Zunthlum vei i ni em? Naute i beisei a nih chuan i rilruah zawhna tam tak i nei ngei ang. "Ka zunthlum hian ka naute a nghawng dawn em?", "Hetih hun chhung hian eng nge ka tih ang?", "Engkim dik takin ka ti thei ang em?" Mahse, lungngai suh. I enkawl tha chuan zunthlum vei pawh nise khawvelah naute hrisel, hmeltha tak i rawn hruai lut thei ngei ang. Hemi chungchang hi chiang tak leh awlsam takin sawi ila.
Pakhatnaah chuan i hrethiam ang u: Hei hi gestational diabetes a ni lo!
Hei hi mi tam tak buaina hmun a ni. Mi thenkhat chuan naupai lai chauhvin zunthlum an vei thin. Gestational diabetes kan ti a. He natna hi naute pian hnuah a reh tlangpui.
Mahse chu chu he thuziak-ah hian kan sawi tum a ni lo. Diabetes i neih tawh a nih chuan i naupai enkawl dan tur kan sawi dawn a, Type 1 emaw Type 2 emaw pawh nise, hei hi doctor-te chuan "Pregestational Diabetes" an ti bawk. Engtiang pawhin zunthlum natna neia nun hmang thiam mah la, naupai hi harsatna thar tak a ni.
Engvangin nge zunthlum vei naupai hi ‘high-risk’ a nih?
Ni e, Type 1 emaw Type 2 diabetes vei mi pakhatin nau a pai chuan ‘high-risk’ tiin kan classified thin. Hei hi i hlauhthawn nan ni lovin, nang leh i naute hian enkawlna bik i mamawh tih hriat nawn tir che a ni. Thisen sugar level sang emaw hniam emaw hi nangmah emaw i naute tan emaw a tha lo a nih avangin i medical team te chuan uluk takin an enkawl ang che.
Hemi chhung hian i general obstetrician leh gynecologist bakah specialist dangte tanpuina i mamawh mai thei.
- Maternal-Fetal Medicine Specialist (MFM): Hetiang special case chi hrang hranga hriatna bik nei doctor a ni.
- Endocrinologist: Doctor, hormone leh zunthlum lam thiam tak a ni.
- Registered Dietitian: Naupai leh zunthlum vei tan chaw ei tur siam turin a pui ang che.
- Diabetes Educator: Mi bik training nei, i zawhnate chhang thei tur leh zunthlum enkawl dan tur thurawn pe thei tur che.
Hêng mite hi ṭanpui tûrin an awm tih hre reng ang che. Chuvangin zawhna emaw, ngaihtuahna emaw i neih apiang chu sawipui hreh suh.
Naute i neih hmain engtin nge i inbuatsaih ang?
Zunthlum i neih chuan nau i pai hma thla 6 tal nau neih dan tur ngaihtuah tan la.Doctor nen inbiakna neih a tha ber. I naupai chhung zawng hian i thisen sugar level i control reng a ngai dawn avangin chutiang tur chuan a hmain inbuatsaih a pawimawh.
Doctor-te chuan naupai hmain i A1C chu 6.5% emaw a aia hniam emaw-ah dah turin an rawt fo thin. Hei hi a chhan chu naute taksa peng lian ber ber, thluak leh thinlung te hi naupai kar tir lamah an lo piang chhuak thin a ni. Hemi hun chhung hian i thisen sugar level a thunun loh chuan i naute thanlenna a nghawng thei a ni.
Medical team nena inhmuh hmasak a hlawkna chu:
- I sugar level chu hrisel level-a hruai kir leh turin an pui ang che.
- Nutritionist nen inbiain naupai atana tha tur ei leh in hrisel tak i siam thei bawk.
- Naupai laiin i zunthlum damdawi i tihdanglam a ngai mai thei. Hemi chungchang hi i hre lawk thei ang.
- Technology thar, Continuous Glucose Monitor (CGM) emaw Insulin Pump emaw hman a rawt mai thei. Hei hi a hmaa kan hman thiam hun tha tak a ni.
- Naupai hmain i mit, kal leh thinlung hriselna i enfiah thei a, a chhan chu zunthlum avanga harsatna thenkhat (``Retinopathy'' leh ``Nephropathy'' ang chi) te hi naupai laiin a pung emaw, a lo awm thei emaw a ni.
Naupai lai hian engtin nge zunthlum enkawl dan hi a danglam?
