Gwajin haƙuri a lokacin daukar ciki: shin ya zama dole?

Cutar juna biyu na daga cikin mawuyacin matakai a rayuwar kowace mace. Musamman yana cutar da lafiyar ta, tunda daga farkon kuma a duk tsawon watanni 9 har zuwa haihuwar, aiwatarwa da yawa suna faruwa a jikin mahaifiyar mai jira, daga cikin canje-canje a cikin ma'aunin carbohydrate suna taka muhimmiyar rawa.

Kyautatawar uwa da yaro ya dogara ne kan yadda daidai wadannan hanyoyin zasu ci gaba. Don binciken su ne mata masu juna biyu akai-akai na yin gwaje-gwaje da yawa, wanda a ciki wanda gwajin haƙuri na glucose yake da muhimmanci.

Me yasa?

Yawancin mata suna jin tsoron yawaitar gwaje-gwajen gwaje-gwajen kwayoyin halitta. Wannan shi ne wani bangare saboda tsoro don lafiyar lafiyar bornan da ba a haifa ba, kuma wani ɓangare saboda ƙin yarda da batun kansa ga gwaje-gwaje na gaba, wanda likitoci suka tsara kuma suna da yawa. Amma duk da tsoron ragewar GTT - ana ɗaukar gwajin haƙuri na glucose ya zama dole ga kowace mace mai juna biyu. Da wuya ake keɓancewa yayin aiwatar da shi bisa ga alamu.

Babban maƙasudin gwajin haƙuri na glucose shine ƙayyade matsayin yawan sukari a cikin jikin mace mai ciki.

Wannan binciken ana kuma kiransa "nauyin sukari," saboda ya ƙunshi gudanar da wani adadin glucose a ciki. A matsayinka na mai mulkin, ana amfani da hanyar baka don wannan.

Yawancin mata masu juna biyu galibi suna da tunanin jin cewa wannan gwajin ba shi da ƙima sosai idan aka kwatanta da duban dan tayi ko kuma gwaje-gwaje don abubuwan da ke cikin hCG. A saboda wannan dalili, suna ƙoƙarin yin watsi da shi. Koyaya, ta yin hakan, haɗarin ku ba kawai lafiyar ku bane, har ma da makomar jaririn ku.

Duk wata mace a lokacin haila ta kai tsaye ta fada cikin hadarin mutane wadanda zasu iya kamuwa da cutar sankara. A wannan yanayin, ana kuma kiranta ciwon sukari, saboda an kirkireshi kuma yana tasowa sakamakon yawan canje-canje da ba'a iya sarrafawa a jikin matar.

Ga mace mai ciki, a matsayin mai mulkin, wannan nau'in ciwon sukari bashi da wata barazana. Haka kuma, yakan wuce kansa kai tsaye bayan haihuwa, lokacin da duk kirdadon jini ya koma daidai. Koyaya, in babu ingantacciyar hanyar kula da lafiya, irin wannan cutar na iya cutar da jijiyoyin jiki da kuma ci gaba da tayi.

A wasu halaye, ciwon sukari ya zama wani nau'in cutar sikari da nau'in ciwon sukari na 2. Haka kuma, hakika ana daukar kwayar cutar ne daga uwa zuwa tayi.

Binciken mata masu juna biyu game da wannan hanyar bincike ya tabbatar da cewa ba zai bukaci wani kokarin daga gare ku ba, ba kuma zai sami illa a kanku ko yaranku ba. Yana biye da hakan Gwajin haƙuri da haƙuri zai iya kuma yakamata a yi shi a kan kari, amma ƙin hakan yana sanya lafiyar yaran nan gaba cikin haɗari.

Har yaushe?

A cewar ka'idojin likita, ana yin gwaji don haƙuri a cikin glucose ga kowace mace mai juna biyu a wasu kwanakin haihuwa. Yau al'ada ce ta bambanta manyan matakai biyu:

1. Mataki na farko wajibi ne ga kowace mace, saboda tana ba ku damar gano alamomi da haɗarin kamuwa da cutar sankarar mahaifa. Ana yin gwaji ga kowace mace mai juna biyu har zuwa makonni 24 a cikin ziyarar farko ga kowace ƙwararrun likita.
2. A mataki na biyu, ana gudanar da gwaji na musamman tare da nauyin 75 grams na glucose wanda aka ɗauka a baka. Yawanci, ana gudanar da irin wannan binciken har zuwa makonni 32, a matsakaici a makonni 26-28. Idan ana zargin hatsarin kamuwa da cutar suga ta hanji wanda ke barazanar rashin lafiyar tayin, alal misali, lokacin da aka gano sukari a cikin fitsarin mace mai juna biyu, to za a iya aiwatar da matakin na biyu na gwajin haƙuri a cikin jini da wuri.

Gwajin farko, wanda ake yi a matakin farko, ya kunshi ma'auni mai sauki na matakin glucose a cikin jinin mace mai ciki bayan karamar azumin (kusan awa 8). Wasu lokuta ana yarda da gwaje-gwaje ba tare da canza abincin ba. Idan a sakamakon hakan akwai karkacewar hanya kadan ga misali, alal misali, glucose na jini bai wuce raka'a 11 ba, to ana daukar irin wannan bayanan a matsayin mai inganci.

Yawancin lokaci alamomi tsakanin 7.7 da 11.1 ba alama ce bayyananniyar alamun cutar ba. Koyaya, suna iya magana game da haɗarin haɓakar haɓakar ciwon sukari, saboda haka, mataki na biyu na gwajin ana aiwatar da shi ne bayan 'yan kwanaki na PHTT (bayan gwajin haƙuri).

A wasu halaye, ana yin samfurori a waje da lokacin da aka kayyade. Wannan yawanci wajibi ne idan likita yana da shakku game da haɗarin haɗarin kamuwa da ciwon sukari ga matar mai juna biyu, ko yayin lokacin haihuwa akwai alamun rikice-rikice na fili waɗanda zasu iya cutar da ma'aunin carbohydrates. Waɗannan halaye masu kama sun haɗa da masu zuwa:

• Mace mai ciki ta wuce kiba. Yawancin lokaci ana iya faɗi wannan idan ƙirar jikin mace ta wuce 30. Ko da al'ada, a cikin rashin ɗaukar ciki, wuce haddi na adipose nama yana kara yiwuwar haɓakar ciwon sukari, sabili da haka, a lokacin lokacin haila, irin waɗannan mata suna da yawa a cikin ƙungiyar da ke ƙaruwa. hadarin.
• Gano sukari yayin urinalysis. Keɓin ƙwayar glucose mai yawa daga ƙodan da farko yana nuna cewa akwai wasu matsaloli tare da sha na carbohydrates a jiki.
• Mace ta riga ta sami tarihin ciwon sukari a lokacin haihuwar da ta gabata.
• Iyayen ɗan da ba a haife su ba ko kuma danginsu na kusa, misali, uba, iyayen mahaifiyar, suna da kowane irin ciwon sukari.
• Mace mai ciki tana dauke da cutar fitsari.
• A kowane ɗayan ciki na baya, an lura da haihuwar babba ko jinkirta haihuwa.
• Lokacin da aka yi la'akari da mace mai ciki, binciken glucose na jini ya nuna sakamako sama da 5.1.

