Ganowa da lura da ciwon sukari na cututtukan jarirai da jarirai

Duk macen da ke fama da kowace irin cuta ta ciwon suga kuma tana son zama uwa to sai ta tuna babban hadarin da ke tattare da rikicewar haihuwa da karkacewa a cikin cigaban jaririn da ba a haifa ba. Ana ɗauka amfrayo da fetopathy na cututtukan jarirai na ɗayan ɗayan waɗannan haɗari masu haɗari na hanyar uncompensated cutar.

Fetal fetopathy na ciwon sukari na mahaifa

Irin wannan nau'in cutar yana haifar da mata masu juna biyu da yawa kuma ana kamanta shi da canje-canje a cikin sigogin ƙirar ƙwayoyin cuta irin na ciwon sukari na 2.

Binciken farko da irin wannan hanya yana taimaka wajan hana yawan matsaloli masu hatsari, gami da rashin lafiyar fetopathy, wacce cuta ce ta tayin da ke faruwa da yanayin glucose mai yawa wanda ke cikin jinin mace mai ciki.

Takaitakawa galibi yana tare da aiki masu rauni na kodan, pancreas, da kuma karkacewa cikin tsarin jijiyoyin yara. Duk da nasarorin da magungunan zamani suka samu na magance cututtukan da yawa, ba shi yiwuwa a hana haihuwar yara da irin wannan rikice-rikice.

Sakamakon ciki ya dogara da dalilai da yawa:

• nau'in ciwon sukari;
• hanyar cutar, haka nan da diyyarsa;
• kasancewar gestosis, polyhydramnios da sauran rikitarwa;
• warkewa jamiái amfani da su normalize glycemia.

Fetopathy na tayin sau da yawa yana zama kamar toshewa ga haihuwar halitta na jariri kuma shine tushen sashin cesarean.

Cutar cutar sankara

Yaran da ke fama da cutar sankara a mahaifa sukan sha fama da cutar sankara a mahaifa.

A lokacin bayarwa, suna iya fuskantar matsalar rashin karfin numfashi ko shakar iska.

Distinwararrun fasalin irin waɗannan yaran ana ɗaukar nauyi fiye da kima. Darajarta a cikin tayi wanda kusan bai cika haihuwa da nauyin yaro da aka haifa akan lokaci ba.

A cikin lokutan farko na lokacin haihuwar, ana iya lura da rikice rikice masu zuwa a cikin yaro:

• rage sautin tsoka;
• zalunci na tsotsa reflex;
• alternation na rage aiki tare da lokutan hyperacitivity.

Bayyanar cututtuka na fetopathy:

• macrosomia - yaran da aka haife uwaye masu ciwon sukari sun fi kilogiram 4;
• kumburi fata da taushi;
• girma dabam, wanda aka bayyana a cikin inganta girman ciki na girman kai (da kusan makonni 2), gajerun kafafu da makamai;
• kasancewar mummunan aiki;
• tara mai mai yawa;
• babban haɗarin mace-mace na tayi (perinatal);
• jinkirtawar ci gaba, aka bayyana har a cikin mahaifar;
• tashin zuciya
• rage aiki;
• gajere lokacin bayarwa;
• karuwa a cikin girman hanta, glandar adrenal da kodan;
• wuce haddi na kafadu sama da girman kai, wanda yawanci yakan haifar da raunin bayan haihuwa;
• jaundice - ba a haɗa shi da halayen ilimin halayyar yara ba kuma bai wuce lokacin makon farko na rayuwa ba. Jaundice, wanda ya haɗu da asalin fetopathy, alamun alamun cututtukan cututtukan dake faruwa a cikin hanta kuma suna buƙatar magani na tilas.

Pathogenesis na waɗannan rikice-rikice shine yawan yanayin hypoglycemic da hyperglycemic na mace mai ciki, wanda ke faruwa a farkon watanni na lokacin haihuwar.

