Ke mang ea kentsoeng lethathamong la boraro la lefu la tsoekere u etsang?

Mosali oa moimana ka nako e 'ngoe o fumanoa a e-na le lefu la tsoekere la gestational, le nang le litlamorao tse sa thabiseng ho lesea. Lefu lena le hlaha esita le bathong ba nang le bophelo bo botle ba phetseng hantle ba neng ba sa ka ba ba le mathata a tsoekere e phahameng ea mali. Ho bohlokoa ho ithuta ka ho eketsehileng ka matšoao a mafu, lintho tse u tsosetsang le likotsi tsa lona ho lesea. Phekolo e laetsoe ke ngaka, 'me liphetho tsa eona li hlahlojoa ka hloko pele ho pelehi.

Lefu la tsoekere ke eng

Ntle le moo, lefu la tsoekere le moimana le bitsoa lefu la tsoekere la gestational (GDM). E etsahala ha lesea le hlaha, "le nkuoa e le" prediabetes. " Sena ha se lefu le felletseng, empa ke mohopolo feela oa ho amohela mamello ea tsoekere e bonolo. Lefu la tsoekere la basali ho basali ba baimana le nkoa e le sesupo sa kotsi ea lefu lena la mofuta oa bobeli. Boloetse bo ka nyamela kamora hore ngoana a hlahe, empa ka linako tse ling bo tsoela pele ho eketseha. Ho e thibela, fana ka kalafo le tlhahlobo e phethahetseng ea 'mele.

Lebaka la nts'etsopele ea lefu lena le nkoa e le karabelo e fokolang ea 'mele ho insulin ea eona, e hlahisoang ke manyeme. Tlolo ea molao e hlaha ka lebaka la ho se sebetse hantle holima lihormone. Lintlha tsa ho qala ha lefu la tsoekere la bonna ke:

• ho nona haholo, bothata ba metabolic, botenya,
• bokapele ba lefutso la tsoekere ka kakaretso bathong,
• lilemo kamora lilemo tse 25
• tsoalo e fetileng e felile ka popelong ea ngoana ho tloha ho 4 kg ea boima, le mahetla a sephara,
• ho ne ho se ho na le GDM nalaneng
• ho senyeheloa ke mpa ka nako e telele
• polyhydramnios, tsoalo.

Kameho ea bokhachane

Kameho ea lefu la tsoekere ho ima e nkoa e le mpe. Mosali ea tšoeroeng ke lefu lena o kotsing ea ho ntša mpa hanghang, ho chechisa morao ka nako ea tšoaetso, tšoaetso ea "fetus" le "polyhydramnios". GDM nakong ea kemolo e ka ama bophelo ba bo-mme ka tsela e latelang:

• nts'etsopele ea bofokoli ba hypoglycemic, ketoacidosis, preeclampsia,
• mathata a methapo ea mali - nephro-, neuro- le retinopathy, ischemia,
• kamora ho beleha, maemong a mang, ho hlaha lefu le felletseng ka botlalo.

Sekhahla sa lefu la tsoekere se kotsi ho ngoana ke eng?

Litlamorao tsa lefu la tsoekere la mmele ho ngoana. Ka keketseho ea tsoekere maling a bo-mme, kholo ea ngoana ea bonoa. Ketsahalo ena, hammoho le boima ba mmele o feteletseng e bitsoa macrosomia, e hlahang ho trimester ea boraro ea kemaro. Boholo ba hlooho le bokong bo lula bo tloaelehile, 'me mahetla a maholo a ka baka mathata karolong ea tlhaho ka kotana ea tlhaho. Ho senyeha ha kholo ho lebisa ho tsoaleng pele ho ngoana, ho sithabela ha litho tsa botšehali le ngoana.

