Naupai lai pawhin zunthlum i vei em? (Gestational Diabetes) Ngaihtuah buai suh, he thu hi han sawi ila!

Aw, tunah chuan keimah pawh hetiang thil hi a thleng tawh tih i hlau tawh ngei ang, a dik em? Nu tam tak chuan naupai laiin hetiang hian zunthlum an vei thin. A pangngai a ni. Chuvangin lungngai suh. He natna `(Gestational Diabetes)` tih hi i zir belh ang u.

Gestational diabetes hi eng nge ni?

A awlsam zawngin sawi ila, Gestational Diabetes (a then chuan GD emaw GDM emaw an ti) hi zunthlum chi khat, naupai lai chauha awm thin a ni. Hemi hun chhung hian i thisen sugar level (hyperglycemia an ti bawk) chu a sang deuh hlek a ni. Hei hi i nausen atanga hormone lo chhuakte hian i taksain insulin an tih hormone a hman theihna emaw, a siam chhuah theihna emaw a tibuai vang a ni. Insulin hian i thisen sugar level a tidanglam thei a ni. Thisen thlum sang hian naupai laiin harsatna a thlen thei a ni. Naupai lai vel, kar 24 leh kar 28 inkar velah a awm tlangpui. I doctor emaw midwife emaw chuan thisen test a ti ang a, hei hi a enfiah ang.

Hriat reng tur pawimawh tak chu hei hian i naupai hma khan zunthlum i nei tihna a ni lo. Hei hi naupai laia lo awm thin a ni. Mite chuan zunthlum vei tawh, Type 1 Diabetes emaw Type 2 Diabetes emaw pawh nise, an naupai hian harsatna danglam tak an tawk thin.

Mahse, chanchin lawmawm a awm! Doctor ten he `(Gestational Diabetes)` hi an hrethiam tha hle. Tin, i nunphungah inthlak danglamna tenau te i siam a, i ei leh in i thunun a, he natna hi i thunun tha thei bawk. Mi tam zawk chuan harsatna lian tham nei lovin naute hrisel tak an nei a.

Gestational diabetes ka neih chuan eng nge thleng ang?

Gestational diabetes i vei tih hmuhchhuah a nih chuan i obstetrician (i beisei lai a hmutu doctor) chuan gestational diabetes lama tui tak nutritionist hnenah a refer ang che. Eng ei tur nge i thisen sugar level tisang tih leh i ei leh in leh snack-ah engzat nge i telh tur tih leh engzat nge i telh tur tih an hrilhfiah ang che.

In lama i thisen sugar level endik dan tur leh chaw ei zawha ei tur zat zirtir i ni bawk ang. A tawp berah chuan i doctor emaw dietitian emaw chuan i gestational diabetes enkawl dan tur a sawiho ang. Zunthlum vei te hian nausen than dan enfiah turin clinic-ah an kal fo a ngai a, i taksa rihna a san dan an enfiah a ngai a, i thisen sugar control dan tur pawh an sawiho a ngai bawk.

Sri Lanka leh khawvelah hian gestational diabetes hi engzat nge a hluar?

United States-ah chuan he dinhmun hi a sang chho zel a ni. CDC (Centers for Disease Control and Prevention) chhinchhiah danin, naupai zinga 8% leh 10% inkar velin a nghawng a ni.

Khawvel pum huap average chu 14% leh 17% inkar a ni. He zat hi kum, hnam/chi, nau neih hmaa enkawlna dawn theihna, leh hmun hrang hrang avang hian a tam zawk thei a ni.

Engvangin nge gestational diabetes hi a lo awm?

Hei hi a chhan ber chu hormone inthlak danglamna leh i taksain ei tur chu chakna a chantir dan a ni. Hetiang hian han ngaihtuah teh, hormone ``Insulin`` hian kan ei tur a sugar (``glucose``) chu kan cell chhungah a lut thei a ni. He ``Insulin`` hi kan thisen sugar level hrisel taka awmtirtu a ni. Mahse, he ``Insulin`` hian hna a thawk tha lo a nih chuan, a nih loh chuan thisenah sugar a pung a, zunthlum a lo awm ta a ni.

