Ungasivimbela Yini Isifo Sikashukela Sokukhulelwa?

-Delile

• Yiziphi izinto ezinobungozi besifo sikashukela sokukhulelwa?
• Nginganciphisa kanjani ubungozi besifo sikashukela sokukhulelwa?
• Yini ukuxhumana phakathi kwesifo sikashukela sokukhulelwa kanye ne-insulin?
• Ziyini izimpawu zesifo sikashukela sokukhulelwa?
• Sitholakala kanjani isifo sikashukela sokukhulelwa?
• Selashwa kanjani isifo sikashukela sokukhulelwa?
• Kuzovivinywa kangaki amazinga kashukela egazini lami?
• Yikuphi okunye okungasithinta ukukhulelwa kwami?
• Uyini umbono wesifo sikashukela sokukhulelwa?
• I-Q & A.
• Q:
• A:

Siyini isifo sikashukela sokukhulelwa?

Isifo sikashukela sokukhulelwa yisimo sesikhashana esingavela ngesikhathi sokukhulelwa. Uma unesifo sikashukela sokukhulelwa, kusho ukuthi unamazinga aphezulu kashukela kunokujwayelekile ngenkathi ukhulelwe.

Isifo sikashukela sokukhulelwa sithinta cishe amaphesenti amabili kuya kwayishumi okukhulelwa e-United States, ngokusho kweCenters for Disease Control and Prevention.

Uma unesifo sikashukela sokukhulelwa, kubalulekile ukuthi welashwe ngokushesha ngoba kungadala izinkinga empilweni yakho neyengane yakho.

Izimbangela zesifo sikashukela sokukhulelwa aziqondakali ngokuphelele futhi azikwazi ukuvinjelwa ngokuphelele. Kepha unganciphisa ubungozi bokuyithuthukisa. Qhubeka ufunda ukuze ufunde kabanzi ngalesi simo nokuthi yini ongayenza ukunciphisa ubungozi bakho.

Yiziphi izinto ezinobungozi besifo sikashukela sokukhulelwa?

Isifo sikashukela sokukhulelwa sihlotshaniswa nezici ezahlukahlukene zobungozi, kufaka phakathi:

• uneminyaka engaphezu kwengama-25
• ukukhuluphala ngokweqile
• ukuba nesihlobo esiseduze nesifo sikashukela sohlobo 2
• ukuba nezimo ezibanga ukumelana ne-insulin, njenge-polycystic ovarian syndrome (i-PCOS) kanye ne-skin disorder acanthosis nigricans
• ukuba nomfutho wegazi ophakeme ngaphambi kokukhulelwa
• ukuba nesifo sikashukela sokukhulelwa ngesikhathi sokukhulelwa kwangaphambilini
• ukuthola isisindo esikhulu ngesikhathi sokukhulelwa kwamanje noma kwangaphambilini
• ukuthatha i-glucocorticoids
• ukukhulelwa okuphindaphindwayo, njengamawele noma amawele amathathu

Amanye amaqembu ezinhlanga asengozini enkulu yokuthola isifo sikashukela sokukhulelwa, kufaka phakathi:

• Abantu base-Afrika baseMelika
• Abase-Asia-baseMelika
• AmaSpanishi
• Abomdabu baseMelika
• Iziqhingi zase-Pacific

Nginganciphisa kanjani ubungozi besifo sikashukela sokukhulelwa?

Indlela engcono yokwehlisa ubungozi besifo sikashukela sokukhulelwa ukuhlala uphilile nokulungiselela umzimba wakho ukukhulelwa.

Uma ukhuluphele ngokweqile, ungathatha izinyathelo ezilandelayo ukulungiselela ukukhulelwa:

• Sebenzela ukuthuthukisa indlela odla ngayo futhi udle ukudla okunempilo.
• Sungula inqubo ejwayelekile yokuzivocavoca umzimba.
• Cabanga ukunciphisa umzimba.

