A yau, cutar sankarau a cikin mata cuta ce ta yau da kullun. A wannan yanayin, nau'in cutar na iya bambanta: insulin-dogara, ba insulin-dogara, gestational. Amma kowane nau'in yana tare da alamu guda ɗaya - sukari mai yawa na jini.
Kamar yadda kuka sani, ba ciwon sukari bane da kansa yake da muni, amma rikice-rikice sun samo asali daga rashin lafiyar fitsari. Haka kuma, a cikin 'yan shekarun nan, nau'in ciwon sukari na 2 ya girma tun yana ƙarami, sabili da haka, yawan matan da suke son haihuwa suna karuwa duk da kasancewar ƙwayar cuta mai ƙwanƙwasawa.
Tabbas, tare da ciwon sukari, samun ɗa ba shi da sauƙi. Sabili da haka, a yawancin lokuta, likitoci sun nace kan zubar da ciki. Bugu da kari, akwai yiwuwar karuwar ashara bazata.
Yaushe ake zubar da ciki ga masu ciwon suga?
Akwai dalilai da yawa waɗanda kasancewar kasancewarsu ke buƙatar ƙaddamar da juna biyu. Wadannan contraindications sun hada da daidaitaccen ciwon sukari, saboda hanyarta zata iya zama cutarwa ba kawai ga mace ba, har ma da 'yarta.
Sau da yawa, 'ya'yan uwaye masu ciwon sukari ana haife su tare da jijiyoyin bugun gini, cututtukan zuciya da lahani na kasusuwa. Wannan sabon abu ana kiransa fetopathy.
Yayin shirin daukar ciki, nau'in cutar a cikin mace yakamata a yi la’akari da shi ko kuma mahaifin yana da irin wannan cutar. Wadannan abubuwan suna shafar matakin tsukewar gado.
Misali, idan mahaifiya tana da nau'in ciwon sukari guda 1 kuma mahaifinta yana da koshin lafiya, to yuwuwar kamuwa da cuta a cikin yaro yayi kadan - kawai 1%. A gaban insulin-dogara da ciwon sukari a cikin duka iyaye, damar da ya faru a cikin 'ya' yan su 6%.
Idan mace tana da nau'in ciwon sukari na 2 kuma mahaifinta yana da ƙoshin lafiya, to yuwuwar yarinyar zata kasance da ƙoshin lafiya ya bambanta daga 70 zuwa 80%. Idan iyayen biyu suna da tsari na dogaro da insulin, to damar da zuriyarsu ba za su sha wahala daga irin wannan cutar ba 30%.
An nuna zubar da ciki ga masu ciwon siga a irin waɗannan halayen:
- lalata ido
- cututtukan tarin fuka;
- mahaifiyar shekaru 40;
- kasancewar rikici Rhesus;
- cututtukan zuciya da na jijiyoyin jini;
- lokacin da mace da namiji suka kamu da ciwon sukari guda 2;
- nephropathy da m renal gazawar;
- cututtukan mahaifa.
Kasancewar duk abubuwan da aka ambata a sama na iya haifar da daskarewa na tayin, wanda zai yi tasiri mara kyau ga lafiyar mata. Amma sau da yawa tambayar da ke da dangantaka da ko daukar ciki tare da ciwon sukari ana iya magance ta daban.
Kodayake mata da yawa suna kusanci da wannan batun ba tare da nuna damuwa ba, ba ziyartar likitoci ba kuma sun wuce duk gwaje-gwajen da suka wajaba. Saboda haka, rashin yiwuwar zubar da ciki da tilasta zubar da ciki yana ƙaruwa kowace shekara.
Don hana wannan, mata masu juna biyu da masu ciwon sukari ya kamata su sa ido sosai a cikin mahaifa ta hanyar sanya idanu a kai a kai yanayin yanayin tayin. A wannan yanayin, yana da mahimmanci a manne wa wani abinci na musamman wanda yake rama yawan haɗuwar glucose a cikin ragin jini. Hakanan, yayin haihuwar ɗa, yana da mahimmanci don ziyarci likitan mahaifa, likitan mahaifa da endocrinologist.
