Isifo sikashukela sokukhulelwa nokukhulelwa: izincomo zokwelashwa, izindlela zokwelashwa nokuvimbela

Isifo sikashukela sokutholwa yisifo esenzeka ebulilini obuhle phakathi nesikhathi sokukhulelwa.

Ngesikhathi sokuhlolwa, udokotela angabona kowesifazane ongakakhuli ngokuphelele ushukela, kepha ukubekezelela i-glucose engasebenzi kahle.

Lokhu kuvame ukubizwa ngokuthi yisimo se-prediabetes. Kwabesifazane esesimweni esijabulisayo, ukugcwala koshukela emzimbeni kukhuphuka kakhulu ngemuva kokudla ukudla, nangaphambi kokudla - azikho izinkinga.

Yikuphi ukwelashwa kwesifo sikashukela sokukhulelwa? Impendulo itholakala ngezansi kulesi sihloko.

Ukuxilonga kanye nenqubo yokuxilonga

Kaningi, isifo sikashukela esibhekwayo sitholakala engxenyeni yesibili yokukhulelwa. Ngaphezu kwalokho, lesi simo sinyamalala ngokuphelele lapho ingane izelwe.

Owesifazane angakhulelwa umntwana, ngenkathi ephula umthetho we-carbohydrate metabolism. Ngakho-ke yini okufanele uyenze ngemuva kokuthola ukuhlushwa kweglucose ephezulu?

Kunoma ikuphi, inhloso yokwelapha iyafana - ukugcina iphesenti likashukela lisesimweni esejwayelekile. Lokhu kuzokuvumela ukuba ubelethe ingane enempilo ngokuphelele. Ungayibona kanjani ingozi yokuthi umuntu ocansini onobuhle athole isifo sikashukela esisheshayo? Le pathology ingadida inkambo yokukhulelwa.

Noma esesigabeni sokulungiselela ukuzalwa kwengane engakazalwa, owesifazane uqobo angahlola izinga lobungozi besifo sikashukela sokukhulelwa:

1. ukuba khona kwamakhilogremu angeziwe noma ukukhuluphala (intombazane ngayinye ngokwayo ingakwazi ukubala inkomba yayo yobukhulu bomzimba);
2. isisindo somzimba sikhule kakhulu ngemuva kokufika kweminyaka;
3. ngowesifazane oneminyaka engaphezu kwamashumi amathathu;
4. ngesikhathi sokukhulelwa esidlule bekukhona isifo sikashukela sokukhulelwa. Odokotela bathola ukugcwala okukhulu kwe-glucose kumchamo. Ngenxa yalokhu, ingane enkulu kakhulu yazalwa;
5. kukhona izihlobo ezinenkinga enkulu yokulimazeka kwe-carbohydrate metabolism;
6. polycystic ovary syndrome.

Sitholakala kanjani isifo sikashukela sokukhulelwa? Bonke abantu besifazane kusukela ngeviki lama-23 kuye kwelama-30 lokukhulelwa banikezwa isivivinyo esikhethekile sokubekezelela ushukela we-glucose. Ngaphezu kwalokho, ekuhambeni kwayo, ukugcwala ushukela kukalwa hhayi kuphela esiswini esingenalutho nangemva kwamahora ambalwa, kodwa futhi nangemva kwemizuzu engama-50 ngemuva kokudla.

Lokhu yilokho okusivumela ukuthi sinqume ukuba khona kohlobo lwesifo sikashukela okukhulunywa ngalo. Uma kunesidingo, udokotela unikeza izincomo ezithile maqondana nokwelashwa.

Ukuchazwa kohlolo lokubekezelela ushukela womlomo ukuthola lesi sifo okukhulunywa ngaso:

1. esiswini esingenalutho, izinga likashukela kufanele lifike ku-5 mmol / l;
2. ngemuva kwehora elilodwa - ngaphansi kwama-9 mmol / l;
3. ngemuva kwamahora amabili - ngaphansi kuka-7 mmol / l.

Kwabesifazane esesimweni esijabulisayo, ukugcwala koshukela emzimbeni esiswini esingenalutho kufanele kube okujwayelekile. Ngenxa yalokhu, ukuhlaziya okwenziwe esiswini esingenalutho akulungile ngokuphelele futhi kunembile.

