CUTAR SANKARAR MAHAIFA: ALAMU DA ALAMU A CIKIN MATA MASU JUNA BIYU

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Ofaya daga cikin nau'in cutar sukari da aka gano a cikin mata yayin lokacin haihuwar ita ana kiranta ciwon sukari.

Yawancin lokaci, ana gano cutar ta kusan zuwa tsakiyar ciki a cikin kowace mace na 5th a cikin aiki. Lokacin ɗaukar jariri babban nauyi ne a jikin mace.

A wannan lokacin, an bayyanar da cututtuka daban-daban, gami da cututtukan siga na mata masu juna biyu. Menene sababi da bayyanar cututtuka na ciwon sukari? Me yasa ya bayyana?

Hoton asibiti na cutar sankarar bargo

Sau da yawa, cutar gaba daya ta ɓace bayan haihuwar yara, kuma ƙwayar carbohydrate metabolism ta koma al'ada. Koyaya, akwai yiwuwar samun ciwon sukari na al'ada a cikin shekaru masu zuwa.

Babban alamomin cutar sankarar mama

Babban alamar HD shine yawan sukarin jini. Cutar da kanta tana da hanyar da ba a ɗauka ba.

Mace na iya jin ƙishirwa, da gajiya da sauri. Abincin zai inganta, amma a lokaci guda zai rasa nauyi.

Ba lallai ba ne mace ta mai da hankali ga irin waɗannan alamun, ta yarda cewa wannan shine tasirin ciki. Kuma a banza. Duk wani bayyanar da rashin jin daɗi ya kamata ya faɗakar da mahaifiyar mai jiran tsammani kuma ya kamata ta sanar da likita game da su.

Bayyanar cututtuka na latent nau'i na cutar

Idan cutar ta ci gaba, alamomin masu zuwa suna iya yiwuwa:

bakin bushe kullun (duk da cewa yawancin ruwa mai yawa yana bugu);
urination akai-akai;
ƙari kuma ina so in shakata;
hangen nesa bashi da kyau;
ci yana girma, kuma tare da shi kilo kilogram na nauyi.

A cikin ƙishirwa da ci mai kyau, yana da wuya a fayyace alamun cutar sankara, saboda a cikin mace mai lafiya, yayin jiran yaro, waɗannan sha'awar suna ƙaruwa. Sabili da haka, don bayyana bayyanar cutar, likita ya ba da umarnin ga mahaifiyar da ake tsammani don ƙarin binciken.

Binciko

Don tantance cututtukan, likita ya nada mace a cikin yin aikin jinni da gwajin fitsari (janar).

Manuniya na yau da kullun sune kamar haka:

a kan komai a ciki - daga 4.1 zuwa 5.1 mmol / l;
da kuma awanni 2 bayan cin abinci - har zuwa 7 Mmol / l.

Nazarin asali don gano ciwon sukari mai ciki shine ƙididdigar matakin glucose na mai haƙuri.

Ana yin ta a kai a kai daga mako na 20 na gestation. Idan sakamakon yana da ƙima sosai, mace mai ciki ana wajabta mata gwajin haƙuri ta glint (gluT).

Bugu da kari, lokacin da mace ta haihu tana cikin haɗari ga HD, ana gudanar da irin wannan binciken kai tsaye, a farkon ziyarar likita. Ko da tare da glucose na azumi na yau da kullun, ana sake yin GTT a makonni 24-28 na mata masu juna biyu.

An tabbatar da HD tare da ƙimar glycemia sama da 7, 0 Mmol / L (daga yatsa) da fiye da 6, 0 Mmol / L (daga jijiya), samfuran biyu - a kan komai a ciki.

GTT yana da ƙayyadaddun abubuwa, kuma wajibi ne don shirya shi.

Za'a sami sakamako daidai idan an kiyaye waɗannan ƙa'idodi:

Kwanaki 3 na ƙarshe kafin binciken, matar mai juna biyu ya kamata ta ciyar kamar yadda ta saba: ku ci kamar yadda ta saba (ba tare da abinci mai ƙuntatawa ba) kuma ba tawaya ba;
abincin dare na ƙarshe kafin nazarin ya kamata ya ƙunshi fiye da 50 g na carbohydrates. Wannan yana da matukar muhimmanci. Tunda ana ɗaukar GTT na musamman akan komai a ciki, bayan awowi 8-14;
yayin nazarin ba zaku iya shan taba ba, ku ci wani abu ko shan magani. Hatta karamin motsa jiki (hawa hawa) ba a cire shi.

Don haka, ana yin samfurin farko na jini akan komai a ciki. Bayan minti 5, mai haƙuri ya sha maganin gwajin glucose (1.5 tbsp na ruwa tare da foda diluted a ciki). Ana buƙatar ƙarin samfurin jini bayan awa 2. Idan komai ya kasance cikin tsari, to wannan glycemia zai zama 7.8 mmol / l. Babban darajar daga 7.9 zuwa 10.9 mmol / L yana nuna ƙarancin haƙuri na glucose.

Ofimar 11, 0 Mmol / L ko sama da haka yana nuna alamar cutar sikari. Likita ne kawai zai iya gano cutar, bisa ga bayanai daga ƙwararrun bincike, da kuma gano kansa na cutar ta amfani da glucometers ba daidai ba ne, tunda ba daidai bane.

