Nu ni tur i ni em? Tichuan ' gestational diabetes ' tih hming hi i hre tawh ngei ang. I doctor chuan a hrilh che pawh a ni mai thei. He hming i hriat hian tlem a hlauhthawn leh hlauhthawn hi thil pangngai tak a ni. Zawhna "Kei pawhin zunthlum ka vei dawn em ni ?", "Naute chungah thil a thleng dawn em?" rilruah a lo lang tur a ni. Mahse, hlau suh. Hetiang dinhmun hi kan hriat chian chuan kan thunun thei hle a, naute hrisel, duhawm tak khawvelah hian kan hruai lut thei a ni. Chuvangin vawiin hian gestational diabetes hi eng nge a nih a , engvangin nge a lo awm tih hi han sawi ila.
Naupai lai leh thisen sugar a san dan
A hmasain kan taksaa sugar control dan pangngaiin engtin nge hna a thawh tih hi han en ila. A awlsam khawp mai. Chaw ei kan ei hian, a bik takin buhfai, chhang, leh alu ang chi carbohydrates ( starch ) awmna ei tur kan ei hian kan taksa chuan a ei zo a, sugar awlsam takah a chantir a, chu chu glucose an ti a ni. He glucose hi kan thisenah a tel ve a ni. Taksa chhunga cell tin hian he glucose atang hian an chakna an hmu thin.
Mahse thisena glucose awm chu cell chhunga luh tir tur chuan ‘key’ i mamawh a ni. Chu key chu insulin a ni . Insulin hi kan pancreas atanga hormone siam a ni. Insulin hian thisena glucose awm chu a la a, cell-ah a thlen a, thisen sugar level a control a ni.
Tunah chuan naupai laia thil thlengte han thlir ila. I naupai hian naute chuan a mamawh ei leh in leh oxygen zawng zawng chu taksa peng pakhat, placenta tih a\angin a hmu vek a ni. Hei hi naute ‘supply line’ ang a ni. Placenta hian naute thanlenna tur hormone chi hrang hrang a siam chhuak a. Hei hi thil tha tak a ni. Mahse, heng hormone thenkhat hian i taksaa insulin hnathawh a tibuai a ni. Kan sawi ‘key’ (insulin) kha tlem chuan hnathawh tur a tihbuai ang mai a ni. He dinhmun hi damdawi lam chuan insulin resistance kan ti a .
Hetiang insulin resistance avang hian i pancreas hian i thisen sugar level a normal theih nan a hma aia nasa zawkin hna a thawk a ngai a, a tlangpui aia a let thum velin insulin a siam chhuak tam zawk a ni. Hmeichhe naupai tam zawk taksa hian he harsatna hi a tuar thei a ni. Mahse a chang chuan, pancreas hian insulin a siam tling thei lo. Chutah chuan i thisen sugar level a sang a, gestational diabetes an tih natna a thlen thin.
A awlsam zawngin sawi ila, gestational diabetes hi nangmah tihsual avanga lo awm a ni lo. Naupai laia hormone inthlak danglamna thleng thin taksain a insiamrem tha thei lo a, hun eng emaw chen atana lo awm thin a ni.
Hetiang dinhmun hi tute nge hlauhawm zawk?
Tu pawhin gestational diabetes vei thei mahse, mi thenkhat chuan an vei duh zawk. Heng risk factors te hi eng nge ni tih hi han thlir ila. Hengte hi i hmuh hian hlauthawng suh, a nei zawng zawng hian zunthlum an vei vek dawn lo. Hengte hi hriat chian a pawimawh a, chutiang chuan test hmasa i nei thei a, a tul chuan hma i la nghal vat thei bawk.
