Isifo sikashukela sokukhulelwa: siyini, izimbangela, ukwelashwa nezingozi
-Delile
- Izimpawu eziyinhloko
- Imbangela yesifo sikashukela sokukhulelwa
- Yelashwa kanjani
- 1. Ukudla okunesifo sikashukela sokukhulelwa
- 2. Prakthiza izivivinyo
- 3. Ukusetshenziswa kwemithi
- Izingozi ezingenzeka zokukhulelwa
- Ungasigwema kanjani isifo sikashukela sokukhulelwa
Isifo sikashukela sokukhulelwa ngokuvamile sikhula eduze ne-3 trimester yokukhulelwa ngenxa yokumelana ne-insulin okubangelwa amahomoni okukhulelwa. Lolu hlobo lwesifo sikashukela luvame ukunyamalala ngemuva kokubeletha futhi akuvamile ukuthi lubangele izimpawu, noma kwezinye izimo, ukungaboni kahle nokoma kungenzeka.
Ukwelashwa kwayo kufanele kuqalwe ngesikhathi sokukhulelwa ngokudla okwanele noma ngokusebenzisa imishanguzo, njengama-oral hypoglycemic agents noma i-insulin, kuya ngamanani kashukela egazini.
Isifo sikashukela sokukhulelwa komzimba siyelapheka njalo ngemuva kokubeletha, kodwa-ke, kubalulekile ukulandela ngendlela efanele ukwelashwa okuphakanyiswe udokotela, ngoba kunengozi enkulu yokuba nesifo sikashukela sohlobo lwesibili eminyakeni engaba yishumi kuya kwengu-20 kanye nokuhlushwa yiso. isifo sikashukela kokunye ukukhulelwa.
Izimpawu eziyinhloko
Izimo eziningi zesifo sikashukela sokukhulelwa aziholeli ekubonakaleni kwezimpawu noma izimpawu, noma kunjalo kwezinye izimo ukwanda kwesifiso sokudla, ukuzuza kwesisindo, isifiso esikhulu sokuchama, ukungaboni kahle, ukoma okuningi kanye nokutheleleka okuvamile komchamo kungaqashelwa. Bheka ezinye izimpawu zesifo sikashukela sokukhulelwa.
Njengoba lezi zimpawu zivamile ekukhulelweni, udokotela kufanele ayalele ukuhlolwa kwe-glucose okungenani ama-3 ngesikhathi sokukhulelwa, imvamisa kuba ukuhlolwa kokuqala okwenziwe evikini lama-20 lokukhulelwa. Ukuqinisekisa ukutholakala kwesifo sikashukela sokukhulelwa, udokotela uvame ukuncoma ukwenza ukuhlolwa kwejika le-glycemic ukuhlola amazinga eglucose ngokuhamba kwesikhathi.
Imbangela yesifo sikashukela sokukhulelwa
Isifo sikashukela sokukhulelwa komzimba sivela ezimweni eziningi ku-trimester yesithathu yokukhulelwa futhi sihlobene kakhulu nokumelana ne-insulin okwenziwa ngenxa yokwanda kokuhlushwa kwamahomoni ahlobene nokukhulelwa.
Lokhu kungenxa yokuthi ku-trimester yesithathu yokukhulelwa kunokwanda kwezidingo zokudla okunempilo, ukuze umama aqale ukudla ama-carbohydrate amaningi ukuze anikeze inani elifanele le-glucose elifanele ingane, kanti ngesikhathi esifanayo elawula i-glucose yegazi nge-insulin.
Kodwa-ke, ngenxa yama-hormone okukhulelwa, ukukhiqizwa kwe-insulin ngamanyikwe kungacindezelwa, ukuze lesi sitho singakwazi ukukhuphula amazinga e-insulin akhiqizwayo, abangela inani elikhulu likashukela egazini, okuholela ekukhuleni kwesifo sikashukela .
