ʻO ka maʻi maʻi gestational

Aloha nui kā Lyudmila!
ʻO mellitus maʻi gestational - kahi kūlana e ʻehaʻeha loa no ke keiki, ʻaʻole no ka makuahine - ʻo ia ke keiki e ʻeha ana i ka nui o ke kō koko i ka makuahine. No laila, i ka wā hāpai, ʻoi aku ka maikaʻi o ke kōpaʻa koko ma mua o ka wā hapai: ʻo ka keʻokeʻo ʻana i ke kōʻaiʻai - a hiki i ka 5.1, ma hope o ka ʻai - a hiki i ka 7.1 mmol / l. Inā ʻike mākou i kahi kiʻekiʻe o ke kō koko koko i loko o kahi wahine hāpai, a laila ua kauoha mua ʻia kekahi meaʻai. Inā, e kū'ē i ke kua o kahi meaʻai, ua hoʻi hou ke kō i ke kūʻai (ʻaila ʻai - a hiki i 5.1, ma hope o ka ʻai ʻana - a hiki i 7.1 mmol / l), a laila ua hahai kekahi wahine i kahi meaʻai a kāohi i ke kō koko. ʻO ia, i kēia kūlana, ʻaʻole i kuhikuhi ʻia ka insulin.

Inā ʻaʻole i hoʻi ka haki koko i ke kūlohelohe ma mua o ka ʻaina o ka meaʻai, a laila ua kuhikuhi ʻia ke ʻano o ka insulin (ʻaʻole i ʻae ʻia nā lāʻau lapaʻau haʻahaʻa i nā wahine hāpai), a hoʻonui ʻia ka nui o ka kō a hiki i ka pae ʻana o ke kō i ke kumu i ka wā hāpai. ʻO kaʻoiaʻiʻo, pono ʻoe e hahai i kahi ʻai - ua loaʻa ka wahine i ka insulin, e hahai i ka papaʻai a mālama i ke kō o ke koko ma loko o ka maʻamau maʻamau no nā wahine hāpai.

He aha nā hōʻailona o ka maʻi maʻi gestational i nā wahine hāpai?

ʻAʻohe o nā maʻi metabolic kekahi o nā hōʻailona o waho ma mua o ka hōʻike ʻana i ka ultrasound e hōʻike nui ana ka pūpū. I kēia manawa, hiki mau ia e hoʻomaka e mālama, akā ua hala loa ia. Hoʻomaka maikaʻi loa ka hoʻomaʻamaʻa mua. No laila, koi ʻia nā wahine a pau e lawe i ka hoʻāʻo ʻana i ka glucose ma waena o 24 a 28 mau pule o ka make. Hōʻemi ka nui o ke kō i loko o ka wahine hāpai a loaʻa paha inā loaʻa i ka wahine ka nui. I kekahi manawa ʻike pinepine nā mea maʻi i ka make nui a me ka urination pinepine. Akā ʻaʻole loaʻa kēia mea. ʻAʻole hiki iā ʻoe ke hilinaʻi i kēia mau ʻōuli. Pono ka hoʻāʻo ʻana e hoʻonaninani glucose.

Nā mea hoʻohana aku

Ua hāʻawi ʻia mai hoʻi iaʻu i kēia maʻi. Aia wau ma ka ʻai. Hoʻohālikelike ka Sugar. Akā ʻōlelo nui ka hua. Mei paha ua hele wau i ka papa ʻaina awakea. E ʻoluʻolu e haʻi mai iā mākou i ka hopena o ka maʻi maʻi i ke keiki. Kaumaha loa.

Aia no wau i ka kuki me kēia GSM!

I ka B mua mua aʻe, 10 mau makahiki i hala iho nei, ua hoʻonui ka holi wikiwiki i 6.4, akā ua hele au i kahi meaʻai, hoʻohaʻahaʻa ia mea a hāʻule i hope iaʻu. ʻAʻole i loaʻa ka GDM

Nānā nā kauka i kēia gula, hoʻohaʻahaʻa i nā kūlana maʻamau no nā wahine hāpai. ʻAʻoleʻoi aʻe ma 5.1 ma kahi ʻōpū ʻole a ma mua o ka papaʻaina

Hāʻawi ʻia mai ʻo GDM iaʻu ma ke kumu he hoʻonui o ka kō o ka 5.5 ma ka ʻōpū ʻole a me ka hemoglobin maʻamau glycated. Ua kūʻai aku ʻia nā kuhi a ʻaʻole loa e haʻalele i ka maʻi ʻoiai me ke kō maʻamau.

Ke kūʻē nei wau i ka insulin. Akā ʻaʻole wau i ka nui o ka kō, ua kiʻekiʻe ka nui o 6.0.

Ua kuhikuhi ʻia au i kahi mea ʻaina a me ka mālama hilo me kahi glucometer ma ka home. Hōʻole wau i ka hoʻokipa ma kahi he 32 hebedoma (i hoʻolālā ʻia no ka maʻi maʻi ma o kahi kauoha hou). Inā wau e hahai i kahi meaʻai, a laila loaʻa iaʻu ka 4.7 kaʻai i ke kakahiaka, inā ʻaʻole wau e hahai, ua kākau wau. Ma kēia mea ua oki wau. ʻAʻole au e ʻae iaʻu i ka inikini inikini inā ka hehi wau i ke kō i kaʻai ikaika, a ma hope o 36 mau wiki e maʻalahi ai ka hoʻopuka ʻana ma mua o ka inject insulin a kauo a hiki i 40 mau pule, ʻaʻole maopopo ʻia ke kumu.

ʻAʻole maopopo iaʻu palale ʻahe aha kāu punaʻa! A laila e piʻi paha nā waiwai i ka 10, a laila ʻaʻole wau maopopo i ka mea e hana ai i kēia manawa, kaomi inā he hewa me ka acetone.

I ka wā i kauoha ʻia ai ka insulin no ka maʻi gestational

ʻAʻole kuhikuhi i nā ʻōlelo hoʻohālikelike ma hope o ka loaʻa ʻana o ka maʻi, ma ka manawa mua ua ʻōlelo ʻia nā wāhine me ka hana a me ka hana kino, lāʻau lapaʻau. Ma hope o 2 mau pule, pono ʻoe e lawe i kahi hōʻike hoʻoliʻi glucose. Inā ʻoi aku ka nui o ke kō koko ʻaʻai ma 5.1 mmol / L, a he 60 mau minuke ma hope o ka lawe ʻana i ka hopena o ka glucose - 6.7 mmol / L, a laila mālama ʻia ka lāʻau lapaʻau.

ʻO nā wahine he nīnau hopena e pono e hana i nā hōʻike koko. Hiki ke hāʻawi ʻia i ka ʻike hou e ka noiʻi ʻana o ka hemoglobin glycated.

Hōʻike ʻia ka Insulin ma ke alo o nā hōʻailona kūlohelohe - kahi hoʻomohala i ka hanana hānai. Ma muli o ke kiʻekiʻe o ke kō koko koko, kahi ʻano i kapa ʻia ʻo ka maʻi hānau diabetes. Hiki ke hoʻoholo ʻia kona mau hōʻailona me ka ultrasound:

• hua nui
• ke 2 mau pōpō,
• ʻāwili nui o ka ʻāʻī,
• hoʻonui ʻia, pālaha, puʻuwai,
• huehui ka ʻili, kūweʻe,
• hele mai ka polyhydramnios a ke ulu nei, a ke haʻalele nei nā kumu ʻē aʻe.

Hōʻike nā haʻawina o ka hana pono o ka insulin i ka mua o ka wahine e hoʻomaka ai e hoʻohana ia ma hope o ka ʻike ʻana i ka maʻi diabetes, hoʻohaʻahaʻa i ka nui o nā pathologies i kāna keiki hānau.

Hoʻopili nā panina e hōʻemi i ke kō i ka wā hāpai. ^ E Ha yM. ʻO kēia no ka hopena o ka mea ua hoʻokō lākou i ka ulu ʻana o ka nui o ka pancreatic i loko o ka pūpū.

A eia kahi mau mea hou e pili ana i ka papaʻai no ka maʻi maʻi gestational.

Pehea e hoʻohaʻahaʻa ai i ke kō me ka insulin i ka wā hāpai

Ke hōʻike nei i ka maʻi gestational a i ʻole ka hoʻoweliweli o kāna hoʻomohala ʻana, pono e loli nā mea maʻi a pau i kā lākou meaʻai, hoʻonui i ka hana kino, a hoʻohana i nā mea kanu me ka hopena hypoglycemic.

