Wanene aka sanya a cikin uku na uku na ciwon sukari Me kuke yi?

Mace mai ciki wani lokacin za ta kamu da cutar sankara, wanda ke da sakamako mara kyau ga jaririn. Cutar na faruwa ko da a cikin mutane masu ƙoshin lafiya waɗanda ba su taɓa fuskantar matsaloli tare da cutar glucose na jini ba. Yana da mahimmanci don ƙarin koyo game da alamun cututtuka, abubuwan tsokani da haɗari ga tayin. An wajabta magani da likita, kuma ana kula da sakamakonsa a hankali kafin bayarwa.

Mene ne ciwon sukari na ciki

In ba haka ba, ciwon sukari mai ciki ana kiranta ciwon sukari (GDM). Yana faruwa lokacin da aka haifi tayin, ana daukar shi "cutar kansa." Wannan ba cikakkiyar cuta ba ce, amma kawai tsinkaye ne zuwa rashin haƙuri zuwa ga sugars mai sauƙi. Ana la'akari da ciwon sukari a cikin mata masu juna biyu a matsayin mai nuna alamun haɗarin wannan nau'in cutar ta nau'in na biyu. Cutar na iya ɓacewa bayan haihuwar jariri, amma wani lokacin yakan ci gaba. Don hana shi, rubcribeta magani da cikakken bincika jikin.

Dalilin ci gaban cutar ana daukar shi azaman rauni ne na jiki ga insulin din kansa, wanda ke haifar da cututtukan fata. A take hakkin ya bayyana saboda rashin aiki a cikin yanayin hormonal. Abubuwan da ke haifar da ciwon suga a cikin mahaifa sune:

• kiba, damuwa cuta, kiba,
• gado na asali zuwa ga cutar sankaran mama a cikin jama'a,
• shekaru bayan shekaru 25
• haihuwar da ta gabata ta ƙare a cikin haihuwar yaro daga kilogiram 4 na nauyi, tare da manyan kafaɗa,
• akwai GDM a tarihi
• nakuda na kullum
• polyhydramnios, kwanciyar hankali.

Tasirin Cutar Aljihu

Tasirin ciwon sukari kan daukar ciki ana daukar shi mara kyau. Mace da ke fama da cutar tana cikin haɗarin zubar da ciki, daɗaɗɗun ƙwayoyin cuta, kamuwa da tayin da polyhydramnios. GDM yayin daukar ciki na iya shafar lafiyar masu juna biyu kamar haka:

• haɓakar rashiwar jiki, ketoacidosis, preeclampsia,
• rikitarwa daga cututtukan jijiyoyin jiki - nephro-, neuro- da retinopathy, ischemia,
• bayan haihuwa a wasu yanayi, cutar ta kamala ta bayyana.

Menene haɗarin ciwon sukari mai haɗari ga yaro?

Daidai da haɗari sune cututtukan ciwon sukari a kan jariri. Tare da haɓaka a cikin sugars a cikin mahaifar mahaifiya, an lura da haɓakar yaro. Wannan sabon abu, haɗe tare da kiba mai yawa, ana kiran shi macrosomia, yana faruwa ne a cikin kashi uku na ciki. Girman kai da kwakwalwa ya kasance al'ada, kuma manyan kafadu na iya haifar da matsaloli a cikin hanyar dabi'a ta hanyar canjin haihuwa. Take hakkin girma yana haifar da farkon haihuwa, rauni ga gabobin mace da yaro.

Baya ga macrosomia, wanda ke haifar da haɓakar tayin ciki har ma da mutuwa, GDM yana ɗaukar sakamako mai biyo baya ga yaro:

• na haila tsarin jiki,
• rikitarwa a farkon makonni na rayuwa,
• hadarin kamuwa da cutar farko
• yawan kiba
• gazawar numfashi.

Cutar ciwon suga na ciki

Sanin matsayin ka'idodin sukari don ciwon sukari a cikin mata masu juna biyu na iya taimakawa hana ci gaban wata cuta mai haɗari. Likitocin sun ba da shawarar cewa mata masu haɗarin kullun suna kula da yawan ƙwayar glucose - kafin cin abinci, bayan awa ɗaya bayan. Mafi kyawun maida hankali:

• a kan komai a ciki kuma da dare - ba kasa da mm 5.1 / lita,
• bayan awa daya bayan cin abinci - fiye da 7 mmol / l,
• yawan gemoclobin glycated ya kai har zuwa 6.

Alamomin kamuwa da cutar siga a cikin mata masu juna biyu

Gynecologists sun bambanta alamun farko na alamun ciwon sukari a cikin mata masu juna biyu:

• nauyi
• akai urination volumetric, ƙanshi na acetone,
• matsananciyar ƙishirwa
• gajiya,
• rashin ci.

Idan mata masu juna biyu ba su kula da ciwon sukari ba, cutar za ta iya haifar da rikice-rikice tare da mummunan hangen nesa:

• hauhawar jini - spikes a cikin sugars,
• rikicewa, fainti,
• hawan jini, ciwon zuciya, bugun jini,
• cutarwa koda, ketonuria,
• rage aiki na baya,
• jinkirin rauni waraka
• cututtukan nama
• numfashi na kafafu, asarar hankali.

