Mun mika da kuma shawo kan gwajin haƙuri a cikin glucose yayin haihuwa: tsari da karkacewa

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Shekaru 40 na ciki ba wai kawai lokacin tsammani bane, bege, da annashuwa da murna.

Irin wannan "farin ciki" yana tilasta wa mahaifiyar mai buƙatar buƙatar yin gwaje-gwaje masu yawa da wucewa kowane nau'in gwaje-gwaje.

Daga cikin wasu abubuwa, yanayin gwajin haƙuri a cikin mata masu juna biyu yana da mahimmanci, kimar abin da dole ne a kula da shi a duk lokacin haihuwar jariri.

Kawai irin wannan halin ne yake baiwa likita damar saka idanu a kan yadda ake daukar ciki, da gano matsalolin matsalolin da suka dace da kuma daidaita yanayin cutar. To yaya mahimmanci ga kowace mace tayi irin wannan binciken? Wannan shi ne abin da za a tattauna a wannan labarin.

Yaya tsawon lokacin da mace mai ciki take buƙatar yin gwajin haƙuri game da glucose?

Ana gudanar da gwaji don haƙuri haƙuri a cikin matakai 2. Ya yi kama da wannan:

  • Mataki na farko - da ake buƙata. An wajabta shi a farkon ziyarar likita ga kowace mace game da koyarwar kowane yanayin makonni 24;
  • Mataki na 2. An nuna shi ta hanyar ƙaddamar da gwajin haƙuri na baka tare da 75 g na glucose na tsawon mako-mako na 25-28. A wasu yanayi, mace tana yin bincike a cikin makonni 32, idan akwai babban haɗari, to daga 16, kuma idan an gano sukari a cikin binciken, daga 12.

Mataki na 1 ya kunshi halartar dakin gwaje-gwaje na lactin plasma na azumi bayan azumi na tsawon awanni 8.

Gaskiya ne, isar da abinci yana yiwuwa ba tare da la'akari da abincin ba. Idan almara na yau da kullun ya wuce tare da kasancewar lokaci guda a cikin sukarin jini na ƙasa da 11.1, likitan likita ya ba da izinin yin bincike na biyu.

Lokacin da sakamakon gwajin ya kasance daidai da matsayin sabbin cututtukan cututtukan ƙwayar cuta, nan da nan aka gargadi matar zuwa likitan don dubawa da kuma maganin da ya dace. Idan matakin lactin na azumi ya fi 5.1 mmol / L, amma kasa da 7.0, ana gano cutar GDM.

Don daidaito na sakamakon gwajin, matar mai ciki dole ne ta bi duk shawarar likitan.

Daga ina jini yake fitowa: daga yatsa ko daga jijiya?

Yawancin mata masu juna biyu, waɗanda ke shirin zuwa likitan mata, suna mamakin - yaya hanya ta wuce ƙimar gwajin don sukari? Da farko, ya kamata ku ziyarci dakin gwaje-gwaje a kan komai a ciki tare da doctorate da kuma sakamakon binciken sukari.

Wasu lokuta kafin gwajin kai tsaye don haƙuri na glucose, ana maimaita nazarin yatsan plasma don lactin, kuma tare da sakamakon fiye da 7.1 mmol / L, ba a ba da umarnin binciken da zai biyo baya.

Hanyar ta ƙunshi nau'in gwaji na haƙuri don haƙuri kuma ya ƙunshi:

  1. samfuran plasma daga jijiya da auna glucose;
  2. to mara lafiya yakamata yayi amfani da maganin monosaccharide, wanda ake kira kaya;
  3. ana yin samfuran plasma na santin daga jijiya bayan awa daya, bayan wannan kuma mintina na 120 bayan ana auna nauyin sakamakon.
Matsaloli tare da mahimmancin sukari na tsawon lokaci na iya haifar da bayyanar daukacin rikice-rikice waɗanda ke da mummunar tasiri ga mace da ɗan da ba a haife su ba.

Bayyana sakamakon gwajin sukari tare da kaya

Don ingantaccen ƙididdigar sakamakon binciken jini a kan lactin tare da kaya, yana da mahimmanci a la'akari da matsayin daidaituwa don kasancewar sukari duka a kan komai a ciki kuma bayan shan maganin zaki.

Teburin da ke ƙasa yana nuna matakin al'ada, lambobin jihar da ke da ciwon suga da kuma masu ciwon suga:

Norm (mmol / L)Jihar ciwon sukari (mmol / l)Nau'in ciwon sukari I, II (mmol / L)
Nazarin Azumikasa da 5.55,6 - 6fiye da 6.1
Nazarin Azumi (Bayan awa 2)kasa da 7.87.8 - 10.9sama da 11
venous nazarin halittu nazarin halittukasa da 5.55.6 - 6fiye da 6.1
tsarin nazarin halittu masu narkewa (awa 2 bayan haka)kasa da 6.86.8 - 9.9sama da 10

Kasancewar dama na gano cutar sankarau yana sa ya yiwu a fara maganin cutar a matakin farko da kuma hana ci gaba da ci gaba.

