Ehlelweni lokuzala ingane, umama okhulelwe kufanele "ahlanganyele" eningi lokuhlolwa kwezifo zokuxilonga, futhi ahlolwe nezinye izindlela ezahlukene.
Konke lokhu kuyadingeka ukuze kutholakale ngesikhathi esifanele iqiniso lokuba khona kwezinkinga ezikhona emzimbeni wowesifazane nokwamukelwa kwazo zonke izindlela ezitholakalayo zokuziqeda.
Kwezempilo yezingane ezizayo, umkhuba ushukela wokuchama kwabesifazane abakhulelwe ubamba iqhaza elibalulekile, okuzoxoxwa ngalo ngezansi. Njengoba wazi, ushukela ushukela odingekayo wamaseli. Kodwa-ke, ukweqa okwejwayelekile akuyona inzuzo empilweni yabesifazane nowesibeletho.
Ngalesi sizathu, ngokwanda kokuqukethwe ushukela kumchamo obonwe, kunconywa ukuthatha izivivinyo ezengeziwe. Lokhu kuchazwa yiqiniso lokuthi uphawu olunjalo lungahle lube ngumphumela wokuthuthuka kwesifo sikashukela sokukhulelwa.
Ushukela we-Urinary kwabesifazane abakhulelwe
Umchamo unikezwa owesifazane okhulelwe ukuba ahlaziywe ngaphambi kokuhambela ngakunye okuhleliwe kudokotela, ngakho-ke uma izinga le-glucose kumchamo landa, khona-ke udokotela wezifo zabesifazane unikeza ezinye izindlela zokuhlola. Umgomo wabo oyinhloko ukuthola ukuthi inkomba kashukela iyanda yini ngenxa yezizathu zokuphila futhi iyinto engenabungozi, noma ingabe kuwuphawu lokuthi kwakhiwe noma iyiphi i-pathology.
Umphumela walokhu kuphambuka kusuka kokujwayelekile umnikelo wegazi ongagadliwe we-glucose, amahomoni nokuxilongwa kwegazi lomtholampilo, lapho abazobheka khona inani le-hemoglobin ye-glycated.
Izinkomba ze-lactin ngesikhathi sokulethwa komchamo wesibili zincike ngqo kuzinga likashukela egazini, elikhonjiswe ngokucacile etafuleni elingezansi:
| Ukuba khona kwe-glucose kumchamo, i-mmol / ilitha (noma%%) | Ukuba khona kwe-glucose egazini, mmol / ilitha |
| ulahlekile | ngaphansi kuka-10 |
| I-0.5% noma i-28 mmol / ilitha | 10-11 |
| 1% noma 56 mmol / ilitha | 12-13 |
| I-1-2% noma i-56-111 mmol / ilitha | 13-14 noma 14-15 |
| ngaphezu kwe-2% | ngaphezulu kwe-15 |
Okujwayelekile, okungenxa yokucaciswa kwesikhathi sokukhulelwa, kufanele kube izinga elingeqi ku-1.7 mmol / litre. I-trimester yesibili neyesithathu ivumela ukugcwala ushukela okungekho ngaphezu kwe-0,2%.
Izimbangela zokukhuphuka kweglucose ngesikhathi ukhulelwe
Amaphesenti akhuphukayo e-lactin kowesifazane okhulelwe kumchamo abizwa ngokuthi yi-glucosuria. Lolu shintsho luyakwazi ukubakhona ngenxa yokwehluleka kwe-hormonal ngesikhathi sokukhulelwa nokukhuphuka kwegazi lezinso.
Le nto yenzeka ngokuthwala imithwalo nokushukumisa kwenqubo yokuhlaselwa kwe-insulin. Izizathu ezinjalo azihlukaniswa njengezigameko zokugula, kodwa noma kunjalo zibonisa ukunakwa okwandayo okuvela kudokotela.
