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ʻO ka hoʻāʻo paʻakikī glucose he mea hana nānā e nānā ana i ke ʻano o kou kino e mālama ai i ke kō, ʻoiai i ka wā hāpai. Kōkua kēia hoʻāʻo koko maʻalahi i nā kauka e ʻike i ka maʻi diabetes gestational, kahi maʻi e piʻi ai nā pae kō i ke koko i ka wā hāpai.
E noʻonoʻo iā ia ma ke ʻano he ala no kāu hui mālama ola e nānā i loko a ʻike i ka maikaʻi o kou kino e mālama nei i ka glucose. He hana maʻamau ka hoʻāʻo, palekana, a hāʻawi i ka ʻike waiwai e pili ana i kou olakino a me ke olakino o kāu pēpē.
Ana ka hoʻāʻo paʻakikī glucose i ke ʻano o ka pane ʻana o kou kō i ke koko ma hope o ka inu ʻana i kahi mea inu glucose ʻono. E inu ʻoe i kahi mea inu sugary kūikawā, a laila e unuhi ʻia kou koko i hoʻokahi hola ma hope e nānā i kāu pae glucose.
Kapa ʻia kēia hoʻāʻo ʻo ka hoʻāʻo nānā glucose a i ʻole ka hoʻāʻo glucose hoʻokahi hola. Ua hoʻolālā ʻia e hopu i nā pilikia hiki ke hiki i ka wā mua, i ka wā e hiki ai ke mālama ʻia. He mea nui ka hoʻāʻo i ka wā hāpai no ka mea hiki i nā loli hormonal ke hoʻopilikia i ke ʻano o kou kino e hana ai i ke kō.
Manaʻo ka hapa nui o nā mea mālama ola i kēia hoʻāʻo ma waena o 24 a me 28 mau pule o ka hāpai ʻana. Eia naʻe, inā he mau mea pilikia kāu no ka maʻi diabetes gestational, hiki i kāu kauka ke ʻōlelo aku i ka hoʻāʻo ʻana ma mua o kou hāpai ʻana.
ʻO ke kumu nui e nānā ai i ka maʻi diabetes gestational, kahi maʻi e pili ana i ka 6-9% o nā hāpai ʻana. Hiki mai ka maʻi diabetes gestational i ka wā e paʻakikī ai nā hormones hāpai i kou kino e hoʻohana pono i ka insulin, e alakaʻi ana i nā pae kō kiʻekiʻe i ke koko.
He mea nui ka ʻike mua ʻana no ka mea hiki i ka maʻi diabetes gestational i mālama ʻole ʻia ke hoʻopilikia iā ʻoe a me kāu pēpē. No ʻoe, hoʻonui ia i ka pilikia o ke koko kiʻekiʻe, preeclampsia, a me ka hoʻomohala ʻana i ka maʻi diabetes type 2 ma hope o ke ola.
No kāu pēpē, hiki i ke kō koko ʻaʻole i mālama ʻia ke alakaʻi i ka ulu nui ʻana, nā pilikia hanu i ka wā hānau, a me ke kō koko haʻahaʻa ma hope o ka hānau ʻana. ʻO ka lono maikaʻi, me ka mālama pono ʻana, nui ka poʻe wahine me ka maʻi diabetes gestational i nā hāpai olakino a me nā pēpē olakino.
Ma waho aʻe o ka hāpai ʻana, hiki i kēia hoʻokolohua ke kōkua i ka ʻike ʻana i ka prediabetes a i ʻole ka maʻi diabetes type 2 i nā kānaka ʻaʻole hāpai. Hiki i kāu kauka ke ʻōlelo aku iā ia inā he mau hōʻailona kou e like me ka make wai nui, ka mimi pinepine ʻana, a i ʻole ka luhi ʻole.
Hoʻomaka ka hoʻokolohua me ka inu ʻana i kahi hopena glucose i loaʻa i 50 grams o ke kō. He ʻalani a lemon paha ka ʻono o kēia mea inu a he ʻono loa, e like me ka mea inu palupalu sugary loa.
Pono ʻoe e hoʻopau i ka inu holoʻokoʻa i loko o ʻelima mau minuke. Ma hope o ka inu ʻana, e kali ʻoe i hoʻokahi hola ma mua o ka lawe ʻia ʻana o kou koko. I loko o kēia manawa kali, he mea nui e noho ma ke keʻena lapaʻau a i ʻole kokoke, no ka mea, he mea nui ka manawa no nā hopena pololei.
