Zambiri za IVF mu shuga

Matenda a shuga amatha kukhala olepheretsa kwambiri kubereka komanso kubereka kwina kwa mwana wosabadwayo. Umuna wa in vitro kapena IVF yodwala matenda ashuga mellitus (DM) ndimachitidwe nthawi zonse. Matenda awa samawonedwa ngati akuphwanya umuna wa mkazi. Koma chidwi chachikulu chimayenera kulipidwa pokonzekera njirayi, ndipo zotsatira zake zimakhala zabwino.

ZOFUNIKA KUDZIWA! Ngakhale odwala matenda ashuga kwambiri amatha kuchiritsidwa kunyumba, popanda opaleshoni kapena zipatala. Ingowerenga zomwe Marina Vladimirovna akunena. werengani zonena zake.

Kodi ma IVF amadwala matenda ashuga?

Musanakonzekere kutenga pakati kudzera pa IVF, ndikofunikira kulipirira kwathunthu zovuta zomwe zilipo mu carbohydrate metabolism.

Shuga amachepetsedwa nthawi yomweyo! Matenda a shuga m'kupita kwa nthawi angayambitse matenda ambiri, monga mavuto amawonedwe, khungu ndi tsitsi, zilonda zam'mimba, zilonda zam'mimba komanso matenda otupa! Anthu amaphunzitsa zinzake zowawa kuti azisintha shuga. werengani.

Matenda aliwonse omwe angakhalepo panthawi yomwe ali ndi pakati amakhala owopsa kwa mayi woyembekezera komanso mwana wosabadwayo. Matenda a shuga nawonso ndi osiyana. Popeza matenda a shuga sakuphatikizidwa mndandanda wazopikisana ndi IVF, umayi wa amayi woyembekezera omwe ali ndi matendawa siwotsutsana. Matenda a shuga ophatikizika amakhudza mwachindunji mfundo yoti makolo amtsogolo sangakhale ndi ana. IVF ndiyo njira yokhayo yomwe mungakhalire ndi pakati. Pamaso pa njirayi, wodwalayo ayenera kuthetsa kukhudzika kwa kagayidwe kazakudya. Ngati mkazi alowa mu protro ya umuna wa in vitro, amapita kukayezetsa, amapita ndi kupimidwa kwa impso, ECG, amayendera akatswiri ochepa.

Zigawo zamalingaliro okumbidwa

Asanayambe ndondomekoyi, omwe ali pachibwenzi ayenera kukayezetsa kuchipatala. Pambuyo pake, adotolo amasankha chithandizo cha mahomoni, chomwe chimalimbikitsa mazira. Pofika nthawi yomwe njirayi imaperekedwa, magulu ambiri adzakhazikika mu thupi la mkazi koposa kuperewera kwachilengedwe. Pogwiritsa ntchito ultrasound, dokotala amayang'anira momwe amasinthira mazira. Chifukwa chake, pali kukondoweza kwa kudabwitsa.

Kenako mazira amachotsedwa. Chitani izi gawo lisanatuluke. Cannula yapadera imayikidwa mu nyini, ndipo adotolo, akuwongolera njirayo pogwiritsa ntchito ultrasound, amachotsa dzira lomwe akufuna. Pofika pamenepo iwo anali atakhwima kwathunthu. Mchitidwewo umachitika pang'onopang'ono, ndipo chifukwa chake palibe chifukwa chodwalitsira odwala.

Mimbulu yokonzeka imabzalidwa m'mimba mwa mkazi.

Ngati zotsalira sizinali zokwanira, ndiye kuti zidzatengedwa kuchokera kuma testicles kapena epididymis. Kenako, unyinji wam'mimba umayikidwa dzira. M'modzi mwa iwo amuthira manyowa. Pa gawo la mapangidwe a mluza, imayikidwa mu chiberekero (pambuyo masiku 4). Kufikira mazira atatu obzalidwa nthawi imodzi. Pakatha masiku 14, kuyezetsa pakati ndipo adzazindikira ngati mayiyo ali ndi pakati kapena ayi. IVF imawonedwa ngati yotetezeka kwa azimayi. Kuyeseza mobwerezabwereza kumatha kuchitika kangapo.

Ndikofunikira kuyeza shuga wamagazi pafupipafupi, chifukwa nthawi ya IVF wodwala yemwe ali ndi matenda ashuga - glycemia amatha kudumpha.

