A cikin marasa lafiya da ciwon sukari, ana amfani da duk hanyoyin da ake amfani da su. Za'a iya amfani da dacewa a cikin girman. Navydauke da jan karfe. Kada ku bar "eriya" na IUD rataye daga cikin mahaifa, saboda zasu iya zama masu ɗaukar kamuwa da cuta. IUDs a cikin marasa lafiya masu ciwon sukari suna haifar da rikicewa ba sau da yawa ba a cikin mata masu lafiya.

Za'a iya amfani da shirye-shiryen rigakafin ƙwaƙwalwar ƙwayar cuta, da ake kira COCs (hada magungunan hana baki), kuma yana da kyau kuyi amfani da ƙananan ƙananan matakan uku. Wasu lokuta, a wannan yanayin, wajibi ne don ƙara yawan adadin insulin da aka gudanar. A cikin marasa lafiya tare daBai kamata a yi amfani da kwayoyin cuta na cututtukan cututtukan zuciya ba, kwayoyin hana daukar ciki ba.Lokacin da GDMɓacewa bayan haihuwar jarirai ana iya amfani da shi progestins (mata, karin magana, da sauransu).

Ba a cire aikace-aikace ba hanyoyin hana haifuwakazalika haifuwa, wanda za'a iya yin shi tare da isar da tiyata ko laparoscopically ba a ƙarshen makonni 6-8 ba. bayan haihuwa.

4.3. Horar da kai don kulawa da mata masu juna biyu da masu cutar siga

Wajibi ne a tattauna tare da mai haƙuri da abokin tarayya game da alamun cutar glycemia yayin daukar ciki, rawar saka idanu da bincike na yau da kullun na HbA1c, haɗarin uwa da ɗa. Yakamata a karfafa musu gwiwa sosai kan zuwa makarantar Fiye da ciki, koda mace tayi kwanannan ta halarci makaranta ga masu dauke da cutar siga. A lokacin daukar ciki, canje-canje a jikin mace koyaushe yana faruwa, yana buƙatar takamaiman ilimin da ake buƙata don sassauya ga dukkan alamu na cutar, tunda babban haɗarin haɗari ga duk rikice-rikice na ciki ba tsawon lokacin ciwon sukari bane, da kuma ingancin diyyarsa daga haihuwa zuwa haihuwa. Ma'aurata na iya ba da taimako kai tsaye a cikin riƙe da natsuwa na lada ga masu ciwon sukari, don haka ana bada shawarar haɗin kai.

Trainingari da horarwar akida, ya zama dole a duba dabarar sarrafa kai, haƙuri da glucometer, kimanta yadda mai haƙuri ya ƙware ƙwararren maganin insulin, kuma duba fasahar don ɗaukarwa da sarrafa insulin. Hakanan lallai ne a yi magana game da hanyoyin zamani na gudanar da insulin: wani sirinji - alkalami, allurar insulin (sabo tare da ƙwaƙwalwar ginanniyar), famfunan insulin (medtronic). Yakamata a magance matsalar kudi matsalar. Yin maimaita yau da kullun na glycemia, acetonuria, ƙarin gwaji a cikin mata masu juna biyu da masu ciwon sukari suna buƙatar wasu farashi na kayan, waɗanda kuma suna buƙatar yin la'akari yayin shirya ciki (Table 2).

Tsarin Intrauterine.

Na'urar intrauterine (IUD) wani tsari ne na intrauterine, karamin na'ura ce da aka yi da filastik tare da jan karfe wanda ke hana motsi cikin maniyyi shiga mahaifa, yana hana kwai da maniyyi haduwa, haka kuma yana hana kwai hadi daga daura bangon mahaifa. A cewar kididdigar, mata 1 cikin 100 da suke da wannan hanyar ta hana juna biyu ciki. Harshen hormone progesterone daga wannan tsarin an saki shi a hankali, amma kullun, yana ba da gudummawa ga bakin ciki na farfajiyar ciki na bangon igiyar ciki (endometrium), wanda ke hana kwai hadi daga kasancewa tare da bangon igiyar ciki, haka nan kuma yana sa jijiyoyin mahaifa (wannan yana sa ya zama da wahala ga maniyyi ya shiga cikin kogon mahaifa, inda suke iya hadi da kwai). Fa'idodin wannan hanyar sune ingantaccen maganin hana haihuwa, kasancewar rashin buƙatar ci na yau da kullun, kamar yadda ya ke a kan allunan. An saita karkace don shekaru 5. Rashin daidaituwa shine haɗarin matsaloli kamar kamuwa da cuta, kazalika da ƙarin wadataccen lokaci da raɗaɗi. IUDs galibi an kafa su ne ga matan da suka haihu. Bayanan data kasance suna nuna irin waɗannan alamu don shigar da na'urar ta intrauterine kamar ta mata ba tare da ciwon sukari ba. Wannan hanyar a hankali a hankali tana shawo kan kulawar masu cutar siga.

