Kwi-trimester yesithathu, abesifazane abakhulelwe kufanele baphumelele izivivinyo eziningana zokuphoqelela, esinye sazo ukuhlaziya noma ukuhlolwa kwe-glucose testension (TSH). Lokhu kuhlolwa kwelabhoratri kunqunyelwe kubo bonke abesifazane lapho sebefika eminyakeni engamashumi amabili nesishiyagalombili.
Kungani kudingekile
Lokhu kuhlaziywa kuyadingeka, futhi lokhu kungenxa yokuthi muva nje kuye kwaba nezimo eziningi kakhulu zokutholwa kwesifo sikashukela sokukhulelwa ethembeni lesithathu lokukhulelwa. Lokhu kuba inkinga sekwephuzile futhi kusemngceleni nge-toxicosis noma i-gestosis sekwephuzile.
Lapho owesifazane ebhalisa futhi aqoqe imininingwane nesimo sakhe sempilo, lokho kuhlaziywa kungadingeka ukuthi kuthathwe ngaphambili kakhulu, ekuqaleni kokukhulelwa. Uma umphumela uba muhle, khona-ke lowo wesifazane uzobhekwa ngaso sonke isikhathi sokukhulelwa kwakhe, kuzodingeka alandele zonke izincomo zezokwelapha zokuqapha ushukela wegazi.
Hlela iqembu elibeka engcupheni, okubandakanya abesifazane abazinaka bona lapho bebhalisa okokuqala. Izindlela abesifazane abawela ngazo kuleli qembu ngesikhathi sokukhulelwa:
- Isisulu sokuqothuka kwesifo sikashukela i-mellitus (okungukuthi, lesi sifo siyinto yokuzalwa, asitholwa).
- Isisindo somzimba ngokweqile noma ukukhuluphala kowesifazane okhulelwe.
- Kube nezigameko zokubeletha noma zokuphuphuma kwezisu.
- Ukuzalwa kwengane enkulu (enesisindo esingaphezu kwamakhilogremu amane) ngokuzalwa kokugcina.
- Izifo ezithathelanayo ezingapheli zepheshana lomchamo kanye ne-gestosis sekwephuzile.
- Ukukhulelwa ngemuva kweminyaka engamashumi amathathu nanhlanu.
Abesifazane abengekho kulolu hlu kufanele bahlolwe ukuthi babekezelelwa i-glucose ngesikhathi sokukhulelwa kuphela kwi-trimester yesithathu, isikhathi esingamasonto angamashumi amabili nesishiyagalombili.
Yini entuleka kushukela?
IGlucose ibandakanyeka ekuphatheni i-carbohydrate metabolism emzimbeni, ibhalansi yayo eqala ukuguquka ngesikhathi sokukhulelwa.
I-glucose ingumthombo oyinhloko wamandla, odingekile womzimba womama nowokukhulisa umntwana. Izinga likashukela lilawulwa yi-hormone ethile, i-insulin, eyenziwe ngamaseli akhethekile wamanyikwe.
Ukhuthaza ukumuncwa kwe-glucose, ngaleyo ndlela elawula okuqukethwe kwayo esegazini. Uma le nqubo iphambuka kokujwayelekile, khona-ke izifo ezahlukahlukene ziqala ukukhula ezingadingeki ngokuphelele kumfazi okhulelwe. Ngakho-ke, ngokulindela ukuzalwa kusenesikhathi, kumane kudingekile ukulawula izinga le-glucose.
Owesifazane ngokwakhe angalungisa i-carbohydrate metabolism futhi anciphise ubungozi bokwephulwa kwayo, uma eqapha ngokucophelela ukudla kwakhe, khona-ke lokhu kuhlaziya kuyokwembula ngesikhathi sokukhulelwa.
Uma ukuhlaziywa ngesikhathi sokukhulelwa kunikeze umphumela omuhle, khona-ke yenza isivivinyo sesibili ngokwenyuka komthwalo. Ukuphindaphinda kungenziwa kathathu. Uma ukunyuka okuqhubekayo koshukela kwegazi kuphikelela, khona-ke owesifazane okhulelwe ufakwa ekudleni okukhethekile, futhi nsuku zonke kumele ngokuzimela alinganise ushukela kabili.
Isifo sikashukela esikhulelwe asithinti ukukhula kwengane futhi imvamisa ngemuva kokubeletha zonke izinqubo ze-carbohydrate metabolism zibuyela kwesejwayelekile, noma kunjalo, abesifazane abaningi banendaba ukuthi isifo sikashukela satholakala njengefa.
Ukulungiselela ukuhlolwa nokuziphatha kwayo
Ukuthola imiphumela efanele yokuhlaziywa, kufanele uqonde ukuthi inqubo yokuhlola ihamba kanjani, nokuthi uluphumelela kanjani uvivinyo. Odokotela abaningi abalulethi abesifazane abakhulelwe izici zokuhlaziywa.