ʻO ke kauoha mua no nā ʻano metabolic āpau o ka nānā ʻana i ka meaʻai. ʻO nā huahana āpau i loaʻa ka kō, ke kuhi, nā ʻuala, nā hua momona, nā meli pono e hoʻoneʻe loa mai ia mea. Hōʻike ʻia e hōʻemi i ka māhele o ka meaʻai i kūkulu ʻia:

• meaʻai kai
• ʻōwalaka,
• ka ʻai ʻai a me nā iʻa maikaʻiʻaʻa
• nā huahana semi-hoʻopau
• aiiha
• meaʻai wikiwiki
• kaʻaila
• ʻona
• pickles
• kahakai.

ʻAi ʻia ka ʻiʻo momona, iʻa a me nā mea ʻono.

Aia ka papa kuhikuhi:

• nā lau momona hou
• kuke kī 2-5%, ʻōmole waiū momona me nā hoʻohui ʻole o ka hua a me ke kō,
• kaona ʻala, ka iʻa, ka moa, kai kai,
• nā kamela mai nā ʻōpala āpau (koe wale nō ʻo semolina, hoahānau, hoahānau kīnī)
• Rye berena a bran
• huila ʻaila, ʻāpaʻa,
• greens
• nā huaʻala, nā huaʻai ʻole i paʻi ʻia.

Pono ʻoe eʻai i 6 mau lā i ka lā - ʻekolu mau kīʻai nui, ʻelua mau kīnā a me kahi waiū waiū ma mua o ka hiamoe. Pono mua nā mākeke, loaʻa nā huahana i ulu i loko o ka wahi i noho ai. ʻOi aku ka maʻalahi ma ka papa kuhikuhi a me nā meaʻai a me nā huaʻai waiwa o nā kumu kūlohelohe, ʻoi aku ka maʻalahi o ka hoʻokō i nā kuhikuhi ponoʻī.

Hoʻohana pilikino

Ke hoʻonui nei i ka pae nui o ka hana e kōkua i ka pale ʻana i ka pale ʻana o nā io i kā lākou iho ponoʻī. ʻO kēia ka hana i hoʻohālikelike ai i ka hiki ʻana o ka maʻi gestational. Kākoʻo ke kākoʻo i ka leo ākea o ke kino, pale i ka hoʻoneʻe ʻana i ka momona momona.

E nānā i ka wikiō e pili ana i ka paʻakikī o nā hoʻomaʻamaʻa no nā wahine hāpai.

Hoʻokomo ʻia nā ukana e like me ka hele, kaukau ʻana, yoga, nā hana hāpai i nā wahine hāpai. ʻO ka lōʻihi holoʻokoʻa o nā papa ma kahi o 150 mau minuke i kēlā me kēia pule e loaʻa ai kahi hopena therapeutic.

Mau lāʻau lapaʻau

Kūkulu ka pono o nā uku i nā mea kanu i loaʻa ke hopena maikaʻi i nā kaʻina metabola. Pono e noʻonoʻo i ka wā hānai e kuhikuhi ʻia e nā kauka wale nō. ʻO nā mea e pono ai nā kinona:

• nā hua a me nā lau o nā blueberries, nā lingonberry,
• lau lau
• lau o Birch, walnut, currant, strawberry wild,
• honu, honu,
• nā līlala pua
• ʻōleʻa palaoa.

Hiki iā lākou ke lawe pākahi a i ʻole hui ʻana o 2-3 mau mea kanu. Hiki i ke Multicomponent phytopreparations ke hōʻuluʻulu i nā hopena kūlohelohe, no laila e ʻoi aku ka maikaʻi o ke koho i nā mea kanu 1-2 a hoʻololi hou iā lākou me kekahi me kekahi.

Nā huapau

Aia ke kau inoa ʻia nā mea pili i ka maʻi maʻi gestational ma luna. Pono nā wahine nona lākou e kau nei i kahi hōʻike hoʻomanawanui glucose. Ma loko o kēia hoʻokolohua, lawe ʻia ka hoʻāʻo ʻia o ka wikiwiki, a laila hāʻawi ʻia ka mea maʻi i ka hopena glucose e inu ai, lawe hou ka koko ma hope o 1 a me 2 mau hola. I ka poʻe me ka metabolism, ʻoi ka nui o ka kō. E ʻike paha i ka ʻike ma mua i nā maʻi i hoʻopaʻa ʻia ʻole 1 a i ʻole type 2. I ka hana ʻole ʻana o nā mea pōpilikia, ʻaʻole i ka ʻai ʻia o ka hoʻonaninani glucose i ka papa hana, akā i ka wā e hapai ai, i ka hoʻomaka ʻana o kāna kolamu.

He aha kahi hōʻike maʻi lapaʻau no ka maʻi diabetes?

Lawe i kahi hōʻike lab ma ka hoʻoliʻi glucose. Pono 2 a 3 mau hola a e koi ʻia i nā kiʻi koko. Hoʻokomo nā kauka like ʻole i kēia noiʻi me ka hoʻonā a 50, 75 a i ʻole 100 kekona o ka glucose. ʻOi aku ka maʻalahi o ka nānā ʻana no ka hemoglobin glycated, akā i kēia hihia ʻaʻole kūpono ia, no ka mea, ua hāʻawi nui nā hopena.

Ma hope o ke kau ʻana i ka hoʻololi ma ka hoʻoliʻi glucose, ʻike ʻia kahi hana maʻi maʻi gestational inā he liʻiliʻi ʻoi aku i kekahi o nā waiwai i ʻoi aku ka nui o ka paepae i hōʻike ʻia. I ka wā e hiki mai ana, ua koho ʻia nā dosages insulin i ke ʻano e hoʻēmi ai i ka hoʻoliʻoli ʻana i nā ʻaina wikiwiki, 1 a me 2 mau hola ma hope o ka ʻai. Kuhi hou mākou ua hūnā i ka hoʻoliʻuna o nā glucose. Hiki ke ʻike ʻia i ka manawa wale nō me ke kōkua o nā hoʻāʻo koko no ke kō. Inā hoʻopaʻa ʻia ka maʻi, pono ʻoe e nānā i ke kahe o ke koko a me ka hana ʻana o kaʻeha. No kēia, e kauka ke kauka i nā hoʻāʻo i ke koko a me nā hoʻokaʻina o ka waiū, ʻōlelo ʻoe iā ʻoe e kūʻai i kahi kaohi koko koko ma ka home.

ʻO keʻano o ke kō koko koko i nā wahine hāpai

E heluhelu i ka kikoʻī kikoʻī, "Kālā Hukū o ke koko." E hoʻomaopopo i ka ʻano ʻē o kēia kuʻuna i nā wahine hāpai a me nā ʻano āpau ʻē aʻe o nā poʻe. Hōʻike ka ʻatikala i pehea e ʻokoʻa ai nā meaʻala i ka mālama ʻana i ka maʻi gestational ma waho a ma nā ʻāina e ʻōlelo ai ka Lūkia. Hōʻike ʻia ka ʻike ma ke ʻano o nā papa ʻoluʻolu.

E ʻike pū i ka pilina wikiō ma lalo nei. Ma loko o ia mea, ua haʻi aku ʻo Kauka Bernstein i ke ʻano o ke kō maoli maoli loa no nā wahine hāpai a ʻo wai hoʻi ke ʻano e pono ai. E aʻo pehea e loaʻa ai me ka liʻiliʻi o nā wai o ka insulin, a i ʻole hoʻi i nā inikua, e pili ana i ka ʻai.

Pehea e hōʻemi ai i ke kō i ka maʻi diabetes gestational?

ʻO ka mālama ʻana e hoʻohaʻahaʻa i ke kō koko o ka mea maʻi a ʻaʻole kau nui iā ia e hāʻule i lalo o ka maʻamau. ʻO nā ala e hoʻokō ai i kēia pahuhopu e wehewehe ʻia ma ka ʻaoʻao ma hope o kēia ʻaoʻao. ʻAʻole hoʻohana nā peni. Kono ʻia ka papa ʻai, ʻo ia, inā pono, hoʻohui ʻia me nā kaha inikini insulin. Hāʻawi ka hana kino kino i ke kiʻekiʻe o ka glucose. Akā ʻaʻole kumu i kauoha ʻia i nā wahine hāpai, no laila ʻaʻole e hoʻonāukiuki i ka haki.

Pehea e hōʻemi ai i ke kinipōpō kakahiaka ma kahi ʻōpū ʻole?

