Prenatal Test VII: Glucose Screening uye Gestational Diabetes

Gestational chirwere cheshuga Chirwere chinokanganisa madzimai mazhinji panguva yekuzvitakura uye chinoonekwa kuburikidza nekuongororwa kwakasiyana. Mukati mebvunzo idzi, the Prenatal Test VII o glucose sieve Ndicho chimwe chezvakakosha kuona chirwere ichi nekukurumidza uye kudzivirira njodzi kuna amai nemwana.

Chii chinonzi Prenatal Test VII kana Glucose Screen?

The Prenatal Test VII ndeye routine bvunzo iyo inoyera kuti muviri unopindura sei glucose (shuga yeropa) uye inonyanya kushandiswa kuziva zviitiko zve chirwere cheshuga. Pakati pemavhiki makumi maviri nemana kusvika makumi maviri nemasere ekuzvitakura ndipo panowanzoitwa bvunzo iyi, kunyangwe vamwe vakadzi vane zvinhu zvine njodzi Vangada kukurumidza kuzviita.

Gestational diabetes imhando yechirwere cheshuga chinokura panguva yekuzvitakura uye chinonyangarika mushure mekusununguka, kunyange mune dzimwe nguva chinogona kuwedzera njodzi yaamai yekuva nechirwere cheshuga chechipiri gare gare.

Muedzo uyu unosanganisira mukadzi anepamuviri kunwa mushonga weglucose uye, awa imwe gare gare, kutora ongororo yeropa kuyera mazinga eglucose mumuviri.

Kukosha kwekuyedzwa kweGlucose muNhumbu

Gestational chirwere cheshuga chinogona kuva nemigumisiro yakakomba kana chikasaonekwa uye chinotarisirwa nemazvo. Kana iyo glucose yeropa yakakwira uye isingadzoreki, mwana anogona kukura kupfuura zvakajairika, inozivikanwa se macrosomia, kuwedzera mikana yezvinetso panguva yekusununguka, zvakadai sekukuvara kwemwana kana kudiwa kwechikamu checesarean.

Uyezve, amai vangava vari mungozi yakawedzerwa yokuva ne<em>preeclampsia, mamiriro ezvinhu anokonzera kuwedzera kweBP uye zvimwe zvinetso zvakakomba panguva yokuzvitakura. Mamwe matambudziko anosanganisira kuzvarwa nguva isati yakwana kana njodzi huru yekuti mwana azvarwe hypoglycemia (kuderera kweshuga yeropa).

Kuonekwa kwekutanga uye kutonga kwakanaka kwe gestational chirwere cheshuga kunogona kudzivirira njodzi idzi, zvichiita kuti bvunzo iyi ive yakakosha kuve nechokwadi chekubata pamuviri kune hutano.

Iyo Glucose Testing process

Glucose sieving inoitwa muzvikamu zviviri muzviitiko zvakawanda:

O'Sullivan bvunzo

Bvunzo yekutanga iyi ine mukadzi ane pamuviri inwa mhinduro iyo ine inenge 50 magiramu eglucose. Mushure meawa, sampuli yeropa inotorwa kuyera mazinga eglucose.

• Kana mazinga ari pasi pe140 mg/dl, mhedzisiro inoonekwa seyakajairika.
• Kana mazinga akadarika 140 mg/dl, zvinokurudzirwa kuita imwe bvunzo chaiyo inonzi Oral Glucose Tolerance Test (inozivikanwawo seGlucose Tolerance Curve).

Oral Glucose Tolerance Test

Muedzo uyu wakadzama uye unoitwa kana bvunzo yekutanga ichiratidza zviratidzo zvekukwira kweglucose. Nzira yacho inogara maawa matatu uye zvinoda kuti murwere atsanye. Mushure mekuongororwa kweropa kwekutanga, murwere anonwa mhinduro ne100 gramu yeglucose, uye mamwe masampula eropa anotorwa awa imwe neimwe kwemaawa matatu.

• Kana iyo glucose level yakajairika mumuenzaniso wega wega, gestational chirwere cheshuga chinorambidzwa.
• Kana maviri kana anopfuura emasampuli achiratidza mazinga akakwira, gestational chirwere cheshuga chinoonekwa.

Sei zvichiitwa pakati pevhiki 24 ne28?

Yechipiri trimester inguva yakaoma panguva yekuzvitakura, sezvo kubva panguva ino mazinga ehomoni mumuviri waamai anowedzera zvakanyanya. Aya mahomoni anogona kutadzisa kuita kwe insulin, zvichikonzera a kuwedzera kweglucose kwenguva pfupi muropa

Naizvozvo glucose sieve Inoitwa panguva iyi, sezvo iyi ndiyo nguva iyo vakadzi vane pamuviri vanowanzoita insulin resistance, iyo inogona kukonzera gestational chirwere cheshuga.

