Isifo sikashukela kwabesifazane: izimpawu nokwelashwa

Isifo sikashukela i-mellitus kwabesifazane sinezici uma siqhathaniswa nesifo esifanayo kwabesilisa. Zingasho lutho, kepha noma kunjalo, zithinta ukuxilongwa nokwelashwa. Abesifazane banesifiso sokuthi yiziphi izimpawu zesifo sikashukela abangase babe nazo, ikakhulukazi ukwelashwa kwabo nokuvimbela.

Inkambo yalesi sifo ithintwa yiminyaka, izigaba zokujikeleza kokuya esikhathini, ukuya esikhathini nokuzinye izimo zesiguli. Zonke lezi zihloko zixoxwa ngokuningiliziwe esihlokweni. Uma usenemibuzo - buza kumazwana, abaphathi besayithi baphendula ngokushesha.

Lokhu okulandelayo ukuphazamiseka kwe-metabolic:

Isifo Sikashukela Sikhulelwe kanye nesifo Sikashukela Sokugula - Yazi umehluko! Isifo sikashukela esikhulelwe yilapho owesifazane, ngisho nangaphambi kokukhulelwa, eba nokuxilongwa kohlobo 1 noma isifo sikashukela sohlobo 2. Isifo sikashukela sokukhulelwa - ushukela wawukhuphuka ngesikhathi sokukhulelwa, nangaphambilini kwakujwayelekile. Zombili lezi zifo ziphathwa ngemijovo yokudla kanye ne-insulin, kepha izindlela zihlukile, ngakho-ke udinga ukwenza ngokunembile ukuxilongwa. Kunoma yikuphi, amaphilisi kashukela ngesikhathi sokukhulelwa anqatshelwe. Izindlela zokwelapha ezifanelekileyo ukudla, ukujova kwe-insulin kanye (ngobunono!) Umsebenzi womzimba.

Siyini isifo sikashukela kanye ne-prediabetes?

Thayipha isifo sikashukela sohlobo loku-1 noma uhlobo 2 lapho ukuphakanyiswa kweglue glucose yomuntu kuphakanyiswa. Kuhlala kune-glucose encibilikisiwe egazini lakho, elisetshenziswa ngumzimba njengomthombo wamandla. Kodwa-ke, ushukela omningi ulimaza impilo. Kusuka egazini, ushukela ungena emangqamuzaneni, lapho kuvutha khona njengamafutha. Ukuze uphethiloli ungene kumaseli, kudingeka i-insulin. Leli yi-hormone elenziwa ngamanyikwe, ikakhulukazi amaseli alo we-beta. Ukusuka kumanyikwe, i-insulin ingena egazini, lapho isebenza khona, isiza amaseli ukuthola ushukela.

Isifo sikashukela sohlobo 1 senzeka ngoba amanyikwe awakhiqizi i-insulin eyanele. Ngohlobo 2 sikashukela, i-insulin egazini yanele noma ingaphezu kakhulu, kepha ukuzwela kwamangqamuzana kuyo kuyancishiswa. Noma ngabe uluhlobo luni lwesifo sikashukela, ukugxilwa koshukela egazini kuphakanyisiwe. Lokhu kungadala izinkinga ezinzima - ubumpumputhe, ukwehluleka kwezinso, ukunqunywa konyawo noma umlenze, futhi kaningi ukushaywa yinhliziyo noma unhlangothi. Kwabesifazane besikhathi sokuzala, isifo sikashukela sandisa ingozi yemiphumela emibi yokukhulelwa.

I-Prediabetes - ushukela wegazi lomuntu uyaphakanyiswa, kepha hhayi kakhulu. Lesi akusona isifo sikashukela "esigcwele". Uma isifo sikashukela sangaphambi kokulawulwa singalawulwa, ngokuhamba kwesikhathi kuzophenduka uhlobo 2 sikashukela. Kodwa-ke, iziguli zivame ukubulawa isifo senhliziyo ngaphambi kokuba isifo sikashukela sohlobo 2 sibe nesikhathi sokukhula. Thatha lokhu kuthathwa ngokungathi sína ngangokunokwenzeka, noma ngabe kungekho okukuhluphayo kuze kube manje. Isifo sikashukela ngeke sibe nemiphumela emibi uma ushintsha indlela yokuphila enempilo - shintsha indlela odla ngayo futhi uhlanganyele nemfundo yomzimba.

