GDM, makonni 32 na gestation

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Ina da sukari a cikin hanyoyi daban-daban, Na fara tashi a makonni 36. Ya kasance koda 8.8. Bayar da insulin, na ƙi.

sun sa ni. Ba su sanya komai ba, ba damuwa, komai zai yi kyau. Ni da kaina na haihu kuma ɗiyanmu yana da koshin lafiya da ƙarfi, wanda ni ma zan yi muku fatan alheri daga zuciya

Oh, muna da kowace mace mai juna biyu a asibiti. Idan an gano sukari aƙalla sau 5.1 kuma sama da haka, sanya GDS. Lokacin farko da na wuce shi ba daidai ba, crayfish, akwai sukari 6.7. To, lokacin da aka dawo da shi, bai tashi sama da 4.6 ba. Kamar baya. Sun ayyana abinci, amma ban lura dashi ba, saboda ban kara nauyi ba.

Abu mafi mahimmanci shine cewa dole ne ku haihu a lokacin. Kuma a sa'an nan 'ya'yan itacen na iya zama giant.

An gano ni da wannan. Sugar shine 5.6. Ba su yi wani abu ba, komai ya wuce bayan haihuwa

Kar ku damu, ana yin irin wannan cutar a duk sakan daya. Ina da 5.3 a kan komai a ciki, an tsara mini abincin, na yi ƙoƙari in bi. Bayan haihuwa, komai na al'ada ne.

Na kamu da ciwon sukari yayin haihuwa, insulin ya fara shafawa kai tsaye, saboda kwayoyin hana daukar ciki .. Haihuwar ta fara ne a sati 34, cesarean .. An haife jaririn lafiya da nauyin 3600. Na ki insulin yanzunnan bayan haihuwa.Na ban yi asara ba kuma ban yanzu akan allunan.

Ina da shi. Akwai sukari na yau da kullun akan komai a ciki, kuma bayan an gama cin abinci sai aka ɗaga shi sama. Bi abinci da auna sukari bayan kowane abinci. Na ci amma iyakataccen shinkafa, dankali, 'ya'yan itace, Sweets, gurasa, da dai sauransu. Dukkanin kayan lambu kore za'a iya ci yadda kuke so. Ko da da gaske na fi son 'ya'yan itatuwa ko cukuɗan da gaske, na je yawo nan da nan bayan cin abinci ko kuma Pilates ko yoga ga mata masu juna biyu. Ta haihu a kan lokaci, yarinya mai lafiya. Dole ne a biye rage cin abinci, sannan tayin na iya yin girma da yawa. Idan abincin bai taimaka ba, to an wajabta insulin.

Sun saka ni a mako na 20, sukari ya yi tsayi kwarai, sun danganta abincin zuwa gurasar burodi. Abin dadi sosai, makaɗa, sukari ya zama al'ada, ba a buƙatar insulin! Likita ya tausaya wa warin mace mai ciki, ya ba da izinin macijin da aka hana, amma tare da yanayin motsa jiki ta hanyar shan ruwa - wanke guraben ko tafiya mai tsayi! Yana aiki 100%! Ina bayar da shawarar shi! A cikin 'yan makonnin nan, gaskiya ta karye, don haka aka haife gimbiya 4220! Bayan haihuwa, suga na al'ada ne a cikinmu da 'yata! Ina muku fatan alheri da haƙuri.

Buckwheat na dare tare da kefir ko yogurt kuma zuba da safe don karin kumallo. Abin Mamakin Yana Saukar Ciwo

Ina da shi tun makonni 20, ba a bi da ni ba, kawai na tsara abin da ake ci, amma an haife ni a makonni 37 da nauyin 4050. Kuma tana da ƙin jini a jiki, sukari kaɗan.Kana aka kawo mu nan da nan asibiti.Don haka a yi ƙoƙarin bin tsarin abincin sosai.

An saka ni a cikin mako na 26, na mika madaidaiciyar sukari mai azumi zuwa ga sukari na al'ada, kuma bayan cin abinci 7.98 (iyakar 7.8). Bayan 'yan makonni biye da abinci a kan raka'a gurasa, sannan ya tsaya. An haifi 'yata 3100, 51 cm lafiya, abu daya shine polyhydramnios saboda GDM, bayan haihuwar ta maimaita nazarin, komai na al'ada ne.

My sugar aka 5.4 nan da nan ta State Duma.Ko da ba su tura shi don sake rarrabawa ba, sun tanadi katin jini, yana shan jini, ban sha nafig, bayan isowar sukari 4'6

Sake dawo, wataƙila ku ci Sweets da yamma, ko ku sha.

