ʻO kekahi o nā mea nui i ka hopena o ka maʻi huki o ka malfunction o ka ʻōnaehana endocrine.
ʻO ka hoʻoluhi ʻana i ka hana o ka hormone (insulin) a i ʻole ka hōʻemi ʻana i kāna hana koʻikoʻi e ulu ana ma muli o kahi hōʻeha o ka pancreas.
ʻO ka emi ʻana o nā lilo o ka glucose, e hoʻohaʻahaʻa ʻia ka ʻikepili o ke koko, aia nā hopena maikaʻi ʻole i nā mea a ka metabolism, e pili ana ke kīʻaha koko. Aia kekahi mau loea lapaʻau, hoʻokahi o ka maʻi maʻi gestational. No ICD-10, hoʻopaʻa inoa ʻia ka maʻi ma lalo o kahi code a me kahi inoa.
Kahi helu
Ua hoʻonui ʻia ka ʻike hou e pili ana i kēia maʻi.
ʻO ka maʻamau maʻamau ka maʻi maʻamau no ka:
- ʻAoʻao mua;
- ʻAno lua;
- mau ʻano ʻē aʻe;
- mamaʻawa.
Inā lawa ʻole ke kino i ka insulin, hōʻike kēia i ka maʻi penile penile. Hoʻopilikia kēia ʻano ma nā wahi maʻi pancreatic i hoʻopilikia ʻia. ʻO ka pinepine, ulu ka maʻi i ka wā ʻōpio.
Ma ke ʻano 2, pili nā hemahema o ka insulin. Kuhi ʻia ia me ka nui o ka nui. Eia naʻe, ʻo ka nui o nā hoʻonohonoho e hāʻawi ai i ka pili me nā mea pili a me ka hoʻomaʻamaʻa i ka komo ʻana o ka glucose mai ke koko. Ma ka lōʻihi o ka wā, e emi ana ka hana o kahi mea.
Nui nā ʻano hanana like ʻole o ka maʻi i hoʻoweliweli ʻia e nā maʻi, nā lāʻau lapaʻau, a me ka hoʻoilina. He kaawale, hōʻike ʻia ka maʻi diabetes i ka wā hāpai.
He aha ka maʻi maʻi gestational?
ʻO ke kāohi aestest he ʻano maʻi ia e hōʻike ana iā ia iho i ka wā hāpai, e hōʻemi ana i ke hiki o ke kino ke kū i ka glucose i ke koko.
Loaʻa nā cells i ka hōʻemi o ka palaukaʻi i kā lākou iho insulin.
Hiki ke hoʻokau ʻia kēia ʻano ma ka hiki ʻana o hCG i loko o ke koko, pono e mālama a mālama pono i ka wā hāpai. Ma hope o ka hānau keiki ʻana, ma ka hapa nui, loaʻa ka hoʻōla. Eia nō naʻe, i kekahi manawa kahi hanana holomua hou e pili ana i ka maʻi e like me ka 1st a i ʻole hoʻi i ke ʻano 2. ʻO ka pinepine, hōʻike ka maʻi iā ia i ka hapa o ka hapa o ka hānau keiki.
Hoʻokomo i nā mea hōʻike i ka hoʻomohala ʻana o GDM:
- moʻomeheu;
- kaumaha;
- hapai ma hope o 30 mau makahiki;
- ka hōʻike ʻana o GDM i ka wā hāpai;
- mau ala holookoa;
- kahi hānau o kahi keiki nui.
Hiki i ka maʻi ke hōʻike iā ia iho me ke kaumaha nui, hoʻonui ʻia o ka urine, makewai nui, ʻilihune ʻole.
I ka wā hapai i paʻakikī e kekahi ʻano maʻi o ka maʻi maʻi, he mea nui loa ia e kāohi i ke kiʻekiʻe o ke kō a mālama i kona pae maʻamau (3.5-5.5 mmol / l).
Hiki i ka nui o ke kō i ke kōpaʻa i ka wahine hāpai.
- hanau mua;
- kaloa;
- huʻipiʻi hopena;
- maʻiila nephropathy maʻi;
- mau maʻi maʻi genitourinary.
No kahi keiki, hoʻoweliweli ka maʻi i ke kaupaona ʻana, nā ʻano holomua holomua o ka palaki ʻana, immaturity o nā kino i ka wā hānau.
I ka manawa pinepine, hiki ke hoʻoponopono ʻia nā pae gula i ka maʻi maʻi gestational e ka ʻai (helu papa 9). Hāʻawi ʻia ka hopena maikaʻi e ka hana kino kino. Inā ʻaʻole lawe ia nā kaʻina i lawe i nā hualoaʻa, ua kau ʻia nā inikini insulin.
Inā ʻike ʻia nā kuhi ʻia ma mua o ka ʻāʻī ʻana, ke ʻano lapaʻau a me ke kāpae ʻana i nā ʻōlelo a ke kauka, e kōkua i ka pale ʻana i nā hopena maikaʻi ʻole a hānau mai i kahi keiki olakino.
Aia ka helu ICD-10
ʻO ICD-10 kahi papa i ʻae ʻia i ke ao holoʻokoʻa no ka hoʻopapa ʻana i nā maʻi maʻi.Ua hoʻohui ʻia ka māhele 21 i nā maʻi ma ka helu a ua loaʻa kēlā me kēia i kona code. Hāʻawi kēia kuhi pono i ka ʻoluʻolu o ka mālama a me ka hoʻohana ʻana.
Ua helu ʻia ka maʻi diabetes gestational ma ke ʻano he XV. 000-099 "Hānau ʻia, hānau keiki a me ka puerperium."
Nā mea: O24 Diabetes mellitus i ka wā hāpai. Koho helu (code) O24.4: Diabetes mellitus i ka wā hāpai.
Nā wikiō pili
E pili ana i ka maʻi maʻi gestational i nā wahine hāpai i ka wikiō:
He maʻi maʻi ko GDM hiki ke hakakā. E kōkua lākou i ka pale ʻana i ka maʻi a hānau i kahi pēpē ʻoluʻolu, e pili ana i ka ʻai a me nā ʻōkuhi āpau, ke hana ʻana i nā ʻano maʻalahi, e hele ana i ka lewa a me ke ʻano maikaʻi.
