GDM, 32 pule o ka wā o ke ʻano

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Ua loaʻa iaʻu ka honi ma nā ʻano like ʻole, ua hoʻomaka wau e kū i 36 mau pule. ʻO 8a 8.8. ʻAe i ka insulin, ua hōʻole au.

ua kā lākou iaʻu. ʻAʻole lākou i koho i kekahi mea, mai hopohopo, maikaʻi nā mea a pau. Ua hānau wau ʻo kā mākou pēpē a maloloina a ikaika hoʻi, ʻo ia hoʻi kaʻu e ʻimi nei iā ʻoe mai ka naʻau

ʻAe, ua loaʻa i kēlā me kēia wahine hāpai nā kauka. Inā ʻike ka hilo ma ka liʻiliʻi he 5.1 a kiʻekiʻe aʻe, e kau i ka GDS. ʻO ka manawa mua wau i hala hewa ai, ka ihu, aia ke kōpaʻa 6.7. A laila, i ka wā o ka hoʻopaʻa ʻana, ʻaʻole i kū aʻe ma luna o 4.6. E like me ke kua. Ua wehewehe lākou i ka mea ʻai, akā ʻaʻole wau i nānā, no ka mea, ʻaʻole au i kau i ka paona.

ʻO ka mea nui nui e pono ai e hānau mai i ka wā o ka manawa. A laila hiki i ka hua ke lilo i mea nunui.

Ua maʻi wau i kēia. ʻO Sugar kahi 5.6. Hana lākou i kekahi mea, hele nā ​​mea a pau ma hope o ka hānau ʻana

Mai hopohopo, e hana ʻia i kēlā me kēia kekona. Ua loaʻa iaʻu 5.3 ma kahi ʻōpū ʻole, kuhikuhi i kahi mea ʻai, hoʻāʻo e hoʻokō. Ma hope o ka hānau ʻana, ʻoi aku nā mea āpau.

Ua loaʻa au i ka maʻi diabetes i ka wā hapai, ua hoʻomaka koke ʻia ka insulin e helu koke ʻia, no ka mea ʻaʻole i hapai nā peni .. ʻO ke kakahiaka i hānau ʻia ma ka 34 mau pule he cesarean. Ua hānau maikaʻi ʻia ka pēpē me ke kaupaona ʻana o 3600. Ua hōʻole ʻole wau i ka insulin ma hope o ka hānau ʻana. i kēia manawa ma nā papa.

I ia au. Aia ka meli maʻamau ma ka ʻōpū ʻole, a ma hope o ka ʻaina kahi i hāpai ʻia ai. E ukali ana i kahi papaʻai a ana i ke kōpaʻa ma hope o kēlā me kēia pāʻina. ʻAi wau akā liʻiliʻi ka laiki, nā ʻuala, nā huaʻai, nā meaʻono, ʻai a me nā mea hoʻi Hiki ke ʻai ʻia nā lau ʻomina āpau e like me kāu e makemake ai. ʻOiai inā wau i makemake nui loa ma mua o ke ʻano o nā huaʻai a i ʻole keke, hele wau i kahi hele koke ma hope o ka ʻai ʻana a i ʻole hana Pilates a yoga paha no nā wahine hāpai. Ua hānau ʻo ia i ka manawa, he kaikamahine olakino. Pono e hahai ʻia nā meaʻai, a laila nui aʻe ke kōpī. Inā ʻaʻole kōkua ka ʻai, a kuhikuhi ʻia ka insulin.

Ua kau lākou iaʻu ma ka wiki he 20, ua nui ke kō, ua hōʻike lākou i ka ʻai i nā ʻāpana ʻai. ʻOluʻolu loa, paʻa, hoʻoilo ʻia ke kō, ʻaʻole pono ka insulin. Ua aloha ke kauka i ka wahine o ka wahine hāpai, ʻae ʻia i nā ʻono hoʻokaʻawale, akā, me ke ʻano o ka hōʻino kino ʻana ma hope o ke inu ʻana - e holoi ana i nā papahele a i ʻole nā ​​hele wāwae lōʻihi! Ua hana 100%! Ke manaʻo nei wau! I nā hebedoma i hala iho nei, ua wāwahi ka ʻoiaʻiʻo, no laila ua hānau kaʻu kaikamahine 4220! Ma hope o ka hānau keiki ʻana, ʻoi ke koko ma waena oʻu a me kaʻu kaikamahine! Makemake au iā ʻoe a me ke ahonui.

