Dangane da nazarin asibiti, alamun glucose a cikin mata yayin haihuwar yaro a cikin mafi yawan lokuta sun wuce iyakan damar zuwa mafi girma. Yanayi mai kama yana da alaƙa da canje-canje na halayen hormonal na wannan lokacin. Mene ne daidai na sukari na jini a cikin mata masu juna biyu, yadda za a bincika shi da abin da yake wajibi ne don gyaran alamu, an tattauna a ƙasa.
Lambobi masu inganci
Ka'idar sukari na jini yayin daukar ciki bai dace da wasu matakan da aka yarda da su ba. Abubuwan da aka ba da shawarar (a mmol / l):
- kafin abinci ya shiga jiki - ba ya fi 4.9;
- Mintuna 60 bayan cin abinci - ba mafi girma sama da 6.9;
- Minti 120 bayan cin abinci - ba fiye da 6.2.
Gwanin sukari na yau da kullun yayin haɓakar ciwon sukari (a cikin mmol / l):
- a kan komai a ciki - ba ya fi 5.3;
- Mintuna 60 bayan cin abinci - ba ya fi 7.7;
- Minti 120 bayan cin abinci - ba fiye da 6.7.
Matsayi na glycosylated haemoglobin (matsakaici glucose don kwata na ƙarshe) kada ya wuce 6.5%.
Matsayi na glycemia na iya bambanta a bangarorin biyu. Tare da rage yawan kuɗi, suna magana da hypoglycemia. Wannan yana da haɗari ba kawai ga mahaifiyar ba, har ma ga ɗan da ba ya karɓar adadin albarkatun makamashi.
Glucose - wani abu ne mai mahimmanci don samar da jiki da makamashi
Babban lambobi suna nuni da hyperglycemia. Zai yiwu a danganta shi da ciwon sukari, wanda ya fara tun kafin ɗaukar jariri, ko tare da ciwon sukari na gestational. Na biyu nau'i ne na hali ga mata masu juna biyu. A matsayinka na mai mulki, bayan haihuwar yaro, alamun glucose suna komawa zuwa iyakokin da aka yarda.
Me yasa sukari ya mamaye?
Glycemia yana ƙaruwa yayin daukar ciki saboda asarar ƙwaƙwalwar jiki don ƙirƙirar adadin insulin ɗin da ake buƙata (hormone pancreatic). Wannan sinadari mai aiki da kwayoyin halitta ya zama dole don daidaitaccen rarraba sukari, shigarwar shi cikin sel da kyallen takarda. Ba tare da isasshen insulin ba, lambobin glucose a jiki yana ƙaruwa.
Bugu da kari, hyperglycemia yana faruwa ne ta hanyar kwayoyin halittar jini wadanda ke halayyar daukar ciki. Babban antagonist din an dauki shi shine plastal somatomammotropin. Wannan hormone yana kama da hormone girma, yana aiki da aiki a cikin matakan metabolism na haihuwa, kuma yana inganta tsarin abubuwan gina jiki. Somatomammotropin yana taimaka wa jariri samun isasshen glucose.
Abubuwan haɗari
Mafi sau da yawa, matakin glycemia yakan tashi akan abubuwanda zasu bayar da taimako:
- ciwon sukari a lokacin haila;
- tarihin ɓata;
- haihuwar jarirai tare da macrosomia (nauyi fiye da 4 kilogiram);
- pathological jikin nauyi;
- kwayoyin halittar jini;
- kasancewar preeclampsia (bayyanar furotin a cikin fitsari) a da;
- polyhydramnios;
- shekarun matar sun wuce shekaru 30.
Endocrinologist - gwani wanda zai taimaka ci gaba da matakin glycemia a cikin kewayon da aka yarda
Me yasa glucose na al'ada?
Ya kamata a kiyaye matakin sukarin jini a cikin tsawon lokacin haihuwar, domin yana da muhimmanci a hana hadarin zubar da ciki, don rage yiwuwar haihuwar haihuwa, da kuma hana aukuwar cutar rashin haihuwa da lahani ga jariri.
Ikon glucose zai taimaka wajen kiyaye girman jariri da nauyi a cikin iyakokin da aka yarda, hana bayyanar macrosomia, da kuma kare mahaifiyar daga matsaloli daban-daban a rabin na biyu na ciki.
Idan mace tana fama da cutar rashin kumburi, ana iya haihuwar jaririn tare da adadin kuzarin insulin a cikin jiki. Wannan na faruwa ne ta hanyar sakamako na biyan diyya daga cututtukan yara. A cikin aiwatar da girma, yanayin yiwuwar yanayin hypoglycemic yana yiwuwa.
Kuna iya ƙarin koyo game da yanayin yawan sukarin jini a cikin yara daga wannan labarin.
Cutar sankara ta hanji da kuma bayyanannun abubuwan
A farko, cutar asymptomatic ce, kuma macen tana ganin ƙananan canje-canje kamar yadda ake aiwatar da ilimin halittar jiki, tana haɗa su da matsayin "mai ban sha'awa".
Pathology yana tasowa bayan mako na 20 na ciki. Wannan ya faru ne saboda matsakaicin aiki na tsarin hypothalamic-pituitary da kuma samar da kwayoyin halittar adrenal. An kuma dauke su sune masu adawa da kwayar halitta mai aiki da sinadaran farji.
Tare da kyakkyawar hoto na asibiti, marasa lafiya suna koka game da alamun da ke gaba:
Mene ne jinin al'ada- sha’awar sha kullum;
- karuwar ci;
- yawan cututtukan fitsari da aka cire;
- fata mai ƙyalli;
- ƙarancin nauyi;
- raunin gani;
- babban gajiya.
