Ngokuhlaziywa kuka-2014 yiCenter for the Disease Control and Prevention, ukusabalala kwesifo sikashukela sokugaya kunesisindo esingaphezulu kuka-9.2%. Abesifazane abakhulelwe abangakaze bahlaselwe yisifo sikashukela ngaphambili, kodwa banamazinga aphezulu ashukela ngesikhathi sokukhulelwa kuthiwa banesifo sikashukela sokugaya. Ngokuvamile kubonakala phakathi kwe-trimester yesibili, ngemuva kokuba ingane isungule, kodwa ngenkathi imatasa ikhula.
Isifo sikashukela sokugaya sanyamalala ngemva kokuzalwa kwengane. Uma usuphethe isifo sikashukela sokugaya, usengozini yokuphinde uphinde ube nokukhulelwa ngesikhathi sokukhulelwa. Eqinisweni, uma usuphethe isifo sikashukela sokugaya, amathuba akho angama-2 kwangu-3 ukuthi azobuya esikhathini esizayo sokukhulelwa.
Ngaphezu kwalokho, usengozini enkulu yokwenza isifo sikashukela sohlobo lwesibili. Abomama abanesifo sikashukela abanesifo sokushukela abanesifo sikashukela esinesisindo esingaba ngu-10 sesikhathi eside se-type 2 sikashukela. Futhi banengozi enkulu yokuthuthukisa ama-prediabetes kanye nesifo se-cardiovascular ngaphambi kwesikhathi. Isifo sikashukela sofuzo kufanele sibe yisimo sokuvuka kunoma yikuphi ukulindela umama ukwenza izinguquko zendlela yokuphila hhayi nje kuphela empilweni yengane, kepha futhi ukuze bakwazi ukuvimbela ukuthuthukisa lezi zifo ngemuva kokuzalwa komntwana.
Ubani Osemngciphekweni We-Gestational Diabetes
Iningi lezinto ezibeka ingozi ngenxa yesifo sikashukela sokugaya zilawulwa. Uma uhlela ukuba nomntwana, ukushintsha ezinye zezindlela zakho zokuphila kungasiza ukunciphisa ingozi yakho.
Izindaba ezinhle ukuthi ngisho noma uthola ukuthi unesifo sikashukela sokugaya, usengenalo umntwana onempilo. Nazi ezinye zezici eziyingozi:
- Ukukhuluphala ngokweqile - nge-BMI engama-30 noma ngaphezulu-ukulahlekelwa cishe ngu-20% wesisindo somzimba wakho kunganciphisa ingozi yakho
- Umlando womndeni we-Type 2 sikashukela
- Uma ungumama osekhulile - uneminyaka engu-35 noma ngaphezulu
- Uma ngaphambilini uhambisa izingane ezincane (phakathi kuka-8 lbs. 5 oz no-9 lbs. 14 oz.)
- Uma une-high blood pressure
- UngumSpanishi, u-Afrika waseMelika, uMelika waseMelika, iNingizimu noma u-East Asia, noma u-Pacific Island.
- Uma une-cholesterol engenampilo
- Uma ubhema
- Uma ungatholi umsebenzi owenziwe ngokwanele
- Uma ungadli ukudla okungenampilo
Okubangela Isifo Sikashukela Sama-Gestational
Nakuba kungekho isizathu esicacile sokushukela kwesifo sikashukela, kunezinye imibono yokuthi kungani abesifazane abathile beyihlakulela. Ngesikhathi ukhulelwe, umzimba wakho udinga insulini ukuze ukwazi ukusebenzisa i-glucose ukuze uphethiloli. Lapho ingane iqala, isekelwa yi-placenta. I-placenta ikhiqiza izinhlobo eziningi ze-hormone, ezisiza ingane ukuba ikhule, kodwa lawa mahomoni aqondile angavimbela isenzo se-insulin emzimbeni womama. Ngenxa yalokho, amangqamuzana aphikisana ne-insulin umama wenzayo futhi ushukela wegazi uvuka.
