Ama-gynecologists nakanjani athumela abesifazane abakhulelwe ukuthi banikele ngegazi ukuze bahlaziywe ukuthola i-glucose.
Lokhu kungenxa yokuthi ngesikhathi sokukhulelwa, abanye besifazane baba nesifo sikashukela.
Ngemuva kokuthola imiphumela yokuhlolwa kwe-glucose, umama okhulelwe uzibuza ukuthi ngabe le nkomba inyukile yini. Ukuhumusha kahle idatha yokuhlaziywa kwelabhoratri, kufanelekile ukwazi inani leshukela legazi kwabesifazane abakhulelwe.
Yisiphi isikhathi lapho kudingeka khona ukuhlaziya?
Abesifazane abangasengozini yesifo sikashukela bathola isivivinyo se-glucose yesithathu.
Omama abalindelekile abane-predisposition noma ukuba khona kwe-endocrinological disorder banikela nge-serum ekufundweni kwengqikithi lapho bebhalisa futhi ngezikhathi ezithile ngesikhathi sokukhulelwa.
Lokhu kukuvumela ukuthi uvikele ukukhula kwesifo sikashukela, ukugwema imiphumela emibi kowesifazane nengane yakhe.
Ukulungiselela ukutadisha
Kwesinye isikhathi ukuhlolwa kwe-glycemic kunikeza umphumela ongemuhle noma ongemanga. Ukuthola idatha efanele yokuhlola ushukela, owesifazane okhulelwe kufanele alungele ukuhlolwa.
Ochwepheshe beluleka ukulandela imithetho enjalo:
- ungadli isidlo sasekuseni ngaphambi kokuya emtholampilo. Ekuseni, ungaphuza kuphela amanzi namanje;
- uma usuku olwandulela ukuhlolwa lowesifazane okhulelwe aqala ukuzizwa kabi, lapho-ke kufanele wazise umsizi we-elebhu noma udokotela ngalokhu;
- ngaphambi kokuhlaziywa, kufanele ulale kahle;
- Ngobusuku bokuqala bokuhlolwa, akudingekile ukulayisha kakhulu isisu ngokudla okunama-carbohydrate asindayo;
- ihora ngaphambi kokuhlolwa, kuyadingeka ukukhipha umsebenzi wokuzivocavoca;
- ngesikhathi sesampula yegazi, awunakukhathazeka;
- ngosuku lokufunda, kufanelekile ukwenqaba ukuphuza iziphuzo eziqukethe utshwala nokubhema.
Isimo soshukela wegazi kwabesifazane abakhulelwe ngokuya ngamazinga amasha: itafula
I-glucose enqunywe egazini etholakala emthanjeni noma emunweni. Indlela yocingo ithinta inani lenani elijwayelekile. Ngakho-ke, izinga likashukela eliphakeme livunyelwe ku-venous serum.
Kusuka emunweni
Ukuhlola ama-pancreas, odokotela besibeletho batusa ukuthi abesifazane abakhulelwe bahlolwe ngomthwalo we-carbohydrate. Ama-servings amabili we-serum athathwa: esiswini esingenalutho kanye namahora amabili ngemuva kokuphuza isiphuzo seglue.
Izindinganiso zikashukela we-serum zowesifazane onempilo osesimweni zikhonjisiwe kwithebula engezansi:
| Imvamisa esiswini esingenalutho | Imvamisa emahoreni ambalwa ngemuva kokudla isidlo, isiphuzo se-carbohydrate |
| 3.3-5.1 mmol / L | kufika ku-7.5 mmol / l |
Kusuka kumthambo
Lapho uthola umphumela, kubalulekile ukucubungula ukuthi yiliphi igazi elalisetshenziselwa ukuhlaziya.
Esimweni se-plousma ye-venous, amazinga azoba ngale ndlela elandelayo:
| Imvamisa yokuhlaziya okwenziwe esiswini esingenalutho | Okujwayelekile ngemuva kwamahora ambalwa ngemuva komthwalo we-carbohydrate |
| I-4-6.3 mmol / l | ngaphansi kuka-7.8 mmol / l |
I-plasma glucose eyamukelekayo yesifo sikashukela sokukhulelwa ngesikhathi sokukhulelwa
Lapho amaseli eqala ukubona imiphumela ye-insulin ibe yimbi, bese kuba nohlobo lokutholwa kwesifo sikashukela.
