純潔 發問時間: 社會與文化語言 · 1 0 年前

很急~拜託!!幫我翻譯這一段有關妊娠糖尿病

Definition:

1.Gestational diabetes mellitus(GDM) is defined as any degree of glucose intolerance with onset or first recognition during pregnancy.

2.Prevalence: 1~14%,depending on the population studies and diagnostic tests employed; In USA: about 4%

3.Undertreatment or overtreatment?

Detection: The risks to the fetus increase in a continous fashion with increasing maternal glycemia.

Screening:

1.Risk assessment for GDM should be undertaken at the first prenatal visit.( table 1)

High risk: do glucose test as soon as possible and repeated at 24-28wks of gestation if initial screening is negative

Average risk:do glucose test at 24-28 wks of gestation

Low risk: require no glucose test

2.One-step approach: performed a diagnostic oral glucose tolerance test(OGTT) without prior plasma or serum screening(cost-effective in high-risk patients or population,eg: some Native-American groups)

3.Two-step approach: perform an initial screening by measuring the plasma or serum glucose concentration 1 h after 50g oral glucose load(glucose challenge test),and performed a diagnostic OGTT on that subset of women exceeding the glucose threshold value on the GCT(see table 2)

 

Diagnosis:see table 3

NDDG,4th International Workshop

Conference on Gestational DM, WHO:

1.100g oral glucose tolerance test(3 hours test)

& 75 g oral glucose tolerance test(2 hours test)

 at present there are no data on perinatal or

maternal outcomes to support the use of

criteria.,but 100 g OGTT seems is better than

75g OGTT

2.If fasting plasma glucose level>126 mg/dl

or a casual plasma glucose >200 mg/dl

 Confirm on a subsequent days

 Diabetes mellitus will be Dx

 no need OGTT or GCT

1 個解答

評分
  • 良少
    Lv 4
    1 0 年前
    最佳解答

    定義:

    1.Gestational糖尿病mellitus (GDM)被定義成任何程度葡萄糖不寬容以起始或第一公認在懷孕期間。

    2.Prevalence : 1~14%,根據人口研究和診斷測試使用了; 在美國: 大約4%

    3.Undertreatment或overtreatment ?

    偵查: 風險對於胎兒增加連續的時尚隨著母親glycemia的增加。

    掩護:

    1.Risk應該承擔評估為GDM在第一次產前參觀。(表1)

    高風險: 如果最初的掩護是消極的,儘快做葡萄糖測試和重覆在懷孕24-28wks

    平均風險:做葡萄糖測試在懷孕24-28 wks

    低風險: 不要要求葡萄糖測試

    2.One步方法: 執行了一個診斷口頭糖耐量試驗(OGTT),不用預先的血漿或清液掩護(有效在高風險患者或人口,即: 一些當地美國小組)

    3.Two步方法: 進行最初的掩護通過測量血漿或清液葡萄糖含量1 h在50g口頭葡萄糖裝載(葡萄糖挑戰測試)以後,并且執行了診斷OGTT在超出葡萄糖閾值在GCT的婦女的那個子集(參見表2)

     

    診斷:看見表3

    NDDG,第4個國際車間

    關於Gestational DM,世界衛生組織的會議:

    1.100g口頭糖耐量試驗(3個小時測試)

    & 75 g口頭糖耐量試驗(2個小時測試)

    當前那裡是關於出生時期前後的沒有數據或

    支持用途的母親結果

    標準。,但100 g OGTT似乎好比

    75g OGTT

    2.If齋戒的血漿葡萄糖水平>126 mg/dl

    或偶然血漿葡萄糖 >200 mg/dl

    在證實隨後天

    糖尿病mellitus將是Dx

    沒有需要OGTT或GCT

    參考資料: 自己
還有問題?馬上發問,尋求解答。