USHUKELA OMNINGI NGESIKHATHI SOKUKHULELWA: IMIPHUMELA ENGANENI NAKUMAMA OKHULELWE

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Kusukela ngosuku lokuqala lokukhulelwa nangesikhathi sokuzala, umzimba wowesifazane usebenza ngendlela ehluke ngokuphelele.

Ngalesi sikhathi, izinqubo ze-metabolic zingase zingasebenzi kahle, futhi amaseli angalahlekelwa umuzwa we-insulin. Ngenxa yalokhu, i-glucose ayidonswa ngokuphelele, futhi ukuqina kwayo emzimbeni kukhuphuka kakhulu.

Lokhu kusongela ukuthuthukiswa kwezinkinga ezinkulu kakhulu. Ngakho-ke, yini ingozi ushukela ophezulu ngesikhathi sokukhulelwa.

Imvamisa yeglucose egazini labesifazane abakhulelwe

Izinkomba ze-carbohydrate metabolism kwabesifazane abakhulelwe banezindinganiso zabo.

Isikhathi sokuqala lapho owesifazane enza isivivinyo segazi ekuqaleni, futhi isikhombisi (esiswini esingenalutho) kufanele sigcinwe ngaphakathi kwebanga le-4.1-5,5 mmol / l.

Ukunyusa amanani kuya ku-7.0 mmol / L noma ngaphezulu kusho ukuthi umama okhulelwe ukhule ngesifo sikashukela esisongelayo (i-expression), okungukuthi, sitholakala esikhathini se-perinatal. Lokhu kusho ukuthi ngemuva kokuzalwa lesi sifo siyohlala, futhi sisalashwa.

Lapho amanani kashukela egazini (futhi esiswini esingenalutho) ehambelana no-5.1-7.0 mmol / l, owesifazane unesifo sikashukela sokukhulelwa. Lesi sifo sibonisa kuphela abesifazane abakhulelwe, futhi ngemuva kokubeletha, njengomthetho, izimpawu ziyanyamalala.

Uma ushukela uphezulu, kusho ukuthini?

Amanyikwe (ama-pancreas) unesibopho sale nkomba.

I-insulin ekhiqizwa yi-pancreas isiza i-glucose (njengengxenye yokudla) ukudonswa amaseli, nokuqukethwe kwayo kusegazini, ngokufanele, kuyancipha.

Abesifazane abakhulelwe bane-hormone yabo ekhethekile. Umphumela wabo uphikisana ngqo ne-insulin - bakhulisa amanani eglucose. Lapho ama-pancreas eyeka ukwenza umsebenzi wawo ngokuphelele, kuba negxili ngokweqile.

Ingena kwi-placenta egazini le-fetus bese ilayisha (ingakakhiwa ngokuphelele) kumanyikwe. Uqala ukudala ngokunzulu i-insulin, asheshe athathe i-glucose ayiguqule ibe ngamafutha. Ngenxa yalokho, ingane ikhula ngesisindo.

I-metabolism ye-fetus esheshayo idinga ukuhanjiswa kahle komoya-mpilo, okunikeza i-placenta. Kepha izitsha zakhe zonakaliswa ushukela omningi, kanti nengane yesikhathi esizayo incipha kakhulu i-oxygen.

Izimpawu ezihambisana nazo

Uma ukulinganisela kwe-carbohydrate esegazini lowesifazane okhulelwe kweqe kancane amanani avumelekile, akatholi ziphi izibonakaliso ezimbi. Imvamisa, i-pathology itholakala kuphela lapho kuvakashelwa udokotela olandelayo.

Kepha uma i-glucose ikhombisa amanani aphezulu okwesikhathi esanele, umama okhulelwe uzophawula lezi zimpawu ezilandelayo:

ukoma kuhlushwa njalo. Akunandaba ukuthi umuntu wesifazane uphuza kangakanani u-alcohol, ngifuna okungaphezulu;
ukunxusa ukuchama kuba kaningi;
umbono uyawa;
imvamisa ufuna ukudla okuthile okumnandi;
uzizwa engasenalutho.

Uma okungenani kutholakala izimpawu ezimbili ezifakiwe, udokotela kufanele aziswe ngazo.

Awudingi ukwenza lutho ngokwakho, ungazilimaza wena kuphela, kodwa nengane.

Ingozi yokuba nesifo sikashukela sokukhulelwa

Isifo sikashukela sikamama okhulelwe sinomthelela omubi kakhulu kwezempilo, siphoqa ukukhulelwa, ngoba siba nomthelela ekwakhiweni kwe-pathologies engathi sína.

Le yi-pyelonephritis, isifo senhliziyo, noma ukukhipha i-retina.

Ingozi enkulu yesifo sikashukela ingozi yokuphuphuma kwesisu.Ukukhishwa kwezisu okuvela nje ngesifo sikashukela esikhona (ngokwezibalo) kwenzeka engxenyeni eyodwa kwezintathu yabesifazane abakhulelwe. Isizathu ukuguga kokuqala kwe-placenta. Isifo sikashukela sicekela phansi imithambo yakhe yegazi, futhi ukufinyelela okuvamile komoya ophezu kwesibeletho kuyaphela.

