Sangano reWorld Health Organisation rakapa kekutanga gwaro rekutaura nezvechirwere cheshuga panguva yekuzvitakura, nechinangwa chekubatanidza kuchengetwa uku mukubvunzana kwevasati vasununguka uye kuve nechokwadi chekuwaniswa kwakaenzana kwezviwanikwa zvakakosha, zvinoenderana nemishandirapamwe yakaita senge Zuva reWorld Diabetes DayAya mazano anosanganisira zviyero zvepasi rose zvekuonekwa, kutarisa uye kurapwa pamatanho ese ekutarisira.
Hukuru hwedambudziko hukuru: hunokanganisa mumwe chete pavakadzi vatanhatu vane pamuviriIzvi zvakaenzana nenhumbu dzinosvika mamiriyoni makumi maviri nerimwe pasi rose gore rega rega. Hurongwa hutsva hune chinangwa chekutarisira matambudziko akakomba uye kuderedza kusaenzana, nemazano anoshanda kune nyanzvi dzehutano uye masisitimu.
Chii chakaburitswa neWHO uye nei izvozvi?
Sangano repasi rose rinotsanangura kekutanga a mwero chaiwo wekutarisira Zvepamuviri nechirwere cheshuga (pre-exist kana gestational), ine 27 humbowo-hwakavakirwa mazano. Nhungamiro inotarisisa batanidza glucose control mune yakajairwa prenatal package, kubva pakuongorora kusvika pachirongwa chekurapa.
Pakati pezvikonzero zvataurwa kuwedzera kuri pachena kwezviitiko uye kukanganisa hutano hwaamai nemwana. Pasina manejimendi akakodzera, njodzi dze preeclampsia, kufa kwe fetus uye kukuvara kwemukati memimbakuwedzera kune mhedzisiro yenguva refu.
WHO inotiyeuchidza kuti mhedzisiro haipere pakuzvarwa: vese vanaamai nevana vanogona kukura Type 2 chirwere cheshuga uye cardiometabolic zvirwere gare gare. Maitiro ekutenderera kwehupenyu ndiwo kiyi yekudambura cheni iyoyo.
Mutoro wacho wakakwira munyika dzisina zviwanikwa, uko kuwana kune hunyanzvi masevhisi uye zvekutarisa zvinhu zvishoma. Kunyange zvakadaro, meseji yacho ndeyepasi rose: Simbisai kuchengetwa kwevasati vasununguka nezvinhu zvisingadhuri Inovandudza mhedzisiro mune chero hutano hwehutano.
Mazano makuru
Gwaro rinoisa zvikumbiro zvaro kuita mbiru ina dzekushanda, dzese dzakanangana nemunhu uye dzinotsigirwa nehumbowo hwekiriniki. Chinangwa ndechekufambisa kuita sarudzo kunoenderana mukubvunzana uye kumba, ne nzira dzakajeka dzekutarisa uye kurapwa.
- Individualized attention: mazano ezvekudya, kuita zvemuviri uye zvibodzwa zveglucose yeropa zvakagadziridzwa kumukadzi wese ane pamuviri.
- Periodic monitoring: kutarisa kweglucose nguva dzose, zvose mukushanya kwekiriniki uye kumba.
- Kurapa zvinoenderana nerudzi rwechirwere cheshuga: Kurongeka kwakananga kwerudzi rwekutanga, rudzi rwechipiri uye gestational apo pharmacotherapy inodiwa.
- Multidisciplinary maitiro: kunyanya muchirwere cheshuga chisati chavapo, kurongedzera obstetrics, endocrinology uye kunyanya kutarisira.
Nhungamiro inosimbisa kuti sarudzo dzekurapa uye zvinangwa zveglycemic zvinofanirwa kuongororwa nguva nenguva, nekutarisa Kuchengeteka kwaamai uye kugara zvakanaka kwe fetusuye nekuwana zvakaenzana mishonga yakakosha uye matekinoroji.
Zvinoreva kuSpain neEurope
MuEurope masisitimu, uko kuchengetwa kwepamuviri kunoitwa zvakanyanya, kurudziro idzi dzinogona kuwiriranisa maprotocol uye kuderedza kusiyana pakati penzvimbo. MuSpain, kutorwa kwayo kwaizosimudzira kuongorora kunoenderana uye nzira dzakajeka dzekutevera.
Gwaro rinokurudzira zvakare kuve nechokwadi kuwana mitsetse yekuyedza, insulin, uye yekuyeresa michina kana zvichiratidzwa, pamwe nekusimbisa dzidzo yekurapa mukubvunzana kwepamusoro nepakati njodzi.
Imwe nzvimbo yekutarisa ndeye kudzidziswa kwenyanzvi uye kurongeka pakati pemazinga ekutarisira. WHO inokurudzira nzira dzekuchengetedza iyo inofambisa shanduko kubva kune yekutanga kuenda kune yakasarudzika yekutarisirwa maererano nekuoma kwenyaya, kutora pane zvakaitika kubva diabetes management nehunyanzvi.
Bhuku racho rinopindirana nemushandirapamwe wepasi rose unoratidza chirwere cheshuga muupenyu hwose, icho muEurope chinoturikira mitemo yekudzivirira uye kuenzana, pamwe nekuvandudza zvibereko zvekuberekwa.
Chii chinoshanduka mukuchengeta prenatal
Kubvunzurudzwa kwepamuviri kuchabatanidza zvakarongeka glycemic monitoring uye zano remararamiro, nezvinangwa zvemunhu uye kakawanda wongororo kana zvichidikanwa (kusanganisira nhungamiro pa maekisesaizi anorambidzwa panguva yekuzvitakura).
Basa rekuzvitarisira rinosimbiswa: chiyero chenguva dzose kumba, chakasanganiswa nekiriniki yekuongorora, inofambisa kugadzirisa kwakanaka uye zvisarudzo zvakagoverana pakati pemurwere neboka rehutano, uye nhungamiro ye dzidzira mitambo zvakachengeteka pazvinenge zvakakodzera.
Kana mishonga ichidiwa, zvirongwa zvichagadziriswa kune rudzi rwechirwere cheshuga uye danho rekuita pamuviri, kuisa mberi kuchengeteka uye kushanda zvakanaka maererano negwara uye mamiriro ekiriniki.
Nzira yechikwata iri kuwedzera kukosha: vanachiremba, endocrinologists, vananyamukuta, uye vanachiremba vemhuri vacharonga zvirongwa zvinobatanidza. metabolic control uye obstetric monitoring kugadzirisa mhedzisiro yemimba.
Nehurongwa hutsva uhwu, WHO ine donzvo rekuona kuti hapana mukadzi ane pamuviri anovharirwa mukuchengetwa kwemhando yepamusoro: kubva pakuongororwa nenguva kusvika pakurapwa kwakakodzera, kuenzana pakuwana kumishonga uye matekinoroji, uye nemasevhisi epamuviri anoita segedhi rekuenderera mberi nekuchengetwa kwehupenyu hwese, kunyanya kune vakadzi vakafuta vasati vabata pamuviri.