E heluhelu i ka kikoʻī kikoʻī, "Sugar ma kahi ʻōpū ʻole i ke kakahiaka." Me ka ʻae ʻia o kāu kauka, e hoʻāʻo e kau inikini i ka pō holoʻokoʻa i ka pō, e like me ka mea i kākau ʻia ma loko. E kamaʻilio pū ka ʻatikala e pili ana i nā papa metformin. ʻAʻole naʻe i kuhikuhi ʻia kēia lāʻau lapaʻau i nā wahine hāpai i ka hoʻohaʻahaʻa i kā lākou koko koko. E hoʻohana wale i kaʻai a me ka insulin.

ʻO ka maʻi maʻi gestational: hana

ʻO ka papa lāʻau nui ka meaʻai. Inā pono, ua hoʻohui ʻia e nā kuhi ʻana o ka insulin i ka helu kūpono ʻana i nā inika, e like me kahi ʻōnaehana pilikino. Kuhi mua nā kauka i nā papa ʻaina papa helu 9. Eia naʻe, ʻaʻole kōkua kēia meaʻai i nā wahine hānai e hoʻihoʻi i ke kō i ka maʻamau. Paipai ʻia ʻo ka pūnaewele endocrin-patient.com i kahi meaʻai haʻahaʻa a me ka haʻahaʻa e mālama ai i ka metabolism. He kūpono kēia meaʻai no nā keiki a me nā wahine hāpai. E heluhelu hou e pili ana ma lalo nei. ʻOiai i ka hana pilikino, pono nā wahine hāpai i ka makaʻala ʻaʻole e hoʻopōʻino i ko lākou maikaʻi a ʻaʻole i hoʻonāukiuki i ka hala. E kūkākūkā i kēia pilikia me kāu kauka. ʻO safe ke palekana a kōkua.

He aha ka pōʻino o kēia maʻi?

Hiki i ka maʻi gestational ke hopena maikaʻi i ka pūpū. I ka manawa o ka hānau ʻana, nui loa ke kaumaha o ke pēpē - 4.5-6 kg. ʻO kēia ka mea e lilo ai ka hānau ʻana a paʻakikī paha kahi sekela cesarean. I ka wā e hiki mai ana, ʻoi aku ka nui o nā pēpē me ka nui o ka momona a me nā pilikia ʻē aʻe. E pale aku i ke kua o ka maʻi maʻi gestational i nā wahine hāpai, hoʻonui ka nui o ka preeclampsia. ʻO kēia kahi hoʻonāukiuki i hōʻike ʻia e ke koko kiʻekiʻe, ka ʻūhā, a me ka ʻike o ka protein i ka pā. Hiki i ka hoʻoweliweli i ke ola o ka makuahine a me ke keiki. I kēlā mau kūlana, ʻaʻohe koho o nā kauka akā ke hoʻolilo i kahi hānau hānau.

ʻO ka paona koʻikoʻi o ke kino lā nui i kapa ʻia ʻo macrosomia. Hiki i kahi pēpē hou ke loaʻa ka hanu o ka hanu, hoʻemi i ka puʻuwai māhina, kaohi ʻana i ka puhaka o ka hānai, edema a me ka jaundice. Ua kapa ʻia kēia ʻo nā maʻi hānau maʻi. I ka wā e hiki mai ana, malia paha he hina paha, he hāʻule paha o ka noʻonoʻo a me ka hoʻoikaika kino. Loaʻa i ka wahine ka maʻi kiʻekiʻe o ka maʻi type type 2 ma ke ʻano ʻōpio. Hōʻalo ka meaʻai haʻahaʻa-haʻahaʻa i nā pilikia i ka wā hāpai. Hoʻonui ia i ke kō a me ke koko. ʻO ka nui o ka inane o ka insulin e hoʻemi ʻia. Nui ka poʻe maʻi e mālama kūʻokoʻa i ka hoʻokele o ka insulin i ka wā e mālama ana i kahi pae maʻamau o ka glucose i ke koko.

Ua hala ke maʻi diabetes gestational ma hope o ka hānau ʻana?

ʻAe, pau koke koke kēia pilikia ma hope o ka hānau keiki ʻana. Hoʻopau ka plasenta e pili i ke ʻano o ka hormonal. Mahalo i kēia, hoʻoliʻi ka naʻau o ka insulin a me ka pae o ka glucose koko. Manaʻo nā nui nui i nā inikini insulin a hiki i ka lawe ʻana. Eia nō naʻe, inā ʻaʻole ka hopena o ka lawelawe ʻoi ʻia o kēia hāmeʻa i ka hana ma hope o ka manawa, ma hope o ka hānau ʻana i ke kō o ke koko a emi loa. Lawe pinepine nā kauka i kēia mea i ka wā e hoʻonohonoho ana i nā inikini insulin. Ma hope o ka hoʻokuʻu ʻia mai ke haukapila, noho koʻikoʻi ka wahine no ka maʻi maʻamau i ka maʻi type. Aia kekahi mau pilikia i ka wā o ka wā e mare ai. No laila, hana kūpono e hahai i kaʻai haʻahaʻa-kāʻai no ka pale.

Ua noi mau ʻia nā kauka i ka meaʻai # 9 no nā wahine i loaʻa i ka maʻi maʻi gestational. ʻAi kēia meaʻai i ka hoʻopalapula ʻana i ka momona a me kā ka calorie intake, e ʻai ana i nā manawa 5-6 i ka lā ma kahi mau wahi liʻiliʻi. E heluhelu hou aʻe e pili ana i ka ʻatikala "Helu papa helu 9". ʻO ka pilikia ʻo ia ʻaʻole ia e kōkua i ka hoʻōho aʻai i ke kō i ka wā hāpai. No ka mea, ua huihuahua kēia meaʻai me nā meaʻai e hoʻonui ai i ka glucose koko. Eia kekahi, ma muli o ka palena o calorie, ʻike ka poʻe maʻi i ka make ʻana o ka pōloli. ʻAʻole kōkua ke kīleʻa iola pinepine ʻia e hoʻoheheʻe ʻia. ʻO kahi palena palena nui o ka hana caloric i ka wā hapai he manaʻo dubious.

Manaʻo ka pūnaewele endocrin-patient.com i kahi meaʻai haʻahaʻa-low e kāohi ai i ka maʻi maʻi gestational. Hoʻopau loa ia i nā meaʻai e hoʻonui ai i ke koko glucose ma hope o ka ʻai ʻana. No laila, hoʻi hou ka gula i ka hana maʻamau a mālama mau i ka maʻamau. Mālama kēia meaʻai i ke kahe o ke koko, hōʻoluʻolu i ka edema a hōʻemi i ka hopena o ka preeclampsia. Hoʻohana nui ʻia no ka mālamaʻana i nā maʻi diabetes type 2 a me ke ʻano 2. Mai ke kō ka wai kiʻekiʻe i ka wā hāpai e kōkua pū nō hoʻi, me ka hoʻopiʻi ʻole.

E nānā i kahi wikiō e pili ana i ka ʻai, nā momona, a me nā hoʻowalewale e pili ai i ke kō koko. Ua kūkākūkā ke kanesa Gestational i loko no ia o 5-7 mau minuke.

Me ka hopena kiʻekiʻe, hiki ke hana ʻole me ka loaʻa ʻole o ka injections o ka insulin. A inā ʻae ʻoe i ka lāʻau, pono ʻoe i nā liʻiliʻi liʻiliʻi.

Hiki i nā poʻe e makemake ana i kaʻai haʻahaʻa-low a me ka ketones (acetone) i loko o kā lākou urine. Hoʻomaʻamaʻa pinepine nā kauka i nā wahine hāpai i mālama acetone i loko o ka urine i ka nui o ka kolohe ʻana. ʻAʻole kūpono kēia. I ka hapalua ʻelua o ka hapai, hiki ke loaʻa nā ketones i ka urine i ka aneane o nā wahine a pau, me ko lākou ʻaina o kaʻai. Ua hōʻiliʻili nā wahineʻAmelika i kahiʻike maʻamau no ke hoʻohana ʻole ʻana i ka hoʻohana ʻana i ka papaʻaʻai haʻahaʻa-ʻehā i ka wā hāpai. Ua kūpono kēiaʻike. Ua ʻike ʻia ʻaʻohe mea pono e hoʻohui i nā hua a i ʻole nā ​​mea aʻe i kū aʻe ai i nā huahana i ʻae ʻia e wehe ai i ka acetone. E nānā pinepine iā ʻoe i ke kō me ka glucometer, ʻoi aku ka maikaʻi o ke ana ʻana i ka ketones i loko o kou puki.

