Ga yawancin mata, uwa shine mafi so. Yanayin kawai ba koyaushe yana tallafawa ba kuma yana ba da mamaki a cikin yanayin bayyanar cututtuka na ciwon sukari mellitus. Kafin cutar, maza da mata suna cikin yanayi guda. Amma kafin kyakkyawan rabin ƙarin ƙarin tambaya ta taso: shin zai yiwu a haife cikin ciwon suga? Shin akwai damar da za ku iya fahimtar kanku ba kawai kamar mutum ba, har ma a matsayin uwa?
Asalin matsalar
Don haihuwar jariri lafiyayye, uwa mai tsammani dole ne ya kasance yana da jiki mai ƙarfi. Ciwon sukari (mellitus) yana kawar da irin wannan yanayin - yarinya ko mace sun lalata matsincin glucose da canzawar ta zuwa makamashi ga sel. Kuma ci gaban kwai tayi yana buƙatar wannan kuzarin da abinci mai gina jiki, waɗanda ake jigilar su ta igiyar cibiyar.
- Nauyin da ke jikin mace yana ƙaruwa kuma yana iya haifar da rikice-rikice a cikin kodan, a cikin jijiyoyin bugun jini, da kuma gazawar zuciya.
- Yawan zubar da sukari a cikin mahaifiyar ana iya yada shi zuwa tayin, yana haifar dashi matsaloli a cikin ciwan hanji da kuma sakin adadin insulin da ake bukata.
- Cutar yawan haila na iya faruwa a cikin mace mai ciki saboda ƙarancin abinci ko kuma yawan insulin.
- Idan ciki ya ci gaba ba tare da halartar kwararru ba, to akwai hadarin mutuwar tayi a farkon matakan.
- Mahaifiya ta gaba wacce ke da cutar suga ta kamu da cutar sankara, idan ba a bi shawarar likitocin ba, tayin na iya kaiwa ga girman jiki, wanda hakan zai kawo cikas ga tsarin haihuwar jariri.
- Cututtukan ƙwayoyi suna da haɗari sosai ga mace mai ciki da ciwon sukari. Idan ga lafiyar uwa ta hanyar yin rigakafin kamuwa da cutar a yayin daukar ciki, to irin wannan maganin yana contraindicated ga masu ciwon sukari. Wajibi ne a kula da tsabtace tsabta da kuma guje wa hulɗa da marasa lafiya.
- Haihuwar cikin nau'in 1 na ciwon sukari an wajabta shi a baya. Mafi kyawun lokacin shine makonni 38-39. Idan wannan bai faru ta halitta ba, to rikicewar za ta ta da ko kuma maganin cesarean.
Hadarin haɗari yayin daukar ciki a cikin mata masu fama da ciwon sukari suna faruwa ga tayin da mahaifiya duka. Har zuwa kwanan nan, masana ilimin ilimin likitancin sun yi tsayayya da gaskiyar cewa nau'in 1 da nau'in masu ciwon sukari guda biyu sun riƙe ciki, idan akwai.
Magungunan zamani ya daina kasancewa cikin rarrabuwa game da batun ko yana yiwuwa a haɗu da masu ciwon sukari.
Shin nau'in ciwon sukari yana shafar damar iya haihuwar jariri
Abu ne mai wahala ka fitar da mace tazarar haihuwa zuwa wani yanayi. Wasu ma'aurata sun zama iyaye bayan shekara 40 kuma daga baya. Saboda haka, uwa ta gaba na iya samun insulin-duka biyu (nau'in haihuwa 1 ko wanda aka samo), da nau'in ciwon sukari na 2. Saboda haka, matsalolin ɗaukar tayin na iya zama daban.
Idan akwai takamaiman tsarin kulawa tare da nau'in cutar ta farko kuma mahaifiyar mai fata zata iya sanar da likita game da ciki don shirya juna biyu, to mace bazai ma san game da kasancewar ciwon sukari na nau'in na biyu ba. An bayyana bayyanar cutar a cikin cikin da ta fara samun juna biyu. A irin wannan yanayin, asarar ciki ko mai daskarewa tana yiwuwa.
Idan ba za a sami irin wannan yanayin ba, macen da ta haihu za ta kusanci juna biyu cikin kulawa kuma a yi gwajin farko kafin a ɗauki cikin.
Yawancin ma'aurata suna fuskantar zaɓin su haifi jariri da kansu ko kuma su koma wasu hanyoyin na dabam saboda tsoron cewa yaro zai gaji cutar sankara kuma za a rabu da shi daga haihuwa don yin faɗa don lafiya. Nazarin da masana ilimin halittar dabbobi, likitocin dabbobi da kuma endocrinologists suka fitar na nuna yiwuwar dari bisa dari:
- Idan kawai mutum ba shi da lafiya tare da ciwon sukari, to akwai yiwuwar cutar ta haihu tana faruwa ne kawai cikin 5% na 100;
- Idan aka kamu da cutar sankarau a cikin mace, kashi 2% cikin crumbs ne kawai ke cikin hadarin samun wannan cutar;
- Matsakaicin mafi girma (25%) na haihuwar yaro mai ciwon sukari yana faruwa a ma'aurata, inda abokan haɗin gwiwa suke da matsala game da glucose jini.
