Ciwon sukari a cikin Mata masu juna biyu

Ciwon sukari mellitus cuta ce wanda yawan glucose a cikin jini, wanda kuma ake kira matakin sukari, yayi matukar girma. Ciwon sukari mellitus a cikin mata masu juna biyu an ware shi a wani nau'in wannan cuta. Ya mamaye rayuwar mutane na dukkan mazajen maza biyu, amma ya zama mai matukar hatsari ga mata yayin daukar ciki. A lokaci guda, uwa da ɗa suna wahala.

Ciwon sukari mellitus wanda ya bayyana a lokacin daukar ciki ana kiran shi gestational. Idan talakawa marasa lafiya tare da ciwon sukari mellitus an tilasta su bi da su har zuwa ƙarshen rayuwarsa, to, nau'in gestational a cikin 90-95% na lokuta ya wuce bayan haihuwar jariri. Amma don wannan, wajibi ne don kula da cutar kuma ba daina barin magani ba har sai duk alamun ta ɓace kuma ana lura da matsayin sukari na jini - har zuwa 5.1 mmol / l.

Halaye na nau'in ciwon sukari

A lokacin daukar ciki, duk uwaye masu fata suna da sukarin jini. Wannan rikicewar shine mafi yawan lokuta na ɗan lokaci kuma yana bayyana a cikin rabin 2 na ciki. Idan an gano ciwon sukari a ɗan gajeren lokacin haihuwa, to yana iya zama kafin hakan.

Babban abubuwan da ke haifar da ciwon sukari a cikin mata masu juna biyu shine samun nauyi da kuma daidaitawar hormonal. Kwayoyin jikin sun fara amfani da insulin na hormone wanda ƙwararren ƙwayar cuta ta yi aiki da shi sosai, ba su karɓa ba, kuma insulin da yake akwai bai isa ya tsara glucose na jini ba. Ana samar da insulin, amma ba a kulawa.

• sukari da aka samu a fitsari
• sabon abu ƙishirwa
• urination akai-akai
• rauni
• tashin zuciya
• akai-akai mai fitsari, cututtukan fata da cututtukan fata,
• hangen nesa.

Wanene ya fi saurin kamuwa da cutar sankara?

Duk mata masu juna biyu ya kamata su bincika su gani ko sun sami ƙarin yawan glucose na jini. Cutar sankarar mahaifa tayi girma cikin misalin kashi 2-5% na mata masu juna biyu. Waɗanda ke cikin haɗari suna iya ɗanɗuwa mara lafiya: 7-9%.

Wannan ya shafi mata masu juna biyu da waɗannan fasalulluka:

• sama da shekara 35
• kiba
• ciwon sukari a cikin wata haihuwa da ta gabata,
• babban yaro a cikin abubuwan da suka gabata,
• ciwon sukari a cikin dangi na kusa,
• polycystic ovary cuta a baya.

Irin waɗannan mata masu juna biyu ya kamata a gwada su sau da yawa kuma a cikin farkon farkon watanni. Cutar ciki a cikin mata masu fama da ciwon sukari sau da yawa yana da wahala.

Tunda yawan kiba yana ɗayan abubuwan da ke haifar da ciwon sukari a cikin mata masu juna biyu, kuna buƙatar rasa nauyi yayin tsara ciki sannan kuma ku ci gaba da motsa jiki cikin motsa jiki. Bayan haka ne kawai jiki zai yi amfani da insulin daidai kuma glucose zai zauna al'ada.

Yaushe ya kamata ku binciki glucose din ku?

Yawanci, ana yin waɗannan gwaje-gwaje ne a lokacin lokacin haihuwa na makonni 24-28. A wannan gaba, mahaifa yana samar da ƙarin kwayoyin halittun, kuma juriyawar insulin na iya faruwa. Idan bincike ya nuna cewa sukarin jini ya wuce na al'ada, likita ya tsara sauran gwaje-gwajen da suka tabbatar da cewa mai haƙuri yana da nau'in ƙwayar cutar mahaifa mellitus yayin daukar ciki.

Mafi yawan lokuta, ana baiwa mace wata ingantacciyar maganin glucose da zata sha sosai kuma ana sa'a guda don gano yadda matakin sukari ya canza a wannan lokacin. Idan ƙimar jinin sukari ya wuce, ana yin gwajin cancantar. Bayan kauracewar awa 8 daga abinci, ana duba matakin suga na azumi, bayan haka mara lafiya ya sha maganin glucose. Bayan sa'o'i 1, 2 da 3, ana sake gwada matakin sukari. Dangane da waɗannan gwaje-gwajen, an ƙaddara idan akwai wata cuta.

