Nui nā loli o kou kino i ka wā hāpai, ʻeā? I ka manawa like, emi ka pane ʻana o nā pūnaewele o kou kino i ka hormone insulin. I ka ʻōlelo maʻalahi, hoʻonui iki kēia i ke kō koko (glucose). Kōkua kēia i ka hāʻawi ʻana i ka meaʻai hou aku i kāu pēpē. Eia naʻe, inā kiʻekiʻe loa kēia pae kō, hiki iā ia ke hoʻopilikia iā ʻoe a me kāu pēpē. ʻO kēia ka mea a mākou e kapa nei he maʻi diabetes gestational , a i ʻole GDM . Mai makaʻu i kou lohe ʻana i kēia inoa. Me ka mālama kūpono, hiki i ka hapa nui o nā makuahine ke loaʻa kahi hāpai olakino a me kahi pēpē olakino. E kamaʻilio maopopo kākou e pili ana i nā mea āpau.
Pehea e ʻike ai inā loaʻa iaʻu kēia maʻi?
Ke ʻike ʻoe ua hāpai ʻoe, ʻo ka mea mua āu e hana ai, ʻo ia ke ʻike i kāu kauka. I kēlā manawa, e loiloi ʻo ia i kou pilikia o ka loaʻa ʻana o GDM.
Inā he mau kumu pilikia kou (no ka laʻana, he mōʻaukala ʻohana o ka maʻi diabetes, ke kaumaha nui), e nānā koke kāu kauka i kou pae kō koko. ʻOiai inā maʻamau nā hopena o kēlā hoʻāʻo, pono ʻoe e hana hou i kēia hoʻāʻo ma waena o 24 a me 28 mau pule o ka hāpai ʻana.
ʻOiai inā ʻaʻole ʻoe e manaʻo he pilikia kūikawā ʻoe, ua kuhikuhi pinepine ʻia nā wahine hāpai a pau no kēia hoʻokolohua ma waena o 24-28 mau pule .
ʻElua mau ʻano hoʻāʻo i hoʻohana pinepine ʻia no kēia.
1. Hoʻāʻo Kūkae Glucose: ʻAʻole pono ʻoe e pōloli no kēia. E hāʻawi kāu kauka iā ʻoe i kahi mea inu kō a laila e nānā i kou pae kō koko i hoʻokahi hola ma hope.
2. Hoʻāʻo Hoʻomanawanui Glucose Waha (OGTT): Hana ʻia kēia hoʻāʻo inā ʻano ʻē nā hopena o ka hoʻāʻo mua. No kēia, e haʻi aku ke kauka iā ʻoe e hoʻokē ʻai no kekahi mau hola ma mua o ka hana ʻana i ka hoʻāʻo.
Inā ua hōʻoia ʻia ua loaʻa iā ʻoe kēia maʻi, e nānā pono ke kauka i kou olakino a me ke olakino o kāu pēpē mai ia manawa a hiki i ka hānau ʻana. No laila, ʻaʻohe mea e makaʻu ai.
Pehea lā e pili ai kēia i kaʻu pēpē?
He mea maʻalahi loa kēia e hoʻomaopopo. Loaʻa i kāu pēpē kāna meaʻai mai kou koko. No laila, ke piʻi aʻe kou pae kō koko, loaʻa pū i kāu pēpē kēlā kō keu. Mālama ke kino o kāu pēpē i kēia kō keu ma ke ʻano he momona. ʻO ka hopena, hiki i ke kino o kāu pēpē ke lilo i mea nui aʻe ma mua o ka maʻamau. Hiki i kēia ke alakaʻi i kekahi mau pilikia.
ʻO ka mea nui, hiki ke hoʻēmi ʻia ka nui o kēia mau pilikia ma ka hahai ʻana i ka lāʻau lapaʻau kūpono a me nā ʻōlelo aʻoaʻo.
