Kodi muli ndi pakati? Ndiye muyenera kudziwa za mayeso a shuga awa (Oral Glucose Tolerance Test)!

Mukayembekezera kukhala mayi, muyenera kusamalira bwino thanzi lanu ndi la mwana wanu, sichoncho? Chifukwa chake, vuto lomwe amayi ena angakumane nalo panthawi ya mimba limatchedwa matenda a shuga otchedwa gestational diabetes . Izi zikutanthauza kuti shuga m'magazi amakwera pang'ono. Kuti mudziwe izi, madokotala amakupemphani kuti muyese shuga. Lero, tikambirana za mayesowa mwachidule.

Kodi mayeso a shuga amenewa amachitidwa bwanji panthawi ya mimba? N’chifukwa chiyani ndi ofunikira?

Mwachidule, mayesowa amafufuza ngati shuga m'magazi mwanu ndi wokwera kuposa momwe mumakhalira panthawi ya mimba. Pafupifupi 10% ya amayi apakati amakhala ndi matenda a shuga a mimba . Ngati sakuthandizidwa bwino, angayambitse mavuto aakulu kwa inu ndi mwana wanu. Ichi ndichifukwa chake mayesowa ndi ofunikira kwambiri.

Tsopano, onani, pali mitundu iwiri ya mayeso omwe dokotala wanu angakufunseni kuti muchite:

1. Kuyesa kwa Shuga - Iyi ndi mayeso oyamba, oyambira.

2. Kuyesa Kulekerera Shuga - Ngati zotsatira za mayeso oyamba sizili bwino, awa ndi mayeso otsatira oti achitike.

Kusiyana kwakukulu ndi kwakuti koyamba kumafufuza ngati muli pachiwopsezo chotenga matenda a shuga a mimba. Sikunena kuti "inde, muli nawo" mwachindunji. Ngati zotsatira zake sizili bwino, dokotala adzakutumizirani ku mayeso achiwiri. Mayeso achiwiri amenewo ndi omwe amapangitsa kuti mupeze matenda enieni. Mu mayeso onse awiri, mumapatsidwa madzi otsekemera kuti mumwe kenako magazi ochepa amatengedwa kuchokera m'mitsempha yomwe ili m'dzanja lanu.

Gawo Loyamba: Kuyesa Kuyesa Shuga

Iyi ndi mayeso oyamba owunikira . Amafufuza ngati muli pachiwopsezo chachikulu chotenga matenda a shuga a mimba. Izi zimachitika nthawi zonse panthawi yosamalira mimba yanu. Musachite mantha ngati zotsatira zake sizili bwino. Sizikutanthauza kuti muli ndi matenda a shuga a mimba. Zimangotanthauza kuti dokotala akunena kuti, "Chabwino, tiyeni tiwone mozama," ndipo akukutumizirani ku mayeso ena otsimikizira (Glucose Tolerance Test). Mayeso oyamba awa amatchedwanso:

• Kuwunika shuga m'magazi
• Kuyezetsa matenda a shuga a mimba
• Mayeso a shuga okwana ola limodzi

Komabe, chofunika kwambiri ndichakuti iyi ndi mayeso oyambira chabe . Ngati zotsatira zake zili bwino, palibe mayeso ena omwe adzafunike.

Gawo lachiwiri komanso lofunika kwambiri: mayeso ololera shuga m'magazi.

Iyi ndi njira yodziwira matenda yomwe imatsimikizira ngati muli ndi matenda a shuga a mimba kapena ayi . Imatenga pafupifupi maola atatu. Komanso, ndi yeniyeniMagazi amatengedwa kangapo nthawi imodzi. Izi n'zovuta pang'ono, chifukwa muyenera kusala kudya kwa maola angapo musanayese. Izi nthawi zina zimatchedwa "kuyeza shuga kwa maola atatu."

Kodi mayeso a glucose challenge awa amachitidwa liti panthawi ya mimba?

Kuyezetsa matenda a shuga a mimba nthawi zambiri kumachitika pakati pa milungu 24 ndi 28 ya mimba . Komabe, dokotala wanu angakulangizeni kuti muyesedwe msanga ngati muli ndi zifukwa zotsatirazi:

• Ngati munali ndi matenda a shuga panthawi yomwe munali ndi pakati kale.
• Ngati mwapeza kuti muli shuga mu mkodzo wanu ku chipatala cha mimba.
• Ngati wina m'banjamo (monga mayi, bambo, abale ndi alongo) ali ndi matenda a shuga.
• Ngati ndinu wonenepa kwambiri .
• Ngati muli ndi kuthamanga kwa magazi .
• Ngati muli ndi zaka zoposa 35.
• Ngati muli ndi vuto monga `(PCOS - Polycystic Ovary Syndrome)` kapena vuto lina lachipatala lomwe limawonjezera chiopsezo chanu chotenga matenda a shuga.

