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E tlameha ho shebella

Se ke oa Lahleha

Lapeng Bokhachane boimana Bokhachane Bokhachane oi-Amritha K Ka Amritha K. ka Phupu 9, 2019

Bokhachane bo hloka tlhokomelo e eketsehileng le kameho. Haeba u moimana ea nang le lefu la tsoekere, o tlameha ho ba hlokolosi haholoanyane. Lefu la tsoekere le fumanoang nakong ea bokhachane le bitsoa gestational diabetes. Sena se tla beha bokhachane ba hau sehlopheng sa kotsi ka lebaka la menyetla ea ho senyeheloa ke mpa, bofokoli ba tsoalo, tsoalo ea pelehi, pelehi ea pelehi le lesea le leholo ^[1] . Gestational lefu la tsoekere le arotsoe ka lihlopha tse peli, Sehlopha sa A1 (se ka laoloang ka ho ja feela) le Sehlopha sa A2 (se hloka insulin kapa meriana ea molomo ho laola boemo).

Ha mosali a emola, 'mele oa hae o etsa liphetoho tse ngata hape, a ka ba le tšekamelo ea ho ba le mathata a itseng a tobileng basali ba bakhachane. Ha mosali a e-na le lefu la tsoekere la bokhachane, maemo a tsoekere maling a ka nyoloha haholo mme sena se ka baka mathata a mang ho lesea le ho mme ^[pedi] .

Ka hona, e 'ngoe ea litaba tse utloiloeng haholo matsatsing ana nakong ea bokhachane ke ketsahalo ea lefu la tsoekere la bokhachane. Methati ea lihormone e ka etsa hore tsoekere ea mali e phahame ha o le moimana, e leng ho phahamisang menyetla ea ho ba le bokhachane bo thata le bo kotsi. Leha ho le joalo, motho o lula a eletsoa hore a lule a e-na le ts'oaetso leha a fumanoe a na le lefu la tsoekere ^[3] ^[4] .

Gestational lefu la tsoekere le hlaha feela nakong ea bokhachane. E bontša maemo a phahameng a tsoekere nakong ea bokhachane e neng e le ntho e tloaelehileng pele o emoloa. Boemo hangata bo phekoloa hang ha o pepa lesea. Ka linako tse ling, e eketsa menyetla ea hore u be le lefu la tsoekere la mofuta oa 2, leha e le seoelo ^[3] .

Lisosa tsa lefu la tsoekere la bokhachane

Ha ho tsejoe hore na hantle-ntle sesosa sa kholo ea boemo bona ke eng. Leha ho le joalo, ho tiisitsoe hore lihormone li bapala karolo e kholo ntlafatsong ea boemo bona.

Nakong ea bokhachane, lihormone tse hlahisoang ke placenta li baka tsoekere e ngata maling a hau, e leng se fellang ka lefu la tsoekere la bokhachane ^[5] . Ka nepo, manyeme a hau a ka hlahisa insulin e lekaneng ho sebetsana le sena. Leha ho le joalo, maemong a mang, ha e sa etse joalo, maemo a tsoekere ea mali a phahama ho lebisa ho lefu la tsoekere la bokhachane.

Lisosa tsa lefu la tsoekere ke eng nakong ea bokhachane?

Matšoao a lefu la tsoekere la bokhachane

Ka tloaelo, boemo bona ha bo bake matšoao kapa matšoao. Matšoao a bakiloeng a ka ba bonolo mme ke a latelang ^[6] .

Pono e lerootho
Mokhathala
Ho tsuba
Lenyora le feteletseng
Tlhokahalo e fetelletseng ea ho ntša metsi

Leha ho le joalo, hoa lokela ho hlokomeloa hore matšoao a mangata a amanang le lefu la tsoekere la bokhachane a atile haholo 'me a bonoa ke basali ba bangata ba baimana. Tsena li kenyelletsa matšoao a kang mokhathala, lenyora le eketsehang, ho nyekeloa le pelo le ho hlatsa. Ka lebaka la sebōpeho sa matšoao ana, a ka 'na a se ke a hlokomeleha, a beha' mè hammoho le ngoana kotsing ^[7] .

Likotsi Bakeng sa Lefu la Tsoekere

U na le monyetla oa ho ba le lefu la tsoekere la bokhachane haeba u

na le nalane ea lefu la tsoekere
o bile le lefu la tsoekere nakong ea bokhachane nakong ea bokhachane
ba ne ba le batenya haholo pele ba emoloa
o ne a e-na le tsoekere e ngata maling
ba le khatello e phahameng ea mali
ba bile le ngoana e moholo pele
e nkile boima bo boholo nakong ea bokhachane
ba ka holimo ho lilemo tse 25
ba lebelletse masea a mangata
ho senyeheloa ke mpa kapa ho tsoala ngoana a shoele
na le polycystic ovary syndrome (PCOS), acanthosis nigricans, kapa maemo a mang a amanang le insulin ho hanyetsa ^[8] ^[9]

Mathata a lefu la tsoekere

Ha ho se na tlhokomelo le tlhokomelo, boemo bo ka mpefala mme ba lebisa ho mathata a ka amang bophelo bo botle ba ngoana le mme ^[9] .

