Haihuwar yara da ciki tare da nau'in cutar sankarar mellitus I da II

Ciwon sukari a lokacin daukar ciki na iya ci gaba idan aka samar da insulin (wani kwayar cutar hanji ta hanji) cikin wadataccen abinci.

A lokaci guda, jikin matar yana buƙatar yin aiki don biyu don samar da insulin ga kanta da yaro. Idan aikin pancreas bai isa ba, to ba a tsara matakin sukari na jini kuma yana iya tashi sama da al'ada. A wannan yanayin, suna magana ne game da ciwon sukari na mellitus na mata masu juna biyu.

Idan likitoci za su iya yin gwaji a cikin lokaci, to ƙarin sukari ba zai yi tasiri ba a tayin da jikin matar da kanta. Sabili da haka, a farkon tuhuma game da ci gaban wata cuta ta kowane nau'i, ya zama dole a bi duk shawarar likitan. A matsayinka na mai mulkin, bayan haihuwar yaro, irin wannan ciwon sukari ya ɓace. Kodayake a lokaci guda, rabin uwaye masu juna biyu suna cikin haɗarin sake fuskantar wannan matsala a cikin masu juna biyu masu zuwa.

Cutar Cutar Cutar Ciki

Ciwon sukari na ciki da na ciki, wannan matsalar na iya farawa ne daga tsawon makonni 16 zuwa 20. Wannan ba zai iya faruwa ba, saboda ba a samar da mahaifa gaba ɗaya ba. A rabi na biyu na ciki, mahaifa ya fara samar da lactogen da estriol.

Babban manufar wadannan kwayoyin halittar shine bayar da tasu gudummawa ga ingantacciyar ci gaban tayin, wanda bazai shafi haihuwa ba, amma kuma suna da tasirin anti-insulin. A daidai wannan lokacin, matakin homon da ke taimakawa ci gaban nau'in ciwon sukari na 2 (cortisol, estrogens, progesterone) a jikin mace yana ƙaruwa.

Duk wannan yana haɗuwa da gaskiyar cewa mata masu juna biyu galibi ba su zama masu aiki kamar dā ba, suna motsa ƙasa, fara cutar da abinci mai kalori mai yawa, nauyinsu yana ƙaruwa da sauri, wanda zai ɗan tsangwama tare da gwarzo na al'ada.

Duk waɗannan abubuwan suna haifar da haɓakar insulin. Wato, insulin ya daina yin tasirinsa, matakin glucose din a cikin jini baya sarrafa shi. A cikin mutane masu koshin lafiya, ana rama wannan lokacin don samun isasshen kayan insulin nasu. Amma, abin takaici, ba duk matayen ba ne ke iya hana ci gaba da cutar.

Alamomin gargaɗin masu zuwa suna nuna nau'in ciwon sukari na 2 a cikin mata masu ciki:

1. - urgearin kumburin urinate da kuma yawan fitsari a kullum,
2. - yawan jin ƙishirwa
3. - nauyi asara saboda rashin ci,
4. - kara yawan gajiya.

Yawancin lokaci ba a ba da waɗannan bayyanar cututtuka saboda kulawa, kuma an bayyana wannan yanayin ta hanyar ciki kanta. Sabili da haka, likitoci, a matsayin mai mulkin, basu san canje-canje da suka fara ba. Amma yana da mahimmanci a tuna cewa babban sukari yana cike da mummunan sakamako, gami da:

• - ci gaban gestosis (hawan jini ya tashi, kumburi ya bayyana, ana samun furotin a cikin fitsari),
• - polyhydramnios,
• - rikice-rikice a cikin tasoshin (retinopathy, nephropathy, neuropathy),
• - take hakkin yaduwar jini a cikin mahaifar sarkar - mahaifa - tayi, wanda hakan ke haifar da karancin rashin haihuwa a ciki da kuma - hypoxia,
• - mutuwar tayi a cikin mahaifar,
• - fashewar cututtukan cututtukan ƙwayar cuta.

Menene haɗarin nau'in 1 da nau'in ciwon sukari na 2 ga tayi?