Don ware yiwuwar fadawa cikin wannan karamin kashi, ya kamata kuyi tunani game da tsara cikinku kafin gaba.
A cikin cikin mahaifar haihuwa, an kirkiro wani tsarin ayyuka tun daga lokacin daukar ciki har zuwa haihuwa, da kuma rakiyar mahaifiyar da yaran a cikin bayan haihuwa.
Tambayar da aka gabatar a farkon labarin za a iya sake amsa ta cikin bayanin cewa yana yiwuwa a haihuwar cikin masu cutar siga.
Ciwon mara na lokaci-lokaci a cikin mata masu juna biyu
Baya ga sanannun nau'ikan nau'in 1 da nau'in rashin lafiya 2 mai daɗi, ana amfani da kalmar "ciwon suga a cikin jijiyoyi" a magani.
Yana faruwa ne a cikin mata masu ƙoshin lafiya waɗanda kafin lokacin daukar ciki basu da ɓacewa a cikin nazarin matakan glucose na jini.
A tsakanin makonni 20, kwayoyin halittun da ke cikin mahaifa ne ke iya toshewa don ci gaban tayi. Kwayoyin mace sun rasa hankalinsu ga insulin, glucose ba ta cikawa kuma ana yin sukari mai yawa a cikin mahaifiyar.
Irin wannan lamarin yana faruwa ne kawai cikin 5% na mata masu juna biyu waɗanda suke cikakkiyar lafiya a lokacin ɗaukar ciki. Ganin cutar ba ta ci gaba ba. Bayan haihuwa, hankalin mai sel ya koma insulin, alamun glucose ya koma daidai.
Idan aka gano cutar sankara a cikin mace mai ciki:
- Likitan ilimin likitan mata ya ba da izinin likita na musamman;
- Wani masanin ilimin endocrinologist yana haɗuwa da mai haƙuri;
- An tsara ƙarin gwajin jini da fitsari;
- Ana inganta abinci don fitar da matakan glucose;
- Ana kula da nauyin tayin, saboda wuce haddi glucose a cikin mahaifiya na iya haifar da kitse a cikin tayin da kuma yiwa jariri barazanar kiba ko kwayar cutar cikin ciki;
- Yayinda yake riƙe da alamun alamomin cututtukan cututtukan ƙwaƙwalwar ƙwaƙwalwar ƙwayar cuta, bayarwa tana yiwuwa tsawon watanni 37-38. Idan nauyin tayin ya zarce girma na 4 kilogiram, ana nuna mace mai ciki sashin cesarean.
Matan da ke fama da cutar sankara a cikin mahaifa suna cikin hadarin sake dawowa yayin haihuwa. Wannan na iya haifar da bayyanar ciwon sukari na al'ada a rayuwa.
Ciki yakamata ya zama ba dan lokaci bane
Don guje wa rikice-rikice yayin haihuwa a cikin mata masu ciwon sukari, ya kamata ma'aurata su kusanci batun da mahimmanci. Da farko kuna buƙatar shawara tare da endocrinologist ko mai ilimin hanyoyin kwantar da hankali wanda ke riƙe da tarihin cutar da masu ciwon sukari kuma ya san duk yanayin.
A wannan matakin, ya kamata a tantance haɗari, da farko, ga mahaifiyar mai tsammani.
Ciki, rikitarwa ta hanyar ciwon sukari mellitus, abu ne mai wuya kuma yana yiwuwa mace za ta tilasta wa ta ciyar da mafi yawan lokutta a cikin asibiti.
Gudanar da ciki da haihuwa yayin kamuwa da cutar sankara ya sha bamban da al'adar al'ada a cikin mata masu lafiya:
- Tsarin ya ƙunshi ba kawai likitan mata ba, har ma da endocrinologist, therapist, psychoist, da nephrologist.
- Mace mai ciki yawanci kan yi jarrabawar daki-daki don gyara maganin da ake bukata. An wajabta asibiti da aka shirya a farkon mako na hadi, 20, 24, 32 makonni na ciki. Idan rikitarwa ya tashi, adadin asibitoci na iya zama mafi girma.
- Game da ciwon sukari da ke dogaro da insulin, ana sanya allurai ne daban-daban don saka idanu kan yanayin yanayin mahaifiyar da tayi mai ciki.
- Mace tana buƙatar kulawa da hankali a kan abincin, jagorancin rayuwa mai aiki.
- Haihuwar haihuwa ga kowane nau'in ciwon sukari yawanci yakan faru ne ta dabi'a kuma likitocin halartar taron ne suka shirya shi. Ana bayar da sashin Caesarean ne kawai tare da babban nauyin tayin (daga gram 4000) ko kuma bayyanar gestosis a matakai na gaba.
- Bayan haihuwa, duka mahaifa da jariri ana kulawa da su don janar yanayin gwajin jini.
Kammalawa
A cikin magungunan zamani, ga ma'aurata waɗanda matar aure ba ta da lafiya tare da ciwon sukari, akwai damar zama iyaye masu farin ciki. Amma alhakin yanke shawara mai mahimmanci ya kasance tare da matar. Harkokin haɗari sun ci gaba da kasancewa. Kuna buƙatar samun ruhu mai ƙarfi kuma ku sami ƙwararrun likitoci waɗanda zasu taimaka wajen magance matsaloli.