Naupai lai hian nausen atanga hormone lo chhuak hian insulin hnathawh dan a tibuai thei a ni. Hei hian thisen sugar level a control tha lo thei hle. Hei hi Gestational Diabetes a lo awm hun a ni.

Tute nge gestational diabetes vei theihna chance sang zawk?

Dik tak chuan tu pawhin naupai lai hian hetiang hi an nei thei a ni. Mahse, thil engemaw zat a awm a, chu chuan a hlauhawmna a tipung a ni. Chungte chu:

• Lung natna i neih chuan.
• Thisen sang i neih chuan.
• Naupai hma atanga i thau lutuk emaw, i thau lutuk emaw a nih chuan.
• Naupai hmaa gestational diabetes i neih tawh chuan.
• Chhungkaw zinga mi pakhatin `(Type 2 Diabetes)` a neih chuan.
• `(Polycystic Ovary Syndrome (PCOS))` i neih chuan .
• Kum 25 chunglamte chu an hlauhawm zawk a, a bik takin South leh East Asian, Hispanic, Native American, emaw Pacific Islander hnam chhuakte chu an hlauhawm zawk a ni.
• Prediabetes (zunthlum i vei hmaa thisen sugar level pangngai aia sang tlem) i neih chuan.

Gestational diabetes natna lanchhuahna chu engte nge ni?

A tam zawkah chuan Gestational Diabetes hian chhinchhiahna langsar tak a nei lo. A ti a nih pawhin a fiah lo hle. I doctor-in a enfiah hma che pawhin i hre lo mai thei. Mahse, symptoms a awm tak tak a nih chuan:

• Zun tam a tulna.
• A tuihal nasa hle.
• Chau tih hriatna.
• Nauseous tih hriatna.

Naupai lai zunthlum control loh avanga harsatna awm thei te chu engte nge ni?

I thisen sugar level hrisel taka i dah theih loh chuan nang leh i naute pahnih hian harsatna i nei thei a ni. Hei hi a pawimawh em em a, chuvangin ngun takin ngaithla rawh.

Gestational Diabetes hian i risk a tipung thei a ni:

• C-section neih a ngai mai thei (naute a lian lutuk chuan).
• Preeclampsia (naupai laiin thisen sang) a lo awm thei.

Tin, ``Gestational Diabetes'' vei tawhte chu an naupan laiin ``Type 2 Diabetes'' an vei duh deuh bawk.

Gestational diabetes hian engtin nge ka naute hi a nghawng?

Gestational Diabetes i vei chuan i naute chu:

• Nau piang rihna sang (`(Fetal macrosomia)`) - Hei hian naute chu a lian hle mai thei tihna a ni.
• Pian tirh lamah thawk harsatna a awm thei.
• Hypoglycemia (thisen sugar hniam). Hei hian nau piang tharte chu seizures ang chi condition a thlen thei a ni.
• Obesity hi a hnuah a awm thei.
• A hun hmaa piang theih a ni.
• Type 2 Diabetes hi a hnuah a lo awm thei a ni.

Heng thilte hi hlauhawm takin a ri thei. Mahse, heng hlauhawm zawng zawng hi uluk taka enkawl a nih loh chuan a lo thleng chauh tih hre reng ang che . Uluk taka enkawl an nih chuan heng hlauhawmnate hi nasa takin a tihziaawm thei a ni.

Engtikah nge doctor hian gestational diabetes a test thin?

I doctor emaw midwife emaw chuan naupai kar 24 leh kar 28 inkarah gestational diabetes a awm leh awm loh a test tlangpui ang che. Doctor tam zawk chuan hei hi result dik ber hun lai niin an ngai. Mahse, risk factors i neih chuan test hmasa zawk i ni thei.

Engtin nge gestational diabetes hi hmuhchhuah a nih?