Hakanan yana da mahimmanci a lura cewa a wasu yanayi, likitocin kansu sun ƙi gudanar da irin wannan binciken. Akwai yanayi inda saukewar glucose zai iya yin mummunan tasiri ga mace mai ciki ko ɗanta.

Dukkanin waɗannan suna ɗaukar contraindications wa gwajin haƙuri haƙuri:

• farkon guba daga mace mai ciki,
• Yanayin mace a yanzu yana bukatar hutawa,
• Tarihin mace yana da cututtuka na ƙwayar gastrointestinal, sakamakon abin da aka gudanar da ayyukan tiyata,
• kasancewar kowane mai saurin kamuwa da kumburi ko wuce gona da iri na cututtukan cututtukan hanji,
• kasancewar kowace cuta mai saurin kamuwa da cuta tare da aiki mai kumburi.

Shirye-shiryen Nazarin

Don guje wa karkacewar da ba a so a cikin bayanan bincike na GTT, ya zama dole a shirya daidai don aiwatarwa. Nasarar likitoci ta dogara ne da yadda macen da take da ciki ta shafi lafiyar ta, saboda haka, kafin binciken, ana bada shawarar mata masu juna biyu:

• Tabbataccen ingantaccen abinci na akalla kwanaki 3 kafin gwajin. Yana da kyau cewa abincin yau da kullun ya ƙunshi akalla gram 150 na carbohydrates don aiwatar da nauyin da aka saba akan jiki.
• Abincin da ya gabata kafin GTT yakamata ya ƙunshi kimanin gram 50-60 na carbohydrates.
• A ranar juma’ar gwaji, kamar awanni 8-14 kafin fara karatun, cikakken azumi ya zama tilas. Yawanci wannan agogon dare ne, saboda ana yin gwajin ne da safe. A lokaci guda, tsarin shaye-shaye ba shi da iyaka.

• Hakanan, a rana mai zuwa kafin gwaje-gwajen, ya zama dole don ware yawan ƙwayoyin da ke ɗauke da sukari ko glucose mai tsabta a cikin abubuwan da suke ciki. Hakanan bai kamata a ɗauka yawancin glucocorticosteroids, beta-blockers, da beta-adrenergic agonists ba. Zai fi kyau a sha duk waɗannan magunguna bayan GTT, ko sanar da likitanka game da shigarwar su don ya iya fassara sakamakon gwajin daidai.
• Hakanan yakamata ku sanar da likitan ku idan kuna shan ƙwayoyin progesterone ko kwayoyi masu ɗauke da ƙwayoyin cuta.
• A mafi yawan lokuta, ana bada shawara sosai cewa ka daina shan sigari, ka kuma kula da hutawa ta jiki har zuwa ƙarshen gwajin.

Yaya ake yin ta?

A matsayinka na mai mulkin, ana yin GTT ta hanyar azabtar da jini. Duk abin da ake buƙata na mace mai ciki ita ce bin ƙa'idodin shiri don gwajin, isa dakin gwaje-gwaje a lokaci don ɗaukar jini daga jijiya, sannan jira sakamakon.

Idan an riga an matakin farko matakin ƙayyade matakin glucose na jini, dangane da mata masu juna biyu waɗannan lambobi ne daga 11.1 kuma mafi girma, to binciken ya ƙare, mai haƙuri an riga an kamo shi da cutar sankamar mahaifa kuma an aika shi don tattaunawa tare da ƙwararren masanin ilimin halittar jini.

Idan gwajin ya nuna ƙarancin abin da ba a yarda da babba ba, to ana yin gwajin haƙuri na glucose mai sau da yawa. Don yin wannan, mace ta sha gram 75 na bushewar glucose, wanda aka tsattsage ta a kusan mil 350 na tsabtataccen ruwa a zazzabi a ɗakin, kuma awa daya bayan wannan, ana maimaita gwajin jini. A wannan halin, ba'a yarda da samfurin jini daga jijiya ba, amma daga yatsa.

Dogaro da alamu, ana iya maimaita gwajin jini sau da yawa, misali, awanni biyu bayan ciwan glucose, awanni uku bayan haka, da sauransu. Don haka, akwai zaɓuɓɓuka da yawa don GTT na baki, dangane da lokacin samarwa na jini: sa'o'i biyu, sa'o'i uku, sa'o'i huɗu, da sauransu.

Bayyana sakamakon

Tabbas, tunda daukar ciki wata hanya ce mai rikitarwa, matakin glucose a jikin mace zai karu a kowane yanayi. Koyaya, akwai wasu ka'idoji waɗanda hanyar waɗannan alamura zasu kasance:

1. 5.1 mmol / l. Tare da azumi na farko,
2. 10 mmol / l. - Idan ana nazarin 1 awa bayan shan glucose a baki,
3. 8.6 mmol / l. - 2 hours bayan shan glucose,
4. 7.8 mmol / L. - 3 hours bayan saukar glucose.

A matsayinka na doka, idan aƙalla biyu daga cikin alamun da ke sama suna waje da yanayin al'ada, wannan yana nuna cewa matar da take da ciki ta gajiya da haƙurin glucose. Sabili da haka, likitoci na iya zargin babban haɗari ko ma kasancewar cutar sankarar mahaifa.

Kar ku manta cewa a wasu yanayi, gwaji na biyu na iya zama mai cutarwa, tunda jinginar glucose yana haifar da alamomin bayyanar mace a mace.

Waɗannan sun haɗa da rashin tsoro, tashin zuciya, duhu a idanu, amai, ɗumi. Don kowane ɗayan waɗannan alamun, ma'aikatan asibiti ko ma'aikatan dakin gwaje-gwaje ya kamata su dakatar da gwajin kuma su ba wa mace mai juna biyu taimako na farko tare da barazanar cutar hauka.

Ga yadda kuma me yasa aka ba da gwajin haƙuri a cikin glucose yayin daukar ciki, duba bidiyo na gaba.

Menene gwajin haƙuri a jiki?

