Alamomin cutar sankarau na cututtukan jarirai da magani

Alamomin cutar sankarau na cututtukan jarirai da magani - Jiyya

Halin lafiyar mahaifiyar kafin da lokacin ciki yana shafar ci gaban jariri, don haka kula da kula da cututtukan cututtukan ƙwayar cuta dole ne a gabansu, a cikin tsari. Abin baƙin ciki, ba duk cututtukan da za a iya warke ba ko kuma an sami cikakkiyar gafartawa na dogon lokaci. Irin waɗannan cututtukan sun haɗa da ciwon sukari.

Mace mai ciki da ciwon sukari ya kamata ta guji yawan aiki, damuwa, yin tafiya sosai a cikin sabo, cin abinci daidai kuma, hakika, kula da sukarin jininta. Matsayi na ƙarshe yana da mahimmanci musamman - idan sukari ya mirgine akan saman, yana iya haifar da mummunar sakamako, har zuwa cigaban tayin.

Rashin kula da yanayin, rashin magani sau da yawa yana haifar da ciwon sukari a cikin jariri. Yadda yake bayyana kanta kuma mafi mahimmanci, yadda ake kulawa dashi - ƙari akan wannan a ƙasa.

Yaya ake kula da ciwon sukari na steroid?

Menene fetopathy?

Ciwon sukari fetopathy cuta ce da ke faruwa a cikin jarirai, yana tare da ciwon sukari na mahaifiyarta ko kuma yanayin ciwon kansa. Ya danganta da tsananin cutar, yaro na iya samar da gabobin jiki, wannan ya shafi kodan, cututtukan fata, tsarin jijiyoyin jiki.

Aikin likita shine samar da mace mai ciki da sakamako mai inganci ga masu ciwon sukari kuma, in ya yiwu, don guje wa rikice-rikice ta hanyar gestosis, polyhydramnios. Idan babu tsalle-tsalle masu tsini yayin glycemia, mahaifiyar da take fata na iya damuwa da lafiyar tayin.

Hanya mai sakaci ga hyperglycemia yayin haihuwa tana rage lokacin haihuwar, akwai hadarin haihuwa. Kuma duk saboda da fari daga cutar rashin kwanciyar hankali ne mahaifa yake shan wahala, wanda baya iya samar da crumbs tare da abinci mai mahimmanci.

Alamun cutar sankarau

Abun ciki na haifar da bayyanar cikin jariri irin wannan alamun bayyanar cututtukan mahaifa:

an haifi jariri da babban nauyi - fiye da 4 kilogiram,
jiki, kai, wata gabar jiki ba su dace da juna ba,
fuska mai kumbura
babban, kamar an harba tummy,
Ana fatattaka kitse
cutarwa na gabobin da tsarin daban-daban,
gazawar numfashi
ba da baya
kumburin hanta, koda da glandar ciki, gushewar ciki.

Menene nau'in ciwon sukari

Ciwon sukari fetopathy a mafi yawan lokuta yakan haifar da haihuwa. Jariri na tafiya ta hanyar kogin haihuwa ba tare da yardar rai ba, kawai manyan kafadu ba sa barin fita daga cikin mahaifa cikin sauki. Dangane da wannan, likitan mata na likitanci dole ne su saki abin ɗayan ɗayan, da gangan cutar da shi. Wannan shine dalilin da ya sa yana da mahimmanci a bincika fetopathy na ciwon sukari yayin daukar ciki. Cutar ta alama alama ce don tiyata - ɓangaren cesarean.

Sakamakon illa na ci gaban mahaifa na faruwa ne da wasu abubuwan da ke haifar da rikicewar cututtukan mahaifa:

karancin oxygen daga uwa zuwa jariri ta cikin mahaifa,
matsalolin jijiyoyin jiki
rikice-rikice da ke tattare da metabolism na lipid.

