Menene haɗarin ciwon sukari mai haɗari yayin daukar ciki?

Cutar sankarar mahaifa wani irin cuta ce da ke faruwa a cikin mata masu juna biyu. An bayyana bayyanar sa ta hanyar cewa a cikin jikin mahaifiyar da ke zuwa nan gaba akwai lahanin metabolism na carbohydrates. Pathology yawanci ana gano shi a rabi na biyu na ajalin.

Ta yaya kuma me yasa cututtukan ƙwayar cutar hanji ke faruwa yayin daukar ciki

Cutar na tasowa ne saboda gaskiyar cewa jikin mace yana rage tsinkaye daga kyallen takarda da sel zuwa insulin.

Dalilin wannan sabon abu ana kiran shi da hauhawar matakin hormones a cikin jinin da ake samarwa yayin daukar ciki.

A wannan lokacin, sukari yana raguwa saboda gaskiyar cewa tayin da mahaifa suna buƙatar sa.

Kwayar ta fara fitar da sinadarin insulin. Idan bai isa ba ga jiki, to cutar sankaran hanji na tasowa yayin daukar ciki.

A mafi yawancin lokuta, bayan haihuwar jariri, matakin suga na mace ya koma al'ada.

Kamar yadda bincike a Amurka ya nuna, wannan cuta tana tasowa a cikin 4% na mata masu ciki.

A cikin Turai, wannan alamar yana daga 1% zuwa 14%.

Yana da kyau a lura cewa a cikin 10% na lokuta bayan haihuwar jariri, alamun cutar ta shiga cikin nau'in ciwon sukari na 2 na sukari.

Sakamakon GDM yayin daukar ciki

Babban haɗarin cutar ya yi yawa tayi. Zai iya zama daga kilo 4,5 zuwa 6.

Wannan na iya haifar da hadaddun haihuwa yayin da ake buƙatar sashin cesarean. Manyan yara sun kara haɗarin kiba.

Wani sakamakon haɗarin cutar sankarau a cikin mata masu juna biyu shi ne ƙara haɗarin preeclampsia.

Wannan rikicewar ana nuna shi ta hanyar hawan jini, babban adadin furotin a cikin fitsari, kumburi.

Duk wannan yana haifar da barazana ga rayuwar uwa da yaro. Wani lokacin likitoci dole su haifar da haihuwa.

Tare da nauyin jiki mai yawa, tayin na iya ci gaba da gazawar numfashi, sautin tsoka yana raguwa. Inhibing na tsotsa reflex kuma na faruwa, kumburi, jaundice ya bayyana.

Wannan yanayin ana kiransa da ciwon sukari. Yana iya haifar da gaba zuwa gazawar zuciya, zuwa rashi a cikin kwakwalwa da ci gaban mutum.

Abinda ke haifar da ciwon sukari

Yiwuwar bayyanar wannan cutar a cikin mata tare da:

karin fam
narkewar carbohydrate metabolism,
cututtuka na tsarin zuciya da jijiyoyin jini,
mai guba mai guba
dauke da tagwaye ko Triplets,
GDM a cikin masu juna biyu.

Hakanan, ci gaban cutar ta shafi shekarun mahaifiyar mai fata. Mafi yawan lokuta, yakan faru ne a cikin mata masu aiki fiye da shekaru 30. Dalilin samuwar cututtukan cuta na iya zama ciwon sukari a ɗayan iyayen.

Haihuwar thea thean da ta gabata ma na iya shafar samuwar cututtukan dabbobi. Tayin zai iya zama kiba, tayi.

Cutar ɓarke na ciki wanda ya gabata na iya kasancewa a bayyane.

Bayyanar cutar

Ganowar cutar sankarar mahaifa a cikin lokacin haihuwa tana nuna cewa matakan glucose na jini sun kasance al'ada kafin a fara samun juna biyu.

Babu wasu manyan alamu na masu cutar sikila yayin daukar ciki.

Yawancin lokaci ana gano shi bayan binciken duban dan tayi lokacin da yake nuna tayin da aka wuce dashi. A wannan gaba, ana fara magani, amma ya fi kyau a ɗauki matakan da suka kamata a gaba. Saboda wannan, ana yin gwajin haƙuri a cikin makonni 24 da 28.

Hakanan, idan mahaifiyar mai ɗaukar nauyi tana samun nauyi mai yawa, tana kuma iya magana game da ƙara yawan sukarin jini.

Haka kuma cutar na iya bayyana kanta tare da yawan kumburin jiki. Amma dogara da waɗannan alamun ba shi da daraja.

Alamar dakin gwaje-gwaje

Ana ɗaukar gwajin jini sau da yawa a cikin awanni biyu don gwadawa don haƙuri na glucose. Ana yin ƙarin bincike ta amfani da maganin 50, 75 ko 100 grams na glucose.

Lokacin ɗaukar yaro, mace a kan komai a ciki ya zama 5.1 mmol / l. Sa'a guda bayan cin abinci - 10 mmol / L. Kuma bayan biyu - 8.5 mmol / L.

Idan mai nuna alama ya zama mafi girma, to, ana yin bincike - ciwon sukari a lokacin daukar ciki.

Bayan gano cutar, kuna buƙatar saka idanu akan matsin lamba da aikin kodan.

Don bincika abubuwan da suka faru, tsara ƙarin ƙarin jini da gwajin fitsari.

Likita na iya ba ku shawara ku sayi mai lura da karfin jini don auna hawan jini a gida.

Ka'idar kulawa da GDM a cikin mata masu juna biyu

A farkon alamun cututtukan cututtukan ƙwayar cuta a lokacin daukar ciki, an wajabta babban magani - abinci.

Idan akwai buƙata, to, ana haɓaka shi da allurar insulin. Ana yin lissafin kashin daban daban.

Tare da wannan cutar, galibi likitoci suna ba da lambar abinci 9.

Hakanan ana bada shawarar yin motsa jiki matsakaici. Suna da tasiri mai amfani akan samar da insulin kuma suna hana tara glucose a cikin ƙarin fam.

Idan an gano wata cuta, to yakamata a kula da mara lafiyar ta hanyar endocrinologist da masanin abinci mai gina jiki. Idan tana da matsalar tabin hankali, shawarwari tare da masanin ilimin halayyar dan adam bazai yuwu ba.

Yana da mahimmanci a tuna cewa magunguna masu ƙananan sukari ba za a iya ɗauka ba.

Abincin yau da kullun yayin ciki tare da GDM

Lokacin cin abinci, akwai raguwa a cikin adadin caloric.

Ku ci sau 5-6 a cikin karamin rabo ko cinye manyan abubuwan bauta sau 3 a rana, kuna yin abun ciye-ciye sau 3-4 tsakanin su.

