Paraqitet vet\u00eb gjat\u00eb shtatz\u00ebnis\u00eb dhe \u00ebsht\u00eb i p\u00ebrkohsh\u00ebm. \u00a0N\u00eb k\u00ebt\u00eb gjendje shtatz\u00ebna ka nivel t\u00eb rritur t\u00eb sheqerit n\u00eb gjak. \u00a0Shtatz\u00ebnia konsiderohet me rrezik t\u00eb lart\u00eb dhe si e till\u00eb duhet t\u00eb ndiqet nga akusher me p\u00ebrvoj\u00eb dhe endokrinolog me p\u00ebrvoj\u00eb. \u00a0Me udh\u00ebheqje t\u00eb duhur dhe terapi p\u00ebrkat\u00ebse, p\u00ebrfundon me lindjen e f\u00ebmij\u00ebs s\u00eb sh\u00ebndetshme dhe gjendja e till\u00eb\u00a0 tek n\u00ebna zhduket ( shum\u00eb rrall\u00eb mund t\u00eb zhvillohet n\u00eb diabet tip 2).<\/p>\n
N\u00ebse kjo gjendje nuk identifikohet dhe nuk trajtohet, mund T\u2019ju d\u00ebmtoj\u00eb sh\u00ebndetin Tuaj dhe t\u00eb bebes!<\/p>\n
Cilat jan\u00eb shkaqet? <\/em><\/strong><\/p>\n Gjat\u00eb shtatz\u00ebnis\u00eb placenta tajit hormone t\u00eb cilat mund t\u00eb rrisin vlerat e glikemis\u00eb ( sheqerit n\u00eb gjak). \u00a0Zakonisht, pankreasi nga ana tjet\u00ebr, krijon mjaftuesh\u00ebm insulin\u00eb dhe rruan vlerat normale t\u00eb glikemis\u00eb. \u00a0N\u00eb t\u00eb kund\u00ebrt, ato vlera do t\u00eb rriten mbi normat normale dhe do t\u00eb shkaktojn\u00eb diabet gestacional i cili n\u00eb thelb paraqet \u00e7rregullim metabolik.<\/p>\n Cilat jan\u00eb faktor\u00ebt e rrezikut p\u00ebr paraqitje e diabetit gestacional? <\/em><\/strong><\/p>\n Pesha trupore e zmadhuar gjat\u00eb shtatz\u00ebnis\u00eb, vlerat e rritura t\u00eb sheqerit n\u00eb gjak \u2013 por t\u00eb pa mjaftueshme p\u00ebr diagnostikimin e diabetit, diabet n\u00eb familje, shtypje e lart\u00eb e gjakut, paraprakisht ka lindur f\u00ebmij\u00eb me pesh\u00eb trupore t\u00eb madhe ( mbi 4 kg), shtatz\u00ebni paraprake e cila ka p\u00ebrfunduar me vdekje intrauterine t\u00eb frytit ose me lindjen e f\u00ebmij\u00ebs me anomali t\u00eb caktuara, rritja e nivelit t\u00eb ujit amniotik n\u00eb ultraz\u00eb, fryt i madh gjat\u00eb shtatz\u00ebnis\u00eb aktuale, aborte spontane paraprake ose shtatz\u00ebni t\u00eb pa suksesshme, sheqer pozitiv n\u00eb urin\u00eb, infeksione t\u00eb shpeshta fungale, paciente me PCO sindrom\u00eb.<\/p>\n Cilat jan\u00eb simptomat?<\/em><\/strong><\/p>\n Etje e theksuar, oreks i madh, urinim i shpesht\u00eb, sheqer n\u00eb urin\u00eb, marramendje, t\u00eb vjella, infeksione fungale dhe urinare t\u00eb shpeshta, shikim i turbullt.<\/p>\n Pacientet me diabet gestacional mund t\u00eb mos ken\u00eb simptoma t\u00eb dukshme. \u00a0Prandaj, \u00ebsht\u00eb me r\u00ebnd\u00ebsi t\u00eb madhe skriningu n\u00eb koh\u00eb, tek \u00e7do paciente!\u00a0\u00a0 <\/em><\/strong><\/p>\n \u00a0Kur b\u00ebhet skriningu? <\/em><\/strong><\/p>\n Diabet gestacional, zakonisht paraqitet gjat\u00eb gjysm\u00ebs s\u00eb dyt\u00eb t\u00eb shtatz\u00ebnis\u00eb. \u00a0Sipas protokollit, skriningu b\u00ebhet nd\u00ebrmjet jav\u00ebs s\u00eb 24-t dhe 28-t\u00eb, nd\u00ebrsa n\u00eb rast t\u00eb ekzistimit t\u00eb rrezik faktor\u00ebve edhe m\u00eb her\u00ebt. \u00a0I nj\u00ebjti duhet t\u00eb b\u00ebhet tek secila grua shtatz\u00ebn\u00eb. \u00a0Detektimi i hersh\u00ebm dhe trajtimi p\u00ebrkat\u00ebs jan\u00eb me r\u00ebnd\u00ebsi t\u00eb jasht\u00ebzakonshme.<\/p>\n Ku b\u00ebhet skriningu?<\/em><\/strong><\/p>\n N\u00ebse glikemia tek gruaja shtatz\u00ebn\u00eb \u00ebsht\u00eb e barabart\u00eb ose m\u00eb e madhe se 7nmol\/l dy her\u00eb me radh\u00eb, diagnoza p\u00ebr diabet gestacional, konfirmohet.\u00a0 \u00a0Analiza plot\u00ebsuese, nuk jan\u00eb t\u00eb nevojshme.<\/p>\n Skriningu realizohet me ngarkes\u00eb me sasi t\u00eb caktuar t\u00eb sheqerit t\u00eb konsumuar n\u00eb m\u00ebnyr\u00eb orale dhe m\u00eb pas vijon matja e glikemis\u00eb tek n\u00ebna pas nj\u00eb periudhe kohore t\u00eb caktuar. \u00a0Var\u00ebsisht nga vlerat e fituara, diagnoza konfirmohet ose jo. \u00a0Testi mund t\u00eb b\u00ebhet n\u00eb m\u00ebngjes pas nj\u00eb periudhe urie 8 – 10 or\u00eb. \u00a0Rekomandohet, nj\u00eb dit\u00eb p\u00ebrpara, aktivitet fizik normal (jo t\u00eb tepruar).<\/p>\n Ndjekja e kujdesshme e n\u00ebn\u00ebs dhe frytit, vazhdon edhe pas lindjes, edhe p\u00ebrpos rezultatit negativ t\u00eb fituar. Kjo n\u00eb ve\u00e7anti vlen p\u00ebr shtatz\u00ebna tek t\u00eb cilat ekziston nj\u00eb ose m\u00eb tep\u00ebr faktor\u00eb rreziku!<\/p>\n A \u00ebsht\u00eb i d\u00ebmsh\u00ebm skrining testi p\u00ebr Ju ose p\u00ebr beben Tuaj? <\/em><\/strong><\/p>\n Edhe pse konsumi i l\u00ebngut me glukoz\u00eb mund t\u00eb mos jet\u00eb i k\u00ebndsh\u00ebm, si dhe koh\u00ebzgjatja e testit, duhet t\u00eb b\u00ebni durim. \u00a0Diabeti gestacional \u00ebsht\u00eb gjendje e cila duhet t\u00eb zbulohet n\u00eb koh\u00eb dhe t\u00eb trajtohet n\u00eb m\u00ebnyr\u00eb p\u00ebrkat\u00ebse.<\/p>\n N\u00ebse p\u00ebrcaktohet diagnoza e diabetit gestacional n\u00eb koh\u00eb – me kontroll t\u00eb rregullt, ushqim t\u00eb duhur, aktivitet fizik dhe terapi p\u00ebrkat\u00ebse, shtatz\u00ebnia p\u00ebrfundon me n\u00ebn\u00eb dhe bebe t\u00eb sh\u00ebndetshme.<\/p>\n","protected":false},"excerpt":{"rendered":" Paraqitet vet\u00eb gjat\u00eb shtatz\u00ebnis\u00eb dhe \u00ebsht\u00eb i p\u00ebrkohsh\u00ebm. \u00a0N\u00eb k\u00ebt\u00eb gjendje shtatz\u00ebna ka nivel t\u00eb rritur t\u00eb sheqerit n\u00eb gjak. \u00a0Shtatz\u00ebnia konsiderohet me rrezik t\u00eb lart\u00eb dhe si e till\u00eb duhet t\u00eb ndiqet nga akusher me p\u00ebrvoj\u00eb dhe endokrinolog me p\u00ebrvoj\u00eb. \u00a0Me udh\u00ebheqje t\u00eb duhur dhe terapi p\u00ebrkat\u00ebse, p\u00ebrfundon me lindjen e f\u00ebmij\u00ebs s\u00eb sh\u00ebndetshme […]<\/p>\n","protected":false},"author":1,"featured_media":9338,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[74],"tags":[],"_links":{"self":[{"href":"https:\/\/www.pzujurukovski.mk\/sq\/wp-json\/wp\/v2\/posts\/9646"}],"collection":[{"href":"https:\/\/www.pzujurukovski.mk\/sq\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.pzujurukovski.mk\/sq\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.pzujurukovski.mk\/sq\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.pzujurukovski.mk\/sq\/wp-json\/wp\/v2\/comments?post=9646"}],"version-history":[{"count":2,"href":"https:\/\/www.pzujurukovski.mk\/sq\/wp-json\/wp\/v2\/posts\/9646\/revisions"}],"predecessor-version":[{"id":9648,"href":"https:\/\/www.pzujurukovski.mk\/sq\/wp-json\/wp\/v2\/posts\/9646\/revisions\/9648"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.pzujurukovski.mk\/sq\/wp-json\/wp\/v2\/media\/9338"}],"wp:attachment":[{"href":"https:\/\/www.pzujurukovski.mk\/sq\/wp-json\/wp\/v2\/media?parent=9646"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.pzujurukovski.mk\/sq\/wp-json\/wp\/v2\/categories?post=9646"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.pzujurukovski.mk\/sq\/wp-json\/wp\/v2\/tags?post=9646"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}