Hormones da ke ɓoye a lokacin daukar ciki na iya ƙara yawan glucose na jini. An ƙaddara wannan da gangar jiki. A sakamakon haka, nauyin da ke kan farji yana ƙaruwa, kuma zai iya kasawa. Ta hanyar ƙa'idodi, mata a cikin matsayin sukari na jini ya kamata su zama ƙasa da marasa ciki. Bayan haka, babban matakan glucose yana nuna cewa jikin mace mai ciki ba ta samar da isasshen insulin ba, wanda ya kamata ya tsara sukarin jini.

Yanayi ya kula sosai don kare cututtukan da ke tattare da cututtukan jarirai wanda ke fitowa daga yawan sukari. Amma tunda abincin mace mai ciki, a matsayinta, an cika shi da carbohydrates, cutar ƙwayar cuta ta yara tana fuskantar nauyi a cikin mahaifar. Karanta wani taimako mai taimako kan Sweets lokacin daukar ciki >>>

Menene gwajin haƙuri na glucose (GTT) da ake yi yayin daukar ciki?

Wajibi ne don gano yadda ake samun glucose a jikin matar mai juna biyu, idan akwai wasu take hakki. Tare da taimakonsa, zaku iya tabbatar da kamuwa da cutar sankarar mellitus, don kimanta isasshen aikin cututtukan fata.

A cikin tsarin kula da juna biyu na gwamnatin tarayya, GTT an haɗa shi a cikin 2013, yana tantance haɗari da yiwuwar sakamakon cutar sikila ga jarirai (fetoplacental insufficiency, hypoglycemia, da dai sauransu) da wata mace mai ciki (preeclampsia, pre haihuwa, polyhydramnios, da sauransu).

An yi imanin cewa yawancin waɗannan mata masu juna biyu waɗanda suka fara gano matakan haɓaka glucose suna da matsaloli tare da aiki da ƙwayar sukari da insulin kafin ɗaukar ciki. Amma irin wannan cin zarafin ba shi da ma'ana. Sabili da haka, gano ciwon sukari a cikin wani lokaci yana da mahimmanci.

GTT ba tsari bane mai daɗi. Ana yin gwaji a makonni 24 - 28 na ciki. A wata kwanan wata, gwajin na iya zama lahani ga tayin. Ana ba wa mata damar shan ruwan giyar da zaƙi mai ɗumbin yawa tare da g 75 na glucose (kimanin cokali 20 na sukari) kuma yayin aiwatar da gudummawar jini daga jijiya sau da yawa. Ga mutane da yawa, gwajin ya zama gwaji na ainihi, kuma rauni, tashin zuciya da farin ciki ba su ɗaukar dogon lokaci.

Mahimmanci! Ana buƙatar dakin gwaje-gwajen inda ake yin GTT don samar wa mace mai juna biyu tanadin maganin glucose da aka shirya. Ta hanyar taimakonsa ne kawai zai yuwu a sami wadataccen sakamako. Idan an nemi mace ta kawo sukari, ruwa, ko wani irin abinci tare da ita, zai fi kyau a bar irin waɗannan karatun nan da nan.

Alamu da contraindications ga GTT

Alamu ga gwajin:

• Indexididdigar taro na jiki daidai yake da 30 kg / m2 ko ya zarce wannan alamar,
• haihuwar babba (nauyinta ya wuce kilo 4) a cikin haihuwa na baya,
• babban matsin lamba
• ciwon zuciya
• tarihin sake haihuwa,
• ciwon sukari a cikin dangi,
• cututtukan mahaifa a baya
• fibroids, ovaries polycystic ko endometriosis kafin daukar ciki.

A lokaci guda, ba a ba da shawarar GTT ba a cikin lamurran da ke tafe:

1. Tare da guba (ƙarin game da guba a lokacin daukar ciki >>>),
2. bayan tiyata a kan ciki sakamakon malabsorption,
3. tare da ulcers da kumburi mai narkewa na narkewa,
4. a cikin m cututtuka ko mai kumburi tsari a cikin jiki,
5. tare da wasu cututtukan endocrine,
6. lokacin shan magunguna waɗanda ke canza matakan glucose.

Shiri don gwajin da hanya

An ba da shawarar duk matan da ba a samo su da haɓakar glucose ba fiye da 5,1 mmol / l a cikin jininsu har zuwa makonni 24 don yin gwajin GTT don kawar da ciwon sukari asymptomatic.

Yadda za a shirya don gwajin haƙuri na glucose yayin daukar ciki? Mace mai ciki ba za ta ci komai ba 8 sa'o'i kafin binciken da aka gabatar. A lokaci guda, yana da kyau ku ci farantin da ke ɗauke da carbohydrates da dare. Misali, cokali 6 na garin gyada ko yanka burodi guda 3. Yi hankali da guji damuwa da damuwa ta jiki ranar da kafin GTT.

Game da yadda ake gudanar da gwajin haƙuri na glucose yayin daukar ciki, zaku iya tambayar likitanka dalla-dalla game da dukkan abubuwanda suka faru. A mafi ƙarancin koke-koken lafiya (ƙoshin hanci, malaise), yana da kyau a jinkirta gwajin, saboda wannan na iya gurbata sakamakon. Ya kamata ka gaya wa likitanka game da magungunan da kake shan. Zai yiwu kuma suna iya shafan bincike.

Yawancin lokaci hanya tana kama da wannan: mace mai ciki tana ba da jini a kan komai a ciki. An cire kofi da shayi da safe! Bayan an dauki jini don bincike, ana ba wa matar ta sha maganin glucose. A tsakanin tsaran 1 awa, matar mai ciki ta ba da gudummawar jini sau biyu.A wannan lokacin, ba a ba macen damar ci, ko ta sha, ko ta zama mai motsa jiki, saboda duk wannan na iya shafan sakamakon karshe na gwaje-gwajen. A cikin mata masu lafiya, 'yan awanni bayan shan glucose, sukari jini yakamata ya koma al'ada.

Mahimmanci! Idan an lura da rashin lafiyar metabolism na mace kafin haihuwa, ko kuma an riga an samo ta lokacin aiwatar da yaro, zai fi kyau a ɗauki gwajin haƙuri a cikin makonni 25.

Yaya za a kimanta sakamakon?

Yin amfani da gwajin haƙuri na glucose, zaku iya waƙa da canje-canje a matakan sukari na jini. Kuma akwai wasu canje-canje a cikin alamu kwata-kwata. Yana da ma'ana cewa bayan shan maganin glucose, yawan sukari a cikin jini yana ƙaruwa sosai, amma bayan aan awanni wannan adadi ya isa matakin farko.