Khuluma nodokotela wakho ngendlela engcono yokwehlisa isisindo, ngoba ngisho namakhilogremu ambalwa angenza umehluko ezingeni lakho lobungozi lesifo sikashukela sokukhulelwa.

Uma ungasebenzi, noma ngabe ukhuluphele ngokweqile noma cha, kufanele futhi usebenzele ukwenza umsebenzi ojwayelekile womzimba okungenani kathathu ngesonto. Zilolonge ngokulinganisela okungenani imizuzu engama-30 isikhathi ngasinye. Yamukela ukudla okunempilo okugxile emifinini, izithelo, nakuzinhlamvu ezigcwele.

Uma usukhulelwe, ungazami ukunciphisa umzimba ngaphandle uma udokotela ekuncoma. Funda ukuthi unganciphisa kanjani isisindo ngokuphepha uma ukhuluphele futhi ukhulelwe.

Uma uke waba nesifo sikashukela sokukhulelwa ngesikhathi sokukhulelwa kwangaphambilini futhi uhlela ukukhulelwa futhi, tshela udokotela wakho. Bazokwenza ukuhlolwa kusenesikhathi ukuze babone izinto ezinobungozi bakho futhi baqinisekise ukuthi ukhulelwe okunempilo.

Yini ukuxhumana phakathi kwesifo sikashukela sokukhulelwa kanye ne-insulin?

Zonke izinhlobo zesifo sikashukela zihlobene ne-hormone insulin. Ilawula inani le-glucose egazini lakho ngokuvumela ushukela ukuthi usuke egazini ungene kumaseli akho.

I-insulin enganele noma ukusetshenziswa okungasebenzi kahle kwe-insulin ngamaseli omzimba wakho kuholela emazingeni aphezulu eglucose egazini. Njengoba uthola isisindo, umzimba wakho usebenzisa i-insulin ngokungasebenzi kahle, ngakho-ke udinga ukukhiqiza okuningi ukuze ulawule ushukela osegazini lakho. Funda kabanzi ngemiphumela ye-insulin.

Ngaphezu kwalokho, uma ukhulelwe i-placenta yakho ikhiqiza ama-hormone avimba i-insulin. Lokhu kwenza ushukela uhlale egazini lakho isikhathi eside ngemuva kokudla. Ingane yakho ithola izakhamzimba egazini lakho, ngakho-ke kuyazuzisa ngesikhathi sokukhulelwa ukuthi izakhi zomzimba zihlale egazini lakho isikhathi eside ukuze ingane yakho ikwazi ukuzithola. Izinga elithile lokumelana ne-insulin livamile ngesikhathi sokukhulelwa.

Izinga lakho le-glucose lingakhuphuka kakhulu ngesikhathi sokukhulelwa uma:

• ubusuvele ungenwa yi-insulin ngaphambi kokukhulelwa
• amazinga eglucose egazi akho abesevele ephakeme ngaphambi kokukhulelwa
• unezimo ezikubeka engcupheni enkulu yokumelana ne-insulin

Uma amazinga akho eglucose eba phezulu kakhulu, uzotholakala unesifo sikashukela sokukhulelwa.

Ziyini izimpawu zesifo sikashukela sokukhulelwa?

Ngokuvamile, ngeke ube nezimpawu ezibonakalayo zesifo sikashukela sokukhulelwa. Abanye besifazane bangathola izimpawu ezincane ezifana nalezi:

• ukukhathala
• ukoma ngokweqile
• ukukhuphuka okuphuthumayo nokuvama komchamo
• ukuhoshozela
• ukwanda kwesisindo

Kodwa-ke, isifo sikashukela sokukhulelwa singakhuphula ubungozi bezinye izimo.

Enye yezinto ezibucayi kakhulu yi-preeclampsia, edala umfutho wegazi ophakeme futhi ingabulala uma ingalashwa ngokushesha.