Izimpawu zesifo sikashukela kwabesifazane

Esikhathini esiningi, izimpawu zesifo sikashukela kwabesifazane ziyefana nakwabesilisa. Okuwukuphela kophawu lwesifazane olubalulekile ukutheleleka esithweni sangasese sowesifazane. Isifo sikashukela sidala izimo ezinhle zokukhiqizwa kwesikhunta emzimbeni. Phakathi kokunye, isikhunta se-pathogenic sibangela ukulunywa kwesitho sangasese sowesifazane futhi siphume. Ngaphezu kwalokho, kuma-diabetes, i-thrush ayithandi ukwelapha.

Bhala kafushane izimpawu ezijwayelekile ezisele:

• Ukoma, ukuchama kaningi.
• Ukutheleleka kwesikhunta emlonyeni noma emilenzeni.
• Owesifazane ulahlekelwa isisindo ngokungaphenduleki (hhayi njalo!).
• Ukukhathala, ukulahleka kombono, izinkinga zememori ziyizimpawu ezifakwa ngokungeyikho ngobudala.

Funda isihloko esithi “Izimpawu Zesifo Sabantu Abadala”. Konke kuchazwe lapho ngokuningiliziwe, ngezithombe. Kunikezwa izimpendulo zemibuzo ebuzwa njalo, kufaka phakathi i-thrush.

Kwesinye isikhathi isifo kubantu besifazane sivezwa iqiniso lokuthi amabala e-pigment atholakala ezandleni nasebusweni, izinzipho nezinwele ziba brittle. Kepha izimpawu “zesimonyo” sikashukela azinakubhekwa njengezijwayelekile. Akuvamile. Futhi ngokuqinisekile ngaphambi koshintsho esikhumbeni, izinzipho nezinwele, uzozwa ubuthakathaka, ukukhathala okungamahlalakhona, ukoma okungapheli nezinye izimpawu eziphambili.

Uma owesifazane esola ukuthi unesifo sikashukela, kudingeka aye elabhorathri ayohlolwa igazi nge-glycated hemoglobin. Lokhu kuhlaziya akudingeki ukuthi kuthathwe esiswini esingenalutho, kodwa ungakwenza nganoma yisiphi isikhathi sosuku. Bheka futhi "Ukuxilonga uhlobo 1 nesifo sikashukela sohlobo 2." Ukuhlolwa koshukela okusheshayo kwegazi akunconywa ukuthola isifo sikashukela. Angakhombisa iminyaka eminingana ukuthi konke kuhamba kahle, kepha ngalesi sikhathi izingqinamba sezivele zikhula ngokushintshana okugcwele. Hlola i-hemoglobin ye-glycated, ungagcini.

Ukwelashwa

Ukwelashwa kwesifo sikashukela:

• ukudla okunempilo;
• ukusebenza komzimba;
• Ukuzihlola njalo kwe-glucose yegazi;
• imijovo ye-insulin - uma kunesidingo.

Funda izindatshana eziningi:

• Ukwelashwa kwesifo sikashukela sohlobo 2 ngaphandle kwendlala, insulin nokusebenza kanzima.
• Ukwelashwa okusebenzayo kwesifo sikashukela sohlobo 1 ushukela ojwayelekile, imithamo ephansi ye-insulin, nokuvinjwa kwezinkinga.

Imininingwane yokwelashwa kwesifo sikashukela kwabesifazane ichazwe ngezansi. Thola ukuthi umjikelezo wokuya esikhathini, ukukhulelwa, nokuya esikhathini uyithinta kanjani ushukela wakho wegazi, umthamo kanye nomthamo we-insulin.