| Nā hopena hiki ke loaʻa ma ka pēpē | He wehewehe maʻalahi |
|---|---|
| Nā pilikia hiki ke loaʻa i ka wā hānau | Ma muli o ka nui o ke kino o ke pēpē, aia ka manawa kūpono e loaʻa ai kekahi ʻeha a ʻeha paha i ka wā hānau maʻamau. |
| Haʻahaʻa ke kō koko a me nā pae mineral i ka wā hānau | Ma hope o ka hānau ʻana, hiki ke hāʻule koke ke kiʻekiʻe o ke kō koko o ka pēpē, akā na nā kauka e mālama i kēia. |
| ʻĀʻī | He ʻano maʻi e melemele ai ka ʻili o kahi pēpē. Hiki ke ho'ōla loa ʻia kēia me ka lāʻau lapaʻau. |
| Ka hānau mua ʻana | I kekahi manawa, hiki i ke keiki ke hānau ma mua o ka lā palena. |
| Nā pilikia hanu manawa pōkole | Hiki i ka pēpē ke loaʻa kekahi mau pilikia hanu i nā lā mua ma hope o ka hānau ʻana. |
Ma hope aku, i ka wā e ʻelemakule ai ke keiki, ʻoi aku ka kiʻekiʻe o ka pilikia o ka momona a me ka maʻi diabetes ma mua o nā keiki ʻē aʻe. No laila, he mea nui loa e hoʻomaʻamaʻa i kāu keiki i kahi nohona olakino mai ka wā ʻōpiopio . Hiki i kēia ke hōʻemi i kēia mau pilikia.
Pehea kēia e pili ai iaʻu?
Hiki i ka GDM ke loaʻa kekahi mau hopena i ka makuahine.
- ʻO ka hoʻonui ʻia o ka manawa e pono ai ka ʻoki caesarean (C-section) .
- Ka pilikia o ka hāʻule ʻana o ka naʻau.
- Ka hoʻonui ʻia o ka pilikia o nā kūlana e like me ke koko kiʻekiʻe a i ʻole ka preeclampsia .
- Ka hānau mua ʻana.
ʻO ka nūhou maikaʻi, e hoʻi pinepine ana kou pae kō koko i ka maʻamau ma hope o kou hānau ʻana i kāu pēpē. Eia nō naʻe, ʻoi aku ka kiʻekiʻe o kou pilikia o ka loaʻa ʻana o ka Type 2 Diabetes i ka wā e hiki mai ana a me GDM inā hāpai hou ʻoe. Akā, mai hopohopo, hiki iā ʻoe ke hōʻemi nui i kēlā pilikia ma ka hahai ʻana i kahi nohona olakino.
He nui nā wāhine me GDM e hānau maoli ana, me ka ʻole o ka ʻoki ʻana i ka pēpē. No laila e wehe a ʻoiaʻiʻo me kāu kauka e pili ana i kāu hānau ʻana . Mai makaʻu e nīnau i nā nīnau e like me, "Pono anei au i ka ʻoki ʻana i ka pēpē?", "Pehea ka pololei o nā kuhi o ke kaumaha o kaʻu pēpē?", "He aha nā pilikia iaʻu a me kaʻu pēpē inā hānau maʻamau wau?"
Nā mea hiki iā ʻoe ke hana: ʻanuʻu i kēlā me kēia ʻanuʻu
Nui nā mea hiki iā ʻoe ke hana e kaohi i kēia kūlana.
E ʻai i ka meaʻai olakino.
E kamaʻilio me kāu kauka a i ʻole kekahi meaʻai meaʻai e hana i kahi papaʻai e kōkua iā ʻoe e kāohi i kou pae kō koko. Pono ʻoe e kaupalena i ka nui o nā kalapona (starches) āu e ʻai ai, no ka mea, ʻo ia ke kumu e piʻi koke ai kou pae kō koko. E pale i nā meaʻai kiʻekiʻe i ke kō, e like me nā mea inu kō, nā keke, a me nā biscuits.
E hoʻohui i nā meaʻai momona i ka fiber i kāu papaʻai. Hiki iā ʻoe ke loaʻa kēia mau mea mai nā mea kanu, nā huaʻai, nā palaoa piha (oats, bale), a me nā legumes. E noʻonoʻo wale, ua ʻike ʻia kahi noiʻi ʻo ka hoʻohui ʻana i 10 grams o ka fiber i kāu papaʻai i kēlā me kēia lā e hōʻemi ana i ka pilikia o ka hoʻomohala ʻana i kēia ʻano maʻi diabetes ma kahi o 26%!
Hoʻoikaika kino.