Ana iya tuhumar cutar sankarar mahaifa idan azumcin glucose ya wuce Azumi / kashi 5.3. Mace ta faɗi cikin haɗarin idan, bayan awa daya bayan binciken, wannan alamar ta fi 10 mmol / L, kuma bayan sa'o'i 2 ya wuce 8.6 mmol / L.

A sakamakon haka, halayen gwajin haƙuri a lokacin haila zai yi ƙasa da waɗannan alamun. Za'a iya gano cutar ta ƙarshe bayan gwaji na biyu da aka gudanar akan wata. Bayan haka, ba za a iya fitar da sakamakon gaskiya ba idan aka aiwatar da shirye-shiryen GTT ba daidai ba.

Me kuma kuke buƙatar sani game da gwajin haƙuri na glucose a lokacin daukar ciki kafin ɗauka? Sakamakon GTT na iya zama ba daidai ba idan kuna da aikin hanta mai rikicewa, ƙananan abun ciki na potassium a cikin jiki ko akwai cututtukan endocrine.

Shawara don mata masu juna biyu

Idan duk karatun sunyi daidai, kuma matar har yanzu tana bayyana ciwon sukari, wannan ba yana nufin cewa kuna buƙatar ɗaukar shirye-shiryen insulin bane. A kusan kashi 80 - 90% na lokuta, sassauci ga tsarin abinci da salon rayuwa sun isa sosai. Yarda da abinci, abinci mai cike da abinci mai kyau a cikin kayan lambu da 'ya'yan itatuwa masu kyau, motsa jiki na yau da kullun, a hankali rage sukarin jini kuma ku guji magunguna.

Don ingantaccen abinci mai gina jiki, duba littafin e-littafin Asiri na ingantaccen abinci mai gina jiki ga uwar da ke zuwa >>>

Matsayin rikice-rikice na ciki da haihuwa yayin cutar sankara, wanda ba a gano shi ba saboda kowane dalili, har yanzu yana ragu sosai. Amma idan an gano cutar, shi, akasin haka, a wasu yanayi na iya yin mummunar cutar da yanayin matar. Kullum ziyarar zuwa asibiti da gwaje-gwaje na dakin likita na iya yin illa ga lafiyar masu ciki.

Kimanin wata daya da rabi bayan haihuwa, mata zasu sake yin gwajin haƙuri a cikin gwajin, wanda zai nuna ko da ciwon sukari da gaske yana da alaƙa da "yanayin mai ban sha'awa". Bincike na iya tabbatar da cewa matakan glucose sun koma al'ada.

Me suke yi?

Sau da yawa, uwaye masu fata suna tambayar likitoci dalilin da yasa ake rubuta su don yin gwajin haƙuri idan ba sa cikin haɗarin. Idan an gano matakan sukari mai yawa na jini, matakai da yawa ana yarda da juna biyu.

Sanya kowa da kowa azaman prophylaxis

Yin ɗa yara lokaci ne na babban canje-canje a cikin mace. Amma waɗannan canje-canjen ba koyaushe suke don mafi kyau ba. Jikin yana fuskantar manyan canje-canje, yana haifar da jariri nan gaba.

Ganin irin manyan abubuwan da jiki ke ɗauka gabaɗaya, wasu cututtukan suna fitowa ne kawai a lokacin tsammanin yarinyar. Irin waɗannan cututtukan sun haɗa da ciwon sukari.

A cikin waɗannan halayen, daukar ciki ya zama wani abu mai saurin motsa jiki don latsewar cutar. Sabili da haka, azaman matakan hanawa, nazarin GTT yayin daukar ciki yana da mahimmanci kuma yana da mahimmanci.

Abin da ke da haɗari

Binciken kanta ba mai haɗari bane. Wannan ya shafi gwajin mara nauyi.

Dangane da binciken da aka gudanar tare da motsa jiki, “yawan shan ruwa” na sukari jini yana yiwuwa. Wannan na faruwa ne kawai lokacin da mace mai ciki tana da matakin glucose, amma akwai alamun da ke nuna alamar taɓar metabolism.

Ba a aiwatar da OGTTs ba don komai ba. A lokacin daukar ciki, ana gwada nauyin aƙalla sau 2 kuma kawai idan akwai babbar damuwa game da ciwon sukari. Duk da yake ana bayar da jini sau ɗaya sau uku ba tare da lalacewa ba, saboda haka, ana iya samun matakin sukari a cikin jini ba tare da ƙarin kaya ba.

Ku ci 'ya'yan itatuwa daban-daban

Kamar kowane tsarin aikin likita, GTT yana da nau'ikan contraindications, a cikinsu:

• na cikin gida ko rashin haƙuri na glucose,
• kumburi da cututtukan cututtukan fata na ciki (na ciki, cuta, da sauransu),
• hoto ko bidiyo mai zagaya yanar gizo da sauri cututtuka (ko pathologies wani yanayi),
• tsananin cutar da guba.

Idan babu contraindications guda daya, gwajin bashi da hadari koda a lokacin daukar ciki. Bugu da kari, kuna yin hukunci ta hanyar bita, bai gabatar da rashin jin daɗi sosai yayin gudanar da aikin ba.

An bayyana girgiza mace a matsayin “kawai wani ruwa mai dadi,” wanda yake sauƙin sha. Tabbas, idan mace mai ciki ba ta fama da cutar guba. Disarancin rashin jin daɗi yana barin buƙatar ɗaukar jini sau 3 cikin sa'o'i biyu.

Koyaya, a yawancin asibitocin zamani (Invitro, Helix), ana ɗaukar jini daga jijiya gaba daya mara jin zafi kuma baya barin duk wani abu mai ban sha'awa, sabanin yawancin cibiyoyin likitocin birni. Sabili da haka, idan akwai wata shakka ko damuwa, zai fi kyau ƙaddamar da bincike don biyan kuɗi, amma tare da madaidaicin matakin ta'aziyya.

Kar ku damu - komai zai yi kyau

Bugu da kari, koyaushe zaka iya shiga glucose a cikin ciki, amma saboda wannan kana buƙatar sake yin allura. Amma ba lallai ne ku sha komai ba. An gabatar da glucose a hankali akan minti 4-5.

Ga yara a ƙarƙashin shekaru 14, da bincike ne contraindicated. A gare su, ana aiwatarwa ta musamman ta hanyar ɗaukar jini ba tare da ɗaukar nauyin glucose ba.

Yawan adadin ruwan giyar da aka ɗauka ma daban ne. Idan yaro yana da nauyin kilogiram 42, to, ana rage yawan sinadarin glucose.

