Daidai lokacin haihuwar shine watanni 9. A wannan lokacin, mahaifiyar da ke gaba dole ta dauki ɗimbin yawa na gwaje-gwaje da yawa kuma suna yin karatun kayan aikin.
Likitoci suna ba da babbar kulawa ga kula da irin wannan alamomin kamar yadda ake amfani da haemoglobin (HbA1c) a cikin cikin lokacin jima'i na mara rauni.
Haƙiƙa, wani lokacin ƙimar da aka samu ba ta dace da matsayin da aka yarda ba, wanda ke haifar da buƙatar ƙarin nazarin ko ma magani.
Wajibi ne a san matakin glycogemoglobin don tabbatar da gaskiyar kasancewar glucose a cikin jinin mai haƙuri. Wannan hanyar tana ba ku damar fara jinya kafin ƙirƙirar duk wani matsala da zai cutar da lafiyar mace da kanta da jaririnta.
Bukatar gwajin HbA1c yayin daukar ciki
Don mace a lokacin haila, zaku iya gano lactin a cikin jini ta hanyar wani zaɓi na bincike, wato ma'aunin HbA1C.
Gaskiya ne, likitoci ba su ba da shawarar ɗaukar shi ga mata masu juna biyu ba, saboda bayan watanni 1 sakamakon zai iya zama tabbataccen ƙarya.
An bayyana wannan sabon abu ta hanyar gaskiyar cewa ƙarshen lokaci yana da ikon haifar da haɓaka mara daidaituwa ga darajar sukari. Akwai wasu lokuta waɗanda wannan na iya haifar da haɓaka nan da nan a cikin yawan yaro (har zuwa 4-4.5 kg).
Irin wannan tayin a farkon farawa wani lokacin yakan zama sanadin raunuka ga jariri da mahaifiyar mai juna biyu, ko kuma abin da ya sami matsala a duka biyun.
Sakamakon karuwar glucose na jini yana faruwa:
- lalata bututun jini;
- gurbataccen aiki na kodan;
- karancin gani.
Haka kuma, irin waɗannan cututtukan na iya faruwa sakamakon ƙaruwa na sa'o'i 1-4 a ƙimar lactin a cikin jini bayan cin abinci. Sauran ragowar karar glucose ba ya haifar da wani mummunan sakamako.
Rashin cikakken bayani game da nazarin HbA1C an yi bayani ne ta hanyar cewa darajar sukari a cikin mace mai ciki yana karuwa ne kawai a cikin 'yan watannin. Haɓakawa yana farawa daga watan 6, yayin ganiya a 8-9. Wannan ba ya yiwuwa a lokaci don cire mummunan tasirin akan jikin uwa da jariri na gaba.
Koyaya, a wannan yanayin, akwai hanyar fita - wucewa gwajin haƙuri haƙuri, wanda zai ɗauki minti 120, ko auna ma'aunin glucose a gida tare da glucometer.
Menene bincike ya nuna?
Binciken akan haemoglobin mai haske yana nuna kasancewar glucose a cikin jini na wani takamammen lokaci. Ya kamata a yi irin wannan bincike idan har ma akwai 'yar alamar tuhuma game da ciwon sukari mellitus (DM).Ba kowa yasan cewa sel jini (sel jan jini) suna iya rayuwa kuma suna cika makomarsu tsawon kwanaki 120. A wannan lokacin, ƙimar haemoglobin ta tabbata. Sannan akwai rushewar sel jini. HbA1C, nau'in kyauta ne, shima yana canzawa.
Sakamakon haka, sukari da bilirubin (sakamakon rushewar haemoglobin) suna rasa haɗin su. Gabaɗaya, glycohemoglobin yana da irin wannan nau'in kyauta kamar HbA1a. Muhimmancin bincike ya ta'allaka ne a tsari na biyu.
Ita ce ta iya nuna madaidaicin tsarin musayar hydrocarbon. Lokacin da aka sami hauhawar ƙwayar haemoglobin, akwai haɓaka ƙimar lactin a cikin jini.
A sakamakon haka, binciken ya nuna:
- da yiwuwar hauhawar jini;
- matakin farko na masu cutar siga;
- sakamakon sakamako na cutar "zaki"
Yadda ake bayar da gudummawar jini: shiri don binciken
Nazari akan HbA1C yakamata ayi akan komai a ciki, yayin da za a buƙaci jijirar mace don samin jini, daga inda likita zai ɗauki samfurori.
Ya kamata a lura cewa a lokacin bincike, mai nuna alamar glucose na yanzu ba shi da matsala ko kaɗan, tunda matsakaicin matakin don watanni 3-4 da suka gabata zai yi aiki a sakamakon.
Babu wasu ƙa'idodi na musamman don shirya wa hanya. Kafin gwajin, ba ku buƙatar fitar da kanku da yunwar ta ƙuntata abincinku. Amma aiki na jiki ba wanda ba a so, kuma ba kwa buƙatar cinye mahimman ruwaye.
Ma'aikaci na dakin gwaje-gwaje tare da dukkan daidaito zai ɗauki jinni a cikin 'yan mintuna kaɗan. Binciken zai buƙaci kimanin 4-5 ml na jini. Gaskiya ne, tun 2004, an gudanar da binciken a cikin mafi dacewa, wato ta hanyar samfurin daga yatsa.
