Ukuhlolwa Kwesifo Sikashukela Sokukhulelwa: Ongakulindela

-Delile

• Ziyini izimpawu zesifo sikashukela sokukhulelwa?
• Yini ebangela isifo sikashukela sokukhulelwa?
• Yiziphi izinto ezinobungozi besifo sikashukela sokukhulelwa?
• Kwenzekani ngesikhathi sokuhlolwa?
• Ukuhlolwa kwenselele yoshukela
• Ukuhlolwa kokubekezelelana kwe-glucose
• Kuzothatha isikhathi esingakanani ukuthola ukuxilongwa?
• Yiziphi izinketho zokwelashwa kwesifo sikashukela sokukhulelwa?
• Yiziphi izinkinga zesifo sikashukela esingalashwa?
• Uyini umbono wabantu abanesifo sikashukela sokukhulelwa?
• Ungasigwema kanjani isifo sikashukela sokukhulelwa noma wehlise umthelela waso?
• Ukudla
• Ukuzivocavoca umzimba

Siyini isifo sikashukela sokukhulelwa?

Isifo sikashukela sokukhulelwa 2428udokotela okhathalela ukubeletha

Ziyini izimpawu zesifo sikashukela sokukhulelwa?

Abesifazane abaningi abanesifo sikashukela sokukhulelwa abanazo izimpawu. Uma izimpawu zivela, kungenzeka ungazinaki ngoba ziyefana nezimpawu ezijwayelekile zokukhulelwa. Lezi zimpawu zingafaka:

• ukuchama kaningi
• ukoma ngokweqile
• ukukhathala
• ukuhoshozela

Kufanele ushayele udokotela wakho uma uhlangabezana nalezi zimpawu ngezinga elikhulu kunokujwayelekile kuwe.

Yini ebangela isifo sikashukela sokukhulelwa?

Imbangela ngqo yesifo sikashukela sokukhulelwa ayaziwa, kepha kungenzeka kungenxa yamahomoni akhiqizwa i-placenta yakho. La mahomoni asiza ingane yakho ukuba ikhule, kodwa futhi ingavimba i-insulin ekwenzeni umsebenzi wayo. Uma umzimba wakho ungazweli ku-insulin, ushukela osegazini lakho uhlala uhleli futhi awuphumi egazini lakho uye kumaseli akho njengoba kufanele kube njalo. Ushukela bese ungakwazi ukuguqula ube ngamandla kumaseli. Lokhu kubizwa ngokuthi ukumelana ne-insulin. Lokhu kubangela ukuthi amazinga kashukela egazi akhuphuke. Uma ishiywe ingalashwa, isifo sikashukela sokukhulelwa singaba nemiphumela ebalulekile kuwe kanye nasenganeni yakho. Lapho nje udokotela wakho esazi ukuthi unalesi simo, bazosebenza nawe kuhlelo lokwelashwa ukuqinisekisa impilo yakho neyengane yakho.

Yiziphi izinto ezinobungozi besifo sikashukela sokukhulelwa?

Noma yimuphi umuntu wesifazane okhulelwe angathola isifo sikashukela sokukhulelwa. Yingakho odokotela behlola bonke abesifazane abakhulelwe. Isifo sikashukela sokukhulelwa sithinta cishe. Izici ezithile zingakhuphula ubungozi bakho futhi zidinge ukuthi uhlolwe ngesikhathi sokuvakasha kokuqala kokubeletha. Udokotela wakho angakuhlola kaningana ngemuva kwalokho. Izici zobungozi zifaka:

• ukukhuluphala
• uneminyaka engaphezu kwengama-25 ubudala
• ukuba nomlando womndeni wesifo sikashukela
• ukuba nomlando wesifo sikashukela sokukhulelwa ngesikhathi sokukhulelwa kwangaphambilini
• ukuthola isisindo esibalulekile ebudaleni bokuqala naphakathi kokukhulelwa
• ukuthola isisindo esiningi ngokweqile ngenkathi ukhulelwe
• ukukhulelwa okuphindaphindwayo, njengamawele noma amawele amathathu
• ukulethwa kwangaphambilini kwengane enesisindo esingaphezu kwamakhilogremu ayi-9
• ukuba nomfutho wegazi ophezulu
• ukuba ne-polycystic ovary syndrome (i-PCOS)
• ukuthatha i-glucocorticoids

Kwenzekani ngesikhathi sokuhlolwa?

