Chii Chinonzi Gestational Diabetes? Zviratidzo, Zvinokonzera, & Kurapa

Gestational diabetes rudzi rwechirwere cheshuga runouya panguva yekuzvitakura uye kazhinji runopera mushure mekunge mwana aberekwa. Inoitika kana muviri wako usingakwanisi kugadzira insulin yakakwana kuti ibate shuga yakawanda (glucose) inouya nekukura kwemwana.

Iyi chirwere chinotapura vanenge 2 kusvika ku10 muzana vevakadzi vane pamuviri gore rega rega. Kunyange zvazvo zvinganzwa zvichitya, nhau dzakanaka ndeyekuti nekutarisirwa kwakanaka nekuongororwa, vakadzi vazhinji vane gestational diabetes vane pamuviri utano nemwana ane utano.

Chii Chinonzi Gestational Diabetes?

Gestational diabetes inoitika kana mahomoni ekukura kwemwana aita kuti muviri wako usashandise insulin zvakanaka. Insulin ihormone inobatsira kutakura shuga kubva muropa kuenda kumasero kuti ave simba.

Panguva yekuzvitakura, placenta yako inogadzira mahomoni anobatsira mwana wako kukura. Zvisinei, aya mahomoni anogona kudzivirira insulin kubva kuita basa rayo zvakanaka. Izvi zvinonzi insulin resistance, uye zvakajairika kusvika padanho rekuzvitakura.

Kune vakadzi vazhinji, pancreas inogona kugadzira insulin yakawanda kuti ikunde iyi resistance. Asi kana muviri wako usingakwanisi kubata nekukura kwekuda insulin, mazinga eshuga muropa anokwira, zvichiita kuti pave ne gestational diabetes.

Chirwere ichi chinowanzoitika pakati pevhiki rechi24 kusvika ku28 rekuzvitakura. Iyi nguva haisi yezvachose - ndiyo nguva iyo mahomoni ekukura kwemwana ari pakakwirira uye mwana wako ari kukura nekukurumidza.

Ndeapi Zviratidzo zveGestational Diabetes?

Vakadzi vazhinji vane gestational diabetes havaoni zviratidzo zvakajeka. Ndosaka kuongororwa nguva nenguva panguva yekuzvitakura kwakakosha - ungasaziva kuti une chirwere ichi pasina kuongororwa.

Kana zviratidzo zvikaonekwa, kazhinji zvinenge zvishoma uye zvinogona kunyengerera sekushanduka kwekuzvitakura kwakajairika. Heano mamwe mazviratidzo ekucherechedza:

• Nyota yakawanda isingaperi
• Kuenda kuchimbuzi kazhinji kupfuura zvakajairika panguva yekuzvitakura
• Kuneta kwakanyanya kupfuura kuneta kwakajairika panguva yekuzvitakura
• Kuona kusapfava kana kushanduka kwekuona
• Kuorera kazhinji, kunyanya kuora kwemafungu kana urinary tract infections
• Kusvotwa nechando kunodzoka mushure mekutanga trimester

Aya mazviratidzo anogona kuva asinganzwisisiki uye anouya zvishoma nezvishoma. Vakadzi vazhinji vanovadzinga sekutambudzika kwakajairika panguva yekuzvitakura, izvo zvinonzwisisika.

Chii Chinokonzera Gestational Diabetes?

Gestational diabetes inoitika kana muviri wako usingakwanisi kugadzira insulin yakakwana kuti isangane nezvinodiwa zvakawanda zvekuzvitakura. Chikonzero chikuru chiri mukushanda kwemahomoni ekukura kwemwana pamuviri wako pakubata shuga.

Panguva yekuzvitakura, placenta yako inogadzira mahomoni akawanda anosanganisira human placental lactogen, cortisol, uye estrogen. Aya mahomoni akakosha pakukura kwemwana wako, asi anoitawo kuti masero ako asashande zvakanaka ne insulin.

Fungidzira seizvi: muviri wako unoda insulin yakawanda kaviri kana katatu panguva yekuzvitakura kupfuura usati wazvitakura. Kana pancreas yako isingakwanisi kubata nekukura kwekuda insulin, glucose inoungana muropa rako panzvimbo yekupinda mumasero ako.

Mwana wako anobatanidzwawo mune iyi nzira. Sezvo mwana wako achikura, kunyanya panguva yechipiri nechechitatu trimester, placenta inogadzira mahomoni akawanda, zvichiita kuti insulin resistance ive yakasimba zvakanyanya.