Babban abinci shine miya, salati, kifi, nama, hatsi, da kayan ciye-ciye sun haɗa da kayan lambu, 'ya'yan itace, kayan ƙwayaye ko kayayyakin kiwo mai ƙarancin mai.

Lokacin zabar samfuran abinci, mahaifiyar da ke gaba tana buƙatar tabbatar da cewa jaririnta ya sami bitamin da ma'adanai waɗanda ke buƙatar ci gabanta. Saboda haka, idan mace mai ciki da kanta ta yanke shawarar yin menu, to yakamata ta yi nazarin bayanin yadda mutane masu fama da nau'in 1 da nau'in ciwon sukari 2 ke ci.

A lokacin cin abinci, ya kamata a maye gurbin carbohydrates tare da sunadarai da kitsen lafiya.

Duk tsawon lokacin ɗaukar jariri, Sweets, burodi, Rolls, taliya da dankali ya kamata a cire su daga abincin. Rice da wasu nau'in 'ya'yan itace ma ya kamata a jefar da su.

Yi jita-jita dole ne sauki. Wannan zai taimaka wajen nisantar zubar da jijiyoyin jiki.

Gwada kaɗan kamar yadda zai yiwu ku ci abinci mai soyayyen abinci, gwangwani da abinci mai sauri. Zai cancanci a ba da kan kayayyakin da aka gama da su.

Kalori a rana

Shawarwari game da cin abincin kalori na yau da kullun za a ba shi ta hanyar masanin ilimin abinci da kuma endocrinologist.

Yawancin lokaci shine adadin kuzari 35-40 a kilo kilogram na nauyin mace. Misali, idan nauyinta yakai kilogiram 70, to dabi'un zai kasance 2450-2800 kcal.

Yana da kyau a ci gaba da rubuta littafin abinci mai gina jiki a duk tsawon lokacin. Wannan na iya waƙa a ƙarshen ranar ko ƙimar ta wuce.

Idan jin yunwar ya bayyana tsakanin abinci, to ya cancanci shan ruwa a cikin kananan sips. Kowace rana ya kamata a bugu aƙalla 2 lita na ruwa na yau da kullun.

Hanyar haihuwa da kuma ikon haihuwa bayan haihuwa a cikin GDM

Contraindications zuwa aiki ba shine nau'in 1 da nau'in ciwon sukari na 2 ba, saboda haka, tare da GDM, an kawo sauƙin kawo sauƙi.

Hadarin shine kawai tayi mai girman gaske, ana iya buƙatar sashin cesarean anan.

An ba da izinin haihuwar 'yantacce idan har lamarin bai tabu ba ranar da ta gabata.

Tsarin kwanciya yana motsawa ne kawai idan babu matsewar asali ko kuma matar da take da juna biyu tana motsawa tsawon lokacin da aka tsara.

Bayan haihuwa, jariri na iya samun sukari na jini kaɗan. Abinci ne yake kashewa.

Ba'a buƙatar magani akai-akai.

Wani lokaci jariri yana ƙarƙashin kulawar likitoci. Wannan ya zama dole don sanin ko akwai rashin aiki saboda rashin aiki a cikin glucose a cikin uwar.

Yawancin lokaci bayan fitowar mahaifa, yanayin matar yakan koma al'ada. Babu tsalle-tsalle a cikin glucose na jini. Amma duk da haka, a cikin watan farko, kuna buƙatar bin abincin da ya kasance kafin haihuwar jariri.

Haihuwar ta gaba anfi shirya shi ne bayan shekaru biyu. Wannan zai taimaka wa jikin ya murmure, kuma ya hana faruwar cutar.

Kafin ɗaukar ciki, yana da daraja a bincika mutum kuma a faɗa wa likitan mahaukata game da GDM yayin haihuwar farko.

Fitowar wannan cuta yayin haihuwar jariri ya nuna cewa matar ba ta da kulawar insulin. Wannan yana kara hadarin kamuwa da cutar siga da cututtukan jijiyoyin jiki bayan haihuwa. Sabili da haka, yana da mahimmanci a magance rigakafin cutar.

Bayan haihuwa bayan makonni 6-12, kuna buƙatar sake ƙaddamar da gwajin sukari. Koda kuwa al'ada ce, to a nan gaba yakamata a bincika kowace shekara 3.

Cutar sankarar mahaifa mellitus (GDM): hadarin dake tattare da ciki “mai daɗi”. Sakamakon yaro, abinci, alamu

A cewar Kungiyar Lafiya ta Duniya, akwai mutane sama da miliyan 422 da ke da cutar sukari a duniya. Yawan su yana girma kowace shekara. Lyara da yawa, cutar ta shafi matasa.

Rikici na ciwon sukari yana haifar da mummunan cututtukan jijiyoyin bugun gini, kodan, shafar retina, kuma tsarin garkuwar jiki yana wahala. Amma wannan cuta ana iya sarrafawa. Tare da ilimin da ya dace, mummunan sakamako yana jinkirta cikin lokaci. Ba banda da ciwon suga mai cikicewa ci gaba a lokacin gestation. Ana kiran wannan cutar ciwon sukari.

Bidiyo (latsa don kunnawa).

Can ciki na haifar da ciwon sukari
Menene nau'in ciwon sukari yayin daukar ciki
Rashin haɗari
Menene ciwon sukari a lokacin haihuwa?
Sakamakon yaro
Mene ne haɗarin ga mata
Bayyanar cututtuka da alamun cututtukan cututtukan ƙwayar cuta a cikin mata masu juna biyu
Gwaje-gwaje da kuma lokacin ƙarshe
Jiyya
Harkokin insulin: ga wanda aka nuna shi da yadda ake gudanar dashi
Abinci: abinci da aka haramta da kuma haramta, ƙa'idodin abinci mai mahimmanci ga mata masu juna biyu da GDM
Misalin menu na mako
Magungunan mutane
Yadda za a ba da haihuwa: haihuwa ta asali ko sashin cesarean?
Yin rigakafin cutar sankara a cikin mata masu juna biyu

Americanungiyar Maƙasudin Cutar Baƙin Amurka ta ba da shaidar cewa 7% na mata masu ciki suna yin ciwon sukari. A cikin su, bayan bayarwa, glucoseemia ta koma al'ada. Amma a cikin 60% bayan shekaru 10-15, nau'in ciwon sukari na 2 (T2DM) ya nuna.

