Unogona here kuva nemwana ane hutano kunyangwe uine chirwere cheshuga? (Chirwere cheshuga muPamuviri) Ngatikurukurei nezveizvi!

Mhoro! Kana uri kutarisira mwana mazuva ano, kunyanya kana uine chirwere cheshuga, pamwe une mibvunzo yakawanda uye kutya mupfungwa dzako, handiti? "Oh, pachava nematambudziko nemwana kana ini ndine chirwere cheshuga here?" "Izvi zvichagadziriswa nemazvo here?" Ungave uchifunga zvinhu zvakadaro. Usazvidya mwoyo, hausi wega. Vanaamai vazhinji vanotarisana nemamiriro ezvinhu aya. Chinhu chakakosha ndechekuti nekunzwisisa kwakakodzera uye kutevera mazano ekurapa, iwewo unogona kuva nemwana ane hutano. Ngatitaurei nezveizvi zvakadzama, handiti?

Chirwere cheshuga chinokanganisa sei pamuviri?

Zvichitaurwa zviri nyore, kana uine chirwere cheshuga cherudzi rwekutanga kana rwechipiri usati wabata pamuviri, chinonzi "chirwere cheshuga chepregestational." Izvi zvakasiyana nechirwere cheshuga chepamuviri, chinokura panguva yekuzvitakura. Chirwere cheshuga chepamuviri chinowanzopera mushure mekubereka mwana.

Kana uchitova nechirwere cheshuga, kudzora huwandu hweshuga muropa rako panguva yekuzvitakura kunogona kuva kwakaoma. Unoziva chii? Munguva yekuzvitakura, mahormone edu anochinja zvakanyanya. Nekuchinja ikoko, ungangofanira kuchinja kudya kwako, maitiro ekurovedza muviri, uye kunyange mishonga yako. Kazhinji, chirongwa ichi chekurapa chirwere cheshuga chinofanira kuchinjwa kakawanda kusvika pazuva rekuzvarwa kwemwana wako. Saka, zvakakosha kutaura nechikwata chako chekurapa nguva dzose uye kuvaudza nezvemamiriro ako ezvinhu. Ndipo chete pavanogona kusarudza chaizvo marapirwo aunoda uye kana achida kuchinjwa.

Asi yeuka izvi, kuva nechirwere cheshuga hazvirevi kuti haugone kuva nemwana ane hutano hwakanaka. Zvinonetsa zvishoma, asi hazvigoneki. Chikwata chako chekurapa chiripo kuti chikubatsire.

Ko chirwere cheshuga cherudzi rwekutanga chirwere chine njodzi huru here pakubata pamuviri?

Ehe, chirwere cheshuga cherudzi rwekutanga nechirwere cheshuga cherudzi rwechipiri zvinowedzera njodzi yematambudziko panguva yekuzvitakura. Nokudaro, chiremba wevana vanobatsira pakuchengeta vana achanyatsoongorora hutano hwemwana wako nemazinga eshuga muropa rako panguva yese yekuzvitakura kwako kuti ave nechokwadi chekuti uri kuchengetedza huwandu hwakanaka. Kana huwandu hweshuga muropa rako hukaramba hwakakwira zvakanyanya kana hwakaderera zvakanyanya, zvinogona kuva nengozi uye zvinokukonzera matambudziko.

Unowanzo shanda nenyanzvi yemishonga yemadzimai nemwana asati aberekwa (MFM). Kuwedzera kuna chiremba wevana, timu yako yezvekurapa inogona kusanganisira:

• Endocrinologist: Nyanzvi muzvirwere zvine chekuita nemahormone.
• Nyanzvi yezvekudya yakanyoreswa: Munhu anogona kubatsira kudzora chirwere cheshuga uye kupa gwara rekudya zvine hutano panguva yekuzvitakura.
• Mudzidzisi wechirwere cheshuga: Nyanzvi ine ruzivo rwakakura mukurapa chirwere cheshuga.

Munhu ane chirwere cheshuga angagadzirira sei pamuviri?

Kana uine chirwere cheshuga uye uri kuedza kuva nemwana, chinhu chekutanga chaunofanira kuita kutaura nachiremba wako. Zvakanaka kutaura nezvazvo mwedzi mitanhatu usati watanga kuedza kuva nemwana.

