{"id":10860,"date":"2021-08-11T12:33:37","date_gmt":"2021-08-11T09:33:37","guid":{"rendered":"https:\/\/momslab.app\/blog\/?p=2591"},"modified":"2025-06-01T19:00:57","modified_gmt":"2025-06-01T16:00:57","slug":"gestasyonel-diyabet-nedir-nasil-tedavi-edilir","status":"publish","type":"post","link":"https:\/\/momslab.app\/blog\/tr\/gestasyonel-diyabet-nedir-nasil-tedavi-edilir\/","title":{"rendered":"Gestasyonel Diyabet – Nedir ve Nas\u0131l Tedavi Edilir"},"content":{"rendered":"\n

Diyabet. Bu hastal\u0131k, hi\u00e7 rahats\u0131z olmam\u0131\u015f ya da oldu\u011funu d\u00fc\u015f\u00fcnmeyen ki\u015filere bile tan\u0131d\u0131k gelebilir. Bazen hastal\u0131k \u00e7ocukluktan beri neredeyse belirti g\u00f6stermeden ilerler ve tedavi gerektirmezken, di\u011fer bir tip yeti\u015fkinlikte ortaya \u00e7\u0131kabilir. Diyabete yatk\u0131nl\u0131k, organizma i\u00e7in stresli bir durumda, \u00f6rne\u011fin hamilelik s\u0131ras\u0131nda kendini belli edebilir. Bu d\u00f6nemde do\u011fru tedavi d\u00fc\u015f\u00fcn\u00fclmesi zorunludur. Yap\u0131lan ara\u015ft\u0131rmalara g\u00f6re, hamile kad\u0131nlar\u0131n %3-10’u hamilelik s\u0131ras\u0131nda gestasyonel diyabet ile kar\u015f\u0131la\u015fmaktad\u0131r. <\/p>\n\n\n\n

Hastal\u0131\u011f\u0131n olu\u015fumuna neden olan, zor bir hastal\u0131k s\u0131ras\u0131nda davran\u0131\u015f kurallar\u0131n\u0131n yan\u0131 s\u0131ra hastal\u0131\u011f\u0131n \u00f6nlenme yollar\u0131n\u0131 da i\u00e7eren bir dizi fakt\u00f6r bulunmaktad\u0131r. Bug\u00fcn makalede, t\u00fcm bunlardan bahsedece\u011fiz, b\u00f6ylece baz\u0131 komplikasyonlar getirebilecek gestasyonel diyabetin varl\u0131\u011f\u0131na ra\u011fmen hamileli\u011finiz sorunsuz ge\u00e7sin.<\/p>\n\n\n\n

\"Gestasyonel<\/figure>\n\n\n\n

Gestasyonel Diyabet Nedir<\/h2>\n\n\n\n

Komplikasyonlardan ka\u00e7\u0131nman\u0131n nedenlerine, sonu\u00e7lar\u0131na ve yollar\u0131na ge\u00e7meden \u00f6nce, hamilelikte gestasyonel diyabetin ne oldu\u011funu belirleyelim. Yani, hamilelik s\u0131ras\u0131nda gestasyonel diyabet, v\u00fccudun ins\u00fclini kendi ba\u015f\u0131na \u00fcretememesi ve i\u015fleyememesi durumunda ortaya \u00e7\u0131kar. Bu durum kandaki glikoz seviyesinin y\u00fckselmesine, bazen kritik d\u00fczeylere \u00e7\u0131kmas\u0131na neden olur.<\/p>\n\n\n\n

Hamile kad\u0131nlar, gebe kalmadan \u00f6nce tamamen sa\u011fl\u0131kl\u0131 olsalar bile risk grubunda kabul edilirler. Bu durum, bebe\u011fin geli\u015fimiyle ilgilidir. Bebek b\u00fcy\u00fcd\u00fck\u00e7e, plasental hormonlar sayesinde \u00fcretilen besinlerle daha fazla deste\u011fe ihtiya\u00e7 duyar. Bu hormonlar bebe\u011fin normal geli\u015fimini sa\u011flar ve kad\u0131n\u0131n v\u00fccudunu zorlar.<\/p>\n\n\n\n