Izici zohlobo 1 sikashukela

I-insulin ingelinye lama-hormone elibhekele ukumuncwa kokudla. Ihambisa ushukela osuka egazini uye ezingxenyeni futhi ibuye ithinte ngokungathí sina ukuqina kwamaprotheni namafutha. Kuzoba wusizo kuwe ukuthi ufunde umbhalo othi “Isebenza kanjani i-insulin, ukuthi ilawula kanjani ushukela wegazi”. Abanye besifazane abanesifo sikashukela sohlobo loku-1 bayabona ukuthi uma wehlisa umthamo we-insulin, ungahle wehlise isisindo. I-insulin engaphansi - nesisindo somzimba sizoncipha ngokushesha ngo-2 kg. Kodwa-ke, kulolo vivinyo, ushukela wegazi uyakhishwa. Ukwehla kwesisindo esifushane kutholakala ngezindleko zokuthola izinkinga ezinzima zesifo sikashukela, esivame ukungaphenduki.

Khumbula ukuthi ngokuntuleka kwe-insulin, amanzi, futhi hhayi amafutha, into yokuqala eshiya umzimba. Ngakho-ke, ukunciphisa umzimba kushesha ngendlela emangalisayo. Kodwa-ke, lapho owesifazane ebuyisela imithamo evamile ye-insulin, isisindo sakhe sibuyela ngokushesha. Imvamisa nayo iyanda. Izinkinga zesifo sikashukela esiye sakhula azinyamalali. Futhi uma ukhawulela i-insulin isikhathi eside, kuzoholela ekunakekelweni okunzulu nge-ketoacidosis yesifo sikashukela. Ngeshwa, ukunciphisa imithamo ye-insulin ukuze wehlise isisindo kungenye yezinkinga ezivamile zengqondo abesifazane abanesifo sikashukela abanazo. Imvamisa udinga usizo lodokotela wezengqondo, futhi kwesinye isikhathi ngisho nodokotela wengqondo.

Bheka futhi "Ukuthi wehlise kalula isisindo sikashukela kalula futhi uvikeleke."

Kuzokwenzekani uma kungelashwa

Isifo sikashukela kubantu besifazane nabesilisa, abadala nezingane siyingozi ngenxa yezinkinga zaso, okuholela ekukhubazekeni nasekufeni ngaphambi kwesikhathi. Lesi sifo sibizwa ngokuthi "umbulali othule", ngoba umuntu akalimazi lutho, yize izinkinga sezivele zivele ngokushintshana. Lapho igula, kuzoba sekwephuze ... Bheka uhlu olucacile lwezinkinga zikashukela. Izindlela zokuvimbela nokwelashwa kwezinkinga zichazwa ngokuningiliziwe lapho. Qinisa ugqozi lokuqapha ngokucophelela i-glucose metabolism yakho.

Ngo-2007, i-European Cardiovascular Journal yashicilela imiphumela yocwaningo olukhulu olude lwemiphumela yesifo sikashukela emadodeni nakwabesifazane. Ngeshwa, kuvela ukuthi isifo sikashukela sihlukumeza abesifazane ngaphezu kwabesilisa. Lesi sifo sinciphisa isikhathi sokuphila kwabesilisa ngesilinganiso seminyaka engu-7.5, nabesifazane ngeminyaka engu-8,2. Kwabesilisa, isifo sikashukela sikhulisa ubungozi besifo senhliziyo ngezikhathi ezi-2 kuya kwezi-3, nakwabesifazane, amahlandla ama-6. Futhi, abesifazane basengozini enkulu yokuthi ukuhlaselwa yinhliziyo okuholela ekufeni.

Ukudana nesifo sikashukela kuyondla futhi kwakha umjikelezo omubi oholela ekufeni kusenesikhathi. Kepha ukudana kwabesifazane kwenzeka kaningi njengakwabesilisa, naphakathi kweziguli ezinesifo sikashukela lokhu kuqhubeka. Ngokwesibalo sabantu abane-carbohydrate metabolism ejwayelekile, abesifazane mancane amathuba okuba bahlaselwe yisifo sezinso. Kepha phakathi kwabanesifo sikashukela, leli thuba labesifazane liyalahleka. Banenkinga yokuhluleka kwezinso kaningi njengamadoda.