E nānā i ka loulou wikiō ma lalo. E hōʻoluʻolu iā ʻoe i ka makaʻu e pili ana i ka acetone.E ʻike i ka nui o ka karoli e pono ai ke hoʻopau i ka ʻaina kakahiaka, i ka ʻaina awakea a me ka pāʻina i mea e hoʻoponopono ai i ka maʻi gestational, pale iā ʻoe iho mai ka edema, ke koko kiʻekiʻe a me nā pilikia.

He aha kaʻu e ai ai me ka maʻi maʻi gestational?

E hoʻohana i ka papa inoa o nā huahana i ʻae ʻia, ka papa inoa o nā huahana i pāpā ʻia a me ka papa kuhikuhi no ka hebedoma. Hiki iā ʻoe ke ʻike i nā paʻi i hoʻomākaukau ʻia a piʻi me kāu mau mea pono ʻole, inā wale nō lākou i loaʻa i nā huahana i ʻae ʻia me ka ʻike ʻole ʻia o nā mea i pāpā ʻia. Hiki ke hoʻololi i ka meaʻai, nā ʻono a me nā mea ʻoluʻolu, a me ka chic, ma muli o ka helu kālā. Loaʻa iā ia nā protein pono āpau, nā momona momona maoli, nā huaora a me ka fiber. ʻAʻole koi ʻia nā lāʻau kalapoka i ka hoʻomohala ʻana. Hiki i nā wahine hāpai a me ka maʻi maʻi gestational ke hana ʻino. No laila, ʻoi aku ka maikaʻi o ka haʻalele ʻana iā lākou mai ka meaʻai.

ʻO ka makemake nui o nā maʻi nā mea like ʻole: ka cereals, nā huaʻala, nā huaʻai, nā mea hānai, nā waiū. Hoʻokāhuahua ka porridge a me nā pastry i ke kō koko. Pono lākou e kaawale ʻia no ka mea lawe lākou i ka pōʻino nui. Hiki ke hoʻopau ʻia nā mea kanu meli me ka honi ʻole a me nā mea momona ʻē aʻe. ʻAʻole kūpono kekahi mau ʻano o nā huaʻai no ʻoe, ʻoi aku ka maikaʻi o nā mea ʻē aʻe. ʻO nā hua maikaʻi maikaʻi loa ʻo Brazil, macadamia a me nā hazelnuts. ʻO nā mea maikaʻi he mau walnuts, almonds a me nā pīni. ʻAʻole ʻai ʻia nā lau Cashew. ʻO nā ʻōpala a me nā huaʻai he olakino ma ka puka maka i loko o kahi i paʻi ʻia. ʻO ka maikaʻi loa ʻaʻole paʻakai ia lākou no ka pale ʻana i ka edema. ʻO nā huahana momona, ʻoi loa ka momona. Hiki iāʻoe ke hoʻohui i kaʻaila i ka kofe, aia kahi kekeʻe i keʻokeʻo keʻokeʻo me nā huaʻai a me nā mea momona. ʻOi aku ka maikaʻi o ka hoʻohana ʻana i ka moena kīīkole i ka palena.

No ke aha e hiki ʻole ai e ʻai i nā ʻupena?

ʻO ka meli a me nā waiū kekahi e hoʻoulu koke a hoʻonui nui i ka nui o ke kaʻe glucose. Hiki iā ʻoe ke hōʻoia ma ke ana ʻana i ke kōpaʻa ma hope o ka ʻai ʻana me ka glucometer. Inā paʻakikī ka maleʻana i ka maʻi maʻi gestational, ua hōʻeha kēia mau huahana i ka wahine a me kāna pēpē hānau. Hiki iā ʻoe ke hoʻohana i ka stevia ma ke kō he honu. Kahi ʻia ka ʻona ʻona o kahi pōkolē pōkole, me kahi kikoo koko a nā liʻiliʻi he 86%.

He aha nā ʻano hua hiki iaʻu ke ʻai?

ʻOlima, huaʻomaʻa, nā ʻomaʻomaʻo, nā hua āpau a me nā hua e hoʻonui i ka honi i loko o ke koko a no laila e hana ʻino maikaʻi aku ma mua o ka maikaʻi. ʻOi aku ka maikaʻi ʻole o ka ʻai ʻana iā lākou. ʻO nā wahine hāpai i loaʻa ka kōnike kiʻekiʻe ke kōkua ʻia e kahi meaʻai haʻahaʻa haʻahaʻa no nā makahiki he nui. A hiki i kēia manawa, ua ʻōlelo ʻia e hoʻohui i nā kāloti, ʻea a me nā huaʻai i nā huahana i ʻae ʻia a ʻōlelo ʻia e hoʻoiho i ka acetone i ka pāʻai. I nā makahiki i hala iho nei, ua hōʻiliʻili nā helu helu, nāna i hōʻike ʻia ʻaʻole pono kēia.

Ua hoʻopaʻa ʻia he mau haneli mau wahine ʻAmelika i hānai lākou i nā keiki olakino me ka ʻole o kekahi pilikia, ma hope o kahiʻai haʻahaʻa-kāʻai a i ka wā hāpai, a hoʻopau loa i nā hua. ʻO nā mea i papa ʻia i ka wā hāpai ke kumu i ka nui o ka nui o ka nui o ka paona, hoʻopuka i ka edema, hoʻonui i ke kōhi koko, ke koko a me ka hopena o ka preeclampsia. He mea kūpono ʻole e hoʻokau iā ʻoe iho i kēia mau pilikia a pau no ka leʻaleʻa o ka minuke mai nā hua?

Hoʻokomo ʻia nā hua maloʻo e like me ka huaʻai hou a me nā hua. ʻO ke pono pono no nā hua a me nā meaʻai momona ʻē aʻe ke ʻano maikaʻi. ʻO nā kāmeka, ka like ʻole me nā palaka a me nā momona, ʻaʻole nā ​​mea nui o nā huahana i nā wahine hāpai, nā ʻāpana āpau o nā pākeke a me nā keiki. Hoʻonui ka nui o ke kō i ke koko e hōʻike ana i ka intolerance o ke kalua e kāu kino. No laila, pono lākou e kaupalena ʻia a haʻalele ʻole loa i ka ʻaina. E loaʻa iā ʻoe nā fiber a pono āpau i nā greens, nā nati, nā ʻōpala a me nā mea kanu ʻē aʻe. Ma kahi o nā huaʻai i ka wā hāpai, mālama ʻoe iā ʻoe iho i nā mea ʻai momona a i ʻole kai kai.

Hoʻohana ʻia ka insulin

I ka wā hāpai, ʻaʻole ke ʻae ʻia nā lāʻau a pau. E hoʻohana i nā lāʻau lapaʻau no ka palekana kahi i hoʻopaʻa ʻia no ka makuahine manaʻolana a me ke keiki. Kuhi i kēia mau lāʻau me insin aila mīkini:

• Kalikina - Humalog, Novorapid,
• pōkole - Humulin R, Actrapid NM, Insuman wikiwiki,
• ka hana lōʻihi - Levemir, Insuman Bazal, Humulin NPH.

I nā kūlana pākahi, ua koho ʻia lākou hoʻokahi. Aia ke kumumanaʻo o kā lākou hoʻokele i ka ʻikepili i loaʻa i ka wā o ka mālama ʻana i ke kō o ke koko. Pono nā wahine hāpai i ka maʻi ma ka keʻena endocrinology no ka hoʻomaka mua ʻana i ka maʻi insulin.

Hoʻopau ʻia nā anaʻehā o ka glucose i ka kakahiaka ma kahi ʻōpū piha, a laila ma mua o kēlā me kēia pāʻina a me 60 a me 120 mau minuke ma hope o kahi pāʻina. Pono pono a i ʻole nā ​​māka i ka pō ma 2, 4 a me 6 mau hola e hoʻoholo ai i ka hopena i ka insulin i hoʻopaʻa ʻia.

Hiki iaʻu ke hoʻohana i ka fructose no ka maʻi maʻi gestational?

ʻO ka Fructose kahi huahana ʻoi aku ka maikaʻi ma mua o ka glucose. Hoʻomaka ʻo ia e hoʻonui i ke kōʻai koko ma hope koke o ka ʻai ʻana, akā ma hope.

E nānā i kahi wikiō ma fructose i ka maʻi maʻi maʻi. E kūkākūkā ia i nā huaʻai, bee meli, a me nā meaʻai maʻi maʻamau.

