Cutar ciki da nau'in ciwon sukari na 2 - me yasa hankali?

Ciwon sukari na 2 wani babban cuta ne mai alaƙa da ke tattare da rashin insulin a jiki.

Wannan cuta tana da rikitarwa da yawa, tana ba da gudummawa ga cuta na rayuwa, don haka samun juna biyu, haihuwar lafiya da ɗan jimawa ba zai yiwu ba.

A yau, akwai magunguna na musamman, kayan aiki waɗanda ke ba da damar haihuwar jariri, tare da kula da shi idan ciki yana tare da rikitarwa. Karanta ƙari game da nau'in ciwon sukari na 2 a cikin mata masu ciki.

Kimantawar Hadarin

Yana da matukar muhimmanci ga matar da ke da nau'in ciwon sukari guda 2 irinta ta kula da glucose din al'ada a yayin daukar ciki.

Wannan zai ba da damar ciki ya ci gaba ba tare da rikice-rikice ba kuma ya guji lalacewa a cikin lafiyar mahaifiyar mai sa tsammani.

Matsowar abubuwan sukari suna kusa zama mafi kyau, da alama ma za a haihuwar jariri mai lafiya.

Koda a matakin shirin daukar ciki, mace tana bukatar yin gwaje-gwaje daban daban kuma ta wuce gwaje-gwaje da yawa. Tabbas tana buƙatar a bincika ta kwararren likitan-mahaifa, likitan kwalliya, da kuma endocrinologist.

Ana buƙatar nazarin waɗannan masu biyowa don tantance haɗarin cututtukan ciwon sukari da sakamakon ciki:

• gwajin jini ga haemoglobin,
• auna matsin lamba na yau da kullun
• nazarin fitsari yau da kullun don ƙayyade abubuwan da ke cikin furotin da kuma keɓancewar creatinine don bincika ƙodan,
• ma'aunin sukari
• A gaban furotin da ya wuce ta al'ada, ana yin bincike don kasancewar cututtukan urinary fili,
• gwajin jini ga urea nitrogen da plainma creatinine,
• kwararren likitan likitan ido don tantance yanayin tasoshin mahaifa,
• kimantawa game da kamuwa da cutar hypoglycemia,
• gwajin jini don cututtukan thyroid,
• karatu a kan yiwuwar haɓakar neuropathy.

A cikin lokuta na musamman, ECG ya zama dole. Waɗannan sun haɗa da shekaru sama da shekaru 35, nephropathy, hauhawar jini, kiba, matsaloli tare da tasoshin yanki, babban cholesterol.

Idan aka yi watsi da waɗannan karatun, da yiwuwar rikice-rikice yana da girma sosai ga uwa da ɗa.

Mace mai ciki da masu nau'in ciwon sukari guda 2 ya kamata ta yi lura da waɗannan yanayin:

• mara lafiyan zubar da ciki,
• polyhydramnios, cututtuka, ƙarshen gestosis,
• ketoacidosis, cututtukan jini,
• cututtukan zuciya da jijiyoyin jini
• ci gaban nephropathy, retinopathy, neuropathy.

Yawancin lokaci, jariri yayin haihuwa ba zai iya rayuwa ba.

Idan haihuwar tayi nasara, to, duk da haka, cututtuka da nakasa da yawa na iya faruwa. A mafi yawan halayen, ci gaban tayin bashi da daidaituwa, girmanta da nauyin jikinta sun wuce matsayin al'ada.

Tsarin tsakiya na juyayi na iya lalacewa, ayyukan zuciya na iya tayar da hankali, kuma haɓaka hanta na iya faruwa. Yawancin rikice-rikice na iya fara bayyana ne kawai bayan haihuwa a farkon makonni na rayuwa. Bugu da kari, cikin rayuwar yaro, nau'in ciwon sukari guda 1 na iya haɓaka kowane lokaci.

Saboda tasirin insulin akan dukkan hanyoyin tafiyarda rayuwa a jiki. Tare da rashi, gurɓataccen glucose, wanda ke ƙara matakin sukari. Sabili da haka, babban alama na ciwon sukari shine wuce haddi na matakan sukari na yau da kullun.

Don nau'in ciwon sukari na 2, sukari na jini shine 7.7-12.7 mmol / L.

Kwayar cutar ta haɗa da yawan urination, ƙishirwa da bushe baki, yawan shan ruwa, rauni, tashin hankali, ƙaruwa ko rage ci, gumi mai yawa, da fata mai ƙoshi. Bugu da kari, pustules sun bayyana, raunuka suna warkar da lokaci mai tsawo.

Yayin samun juna biyu, alamomin cutar sankarau sukan yi kama da alamun tsammanin jariri. Saboda haka, suna iya rikicewa kuma ba su san ci gaban cutar ba. A wannan yanayin, ya kamata ku yi taka tsan-tsan.

Tare da ci gaba, nau'in ciwon sukari na 2 na mellitus ya sami wasu alamun, bayyanuwar abin da ya dogara da tsananin rikitarwa. Tare da lalacewar koda, edema a kan wata gabar jiki da fuskar mace mai ciki zata zama makawa.

Vascular spasms yana haifar da hauhawar jini, a cikin abin da alamu zasu iya wuce Hg. 140/90 mm. Art.

Kwayar cutar ciwon sukari tana haɗuwa tare da lalacewar ƙwayoyin jijiya na ƙashin ƙafa, sakamakon hakan akwai alamun rashin lafiyar tsarin damuwa.