Naupai lai hian i zunthlum enkawlnaah hian inthlak danglamna lian tham engemaw zat a awm a.
1. Thisen sugar level kha control la: Harsatna awm lo tur chuan i sugar level hi a tlangpui aia fimkhur zawk a ngai a ni.
2. Insulin mamawh thlak danglam: Insulin i mamawh zat hi taksaa hormone inthlak danglamna nen a inthlak fo thin.
3. Ei leh in mamawh inthlauhna: Naute thanlenna atana mamawh ei leh in tur dawng chungin sugar level control hi thil harsa tak a ni.
Naupai laiin i thisen sugar level vawng reng tura tum
Hengte hi doctor-te’n an rawt tlangpui target level te chu an ni. Mahse, hengte hi i dinhmun azirin a danglam deuh thei. Chuvangin , doctor thupek zawm a pawimawh.
| Checking hun a ni | Target sugar level (mg/dL) chu a ni. |
|---|---|
| Chaw nghei (chawhmeh ei hma) . | 95 mg/dL aia tlem lo |
| Chaw ei ber atanga darkar khat hnuah | 140 mg/dL aia tlem lo |
| Chaw ei ber atanga darkar hnih hnuah | 120 mg/dL aia tlem lo |
Chûng thiltumte thlen tûr chuan a hnuaia mite hi i tih a ngai ang:
- I ei leh inah carbohydrates awm zat hi fimkhur rawh.
- Ei hma minute 10-15 chhungin insulin inject hmasa phawt ang che.
- I thisen sugar level control-na atana pui turin exercise la (hemi chungchang hi i doctor nen sawiho rawh).
Naupai laiin insulin mamawh dan a danglam
Hei hi mi tam tak tan chuan harsatna lian ber a ni. Naupai lai hian i taksa hormone te chu nasa takin a inthlak danglam thin. Chuvang chuan insulin i mamawh zat pawh a inthlak reng bawk.
- First trimester (first 3 months): Mi thenkhat chuan he hun chhung hian insulin mamawhna a tlahniam deuh a, mahse hei hi mi zawng zawng tan chuan a awm lo.
- Kar 16 hnuah: Hemi hun chhung hian nausen atanga hormone chhuak hian taksain insulin a do theihna a tipung a. Hei hi zunthlum nei lote chungah pawh a thleng thin. Chuvang chuan insulin i mamawh zat chu a pung zauh zauh a.
- Kar 36-37-ah: Tunah chuan naupai hmaa insulin i mamawh aia a let hnih emaw, a let thum emaw i mamawh mai thei.
- Nau neih hnuah: Mak tak maiin naute a pian hnuah leh nausen (placenta) a pian hnuah i insulin mamawh chu nasa takin a tlahniam a. Naupai hmaa i mamawh ang zat emaw, a aia tlem emaw pawh i mamawh thei. Hei hi i doctor nen sawiho hmasak a pawimawh a, ruahmanna siam hmasak phawt a pawimawh.
Naupai lai hian eng test dang nge ka beisei ang?
Zunthlum i vei avangin nu naupai pangngai aiin medical test leh scan tam zawk i neih a ngai dawn a ni. Hengte hi i naute a lo thanglian zel theih nan leh i hrisel theih nan tih a ni.
| Fiahna | Engvangin nge an tih? |
|---|---|
| Nausen Echocardiogram hmanga enfiah a ni | Zunthlum hian naute pianpui thinlung natna a vei theihna a tipung avangin naute thinlung insiam dan enfiah thin ang che. |
| Growth Scan te hi a ni | Naute than dan hi kar engemaw zat danah enfiah thin a ni. Zunthlum vei nu atanga naute piang chu a tlangpui aia lian zawk (Fetal Macrosomia) a hlauhawm hle. |
| Non-stress Test (NST) hmanga tih a ni. | Naupai hun tawp lamah kar khatah vawi khat vel tih thin a ni. Naute lungphu leh che vel an enfiah thin. |
| Biophysical Profile (BPP) a ni a, a chhuahna tur hmun leh a hmanna tur a ni. | Hei pawh hi scan a ni. Naute thawh dan te, taksa ruh (muscle tone) te, che vel dan te, nausen pum chhunga amniotic fluid awm zat te a teh a ni. |
Thil hlauhawm leh harsatna awm thei te chu engte nge ni?
