He makuahine hāpai paha ʻoe? A laila ua lohe paha ʻoe i ka inoa ' gestational diabetes '. Malia paha ua haʻi aku kāu kauka iā ʻoe e pili ana i ia mea. He mea maʻamau loa ka makaʻu iki a me ka hopohopo ke lohe ʻoe i kēia inoa. Pono e noʻonoʻo ʻia nā nīnau e like me "E loaʻa pū anei iaʻu ka maʻi diabetes ?", "E hiki mai ana kekahi mea i ka pēpē?". Akā, mai makaʻu. Inā ʻike mākou i kēia kūlana, hiki iā mākou ke kāohi maikaʻi loa a lawe mai i kahi pēpē olakino a nani i kēia ao. No laila i kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o ka maʻi diabetes gestational a me ke kumu e ulu ai.
ʻO ka hāpai ʻana a pehea e piʻi ai ke kō koko
ʻO ka mea mua, e nānā kākou pehea e hana ai ke kaʻina hana maʻamau o ka kaohi ʻana i ke kō i loko o ko kākou kino. He mea maʻalahi loa ia. Ke ʻai kākou i ka meaʻai, ʻoiai nā meaʻai i loaʻa nā kalapona ( starch ) e like me ka laiki, ka berena, a me ka ʻuala, hoʻoheheʻe ko kākou kino iā ia a hoʻolilo iā ia i kō maʻalahi i kapa ʻia ʻo glucose. Hoʻohui ʻia kēia glucose i ko kākou koko. Loaʻa i kēlā me kēia cell i loko o ke kino kona ikehu mai kēia glucose.
Akā, no ka hoʻokomo ʻana i ka glucose i loko o ke koko i loko o nā pūnaewele, pono ʻoe i kahi 'kī'. ʻO kēlā kī ka insulin . He hormone ka insulin i hana ʻia e kā mākou pancreas. Lawe ka insulin i ka glucose i loko o ke koko a hāʻawi iā ia i nā pūnaewele, e kaohi ana i nā pae kō koko.
I kēia manawa, e nānā kākou i nā mea e hana ʻia i ka wā hāpai. Ke hāpai ʻoe, loaʻa i ka pēpē nā meaʻai a me ka oxygen e pono ai mai kahi ʻōkana i kapa ʻia ʻo ka placenta . Ua like kēia me ka 'laina lako' o ka pēpē. Hoʻopuka ka placenta i kekahi mau ʻano hormones e kōkua i ka pēpē e ulu. He mea maikaʻi loa kēia. Eia naʻe, ke hoʻopilikia nei kekahi o kēia mau hormones i ka hana o ka insulin i loko o kou kino. Me he mea lā ua ālai iki ʻia ka 'kī' a mākou i ʻōlelo ai (insulin) mai ka hana ʻana. Ua kapa mākou i kēia ʻano ma ke ʻano lapaʻau he kūʻē i ka insulin .
Ma muli o kēia kū'ē'ē o ka insulin, pono kāu pancreas e hana ikaika ma mua o ka maʻamau e mālama i kou pae kō koko maʻamau, e hana ana i ʻekolu manawa ʻoi aku ka nui o ka insulin ma mua o ka maʻamau. Hiki i ka hapa nui o nā kino o nā wahine hāpai ke hoʻoponopono i kēia pilikia. Akā i kekahi manawa, ʻaʻole hiki i ka pancreas ke hana i ka insulin lawa. ʻO ia ka manawa e piʻi ai kou pae kō koko, e hana ana i kahi maʻi i kapa ʻia ʻo ka maʻi diabetes gestational.
I ka ʻōlelo maʻalahi, ʻaʻole ka maʻi diabetes gestational he maʻi i hoʻokumu ʻia e kou hewa ponoʻī. He kūlana manawa pōkole ia e kū mai ana i ka wā ʻaʻole hiki i ke kino ke hoʻololi pono i nā loli hormonal e kū mai ana i ka wā hāpai.
ʻO wai ka mea i ʻoi aku ka pilikia no kēia maʻi?
ʻOiai hiki i kekahi ke loaʻa i ka maʻi diabetes gestational, ʻoi aku ka maʻalahi o kekahi poʻe i ia mea. E nānā kākou i kēia mau mea pilikia . Mai hopohopo ke ʻike ʻoe i kēia mau mea, ʻaʻole nā mea a pau i loaʻa iā lākou e loaʻa i ka maʻi diabetes. He mea nui e makaʻala i kēia mau mea i hiki iā ʻoe ke hoʻāʻo mua a hana koke inā pono.