Wannan ji na goosebumps, numbness, tingling. Sau da yawa akwai jin zafi a cikin kafafu, waɗanda aka bayyana musamman da dare. Mafi rikitarwa rikicewa shine matsaloli tare da ruwan tabarau ko retina.

Rashin nasarar farko shine dalilin cataracts, kuma tare da lalacewar akan farji, retinopathy yana haɓaka. A cikin waɗannan halayen, hangen nesa ya ragu sosai, har ma makanta tana yiwuwa.

Fasali na rayuwar daukar ciki

A yau, akwai magunguna da yawa da kayan aikin sarrafa kai wanda ke ba ku damar ɗaukar lafiyayyen yaro mai ciwon sukari na 2.

Abu mafi mahimmanci a wannan yanayin shine kula da matakin sukari na jini kuma likita koyaushe zai kula dashi, ɗaukar gwaje-gwajen da suka dace kuma a yi gwaji.

Yana da muhimmanci ka shirya ciki tun gaba.. Kafin wannan, ya zama dole don tantance duk haɗarin da ke tattare da haɗari, kawo abun ciki na sukari a cikin mafi yawan alamu na al'ada.

Hakanan wajibi ne a tuna cewa babban samuwar tayin, shine: haɓakar kwakwalwa, kashin baya, huhu, sauran gabobin jiki da yawa suna faruwa a farkon makonni bakwai na farko. A wannan batun, a wannan lokacin yana da mahimmanci musamman don tabbatar da daidaitaccen matakin glucose a cikin jini.

Yana shirin wanda ba zai ba ku damar share lokacin haihuwar tayin ba, tunda tare da sauyawa a cikin matakan sukari akwai yiwuwar ci gaban yara masu rauni.

Bugu da kari, macen da kanta zata iya fuskantar rikice-rikice, tunda daukar ciki yana raunana jiki sosai kuma yana haifar da cutar gaba yayin rashin kulawa da shi.

Ciwon sukari yana tsoron wannan maganin, kamar wuta!

Kawai kawai buƙatar nema ...

A cikin ciki, a kowane hali, ya zama dole a yi rajista tare da likita, kuma a gaban ciwon sukari yana da mahimmanci kawai.

Don bi da wannan cuta kuma ku kula da jiki a kullun, kuna buƙatar bin dokoki biyu - amfani da isasshen ilimin insulin kuma ku bi abincin da ƙwararren likita ya tsara.

Abincin yau da kullun dole ne ya ƙunshi rage adadin mai (60-70 g) da carbohydrates (200-250 g). A wannan yanayin, daidaitaccen furotin, akasin haka, ya kamata a ƙara girma kuma ya zama 1-2 g a 1 kilogiram na nauyi.

Ya kamata a kwashe abincin yau da kullun a cikin adadin. Bugu da ƙari, yin amfani da su ya dogara da tsawon lokacin aikin insulin.

Energyimar makamashi a nauyin al'ada ya kamata ya zama 2000-2200 kcal. Idan an lura da kiba, to ya kamata a rage zuwa 1600-1900 kcal. Abincin yakamata ya kasance mai rikicewa. Dole ne a samar da Vitamin A, B, C, da D, potassium na iodide da folic acid. Haramun ne a ci carbohydrates mai sauri.

Don kula da sukari na jini, kuna buƙatar amfani da insulin. Sashi yana ƙaddara ta endocrinologist.

A lokaci guda, Wajibi ne a canza alamu a koyaushe saboda su zama al'ada. A cikin nau'in ciwon sukari na 2, ana kuma ɗaukar ƙarin alluran rigakafin cutar malaria.

Mata masu juna biyu lalle za su ƙi su, tunda suna da mummunar tasiri ga ci gaban tayin.

Haihuwar yara a nau'in ciwon sukari na 2

Tare da ciwon sukari, shiri don haihuwa yakamata ya kasance mai mahimmanci.

Zai fi kyau a ciyar da su a asibiti na musamman.

Koyaya, a cikin rashi irin wannan damar, ana bada shawara cewa, ban da likitan mahaifa, likitan yara wanda zai lura da matakin sukari da ke akwai.

Idan ciki ya ci gaba ba tare da rikice-rikice ba, ana lura da yanayin lafiya koyaushe kuma ba ya haifar da wata damuwa, to zai yuwu a gudanar da haihuwa.

Wannan yana buƙatar sashin cesarean sau da yawa. Wannan shi ne da farko saboda gaskiyar cewa a cikin irin waɗannan mata na cikin aiki, tayin galibi yawanci ne kuma yayi nauyi fiye da 4 kilogiram.

Abubuwan haɗari kamar hawan jini, zubar jini a cikin mahaifa, eclampsia, gestosis mai tsanani, hypoxia fetal, da lalata jijiyoyin jiki ko lalata koda suna iya haɓaka. Hakanan, koyaushe ba zai yiwu a sarrafa matakin sukari da kyau ba.

Bayan haihuwa, abun da ke cikin sukari yana raguwa sosai cikin sati, wanda daga baya ya koma matakin da yake kafin daukar ciki. A wannan lokacin, yana da muhimmanci a sake duba yadda ake samar da insulin ko ma a daina amfani dashi na wani lokaci. Ana kiyaye shayarwa idan lafiyar mace da yaran sun zama al'ada.

