Ni mai ciwon sukari ne

Yayin samun juna biyu, jikin matar yana fuskantar matsanancin damuwa kuma yana fuskantar canje-canje. Sabili da haka, wajibi ne don saka idanu akan lafiyar lafiyar kullun, gami da matakin sukari a cikin jini. Karuwan sa na iya yin tasiri ga lafiyar uwa da ci gaban jariri nan gaba. Don gudanar da aikin motsa jiki yadda yakamata, ya zama dole a tuna da ka'idodin sukari na jini bayan cin abinci.

Menene matakin al'ada na sukari ga mata masu juna biyu?

Yawan taro a cikin jinin mata masu juna biyu na iya bambanta cikin yini. Hakanan za'a iya ganin huhunn ta bayan cin abinci. Idan mahaifiyar mai fata tana cikin koshin lafiya, to yakamata a nuna alamun a cikin jinkirin:

Idan za'ayi bincike da safe akan komai a ciki, to dabi'ar shine tazara daga 3.9 zuwa 5.1 mmol.
Wani lokaci kafin abinci: 4 - 6.1 mmol.
Sa'a daya bayan cin abinci, ƙa'idar alama ce ta kusan mm 7.0.
Idan sa'o'i biyu sun shude bayan cin abinci, to matakin sukari bai wuce mil 6.7 ba.
Dole ne a yi awo don awa daya kafin lokacin kwanciya. A wannan lokacin, glucose yakamata ya kasance cikin kewayon 6.0 zuwa 7.1 mmol.
Idan kun farka da dare, zaku iya daukar ma'aunin iko. A wannan lokacin, ƙa'idar shine 4 - 5.1 mmol.

Don cikakken ƙididdigar lafiyar mata, ya wajaba don aiwatar da ma'auni biyu a rana: akan komai a ciki da sa'a daya bayan cin abinci. Wannan yana da mahimmanci musamman ga mata masu juna biyu waɗanda ke da alaƙa ga ciwon sukari. Yana da kyau a tuna cewa wannan cuta galibi ana gado shi kuma yana iya faruwa daidai yayin tsammanin jariri. Ciwon sukari na iya zama azaman amsawa ga canje-canje a cikin tsarin haɓaka.

Alamar karuwar sukari a cikin mace mai ciki

A lokacin daukar ciki, yanayin halittar hormonal na mata yana canzawa. Wasu lokuta jiki yana iya amsa wannan ta haɓaka matakin glucose a cikin jini. Sabili da haka, ya zama dole a sanya ido sosai kan lafiyarku. Daga cikin alamun bayyanar, ana iya rarrabe masu zuwa:

Fitowar matsaloli tare da urination.
Akwai wani buri na kullum.
Babban ƙishirwa wanda ba ya barin ko da bayan shan ruwa.
Asedara yawan jini.

Idan an samo irin waɗannan alamun, wajibi ne a nemi shawara tare da ƙwararrun likita kuma a ƙaddamar da gwaje-gwajen da suka dace. Idan aka gano matakin sukari mai girma, to za a buƙaci magani da kula da yanayin a ko da yaushe.

Mafi sau da yawa, likitoci suna ba da shawarar bayar da gudummawar jini don sukari, har ma ba tare da wani dalili ba. Ana yin wannan tsakanin makonni 24 da 28 na gestation. Idan karkacewa daga al'ada ba ta da mahimmanci, to kada ku damu.

Yaya za a auna sukari a gida?

Don sarrafa matakin sukari a cikin mata a gida, kuna buƙatar ƙwararrun na'urar - glucometer. Yana ba da damar aiwatar da bincike da sauri kuma a sauƙaƙe. A cikin magunguna na zamani, an gabatar da mafi yawan irin waɗannan na'urori. Ya kamata ku zabi ƙirar wacce tsararrun gwaji ake samu koyaushe. Sabbin sababbin samfura suna sanye da aikin ƙwaƙwalwar ajiya. Tare da taimakonsa, zai yuwu a bi diddigin matakan glucose daga al'ada akan komai a ciki kuma a cikin awa daya bayan cin abinci na tsawon kwanaki. Wannan na iya zama da amfani sosai ga mace mai ciki.

Kowane na'ura da kuka zaɓi, babban abu shine amfani da shi daidai. Don ingantaccen sakamako, bi waɗannan umarnin:

Da farko dai, kuna buƙatar wankewa da bushe hannayenku sosai. Ba shi yiwuwa a huda fata rigar.
Shirya na'urar don aiki. Don yin wannan, shigar da allura a cikin hannun. Saita zurfin abin da ake buƙata na huda dangane da kazirin fatanka. Ya kamata a tuna cewa ƙarami zurfin shigar azzakari cikin farji, da mafi rashin jin zafi hanya za ta tafi.
Kunna mitaka ku jira ɗan lokaci. Sanya tsararren gwajin a ciki.
Kafin huda, dole ne a kula da yatsa tare da maganin rigakafi don hana kamuwa da cuta a cikin rauni. Sanya alkalami a yatsanka kuma latsa maɓallin.
Matsi kadan dan jini ka shafa a fagen gwajin. Lamba tana bayyana akan allon na'urar, wacce ke nuna matakin sukari a cikin jininka.

Idan da farko na'urar ta bada kuskure, to lallai za a sake maimaita awo. Zaɓi wurin da ya dace don ɗaukar nauyi. Mafi kyau idan yakai matakin yatsa. Hakanan zaka iya amfani da yankin akan ciki ko goshin hannu.