Don haka, aiwatar da gwajin tare da shiri na gari da kuma bin umarnin ba ya haifar da wata barazana. Kuma cikin lokaci, cutar sankarar mahaifa tana da haɗari ga tayin da mahaifiyarta.

Tsarin metabolism na kwarai, wanda ya hada da metabolism na metabolism, yana da mahimmanci don haɓakar tayin da kuma jikin mahaifiyar a lokacin haihuwar. Cutar da aka gano tana ƙarƙashin daidaitawa, wanda tabbas likitan ilimin likitan mata da likitan mata ne zai tsara shi.

Kasancewar cutar sankarar mahaifa ta kawo cikas ga lokacin daukar ciki da haihuwa. Saboda haka, yana da matukar muhimmanci a yi rajista a matakin farko da kuma kawo canje-canje waɗanda ke ba da gudummawa ga daidaita matakan sukari na jini da rage cutar daga cutar.

Sabili da haka, yayin sanya wannan bincike ga uwaye masu zuwa, bai kamata ku damu ba, amma ku kula da gwajin da kyau. Bayan duk wannan, rigakafin shine mafi kyawun magani, musamman idan ba batun rayuwa ɗaya ba, amma biyu a lokaci guda.

Game da marubucin: Borovikova Olga

likitan mahaifa, likita duban dan tayi, ilimin halittar jini

Ta yi digiri na biyu a Jami’ar Likita ta Jihar Kuban, ta horas da kwaleji tare da digiri a ilimin halittar jini.

Babban bayani

Ciwon sukari mellitus a cikin mata masu ciki (gestational) yana da bambance-bambance idan aka kwatanta da yanayin karatun cutar. Da farko dai, wannan ya shafi alamomin gwaji na gwaji - cewa ga marasa lafiyar da ba su da juna biyu suna ƙayyade cin zarafin ƙwayoyin carbohydrate, ga iyaye mata masu zuwa nan gaba ana iya ɗaukar ƙa'idar. Wannan shine dalilin da ya sa ana yin gwajin haƙuri na musamman dangane da yanayin O'Salivan don yin nazarin mata masu juna biyu. Binciken ya ƙunshi yin amfani da abin da ake kira "nauyin sukari", wanda ke ba da damar tantance yanayin cututtukan glucose a cikin jiki.

Lura: uwaye masu juna biyu suna cikin haɗarin kamuwa da ciwon sukari. Wannan yana faruwa ne saboda sake fasalin hanyoyin tafiyar da rayuwa a cikin jiki, wanda hakan ya haifar da keta ayyukan ta hanyar wani bangare ko wani bangare mai yuwuwar. Bugu da ƙari, ciwon sukari na gestational na iya zama asymptomatic na dogon lokaci, saboda haka yana da wuya a bincikar shi ba tare da GTT ba.

Cutar sankarar mahaifa a cikin kowace cuta ba mai haɗari ba ce kuma tanada kanta da kanta bayan haihuwar jariri. Koyaya, idan ba ku ba da magani mai taimako wanda ba shi da hadari ga inna da jariri, haɗarin rikice-rikice yana ƙaruwa. Hakanan, ci gaban nau'in ciwon sukari na II ya kamata a ware shi daga mummunan haɗari ga mata.

Ciwon sukari na ciki yana da haɓakar haɗarin kiba, haƙuri da haɓakar glucose, da nau'in ciwon sukari na 2 a cikin zuriya 1.

Sharuɗɗan GTT a cikin mata masu juna biyu

Dole ne a gudanar da bincike na haƙuri haƙuri a cikin makonni 16-18 na gestation, amma ba daga baya ba makonni 24. A baya, binciken zai zama marasa fahimta, tunda juriya (juriya) ga insulin a cikin mahaifan mata masu juna biyu sun fara ƙaruwa ne kawai a cikin karo na biyu. Gwaji daga makonni 12 yana yiwuwa ne idan mai haƙuri yana da haɓakar sukari a cikin nazarin halittu na fitsari ko fitsari.

Mataki na biyu na jarrabawar an wajabta shi a makonni 24 zuwa 26, amma ba sai daga baya ba 32, tunda ƙarshen ƙarshen sati uku na nauyin sukari na iya zama haɗari ga uwa da ɗa.

Idan sakamakon binciken ya dace da ka'idodin sababbin cututtukan cututtukan cututtukan ƙwayar cuta, to, ana nufin mahaifiyar mai haihuwar zuwa likitancin endocrinologist don tsara ingantaccen aikin jiyya.

An wajabta GTT ga duk mata masu juna biyu don yin gwajin ciwon sukari tsakanin makonni 24-28 na gestation.

An tsara gwajin haƙuri na glucose ga mata masu juna biyu har zuwa makonni 24 waɗanda suka fada cikin hadarin:

• kasancewar ciwon sukari a cikin tarihin iyali,
• ci gaba da ciwon sukari na ciwon suga a cikin ɗayan ciki,
• indexididdigar jiki ya wuce adadin 30 (ƙiba),
• mahaifiya shekarunta 40 da haihuwa
• tarihin polycystic ovary 2
• ɗaukar babban yaro (daga 4-4.5 kilogiram) ko tarihin haihuwar manyan yara,
• na farkon nazarin kwayoyin halittun da ke cikin fitsari masu juna biyu sun nuna yawan glucose,
• gwajin jini ya nuna matakin sukari na plasma wanda ya zarce 5.1 mmol / L, amma a kasa 7.0 mmol / L (saboda gulukumi mai azumi sama da 7 mmol / L da sama da 11.1 mmol / L a cikin madaidaicin samfurin yana ba ku damar kafa sukari nan da nan ciwon sukari.)

Gwajin ba shi da amfani a cikin waɗannan abubuwan:

• farkon guba tare da bayyanar cututtuka,
• cutar hanta
• ciwon huhu (kumburi da hanta) a cikin tsari mai nauyi,
• kutse (lalacewar rufin ciki na narkewa),
• ciwan ciki, gastritis,
• Cutar ta Crohn (raunin granulomatous na narkewa),
• narke ciwo (yana hanzarta motsi da abinda ke ciki na ciki zuwa cikin hanji),
• gaban mai kumburi, hoto ko bidiyo mai zagaya yanar gizo da sauri, cututtuka ko kwayan cuta,
• ƙarshen haihuwa
• in ya zama dole, yarda da tsananin gado,
• a cikin komai a cikin glucose na ciki na 7 mmol / l ko sama,
• yayin shan magunguna waɗanda ke haɓaka matakin glycemia (glucocorticoids, hormones thyroid, thiazides, beta-blockers).

