Pakati pa mimba, amayi omwe ali ndi matenda a shuga amafunikira kukhala osadwala komanso osamalidwa. Udindo wa mimba mu matenda a shuga ukutsatiridwa ndi malamulo okhwima, chifukwa chakuti matendawa ndi owopsa kwa mwanayo.
Kodi mimba imayendetsedwa motani mu matendawa?
Azimayi omwe ali ndi chiopsezo chachikulu chodwala matenda a shuga ndi kulekerera zakudya (zachibadwa), ngati vutoli silili lovuta, lingathe kuyang'aniridwa ndi mayi wazimayi ndi wodwalayo. Komabe, mimba, omwe ali ndi chiopsezo chowonjezeka cha matenda a shuga m'nthawi yake, ayenera kuchipatala.
Chifukwa cha matenda a shuga atsopano, amayi apakati ayenera kupita kuchipatala mofulumira ku chipatala chodziwika bwino makamaka ku matendawa kapena ku dipatimenti ya matenda a endocrinology kuti apange mayeso ena. Komanso mankhwala opatsirana pogonana komanso kusankha mankhwala oyenera (oyenera) insulini. Amayi onse amtsogolo omwe ali ndi matenda a shuga amatha kusamalidwa bwino ndi kuwachiritsidwa ndi akatswiri, malinga ndi ndondomeko. Ngati mayi yemwe ali ndi matenda otere samalandira mankhwala oyenera nthawi - izi zingakhudze maphunziro, komanso zotsatira za mimba.
Ndilo njira yabwino kwambiri yothandizira mimba kwa amayi omwe ali ndi matenda a shuga - izi ndizomwe zimachitika pazinthu zomwe zimayambitsa matendawa. Pachifukwa ichi, kulamulira kwathunthu kwa amayi apakati, onse otchedwa endocrinological and obstetric, akutsimikiziridwa. Kuchokera pa gawo lachiwiri la malo okondweretsa, amayi amawotchedwa m'chipatala muzipatala zapadera, zomwe zimagwira ntchito pa chipatala chosiyanasiyana.
Pambuyo pokhala ndi pakati pa amayi omwe ali ndi matenda a shuga, omwe amayamba kukachezera amayi amayi, muyenera kuchenjeza mwamsanga za mavuto omwe angakhale nawo panthawi ya mimba, kubala, komanso kuopsa kwa mwanayo. Ayeneranso kufotokozera atatu chipatala chovomerezeka kuchipatala kuti ayang'ane nthawi yomwe ali ndi mimba.
Ngati palibe mavuto (mimba) mpaka masabata 20 a mimba, ndiye kuti chithandizochi chikhoza kuchitika mu Dipatimenti ya Endocrinology, kuyambira theka lachiwiri la mimba nthawi zambiri imakhala ndi chipatala m'ndende ya obstetric.
Chomwe chimawululidwa pa chipatala cha amayi omwe ali ndi matenda a shuga
Ku chipatala choyamba, kafukufuku wamakono amachitika. Pa nthawi imodzimodziyo, matenda opatsirana pogonana ndi osokoneza bongo amakhazikitsidwa, zomwe zimapangitsa amayi kutenga mimba kukhala ochepa, ndipotu chiwerengero cha chiopsezo chimatsimikiziridwa, ndipo vuto la kukhalabe ndi mimba limasankhidwa. Maphunziro apadera ochizira opaleshoni akuchitidwa, mlingo wokwanira wa insulini umasankhidwa.
Mayi wachiwiri amachipatala pa masabata 21-23 a mimba, chifukwa cha zovuta zowonjezera komanso zowonetsetsa za mimba. Kafukufuku wachitatu amachitidwa pamasabata makumi awiri ndi awiri. Panthawiyi, akatswiri amatha kuyang'anitsitsa mwanayo, chithandizo cha matenda a shuga ndi zobvuta. Ndiponso mawu ndi njira yoperekera amasankhidwa.
Khola, kukhazikika kwambiri kwa shuga, ndilo mfundo yaikulu ya mimba mu matendawa. Pakati pa amayi apakati, mlingo wa magazi m'magazi opanda kanthu uyenera kukhala pafupifupi 3.3-4.4 mmol / l, mutatha kudya ora limodzi mpaka 6.7 mmol / l.
Komanso, amayi omwe ali ndi matenda a shuga ayenera kutetezedwa mosamalitsa ndipo athandizidwe mofulumira ndi mavuto ovuta. Tiyenera kukumbukira kuti chizoloŵezi (chawonjezeka) cha matenda a shuga a amayi omwe ali ndi mimba kuti aone mitundu yosiyanasiyana ya gestosis, komanso zovuta zina za zochitika zosangalatsa zimatsimikiziridwa ndi kuyang'anira mwamphamvu thupi, kuyeza magazi ndi mkodzo, kuthamanga kwa magazi, ndi zina zotero. Akatswiri amapatsa chakudya chapadera kwa amayi. Komanso mu kasamalidwe ka amayi apakati omwe ali ndi shuga, nkofunikira kuyendetsa matenda a CTG ndi ultrasound. Ntchito izi zikuchitidwa mwakhama, kuyambira pa milungu 12 ya mimba mpaka kubadwa komwe. Choncho, kuti musadziwonetse nokha ndi mwana wanu pachiswe, mayi woyembekezera ayenera kungolemba, mwamsanga.