Loaʻa iā ʻoe kekahi maʻi diabetes i ka wā hāpai? (Gestational Diabetes) E ʻike kākou me ka makaʻu ʻole!

ʻO ka hapa nui o ka manawa, ke lilo kākou i mau makuahine, ke manaʻolana nei kākou a pau e lawe mai i kahi pēpē olakino i kēia ao. Akā i kekahi manawa, hiki mai nā pilikia olakino i manaʻo ʻole ʻia. I kēia lā, e kamaʻilio kākou e pili ana i kahi ʻano maʻi diabetes kūikawā a kekahi mau makuahine e loaʻa ai i ka wā hāpai wale nō. ʻO kēia ka mea a mākou e kapa nei he maʻi diabetes gestational.

He aha ka maʻi diabetes gestational? He mea maʻalahi loa ia!

I ka ʻōlelo maʻalahi, ʻo ke ʻano o ka `(Gestational Diabetes)` ʻo ia hoʻi, ʻoi aku ke kiʻekiʻe o kou pae kō koko, ʻo ia hoʻi, `(pae kō koko),` ma mua o ka maʻamau i ka wā hāpai. I kēia manawa ke noʻonoʻo nei paha ʻoe, 'ʻAuē, ʻaʻole au i loaʻa i ka maʻi diabetes ma mua, pehea lā i hiki ai kēia?' ʻO ka ʻoiaʻiʻo, hana pinepine kēia i ka wā hāpai i nā poʻe i loaʻa ʻole i ka maʻi diabetes ma mua. ʻO ia ke kumu i kapa ʻia ai ʻo ``gestational diabetes.'' Hana ʻia kēia ʻano i ka wā hiki ʻole i ke kino ke hoʻohana pono i ka hormone `(Insulin)`, me nā loli hormonal e hana ʻia i loko o ko mākou kino i ka wā hāpai.

ʻO ka maʻamau, e hoʻāʻo kāu kauka a kahu hānai paha iā ʻoe no kēia ma waena o 24 a me 28 mau pule o ka hāpai ʻana . Ua kapa ʻia kēia he "hoʻāʻo nānā glucose". ʻO ke ʻano kēia, inu ʻoe i kahi wai ʻono a laila nānā ʻia kou pae kō koko ma kahi o hoʻokahi hola ma hope. I kekahi manawa hiki ke lilo kēia i hoʻāʻo ʻelua a ʻekolu paha hola. ʻO kēia wale nō ke ala e ʻike pono ai inā loaʻa iā ʻoe kēia maʻi a ʻaʻole paha. No laila, ʻoi aku ka maikaʻi o ka haʻalele ʻana i kēia "hoʻāʻo nānā"? No ka mea, inā ʻike mua mākou, hiki iā mākou ke hōʻemi nui i nā hopena o kēia.

No ke aha mākou e mālama nui ai i ka maʻi diabetes gestational? He aha nā hopena e hiki ai ke hana i ka pēpē?

I kēia manawa, ke noʻonoʻo nei paha ʻoe, 'ʻAe, ua kiʻekiʻe iki koʻu kō koko, akā he aha ka mea e hiki mai ana i ka pēpē?' ʻOiaʻiʻo, ke piʻi aʻe ke kiʻekiʻe o ke kō koko o ka makuahine, ke hele ia ma waena o ka placenta a hoʻonui i ke kiʻekiʻe o ke kō koko o ka pēpē i hānau ʻole ʻia. ʻO ia ke kumu e pono ai mākou e makaʻala loa i kēia. E nānā kākou i nā pilikia:

• Ka hānau mua ʻana: I kekahi manawa, hiki ke hānau mua ʻia kahi pēpē, ma mua o 37 mau pule. Inā hana ʻia kēia, ʻaʻole i ulu piha nā māmā o ka pēpē, hiki ke alakaʻi i nā pilikia olakino e like me ka paʻakikī o ka hanu ʻana, a pono paha ke kākoʻo hanu. Loaʻa i nā pēpē i hānau mua ʻia kekahi pilikia o nā pilikia ʻē aʻe.
• Hiki i ke pēpē ke piʻi ke kaumaha (Macrosomia): No ka mea, kiʻekiʻe ke kō koko o ka makuahine, loaʻa pū kekahi i ke pēpē ke kō hou aku. A laila hoʻololi ke pēpē iā ia i ikehu a mālama iā ia ma ke ʻano he momona keu. Hiki i kēia ke hoʻonui i ka pēpē ma mua o ka mea e pono ai, ʻo ia hoʻi, hiki ke kaumaha ma mua o 4 paona. Hiki i kēia ke paʻakikī i ka hānau ʻana i ka pēpē ma ke ʻano maʻamau. Hiki ke ʻeha ka pēpē i ka wā hānau, a i ʻole hiki i ka makuahine ke ʻeha. Aia kekahi manawa kiʻekiʻe o ka "C-section", ʻo ia hoʻi he hana ʻoki e hānau ai i ka pēpē.
• Hypoglycemia Neonatal: No ke kāohi ʻana i ke kiʻekiʻe o ke kō koko o ka makuahine, hana ka pancreas o ka pēpē i ka insulin hou aʻe i loko o ka ʻōpū. No laila, i ka wā e hānau ai ke pēpē, i ka wā e pau ai ke kō o ka makuahine, hiki ke hāʻule koke ke kiʻekiʻe o ke kō koko o ka pēpē ma muli o ke kiʻekiʻe o ka insulin. ʻAʻole hoʻi kēia he kūlana maikaʻi no ka pēpē, no ka mea, he mea nui ke kō no ka hana o ka lolo. Inā hana ʻia kēlā, pono e hāʻawi ʻia ke kō hou i ka pēpē.
• Pono paha i kahi noho lōʻihi ma ka haukapila: No nā kumu e like me kēia, pono paha i kekahi mau pēpē ka mālama ʻana a me ka nānā ʻana, a pono paha i kahi noho lōʻihi ma ka haukapila.
• Ka pilikia o ka loaʻa ʻana o ka maʻi diabetes i ka wā ma hope: ʻO kekahi mea nui, ʻo nā pēpē i hānau ʻia e nā makuahine i loaʻa i ka maʻi diabetes gestational e ʻoi aku ka nui o ka loaʻa ʻana o ka Type 2 Diabetes Mellitus i ko lākou wā e ulu ana. ʻOi aku ka nui o ko lākou lilo ʻana i ka momona.

No laila, ua maopopo iā ʻoe, ʻeā? ʻAʻole kēia he pilikia wale nō no ka makuahine, akā he mea hiki ke hoʻopilikia nui i ke olakino pōkole a me ka wā lōʻihi o ka pēpē.

ʻAe, i kēia manawa pehea inā ʻike wau he maʻi diabetes gestational koʻu? He mea kēia e hopohopo ai?

ʻO ka mea mua, mai hopohopo! Inā haʻi aku kāu kauka iā ʻoe he maʻi diabetes gestational kou, aia nā ala e hoʻokele ai. E hoʻomaka kāu kauka i kahi hoʻolālā lapaʻau e kūpono iā ʻoe. ʻO ka hapa nui, pono ʻoe e hana i kēia:

1. He ʻai olakino

ʻO kēia ka mea nui loa . Pono ʻoe e makaʻala i kāu mea e ʻai ai a e inu ai.

• Pono ʻoe e hōʻemi i kāu ʻai ʻana i nā meaʻai kiʻekiʻe i ke kō, ka palaoa, a me ka ʻaila i ka hiki. Pono ʻoe e noho mamao mai nā mea e like me nā mea inu ʻono, nā keke, a me nā biscuits.
• Pono ʻoe e ʻai i nā huaʻai, nā mea kanu, a me nā meaʻai waiwai i ka fiber. E hoʻokomo i nā palaoa piha e like me ka laiki ʻeleʻele, buckwheat, a me ka oats, nā lau lau nahele, nā mea kanu, a me nā huaʻai (e koho i nā hua me ka haʻahaʻa o ke kō) i kāu papaʻai.
• E ʻai i ka manawa kūpono, i ka nui kūpono. ʻOi aku ka maikaʻi o ka ʻai ʻana i kekahi mau meaʻai liʻiliʻi i ka lā ma mua o ka ʻai ʻana i nā meaʻai nui i ka manawa hoʻokahi.

Hiki i kāu kauka a i ʻole he meaʻai meaʻai a meaʻai meaʻai paha ke hāʻawi iā ʻoe i nā ʻōlelo aʻoaʻo maikaʻi no kēia. Inā ʻoe e kāohi pono i kāu ʻai, hiki iā ʻoe ke kāohi i kou pae kō koko i kahi nui.

2. Hoʻoikaika kino i kēlā me kēia lā

ʻO kekahi mea nui, ʻo ia ka hana ʻana i kahi hoʻoikaika kino liʻiliʻi i kēlā me kēia lā.

• Hiki iā ʻoe ke hana i nā hoʻoikaika kino māmā e like me ka hele wāwae no ka liʻiliʻi he 30 mau minuke i ka lā .
• Hiki iā ʻoe ke hana i nā mea e like me ka yoga ma ke ʻōlelo aʻoaʻo a ke kauka.

Akā ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka i nā hoʻoikaika kino kūpono iā ʻoe a me ka lōʻihi o kou hana ʻana iā lākou. Hoʻonui ka hoʻoikaika kino i ka ʻike o ke kino i ka insulin, kahi e kōkua ai i ka kaohi ʻana i ke kō koko.

3. Malia paha he mau inikini `(Insulin)`

ʻAʻole hiki i kekahi mau makuahine ke kāohi pono i ko lākou pae kō koko ma o ka ʻai a me ka hoʻoikaika kino wale nō. I kēlā mau hihia, e haʻi aku ke kauka iā ʻoe e lawe i nā inikini `(Insulin)` i kēlā me kēia lā (`shots`). ʻO kēia ke hāʻawi i ke kino i ka nui o `(Insulin)` e pono ai mai waho. ʻAʻole e hōʻeha kēia mau inikini `(Insulin)` i ka pēpē, no laila mai hopohopo. E aʻo pololei ke kauka iā ʻoe pehea e inikini ai `(Insulin)`.

4. E nānā mau i nā pae kō koko

E hāʻawi aku kāu kauka iā ʻoe i kahi mea liʻiliʻi (he `glucometer`) hiki iā ʻoe ke hoʻohana e nānā i kou pae kō koko ma ka home. Pono ʻoe e nānā a hoʻopaʻa i kou pae kō koko i nā manawa he nui i ka lā (e like me ma mua o ka ʻaina kakahiaka a ma hope o ka ʻai ʻana). E kōkua kēia i kāu kauka e hoʻoholo inā e hana pono ana kāu lāʻau lapaʻau, inā ua kaohi ʻia kāu kō koko, a inā pono ʻoe e hana i kekahi mau hoʻololi i kāu meaʻai.

ʻOiai paha e pono ʻoe e hana ikaika iki a hiki i ka hiki ʻana mai o ka pēpē, e hoʻomanaʻo e hana ana ʻoe i kēia mau mea a pau no ke olakino maikaʻi o ʻoe a me ke pēpē.

He aha ka mea e hana ʻia i kēia maʻi diabetes gestational ma hope o ka hānau ʻana o ka pēpē? E mau anei ia ma ia ʻano?

He pilikia kēia i loaʻa i nā makuahine he nui. ʻO ka nūhou maikaʻi , i ka hapa nui o nā hihia, nalowale ka maʻi diabetes gestational ma hope o ka hānau ʻana o ka pēpē! ʻO kēia no ka mea ʻo ke kumu nui o kēia, ʻo ia nā loli hormonal e kū mai ana i loko o ke kino i ka wā hāpai. Ke hānau ʻia ka pēpē, hoʻi kēlā mau pae hormone i ka maʻamau, no laila e hoʻi hou kāu mau pae kō koko i ka maʻamau. E nānā hou kāu kauka i kāu mau pae kō ma kahi o 6 a 12 mau pule ma hope o ka hānau ʻana o ka pēpē.

Akā, aia kekahi mau mea e hoʻomanaʻo ai:

• Hiki ke hana hou: Inā ua loaʻa iā ʻoe ka maʻi diabetes gestational i hoʻokahi manawa, aia ma mua o 50% ka manawa e loaʻa hou ai iā ʻoe ke ʻano i kāu hāpai ʻana aʻe. No laila, ʻoi aku ka maikaʻi o ke kūkākūkā ʻana i kēia me kāu kauka ma mua o kou hāpai hou ʻana a hana i nā hoʻomākaukau e pono ai.
• Ka pilikia o ka loaʻa ʻana o ka `(Type 2 Diabetes Mellitus)` i ka wā e hiki mai ana: ʻO nā makuahine i loaʻa i ka maʻi diabetes gestational he kiʻekiʻe loa ko lākou pilikia o ka loaʻa ʻana o kahi maʻi diabetes mau loa i kapa ʻia ʻo `(Type 2 Diabetes Mellitus)` ma hope o ke ola ma mua o nā poʻe ʻē aʻe. He mea kēia e pono ai mākou e hopohopo nui. Wahi a kekahi mau noiʻi, hiki i kēia pilikia ma waena o 50% a me 70%.
• Ka mālama ʻana i ke kaumaha olakino: No laila, ʻo ka mea maikaʻi loa hiki iā ʻoe ke hana e hōʻemi i kēia pilikia i ka wā e hiki mai ana, ʻo ia ka mālama ʻana i ke kaumaha o kou kino ma kahi pae olakino ma hope o ka hānau ʻana o kahi pēpē. ʻO ka ʻai ʻana i ka meaʻai kaulike a me ka hoʻoikaika kino mau e kōkua nui i kēia.
• E hoʻomau i ka launa pū me kāu kauka: Ma hope o ka hānau ʻana o kahi pēpē, e hele i nā hoʻokolohua hahai e like me ka ʻōlelo a kāu kauka. He manaʻo maikaʻi e nānā ʻia kou pae kō koko ma ka liʻiliʻi i hoʻokahi manawa i ka makahiki. Hiki i kēia ke kōkua iā ʻoe e ʻike inā he pilikia ʻoe no ka Type 2 Diabetes Mellitus a inā he prediabetes kāu.

