Gestational, yana da ciwon sukari na ciki - menene kuma yaya aka bi dashi?

Yayin samun juna biyu, jikin mace yana fuskantar canje-canje da yawa.

Koyaya, tare da shirye-shiryen sake fasalin a wannan lokacin, sau da yawa yawancin cututtukan da ba a san su ga mahaifiyar mai tsammani ba.

Daga cikin waɗannan cututtukan sun haɗa da ciwon sukari na gestational.

Siffofin cutar

Cutar sankarar mahaifa wani nau'in ciwon suga ne wanda ke faruwa yayin daukar ciki. Baya ga wannan nau'in, likita zai iya gano ciwon suga, wanda aka bayyana a cikin haƙuri sakamakon glucose.

Sanadin karkatarwa wani raguwar jijiyoyin kwayoyin jikinsu ne ga insulin din da aka samar saboda girman matakin hormone a cikin jini.

Yawancin lokaci, a cikin uwaye masu fata, sukari yakan tashi ne kawai bayan cin abinci, kuma da safe akan komai a ciki, alamomi ya kasance cikin kewayon al'ada. Idan mahaifiyar ta kamu da ciwon sukari kafin samun juna biyu, cutar ba za ta je ko'ina ba.

A matsayinka na mai mulkin, ciwon sukari da ke faruwa a lokacin haihuwar yaro ana samun shi a cikin rabi na biyu na ciki kuma ya ɓace jim kaɗan bayan haihuwa.

A kowane hali, ba tare da la’akari da irin cutar ba, dole ne mace ta yi ƙoƙari ta kula da matakan sukari a matakin da aka yarda da ita, don guje wa rikice-rikice yayin haihuwa da kuma jimre wa lafiyayyen jariri.

Menene haɗari ga yaro?

Tayin, wanda mahaifiyar take ɗaukar, tana karɓar daga gare ta a cikin glucose ɗin da ake buƙata, amma ba insulin ba. Saboda haka, ingantaccen metabolism na faruwa.

Game da kasancewar rikice-rikice a cikin mahaifiya, haɓaka matakan glucose mai yiwuwa ne, wanda ke da haɗari musamman a cikin farkon farkon, yayin da tayin bai inganta kansa ba.

Bayan makonni 12, lokacin da jikin tayin zai iya samar da kwayoyin kansa da kansa, akwai barazanar hyperinsulinemia, wanda zai iya haifar da ci gaban cututtukan jarirai, raunin da ya faru yayin aiki, da shan iska.

Idan aka gano matsalar ta dace, daukar matakai da sanya ido a kan lamarin, yana yiwuwa a sami cikakkiyar lafiya da kuma kawar da rikice-rikice yayin aiwatar da aiki a cikin mahaifiyar.

Sanadin ci gaba da kuma faruwa

Dalilin ci gaban ciwon sukari ya fara ne ba a fahimta sosai.

Masana sun ba da shawarar cewa ɗayan yanayin da ke haifar da bayyanar da cin zarafi shine toshewar hanyoyin samar da insulin ta hanyar kwayoyin ciki, waɗanda ke da alhakin ci gaban lafiya da haɓaka tayin.

Hakanan daga cikin waɗannan abubuwan shine ƙara buƙata ga mahaifiyar gaba a cikin glucose, wanda yake wajibi ne ba kawai ga jikinta ba, har ma ga tayin. Saboda haka, haɓakar samarda insulin yana farawa, wanda ke lalata ƙwayar cuta.

Bugu da kari, sanadin ci gaban ciwon sukari a cikin mata masu juna biyu na iya zama cutarwa daban-daban, rashin gado ne, mahaifar da mahaifar ta sanya a farkon matakan kamuwa da cuta, halittar polycystic akan kwayoyin, munanan halaye da sauran dalilai da yawa.

Sakamakon da haɗari

Ciwon sukari yana tsoron wannan maganin, kamar wuta!