Idan ka sayi sabon glucometer, zai fi kyau a tabbatar da shaidar ta ta ƙaddamar da gwaje-gwaje a cikin dakin gwaje-gwaje. Don haka yana yiwuwa a ƙayyade kuskuren kayan aikin daidai kuma la'akari da shi cikin ma'auni na gaba.

Dole ne a tantance takamaiman adadin ma'aunin mata yayin ranar tare da likitan halartar wanda ya danganci yanayin jikin mutum. Amma idan kunada ciwon sukari, to lallai zaku auna akalla sau uku a rana. Na farko bincike ya kamata a yi da safe a kan komai a ciki, na biyu sa'a daya bayan cin abinci, da kuma na uku sa'a daya kafin abincin dare.

Idan an lura da mummunan saɓani daga ƙa'idar, to za a ƙarar da mitar mitar har zuwa sau 8 a rana. Haka kuma, za'a gwada shi koda da daddare. Wannan ita ce hanya daya tilo da za a bunkasa ingantacciyar dabarar magani.

Me zai yi idan sukari ya fi yadda ake al'ada?

Idan an gano mata masu juna biyu da haɓakar glucose na jini, to da farko za su sake tunani game da abincin. Don yin wannan, yi amfani da shawarwari masu zuwa:

Cire daga cikin menu duk abincin da suke high a cikin carbohydrates.
Zai fi kyau a bar kowane irin kayan kwalliyar.
Manta da abinci mai ƙiba da soyayyen abinci.
Ciyar madara, cuku gida mai yawa, kirim mai tsami da cuku suma suna iya haifar da lahani.
Cire ruwan 'ya'yan itace da' ya'yan itatuwa daga abincin da ke ƙunshe da sukari mai yawa, kamar inabi.
Kuna iya cin abinci, amma kuna buƙatar ba da fifiko ga samfuran samfuran bran ko daga hatsin rai.
Zai fi kyau ki ƙi nama mai kiba. Sauya shi da abincin abinci, naman maroƙi ko zomo.
Ku ci kayan lambu da yawa. Amfanin gona Bean kuma zai amfana.
Idan kuna buƙatar gaggawa a cikin sukari, to, ku ci ƙarin faski, radish, kabeji, karas, tumatir, alayyafo, hatsi da sha'ir.
Kada ka manta game da berries. Ga mata masu juna biyu, lingonberries, quinces da gooseberries suna da amfani musamman.

Aiki na jiki shima yana shafar matakan sukari na mata. Idan babu contraindications kai tsaye, yi ƙoƙarin yin tafiya cikin iska mai tsabta kuma yin wasan motsa jiki na musamman ga mata masu juna biyu.

Bathauki wanka mai sanyi ko wanka mai bambanci. Irin waɗannan hanyoyin suna iya rage yawan sukarin jini a cikin mata.

Ka tuna cewa yayin daukar ciki kana da alhakin ba kawai ga kanka ba, har ma da jariri. Sabili da haka, kula da lafiyarku, kuma bincika matakin sukari na yau da kullun akan komai a ciki da awa daya bayan cin abinci.

Lambobi masu inganci

Ka'idar sukari na jini yayin daukar ciki bai dace da wasu matakan da aka yarda da su ba. Abubuwan da aka ba da shawarar (a mmol / l):

Kafin abinci ya shiga jiki - ba ya fi 4.9,
Minti 60 bayan cin abinci - bai wuce 6.9 ba,
Minti 120 bayan cin abinci - ba fiye da 6.2.

Gwanin sukari na yau da kullun yayin haɓakar ciwon sukari (a cikin mmol / l):

a kan komai a ciki - ba ya fi 5.3,
Minti 60 bayan cin abinci - ba ya fi 7.7,
Minti 120 bayan cin abinci - ba fiye da 6.7.

Matsayi na glycosylated haemoglobin (matsakaici glucose don kwata na ƙarshe) kada ya wuce kashi 6.5%.

Matsayi na glycemia na iya bambanta a bangarorin biyu. Tare da rage yawan kuɗi, suna magana da hauhawar jini. Wannan yana da haɗari ba kawai ga mahaifiyar ba, har ma ga ɗan da ba ya karɓar adadin albarkatun makamashi.

Babban lambobi suna nuni da hyperglycemia. Zai yiwu a danganta shi da ciwon sukari mellitus, wanda ya fara tun kafin ɗaukar jariri, ko tare da ciwon sukari na gestational. Na biyu nau'i ne na hali ga mata masu juna biyu. A matsayinka na mai mulki, bayan haihuwar yaro, alamun glucose suna komawa zuwa iyakokin da aka yarda.

Me yasa sukari ya mamaye?

Glycemia yana ƙaruwa yayin daukar ciki saboda rashi a cikin ƙarfin jikin mutum don ƙirƙirar adadin insulin ɗin da ake buƙata (hormone na huhu). Wannan sinadari mai aiki da kwayoyin halitta ya zama dole don madaidaicin rarraba sukari, shigarta cikin sel da kyallen takarda. Ba tare da isasshen insulin ba, lambobin glucose a jiki yana ƙaruwa.

Bugu da kari, hyperglycemia yana faruwa ne ta hanyar kwayoyin halittar jini wadanda ke halayyar daukar ciki. Babban antagonist din an dauki shi shine platinal somatomammotropin. Wannan hormone yana kama da hormone girma, yana aiki da aiki a cikin matakan metabolism na haihuwa, kuma yana inganta tsarin abubuwan gina jiki. Somatomammotropin yana taimaka wa jariri samun isasshen glucose.

