A tam zawkah chuan nu kan nih lai hian he khawvelah hian nausen hrisel tak rawn hruai luh kan beisei vek a ni. Mahse, a châng chuan beisei loh hrisêlna lama harsatna a lo chhuak thei a ni. Vawiin hian zunthlum chi khat bik, nu thenkhatin naupai lai chauha an neih thin chungchang kan sawi dawn a ni. Hei hi gestational diabetes kan tih chu a ni .
Gestational Diabetes hi eng nge ni? A awlsam khawp mai!
A awlsam zawngin `(Gestational Diabetes)` tih awmzia chu i thisen sugar level, chu chu `(blood sugar level),` chu naupai laiin a pangngai aia sang a ni tihna a ni. Tunah chuan, `Aw, a hmain zunthlum ka nei lo a, chuti a nih chuan engtin nge hetiang hi a lo awm?' Dik tak chuan hei hi naupai laiin zunthlum vei ngai lote zingah a thleng fo thin. Chuvangin ``gestational diabetes'' an ti a ni.He natna hi taksain hormone `(Insulin)` a hman dik theih loh vang a ni a, chubakah naupai laia kan taksaa hormone inthlak danglamna te pawh a awm bawk.
I doctor emaw midwife emaw chuan naupai kar 24 leh kar 28 inkarah he thil hi a test tlangpui ang che . Hei hi ``glucose screening test'' an ti a. Hei hian tui thlum tak i in a, darkar khat vel hnuah i thisen sugar level an enfiah tihna a ni. A châng chuan hei hi darkar hnih emaw, darkar thum emaw chhunga test a ni thei bawk. Hei hi he natna hi i neih leh neih loh hriat chian theihna awmchhun a ni fo thin. Chuvangin, he ``screening test'' hi skip hi a tha zawk em? A chhan chu kan hriat hmasak chuan hei hian nasa takin a nghawng chu kan tihtlem thei a ni.
Engvangin nge gestational diabetes hi kan ngaih pawimawh em em ang? Naute chungah eng nghawng nge a neih theih?
Tunah chuan, ‘Awle, ka thisen sugar hi a sang deuh a, mahse naute chungah eng nge thleng dawn?’ tiin i ngaihtuah mai thei. Dik tak chuan nu thisen sugar level a san chuan placenta a pel a, nausen piang lai thisen sugar level a tisang a ni. Hei vang hian a bik takin he thil hi kan fimkhur a ngai a ni. A hlauhawmna chu eng nge ni tih hi han en ila:
- Nau piang hma: A chang chuan, naute hi a hun hma, kar 37 hmaa piang theih a ni. Chutiang a nih chuan naute lung a lo thang kim lo a, chu chuan hriselna lama harsatna, thawk harsa ang chi a thlen thei a, thawk tanpui a ngai thei bawk. Nausen piang hmaa piangte pawh hian harsatna dang an tawk thei bawk.
- Naute chu a thau chho thei (Macrosomia): Nu thisen sugar a san avangin naute pawhin sugar a hmu tam zawk. Chumi hnuah naute chuan chaknaah a chantir a, thau tam lutuk angin a dah khawm thin. Hei hian naute chu a nih tur aia lianin a ti lian thei a, chu chu kilo 4 aia rit a ni thei tihna a ni. Hei hian naute chu a pangngaia nau neih a harsat phah thei a ni. Nausen chu nau neih laiin hliam a tuar thei a, a nu chuan lungawi lohna a tawk thei bawk. ``C-section'' neih theihna chance a sang zawk bawk a, chu chu naute nau neih theihna tura surgery tih tihna a ni.
- Neonatal Hypoglycemia: Nu thisen sugar level control nan naute pancreas hian a pum chhunga a awm laiin insulin a siam tam zawk thin. Chuvangin, naute a lo pian veleh nu sugar supply a reh chuan insulin level sang vangin naute thisen sugar level chu a tlahniam nghal thei a ni. Hei hi naute tan pawh dinhmun tha a ni lo, a chhan chu thluak hnathawh nan sugar hi a pawimawh hle a ni. Chutiang a nih chuan naute chu sugar pek belh a ngai dawn a ni.
- Damdawi ina rei zawk awm a ngai thei: Hetiang thil avang hian naute thenkhat chu enkawlna leh enkawlna dang an mamawh thei a, chu chuan damdawi ina rei zawk awm a ngai thei bawk.
