Tsarin ciwon sukari > Ciwon sukari

Ga matan da aka gano tare da ciwon sukari, ba tare da la'akari da nau'in su ba, shirin daukar ciki yana da mahimmanci. Ciki wanda ke faruwa a cikin cututtukan ƙwayar cuta suna haɗuwa da babban haɗari ga lafiyar unan da ba a haifa ba da kuma matar kanta. Waɗannan haɗarin suna da alaƙa da ci gaban rikitarwa na jijiyoyin jiki, bayyanar yanayin hypoglycemic da ketoacidosis. A cikin marasa lafiya da ke fama da ƙwayar metabolism mai narkewa, rikice-rikice na ciki da na haihuwa sun fi muhimmanci fiye da yawan jama'a. Don haka, dole ne a yi amfani da rigakafin kafin a kammala jarrabawa da kuma shiri don farawar ciki.
Shirye-shiryen da ake buƙata sun haɗa da mutum da / ko horo na rukuni a cikin “makarantar ciwon sukari” da kuma samun biyan diyya ga ƙwayoyin carbohydrate aƙalla watanni 3-4 kafin ɗaukar ciki. Targetaukar cutar plasma glycemia na jini lokacin da ake shirin komai a ciki / kafin daukar ciki ba shi da ƙarancin 6.1 mmol / L, bayan sa'o'i 2 bayan cin ƙasa da 7.8 mmol / L, HbA1c (gemoclo hemoglobin) mai tsananin ƙarfi bai wuce 6.0% ba. Baya ga kulawar glycemic, ya zama dole don kula da ƙimar abubuwan da aka ƙididdige yawan lambobin don hawan jini (BP) - ƙasa da 130/80 mm RT. Art ..
Matan da ke da ciwon sukari na 1 suna da haɗarin haɓakar cututtukan thyroid, sabili da haka, ana ba da shawarar waɗannan marasa lafiya don binciken dakin gwaje-gwaje na aikin thyroid.
A mataki na shirin daukar ciki, idan ya cancanta, ana aiwatar da magani na rikice-rikice na ciwon sukari mellitus (retinopathy, nephropathy).
Don rage haɗarin rikicewa daga tayin da rikice-rikice na ciki da kanta, ana bada shawarar yin amfani da kullun na folic acid da iodide potassium (in babu contraindications).
Cutar ciki ba ta da yawa sosai da hemoglobin glycated mafi girma fiye da 7%, lalacewar koda, hauhawar jini, lalacewar ido, matsananciyar ƙarancin cuta ko ƙarancin cututtukan ƙwayar cuta (misali, tonsillitis, pyelonephritis, mashako).

Wadanne gwaje-gwaje ake buƙata yayin shirin daukar ciki?

Cikakken bincike game da shirin daukar ciki ya kunshi wucewa gwaje-gwaje da kuma tattaunawa da wasu kwararru. Akwai ayyuka na wajibi da wadanda suka bayar da shawarar wucewa a gaban macece. Don haka, gwaje-gwaje na wajibi yayin shirin daukar ciki sun hada da:

Bincike kan cututtukan ƙwayoyin cuta da ƙwayoyin cuta:

Kanjamau
mycoplasmosis, chlamydia, ureaplasmosis, gardnerellosis, yayin da suke kara girman hadarin ashara:
rubella. Idan mace ba ta da magungunan rigakafi ga wannan cuta, to lallai ne ya zama dole a yi rigakafin kuma za'a iya yin juna biyu watanni 3 bayan ta. Kuma idan an samo ƙwayoyin rigakafi, to, babu wani abin damuwa, wanda ke nufin an riga an watsa kwayar cutar.
cytomegalovirus, cututtukan fata. Primary kamuwa da cuta tare da su barnatar da shafi ci gaban tayin,
toxoplasmosis. Idan kwayoyin cuta suna cikin jini, to amintaccen tayi yana karewa, amma idan ba su ba, to ya kamata a rage hulɗa da karnuka da kuliyoyi a lokacin lokacin motsa jiki,
irin nau'in jini.

Kari akan haka, ya zama dole a yiwa gwajin duban dan tayi yayin shirin daukar ciki. Wannan zai taimaka wajen kawar da kasancewar damuwa a cikin aikin gabobin maza da na gabobin mace.