Abubuwan haɗari

Mafi sau da yawa, matakin glycemia yakan tashi akan abubuwanda zasu bayar da taimako:

ciwon sukari a lokacin haihuwar farko,
tarihin asharara
haihuwar jarirai masu dauke da macrosomia (nauyi fiye da kilogiram 4),
pathological jikin nauyi
kwayoyin halittar jini
kasancewar preeclampsia (bayyanar sunadarin a cikin fitsari) a da,
polyhydramnios
shekarun matar sun wuce shekaru 30.

Me yasa glucose al'ada?

Yakamata a kiyaye matakin sukarin jini a cikin tsawon lokacin haihuwar, domin ya zama dole a hana hadarin zubar da ciki, don rage yiwuwar haihuwa, da kuma hana aukuwar asaran cuta da lahani ga jariri.

Ikon glucose zai taimaka wajen kiyaye girman jariri da nauyi a cikin iyakokin da aka yarda, hana bayyanar macrosomia, da kuma kare mahaifiyar daga matsaloli daban-daban a rabin na biyu na ciki.

Idan mace tana fama da cutar rashin kumburi (hyperglycemia), ana iya haihuwar jaririn tare da adadin kuzarin insulin a cikin jiki. Wannan na faruwa ne ta hanyar sakamako na biyan diyya daga cututtukan yara. A cikin aiwatar da girma, yanayin yiwuwar yanayin hypoglycemic yana yiwuwa.

Kuna iya ƙarin koyo game da yanayin sukari na jini a cikin yara daga wannan labarin.

Cutar sankara ta hanji da kuma bayyanannun abubuwan

A farko, cutar asymptomatic ce, kuma mace tana ganin ƙananan canje-canje kamar yadda ake aiwatar da ilimin halittar jiki, tana haɗa su da matsayin "mai ban sha'awa".

Pathology yana tasowa bayan mako na 20 na ciki. Wannan ya faru ne saboda iyakar ƙarfin aiki da tsarin hypothalamic-pituitary da kuma samar da kwayoyin halittar adrenal. An kuma dauke su sune masu adawa da kwayar halitta mai aiki da sinadaran farji.

Tare da kyakkyawar hoto na asibiti, marasa lafiya suna koka game da alamun da ke gaba:

kullum sha'awar sha,
karuwar ci
karin ƙwayar fitsari da aka keɓe,
fata mai ƙaiƙai
matsanancin nauyi
rashin gani,
babban gajiya.

Sakamakon rashin lafiyar hyperglycemia a kan jariri

Cutar sankara ta hanji ba sa haifar da rashin daidaito a tayin, kamar yadda ya saba wa nau'in 1 na ciwon sukari, tunda kasancewar gabobin da tsarin ke faruwa a farkon farkon, kuma abin da ya faru na cututtukan cututtukan ƙwayoyin cuta daga 20 zuwa 24 na mako.

Rashin gyaran glucose na iya haifar da fetopathy na ciwon sukari. An bayyana cutar ta hanyar take hakkin pancreas, kodan da jini a cikin jariri. Irin wannan yaro an haife shi da babban nauyin jiki (har zuwa kilogiram 6), fatar sa tana da ja-burgundy hue, kuma ana ganin ƙaramar-bashin jini.

Fatar ta yalwata da farin man shafawa, ta kumbura. A kan jarrabawa, babban girman ciki, gajerun gabar jiki a bayyane suke bayyane. Jariri na iya samun wahalar numfashi sakamakon karancin kayan motsa jiki (wani abu mai alhakin tabbatar da cewa alveoli a cikin huhu bai manne da juna ba).

Irin waɗannan rikice-rikice za a iya hana su ta hanyar daidaita abubuwan kwatancen glycemic indies a jikin mahaifiyar tare da maganin rage cin abinci da magunguna (yawanci insulin).

Hanyoyin Neman Glycemia na ciki

Ana ɗaukar ƙididdigar jini, nazarin halittu, da gwajin haƙuri a cikin jiki ana ɗaukar matakan daidaituwa.

Ana ɗaukar jini daga yatsa bisa ga dokokin da aka yarda da shi gaba ɗaya. Mace tayi dashi da safe kafin ta shiga jikin. Ba za ku iya goge haƙoranku da manƙa ba, tunda yana iya samun sukari a ciki, kuma ku yi amfani da cingam. Tsarin sukari na jini a cikin mata masu juna biyu an nuna a sama.

Ana aiwatar da gwajin haƙuri na glucose a cikin lokuta inda aiwatar da bincike na baya ya wuce iyakokin da aka yarda. Koyaya, kwanan nan an yanke shawarar sanya wannan hanyar ganewar asali ga duk mata masu juna biyu bayan sun isa makonni 24 - 25th.

Gwajin baya buƙatar shiri na musamman. Na tsawon awanni 48 kafin ɗaukar kayan, matar ya kamata ta nuna hali, babu buƙatar rage adadin carbohydrates a cikin abincin. Da safe kuna buƙatar ƙin karin kumallo, shayi, zaku iya sha ruwa kawai.

A cikin dakin gwaje-gwaje, ana ɗaukar jini ko veins. Bayan haka, macen da ke da ciki ta sha magani mai dadi na musamman dangane da glucose foda. Bayan sa'o'i 2, ana yin ƙarin samfurori na jini, kuma daidai da na farkon. A lokacin jira, mai binciken bai kamata ya ci ko shan komai ba sai ruwa. Bayyana sakamakon a tebur.

