Kodi ndinu mayi woyembekezera? Ndiye kuti muyenera kuti munamvapo dzina lakuti ' metational diabetes '. Mwina dokotala wanu wakuuzani za izi. Ndizachilendo kumva mantha pang'ono komanso mantha mukamva dzinali. Mafunso monga "Kodi inenso ndidzakhala ndi matenda a shuga ?", "Kodi china chake chingachitikire mwana?" ayenera kubwera m'maganizo mwanga. Koma musachite mantha. Ngati tikudziwa za vutoli, titha kulithetsa bwino ndikubweretsa mwana wathanzi komanso wokongola padziko lapansi. Lero, tiyeni tikambirane za matenda a shuga a metational ndi chiyani komanso chifukwa chake amakula.
Mimba ndi momwe shuga m'magazi amakwera
Choyamba, tiyeni tiwone momwe njira yoyendetsera shuga m'thupi lathu imagwirira ntchito. Ndi yosavuta kwambiri. Tikamadya chakudya, makamaka zakudya zomwe zili ndi chakudya chopatsa mphamvu ( wowuma ) monga mpunga, buledi, ndi mbatata, thupi lathu limachigaya ndikuchisandutsa shuga wosavuta wotchedwa shuga. Shuga uyu amawonjezeredwa m'magazi athu. Selo lililonse m'thupi limapeza mphamvu zake kuchokera ku shuga uyu.
Koma kuti shuga m'magazi alowe m'maselo, mufunika 'kiyi'. Kiyi imeneyo ndi insulin . Insulin ndi mahomoni opangidwa ndi kapamba wathu. Insulin imatenga shuga m'magazi ndikuipereka ku maselo, kulamulira kuchuluka kwa shuga m'magazi.
Tsopano tiyeni tiwone zomwe zimachitika panthawi ya mimba. Mukatenga mimba, mwana amalandira zakudya zonse ndi mpweya womwe amafunikira kuchokera ku chiwalo chotchedwa placenta . Izi zili ngati 'mzere woperekera' wa mwana. placenta imapanga mitundu ingapo ya mahomoni kuti athandize mwana kukula. Ichi ndi chinthu chabwino kwambiri. Komabe, ena mwa mahomoni awa amasokoneza ntchito ya insulin m'thupi lanu. Zili ngati 'kiyi' yomwe tatchulayi (insulin) yalephereka kugwira ntchito. Malinga ndi azachipatala, vutoli timalitcha kuti insulin resistance .
Chifukwa cha kukana kwa insulin, kapamba wanu ayenera kugwira ntchito molimbika kuposa masiku onse kuti shuga m'magazi mwanu akhale wabwinobwino, ndikupanga insulin yochulukirapo katatu kuposa masiku onse. Matupi a amayi ambiri oyembekezera amatha kuthana ndi vutoli. Koma nthawi zina, kapamba sangathe kupanga insulin yokwanira. Pamenepo ndi pomwe shuga m'magazi mwanu amakwera, zomwe zimayambitsa matenda otchedwa matenda a shuga a gestational.
Mwachidule, matenda a shuga a mimba si matenda omwe amayamba chifukwa cha kulakwitsa kwanu. Ndi matenda akanthawi omwe amachitika pamene thupi silingathe kusintha bwino mahomoni omwe amachitika panthawi ya mimba.
Ndani ali pachiwopsezo chachikulu cha matendawa?
Ngakhale kuti aliyense akhoza kudwala matenda a shuga a mimba, anthu ena amakhala ndi vutoli mosavuta. Tiyeni tiwone zomwe zimayambitsa matendawa . Musachite mantha mukaona izi, si aliyense amene ali nazo amene angadwale matenda a shuga. Ndikofunikira kudziwa izi kuti muyezedwe msanga ndikuchitapo kanthu mwachangu ngati pakufunika kutero.
