Gestational cheshuga panguva yepamuviri. Chirwere, zviratidzo, kurapwa uye kudya

mwedzi All mapfumbamwe kubva panguva yokunambwa mwana vari panzvimbo kuoma nguva muupenyu nomumwe nomukadzi mumwe nomumwe. With veMubatanidzwa fetus mumimba muviri wamai inoda simba rakawanda. Kakawanda iyi kunosiyana-siyana vose metabolic pezvakaitwa mumuviri. Uyezve, kazhinji pane jekiseni zvaanoda gestational.

Adipose zvinyama, chiropa, tsandanyama vari zvishoma kubatwa insulin. In zvinoitirwawo vanoshorwa ezvinhu yakawedzera shuga muropa, iyo kwazvo kazhinji rinobatanidza nechitarisiko chirwere cheshuga. chirwere ichi Kazhinji dzakaonekwa panguva purogiramu kuongororwa panguva antenatal kiriniki. Kwevhiki kusvika 24 ropa venous chete ari kutora pachisara uye rechitatu trimester vakatakura rinokosha bvunzo - shuga munyonga.

Vhuṱanzi

Gestational cheshuga panguva pamuviri - iri chaizvo chirwere chakakomba rinoda kuverenga yokusvika kurapwa. Hwaro chirwere ichi zvemamiriro carbohydrate muviri, uye zvakawanda zvakananga, akaderedza shuga kushivirira.

MuUnited States kakawanda aiitisa zvidzidzo panyaya. Maererano nemishumo, gestational cheshuga vakadzi chirwere panguva chinzvimbo 4% nyaya. Masayendisiti European akazivisa kuti mashoko. Zvinozivikanwa kuti kwakaita chirwere ichi zvichisiyana 1 kusvika 14% of uwandu pamuviri. About 10% yevakadzi pashure okusununguka ndizvo zviratidzo chirwere ichi, icho vakabva dzikwanise mhando 2 cheshuga.

Kwakadaro nekaupenyu yakakwirira chirwere hwakapararira munyika yose anoratidza, pakutanga kwezvose, nevakadzi kushayikwa kuziva pezvingazoitika chirwere ichi. Somugumisiro, vashoma kurapwa zano vakakodzera.

Chii pangozi yokuva nechirwere cheshuga panguva pamuviri?

Chekutanga, ndiko kunambwa fetus mukati padumbu ramai. Panguva tanga chirwere cheshuga vanogona kukonzera kupfupfudzika kana kutungamirira kuti siyana urema kukura kwouropi zvivako uye mwana mwoyo. Kana chirwere kwave chirwere muna akazotevera matanho (2-3 trimesters), yakakwirira chaizvo mukana wokunzwa fetus kukura inotungamirira shuga fetopathy. The chikuru zviratidzo chirwere ichi anonzi kufuta (anopfuura 4 kg), kufema wenyonganyonga, muviri imbalances yomuropa.

Sezvo pamuviri mberi?

Muchiitiko chino, haugoni kupa mhinduro chaiyo kune mubvunzo uyu, nokuti mumwe nyaya yakasiyana. Kazhinji mukadzi vakabvuma kuchipatara katatu. Nokuti nguva yokutanga mukutanga pamuviri wakapfuura zvizere rokuongorora, migumisiro iyo chiremba asarudza pamusoro kuchengetedza uye kurapa pamuviri, uyewo prophylactic kurapwa. The kechipiri muchipatara chiri kuitwa kwenguva vhiki 20, sezvo paiva panguva iyi inogona kutanga kukonzera matambudziko. Pamasvondo 32 chiremba anosarudza nzira uye riini pakuzvarwa ramangwana.

Ndivanaani zvikuru kubatwa nechirwere ichi?

Gestational cheshuga panguva yepamuviri vanowanzopedzisira vava pamberi nemagene kubatwa, riri chinozoiswa pasi pokudzora zvinoverengeka, zvakadai:

• remesa;

• zviratidzi kunyanyisa pane shuga iri weti ;

•-siyana kusagadzikana carbohydrate muviri;

• zera (anopfuura 30 years);

• risati toxicosis uye gestosis;

•-siyana kuvhiringidzika kumwoyo;

• idzokororo kubva kwepamuviri.

