I-fetopathy yesifo sikashukela kwabesifazane abakhulelwe abanesifo sikashukela sokukhulelwa

Owesifazane ongahlushwa yizifo ezimbi futhi ophilile ngokuphelele akanakuba nesiqiniseko sokwazi ukuthi ukukhulelwa kwakhe kwenzeka ngokwejwayelekile, ngaphandle kwezinkinga.

Kepha okomama abakhulelwe abanesifo sikashukela, kusenzima kakhulu.

Wonke umuntu osemusha ophethwe yilesi sifo futhi ofuna ukuba nengane ubeka engcupheni impilo yakhe kuphela, kodwa nempilo yengane yakhe engakazalwa.

Ukungasebenzi okungathí sina ohlelweni lwe-endocrine kungaholela emuva kuholele ekuqothulweni kwe-fetus kwabesifazane abakhulelwe abanesifo sikashukela.

Kuyini isifo sikashukela?

Isifo sikashukela sokugula kwesifo sikashukela yisifo esiyingozi esiphumela ekubeni khona kwesifo sikashukela kowesifazane ophethe ingane ngaphansi kwenhliziyo yakhe. Emzimbeni wakhe, kungabonakala ukwanda okuhleliwe kokugxila kweglucose.

Ngalesi ukugula, isimo sesibeletho sishintsha kakhulu, futhi ukungasebenzi kahle kakhulu ekusebenzeni kwezitho nezinhlelo zaso kwenzeka.

Lokhu kuthinta kabi ukusebenza kwemikhumbi emikhulu, izitho zohlelo lokukhuculula kanye namanyikwe lengane.

Kuyaziwa ukuthi kwabesifazane abahlaselwa ushukela ophezulu wegazi, inkambo yokukhulelwa izoncika ezintweni ezimbalwa ezibalulekile:

• uhlobo lwesifo;
• izici eziphambili zokwelashwa;
• ukuba khona kwezinkinga ezinkulu.

Uma owesifazane osesikhundleni ehlushwa yisifo esihambisana nokugcwala okukhulu kwe-glucose, khona-ke lokhu kubonisa ukuthi ukukhulelwa kwakhe kuzoba nzima kakhulu. Njengomthetho, ukukhulelwa akupheli ngokuzalwa kwemvelo, kodwa ngesigaba se-cesarean.

Ukuthuthukiswa kwengculazi yesifo sikashukela kanye nobungozi ezinganeni ezisanda kuzalwa

Imbangela enkulu yalokhu kugula i-hyperglycemia, ngoba kwabesifazane phakathi nesikhathi sikashukela i-mellitus ayinyakazeki kakhulu, okwenza kube nzima ukuqapha isimo sesimo sengane nakunina.

Ezimweni eziningi, lokhu kuholela ezinkingeni ezinkulu zomkhumbi.

Kubaluleke kakhulu ukuqaphela ukuthi i-fetus diabetesic fetopathy, kanye nokutheleleka, kungenzeka uma isiguli sithole ukwanda okungapheli kokugxilisa ushukela egazini ngaphambi kokukhulelwa noma lapho i-hyperglycemia yenzeka phakathi nesikhathi sokukhulelwa.

I-diabetesic embryo-pathopathy inendlela enjalo yokubukeka: inani elikhulu loshukela lingena esibelethweni nge-placenta, ngenxa yalokho ama-pancreas aqala ukukhiqiza ngokunamandla i-hormone yakhe uqobo ngesilinganiso esingengabalwa. Okuqukethwe ushukela okwandisiwe ngaphansi kwethonya le-insulin kumane kuphenduka ukunqwabelana kwamafutha, ngenxa yalokho umntwana ongakazalwa eqala ukukhula ngesivinini esisheshayo ngokubekwa ngasikhathi sinye kokugcinwa kwe-lipid.

