Ukudluliselwa kuhlolo lokukhuthazelela ushukela lapho ukhulelwe - lokho kuhlaziya kwenzelwa ini?

Ngesikhathi sokuthwala umntwana, owesifazana uphoqelelwa ukuba abhekele inhlalakahle yakhe ngokucophelela futhi athathe uchungechunge lwezivivinyo.

Umama okhulelwe akahlali eqonda ukuthi kungani izifundo ezithile zidingeka, nokuthi imiphumela yazo ifakazelani. Imvamisa abesifazane abakhulelwe banikezwa ukuhlolwa komthwalo weglucose.

Lolu uhlobo olubalulekile lokuxilongwa kwelabhoratri. Ngakho-ke, kubalulekile ukwazi ukuthi kungani kwenziwa isivivinyo sokubekezelela ushukela lapho ukhulelwe, ukuthi kufanele senziwe isikhathi esingakanani.

Ukuhlolwa kokubekezelela kwe-glucose ngesikhathi sokukhulelwa: benzani?

Ukuhlolwa kokubekezelela kwe-glucose (ukuhlaziywa ngomthwalo ushukela, i-O'Sullivan) isifundo se-serum esezingeni le-glycemia kanye nezinga lokutholwa kwalo ngumzimba wowesifazane.

Kwenziwa ukuze kuqondwe ukuthi ama-pancreas asebenza kanjani lapho inani elikhulu lama-carbohydrate lingena emzimbeni.

Ukuhlaziywa kukuvumela ukuthi unqume ekuqaleni kwesimo sefomu lokuqala (lesibili) lesifo sikashukela, ukumelana noshukela. Yenza ukuhlolwa kwelabhorethri ekhethekile emtholampilo, esibhedlela, emtholampilo wokubeletha.

Kuphoqelekile ukuyithatha?

Izazi ze-gynecologists ziphikelela ekuhlolweni okuphoqelekile kokubekezelelwa kwe-glucose ngezikhathi ezithile kubo bonke abesifazane abakhulelwe isikhathi esingamaviki angama-24 kuye kwangama-28.

Lokhu kungenxa yokuthi abesifazane abanengane basengozini yokuba nesifo sikashukela sokukhulelwa.

Ngalesi sikhathi, ukwakhiwa kabusha kwama-hormonal kwenzeka, umthwalo kuzo zonke izitho, kufaka phakathi i-pancreas, ukwanda, izinqubo ze-metabolic, umsebenzi wokuguqulwa kwesistimu ye-endocrine. Lokhu kusongela ukulimaza ukubekezelelwa kwe-glucose. Uhlobo lwesifo sikashukela alunangozi futhi luvame ukunyamalala ngemuva kokubeletha.

Uma kungekho ukwelashwa okusekayo ngesikhathi sokukhulelwa, lesi sifo singashintsha sibe uhlobo lwesibili sikashukela. Izinga le-glycemia liphakeme kakhulu kunokujwayelekile ngesikhathi sokukhulelwa kuthinta kabi isimo sikamama okhulelwe nengane yakhe.

Imiphumela yokukhuphuka ushukela we-fetus:

• ukukhuluphala kwesisindo sengane. Ukhuphuka ushukela emfuleni wegazi ungena kumbungu. Amanyikwe amakhemikhali omntwana aqala ukukhiqiza ama-insulin hormone ngamanani amakhulu. Iglucose ethe xaxa icutshungulwa emafutheni futhi igcinwe emafutheni angaphansi. Isisindo se-fetus sanda ngokungafaniyo: izimbambo zincane, nesiqu sikhulu;
• ukufa kwe-umbungu ngenxa ye-hyperglycemic coma;
• ukwanda kwezitho zangaphakathi zengane, ikakhulukazi ama-pancreas, isibindi nenhliziyo. Lokhu kungadala usizi lokuzalwa;
• I-pulmonary hypoplasia ye-fetus. Uma i-insulin ikhiqizwa ngokweqile, khona-ke ukukhiqizwa kwe-survilant kuvinjelwe egazini le-umbungu, okuthinta ukwakheka kohlelo lwamaphaphu.
• ukubonakala kokuphazamiseka kokuzalwa kabusha;
• ukubuyiswa kwengqondo enganeni. Kumntwana osanda kuzalwa, ngemuva kokusika intambo ye-umbilical, i-plasma noshukela iyancipha, kepha i-insulin iyaqhubeka nokwenziwa. Lokhu kuholela ekuthuthukisweni kwe-hypoglycemia ngemuva kokubeletha kanye ne-encephalopathy;
• ukuthuthukiswa kohlobo lokuzalwa kwesifo sikashukela.