Gwajin haƙuri a lokacin daukar ciki: al'ada

Increasedarin gwajin haƙuri na glucose (PGTT) na iya faruwa a yanayi daban-daban na asibiti. Idan sakamakon binciken da aka ƙaddamar ya nuna ci gaba da ƙaruwa a cikin darajar glucose, to an maimaita gwajin.

Bayan irin wannan hanyar, likita zai iya gano cutar sukari. Dole ne a yi gwajin jini sau da yawa, kamar yadda dokar wuce irin wannan gwajin ta nuna.

Kowane mace mai ciki ya kamata ta san matakin glucose na yau da kullun da kuma abubuwan da ke iya haifar da karkacewa:

  1. alamar tushe (kafin fara binciken). Kafin cin abinci a kan komai a ciki, darajar glucose a cikin plasma na mahaifiyar mai jira kada ta “hau” sama da 5.1;
  2. bayan shan 75 grams na glucose, ƙimar ya wuce 11.1;
  3. bayan awa 1 da 2. Bayan minti 60 bayan shan giyar mai dadi, ƙa'idar ita ce 10.0 ko ƙasa da mmol / l, yayin da bayan minti 120 matakan glucose bai kamata ya tashi sama da 8.5 ba.

Idan karuwa a cikin sakamakon gwajin haƙuri na glucose ya faru ne kawai lokacin daukar ciki, to wannan shine ake kira cutar sankarar mahaifa.

Ya kamata a lura cewa abubuwan da aka kafa daga ƙa'idar ƙa'idar tuni sun zama dalili ga mace mai ciki ta kula da sukari a kai a kai tsawon rayuwarta. Don tabbatar da bayyanar cutar, yana da wajaba don sanin ƙarar haemoglobin da ke cikin jiki.

Wannan manuniya yana da ikon yin daidai da yanayin kasancewar lactin a cikin jini tsawon watanni. A yau, kwararru daga manyan ƙasashe suna amfani da wannan alamar don tabbatar da cututtukan da ke tattare da cutar sankara.

Idan sakamakon ƙaddamar da gwajin GTT bai cika alamomi na yau da kullun ba, ya kamata ka nemi shawarar likita nan da nan kuma kada ka shiga cikin jin-da-kai.

Dalilai na sabawa sakamakon daga ka’ida

Gwajin haƙuri a jiki shine cikakken binciken na 2-hour, wanda ke ba da sakamakon sakamakon cututtukan cututtukan ƙwayar cutar glucose da aka samar a lokuta daban-daban. Wannan yana ba mu damar tabbatar da kasancewar yawan cututtukan cuta, cututtuka daban-daban na jikin mace.

Duk wata karkacewa zuwa karami ko mafi girma gefen siginar wasu take hakki.

Ofimar glucose a sakamakon binciken (hyperglycemia) na iya ƙaruwa a gaban cututtukan da ke gaba:

  • Cutar sankarau da ci gabanta;
  • cututtuka na gabobin endocrine;
  • cututtukan cututtukan pancreatic - na kullum ko m pancreatitis;
  • kowane irin cututtuka na kodan, hanta.

Idan darajar sukari ya ragu (hypoglycemia), zamu iya ɗaukar kasancewar:

  • daban-daban karkacewa na aiki na pancreas;
  • hypothyroidism;
  • cututtukan hanta;
  • miyagun ƙwayoyi, guba barasa;
  • karancin baƙin ƙarfe.
Tunda sakamakon gwajin yana da matukar saurin kamuwa da abubuwa iri-iri, ana sanya ƙarin nazarin don tabbatar da cutar.

Bidiyo masu alaƙa

Game da dabi'un gwajin don haɓakar glucose yayin daukar ciki a cikin bidiyon:

Take hakkin haƙuri a mafi yawan lokuta yakan faru ne a lokacin latent na cutar "mai daɗi". Don gano lokaci irin wannan ilimin, an wajabta isar da gwajin da aka bayyana. Aiwatarwarsa ya ƙunshi ingantaccen shiri da kuma la'akari da duk hani.

Sakamakon da aka samu ya ba mu damar warewa ko tabbatar da raunin glucose ta sel, da kuma kasancewar barazanar da ke gabatowa ga ayyukan zuciya, jijiyoyin jini da kuma tafiyar matakai na jiki.

Idan an sami ɓarna, ana bada shawarar bin shawarwarin abinci mai gina jiki da kuma daidaita salon rayuwa. Irin wannan halin kawai zai haifar da haihuwar lafiya, jariri mai ƙarfi.

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