Ciki a cikin ciwon sukari: shin zai yiwu a haihu, yadda za a iya hana rikice-rikice?

A baya can, ciwon sukari ya kasance babban cikas ga sayen yara. Likitoci ba su ba da shawarar samun jariri ba, saboda an yi imani da cewa yaro ba zai gaji cutar ba kawai daga iyayensa, amma kuma tare da babban matakin yiwuwar za a haife shi tare da cututtukan.

Magungunan zamani suna kusanci da wannan batun ta wata hanya daban. A yau, ɗaukar ciki tare da ciwon sukari ana ɗauka wani abu ne na al'ada wanda ba ya tsoma baki tare da haihuwa. Shin akwai wata alaƙa tsakanin ciwon sukari da haihuwa? Dangane da bincike na likita da lura, yiwuwar yada cutar sankarau ga ɗan da ba a haifa ba.

Don haka, idan mahaifiyarsa ba ta da lafiya, damar isar da cutar ga tayin ya zama kashi biyu ne kawai. Masu ciwon sukari na iya samun yara masu ciwon sukari kuma a cikin maza. Amma idan mahaifin ba shi da lafiya, da alama yiwuwar watsar da cutar ta karu kuma kashi biyar cikin ɗari. Mafi muni idan an kamu da ciwon sukari a cikin iyayen biyu. A wannan yanayin, yuwuwar kamuwa da cutar ya kai kashi ashirin da biyar kuma wannan shine tushen dakatar da daukar ciki.

Koyarwar kai, tsananin kulawa da rubutattun likitan likita, sanya ido a kai a kai na glucose a cikin magudanar jini da kuma kulawar kwararru - duk wannan yana da tasiri ga yanayin al'ada da sakamako na daukar ciki.

Muhimmiyar mahimmanci shine sarrafa sukari a jikin mace mai ciki. Canje-canje a cikin wannan nuna alama na iya zama mara kyau a hankali ba kawai ga mahaifiyar ba, har ma a tayin.

Kwayoyin uwa da jariri a lokacin haihuwa suna da alaƙa da juna. Tare da haɓaka matakin glucose a jikin matar, adadin sukari mai yawa yana shiga tayin. Dangane da haka, tare da karancinsa, tayin na jin saukar jini. Ganin mahimmancin sukari a cikin haɓaka da aiki na yau da kullun na jikin mutum, irin wannan yanayin na iya haifar da bayyanar cututtukan cututtukan da ke da alaƙa da haɓakar haɓakar tayi.

Sannu-sannu sannu a cikin sukari sun fi haɗari, saboda suna iya tsokano ɓarna. Hakanan yana da kyau a la'akari da gaskiyar cewa yawan glucose mai yawa yana faruwa a cikin jikin yaron, wanda ke haifar da haifar da ɗimbin kitse. Wannan yana kara nauyin jariri, wanda zai iya cutar da tsarin haihuwar yara (lokacin haihuwa zai zama mai rikitarwa, tayin na iya samun rauni sosai yayin barin mahaifa).

A wasu halayen, jarirai na iya fuskantar rage yawan glucose matakan jini. Wannan ya faru ne saboda fasalolin haɓakar intrauterine. Cutar ƙwayar yara, wanda ke samar da insulin, ana tilastawa ta sake shi da yawa saboda yawan sukari daga jikin mahaifiyar. Bayan haihuwa, mai nuna halin al'ada, amma ana samar da insulin a cikin adadin.

Don haka, duk da cewa ciwon sukari a yau ba shine cikas ga samun ɗa ba, mata masu juna biyu dole ne su tsaftace matakan glucose na jini don magance matsaloli. Canje-canje na bazata na iya haifar da ashara.

Contraindications zuwa uwa

Duk da nasarorin da magungunan zamani suka samu, a wasu yanayi, likitoci sun bada shawarar zubar da ciki.

Haƙiƙa ita ce cutar sankarau cuta ce ga jikin mutum. Yana fitar da nauyi mai yawa a jikin gabobinsa da tsarin sa, wanda yake karuwa sosai da farawar ciki. Irin wannan halin na iya yin barazanar ba kawai tayin ba, har ma da lafiyar mahaifiyar.

Yau ba a ba da shawarar ga mata suyi juna biyu ba, idan suna da:

• cututtukan insulin-da ke fama da cutar sikari wanda ke nuna cutar ketoacidosis,
• aiki tarin fuka
• rikici na rhesus
• cututtukan zuciya da jijiyoyin jini
• cutar koda (rashin lafiyar koda)
• gastroenteropathy (a cikin nau'i mai tsanani).

Gano cutar sankarau a cikin iyayen biyu, kamar yadda muka ambata a sama, shima contraindication ne. Amma yanke shawara don dakatar da ciki za a iya yin hakan bayan tattaunawa tare da ƙwararrun ƙwararrun likitanci (endocrinologist, likitan mata, da sauransu). Shin masu ciwon sukari suna da yara masu wannan rikice-rikice? A cikin aikin likita, akwai isasshen misalai na yadda iyaye marasa lafiya suka haifi cikakkiyar lafiyayyun yara. Amma wani lokacin hadarin ga mahaifiya da tayin yana da girma don ceton jariri.

A kowane hali, ciki ya kamata tare da masu ciwon sukari ya kamata a shirya, ba na wani lokaci ba. Bayan haka, ya zama dole a fara shirya shi tsawon watanni uku zuwa shida kafin a yi niyyar. A wannan lokacin, ya kamata mace ta sanya ido a cikin glucose a cikin zubin jini, ta ki shan wasu magunguna da ginin multivitamin. A wannan lokacin, yana da kyau ku nemi kwararrun kwararru waɗanda zasu sa ido kan cigaban ciki.

Kari akan haka, mace tana bukatar yin tunani game da ilimin halin dan Adam don yin ciki da kuma tsarin haihuwa. Tare da babban matakin yiwuwar za su yi nauyi. Sau da yawa, kwararru suna zuwa sashin cesarean. Dole ne ku kasance a shirye don gaskiyar cewa lokaci mai yawa za a kashe a asibiti.

Ciwon ciki

Matan da ke da juna biyu suna fuskantar cutar suga ta mahaifa. Ba a ɗauki wannan sabon abu cuta ba. A cewar kididdigar, irin wannan matsalar tana faruwa a kusan kashi biyar na mata masu lafiya waɗanda ke ɗauke da yaro. Wato, ciwon sukari na cikin mahaifa na iya faruwa har a cikin mutumin da bai taɓa shan wahala daga ciwon suga ba. Yawanci, wannan sabon abu yana faruwa a mako na ashirin.

Wannan sakamako ne na ɗan lokaci wanda zai iya faruwa ne kawai lokacin daukar ciki. A karshenta, karkacewar za ta shuxe. Koyaya, idan mace ta yanke shawarar haihuwa ga ƙarin yara, matsalar na iya dawowa.

Wannan sabon abu yana buƙatar ƙarin nazari, tunda har yanzu ba a fahimci tsarin abin da ya faru ba. An sani cewa irin wannan cutar sankarau ana haifar da su ne ta hanyar canje-canjen yanayi. Jikin mace mai ciki yana samar da ƙarin kwayoyin halittun, saboda suna da mahimmanci don haɓakar ci gaban jariri a cikin mahaifar. A wasu yanayi, kwayoyin halittar jiki suna shafar tsarin samar da insulin, yana toshewar fitowar sa. A sakamakon haka, matakin glucose a cikin jinin mace mai ciki ya tashi.

Domin haihuwar da ke da cutar suga ta yi kyau, kuna buƙatar ganin likita akan lokaci. Don yin wannan, ya kamata ku san abin da alamun cutar ke nuna ci gabanta. Alamomin GDM masu zuwa an rarrabe su:

• urination akai-akai,
• itching, busassun fata,
• furunlera,
• karuwar ci, tare da raguwa a jiki.

Idan an gano waɗannan alamun cutar, ya kamata ku hanzarta tuntuɓi ƙwararren likita wanda ke kula da cikin.

Ciki

A wannan lokacin, yakamata mace ta kasance karkashin kulawar likita. Wannan ba ya nuna cewa tana buƙatar zama a asibiti. Kuna buƙatar kawai ziyarci kwararru koyaushe kuma ku kula da matakin glucose a hankali. Cutar ciki da haihuwa yayin kamuwa da cutar sankarar mahaifa I da II suna da halayen nasu.