Isifo sikashukela sokukhulelwa komzimba sihlotshaniswa ne-macrosomia, isimo lapho ingane yakho ikhula khona kakhulu. IMacrosomia ihlotshaniswa nengozi ephezulu yokulethwa okuphuthumayo kwe-cearean.

Isifo sikashukela sokukhulelwa komzimba kungaholela nokuthi ingane yakho ibe noshukela ophansi wegazi lapho izalwa. Ezimweni zesifo sikashukela sokukhulelwa esilawulwa kahle, ingane yakho isengozini enkulu yokubeletha.

Sitholakala kanjani isifo sikashukela sokukhulelwa?

Njengoba isifo sikashukela sokukhulelwa ngokuvamile singenazo izimpawu, sitholakala ngokuhlolwa kwegazi. Udokotela wakho uzoku-oda ukuhlolwa kwesifo sikashukela sokukhulelwa ngesikhathi sakho se-trimester yesibili. Uma unezici ezithile zobungozi, ungahle uvivinywe ekuqaleni kwe-trimester yakho yokuqala.

Ukuhlolwa kungenziwa ngenye yezindlela ezimbili. Esokuqala sibizwa ngokuthi yi-glucose challenge test (GCT). Ngesikhathi sokuhlolwa, uzophuza isixazululo esinoshukela bese uthatha ukudweba igazi ngemuva kwehora. Awudingi ukuzila ukudla kulolu vivinyo. Uma lo mphumela uphakeme, kuzofanele wenze ukuhlolwa kwama-glucose amahora amathathu.

Inketho yesibili yokuhlola ukuhlolwa kokubekezelelana kwe-glucose (OGTT). Ngalesi sivivinyo, kuzofanele uzile ukudla futhi udonse igazi. Ngemuva kwalokho uzophuza isisombululo esinoshukela, bese uhlolwa i-glucose yegazi lakho ehoreni elilodwa namahora amabili kamuva. Uma omunye wale miphumela uphakeme, uzotholakala ukuthi unesifo sikashukela sokukhulelwa.

Selashwa kanjani isifo sikashukela sokukhulelwa?

Abesifazane abaningi bayakwazi ukuphatha isifo sikashukela sokukhulelwa ngokudla nangokuzivocavoca umzimba, okungasebenza kakhulu ekulawuleni amazinga kashukela egazini.

Kuzodingeka unake ngokukhethekile ukudla kwakho kwe-carbohydrate nosayizi bezingxenye zakho. Kubalulekile futhi ukuthi ugweme ukudla nokuphuza izinto ezithile, ezibandakanya utshwala, ukudla okugayiwe, namastaki afana namazambane amhlophe nelayisi elimhlophe. Bheka lolu hlu lokudla ukuthola amathiphu amaningi wokuthi yini ongayidla nongakwazi ukuyidla uma unesifo sikashukela sokukhulelwa.

Udokotela wakho uzoncoma uhlelo lokudla nohlelo lokuzivocavoca umzimba. Ukuzivocavoca okuphephile ukukwenza ngesikhathi sokukhulelwa kufaka:

• Ama-Pilates
• i-yoga
• ukuhamba
• ukubhukuda
• egijima
• ukuqeqeshwa kwesisindo

Uzodinga futhi nokuqapha amazinga kashukela egazini lakho ukuze uqiniseke ukuthi i-glucose yakho ayiphezulu kakhulu.

Uma ukudla nokuzivocavoca kukodwa kungasebenzi, kungadingeka ukuthi uthathe ne-insulin.

Kuzovivinywa kangaki amazinga kashukela egazini lami?

Udokotela wakho uzohlola amazinga kashukela egazini lakho njalo lapho ukhulelwe, futhi kuzodingeka ukuthi uhlole amazinga akho nsuku zonke ekhaya.

Ukwenza lokhu, uzosebenzisa inaliti encane ukuthatha isampula yegazi emunweni wakho, ozoyibeka esihlokweni sokuhlola kumitha yeglucose yegazi. Udokotela wakho uzokutshela ukuthi yiluphi uhla lwezinombolo okufanele uzibheke. Uma i-glucose yakho iphezulu kakhulu, shayela udokotela wakho ngokushesha.