| Kumu Hoʻopilikia | He wehewehe maʻalahi |
|---|---|
| Kaumaha ma mua o ka hāpai ʻana | Hoʻonui maoli ke kū'ē ʻana o ka insulin i ka piʻi ʻana o ke kaumaha o ke kino, no laila hiki ke lilo i mea ʻoi aku ka koʻikoʻi i ka wā hāpai. |
| Piʻi wikiwiki ke kaumaha i ka wā hāpai | ʻO ka loaʻa ʻana o ke kaumaha wikiwiki ma mua o ka mea i ʻōlelo ʻia hiki ke hoʻopilikia i ka hana o ka insulin. |
| Moʻolelo ʻohana o ka maʻi diabetes | Inā he ʻohana pili loa ʻoe, e like me kou makuahine, makuakāne, a mau kaikaina paha, he maʻi diabetes Type 2, aia paha iā ʻoe kahi predisposition genetic. |
| Prediabetes | He kūlana kēia kahi i ʻole kiʻekiʻe loa ai ke kō e kapa ʻia he maʻi diabetes, akā ua ʻoi aku ka kiʻekiʻe ma mua o ka maʻamau. ʻOi aku ka nui o ka pilikia o ke kanaka me kēia maʻi i ka loaʻa ʻana o ka maʻi diabetes i ka wā hāpai. |
| Loaʻa ka maʻi diabetes i ka hāpai mua ʻana | Inā ua loaʻa iā ʻoe kēia maʻi i ka wā hāpai mua, ʻoi aku ka nui o ka loaʻa hou ʻana iā ʻoe i kāu hāpai ʻana aʻe. |
| Ma luna o 25 mau makahiki | I kou wā ʻelemakule, piʻi iki ka pilikia o kēia maʻi. |
| ʻO ka hānau ʻana o kahi pēpē i ʻoi aku ke kaumaha ma mua o 9 paona (4 kilokani) | Hōʻike kēia ua kiʻekiʻe paha kou pae kō koko i kahi pae i ʻike ʻole ʻia i nā wā hāpai mua. |
| Loaʻa iā PCOS | ʻO nā wāhine me ke ʻano i kapa ʻia ʻo Polycystic Ovary Syndrome (PCOS) hiki ke loaʻa ke kū'ē ʻana o ka insulin mai ka hoʻomaka ʻana. |
ʻĀ, he aha kā kākou e hana ai i kēia manawa?
Inā ʻoe e hopohopo nei e pili ana i kēia mau mea pilikia, e waiho iā lākou ma ka ʻaoʻao. ʻO ka mea nui loa, ʻo ia ke kamaʻilio ākea e pili ana i kēia me kāu kauka.
ʻO ka maʻamau, hiki mai ka maʻi diabetes gestational i ka hoʻomaka ʻana o ke kolu o ka trimester o ka hāpai ʻana. ʻO ia hoʻi, ma waena o nā pule 24-28. Hana ʻia kēlā me kēia makuahine hāpai ma Sri Lanka i kahi hoʻāʻo kō i loko o kēia wā. ʻO ka mea i hana ʻia, hāʻawi ʻia ʻoe i kahi mea inu kō a laila nānā ʻia kou pae kō koko i hoʻokahi hola ma hope. Ua kapa ʻia kēia ʻo OGTT (Oral Glucose Tolerance Test) .
Eia nō naʻe, inā loaʻa iā ʻoe kekahi a ʻoi aku paha o nā kumu pilikia i ʻōlelo ʻia ma luna nei, hiki i kāu kauka ke ʻōlelo i kēia hoʻokolohua i ka trimester mua o ka hāpai ʻana.
He aha ka mea e hana ʻia e like me nā hopena?
Inā hōʻike nā hopena o kāu hoʻāʻo ʻana he maʻi diabetes gestational kou, ʻaʻohe kumu e hopohopo ai. ʻO ka mea nui loa, ʻo ia ka hahai pono ʻana i nā ʻōlelo aʻoaʻo i hāʻawi ʻia e kāu kauka a me ka meaʻai meaʻai.
E ho'āʻo mua i kēia mau mea ma ke ʻano he lāʻau lapaʻau:
- ʻAi: E hāʻawi ʻia ʻoe i kahi ʻai kūpono, haʻahaʻa ke kō, a kaulike. Hiki ke noi ʻia ʻoe e ʻai i 5-6 mau ʻai liʻiliʻi i ka lā, ma mua o 3 mau ʻai nui.
- Hoʻoikaika Kino: Hiki i nā hoʻoikaika kino maʻalahi o kēlā me kēia lā, e like me ka hele wāwae, ke kōkua i ka hoʻomaikaʻi ʻana i ka hana insulin. Eia nō naʻe, pono ʻoe e kūkākūkā me kāu kauka ma mua o ka hoʻomaka ʻana i kekahi papa hana hoʻoikaika kino.
I ka hapanui o nā hihia, hiki iā ʻoe ke kāohi maikaʻi i kou pae kō koko me kēia ʻai a me ka hoʻoikaika kino. Inā ʻaʻole hiki iā ʻoe ke kāohi iā ia ma ia ʻano, e hoʻomaka kāu kauka iā ʻoe ma nā inikini insulin a i ʻole nā huapalaoa. ʻO kēia wale nō a hiki i ka hānau ʻana o ka pēpē.
E hoʻomanaʻo, inā ʻoe e kāohi pono i kou pae kō koko, hiki iā ʻoe ke hōʻemi nui i ka pilikia o ka ulu nui ʻana o kāu pēpē, ka loaʻa ʻana o ka maʻi diabetes, a me ka loaʻa ʻana o nā pilikia olakino ʻē aʻe. Me kou hoʻolaʻa ʻana, hiki iā ʻoe a me kāu pēpē ke noho olakino.
Leka Lawe-Home
- He maʻi manawa pōkole ka maʻi diabetes gestational e loaʻa wale ana i ka wā hāpai. Nalo pinepine ia ma hope o ka hānau ʻana o ke pēpē.
- ʻAʻole kēia kou hewa, akā no ka mea, ʻo nā loli hormonal i ka wā hāpai e pale aku ai i ka hana pono ʻana o ka insulin.
- Hiki ke hoʻomalu maikaʻi ʻia kēia kūlana ma ka hahai pono ʻana i nā ʻōlelo a kāu kauka (ʻai, hoʻoikaika kino, a me ka lāʻau lapaʻau inā pono).
- Mai hōʻole i kāu mau hoʻāʻo kō koko maʻamau. He mea nui loa ia no ka palekana o ʻoe a me kāu pēpē.
- Me ka hoʻokele maikaʻi, loaʻa iā ʻoe nā manawa kūpono e hānau ai i kahi pēpē olakino me ka ʻole o nā pilikia. No laila, mai hopohopo.
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