Bayyanar cututtuka da wuri

Ana sanar da mata kowane nau'in ciwon sukari game da cutar yayin daukar ciki.

Abinda ake buƙata don yanke wannan shawarar kamar cututtukan cututtukan masu ciwon sukari na iya zama rubutattun bayanan cututtukan da aka bayyana a tarihin likita na mahaifiyar mai ciki.

A cikin mata masu juna biyu masu ciwon suga, ana iya gano fetopathy ta amfani da:

• gwaje-gwajen duban dan tayi (duban dan tayi), wanda zai baka damar wayoyi da kuma ganin yadda tsarin ci gaban tayi yake a cikin mahaifar;
• CTG (cardiotocography);
• bincike na alamomi na halin da yake ciki na haɓaka cikin mahaifar tayi, yana nuna take hakki a cikin ci gaban kwakwalwa;
• dopplerometry;
• gwaje-gwaje na jini daga samfurin fitsari ga alamun mahaifa, wanda ke ƙayyade tsananin rashin lafiyar fetopathy.

Abin da za a iya gano godiya ga duban dan tayi:

• alamun macrosomia;
• rashin daidaituwa na jiki;
• alamu na kumburi nama, da yawaitar tarin kitse;
• yankin irin kumburin-amo a cikin yankin kasusuwa da fata na tayin;
• ninka biyu na kai;
• alamun polyhydramnios.

CTG yana ba ku damar kimanta yadda yawan rikicewar zuciya yayin hutawa, a lokacin motsi, ƙuƙwalwar mahaifa, har ila yau a ƙarƙashin rinjayar yanayi.

Kwatanta sakamakon wannan binciken da duban dan tayi yasa ya yiwu a tantance yanayin yanayin tayin da kuma gano rikice-rikice masu yiwuwa a cikin ci gaban kwakwalwa.

Dopplerometry yana ƙayyade:

• wucin gadi na ciki;
• saukar jini a cikin igiyar cibiyar;
• aiki da tsarin juyayi gaba daya.

Mitar kowane ɗayan hanyoyin don gano asali na cututtukan fetopathy da likita ya ƙaddara, dangane da halayen hanya na ciki, da kuma sakamakon binciken da ya gabata.

Jiyya kafin haihuwa

Jiyya ga mata masu juna biyu da ke fama da cutar sanƙwar mahaifa ta fara ne kai tsaye bayan bayyanar cututtuka.

Farjin lokacin haila ya hada da:

• glycemic saka idanu, kazalika mai nuna alamun hawan jini;
• bi da abinci na musamman dangane da wariyar abinci mai-mai-mai-mai yawa (adadin kuzari a rana kada ya zarce 3000 kcal) kafin haihuwa;
• alƙawarin ƙarin hadaddun bitamin, wanda ke taimakawa rama don ƙarancin abubuwan gano abubuwa lokacin da ba zai yiwu a same su da kayan abinci na yau da kullun ba;
• insulin far don daidaita matakan glucose.

Yin aiwatar da waɗannan shawarwarin yana ba ku damar rage tasirin cutar wannan ilimin cutar kan ɗan da ba a haifa ba.

Rashin haihuwa

Ranar haihuwar cikin mata masu juna biyu tare da cututtukan cututtukan ƙwayar cutar mahaifa galibi ana shirya su ne gaba gaba bisa tsarin duban dan tayi da ƙarin gwaje-gwaje.

Lokaci mafi kyau don haihuwar yaro tare da alamun fetopathy an dauke shi makonni 37, amma a cikin yanayin da ba a tsammani ba, ana iya daidaita shi.

Yayin aiwatar da aiki, likitoci koyaushe suna lura da matakin glycemia. Idan babu isasshen glucose a cikin jini, to rikicewar zata yi rauni. Bugu da kari, mace na iya rasa sani ko kuma ta shiga cikin wata kwayar cuta saboda yawan zubar jini. Bai kamata a tsawaita lokacin haihuwa, saboda haka, idan a cikin awanni 10 ba a iya haihuwar jaririn ba, ana bai wa mace sashin cesarean.