Hamileli\u011fin kendisinin yan\u0131 s\u0131ra, ek tetikleyiciler ortaya \u00e7\u0131kabilir:<\/p>\n\n\n\n

    \n
  1. Gestasyonel diyabet nedeniyle olu\u015fan a\u015f\u0131r\u0131 kilolar do\u011fum sonras\u0131 zor gider ve do\u011fum s\u00fcrecini etkiler.<\/li>\n\n\n\n
  2. Hamilelik d\u00f6neminde b\u00fcy\u00fck miktarda kilo al\u0131m\u0131.<\/li>\n\n\n\n
  3. Kad\u0131n\u0131n ya\u015f\u0131.<\/li>\n\n\n\n
  4. \u00d6nceki do\u011fumlarda bebe\u011fin 4 kilodan fazla olmas\u0131 durumunda.<\/li>\n\n\n\n
  5. Hastal\u0131\u011f\u0131n kal\u0131tsal olarak bula\u015fma riski bulunmas\u0131.<\/li>\n\n\n\n
  6. Ulusal k\u00f6ken. Gebelikte gestasyonel diyabet genellikle Asya, K\u0131z\u0131lderili, Latin Amerika ve Afrika k\u00f6kenli k\u0131zlarda daha s\u0131k g\u00f6r\u00fcl\u00fcr.<\/li>\n<\/ol>\n\n\n\n

    Ancak, yatk\u0131nl\u0131\u011f\u0131n\u0131z olmasa da ve yukar\u0131da belirtilen t\u00fcm noktalarda g\u00fcvende olsan\u0131z bile, hamilelik s\u0131ras\u0131nda dikkatli bir \u015fekilde muayene edilmeniz ve doktorunuza herhangi bir de\u011fi\u015fiklik hakk\u0131nda bilgi vermeniz gerekir, \u00e7\u00fcnk\u00fc mbk hastal\u0131\u011f\u0131 tehlikeli olarak s\u0131n\u0131fland\u0131r\u0131r.<\/p>\n\n\n\n

    \"Gestasyonel<\/figure>\n\n\n\n

    Hamilelerde Gestasyonel Diyabet Belirtileri<\/h2>\n\n\n\n

    Gebelikte gestasyonel diyabeti \u201cg\u00f6zle\u201d belirlemek neredeyse imkans\u0131zd\u0131r. Gestasyonel diyabet genellikle belirti vermeden seyreder ve sadece kan testi sonras\u0131nda te\u015fhis edilebilir. Ancak dikkat edilmesi gereken baz\u0131 fakt\u00f6rler vard\u0131r:<\/p>\n\n\n\n

      \n
    1. \u0130lk i\u015faret a\u015f\u0131r\u0131 yorgunluktur.<\/li>\n\n\n\n
    2. Hamilelikte gestasyonel diyabet, g\u00f6rme bozukluklar\u0131na yol a\u00e7abilir.<\/li>\n\n\n\n
    3. \u0130drar yapma iste\u011finde art\u0131\u015f ya\u015fan\u0131r.<\/li>\n\n\n\n
    4. S\u0131k g\u00f6r\u00fclen belirtilerden biri s\u00fcrekli susuzluk hissidir.<\/li>\n\n\n\n
    5. Ba\u015f d\u00f6nmesi ve bay\u0131lmalar olabilir. Bu durum hem hamileli\u011fin hem de diyabetin etkisi olabilir.<\/li>\n<\/ol>\n\n\n\n

      Herhangi bir belirti hamileli\u011finizi takip eden doktora bildirilmelidir. Bu doktor, gebelikte gestasyonel diyabeti kesin olarak te\u015fhis edebilecek veya \u00e7\u00fcr\u00fctebilecek bir tetkik \u00f6nerecektir.<\/p>\n\n\n\n