He wikiwiki a maʻalahi ka lawe ʻana i ke koko. E hoʻokomo kahi loea mālama ola i kahi nila liʻiliʻi i loko o kahi vein i kou lima e hōʻiliʻili i kahi laʻana koko. ʻO ke kaʻina holoʻokoʻa, mai ka inu ʻana i ka hopena a hiki i ka lawe ʻia ʻana o kou koko, e lawe ana ma kahi o hoʻokahi hola a me ka ʻumikūmālima mau minuke.
Manaʻo kekahi mau wahine i ka nausea iki ma hope o ka inu ʻana i ka hopena glucose, ʻoiai inā e ʻike mua ana lākou i ka nausea e pili ana i ka hāpai ʻana. Hele maʻamau kēia manaʻo i loko o 30 mau minuke a he mea maʻamau loa.
ʻO kekahi o nā mea maʻalahi o kēia hoʻokolohua ʻaʻole pono ʻoe e hoʻokē ʻai ma mua. Hiki iā ʻoe ke ʻai a inu maʻamau ma mua o kāu manawa, e maʻalahi ai ka hoʻonohonoho ʻana.
Eia naʻe, he mea naʻauao ke pale i ka ʻai ʻana i ka ʻai nui a i ʻole ka ʻai ʻana i nā mea nui o ke kō ma mua pono o ka hoʻokolohua. He maikaʻi loa ka ʻaina kakahiaka a i ʻole ka ʻaina awakea, akā ʻo ka haʻalele ʻana i kēlā donut ʻono loa e kōkua iā ʻoe e ʻoluʻolu.
E manaʻo e noho ma ke keʻena lapaʻau no kahi hola a me ka hapalua. E lawe mai i kekahi mea e mālama iā ʻoe i ka wā e kali ana, e like me ka puke, makasina, a i ʻole kāu kelepona. Manaʻo kekahi mau wahine he mea kōkua ke lawe mai i kahi meaʻai māmā ma hope o ka hoʻāʻo ʻana, ʻoiai inā lākou e manaʻo iki ana.
E ʻaʻahu i nā lole ʻoluʻolu me nā lima e hiki ke ʻōwili maʻalahi ʻia no ka huki koko. Inā maʻa ʻoe i ka manaʻo ʻana i ka nāwaliwali i ka wā e huki ai i ke koko, e haʻi i kāu mea mālama ola ma mua i hiki iā lākou ke hana i nā hana hou.
ʻO nā hopena maʻamau e hāʻule ma lalo o 140 mg/dL (7.8 mmol/L) hoʻokahi hola ma hope o ka inu ʻana i ka glucose solution. Inā aia kāu hopena i kēia pae, ua hala ʻoe i ka screening a ʻaʻole paha he maʻi diabetes gestational.
ʻO nā hopena ma waena o 140-199 mg/dL (7.8-11.0 mmol/L) i manaʻo ʻia he kiʻekiʻe a pono pinepine i ka hoʻāʻo ʻana. ʻAʻole kēia manaʻo he maʻi diabetes gestational kāu, akā hōʻike ia i ka pono no kahi hoʻāʻo hoʻomanawanui glucose ʻekolu hola.
ʻO nā hopena o 200 mg/dL (11.1 mmol/L) a i ʻole ke kiʻekiʻe i manaʻo ʻia he kiʻekiʻe loa. I kēia mau hihia, e ʻike paha kāu kauka i ka maʻi diabetes gestational me ka ʻole e koi i ka hoʻāʻo hou ʻana, akā e ʻōlelo paha lākou i ka hoʻāʻo ʻekolu hola no ka hōʻoia.
He mea nui e hoʻomanaʻo he hoʻāʻo screening kēia, ʻaʻole he hoʻāʻo diagnostic. ʻAʻole ʻo ka hopena maʻamau ke manaʻo ʻoe he maʻi diabetes gestational, akā ʻo ia hoʻi, pono ʻoe i ka loiloi hou e hōʻoia.
Inā kiʻekiʻe nā hopena o kāu hoʻāʻo glucose challenge, e neʻe ka manaʻo i ka mālama ʻana i kāu pae kō koko ma mua o ka
ʻO nā hoʻololi ʻana i ka meaʻai ke kumu o ka mālama ʻana. ʻO ia hoʻi ka ʻai ʻana i nā meaʻai maʻamau a kaulike e komo pū ana me nā protein lean, nā carbohydrates paʻakikī, a me nā mea kanu he nui. Hiki i ka hana pū ʻana me kahi meaʻai meaʻai i hoʻopaʻa inoa ʻia ke kōkua iā ʻoe e hana i kahi hoʻolālā meaʻai e mālama i kou kōpaʻa koko i ke kūpaʻa ʻoiai e hāʻawi ana i ka meaʻai kūpono no ʻoe a me kāu pēpē.