Zvakakosha kudzora huwandu hweshuga muropa rako usati wabata pamuviri. Chinangwa panguva yekuzvitakura ndechekuchengetedza huwandu hweshuga muropa rako mukati mehuwandu hushoma. Zvinogona kutonyanya kuoma kuchengetedza izvi mushure mekunge wabata pamuviri.

Mitemo yakawanda inokurudzira kuti A1C yako igare iri pa6.5% kana pasi usati wabata pamuviri . Izvi zvinoitwa kuti uderedze njodzi yekusangana nematambudziko. Waizviziva here? Nhengo dzemwana nedzimwe nyama dzakakosha dzinotanga kuumbwa mukati memwedzi mitatu yekutanga yekuzvitakura. Kana huwandu hweshuga muropa rako hukaramba hwakakwira panguva iyoyo, zvinogona kukanganisa kukura kwemwana.

Kusangana nechikwata chenyu chezvekurapa musati maedza kuva nemwana kune mabhenefiti anotevera:

• Vanachiremba vanogona kukukurudzira nzira dzekubatsira kuti huwandu hweshuga muropa rako huve hwakanaka.
• Nyanzvi yezvekudya inogona kukubatsira kugadzira hurongwa hwekudya hwakakodzera pakubata pamuviri uye chirwere cheshuga.
• Ungangoda kuchinja mishonga yako yechirwere cheshuga mushure mekunge wava nepamuviri.
• Ungangokwanisa kujaira kushandisa matekinoroji matsva echirwere cheshuga (semuenzaniso, chinoongorora shuga nguva dzose - CGM) chinogona kubatsira zvikuru panguva yekuzvitakura.
• Chiremba wako anogona kukukurudzira kuti uongororwe maziso ako (njodzi yekurwara ne retinopathy), itsvo (njodzi yekurwara ne nephropathy), uye moyo wako usati wava nepamuviri, sezvo dzimwe nguva pamuviri unogona kuipa kana kukonzera matambudziko matsva anokonzerwa nechirwere cheshuga.

Kurapwa kwangu kwechirwere cheshuga kuchachinja sei panguva yekuzvitakura?

Pane zvinhu zvakakosha zvinokanganisa maitiro aunoita chirwere cheshuga panguva yekuzvitakura:

• Kudiwa kwekuchengetedza huwandu hweshuga muropa huri pakati pehuwandu hwakati wandei kuderedza njodzi yematambudziko epamuviri.
• Kugadzirisa zvinoenderana nekuchinja kwezvinodiwa zve insulin.
• Kutarisira zvinodiwa pakudya panguva yekuzvitakura nekuchengeta huwandu hweshuga muropa hwakaenzana.

Zvinangwa zveshuga muropa panguva yekuzvitakura nechirwere cheshuga

Kazhinji, zvinangwa zveshuga muropa zvemadzimai ane pamuviri ane chirwere cheshuga ndeizvi:

• Kutsanya: Zvisingasviki 95 mg/dL
• Awa imwe mushure mekudya: Pasi pe140 mg/dL
• Maawa maviri mushure mekudya: pasi pe120 mg/dL

Nemamwe mashoko, zvinangwa izvi zvinogona kufungwa nezvazvo se'time in range (TIR)'. Kazhinji, zvinangwa zve'TIR' zvevanhu vakuru vane chirwere cheshuga che'Type 1' panguva yekuzvitakura ndeizvi:

• Inenge 70% yenguva iri pakati pe63 ne140 mg/dL (mukati mehuwandu hwakatarwa)
• Pasi pe5% yenguva iri pasi pe63 mg/dL
• Pasi pe25% yenguva iri pamusoro pe140 mg/dL

Mitemo yakawanda inokurudzirwa panguva yekuzvitakuraKuchengetedza kukosha kwe `A1C` kuri pasi pe6% kunogona kuderedza njodzi yematambudziko.

Nekuda kwezvinangwa izvi zvakasimba, chiremba wako anogona kukurudzira kushandisa continuous glucose monitor (CGM) panguva yekuzvitakura. Pane kushandisa fingersticks, CGM inokupa mufananidzo uri nani wekuti glucose yako iri kuchinja sei nekufamba kwenguva, zvichiita kuti zvive nyore kuita shanduko dzakakodzera pakurapa chirwere cheshuga.

