Okwenza Abesifazane abane-PCOS Basengozini Enkulu Yesifo Sikashukela
Isifo sikashukela sokubeletha senziwa lapho abesifazane abangakaze babe nesifo sikashukela ngaphambi kokuthuthukisa ikhono lokukhubazeka lokugcoba ngesikhathi sokukhulelwa, okubangelwa ushukela ophezulu wegazi. Abesifazane abane-polycystic ovarian syndrome (i-PCOS) basengozini enkulu yokuthuthukisa isifo sikashukela sokukhulelwa, noma i-GD.
Igazi eliphakeme eliphezulu elihambisana nesifo sikashukela esingaba nesifo sikashukela singabangela izinkinga ezihlanganisa isisindo sokuzalwa esiphakeme, ukuzalwa kwangaphambi kwesikhathi , izinkinga zokuphefumula ngesikhathi sokuzalwa, ushukela ophansi wegazi kanye ne- jaundice .
Kungabangela futhi izinkinga kumama nengane ekubelethweni.
Ngenhlanhla, ukudla okunomsoco ngokucophelela - noma ngaphandle kwemithi - kungasiza ukuphatha amazinga kashukela egazini nokuvimbela izinkinga.
Izingozi Nezimpawu Zengozi
Abesifazane abaneminyaka engaphezu kwengu-25 ubudala, baye bahlaselwa yisifo sikashukela ngokukhulelwa, abakhuluphele ngokweqile, abanama-prediabetes, noma abanamalungu omndeni oseduze abaye bathola ukuthi bane-type 2 yesifo sikashukela basengozini enkulu yokuthuthukisa isifo sikashukela sokukhulelwa. Abesifazane abane-PCOS bayingxenye yaleqembu ngenxa yokuhlangana nokuphikiswa kwe-insulin nama-prediabetes.
Iningi labesifazane abatholi izimpawu zesifo sikashukela sokubeletha, nakuba singavamile kakhulu, bangabona ukoma ngokweqile nokuvuthwa.
Ngenkathi isimo sivamise ukuxazulula ngemuva kokubeletha, owesifazane onesifo sikashukela esithinta isifo sikashukela cishe amathuba okuthuthukisa uhlobo lwesifo sikashukela kamuva.
Ukuhlolwa kwesifo sikashukela sikaGestational
Bonke abesifazane bahlolwe ngenxa yesifo sikashukela sokugaya ngesifo sokuguquka kweshukela emasontweni angama-24 kuya kwangu-28.
Njengoba i-PCOS ingabangela ushukela ophezulu wegazi ngenxa yokumelana ne-insulin, abesifazane abanesimo ngokuvamile bahlolwe isifo sikashukela sokugaya ekuqaleni kokukhulelwa.
Kunezindlela ezimbili ezihlukene zokubuka isikrini sikashukela - ukuhlolwa kwenselele ye-glucose nokuhlolwa kwe-glucose ukubekezelelana. Zombili izindlela zidinga ukuthi uphuze isishukela soshukela, nakuba le mali ihlukahluka kuye ngokuthi yikuphi ukuhlolwa udokotela ayisebenzisayo.
Ukuhlolwa kwenselele ye-glucose idinga kuphela ukudweba kwegazi elilodwa ngehora elilodwa ngemuva kokuphuza isisombululo. Awudingi ukuzila ukudlala ngaphambi kwalesi sivivinyo. Noma kunjalo, lokhu kuhlolwa yodwa akukwanele ukuxilonga isifo sikashukela sokugaya. Uma ukuhlolwa kungavamile, kuzodingeka ube nokuhlolwa kokubekezelelana kwe-glucose.
Phakathi novivinyo lwe- glucose ukubekezelelana , uzophinde uphuze isisombululo soshukela (nakuba uzodinga ukuphuza okungaphezulu kwawo), ezinezingxube ezine zegazi: eyodwa ngaphambi kokuphuza isisombululo, futhi enye, amahora amabili nantathu ngemva kokuqeda. Uzodinga ukuzila ukudla ngaphambi kokuthatha lokhu kuhlolwa.
Uma ngabe yiziphi izivivinyo ezibonisa izinga eliphakeme legazi le-glucose, uzothola ukuthi unesifo sikashukela sokugaya. Abanye odokotela bazokweqa ukuhlola inselelo ye-glucose futhi basebenzise kuphela ukuhlolwa kwe-glucose ukubekezelelana.
Ukuguqulwa Kwendlela Yokuphila nokuPhatha
Isifo sikashukela sokugaya singaphathwa ngokuhlanganiswa kokuguquka kwesimo sokuphila (ngokungafani kahle kwe-sugar sugar) noma imithi. Udokotela wakho cishe uzokulinganisa ushukela wakho wegazi ngezikhathi ezithile ngosuku; kanye ekuseni uma uvuka futhi emva kokudla okuvamile kujwayelekile, nakuba uzofuna ukulandela imiyalelo kadokotela wakho.
Ukuguqula indlela yokuphila kuhlanganisa ukukhipha ushukela ocubunguliwe nokuhlanza nokudla okuthosiwe noma okunamafutha.
Ukudla kwakho kufanele kuhlanganise ikakhulukazi izithelo, imifino, amaprotheni ahlanzekile kanye nohlamvu oluphelele. Ngokuthi udokotela wakho ulungile, ukuzivocavoca ukukhanya okulinganiselwe kufanele kufakwe ohlelweni lwakho lwansuku zonke.
Uma izinguquko zendlela yokuphila azanele ukulawula ushukela egazini lakho, udokotela wakho angase abeke iphilisi ukulawula ushukela wegazi noma ngisho ne-insulin. I-regimen ngqo izohluka ngokuya kwezimo zakho zomtholampilo kanye nezintandokazi nodokotela.
Nini Ukubiza Udokotela
Uma udokotela wakho echaza indlela yokwelapha yakho, cishe uzokunikeza imihlahlandlela ngokuthi isifo sakho segazini kufanele sibe nini nokuthi nini. Kufanele futhi akutshele ukuthi uyomshayela nini noma uya ekamelweni eliphuthumayo uma unomphumela wokudla ushukela ongajwayelekile.
Qiniseka ukuthi ulandela imiyalelo yakhe uma unomphumela ongajwayelekile. Ngaphezu kwalokho, unganqikazi ukubiza uma unemibuzo noma ukukhathazeka.
Umthombo:
Isifo sikashukela sofuzo. (2011, Mashi 24). I-Mayo Clinic. http://www.mayoclinic.com/health/gestational-diabetes/DS00316/DSECTION=Izinkinga zokuxhumana- nezidakamizwa.
I-Polycystic Ovarian Syndrome. I-American Diabetes Association website. http://www.diabetes.org/living-with-diabetes/treatment-and-care/women/polycystic-ovarian-syndrome.html.
Iyini isifo sikashukela se-Gestational? I-American Diabetes Association website. http://www.diabetes.org/diabetes-basics/estational/what-is-gestational-diabetes.html.