Cutar sankarar mahaifa ita ce cutar sankarau wacce ke faruwa a cikin mace yayin daukar ciki. Binciken na iya bayyana a cikin mace mai ciki ba ta “cikakkiyar cutar” ciwon sikari ba, amma tana fama da rashin jarin glucose, wato ciwon suga. A matsayinka na mai mulkin, mata masu juna biyu suna ƙara yawan sukarin jini bayan sun ci abinci, kuma a kan komai a ciki ya zama al'ada.
Cutar sankarar mahaifa alama ce da ke nuna cewa mace tana da haɗarin kamuwa da ciwon sukari na 2.
A mafi yawancin halayen, ana gano ciwon suga a cikin kashi na biyu na ciki kuma ya wuce jim kadan bayan haihuwa. Ko kuma mace na iya yin ciki yayin da ta kamu da ciwon suga. Labarin "Cutar Cutar Cutar Ciki" ya bayyana abin da ya kamata idan mace ta kamu da ciwon sukari kafin ta yi ciki. A kowane hali, makasudin magani shine iri ɗaya - don adana sukari na jini kusa da al'ada domin haihuwar lafiyayyen jariri.
Yadda ake gano hadarin mace ga cutar sankaran mahaifa
Kimanin 2.0-3.5% na duk maganganu na ciki suna da rikitarwa ta cutar sankarar mahaifa. Koda a mataki na shirin fadada dangi, mace zata iya tantance hadarin da ke tattare da cutar suga ta rashin haihuwa. Abubuwan haɗarinsa:
- kiba ko kiba (lissafa adadin jikinka);
- nauyin jikin mace yayi matukar girma bayan shekaru 18;
- shekaru sama da 30;
- akwai dangi masu dauke da cutar siga;
- yayin haihuwar da ta gabata akwai ciwon suga na ciki, ana samun sukari a cikin fitsari ko kuma an haifi babban yaro;
- polycystic ovary syndrome.
Bayyanar cututtuka na ciwon sukari
Dukkanin mata tsakanin makonni 24 zuwa 28 na haihuwa ne ake musu gwajin haƙuri na glucose. Haka kuma, yayin aiwatar da wannan gwajin, ana auna matakin glucose a cikin jini na plasma ba wai kawai akan komai a ciki ba kuma bayan 2 sa'o'i, amma kuma ƙarin 1 sa'o'i bayan "kaya". Ta wannan hanyar suna bincika cututtukan cututtukan ciki kuma, idan ya cancanta, ba da shawarwari don magani.
Fassara wani gwajin haƙuri na glucose na baka don gano cutar sankarar mahaifa
| Lokacin gwajin glucose na jini | Valuesimar glucose na jini na yau da kullun, mmol / l |
|---|---|
| A kan komai a ciki | < 5,1 |
| Awa 1 | < 10,0 |
| 2 a | < 8,5 |
Zai zama da amfani a nan mu tuna cewa a cikin mata masu juna biyu masu azumi plasma matakan glucose yawanci suna al'ada. Saboda haka, nazarin sukari mai azumi bashi da isasshen bayani. Bugu da kari, idan mace tana da babban hadarin kamuwa da ciwon sankarar mahaifa, to ya kamata a yi gwajin haƙuri na glucose na baka a matakin shiryawa na ciki.
Yaya girman hadarin yake ga tayin?
Thearin yawan haɗarin glucose a cikin jinin mace mai ciki ya zarce matsayin al'ada, to mafi girman haɗarin macrosomia. Wannan ana kiranta girmancin tayi da kuma nauyin jiki mai yawa, wanda zai samu a watanni uku na ciki. A lokaci guda, girman kansa da kwakwalwarsa suna kasancewa cikin iyakoki na al'ada, amma babban ɗayan kafada zai haifar da matsaloli yayin wucewa ta hanyar canjin haihuwa.
Macrosomia na iya haifar da ƙuduri na lokacin haihuwa, haka nan kuma rauni ga jariri ko mahaifiya yayin haihuwa. Idan gwaje-gwajen duban dan tayi na nuna macrosomia, to likitoci sukan yanke shawarar haifar da haihuwa kafin su sami damar motsa jiki su kuma guji rauni. Hadarin irin wannan dabara shine koda babban fruita evenan bazai iya girma ba.
Koyaya, a cewar Americanungiyar Ciwon Cutar na Sinawa na 2007, yawan mace-macen ɗan tayi da ƙangin haihuwa sun ragu sosai, kuma ƙaramin dogaro ne da glukos din jini na cikin mahaifa. Duk da haka, mace mai juna biyu yakamata ta kasance cikin kulawa yadda yakamata ta kasance tana kiyaye sukarin jininta kusa da ƙimar al'ada. Yadda aka yi wannan an bayyana a ƙasa.
Don ciwon sukari mellitus, kuma karanta labarin "Ciwon sukari a cikin mata."
Koya daga mata:
- Me yasa ba a so a ɗauki gwajin jini don sukari mai azumi.
- Abin da abinci ya kamata kafa tushen abincinku.
- Abinda zai canza lokacin da menopause ya shigo, da kuma yadda za'a shirya shi.
