Ukuhlolwa kokubekezelela ushukela noma “ushukelajika” isifundo esivezwa ngabesifazane ngesikhathi sokukhulelwa. Ingabhekiselwa abesilisa kanye nabantu abanesifo sikashukela abasolwayo.
Ukuhlaziywa kuyadingeka ukuze kutholakale ukuthi yiliphi izinga likashukela wegazi umuntu analo esiswini esingenalutho, futhi nangemuva kokuzivocavoca.
Ngubani okudingeka ahambe futhi nini
Ukuthola ukuthi umzimba uhlangana kanjani nomthwalo ushukela kuyadingeka kwabesifazane abakhulelwe lapho ukuhlolwa komchamo kungejwayelekile kakhulu, noma lapho owesifazane evame ukukhuphuka ekucindezelweni noma ekunyukeni kwesisindo.
Ijika leshukela ngesikhathi sokukhulelwa kumele lihlelwe kaningi ukuze ukusabela komzimba kwaziwe ngokunembile. Okujwayelekile kulesi simo kushintshwe kancane.
Ucwaningo luphinde lunconyelwe abantu abanesifo sikashukela esiqinisekisiwe noma esiqinisekisiwe. Ngaphezu kwalokho, kunqunywe kwabesifazane abane-diagnostic "yama-polycystic ovaries" ukuqapha ukuthi isilinganiselo soshukela siyini.
Uma unezihlobo ezinesifo sikashukela, kungakuhle ukuthi uhlole ngokufanele izinga likashukela wegazi lakho bese uvivinya. Lokhu kufanele kwenziwe okungenani kanye ezinyangeni eziyisithupha.
Uyacelwa uqaphele ukuthi ukutholwa kwezinguquko ngesikhathi esifanele kuzokwenza ukuthi kuthathwe izinyathelo ezifanele zokuvimbela.
Uma ijika liphambuka nje kancane kusuka kokujwayelekile, khona-ke kubalulekile:
- gcina isisindo sakho silawulwa
- ukuzivocavoca
- landela ukudla
Ezimweni eziningi, lezi zinyathelo ezilula zizosiza ukuvimbela ukuqala kwesifo sikashukela. Kodwa-ke, kwesinye isikhathi kuba nemfuneko ukuthatha imishanguzo ekhethekile evimba ukwakheka kwalesi sifo.
Ukuhlaziya kwenziwa kanjani
Vele, lolu cwaningo alufakiwe esigabeni sabalula; ludinga ukulungiswa okukhethekile futhi lwenziwa ngezigaba eziningana. Kungale ndlela kuphela lapho ukuthembeka kwejika leshukela kungatholakala khona.
Imiphumela yokuhlola kufanele ihunyushwe kuphela ngudokotela noma umeluleki wezokwelapha. Ukuhlolwa kwegazi likashukela kufundwa lapho kubalwa:
- isimo samanje somzimba
- isisindo somuntu
- indlela yokuphila
- iminyaka
- ukuba khona kwezifo ezihlangene
Ukuxilonga kuhilela ukunikela ngegazi kaningana. Kwamanye ama-laboratories, igazi lithathwa emthanjeni, kwamanye lisuka emunweni. Ngokuya ngokuthi kufundwa igazi likabani, izinkambiso zizovunywa.
Ukuhlaziywa kokuqala kwenziwa kwisisu esingenalutho. Ngaphambi kwakhe, udinga indlala amahora angu-12, usebenzisa kuphela amanzi ahlanzekile. Kulokhu, isikhathi sokuzila akufanele singeqi amahora angama-16.
Ngemuva kokunikela ngegazi, umuntu uthatha amagremu angama-75 kashukela, oncibilikisiwe engilazini yetiye noma emanzini afudumele. Kungcono uma ngemuva kwalokhu ukuhlaziywa kwenziwa wonke uhhafu wehora 2 amahora. Kepha, imvamisa, ema-laboratories avele ahlaziye imizuzu engama-30-120 ngemuva kokusebenzisa ushukela.
