Uma ukhulelwe, udokotela wakho wezifo kungenzeka ukuthi utshele ukuthi uzodinga ukuhlolwa kwesifo sikashukela. Ungakhathazeki-ukuhlolwa kwesifo sikashukela ngukuthi uyingxenye ebalulekile yokunakekelwa kokubeletha kokubeletha. Abaningi besifazane bahlolwa emavikini 24 kuya ku-28 kokukhulelwa. Uma unesifo esiyisifo sikashukela, udokotela wakho angase acabangele ukuhlola ushukela wegazi ngesikhathi sokuvakasha kwakho kokuqala kokubeletha.
Kungani Kuvivinywa?
Ama-hormone athile akhula ngesikhathi sokukhulelwa, adlulisela izakhi eziwusizo ezivela kumama kumntwana ukuze ingane ikhule futhi ikhule. Amanye ama-hormone avimbela isenzo se-insulini, ukuqinisekisa ukuthi umama ngokwakhe akahlakuleli ushukela wegazi ophansi. Ukuze uhlawule, amazinga ka-insulin omama aphakama.
Uma amazinga akhe e-insulini engakwazi ukwandisa ngokwanele, ukuphakama kwamazinga kashukela egazini ekugcineni kuzoholela ekukhuleni kwesifo sikashukela. Ukungabonakali, isifo sikashukela sokukhulelwa kungaholela ezinkingeni zomama nomntwana. Lezi zinkinga zingase zifake:
- I-Macrosomia (umntwana okhululekile)
- Ingozi eyengeziwe yokulethwa kwesigaba se-cearean
- Umfutho wegazi ophezulu ngesikhathi ukhulelwe
- Ushukela ophansi wegazi (hypoglycemia) emntwaneni ngokushesha emva kokubeletha
- Ukubeletha
- Ngengane, ingozi yokukhuluphala nokukhula kwesifo sikashukela sehlobo 2 kamuva ekuphileni
Abesifazane abaningi abakhulelwe abahlakulela isifo sikashukela abanesifo sokushisa abanakho izinto eziyingozi, kodwa kwabanye, izici ezingozini zingafaka:
- Ukuba ngokweqile noma okugqamile
- Ukuba nomlando womndeni we-type 2 sikashukela
- Uneminyaka engu-25 noma ngaphezulu
- Ukutholwa okuningi (amawele, ama-triple noma ngaphezulu)
- Isifo sikashukela sokubeletha esikhathini sokukhulelwa kwangaphambilini
- Ukuba i-American Indian noma i-Alaska engumdabu, i-African American, isi-Asian, iSpanishi noma isiqhingi sase-Pacific
Izinhlobo zokuhlola
Ukuhlolwa okubili kutholakala kwesikrini sokushukela kwesifo sikashukela. Abaningi besifazane bayothola ukuvivinywa komlomo we-glucose ukubekezelelana, kuphela okulandela ukuthola ukuhlolwa kwe-glucose yamahora amathathu uma imiphumela yabo iphathelene.
Ukuhlolwa kwe-Oral Glucose Ukubekezela
Okwenziwe Kwenziwe: Ukuvivinya komlomo we-glucose ukubekezelelana (owaziwa nangokuthi ukuhlolwa kwenselelo ye-glucose) kuwumkhuba kubo bonke abesifazane abakhulelwe. Kude nokucacile, ngakho ungakhathazeki uma uthola ucingo oludinga ukubuya ukuhlolwa kokulandela.
Uma Kuyenziwe: Phakathi kwamasonto 24 kuya ku-28 kokukhulelwa, noma ekuqaleni uma unengozi yokuzibulala.
Indlela Okwenziwe ngayo: Kuncane ongakwenza ukuze ulungiselele lokhu kuhlolwa. Ngesikhathi sokuhlolwa, uzophuza i-glucola, isiphuzo soshukela esine-50g weglucose. Udokotela wakho uzothatha i-blood yakho ihora elilodwa kamuva ukuze ubone ukuthi umzimba wakho usebenza kahle kanjani i-glucose. Abanye besifazane bangase bazizwe benesisindo sokuphuza isiphuzo soshukela.
Okushiwo Imiphumela Yakho: Uma izinga lakho le-glucose ye-plasma yehora elilodwa likhulu noma lilingana nama-milligram angu-140 nge-deciliter yegazi (mg / dL) -banye odokotela babeka isifo sikashukela ku-130 mg / i-DL-gestational diabetes. Kunconywa. Uma izinga lakho le-glucose ye-plasma yehora elilodwa lingaphansi kuka-120 mg / dL, kungenzeka ukuthi awunayo isifo sikashukela sokugaya.
Ukuvivinywa kwe-Glucose yokubekezela kwe-Glucose
Okwenziwe Kwenziwe: Ukuqinisekisa noma ukulawula ukukhishwa kwesifo sikashukela.
Uma Kuyenziwe : Ngemva kokuthola ukungajwayelekile ngendlela yokuhlolwa kokubekezela kwe-glucose yokubekezelelana kwehora elilodwa.
Indlela Okwenziwe ngayo: Kumelwe uzilale amahora angu-10 kuya kwangu-14 ngaphambi kokuhlolwa. Qinisekisa ukuxoxa nganoma imiphi imithi oyithatha nodokotela wakho ukuze ubone ukuthi ingaphazamisa imiphumela yokuhlolwa.
Lokhu kuhlolwa kufana nokuhlolwa kwe-glucose yokubekezelelana kwehora elilodwa, ngaphandle kwesiphuzo soshukela esine-100g we-glucose, hhayi 50g. Igazi lidonsa kuqala ngaphambi kokuba uphuze i-glucola. Lokhu kubizwa ngezinga lakho lokudla kwe-glucose. Igazi liphinde likhishwe ngemuva kwehora elilodwa, amahora amabili namahora amathathu.
Amathiphu okuthatha ukuhlola
- Ngenxa yesidingo esisheshayo samahora angu-10 ukuya kwangu-14, abesifazane abaningi bahlela ukuhlolwa kuqala into yokuqala.
- Abanye abantu bangase bazizwe bephelile noma bephethe izinwele phakathi nalesi sivivinyo. Kungumqondo omuhle ukuba nomshayeli oqokiwe, uma kungenzeka, futhi ulethe ukudla okuzoyidla lapho kuvivinywa.
- Letha umagazini noma incwadi ukuze ube nokuthile okumele kwenziwe phakathi kokuhlolwa kwegazi (uma unesimo sokuhlolwa kwe-glucose ukubekezelelana kwamahora amathathu).
Imiphumela yokuhlola
Ukufundwa okungavamile kwesigaba ngasinye sokuhlolwa yilokhu:
- Ukuzila: 95 mg / dL noma ngaphezulu
- Ihora elilodwa: 180 mg / dL noma ngaphezulu
- Amahora amabili: 155 mg / dL noma ngaphezulu
- Amahora amathathu: 140 mg / dL noma ngaphezulu
Izinyathelo Ezilandelayo
Uma okunye kokufundwa kungavamile, udokotela wakho angase asikisele izinguquko ezithile zokudla futhi mhlawumbe uphinda ukuhlolwa kamuva ekukhulelweni kwakho. Ukufundwa kabili noma okungavamile kusho ukuthi mhlawumbe unesifo sikashukela sokugaya.
Ukuphatha isifo sikashukela sokukhulelwa kungahlanganisa:
- Izinguquko ekudleni kwakho
- Ukuvivinya njalo
- I-insulini
- I-Glyburide (imithi yomlomo)
- Ukuqapha kwe-glucose yasekhaya emini
- Ukuhlolwa okwengeziwe ukuthola ukuthi ingane yakho ikhula kanjani
Ngenhlanhla, iningi labesifazane bazobona amazinga ashukela egazini abuyele evamile kungakapheli amasonto ayisithupha okubeletha. Kodwa-ke, ukuba nesifo sikashukela sokugaya kungabonisa ingozi eyengeziwe yokwenza isifo sikashukela sohlobo lwesibili esikhathini esizayo. Ukugcina isisindo somzimba enempilo ngokudla ngokucophelela nokuvivinya umzimba njalo kungasiza ukunciphisa lo mngcipheko.
> Imithombo:
> Isikhungo Sikashukela Samazwe Kazwelonke. Imihlahlandlela yokuziphatha yesifo sikashukela. I-Minneapolis (MN): Isikhungo Sezifo Zesifo Sikashukela; 2003.
> I-American Pregnancy Association. Inselele yokuhlola i-glucose nokuhlolwa kwe-glucose ukubekezelelana.
> I-American Diabetes Association. Isifo sikashukela sofuzo.
> I-American College yezidakamizwa namaGynecologists. Isifo sikashukela nokukhulelwa.
> I-Library Kazwelonke Kazwelonke Yezokwelapha kanye Nezikhungo Zempilo Zikazwelonke. I-Medline Plus: Ukuhlolwa kokubekezela kwe-Glucose.