Babban burin a lura da ciwon sukari na kowane nau'in shine daidaita matakan sukari.

Mata masu kiba a lokacin daukar ciki kada su ci abinci da kansu. Rashin daidaituwa tare da nauyi a wannan lokacin suna da haɗari, babban burin shine a tabbatar cewa yaro ya sami lafiya. Amma samun nauyi cikin sauri yana haifar da damar samun ciwon sukari.

Idan mace mai ciki tana da ciwon sukari, likitan zai yi bayanin yadda za a bincika matakin glucose, da irin abincin da za a bi da kuma abin da ya kamata motsa jiki na jiki wanda ya sa sukari kusa da na al'ada. Idan ya cancanta, ana wajabta allurar insulin. Mata masu juna biyu kada su damu: insulin baya cutar da lafiyar tayi.

Abincin abinci da motsa jiki don mata masu juna biyu

Yanzu a kan siyarwa akwai wadatattun glucose. Likitanka na iya ba da shawarar ku auna sukarin ku na azumi kafin cin abinci, sa'o'i 2-2.5 bayan cin abinci. Dukkan bayanan dole ne a nuna wa likita.

Ba tare da bukatun abinci ba, babu magani da zai taimaka. Likita zai yi muku bayanin irin abincin da za ku zaba, yawan abincin da za ku ci, sau nawa za ku ci. Zaɓin samfuran, adadi da lokacin cin abinci shine mafi mahimmancin abin da dole ne a bi don kiyaye abin da kuka cim ma tare da taimakon injections.

Aiki na jiki zai taimaka masu ciwon suga basa jin ciwo. Motsa jiki yana rage yiwuwar mace ta sami nau'in ciwon suga 2 bayan ta haihu.

• motsa jiki akalla rabin sa'a a rana
• Yi motsa jiki na motsa jiki
• tuntuɓi likitanka ko zai yiwu a ci gaba da yin motsa jiki don ƙarfafa ƙasusuwa da gina tsoka idan mace ta yi wannan kafin daukar ciki,
• guji ayyukan motsa jiki wanda zaku iya bugun ciki ko faɗuwa,
• guji baya da motsa jiki a farkon lokacin daukar ciki.

Abin da ya sa dole ne a kula da ciwon sukari

Idan an yi bincike kuma an gudanar da magani, haɗarin rikice-rikice ƙanƙane.

Mata suna haihuwar yara masu lafiya, kuma ciwon suga ya ɓace bayan haihuwa. Amma idan kuka bar cutar ba tare da magani ba, to barazana ce ga uwa da yaro.

Ya kamata a fahimci cewa idan mace mai ciki tana da sukari mai jini sosai, sukarin jini na tayi. Cutar fitsarinsa da tilasta masa ya samar da insulin mai yawa domin rage yawan sukarin da ke cikin jini, kuma har yanzu yana sanyawa a jikinsa mai kitse.

Idan mahaifiyar mai haihuwar ba ta ɗaukar jiyya ba da sauƙi, ba ta bi shawarar likita ba, rikice-rikicen masu zuwa zasu yiwu:

• hawan jini da furotin a cikin fitsarin mace mai ciki,
• bacin rai
• Babban nauyin yaron a lokacin haihuwa, wanda yake da hadari ga matar da take haihuwa, da ta yarinyar,
• haihuwa
• babban damar da za a samu zuwa sashin cesarean,
• jaundice yayin haihuwa
• ƙara haɗarin mutuwar amfrayo ko yaran da aka Haifa,
• Akwai babban haɗari ga yaro yana da ciwon sukari na 2 a cikin shekarun rayuwar ya girma.

Bayan haihuwa

Kasancewa ta zama uwa, macen da ta kamu da cutar sankara a lokacin daukar ciki tana ci gaba da sanya ido kan sukarin jininta, yawan urinary da kishirwa har sai alamu sun gushe. Yawancin lokaci likitoci suna ba da izinin bincike a makonni 6 da 12 bayan bayarwa. A wannan lokacin, mutane da yawa sun daidaita matakan sukari, amma wannan baya faruwa a cikin 5-10% na mata. Dole ne ku nemi taimakon likita, in ba haka ba wani cuta na wucin gadi wanda ba a magance shi ba zai haifar da cutar sukari mai ɗorewa.

