Gestational, yana da ciwon suga na ciki - menene kuma yaya ake bi da shi?

Yayin samun juna biyu, jikin mace yana fuskantar canje-canje da yawa.

Koyaya, tare da shirye-shiryen sake fasalin a wannan lokacin, sau da yawa yawancin cututtukan cututtukan cututtuka waɗanda waɗanda ba a san asalin mahaifiyar mai tsammani ba.

Daga cikin waɗannan cututtukan sun haɗa da ciwon sukari na gestational.

Siffofin cutar

Cutar sankarar mahaifa wani nau'in ciwon suga ne wanda ke faruwa yayin daukar ciki. Baya ga wannan nau'in, likita zai iya gano ciwon suga, wanda aka bayyana a cikin haƙuri sakamakon glucose.

Sanadin karkatarwa wani raguwar jijiyoyin kwayoyin jikinsu ne ga insulin din da aka samar saboda girman matakan ciki na cikin jini.

Yawancin lokaci, a cikin uwaye masu fata, sukari yakan tashi ne kawai bayan cin abinci, kuma da safe akan komai a ciki, alamomi ya kasance cikin kewayon al'ada. Idan mahaifiyar ta kamu da ciwon sukari kafin samun juna biyu, cutar ba za ta je ko'ina ba.

A kowane hali, ba tare da la’akari da irin cutar ba, dole ne mace ta yi ƙoƙari ta kula da matakan sukari a matakin da aka yarda da ita don guje wa rikice-rikice yayin haihuwa da kuma jimre wa lafiyayyen jariri.

Menene haɗari ga yaro?

Tayin, wanda mahaifiyar take ɗaukar, tana karɓar daga gare ta a cikin glucose ɗin da ake buƙata, amma ba insulin ba. Saboda haka, ingantaccen metabolism na faruwa.

Game da kasancewar rikice-rikice a cikin mahaifiyar, yana yiwuwa a ƙara yawan glucose, wanda ke da haɗari musamman a cikin farkon farkon, yayin da tayin bai riga ya inganta nasa insulin ba.

Idan aka gano matsala ta lokaci, ɗaukar matakai da sanya ido kan lamarin, yana yiwuwa a haifi ɗa cikakkiyar lafiya kuma ta kawar da rikice-rikice a cikin aikin na uwa.

Sanadin ci gaba da kuma faruwa

Masana sun ba da shawarar cewa ɗayan yanayin da ke haifar da bayyanar da cin zarafi shine toshewar hanyoyin samar da insulin ta hanyar kwayoyin ciki, waɗanda ke da alhakin ci gaban lafiya da haɓaka tayin.

Hakanan daga cikin waɗannan abubuwan shine karuwar mahaifiyar mai tsammani don glucose, wanda yake wajibi ne ba kawai ga jikinta ba, har ma ga tayin. Saboda haka, haɓakar samar da insulin yana farawa, wanda ke rushe aikin ƙwayar cuta.

Bugu da kari, sanadin ci gaban ciwon sukari a cikin mata masu juna biyu na iya zama cutarwa daban-daban, yanayin tsinkaye, wanda mahaifiya ta tura shi a farkon kamuwa da cuta, fasalin halittar polycystic akan kwayoyin, munanan halaye da sauran dalilai da yawa.

Sakamakon da haɗari

Mafi girman matakin sukari na jini na mahaifiyar mai jira, mafi girman yiwuwar macrosomia (ciyar da tayin).

A cikin irin waɗannan halayen, yaro a cikin mahaifa yana yin nauyi da sauri, amma girman da girman ci gaban kwakwalwa ya kasance al'ada.

Rashin nauyi mai saurin haifar da saurin yiwuwar haihuwa, haka kuma rikice-rikice yayin aiki. Bugu da kari, da alama yiwuwar haihuwa ko asifa, rashin aiki na yara da ci gaban rikice rikice na haihuwa.