Kuti uchengetedze huwandu hweshuga muropa, unofanirwa kutevedzera nzira dzinoverengeka:

• Verenga nokungwarira huwandu hwemakabhohaidhiretsi ari muzvokudya zvako uye zvekudya zvemazuva ano.
• Kutora insulin maminetsi gumi kusvika gumi nemashanu usati wadya (kana kutotanga).
• Kushandisa maekisesaizi emuviri kudzora huwandu hweshuga muropa.

Chiremba wako achataura newe nezvenzira idzi nedzimwe nzira.

Kuchinja zvinodiwa ne insulin panguva yekuzvitakura

Tarisira kuti insulin yako inofanira kuchinja nguva nenguva panguva yekuzvitakura. Izvi zvinonyanya kukonzerwa nemahormone akasiyana mumuviri wako. Sezvo chirwere cheshuga chichibata munhu wese zvakasiyana, ndizvo zvinoitawo pamuviri. Saka, zvakakosha kushanda pamwe chete nechikwata chako chekurapa kuti uite chero shanduko dzinodiwa pachirongwa chako chekurapa chirwere cheshuga. Shanduko idzi dzichava dzakasarudzika kwauri nezvaunoda.

Kana uine chirwere cheshuga cheType 1, zvinowanzo dikanwa insulin shoma mu trimester yekutanga - asi havasi vese vanoda. Panosvika vhiki rechi16 yekuzvitakura, kuda insulin kunotanga kuwedzera. Izvi zvinodaro nekuti placenta inoburitsa mahormone anowedzera insulin resistance. Izvi zvinoitika mukuzvitakura kwese, kwete kune avo vane chirwere cheshuga chete.

Ungangoda insulin yakawanda kusvika vhiki rechi36 kana rechi37 repamuviri. Panguva iyoyo, kuramba insulin kunowanzo gadzikana. Vanhu vazhinji vangangoda insulin yakapetwa kaviri kana katatu yavakatora vasati vabata pamuviri.

Uchashanda nachiremba wako kuti uite chero shanduko dzinodiwa dze insulin panguva yekuzvitakura. Izvi zvinogona kusanganisira:

• Insulin yako ye `basal` kana inoshanda kwenguva refu (background) (`insulin inoshanda kwenguva refu`)
• Chiyero cheInsulin-to-carbohydrate (ICR)
• Chinhu chinokanganisa insulin (ISF)

Zvakakosha kuti kana placenta yangoburitswa, zvinodiwa ne insulin zvinodzikira zvakanyanya. Mukati memaminitsi angangoita makumi matatu kubva placenta yaburitswa, zvinodiwa ne insulin zvinodzokera pahuwandu hwazvo hwekutanga pamuviri - kana kutodzikira. Chiremba wako achataura newe nezvekuti ungagadzirisa sei insulin yako mushure mekusununguka. Zvakakosha kuva nehurongwa hweizvi.

Chirwere cheshuga uye zvinodiwa pakudya panguva yekuzvitakura

Kudya kwakakodzera kwakakosha zvikuru pakuva nepamuviri une hutano. Kuenzanisa zvinodiwa pakudya panguva yekuzvitakura uye kuchengetedza huwandu hushoma hweshuga muropa kunogona kuoma zvishoma. Kana uine kuda kurutsa uye/kana kurutsa panguva yekuzvitakura, zvinogona kutowedzera kuoma.

Nyanzvi yezvekudya yakanyoreswa inyanzvi mukurapa vakadzi vane pamuviri vane chirwere cheshuga inogona kukubatsira kugadzira hurongwa hwekudya. Vachakutungamira pahuwandu hwe'macronutrients' (zvinovaka muviri zvikuru) - kureva, 'makabhohaidhiretsi' (makabhohaidhiretsi), 'mapuroteni' (mapuroteni) uye 'mafuta ekudya' (mafuta ekudya) - unofanira kudya zuva rega rega. Mazano avo anogona kusiyana neanopihwa vakadzi vane pamuviri vasina chirwere cheshuga. Vachakurudzirawo zvekudya nezvikafu zvine mwero mu'macronutrients' kuti zvibatsire kuchengetedza huwandu hweshuga muropa hwakagadzikana.