Isiphetho: lawula kahle isifo sikashukela, zinakekele. Esihlokweni esikhuluma ngezivivinyo okudingeka uzithathe, uzothola uhlu oluningiliziwe lwezivivinyo. Imvamisa abadinga ukudluliselwa ngayo elabhorethri iyakhonjiswa. Lokhu akuyona kuphela ukuhlolwa kwegazi ushukela, kodwa futhi nokuthola i-cholesterol nezinye izinto ezibeka engcupheni yenhliziyo. Banikeze njalo. Bheka nomsebenzi wakho wezinso. Thintana nochwepheshe uma kunesidingo. Iqembu lakho lezokwelapha kufanele libe nodokotela omuhle wezinhliziyo, i-ophthalmologist ... futhi nephrologist ngeke ilimaze, uma kwenzeka kunjalo.

Ukuvimbela

Isifo sikashukela sohlobo 2 sibhekene ne-9/10 yawo wonke amacala alesi sifo. Izindaba ezimnandi ukuthi ayivikeleki kahle nje. Ungaqinisekiswa ukukuvikela uma uhola impilo enhle. Futhi ngenxa yalokhu awudingi ukuhlala ekudleni "okulambile" futhi uzikhandle ekuqeqeshweni kwezemidlalo. Thola ukuthi kukuphi ukudla okumnandi nokunambitheka kwe-carbohydrate ephansi, nokuthi ungakujabulela kanjani ukuqeqeshwa ngokomzimba.

Odokotela bangakutshela ukuthi kungenzeka 100% ukuvimbela isifo sikashukela sohlobo 2 uma umuntu ehlulekile ufuzo. Kodwa-ke, lokhu akulona iqiniso. Ifa elibi lisho nje umkhuba wokudla okungamampunge nokuhlala kokudlulela odluliselwa ezinganeni kusuka kubazali bazo. Ukudla okulambile nokusebenza kanzima akusebenzi. Futhi uzokujabulela ukudla okuphansi kwe-carbohydrate kanye nendlela yokufunda ngokomzimba futhi uzonikeza isiqinisekiso esiphelele sokuthi ngeke lube khona uhlobo 2 sikashukela.

Futhi funda incwadi ethi “Omncane minyaka yonke” yokuthi ungayijabulela kanjani impilo enempilo.

Ngeshwa, maqondana nesifo sikashukela sohlobo 1, izindlela zokuvimbela ezisebenzayo azikho namuhla. Kucatshangwa ukuthi uma ingane inceliswa ibele, futhi ingeyona eyokwenziwa, khona-ke amathuba okuthola isifo sikashukela sohlobo 1 ancishisiwe. Kepha lokhu akafakazwanga ngokusemthethweni. Akukho ukugoma noma amaphilisi asiza ngokuqondile.

Umjikelezo wokuya esikhathini

Ngezigaba ezihlukene zomjikelezo wokuya esikhathini, isizinda sehomoni emzimbeni wowesifazane sehlukile. Amanye ama-hormone ayakhuphuka, kanti amanye anciphisa ushukela wegazi kushukela. Iningi labesifazane abanesifo sikashukela sohlobo 1 noma uhlobo 2 sikashukela abagcina amazinga abo kashukela aphakeme izinsuku eziningana ngaphambi kokuqala kwezinsuku ezibucayi. Ngemuva kwalokho, lapho ukuqala kokuya esikhathini sekuqala, ushukela ubuyela kokujwayelekile phakathi kwezinsuku eziyi-1-2. Umjikelezo wokuya esikhathini unomthelela omkhulu kunoshukela wokuzila ekuseni. Funda ukuthi ukubuyisa kanjani kokujwayelekile.