Na kuma ba da sukari tsalle mai yawa na tsawon makonni 36 sannan ya ci gaba, cesar sannan kuma yana yawan duba sukari a rana ta farko. Amma godiya ga Allah komai ya yi kyau, sukari baya damuwa)))

Tambayoyi masu alaƙa da Shawara

1. Sa'a 1 bayan cin abinci, an yarda da matakin glycemic na 7.6 mmol / L. "Don turawa"NovoRapid baku buƙatar kowane irin yanayi, sashi na insulin da abinci mai gina jiki ya kamata da farko aka zaɓa ta irin wannan hanyar don rama ciwon suga.
2. Levemir ya fi dacewa ana gudanar da shi a cikin buttock ko cinya. Wannan ba shi da matsala, amma tare da irin wannan gabatarwar, miyagun ƙwayoyi suna aiki mafi kyau.
3. Rabin insulin a ƙarshen allura na iya bayyana, wannan al'ada ce. Bai kamata insulin ta fita daga wurin allurar ba; ya kamata ka latsa wurin allurar har tsawon sakanni 15-20 bayan ka cire allurar.

Me yakamata in yi idan ina da wata tambaya amma kama daban?

Idan baku sami mahimman bayani ba a cikin amsoshin wannan tambayar, ko kuma idan matsalarku ta ɗan bambanta da wanda aka gabatar, ku nemi likita don ƙarin tambaya akan wannan shafin idan yana kan batun babban tambayar. Hakanan zaka iya yin sabon tambaya, kuma bayan ɗan lokaci likitocinmu zasu amsa. Kyauta ne. Hakanan zaka iya bincika bayanan da suka dace akan batutuwan makamancin wannan shafin ko ta shafin binciken shafin. Za mu yi matukar godiya idan kun ba mu shawarar abokanku ta shafukan sada zumunta.

Medportal 03online.com yana ba da shawarwari na likita a cikin rubutu tare da likitoci a shafin. Anan zaka sami amsoshi daga kwararrun likitocin a fagenku. A halin yanzu, rukunin yana ba da shawara a fannoni 48: maganin ƙoshin ƙwayar cuta, likitan dabbobi, likitan dabbobi, likitan dabbobi, likitan dabbobi, likitan dabbobi, likitan dabbobi, likitan dabbobi, likitan yara, likitan dabbobi, likitan dabbobi, likitan dabbobi, , ƙwararren cuta mai kamuwa da cuta, likitan zuciya, kwalliya, likitan kwalliya, likitan dabbobi, ENT, likitan dabbobi, likitan dabbobi, narcologist, neurologist, neurosurgeon, nephrologist, oncologist, oncourologist, orthopedic trauma doctor, ophthalmologist a, likitan dabbobi, likitan likitancin filastik, proctologist, likitan mahaifa, likitan halaye, pulmonologist, rheumatologist, radiologist, likitan ilimin likitanci, likitan hakora, likitan likitanci, likitan likitanci, likitan dabbobi, phlebologist, likitan likitanci, endocrinologist.

Mun amsa kashi 96.28% na tambayoyin..

Sugarara yawan sukari, makonni 26 na gestation, yana gab da allurar insulin

Watan ya fi na al'ada. Da mako 32, ta fara cin komai kuma alamura sun inganta. Na haife kuma komai ya tafi. Game da mutane kamar ku. Ba shi da daraja. Ba a bayyana dalilin da yasa aka shawarci insulin ba. Na abokaina, babu wanda zai iya daga baya ba tare da shi ba.

Ina kan insulin, har da ciwon sukari mai ciki, amma a kan komai a ciki Ina da sukari na al'ada kuma ba sa son faɗuwa cikin awa ɗaya (amma bayan makonni uku na lura da wane irin samfuran wannan ainihin yake faruwa, don haka ina jiran mai halayyar mawaƙina daga hutu don tattaunawa da ita). Na kan kawo karancin insulin Novorapid sau 3 a rana mintina 10 kafin in dauki babban abincin na raka'a 6. Na ji tsoro sosai don bayar da allura a kaina (har ma a cikin ciki), amma ku yi imani da ni, ba abin ban tsoro bane kuma har ma zan faɗi mara zafi. Lokacin da suka ce game da insulin, ita ma ta fara damuwa sosai game da yarinyar, amma ban da shi, mata masu ciki ba za su iya samun komai daga magani ba. Na auna nauyi da kwastomomi kuma na yanke shawara zan dawwama. babban abu shine cewa komai yana tsari da yaro. Ina rokon Allah da wannan ya wuce bayan daukar ciki (sun ce wannan wani lokacin yakan faru)

