txheem
Rau lossis tawm tsam qhov kev tshuaj ntsuam xyuas rau gestational diabetes
Thaum cev xeeb tub, qee tus poj niam yuav pom tias muaj ntshav qab zib gestational. Lub Koom Haum Saib Xyuas Kev Noj Qab Haus Huv Ntiaj Teb (WHO) txhais cov kab mob no yog "ib qho kev tsis sib haum xeeb ntawm carbohydrate kam rau ua rau hyperglycemia ntawm qhov sib txawv ntawm qhov hnyav, pib lossis thawj zaug kuaj thaum cev xeeb tub. » Raws li kev tshuaj ntsuam xyuas tam sim no, nruab nrab ntawm 2 thiab 6% ntawm cov poj niam cev xeeb tub yuav raug cuam tshuam, tab sis qhov kev faib ua feem no tuaj yeem siab dua hauv qee cov neeg. Feem ntau, cov qauv tam sim no yog mus rau kev nthuav dav ntxiv. Cov teeb meem tseem ceeb yog: rog dhau, hnub nyoog, haiv neeg, thawj qib tsev neeg keeb kwm ntawm ntshav qab zib, keeb kwm kev xeeb tub ntawm cov ntshav qab zib gestational lossis macrosomia, polycystic zes qe menyuam syndrome. Gestational diabetes tuaj yeem ua rau muaj teeb meem rau niam thiab menyuam. Nws yog txuam nrog a nce kev pheej hmoo ntawm preeclampsia thiab Caesarean. Nyob rau ntawm tus me nyuam, lub macrosomie (yug qhov hnyav tshaj 4kg) yog qhov tseem ceeb ua rau pom qhov tshwm sim ntawm cov ntshav qab zib gestational.
Gestational diabetes: xaiv qhov kev tshuaj ntsuam xyuas
Rau nws thawj tus menyuam, Elisabeth nco qab tau kuaj ntshav qab zib hauv lub cev xeeb tub, tab sis lub sijhawm no rau zaum ob, nws tus kws kho mob gynecologist tau hais rau nws tias nws tsis tsim nyog lawm. Obviously, nws tsis tau lees paub: "Yuav ua li cas yog tias peb nco nws thiab nws hloov tawm tias kuv muaj ntshav qab zib?" », Nws txhawj. Nyob nruab nrab ntawm qhov kev kuaj cev xeeb tub, cov lus pom zoo thiab thaum kawg cov uas tsis muaj txiaj ntsig, nws yog qee zaum nyuaj rau kev taug qab. Hais txog kev kuaj ntshav qab zib hauv gestational, cov lus pom zoo tshiab tau muab tso rau hauv xyoo 2011. Txog thaum ntawd, txhua tus poj niam cev xeeb tub yuav tsum tau kuaj xyuas hauv peb lub hlis thib 2, ntawm lub lim tiam 24 thiab 28 ntawm amenorrhea. Qhov kev xeem no, hu ua Oral-induced hyperglycemia (OGTT), muaj cov ntshav qabzib yoo mov ntawm 1 teev thiab 2 teev tom qab noj 70 g qabzib. Tam sim no, qhov kev sim no tsuas yog sau rau yav tom ntej niam hais tias muaj kev pheej hmoo. Nws yog hais tias kev tshuaj ntsuam yog tsom. Muaj kev txhawj xeeb: cov poj niam muaj hnub nyoog 35 xyoos, cov uas muaj BMI ntau dua lossis sib npaug li 25, tsev neeg keeb kwm ntawm ntshav qab zib hom 1, ntshav qab zib gestational thaum cev xeeb tub dhau los, tus menyuam yug los hnyav dua 4 kg (macrosomia). Nyob rau tib lub sijhawm, cov qib hyperglycemia tau qis dua, uas yog li ua rau muaj kev pheej hmoo ntawm ntshav qab zib ntau ntxiv.
Tsis muaj pov thawj txaus ntshai thaum tsis muaj kev pheej hmoo
Thaum peb paub cov teeb meem perinatal (macrosomia, eclampsia, thiab lwm yam) txuas tshwj xeeb rau gestational diabetes, peb yuav xav tsis thoob. vim li cas qhov kev tshuaj ntsuam xyuas raug tso tseg. "Peb tsis muaj kev sib cav txog kev tshawb fawb uas tuaj yeem ua pov thawj rau kev tswj hwm ntawm gestational diabetes rau cov poj niam uas tsis muaj kev pheej hmoo," piav qhia tus xibfwb Philippe Deruelle, kws kho mob poj niam-obstetrician ntawm CHRU Lille. Nyob rau hauv lwm yam lus, tsis muaj pov thawj hais tias gestational diabetes nrhiav pom nyob rau hauv ib tug nruab nrab niam-rau-tau muaj tib theem ntawm hnyav li nyob rau hauv ib tug poj niam muaj kev pheej hmoo. ” Nws yog thaum cov xwm txheej sib xyaw ua ke uas qhov tshwm sim muaj feem cuam tshuam loj heev », txuas ntxiv tus kws tshaj lij. Tsis tas li ntawd, nws yeej ib txwm muaj peev xwm muab qhov kev ntsuam xyuas no hauv qib thib ob, tshwj xeeb tshaj yog nyob rau lub sijhawm 7th lub hlis thaum lub sijhawm thib peb ultrasound. Qhov tseeb, ntau tus kws kho mob gynecologist txuas ntxiv sau OGTT rau txhua tus poj niam cev xeeb tub, tawm ntawm kev ceev faj ntau dua li kev ua xyem xyav.