Ngesikhathi sokukhulelwa, uma umzimba wesifazane uphilile, khona-ke ukuba khona kwe-hypoglycemia kwenzeka ngokungachemile. Ezigulini ezinesifo sikashukela sohlobo 1, inani le-glucose linqamula umkhawulo ophansi we-3.5 mmol / L. Leli izinga lokugcina lamazinga kashukela ajwayelekile. Lapho izinkomba ziba mbalwa, bese kuba ne-hypoglycemia.
Kungani abesifazane abakhulelwe bane-hypoglycemia?
Ngesikhathi sokukhulelwa, ukuhlelwa kabusha kabusha kwe-hormonal komzimba kuyabonakala emzimbeni womama okhulelwe. Ngenxa yama-hormone, lezi zinguquko ezilandelayo zenzeka emzimbeni wowesifazane okhulelwe:
- umsebenzi we-enzymatic uyanda;
- izinqubo zemisebenzi ye-metabolic emzimbeni ziyasheshiswa;
- umsebenzi we-pancreatic ne-thyroid gland uyathuthuka.
Ngokuvamile isici esinqumayo ukuthi ama-pancreas akhiqiza i-insulin ethe xaxa, engaba yisici ekwakhiweni kwe-hypoglycemia.
Imvamisa ezinyangeni ezintathu zokuqala zokuzala ingane, owesifazane ukhathazeka nge-toxicosis. Ngezimpawu ezinzima, ukugabha kungenzeka, futhi ngenxa yalokho, ukomisa, ukuntuleka kwezakhi zomzimba, kubandakanya ukwehla kwe-glucose ye-plasma kanye nokuvela kwe-hypoglycemia.
I-Hypoglycemia ingenzeka kowesifazane ngesikhathi sokukhulelwa, uma enquma ukunciphisa umzimba ngokudla okuphansi kwe-carb. Umzimba udinga inani elikhulu lezakhamzimba ukuze uthwale ingane, ngakho-ke, udinga ukudla ngokufanele, ngokubonisana nodokotela wakho.
Esigulini esinesifo sikashukela sohlobo 1 esisebenzisa i-insulin, i-hypoglycemia ingavela lapho kunokuntuleka kwezakhi zomzimba, i-insulin ngokweqile, noma uma ukudla nokwelashwa lesi sifo kungalandelwa kahle. Cishe izizathu ezifanayo zingaba ne-overdose yama-plasma glucose agents okwehlisa izinhlobo zesifo sikashukela sohlobo 2.
Imvamisa, isimo se-hypoglycemia ngesikhathi sokukhulelwa sikhula emavikini ayi-16 kuya ku-17. Ezinyangeni ezintathu zokuqala zokukhulelwa, ingane ikhula ngokunamandla, ngenxa yalokho, noma ikuphi ukuphambuka okujwayelekile kungathinta inhlala-kahle yowesifazane.
Izici ze-hypoglycemia
Lapho inani le-glucose ku-plasma lincipha, ukungalingani kwezinqubo ezahlukahlukene kwenzeka. Uhlobo lwalezi zinkinga luzoncika ezingeni lesimo.
I-Hypoglycemia iyenzeka:
- kwifomu elikhanyayo;
- ebukhali;
- ngokugxekile - i-hypoglycemic coma.
Isimo singenzeka ngokuzuma noma kancane kancane. Kuya ngokuthi ushukela wegazi wehla ngokushesha kangakanani.
Ekuqaleni, indlela esabela ngayo ibonwa kumaseli wobuchopho, ngoba azwela kakhulu emazingeni kashukela.
Ushukela unika amandla amaseli obuchopho. Ingqondo isho izindlala ze-adrenal ezikhiqiza i-adrenaline. Ngenxa yalokhu, i-glycogen eqokelelwe ngokwengxenye iguqulwa ibe ushukela, esiza umzimba isikhashana.
Indlela efanayo ayikwazi ukusetshenziswa kaninginingi, ngoba inani le-glycogen linemikhawulo. Uma kungenziwa lutho ukuze kuqiniswe inani loshukela egazini, isimo siyobuye sibe sibi.
Izimpawu ze-hypoglycemia:
- indlala eyandayo;
- isimo sokuzwela;
- umuzwa wokukhathazeka;
- ikhanda
- ukuthuthumela kwemisipha;
- isikhumba esiphaphathekile;
- arrhythmia;
- ukukhuphuka kwenhliziyo;
- ukwanda kwengcindezi yegazi;
- ngezinkinga, ukulahleka kwengqondo kanye nokwehluleka kwethonya kwenhliziyo kungenzeka.