A wasu yanayi, likitan mahaifa ya ba da izini ga waɗannan karatun ga mahaifiyar da ke jira:

nazarin kwayoyin yayin da ake shirin daukar ciki. An yi shi ne domin sanin ko akwai wata haɗari ga ma'auratan su haihu da jariri tare da cututtukan gado. Idan ɗaya daga cikin abokan a cikin iyali yana da cututtukan da ke ɗauka daga iyaye zuwa yara, to wannan binciken ya zama dole.
Idan ana yin gwajin kwayoyin halittar idan ana shirin daukar ciki idan mace tana da kiba, kiba, amai ko rashin haila,
idan mace ba ta yi ciki sama da shekara guda ba, to ya zama dole ta wuce gwajin dacewa tare da abokin tarayya.

Idan ka wuce dukkan gwaje-gwajen lokacin da kake shirin daukar ciki, jerin abubuwan da likitan ilimin mahaifa ya bayar, to zaka iya ware wasu cututtuka a cikin yarinyar. Hakanan yana kara samun damar haihuwar jariri da haihuwar sa lafiya.

Za ku sami ƙarin koyo game da jerin gwaje-gwaje na shirin daukar ciki daga wannan bidiyon:

Gwaje-gwaje masu mahimmanci da kuma gwaje-gwaje ga mata masu fama da ciwon sukari

Ciwon sukari mellitus wani tsari ne wanda yake lalata jiki, wanda akwai karancin insulin. Insulin wani sinadari ne wanda ƙwayar ƙwayar ƙwayar hanji ke samar da ita. Idan mace mai irin wannan cutar tana son zama uwa, to wannan yana yiwuwa, kawai hanyar da ta dace ana buƙata.

Idan mace ba ta da ciwon sukari, to, kafin ta haifi jariri, dole ne a ziyarci asibiti kuma a gano irin gwajin da ake buƙata yayin shirin daukar ciki. Don yin wannan, nemi shawarar likitan mata.

Da farko, an wajabta wa mace karatu kamar haka:

nazarce na fitsari baki daya, da na fitsari kullum. Wannan zai taimaka wajen tantance yanayin kodan, da kuma yadda suke aiki,
gwajin jini don tantance matakin sukari. Don rage haɗarin rikice-rikice a cikin jariri, dole ne a kiyaye matakan glucose al'ada a cikin duk lokacin haihuwar.

Baya ga bayanan bincike, gwaje-gwaje na shirin daukar ciki ga mata masu dauke da cutar siga iri-iri ne kamar na uwayen masu fatan lafiya. Wajibi ne a gano kasancewar kwayoyin cuta da kamuwa da cuta a cikin jikin mutum, da tantance rukunin jini, kuma idan ya cancanta, a gudanar da gwajin kwayoyin halittar jini ko gwaje-gwaje don dacewa da abokan aiki.

Idan akwai cutar sankara, to da alama matar za ta iya zuwa likitan mahaifa ne. Tunda karaya a cikin sukari na jini zai iya haifar da matsalolin ido da haɓakar retinopathy, ana buƙatar shawara tare da maganin oculist. Damar yiwuwar yin nasara cikin ciki da haihuwar jariri mai lafiya yana ƙaruwa sosai lokacin da aka tsara shi. Wannan yana da mahimmanci musamman a gaban cututtukan cututtukan cututtukan jiki kamar su cutar sankara.

Abu mafi mahimmanci a cikin wannan cin zarafin shine kiyaye daidaitaccen sukari a cikin jini da ƙirƙirar irin waɗannan yanayi wanda yarinyar zata iya haɓaka ta al'ada. Idan insulin dinka bai wadatar ba, to, ana shigar da shi cikin jikin mace ne, kuma baya cutar da karamin jikin. Sabili da haka, ciwon sukari da ciki sune yanayin jituwa gaba daya.

Ina so in lura da mahimmancin irin wannan taron kamar shirin yin ciki. Idan mace tana son ta haifi ɗa lafiyayye, to lallai tana buƙatar kulawa da lafiyarta kuma ta shirya ɗaukar ciki. Akwai gwaje-gwaje na tilas don gano kamuwa da cuta da kwayoyin cuta masu cutarwa a jikin mahaifiyar mai fata, amma a wasu halaye, likitan mahaifa na iya tsara ƙarin karatu da tattaunawa tare da likitoci.

