Yaushe ne ciwon sukari ya fara bayan haihuwa

Ga mace, ɗaukar yaro ba gwaji ne mai sauƙi ba, saboda a wannan lokacin jikinta yana aiki a cikin yanayin haɓaka. Sabili da haka, a wannan lokacin, sau da yawa yanayin cututtukan cuta suna bayyana, alal misali, ciwon sukari na mata masu juna biyu. Amma menene cututtukan ƙwayar cutar mahaifa kuma ta yaya zai shafi lafiyar mace da tayin.

Wannan cuta tana faruwa ne yayin da matakan sukari na jini suka yi yawa yayin daukar ciki. Yawancin lokaci cutar ta ɓace nan da nan bayan haihuwar jariri. Koyaya, wannan nau'in ciwon sukari yana da haɗari ga mata, tunda za a iya ɗaukar hanyarsa a matsayin haɗari don haɗarin cutar ta 2 a nan gaba.

Cutar sankarar mahaifa mellitus na faruwa a cikin 1-14% na mata. Cutar na iya bayyana a matakai daban-daban na ciki. Don haka, a cikin farkon farkon, ciwon sukari yana faruwa a cikin 2.1% na marasa lafiya, a na biyu - a cikin 5.6%, kuma a cikin na uku - a cikin 3.1%

Sanadin da bayyanar cututtuka

Gabaɗaya, kowane nau'i na ciwon sukari cuta ce ta endocrine wanda lalacewa a cikin metabolism metabolism na faruwa. A kan wannan tushen, akwai dangi ko cikakken karancin insulin, wanda ƙwayar huhu ke samarwa.

Dalilin rashi na wannan hormone na iya zama daban. Misali, malfunctions a cikin hanyoyin canza proinsulin a cikin kwayar halitta mai aiki, raguwar adadin kwayoyin beta a cikin kasala, karancin tsinkayen insulin ta sel, da sauran su.

Sakamakon insulin akan metabolism metabolism an ƙaddara shi da kasancewar takamaiman masu karɓar glycoprotein a cikin ƙwayoyin da ke dogara da kwayoyin. Lokacin da aka kunna su, jigilar glucose a cikin sel suna ƙaruwa kuma matakan sukari na jini suna raguwa.

Bugu da ƙari, insulin simulates yin amfani da sukari da kuma yadda ake tattarawa kamar glycogen a cikin kyallen takarda, musamman a cikin kasusuwa da hanta. Abin lura ne cewa sakin glucose daga glycogen kuma ana aiwatar dashi a ƙarƙashin rinjayar insulin.

Wani hormone yana shafar furotin da mai mai mai yawa. Yana da tasirin anabolic, yana hana lipolysis, yana kunna biosynthesis na DNA da RNA a cikin ƙwayoyin insulin-dogara.

Lokacin da ciwon sukari ya fara haɓaka, sanadinsa ya haɗa da abubuwan da yawa. Muhimmiyar mahimmanci a wannan yanayin shine rashin nasarar aiki tsakanin tasirin sukari da rage karfin insulin da kuma tasirin da yake haifar da wasu kwayoyin halittar.

Tissue insulin juriya, yana ci gaba a hankali, yana yin ƙarancin insulin har ma da yawan magana. Hakanan dalilai masu tayar da hankali sun taimaka da wannan:

1. nauyin da ya wuce kuzari fiye da kashi 20% ko sama da haka, akwai tun kafin ɗaukar ciki,
2. haɓaka sukari na jini, wanda aka tabbatar da sakamakon binciken fitsari,
3. haihuwar da ta gabata ta haihuwar fiye da kilo 4,
4. 'yan ƙasa (mafi yawan lokuta cututtukan hauka a cikin yara ke fitowa a cikin Asians, Hispanics, Blacks and Native Americans),
5. haihuwar mataccen yaro a da,
6. rashin haƙuri
7. kasancewar cututtukan ƙwayar cuta,
8. polyhydramnios halin da wuce haddi na ruwa amniotic,
9. gado
10. rikicewar endocrin da ke faruwa yayin haihuwar da ta gabata.

A lokacin daukar ciki, rushewar endocrine yana faruwa ne saboda canje-canjen ilimin halittar jiki, saboda tuni a matakin farko na lokacin haihuwa, an sake gina metabolism. A sakamakon haka, tare da ƙarancin raunin glucose a cikin tayin, jikin yana fara yin amfani da ajiyar ajiyar ajiyar, yana karɓar makamashi daga lipids.

A farkon lokacin daukar ciki, irin wannan shiri na rayuwa ya gamsar da dukkan kuzarin bukatun tayi. Amma a nan gaba, don shawo kan juriya na insulin, hauhawar jini na ƙwayoyin beta na pancreatic na faruwa, wanda kuma ya zama mai yawa.

