ʻO ka hypoglycemia i ka wā hāpai: ka hoʻomohala ʻana o ka maʻi hypoklycemic i nā wahine hāpai
ʻO ka insulin ka lāʻau e hoʻoneʻe i nā glucose a iʻa ka koko koko mai ke koko i nā puna o ke kino, kahi e mālama ai a hoʻohana ʻia paha e hana i ka ikehu. I ka wā hapai, hiki i kou kino ke hoʻonui i ka nui o ka insulin e kōkua i ka ulu ʻana o kāu pēpē. I ka manawa like, hiki i ka wahine hapai ke hoʻolōʻihi i ka kū i ka insulin. ʻO kēia ke kumu i ulu ai ka nui o nā wahine i ka wā maʻi i ka wā hāpai (gestational diabetes).
ʻOiai ke kūpaʻa nei ke koko koko kiʻekiʻe (hyperglycemia) i ka wā hāpai, hiki i ka loli ke hoʻololi i kou kino i ka wā hāpai a pehea hoʻi ʻoe e kū ai i ka insulin e hoʻohaʻahaʻa i ka nui o ke kō o kāu koko. ʻO kēia ke kumu i kapa ʻia ka hypoglycemia. ʻO ka heluhelu lau kōloli koko ma lalo o 60 milligrams per deciliter (mg / dl), manaʻo ʻia he hypoglycemia. ʻO ka hypoglycemia i ka wā hāpai ka mea maʻamau i nā wahine me ka maʻi maʻi.
ʻO ka hypoglycemia hoʻomau i nā wahine hāpai me ka maʻi hānai, ʻaʻole luhi. Hiki i ke kiʻekiʻe o nā sugar ke hoʻohaʻahaʻa loa i ka wā hāpai a loaʻa ʻole kekahi o kēia mau hanana e like me:
- ʻAʻole ʻoe eʻai i ka nui a i ʻole nā ʻano kūpono o ka meaʻai e hoʻokū ai i kāu kō koko. ʻAʻole ka nui a pehea paha kāu eʻai ai, e hoʻomau ka pēpē i kāu keiki i waho o kou kino. Hoʻopili pinepine ʻia kou kino i kēia.
- Hoʻohana nui ʻoe i ka hoʻohana glucose. Ināʻaʻohe lawa ka nui o kou kino a ʻaʻole ʻoe e hoʻohui iā ia me kekahi mau kōlea, hiki iā ʻoe ke lilo i hypoglycemic.
- ʻO nā hāpana o nā lāʻau lapaʻau maʻi maikaʻi loa ka hopena no ka hoʻohaʻahaʻa ʻana i ke kō koko koko a pono e hoʻololi ʻia. ʻO kēia ke kumu maʻamau o ka hypoglycemia i ka wā hāpai.
ʻO ka hypoglycemia a me ka maʻi maʻi
Hiki i ka hypoglycemia i nā wahine hāpai me ka maʻi ʻole o ka maʻi maʻi, akā ʻoi aku ka mea maʻamau i nā wahine e lawe nei i ka insulin. ʻO kēlā me kēia ʻano o ka maʻi maʻi maʻi e hoʻonui aʻe i ka hopena o ka hypoglycemia:
- maʻi diabetes type 1
- diabetes type 2
- maʻi maʻi maʻi gestational
Loaʻa nā hōʻailona o ka hypoglycemia i nā wahine hāpai a i nā poʻe ʻaʻole i hāpai ʻia. ʻAe lākou:
- ka walaʻau a ka luaʻi ʻole
- hapaʻala
- nāwāwa
- puʻuwai puʻuwai
- kaohuu
- hopohopo
- pieholo a puni ka waha
- hāneʻe ʻula
Ke piʻi nei ke kiʻekiʻe o ke kō koko, hoʻopau wale kēia mau hōʻailona.
