Abesifazane abanesifo sikashukela ngesikhathi sokuqala, kufanele baqaphe ngokucophelela impilo yabo
Iningi lezinhlaka zomzimba ezinkulu zakhiwa ebhokisini elikhulayo phakathi kwamasonto ayisikhombisa okuqala emva kokukhulelwa. Lesi sigaba - uma abanye besifazane bengazi ukuthi bakhulelwe - kubhekwa njengesikhathi esibucayi kakhulu yentuthuko kuyo yonke impilo yabantu. Amaviki okuqala okukhulelwa abaluleke ikakhulukazi kwabesifazane abanesifo sikashukela.
Ukuqapha okunye okuchazwe lapha kusebenza ikakhulukazi kwabesifazane abanesifo sikashukela abakhulelwe, kunokuba abesifazane abahlakulela isifo sikashukela ngesikhathi sokukhulelwa.
Ngesikhathi sokukhulelwa, isifo sikashukela sokubeletha asinayo ingozi efanayo yobunzima bomama njengohlobo 1 noma uhlobo lwesifo sikashukela.
Kufanele Abesifazane Abanesifo Sikashukela Bakulungiselele Kanjani Ukukhulelwa?
Abesifazane abanesifo sikashukela kufanele babe nokuhlolwa okuphelele ngokomzimba ngaphambi kokukhulelwa. Njengengxenye yokuhlolwa, kufanele banikeze odokotela babo umlando ophelele wezokwelapha, kufaka phakathi ubude kanye nohlobo lwesifo sikashukela, imithi kanye ne-supplements ezithathiwe, nanoma imuphi umlando wezifo zesifo sikashukela, njenge-neuropathy (umonakalo wezinzwa), i-nephropathy (ukulimala kwezinso), i-retinopathy (umonakalo weso) nezinkinga zenhliziyo.
Kubalulekile futhi ukuthi abesifazane abanesifo sikashukela bahlele phambili futhi balondoloze ukulawulwa ushukela omuhle kakhulu ngaphambi kokukhulelwa, njengoba amazinga ashukela ephezulu e-trimester yokuqala angabangela ukukhulelwa kwesisu noma ukungabikho komzimba, okuyizinguquko ezingavamile ngesikhathi sokukhula kwentombazane esibelethweni.
Ngaphambi kokuba ukhulelwe, abesifazane abanesifo sikashukela kufanele baphinde bahlolwe umsebenzi wabo wezinso.
Nakuba ukukhulelwa kungabhubhisi kakhulu i-nephropathy yesifo sikashukela, abesifazane abakhulelwe abanesifo esiphezulu sezinso bajwayele ukucindezelwa kwegazi eliphezulu, okungathinta cishe zonke izinhlelo zomzimba futhi ekugcineni bafaka ingane engozini.
Yikuphi ukunakekelwa okukhethekile noma izivivinyo ezidingekayo kwabesifazane abakhulelwe abanesifo sikashukela?
Abesifazane abakhulelwe abanesifo sikashukela kudingeka baqaphe ngokucophelela ukunakekelwa kwamehlo, kuhlanganise nokuhlolwa okuphelele kwe-retinal ngaphambi, ngesikhathi nangemva kokukhulelwa, njengokwelashwa kwesifo sikashukela (umonakalo emithonjeni yegazi le-retina) kungadala kakhulu ngesikhathi sokukhulelwa.
Lokhu kunenkinga kwenzeka ikakhulukazi kwabesifazane abanomsoco wegazi we-glucose (ushukela).
Ngesikhathi sokukhulelwa, abesifazane kufanele balinganise i-blood glucose yabo izikhathi eziningana nsuku zonke: ngaphambi nangemva kokudla, ngesikhathi sokulala, nasebusuku uma kunokukhathazeka mayelana nobusuku u-hypoglycemia (ushukela wegazi ophansi). I-American Diabetes Association iphakamisa izilinganiso zokudla kokudla kwangaphambi kokudla okungu-80 kuya ku-110 mg / dL (ama-milligrams per deciliter) kanye nezilinganiso zokudla kwe-glucose ngezansi 155 mg / dL.