Kurapwa kwechirwere cheshuga cherudzi rwekutanga panguva yekuzvitakura

Vanhu vazhinji vane chirwere cheshuga cherudzi rwekutanga vanoona kuti zvinodiwa ne insulin yavo zvinochinja kakawanda - kazhinji vhiki nevhiki - panguva yekuzvitakura. Kunyatso tarisa huwandu hwe glucose mumuviri wako uye kuona mafambiro ayo kunogona kukubatsira iwe nachiremba wako kuita shanduko dzakakodzera pachirongwa chako chekurapa.

Kana uchitora majekiseni akawanda pazuva (MDIs), chiremba wako anogona kukurudzira kuti uchinje kushandisa insulin pump kuti ugone kugadzirisa insulin settings yako. Zvisinei, unogona kuramba uine pamuviri une hutano neMDI. Kana waitora mimwe mishonga usati wava nepamuviri, iva nechokwadi chekukurukura kana uchigona kuramba uchishandisa mishonga iyoyo panguva yekuzvitakura.

Semazuva ese, zvakakosha kudzora huwandu hweshuga muropa uye huwandu hweshuga muropa hwakaderera nekukurumidza. Kana uchigara uchisangana neshuga muropa yakakwira uye/kana yakaderera, taura nachiremba wako.

Kutarisira Chirwere cheshuga Chechipiri Munguva Yekuzvitakura

Mishonga yakawanda inonwiwa uye majekiseni emushonga wechirwere cheshuga cherudzi rwechipiri asina insulin haana kukodzera kushandiswa panguva yekuzvitakura. Chinhu chimwe chete chisiri che metformin. Saka, ungangoda kushandisa insulin kekutanga kuti uchengetedze huwandu hweshuga muropa rako panguva yekuzvitakura. Zvakare, kuda kwako insulin kunogona kuwedzera sezvo nhumbu yako ichifambira mberi.

Chikwata chako chezvekurapa chichashanda newe padhuze kuti chigadzire hurongwa hwekutarisira. Kana usati watoshandisa, vanogona kukurudzira kushandisa CGM (continuous glucose monitor).

Chii chaungatarisira panguva yekuzvitakura uine chirwere cheshuga?

Kana uine chirwere cheshuga, unogona kutarisira kuendeswa kuchipatara usati waberekwa uye kuongororwa kakawanda kupfuura zvawaizoita panguva yekuzvitakura kwakajairika. Izvi zvinoitirwa kuti chiremba wako wepamuviri anyatsoongorora kukura kwemwana wako uye hutano hwako hwese. Kuwedzera kune bvunzo dzepamuviri (dzakadai sekuongororwa kweropa uye kuskena kwemuviri), unogona zvakare kutarisira bvunzo idzi "dzekuwedzera":

• Echocardiogram yemwana asati aberekwa: Chiremba wako anogona kukurudzira bvunzo iyi kuti aongorore chimiro chemwoyo wemwana wako, sezvo kuva nechirwere cheshuga kuchiwedzera njodzi yekuva nematambudziko emwoyo ekuzvarwa nawo.
• Kuongororwa kwekukura (ultrasound): Chiremba wako anogona kukurudzira kuongororwa kwemuviri mavhiki mashoma ega ega kuti aongorore kukura kwemwana wako. Izvi zvakakosha nekuti pane njodzi huru yekuti mwana wako akure kupfuura zvakajairwa. Asi yeuka, ma ultrasound aya anongofungidzirwa chete. Mwana wako anogona kunge akakura kana kuti mudiki pane zvinoratidzwa ne scan.
• Kuongororwa kusingade kushushikana (NSTs): Munguva yemwedzi mitatu yekuzvitakura, chiremba wako anogona kukurudzira NSTs vhiki rega rega. Kuongororwa uku kunoongorora kurova kwemoyo wemwana nekufamba-famba.
• Biophysical profiles (BPPs): Chiremba wako anogonawo kukurudzira BPPs vhiki rega rega. Idzi iultrasound dzinoongorora kufema kwemwana ari mudumbu, matauriro emhasuru, uye mafambiro. Dzinoyerawo huwandu hwemvura yeamniotic.