Ra'ayoyi 17

Sannu Ina da insulin ciwon sukari na nau'in 2 a cikin 2002, Ina son yaro har tsawon shekaru 22, amma ba zan iya yin ciki a matsayin shekaru 3 na rashin haihuwa ba kuma babu wani abu, AMMA! Tun daga lokacin rashin lafiya Ina da tsalle mai karfi a cikin sukarin jini, bazan iya kwanciyar hankali ba, ni kan abinci ne, amma bazan iya yiwa kaina daɗi ba, yaya zan kasance? Tuni ban narke kaina da begen al'ajibi ba :(

Da kyau, da alama a gare ni a nan, don masu farawa, kuna da wasu nau'ikan rashin docking
1. Nau'in na biyu da insulin. ta yaya? Ba ku ce komai ba.
2. Meye jaraba? ba za ku iya dogara da insulin ba, rayuwa ta dogara da shi, ba magunguna ba ne
lafiya da gaba
3. Da farko kuna buƙatar zuwa likita, zai fi dacewa ga endocrinologist-gynecologist, zai yi shi, ya tsara gwaje-gwaje kuma ya gaya muku yadda ake zama. Sabili da haka don yin magana akan matsalarku, daga abin da kuka rubuta, babu abin da takamaiman ba zai yiwu ba. Cutar sankarau ba matsala ce ga daukar ciki ba.
4. Kuma 2e suna cikin aiwatarwa, don haka rabin na biyu shima ya cancanci bincika, in ba haka ba bai isa ba ka ware wannan zaɓi kuma.
5. Nasarar rayuwar da aka samu ta samu yaduwa ya dogara ne kan biyan diyya kafin kuma bayan ku masu juna biyu.
6. Likitan da zai jagorance ku, kuma ya saba da yanayin daukar ciki game da masu ciwon suga KADA KA YI FITARWA JIKINSA.

Ina neman afuwa ga typo, nau'in 1, dogaro ne saboda ba shi da insulin, yana manne ɗayan ɗayan, amma yana da wahala a gare mu mu yi tare da masanikanci na likitan dabbobi na wannan birni. , aa to tabbas za a aiko masu dashi, kuma dukkan wannan tsari yana daukar lokaci mai tsawo, to babu Talons ko wani abu daban

Barka da rana, Oksana.
Tare da nau'in farko na ciwon sukari, babu wani abincin da irin wannan, kawai kuna buƙatar zaɓar madaidaicin kashi na insulin - gajere da tsawanta. Bayan haka, zai isa kawai sanin adadin carbohydrates ɗin da aka cinye don yin adadin insulin ɗin da ake buƙata.
Karanta bayanan zaɓi na insulin. Wannan aikin wahala ne, amma lafiyarku da rayuwar ku, har da rayuwa da lafiyar yaran ku da ba a haifa ba, sun dogara da shi. Kari akan haka, ku matasa ne kuma kuna da lokacin fahimtar allurai insulin kuma ku haifi jariri.
Cutar sukari kanta ba ta shafar gaskiyar cewa ba za ku iya samun juna biyu ba. Wajibi ne a nemi likita daga likitan mata don yin nazari, ana iya buƙatar maganin hormone, bayan haka zaka iya zama cikin ciki cikin sauƙi.

Amma tuna cewa a lokacin daukar ciki za a sami canje-canje na ba zata a cikin bukatun insulin, wanda zai haifar da jijiyoyi a cikin sukari. Ba tare da wata diyya BA SAUKI daukar ciki, zai zama da matukar wahala a riƙe sukari a lokacin daukar ciki.

Saboda haka, yanzu mafi mahimmancin aiki a gare ku shine ku sami biyan diyya na yau da kullun ba tare da matsananciyar yunwar ku ba, ba tare da rage yawan abincinku da abinci ba, da kuma tara abinci da insulin don ajalin ku. A lokaci guda, fara jarraba tare da likitan ilimin mahaifa. Af, yana yiwuwa cewa maganin haɓakar hormonal daga likitan mata zai taimake ka ka kafa tushen yanayin hormonal kuma yawan sukari zai zama mafi faɗi.
Kuma bayan hakan zai yuwu ayi shirin daukar ciki.

Sannu, na so in sani. Matar abokina yana son haihuwa. Yana da ciwon sukari guda 2 me zaiyi. Zai iya haihuwar yaro.

