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妈妈营养过剩影响宝宝终身 糖尿病现低龄化--亲稳舆论引导监测室
2012-11-12
母亲患妊娠期糖尿病将大大增加孩子糖尿病风险,专家建议及时筛查控制 Mother had gestational diabetes will greatly increase the risk of diabetes children,Experts recommend timely screening control
11月14日是联合国糖尿病日,今年主题是“糖尿病教育与预防”,口号是“保护我们的未来”。专家表示,糖尿病的预防应该从胎儿期开始,如果母亲患上妊娠期糖尿病的话,孩子将来患上糖尿病风险比普通人高2到4倍,且妈妈的终身糖尿病几率也大于50%。因此,准妈妈们有效预防糖尿病,将更好地保护自己和孩子的未来。
On November 14 is the United Nations diabetes day,This year, the message was"Diabetes education and prevention",Slogan is"Protect our future".Experts say,Diabetes prevention should be from the fetal period began,If mother develop gestational diabetes words,Children suffer from diabetes risk in the future than ordinary people high 2 to 4 times,And the mother's life is greater than 50% chance to diabetes.therefore,Mothers-to-be effectively prevent diabetes,Will better protect themselves and their children's future.
糖尿病患者出现低龄化 Patients with diabetes DiLingHua appear
11月10日,深圳市医学会内分泌专业委员会在笔架山公园举办了糖尿病主题日活动。昨日,市人民医院内分泌科也在该院阶梯教室为市民进行了免费主题讲座。记者从活动现场获悉,简单地说,糖尿病就是血液中葡萄糖堆积过多的疾病,属于需要纳入慢性病健康管理的主要疾病之一。据市慢性病防治中心的最新统计显示,深圳20岁以上居民糖尿病发病率为6.2%,较全国的9.7%要低,但与1998年相比增加了47.6%。
On November 10th,Shenzhen medical association endocrine professional committee in the beacon hill park held diabetes day "activity.yesterday,City people's hospital endocrinology in hospital amphitheatre for the citizens free theme lectures.Reporters learned from the activity at the site,Simply said,Diabetes is the blood glucose accumulation overmuch disease,Belong to should be chronic health management is one of the main diseases.According to city chronic disease control and prevention center's latest statistics show,Shenzhen 20 years old residents incidence of diabetes was 6.2%,Is the national 9.7% low,But compared with 1998 increased by 47.6%.
同时,随着儿童和青少年肥胖率的不断上升,原本只在成人身上发生的2型糖尿病也出现了低龄化。“过去孩子得的几乎都是胰岛素分泌异常的1型糖尿病,近年来2型糖尿病患者的队伍中也出现了孩子的身影,并有可能在总发病率上超过1型糖尿病。”市人民医院内分泌科主任李路告诉记者,除了肥胖以外,遗传和母亲孕期营养过剩,也是造成儿童2型糖尿病高发的主要原因。
At the same time,As children and adolescents rising obesity rates,Only the original happened in adults with type 2 diabetes also appeared DiLingHua."In the past the children are almost insulin secretion of abnormal type 1 diabetes,In recent years in patients with type 2 diabetes team also present the child's figure,And may in the overall incidence of more than type 1 diabetes."City people's hospital endocrinology director li luming told reporters,In addition to outside obesity,Genetic and mother excess nutrition during pregnancy,Is also causes the children type 2 diabetes the main reason for the high incidence.
市人民医院产科副主任魏晓萍表示,“现在医学界认为,疾病是由基因、宫内环境、出生早期营养和成年期生活习惯4个因素决定的。”正常体重的母亲孕期增重如果超过16公斤,那么就涉嫌营养过剩,不仅会造成自身患上妊娠期糖尿病,而且高糖的宫内环境,还会给孩子的一生造成影响。
City people's hospital, deputy director of the maternity WeiXiaoPing said,"Now that the medical profession,The disease is genetic/Palace environment/Born early nutrition and adulthood habits four factors."The mother of normal weight during pregnancy weight gain if more than 16 kilograms,Then suspected nutrition surplus,Not only can cause itself develop gestational diabetes,And high sugar palace environment,It will give the child's life affect.
深圳发病率为全国较高水平 Shenzhen for the incidence of higher level
尽管深圳没有对妊娠期糖尿病发病率进行过统计,但魏晓萍指出,从纳入管理的病例数来说,发病率是呈每年递增的趋势。今年1到10月,在市人民医院产科进行筛查和诊断的孕妇人群中,妊娠期糖尿病的发生率为12%。
Although shenzhen no gestational diabetes incidence made statistics,But WeiXiaoPing pointed out that,The number of cases in management from it,Incidence of a disease is a trend of increasing every year.This year 1 to 10.,In the city people's hospital maternity screening and diagnosis of the pregnant women in the crowd,Gestational diabetes incidence was 12%.
这一发病率在全国来说,处于较高水平。专家认为,与深圳高龄产妇逐年增加有关系。通常来说,35岁以上的孕妇,还有孕前超重、肥胖的妇女都较容易患上妊娠期糖尿病。另外,有糖尿病家族史、异常分娩时和本次妊娠胎儿大于孕周的,都是高危因素。
The incidence of a disease in the nation said,At a higher level.Experts say,And shenzhen maternal age increases year by year have relations.Generally speaking,35 years old of pregnant women,And overweight pregnant/Obese women were more likely to develop gestational diabetes.In addition,A family history of diabetes/Anomaly during childbirth and the fetus is greater than the gestational weeks of pregnancy,Are risk factors.
据市人民医院内分泌科副主任医师徐丹介绍,妊娠期糖尿病与两个因素密切相关,一是胎盘分泌激素造成胰岛素抵抗;二是不合理饮食。
According to the municipal people's hospital endocrinology of doctor of vice director of XuDan is introduced,Gestational diabetes is closely related with two factors,One is the placenta secrete hormones cause insulin resistance;The second is not reasonable diet.
2011年12月,卫生部发布了新的妊娠期糖尿病诊断标准,凡是孕24到28周的孕妇空腹血糖监测大于或等于5.1毫摩尔/升的,即可诊断。或者是餐后1小时血糖监测大于或等于10毫摩尔/升,两小时后大于或等于8.5毫摩尔/升的,都可诊断。
In December of 2011,The ministry of health issued new gestational diabetes diagnosis standard,Every child 24 to 28 weeks pregnant women fasting blood sugar monitoring is equal to or greater than 5.1 milli Moore/liter,Can diagnosis.Or is postprandial blood glucose monitoring 1 hour is equal to or greater than 10 milli Moore/liter,Two hours later than or equal to 8.5 milli Moore/liter,Can diagnosis.
魏晓萍指出,孕妇一旦患上妊娠期糖尿病,对自己和胎儿及新生儿带来极大的危害。“很多妊娠期糖尿病的孕妇会合并妊娠期高血压,合并泌尿系统和引导的感染。”魏晓萍说,最严重的是造成巨大儿、胎儿宫内缺氧、宫内死亡和新生儿低血糖症,还可能导致胎儿心脏和神经系统发育畸形。
WeiXiaoPing pointed out that,Pregnant women once develop gestational diabetes,To himself and fetal and neonatal brings the enormous harm."A lot of gestational diabetes of pregnant women will merge gestational hypertension,Merge urinary system infection and guide."WeiXiaoPing said,The most serious is a great son/Fetal intrauterine hypoxia/Palace death and neonatal hypoglycemia,It can also cause fetal heart and nervous system malformations.
合理饮食运动可有效预防 Reasonable diet movement can effectively prevent
“虽然妊娠期糖尿病危害极大,但准妈妈们也不要过度担心。”魏晓萍说,以今年1到10月,该科纳管的616例妊娠期糖尿病为例,经过严格控制饮食和合理运动,全部母子健康。另外,有21例孕前糖尿病的产妇,只有1例因没有规范管理,导致胎儿宫内死亡,其他的也都母子平安。
"Although great harm gestational diabetes,But prospective mothers don't excessive worry."WeiXiaoPing said,In the year to October,The nanotubes of 616 cases of gestational diabetes, for example,Pass strict control diet and reasonable sports,All mother and child health.In addition,21 cases of pregnant women of diabetes,Only one patient because no standardized management,Lead to fetal intrauterine death,The other are the safety of the mother.
市人民医院产科副主任医师钟利若建议,女性在准备怀孕前就应该先控制好体重,将体重指数(用体重公斤数除以身高米数平方得出的数字)控制在18.5到23.9的标准范围内为宜。
City people's hospital maternity of doctor of vice director of ZhongLi if Suggestions,Women in pregnancy should be prepared before the first control weight,Will body mass index(With kg number by height m number square concluded digital)Control in 18.5 to 23.9 standard range is advisable.
其次,孕早期胎儿发育相对缓慢,每天仅仅增长一克,不应一知道怀孕就忙着进补,而是应该均衡合理饮食,每日少吃多餐。孕期的前三个月体重增长控制在0.5到2公斤比较合理。
secondly,Early stages of pregnancy fetal development relatively slow,A day just a gram of growth,Should not be a know the pregnancy is busy supplements,But should be balanced and reasonable diet,Daily eat much food less.The first three months of pregnancy weight gain control in 0.5 to 2 kg is more reasonable.
再次,孕期早、中、晚三餐后,休息20分钟即可进行半小时的散步或者其他轻量运动。
again,Pregnancy early/in/Night after meals,A rest for 20 minutes for half an hour's walk or other light exercise.
“85%以上的妊娠期糖尿病患者通过饮食和运动即可调整,另外的使用胰岛素也能良好控制。”钟利若表示,如果患上妊娠期糖尿病,一定要在医生指导下进行管理。产后6到12周,再进行糖耐量监测,如果正常便算痊愈,但今后还要长期随访,每3年进行一次血糖监测。(深圳商报记者 张妍 通讯员 林少霞)
"More than 85% of the gestational diabetes patients through diet and exercise can adjust,Another use insulin can also good control."ZhongLi if said,If develop gestational diabetes,Must be under the guidance of a doctor to management.6 to 12 weeks postpartum,Further sugar tolerance monitoring,If normal will it heal,But the future and long-term follow-up,Every three years for a blood sugar monitoring.(Shenzhen commercial daily newspaper reporter ZhangYan correspondent LinShaoXia)
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