Wani muhimmin binciken shine urinalysis don tantance glucosuria. Fitsari na farko da safe ba ya buƙatar tattara, an zuba. Tsarin urination mai zuwa ya kamata ya kasance tare da tarin bincike a cikin babban akwati guda, wanda aka ajiye shi a wuri mai sanyi. Washegari, girgiza kwalin kuma zuba ruwa na fitsari kusan 200 a cikin akwati na daban. Isar da dakin gwaje-gwaje na awanni 2.

Sakamakon qarya

Akwai maganganun sakamako na tabbatacce na karya yayin da mace ba ta da lafiya, amma saboda wasu dalilai, alamun ta na glycemia sun wuce iyakokin da aka yarda, kamar yadda aka nuna a sakamakon binciken. Wannan na iya zama saboda yanayi masu zuwa:

yanayi mai damuwa - mata yayin daukar ciki sune mafi yawan nutsuwa kuma suna fuskantar irin wannan tasirin,
kwanannan cututtukan cututtuka na yanayin cutar,
Take hakkin ka'idodi don yin gwaje-gwaje - mace mai ciki na iya cin wani abu ko sha shayi kafin ɗaukar abin, ta yarda cewa "hakan ba zai cutar da kaɗan ba."

Gyara sukari

Abin da abinci ya kamata a bi, nawa nauyin da aka ba da izinin ci, yadda za a sarrafa kai da kanka a hankali - tare da irin waɗannan tambayoyin, mace mai ciki na iya tuntuɓar likitan mata na likitan mata ko kuma likitan mata na endocrinologist.

Shawarwarin gabaɗayan ƙasa sun zo ga waɗannan abubuwan:

ci sau da yawa, amma a cikin kananan rabo,
ƙi soyayyen, salted, kyafaffen,
steamed abinci, stew, gasa,
hada da isasshen nama, kifi, kayan lambu da 'ya'yan itatuwa, hatsi (a kan shawarar likita),
kamar yadda aka yi niyya - maganin insulin,
cikakken isasshen aiki na jiki, yana kara yawan jijiyoyin sel zuwa insulin.

Kullum kula da cutar glycemia da kuma bin shawarar kwararru zai taimaka wajen kiyaye sukari a cikin iyakance mai iyawa da rage girman hadura daga uwa da tayin.

BIRTH da GDM:

An tsara kalmar da hanyar haihuwa yayin da ake ciki ga kowace mace mai juna biyu.Bayan makonni 38 na ciki, likitan mahaifa yana gudanar da bincike na karshe game da uwa da jariri kuma yana tattaunawa kan begen haihuwa da mai haƙuri. Haɓaka cikin ciki na fiye da makonni 40 tare da GDM yana da haɗari, mahaifa na da resan ajiyar abubuwa kuma yana iya yin tsayayya da ɗaukar nauyin haihuwa, saboda haka fifikon haihuwar ya fi dacewa. Cutar sankarar mahaifa mellitus kadai ba alama ce ta sashin maganin karshanan.

GDM bayan haihuwa:

abinci tsawon watanni 1.5 bayan haihuwa,
An soke insulin na maganin (idan akwai),
sarrafa sukari na jini a cikin kwanakin farko na farko (sukari jini na al'ada) bayan haihuwa: a kan komai a ciki 3.3 - 5.5 mmol / l, sa'o'i 2 bayan cin abinci zuwa 7.8 mmol / l),
Makonni 6-12 bayan haihuwar - shawarwari na endocrinologist don gwaje-gwaje na bincike don bayyana yanayin metabolism na metabolism,
matan da suka ci GDM an haɗa su a cikin ƙungiyar masu haɗari don ci gaban GDM a cikin masu ciki da masu nau'in ciwon sukari na 2 a nan gaba, saboda haka, macen da ta sami GDM dole ne:
- bi abinci wanda ake saurin rage nauyin jiki da yawan sa,
- fadada aikin jiki,
- shirya masu juna biyu,
yara daga uwaye tare da GDM a duk rayuwarsu suna da haɗarin haɓakar kiba da nau'in ciwon sukari na 2, saboda haka an ba su shawarar daidaitaccen abinci da isasshen aiki na jiki, lura daga masanin ilimin endocrinologist.

Idan an gano GDM, marasa lafiya yakamata suyi watsi da amfani da:

duk abinci mai zaki (wannan ya shafi duka sukari da zuma, ice cream, abubuwan sha, da makamantansu),
fararen burodi, kayan lemo da kowane kayan gari (gami da taliya),
Semolina
Semi-gama kayayyakin
kyafaffen nama
kayayyakin abinci masu sauri
abinci mai sauri
high kalori 'ya'yan itãcen marmari
abubuwan sha mai taushi, ruwan 'ya'yan itace a cikin jaka
mai kitse, asfic, mai,
Abincin gwangwani, komai nau'in sa,
barasa
koko
hatsi, abincin abinci,
duk wake
yogurt mai dadi.

Hakanan zaku sami mahimmancin amfani da:

dankali
man shanu
ƙwai kaza
yin burodi daga kullu oatmeal.
Kayayyaki daga jerin abubuwan da aka haramta yakamata a cire su daga abinci. Ko da karamin amfani da su na iya haifar da mummunan sakamako. Yawancin dankali mai iyaka, man shanu, qwai da kuma irin kek ɗin ya ƙaranci an yarda

Menene mata masu ciki za su iya ci tare da ciwon sukari?Za'a iya maye gurbin samfuran da ke sama:

wuya cheeses
madara mai tsami,
yogurts na halitta
kirim mai laushi
abincin teku
kayan lambu kore (karas, kabewa, beets, ya bambanta da cucumbers, albasa da kabeji, ya zama dole a cinye a iyakance mai yawa),
namomin kaza
soya da samfurori da aka yi da shi (a cikin adadi kaɗan),
ruwan tumatir
tare da shayi.

