Ho ea ka lithuto tsa tliliniki, matšoao a tsoekere ho basali nakong ea ho beleha ngoana maemong a mangata a feta meeli e lumelletsoeng ho ea fihla tekanyo e kholo. Boemo bo tšoanang bo amahanngoa le liphetoho tsa lihormone tsa mehleng ena. Tloaelo ea tsoekere ea mali ho basali ba baimana ke efe, e ka e hlahlobang le hore na ho hlokahala eng bakeng sa tokiso ea matšoao, e tšohliloeng ka tlase.
Linomoro tse sebetsang
Tloaelo ea tsoekere ea mali nakong ea kemolo ha e amane hanyane le litekanyetso tse amoheloang ka kakaretso. Likeletso tse khothalelitsoeng (mmol / l):
- pele lijo li kena 'meleng - eseng tse phahameng ho 4,9;
- Metsotso e 60 kamora ho ja - ha ho phahameng ho feta 6.9;
- Metsotso e 120 kamora ho ja - eseng ho feta 6.2.
Tsoekere e tloaelehileng nakong ea nts'etsopele ea lefu la tsoekere la gestational (mmol / l):
- ka mpeng e se nang letho - eseng e phahameng ho feta 5.3;
- Metsotso e 60 kamora ho ja - eseng holimo ho 7.7;
- Metsotso e 120 kamora ho ja - ha ho na ho feta 6.7.
Tekanyo ea hemoglobin ea glycosylated (glucose e tloaelehileng bakeng sa kotara ea ho qetela) ha ea lokela ho feta 6,5%.
Boemo ba glycemia bo ka fapana ka mahlakore ka bobeli. Ka litefiso tse fokotsehileng, ba bua ka hypoglycemia. Sena ha se kotsi ho 'm'a feela, empa le ho ngoana ea sa fumaneng matla a hlokahalang.
Glucose - ntho e hlokahalang ho fa 'mele matla
Linomoro tse phahameng li supa hyperglycemia. E kanna ea amahanngoa le lefu la tsoekere, le qalileng pele ho kemaro ea lesea, kapa lefu la tsoekere. Foromo ea bobeli e tloaetse basali ba baimana. E le molao, kamora ho tsoaloa ha ngoana, matšoao a tsoekere a khutlela meeling e amohelehang.
Hobaneng tsoekere e tsoha?
Glycemia e eketseha nakong ea kemaro ka lebaka la tahlehelo ea bokhoni ba 'mele ba ho kopanya palo e hlokahalang ea insulin (hormone ea pancreatic). Ntho ena e sebetsang ea li-hormone ea hlokahala bakeng sa phepelo e nepahetseng ea tsoekere, ho kenella ha eona liseleng le liseleng. Ntle le insulin e lekaneng, lipalo tsa glucose 'meleng lia eketseha.
Ntle le moo, hyperglycemia e bakoa ke li-hormone tsa placental tseo e leng tšobotsi ea boimana. Mohanyetsi oa mantlha oa insulin o nkuoa e le platental somatomammotropin. Hormone ena e tšoana le hormone ea ho hola, e nka karolo ka mafolofolo lits'ebetsong tsa metabolism ea 'mele, mme e khothaletsa motsoako oa lintho tsa protheine. Somatomammotropin e thusa lesea ho fumana tsoekere e lekaneng.
Lintho tse kotsi
Hangata, boemo ba glycemia bo nyoloha khahlano le lintlha tse latelang tse tlatsetsang.
- lefu la tsoekere nakong ea boimana ba pele;
- nalane ea ho senyeheloa ke mpa;
- tsoalo ea masea a nang le macrosomia (boima bo fetang lik'hilograma tse 4);
- boima ba 'mele ea pathological;
- tlhaho ea tlhaho;
- ho ba teng ha preeclampia (ponahalo ea liprotheine ka har'a moroto) nakong e fetileng;
- polyhydramnios;
- lilemo tsa mosali li feta lilemo tse 30.
Endocrinologist - setsebi se tla thusa ho boloka boemo ba glycemia bo teng ka har'a sebaka se lumelletsoeng
Hobaneng ha tsoekere e tloaelehile?
