Izingozi zokubeletha ngesifo sikashukela sokukhulelwa

-Delile

• Izingozi kumama
• Izingozi zengane
• Ungayinciphisa kanjani ingozi
• Injani i-postpartum yesifo sikashukela sokukhulelwa

Abesifazane abakhulelwe abatholakala benesifo sikashukela sokukhulelwa basengozini enkulu yokuthola ukuzalwa ngaphambi kwesikhathi, okunciphisa ukusebenza kanzima ngisho nokulahlekelwa yingane ngenxa yokukhula ngokweqile. Kodwa-ke, lezi zingozi zingancishiswa ngokugcina izinga likashukela egazini lilawulwa kahle phakathi nokukhulelwa.

Abesifazane abakhulelwe abagcina i-glucose yegazi yabo ilawulwa futhi abangenazo izingane ezinesisindo esingaphezu kuka-4 kg bangalinda kuze kube amasonto angama-38 okukhulelwa ukuze kuqale ukubeletha okuzenzakalelayo, futhi bangabeletha ngokwejwayelekile, uma lokhu kuyisifiso sabo. Kodwa-ke, uma kufakazelwa ukuthi ingane inezingaphezu kuka-4 kg, udokotela angaphakamisa isigaba se-cearean noma ukufakwa kokubeletha emasontweni angama-38.

Isifo sikashukela sokukhulelwa komzimba siboniswa ukungabekezelelani kwama-carbohydrate okwenzeka okokuqala ngqa ngesikhathi sokukhulelwa, futhi kunezingozi eziningi ezihambisanayo uma kwenzeka phakathi ne-trimester yokuqala yokukhulelwa.

Izingozi kumama

Izingozi zokubeletha kwisifo sikashukela sokukhulelwa, ezingenzeka kwabesifazane abakhulelwe, kungaba:

• Ukubeletha okuvamile isikhathi eside ngenxa yokungasebenzi kahle kwesibeletho;
• Udinga ukunxenxa abasebenzi ngemithi ukuqala noma ukusheshisa ukulethwa okujwayelekile;
• Ukuqothuka kwe-perineum ngesikhathi sokubeletha okujwayelekile, ngenxa yobukhulu bengane;
• Ukutheleleka komgudu womchamo kanye ne-pyelonephritis;
• I-Eclampsia;
• Ukwanda kwe-amniotic fluid;
• Ukuphazamiseka komfutho wegazi ophakeme;

Ngaphezu kwalokho, ngemuva kokubeletha, umama futhi angathola ukubambezeleka kokuqala kokuncelisa. Funda ukuthi ungaxazulula kanjani izinkinga ezivamile zokuncelisa.

Izingozi zengane

Isifo sikashukela sokukhulelwa singabonisa ubungozi enganeni ngesikhathi sokukhulelwa noma ngisho nangemva kokubeletha, njenge:

• Ukuzalwa ngaphambi kosuku olulindelekile, ngenxa yokuqhekeka kwesikhwama se-amniotic ngaphambi kwamasonto angama-38 okukhulelwa;
• Ukwehla kwe-oxygenation ngesikhathi sokubeletha;
• I-hypoglycemia ngemuva kokuzalwa;
• Ukukhipha isisu nganoma yisiphi isikhathi sokukhulelwa noma sokufa ngemuva nje kokubeletha;
• Hyperbilirubinemia;
• Ukuzalwa okunesisindo esingaphezu kuka-4 kg, okwandisa amathuba okuba nesifo sikashukela ngokuzayo nokuhlupheka okuthile ehlombe noma ekuqhekekeni kwe-clavicle ngesikhathi sokubeletha okujwayelekile;

Ngaphezu kwalokho, izingane zingahlupheka ngenxa yokukhuluphala, isifo sikashukela kanye nesifo senhliziyo lapho sezikhulile.

Ungayinciphisa kanjani ingozi

Ukunciphisa ubungozi besifo sikashukela sokukhulelwa, kubalulekile ukugcina ushukela wegazi ulawulwa, ukubheka ushukela wegazi we-capillary nsuku zonke, ukudla kahle nokuzivocavoca, njengokuhamba, i-aerobics yamanzi noma ukuqeqeshwa kwesisindo, cishe ama-3 ngesonto.

Abanye besifazane abakhulelwe bangadinga ukusebenzisa i-insulin lapho ukudla nokuzivocavoca umzimba kunganele ukulawula ushukela wegazi. Udokotela obelethayo, kanye nodokotela we-endocrinologist, bangabeka imijovo yansuku zonke.

Funda kabanzi mayelana nokwelashwa kwesifo sikashukela sokukhulelwa.

Buka le vidiyo elandelayo futhi ufunde ukuthi ukudla kungazinciphisa kanjani izingozi zesifo sikashukela sokukhulelwa:

Injani i-postpartum yesifo sikashukela sokukhulelwa

Ngemuva nje kokubeletha, i-glucose yegazi kufanele ilinganiswe njalo emahoreni amabili kuya kwangu-4, ukuvimbela i-hypoglycemia ne-ketoacidosis, ejwayelekile kule nkathi. Imvamisa, i-glycemia ijwayelekile esikhathini sangemva kokubeletha, kepha kunengozi yokuthi owesifazane okhulelwe angakhula nohlobo lwesibili sikashukela cishe eminyakeni eyishumi, uma engasebenzisi indlela yokuphila enempilo.

Ngaphambi kokukhishwa esibhedlela, ushukela wegazi likamama kufanele ulinganiswe ukuze kuqinisekiswe ukuthi sekuvele kujwayelekile. Ngokuvamile, ama-antidiabetics omlomo ayanqanyulwa, kepha abanye besifazane badinga ukuqhubeka nokuthatha le mithi ngemuva kokubeletha, ngemuva kokuhlolwa ngudokotela, ukuze kungalimazi ukuncelisa.

Ukuhlolwa kokungabekezelelani kwe-glucose kufanele kwenziwe emavikini ayisithupha kuya kwayisishiyagalombili ngemuva kokubeletha, ukuqinisekisa ukuthi i-glucose yegazi isajwayelekile. Ukuncelisa ingane ibele kufanele kukhuthazwe ngoba kubalulekile enganeni futhi ngoba kuyasiza ekwehliseni isisindo sangemva kokubeletha, ukulawulwa kwe-insulin kanye nokunyamalala kwesifo sikashukela sokukhulelwa.

Uma i-glucose yegazi ihlala ilawulwa ngemuva kokubeletha, ukuphulukiswa kwesigaba sokuhlinzwa kanye ne-episiotomy kwenzeka ngendlela efanayo nabesifazane abangenaso isifo sikashukela sokukhulelwa, noma kunjalo, uma amanani engabuyeli kokujwayelekile, ukuphulukiswa kungathatha isikhathi eside.