- Naupan laia zunthlum vei theihna: Thil pawimawh dang chu nausen naupai laia zunthlum vei tawhte hnen atanga lo piang te chu an lo puitlin hunah Type 2 Diabetes Mellitus an vei theihna a sang deuh a ni. An thau lutuk bawk.
Chuvangin, i hrethiam a ni lawm ni? Hei hi nu tan chauh buaina a ni lo va, naute hun rei lote leh hun rei tak chhunga a hriselna tichhe thei thil a ni.
Okay, tunah chuan gestational diabetes ka nei tih ka hriat chuan engtin nge ni ang? Hei hi hlauh tur thil a ni em?
A hmasa berin, hlauthawng suh! I doctor-in gestational diabetes i nei tih a hrilh che chuan enkawl dan tur a awm. I doctor chuan i tana tha tur treatment plan a siam tan ang. A tam zawkah chuan a hnuaia mite hi i tih a ngai ang:
1. Ei leh in hrisel
Hei hi a pawimawh ber a ni . I ei leh inah i fimkhur a ngai a ni.
- Sugar, flour leh oil tamna ei tur i ei tam thei ang ber i tihtlem a ngai a ni. In tur thlum, cake, biscuit ang chi thil lakah i inthiarfihlim a ngai a ni.
- Thei, thlai leh fiber tamna ei tur i ei tam a ngai a ni. I eitur ah hian whole grains, brown rice, buckwheat, leh oats, leafy greens, thlai chi hrang hrang, leh thei chi hrang hrang (thei sugar tlem zawk thlang rawh) te dah tel bawk ang che.
- A hun takah, a tlem berah ei rawh. Chaw lian tak tak vawi khata ei vek ai chuan nilengin chaw tenau engemaw zat ei a tha zawk.
Hemi chungchangah hian i doctor emaw nutritionist emaw dietitian emaw chuan thurawn tha tak a pe thei che a ni. I ei leh in i control tha chuan i thisen sugar level chu nasa takin i control thei a ni.
2. Nitin exercise neih thin
Thil pawimawh dang chu nitin exercise tlem tal tih hi a ni.
- Ni khatah minute 30 tal kea kal ang chi exercise light tak tak i ti thei bawk .
- Damdawi lam thurawn angin yoga ang chi thil pawh i ti thei bawk.
Mahse i doctor hnenah eng exercise nge i tan a tha tih leh eng chen nge i tih tur tih zawt la a tha ber. Exercise hian taksain insulin a sensitivity a tipung a, hei hian thisen sugar control turin a pui a ni.
3. `(Insulin)` injection a ni mai thei
Nu thenkhat chuan ei leh in leh exercise chauh hmangin an thisen sugar level an control tha thei lo mai thei. Chutiang hunah chuan doctor chuan nitin `(Insulin)` injection (`shots`) ei turin a hrilh ang che. Hei hi taksain pawn lam atanga a mamawh `(Insulin)` a pek theih nan a ni. Heng `(Insulin)` injection te hian naute a tichhe lovang, chuvangin lungngai suh. Doctor chuan `(Insulin)` inject dan dik tak a zirtir ang che.
4. Thisen sugar level enfiah fo thin ang che
I doctor chuan device te tak te (`glucometer`) a pe ang che a, chu chu in lama i thisen sugar level enfiah nan i hmang thei ang. Ni khatah vawi tam tak (zing chaw ei hma leh chaw ei kham ang chi) i thisen sugar level i check leh record a ngai ang. Hei hian i doctor-in i enkawlna a thawk tha em tih te, i thisen sugar chu a thunun em tih te, leh i ei leh in lama inthlak danglamna i neih a ngai em tih te a hriat theih nan a pui ang.
Naute lo thlen hma chu tlem tal i thawhrim a ngai mai thei a, mahse, heng zawng zawng hi nang leh naute hriselna atan i ti tih hre reng ang che.
Naute pian hnuah he gestational diabetes hi eng nge thleng? Chutiang chuan a awm reng dawn em ni?
Hei hi nu tam takin harsatna an neih chu a ni. Thu lawmawm tak chu a tam zawkah chuan gestational diabetes hi naute pian hnuah a bo vek thin! Hei hi a chhan ber chu naupai laia taksaa hormone inthlak danglamna a nih vang a ni. Naute a pian veleh chu hormone level chu a normal leh ta a, chuvangin i thisen sugar level pawh a normal leh ta a ni. Naute pian atanga kar 6 atanga kar 12 vel hnuah i doctor chuan i sugar level a enfiah leh ang.