Uchafanirawo kutaura nguva nenguva nemudzidzisi wako we endocrinologist kana mudzidzisi wechirwere cheshuga. Vachakupa mazano ekuti ungachengetedza sei shuga yako iri pedyo nezvinodiwa zvako.

Ndezvipi njodzi nematambudziko ekuva nechirwere cheshuga cherudzi rwekutanga kana rwechipiri panguva yekuzvitakura?

Zvakakosha kutora matanho ekugadzirisa chirwere cheshuga panguva yekuzvitakura. Kana huwandu hweshuga muropa rako hukaramba hwakakwira zvakanyanya, uri panjodzi yakakura yekusangana nematambudziko akasiyana. Kuwanda kweshuga muropa kakawanda kana kuti kwakanyanya kunogonawo kuva nengozi.

Vanhu ava vari panjodzi huru yekusangana nematambudziko anokonzerwa nechirwere cheshuga vasati vasvika pabonde:

• Mucheche uye pamuviri
• Mwana wako mushure mekuzvarwa
• Iwe

Matambudziko ekusununguka uye epashure pekusununguka

Kuva nechirwere cheshuga panguva yekuzvitakura kunogona kuwedzera njodzi yematambudziko kumwana ari mudumbu, akadai se:

• Zvirwere zvekuzvarwa nazvo (zvirwere zvekuzvarwa nazvo): Zvirwere zvekuzvarwa nazvo zvinoitika mu6% kusvika 12% yevana vane chirwere cheshuga chepamuviri chakamboitika. Zvirwere zvemwoyo zvekuzvarwa nazvo ndizvo zvinonyanya kuitika, asi zvirwere zvetsinga dzemuuropi nezvimwe zvirwere zvinogona kuitikawo.
• Macrosomia yemwana asati aberekwa: Izvi zvinoitika kana mwana achangoberekwa achirema kupfuura mapaundi gumi nemashanu. Kuva nemwana mukuru kunowedzera njodzi yekukuvara panguva yekusununguka kwauri nemwana wako.
• Polyhydramnios: Uku kuwedzera kwehuwandu hwemvura yeamniotic muamniotic sac. Izvi zvinogona kukonzera kusununguka nguva isati yakwana uye kuzvarwa kwemwana akafa.
• Kuzvara mwana asati asvika nguva yekuzvarwa:Kana paine matambudziko, une mukana wakakura wekusununguka nguva isati yakwana, sezvo chiremba wako angasarudza kuti kubereka ndiyo nzira yakachengeteka kunyangwe usati wasvika nguva yakakwana yekusununguka.
• Kuzvara mwana akafa: Kumbova nechirwere cheshuga panguva yekuzvitakura kunogona kuwedzera njodzi yekuzvarwa mwana akafa.

Mushure mekuzvarwa, mwana wako anenge ari panjodzi huru yekurwara nezvimwe zvirwere. Kunyange hazvo vanhu vazhinji vane chirwere cheshuga vachibereka vana vane hutano hwakanaka, pane njodzi yakakura zvishoma yeizvi:

• Kuderera kweshuga muropa mushure mekusununguka
• Matambudziko ekufema
• Jaundice

Kana mwana wako aine chero chezvinetso izvi, angangoda kurapwa muNICU ( neonatal intensive care unit).

Vana vanozvarwa nevanhu vane chirwere cheshuga vanogonawo kuva nedambudziko rekufuta mushure memakore avo ekuberekwa.

Matambudziko anogona kukukanganisa

Kuva nechirwere cheshuga panguva yekuzvitakura kunogona kuwedzera njodzi ye:

• Preeclampsia: Preeclampsia chirwere chinoratidzwa neBP yakakwira uye mapuroteni muweti. Chirwere cheshuga ndicho chinhu chikuru chinokonzera preeclampsia. Kuti uderedze njodzi ye preeclampsia, chiremba wako anogona kukurudzira kutora aspirin shoma mushure memavhiki gumi nemaviri ekuzvitakura.
• Kudiwa kwekuvhiyiwa kwemwana ('C-section'): Chikonzero chikuru cheizvi injodzi yekuti mwana azvarwe akakura zvakanyanya.
• Shuga shoma muropa: Nekuti uri kuedza kuchengetedza huwandu hweshuga muropa rako huri muchikamu chidiki, uri panjodzi yakakura yekuwedzera huwandu hweshuga muropa kakawanda uye/kana hwakanyanya kuderera.
• Ketoacidosis inokonzerwa nechirwere cheshuga (DKA): Uri panjodzi huru yekubatwa neDKA panguva yekuzvitakura nekuda kwekuwedzera kwekusakwanisa kuita insulin mumuviri. Kurutsa nekuda kwekusanzwa zvakanaka mangwanani kunogonawo kukonzera DKA.
• Matambudziko ane chekuita nechirwere cheshuga: Kubata pamuviri kunogona kuwedzera kana kukonzera matambudziko matsva echirwere cheshuga (akadai se retinopathy, nephropathy, uye neuropathy).