E-3% yamacala, lesi simo se-pathological ngemuva kokubeletha siholela ekuthuthukisweni kwesifo sikashukela sefomu lesibili noma sokuqala.
Lapho kukhona isifo se-prediabetes ngaphambi kokukhulelwa ngesikhathi sokukhulelwa, amathuba okuthi uhlobo lwe-gestational of pathology luyanda.
Igazi le-capillary
Izinga likashukela le-capumary serum labesifazane abanendlela yokutholwa kwe-pathology liboniswe kuthebula elingezansi:
| UNorma esiswini esingenalutho | Imvamisa ngemuva kwamahora ambalwa insimu yokudla |
| isuka ku-5.2 iye ku-7.1 mmol / l | kufika ku-8.6 mmol / l |
Kwabesifazane abanesifo sikashukela sokuthinta, kuvunyelwe ukuba khona kweshukela kumchamo ekuhlanganweni okufika ku-1.72 mmol / l.
Igazi leVenous
I-glucose ejwayelekile ye-glucose egazini le-venous kwabesifazane abakhulelwe iboniswe kuthebula elingezansi:
| Imvamisa esiswini esingenalutho | Inani elijwayelekile kwehora ngemuva kokudla |
| kufika ku-7.5 mmol / l | kufika ku-8.8 mmol / l |
Yini okufanele ibe usayizi ojwayelekile kashukela esiswini esingenalutho futhi ngemuva kokudla ngesikhathi sokuqunjelwa?
Esikhathini sokuphuza, ishukela lokuzila elisheshayo likuluhlu lwe-3.5-5,5 mmol / L ye-capillary serum kuze kufike ku-6.1 mmol / L we-venous.
Lapho ukondla, kwenzeka ukuthi ukugcwala kwe-glucose kuyancipha. Ngemuva kwamahora ambalwa ngemuva kwesidlo sasemini (isidlo sakusihlwa), izinga le-glycemia lingafinyelela ku-6.5-7 mmol / L.
Izizathu zokuphambuka kwezinkomba kusuka kokujwayelekile
Kwenzeka ukuthi ngesikhathi sokukhulelwa ushukela uphambuka kokujwayelekile. Lokhu kungenzeka ngezizathu zomzimba noma ze-pathological. Ukhuphuka ushukela we-serum ubizwa nge-hyperglycemia, futhi kuphansi - i-hypoglycemia.
Ngezansi okujwayelekile
Ngesikhathi sokukhulelwa, ukuhlolwa kwe-serum kuyaqabukela kubonisa amazinga aphansi kashukela. Imvamisa lesi simo sikhula emavikini angama-16 kuya kwangama-90 sokukhulelwa.
I-Hypoglycemia ngenxa yezimbangela ezinjalo:
- lona wesifazane ufuna ukwehla emzimbeni futhi wanquma ukuya ekudleni okunekhalori ephansi;
- ukusetshenziswa okungafanele kwezidakamizwa ezinciphisa ushukela (ushukela ngokweqile, ukudla okungafanele);
- ukusebenza ngokweqile komzimba.
Ama-pathologies anjalo angavusa i-hypoglycemia:
- ukuqina kwesibindi;
- i-hepatitis;
- i-meningitis
- isimila esibuhlungu (benign) esiswini noma esiswini;
- encephalitis.
Ngokwejwayelekile
Uma ama-pancreas elahlekelwa amandla awo okuhlanganisa inani elanele le-insulin, ushukela uqala ukunqwabelana egazini. Futhi, ama-hormone e-placental (somatomammotropin) avusa i-hyperglycemia. Lezi zinto zibandakanyeka ngenqubo yezinqubo ze-metabolic, synthesis protein.
Bandisa ukuqina koshukela futhi banciphise ukuzwela kwamaseli omzimba kuyo. ISomatomammotropin iyadingeka ukuze umbungu uthole ushukela owanele wokuphila.
Izimbangela ze-glycemia ephezulu ngesikhathi sokukhulelwa yilezi:
- umlando we-preeclampia;
- uhlobo lomkhuba wesifo sikashukela;
- i-hepatic pathology;
- ukukhuluphala, okuguqula i-fat metabolism futhi ikhuphule i-cholesterol;
- ukopha ngaphakathi;
- umlando wokuphuphuma kwesisu;
- i-polyhydramnios;
- isithuthwane
- i-pancreatitis
- isakhi sofuzo;
- okweqile ama-carbohydrate asheshayo ekudleni;
- ukuphazamiseka ku-gland yegilo;
- iminyaka esuka eminyakeni engama-30;
- isimo sokuxineka okungapheli;
- ukuzalwa esikhathini esidlule sezingane ezinesisindo esingaphezu kwamakhilogremu amane.
Iminyaka yowesifazane ikuthinta kanjani ukusebenza kwakhe?
Lapho uthola imiphumela yokuhlolwa ushukela, kufanelekile ukubheka ukuthi mingaphi iminyaka ekhulelwe. Ngobudala, izitho zomzimba ziyagula bese ziqala ukubhekana nomthwalo omubi kakhulu.Uma umuntu wesifazane engaphansi kweminyaka engama-30 ubudala, khona-ke ushukela ngesikhathi sokuzala ingane ungaphakathi kwamanani ajwayelekile.
Abesifazane abakhulile abadala bangakhombisa izimpawu ze-hyperglycemia.
Uma owesifazane enquma ukukhulelwa umntwana ngemuva kweminyaka engama-30 ubudala, ngenkathi umama wakhe, ubaba wakhe noma oyisizalo sakhe enesifo sikashukela, kungenzeka ukuthi ngesikhathi sokukhulelwa glucose afike emazingeni abucayi.
Ukulinganisa ushukela wegazi ekhaya
Ukunquma ukugcwala kwe-glycemia egazini, akudingekile ukuya elabhorethri. Namuhla, kunamadivayisi okuzilinganisa kwamazinga kashukela - ama-glucometer.
Ungathenga le divayisi ku imishini yezokwelapha. Ukubheka okuqukethwe ushukela, kufanele futhi uthenge imichilo yokuhlola. Ngaphambi kokulinganisa ukuqina kwe-glycemia, udinga ukufunda imiyalo yokusebenzisa ucingo.
I-algorithm yokusebenzisa i-glucometer:
- geza izandla ngensipho yangasese;
- fudumeza iminwe yakho ekushiseni kwegumbi (lokhu udinga ukufaka izandla izandla);
- phatha ngotshwala ingxenye yomunwe lapho kuzokwenziwa khona i-puncture;
- vula idivaysi;
- faka ikhodi;
- faka umucu wokuhlola kusokhethi elikhethekile lemitha;
- ukubhoboza umunwe ohlangothini nesikhafu;
- donsa amaconsi ambalwa we-serum ku-zone yokusebenzisa umucu wokuhlola;
- Faka uboya bekotini oswakanyiswe ngotshwala endaweni yokubambelela;
- hlola umphumela kuqapha ngemuva kwemizuzwana eyi-10-30.
Kwesinye isikhathi imitha kashukela wegazi ekhaya ingaba yiphutha.
Izizathu ezivame kakhulu zokuthola umphumela ongathembekile:
- ukusetshenziswa kwemichilo yokuhlola okuhloselwe enye imodeli yedivayisi;
- ukusetshenziswa kwemichilo yokuhlola ephelelwe yisikhathi;
- ukungahambisani nombuso wokushisa lapho uthatha ingxenye ye-plasma;
- inani eleqile noma elinganele legazi lokucwaninga;
- ukungcoliswa kwemichilo yokuhlola, izandla;
- ukungena ku-plasma yesisombululo se magciwane;
- idivaysi ayikalinganiswa;
- ukungahambelani nemibandela yokubeka imichilo yokuhlola (ukushisa okuphansi noma okuphezulu, ibhodlela eliqonde).
Amavidiyo ahlobene
Mayelana namazinga kashukela wegazi kwabesifazane abakhulelwe kule vidiyo:
Ngakho-ke, ngesikhathi sokukhulelwa, owesifazane uvulelwa ukukhula kwesifo sikashukela sokukhulelwa. Lokhu kungenxa yokwanda komthwalo kuzo zonke izitho zomzimba, kufaka phakathi namanyikwe.
Ukuze ugweme ukukhula kwesimo se-pathological, udinga ukunikela njalo ngegazi ushukela. Ukuze wenze lokhu, kufanele uthinte ilabhorethri ekhethekile emtholampilo (esibhedlela) noma uthenge imitha yeglucose yasekhaya.
