Okuphoqelekile noma cha: isivivinyo sokubekezelela ushukela lapho ukhulelwe nokubaluleka kwako

Ukuhlolwa kokuzwa kweglucose kubekelwe iziguli ezinesifo sikashukela, abantu abakhuluphele abanezifo ze-thyroid.

Kwabesifazane abaningi abakhulelwe, ngokumelene nesizinda sezinguquko ze-hormonal, ukuphazamiseka kwe-carbohydrate metabolism kwenzeka.

Labo abasengozini banikezwa ukuhlolwa kokubekezelela i-glucose ukuvimbela ukukhula kwesifo sikashukela sokukhulelwa, futhi umbuzo wokuthi ngabe kuyadingeka yini ukukwenza ngesikhathi sokukhulelwa kungumsebenzi we-gynecologist.

Owesifazane wenza isinqumo sokuhlolwa, kuya ngokuthi ukhathazeka kangakanani ngempilo yengane engakazalwa.

Ukuhlolwa kokubekezelela kwe-glucose ngesikhathi sokukhulelwa: okuphoqelekile noma cha?

Ukuhlolwa kokubekezelela kwe-glucose kumele kunqunyelwe emitholampilo ethile yabesifazane, nakwabanye - ngenxa yezizathu zempilo.

Ngaphambi kokuthatha isinqumo sokuthi uyadingeka yini ngesikhathi sokukhulelwa, kufanele uthinte isazi se-endocrinologist ukuze uthole izeluleko, futhi uthole ukuthi ukhonjiswe bani.

I-GTT iyingxenye ebalulekile yokuthola impilo kamama okhulelwe. Ukuyisebenzisa, unganquma ukumunca kahle ushukela ngumzimba bese ukhomba ukuphambuka okungenzeka enqubweni ye-metabolic.

Kungabesifazane abakhulelwe lapho odokotela bexilonga khona isifo sikashukela sokukhulelwa, esibeka engcupheni impilo yengane. Ukuthola isifo esingenazo izimpawu zomtholampilo ezigabeni zokuqala kungenzeka kuphela ngezindlela zaselebhu. Yenza isivivinyo phakathi kwamasonto angama-24 kuya kwangama-28 sokukhulelwa.

Kwisigaba sokuqala, kuzobekwa isivivinyo uma:

• okhuluphele wesifazane;
• ngemuva kokuhlaziywa komchamo, ushukela watholakala kuwo;
• ukukhulelwa kokuqala kwasindwa yisifo sikashukela sokukhulelwa;
• ingane enkulu yazalwa ngaphambili;
• I-Ultrasound ikhombisile ukuthi umbungu mkhulu;
• esimweni esiseduze somndeni sowesifazane okhulelwe kukhona iziguli ezinesifo sikashukela;
• Ukuhlaziywa kokuqala kwembula amazinga e-glucose ajwayelekile.

I-GTT ngemuva kokutholwa kwalezi zimpawu ezingenhla ichazwe emavikini ayi-16, iphindaphinde emavikini angama-24-28, ngokwezinkomba - ku-trimester yesithathu. Ngemuva kwamaviki angama-32, ukulayisha ushukela kuyingozi enganeni.

Isifo sikashukela se-Gestational sitholakala uma ushukela wegazi ngemuva kokuhlolwa udlula i-10 mmol / L ihora elilodwa ngemuva kokuthatha isixazululo no-8.5 mmol / L ngemuva kwamahora amabili.

I-pancreas ayakhiqizi i-hormone eyanele ngalesi simo, ukubekezelela ushukela egazini lowesifazane okhulelwe kusezingeni elifanayo.

Ngasikhathi sinye, izinga le-serum glucose lenyuka, isifo sikashukela sokukhula komzimba siyakhula.

Uma okuqukethwe ushukela kubonwa ngezinga lokudla okuyi-7.0 mmol / l ekuqaleni kwe-plasma, ukuhlolwa kokubekezelela kweglucose akunqunyelwe. Isiguli sitholakala sinesifo sikashukela. Ngemuva kokubeletha, kunconyelwa nokuthi kuhlolwe ukuze kutholakale ukuthi ukugula kuhambisana nokukhulelwa.

I-Order yoMnyango Wezempilo waseRussia Federation

Ngokomyalo wangoNovemba 1, 2012 N 572н, ukuhlaziywa kokubekezelelwa kwe-glucose akufakiwe ohlwini lweziphoqo kubo bonke abesifazane abakhulelwe. Kubekelwe izizathu zezokwelapha, ezifana ne-polyhydramnios, isifo sikashukela, izinkinga ngokuthuthukiswa kwesibeletho.

Ngingenqaba yini isivivinyo sokubekezelela ushukela lapho ukhulelwe?

Owesifazane unelungelo lokwenqaba i-GTT. Ngaphambi kokuthatha isinqumo, kufanele ucabange ngemiphumela engaba khona futhi ufune izeluleko zochwepheshe abahlukahlukene.

Kunqatshelwe nini ukuhlaziywa?