Ta yaya zubar da ciki zai zama haɗari ga mace masu ciwon sukari? Bayan wannan hanyar, mai haƙuri na iya haɓaka irin rikice-rikice kamar yadda a cikin mata masu lafiya. Waɗannan sun haɗa da haɗarin haɗari na kamuwa da cuta da rikicewar hormonal.
Don hana daukar ciki, wasu masu ciwon sukari suna amfani da na'urar intrauterine (tare da antennae, tare da maganin antiseptics, zagaye), amma suna ba da gudummawa ga yaduwar kamuwa da cuta. Hakanan za'a iya amfani da kwayoyin hana daukar ciki wadanda basa tasiri metabolism. Amma irin waɗannan kwayoyi suna cikin cututtukan jijiyoyin jiki.
Matan da ke da tarihin cutar suga ta mahaifa ana nuna su magunguna waɗanda ke ɗauke da Progestin. Amma hanya mafi aminci da aminci wacce zata iya hana daukar ciki shine haifuwa. Koyaya, wannan hanyar kariya ana amfani ne da matan da suka riga sunada yara.
Amma game da mata masu ciwon sukari waɗanda da gaske suke son jure rashin lafiya kuma su haihu da kyakkyawan yaro?
Wajibi ne a shirya sosai don irin wannan taron, kuma, idan ya cancanta, ana iya aiwatar da matakan warkewa iri-iri.
Tsarin ciwon sukari
Da farko dai, yakamata a lura cewa macen da take da matsala a cikin sinadarin karuwar karafa ana bada shawarar yin juna biyu a lokacin shekaru 20-25. Idan ta tsufa, to wannan yana ƙara haɗarin rikitarwa.
Yawancin mutane ba su sani ba, amma rikice-rikice (anocephaly, microcephaly, cututtukan zuciya) na haɓakar tayin an kafa su a farkon farkon ciki (har zuwa bakwai bakwai). Kuma masu haƙuri da ke fama da cutar sikari sau da yawa suna da matsala a cikin ƙwayoyin kwayoyi, don haka ba koyaushe ba za su iya tantancewa ko rashin haihuwar cutar cuta ce.
A wannan lokacin, tayi wanda ya fara tasowa na iya wahala. Don hana wannan, yakamata a zubar da ciwon sukari da fari, wanda zai hana bayyanar lahani.
Don haka, idan matakin glycated haemoglobin ya zarce 10%, to yuwuwar bayyanar cututtukan haɗari a cikin yaro shine 25%. Don tayin yayi girma a cikakke kuma cikakke, alamun ya kamata ya zama bai wuce 6% ba.
Sabili da haka, tare da ciwon sukari, yana da matukar muhimmanci a shirya ciki. Haka kuma, a yau ma zaka iya gano mene ne mahaifiyar tana da yanayin gado game da rikicewar jijiyoyin jiki. Wannan zai ba ku damar kwatanta haɗarin cututtukan ciwon sukari da na mahaifa.
Hakanan, tare da taimakon gwaje-gwajen kwayoyin, zaku iya tantance haɗarin ciwon sukari a cikin yaro. Koyaya, a kowane hali, ya kamata a shirya ciki, saboda wannan ita ce kawai hanyar da za a iya guje wa ci gaban rikice-rikice masu haɗari.
A karshen wannan, aƙalla watanni 2-3 kafin ɗaukar ciki, dole ne a rama masu ciwon sukari kuma matakin al'ada yana haɓaka haemoglobin. A wannan yanayin, ya kamata mace ta san cewa yayin daukar ciki, sukari mai jini yakamata ya kasance daga 3.3 zuwa 6.7.
Bugu da kari, mace tana bukatar yin cikakken gwajin jikin mutum. Idan kan aiwatar da bincike na cututtukan cututtukan cututtukan fata ko cututtukan ƙwayar cuta, to ya zama dole don aiwatar da cikakkiyar magani. Bayan samun juna biyu tare da ciwon sukari a farkon matakan, mace tana buƙatar a kwantar da ita a asibiti, wanda zai ba likitoci damar lura da lafiyarta a hankali.
