Okufanele Ukwazi Ngesifo Sikashukela Esisengqondweni

-Delile

• Ukuqonda isifo sikashukela esandulelayo
• Izimpawu zesifo sikashukela
• Izimbangela nezici zobungozi besifo sikashukela
• Ukuhlonza isifo sikashukela
• Amakilasi esifo sikashukela sangaphambi kokukhulelwa nokukhulelwa
• Amakilasi esifo sikashukela sangaphambi kokukhulelwa
• Amakilasi esifo sikashukela sokukhulelwa
• Ukuqapha nokwelapha isifo sikashukela sangaphambi kokukhulelwa
• Izinkinga ezihambisana nesifo sikashukela ngesikhathi sokukhulelwa
• Amathiphu okukhulelwa okunempilo uma unesifo sikashukela
• Khuluma nodokotela bakho

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Ukuqonda isifo sikashukela esandulelayo

Isifo sikashukela sangaphambi kokukhulelwa senzeka uma unohlobo lwesifo sikashukela sohlobo 1 noma uthayipha 2 ngaphambi kokukhulelwa. Isifo sikashukela sangaphambi kokufunda sinamakilasi ayisishiyagalolunye ancike ebudaleni bakho ekuhlolweni nasenkingeni ethile yesifo.

Isigaba sikashukela ositshele udokotela wakho ngobukhulu besimo sakho. Isibonelo, isifo sakho sikashukela siyiklasi C uma usitholile uneminyaka ephakathi kwengu-10 nengu-19. Isifo sikashukela sakho naso sisezingeni C uma uke waba nalesi sifo iminyaka eyishumi kuya kwengu-19 futhi awunazo izinkinga zemithambo yegazi.

Ukuba nesifo sikashukela lapho ukhulelwe kwandisa izingozi ezithile kuwe nakumntanakho. Uma unesifo sikashukela, ukukhulelwa kwakho kuzodinga ukuqashwa okwengeziwe.

Izimpawu zesifo sikashukela

Izimpawu zesifo sikashukela zifaka:

• ukoma ngokweqile nendlala
• ukuchama kaningi
• izinguquko esisindweni
• ukukhathala ngokweqile

Ukukhulelwa nakho kungadala izimpawu njengokuchama kaningi nokukhathala. Kubalulekile ukuqapha amazinga e-glucose wakho eduze ukukusiza nodokotela wakho ukuthola isizathu salezi zimpawu.

Izimpawu zakho zizohlobene kakhulu nokuthi isifo sakho sikashukela silawulwa kanjani nokuthi ukukhulelwa kwakho kuqhubeka kanjani.

Izimbangela nezici zobungozi besifo sikashukela

Ama-pancreas akhiqiza i-insulin. I-insulini isiza umzimba wakho:

• sebenzisa i-glucose nezinye izakhamzimba ekudleni
• isitolo samafutha
• yakha amaprotheni

Uma umzimba wakho ungakhiqizi i-insulin eyanele noma uwusebenzisa ngendlela engafanele, khona-ke amazinga eglucose egazi lakho azobe ephakeme kakhulu kunokujwayelekile futhi athinte ukuthi umzimba wakho usebenza kanjani.

Thayipha isifo sikashukela sokuqala

Uhlobo lwe-1 sikashukela lwenzeka lapho amanyikwe akho engakwazi ukukhiqiza i-insulin. Kungenzeka uma amasosha akho omzimba ehlasela ngephutha amanyikwe akho. Kungenzeka futhi ngezizathu ezingaziwa. Abaphenyi abaqiniseki ukuthi kungani abantu beba nohlobo 1 lwesifo sikashukela.

Kungenzeka ukuthi uthuthukise uhlobo lwesifo sikashukela sohlobo 1 uma unomlando womndeni wesifo. Abantu abanesifo sikashukela sohlobo 1 bavame ukuthola ukuxilongwa ngesikhathi sobuntwana.

Thayipha isifo sikashukela sesi-2

Uhlobo lwesibili sikashukela luvame kakhulu kunohlobo lwesifo sikashukela sohlobo 1. Iqala ngokumelana ne-insulin. Uma unenkinga ye-insulin, umzimba wakho awusebenzisi kahle i-insulin noma awusakhiqizi i-insulin eyanele.

Ukukhuluphala ngokweqile noma ukuba nomlando wesifo emndenini wakho kwandisa amathuba okuthola isifo sikashukela sohlobo 2. Ukudla ngendlela engafanele nokungenzi lutho emzimbeni kungakhuphula ubungozi bokuthola uhlobo lwesifo sikashukela sohlobo 2.

Ukuhlonza isifo sikashukela

Udokotela wakho uzokwenza uchungechunge lokuhlolwa kwegazi okungahleliwe nokuzila ukudla ukuze abasize benze ukuxilongwa. Funda kabanzi ngokuhlolwa kwesifo sikashukela.

