Isifo sikashukela sohlobo 2 yisifo esibi esihambisana nokuntuleka kwe-insulin emzimbeni.
Lesi sifo sithwala izinkinga eziningi, sinomthelela ekuphazamisekeni kwe-metabolic, ngakho-ke ukukhulelwa, ukuzala ingane enempilo kusanda kwenzeka.
Namuhla, kunezidakamizwa ezikhethekile, imishini eyenza kube nokwenzeka ukuzala ingane, kanye nokumnakekela uma ukukhulelwa bekuba nezinkinga. Funda kabanzi ngohlobo 2 sikashukela kwabesifazane abakhulelwe.
Ukuhlola ubungozi
Kubaluleke kakhulu kowesifazane onesifo sikashukela sohlobo 2 ukuthi alondoloze ushukela ojwayelekile wegazi ngesikhathi sokukhulelwa.
Lokhu kuzovumela ukukhulelwa ukuthi kuqhubeke ngaphandle kwezinkinga nokugwema ukuwohloka empilweni kamama okhulelwe.
Lapho amanani oshukela esondele kakhulu, atholakala kahle, maningi amathuba okuthi kuzalwe ingane enempilo.
Noma esesigabeni sokuhlela ukukhulelwa, umuntu wesifazane udinga ukuhlolwa ngochungechunge futhi aphumelele izivivinyo eziningi. Udinga ngempela ukuhlolwa ngudokotela obeletha ngezitho zomzimba, udokotela wobudokotela, kanye ne-endocrinologist.
Lezi zifundo ezilandelayo ziyadingeka ukuhlola ubungozi bezinkinga zesifo sikashukela nemiphumela yokukhulelwa:
- ukuhlolwa kwegazi kwe-glycated hemoglobin;
- ukulinganiselwa kwengcindezi ejwayelekile;
- ukuhlaziywa kwamchamo nsuku zonke ukuthola ukunqunywa kwamaprotheni nokuvunyelwa kwe-creatinine ukuhlola izinso;
- isilinganiso soshukela;
- lapho kukhona amaprotheni angaphezu kwejwayelekile, kuyenziwa isheke ngenxa yokuba khona kwezifo ezisebenzisa umchamo;
- ukuhlolwa kwegazi kwe-urea nitrogen ne-plasma creatinine;
- ukubonisana nodokotela wezifo zamehlo ukuhlola isimo semikhumbi ye-retinal;
- ukuhlolwa kokuthambekela kwe-hypoglycemia;
- ukuhlolwa kwegazi lamahomoni egilo;
- ucwaninga ngokwakha i-neuropathy.
Uma lezi zifundo zinganakwa, amathuba okuba nezinkinga aphakeme kakhulu kumama nengane.
Owesifazane okhulelwe onesifo sikashukela sohlobo 2 kufanele aqaphele le mibandela elandelayo:
- ukukhipha isisu okuzenzakalelayo;
- i-polyhydramnios, izifo, i-gestosis sekwephuzile;
- ketoacidosis, hypoglycemia;
- isifo senhliziyo;
- ukuthuthukiswa kwe-nephropathy, i-retinopathy, i-neuropathy.
Kaningi, ingane ngesikhathi sokubeletha kungenzeka ingasindi.
Uma ukuzalwa kuphumelele, khona-ke, noma kunjalo, ama-pathologies amaningi nezinkinga kungenzeka. Ezimweni eziningi, ukukhula kwesibeletho kungalingani, usayizi nesisindo somzimba kudlula amanani ajwayelekile.
Isistimu yezinzwa ephakathi nendawo ingathinteka, ukusebenza kwenhliziyo kungathikamezeka, futhi nokwanda kwesibindi kungenzeka. Izinkinga eziningi zingaqala ukuvela kuphela ngemuva kokuzalwa kwengane emavikini okuqala empilo. Ngaphezu kwalokho, kukho konke impilo yengane, uhlobo 1 sikashukela lungakhula nganoma yisiphi isikhathi.