Gestation yana aiki ne a matsayin tsokana mai narkewar yanayin glucose. Hanyar ci gaban cututtukan cututtukan ƙwayar cuta ta kusanci da T2DM. Mace mai ciki ta sami jinkirin insulin a ƙarƙashin tasirin waɗannan abubuwan:

kira kwayoyin halittar steroid a cikin mahaifa: estrogen, progesterone, placental lactogen,
increasearawar samuwar cortisol a cikin adrenal bawo,
take hakkin insulin metabolism da rage tasirin sa cikin kyallen,
Ingantaccen fitowar insulin ta hanjin kodan,
kunna insulinase a cikin mahaifa (enzyme wanda ke rushe hormone).

Yanayin ya kara yin muni a cikin matan wadanda ke da juriya a jiki (rigakafi) ga insulin, wanda ba a bayyana shi a asibiti. Waɗannan abubuwan suna ƙara buƙatar haɓakar homon, ƙwayoyin beta na pancreas sun haɗa shi a cikin adadin da ya ƙaru. A hankali, wannan yakan haifar da lalatawar su da ci gaba mai ɗorewa - haɓaka matakan glucose na jini.

Cututtuka daban-daban na iya kamuwa da juna biyu. Tsarin ilimin pathology ta lokacin abin da ya faru yana nuna siffofin biyu:

ciwon sukari da ya wanzu kafin daukar ciki (nau'in 1 na ciwon sukari da nau'in ciwon sukari na 2) shine kafin haihuwa,
ciwon sukari na ciki (GDM) a cikin mata masu juna biyu.

Dangane da magani mai mahimmanci don GDM, akwai:

biya a cikin abinci
rama ta hanyar maganin abinci da insulin.

Ciwon sukari na iya zama a matakin biyan diyya da kuma keta haddi. Verarfin ciwon sukari na gaba-gaba ya dogara da buƙatar aiwatar da hanyoyi daban-daban na magani da kuma tsananin rikitarwa.

Hyperglycemia, wanda aka haɓaka yayin daukar ciki, ba koyaushe bane ke haifar da ciwon sukari. A wasu halaye, wannan na iya zama alama ga masu ciwon sukari na 2.

Wanene ke haɗarin kamuwa da ciwon sukari yayin daukar ciki?

Canje-canje na ciki wanda zai iya rushe metabolism na insulin da glucose yana faruwa a cikin duk mata masu juna biyu. Amma ba kowa bane ke canzawa zuwa ciwon sukari. Wannan yana buƙatar dalilai masu tsinkaye:

kiba ko kiba,
hakurin rashin daidaituwa na glucose,
sassan jiki na sukari kafin daukar ciki,
Nau'in nau'in ciwon sukari na 2 a cikin iyaye masu juna biyu
sama da shekara 35
polycystic ovary syndrome,
tarihin ɓarna, halin haihuwa,
haihuwa a baya na yara masu nauyin sama da kilo 4, kuma tare da lalata.

Amma wanne ne daga cikin waɗannan dalilan yana shafar ci gaban ilimin halayyar cuta har zuwa mafi girman ba a san shi sosai ba.

GDM ana ɗaukar cutar da ta haɗu bayan makonni 15-16 na haihuwar ɗa. Idan an gano cutar hyperglycemia da farko, to akwai cutar sankarar ƙwayar cutar sankara, wanda ya wanzu kafin daukar ciki. Amma ana ganin abin da ya fi girma a cikin watanni uku. Daidaita shi game da wannan yanayin shine cutar sankarar mahaifa.

Bayyanar ciwon sukari a lokacin daukar ciki ya banbanta da ciwon suga na mahaifa a cikin wancan bayan wani tashin hankali na tashin hankali, yawanci sukari yana ƙaruwa kuma baya samun kwanciyar hankali. Wannan nau'in cutar tare da babban yiwuwar ya wuce zuwa nau'in 1 ko nau'in ciwon sukari na 2 bayan haihuwa.

Don ƙayyade hanyoyin da za a yi a nan gaba, duk iyaye mata masu ciki tare da GDM a cikin bayan haihuwa suna da ƙaddara matakin glucose. Idan bai daidaita al'ada ba, to zamu iya ɗauka cewa nau'in 1 ko nau'in ciwon sukari na 2 ya inganta.

Hadarin da ke tattare da yaro mai tasowa ya dogara da matakin diyya na ilimin halittar yara. Ana lura da mafi girman sakamakon da ke tattare da tsari ba tare da lissafi ba. Tasirin akan tayin ya bayyana a cikin mai zuwa:

Hakanan, yaran da aka haife su ga uwaye masu ciwon suga na cikin jiki suna da haɗarin rauni na haihuwa, mutuwar mahaifa, cututtukan zuciya, cututtukan cututtukan ƙwayoyin cuta, cututtukan ƙwayoyin cuta da magnesium, da rikicewar jijiyoyin jini.

GDM ko ciwon sukari da ke gabanin sa yana da yiwuwar ƙarshen toxicosis (gestosis), yana bayyana kanta ta fuskoki daban-daban:

fari na mata masu ciki
nefiropathy 1-3 digiri,
karinkaras,
eclampsia.

Sharuɗɗan na ƙarshe sun buƙaci asibiti a cikin rukunin kulawa mai zurfi, farfadowa, da isar da wuri.

Rashin kamuwa da rigakafi da ke tattare da cutar sankara yana haifar da kamuwa da cuta ta tsarin ƙwayar cuta - cystitis, pyelonephritis, kazalika da maimaituwa na maimaituwa na maimaituwa. Duk wani kamuwa da cuta na iya haifar da kamuwa da cuta na jariri a utero ko lokacin haihuwa.

Babban alamun cututtukan cututtukan ƙwayoyin cuta yayin daukar ciki

Ba a bayyana alamun cututtukan ciwon sukari ba, cutar ta ci gaba a hankali. Wasu alamun mace ana ɗauka don canje-canjen jihar yadda aka saba yayin daukar ciki:

gajiya, rauni,
ƙishirwa
urination akai-akai
isasshen nauyi riba tare da bayyana ci.

Yawancin lokaci hyperglycemia shine bincike mai haɗari yayin gwaji na gwajin glucose jini. Wannan yana nuna alama don ƙarin zurfin bincike.

Ma'aikatar Lafiya ta tsara lokaci don gwajin sukarin jini mai mahimmanci:

Idan abubuwan haɗarin suka kasance, ana yin gwajin haƙuri ta glucose a makonni 26 zuwa 28. Idan alamun bayyanar cutar sukari sun bayyana a lokacin daukar ciki, an nuna gwajin glucose.

Binciken guda daya wanda ke bayyana cutar hauka bai isa ba don yin bincike. Ana buƙatar sarrafawa bayan 'yan kwanaki. Furtherarin gaba, tare da maimaita yawan cututtukan zuciya, an wajabta yin shawarar endocrinologist. Likita ya ƙayyade buƙata da lokacin gwajin haƙuri a cikin gwajin. Yawancin lokaci wannan shine aƙalla 1 mako bayan gyarawar hyperglycemia. Hakanan ana maimaita gwajin don tabbatar da cutar.