Idan alamun hypoglycemia ya faru yayin haihuwa, ya kamata ku sha ruwa mai dadi. Idan kuma ba a inganta ba, ana yiwa mace allurar rigakafi ta cikin jiki.

Maganin bayan haihuwa

Yaron da ke tattare da bayyanar cututtuka na fetopathy an allura tare da maganin glucose (5%) bayan haihuwa don hana haɓakar ciwon sukari tare da rikitarwa halayyar wannan yanayin.

Ana ciyar da yaro tare da madara mai nono kowane 2 hours. Wannan ya zama dole don sake daidaita daidaituwa tsakanin insulin wanda aka samar a cikin cututtukan fata da kuma rashin glucose.

Idan babu numfashi, dan an haɗa shi da iska mai aiki da iska (injin naƙasa) kuma ana sarrafa abubuwa tare da ƙari. An dakatar da bayyanar cututtuka na jaundice a ƙarƙashin rinjayar radiation na ultraviolet daidai da sigogin da likita ya kafa.

Mace dake cikin aiki tana daidaita adadin insulin yau da kullun sau 2 ko sau 3. Wannan saboda gaskiyar cewa yawan glucose a cikin jini yana raguwa sosai. Idan ciwon sukari na cikin mahaifa ba ya zama mai narkewa, to sai an soke ilimin insulin gaba daya. A matsayinka na mai mulki, kwanaki 10 bayan bayarwa, matakin glycemia ya zama al'ada kuma yana ɗaukar dabi'u waɗanda ke kafin haihuwar.

Sakamakon da aka haifar da kwayar cutar cututtukan da ba a bincika su ba

Fetopathy a cikin jariri mai yiwuwa yana haifar da sakamako wanda ba za'a iya juyawa ba, har zuwa mummunan sakamako.

Babban rikitarwa wanda zai iya haɓaka cikin yaro:

• cututtukan cututtukan ƙwayar cuta na ƙananan yara;
• rashin isashshen sunadarin oxygen a cikin kyallen takarda da jini;
• bayyanar cututtuka na rashin lafiyar numfashi (gazawar numfashi);
• hypoglycemia - in babu matakan lokaci don dakatar da alamun ta a cikin jariri, mutuwa na iya faruwa;
• take hakki a cikin hanyoyin hakar ma'adinai sakamakon karancin sinadarin calcium da magnesium, wanda zai iya tayar da jinkirin ci gaba;
• bugun zuciya;
• akwai tsinkayar cutar siga 2;
• kiba
• polycythemia (haɓaka ƙwayoyin sel jini).

Abubuwan bidiyo akan cututtukan ƙwayar cuta a cikin mata masu juna biyu da shawarwari don rigakafin:

Yana da mahimmanci a fahimci cewa don hana rikice-rikice na fetopathy, kazalika da samar da yaro tare da taimakon da yakamata, mata masu juna biyu da ke dauke da cutar sankarau suna buƙatar lura da juna biyu a cibiyoyin likita na musamman.

Idan an haife jaririn ba tare da rikice-rikice na haihuwa ba, to kuwa tsinkayar hanyar fetopathy zai iya zama tabbatacce. A ƙarshen watanni 3 na rayuwa, jariri yakan warke gaba daya. Hadarin ciwon sukari a cikin waɗannan yara yana da ƙarancin ƙarfi, amma akwai babban yiwuwar haɓaka kiba da lalacewar tsarin juyayi a gaba.

Cika mace mai ciki na duk shawarwarin da likita da kuma cikakken kulawa da yanayin ta yayin haihuwar jariri ya bamu damar hango kyakkyawan sakamako ga mahaifiyar mace mai ciki da jaririnta.