NTSHAV QAB ZIB TXHAWJ MOB NTSHAV QAB ZIB (GDM): UA RAU, TSOS MOB, PHOM SIJ THIAB KHO - PAMPEREDPEOPLENY.COM

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Tsis Nco

Tsev Kev xeeb menyuam Kev cev xeeb tub Prenatal oi-Amritha K Los Ntawm Amritha K. hnub tim 9 lub 7 hli xyoo 2019

Cev xeeb tub xav tau qee cov kev saib xyuas thiab txhawj xeeb ntxiv. Yog tias koj yog tus poj niam cev xeeb tub, koj yuav tsum tau ceev faj ntxiv. Ntshav qab zib kuaj mob thaum cev xeeb tub yog hu ua ntshav qab zib hauv hlwb. Qhov no yuav ua rau koj lub cev xeeb menyuam mus rau hauv cov kev pheej hmoo vim tias muaj feem yuav nchuav menyuam, yug menyuam, yug menyuam, yug ntxov thiab saib menyuam tsis taus ^[1] Cov. Mob ntshav qab zib Gestational tau muab faib ua ob chav, Chav A1 (uas tuaj yeem tswj tau los ntawm kev noj zaub mov ib leeg) thiab Chav A2 (xav tau tshuaj insulin lossis tshuaj noj hauv qhov ncauj kom tswj tau qhov mob).

Thaum tus poj niam xeeb me nyuam, nws lub cev mus ntau yam pauv hloov thiab, nws yuav muaj qee yam kev tsis haum xeeb tshwj xeeb rau poj niam cev xeeb tub. Thaum tus poj niam muaj ntshav qab zib hauv nruab plab, cov ntshav qab zib cov ntshav yuav nce siab ntau thiab qhov no tuaj yeem ua lwm yam teeb meem ntxiv rau tus menyuam thiab leej niam ^[ob] Cov.

Thiaj li, ib qho ntawm cov teeb meem uas tau hnov ntau hnub no lub sijhawm cev xeeb tub yog qhov tshwm sim ntawm tus mob ntshav qab zib hauv lub cev. Cov tshuaj hormones ntau ntau tuaj yeem ua rau cov ntshav qab zib kom nce siab thaum koj cev xeeb tub, nce qhov txawv ntawm kev muaj cev xeeb tub thiab muaj kev pheej hmoo siab. Txawm li cas los xij, ib qho ib txwm tau qhia kom nyob nrog txoj kev zoo txawm hais tias kev kuaj ntshav qab zib muaj mob tau dhau los ^[3] ^[4] Cov.

qhov sib txawv ntawm cua fryer thiab qhov cub

Mob ntshav qab zib Gestational tsuas yog tshwm sim thaum cev xeeb tub. Nws qhia tias cov piam thaj ntau ntau hauv lub cev xeeb tub uas yog ib txwm muaj ua ntej koj xeeb. Tus mob feem ntau yeej kho tau zoo thaum koj xa tus menyuam mus. Qee lub sijhawm, nws nce ntau ntawm qhov koj yuav tsim muaj tus mob ntshav qab zib hom 2, txawm hais tias tsis tshua muaj ^[3] Cov.

Cov Ua Rau Kuaj Mob Ntshav Qab Zib

Qhov tseeb yog vim li cas tom qab txoj kev loj hlob ntawm tus mob yog tsis paub. Txawm li cas los xij, nws tau lees tias cov tshuaj hormones tau ua lub luag haujlwm tseem ceeb hauv kev txhim kho tus mob.

Thaum cev xeeb tub, cov tshuaj hormones tsim tawm los ntawm cov placenta ua rau kev tsim cov piam thaj hauv koj cov ntshav, uas ua rau muaj ntshav qab zib hauv lub cev ^[5] Cov. Qhov zoo tshaj plaws, koj tus txiav yuav tuaj yeem tsim cov insulin txaus los daws qhov no. Txawm li cas los xij, hauv qee kis, thaum nws tsis ua, cov ntshav ntshav qabzib nce siab yuav ua rau muaj ntshav qab zib hauv lub cev.

Dab tsi ua kom muaj ntshav qab zib hauv lub cev?

