Isifo sikashukela sokukhulelwa - ukuzinakekela

Isifo sikashukela sokukhulelwa yishukela ephezulu yegazi (i-glucose) eqala ngesikhathi sokukhulelwa. Uma utholwe unesifo sikashukela sokukhulelwa, funda ukuthi ungasilawula kanjani ushukela wegazi ukuze wena nengane yakho nihlale niphilile.

I-insulin yihomoni ekhiqizwa esithombeni esibizwa ngokuthi amanyikwe. Ama-pancreas angaphansi nangemuva kwesisu. I-insulini iyadingeka ukuhambisa ushukela wegazi kumaseli omzimba. Ngaphakathi kwamaseli, i-glucose iyagcinwa bese isetshenziselwa amandla kamuva. Ama-hormone okukhulelwa angavimba i-insulin ekwenzeni umsebenzi wayo. Uma lokhu kwenzeka, izinga le-glucose lingakhuphuka egazini lowesifazane okhulelwe.

Ngesifo sikashukela sokukhulelwa:

• Azikho izimpawu ezimweni eziningi.
• Izimpawu ezimnene zingabandakanya ukoma okwandayo noma ukuzamazama. Lezi zimpawu imvamisa azisongeli impilo kowesifazane okhulelwe.
• Owesifazane angabeletha ingane enkulu. Lokhu kungakhuphula amathuba ezinkinga ngokulethwa.
• Owesifazane unengozi enkulu yokuba nomfutho wegazi ophakeme ngesikhathi sokukhulelwa.

Ukukhulelwa lapho unesisindo somzimba esifanele kungasiza ekwehliseni amathuba akho okuthola isifo sikashukela sokukhulelwa. Uma ukhuluphele, zama ukunciphisa umzimba ngaphambi kokukhulelwa.

Uma uthuthukisa isifo sikashukela sokukhulelwa:

• Ukudla okunempilo kungagcina ushukela wakho wegazi ulawulwa futhi kungakuvimba ekudingeni umuthi. Ukudla okunempilo kungakugcina ekutholeni isisindo esiningi ekukhulelweni kwakho. Ukuzuza kakhulu isisindo kungandisa ingozi yesifo sikashukela sokukhulelwa.
• Udokotela wakho, umhlengikazi, noma isazi sokudla uzokwenzela ukudla. Umhlinzeki wakho wezokunakekelwa kwempilo angakucela ukuthi ugcine ithrekhi yalokho okudlayo.
• Ukuzivocavoca umzimba kuzosiza ekulawuleni ushukela wegazi. Umsebenzi onomthelela ophansi njengokuhamba wuhlobo lokuzivocavoca oluphephile nolusebenzayo. Zama ukuhamba ibanga eli-1 kuye kwele-2 (1.6 kuya ku-3.2 amakhilomitha) ngasikhathi, izikhathi ezi-3 noma ngaphezulu ngesonto. Ukubhukuda noma ukusebenzisa umshini we-elliptical kusebenza kahle. Buza umhlinzeki wakho ukuthi hlobo luni lokuzivocavoca, nokuthi lungakanani, olulungele wena.
• Uma ukushintsha indlela odla ngayo nokuvivinya umzimba kungalawuli izinga likashukela egazini lakho, ungahle udinge umuthi womlomo (othathwe ngomlomo) noma i-insulin therapy (isibhamu).

Abesifazane abalandela uhlelo lwabo lokwelashwa futhi bagcina ushukela wegazi wabo ujwayelekile noma usondele kokujwayelekile ngesikhathi sokukhulelwa kwabo kufanele babe nomphumela omuhle.

Ushukela wegazi ophakeme kakhulu uphakamisa izingozi ze:

• Ukubeletha
• Ingane encane kakhulu (umkhawulo wokukhula kombungu) noma ingane enkulu kakhulu (macrosomia)
• Umsebenzi onzima noma ukuzalwa kwe-cearean (isigaba se-C)
• Izinkinga ngoshukela wegazi noma ama-electrolyte enganeni ezinsukwini ezimbalwa zokuqala ngemuva kokubeletha

Uyabona ukuthi uqhuba kahle kangakanani ngokuhlola izinga likashukela egazini lakho ekhaya. Umhlinzeki wakho angakucela ukuthi uhlole ushukela wegazi lakho kaningana ngosuku.

Indlela ejwayelekile kakhulu yokuhlola ngukuhlikihla umunwe wakho nokudweba ithonsi legazi. Ngemuva kwalokho, ubeka ukwehla kwegazi kumqapha (umshini wokuhlola) olinganisa i-glucose yegazi lakho. Uma umphumela uphakeme kakhulu noma uphansi kakhulu, kuzodingeka ubhekisise izinga likashukela egazini lakho.

Abahlinzeki bakho bazolandela izinga lakho likashukela egazini nawe. Qiniseka ukuthi uyazi ukuthi kufanele libe yini izinga lakho likashukela egazini.

Ukuphatha ushukela wegazi lakho kungabonakala njengomsebenzi omningi. Kepha abesifazane abaningi bashukunyiswa yisifiso sabo sokuqinisekisa ukuthi bobabili nezingane zabo bathola imiphumela engcono kakhulu.

Umhlinzeki wakho uzokuhlola eduze wena nengane yakho phakathi nokukhulelwa kwakho. Lokhu kuzobandakanya:

• Ukuvakasha nomhlinzeki wakho njalo ngesonto
• Ama-Ultrasound akhombisa ubukhulu bengane yakho
• Isivivinyo esingacindezeli esibonisa ukuthi ngabe ingane yakho yenza kahle yini

Uma udinga i-insulin noma umuthi womlomo ukulawula ushukela wegazi lakho, kungahle kudingeke ukuthi usebenzise i-1 noma 2 amaviki ngaphambi kokufika kosuku lwakho olufanele.

Abesifazane abanesifo sikashukela sokukhulelwa kufanele babhekelwe eduze ngemuva kokubeletha. Kufanele futhi baqhubeke nokuhlolwa lapho beqokwa emtholampilo esikhathini esizayo ngezimpawu zesifo sikashukela.

Izinga likashukela egazini eliphakeme livame ukubuyela kokujwayelekile ngemuva kokubeletha. Noma kunjalo, abesifazane abaningi abanesifo sikashukela sokukhulelwa baba nesifo sikashukela kungakapheli iminyaka emihlanu kuya kweyishumi ngemuva kokubeletha. Ingozi iba nkulu kwabesifazane abakhuluphele ngokweqile.

Shayela umhlinzeki wakho ngezinkinga ezihlobene nesifo sikashukela ezilandelayo:

• Ingane yakho ibonakala ihamba kancane esiswini sakho
• Ufiphele ukubona
• Womile kakhulu kunokujwayelekile
• Unesicanucanu nokuhlanza okungasoze kwaphela

Kuyinto evamile ukuzizwa ucindezelekile noma uphansi ngokukhulelwa nokuba nesifo sikashukela. Kepha, uma le mizwa ikukhungathekisa, shayela umhlinzeki wakho. Ithimba lakho lokunakekelwa kwezempilo likhona ukukusiza.

Ukukhulelwa - isifo sikashukela sokukhulelwa; Ukunakekelwa ngaphambi kokubeletha - isifo sikashukela sokukhulelwa

I-American College of Obstetrics and Gynecology; IKomidi lama-Bulletins Wokuzijwayeza - Ama-Obstetrics. Zijwayeze i-Bulletin No. 137: Isifo sikashukela sokukhulelwa. Isikhubekiso seGynecol. 2013; 122 (2 Pt 1): 406-416. I-PMID: 23969827 www.ncbi.nlm.nih.gov/pubmed/23969827.

I-American Diabetes Association. 14. Ukuphathwa kwesifo sikashukela ekukhulelweni: amazinga wokunakekelwa kwezokwelapha kwisifo sikashukela - 2019. Ukunakekelwa yisifo sikashukela. I-2019; 42 (Isilinganiso 1): S165-S172. I-PMID: 30559240 www.ncbi.nlm.nih.gov/pubmed/30559240.

I-Landon MB, PM PM Catalano, uGabbe SG. Isifo sikashukela sinenkinga yokukhulelwa. Ku: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Ama-Obstetrics: Ukukhulelwa Okujwayelekile Nenkinga. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2017: isahluko 40.

I-Metzger BE. Isifo sikashukela nokukhulelwa. Ku: Jameson JL, De Groot LJ, de Kretser DM, et al, abahleli. I-Endocrinology: Eyabantu Abadala Neyengane. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 45.

• Isifo Sikashukela Nokukhulelwa