Hoʻomaka
ʻO ka hypoglycemia i ka wā hāpai ka mea maʻamau. ʻOi aku ka nui o nā wahine me ka maʻi maʻi o ka wahine ma mua o ka wahine me ka maʻi maʻi o ka maʻi no ka hypoglycemia. I loko o nā haʻawina hoʻokahi, ʻo 23 ka nui o nā wāhine me ka maʻi diabetes type 1 i loaʻa i ka hōʻeha hypoglycemic hōʻeha i ka manawa hoʻokahi i ka wā e hāpai ai, a he nui ka mea. ʻO ka hōʻeuʻeu hypoglycemic ikaika e hōʻemi i kou koko koko i ka weliweli loa e hōʻemi ai ʻoe i ka ʻike.
Ma kahi noiʻi ma mua, e pili ana i ka 19-44% o nā wahine hāpai me ka maʻi hānai o nā ʻano āpau i loaʻa i ka hypoglycemia āpau.
ʻO nā kumu maʻi
Hiki i ka hypoglycemia i kēlā me kēia manawa i ka wā hāpai. Eia nō naʻe, e hoʻonui kekahi mau mea i ka hopena. E pili ana kēia:
- ʻO ka heleʻana o ka maʻi maʻi. ʻO nā wahine a me ka maʻi diabetes hoʻi e hoʻomau i nā loli o ka pae o ka insulin. I mea e nānā ʻole ai i ka nui o ka kō, hiki pono iā ʻoe ke nānā pono a nui paha ʻoe e hoʻoponopono i nā lāʻau lapaʻau maʻi.
- E lilo i kāu trimester mua. ʻO ka hypoglycemia ka mea maʻamau i ka wā o ka trimester mua, i ka manawa hiki i nā makuahine ke loaʻa i ka maʻi a me ka luaʻi. I loko o hoʻokahi noiʻi, ʻo nā wahine hāpai i ka maʻi diabetes type 1 ʻekolu mau manawa e hōʻike i ka hypoglycemia koʻikoʻi a ʻekolu mau manawa ma mua o ka wā hapai. ʻO ka manawa maʻamau loa no ka hoʻoulu ʻia ʻana o ka puʻohiwa hypoglycemic ma waena o 8 a 16 mau pule o ka make. ʻO ka hapa haʻahaʻa loa i ka trimester lua.
- Ke loaʻa nei nā kuʻekuʻe hypoglycemic ma mua o ka wā hapai.
- ʻO ka maʻi. Nui nā maʻi e make i ka nele o ka makemake, a me ka ʻole o ka ʻai kai kūpono ʻole a hiki ke hoʻoulu ʻia i nā manawa hypoglycemic.
- Palaka ʻaʻai. He mea nui e lawe i ka nui o nā kaloli i ka wā hāpai. ʻO nā meaʻai āu e ʻai ai, pono hoʻi i ka mākaukau.
Naʻi hoʻolika
E hana kāu kauka i kahi hōʻike maʻi hypoglycemia e pili ana i kāu mau hōʻailona a me ka heluhelu heluhelu koko. Hiki ke noi ʻia iā ʻoe e lawe i kekahi heluhelu i ka lā a hoʻopaʻa iā lākou. Hiki i kāu kauka ke kuhikuhi i kahi kime koko koko koko, a ʻole hiki iā ʻoe ke kūʻai iā ia ma ke kīkē ma ka hale kūʻai. ʻO ka hilahila koko haʻahaʻa ʻaʻole ia ka mea i hoʻomau i ka hypoglycemia.
He hoʻomaʻemaʻe a me ke pale aku
Inā hoʻomaka ʻoe e ʻike i kekahi mau hōʻailona o ka hypoglycemia:
- E ʻimi i kahi maluhia e noho ai a hoʻopunipuni paha. Inā e hoʻokau aku, huki.