Sakamakon gwaji mai zuwa ya faɗi game da GDM:

azumin glucose mai Azumi ya fi mm 5.8 / l,
awa daya bayan ci glucose - sama da 10 mmol / l,
sa'o'i biyu daga baya, sama da 8 mmol / l.

Bugu da ƙari, bisa ga alamu, ana gudanar da karatun:

darshan hemoglobin,
gwajin fitsari don sukari,
cholesterol da bayanin martaba,
gwaji na jini
coagulogram
kwayoyin halittar jini: progesterone, estrogen, placental lactogen, cortisol, alpha-fetoprotein,
nazarin fitsari a cewar Nechiporenko, Zimnitsky, Reberg gwajin.

Matan da ke da juna biyu tare da masu juna biyu da ciwon suga na cikin jiki suna da duban dan tayi na tayin daga watanni na biyu, da kuma maganin tasoshin mahaifa da igiyar tsumma, CTG na yau da kullun.

Hanyar daukar ciki tare da ciwon sukari mai gudana ya dogara da matakin kula da mace da gyaran hyperglycemia. Waɗanda ke da ciwon sukari kafin ɗaukar ciki ya kamata su wuce cikin Makarantar Sutar Cutar Saki, aji na musamman waɗanda ke koya musu yadda ake cin abinci yadda yakamata, yadda za su iya sarrafa matakan glucose da kansu.

Ko da wane irin nau'in cutar, mata masu ciki suna buƙatar abin lura kamar haka:

ziyarar likitan mata a kowane mako 2 a farkon lokacin haihuwa, sati - daga rabi na biyu,
Shawarwarin maganin endocrinologist sau ɗaya a kowane mako 2, tare da yanayin ɓarnawa - sau ɗaya a mako,
lura da mai ilimin tauhidi - kowane lokaci, haka kuma a cikin binciken ilimin cututtukan cututtukan ƙwayoyin cuta,
likitan mahaifa - da zarar kowane lokaci da kuma bayan haihuwa,
neurologist - sau biyu don daukar ciki.

An bayar da asibiti mai mahimmanci don jarrabawa da gyaran jiyya ga mace mai ciki tare da GDM:

Lokaci na 1 - a farkon farkon ko a cikin binciken cutar sankara,
Sau 2 - a cikin makonni 19-20 don gyara yanayin, ƙayyade buƙatar canza tsarin kulawa,
Sau 3 - tare da nau'in 1 da nau'in ciwon sukari na 2 - a makonni 35, GDM - a makonni 36 don shirya don haihuwa da zaɓi hanyar bayarwa.

A asibiti, ana yin gwajin yawan karatun, jerin gwaje-gwaje da kuma yawan binciken duk akayi daban-daban. Kulawa ta yau da kullun na buƙatar gwajin fitsari don sukari, glucose jini, da kuma kula da karfin jini.

Ana buƙatar gwargwadon allurar insulin daban-daban. Ba kowane yanayi na GDM yake buƙatar wannan hanyar ba; ga waɗansu, abincin warkewa ya isa.

Abubuwan da ke nuna don farawa na maganin insulin sune alamun da ke gaba na sukari na jini:

azumi glucose jini tare da rage cin abinci fiye da 5.0 mmol / l,
awa daya bayan cin sama da 7.8 mmol / l,
2 sa'o'i bayan shigowa, glycemia sama da 6.7 mmol / L

Hankali! An haramta wa mata masu juna biyu da masu shayar da su amfani da kowace irin magunguna masu rage sukari, sai insulin! Ba'a amfani da dindindin

Tushen farwa shine shirye-shiryen insulin gajere da aikin ultrashort. A cikin nau'in 1 na ciwon sukari, ana yin magani na asali na bolus. Don nau'in ciwon sukari na 2 da GDM, har ila yau, yana yiwuwa a yi amfani da tsarin al'ada, amma tare da wasu gyare-gyare na mutum wanda ƙungiyar endocrinologist ta ƙayyade.

A cikin mata masu juna biyu tare da mummunan iko da hypoglycemia, ana iya amfani da famfo na insulin, wanda ke sauƙaƙe gudanarwar horon.

Abincin don ciwon sukari a lokacin daukar ciki

Abincin mata masu ciki da ke da cutar GDM ya kamata ya bi waɗannan ka'idodi:

Sau da yawa kuma kaɗan kaɗan. Zai fi kyau yin manyan abinci 3 da ƙananan ƙananan farashi 2-3.
Yawan hadaddun carbohydrates kusan 40%, furotin - 30-60%, fats har zuwa 30%.
Sha akalla lita 1.5 na ruwa.
Theara yawan ƙwayar fiber - yana da ikon tallata glucose daga hanji ya cire shi.

Sauƙaƙan kalmomi game da bayyanar cututtukan ƙwayar cutar mahaifa yayin daukar ciki

Cutar sankarar mahaifa mellitus yayin daukar ciki (HD) - Wani nau'in ciwon siga wanda ke faruwa a cikin mata dangane da cututtukan hormonal a cikin na uku. Sakamakon haka, sukarin jini ya tashi bayan cin abinci kuma yana raguwa akan komai a ciki.

Pathology barazana ce ga yaro, tunda yana iya tayar da faruwar cututtukan cikin gari.

Don hana wannan daga faruwa, a makonni 24 zuwa 28 an ba wa mace shawarar yin bincike don kamuwa da cutar siga ta mahaifa, kuma idan ana maganar cutar, ta bi wasu ka'idodi na abinci da salon rayuwa. A wasu halaye, ana buƙatar maganin ƙwayar cuta, wanda likita zai iya tsara shi.

An sanya ciwon sukari na ƙwayar cuta ta lambar ICD na 10 - O 24.

Ba a tabbatar da musabbabin ciwon sukari a cikin mata masu juna biyu ba. Koyaya, ƙarin ƙwararru suna karkata zuwa ga jujjuyawar cewa ilimin haɓaka ya haɗu da asalin rashin ciwan hormonal. A sakamakon haka, kwayoyin halittu suna hana samar da insulin. Koyaya, jiki baya iya bada izinin irin wannan yanayin, tunda uwa da jariri suna buƙatar glucose don aiki na al'ada gabobin da tsarinsu. Sakamakon haka, ana samun karuwar ragi a cikin ƙirar insulin. Wannan shine yadda ciwon sukari ke motsa jini.

Cutar cututtukan autoimmune sune ɗayan yiwuwar haifar HD. Irin wadannan cututtukan suna cutar da cutar koda. Sakamakon shi ne raguwa a cikin aikin insulin.