      Kandaki \u015feker seviyesini \u00f6l\u00e7mek i\u00e7in ara\u015ft\u0131rma, 25. haftada, susuz glikoz kullan\u0131larak yap\u0131l\u0131r. Normal sonu\u00e7 5,1 mmol\/L \u00fcst\u00fcne \u00e7\u0131kmamal\u0131d\u0131r. Gestasyonel diyabetin tespiti i\u00e7in yap\u0131lan kan testinin, risk fakt\u00f6rleri ta\u015f\u0131mayan gruplarda bile en az iki kez ger\u00e7ekle\u015ftirildi\u011fini belirtmek isteriz. Bu, neden hastaneye erken haftalarda kay\u0131t yapt\u0131rman\u0131n \u00f6nemli oldu\u011funun bir nedenidir.<\/p>\n\n\n\n

      \"Gestasyonel<\/figure>\n\n\n\n

      Hamileler i\u00e7in GSD Beslenme Kurallar\u0131<\/h2>\n\n\n\n

      \u201cGestasyonel diyabet\u201d tan\u0131s\u0131 alan hamile bir kad\u0131n\u0131n yapmas\u0131 gereken en \u00f6nemli \u015fey beslenmesini d\u00fczene sokmakt\u0131r. \u0130ns\u00fclin \u00fcretimi bozuldu\u011funda, her \u00f6\u011f\u00fcn\u00fc dikkatle takip etmek \u00f6nemlidir, aksi takdirde, bunun sonu\u00e7lar\u0131n\u0131 sadece anne aday\u0131 de\u011fil, hen\u00fcz do\u011fmam\u0131\u015f bebek de hissedecektir. <\/p>\n\n\n\n

      \u00d6nemli! Uygun diyeti sadece doktor \u00f6nerebilir. A\u015fa\u011f\u0131da, v\u00fccudunuzun bireysel \u00f6zelliklerini dikkate almayan genel beslenme ilkeleri verilmi\u015ftir. Dolay\u0131s\u0131yla, hamilelikte GSD durumunda \u015funlar\u0131 yapmal\u0131s\u0131n\u0131z:<\/p>\n\n\n\n

        \n
      1. \u0130lk \u00f6neri, b\u00f6l\u00fcnm\u00fc\u015f beslenmeye ge\u00e7mektir. G\u00fcnl\u00fck olarak 3 tam \u00f6\u011f\u00fcn ve \u00fc\u00e7 ara \u00f6\u011f\u00fcn\u00fcn\u00fcz (gece i\u00e7in hafif bir ara \u00f6\u011f\u00fcn dahil) olmal\u0131d\u0131r. Yemek, son derece \u00f6nemli bir rol oynar.<\/li>\n\n\n\n
      2. Protein\/ya\u011f\/karbonhidrat da\u011f\u0131l\u0131m\u0131 ilkelerine 50:35:15 oran\u0131nda ba\u011fl\u0131 kal\u0131n. Bu, beslenme kalitesinin en basit g\u00f6stergesidir. Kolayl\u0131k i\u00e7in her \u00fcr\u00fcn i\u00e7in p\/y\/k g\u00f6stergelerine dair tabloyu kullan\u0131n.<\/li>\n\n\n\n
      3. Sadece temiz gazs\u0131z su i\u00e7, g\u00fcnde 1,5-2 litre.<\/li>\n\n\n\n
      4. GDM ile tamamen kolay sindirilebilir karbonhidratlardan ka\u00e7\u0131n\u0131lmal\u0131d\u0131r.<\/li>\n\n\n\n
      5. S\u00fct \u00fcr\u00fcnlerini g\u00fcn\u00fcn ikinci yar\u0131s\u0131nda ve \u00f6l\u00e7\u00fcl\u00fc \u015fekilde t\u00fcketin.<\/li>\n\n\n\n
      6. Diyetinizde \u015fekeri hem saf hem de i\u015flenmi\u015f halde reddedin. Ayn\u0131 \u015feyi gestasyonel diyabet i\u00e7in bal ile de yapman\u0131z gerekecek.<\/li>\n<\/ol>\n\n\n\n