- ʻAi ʻia a inu paha e pili ana i 15 mau mineka o ka mauʻu. Loaʻa i nā kākena haʻahaʻa maʻalahi i kahi momona gula kiʻekiʻe. ʻO nā hiʻohiʻona he 4 hen o ka wai o ka hua (ʻaʻole ia he meaʻai a i ʻole ke kumu gula i hana ʻia), hapalua o ka paʻakai o ka soda maʻamau, 4 papa ʻaina glucose, a hoʻokahi pākī o ke kō a me ka meli. E mālama mau i nā mea like pū me ʻoe.
- E haʻi i kāu kauka e pili ana i nā lāʻau hypoglycemic loaʻa iā ʻoe.
Inā loaʻa iā ʻoe ka maʻi maʻi, e hoʻoponopono nā kauka i kāu mau lapaʻau e hoʻopaʻa i ka puna koko. Maʻalahi loa hiki iā ʻoe ke hāʻawi i kahi papa inoa no ka mea i kapa ʻia he kohu glucagon. Aia kēia kuhi i kahi ʻano synthetic o ka hormonagon o ka hormonal a me nā syring ka maikaʻi. Ke hoʻokau ʻia, e hoʻoneʻe ka glucagon i ka ate e hoʻokuʻu i nā hale glucose. ʻO kēia, ke hāpai nei i nā pae koko koko. Hoʻohana ʻia ia ma ke ʻano hoʻopakele no ka hypoglycemia koʻikoʻi.
ʻO ke kī, akā i hōʻemi ia i ka hopena o ka hypoglycemia i ka mua.
- Eʻai i nā meaʻai liʻiliʻi, kūpono ʻole e mālama pono i ke kō koko.
- Ua wikiwiki ʻoe i kou hiamoe ʻana, no laila e hoʻomaʻamaʻa ʻoe i kou inu ʻana i kou moena a hiki ʻoe ke ʻai inā ala aʻe i ka pō a i ʻole ke ʻano mua i ke kakahiaka.
- Hoʻomaʻamaʻa, koe wale nō me ke aʻo ʻana iā kauka iā ia, akā ʻaʻole e hoʻonui i kou pae maʻamau. Hiki i nā hopena o ke kāohi i ke kōpaʻa koko a hiki i 24 mau hola.
Nā hopena
ʻO ka hopena hypoglycemic hikiʻole i ka wā hāpai ka mea ʻaʻole ia e hōʻeha iā ʻoe a i kāu pēpē paha. I ka wā pinepine kēia, hiki i nā pilikia. Pono ka lolo i ka glucose i hiki ke loaʻa i nā leka mai ke kino a e wehewehe iā lākou.
I nā hihia koʻikoʻi i nā wahine me ka maʻi maʻi, hypoglycemia hiki ke alakaʻi i ka hoʻokau, coma, a me ka make nō hoʻi. Hiki i kāu pēpē ke loaʻa nā maʻi like ʻole inā e hānau ʻia me ka hypoglycemia a i ʻole e hoʻomau i ka manawa ma hope o ka hānau ʻana.
Nā huahana mau
He maʻi ʻokoʻa ka Hypoglycemia i ka wā hapai inā ʻaʻohe maʻi ʻoe. ʻO ka infrequent a iʻole hypoglycemia maʻamau e hōʻeha ʻole i ka makuahine a i kāna pēpē paha. ʻAʻohe ala kūpono e pale ai i ka hypoglycemia, akā hiki iā ʻoe ke hōʻemi i kou pilikia. E ʻai mau i ka manawa, a inā iā ʻoe ka maʻi o ka maʻi maʻi, e kiaʻi pono i kāu kaila koko. E hoʻomaopopo i nā hōʻailona o ka hypoglycemia a haʻi i kāu kauka e pili ana i kekahi mau hōʻeha āu e loaʻa ai.
No ke aha i hāpai ai nā wahine hāpai i ka hypoglycemia?
I ka wā hapai, ma ke kino o ka mea hoʻomoe, ua ʻike ʻia nā loli o ka hormonal i ke kino. Mahalo i nā'ōmaʻomaʻo, hiki i nā loli hou i ke kino o ka wahine hāpai.
- Hoʻonui ka hana naʻau
- ka wikiwiki i nā kaʻina hana metabolic i ke kino.
