Ukuhlolwa kokuxilonga okufana nokuhlolwa kwegazi ushukela onomthwalo akufanele kunganakwa, ngoba imvamisa isifo ezisezigabeni zokuqala sanda ngokufana.
Ezimweni zelebhu, njengomthetho, ukuhlolwa okujwayelekile kwenziwa kuqala ukuthola izinga le-glucose egazini. Ngamanani aphakeme, ukuxilongwa okwengeziwe kungabekwa ngokwemiphumela yocwaningo - ukuhlolwa kokubekezelela ushukela noma ukuhlolwa koshukela egazini ngomthwalo.
Unganikela kanjani ngegazi ushukela ngomthwalo? Cabanga ngemininingwane eminingi izici zokuhlola okunjalo kwegazi.
Ngabe kwenziwa yini ucwaningo lokuxilonga?
Ukuhlolwa kokubekezelela i-glucose kungenziwa njengokuyalelwa ngumhlinzeki wakho wezokunakekelwa kwempilo. Ukuhlolwa kweglucose egazini nokuzivocavoca kungenziwa ezimweni eziningi.
Isidingo sokuqokwa kohlaziyo sinqunywa udokotela ohambayo ngesisekelo semiphumela yokuhlaziywa okutholakele ngesikhathi kuhlolwa umzimba ngezinye izindlela
Ukuqokwa kokuhlolwa kwegazi ezimweni ezinjengalezi:
- Kunezinsolo zokuthi kukhona isifo sikashukela sohlobo lokuqala noma lwesibili esigulini. Kukulesi simo, udinga ukwenza ucwaningo olwengeziwe ngendlela yokuhlolwa kwe-glucose. Imvamisa, ukuhlaziya okunjalo kunqunyiwe uma imiphumela yangaphambilini ikhombisile isibalo sama-moles angaphezu kwayisithupha ngelitha ngalinye. Kulokhu, indlela ejwayelekile kashukela wegazi kumuntu omdala kufanele ihluke kusuka ku-3.3 kuya ku-5.5 mol ngelitha ngalinye. Izinkomba ezandayo zibonisa ukuthi i-glucose etholakele ayidonswa kahle ngumzimba womuntu. Kulokhu, umthwalo kumanyikwe wanda, ongavusa ukukhula kwesifo sikashukela.
- Isifo sikashukela sohlobo lomndeni. Lesi sifo, njengomthetho, asivamile futhi sesikhashana. Kungenzeka emantombazaneni akhulelwe ngenxa yezinguquko ngemuva kwesizinda se-hormonal. Kumele kuqashelwe ukuthi uma owesifazane enesifo sikashukela sokukhulelwa ngesikhathi ekhulelwe okokuqala, khona-ke ngokuzayo nakanjani uzonikela ngegazi ukuze ahlolwe ushukela ngomthwalo.
- Ngokuthuthukiswa kwe-ovary polycystic, kuyadingeka ukuthi kunikelwe ngegazi ushukela usebenzisa ama-50-75 amagremu kashukela, ngoba imvamisa lokhu kutholwa kungukuphendula okungekuhle ekwakhiweni kwesifo sikashukela ngenxa yokwephulwa komkhiqizo we-insulin ngamanani adingekayo.
- Ukukhuluphala kanye nokukhuluphala ngokweqile kungenye yezimbangela zesifo sikashukela. Amafutha amaningi abe yisithiyo ekungeniseni i-glucose enanini elidingekayo.
Ukuhlolwa kokubekezelela kwe-glucose kuyadingeka ukuthola inani lokumelana noshukela, kanye nokukhetha umthamo ofanele lapho kukhona isifo sikashukela.
Ukuxilongwa kukuvumela ukuthi ubonise izinga lokuphumelela kwendlela yokwelapha ebekiwe.
Luyini uvivinyo lokubekezelela ushukela?
