Ngesikhathi sokukhulelwa, kwenzeka izinguquko ezithile emzimbeni wesifazane.
Futhi ezinye izivivinyo zaselebhu zingaba namazinga ahlukile. Lokhu futhi kuthinta izinga le-glycemia.
Le nkomba kufanele ibhekwe kahle. Ngaphandle kwalokho, kunobungozi bokulimaza umbungu kanye nempilo kamama okhulelwe. Uyini umkhuba owamukelekile ushukela ngemuva kokudla kwabesifazane abakhulelwe, ungasigwema kanjani isifo sikashukela - indatshana izokhuluma ngakho konke lokhu.
Yiliphi izinga elijwayelekile le-glycemic ngemuva kokudla?
Kwowesifazane ophilile onikela ngegazi ngoshukela wokuzila, inkomba kufanele ibe sebangeni ukusuka ku-3.4 kuye ku-6.1 mmol / L.
Amahora ambalwa ngemuva kwesidlo sasekuseni, ukukhuphuka kuye ku-7.8 mmol / l kuvunyelwe. Bese kuthi ukwehla kancane kancane kufinyelele kokujwayelekile.
Kepha omama abakhulelwe, nansi imithetho ehlukile. Lokhu kungenxa yalawo ma-metamorphoses avela ohlelweni lwama-hormone lowesifazane okhulelwe.
Kufanele kuqashelwe lapha: ngezindlela eziningi, amanani athembela nasendleleni yesampula yegazi: ithathwa emthanjeni noma emunweni. Kubalulekile futhi ukucabanga ukuthi isidlo sokugcina sasiyini, bekuyini okuqukethwe ikhalori kokudla okudliwayo.
Ukusheshisa ushukela wegazi kusuka emunweni kungahluka kusuka ku-3.4 kuye ku-5.6 mmol / L. Umphumela we-4-6.1 mmol / L ubhekwa njengento evamile ngabathengi be-endocrinologists lapho bethatha impahla yokuhlaziywa emthanjeni.
Isimo soshukela sasungulwa ihora eli-1 ngemuva kokudla ngesikhathi sokukhulelwa ezingeni le-6.7 mmol / L.
Futhi isimo esivamile sikashukela emahoreni ama-2 ngemuva kokudla kwabesifazane abakhulelwe akufanele sibe ngaphezulu kophawu lwe-6 mmol / l. Ngasiphi isikhathi sosuku, ushukela ofinyelela ku-11 mmol / L uvunyelwe. Ngenani eliphakeme lalesi sikhombisi, isifo sikashukela kufanele sisolwe.
Uma ukukhula kwezimpawu zomzimba noma isifo sikashukela kukhula, kuyadingeka ukuzama ukugcina izinga le-glycemia lisondele kakhulu kunani elijwayelekile.
Odokotela beluleka abesifazane abakhulelwe nge-gestational noma isifo sikashukela ukufeza le miphumela:
- ushukela wokuzila awuphakeme kune-5.3 mmol / l;
- i-glycemia ihora ngemuva kokudla kwasekuseni - cishe ngo-7.8 mmol / l;
- emahoreni amabili - kuze kufike ku-6.7 mmol / l.
Kusho ukuthini ukuphambuka kokujwayelekile?
Owesifazane ophethe ingane unesibopho sokuyibheka njalo impilo yakhe, azise udokotela wakhe wezifo zesibeleko ngoshintsho oluncane empilweni yakhe.
Kusukela ngesikhathi sokukhulelwa, amathuba okuba nesifo sikashukela sokukhulelwa akhuphuke kakhulu.
Uma ushukela wokuzila uphakeme kunangemva kokudla ngesikhathi sokukhulelwa, kusho ukuthi kungcono ukubonana nodokotela oyi-endocrinologist.
Ngohlobo lwesifo sikashukela, ushukela wegazi uphezulu kunokwejwayelekile, kepha uphansi kunasemuntwini onesifo sikashukela sohlobo 2. Isimo esifanayo sichazwa iqiniso lokuthi inani lama-amino acid egazini lehla kakhulu futhi inani lemizimba ye-ketone liyakhuphuka.