Yankewa

Lura: idan a matakin farko na gwajin azumin glucose na jini ya wuce 7 mmol / l, to ana yin ƙarin gwaji (ƙaddarawar glycosylated haemoglobin, C-peptide), gwajin cutar “wani irin nau'in ciwon suga ne” (nau'in gestational 1, nau'in 2). Bayan wannan, an haramta gwajin magana tare da kaya.

Akwai lambobi da yawa na sauya fasalin gwajin:

• kawai venous jini ne mai alama (arterial ko capillary jini ba da shawarar)
• tsayayyen ma'aunin dabi'un ba su canza tare da shekarun haihuwa,
• bayan kammalawa, ƙima ɗaya ya isa don bincika ciwon sukari,
• akan karɓar sakamakon gauraya, ana maimaita gwajin bayan sati 2 don ware sakamako na ƙarya,
• An maimaita binciken bayan haihuwa don tabbatar ko karyata ciwon sukari.

Abubuwan da zasu iya shafar sakamakon:

• karancin abubuwan gina jiki (magnesium, potassium) a cikin jiki,
• hargitsi a cikin tsarin endocrine,
• cututtuka na tsari
• damuwa da damuwa
• aiki mai sauƙi na jiki (jujjuyawa cikin ɗakin yayin gwajin),
• shan magunguna masu ɗauke da sukari: magungunan tari, bitamin, beta-blockers, glucocorticosteroids, shirye-shiryen baƙin ƙarfe, da sauransu.

Wa'adin da fassarar bincike ana gudanar da shi ne ta likitan ilimin mahaifa, endocrinologist.

Tsarin GTT

Don gudanar da gwajin haƙuri na glucose, ana ɗaukar samfuran jini na venous, saboda haka, ka'idodin shirya shiryayye sune daidaitattun:

• ana bayar da jini sosai a kan komai a ciki (hutu tsakanin abinci akalla awanni 10),
• a ranar gwaji zaka iya shan ruwa kawai ba tare da gas ba, an haramta wasu abubuwan sha,
• Yana da kyau a kasance da maganin kuzarin da safe (daga 8.00 zuwa 11.00),
• a ranar juzu'I na bincike, ya zama dole a bar magani da sinadarai, kamar yadda wasu kwayoyi za su iya gurbata sakamakon gwajin,
• ranar da za a bi hanyar, yana da kyau a daina yawan aiki ta jiki ko ta ruhi,
• Haramun ne a sha giya da hayaki kafin bincike.

Requirementsarin buƙatun abinci:

• Kwanaki 3 kafin a fara amfani da shi haramun ne a bi tsarin abinci, ranakun nafila, da ruwa ko na azumi, canza abincin,
• har ila yau kwanaki 3 kafin gwajin, dole ne ku cinye akalla gram 150. carbohydrates kowace rana, yayin da a cikin abinci na ƙarshe a kan Hauwaar venipuncture ya kamata aƙalla 40-50 g. carbohydrates.

Gwaji a cikin mata masu juna biyu

Hanyar OSalivan ta ƙunshi gwajin haƙuri haƙuri tare da nauyin 3-mataki.

Matsayi mai lamba 1

Mintuna 30 kafin gwajin, mai haƙuri dole ne ya ɗauki matsayin zaune / kwance kuma gabaɗaya,

Paramedic din na dauke jini daga jijiyoyin kafa ta hanyar venipuncture, bayan haka nan da nan aka aika da kwayoyin halittar zuwa dakin gwaje-gwaje.

Sakamakon wannan mataki ya ba da izinin likita don gano "ciwon suga na gestational" idan matakin glucose na jini ya wuce ƙimar al'ada na 5.1 mmol / L. Kuma "ingantaccen ciwon suga na ciki" idan sakamakon ya fi 7.0 mmol / L. Idan gwajin bai nuna alama ba ko kuma sakamakon da aka samu ba tabbas, to sai a je mataki na biyu na gwajin.

Matsayi mai lamba 2

An ba da jikin na musamman "kaya" a cikin nau'i na maganin sukari (75 g na bushe glucose a kowace gilashin ruwan dumi). A cikin mintina 5, mai haƙuri ya kamata ya sha ruwan gaba ɗaya ya kuma kasance a zaune (kwance) matsayi na awa daya. Yawan sha daga cikin abin sha na iya haifar da tashin zuciya, saboda haka an ba shi izinin tsarma shi kadan da ruwan lemon tsami. Bayan awa 1, ana yin gwajin gwajin jini.

Matsayi mai lamba 3

Makonni 2 bayan shan maganin, an sake yin gwajin jini da yawa. A wannan gaba, likita ya tabbatar ko musantawar cutar sankarar mahaifa.

Iri gwajin haƙuri haƙuri

Na fitar da nau'ikan gwaje-gwaje:

• baka (PGTT) ko baka (OGTT)
• na ciki (VGTT)

Menene bambancinsu na asali? Gaskiyar ita ce duk abin da ya dogara da hanyar gabatar da carbohydrates. Ana kiranta abin da ake kira '' glucose load '' bayan 'yan mintoci bayan samfurin jini na farko, kuma za a umarce ku da ku sha ruwan daɗaɗɗa ko za a gudanar da maganin glucose a cikin ciki.

Nau'in na biyu na GTT ana amfani dashi da wuya, saboda buƙatar gabatarwar carbohydrates a cikin jinin venous shine saboda gaskiyar cewa mara lafiya baya iya shan ruwan zaki da kansa. Wannan buƙatar ta taso ba sau da yawa ba. Misali, tare da tsananin guba a cikin mata masu juna biyu, ana iya baiwa mace ta aiwatar da “nauyin glucose” a ciki.Hakanan, a cikin waɗancan marasa lafiya waɗanda ke yin korafi game da tashin hankali na gastrointestinal, da akwai cin zarafin shan abubuwa a cikin tsarin abinci mai gina jiki, akwai kuma buƙatar tilasta glucose kai tsaye cikin jini.

Alamar GTT

Marasa lafiya na gaba waɗanda za a iya gano su, na iya lura da rikice-rikice masu zuwa na iya karɓar magana game da likita, likitan mata, ko endocrinologist:

• tuhuma na nau'in ciwon sukari na 2 na ciwon sukari (a cikin bincike), tare da kasancewar wannan cutar, a cikin zaɓi da daidaita magani don “cutar sukari” (lokacin da aka bincika sakamako mai kyau ko rashin tasirin magani),
• nau'in ciwon sukari guda 1, kamar yadda a cikin halayen kulawa da kai,
• da ake zargi da ciwon sukari na gestational ko kasancewar sa,
• ciwon suga
• metabolism ciwo
• wasu malfunctions a cikin gabobin da ke biye: pancreas, gland shine yake, glandon gland, hanta,
• mai fama da rashin jarin glucose,
• kiba
• sauran cututtukan endocrine.