Ngaphezu kokuhlolwa ekhaya, uzovakashela udokotela wakho kaningi uma unesifo sikashukela sokukhulelwa. Udokotela wakho mhlawumbe uzofuna ukuhlola amazinga wakho we-glucose ehhovisi kanye ngenyanga ukuqinisekisa ukufundwa kwakho kwasekhaya.

Yikuphi okunye okungasithinta ukukhulelwa kwami?

Ungaba nama-ultrasound avame kakhulu ukuqapha ukukhula kwengane yakho. Udokotela wakho angenza ukuhlolwa kwe-nonstress ukuqinisekisa ukuthi izinga lokushaya kwenhliziyo yengane yakho liyakhuphuka lapho lisebenza.

Udokotela wakho futhi angancoma ukwenziwa uma umsebenzi ungaqali ngosuku lwakho olubekiwe. Lokhu kungenxa yokuthi ukulethwa ngemuva kwesikhathi kungakhuphula ubungozi bakho uma unesifo sikashukela sokukhulelwa.

Uyini umbono wesifo sikashukela sokukhulelwa?

Isifo sikashukela sokukhulelwa ngokuvamile siyazimela ngemuva kokubeletha. Udokotela wakho uzohlola amazinga kashukela egazini lakho emavikini ayisithupha kuya kwayi-12 ngemuva kokubeletha ukuze aqiniseke ukuthi amazinga akho abuyele kokujwayelekile. Uma bengakakwenzi, ungaba nohlobo 2 lwesifo sikashukela.

Noma ushukela wakho wegazi ubuyele kokujwayelekile ngemuva kokufika kwengane yakho, isifo sikashukela sokukhulelwa sikubeka engcupheni eyengeziwe yokuthuthukisa uhlobo lwesifo sikashukela sesibili esikhathini esizayo empilweni. Kufanele uhlolwe njalo eminyakeni emithathu ukuqinisekisa ukuthi amazinga eglucose egazi akho ajwayelekile.

Uma ngabe ubenesifo sikashukela sokukhulelwa, ingane yakho nayo isengozini enkulu yokuba nesisindo noma uhlobo lwesifo sikashukela sohlobo lwesibili lapho isikhulile. Unganciphisa le ngozi ngoku:

• ukuncelisa ibele
• ukufundisa ingane yakho imikhuba yokudla enempilo isencane
• ukukhuthaza ingane yakho ukuthi isebenze ngokomzimba kuyo yonke impilo yayo

I-Q & A.

Q:

Ngabe ukudla ukudla okunoshukela ngesikhathi ngikhulelwe kuzokwandisa ubungozi besifo sikashukela sokukhulelwa?

Isiguli esingaziwa

A:

Ukudla ukudla okunoshukela ngeke kwandise ubungozi besifo sikashukela sokukhulelwa. Uma kutholakala ukuthi unesifo sikashukela sokukhulelwa kuzobaluleka ukuphatha ukudla kwakho kwe-carbohydrate ukuphatha kahle amazinga akho kashukela egazini. Lokhu kungafaka ukuphatha ukudla kwakho okunoshukela. Okunye kwalokhu kudla, okufana nesoda nejusi, kugaya ngokushesha okukhulu kunokunye ukudla okune-carbohydrate okune-fiber, futhi kunganyusa amazinga kashukela egazini, ikakhulukazi uma kuthathwa kukodwa. Hlangana nodokotela wezokudla obhalisiwe uma kutholakala ukuthi unesifo sikashukela sokukhulelwa ukuze uqiniseke ukuthi ukuphatha indlela odla ngayo ngokufanele.

UPeggy Pletcher, MS, RD, LD, CDEA izimpendulo zimela imibono yochwepheshe bethu bezokwelapha. Konke okuqukethwe kunolwazi oluqinile futhi akufanele kuthathwe njengezeluleko zezokwelapha.