Kodi ndiyenera kukonzekera bwanji mayeso a shuga ola limodzi?

Ndipotu, palibe chifukwa chokonzekera mayeso a shuga panthawiyi. Madokotala ambiri amalimbikitsa kupewa zakudya zokhala ndi shuga wambiri (monga ma pancake, ma donuts, kapena zakumwa zotsekemera) pa chakudya cham'mawa. Ngati mukuyezetsa masana, kumbukirani kuti kudya shuga wambiri nthawi ya nkhomaliro kungakhudze zotsatira zake.

Kodi ndingathe kudya ndisanayesedwe shuga?

Inde, mutha kudya bwino ndikupita kukayezetsa shuga m'magazi. Palibe chifukwa chosala kudya.

Kodi mungayembekezere chiyani pa tsiku la mayeso owunikira?

Pa tsiku loyesa, tsatirani malangizo omwe dokotala wanu kapena labotale akupatsani ndendende. Dziwani bwino komwe mungapite komanso ngati mukufuna nthawi yokumana ndi dokotala.

Kodi kuyezetsa shuga m'magazi kumachitika bwanji panthawi ya mimba?

Izi ndi zomwe zimachitika:

1. Choyamba, mudzapatsidwa madzi otsekemera (otchedwa ``Glucola'') kuti mumwe. Madzi amenewa ali ndi magalamu pafupifupi 50 a shuga (mtundu wa shuga). Muyenera kumwa mwachangu mkati mwa mphindi zisanu.

2. Ola limodzi lokha (mphindi 60) mutatha kumwa, magazi adzatengedwa kuchokera mumtsempha womwe uli m'dzanja lanu.

3. Kuyezetsa magazi kumeneku kumafufuza momwe thupi lanu lagwiritsira ntchito yankho la shuga.

Chofunika: Musadye kapena kumwa chilichonse kuyambira nthawi yomwe mwamwa madzi a `(Glucola)` mpaka mutapereka magazi. Nthawi zambiri ndibwino kungomwa madzi pang'ono.

Kungoti shuga m'magazi mwanu wakwera pang'ono kuposa momwe mumakhalira patatha ola limodzi sizikutanthauza kuti muli ndi matenda a shuga a mimba. Zimatanthauza kuti dokotala wanu adzakufunsani kuti muyesenso kachiwiri, kotsimikizira kuti shuga yanu ndi yotani.

Kodi mungakonzekere bwanji mayeso a kulolerana ndi shuga?

Ngati zotsatira zanu zoyamba za mayeso a shuga sizili bwino (monga "kulephera"), dokotala wanu adzalamula mayeso achiwiri awa kuti atsimikizire matenda a shuga omwe amabwera chifukwa cha mimba. Izi zikufanana ndi mayeso oyamba, koma zimatenga nthawi yayitali ndipo zimafuna magazi ambiri .

Pofuna kukonzekera izi, dokotala wanu adzakupatsani malangizo apadera azakudya. Ena mwa malangizowa ndi awa:

• Idyani magalamu osachepera 150 a chakudya patsiku kwa masiku atatu musanayambe mayeso (chakudya ndi zakudya zokhala ndi sitachi monga mpunga, buledi, ndi mbatata).
• Musadye kapena kumwa chilichonse kwa maola 8 mpaka 12 musanayesedwe (muyenera kusala kudya). Nthawi zambiri ndibwino kumwa madzi pang'ono m'mawa wa mayeso.
• Ndi bwino kuchita mayeso m'mawa.

Kumbukirani: Ngakhale mutalephera kuyesa shuga koyamba, mutha "kupambana" mayeso oti "Glucose Tolerance Test" awa. Choncho musadandaule.

Kodi mayeso oyesera kulolerana ndi shuga m'magazi amachitidwa bwanji panthawi ya mimba?

Mosiyana ndi mayeso oyesa shuga m'magazi, gawo loyamba mu mayeso oti "Glucose Tolerance Test" a maola atatu awa ndi kusamwa madzi otsekemera.

1. Choyamba, dokotala wa phlebotomist adzatenga magazi pang'ono kuti aone kuchuluka kwa shuga m'magazi mwanu musanadye . Izi zimachitika musanayambe kudya kapena kumwa chilichonse.

2. Kenako, mudzapatsidwa madzi otsekemera (`(Glucola)`) okhala ndi magalamu 100 a shuga kuti mumwe mwachangu kwa mphindi zisanu.