Izimpawu
Ngenxa yomthelela we-insulin kuzo zonke izinqubo ze-metabolic emzimbeni. Ngokuntuleka kwayo, ukuthathwa koshukela kubhebhethekile, okwandisa izinga likashukela. Ngakho-ke, uphawu oluphambili lwesifo sikashukela ukweqisa kwamazinga kashukela ajwayelekile.
Ngokwesifo sikashukela sohlobo 2, ushukela wegazi ngu-7.7-12.7 mmol / L.
Izimpawu zihlanganisa ukuchama kaningi, ukoma nomlomo owomile, ukudla okumanzi okukhulu, ubuthakathaka, ukuphazamiseka kokulala, ukukhulisa noma ukuncipha kokudla, ukujuluka ngokweqile kanye nesikhumba esishisayo. Ngaphezu kwalokho, kuvela ama-pustule, futhi amanxeba aphola isikhathi eside.
Ngokuthuthuka, thayipha i-2 mellitus yesifo sikashukela ethola ezinye izinkomba, ukubonakaliswa kwako kuncike ekujuleni kwezinkinga. Ngomonakalo wezinso, i-edema emilenzeni nasebusweni yowesifazane okhulelwe ngeke ifinyeleleke.
Ama-spasms we-vascular abangela i-hypertension, lapho izinkomba zingadlula i-140/90 mm Hg. Ubuciko.
Isifo sikashukela i-polyneuropathy sihambisana nokulimazeka kwezicubu zezinzwa, ngenxa yokuthi kunezimpawu zokuphazamiseka kwesistimu yezinzwa.
Lo muzwa wokuba nama-goosebumps, ukuzindla, ukuthamba. Imvamisa kuneminjunju emilenzeni, ekhonjiswa ikakhulukazi ebusuku. Inkinga enkulu kunazo zonke yizinkinga ngelensi noma nge-retina.
Ukwehlulwa kokuqala kuyimbangela yengozi, futhi ngomonakalo we-retina, i-retinopathy iyavela. Kulezi zimo, umbono wehla kakhulu, ngisho nobumpumputhe kungenzeka.
Izici zenkambo yokukhulelwa
Namuhla, kunezidakamizwa eziningi namathuluzi okuzithiba okuvumela ukuthi uphathe ingane enempilo enesifo sikashukela sohlobo 2.
Into ebaluleke kakhulu kulesi simo ukuqapha amazinga kashukela egazini futhi ubhekwe njalo udokotela, athathe izivivinyo ezidingekayo futhi ahlolwe.
Kubalulekile ukuhlela ukukhulelwa kwakho ngaphambi kwesikhathi.. Ngaphambi kwalokhu, kuyadingeka ukuthi kuhlolwe zonke izingozi ezingaba khona, ulethe okuqukethwe ushukela kusilinganiso esilinganiselwe esifanele.
Kuyadingeka futhi ukukhumbula ukuthi ukwakheka okukhulu kwesibeletho, okuwukuthi: ukukhula kwengqondo, umgogodla, amaphaphu, nezinye izitho eziningi ezenzeka emavikini okuqala ayi-7. Kulokhu, kule nkathi kubaluleke kakhulu ukuthi kulondolozwe izinga elizinzile loshukela egazini.
Ngaphezu kwalokho, owesifazane uqobo naye angaba nezinkinga, ngoba ukukhulelwa kwehlisa umzimba ngokwengeziwe futhi kubangele lesi sifo ukuba siqhubekele phambili lapho singalawulwa khona.
Ukwelashwa
Ekukhulelwe, kunoma yikuphi, kuyadingeka ukubhaliswa kudokotela, futhi lapho ukhona isifo sikashukela kumane kubalulekile.