Konke lokhu kufana nesimo sokukhulelwa, esichazwa ngokuningiliziwe ngezansi. Engxenyeni yesibili yokukhulelwa, ushukela ukhuphuka, futhi ngemuva kokubeletha ngokushesha ubuyela kokujwayelekile. Kepha, ngeqiniso, ngesikhathi sokuya esikhathini, ukuguquguquka kweglucose yegazi akunamandla kangako.

Cishe uyazi ukuthi izinsuku ezibucayi kulindeleke nini. Gcina idayari yezilinganiso zikashukela ukulandelela ukuthi iziphatha kanjani ezigabeni ezihlukene zomjikelezo. Ngemuva kwezinyanga ezi-3, uzothola ukuthi isithombe silingana ngaso sonke isikhathi uma umjikelezo ungaphambuki. Ngiqonde ukuthi - lesi simo sizinzile, awunankinga ngokweqile, njll. Zama ukunxenxa ukukhuphuka koshukela wegazi okubangelwa ama-hormone akho njalo. Ukuze wenze lokhu, ngezinsuku ezifanele, khulisa umthamo wansuku zonke we-insulin enwetshiwe ngu-10-20%. Ushukela wegazi kungenzeka wehle ngemuva kokuqala kokuya esikhathini. Ukuphendula lokhu, ukunciphisa umthamo we-insulin ende noma i-insulin esheshayo ngaphambi kokudla ngo-20-30%.

Ukuya esikhathini

Ukunqamuka kokuya esikhathini ngokwemvelo kwenzeka ngenxa yokuthi amaqanda amaqanda esifazane oneminyaka ephakathi nendawo kancane kancane akhiqiza i-estrogen engaphansi. Ukunqamuka kokuya esikhathini kungadalwa nokuhlinzwa ukuze kususwe amaqanda. Kulokhu, ukukhiqizwa kwe-estrogen kuyeka kungazelelwe. Ngesikhathi sokuya esikhathini, isisindo somzimba sowesifazane sivame ukukhuphuka. Ezinye izinkomba ukushisa okushisayo, ukushintshashintsha kwemizwa, ukukhathala. I-estrogen ikhulisa ukuzwela kwezicubu kuyi-insulin. Lapho le hormone iba yincane, ukulawula ushukela kungaba yinkimbinkimbi.

Ekuqaleni kokuyeka ukuya esikhathini, abesifazane abaningi abanesifo sikashukela esincike ku-insulin baphawula ukuthi i-hypoglycemia yabo ivame kakhulu futhi iba nzima ngokwengeziwe. Ukuhlaselwa okungathandeki ikakhulukazi kwe-hypoglycemia ebusuku. Lezi zinkinga zibangelwa ukuthi amazinga e-estrogen ayaguquguquka. Kamuva ibekwa phansi iphansi. Ngenxa yalokhu, ukusebenza kwe-insulin kuncishisiwe, futhi umthamo wawo udinga ukwandiswa.

Ukuguquguquka kushukela wegazi kwabesifazane ngesikhathi sokunqamuka kokuya esikhathini kungabantu. Akunakwenzeka ukuthi unikeze noma yiziphi izincomo eziqondile kwimithamo ye-insulin. Imvamisa ushukela wakho nge-glucometer, gcina amarekhodi, uwahlaziye. Funda ukuthi ungawaba kanjani ngokunembile imithamo ye-insulin kusuka kwimitha yakho kashukela egazini kanye nokudla okudlayo. Ushukela ungashintshashintsha kakhulu emuva naphambili, kepha lesi akusona isizathu sokushintsha kakhulu irejimeni yokwelashwa kwe-insulin. Yenza kahle, kepha ngokuhlelekile - futhi ngokuhamba kwesikhathi konke kuzozinza.

