Ndi mlingo wa shuga pa mimba Kodi

Imodzi ya mphindi kwambiri moyo wa mtsikana aliyense ali ndi pakati. Makamaka azimayi athu musaiwale momwe iwo anagwidwa ndi moyo, ambiri, woyembekezera, ngati wadutsa popanda zosiyanasiyana zosokonezeka. Chabwino, kuti zonse zinachitika chimodzimodzi mkazi chabe anakakamizika zonse pitani madokotala chifukwa chinachake ukhoza kupita cholakwika. madona pakati zambiri kutenga mayesero osiyana, mlingo wa shuga m'magazi ndi mbali imodzi yofunika kwambiri. mlingo wa shuga m'magazi Kodi pa mimba?

shuga mu amayi apakati

madokotala onse mawu ina amati, kuti pa mimba zivute zitani tisalole shuga owonjezera yachibadwa. Izi ndi zofunika makamaka atsikana amene matupi sachedwa chitukuko cha matenda oopsa - shuga. Inali nthawi gestation mwana zambiri kuti munthu pazipita. Akatswiri kuitana mtundu wa matenda a shuga gestational - matenda amenewa amapezeka mu chakudya cha nthawi, womwe nthawi zambiri Mwamsanga pambuyo pobereka. Ponseponse shuga magazi pa mimba kudziwa kumasulira anaona mayi - si nthabwala!

zinthu matenda

Choyamba, ndi - chibadwa, m'malo chachiwiri - chidzalo cha mayi woyembekezera, ndiponso pali mitundu yosiyanasiyana ya kusintha kagayidwe kachakudya m'thupi, otchedwa pathological Zilumba za Langerhans, kapena mowa waukulu kwambiri chakudya ndi zambiri chakudya. Ndipotu, munthu anganene kuti shuga ndi mwazi monga choncho. Iwo ali ndi udindo kwachilengedwenso: amatipatsa mphamvu kuti maselo onse mitsempha ya thupi. Shuga - wolemera gwero la mphamvu kwa anthu, akazi makamaka pakati. Chifukwa cha zosiyanasiyana katundu zina pa thupi, ndi limene limafotokoza nthawi gestation, kapamba Moms tsogolo udzapereka ntchito kwa munthu mmodzi, koma awiri, chifukwa chimene makamaka umabala kuchuluka kawiri gawo insulin. Ndi chifukwa cha ngozi imeneyi angatenge matenda a shuga zoopsa kwambiri mkulu.

kusanthula

Kuthandiza mayi woyembekezera zitha kukhala dokotala, amene anapereka malangizo kwa kuwunika, amene chingachitike ngati shuga magazi kuposa mlingo wa mimba kapena ayi. A kalekale, madokotala apeza mfundo imeneyi, tsopano zonse zili m'manja mwa akatswiri zabwino. shuga ndi chiyani? Ponseponse mu akazi pa mimba?

Ambiri amavomereza mfundo ya shuga (shuga) m'mwazi pa mimba

Ambiri amakhulupirira kuti mlingo wa shuga m'magazi zimatengera makamaka msinkhu wa munthu, dongosolo thupi ndi china chirichonse, koma zimenezi si zoona. Malamulo a shuga m'magazi a chilichonse sikudalira - ndi chabe muyeso wa ndende ya chakudya venous (magazi m'mitsempha a) kapena capillary (magazi kuchokera lobes chala). Munthu wamba (ngati mayeso magazi a Lobe chala) mlingo ndi zimasiyanasiyana 3.5 kuti 5.5 mmol / l. Akavala kusanthula kwa mtsempha zotumphukira wa pakati pazipita ndende mfundo shuga magazi - kuti 6.1 mmol / l. Ri a mtundu umenewu nthawi zonse kudali pa chopanda kanthu m'mimba. Analysis a shuga magazi pa mimba - mlingo adzakhala yosiyaniranapo.

kudwala

Madokotala amanena kuti ngati zotsatira za magazi kuti anthu ambiri ranges shuga kwa 5.5 mmol / L pafupifupi 6.1 mmol / L (kudya pomaliza), ndiye Mwina chikhalidwe pathological ndi mkulu. Ngati misinkhu shuga oposa 6.1 mmol / L (kusanthula kokha pa chopanda kanthu m'mimba) mu magazi a anthu, munthu uyu, mwatsoka) matenda kudwala monga matenda a shuga. Mpaka zaka zingapo zapitazo kuyika matenda yotsimikizika mkhalidwe waukulu ndimeyi odwala wapadera nkhawa mayeso, amene ndiyo "kulolera" kwa shuga. Tsopano chakwanira pochitika kuwunika kawiri pa nthawi zosiyanasiyana ndipo pa masiku osiyana ndi nthawi pamene onse shuga magazi kuposa mukufuna, matenda - shuga. Vuto atsikana atavala ana si wosiyana: mlingo wa shuga magazi pa mimba anatsimikiza mofanana ndi mmene.