Uma abesifazane abakhulelwe abanesifo sikashukela benesilinganiso segazi se-180 mg / dL, umchamo wakhe kufanele uhlolwe ngamaketoni (ama-acids) ukulawula i-ketoacidosis, engase ibangele ukukhulelwa kwesisu. I-ketoacidosis ivela lapho umzimba ungekho i-insulin.
Kungani Ukuphatha I-Blood Sugar Kubaluleke Kakhulu Kwabesifazane Abakhulelwe Abaphethwe Isifo Sikashukela?
Esifundweni se-1989, abesifazane abane-pre-pregnancy A1C value (ukuhlolwa kwegazi okulinganisa amazinga e-glucose) okwakungaphezu kuka-9.3% abe nenengozi enkulu yokuhlukumezeka nokuzalwa kwezinsana ezelwe nge-anomalies yokuzalwa. Ucwaningo luye lwabonisa ukuthi amanani a-A1C angafika ku-6% (anama-5% abhekwa njengesijwayelekile) athatha ingozi efanayo yokukhulelwa kwesisu kanye nokukhubazeka komntwana njengengane yokukhulelwa.
Abesifazane abanamazinga aphezulu okushukela ejwayelekile kunegazi, kungakhathaliseki ukuthi banesifo sofuba, uhlobo lohlobo lwe-1 noma uhlobo lwesifo sikashukela, nabo bavame ukuba nezinsana ezinkulu.
Lokhu kuholela engozini enkulu yokulimala ehlombe kanye ne-plexus ye-brachial (izinzwa ezixhuma umgogodla ngengalo kanye nehlombe) usana ngesikhathi sokubeletha.
I-diabetes elawulwa kabi kabi ihlotshaniswa no-pre-eclampsia (ukucindezelwa kwegazi eliphezulu) nokulethwa ngaphambi kwesikhathi.
Kukhona ulwazi oluncane kakhulu mayelana nomphumela we-hyperglycemia (ushukela ephezulu wegazi) ekuthuthukiseni isikhathi eside kwe-fetus.
Ingabe Kukhona Ukugonywa Ngesifo Sikashukela Okufanele Kugweme Ngesikhathi Ukukhulelwa?
Abesifazane abanesifo sikashukela sohlobo lwe-2 abasebenzisa imithi yomlomo ye-sugar control control kufanele bashintshe ekusebenziseni i-insulini ngaphambi kokuba bakhulelwe futhi ngesikhathi sokukhulelwa. Ngenkathi ezinye izilonda zomlomo we-antidiabetic ziye zafundwa futhi zitholakala ziphephile ekukhulelwe, i-insulin iyindlela enhle kakhulu futhi ephephile yokulawula ushukela wegazi phakathi nokukhulelwa.
Imithi eminingi yomshoshaphansi wegazi ingaba yingozi kumntwana; Ngakho-ke, ngokuvamile le mithi kufanele imiswe ngaphambi kokukhulelwa uma ingcindezi yegazi ingagcinwa ngezansi kuka 130/80 mmHg ngokulawulwa kasawoti okudlayo yodwa. Uma imithi yengcindezi yegazi idingekile, abesifazane kumele badluliselwe emithi emisha ngaphambi kokukhulelwa. Ngokuyinhloko, i-angiotensin-yokuguqula i-enzyme inhibitors kanye ne-angiotensin receptor blockers ihle kakhulu ekulawuleni ukucindezelwa kwegazi kubesifazane abangenasiphelo abanesifo sikashukela; Kodwa-ke, lezi ziphephile uma zisetshenziswe owesifazane onesifo sikashukela futhi ukhulelwe. Ngokufanayo, imithi yokunciphisa i-cholesterol nayo kufanele imiswe ngesikhathi sokukhulelwa.
Ukudla nokuzivocavoca Kulawulwa kanjani abesifazane abakhulelwe abanesifo sikashukela?
