Ukukhulelwa okungamaviki angama-40 akusona isikhathi sokulindela, ithemba, injabulo nenjabulo.
"Injabulo" enjalo ibeka kumama okhulelwe isidingo sokuhlolwa kaningi futhi aphumelele zonke izinhlobo zokuhlolwa.
Phakathi kokunye, umkhuba wokuhlolwa kokukhiqizwa kweglucose kwabesifazane abakhulelwe kubaluleke kakhulu, inani okufanele libhekwe kuso sonke isikhathi sokukhulelwa komntwana ongakazalwa.
Isimo esinjengalesi kuphela esivumela udokotela ukuthi aqhubeke nokuqapha inkambo yokukhulelwa, axilongeke ngesikhathi nezinkinga ezivelayo nezimo ezifanele ze-pathological. Ngakho-ke kubaluleke kangakanani ukuba wonke umuntu wesifazane enze isifundo esinjalo? Lokhu kuzodingidwa kulesi sihloko.
Kuthatha isikhathi esingakanani ukuthi umuntu okhulelwe athathe isivivinyo sokubekezelela ushukela?
Ukuhlolwa kokubekezelela i-glucose kwenziwa ngezigaba ezi-2. Kubukeka kanjena:
- Isigaba sokuqala - kuyadingeka. Unqunywe ngesikhathi sokuhambela kokuqala kudokotela wanoma yikuphi ukuqondiswa kowesifazane isikhathi samasonto angama-24;
- Isigaba sesibili. Kuboniswa ngokudlula isivivinyo sokubekezelela ushukela womlomo ngo-75 g we-glucose isikhathi esingamaviki angama-25-28. Kwezinye izimo, owesifazane uthatha ukuhlaziya emavikini angama-32, uma kunobungozi obukhulu, khona-ke kusuka ku-16, futhi uma ushukela etholakele ekuhlaziyeni, kusuka ku-12.
Isigaba 1 siqukethe ukufundwa kwelabhoratri kokuzila kwe-lactin okusheshayo ngemuva kokuzila ukudla amahora angu-8.
Kuliqiniso, ukulethwa kuyenzeka ngaphandle kokudla. Uma inkomba ejwayelekile idlulwa ngokubakhona kanyekanye noshukela wegazi ongaphansi kuka-11.1, udokotela unikeza ukuhlaziywa okwesibili.
Lapho imiphumela yokuhlolwa ilingana nenqubo yesifo sikashukela esisanda kutholwa, ngokushesha lowo wesifazane udluliselwa kudokotela ukuze alulandele futhi alulungele. Uma izinga le-lactin lokuzila lingaphezu kuka-5.1 mmol / L, kepha lingaphansi kuka-7.0, kutholakala ukuthi i-GDM iyatholakala.
Ngabe igazi livelaphi: kusuka emunweni noma emvinini?
Inani elikhulu kakhulu labesifazane abakhulelwe, abalungiselela ukuya kudokotela we-gynecologist, bayazibuza - iyini inqubo yokuphasa isivivinyo sikashukela? Ekuqaleni, kufanele uvakashele elebhu esiswini esingenalutho nge-udokotela kanye nemiphumela yocwaningo loshukela.
Kwesinye isikhathi ngaphambi kokuhlolwa okuqondile kokubekezelelwa kwe-glucose, ukuhlaziywa kwe-plasma ngomunwe kuyaphindaphindwa, futhi ngomphumela ongaphezu kuka-7.1 mmol / L, ukuhlolwa okwalandela akubekiwe.
Inqubo ifaka uhlobo olucashile lokuhlola ukubekezelela futhi iqukethe:
- isampula ye-plasma evela emthanjeni kanye noshukela wokulinganisa;
- khona-ke isiguli kufanele sisebenzise ikhambi le-monosaccharide, elibizwa ngokuthi umthwalo;
- isampula ye-plasma yesibili evela emthanjeni yenziwa ngemuva kwehora, kuthi emva kwalokho kube nemizuzu engu-120 ngemuva komthwalo ngesilinganiso somphumela.
Ukweqa imiphumela yokuhlolwa kweshukela ngomthwalo
Ukuhlolwa okuyikho kwemiphumela yocwaningo lwegazi ku-lactin enomthwalo, kuyadingeka ukubheka indinganiso yokuba khona koshukela kokubili esiswini esingenalutho nangemva kokuphuza isixazululo esimnandi.
Ithebula elingezansi libonisa izinga elijwayelekile, amanani wombuso wangaphambi kwesifo sikashukela nakwishukela:
| Imvelo (mmol / L) | Isimo sikashukela (mmol / l) | Uhlobo I, I-Type II Diabetes (mmol / L) | |
| ukuhlaziya okusheshayo | ngaphansi kuka-5.5 | 5,6 - 6 | ngaphezu kwe-6.1 |
| Ukuhlaziya okusheshayo (2 amahora kamuva) | ngaphansi kuka-7.8 | 7.8 - 10.9 | ngaphezulu kwe-11 |
| ukuhlaziywa kwe-venous biomaterial | ngaphansi kuka-5.5 | 5.6 - 6 | ngaphezu kwe-6.1 |
| ukuhlaziywa kwe-venous biomaterial (emahoreni ama-2 kamuva) | ngaphansi kuka-6.8 | 6.8 - 9.9 | ngaphezulu kwe-10 |
Ukuba khona kwethuba lokuxilonga isimo se-prediabetes kwenza ukuthi sikwazi ukuqala ukwelashwa kwalesi sifo esiteji sokuqala futhi kuvikeleke ukuqhubeka kwawo.
