Type 1 diabetes - a dangerous chronic disease that affects all areas of life of the patient, but these days it is no longer the sentence and, as a rule, not an obstacle to motherhood.
Pregnancy - a special state of the woman's body, real exam.Of course, the health of the woman, the easier it is to move.
A diabetes - a serious metabolic disease that affects the functioning of all systems and organs.And pregnancy for diabetic patients is sometimes extremely dangerous.
In diabetes affects all vessels, both small (microangiopathy), and large (atherosclerosis).Vascular changes affect all organs, including the pregnant uterus.
But the baby is fed through the placenta - vascular organ.Therefore, the most frequent complications of pregnancy with type 1 diabetes are placental insufficiency
In each case, planning a pregnancy, a patient with diabetes, of course, should consult a doctor, and not one but at least two - endocrinologist and obstetrician-gynecologist.
endocrinologist will evaluate the course and degree of compensation of diabetes, there is a possibility the woman's body to withstand such a serious burden.A gynecologist, respectively, the state of the reproductive system and the risk of complications.
is worth noting that more serious complications of pregnancy for the mother than for the fetus.The body of a pregnant woman tries to provide the best conditions for the child, often depriving yourself.
This leads to a more severe course of diabetes during pregnancy, as well as all its complications often occur retinal detachment, disrupted kidney appear edema and high blood pressure - there is a serious complication of pregnancy - preeclampsia or preeclampsia.
In severe, decompensated diabetes during pregnancy is contraindicated, as has the ability to change the course of the disease worse.
In addition, when blood decompensation diabetes women have a large number of toxic substances that have a negative impact on the child.
In the most severe cases, when existing severe complications of diabetes, pregnancy can end tragically.
So, if during the main disease has worsened nephropathy during pregnancy kidney condition will only get worse, until the complete loss of function.
Cases vision loss during pregnancy with diabetes mellitus type 1.In the case where the pregnancy can cause life-threatening condition for women, gynecologists recommend it to interrupt.
If pregnancy occurs during changes of metabolic processes that lead to a change in blood glucose levels.Carefully scrutinized individually tailored doses of insulin are inadequate.
Moreover, there are significant daily fluctuations of glucose levels.High glucose level is dangerous not only for women but also for the baby - because when excess carbohydrates in a child in utero is formed by diabetes, and the size of the child are much higher than the norm, there is a diabetic fetopathy.
At this stage requires multiple glycemic control and correction doses of insulin.In most cases it is necessary to change the combination of the familiar and comfortable with prolonged insulin short-acting insulin and throughout pregnancy to introduce a short-acting insulins.
After stabilization of diabetes mellitus becomes the main task of doctors to prevent complications of pregnancy.
The labor body spends a tremendous amount of energy to fight and attempts.The energy that it receives from glucose, and therefore fluctuations in glucose levels during labor will be very significant.
to birth vaginally are characterized by sharp fluctuations in glucose levels with a tendency to hypoglycemia, so the whole process must be frequent (once an hour during labor, every half hour in vain attempts) measurement of blood glucose levels and timely its correction.
But more often by the aggregate of all existing complications in the patient, the doctor is inclined to delivery by caesarean section.This method reduces the risk of complications from kidney and vision, and also facilitates the control of blood glucose levels.In the case of operations glucose level changes drastically in the early postoperative period.
When operative delivery may also be a number of postoperative complications associated with poor tissue healing.
main recommendation for women with type 1 diabetes - pregnancy planning in advance, not less than 2 months before its occurrence.Before pregnancy should undergo a full clinical and laboratory examinations to detect the slightest complications of diabetes, and to achieve maximum compensation of the disease.This approach is the key to a successful pregnancy.
Type 1 diabetes - a dangerous chronic disease that affects all areas of life of the patient, but these days it is no longer the sentence, and is usually not a problem pregnancy and maternity.
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