Ah, ya yi latti, amma zan yi rubutu ma, abu ne mai ban tsoro in daure kaina; a yau, a karon farko, da hawaye a idona na yi wa kaina kara kararrawa. Kuma game da ko zai wuce ko a'a. Mahaifiyata tana da ciwon sukari yayin daukar ciki kuma komai na tafiya kamar yadda ta haihu, idan ba don matsananciyar wahala ba (girgiza wutar lantarki sooooo wuya.) Sa’annan da ba su ce komai ba kafin tsufa. Cutar sankarar mahaifa ana nuna shi da cewa bayan daukar ciki komai ya tafi, wanda ke nufin barin insulin, ban fahimta ba, wannan wawanci ne, magana ce ta gaskiya, ba zai yuwu ba nan da nan, amma a hankali ana soke shi kamar duk kwayoyi kuma kuna rayuwa mai natsuwa. Delirium, wanda ba a soke shi ba a lokacin, yana nufin ba GDS bane riga, watau ciwon sukari a cikin bayyaninsa

Ranar haihuwar, ba a yin insulin a bayan su ba, bi da bi. An kamu da cutar sankarau washegari. Akwai ma'ana a cikin abincin. Zauna, ba za ku yi nadama ba. Allah ya tsare, ba shakka, amma idan wani abu ba daidai ba tare da jariri, kada ku tambayi kanku. Idan kuna da tambayoyi, rubuta

Tabbas, a cikin wannan yanayi mai sauƙi kamar haihuwa, kun fi dacewa ku nemi likita. Amma, hakika, ka'idoji na gaba ɗaya don amfanin wannan magani suna wanzu. Insulin wani kwaro ne wanda ke taimakawa kula da matakin sukari wanda yakamata ayi aiki na jiki, wanda ya hada da lokacin daukar ciki. Za a iya amfani da shi daga iyaye mata masu tsammani, tunda ba ƙetare cikin mahaifa ba. Yayin cikin ciki, ana amfani da nau'in insulin na musamman - na gajere, mai narkewa. Ana amfani dashi a yanayin yanayin maimaitawa da ci gaba da jiko. Yana faruwa cewa insulin shima ya zama dole yayin haihuwa. Bugu da ƙari, akwai insulin aiki na dindindin. An tsara shi don gudanarwa a cikin dare kuma don jiyya tare da ƙaramin adadin alluran. Lokacin amfani da wannan ko wannan nau'in magani, yana da mahimmanci a la'akari da halaye na jikin mutum a kowane yanayi. A lokacin daukar ciki, maganin ciwon sukari na iya bambanta da ciwon sukari na yau da kullun ta hanyar sarrafa insulin. Babban abu a wannan lokacin shine kiyaye yawan glucose a irin wannan matakin don guje wa rikice-rikice ga uwa da jariri. A lokacin daukar ciki, yakamata a kula da ciwon sukari tare da kulawa da ɗawainiya. Tabbas dole ne mace ta lura da masana ilimin abinci, ƙwararren mahaifa, likitan dabbobi, da kuma guje wa mahimmancin damuwa ta jiki da tausayawa.

Sugarara yawan sukari na ciki da insulin

Hakanan, tare da ciwon sukari, kar a manta da duban dan tayi don ware jinkirin ci gaban yaro, abin da ya faru na matsalolin zuciya da kasancewar wasu lahani. Yana da matukar muhimmanci a bi abinci. Abincin kalori na abinci ya zama adadin kuzari 30-35 na kowace kilogram na nauyin mace.

Amma game da kulawa da insulin ga mata masu juna biyu, ana yin wannan hanyar ta amfani da sirinji na musamman. Ana amfani da vials a taro na 100 U / ml. Allurai ya bambanta da shekarun haihuwa. Don haka, a cikin farkon farkon, sashi zai iya zama 0.6 U / kg, a karo na biyu - 0.7 U / kg, a na uku - 0.8 U / kg. Ga mata masu juna biyu, 2/3 na yawan insulin na yau da kullun ana gudanar dashi kafin cin karin kumallo, saura - kafin abincin dare. A wannan yanayin, sulusin kashi na safe shine insulin ɗan gajeren lokaci, ragowar shine insulin na tsawon lokaci. Suna shigar da irin waɗannan magungunan cikin mai mai subcutaneous.

Kai tsaye yayin aiki, ana amfani da ƙananan insulin. A lokaci guda, ana kula da matakan sukari na jini. Idan adadin sa yana buƙatar daidaitawa, to, ana amfani da maganin glucose kashi biyar cikin jini. Hudu zuwa kwana biyar bayan haihuwar jariri, an canza matar zuwa magungunan da suke yin dadewa. Koyaya, mata masu juna biyu suna buƙatar yin aikin insulin a ƙarƙashin kulawar likita koyaushe.