- E hoʻomaikaʻi ka hana pancreatic a me ka thyroid gland.
ʻO ka manawa pinepine ka mea e koho ai i ka pancreas e hana hou ai i ka insulin, hiki ke lilo i mea kumu i ka hoʻomohala o ka haogogogogemia.
ʻO ka pinepine ma nā mahina ʻekolu ʻekolu o ka hānau ʻana i kahi keiki, hopohopo kekahi wahine no ka toxicosis. Me nā hōʻailona koʻikoʻi, hiki ka lohi, a me ka hopena, hoʻopiʻi, hoʻoleʻa ʻole i nā mea kanu pono, me ka hoʻēmi ʻana o ka glucose o ka plasma a me ka hopena o ka hypoglycemia.
Hiki i ka hypoglycemia i kahi wahine i ka wā hāpai, inā hoʻoholoʻo ia e hoʻemi i ka momona me kaʻai haʻahaʻa-pahu. Pono ke kino i ka nui o nā meaola e lawe ai i kahi keiki, no laila, pono ia e ʻai pololei i ka meaʻai, i ka kūkākūkā ʻana me kekahi kauka.
I ka mea maʻi me ka maʻi maʻamau 1 ka mea e hoʻohana ai i ka insulin, hiki i ka hypoglycemia ke loaʻa i ka wā i nele ai nā mea momona, nui o ka insulin, a inā ʻaʻole i alualu pono ʻia ka ʻōnaʻai a me ka mālama ʻana i nā maʻi. Ma kahi o nā kumu like ke hiki me ka overdose o ka plasma glucose i hoʻohaʻahaʻa nui i nā ʻōmaʻomaʻo type 2.
ʻO ka pinepine, ʻo ka mokuʻōlelo o ka hypoglycemia i ka wā hāpai a hoʻomohala ma 16-17 pule. I nā mahina ʻekolu ʻekolu o ka hāpai ʻana, ulu hou ke pēpē i kēlā me kēia, no laila, ke kaʻe iki mai ka pākaukau i hiki ke hoʻopilikia i ka pono o ka wahine.
Nā hiʻohiʻona o ka hypoglycemia
Ke kahe ana o ka nui o ka glucose i loko o ke kaila o ka plasma, ke kū ʻole ʻia o nā kaʻina hana. Pono ke ʻano o kēia mau pilikia i ka pae o ke kūlana.
- i kahi ʻano kukui
- kaumaha
- ma ka pākeke - hypoglycemic coma.
Hiki ke ulu koke paha ia ke ʻano. Aia ia i ka wikiwiki o ka hāʻule ʻana o ke kō koko koko.
I ka manawa mua, ʻike ʻia ka huehue i nā pūlima o ka lolo, ʻoiai he mea koʻikoʻi lākou i nā pae gula.
Hoʻāla ka Sugar i nā ʻoihana sela. Hōʻike ka lolo i nā kola adrenal e hana ana i ka adrenaline. Ma muli o kēia, ua hoʻohuli ʻia kekahi ʻāpana glycogen i loko o ke kō, e kōkua ana i ke kino no ka manawa pōkole.
ʻAʻole hiki ke hoʻohana pinepine ʻia kahi ala like ʻole, no ka mea he nui nā palena o ka glycogen. Inā ʻaʻohe mea e hoʻoholo i ka nui o ke kō i loko o ke koko, a laila pilikia hou ka kūlana.
- mahuahua ka pololi
- āhāhuʻe
- hopohopo o ke kaumaha
- lie kanikela
- hōʻaiʻe ʻana
- hāneʻe ʻula
- iriani,
- mahuahua ka puʻuwai naʻau
- koko koko kiʻekiʻe
- me nā hoʻopiʻi, ka nalowale o ka ʻike a me ka hiki ʻana mai o ka cardiovascular hiki ke tupu.