Jiyya don ciwon sukari na hanji
Idan wata mace mai ciki ta kamu da cutar sankara, to da farko an wajabta mata abincinta, matsakaiciyar motsa jiki kuma ana bada shawara don auna sukarin jininta sau 5-6 kowace rana.
Nagari matakan Samun jini
| Gudanar da sukari na jini | Matsayi, mmol / L |
|---|---|
| A kan komai a ciki | 3,3-5,3 |
| Kafin abinci | 3,3-5,5 |
| Awa 1 bayan cin abinci | < 7,7 |
| 2 hours bayan cin abinci | < 6,6 |
| Kafin a kwanta | < 6,6 |
| 02:00-06:00 | 3,3-6,6 |
| Glycated haemoglobin HbA1C,% | < 6,0 |
Idan abinci da ilimin jiki ba su taimaka isasshen don dawo da sukari zuwa al'ada, to, an wajabta wa mace mai juna biyu allurar insulin. Don ƙarin cikakkun bayanai, duba labarin “Insulin Therapy Schemes”. Wanne tsarin insulin na warkarwa don tsara shi ne ƙwararren likita ya yanke shawara, ba majinyaci kaɗai ba.
Hankali! Bai kamata a sha magungunan masu ciwon suga ba lokacin daukar ciki! A cikin Amurka, ana amfani da metformin (siofor, glucophage) don maganin ciwon sukari, amma FDA (Ma'aikatar Lafiya ta Amurka) ba ta bayar da shawarar wannan a hukumance.
Abincin don ciwon sukari na hanji
Abincin da ya dace don maganin ciwon sukari shine kamar haka:
- kuna buƙatar cin 5-6 sau a rana, manyan abinci 3 da abun ciye-ciye sau 2-3;
- gaba daya watsi da amfani da carbohydrates, wanda aka kwashe da sauri (Sweets, gari, dankali);
- a hankali auna sukari na jini tare da glucometer ba tare da ɓacin lokaci 1 sa'a bayan kowane abinci;
- a cikin abincinku yakamata ya zama 40-45% carbohydrates, har zuwa 30% fats mai lafiya da furotin 25-60%;
- Ana yin lissafin adadin kuzari gwargwadon tsarin 30-35 kcal a 1 kg na ƙayyadaddun nauyin jikin ku.
Idan nauyin ku kafin daukar ciki cikin yanayin jigon jikin mutum ya kasance al'ada, to mafi kyawun riba a lokacin daukar ciki zai kasance kilogram 11-16. Idan mace mai ciki ta riga ta wuce kiba ko kiba, to an ba da shawarar ta murmure bai wuce kilo 7-8 ba.
Shawara ga mace bayan haihuwa
Idan kana da cutar suga ta hanji a lokacin daukar ciki sannan kuma ka wuce bayan haihuwar, kada ka huta sosai. Saboda haɗarin da a ƙarshe zaku kamu da ciwon sukari na 2 ya yi yawa sosai. Cutar sankarar mahaifa mellitus alama ce da cewa kashin jikinka suna da jurewar insulin, i.e. rashin lafiyar insulin.
Ya juya cewa a cikin rayuwar yau da kullun, ƙwayar kuɗin ku ta fara aiki a gefe ta ƙarfin ta. A lokacin daukar ciki, kaya a jikinta ya karu. Saboda haka, ta daina jurewa samar da adadin insulin da ake buƙata, matakin glucose a cikin jini ya haɓaka sama da iyakar ƙarfin al'ada.
Tare da shekaru, jurewar insulin na kyallen takarda yana ƙaruwa, kuma ikon ƙwayar ƙwayar tsoka ta haifar da insulin ya ragu. Wannan na iya haifar da cutar sankara da kuma rikicewar jijiyoyinta. Ga matan da suka dandana ciwon sukari a lokacin daukar ciki, haɗarin wannan ci gaba yana ƙaruwa. Don haka kuna buƙatar yin rigakafin ciwon sukari.
Bayan haihuwa, ana bada shawara don sake yin gwaji don ciwon sukari bayan makonni 6-12. Idan komai ya zama al'ada, to sai a bincika kowace shekara 3. Zai fi kyau wannan ya ɗauki gwajin jini don hawan jini.
Hanya mafi kyau don hana kamuwa da ciwon sukari shine canzawa zuwa ƙuntataccen abinci na carbohydrate. Wannan yana nufin mayar da hankali ga abinci mai gina jiki da wadatar ɗabi'a mai kyau a cikin abincinku, a maimakon abinci mai narkewa mai narkewa wanda ke haɓaka haɗarin ciwon sukari kuma lalata jikinku. Abincin low-carbohydrate rage cin abinci ne a cikin mata yayin daukar ciki, amma yana da kyau bayan ƙarshen lokacin shayarwa.
Hakanan motsa jiki yana taimakawa sosai wajen hana kamuwa da cututtukan type 2. Nemo wani nau'in motsa jiki wanda zai ba ka jin daɗi, kuma ka yi shi. Misali, zaku iya son yin iyo, tsere ko iska. Wadannan nau'o'in ilimin motsa jiki suna haifar da yanayin jin daɗin rayuwa saboda tasirin "hormones na farin ciki".