The zvikonzero

Gestational chirwere cheshuga ikabuda vakadzi nokuda yadzikira aikanganiswa masero omuviri yaizivikanwa wayo jekiseni. Izvi imhaka vawedzere kwevari mahormone muropa, iyo kakawanda kuchengetwa panguva yepamuviri. Uyezve, nokukurumidza vakadzi zvinoderedza ropa shuga pamwero, nekuti ikozvino inoda uye fetus uye placenta. Mhedzisiro ose pamusoro zvinhu vaiona compensatory kuwedzera jekiseni Kugadzirwa zvakananga nerwatata. Saka, ndokusaka kazhinji muropa vakadzi pachinzvimbo zviratidzo izvi yakawedzera zvishoma. Kana uine rwatata havagoni kukurira mabasa avo, kureva kukura anodiwa huwandu jekiseni, dzichiri gestational cheshuga.

zviratidzo

Kuwedzera padanho shuga pamwe urwere kazhinji kunyora nezvavo. Saka pachena zviratidzo yepamuviri mashoma chaizvo. Mune zvimwe zviitiko, pane nyota uye kuita weti kakawanda, uyewo ganda yakaoma. Zvisinei, Zviratidzo izvi zvose panoonekwa nevakadzi sezvo zvinhu chaizvo zvechiratidzo avo ezvinhu.

ndiko sei uchapupu chirwere?

Chirwere pamusoro gestational chirwere cheshuga zvinoreva pedyo muedzo shuga yomuropa uye chinokosha shuga kushivirira bvunzo (OGTT) ropa.

GTT nezvemarudzi maviri zvichienderana nzira kwokubatsira shuga yakabudiswa muna mushonga: intravenous uye kunanzvana. Nokuti wechipiri musimboti murwere anodaidzwa kunwa zvinotapira bvunzo mvura ine 50 chaizvo? G shuga. Mushure maminitsi 20, iye zvaanobata venous mharidzo ropa (nemaonero ayo zviri shuga). Kana shuga pamwero kusapfuudza 140 MG / KE, uye vachiri vanofanira kupfuura imwe intravenous shuga shiviriro bvunzo.

In pakuitisa chidzidzo ichi, zvakakosha kuti zvinoenderana zvimwe ezvinhu. Chekutanga varwere vose inokurudzirwa pamazuva mashanu asati aronga musi bvunzo ngarunamatire zvatinosiita muviri uye kudya, asi carbohydrate zviri zvokudya zvinofanira kupfuura 150 d Zvakakosha kuyeuka kuti ropa yokuenzanisira rinoitwa chete mangwanani uye usina chawadya. Murwere inokurudzirwa nokutsanya kwemaawa 14 pamberi chokuendesa ari kuongorora. Munguva yokudzidza pacharo nani kuva wakadzikama ezvinhu.

Chii chinofanira kubatwa?

Gestational cheshuga panguva pamuviri rinowanzoshandiswa kuoma nokuti mukadzi ane mana kanomwe pazuva kuyera ropa shuga. Zvakakosha kuziva kuti mushonga kurapa iyi nyaya iri zvachose contraindicated, sezvo zvinogona kukanganisa kukura mwana ari mudumbu.

Achitaura nyaya kurapwa, muchiitiko ichi, nyanzvi dzinokurudzira kuomerera chaiwo kudya, kugara chokupika shuga. Kana pamusoro mazano musapa kutsvakwa zvabuda, jekiseni anogadzwa.

Chii chinosiyanisa zvokudya mune chirwere ichi?

Gestational cheshuga panguva pamuviri kunoreva kuremekedza zvimwe zvokudya. Sezvambotaurwa pamusoro, zvakakodzera kunovaka muviri kakawanda anova musimboti vakabudirira pakurapa chirwere. Nyanzvi vanokurudzira kuti chero nyaya kwete kuderedza muviri kukosha zvokudya, zviri nani kuti kuderedza zvimwe zvayo caloric kugutsikana. Below tinopa zano kunobudirira pamusoro kudhayeta pamwe kuongorora chirwere ichi.

• Idya duku zvokudya uye inofanira kuva pane imwe nguva dzose.

• Zvinokurudzirwa kuti asava zvachose nezuva kudya zvose zvakakanyiwa namafuta uye mafuta zvokudya, uye digestible makabhohaidhiretsi (somuenzaniso, makeke, zvihwitsi) uye zvokudya kutsanya.

• Chii kudya mu chirwere cheshuga vanogona kuva? Diet zvakanakisisa rokuvandudza siyana ezviyo, michero minyoro, uye miriwo, Pasta (chete mbeu yose). In zvose zvezvinhu izvi zvine yakawanda faibha, iyo inobatsira chaizvo panguva yepamuviri.

• The zvokudya zvinogona kushandiswa pasi-mafuta nyama uye hove, zvakanaka kusiyira yaunodya pamusoro Sausages, frankfurters uye Sausages.

• Cook zvokudya steamed kana chakabikwa muchoto, uchishandisa shomanana mafuta.