Imihlahlandlela yemitholampilo yesifo sikashukela sokukhulelwa

Banikeza imininingwane eyisisekelo nehlelekile yokuxilongwa nokwelashwa kwesifo sikashukela sokuthambisa umzimba. Uma owesifazane osesikhundleni etholakele enalesi sifo, khona-ke unqunyelwa kuqala ukudla okuyisipesheli, umsebenzi owanele womzimba futhi welulekwa ukuthi alinganise ushukela wegazi wakhe izikhathi eziningana nsuku zonke.

Lokhu okulandelayo amanani wenani le-plasma glucose edinga ukunakekelwa ngesikhathi sokukhulelwa:

1. isisu esingenalutho - 2.7 - 5 mmol / l;
2. ihora elilodwa ngemuva kokudla - ngaphansi kuka-7.6 mmol / l;
3. emahoreni amabili kamuva, i-6.4 mmol / l;
4. ngesikhathi sokulala - 6 mmol / l;
5. Esikhathini esisuka ku-02:00 kuye ku-06:00 - 3.2 - 6.3 mmol / l.

Uma ukondleka okufanele nokuzivocavoca kungasizi ngokwanele ukubuyisa izinga le-glucose emuva kokujwayelekile, khona-ke owesifazane osesimweni esijabulisayo unqunywe imijovo ye-hormone yokufakelwa yamanyikwe. Yikuphi ukwelashwa okulapha ukunquma okunqunywa kuphela ngudokotela uqobo.

Ukwelashwa kwezidakamizwa sikashukela kokukhulelwa kwabesifazane abakhulelwe

Lapho ukukhulelwa kwenzeka ngenkathi uthatha iMetformin noma iGlibenclamide, kungenzeka ukwelula ukuzala kwengane.

Zonke ezinye izidakamizwa eziklanyelwe ukunciphisa ushukela kufanele zichithwe noma zithathelwe indawo nge-insulin.

Amathebhulethi e-Metformin

Kulesi sikhundla, kungakuhle ukuthi uthathe kuphela i-pancreatic hormone yomsuka wokufakelwa. Kusavunyelwe ukusebenzisa amalungiselelo e-insulin omuntu wesikhathi esifushane nesiphakathi sokwenza, ama-insulin anemininingwane emincane futhi emide esebenza isikhathi eside ngokunconywa ngudokotela.

Izidakamizwa ezanele zokunciphisa ushukela

Imithi yokwehlisa ushukela eyenzelwe ukuphathwa ngomlomo ayivunyelwe ukusetshenziswa ngesikhathi sokukhulelwa. Abesifazane abasesikhundleni kufanele badluliselwe ekwelashweni kwe-insulin.

Insulin

Esikhathini sikashukela salokhu okuhlukahlukene, i-insulin yisilinganiso segolide. I-pancreatic hormone isiza ukugcina i-glycemia isezingeni elamukelekayo.

Kubaluleke kakhulu: i-insulin ayikwazi ukudlula kwi-placenta.Esikhathini sikashukela, njengomthetho, i-insulin enkulu iyanyibilika, ibamba okwesikhashana.

Kunganconyelwa ukuphathwa okuphindaphindiwe, kanye nokusungula okuqhubekayo. Abesifazane abaningi abasezikhundleni bayasaba umlutha we-hormone. Kepha umuntu akufanele wesabe lokhu, ngoba lesi sitatimende asinakuthenjwa ngokuphelele.

Ngemuva kokuphela kwesikhathi sokucindezela kwe-pancreatic futhi umzimba uphinde uthole amandla akho, i-insulin yomuntu izoqala ukukhiqizwa futhi.

I-Homeopathy

Kancane kancane kuholela kumthamo ophansi we-hormone yokufakelwa kwe-pancreatic.

Ngaphezu kwalokho, izinkomba ezibalulekile zihlala zisezingeni elifanayo.

Kwezinye izimo, kunethuba lokuthuthukisa isimo somzimba jikelele.