I ka wā o ka hānai ʻana o kahi keiki, he mea hopohopo ka hypoglycemia i ka ʻōpū, ʻo ka manawa like ʻaʻole ia e loaʻa i ka meaʻai pono, hoʻopilikia ʻia kāna kūkulu. Me kahi hoʻēmi koʻikoʻi i ka glucose a i ʻole ka wikiwiki o ka piʻi koko, e make ana ka wahine hānau.
Aia no kahi nīnau koʻikoʻi inā hoʻoili ʻia ka maʻi diabetes, a ʻaʻole pono ʻo ia ke keʻakeʻa ʻia.
ʻO nā hopena o ka hypoglycemia no ka wā hāpai
Hoʻokomo ʻo Hypoglycemia i ka wahine a me kāna wahine hāpai. ʻOiai ka wahine ka uakiʻi i ka hāʻawi o ke koko i ka retina nui, e lilo loa ia i mea hoʻomanaʻo me ka noʻonoʻo. Eia kekahi, i kēia hihia, hiki i ka wahine ke hāpai i ke maʻi maʻi i ka hopena o kāna hāpai ʻana.
No kahi keiki i hānau ʻole, hiki i ka mokuʻāina o ka hypoglycemia ke hoʻoweliweli me ka hopena aʻe.
- hiki i ka pēpē ke hānau ʻia me ka underdevelopment, ʻo ia hoʻi, me ka hana like ʻole o nā mea pili o ke aila, ke hana musio poʻo a me nā ʻano like ʻole o nā hiʻohiʻona anatomical.
- aia kekahi macrosomia o ka hua liʻiliʻi, i ka manawa e hiki ai ke hoʻonui nui i ke paona, ma ia mea ke hana nei lākou i kahi ʻāpana cesarean,
- Hiki i ka hypoglycemia ke hoʻopuka i ka polyhydramnios,
- kue ʻole i ka hana o ka plasenta,
- hoʻoweliweli mai ka lawehala.
ʻO ka mea nui e hoʻomanaʻo: no ka hoʻomaka ʻana i ka lāʻau pono a hoʻopau i nā hōʻeha i makemake ʻole ʻia, pono ia e hoʻoholo inā he wahine hypoglycemia ma mua o ka wā hāpai, a ʻo ka mea kūpono ke hoʻomaka i ka mālama ʻana i ka maʻi maʻi i ka wā hāpai.
I ka koho mua, aia kahi manawa e pale ai i ka ʻano o ka maʻi maʻi o ke keiki.
Nā ala e pale ai i ka hypoglycemia i ka wā hāpai
No ka hōʻalo ʻana i nā hoʻopiʻi pono ʻole, pono e kākau inoa ʻia kahi wahine hāpai me ka maʻi diabetes i ka hoʻomaka ʻana o ka wā hāpai me ka endocrinologist a me ka gynecologist i mea e hoʻomaʻamaʻa pinepine ai.
I mea e pale ai i ka hoʻouluulu, pono nā wahine hāpai i nā mākaʻi ke nānā pono i ka pae koko koko i kēlā me kēia lā. No ka hana ʻana i kēia, e hoʻohana i kahi glucometer, no ka laʻana, ka satellite hōʻike, a i ʻole nā ʻāpana hoʻāʻo.
ʻO ka hānai koko koko wikiwiki ka 3.5-5.5 mmol / L; ma hope o ka ʻaina e lilo i 5.5-7.3 mmol / L. I nā manawa ʻokoʻa o ka hānau ʻana i kahi keiki, hiki ke loli ka puka o ke kō, mālama i ke kauka.
Inā he wahine hāpai ka hopena o ka hypoglycemia, ʻoiai ke manaʻo i ka nāwaliwali, nā māhā, nā palpitations, ke kō koko a emi mai ka 3,0 mmol / l, a laila pono ka wahine i ke kōkua mua:
- Inā nui ka luaʻi, ʻaihue, ka mea ʻike ʻole, 1 mg o ka glucagon e hana koke ʻia i intramuscularly. Pono ʻia kēia lako hana.
