Gwajin glucose yayin daukar ciki: me yasa ake buƙata kuma ta yaya ake yin ta

Mahaifiyar da take fata dole ne ta ziyarci dakin gwaje-gwaje sau da yawa. Nazarin jinin haila yana baka damar saka idanu akan yanayin macen da take juna biyu, cikin lokaci don gano matsalolin da zasu iya shafar ci gaban jariri. Gwajin glucose yayin daukar ciki ana daukar shi wani muhimmin binciken. A waje da tushen babban taro na sukari a cikin jini, gestational ciwon sukari ke tasowa. Rashin lafiya cuta ce ga mama da jariri. Da zaran an gano matsalar ko yiwuwar faruwar lamarin, to kuwa mafi girman damar da za a iya hana ci gaban cututtukan mahaifa.

Me yasa ake buƙatar bincike

Tushen makamashi ga sel jini, waɗanda ke da alhakin samarwa da kwakwalwa ƙwayar jini, shine glucose. Yana shiga cikin jiki tare da abinci mai-carbohydrate. A cikin jini, carbohydrates suna rushewa: ana canza su zuwa sukari.

Babban glucose shine insulin. Yana da alhakin matakin abu a cikin jinin jini. An samar da hormone mai mahimmanci ta hanji. Samun jariri yana tare da babban nauyin hormonal. Sau da yawa, canjin yanayin hormonal yana haifar da matsala ga tsarin halitta. A sakamakon haka, insulin ba zai iya yin haƙuri da glucose ba, wanda ke tsokani ci gaban ciwon sukari a cikin inna.

Ana buƙatar yin gwajin jini don glucose a lokacin daukar ciki don bincika yadda metabolism metabolism ke tafiya, ko akwai haɗarin haɓakar ciwon sukari. An ƙaddara matakin sukari ta amfani da nazarin asibiti game da ƙwayar jini. Idan alamu sun fi yadda ake yin al'ada, ana yin gwajin haƙuri na mussaman musamman: ana ɗaukar ƙwayar jini a cikin kaya. Me yasa aka wajabta gwajin? Don sanin idan ana samar da insulin a cikin adadin da ya dace. Ta wannan hanyar, ana iya gano cutar sankarar mahaifa, kuma abin da ya faru a ƙarshen sashin gestation ana iya hango lokacin da haɗarin ke ƙaruwa sosai.

Ciwon sukari na mahaifa: abin da ke da haɗari

Cutar sankarar mahaifa na faruwa ne sakamakon rashin daidaituwa na hormonal wanda ke haifar da juna biyu. Pathology yana bayyana kanta lokacin da insulin bai iya magance glucose ba. Wannan lamari ne mai haɗari: yana iya haifar da ci gaba na rashin damuwa a cikin jariri, tsokani rikicewar haihuwa.

Bayyanar cutar a sati na farko na haihuwa, lokacin da jariri yake farawa, ya cika da manyan lamuran. Sau da yawa, jarirai suna kamu da lahani na zuciya bayan haihuwa. Ciwon sukari na iya shafar tsarin halittar kwakwalwa. Rashin lafiya wanda ya samo asali a karo na 1 yana kara hadarin ashara.

Mai iya daidaitawar kwaya, ko da yake ana daukar shi amintaccen lokacin, amma karuwar glucose na iya cutar da wannan lokacin. Ciwon sukari yana haifar da kiba: yana da mai mai yawa da yawa. Wataƙila ƙwaƙwalwar ƙwayar ƙwayar cuta, ƙodan, da kuma tsarin numfashi na crumbs zasu yi aiki a jiki. Ruwan jini a cikin jariri na iya haɓaka danko.

A kan tushen ciwon sukari, gestosis sau da yawa yana tasowa, wanda ke shafar yanayin mama da jariri. Kamuwa da cuta yakan shiga jikin mai rauni cikin sauki. Zasu iya shafan tayin. A cikin marasa lafiya da wannan cutar, yawan haihuwa yana yawan haihuwa. Suna da rauni a cikin aiki: akwai buƙatar yin aikin tiyata.

Idan an gano cutar a kan lokaci kuma uwa tana bin umarnin likita, to, zaku iya rage yiwuwar kamuwa da cuta a cikin jariri. Don haka, yana da matukar muhimmanci a ƙaddamar da haƙuri a cikin mata masu juna biyu, likita ya tura mata masu juna biyu zuwa dakin gwaje-gwaje, kuma kawai ya yanke shawara sau nawa a lokacin lokacin haihuwar da zai bincika alamun.

Rashin haɗari

Yawancin lokaci jini na sukari tare da kaya yayin daukar ciki ana duba shi a makonni 24 - 28. Idan babu dalilai masu haɗari kuma tare da alamu na yau da kullun na bincike na gwajin ƙwayar jini, ana ganin wannan lokacin ya fi dacewa don ƙaddamar da gwajin.