Ntle le macrosomia, e lebisang ho tsitsong ea masea esita le lefu, GDM e jara litlamorao tse latelang ho ngoana:

• tlolo ea tlhaho ea mmele,
• mathata a libeke tsa pele tsa bophelo,
• kotsi ea lefu la tsoekere la pele
• botenya bo feteletseng
• ho hloleha ho phefumoloha.

Lefu la tsoekere la boimana

Tsebo ea litekanyetso tsa tsoekere bakeng sa lefu la tsoekere ho basali ba baimana e ka thusa ho thibela kholo ea lefu le kotsi. Lingaka li khothaletsa basali ba kotsing ea ho lula ba shebile tsoekere ka botlalo - pele ba e-ja, kamora hora e le 'ngoe. Tlhokahalo e loketseng:

• ka mpeng e se nang letho le bosiu - eseng ka tlase ho 5.1 mmol / litha,
• kamora hora kamora ho ja - eseng ho feta 7 mmol / l,
• karolo ea hemoglobin ea glycated e fihla ho 6.

Matšoao a lefu la tsoekere ho basali baimana

Litsebi tsa mafu a basali li khetholla matšoao a latelang a lefu la tsoekere ho basali baimana:

• boima ba 'mele
• ho ntša khafetsa khafetsa, monko oa acetone,
• lenyora le matla
• mokhathala,
• ho hloka takatso ea lijo.

Haeba basali ba bakhachane ba sa laole lefu la tsoekere, lefu lena le ka baka mathata le tšoaetso e mpe:

• hyperglycemia - spikes in tsoekere,
• pherekano, ho akheha,
• khatello e phahameng ea mali, bohloko ba pelo, stroke,
• Tšenyo ea liphio, ketonuria,
• fokotsehile tšebetso
• pholiso ea leqeba le liehang
• tšoaetso ea lisele
• botenya ba maoto, tahlehelo ea maikutlo.

Tlhahlobo ea lefu la tsoekere

Kamor'a ho hlokomela mabaka a tšoaeang kapa a matšoao a lefu lena, lingaka li etsa tlhahlobo ea ts'ebetso ea lefu la tsoekere. Ho itima lijo hoa etsoa. Mekhahlelo ea tsoekere e loketseng ho tloha:

• ho tloha monoana - 4.8-6 mmol / l,
• ho tsoa mothapong - 5.3-6.9 mmol / l.

Teko ea Lefu la Tsoekere ea Boimana

Ha matšoao a pejana a sa lumellane le tloaelo, tlhahlobo ea mamello ea tsoekere bakeng sa lefu la tsoekere nakong ea kemolo e etsoa. Tlhahlobo e kenyelletsa litekanyetso tse peli mme e hloka ho latela melao ea tlhahlobo ea mokuli:

• matsatsi a mararo pele ho tlhahlobo, se ke oa fetola lijo, latela tloaelo e tloaelehileng ea 'mele,
• bosiung ba pele ho tlhahlobo, ha ho khothalletsoe ho ja letho, ho hlahlojoa ho etsoang ka mpa e se nang letho,
• mali a nkoa
• kamora metsotso e mehlano, mokuli o nka tharollo ea tsoekere le metsi,
• Kamora lihora tse peli, sampole ea mali e ntse e nkuoa.

Tlhahlobo ea "GDM" e etselitsoeng ho latela likhakanyo tsa tsoekere maling maling ka mehlala e meraro ea laboratori:

• ho tloha monoana ka mpeng e se nang letho - ho tloha 6.1 mmol / l,
• ho tloha ka mpeng e se nang letho - ho tloha ho 7 mmol / l,
• kamora ho nka tharollo ea glucose - ho feta 7.8 mmol / L.

