M ko a'a: gwajin haƙuri na glucose a lokacin daukar ciki da mahimmancin sa

An wajabta gwajin hankali na glucose don marasa lafiya da masu ciwon sukari mellitus, masu kiba masu fama da cututtukan thyroid.

A cikin iyaye mata da yawa masu tsammanin, a kan tushen canje-canje na hormonal, rikicewar metabolism na faruwa.

Wadanda ke cikin haɗarin an rubuta su don gwajin haƙuri na glucose don hana ci gaba da ciwon sukari, da kuma tambayar ko ya zama dole a yi shi yayin daukar ciki shine alhakin ƙwararrun likitan mata.

Matar ta yanke shawarar yin gwaji, gwargwadon irin damuwar da take damuwa da lafiyar jaririn da ba a haifa ba.

Gwajin haƙuri a lokacin daukar ciki: na wajibi ne ko a'a?

Dole ne a rubuta gwajin haƙuri a cikin glucose kawai a wasu asibitocin mata, da kuma a wasu - saboda dalilai na kiwon lafiya.

Kafin yanke shawara ko ana buƙatarsa ​​a lokacin daukar ciki, yana da daraja a tuntuɓar likitan dabbobi don neman shawara, da kuma gano wanda aka nuna masa.

GTT muhimmin bangare ne na bincikar lafiyar mahaifiyar mai ciki. Amfani da shi, zaku iya ƙayyade daidai daidaituwa na glucose ta jiki kuma gano yiwuwar karkacewa a cikin tsarin metabolic.

A cikin mata masu ciki ne likitoci ke bincikar cutar sankarau ta mahaifa, wanda hakan ke haifar da barazana ga lafiyar tayin. Don gano cutar da ba ta da alamun halayyar asibiti a farkon matakan mai yiwuwa ne ta hanyar dakin gwaje-gwaje. Yi gwaji tsakanin makonni 24 zuwa 28 na ciki.

A farkon matakin, ana wajabta gwaji idan:

• mace mai kiba;
• bayan nazarin fitsari, an gano sukari a ciki;
• ciki na farko ya kamu da ciwon sikila;
• babban yaro an riga an haife shi;
• Duban dan tayi ya nuna cewa tayi tayi babba;
• a cikin kusancin dangi na mace mai ciki akwai masu fama da cutar siga;
• bincike na farko ya nuna wuce haddi na matakan glucose na jini.

GTT akan gano alamun da ke sama an tsara su a cikin makonni 16, maimaita shi a makonni 24-28, bisa ga alamun - a cikin watanni uku. Bayan makonni 32, saukar da glucose mai hadari ne ga tayi.

Ana gano ciwon sukari na ciki idan sukari jini bayan gwajin ya wuce 10 mmol / L sa'a daya bayan shan maganin kuma 8.5 mmol / L sa'o'i biyu daga baya.

Cutar fitsari ba ta samar da isasshen hormone don wannan yanayin, haƙurin glucose a cikin mace mai ciki yana daidai da matakin.

A lokaci guda, matakin haɓaka glucose yana ƙaruwa, cututtukan ƙwayar cuta na haɓaka.

Idan an lura da abubuwan sukari a matakin 7.0 mmol / l a matakin farko na plasma, ba a ba da umarnin gwajin haƙuri na glucose. An gano mai haƙuri da ciwon sukari. Bayan ta haihu, an kuma ba da shawarar a duba ta don gano ko cutar tana da nasaba da juna biyu.

Umurni na Ma'aikatar Lafiya na Rasha Federation

Dangane da tsari na Nuwamba 1, 2012 N 572н, nazarin ba da haƙuri a cikin glucose ba a cikin jerin wajibi ga duk mata masu juna biyu. An tsara shi don dalilai na likita, kamar polyhydramnios, ciwon sukari, matsaloli tare da haɓakar tayin.

Zan iya ƙin gwajin haƙuri a lokacin haila?

Mace na da hakkin ta ki GTT. Kafin yanke shawara, ya kamata ka yi tunani game da sakamakon da ka iya biyo baya kuma ka nemi shawarar kwararru daban-daban.

Yaushe ne haramta yin bincike?