| Zoopsa | Kufotokozera kosavuta |
|---|---|
| Kunenepa kwambiri musanayambe kutenga mimba | Kukana kwa insulin kumawonjezeka mwachibadwa pamene kulemera kwa thupi kumawonjezeka, kotero kumatha kukulirakulira panthawi ya mimba. |
| Kulemera mofulumira panthawi ya mimba | Kulemera mofulumira kuposa momwe mukufunira kungakhudzenso momwe insulin imagwirira ntchito. |
| Mbiri ya banja la matenda a shuga | Ngati wachibale wanu wapafupi, monga amayi anu, abambo anu, kapena abale anu, ali ndi matenda a shuga a mtundu wa 2, mwina inunso muli ndi vuto la majini. |
| Matenda a shuga asanakwane | Imeneyi ndi vuto lomwe shuga siili yokwanira kutchedwa matenda a shuga, koma imakhala yokwera pang'ono kuposa yachibadwa. Munthu amene ali ndi vutoli amakhala pachiwopsezo chachikulu chotenga matenda a shuga panthawi ya mimba. |
| Kukhala ndi matenda a shuga m'mimba mwanu kale | Ngati munali ndi vutoli panthawi ya mimba yapitayi, muli ndi mwayi waukulu woti mudzalipezenso panthawi ya mimba yotsatira. |
| Zaka zoposa 25 | Pamene mukukula, chiopsezo cha vutoli chimawonjezeka pang'ono. |
| Kubereka mwana wolemera makilogalamu oposa 4 musanabadwe | Izi zikutanthauza kuti shuga m'magazi mwanu mwina munakwera kufika pamlingo wosaoneka bwino panthawi ya mimba yapitayi. |
| Kukhala ndi PCOS | Azimayi omwe ali ndi vuto lotchedwa Polycystic Ovary Syndrome (PCOS) akhoza kukhala ndi vuto la insulin kuyambira pachiyambi. |
Chabwino, kodi tichite chiyani tsopano?
Ngati mukuda nkhawa ndi zinthu izi zomwe zingakubweretsereni mavuto, zisiyeni pambali. Chofunika kwambiri ndikulankhulana momasuka ndi dokotala wanu za izi.
Matenda a shuga a mimba nthawi zambiri amapezeka kumayambiriro kwa trimester yachitatu ya mimba. Ndiko kuti, pakati pa milungu 24-28. Mayi aliyense woyembekezera ku Sri Lanka amayesedwa shuga panthawiyi. Chomwe chimachitika ndichakuti, mumapatsidwa chakumwa chokhala ndi shuga kenako shuga m'magazi mwanu amayesedwa ola limodzi pambuyo pake. Izi zimatchedwa OGTT (Oral Glucose Tolerance Test) .
Komabe, ngati muli ndi chimodzi kapena zingapo mwa zinthu zomwe zatchulidwa pamwambapa, dokotala wanu angakulangizeni mayesowa mu trimester yoyamba ya mimba.
Kodi chimachitika ndi chiyani malinga ndi zotsatira zake?
Ngati zotsatira za mayeso anu zikusonyeza kuti muli ndi matenda a shuga a mimba, palibe chifukwa chodera nkhawa. Chofunika kwambiri ndikutsatira malangizo omwe dokotala wanu komanso katswiri wa zakudya wakupatsani.
Choyamba yesani zotsatirazi ngati chithandizo:
- Zakudya: Mudzapatsidwa chakudya choyenera, chopanda shuga wambiri, komanso chopatsa thanzi. Mungapemphedwe kudya pang'ono 5-6 patsiku, m'malo mwa kudya zakudya zazikulu zitatu.
- Kuchita Masewera Olimbitsa Thupi: Kuchita masewera olimbitsa thupi osavuta tsiku lililonse, monga kuyenda, kungathandize kukonza ntchito ya insulin. Komabe, muyenera kufunsa dokotala wanu musanayambe kuchita masewera olimbitsa thupi.
Nthawi zambiri, mutha kuwongolera shuga m'magazi mwanu bwino pogwiritsa ntchito zakudya izi komanso masewera olimbitsa thupi. Dokotala wanu angakupatseni jakisoni wa insulin kapena mapiritsi pokhapokha ngati simungathe kuwongolera mwanjira imeneyi. Izi zimachitika mpaka mwana atabadwa.
Kumbukirani, ngati muwongolera shuga m'magazi mwanu bwino, mutha kuchepetsa kwambiri chiopsezo cha mwana wanu kukula kwambiri, kudwala matenda a shuga, komanso kukhala ndi mavuto ena azaumoyo. Mukadzipereka, inu ndi mwana wanu mutha kukhala athanzi.
Uthenga Wopita Nawo Kunyumba
- Matenda a shuga a mimba ndi matenda akanthawi kochepa omwe amapezeka panthawi ya mimba yokha. Nthawi zambiri amatha mwana akabadwa.
- Si vuto lanu, koma chifukwa kusintha kwa mahomoni panthawi ya mimba kumalepheretsa insulin kugwira ntchito bwino.
- Vutoli lingathe kuthetsedwa bwino kwambiri potsatira malangizo a dokotala wanu (zakudya, masewera olimbitsa thupi, ndi mankhwala ngati pakufunika kutero) ndendende.
- Musamachite mayeso a shuga m'magazi nthawi zonse. Ndikofunikira kwambiri kuti inu ndi mwana wanu mukhale otetezeka.
- Mukayang'aniridwa bwino, muli ndi mwayi wonse wobereka mwana wathanzi popanda mavuto. Choncho musadandaule.
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