Kawai kawai buƙatar nema ...

Mafi girman matakin sukari na jini na mahaifiyar mai sa tsammani, mafi girman yiwuwar macrosomia (ciyar da tayin).

A irin waɗannan halayen, jariri a cikin mahaifar yana da nauyi da sauri, amma girman da girman ci gaban kwakwalwa ya kasance al'ada.

Rashin nauyi mai saurin haifar da saurin yiwuwar haihuwa, haka kuma rikice-rikice yayin aiki. Bugu da kari, da alama yiwuwar haihuwa ko asifa, rashin aiki na yara da ci gaban rikice rikice na haihuwa.

Don guje wa waɗannan matsalolin, likitoci sukan yi kira da wuri don haihuwa. A wannan halin, hanyar aiki ba tare da rikitarwa ba ko tare da mafi ƙarancin adadin su na yiwuwa.

Pathogenesis da etiology

A lokacin daukar ciki, ana samun yada kwayar cutar suga a cikin mahaifiya zuwa tayi. A lokaci guda, kimanin daga farkon farkon karo na biyu, raguwar jijiyar kyallen takarda zuwa insulin yana faruwa, a sakamakon wanda karuwar samar da insulin zai iya farawa.

Abubuwan da jikin ke samarwa na insulin

Duk da kasancewar wani yanayi na rikice-rikice da fasali na “lafiya” canje-canje a jikin mace mai juna biyu, hanyar ci gaban ciwon suga na cikin mahaifa kowane ne a cikin yanayin.

Ba kamar cututtukan al'ada na al'ada ba, ciwon sukari na cikin mahaifa ba shi da jerin alamu waɗanda ke iya nuna rashin lafiyar. Tabbatarwa tabbatacciyar tabbaci game da yanayin aikin masu ciwon sukari zai zama ƙara yawan glucose a cikin jini.

A mafi yawan lokuta, mata masu juna biyu da ke dauke da cutar sankara a cikin jiki na iya fuskantar wadannan canje-canje:

• nauyin nauyi mai saurin lalacewa na mahaifiyar mai fata (haɓaka fiye da gram 300 a mako ɗaya),
• matsananciyar ƙishirwa
• da bukatar karin amfani da bayan gida,
• asarar ci
• gajiya.

Tayin a wannan lokacin kan aiwatar da duban dan tayi na iya bayyanar da kuskuren sassan jikin mutum, samar da kiba mai yawa da kuma girma cikin sauri a jiki.

Binciko

Mataki na farko a cikin tsarin hanyoyin bincike shine tantance hadarin kamuwa da cutar sankarau.

Sabili da haka, a lokacin da mahaifiyar ta gaba ke rajista a cikin asibitin haihuwa, likita dole ne yayi la'akari da wasu alamomi masu mahimmanci (shekaru da nauyin matar mai juna biyu, farkon ciwon sukari a yayin daukar ciki na baya, haihuwar jarirai masu nauyin sama da 4 kilogiram, sake haihuwa, kasancewar tsinkayen gado da sauran sauran maki).

Mataki na biyu shine bayar da gudummawar jini don glucose. Ana yin irin wannan binciken sau da yawa yayin daukar ciki. Idan akalla sau ɗaya mai nuna alamar ya wuce 5 mmol / l, za a tura mahaifiyar da ke cikin gwajin gwajin haƙuri.

Game da kasancewar alamomin al'ada a sati 24-28 na ciki, ana yin gwaji akai-akai. A wannan lokacin ne zaka iya samun ingantaccen sakamako.

Idan mahaifiyar mai haihuwar ta kamu da ciwon sukari, ana wajabta shi a cikin matsakaiciyar motsa jiki, rage cin abinci, da sarrafa sukari a duk tsawon ranar (ana bada shawarar gwargwadon sau 5-6 a rana).