Cutar sankarar mahaifa da ciki suna da haɗari saboda tare da cutar akwai yuwuwar cutar tayi. Wannan sakamako ne saboda gaskiyar cewa yaro ya ci glucose daga mahaifiya, amma bai sami isasshen insulin ba, kuma ƙwaƙwalwar sa har yanzu ba ta bunkasa ba.

Matsayi na kullum na rashin lafiyar jiki yana haifar da rashin ƙarfi, a sakamakon haka, gabobin da tsarin jariri ba su haɓaka ba daidai ba. A cikin kashi biyu na biyu, tayin ya fara nuna kansa, wanda dole ne ya yi amfani da glucose ba kawai a jikin yarinyar ba, har ma don daidaita matsayin sukari a cikin mahaifiyar da ke zuwa.

A sakamakon wannan, ana samar da insulin a cikin adadi mai yawa, wanda ke haifar da hyperinsulinemia. Wannan tsari na iya haifar da ciwon sikila a cikin jariri (saboda cutar da mahaifar tayi amfani da ita don aiki biyu), gazawar numfashi da kuma asfashin ruwa. Dukansu manya da ƙanƙan sukari suna da haɗari ga tayin.

Maimaitawa akai-akai na hypoglycemia na iya rushe ci gaban ƙwayar jijiyoyin yara. Idan ba a rama nau'in 1 na ciwon sukari a cikin mata masu ciki a cikin watanni biyu na biyu ba, wannan na iya haifar da raguwar sel mahaifa, hypoinsulinemia, kuma a sakamakon haka, haɓakar ƙwayar cikin mahaifa zai hana.

Idan akwai glucose mai yawa a jikin ɗan da ba a haife shi ba, to a hankali zai juye zuwa mai. Irin waɗannan yara a lokacin haihuwa suna iya nauyin 5-6 kilogiram kuma lokacin da suke motsawa ta hanyar canjin haihuwa, za a iya lalata humerus ɗin su, da sauran raunin da ya faru. A lokaci guda, duk da babban nauyi da tsayi, irin waɗannan yara likitoci suna ƙididdige su kamar yadda wasu alamu suka nuna.

Bayyanar ciwon sukari a cikin mata masu juna biyu

Matan da ke da juna biyu suna da halin ƙara yawan sukarin jini bayan sun ci abinci. Wannan shi ne saboda hanzarin karɓar carbohydrates da tsawaita abinci. Tushen wadannan matakai aiki ne na raguwa na tsarin narkewa.

A farkon ziyarar zuwa asibitin dabbobi, likitan ya yanke shawarar ko matar da take da juna biyu na cikin hadarin kamuwa da cutar sankarar mahaifa. Kowane mace da ke da dalilai masu haɗari ana gwada su don haƙurin glucose. Idan sakamakon ya kasance mara kyau, to, ana gudanar da aikin kula da juna biyu kamar yadda aka saba, kuma ya kamata mai haƙuri ya fara yin gwaji na biyu a sati 24-28.

Sakamakon tabbatacce ya tilasta wa likita ya jagoranci mace mai ciki, wanda aka ba shi maganin ta hanyar kamuwa da cutar sukari na kowane irin nau'in. Idan ba a gano abubuwan haɗari ba a farkon ziyarar, to, ana shirya gwajin haƙuri na glucose don makonni 24 zuwa 28. Wannan binciken yana ɗaukar bayanai da yawa, kodayake yana da sauƙi. A daren da ya gabata, mace za ta iya cin abinci tare da abin da ke cikin carbohydrate na 30-50 g. Ana yin gwajin ne da safe, lokacin da lokacin azumin dare ya kai awo 8-14.

A wannan lokacin, shan ruwa kawai. Da safe a kan komai a ciki ku ɗauki jini mai ɓarna don bincike kuma nan da nan ƙayyade matakin sukari. Idan sakamakon ya kasance halayyar kamuwa da cutar sankarar mahaifa, to gwaji ya tsaya. Idan glycemia al'ada ce ko kuma ta lalace a kan komai a ciki, to, ana bai wa matar abin sha da ke kunshe da gram gram biyar da kuma ruwa na milimita 250 na mintuna biyar. Ganyen shaye shine farkon gwaji. Bayan awanni 2, ana sake yin gwajin jini na venous, a wannan lokacin matakan glucose din bai wuce mm 7.8 mmol / lita ba.

Idan samfurin jini ya tantance glycemia mafi girma daga 11,1 mmol / lita a cikin tasoshin ƙwaƙwalwar ƙwaƙwalwa (daga yatsa) ko cikin jini mai ɓacin rai a duk tsawon rana, wannan shine tushen bayyanar cutar sankara na cutar mahaifa kuma baya buƙatar ƙarin tabbatarwa. Haka za'a iya faɗi don azumin glycemia na fiye da 7 mmol / lita a cikin jinin venous kuma fiye da 6 mmol / lita a cikin jini da aka samu daga yatsa.

Matakan lura domin masu dauke da cutar siga masu juna biyu

Mafi yawan lokuta ana biyan diyya ga masu cutar sikari ta hanyar bin abinci. Amma a lokaci guda, darajar makamashi ba zai iya raguwa sosai ba. Zai ci daidai sau da yawa kuma a cikin karamin rabo, sau biyar zuwa shida a rana, yana yin abun ciye-ciye tsakanin karin kumallo, abincin rana da abincin dare.

Abincin yakamata yakamata ya ƙunshi carbohydrates masu sauƙin narkewa (Sweets, pastries), saboda suna haifar da hauhawar hauhawar sukari jini. Hakanan wajibi ne don rage yawan abinci mai mai (man shanu, cream, nama mai), saboda tare da rashin insulin, ana canza kitse zuwa jikin ketone, yana haifar da maye gawar. Tabbatar hadawa a cikin abinci sabo 'ya'yan itaciya (ban da ayaba, innabi da kankana), ganye da kayan lambu.

Yana da kyau sosai idan mace tana da sinadari a cikin gida, kuma zata iya auna matakin glucose din kanta. A wannan yanayin, ana iya daidaita adadin insulin da kansa gwargwadon yawan taro na sukari na wani lokaci. Idan, bin tsarin abinci, raguwar sukari na jini bai faru ba, to likitoci suna ba da izinin maganin insulin.

Kwayoyin don rage sukari a cikin irin waɗannan lokuta ba a amfani da su, saboda suna da mummunar tasiri ga tayin. Don zaɓar madaidaicin ƙwayar insulin, mace tana buƙatar asibiti a cikin sashin endocrinology. Kuma duk wannan za'a iya kaucewa idan an dauki matakan lokaci don hana cutar sankara.

Haihuwar yara a cikin nau'in 1 ciwon sukari

Idan mace ta kamu da cutar ciwon suga, to haihuwar za ta fi sati 38 ba zai fi kyau ba. Babban abu shine a sanya ido a kan yanayin mace mai ciki.

Yaron a cikin wannan yanayin kuma yana jure haihuwar ƙwaƙwalwa da kyau. Idan yayin daukar ciki mace ta kasance tare da insulin, to, endocrinologist bayan haihuwa zai yanke shawara ko ci gaba da amfani da waɗannan kwayoyi ko a'a. Dole ne a ci gaba da sarrafa kwayar cutar a cikin bayan haihuwa.

Bangaren mahaifa, wanda zai maye gurbin haihuwa, ana yin shi ne kawai idan akwai alamun haihuwar ciki, irin su hypoxia da matsanancin ci gaba da tayi, da kuma girman girman jariri, kunkuntar pelvis na mahaifiyar, ko wata rikice-rikice.

Aka haifi jariri

Babban abin mamakin da uwa zata iya yiwa jaririnta bayan haihuwa ta wuce shine shayar da shi. Madarar nono ta ƙunshi dukkanin abubuwan gina jiki da suke buƙata wanda zai taimaka wa yaro girma da haɓaka, samar da rigakafi. Hakanan mahaifiya zata iya amfani da nono don ƙarin sadarwa tare da jariri. Sabili da haka, kuna buƙatar yin ƙoƙarin kula da shayarwa da ciyar da jariri tare da madara mai tsayi har tsawon lokaci.