ʻAʻole hopu koke ʻo Fructose, akā no nā hola he nui. Lawe ʻo ia i mea e hoʻokūkū nui ai ke kaʻina o ke kino. ʻO nā mea maʻi meaʻaiʻai e waiho nei i kēia mea momona nā mea ʻala. E haʻalele iā lākou. ʻO Fructose, ka mea i loaʻa i nā hua a me nā huaʻai, e hoʻonui ai i ka hoʻonaninani o ke ʻano maʻi diabetes type 2 a ke ʻano nui i ka papa o kēia maʻi. Hoʻonui hou a ʻike hou ʻia ka mea e hoʻoulu ai i ka hoʻomohala ʻana i ka gout a hoʻonui i ka nui o kāna mau hōʻeha ʻana.

Ke pono ʻoe e hoʻomaʻamaʻa i ke kō koko koko, i nā hihia koʻikoʻi, ʻaʻole hiki iā ʻoe ke hana me ka ʻole o ka insulin. ʻO ka meaʻai meaʻai haʻahaʻa, i hōʻike ʻia i luna nei, e ʻae i nā wahine hapanui e mālama i nā meli maʻamau aʻaʻohe injections. Ke makemake nei kekahi mau maʻi i ka insulin. No lākou, haʻahaʻa ka hoʻolaʻa haʻahaʻa haʻahaʻa i nā manawa he nui i ka hoʻoneʻeneʻe o ka hormone. E nānā inā ʻaʻole pili ʻia nā kauka home i kēlā me kēia dosis haʻahaʻa.

Inā ʻoe e hoʻohui i nā huaʻai, nā ʻeke a me nā meaʻai i pāpā ʻia i kāu papaʻai, pono ʻoe e hoʻonui i ka nui a me ka ʻole o nā inikini. I kēia hihia, e lele a hoʻōla ai ke koko a kiʻekiʻe paha. E kamaʻilio me kāu kauka inā pono ʻoe e hoʻoiho i ka insulin. Inā pēlā, e kiʻi i ka regimen insulin ponoʻī me kāu kauka. E heluhelu hou ma ka ʻatikala "Ka helu ʻana o ka inika o ka inika lōʻihi no ka inikini i ka pō a i ke kakahiaka" a "Ke koho ʻana i nā maʻi pōkole o ka insulin a pōkēkē i mua o ka papaʻaina."

He aha ke ʻano o ka insulin e hoʻohana ai no GDM?

ʻO ka mea mua, hoʻomaka ka lūlū i ka inikini. I ka hapanui pinepine, ʻo Levemir e kuhikuhi ʻia. No ka mea, ua loaʻa i nā hōʻike maopopo ʻana no kēia ʻano insulin no nā wahine hāpai. Hiki iā ʻoe ke hoʻohana i kekahi o nā lāʻau hoʻokūkū hoʻokūkū paʻakikī a ʻo Tresiba paha. He pono ʻole e kuhi i nā inikini insulin Protafan a i ʻole o kekahi o nā mea i hoʻohui ʻia - Humulin NPH, Insuman Bazal, Biosulin N, Rinsulin NPH.

I nā hihia koʻikoʻi, pono paha ʻoe e kiʻi hou aʻe i ka nui o ka injections pōkole a ultrashort paha ma mua o ka papaʻaina. Hiki iā lākou ke kuhikuhi i ka lāʻau lapaʻau Humalog, Apidra, Novorapid, Actrapid a i ʻole.

ʻO nā wahine hānai ma kahi meaʻaiʻai haʻahaʻa ʻoi ʻole ka mea pono ʻole e hoʻokomo i ka insulin wikiwiki ma mua o ka papaʻaina. Ma waho aʻe o nā hihia loaʻa ʻole ke kuhihewa ʻo ka maʻi diabetes mika 1 no ka maʻi maʻi gestational.

I kēia manawa, ʻoi aku ka maikaʻi o ka ʻalo ʻana i nā ʻano o ka insulin i hana ʻia ma loko. E hoʻohana i kahi lāʻau lapaʻau i hoʻokomo ʻia, inā paha e kūʻai iā ia i kāu kālā. E hana hou mākou i ka hahai ʻana i kahi meaʻai haʻahaʻa-haʻahaʻa e hoʻemi ana i ka nui o ka insulin i koi ʻia e nā manawa 2-7 i hoʻohālikelike ʻia me nā mea kaukaʻi.

Pehea e hoʻihoʻi ʻia ai ka insulin ma hope o ka hānau ʻana i ka maʻi maʻi gestational?

Ma hope koke o ka hānau ʻana, pono ka hāʻule ʻana o ka pono o ka insulin i ka wahine maʻi diabetes. No ka mea, ua pau ka plasenta i ka huna ʻana i nā mea e hōʻemi ana i ke ʻano o ke kino i kēia ʻenehana. Manaʻo paha, hiki ke hoʻopau loa i ke kahakaha ʻana o ka insulin. ʻAʻole e kū ka wai koko, ʻoiai ua hiki ke hoʻopau.

Inā hoʻomau ʻoe e hoʻoluhi i ka insulin ma hope o ka hānau ʻana i nā papa like i ka wā e hapai ai, a laila nui ka iho o kāu glucose. ʻO ka maʻamau, e kū a hypoglycemia. Eia nō naʻe, ʻike maoli nā kauka i kēia pōpilikia. Hoʻemi lākou i nā dosis insulin i ko lākou poʻe maʻi i ka manawa e pale ai.

Kuhi ʻia nā wahine i loaʻa i ka maʻi gestational e noho ma ka pāʻai haʻahaʻa loa ma hope o ka hānau ʻana. Nui kou pilikia i ka hoʻomohala ʻana i ka maʻi type 2 ma hope o 35-40 mau makahiki. Hoʻopau i nā huapalapala maikaʻi mai kāu meaʻai e pale ai i kēia pōʻino.

18 ʻōlelo e pili ana i ka maʻi maʻi gestational

Aloha kakahiaka nui, Sergey!
ʻO wau i 30 mau makahiki he kiʻekiʻe, 155 cm ke kiʻekiʻe, 47 47 kg. I ka wā hapai, ua loaʻa iaʻu 8-9 kg, akā ʻo nā mea āpau ma hope o ka hānau ʻana. I ka wā hapai (aia ka IVF) ma hope o GTT, ua hana ʻia ka hopena o GDM, ke kaʻe o ke kō 3.68 - 11.88 - 9.35. Lawe ʻia ke koko mai kahi manamana lima. Hāʻawi ʻo ia i ka hemoglobin glycated 4.77%, C-peptide 0.98 (maʻamau mai 1.1). Kōkua a me ka papa hana kōkua. Ua hemolele mau kaʻa ʻana o ke kō. ʻAʻole i kuhikuhi ʻia ka insulin. Noea ʻia e ʻōlelo hou iā GTT 3 mau mahina ma hope o ka hānau ʻana. Ke nānā nei wau i kahi kipa i ka endocrinologist a me ke koho ʻana i ka GTT. ʻO ke ana ʻana i ka meli me ka glucometer ma ka home, ʻike wau i ka wā e hoʻopau ai i nā hāmeʻe, e ulu ana ia ma kahi hola i 7-8, ma kekahi mau manawa 9. Ua kāpae wau i ka hoʻohana ʻana i nā mea a pau mai ka papa inoa o nā meaʻai kīnā, a hala nā hōʻike. Hemoglobin Glycated 5.17%, C-peptide 0.64 (maʻamau mai 1.1), ka insulin 1,82 (maʻamau mai 2.6), huina 3.56. Hiki iā ʻoe ke haʻi iaʻu inā he helu haʻahaʻa loa o ka maʻi diabetes? Makemake wau i mua o ka wā e kipa aku ai i ka endocrinologist i nā lā 5 e hele lapuwale au. He nui nā manaʻo liʻiliʻi e pili ana i kēia. ʻO ka ʻai ʻaina ka mea maʻamau ma ka ʻai maʻamau; e mālama mau ana ia ma hope o ka ʻai ʻana me ka meaʻai. Ua hānau ke pēpē ʻole me nā hōʻailona ʻole o nā hoʻopiʻi, paona 3700, kiʻekiʻe 53. Mahalo nui iā ʻoe no kāu kōkua!

Manaʻo ʻia paha ka peptide haʻahaʻa haʻahaʻa loa i kahi kaʻina maʻi i hoʻōki ʻole ʻia?

Ka. ^ Na ʻAʻole kaupaona ʻoe i ka paona nui, kahi liʻiliʻi o kou insulin a me ka ʻilihune ʻilihune me nā ʻaina. ʻO kēia ka hoʻomakaʻana o ka maʻi autoimmune. Hiki i ka wahine hāpai ʻana ke lawelawe ma ka hoʻomaka ʻana.