Ukweshukela ngokweqile kungadlula i-placenta, kubangele ukuthi ama-pancreas wengane enze i-insulin ukuze isuse ushukela. Ngenxa yokuthi umntwana uthola amandla amaningi kunalokho okudingeka akhule, ushukela owengeziwe ulondolozwa njengamafutha. Lokhu kungaholela "ku-macrosomia", aka, "ingane ekhululekile". I-Macrosomia ingabangela izingqinamba zezinhlanzi ngesikhathi sokuzalwa futhi kwandise ingozi yengane yokuba yindlala futhi ikhulele isifo sikashukela kamuva ekuphileni.
Ngaphezu kwalokho, izinsana ezizalelwe omama abanoshukela egazini ezingalawuleki, zingaba neshukela egazini egazini lapho zizalwa (ngenxa ye-insulin eyengeziwe eyenza), ezingabangela izinkinga zokuphefumula. Yingakho kubaluleke kakhulu ukuba bonke omama bahlolwe isifo sikashukela sokugaya futhi ukuthi labo abanesifo sikashukela sokugaya bagcine i-sugar suars yabo ilawulwa ngokuqinile.
Yeka ukuthi isifo sikashukela se-Gestational sithathwa kanjani
Ukunakekelwa okuhle kokubeletha kubalulekile kubo bonke omama abakhulelwe, kodwa kubaluleke kakhulu kulabo abathwala izifo ezibangelwa isifo sikashukela. Uma owesifazane ekhulelwe, ukuqhubeka nokuqokwa kukadokotela kubalulekile.
Isifo sikashukela sokubeletha sivame ukuvivinywa phakathi kwamaviki angu-24 no-28 wokubeletha. Uma uhlola ukuthi unesifo sikashukela sokugaya, uzodinga ukufunda indlela yokulawula kahle ushukela wegazi ukuze uqinisekise impilo yakho kokubili nomntanakho.
Ngokujwayelekile, ngaphansi kwesiqondiso sakho somhlinzeki wezempilo, ukudla okunempilo, okulinganiselayo okuhambisana nama-carbohydrate, nokuzivocavoca okwengeziwe kungadlulisa indlela ende ekulawuleni isifo sikashukela sokukhulelwa. Ama-carbohydrate yizona izakhi ezithinta ushukela wegazi kakhulu, ngakho-ke uzofuna ukuqonda ukuthi ama-carbohydrates avelaphi nokuthi ungakhetha kanjani izinhlobo ezifanele ze-carbohydrate ukulawula kahle ushukela wegazi.
Ukuzivocavoca kusiza ukushisa ushukela futhi kuthuthukise ukumelana nokushukela kwe-insulin ukuze ukwazi ukwenza isimiso esihle kuzokusiza ukujwayela u-ushukela wegazi. Uma ungakaze usebenzise ngaphambili, ukuhamba nje kungabasiza ngempela impilo yakho. Kwezinye izimo, lapho ukudla nokuzivocavoca kunganele ukulawula ushukela wegazi lapho, i-insulin nayo izosetshenziswa ukuze kugcinwe amazinga egazi ngegazi ngokujwayelekile ngangokunokwenzeka. Ithimba lakho lezokwelapha lizoninika ukubhekela kwegazi lakho futhi likufundise indlela yokusebenzisa i-glucometer yakho. Ukulawula okuhle kuzoqinisekisa ukuthi imiphumela yonke injabulo, enempilo kuwo wonke umuntu.
> Kubuyekezwa: Barbie Cervoni MS, RD, CDE
> Izinsiza:
> I-American Diabetes Association. Iyini isifo sikashukela soGestational.
> Feig DS, Zinman B, Wang X, Hux JE. Ingozi yokuthuthukiswa kwesifo sikashukela ngemva kokuxilongwa ngesifo sikashukela sokukhulelwa. I-CMAJ 2008; 179: 229
> I-American Diabetes Association. Isifo sikashukela sofuzo. http://www.diabetes.org/are-you-at-risk/lower-your-risk/gdm.html?referrer=https://www.google.com/