Heng hlauhawmnate hi a tlem theih nan i thisen sugar level control reng a pawimawh. Heng thilte hi hriat chian a pawimawh a, mahse heng zawng zawng hi i chungah a thleng ang tih hlau suh.
Naute tana hlauhawm thei tur
- Nau piangsual: Nau piangsualna, a bik takin thinlung lama harsatna nei te hi a sang deuh hlek a ni.
- Naute pangngai aia lian (Fetal Macrosomia): Naute rih zawng hi kg 4 aia tam a ni thei. Hei hian nau neih laiin nu leh naute tan harsatna a thlen thei a ni.
- Preterm Birth: Harsatna a awm chuan naute chu a pian hun hmaa nau neih a ngai mai thei.
- Pian hnu: Naute pian hnuah thisen sugar hniam, thawk harsa, leh jaundice ang chi dinhmun a awm thei. Chutiang hunah chuan naute chu neonatal intensive care unit (NICU)-ah dah a ngai mai thei.
Nangmah (nu) tan risk awm thei .
- Preeclampsia: Naupai laiin thisen sang leh zun a protein a sang. Zunthlum hi hei hi a hlauhawmna lian tak a ni.
- Cesarean section (C-section) neih a ngai: Nausen a lian em avangin nau neih pangngai chu a harsa thei hle.
- Thisen sugar level hniam (Hypoglycemia): 1.1.I thisen sugar level control tum hian a chang chuan i thisen sugar level a tlahniam lutuk thei.
- Diabetic Ketoacidosis (DKA): He natna hi naupai laiin a awm tam zawk a, hei hi insulin resistance a san vang a ni. Zing natna hi a chhan pawh a ni thei.
- Zunthlum kaihhnawih harsatna dang: Zunthlum hian naupai lai hian taksa peng hrang hrang, mit leh kal (kidney)-ah nghawng a nei nasa thei hle.
Engtin nge he harsatna hi i hmachhawn? Engtikah nge Doctor i hmuh ang?
Naupai laia zunthlum vei nun hi rilru leh taksa lamah a hahthlak thei a, mahse heng step te hi dik taka i zawm chuan he zinkawng hi hlawhtling takin i paltlang thei a ni.
- Doctor-in a tih angin i thisen sugar level enfiah fo ang che.
- I thisen sugar level chu target range chhungah dah turin theihtawp chhuah rawh.
- Insulin leh damdawi dangte chu doctor-in a tih ang chiah chiah hmang rawh.
- Clinic leh test engmah skip suh.
- Ei leh in hrisel, inthlau tak ei rawh.
- Zu in leh zu in hi bansan vek rawh.
- I rilru hriselna pawh ngaihtuah teh. Stress i neih chuan i thian emaw doctor emaw nen inbia ang che.
Heng symptoms te hi i neih chuan doctor ko nghal tur a ni.
| Symptom a ni | Hrilhfiahna |
|---|---|
| I sugar level i control theih loh chuan | Engtiang pawhin bei mah la, i sugar level chu target aia sang emaw, a hnuai emaw a ni fo. |
| Naute che vel a hniam chuan | I naute chu a hma aia che tlem zawka i hriat chuan. |
| Vaginal discharge emaw thisen chhuah emaw | Tui chhuak emaw thisen chhuak emaw a awm chuan. |
| Thil dang pawh a awm | I mit a fiah lo a nih chuan i tuihal lutuk a, a nih loh leh i luak chhuak chhunzawm zel a nih chuan. |
Eng thil pawh ngaihtuahawm i neih chuan i doctor biak pawh hlau ngai suh, tih hre reng ang che. I himna leh i naute himna atan a pawimawh hle.
Take-Home Thuchah a ni
- Zunthlum vei pawh nise, ruahmanna fel tak leh enkawl dan mumal tak nen chuan naute hrisel tak i hring thei a ni.
- Nau neih i ngaihtuah hmain thla engemaw zat hmain i doctor nen inbia la, i thisen sugar level chu control la.
- Naupai hi ‘team sport’ ang mai a ni. Nang leh i chhungte leh i medical team te hian he zinkawng hi in zawh dun a ngai a ni.
- I naupai chhung zawng hian i insulin mamawh chu a danglam fo ang a, chuvangin i doctor-in a tih angin a tul apiang siamthat rawh.
- Thil ngaihtuah leh zawhna i neih chuan i medical team te nen zalen takin inbiakna nei rawh. I tanpui turin an awm reng a ni.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh