Shin yana yiwuwa a haifi yara masu ciwon sukari?

Kada mu ƙawata komai, amma don yin magana kamar yadda yake, tare da ciwon sukari, yana da matukar wahala mutum ya haihu da haihuwa. Ina so in tuna cewa shekaru sittin da suka gabata an yi imani da cewa tare da ciwon sukari, daukar ciki ya saba sosai kuma zubar da ciki ya kamata a yi nan da nan. Amma, godiya ga Allah, kimiyya tana ci gaba kuma a lokacinmu komai ya zama mafi sauki da sauƙi.
A yanzu, an samar da sabbin dabaru na prophylaxis, gami da lura da wannan cuta mai wahala, wacce ke ba wa mace damar juna biyu da haifan yara masu lafiya. A lokaci guda, yakamata a sani cewa irin waɗannan dabarun bazai buƙaci mace mai juna biyu ta sami ƙarfin gwiwa ko samun cikakkiyar ciki a bangon asibitin ba. A lokacin daukar ciki tare da cutar sankara, yana da matukar muhimmanci a haɓaka madaidaiciyar hanyar kulawa da kuma kula da lafiyar jariri na gaba, wannan ya kamata likitan halartar ya kamata, tunda kawai ya san fasalin lafiyarku da tarihin cututtukanku, kuma kawai dole ne ya faɗi ko zaku iya samun juna biyu kuma kuna iya ko kuna da ɗa.

A ci gaba da ciwon sukari na ciwon sukari

Wani nau'in ciwon sukari (ko kuma kamar yadda ake kira shi da ciwon sukari mai juna biyu) yakan fara haɓaka ko da a cikin mata masu lafiya, musamman yawanci ana iya gano shi yana farawa daga makonni 21 na ciki. Yana da mahimmanci a lura cewa 8% na mata masu cikakkiyar lafiya na iya gano ci gaban ciwon sukari. Babban nau'in cututtukan cututtukan cututtukan ƙwayar cuta shine cewa bayan haihuwa, cutar zata iya barin kanta, amma koma baya sau da yawa suna faruwa a lokacin daukar ciki na biyu.

Abin takaici, masana kimiyya har yanzu basu iya tantance ainihin dalilin cutar sankaran hanji ba. Hanyoyi kawai na ci gaban cutar an san su. A cikin mahaifa mace, ana samar da homon da suke da alhakin ci gaba da haɓaka jariri. A lokaci guda, wasu lokuta zasu iya toshe insulin na mahaifiya, a sakamakon hakan, kwayoyin jikin jikin mace suna rasa duk wani mai hankali na insulin kuma matakan sukari sun fara tashi. A lokaci guda, bin madaidaicin abinci mai gina jiki da magani, zaku iya haihuwar ɗa kuma ba tunani game da cututtuka.

Na farko alamun bayyanar cutar sankarau

Yana da muhimmanci sosai cewa mahaifiyar da take tsammanin ta kusanci batun batun shirin daukar ciki tare da babban nauyi kuma tana ba da kulawa ta musamman ga lafiyarta da salonta a cikin lokacin kyakkyawan ciki. Yana da matukar muhimmanci a tuntuɓi likitanka cikin lokaci, wannan ya wajaba musamman ga alamu masu zuwa:

• Ina jin zafi sosai a bakina
• akai-akai urination ko urinary rashin jituwa da dare,
• tsananin kishi (musamman da dare),
• yawan ci,
• rauni da rashin damuwa sun bayyana,
• idan kuka fara asara ko sauri,
• fata mai ƙaiƙayi
• cututtukan motsi.

Idan kowane ɗayan waɗannan alamun ya fara damun ku, ya kamata ku nemi shawarar likita nan da nan. Tun da yake ba lokacin neman taimako da shawara na iya cutar da uwa ba kawai, har ma da jaririnta da ba a haifa ba. Don haka a kowane hali kada ku bar komai ya tafi kwatsam.

Abincin da magani mai mahimmanci

Idan, bayan cikakken bincike da jarrabawa, likita ya zo ga yanke shawara cewa za a iya daukar ciki kuma ya kamata a kiyaye shi, to babban abin da za a yi shi ne don rama kamuwa da ciwon suga gaba daya. Wannan yana nuna cewa, da farko, mahaifiyar mai buƙatar tana buƙatar fara bin abin da ake ci (yawancin lokuta an tsara lambar abinci 9). Zai zama dole don ware duk Sweets da sukari daga abincin. Yawan adadin kuzari ba zai iya wuce 3,000 kcal ba. A lokaci guda, ya zama dole cewa abubuwan da ake ci don daidaitawa, kuma cewa za'a sami adadin ma'adinai da bitamin mai yawa a cikin abubuwan da ke ciki.

Hakanan yana da mahimmanci a lura da tsayayyen tsari na abinci da yawan abinci, da kuma yin allurar insulin akan lokaci. Dukkanin matan da ke da juna biyu masu ciwon sukari ana tura su zuwa insulin, tunda magunguna masu saurin sukari na al'ada basa bada irin wannan saurin kuma ana hana su sosai yayin daukar ciki. Kar ku manta cewa idan an wajabta insulin a lokacin daukar ciki, to bayan haihuwa ba zai je ko'ina ba kuma allurar za ta bukaci a yi ta duk rayuwa. Don haka ya fi kyau kare lafiyarka da hana haɓaka wata cuta kamar su ciwon suga.

Rashin haihuwa

Yawancin lokaci yayin daukar ciki tare da ciwon sukari, ana buƙatar asibiti aƙalla sau 3 don duk ɗaukar ciki (ana iya rage adadin asibiti, amma tare da izinin likita mai halartar). A lokacin asibiti na ƙarshe, an yanke shawara lokacin da zai yuwu haihuwar da kuma hanyar haihuwa. Hakanan, kar ku manta cewa mace mai juna biyu, don ta haifi ɗa ba tare da cutar ba, ya kamata ya kasance ƙarƙashin kulawa da kulawa ta ƙwararrun masaniyar endocrinologist, likitan mata da kuma likitan mata. Babban batun shi ne lokacin haihuwar haihuwa, saboda rashin isasshen jini na iya ƙaruwa kuma kana buƙatar haihuwar jariri cikin lokaci, tunda barazanar mutuwar mahaifa na iya ƙaruwa. Babban matsalar ita ce, tare da ciwon sukari, yara a cikin mahaifar suna haɓaka cikin sauri kuma suka isa girma masu girma. Likitocin suna da ra'ayin cewa da ciwon sukari, kuna buƙatar haihuwar jariri kafin jadawalin (mafi yawan lokuta a makonni 36 - 37). Lokacin da haihuwar yaro an yanke hukunci gabaɗaya, yana yiwuwa kuma ya wajaba don yin la’akari da yanayin tayin da mahaifiyarta, sannan kuma kar a manta da tarihin mahaifar.

Yana da mahimmanci a lura cewa a mafi yawan lokuta, mata masu ciwon sukari na iya haihuwa ta sashin caesarean. A lokaci guda, ba tare da la theakari da mace ba da kanta ta haihu ko kuma cesarean ne, allurar insulin ba ta tsayawa yayin haihuwa. Hakanan, Ina so in lura cewa duk da cewa irin waɗannan jarirai suna da babban nauyin jiki, likitoci suna ɗaukar su tsufa kuma suna buƙatar kulawa ta musamman. Yawancin lokaci, fewan sa'o'i na farko na rayuwar irin wannan jariri ana kulawa da su sosai ta hanyar likitocin da ke bincika ganowa, da kuma gwagwarmaya na lokaci tare da matsalolin numfashi iri-iri, yiwuwar hauhawar jini da yiwuwar raunuka na tsarin juyayi na tsakiyar jaririn.

Better shirin yara

Ina so in ja hankalinku game da gaskiyar cewa tare da ciwon sukari, yana da daraja a shirya yin juna biyu. Tabbas, kowace mace tana so da kuma mafarki na haihuwar mace mai lafiya, kuma saboda wannan dole ne ta kasance a shirye don gaskiyar cewa zata buƙaci bin madaidaicin tsarin: bi wani abinci, sanya allurar insulin, kuma a asibiti lokaci-lokaci. Kar a manta cewa idan, kafin lokacin daukar ciki, ana iya sarrafa sukari cikin sauki tare da magunguna masu rage sukari da kuma samun isasshen abincin, to a lokacin daukar ciki wannan ba zai isa ba.