Cov tsos mob ntawm Kev Mob Ntshav Qab Zib Gestational

Nquag, qhov xwm txheej tsis ua rau muaj cim lossis tsos mob. Cov tsos mob tshwm sim tuaj yeem mob sib khuav thiab yog cov hauv qab no ^[6] Cov.

cov txiaj ntsig ntawm almond roj rau cov plaub hau

Qhov muag plooj
Nkees
Qwj
Kev nqhis dej ntau dhau
Ntau dhau qhov yuav tau tso zis

Txawm li cas los xij, nws yuav tsum raug sau tseg tias feem ntau ntawm cov tsos mob uas cuam tshuam nrog tus mob ntshav qab zib hauv lub cev yog muaj ntau yam thiab tau pom hauv cov poj niam cev xeeb tub feem ntau. Cov no suav nrog cov tsos mob zoo li qaug zog, nqhis dej ntau, xeev siab thiab ntuav. Vim tias qhov xwm txheej hnyav me ntsis ntawm cov tsos mob, lawv tuaj yeem mus tsis muaj kev pom zoo, ua rau leej niam thiab tus menyuam muaj kev pheej hmoo ^[7] Cov.

Kev Phom Sij rau Kab Mob Ntshav Qab Zib

Koj muaj feem ntau yuav muaj mob ntshav qab zib gestational yog tias koj

khoom noj khoom haus daim ntawv qhia rau poob phaus

muaj keeb kwm ntshav qab zib
Tau muaj mob ntshav qab zib hauv plab thaum lub sijhawm koj xeeb menyuam ntxov
rog dhau los ua ntej xeeb
muaj ntshav siab cov ntshav qab zib ntau ntau
muaj ntshav siab
tau muab lub txim loj ua ntej
nce lub cev nyhav thaum cev xeeb tub
muaj hnub nyoog tshaj 25 xyoos
tab tom muaj ntau tus menyuam
tau nchuav menyuam lossis tseem yau
muaj polycystic ovary syndrome (PCOS), acanthosis nigricans, lossis lwm yam mob uas cuam tshuam nrog cov tshuaj insulin. ^[8] ^[9]

Lwm Yam Nyuaj Ntawm Kev Mob Ntshav Qab Zib Gestational

Thaum tsis muaj kev saib xyuas thiab ua tib zoo saib xyuas, tus mob yuav ua kom tsis zoo thiab ua rau muaj kev cuam tshuam uas tuaj yeem cuam tshuam kev noj qab haus huv ntawm tus menyuam thiab leej niam ^[9] Cov.

Cov teeb meem hais txog tus mob yog raws li nram no:

Ua tsis taus pa nyuaj
Ib tus me nyuam lub ceeb thawj
Dystocia lub xub pwg (ua rau lub xub pwg ntawm tus menyuam tau daig hauv tus kwj dej yug menyuam thaum yug menyuam)
Cov piam thaj hauv ntshav tsawg
Kev xa menyuam ua ntej
Muaj feem tau txoj kev npaj kom muaj nqaij
Neonatal tuag
Macrosomia

Kev kuaj mob ntshav qab zib muaj mob ntshav qab zib

Feem ntau nws tshwm sim thaum ib nrab xyoo ntawm koj lub cev xeeb tub. Cov tsos mob ntawm qhov no tuaj yeem yog qhov xav ua pee ntau dua, hnov nqhis dej ntau dua li niaj zaus, hnov ntau dua thiab tsis hnov qab. Txawm hais tias cov tsos mob no tuaj yeem cuam tshuam nrog cov tsos mob ntawm cev xeeb tub ib leeg, feem ntau kev kuaj mob ntawm tus mob ntshav qab zib hauv lub cev tsis sib xws yuav raug kuaj thaum lub sijhawm koj txoj kev kuaj cev xeeb tub. ^[10] Cov.

Feem ntau, nyob nruab nrab ntawm lub lis piam 24 txog 28, koj tus kws kho mob yuav sau ntawv mus kuaj seb puas muaj ntshav qab zib hauv lub cev.

Kho Rau Mob Ntshav Qab Zib Gestational

Thaum raug kuaj pom tias muaj tus mob, txoj kev npaj khomob yuav ua raws li cov ntshav qab zib cov ntshav txhua hnub.

