Isifo sikashukela i-mellitus sibhekwa njengesifo esiyinkimbinkimbi sohlelo lwe-endocrine, lapho kungekho kukhiqizwa okunganele kwe-insulin.
Ingozi yesifo ilele eqinisweni lokuthi kwesinye isikhathi iziveza ngesikhathi sokukhulelwa.
Ngokusekelwe kulokhu, kunconywa ukuthatha isivivinyo ukuthola ushukela we-latent ngesikhathi sokukhulelwa.
Izinkomba zokuhlolela i-mellitus yesifo sikashukela sokugcina ngesikhathi sokukhulelwa
Imvamisa ukuphinda kubuye kwezinye izifo ezikhona kwenzeka ngesikhathi sokukhulelwa. Kukhona ithuba lokuhlakulela isifo sikashukela esisezingeni eliphezulu. Ngokuqiniseka okugcwele ngokungabikho kwalesi sifo, udokotela uphakamisa ukuthi owesifazane okhulelwe ahlolwe ushukela.
Ukuhlaziywa ngesikhathi sokukhulelwa kunikezwa kulezi zimo ezilandelayo:
- womile njalo;
- ukuchama njalo;
- emgqeni welifa kukhona isifo sikashukela;
- lapho ukuthwala ingane kusinda;
- ngesikhathi sokufunda ngemiphumela yokuhlolwa kwegazi nomchamo, ushukela watholakala ekwakhekeni kwezinto eziphilayo;
- ukukhathala nokunciphisa umzimba ngokushesha.
Izinsuku zokuhlola ezinconyiwe nemithetho yokulungiselela
Isigaba sokuqala sokuhlolwa kwesifo sikashukela esisekupheleni sisuka kumaviki ayi-16 kuye kwayi-18 sokukhulelwa. Kwezinye izimo, isifundo sihlelelwe ukufika kumaviki angama-24.
Uma phakathi nokuhlolwa kwe-biochemical inani elithile likashukela liyabonakala, khona-ke isivivinyo sinqunywa emavikini ayi-12.
Isigaba sesibili sokubhala siwela esikhathini kusuka kumaviki angama-24 kuye kwangama-26. Ukuba khona kwenqwaba kashukela ngalesi sikhathi kungalimaza hhayi kuphela umama, kodwa nengane. Ukulungiselela okulungile kubalulekile ukuthatha isivivinyo sokubekezelela ushukela.
Izincomo ezilandelayo kufanele zibhekwe:
- ezinsukwini ezintathu ngaphambi kokuhlolwa, udinga ukuhlinzeka ngemenyu yansuku zonke ngama-gramu ayi-150 ama-carbohydrate;
- isidlo sokugcina kufanele siqukethe okungenani amagremu ama-50 ama-carbohydrate;
- Amahora ayi-8 ngaphambi kokuhlolwa akufanele adle ukudla;
- ungathathi izithasiselo zokudla namavithamini anokuqukethwe ushukela ngaphambi kokuthatha ukuhlaziya;
- i-progesterone ingathinta umphumela ongalungile wokuhlaziywa, ngakho-ke okokuqala udinga ukuxoxa ngesheduli nodokotela wakho;
- phakathi nalo lonke uvivinyo, kufanele ube usesimweni sokuhlala.
Ungakuthatha kanjani ukuhlolwa kwegazi ushukela ocashile?
Inqubo yokuhlolwa koshukela okulandelayo ingokulandelayo:
- igazi lithathwa emthanjeni ukukala amazinga kashukela;
- khona-ke isiguli siphuza isixazululo se-monosaccharide;
- bese uthatha igazi futhi ihora namahora amabili ngemuva kokuphuza ikhambi ngokulinganisa imiphumela.
I-glucose yokuhlaziywa ivuthwa ngokuhlanganisa i-300 ml yamanzi ahlanziwe nge-75 g kafulawa owomile.
Kungakapheli imizuzu emi-5, isisombululo kumele sidakwe.
Imiphumela yokuhlolwa kwegazi: amasiko nokukhubazeka kwabesifazane abakhulelwe
Izinkomba ezilandelayo yisimo esivamile se-glucose ngesikhathi sokukhulelwa:
- ekudleni kokuqala kokudla, izinkomba akufanele zedlule ku-5.1 mmol / l;
- ngemuva kocingo lwesibili, olwenzeka ihora elilodwa ngemuva kokuthatha isixazululo, izinga elijwayelekile lifinyelela ku-10 mmol / l;
- ngemuva kwesithathu komnikelo wegazi, othathwe amahora amabili ngemuva komthwalo, okuqukethwe kweglucose akufanele kube ngaphezulu kuka-8.5 mmol / l.
Endabeni yamazinga okudlula kowesifazane okhulelwe, umuntu angacabanga ukuba khona kwesifo sikashukela sokukhulelwa. Ukuxilongwa ngale ndlela akuyona ingozi. Ngokuyisisekelo, amazinga kashukela ancishiswa ngemuva kwezinyanga ezimbili ngemuva kokubeletha.
Kodwa-ke, lesi simo ngeke sithathwe njengejwayelekile, ngoba singalimaza ingane. Ngakho-ke, ukubonisana nodokotela we-endocrinologist kuyadingeka, okuthi, uma kunesidingo, okuzoqondisa izivivinyo ezingezekile noma ukudweba ukudla okukhethekile.
Amazinga kashukela omncane nawo angathinta kabi ukukhulelwa, ngoba ama-carbohydrate abandakanyeka ekwakhekeni kwengqondo yengane.
Izindlela zokuhlonza isifo sikashukela esisebusweni
Isilinganiselo sokwenza i-diagnosis efana nesifo sikashukela i-glucose yesisu esingenalutho esingaphezu kuka-5.1 mmol / L.Uma izinga legazi lakhe ngaphambi kokudla ukudla liphakeme kunale nkomba, khona-ke owesifazane unesifo se-metabolic.
Ekuhlolweni kwesibili ngehora, uma kwenzeka isifo sikashukela mellitus, izinkomba zizohluka kusuka ku-10 kuye ku-11 mmol / L.
Ngemuva komnikelo wesithathu wegazi, owenziwe amahora amabili ngemuva kokuthatha isixazululo, izinkomba ezisuka ku-8.5 ziye ku-11 mmol / l noma ngaphezulu ziyahambelana nokuthola isifo sikashukela.
Amavidiyo ahlobene
Ngabe uvivinyo lwe-glucose luyabekelwa kanjani ngesikhathi sokukhulelwa:
Ukuhlaziywa kokuthola i-mellitus yesifo sikashukela sokukhulelwa ngesikhathi sokukhulelwa kubalulekile, ngoba ingozi yalesi sifo ilele ekukhuleni kwayo okungashisi, okungasithinta kabi isimo sempilo sikamama nengane izelwe.
Ngaphambi kokuphasa isivivinyo, kubalulekile ukulungiselela kahle futhi ulandele zonke izincomo ukuze ususe ukubakhona kwemiphumela yamanga.