Zvakakosha kunzwisisa kuti gestational diabetes haina kukonzerwa nekudya shuga yakawanda kana chimwe chinhu chawakaita chisina kunaka. Iyo mhinduro yemukati kumahomoni ekushanduka kwekuzvitakura ayo vamwe vakadzi vanonzwa zvakanyanya kupfuura vamwe.

Rini Unofanira Kuona Chiremba Nekuda kweGestational Diabetes?

Unofanira kubata nechiremba wako nekukurumidza kana ukaona zviratidzo zvakawanda senge nyota yakawanda, kuenda kuchimbuzi kazhinji, kana kuneta kwakanyanya panguva yekuzvitakura. Usamirire kusvika pakuzvitakura kwako kunotevera kana aya mazviratidzo achikunetsa.

Kutarisirwa kwakajairika kwekuzvitakura kunosanganisira kuongororwa kwe gestational diabetes, kazhinji pakati pevhiki rechi24 ne28 rekuzvitakura. Zvisinei, vamwe vakadzi vangada kuongororwa kare kana vane zvinokonzera njodzi.

Fonera chiremba wako nekukurumidza kana ukaona zviratidzo zvakakomba senge kusvotwa kwenguva refu, zviratidzo zvekushaya mvura mumuviri, kana kushanduka kukuru kwekuona. Izvi zvinogona kuratidza kuti mazinga eshuga muropa rako ari pamusoro zvakanyanya.

Kana watoongororwa kuti une gestational diabetes, taura nechikwata chako chehutano kana uri kutambura nekudzora mazinga eshuga muropa rako kunyange uchitevera chirongwa chako chekurapa. Vanogona kuchinja nzira yako kuti ikwane nezvinodiwa zvako.

Ndeapi Zvinokonzera Njodzi dzeGestational Diabetes?

Zvinhu zvimwe zvinogona kuwedzera mukana wako wekuwana gestational diabetes, kunyange zvakakosha kuyeuka kuti kuva nezvinokonzera njodzi hazvirevi kuti uchawana chirwere ichi. Vakadzi vazhinji vane zvinokonzera njodzi vazhinji havawani gestational diabetes.

Kunzwisisa aya zvinokonzera njodzi kunogona kukubatsira iwe nemuongorori wako wehutano kuramba muri vakangwarira uye zvichida kubata chirwere ichi pakutanga:

• Kuva wakakora kana wakakora usati wazvitakura
• Kuva nemhuri ine nhoroondo yechirwere cheshuga, kunyanya muvabereki kana hama
• Kuva nemakore anopfuura 25, nenjodzi ichikwira nemakore
• Kuva wambova ne gestational diabetes mukuzvitakura kwakapfuura
• Kuva wambobereka mwana ane uremu hunopfuura mapaundi 9
• Kuva ne polycystic ovary syndrome (PCOS)
• Kuva nerudzi rwevanhu rwakati rinosanganisira Hispanic, African American, Native American, kana Asian
• Kuva neBP yakakwira kana chirwere chemwoyo
• Kuva nemhuri ine nhoroondo ye insulin resistance kana prediabetes

Mamwe mazano asingawanzoitika anosanganisira kuva wambova nekufa kwemwana asati aberekwa kana kupera kwepamuviri, kana kuva nemvura yakawanda yemwana (polyhydramnios) mukuzvitakura kwakapfuura. Aya mazano anoratidza kuti muviri wako ungave wakanga uine dambudziko rekudzora shuga muropa kare.

Kunyangwe usati uine chero chimwe chezvinokonzera njodzi izvi, unogona kuwana gestational diabetes. Ndosaka kuongororwa kwakajairika panguva yekuzvitakura kwakakosha.

Ndeapi Matambudziko Anogona Kuitika eGestational Diabetes?

Kunyangwe gestational diabetes ichigona kuita kuti pave nematambudziko, zvakakosha kuziva kuti nekudzora kwakanaka, vakadzi vazhinji nevana vanoita zvakanaka kwazvo. Kunzwisisa matambudziko anogona kuitika kunokubatsira kushanda nechikwata chako chehutano kuadzivirira.

Kune mwana wako, gestational diabetes isina kudzorwa inogona kukonzera matambudziko akawanda. Kunetseka kukuru ndiko macrosomia, zvinoreva kuti mwana wako anokura kupfuura zvakajairika nekuda kwe glucose yakawanda inopfuura placenta.