Ukuhlolwa kokubekezelela kwe-glucose ngesikhathi sokukhulelwa: kuvamile
Isivivinyo esikhulayo sokubekezelela i-glucose (PGTT) singenzeka ezimweni ezahlukahlukene zokwelapha. Uma imiphumela yokuhlaziywa ingenisiwe ibonisa ukwanda okuqinile kwenani le-glucose, khona-ke ukuhlolwa kuyaphindwa.
Kungemva nje kwenqubo enjalo, udokotela uzokwazi ukuthola isifo sikashukela. Ukuhlolwa kwegazi kufanele kwenziwe kaningana, njengoba umthetho wokudlulisa lokho kuhlola usikisela.
Wonke umuntu wesifazane okhulelwe kufanele azi izinga elijwayelekile likashukela nezimbangela zokuphambuka:
- inkomba eyisisekelo (ngaphambi kokuqala kocwaningo). Ngaphambi kokudla esiswini esingenalutho, inani le-glucose ku-plasma kamama olindele akufanele "likhuphuke" ngenhla kwe-5.1;
- ngemuva kokuthatha amagremu angama-75 kashukela, inani lidlula i-11.1;
- ngemuva kwamahora 1 no-2. Ngemuva kwemizuzu engama-60 ngemuva kokuphuza i-cocktail emnandi, okujwayelekile kungu-10.0 noma ngaphansi ka-mmol / l, ngenkathi ngemuva kwemizuzu engu-120 izinga likashukela akufanele likhuphuke ngaphezulu kuka-8.5.
Uma ukwanda kwemiphumela yokuhlolwa kokubekezelela kwe-glucose kwenzeka kuphela ngesikhathi sokukhulelwa, khona-ke le ndlela yesifo esibizwa ngokuthi yi-gestationalabetes.
Kumele kuqashelwe ukuthi ukuphambuka okusunguliwe kusuka kundabuko sekuyisizathu sokuthi owesifazane okhulelwe aqaphe njalo ushukela kukho konke impilo yakhe. Ukuqinisekisa ukutholakala kwesi sifo, kubalulekile futhi ukuthola inani le-hemoglobin ye-glycated.
Lesi sikhombisi siyakwazi ukubonisa amandla obukhona be-lactin egazini izinyanga eziningana. Namuhla, ochwepheshe abavela kwinani elikhulu lamazwe basebenzisa le nkomba ukuqinisekisa ukutholakala kwesifo sikashukela.
Izizathu zokuchezuka kwemiphumela kokujwayelekile
Isivivinyo sokubekezelela i-glucose ukucwaninga okuphelele kwamahora ayi-2, okurekhoda imiphumela yokusabela kwe-pancreatic ku-glucose ekhiqizwa ngezikhathi ezihlukile. Lokhu kusivumela ukuthi sisungule ukuba khona kwenani elikhulu lama-pathologies, izifo zezinhlelo ezehlukene zomzimba wesifazane.
Noma ikuphi ukuphambukela kuncane noma okukhulu kunophawu olusemthethweni lokuphulwa okuthile.
Inani lama-glucose ngenxa yocwaningo (i-hyperglycemia) lingakhula lapho kukhona izifo ezilandelayo:
- Isifo sikashukela nokuqhubeka kwayo;
- izifo zezitho ze-endocrine;
- ukugula kwe-pancreatic - i-pancreatitis engapheli noma eyingozi;
- zonke izinhlobo zezifo zezinso, isibindi.
Uma inani leshukela lehlile (i-hypoglycemia), singafunga ukuthi kukhona:
- ukuphambuka okuhlukahlukene kokusebenza kwamanyikwe;
- i-hypothyroidism;
- izifo zesibindi;
- izidakamizwa, ubuthi obunobuthi;
- ukuntuleka kwe-iron anemia.
Amavidiyo ahlobene
Mayelana nezimo zokuhlolwa kokukhuthazelela i-glucose ngesikhathi sokukhulelwa kuvidiyo:
Ukwephulwa kokubekezelelwa kwe-glucose kuvame ukwenzeka phakathi nenkambo yokugcina yesifo "esimnandi". Ukuze kukhonjwe ngesikhathi i-pathology enjalo, ukulethwa kohlolo kuchaziwe. Ukuqaliswa kwayo kubandakanya ukulungiswa okufanele nokucatshangelwa kwayo yonke imikhawulo.
Imiphumela etholakalayo isivumela ukuthi singafaki noma siqinisekise ukuthathwa okungafanele kweshukela ngama-cell, kanye nokuba khona kwezinsongo ezingaba khona esikhathini esizayo esiseduze somsebenzi wenhliziyo, imithambo yegazi nezinqubo ze-metabolic zomzimba.
Uma kutholakala izinto ezingahambi kahle, kunconywa ukuthi ulandele izeluleko zokudla okufanele bese ulungisa indlela yakho yokuphila ejwayelekile. Isimo esinjalo kuphela esizoholela ekuzalweni kwengane enempilo, eqinile.