Gwajin an yi shi da kyau ba kawai kan aiwatar da tarin bayanai don cututtukan cututtukan cututtukan endocrine ba, har ma da gudanar da aikin sa-ido.

Don irin waɗannan dalilai, yana da matuƙar dacewa a yi amfani da ƙwararrun masu nazarin jinin haila ko mitar glucose jini. Tabbas, a gida yana yiwuwa a bincika gabaɗaya jini. A lokaci guda, kar a manta cewa duk wani mai bincike na hannu yana ba da damar wasu ɓatattun kurakurai, kuma idan kun yanke shawarar ba da gudummawar jini don ɓacin ɗakin gwaji, alamu zasu bambanta

Don gudanar da aikin sa-ido, zai isa ya yi amfani da matattarar masu nazari, wanda, a tsakanin wasu abubuwa, na iya nuna matsayin glycemia ba kawai amma har ma da ƙwayar haemoglobin (HbA1c). Tabbas, mitar tayi kadan mai rahusa fiye da mai nazarin kimiyar jini, wanda zai fadada yiwuwar gudanar da aikin sa-ido.

Abubuwan da ke ciki na GTT

Ba kowa bane ke da izinin cin wannan gwajin. Misali, idan mutum:

• daidaituwar glucose,
• cututtukan ƙwayar jijiyoyin ciki (alal misali, haɓakar ƙwayar tsoka da ya faru),
• m mai kumburi ko cutar,
• mai guba mai guba,
• bayan lokacin aiki,
• da bukatar hutawa na gado.

Siffofin GTT

Mun riga mun fahimci yanayin da zaku sami takaddara don gwajin haƙuri na glucose na dakin gwaje-gwaje. Yanzu lokaci ya yi da za mu tsara yadda za a ƙaddamar da wannan gwajin daidai.

Ofaya daga cikin mahimman abubuwa shine gaskiyar cewa ana yin samfurin farko na jini akan komai a ciki kuma hanyar da mutum yayi har zuwa bada jini tabbas zai shafi sakamakon ƙarshe. Saboda wannan, za a iya kira GTT mai lafiya "mai ƙuri'a", saboda abubuwan da abin ya shafa sun shafi:

• yin amfani da giya mai dauke da giya (koda karamin kaso na masu bugu yana gurbata sakamako),
• shan taba
• motsa jiki ko rashin sa (ko kuna wasa wasanni ko jagoranci salon rayuwa mara aiki),
• Nawa kuke cinye abincin sukari ko ruwan sha (al'adun cin abinci kai tsaye suna shafar wannan gwajin),
• yanayi na damuwa (yawan rikicewar juyayi, damuwa a wurin aiki, a gida yayin shigar da kai a makarantun ilimi, kan aiwatar da ilimi ko wucewa jarrabawa, da sauransu),
• cututtuka (m na numfashi cututtuka, m na numfashi hoto ko bidiyo mai zagaya yanar gizo da sauri cututtuka, m colds ko hanci na gudu, mura, tonsillitis, da dai sauransu),
• Bayan aikin likita (lokacin da mutum ya murmure bayan tiyata, an hana shi shan wannan gwajin),
• shan magunguna (shafar tunanin hankalin mai haƙuri, raunin sukari, ƙoshin hormonal, magunguna na motsa jiki da makamantansu).

Kamar yadda muke gani, jerin yanayi da ke haifar da sakamakon gwajin yana da tsawo. Zai fi kyau ka gargaɗin likitanka game da abubuwan da ke sama.

A wannan batun, ban da shi ko kuma daban-daban nau'in cutar amfani da ita

Hakanan za'a iya ƙaddamar dashi yayin daukar ciki, amma yana iya nuna sakamako mai cike da ƙima saboda gaskiyar cewa canje-canje masu sauri da sauri suna faruwa a jikin mace mai ciki.

Hanyoyin gwada jini da abubuwanda ke tattare dashi

Dole ne mu faɗi cewa nan da nan ya zama dole don tabbatar da karatun da ake yin la’akari da abin da aka bincika jini yayin gwajin.

Kuna iya la'akari da duka jinin amintaccen jini da na ɓacin rai. Koyaya, sakamakon ba ya bambanta sosai. Don haka, alal misali, idan muka kalli sakamakon binciken gaba daya na jini, to za su zama kadan ne daga wadanda aka samo su yayin aiwatar da gwajin abubuwanda jini ya samu daga jijiya (plasma).

Tare da jini gaba daya, komai ya bayyana sarai: sun ɗaga yatsa tare da allura, sun ɗinka da digo jini don nazarin halittu. Don waɗannan dalilai, ba'a buƙatar jini da yawa.

Tare da venous yana da ɗan bambanci: ana sanya samfurin farko na jini daga jijiya a cikin bututu mai sanyi (yana da kyau, ba shakka, don amfani da bututun gwajin injin, sannan ana buƙatar karin kayan aiki tare da adana jini), wanda ya ƙunshi abubuwan adana na musamman waɗanda zasu ba ka damar adana samfurin har sai gwajin da kansa. Wannan mataki ne mai mahimmanci, tun da ba a haɗa abubuwan da ba dole ba tare da jini.

Yawancin adana abubuwa da yawa ana amfani da su:

• 6mg / ml gaba daya sodium fluoride

Yana rage jinkirin aiwatar da enzymatic a cikin jini, kuma a wannan matakin yakan iya hana su. Me yasa wannan ya zama dole? Da farko, jinin ba a banza bane a sanya shi cikin bututun gwajin sanyi. Idan kun rigaya kun karanta labarinmu game da haemoglobin mai narkewa, to kun san cewa a ƙarƙashin zafin rana, haemoglobin yana “ƙoshi”, muddin jini yana ɗauke da sukari mai yawa na dogon lokaci.

Haka kuma, a ƙarƙashin zafin rana da kuma damar samun isashshen sunadarin oxygen, jini yana farawa “da sauri” da sauri. Yana sa oxidizes, ya zama mafi guba. Don hana wannan, ban da sodium fluoride, an ƙara ƙarin sinadarai a cikin bututun gwaji.

Yana shiga tsakani da coagulation na jini.

Sannan an sanya bututu a kan kankara, kuma an shirya kayan aiki na musamman don rarrabe jini cikin abubuwan da aka gyara. Plasma ake buƙata don samun ta ta amfani da centrifuge kuma, kayi haƙuri da tautology, rage jini. An sanya plasma a cikin wani bututun gwaji kuma bincikensa ya fara farawa.