Ukudla okwelaphayo

Ukondliwa okufanele kwesifo sikashukela somzimba kungokulandelayo:

1. udinga ukudla amahlandla ayisithupha ngosuku. Ukudla kwansuku zonke kufanele kube nezidlo ezintathu eziphambili kanye namazwidi amabili;
2. Kuyadingeka ngokuphelele ukuyeka ukusetshenziswa kwama-carbohydrate angagaya kalula. Lokhu kufaka amaswidi, imikhiqizo yokubhaka namazambane;
3. Qinisekisa ukukala izinga lakho ushukela kaningi ngangokunokwenzeka nge-glucometer. Akunabuhlungu ngokuphelele. Lokhu kumele kwenziwe imizuzu engamashumi ayisithupha ngemuva kokudla ngakunye;
4. kumenyu yakho yansuku zonke kufanele kube cishe isigamu sama-carbohydrate, ingxenye yesithathu yama-lipids enempilo kanye nekota yamaprotheni;
5. Inani lamandla eliphelele lokudla libalwa cishe ne-35 kcal ngekhilogremu yesisindo sakho esifanele.

Umsebenzi womzimba

Ikhambi elisebenzayo ekuvimbeleni isifo sikashukela kungumzimba owanele. Njengoba wazi, ukudlala ezemidlalo kunciphisa kakhulu ingozi yokulimala komzimba.

Kepha abesifazane abangayeki ukuzivocavoca ngenkathi bethwele ingane, ngaphandle kwengxenye yesithathu, kungenzeka ukuthi banesifo sikashukela sokukhulelwa.

Amakhambi esintu

Umuthi ohlukile uzosiza ukwenza umzimba ube ngokwejwayelekile futhi ulungise ukukhiqizwa kwe-insulin.

Nazi izindlela ezinhle zokupheka:

1. Okokuqala, gcoba ulamula omusha ku-grater enhle. Kufanele uthole izipuni ezintathu zokuntengantenga okunjalo. Impande ye-parsley egayiwe kanye negalikhi egayiwe kufanele ingezwe lapha Umxube obangelwa kufanele ugcizelelwe isonto elilodwa. Udinga ukuyisebenzisa kwisipuni se-dessert kathathu ngosuku. Ithuluzi liphephe ngokuphelele kwabesifazane abaphethe ingane;
2. Ungenza ujusi ojwayelekile kusuka kunoma yimiphi imifino emisha. Igcoba umzimba ngezinto eziningi ezisebenzayo namaminerali, futhi iphinda ivuselele ukukhiqizwa kwe-insulin ngamanyikwe.

Ukugcina idayari yokuzithiba

Kudingeka idayari yokuzihlola ukuze udokotela oqeqeshiwe akwazi ukulandela amandla ezinguquko ezenzeka ekugxekeni kwe-glucose glucose.

Ukuqashelwa kwangemva kokubeletha

Ngemuva kokuzalwa kwengane, owesifazane kufanele avakashele i-endocrinologist yakhe kaningi ngangokunokwenzeka ukuze akwazi ukubona ushintsho esimweni somzimba.

Izinkomba zesisu

Izimpawu zokukhishwa kwesisu zifaka phakathi:

1. izingqinamba ezibizwayo neziyingozi zemithambo yenhliziyo;
2. isifo sikashukela se-nephropathy;
3. isifo sikashukela esihlanganiswe ne-Rh factor;
4. isifo sikashukela kubaba nakunina;
5. isifo sikashukela esihlanganiswe ne-ischemia.

Ukuvimbela i-GDM

Njengoba kuphawuliwe ngaphambili, owesifazane kumele aqhubeke ephila impilo esebenzayo futhi adlale imidlalo. Kubalulekile futhi ukuqapha owondlayo. Usadinga ukulawula isisindo somzimba wakho. Abesifazane abakhulelwe kufanele bagweme ukweqile.

Amavidiyo ahlobene

Mayelana nezindlela zesimanje zokuxilongwa nokwelashwa kwesifo sikashukela sokukhulelwa kule vidiyo:

Uma ngabe unesifo sikashukela sokukhulelwa ngesikhathi sokukhulelwa, kwathi ngemuva kokuzalwa kwengane, wanyamalala, khona-ke kufanele ungaphumuli. Kusenethuba lokuthi uzothola isifo sikashukela sohlobo 2 ngokuhamba kwesikhathi.

Ngokunokwenzeka, unokumelana ne-insulin - ukuzwela okungekuhle nge-hormone yamanyikwe. Kuyavela ukuthi esimweni esejwayelekile, lo mzimba awusebenzi kahle. Futhi ngesikhathi sokukhulelwa, umthwalo phezu kwawo uba mkhulu ngokwengeziwe. Ngenxa yalokhu, uyeka ukukhiqiza inani elifanele le-insulin.