Compensara yawan samar da kwayar halittar yana rama ta hanyar rushewar sa. Koyaya, a cikin sati na biyu na ciki, mahaifa yana yin aikin endocrine, wanda yawanci yakan shafi metabolism metabolism.

Kwayar halittar mahaifa, kamar-steroid-sitiri, kwayoyin hodar iblis da kuma cortisol sun zama masu maganin insulin. Sakamakon haka, riga a cikin mako 20, alamun farko na ciwon sukari na hanji ke faruwa.

Koyaya, a wasu halaye, mace ta bayyana ƙananan canje-canje a cikin saurin glucose, wannan yanayin ana kiran shi pre-gestational diabetes mellitus. A wannan yanayin, karancin insulin kawai ana lura dashi tare da cin zarafin abinci na carbohydrate da kasancewar sauran abubuwanda ke haifar da tsokana.

Abin lura ne cewa masu ciwon sukari a lokacin daukar ciki baya tare da mutuwar ƙwayoyin beta ko canji a cikin ƙwayoyin hormone. Saboda haka, wannan nau'in rushewar endocrine ana ɗauka wanda yake juyawa, wanda ke nufin cewa lokacin da isarwar ta faru, ana rama kansa da kansa.

Alamomin ciwon sukari na masu juna biyu masu saukin kai ne, saboda haka mata sukan danganta su da halayen dabbobi na ciki. Babban alamun da ke faruwa yayin wannan lokacin alamu ne na yau da kullun na kowane nau'i na damuwa a cikin metabolism metabolism:

• ƙishirwa
• dysuria
• fata mai ƙaiƙai
• karancin nauyi da kaya.

Tun da alamun cututtukan ciwon sukari ba halayyar mutum ba, gwaje-gwaje na dakin gwaje-gwaje sune tushen binciken cutar. Hakanan, mace galibi ana wajabta duban dan tayi, wanda zaku iya tantance matakin rashin isasshen jini da kuma gano cutar tayin.

Lokacin dawowa

Yana faruwa sau da yawa cewa ciwon sukari yana wucewa daidai bayan haihuwa. Matakan sukari na jini sune al'ada, duk alamun cutar sun shuɗe daga rayuwar yau da kullun.

Innovation a cikin ciwon sukari - kawai sha kowace rana.

Bayan makonni shida bayan bayyanar jariri, dole ne a yi gwajin jini don gano matakan glucose masu haɗari sosai. Akwai damar kashi 50% wanda nau'in ciwon sukari na 2 zai iya haɓaka a cikin shekaru 10-20 bayan ciki. Hakanan yana iya bayyana yayin tsammanin jariri na gaba - hadarin yana da matukar girma.

Samun damar da yaron zai yi rashin lafiya tare da nau'in ciwon sukari na 1 yayi ƙasa. Duk da wannan, akwai wani kaso na kashi na farkon ciwon sukari na biyu.

Idan mace mai ciki da GDM ta sami sashin cesarean, za'a iya samun rikitarwa. Yawancin lokaci ana haihuwar yaro babba, fiye da yara na yau da kullun. Koyaya, wannan baya cire yiwuwar samun jaririn a wata halitta, ba tare da tiyata ba.

Yawancin lokaci, ana tsara abinci na musamman don GDM, bi da bi wanda zai iya taimakawa. Jerin samfuran da aka yarda da su sun hada da:

• saniya (ba tare da mai ba),
• kore kayan lambu
• kayayyakin kiwo (gami da cuku gida mai-mai)
• duk hatsi da hatsi,
• Gurasa mai gasa daga gari mai yalwace.

Hakanan akwai jerin abinci waɗanda zasu buƙaci a cire su daga abubuwan cin abinci daidai:

Idan ciwon sukari na ciki bai tafi ba

Amsar tambayar da yaushe cutar sikari za ta shuɗe bayan haihuwa ta zo kai tsaye ko kuwa dole ne a same ta. Idan dogon lokaci ya riga ya wuce, kuma cutar ba ta tafi ba ko da bayan daidaituwa na matakin hormonal, an wajabta magani.

Yayin cikin ciki, ba za a sha kwayoyi masu rage glucose ba. Game da batun GD na bayan haihuwa, komai yana da sauki - zaku iya shan magani. Idan akwai haɗarin mummunan rikitarwa, an wajabta maganin insulin.

Mafi muni, wata cutar mahaifa na iya shiga nau'in 2. Sabili da haka, lallai ne a tuntuɓi kwararru. Lissafin likitocin dole ne su hada da ilimin endocrinologist idan har aka sake samun juna biyu.

Shawarwarin don uwaye mata

Baya ga bin duk abubuwan da ake buƙata na abinci, akwai shawarwari (da yawa ba a la'akari da su lokacin rubuta abinci):

Muna ba da ragi ga masu karanta shafinmu!

