Ngingakwazi yini ukubeletha nginesifo sikashukela? Uma kudlule iminyaka engama-20, odokotela basho ngokuzethemba ukuthi ngesifo sikashukela akunakwenzeka ukuba ukhulelwe futhi uzale ingane, manje umbono wabo usushintshile. Ngesifo esinjalo, inqobo nje uma zonke izincomo zikadokotela zilandelwa, kunethuba lokuzalwa kwengane enempilo ephelele futhi engalimazi impilo yakho.
Noma kunjalo, intombazane kufanele iqonde ukuthi ngesifo sikashukela kuyadingeka ukuba ube nesineke, ngoba iningi lokukhulelwa kuyodingeka lwenziwe esibhedlela. Le ndlela ukuphela kwendlela yokugwema izinkinga ezinokwenzeka zesifo sikashukela.
Kunezikhathi lapho owesifazane enqatshelwe ngokuphelele ukuba abelethe, ngoba kukhona ingozi engaba khona hhayi empilweni yakhe kuphela, kodwa futhi nokukhula okujwayelekile kwesibeletho.
Izazi ze-gynecologists kanye ne-endocrinologists zeluleka owesifazane ukuthi aqede ukukhulelwa ezimweni ezinjalo:
- bobabili abazali bagula uhlobo 1, isifo sikashukela sohlobo 2;
- kukhona isifo sikashukela esilwa ne-insulin esinomkhuba wokuthuthukisa i-ketoacidosis;
- kutholakala ukuthi unesifo sikashukela sentsha, esiyinkimbinkimbi nge-angiopathy;
- owesifazane unesigaba esisebenzayo sofuba;
- ukungqubuzana kwesici seRhesus kubazali besikhathi esizayo kunqunywa.
Lesi sincomo sisebenza kubo bonke abesifazane, noma ngabe badala kangakanani.
Izinhlobo zesifo sikashukela kwabesifazane abakhulelwe
Njengoba ngokwephula ukukhiqizwa kwe-insulin, ungathola ubunzima obukhulu obuzolimaza umama no-fetus, odokotela baqaphela ikakhulukazi inkambo yokukhulelwa kwabashukela.
Ngesikhathi sokuzala kwengane kowesifazane, enye yezinhlobo zesifo sikashukela inganqunywa. Uhlobo lwakamuva lwe-pathology aluveli ngaphandle, kepha ungafunda ngalesi sifo ngemiphumela yokuhlolwa kwegazi kwe-glucose.
Esinye isimo yilapho ngesikhathi sokukhulelwa kuvela indlela eyinqayizivele yesifo sikashukela kwabesifazane abanefa eliyifa noma okunye okubangelwa yilesi sifo. Imvamisa kuleli qembu kuyinto ejwayelekile ukufaka iziguli ezinezinto ezikhungayo:
- ifa elibi;
- glucosuria;
- ngokweqile.
Futhi, uhlobo olusongelayo lwesifo sikashukela lungaba khona uma ngaphambili umfazi ebeletha ingane enesisindo esikhulu (ngaphezu kwama-4,5 kg).
Abanye besifazane abasebenza ngokuzalwa banesifo sikashukela esisobala, kuqinisekiswa imiphumela yokuhlolwa kwegazi nomchamo. Uma inkambo yesifo imnene, ushukela osegazini awudluli ku-6,66 mmol / ilitha, kanti izidumbu ze-ketone azitholakali emchameni.
Njengoba unesifo sikashukela esilinganiselayo, ushukela wegazi uzofinyelela ku-12,21 mmol / ilitha, bese imizimba ye-ketone yomchamo ikhona ngamanani amancane, kepha kungenzeka ukuthi awekho nhlobo. Lesi simo singasuswa ngokuphelele uma ulandela ukudla okunconywayo okwelapha.
Uhlobo olunzima lwesifo sikashukela luyingozi kakhulu, kutholakala ukuthi une-glucose kusuka ku-12,21 mmol / litre. Kanye nalokhu, izinga lemizimba ye-ketone kumchamo wesiguli likhula ngokushesha. Ngoshukela osobala, kunezinkinga zesimo ezifana nalezi:
- ukulimala emuva
- umfutho wegazi ophakeme
- i-pathology yezinso;
- izifo zenhliziyo ezi-coronary ezinesifo sikashukela;
- isilonda se-trophic kushukela.
Lapho amazinga kashukela egazi enyuka, kungumbuzo wokunciphisa umkhawulo wezinso we-glucose. Ngesikhathi sokukhulelwa, i-progesterone ye-hormone ikhiqizwa ngentshiseko, ikhulisa ukwanda kwezinso ushukela. Ngakho-ke, cishe kubo bonke abesifazane abanesifo sikashukela, i-glucosuria iyatholakala.
Ukuze ungahlangabezani nezinkinga eziyingozi, udinga ukugcina ukubalwa kwakho ushukela kulawulwa nsuku zonke, ngenxa yokuhlolwa kwegazi okusheshayo. Umphumela kufanele uphindwe uma kutholakala inani elingaphezulu kuka-6.66 mmol / litre. Ngaphezu kwalokho, kwenziwa isivivinyo sokubekezelela ushukela.
