Isifo sikashukela esivele sikhona nokukhulelwa

Uma unesifo sikashukela, kungathinta ukukhulelwa kwakho, impilo yakho, kanye nempilo yengane yakho. Ukugcina amazinga kashukela egazini (ushukela) ebangeni elijwayelekile kukho konke ngesikhathi sokukhulelwa kwakho kungasiza ukuvimbela izinkinga.

Lo mbhalo ungowabesifazane asebevele benesifo sikashukela futhi abafuna ukukhulelwa noma abakhulelwe. Isifo sikashukela sokukhulelwa yishukela eliphakeme legazi eliqala noma elitholwa okokuqala ngesikhathi sokukhulelwa.

Abesifazane abanesifo sikashukela babhekana nezingozi ezithile ngesikhathi sokukhulelwa. Uma isifo sikashukela singalawulwa kahle, ingane ichayeka emazingeni aphezulu kashukela esibelethweni. Lokhu kungadala ukukhubazeka kokuzalwa nezinye izinkinga zempilo ezinganeni.

Amaviki okuqala ayisikhombisa okukhulelwa kulapho izitho zomntwana zikhula khona. Lokhu kuvame ngaphambi kokuthi wazi ukuthi ukhulelwe. Ngakho-ke kubalulekile ukuhlela kusengaphambili ngokuqinisekisa ukuthi amazinga eglucose egazini akho asendaweni ebekiwe ngaphambi kokukhulelwa.

Yize kusabeka ukucabanga ngakho, kubalulekile ukwazi ukuthi yiziphi izinkinga ezingenzeka ngesikhathi sokukhulelwa. Bobabili umama nengane basengozini yezinkinga lapho isifo sikashukela singalawulwa kahle.

Izingozi zomntwana zifaka:

• Izinkinga zokuzalwa
• Ukuzalwa kwasekuqaleni
• Ukulahlekelwa ukukhulelwa (ukukhulelwa kwesisu) noma ukubeletha ingane ishonile
• Ingane enkulu (ebizwa ngokuthi yi-macrosomia) idala ingozi eyengeziwe yokulimala ngesikhathi sokuzalwa
• Ushukela wegazi ophansi ngemuva kokuzalwa
• Ubunzima bokuphefumula
• I-jaundice
• Ukukhuluphala ebuntwaneni nasebusheni

Ingozi kumama ifaka:

• Ingane enkulu kakhulu ingaholela ekulethweni okunzima noma esigabeni se-C
• Umfutho wegazi ophezulu onamaprotheni emchameni (preeclampsia)
• Ingane enkulu ingadala ukungakhululeki kumama kanye nengozi eyengeziwe yokulimala ngesikhathi sokuzalwa
• Ukuqina kwezinkinga zeso noma zezinso zesifo sikashukela

Uma uhlela ukukhulelwa, khuluma nomhlinzeki wakho wezokunakekelwa kwempilo okungenani izinyanga eziyisithupha ngaphambi kokukhulelwa. Kufanele ube nokulawulwa kahle kweglucose egazini okungenani izinyanga ezintathu kuya kwezingu-6 ngaphambi kokukhulelwa nakho konke ngesikhathi ukhulelwe.

Khuluma nomhlinzeki wakho mayelana nokuthi imigomo yakho ethile kashukela kufanele ibe yini ngaphambi kokukhulelwa.

Ngaphambi kokukhulelwa, uzofuna:

• Hlela izinga le-A1C elingaphansi kuka-6.5%
• Yenza noma yiziphi izinguquko ezidingekayo ekudleni kwakho nasemikhubeni yokuzivocavoca ukusekela i-glucose yegazi lakho kanye nezinjongo zakho
• Gcina isisindo esinempilo
• Hlela ukuhlolwa kwangaphambi kokukhulelwa nomhlinzeki wakho bese ubuza ngokunakekelwa kokukhulelwa

Ngesikhathi sokuhlolwa kwakho, umhlinzeki wakho uzokwenza lokhu:

• Hlola i-hemoglobin yakho engu-A1C
• Hlola izinga lakho le-thyroid
• Thatha amasampula egazi nomchamo
• Khuluma nawe nganoma yiziphi izinkinga zesifo sikashukela njengezinkinga zamehlo noma zezinso noma ezinye izinkinga zempilo ezifana nomfutho wegazi ophezulu

Umhlinzeki wakho uzokhuluma nawe mayelana nokuthi imiphi imithi ephephile ukuyisebenzisa nokuthi yini engaphephile ukuyisebenzisa ngesikhathi sokukhulelwa. Imvamisa abesifazane abanesifo sikashukela sohlobo 2 abathatha umuthi wesifo sikashukela ngomlomo kuzodingeka bashintshele ku-insulin ngesikhathi sokukhulelwa. Imithi eminingi yesifo sikashukela kungenzeka ingaphephile enganeni. Futhi, ama-hormone okukhulelwa angavimba i-insulin ekwenzeni umsebenzi wayo, ngakho-ke le mithi ayisebenzi futhi.

Kufanele futhi ubonane nodokotela wamehlo futhi uhlolwe iso likashukela.

Ngesikhathi sokukhulelwa kwakho, uzosebenza nethimba lezokunakekelwa kwezempilo ukuze uqiniseke ukuthi wena nengane yakho nihlala niphilile. Ngoba ukukhulelwa kwakho kubhekwa njengengozi enkulu, uzosebenzisana nodokotela ababelethayo ogxile kakhulu ekukhulelweni okunobungozi obukhulu (uchwepheshe wemithi yabakhulelwe nababelethayo). Lo mhlinzeki angenza izivivinyo ukuhlola impilo yengane yakho. Ukuhlolwa kungenziwa nganoma yisiphi isikhathi ngenkathi ukhulelwe. Uzosebenza futhi nothisha wesifo sikashukela nodokotela wezokudla.

Ngesikhathi sokukhulelwa, njengoba umzimba wakho uguquka nengane yakho ikhula, amazinga eglucose egazi akho azoshintsha. Ukukhulelwa nakho kwenza kube nzima ukubona izimpawu zeshukela eliphansi egazini. Ngakho-ke uzodinga ukuqapha ushukela wegazi lakho kaningi kaningi kasishiyagalombili ngosuku ukuze uqiniseke ukuthi uhlala ebangeni lakho elihlosiwe. Ungacelwa ukuthi usebenzise ukuqapha okuqhubekayo kwe-glucose (CGM) ngalesi sikhathi.

Nazi izinhloso ezivamile zeshukela egazini ngesikhathi sokukhulelwa:

• Ukuzila ukudla: Ngaphansi kuka-95 mg / dL
• Ihora elilodwa ngemuva kokudla: ngaphansi kuka-140 mg / dL, OR
• Amahora amabili ngemuva kokudla: ngaphansi kuka-120 mg / dL

Buza umhlinzeki wakho ukuthi ibanga lakho eliqondiwe kufanele libe yini nokuthi uvivinya kangaki ushukela wegazi lakho.

Uzodinga ukusebenza nodokotela wakho wezokudla ukuphatha lokho okudlayo ngesikhathi ukhulelwe ukukusiza ugweme ushukela wegazi ophansi noma ophakeme. Udokotela wakho wezokudla uzophinda aqaphe nokuzuza kwakho kwesisindo.

Abesifazane abakhulelwe badinga cishe ama-calories angu-300 ngosuku. Kepha lapho la makhalori evela ezintweni. Ukuze uthole ukudla okunomsoco, udinga ukudla ukudla okunempilo okuhlukahlukene. Ngokuvamile, kufanele udle:

• Inala yezithelo nemifino ephelele
• Inani elilinganisiwe lamaprotheni anciphile kanye namafutha anempilo
• Inani elilinganiselwe lezinhlamvu ezigcwele, ezifana nesinkwa, okusanhlamvu, ipasta, nelayisi, kanye nemifino enesitashi, njengombila nophizi
• Ukudla okumbalwa okunoshukela omningi, njengeziphuzo ezibandayo, amajusi wezithelo, namakhekhe

Kufanele udle ukudla okuncane okulingene okulingene okulingene ukuya kokulingene kanye kanye noma eyodwa noma ngaphezulu ngosuku. Musa ukweqa ukudla nokudla okulula. Gcina inani nezinhlobo zokudla (ama-carbohydrate, amafutha, namaprotheni) ngokufanayo usuku nosuku. Lokhu kungakusiza ugcine ushukela wegazi lakho uzinzile.

Umhlinzeki wakho futhi angaphakamisa uhlelo lokuzivocavoca oluphephile. Ukuhamba imvamisa kuyindlela elula yokuzivocavoca, kepha ukubhukuda noma ezinye izivivinyo ezinomthelela ophansi kungasebenza futhi. Ukuzivocavoca umzimba kungakusiza ulawule ushukela wegazi.

Umsebenzi ungaqala ngokwemvelo noma unganxenxwa. Umhlinzeki wakho angaphakamisa isigaba se-C uma ingane inkulu. Umhlinzeki wakho uzohlola amazinga kashukela egazini lakho ngesikhathi nangemva kokubeletha.

Ingane yakho inamathuba amaningi okuba nezikhathi zoshukela wegazi ophansi (i-hypoglycemia) phakathi nezinsuku ezimbalwa zokuqala zokuphila, futhi ingadinga ukubhekwa egunjini lokunakekela izingane ezisanda kuzalwa (NICU) izinsuku ezimbalwa.

Lapho usufikile ekhaya, kuzodingeka uqhubeke nokubhekisisa amazinga kashukela egazini lakho. Ukungalali, ukushintsha amashejuli wokudla, nokuncelisa konke kungathinta amazinga kashukela egazini. Ngakho-ke ngenkathi udinga ukunakekela ingane yakho, kubalulekile nokuzinakekela.

Uma ukukhulelwa kwakho kungahlelwanga, xhumana nomhlinzeki wakho wezokunakekelwa kwempilo ngokushesha.

Shayela umhlinzeki wakho ngezinkinga ezihlobene nesifo sikashukela ezilandelayo:

• Uma ungeke ugcine ushukela wegazi lakho ebangeni elihlosiwe
• 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; Ukunakekelwa yisifo sikashukela nokukhulelwa; Ukukhulelwa isifo sikashukela

I-American Diabetes Association. 14. Ukuphathwa Koshukela Ekukhulelweni. Amazinga Wokunakekelwa Kwezokwelapha Esifo Sikashukela. 2019; 42 (Isengezo 1): S165-S172. I-PMID: 30559240 www.ncbi.nlm.nih.gov/pubmed/30559240.

Izikhungo Zokulawulwa Nokuvimbelwa Kwezifo iwebhusayithi. Thayipha 1 noma Uhlobo 2 Lwesifo Sikashukela nokukhulelwa. www.cdc.gov/pregnancy/diabetes-types.html. Kubuyekezwe ngoJuni 1, 2018. Kufinyelelwe ngo-Okthoba 1, 2018.

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.

Iwebhusayithi yeNational Institute of Diabetes and Digestive and Kidney Diseases. Ukukhulelwa uma unesifo sikashukela. www.niddk.nih.gov/health-information/diabetes/diabetes-pregnancy. Kubuyekezwe uJanuwari, 2018. Kufinyelelwe ngo-Okthoba 1, 2018.