Ukuhlolwa kokubekezelela kwe-glucose kungaba nezinhlobo ezimbili eziyinhloko - ukuphathwa kwe-glucose yomlomo kanye nokuphathwa kwento edingekayo ngendlela yomjovo we-intravenous.
Igazi lokunquma ukuthi ushukela onomthwalo unikelwani ukuze kutholakale ukuthi izinhlaka zokuhlola zibuyele ngokushesha kanjani kwelejwayelekile. Le nqubo ihlala yenziwa ngemuva kokusampula kwegazi esiswini esingenalutho.
Njengomthetho, ukuhlolwa kokubekezelela ushukela kuphakama ngokudla inani elidingekayo le-glucose elihlanjululwe ngendlela yesiraphu (amagremu ama-75) noma kumathebhulethi (amagremu ayi-100). Isiphuzo esimnandi kanjalo kufanele sidakwe ukuze sithole imiphumela ethembekile enanini likashukela egazini.
Kwezinye izimo, ukungabekezeleli kwe-glucose kwenzeka, okuvame ukubonakaliswa:
- emantombazaneni akhulelwe ngesikhathi se-toxicosisꓼ enzima
- phambi kwezinkinga ezinkulu zezitho zomgudu wesisu.
Ngemuva kwalokho, ukuhlaziywa, kusetshenziswa indlela yesibili yokuxilonga - ukuphathwa kanzulu kwento edingekayo.
Kunezici ezingavumeli ukusetshenziswa kwalokhu kuhlonzwa. Inani lamacala anjalo lifaka imibango elandelayo:
- Kukhona ukubonakaliswa kokungafani komzimba ku-glucose.
- Ukuthuthukiswa kwezifo ezithathelwanayo emzimbeni.
- Ukukhuphuka kwezifo zamapheshana emathunjini.
- Inkambo yezinqubo zokuvuvukala emzimbeni in
Ngaphezu kwalokho, ukuhlinzwa kwamuva nje kungukuphikisana.
Ngabe yini inqubo yokulungiselela ukuhlaziya?
Ungakuhlola kanjani ukuthola ushukela ngomthwalo? Ukuthola impahla enokwethenjelwa, kufanele ulandele imithetho ethile nezincomo.
Okokuqala, kufanele kukhunjulwe ukuthi amasampula wovivinyo wenzeka ekuseni ngesisu esingenalutho.
Ukudla kokugcina akufanele kwenziwe ngaphambi kwamahora ayishumi ngaphambi kokuxilongwa. Le nto ingumthetho oyisisekelo ocwaningweni owabelwe.
Ngaphezu kwalokho, ngosuku olwandulela inqubo, lezi zincomo ezilandelayo kufanele zibhekwe:
- ukugwema ukusetshenziswa kophuzo oludakayo okungenani izinsuku ezimbili kuya kwezintathu ngaphambi kokunikela ngegazi noshukela, ngaphezu kokuqeda amathuba okuthola imininingwane engamanga, kuyadingeka ukwenqaba ugwayi;
- Musa ukulayisha ngokweqile umzimba ngokuzikhandla ngokweqile komzimba
- Yidla ngokulungile futhi ungasebenzisi kabi iziphuzo ezinoshukela namakhekhe конд
- gwema izimo ezicindezelayo nokuphazamiseka okukhulu ngokomzwelo.
Ezinye izinhlobo zemithi ethathiwe zingakhuphula ushukela wegazi. Kungakho udokotela oholayo kufanele aziswe ngokuvuma kwabo. Ngokufanelekile, kuyadingeka ukuyeka ukuphuza le mithi isikhathi esithile (izinsuku ezimbili kuya kwezintathu) ngaphambi kokuhlaziywa komthwalo. Futhi, izifo ezithathelwanayo ezazidlulisiwe ngaphambilini noma ukungenelela kokuhlinzwa kungathinta umphumela wokugcina wokucwaninga kokuxilonga. Ngemuva kokuhlinzwa, kufanelekile ukulinda cishe inyanga futhi emva kwalapho, kutholakala khona ukuthi unesifo sikashukela eselabhoratri.