Doctor chuan thisen test hmangin i thisen sugar level a enfiah ang. Vawi tam tak chu test hmasa ber chu ``gestational diabetes`` vei theihna sang zawkte zawn chhuahna atana ``screening test`` a ni. ``I pass`` loh chuan doctor chuan thisen test vawi hnihna, a thuk zawka lang turin a ti ang che.

• `(Glucose Challenge Test)` : Hei hi `(Glucose Screening Test)` an ti bawk a, darkar khat chhunga `(Glucose Tolerance Test)` an ti bawk. Hetah hian tui thlum tak in tur pek i ni. Tichuan darkar khat vel `waiting room`-ah i awm a ngai a ni. Darkar khat hnuah nurse pakhatin i kut atanga thisen sample a la a. I thisen sugar level a san chuan doctor chuan `(Glucose Tolerance Test)` tihsak turin a ti ang che.
• `(Glucose Tolerance Test)` : Hei hi darkar hnih emaw darkar thum emaw `(Glucose Test)` an ti bawk. Hei hi a hmaa `challenge test` result a dik lo a nih chauhvin tih theih a ni. He test hma hian darkar 8 vel (`fasting`) engmah ei loh tur a ni. Doctor chuan tui thlum i in hnu darkar tin, darkar hnih emaw, a chang chuan darkar thum emaw chhungin thisen sample a la ang. He `tolerance test` hi `(Gestational Diabetes)` i vei leh neih loh finfiahtu tur a ni.

Gestational diabetes hi engtin nge kan enkawl ang?

Gestational diabetes i neih chuan i naupai lai hian checkup neih fo a ngai dawn a ni. I doctor chuan a bik takin:

• Naute than dan enfiah. Hei hian naute chu a lian lutuk lo tih chian nan ultrasound scan tlemte extra tih a ngai tlangpui.
• I thisen sugar level enfiah. Hei hian i thisen sugar level a san leh a tlahniam fo thin te, chu level chu a awm reng dan te enfiah a ngai fo thin.

In lama i thisen sugar level enfiah tur chuan ``Glucose Meter`` (sugar tehna hmanrua) i mamawh ang. Meter, lancets leh test strip te a mamawh a ni. I thisen sugar i check hian i kut zungtang chu needle te tak te hmangin i chil a, chutah chuan thisen tla chu test strip-ah i dah a. Tichuan, test strip chu meter chhunga i dah chuan second tlemte chhungin number a rawn lang ta a ni. Chu chu i thisen sugar level a ni. I dietitian emaw diabetes educator emaw chuan he device hman dan tur a entir ang che. Ni hmasa lamah chuan a harsa deuhin i hria mai thei a, mahse ni engemaw zat hnuah chuan i thiam tawh ang. Harsatna i neih chuan i doctor zawh hlau suh.

I ei leh in leh i thisen sugar level chu lehkhaah emaw, app-ah emaw, doctor-in a tih angin emaw i record tur a ni. Tichuan, i doctor chuan i chhiar dan chu a hun takah (kar tin emaw, kar hnih danah emaw pawh a ni thei) a enfiah ang. A châng chuan, i doctor chuan i thisen sugar level tihtlem nân i ei leh in (entir nân, carbohydrates tihtlem) a tihdanglam a ngai mai thei. A tam zawkah chuan i thisen sugar level enfiah leh zunthlum tana tha ei hi gestational diabetes enkawlna atan a tul ber a ni.

Mi thenkhat chuan an gestational diabetes control nan insulin ang damdawi an mamawh thin. Hei hi a tlangpuiin ni khatah vawi khat emaw, vawi tam tak emaw, pum, kekawrte emaw, hnute emaw-ah insulin inject a ni. Insulin inject vawi engzat nge i mamawh tih hi thil tam takah a innghat a ni. I doctor chuan insulin inject dan tur te, engtikah nge inject tur tih te, engzat nge inject tur tih te a hrilh ang che. Zunthlum control nan insulin i hman a ngai a nih chuan i doctor-in a hrilh ang chiaha hman a pawimawh hle.