Ngesikhathi sokuzala kwengane, i-hypoglycemia iyingozi enganeni, okuthe ngasikhathi sinye ingayitholi imisoco edingekayo, kukhona ukwephula ukukhula kwayo. Ngokuncipha okubukhali kwe-glucose noma ngokugxuma okusheshayo kumfutho wegazi, ingane ingahle ife.
Kusenombuzo obalulekile wokuthi ngabe isifo sikashukela satholakala njengefa, futhi akufanele sishaye indiva.
Imiphumela ye-hypoglycemia yokukhulelwa
I-Hypoglycemia ilimaza bobabili owesifazane kanye nengane yakhe. Njengoba owesifazane ephula ukunikezwa kwegazi kuyi-retina eyinhloko, uba mubi ngokwenkumbulo nokucabanga. Ngaphezu kwalokho, kulokhu, ekugcineni kokukhulelwa, owesifazane angaba nesifo sikashukela.
Kumntwana ongakazalwa, isimo se-hypoglycemia singasongela ngomphumela olandelayo:
- ingane ingazalwa ingakhuli kahle, okungukuthi, ukusebenza kahle kwesistimu yezinzwa, ukusebenza kwemisipha yenhliziyo noma ngokuchezuka okuningana kwezimpawu zomzimba;
- kukhona i-macrosomia ye-fetus, lapho isisindo singakhula khona kakhulu, lapho kwenzeka khona isigaba secesarean;
- i-hypoglycemia ingadala i-polyhydramnios;
- ukwephulwa komsebenzi we-placenta;
- usongo lokuphuphuma kwesisu.
Into esemqoka okufanele uyikhumbule: ukuze uqale ukwelashwa okudingekile futhi uqede izinkinga ezingafuneki, kubalulekile ukuthola ukuthi ngabe owesifazane une-hypoglycemia ngaphambi kokukhulelwa, noma ukuthi kufanelekile yini ukuqala ukwelashwa kwesifo sikashukela ngesikhathi sokukhulelwa.
Ngokukhetha kokuqala, kunethuba lokuvikela amathuba wesifo sikashukela enganeni.
Izindlela zokuvimbela i-hypoglycemia ngesikhathi sokukhulelwa
Ukuze ugweme izinkinga ezingathandeki, owesifazane okhulelwe onesifo sikashukela kufanele abhaliswe ekuqaleni kokukhulelwa nodokotela we-endocrinologist ne-gynecologist ukuze ahlolwe njalo.
Ukuvikela umbungu, owesifazane okhulelwe kufanele ngaso sonke isikhathi aqikelele yena uqobo ushukela wegazi nsuku zonke. Ukuze wenze lokhu, sebenzisa i-glucometer, isibonelo, i-satellite expression, noma imichilo yokuhlola.
Ushukela wegazi ojwayelekile osheshayo ngu-3.5-55 mmol / L; ngemuva kokudla uzoba ngu-5.5-7.3 mmol / L. Ngezikhathi ezihlukene zokuzala ingane, ukuba khona kweshukela kungashintshashintsha, udokotela ulawula inkomba.
Uma owesifazane okhulelwe eba nokuhlaselwa kwe-hypoglycemia, ngenkathi ezizwa enobuthakathaka, isiyezi, ukuthambeka, ushukela wegazi ongaphansi kuka-3.0 mmol / l, khona-ke owesifazane udinga usizo lokuqala:
- Uma kunokuhlanza okukhulu, ukwehluleka, isiguli esingazi, i-1 mg ye-glucagon kufanele iphathwe ngokushesha nge-intramuscularly. Leli thuluzi kumele ngaso sonke isikhathi libe seliseduze.
- Uma owesifazane okhulelwe ekwazi ukuphuza, ungamphuzisa izinkomishi eziyi-0,5 zejusi lama-apula, owolintshi noma amagilebhisi. Kunconywa ukumnika isixazululo se-glucose esingu-5%. Akufanele udle ubisi, izithelo, nokudla okuqukethe i-fiber, amaprotheni, kanye nama-carbohydrate ahamba kancane, ngoba i-glucose ayakhi ngokushesha. Ukubambezeleka isikhathi kungakhulisa isimo se-hypoglycemia.
- Okuqukethwe ushukela kufanele kubhekwe njalo ngemizuzu eyi-15 kuze kuba yinto evamile. Uma nje kunezimpawu ze-hypoglycemia, owesifazane okhulelwe akufanele ashiywe engatholakali odokotela noma izihlobo, kuyadingeka ukuqhubeka nokunikeza ujusi wakhe ezingxenyeni ezincane.
