Ta yaya za ayi bi da cututtukan mahaifa na fetopathy?

Ciwon kansar cututtukan ƙwaƙwalwar ƙwayar cuta a cikin jarirai an haɗa su a cikin rukuni na cututtuka masu haɗari ga lafiya da rayuwar rayuwar jarirai. Pathology yana haɓaka tushen asalin ciwon sukari mellitus wanda aka samo a cikin mace mai ciki. Bayyanar cututtuka na cutar suna da alaƙa da lalacewar gabobin ciki, tsarin yara, da damuwa mai rikitarwa na rayuwa. Ciwon sukari a cikin jarirai ya zama babban dalilin matsaloli daban-daban da ke haifar da barazana ga rayuwar jariri. Idan an yi irin wannan binciken, ya zama dole a shirya don yanayin daban-daban.

Cutar mahaifa shine sakamakon karancin kulawa da tazarar da ta dace lokacin haila, wanda ke haifar da hauhawar yawan glucose a cikin jininta har zuwa lokacin da akayi ciki ko lokacin tayi. Bala'i na tayin yana ci gaba saboda yawan ƙwayar sukari a cikin mahaifa. Wannan na faruwa ne a lokacin farkon ciki. Cutar fitsarin da tayi har zuwa makonni goma sha biyu bata iya samar da insulin nasa ba. A karkashin tasirin hyperglycemia, take hakki ya faru a cikin hanyoyin samuwar jijiyoyin jini, jijiyoyin jiki, tsarin juyayi, da kashin kasusuwa. Factorsarin abubuwan da ke haifar da kyakkyawan yanayi don haɓakar ƙwayar cuta a cikin jariri sun haɗa da:

• Cutar da mace bayan ta kai shekara 25.
• Indexara yawan jikin mutum na mahaifiyar da zata zo haihuwa.
• Weight na yaro da aka haifa fiye da 4 kg.
• Rashin kula akai-akai game da yawan sukari a cikin mahaifa.

Irin waɗannan dalilan suna ƙara haɓakar haɗarin rikicewa a cikin tsarin halittar gabobin da tsarin tayin yayin tayi.

Bayyanar cutar

Alamar halayyar cututtukan mahaifa a cikin jarirai suna nuna kasancewar manyan matsalolin kiwon lafiya da kuma buƙatar matakan gaggawa don kawar da cutar. Babban fasallan sun hada da:

• Babban nauyin jariri bayan haihuwarsa, ya bambanta tsakanin 4-6 kilogiram, da tsayi, yana nuna gigantism, hoto wanda koyaushe za'a iya gani a shafukan likita.
• Uffaƙƙarfa, launin shuɗi mai launin shuɗi na fata, zub da jini a ƙarƙashin farfajiyar farfajiyar ciki.
• Kasancewar babban ciki, fuska mai kamannin wata, kasancewar manyan kafadu a kan asalin gajerun kafafu.
• Matsaloli game da aiki na tsarin numfashi, haifar da ƙarancin numfashi ko matsalolin numfashi a cikin awan farko na rayuwar yaro.
• Wani inuwa mai rawaya da bakin ciki da kwayar cutar jariri, wanda ke nuna ci gaban cututtukan jini a cikin hanta hanta.
• Rashin lafiyar jijiyoyin jiki, kasancewar abin da ke nunawa ta hanyar rage sautin tsoka, canji a cikin ƙananan ayyukan yarinyar tare da hauhawar jini, haifar da damuwa, rashin bacci.

Ana amfani da wasu ƙa'idodi na gwaji don tabbatar da fetopathy mai ɗauke da cutar mahaifa. A cikin su, ya kamata a lura da macrosomia, rashin daidaituwa na jiki, ƙarancin kwanar jariri na tasowa cikin mahaifa da kuma sau biyu na kansa. Bugu da kari, ƙudurin rashin aiki mai aiki na gabobin jikinta da tsarinta, rage adadin Mg da Ca ion a cikin jiki shima ya tabbatar da mummunan ciwo.

Cutar cutar sankara da ke haifar jarirai ba wai kawai ta wuce nauyin yaran bane, harma yana fuskantar matsaloli da yawa

Pathology far

Yana da mahimmanci a tabbatar da ciwo a cikin lokaci - wannan yana ƙara yawan damar samun sakamako mai nasara. Jerin matakan bincikar lafiyar da aka wajabta don tabbatar ko karyata game da cututtukan ciwon sukari sun hada da:

• Nazarin duban dan tayi, karfin sa ya bada damar hango nesa na aiwatar da tsarin tayi a cikin mahaifar tare da nau'in 1 ko nau'in ciwon sukari na 2.
• Nazarin yanayin rashin lafiyar ɗan tayi.
• Dopplerometry, wanda aka ƙaddara shi don ƙayyade ƙimar aikin tsarin jijiyoyin jini da kuma tantance halin da ake ciki na tsarin juyayi na tsakiya.
• Cardiotocography tare da nazarin sakamakon gwaje gwajen aiki.
• Gwajin alamun biochemical na tsarin fetoplacental don tantance tsananin cutar.

