Fetopathy m. Ciwon a lokacin daukar ciki

Babu yana da wata mace ba zai iya tabbatar da cewa ta ciki zai ci gaba ba tare da rikitarwa, musamman idan ta ke fama da wani ciwo. Fetal yanayin zai iya shafar wani iri-iri na abubuwan da zai iya haifar da cutar da shi. Yana Saboda haka muhimmanci wajen saka idanu da kiwon lafiya da kuma kokarin su kare kansu daga kufan m yanayi. Musamman wadanda maki game da kuma matan da suke da daban-daban da cuta a cikin jiki.

Mata tare da ganewar asali "ciwon sukari" da kuma mafarki to suna da wani jariri kamata ka sani cewa a wannan harka a kafaɗunsu babban alhaki, saboda wannan cuta na iya haifar da daban-daban da rikitarwa da jariri. Daya daga cikinsu shi ne fetopathy tayin.

Features da cutar

M fetopathy ne mai tsanani cutar da tayin tasowa daga gaban pre-ciwon sukari ko ciwon sukari a cikin mata masu juna biyu, a lokacin da glucose matakin ne mafi girma fiye da na al'ada matakan. Domin wannan Pathology halayyar canji na jihar da tayin da tabarbarewa ya pancreas, koda, macro- da microvascular tsarin.

Idan tarihin mace mai ciki na da ganewar asali a matsayin "fetopathy 'ya'yan itace", mafi sau da yawa likita yanke shawarar da ya gudanar da wani m bayarwa.

The m hanya na ciki a mata da ciwon sukari shi ne dogara a kan m dalilai. Wadannan sun hada da: da irin cuta, da rikitarwa daga data kasance, yarda da kwayoyi da su bi da cutar. Babu tsoron wani illa, idan ko'ina cikin ciki jini glucose matakan tashi sama da m darajar.

Idan ba ka rama domin wannan cuta, ciwon sukari mellitus, ciki barnatar da rinjayar da ci gaban da tayin da kuma tsawon gestation. Doctors yawanci ci gaba rodorazreshayut mace don ceton ta rayuwa da kuma jariri. Tare da wannan cuta dabam ultrastructure placental shãmaki, inda ya daina aiki kullum da kuma isar da duk ake bukata tayin. Likitoci a cikin wannan hali, sau da yawa sa ganewar asali "hyperplasia na capillaries." The yaro a utero ne samun mai yawa nauyi, amma shi ne talauci ci gaba.

shaida

Ciwon a lokacin daukar ciki take kaiwa zuwa gaskiya cewa jariri da aka haife tare da wadannan alamun rashin lafiya:

• Manyan nauyi (yawanci fiye da 4 kg).
• nuna lokacin bruising a kan fata.
• kumburi da taushi nama da kuma fata.
• babban ciki saboda karfi da ci gaba subcutaneous mai;
• short wata gabar jiki.
• m-blue fata sautin.
• syrovidnoy wuce kima adadin fata man shafawa.
• m kafadu.

cututtuka

Jariri fetopathy bayyana kamar haka:

• numfashi wuya, wanda ya bayyana da rashin kira na wani takamaiman abu a cikin huhu (surfactant), taimaka musu fatattaka farko numfashin.
• m shortness na numfashi da kuma ko da numfashi kama jim kadan bayan haihuwa.
• zheltushka, wanda aka dauke da wata ãyã daga pathological canje-canje a cikin hanta, wanda na bukatar isasshen magani.
• neurological cuta: rage tsoka sautin, danniya na tsotsa reflex, da sãɓãwar rage aiki tare da hyperexcitability.

dalilai

Fetopathy m tayin tasowa saboda an fi karfinsu hanya na ciki a lokacin da ya samo asali uncompensated ciwon sukari mellitus irin 1 da 2. Bugu da kari, a cikin hanyar da cuta ne mahaifiyar na gestational ciwon sukari.

An wuce haddi da adadin glucose a cikin jini uwar sa fetal pancreas fara nuna yawa insulin. A ci gaba ta hanyar uwar ta jini da jariri glucose a cikin manyan yawa farawa rayayye ɓatar na dũkiya. Duk da haka, domin cikakken ci gaban da tayin bukatar wani adadin da shi, don haka da suka wuce haddi ne tuba zuwa cikin kitse, wadda take kaiwa zuwa wani babban baby nauyi.

Idan ba ka kawo a glycemia na kullum, hakan zai taimaka wajen wani karfi damar adipose nama da kuma tayin ba ci gaba kullum damar dukan tsarin na ciki gabobin da kyallen takarda da wani jariri.

bincikowa da

Don gane anomalies a cikin tayin, likita ya furta wadannan hanyoyin:

• duban dan tayi.
• nazarin biophysical yanayin da tayin.
• Doppler.
• CTG.
• kima da biochemical alamomi na fetoplacental tsarin.

Holding duban dan tayi

Ainihin Hanyar kayyade wani take hakki da tayin ne duban dan tayi. Nagari rike duban dan tayi a cikin wadannan sharuddan, idan kamu da ciwon sukari a lokacin daukar ciki:

• A farko trimester - wani lokaci.
• A karo na biyu trimester - da zarar kamar tsakanin 24 da 26 makonni. Wannan shi ne zama dole domin gano daban-daban malformations na tsakiya m, kasusuwa da kuma gidajen abinci, genitourinary da zuciya da jijiyoyin jini tsarin, kazalika da narkewa kamar tsarin.
• The biyu za a iya gudanar da uku trimester duban dan tayi, har ma sau uku. Lokacin da insulin dogara da ciwon sukari mellitus ne wani binciken da za'ayi a kan wani 30-32 mako, sai kuma a yi shi sau daya a mako.