- Inā hiki i ka wahine hāpai ke inu, hiki iā ʻoe ke inu iā ia i nā kīʻaha o 0.5 o ka wai o ke kō, ua ʻona a me nā hua waina. Manaʻo ʻia e hāʻawi iā ia i 10 g o kahi hopena o 5% o ka glucose. ʻAʻole ʻoe e ʻai i ka waiū, nā huaʻai a me kēlā mau meaʻai i loaʻa ka momona, ka palaka, a me nā hoʻonaninani iki ʻana i ka paʻakai, ʻoiai ʻaʻole puka ka glucose i ka wikiwiki. Hiki i ke kau lohi ka hoʻonui i ka mokuʻāina o hypoglycemia.
- Pono ka nānā ʻana o nā haʻukū i kēlā me kēia 15 mau minuke a lilo i mea maʻamau. Ma ke ʻano lōʻihi nā hōʻailona o ka hypoglycemia, ʻaʻole pono e waiho ʻia ka wahine hāpai ʻole e mālama ʻia e nā kauka a i nā hoahānau paha, pono ia e hoʻomau i ka hāʻawi ʻana i kāna wai i loko o nā wahi liʻiliʻi.
Hoʻopilikia i ka hypoglycemia i ka wā hāpai
Pono e mālama ʻia ka hopena o ka hypoglycemia ma muli o ke ʻano o ka mea maʻi.
Inā he hōʻeha koʻikoʻi ʻo ka wahine a me ka pae o kona glucose ma mua o 3.0 mmol / L, a laila pono e mālama i ka mālama olakino pōpilikia, ka glucoseagon a me nā pākeke heʻumi mau huina o ka hopena o ka glucose.
Ma mua o ka hiki ʻana mai i kahi kaʻa kō i ka home, hiki i ka wahine me ka hoʻouka ʻana ke hāʻawi ʻia i hapalua kīʻaha o keʻa ʻoniʻoni a i ʻole waiwaona mai nā huahe, nā ʻāpana a i ʻole nā hua waina. I kēia hihia, pono e ana ʻia ka pae o ke kō ma loko o kona koko i kēlā me kēia mau minuke he ʻumi. ʻAʻole naʻe he mea aʻo ʻia ka haʻalele iā ia, ʻoiai inā e pōʻino ke kūlana, ʻaʻole hiki i ka wahine hāpai ke kōkua kūʻokoʻa iā ia iho a me ke keiki.
Inā hoʻomaka ka mea maʻi a hoʻomalaʻi a ʻike ʻole paha, a laila pono iā ia e hoʻoluhi i ka hopena o ka glucoseagon intramuscularly (10 mg) ma ka hiki. Inā hele pinepine ʻia kēlā mau kaua, a laila pono ʻia i ka wahine nā mākaukau i hana ʻia ma ka lima.
Me nā ʻano e pili ana i ka insulin i ka maʻi diabetes, he mea nui e lawe i ʻelua mau inikua o ka insulin i kēlā me kēia lā e mālama i nā pae kō.
Me kēia hoʻouka ʻana, ʻaʻohe pono ʻoe e inu i ka waiū, ʻai i nā huaʻai a me nā meaʻai e loaʻa ai ka protein, kahe a me ka hoʻokeo haʻahaʻa i nā hāmeʻe haʻahaʻa, mai ka neʻe ʻana mai ka glucose mai lākou.
Inā, ma hope o hoʻokahi hora a me ka hapa, ʻaʻole e maʻamau ka pae koko koko, akā hoʻomau ia e hina, a laila, e wikiwiki koke ka wahine hāpai i ka hale maʻi, kahi e hāʻawi ʻia ai ia i ka glucose intravenous.
Kāohi
I mea e pale ai i ka hoʻomohala ʻana o kēia ʻano, pono ka wahine hāpai i nā ʻano kānāwai.
