Ukuqonda Indima Yesifo Sikashukela Ekuthumeni Nokushayisana
Lapho abantu bedla, ukudla kuphukile emgodini wokugaya ukudla kuya ezakhiweni ezilula, kuhlanganise ne-glucose (uhlobo lweshukela). I-glucose iyidayimane edingekayo cishe yonke inqubo emzimbeni womuntu, kuhlanganise nokusebenza kobuchopho. Ukuze umzimba usebenzise i-glucose njenge-energy, idinga i-hormone eyaziwa ngokuthi i-insulin, eyenziwa yi-organ ebizwa ngokuthi i-pancreas.
Esikhathini sikashukela, ukunikezwa kwe-insulini yomuntu akukwanele, okwenza kube nzima ukuba umzimba usebenzise futhi usebenzise amandla adingekayo ku-glucose.
Izinhlobo zesifo sikashukela
Thayipha i-1 - I-Type 1 yesifo sikashukela (esibizwa ngezinye izikhathi ngokuthi isifo sikashukela esinesifo se-diabetes, noma i-IDDM) yisimo esingapheli, esivame ukuphila, lapho ama-pancreas engabakhi i-insulini. Izimbangela eziqondile zalesi sifo aziwa, kodwa kusobala ukuthi isimiso somzimba samasosha omzimba senziwa ngandlela-thile ukuqala ukuhlasela ama-pancreas. Kuvame ukutholakala ukuthi usebuntwaneni. Izimpawu ezivamile ziyakhathala, ukoma ngokweqile nendlala, ukuvuthwa ngokweqile, nokulahlekelwa isisindo. Lolu hlobo lwesifo sikashukela lufuna umuntu ukuba athole i-insulini, noma nge-injection amaningi ngosuku ngalunye, noma ipompo eqhubekayo. Ayikho ikhambi le-Type 1 Diabetes.
Thayipha 2 - Kuhlobo lwesibili lwesifo sikashukela amaseli omzimba athuthukisa ukumelana ne-insulini, ngisho nalapho ama-pancrea ekwazi ukukhiqiza i-insulin eyanele.
Uhlobo lwesifo sikashukela sesi-2 (okuthiwa nesifo sikashukela esingaxhomeki insulin, noma i-NIDDM) esivame kakhulu kubantu abadala, kodwa singakhula ezinganeni. Ngokuvamile kubangelwa ukukhuluphala, indlela yokuphila yokuphila, iminyaka yobudala, kanye nezizukulwane eziphilayo. Nasi ingozi eyengeziwe yokwelapha uhlobo lwesifo sikashukela kubantu abanomlando womndeni wesifo, abantu base-Afrika-America, amaMelika aseMelika, ama-Asian-American, amaLatin, namaPacific Island, kanye nabesifazane abaye banesifo sikashukela.
Izimpawu zifana nesifo sikashukela sohlobo 1. Ukwelashwa kungashintsha ekushintsheni kokudla okunempilo nokuzivocavoca kuya emithini yomlomo, noma imishanguzo ye-insulin. Ayikho ukwelashwa kwesifo sikashukela sohlobo lwesibili, kodwa isimo singalawulwa kahle kangangokuba akukho ukwelashwa okudingekayo ngaphandle kwezinguquko zokuphila.
Ukuzivocavoca - Isifo sikashukela sofuzo (GDM) senziwa ngesikhathi sokukhulelwa. Njengesifo sikashukela sohlobo lwe-2, esifo sikashukela sokugaya, umzimba awukwazi ukusebenzisa ngokuphumelelayo ukuhlinzekwa kwe-insulini eyenziwe yi-pancreas. Cishe bonke abesifazane abakhulelwe banenkinga ethile yokukwazi ukusebenzisa i-glucose ngempumelelo ngenxa yokushintsha kwe-hormone yemvelo yokukhulelwa, kodwa akubona bonke abazokwakha isifo sikashukela sofuzo. Abesifazane abangaba ngu-4 kuphela abazokwakha i-GDM. Izimo eziyingozi zifana nezohlobo lwesifo sikashukela sohlobo lwesibili, kodwa futhi zihlanganisa nomlando wegazi eliphezulu, ukulethwa kwangaphambili kwezingane ezinkulu (okungaphezu kuka-8 lbs 5 oz), noma uma ungaphezu kuka-35 ngesikhathi sokukhulelwa. I-GDM ingaphathwa ngezinguquko zokudla kepha ingadinga ama-insulin injection uma i-sugar sugars ingakwazi ukulawulwa ngokudla kuphela.