Ngokusongela sikashukela i-mellitus, kuphoqelekile ukuthi kwenziwe izivivinyo eziphindaphindiwe nge-glycemic, iphrofayili ye-glycosuric.
Isifo sikashukela sokukhulelwa
Ngesikhathi sokukhulelwa, kuvela olunye uhlobo lwesifo sikashukela - isifo sikashukela sokukhulelwa. Le nto ayithathwa njengesifo, kutholakala cishe abesifazane abangama-5% abanempilo ngokuphelele ngesonto lama-20 lesikhathi.
Uhlobo lwe-1 no-Type 2 sikashukela i-mellitus yehlukile kwisifo sikashukela sokukhulelwa ngoba inyamalala ngokuphelele ngemuva kokubeletha. Kodwa-ke, uma owesifazane ebeletha okwesibili, maningi amathuba okuba abuyele emzimbeni.
Kuze kube manje, imbangela eqondile yesifo sikashukela sokukhulelwa ayizange ifundwe, kodwa kuyaziwa ukuthi lesi simo senzeka ngenxa yokushintsha kwe-hormonal emzimbeni wowesifazane. Ngesikhathi sokuzala kwengane, kukhiqizwa ama-hormone akhethekile, ngenxa yokuthi ingane izothola zonke izinto ezidingekayo ezibalulekile ekukhuleni ngokuvumelanayo. Ama-hormone afanayo:
- vimba i-insulin secretion kwabesifazane;
- banciphise ukuzwela kule hormone;
- ushukela ukhuphuka egazini.
Ngokushintshwa koshukela wegazi, bobabili umama nengane bayahlupheka.
Imiphumela ye-hypoglycemia
Lapho ushukela wegazi kushukela ukhuphuka kakhulu, ingane engakazalwa ingahlupheka, okuthi ngokuzayo ibonakale njengokuphuza kokuthuthuka. Izinguquko eziqinile ku-glucose zingaba yingozi ikakhulukazi, lokhu kungavusa ukungahambi kahle kowesifazane onesifo sikashukela sohlobo 1, akasakwazi ukuba nezingane. Enye inkinga ukuthi ngesifo sikashukela, ukuba noshukela omningi kuqongelela emzimbeni wengane, kuphenduke amafutha omzimba.
Ngenxa yesibeletho esikhulu, owesifazane kuzofanela abelethe isikhathi eside, futhi usana lungathola ukulimala ku-humerus ngesikhathi sokudlula komsele wokubeletha.
Ama-pancreas we-fetus angakhiqiza inani le-insulin ngokweqile ukunxephezela ushukela omningi emzimbeni womama. Ingane enjalo ingazalwa noshukela wegazi oncishisiwe.
Umsoco okhulelwe wesifo sikashukela
Lapho udokotela ethola ukuthi owesifazane angazala isifo sikashukela sohlobo 2 noma uhlobo 1, owesifazane osenkingeni kufanele enze konke okusemandleni ukunxephezela lesi sifo. Okokuqala, kukhonjiswa ukulandela indlela yokudla yezokwelapha ngenombolo 9.
Ukudla okunesifo sikashukela kubandakanya ukusetshenziswa kwama-protein angaphezu kwama-120 wamaprotheni ngosuku, inani lama-carbohydrate lisikwa libe amagremu angama-300-500, amafutha aze afike ku-60. Ngaphezu kwalokho, lokhu kudla kufanele kuhloswe ngqo ekwehliseni ushukela wegazi.
Ukusuka kumenyu khipha ngaphandle:
- ushukela
- I-Confectionery
- uju wemvelo;
- ukubhaka.
Usuku oludinga ukudla amakhalori angaphezu kwezinkulungwane ezintathu. Kulokhu, ukudla kukhonjiswa kufaka imikhiqizo equkethe amavithamini, izakhi ezilandelwayo, ngaphandle kwalokho ingane engeke ikwazi ukukhula ngendlela evamile.
Kubalulekile ngokulinganayo ukugcina imvamisa yokudla, imijovo ye-insulin, ngangokunokwenzeka. Njengoba izidakamizwa eziningi zinqatshelwe ngesikhathi sokukhulelwa, owesifazane kufanele azithambise nge-insulin.
Lapho isibhedlela sidingeka
Ngenxa yokuthi isidingo somzimba sokushintsha kwe-insulin ye-hormone, owesifazane okhulelwe kufanele angeniswe esibhedlela amahlandla amabili noma amathathu, kodwa kunganciphi. Isikhathi sokuqala ukuya esibhedlela siyadingeka ngokushesha ngemuva kokubhaliswa emtholampilo wokukhulelwa, okwesibili ukulashwa esibhedlela kukhonjiswa kumaviki angama-20 kuya ku-24 lesikhathi.
Emavikini angama-32 kuya kokukhulelwa, amathuba okuba ne-toxosis sekwephuzile ayanda, lesi simo sinikezela ngokulawulwa okuphoqelekile kwengane. Ngalesi sikhathi, udokotela angakwazi ukunquma ngosuku nangendlela yokubeletha. Uma owesifazane enqaba ukulaliswa esibhedlela, kufanele ahlolwe njalo nodokotela wakhe we-gynecologist. Ividiyo ekulesi sihloko ikhuluma ngezinkinga zokukhulelwa ezinesifo sikashukela.