Sakamakon hauhawar jini a kan jariri
Cutar sankarar mahaifa ba ta haifar da matsala a cikin tayin, kamar yadda ya saba wa nau'in 1 na ciwon sukari, tunda kasancewar gabobin da tsarin ke faruwa a farkon farkon, kuma abin da ya faru na cututtukan cututtukan cututtukan jijiji tun daga 20 zuwa 24 na mako.
Rashin gyaran glucose na iya haifar da fetopathy na ciwon sukari. An bayyana cutar ta hanyar take hakkin pancreas, kodan da tasoshin jini a cikin jariri. Irin wannan yaro an haife shi da babban nauyin jiki (har zuwa kilogiram 6), fatar sa tana da ja-burgundy hue, kuma basur na gani.
'Ya'yan Macrosomia sun bambanta sosai da ƙoshin lafiya.
Fatar ta yalwata da fararen girki, ta kumbura. A kan jarrabawa, babban girman ciki, gajerun kafafu a bayyane suke bayyane. Jariri na iya samun wahalar numfashi sakamakon karancin kayan motsa jiki (wani abu mai alhakin tabbatar da cewa alveoli a cikin huhu bai manne da juna ba).
Irin waɗannan rikice-rikice za a iya hana su ta hanyar daidaita abubuwan motsa jiki a cikin mahaifiyar tare da maganin rage cin abinci da magunguna (yawanci insulin).
Hanyar Gudanar da Cutar Cutar Cutar Ciki
Ana ɗaukar ƙididdigar ƙwayar jini, nazarin halittu da gwajin haƙuri a cikin jini ana ɗaukar matakan daidaituwa.
Ana ɗaukar jini daga yatsa bisa ga dokokin da aka yarda da shi gaba ɗaya. Mace tayi dashi da safe kafin ta shiga jikin. Ba za ku iya goge haƙoranku da manƙa ba, saboda zai iya samun sukari a ciki, kuma ku yi amfani da cingam. Tsarin sukari na jini a cikin mata masu juna biyu an nuna a sama.
Ana gudanar da gwajin haƙuri na glucose a cikin yanayi inda aiwatar da bincike na baya ya wuce iyakokin da aka yarda. Koyaya, kwanan nan an yanke shawarar tsara wannan hanyar ganewar cutar ga duk mata masu juna biyu lokacin da suka isa makonni 24 - 25.
Gwajin baya buƙatar shiri na musamman. Na tsawon awanni 48 kafin ɗaukar kayan, matar ya kamata ta nuna hali, babu buƙatar rage adadin carbohydrates a cikin abincin. Da safe kuna buƙatar ƙin karin kumallo, shayi, zaku iya sha ruwa kawai.
A cikin dakin gwaje-gwaje, ana ɗaukar jini ko veins. Bayan haka, macen da ke da juna biyu ta sha magani mai kyau na musamman dangane da glucose foda. Bayan awanni 2, ana yin ƙarin samfurori na jini, daidai da na farkon. A lokacin jira, batun bai kamata ya ci ko shan komai ba sai ruwa. Bayyana sakamakon a cikin tebur.
Bayyana sakamakon PHT a cikin mata masu ciki da kuma cututtukan cututtukan ƙwayoyin cuta
Wani muhimmin binciken shine urinalysis don tantance glucosuria. Fitsari na farko da safe ba ya buƙatar tattara, an zuba. Tsarin urination mai zuwa ya kamata ya kasance tare da tarin bincike a cikin babban akwati guda, wanda aka ajiye shi a wuri mai sanyi. Washegari, girgiza ganga kuma zuba ruwa na fitsari kusan 200 a cikin akwati dabam. Isar da dakin gwaje-gwaje na awanni 2.
Sakamakon qarya
Akwai maganganun sakamako na tabbatacce na karya yayin da mace ba ta da lafiya, amma saboda wasu dalilai, alamun glycemia da ke gabanta sun iyakance, kamar yadda aka nuna a sakamakon binciken. Wannan na iya zama saboda yanayi masu zuwa:
- yanayi mai damuwa - mata yayin daukar ciki sune mafi yawan nutsuwa kuma suna ƙarƙashin wannan tasiri;
- kwanannan cututtukan cututtuka na yanayin cutar;
- Take hakkin ka'idodi don yin gwaje-gwaje - mace mai ciki na iya cin wani abu ko sha shayi kafin ɗaukar kayan, ta yarda cewa "ba zai cutar da ɗan kaɗan ba."
Gyara sukari
Wace irin abincin yakamata a bi, yaya aka ba da izinin yin nauyi, yadda ake sarrafa kai da kanka - tare da irin waɗannan tambayoyin, mace mai ciki na iya tuntuɓar likitan mata na likitan mata ko kuma masanin ilimin endocrinologist.
Dietotherapy - mataki na gyaran glycemia
Shawarwarin gabaɗayan ƙasa sun zo ga waɗannan abubuwan:
- ci sau da yawa, amma a cikin ƙananan rabo;
- ƙi soyayyen, salted, kyafaffen;
- abincin tururi, stew, gasa;
- hada da isasshen adadin nama, kifi, kayan lambu da 'ya'yan itatuwa, hatsi (a kan shawarar likita);
- ta saduwa - maganin insulin;
- cikakken isasshen aiki na jiki, yana kara yawan jijiyoyin sel zuwa insulin.
Kullum kula da cutar glycemia da kuma riko da shawarar kwararru zai taimaka wajen kiyaye sukari a cikin iyakokin da aka yarda da kuma rage hadarin rikicewa daga uwa da tayin.