Hakanan, kar ku manta cewa an haramta amfani da sukari na rage sukari don amfani yayin daukar ciki, saboda suna iya tayar da lahanin haihuwa a cikin jariri. Duk wannan yana nuna cewa idan kuna shirin yin ciki tare da ciwon sukari, to don wani ɗan lokaci kafin lokacin da aka tsara, zaku buƙaci fara fara allurar insulin kuma ku canza ta gaba daya. Haka ne, waɗannan ba su da amfani sosai a cikin kullun, amma a lokaci guda za ku haifi ɗa mai lafiya wanda zai gode muku a duk tsawon rayuwarsa. Samun yara ba ya cikin cutar sukari kuma yara ba lallai ba ne su kamu da ciwon sukari, saboda haka duk yana dogara ne akan iyaye na gaba.

Zan iya haihuwa tare da ciwon sukari

Kuna iya haihuwa tare da ciwon sukari, amma ƙarin cikakkiyar tattaunawa game da wannan batun ya dogara da shekarun mai haƙuri, canji a cikin matakan glucose da sauran cikakkun bayanai. Ya kamata a ɗauka a hankali cewa nauyin a jikin jikin mace zai karu, wanda zai haifar da rikice rikice da yawa da ke da alaƙa da kodan, cututtukan zuciya da na jijiyoyin jini. Kula da gaskiyar cewa:

• A cikin mace, saboda abinci ko kuma ba daidai ba sashi na abubuwan hormonal, ƙin jinin haila na iya bayyana,
• idan aka samar da ciki tare da cutar sankarau ba tare da halartar likitoci ba, to akwai yuwuwar mutuwar tayi a farkon matakin,
• a cikin mahaifiya ta gaba, tayin na iya isa zuwa ga babban jiki, wanda zai ba da rikice-rikice ƙoƙarin haihuwa don kamuwa da ciwon sukari.

Cututtukan ƙwayoyin cuta suna da haɗari sosai. Idan a yanayin lafiyar yau da kullun, ana amfani da harbi, to, ga masu ɗaukar cututtukan cututtukan cututtukan endocrine irin wannan maganin ba a amfani dashi. Hakanan kuna buƙatar kulawa da tsabtace mutum a hankali kuma ku guji hulɗa da marasa lafiya.

Don yanke shawara kan ko yana yiwuwa a sami yara, ana buƙatar cikakken bayyanar cututtuka. Zai fi kyau a aiwatar da shi a wurin shirye-shiryen, kodayake, idan gaskiyar rashin ciki ta kasance ba tsammani, jarrabawa suna da kyau a farkon makonni. Wannan zai tabbatar ko wakilin mace zai iya haihuwar jaririn, menene haɗarin haɗarin.

A cewar masana, idan namiji yana fuskantar cutar, to akwai yiwuwar maganin gado zai bayyana a cikin 5% idan ya shafi mata, to kusan kashi 2% na crumbs yana da haɗarin kamuwa da cutar. Babu ƙarancin alamu (25%) ga ma'aurata inda ma'aurata zasu iya yin korafin irin matsalolin.

Tsarin haihuwa

Ya kamata a yi la’akari da jagoran shawarwarin farkon cutar da ke faruwa. Wannan yana da mahimmanci saboda babban haɗarin da ke tattare da marasa lafiya da ke fama da cutar rashin insulin, haka kuma saboda ƙirƙirar nau'in ƙwayar mahaifa. Sosai shawarar:

1. mai hankali shiryawa
2. ramuwa kafin daukar ciki, tsawon lokacin ta, lokacin da bayan haihuwa,
3. Tabbatar da yin rigakafi da magani na rikice-rikice,
4. zaɓi na lokacin da hanyoyin warware matsalar haihuwa,
5. aiwatar da matakan sake sahihan matakan rayuwa da kulawa da jinya.