Ko da matakin glucose na jini ya zama al'ada, har yanzu barazanar da nau'in ciwon sukari na 2 ya ragu. An shawarci irin waɗannan mata su bincika na tsawon shekaru 3 don ganin ko akwai ƙirar glucose a cikin jini.

Kula da cutar sankarar mahaifa zai sanya mahaifiyarka da jariri lafiya.

Sanadin cutar sankarau a jikin mace mai ciki

Cutar sankarar mahaifa a cikin mata masu juna biyu (gestational) wani yanayi ne wanda ake iya haifar da rikicewar jikin mutum zuwa ga glucose saboda wani canji a bangaren ilimin halittar mace a lokacin haihuwar.

Halin insulin na hormone yana sarrafa matakin glucose a cikin jini wanda aka cika shi da abinci. Ayyukan insulin shine ɗaukar glucose kuma rarraba shi zuwa kyallen da gabobin jikinmu, wanda ke rage maida hankali ga ƙimar al'ada.

Haɓaka glucose a cikin ciwon sukari a cikin mace mai ciki na faruwa ne saboda aikin kwayoyin halittar jini a ƙarƙashin aikin homon da ƙwayar cuta ke haifarwa. Wannan yana haifar da ɗaukar nauyi a kan farji, don haka a wasu yanayi bazai iya ɗaukar ikonsa ba. A sakamakon haka, matakin sukari ya tashi kuma yana haifar da cuta na rayuwa a cikin mahaifiya da yaro. Ta hanyar shinge transplacental, glucose ya shiga cikin jini na jariri, yana ba da gudummawa ga karuwar kaya akan ƙwayar kansa. Jiki yana fara asirin yawan insulin, yana tilasta kansa yayi aiki da nauyinsa sau biyu. Yawan samar da insulin yana kara narkewar sukari, yana canza shi zuwa yawan kitse, yana sa tayin ya sami nauyi.

Jerin nau'ikan yiwuwar haɗarin

Babban abubuwanda ke haifar da illa ga gurbi a yayin daukar ciki sune:

• Tsarin kwayoyin halitta. Yiwuwar samun hauhawar matakan glucose yana ƙaruwa sau da yawa idan har akwai wani batun ciwon sukari a cikin tarihin dangi.
• Yawan kiba. Take hakkin carbohydrate da lipid metabolism babban rukuni ne mai hadarin gaske.
• Cutar cututtuka. Wataƙila cin zarafin aikin ƙwayar ƙwayar cuta, wanda ke rikicewar samar da insulin.
• Shekaru sama da 35 kenan. Idan wannan rukunin mata yana da nauyin tarihin haifuwa mai wahala, to, hadarin kamuwa da cutar siga ya karu sau 2.
• Sugar a cikin fitsari. Syntara yawan ƙwayar glucose a jikin mace ta shafi mummunan aikin ƙwayoyin hanta.

Babban haɗarin kamuwa da cutar siga ya wanzu a cikin matan da suka gano ɗaya ko biyu daga cikin abubuwan da aka ambata a sama.

Alamun kara yawan glucose

A wani matakin farko na masu ciwon suga yayin daukar ciki, mace na iya shakku, tunda sam babu wani hoton asibiti game da cutar. Abin da ya sa likitan ilimin likitan mata a kowane wata suna ba da izinin gwaji na jini da fitsari don glucose. Matsayi na glucose na yau da kullun a cikin jini shine yakamata ya zama 5.5 mmol / L, kuma a cikin jinin venous - har zuwa 6.5 mmol / L.

Babban alamun cutar sankarau:

• karuwa cikin sukari na jini sama da 9-14 mmol / l,
• urination akai-akai,
• bushewa
• karuwar ci
• m ƙishirwa
• bushe bakin.

Zai yi wuya a gano wasu alamun cutar sankarau, domin suma suna iya kasancewa a cikin mata masu juna biyu masu lafiya.

Alamar halayyar mutum

Yayin samun juna biyu, jikin mace yana da muhimmiyar nauyin lodi akan dukkan gabobin jikinsu da tsarinsa, saboda haka yanayin ci gaba da ake samu tare da karfin ninki biyu. Hoton asibiti ya bambanta tsakanin cututtukan mahaifa da cututtukan ciki, alamomin su sun dogara ne akan mataki da tsawon lokacin haɓaka.