Ushukela womchamo sowesifazane ungakhuphuka ngenxa:
- isifo sikashukela mellitus;
- izifo zomzimba;
- i-pancreatitis eyingozi;
- i-meningitis;
- ukwehluleka kwezinso;
- glomerulonephritis;
- i-pyelonephritis;
- isifo sesibindi.
Ukwanda kwezinga elivumelekile le-lactin kumchamo kungakhuthaza ukusetshenziswa kokudla okunoshukela ngamanani amakhulu. Akunendima ebaluleke kangako edlalwa yizimo ezingapheli zokucindezelwa, kanye nokuba khona kwengcebo yelifa.
Ukuphambuka kokujwayelekile yinkomba ye-glucose lapho owesifazane okhulelwe:
- kuyakhathala ngokushesha;
- kuvame kakhulu ukuphoqa isimila;
- uhlala ezwa umuzwa wokoma emgodini womlomo.
Odokotela bayazi kahle indlela efana nesifo sikashukela sokukhulelwa, okuyinto eyenzeka okwesikhashana. Kuba imbangela yokukhula koshukela ukuhlinzeka ngokugcwele amandla hhayi kumama okhulelwe, kodwa nakumntwana.
Izimpawu ze-glucosuria
Ukugula okunjalo akuhambi njalo kuhambisane nezimpawu eziphawuliwe, noma kunjalo, isibonakaliso esinjengesilinganiso esandayo sikashukela emchameni, esikhonjiswe imiphumela yokuhlolwa, siyinto ekhathazayo.
Izimo ezinzima kakhulu lapho i-lactin eningi ihambe nomchamo zihambisana:
- ukukhathala;
- ubuhlungu emilenzeni, obonakaliswa ngangokunokwenzeka ngenkathi uhamba;
- umuzwa wendlala;
- umlomo owomile nokoma, noma ngabe kusetshenziswe isilinganiso esikhulu soketshezi;
- isiyezi esinzima;
- ubuthakathaka bemisipha;
- ukujuluka;
- ukozela
- umbono ohlukanisayo;
- ukukhuphuka kwenani eliphelele lomchamo okhishwa ngosuku;
- isifo sohudo
- ushintsho ekushweni kwenhliziyo.
Noma yiziphi izimpawu ezifakwe lapha ngenhla kufanele ziqwashise owesifazane okhulelwe futhi zimkhuthaze ukuba aye kudokotela ngokushesha.
Ingozi yomama nengane yesikhathi esizayo
Inani elikhulu le-lactin kumchamo kwesinye isikhathi lingaba nomphumela olimazayo hhayi kumfazi okhulelwe kuphela, kodwa nakumntwana ongakazalwa.
I-Pathology ibangela ukubhujiswa kwezicubu ze-ovarian, i-placenta. Kukhona ukwephulwa kokukhiqizwa kwe-estrogen, kuvela izimpawu ze-toxicosis sekwephuzile.
Izimo ezinjalo zivame ukubonwa kakhulu lapho isonto lama-20 lokukhulelwa lenzeka. Ngaphezu kwalokho, umama ongaba khona ubhekene ne-edema enzima, umfutho wegazi owengeziwe kanye nesisindo esisheshayo.
Ukukhula kweshukela kumchamo kubangela umphumela ongemuhle kulwelwesi lwe-amniotic, ukuthuthukiswa kwe-polyhydramnios. Kwesinye isikhathi isibeletho sisesimweni esingalungile ngaphambi kokuba sizalwe ngokushesha, intambo isonteke, okungaholela ku-hypoxia yengane.
Kulesi simo, owesifazane uthola isigaba se-Caesarean.
Ukunyuka njalo kwenkomba ye-lactin kuphazamisa izinqubo ze-metabolic, ukwanda okusheshayo kwesisindo se-fetus kuya ku-4 kg noma ngaphezulu kwenzeka.
Ngenxa yalokho, lapho bedlula emseleni wokubeletha, ingane nonina bayalimala. Ukuphambuka okuchaziwe kuyingozi hhayi kowesifazane okhulelwe kuphela, kodwa nasenganeni uqobo.