Heano matambudziko makuru anogona kukanganisa mwana wako:

• Uremu hwakawanda hwekuzvarwa (macrosomia), zvichiita kuti kubereka kuve kwakaoma
• Kuberekwa kwenguva isati yakwana nematambudziko ekufemba
• Shuga yakaderera muropa (hypoglycemia) mushure mekuberekwa
• Njodzi yakawanda yekuwana chirwere cheshuga chemarudzi maviri gare gare muhupenyu
• Kuwedzera mukana wekuzara kwemwana

Matambudziko kwauri semubereki anogona kusanganisira matambudziko eBP yakakwira senge preeclampsia, njodzi yakawanda yekubereka nekucheka, uye mukana wakawanda wekuwana chirwere cheshuga chemarudzi maviri gare gare muhupenyu.

Matambudziko asingawanzoitika asi akakomba evana anogona kusanganisira kufa kwemwana asati aberekwa, kunyange zvazvo izvi zvisingawanzoitika nekutarisirwa kwakanaka nekuzvidzora. Vamwe vana vangavewo nematambudziko ekufemba panguva yekuberekwa kana jaundice.

Nhau inofadza ndeyekuti kuchengetedza kudzora kwakanaka kweshuga muropa kunoderedza njodzi yezvose izvi matambudziko. Vakadzi vazhinji vane gestational diabetes yakadzorwa zvakanaka vane pamuviri yakajairika uye vana vane utano.

Gestational Diabetes Inogona Kudzivirirwa Sei?

Kunyangwe usingakwanisi kudzivirira gestational diabetes zvachose nekuda kwenhamba yemahomoni, unogona kutora matanho ekuderedza njodzi yako uye kuvandudza hutano hwako hwekuzvitakura. Chinhu chikuru ndechekuchengetedza mararamiro akazara usati wazvitakura uye panguva yekuzvitakura.

Kutanga kuzvitakura une uremu hwakanaka imwe ye nzira dzakanakisa dzekuderedza njodzi yako. Kana uri kuronga kuzvitakura, shanda nemuongorori wako wehutano kuti uwane uremu hwakanaka usati wazvitakura kuburikidza nekudya kwakazara uye kurovedza muviri nguva nenguva.

Panguva yekuzvitakura, tarisa pakudya kwakazara kwakapfuma mune zvokudya zvakakwana, miriwo, mapuroteni asina mafuta, uye makabhohaidhiretsi akapfuma. Dzivisa zvinwiwa zvine shuga nezvokudya zvakagadzirwa zvinogona kukonzera shuga yakawanda muropa.

Kurovedza muviri nguva nenguva, sezvakabvumidzwa nachiremba wako, kunogona kubatsira muviri wako kushandisa insulin zvakanaka. Kunyange mabasa ari nyore senge kufamba kwemaminitsi makumi matatu mazuva mazhinji kunogona kuita musiyano mukuru.

Kana wambova ne gestational diabetes kare, kuchengetedza mararamiro akazara pakati pekuzvitakura uye zvichida kurasikirwa neuremu kunogona kuderedza njodzi yekudzoka. Zvisinei, vamwe vakadzi vachawana zvakare pasinei nekuchinja mararamiro nekuda kwekuita kwemahomoni.

Gestational Diabetes Inooongororwa Sei?

Gestational diabetes inooongororwa kuburikidza nekuongororwa kweropa kunoyerera kuti muviri wako unobatsira sei shuga. Kuongororwa kwakajairika kunoitika pakati pevhiki rechi24 ne28 rekuzvitakura, kunyange vamwe vakadzi vangada kuongororwa kare.

Kuongororwa kwakajairika ndiko glucose challenge test, kwaunonwa mvura ine shuga uye ropa rako richatorwa mushure memaawa.

Kana mhinduro dze glucose challenge test dzako dzakakwira, uchada kuongororwa kwakazara kwe glucose tolerance. Kune iyi bvunzo, uchafamba usiku hwese, wobva wanwa mvura ine shuga uye ropa rako richatorwa panguva dzakatarwa kwemaawa maviri kusvika matatu.

Muongorori wako wehutano achaongorora gestational diabetes kana maviri kana kupfuura emhinduro dze glucose tolerance test dzako dziri pamusoro pemazinga akajairika. Nhamba chaiyo inogona kusiyana zvishoma pakati pevongorori vehutano, asi zvinhu zvinoramba zvakafanana.

Vakadzi vamwe vane zvinokonzera njodzi vangawana kuongororwa pakutanga mukutanga trimester. Kana mhinduro idzodzo dzakajairika, vachiri kuwana kuongororwa nguva nenguva gare gare mukuzvitakura sezvo gestational diabetes inowanzoitika muchipiri kana chechitatu trimester.

Kurapa kweGestational Diabetes Ndeapi?

Kurapa kwe gestational diabetes kunotarisa pakuchengetedza mazinga eshuga muropa rako ari munzvimbo yakakodzera kuchengetedza iwe nemwana wako. Nhau dzakanaka ndeyekuti vakadzi vazhinji vanogona kudzora chirwere chavo zvakanaka nekuchinja mararamiro chete.