• kawar da dukkan munanan halaye,
• kada ku cinye, wuce haddi, yawan adadin kuzari,
• fara wasan motsa jiki, yin motsa jiki na safe,
• sha 'ya'yan itatuwa da kayan marmari,
• Abincin ya kamata ya kasance a cikin ƙananan rabo,
• sha more ruwa.

Wasan motsa jiki, salon aiki da kasancewa a waje ɗaya zai taimaka ga asarar nauyi mai yawa, in dai. Idan kun kasance cikin hadarin kamuwa da ciwon sukari, kuna buƙatar bincika lokaci zuwa lokaci don ƙayyadadden matakan glucose na jini.

Jikin na iya bada “sigina” ta fuskokin bayyana:

• kurji
• ja
• wanda ake zargi da kamuwa da cuta
• raunuka marasa fahimta.

Akwai haɗarin rikicewa tare da alamun rashin lafiyar al'ada. Koyaya, ana bada shawara don bincika kasancewar cutar.

Tsabtace tsabta. Wannan yana nufin cewa kuna buƙatar shan shawa kowace rana, ba da lokacinku don haƙoranku, da yanke ƙusoshinku mako-mako.

Kai magani ba tare da sanin likita ba a cikin shawarar da za a ba da shawarar. Akwai haɗarin yin tuntuɓe game da bayanan da basu dace ba, shan kashi ba daidai ba na magani, ko shan magunguna waɗanda jiki bai yarda da su ba. A wannan halin, halin da ake ciki tare da GDM zai kara tsananta. Likita na iya tantance maganin yadda yakamata, kuma ya tsara magunguna ya kuma ba da magungunan da suka dace da magani.

Idan bakayi watsi da lafiyar mutum ba, bi shawarar likita kuma kada ku keta tsarin mulki, yuwuwar samun sakamako da warkewa yana ƙaruwa. In ba haka ba, yanayin zai yi muni kuma cutar za a yi ba kawai ga jikin mahaifiyar ba, har ma da yaron.

Cutar sankarau koyaushe tana haifar da rikice-rikice. Wuce kima sugar yana da matukar hadari.

Aronova S.M. ya ba da bayani game da lura da ciwon sukari. Karanta cikakken

Dalilin bayyanar

Kwayar cutar sankara ta mellitus an bayyana shi cikin juriya ta insulin (rage girman hankali) na sel zuwa insulin da jikin ya samar da shi daga bangon yanayin motsa jiki yayin haihuwa - ana samar da tasirin toshewa ta hanyar lactogen, estrogen, cortisol da sauran abubuwanda suke matukar taka rawa daga karni na ashirin bayan haihuwar tayi. Ko yaya, ciwon sukari ba ya ci gaba a cikin mata duka - abubuwan haɗari don haɓakar matsalar sune:

1. Yawan kiba. Babban abin da ke haifar da ci gaban ciwon sukari na 2 zai iya fara samar da GDM a cikin wannan mawuyacin lokaci na jikin matar.
2. Shekaru sama da shekaru talatin. Matan da ke bayan haihuwa suna cikin haɗarin mafi girma na ciwon sukari wanda ke haifar da cutar mahaifa.
3. Rashin daidaituwa na glucose a cikin cikin wata ta gabata. Cutar sukari a baya na iya sake tunatar da kanta sosai a fili kuma ba tare da shakku ba a cikin cikin ciki mai zuwa.
4. Tsarin kwayoyin halitta. Idan dangi na cikin layi mafi kusa an gano su da kowane nau'in ciwon sukari, to, haɗarin samun GDM yana ƙaruwa.
5. Kwayar polycystic. Kamar yadda aikin likitanci ya nuna, mata masu wannan cutar suna yawan samun cututtukan ƙwayar cutar mahaifa.
6. Tarihin mahaifa mara kyau. Shin kun taɓa samun asarar ƙwaƙwalwar ƙwaƙwalwa, lokacin haihuwa ko kuwa tare da lalatawar jijiyoyin jiki? Haihuwar da ta gabata tana da wahala, jaririn ya yi girma babba ko ƙarami, shin an gano wasu takamaiman matsalolin (misali polyhydramnios)? Duk wannan yana ƙara haɗarin cutar GDM a nan gaba.

Bayyanar cututtuka na ciwon sukari

Bayyanar cututtukan GDM galibi suna da alaƙa da alamomin kamuwa da ciwon sukari na 2. A mafi yawan lokuta, mara lafiya ba ya jin alamun bayyanar cutar ta kwata-kwata, tana danganta cututtuka daban-daban ga tsarin sake fasalin jikin mutum da kuma aiwatar da yadda ya dace da haihuwar da za ta zo nan gaba, amma, wani lokacin mace mai ciki na iya nuna tsananin kishi da yawan shan ruwa, tare da nusar da bukatar marassa karfi, koda kuwa idan 'ya'yan itacen har yanzu karami ne. Bugu da kari, cutar sankarar mahaifa ana nuna shi ta hanyar karuwa a lokaci-lokaci, bayyananniyar bayyanar cututtukan zuciya (daga sauye-sauye yanayi zuwa rikice-rikice), a lokuta da dama, mace tana cikin damuwa da ciwon zuciya da yawan bugun ciki.