Isifo Sikashukela Sithinta Kanjani Ukukhulelwa?
Njengoba umzimba wonke uphethwe yi-glucose, i-insulin ibalulekile ekusebenzeni kahle kwazo zonke izinhlelo zomzimba.
Ishukela egazini elilawulwa ngegazi lingabangela izinkinga eziningi ekukhulelwe kokubili umama nengane.
- I-Polyhydramnios - Lokhu kusho ukuthi kune-amniotic emanzini amaningi, kanti abesifazane abanesifo sikashukela bangase babe nakho lokhu.
- I-hypertension - eyaziwa ngokuvame kakhulu njengomfutho wegazi ophezulu, ingaholela ekunqandeni kwe-intrauterine ukukhula (IUGR), ukubeletha, futhi kungaba yinkomba yokulethwa kwangaphambi kokubeletha, okuyinto ebeka izingozi zayo kumntwana.
- Ukuvimbela Ukukhula - i-IUGR ijwayele ukuvela njengomphumela wokushisa komfutho wegazi ophezulu, ongathuthuka kubantu besifazane abanesifo sikashukela ngesikhathi sokukhulelwa. Kodwa-ke, kungabangelwa yizifo zesifo se-vascular, ngokuvamile e-diabeteshi ye-type 1, engenawo umfutho wegazi ophezulu. Kuyinto engozini yokubhekana nezinkinga eziningi zezokwelapha ezinganeni ngemuva kokuzalwa. Isisindo sokuzalwa esincane siyisizathu esiyinhloko sokufa kwezinsana e-United States.
- Izinkinga Zokuzalwa - Izinsana ezalwa abesifazane abanesifo sikashukela zinomngcipheko omkhulu wokuthuthukisa ukungavamile kokuzalwa, njengokukhubazeka kwenhliziyo namaphutha we-neural tube .
- Ukushada indiva - Abesifazane besifo sikashukela basengozini enkulu yokukhulelwa kwesisu .
- I-Macrosomia (noma Isisindo Sokuzalwa Esingeziwe) - Uma usana lusana ngaphezu kwesilinganiso (ngokuvamile okungaphezu kwamakhilogremu angu-9, ama-ounces angu-4, noma ngaphezu kwe-90 percentile esilinganiselwe usayizi we-gestational age), kuthiwa i-macrosomia. Izingane ezincane zisengozini yokubhekana nezinkinga ekulethwa njenge-shoulder dystocia futhi zingabangela isidingo sokukhululwa nge-c-section.
- Ukulethwa kokuqala - Abashukela besifo sikashukela basengozini yokuthunyelwa ngaphambi kwesikhathi. Izinsana ezalwa ngaphambi kwamasonto angu-37 ukugonywa zisengozini yokudla nokuphefumula, izinkinga zezokwelapha zesikhathi eside, nokufa.
- Ukubeletha - Nakuba abesifazane abanesifo sikashukela benengozi enkulu yokuba nosana, ukuphathwa kahle kweshukela egazini kuzoqeda le ngozi.
Ukuphathwa kwesifo sikashukela
Kungcono ukulawulwa ushukela wegazi lakho ngesikhathi sokukhulelwa, ithuba elingcono onalo lokukhulelwa okuphephile, okujwayelekile. Kubalulekile ukulandela imiyalelo kadokotela wakho ngokucophelela ngangokunokwenzeka. I-insulin yowesifazane idinga ushintsho phakathi nokukhulelwa, ngakho-ke uma ubona iphethini yenguquko ekufundeni ushukela wegazi, kufanele wazise udokotela wakho.
