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Kune kana kupokana kwakanangwa kuongororwa kwe gestational chirwere cheshuga
Panguva yekuzvitakura, vamwe vakadzi vanogona kuwanikwa vaine gestational diabetes. Sangano reWorld Health Organization (WHO) rinorondedzera chirwere ichi se“chirwere che<em>carbohydrate kushivirira kunokonzera hyperglycemia yehuipi hwakasiyana-siyana, kutanga kana kuti kutanga kuonekwa panguva yekuzvitakura. »Pasi pezvino kuongororwa mamiriro, pakati pe2 ne6% yevakadzi vane pamuviri vangakanganiswa, asi chikamu ichi chinogona kunge chakanyanya kukwirira mune mamwe marudzi. Kazhinji, maitiro emazuva ano ari pakuwedzera kupararira. Zvinonyanya kukonzera njodzi ndezvi: kuwandisa, zera, dzinza, dhigirii rekutanga mhuri nhoroondo yechirwere cheshuga, obstetric nhoroondo ye gestational chirwere cheshuga kana macrosomia, polycystic ovary syndrome. Gestational chirwere cheshuga chinogona kukonzera matambudziko muna amai nemwana. Inobatanidzwa ne kuwedzera kwengozi yepreeclampsia uye Kesariya. Kudivi remwana, the macrosomie (kuremerwa kwekuberekwa kunopfuura 4kg) ndicho chikuru chinoratidzwa neonatal mhedzisiro ye gestational chirwere cheshuga.
Gestational chirwere cheshuga: kusarudzwa kwekutarisa kwakanangwa
Kumwana wake wekutanga, Elisabeth anoyeuka achivhenekwa chirwere cheshuga chepamuviri, asi panguva ino kechipiri, chiremba wake wevakadzi akamuudza kuti hazvichakoshi. Zviripachena, haasimbiswe: "ko kana tikazvipotsa uye zvikazoitika kuti ndine chirwere cheshuga?" », Anonetsekana. Pakati pebvunzo dzekumanikidzirwa dzepamuviri, izvo zvinokurudzirwa zvakasimba uye pakupedzisira izvo zvisisabatsiri, dzimwe nguva zvinonetsa kufamba. Nezvekuongororwa kwegestational chirwere cheshuga, mazano matsva akaiswa mu 2011. Kusvikira panguva iyo, vakadzi vose vane pamuviri vaifanira kuongororwa mu 2 trimester, pakati pe24th uye 28th vhiki yeamenorrhea. bvunzo iyi, inonzi Oral-induced hyperglycemia (OGTT), inosanganisira kutsanya kweglucose yeropa paawa 1 nemaawa maviri mushure mekudya kwe2 g yeglucose. Zvino, bvunzo iyi inonyorerwa chete vanaamai vamangwana vanoti panjodzi. Zvinonzi kuongorora kunonangwa. Vanonetsekana: vakadzi vanopfuura 35, avo vane BMI yakakura kudarika kana yakaenzana ne25, nhoroondo yemhuri ye 1st degree chirwere cheshuga, gestational chirwere cheshuga panguva yekuzvitakura yapfuura, mwana ane uremu hwekuberekwa kunopfuura 4 kg (macrosomia). Panguva imwecheteyo, hyperglycemia zvikumbaridzo zvakadzikiswa, izvo zvakakonzera kuwedzera kuwanda kwehuwandu hwechirwere cheshuga.
Hapana njodzi yakaratidzwa mukusavapo kwezvinhu zvine njodzi
Kana isu tichiziva matambudziko epamuviri (macrosomia, eclampsia, nezvimwewo) akabatanidzwa zvakanyanya kune gestational chirwere cheshuga, tinogona kushamisika. sei kuongorora kwakarongeka kwakasiiwa. "Hatina nharo dzezvesayenzi dzinogona kururamisa kutungamirirwa kwegestational chirwere cheshuga muvakadzi vasina ngozi", anotsanangura kudaro Purofesa Philippe Deruelle, gynecologist-obstetrician paCHRU Lille. Mune mamwe mazwi, hapana humbowo hwekuti gestational chirwere cheshuga chinowanikwa muavhareji amai-ku-vane chiyero chakafanana chekuomarara semukadzi ari panjodzi. ” Kana zvinhu zvabatanidzwa ndipo pazvinozoitika zvinogona kunge zvakakomba », Inoenderera mberi nyanzvi. Mukuwedzera, nguva dzose zvinogoneka kupa chiyero ichi mune yechipiri danho, kunyanya panguva yemwedzi wechinomwe panguva yechitatu ye ultrasound. Ichokwadi, vazhinji vegynecologists vanoramba vachirayira OGTT kuvakadzi vose vane pamuviri, kunze kwekuchengetedza pane kunyumwira.