Akwai wani rukuni da ake kira haɗarin. Matan da ke cikin sa suna karbar takardar neman bayanai game da nazarin jinin haila a ziyarar farko ta su ga FA, kuma idan aka daukaka sukari, suna yin gwaji ba tare da jiran ranar da ya kamata ba. Dole ne a gudanar da binciken haƙuri a cikin sau 3.

Mai haƙuri yana da damar ƙin gwajin a farkon matakan, amma likita ya san mafi kyawun lokacin da ya fi dacewa a gudanar da shi. A gaban abubuwan da ke haifar da muni, ya fi kyau zama lafiya ba tare da haɗarin cutar rashin lafiya ba. Mace mai ciki tana cikin haɗari idan:

akwai kwayoyin halittar cutar sankaran jini,
shekaru ya wuce shekaru 35
kiba
cututtukan cututtukan ƙwayar cuta na asali
da cutar koda
Tarihin likita ya nuna wata ciki mai sanyi / ashara,
An haife tsoffin yara tare da nauyi sama da 4 kilogiram,
Iyalin suna da yara masu cututtukan zuciya da na asali, da rikicewar tsarin juyayi,
a cikin ciki na baya akwai matsaloli tare da sukari.

Ana gudanar da bincike mara tsari na ƙwayar jini tare da nauyin carbohydrates idan an nuna alamun damuwa. Sun haɗa da ɗanɗano mai ƙarfe a cikin bakin, yawan urination akai-akai, ji na kasala mai wahala. Irin waɗannan bayyanar na iya nuna kasancewar ciwon sukari. Likita na iya duba insulin din idan hawan jini na matarka yana da yawa.

Me yasa aka wajabta gwajin glucose yayin daukar ciki?

Sugar, wanda yake shiga cikin jiki, ya rushe kuma aka canza shi zuwa gaba ya zama makamashi da kuma tushen abinci mai gina jiki ga sel. Tsarin al'ada da samuwar tayin gaba daya ya dogara da wannan tsari.

An wajabta gwajin ciki game da glucose don hana farkon ciwon sukari da gestosis a cikin matakan na gaba. Halin yana faruwa ne ta hanyar canje-canje masu mahimmanci a cikin tsarin metabolism da canje-canje na hormonal. Saboda haka, ana iya lalata nauyin insulin, wanda ke haifar da lalata intrauterine.

Gwajin glucose na jini yayin daukar ciki ya zama dole ga kowa. Idan an lura da sauyewar sukari, to ana shirya karatun ne akai-akai. Riskungiyar hadarin ta hada da:

yayin farkon ciki, an lura da ƙara yawan glucose,
kiba
kwayoyin halittar jini
ganewar asali daga cututtukan ƙwayar cuta,
shekarunta 35 da haihuwa.

A cikin irin waɗannan halayen, yana da mahimmanci don ba da gudummawar jini don glucose daga farkon farkon don gano rashin daidaituwa da dawo da adadin sukari a al'ada.

Adadin glucose a cikin jinin mata masu juna biyu

Matsayin glucose na jini a cikin mata masu juna biyu na iya bambanta dangane da hanyar bincike. Alamar amsoshin wadatattun matakan ana kayyade su da waɗannan jeri:

a cikin bincike akan komai a ciki - 3.5 - 6.3 mmol / g,
sa'a daya bayan cin abinci - 5.8 - 7.8 mmol / g,
bayan awa 2 bayan cin abinci - daga 5.5 zuwa 11.

Idan an yi gwajin haƙuri na glucose tare da motsa jiki, to, ana auna matakan sukari da farko kafin abinci da safe. Bayan haka, matar ta sha maganin zaki, kuma ana ɗaukar awo kowane minti 30 ko bayan 1 da 2.

Bayyanar cututtukan ciwon sukari na iya yiwuwa idan matakan sukari na jini suka wuce 7 mmol / g (a kan komai a ciki) ko 11 mmol / g bayan sa'o'i biyu, dangane da inda aka ɗauki jinin (daga yatsa ko daga jijiya). Idan aka saukar da abun cikin, to yanayin ma bai tsinkaye ba, tunda kwakwalwar yara bata da abinci mai gina jiki, wanda hakan ke barazana ga lafiyarta.

Yadda ake bayar da gudummawar jini don glucose yayin daukar ciki

Kyaututtukan jini a cikin jini yana ba da kiyayewa ga wasu ƙa'idodi masu sauƙi waɗanda zasu taimaka haɓaka yawan aiki:

kuna buƙatar yin bincike da safe akan komai a ciki, shine, kada ku ci komai don awa 10-12, yayin tsarin shaye shayen ya kasance iri ɗaya ne,
cikin 'yan kwanaki kadan, ka ware kayan abinci masu kiba da mai yaji, ka rage rage cin abinci na carbohydrates,
tuntuɓi likitanka game da shan magunguna a wannan lokacin.

Kuma babban yanayin gwajin shine kwanciyar hankali, tunda duk wata damuwa da canje-canje masu girma a cikin yanayin mace mai ciki suna cutar da sakamakon.