Abincin don rashin lafiya

Ka’idojin “halin cin abinci” su bi wasu shawarwari masu sauki:

1. yakamata abinci ya zama juzu'i. Ana ba da shawarar abinci 5-6 a rana, 3 daga cikinsu zasu zama na farko, sauran kuma za su zama kayan ciye-ciye masu sauƙi,
2. Daga abincin da zaku ci shine ku fitar da carbohydrates waɗanda ke ƙarƙashin jan hankali (gari, zaki, dankali),
3. kuna buƙatar auna matakin sukari tare da glucometer bayan kowane abinci,
4. kada ya wuce gona da iri
5. Ya kamata a shirya abincin kamar haka: 40-45% na ƙwayoyin carbohydrates lafiya, 30% na fats masu lafiya da kuma 25-60% na sunadarai.

Menu da aka yarda

Amfani da aka ba da izini:

• raw kwayoyi
• miyar kayan lambu, wani irin abincin tsami, okroshka,
• legumes
• kayayyakin soya
• sabo kayan lambu
• ruwan kwalba da ruwan lemon tsami,
• porridge (oatmeal, buckwheat, alkama),
• 'ya'yan itace bushe
• 'Ya'yan itãcen marmari da berries marasa amfani (pears, apples, lemons da sauransu).

Ba'a ba da shawarar yin amfani da kayan zaki ba koyaushe, saboda suna iya zama jaraba.

Motsa jiki

Ya kamata aikin jiki ya zama matsakaici, yana kawo nishaɗi.

Yi motsa jiki irin wasanninku na yau da kullun: tafiya, iyo, motsa jiki da sauransu. Abubuwan motsa jiki yayin daukar ciki an hana su.

Idan kun ji rashin lafiya, jinkirta taron zuwa wani lokaci. Haka kuma, yayin horo, saka idanu kan zaman lafiyarku. Sau da yawa a lokacin daukar ciki, mata masu juna biyu suna fuskantar matsalar rashin haihuwa.

Don hana damuwa, fara darasi sa'a daya bayan cin abinci. Hakanan, daidai bayan horo, zaku iya cin sanwic mai sauƙi ko apple.

Magungunan magani

A lokacin daukar ciki, iyaye mata masu zuwa masu fama da cutar sankara na iya sanyawa magunguna wadanda aka tsara don inganta zagayawa cikin jini a cikin tayin mahaifar.

Jerin magungunan sun hada da Magnesia, bitamin na rukunin A, E, rukunin B

A cikin matakai na gaba, zaku iya buƙatar amfani da insulin. Hakanan, don ware hypoxia na tayi, ana amfani da Pentoxifylline, Riboxin ko Piracetam.

Saitin magungunan da aka yi amfani da su zai dogara ne da yanayin mahaifiyar da tayin, da kuma a cikin watanni.

Lokaci mafi kyau na GDM shine makonni 39-40.

Amma idan cikin makonni 38 nauyin tayin ya fi gram 3900, farawar haihuwa zai fara. A karkashin yanayin gabatarwar kai, mafi kyawun zaɓi shine haihuwar haihuwa.

Koyaya, mace mai yawan aiki dole ne ta auna matakin sukari a kowane 1-2.

Yin rigakafin

Idan kun kamu da ciwon sukari yayin daukar ciki, sannan kuma ya shude, kada ku sassauta, saboda daga baya ana iya gano cewa ku kamu da ciwon sukari irin na 2.

Sabili da haka, an bada shawara don saka idanu akan wannan lokacin kuma aiwatar da matakan rigakafin kai a kai.

Bayan haihuwa, a makonni 6 zuwa 12, sai a gwada wa masu ciwon suga.

Bayan haka, an bada shawarar yin gwaji a kowace shekara 3. Hakanan ya zama dole a rayuwar yau da kullun don ɗaukar jikinku tare da motsa jiki masu ƙarfi kuma ku bi abinci (abincin da yakamata ya ƙunshi sunadarai ne da ƙoshin lafiya, kuma ku bar carbohydrates m).