Mathata a amanang le boemo bona ke a latelang:

Mathata a phefumolohang
Boima bo phahameng ba tsoalo
Dystocia ea mahetla (e etsa hore lehetla la ngoana le tšoarelle ka har'a kanale ea pelehi nakong ea pelehi)
Tsoekere e tlase maling
Ho pepa pele ho nako
Monyetla o eketsehileng oa ho pepa ka lingaka
Lefu la pelehi
Macrosomia

Tlhahlobo ea Lefu la Tsoekere

Hangata e hlaha nakong ea halofo ea bobeli ea bokhachane. Matšoao a sena e ka ba tlhoko ea ho hloba hangata, a ikutloa a nyoriloe ho feta tloaelo, a ikutloa a lapile hape a rata ho ja ho tlōla. Le ha matšoao ana a ka amahanngoa le matšoao a bokhachane a le mong, hangata tlhahlobo ea lefu la tsoekere ea bokhachane e kenyelletsa teko e entsoeng nakong ea liteko tsa hau tsa tlhahlobo ea bokhachane. ^[10] .

Hangata, lipakeng tsa libeke tse 24 ho isa ho tse 28, ngaka ea hau e ne e tla u fa tlhahlobo hore e hlahlobe lefu la tsoekere.

Kalafo Bakeng sa Lefu la Tsoekere

Ha ho ka fumanoa hore o na le boemo boo, leano la kalafo le tla itšetleha ka maemo a tsoekere ea mali a letsatsi le letsatsi.

O tla kopuoa ho lekola tsoekere ea mali pele le kamora ho ja.

Maemong a mang, liente tsa insulin li tla eletsoa ho thusa ho laola maemo a tsoekere maling ^{[leshome le motso o mong]} .

Kameho ea lefu la tsoekere la bokhachane ho lesea

Ha lesea la hau le fumana limatlafatsi maling a hau, ho ba le lefu la tsoekere la boimana ho ka ama lesea. Lesea le boloka tsoekere e tlatselletsang ka mokhoa oa mafura e mo etsang hore a hole ho feta tloaelo. Ho ka ba le mathata a itseng a bokhachane a joalo ka a latelang ^[12] :

Ho na le likotsi tse ka hlahelang lesea nakong ea pelehi ka lebaka la boholo ba lesea.
Lesea le ka hlaha ka maemo a tlase a tsoekere maling le liminerale.
Ho ka ba le pelehi pele ho nako.
Ngoana a ka hlaha ka lefu la nyooko.
Ho ka ba le mathata a nakoana a ho hema.

Ntle le tsena, ngoana a ka ba le menyetla e eketsehileng ea ho ba le botenya le lefu la tsoekere nakong ea bophelo ba hae. Bana ba joalo ba lokela ho khothaletsoa ho boloka bophelo bo botle ba 'mele ho tloha qalong ^[13] .

Ho Laola Lefu la Tsoekere

Haeba u fumanoe u e-na le lefu la tsoekere la bokhachane, ngaka ea hau e tla be e u behile leihlo ka hloko. Hape o tla kopuoa ho etela ngaka ea hau bakeng sa tlhahlobo hangata mme o tla kopuoa ho etsa tse latelang ^[14] ^{[leshome le metso e mehlano]}

Lekola maemo a tsoekere ea mali bonyane makhetlo a mane ka letsatsi. Boloka mochini o shebang tsoekere ea mali o ikemetseng lapeng.
Etsa tlhahlobo ea moroto khafetsa ho netefatsa boteng ba ketone. Sena se etsoa ho netefatsa hore na lefu la tsoekere le laoloa.
Ho ikoetlisa kamehla. O ka nanabela barupeli ba tla tseba ho u tataisa hantle mabapi le boikoetliso bo loketseng le bo phetseng hantle ho bo etsa nakong ea bokhachane.
Batla tlhahiso ea ngaka ea hau kapa setsebi sa phepo ea lijo ho theha chate e nepahetseng ea phepo. Lijo tsa hau li lokela ho ba joalo hore li se ke tsa eketsa tsoekere ea mali.