Ba da gudummawar jini don glucose a lokacin daukar ciki tare da kaya yana ɗaukar amfani da maganin zaki, wanda dole ne a iya narke shi a cikin 200 ml na tsarkakakken ruwa. Bayan aikin, suna jira sa'a daya kuma suna yin gwaji na biyu don haƙuri na glucose, bayan sa'o'i biyu, ana sake yin gwajin jini da shan maganin. A yayin binciken, an hana ƙarin abinci abinci, kuma ba a hana yawan motsa jiki ba, wanda ke ba da damar tantance masu cutar sankara.

Idan gwajin ya nuna wuce haddi na yau da kullun, to likitan ya ba da shawarar cewa a cire samfuran glucose-boosting daga abincin. Wadannan sun hada da zuma, burodi, taliya, dankali, masara, madara da 'ya'yan itatuwa masu zaki. Ko da kofi da shayi ba tare da kayan zaki ba na iya ƙara yawan sukari, don haka likita zai ba da cikakken jerin abubuwan da aka ba da izini da abinci da aka haramta, gwargwadon yawan hauhawar abu a cikin jiki.

Yaushe bincike yake?

A matakin farko, an wajabta wa duk marasa lafiya wani gwajin jini na yau da kullun don glucose yayin daukar ciki har zuwa makonni 24. Ana gudanar da wannan binciken ba tare da kaya ba, yawanci ana ɗaukar jini daga cikin tasoshin ƙira na yatsa. Ana ba da nazari da safe. Ana aiwatar da shi a kan komai a ciki, lokacin ƙarshe da za ku iya ci 8 hours kafin bayyanar cutar. Mafi sau da yawa, ana ba da wannan binciken ta likitan ilimin mahaifa da likitan mata da zaran an tabbatar da haihuwa. Testingarin gwaji don metabolism metabolism zai dogara da sakamakon:

Idan gwajin glucose na jini a lokacin daukar ciki al'ada ne (3.3-5.5 mmol / L), to yawanci ba a yiwa sauran gwaje-gwaje ba. Ana sake yin nazarin a cikin sati na biyu.
Idan glucose ya ɗan ƙaru (5.5-7 mmol / L), to likita ya ba da shawara cewa mai haƙuri yana da ciwon sukari na gestational. Wannan wani nau'i ne na cutar da ke faruwa a cikin mata masu juna biyu. Don fayyace ganewar asali, an wajabta gwajin haƙuri na glucose (tare da kaya).
Idan sakamakon binciken ya wuce 7 mmol / l, to wannan tabbas yana iya nuna cewa mace tana fama da ciwon sukari. Koyaya, cikakken ganewar asali na buƙatar cikakken bincike.

A wasu halaye, an wajabta gwajin glucose tare da kaya yayin daukar ciki. Ana gudanar da irin wannan binciken ga mata masu haɗari, waɗanda suka haɗa da rukuni na marasa lafiya masu zuwa:

kiba
tare da ciki da yawa
matan wadanda danginsu ke da ciwon suga
marasa lafiya masu fama da hauhawar jini,
wani mahaukaci a tarihin nazarin glucose,
haihuwar yara masu nauyi ko nakasu ci gaban rayuwa a da,
mata masu dauke da cutar cholesterol,
marasa lafiya wanda aka gano sukari fitsari.

A halin yanzu, an tsara irin wannan gwajin har ma ga mata masu lafiya a mako na 28 na gestate don hana cutar. Yin nazarin glucose a lokacin daukar ciki baya bada izinin tantance kasancewar ciwon sukari daidai. Wannan hanyar gwajin dakin gwaje-gwaje kawai yana nuna cin zarafin metabolism. Don gano cutar, ana buƙatar cikakken binciken mai haƙuri.

Contraindications zuwa alƙawarin binciken

Ba duk mata bane za'a iya gwada su don suga a lokacin daukar ciki. Akwai waɗannan contraindications masu zuwa don irin wannan cutar:

matakin sukari na jini sama da 7 mmol / l,
cututtuka da m mai kumburi, pathologies na pancreas da gastrointestinal fili,
da yarinyar ta har shekara 14,
da lokacin lokacin haihuwa daga makonni 28,
glucose-boosting magani mai guba
mai tsanani mai guba a cikin mahaifa.

Yadda ake shirya wa karatun?

Kafin kayi gwajin glucose yayin daukar ciki, kuna buƙatar shirya don binciken. Wannan zai taimaka don samun ingantaccen sakamako.

Ba kwa buƙatar canza abin da kuka saba da ƙuntata wa kanku cikin abinci. Akasin haka, abinci ya zama ya isa ya rage yawan adadin kuzari. 8-10 hours kafin gwajin, kuna buƙatar dakatar da cin abinci, kafin bincike, zaku iya shan ruwa mai tsabta. Abincin da ya gabata yakamata ya zama mai arziki a cikin carbohydrates.

Awanni 15 kafin a tantance, ba a cire barasa da shan sigari. Bai kamata ku canza yanayin aikinku na yau da kullun ba. Wannan baya nufin cewa kuna buƙatar yin takamaiman aikin motsa jiki, amma kuma ba zai yiwu ku kwanta akan kujera ba kafin gwajin. Wajibi ne ya jagoranci salon rayuwa na yau da kullun tare da ayyukan yau da kullun na yau da kullun.