Bophahamo ba tsoekere ea mali bo lokela ho bolokoa nako eohle ea ho emara, kaha ho hlokahala ho thibela menyetla ea ho ntšoa ha mpa ka nakoana, ho fokotsa monyetla oa ho pepeseha pele ho nako, le ho thibela ho hlaha hoa liphoso tsa tlhaho ea ngoana le masea.
Taolo ea kokoana-hloko e tla thusa ho boloka bolelele ba lesea le boima ba eona ka har'a meeli e amohelehang, ho thibela ponahalo ea macrosomia, hape e sirelletse 'm'e mathateng a fapaneng halofo ea bobeli ea boimana.
Haeba mosali a e-na le hyperglycemia, lesea le ka hlaha ka sekhahla se phahameng sa "insulin" ea 'mele. Sena se etsahala ka mokhoa oa phello e tsoang ho manyeme a bana. Nakong ea ho hola, tšekamelo ea maemo a hypoglycemic e ka etsahala.
O ka ithuta ho eketsehileng ka moetlo oa tsoekere ea mali ho bana ho tsoa sengoloa sena.
Lefu la tsoekere la botšehali le lipontšo tsa lona
Qalong, lefu lena le asymptomatic, mme mosali o bona liphetoho tse nyane e le lits'ebetso tsa 'mele, a li hokahanya le boemo ba hae bo "khahlisang".
Pathology e hlaha kamora beke ea 20 ea boimana. Sena se bakoa ke ts'ebetso e kholo ea ts'ebetso ea hypothalamic-pituitary le tlhahiso ea li-hormone tsa adrenal. Ba boetse ba nkoa e le bahanyetsi ba ntho e sebetsang ea li-pancreas.
Ka setšoantšo se hlakileng sa kliniki, bakuli ba tletleba ka lipontšo tse latelang:
Tsoekere e tloaelehileng ea mali ke eng- takatso ea kamehla ea ho noa;
- takatso e matla ea lijo;
- Motsoako o mong le o mong o eketsehang oa moroto;
- letlalo la ho hlohlona;
- phaello e ngata ea mmele;
- ho senyeha ha pono;
- mokhathala o moholo.
Litlamorao tsa hyperglycemia ho lesea
Lefu la tsoekere ha le bake mofets'e ka popelong, joalo ka ha ho tloaelehile lefu la tsoekere la mofuta oa 1, kaha ho etsoa ha litho le lits'ebetso ho "trimester" ea pele, le ho hlaha ha mefuta ea gestational ho tloha bekeng ea bo mashome a mabeli ho isa ho ea la 24.
Ho hloka khalemelo ea tsoekere ho ka lebisa ho lefu la tsoekere. Lefu lena le bonahatsoa ke tlolo ea manyeme, liphio le methapo ea mali ho lesea. Ngoana ea joalo o hlaha a e-na le boima bo boholo ba 'mele (ho fihlela ho 6 kg), letlalo la hae le na le "red-burgundy hue", "hemorrhages" lia bonahala.
Bana ba Macrosomia ba fapane haholo le masea a phetseng hantle.
Letlalo le na le tatso e ngata e tšoeu e mafura, e ruruhileng. Tlhahlobong, boholo bo boholo ba mpa, maoto le matsoho a makhutshwane a bonahala hantle. Lesea le ka ba le khatello ea maikutlo ka lebaka la ho haelloa ke lintho tse ngata tse hlokahalang (ntho e ikarabellang bakeng sa ho netefatsa hore alveoli matšoafong ha e khomarelane).
Mathata ana a ka qojoa ka ho lokisa li-indies tsa 'mele oa' mele 'moho ka kalafo ea kalafo le meriana (hangata insulin).
Mekhoa ea Taolo ea Bokhachane Glycemia
Lipalo tsa mali a capillary, biochemistry le tlhahlobo ea mamello ea glucose li nkoa e le lithuto tse tloaelehileng.
Mali a nkuoa monoaneng ho latela melao e amoheloang ka kakaretso. Mosali o fana ka eona hoseng pele a kena 'meleng. U ke ke ua hlatsoa meno ka patsi, hobane e ka ba le tsoekere ho eona, 'me ea sebelisa chepisi. Tloaelo ea tsoekere ea mali ho basali ba baimana e bontšitsoe kaholimo.