Yin shirin haihuwar yara masu kamuwa da cutar siga yana nufin biyo baya na zuriyar. Ya kamata a tabbatar da an aiwatar da wannan hanyar a cikin tsarin kula da marasa lafiya. Abubuwa uku da aka tsara a asibiti suna da kyau, na farko wanda ya zama dole a farkon matakai kuma yana ba ku damar warware matsalar kula da yanayin, yana ba da kariya ga likita da kuma biyan diyya don cutar.

Na biyu kuma ana aiwatar da shi a asibiti, na tsawon makonni 21 zuwa 25. Wannan yana dacewa koyaushe dangane da yanayin cutar siga da kuma rikicewar yanayin. Akwai buƙatar kulawa da ta dace da kuma daidaitawa sosai game da rabo daga sashin haɗin gwal.

Mafarautan sun faɗi gaskiya game da ciwon sukari! Ciwon sukari zai tafi cikin kwanaki 10 idan kun sha shi da safe. »Kara karantawa >>>

An samar da asibiti na uku a matakin daga 34 zuwa 35 makonni kuma ya ƙunshi kulawa da hankali na tayin. Jiyya na rikice-rikice da cututtukan cututtukan ciwon sukari, zaɓin lokacin da hanyoyin keɓancewa na zama dole. Ya kamata a ɗauka a zuciya cewa, alal misali, tare da tsari na dogaro da insulin, an wajabta haihuwar haihuwa da farko, mafi kyawun lokacin shine 38 makonni. Idan wannan bai faru ta hanyar dabi'a ba, tokar za a iya motsa shi ko cesarean.

Hatsari da rikitarwa mai yiwuwa

Tare da ci gaban cutar, da alama yiwuwar samun lahani iri iri a cikin amfrayo na ƙaruwa. Wannan sakamako ne na gaskiyar cewa tayin yana ɗaukar abinci mai gina jiki na carbohydrate daga mahaifiya kuma, a lokaci guda tare da glucose da aka cinye, baya karɓar rabo na hormone. Cutar ƙwayar cuta ta yara ba ta inganta ba kuma ba ta iya samar da insulin ba. Kula da gaskiyar cewa:

A kowane nau'in cuta, hyperglycemia na dindindin yana rinjayar isasshen samar da makamashi. Sakamakon wannan shine kuskuren halittar jikin yaron.

Kasancewar kansa a cikin jariri na nan gaba yana tasowa kuma yana yin aiki a cikin watanni uku.

Dangane da yawan sukari mai yawa a cikin mahaifiya, sashin jiki yana fuskantar karin kaya. Wannan ya faru ne saboda gaskiyar cewa hormone ba kawai yana amfani da glucose a cikin jikin ku ba, har ma yana inganta matakan jini na mace.

Irin wannan aikin insulin yana shafar samuwar hyperinsulinemia. Productionarin samar da abin da ke gudana yana shafar ƙwayar jini a cikin tayin; ban da haka ma, ana kuma gano gazawar numfashi da kuma asfurin. Matsakaicin ƙarancin sukari na iya yin barazanar mutuwar ofan da ba a haife shi ba.

Bugu da kari, bai kamata mu manta da wasu fasalolin abubuwa da suka danganci irin wannan zuriya ba. Wannan fitowar takamaiman fuska ce mai zagaye da wata, wata mai hade da kitse. Akwai zubar da jini da yawa a kan kashin baya da kuma gabar jiki, edema, cyanosis. Kula da babban taro, mummunan tasirin lahani, ƙarancin aiki na gabobin jiki da tsarin halittar mutum.

Gudanarwa da ƙuduri na haihuwa

Ana yin aiki da ƙarfi da ƙoshin lafiya, wanda ya ƙunshi haɓaka metabolism, sarrafa metabolic mai kulawa. Wani muhimmin mataki shine bin tsarin abinci. A matsakaici, adadin kuzari kowace rana ya kamata daga 1600 zuwa 2000 kcal, yayin da 55% sun kasance a cikin carbohydrates, 30% zuwa mai, 15% ga furotin. Dole a yi la'akari da wani sashi mai mahimmanci daidai gwargwado na bitamin da abubuwan haɗin ma'adinai.