Ayyuka da dabi'un mahaifiyar yarinyar sun dogara ne akan kalmar:

1. Na farko watanni uku. Da farko, ya zama dole don rage matakan insulin. Ana yin wannan na musamman a ƙarƙashin kulawar likitanka. Tunda samuwar gabobin haihuwa su fara a wannan lokacin, lallai ne macen ta kan sanya sukari akai-akai. Dole ne ku bi adadin tara. An haramta yin amfani da kowane Sweets mai kauri. Jimlar adadin kuzari na abincin da aka cinye lokacin rana kada ya wuce 2500 kcal. Don guje wa ci gaban ci gaba da rikice-rikice da cututtuka, mace mai ciki ya kamata ta sami asibiti ta shirya.
2. Sashi na biyu. Daidai kwanciyar hankali. Amma daga mako na sha uku, matakin sukari na jini na mace na iya tashi. A wannan yanayin, ƙarin injections na insulin wajibi ne. Wani lokacin a sati na sha takwas a asibiti ana yinsa, amma kwararrun likitocin ne ke yanke shawarar tambayar wajibcin ta.
3. Na uku. A wannan lokacin, shiri don haihuwa mai zuwa yana farawa. Yadda ake haihuwa a cikin ciwon sukari kai tsaye ya danganta da lokacin yin juna biyu cikin watanni biyun da suka gabata. Idan babu rikice-rikice, to haihuwa zai iya faruwa a koyaushe. In ba haka ba, ana amfani da sashin caesarean. Kulawa akai akai na ƙwararren likitan dabbobi, likitan mahaifa da endocrinologist ya zama tilas.

Kafin haihuwa, ana auna sukarin jinin mace da allura ta insulin mahaifiya da tayi.

Saboda haka, ciwon sukari ba koyaushe yana hana mata haihuwa ba. Godiya ga haɓaka magunguna na zamani, mace mai ciwon sukari na iya haihuwar jariri cikakkiyar lafiya. Koyaya, akwai wasu ƙwayoyin cuta waɗanda ba a ba da shawarar su haifi 'ya'ya ba.

Hanyar haihuwar kai tsaye ta dogara ne da halayen mahaifiyar mai tsammani, ladabi da kamun kai. Kullum kulawa da kwararru, gwaje-gwaje na lokaci da kuma sarrafa glucose sune mabuɗin haihuwar kyakkyawan yaro.

Siffofin cutar yayin daukar ciki

Marasa lafiya tare da masu ciwon sukari ana duba su ba kawai ta likitan mata da likitan mata ba, har ma da kwararrun furofayil. Wannan babban nauyi ne a gare su, saboda wannan cutar ana daukar ta ɗayan mahimanci ba wai kawai game da ɗaukar ciki ba, har ma a cikin haihuwar, lafiyar mace da ɗan da ba a haife ta ba.

Bayan 'yan shekarun da suka gabata, likitoci sun nace cewa bai kamata mata su sami juna biyu ko kuma su haihu ba. Sau da yawa, gestation ya ƙare cikin ɓata, mutuwar cikin ciki da mummunan cututtukan tayin. Cutar ciki da ta lalata cuta ta lalata lafiyar jiki.

Cutar mahaifa da ilimin likitancin zamani sun tabbatar da cewa babu wani cikas da zai hana haihuwa. Cutar ba wata jumla ba ce: ba cutar sankarau ba ce ke da tasirin gaske ga tayin, amma ainihin matakan sukari.

Amma a yau, magani da magunguna suna ba wa waɗannan mata damar. Kayan aikin kulawa da kansu, babban matakin dakin gwaje-gwaje da gwajin kayan aiki, da kuma ƙwararrun ƙwararrun taimako suna samuwa ga marasa lafiya.

Ciki da ciki da masu dauke da cutar siga guda 1

Nau'in 1 na ciwon sukari mellitus (wanda ke dogara da insulin) yana farawa mafi yawancin lokuta a cikin ƙuruciya da samartaka. Yayin cikin ciki, cutar ta zama labile, kamar-igiyar ruwa. Rabin marasa lafiya suna haɓaka farkon angiopathy da haɗarin ketoacidosis, babban taro na glucose tare da jikin ketone, yana ƙaruwa.

A takaice lokacin haila, mace ba ta jin canje-canje a lafiyarta. Amma tare da ƙara yawan matakan estrogen a cikin jini, wanda ke motsa sakin insulin nasu, alamun hypoglycemia ya bayyana. Don daidaita matsayin sukari, ana buƙatar raguwa na allura a cikin injections.

