Kodi muli ndi pakati pa masabata 24 kapena 28? Ndiye dokotala wanu mwina anakupemphani kuti mukayeze shuga . Amayi ambiri amaopa pang'ono komanso amakhala ndi nkhawa akamva izi. Mafunso monga "Kodi ndidwala matenda a shuga ?", "Kodi mayesowa ndi ovuta?", "Kodi china chake chingachitikire mwana?" amabwera m'maganizo mwanga. Koma palibe choopa. Iyi ndi mayeso ofala kwambiri omwe amachitidwa panthawi ya mimba . Tiyeni tikambirane za chilichonse m'njira yosavuta komanso yomveka bwino lero.
N’chifukwa chiyani mayeso a shuga amenewa ndi ofunikira kwambiri?
Pa nthawi ya mimba, mahomoni a thupi lathu amasintha kwambiri. Chifukwa cha kusintha kumeneku, nthawi zina zimakhala zovuta kuti thupi lathu lizilamulira kuchuluka kwa shuga (shuga) m'magazi mwathu. Kenako shuga m'magazi amatha kukwera kuposa momwe amafunikira. Matendawa amatchedwa matenda a shuga a gestational.
Imeneyi ndi vuto lofala lomwe lingakhudze pafupifupi 10% ya amayi apakati. Komabe, ngati silinapezeke bwino ndi kuthandizidwa, lingayambitse mavuto kwa inu ndi mwana wanu. Ichi ndichifukwa chake mayeso a shuga amachitidwa kuti azindikire vutoli msanga.
Pali mitundu iwiri ya mayeso awa.
Kuyeza shuga m'magazi komwe dokotala wanu wakuuzani kuti muchite kungakhale ndi magawo awiri. Si aliyense amene ayenera kupita ku gawo lachiwiri.
1. Kuyesa koyamba (Kuyesa kwa Glucose Challenge): Izi zili ngati mayeso. Amachitidwa kuti aone ngati muli pachiwopsezo chotenga matenda a shuga a mimba . Iyi ndi mayeso oyezetsa magazi .
2. Mayeso achiwiri (Mayeso Ololera Shuga M'kamwa - OGTT): Mayeso achiwiri awa amachitidwa pokhapokha ngati zotsatira za mayeso oyamba sizili bwino. Izi ndi zomwe zimatsimikizira ngati muli ndi matenda a shuga a mimba kapena ayi.
Mwachidule, ngati choyamba chikuyambitsa kukayikira, chachiwiri chikutsimikizira kukayikira kumeneko.
| Dzina la mayeso | N’chifukwa chiyani mukuchita izi? | Nthawi yogwiritsidwa ntchito |
|---|---|---|
| Mayeso a Shuga (Mayeso a Ola Lililonse) | Kuyezetsa kuti mudziwe ngati pali chiopsezo chotenga matenda a shuga a mimba. | Pafupifupi ola limodzi. |
| Mayeso Ololera Shuga Mkamwa - OGTT (Mayeso a Maola Atatu) | Kuti mutsimikizire motsimikiza ngati muli ndi matenda a shuga a mimba (Diagnosis). | Kupitirira maola atatu. |
Kodi mayeso amenewa nthawi zambiri amachitidwa liti?
Kuyesa koyamba kwa shuga m'magazi nthawi zambiri kumachitika pakati pa milungu 24 ndi 28 ya mimba . Komabe, ngati muli ndi zifukwa zotsatirazi zoopsa, dokotala wanu angakulangizeni kuti muchite mayesowa msanga.
- Ngati munali ndi matenda a shuga m'mimba mwanu.
- Ngati wina m'banja mwanu (amayi, abambo, abale ndi alongo) ali ndi matenda a shuga.
- Ngati muli ndi kunenepa kwambiri ( kunenepa kwambiri ).
- Ngati muli ndi zaka zoposa 35.
- Ngati muli ndi kuthamanga kwa magazi .
- Ngati muli ndi vuto lina la matenda monga PCOS ( Polycystic Ovary Syndrome ).
- Ngati mayeso achizolowezi apeza shuga mu mkodzo wanu.
Kodi mungakonzekere bwanji mayeso ndipo mungatani?
Njira yokonzekera mayeso awiriwa ndi yosiyana pang'ono.
Mayeso oyamba (mayeso a ola limodzi)
Izi sizifuna kukonzekera kwambiri. Mutha kudya bwino. Komabe, madokotala nthawi zambiri amalangiza kuti musadye zakudya zotsekemera zambiri (monga makeke, ma donati, zakumwa zotsekemera) m'mawa musanayesedwe, chifukwa izi zingakhudze zotsatira zake.
Momwe mungachitire izi:
1. Mukapita ku labu, mudzapatsidwa chakumwa chotsekemera (Glucola) chokhala ndi magalamu 50 a shuga. Muyenera kumwa ichi mwachangu mkati mwa mphindi 5.
2. Ola limodzi lokha mutatha kumwa, magazi pang'ono adzatengedwa kuchokera mumtsempha womwe uli m'dzanja lanu.
3. Simungadye kapena kumwa china chilichonse mu ola lino. Palibe vuto kumwa madzi pang'ono.
Chofunika ndichakuti, ngakhale mayeso oyamba awa akusonyeza kuti shuga m'magazi mwanu ndi wokwera pang'ono, sizikutanthauza kuti muli ndi matenda a shuga. Zimangotanthauza kuti muyenera kuyesanso kachiwiri.
Mayeso achiwiri, akulu (OGTT ya maola atatu)
Izi zimachitika pokhapokha ngati zotsatira za yoyamba sizili bwino. Izi zimafuna kukonzekera bwino.
Momwe mungakonzekerere:
- Muyenera kutsatira malangizo a dokotala wanu molondola.
- Kawirikawiri, mumauzidwa kuti musale kudya kwa maola 8-12 mayeso asanayambe . Izi zikutanthauza kuti simungadye kapena kumwa chilichonse pambuyo pa 10 koloko madzulo mpaka mayeso atatha m'mawa. Palibe vuto kumwa madzi pang'ono.
- Ndi bwino kuchita mayesowa m'mawa kwambiri.
Momwe mungachitire izi:
1. Mukapita ku labu, kaye adzakuyesani magazi kuti aone ngati muli ndi shuga m'magazi osadya .
2. Kenako, mudzapatsidwa chakumwa chokoma chokhala ndi magalamu 100 a shuga.
3. Magazi amatengedwanso ola limodzi, maola awiri, ndi maola atatu mutatha kumwa. Izi zikutanthauza kuti magazi onse anayi amatengedwa.
4. Muyenera kukhala mu labu kwa maola atatu awa. Choncho ngati mubweretsa buku, simudzatopa. Simungadyenso panthawiyi. Mutha kumwa madzi.
Anthu ena amatha kumva nseru pang'ono kapena chizungulire akamwa madzi a shuga awa, koma zimenezo sizachilendo.
Kodi mungamvetse bwanji zotsatira zake?
Dokotala wanu adzakufotokozerani zotsatira zake mukadzazilandira, koma ndibwino kudziwa zomwe zili zoyenera.
| Mayeso | Mtengo wapakati (uyenera kukhala wochepera apa) |
|---|---|
| Mayeso a Shuga | 140 mg/dL |
| Mayeso oyesera kulekerera shuga m'kamwa kwa maola atatu (OGTT) | |
| Kusala Kudya | 95 mg/dL |
| Patatha ola limodzi | 180 mg/dL |
| Patatha maola awiri | 155 mg/dL |
| Patatha maola atatu | 140 mg/dL |
Ngati ziwiri kapena zingapo mwa izi zili pamwamba pa zabwinobwino panthawi yoyezetsa kwa maola atatu, dokotala wanu adzatsimikizira kuti muli ndi matenda a shuga a mimba.
Kodi mumatani ngati mwauzidwa kuti muli ndi matenda a shuga?
Musadandaule. Ili ndi vuto lomwe lingathe kuthetsedwa. Dokotala wanu adzakuthandizani. Nthawi zambiri, muyenera:
- Kuwongolera zakudya: Muyenera kuchepetsa zakudya zotsekemera komanso zokhuthala ndikudya zakudya zopatsa thanzi.
- Kuchita Masewera Olimbitsa Thupi: Mutha kuchita masewera olimbitsa thupi osavuta omwe akuyenererani, monga momwe dokotala wanu akulangizira.
- Kuyang'ana kuchuluka kwa shuga m'magazi mwanu nthawi zonse: Mudzapatsidwa chipangizo chaching'ono (choyezera shuga m'magazi) chomwe chimakulolani kuwona kuchuluka kwa shuga m'magazi mwanu kunyumba.
- Mankhwala: Nthawi zina, ngati zakudya ndi masewera olimbitsa thupi zokha sizikwanira kulamulira shuga m'magazi, mungafunike jakisoni wa insulin.
Chofunika kwambiri ndichakuti vutoli lidzatha mukabereka, choncho kumbukirani kuti izi ndi zakanthawi kochepa.
Kodi chimachitika ndi chiyani ngati mayesowa sanachitike?
Muli ndi ufulu wokana mayesowa, koma madokotala sakulangiza konse. Chifukwa ngati matenda a shuga a mimba sakulamuliridwa, pakhoza kukhala zoopsa zina kwa inu ndi mwana wanu.
- Mavuto omwe mungakumane nawo: Kuthamanga kwa magazi (preeclampsia), chiopsezo chowonjezeka chochitidwa opaleshoni.
- Zoopsa kwa mwana: Kulemera kwambiri, shuga wotsika m'magazi (hypoglycemia) pobadwa, komanso chiopsezo chowonjezeka cha matenda a shuga mtsogolo.
Choncho, dziwani kuti ichi ndi chiyeso chofunikira kwambiri pa chitetezo cha inu ndi mwana wanu wosabadwa.
Uthenga Wopita Nawo Kunyumba
- Kuyesa kwa glucose tolerance test (GTT) ndi mayeso okhazikika omwe ndi ofunikira kwa inu ndi mwana wanu. Musachite mantha.
- Pakhoza kukhala mayeso awiri a izi. Choyamba (Kuwunika) chimayang'ana zoopsa, ndipo chachiwiri (OGTT) chimatsimikizira matendawa.
- Ndikofunikira kusala kudya kwa maola 8-12 musanayambe mayeso a maola atatu.
- Ngati mwapezeka ndi matenda a shuga a mimba, mungathe kuwathetsa mosavuta ndi zakudya komanso masewera olimbitsa thupi monga momwe dokotala wanu walangizira.
- Ngati muli ndi mafunso kapena nkhawa zilizonse zokhudza izi, lankhulani ndi dokotala wanu momasuka za izi.
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