Dab tsi ua rau gestational diabetes?
Yog vim li cas rau txoj kev loj hlob ntawm xws li ib qho kev tsis haum xeeb hauv leej niam uas tos menyuam yog qhov txo qis rau lub hlwb ntawm lub cev mus rau cov tshuaj insulin, i.e. cov tshuaj hu ua insulin kuj. Qhov no yog vim cov kev hloov hauv hormonal keeb kwm hauv cov poj niam cev xeeb tub.
Yog li ntawd, nws yog tsim los ntawm kev pib txij li lub lim piam 20 ntawm cev xeeb tub rau hauv ib tug poj niam, cov concentration ntawm insulin nyob rau hauv cov ntshav nce. Yog vim li cas qhov no yog qhov thaiv qhov hnyav ntawm cov tshuaj hormone los ntawm cov kev lom neeg ntawm lub cev uas lub placenta nws tus kheej coj los ua ke. Nyob rau tib lub sij hawm muaj nce nyob rau hauv lub synthesis ntawm hormone los ntawm pancreas, uas sim kom tswj qhov piam thaj theem nyob rau hauv txoj cai no txoj kev. Qhov tshwm sim nyob rau hauv cov tshuaj tau raug hu ua cov tshuaj tiv thaiv cov tshuaj tiv thaiv.
Nws tseem yog qhov yuav tsum tau hais tias muaj ntau qhov kev xav ua rau txoj kev loj hlob ntawm kev ua txhaum. Ntawm lawv yog:
- rog dhau;
- muaj ntshav qab zib nyob rau hauv cov tom ntej ntawm cov kwvtij (caj ces kev xeebntxwv);
- yug me nyuam ntawm tus me nyuam loj hauv lub cev dhau los;
- polyhydramnios;
- tsis muaj peev xwm.
Cov tsos mob tshwm sim qhia txog kev loj hlob ntawm kev mob ntshav qab zib thaum cev xeeb tub?
Nws yog tsim nyog sau cia tias feem ntau, tus poj niam uas tab tom nqa tus me nyuam tsis pom kev hloov. Nws paub txog qhov muaj cov teeb meem no tom qab tso ntshav kuaj rau cov ntshav qab zib.
Yog li, raws li cov cai uas twb muaj lawm, qhov kev ntsuas no yuav tsum muaj qhov tseem ceeb nram qab no: thaum muab ntshav fasting 4.0-5.2 mmol / l, thiab 2 teev tom qab noj tsis tshaj 6.7 mmol / l. Cov ntsuas no yog siv tau rau cov xwm txheej thaum kuaj ntshav rau kev ntsuam xyuas ncaj qha los ntawm cov leeg.
Txhawm rau txheeb xyuas kab mob ntshav qab zib mellitus tom qab daim ntawv ceeb toom luv luv, hom kab mob no qhia rau tag nrho cov poj niam cev xeeb tub tsis muaj kev zam, txawm tias thaum sau npe. Hauv cov xwm txheej uas cov ntshav qabzib hnyav ncav cuag qhov siab tshaj ntawm cov txiaj ntsig no lossis ntau dua li, qhov kev tshuaj ntsuam rov qab ua dua kom pom tseeb tias qhov tseeb ntawm qhov tshwm sim.
Yog tias muaj kev puas tsuaj loj npaum li cas, thaum cov kua qab ntau tshaj li ntawm ib los yog ntau dua, cov hauv qab no yuav tau muab sau tseg:
- ib qho kev tsis tu ncua;
- nce zuj zus thiab nce zuj zus nyob hauv txhua hnub;
- impaired lub zeem muag.
Yuav kho tus mob gestational diabetes no li cas?
Cov poj niam uas tau raug tus kab mob no, cov kws kho mob feem ntau muab cov lus qhia los txhim kho lawv cov khoom noj txhua hnub. Qhov tseem ceeb tsis yog tsuas yog cov ntsiab lus ntawm qab zib thiab carbohydrates nyob rau hauv cov zaub mov, tab sis kuj nyob rau hauv cov ntsiab lus ntawm calorie ntawm cov khoom noj.
Nrog rau kev loj hlob ntawm cov ntshav qab zib thaum lub cev xeeb tub, tus poj niam pom zoo kom noj cov zaub mov uas tswj cov cai hauv qab no:
- Cov khoom noj yuav tsum tau muab rau me me, 3 zaug ib hnub twg. Nyob rau hauv rooj plaub no, tsis pub ntau tshaj ob qhov ntxiv, nrab "kev txom ncauj" yuav yog qhov teeb meem loj. Tshais yuav tsum muaj 40-45% carbohydrates, thiab noj hmo lawv yuav tsum yog 10-15%.
- Los ntawm kev noj haus nws yog ib qhov tsim nyog kom tshem tawm rog, thiab cov khoom noj khoom kib. Txij tib lub sijhawm, kev siv yooj yim assimilated carbohydrates (confectionery, pastry, txiv hmab txiv ntoo) yog tsawg.
- Koj tsis tuaj yeem noj zaub mov noj sai.
Kuj, thaum lub sij hawm kev kho mob ntawm cov ntshav qab zib gestational diabetes thaum lub sij hawm muaj menyuam hauv plab,
Yog tias peb tham txog qhov tshwm sim ntawm qhov teeb meem no, tus me nyuam hauv plab yuav muaj asphyxia, traumatism in labor, ua pa nyuaj siab ntsws (respiratory distress syndrome), hypoglycemia, ntshav qab zib fetopathy (loj loj, yuag 4 kg lossis ntau dua, ua txhaum ntawm lub cev, qhov nqaij thiab o .).
Hauv cov poj niam, tom qab yug me nyuam, nws muaj qhov siab yuav tsim muaj hom 2 mob ntshav qab zib. Thaum lub sij hawm gestation, ntshav qab zib nephropathy (impaired renal function), retinopathy (retinal pathology), muaj feem ntau ntawm cov mob uas muaj xws li preeclampsia thiab eclampsia , tom qab los ntshav.