Jiyya na zamani

Jiyya da rigakafin fetopathy na ciwon sukari sun dogara da matakin gano cutar. Idan likita ya gano rashin daidaituwa a lokacin daukar ciki na mata, wanda shine mafi kyawun zaɓi, za a tsara mahaifiyar mai haihuwar wannan ilimin:

Kulawa da sukari na jini a gida ta amfani da mitirin glucose na jini.
Gabatar da insulin (idan ya cancanta).
Auna jini na jini.
Amincewa da hadaddun bitamin.
Abincin abincin da ke da wadataccen abinci mai gina jiki, mai adadin kuzari kada ya wuce 3200 kcal kowace rana.
Yana da kyau cewa abincin ya ƙunshi kaɗan kima abinci ne sosai, yana da kyau ku jingina ga carbohydrates masu sauƙin narkewa.

Yana faruwa cewa ana gano ciwon sukari a cikin mace mai ciki kawai a lokacin lokacin haihuwar jariri. Wannan nau'in ciwon sukari ana kiran shi da cutar suga ta mahaifa - kumburin ciki baya iya ɗaukar nauyin ninki biyu kuma ba zai iya samarda insulin ga mutane 2 a lokaci ɗaya ba - tayin har zuwa makonni 12 na ci gaba da mahaifiyar. Wannan shine dalilin da ya sa yana da mahimmanci a gudanar da cikakken jarrabawa cikin ƙayyadaddun lokaci kuma a ƙaddamar da gwaje-gwajen da likitocin halartar suka rubuta.

Idan an kamu da ciwon sukari da sannu a hankali kafin haihuwa, likitan mata dole ne ya tantance shekarun gestational. Lokacin da ake buƙata lokacin bayarwa don ciwon sukari shine mako na 37. Idan mace ko jariri sun ji ciwo sosai, to, suna haihuwa a mako na 36. Ba za ku iya haihuwa ba tun da wuri, irin wannan shawarar na iya ɗaukar mutuwar tayi, amma a lokaci guda ceci ran matar mai ciki.

Lokacin da babu wata hanyar fita:

Idan mace ta kamu da cutar gestosis.
Akwai polyhydramnios.
An gano ƙarancin koda.
Samuwar tayin na tsawan yunwar oxygen.

A lokacin daukar ciki, yana da mahimmanci a kula da isassun matakan sukari na jini, in ba haka ba haihuwa akan kanku zai zama da wahala. An tsara jikin ta hanyar da ake buƙatar adadin glucose mai yawa don rage yawan mahaifa, don haka idan ba ta da shi, mace na iya fuskantar irin waɗannan sakamako mara kyau:

asarar sani
rashin lafiyar hailala.

Don inganta yanayin macen da tazarar haihuwa tare da cutar mahaifa, likitoci suna gudanar da wadannan lamuran:

A cikin gram 100 na tsarkakakken ruwa, 1 tablespoon na sukari mai girma ana bred kuma an ba wa mai haƙuri abin sha.
Idan wannan bai taimaka ba, to ana gudanar da maganin glucose 5% na cikin suga, kashi daya shine 0.5 l.
Lokacin da tashin hankali ya faru, ana amfani da 100-200 mg na hydrocartisone da har zuwa 1 ml na 0.1% adrenaline.

Don hanzarta tafiyar matakai na rayuwa yayin haihuwa, yana kuma da kyau a gabatar da hadaddun bitamin a tsarin ruwa.

Shin zai yiwu Peas na ciwon sukari na 2

Sakamakon ciwon sukari da ke haifar da ciwon suga a cikin jarirai

Ciwon sukari mellitus ke da wuya a jarirai, amma duk da haka, aikin likita ya san lokuta inda daga baya aka gano yara kanana masu fama da cutar siga ta 2. A game da tushen ciwon sukari, mako na farko bayan haihuwar jariri ana shan azaba ta hanyar wuce gona da iri, tsaiko, rawar jiki, tsawa, wannan yanayin yana tare da saurin bugun zuciya.

Kusan koyaushe, tare da karancin alli, akwai rashi sinadarin magnesium. A wannan batun, kwanaki 3 na farko a cikin jariri wanda ke fama da ciwon sukari akwai ƙarancin numfashi da raguwa a cikin haɗuwar oxygen a cikin jini - wannan cutar ana kiranta daɗaɗɗun huhu.