Duba Cikakken juzu'i: Inganta Insulin. Me zai yi yayin daukar ciki?

Sannu likitoci masu girma!

Ni 29 years old, tsawo 168 cm, nauyi kafin ciki 65 kg, yanzu 74.5 kg. Cutar ciki shine makonni 22 zuwa 23, na biyu. Ganewar ya ƙare cikin ɓata na tsawon makonni 5-6 a 2004. Wannan ciki ya faru ne bayan tashin hankali tare da clostilbegit + metformin, tare da ƙarin tallafi daga Duphaston (40 mg / rana) da allura (raka'a 1500 bayan kwanaki 3 a ranar 4).

Zuwan haila ya fara ne a shekara 12, wani tsarin da ba a saba ba na kwanaki 28-45, haihuwar tana da zafi sosai, ba mai yawa ba.

Kafin daukar ciki na wuce wadannan gwaje-gwaje:

Folliculogenesis - ovulation a cikin sake zagayowar yanayin a ranar 24th na sake zagayowar tare da samuwar cystic corpus luteum (NLF?)
DHEA-SO4 2.96 umol / L (ma'aunin dakin gwaje-gwaje 0.9 - 11.7)
FSH 9.44 mIU / mL (norms 2.8 - 11.3)
LH 7.86 mIU / mL (al'ada 1.1 - 11.6)
Prolactin 373 mIU / mL (al'ada 40.3 - 503)
Testosterone 1.16 nmol / L (al'ada 0 - 2.8)
Insulin kafin abinci 14.9 uIU / mL (norms 4.3 - 15.3)
2 sa'o'i bayan cin abinci 43.9 uIU / mL
Guban jini 3.2, tare da nauyin 4.0
Hyocysteine ​​7.81 umol / L (al'ada 5 zuwa 12)
TTG 4,12 mIU / L (norms 0.4 - 4)
T4 kyauta 10 pm / L (al'ada 10.3 - 24.5)

Bayan daukar ciki
TTG 2.06 mIU / L (norms 0.4 - 4) I ACCEPT L-TYROXIN 50 MKG / SUT
T4 kyauta 19.7 pmol / L (al'ada 10.3 - 24.5)
AT zuwa TPO kasa da 10 IU / mL
17OH-progesterone 1.52 ng / ml (na yau da kullun 1.3 - 3.0)
DHEA-SO4 4.94 umol / L (al'ada 3.1 - 12.5)
Hyocysteine ​​8.46 umol / L (al'ada 5 zuwa 12)

Shin wajibi ne a ɗauki wasu ƙarin gwaje-gwaje saboda karuwar matakan insulin kafin ciki? Shin sashi na 50-Lg L-thyroxine ya isa ya gyara ƙananan haɓakar ƙananan ƙwayoyin cuta?

Na gode a gaba don tattaunawar ku!

Thyara thyroxine zuwa 75 mcg aƙalla, ana iya hana insulin kwata-kwata
Kun cika shekaru 25 - kuna buƙatar gudanar da OGTT (gwaji tare da nauyin glucose don ware ciwon sukari a makonni 24-28 tare da sukari mai azumi na al'ada)

Komai a bayyane yake. Na gode sosai!
Amma shin ina buƙatar gudummawar jini sake don TSH da T4 kyauta bayan ƙara yawan maganin L-thyroxine?

A ka'idar, ya wajaba a kowace kwata, ba jigon asalin ba
Idan kuna ƙaruwa gobe -TG a cikin makonni 8, sv T4 mono da a baya amma ba a buƙatar gaske

Na gode sosai don irin wannan amsa mai sauri! Zan kara sashi daga gobe da safe, zan mika gwajin kamar yadda kuka bada shawara.: Bo:

Insulin bai buƙatar kallo ba, amma tunda sun duba - me yasa ake samun sakamako na al'ada (ƙayyadaddun ƙa'idar akan hanyar da aka rubuta) azaman "karuwa"?