Okungcono kakhulu ukulungiselela ucwaningo lwe-sugar curve
Uma isheke likashukela wegazi lihlelelwe, khona-ke awudingi ukukhipha konke ukudla okuqukethe ama-carbohydrate ekudleni kwakho ezinsukwini ezimbalwa. Lokhu kungahlanekezela ukuhunyushwa kwemiphumela.
Ukulungiselela okufanele ukuhlaziya kufaka lezi zinyathelo ezilandelayo:
- Izinsuku ezi-3 ngaphambi kokunikela ngegazi, kufanele ubheke indlela yakho yokuphila ejwayelekile futhi ungashintshi indlela odla ngayo.
- Akufanele usebenzise noma imuphi umuthi, kepha ukwenqatshwa kwemithi yabo kumele kuvunyelwe kudokotela.
Ukuhlolwa kwegazi kogobela kushukela kungathembeki uma owesifazane edlula ngesikhathi sokuya esikhathini. Ngaphezu kwalokho, imiphumela yocwaningo incike ekuziphatheni komuntu.
Isibonelo, lapho wenza lolu hlaziyo, udinga ukuba sesimweni esizolile, akumele ubheme futhi unake umzimba.
Ukuhunyushwa kwemiphumela
Ukuhlola izinkomba ezitholakele, izici ezithinta inani loshukela egazini lomuntu ziyabhekwa. Awukwazi ukuthola isifo sikashukela kuphela ngemiphumela yokuhlolwa okukodwa.
Izinkomba zithonywa:
- Ukuphumula kombhede ophoqiwe ngaphambi kokuhlaziywa
- izifo ezahlukahlukene ezithathelwanayo
- ukuphazamiseka kwendlela yokugaya ebonakala ngokungenisa ushukela okungafanele
- amathumba amabi
Ngaphezu kwalokho, imiphumela yokuhlaziywa ingahle ihlambalaze ukungagcinwa kwemithetho yokuthola amasampula egazi noma ukusetshenziswa kwezidakamizwa ezithile.
Isibonelo, ijika lizobe lingathembeki uma usebenzisa izinto ezilandelayo nezidakamizwa:
- morphine
- ikhofi
- adrenaline
- amalungiselelo e-diuretic ochungechunge lwe-thiazide
- "IDiphenin"
- ama-antidepressants noma izidakamizwa ze-psychotropic
Amanani asunguliwe
Lapho uphasa isivivinyo, izinga le-glucose akufanele libe ngaphezulu kuka-5.5 mmol / L kwegazi eliyisi-capillary ne-6.1 ngegazi eline-venous. Izinkomba zegazi elivela emunweni zingu-5.5-6, lokhu kuyinto ejwayelekile, futhi kusuka kumthambo - 6.1-7, bakhuluma ngesimo se-prediabetesic ngokubekezelela kwe-glucose engalungisiwe.
Uma imiphumela ephakeme iqoshwa, khona-ke singakhuluma ngokuhlukumezeka okukhulu emsebenzini wamanyikwe. Imiphumela yejika leshukela incike ngqo emsebenzini walo mzimba.
Isimo se-glucose, esinqunywe ngemuva kokuzivocavoca, kufanele sifike ku-7.8 mmol / l, uma uthatha igazi emunweni.
Uma inkomba isuka ku-7.8 kuya ku-11.1, khona-ke sekuvele kukhona ukwephulwa, ngesibalo esingaphezu kuka-11.1, ukuxilongwa kwesifo sikashukela kwenziwa. Lapho umuntu ethatha isivivinyo segazi emthanjeni, khona-ke isilinganiso esifanele akufanele sidlule ku-8.6 mmol / L.
Ochwepheshe beLabhoratri bayazi ukuthi uma umphumela wokuhlaziywa okwenziwe esiswini esingenalutho uphakeme kuno-7.8 we-capillary no-11.1 wegazi eline-venous, ke kwenqatshelwe ukwenza ukuhlolwa kokuzwa kweglucose. Kulokhu, ukuhlaziya kusongela umuntu onesifo se-hyperglycemic coma.
Uma ekuqaleni izinkomba zingaphezu kokujwayelekile, ngakho-ke akunangqondo ukuhlaziya ijika leshukela. Umphumela uzocaca noma kunjalo.