Isifo sikashukela sisongela ukuthuthukisa i-toxicosis sekwephuzile. Isizathu ukukhiqizwa kwe-estrogen ephansi ngenxa yomonakalo we-placenta kanye nama-ovari. Esikhathini sikashukela, lesi sithombe sibonwa engxenyeni yeziguli. Ukuqhathanisa: kwabesifazane abanempilo - kuma-3% kuphela abakhulelwe.

Ama-polyhydramnios (ama-60% wamacala), ukusonteka kwezambulela, kanye nokwethulwa kwesibeletho kwe-fetus kuvame ukutholakala. Ukulimazeka okunjalo kokukhulelwa kusongela ngesigaba se-caesarean.

Imiphumela yeshukela ephezulu ngesikhathi sokukhulelwa kwengane

Isifo sikashukela kumama sisongela ingane nalo lonke uhla lokulimala. Ezokwelapha ziyibiza ngokuthi yi-fetopathy yesifo sikashukela.

Ukuphambuka okuvame kakhulu ngokweqile. Ngesikhathi sokuzalwa, ingane iba yikhulu kakhulu - ngaphezu kwama-4 kg.

Lokhu kubuhlungu kakhulu kuye, ngokwesibonelo, ukuthunyelwa kwe-vertebrae yomlomo wesibeletho ngesikhathi sokubeletha kungenzeka. Ngaphezu kwalokho, izingane ezinkulu ezinomama ababegula ngesifo sikashukela ngokwazo zisengozini.

Uma kungekho ukwelashwa okufanele, kwenzeka nezinye iziphazamiso: ithambo lezingane elingajwayelekile, ubuchopho bezengqondo, inhliziyo, izinso, amaphaphu angakhuli kahle.

Izinkinga ezingaba khona ngesikhathi sokubeletha

Isifo sikashukela kowesifazane okhulelwe sinomphumela ongemuhle kakhulu kulwelwesi. Ngenxa yalokhu, kwenzeka i-polyhydramnios.

Uma ingane ithathe isikhundla esingalungile (isb. Lateral) ngaphambi kokubeletha, i-torsion yentambo ye-umbilical kungenzeka. Kukhona ubungozi be-fetus hypoxia. Imvamisa, ukuze kugwemeke izinkinga, umuntu wesifazane ulungiselelwe isigaba se-cesarean.

Isifo sikashukela sokukhulelwa singadala isifo sikashukela sohlobo 2. Ngakho-ke, abesifazane abanjalo badinga ukubheka ushukela wabo ngaso sonke isikhathi (bahlolwe njalo eminyakeni emi-3).

Okufanele ukwenze

Izici zokudla nokudla okunempilo

Kuyaziwa ukuthi ukudla kwesifo sikashukela kuyisimo esiyisisekelo sokulinganisa amanani eglue.

Ngakho-ke, owesifazane okhulelwe onenkinga enjalo kunconywa kakhulu ukulandela le mithetho elandelayo:

funda ukudla ngokwengxenye: udle kancane, kepha kuze kube izikhathi eziyisithupha ngosuku. Ukusebenzela akumele kudlule ku-250 g;
Awukwazi ukulamba;
ukulinganisela ekudleni kwakho, njengoba ingane kufanele kudle ngokuphelele;
yeka amaswidi nhlobo noma udle okuncane kakhulu;
ukwazi ukubona i-GI yemikhiqizo;
buyisela amakhekhe enziwe ngezithelo noma ngoju;
phuza uketshezi olwanele ngosuku;
isidlo sokugcina kufanele kube amahora ama-3 ngaphambi kokulala.

Kuhle uma uvumelana ngawo wonke ama-nuances wokudla nodokotela wakho.

Umsebenzi womzimba

Indoda yesikhathi esizayo idinga i-oxygen empilweni, ngakho-ke kubalulekile ukuthi umama abe semoyeni omusha kaningi ngangokunokwenzeka.

I-metabolism izothuthuka kakhulu uma ihamba njalo.

Futhi ukuzivocavoca komzimba kuzosiza ukususa amakhalori angadingekile, futhi, ngenxa yalokho, amakhilogremu. Ukusebenza ngokomzimba kwanoma yiluphi uhlobo kuzosiza i-insulin ngokwengeziwe ukuthi ifeze umsebenzi wayo, ngoba amafutha ayayivimbela ukuthi isebenze ngokujwayelekile.

Akunasidingo sokuzihlupha ngokusebenza okhathele nokuvakasha kokuzivocavoca nsuku zonke. Ukuhamba ngokushesha noma ukuhamba ngezinyawo echibini kwanele. Amahora we-2-3 womthwalo womsebenzi ngeviki azokwanela.

Uma umama okhulelwe engazange ahlanganyele kwezemidlalo ngaphambili, kufanele aqale ngokusebenza okuncane, kancane kancane andise umthwalo ukuba ulinganise.