Imiphumela ye-hyperglycemia kowesifazane okhulelwe:

• ukuzalwa ngaphambi kwesikhathi, ukuphuka kwesisu;
• ukuthuthukiswa kowesifazane wohlobo lwesibili sikashukela;
• ukwehluleka kwezinso.

Ngakho-ke, ungavumi ukwenza isivivinyo sokubekezelela ushukela. Ngemuva kwakho konke, le yindlela ethembekile yokubona ukwephulwa emkhakheni we-endocrinological esiteji sokuqala.

Kepha kufanele sikhumbule ukuthi kunezindlela eziningi zokuphikisana ngokudlulisela ukuhlaziywa ngomthwalo weglucose:

• i-toxicosis eyingozi kakhulu;
• isidingo sokuphumula kombhede njengoba kuboniswe udokotela;
• i-cholecystopancreatitis engapheli ngesikhathi sokuqhuma;
• isisu esisebenzile;
• ukukhulelwa kusuka emavikini angama-32;
• ekhaleni elihamba kancane;
• ukuba khona komzimba wenqubo yokuvuvukala okunamandla;
• jikelele malaise.

Kusho ukuthini ukuhlola ukubekezelela i-glucose?

Ukuhlolwa okubekezelelwa kweglucose kukhombisa ukuthi owesifazane okhulelwe ulinciphisa kanjani ushukela we-serum. Lokhu kuhlola kunikeza odokotela imininingwane yokuthi kushesha kangakanani ukucubungula i-carbohydrate.

Inzuzo yokuhlolwa ukuthi ikuvumela ukuthi ukhombe izinga le-glycemia esiswini esingenalutho nangemva kokuthatha isixazululo se-carbohydrate.

Ngakho-ke udokotela uthola ukuthi ushukela wokuqala ulandelela isidingo salo emzimbeni.

Kungani uphuza i-glucose ngaphambi kokunika abesifazane abakhulelwe igazi?

Ukwenza isivivinyo sokubekezelela ushukela, owesifazane unikezwa ukuphuza amanzi noshukela.

Sebenzisa uketshezi olunoshukela ukunquma izinga lokusebenza kwe-pancreatic.

Uma umzimba ungahambisani nomthwalo we-carbohydrate, lokhu kusho ukuthi owesifazane okhulelwe unethuba lokuthola isifo sikashukela sokukhulelwa. Lesi simo sibeka engcupheni impilo nempilo yowesifazane nengane yakhe.

Ungakuthatha kanjani lokho okucwaningwayo?

Indwangu yocwaningo ithathwa ngokubhoboza ngesikhafu somunwe. Okokuqala, kufundwa ingxenye yokuqala ye-plasma esiswini esingenalutho. Ngemuva kwalokho isiguli sinikezwa isisombululo se-glucose ukuphuza, okuhlushwa ngaso kuncike eqenjini leminyaka. Ngemuva kwehora, kuthathwa isampula yegazi lesibili bese ihlaziywa.

Ngemuva kwelinye ihora, benza ucwaningo okwesithathu. Ngemuva kwemizuzu engu-120 ngemuva kokulayishwa kwe-carbohydrate, okuqukethwe ushukela kufanele kubuyele kokujwayelekile. Uma kunesifo sikashukela, isifo sikashukela sokukhulelwa, khona-ke ukugcwala kwesibili nokwesithathu kwe-plasma kuzoqukethe inani elikhulayo le-glucose.

Ukuqinisekisa ukuthi imiphumela yokuhlola ithembekile ngangokunokwenzeka, kunconyelwa ukuthi owesifazane okhulelwe alandele imithetho enjalo:

• iya elabhoratri esiswini esingenalutho;
• isidlo sokugcina ngosuku olwandulela ukuhlolwa kufanele sibe ngaphambi kwesithupha kusihlwa;
• ngemuva kwamahora ayi-15, yeka ukuthatha izidakamizwa ezithinta izinga le-glycemia, neziphuzo eziqukethe utshwala, ikofi. Kuyenqatshelwa ukubhema;
• isigamu sehora ngaphambi kokuthatha uketshezi lwebhayoloji, udinga ukuhlala phansi uzolile. Isasasa linomthelela ekwandeni kokugxilwa koshukela.