Elinye igama locwaningo lwe-TSH uvivinyo lwehora elilodwa, amahora amabili, kanye namahora amathathu. Basebenza ngokuphelele amagama abo, ngakho-ke umuntu wesifazane kufanele azilungiselele ukuthi kuzodingeka ukuthi asebenzise isikhathi eside esibhedlela. Angathatha incwadi naye noma eze nomunye umsebenzi wesikhathi sokulinda, futhi axwayise emsebenzini ukuthi uzofika sekwedlule isikhathi.
Udinga ukuthatha ushukela kuwe ukuze uhlolwe namanzi ahlanzekile ngaphandle kwegesi. Eqondisa ukuhlaziywa, udokotela kufanele asho ukuthi yikuphi ukuhlolwa okuzodingeka kudluliswe nokuthi ingakanani i-glucose edinga ukuxutshwa futhi idakwe inqubo leyo.
Uma ukuhlolwa kungamahora, khona-ke bathatha u-50 g we-glucose, ngoba amahora amabili angama-75 g, amahora amathathu yi-100 glucose kufanele ihlanjululwe ngo-300 ml wamaminerali wamanzi ngaphandle kwegesi noma emanzini abilisiwe. Akuwona wonke umuntu ongaphuza lawo manzi amnandi esiswini esingenalutho, ngakho-ke uvunyelwe ukungeza inani elincane le-citric acid noma ujusi kalamula esiphuzweni.
Ukuhlolwa kufanele kuthathwe kuphela esiswini esingenalutho, amahora ayisishiyagalombili ngaphambi kwenqubo, akufanele udle ukudla noma uphuze okunye ngaphandle kwamanzi. Izinsuku ezintathu ngaphambi kokuhlolwa, udinga ukulandela ukudla okuyisipesheli, kuyilapho izingxenye ezinkulu zokudla kufanele zingafakwa ngaphandle, udinga ukunciphisa ukusetshenziswa kokudla okunamafutha, okumnandi nokunosawoti.
Ngosuku olwandulela ukuhlolwa, akufanele futhi udle ngokweqile, kepha akunconywa ukulamba noma ukuzilinganisela kakhulu ekudleni, ngoba lokhu kungathinta imiphumela emibi.
Impilo yowesifazane okhulelwe nengane engakazalwa ixhomeke kunembe lemiphumela yocwaningo, ngakho-ke, akudingekile ukuletha umphumela ngokujwayelekile ngokususa ama-carbohydrate ekudleni ezinsukwini ezimbalwa ngaphambi kokuhlolwa noma, ngokwesibonelo, ngemuva kokuphuza umthamo omncane we-glucose solution.
Elebhu, uzodinga ukunikela ngegazi kusuka emithanjeni noma ngomunwe esiswini esingenalutho (imvamisa kuwo wonke ama-laboratories athatha igazi elivela emunweni). Emva kwalokhu, owesifazana kumele athathe ngokushesha ikhambi le-glucose bese kuthi ngemuva kwehora elilodwa, amabili noma amathathu abuye anikele ngegazi. Isikhathi sincike esivivinyweni asinikezwe sona.
Lapho ulinde isampula yegazi lesibili, imithetho elandelayo kufanele ibonwe:
- Owesifazane kufanele aphumule, ukusebenza ngokomzimba nokuhamba akufanele kusetshenziswe.
- Kungakuhle uma engalala phansi, afunde incwadi.
- Kubalulekile ukungadli ukudla ngesikhathi sokuhlaziywa, ungaphuza kuphela amanzi abilisiwe noma amaminerali ngaphandle kwegesi.
Ukuzivocavoca umzimba kuzoholela ekwandiseni izindleko zamandla womzimba, okuzoholela ekunganweni kwe-glucose okwenziwe ngegazi, futhi imiphumela yokuhlaziywa kwayo ayilungile.
Imiphumela Yokuhlola
Uma ngokwemiphumela yocwaningo okungenani eyodwa yamapharamitha idlula okujwayelekile, khona-ke emva kosuku olulodwa noma ezimbili kuyadingeka ukuthi uphinde uphinde uhlolwe. Uma ukubekezelelwa kwe-glucose kuqinisekiswa ukuthi kukhubazekile, owesifazane kufanele abonane nodokotela we-endocrinologist futhi alandele zonke izincomo zakhe.
Uma owesifazane okhulelwe kutholakala ukuthi unesifo sikashukela sokukhulelwa, khona-ke udinga ukunamathela ekudleni okuthile, aqinisekise ukusebenza komzimba okwanele futhi ahlole njalo amazinga eglucose egazini.