Tun da mace za ta sha mai daɗin bayani mai kyau kafin gudummawar jini, kuma wannan na iya tayar da jijiyoyi, ba a sanya gwajin don alamun cutar mai guba da farko ba.

Contraindications don bincike sun haɗa da:

• cututtukan hanta, cututtukan ƙwayar cuta yayin tashin zuciya;
• tafiyar matakai masu kumburi kullum a cikin narkewa;
• ciwon ciki;
• "ciwo mai ciki";
• contraindications bayan tiyata a ciki;
• da bukatar hutawa na gado akan shawarar likita;
• cututtuka na cuta;
• ƙarshen watanni uku na ciki.

Ba za ku iya gudanar da wani nazari ba idan karatun karatukan glucose a cikin komai a ciki ya wuce darajar 6.7 mmol / L. Additionalarin shan ɗamara zai iya tsoratar da faruwar cutar mahaukaciya.

Abin da sauran gwaje-gwaje dole ne a mika wa mace mai ciki

A duk cikin ciki, mace tana karkashin binciken likitoci da yawa.

Tabbas waɗannan gwaje-gwaje ana ba da shawarar ga mata masu juna biyu:

1. farkon watanni uku. Lokacin rajistar mace mai juna biyu, an tsara tsarin karatun: cikakken bincike akan fitsari da jini. Tabbatar a tantance ƙungiyar jini da asalinta na Rh (tare da bincike mara kyau, an kuma wajabta wa miji). Binciken kwayar halitta yana da mahimmanci don gano jimlar furotin, kasancewar urea, creatinine, ƙayyade matakin sukari, bilirubin, cholesterol. Ana bai wa mace damar yin amfani da kundin tsari don tantance hadin gwiwar jinin da tsawon lokacin aiwatarwa. Ba da gudummawar jini kyauta ga syphilis, kamuwa da kwayar cutar HIV da hepatitis. Don cire cututtukan ƙwayar cuta, suna ɗaukar swab daga farji don fungi, gonococci, chlamydia, ureaplasmosis, da kuma gudanar da gwajin ƙwayoyin cuta. Plasma furotin yana da niyyar fitar da mummunan cuta, kamar su Ciwan Down, Ciwon Edwards. Gwajin jini don rubella, toxoplasmosis;
2. sati na biyu. Kafin kowace ziyarar likitan mata, wata mace zata gabatar da bincike gaba daya game da jini, fitsari, da kuma coagulogram idan aka nuna. An yi ilimin halittar dabbobi kafin izinin haihuwa, ilimin halittar jiki yayin da aka gano matsaloli yayin wucewar bincike na farko. An kuma sanya kwaro daga farji, cervix akan microflora. Maimaita yin gwaji don kwayar cutar HIV, hepatitis, syphilis. Ba da gudummawar jini ga ƙwayoyin cuta;
3. na uku. Babban bincike na fitsari, jini, shafawa don gonococci a makonni 30, gwajin kwayar cutar kanjamau, hepatitis suma an wajabta su. Dangane da alamomi - rubella.

Bidiyo masu alaƙa

Game da gwajin glucose na jini tare da kaya yayin daukar ciki a cikin bidiyon:

An wajabta gwajin haƙuri na glucose ga mata masu juna biyu da ake zargi da ciwon sukari. A hadarin akwai marasa lafiya masu kiba da cututtukan endocrine, suna da dangi da irin waɗannan cututtukan. Ba za ku iya yin bincike tare da mummunan toxicosis ba, bayan tiyata a kan ciki, tare da fashewar cututtukan pancreatitis da cholecystitis.

Ba a cikin gwajin haƙuri na glucose a lokacin daukar ciki ba a cikin jerin karatun da ake buƙata; an tsara shi bisa ga alamu. Mace da ke lura da kanta da jaririnta za ta bi duk umarnin likita kuma za su wuce gwaje-gwajen da suka dace.

Idan aka gano yawan matakan sukari na jini na al'ada, toshewar cututtukan da ke faruwa a cikin lokaci zai guji matsalolin kiwon lafiya a lokacin daukar ciki, da kuma hana aukuwar su a cikin jariri.