Isifo sikashukela sokutholwa kwesisu

Isifo sikashukela sokuya esikhathini yilapho ushukela wegazi lowesifazane ngesikhathi sokukhulelwa ukhuphuka kakhulu. Futhi phambilini, ngaphambi kokuthwala ingane, wayejwayelekile. Izinkinga ezinoshukela ngesikhathi sokukhulelwa zenzeka ku-2-10% yabesifazane. Uma isifo sikashukela sokukhulelwa singalawulwa, kuzoba nemiphumela emibi kumama, futhi ikakhulukazi ebeleni. Ngakolunye uhlangothi, lokhu kuphazamiseka kwemetaboliki kungalapheka kakhulu ngokujova nokudla kwe-insulin. Into esemqoka ukuyithola ngesikhathi, bese uyiphatha ngokucophelela.

Udinga ukusebenzisa imitha kaningana ngosuku, ikakhulukazi ngemuva kwemizuzu engama-30-60 ngemuva kokudla. Ziphathe ngenkuthalo, noma ngabe ushukela omkhulu wegazi ungazibangeli zimpawu. Awudingi ukungahambi kahle kwengane nokuzala okunzima, akunjalo? Lawula ushukela wakho bese ulandela irejimeni enqunywe ngodokotela bakho ukuze uqinisekise ukukhula okujwayelekile kwengane yakho.Ngemuva kokubeletha, ushukela uzobuyela kokujwayelekile, futhi umbuso wokulawula ungancipha.

Noma ngabe yiziphi izimpendulo zakho kwimibuzo yokuhlola, hlola ushukela wegazi lakho phakathi kwamasonto angama-24 kuya kwayi-28 ekhulelwe. Udokotela wakho cishe uzokuqondisa ekuhlaziyweni.

Ukucacisa, isivivinyo sikashukela wegazi esisheshayo akuyona isinqumo esihle kunazo zonke. Angayifihla inkinga, anikeze umphumela ongemuhle omuhle. I-Glycated hemoglobin isivivinyo esihle kakhulu sokuthola isifo sikashukela ... kepha hhayi ngesikhathi sokukhulelwa, ngoba imicimbi iyanda ngokushesha okukhulu. Thatha isikhathi sokuthatha isivivinyo sokukhuthazelela i-glucose esithatha amahora amabili.

Isifo sikashukela sokutholwa kwesisu sitholakala uma ukuhlolwa kwegazi ezimbili ushukela ngezinsuku ezahlukahlukene kubuye kwaba kubi. Isikhathi esisodwa asanele. Uma owesifazane enaka ukulawula ushukela wakhe, khona-ke ezimweni eziningi ukukhulelwa kuphumelela ngempumelelo. Indlela yokwelashwa ichazwa kabanzi esihlokweni esithi "Isifo Sikashukela Sikashukela."

Ngemuva kuka-2010, ukudla okunomkhawulo olinganiselayo wama-carbohydrate kunconywa ngokusemthethweni, kuze kube ngama-80-100 amagremu ngosuku noma kuze kufike ku-35-45% wokuphuza ikhalori. Ama-carbohydrate adonswa ngokushesha aqedwa ngokuphelele. Ekudleni kowesifazane okhulelwe kusuka emikhiqizweni equkethe ama-carbohydrate, imifino kuphela, izithelo nokusalela okusanhlamvu okuncane. Ukudla okunjalo kuthuthukisa ushukela wegazi futhi kunciphise ubungozi bomphumela ongemuhle wokukhulelwa, uma kuqhathaniswa nokudla "okunokulinganisela" okuqukethe ama-carbohydrate angama-45-65%. Umthombo - incwadi "Isifo Sikashukela: Ukuxilongwa, Ukwelashwa, Ukuvimbela", ihlelwe. Mina I. Dedova noM. V. Shestakova, 2011, isahluko 23 “I-Gestationalabetes mellitus”.

Ukulandela ukudla okune-carbohydrate ephansi (20-40 g wama-carbohydrate ngosuku) ngesikhathi sokukhulelwa akunconywa namuhla. Noma kunjalo, kufanelekile ukuhamba ngemuva kokuzalwa. Lesi yisinyathelo esibaluleke kakhulu ukuvimbela ukukhula kwesifo sikashukela sohlobo 2 maphakathi kanye nokudala.