Ukuphambuka okungenzeka
Uma ucwaningo luthola idatha ekhombisa izinkinga, kungcono ukunikela ngegazi futhi. Imibandela elandelayo kufanele ibonwe:
- vimbela ukucindezelwa nokusebenza kanzima ngokomzimba ngosuku lokuhlolwa kwegazi
- ngaphandle kokusebenzisa utshwala nezidakamizwa ngosuku olwandulela ucwaningo
Udokotela unquma ukwelashwa kuphela uma bobabili abahlaziyi bengakhombisi imiphumela ejwayelekile.
Uma owesifazane esesimweni sokukhulelwa, khona-ke kungcono ukutadisha imininingwane etholwe ndawonye nodokotela we-gynecologist-endocrinologist. Umuntu uzonquma ukuthi ijika lijwayelekile yini.
Okujwayelekile ngesikhathi sokukhulelwa kungahluka. Kepha lokhu ngeke kushiwo elabhorethri. Ukusungula ukungabi bikho kwezinkinga kuphela udokotela owazi zonke izici zokusebenza komzimba wowesifazane okhulelwe.
Isifo sikashukela akusona ukuphela kwesifo esitholwa ukuhlolwa kokubekezelela ushukela. Ukuphambuka ejwayelekile ukuncipha koshukela wegazi ngemuva kokuzivocavoca. Lokhu kuphazamiseka kubizwa ngokuthi yi-hypoglycemia; kunoma yikuphi, kudinga ukwelashwa.
I-Hypoglycemia iletha kanye nezinye izibonakaliso ezingemnandi, phakathi kwazo:
- ukukhathala okuphezulu
- ubuthakathaka
- ukungaphatheki kahle
Ukutolikwa ngesikhathi sokukhulelwa
Inhloso yocwaningo ukuthola izinguquko ezenzeka lapho kuthatha i-glucose nangemva kwesikhathi esithile. Ngemuva kokuphuza itiye elimnandi, izinga likashukela lizonyuka, futhi ngemuva kwehora elilodwa, lesi sibalo sizokwehla.
Uma izinga likashukela lihlala liphakeme, khona-ke ijika leshukela libonisa ukuthi owesifazane unesifo sikashukela sokukhulelwa.
Ukuba khona kwalesi sifo kufakazelwa yilezi zinkomba:
- Inkomba yezinga le-glucose esimweni esilambile ingaphezu kuka-5.3 mmol / l;
- Ihora ngemuva kokuthatha ushukela, inkomba ingaphezu kwe-10 mmol / l;
- Ngemuva kwamahora amabili, inkomba ingaphezu kwe-8.6 mmol / L.
Uma, usebenzisa ijika leshukela, owesifazane okhulelwe enesifo, udokotela umyalela ukuhlolwa kwesibili, okuzoqinisekisa noma kuphikise ukutholwa kokuqala.
Lapho eqinisekisa ukutholwa, udokotela ukhetha isu lokwelashwa. Kuyadingeka ukwenza izinguquko ezondweni lomsoco futhi uqale ukuzibandakanya nokuzivocavoca umzimba, lezi yizimo ezimbili ezibalulekile ezihambisana nokwelashwa okuphumelelayo.
Kubalulekile ukuthi owesifazane okhulelwe abonane nodokotela njalo futhi nganoma yisiphi isikhathi ngesikhathi sokukhulelwa. Izindlela zokwelashwa ezisebenzayo zizosiza ukubuyisa ijika leshukela emuva kokujwayelekile ngokushesha okukhulu.
Ngokulashwa okufanele nangokuhlelekile, lesi sifo ngeke siyilimaze ingane. Kulokhu, ukuzalwa kwengane kunqunyelwa amasonto angama-38 wokukhulelwa.
Emavikini la-6 ngemuva kwekutalwa, lohlaziyo kufanele luphindvwe kute kutfolwe kutsi nguyiphi inkomba yenkambiso lesejwayelekile kumfati lotsite. Le nqubo yenza ukuthi kuqondwe ukuthi lesi sifo sicasulwa yini ngokukhulelwa noma ukuthi umama kufanele ahlaziywe okunye kulandelwa ukwelashwa.