Lesi simo sivame kakhulu kwabesifazane abaneminyaka engaphezu kwengama-35 ubudala, abakhuluphele ngokweqile noma abakhuluphele, abanamafutha amaningi esifundeni esiswini, abafushane ngesiqu noma abane-polycystic ovary syndrome.
Yelashwa kanjani
Ukwelashwa kwesifo sikashukela sokukhulelwa kuhlose ukukhuthaza impilo kamama nengane, ukugwema izingqinamba ezifana nesisindo esiphansi seminyaka yokukhulelwa kanye nokuphazamiseka kokuphefumula kanye nokwakheka komzimba, ngokwesibonelo.Kubalulekile ukuthi ukwelashwa kwenziwe ngaphansi kokuqondisa kwesazi sokudla, i-obstetrician kanye ne-endocrinologist ukuze ukulawulwa kwe-glycemic kusebenze.
Ukwelashwa kwesifo sikashukela sokukhulelwa kufanele kwenziwe ngokushintsha kwemikhuba yokudla nokwenza umsebenzi ukuze amazinga we-glucose egazi alawulwe:
1. Ukudla okunesifo sikashukela sokukhulelwa
Ukudla okunesifo sikashukela sokukhulelwa kufanele kuqondiswe yisazi sokudla ukuze kungabikho ukushoda kokudla okunempilo komama noma kwengane. Ngakho-ke, kunconywa ukuthi abesifazane abakhulelwe badle ukudla okunenkomba ephansi ye-glycemic, njengezithelo ezingasikiwe, kanye nokwehlisa inani likashukela nama-carbohydrate alula ekudleni.
Kunconywa ukuthi unikeze okuncamelayo ekudleni okungenawo ama-carbohydrate amaningi noma anama-carbohydrate ayinkimbinkimbi, okuyilawo anenkomba ephansi ye-glycemic ngenxa yenani eliphezulu le-fiber anayo. Ngakho-ke, kunganconywa ukuthi abesifazane abakhulelwe badle okusanhlamvu okuphelele, inyama, inhlanzi, imbewu kawoyela, ubisi nezithako kanye nembewu. Bona okuningi ngokudla kwesifo sikashukela sokukhulelwa.
Kubalulekile ukuthi iglucose yegazi ilinganiswe esiswini esingenalutho nangemva kokudla okuyisisekelo, njengoba kungenzeka ukuthi bobabili owesifazane okhulelwe nodokotela bakwazi ukulawula amazinga kashukela egazini, ngaphezu kweqiniso lokuthi, ngokusho amazinga e-glucose, isazi sokudla okunempilo singashintsha uhlelo lokudla.
Futhi hlola le vidiyo elandelayo ukuthola eminye imininingwane ngokudla kwesifo sikashukela sokukhulelwa:
2. Prakthiza izivivinyo
Ukuzivocavoca umzimba kubalulekile ukukhuthaza impilo yowesifazane okhulelwe nokugcina amazinga eglucose ajikelezayo elingana. Umkhuba wokuzivocavoca ukukhulelwa uphephile uma kungakhonjwa izinto ezingabeka impilo kamama noma yengane engcupheni. Ngakho-ke, kubalulekile ukuthi izivivinyo ziqale ngemuva kokugunyazwa ngudokotela nokuthi zenziwa ngaphansi kokuqondiswa uchwepheshe wemfundo yezomzimba.
Umkhuba wokuzivocavoca ngabesifazane abakhulelwe abanesifo sikashukela sokukhulelwa ukhuthaza ukwehla kwenani lokuzila ukudla kwe-glucose nangemva kokudla, ngaphandle kwesidingo sokusebenzisa i-insulin ukulawula amazinga eglucose ajikelezayo.