Akwai zaɓuɓɓukan abinci da yawa waɗanda za a iya bi da su tare da ciwon suga na cikin mahaifa, amma rage cin abinci mai ƙarancin abinci.

Wannan shi ne saboda gaskiyar cewa tare da isasshen ƙwayar carbohydrates daga abinci, jiki zai fara ƙona kitse don makamashi.

Dole ne a shigar da samfuran masu zuwa a cikin abincin:

abinci mai hatsi
kowane kayan lambu
wake
namomin kaza
hatsi - zai fi dacewa gero, sha'ir lu'ulu'u, oat, buckwheat,
abinci mai jingina
kifi
ƙwai kaji - 2-3 inji. / mako.,
kayayyakin kiwo
'ya'yan itãcen marmari da' ya'yan itace,
kayan lambu.

A mafi yawan lokuta, likitoci suna ba wa marasa lafiya abincinsu wanda ya ƙunshi ƙarin ƙwayoyin carbohydrates da matsakaitan ƙwayoyi. An zaɓi fifiko ga kitse mara amfani, amfanin da, amma, dole ne ya iyakance. Daskararren kitse an cire shi daga abincin.

Testoye gwajin ciwon sukari a lokacin daukar ciki

Cutar sankarar mahaifa ana nuna rashin kasancewar bayyanar alamu na cutar. A mafi yawan halayen, ciwon sukari yana fitowa tsakanin makonni 24 zuwa 28 na gestation. Idan an tabbatar da gaskiyar cututtukan hyperglycemia (yawan yawaitar sukari), to ana yin allurar gwaje gwaje a duk lokacin daukar ciki kuma a tsakanin watanni 2-3 bayan haihuwa. Irin wannan tsarin ya zama dole don saka idanu akan lokaci da bin diddigin kowane canje-canje. Tunda hauhawar matakin glucose a lokacin daukar ciki babbar barazana ce ga uwa da jariri.

Mahimmanci: bayyanuwar cutar sankarar mahaifa tana nuna tsananin yuwuwar bayyanar kamuwa da ciwon sukari na 2 a nan gaba, koda cutar ta kare da kanta bayan isar da shi.

Akwai lokuta idan haihuwar yaro ya zama sanannen hukunci ga farkon ciwon sukari da kuma bayyanuwarsa a nan gaba.

Yawanci, nau'in ciwon sukari na 2 yana tasowa lokacin da kyallen takarda ba ta tsinkaye tasirin insulin ba, duk da matakin al'ada a cikin jini. Don farawa da wuri, abinci mai cancanta, gyaran rayuwa, da aikin motsa jiki sun isa. Idan ya cancanta, ana amfani da magani tare da magunguna masu rage sukari.

Tsarin sukari na jini a cikin mata masu juna biyu bisa ga sababbin ka'idodi

Akwai nau'ikan gwajin glucose da yawa. Rarrabe:

daidaitaccen gwajin hexokinase - tarin lokaci-lokaci na kayan halitta (daga jijiya ko yatsa) akan komai a ciki tare da hanyar enzymatic UV,
gwajin glucose na jini don sukari - ana yin awo da mai haƙuri da kansa don sa'o'i 24 a kan komai a ciki kuma bayan cin abinci. Ana yin alamun alamu na mit ɗin tare da lokacin aunawa. Mita na ma'aunin likita yana ƙaddara shi kuma ya dogara da nau'in ciwon sukari, tsananin ƙarfinsa da makasudin ganewar asali,
gwajin magana na sa'o'i uku - ana bayar da filin ma'aunin azumin glucose na mai haƙuri (kashi na narkar da glucose a cikin ruwa ya dogara da nauyin jikin mai haƙuri), sannan ana auna abin da ke cikin saurin mita 1.

Tsarin sukari na jini a cikin mata masu juna biyu ga kowane nau'in bincike an gabatar dasu a cikin tebur.

Al'adun Daukewar Al'ada

Gwajin hexokinase Guda daya

Jinin azabaJigilar jini A kan komai a ciki4.0 - 5.5 mmol / L3,5 - 5.0 mmol / L A kan komai a ciki4.2 - 5.5 mmol / L4 - 5 mmol / l

Gwaji uku na baka na gwaji (kawai ana tantance jinin venous)

A kan komai a cikiBabu fiye da 5.1 mmol / l Bayan awa 1Babu fiye da 10 mmol / l Bayan awa 2Babu fiye da 8.5 mmol / l

Ya kamata a sani cewa ga kowane gwaji ƙananan karkatacciyar hanya daga al'ada ta hanyar ba da izinin wuce 0,5 mmol / l ba. Wannan ya faru ne saboda kuskuren kayan kida da sauyawa na yau da kullun na ma'aunin dakin gwaje-gwaje.

Ka'idodi na yau da kullun don bayanin martaba na glycemic bayan cin abinci kada ya wuce 8.25 mmol / L. A wannan yanayin, bayyanar cutar sankarar mahaifa da kuma barazanar hauhawar jini ga tayin zai iya yanke hukunci.

A wane matakin sukari na jini ake tantance masu ciwon sukari?