Ha ba se ba lemohile hore matšoao a tloaelehile kapa a tlase, lingaka li fana ka tlhahlobo hape nakong ea libeke tse 24-28, hobane joale boemo ba lihormone boa eketseha. Haeba tlhahlobo e entsoe pejana, GDM e ke ke ea fumanoa, 'me hamorao, mathata a ka popelong a ke ke a hlola a thibeloa. Lingaka tse ling li etsa lipatlisiso ka tekanyo e fapaneng ea tsoekere - 50, 75 le 100 g. Ka mokhoa o hlakileng, tlhahlobo ea mamello ea glucose e lokela ho etsoa le ha o rera ho ima.

Phekolo ea lefu la tsoekere la letsoalo ho basali baimana

Ha liteko tsa laboratori li bonts'a GDM, lefu la tsoekere le fuoe moimana. Phekolo e na le:

• phepo e nepahetseng, dosing ea lijo tse nang le lik'habohaedreite, ho eketsa protheine lijong,
• ho ikoetlisa ka mokhoa o tloaelehileng, ho khothalletsoa ho e eketsa,
• taolo ea glycemic e sa khaotseng ea tsoekere ea mali, lihlahisoa tsa tšenyo ea ketone mochineng, khatello,
• ka khatello e matla ea tsoekere e ngata, kalafo ea "insulin" e fanoa ka mokhoa oa ente, ho ekelletsa ho eona, lithethefatsi tse ling ha li fuoe, hobane matlapa a fokotsang tsoekere a ama hampe tsoelo-pele ea ngoana

Ho fanoa ka tsoekere efe ka insulin nakong ea kemolo?

Haeba lefu la tsoekere nakong ea kemolo le nka nako e telele, 'me tsoekere e sa fokotsehe, kalafo ea "insulin" e laeloa ho thibela nts'etsopele ea fetopathy. Hape, insulin e nkuoa ka lipontšo tse tloaelehileng tsa tsoekere, empa haeba kholo e fetisitsoeng ea bokhachane, edema ea lisele tsa eona tse bonolo le polyhydramnios li fumanoa. Liente tsa moriana li laetsoe bosiu le ka mpeng e se nang letho. Botsa setsebi sa hau sa endocrinologist bakeng sa kemiso e tobileng kamora ho buisana.

Lijo tsa lefu la tsoekere la moimana

E 'ngoe ea lintlha tsa kalafo bakeng sa lefu lena e nkoa e le lijo tsa lefu la tsoekere, tse thusang ho boloka tsoekere e tloaelehileng. Ho na le melao ea ho fokotsa tsoekere nakong ea kemero:

• kenyelletsa soseji, nama e tsubiloeng, nama e mafura ho tsoa lijong, khetha linonyana tse loileng, nama ea khomo, tlhapi,
• ho pheha ho kenyelletsa ho baka, ho pheha, ho sebelisa mouoane,
• ja lihlahisoa tsa lebese ka liperesente tse fokolang tsa mafura, fana ka botoro, margarine, lisosa tse mafura, linate le lipeo,
• ntle le lithibelo e lumelloa ho ja meroho, litlama, li-mushroom,
• ja hangata, empa ha hoa lekana, lihora tse ling le tse ling tse tharo,
• litaba tsa letsatsi le letsatsi tsa caloric ha lia lokela ho feta 1800 kcal.

Tsoalo ka lefu la tsoekere

E le hore phallo ea lefu la tsoekere e be ntho e tloaelehileng, litaelo tsa ngaka li lokela ho lateloa. Macrosomia e ka ba kotsi ho mosali le lesea - joale tsoalo ea tlhaho ea tlhaho e ke ke ea khoneha, karolo e behiloeng ea cesarean e laetsoe. Ho mme, ho beleha masea maemong a mangata ho bolela hore lefu la tsoekere nakong ea kemolo ha le sa le kotsi - kamora hore ho lokolloe placenta (ntho e khopisang), kotsi ea feta, 'me lefu le hlahang ka botlalo le hlaha ka kotara ea linyeoe. Khoeli le halofo ka mor'a hore ngoana a hlahe, palo ea tsoekere e lokela ho lekanyetsoa khafetsa.