zakudya

Aliyense dokotala ali ndi njira yeniyeni ya chithandizo cha matenda oopsa, koma chakudya pafupifupi ofanana. Ngati shuga magazi ambiri wapakati onenepa, mwamsanga kufunika kupita pa chakudya, mwinamwake zingathe kudzetsa ndi sadder kwambiri. Pa chakudya si ololedwa kugwiritsa ntchito mitundu yonse ya chakudya kuti mosavuta digested, chifukwa shuga kuposa mlingo chifukwa cha iwo. Pa matenda a shuga Mulimonsemo siyingawapweteke zimene ena matenda, kulandira kuvulazidwa, pasakhale kudwala.

Ponseponse shuga magazi pa mimba: malangizo latsopano

Asanamve wasankha mwana, izo ri akhoza kukhala chabe wangwiro, koma kenako (pambuyo lingaliro) kusintha kwambiri. Izi imakhudzanso zosiyanasiyana kusintha kagayidwe chakudya. Monga tanenera pamwamba pang'ono, mlingo wa shuga magazi pa mimba akadali osiyana ndi malamulo ambiri amavomereza. The matenda a shuga aikidwa okha pakati ngati shuga capillary mwazi lili ndi wamkulu kuposa 5 mmol / l.

dokotala akutsimikiza matenda amayi apakati pokhapokha ngati ola limodzi pambuyo kutenga kusanthula shuga magazi ndende msinkhu ndi upambana mtengo wa 10 mmol / l pa kuphedwa kwa wapadera mayeso zimam'patsa kukana. Patapita mphindi 120, matenda zikutsimikiziridwa ndi dokotala, ngati magazi wapezeka koposa 8,6 mmol / l.

Ambiri kale bwino, shuga ndi kovuta kudziwa, chifukwa kuchuluka kwa shuga m'thupi ndi loopsali kwambiri pa nthawi ino, koma ngati muli ndi dona amakonda kudya usiku, tgoda kudziwa zotsatira enieni kudzakhala kovuta kwambiri mimba (yachibadwa). Chinthu chofunika kwambiri zokhudza shuga ndi osiyanasiyana lachitatu chipani chikoka pa mtsikana, komanso zokumana nazo amphamvu kwambiri, etc., kuphatikizapo glucocorticosteroids kwambiri mkulu kudzipatula ndi somatotropin. Amazipanga Ndizofunikanso kudziwa kuti mlingo wa shuga pa mimba ngati kusanthula chikudutsa kudya ku mtsempha wa 5 mmol / l. Kuvala nthawi kwa mwanayo m'mimba angathe hypoglycemia - chikhalidwe choopsa kwambiri kwa mayi ndi mwana wosabadwayo. Zizindikiro: kulimbikira chizungulire, kunjenjemera, kufooka, zosaneneka Thukuta ozizira, mutu ndi zina zambiri. Ngati mayi woyembekezera akuona izi, ndiye muyenera mwamsanga kukatenga mayeso magazi shuga, kufufuza ngati mlingo si chozama kupitirira 2,7 mmol / l. Kupanda shuga akhoza kukhala zoipa kwambiri kwa mwana wa mbuzi.

N'chifukwa chiyani pa mimba auka shuga msinkhu?

Lililonse mayi ayenera kudziwa kuti kuchuluka kwa anthu shuga magazi wakumana ndi timadzi wakupambulika dzinache insulin. Amathandiza chakudya kwathunthu kudutsa maselo mitsempha m'thupi la munthu. Harmon amawagwiritsira monga gwero la mphamvu kupitiriza ntchito yake. Izo mwalamulo kutsimikiziridwa kuti insulin adzamasulidwa shuga kwambiri kuposa kale pa mimba. Chifukwa cha ichi, kuchuluka kwa shuga m'magazi a akazi amene angathe kwambiri kuchuluka, ngati pali mtolo zina pa kapamba - chipatso cha mwana.

Pa nthawi, pamene iye umabala mwana, izi sitingazipeze anakakamizika zonse pitani madokotala kuwayang'anira thanzi lawo. Ndipotu, thanzi la mayi zimadalira mmene mwana kukhazikitsa. Mwezi ayenera kuti apereke magazi pa ndende ya shuga, nthawi iliyonse kuchita zonse zimene tingathe thanzi lanu ndi thanzi la mwana m'tsogolo.