Maganin cutar sankarar mahaifa a lokacin daukar ciki an sanya shi ga mara lafiya idan sigogin bincike akai-akai suka wuce 10 mmol / L. A wannan yanayin, matar ta bayyanar da alamun bayyanar cutar.

Lokacin da ma'auni ya kasance akan iyakar ƙa'idar aiki, an sanya mace ta maimaita gwajin har sai sun dawo al'ada. A wannan yanayin, likita ya ba da shawara game da daidaita abinci mai gina jiki da haɓaka ayyukan jiki.

Ya kamata a jaddada cewa auna glycated haemoglobin ga marayu masu ciki ba shi da kyau. Tun da yake nuna alama yana nuna matakin glucose a wani lokaci a cikin watanni 2-3 da suka gabata. Ana iya yin wannan binciken ga marasa lafiya da ke dauke da cutar sankara mai tsayi (non-gestational).

Bambancin jini ga sukari daga jijiya kuma daga yatsa, wane bincike ne yafi daidai?

Ana iya samun ƙarin ingantaccen bayani ta hanyar auna matakin glucose a cikin jini daga jijiya. Wannan saboda abun da yake a cikin jini shine yake canzawa. Bayan haka, fasahohin zamani don ɗaukar kayan tarihi daga jijiya suna nuna rashin ƙarfi, akasin tarin yatsa.

Yin amfani da kayan injin zubar da ciki tare da allura na malam buɗe ido yana hana hulɗa da abubuwan rayuwa tare da muhalli. Wannan yana kawar da haɗarin kamuwa da cuta, tare da haɗuwa da haɗari da ma'aikacin dakin gwaje-gwaje.

Don ɗaukar jini daga yatsa, ana amfani da microtubes, a ƙasan wacce akwai maganin ƙwarin jini. Tsarin tarin yana tattare da kwararar kwararar jini cikin bututun gwaji. Koyaya, a aikace, abu ne mai wuya a sami asalin halitta ba tare da matsi ko yatsa ko sanya bututun gwaji ba a wurin fashin.

Ana tattara jini daga yatsa idan ya cancanta, bincike mai sauri idan ya bayyana alamun hyperglycemia a cikin mahaifiyar mai jira.

Sakamakon ƙara yawan sukari yayin daukar ciki ga yaro

Halin hyperglycemia yana da haɗari ga uwa da yaro, saboda yana iya haifar da:

increaseara cikin nauyin tayi har zuwa kilogiram 4-6 zuwa 6, wanda ke kaiwa zuwa ga buƙatar sashin cesarean. Nan gaba, yaro zai iya zama kiba da farkon cutar sankara,
mahaukaci a cikin ci gaban tayin: pathologies na tsarin juyayi da zuciya, ƙarancin ci gaban gabobin ciki,
shigowa da yawan amniotic ruwa, wanda daga baya na iya haifar da karewar ciki,
funarnawar aiwatar da musayar abubuwa a cikin ƙarfe,
ba dauke da yaro,
raunin da ya faru ga jariri da kuma hanyar jijiyoyin haihuwa yayin haihuwa (saboda yawan tayin da ke ciki),
asphyxia da jariri,
da ci gaban da numfashi wahala cuta a cikin jariri,
Hatsarin mahaifa a cikin jarirai,
ci gaban mummunan gestosis a cikin uwa,
mai tsananin ƙarfi da rashin ƙarfi a cikin jariri,
ci gaban polycythemia a cikin jariri,
bayyanar cututtukan cututtukan cututtukan ƙwayar cuta na mellitus, mafi sau da yawa - nau'ikan 2, da sauransu.

Matsayin haɗarin bayyanuwar rikice-rikice a cikin yaro ko rikicewar haihuwa daidai yake da daidaituwa zuwa matakin hauhawar jini a cikin mahaifiyar mai sa zuciya.

Yayin shaye-shayen sukari, da alama rashin samun juna biyu ko rikice-rikice na haihuwa yana ƙaruwa sosai. Sabili da haka, yana da mahimmanci ba wai kawai a lura da ƙimar mai nuna alama ba, har ma don bi duk shawarar likita don gyaran abinci ko tsarin abinci na yau da kullun. A wasu halaye, ana buƙatar asibiti don kulawa da agogo.

Me yasa akwai karuwa a cikin nuna alama?

Bayan ɗaukar ciki, mace tana hana aikin ƙwayar cutar ta hanji a cikin aikin samar da insulin. Kwayar ta kara kuzari a jiki ta hanyar samarda abubuwan kara kuzari, suna kara yawan sinadaran dake dauke glucose a cikin sel. Rage yawan insulin daidai gwargwado yana haifar da karuwa cikin abubuwan sukari.

A layi daya tare da wannan tsari, samar da kwayoyin halittar jini na faruwa. Somatomammotropin shine babban antagonist na insulin. Wannan yana nufin ikon somatomammotropin don raunana sakamakon insulin akan kyallen takarda. Ya wajaba don ma'aunin al'ada na mace mai ciki da kuma tsarin aiwatar da ciwan glucose zuwa tayi.

Yaya za a rage sukarin jini yayin daukar ciki?

Da farko, mace tana buƙatar daidaita tsarin abinci da menu. Ana rarraba abinci a ko'ina cikin rana a cikin ƙaramin rabo. Wannan ba zai haifar da canje-canje mai kaifi a cikin sukari a cikin jiki ba.

