Chirwere cheshuga mellitus chirwere chinoratidzirwa nehuwandu hwepamusoro wehuga muropa. Gestational diabetes mellitus (HSD) yakasarudzwa semhando yakasiyana yechirwere cheshuga mellitus , sezvo inotanga kuonekwa panguva yekuzvitakura. Muchiitiko ichi, chirwere ichi chinogona kuitika bedzi panguva yekuzvitakura uye kunyangarika mushure mekuberekwa, uye ingangodaro ichinyorwa cheTega I chirwere cheshuga cheshuga. Funga nezvezvinokonzera, zviratidzo zvechiremba, ma laboratory ekuongororwa uye kurapwa kwegestational chirwere cheshuga chechikadzi.
Gestational diabetes mellitus (HSD) pakuberekwa - zvinokonzera uye zvinokonzera ngozi
Chinonyanya kukonzera gestational chirwere cheshuga ndechekuderera mukunzwa kwemasero kune insulin yavo (insulin kudzivisa) pasi pesimba remazana akawanda eprogesterone uye estrogens. Ichokwadi, shuga yakakura yeropa panguva yekuzvitakura haifaniri kuwanika kuvakadzi vose, asi kune avo vane maitiro (anenge 4-12%). Funga nezvengozi dzegestational diabetes mellitus (HSD):
- kuwandisa kana kuwandisa;
- kuvapo kwechirwere cheshuga mellitus muhama dzepedyo;
- Gestational diabetes mellitus inowanikwa munguva yekuzvitakura kwakapfuura;
- kuberekwa kwevana vachiyera zvinopfuura 4 kg kubva pamuviri wepakutanga;
- kazhinji kubvisa pamuviri nguva dzose muamnesnesis;
- kuberekwa kwevakafa vana mu anam anamnesis.
Zviratidzo zvemakrohydrate metabolism mune gestational diabetes mellitus
Kazhinji, panguva yekuzvitakura, pancreas inogadzira insulini yakawanda kupfuura vanhuwo zvavo. Izvi zvinokonzerwa nekuti kutakura mahomoni (estrogen, progesterone) ane basa rekuita, ikozvino. ivo vanogona kukwikwidza ne insulin molecule kuitira kukurukurirana nema cell receptors. Kunyanya kujeka kliniki zviratidzo zvinosvika pamusi we20-24 wevhiki, apo imwe nhengo inogadzira hormone inoumbwa - iyo placenta , uye ipapo uwandu hwekuzvitakura mahomoni hunova hukuru. Nokudaro, vanovhiringidza kupindira kwemasikorosi mumaseroti, ayo anoramba ari muropa. Muchiitiko ichi, masero asina kugamuchira glucose, anoramba aine nzara, uye izvi zvinokonzera kubviswa kweglycogen kubva pachiropa, iyo, zvakare, inotungamirira kune yakakwirira zvakanyanya mukushuga kweropa.
Gestational diabetes mellitus - zviratidzo
Kiriniki ye gestational chirwere cheshuga inofanana nechirwere cheshuga mellitus muvakadzi vasina kutakura. Varwere vanonyunyutira nguva dzose mumuromo wakaoma, nyota, polyuria (kuwedzerwa uye kunowanzocheka). Vanhu vane pamuviri vakadaro vane hanya nezvekushaya simba, kurara, nekushaya nzara.
Muchikoro chekuongorora, huwandu hwakawedzera hwehuviri muropa uye murini, pamwe nekuonekwa kwemitumbi yemakone mumuguta. Kuongorora kwehuga panguva yekuzvitakura kunoitwa kaviri: yekutanga panguva imwe kubva pa8 kusvika kuvhiki gumi nemana, uye yechipiri - pamasvondo makumi matatu. Kana kuongorora kwekutanga kuchiratidza kuwedzera kweropa rega, ipapo kuongorora kunorudzirwa kuti idzoke zvakare. Chimwe chidzidzo chekuisa ropa chinonzi glucose tolerance test (TSH). Muchidzidzo chino, kutora gorosi yepamusoro inoenzaniswa uye 2 maawa mushure mekudya. Mhedzisiro yemaitiro mumadzimai ane pamuviri ndeokuti:
- 4-5,2 mmol / l - kana uchitarisa pane chisina chinhu;
- kwete kupfuura 6.7 mmol / l - paakaedzwa 2 maawa mushure mekudya.
Kudya muzvirwere zvechirwere cheshuga mellitus (HSD)
Imwe nzira yekurapa kwegestational chirwere cheshuga chirwere chekudya uye kuenzanisa zvine mwero. Kubva pazvokudya haufaniri kurega zvose zvinokonzerwa nekate-carbohydrate (sweets, mupfu wezvokudya). Vanofanira kuchinjwa neakakomba e-carbohydrate uye mapuroteni. Ichokwadi kuti kudya kwakanakisisa kune mukadzi akadaro kuchakudziridza chiremba.
Mukupedzisa, munhu haagoni kubatsira kutaura kuti njodzi yegestational diabetes mellitus ine ngozi kana isina kubatwa. HSD inogona kutungamirira pakukurumidza kwegestosis, chirwere chemaamai uye fetus, uyewo kuoneka kwezvinetso zvechirwere cheshuga mellitus (mafungiro uye zvirwere zveziso).