Kwayoyin hana haihuwa na ciki.

An shigar da abun cikin karkashin kasa, kuma ana samun tasirin sa ta hanyar dakatar da kwai (fitawar kwai daga cikin kwai). Lokacin amfani da shi, mace 1 cikin 100 na iya daukar ciki. An shigar dashi ta amfani da maganin sa barci na shekara 3. Fa'idodin suna bayyane - ingantaccen aiki, shigarwa sau ɗaya don shekaru 3. Rashin kyau shine yiwuwar tabo da ƙananan sakamako masu illa waɗanda galibi suna faruwa a cikin 'yan watanni na farko.

Abubuwan da ke cikin subcutaneous suma sunada aminci ga mutanen da suke da ciwon sukari. Dangane da bincike, waɗannan magungunan ba su shafi matakin cutar haemoglobin ba kuma ba su ba da gudummawa ga ci gaban cututtukan ciwon sukari ba. Babban dalilinda yasa aka watsar dasu shine, tabo lokaci-lokaci.

Zuwa hana haihuwa sun hada da hana daukar ciki na baki da na hana haihuwa. Waɗannan sune magungunan hana gama-gari. Koyaya, shekara 1 bayan fara amfani da hanyar, kawai kaso 68% na mata suna ci gaba da ci gaba a gaba, saboda ya kamata a ɗauki allunan a kullun, faci suna canzawa a mako, kuma suna ringi kowane wata. A gaban nau'in 1 na ciwon sukari na mellitus ba tare da rikitarwa na jijiyoyin jiki ba, fa'idodin wannan jiyya sun fi haɗarin ta.

Maganin hana baki (na baka) maganin hana haihuwa ko kwayoyin hana daukar ciki.

Wannan ɗayan manyan hanyoyin hana haihuwa ne. Akwai ƙungiyoyi da yawa na kwayoyin hana daukar ciki: hade magunguna (yana dauke da kwayoyin 2 - estrogen da progesterone) kuma kawai progesterone - dauke da kwayoyi. Da farko dai, waɗannan kwayoyin halittun suna aiki a kan ƙwayoyin kwayoyi, suna toshe mafitar ƙwai (ovulation yana tsayawa). Bugu da kari, wadannan kwayoyin suna sa mucus na mahaifa yayi kauri, suna yin bakin ciki na endometrium, wanda ke hana hadewar kwai da ke cikin mahaifa. Mun tattauna kowane ɗayan ƙungiyoyin.

Nazarin cututtukan dabbobi sun nuna cewa shan hade da maganin hana haihuwa hade da ƙara haɗarin cutar jijiyoyin jiki. Tabbas, shan waɗannan kwayoyi na iya taka rawa cikin rikicewar cututtukan jijiyoyin bugun ƙwaƙwalwar ƙwayar cuta. Bugu da kari, kafin wa’adin su, ya zama dole don kimanta alamomin tsarin hadin gwiwa na jini, tunda hadarin ƙirƙirar ƙwanƙwasa jini (ƙwanƙwasa jini) yana ƙaruwa.

Don haka, wadannan kwayoyin hana daukar ciki suna dacewa idan kun kasance shekaru 35 da haihuwa kuma baku da rikitarwa na jijiyoyin jiki da abubuwan haɗari kamar hauhawar jijiya, kiba, shan sigari da kasancewar ƙwayar cutar sankara a baya.

Hada magungunan rigakafi na baki, idan aka dauki su a manyan allurai, suna shafar bukatar insulin, da kara shi, kuma a kananan allurai wannan tasirin yana da karanci.

A cewar kididdigar, 1 cikin mata 100 da suke samun wadannan kwayoyin a kai a kai suna masu juna biyu. Abubuwan da suke amfana da su shine inganci mai kyau, ƙananan adadin sakamako masu illa, kuma ana amfani dasu don lokutan raɗaɗi da nauyi. Kuma raunin da ke tattare da haɗari shine matsakaiciyar haɗari na rikicewar jini (ƙwanƙwasa jini), buƙatar buƙatar shigar da kullun ba tare da gibba ba, contraindications na wasu cututtuka.

Magungunan da ke tattare da Progesterone.

Shirye-shiryen da ke kunshe da kawai progesterone ko karamin abin sha (wato, “ƙaramin allunan”) sun dace sosai ga mata masu fama da ciwon sukari na 1, saboda ba su shafar ikon kula da ciwon sukari ko kuma haɗarin ciwan masu ciwon sukari. A cewar kididdigar, 1 cikin mata 100 da suke samun wadannan kwayoyin a kai a kai suna masu juna biyu. Rashin kyau na wannan hanyar hana haihuwa shine irin waɗannan halayen rashin daidaituwa na lokacin haila da gaskiyar cewa dole ne a ɗauka lokacin da aka ƙayyade daidai. Suna aiki saboda tasirin ƙima a cikin hanji na mahaifa, thinning na cikin mucosa, da kuma toshe ovulation. Bugu da kari, wadannan magungunan ana yawan amfani da su ta hanyar laantar da mata, mata masu shekaru 35, da masu shan sigari.

Dole ne kuyi amfani da su gwargwadon ƙa'idodin karɓa don garantin kariya daga daukar ciki. Abubuwan da suka fi haifar da lalacewar hana haihuwa yayin shan kwayoyin hana haihuwa shine yawan tsallakewa, shan magunguna, ko yanayin da ke tasiri tasirin aikin (kamar shan maganin rigakafi, amai, ko zawo).

Facin maganin hana haihuwa

Wani nau'in maganin hana haihuwa wanda ya kunshi isrogen da progesterone. Wannan facin yana haɗe da fata. Amfanin wannan nau'in shine sauƙin amfani, ingantaccen aiki, har ma da sauƙi da ƙasa da rauni. Rashin kyau shine ƙuntatawa ga amfanin wani rukuni na mutane. Ba'a ba da shawarar ga matan da suka haura shekaru 35, masu shan sigari, haka nan kuma mata masu nauyin sama da kilo 90, tunda ƙarancin hormones na iya zama bai isa ya hana daukar ciki ba.

Zuwa hanyoyin da ba na hormonal ba sun hada da kwaroron roba, diaphragms, spermicidal gels, hanyar hana daukar ciki ta dabi'a. Idan har mace ba ta sake yin shawarar yara, hanyar haifuwa tana yiwuwa.

Hanyoyin shamaki.

Waɗannan sun haɗa da kwaroron roba (namiji, mace), diaphragms. Suna hana maniyyi shiga mahaifa. Ingancinsu yayi kadan. Lokacin amfani da kwaroron roba na maza, cikin mata 2 cikin 100 na iya zama masu juna biyu. Abvantbuwan amfãni sune rashin haɗarin likita, kazalika sakamako masu illa. Kari akan haka, tuna cewa kwaroron roba na kiyaye kamuwa da cututtukan da ke ɗaukar jima'i. Rashin kyau shine rashin dogaro da hanyar, buƙatar amfani da shi kowane lokaci, da kuma yiwuwar keta mutuncin tsarin.

Daga ra'ayi na likita, hanyoyin shamaki sun dace sosai ga duk mata masu fama da ciwon sukari na 1 saboda ƙarancin sakamako masu illa da tasirin tasirin cutar kanjamau. Kwaroron roba, maniyyi da diaphragms sune hanyoyin hana ƙwayoyin juna idan anyi amfani dasu daidai da kuma ci gaba. Koyaya, tasiri na waɗannan hanyoyin ya dogara da sadaukar da ku ga wannan hanyar da amfani na yau da kullun. Suna da kyau ga matan da ba sa son shan magungunan hormonal waɗanda ke shirin yin juna biyu a cikin watanni 3-6 masu zuwa, kuma, a cikin mafi yawan lokuta, matan da ke ɗaukar ciki ta yin amfani da wasu hanyoyin kariya.

Kuma hakika, ga matan da basu da abokin tarayya na dindindin, yakamata a yi amfani da kwaroron roba don kare kai daga kamuwa da cututtukan jima'i. Wannan ita ce kawai hanyar hanawa na bayar da kariya daga wadannan cututtukan.

Lokacin zabar irin waɗannan hanyoyin, ya kamata ka sanar da likitanka game da hanyoyin rigakafin cutar ta gaggawa. Ana amfani da hanyoyin rigakafin gaggawa idan ba kwa son yin juna biyu: yayin jima'i ba tare da rigakafin juna ba, idan kwaroron roba ya lalace, idan kun rasa magungunan hana haihuwa, ko kuma kun sha maganin rigakafin rage ƙwayoyin hana haihuwa.

Ga matan da ba sa son yin juna biyu kuma, maganin tiyata shine wata mafita. Koyaya, hanyoyin da ke sama ba su da ƙima a cikin ingancin haifuwa kuma ba tiyata ba ne. Taron mace shine hanyar tiyatar haihuwa, wanda ya danganta da ƙirƙirar toshewar wucin gadi na bututun fallopian. Yana da dacewa a ɗauka yayin sashin cesarean. Yin amfani da mata wajen maye ba ya canza asalin haihuwar. Koyaushe zaka iya tattauna wannan batun tare da likitanka yayin aikin da aka tsara. Har ila yau, ana iya lalata maza - maganin jiyya, wani aikin tiyata wanda akan yi juji ko cire guntun vas deferens a cikin maza. Yana da dacewa idan kuna da abokin tarayya na yau da kullun.

Maganin Cutar Cutar ta Ciwon Mara

Matsayin kiwon lafiya na mace mai ciwon sukari

Injiniya, gida, tiyata

Marasa lafiya da ciwon sukari na 1 a cikin yanayin biyan diyya da subcompensation, ba tare da furta rikicewar jijiyoyin jiki

• Maganin hana-juna na hana ruwa na uku (OK) (Triquilar, Triziston, Mersey-Mersey)

• Maganin hana haihuwa na ciki

Marasa lafiya tare da ciwon sukari na 2 a cikin wani yanayi na rama da subcompensation

• -arancin ƙananan da aka haɗo da OK wanda ya ƙunshi 20-30 na microinyl estradiol (Logest, Mercilon, Novinet) • Progestogens na sababbin mutanen (Desogestrel, Norgestimat, Gestoden)

• Cutar ciki ta ciki (“na'urar ingin-bututun da ke dauke da tagulla wacce ba ta da tagulla (IUD)”)

Marasa lafiya tare da nau'in ciwon sukari na 2 tare da hypertrig-lyceridemia da aiki hanta mai rauni

• Zobba na ciki na ciki da ke dauke da kwayoyin kara kuzari

Marasa lafiya tare da nau'in 1 na ciwon sukari, a cikin lalata da / ko tare da matsanancin jijiyoyin bugun jini

• GUDD mai dauke da robar Gestagen • Na inji da sinadarai (douching, pastes)

Marasa lafiya tare da ciwon sukari na 1, tare da yara 2 ko fiye da / ko mummunar cutar da ke tattare da cutar

Abun Wuya na Cutar Sterilization

Masu fama da cutar sankara. Ana bada shawarar hanyoyin hana daukar ciki masu zuwa:

• progestogens (a cikin marasa lafiya da nau'in ciwon sukari na 1),

• Hanyar hana haihuwa.

Manuniya na sarrafa glycemic a cikin yara da matasa masu fama da ciwon sukari na 1 (ISPAD Conservation Gu>)

Hanyoyin halitta na hana haihuwa.

Wannan ya hada da katsewar jima'i da yin jima'i a 'ranakun' lafiya. Tabbas, ya kamata ku fahimci cewa waɗannan hanyoyin suna da ƙarancin inganci. Don ƙayyade kwanakin "lafiya", ya wajaba don lokutan 3-6 na yau da kullun ta amfani da alamomi kamar zafin jiki, zubar farjin da gwaje-gwaje na musamman don tantance ranar ovulation. Amfanin shine rashin halayen sakamako, ban da babban haɗarin ciki.

A ƙarshe, Ina so in lura cewa ya kamata haihuwa ta kasance ba kawai kyawawa ba, har ma da shirya, saboda haka ya zama dole a kusanci wannan batun sosai. A halin yanzu, akwai kasuwa mai fadi don hana daukar ciki, kuma, godiya ga wannan, zaku iya yin jima'i ba tare da tsoron samun juna biyu ba. Ya danganta da tsare-tsaren daukar ciki, abubuwan da kuke so, salon rayuwa, da kasancewar rikicewar ciwon sukari, ku da likitan ku za ku iya zaɓar ingantacciyar hanyar kariya a gare ku.