Ukuhlolwa kokukhulelwa kwe-glucose (dextrosol): kwenzelwa ini nemiphumela
-Delile
Ukuhlolwa kwe-glucose ekukhulelweni kusebenza ukukhomba ukuthi kungenzeka yini ukuthi umuntu unesifo sikashukela sokukhulelwa futhi kufanele kwenziwe phakathi kwamasonto angama-24 kuya kwangama-28 okukhulelwa, noma ngabe owesifazane engakhombisi izimpawu nezimpawu ezibonisa ukuthi unesifo sikashukela, njengokunyuka ngokweqile kwesifiso sokudla noma isifiso sokuchama kaningi, Ngokwesibonelo.
Lokhu kuhlolwa kwenziwa ngeqoqo legazi ihora eli-1 ukuya kwele-2 ngemuva kokufaka u-75 g ketshezi elimnandi kakhulu, elaziwa nge-dextrosol, ukuze kuhlolwe ukuthi umzimba wowesifazane uhlangabezana kanjani namazinga aphezulu eshukela.
Yize ukuhlolwa kuvame ukwenziwa ngemuva kwesonto lama-24, kungenzeka futhi ukuthi kwenziwe ngaphambi kwalawo masonto, ikakhulukazi uma owesifazane okhulelwe enezinto ezinobungozi ezihlobene nesifo sikashukela, njengokukhuluphala ngokweqile, ngaphezu kweminyaka engama-25 ubudala, umlando womndeni yesifo sikashukela noma ukuba nesifo sikashukela sokukhulelwa ekukhulelweni kwangaphambilini.
Kwenziwa kanjani ukuhlolwa
Ukuhlolwa kwesifo sikashukela sokukhulelwa, okubizwa nangokuthi i-TOTG, kwenziwa phakathi kwamasonto angama-24 kuya kwangu-28 okukhulelwa ngokulandela lezi zinyathelo:
- Owesifazane okhulelwe kufanele azile ukudla cishe amahora angama-8;
- Ukuqoqwa kwegazi kokuqala kwenziwa nowesifazane okhulelwe ezila ukudla;
- Owesifazane unikezwa u-75 g weDextrosol, okuyisiphuzo esinoshukela, elabhorethri noma emtholampilo wokuhlaziywa kwemitholampilo;
- Bese kuthi, kuthathwe isampula yegazi ngemuva nje kokumunca uketshezi;
- Owesifazane okhulelwe kufanele aphumule cishe amahora amabili;
- Ngemuva kwalokho kuqoqwa igazi okusha ngemuva kwehora eli-1 nangemva kwamahora ama-2 wokulinda.
Ngemuva kokuhlolwa, owesifazane angabuyela ekudleni ngokwejwayelekile bese elinda umphumela. Uma umphumela ushintshiwe futhi kunokusola kwesifo sikashukela, udokotela obelethisayo angadlulisela owesifazane okhulelwe kudokotela wezokudla ukuze aqale ukudla okwanele, ngaphezu kokwenza ukuqapha okujwayelekile ukuze kugwenywe izinkinga zomama nengane.
Imiphumela yokuhlolwa kwe-glucose ekukhulelweni
Kusukela emaqoqweni egazi enziwe, kwenziwa izilinganiso zokubheka amazinga kashukela egazini, amanani ajwayelekile acatshangelwa yiBrazil Diabetes Society:
Isikhathi ngemuva kokuhlolwa | Inani lesithenjwa elilungile |
Ekuzileni ukudla | Kuze kufike ku-92 mg / dL |
1 ihora ngemuva kokuhlolwa | Kuze kube ngu-180 mg / dL |
2 amahora ngemuva kokuhlolwa | Kuze kube ngu-153 mg / dL |
Kusukela emiphumeleni etholakele, udokotela wenza ukuxilongwa kwesifo sikashukela sokukhulelwa lapho okungenani elinye lamanani lingaphezu kwenani elifanele.
Ngaphezu kokuhlolwa kwe-TOTG, okukhonjiswa kubo bonke abesifazane abakhulelwe, ngisho nalabo abangenazo izimpawu noma izici eziyingozi zesifo sikashukela sokukhulelwa, kungenzeka ukuthi ukuxilongwa kwenziwe ngaphambi kwesonto lama-24 ngokuhlolwa kweglucose egazini okuzilile. Kulezi zimo, i-gestational diabetes mellitus ibhekwa lapho ukuzila kweglucose kungaphezulu kwe-126 mg / dL, lapho i-glucose yegazi nganoma yisiphi isikhathi sosuku ingaphezu kuka-200 mg / dL noma lapho i-hemoglobin ene-glycated ingaphezu noma ilingana no-6, 5% . Uma kukhona okunye kwalolu shintsho, i-TOTG ikhonjiswa ukuqinisekisa ukuxilongwa.
Kubalulekile ukuthi i-glucose yegazi ibhekwe ngesikhathi sokukhulelwa ukuze kugwenywe izinkinga kumama nasenganeni, ngaphezu kokubaluleka ekutholeni ukwelashwa okuhle nokwanele kokudla, okufanele kwenziwe ngosizo lwesazi sokudla. Bheka amanye amathiphu kuvidiyo elandelayo ekudleni kwesifo sikashukela sokukhulelwa: