Kodi mukudziwa kuti matenda ashuga amatengedwa ngati matenda achikazi? Malinga ndi ziwerengero, azimayi amatenga matendawa pafupipafupi. Zizindikiro za matenda ashuga mwa mkazi sizimatchulidwa kwambiri kuposa amuna, choncho kupezeka kwakanthawi kovuta sikophweka. Koma izi sizokhazokha: matenda amatha kugunda njira yobereka ndikupangitsa kuti zikhale zosatheka kubereka mwaokha. Tidafunsira dokotala wazachipatala wa matenda a gynecologist Irina Andreevna Gracheva kuti anene za momwe pulogalamu ya IVF imaphatikizidwira ndi matenda a shuga.
Reproductologist-gynecologist Irina Andreevna Gracheva
Omaliza maphunziro ku Ryazan State Medical University omwe ali ndi digiri ku General MedicineResidency in Obstetrics and Gynecology.
Ali ndi zaka 10 zokumana nazo.
Anadutsanso ukadaulo wake.
Kuyambira 2016 - dokotala wa Center for IVF Ryazan.
Amayi ambiri samalabadira zoyamba za matenda ashuga. Amadziwika chifukwa chogwira ntchito mopitirira muyeso, kupsinjika, kusinthasintha kwa mahomoni ... Vomerezani, ngati muli ndi tulo, kugona tulo masana, kutopa kapena kukamwa kowuma ndi mutu, simudzathamangira kukaonana ndi dokotala.
Ndi matenda ashuga (apa - matenda a shuga) Zopinga zimatha kubwera panjira yofunafuna kutenga pakati. Pali zovuta zingapo zomwe "zovuta" (ndi njira ya IVF) zimatha kuyipitsa thanzi. Ndilemba zochepa chabe:
- Nephropathy (matenda a impso);
- Polyneuropathy ("matenda amitsempha yambiri" pomwe mathero amitsempha amawonongeka ndi shuga wambiri. Zizindikiro: kufooka kwa minofu, kutupa mikono ndi miyendo, kuvuta bwino, kulumikizana mosasokoneza, etc.
- Matumbo Ammbuyo (mitsempha yamagazi imawonongeka chifukwa cha kuchuluka kwa shuga, chifukwa chomwe timatha kupezeka ndi vuto lalikulu kumbuyo kwa kukondoweza. Chifukwa cha izi, myopia, glaucoma, cataralog, ndi zina zotere zimatha kukhazikika).
Mimba imatha kuchitika mwachilengedwe ndi matenda a shuga 1 (thupi limataya mphamvu yopanga insulin yofunika, wodwalayo sangakhale ndi moyo popanda mahomoni awa. - pafupifupi. Mkonzi.). Mimba iyenera kuthandizidwa kawiri konse, kuyang'aniridwa pafupipafupi ndi madokotala. Mavuto amatha kuchitika pokhapokha ngati mayi ali ndi zovuta zilizonse.
Munthawi yanga ku IVF Center, ndinali ndi odwala angapo omwe ali ndi matenda a shuga 1. Ambiri a iwo adabereka ndipo tsopano akulera ana. Palibe malingaliro apadera pakubala pakati pankhaniyi, kupatula pa mfundo imodzi yofunika. Palibe chifukwa chake muyenera kusiya kumwa insulin. Ndikofunikira kupirira kuchipatala kuti musinthe mlingo wa mahomoni (sabata 14-18, 24-28 ndi 33-36 mu trimester yachitatu).
Ndipo nayi odwala ndi matenda a shuga a 2 nthawi zambiri samapita kwa katswiri wowberekera. Matendawa nthawi zambiri amawonekera mwa anthu patatha zaka makumi anayi mwa azimayi am'mbuyomu. Ndidakhala ndi odwala angapo omwe amafuna kubereka patatha zaka makumi asanu, koma palibe ndi m'modzi yemwe adazindikira kuti ali ndi matenda ashuga. Ndazindikira kuti nthawi zina, ndi mtundu wachiwiri wa matenda ashuga, njira yosinthira dzira ikhoza kusokonekera.