Odokotela basebenzisa izinhlobo ezahlukahlukene zokuhlolwa kokuhlolwa. Odokotela abaningi basebenzisa indlela enezinyathelo ezimbili, ngokuqala ngokuhlolwa kwenselele yoshukela. Lokhu kuhlolwa kunquma amathuba akho okuba nalesi sifo.

Ukuhlolwa kwenselele yoshukela

Awudingi ukwenza noma yini ukulungiselela lolu vivinyo. Ungadla uphuze ngokwejwayelekile ngaphambi kwesikhathi. Lapho ufika ehhovisi likadokotela wakho, uzophuza isixazululo esino-syrup esine-glucose. Ngemuva kwehora elilodwa, uzohlola igazi. Uma ushukela wegazi lakho uphakeme, udokotela wakho uzohlela ukuhlolwa kokubekezelelana kwe-glucose.

Ukuhlolwa kokubekezelelana kwe-glucose

Lokhu kuhlolwa kukala impendulo yomzimba wakho ku-glucose. Isetshenziselwa ukuthola ukuthi umzimba wakho uyiphatha kahle kanjani i-glucose ngemuva kokudla. Udokotela wakho uzokucela ukuthi uzile ukudla ubusuku bonke ukulungiselela lesi sivivinyo. Buza udokotela wakho ukuthi ungakwazi yini ukuphuza amanzi ngalesi sikhathi. Kufanele ukhumbuze udokotela wakho nganoma yimiphi imishanguzo oyiphuzayo futhi ubuze ukuthi kufanele uyiyeke ngalesi sikhathi. Isivivinyo senziwa ngale ndlela elandelayo:

1. Ngemuva kokufika ehhovisi likadokotela wakho, udokotela wakho ulinganisa ushukela wegazi wakho osheshayo.
2. Ngemuva kwalokho, uphuza ingilazi eyi-8-ounce yesisombululo se-glucose.
3. Udokotela wakho ulinganisa amazinga e-glucose wakho kanye ngehora emahoreni amathathu alandelayo.

Kuzothatha isikhathi esingakanani ukuthola ukuxilongwa?

Uma izilinganiso ezimbili zibonisa ushukela wegazi ophakeme, udokotela wakho uzohlonza isifo sikashukela sokukhulelwa. Abanye odokotela beqa ukuhlolwa kwenselelo yoshukela futhi benza kuphela ukuhlolwa kokubekezelela i-glucose. Khuluma nodokotela wakho mayelana nokuthi iyiphi i-protocol enengqondo kuwe.

Yiziphi izinketho zokwelashwa kwesifo sikashukela sokukhulelwa?

Uma unesifo sikashukela sokukhulelwa, udokotela wakho uzoqapha isimo sakho njalo. Bazosebenzisa ama-sonograms ukunaka kakhulu ukukhula kwengane yakho. Ngesikhathi sokukhulelwa, ungahle futhi uziqaphele ekhaya. Ungasebenzisa inaliti encane ebizwa ngokuthi i-lancet ukubhoboza umunwe wakho ngetonsi legazi. Bese uhlaziya igazi usebenzisa i-glucose glucose monitor. Abantu bavame ukwenza lolu vivinyo lapho bevuka nangemuva kokudla. Funda kabanzi ngokuhlolwa kwasekhaya kwesifo sikashukela. Uma indlela yokuphila iguquka ngokudla kanye nokuvivinya umzimba okwandayo kungasebenzi ukunciphisa amazinga kashukela egazini, udokotela wakho angancoma ukuthi uphathe imijovo ye-insulin. Ngokusho kweMayo Clinic, phakathi kwamaphesenti ayishumi kuya kwangu-20 abesifazane abakhulelwe abanesifo sikashukela sokukhulelwa badinga lolu hlobo losizo ukwehlisa ushukela egazini. Udokotela wakho futhi angakunikeza imithi yomlomo yokulawula ushukela wegazi lakho.