Munthawi ya ndondomekoyi, ndikofunikira kuti wodwala yemwe ali ndi matenda amtundu wa 1 azilamulira shuga ndi glycated hemoglobin. Kumwa mankhwala a mahomoni kumawonjezera mlingo wa insulin ndi 30%. Pamaso pa protocol ya ECG, ndikofunikira kuti wodwala yemwe ali ndi T2DM abwezeretse kulemera ndikuthandizira kagayidwe kazachilengedwe. Mkazi amatsata chakudya cha nthawi ino, mosamala amapita kumasewera.

Zitsulo zovomerezeka

Ndikofunikira kuti zisonyezo zomwe zikuwonetsa kuti mayi wapakati ndi mwana wosabadwa ndi zabwinobwino. Ndi kuchuluka kwa glycogemoglobin nthawi yapakati komanso m'milungu yoyamba ya mimba, ziwalo zamkati mwa mwana sizitha kuyikidwa bwino. Izi zimabweretsa matenda a fetal. Mlingo wa hemoglobin wa glycated mwa wodwalayo umayendetsedwa pamlingo wa 0,1% wochepera pamtundu wapamwamba. Kuthamanga glycemia kumakhalabe pansi 5.1 mmol / L ndi 7 mmol / L mukatha kudya. Urinalysis sayenera kudziwa matupi a ketone. Kuthamanga kwambiri kwa magazi sikudutsa 130/80 mm RT. Art.

Kodi zikuwonekabe zosatheka kuchiritsa matenda ashuga?

Poona kuti mukuwerenga izi tsopano, kupambana polimbana ndi shuga wambiri sikuli kumbali yanu.

Ndipo mudaganizapo kale za chithandizo kuchipatala? Ndizomveka, chifukwa shuga ndi matenda oopsa, omwe, ngati sanapatsidwe, amatha kufa. Udzu wokhazikika, kukodza mwachangu, masomphenya osalala. Zizindikiro zonsezi mumazidziwa nokha.

Koma kodi ndizotheka kuchitira zomwe zimayambitsa m'malo mothandizira? Timalimbikitsa kuwerenga nkhani yokhudza matenda aposachedwa a shuga. Werengani nkhani >>

Matenda a shuga ndi IVF

IVF mu matenda a shuga ndi njira zingapo zachipatala zomwe cholinga chake chinali kukhazikitsa maziko a mahomoni kwa odwala omwe ali ndi matenda osokoneza bongo, kuti athandizidwe kwambiri.

Ngati simukutsatira njira zonse zomwe zaperekedwa pambuyo pa IVF yopambana, mavuto monga:

1. Kulakwitsa
2. Mawonekedwe a mwana wosabadwayo wa pathologies,
3. Kuwonjezeka kwa kuthamanga kwa magazi (eclampsia), komwe kumatha kupangitsa kuti amayi onse apakati komanso mwana wakhanda akhale m'mimba.

Mtundu wachiwiri wa matenda ashuga ndi IVF

Eco yamatenda a shuga a mtundu wachiwiri - amadziwika ngati kulemera kwa wodwala kumakhazikika, ndipo kagayidwe kazakudya kamapangidwe kabwino. Nthawi zambiri matenda a shuga amabweretsa njira yotupa yam'mimba, yoberekera imaganiziranso izi, posankha njira yolimbikitsira kupangika kwa mazira.

IVF yodwala matenda ashuga a mtundu 2 tsopano ndi yotheka chifukwa cha kupita patsogolo kwa zamankhwala. Izi sizimalola anthu omwe ali ndi matenda ashuga kukana kukhala makolo.

Ndi mtundu uwu, panthawi yapakati, mayi woyembekezera ayenera kusiya mankhwala onse omwe amachepetsa shuga ya magazi. M'malo chimodzimodzi insulin mankhwala ndi zakudya mankhwala. Mayi woyembekezera amawonedwa nthawi yomweyo ndi dokotala wazamankhwala ndi endocrinologist. Mtundu wa mankhwala omwe amapezeka ndi insulin amatsimikiziridwa pa nthawi yomwe mayi wapakati akuyang'aniridwa, njira yamankhwala yotsanulira imasinthidwanso. Kudzera mkodzo ndi magazi magazi. Ngati pali kupatuka kuchoka ku chizolowezi, ndiye kuti mayi woyembekezera atha kubereka kuchipatala mpaka kubadwa. Kutengera zisonyezo za kusanthula ndikukhala bwino kwa mwana ndi mayi woyembekezera.