Yize bethathwa njengabaphephile, abesifazane abakhulelwe kudingeka baqaphele ngaphambi kokuzivocavoca, ngesikhathi nangemva kokuzivocavoca, njengokudla okuthile ngaphambi kokuzivocavoca, ukuphuza amanzi ngaphambi, phakathi nangemva komsebenzi, unake ukuqina kokuvivinya umzimba futhi unake nokubukeka kwanoma yiluphi uphawu noma uphawu olukhombisa ukuphazamiseka kokuvivinya umzimba, njengokuphuma kwegazi esithweni sangasese, ukucindezela kwesibeletho, ukulahleka kwe-amniotic fluid, ubuthakathaka bemisipha nokuphefumula kanzima ngaphambi kokuzivocavoca.
3. Ukusetshenziswa kwemithi
Ukusetshenziswa kwemithi kuvamise ukukhonjiswa lapho isifo sikashukela singalawulwa futhi amazinga aphezulu eshukela egazini amele ubungozi obukhulu kowesifazane okhulelwe nasenganeni yakhe, futhi lapho amazinga e-glucose angajwayelekile ngisho nezinguquko emikhubeni yokudla nasekuzivocavoca ngendlela ehlukile.
Ngakho-ke, udokotela angancoma ukusetshenziswa kwama-oral hypoglycemic agents noma i-insulin, okufanele inconywe ngudokotela futhi isetshenziswe ngokuyalelwa nguye. Kubalulekile ukuthi owesifazane athathe isilinganiso sikashukela egazini nsuku zonke nangezikhathi ezikhonjiswe udokotela ukuze kuqinisekiswe ukuthi ukwelashwa kuyasebenza yini.
Izingozi ezingenzeka zokukhulelwa
Izinkinga zesifo sikashukela sokukhulelwa zingathinta owesifazane okhulelwe noma ingane, okungaba:
Izingozi zokukhulelwa | Izingozi zengane |
Ukwephulwa kwesikhwama se-aminotic ngaphambi kosuku olulindelekile | Ukuthuthukiswa kwesifo sokuphefumula, okuyinkinga yokuphefumula lapho kuzalwa |
Ukuzalwa ngaphambi kwesikhathi | Ingane inkulu kakhulu yobudala bokukhulelwa, okwandisa ubungozi bokukhuluphala ebuntwaneni noma ebusheni |
Umbungu ongaphenduki ubheke phansi ngaphambi kokubeletha | Izifo zenhliziyo |
Ingozi eyengeziwe ye-pre-eclampsia, okungukunyuka okungazelelwe komfutho wegazi | I-jaundice |
Ukuba khona kokulethwa kwe-cearean noma i-laceration ye-perineum ngesikhathi sokulethwa okujwayelekile ngenxa yobukhulu bengane | I-Hypoglycemia ngemuva kokuzalwa |
Lezi zingcuphe zingancishiswa uma owesifazane elandela ukwelashwa ngendlela efanele, ngakho-ke, owesifazane okhulelwe onesifo sikashukela sokukhulelwa kufanele alandelwe ekunakekelweni okuyingozi kakhulu kokubeletha.
Ungasigwema kanjani isifo sikashukela sokukhulelwa
Isifo sikashukela sokubeletha asikwazi ukuvinjelwa ngaso sonke isikhathi ngoba sihlobene nezinguquko ze-hormonal ezijwayelekile zokukhulelwa, noma kunjalo, ingozi yokuthola isifo sikashukela sokukhulelwa ingancishiswa ngu:
- Yiba nesisindo esifanele ngaphambi kokukhulelwa;
- Yenza ukunakekelwa ngaphambi kokubeletha;
- Khulisa isisindo kancane kancane futhi kancane kancane;
- Yidla uphilile futhi
- Zijwayeze ukuzivocavoca umzimba ngokulingene.
Isifo sikashukela sokukhulelwa singavela kwabesifazane abakhulelwe abaneminyaka engaphezu kwengama-25 ubudala, abakhuluphele noma lapho owesifazane okhulelwe engabekezelelani noshukela. Kodwa-ke, futhi ingakhula nakwabesifazane abancane noma abesifazane abanesisindo esijwayelekile ngenxa yezinguquko zamahomoni.