Chirwere cheshuga chinokanganisa sei kusununguka uye kubereka?

Kazhinji, vanachiremba vanokurudzira vakadzi vane pamuviri vane chirwere cheshuga kuti vapihwe mushonga wekudzikisa dumbu ('scheduled induction') zvichienderana nezvinhu zvakati wandei, asi zvinowanzoitika pamavhiki makumi matatu nemapfumbamwe ekuzvitakura kana kuti asati asvika. Munhu wese nepamuviri pese zvakasiyana. Iwe nachiremba wako muchasarudza pamwe chete kuti chii chakakunakirai.

Nekuda kwekuchinja kwemahormone nemuviri panguva yekusununguka, huwandu hweshuga muropa rako hunogona kukwira kana kudzika - zvakaoma kutaura chokwadi. Zvichienderana nemutemo wako wechiremba nechipatara, unogona kukwanisa kuzvibata wega ne insulin pump kana jekiseni panguva yekusununguka nekusununguka, kana kuti ungangoda IV insulin drip.

Mushure mekunge placenta yabviswa, kuda kwako insulin kunodzikira zvakanyanya - kazhinji kusvika padanho rakaenzana nerawakanga usati wabata pamuviri kana kutodzikira. Taura nachiremba wako nezvekugadzira hurongwa hwekugadzirisa chirongwa chako chekurapa chirwere cheshuga mushure mekusununguka.

Ndingabata sei nekuchinja kunokonzerwa nechirwere cheshuga nepamuviri?

Chirwere cheshuga nepamuviri zvinogona kuunza matambudziko matsva. Pamuviri pako panogona kunge kwakasiyana nezvawaitarisira, uye ungave nemibvunzo nezvehurongwa hwako hwekutarisira chirwere cheshuga. Kunyange zvazvo rwendo rwemunhu wese rwakasiyana, chero ani zvake ane chirwere cheshuga anogona kutevedzera mazano aya kuti aite kuti ruzivo rwake ruve rwakanaka sezvinobvira paanova nepamuviri:

• Tarisa huwandu hweshuga muropa rako nguva nenguva (sezvawakarairwa nachiremba wako).
• Chengeta huwandu hweshuga muropa rako huri mukati mehuwandu hwaunoda.
• Tevedzera mirairo yachiremba wako nezve insulin, mishonga, uye mamwe marapirwo.
• Endai kukiriniki yenyu yekusununguka uye kunoongororwa vana vasati vaberekwa.
• Ramba uchiita maekisesaizi. Taura nachiremba wako nezvedanho remaekisesaizi ako uye kana uchida kuchichinja.
• Idya chikafu chine hutano uye chakakwana uye zvekudya zvinonaka.
• Dzivisa zvinwiwa zvine doro nezvinobva mufodya.
• Chengetedza hutano hwepfungwa dzako. Zvakajairika kunzwa kushushikana panguva iyi. Usatya kutaura nezvazvo uye kukumbira rubatsiro.

Ndinofanira kuona chiremba wangu rini?

Kana uine chirwere cheshuga uye ukaona chimwe chezvinhu izvi, taura nechiremba wako wepamuviri:

• Kana usingakwanise kuchengetedza huwandu hweshuga muropa rako huri pakati pezvinodiwa pasinei nekuedza kwako kwese. (Kana hwakaderera zvakanyanya kana kuti hwakakwira zvakanyanya.)
• Kana huwandu hweshuga muropa rako hukawedzera kana kuchinja kamwe kamwe nekuda kwezvikonzero zvausinganzwisise.
• Kana uchinzwa sekuti mwana ari mudumbu haasi kufamba zvakanyanya.
• Kana uine mvura kana ropa rinobuda munhengo yako yesikarudzi.
• Kana usina kuona zvakanaka kana kuti une nyota yakawandisa.
• Hazvina mhosva kana uchirutsa, hazvina mhosva kana usingakwanise kuramba uchidya chikafu nechinwiwa.