Thisen sugar level hi eng ang nge ni tur?

A tlangpuiin zingkar (engmah i ei hmain) leh chaw ei apiangin darkar khat vel i thisen sugar level i enfiah hmasa tur a ni. Entirnan, zing dar 6:15 a.m.-a i tho a, i thisen sugar i check chuan. Chumi hnuah zing dar 7-ah chawhmeh i ei a nih chuan zing dar 8 vel khan i thisen sugar i enfiah leh tur a ni a, heng value te hi nang leh i doctor-in in sawiho angin i ziak chhuak tur a ni.

American College of Obstetricians and Gynecologists-in thisen glucose level a rawt tlangpui chu a hnuaia mi hi a ni:

• Chaw ei hma: 95 `mg/dL` aia tlem (`mg/dL` tih hian deciliter khatah milligram tihna a ni).
• Chaw ei hnu darkar khat: 140 mg/dL aia tlem lo.
• Chaw ei hnu darkar hnih: 120 mg/dL aia tlem lo.

Mahse, mi zawng zawng hi kan danglam vek tih hre reng ang che. Hengte hi kaihhruaina tlangpui chauh a ni. I doctor chuan i thisen sugar level engzat nge a nih tur tih a hrilh ang che.

Gestational diabetes i neih lai hian eng thil nge i ei loh tur?

Gestational diabetes enkawlna kawngah i thisen sugar level hlauhawm taka tisang lo ei tur tha tak tak ei hian i pui thei a ni. Heng thilte hi han ti ve teh:

• Processed foods leh sugary drinks te chu a theih ang anga tihtlem tur a ni.
• Chaw ei apiangin protein, carbohydrates, fiber leh thau awmna ei tur inthlau tak thlang rawh.
• Vawi khatah ei tam suh, tlem tlem leh ei fo thin ang che.
• Nitin chaw ei hun ruala ei tum ang che.

Gestational diabetes vei thenkhat chuan an ei leh in lama inthlak danglamna tenau te siamin an thisen sugar level chu an control thei a ni. Mahse mi ṭhenkhat chuan inthlâk danglamna lian zâwk an siam a ngai a ni. A pawimawh ber chu ei tur thenkhat hian mi thenkhat tan chuan an thisen sugar level-ah nghawng lian tak a nei lo mai thei a, nangmah tan erawh chuan nghawng a nei lo mai thei. Mi tin hi kan danglam vek a, mi tin taksa pawh a inang lo tih hre reng ang che.

Tui in hian gestational diabetes-ah thisen sugar a tihniam em?

Naupai lai, a bik takin gestational diabetes i neih chuan i taksa hian tui (hydration) tam tak a mamawh a. Mahse, tui in ringawt hian thisen sugar chu direct-in a tihniam tih zirchianna a awm lo.

Mahse, hydrated reng hian i taksain thisen sugar level a control thei a ni. I thisen a ti thim a, i kal (kidney) tan i thisen atanga sugar tam lutuk paih chhuah a awlsam phah a ni. Tui hian i taksain insulin a hmang tangkai zawk bawk a, hei hian thisen sugar level control nan a pui bawk.

Gestational diabetes i neih laiin engtin nge him taka exercise i tih theih ang?

Exercise i tih hian i taksain glucose a hmang tam zawk a, chu chuan i thisen sugar level a tihniam thei a ni. Gestational diabetes i neih chuan i doctor nen inbia la, i tana tha tur exercise plan him tak siam rawh. He exercise plan hi i naupai hmaa i hriselna tlangpui leh i fitness level-ah a innghat tur a ni.

Naupai lai hian gestational diabetes hi a dam kim thei em?

Gestational diabetes hi vawi khat a lo awm tawh chuan a let leh thei lo. I naute i neih hnuah (a tlangpuiin kar 6 leh kar 12 inkar) i doctor chuan zunthlum i la nei em tih a enfiah ang che.

Gestational diabetes chungchangah hian engtiang chiahin nge ka ngaihtuah tur?