E hoʻāʻo pinepine ʻia (kaʻai koko) |
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Hele i nā kauka | Mai nā pule mua o ka hapai, hoʻopaʻa inoa ʻaʻole wale me ka gynecologist, i hele a haʻi ʻole ʻia, akā me ka endocrinologist. |
Pili i kahi meaʻaiʻai kūikawā, i kuhikuhi ʻia e ke kauka nānā makaʻala |
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Hōʻalo i nā haʻalulu a me nā haʻalulu | Hiki iā lākou ke hōʻalo wale aku i ke ʻano maʻamau o ka wahine, akā ua pili hoʻi i ke kapa o ka ʻōnaehana hormonal. |
Inā loaʻa ka lolo o ka mea hoʻomaka i ka maʻi maʻamau no ka manawa maʻamau ʻo ia e pihi i nā hōʻailona o ke kō |
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ʻO kahi mea nui e pono mau i ka lima no kahi wahine hāpai i nā ʻāpana hoʻāʻo no ka ana ʻana i ke kō koko. ʻO ko lākou pōmaikaʻi ka hiki iā lākou ke hoʻoholo pololei a wehewehe i nā loli āpau i loko o ke kō, ʻoi paha ʻumi mau minuke ma hope o ka ʻai ʻana.
Nā hopena
ʻO ka hypoglycemia i nā wahine hāpai, e like me ke kānāwai, ka mea i kū i ka wiki he ʻumikūmāhiku o gestation. ʻO kēia ka manawa a ke ulu a ke keiki e ulu ikaika loa ai, no laila, ʻaʻole hiki ke hoʻopilikia i nā hana hoʻohālikelike i ka hana a ka makuahine makuahine ʻaʻole i loaʻa kona pono ponoʻī wale nō, akā ʻo ke ola o ke keiki hānau ʻole.
ʻO ka pinepine, ʻo ka hypoglycemia i ka wā hāpai e alakaʻi i nā hopena e like me kēia:
Hōʻeu ʻia ke kahe koko o ka makuahine i ka wā e hiki mai ana | Hōʻalo kēia i ka mea iʻoi aʻe ka hoʻomanaʻo o kona hoʻomanaʻo ʻana, e hoʻomaka ana kona mau maka a me kāna manaʻo. Pēlā paha ka ʻike ʻo ka wahine like ʻole a maopopo ʻole i nā mea e pili ana iā ia. Eia kekahi, me ka hypoglycemia, he hōʻeha i ka motility a me ka puʻuwai o ka hōʻiliʻili. |
Hiki i ka wahine hānai e hoʻohaumia i ke ʻano o ka maʻi maʻi, e alakaʻi i ka wikiwiki | Eia kekahi, hiki i ka wahine ke kūkulu i ka ʻehaʻeha ma muli o kahi nele o nā mea waiwai a me ka ikaika. |
Hōʻā nui ʻia ka loaʻa ʻana o ka hala kūpono ma hope o ke kōkua kōkua ʻole i ka hoʻouka hou | ʻO kēia ma muli o ka loaʻaʻana o ka plasenta me ka hypoglycemia maoli i kāna mau hana palekana no ka pēpē. |
ʻO kahi pēpē e hānau pinepine ʻia kona makuahine mai ka hopu ʻana i ka maʻi hypoglycemic hānau | ʻAʻole mau kona kino e loaʻa mau i nā mea pono e pono ai, me ka glucose. |
I loko o kahi keiki, hiki i nā hana kino ke ʻano, e like me ke ʻōpū o ka hanu a i ʻole ke ʻano lele. | Eia kekahi, loaʻa ʻo ia i nā haunaele i nā mākeke maikaʻi, puʻuwai naʻau, a me nā ʻōnaehana hoʻonāukiuki. Kuhi pinepine iki ʻia, akā aia nā manawa a pau kahi pēpē i hānau ʻia ai nā alahele a i ʻole nā pau pono ʻole i ke ʻano anatomical o ke kino. |
Hiki i ka pēpē ke hoʻomohala i ka macrosomia, ʻo ia hoʻi, ʻo kona kaumaha paha e nui loa | ʻAʻole kēia i hoʻoweliweli i ka kūlana maʻamau a me ke olakino o ka makuahine, eia naʻe, ma kēia hana, e hana ʻo ia i kahi ʻāpana cesarean. |
Kuhi kahi keiki i kēlā me ke ʻano o ka ulu ʻana i ka maʻi hypoxia | E make pū paha ʻo ia i loko o ka ʻōpū. |
Eia kekahi, inā i ka wā o ka hāpai ʻana ua maʻi nā mākua a me ka maʻi maʻi i ka maʻi, a he nui ka nui o ka hānai o ka pēpē i hānau ʻia me kēia maʻi.
