʻaʻole i komo ka makuahine ʻāpono i nā haʻuki o ka wā ma mua, pono ʻo ia e hoʻomaka me nā haʻuki liʻiliʻi, e hoʻonui mālie ana i ka ukana i ke kūpono.