3. Magazi anu adzatengedwa ola limodzi, maola awiri, ndi maola atatu mutamaliza kumwa madziwo. Izi zikutanthauza kuti mupereka magazi kanayi, kuphatikizapo nthawi yoyamba.

Simudzaloledwa kutuluka mu labu mpaka magazi ena ataperekedwa. Choncho musakhale aulesi kubweretsa china chake choti muwerenge, monga buku kapena magazini. Nthawi zambiri mudzapatsidwa madzi pang'ono panthawi yoyezetsa iyi. Komabe, simudzaloledwa kudya china chilichonse mpaka magazi omaliza ataperekedwa.

Kodi mayeso a shuga amatenga nthawi yayitali bwanji?

Kuyezetsa shuga m'magazi kumatenga ola limodzi.

Kuyesa kulekerera shuga m'magazi kumatenga maola opitilira atatu.

Kodi ndingathe kumwa madzi panthawi yoyezetsa shuga?

Madokotala ambiri amakulolani kumwa madzi pang'ono panthawi yoyezetsa kwa maola atatu, koma ndi bwino kufunsa dokotala wanu kapena labotale kuti mudziwe zambiri.

Kodi pali zotsatirapo zilizonse zomwe zingachitike chifukwa chomwa madzi a shuga panthawi yoyezetsa?

Anthu ambiri sakumana ndi zotsatirapo zilizonse zoyipa. Anthu ena amati amamva nseru kapena chizungulire akamwa. Komabe, zotsatirapo zoyipa kwambiri sizimachitika kawirikawiri. Kukoma kwa shuga kumatha kukhala ngati madzi a lalanje otsekemera kwambiri kapena soda yophikidwa ndi carbonated kwa ena. Izi zitha kukhala zokhumudwitsa pang'ono kwa ena.

Kodi zimatenga nthawi yayitali bwanji kuti mudziwe zotsatira za kuyezetsa matenda a shuga a mimba?

Anthu ambiri amapeza zotsatira za kuyezetsa matenda a shuga a mimba pasanathe tsiku limodzi kapena awiri. Funsani dokotala wanu nthawi yomwe mungayembekezere zotsatira zake.

Kodi mayeso a shuga ola limodzi ndi ati?

Ngati shuga m'magazi mwanu ndi wochepera 140 mg/dL (mamiligalamu pa decilita), ndi zachilendo. Sipakufunika kuyezetsa kwina kuti mudziwe matenda a shuga omwe amabwera chifukwa cha mimba.

Ngati shuga m'magazi mwanu ndi 140 mg/dL kapena kupitirira apo, dokotala wanu adzalamula kuti muyesedwe kwa maola atatu kuti muzitha kupirira shuga.

Dziwani: Dokotala aliyense ndi labu iliyonse ndi yosiyana, kotero miyezo yabwinobwino ingasiyane pang'ono. Mwachitsanzo, madokotala ena amaona kuti chilichonse choposa 135 mg/dL sichili bwino.

Kodi mayeso a shuga m'magazi a maola atatu pa nthawi ya mimba ndi otani?

Pa nthawi ya mayeso a ``Glucose Tolerance Test'' a maola atatu:

• Kusala kudya shuga m'magazi kuyenera kukhala kochepera 95 mg/dL.
• Ola limodzi mutatha kumwa uchi, shuga m'magazi ayenera kukhala pansi pa 180 mg/dL.
• Pakatha maola awiri , shuga m'magazi ayenera kukhala ochepera 155 mg/dL.
• Pakatha maola atatu , shuga m'magazi ayenera kukhala ochepera 140 mg/dL.

Kumbukirani kuti miyezo yachibadwa imene dokotala wanu amagwiritsa ntchito ingasiyane pang'ono. Kawirikawiri, ngati zotsatira zanu ziwiri kapena kuposerapo zakwera, dokotala wanu adzakupezani ndi matenda a shuga a mimba. Ngati zotsatira chimodzi chokha chakwera, mungapemphedwe kuti muyesenso pakatha milungu ingapo.

Mvetsetsani zotsatira za mayeso anu a shuga ndipo kambiranani mafunso aliwonse omwe mungakhale nawo ndi dokotala wanu.

Kodi chimachitika ndi chiyani ngati "ndalephera" mayeso a shuga kwa maola atatu?