Irin waɗannan hanyoyin bincike na iya gano cutar ta lokaci kuma rage haɗarin mutuwa ga jariri.

Sakamakon binciken bincike ya haifar da tushe don yin mummunan ganewar asali da haɓaka tsarin kulawa da cutar don cutar yayin daukar ciki ko kuma nan da nan bayan haihuwar jariri.

A farkon lamari, inganta lafiyar mace mai juna biyu ita ce mabuɗin don samar da kyakkyawan fata. Daga cikin matakan warkewa, ya zama dole a lura da kulawa akai-akai game da matakan glucose na jini, riko da abinci na musamman da kuma maganin bitamin. Likitocin da ke halartar sun daidaita allurar insulin.

Yayin haihuwa, ana sanya ido kan yanayin mahaifiyar, wanda ke taimaka wajan hana jikewar kwatsam a alamu na matakan sukari a cikin jininta. Bayan haihuwar yaro ya za'ayi:

• Sanya iska ta huhu da gabatarwar magunguna don inganta tsarin numfashi na jariri.
• Ationirƙirarin ingantaccen yanayin muhalli, ƙaddara don kula da yanayin zafin jikin jariri daga 36.5ºС zuwa 37.5ºС.
• Tsarin shan nono kowane 2 awanni 2 ba tare da hutun dare ba na awanni 48 na farko, maganin oxygen da kuma amfani da maganin cututtukan fata.
• Ci gaba da sanya idanu kan jinin jinin jariri.
• Gudanar da maganin cututtukan alamomin cuta da aka gano, gami da amfani da magunguna daga rukunin beta-blockers da magungunan inotropic wajen tantance rikicewar cututtukan zuciya.

Rashin ingantaccen tsarin kula da cutar kanjamau yawanci yakan haifar da mutuwa. Sabili da haka, ba za ku iya yin shakka tare da jiyya ba.

Rigakafin cutar

Aiwatar da matakan kariya na samarda ingantaccen diyya na cututtukan cututtukan zuciya a cikin mata kafin daukar ciki, da kuma lokacin tayi, da nufin hana ci gaban cututtukan cututtukan mahaifa a cikin yara, tare da kawar da dukkan cututtukan cututtukan dake tattare da cutar mahaifiya. Abincin abinci mai gina jiki, tsananin kulawa da shawarwarin likita, daidaituwa na matakan glucose na jini na iya rage haɗarin haɓaka matsalolin kiwon lafiya ga jariri yayin bincikar cutar sankarau a cikin macen da take gaba da aiki.

Irin waɗannan yanayi na ciki sune mabuɗin don hana ƙwayar cutar sankara ta mahaifa, da haihuwar yara masu lafiya.

Jiyya - Yaya ake kula da cutar mahaifa ta fetopathy?

Yaya ake kula da cututtukan mahaifa na fetopathy?

Mata masu kamuwa da cutar sankarau ta hanyar da ba a cike su ba suna da wahalar jure lokacin haihuwar yaro. Yawancin lokaci kan aiwatar da haɓakar tayin, ɗayan ma yana da matsaloli daban-daban, yawancinsu suna ɗaukar hatsari. Gano lokaci na ɓacewa yana ba ka damar shirya cikakken magani kuma yana rage haɗarin haɓaka cututtukan haɗari.

Abin da alamun ciwon sukari fetopathy yana da kai tsaye a cikin tayi, yadda ake bi dashi, da kuma wasu mahimman lambobi an bayyana su a wannan labarin.

Ciwon sukari wanda ke haifar da rashin lafiya - sanadi

Rashin lafiyar da aka yi la’akari da ita tana tasowa ne a cikin ɗan da ba a haife shi ba daga tushen ciwon sukari ko ciwon sukari, wanda mahaifiyarsa ke fama da ita. Yawancin lokaci, matakin glucose a cikin jininta koyaushe yana kasancewa sama da matakan da aka yarda da su.

Abu mafi haɗari shine cewa DF na iya faruwa a cikin matan da suka gano wani yanayi kamar su ciwon suga. Matsalar ita ce irin wannan cutar ba a ɗauka da mahimmanci sosai, kuma, a saboda haka, mahaifiyar da ke zuwa ba ta da damuwa musamman ta hanyar jiyya.

Cutar ta danganta da canje-canjen aikin da ke haifar da rikicewar tayi daga:

Lokacin da rashin lafiyar mahaifiyar ta kasance a cikin wani yanayi na rama, wato, ana kiyaye matakin sukari akai-akai, bai kamata ku ji tsoron cutar sankara ba. Tare da hyperglycemia, ci gaban tayi ba ya faruwa daidai. A wannan yanayin, ana yawan haihuwar yaro da wuri saboda gaskiyar cewa likitocin dole ne su sa baki kuma a gaggauta bayarwa ta hanyar aiki.

A cikin cututtukan mahaifa, canje-canje a cikin mahaifa na faruwa da farko. Na ƙarshen baya iya yin aiki fiye da kullun. A sakamakon haka, an sami ƙaruwa sosai a cikin tayin - zai zama mafi girma tare da alamun ci gaba.