Ka Buckwheat pō me ka kefir a i ʻole ka palaona a ninini i ke kakahiaka no ka ʻaina kakahiaka. Hoʻonui maikaʻiʻia ka Sugar

Ua loaʻa iaʻu ia mai 20 mau hebedoma, ʻaʻohe i mālama ʻia iaʻu, kuhikuhi wale nō wau i ka mea ʻai, akā ua hānau ʻia kaʻu kaikamahine i 37 mau wiki me ka paona o 4050. A loaʻa iā ia ka hypoglycemia, me ke kōpaʻa haʻahaʻa loa, ua hoʻolōʻihi ʻia mākou i ka haukapila. No laila e hoʻāʻo e hana pololei i ka ʻaina.

Ua kau ʻia au ma ka pule 26, ua hāʻawi wau i ka pale o ka ʻaina ʻai wikiwiki i ka kō maʻamau, a ma hope o ka ʻai ʻana i ka 7.98 (ka palena o 7,8). Ua hahai i ʻelua mau pule i kahi papaʻai ma nā ʻāpana ʻai, a laila oki. Ua hānau ʻia kaʻu kaikamahine 3100, 51 cm olakino, ʻo ka mea wale nō ka mea polyhydramnios ma muli o GDM, ma hope o ka hānau ʻana ua hoʻomau ʻo ia i ka loiloi, maʻamau nā mea āpau.

ʻO kaʻu hila 5.4 kaʻawi koke ʻia e ka moku Duma, ʻaʻole naʻe lākou i hoʻouna i ka hoʻoili hou ʻana, ʻōlelo lākou i ka cardiomagnyl, he wai koko, ʻaʻole wau i inu i ka nafig, ma hope o ka lawe ʻana i ke kō.

E kiʻi hou, ai ʻai paha i nā ʻō wai i ke ahiahi, a inu paha.

Hāʻawi pū wau i kahi kōkō huki nui no 36 mau pule a noho ma Cesar a laila nānā pinepine i ke kō no ka lā mua. Akā hoʻomaikaʻi maikaʻi aku i ke Akua nā mea a pau, hilo ʻole kaʻoka.)))

Nā nīnau e pili ana a i kuhikuhi ʻia

1. I hoʻokahi hola ma hope o kahi ʻaina, hiki ke loaʻa ka glycemic level o 7.6 mmol / L. "Poke"ʻAʻole ʻoe e NovoRapid ma kekahi hihia, pono paha ka nui o ka nui o ka insulin a me ka meaʻai mua i koho ʻia ma kahi ʻano o ka hoʻopiʻi ʻana i ka maʻi maʻi.
2. Hoʻokomo ʻia ʻo Levemir i loko o ka ʻeke a me ka ʻūhā. ʻAʻole pono ia i ke ʻano, akā me ka hoʻolaha ʻana, ʻoi aku ka maikaʻi o ka lāʻau lapaʻau.
3. Lihi paha o ka insulin i ka hopena o ka nila pono, he mea maʻamau kēia. ʻAʻole pono ka Insulin mai ka pūnaewele wili; pono ʻoe e kī i ke kahua ʻoi ʻia no 15-20 kekona ma hope o ka huki ʻana i ka pono.

He aha kaʻu e hana ai inā loaʻa iaʻu kahi nīnau like ʻole?

Inā ʻaʻole ʻoe i ʻike i ka ʻike pono ma waena o nā pane i kēia nīnau, a i ʻole ʻokoʻa ka pilikia o kāu hōʻike mai ka mea i hōʻike ʻia, e ho'āʻo e nīnau i ke kauka i kahi nīnau hou aʻe ma ka ʻaoʻao like ʻole inā ʻo ia ma ke kumuhana o ka nīnau nui. Hiki iāʻoe ke noi i kahi nīnau hou, a ma hope o kekahi manawa e pane ʻo kā mākou mau kauka. Itaolaa. Hiki iā ʻoe ke ʻimi i nā ʻike pili i nā pilikia like ma kēia ʻaoʻao a i ʻole ka ʻaoʻao o ka ʻaoʻao a ka pūnaewele ʻike. E mahalo nui mākou inā makemake ʻoe iā mākou i kou mau hoaaloha ma nā ʻoihana pūnaewele.