Kula da juna biyu

A cikin mafi yawan lokuta (har zuwa 70%), ana daidaita cutar ta abinci. Mace mai ciki kuma tana buƙatar ikon iya sarrafa glycemia da kansa.

Abincin da ake amfani da shi don HD yana dogara da waɗannan ƙa'idodi:

an shirya abincin yau da kullun don ya haɗa da furotin 40%, 40% mai da carbohydrates 20%;
koyon cin abinci kaɗan: sau 5-7 a rana tare da tazara na sa'o'i 3;
tare da nauyi mai yawa, yakamata ku ƙididdige yawan adadin kuzari: ba fiye da 25 kcal a kowace kilogiram na nauyi. Idan mace ba ta da ƙarin fam - 35 kcal a kowace kg. Rage yawan adadin kuzari na abinci ya kamata da hankali da santsi, ba tare da matakan tsaurara ba;
Sweets, da kwayoyi da tsaba, gaba ɗaya an cire su daga abincin. Kuma idan kuna son cin zaƙi - ku maye gurbinsa da 'ya'yan itace;
Karku ci abinci mai bushe-bushe (noodles, kayan kwalliya, dankalin turawa).
ba fifiko ga dafaffen dafaffen abinci da na abinci;
sha more - gilashin 7-8 na ruwa a rana;
dauki cakuda bitamin tare da likitanka, saboda waɗannan kwayoyi suna ɗauke da glucose;
yi ƙoƙarin rage yawan kitse a abinci, da rage furotin zuwa 1.5 g a kowace kg. Inganta abincin ka da kayan lambu.

Ka tuna cewa ba za ku iya fama da macen da take tsammani ba, saboda sukari yana haɓaka daga ƙarancin abinci.

Idan abincin bai bayar da sakamakon da ake tsammani ba, kuma ana kiyaye matakin glucose mai yawa, ko mara lafiyar yana da gwajin fitsari mara kyau tare da sukari na al'ada, an wajabta maganin insulin.

Sashi da likita zai iya daidaitawa kawai ya dogara ne da nauyin jikin mace mai ciki da shekarun haihuwa.

Za'a iya yin allura da kansa, tunda an horar da ku da ƙwararren masanin ilimin halittu. Yawancin lokaci, ana rarraba kashi zuwa kashi biyu: da safe (kafin karin kumallo) da maraice (har zuwa lokacin cin abinci na ƙarshe).

Farjin insulin a wata hanya ba zai iya rage abincin ba, yakan ci gaba har tsawon lokacin daukar ciki.

Matsaloli da ka iya yiwuwa

Hadarin haifar da lahani iri iri a tayin yana da girma musamman a farkon lokacin da aka sami lokacin haihuwa.

Dalilin haka shi ne cewa jariri ya ci glucose na mahaifiya, kuma insulin bai isa ba. Shi da kansa ba zai iya samar da kwayoyin halittar ba, tunda kumburin kansa baya samarwa.

Zai ci gaba ne kawai a cikin sakin na biyu kuma zai fara amfani da glucose duka a cikin tayi da mahaifar. A wannan yanayin, hyperinsulinemia yana haɓaka. Hadarinsa shine cewa akwai cin zarafin huhun ɗan da ba a haife shi ba. Sugararancin sukari bashi da hatsari ga jariri, yana cutar da kwararar jini yayin da yake barazanar bazuwa cikin ci gaban tunani.

HD ba tare da kulawa ba rikice-rikice na ciki sosai:

mace mai yawan haihuwa na iya haɓaka gestosis da polyhydramnios;
cututtukan urinary fili na iya kamuwa da jariri;
akwai lokuta masu yawa na ketoacidosis, wanda ke haifar da maye ga jikin mahaifiyar duka;
kusan dukkanin gabobin suna wahala: idanu, kodan, jijiyoyin jini da zuciya;
tayin ya sami nauyi mai yawa (macrosomia), kuma an maye gurbin haihuwa ta wani sashin caesarean;
An hana ci gaba cikin ciki

Abun rikice-rikice za a iya hana shi ta hanyar diyya mai kyau don HD, kuma haihuwa zai zama na halitta da kan lokaci.

Lura daga baya

Cutar sankara a cikin mahaifa tana da fasali ɗaya: baya ɓacewa ko da lokacin bayarwa.

Idan mace mai ciki ta kasance da HD, to, yiwuwar yin kwanciyar hankali na cutar kansa talakawa ya karu da sau biyar.

Wannan babban haɗari ne. Saboda haka, ana lura da mace koyaushe bayan haihuwa. Don haka bayan watanni 1.5, dole ne ta duba metabolism din.

Idan sakamakon ya kasance tabbatacce, ana yin ƙarin sa ido a kowace shekara uku. Amma idan aka gano cin zarafin glucose, an inganta abinci na musamman, kuma lura yana ƙaruwa zuwa lokaci 1 a shekara.

Duk cututtukan da suka biyo baya a wannan yanayin ya kamata a tsara, saboda ciwon sukari (yawanci nau'ikan 2) na iya haɓaka shekaru da yawa bayan haihuwar. Ya kamata a kara yawan motsa jiki.

Sabbin jarirai a cikin uwaye masu ɗauke da HD ana sanya su ta atomatik ga rukuni mai haɗari don mutuwar jarirai kuma suna ƙarƙashin kulawa ta likita koyaushe.