ʻO ka pinepine o ka hoʻouna ʻana i ka makuahine a me ka keiki i kēia maʻi he ʻumiʻumikumamāiwa mau haneli. I mea e pale ai i ka pēpē i ka maʻi maʻamau i ka hiki, pono nō ka makuahine makuahine e mālama i nā ʻōkuhi a pau o ke kauka e nānā ana iā ia mai nā wiki mua o ka hāpai ʻana.
ʻO ka launa maʻi maʻi ʻole a i ʻole ʻia e kapa ʻia nā mea "mālama" ʻaʻole i nui loa ia.
Hiki ke loaʻa kahi wehewehe i nā kumu kumu o ka hypoglycemia reactive.
E kamaʻilio mākou e pili ana i nā hōʻailona o ka hypoglycemia i kēia moʻolelo.
He mea nui ia e hoʻomanaʻo e hoʻopau pono i ka hypoglycemia, pono ʻoe e ʻike pololei inā he wahine ʻo ia ma mua o ka wā hapai a i ʻole ʻo ia e ulu kūʻē i kona ʻano. E kōkua kēia i ka koho ʻana i nā ala kūpono no ke kōkua ʻana a ʻaʻole wale nō i ka wahine hāpai, akā ʻo ka pēpē hoʻi.
Hiki iā ʻoe ke hana
ʻO ka mālama ʻana o ka hypoglycemia ke kuhikuhi pono i ka hōʻemi ʻana i nā hōʻailona o ka maʻi a hiki ke mālama ʻia me ka hoʻohana ʻana i nā lāʻau lapaʻau me ka hoʻohana ʻole ʻia, me kahi hoʻomahaʻa iki o ka maʻi.
No laila, me ka hypoglycemia o ka hana mua, e mālama ana i kahi pae koko koko maʻamau e loaʻa ana ma ka hoʻohana ʻana i ke kaupaona ʻana, kahi i loaʻa nā meaʻai me nā hāmeʻa, e like me ke kīlea kīʻaha.
ʻO ka hōʻike ʻana o ka maʻi i ka lua o ka hana e koi ana i ka hoʻokomo koke ʻana i nā huahana me nā polokalamu ʻalā kālai ʻia, e like me ka jam a i ʻole compote. Ma ke ʻano he kānāwai, me ka manawa o ka manawa maʻamau o ke kaila o ke kō, hiki ke alo i ke kauka.
He mea nui e hoʻomaopopo i ka ʻai ʻana i nā meaʻai e like me ka ʻōmole, keke, etc. ʻaʻole no ka mea e hoʻokū pono maikaʻi i ke kino, me kahi kikoʻī hānai momona kiʻekiʻe, aia kēia mau huahana i nā momona nā ka hoʻolohi ʻana i nā haʻalulu.
He aha ka hana a ke kauka
I ke kolu o ka lā mua o ka maʻi, pono ke kūkākūkā i nā kauka e hoʻolako i ka mālama koʻikoʻi hiki, aia i loko o kahi hoʻomehana intravenous o kahi hopena glucose i mea e pale ai i ka edema cerebral. I ka manawa like, i kēia kahi hana, mālama ʻia ka wahine hāpai i ka mālama maʻi i ka nānā ʻana i nā hopena o ka hypoglycemia a hoʻoponopono i ke ʻano koko.