Munguva yepamuviri, vakadzi vane chirwere cheshuga vanongoda kuve vari pasi pekushaya zvirwere uye nekurapa kwekunze. Vatungamiri vehutano hwehutachiwana hwechirwere cheshuga hunoteverwa nemitemo yakasimba uye yakananga, sezvo chirwere chakadaro chakaipa kumwana.
Kuberekwa kwakabatwa sei mune chirwere ichi?
Vakadzi vane ngozi yakawanda yekukura nechirwere cheshuga nekutsungirira kwegorobhahydrates (kazhinji), kana izvo zvisingaiti zvakaoma, hazvisi nyore, zvinogona kunge zviri pasi pekutarisa kwechirwere chechikadzi uye chiremba. Zvisinei, pamuviri, nehuwandu hwehutachiwana hunokonzera chirwere cheshuga panguva yakakodzera inofanira kuiswa muchipatara.
Nevachangobva kugadziriswa chirwere cheshuga cheshuga, vakadzi vane pamuviri vanofanira kunyanya kupinda muchipatara mune imwe nzvimbo yakaoma yevashandi inonyanya kurwarisa chirwere ichi kana kuti muDhipocrinology yedhipatimendi kuitira kuti vaite rumwe ruongorori. Uyewo nokuda kwekurapa prophylactic uye kusarudzwa kwechirwere che (chinodiwa) insulin. Vose vanaamai vanotevera vane chirwere cheshuga mushure mekunge vakanyatsocherechedza uye vanobatwa nevanyanzvi, maererano nekurumbidzwa. Kana mukadzi anorwara ane chirwere chakadaro asingatori kurapwa kwakakodzera munguva - izvi zvinogona kuchinja dzidzo, pamwe chete nemigumisiro yekuzvitakura.
Ndiyo yakasiyana-siyana yakakwana yekudzivirira kubata pamuviri kuvakadzi vane chirwere cheshuga mellitus - iyi inotarisa mavhesi mumatare eivetric anozivikanwa muchirwere ichi. Muchiitiko ichi, kukwana kwakakwana kwevakadzi vane pamuviri, zvose endocrinological uye obstetric, inovimbiswa. Kubva pahafu yepiri yechinzvimbo chinonakidza, vakadzi vanowanzotarisirwa muzvipatara zvakasiyana-siyana zvematare, izvo zvinoshanda zvichienderana nechipatara chevanhu vakawanda.
Mushure mokunge mimba yakagadzirirwa vakadzi vane chirwere cheshuga, vanotanga kushanyira gynecologist, iwe unofanira kubva uchingonyevera nezvezvinogona kuitika munguva yekudzivirira, kubereka, pamusoro pekugona kutyisidzira kumucheche. Anodawo kujekesa zvitatu zvinotarisirwa kuti zvipatisitiri zvipatara kuchipatara kuti zviongorore nguva yekuzvitakura.
Kana pasina matambudziko (midwifery) kusvikira masvondo makumi maviri ekuberekwa, zvino chirwere chinogona kuitwa muDhipatimendi reMidocrinology, kubva pachikamu chechipiri chepamuviri kazhinji kacho chinoita kuti zvipatara zviwanike muvhareji.
Chii chinoratidzwa panguva yekuchengetwa kwevanaamai vane chirwere cheshuga munguva yemberi
Pakutanga kuendeswa kuchipatara, kunyatsoongorora kliniki kunowanzoitwa. Panguva imwecheteyo, endocrinological and obstetric diagnostic inogadziriswa, kuvhiringidzwa kwevakadzikadzi vane pamuviri vanozivikanwa, uye chiyero chematambudziko chinotsanangurwa, uye nyaya yekuchengetedza pamuviri inosarudzwa. Zvimwe zviitiko zvekuchengetedza zvidzidzo zviri kuitiswa, chirwere chakakwana che insulini chinosarudzwa.
Chipiri chechipatara chemukadzi chinoitwa pamasvondo 21-23 ekudzivirira, nekuda kwekugona kuwedzera nekuratidzwa kwezvinetso zvekuzvitakura. Chipatara chechitatu chinowanzoitwa pamasvondo makumi maviri ekuberekwa. Panguva ino, nyanzvi dzinonyatsocherechedza mwana, kurapwa kwechirwere cheshuga uye chinokonzera kushungurudzwa chiri kuitwa. Uyewo izwi uye nzira yekuendesa inosarudzwa.
Yakasimba, yakanyatsogadzikana kugadzirisa chirwere cheshuga, ndiyo inonyanya kukosha yekuzvitakura mune chirwere ichi. Madzimai ane pamuviri, ropa rekuisa ropa muropa musina chinhu chisina maturo rinofanira kunge rinenge rinenge 3.3-4.4 mmol / l, mushure mekudya kweawa imwe mushure meviri - kusvika pa6,7 mmol / l.
Uyewo, vakadzi vane chirwere cheshuga vanofanira kunyatsodzivirirwa uye vanorapwa nokukurumidza nokuda kwezvinetso zvisiri izvo. Izvi zvinofanira kurangarirwa kuti maitiro (kuwedzerwa) kwechirwere cheshuga mellitus yevakadzi vane pamuviri pakuonekwa kwemaitiro akaoma e gestosis, pamwe chete nezvimwe zvinetso zvemamiriro ezvinhu anofadza zvinotsanangurwa nekuongororwa zvakasimba kwehutundu hwemuviri, ropa uye urini, kuongororwa kweropa, nezvimwewo. Nyanzvi dzinorayira kudya kwakakwana kwevakadzi. Uyewo mune hutungamiri hwevakadzi vane pamuviri vane chirwere cheshuga, zvakakosha kuitisa CTG kudzora uye ultrasound. Zvinhu izvi zvinoitwa zvakarongeka, zvichibva pamasvondo gumi nemaviri ekuzvimba kusvika pakuberekwa. Nokudaro, kuitira kuti usazviisa pachena iwe nemwana wako pangozi, mukadzi ane pamuviri anongotanga kunyora, nekukurumidza.