Akwai abubuwanda suke kara haɗarin HD:

Kiba
Kasa Masana ilimin kimiyya sun tabbatar da cewa wasu ƙasashe suna fama da ciwon sukari fiye da wasu. Waɗannan sun haɗa da baƙi, siansan Asiya, Hispanics, da Americansan asalin Amurkawa.
Asedara yawan ƙwayar glucose a cikin fitsari.
Rashin wadatar glucose.
Halin ƙwayoyin jini. Idan wani a cikin dangi ya sha wahala daga wannan ilimin, to wataƙila za a gano irin wannan cutar a cikin mace.
Haihuwar da ta gabata, idan nauyin yarinyar ya wuce kilogiram 4.
Can baya ciki yana tare da ciwon suga na ciki.
Adadin ruwa mai yawa na ruwa.

Akwai wasu alamu waɗanda kai tsaye suna nuna faruwar ciwon sukari:

kaifi nauyi riba

akai urination da warin acetone daga fitsari,

gajiya koda bayan dogon hutu da rashin motsa jiki,

yawan bukatar sha

asarar ci.

Idan kun yi watsi da waɗannan alamun kuma ba ku nemi likita ba, cutar zata ci gaba kuma alamu masu zuwa za su faru:

rikice,
yanayin kasawa
kara karfin jini
zafi a zuciya, wanda a qarshe yakan haifar da bugun zuciya,
matsalolin koda
karancin gani
m rauni waraka a kan epidermis,
numbness na ƙananan ƙarshen.

Don kauce wa wannan, ana bada shawara don ziyartar kwararru a kai a kai.

Don bincikar cutar sankaran mahaifa, an wajabta wa mara lafiya gwajin jini. Domin sakamakon ya zama abin dogaro, ana bada shawarar bin ka’idoji don isar da kayan tarihi:

kwana uku kafin binciken, ba da shawarar yin gyare-gyare ga tsarin abinci mai gina jiki ba kuma ya kamata ku bi ayyukanku na yau da kullun,
suna ba da gudummawar jini a cikin komai a ciki, don haka bayan abincin dare kuma da safe ba za ku iya ci ba, kamar yadda ku sha shayi da sauran abubuwan sha ban da tsabtataccen ruwa ba tare da gas ba.

An gudanar da bincike kamar haka:

An karɓar biomaterial daga mai haƙuri,
mace tana shan ruwa da glucose,
bayan sa'o'i biyu, an sake tattara kayan tarihin.

Ka'idar jini sugar:

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

Dangane da haka, ana gano ciwon sukari na mahaifa tare da alamomin bincike masu zuwa:

daga yatsa zuwa fanko ciki - sama da 6.1 mmol / l,
daga jijiya zuwa komai ciki - sama da 7 mmol / l,
bayan shan ruwa tare da glucose - sama da 7.8 mmol / l.

Idan binciken ya nuna matakan al'ada ko ƙananan matakan glucose, to, a makonni 24-28 na gestation an sake yin rajista na biyu. Wannan shi ne saboda gaskiyar cewa a farkon matakin bincike zai iya nuna sakamakon da ba za a iya dogara da shi ba.

Ciwon sukari yayin daukar ciki yana da nau'ikan da yawa, gwargwadon lokacin da ya faru:

pre-ciwon sukari

cututtukan mahaifa ko cutar siga ta mata masu juna biyu.

Ciwon sukari na ciki, bi da bi, yana da nasa tsarin, gwargwadon maganin da aka tsara:

rama ta hanyar rage cin abinci,
rama ta hanyar maganin abinci da insulin.

An wajabta maganin warkewa, dangane da nau'in ciwon sukari da kuma tsananin cutar.

Ta yaya za mu bi da ciwon sukari? Akwai manyan hanyoyi guda biyu - maganin rage cin abinci da ilimin insulin. Likita ne kawai zai iya tantance idan mai haƙuri yana buƙatar shawarar asibiti.

An wajabta maganin insulin idan idan cin abinci bai kawo sakamakon da ake so ba kuma glucose na jini baya komawa al'ada tsawon lokaci.

A wannan yanayin, gabatarwar insulin shine matakan da suka zama dole wanda ke hana faruwar fetopathy.

Hakanan likita ya tsara wannan nau'in magani tare da yawan sukari na al'ada, amma tare da babban nauyin jariri, tare da babban adadin ruwan amniotic ko kumburi da kyallen takarda mai laushi.

Gabatar da miyagun ƙwayoyi ana bada shawara don yin a kan komai a ciki kuma kafin hutawa na dare. Koyaya, takamaiman sashi da jadawalin injections likita ne ya ƙaddara shi, gwargwadon tsananin ƙwayar cuta da kuma halayen mutum na mai haƙuri.
Injections na insulin ana yi da sirinji na musamman. Ana sarrafa magungunan a ƙarƙashin ƙasa. Yawanci, mace tana yin allura ta kashin kanta bayan tuntubar kwararrun masana.

Idan ana buƙatar ƙarin yawan insulin na yau da kullun, likitan na iya ba da famfo na insulin.

Babban bangaren ingantacciyar hanyar magance cutar shine lura da wasu ka'idodi na abinci. Wannan yana taimakawa wajen daidaita matakan sukari na jini. Anan akwai ka'idodin abinci mai gina jiki waɗanda aka bada shawarar yin aiki tare da wannan nau'in cutar:

Menene haɗarin bayyanar cututtuka ga jaririn da ba a haifa ba? Bari mu tsara shi.

Cutar sankarar mahaifa a lokacin daukar ciki ba ta shafi ci gaban jariri.

Idan aka gano cutar a cikin makonni na farko, to, akwai hadarin ashara bazata. Haka kuma cutar na iya haifar da cututtukan da ke faruwa a cikin jariri.

Mafi sau da yawa, kwakwalwa da zuciya suna fama da cutar.

Idan ilimin halittu ya tashi a cikin sakan na biyu ko na uku, to wannan yana haifar da wuce gona da iri na jariri da girman nauyinsa. Sakamakon haka, bayan haihuwa, sukari na jariri ya faɗi ƙasa da al'ada, wanda zai haifar da matsalolin lafiya.

Idan mace mai ciki ta kamu da ciwon sukari, amma babu cikakkiyar jinya, fetopathy din tayi zai yuwu sosai.
Irin wannan cutar ta cutar da yaro tare da sakamako masu zuwa:

nauyin yara fiye da 4 kilogiram,
rashin daidaituwa na jiki
yawan kiba mai yawa a cikin subcutaneous sarari,
m nama busa,
matsalolin numfashi
jaundice
matsaloli tare da zaga jini da dankowar jini.

Idan wata mace mai ciki ta kamu da cutar sankara, to don aikin na al'ada, mace tana buƙatar bin shawarar likitan. Tare da wannan cutar, wata mace tana asibiti a sati 37-38.

