Enye yezinto ezisemqoka ekuveleni kwesifo sikashukela ukungasebenzi kahle kohlelo lwe-endocrine.
Ukwehla ekukhiqizweni kwe-hormone (i-insulin) noma ukwehla komsebenzi wayo obalulekile kwenzeka ngenxa yokungasebenzi kahle kwamanyikwe.
Ukufakwa kweglucose kwehle kancane, okuqukethwe ushukela wegazi kuphakama, kunezinguquko ezingezinhle kumetabolism, imithambo yegazi iyathinteka. Kunezindlela eziningana zemitholampilo, enye yazo isifo sikashukela sokukhulelwa. Kwi-ICD-10, ukuxilongwa kubhaliswe ngaphansi kwekhodi ethile negama.
Ukuhlukaniswa
Ulwazi lwakamuva ngalesi sifo selukhulile, ngakho-ke lapho luhlelekile, ochwepheshe bahlangabezana nobunzima obuthile.
Ukuthayipha okuvame kakhulu kwesifo sikashukela:
- Uhlobo 1;
- Uhlobo lwesibili;
- ezinye izindlela;
- kwezokuxhumana.
Uma umzimba ulingene kabi ku-insulin, lokhu kukhombisa isifo sikashukela se-penile. Lesi simo sidalwa amaseli we-pancreatic athintekile. Imvamisa, lesi sifo sikhula sisemncane.
Uhlobo 2, ukuntuleka kwe-insulin kuhlobene. Kukhiqizwa ngamanani anele. Kodwa-ke, inani lezakhi ezihlinzeka ukuxhumana namangqamuzana futhi elenelela ukungena kweglucose egazini liyancishiswa. Ngokuhamba kwesikhathi, ukukhiqizwa kwento kuyancipha.
Kunezinhlobo eziningi ezingandile zezifo ezibangelwa izifo, umuthi kanye nefa. Ngokwehlukana, isifo sikashukela sibonisa ngesikhathi sokukhulelwa.
Siyini isifo sikashukela sokuthambisa?
Isifo sikashukela sokukhulelwa siyindlela yesifo esiziveza ngayo ngesikhathi sokukhulelwa, esinciphisa amandla omzimba wokuthola ushukela egazini.
Amaseli athola ukwehla kokuzwela kwe-insulin yawo.
Le nto ingabangelwa ukuba khona kwe-hCG egazini, okudingekile ukuze kugcinwe futhi kugcinwe ukukhulelwa. Ngemuva kokubeletha, ezimweni eziningi, ukululama kwenzeka. Kodwa-ke, kwesinye isikhathi ukukhula kwesifo okuqhubekayo kwenzeka ngohlobo 1st noma 2nd. Imvamisa, lesi sifo siziveza engxenyeni yesibili yesikhathi sokuzala ingane.
Izici ezikhuthaza ukuthuthukiswa kwe-GDM:
- ifa;
- isisindo esindayo;
- ukukhulelwa ngemuva kweminyaka engama-30;
- ukubonakaliswa kwe-GDM ngesikhathi sokukhulelwa esidlule;
- Izindlela zokubeletha;
- ukuzalwa kwengane enkulu yangaphambili.
Lesi sifo singabonakala ngesisindo esikhulu, umthamo owengeziwe womchamo, ukoma okunzima, isifiso sokudla.
Ekukhulelweni okuyinkimbinkimbi nganoma yiluphi uhlobo lwesifo sikashukela, kubaluleke kakhulu ukubheka izinga likashukela futhi ligcine amazinga alo ajwayelekile (3.5-5,5 mmol / l).
Izinga likashukela elikhuphukile kowesifazane okhulelwe lingaba nzima:
- ukuzalwa ngaphambi kwesikhathi;
- ukuzala;
- i-toxicosis sekwephuzile;
- isifo sikashukela se-nephropathy;
- izifo ezithathwa ngofuzo.
Enganeni, lesi sifo sisongela ukukhuluphala ngokweqile, ama-pathologies ahlukahlukene okuthuthuka, ukuqina kwezitho zomzimba lapho zizalwa.
Imvamisa, amazinga kashukela kushukela wokukhulelwa angalungiswa ngokudla (inombolo yetafula 9). Umphumela omuhle unikezwa ngokusebenza komzimba okulinganiselayo. Uma izinyathelo ezithathiwe zingalethi imiphumela, kunqunywe imijovo ye-insulin.
Uma ukuhlukumezeka kutholwa ngaphambi kokukhulelwa, inkambo yokwelashwa kanye nokuqaliswa kwezincomo zikadokotela kuzosiza ukugwema imiphumela eminingi emibi futhi ibelethe ingane enempilo.
Ikhodi ye-ICD-10
I-ICD-10 ukwahlukaniswa okwamukelwa emhlabeni wonke ukuze kutholakale amakhodi.Isigaba 21 sihlanganisa izifo ngesigaba kanti ngasinye sinekhodi yaso. Le ndlela ihlinzeka ngokulula ukugcinwa kwedatha nokusetshenziswa.
Isifo sikashukela sokukhulelwa sithathwa njengeklasi XV. 000-099 "Ukukhulelwa, ukubeletha kanye ne-puerperium."
Into: I-O24 Diabetes mellitus ngesikhathi sokukhulelwa. I-Subparagraph (ikhodi) O24.4: Isifo sikashukela mellitus ngesikhathi sokukhulelwa.
Amavidiyo ahlobene
Mayelana nesifo sikashukela sokukhulelwa kwabesifazane abakhulelwe kule vidiyo:
I-GDM yisifo esinamandla futhi okufanele silwe. Bazosiza ukunqoba ukugula futhi babelethe ingane enempilo, ukuhambisana nokudla kanye nazo zonke izincomo zezokwelapha, ukwenza izivivinyo ezilula, ukuhamba emoyeni nomoya omuhle.