Bayyanar cututtuka na ciwon sukari

Samun gano abubuwan haɗari ko alamomin cutar, likitoci suna gudanar da bincike game da cutar sankarar mahaifa. Ana yin Azumi. Matsakaicin matakan sukari yana daga:

• daga yatsa - 4.8-6 mmol / l,
• daga jijiya - 5.3-6.9 mmol / l.

Gwajin ciwon sukari na ciki

Lokacin da alamun da suka gabata basu dace da al'ada ba, ana yin nazarin haƙuri game da ciwon sukari yayin cikin ciki. Gwajin ya hada da ma'auni biyu kuma yana buƙatar cika ka'idodi na gwajin haƙuri:

• kwana uku kafin binciken, kada ku canza abincin, kuyi aiki na yau da kullun,
• dare kafin gwajin, ba a ba da shawarar cin komai, binciken da aka yi akan komai a ciki,
• an dauki jini
• a tsakanin mintuna biyar, mara lafiya yana ɗaukar maganin glucose da ruwa,
• bayan sa'o'i biyu, ana yin samfurin jini.

Bayyanar bayyanar (bayyanar) GDM an yi shi ne bisa ga ka'idodi da aka kafa don tattarawar glucose a cikin jini a cikin samfuran gwaji uku:

• daga yatsa a kan komai ciki - daga 6.1 mmol / l,
• daga komai a ciki - daga 7 mmol / l,
• bayan shan maganin glucose - fiye da 7.8 mmol / L.

Bayan an ƙaddara cewa alamu na al'ada ne ko ƙasa, likitocin sun sake maimaita gwajin a cikin makonni 24-28, domin a lokacin ne matakan hormones ke ƙaruwa. Idan an yi bincike a baya, GDM ba za a iya gano shi ba, kuma daga baya, rikice-rikice a cikin tayin ba zai yiwu a hana shi ba. Wasu likitocin suna gudanar da bincike tare da adadin glucose daban-daban - 50, 75 da 100 g. Zai fi dacewa, yakamata a yi nazarin binciken glucose ko da a lokacin da ake shirin yin ciki.

Jiyya na ciwon sukari a cikin mata masu juna biyu

Lokacin da gwaje-gwajen gwaje-gwaje suka nuna GDM, an wajabta maganin ciwon sukari don daukar ciki. Farfesa ya kunshi:

• ingantaccen abinci mai gina jiki, yawan shan abubuwan carbohydrate, kara furotin a cikin abinci,
• aiki na yau da kullun, ana bada shawara don haɓaka shi,
• sarrafa glycemic na yau da kullum na sukari jini, samfuran fashewar ketone a cikin fitsari, matsin lamba,
• tare da ƙara yawan ƙwayar sukari da yawa, an wajabta maganin insulin a cikin hanyar injections, ban da shi, ba a sanya wasu kwayoyi ba, saboda allunan-sukari suna rage mummunan tasiri kan ci gaban yaro

Abin da sukari aka sanya insulin don ɗaukar ciki

Idan ciwon sukari a lokacin daukar ciki yana daɗewa, kuma sukari baya raguwa, an wajabta maganin insulin don hana haɓakar fetopathy. Hakanan, ana ɗaukar insulin tare da alamu na yau da kullun na sukari, amma idan ya wuce kima na tayin, an gano tatuttukan ƙwayayen ta da polyhydramnios. Anyi allurar rigakafin magungunan da daddare kuma akan komai a ciki. Tambayi likitan ilimin ku don cikakken jadawalin bayan shawara.

Rage cin abinci ga masu juna biyu masu ciwon suga

Ofaya daga cikin wuraren lura da cutar ana ɗaukar shi azaman rage cin abinci mai narkewar ƙwayar cuta, wanda ke taimakawa wajen kula da sukari na yau da kullun. Akwai ƙa'idodi don rage sukari yayin daukar ciki:

• ware sausages, kyafaffen nama, nama mai kitse daga menu, fi son tsuntsayen dabbobin, naman sa, kifi,
• dafa abinci ya haɗa da yin burodi, tafasa, amfani da tururi,
• Ku ci kayayyakin kiwo da mai ƙarancin kiba, ki daina bọda, margarine, alayya mai, kiba da iri,
• ba tare da ƙuntatawa ba an ba shi damar cin kayan lambu, ganye, namomin kaza,
• ci sau da yawa, amma bai isa ba, kowane sa'o'i uku,
• abubuwan caloric na yau da kullun kada su wuce 1800 kcal.

Haihuwa tare da cutar sankaran mahaifa

Domin isar da ciwon sukari ya zama al'ada, dole ne a bi umarnin likita. Macrosomia na iya zama haɗari ga mace da jariri - sannan haihuwa ta dabi'a ba zata yiwu ba, an wajabta sashin cesarean. Ga mahaifiyar, haihuwa a yawancin yanayi yana nufin cewa ciwon sukari a lokacin daukar ciki ba shi da haɗari - bayan an saki ƙwayar cuta (abin da ke haifar da haushi), haɗarin ya ƙare, kuma cikakkiyar cuta ta taso a cikin kwata na lokuta. Wata daya da rabi bayan haihuwar jariri, yakamata a auna adadin glucose a kai a kai.