Duk waɗannan ɓarna dole ne a aiwatar da sauri kuma cikin tsakanin minti na minti talatin. Idan plasma ya rabu bayan wannan lokacin, to ana iya daukar gwajin ya gaza.

Gaba kuma, dangane da cigaba da karatuttukan tsari na jinin haila da na ciki. A dakin gwaje-gwaje na iya amfani da hanyoyi daban-daban:

• Hanyar glucose oxidase (na yau da kullun 3.1 - 5,2 mmol / lita),

Don sanya shi a sauƙaƙe kuma mai wuya, ya dogara da enzymatic hadawan abu da iskar shaka tare da glucose oxidase, lokacin da aka kirkiro hydrogen peroxide a fitarwa. A baya can orthotolidine mai launi, a ƙarƙashin aikin peroxidase, ya sami ɗanɗano daɗi. Yawan adadin launuka masu launin (masu launin) "sunyi magana" na taro glucose. Yawancin su, sama da matakin glucose.

• hanyar orthotoluidine (al'ada 3.3 - 5.5 mmol / lita)

Idan a farkon lamari akwai wani abu mai aiki da iskar shaka wanda ya danganta da yanayin enzymatic, to aikin yana faruwa ne a cikin matsakaiciyar acidic kuma tsananin launi yana faruwa a ƙarƙashin rinjayar abu mai ƙanshi da aka samo daga ammoniya (wannan orthotoluidine). Takamaiman amsawar kwayoyin halitta na faruwa, sakamakon wanda glucose aldehydes ke narkewa. Jinkirin launi na "abu" na sakamakon da ya haifar yana nuna adadin glucose.

Ana amfani da hanyar orthotoluidine mafi daidai, bi da bi, ana amfani da ita mafi yawan lokuta akan aiwatar da bincike na jini tare da GTT.

Gabaɗaya, akwai hanyoyi da yawa da yawa don ƙayyade ƙwayar cutar glycemia da ake amfani da ita don gwaje-gwaje kuma dukansu sun kasu zuwa manyan rukuni daban-daban: colometric (hanya ta biyu, mun bincika), enzymatic (hanya ta farko, munyi nazari), rageccometric, electrochemical, strips gwajin (wanda aka yi amfani da shi a glucometers) da sauran masu nazarin abubuwan da ke ciki), gauraye.

Venous jini 2 hours bayan carbohydrate load

Idan muna magana ne game da yanayin glucose a cikin mutane masu lafiya, to, tare da matakan azumi na fiye da mm 5.5 / lita na jini, zamu iya magana game da ciwo na rayuwa, ciwon suga da sauran rikice-rikice waɗanda ke haifar da take hakkin metabolism.

A cikin wannan yanayin (ba shakka, idan an tabbatar da bayyanar cutar), ana ba da shawarar sake duba duk halayen abincinku. Yana da kyau a rage amfani da abinci mai daɗi, kayayyakin burodi da duk kantuna. Ka ware giya. Kada ku sha giya kuma ku ci karin kayan lambu (mafi kyau lokacin da ɗanɗano).

Masanin ilimin endocrinologist kuma yana iya tura mai haƙuri don gwajin jini gaba ɗaya kuma ya sami duban dan tayi game da tsarin endocrine na mutum.

Idan muna magana ne game da rashin lafiya da ciwon sukari, to, ƙididdigar su na iya bambanta sosai. Halin, a matsayin mai mulkin, ana karkatar da shi zuwa ƙara sakamakon ƙarshe, musamman idan an riga an gano wasu rikice-rikice a cikin ciwon sukari. Ana amfani da wannan gwajin a cikin gwajin tantancewa na wucin gadi na ci gaban ko raunin magani. Idan alamu sun fi mahimmanci a kan farkon (wanda aka samo a farkon bayyanar cutar), to muna iya cewa magani bai taimaka ba. Ba ya bayar da sakamakon da ya dace kuma,, mai yiwuwa, likitocin da ke halartar za su ba da magunguna da yawa waɗanda ke tilasta matakan sukari da karfi.

Ba mu bayar da shawarar siyan magunguna ba tare da bata lokaci ba. Zai fi kyau, sake, don rage yawan abincin burodi (ko ƙin yarda dasu gaba ɗaya), gaba ɗaya cire duk wasu masu amfani da kayan zaki (ban da amfani da kayan zaki) da abubuwan sha masu haɗari (gami da “kayan lefe” a kan fructose da sauran maye gurbin sukari), ƙara yawan aiki na jiki (lokacin da wannan saka idanu a hankali game da glycemia kafin, lokacin da kuma bayan horo: duba menu don motsa jiki). A takaice dai, jagoranci duk ƙoƙarin da ke tattare da rigakafin cutar sankarau da ƙara rikice-rikice da mayar da hankali kan rayuwar lafiya.

Idan wani ya ce ba ta da ikon daina zaki, gari, mai, ba ya son motsawa da gumi a cikin dakin motsa jiki, ƙona kitsen mai yawa, to ba ya son zama lafiya.

Ciwon sukari baya yin wani sassauci da bil'adama. Shin kana son zama lafiya? Sannan zama dasu yanzu! In ba haka ba, rikicewar ciwon sukari zai cinye ku daga ciki!

Gwajin haƙuri glucose na ciki

A cikin mata masu juna biyu, abubuwa sun bambanta kaɗan, saboda kan aiwatar da ɗa, to, jikin mata yana fuskantar matsananciyar damuwa, wanda ke cin babban kayan ajiya na masu juna biyu. Tabbas yakamata su bi tsarin abinci mai cike da bitamin, ma'adanai da ma'adanai, wanda likita ya kamata ya umarta. Amma duk da wannan, wani lokacin, bai isa ba kuma yakamata a haɗe shi da daidaitattun abubuwan bitamin.

Saboda wasu rikice-rikice, mata masu juna biyu yawanci sukanyi nisa sosai su fara cin samfuran samfuri da yawa fiye da yadda ake buƙata don haɓaka lafiyar jariri. Gaskiya ne don carbohydrates dauke a cikin abincin da aka bayar. Wannan na iya zama da mummunar illa ga kuzarin mace kuma, ba shakka, yana shafar jariri.

Idan an lura da tsawon lokaci na hyperglycemia, to za a iya yin wani bincike na farko - ciwon suga na cikin mahaifa (GDM), wanda kuma ana iya ƙara yawan cutar haemoglobin.

Don haka, a cikin wane yanayi ne ake yin wannan binciken?