Don guje wa waɗannan matsalolin, likitoci sukan yi kira da wuri don haihuwa. A wannan yanayin, hanyar aiki yana yiwuwa ba tare da rikitarwa ba ko tare da adadinsu kaɗan.

Pathogenesis da etiology

A lokacin daukar ciki, ana samun yada kwayar cutar suga a cikin mahaifiya zuwa tayi. A lokaci guda, kimanin daga farkon farkon karo na biyu, raguwar jijiyar kyallen takarda zuwa insulin yana faruwa, sakamakon abin da karuwar samar da insulin zai iya farawa.

Abubuwan da jikin ke samarwa na insulin

Duk da kasancewar wani yanayi na rikice-rikice da alamu na “lafiya” canje-canje a jikin mace mai juna biyu, hanyar ci gaban ciwon suga na cikin mahaifa kowane ne a cikin yanayin.

Kwayar cutar

Ba kamar ciwon sukari na al'ada ba, cutar sankarar mahaifa ba ta da jerin alamu na yau da kullun waɗanda ke iya nuna rashin lafiyar. Tabbatarwa tabbatacciyar tabbaci game da yanayin aikin masu ciwon sukari zai zama ƙara yawan glucose a cikin jini.

A mafi yawan lokuta, mata masu juna biyu da ke dauke da cutar suga ta hanji na iya fuskantar wadannan canje-canje:

• wuce gona da iri a cikin nauyin jikin mahaifiyar mai fata (haɓaka fiye da gram 300 a mako);
• matsananciyar ƙishirwa;
• da buƙata don ƙarin ziyara a cikin bayan gida;
• asarar ci;
• gajiya.

Tayin tayi a wannan lokacin kan aiwatar da duban dan tayi za'a iya gano rabe-raben sassan jikin mutum, kirkirar kiba mai yawa da kuma girma cikin sauri a jiki.

Binciko

Sabili da haka, a lokacin da mahaifiyar ta gaba ke rajista a cikin asibitin haihuwa, likita dole ne yayi la'akari da wasu alamomi masu mahimmanci (shekaru da nauyin matar mai juna biyu, farkon ciwon sukari a yayin daukar ciki na baya, haihuwar jarirai masu nauyin sama da 4 kilogiram, sake haihuwa, kasancewar tsinkayen gado da sauran sauran maki).

Mataki na biyu shine bayar da gudummawar jini don glucose. Ana yin irin wannan binciken sau da yawa yayin daukar ciki. Idan akalla sau ɗaya mai nuna alamar ya wuce 5 mmol / l, za a tura mahaifiyar da ke cikin gwajin gwajin haƙuri a cikin gwajin.

Game da alamomi na yau da kullun a cikin makonni 24-28 na gestation, ana yin aikin sake. A wannan lokacin ne zaka iya samun ingantaccen sakamako.

Jiyya

Idan mahaifiyar mai haihuwar ta kamu da ciwon sukari, ana wajabta shi a cikin matsakaiciyar motsa jiki, rage cin abinci, da sarrafa sukari a duk tsawon ranar (ana bada shawarar gwargwadon sau 5-6 a rana).

Abincin don rashin lafiya

Ka’idojin “halin cin abinci” su bi wasu shawarwari masu sauki:

1. yakamata abinci ya zama juzu'i. Ana ba da shawarar ciyar da abinci 5-6 a rana, 3 wanda zai zama babba, kuma sauran - kayan ciye-ciye masu haske;
2. daga abincin da za ku ci dole ku ware carbohydrates waɗanda ke ƙarƙashin jan hankali (gari, mai daɗi, dankali);
3. wajibi ne don auna matakin sukari tare da glucometer bayan kowane abinci;
4. Kada ku wuce gona da iri;
5. Ya kamata a shirya abincin kamar haka: 40-45% na ƙwayoyin carbohydrates lafiya, 30% na fats masu lafiya da kuma 25-60% na sunadarai.