Njengoba owesifazane kuzodingeka aphuze ikhambi elimnandi kakhulu ngaphambi kokunikela ngegazi, futhi lokhu kungavusa ukugabha, ukuhlolwa akubekelwe izimpawu ezinamandla ze-toxicosis yakudala.

Contraindication for ukuhlaziywa kufaka:

• izifo zesibindi, ama-pancreas ngesikhathi sokuqhuma;
• izinqubo zokulimala ezingapheli emgodini wokugaya ukudla;
• isilonda sesisu;
• "isisu esibuhlungu" syndrome;
• contraindication ngemuva kokuhlinzwa esiswini;
• isidingo sokuphumula kombhede eselulekweni sikadokotela;
• izifo ezithathelwanayo;
• i-trimester yokugcina yokukhulelwa.

Awukwazi ukwenza isifundo uma ukufundwa kwamamitha kashukela esiswini esingenalutho kudlula inani lika-6.7 mmol / L. Ukudla okwengeziwe kwamaswidi kungavusa ukuvela kwe-hyperglycemic coma.

Yikuphi okunye ukuhlola okumelwe kudluliselwe kowesifazane okhulelwe

Kukho konke ukukhulelwa, umuntu wesifazane ungaphansi kokuhlolisisa kodokotela abaningi.

Ukuhlolwa okulandelayo kunconywa nakanjani kwabesifazane abakhulelwe:

1. i-trimester yokuqala. Lapho ubhalisa owesifazane okhulelwe, kusethwa isethi evamile yezifundo: ukuhlaziywa okujwayelekile komchamo negazi. Qiniseka ukuthi unquma iqembu legazi kanye ne-Rh factor yalo (ngokuhlaziywa okungalungile, nayo inqunyelwe umyeni). Isifundo se-biochemical siyadingeka ukuthola amaprotheni aphelele, ukuba khona kwe-urea, i-creatinine, ukunquma izinga loshukela, i-bilirubin, i-cholesterol. Owesifazane unikezwa i-coagulogram ngenhloso yokunquma ukubumbana kwegazi kanye nesikhathi inqubo. Ukunikezwa kwegazi okugunyaziwe kwe-syphilis, ukutheleleka nge-HIV kanye ne-hepatitis. Ukuze kungabandakanywa izifo ezithathelwana ngocansi, kuthathwa imfuduko ephuma esithweni sangasese isikhunta, i-gonococci, chlamydia, ureaplasmosis, bese kwenziwa ukuhlolwa kwe-cytological. Iprotheni ye-Plasma izimisele ukukhipha ukungalingani okukhulu, njenge Down Down, Edward syndrome. Ukuhlolwa kwegazi nge-rubella, toxoplasmosis;
2. trimester yesibili. Ngaphambi kokuhambela ngakunye kudokotela we-gynecologist, owesifazane ufaka ukuhlaziywa kwegazi, umchamo kanye ne-coagulogram uma kukhonjisiwe. I-biochemistry yenziwa ngaphambi kwekhefu lokuya esikhathini, i-cytology lapho kutholakala khona izinkinga lapho kudlula ukuhlaziya kokuqala. I-smear evela esithweni sangasese sowesifazane, nomlomo wesibeletho kwi-microflora nawo unqunyelwe. Phinda uhlole i-HIV, i-hepatitis, syphilis. Nikela ngegazi kuma-antibodies;
3. i-trimester yesithathu. Ukuhlaziywa okujwayelekile komchamo, igazi, i-smear ye-gonococci emavikini angama-30, ukuhlolwa kwe-HIV, i-hepatitis nako kunqunyelwe. Ngokwezinkomba - i-rubella.

Amavidiyo ahlobene

Mayelana nokuhlolwa kweglucose egazini ngomthwalo ngesikhathi sokukhulelwa kuvidiyo:

Ukuhlolwa kokubekezelela ushukela kubhekelwa kwabesifazane abakhulelwe abanoshukela osolwayo. Ezingozini kukhona iziguli ezikhuluphele ezinokugula okuphathelene ne-endocrine, ezinezihlobo ezinezifo ezifanayo. Awukwazi ukwenza ukuhlaziya nge-toxicosis enzima, ngemuva kokuhlinzwa esiswini, ngokukhipha i-pancreatitis ne-cholecystitis.

Ukuhlolwa kokubekezelela kwe-glucose ngesikhathi sokukhulelwa akufakwanga ohlwini lwezifundo ezidingekayo; kunqunywe ngokuya izinkomba. Owesifazane ozinakekelayo yena nengane yakhe uzolandela yonke imiyalo kadokotela futhi uzophasa izivivinyo ezidingekayo.

Uma kutholakala ukweqisa kwamazinga kashukela ajwayelekile egazini, iziyaluyalu ze-metabolic ezitholakele ngesikhathi zizosiza ukugwema izinkinga zempilo ngesikhathi sokukhulelwa, futhi zivikele nengane yabo yesikhathi esizayo ekukhuleni.