Medportal 03online.com Hāʻawi i nā kūkākūkā olakino i nā leka me nā kauka ma ka pūnaewele. Eia ʻoe e loaʻa ai nā pane mai nā mea hoʻomaʻamaʻa maoli ma kāu pāna. I kēia manawa, hāʻawi ka pūnaewele i nā ʻōlelo aʻo ma nā wahi he 48: allergist, anesthetist-resuscitator, venereologist, gastroenterologist, hematologist, geneticist, gynecologist, homeopath, dermatologist, pediatric gynecologist, pediatric neurologist, pediatric urologist, pediatric surgeon, pediatricic surgeon, pediatricic surgeon, pediatricic , ke kaukō maʻi hopohopo, cardiologist, cosmetologist, ke kauka ʻōlelo waha, ʻoihana ENT, mammologist, loio lapaʻau, narcologist, neurologist, neurosurgeon, nephrologist, oncologist, oncourologist, orthopedic trauma surgeon, ophthalmologist he, ka mea lapaʻau, nā mea lapaʻau plastik, proctologist, psychiatrist, psychologist, pulmonologist, rheumatologist, radiologist, sexologist andrologist, dentist, urologist, pharmacist, herbalist, phlebologist, lapaʻau, endocrinologist.

Pane mākou i ka 96.28% o nā nīnau..

Hoʻonui i ke kō, 26 mau wiki o ke kūlou, e pili ana i ke kahaʻana i ka insulin

Ua kiʻekiʻe loa ka malama ma mua o ka mea maʻamau. Ma nā pule he 32, hoʻomaka ʻo ia e ʻai i nā mea āpau a maikaʻi hou nā hōʻailona. Hānau wau a hānau aku nā mea a pau. E pili ana i nā poʻe e like me ʻoe. ʻAʻole ia he kumu. ʻAʻole maopopo ke kumu kumu i aʻo ʻia ai ka insulin. ʻO koʻu mau hoaaloha, ʻaʻohe kanaka hope ma waho ona.

Aia wau ma ka insulin, he maʻi diabetes lā kekahi, akā ma ka ʻōpū ʻole ua loaʻa iaʻu kahi honi maʻamau a ʻaʻole makemake ʻoe e hāʻule i loko o ka hola (akā ma hope o ʻekolu pule ua ʻike wau i ke ʻano o nā huahana i ke ʻano maoli, no laila ke kali nei wau i kaʻu erdocrinologist mai kahi hoʻomaha aku e kuka me ia). Kūleʻa wau i ka inika pōkole o Novorapid 3 mau manawa i ka lā 10 mau minuke ma mua o ka lawe ʻana i ka meaʻai nui no 6 mau papa. Ua hopohopo loa au i ka hāʻawi ʻana i nā ʻikena iaʻu iho (ma loko hoʻi o ka ʻōpū), akā e manaʻoʻiʻo iaʻu, ʻaʻole ʻōwī a ʻōlelo wau me ka hōʻeha. Ke ʻōlelo nei lākou e pili ana i ka insulin, ua hoʻomaka ʻo ia e hopohopo nui loa no ke keiki, akā ma waho aʻe iā ia, ʻaʻole hiki i nā wahine hāpai ke hana i kekahi mea mai ka mālama ʻana. Ua kaupaona nā mea hoʻopiʻi a me nā ʻumi a ua hoʻoholo e hakakā au. ka mea nui ka hoʻoponopono ʻana o nā mea āpau me ke keiki. Ke pule nei wau i ke Akua e hala ma hope o ka hāpai ʻana (e ʻōlelo lākou i kekahi manawa i hana ʻia)

