Jaririyar uwa mai ciwon sukari

Fetusauraye (jaririn) mahaifiya da ke fama da ciwon sukari na iya fuskantar matakan sikari na hawan jini (glucose), da kuma babban matakan wasu abubuwan gina jiki, a duk lokacin ɗaukar ciki.

Akwai nau'i biyu na ciwon sukari yayin daukar ciki:

• Ciwon suga na ciki - hawan jini (ciwon suga) wanda yake farawa ko aka fara ganowa yayin ciki
• Ciwon-ciwon da ya riga ya kasance ko kuma kafin haihuwa - tuni ya kamu da ciwon suga kafin ya yi ciki

Idan ba a kula da cutar sikari sosai yayin daukar ciki, jaririn yana fuskantar matakan sikarin jini. Wannan na iya shafar jariri da mahaifiya yayin ciki, a lokacin haihuwa, da kuma bayan haihuwa.

Jarirai na iyaye mata masu ciwon suga (IDM) sun fi sauran jarirai girma, musamman idan ba a kula da ciwon suga sosai. Wannan na iya sa haihuwar farji ta zama da wuya kuma yana iya ƙara haɗarin raunin jijiyoyi da sauran rauni yayin haihuwa. Hakanan, haihuwar tiyata ta fi yiwuwa.

IDM na iya samun lokacin ƙananan sukari a cikin jini (hypoglycemia) jim kaɗan bayan haihuwa, kuma a cikin firstan kwanakin farko na rayuwa. Wannan saboda an saba amfani da jariri don samun karin sukari fiye da yadda ake buƙata daga uwa. Suna da matakin insulin sama da yadda ake buƙata bayan haihuwa. Insulin na rage suga a cikin jini. Zai iya ɗaukar kwanaki kafin matakan insulin na jarirai su daidaita bayan haihuwa.

IDMs na iya samun:

• Matsalar numfashi saboda ƙarancin huhu
• Cellididdigar ƙwayar jinin jini mai yawa (polycythemia)
• Babban matakin bilirubin (jariri jaundice)
• Ickarfafa ƙwayar ƙwayar zuciya tsakanin manyan ɗakuna (ƙwararrun ƙafa)

Idan ba a kula da cutar sikari mai kyau, to damar zubar ciki ko kuma jaririn da aka haifa ya fi yawa.

IDM yana da haɗarin lalacewar haihuwa idan mahaifiya tana da ciwon suga wanda ba a sarrafa shi sosai tun farko.

Yaron yakan fi girma fiye da yadda aka saba ga jariran da aka haifa bayan tsawon lokaci a cikin mahaifar uwa (babba ne ga lokacin haihuwa). A wasu lokuta, jaririn na iya zama karami (ƙarami don shekarun haihuwa).

Sauran cututtuka na iya haɗawa da:

• Launin fata mai shuɗi, saurin bugun zuciya, numfashi mai sauri (alamun huhu marasa girma ko gazawar zuciya)
• Tsotsa mara kyau, rashin nutsuwa, rauni mai rauni
• Karkarwa (alamar tsananin ƙarancin sukari a cikin jini)
• Rashin ciyarwa
• Fuskantaccen fuska
• Girgizar ƙasa ko girgiza jim kaɗan bayan haihuwa
• Jaundice (launin fata rawaya)

Kafin a haifi jariri:

• Ana yin duban dan tayi a kan uwa a cikin ‘yan watannin da suka gabata na daukar ciki don lura da girman jaririn dangane da budewar hanyar haihuwar.
• Ana iya yin gwajin balagar cikin huhu akan ruwan ruwan ciki. Ba safai ake yin wannan ba amma yana iya zama taimako idan ba a ƙayyade kwanan watan da wuri ba.

Bayan an haifi jariri:

• Za a duba suga na jini a cikin awa ɗaya ko biyu bayan haihuwa, kuma a sake duba shi a kai a kai har sai ya zama daidai. Wannan na iya ɗaukar kwana ɗaya ko biyu, ko ma fiye da haka.
• Za a sa ido ga jariri don alamun matsala tare da zuciya ko huhu.
• Za a duba bilirubin na jaririn kafin komawa gida daga asibiti, kuma da jimawa idan akwai alamun cutar cizon sauro.
• Ana iya yin echocardiogram don duba girman zuciyar jariri.

Duk jariran da uwarsu masu ciwon sukari ta haifa yakamata a gwada su da karancin sukari a cikin jini, koda kuwa basu da wata alama.

An yi ƙoƙari don tabbatar da cewa jaririn yana da isasshen glucose a cikin jini:

• Ciyarwa jim kaɗan bayan haihuwa na iya hana ƙaran sukarin jini a cikin yanayi mai sauƙi. Ko da an shirya shirin shayarwa ne, jaririn na iya bukatar wasu dabino yayin awa 8 zuwa 24 na farko idan suga na jini ya yi kadan.
• Yanzu haka asibitoci da yawa suna ba da gel na dextrose (sugar) a cikin kuncin jaririn maimakon bayar da madara idan ba isasshen madarar uwa ba.
• Sugarananan suga na jini wanda baya inganta tare da ciyarwa ana magance shi da ruwa mai ɗauke da sikari (glucose) da ruwa wanda aka bayar ta jijiya (IV).
• A cikin mawuyacin hali, idan jariri yana buƙatar sukari da yawa, dole ne a ba da ruwa mai ɗauke da glucose ta jijiyar ciki (maɓallin ciki) na kwanaki da yawa.

Ba da daɗewa ba, jariri na iya buƙatar taimakon numfashi ko magunguna don magance sauran tasirin ciwon sukari. Ana kula da matakan bilirubin mai yawa tare da maganin warkarwa (phototherapy).

A mafi yawan lokuta, alamun cututtukan yara suna tafiya cikin awanni, kwanaki, ko weeksan makonni. Koyaya, faɗaɗa zuciya na iya ɗaukar watanni da yawa don samun sauƙi.

Da wuya sosai, sukarin jini na iya zama ƙasa kaɗan don haifar da lahani ga ƙwaƙwalwa.

Haɗarin haihuwa har yanzu ya fi yawa a cikin mata masu fama da ciwon sikari wanda ba a kula da shi sosai. Hakanan akwai ƙarin haɗari ga yawan lahani na haihuwa ko matsaloli:

• Gurbatacciyar zuciya.
• Babban matakin bilirubin (hyperbilirubinemia).
• Hannun da ba su balaga ba
• Neonatal polycythemia (mafi yawan jinin jini fiye da al'ada). Wannan na iya haifar da toshewar jijiyoyin jini ko hyperbilirubinemia.
• Syndromeananan ciwon hanji na hagu. Wannan yana haifar da bayyanar cututtuka na toshewar hanji.

Idan kuna da ciki kuma kuna samun kulawa na al'ada, gwajin yau da kullun zai nuna idan kun ci gaba da ciwon sukari na ciki.

Idan kuna da ciki kuma kuna da ciwon suga wanda ba a iko da shi, kira mai ba ku nan da nan.

Idan kuna da ciki kuma ba ku karɓar kulawa na haihuwa, kira mai ba da sabis don alƙawari.

Mata masu fama da ciwon suga suna buƙatar kulawa ta musamman yayin ɗaukar ciki don kiyaye matsaloli. Kula da sukarin jini na iya hana matsaloli da yawa.

Kulawa da hankali a cikin awanni da ranakun farko bayan haihuwa na iya hana matsalolin lafiya saboda ƙarancin sukarin jini.

IDM; Ciwon sukari na ciki - IDM; Kulawa da jarirai - uwar mai ciwon sukari

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