He mea nui e hana i kekahi hana kino i kēlā me kēia lā e kōkua i ka kaohi ʻana i kou pae kō koko. Inā ʻaʻole i haʻi aku kāu kauka iā ʻoe, e hoʻāʻo no 30 mau minuke o ka hoʻoikaika kino kaulike, e like me ka hele wāwae a ʻauʻau paha, i ka lā . Ua ʻike ʻia kekahi noiʻi ʻē aʻe ua hōʻemi nā wahine i hoʻoikaika kino no kahi o 4 mau hola i ka pule ma mua a i ka wā hāpai i ko lākou pilikia ma kahi o 70%. Akā e nīnau pono i kāu kauka e pili ana i ke ʻano o ka hoʻoikaika kino āu e hana ai a me ka lōʻihi o kāu hana ʻana.
E hahai i kēia mau hana olakino ma hope o ka hānau ʻana
E hoʻomau i kēia papaʻai olakino a me ka hoʻoikaika kino ma hope o kou hānau ʻana i kāu pēpē. He mea nui nō hoʻi e hoʻi i ke kaumaha olakino. ʻAʻole pono ʻoe e hōʻemi i ke kaumaha i ka manawa hoʻokahi. ʻOiai ka hōʻemi ʻana i 5% a 7% o kou kaumaha holoʻokoʻa hiki ke hana i kahi ʻokoʻa nui.
Mai poina i nā manawa i hoʻopaʻa ʻia e ke kauka.
Mai poina i kahi kipa ʻana i ke keʻena lapaʻau a i ʻole kahi kipa ʻana i ke kauka. He mea nui loa ia no ka palekana o ʻoe a me kāu pēpē. Pono paha ʻoe e hana i nā scans maʻamau (ultrasounds).
E nānā i kou pae kō koko.
Inā ʻōlelo aʻo kāu kauka iā ʻoe, pono ʻoe e nānā i kou pae kō koko ma ka home i nā manawa he nui i ka lā. ʻO kēia ke ala maikaʻi loa e mālama ai i ke kūlana.
E lawe i kāu mau lāʻau lapaʻau i kuhikuhi ʻia e like me ke kauoha.
ʻAʻole hiki i kekahi mau makuahine ke kāohi i ko lākou pae kō koko ma o ka ʻai a me ka hoʻoikaika kino wale nō. I ia mau hihia, hiki i ke kauka ke kuhikuhi i ka insulin a i ʻole nā lāʻau lapaʻau ʻē aʻe. He mea nui e lawe i kēia mau lāʻau i ka manawa kūpono a me ka nui kūpono.
I ka manawa hea e ʻike ai i ke kauka
Pono ʻoe e makaʻala loa i kou olakino ke loaʻa iā ʻoe ʻo GDM. E kāhea koke i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau mea:
| I kēlā hihia, e kāhea koke aku i kāu kauka. |
|---|
| Inā maʻi ʻoe a ʻaʻole hiki ke hahai i ka papa hana papaʻai i kuhikuhi ʻia. |
| Inā loaʻa iā ʻoe nā hōʻailona o ke kō koko kiʻekiʻe : paʻakikī i ka noʻonoʻo ʻana, ka ʻeha poʻo, ka make wai nui, ka ʻike maka pohihihi, a i ʻole ka pohō kaumaha. |
| Inā loaʻa iā ʻoe nā hōʻailona o ke kō koko haʻahaʻa : hoʻomaha ʻole, huikau, poniuniu, ʻeha poʻo, pōloli nui, puʻuwai wikiwiki, haʻalulu, ʻili keʻokeʻo, hou, a nāwaliwali paha. |
| Inā ʻoe e nānā i kou pae kō ma ka home a aia ia ma waho o ka pae o nā helu i hāʻawi ʻia e kāu kauka. |
Leka Lawe-Home
- ʻAʻohe mea e makaʻu ai i ka maʻi diabetes gestational (GDM). He kūlana ia e hiki ke mālama maikaʻi ʻia.
- ʻO ka ʻai olakino a me ka hoʻoikaika kino i kēlā me kēia lā nā ala maikaʻi loa e kaohi ai i kēia maʻi.
- E hahai pono i nā ʻōlelo a kāu kauka. E nānā i kou pae kō koko i ka manawa kūpono, e lawe i kāu mau lāʻau lapaʻau, a mai poina i kāu mau manawa i ke keʻena lapaʻau.
- Inā ʻike ʻoe i kekahi mau hōʻailona ʻē i kou kino (hoʻonui a emi paha ke kō koko), mai hoʻokaʻulua e hoʻomaopopo i kāu kauka.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo