Okudingeka Ukwazi Ngaphambi Nengemva Kokuzalwa Kwakho
Kungakhathaliseki ukuthi usanda kuthola ukuthi unesifo sikashukela, noma usuvele uthola isikhathi eside manje, ungakholelwa emangaliswaneni okuthiwa ngeke uncelise ingane yakho. Kusengcono kokubili. Nakhu amaqiniso aqinile mayelana nesifo sikashukela nokuncelisa.
Izinhlobo Ezi-3 Zesifo Sikashukela
Isifo sikashukela se-Insulin-Dependent (i-IDDM, i-Type I, noma i-Juvenile Onset Diabetes): I-IDDM ivame ukubonakala kubantu abangaphansi kweminyaka engu-25 futhi imiphumela ibe nokuntuleka okukhulu kwe-insulini. I-1 yesifo sikashukela kufanele sithathe i-insulin nsuku zonke.
Isifo Sikashukela Esingaxhomeke Ku -insulin (i-NIDDM, noma Uhlobo II): Uhlobo lwesibili lwesifo sikashukela lubonakala kubantu abadala. Uhlobo lwe-2 lwesifo sikashukela lungenza i-insulin eyanele ukuvimbela i-ketoacidosis kodwa akwanele ukuhlangabezana nezidingo zomzimba eziphelele.
I-Gestational Diabetes Mellitus (GDM / GCI noma ukucindezeleka komzimba kokukhulelwa okubangelwa ukungahambisani kwe-carbohydrate): Isifo sikashukela sokubeletha siqala ngesikhathi sokukhulelwa futhi siyahamba ngesikhathi sokuhamba kwesikhathi.
Ngokuphambene nenkolelo evamile, ukondla kuhambisana nabo bonke. Ukubeletha:
- kunganciphisa ingozi yengane yakho yokuthola isifo sikashukela
- kukusiza ulahlekelwe isisindo / uvimbe ukukhuluphala
- kusiza umzimba wakho ukusebenzisa i-insulin ngendlela enhle
- kunciphisa isidingo sakho se-insulin
Qaphela : Iningi lalokho okuxoxwa ngakho kulesi sigaba libhekisela kwabesifazane abanesifo sikashukela esandulele, hhayi isifo sikashukela. Uma umuntu onesifo sikashukela sokubeletha esindisa umntwana wakhe, athola ukunakekelwa okujwayelekile kwesandulela ngculazi futhi aphathwa njengokungathi "uphulukiswa" ngaphandle kokuthi ukuhlolwa kwe-Glucose ukubekezelelwa kwe-Glucose ye-postpartum ye-weekpartum kuveze ngenye indlela.
Ukubeletha kanye nesifo sikashukela: Ngaphambi kokuba ingane yakho ifike
Akusho ukuthi ukunakekelwa okufanele kokubeletha kubalulekile ukuqinisekisa ukuthi ingane yakho iphilile. Khuluma nodokotela wakho, ikakhulukazi uma unesifo sikashukela sohlobo 1, mayelana ne-insulin dosages, ukudla kwe-caloric, nokudla okunye okumele udle. Abesifazane abaningi bathola ushukela ophansi wegazi esikhathini esingangehora ngemva kokuncelisa, ngakho-ke ukudla okuthile nge-balance balance of carbs kanye namaprotheni ngaphambi nje, noma phakathi kwesikhathi, ukuhlengikala kuyisihluthulelo.
Njalo gcina isiphuzo enempilo esikhwameni sakho lapho uphuma, futhi.
Kubalulekile ukukhetha udokotela wezingane ngaphambi kokuba ingane yakho izalwe ukuze ukwazi ukuxoxa ngendlela yokugcina amazinga akho e-glucose ahlole emva kokulethwa. Cishe isigamu samantombazane abanesifo sikashukela sinomshukela wegazi ophansi ngemuva kokuzalwa.
Phakathi nalesi sikhathi, kufanele futhi uzilungiselele ukuncelisa ngokubeletha ngokukhuluma nomxhumanisi we-lactation . Izikhathi eziningi, ukuncelisa kungase kubambezeleke, futhi ingane ingadinga isithasiselo esibhedlela. Umcebisi we-lactation uzokufundisa indlela yokuveza i- colostrum ezibelethweni zakho ukuze ukwazi ukuyisebenzisa njengengxenye yenkxaso. Uzokusiza ukuthi uhlele ukuthi uzowondla kanjani ingane yakho uma usuka ekhaya esibhedlela.
Ukubeletha kanye nesifo sikashukela: Emva kokuba ingane yakho ifike
Kungenzeka ukuthi ingane yakho kuzodingeka ihambe kuNyunithi Yokunakekelwa Okunakekelwa Kwe-Neonatal (NICU) yokuqapha. Uma kudingekile ukwesekwa, cela ukuthi ingane yondle umbala wakho wezinhlamvu ngaphambi kokuba noma iyiphi ifomula inikezwe. I-formula eyenziwa yizibhedlela eziningi empeleni yandisa ingozi yokuba umntwana aphethwe yisifo sikashukela. Uma ifomula lesana lidingekile ngoba awunayo i-colostrum eyanele noma ubisi obonisiwe, ungacela ukuthi basebenzise ifomula ye-hypoallergenic (Nutramigen, Alimentum) esikhundleni sombuzo ojwayelekile.
Bamba isikhumba sakho esikhumbeni ukuze umlondoloze, ukumthabise ekunceliseni, nokugwema ukukhala. Ukuxhumana kwesikhumba kuya kwesikhumba kungasiza ekugcineni izinga lokushukela kwegazi lomntanakho.
Isicelo sokubona umxhumanisi we-lactation ukuqinisekisa ukuthi i- latch yomntwana ilungile ukugwema izinsipho ezinzima. Izifo ze- thrush noma i- mastitis ziphakeme kakhulu kumama besifo sikashukela abanochoko .
Ukubeletha ngokushesha uma ungakwazi emva kokubeletha futhi kaningi. Ufuna ukuqala ukugqugquzela ubisi bakho besifuba bese ugcina amazinga ashukela egazini lakho azinzile. Uma, ngenxa yezizathu ezithile, awukwazi ukuncelisa, qinisekisa ukuveza noma ukupompa njalo amahora amabili kuya kwezingu-3 uze ukwazi ukondla umntwana ukuze uvuselele ukukhiqiza kwakho futhi ufanise lokho ingane eyokwenza njalo.
Uma umntwana eqala ukuhlukumeza ngesikhathi sokuncelisa, khumbula nje ukubheka izinkomba zomntanakho futhi uhlale ukhululekile futhi ugxile. Uzofunda. Ungakhohlwa ukubuka iphethini yokuncelisa nokugwinya (ingane encelisayo-ukumisa isikhashana) ukuze uqiniseke ukuthi konke kuhamba kahle. Nakuba kunconywa ukuba ukondle isifuba esisodwa ngaphambi kokuba unikeze enye , kungadingeka ukuthi ushintshe amabele njalo ukuqinisekisa ukuthi uthola inani elifanele le-colostrum Ukushintsha amabele ngokuvamile kubizwa ngokuthi ukuguqula ukwelashwa . Kuyindlela yokwelashwa kwengane lapho eqala ukwehlisa futhi efake enye ... ngezinye izikhathi izikhathi eziningi ngesikhathi sokudla.
Amazinga akho e-glucose azobukwa ngokucophelela esibhedlela ukuqinisekisa ukuthi azinzile. Kungase kudingeke udle kaningi kunalokho okunikezwayo - iningi lezibhedlela likhonza kuphela ukudla kwasekuseni, kwasemini nasekuseni. Cela ukukhuluma nesazi sezifo esibhedlela; S / kufanele akunike okungenani ukudla okunye okuthathu ngosuku ngalunye lokuhlala kwakho. Uma kungenjalo, cela umuntu osekelayo ukuthi alethe okuthile kuwe.
Ukubeletha Nesifo Sikashukela: Ekhaya Ngomntwana Wakho
Ungamangazi uma ubisi lwakho lwebele lungangeni ngeSuku 3 njengoba unesifo sikashukela singanciphisa ukukhiqiza ubisi lwakho lwebele . Kuyinto enhle ukusho ukuthi ungalindela ukubona ubisi lwakho lufika ngoSuku 4 noma 5 uma uncelisa ingane okungenani izikhathi ezingu-10 ngosuku. Uzokwazi ukuthi umntwana wenza kahle uma enesibhakabhaka okungenani 6 ezimanzi nezinyathelo ezintathu zezinyosi nsuku zonke emva kwezinsuku ezintathu zokuqala . Udokotela wezingane uzodinga nokuthi umntwana angene ehhovisi lakhe ukuze ahlole isisindo ezinsukwini ezimbalwa zokuqala ngemuva kokuba ufike ekhaya ukuze uqinisekise ukuthi yonke into isendleleni efanele.
Nakuba kubonakala sengathi sekudlule iminyaka, kubalulekile ukugcina ngemuva kwengqondo yakho ukuthi izingane, ikakhulukazi zabesifazane abanesifo sikashukela, akufanele zinikezwe ukudla okuqinile kuze kube yizinyanga eziyisithupha ubudala . Imizimba yabo ayilungele ukusingatha iziqhumane ngaphambi kwalowo phuzu futhi ukulinda kungagcina lesi sifo.
Lokho Ongakwenza Kuwe
Omama abesifo sikashukela kufanele:
- ukuqapha amazinga abo gazi egazini ngokucophelela ngenkathi bebeletha, bekhumbula ukuthi amazinga abo azohluka ngesikhathi sokudla
- Gwema amakhambi okwelapha , njenge- fenugreek , engashintsha amazinga kashukela egazini.
Ungamncelisa. Kungase kube nzima ukucabanga ngokuncelisa isifo sikashukela, kodwa ngokulungiselela kahle nokuqapha, uzohamba ngenqubo.
Imithombo:
Lawrence, uRuth A., MD, Lawrence, uRobert M., MD. Ukuncelisa ukubeletha Umhlahlandlela Wezokwelapha Umsebenzi we-Seventh Edition. Mosby. 2011.
Riordan, J., noWambach, K. Ukuncelisa nokuBambisana kweBantu okuBambisana. UJones noBartlett Ukufunda. 2014.