Hiki i ka hoʻoikaika kino maʻamau a me ka maʻalahi ke kōkua nui i kou kino e hoʻohana i ka insulin me ka ʻoi aku ka maikaʻi. ʻOiai he 20-30 mau minuke hele wāwae ma hope o nā meaʻai hiki ke hana i kahi ʻokoʻa nui i kou pae kōpaʻa koko. ʻO ka ʻauʻau ʻana, ka yoga prenatal, a me ka holo kaʻa paʻa he mau koho maikaʻi loa i ka wā hāpai.
Lilo ka nānā ʻana i ke kōpaʻa koko i kahi ʻāpana nui o kāu hana maʻamau i kēlā me kēia lā. E nānā paha ʻoe i kāu mau pae ʻehā manawa i ka lā: i ke kakahiaka mua a me hoʻokahi a ʻelua paha hola ma hope o kēlā me kēia meaʻai. Kōkua kēia iā ʻoe a me kāu hui mālama ola e hoʻomaopopo i ke ʻano o nā meaʻai a me nā hana like ʻole e pili ana i kou kōpaʻa koko.
I kekahi mau hihia, ʻaʻole lawa nā loli ola wale nō e mālama i nā pae kōpaʻa koko olakino. Inā ʻaʻole e lawe mai nā hoʻololi meaʻai a me ka hoʻoikaika kino i kāu mau pae i ka pae i manaʻo ʻia, hiki i kāu kauka ke ʻōlelo aku i nā injections insulin. He palekana ka insulin hou i ka wā hāpai a ʻaʻole ia e hele i ka placenta e pili i kāu pēpē.
ʻO ka hopena kūpono he pae kōpaʻa koko ma lalo o 140 mg/dL (7.8 mmol/L) hoʻokahi hola ma hope o ka inu ʻana i ka hopena glucose. Hōʻike kēia i ka hana maʻamau a me ka maikaʻi o kou kino i ke kō.
Eia naʻe, ʻaʻole pono ka
No nā wāhine hāpai, ʻokoʻa iki nā pae kō koko i manaʻo ʻia ma mua o nā kānaka ʻaʻole hāpai. E hoʻohana ana kāu mea mālama ola i nā pae kūpono no ka hāpai ʻana e wehewehe i kāu mau hopena a e hoʻoholo inā pono ka hoʻāʻo hou ʻana a i ʻole ka mālama ʻana.
E hoʻomanaʻo ʻaʻole hoʻoholo hoʻokahi hopena hoʻāʻo i kou olakino holoʻokoʻa. Inā he hopena maʻamau ʻole kāu, he hōʻailona wale nō ia e pono ai ʻoe i ka nānā hou ʻana a me kekahi mau hoʻoponopono ola e mālama ai iā ʻoe a me kāu pēpē i ke olakino.
Hiki i kekahi mau mea ke hoʻonui i kou hiki ke loaʻa i nā pae kō koko kiʻekiʻe i ka wā hāpai. ʻO ka hoʻomaopopo ʻana i kēia mau mea pilikia e kōkua iā ʻoe a me kāu hui mālama ola e makaʻala a e hana i nā hana pale ke hiki.
Eia nā mea pilikia maʻamau e ʻike ai:
ʻO ka loaʻa ʻana o hoʻokahi a ʻoi aku paha nā mea pilikia ʻaʻole ia e hōʻoiaʻiʻo e loaʻa iā ʻoe ka maʻi diabetes gestational, akā ʻo ia hoʻi e nānā pono kāu mea mālama ola iā ʻoe. ʻO ka mālama mua a me ka maʻamau prenatal e kōkua i ka hopu ʻana i nā pilikia ma mua o ka lilo ʻana i mau pilikia koʻikoʻi.
ʻAʻole maikaʻi nā hopena kiʻekiʻe loa a haʻahaʻa loa paha. ʻO ka pahuhopu, ʻo ia ke loaʻa i kāu kō koko i loko o ka pae maʻamau, e hōʻike ana i ka metabolism glucose olakino.
ʻO ka hopena maʻamau ma lalo o 140 mg/dL ka mea āu e makemake ai e ʻike. Hōʻike kēia i ka hana pono ʻana o kou kino i ka pilikia glucose a me ka mālama ʻana i nā pae kō koko paʻa. He mea hōʻoluʻolu ia no ʻoe a me kāu hui mālama ola.