Gabaɗaya, idan yayin haihuwar tayi babu lahani a cikin halittar gabobin da tsarin a cikin yarinyar, likitocin sun bada kyakkyawar hangen nesa. Tuni yana da shekaru 2-3, an sake dawo da dunƙulewa. Abinda yakamata iyaye su bi shine, cewa jaririn baya samun kiba mai yawa, wanda yaran da suka kamu da cutar fetopathy na cutar siga suna da matukar raha.

Cutar farko

Ana yin gwajin cutar ta farko ne a lokacin daukar ciki. Da ake bukata wani abu shine wanda ake rubutawa a tarihin likitan mata. Wannan ya shafi kasancewar ciwon sukari, kazalika da cutar sankara. Kari akan haka, ana yin allurar bincike ta duban dan tayi tsawon makonni 10-14 na ciki. Ta amfani da wannan hanyar, zaku iya tabbatar ko akwai karkacewa a cikin ci gaban tayin, yana nuna ci gaban cutar:

manyan masu girma na tayi, wanda ya sha bamban da na al'ada,
damuwa da daidaituwa na jiki,
hauhawar jini na hanta da hanta,
wani wuce haddi na ruwa ruwa.

Mahimmanci! Dangane da sakamakon duban dan tayi, likita yayi cikakken bincike kuma ya yanke shawarar sauran ayyuka wadanda zasu rage yanayin mahaifiyar da kuma tabbatar da kyakkyawan yanayin daukar ciki.

Jiyya kafin haihuwa

Kowace mace yayin daukar ciki tana yin gwaje-gwaje na yau da kullun da kuma gwaje-gwaje. Idan akwai tuhuma daga karkacewa, likita ya tsara ƙarin ingantaccen ganewar asali. Idan aka kwatanta sakamakon. Idan an tabbatar da cutar, to ya zama dole a fara magani nan da nan. Wannan zai hana lalacewa mai kyau a cikin tayi.

Tare da wannan ganewar asali, ana kula da matakan sukari da karatun jini a koyaushe. Idan ya cancanta, ƙarin magani ta yin amfani da insulin an wajabta shi. Yana da matukar muhimmanci cewa abinci ya daidaita. Yakamata ya ƙunshi isasshen adadin bitamin da suke bukata don haɓakar ɗan tayi. A wasu halayen, likita ya ba da izinin hadadden bitamin. A wani matsayi, an ba da shawarar mace ta bi abin da ake ci tare da ware abinci mai ƙima. Abincin yau da kullun kada ya wuce 3000 kcal. Kafin haihuwa, ana ƙara abinci da ke kunshe da adadin wadataccen ƙwayoyin carbohydrates a cikin abinci.

Dangane da sakamakon gwajin duban dan tayi da kuma ci gaba da sanya idanu, likita ya kayyade lokacin da ya dace don bayarwa. Idan ciki ya tafi ba tare da karkacewa ba, to mafi kyawun zaɓi zai kasance makonni 37-38. Lokacin da aka yi barazanar, za a jinkirta ranakun. Anyi wannan ne domin rage haɗarin yaran.

Ayyukan Generic

Sau da yawa a lokacin daukar ciki, mahaifiyar da ke da bukata tana da cutar rashin haihuwa. Sugararancin sukari yana haifar da raguwa a cikin aiki. Don rage mahaifa yana ɗaukar glucose da yawa. Tare da rashin ƙarfi, aiki zai zama da wahala, rikitarwa yana yiwuwa. Rashin sani ba sabon abu bane. A cikin lokuta masu wahala, rikicewar rikice-rikice zai yiwu.

Hypoglycemia an tsayar da shi ta hanyoyi daban-daban:

sha ruwa mai dadi, don shiri wanda kuke buƙatar ƙara 2 tablespoons zuwa gilashin ruwa,
Ana gudanar da 500 ml na glucose 5% a cikin zuciya
har zuwa 200 MG na hydrocortisone ana gudanar dashi,
babu fiye da 1 ml na adrenaline.