Esikhathini sikashukela wokukhulelwa, lapho amanyikwe enqaba ukukhiqiza inani elifunekayo le-insulin, ukuwohloka okubonakalayo empilweni kungabonakala kusukela cishe ngeviki lamashumi amabili wokukhulelwa. Kulesi sigaba, i-placenta yenza kahle umsebenzi wayo osemqoka, esheshisa ukwakheka kwe-chorionic gonadotropin. Kepha i-hormone ye-contra-hormonal yehlisa ukuzwela kwezicubu ezithile kuyi-hormone yamanyikwe, okwenza ukuguqulwa kwe-glycemia kungazinzeki kakhulu.

Ama-nuances athinta ukukhula kwesifo

Njengoba kwaziwa, i-fetus yesifo sikashukela se-fetus inqunywa yi-ultrasound. Kepha, kungakuhle ukuthi kubhekwe uchwepheshe kaningi ngangokunokwenzeka ukuze kusindiswe impilo yengane. Ngokuvamile, ama-nuances alandelayo akwazi ukuthonya ukuvela kwalesi sifo:

• uma isifo sikashukela sokukhulelwa sesivele sihlehlisiwe;
• iminyaka yowesifazane ethwele ingane idlula iminyaka engamashumi amabili nanhlanu;
• uma ubukhulu besibeletho bungaphezu kwamakhilogremu amane;
• lapho owesifazane esesikhundleni ekhuluphele;
• uma umama okhulelwe ngesikhathi sokukhulelwa uthola isisindo somzimba, okuthi ekugcineni ifinyelele uphawu lwamakhilogremu angaphezu kwamashumi amabili.

Bambalwa abantu abazi ukuthi zonke lezi zinto ezingenhla zinethonya elinamandla entweni ekhulayo esibelethweni. Njengoba inani elikhulu likashukela lingena ngqo egazini lengane, ngeviki leshumi nambili lokukhulelwa, i-pancreas yakhe ayikwazi ukukhiqiza i-insulin yayo.

Njengomphumela walesi simo, kunethuba le-hyperplasia ehlinzekayo yamaseli wesitho, okungaholela ku-hyperinsulinemia. Ngenxa yalokhu, lokhu kungaba umfutho wokwehla kwamazinga kashukela ngokushesha, ukutholwa kwesisindo okungeyona yemvelo okwenziwa ingane, kanye nokuvela kwezinkinga ezahlukahlukene ezinkulu.

Izimpawu zesifo

Unganquma ukuba khona kwesifo emzimbeni wengane ngezibonakaliso ezilandelayo:

• isisindo esikhulu somzimba, esingafinyelela ngaphezu kwamakhilogremu ayisithupha;
• umthunzi wesikhumba owesikhumba, osukela onsundu kuye onsomi;
• ukuba khona kokuqhuma kwanyama, okuzibonisa ngesimo sokuphamba okuncane;
• ukuvuvukala kwezicubu ezithambile;
• ubuso bokuvuvukala;
• isisu esikhulu kakhulu, esivela ngenxa yokuqongelela okukhulu kwamafutha omzimba;
• ebanzi, ibhande lamahlombe elakhiwe kahle;
• imilenze emifushane ephansi nangaphezulu;
• usizi lokuphefumula;
• jaundice
• ukuncipha kwemisipha;
• ukulahleka kwe-reflex yokuncela;
• umsebenzi ownciphile, otshintshwa ngokushesha yi-hyperactivity.

Izimbangela zesifo

I-embryofetopathy yesifo sikashukela ingavela ngenxa yezifo ezifana:

1. Isifo sikashukela noma isimo esibizwa ngokuthi yi-prediabetesic state. Esimweni sokugcina, ukukhiqizwa kwe-insulin kungancishiswa noma kumane kuthikamezwe. Ukugula kungakhula ngale ndlela: inani elikhulu loshukela lingena enganeni ngokufakwa kwengane kamama, ngenxa yalokho i-pancreas iqala ukukhiqiza inani elihlaba umxhwele le-insulin. Ushukela omningi ngaphansi kwethonya laleli hormone uphenduka emafayilini, okuholela ekukhuleni ngokushesha kwesibeletho kanye nokwenyuka kwamafutha.
2. Isifo sikashukela sokukhulelwa - into eyenzeka ngesikhathi lapho amanyikwe engakwazi ukukhiqiza inani elihlaba umxhwele le-hormone yegama elifanayo. Ngenxa yalokhu, owesifazane ophethe umbungu kutholakala ukuthi une-glucose ephezulu egazini. Njengoba wazi, lesi simo singakhula cishe nengxenye yesibili yokukhulelwa.