Bidiyo masu alaƙa

Game da lokacin daukar ciki da haihuwa yayin kamuwa da cutar siga a cikin bidiyo:

Don haka, nau'in ciwon sukari na 2 ba dalili bane na barin ciki da ake so da haihuwar jariri. Godiya ga haɓaka magunguna, amfanin kayan aiki da magunguna na zamani, sanya ɗan lafiyayye ya zama ainihin gaske. Babban abu shi ne shirya juna biyu a gaba, yin gwaje-gwaje akai-akai da kuma kula da matakan sukari na jini.

Hanyar ci gaban cutar

Wannan cuta ta haifar da lalacewa a cikin karɓar masu karɓar insulin (jurewar insulin), haɗe tare da rashin samar da insulin, ko ba tare da shi ba, wanda ke haifar da lalacewar ƙwayar carbohydrate tare da canje-canje masu zuwa kyallen takarda.

Wannan yana bayanin karuwar glucose a cikin jini; ba zai iya shiga tantanin ba tare da taimakon insulin din hormone ba. Saboda ƙarancin glucose a cikin sel kuma ƙara yawan abubuwan da ke cikin jini, canje-canje a cikin kowane nau'in metabolism yana faruwa.

Ciplesa'idojin yin shirin ciki game da ciwon siga na 2

Tsarin ciki shine hanya don rage yiwuwar kamuwa da cutar siga. Wajibi ne a cimma daidaituwar matakan glucose din kafin farawar kwai, saboda a lokacin haila, ana iya cire tasirin karawar carbohydrates.

Kuna buƙatar yin ƙoƙari don lambobin glucose na azumi tare da ƙaramin iyaka na 3.3 da iyaka mafi girma ba fiye da 5.5 mmol / L, da awa 1 bayan cin abinci ba fiye da 7.8 mmol / L.

Yana da matukar mahimmanci don canja wurin mace daga nau'ikan kwalayen kwayoyi zuwa maganin insulin kafin haihuwa, domin a sarrafa kulawar glucose tuni a cikin farkon farkon tayi.

Kafa insulin “insulin” na da inganci sosai; ana kiranta da “farji ta wucin gadi”; yana sanya asirin da ya dace da insulin a cikin jini.

Dole ne a saka famfo na insulin kafin daukar ciki. Ya kamata a gudanar da gwajin ta hanyar kwararru da yawa: likitan ilimin mahaifa, endocrinologist, nephrologist, ilimin halittar jini, likitan zuciya.

Ana buƙatar likitan likitan ido don kimanta yanayin tasoshin asusun, kuma idan ya cancanta, yi amfani da lasco photocoagulation na laser (ba dole ba a yarda da jijiyoyin bugun jini). Wajibi ne don fara amfani da folic acid, kazalika da shirye-shiryen aidin aƙalla watanni 3 kafin haihuwar da ake so.

Ka'idojin Haihuwa

Mace da ke fama da ciwon sukari nau'in 2 a koyaushe tana buƙatar ƙarin gwaje-gwaje:

• Kulawa ta yau da kullun na glycemia (aƙalla sau hudu a rana),
• Ji na glycated matakin hawan jini.

Wannan nuna alama yana nuna tsananin ciwon sukari kuma yana ba da bayani game da matakin diyya a cikin watanni 3 da suka gabata), ya wajaba a sake dawo da wannan alamar a kowane mako 4-8. Wajibi ne a yi ƙoƙari don matakin haemoglobin na glycated har zuwa 6.5%.

• Nazarin ciki tare da albuminuria.

Wannan alamar tana nuna aikin ƙodan), tanki. al'adar fitsari (ƙaddarar kamuwa da cuta), ƙaddarar acetone a cikin fitsari.

• tilas lura da wani endocrinologist, nephrologist, cardiologist, neurologist, ophthalmologist (tare da jarraba jari a lokaci 1 a kowane trimester),

Jiyya: ka'idodi don shan kwayoyi a lokuta daban-daban

Rage glucose na jini yayin daukar ciki an yarda da taimakon insulin far. Duk nau'ikan kwalayen kwayoyi suna haifar da rikicewar tayin. Sanya galibi ga insulin na aikin injiniya.

Yana da mahimmanci a san cewa yayin lokuta daban-daban na ciki, buƙatar insulin canje-canje. A cikin karni na 1 da na 3, hankalin mai karɓar masu karɓar insulin ya inganta, a cikin ƙarni na 2 matakan glucose na jini yana ƙaruwa saboda aikin hormonagon antagonist (cortisol da glucagon), don haka yakamata a ƙara yawan insulin.

Dogaro da yawan sinadarin insulin akan shekarun haihuwa

Tare da ciwon sukari, yawan jini yakan tashi sau da yawa. Kuna buƙatar sanin cewa don gyaran matsin lamba ya cancanci shan magungunan "Dopegit", mata masu juna biyu sun yarda da su.

Hakanan, haramtattun kwayoyi daga rukuni na statins ("Atorvastatin", "Rosuvastatin", da sauransu) da kuma masu hana masu karɓar angiotensin II (Losartan "," Irbesartan ") an haramta.

Rage cin abinci

Ana iya samun ikon sarrafa glucose tare da haɗuwa da ingantaccen tsarin insulin da abinci.
Dole ne a bi ka'idodin masu zuwa:

• yawan adadin kuzari na abinci ya kamata ya zama 2000 kcal (tare da kiba: 1600-1900),
• 55% - carbohydrates (tare da iyakance ci na carbohydrates mai narkewa mai sauƙi - sukari, syrups, inabi, adana), 30% - mai, 15% - sunadarai,
• Kada kuyi amfani da kayan zaki,
• isasshen abun ciki na bitamin da ma'adanai a cikin abinci da ake ci

Gudanar da asibitin da aka tsara

A cikin ciwon sukari, asibitoci uku da aka tsara a asibiti sune suka zama dole:

• Asibiti na farko a farkon matakan.

Wajibi ne ga: cikakken nazari, tantance cutar rarrabuwa, kimanta haɗarin mahaifa, da yiwuwar riƙe wannan cikin, zaɓi na mahimman matakan insulin, da kuma gudanar da jiyya tare da niyyar hanawa.

• A lokacin asibiti na biyu (makonni 21 zuwa 24), ana tantance tayin, kuma ana gyara matsalolin da ke tattare da cutar siga.
• A asibiti na uku (bayan makonni 32), lokacin da hanyoyin isar da saƙo, ana ƙaddara gyaran rikice-rikice, idan akwai.

Menene hatsarin uwa da jariri?

Hatsari don yanayin tayin da ke haɗuwa da kasancewar cutar sankara a cikin mace:

• babban tayi (macrosomia), wanda ke haifar da matsaloli a lokacin haihuwa,
• kumburi da tayin,
• anomalies da malformations,
• karancin jini na gudana, wanda yake haifar da hypoxia fetal,
• zubar da ciki
• mutuwar tayi a utero,
• rashin lafiyar numfashi bayan haihuwa,
• haihuwa.

Don kimantawa na yau da kullun game da yanayin tayi, ya wajaba a yi sikanan duban dan tayi akan kwanakin:

• Makonni 10 - 10 don gano mummunan tashe, warkewar cututtukan Down,
• 20-23 makonni - don keɓance fitintinu, ƙuduri na tayin, tantance ƙwayoyin ruwa,
• Makonni 28 zuwa 32 domin gano macrosomia tayin, karancin kwararar jini na jini, bayanan mahaifa na ciki, yankewar yanayin ruwa,
• kafin haihuwa (kimantawa game da yanayin tayi, ƙididdigar yawan kiyashi).

Daga mako 30, sati na CT na mako-mako tare da lissafin motsin tayi, mai duban dan tayi don sanin samarda jini a cikin jinin haila wanda yake gudana.
A cikin mace yayin daukar ciki, wadannan rikice-rikice masu yiwuwa ne:

• preeclampsia (har zuwa mummunan yanayin - eclampsia),
• saukar karfin jini,
• raunin gani (ci gaban retinopathy),
• aikin illa na yara (nephropathy),
• hypo- ko cutar sikari,
• yawan cututtukan urinary koda
• babban rauni a cikin haihuwa.

Gudanar da haihuwa a cikin mata masu fama da ciwon sukari na 2

Yaran da ke wucewa ta hanyar canjin haihuwa na halitta sun fi dacewa da yanayin waje fiye da waɗanda aka cire ta sashin cesarean.
Yayin isarwar, ya zama dole:

1. Eterayyade taro na glucose aƙalla sau 2 a kowace awa.
2. Ta hana bugun jini.
3. Cigaba da ci gaba da lura da lafiyar zuciyar tayi. (CTG saka idanu).

Alamu don isar da aikin tiyata (ban da yarda da gabaɗaya) ga masu ciwon sukari:

• Rikice-rikice masu ciwon sukari na ci gaba (wahalar hangen nesa, aikin koda).
• Bayyanar pelvic.
• Babban tayin (rauni ba za a ƙyale lokacin haihuwa ba).
• Hypoxia na tayin (take hakkin samar da jini a cikin tsarin uteroplacental).

Kasancewar irin wannan cuta a cikin mace kamar nau'in ciwon sukari na 2 na mahaifa yana danganta ta da ƙungiyar masu haɗari don haɓaka rikice-rikice a kanta da tayin.

Koyaya, saboda ƙwarewar tsara haihuwa, sabbin hanyoyin bincike da magani, ya zama mai yiwuwa ne cikakkiyar rama game da rikice-rikice na jiki tare da wannan cuta a duk matakan haɓaka: daga ɗaukar ciki zuwa lokacin haihuwar jariri.

Kula da rikice-rikice na ciki a cikin nau'in ciwon sukari na 2

Yawancin mata da ke fama da cutar rashin insulin-insulin suna shan kwayoyi waɗanda ke rage adadin sukari a cikin ƙasarsu kafin haihuwa. A cikin tsammanin jariri, duk waɗannan magungunan an soke su. Yawancin kwayoyi masu ƙananan matakan glucose an haramta don amfani da su daga uwaye masu tsammani saboda mummunan tasirinsu akan haɓakar tayi.

A lokacin daukar ciki, kusan dukkan mata masu fama da cutar siga canjawa wuri zuwa insulin. Wannan magani yana ba ku damar dogara da adadin sukari a cikin jini don haka ya sa ya yiwu a guje wa ci gaban rikitarwa. An zabi sashin insulin ne ta hanyar endocrinologist, la'akari da lokacin haihuwa da kuma bayanan daga binciken gwaje-gwaje. Madadin sirinji na gargajiya, an shawarci iyaye mata masu amfani da suyi amfani da famfunan insulin.

An bayarda mahimmancin gaske wajen gyaran cuta na rayuwa abinci. Daga abincin da mace mai juna biyu ke ciki, ba a barin carbohydrates da ke narkewa cikin sauri (keɓaɓɓe, kayan kwalliya, sukari, jam, dankali). Amfani da samfuran dake dauke da mai mai iyaka ne. 'Ya'yan itãcen marmari da kayan marmari masu yawa an yarda dasu

An ba da kulawa ta musamman ba kawai ga abincin mahaifiyar mai tsammani ba, har ma abinci. Mace mai ciki mai ɗauke da ciwon sukari yakamata ta ci aƙalla sau 6 a rana, amma cikin ƙaramin rabo. A matsayin abun ciye-ciye, zaku iya amfani da kayan kiwo, 'ya'yan itatuwa da kwayoyi. Ofaya daga cikin abubuwan ciye-ciyen ya kamata ya zama sa'a ɗaya kafin lokacin kwanciya don hana zubar cikin sukari cikin dare.

Amincewa da duk shawarwarin likita da kyakkyawan iko da sukari na jini, yana yiwuwa a haifi yaro ta hanyar hanyar haihuwa. Don haihuwar macen da ke fama da cutar sankara yakamata a kasance cikin wani asibiti na musamman. Idan wannan ba zai yiwu ba, kuna buƙatar neman goyon bayan ƙwararren masani na endocrinologist wanda zai iya taimakawa sauyawa cikin sukari a cikin yankin na ƙasa.

Ana yin sashin Caesarean a cikin waɗannan halaye masu zuwa:

• 'ya'yan itace nauyi fiye da 4 kilogiram,
• mai tsanani gestosis ko eclampsia,
• tsananin hypoxia,
• hana tashin zuciya
• mummunan lalacewar koda
• rashin iya sarrafa glucose sosai.

Bayan ta haihu, bukatar insulin ta mace ta ragu sosai. A wannan lokacin, endocrinologist dole ne daidaita sabon sashi na miyagun ƙwayoyi kuma ya ba mace shawarwari don rage yanayin. Dangane da kyautatawar mace da jaririnta, shayar da jarirai nonon uwa.

Cutar ciki da nau'in ciwon sukari na 2 - me yasa hankali?

Matsalar ciwon sukari a cikin mata masu juna biyu yana ɗaukar mahimmancin likita da zamantakewa.

Kwanan nan, an sami karuwa a cikin mata masu juna biyu da wannan ilimin, wanda ke da alaƙa da diyya don yanayin mata da dawo da aikinsu na haihuwa.

Duk da nasarorin da aka samu, ciwon sukari har yanzu yana haifar da ɗimbin yawa na rikice-rikice ga uwa da ɗanta.

Wannan cuta ta haifar da lalacewa a cikin karɓar masu karɓar insulin (jurewar insulin), haɗe tare da rashin samar da insulin, ko ba tare da shi ba, wanda ke haifar da lalacewar ƙwayar carbohydrate tare da canje-canje masu zuwa kyallen takarda.

Wannan yana bayanin karuwar glucose a cikin jini; ba zai iya shiga tantanin ba tare da taimakon insulin din hormone ba. Saboda ƙarancin glucose a cikin sel kuma ƙara yawan abubuwan da ke cikin jini, canje-canje a cikin kowane nau'in metabolism yana faruwa.

Cutar sankarau da Ciki: Daga Tsara zuwa Haihuwa

A takaice, kwanannan, likitocin sun saba wa gaskiyar cewa mata sun kamu da ciwon sukari sun yi juna biyu kuma sun haifi yara. An yi imani da cewa a wannan yanayin, yiwuwar samun lafiyayyen jariri yana da ƙanana.

A yau, halin da ake ciki na cortex ya canza: zaku iya siyan siliki na glucose na jini a cikin kowane kantin magani wanda zai ba ku damar kula da sukarin jini yau da kullun, kuma idan ya cancanta sau da yawa a rana. Yawancin shawarwari da asibitocin haihuwa suna da duk kayan aikin da ake buƙata don sarrafa ciki da haihuwa a cikin masu ciwon sukari, da kuma yara masu shayarwa da aka haife su a irin waɗannan yanayi.

Godiya ga wannan, ya zama fili cewa ciki da ciwon sukari abubuwa ne masu dacewa gabaɗaya. Mace da ke da ciwon suga zata iya haihuwar jariri lafiya, kamar mace mai lafiya. Koyaya, yayin daukar ciki, haɗarin rikice-rikice a cikin marasa lafiya masu ciwon sukari suna da girma sosai, babban yanayin don irin wannan ciki shine kulawa koyaushe ta hanyar kwararru.

Magani ya bambanta nau'ikan cututtukan guda uku:

1. Insulin dogara da ciwon sukariAna kuma kiranta nau'in ciwon sukari na 1. Yana girma, yawanci a lokacin samartaka,
2. Rashin lafiyar insulin da ke fama da cutar siga, bi da bi, nau'in ciwon sukari na 2. Yana faruwa a cikin mutane sama da 40 da kiba,
3. Gestational ciwon suga yayin daukar ciki.

Abinda ya zama ruwan dare gama gari tsakanin mata masu juna biyu shine nau'in 1, saboda dalili mai sauƙi wanda ya shafi mata masu haihuwa. Nau'in nau'in ciwon sukari na 2, kodayake ya fi yawa a cikin kansa, ba shi da yawa a cikin mata masu juna biyu. Gaskiyar ita ce mata suna haɗuwa da wannan nau'in ciwon sukari da yawa, kafin lokacin haila, ko ma bayan faruwar hakan. Ciwon sukari na cikin jiki yana da matukar wahalar gaske, kuma yana haifar da karancin matsaloli fiye da kowace irin cuta.