Kawancen carbohydrates mai narkewa cikin sauƙi ana cire su gaba ɗaya: sukari, Sweets, kayan gasa, abinci mai sauri da abubuwan sha mai sha. Zai zama mafi kyau duka don daidaita menu tare da mai cin abinci wanda zai zaɓi daidai rakodi rabo kuma ya shimfiɗa jita-jita.

Of musamman mahimmancin shine motsa jiki yayin daukar ciki. Yana da mahimmanci a guji wuce gona da iri na jiki, musamman ma a farkon lokacin farko, lokacin da aka tsara gabobin ciki na jariri.

Yoga na musamman, motsa jiki, gudana da shirye-shiryen Pilates don iyaye mata masu tasowa. Malami ne ke kula da aji. A cikin watanni uku, an fi son yin iyo. Wannan yana ba ku damar shakata tsokoki na baya, rage nauyin a kan kashin baya kuma horar da rukunin tsokoki daban-daban.

Yin tafiya na yau da kullun a cikin iska mai tsabta yana da amfani ba kawai ga lafiyar gaba ɗaya ba, har ma suna taimakawa rage ƙananan sukari na jini a cikin mata masu juna biyu. Kula da rayuwa mai amfani yana bawa mata damar matsayi na adadin kuzari da kuma hanzarta tafiyar matakai na rayuwa. Abinda ke da kyau ga lafiyar jariri da mahaifiya mai tsammani.

Yaushe ake buƙatar allurar insulin da magunguna?

Highasarin matakan sukari mai ƙarfi, waɗanda ba a yin amfani da su ta hanyar maganin abinci da motsa jiki na aiki, suna buƙatar zaɓi na ƙwarewar maganin ƙwaƙwalwa. Tambayar buƙatarta na yin allurar insulin da kuma yadda ake amfani da ita ba za ta yanke shawarar kawai ta likita ba. Bai kamata mutum ya ji tsoron irin waɗannan matakan na wucin gadi ba da kuma yanke hukunci da kansu bisa soke su.

Mahimmanci: inje insulin ba jaraba bane, don haka cirewarsu baya haifarda rikitarwa.

Ana yin ma'aunin glucose na yau da kullun don saka idanu kan tasirin hanyoyin da aka zaɓa da kuma matakan. A wannan yanayin, mace ta kan kai a kai a kai a kai a gida, a rubuce rubutattun alamomi a cikin takaddara ta musamman. Yayin ziyarar a asibitin yakamata ya nuna diary ga likita.

Hannun hanyoyin da suka dace da kuma dacewa da hanyoyin kwantar da hankali a lokacin daukar ciki yana rage yiwuwar haɓakar mahaifa a cikin tayin da ci gaban ciwon sukari na 2.

A takaice, ya kamata a jaddada:

yanayin glucose a cikin jinin mata masu juna biyu akan komai a ciki bai wuce mil 5.5 / l ba,
hauhawar jini yana buƙatar gyara nan da nan,
yawan sukari yana kara hadarin ci gaban mahaifa da kuma zubar da ciki da gangan,
cututtukan mahaifa na iya faruwa ko da kuwa matar ta kamu da ciwon suga kafin ta sami ciki ko a'a,
maganin rage cin abinci da ingantaccen aikin jiki suna kiyaye sukari daidai da rage yiwuwar kamuwa da ciwon sukari na 2.

Julia Martynovich (Peshkova)

Ta sauke karatu, a shekarar 2014 ta kammala karatuttuka tare da karramawa daga Kwalejin Ilimi ta Kasa ta Gwamnatin Tarayya mai zurfi a Jami'ar Jihar Orenburg tare da digiri a fannin ilimin halittu. Digiri na biyu na karatun digiri na biyu FSBEI HE Orenburg State Agrarian University.

A shekarar 2015 Cibiyar Kula da Kwayoyin Cikin Ilimin Kwayoyin Ural na Cibiyar Ural ta Kwalejin Kimiyya ta Rasha ta sami ƙarin horo a ƙarƙashin ƙarin shirin ƙwararrun "Bacteriology".

Laureate na Duk-Rasha gasar don mafi kyawun aikin kimiyya a cikin nadin "Biology Sciences" na 2017.

Janar sukari jini (glucose)

Ofaya daga cikin abubuwan da ke tattare da ƙwayoyin halitta na jinin ɗan adam shine glucose, wanda ke shiga cikin ayyukan metabolism na kuzari. Matsayinsa yana gudana ta hanyar insulin hormone, wanda aka samar a cikin ƙwayar cuta ta hanyar abin da ake kira sel beta. Matsayi na al'ada ga yara:

Kafin shekarun wata 1: 2.8 - 4.4 millimole / lita,
fara daga wata 1 zuwa shekaru 14: 3.3 - 5.5 mmol / l.

a cikin maza da mata masu juna biyu, glucose mai azumi: 3.4 - 5.5 mmol / lita - a cikin jinin farin ciki (wanda aka ɗauka daga yatsa) kuma daga 4 zuwa 6 mmol / lita - a cikin venous,
a cikin mutane shekara 60 da haihuwa: 4.1 - 6.7 mmol / l.

Mai nuna alama yayin rana na iya canzawa, amma yin la'akari da cin abinci, bacci, motsin rai, ta jiki, damuwa. Ko ta yaya, iyakarta ta sama kar ta wuce mil 11,1 / lita.