Masinyane ngemuva kokuzalwa, ushukela wegazi lakho kungenzeka ubuyele kokujwayelekile. Kodwa-ke, futhi, kukhona ingozi eyandayo yesifo sikashukela sohlobo 2. Konke okubhalwe ngaphezulu esigabeni esithi “Prevention” kungokwakho. Abesifazane abaye baba nesifo sikashukela sokukhulelwa belulekwa ukuba bahlole igazi nge-glycated hemoglobin kanye ngonyaka. Uqinisekisiwe ukuvikela isifo sikashukela sohlobo 2 uma uphila impilo enempilo. Lesi sifo asinakugwenywa.

Thayipha ukukhulelwa kwesifo sikashukela esingu-1

Uma unesifo sikashukela sohlobo 1, khumbula ukuthi izidingo ze-insulin zizoshintsha ezigabeni ezahlukene zokukhulelwa. Umthamo ophelele we-insulin nsuku zonke uzohluka ku-I, II kanye ne-III trimesters of ukukhulelwa. Ngaphezu kwalokho, isilinganiso se-insulin yesikhathi eside (i-basal) ne-insulin esheshayo (i-bolus) kungenzeka ihlale ingashintshiwe.

Ngokusho kokushintshwa kwezidingo ze-insulin, ukukhulelwa kuhlukaniswe ngezikhathi ezilandelayo:

• kusukela ekuqaleni kuya kumaviki ayi-6;
• Amasonto angama-7 kuya kwele-12;
• Ama-trimesters e-II no-III, kuze kuphele amasonto angama-36;
• kusuka emavikini angama-37 ngaphambi kokuzalwa;
• izinsuku zokuqala ezingama-2-3 emva kokuzalwa.

Kuze kube yiviki le-6 lokukhulelwa, konke kuzokwenzeka njengokujwayelekile. Isidingo se-insulin sihlala sifana nangaphambi kokukhulelwa. Kungenzeka ungazi nokuthi ukhulelwe. Ngaphezu kwalokho, kusuka kumaviki ayisithupha kuya kwayi-12, umthamo wansuku zonke we-insulin uvame ukwehla. Akubonakali kuyinqaba kuwe? Ake sibone ukuthi kungani lokhu kwenzeka. Umsebenzi wamasosha omzimba ngalesi sikhathi uyancishiswa ukuze kungabikho ukwenqatshwa kwesibeletho. Ngenxa yalokhu, ukuhlaselwa kwe-autoimmune kumaseli we-pancreatic beta kubuthakathaka isikhashana.

Mhlawumbe ama-pancreas aqala ukukhiqiza inani elithile le-insulin yayo. Ngenxa yalokhu, kusuka kumaviki ayisithupha kuya kwayi-12 ekhulelwe, usongo lwe-hypoglycemia lukhuphuka amahlandla ama-3. Kuyingozi enganeni. Zizwe ukhululekile ukwehlisa imithamo yakho ye-insulin ngokushesha nje lapho imitha ikhombisa ukuthi ushukela wakho wegazi uyehla. Ngokwezifiso, kufanele ancishiswe ngo-25%, kepha konke lokhu kungumuntu ngamunye. Gcina amaphilisi kashukela asesandleni. Ngisho nangaphambi kokukhulelwa, udinga ukufunda ukuthi ungazisebenzisa kanjani ukuvimbela nokukhulula i-hypoglycemia.

Ngesikhathi sokukhulelwa, owesifazane kufanele alawule ushukela wakhe ngokucophelela kakhulu kunokwejwayelekile

Kuma-trimesters wesibili nowesithathu, isidingo sowesifazane se-insulin siyakhula kancane kancane. Isisindo somzimba siyanda. I-placenta ikhiqiza ama-hormone anciphisa ukusebenza kwe-insulin. Lawa ama-lactogen e-placental yabantu, iprogestron, prolactin ne-cortisol. Ukusuka kumaviki ayi-12 kuye kwangama-36 okukhulelwa, umthamo wansuku zonke we-insulin unyuka ngezikhathi ezingama-2-3. Lokhu kujwayelekile. Izithelo zikhula ngentshiseko. Ukugcina le nqubo, udinga i-insulin eningi.