A rabin rabin ciki na ciki, saboda karuwar yawan glucagon, lactogen placental da prolactin, haƙurin glycemic yana raguwa. Yawan jini da fitsari yana tashi, kuma mara lafiya yana buƙatar babban adadin insulin.

Tafiya tafiye-tafiye:

• ta hanyar farkon aiki, ana rage yawan glycemic indies,
• yayin aiki, hawan jini yana haɗuwa da haɓakar acidosis,
• a cikin kwanakin farko na lokacin haila, matakin sukari yana raguwa,
• a ƙarshen farkon mako ya sake girma.

Ketonuria yana da matukar hadari ga tayin. An tabbatar da cewa acetone a cikin fitsari yayin daukar ciki yana rage halayyar hankali a cikin jariri wanda ba a haifa ba.

A mafi yawan mata, na farko da farkon farkon rabin lokaci sun sami gamsuwa. A farkon farkon lokaci na uku, haɗarin gestosis, asarar bazata, hypoxia intrauterine, da kamuwa da cuta ta hanji yana ƙaruwa sosai.

Yanayin 'ya'yan itace sun kara dagula lamarin. A nan gaba, ya zama sanadin rauni na aiki, zubarda cikin lokaci na zubar ruwa, rashin haihuwa.

Tare da nau'in ciwon sukari na 1, tayin yana wahala, kuma wannan na iya haifar da illa ga lafiyar jariri. An haife shi tare da abubuwa da yawa na waje:

• Karkashin mai ya wuce gona da iri,
• siffofin kamannin wata
• a kan fata da yawa kananan basur,
• jiki ya kumbura, cyanotic.

A lokacin gwaji na ciki, likita ya bayyana alamun lahani, rashin ingancin gabobin jiki da tsarin sa.

Yaron ba ya daidaita da kyau zuwa sababbin yanayi. Bayyanar cututtuka:

• lethargy, hypotension, hyporeflexia,
• m m hemodynamic sigogi,
• matsaloli tare da samun nauyi
• hali don samar da cututtukan huhu.

Marasa lafiya da ke da nau'in-insulin-wata cuta ana buƙatar su saka idanu da sarrafa matakan glucose. An wajabta allurar insulin koda mai haƙuri yana da nau'in sikari mai saurin kamuwa da cutar siga.

Cutar ciki da haihuwa yayin da nau'in cuta ta 2

Gudanar da ciwon sukari wanda ba shi da insulin-yana da halaye na kansa. Wannan nau'in ilimin halittar yana da nauyin jiki fiye da kima, sabili da haka, kafin ta zama mai juna biyu, ana ba da shawarar mace ta rasa nauyi. Manunin nauyi na yau da kullun zai hana rikice rikice a cikin gidajen abinci, zuciya da jijiyoyin jini. Weight a cikin kewayon al'ada zai taimaki mace ta guji sanya hancin tiyata - ɓangaren cesarean.

A cikin mata masu fama da ciwon sukari don kamuwa da cuta mai nau'in 2 don maganin kwai, babu alamun al'ada na matakan sukari.

A saboda wannan, ana bada shawarar mace tayi shiri sosai. Amincewar ciki yakamata ta faru ne bayan watanni shida na barkewar cutar sankara. Wannan yanayin kawai zai hana yiwuwar rikice-rikice kuma ya ba da damar haihuwar koshin lafiya.

Manuniya na glycemic da ake buƙata a matakin shiryawa da tasiri (a mmol / l):

• a kan komai a ciki daga 3.5 zuwa 5.5,
• ranar kafin abinci daga 4.0 zuwa 5.5,
• 2 hours bayan abinci zuwa 7.4.

Nau'in nau'in motsa jiki

Wannan shine nau'in na uku na ciwon sukari wanda aka sani a cikin marasa lafiya yayin daukar ciki. Cutar sankarar mahaifa ba ta bayyana kanta gabanin ɗaukar ciki kuma ya ɓace ba tare da wata alama ba a cikin bayan haihuwa.

Wannan nau'in ilimin metabolism na haɓaka saboda rashin ƙwaƙwalwar ƙwayoyin sel zuwa insulin nasu da kuma ƙara yawan nauyin a kan ƙwayar ƙwayar cuta saboda kwayoyin halittun da ke ɗaukar akasin insulin.

Cutar ta taso ne daga aikin abubuwa da yawa:

• kiba
• nauyin da aka gadar wa mutum saboda cutar sankara,
• sama da shekara 30 da haihuwa
• babban ciki a baya.