Koj yuav tsum tau ntsuas koj cov ntshav qab zib ua ntej thiab tom qab noj mov.

yeej tsis ali khan me nyuam pob

Qee qhov, kev txhaj tshuaj insulin yuav qhia kom paub tswj ntshav hauv cov ntshav qab zib ^{[kaum ib]} Cov.

Cuam Tshuam Hauv Plawv Cov Ntshav Qab Zib Rau Menyuam

Raws li koj tus menyuam tau txais as-ham los ntawm koj cov ntshav, koj mob ntshav qab zib gestational kuj yuav cuam tshuam rau tus menyuam. Tus me nyuam mos khaws cov piam thaj ntxiv rau hauv cov roj uas ua kom nws loj dua li ib txwm. Tej zaum yuav muaj qee yam kev mob cev xeeb tub xws li cov hauv qab no ^[12] :

Yuav muaj kev raug mob rau tus menyuam thaum lub sijhawm yug menyuam vim qhov loj tuaj ntawm tus menyuam.
Tus menyuam yuav yug los muaj ntshav qab zib thiab zaub mov kom tsawg.
Tej zaum yuav muaj kev yug ua ntej.
Tus menyuam yug tau los muaj jaundice.
Tej zaum yuav muaj teeb meem ua pa ib ntus.

Sib nrug los ntawm cov no, tus menyuam tuaj yeem muaj txoj hauv kev ntau dua los ntawm kev rog rog thiab ntshav qab zib thaum lub sijhawm tom qab ntawm nws lub neej. Cov menyuam yaus no yuav tsum tau txhawb kom muaj lub neej noj qab haus huv zoo thaum pib ^[13] Cov.

Tswj Mob Ntshav Qab Zib Gestational

Yog tias koj tau txheeb pom tias muaj ntshav qab zib hauv plab gestational, koj tus kws kho mob yuav saib xyuas koj zoo. Tej zaum koj yuav raug hais kom koj mus ntsib koj tus kws kho mob txhawm rau mus tshuaj xyuas ntau zaus thiab yuav tau ua cov hauv qab no ^[14] ^{[kaum tsib]}

Xyuas koj cov ntshav qab zib cov ntshav qab zib tsawg kawg yog plaub zaug hauv ib hnub. Khaws ib lub tshuab ntshav pib ntshav qabzib nyob hauv tsev.
Mus kuaj zis tsis tu ncua kom kuaj xyuas seb puas muaj ketones. Qhov no txhawm rau los kuaj xyuas seb tus mob ntshav qab zib ua haujlwm li cas.
Kev tawm dag zog tas li. Koj tuaj yeem ncav cuag rau cov kws qhia uas tuaj yeem taw qhia koj zoo tshaj plaws txog kev tawm dag zog uas yog lub cev haum thiab ua kom muaj kev noj qab nyob zoo thaum cev xeeb tub.
Nrhiav koj tus kws kho mob lossis tus kws qhia noj zaub mov pom zoo los tsim cov zaub mov zoo kev noj qab haus huv. Koj cov zaub mov yuav tsum yog xws li nws tsis nce ntshav siab nyob hauv cov ntshav.

