Shin ko kunsan cewa cutar sankarau ana daukar mata cuta? Dangane da kididdiga, mata sun fi kamuwa da wannan cuta ta rashin haihuwa sau da yawa sau da yawa. Alamar kamuwa da cutar sankarau a cikin mace ba a bayyana ta fiye da ta maza, don haka yin ingantaccen bincike akan lokaci bashi da sauki. Amma wannan ba duka bane: cuta na iya buge da tsarin haihuwa da kuma sanya shi yiwuwa yayi juna da kansa. Mun tambayi wani masanin ilimin cututtukan mahaifa - Irina Andreevna Gracheva don yin magana game da yadda shirin IVF yake haɗuwa da ciwon sukari.
Likita-likitan-mata-mace-mace Irina Andreevna Gracheva
An kammala karatun digiri daga Jami'ar Likita ta jihar Ryazan tare da digiri a General MedicineKasancewa a cikin aikin Obstetrics da Gynecology.
Yana da shekaru goma na kwarewa.
Ta yi karatun kwararru a fannin aikinta.
Tun daga 2016 - likita na Cibiyar IVF Ryazan.
Mata da yawa ba sa mai da hankali ga alamun farko na ciwon sukari. An danganta su da yawan aiki, damuwa, canji a yanayin haihuwar… Yarda, idan kun sami rashin bacci, bacci a lokacin rana, gajiya ko bushewar baki da ciwon kai, ba zaku yi saurin zuwa likita ba.
Tare da ciwon sukari (anan - mai ciwon sukari) Abubuwan haɗu na iya tashi a kan hanyar zuwa daukar ciki da ake so. Akwai rikitarwa da yawa waɗanda "yanayin mai ban sha'awa" (da kuma tsarin IVF) na iya haifar da mummunar cutar ga lafiyar. Zan lissafo kadan kawai:
- Kwayar cuta (hanyoyin kwantar da hankali a cikin kodan);
- Rashin daidaituwa ("cuta na jijiyoyi da yawa" lokacin da jijiyoyin jijiyoyi suka lalace tare da sukari mai yawa. Bayyanar cututtuka: rauni na tsoka, kumburi da hannu da kafafu, wahala tare da daidaito, daidaitawa da daidaituwa, da sauransu);
- Angiopathy na baya (tasoshin jini sun lalace saboda matakan sukari mai yawa, sakamakon wanda zamu iya samun ciwo mai zurfi a kan tushen motsawa. Saboda wannan, myopia, glaucoma, cataracts, da sauransu na iya haɓaka).
Ciki na iya faruwa a zahiri tare da nau'in ciwon sukari na 1 (jiki yana rasa ikon samarda insulin da yakamata, mara lafiya zai iya rayuwa ba tare da wannan hormone din ba). - kimanin. Ed.). Ya kamata a kula da juna biyu sau biyu, koyaushe likitoci suna kula da su sosai. Matsaloli na iya faruwa ne kawai idan mace ta sami matsala.
Lokacin da nake a Cibiyar ta IVF, Ina da yawancin marasa lafiya da ke dauke da ciwon sukari na 1. Yawancinsu sun haihu kuma yanzu suna renon yara. Babu wasu shawarwari na musamman game da haihuwar ciki a wannan yanayin, sai dai kawai mahimmin maki. Babu matsala ya kamata ka daina shan insulin. Wajibi ne a tsayayya da asibiti don daidaita sashin hodar (sati 14-18, 24-28 da 33-36 a cikin na uku).
Kuma a nan ne marasa lafiya tare da nau'in ciwon sukari na 2 yawanci ba sa zuwa wurin haifuwa. Cutar na faruwa ne a cikin mutane bayan shekara arba'in a cikin matan bayan haihuwa. Ina da marasa lafiya da yawa waɗanda suke so su haihu bayan shekara hamsin, amma babu ɗayansu da ya kamu da ciwon sukari. Na lura cewa a wasu yanayi, tare da nau'in ciwon sukari na 2, za a iya tarwatsa tsarin ƙwanƙwasa kwai.