Yeuka, zviri nani kugara wakachengeteka pane kuzvidemba nekubvunza mibvunzo. Kuwedzera pakuzvidya mwoyo nezvepamuviri, kunetseka nezvekurapa chirwere cheshuga kunogona kunetsa. Usafungidzire manzwiro ako kana kusaateerera - taura nachiremba wako kuti akutungamirire.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

Kana uine chirwere cheshuga uye wava nepamuviri, ungada kubvunza chiremba wako nezvezvinhu izvi:

• Ndinofanira kuongorora huwandu hweshuga muropa rangu kangani?
• Chinangwa changu chinofanira kunge chiri chei?
• Ndezvipi zvinetso zvinogona kuitika kana huwandu hweshuga muropa rangu hukasachengetwa mukati mehuwandu hwakatarwa?
• Ndichafanira kuchinja madhigirii angu e insulin here?
• Ndorega here kana kuti ndotanga mimwe mishonga?
• Munokurudzira kuchinja mararamiro enyu here?
• Ndichafanira kuuya kangani kuzotevera?
• Ndichafanira kutanga ndatanga here?

Vanhu vane chirwere cheshuga cherudzi rwekutanga vanogona kuva nevana vane hutano here?

Ehe, vanhu vazhinji vane chirwere cheshuga cheType 1 (uye chirwere cheshuga cheType 2) vane vana vane hutano hwakanaka. Kutarisira huwandu hweshuga muropa rako uye kuramba uchitaurirana nechikwata chako chekurapa ndizvo zvinhu zvikuru zvinoita kuti uve nepamuviri pakanaka.

Kurapa chirwere cheshuga panguva yekuzvitakura kunogona kuoma zvikuru, kunyangwe kune avo vakararama nechirwere cheshuga kwemakumi emakore. Kuchengetedza huwandu hweshuga muropa rako huri muhuwandu hwakanaka paunenge uine pamuviri kunogona kuomera mupfungwa nemumuviri. Asi nerutsigiro rwakakodzera uye hurongwa hwekutarisira chirwere cheshuga, unogona kukunda matambudziko anokonzerwa nechirwere cheshuga pakuzvitakura.

Ramba uchitaurirana nechikwata chako chekurapa. Vaudze kana uri panguva yakaoma. Muzviitiko zvese izvi, tarisa pachiedza chiri kumagumo kwemugero - kusangana nemwana wako.

Mharidzo yekupedzisira yekudzokera nayo kumba

Zvakanaka, kubva pane zvatataura nezvazvo, unofanira kutaura pachena nezvekuva nepamuviri une chirwere cheshuga. Hapana chikonzero chekutya, asi unofanira kungwarira.

• Ronga pachine nguva: Kana uri kufunga nezvekuva nemwana, tsvaga rubatsiro rwechiremba pachine mwedzi yakati wandei.
• Kudzora shuga muropa: Edza nepaunogona napo kuchengetedza huwandu hweshuga muropa rako huri mukati mezvinangwa zvawakarongerwa nachiremba panguva yako yese yekuzvitakura. Zvinhu zvakaita se 'CGM' zvinogona kubatsira neizvi.
• Shandai pamwe chete nechikwata chekurapa: taurai navo nguva dzose, bvunzai mibvunzo, uye taurai manzwiro enyu.
• Mararamiro ane hutano: kudya zvakanaka, kurovedza muviri kana zvichidikanwa (sezvakataurwa nachiremba), uye kugara zvakanaka kwepfungwa zvakakosha zvikuru.

Yeuka, kunyangwe uine chirwere cheshuga, kana uchitarisirwa zvakanaka uye uchitarisirwa nachiremba, iwewo unogona kuunza mwana ane hutano uye anofara munyika ino. Dai wawana simba neushingi zvaunoda kuti uite izvozvo!

Chirwere cheshuga, pamuviri, shuga muropa, insulin, kubereka, matambudziko, mwana ane hutano