Ukwelapha lesi sifo futhi ulondoloze umzimba ngokujwayelekile, udinga ukunamathela emithethweni emibili - faka ukwelashwa kwe-insulin okwanele futhi ulandele indlela yokudla ebekwe uchwepheshe.
Ukudla kwansuku zonke kufanele kuqukethe isilinganiso esinciphile samafutha (60-70 g) nama-carbohydrate (200-250 g). Kulokhu, isilinganiso samaprotheni, kunalokho, kufanele sandiswe futhi sibe yi-1-2 g nge-1 kg yesisindo.
Inani lamandla ngesisindo elijwayelekile kufanele libe ngu-2000-2200 kcal. Uma ukukhuluphala kubonakala, khona-ke kufanele kwehliswe ku-1600-1900 kcal. Ukudla kufanele kube okuthambile. Amavithamini A, B, C, no-D, i-potassium iodide ne-folic acid kumele abe khona. Kwenqatshelwe ukudla ama-carbohydrate asheshayo.
Ukuze ulondoloze ushukela wegazi, udinga ukusebenzisa i-insulin. Umthamo wayo unqunywa yi-endocrinologist.
Ngasikhathi sinye, kuyadingeka ukuthi uguqule njalo izinkomba ukuze zihlale zivamile. Kuhlobo lwesifo sikashukela sohlobo 2, amaphilisi wokulwa nesifo sikashukela nawo ayathathwa.
Abesifazane abakhulelwe nakanjani kufanele babenqabe, ngoba baba nomthelela ongemuhle ekuthuthukisweni kwesibeletho.
Ukuzalwa kwengane ngohlobo 2 sikashukela
Ngesifo sikashukela, ukulungiselela ukuzalwa kwengane kufanele kube kubi kakhulu.Kungcono ukuzichitha esibhedlela esikhethekile.
Kodwa-ke, lapho kungekho khona ithuba elinjalo, kunconywa ukuthi, ngaphezu kwe-obstetrician-gynecologist, i-endocrinologist ezoqikelela izinga likashukela ibekhona.
Uma ukukhulelwa kuqhubeka ngaphandle kwezinkinga, isimo sezempilo sibhekwa njalo futhi akubangeli ukukhathazeka, khona-ke kungenzeka ukuzala okungokwemvelo.
Lokhu kuvame ukudinga isigaba senkosikazi. Lokhu kungenxa yokuthi abesifazane abanjalo ababelethayo ingane ivame ukuba mkhulu futhi inesisindo esingaphezu kwama-4 kg.
Izinkinga ezifana nomfutho wegazi ophakeme, ukuphazamiseka kwe-placental, i-eclampsia, i-gestosis enzima, i-fetox hypoxia kanye nomonakalo wethambo noma wezinso kungenzeka ukuba ukhule. Futhi, akwenzeki njalo ukulawula kahle amazinga kashukela.
Ngemuva kokubeletha, okuqukethwe ushukela kwehla kakhulu phakathi nesonto, ngemuva kwalokho kubuyela ezingeni elalikhona ngaphambi kokukhulelwa. Ngalesi sikhathi, kubalulekile ukuthi ubuyekeze umthamo we-insulin noma uvumele ukusetshenziswa kwawo okwesikhashana. Ukuncelisa ibele kugcinwa uma impilo yowesifazane nengane ivamile.
Amavidiyo ahlobene
Mayelana nenkathi yokukhulelwa nokuzalwa kwengane nesifo sikashukela kuvidiyo:
Ngakho-ke, isifo sikashukela sohlobo 2 akusona isizathu sokulahla ukukhulelwa okufisayo nokuzalwa kwengane. Ngenxa yentuthuko yezokwelapha, ukusetshenziswa kwemishini yesimanje nemithi, ukwenza ingane enempilo sekuyinto yangempela. Into esemqoka ukuhlela ukukhulelwa kwakho kusenesikhathi, njalo uhlolwa njalo futhi ulondoloze amazinga kashukela egazini.