Ko da ba aiki ba ya faruwa, ana jawo shi ta wucin gadi, amma idan an yi la'akari da ɗa na cikakken lokaci. Wannan yana hana rauni daga haihuwa.

Isar da yanayi na yau da kullun ba zai yiwu ba. Idan yaro ya yi girma da yawa, to likitoci sun tsara sashin cesarean.

Yarda da shawarar da likitan ya bayar game da cutar sankarar mahaifa yana bayar da kyakkyawan yanayi ga mace mai ciki da jariri. Idan har zai yiwu a kula da matakin sukari a wata al'ada, to wannan zai bai wa mace damar haihuwar ta kuma haifi 'ya mace mai lafiya.
Guje wa faruwar cutar sankarar mahaifa ba koyaushe zai yiwu ba, amma har yanzu zaka iya rage hadarin cutar.
Matakan hanyoyin kariya masu zuwa zasu taimaka wajen yin hakan:

nauyi asara zuwa matakin da aka yarda,
canzawa zuwa ka'idodin abinci mai dacewa,
kin amincewa da abin da ake kira salon rayuwa mai taushi da haɓaka aikin jiki, idan wannan ba ya barazanar daukar ciki,
asibiti kan shawarar likita.

Matan da ake tsammani suna da HD ana yawan tambayar su duka jerin tambayoyin: wane mako suka haihu, suna da cutar cututtukan fata, yadda za su kasance bayan haihuwa da kuma abin da ya kamata a lura da shi bayan haihuwa, da kuma sakamako ga jariri.
Mun zabi muku bidiyon da bayanan kwararru, da kuma bayanan bidiyo game da mahaifiyar da zata zo nan gaba tare da cutar sikandire HD:

Idan an kamu da cutar sankara a lokacin haila, wannan ba dalili bane don tsoro ko katse ciki. Ana bin wasu ka'idodi na abinci mai gina jiki da kuma yarda da rubutattun magungunan likita, mace tana da kowace damar da za ta haihu kuma ta haifi ɗa mai lafiya ba tare da barazanar lafiyar kanta ba.

Cutar sankarar mahaifa wani nau'in ciwon suga ne wanda yake faruwa ga mata a yayin daukar ciki. Bayan haihuwa, bayan wani lokaci, yakan wuce. Koyaya, idan ba a kula da irin wannan cin zarafin ba, an fara, to matsalar za ta iya komawa mummunan cuta - ciwon sukari na 2 (kuma wannan matsaloli ne da yawa da kuma sakamako mara kyau).

Kowane mace da farawar ciki tana rajista a cikin asibitin dabbobi masu haihuwa a wurin zama. Saboda wannan, a duk tsawon lokacin haihuwar yaro, kwararrun ne ke kula da lafiyar mace da tayin ta, kuma sanya idanu kan jini da gwajin fitsari na zama tilas a kan sanya ido.

Idan kwatsam an sami hauhawar matakin glucose a cikin fitsari ko jini, to irin wannan yanayin bai kamata ya haifar da fargaba ko wata fargaba ba, saboda ga mata masu juna biyu wannan ana ɗaukar matsayin al'ada. Idan sakamakon gwajin ya nuna fiye da biyu irin waɗannan lokuta, tare da glucosuria (sukari a cikin fitsari) ko hyperglycemia (sukari jini) ba a gano shi ba bayan cin abinci (wanda aka yi la'akari da al'ada), amma an yi shi a kan komai a ciki a cikin gwaje-gwajen, to, za mu iya riga muyi magana game da ciwon sukari na mellitus a cikin mata masu ciki.

Sanadin kamuwa da cutar sankaran hanji, hadarin sa da alamomin sa

Dangane da kididdigar, kusan 10% na mata suna fama da rikice-rikice yayin daukar ciki, kuma daga cikinsu akwai wasu ƙungiyar masu haɗari waɗanda zasu iya haifar da cutar sukari. Wadannan sun hada da mata:

tare da kwayoyin halittar jini
kiba ko kiba
tare da cututtukan ƙwayar ciki (misali polycystic)
tare da ciki da haihuwa bayan shekara 30,
tare da haihuwar da suka gabata tare da ciwon sikari.

Wataƙila akwai dalilai da yawa na faruwa na GDM, kodayake, wannan yafi faruwa ne saboda ƙarancin glucose mai rauni (kamar yadda ake fama da ciwon sukari na 2). Wannan ya faru ne saboda hauhawar nauyin jiki a jikin mata masu juna biyu, wanda wataƙila ba zai iya jurewa samar da insulin ba, wato yana sarrafa matakin al'ada na sukari a jiki. "Mugu" na wannan halin shine ƙwayar cuta, wanda ke ɓoye asirin hormones waɗanda ke tsayayya da insulin, yayin da suke ƙara matakan glucose (insulin resistance).

“Adawa” na kwayoyin halittar mahaifa zuwa insulin yawanci yakan faru ne a sati 28-36 na ciki kuma, a matsayinka na mai mulki, wannan ya faru ne sakamakon raguwar ayyukan jiki, wanda kuma saboda karuwar nauyi ne na dabi'a yayin gestation.

Bayyanar cututtukan ciwon sukari a lokacin daukar ciki iri daya ne da na irin na guda 2:

karuwa da jin ƙishirwa
karancin ci ko yunwa na kullum,
da rashin jin daɗi akai-akai urination,
na iya kara karfin jini,
takewar bayyana (mara fuska) hangen nesa.

Idan aƙalla ɗaya daga cikin alamun da ke sama, ko kun kasance cikin hadari, to, ku tabbata ku sanar da likitan ku game da shi don ya bincika ku don GDM. Binciken karshe yana faruwa ba wai kawai a gaban ɗaya ko fiye bayyanar cututtuka ba, har ma a kan tushen gwaje-gwajen da dole ne a ƙetare daidai, kuma don wannan kuna buƙatar cin samfuran da ke cikin menu na yau da kullun (kada ku canza su kafin ɗaukar gwajin!) Kuma ku jagoranci salon rayuwar da kuka saba! .

Wadannan sune ka’idoji ga mata masu juna biyu:

4-5,19 mmol / lita - a kan komai a ciki
babu fiye da 7 mmol / lita - 2 hours bayan cin abinci.

Don sakamakon da babu shakku (i.e., ƙara ƙanƙanta), ana yin gwaji tare da nauyin glucose (5 mintuna bayan gwajin azumi, mai haƙuri ya sha gilashin ruwa wanda 75 g na bushe glucose ya bushe) - don daidai ƙayyade yiwuwar gano cutar ta GDM.