Cutar ciki a cikin masu ciwon sukari sau da yawa tana da hanyar-kamar igiyar ruwa. A cikin farkon farkon, ana rage matakan cutar glycemia da buƙatar insulin, wanda ke kara saurin yiwuwar ƙin jinin haila. Wannan saboda canje-canje ne na hormonal, wanda ya haifar da ingantaccen yanayin glucose na gefe.
Koyaya, a sati na 2 da na 3 na ciki, komai yana canzawa. Tayin tayi girma da tsintsin ciki, wanda ke da abubuwan da ke cikin ƙasa. Sabili da haka, a makonni 24 zuwa 26, hanyar ciwon sukari na iya wuce gona da iri sosai. A wannan lokacin, maida hankali na glucose da buƙatar haɓakar insulin, kazalika da acetone galibi ana samun shi cikin jini. Sau da yawa akwai mummunan numfashi a cikin ciwon sukari.
A cikin watan uku na ciki, cikin mahaifa yayi tsufa, sakamakon abin da ya haifar yana haifar da ƙwaƙwalwar insulin kuma yana sake ƙaruwa. Amma a farkon matakan ciki a cikin masu ciwon sukari, kusan babu bambanci da saba, kodayake ɓarke cikin cututtukan ƙwayar cuta na faruwa sau da yawa sau da yawa.
Kuma a cikin na biyu da na uku trimesters ba sau da yawa tare da matsaloli daban-daban. Wannan yanayin ana kiransa marigayi gestosis, wanda a kumburi ya bayyana kuma hawan jini ya tashi. A cikin ƙwaƙwalwar ƙwaƙwalwar ƙwayar mahaifa, cutar sankara na faruwa a 50-80% na lokuta.
Amma a gaban rikitarwa na jijiyoyin jiki, gestosis na iya haɓaka a makonni 18-20. Wannan alama ce ta zubar da ciki. Hakanan, mace na iya haɓaka hypoxia da polyhydramnios.
Sau da yawa, marasa lafiya masu ciwon sukari waɗanda ke ɗaukar yaro suna kamuwa da cututtukan urinary fili. Ya raunana rigakafi da cututtukan ƙwayar cuta marasa illa suna taimakawa wannan.
Bugu da kari, a bango na matakan glucose mai yawa, rashin aiki na jijiyar jini na faruwa, kuma tayin ba shi da abinci mai gina jiki da iskar oxygen.
Wadanne matsaloli ne zasu iya faruwa yayin haihuwa?
Mafi rikicewar rikicewar haihuwa shine raunin aiki. A cikin masu ciwon sukari, mafi ƙarancin ajiyar makamashi, gwargwadon tsarin aikin anabolic.
A lokaci guda, matakin sukari na jini yakan saukad da shi, saboda yawancin glucose ana cinye shi lokacin aiki. Sabili da haka, ana bai wa mata 'yan ƙasa da insulin, glucose da alamomin glycemia a kowane sa'a. Ana yin irin waɗannan al'amuran yayin tiyata, saboda a cikin 60-80% na lokuta, masu ciwon sukari ana ba da sashin cesarean, tunda yawancinsu suna da rikitarwa na jijiyoyin jiki.
Amma duk da gaskiyar cewa mata masu ciwon sukari a cikin mafi yawan lokuta suna rikodin haihuwar halitta tare da ciwon sukari, mafi yawan lokuta suna haihuwar kansu. Koyaya, wannan zai yuwu ne kawai tare da shirin daukar ciki da kuma rama game da cutar, wanda ke gujewa mutuwar mutuwa.
Lallai, idan aka kwatanta da 80s, lokacin da ba a sami sakamako mai mutuwa ba, a yau ana kulawa da kulawa da ciki tare da ciwon sukari sosai. Tun da yanzu sababbin nau'ikan insulin, ana amfani da alkalami mai sirinji kuma ana aiwatar da duk nau'ikan hanyoyin warkewa wanda zai ba ku damar haihuwar ɗa ba tare da ciwon fetopathy ba kuma akan lokaci. Bidiyo a cikin wannan labarin zai gaya maka abin da za a yi tare da ciwon sukari.