Kamar yadda za'a iya gani daga sama, alamu masu kama da haka sukan nuna yanayin juna biyu da kuma alaƙar da ake alaƙa da (misali, guba). “Hoton” mara nauyi wanda ke ba da izinin gane matsalar ba kuma a mafi yawan lokuta, ana gano cutar sankarau kawai tare da taimakon gwaje-gwajen da suka dace.

Binciko

Dangane da tsarin kulawa na yau da kullun na marasa lafiya a cikin daga 22 zuwa 28 makonni (to wannan shine buƙatar jikin mace ga insulin yana ƙaruwa sosai, a matsakaici har zuwa kashi 75 na al'adar al'ada), ana yin gwajin haƙuri haƙuri. Don wannan binciken, ana bayar da gudummawar jini daga yatsan a kan komai a ciki da safe. Ya kamata a sani cewa sa'o'i goma sha biyu kafin gwajin, ya zama dole a ƙi ɗaukar abinci, kowane magunguna ba a yarda da likita ba, kazalika don kauce wa damuwa na jiki / tunanin mutum, guji shan giya da shan sigari.

Bayan shan jinin kansa bisa ga tsarin da ke sama, ana yin magana da wakilin masu yin jima'i a baki kaɗan na glucose daidai da gram 75, bayan wannan ana yin samammen jini na biyu da na awa bayan sa'a da awa biyu.

Dokokin da ke cikin gwajin da ke sama suna kan komai a ciki wanda bai fi 5.1 mmol / L ba, sa'a daya bayan sarrafawar gulub fiye da 10 mm / L, bayan sa'o'i 2 - ba fiye da 8.5 mmol / L ba. A matsayinka na doka, ƙimar gwajin azumi a cikin mata masu juna biyu tare da GDM ko da ƙasa da na al'ada, amma sun ƙaru sosai yayin motsa jiki.

Ba kamar nau'in gargajiya na 1 da nau'in ciwon sukari na 2 ba, ba a yin gwaji na haemoglobin idan ana zargin cutar sikila, saboda yawanci karya ce saboda ƙirar GDM na wucin gadi a cikin mata.

Baya ga wannan bincike, don tabbatar da ganewar asali, dole ne likita ya ware sauran cututtukan da ke haifar da cutar hauka, sannan kuma, idan ya cancanta, tsara wasu hanyoyin bincike.

Jiyya don ciwon sukari

Sakamakon wasu haɗari ga lafiyar jariri nan gaba, ana aiwatar da maganin cututtukan cututtukan ƙwaƙwalwar ƙwaƙwalwa ta amfani da hanyoyin mafi aminci tare da mafi ƙarancin ƙwayoyi. Bayan gano GDM, za a tsara wakilin halal mai kyau game da abinci na musamman, gami da zazzabi a zahiri, mai yiwuwa ne a gare ta a wannan matakin haɓakar tayi, da kayan aiki. Yanzu, har zuwa sau 7 a rana, dole ne ku canza matakin sukarin jini na yanzu tare da glucometer kuma ku adana cikakkun bayanan bayanan gwaje-gwaje don likitan, idan ya cancanta, zai iya samun masaniya da irin wannan ƙididdigar kuma ya gyara hanya.

A wasu halaye, abinci da motsa jiki basu isa ba - a wannan yanayin, ƙwararren likita ya tsara hanya ta hanyar insulin na tsawon lokacin ciki har zuwa haihuwa. An ƙayyade takamaiman sashi da tsarin maganin ne kawai likitan ku! Abin baƙin ciki, injections insulin ba su ba da iyakar ƙarfin sakamako saboda mummunan halin ƙwaƙwalwar ƙwayoyin sel zuwa wannan hormone dangane da cutar sankarar mahaifa.

Wani magani na yau da kullun don rage yawan sukari na jini shine shan magunguna na rage sukari na rage sukari. An hana mafi yawansu yin amfani da shi a lokacin daukar ciki saboda matuƙar haɗari ga lafiyar da rayuwar ɗan da ba a haifa ba. Metformin shine togiya, amma an wajabta shi azaman makoma ta ƙarshe, yin la'akari da kyau a kan duk sakamakon da zai iya faruwa da la'akari da mummunan tasirin sakamako.