Zolepheretsa ndi mawonekedwe a IVF kukonzekera mu shuga

Asanakhale ndi umuna wa in vitro, mayi woyembekezera, yemwe ali ndi matenda ashuga, ayenera kukhala bwino. Kulemera kwake kwamthupi kuyenera kukhala pafupi kwambiri. Onetsetsani kuti mwakwanitsa mwachangu komanso pafupifupi pamakina a makina kuti musinthe ndikuwonetsetsa kuchuluka kwa glucose m'magazi m'njira yofananira.

Kwa mawu. Amayi omwe ali ndi matenda a shuga a mtundu wachiwiri omwe akukonzekera kubereka amafunika kuphunzira kuyang'anira glycemia ndi jakisoni wa insulin. Imwani mapiritsi owotcha shuga kapena mankhwala osokoneza bongo panthawi yoletsedwa ndizoletsedwa, zinthu zawo zomwe zimagwira kulowa mkati mwa placenta ndipo zimatha kukhala ndi vuto pa chitukuko cha mwana wosabadwayo.

Amayi oyembekezera adzakhala ndi miyezi itatu kuti awonetse luso lake pakulimbana ndi glycemic kwa a kubereka, pomwe nthawi zina mayeso, mayeso ndi kukambirana ndi akatswiri okhudzana ndi izi zichitike. Kenako, mankhwala apadera a mahomoni adzalembedwera, omwe amachititsa kuti nthawi yomweyo aziwulutsa mazira ambiri, kenako ndikutseka ntchito ya thumba losunga mazira ndi tchire la pituitary, kuti akwaniritse bwino, monga lamulo, mazira awiri.

Ndikofunikira. Munthawi ya mahomoni kuchititsa chidwi, mlingo wa jakisoni wa insulin ukuwonjezeka ndi pafupifupi 30%.

Zowopsa pakukhazikika pakati pa gawo la shuga

Mayi wodwala matenda ashuga sayenera "kuchita zachinyengo" ndikunyengerera olera.

Pa nthawi yoyembekezera, mankhwala opatsirana, osawerengeka omwe ali ndi shuga sangathe kulephereka:

• kusokonekera ndi / kapena fetal diabetesic fetopathy,
• kutaya kapena kusakhazikika,
• gawo lamatenda a gestosis,
• Kulephera kwa aimpso, kusokonezeka kwa matenda oopsa, kuphwanya kwa retina ndi zotupa za zotumphukira zamanjenje (polyneuropathy) mwa mayi.

Zambiri. Khanda lalikulu silikhala vuto, koma edema ndi mafuta omwe amakhala m'mimba mwa mwana wosabadwa yemwe ali ndi matenda ashuga ndi osagwirizana kwambiri, amachititsa kupuma komanso magazi, komanso kuwopseza kubereka kapena kufa kwakanthawi.

Chifukwa chake, musanayambe mankhwala a mahomoni a IVF protocol, zizindikiro zimayendera zomwe ziyenera kukwaniritsa zotsatirazi:

• mulingo wa glycated hemoglobin (HbA1c) uli pansi 6.2%,
• kudya glycemia - osapitilira 5.1 mmol / l,
• glycemia atatha kudya - osakwana 7 mmol / l,
• urinalysis - popanda kukhalapo kwa matupi a ketone,
• HELL - pamndandanda wa 110-130 mpaka 70-90 (mfundo zapamwamba komanso zotsika),
• Mlingo wamtima - kuchokera pa 60 mpaka 80 kumenyedwa / mphindi.

Contraindication ku njirayi

Ngakhale matenda a shuga atayang'aniridwa bwino, kuphatikiza ndi ma pathologies ena kungakhale chopinga cha njira ya IVF.

Matendawa ndi monga:

• IHD, matenda oopsa oopsa,
• matenda a shuga a shuga
• retinopathy
• gastroenteropathy
• chifuwa chachikulu
• nephropathy, ketoacidosis,
• kuthekera kwa chidwi cha Rhesus,
• magawo am'mbuyomu am'mimba operewera kapena njira zakukula za fetal.