Wannan nau'in ciwon sukari yana tasowa ne kawai a lokacin daukar ciki kuma ya wuce gaba daya bayan haihuwa. Dalilinsa shine karuwar nauyin a kan cututtukan ƙwayar cuta saboda ƙaddamar da kwayoyin halittar jini a cikin jini, aikin wanda yake akasin insulin. Yawanci, alade ma ya jimre wa wannan yanayin, amma, a wasu halaye, matakin sukari na jini ya tashi sosai.

Duk da cewa cutar sikari tana da saukin ganewa, yana da kyau mutum ya san abubuwan haɗari da alamomin domin fitar da wannan cutar a cikin mutum.

Abubuwan haɗari sune:

• kiba
• polycystic ovary syndrome,
• sukari a cikin fitsari kafin lokacin ciki ko a farkonsa,
• gaban ciwon sukari a cikin dangi daya ko fiye,
• ciwon sukari a cikin masu juna biyu.

Yawancin abubuwan da ke faruwa a cikin wani yanayi, mafi girman hadarin kamuwa da cutar.

Kwayar cutar ciwon sukari yayin daukar ciki, a matsayin mai mulki, ba a furta shi, kuma a wasu halaye shi asymptomatic gaba daya. Koyaya, koda an bayyanar da alamun cutar isa, yana da wuya a tuhume su da cutar siga. Yi hukunci da kanku:

• matsananciyar ƙishirwa
• yunwa
• urination akai-akai
• hangen nesa.

Kamar yadda kake gani, kusan dukkanin waɗannan alamun ana samun su a lokacin daukar ciki na al'ada. Sabili da haka, yana da mahimmanci don a kai a kai kuma a kan lokaci don ɗaukar gwajin jini don sukari. Tare da karuwa a matakin, likitoci suna ba da ƙarin ƙarin nazarin. Onari akan cutar sankarar mahaifa →

Don haka, an yanke shawarar daukar ciki ya zama. Koyaya, kafin ka fara shirin, zai yi kyau ka fahimci batun domin tunanin menene ya same ka. A matsayinka na mai mulkin, wannan matsalar ta dace da marasa lafiya da ke dauke da cutar sankarar mahaifa 1 na cikin a yayin daukar ciki. Kamar yadda aka ambata a sama, matan da ke da nau'in ciwon sukari na 2 yawanci ba sa neman haihuwa, kuma galibi ba za su iya haihuwa ba.

Tuna sau ɗaya kuma, tare da kowane nau'i na ciwon sukari, kawai an shirya yin ciki mai yiwuwa. Me yasa? Komai kyakkyawa bayyane. Idan ciki ba shi da kuskure, mace za ta san wannan sai bayan wasu weeksan makonni daga ranar da aka fara haihuwa. A cikin 'yan makwannin nan, dukkan tsarukan tsarin da gabobin mutumin da ke zuwa na gaba tuni ana yin su.

Kuma idan a cikin wannan lokacin akalla sau ɗaya matakin sukari a cikin jini tsalle sosai, pathologies na ci gaba ba za a iya kauce masa. Bugu da kari, yadda yakamata, bai kamata a sami tsalle-tsalle a matakan sukari a cikin 'yan watannin da suka gabata kafin daukar ciki ba, saboda wannan na iya shafar ci gaban tayin.

Yawancin marasa lafiya da ciwon sukari masu laushi ba sa auna sukari na yau da kullun, sabili da haka kar ku tuna da ainihin lambobin da ake ɗauka al'ada. Ba sa bukatar hakan, kawai a gwada gwaji a jini kuma a saurari hukuncin likita. Koyaya, yayin tsarawa da gudanarwa na ciki, dole ne ku kula da waɗannan alamu kai-tsaye, don haka kuna buƙatar sanin su yanzu.

An dauki matakin al'ada. 3.3-5.5 mmol. Adadin sukari daga 5.5 zuwa 7.1 mmol ana kiranta jihar prediabetes. Idan matakin sukari ya zarce adadi na 7.1 yayi addu'a., Sunyi magana game da wannan ko kuma wannan matakin na ciwon suga.

Ya juya cewa shiri don daukar ciki dole ne ya fara a cikin watanni 3-4. Nemi mitar glucose na jini a aljihu domin ka iya duba matakin sukarin ka a kowane lokaci. Sannan ziyarci likitan ku na likitan mata da kuma endocrinologist kuma sanar dasu cewa kana shirin daukar ciki.

Masanin ilimin mahaifa yana bincika mace don kasancewar kamuwa da cututtukan cututtukan cututtukan ƙwayar cuta, kuma yana taimakawa wajen kula da su idan ya cancanta. Masanin ilimin endocrinologist zai taimake ka ka zabi kashi na insulin don rama. Sadarwar tare da endocrinologist ya zama tilas a duk cikin ciki.

Babu ƙasa da ɗauri shawarwarin likitan mahaifa. Aikinta shine bincika tasoshin kudaden kuma tantance halin da suke ciki. Idan wasu daga cikinsu sun ga ba za a iya dogaro da su ba, to, an ƙone su don guje wa ɓarna. Maimaitawa tare da likitan likitan mata shima ya zama dole kafin bayarwa. Matsaloli tare da tasoshin ranar ido na iya zama alamomi ga ɓangaren cesarean.