ʻAe, ua pau i ka papa ʻaina, akā naʻe wau e kākau, he weliweli loa i ka ʻake ʻana iaʻu iho; i kēia lā, no ka manawa mua, me ka waimaka me koʻu mau waimaka i hoʻolilo ai iaʻu i kahi pā liʻiliʻi. A e pili ana i ka mea e maʻa paha a i ʻole. Ua pakele koʻu makuahine i ka maʻi hānau a ua hele nā ​​mea a pau i ka hānau ʻana, inā ʻaʻole no ka koʻikoʻi koʻikoʻi (no ka uha uila ikaika loa ʻana.) Pēlā lākou e ʻōlelo ai i mua o ka wā ʻelemakule. Hōʻike ʻia ka maʻi diabetes gestational me ka hoʻoili ʻana o nā mea āpau a pau, ʻo ia hoʻi ke haʻalele ʻana i ka insulin, ʻaʻole maopopo iaʻu, he mea lapuwale kēia, he ʻano huaʻōlelo maoli ia, ʻaʻole hiki ke hoʻomaopopo koke ʻia, akā ua ʻōwaliwali iki ʻia e like me nā lāʻau a pau a ke ola hoʻi ʻoe i ke ʻano mālie. Delirium, kahi i hoʻoneʻe ʻole ʻia ma ia manawa, ʻo ia ke kumu ʻaʻole i ka GDS, ʻo ia hoʻi ka maʻi diabetes i kona hōʻike ʻana

I ka lā hānau, ʻaʻole i ʻike ʻia ka insulin i hope o lākou, kēlā me kēia. Ua hōʻike wau i ka maʻi maʻi i ka lā aʻe. Aia aia ma kahi o ka meaʻai. Noho, ʻaʻole ʻoe e mihi. ʻAʻole ʻae ke ʻae ʻia, akā, inā he hewa i ka pēpē, mai nīnau ʻoe iā ʻoe iho. Inā he mau nīnau, e kākau

ʻO kaʻoiaʻiʻo, ma nā kūlana leʻaleʻa e like me ka hapai, ʻoi aku ʻoe i kamaʻilio maikaʻi me ke kauka. Akā, ʻoiaʻiʻo, nā lula maʻamau no ka hoʻohana ʻana i kēia lāʻau lapaʻau ke ola nei. ʻO ka insulin ka hormone e kōkua i ka mālama ʻana i ke kiʻekiʻe o ka honi i pono no ka hana maʻamau o ke kino, ʻo ia hoʻi i ka wā hapai. Hiki iā ia ke hoʻohana ʻia e nā makuahine e neʻe ana, no ka mea ʻaʻole e kalima i ka pleka. I ka wā hāpai, hoʻohana ʻia kahi ʻano hana like ole o ka insulin - ka hana pōkole, ka hopena. Hoʻohana ʻia ia i ke ʻano o ka hoʻokele mau a me ka infusion mau. He mea pono ia e pono ai i ka insulin i ka wā hānau. Eia kekahi, noho ka lōʻihi o ka hana o ka insulin. Hoʻohana ʻia no ka hoʻokele ʻana i ka pō a no ka mālama ʻana me ka helu liʻiliʻi o nā injections. Ke hoʻohana nei i kēia a i kēlā ʻano lāʻau lapaʻau, pono e noʻonoʻo i nā hiʻohiʻona o ke kino ma kēlā me kēia hihia. I ka wā hapai, hiki i ka ʻohi diabetes ke ʻano i ka maʻi maʻamau i ka neʻe ʻana o ka lawelawe o ka insulin. ʻO ka mea nui i ka manawa o kēia ka mālama ʻana i ka nui o ka glucose i kahi pae like e pale ai i nā hoʻopiʻi no ka makuahine a me ka pēpē. I ka wā hāpai, pono e mālama ʻia i ka maʻi diabetes me ka mālama nui a me ke kuleana. Pono ka wahine e mālama ʻia e kahi mea hānai meaʻai, obstetrician-gynecologist, endocrinologist, a pale i ka pohō nui a me ke kaumaha.

ʻO ka hoʻonuiʻana o ke kō a me ka insulin

Eia nō hoʻi, me ka maʻi diabetes, mai haʻalele i ka nānā ʻana o ka ultrasound e kāpae i ka hoʻolōʻihi i ka hoʻolālā ʻana o ke keiki, ka ulu ʻana o nā pilikia o ka naʻau a me ka hele ʻana o nā mea ʻē aʻe. He mea koʻikoʻi loa e hahai i kahiʻai. Pono ka ʻona o ka meaʻai i ka 30-35 mau calorie no kēlā me kēia kilokilo o ka wahine a ka wahine.