        Diyet olduk\u00e7a kat\u0131 olabilir. Ona uymakta zorlan\u0131yorsan\u0131z, men\u00fcy\u00fc pi\u015firme y\u00f6ntemleriyle \u00e7e\u015fitlendirmeli ve \u00e7ok nadir olarak k\u00fc\u00e7\u00fck porsiyon “lezzetlerle” kendinizi \u015f\u0131martmal\u0131s\u0131n\u0131z (e\u011fer gebelikte gestasyonel diyabet durumu kritik de\u011filse ve sizin veya \u00e7ocu\u011funuzun ya\u015fam\u0131n\u0131 tehdit etmiyorsa).<\/p>\n\n\n\n

        \"Gestasyonel<\/figure>\n\n\n\n

        GDM i\u00e7in diyet men\u00fcs\u00fc<\/h2>\n\n\n\n

        Dengeli bir diyet, annenin ve bebe\u011fin t\u00fcm ihtiya\u00e7lar\u0131n\u0131 kar\u015f\u0131lamal\u0131, kad\u0131na hamilelik s\u00fcresince g\u00fc\u00e7 vermeli ve normal kan \u015fekeri seviyesinin korunmas\u0131n\u0131 sa\u011flamal\u0131d\u0131r. En uygun diyetin No.9 diyet tablosuna g\u00f6re oldu\u011fu d\u00fc\u015f\u00fcn\u00fclmektedir. Bu, belirli kriterleri kar\u015f\u0131layan bir dizi \u00fcr\u00fcn\u00fcn t\u00fcketimini ve di\u011ferlerinin tamamen hari\u00e7 tutulmas\u0131n\u0131 gerektirir. Gebelik \u015fekeri diyabetinde yenilebilecekler listesine \u015funlar dahildir:<\/p>\n\n\n\n

          \n
        1. \u00c7i\u011f, ha\u015flanm\u0131\u015f, f\u0131r\u0131nlanm\u0131\u015f ve buharda haz\u0131rlanm\u0131\u015f sebzeler. Ni\u015fastal\u0131 sebzeler ve havu\u00e7 yasakt\u0131r. \u0130nternette izin verilen meyve ve sebzelerin tam tablosunu bulabilirsiniz.\u00a0<\/li>\n\n\n\n
        2. Ek\u015fi meyveler ve meyveler, tatl\u0131 olanlar s\u0131k\u0131 bir \u015fekilde s\u0131n\u0131rlanmal\u0131d\u0131r.<\/li>\n\n\n\n
        3. Tah\u0131llar. Ancak irmik yasakt\u0131r.<\/li>\n\n\n\n
        4. Do\u011fal lor peyniri ve peynir.<\/li>\n\n\n\n
        5. GSD’de \u00e7avdar ekme\u011fi yenilebilir.<\/li>\n\n\n\n
        6. Tavuk, hindi, tav\u015fan, s\u0131\u011f\u0131r eti ve tavuk yumurtas\u0131.<\/li>\n\n\n\n
        7. Mantar, baklagiller, ye\u015fillikler.<\/li>\n\n\n\n
        8. Gebelik diyabetinde ceviz gibi kuruyemi\u015fleri az miktarda t\u00fcketmek faydal\u0131d\u0131r.<\/li>\n<\/ol>\n\n\n\n

          Her t\u00fcrl\u00fc i\u015flenmi\u015f g\u0131da, \u015fekerli \u00fcr\u00fcnler, yar\u0131 mamuller, tatl\u0131 meyveler ve tereya\u011f\u0131 diyete uygun \u015fekilde s\u0131n\u0131rland\u0131r\u0131lmal\u0131 veya m\u00fcmk\u00fcnse tamamen \u00e7\u0131kar\u0131lmal\u0131d\u0131r. Bu \u00f6neri, hastal\u0131k riskini azaltmaya yard\u0131mc\u0131 olur. \u00d6nemli olan, bu makalenin sadece beslenme davran\u0131\u015f\u0131n\u0131z i\u00e7in bir y\u00f6n bulman\u0131za yard\u0131mc\u0131 oldu\u011fudur; en iyi \u00f6nerileri doktorunuzdan alabilirsiniz. <\/p>\n\n\n\n