Kaningi kutholakala ukuthi unenkinga yokuzalwa kwemithambo yegazi nenhliziyo.
Izindlela zokwelapha
Ukunciphisa ubukhona beshukela, odokotela batusa ukulungiswa kwemenyu yokudla ejwayelekile.
Iba nomthelela ongemuhle:
- ama-carbohydrate alula;
- ukudla okunezipayisi, okuthosiwe noma okunamafutha;
- iziphuzo ezidakayo;
- i-nicotine;
- iziphuzo zekhabhoni.
Ngaphezu kwalokho, imvamisa ukudla okunje kuhambisana nokuqokwa kwe-insulin. Ukwenza izivivinyo zijwayelekile, umuntu kufanele aqaphele umbuso wokuphumula nomsebenzi, abeke isikhathi esanele semfundo yomzimba kanye nokulala okugcwele.
Uma phakathi kokuhlaziya okuphindaphindiwe imiphumela ye-glucose ephezulu iqinisekisiwe, udokotela unikeza ukuxilongwa okugcwele kwesimo sempilo sesiguli ukuthola umthombo wokungahambi kahle. Ukudambisa izimpawu zesifo, kusetshenziswa izindlela zendabuko zokwelapha.
Izindlela zokupheka ezilandelayo zithandwa kakhulu:
- herbal tincture. 1 isipuni sengxube yemasheya alinganayo we-dandelion izimpande, ama-blueberries kanye namaqabunga e-nettle aphonswa esitsheni esine-300 ml yamanzi abilayo. Ngemuva kwalokho, isixazululo esikhanyayo sivunyelwe ukuhambisa amahora angama-3-4. Isetshenziselwa itiye ngaphambi kokudla;
- umhluzi we-oat. Inkomishi ye-oatmeal ithululelwa 1 litre lamanzi abilayo futhi iphekwe emlilweni ophansi imizuzu engama-5-8. Phuza inkomishi ½ ngaphambi kokudla;
- isiphuzo sobisi esimuncu ngesinamoni. Isipinaphoni sesinamoni singezelelwa ubisi lwe-kefir noma lubilisiwe futhi baphuza isiphuzo 1 isikhathi nsuku zonke kusihlwa.
Inketho enhle yokwelashwa ukubhucungwa umzimba, umphumela wokusebenza wayo ozobonakala ngokungaqondile. Kufanele uchofoze kumaphoyinti athile asebenzayo womzimba ahambelana namanyikwe. Lokhu kuvusa ukukhiqizwa kwe-insulin, okuholela ekuncipheni kwe-lactin.
Amavidiyo ahlobene
Mayelana nezimbangela zoshukela kumchamo ngesikhathi sokukhulelwa nokuthi ungaliqeda kanjani kuvidiyo:
Ukufingqa, kufanele kuqashelwe iqiniso lokuthi ngokukhuphuka kokukhona kowesifazane okhulelwe ushukela kumchamo, udokotela wezifo zamazinyo kuzodingeka afune usizo kudokotela osondelene naye, ngokwesibonelo, udokotela oyi-nephrologist noma i-endocrinologist.
Ngemuva kwakho konke, isethulo esinembile esenziwe ngudokotela wesithombe esiphelele senkinga ekhona esizonikeza ithuba lethemba lokwelashwa okufika ngesikhathi, futhi okubaluleke, ukwelashwa okunekhono. Uma izimpawu ze-pathological zingaqinisekisiwe, owesifazane okhulelwe uyanconywa ukuba alandele izinkambiso zokuvimbela.
Isinyathelo sokuqala ukwandisa indlela odla ngayo nendlela yakho yokuphila. Okulandelayo, udinga ukuhlolwa njalo nangesikhathi sokusebenzisa ukunakekelwa kwezokwelashwa. Yindlela enjalo kuphela ezovumela umama wakusasa nengane yakhe ukuba bahlale bephilile.