Sannu. Haka ne, ba shakka, tana iya haihuwa. Yiwuwar yada T2DM daga uba zuwa yaro ya wanzu, amma ba shi da mahimmanci kamar barin yaro.

sannu. Ni 29 years old. Suna bincikar cutar sukari nau'in 2. Tsawon shekaru 4 bazan iya yanke hukunci kan ciki na biyu ba. Yayin farkon tare da sukari duk abin da yake al'ada. Nazarin 3 na ƙarshe na Gy sun kasance 6.8 ... 7.2 ... .6.2. Insulin da C-peptide koyaushe suna ƙananan ƙananan al'ada. Yanzu ta ƙuduri niyyar yin juna biyu. Na karanta abubuwa da yawa akan Intanet cewa lokacin da suke shirin, sukan canza daga allunan zuwa insulin. Amma my endocrinologist ya ce yanayin zai nuna ko zai zama dole a farashi ko a'a. I.e. jiki na iya yin hali don haka sukari kuma ba tare da allura ba zai zama al'ada. Amma wannan ba cikakken bayani bane a gareni. Ina da tambayoyi da yawa kuma galibi ina tsoron cewa idan sukari ya yi yawa kuma sun fara daukar allurai, ta yaya duk wadannan jujjuyawar sama da kasa zasu shafi jaririn. Gaya min wa ya dace. watakila ya kamata ku canza endocrinologist? Ko kuma kawai na zage kaina.

Alice
Daga wane gari kake? Idan daga Moscow ko St. Petersburg, to, tuntuɓi ƙwararrun asibitocin da ke gaba don shirya ciki da ciki kanta tare da ciwon sukari. da kyau, ko kuma idan akwai damar zuwa waɗannan ɗakunan shan magani don yin shawara.
GG kuna da kyau. Tabbas, a cikin T2DM, ana canza mata zuwa insulin therapy yayin daukar ciki. Ban ji labarin yiwuwar soke insulin a cikin T2DM da ciki ba. Yawancin lokaci, ana zaɓin alluran insulin kafin haihuwar, kamar yadda kuke rubutu.
Yawan sukari, ba shakka, zai kasance cikin insulin. Zai zama dole don amsa da sauri kuma daidaita sashi zuwa yanayin canzawa koyaushe.
Idan za ta yiwu, to ka nemi shawarar wani endocrinologist.

Sannu, Ina da ciwon sukari na 2 Na sha kwayoyi, amma yanzu ina shan insulin. Ina son jariri sosai. Ni shekara 24 ne. Ina da ciwon sukari tun daga 2013. My sukari rage da safe, kuma da yamma Na hau kan rage cin abinci. Likitocin sun ce ci gaban kwayoyin ba shi da illa kuma ina da kiba kusan digiri 3-4. Yanzu sukari na jini shine 7.5-10 mmol. Ya hau zuwa 35 mmol.

Aigerimsannu.
Kuna iya samun yara, amma akwai kaɗan '' MA '':
1. Kuna buƙatar rasa nauyi. Wuce kiba yana da wuya ki sami juna biyu. Bugu da ƙari, tare da T2DM, ana kuma riƙe mai sukari saboda juriya na insulin na sel, wanda lalacewa ta haifar da nauyin jiki (ƙari a sauƙaƙe, ana iya bayanin wannan kamar haka: adana mai yana hana insulin shiga cikin sel). Tare da asarar nauyi, jurewar insulin zai tafi, wannan zai haifar da raguwar sukari, kuma mai yiwuwa zuwa cikakkiyar daidaituwarsa.
2. Yawan ciki ba zai yiwu ba yayin shan magungunan baka na rage sukari. Wato, lokacin shirya don juna biyu, kuna buƙatar canza gaba ɗaya zuwa farjin inulin (karin insulin + gajere). Dole ne a yi wannan KYAU kafin samun ciki, domin lokaci ya yi da za a ɗora rigakafin ku dawo da sukari yadda yakamata.
3. Tare da irin wannan hauhawar a cikin sukari, ba za a yi tunanin haihuwa ba. Dole ne a fara ma'amala da diyya, in ba haka ba yana iya haifar da mummunan sakamako. Abin da ya kamata don ramawa - karanta sakin layi na 2.

PS Duk abin ba shi da ban tsoro kamar yadda zai iya ɗauka da farko kallo. kawai ma'amala da biyan diyya da kyau, canza zuwa insulin, ajiye akan haƙuri da kuma gwajin gwaji (da yawa ana buƙatar su da farko), rubuta sakamakon ma'aunai-yawan insulin-abinci, bincika sakamakon kuma zaku yi nasara

Amma na manta! Glycated haemoglobin 6.0

A cikin 2012, a watan Disamba, ta haifi jariri, ya mutu, gwajin ya ba da sakamakon asphyxiation, mutuwar tayi, cututtukan mahaifa, makonni 37-38, yanzu suna da ciki, makonni 10-11, sukari jini 6.5-6.8. Ina jin tsoro sosai ga jariri, ina son lafiyayyen, mai ƙarfi. Menene yiwuwar haihuwa ga RAYUWA, ZUCIYA. Yaro? Me ake buƙatar ayi domin wannan, waɗanne gwaje gwaje zasu bayar? A cikin cututtukan hereditary babu, cutar siga ba a sanya tukuna, lokacin da ba a da juna biyu, sukari ya zama al'ada,