Makemake wau i mua o ka wā e kipa aku ai i ka endocrinologist i nā lā 5 e hele lapuwale au.

ʻAʻohe āu mea hopohopo. ʻO kēia maʻi, e hoʻomaka ana i ka wā ʻelemakule, maʻalahi ia. ʻAʻole ia e hoʻokaʻawale i ka maikaʻi o ke ola a ʻaʻole e hōʻemi i kona lōʻihi, me ka mana maikaʻi.

Pono:
1. E hahai pono i kahi kaʻai haʻahaʻa-ʻilikai, e hoʻāʻo e hoʻoneʻe i ka ʻohana āpau i ia.
2. E aʻo pehea e hāʻawi iā ʻoe iho i nā hōʻeha ʻeha me kahi syringe insulin e hoʻohana ana i ka paʻakai no ka hoʻomaʻamaʻa ʻana, e like me ka mea i hōʻike ʻia ma ʻaneʻi - http://endocrin-patient.com/vvedenie-insulina/.
3. E nānā i ke kō, inā hoʻohālikelike, hoʻokahi i kēlā me kēia pule ʻelua.
4. Mākaukau no ka hiki ʻana i ka insulin a i ka wā anuanu a me nā maʻi ʻē aʻe.

Inā ʻole ʻoe e hana i kēia mau hana, a laila ma ka makahiki 40-60 he “bouquet” o nā maʻi ʻōpiopio e ulu ai i nā wāwae, nā maka, a me nā puʻupuʻu. Ae, ua wikiwiki kou mau makahiki ma mua o kou mau hoa. Ma kaʻohana ʻē aʻe, ʻaʻole ia he paʻakikī ke mālama i ka kō i ke kō, a me ka nānā pono i ka regimen ʻaʻole ia e hoʻopili i ka noho ʻana. Hiki iā ʻoe ke hana i kekahi mea, loaʻa i nā keiki ka aʻe.

I ka hala ʻana o ka manawa, pono ia e kaha i ke inikua ʻana i ka insulin, ʻoiai e pili ana i ka papaʻa. Eia naʻe, hōʻole wale nā ​​doses i hoʻohālikelike ʻia i nā mea hoʻohana e nā kauka home a me nā maʻi maʻi maʻi. ʻAʻole loa ʻoe i nā maka weliweli e kākau nei i nā maʻi diabetes i kau ʻia e ka maʻi.

ʻAʻole hiki iā ʻoe ke ʻae aku e ola me ke kō koko koko 6-7, ʻoi aku ka ʻoi aku, ʻoi aku ke kiʻekiʻe. Pono e hoʻolei ʻia i ka insulin i kahi olakino olakino o 3.9-5.5 mau 24 hola i ka lā.

Sergey, mahalo! Ua hoʻopau ʻoe i kaʻu mau kānalua hope loa. E haʻi mai iaʻu, ke hele nei lākou e kuhikuhi i kahi lua o ka GTT, no ka mea he 12 mau hebedoma i hala mai ka hānau ʻana. He mea kūpono paha e hana i koʻu kūlana? ʻAʻole wau e noʻonoʻo i kēia hoʻokolohua, ʻaʻole e hoʻonā i ka pilikia noʻu, a e pōʻino mai ka ukana waʻa.
A e pili ana i ka insulin. ʻO ia, a hiki iaʻu ke uhaki ia, inā he maʻamau ke kō, akā e mākaukau paha? E kala aku inā i nīnau iaʻu i nā nīnau naʻaupō. Makemake wau e ʻike pehea e kūkulu ai i ke kamaʻilio me kaʻu endocrinologist. Aia wau ma ka moekolohe e pili ana i ke kūlana. Eia naʻe, ke hilinaʻi nei au i kou manaʻo. Mahalo i mua!

E haʻi mai iaʻu, e ʻoluʻolu, e hele wau e koho i kahi GTT lua. He mea kūpono paha e hana i koʻu kūlana?

Ka laʻana o ka glucose i kūlohelohe, he testosterone tolerance test no hoʻi (GTT), hana pono i ka hana wale nō i ka wā hāpai. Ma muli o ka glycated hemoglobin e hūnā i nā hopena maikaʻi loa i ka wā e hoʻoliʻi ka hānai koko i ka ʻōpala.

Ma kahi o nā wahine hāpai, ʻaʻohe mea pono e hana iā GTT. He maikaʻi loa i ka hōʻino ʻana i nā keiki me kēia loiloi. Loaʻa kahi mika glucose koko kūpono i ka home. E nānā pinepine i ka hemoglobin glycated.

Ma ke kumu, ʻaʻole ka lawe ʻana iā GTT, hiki iā ʻoe ke anaʻi i ke kō i ka home me ka glucometer 3 mau manawa - ma mua o kahi pāʻina i hoʻouka ʻia me nā calcium, a laila aia hou i kahi 1 a me 2 mau hola ma hope o ia. Hāʻawi ʻia i pololei ʻo ka hāmeʻa. ʻOiai nā mika ukana hoʻoneʻe maikaʻi home e hāʻawi i kekahi mau hewa o ka hala. Akā ʻaʻoleʻo ia e hōʻoleʻole. ʻAno, ʻaʻole kekahi e ʻae i ka ʻōlelo aʻo e ana i ke kō i ka home me ka glucometer ma mua o ka hoʻokipa ʻana i kahi hoʻokolohua.

hōʻeha ʻia mai ka hoʻoemi ʻana o ka glucose

Pono ʻoe e hoʻopau i nā hola 2-3 i loko o ka hale hana i loko o kahi pōpilikia. ʻAe, ʻo ka ʻeha mai ka lana ʻana i ka glucose ma ke ʻae.

A e pili ana i ka insulin. ʻO ia, a hiki iaʻu ke uhaki ia, inā he maʻamau ke kō, akā e mākaukau paha?

Mea āpau. Mai hōʻino e aʻo pehea e hana ai i nā injecting me ka syringes insulin a me ka paʻakai physiological ma mua.

Makemake wau e ʻike pehea e kūkulu ai i ke kamaʻilio me kaʻu endocrinologist.

Ke koi ʻia nei kahi endocrinologist no nā pilikia wale nō, ʻo ka insulin manuahi a me nā pono ʻē aʻe. ʻAʻole hoʻonani kēia mau mea a pau no ʻoe. Inā ʻaʻole e loaʻa nā ʻōiwi koʻikoʻi i ka maʻi diabetes, āu e hoʻāʻo nei e pale. ʻAʻole pono ʻoe e hele i ka endocrinologist.

Aloha Ua makemake wau i kou manaʻo inā ua loaʻa iaʻu kahi maʻi maʻi gestational. ʻO 33 mau makahiki, kiʻekiʻe 169 cm, paona 81 kg, kahi o 10 kg e hoʻonui i ka wā hāpai. I kēia 29 mau pule o ka hāpai ʻana. ʻO ka hopena o ka pihi gula: ka wikiwiki - 5.3, 1 hola ma hope o ka hoʻokomoʻana i ka glucose - 8.4 ma hope o 2 mau hola - 8.7. Ua hāʻawi koke ʻia wau i kēia ʻano weliweli, ʻoiai nā hopena o ke kūlana ma mua o ka maʻamau. Ma mua o ka hoʻolilo ʻana i nā hoʻokolohua, ua ʻike nō wau i ka luhi, no ka mea aia kekahi a me ka moʻo ma lalo o ka puka, pono wau e hele i kahi huakaʻi, ʻaʻole hiki iaʻu ke ʻae i kēlā lā a pau kēlā lā. Eia nō hoʻi, i ke ahiahi ʻaʻole au i inu i ka wai - manaʻo wau ʻaʻole hiki ʻole. Ua komo nā kauka i nā maʻi ma ke kāleka noʻu, me he mea lā stigmatized. He kūpono paha kēia? Pono ʻoe e hoʻokomo i nā insulin?

Ua komo nā kauka i nā maʻi ma ke kāleka noʻu, me he mea lā stigmatized. He kūpono paha kēia?

ʻAʻole hiki ke pane ʻia i kāu nīnau. I kekahi hihia, ʻoi aku ka nui o ke kōpaʻa koko ma mua o kou makemake. ʻO kahi kūpono o ka pololei o ka maʻi, ka mea pono no ʻoe e hoʻololi i kahi kīʻaha haʻahaʻa o ka lā o ka wā hapai, me ka mea aʻe no ke keʻakeʻa ʻana i ka maʻi ʻaʻai ʻano 2.

