Gestational lefu la tsoekere

Gestational lefu la tsoekere ke tsoekere e phahameng maling (tsoekere) e qalang kapa e fumanoang pele nakong ea bokhachane.

Lihormone tsa bokhachane li ka thibela insulin ho etsa mosebetsi oa eona. Ha sena se etsahala, boemo ba tsoekere bo ka eketseha maling a moimana.

U kotsing e kholo ea ho tšoaroa ke lefu la tsoekere haeba u:

• Ba baholo ho feta 25 ha u le moimana
• Ba tsoa molokong o kotsing e kholo, joalo ka Latino, African American, Native American, Asia kapa Pacific Islander
• Ho ba le nalane ea lelapa ea lefu la tsoekere
• O ile a beleha ngoana ea boima bo fetang lik'hilograma tse 'nè kapa ea nang le bothata ba tsoalo
• Eba le khatello e phahameng ea mali
• Ho ba le amniotic fluid e ngata haholo
• O bile le ho senyeheloa ke mpa ho sa hlalosoang kapa ho tsoala ngoana a hlokahetse
• Ke ne ke le motenya pele ke ima
• Fumana boima bo bongata haholo nakong ea bokhachane
• E-ba le lefu la ovary la polycystic

Boholo ba nako, ha ho na matšoao. Tlhahlobo e etsoa nakong ea tlhahlobo ea bakhachane.

Matšoao a bonolo, joalo ka lenyora le eketsehileng kapa ho tsitsinyeha, a kanna a ba teng. Matšoao ana hangata ha a kotsing bophelo ba mokhachane.

Matšoao a mang a kenyeletsa:

• Pono e lerootho
• Mokhathala
• Ho tšoaetsoa khafetsa, ho kenyelletsa le senya, botšehali le letlalo
• Nyora e eketsehileng
• Ho eketseha ha ho ntša metsi

Gestational lefu la tsoekere hangata le qala bohareng ba bokhachane. Basali bohle ba baimana ba lokela ho fumana teko ea mamello ea tsoekere ea molomo (teko ea phephetso ea tsoekere) lipakeng tsa beke ea 24 le ea 28 ea boimana ho batla boemo boo. Basali ba nang le lisosa tsa kotsi tsa lefu la tsoekere la bokhachane ba ka ba le teko ena pejana ho bokhachane.

Hang ha u fumanoa u na le lefu la tsoekere la bokhachane, u ka bona hore na u phela hantle hakae ka ho lekola boemo ba tsoekere lapeng. Mokhoa o tloaelehileng haholo o kenyelletsa ho phunya monoana oa hau le ho beha lerotholi la mali a hau mochining o tla u balla tsoekere.

Morero oa kalafo ke ho boloka tsoekere maling (glucose) e le maemong a tloaelehileng nakong ea bokhachane, le ho etsa bonnete ba hore lesea le ntseng le hola le phetse hantle.

HO SHEBELLA LEsea la hao

Mofani oa hao oa tlhokomelo ea bophelo o lokela ho hlahloba uena le lesea la hau ka hloko nakong eohle ea bokhachane. Tlhokomelo ea lesea e tla hlahloba boholo le bophelo bo botle ba lesea.

Teko ea ho se imeloe ke teko e bonolo haholo, e se nang bohloko bakeng sa hau le lesea la hau.

• Mochini o utloang le ho bontša ho otla ha pelo ea lesea la hao (elektroniki fetal monitor) o behiloe ka mpeng.
• Mofani oa hau a ka bapisa mokhoa oa ho otla ha pelo ea lesea la hau le metsamao mme a fumana hore na lesea le sebetsa hantle.

Haeba o noa moriana ho laola lefu la tsoekere, o kanna oa hloka ho beoa leihlo khafetsa nakong ea bokhachane.

LIJO LE TLHAKISO

Maemong a mangata, ho ja lijo tse phetseng hantle, ho lula u le mafolofolo le ho laola boima ba hau ke tsona feela lintho tse hlokahalang ho alafa lefu la tsoekere la bokhachane.

Tsela e molemohali ea ho ntlafatsa phepo ea hau ke ka ho ja lijo tse fapaneng tse phetseng hantle. U lokela ho ithuta ho bala mangolo a lijo le ho a hlahloba ha u etsa liqeto tsa lijo. Bua le mofani oa hau haeba u le nama kapa u ja lijo tse ling tse khethehileng.