Kungani kuhlolwa i-glycated hemoglobin ngesikhathi sokukhulelwa?

Kwesinye isikhathi ama-gynecologists anikeza ukuqondiswa kwabesifazane abakhulelwe ukuthi banikele ngegazi ku-glycated hemoglobin. Lokhu kuvivinya kwenziwa kaningi uma ukuhlolwa kokubekezelela ushukela kukhombisa ukugcwala koshukela egazini. Ukuhlaziywa kwenziwa ukuze kubhekwe izinga le-glycemia ku-plasma.

Izinzuzo zokuhlolwa kwe-hemoglobin ye-glycated:

• ukunemba okuphezulu kwemiphumela kuqhathaniswa nendlela evamile yokuthola ukubekezelela ushukela;
• amandla okubona isifo sikashukela ekuqaleni kwentuthuko;
• igazi elitholwe nganoma yisiphi isikhathi, noma ngabe kukudla, kufanelekile ocwaningweni;
• ingcindezi nokukhathazeka, ukwelashwa ngezidakamizwa akukuthinti ukwethembeka komphumela;
• Universality (ilungele abantu banoma yisiphi isigaba seminyaka).

Ukuhlaziywa kwe-Cons:

• olwenziwe elincane elabhorethri;
• inezindleko eziphakeme;
• uma owesifazane okhulelwe ene-hemoglobinopathy noma i-anemia, khona-ke umphumela ungaba ngamanga.

Izazi ze-gynecologists zincoma ngokuqinile ukuhlolwa kwe-hemoglobin ye-glycated. Ikakhulu kaningi kunqunyelwa kwabesifazane abakhulelwe abane-diagnostic yesifo sikashukela.

Imiphumela ye-hemoglobin ephezulu ye-glycated yile:

• ukuzalwa okunzima;
• ingozi eyengeziwe yokuba nengane enkulu;
• ukucekelwa phansi kwemithambo yegazi;
• kwehlise i-acuity ebonakalayo;
• umsebenzi wezinso ongonakalisiwe.

Ukubuyekezwa Okukhulelwe

Labo ababengenaziphazamiso ze-endocrinological ngaphambi kokukhulelwa kwengane futhi abazizwa kahle ngesikhathi sokukhulelwa, babheka ukuthi lokho kuhlaziya akunangqondo.

Abanye bakhala ngokuthi udinga ukuya egumbini lokuhlinzwa esiswini esingenalutho: ngenxa yalokhu, isiyezi nobuhlungu endaweni ye-epigastric kwenzeka ngendlela ebuyela ekhaya.

Lezi zimpawu ezingemnandi zingagwenywa ngokuthatha isangweji noma i-bun bese uyidla ngemuva kokudla kwe-plasma yesithathu. Labo besifazane abatholakala benesifo sikashukela, kunalokho, bacabanga ukuthi ukuhlaziya ngomthwalo we-carbohydrate kube lusizo futhi kudingekile.

Abesifazane abakhulelwe abanenkinga ye-endocrinological bayazi ngobungozi be-pathology futhi besaba ukulimaza ingane yabo. Odokotela bakhuluma kahle ngokuhlolwa kwe-glucose.

Ochwepheshe bathi ngenxa yalokhu kuhlaziywa, bangasithola isifo sikashukela ngesikhathi bese benquma ukwelashwa okufanele ukuze kugcinwe impilo evamile yomama nengane yakhe.

Amavidiyo ahlobene

Kungani abesifazane abakhulelwe kufanele banikeze igazi nge-glucose? Izimpendulo kuvidiyo:

Ekhulelwe, kuhlolwa nge-glucose ukubekezelelwa. Lolu hlobo lokuxilongwa kwelabhoratri lwenzelwe ukuhlaziya ama-pancreas, ukuthola ukungalingani kwamaseli omzimba ukuze afake i-insulin.

Lokhu kukuvumela ukuthi uthole isifo sikashukela, ubungozi baso benyuka kakhulu ngesikhathi sokukhulelwa, futhi uthathe izindlela zokwelapha ukuze uzinze amazinga e-glucose futhi ulondoloze impilo yabesifazane abakhulelwe kanye nengane.