Naupai laia zunthlum natna hi a awm fo thin. Tin, doctor-te chuan a enkawl dan leh enkawl dan tha ber an hre bawk. Gestational diabetes i nei a nih pawhin naupai hrisel tak leh naute hrisel tak i nei thei a ni. A pawimawh ber chu i enkawl dan tur hriatthiam a, i thisen sugar level hrisel taka awm theih nan i doctor nen thawhhona tha tak neih hi a ni.

Gestational Diabetes control loh chuan harsatna awm thei te hriatthiam. I naute hi hrisel taka a pian theihna chance tha tak a awm a, mahse he natna hi control turin hma i lak a ngai a ni. I thisen sugar level a sang reng a nih chuan doctor hmuh chu tihkhawtlai suh.I thisen thlum a la sang tih hrilh la, chuvangin i ei leh in emaw, i damdawi emaw thlak danglamin a pui thei che a ni. Gestational diabetes hi enkawl theih a ni a, mahse i naupai leh i naute hriselnaah mawhphurhna i la la a ngai a ni.

Naupai hnuah gestational diabetes hi a dam leh dawn em?

I naute i neih hnuah i hormone level a pangngaia a lo kir leh chuan i thisen sugar level a tlahniam tur a ni. I naute i neih hnuah (a tlangpuiin kar 6 leh kar 12 inkar) i doctor chuan gestational diabetes a awm leh awm loh a enfiah leh ang che, a bo tawh em tih a enfiah ang.

Mahse, naupai laia zunthlum vei tawh zinga 50% vel chuan a hnuah type 2 diabetes an nei ang. Hetiang hlauhawmna hi ei leh in hrisel ei leh exercise neih fo hian i tihziaawm thei a ni. I doctor chuan kum engemaw zat danah thisen glucose test neih tir che a duh mai thei a, a bik takin zunthlum vei theihna tur dang i neih chuan.

Gestational diabetes neih hian naupai hlauhawmna a siam em?

Ni e, gestational diabetes neih hian i naupai chu high-risk a siam thei a ni. Doctor chuan naupai chu hlauhawm takah a ngai a, chu chu nangmah emaw i naute emaw (a nih loh leh an pahnih emaw) tan naupai harsatna thlen theihna tipung thei hriselna lama harsatna i neih chuan a ni.

Gestational diabetes ka neih chuan ka naute hi a hrisel ang em?

Awle. Nausen tam zawk hi hrisel taka piang an ni. I naute nun bul tanna tha ber pe tur leh naupai laiin i gestational diabetes control turin thil i tih theih a awm. I tih theih ṭha ber pahnih chu i clinic zawng zawngah kal a, naupai laiin i zunthlum hi i theih ang anga control hi a ni.

Gestational diabetes hi ven theih a ni em?

A khap tlat theih loh. Mahse i risk tihtlem nan hma i la thei. Eating a balanced, nutritious diet leh exercise regular , naupai hma leh naupai lai pawhin, gestational diabetes vei theihna tur i tihziaawmna kawng tha ber a ni.

Gestational diabetes natna vei awlsam zawk nan eng nge ka tih theih ang?

Diabetes enkawl hi i nitin thil tihnaah telh la. Schedule siam la, chu chu zawm tlat rawh. Heng thilte hi han ti ve teh:

• Nitin i thisen glucose level chu a rualin enfiah thin ang che.
• Kar khatah ni thum chhung minute 30 chhung light exercise tih tur thlang rawh.
• Chaw tê tê, inthlau tak chu ruahman lawk rawh.
• Nitin zunthlum enkawl dan tur thurawn tam zawk dawng turin i doctor emaw, zunthlum zirtirtu emaw nen inbia ang che.

Gestational diabetes ka neih chuan engtikah nge ka doctor ka hmuh ang?