Abincin don ciwon sukari na hanji

Hanyar da ta fi dacewa don yaƙar GDS shine abincin da aka zaɓa da kyau - wannan ƙa'idar aiki ce wacce ta dace da shekaru sama da biyar.Duk da irin alaƙa da alamu da hanyoyin magance cututtukan ƙwayar cutar mahaifa da nau'in ciwon sukari guda 1.2, tsarin abinci a gare su ya sha bamban. Tare da GDM, ba za ku iya amfani da ƙananan carb ko kayan cin abinci na vegan ba, tunda irin wannan tsarin abincin zai iya cutar lafiyar lafiyar ɗan tayi mai zuwa. Samuwar sassan jikin ketone yana da haɗari musamman bayan canzawa zuwa fats ɗin jikin kansa. Me zaiyi? Likitoci a wannan matakin rayuwar mahaifiya tun daga lokacin haihuwa, suna ba da shawarar sauya abinci don daidaita tsarin abincin. Babban taken ta:

1. Abincin raba, 3 hanyoyin yau da kullun (karin kumallo, abincin rana, abincin dare) da kayan ciye-ciye 3.
2. Usin yarda da amfani da kowane samfura da ke tattare da carbohydrates mai sauƙi “mai sauri” - gari, Sweets, pickles, abinci mai sauri da dankali ta kowane fanni.
3. Kalori na yau da kullun a cikin 35 kcal a kilo kilogram na nauyin jiki.
4. Tsarin BJU na tsari kashi 25-30 ne na sunadarai, kusan kashi 30 na kitsen, da kuma kashi 40 - 45 na carbohydrates.
5. Yana da izini a yi amfani da abinci tare da fiber - don inganta narkewa da tsayayyen ƙwayar cuta.
6. Kullum saka idanu akan matakin sukari da jikin ketone, da kyau bayan kowace abinci (bayan minti 60).

Don irin wannan abincin, mafi kyawun nauyin amfani ga ɗaukacin ciki ya bambanta a tsakanin kilo 11 - 11. Gabaɗaya, abincin ga mata tare da GDM a lokacin daga farkon ciki har zuwa haihuwa shine kusan iri ɗaya daga ainihin abincin da ya dace na jima'i na adalci a cikin yanayi mai ban sha'awa ba tare da matsalolin lafiya ba, amma yana buƙatar ƙarin tsayayyen ƙa'idodi na yau da kullun da cikakken iko na sukari / ketone jikin a jini.

Menu na mako

Tsarin menu na mako-mako tare da abinci na yau da kullun na kwana shida yana ba wa mace mai ciki ɗaukar duka abubuwan abubuwa masu mahimmanci, yayin da suke taimakawa ci gaba da haɓaka metabolism na al'ada da rage haɗarin matsalolin GDM.

Za mu sami babban sanwic da cuku mai wuya da tumatir biyu, da kwai ɗaya da aka dafa. Don abun ciye-ciye kafin cin abincin dare - karamin kwano tare da cuku gida da dinbin raisins. Muna cin abincin rana tare da miya kayan lambu. Yi abincin rana da rana tare da babban gilashin yogurt na halitta. Muna cin abincin dare tare da farantin salad na kayan lambu da avocado ɗaya. Kafin zuwa gado, zaka iya amfani da gilashin kayan ado na rosehip.

Za mu yi karin kumallo tare da farantin abinci na oatmeal da aka sha a cikin madara. Muna da cizo na apples biyu. Muna cin abincin rana tare da miya kaza tare da nama. Muna da abincin rana da rana tare da gram ɗari na cuku mai ƙananan mai. Za mu ci abincin dare tare da stew kayan lambu da kuma karamin naman naman sa. Kafin tafiya barci, zamu iya shan gilashin kefir kashi ɗaya ba tare da sukari ba.

Muna da farantin omelet tare da cucumbers guda biyu. Don abincin rana, gilashin yogurt. Muna cin abincin rana tare da miyan kifi. Da rana ayaba biyu. Muna cin abincin dare tare da farantin madara na madara. Kafin mu kwanta, muna amfani da rabin farantin kayan lambu.

Muna da karin kumallo tare da kirkin cakulan da aka raba tare da raisins da ƙari na 15 bisa ɗari na kirim mai tsami. Don abun ciye-ciye - dinbin peeled walnuts. Muna cin abincin rana tare da kwano na lentil miya. A ci abincin rana da rana tare da pears biyu. Abincin dare steamed shinkafa farantin, kaza gasa nama tare da tumatir (100 grams). Kafin komawa barci, sha shayi.

Don karin kumallo, shirya omelet tare da sandwich (man shanu, cuku mai wuya, gurasar hatsin rai). Kafin abincin dare, sha gilashin ruwan tumatir. Muna da abincin rana tare da stew kayan lambu da kuma 100 grams na steamed nama. Da rana tsaka biyu peach. Don abincin dare - farantin abinci na spaghetti daga alkama durum tare da ƙari da tumatir miya. Kafin komawa barci, zaku iya sha gilashin shayi na ganye.