Ka kakaretso, ha u na le lefu la tsoekere la bokhachane, lijo tsa hau li lokela ho:

• E-ba le mafura le liprotheine tse itekanetseng
• Fana ka lik'habohaedreite ka lijo tse kenyeletsang litholoana, meroho le lik'habohaedreite tse rarahaneng (tse kang bohobe, lijo-thollo, pasta le raese)
• E-ba tlaase lijong tse nang le tsoekere e ngata, joalo ka lino-mapholi, lino-mapholi le likuku

Bua le mofani oa hau ka mesebetsi ea 'mele e u loketseng. Boikoetliso bo nang le tšusumetso e tlase, joalo ka ho sesa, ho tsamaea ka potlako, kapa ho sebelisa mochini o elliptical ke litsela tse bolokehileng tsa ho laola tsoekere le boima ba mali a hao.

Haeba ho laola tsela eo u jang ka eona le ho ikoetlisa ho sa laole tsoekere e maling, u ka fuoa meriana ea lefu la tsoekere kapa ea insulin.

Ho na le likotsi tse ngata tsa ho ba le lefu la tsoekere nakong ea bokhachane ha tsoekere maling e sa laoloe hantle. Ka taolo e ntle, bokhachane bo bongata bo na le litholoana tse ntle.

Bakhachane ba nang le lefu la tsoekere la bokhachane ba tloaetse ho ba le masea a maholoanyane ha ba hlaha. Sena se ka eketsa menyetla ea mathata nakong ea pelehi, ho kenyelletsa:

• Kotsi ea pelehi (trauma) ka lebaka la boholo ba lesea le leholo
• Ho tlisoa ka karolo ea C

Lesea la hau le na le monyetla oa ho ba le linako tse nang le tsoekere e tlase maling (hypoglycemia) matsatsing a 'maloa a pele a bophelo, mme le kanna la hloka ho beoa leihlo lefapheng la tlhokomelo e matla ea masea (NICU) matsatsi a' maloa.

Bo-mme ba nang le lefu la tsoekere la bokhachane ba na le kotsi e kholo ea khatello e phahameng ea mali nakong ea bokhachane le kotsi e kholo ea ho pepa pele ho nako. Bo-'mè ba nang le tsoekere e sa laoleheng ea mali ba na le kotsi e kholo ea ho pepa.

Kamora ho pepa:

• Tekanyetso ea hau e phahameng ea tsoekere ea mali (tsoekere) hangata e khutlela setloaeling.
• U lokela ho lateloa haufi-ufi bakeng sa matšoao a lefu la tsoekere lilemong tse 5 ho isa ho tse 10 tse tlang ka mor'a ho pepa.

Ikopanye le mofani oa hau haeba u imme 'me u na le matšoao a lefu la tsoekere.

Tlhokomelo ea bakhachane pele ho nako le ho hlahlojoa khafetsa ho thusa ho ntlafatsa bophelo ba hau le ba lesea la hao. Ho etsa tlhahlobo ea bakhachane libeke tse 24 ho isa ho tse 28 tsa bokhachane ho tla thusa ho lemoha lefu la tsoekere pele ho nako.

Haeba o nonne haholo, ho ba le boima ba 'mele ka bongata ba' mele (BMI) ho tla fokotsa menyetla ea lefu la tsoekere.

Ho hloka mamello ha glucose nakong ea bokhachane

• Mekhanya
• Gestational lefu la tsoekere

Mokhatlo oa Amerika oa lefu la tsoekere. 14. Tsamaiso ea lefu la tsoekere nakong ea bokhachane: litekanyetso tsa kalafo ea lefu la tsoekere-2020. Tlhokomelo ea lefu la tsoekere. 2020; 43 (Tlatsetso ea 1): S183-S192. PMID: 31862757 e fetotsoe.ncbi.nlm.nih.gov/31862757/.

Landon MB, Tonakholo ea Catalano, Gabbe SG. Lefu la tsoekere le thatafatsa bokhachane. Ka: Landon MB, Galan HL, Jauniaux ERM, et al, eds. Li-Obstetrics tsa Gabbe: Bokhachane bo Tloaelehileng le Bothata. La 8th. Philadelphia, PA: Elsevier; 2021: khaolo ea 45.

Metzger BE. Lefu la tsoekere le bokhachane. Ka: Jameson JL, De Groot LJ, oa Kretser DM, et al, eds. Endocrinology: Batho ba baholo le bana. La 7th. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 45.

Moyer VA; Sesole sa Ts'ireletso sa US. Ho lekola lefu la tsoekere la bokhachane: Polelo ea khothaletso ea Sesole sa Ts'ireletso ea US. Ann Intern Med. 2014; 160 (6): 414-420. PMID: 24424622 pubmed.ncbi.nlm.nih.gov/24424622/.