Kuthatha isikhathi esingakanani ukuhlolwa kokuthola ushukela wegazi lakho? Ngokuvamile, inqubo yonke izothatha isiguli cishe amahora amabili. Ngemuva kwalesi sikhathi, kuhlaziywa izinto ezifundwayo kwenzeka, okukhombisa inkambo yokudla emzimbeni kwe-carbohydrate emzimbeni kanye nokusabela kwamaseli ekuphuzeni i-glucose.
Ukuhlolwa kokubekezelela ushukela kwenzeka ngezigaba eziningana:
- Ukuthola izinkomba kudokotela ohambelayo ngenqubo.
- Ukwemukelwa ushukela oxutshwe (ngomlomo noma ngesimo se-dropper). Imvamisa, umthamo we-glucose nawo ubekwa uchwepheshe wezokwelapha futhi uzoncika eminyakeni nobudala besiguli. Ezinganeni, kusetshenziswa amagremu angama-1,75 we-glucose owomile ngekhilogremu eyodwa yesisindo. Umthamo ojwayelekile kumuntu ojwayelekile ungama-75 amagremu, kwabesifazane abakhulelwe ungangezelelwa ube ngama-gramu ayi-100.
- Cishe ihora ngemuva kokudonswa kweglucose, kuthathwa izinto zokuhlola ukuze ubone izinga lokunyuka koshukela wegazi. Phinda inqubo ngemuva kwehora elilodwa.
Ngakho-ke, odokotela baqapha ukuthi amazinga e-glucose ashintshe kanjani, nokuthi ngabe kukhona ukuphazamiseka ekutholaka umzimba kwe-carbohydrate emzimbeni.
Ngabe umphumela wokuhlaziywa ubonisani?
Ngemuva kocwaningo lokuxilonga, udokotela ohambelayo angaqinisekisa noma aphikise ukutholwa kwesiguli kokuqala.
Ushukela wegazi onomthwalo ojwayelekile kufanele ungabi ngaphezu kwama-5.6 mol ngelitha ngalinye kwisampula yegazi (esiswini esingenalutho) futhi ungabi ngaphezu kuka-6.8 mol nge-litre ngemuva kokudla ushukela (amahora amabili kamuva).
Ukuphambuka ejwayelekile kungakhombisa futhi ukuba khona kwezifo ezilandelayo emzimbeni wesiguli:
- Lapho igazi lithathwa esiswini esingenalutho, imiphumela ikhombisa isibalo esingu-5.6 kuya ku-6 mol ngelitha ngalinye - kuyavela isimo sokwehla kwesifo sikashukela. Uma umaki wedlula i-6.1 mol nge-litre, udokotela wenza ukuxilongwa kwesifo sikashukela. Kulokhu, umuntu unezimpawu zesifo sikashukela esingamukeli.
- Ukwenza isampula okuphindaphindwe kokuqukethwe kokuhlolwa ngemuva kokudla ushukela (amahora amabili kamuva) kungakhombisa ukuba khona kwesimo sangaphambi kwesifo sikashukela esigulini, uma imiphumela yokuhlaziya ikhombisa kusuka ku-6.8 kuya ku-9.9 mol ngelitha. Ngokuthuthukiswa kwesifo sikashukela, njengomthetho, umaki udlula inani le-10,0 mol ngelitha ngalinye.
Bonke abesifazane abakhulelwe bayadingeka ukuthi benze isivivinyo sokubekezelela i-glucose ku-trimester yesithathu yokukhulelwa.
Lezi zibalo ezilandelayo zibhekwa njengezinkomba ezijwayelekile - uma unikela ngegazi esiswini esingenalutho - sisuka ku-4.0 saya ku-6.1 mmol ilitha ngalinye nangemva kokudla kweglue - 7.8 mol ngelitha.
Ividiyo ekulesi sihloko izokhuluma ngamazinga kashukela ajwayelekile egazi.