Rashin rikicewa daga tsarin zuciya yana bayyana ta hanyar canje-canje a cikin asusu, saukad da saukad da saukar karfin jini, kuma na DIC na yau da kullun na iya kasancewa.

Sakamakon canje-canje a cikin tsarin fitsari a cikin mace, ana lura da take hakki a cikin wadatarda jinin a cikin kodan, sakamakon wanda aikin shayin yake sha. Yawan tarin ruwa a cikin kyallen yana bayyana ta hanyar kumburin fuska da ƙananan hancin. Lokacin da aka haɗu da kamuwa da cuta na sakandare, ciki yana da rikitarwa ta hanyar ci gaban pyelonephritis da ƙwayoyin cuta.

Bayyanar halayyar cutar sankarar mahaifa ita ce marigayi nephropathy.

Babban alamun cutar sankarau a jikin mace mai ciki:

• kasa isasshen salivation,
• jin ƙishirwa
• shan ruwa mai har zuwa 3 a kowace rana,
• fata mai zafi,
• hawa-hawa cikin nauyin jiki
• kullun gajiya
• cuta cuta
• jijiyar wuya
• rage gani
• fata mai rasuwa,
• bayyanuwar murkushewa.

Lalacewa na jijiyoyin jiki a cikin cututtukan ƙwaƙwalwar ƙwaƙwalwa yana haɗuwa tare da gestosis mai tsanani, wanda za'a iya rikita shi ta hanyar harin eclampsia.

Matsaloli da ka iya yiwuwa

A cikin cututtukan mellitus, cututtukan jijiyoyin jiki suna faruwa a lokacin haila, wanda ke shafar yanayin samuwar tayi. A farkon matakan sanya gabobin da tsarin tayin, za a yiwu maye halittar jini, wanda daga baya ya haifar da ciwon sukari a cikin jariri. Haɓaka matakin glucose na jini a cikin uwa yana rushe metabolism a cikin jariri kuma yana haifar da ketoacidosis.

Sakamakon ciki da ciwon sukari:

• A farkon matakan, ashara na iya faruwa.
• Malformations na tayin.
• Ketoacidotic rawar jiki a cikin mata.
• Polyhydramnios.
• Take hakkin samuwar mahaifa.
• Hypoxia fetal na kullum.
• Samuwar babban tayi.
• Barazanar haihuwa.
• Rashin aiki.

Yawan tsananin rikice-rikice yayin haihuwar yaro ya dogara da nau'in ciwon suga da halayen mutum na jikin mace.

Matakan bincike

Kulawa da mata masu dauke da cutar siga yayin daukar ciki yakamata a gudanar dasu yayin tattaunawa da kuma a asibitin mata, inda akwai sassan kwararru. Likitan ilimin likitancin ya kamata ya mayar da matar zuwa wata shawara tare da endocrinologist, wanda za'a sanya shi don yin amfani da hanyoyin bincike na musamman don tantance nau'in da kuma ciwon sukari.

Gano yanayin shine nazarin tsarin nan:

• Gwajin aikin kodan. Nazarin mahaifa don sukari, ƙwayoyin cuta, sel farin jini. Nazarin kwayoyin halittun jini a cikin jini don abubuwan urea da creatinine.
• Nazarin cututtukan jijiyoyin jiki. Kulawa da karfin jini da tabbatar da yanayin kudirin.
• Nazarin aikin cututtukan zuciya. Eterayyade yawan glucose na jini, ƙwayoyin ƙwayoyin insulin. Binciken duban dan tayi da gwajin gwaje-gwaje don hawan glucose.

Lokacin ganowa da kuma bincikar cutar sankantarwar cututtukan ƙwayar cuta ta hanji, gwajin damuwa tare da glucose alamu ne.

Ka'idojin jiyya

A farkon alamun kamuwa da cutar siga, mace mai juna biyu dole ne a kai ta asibiti cikin gaggawa don hana ci gaba da rikitarwa.

Babban hanyoyin maganin cututtukan mahaifa sune:

• Insulin far yana nufin rage matakan glucose zuwa matakan yau da kullun.
• Amintaccen abinci tare da iyakantaccen adadin yawan sukari, abinci mai ƙima da rage yawan ci.
• Matsakaici na aiki zai taimaka wajen dawo da hanyoyin haɓaka da haɓaka haɓakar insulin.

A lokacin daukar ciki, yana da mahimmanci musamman ga mace ta sanya ido a kan lafiyar ta, saboda haka, a farkon alamun matakan suga na hawan jini, ya zama dole a nemi kwararru.