Isifo sikashukela siyingozi enkulu empilweni kamama abakhulelwe nengane. Izinkinga ezingaba khona zibandakanya, phakathi kwabanye, ukuphuphuma kwezisu kanye nokuzala imbala. Kodwa-ke, ukuxwayiswa kusengaphambili kusho ukuthi uhlome, futhi uma ubhekisisa impilo yakho futhi ulandela izincomo zikadokotela wakho, kungenzeka ukuthi konke kuzokwenza ngaphandle kwezinkinga. Sizokutshela ukuthi yini okudingeka uyinake ngokukhethekile nokuthi ungalawula kanjani isifo sikashukela ngesikhathi sokukhulelwa.
Siyini isifo sikashukela?
Ukuqala ngohlelo lokufundisa oluncane. Lapho esegayweni lokugaya ukudla komuntu, ukudla kuphulwa kube yizinto ezilula, kufaka noshukela (lolu uhlobo kashukela). IGlucose ibandakanyeka cishe kunoma iyiphi inqubo emzimbeni womuntu, nasekusebenzeni kwengqondo. Ukuze umzimba usebenzise i-glucose njengomthombo wamandla, kudingeka i-hormone ebizwa ngokuthi i-insulin, ekhiqizwa yi-pancreas. Esikhathini sikashukela, ukukhiqizwa kwethu kwe-insulin emzimbeni womuntu akwanele, ngenxa yokuthi asikwazi ukuthola nokusebenzisa ushukela njengophethiloli odingekayo.
Izinhlobo zesifo sikashukela
- Thayipha isifo sikashukela sokuqala - kwesinye isikhathi ibizwa ngokuthi i-mellitus encike kwisifo sikashukela - kwesinye isikhathi isimo esingamahlalakhona ngenxa yokuthi i-pancreas ayakhiqizi i-insulin, ngakho-ke isiguli sidinga imijovo engapheli yaleli hormone;
- Thayipha isifo sikashukela sesi-2 - Ngaphandle kwalokho okubizwa ngokuthi isifo sikashukela esinga-insulin-kulolu hlobo lwesifo, amaseli omzimba athuthukisa ukumelana ne-insulin, noma ngabe i-pancreas ifihla inani elifanele laleli hormone. Ezimweni eziningi, kwanele ukucabanga kabusha indlela yokuphila ukuthatha lesi sifo sisesandleni, noma kunjalo, kwesinye isikhathi siphuza umuthi futhi sijova i-insulin;
- Isifo sikashukela sokutholwa kwesisu - Lolu hlobo lwesifo sikashukela lwenzeka kuphela ngesikhathi sokukhulelwa. Njengasoshukela wohlobo 2, ngalesi sifo, umzimba awukwazi ukusebenzisa izinqolobane ze-insulin ezikhiqizwa ngamanyikwe. Cishe bonke abesifazane ngesikhathi sokukhulelwa, amandla okuthola i-glucose ngenxa yezinguquko zemvelo zama-hormone aya ngokuya kwelinye izinga noma kwelinye, futhi kumaphesenti amane kuphela omama abakhulelwe lesi simo siba yisifo sikashukela sokukhulelwa. Izici zobungozi ziyefana nesifo sikashukela sohlobo 2 - ukungondleki, ukukhuluphala ngokweqile, ukuhlala phansi, nomlando wezokwelapha ophakeme, ukuba nengane enkulu (engaphezu kwama-3.7 kg) ngesikhathi sokukhulelwa kwangaphambilini, noma ngaphezulu kweminyaka engama-35 isikhathi sokukhulelwa samanje. Lolu hlobo lwesifo sikashukela lungelashwa ngokudla okukhethekile, kepha uma lungasizi, kungafunwa imijovo ye-insulin.
Isifo sikashukela sikuthinta kanjani ukukhulelwa?
Njengoba sithole, ushukela kanye ne-insulin kuyadingeka ekusebenzeni okujwayelekile kwazo zonke izinhlelo zomzimba. Amazinga kashukela alawulwa kabi ngesikhathi sokukhulelwa kungaholela ezinkingeni eziningi kumama okhulelwe nengane. Isibonelo:
- Ama-Polyhydramnios - Lokhu kungaphezu kwamanzi e-amniotic, futhi ezigulini ezinesifo sikashukela kuvame kakhulu. Le nto iyingozi ngokulinganayo kumama nengane, futhi engaholela ekufeni koyedwa noma bobabili;
- Ama-HypertonesI - eyaziwa kangcono ngokuba ngumfutho wegazi ophakeme - kungaholela ekubuyiselweni kokukhula kwe-intrauterine, ukuzalwa kwengane efile noma ukuzalwa ngaphambi kwesikhathi, okuyingozi nenganeni;
- Ukubuyiselwa kokukhula kwe-Intrauterine Ingabangelwa hhayi kuphela nge-hypertension, kepha futhi nezifo zemithambo ebonakala ezigulini ezinesifo sikashukela sohlobo 1 ezingenawo umfutho wegazi ophakeme. Lokhu kuyingozi enkulu yezinkinga ezinganeni ngemuva kokuzalwa. E-USA, ngokwesibonelo, kungaphansi kwesibeletho okuyimbangela ehamba phambili yokufa kwabasanda kuzalwa;
- Izinkinga Zokuzala - izingane ezizalwe abesifazane abanesifo sikashukela basengozini enkulu yokuthola ukungasebenzi kahle komzimba, njengokukhubazeka kwenhliziyo kanye ne-neural tube defence;
- Ukuphuphuma kwesisu - abesifazane abanesifo sikashukela basengozini enkulu yokuphuphuma kwesisu;
- I-Macrosomy (noma ngokweqile ngesikhathi sokuzalwa) - into okuthiwa yinto lapho umntwana osanda kuzalwa enesisindo esingaphezulu kwesilinganiso (imvamisa ingaphezu kuka-4.2 kg noma ngaphezulu kwe-90th percentile yobukhulu obulindelekile bonyaka wokumiswa okuhambisanayo). Izingane ezinkulu zisengozini yezinkinga ngesikhathi sokuzalwa kwengane, njenge-brachial dystocia, ngakho-ke odokotela batusa ukuzala izingane ezinjalo zisebenzisa isigaba se-cesarean
- Ukuzalwa ngaphambi kokuzalwa - Abesifazane abanesifo sikashukela basengozini yokuzalwa ngaphambi kokuzalwa. Izinsana ezizalwe ngaphambi kwamasonto angama-37 ubudala wokukhulelwa zingathola ubunzima ngokuzondla nokuphefumula, kanye nezinkinga zezempilo zesikhathi eside, zife kaningi kunezingane ezizalwa ngesikhathi;
- Ukuzalwa kabusha - Noma abesifazane abanesifo sikashukela benengozi eyengeziwe yokubeletha, ukulawula ushukela ofanele wegazi empeleni kuyayiqeda le ngozi.
Ukuphathwa kwesifo sikashukela
Ukuthi ulawule kangcono ushukela wakho ngenkathi ulindele umntwana, kuphakama amathuba akho okukhulelwa okujwayelekile okunempilo. Kubalulekile ukuthi ulandele ngokucophelela izincomo zikadokotela wakho. Isidingo se-insulin kwabesifazane abakhulelwe sishintsha njalo, ngakho-ke uma izinga lakho loshukela wegazi liqala ukuguquka, kufanele utshele udokotela wakho ngokushesha okukhulu. Yini okufanele uyibheke?
- Ukulawulwa kweshukela - abesifazane abakhulelwe abanesifo sikashukela kufanele bahlole izinga labo loshukela nge-glucometer kaningana ngosuku ukuthola ukuthi bayakwazi yini ukudla noma ukwelashwa okufanele;
- Imithi kanye ne-insulin - Uhlobo lwesifo sikashukela sohlobo 2 singaziphuza ngomlomo, kepha akuwona wonke umuthi ovunyelwe ngesikhathi sokukhulelwa. Ngakho-ke, imijovo ye-insulin inganikeza indlela eyanele futhi enembile yokulawula ushukela wegazi. Labo besifazane abangene ne-insulin ngaphambi kokukhulelwa kuzodingeka bashintshe okwesikhashana ohlelweni olusha, okufanele lukhethwe kanye nodokotela;
- Ukudla okungenamsoco - ukulandela ukudla okuyishukela okukhethekile ngesikhathi sokukhulelwa kungenye yezindlela ezibaluleke kakhulu zokulawula ushukela. Akunandaba ukuthi ngabe unesifo sikashukela ngaphambi kokukhulelwa, noma waba nesifo sikashukela sokukhulelwa, isazi sezempilo sizokusiza ukhethe ukudla okulungile manje njengoba manje "usudla ababili";
- Ukuhlolwa kokuxilongwa - ngoba abesifazane abakhulelwe abanesifo sikashukela basengozini enkulu yokuba nezinkinga ezahlukahlukene, badinga ukwenza ucwaningo oluningi kunokunempilo. Isibonelo:
- Imininingwane ye-Biophysical ye-fetus;
- Inani lokuhamba kwe-fetus esikhathini esithile sesikhathi;
- Ukuhlolwa okungacindezeli kwengane;
- I-Ultrasound
Ungagijimela nini kudokotela
Ngenxa yengozi eyandayo empilweni yomama nengane, kufanele uqaphele noma yiziphi izimo ezesabekayo ukuze ufune usizo lwezokwelapha ngesikhathi esifanele. Funa usizo lwezokwelashwa ngokushesha uma ubona ukuthi:
- umbungu wayeka ukuhamba, noma uvame ukuhamba
- ukhulise ingcindezi futhi ungaphambuki, kunokuvuvukala okunamandla
- uzizwa womile ongabekezeleleki
- uhlala usesimweni se-hyperglycemia noma iziqephu ze-hypoglycemia ziba khona njalo
Landela imiyalo kadokotela wakho ngokucophelela, zinakekele futhi uhlanganyele ukuthola umphumela omuhle wokukhulelwa, khona-ke amathuba akho okuba nengane enamandla nokugcina impilo yakho ephakeme kaningi!
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