Insulin 2 hours bayan cin abinci 43,9 uIU / mL - likita ya ce da yawa kuma ya ba da umarnin Metformin a cikin adadin 500 sau 3 a rana. Shin, ba ku sha shi ?: Bn:

To, me za mu iya tare da muradin bi da mutane masu lafiya?
oh duk raunin ba shine ma'anar ba - insulin ya zama zakara a cikin yawan binciken da ba dole ba

Bayan cin abinci, dole ne a haɓaka insulin sosai idan aka kwatanta da matakan azumi, babu ingantattun halaye. Jinin ku na jini al'ada ne. Akwai bayyanannun alamomi don gudanar da metformin, kuma matakin insulin bai taɓa zama dalilin irin wannan alƙawarin ba. Tare da PCOS, metformin yana ƙaruwa da haɓakar ƙarfin aiki, amma insulin ba shi da alaƙa da shi! Gabaɗaya, manta game da shi.

Wannan shine, kamar yadda na fahimta, matakan insulin al'ada ne kuma babu buƙatar sake dawo da metformin bayan daukar ciki? Hurray!: Ab:

Wannan ba ya soke OGTT, wanda kowa ke yin shekaru fiye da 25, wanda idan dangi sun kamu da ciwon suga

Ee, tabbas, zan ba da wannan.

Sannu likitoci masu girma!

Ciki 28-29 makonni. A yau na sami sakamakon binciken:

T4 kyauta 10.4 pmol / L (al'ada ce ga mata masu juna biyu 2-3 watanni uku 8.2-24.7)
TSH 0.955 Ni / L (al'ada ce ga mata masu juna biyu 2-3 watanni 0.2-3.5)

Ina ɗaukar L-thyroxine 75 mcg kowace rana. Gaya mini, don Allah, Ina buƙatar ƙara sashi na L-thyroxine?

Na gode a gaba don amsarku!

Kyakkyawan sakamako: ay: Mun bar komai kamar yadda yake.
Ina nunawa ga masu ciwon sukari? Mun rubuta game da wannan daga sakon farko!

Na gode sosai da amsar ku!

Dangane da gwajin cututtukan cututtukan zuciya, halin da ake ciki shine: Na dauki gwajin nauyi (maganin glucose) a asibiti. Ban san sakamakon ba cikin lambobi, likita kawai ya ce komai ya yi kyau. Saboda wasu dalilai, babu sakamako a cikin sanarwar ...: mahaukaci:

Barka da rana Ya ku likitoci, zan sake neman taimakon ku.

Cutar ciki shine makonni 31-32. Lokacin da aka ƙaddamar da gwajin jini na biochemical akan komai a ciki daga jijiya, an gano matakan glucose na 5.96.

Insulin ko metformin yayin daukar ciki?

Wane karin matakai ya kamata a dauka? Mai kula da aikin ya ce kawai kana iyakance amfani da Sweets. Sai na sake yin gwajin tare da kaya? Shin glucose yana nufin cewa ciwon sukari ya inganta?

Kuna cikin hadarin kamuwa da cutar siga ta jijiyoyin ciki kuma ba mu san idan an ƙididdige bayanan OGTT ba lokacin da ya kamata a yi shi.

Azumtar glucose din plasma bayan makonni 28 (ana daukar wadannan makonni ne saboda dalilai na matsakaicin ayyukan hana haihuwa-hormonal, mahimmancin shiga tsakani ga tayin - ban sami lokacin da aka tattauna lokutan-yanke-lokaci ba - kuma ina neman taimakon masu maganin ciwon suga), ina tsammanin, yakamata a yi la’akari da dokoki iri daya. wancan glucose a cikin wanda ba mai ciki ba - kuma babu wata alama da ke nuna cewa a wannan lokacin za a sami irin waɗannan buƙatun don ƙananan glucose kamar a makonni 24, ban cika komai ba, kuma ban cika abin da ake buƙata na iskar gas na biyu ba. TT
A takaice dai, Na goyi bayan ra'ayin iyakance shaye-shaye, Na ƙara ra'ayin sarrafa glycemia kuma ko da bayan cin abinci

Galina Afanasevna, na gode sosai don amsar!

Zan bi abinci kuma bayan sati daya zan sake rarraba jini zuwa ga glucose kafin da kuma bayan cin abinci.

Na gode sake!

Sannu likitoci masu girma!

My ciki ya ƙare da kyau - a makonni 39 cikin kwanaki 6 yarinya an haife 3900 kg 54 cm.: Bp:
Don Allah a gaya mani ko ya zama dole in koma ga matakin farko na L-thyroxine, wanda ya kasance kafin ciki (50 mg) ko shin zan ci gaba da shan 75 MG kamar lokacin ciki?

Na gode sosai don amsar!

Ana yin maganin thyroxine a mkg, a cikin bayan haihuwa, canje-canje masu mahimmanci a cikin buƙatar ƙwayar magungunan mai yiwuwa ne, ya fi dacewa a fayyace halin yanzu a matakin da aka karɓa