Hōʻike nā hopena kiʻekiʻe ma luna o 140 mg/dL e pilikia ana paha kou kino i ka mālama ʻana i ka ukana glucose, e hōʻailona ana paha i ka maʻi diabetes gestational. ʻOiai e koi ana kēia i ka nānā a me ka mālama ʻana, he mea nui e ʻike me ka mālama kūpono, ʻo ka hapa nui o nā wahine me ka maʻi diabetes gestational he hāpai olakino.
ʻO nā hopena haʻahaʻa loa, ʻoiai ʻaʻole maʻamau, hiki i kekahi manawa ke hōʻike i nā pilikia ʻē aʻe e like me ka hypoglycemia a i ʻole kekahi mau maʻi metabolic. E loiloi kāu mea mālama ola i nā hopena maʻamau ʻole i ka pōʻaiapili o kou olakino a me nā hōʻailona.
Hiki i nā hopena hoʻāʻo pilikia glucose kiʻekiʻe e hōʻike ana i ka maʻi diabetes gestational ke alakaʻi i nā pilikia he nui inā ʻaʻole i mālama ʻia. Eia naʻe, me ka mālama kūpono, hiki ke pale ʻia a i ʻole e hōʻemi nui ʻia ka hapa nui o kēia mau pilikia.
No ʻoe ma ke ʻano he makuahine, nā pilikia hiki ke loaʻa:
No kāu pēpē, hiki i ka maʻi diabetes gestational i mālama ʻole ʻia ke kumu:
ʻO ka nūhou hoʻoikaika, me ka nānā pono a me ka mālama ʻana, hiki ke pale ʻia kēia mau pilikia. ʻO ka hapa nui o nā wahine me ka maʻi diabetes gestational i mālama maikaʻi ʻia e loaʻa nā hāpai olakino a me nā pēpē olakino.
ʻAʻole maʻamau nā hopena hoʻāʻo glucose haʻahaʻa a ʻaʻole hopohopo pinepine ma mua o nā hopena kiʻekiʻe. Eia naʻe, hiki i nā pae kōpaʻa koko haʻahaʻa loa ke hōʻike i nā pilikia olakino e pono ai ka nānā ʻana.
ʻO nā kumu hiki ke loaʻa o nā hopena haʻahaʻa ʻokoʻa:
ʻO nā hōʻailona o ke kōpaʻa koko haʻahaʻa i ka wā a i ʻole ma hope o ka hoʻāʻo ʻana e komo paha i ka dizziness, ka haʻalulu, ka hou, ka huikau, a i ʻole ka manaʻo nāwaliwali. Inā ʻike ʻoe i kēia mau hōʻailona, e haʻi koke i kāu mea mālama ola.
ʻAʻole hōʻike ka hapa nui o nā hihia o nā hopena haʻahaʻa i nā pilikia koʻikoʻi a hiki ke hōʻike wale i nā ʻokoʻa pilikino i ka metabolism. E loiloi kāu mea mālama ola i kāu mau hopena me kāu mau hōʻailona a me ka mōʻaukala olakino e hoʻoholo ai inā pono ka nānā ʻana.
Pono ʻoe e kelepona koke i kāu mea mālama ola inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi i ka wā a ma hope paha o ka hoʻokolohua. Aia kēia i ka nausea a me ka luaʻi mau, ka wili nui, ka ʻūlū, a i ʻole nā hōʻailona e hopohopo ai ʻoe.
Inā he maʻamau ʻole kāu hopena hoʻokolohua, e kelepona maʻamau kāu kauka iā ʻoe i loko o kekahi mau lā e kūkākūkā i nā hana aʻe. Mai kali lākou e kelepona inā hopohopo ʻoe e pili ana i kāu hopena - kūpono loa ke kelepona a nīnau e pili ana i kāu hopena a me ke ʻano o lākou.
E hoʻonohonoho i kahi manawa e hahai ai inā ua ʻike ʻia ʻoe me ka maʻi diabetes gestational. ʻAʻole kēia he mea e mālama ai iā ʻoe iho - pono ʻoe i ka nānā mau ʻana a me nā hoʻololi ʻana i kāu hoʻolālā lapaʻau i ka wā o kou hāpai ʻana.
E ʻimi koke i ka lāʻau lapaʻau inā loaʻa iā ʻoe nā hōʻailona o ke kō koko kiʻekiʻe loa, e like me ka make wai nui, ka mimi pinepine ʻana, ka ʻike pohihihi, a i ʻole ka luhi mau. Pono kēia mau hōʻailona, ʻoiai inā he koʻikoʻi a i ʻole e ʻinoʻino ana, i ka loiloi olakino wikiwiki.
E hoʻomanaʻo he maʻi hiki ke mālama ʻia ka maʻi diabetes gestational me ka mālama olakino kūpono. Aia kāu hui mālama ola e kākoʻo iā ʻoe ma kēia kaʻina hana a hōʻoia i nā hopena maikaʻi loa no ʻoe a me kāu pēpē.
He mea hana screening hilinaʻi ka hoʻokolohua glucose challenge e ʻike pololei ana ma kahi o 80% o nā wahine me ka maʻi diabetes gestational. Ua hoʻolālā ʻia e hopu i ka hapa nui o nā hihia i ka wā e pale ai i ka hoʻāʻo ʻana i ka wā e pono ʻole ai no nā wahine ʻaʻole i loaʻa ke kūlana.
Eia naʻe, he mea nui e hoʻomaopopo he hoʻokolohua screening kēia, ʻaʻole he hoʻokolohua diagnostic. Inā he maʻamau ʻole kāu hopena, pono ʻoe i ka hoʻāʻo hou ʻana e hōʻoia inā loaʻa maoli iā ʻoe ka maʻi diabetes gestational. ʻO ka hoʻokolohua ʻana i ka glucose tolerance ʻekolu hola ke kūlana gula no ka hōʻoia.
ʻAʻole, ʻaʻole ia he manaʻo maʻalahi ka hopena hoʻāʻo glucose kiʻekiʻe e loaʻa ana iā ʻoe ka maʻi diabetes gestational. Ma kahi o 15-20% o nā wahine hāpai e loaʻa ana i kahi hoʻāʻo screening maʻamau ʻole, akā ma kahi o 3-5% wale nō ka maʻi diabetes gestational.
Nui nā mea e hiki ke hoʻoulu i ka hopena i hoʻokiʻekiʻe ʻia no ka manawa, me ke koʻikoʻi, ka maʻi, kekahi mau lāʻau lapaʻau, a i ʻole ka mea āu i ʻai ai ma mua o ka hoʻāʻo. ʻO ia ke kumu e pono ai nā hoʻāʻo hou e hōʻoia i ka maʻi.
Ma keʻano maʻamau, ʻaʻole ʻoe e hana hou i ka hoʻāʻo glucose challenge like. Ma kahi, e ʻōlelo aku kāu mea mālama ola i ka hoʻāʻo hoʻomanawanui glucose ʻekolu hola e loaʻa ai kahi maʻi maopopo.
ʻO ka hoʻāʻo ʻekolu hola e pili ana i ka hoʻokē ʻai ʻana i ka pō, a laila inu i ka hopena glucose a me ka huki ʻana i ke koko i nā manawa he nui i loko o ʻekolu hola. Hāʻawi kēia hoʻāʻo i kahi kiʻi piha o ke ʻano o kou kino e mālama ai i ka glucose a hāʻawi i kahi pane maopopo e pili ana i ka maʻi diabetes gestational.
Inā ʻoe e luaʻi i loko o hoʻokahi hola o ka inu ʻana i ka hopena glucose, pono ʻoe e hoʻonohonoho hou a hana hou i ka hoʻāʻo. He mea nui ka manawa no nā hopena pololei, no laila inā ʻaʻole hiki iā ʻoe ke mālama i ka inu i lalo, ʻaʻole kūpono ka hoʻāʻo.
E hōʻike i kāu mea mālama ola inā ʻoe e ʻike nei i ka maʻi kakahiaka nui. Hiki iā lākou ke hoʻonohonoho i kāu hoʻāʻo no ka manawa o ka lā ke manaʻo maikaʻi ʻoe, a i ʻole e ʻōlelo lākou i ka lāʻau anti-nausea ma mua o ka hoʻāʻo.
ʻAe, aia nā ala ʻē aʻe, ʻoiai ʻaʻole lākou i hoʻohana pinepine ʻia. Hiki i kekahi poʻe mālama ola ke hoʻohana i ka hoʻāʻo hemoglobin A1C, e ana ana i ke kō koko maʻamau i nā mahina 2-3 i hala, a i ʻole ka hoʻāʻo glucose hoʻokē ʻai.
ʻO kekahi koho ʻē aʻe, ʻo ia ka nānā ʻana i ke kō o kou koko ma ka home no hoʻokahi pule, e nānā ana i nā pae ke ala ʻoe a ma hope o nā mea ʻai. Eia naʻe, ʻo ka hoʻāʻo ʻana i ka glucose challenge ka hana maʻamau no ka nānā ʻana no ka mea he mea hilinaʻi, maʻamau, a loaʻa ākea.
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