• Hazvina akakurudzira kukanganwa pamusoro zvakarurama kunwa hurumende (marita anenge maviri mvura ichiri yakachena pazuva).

maekisesaizi kushushikana

Daily muviri chaizvo kuvakadzi pamuviri, sezvo vaine tsandanyama matauriro, kuvandudza utano uye jekiseni chiito, kudzivisa chidzoke akawandisa mafuta. Zvechokwadi, mune ichi kana mutoro inofanira nemwero. Vakadzi vari zano kupinda makirasi pamusoro yoga, kuti zuva rimwe nerimwe duku famba, kushambira mudziva. Haufaniri kushandisa zvinoshingaira muviri (bhiza Kuda, chando Skating uye Skiing), sezvo vanogona kukonzera kukuvara. Zvinokosha kugadzirisa uwandu mitoro neimwe nguva, hwagara zvakanaka pamusoro pamuviri pachayo.

postnatal hanya

Pakarepo pashure pokuberekwa, gestational cheshuga vakadzi, somunhu mutemo, anotora nzvimbo, asi dzimwe nguva kungaita kuti matambudziko. Sezvataurwa pamusoro apa, mwana anozvarwa ari pedyo chaizvo, saka kazhinji zvakakodzera kushandisa Caesarean chikamu. The ndechokuti kana chaivo anopona zvichida kuwana kusununguka kunotevera.

A mwana anozvarwa aine kwakaderedza azvipire shuga, asi hapana chinokosha matanho kuti normalization kwayo haushandi. shuga pamwero oga ikadzoka dzose, kana amai ari kuyamwisa mwana. chakarurama ichi kunofanira ichi- kuongororwa ne vanachiremba kubva maternity outano.

Kana mukadzi mukanyatsoteerera kutevera zvose zvinodikanwa chiremba panguva pamuviri, mwana wake haangaiti kutyisidzira gestational cheshuga, kukurukura kuchaitika norugare.

Kana mukadzi ari kusateerera zvakaoma kurapa panguva pamuviri, ipapo kutyora ichi kunogona kukonzera ndechokuti achangoberekwa achava shuga fetopathy. It kunoratidzwa anotevera zvinhu:

• jaundice;

• Kuwedzera kweropa;

• tishu edema;

• kunetswa rokudzora zvikuru muviri (semuenzaniso, wakanyanya matete nemakumbo);

•-siyana kufema zvirwere.

To pakupedzisira kukurira chirwere ichi, sezvo gestational cheshuga, zvokudya zvinofanira mberi, uye pashure aberekwa. Vanoomerera vaitofanira kudya inokurudzirwa sokuvapo ropa shuga haisi zvachose kudzokera dzose.

Nyanzvi chifunga vakadzi vose chirwere ichi kuita bvunzo pagore. Zvinofungidzirwa kuti mumwe kubva shanu vakadzi vakambova chirwere ichi, chaizvoizvo akawana undiagnosed mhando 2 chirwere cheshuga.

matanho

Maererano nenyanzvi, kudzivirira kukura chirwere ichi chaizvoizvo zvakaoma chaizvo. Kazhinji vakadzi vari pangozi, uye asingadi kutambura cheshuga.

Zvakakosha kuziva kuti kuronga kuva nepamuviri mushure chirwere ichi vanofanira kutora nzvimbo pasi wezvokurapa achitarisirwa uye ari kwokutanga pane 2 years pashure yapfuura pakuberekwa kwete. Mwedzi mishomanana zvisati iyi inokurudzirwa kutanga kuongorora kwavo uremu, dzakabatwa mune nezuva purogiramu yokurovedza muviri, kufarira panguva chiremba, chii kuti kudya cheshuga.

Rubvumo zvachose chero mishonga unofanira nguva dzose bvunza mazvikokota. The ndechokuti inondimukira kushandiswa mishonga, kusanganisira yokuronga mapiritsi, zvinogona kukura chirwere ichi, sezvo gestational cheshuga.

Reviews nyanzvi nevakadzi kare kumbobereka kutaura kuti zvakaitika nomazvo yokusvika pamusoro chikamu chiremba ndingangokuvara yakanaka mugumisiro zviitiko chaizvo. Zvinokoshawo pashure nechitarisiko mwana akaberekwa kuramba akuteerere muviri wake. Somuenzaniso, pashure 1.5 mwedzi zvakafanira kuita muedzo kuona shuga chechetere. Zvichienderana ahwo nyanzvi achapa kurumbidza ake nezveramangwana muviri uye mararamiro zvarwo, uyewo musi rinotevera kudzora bvunzo.

mhedziso

Pakupedzisira, tinofanira zvakare kuzivikanwa kuti nechirwere iri zvaidiwa vanorumbidza zvose chiremba anenge anotakura kutyisidzira utano vomwana. Zvakakosha iyi nyaya chokwadi kugadzirisa pfungwa dzavo nenguva nenzira kupfuura vose bvunzo, kuti vadye zvakanaka. Unogona kuwana zvinonakidza Kubika varwere cheshuga, vachava kubatsira amai kwete chete mutsva chaizvo, asi murume wake. Nyanzvi vanokurudzira zvizhinji zororo, muviri, uye manheru-famba nemunhu wawaida. Kana mukadzi ari kumamiriro ndechokuti pamuviri anoenda zvakanaka, somugumisiro, chiedza rinowanika mwana zvachose utano.