Chikwata chako chehutano chichakudzidzisa kuti ungadzora sei shuga muropa rako pamba uchishandisa glucose meter. Iwe kazhinji ucharayira mazinga ako kane mana pazuva: kamwe kana wamuka (fasting) uye zvakare mushure mekudya kwese.

Kuchinja kudya kazhinji ndiyo nzira yekutanga yekurapa. Dietitian anogona kukubatsira kugadzira chirongwa chekudya chinokupa zvokudya zvakakwana kwauri nemwana wako uchichengeta shuga muropa rako yakadzikama. Izvi zvinowanzoita kuti udye zvidiki, zvokudya zvakawanda uye kusarudza makabhohaidhiretsi akapfuma pane shuga yakapfava.

Kurovedza muviri nguva nenguva, sezvakabvumidzwa nachiremba wako, kunobatsira muviri wako kushandisa insulin zvakanaka. Kunyange kurovedza muviri kuri nyore senge kufamba, kushambira, kana prenatal yoga kunogona kubatsira.

Kana kuchinja mararamiro kuchisawanira kudzora shuga muropa rako, chiremba wako anogona kunyora mishonga ye insulin. Insulin yakachengeteka panguva yekuzvitakura uye haipfuuri placenta kukanganisa mwana wako.

Vakadzi vamwe vangave vakakodzera mishonga yemukanwa senge metformin, kunyange insulin ichishanda semushonga wakakodzera panguva yekuzvitakura. Muongorori wako wehutano achaona nzira yakanakisa zvichienderana nemamiriro ako.

Nzira yekutora Kurapa KwePamba Panguva yeGestational Diabetes?

Kudzorera gestational diabetes pamba kunotenderera pakutarisa shuga muropa nguva nenguva, kutevera chirongwa chako chekudya, uye kuramba uchiita zvemitambo. Aya maitiro ezuva nezuva anoita kuti iwe nemwana wako muve nehutano.

Tarisa shuga muropa rako chaizvo sezvakarayirwa nechikwata chako chehutano, kazhinji kane mana pazuva. Chengetedza zvinyorwa zvenhamba dzako pamwe chete nezvinyorwa nezvawakadya uye chero kurovedza muviri. Iyi ruzivo inobatsira muongorori wako wehutano kuchinja chirongwa chako chekurapa kana zvichidiwa.

Tevera chirongwa chako chekudya chakagadzirirwa iwe, kunyange kana usinganzwi uchida. Dya panguva dzakatarwa kudzivirira shuga yakawanda muropa uye kudonha. Kana uri kutambura nekusvotwa kana kusada zvokudya, shanda ne dietitian wako kuti uwane zvimwe zvinhu zvinokushandira.

Rambai muchiita zvemitambo nechirongwa chenyu chekurovedza muviri chakabvumidzwa. Kunyange pazuva raunonzwa wakaneta, kufamba kuri nyore senge kufamba kwenguva pfupi kunogona kubatsira kudzikamisa shuga muropa rako. Teerera kumuviri wako uye usazvipindira zvakanyanya.

Tora insulin yako kana mishonga yakawanda sezvakanyorwa kana kuchinja mararamiro kuchisawanira kukwana. Usasiye zvikamu kana kuchinja huwandu pasina kutaura nachiremba wako kutanga.

Tarisa zviratidzo zvekutyisidzira zvinoda kutarisirwa kwechiremba nekukurumidza, senge kuverenga kweshuga muropa kwakakwira kupfuura chinangwa chako, kusvotwa kwenguva refu, kana zviratidzo zvekuorera. Kana usina chokwadi, taura nechikwata chako chehutano.

Ungagadzirira Sei Kune Chiremba Wako?

uya wakagadzirira nezvinyorwa zvako zveshuga muropa, kusanganisira mazuva, nguva, uye kuverenga kubva pakutarisa kwako pamba. Uyaiwo nezvinyorwa nezvokudya zvako, kurovedza muviri, uye manzwiro ako ese.

Nyora mibvunzo kana zvinokunetsa usati wasvika pakuzvitakura kwako. Mibvunzo yakajairika inosanganisira kubvunza nezvokudya zvakati, kuchinja kurovedza muviri, kana kuti chii chaunofanira kutarisira panguva yekubereka une gestational diabetes.

Uyai neruzivo rwemishonga yese, mavhitaminzi, uye zvinowedzerwa zvauri kutora. Sanganisira zvikamu uye kuti kazhinji unotora sei. Izvi zvinobatsira muongorori wako wehutano kuve nechokwadi chekuti zvese zvinoshanda pamwe chete zvakachengeteka.