Pono ʻoe e hoʻokomo i nā insulin?

Pono ʻoe e hoʻololi i kahiʻai ʻai haʻahaʻa haʻahaʻa loa, ʻai i nā meaʻai i ʻae ʻia - http://endocrin-patient.com/chto-mozhno-est-pri-diabete/.

Noho ma luna o ia no 3 mau lā, e ana iā ʻoe i ke kaʻe o ka nui o kāu glucose i nā manawa he nui, i ka lā, inā lā i ke kakahiaka ma kahi ʻōpū ʻole a me 2 mau hola ma hope o ka ʻai ʻana. Eia nō paha, e hoʻi ʻo ia i ka maʻamau a me ke ʻano ʻole o ka inikua o ka insulin.

I nā hihia liʻiliʻi, ʻaʻole lawa ka ʻai. A laila e hoʻopili i ka insulin, no ka laʻana, Levemir. E hoʻomaka me nā haʻahaʻa haʻahaʻa o 1-3 mau waihona, a ʻaʻole koke me nā kiʻekiʻe, e like hoʻi i nā kauka.

Aloha. ʻO wau paha 40 mau makahiki, paona 117 kg, kiʻekiʻe 170 cm, ʻelua hapalua 29 pule. I ka wā hāpai a loaʻa iaʻu 20 kg. Hoʻololi gula 5.2 - 5.8. Ua hoʻokaʻawale ʻia ka insulin Levomir mau ʻāpana he 3 i ke kakahiaka a me ka nui like o ke ahiahi. Ke hahai nei wau i ka meaʻai. E ʻoluʻolu mai iaʻu, e hiki paha ke hoʻololi i ka Levemir insulin me Tujeo?

E ʻoluʻolu mai iaʻu, e hiki paha ke hoʻololi i ka Levemir insulin me Tujeo?

No nā poʻe maʻi maʻi e hahai ana i ka meaʻaiʻai haʻahaʻa, lawa ka nui e hoʻokomo iā lākou iho me nā dosis liʻiliʻi o ka insulin, i kekahi mau manawa he haʻahaʻa ma mua o nā mea maʻamau. I nā palapala āpau, ʻaʻole pono nā mākaukau ʻo Levemir a me Tujeo e pilikia ai. Loaʻa i koʻu poʻe maʻi nā inikini iā ​​Tujeo a maikaʻi lākou.

Akā, ʻaʻole wau i maopopo inā ua ʻae loa nā ʻāina o CIS iā Tujeo i nā wahine hāpai a ʻaʻole paha. E hoʻomālamalama i kēia.

Hoʻololi gula 5.2 - 5.8. ʻO ka insulin i kahakaha

ʻAʻole kiʻekiʻe loa kāu kīpē ʻai wikiwiki. E hoʻololi i ka meaʻai ʻai haʻahaʻa i hōʻike ʻia ma kēia pūnaewele.He mea kūpono loa ʻaʻole pono ʻoe e hoʻoiho i ka insulin a pau.

Aloha E haʻi mai iaʻu i nā mea e hana ai i nā huahana i ʻole i loko o nā papa inoa o ka ʻae ʻia a pāpā ʻia? He nui ka nui o nā huamona e pono i ka huahana, no laila e ʻae ʻia no GDM? Hoʻonui wale ka holi wikiwiki, i ka lā 1 hola ma hope o ka ʻai ʻana, e noho ana nō ia ma loko o ka 6.0.

He aha nā mea e hana ai i nā huahana i ʻole i nā papa inoa i ʻae ʻia a pāpā ʻia?

Hiki iā ʻoe ke hoʻohana i ka mika e nānā pehea e pili ai lākou i ke kōʻai koko

Loaʻa ka nui o nā huamona he nui i ka huahana, no ia e ʻae ʻia

ʻAʻole iʻoi aʻe ma mua o 10-12%. Ma keʻano holoʻokoʻa, hilinaʻi ia i ka nui o ka assimilation o kēia mau mea laʻa.

Aloha awakea Mahalo no ke kahua. Ke kali nei au i kāu pane.
ʻO 35 koʻu makahiki he 35, kiʻekiʻe 170 cm, i kēia manawa he 12 mau hapalua, ke kaumaha ʻo 72 kg.
ʻEhā kaʻu mau keiki, i kēia manawa ʻo ka hapalima ʻelima. I ka wā o ka hā, ua hana ʻia kahi maʻi no GDM, e pili ana i GTT, i hana ʻia ma ka pule 28. ʻO ka pīpī palaoa ka 6.1, a me 2 mau hola ma hope o ka ʻai - ka manawaleʻa. Mālama wau i kahi meaʻai, kūʻai wau i ka glucometer. Ua huli ke ʻano holoʻokoʻa a mālama i ka kō i loko o nā palena maʻamau. Ua nui loa nā keiki, koe wale nō no ka mea mua, akā ʻaʻole mākou e noʻonoʻo iā ia, ua hānau mua ʻo ia. Ma hope o ka hānau ʻana, ʻaʻohe piʻi o ke kō koko, ʻoiai ʻaʻole wau i hahai i kahi papaʻai. Ua hoʻāʻo wale wau ʻaʻole e ʻai i ka palaoa a me nā ʻupena, ʻoiai iaʻu nei paʻakikī loa. Hoʻomanaʻo wau i ka manawa o ka meaʻaiʻai i ke ʻano he mālie. Uwaha, wāwahi i nā keiki. Hāʻawi ʻo ia i ka hemoglobin glycated i ka wā hāpai a ma hope o ka hānau ʻana - ʻo ke ʻano.
I kēia manawa he 12 mau pule, a ʻo ka hoʻokeʻo ʻana i ke kōpaʻa ma luna o kahi glucometer ka 5.7-6.1. Ma hope o ka ʻai ʻana, he hola a he mau ʻelua i loko o nā palena maʻamau. Noho hou i loko o ka meaʻai.
He nīnau koʻu no ʻoe: ʻo GDM maʻemaʻe anei? No ke aha i lilo mau nei wau i hoʻolaʻa wale i ke kōʻai ʻaina i ke kakahiaka? ʻO ke kolu o ka lā ma kahi meaʻai. Ma ke aniani ua hāʻule au i hoʻokahi peach i ke ahiahi, ʻo ke koena o ka meaʻai aia wale nō ka protein a momona, a i ke kakahiaka 6.1. Pehea ka nui o ka pilikia ma ka wā e hiki mai ana o ka maʻi maʻamau?

He nīnau koʻu no ʻoe: ʻo GDM maʻemaʻe anei?

ʻAʻole maopopo i ke ʻano o kāu manaʻo

No ke aha i lilo mau nei wau i hoʻolaʻa wale i ke kōʻai ʻaina i ke kakahiaka?

ʻO kēia ka hihia no ka hapanui o nā maʻi maʻi

Pehea ka nui o ka loaʻa ʻana o ka maʻi diabetes ma ka wā e hiki mai ana?

Ua loaʻa iā ʻoe ka maʻi koʻikoʻi o ka maʻi maʻi, ka hoʻomaka ʻana o ka puʻuwai aloha, a i ʻole hōʻeha paha. ʻO kēlā me kēia māla i hoʻohālikelike i nā mea hoʻokūkū metabolic.

Aia ia i kāu mau pahuhopu a me kou manaʻo.

Aloha awakea He 32 mau makahiki, ʻo ka wā hānau mua, 32 mau hebedoma, 68 kg, kiʻekiʻe o 179 cm, ma mua o ke kaupaona ʻana he 60 kg. ʻO ka Sugar i ke kakahiaka he 5.2-5.5, ma hope o ka ʻai ʻana a hiki i 7.2, ua hele wau i kahi papa meaʻai, ʻaʻohe i nā hua a pau, i kuhikuhi ʻia i ka insulin 6 mau ʻāpana. ʻO kaʻu nīnau: inā ma hope o ka papaʻai ua loaʻa iaʻu ka hilo mai ke kakahiaka a hiki i ka 5.0 a ma hope o ka ʻai ʻana i 7.0, pono paha wau e hoʻoiho i ka insulin?

inā ma hope o ka papaʻai ua loaʻa iaʻu ke kō mai ke kakahiaka a hiki i ka 5.0 a ma hope o ka ʻai ʻana i 7.0, pono wau e hoʻoiho i ka insulin?

ʻAʻole pono ʻole.

Mai makaʻu e hahai i kahiʻaiʻai palaka haʻahaʻa loa, e like me ka mea i hōʻike ʻia ma kēia pūnaewele, i ka wā hāpai. ʻAʻole pōʻino a waiwai nui nō hoʻi.