Guzel
Ba ku da cutar sankarau na ciwon suga, na fahimta daidai? Dangane da haka, ba ku karɓi wani magani ba, don haka babu wani abu da zai gyara. Amma kuna da ƙoshin sukari don lafiyar mutum. Mafi m, ciwon sukari na haɓaka yana haɓaka - karuwa a cikin sukari yayin daukar ciki. Kuna buƙatar, har sai kun sami magani, daidaita tsarin sukari, yi ƙoƙarin kada ku ƙyale ko da karin sukari yana ƙaruwa saboda ƙin abinci tare da babban glycemic index, wato, waɗanda ke haɓaka sukari da sauri cikin jini - Sweets, kek, kayan lemo, ruwan 'ya'yan itace, 'ya'yan itatuwa - inabi, ayaba, jam, sukari, gami da samfuran fructose na “masu ciwon sukari”.
Kula da sukari, bincika shi kafin abinci da awoyi 1.5 bayan. Kar ku bari ya tashi. Tare da ci gaba da ƙaruwa a cikin sukari, ya zama dole a nemi likita, amma wataƙila abincin da ya isa ya isa ya haifar da Normoglycemia.
Sa'a

Ni 32 years old. Kimanin shekara guda da suka wuce, sun gano cewa wani rikici ne na metabolism metabolism. Na rasa kilo 15, nauyina a yanzu shine 75 kg tare da karuwa na cm 165. Amma saboda wasu dalilai, sukari mai azumi yana raguwa sosai, yawanci a cikin 5.8-6.3 a cikin plasma (ana aiwatar da ma'auni tare da glucometer) Bayan cin abinci (bayan 2 hours) sukari koyaushe al'ada 5.5-6.2. Gemocated haemoglobin daga 5.9 ya sauka zuwa 5.5%. Na shirya ciki. Shin zai yuwu a sami juna biyu da irin wannan sakamakon gwajin?

Alla
KUNA karatun karatun sukari mai kyau, GH mai kyau, waɗannan sune alamomi da kowa, musamman waɗanda ke shirin yin juna biyu, yakamata suyi ƙoƙari.
Sa'a

Barka dai, da gaske ina son jariri, kuma ina so ka tambaye ni wannan halin. Shekaru takwas da suka wuce na haifi ɗa .. A shekara ta 2009 a watan Nuwamba akwai juna biyu na makonni 28, a lokacin ciki na iya tsallake sukari a kan mutane .. Likitoci sun yi wa rashin kulawa, ba su da hankali. Ban sami ciwon sukari insulin ba, kodayake sukari na saman 20.Yaron ya mutu ta hanyar mu'ujiza, har yanzu yana da rai, yanzu suna da ciwon sukari na 2. Ina son son ciwon sukari da yawa, ba sa tsalle cikin sukari. Abin da zan iya ɗauka ban da insulin kuma ta yaya zan kamu da ciwon sukari mellitus ya hau kan furofilf penfil, safe 20 raka'a. kuma kashi maraice na raka'a 20.

Lily
Kuna buƙatar gwada rama don insulin 'yan watanni kafin daukar ciki, ƙila kuna buƙatar haɗa gajeran insulin. A kan insulin, yafi sauki da sauri don sarrafa sukari da zai “tsallake” yayin daukar ciki. Bugu da ƙari, yin amfani da gajeren insulin na iya faɗaɗa abincin sosai, babu buƙatar bin abincin.
Yanzu kuna buƙatar bin abinci (tunda ba ku da insulin ɗan gajeren lokaci) kuma zaɓi sashi na karin insulin.
Ci gaba da bayanin kula - rubuta a ciki menene, a cikin wane adadi da yawan abin da kuka ci, nawa ne da lokacin da kuka yi insulin, kuma ba shakka, sakamakon ma'aunin sukari .. Bayan bincika waɗannan bayanan, zaku iya ganin canje-canje na sukari, to hakan zai yiwu don warware matsalolin karuwa / raguwa allurai na insulin, haɗa wani ɗan gajeren / canjin abinci, canza lokacin sarrafa insulin, da dai sauransu. Wannan zai zama mahimman bayanai.