Zvikonzero Zvengozi Yekuvandudza Gestational Diabetes

Zvimwe zvikonzero zvinogona kuwedzera njodzi yekuva nechirwere cheshuga chegestational, saka kana amai vaine chimwe chezvinotevera, vanogona kukurudzirwa kuti vaongorore kare:

• Age kupfuura makore 35.
• Kufutisa.
• Nhoroondo yemhuri yechirwere cheshuga.
• Gestational chirwere cheshuga mumimba yapfuura.
• Polycystic ovary chirwere.

Vakadzi vane chimwe kana zvimwe zvezvinhu izvi vanofanira kungwarira panguva yavo yose yekuzvitakura, sezvo mukana wavo wekukudziridza chirwere ichi wakakura.

Maitiro ekugadzirira iyo Glucose Tolerance Test

Yechikamu chekutanga chebvunzo (iyo O'Sullivan Test), hapana kutsanya kunodiwa hapana gadziriro yakakosha. Zvisinei, pachikamu chechipiri (Oral Glucose Tolerance Curve), murwere anofanira kuuya kurabhoritari asina chinhu, asina kudya zvokudya kwemaawa masere kusvika gumi nemaviri asati aongororwa.

Zvakakosha Ramba uchidya zvakajairika mumazuva kusati kwaedzwa kuti uve nechokwadi chekuti pancreas iri kushanda nemazvo kuti isangane neyakajairwa insulin zvinodiwa.

Kana mishonga ikatorwa, inofanirwa kuongororwa nachiremba, sezvo vamwe vanogona kuchinja mhinduro dzebvunzo.

Ndeapi Normal Test Results?

Kune O'Sullivan Test, kukosha kweglucose yeropa isingasviki 140 mg/dl inoonekwa seyakajairika. Kana iyo yemuromo glucose kushivirira curve ikaitwa, hunhu hunofanirwa kunge hunotevera:

• Sampu yeBasal (kutsanya): isingasviki 95 mg/dl.
• Awa imwe mushure mekutora mhinduro: isingasviki 180 mg/dl.
• Maawa maviri gare gare: isingasviki 155 mg/dl.
• Maawa matatu gare gare: isingasviki 140 mg/dl.

Kana zviviri zveizvi zvakakosha zviri pamusoro pezvakajairwa, gestational chirwere cheshuga chinoonekwa.

Ngozi dzeGestational Diabetes

Kuonekwa kwe gestational diabetes zvinoreva kuti amai vanofanira kunge vaine a kudzora kwakakosha pakudya kwako uye mararamiro, pamwe nekutarisa mazinga ako eglucose muropa nguva dzose. Ngozi dzekusabata chirwere ichi nemazvo dzinosanganisira:

• Macrosomia: Vana vanozvarwa vakakura kudarika avhareji, zvichiwedzera njodzi yekuzvarwa kwakaoma uye kudiwa kwechikamu chekuvhiya.
• Preeclampsia: kuwedzera kweBP ine ngozi kune hutano hwaamai nemwana.
• Kuwedzera njodzi yekuva nechirwere cheshuga 2 gare gare muhupenyu.

Kune vacheche, kunewo njodzi yekuvandudza hypoglycemia kana matambudziko ekufema pakuzvarwa.

Izvo zvakakosha kuti vakadzi vakaonekwa vaine gestational chirwere cheshuga vashande pamwe neboka ravo rekurapa kudzora mazinga eglucose uye kudzivirira matambudziko.

Kurapa kwe gestational chirwere cheshuga Kunowanzobatanidza kudya zvokudya zvine mwero, kurovedza muviri nguva dzose, uye pane dzimwe nguva vangada kunwa mushonga kana kuti, muchiitiko chechirwere cheshuga chakakomba zvikuru, majekiseni e<em>insulin.

Mune zvimwe zviitiko, kutarisisa mazinga eglucose eropa nguva zhinji kunogona kudikanwa kuti ugadzire kurapa kwakakodzera.

Kunyange zvazvo gestational chirwere cheshuga chinowanzonyangarika mushure mekusununguka, vakadzi vakave nechirwere ichi vari panjodzi yakawedzerwa yekuva nechirwere cheshuga chechipiri munguva yemberi, saka vanofanira kugara vachiongororwa nachiremba wavo.

Iyo Prenatal Test VII kana glucose sikirini chishandiso chakakosha kuona nekurapa gestational chirwere cheshuga, nekudaro kuve nechokwadi chekubata pamuviri kwakachengeteka kune vese amai nemwana. Kunyatso kudzora glucose panguva yese yekuzvitakura ndiyo kiyi yekudzivisa matambudziko enguva refu.