Ngati "mulephera" mayeso a shuga m'magazi mwa maola atatu, zomwe zikutanthauza kuti shuga m'magazi mwanu ndi wokwera kuposa wabwinobwino, dokotala wanu adzakuuzani kuti muli ndi matenda a shuga a mimba . Zinthu zazikulu zomwe mungachite pochiza matenda a shuga panthawi ya mimba ndikusintha zakudya zanu ndikugwiritsa ntchito choyezera shuga m'magazi kuti muwone kuchuluka kwa shuga m'magazi mwanu nthawi zonse tsiku lonse. Choyezera shuga m'magazi ndi makina ang'onoang'ono omwe amayesa kuchuluka kwa shuga m'magazi mwanu kuchokera ku dontho la magazi anu. Ngati kudya kokha sikukwanira, mungafunike insulin kuti ikuthandizeni kuwongolera matenda a shuga m'magazi mwanu. Dokotala wanu kapena katswiri wa zakudya angakuthandizeni kuwongolera kuchuluka kwa shuga m'magazi mwanu panthawi yonse ya mimba yanu. Musadandaule, amayi ambiri amachita bwino izi.

Kodi ndingakane mayeso a glucose challenge awa panthawi ya mimba?

Inde, muli ndi ufulu wovomerezeka wokana kuyezetsa shuga m'magazi. Komabe, mabungwe akuluakulu azachipatala ndi opereka chithandizo cha amayi oyembekezera padziko lonse lapansi amalimbikitsa kuti muyesedwe ngati muli ndi pakati. Izi zili choncho chifukwa kuyezetsa shuga m'magazi ndi njira yokhayo yodziwira ngati muli ndi matenda a shuga a mimba. Ngati simunalandire chithandizo, matenda a shuga a mimba angayambitse mavuto kwa inu ndi mwana wanu.

Chifukwa chiyani mayeso a shuga m'magazi ndi ofunikira panthawi ya mimba?

Kuyezetsa shuga m'magazi kumeneku ndi komwe kumathandiza dokotala wanu kudziwa ngati muli ndi matenda a shuga a mimba. Ngati muli ndi matenda a shuga panthawi ya mimba, ndikofunikira kwambiri kuwongolera kuchuluka kwa shuga m'magazi mwanu. Ngati simulandira chithandizo, matenda a shuga angayambitse mavuto aakulu. Zina mwa izi ndi izi:

• Preeclampsia (kuthamanga kwa magazi nthawi ya mimba).
• Kulemera kwa mwana kumawonjezeka (kubereka mwana wamkulu) , zomwe zimawonjezera chiopsezo cha mwana kukhala ndi mavuto panthawi yobereka kapena kuchitidwa opaleshoni ya C-section.
• Kuchepa kwa shuga m'magazi (hypoglycemia) mwa mwana akangobadwa.
• Mwana wanu ali pachiwopsezo chachikulu chotenga matenda a shuga a mtundu wachiwiri mtsogolo .

Kodi pali chilichonse chomwe mungachite kuti "mupambane" mayeso anu a shuga m'mimba?

Ndipotu, momwe thupi lanu limagwiritsira ntchito shuga m'thupi lanu panthawi ya mimba sikokwanira kulamulira. Komabe, kudya zakudya ndi zakumwa zokhala ndi shuga, zotsekemera musanayesedwe kungakhudze zotsatira zanu. Izi zikuphatikizapo zinthu monga buledi, pasitala, makeke, chimanga chokhala ndi shuga, madzi a zipatso ndi zakumwa zotsekemera. Ngati mukufuna "kupambana" mayeso anu oyezetsa shuga m'thupi, ndi bwino kupewa zakudya ndi zakumwazi momwe mungathere kwa masiku angapo mayeso asanayambe. Kudya zakudya zoyenera ndiye chinthu chofunikira kwambiri.

Pomaliza, kumbukirani izi (Uthenga Wopita Nawo Kunyumba)

Kuyezetsa matenda a shuga a mimba ndi chimodzi mwa mayeso ambiri omwe mungakhale nawo panthawi ya mimba yanu. Popeza matenda a shuga osalamulirika angayambitse mavuto kwa inu ndi mwana wanu , tsopano ndi gawo la chisamaliro cha amayi oyembekezera. Kuyezetsa shuga ndi kosavuta, kopanda ululu. Kumaphatikizapo kumwa madzi otsekemera komanso kukhala ndi magazi ochepa ochokera m'mitsempha m'dzanja lanu nthawi ndi nthawi. Ngati thupi lanu silikugwiritsa ntchito shuga moyenera, shuga m'magazi mwanu ukhoza kukhala wokwera kapena wosazolowereka.

Lankhulani ndi dokotala wanu kuti mumvetse bwino lomwe mayeso a shuga m'magazi, nthawi yake, komanso komwe muyenera kupita. Mukatero mutha kumvetsetsa bwino njira yonseyi. Musadandaule, zonsezi zimachitika kuti mukhale ndi thanzi labwino komanso la mwana wanu wokondedwa.

Mimba , matenda a shuga, mayeso a shuga, matenda a shuga a mimba, mayeso a shuga, thanzi la mimba, thanzi la mwana