Yaya ake gabatar da binciken?

Yadda ake ɗaukar gwajin glucose yayin daukar ciki? Yana da Dole a zo dakin gwaje-gwaje a kan komai a ciki, tare da samun ku game da likita da sakamakon gwajin sukari. Wani lokaci, gwajin jini daga yatsa don sukari ana maimaita shi kafin gwajin haƙuri mai haƙuri, kuma tare da sakamako sama da 7.1 mmol / L, ba a sake nazarin su. Koyaya, wannan ba a buƙata.

Gwajin glucose na jini yayin daukar ciki shine kamar haka:

Da farko, ana ɗaukar jini daga jijiya kuma ana auna glucose.
Sannan an ba wa mai haƙuri ruwan sha na maganin monosaccharide (wannan ana kiransa kaya).
Ana yin gwajin jini sau daya daga jijiya bayan awa 1, sannan kuma a sake yin wasu awowi 2 bayan an cika sakamakon.

Yaya za a tsarma glucose don bincike yayin daukar ciki? Wasu lokuta likita yana ba da haƙuri ga shirya maganin a nasu, a wasu halaye mai dadi syrup an yi ta ta hanyar ɗakin bincike. Kuna iya yin abin sha don nauyin yayin bincike kamar haka:

Shirya tsaftataccen ruwa a gaba.
Sanya 75 g busassun glucose a cikin ruwa na 300 ml kuma jira har sai an lalata duka.
Sha ruwan da kuke buƙata a cikin minti 5.
Abin sha yana da daɗi sosai, a cikin mata masu juna biyu da masu guba irin wannan zaƙi na iya haifar da tashin zuciya. Sabili da haka, yayin shan ruwan an ba shi damar lasa da yanki na lemun tsami, ko ƙara ɗan ruwan lemun tsami na ruwan lemo a cikin maganin.

Bayyana sakamakon

Manuniya masu zuwa daidai ne don nazarin glucose yayin daukar ciki (lokacin shan 75 g na monosaccharide):

Mita 1 (kafin kaya) - har zuwa 5.1 mmol / l,
Ji na biyu (awa 1 bayan an saka) - har zuwa 10 mmol / l,
Matsayi na 3 (bayan sa'o'i 2) - har zuwa 8.5 mmol / l.

Idan aka wuce waɗannan dabi'un, ana iya ɗaukar cewa mace mai ciki tana da cutar suga ta mahaifa. Mai haƙuri yana buƙatar shawara tare da endocrinologist da masanin abinci mai gina jiki.

Me zai yi idan har ya sabawa doka a cikin bincike?

Sakamakon binciken dole ne a nuna wa likitan mata na likitan mata wanda ke da mace. Ana iya buƙatar ƙarin gwaje-gwaje, alal misali, gwajin jini don glycated haemoglobin. Don fayyace sakamakon, likitan kuma zai iya ba da gwajin fitsari don sukari ko gwajin jini na awa uku don glucose tare da kaya.

Cutar sankara ta hanta ba cuta ce mai cutarwa ba. Yawanci, matakan glucose suna rage makonni 8 bayan haihuwa. Koyaya, wannan yanayin ba za a yi la'akari dashi ba kamar al'ada; haɓaka matakan glucose na iya shafar ci gaban tayin. Sabili da haka, irin wannan mace tana buƙatar riko da tsarin abinci, cin abinci kaɗan mai daɗin ɗanɗani.

Gluarancin glucose na iya cutar da jariri wanda ba a haifa ba. Carbohydrates ya zama dole don ingantaccen tsarin kwakwalwar jariri.

Me yasa akwai sakamakon karya?

Wani lokacin gwajin jini don haƙuri na glucose na iya ba da sakamakon ƙarya. Wannan na iya faruwa idan matar mai ciki ta sami damuwa a ranar hawan cutar. Sabili da haka, kafin binciken, yana da mahimmanci a zauna a natse kuma a guji damuwar hankali.

Rashin potassium da magnesium a cikin jiki, da rikicewar hormonal, na iya gurbata sakamakon bincike. Jarabawar tana ba da sakamakon da ba daidai ba idan an tilasta wa matar ta jiki ko kuma ta ci abinci yayin gwajin. Kafin bincike, ba a son shan magani.Idan ba zai yiwu a katse ciwar magungunan ba, to ya zama dole a faɗakar da likitan mahaifa game da wannan.

Yana da mahimmanci a bi duk shawarwarin likita yayin binciken. Sakamakon sakamako na iya haifar da alƙawarin magani mara amfani, wanda zai cutar da ci gaban tayin.

Binciken Nazarin

Shaida daga gwajin glucose yayin daukar ciki yana nuna cewa yawancin mata sun fahimci mahimmancin wannan gwajin. Wannan binciken ya taimaka wa marasa lafiya da yawa su yarda da lafiyar su gaba ɗaya. Sauran matan, godiya ga binciken, sun sami damar gano ciwon sukari a cikin lokaci tare da daidaita abincinsu.