Matakan jiyya don cututtukan cututtukan ƙwayar cuta sun haɗa da abinci da motsa jiki matsakaici. Ana nuna wa mace ma'aunin yau da kullun na matakan sukari.

Jarabawa da tsarin asibiti

Ana lura da juna biyu game da ciwon sukari a kan hanyar asibiti da marasa lafiya. Kayan aiki na yau da kullun a asibiti:

1. Asibiti na farko yana faruwa ne a cikin makonni na farko na ciki kuma ya haɗa da cikakken jarrabawa, diyya, maganin hana haihuwa. Tare da rikice-rikice na ci gaba na nau'in 1 (retinopathy, nephropathy, cutar ischemic), tarin fuka, kasancewar hankalin Rhesus har zuwa makonni 12, ana maganar batun kula da ciki.
2. A cikin asibiti na biyu (makonni 21-25), ana lura da mace saboda cutar da kuma haɗarin rikice-rikice. Ana daidaita sashin insulin. An nuna alamar duban dan tayi don tantance yanayin tayin, kuma daga wannan lokacin ya zama mako.
3. A asibiti na uku, cikakken bincike akan tayin, ana yin matakan kariya don hana rikitarwa. Likita ya saita lokaci da hanyar bayarwa.

Cikakken bincike na likita ya hada da:

1. Binciken, shawara na likitan mata, ilimin halittar jini.
2. Cikakken jarrabawa tare da ziyarar sau ɗaya a ƙarshen wani likita na ophthalmologist, cardiologist, neurologist, nephrologist.
3. Nazarin asibiti da nazarin halittu, kimantawa na cututtukan thyroid da kodan.
4. Duban dan tayi na cututtukan thyroid, koda, hanta da kuma bututun bile.

Da zarar kowane lokaci, mace mai ciki ya kamata ta ba da gudummawar jini zuwa matakin hemoglobin mai narkewa.

Har zuwa makonni 34, mace dole ta zo wurin saduwa tare da likitan mata na likitan mata da kuma likitan mata a duk mako biyu, daga makonni 35 - ziyartar kowace rana.

Ana ba da shawarar mace ta fara da cika takarda ta musamman na sarrafa kai. Ana kulawa da hankali musamman don samun nauyi. Na al'ada - ba fiye da kilogiram 13 ba. Kwana na farko - 2-3 kilogiram, na biyu - har zuwa 300 g a mako, na uku - har zuwa 400 g.

Rayuwa, abinci

Dole ne mace ta yi ƙoƙari da yawa don ta kula da sukari a matakan yau da kullun. Wannan zai buƙaci:

1. Abincin abinci mai gina jiki bisa ga tsarin: carbohydrates 40-45%, fats 35-40%, sunadarai 20-25% a cikin allurai shida - manyan abubuwa uku. Tare da kowane nau'in ciwon sukari na mellitus, ba a tsara madaidaicin abincin ba. Dole a wadataccen adadin carbohydrates "jinkirin". Sun hana ci gaban ketosis da ke fama da yunwa. Carbohydrates "sauri" an soke su gaba daya. An kyale kayan lambu da 'ya'yan itatuwa masu zaki.
2. Matsayin ma'aunin yau da kullun na sukari: a kan komai a ciki, kafin da bayan abinci, kafin lokacin kwanciya, da dare.
3. Gudanar da sinadarin ketone tare da tsaran gwaji.
4. Isasshen ilimin insulin a karkashin kulawar likitan diabetologist.

Idan mace ta bi duk ka'idodi, ta kiyaye da kuma cika dukkan alƙawura na likitoci, haɗarin samun ɗa cikin rikice-rikice ya ragu zuwa 1-2%.

Tare da biyan diyya mai gamsarwa game da cutar da kuma lokacin motsa jiki na yau da kullun, isarwa yana faruwa ta halitta a kan kari. Idan mace tana da alamun halakarwa kuma ta ɗauki nauyin ciki, ana nuna haihuwar na tsawon makonni 36-38. Babban tayin da rikitarwa - alamomi don sashin caesarean.

Matan da ke da ciwon sukari na iya yin juna biyu, su haihu kuma su haihu ba tare da cutar da lafiyar yaransu ba. Babban abu shine ɗaukar wannan lokacin rayuwa da mahimmanci a gaba. Ya kamata a shirya yin juna biyu tare da kula da kwararru.