Saboda yawan sukari da ke cikin uwar, ana kunna fitsarin yara - yana fara samar da insulin sosai a cikin mai yawa. A saboda wannan, glucose yana karuwa sosai, sakamakon abin da ya wuce adadin sa ya zama mai adon mai.

Babban alamun cututtukan ciwon sukari sune kamar haka:

• rashin daidaituwa na tayin (ciki ya fi girma kai, fuska ta kumbura, kafadu suna da fadi, gabobin sun yi yawa),
• rashin cutarwa
• macrosomia (babban yaro - fiye da kilo 4),
• gaban mai wuce haddi jiki,
• jinkirta ci gaba
• matsalolin numfashi
• rage aiki
• cardiomegaly (hanta da kodan ma suna kara yin yawa, amma gabobin suna cikin girma).

Binciko

M, ganewar asali ne ya sanya ta duban dan tayi. Wannan hanya ce ta ba ka damar lura da yadda ake ci gaban ciki na jariri. Matsayi na yau da kullun na hanyar yana tabbatar da gano ainihin lokaci na rashin damuwa.

Ana buƙatar matan da ke cikin haɗari su yi gwajin duban dan tayi a farkon bayyanar a cikin asibitin haihuwa.

Bayan haka kuma, ana yin gwajin duban dan tayi tsakanin mako na 24 zuwa 26th.

A cikin watanni uku, ana aiwatar da tabbacin aƙalla sau 2. Haka kuma, idan ya zo ga matan da ke fama da ciwon sukari na dogaro da insulin, ana wajabta duban dan tayi a mako na 30 ko 32, sannan kuma kowane kwana 7. Kawai tare da irin wannan tsayayyen iko zai yuwu a rage haɗarin ɗan da uwarsa aƙalla.

Nazarin duban dan tayi a gaban cututtukan da aka yi la’akari da su a wannan labarin zai nuna:

• da rarraba of yaro
• Macrosomia
• busawa da haɓakawa mai kitse (kwanon jikin zai ninka biyu),
• echo-korau zones a cikin yankin kwanyar,
• polyhydramnios
• kauri daga kyallen takarda akan kambi ya fi mm 3 (tare da ka’idar 2).

Yaya ake yin sukari

Gyara zama yana taimakawa wajen gano cututtukan mahaifa:

• aikin tayin,
• kudi na numfashi
• bugun zuciya.

Wani ɗan gajeren (har zuwa minti 50) barci kai tsaye yana nuna cutar.

Dopplerography ana yinsa a mako 30. Wannan yana taimakawa wajen sanin yanayin tsarin juyayi na yara.

Ana gano karancin rashin haihuwa ta hanyar sakamakon gwajin jini da fitsari. Kula da alamu:

• oxytocin
• AFP
• progesterone
• lactogen placental.

Tare da fetopathy, ƙarar f-fetoprotein (AFP) koyaushe yana sama da al'ada.

Ya kamata a kayyade bayanin tsarin haihuwar mace mai ciki a kalla sau biyu a wata, fara daga sakan na biyu.

A cikin aiwatar da aikin gestation, mahaifiyar mai ɗaukar nauyin ya zama tilas a koyaushe a kula da matakin sukari da hauhawar jini. Idan ya cancanta, a wajabta mata allurar.

Yana da matukar muhimmanci a tabbatar:

• cin abinci
• cikakken vitaminization
• raguwa a yawan abinci mai ƙima.

Tabbatar ƙayyade lokacin isarwa - idan lokacin ya faɗi a mako na 37, kuma ba a gano rikice-rikice ba, to babu wani matakin da aka ɗauka. A wannan yanayin, kowane abu yana iya karewa ta halitta.

Tilasta tilasta zubar da ciki yana da kyau a gudanar da jimawa ba mako na 36 ba. A baya, ana yin hakan ne idan akwai haɗarin kai tsaye ga rayuwar mace - to anan ne batun ceton isa isan ya daina tsayawa. Wannan na faruwa ne idan sun gano:

• mai tsanani gestosis
• polyhydramnios
• mai ciwon sukari nephropathy,
• hauhawar jini a cikin tayin,
• na gazawar
• rashin tsaida jini, da sauransu.

Yayin haihuwa, ana lura da matakan sukari koyaushe. Idan an saukar da shi, to matsaloli zasu taso - ana buƙatar glucose mai yawa don mahaifa suyi kwangila. Domin mace yawanci kan rasa nutsuwa ko kuma ta fada cikin matsalar rashin haihuwa. Kashi na biyu na hana ruwa ta hanyar nutsuwa tare da milliliters 500 na kashi 5 na glucose.

Tare da tsawan aiki (fiye da awanni 8), ana yin sashin cesarean. Bayan shi, an tsara hanyar maganin rigakafi. Don hana ketoacidosis, allurar soda ta allura.

Yin yãƙi cramps:

Ana yin motsa jiki na rayuwa tare da mafita mai dauke da:

• na yau da kullun
• bitamin B12, P, E, A, C,
• nicotinic acid, da sauransu.

Ana lura da yanayin yaro bayan haihuwa - idan ya cancanta, za a ba shi iska ta wucin gadi da injections don tallafawa aikin tsarin juyayi na tsakiya.