Koyaya, yawancin marasa lafiya suna jin tsoron cin wannan gwajin. Dole ne likita ya bayyana wa mace mai ciki cewa gwajin haƙurin glucose ba shi da lahani ga ɗan da ba a haife shi ba. Singleaya daga cikin kashi ɗaya na maganin monosaccharide bashi da tasiri ga tayin. Abinda kawai yake jawowa a gwajin shine dandano mai dadi na sha, wanda yawancin mata masu juna biyu basuji dadi ba. A cikin bita na nazarin, wasu mata suna yin rubutu game da tashin zuciya wanda ya faru lokacin da aka yi amfani da maganin monosaccharide mafitsara. Koyaya, wannan abin mamaki da sauri ya wuce. Kari akan haka, zaku iya amfani da yanki na lemun tsami, wanda zai rage yawan tashin zuciya da amai.

Me yasa za ayi gwajin glucose ga mace a cikin matsayi?

Masanin ilimin likitan mata ya tsara wannan gwajin glucose a lokacin daukar ciki ga mara lafiya lokacin da lokacin haihuwa ya kai makonni 24-28. Likita ya ba da shawarar yin gwaji don haƙurin glucose yayin daukar ciki a cikin waɗannan lambobin:

Ciwon sukari a cikin dangin mahaifiya.
Mace mai kiba a cikin matsayi mai ban sha'awa.
An sami ɓata.
Haihuwar da ta gabata ta ƙare cikin haihuwar babban yaro.
A cikin yanki na kwayoyin, kasancewar kamuwa da cuta.
Mata masu juna biyu sama da shekara 35.

Glucose yana nuna yadda metabolism metabolism ke faruwa a cikin jiki. Hormones da insulin suna da alhakin maida hankali. Idan yayin wannan aikin an sami "tsalle-tsalle", matakin ya ragu ko raguwa, to wannan yana nufin cewa wani cuta yana tasowa a jikin mahaifiyar gaba.

Saboda haka, likita mai kulawa yana rubuta fitar da jagorar wannan gwajin. Bari muyi cikakken bayani game da yadda ake ɗaukar gwajin glucose yayin daukar ciki. Har ila yau likitocinsa sun tsara gwajin haƙuri, don haka shaidar da ta gabata ba ta da kyau. Mafi sau da yawa, likitoci suna ba da umarnin gudanar da gwaje-gwaje da yawa, me yasa muke buƙatar yin la'akari da wannan.

Yaya ake yin gwaje-gwajen haƙuri haƙuri?

Don ingantaccen ma'anar bincike, ana yin matakai da yawa. Ana ɗaukar jini da farko kuma ana yin bincike na ƙirar halitta. Dole ne a dauki jini a cikin komai a ciki, an ƙaddara matakan sukari na jini. Don ƙayyade haƙuri a cikin glucose, hanyoyin da yawa suna da muhimmanci.

Ana baiwa mahaifiyar da zata zo nan gaba ta zama mai maganin glucose - sai a tsoma ta a cikin gilashin ruwa a cikin kashi 75 na ruwa a ruwa na 300 ml. Bayan awanni biyu, ana sake ba da gudummawar jini don tantance matakin glucose a cikin jini. Ana gudanar da binciken kanta sau biyu - da farko ana duba jini bayan shan maganin, sannan sa'a daya daga baya an sake shan jini.

Don bincike, ana iya ɗaukar jini daga yatsa ko a jijiya. Don sanin sakamako mafi daidai, mai haƙuri ya kamata ya bi waɗannan ka'idodi:

Tabbatar mama ya kamata ta natsu - don guje wa aikin motsa jiki, don kar ku kashe kuzari.
Sau da yawa yi tafiya a cikin sabo iska.
Guji daga ci da sha kafin gwaji. Ba za ku iya ci da sha ba tsawon awanni 8-10.

Game da rikicewar rikicewar haƙuri, likitan ya ba da izinin gwaji na gaba a cikin kwana ɗaya ko biyu. Idan an sake keta haƙurin haƙuri, to mama tana da cutar sukari. Yanzu an riga an lura da shi ta hanyar endocrinologist, ya umurce su bi tsayayyen abincin.

Ka'idar sukari yayin daukar ciki

A matsayinka na mai mulki, a wannan lokacin, mai nuna alama yana daga 3.3 zuwa 6.6 mmol / L. Kuma a nan ya kamata a faɗi cewa mace tana buƙatar kulawa da kowane canje-canje a matakan glucose na jini. Tabbas, kawai a wannan lokacin, lokacin da take tsammanin jariri, sau da yawa ana yawan tayar da ciwon sukari. Cutar ciki tana shafar raguwa a matakin amino acid a cikin jini, kuma, a wata hira, ƙara haɓaka matakin jikin ketone. A mafi yawan lokuta, da safe wata mace mai ciki a kan komai a ciki tana da karancin sukari. Haka kuma, idan mace bata ci abinci na dogon lokaci ba, to, alamar zata iya zama daga 2.2 zuwa 2.5.

