Masheji akakwirira esimbi anogona kutungamirira kurwere cheshuga panguva yekuzvitakura

Nhamba yakakura yedare mumuviri wevakadzi vane pamuviri yakabatanidzwa nehuwandu hwehutachiwana hwehutachiwana hwehutachiona. Zvichipa idzi data, zvinobvira here kufunga nezvekushandiswa kwesimbi inowedzera, iyo inowanzokurudzirwa panguva yekuzvitakura, yakarurama?

Migumisiro yenyaya itsva

Chidzidzo chitsva chakaratidzira kuti vakadzi vane iron yakakwirira mumatambudziko echipiri ekudzivirira vane kaviri kacho yekuwana gestational chirwere cheshuga, kana vachienzaniswa nevaya vane iron yepamusoro.

"Migumisiro yekudzidza kwedu inokurudzira zvingakonzera pamusoro pezvikurudziro zvekutora simbi kuwedzera kune vakadzi vane pamuviri kana vakatova nezvakakwana," akadaro munyori anonzi Shristi Raval. Ndiye chirwere chepachikoro paAmerican National Institute of Child Health uye Human Development.

Zvisinei, chidzidzo chacho chairatidza chete kubatana pakati pezinga resimbi uye gestational chirwere cheshuga. Yakanga isati yakagadzirirwa kuratidzira ukama-hukama hwehukama.

Muzviitiko zvipi vakadzi vanozvitakura vanofanira kutora zvigadzirwa

Kunyange zvakadaro, imwe nyanzvi yakaratidza kufunganya pamusoro pemigumisiro iyi. "Chidzidzo ichi chinoratidza kuti vanachiremba haafaniri kubata vose vakadzi vane pamuviri zvakaenzana," akadaro Dr. Robert Corji, nyanzvi yemagariro ekupedzisira kuSouthside Hospital muNew York.

"Tinofanira kuongorora hutano husina hutano tisati tazvinyora kuwedzera," akadaro. "Chokwadi, kune chikamu chikuru chevakadzi vane pamuviri vanoda chirwere chakadaro."

"Kana zvidzidzo zvinotevera zvinogona kusimbisa kusangana pakati pesimbi yekuwedzera uye gestational chirwere cheshuga, zvichange zvakakodzera kuzivisa vakadzi vane mazinga ematare akakwana kuti varege kurapwa zvisina kukodzera," Korji yakagumisa.

Dambudziko rekurwarisa chirwere cheshuga rinowedzera sei?

Chidzidzo chacho chakavhara madzimai evakadzikadzi vane chirwere cheshuga cheshuga. Vaienzaniswa nevakadzi 214 vakanga vasina chirwere ichi.

Kunyanya, vatsvakurudzi vakadzidza mazita akawanda muropa, maererano nezvavaigona kuverenga kuwanda kwesimbi mukati mumuviri. Aya mazita anosanganisira hepcidin, ferritin, uye saruble transferrin receptor.

Maererano naRaval, vakadzi vane pamuviri vane huwandu hwematare ematare mumutambo wekutanga kana wechipiri wekudzivirira vane ngozi yakawanda yekukura nechirwere cheshuga.

Semuenzaniso, kune vakadzi vane pamuviri mugore rekutanga, avo vaiva 25% yevakadzi vane ine simba rakanyanya kupfuura re ferritin (chiratidzo chinoratidza kuti yakawanda yakaita sei dare mumutumbi), dambudziko rekuita gestational chirwere cheshuga rakapetwa kaviri kune avo vakaenzana ne 25 % Nenhamba yakadzika yeiyo chiratidzo.

Vakadzi vaiva nepamusoro-soro ye ferritin mumutatu wechipiri vaiva nechinomwe chengano yekurasikirwa nechirwere cheshuga, kana vachienzaniswa nevaya vaiva nechepasi.

Nei muviri uchida iron?

Iron inobatsira pakuvandudza gestational chirwere cheshuga nekuwedzera huwandu hwekushungurudzika kwehuipi, izvo zvinogona kutungamirira kukuvadza kana kunyange kufa kwemasero e beta e pancreas. Zvinounza insulini, saka kukanganisa kana kurasikirwa kwavo kunogona kukonzera kukanganiswa kwebasa iri. Muropa, hupfumi hwehuni hunogona kukonzera kusagadzikana kwe insulini, vatsvakurudzi vanoti.

IAmerica Congress yeVachizvidzivirira uye Gynecologists inokurudzira kuongorora uye kurapwa chete kana zvichidiwa, apo kushaya kwesimbi kunowanikwa. Zvisinei, World Health Organisation inorumbidza iyo inowanzoita simbi inowedzera, vatsvakurudzi vanocherechedza.

Kuwedzera kwepamusoro kwedare kunogona kutungamirira kune gestational chirwere cheshuga, asi zvakadzika zvikuru zvinogona kuva zvakanyanya kuipa, anodaro Dr. Jill Rabin. Ndiye mutungamiri mukuru wehurumende yepachipatara muzvirongwa zvezvechiremba zvevakadzi.

Siri muropa rinotakura okisijeni kumasero omuviri. Vakadzi vane pamuviri vanoda iron yakakwana kuti vawane ramangwana revana nemhepo. Kana pane kushayikwa uye oksijeni mune zvakakosha hazviwani kusvika kumucheche, zvinogona kuchinja kukura kwechecheche.

Nzira yakanakisisa yekudzivirira kurwisa chirwere cheshuga ndeyokugadzirisa uremu hwemukadzi kunyange asati asarudza kuva nemwana. Vakadzi vanofanira kugara vachicherechedza hutano hwavo vasati vatanga kuronga pamuviri.

Zvigumisiro zvekudzidza zvakabudiswa munaNovember 10 muDhiabetologia.