Saib Tshooj Ntawv Rov Ntxiv

[1]Sermer, M., Naylor, C. D., Gare, D. J., Kenshole, A. B., Ritchie, J. W. K., Farine, D., ... & Chen, E. (1995). Qhov cuam tshuam ntawm kev ua kom tau cov carbohydrate tsis zoo rau kev ua niam ua txiv-menyuam hauv kev tshwm sim hauv 3637 cov poj niam tsis muaj ntshav qab zib hauv lub cev: Toronto Tri-Hospital Gestational Diabetes Project.American journal of obstetrics thiab gynecology, 173 (1), 146-156.
[ob]Koom Haum Asmeskas Mob Ntshav Qab Zib. (2004). Mob ntshav qab zib mellitus.D kho mob ntshav qab zib, 27 (muab 1), s88-s90.
[3]Kws ntoo, M. W., & Coustan, D. R. (1982). Cov ntsiab lus rau kev ntsuas ntsuas mob ntshav qab zib rau mob tsis xwm yeem.Lub teb chaws Asmeskas phau ntawv yug menyuam thiab cov kws kho mob poj niam, 144 (7), 768-773.
[4]Kim, C., Newton, K. M., & Knopp, R. H. (2002). Mob ntshav qab zib thiab mob ntshav qog ntshav qab zib hom 2: kuaj xyuas cov neeg mob ntshav qab zib. Kev saib xyuas ntshav qab zib, 25 (10), 1862-1868.
[5]Crowther, C. A., Hiller, J. E., Moss, J. R., McPhee, A. J., Jeffries, W. S., & Robinson, J. S. (2005). Cov nyhuv ntawm kev kho mob ntawm kev mob ntshav qab zib hauv nruab plab ntawm cov txiaj ntsig ntawm cev xeeb tub tau tshwm sim.New England Journal of Medicine, 352 (24), 2477-2486.
[6]Bellamy, L., Casas, J. P., Hingorani, A. D., & Williams, D. (2009). Hom 2 mob ntshav qab zib mellitus tom qab mob ntshav qab zib gestational: ib qho tshuaj xyuas hauv nruab nrog cev thiab tsom xam meta.Qhov Lancet, 373 (9677), 1773-1779.
[7]Buchanan, T. A., & Xiang, A. H. (2005). Cov ntshav qab zib mestitus.Qhov phau ntawv sau txog kev soj ntsuam, 115 (3), 485-491.
[8]Boney, C. M., Verma, A., Tucker, R., & Vohr, B. R. (2005). Kev mob ntshav siab hauv menyuam thaum yau: koom nrog cev nyhav, niam kev rog, thiab mob ntshav qab zib hauv hlwb mellitus.Pediatrics, 115 (3), e290-e296.
[9]Cov lus tseeb, G. D. F. (1986). Mob ntshav qab zib Gestational yog dab tsi ?.
[10]Koivusalo, S. B., Rönö, K., Klemetti, M. M., Roine, R. P., Lindström, J., Erkkola, M., ... & Andersson, S. (2016). Kev tiv thaiv tus mob ntshav qab zib mestitus tuaj yeem tiv thaiv kev tiv thaiv kev ua neej: kev tiv thaiv kab mob ntshav qab zib Gestational Kev Tshawb Pom Txog Kev Mob Ntshav Qab Zib (RADIEL): ib qho kev sim tswj kho cov teeb meem ntshav qab zib.
[kaum ib]Kamana, K. C., Shakya, S., & Zhang, H. (2015). Mob ntshav qab zib mellitus thiab macrosomia: cov ntaub ntawv tshuaj xyuas.Txoj kev noj haus thiab Metabolism, 66 (Tus neeg muag khoom 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). Qhov tshwm sim ntawm kev cuam tshuam txog kev ua neej nyob thiab metformin txog kev tiv thaiv lossis ncua sijhawm mob ntshav qab zib ntawm cov poj niam muaj thiab tsis mob ntshav qab zib hauv lub cev: cov kev pab cuam tiv thaiv ntshav qab zib tau tshwm sim kev kawm soj ntsuam 10-xyoo.
[13]Kampmann, U., Madsen, L. R., Skajaa, G. O., Iversen, D. S., Moeller, N., & Ovesen, P. (2015). Mob ntshav qab zib Gestational: kev hloov kho chaw kho mob.Web phau ntawv xov xwm ntshav qab zib, 6 (8), 1065.
[14]Koom Haum Asmeskas Mob Ntshav Qab Zib. (2017). 2. Kev faib tawm thiab kuaj mob ntshav qab zib. Kev saib xyuas ntshav qab zib, 40 (Ntxiv 1), S11-S24.
[kaum tsib]Damm, P., Houshmand-Oeregaard, A., Kelstrup, L., Lauenborg, J., Mathiesen, E. R., & Clausen, T. D. (2016). Mob ntshav qab zib mellitus thiab cov teeb meem mus sij hawm ntev rau leej niam thiab tus me nyuam: ib qho pom tau los ntawm Denmark.Diabetologia, 59 (7), 1396-1399.