| Risk Factor a ni | A sawifiahna awlsam tak |
|---|---|
| Naupai hmaa thau lutuk | Insulin resistance hi taksa rihna a san chuan a pianphungah a pung a, chuvangin naupai laiin a na zual thei hle. |
| Naupai laiin taksa rihna a pung chak hle | A rawt aia rang zawka taksa rihna tihpun hian insulin action a nghawng thei bawk. |
| Chhungkaw history-a zunthlum vei tawh | I chhungte hnai tak, i nu, i pa emaw, i unaute emaw chuan Type 2 Diabetes a vei a nih chuan, i genetic predisposition pawh i nei thei bawk. |
| Prediabetes a awm thei | Hei hi zunthlum tia sawi theih khawpa sugar level sang lo mahse a pangngai aia tlem a sang zawkna dinhmun a ni. Hetiang natna vei hi naupai laiin zunthlum vei theihna a sang zawk. |
| Naupai hmasa lama zunthlum vei | Naupai hmasa khan hetiang dinhmun hi i nei a nih chuan i naupai leh hunah i neih leh theihna a sang zawk. |
| Kum 25 chunglam a ni | Kum i upat deuh deuh chuan he natna hi a lo pung deuh deuh thin. |
| Naute pound 9 (kilogram 4) aia rit neih hma | Hei hian naupai hmasak lai khan i thisen sugar level chu hriat theih loh khawpin a sang tawh mai thei tih a tilang. |
| PCOS nei te | Hmeichhia Polycystic Ovary Syndrome (PCOS) tih natna nei te hian a tir atang khan insulin resistance an nei thei a. |
Awle, tunah engtin nge kan tih ang?
Heng risk factors te hi i ngaihtuah a nih chuan dah bo rawh. A pawimawh ber chu hemi chungchang hi doctor nen inhawng taka sawi dun hi a ni.
Gestational diabetes hi naupai kum thumna tir lamah a awm tlangpui. Chu chu kar 24-28 inkar a ni. Sri Lanka rama nu naupai zawng zawng hian he hun chhung hian sugar test an nei vek a ni. Tih tur chu, sugary drink an pe che a, darkar khat hnuah i thisen sugar level an check leh thin. Hei hi OGTT (Oral Glucose Tolerance Test) an ti a.
Mahse, a chunga kan sawi tak risk factor pakhat emaw a aia tam emaw i neih chuan i doctor chuan naupai thla thum khatnaah he test hi a rawt thei ang.
Results a zirin eng nge thleng?
I test result-ah gestational diabetes i vei tih a lan chuan hlauhna tur a awm lo. A pawimawh ber chu i doctor leh nutritionist-in a pek dan dik tak zawm hi a ni.
Enkawlna atan a hnuaia mi hi enchhin hmasa phawt ang che:
- Diet: Diet tha, sugar tlem, balanced diet pek i ni ang. Ni khatah chaw tenau 5-6 ei turin an ti mai thei che a, main meal 3 ei ai chuan.
- Exercise: Nitin exercise awlsam tak tak, kea kal ang chi te hian insulin hnathawh a tichak thei a ni. Mahse, exercise regimen eng pawh i tan hmain doctor rawn hmasa phawt tur a ni.
A tam zawkah chuan he ei leh in leh exercise hmang hian i thisen sugar level chu i control tha thei hle. Chutianga i thunun theih loh chauh chuan i doctor chuan insulin injection emaw, pill emaw hmangin a tan tir ang che. Hei hi naute a pian hma chauh a ni.
I thisen sugar level i control tha chuan i naute lian lutuk te, zunthlum vei te, leh hriselna lama harsatna dang a neih theihna te chu nasa takin i tihziaawm thei tih hre reng ang che. I inpekna hmang hian nang leh i naute pawh hi hrisel takin i awm thei ang.
Take-Home Thuchah a ni
- Gestational diabetes hi naupai lai chauha awm thin, hun eng emaw chen atana lo awm thin a ni. Naute pian hnuah a bo fo thin.
- Hei hi i sualna a ni lo va, naupai laia hormone inthlak danglamna hian insulin hna a thawk tha thei lo vang a ni.
- He dinhmun hi i doctor thupek (ei leh in, exercise, leh a tul chuan damdawi) dik taka zawm chuan a control tha hle thei a ni.
- I thisen sugar test pangngai kha skip suh. Nang leh i naute himna atan a pawimawh hle.
- Management tha tak nen chuan harsatna awm lovin naute hrisel tak hrisel theihna chance i nei vek a ni. Chuvangin lungngai suh.
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