Muna da karin kumallo tare da cuku gida tare da ƙari na berries berries. Muna da cizo tare da karamin sandwich ɗaya tare da yanki na cuku mai wuya. Muna da farantin buckwheat tare da stew, salatin kayan lambu da koren shayi. Yi gilashin yamma. Muna da abincin dare tare da salatin kayan lambu da 100 grams na nono kaza tare da tumatir. Kafin zuwa gado, zaka iya sha gilashin madara 1 bisa dari.

Za mu karin kumallo tare da farantin madara na masara madara tare da bushewar apricots. Muna da cizo na apples biyu. Abincin rana tare da salatin gargajiya na tumatir / cucumbers da kabeji miya. Samun kuɗin yamma na 'ya'yan itace bushe. Abincin dare don cin abinci a kan zucchini tare da ƙari na kirim mai tsami, kazalika da gilashin ruwan 'ya'yan itace. Kafin zuwa gado, zaku iya shan kayan ado na rosehip.

Muna bada shawara cewa duk mata masu juna biyu da aka kamu da cutar ciwon suga ta hanji ba su da tsoro - wannan cutar, kamar yadda kididdigar likitocin duniya ta nuna, ana gano ta kowace shekara a cikin kashi hudu na mata masu ciki. Haka ne, wannan "kararrawa ne" mai ba da tsoro wanda ba duk abin bane ke tsari da jiki ba, amma a mafi yawan lokuta, GDM yana ɓacewa bayan haihuwa. A zahiri, yayin shekara daya da rabi zuwa shekaru biyu bayan haihuwa, mace yakamata ta sanya ido a kan yanayin jikinta, bayar da gudummawar jini akai-akai don kokarin shawo kan wata sabuwar haihuwa a lokacin da aka nuna - hadarin sake dawo da cutar da sauyawa zuwa babban nau'in 1 ko 2 na ciwon sukari ya karu sosai.

Ku ci abinci yadda yakamata kuma daidai, ku daɗa lokaci a cikin iska mai kyau, yi ayyukan motsa jiki na dose kuma likitanku sun ba da shawarar - haihuwar da aka shirya za ta yi kyau kuma za ku iya shayar da jaririnku, a hankali lura da alamun zahiri da ke tattare da cutar sukari a nan gaba.

Menene haɗarin ciwon sukari mai haɗari ga ciki?

GDM yana ɗaukar wasu haɗari ga duka tayi da mahaifiyar. Wakilan jinsi na adalci a matsayin rikice-rikice na GDM na iya haɓaka cutar sankarau da cutar kumburin ciki, waɗanda ke tsokanar ciwan tayin da rashin wadataccen jini ga mahaifa tare da gazawar na ɗan na cikin uwa. Kari akan haka, yawan wadatar da sukari a cikin jini yana haifar da ci gaban tayin, musamman a lokutan karshe na ciki, wanda ke kara hadarin duka lokacin rashin haihuwa da kuma wahalar haihuwa. Duk da waɗannan bayanan masu ba da tsoro, ƙididdigar likita na zamani sun nuna ƙarancin mace-macen jarirai daga cutar sankarar mahaifa - kashi 1/3 cikin ɗari ya fi na na uwayen da ba su da lafiya.

Ina da ciwon suga Ta yaya zai kasance a tayin?

Game da cikakkiyar iko game da cutar, lura da yanayin mace mai ciki da tayin, gyaran abinci da sauran matakan da suka dace na warkewa, GDM ba zai yi wani tasiri ba ga jaririn da ba a haife shi ba - haihuwa zai fara a kan lokaci kuma zai faru ta dabi'a. Idan mace tana da rikice-rikice (nephropathy, scars a cikin mahaifa, preeclampsia, kunkuntar ƙashin ƙugu, da dai sauransu), to, zaɓuɓɓuka da yawa suna yiwuwa - daga haihuwa zuwa ga cesarean sashe. Babban matakan glucose na iya sa tayin ya ci gaba da macrosomia - ci gaban tayin da aka samu a cikin ta, wanda shima yana kara hadarin farkon haihuwa da raunin yayin haihuwa, duka a cikin jarirai da mahaifiyarsa. Specificayyadaddun yanke shawara a cikin wannan yanayin yana faruwa ne ta hanyar likita na kwararrun likitocin.

Menene kuma ba za'a iya ci tare da ciwon sukari ba?

Kayan abinci na zamani yana ba da shawarar ingantaccen tsarin abinci don GDM. Abincin yau da kullun ya kamata ya ƙunshi furotin (25-30 bisa dari), fats (30 kashi) da carbohydrates (kashi 40-45), kuma adadin kuzari na jita-jita bai kamata a rage su ba - maida hankali kan 35 kcal dangane da kilogram ɗaya na nauyin jikinku na al'ada.