ʻOiai ke hoʻokele ʻana o ka insulin i nā wahine hāpai, ua hana ʻia kēia hana me ka hoʻohana ʻana i nā syringes kūikawā. Hoʻohana ka loina ma kahi paʻa o 100 U / ml. Kūlike ʻo nā ʻano ma ka makahiki gestational. No laila, i ka mea hoʻomaʻamaʻi mua, hiki ke loaʻa ka dosage he 0.6 U / kg, ma ka lua - 0.7 U / kg, i ke kolu - 0.8 U / kg. No nā wahine hāpai, 2/3 o ka inane o ka lā nui o ka insulin e mālama ʻia ma mua o ka ʻai ʻana i ka ʻaina kakahiaka, ke koena - ma mua o ka pāʻina. I kēia hihia, ʻo kahi hapakolu o ke kakahiaka o ka wanaʻao he pōkole ʻo ia ka insulin, ʻo ke koena ka insulin-medium Duration. Hoʻokomo lākou i nā lāʻau i loko o ka momona subcutaneous.

Hoʻohana pololei i ka wā hana, hoʻohana ʻia nā liʻiliʻi o ka insulin. I ka manawa like, ʻike ʻia nā pae koko koko. Inā hoʻoponopono ʻia kāna nui, a laila e hoʻohana ʻia kahi ʻōhua glucose ʻelima mau pakeneka. ʻEhā a ʻelima mau lā ma hope o ka hānau ʻana o ke pēpē, lawe ʻia ka wahine i nā lāʻau lapaʻau lōʻihi. Eia naʻe, pono ka wahine hāpai i lalo o ke ʻano o ka insulin i lalo o ka mākaʻikaʻi mau o ke kauka.

E nānā i ka piha piha: ua hoʻonui nui ʻia. He aha ka mea e hana ai i ka wā hāpai?

Aloha kākou kauka!

ʻO wau i 29 mau makahiki, kiʻekiʻe 168 cm, koʻikoʻi ma mua o ka hāpai ʻana i ka 65 kg, i kēia manawa 74.5 kg. ʻO ka wā helu ʻo Pregnancy i ka 22-23 mau pule, ka lua. Ua pau ka nānā ʻana i ka hala ʻole no ka manawa mau wiki he 5-6 mau makahiki ma 2004. Ua hāpai ʻia kēia hānau ʻana ma hope o ka hoʻoulu ʻana me ka clostilbegit + metformin, me ke kākoʻo ʻē aʻe e Duphaston (40 mg / lā) a ua paʻi ʻia (1500 mau lālā ma hope o 3 mau lā ma ka lā 4).

Ua hoʻomaka ka menstruation ma 12 mau makahiki, ke ʻano o ka manawa maʻamau o 28-45 mau lā, ʻeha nui ka hōʻeha ʻana o ka menstruation, ʻaʻole i nui.

Ma mua o ka hapai ʻana ua pā wau i kēia mau ho'āʻo hou:

Folliculogenesis - ovulation i ka pōʻai kūlohelohe i ka lā 24 o ka hakakā me ka hoʻokumu ʻana o ka cystic corpus luteum (NLF?)
DHEA-SO4 2.96 umol / L (mau kula hoʻokolohua 0.9 - 11.7)
FSH 9.44 mIU / mL (mauʻano 2.8 - 11.3)
LH 7.86 mIU / mL (līlia 1.1 - 11.6)
Prolactin 373 mIU / mL (maʻamau 40.3 - 503)
Hōʻikeʻike 1.16 nmol / L (maʻamau 0 - 2.8)
Insulin ma mua o ka ʻai 14.9 uIU / mL (mauʻano 4.3 - 15.3)
2 mau hola ma hope o ka ʻai ʻana i ka 43.9 uIU / mL
Huki i ke koko 3.2, me ke koena o kekahi
Homocysteine ​​7.81 umol / L (normal 5 a 12)
TTG 4.12 mIU / L (mauʻano 0.4 - 4)
T4 manuahi 10 pmol / L (mauʻano 10.3 - 24.5

Ma hope o ka hāpai ʻana
TTG 2.06 mIU / L (mauʻano 0.4 - 4) I ACCEPT L-TYROXIN 50 MKG / SUT
T4 manuahi 19.7 pmol / L (mauʻano 10.3 - 24.5)
A I TPO a emi mai 10 IU / mL
17OH-progesterone 1.52 ng / ml (maʻamau 1.3 - 3.0)
DHEA-SO4 4.94 umol / L (maʻamau 3.1 - 12.5)
Homocysteine ​​8.46 umol / L (normal 5 a 12)

Pono e lawe i kekahi mau hoʻokolohua hou ma muli o ke hoʻonui ʻana i nā pae o ka insulin i mua o ka wā hāpai? He lawa nui kahi o 50 μg L-thyroxine e hoʻoponopono i ka subclinical hypothyroidism?

