Ciwon sukari a cikin Rawanin ciki: Tsohuwa
Ciwon sukari da suka rigaya ya kasance a cikin haɗari mai tsanani a baya sun kasance damuwa mai girma. Yana da wuya ga iyaye mata da ciwon sukari suyi ciki da kuma samar da jarirai masu lafiya a cikin lokaci. Kafin zuwan ƙwayoyin hannu masu ɗaukar hannu wanda ke samar da sakamako mai sauri, kayan haya mai yuwuwa, mafi magungunan maganin magunguna da kulawa, yana da wahala idan ba kusan yiwu ba a cimma kuma kula da kulawa mai kyau a lokacin ciki-bari kullun kula da glycemic da ake bukata don rage haɗari .
A baya a cikin shekarun 1950, ba al'ada ba ne ga mutanen da ke fama da ciwon sukari wanda suka iske insulin don samun abin da ke kama da karamin dakin gwaje-gwaje tare da gilashin gilashi da ake buƙatar haifuwa ta hanyar yin amfani da barasa da kuma buƙata mai tsabta. Saboda glucometers ba su samuwa, matakan jini ba zasu iya samun sauƙin ko sauri ba.
A wannan lokacin, an ji cewa matan da ke fama da ciwon sukari ba za su iya kuma ba su da jarirai. Yawancin jariran sun kasance suna haɗuwa saboda ba a fahimci mafi yawan haɗari ga rashin lafiya na gaggawa ba. Rashin jima'i , rashin lalacewar haihuwa da kuma macrosomi na barazana (hawan hawan haihuwa) na kowa. Rayukan duka mahaifiyar da yarinyar suna cikin hatsari.
Ciwon sukari a cikin Rawanin ciki: A yau
Tsarin glycemic da ragowar haɗari sun fi sauƙi don samun ilimin yau, jagororin gudanarwa, da kayan aiki. Tare da kyakkyawar shiri, kulawa na obstetrical da kulawa da matakan jini, mace da ke fama da ciwon sukari a cikin ciki tana iya samun damar samun jariri lafiya kamar mace ba tare da ciwon sukari ba.
An gwada A1c gwajin gwaji don tantance yawan sukarin sukari na tsawon watanni 2-3. A1c na al'ada ga mace ba tare da ciwon sukari a lokacin daukar ciki shine 6.3%. Yawancin matakin A1c kafin da lokacin ciki, mafi girman haɗari ya dace. Yawanci, an bada shawarar ci gaba da matakan A1c a ƙarƙashin 6.0%, amma ba ƙananan ƙananan don kauce wa haɗarin haɗari ga hypoglycemia (matakin ƙananan jini) ko ƙuntataccen ciwon tayi.
Yi magana da likitanku game da manufofin A1c.
Tsarin kula da matakan jini yana rage yawan hadarin matasa, tayi da kuma matsalolin neonatal. Bayan-ciwon sukari yawancin jini ya fi karfi da haɗuwa da matsayi mai girma ko macrosomi, wanda aka sani da babban ciwo babba.
Ciwon sukari a cikin Rawanin Rahoton Ƙaruwa saboda Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarya
Kafin da kuma lokacin da aka fara ciki : Abun ciki da manyan abubuwan da ba a ciki ba.
Bayan 12 Gestation na makonni: Matsanancin insulin da glucose a cikin tayin, wanda zai iya haifar da ci gaban girma da wuce haddi. Macrosom yana haɗuwa da ƙara yawan buƙatar raƙuman maganin gaggawa, cututtuka na haihuwar haihuwa , mutuwar tayi, da matsalolin neonatal.
Yayin da ake ciki : Tsarin jini a cikin tayin zai iya haifar da hypoxia (rashin isasshen iskar oxygen) da acidosis a cikin tayin, wanda zai iya haifar da mummunar yawan haihuwa a cikin mata masu fama da cutar jini. Har ila yau, akwai haɗari mafi girma ga preeclampsia, polyhydramnios (ruwa mai yawa) da kuma aikin da ba a taba ba.
Bayan Haihuwa : jarirai da macrosom saboda yawan matakan jini suna da babbar haɗari don bunkasa kiba da rashin rashin haƙuri glucose. Rashin iko a lokacin ciki yana iya rinjayar bunkasa ilimi da kuma psychomotor.
Risuka ga Uwar : Matsanancin sukari na jini a cikin ciki yana iya samun sakamako mai tsawo, ciki har da damuwa da retinopathy da nephropathy.
Kara karantawa game da Ciwon sukari a ciki .
Sources
Kitzmiller, MD, MS, John L; Block, BS, RN, CDE, Jennifer M; Brown, MD, Florence M; Catalano, MD, Patrick M; Conway, MD, Deborah L; Coustan, MD, Donald R; Gunderson, RD, PHD, Erica P; Herman, MD, MPH, William H; Hoffman, MSW, LCSW, Lisa D; Inturrisi, RN, MS, CNS, CDE, Maribeth; Jovanovic, MD, Louis B; Kjos, MD, Siri I; Knopp, MD, Robert H; Montoro, MD, Martin N; Ogata, MD, Edward S; Paramsothy, MD, MS, Pathmaja; Karatu, RD, CDE, Diane M; Rosenn, MD, Barak M; Thomas, RD, Alyce M; da Kirkman, MD, M Sue. Gudanar da ciwon sukari da ke ciwon ciki don ciwon ciki: Rajista Shaidun da Sharuɗɗa na Ƙididdiga don Kulawa. Ciwon sukari Tafiya Mayu 2008 31 (5): 1060-1079.