Yawan haila na yau da kullun

A cikin jinin mata masu juna biyu, ƙayyadaddun matakan glucose ya zama ƙasa da “warwatse” - ƙwanƙolin ƙananan ya hau zuwa 3.8 mmol / L, ƙwanƙolin babba ya ragu zuwa 5 mmol / L. Dole ne a kula da matakin sukari a cikin tsawon lokacin ciki. Ana ba da nazari lokacin da kuka fara tuntuɓar asibitin lokacin haihuwar. Yana da kyau a gudanar da bincike a makonni 8-12 na gestation. Idan alamu sun dace da tsarin matan da ke da juna biyu, karatun na gaba an shirya shi ne makonni 24 - 28. Ana bayar da gwajin jini don sukari daga yatsa ko daga jijiya. Jinin Venous yana ba ku damar sanin matakin sukari a cikin plasma. A wannan yanayin, alamomi na yau da kullun za su kasance sama da tare da shinge mai ɗaukar hoto - daga 3.9 zuwa 6.1 millimol / l.

A cikin kashi uku na ciki na ciki, aladu na samar da yawan insulin, wanda jikin mace dole zai iya jurewa. Idan wannan bai faru ba, ci gaban ciwon sukari mellitus (DM) a cikin mata masu juna biyu, da ake kira ciwon sukari na gestational, yana iya yiwuwa. Bayyanar cututtuka na iya zama latent, asymptomatic kuma tare da glucose azumi na al'ada. Sabili da haka, tsawon makonni 28, ana gwajin mata masu ciki don yin glucose (gwajin motsa jiki).

Gwajin glucose din gwajin (gwajin haƙuri na glucose, GTT) yana taimakawa gano ko ware gaban ciwon sukari. Ya ƙunshi gudummawar jini da farko akan komai a ciki, sannan - bayan shigar glucose (kaya). Ga mata masu juna biyu, ana yin gwaji sau uku. Bayan da aka yi gwajin a kan komai a ciki, ana bai wa mace gram 100 na narkar da sukari a cikin ruwan da aka tafasa. Ana ɗaukar gwaje-gwaje na maimaitawa ɗaya, biyu da sa'o'i uku bayan na farko. Ana ganin sakamakon a matsayin al'ada:

bayan awa 1 - 10.5 mmol / l ko ƙananan,
bayan awa 2 - 9.2 kuma a ƙasa,
bayan sa'o'i 3 - 8 da ƙasa.

Wuce waɗannan alamomin na iya nuna kasancewar ƙwayar cutar sankarar mahaifa, wanda ke buƙatar ƙarin kallo da magani ta ƙwararren masanin ilimin endocrinologist. Duk dabi'un glucose na jini yayin daukar ciki ana nuna su a cikin tebur:

Rashin inganci

Manuniya na sukari da ke ƙasa da yanayin mata masu juna biyu na iya alaƙa da rashin daidaituwa da rashin isasshen abinci, ƙara yawan amfani da Sweets, tsananin motsa jiki, da kuma kasancewa tare da kowace cuta na rashin lafiya. Ragewar glucose na jini kamar ba a so (hypoglycemia) a matsayin karuwa (hyperglycemia).

Tare da raguwa mai yawa a matakin sukari, jin damuwa na rashin tsoro, rawar jiki a cikin jiki, tsananin ƙima, zagi, cin nasara, halayyar tsoro shine halayyar. Hypoglycemia yana da haɗari a cikin coma tare da barazanar rayuwar mace da tayi wanda ke haifar da matsananciyar yunwar oxygen. Yana da mahimmanci a hana haɓakar haɓakar hypoglycemia, don tsara yadda yakamata a ci abinci kuma kawai za a iya samun motsa jiki. Idan akwai ilimin ilimin cututtukan ƙwaƙwalwa na somatic, ya kamata ku sanar da likitan mahaukacin ku game da wannan.

Inganta ayyukan

Ciki da kanta shine haɗari ga haɓakar kamuwa da cutar siga. Wannan ya faru ne sakamakon rashin aikin insulin. Wadannan alamu na iya nuna karuwa a matakan glucose na jini na al'ada:

akai ji na ƙishirwa da bushewa a cikin kogo,
yunwa kullum
urination akai-akai,
bayyanar rauni gaba daya da gajiya,
Samun nauyi mai sauri tare da isasshen abinci mai gina jiki,
ƙarfe ɗanɗano a bakin
stale numfashi tare da gogewar yau da kullun
tsalle a cikin karfin jini, sama sama,
sukari a cikin fitsari akai-akai (yawanci ya kamata ba ya nan).

Lokacin sake maimaita yanayin hyperglycemic, rage cin abinci tare da rage adadin carbohydrates mai sauƙi ya zama dole. Yawan cin sukari da kayan kwalliya, fararen burodi, 'ya'yan itatuwa masu zaki, berries da ruwan' ya'yan itace, dankali, kodar yakamata a cire. Amfani da soyayyen mai, kitse da kyafaffun abinci da samfurori ba da shawarar ba. Waƙa da canzawar ku a cikin glucose jini a kowane lokaci na rana zai taimaka wa mitut ɗin glucose na jini na gida. Idan rage cin abinci guda ɗaya don daidaita alamu zuwa al'ada bai isa ba, zai yuwu ga endocrinologist ya tsara allurar isasshen allurar Insulin.

Idan ciwon sukari ya ci gaba har yanzu, wannan ba yana nufin cewa cutar ba lallai ne ta shiga wani mummunan yanayi bayan haihuwa. Yarda da duk shawarwarin likita, isasshen aiki na jiki, tsayayyen abincin da ya kunshi ingantattun jita-jita waɗanda za a iya shirya dadi sosai masu taimako masu aminci a kan hanyar rigakafin cutar sankara.