-Arancin carb kuma musamman abinci mai cin naman vegan yayin daukar ciki an haramta shi sosai! Wajibi ne a cire shi daga abincin kawai kayayyakin gari, Sweets, pickles, dankali, abinci mai sauri, duk soyayyen da sauran abinci mai wadataccen abinci a cikin abinci mai sauƙin narkewa a jiki, gami da sinadarai mara kyau. Ba a ambata a cikin wannan jerin za a iya ba kuma ya kamata a yi amfani da shi, amma, cikin matsakaici kuma kaɗan kaɗan. Raba abincin yau da kullun zuwa abinci shida - karin kumallo mai ban sha'awa, karin haske, abincin rana mai kyau, abincin yau da kullun, abincin yau da kullun da abin ci na biyu kafin lokacin bacci (3 manyan kuma 3 ƙarin).

Yaya alaƙar haihuwa ke da alaƙa da cututtukan mahaifa?

A cikin hanyoyi daban-daban. Ya dogara da yanayi da dalilai da yawa. Tare da GDM da sukari na yau da kullun na azumi, tare da cikakken sarrafa cutar a duk watannin da suka gabata, mace yawanci tana ɗaukar jariri har zuwa ranar haihuwa. Isar da jijiyoyin jiki ba tare da suturar cesarean don cututtukan cututtukan ƙwayar cutar mahaifa an yarda da rashin rikitarwa, tare da nauyin tayin da bai wuce kilo kilo huɗu da yuwuwar saka idanu na ainihin-lokaci ga duk alamun mahimmancin uwa / yaro ba. Idan mahaifiyar tana fama da cutar sankara, tana da raunin ƙashin ƙugu ko kuma akwai tabo a cikin mahaifa, za a yi mata aikin tiyata. A cewar kididdigar, mata 4 cikin 5 da ke da GDM suna haihuwar da kansu. A kowane hali, shawarar da likitanci ta yanke ne.

Na kamu da zazzabin cizon sauro. Menene ma'anar wannan?

GDM wani cin zarafi ne na metabolism, wanda aka bayyana a cikin rage ji na sel kwayoyin zuwa insulin. A kan tushen irin wannan cin zarafi, matakan sukari na jini ya ƙaru a cikin tsari da haɓaka da alamomin halayyar halayya na tasowa - ƙishirwa, yawan urination, matsin lamba, ƙamshi da kumburin ƙafafunsu, saurin juyewar yanayi, yin zufa.

Abubuwan da aka bayyana a sama suna da kama da nau'in ciwon sukari na 2 na sukari, duk da haka, kusan kullun suna ɓacewa bayan haihuwa, saboda canje-canje na hormonal a jikin mace a makonni 22 zuwa 28 (estrogen, lactogen da cortisol suna raunana yanayin jijiyoyin jikin mutum zuwa insulin) tare da abubuwan haɗari daban-daban - daga kiba da yawa sama da shekara talatin kafin haihuwar polycystic, tsinkayar halittar gado da kuma tarihin haihuwa na baya.

Yadda za a rage sukarin jini a cikin mata masu juna biyu?

Da farko dai, ta hanyoyi na zahiri - abincin da ya dace, wanda ya rage shigowar carbohydrates "mai sauri" da kuma motsa jiki. An hana amfani da magunguna ba tare da izinin likita mai halartar ba. A cikin mafi munin yanayi, mace mai ciki za a iya wajabta ta allurar insulin ko ɗaukar takamaiman magungunan rage ƙwayar sukari (metformin), a hankali yin la'akari da haɗarin da ke tattare da lafiyar tayin da kuma damar amfani da maganin. Karanta ƙari yadda za a rage sukarin jini a nan.

Rukunin Hadarin

Mafi yawan lokuta, ciwon sukari na faruwa a cikin mata waɗanda:

• sunada kiba,
• suna cikin rukunin shekaru sama da 40,
• ya kamu da ciwon sukari yayin wata haihuwa da ta gabata,
• yana da lalatawar kwai (misali, polycystic)
• ya haifi manyan yara manya (fiye da 4 kilogiram),
• da wasu hanyoyin daukar ciki, misali, polyhydramnios.

Sau da yawa, ciwon sukari yana tasowa daga asalin cututtukan cututtukan fata. Sabili da haka, likitoci sun bada shawarar sosai game da shirin yin juna biyu a gaba. Musamman mai da hankali sosai ga lafiyarku ya kamata waɗanda ke da matakin sukari a cikin fitsarinsu wanda ya wuce ƙimar halatta. Roleancin mahaifiyar sun taka muhimmiyar rawa. Masana kimiyya sun gano cewa wakilan tseren Neroid, Hispanics, ,an asalin Amurka da matan Asiya suna da ciwon sukari a cikin mahaifa sau da dama fiye da na Turawa.