Abanye besifazane baba nesifo sikashukela kuphela ngesikhathi sokukhulelwa. Lokhu kubizwa ngokuthi yisifo sikashukela sokukhulelwa. Odokotela bahlola abesifazane abaningi abakhulelwe ngesifo sikashukela njengengxenye yokunakekelwa kwabo ngaphambi kokubeletha.

Amakilasi esifo sikashukela sangaphambi kokukhulelwa nokukhulelwa

Isifo sikashukela sangaphambi kokufunda sihlukaniswe saba yisifo sikashukela sokukhulelwa sihlukaniswe izigaba ezimbili.

Amakilasi esifo sikashukela sangaphambi kokukhulelwa

Okulandelayo yizigaba zesifo sikashukela sangaphambi kokukhulelwa:

• Ukuqala kwesigaba sikashukela sika-A kungenzeka nganoma yisiphi isikhathi. Ungakwazi ukulawula lesi sigaba sikashukela ngokudla wedwa.
• Isifo sikashukela esisesigabeni B senzeka uma waba nesifo sikashukela ngemuva kweminyaka engama-20, waba nesifo sikashukela iminyaka engaphansi kwengu-10, futhi awunazo izinkinga zemithambo yegazi.
• Isifo sikashukela esiku-Class C senzeka uma usithathe phakathi kweminyaka yobudala eyi-10 nengu-19. Isifo sikashukela naso sisezingeni C uma uke waba nalesi sifo iminyaka eyishumi kuya kwengu-19 futhi awunazo izinkinga zemithambo yegazi.
• Isifo sikashukela esisesigabeni D senzeka uma uba nesifo sikashukela ungakabi neminyaka eyi-10, usunesifo sikashukela iminyaka engaphezu kwengu-20, futhi unezinkinga zemithambo yegazi.
• Isifo sikashukela esisesigabeni F senzeka nge-nephropathy, isifo sezinso.
• Isifo sikashukela esisesigabeni R senzeka nge-retinopathy, isifo samehlo.
• I-Class RF yenzeka kubantu abane-nephropathy ne-retinopathy.
• Isifo sikashukela esiku-Class T sivela kowesifazane ofakelwe izinso.
• Isifo sikashukela esisesigabeni H senzeka ngesifo senhliziyo (CAD) noma esinye isifo senhliziyo.

Amakilasi esifo sikashukela sokukhulelwa

Uma ungenaso isifo sikashukela uze ukhulelwe, unesifo sikashukela sokukhulelwa.

Isifo sikashukela sokukhulelwa sinezigaba ezimbili. Ungakwazi ukulawula isigaba sikashukela se-A1 ngokudla kwakho. Uma unesifo sikashukela esisesigabeni A2, udinga i-insulin noma imithi yomlomo ukusilawula.

Isifo sikashukela sokukhulelwa komzimba sivame ukuba sesikhashana, kepha sandisa amathuba okuba nesifo sikashukela sohlobo lwesibili kamuva empilweni.

Ukuqapha nokwelapha isifo sikashukela sangaphambi kokukhulelwa

Ngesikhathi sokukhulelwa kwakho, uzodinga ukuqapha okwengeziwe kwesifo sikashukela.

Kungenzeka ukuthi uzobona i-OB-GYN yakho, i-endocrinologist, futhi mhlawumbe i-perinatologist. I-perinatologist inguchwepheshe wezokwelapha womama-fetal.

Kunezindlela ezahlukahlukene zokuqapha nokwelapha isifo sikashukela sangaphambi kokukhulelwa kwengqondo:

• Into yokuqala okufanele uyenze lapho ukhulelwa kungaphezu kohlu lwakho lwemithi nodokotela wakho. Eminye imithi kungenzeka ingaphephile ukuyiphuza ngesikhathi ukhulelwe.
• Usazothatha i-insulin, kepha kungadingeka ukuthi ulungise umthamo ngesikhathi sokukhulelwa.
• Ukuqapha amazinga eglucose egazini lakho kuyinto ephambili. Lokhu kusho ukuthatha ukuhlolwa kwegazi nomchamo njalo.
• Udokotela wakho uzokwazisa ukuthi ungakushintsha kanjani ukudla kwakho nokuthi iziphi izivivinyo ezilungele wena nengane yakho.
• Udokotela wakho angasebenzisa i-ultrasound imaging ukuhlola isilinganiso senhliziyo yengane yakho, ukunyakaza kwayo, kanye nenani le-amniotic fluid.
• Isifo sikashukela singanciphisa ukukhula kwamaphaphu engane yakho. Udokotela wakho angenza i-amniocentesis ukuhlola ukukhula kwengane yengane yakho.
• Impilo yakho, impilo yengane yakho, kanye nesisindo somntanakho kuzosiza udokotela wakho anqume ukuthi ungahambisa yini ngesitho sangasese sowesifazane noma uma ukulethwa ngokuhlinzwa kudingekile.
• Udokotela wakho uzoqhubeka nokuqapha amazinga eglucose yegazi lakho eduze ngesikhathi sokubeletha nokubeletha. Izidingo zakho ze-insulin zingaphinde zishintshe futhi ngemuva kokubeletha.

Thenga ishukela egazini lasekhaya noma ukuhlolwa kweglucose ekhaya.

Izinkinga ezihambisana nesifo sikashukela ngesikhathi sokukhulelwa

Abesifazane abaningi abanesifo sikashukela baphatha futhi babelethe izingane ezinempilo ngaphandle kwezinkinga ezinkulu. Kodwa-ke, uma unesifo sikashukela, wena nengane yakho nisengozini enkulu yezinkinga. Kubalulekile ukubazi.

Izinkinga ezingathinta umama ngesikhathi sokukhulelwa zifaka:

• umchamo, isinye, nezifo ezithweni zangasese
• umfutho wegazi ophakeme, noma i-preeclampsia; lesi simo singadala ukungasebenzi kahle kwezinso nesibindi
• ukwanda kwezinkinga zamehlo ezihlobene nesifo sikashukela
• ukwanda kwezinkinga zezinso ezihlobene nesifo sikashukela
• ukulethwa okunzima
• isidingo sokulethwa ngokuhlinzwa

Amazinga aphezulu eglucose, ikakhulukazi ku-trimester yokuqala, angakhuphula ubungozi bokukhubazeka kokuzalwa. Izinkinga ezingathinta ingane zifaka:

• isisu
• ukuzalwa ngaphambi kwesikhathi
• isisindo sokuzalwa esiphakeme
• i-glucose ephansi yegazi, noma i-hypoglycemia, lapho izalwa
• ukuphuzi isikhathi eside kwesikhumba, noma i-jaundice
• ukucindezeleka kokuphefumula
• ukukhubazeka kokuzalwa, kufaka phakathi ukukhubazeka kwenhliziyo, imithambo yegazi, ubuchopho, umgogodla, izinso, kanye nomgudu wokugaya ukudla
• ukuzala ingane ishonile

Amathiphu okukhulelwa okunempilo uma unesifo sikashukela

Uma unesifo sikashukela, ukuqapha impilo yakho kuzobaluleke kakhulu lapho unquma ukuba nomntwana. Ngokushesha lapho uqala ukuhlela, kuba ngcono. Landela amathiphu angezansi wokukhulelwa okunempilo.

Khuluma nodokotela bakho

• Bona i-endocrinologist yakho ne-OB-GYN yakho ukuze uqiniseke ukuthi unempilo enhle futhi isifo sikashukela siyalawulwa. Ukugcina isifo sikashukela silawulwa kahle izinyanga ezimbalwa ngaphambi kokuba ukhulelwe kunganciphisa ubungozi kuwe nasenganeni yakho.
• Tshela udokotela wakho ngayo yonke imithi nezithasiselo ozithathayo njengamanje. Uma ukhulelwe, batshele ngayo yonke imithi nezithasiselo ozithathile kusukela ukhulelwe.
• I-Folic acid isiza ukukhulisa ukukhula okunempilo nentuthuko. Buza udokotela wakho ukuthi kufanele yini uthathe i-folic acid noma amanye amavithamini akhethekile.
• Thatha amavithamini ngaphambi kokubeletha uma udokotela wakho ekuncoma.
• Buza udokotela wakho ukuthi imigomo yakho ethile yeglucose yegazi kufanele ibe yini.
• Bona futhi udokotela wakho ngokushesha lapho ucabanga ukuthi ukhulelwe. Qiniseka ukuthi odokotela bakho bayaxhumana.
• Gcina konke ukuqokwa ngaphambi kokubeletha.
• Tshela udokotela wakho nganoma yiziphi izimpawu ezingavamile ngokushesha.

Thenga amavithamini angaphambi kokubeletha.

Yamukela imikhuba yokuphila enempilo

• Gcina ukudla okunempilo okubandakanya imifino ehlukahlukene, okusanhlamvu okuphelele nezithelo. Khetha imikhiqizo yobisi ye-nonfat. Thola amaprotheni ohlobo lobhontshisi, inhlanzi nenyama engenamafutha. Ukulawulwa kwengxenye nakho kubalulekile.
• Zivocavoce nsuku zonke.
• Qiniseka ukuthi uthola isilinganiso esifanele sokulala ubusuku ngabunye.

Zilungiselele

• Cabanga ukugqoka isongo lobunikazi lobukhombisa ukuthi unesifo sikashukela.
• Qiniseka ukuthi oshade naye, umlingani wakho, noma umuntu osondelene naye uyazi ukuthi yini okufanele ayenze uma kunesimo esiphuthumayo sezempilo.