Mahalo nui iā ʻoe no kāu kūkākūkā ʻana!

Hoʻonui i ka thyroxine i 75 mcg i ka liʻiliʻi, hiki ke pale ʻia ka insulin
ʻOi aku paha ʻoe ma mua o 25 mau makahiki - a pono ʻoe e alakaʻi i kahi OGTT (hōʻike me ka ukana o ka glucose e hoʻokaʻawale i ka maʻi gestational i nā hola 24-28 me ka hoʻoliʻu ʻaina maʻamau

Paliki nā mea a pau. Mahalo nui loa!
Akā, pono e hāʻawi hou au i ke koko no ka TSH a me T4 me ka manuahi ma hope o ka hoʻonui ʻana i nā kaona o L-thyroxine?

I ka ʻepekema, pono kēlā i kēlā me kēia hapaha, ʻaʻole ia ka kumu
Inā e hoʻonui ʻoe i ka lā ʻapōpō -TG i mau hebedoma 8, sv T4 mono a i ʻole akā ʻaʻole pono maoli

Mahalo nui iā ia no ka pane wikiwiki! E hoʻonui nō wau i ka inanahi mai kakahiaka aʻe, e kau aku nō wau i nā hoʻokolohua e like me kou ʻāpono ʻana: Bo:

ʻAʻole pono ke nānā ʻia o Insulin, akā ʻoiai ke nānā aku lākou - no ke aha ke kumu maʻamau (ʻo nā palena o ke ʻano maʻamau i ke kumu kākau) i ʻike ʻia he "hoʻonui"?

Insulin 2 mau hola ma hope o ka ʻai ʻana i ka 43.9 uIU / mL - ʻōlelo pinepine ke kauka a kuhikuhi i ka Metformin ma ke ʻano o 500 3 mau manawa i kahi lā. Ua ʻai ʻoe i kāu inu?: Bn:

Aia, he aha kā mākou e hana ai me ka makemake e mālama i ka poʻe olakino?
oh, ʻaʻole ko ka ʻeha a pau - ua lilo ka insulin i mea lanakila ma ke alo ʻole o ka noiʻi pono ʻole

Ma hope o ka ʻai ʻana, pono ka nui o ka insulin e hoʻohālikelike me ka pae ʻana i ka hookeai, ʻaʻohe ʻano mālamalama. He maʻa kou koko koko. Aia nā hōʻike maopopo loa no ka hoʻokele ʻana i ka metformin, a ʻaʻole i lilo ka kiʻekiʻe o ka insulin i ke kumu no ia koho ʻana. Me PCOS, hoʻonui ka metformin i ka hoʻoikaikaʻana o ka hoʻoulu ʻana, akā ʻaʻohe mea o ka insulin e hana. Ma keʻano holoʻokoʻa, hoʻopoina e pili iā ia.

ʻO ia, ʻoiai maopopo iaʻu, maʻamau ka pae ʻana o ka insulin a ʻaʻohe pono e hoʻomau i ka metformin ma hope o ka hāpai ʻana? Hurray!: Ab:

ʻAʻole kēia e hoʻopau i ka OGTT, e mālama ʻia nei e nā mea a pau e nā makahiki he 25 a keu, ʻoiai inā he maʻi maʻi ka ʻohana

ʻAe ,ʻoiaʻiʻo, e hāʻawi maoli nō wau i kēia.

Aloha kākou kauka!

Kānāwai 28-29 pule. I kēia lā ua loaʻa iaʻu nā hopena o nā noiʻina:

T4 manuahi 10.4 pmol / L (maʻamau no nā wahine hāpai wahine 2-3 trimester 8.2-24.7)
TSH 0.955 Me / L (maʻamau no nā wahine hāpai wahine 2-3 trimester 0.2-3.5)

Lawe au iā L-thyroxine 75 mcg i kēlā me kēia lā. E haʻi mai iaʻu, e ʻoluʻolu paha, e pono anei au e hoʻonui i ka ʻona o L-thyroxine?