Teko ea mamello ea glucose e etsoa maemong ao ts'ebetso ea litlhahlobo tse fetileng e fetang meeli e lumelloang. Leha ho le joalo, haufinyane ho ile ha etsoa qeto ea ho fana ka mokhoa ona oa tlhahlobo ea phepo ho basali bohle baimana ha ba fihla libekeng tsa 24 - 25.
Teko ha e hloke boitokiso bo khethehileng. Bakeng sa lihora tse 48 pele a nka thepa, mosali o lokela ho phela ka tlhaho, ha ho na tlhoko ea ho fokotsa palo ea lik'habohaedreite lijong. Hoseng u hloka ho hana lijo tsa hoseng, tee, u ka noa metsi feela.
Ka laboratoring, mali le methapo lia nkuoa. Ka mor'a moo, mosali oa moimana o noa tharollo e khethehileng e thehiloeng phofo ea glucose. Kamora lihora tse peli, sampole e 'ngoe ea mali e etsoa, ka tsela e ts'oanang le ea lekhetlo la pele. Nakong ea ho leta, taba ha ea lokela ho ja kapa ho noa letho ntle le metsi. Ho phethela liphetho ka har'a tafole.
Ho phetola liphetho tsa PHT ho basali ba phetseng hantle le khahlano le lefu la tsoekere
Boithuto bo bong ba bohlokoa ke urinalysis ho khetholla glucosuria. Motsoako oa pele hoseng ha o hloke ho bokelloa, oa tšeloa. Lits'ebetso tse latelang tsa ho ntša metsi li lokela ho tsamaea le pokello ea tlhahlobo sekontiri se le seng se seholo, se bolokiloeng sebakeng se phodileng. Hoseng ka le hlahlamang, hlatsoa sejana ebe u tšela ea 200 ml ea morine ka mokotleng o mong. E ise ka laboratoring lihora tse peli.
Liphetho tsa bohata
Ho na le linyeoe tsa sephetho se nepahetseng sa 'nete ha mosali a sa kula, empa ka lebaka le itseng, matšoao a hae a glycemia a feta meeli e lumelletsoeng, joalo ka ha ho bontšitsoe liphetho tsa tlhahlobo. Sena se ka bakoa ke maemo a latelang:
- maemo a sithabetsang - basali nakong ea kemolo ba na le maikutlo a mangata ebile ba tlas'a tšusumetso e joalo;
- tšoaetso ea morao-rao ea tlhaho e tšoaetsanoang;
- Tlolo ea melao ea ho etsa liteko - mosali oa moimana a ka ja ho hong kapa ho noa tee pele a nka thepa eo, a lumela hore "e ke ke ea utloisa bohloko hanyane."
Khalemelo ea Tsoekere
Ke lijo tsa mofuta ofe tse lokelang ho lateloa, boima bo lumelletsoeng ho fumana boima ba 'mele, mokhoa oa ho itaola ka mokhoa o ikemetseng oa glycemia - ka lipotso tse joalo, mosali oa moimana a ka ikopanya le obstetrician-gynecologist kapa endocrinologist.
Dietotherapy - sethala sa tokiso ea glycemia
Litlhahiso tse akaretsang li theohela lintlha tse latelang:
- ja hangata, empa ka likarolo tse nyane;
- hana ho halikisoa, letsoai le ho tsuba;
- lijo tsa mouoane, sechu, ho baka;
- kenyelletsa palo e lekaneng ea nama, tlhapi, meroho le litholoana, lijo-thollo (ka khothatso ea ngaka);
- ka tumellano - kalafo ea insulin;
- boikoetliso bo lekaneng ba 'mele, bo eketsa kutloisiso ea lisele tsa' mele ho insulin.
Ho beha leihlo khafetsa glycemia le ho latela likeletso tsa setsebi ho tla thusa ho boloka tsoekere e le meeli e amohelehang le ho fokotsa kotsi ea mathata a tsoang ho 'm'a le lesea.