Ana iya ba ku shawara ku ziyarci wasu kwararru don tantance girman haɗarin yayin daukar ciki kuma ku shirya don yiwuwar sakamako. Bayan duk kwararru sun ba da hasken fata ga ciki, zai yuwu a soke maganin hana haihuwa.

Daga nan, yakamata a kula da yawan sukari a cikin jini musamman a hankali. Abubuwa da yawa suna dogara ne kan yadda za a yi nasarar wannan, sau da yawa ciki har da lafiyar yaran, rayuwarsa, da lafiyar mahaifiyar.

Contraindications zuwa ciki tare da ciwon sukari

Abin takaici, a wasu yanayi, mace mai ciwon sukari har yanzu tana cikin kwayar cutar. Musamman, haɗuwar ciwon sukari tare da cututtukan da ke biyo baya da kuma cututtukan cututtukan cututtukan gaba ɗaya sun dace da ciki:

• ischemia
• na gazawar
• gastroenteropathy
• korau Rhesus factor a cikin uwa.

A cikin farkon haihuwa, a ƙarƙashin tasirin estrogen na hormone a cikin mata masu juna biyu da masu ciwon sukari, akwai ci gaba a cikin haƙuri na carbohydrate. A wannan batun, ƙara yawan kwayar insulin. A wannan lokacin, kashi na yau da kullum na insulin, a zahiri, ya kamata a rage.

Farawa daga watanni 4, lokacin da aka samar da mahaifa, ya fara samar da kwayoyin homon-counter, kamar su prolactin da glycogen. Sakamakonsu ya saba da na insulin, saboda wanda yawan injections ɗin zai sake ƙaruwa.

Hakanan farawa daga mako 13 Wajibi ne a karfafa iko akan sukari na jini, saboda wannan lokacin yana fara farjin jariri. Ta fara amsa jinin mahaifiyarta, kuma idan tana da sukari mai yawa, fitsari yana amsawa da allurar insulin. Sakamakon haka, glucose yana rushewa kuma ana sarrafa shi zuwa kitse, wato, tayin yana samun yawan kitse.

Kari akan haka, idan a yayin daukacin mahaifar jariri yakan sami jinin haihuwar 'mai' dadi ', wataƙila a nan gaba shima zai iya fuskantar ciwon suga. Tabbas, a wannan lokacin, rama don ciwon sukari shine kawai dole.

Lura cewa a kowane lokaci ya kamata endocrinologist ya zaɓi kashi na insulin. Specialistwararren ƙwararren masani ne kaɗai zai iya yin wannan cikin sauri da kuma daidai. Yayinda gwaje-gwajen masu zaman kansu na iya haifar da mummunan sakamako.

A ƙarshen ƙarshen ciki ofarfin samar da kwayoyin hormonal contrainsulin ya sake raguwa, wanda ke tilasta raguwa a yawan insulin. Amma game da haihuwa, kusan ba shi yiwuwa a hango ko menene matakin glucose a cikin jini zai kasance, saboda haka ana aiwatar da iko da jini a kowane 'yan sa'o'i.

Sanadin cutar

Mellitus-non-insulin-da ke fama da cutar sikari na faruwa a cikin mata masu tsufa. Akwai dalilai da yawa da ke haifar da bayyanar:

• kiba
• mara kyau abinci (mafi yawan mafi sauki narkewa carbohydrates a rage cin abinci),
• rashin motsa jiki
• kwayoyin halittar jini.

Ciwon sukari na 2 wanda yake faruwa a gaban juna biyu kuma yana da alaƙa da fasalin rayuwar. Yawancin matan da ke fama da wannan cuta sun cika kiba. Sau da yawa, matsaloli a cikin irin waɗannan mata suna tasowa tun kafin ɗaukar yaro. Kiba shine ɗayan alamun cututtukan metabolism - yanayin da yiwuwar samun juna biyu da haihuwa shine babban tambaya.

Hanyoyin Ciwon Cutar Rana

Rashin ciwon insulin-wanda yake dogaro dashi ana nuna shi ta hanyar asarar jijiyoyin jikin mutum zuwa insulin. A wannan yanayin, ana samar da insulin na hormone a daidai gwargwado, ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa kaɗai ba su iya fahimtar hakan. A sakamakon haka, abun da ke cikin sukari na cikin jini yana tashi, wanda babu makawa yana haifar da ci gaba da yawaitar rikitarwa.

Hyperglycemia ba mai haɗari bane a cikin kanta, amma mummunan tasirin da yake da shi ga jikin mace mai ciki. Yawancin sukari yana haifar da vasospasm, wanda lalle ya shafi aikin dukkan mahimman gabobin. Mahaifa yana wahala kuma, wannan yana nuna cewa tayin ba shi samun isasshen abinci mai gina jiki da iskar oxygen. Aikin Renal bashi da illa, hauhawar jini da sauran matsalolin kiwon lafiya. Duk waɗannan yanayin sakamakon sukari ne na hawan jini kuma suna iya yin gyara kawai tare da rage raguwar glucose.

Cutar Ciwon Cutar 2

Kwayar cuta iri ɗaya ce ga kowane nau'in ciwon sukari.A cikin tsammanin jariri, waɗannan alamun ba za a iya furta su sosai ba har ma da sake haɗa kansu ƙarƙashin yanayin halayen mata masu ciki. Sau da yawa urination, kullun ƙishirwa da kuma tsananin jin yunwar alamomi ne na mata masu juna biyu kuma koyaushe ba alaƙa da alamomin cutar ci gaba.

