Matenda a shuga ndi matenda omwe amadziwika ndi shuga nthawi zonse m'magazi. Gestational mellitus (HSD) amadzipatula ngati mtundu wosiyana wa shuga , chifukwa amayamba kuwonekera pamene ali ndi mimba. Pachifukwa ichi, matendawa amatha pokhapokha panthawi yomwe ali ndi mimba ndipo amatha kutuluka pakubereka, ndipo akhoza kukhala mtundu wa mtundu wa mtundu wa shuga. Ganizirani zomwe zimayambitsa, zizindikiro zachipatala, matenda a ma laboratori komanso chithandizo cha matenda opatsirana pogonana a shuga.
Gestational mellitus (HSD) mu mimba - zifukwa ndi zoopsa
Chinthu chachikulu chomwe chimayambitsa matenda a shuga ndi kuchepa kwa mphamvu ya maselo kukhala ndi insulini (kuteteza insulini) chifukwa cha kuchuluka kwa progesterone ndi estrogens. Inde, shuga wamagazi ambiri pa nthawi yomwe ali ndi mimba sapezeka mwa amayi onse, koma okhawo omwe ali ndi chiwerengero cha (4-12%). Ganizirani zoopsa za matenda opatsirana pogonana a shuga (HSD):
- kunenepa kwambiri kapena kunenepa kwambiri;
- kukhalapo kwa matenda a shuga ku achibale;
- Matenda opatsirana pogonana omwe ali ndi matenda a shuga m'zaka zapitazi;
- Kubadwa kwa ana olemera makilogalamu 4 kuchokera mimba yapitalo;
- Nthawi zambiri amachotsa mimba mwa anamnesis;
- kubadwa kwa ana akufa mu anamnesis.
Zizindikiro za kapangidwe kabakiteriya kamene kamakhala ndi matenda a shuga
Kawirikawiri, panthawi yoyembekezera, mphukira imapanga insulini yoposa anthu wamba. Izi zimatheka chifukwa chakuti mahomoni obereka (estrogen, progesterone) amagwira ntchito yotsitsimutsa, mwachitsanzo, amatha kupikisana ndi insulin molecule kuti azitha kulankhulana ndi mapulogalamu a m'manja. Chizindikiro chodziwika bwino cha matendawa chimakhala pa sabata la 20-24, pamene chimagulu china chopanga mahomoni chimapangika - chigwachi , ndiyeno mlingo wa mahomoni oyembekezera amakhala oposa. Motero, amasokoneza makilogalamu a shuga m'maselo, omwe amakhalabe mwazi. Pankhaniyi, maselo omwe sanalandire shuga, amakhala ndi njala, ndipo izi zimayambitsa kuchotsa glycogen kuchiwindi, chomwe chimachititsa kuti chiwopsezo cha m'magazi chikule kwambiri.
Matenda a shuga a matenda a shuga - zizindikiro
Kachipatala kowona matenda a shuga ndi ofanana ndi matenda a shuga kwa amayi omwe alibe amayi. Odwala amadandaula kuti nthawi zonse amamwa pakamwa, ludzu, polyuria (kuwonjezeka ndi kukodza nthawi zambiri). Anthu omwe ali ndi pakati akudera nkhawa za kufooka, kugona, ndi kusowa kwa kudya.
Phunziro la ma laboratory, kuchuluka kwa shuga mu magazi ndi mkodzo, komanso mawonekedwe a ketone mu mkodzo. Kufufuza kwa shuga pa nthawi ya mimba kumachitika kawiri: nthawi yoyamba pa nthawi kuchokera masabata 8 mpaka 12, ndipo nthawi yachiwiri - pamasabata makumi atatu. Ngati phunziro loyambirira likuwonetsa kuwonjezeka kwa magazi m'magazi, ndiye kuti kufufuza kukulimbikitsidwa kuti abwerezedwe. Phunziro lina la shuga la magazi limatchedwa mayeso olekerera (TSH). Mu phunziro ili, mlingo wa kusamba kwa shuga umayesedwa ndipo 2 hours mutadya. Malire a chikhalidwe cha amayi apakati ndi awa:
- 4-5,2 mmol / l - poyesedwa popanda chopanda kanthu;
- osapitirira 6.7 mmol / l - akayesedwa maola awiri mutatha kudya.
Kudya m'thupi lachilombo cha shuga (HSD)
Njira yoyamba yothandizira anthu odwala matenda a shuga ndi zakudya zamankhwala komanso kuchita masewera olimbitsa thupi. Kuchokera pa zakudya muyenera kupewa zakudya zamadzimadzi zosavuta mosavuta (maswiti, zopaka ufa). Ayenera kutengedwanso ndi zakudya zowonjezera komanso mapuloteni. Inde, chakudya chabwino kwa mkazi woteroyo chidzakhazikitsa katswiri wa zakufa.
Pomalizira, munthu sangathe kunena kuti matenda oopsa a shuga a shuga ndi owopsa ngati sachitidwa. HSD ikhoza kuyambitsa chitukuko cha gestosis, matenda a mayi ndi fetus, komanso kutuluka kwa zovuta za matenda a shuga (impso ndi matenda a maso).