An ba da shawarar mata masu juna biyu a cikin mako na 28 suyi gwajin maganin sa'a na awa. Idan a karshen matakin glucose ya wuce 7.8, to an wajabta gwajin awa uku.

Gwajin glucose na jini yayin daukar ciki

Cutar sankarar mahaifa tana bayyana kanta, yawanci kusa da ƙarshen na biyu ko farkon farkon uku, wanda zai iya haifar da ci gaban tayin, amma wannan baya faruwa sau da yawa. A mafi yawan lokuta, bayan haihuwar jariri, a cikin mata masu raba-gari, haɓakar metabolism mai narkewa ya dawo al'ada. Koyaya, akwai banbancen da ba a ke so ba: kusan kashi ɗaya bisa uku na mata yayin daukar ciki waɗanda ke kamuwa da cutar sankara suna da ci gaba a cikin ciwon sukari na biyar.

Gwajin haƙuri

Ana kiran shi sau da yawa “nauyin sukari”. Yana daga ɗayan hanyoyin bincike na musamman, wanda sakamakon abin da mace mai ciki take ƙaddara game da sukari ya ƙaddara. Gwajin ya sa ya yiwu a gano ba wai kawai nau'in cutar sankara ba ce, har ma da jan hankalin ta. Wanne, ba shakka, yana ba ku damar shigar da yanayin cikin sauri kuma kuyi duk mai yiwuwa don hana ci gaba da barazanar da ke da alaƙa da cutar.

Ga wa kuma yaushe ne zai zama dole a sami gwajin haƙuri dangane da juna biyu? Irin waɗannan tambayoyin yawanci mata masu haihuwar yara ne ke tambayar su. Bayan haka, galibi suna samun wasika ga wannan gwajin, wanda aka jera GTT, daidai a wannan mawuyacin lokaci. Mace na fuskantar matsaloli masu yawa a jiki, wanda yawanci ke tsokanar da yawan cututtukan da yawa. Ko kuma suna ba da gudummawa ga haɓaka sababbi waɗanda zasu iya bayyana kansu kawai lokacin daukar ciki. Irin waɗannan cututtukan, musamman, sun haɗa da ciwon sukari na mahaifa, wanda, bisa ga ƙididdiga, yana shafar kusan kashi goma sha biyar cikin dari na mata masu juna biyu.

Kamar yadda aka ambata a baya, sanadin cutar sankarar mahaifa cin zarafi ne game da samar da insulin, yayin da karancin aka gauraya shi a jiki fiye da yadda ake buƙata. Domin sugar tsari ya gana da insulin cewa an samar da pancreas. A cikin ciki, jikin mace yana buƙatar samar da insulin a cikin adadi mai yawa yayin da yaron yake girma. Lokacin da wannan bai faru ba, akwai rashin insulin don daidaita matakan sukari daidai, kuma yana ƙaruwa, a sakamakon haka, mata masu juna biyu suna haɓaka ciwon sukari.

Dole ne mata su yi gwajin tare da gwajin haƙuri na glucose yayin daukar ciki:

riga yana da matsaloli irin wannan a cikin masu juna biyu,
waɗanda suke da babban adadin 30,
haihuwar 'ya'ya waɗanda nauyinsu ya fi kilo huɗu da rabi,
idan matar mai ciki tana da dangi wadanda ke fama da cutar sankara.

Idan an gano mai haƙuri da ciwon sukari na gestational, to likitoci ya kamata su dauki duk matakan don inganta sarrafawa.

Shiri da aiki

Nagari da safe akan komai a ciki. Kafin bayar da gudummawar jini don glucose yayin daukar ciki, yana da kyau ku ƙi kowane abinci na akalla awanni takwas, kuma idan farkawa, bai kamata ku sha kopin kofi ba. Kari akan haka, "nauyin sukari" yakamata a gudanar dashi kawai tare da warwatse duk wasu kararrakin kiwon lafiya, tunda cututtukan da basu da mahimmanci, gami da hanci mai rauni, na iya shafar sakamakon gwajin. Idan mai haƙuri ya ɗauki kowane magani kafin ya ba da jini, ya kamata ta sanar da likita game da shi. Don samun cikakken sakamako wanda zai yiwu, matar da take da ciki ta kamata ta sanya ido a kan yanayin halin da ta ke ciki kwana guda kafin gwajin ta kuma guji dukkan nauye-nauye masu yawa, gami da na zahiri.

Bayan samin jini da safe daga jijiya, likita zai bai wa matar wani abun musamman, wanda ya qunshi kusan giram grams na glucose. Sa'a guda bayan shinge na farko, za a ɗauki samfur na biyu don bincike. Hakanan, likita zai gano, idan akwai, ya canza sukari na jini. Wannan ya faru ne saboda gaskiyar cewa daidaituwa na glucose, bayan ƙaddamar da abun da keɓaɓɓe na musamman a cikin jiki, ya kamata ya karu sosai, amma daga baya zai hankali a hankali kuma bayan sa'o'i biyu zai isa matakin farko. Idan matakan sukari ya kasance babba tare da yin gwajin jini sau da yawa, za a binciki mara lafiyar da ciwon suga na cikin mahaifa.