Bayyananniyar nau'in ciwon sukari nau'in 2 sun dogara ne da girman tasirin rikicewar sa. Lokacin da lalacewar koda a cikin mata masu ciki suka bayyana kumburi a fuska da wata gabar jiki. Hada hannu vasospasm take kaiwa zuwa ga ci gaban hauhawar jini. Alkalumman hawan jini a cikin mata masu juna biyu na iya kaiwa Hg. kuma a sama, wanda yake matukar rashin sa'a ne ga yanayin tayin.

Ana amfani da ciwon sikari ta hanyar lalata daga jijiyoyin jijiyoyin na ciki da na baya. Akwai kumburi, tingling, rarrafewa da sauran alamun rashin lafiyar tsarin damuwa. Tare da tsawan lokaci na cutar, mata da yawa suna yin korafi game da ciwon kafa wanda yake wahala a cikin dare.

Daya daga cikin bayyanannen alamun bayyanar cututtuka shine lalacewar ruwan tabarau (cataract) da retina (retinopathy). Tare da waɗannan cututtukan, hangen nesa yana raguwa, har ma da ƙwararrun likitocin laser ba koyaushe ba zasu iya gyara yanayin. Lalacewar cututtukan mahaifa shine ɗayan alamu ga ɓangaren caesarean.

Cutar sankarau da ke fama da cutar rashin insulin

Ana aiwatar da ƙayyadaddun matakan glucose a cikin mata masu ciki sau biyu: a farkon bayyanar kuma har tsawon makonni 30. Ga iyaye mata masu fama da ciwon sukari, ana bada shawarar saka idanu akai akai na sukari na jini tare da mitar glucose na jini. Wannan na'urar tana ba ku damar koyaushe game da adadin yawan glucose kuma yana sa ya yiwu a canza abincin ku dangane da sakamakon.

Yawancin matan da basu da insulin-da ke fama da ciwon sukari suna sane da cutarwar su kafin suyi juna biyu. Idan an fara gano cutar a lokacin daukar ciki, ana buƙatar gwajin haƙuri mai sauƙi a cikin haƙuri. Wannan hanyar tana ba ku damar gano yawan sukari da ke cikin jini a cikin komai a ciki da sa'o'i biyu bayan cin abinci da kuma gano daidai cutar.

Sakamakon nau'in ciwon sukari na 2 akan ciki

Cututturar da ba ta da insulin-da-kwayar cutar ana daukar ta daya daga cikin manyan cututtuka yayin daukar ciki. Wannan yanayin yana haifar da ci gaba da rikitarwa masu yawa masu haɗari:

• kakkaria
• karancin karancin jini,
• hana tashin zuciya
• polyhydramnios
• bazata,
• haihuwa.

Mafi rikitarwa rikicewar ciki shine gestosis. Wannan takamaiman cutar tana tasowa da wuri, kuma tuni a cikin makonni 22 zuwa 24 yana sa kansa jin kansa ta hanji da kumburi a cikin jini. A nan gaba, kodan suna cikin tsari, wanda a biyun kawai yana cutar da yanayin mahaifiyar da ke gaba. Gestosis tare da ciwon sukari shine ɗayan musabbabin sanadin haihuwa ko nakasar ƙwaƙwalwar ƙwayar cuta kafin farawa.

2/3 na mata masu fama da ciwon sukari na 2 suna haɓaka polyhydramnios yayin daukar ciki. Wuce hadadden ruwan dake haifar da gaskiyar cewa yaro ya mamaye wani matsayi ko kuma jujjuyawar mahaifa. A cikin ciki daga baya, wannan yanayin na iya buƙatar sashin caesarean. 'Yancin kai mai zaman kanta a inda bai dace ba dan tayi tayi barazanar cutarwa ga mace da yaro.

Ciwon sukari mellitus shima yana shafar yanayin tayin, yana haifar da ci gaban manyan matsaloli:

• mai fama da ciwon sukari
• hypoxia na koda
• jinkiri na ci gaban mahaifa,
• mutuwar tayin.

Haihuwar yara a cikin mata masu fama da ciwon sukari na 2

Amincewa da duk shawarwarin likita da kyakkyawan iko da sukari na jini, yana yiwuwa a haifi yaro ta hanyar hanyar haihuwa. Don haihuwar macen da ke fama da cutar sankara yakamata a kasance cikin wani asibiti na musamman. Idan wannan ba zai yiwu ba, kuna buƙatar neman goyon bayan ƙwararren masani na endocrinologist wanda zai iya taimakawa sauyawa cikin sukari a cikin yankin na ƙasa.

Ana yin sashin Caesarean a cikin waɗannan halaye masu zuwa:

• 'ya'yan itace nauyi fiye da 4 kilogiram,
• mai tsanani gestosis ko eclampsia,
• tsananin hypoxia,
• hana tashin zuciya
• mummunan lalacewar koda
• rashin iya sarrafa glucose sosai.

Bayan ta haihu, bukatar insulin ta mace ta ragu sosai. A wannan lokacin, endocrinologist dole ne daidaita sabon sashi na miyagun ƙwayoyi kuma ya ba mace shawarwari don rage yanayin. Dangane da kyautatawar mace da jaririnta, shayar da jarirai nonon uwa.