Sheba Litšupiso tsa Sengoloa

[1]Sermer, M., Naylor, C. D., Gare, D. J., Kenshole, A. B., Ritchie, J. W. K., Farine, D., ... & Chen, E. (1995). Kameho ea ho hloka mamello e eketsehang ea k'habohaedreite liphellong tsa bakhachane ho basali ba 3637 ba se nang lefu la tsoekere la bokhachane: Morero oa Toronto Tri-Hospital Gestational Diabetes Project Koranta ea Amerika ea tsa pelehi le mafu a basali, 173 (1), 146-156.
[pedi]Mokhatlo oa Amerika oa lefu la tsoekere. (2004). Tlhokomelo ea lefu la tsoekere, 27 (suppl 1), s88-s90.
[3]'Metli oa mapolanka, M. W., & Coustan, D. R. (1982). Litekanyetso bakeng sa liteko tsa tlhahlobo ea lefu la tsoekere ea bokhachane Koranta ea Amerika ea tsa pelehi le mafu a basali, 144 (7), 768-773.
[4]Kim, C., Newton, K. M., & Knopp, R. H. (2002). Gestational lefu la tsoekere le ketsahalo ea lefu la tsoekere la mofuta oa 2: tlhahlobo e hlophisitsoeng Tlhokomelo ea lefu la tsoekere, 25 (10), 1862-1868.
[5]Ka kakaretso, C. A., Hiller, J. E., Moss, J. R., McPhee, A. J., Jeffries, W. S., & Robinson, J. S. (2005). Phello ea kalafo ea lefu la tsoekere la bokhachane nakong ea bokhachane. New England Journal of Medicine, 352 (24), 2477-2486.
[6]Bellamy, L., Casas, J. P., Hingorani, A. D., & Williams, D. (2009). Mofuta oa 2 oa lefu la tsoekere kamora lefu la tsoekere la bokhachane: tlhahlobo e hlophisehileng le tlhahlobo ea litlhahlobo. Lancet, 373 (9677), 1773-1779.
[7]Buchanan, T. A., & Xiang, A. H. (2005). Gestational lefu la tsoekere mellitus. Journal ea lipatlisiso tsa bongaka, 115 (3), 485-491.
[8]Boney, C. M., Verma, A., Tucker, R., & Vohr, B. R. (2005). Metabolic syndrome bongoaneng: ho kopana le boima ba 'mele, botenya ba bakhachane le lefu la tsoekere la bokhachane. Pediatrics, 115 (3), e290-e296.
[9]Lintlha, G. D. F. (1986). Lefu la tsoekere ke eng?
[10]Koivusalo, S. B., Rönö, K., Klemetti, M. M., Roine, R. P., Lindström, J., Erkkola, M., ... & Andersson, S. (2016). Gestational lefu la tsoekere le ka thibeloa ka ho kenella ka mokhoa oa bophelo: thuto ea Thibelo ea Thibelo ea lefu la tsoekere ea Finnish (RADIEL): teko e laoloang ka linako tsohle Tlhokomelo ea lefu la tsoekere, 39 (1), 24-30.
[leshome le motso o mong]Kamana, K. C., Shakya, S., & Zhang, H. (2015). Gestational lefu la tsoekere le macrosomia: tlhahlobo ea lingoliloeng Li-Annals tsa phepo e nepahetseng le Metabolism, 66 (Suppl. 2), 14-20.
[12]Aroda, V. R., Christophi, C. A., Edelstein, S. L., Zhang, P., Herman, W. H., Barrett-Connor, E., ... & Knowler, W. C. (2015). Kameho ea ho kenella ka mokhoa oa bophelo le metformin ho thibela kapa ho liehisa lefu la tsoekere ho basali ba nang le lefu la tsoekere la bokhachane le ba se nang boimana: Liphetho tsa Lenaneo la Thibelo ea lefu la tsoekere li latela tlhaiso-leseling ea lilemo tse 10.
[13]Kampmann, U., Madsen, L. R., Skajaa, G. O., Iversen, D. S., Moeller, N., & Ovesen, P. (2015). Gestational lefu la tsoekere: ntlafatso ea bongaka Koranta ea lefatše ea lefu la tsoekere, 6 (8), 1065.
[14]Mokhatlo oa Amerika oa lefu la tsoekere. (2017). 2. Tlhophiso le tlhahlobo ea lefu la tsoekere Tlhokomelo ea lefu la tsoekere, 40 (Tlatsetso ea 1), S11-S24.
[leshome le metso e mehlano]Damm, P., Houshmand-Oeregaard, A., Kelstrup, L., Lauenborg, J., Mathiesen, E. R., & Clausen, T. D. (2016). Gestational lefu la tsoekere le litlamorao tsa nako e telele ho mme le bana: maikutlo a tsoang Denmark. Diabetologia, 59 (7), 1396-1399.