Funga kuuya nemunhu anokubatsira pakuzvitakura kwakakosha, kunyanya kana kuri kukurukura kuchinja kurapa kana kuronga kubereka. Vanogona kukubatsira kuyeuka ruzivo uye kupa rutsigiro rwepfungwa.

Iva wakavimbika nezvinetso zvauri kusangana nazvo nekudya, kurovedza muviri, kana kutarisira shuga muropa. Chikwata chako chehutano chinogona kukubatsira chete kana chichiziva zviri kuitika pamba.

Chii Chinonyanya Kukosha Nezve Gestational Diabetes?

Gestational diabetes chirwere chinodzorwa chinokanganisa vakadzi vazhinji panguva yekuzvitakura. Nekutarisirwa kwakanaka, kuchinja mararamiro, uye kurapwa kwemishonga kana zvichidiwa, unogona kuva nepamuviri utano nemwana.

Chinhu chakakosha kuyeuka ndechekuti kuva ne gestational diabetes hazvirevi kuti wakaita chimwe chinhu chisina kunaka. Iyo mhinduro yemukati kumahomoni ekukura kwemwana ayo vamwe vakadzi vanonzwa zvakanyanya kupfuura vamwe.

Tarisa pazvinhu zvaunogona kudzora: kutevera chirongwa chako chekudya, kuramba uchiita zvemitambo sezvakabvumidzwa nachiremba wako, kutarisira shuga muropa rako nguva nenguva, uye kuchengetedza kutarisirwa kwakajairika kwekuzvitakura. Aya matanho anokupa mukana wakanakisa wekubudirira kwakanaka.

Vakadzi vazhinji vane gestational diabetes vanoenderera mberi nekuve nekuzvarwa kwakajairika uye vana vane utano. Chirwere ichi chinowanzopera mushure mekuzvitakura, kunyange zvakakosha kuramba uchitarisa hutano hwako kwenguva refu.

Mibvunzo InowanzoBvunzwa Nezve Gestational Diabetes

Gestational diabetes ichakuvadza mwana wangu here?

Nekudzora kwakanaka, gestational diabetes kazhinji haikonzere kukuvadzwa kwakakomba kuvana. Chinhu chikuru ndechekuchengetedza kudzora kwakanaka kweshuga muropa kuburikidza nekudya, kurovedza muviri, uye mishonga kana zvichidiwa. Vana vazhinji vanoberekwa kunaamai vane gestational diabetes yakadzorwa zvakanaka vane utano zvachose.

Ndichava nechirwere cheshuga here mushure mekunge mwana wangu aberekwa?

Gestational diabetes kazhinji inopera mushure mekubereka, asi inowedzera njodzi yako yekuwana chirwere cheshuga chemarudzi maviri gare gare muhupenyu. Vanenge 5 kusvika ku10 muzana vevakadzi vane gestational diabetes vanowanikwa vane chirwere cheshuga chemarudzi maviri mushure mekuzvitakura. Uchave nekuongororwa kwekuenderera mberi kuti utarise mazinga eshuga muropa rako.

Ndingachiri kuyamwisa here kana ndine gestational diabetes?

Hungu, unogona uye unofanira kuyamwisa kana uchida. Kuyamwisa kunogona kubatsira shuga muropa rako kudzoka kune yakajairika nekukurumidza mushure mekubereka. Kana waida insulin panguva yekuzvitakura, chiremba wako achachinja chikamu chako mushure mekuberekwa sezvo kuyamwisa kuchikanganisa mazinga eshuga muropa.

Ndichawana gestational diabetes here mukuzvitakura kwenguva yemberi?

Kuva ne gestational diabetes kunowedzera njodzi yako yekuiwana zvakare mukuzvitakura kwenguva yemberi, nenhamba yekudzoka iri pakati pe30 kusvika ku50 muzana. Zvisinei, kuchengetedza uremu hwakanaka pakati pekuzvitakura uye kutevera mararamiro akazara kunogona kubatsira kuderedza njodzi iyi.

Ndinoda kucheka here kana ndine gestational diabetes?

Kwete zvakakosha. Vakadzi vazhinji vane gestational diabetes vanogona kubereka nevaginal. Sarudzo inotsamira pazvinhu senge saizi inofungidzirwa yemwana wako, kuti shuga muropa rako yakadzorwa zvakanaka sei, nezvimwe zvinhu zvemunhu. Muongorori wako wehutano achakukurukura chirongwa chekubereka chakanakira mamiriro ako chaiwo.