Yiziphi izinkinga zesifo sikashukela esingalashwa?

Kubalulekile ukugcina isifo sikashukela sokukhulelwa silawulwa. Uma ishiywe ingalashwa, izinkinga ezingaba khona zifaka:

• umfutho wegazi ophezulu, owaziwa nangokuthi i-preeclampsia
• ukuzalwa ngaphambi kwesikhathi
• i-dystocia yamahlombe, eyenzeka lapho amahlombe engane ukuba abhajwe emgodini wokuzalwa ngesikhathi sokubeletha
• amanani aphakeme kancane okufa kwengane nengakhulelwa

Ukungalashwa kwesifo sikashukela sokukhulelwa nakho kungaholela ekutheni ingane ibe nesisindo sokuzalwa esiphakeme. Lokhu kubizwa nge-macrosomia. IMacrosomia ingaholela ekulimaleni kwehlombe ngesikhathi sokuzalwa futhi ingadinga ukulethwa ngokuhlinzwa. Izingane ezine-macrosomia zinamathuba aphezulu okukhuluphala kwengane kanye nohlobo lwesifo sikashukela sohlobo lwesibili.

Uyini umbono wabantu abanesifo sikashukela sokukhulelwa?

Isifo sikashukela sokukhulelwa ngokuvamile siyaphela ngemva kokubeletha. Ukudla ngendlela efanele nokuzivocavoca umzimba kuyaqhubeka nokuhlala kubalulekile empilweni yakho ngemuva kokubeletha. Indlela yokuphila yengane yakho nayo kufanele ibe nempilo. Khethani ukudla okune-fiber enamafutha amancane kini nobabili. Kufanele futhi ugweme amaswidi anoshukela namasteki alula uma kungenzeka. Ukwenza ukunyakaza nokuzivocavoca umzimba kube yingxenye yempilo yomndeni wakho kuyindlela enhle yokuxhasana ekuphishekeleni kwakho impilo enempilo. Ukuba nesifo sikashukela sokukhulelwa kukubeka engcupheni enkulu yokuthuthukisa uhlobo lwesifo sikashukela sesibili esikhathini esizayo empilweni. Udokotela wakho uzokwenza ukuthi wenze olunye uvivinyo lokubekezelela i-glucose amasonto ayisithupha kuya kwayi-12 ngemuva kokubeletha ingane yakho ukuze uqiniseke ukuthi awusenaso isifo sikashukela. Ukuqhubekela phambili, kufanele uhlolwe ukuhlolwa kwegazi okungenani njalo eminyakeni emithathu.

Ungasigwema kanjani isifo sikashukela sokukhulelwa noma wehlise umthelela waso?

Izinguquko zokuphila zingasiza ekuvikeleni isifo sikashukela sokukhulelwa noma zinciphise umthelela waso. Lezi zinguquko zifaka:

• ukuncipha ngaphambi kokukhulelwa
• ukubeka umgomo wokukhulelwa kwesisindo sokukhulelwa
• ukudla ifayibha ephezulu, ukudla okunamafutha amancane
• ukunciphisa ubukhulu bezingxenye zakho zokudla
• ukuzivocavoca umzimba

Ukudla

Kufanele ufake okulandelayo ekudleni kwakho:

• okusanhlamvu okuphelele, njenge-quinoa
• amaprotheni amancane, njenge-tofu, inkukhu nenhlanzi
• ubisi olunamafutha amancane
• izithelo
• imifino

Ama-carbohydrate alula, acwengekile, atholakala kuma-dessert aneshukela kanye ne-soda, athambekele ekuphekeni ushukela wegazi. Kufanele ukhawulele lezo zinhlobo zokudla ekudleni kwakho.

Ukuzivocavoca umzimba

Ukuhamba, ukubhukuda, neyoga yangaphambi kokubeletha kungaba yizindlela ezinhle zokuzivocavoca umzimba. Buza udokotela wakho ngaphambi kokuqala uhlobo olusha lokuzivocavoca umzimba.