Ya kamata likitan ilimin endocrinologist ya ba da shawarar allurar insulin, kazalika da tsarin abinci na tsawon lokacin shayarwa. A aikace, an lura cewa shayarwa na iya haifar da faduwa cikin matakan sukari (hawan jini). Don hana wannan faruwa, kafin ciyarwa, ya kamata mama ta sha gilashin madara.

Idan mace ta kamu da ciwon suga, to ba sai awanni 6 bayan haihuwa, yana da muhimmanci a dauki wani bincike sannan a tantance matakin glucose a cikin jini akan komai a ciki, haka kuma ayi gwajin haƙuri (juriya). Wannan yana ba ku damar kimanta yanayin metabolism na metabolism kuma, idan ya cancanta, gyara abincin.

Tun da akwai haɗarin ci gaba na ciwan sukari na 2, mace bayan haihuwa tana buƙatar yin nazari tsawon shekaru. Sau ɗaya a cikin shekaru 2 - 3 kuna buƙatar gudanar da gwajin haƙuri kuma kuyi nazari game da sukari mai azumi. Idan an gano cin zarafin haƙuri, to ya kamata ayi jarrabawar kowace shekara. Za'a iya tsara ciki na gaba cikin shekara guda da rabi kuma a tabbatar cewa a hankali a shirya wa juna biyu.

Ayyukan Ci gaban Ciwon Cutar Cutar na Ciki

Wajibi ne a bar amfani da sukari mai tsafta, a ware abinci mai gishiri da mai. Tabbatar hada fiber a cikin hanyar bran, microcellulose, pectin a menu. Kuna buƙatar motsawa da yawa, kowace rana akalla sa'o'i 2 don yin tafiya a cikin tsararren iska. Idan wani daga dangi na kusa ya kamu da ciwon sukari ko kuma idan matar ta kusan shekara 40, to sau biyu a shekara kana buƙatar auna glucose 2 sa'o'i bayan cin abinci.

Ka'idar sukari na jini a cikin mata masu ciki da aka karɓa daga yatsa (capillary) daga 4 zuwa 5,2 mmol / lita a kan komai a ciki kuma ba ya haɓaka 6.7 mm / lita biyu sa'a bayan cin abinci.

Abubuwan da ke tattare da hadarin kamuwa da cutar sankara:

• - mace mai ciki mai shekaru 40,
• - dangi na kusa suna da ciwon suga. Idan daya daga cikin iyayen yana fama da cutar, to, sai a ninka hadarin sau biyu, idan duka biyu ba su da lafiya - sau uku,
• - mace na cikin jinsin da ba farare ba,
• - BMI (jigon jikin mutum) kafin daukar ciki ya wuce 25,
• - nauyin jikin mutum yana ƙaruwa akan asalin da ya wuce kima,
• - shan taba
• - nauyin da aka haifa a baya ya wuce kilogiram 4,5,
• - ciki ya ƙare cikin mutuwar tayi saboda wasu dalilai da ba a san su ba.

Abincin don ciwon sukari na 2

Kamar yadda jita-jita ta farko, kayan lambu, kiwo da kuma kifin kifi sun dace. Kabeji miya da borsch za'a iya cin ganyayyaki kawai ko kuma akan rauni mai rauni.

Darussan na biyu - kaza, kifi mai ƙoshin mai, rago da naman mara mai ƙanƙan da kai. Kayan lambu sun dace da kowane kuma a cikin kowane adadi.

Tabbatar yin amfani da samfuran madara mai narkewa (kefir, kirim mai tsami, yogurt, cuku gida).

A matsayin masu cin abincin, zaku iya amfani da kifin dafaffen ko jellied, naman mara mai ƙoshin mai, manna da aka yi a gida ba tare da ƙari na mai, blue cuku ko cuku Adyghe ba.

Daga cikin abubuwan sha, zaka iya sha shayi tare da madara, ruwa mai ma'adinin, jiko na rosehip.

Gurasar ya zama mai ciwon sukari daga gari mai hatsin rai. 'Ya'yan itãcen marmari da berries da kuma jelly akan saccharin sun dace da Sweets.