Cutar ciwon suga na mahaifa: menene haɗarin kamuwa da cuta yayin fitsari ga uwa da jariri

Sau da yawa a lokacin haila, mace na fuskantar matsalolin da ba su taɓa tunanin irinta ba. Ga mutane da yawa, ya zo da mamaki yayin da aka gano ciwon sukari a lokacin daukar ciki yayin gwaji. Pathology haɗari ne ba kawai ga inna ba, har ma ga jariri. Me yasa cutar ta tashi kuma me za a yi don samun lafiyayyen yaro?

Cutar sankarar mahaifa tana faruwa sau da yawa a cikin waɗanda ke da raunin jijiyoyin jiki kafin samun juna biyu, da kuma a gaban tsinkayar nau'in ciwon sukari na 2, alal misali, idan dangi na kusa suna fama da cutar. Cutar tana dauke da kwayar cutar ta yadda mace ba ta dame komai, kuma jaririn ya sha wahala. Bayyanar lokaci da canje-canje a jikin mutum zai taimaka don guje wa rikitarwa.

Cutar sankarar mahaifa mellitus (GDM) cuta ce wacce ake samun canji a cikin rayuwa da kuma rashin kyawun ƙwayoyin carbohydrates. Kalmar ciwon mai ciki (DB) galibi ana amfani da ita ne don bayyana cutar. Cutar ta hada da guda biyu da kansar kansa da kuma ciwon suga - wanda hakan cin zarafin glucose ne (hankali). Ana gano rashin lafiya mafi yawan lokuta a ƙarshen 2 da 3 na watanni uku.

GDS akan bayyanar asibiti, dabarar gudanarwa tana tunatar da ciwon sukari na nau'in na biyu. Ko yaya, hormones na mahaifa da tayi suna taka muhimmiyar rawa a ci gabanta. Tare da karuwa a cikin shekarun haihuwa, akwai karancin insulin a jiki. Abubuwa masu zuwa suna bada gudummawa ga wannan:

productionarin samar da insulinase - a cikin mahaifa (enzyme wanda ke lalata insulin),
halakar insulin ta hanyar haɓarin mace,
haɓaka samarwar cortisol ta glandar adrenal,
increasedara yawan aikin haɓakar insulin - saboda haɓakar ƙwayar ƙwayar ƙwayar mahaifa ta hanyar ƙwayoyin estrogen, progestogen da lactogen.

Insulin yana taka muhimmiyar rawa a cikin amfani da sukari. Yana “buɗe” hanyar glucose a cikin tantanin halitta. Ba tare da irin wannan hulɗa ba, sukari ya kasance a cikin jini, wanda ke haifar da karuwar samar da insulin ta sel ƙwayoyin ƙwayar cuta. Lokacin da ya gama ajiyar ajiyar shi, rashi insulin yana faruwa kuma, sakamakon haka, haɓakar sukari na jini. Wani mummunan da'ira, watsewa wanda ba koyaushe yake sauki ba.

Bayyanar cututtukan cututtukan cututtukan ƙwayar cuta a cikin mata masu juna biyu sukan bayyana a cikin matan da ke gaba:

bayan shekaru 30
idan dangi na kusa suna fama da cutar sankara,
idan mace ta haihu a baya tana da GDM,
tare da karin nauyi,
da nauyin kiba a farko na mace,
idan an haifi manyan yara a cikin abubuwan da suka gabata,
idan akwai polyhydramnios a cikin wannan ko daukarwar na baya,
idan akwai matsala mai haƙuri da rashi,
tare da hauhawar jini,
tare da gestosis a cikin wannan ko ciki na baya.

Gano yanayin rashin lafiyar mace da gano abubuwan da ke haifar da sanya rai yana sa a iya gano alamun cutar GDM yayin daukar ciki.

Duk haɗarin cutar ita ce mace ba ta lura da canje-canje masu girma a kan kanta ba, kuma ana iya zargin GDM ne kawai ta hanyar gwajin jini. Kuma kawai tare da yawan sukari mai yawa ana bayyanar cututtuka. Wadannan alamu na iya damun mace:

karuwa da ƙishirwa
so ga Sweets
wuce kima gumi
itchy fata a duk faɗin jiki,
rauni na tsoka
na maimaituwa, ƙwayar ƙwayar cuta,
rage cin abinci.

Cutar sankarar mahaifa ita ce mafi hadari ga tayin. Yiwuwar samun rikice-rikice ya dogara da matakin sukari na jini - mafi girma mafi girma. Mafi sau da yawa, waɗannan halayen pathological masu tasowa

Sakamakon kamuwa da cutar siga yayin samun juna biyu akan jariri shima ya yi daidai da yadda aka biya matakan sukari na jini. Irin waɗannan yara yawanci ana haife su tare da babban taro. Wannan ya faru ne saboda gaskiyar cewa wuce haddi a cikin jinin mahaifiyar yana zuwa jariri, inda sakamakon hakan ya zama mai ajiyar kitse. A tayin, ƙwayar huhu har yanzu tana cikin aiki utero a cikin yanayi mai ƙarfi, yana ƙoƙarin sha duka glucose mai shigowa. Sabili da haka, nan da nan bayan haihuwa, irin waɗannan yara yawanci suna fuskantar hypoglycemia (raguwa mai haɗari a cikin glucose jini).

Bayan haka, galibi suna fuskantar matsalar rashin lafiya yayin haihuwar, wanda ke tafiya na dogon lokaci kuma yana da wahalar magani. A cikin shekarar farko ta rayuwa, irin waɗannan jariran suna da haɗari ga cututtuka daban-daban saboda rikicewar glandar adrenal.
A cikin yara waɗanda aka haife su da uwaye tare da GDM, samuwar surfactant an rushe - murfin ciki a cikin alveoli na huhun ciki, wanda ke hana huhu fadowa kuma “mai ɗorawa”. A sakamakon haka, halayyar ciwon huhu.

Idan mace ba ta rama glucose a lokacin daukar ciki ba, jikin ketone yana fitowa a jikinta. Suna shiga cikin mahaifa da yardar rai akan sel kwakwalwa da igiyar kashin baya. Don haka, game da cutar sankarar mama ta jariri a lokacin daukar ciki yana fuskantar barazanar da wadannan rikice-rikice:

na kullum hypoxia,
samuwar lahani na gabobin ciki,
jinkirta psychomotor da ci gaban jiki,
hali na kamuwa da cututtuka,
predisposition zuwa cuta na rayuwa,
hadarin kamuwa da ciwon siga
mutuwar cikin ciki
mutuwa a farkon lokacin haihuwa.