Abubuwan da aka haramta

Idan kun sami ciwon sukari, cire waɗannan abincin daga abincin ku:

• sukari, cakulan, ice cream, Sweets;
• marinade, jam, pickles;
• yogurts, miya, madara, kirim mai tsami;
• ruwan 'ya'yan itace da kowane irin sha da ke dauke da sukari.

Menu da aka yarda

Amfani da aka ba da izini:

• albarkatun kwayoyi;
• miyan kayan lambu, wani irin abincin tsami, okroshka;
• leda;
• kayayyakin soya;
• sabo kayan lambu;
• ruwan kwalba da ruwan lemon tsami;
• hatsi (oatmeal, buckwheat, alkama);
• 'ya'yan itatuwa bushe;
• 'Ya'yan itãcen marmari marasa tushe da berries (pears, apples, lemons da sauransu).

Abinci don kamuwa da cutar siga da sifofinta

Ana zaɓi menus na haƙuri tare da masu ciwon sukari daban-daban. A matsayinka na mai mulki, babban nauyin carbohydrate ya sauka akan karin kumallo, kadan yakamata a cinye a abincin rana, kuma abincin dare yakamata ya kasance mai karancin kalori. Za'a iya samun tukwicin shirya menu daga mai kula da lafiyar ku.

Motsa jiki

Ya kamata aikin jiki ya zama matsakaici, yana kawo nishaɗi.

Yi motsa jiki irin wasanninku na yau da kullun: tafiya, iyo, motsa jiki da sauransu. Abubuwan motsa jiki yayin daukar ciki an hana su.

Idan kun ji rashin lafiya, jinkirta taron zuwa wani lokaci. Haka kuma, yayin horo, saka idanu kan zaman lafiyarku. Sau da yawa a lokacin daukar ciki, mata masu juna biyu suna fuskantar matsalar rashin haihuwa.

Don hana damuwa, fara darasi sa'a daya bayan cin abinci. Hakanan, daidai bayan horo, zaku iya cin sanwic mai sauƙi ko apple.

Magungunan magani

A lokacin daukar ciki, iyaye mata masu zuwa da masu ciwon sukari nan gaba za a iya tsara su ta hanyar magungunan da aka tsara don inganta zagayawa cikin jini a cikin tayin mahaifar.

Jerin magungunan sun hada da Magnesia, bitamin na rukunin A, E, rukunin B

A cikin matakai na gaba, zaku iya buƙatar amfani da insulin. Hakanan, don ware hypoxia na tayi, ana amfani da Pentoxifylline, Riboxin ko Piracetam.

Rashin haihuwa

Lokaci mafi kyau na GDM shine makonni 39-40.

Amma idan cikin makonni 38 nauyin tayin ya fi gram 3900, farawar haihuwa zai fara. A karkashin yanayin gabatarwar kai, mafi kyawun zaɓi shine haihuwar haihuwa.

Koyaya, mace mai yawan aiki dole ne ta auna matakin sukari a kowane 1-2.

Yin rigakafin

Idan kun kamu da ciwon sukari yayin daukar ciki, sannan kuma ya shude, kada ku sassauta, saboda daga baya ana iya gano cutar sukari irin ta 2.

Sabili da haka, an bada shawara don saka idanu akan wannan lokacin kuma aiwatar da matakan rigakafin kai a kai.

Bayan haihuwa, a makonni 6-12, a gwada wa masu ciwon sukari.

Bayan haka, ana bada shawara a bincika kowace shekara 3. Hakanan ya zama dole a rayuwar yau da kullun don ɗaukar jikinku tare da motsa jiki masu ƙarfi kuma ku bi abinci (abincin da yakamata ya ƙunshi sunadarai ne da ƙoshin lafiya, kuma ku bar carbohydrates m).

Bidiyo masu alaƙa

Prina'idojin abinci mai kyau don cututtukan ƙwayar cuta a cikin mahaifa:

Ko da likitoci sun ga kana da ciwon suga, to kada ka fid da rai. Yarda da abinci, motsa jiki da kulawa da kulawa na likita zai taimaka hana ci gaba da cutar da rage tasirin sa akan ci gaban jariri.