Kimanin kashi 40% na dukkan majiyyata tare dainsulin juriya.Wannan endocrine, daidaitaccen abu ne gama gari cikin rashin haihuwa. Tare da wannan cin zarafin, jiki yana samar da insulin, amma baya amfani dashi da kyau. Kwayoyin ba su amsa aikin kwayar ba kuma ba za su iya ma'anar glucose daga jini ba.
Samun haɓakar wannan yanayin suna ƙaruwa idan kun kasance masu kiba, jagoranci salon rashin zaman lafiya, wani daga dangin ku ya sha fama da ciwon sukari, ko kuma kuna shan taba. Kiba yana da mummunar tasiri a aikin ovaries. Wadannan rikice-rikice masu zuwa suna yiwuwa wanda asalin farawar ciki ke da wuya:
- haila rashin daidaituwa yake faruwa;
- babu ovulation;
- haila ya zama da wuya;
- ciki baya faruwa ta halitta;
- Kwayar polycystic yana nan.
Idan kafin, ciwon sukari ya kasance contraindication don shirin daukar ciki, yanzu likitoci suna ba da shawara kawai don kusanci da wannan batun. A cewar hukumar ta WHO, a kasar mu kashi 15% na ma'aurata ne marasa haihuwa, daga cikinsu akwai ma'aurata masu ciwon suga.
Shawara mafi mahimmanci - kar a fara cutar! A wannan yanayin, haɗarin rikitarwa na iya ƙaruwa sau da yawa. Idan sukari na jini ya wuce ka'idodin WHO, wannan zai zama contraindication don shigarwa cikin ƙirar (daga 3.3 zuwa 5.5 mmol / l don jinin capilla, 6.2 mmol / l don jinin venous).
Tsarin shirin na IVF kusan babu bambanci da hanyar saba. Tare da ƙwayar ovulation, nauyin hormonal na iya zama mafi girma. Amma a nan, hakika, komai abu ne na mutum. Qwai suna da matukar damuwa ga insulin. Maganin sa yana ƙaruwa da kashi 20-40.
A wannan bazarar, likitoci sunyi nasarar tabbatar da cewa magani na Metmorfin, wanda ke daidaita matakan glucose na jini, yana inganta ciki a cikin mata masu ciwon sukari. Tare da motsa jiki na hormonal, ana iya ƙara adadin ta.
Mataki na gaba su ne tsintsin ciki da kumburin ciki (bayan kwana biyar). Game da ciwon sukari da ke dogaro da insulin, ana shawarar mace da ta wuce abin tayi fiye da daya. A cikin dukkan sauran halaye, ana iya yiwuwa biyu.
Idan an zaɓi maganin ƙwayar hormone daidai kuma mai haƙuri yana ƙarƙashin kulawar likita, ciwon sukari ba ya tasiri cikin shigarwar tayi (a cikin asibitinmu, tasirin dukkanin ka'idojin IVF ya kai 62.8%). A fatawar mara lafiya, kwayoyin halittar jini na iya gano kasancewar kwayar cutar sankara a jikin amfrayo ta hanyar amfani da PGD (yanayin kwayoyin halittar haila). Yanke shawara game da abinda zaiyi idan aka gano wannan tabariyar ta hanyar iyayen ne.
Tabbas, yanayin daukar ciki a cikin irin wadannan mata yana da rikitarwa koyaushe. Dukkanin ciki suna buƙatar a lura dasu ta hanyar endocrinologist. Suna ɗaukar insulin duk ciki, Metformin - har zuwa makonni 8. Likita zai gaya muku ƙarin bayani game da wannan. Babu contraindications ga haihuwa haihuwa a cikin ciwon sukari idan babu wani tsananin somatic ko wasu Pathology.