          \"Gestasyonel<\/figure>\n\n\n\n

          Gestasyonel diyabet ne kadar tehlikeli<\/h2>\n\n\n\n

          Diyabet tehlikeli bir hastal\u0131kt\u0131r. Bir\u00e7ok s\u0131k\u0131nt\u0131ya yol a\u00e7abilir. Sonu\u00e7lar\u0131 \u00f6nlemek i\u00e7in, hamilelik s\u0131ras\u0131nda gestasyonel diyabeti (gsg) zaman\u0131nda te\u015fhis etmek ve durumu \u2018d\u00fczeltmek\u2019 i\u00e7in \u00f6nlemler almak \u00f6nemlidir. Peki, gestasyonel diyabet ne kadar tehlikeli? \u0130\u015fte mbk’ya g\u00f6re birka\u00e7 sonu\u00e7: <\/p>\n\n\n\n

            \n
          1. Kilo al\u0131m\u0131. Bu sadece anne aday\u0131 i\u00e7in sa\u011fl\u0131\u011fa zararl\u0131 de\u011fil, ayn\u0131 zamanda do\u011fum s\u0131ras\u0131nda komplikasyonlara yol a\u00e7abilir.<\/li>\n\n\n\n
          2. Gestasyonel diyabette kas\u0131lmalar ortaya \u00e7\u0131kabilir.<\/li>\n\n\n\n
          3. Preeklampsi art\u0131\u015f\u0131, sezaryen yap\u0131lmas\u0131n\u0131 gerektirebilir.<\/li>\n\n\n\n
          4. Do\u011fumdan sonra GDM geli\u015fimi.<\/li>\n\n\n\n
          5. Hen\u00fcz do\u011fmam\u0131\u015f bebekte obezite.<\/li>\n\n\n\n
          6. Hamilelik s\u0131ras\u0131nda GDM, plasentan\u0131n erken ya\u015flanmas\u0131na yol a\u00e7ar, bu da bebe\u011fin normal \u015fekilde ta\u015f\u0131nmas\u0131n\u0131 engeller.<\/li>\n\n\n\n
          7. Bebe\u011fin geli\u015fiminde gecikme.<\/li>\n\n\n\n
          8. Polihidramnios.<\/li>\n\n\n\n
          9. Erken do\u011fum.<\/li>\n\n\n\n
          10. Do\u011fum s\u0131ras\u0131nda bebek ve annenin yaralanmas\u0131.<\/li>\n<\/ol>\n\n\n\n

            A\u011f\u0131r vakalarda, GDM fet\u00fcs i\u00e7in geri d\u00f6n\u00fclmez sonu\u00e7lara yol a\u00e7abilir. G\u00f6rd\u00fc\u011f\u00fcn\u00fcz gibi, sonu\u00e7lar\u0131n listesi k\u00fc\u00e7\u00fcmsenmeyecek kadar uzun ve bunlardan hi\u00e7biri basit de\u011fildir. Baz\u0131 durumlarda ins\u00fclin tedavisi gereklidir. Bu y\u00fczden, d\u00fczenli doktor kontrollerine zaman\u0131nda gitmek, sa\u011fl\u0131\u011f\u0131n\u0131zla ilgili t\u00fcm sorunlar\u0131 dile getirmek (size \u00f6nemsiz g\u00f6r\u00fcnseler bile) ve en \u00f6nemlisi, t\u00fcm re\u00e7etelendirilmi\u015f testleri zaman\u0131nda ve do\u011fru bir \u015fekilde yapt\u0131rmak \u00f6nemlidir. <\/p>\n\n\n\n

            \"Gestasyonel<\/figure>\n\n\n\n

            GDM’nin Olu\u015fmas\u0131n\u0131 \u00d6nleme Temel Kurallar\u0131<\/h2>\n\n\n\n

            GDM olu\u015fumunu tahmin etmek neredeyse imkans\u0131zd\u0131r. Ancak, GDM geli\u015fimini \u00f6nlemek i\u00e7in \u00f6nlemler al\u0131nabilir. E\u011fer risk fakt\u00f6rleriniz varsa veya GDM olu\u015fma ihtimalini d\u00fc\u015f\u00fcn\u00fcyorsan\u0131z, hamilelik s\u0131ras\u0131nda GDM’yi \u00f6nlemenin temel ilkelerini takip etmek \u00f6nemlidir:<\/p>\n\n\n\n

              \n
            1. M\u00fcmk\u00fcn oldu\u011funca taze meyve, sebze, ya\u011fs\u0131z et ve bal\u0131k ve di\u011fer izin verilen g\u0131dalar\u0131 t\u00fcketin. Gestasyonel diyabetteki diyet dengeli olmal\u0131 ve vitamin a\u00e7\u0131s\u0131ndan zengin olmal\u0131d\u0131r. Belirlenen diyete uyarak ve sadece izin verilen g\u0131dalar\u0131 t\u00fcketerek, ila\u00e7lar olmadan \u015fa\u015f\u0131rt\u0131c\u0131 sonu\u00e7lar elde edebilirsiniz.<\/li>\n\n\n\n
            2. G\u00fcnl\u00fck yakla\u015f\u0131k 2500 kilokalori t\u00fcketin. Bu, sa\u011fl\u0131kl\u0131 bir gebelik ta\u015f\u0131ma i\u00e7in g\u00fcnl\u00fck normdur. “Diyet” kelimesinin kesinlikle “a\u00e7l\u0131k” anlam\u0131na gelmedi\u011fini unutmay\u0131n. Diyet sadece sizin iyi hissetmenize etki etmelidir, a\u00e7l\u0131k hissinize de\u011fil.<\/li>\n\n\n\n
            3. Gestasyonel diyabet durumunda orta dereceli fiziksel aktiviteler \u00e7ok gereklidir. Spor yapman\u0131z m\u00fchimdir. Bu, evde egzersiz, y\u00fczme, yoga, hamile aerobiki vb. olabilir. Spor t\u00fcr\u00fcn\u00fcn, anne aday\u0131 olarak size uygun olmas\u0131 \u00f6nemlidir. 2021 y\u0131l\u0131nda yap\u0131lan ara\u015ft\u0131rmalara g\u00f6re, spor yapman\u0131n hamilelikte gestasyonel diyabet geli\u015ftirme riskini y\u00fczde 29 oran\u0131nda d\u00fc\u015f\u00fcrd\u00fc\u011f\u00fc g\u00f6r\u00fclm\u00fc\u015ft\u00fcr. Bu, \u00f6nleme y\u00f6nteminin se\u00e7iminde kriter de\u011fil midir?<\/li>\n<\/ol>\n\n\n\n

              Sa\u011fl\u0131kl\u0131 beslenme, pozitif d\u00fc\u015f\u00fcnce ve doktorunuzun s\u00fcrekli kontrol\u00fc, hamilelikte gestasyonel diyabet tan\u0131s\u0131n\u0131n olu\u015fmas\u0131n\u0131 ve geli\u015fmesini \u00f6nlemeye yard\u0131mc\u0131 olacakt\u0131r. Bu hassas d\u00f6nemde, sizin ve bebe\u011finizin sa\u011fl\u0131\u011f\u0131 tamamen sizin ellerinizdedir. Doktora zaman\u0131nda ba\u015fvurmazsan\u0131z, ins\u00fclin tedavisi gerekebilir.<\/p>\n","protected":false},"excerpt":{"rendered":"

              Diyabet. Bu hastal\u0131k, hi\u00e7 rahats\u0131z olmam\u0131\u015f ya da oldu\u011funu d\u00fc\u015f\u00fcnmeyen ki\u015filere bile tan\u0131d\u0131k gelebilir. Bazen hastal\u0131k \u00e7ocukluktan beri neredeyse belirti g\u00f6stermeden ilerler ve tedavi gerektirmezken,…<\/p>\n","protected":false},"author":11,"featured_media":7320,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","tstyn_error":""},"categories":[757],"tags":[],"class_list":["post-10860","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-gebelik-tr"],"yoast_head":"\nGebelikte Gestasyonel Diyabet - Nedenleri, Sonu\u00e7lar\u0131<\/title>\n<meta name=\"description\" content=\"Gestasyonel diyabet ciddi sonu\u00e7lara yol a\u00e7abilir. Hem anne aday\u0131 hem de bebek i\u00e7in tehlikelidir. 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