Mahalo i mua o kāu pane!

Nā hopena maikaʻi loa: ay: Waiho mākou i nā mea āpau e like me.
ʻAuhea ke nānā ʻana no ka maʻi maʻi gestational? Ua kākau mākou no kēia mai ka leka mua!

Mahalo nui iā ʻoe no kāu pane!

Wahi a ka nānā ʻana no ke maʻi maʻi gestational, ʻo ia ke ʻano: ua hana wau i kahi hoʻokolohua me kahi ukana (kūmole glucose) i loko o kahi haukapila. ʻAʻole wau ʻike i ka hopena i nā helu, ʻōlelo wale ke kauka ua mālie nā mea a pau. I kekahi kumu, ʻaʻohe hopena i ka ʻōlelo ...: mad:

Aloha awakea E nā kauka aloha, ke huli hou nei wau iā ʻoe no ke kōkua.

ʻO 31-32 mau pule ʻo ka mea maʻi. Ke hele nei i kahi hōʻike koko koko biochemical ma kahi ʻōpū ʻole mai kahi vein, ua ʻike ʻia kahi pae glucose o 5.96.

ʻO ka insulin a me ka metformin i ka wā hāpai?

He aha ka hana hou aʻe e pono? ʻŌlelo ka luna ʻōlelo hoʻomalu pono e kaupalena i ka hoʻohana ʻana i nā pale. Pono au e lawe i ka hōʻike me ka ukana? ʻO ka manaʻo glucose ka mea e ulu ai ka maʻi gestational?

Aia nō ʻoe i ka pilikia no ka maʻi maʻi gestational a ʻaʻole maopopo mākou inā ʻike nā loiloi OGTT i kūpono ʻia e manaʻo ʻia e hana ʻia

ʻO ka wikiwiki o ka glucose glucose ma hope o nā hebedoma 28 (ua lawe ʻia kēia mau pule no nā kumu nui loa o ka hana contra-hormonal hormones, ka mea nui o ka ʻae ʻana no ka pēpē - ʻaʻole wau i ʻike i ka manawa i ke wā oki ʻia ka wā kipa o ka manawa - a nīnau wau i ke kōkua o ka poʻe maʻi maʻi), i koʻu manaʻo, pono ia e noʻonoʻo ʻia e like me nā kānāwai like aia ka glucose i loko o ka ʻāpiki-ʻaʻohe mea hōʻailona i ka manawa o kēia manawa e loaʻa nā mana like no ka haʻahaʻa haʻahaʻa e like me i nā 24 wiki, ʻaʻole au i hālāwai me kekahi mea, ʻaʻole nō hoʻi au i hoʻokō i ka pono no ka lua momona lua TT
I nā huaʻōlelo ʻē aʻe, kākoʻo wau i ka manaʻo o ka hoʻopiʻi ʻana i nā sweets, hoʻohui wau i ka manaʻo o ka kāohi ʻana i ka glycemia a ma hope o kaʻai ʻana.

ʻO Galina Afanasevna, mahalo nui iā ʻoe no ka pane!

E hahai wau i kahi meaʻai a ma hope o ka hebedoma e hoʻoiho hou au i ke koko i ka glucose i mua a ma hope o ka ʻai ʻana.

Mahalo hou ʻoe hou!

Aloha kākou kauka!

Ua hoʻopau maikaʻi kaʻu hānau ʻana - ma ka makahiki 39 he mau wiki 6 mau keiki ua hānau ʻo 3900 kg 54 cm.: Bp:
E ʻoluʻolu e haʻi mai iaʻu he mea pono e hoʻi i ka helu mua o L-thyroxine, ma mua o ka wā hapai (50 mg) a i ʻole paha e hoʻomau i ka 75 mg ʻoiai i ka wā hāpai?

Mahalo nui iā ʻoe no ka pane!

ʻO ka thyroxine i kau aku i ka mkg, i ka manawa o ka mea hoʻopiʻi, hiki i nā loli nui ke pono no ka lāʻau lapaʻau i hiki ke kūpono, ʻo ia ke kūpaʻa e wehewehe i ke kūlana i kēia manawa i ka hopena i loaʻa