Aloha awakea ʻO 30 wau koʻu makahiki, ʻo ka lua o ka hapalua he 1.3 mau makahiki ma hope o ka mua. Ua hōʻea ʻo GDM ma luna o ka papaʻai mai nā hola 29. He aha nā hoʻomaʻamaʻa e pono ai e hana ma hope o ka hānau keiki ʻana i mea e nānā ai i nā pilikia o ka hoʻomohala ʻana i ka maʻi diabetes i ka wā e hiki mai ana a hoʻomaopopo i ka mea iaʻu me ka hoʻoneʻeʻana o nā maʻi? He mau pilikia a he ʻōlelo ke kau ʻana i ka meaʻai i koʻu ola a pau, maopopo wau.

He aha nā hana e pono ai e hana ma hope o ka hānau keiki ʻana e nānā i nā hopena o hope e pili ana i ka hoʻomohala ʻana i ka maʻi diabetes

ʻAʻole pono lākou e hala i hoʻokahi manawa, akā e hoʻomaʻamaʻa i nā hoʻoilo maʻamau. Ma ka liʻiliʻi ma ka makahiki hoʻokahi - glycated hemoglobin and C-peptide.

Ma ke ahiahi kakahiaka, ʻo 29 mau makahiki wau, he 8 a ʻoi ke keiki, hoʻolālā au i ka hāpai ʻana. Ua nīnau kekahi me ka insulin. I kēia manawa loaʻa wau iā Tujeo a me Apidra. Ua heluhelu wau ʻaʻole i aʻo ʻia kēia mau insulins a hoʻopilikia koʻikoʻi i ka maʻi kanaka. He aha ke ʻano o nā insulins āu e manaʻo ai e palekana ana no ka mea hāpai? Makemake au i ka maikaʻi loa.

ʻO 29 wau i ka makahiki, he 8 makahiki o ka maʻi maʻi, ua hoʻolālā wau i ka hapai

Heluhelu Vkontakte lehulehu "ka hauʻoli o ka ʻohana" a hiki i ka uhi ʻia. Hāʻawi i kou maʻi maʻi, e hoʻonui pū ʻia e 2 mea āpau i kākau ʻia ma laila. Ke kūʻē ʻoe i ka weliweli. No nā wahine maʻi maʻi he nui ka hapai a me ka hānau ʻana. Akā no ka hapa nui, ʻaʻole lākou e hala. ʻAʻole lākou e kākau ma ka Pūnaewele. Inā loaʻa iā ʻoe nā pilikia me nā pūpū a me nā maka paha, ʻaʻole ia.

ʻAʻole kēlā e hōʻole wau iā 100%. Akā ke paipai aku nei au iā ʻoe nui. He nui ua mau manawa kiʻekiʻe ma mua o ka mea "mai waho" a hiki i ke kū ʻana i loko.

He aha ke ʻano o nā insulins āu e manaʻo ai e palekana ana no ka mea hāpai?

Inā hiki, hele mai Tujeo a Levemir. Akā ʻoi aku kaʻoi aku o ka mea nui ma mua o ka mea ʻai, ke koho kūpono ʻana i nā dosis insulin, mālama pinepine i nā kō a me nā hoʻokolohua ʻē aʻe.

Nā kūmole no ka maʻi maʻi gestational

I ka manawa pinepine, ua kuhikuhi ʻia nā wahine i nā inikua 4 i ka inane. ʻEkolu ʻia lākou e paʻa 30 mau minuke ma mua o ka papaʻaina. Hoʻohana ʻia nā lāʻau pōkole hana pōkole, a ʻo ka hā (ʻo ka lōʻihi) i lawelawe ʻia i nā hola 22. ʻAʻole nā ​​kānaka a ka loi i hope.

A ma hope o ka ʻai ʻana, ʻaʻole lawa kāu mau kumu e hoʻokuʻi i ka pale ʻana o ka insulin, no laila pono ʻoe e hoʻokomo ʻē aʻe ia.

Hoʻopili ʻia ka helu helu ʻoi ʻia ma muli o ke ʻano o ka glucose i ke koko, ke trimester o ka hāpai ʻana. I nā mahina ʻekolu ʻekolu, kahi e pono ai ka hormone ma lalo o 1 papa no ka 1 kg o ka paona o ke kino. I ka nui o nā hihia, mālama ka poʻe maʻi e mālama i ka glucose koko me ka meaʻai a i ʻole e hoʻohui i nā helu liʻiliʻi o ka hormone i ona.

Maʻa kōohi koko

ʻO ka trimester ka lua ka mea paʻakikī loa no ka maʻi maʻi gestational. I ka wahine hāpai, hoʻonui ka nui o ka nui ma kahi o nā manawa 1,5-2, a i ke kolu o ka trimester ka pancreas o ka pūpū e hoʻomaka i nā hana, ʻaʻohe mea pono o nā dosie nui.

I ka wā o ka hānau ʻana i kahi keiki ma hope o ka hoʻokele ʻana o ka insulin, e kū pinepine ʻia ka hoʻoulu hypoglycemia. Hoʻokuʻu ʻia lākou e kahi lākake ʻoi i nā pae kō. No laila he mea nui:

• hahai ikaika i nā ʻōlelo hāpai ma ka manawa ʻai ma hope o ka pau ʻana.
• hiki ke helu i ka nui o ka hānela ma muli o ka paʻa ʻana o ke kō a me ka nui o nā huamina i ka meaʻai.
• e puʻunaue i nā meaʻai kālaiʻai i ke ao,
• kiaʻi i ka glucose koko ma ka liʻiliʻi 5 mau lā i ka lā.

A eia kekahi ma kahi o ka lāʻau Diabeton no ka maʻi maʻi.

Kahi ʻia ka koho ʻana i nā insulin no nā wahine hāpai me ka maʻi gestational me ka ʻole o kaʻai, ka hoʻomaʻamaʻa a me nā lāʻau lapaʻau. Hoʻohana ʻia nā ʻōiwi Hone no ka hōʻailona o ka maʻi fetopathy maʻi. No ke koho ʻana i kahi lāʻau lapaʻau, hoʻonohonoho papaʻa a me nā dosage, pono e nānā i nā pae koko koko a me nā moʻohelu trimester. I ka mea nui o ka lāʻau lapaʻau, nui ia e hahai kūpono i nā loiloi no ka hoʻopiʻi ʻana i kahi meaʻai, manawa ʻai, a me ka mālama pono ʻana i ka ʻike koko.

Pono ʻoe e ʻai i ka hua no ka maʻi diabetes, ʻaʻole naʻe wale nō. No ka laʻana, ʻōlelo aku nā kauka i nā ʻano like 1 a me 2, no ka maʻi maʻi gestational i nā wahine hāpai. He aha kāu mea ʻai? ʻO wai e hōʻemi i ke kō? ʻO ka mea hea ka mea hiki ʻole?

Ma waho o ka hāʻule ʻole, nā ʻōlelo makuahine ua hoʻohālikelike ʻia i ka papaʻai no ka maʻi maʻi gestational. ʻO ke koho ʻai kūpono, nā papa ʻāina i hoʻolālā ʻia e kōkua i ke pale ʻana i nā hopena koʻikoʻi. Hiki paha ke ʻai i ka ʻĀina, nā melona? Nā papa kuhikuhi kahi kūpono i ka maʻi maʻi gestational?

Inā hilinaʻi ka maʻi diabetes, ua lilo nā glucometers i nā hoa loli ʻole o ka mea maʻi. He mea nui e koho pololei a hoʻoholo i nā hōʻailona. He aha e pono ai no ke ʻano 1 a me 2, me ka maʻi maʻi maʻi gestational? Pehea e loaʻa ai kahi glucoseometer manuahi?

Ke lawe ʻia nei ka pale ʻana i ka maʻi diabetes no nā mea i ʻike mua wale i kona helehelena, a no nā mea maʻi ʻole. Pono ka papa ʻāpana i ka pale mua. ʻO nā mea nui i nā keiki, nā kāne a me nā wahine e hōʻemi ʻia i ka meaʻai, ka hana kino a me ke ʻano kūpono. Me ke ʻano 2, kahi a me ka 1, ka mea hoʻoili wai waena a me ka nui o ka prophylaxis e lawe ʻia e pale ai i nā wahi ʻino.

ʻO kekahi o nā lāʻau maikaʻi loa ʻo ka maʻi mellitus. Kōkua nā kōkua kōkua i ka mālama ʻana i ka ʻano lua. Pehea e lawe ai i ka lāʻau lapaʻau?