Masu nuna alamun matakan sukari yayin gwajin don komai a ciki, yana nuna kasancewar wannan cutar (mmol / l):

da safe - sama da 5.3,
awa daya daga baya - sama da 10,
sa'o'i biyu daga baya - sama da 8.6.

A nan dole ne a faɗi cewa likitan ba ya yin gwajin karshe ba nan da nan, amma kawai lokacin da aka aiwatar da hanyoyin gwaji guda biyu, kuma a cikin kwanaki daban-daban, kuma a lokaci guda, dole ne a yi rikodin matakin ƙara a duka abubuwan biyu. Bayan duk wannan, ba shi yiwuwa a cikakken tabbacin cewa gwajin lokaci ɗaya zai nuna ingantaccen sakamako, tunda ana iya samun keta dokokin ƙa'idar shiri don aiwatar da su, har ma da sauran dalilai.

Tare da bincike na ƙarshe game da ciwon sukari na mata masu juna biyu, mai haƙuri zai buƙaci yarda da ƙwararrun masani kan shirin ƙarin matakan. Amma a cikin kowane akwati:

kana buƙatar yin gyare-gyare na abin da ake ci,
ba da hankali sosai ga motsa jiki,
marasa lafiya da ke da irin wannan cutar suna buƙatar tuntuɓi likita duk lokacin da za su iya yin gwaje-gwaje na rigakafi. Za su ƙayyade yanayin tayin da kuma lafiyar mahaifiyar.

Wataƙila don samun kyakkyawan tsari akan yanayin mahaifiyar da ɗanta da ba a haife shi ba, zai zama dole a sami ƙarin duban dan tayi. Duk waɗannan matakan suna da mahimmanci kuma zasu hana kowane rikitarwa.

Kuma tuni gwaji na biyu zai buƙaci wucewa watanni daya da rabi bayan haihuwar don ƙayyade alaƙa tsakanin ciwon sukari da ciki.

Shirye-shiryen Nazarin

Domin binciken ya nuna sakamako mai dogaro, kana buƙatar shirya shi. Idan dole ne mama ta ƙaddamar da gwajin sukari, da yawa dokoki ya kamata a bi:

Kada ku canza abinci. Kwana uku kafin gwajin, kuna buƙatar saka idanu akan abincinku. Yana da mahimmanci cewa bai canza ba kuma shine wanda ake amfani da gawar mahaifiyar. A lokacin shirye-shiryen, ba za ku iya gwada sabon jita-jita ba, ya kamata ku ware soyayyen, yaji, kyafaffen. Ba za ku iya shan kofi ba, ma'adinan ruwa ne kawai. Ba a so a ci Sweets. Siga sigari da barasa abin sha ne (ko da yake an hana su ta tsawon lokacin haila).
Tsayar da carbohydrates. Inna za ta kalli yawan abin da take amfani da shi. Ranar da zasu buƙaci aƙalla 150. Kafin ranar gwajin, wataƙila ku sake tsara abincin dare. Abinci na ƙarshe yana yarda da sa'o'i 8 (10-14 har ma ya fi kyau) kafin zuwa dakin gwaje-gwaje, kuma kuna buƙatar cin kusan 50 g na abincin carbohydrate.
Ajiye yanayin da aka saba. Yayin aiwatar da shiri, yana da mahimmanci kada ku canza yadda kuka saba. An hana ayyukan motsa jiki motsa jiki, amma bai kamata ku huta a kan shimfiɗa ba idan ba a amfani da mammy don ciyar da lokaci ba. Dukkanin abubuwan da suka wuce kima da kuma hana motsa jiki na iya gurbata sakamakon gwajin.
Kauda damuwar. Halin psychoemotional mahaifiyar yana shafar matakin sukari. Kwana uku kafin gwajin kana buƙatar ciyarwa cikin yanayi mai kyau, ka guji yanayi mai damuwa. Kafin bayar da gudummawar jini, yana da mahimmanci don kwantar da hankali, manta game da duk matsaloli da damuwa: tashin hankali yana shafar matakin insulin. Babu buƙatar tashi zuwa dakin gwaje-gwaje: bayan kai shi, ɗauki numfashi, hutu don akalla mintina 15.
Kar ku riƙi magani. Gwajin jini don sukari a lokacin daukar ciki zai zama ba daidai ba idan kwanan nan mama ta sha magani. Multivitamins, magungunan diuretic, magunguna don matsa lamba, corticosteroids, da baƙin ƙarfe suna da mahimmanci musamman ga ƙwayoyin halitta. Ya kamata a tattauna batun dakatar da magunguna tare da likitanka. Ba za a iya yin wannan koyaushe ba tare da cutar da lafiyar ba. Idan mommy ta dauki magunguna ba tare da sanin likita ba, yana da muhimmanci a sanar da shi, in ba haka ba sakamakon kirkirar sakamakon zai kasance ba daidai bane.