Mahse, hriat reng tur tlemte a awm:
- A thleng leh thei: Vawi khat gestational diabetes i vei tawh a nih chuan i naupai leh hunah he natna hi i neih leh theihna chance 50% aia tam a awm. Chuvang chuan naupai leh hmaa doctor nen sawiho a, a tul anga inbuatsaihna siam a tha ber.
- Nakin lawkah `(Type 2 Diabetes Mellitus)` vei theihna: Nu naupai laia zunthlum vei tawhte chuan an dam rei zawkah zunthlum natna nghet tak `(Type 2 Diabetes Mellitus)` an neih theihna chance a sang zawk tih a chiang hle . Hei hi kan ngaih pawimawh em em tur a ni. Zirna thenkhatah chuan he risk hi 50% leh 70% inkar a ni thei.
- I taksa rihna hrisel tak vawn reng: Chuvangin he nakin lawka hlauhawmna tihziaawmna atana i tih theih tha ber chu naute i neih hnuah i taksa rihna hrisel taka vawn reng hi a ni. Ei leh in inthlau tak ei leh exercise neih fo hian hei hi a pui nasa hle ang.
- I doctor nen inbiak reng rawh: Naute i neih hnuah i doctor-in a rawt angin follow-up test neihpui rawh. Kum khatah vawi khat tal i thisen sugar level enfiah thin a tha. Hei hian Type 2 Diabetes Mellitus vei theihna i neih leh neih loh emaw, prediabetes i neih leh neih loh emaw a hriat theih nan a pui thei che a ni.
Chutiang a nih lai chuan naute neih hi theihnghilh vek chu thil tha a ni lo. Hun rei tak chhunga i hriselna tur pawh i ngaihtuah a ngai bawk. Hei hi i tan vaukhânna ang a ni.
Chuti a nih chuan, heng zawng zawngah hian eng thil nge kan hriat reng tur pawimawh ber?
Okay, kan sawi tawh tlemte hi i rilruah a awm tak tak tur a ni. Pakhat hnu pakhatin han thlir ila:
1. Gestational diabetes hi hlauh tur a ni lo va, fimkhur tur a ni: Hei hi naupai lai chauha awm thin a ni. Zunthlum i la nei lo a nih pawhin a thleng thei.
2. A hun taka test: Kar 24-28 inkarah ``glucose screening test`` tih ngei ngei tur a ni. A hriat hma poh leh control a awlsam zawk.
3. Naute a nghawng thei: Nu thisen sugar a san chuan naute chu a hun hmaa piang a ni thei a, a rihna a sang thei a, a pian hnuah thisen thlum a tlahniam thei bawk. Naute hian nakin lawkah ``Type 2 Diabetes`` leh thau lutuk a vei theihna a hlauhawm bawk.
4. Enkawlna a awm a, thunun theih a ni: He natna hi ei leh in hrisel, exercise, a tul chuan insulin injection, leh thisen thlum test mumal tak hmanga control tha theih a ni. I doctor thupek ang chiah kha zawm rawh.
5. Nau neih hnuah a bo fo thin: Amaherawhchu, i rai leh chuan a lo let leh thei. Tin, nakin lawkah nuin `(Type 2 Diabetes Mellitus)` a vei theihna a tipung bawk.
6. I hriselna enkawl zel ang che: Naute i neih hnuah taksa rihna hrisel tak vawng reng ang che. Ei leh in inthlau tak ei la, exercise la. I doctor nen inbiak reng la, checkup pawh nei reng ang che.
He zinkawngah hian nangmah chauh i ni lo tih hre reng ang che. I doctor, chhungkaw hriselna lama thawktu, nutritionist leh chhungte chu tanpui turin an awm vek a ni. A pawimawh ber chu hei hi hriat chian a, hlau lo tur leh a tul anga hmalak hi a ni. Tichuan nang leh i naute pahnih hi hrisel leh hlim takin in awm thei ang.
` Naupai laia zunthlum vei, Naupai laia zunthlum vei, Naupai laia zunthlum vei, Naute hriselna, Thisen sugar level, Insulin, Naupai test, Type 2 Diabetes Mellitus











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