Kusuka emavikini angama-36 ngaphambi kokuzalwa, isidingo se-insulin asisakhuli, kepha sihlala siphezulu. Masinyane nje ngemuva kokuzalwa, akugcini nje ukuwa, kodwa kuwa kakhulu. Akukhathalekile ukuthi ngabe ukuzalwa bekuyindalo yemvelo noma yecesare. Ngemuva kokuba i-placenta isusiwe, izinga lamahomoni abangele ukumelana ne-insulin ngokushesha lehla emzimbeni wowesifazane. Emahoreni okuqala angama-24-48 ngemuva kokuzalwa, umthamo ophelele we-insulin nsuku zonke ungaphansi ngisho nangaphambi kokukhulelwa. Qaphela i-hypoglycemia ngalesi sikhathi! Kwabanye besifazane abanesifo sikashukela esincike ku-insulin, kulezi zinsuku ezikhethekile, imijovo ye-insulin ingadingeki nhlobo. Lokhu akuvamile ukwenzeka, kepha gcina lokhu engqondweni.

Ngaphezu kwalokho, izidingo zakho ze-insulin zizocishe zifane nangaphambi kokukhulelwa. Ukuncelisa ibele kancane kwehlisa ushukela wegazi. Ngokuvumelana nalokho, imithamo ye-insulin nayo idinga ukwehliswa. Kodwa-ke, uma owesifazane ethola isisindo ngemuva kokubeletha, lokhu kuzonyusa ukumelana ne-insulin. Ukuyinxephezela, kuzodingeka imithamo yansuku zonke ephezulu ye-insulin. Lapho unakekela ingane, uzolala ngokungafanele, ungalali ngokwanele. Lokhu kuzophazamisa nezidingo zakho ze-insulin, mhlawumbe ekuqondeni kokunyuka kwabo.

Bheka futhi isihloko esithi “Ukukhulelwa okuphumelelayo ngesifo sikashukela sohlobo 1.”

Iziphetho

Esikhathini esiningi, isifo sikashukela kubantu besifazane asifani nalesi sifo emadodeni. Izimpawu zicishe zifane. Okuhlukile wukutheleleka kwabesifazane, okuyisimo esidale amadoda. Kepha abesifazane akufanele bakhathazeke ngokungabi namandla ...

Izici zenkathi yesifo sikashukela esencike kwabesifazane zichazwe ngokuningiliziwe ngenhla. Izigaba zomjikelezo wokuya esikhathini, ukuya esikhathini futhi iningi lakho konke ukukhulelwa kuthinta amazinga kashukela egazini. Kuzo zonke lezi zimo, umthamo we-insulin udinga ukulungiswa. Funda ukubala umthamo ngokunembile, futhi ungafaki umjovo ngaso sonke isikhathi njengoba kwenza abanesifo sikashukela abaningi.

Iwebhusayithi yeDiabetes-Med.Com ikhuthaza izindlela zokuguqula ukulawulwa kwesifo sikashukela eRussia:

• ekudleni okuphansi kwe-carbohydrate;
• imfundo yasemzimbeni ngentokozo;
• izindlela ezikhohlisayo zokubala imithamo ye-insulin.

Funda lolu lwazi ukugcina ushukela wakho wegazi ujwayelekile ngokujwayelekile, njengabantu abanempilo. Le ushukela ayiphezulu kune-5.5-6.0 mmol / l ngemuva kokudla, ekuseni esiswini esingenalutho futhi ikakhulukazi ngaphambi kokudla. Ngezinkomba ezinjalo, ukuthuthukiswa kwezinkinga zesifo sikashukela kuphume embuzweni. Impilo enempilo kuze kube ukuguga manje isiyatholakala kwiziguli ezikhuluma isiRussia. Uma usenemibuzo mayelana nezimpawu zesifo sikashukela kwabesifazane, ungababuza kumazwana. Ukuphathwa kwesiza kuyashesha futhi kunemininingwane.