Hadari ga yaro

Idan ciwon sukari yana faruwa a farkon haihuwa, yakan haifar da ashara ko kuma bayyanar rashin lafiyar nakasar haihuwar yara. Mafi sau da yawa, zuciya da kwakwalwa na crumbs suna wahala.

Tare da haɓakar ciwon sukari a cikin watanni na biyu ko na uku, ya zama sanadin haɓakar fetal da yaduwar cutar hyperinsulinemia. Bayan haihuwa, jariri ya daina karba daga mahaifiya yawan adadin glucose da yake amfani dashi. Wannan yana haifar da gaskiyar cewa matakin sukari a cikin jininsa ya faɗi zuwa matakin mahimmanci. Irin waɗannan jariran dole ne su kasance a ƙarƙashin kulawa ta likita koyaushe. Idan yaro yana kan abinci na mutum, to, ana amfani da gaurayarori na musamman don daidaita asalin samar da insulin.

Yana da mahimmanci a tuna: idan mace mai ciki tana da ciwon sukari, tana buƙatar hanzarta aiwatar da gaggawa. Rashin magani na iya haifar da ci gaban farar fata da ke fama da cutar mahaifa a cikin tayin. Saboda gaskiyar cewa a cikin mahaifiyar mahaifiyar akwai rikice-rikice a cikin metabolism metabolism, yaro na iya bayyana irin wannan cuta a matsayin cin zarafin jikin mutum (babban ciki da ƙasan kafafu), kumburi, kiba (fiye da 4-5 kilogiram), jawundice, matsalolin numfashi, yawan haila.

Menene nauyin al'ada don ciki?

Yaya ake tantance glucose yayin daukar ciki?

Menene kasancewar acetone a cikin fitsari yayin daukar ciki yana nuna?

Isarwa

Matakan lokaci da aka ɗauka don gano ciwon sukari na hanji zai guji matsaloli da yawa. Koyaya, yawancin lokaci cutar tana haifar da lokacin haihuwa ko sashin cesarean. Alamar da ke nuna ita alamace masu cutar sankara ce ta tayin (girmanta sama da 4 kilogiram), sigogin mahaifa, tsananin rashin lafiya da wasu cututtukan da ba su da alaƙa da ciwon suga. Ana aiwatar da aikin kulawar glycemia kafin tiyata, kafin cire yaro, bayan cirewar mahaifa, sannan kuma kowane awa 2. A cikin haihuwa na haihuwa, ana aiwatar da saka idanu akan matakan sukari a cikin mata masu aiki a cikin kowane sa'o'i 1-2. Idan mahaifiyar mai haihuwar ta kasance a cikin maganin insulin, a lokacin haihuwa ta allura tare da miyagun ƙwayoyi ta amfani da infusomat.

Bin diddigi

Yawancin lokaci, nan da nan bayan haihuwa, mace tana soke ta ta hanyar insulin. Amma a cikin kwanaki 3, tabbas tana buƙatar saka idanu da sukari na jini. A mafi yawan lokuta, bayan haihuwa, dukkan alamu ciwon sukari sun shuɗe ba tare da wata alama ba. Koyaya, mace tana cikin haɗari ga masu ciwon sukari nan gaba. Sabili da haka, an shawarce ta da ta ziyarci ɗakunan ilimin likitancin lokaci-lokaci kuma ɗaukar gwaje-gwaje.

Tare da ciwon sukari na gestational, an haifi jariri tare da sukari mai ƙarancin jini. Amma godiya ga ciyarwar da ta dace, da sannu za'a iya gyara yanayin. Idan uwar ba ta da isasshen ƙwaƙwalwar ƙwayar cuta, kuma ba a fara samar da madara ba, ya kamata a ciyar da jariri tare da haɗuwa ta musamman. A lokacin fitarwa daga asibiti, ma’aikatan kiwon lafiya za su gaya wa mahaifiyar yadda za ta sanya ido yadda ya kamata da kuma daidaita matakan sukarin jini na yaro domin dawo da shi daidai.

Cutar sankara a cikin mahaifa babban cuta ce. Koyaya, tare da tabbataccen ganewar asali ga uwa da jariri, komai yana haɓaka ta hanya mai dacewa. Koyaya, yarinyar tana cikin haɗarin mutuwar mace kuma tana buƙatar kulawa ta kusa da ƙwararren masanin ilimin halittu da likitan gida. Mama, duk da haka, na iya fuskantar sakamako sakamakon shekaru da yawa bayan haihuwar. Don hana sakamakon da ba shi da kyau, jagoranci rayuwa mai kyau: lura da abincinku, sarrafa nauyi da motsa jiki a kai a kai.