Yin irin waɗannan hanyoyin na iya sauƙaƙe haihuwar, don haka rage haɗarin rayuwar rayuwar yarinyar.

Bayani

Nan da nan bayan haihuwar jariri wanda ake zargi da bunkasa fetopathy, ana yin maganin glucose. Wannan ya sa ya yiwu a hana ci gaban haila. Dangane da wannan, ya zama dole a shirya don haihuwa sosai kuma a gaba. In ba haka ba, rikice-rikice suna yiwuwa waɗanda ke cutar lafiyar lafiyar jaririn.

Ya kamata a saka kulawa ta musamman don abincin ɗan. Ya kamata a bai wa madara uwa a kowane awanni 2. Wannan ya zama dole domin sake daidaita daidaituwa tsakanin rashin glucose da insulin, wanda ke haifar da hanji.

A wasu halaye, jariri na iya rasa numfashi. A wannan yanayin, an haɗa shi da iska mai sarrafawa, ana kuma gudanar da surfactant. Tare da bayyanuwar jaundice, likita ya ba da izinin radiation na ultraviolet. An tsara hanya ta hanyar likita dangane da gwaje-gwajen da aka yi.

Haka mahimmin mahimmanci shine gyaran kashi na yau da kullun na insulin a cikin haihuwa. Babban dalilin shine raguwar glucose na jini. Idan babu wani haɗari na canji na tsarin gestational zuwa na kullum, to, an soke aikin insulin. Bayan kwana 10, halin da ake ciki ya zama al'ada da kuma glycemia yana ɗaukar daraja kafin cikin ciki.

Sakamakon binciken cutar ba a sani ba

Idan ba a ƙaddara fetopathy a cikin wani yanayi mai dacewa ba, to a nan gaba wannan yana haifar da ci gabanta. Sakamakon haka, yaro zai iya fuskantar matsalolin da ba za a iya sauyawa ba waɗanda ke cutar da lafiyar sa. A wasu halaye, irin waɗannan karkatattun abubuwa masu haɗari ne. Don haka, yana da matukar muhimmanci a gano cutar a lokacin daukar ciki kuma a yi amfani da hanyoyin da ake bukata.

Amma ga rikitarwa, yana da daraja a nan:

babban yiwuwar canjin cutar zuwa ciwon sukari, wanda kuma ake kira sabon haihuwa,
yunwar oxygen
da yiwuwar bunkasa ciwo na numfashi,
fitowar zuciya,
karin nauyi mai nauyi (kiba),
tsinkayar cutar sankaran mahaifa 2.

Lokacin da aka yanke igiyar tsumma, glucose ta daina gudana cikin jinin jariri, wanda jini na hauhawar jini ya hauhawa. Bayan haka, kwayar cutar ta ci gaba da samarda insulin da yawa. Wannan sabon abu yana da haɗari sosai ga jariri kuma yana iya zama mai mutuwa.

Babu ƙarancin haɗari shine cin zarafin ma'adinai, wanda ke faruwa akan asalin ƙananan abun ciki na alli da magnesium. Sakamakon haka, wannan mummunan cutar yana aiki da tsarin juyayi. Jariri ya kamu da matsalar tabin hankali da ta hankali, haka kuma akwai rashi a cikin ci gaba.

Dole ne a fahimci cewa fetopathy shine cuta mai haɗari wanda zai iya haifar da mutuwar jariri. Don haɓaka damar samun damar haihuwa da bayarwa, mata masu ciwon sukari suna buƙatar kulawa ta kwararru koyaushe. Zai fi kyau haihuwa a cikin ƙwararrun likita.

Idan an haifi jaririn ba tare da lahani ba, to tsinkayen yana da kyau sosai. A ƙarshen watanni 3 da haihuwa, an sake shi cikakke. Amma ga masu ciwon sukari, haɗarin su kadan ne. Amma, a lokaci guda, akwai babban yiwuwar kiba ko lalacewar tsarin juyayi.

Don rage duk haɗarin, ya zama dole a bi duk shawarwarin da likitocin likita suka bayar a lokacin daukar ciki da kuma bayan haihuwa.