Pafupifupi 40% ya odwala anga onse ndiinsulin kukana.Ichi ndi endocrine, chinthu chodziwika bwino cha kusabereka. Ndi kuphwanya izi, thupi limatulutsa insulini, koma osagwiritsa ntchito moyenera. Maselo samayankha machitidwe a mahomoni ndipo sangapange shuga m'magazi.
Mwayi wokhala ndi vutoli umakulirakulira ngati wonenepa kwambiri, khala moyo wongokhala, wina wa banja lanu wadwala matenda ashuga, kapena ngati mumasuta fodya. Kunenepa kwambiri kumakhudza kwambiri ntchito yamchiberekero. Mavuto otsatirawa ndiwotheka momwe masanjidwe achilengedwe amakhala ndi zovuta:
- msambo kumachitika;
- palibe ovulation;
- kusamba kumakhala kochepa;
- mimba sizichitika mwachilengedwe;
- polycystic ovary ilipo.
Ngati m'mbuyomu, matenda ashuga anali kuphwanya kukonzekera kubereka, tsopano madotolo amalangiza kwambiri pankhaniyi. Malinga ndi WHO, mdziko lathu la 15% mabanja mabanja ndi osabereka, mwa iwo alipo mabanja omwe ali ndi matenda ashuga.
Malangizo ofunikira kwambiri - musayambitse matenda! Pankhaniyi, chiwopsezo cha zovuta zingakulitse kangapo. Ngati shuga m'magazi aposa miyezo ya WHO, izi zingakhale zotsutsana kulowa protocol (kuyambira 3,3 mpaka 5.5 mmol / l wamagazi a capillary, 6.2 mmol / l wamagazi a venous).
Pulogalamu ya IVF siyosiyana kwambiri ndi protocol wamba. Ndi kukondoweza kwa ovulation, kuchuluka kwa mahomoni kungakulitse. Koma apa, zachidziwikire, chilichonse ndichokha. Dzira limakonda kwambiri insulin. Mlingo wake ukuwonjezeka ndi 20-40%.
Kutumphuka kumene, madotolo adatha kutsimikizira kuti mankhwalawa Metmorfin, omwe amawongolera kuchuluka kwa shuga wamagazi, amalimbikitsa kutenga pakati mwa amayi omwe ali ndi matenda ashuga. Ndi kukondoweza kwa mahomoni, mlingo wake umatha kuchuluka.
Masitepe otsatirawa ndi kuboola matendawa ndi kupititsa m'mimba mwa mayi (patatha masiku asanu). Pankhani ya matenda a shuga omwe amadalira insulin, mkazi amalimbikitsidwa kusinthanitsa mluza wopitilira umodzi. Muzochitika zina zonse, ziwiri ndizotheka.
Ngati chithandizo cha mahomoni chimasankhidwa molondola ndipo wodwalayo akuyang'aniridwa ndi dokotala, matenda a shuga samakhudzidwa ndi kuphatikizidwa kwa mluza (kuchipatala chathu, kugwira ntchito kwa ma protocol onse a IVF kumafika pa 62,8%). Pofunsidwa ndi wodwalayo, genetics imatha kuzindikira kukhalapo kwa jini la matenda osokoneza bongo omwe ali mluza pogwiritsa ntchito PGD (kudziwitsa majini). Lingaliro la zoyenera kuchita ngati jiniyo wapezeka ndi makolo.
Zachidziwikire, njira ya kubereka mwa azimayi otere nthawi zonse imakhala yovuta. Mimba zonse zomwe zimayenera kuyang'aniridwa ndi endocrinologist. Amatenga insulin yonse mimba, Metformin - mpaka milungu 8. Dokotala wanu angakuuzeni zambiri za izi. Palibe contraindication yachilengedwe kubadwa kwa mwana mu shuga ngati palibe woopsa somatic kapena matenda ena.