Alamun ciwon sukari fetopathy da duban dan tayi da tayin:

• da yawa nauyi ga wani takamaiman lokaci.
• disproportion na jiki;
• biyu kwane-kwane na shugaban.
• wani ƙara yawan ruwa.
• fetal dual kewaye saboda da manyan adadin kitse ko taushi nama kumburi.
• a cikin kasusuwa na kwanyar alama ehonegativnoe zone, ya nuna edema.

Biophysical Research fetal yanayin

Irin wannan jarrabawa iya bayyana wani take hakkin a morphofunctional ci gaban da kwakwalwa, wanda aka dauke mafi tsanani bayyanuwar embryopathy. Don gano, wani likita da rabi hours gyaran gaba daya numfashi, zuciya kudi da kuma locomotor aiki da tayin.

Idan akwai tuhuma da fetopathy, sa'an nan baby ta barci zai zama short-rayu, da kuma mafi yawan lokaci ya sa aiki ƙungiyoyi. Short barci duration ne ba fiye da 50 minutes, lokacin da lokacin da alama slowing na zuciya kudi da kuma karu a zuciya rate.

dauke da Doppler

Da taimakon wannan binciken bi da wadannan Manuniya:

• bugun rage tsokar zaruruwa.
• cardiac fitarwa darajar.
• ejection lokaci na hagu ventricle.
• systolic da diastolic jini ya kwarara a cikin jijiya rabo.

Doppler velocimetry yi a kan mako 30 domin tantance yanayin tsakiya m tsarin.

Dauke da CTG da kima na aikin gwaje-gwaje

Wannan hanya damar kimanta da zuciya kudi a sauran, a lokacin motsi, igiyar ciki ƙanƙancewa. Doctors za'ayi gwaje-gwaje da kuma a halin yanzu kai 'yan samfurori.

Aiwatar da kimantawa na biochemical alamomi na placental tsarin

Don gane asali placental insufficiency, da kuma fitsari da kuma jini samfurori dauka. A irin wannan cuta a cikin na uku trimester fetopathy m bayyana gagarumin karuwa na ACE.

Jiyya a lokacin daukar ciki

Cikin ciki, wata mace ya kamata su gudanar kai-monitoring na jini da kuma jini glucose. Idan an buƙata, wani ƙarin wajabta insulin. A matsayin matakin rigakafi da sugar zama dole don gudanar da bincike a kowane 3-4 hours kullum. Glycemia gyara glucose ko insulin.

Fetopathy m ya shafi shan bitamin, da kiyaye musamman da abinci da kuma sauran shawarwari daga likita. Abinci ya zama mai arziki a cikin sauƙi digestible carbohydrates, da kuma mai bada shawarar a rage.

Jiyya a lokacin bayarwa

Da farko, da taimakon duban dan tayi sanin mafi kyau duka ranar ceto. Idan ciki ne uncomplicated, shi ne mafi kyau rodorazreshat mace a 37 makonni. Idan akwai wata barazana ga rayuwa da uwa tasa, da yaro, da suka aikata haka a 36 makonni. Medical zubar da ciki a wani a baya mataki mafi yawa ana da za'ayi kawai idan akwai wani sananne barazana ga rayuwa da uwa tasa, da kuma jawabin ne ba game da ceton da yaro.

A lokacin aiki, da likitocin da ake zamar masa dole ya saka idanu glycemia. Idan wani karfi karu a jini sugar matakan da mace za ta ba da isasshen ƙarfi a lokacin aiki, a matsayin mai yawa na glucose da aka kashe a kan igiyar ciki contractions. A kan aiwatar da haihuwa ko nan da nan bayan su, akwai hadarin cewa haƙuri da dama a cikin wani hypoglycemic coma.

Gestational ciwon sukari mellitus samar da wani taƙaitaccen aiki. Idan suka wuce wa fiye da 10 hours, a cikin wannan yanayin da za'ayi caesarean sashe, bayan da magani aka wajabta maganin rigakafi.

Jiyya bayan haihuwa

Don hana ci gaban da qarancin ruwa da kuma kara da rikitarwa, wasu lokaci bayan haihuwar yaro da aka gudanar a 5% glucose bayani. Kowane 2 chasa jariri dole ba nono madara, tun da wannan magani ruwa ne iya dakatar jihar.

Farkon neonatal lokaci ya kamata faru a karkashin kulawa da likitoci suke bukata wajen saka idanu da numfashi na yaro. A ta rashi gama ventilator. A gaban neurological cuta taimaka alli da magnesium mafita. Idan yaro yana da ãyõyin cutar hanta, a lokacin da fata da idanu da kuma da yaron ya fata ya zama jaundiced, likita ya furta zaman na ultraviolet radiation a mai tsananin tsare kashi.

Zubar jinni mata 2-3 sau rage insulin saboda jini glucose matakin da aka rage muhimmanci. A sallama kudi na glucose ne a mayar da al'ada matakan.

rikitarwa

M fetopathy neonatal sakamakon na iya samun wadannan:

• neonatal hypoxia.
• mai kaifi karu a jini glucose matakan ga wani m matakin.
• congestive zuciya rashin cin nasara.
• ciwon sukari da jarirai.
• rashin magnesium da alli, wanda barnatar da rinjayar da aiki na tsakiya m tsarin.
• kiba.

ƙarshe

Fetopathy Ciwon cewa tasowa a cikin tayin a halin yanzu jihar daga cikin mahaifiyarsa ciwon sukari, shi ne sosai m da kuma kawo hadari cutar. Mace dole a lokacin daukar ciki bi duk likita ta shawarwari kuma don sarrafa jini glucose matakan. Kawai a cikin wannan hali da yadda aqibar yaro ba zai zama ma bakin ciki.