Ukuhlolwa kokuhlolwa kweglucose ngesikhathi sokukhulelwa

Ukuhlolwa kokuhlolwa kwe-glucose ukuhlolwa okujwayelekile ngesikhathi sokukhulelwa okuhlola izinga likashukela okhulelwe (ushukela) lowesifazane okhulelwe.

Isifo sikashukela sokukhulelwa yishukela eliphakeme legazi (isifo sikashukela) esiqala noma esitholakala ngesikhathi sokukhulelwa.

UKUHLOLWA KWEZINYATHELO EZIMBILI

Phakathi kwesinyathelo sokuqala, uzoba nokuhlolwa kokuhlolwa kweglucose:

• Awudingi ukulungisa noma ukushintsha indlela odla ngayo nganoma iyiphi indlela.
• Uzocelwa ukuthi uphuze uketshezi oluqukethe i-glucose.
• Igazi lakho lizodonswa ehoreni eli-1 ngemuva kokuphuza isisombululo se-glucose ukuhlola izinga lakho le-glucose egazini.

Uma i-glucose yegazi lakho esuka esinyathelweni sokuqala iphezulu kakhulu, kuzodingeka ubuye uzohlola i-glucose yamahora amathathu. Kulolu vivinyo:

• UNGADLI noma uphuze noma yini (ngaphandle kwama-sips amanzi) amahora ayisishiyagalombili kuya kwayi-14 ngaphambi kokuhlolwa kwakho. (Ngeke futhi ukwazi ukudla ngesikhathi sokuhlolwa.)
• Uzocelwa ukuthi uphuze uketshezi oluqukethe i-glucose, i-100 gram (g).
• Uzodonsa igazi ngaphambi kokuphuza uketshezi, uphinde uphinde uphinde uphinde uphinde kathathu njalo ngemizuzu engama-60 ngemuva kokuphuza. Isikhathi ngasinye, kuzobhekwa izinga le-glucose yakho.
• Vumela okungenani amahora amathathu kulolu vivinyo.

UKUHLOLWA KWESINYATHELO ESINYE

Udinga ukuya ebhodini isikhathi esisodwa ukuze uvivinywe ukubekezelelana kwe-glucose kwamahora amabili. Kulolu vivinyo:

• UNGADLI noma uphuze noma yini (ngaphandle kwama-sips amanzi) amahora ayisishiyagalombili kuya kwayi-14 ngaphambi kokuhlolwa kwakho. (Ngeke futhi ukwazi ukudla ngesikhathi sokuhlolwa.)
• Uzocelwa ukuthi uphuze uketshezi oluqukethe i-glucose (75 g).
• Uzodonsa igazi ngaphambi kokuphuza uketshezi, uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde futhi. Isikhathi ngasinye, kuzobhekwa izinga le-glucose yakho.
• Vumela okungenani amahora amabili kulolu vivinyo.

Kokunye ukuhlolwa okuyizinyathelo ezimbili noma kwesinyathelo esisodwa, yidla ukudla kwakho okujwayelekile ezinsukwini ezandulela ukuhlolwa kwakho. Buza umhlinzeki wakho wezokunakekelwa kwezempilo ukuthi ngabe ikhona yini imithi oyiphuzayo engathinta imiphumela yakho yokuhlolwa.

Iningi labesifazane alinayo imiphumela emibi ekuhlolweni kokubekezelela i-glucose. Ukuphuza isisombululo se-glucose kuyefana nokuphuza isiphuzo esimnandi kakhulu. Abanye besifazane bangazizwa becanuzelelwa inhliziyo, ukujuluka, noma ikhanda elikhanyayo ngemuva kokuphuza isisombululo se-glucose. Imiphumela emibi evela kulesi sivivinyo ayivamile kakhulu.

Lokhu kuhlolwa kubheka isifo sikashukela sokukhulelwa. Iningi labesifazane abakhulelwe lihlolwa ukuhlolwa kweglucose phakathi kwamaviki angama-24 nama-28 okukhulelwa. Ukuhlolwa kungenziwa ngaphambi kwesikhathi uma unezinga eliphezulu le-glucose emchameni wakho ngesikhathi sokuvakasha kwakho ngaphambi kokubeletha, noma uma unengozi enkulu yesifo sikashukela.

Abesifazane abanobungozi obuphansi besifo sikashukela kungenzeka bangabi nokuhlolwa kokuhlolwa. Ukuze ube sengozini ephansi, zonke lezi zitatimende kumele zibe yiqiniso:

• Awukaze ube nokuhlolwa okukhombisa ukuthi i-glucose yegazi lakho iphakeme kunokujwayelekile.
• Uhlanga lwakho lunengozi ephansi yesifo sikashukela.
• Awunazo izihlobo zokuqala (umzali, ingane yakini, noma ingane) onesifo sikashukela.
• Uneminyaka engaphansi kwengama-25 ubudala futhi unesisindo esijwayelekile.
• Awuzange ube nemiphumela emibi ngesikhathi sokukhulelwa kwangaphambili.

UKUHLOLWA KWEZINYATHELO EZIMBILI

Isikhathi esiningi, umphumela ojwayelekile wokuhlolwa kweshukela ushukela wegazi olingana noma ongaphansi kuka-140 mg / dL (7.8 mmol / L) ihora eli-1 ngemuva kokuphuza isisombululo se-glucose. Umphumela ojwayelekile usho ukuthi awunaso isifo sikashukela sokukhulelwa.

Qaphela: mg / dL kusho ama-milligram nge-desilitha ngayinye kanti i-mmol / L isho ama-millimoles ngelitha ngalinye.Lezi izindlela ezimbili zokukhombisa ukuthi ingakanani i-glucose esegazini.

Uma i-glucose yakho yegazi ingaphezulu kuka-140 mg / dL (7.8 mmol / L), isinyathelo esilandelayo ukuhlolwa ngomlomo kokubekezela i-glucose. Lokhu kuhlolwa kuzokhombisa ukuthi unesifo sikashukela sokukhulelwa. Iningi labesifazane (cishe aba-2 kwabathathu) abenza lesi sivivinyo abanaso isifo sikashukela sokukhulelwa.

UKUHLOLWA KWESINYATHELO ESINYE

Uma izinga lakho le-glucose liphansi kunemiphumela engajwayelekile echazwe ngezansi, awunaso isifo sikashukela sokukhulelwa.

UKUHLOLWA KWEZINYATHELO EZIMBILI

Amanani egazi angajwayelekile wehora elingu-100-gram test glucose yokubekezelelana yile:

• Ukuzila ukudla: kukhulu kuno-95 mg / dL (5.3 mmol / L)
• Ihora eli-1: likhulu kuno-180 mg / dL (10.0 mmol / L)
• Ihora elingu-2: likhulu kuno-155 mg / dL (8.6 mmol / L)
• Ihora elingu-3: likhulu kuno-140 mg / dL (7.8 mmol / L)

UKUHLOLWA KWESINYATHELO ESINYE

Amanani egazi angajwayelekile wehora elingu-75-gram test glucose yokubekezelelana yile:

• Ukuzila ukudla: kukhulu kuno-92 mg / dL (5.1 mmol / L)
• Ihora eli-1: likhulu kuno-180 mg / dL (10.0 mmol / L)
• Ihora elingu-2: likhulu kuno-153 mg / dL (8.5 mmol / L)

Uma ngabe i-glucose yakho eyodwa kuphela yemiphumela ekuhlolweni kwe-glucose yokubekezela iphakeme kunokujwayelekile, umhlinzeki wakho angavele asikisele ukuthi ushintshe okunye kokudla okudlayo. Ngemuva kwalokho, umhlinzeki wakho angakuhlola futhi ngemuva kokuthi ushintshe indlela odla ngayo.

Uma imiphumela yakho engaphezulu kweyodwa yeglucose iphakeme kunokujwayelekile, unesifo sikashukela sokukhulelwa.

Ungaba nezinye zezimpawu ezibalwe ngenhla ngaphansi kwesihloko esithi "Ukuthi Uzozizwa Kanjani Ukuhlolwa."

Kunengozi encane ethintekayo ekuthatheni igazi lakho. Imithambo nemithambo yegazi kuyahluka ngosayizi komunye umuntu kuya kolunye uhlangothi lomzimba kuya kolunye. Ukuthatha isampula yegazi kwabanye abantu kungaba nzima ukwedlula kwabanye.

Ezinye izingozi ezihambisana nokudonswa igazi zincane, kepha zingafaka:

• Ukopha ngokweqile
• Ukuquleka noma uzizwe unekhanda elincane
• Ukubhoboza okuningi ukuthola imithambo
• I-hematoma (i-blood buildup ngaphansi kwesikhumba)
• Ukutheleleka (ingozi encane noma kunini lapho isikhumba siphukile)

Ukuhlolwa kokubekezelelana kwe-glucose ngomlomo - ukukhulelwa; I-OGTT - ukukhulelwa; Ukuhlolwa kwenselelo yeglucose - ukukhulelwa; Isifo sikashukela sokukhulelwa - ukuhlolwa kweglucose

I-American Diabetes Association. 2. Ukuhlukaniswa kanye nokuxilongwa kwesifo sikashukela: Amazinga Wokunakekelwa Kwezokwelapha Esifo Sikashukela-2020. Ukunakekelwa yisifo sikashukela. 2020; 43 (Suppl 1): S14-S31. I-PMID: 31862745 pubmed.ncbi.nlm.nih.gov/31862745/.

IKomidi lama-Bulletins Wokuzijwayeza - Ama-Obstetrics. Zijwayeze i-Bulletin No. 190: Isifo sikashukela se-Gestational mellitus. Isikhubekiso seGynecol. 2018; 131 (2): e49-e64. I-PMID: 29370047 pubmed.ncbi.nlm.nih.gov/29370047/.

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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.

Moore TR, Hauguel-De Mouzon S, Catalono P. Isifo sikashukela ngesikhathi sokukhulelwa. Ku: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, abahleli. ICreasy neResnik's Maternal-Fetal Medicine: Izimiso kanye Nokuzijwayeza. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2019: isahluko 59.