ʻOiai kēlā, ʻaʻole ia he manaʻo maikaʻi e poina loa i ka loaʻa ʻana o kahi pēpē. Pono nō hoʻi ʻoe e noʻonoʻo e pili ana i kou olakino lōʻihi. He ʻōlelo aʻo kēia iā ʻoe.

No laila, he aha nā mea nui loa e pono ai kākou e hoʻomanaʻo i kēia mau mea a pau?

ʻAe, aia kekahi mau mea a mākou i kamaʻilio ai e pono e noʻonoʻo pono ai. E nānā kākou iā lākou pākahi:

1. ʻAʻole ia he mea e makaʻu ai i ka maʻi diabetes gestational, akā he mea e makaʻala ai: He kūlana kēia e kū wale ana i ka wā hāpai. Hiki ke kū mai inā ʻaʻole ʻoe i loaʻa i ka maʻi diabetes ma mua.

2. E hoʻāʻo ʻia i ka manawa kūpono: E hōʻoia e hana ʻia ka "hoʻāʻo glucose screening" ma waena o 24-28 mau pule. ʻO ka wikiwiki o ka ʻike ʻia ʻana, ʻo ka maʻalahi o ka kaohi ʻana.

3. Hiki ke hoʻopilikia ʻia ka pēpē: Inā piʻi ke kō koko o ka makuahine, hiki ke hānau mua ʻia ka pēpē, piʻi ke kaumaha, a haʻahaʻa ke kō koko ma hope o ka hānau ʻana. Aia pū kekahi pilikia o ka pēpē i ka loaʻa ʻana o ka "Māʻi diabetes Type 2" a me ka momona i ka wā e hiki mai ana.

4. Aia nā lāʻau lapaʻau a hiki ke kāohi ʻia: Hiki ke kāohi maikaʻi ʻia kēia kūlana me ka ʻai olakino, ka hoʻoikaika kino, nā inikini insulin inā pono, a me ka hoʻāʻo ʻana i ke kō koko maʻamau. E hahai pono i nā ʻōlelo a kāu kauka.

5. Nalo pinepine ia ma hope o ka hānau ʻana: Eia nō naʻe, hiki ke hoʻi hou mai inā hāpai hou ʻoe. Hoʻonui pū ia i ka pilikia o ka makuahine i ka loaʻa ʻana o ka `(Type 2 Diabetes Mellitus)` i ka wā e hiki mai ana.

6. E mālama pono i kou olakino: E mālama i ke kaumaha olakino ma hope o ka hānau ʻana o kahi pēpē. E ʻai i ka ʻai kaulike, e hoʻoikaika kino. E launa pū me kāu kauka, a e hana i nā nānā kino maʻamau.

E hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi i kēia huakaʻi. Aia kāu kauka, limahana olakino ʻohana, meaʻai meaʻai, a me nā ʻohana e kōkua iā ʻoe. ʻO ka mea nui loa, ʻo ia ka makaʻala i kēia, mai makaʻu, a e hana i nā hana e pono ai. A laila hiki iā ʻoe a me kāu pēpē ke olakino a hauʻoli.

ʻO ka maʻi diabetes hāpai, ka maʻi diabetes hāpai, ka maʻi diabetes i ka wā hāpai, ke olakino o ka pēpē, nā pae kō koko, ka insulin, nā hoʻāʻo hāpai, ka maʻi diabetes mellitus ʻano 2