Ukudla okunomsoco kubaluleke kakhulu kwabesifazane abakhulelwe abanomthelela 1 nohlobo lwesibili lwesifo sikashukela. Ngokuvamile, abesifazane abakhulelwe nabahlengikazi abanesifo sikashukela kufanele badle amakhilogremu angu-15 kuya kwangu-17 ngalunye ngesisindo somzimba ngosuku, nakuba lokhu kungahlukahluka komunye nomuntu futhi kufanele kukhulunywe neqembu lokunakekelwa yisifo sikashukela ngaphambi, ngesikhathi, nangemva kokukhulelwa nokunakekelwa.
Ukukhathazeka okubalulekile kokudla okunomsoco ku-type 1 isifo sikashukela kubandakanya ukudla okuqhubekayo kwansuku zonke nokusetshenziswa kwesidlo sokulala, nokulungisa i-insulin ngokwemisebenzi nokuqukethwe kokudla ukuvimbela amazinga okushukela aphezulu noma aphansi ukuze aphathe ngokucophelela i-hyperglycemia ne-hypoglycemia, ngokulandelana.
Ukondla yiyona ndlela ebaluleke kunazo zonke yokulawulwa kwegazi kwegazi kuhlobo lwe-2 lwesifo sikashukela.
Abesifazane abakhulelwe abanesifo sikashukela sohlobo lwe-2 kufanele bakhulume nabanikezeli bokunakekelwa yisifo sikashukela, futhi ngempela isifo sikashukela sokudla, ukucacisa imigomo yabo yamakhalori nsuku zonke, ama-carbohydrates, ibhalansi yokudla okunomsoco ekudleni, kanye nokudla isikhathi sokudla usuku lonke.
Ukuzivocavoca kuyazuzisa abesifazane abakhulelwe abane-type 2 yesifo sikashukela, njengoba kusiza ukuthuthukisa impendulo yomzimba ku-insulin. Abesifazane abane-type 1 yesifo sikashukela abasebenzisa ngaphambi kokukhulelwa bangase baqhubeke nokuzivocavoca ngesikhathi sokukhulelwa. Kodwa-ke, abesifazane abanesifo sikashukela sohlobo 1 abangakajwayele ukuzivocavoca banamathele kakhulu ku-hypoglycemia ngokuzivocavoca ngesikhathi sokukhulelwa; Ngenxa yalesi sizathu, laba besifazane abeluleki ukuba baqale umshini wokuzivocavoca uma bekhulelwe.
Imithombo:
UDelahanty, uLinda M. noDavid K. McCulloch. Ukucabangela Ukudla Kwemithi Kuhlobo Lokushukela Lokushukela 1. I-UpToDate.com 2007. I-UpToDate. 18 Sept. 2007 (ukubhalisa)
UDelahanty, uLinda M. noDavid K. McCulloch. Ukucatshangelwa Kwezomsolo Kuhlobo Lwesifo Sikashukela Mellitus. " I-UpToDate.com 2007. I-UpToDate. 18 Sept. 2007 (ukubhalisa)
Greene, MF, JW Hare, JP Cloherty, BR Benacerraf, noJS Soeldner. "I-Hemoglobin yokuqala ye-Trimestri A1 ne-Risk for Major Malformation kanye nokukhipha isisu ekukhulelweni ngesifo sikashukela." I-Teratology 39 (1989): 225-31.
Jovanovic, Lois. "Ukulawulwa Kwama-Glycemic Women in Type 1 no-Type 2 Diabetes Mellitus Ngesikhathi Ukukhulelwa." I-UpToDate.com 2007. I-UpToDate. 18 Sept. 2007 (ukubhalisa)
Jovanovic, Lois. "Ukwelulekwa Nokuqondiswa Kwabesifazane Abanesifo Sikashukela Mellitus." I-UpToDate.com 2007. I-UpToDate. 16 Septhemba 2007 (ukubhalisa)
"Ukunakekelwa Ngaphambi Kokutholwa Kwabesifazane abanesifo sikashukela." Ukunakekelwa kwesifo sikashukela 27 (Isihlomelo 1) (2004): 76 ngo-18 Septhemba 2007