Kuyang'anira matenda ashuga pambuyo pa IVF

Pankhani yotsatira yopambana ya IVF ku matenda ashuga, pakakhala pakati, mkazi adzafunika:

• tsiku ndi tsiku komanso mobwerezabwereza kuyang'anira shuga ndi glucometer kapena pampu,
• yang'anani kuthamanga kwa magazi anu
• khalani mayesowo a mkodzo pamatupi a ketone,
• pereka magazi pafupipafupi pa hemoglobin ya glycated,
• onetsetsani kulemera kwanu komanso kulemera kwa thupi la mwana wosabadwayo, kuwona zakudya zochepa zomwe zimapangidwira amayi apakati, ndikuchita masewera apadera olimbitsa thupi.

Kupewa matenda ashuga

Ngakhale njira zodzitetezera sizipereka chitsimikizo cha 100% kupezeka kwa matenda a shuga 1 mwa mwana, nthawi yapakati komanso nthawi yoyamwitsa, malangizo otsatirawa ayenera kuonedwa:

1. Pewani matenda oyambitsidwa ndi mavairasi ndi intrauterine momwe mungathere mutabereka mwana wosabadwayo.
2. Mwachangu siyani zotupa zoperewera ngati caries kapena sinusitis.
3. Musafotokoze zakudya zomwe muli ndi ma nitrate, utoto ndi zoteteza ku chakudya.
4. Onetsetsani kuti muphatikiza zogulitsa kapena zowonjezera za Omega-3 ndi Omega-6 acid acid mumndandanda wamlungu.
5. Muchepetse kudya kwamphamvu kwambiri.
6. Tsatirani mwachangu dongosolo la katemera.
7. Panthawi ya chimfine kapena mwana yemwe ali ndi chimfine, osadzilimbitsa.
8. Anamwitsa mwana kwa zaka zosachepera 1.5.
9. M'chaka choyamba cha moyo, pezani mapuloteni amkaka wa ng'ombe ndi zinthu zina zokhala zakudya za ana.
10. Yenderani kudya kwanu kwabwino Vitamini D.

Pomaliza nkhaniyi, tikuwonetsa kanema yemwe akufotokoza za kupewa kwa mavuto omwe ali pakati pa azimayi omwe ali ndi matenda a shuga a mtundu wa insulin. Malangizo ambiri ochokera pamenepo amakhala othandiza kwa amayi apakati omwe ali ndi matenda ashuga a 2.

Matenda a shuga

Mwa amayi ndi abambo, matenda ashuga angayambitse kusabereka. Chonde chimalephera chifukwa cha kusintha kwa mahomoni, kuwonongeka kwa mitsempha yamagazi ndi mitsempha yapang'onopang'ono.

Kusaberekeka kwa matenda ashuga mwa abambo kumatha kuyambitsidwa ndi izi:

• Vasculo native erectile kukanika. Kuti pakhale mbolo, magazi ake ndi ofunika. Mu matenda a shuga, kusintha kwa magazi m'magazi kumachitika, ma microcirculation amasokonezeka, mitsempha yamagazi imatsekeka ndi malo a atherosranceotic. Mapangidwe amasokonekera. Zotsatira zake, kugonana kumagona osatheka, komwe kumadzaza ndi kusabereka.
• Kubwezeretsani kumverera. Ndi matenda ashuga, mitsempha yapamadzi imakhudzidwa. Motility ya vas deferens ndi chikhodzodzo imalekeka. Kamvekedwe ka sphincter yake kamachepa. Zotsatira zake, pakukonzekera, umuna su kulowa mkati mwa mkazi, koma kulowa mu chikhodzodzo cha mwamunayo.
• Kuzindikira kwa ukala wabwino. Mwa amuna omwe ali ndi matenda ashuga, kuchuluka kwa ma spermatozoa omwe ali ndi magawo ogawanika a DNA nthawi zambiri kumapezeka. Sizoyenera kukumana ndi dzira. Hypogonadism (magawo ochepa a testosterone) nthawi zambiri imagwirizanitsidwa ndi matenda a shuga, omwe amakhudzanso mtundu wa umuna komanso mwayi wokhala ndi pakati.

Mwa akazi, kusabereka mu shuga mellitus kumatha kuchitika chifukwa kuphwanya njira ya kusasitsa dzira. Kuthekera kwa kuyika bwino kwa mluza m'chiberekero kumachepa. Nthawi zambiri, matendawa amakhudzana ndi polycystic ovary syndrome, chinthu chinanso chomwe chimapangitsa kuti kubereka kusabereka.