I dinhmun enkawl danah eng ang pawhin fimkhur mah la, doctor pan a ngai hun a awm thei. ``(Gestational Diabetes)`` i vei a, a hnuaia mi hi i neih chuan doctor i pan ngei tur a ni:

• I thisen sugar level control harsa i tih chuan. Chu chu, i thisen sugar level chu i doctor-in a pek che aiin a sang reng a nih chuan. Tichuan, i diabetes management plan chu a thlak duh mai thei.
• I thisen sugar a hniam reng chuan. Thisen thlum hniam hi thil tha a ni lo. I doctor chuan i thisen sugar chu hrisel taka dah theih dan tur tips a pe thei che a ni.
• I management plan zawm harsa ti thei natna i neih chuan. Entirnan, food poisoning i neih emaw, chhan dang avanga i luak emaw a nih chuan. Ei theih loh hian i thisen sugar level a nghawng thei a ni.

Hrisel taka ei pawhin gestational diabetes i nei thei ang em?

Awle. Naupai hma emaw, naupai lai emaw pawhin ei leh in hrisel tak i ei a nih pawhin gestational diabetes i nei thei tho. Diabetes vei theihna tur thil dang tam tak a awm bawk. Hormone leh gene ang chi thilte hian hmun pawimawh tak an chang a, chu chu i thunun theih loh thil a ni.

Mahse, gestational diabetes i neih chuan i naupai chhung zawnga he natna hi i enkawl dan tur tha ber chu ei leh in hrisel leh tha tak ei hi a ni.

I doctor chuan i glucose test a hlawhchham thu leh gestational diabetes i nei tih a hrilh chauh che a ni. Thil maktaduai khat zet i ngaihtuah a ni mai thei. ‘Hei hi ka thil tih a ni em? Ka naupai chhung zawng hian ka hmuiah ka kut zungtang ka thun a ngai dawn em ni? Ka naute hi a hrisel dawn em ni?’ a ti a. Heng zawhna (leh a dang tam tak) neih hi thil pangngai tak a ni. Vanneihthlak takin doctor-te hian gestational diabetes hi an hre chiang hle a, enkawl dan tur an hre chiang hle.

Mi tam zawk chuan an ei leh in lama inthlak danglamna tenau te siamin an gestational diabetes an control thei a ni. Hemi kawngah hian dietitian emaw diabetes educator emaw chuan a pui thei che a ni. Mahse, mi thenkhat chuan an thisen sugar control nan insulin an mamawh a ni. A tam zawkah chuan gestational diabetes control tha tak hian i naupaiah nghawng lian tham a nei dawn lo. Mahse, i naupai leh i naute hriselna atana i dinhmun enkawlna kawngah hian active takin i thawh a ngai a ni.

Take-Home Thuchah hnuhnung ber

Okay, chuvangin kan sawi tawh atang hian `(Gestational Diabetes)` chungchangah hian ngaihdan tha tak i neih ka beisei. Ngaihtuah buai a ngai lo. Hei hi nu tam tak chunga thil thleng a ni. A pawimawh ber chu:

• Doctor thusawi chu ngun takin ngaithla la, a dik takin zawm rawh. I thisen sugar level enfiah fo la, i ei leh in control la, a tul chuan i damdawi ei tur dik tak ei thin ang che.
• Ei leh in hrisel ei rawh. Nutritionist thurawn zawm rawh. Chaw thlum leh hriak nei te chu a theih ang anga tihtlem tur a ni.
• A theih ang anga exercise la.I doctor thurawn la la, i duh ang exercise thlang rawh.
• I clinic ni te chu lo thlir ve suh. Test zawng zawngah kal fo rawh.
• Zawhna emaw, lungkhamna emaw i neih chuan i doctor emaw, i chhungte emaw nen inbia ang che. Nangmah chauhin lungngai suh.

Heng thilte hi i tih dik chuan nang pawhin naute hrisel, duhawm tak i nei ang. Rinhlelhna nei suh. Kan lawmpui e!

` Gestational Diabetes, Gestational Diabetes, Naupai laiin Sugar, Nu naupai, Zunthlum control, Naute hriselna, Thisen thlum