Bayan an kammala wannan aikin, mai haƙuri zai iya jin ɗan ƙaramin rauni na zazzabin cizon sauro, amai, kuma a wani mataki na huda, wani lokaci hematoma ba shi da yawa. Wadannan alamun ba su haifar da tsoro ba, kamar yadda a zahiri ɗauki 1-1.5 hours.
Cutar haemoglobin a lokacin daukar ciki: al'ada
Nau'in nazarin da aka bayyana, likitoci sun yi ƙoƙarin kada su nada kowace mace a cikin matsayin. Duk da amincin sakamako na ƙarshe game da ciki, ƙimar sakamakon zai iya nuna bayanan da ba daidai ba.
Wannan sabon abu yana da alaƙa da canje-canje a jikin mahaifiya ta gaba. Suna shafar alamomin lactin, suna haifar da haɓakar saurin sa.
Koyaya, duk da karuwa a cikin sukari matakin yayin ɗaukar jariri, akwai kuma takamaiman ma'aunin abubuwan da ke ciki, yawan abin da ke barazanar farkon sakamako mai lahani:
Yawan yawaitar glucose | Yankewa |
4,5-6% | misali ga dukkan ciki |
6 - 6,3% | akwai hadarin kamuwa da cutar suga |
fiye da 6.3% | ana gano cutar sankara ta hanji |
Ya kamata a lura cewa daukar ciki baya hana karuwar darajar lactin. Kamar yadda aka ambata kadan a sama, a cikin watanni 6 - 9, jikin mace yana fuskantar matsanancin nauyi, wanda hakan ke haifar da hauhawar yawan zafin jiki.
Abin takaici, yana da kusan wuya a tsayar da hauhawar yawan glucose a kan lokaci, tunda bincike game da glycohemoglobin zai nuna matsakaicin sakamako a cikin kwanakin 120 da suka gabata.
Adadin gemocosylated haemoglobin a cikin ciwon suga na mata
Cutar da aka bayyana da ita ta taso ne sakamakon saurin ƙaruwa a cikin abubuwan glucose yayin haihuwar jariri. Irin wannan ilimin yana iya cutar lafiyar lafiyar tayi.
Idan cutar ta tashi a farkon watanni, to asarar yara tana yiwuwa.
Babban hadarin ya ta'allaka ne da yiwuwar samun ire-iren wadannan cututtukan cututtukan da suke faruwa a cikin jijiyoyin jijiyoyin jini, kwakwalwa. Lokacin da aka gano cutar a cikin kashi na 2, akwai saurin karuwa a cikin tayin da kuma ciyarwa.
Wasu lokuta wannan karkacewa yana haifar da samuwar yaro bayan haihuwar hyperinsulinemia. I.e. bashi da ikon samun sukari daga mahaifiyarsa, wanda dalilin hakan matakinsa ya ragu zuwa matakai masu mahimmanci. Ya kamata a lura cewa darajar al'ada na HbA1C a cikin ciwon sukari shine 6.5-7%.
Sanadin da haɗari na karkatar da mai nuna alama daga ma'auni
Matsayi na al'ada na glycosylated haemoglobin ya bambanta tsakanin 4-6% na jimlar haemoglobin. Lokacin da mai nazarin ya ba da sakamakon kusan 6.5%, likita yayi bincike game da ciwon sukari kuma ya ba da izini ga mai haƙuri.
Idan ƙimar ya wuce 6.6%, mutumin da aka lura da shi ana kamuwa da cutar sankarau. Bara yawan HbA1C yana nuna aiwatar da tsawan yawan glucose a jiki.
Gara yawan glycogemoglobin zai iya:
- anemia sakamakon rashin ƙarfe;
- hyperglycemia tare da ƙara yawan lactin jini;
- zub da jini, as irin wannan hanyar a wasu lokuta kan kara adadin sukari da jiki ya karba.
Kari akan haka, tsarin HbA1C na iya rage kasa:
- anemia;
- tsananin zubar jini sakamakon raunuka, aiki, daukar ciki;
- halakar cututtukan ƙwayar cuta wanda ke haifar da gushewar glucose da shaikokin haemoglobin;
- daban-daban na haemoglobin.
Don saka idanu kan matakan sukari yana da mahimmanci musamman ga mace a cikin matsayi, tunda ragi yana haifar da babbar barazana ga jaririn da ba a haifa ba.
Pathology yawanci yakan haifar da hauhawar nauyin tayi, wanda wani lokacin yakan zama sanadin:
- haihuwa
- raunin da ya faru yayin aiwatar da haihuwar yaro (hawaye a cikin uwa ko rauni a kan jaririn).
Bidiyo masu alaƙa
Game da abubuwan haemoglobin na glycated a cikin mata masu juna biyu a cikin bidiyon:
Tabbas ga kowace mace, yana da matukar muhimmanci a kula da lafiyar jikinsu, kafin samun juna biyu, da kuma lokacin haihuwar yaro. Bugu da kari, ya zama dole a ko da yaushe saka idanu kan kananan canje-canje a kiwon lafiya, musamman idan yayi mummunan rauni.
Jin kullun gajiya, urination na yau da kullun, bushewar bushe - kowane irin wannan alamar ba za a bar shi ba tare da kulawa ba. Bayan haka, yawanci suna nuna farkon ci gaba ko kuma cutar "zaki".
Saboda wannan, lokacin da suka bayyana, ya zama tilas a shiga jarabawa kai tsaye, don neman shawarar masana kimiyyar endocrinologist. Shi ne zai iya ba da tsarin kulawar da ta dace, wanda zai hana hadarin kamuwa da cutar cikin mahaifiya da jariri.