Ukwelashwa Kwe-Fetal Diabetesic Fetopathy

Uma umama etholakale enalesi sifo, khona-ke izindlela ezifanele kufanele zithathwe ngokushesha. Lokhu kuzosiza ukusindisa impilo yengane.

Uma ukugula kutholakele ngesikhathi sokukhulelwa, khona-ke kuso sonke leso sikhathi owesifazane kufanele alawule ngokuzimela i-glycemia nomfutho wegazi.

Uma kunesidingo, kufanele anikezwe ukwelashwa okwengeziwe ngokusebenzisa i-insulin.

Ukuvimbela, amazinga kashukela kufanele abhekwe njalo emahoreni ambalwa. Uma kunesidingo, ukugxilisa ushukela kulungiswa kusetshenziswa i-insulin noma ushukela. Indlela yokugcina isiza ukuvikela ukuvela kwe-hypoglycemia.

Ungakhohlwa ukuthatha amavithamini akhethekile, abalulekile ngesikhathi sokukhulelwa. Udinga futhi ukulandela ukudla okufanele futhi uqiniseke ukuthi okuqukethwe nsuku zonke kakhalori wezitsha akungedi ama-kilocalories angama-3200. Qiniseka ukuthi ulandela izeluleko odokotela ukuze isimo sengane sizinza.

Abesifazane kufanele bathathe impilo yabo kanye nesimo somntwana ngokungathi sína, ngakho-ke esimweni esithandekayo kufanele unciphise izitsha ezimnandi ngokweqile nezinamafutha. Kepha ekugcineni kokukhulelwa, lokhu kudla kufanele kunothiswe ngama-carbohydrate angagaya kalula, ikakhulukazi izithelo ezintsha.

Uma ukucindezelwa kweglucose kuncishisiwe kancane, khona-ke kuzoba nzima ukuthi umuntu wesifazane azale ingane ngenxa yamandla anganele.

Lokhu kungagcina kubi kakhulu: umama angalahlekelwa ingqondo ngesikhathi sokuzalwa kwengane noma, esimeni esibi kakhulu, aze awe ngisho nakuwo okubizwa ngokuthi yi-hypoglycemic coma.

Ngakho-ke, kubalulekile ukuthi unakekele impilo yakho futhi uvikele ukuvela okungalindeleki komzimba.

Ukuqapha Uma kukhona izinsolo zokuthi lona wesifazane une-hypoglycemia, lapho-ke udinga ukummisa ngokushesha nama-carbohydrate asheshayo. Kuzokwanela ukuphuza ingilazi eyodwa yamanzi amnandi ajwayelekile kanye nesimo esijwayelekile sizinza ngokushesha.

I-fetopathy yesifo sikashukela yinto ebucayi futhi engathandeki engalimaza kakhulu hhayi kuphela umama, kodwa nengane yakhe engakazalwa. Ngakho-ke, uma umama enesifo sikashukela, khona-ke udinga ukuthatha ukukhulelwa ngokungathi sína.

Ukuvakashela udokotela njalo, ukunamathela ngokucophelela ekudleni okulinganiselayo, ukusetshenziswa kwamavithamini, nokuhlola izinga le-glucose egazini ngesikhathi sokukhulelwa kuqinisekisa umphumela omuhle. Ngesimo sokuzibophezela, awunakukhathazeka ngempilo yengane yesikhathi esizayo, ngoba ngeke isatshiswe lutho.

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