Lokacin da ake shirin bayarwa, ana bayar da kimantawa na yanayin balagar tayin. Lura cewa:

• hanya mafi kyawu ita ce ta haihuwar ta hanyoyin rayuwa,
• ana aiwatar da irin wannan tsari a ƙarƙashin kulawar alamomin glycemia (kowane mintuna 120), maganin ciwan ciki, ban da rashin isasshen ƙwaƙwalwar ƙwayar cuta da ta dace,
• tare da shirye-shiryen haihuwa haihuwar, algorithm yana farawa daga aikin amniotomy tare da ci gaba da samuwar yanayin hormonal,
• idan an gano ingantaccen aiki, haihuwa yana ci gaba ta dabi'a tare da amfani da sunayen antispasmodic,
• don ware rauni na mulkin mallaka, ana aiwatar da aikin jijiyoyin ciki kuma ana ci gaba har sai an haifi jariri.

Tare da canal na haihuwa wanda ba a shirya ba, rashin sakamako daga hanyoyin ko abin da ya faru na alamun hypoxia na tayin ci gaban ciki, an gama tsarin da sashin cesarean.

Sake bugun jarirai

Yaran da suka bayyana ta wannan hanyar suna buƙatar kulawa ta musamman. Kula da ganowa da kuma kula da rikice-rikice na huhu, hypoglycemia, acidosis da lalacewar tsarin juyayi.

Ana kiran ka'idodin wariyar rage sukari, sanya idanu mai tsauri game da jariri, wanda za'a iya haihuwar shi na al'ada, amma a cikin sa'o'i masu zuwa bayan hakan yanayin nasa zai tsananta. Ana aiwatar da aikin Syndromic, yana tabbatar da warkewar kowane sabon ciwo.

A wannan batun, an samar da bayan gida na huhun hanji, ana ba da isashshen huhun huhu. Game da batun hypoglycemia, kasa da 1.65 mmol kuma tare da raguwar annabta a cikin glucose, ana amfani da 1 g / kilogiram na nauyin jiki a cikin jijiya ko digo (da farko 20%, sannan maganin 10%).

Idan cututtukan jijiyoyin jiki suna da rinjaye, suna ba da yaƙi da hypovolemia (amfani da albumin, plasma, tsarin furotin). Kasancewar cututtukan basur da ke fama da cutar basir (petechial hemorrhage) an lalata shi ta hanyar Vikasol, bitamin na B, maganin mafitsara mai sinadarin kashi 5%.

A matakin farko na lokacin haihuwar, yara suna daidaitawa mai wahala, wanda aka danganta shi da ƙirƙirar takamaiman yanayin ƙwaƙwalwa, cutar guba. Za'a iya gano mahimmancin nauyi da kuma saurin warkewa.

Contraindications zuwa uwa

A wasu yanayi, bai kamata mace ta haihuwar komai ba, ana kiran ƙuntatawa ga wannan:

• Kasancewar rikicewar jijiyoyin hanzari na hanzari waɗanda ke faruwa a cikin mummunan yanayin cutar (alal misali, retinopathy). Suna karawa juna-biyu ciki da kan cutar da mama da jariri.
• Kasancewar insulin resistant da labile siffofin.
• Bayyanar cutar a cikin kowane mahaifa, wanda ke kara saurin bunkasa cutar kanjamau a cikin yaran nan gaba.
• Haɗuwa da rashin lafiya da hankalin Rh na uwa, wanda ke canza tsinkaye ga jariri.
• Haɗuwar cutar endocrine da mataki na cutar tarin fuka.

Ciwon sukari mellitus shawarar DIABETOLOGIST tare da gwaninta Aleksey Grigorievich Korotkevich! ". kara karanta >>>

Tambayar yiwuwar daukar ciki, adana shi ko buƙatar katsewa an yanke shawara ne a cikin tattaunawa. Tsarin ya ƙunshi likitan mata na likitan mata, likitan kwantar da hankali da kuma endocrinologists har zuwa makonni 12.