- Ukuqapha i-Blood Sugar - Abesifazane abakhulelwe abanesifo sikashukela kulindeleke ukuba bahlole ushukela wabo wegazi izikhathi eziningi ngosuku ukuze banqume ukuthi indlela yokudla kanye nemithi yokwelapha ilawula kanjani ushukela wegazi. Ukuqapha kwenziwa ngomshini okhethekile futhi kudinga ukuba uhlabe umunwe wakho noma ingaphambili (kuye ngokuthi umqapha wakho) ukuthola i-drop drop yegazi. Uma uthola ukuthi unesifo sikashukela sokukhulelwa ngesikhathi ukhulelwe, uzobe ufundiswa ukuthi ungasebenzisa kanjani ukuqapha kwakho futhi kulindeleke ukuthi ubonise ukusetshenziswa okulungile.
- Imithi kanye ne-Insulin - Nakuba ezinye izinhlobo ze-diabetics zingasebenzisa imithi yomlomo ukulawula ushukela wegazi ngenkathi ingakhulelwe, akuwona wonke umuthi wezomlomo ophephile ekukhutheni. I-insulin injection inikeza ukulawula okungcono kakhulu futhi okuqondile kakhulu kweshukela legazi ngesikhathi sokukhulelwa. Ngisho nabesifazane abasebenzisa i-insulin ngaphambi kokukhulelwa bayodinga umuthi omusha wokuphatha ushukela wegazi ngenkathi ukhulelwe. Kubalulekile ukulandela imiyalelo yakho ngemithi ngokucophelela.
- Ukudla - Ukulandela ukudla kwesifo sikashukela ngesikhathi ukhulelwe kungenye yezindlela ezibaluleke kakhulu zokuphatha ushukela wegazi. Kungakhathaliseki ukuthi usanda kutholakala ukuthi unesifo sikashukela sokubeletha, noma uhlala nesifo sikashukela sohlobo luka-1 impilo yakho yonke, ukuhlangana nomuntu onomsoco kungakusiza ukuba ufunde ukwenza izinqumo zokudla ezifanele ngenkathi "udla ezimbili."
- Ukuhlola Ukuxilongwa - Njengoba abesifazane abanesifo sikashukela besengozini ngenxa yokucindezeleka okuningi lapho bekhulelwe, badinga ukuhlolwa okwengeziwe kokubeletha. Ungase ube nokunye noma konke okulandelayo:
Nini Ukubiza Udokotela Wakho
Uma unesifo sikashukela noma nini ngesikhathi ukhulelwe, ukunakekelwa kokubeletha kubalulekile. Uzodinga usizo lokuphatha ukuhlolwa kokushukela kwegazi kanye nemithi yokwelapha. Ngenxa yobungozi obuhambisana nesifo sikashukela ekukhulelweni, kufanele uqaphele izimpawu eziyisixwayiso ezilandelayo. Thintana nodokotela wakho uma uthola noma yikuphi okulandelayo futhi uma unemibuzo noma ukukhathazeka.
- Izimpawu zeshukela eliphansi legazi : isizungu, ukujuluka, ukuthuthumela, ukukhipha izindebe noma ulimi, ukugijima kwenhliziyo, ukudideka, ukulukhuni ukukhuluma. Uma ushukela wegazi ophansi ungaphenduliwe, ungabangela ukungabi nalutho, i-coma noma ngisho nokufa.
- Izimpawu zeshukela eliphakeme egazini : ukoma ngokweqile, ukuvuthwa okwandayo, umlomo omile, isicanucanu / ukuhlanza, ukudideka, ukuphefumula okusheshayo, ukuphefumula okunomsoco, ukungabi nalutho. Ishukela ephezulu egazini elingalawuleki lingabangela i-coma nokufa.
- Ukunyakaza kokunyakaza kwesisu
- Amakhanda amancane angatholakali nguTylenol
- Iziphambano ezibuhlungu njalo
- Ukusuka kwamagciwane okweqile njengesikhathi sokuya esikhathini
- I-flow of fluid ecacile evela emzimbeni
- Ubuhlungu obukhulu besisu
Imithombo:
Association of American Diabetes Association. Izibalo.
Amasevisi Okulawula Nokuvimbela Izifo. I-National Diabetes Fact Sheet 2011.
March of Dimes, Isifo Sikashukela Ekukhulelweni.
Izikhungo zezempilo zikazwelonke. Kwabesifazane abanesifo sikashukela: Umhlahlandlela wakho wokukhulelwa. I-National Diabetes Information Clearing House.