Yiwuwar girma da girman rikice-rikice ga jikin mace yana da ƙasa da ƙananan yara. A lokacin daukar ciki, gestosis da ci gabanta (preeclampsia da eclampsia), aikin nakasa na yara zai iya haifar da barazana ga rayuwa da lafiya. Bayan haihuwa, mata masu juna biyu da masu ciwon sukari suna son shiga cikin nau'in ciwon sukari na 2 a cikin shekaru bakwai zuwa goma. Hakanan, matan da ke da GDM suna da sha'awar halaye masu zuwa:

na rayuwa ciwo da kiba,
hauhawar jini
karancin gani
ci gaban atherosclerosis.

Kuna iya rage yiwuwar haɓaka duk waɗannan rikice-rikice ta hanyar canza salonku, daidaita tsarin abincinku da ayyukanku na jiki.

Ana gudanar da bincike game da cutar GDM don sanin matakin glucose na jini. Don yin wannan, ana yin waɗannan karatun.

Babban gwajin jini. An ɗauki yatsa a kan komai a ciki. Yawan glucose bai wuce 5.5 mmol / l ba. A lokacin daukar ciki, masu mika wuya yayin yin rajista, sannan a makonni 18-20 da 26-28. A mafi girman darajar - mafi sau da yawa.
Gwajin gwajin haƙuri. Ma'anarta shine a gano karancin insulin. A saboda wannan, matar mai ciki tana “ɗaukar nauyi” tare da glucose - ana basu 50 g ko 100 g na glucose da ke narkar da ruwa. Bayan haka, ana auna matakan sukari na jini bayan sa'a daya, biyu da uku. Wuce ƙa'ida ta dabi'u guda biyu yana nuna cutar sikari a cikin mata masu juna biyu. Ana aiwatar dashi kawai don tabbatar da GDM.
Glycated haemoglobin. Yawan wucewar glucose wani bangare a hade yake da jikin jakar sel na jini. Ta hanyar ƙayyade matakin a kaikaice, zaku iya yin hukunci tsawon lokacin da aka ɗaga matakin sukari na jini. A yadda aka saba kada ya zama fiye da 6.5%. A cikin GDM, ana amfani da haemoglobin da ke cikin kowane watanni biyu zuwa uku.
Tabbatar da lactogen mahaifa. Rage darajar yana nuna karuwar buƙatar insulin. Ba jarrabawa ce ta wajibi ba.

Bayan an gano cutar GDM, mace mai ciki tana yin cikakken bincike don gano rikice-rikice da kuma tantance yanayin gabobin jikinsu. Ana aiwatar da abubuwa masu zuwa:

gwajin jini na biochemical, coagulogram,
gwaje-gwaje na ophthalmologist, neurologist,
nazarin aikin koda (duban dan tayi, gwajin Reberg, fitsari a cewar Zimnitsky),
Duban dan tayi na tayi, hanjin hancin ciki da na ciki,
auna jini.

Makullin don samun nasarar ciki shine matakan sukari na al'ada. Saboda haka, lura da ciwon sukari mellitus na farko ya ƙunshi gyaran glucose na jini yayin daukar ciki. Wannan mai yiwuwa ne ta hanyar abinci da aiki na zahiri, kuma idan akwai rashin ƙarfi, ana wajabta allurar insulin.

Nazarin likitoci da mata sun tabbatar da cewa a cikin 95% na lokuta, matakan glucose na jini na yau da kullun yayin cin abinci ana iya cimma su ta hanyar canza abincin. Ka'idojin gaba daya sune kamar haka.

Rage adadin kuzari. Yawan adadin kuzari da ake buƙata ana lissafta kimanin 20-25 kcal / kg nauyin jiki tare da ƙara yawan jikin mutum. Idan nauyin ya kasance kafin haihuwar ya kasance al'ada, 30 kcal / kg kowace rana an yarda. Haka kuma, rabon tsakanin protein, fats da carbohydrates yakamata su kasance kamar haka - b: w: y = 35%: 40%: 25%.
Rage carbohydrates. Da farko dai, ya zama dole a ware dukkan abubuwan dake dauke da abinci mai narkewa a jiki - Rolls, burodi, cakulan, abubuwan shan giya, taliya. Madadin haka, kuna buƙatar haɗa da kayan lambu, 'ya'yan itãcen marmari (banda mai daɗin gaske - ayaba, bawi,' ya'yan itaciya), hatsi, da kayan lebur Suna da hadaddun carbohydrates wanda ba zai haifar da hauhawar haɓaka a cikin glucose jini ba.
Canza yadda kuke dafa abinci. Matan da ke da juna biyu tare da GDM ya kamata su kuma bi ingantaccen tsarin abinci da kuma ware girke-girke tare da soya, gasa, shan sigari, da gyada. Yana da amfani don stew, tururi, gasa.
Murkushe abinci. A lokacin rana, yakamata ku sami abinci huɗu zuwa biyar. Daga cikin waɗannan, biyu ko uku sune manyan, sauran kuma abun ciye-ciye ne. Idan baku ba da izinin ji na yunwar ba, yana da sauƙin sarrafa matakin sukari. Adadin sunadarai, mai da kuma carbohydrates dole ne a raba su a ko'ina cikin rana. Misali, ana bada shawarar irin wannan tsarin: 30% don karin kumallo, 40% don abincin rana, 20% don abincin dare, da 5% na kayan ciye-ciye biyu.

Yana da mahimmanci a lura da ayyukan jiki - yin yawo, iyo, yoga, motsa jiki. Ayyukan tsoka mai narkewa yana taimakawa yin amfani da glucose mai yawa. Don sa ido sosai da matakan sukari na jini a gida, ana bada shawara don sikirin glucoeter mai šaukuwa. Kuna iya kewaya cikin ƙimar abubuwan da na'urar ta nuna ta amfani da tebur mai zuwa.

Tebur - Tsarin matakan glucose na jini don GDM

Russell, Jesse bitamin na Ciwan sukari / Jesse Russell. - M.: VSD, 2013 .-- 549 p.
Kula da cututtukan cututtukan endocrine a cikin yara, Perm Book Publishing House - M., 2013. - 276 p.
Sukochev Goa ciwo / Sukochev, Alexander. - M.: Ad Marginem, 2018 .-- 304 c.

Bari in gabatar da kaina. Sunana Elena. Na kasance mai aikin endocrinologist tsawon shekaru 10. Na yi imanin cewa a halin yanzu ni ƙwararre ne a fagen aikina kuma ina so in taimaka wa duk baƙi zuwa shafin don warware matsalolin da ba ayyuka sosai ba. Duk kayan don rukunin yanar gizon an tattara su kuma ana aiwatar dasu da kyau don isar da sanarwa gwargwadon iko. Kafin amfani da abin da aka bayyana akan gidan yanar gizon, tattaunawa mai mahimmanci tare da kwararru koyaushe wajibi ne.