Shiri yana da abubuwa da yawa, wanda zai fi kyau a tambayi ƙwararre. Misali, likitoci da yawa basa bada shawarar gogewar asuba kafin a ɗauki gwaji. Wataƙila abubuwan haɗin manna na iya gurbata bayanan. Likita ne kawai zai iya tantance lafiyar inna da ba da shawara don shiri yadda ya kamata a kowane yanayi.

Siffofin

Mafi kyawun lokacin don gwajin haƙuri na glucose da sanyin safiya. Kada ku ci ko sha kafin bincike. Tare da dakin gwaje-gwaje kana buƙatar ɗaukar rabin lita na tsayayyen ruwa, ɓawon burodi, cokali da kuma karin glucose na musamman. Ana siyar dashi a cikin kantin magani, likita zai tantance nahawu kafin zuwa gwajin (ya dogara da nauyin jikin mutum).

A hanya yana da yawa hours. Ana bincika jini don glucose a cikin matakai uku:

Na farko, mama tana ba da kayan tarihi daga jijiya / yatsa. Ana bincika kai tsaye don matakin glucose. Lokacin da alamu suka yawaita, ba a aiwatar da matakan da ke biye da hanyoyin ba. Ana zargin mai haƙuri da ciwon sukari kuma an aika shi don ƙarin bincike. Tare da sakamako wanda ya dace da al'ada, gwajin ya ci gaba.
A mataki na biyu na gwajin, isar da ƙwayar jini ya wuce bayan abin da ake kira nauyin glucose. Magungunan monosaccharide na narkewa a cikin 300 ml na ruwa mai ɗumi kuma an bai wa mai haƙuri ya sha. Kuna buƙatar sha a hankali, sannan ku shakata na awa ɗaya. Bayan jira na minti 60, ya kamata mama ta sake wucewa da jinin jini don tantance yawan glucose a ciki.
Bayan gwajin kaya, awa biyu ya kamata ya wuce. Sannan kuma sake ɗaukar samfurori na kayan tarihin daga jijiya.

Domin binciken sukari na latent don nuna mafi kyawun sakamako, mai haƙuri kada ya ci, ya sha, ya zama mai aiki. Duk wannan na iya shafar amincin binciken: bayanan da aka samu ba daidai bane.

Contraindications wa binciken

Gwajin jini na sukari bashi da haɗari idan an aiwatar dashi a cikin mafi kyawun lokacin - a ƙarshen ɓangaren tsakiya na gestation. A cikin watanni ukun farko, gwajin da ke buƙatar yunwa na iya haifar da mummy jin rashin lafiya har ma ya shafi ci gaban mahaifa na jariri. A wannan al'amari, kuna buƙatar shawarar kwararrun masani. Bayan mako na 28, ba a ba da umarnin gwajin ba.

Akwai da yawa contraindications don gudanar da nazarin haƙuri haƙuri. Likita yayi nazarin tarihin mai haƙuri sannan kuma bayan wannan shine ya ba da labarin zuwa dakin gwaje-gwaje. Yana da mahimmanci a faɗi gaskiya game da lafiyarku, kada ku ɓoye kasancewar cututtukan na kullum. Baza a iya amfani da bincike tare da:

mai guba mai guba,
shan magunguna masu haɓaka sukari,
cututtuka a cikin babban mataki,
gaban mai kumburi tafiyar matakai,
matsaloli tare da narkewar hanjin.

Idan mama ta ji rashin lafiya a ranar gwajin, to ya kamata a sake tsara wannan binciken. Jin rashin lafiya na iya gurbata aikin. Ba'a ba da shawarar duba metabolism na metabolism, koda kuwa akwai karamin hanci mai gudu: daidaito na sakamakon zai zama mai shakku. Tare da contraindications na dangi (waɗanda ke wucewa), an canza gwajin zuwa lokacin da ya dace - bayan murmurewa. Idan akwai cikakkiyar contraindications (alal misali, matsaloli na kullum tare da ƙwayar jijiyoyi), to, suna ba da jinin jini ba tare da fara canza abincin ba. Likita ya yanke alamomin tare da ido kan wannan lamari.

Ya kamata Mama ta fahimci mahimmancin gwajin haƙuri na glucose kuma shirya shi daidai. Binciken yana ba da izinin gano lokaci na ciwon sukari a cikin haƙuri, wanda ke haifar da cututtukan ƙwayoyin cuta na ciki, don haka yana da mahimmanci don samun alamun da ke daidai. Idan an gano matsala, likitan ya ƙayyade dabarar da za ta rage haɗarin rikice-rikice a cikin mama da jariri. Saboda matsayin "mai ban sha'awa", maganin ƙwaƙwalwar ƙwayoyi ba zai yiwu ba, saboda haka, an daidaita matakin glucose ta amfani da abinci na musamman, motsa jiki matsakaici.