Kubalulekile ukwazi izinkomba ezijwayelekile zoshukela. Ngenxa yokuthi isifo sikashukela sokukhulelwa siholela emiphumeleni emibi emisha:
- ukufa kwengane;
- ukukhuluphala
- isifo senhliziyo
- i-hypoxia noma i-asphyxia ekuzalweni kwengane;
- i-hyperbilirubinemia;
- ukuthuthukiswa kwesifo sikashukela sohlobo 2;
- isifo sokuphefumula sokuphefumula kwengane;
- i-fetopathy yesifo sikashukela enganeni;
- ukuhlukunyezwa emthanjeni nokuphazamiseka okuhlukahlukene ohlelweni lwezinzwa oluphakathi kwengane.
Ukuvezwa kwesifo sikashukela sokuthambisa imvelo kuvame ukuba mnene: abesifazane abaningi abakhulelwe abazinaki nakancane izimpawu zesifo. Lokhu kudala inkinga enkulu. Kulula ukuthola lesi sifo ngokuhlolwa kwegazi elabhoratri. Ungazihlola ngokwakho ekhaya.
Ukuze wenze lokhu, udinga ukuthenga ithuluzi elikhethekile - i-glucometer. Odokotela bathi i-glycemia esheshayo kumele ibe sezingeni lika-5 kuye ku-7 mmol / L. Ukubekezelelwa kwe-glucose ngemuva kwehora ngemuva kokudla kwasekuseni kufika ku-10 mmol / l, futhi ngemuva kwamahora amabili - hhayi ngaphezulu kuka-8.5 mmol / l. Kuliqiniso, umuntu kufanele acabangele izinga lephutha le-glucometer.
Ngokwezibalo, abesifazane abayi-10% abasezikhundleni bahlakulela isifo sikashukela. Njengomthetho, kuvela ekugcineni kwe-trimester yesibili noma yesithathu. Kepha ezimweni ezingama-90%, i-pathology inyamalala ngaphandle kokwelashwa ngemuva kokubeletha. Kuliqiniso, abesifazane abanjalo banengozi ethile yokuba nesifo sikashukela sohlobo 2 esikhathini esizayo.Kukhona nesifo sikashukela esibonakalayo. Kubonakala ngezimpawu ezinjalo zaselebhu:
- i-glycemia esheshayo ilingana noma ingaphezulu kuka-7 mmol / l;
- i-glycated hemoglobin isezingeni le-6.5%;
- emahoreni ambalwa ngemuva komthwalo we-carbohydrate, ushukela ungaphezu kuka-11 mmol / l.
Njengoba ekupheleni kwe-trimesters yesibili neyesithathu kunosongo lokukhuphuka kokusinda kwe-insulin, ama-gynecologists emavikini angama-28 kuvame ukunqunyelwa ukuba ahlolwe ngomlomo ihora ne-glycemia. Inkomba ejwayelekile ifinyelela ku-7.8 mmol / l. Uma ngemuva kokuthi owesifazane athathe amagremu angama-50 kashukela, ukuhlaziya kukhombisa umphumela ophakeme, khona-ke udokotela unquma isivivinyo esingamahora amathathu usebenzisa amagremu ayi-100 kashukela.
Owesifazane okhulelwe kutholakala ukuthi unesifo sikashukela uma imiphumela yokuhlolwa ikhombisa okulandelayo:
- Ngemuva kwehora egazini, izinga le-glycemia lidlula inani le-10.5 mmol / L.
- Ngemuva kwamahora ambalwa - angaphezu kuka-9.2 mmol / L.
- Ngemuva kwamahora amathathu, inkomba ingaphezu kwe-8 mmol / L.
Kubalulekile ukuthi uhlole njalo ushukela wakho futhi wazi ushukela wegazi lakho ngehora elilodwa ngemuva kokudla kwabesifazane abakhulelwe.
ISymbomatology
Odokotela beluleka abesifazane abanengane ukuthi bahlole ushukela wegazi wabo ngezikhathi ezithile. Uma ukubonakaliswa kwesifo sikashukela kubonakala, ukuhlaziya kufanele kwenziwe ngaphambili kunokuba kuhlelwe.
Iqiniso lokuthi izinga le-glycemia lenyuke liboniswa yizimpawu ezilandelayo:
- ukomela okukhulu, okungapheli ngisho nangemva kwesibalo esikhulu samanzi okuphuza;
- ukukhuphuka kwevolumu yomchamo nsuku zonke. Kulokhu, umchamo awunawo umbala ngokuphelele;
- indlala engagculisi;
- ukufundwa okuphezulu kwethonometer;
- ubuthakathaka kanye nokukhathala okushesha kakhulu.
Ukwenza ukuxilongwa okuyikho, kungafaki isifo sikashukela esisetshenzisiwe, udokotela uyalela isiguli ukuthi sihlole umchamo nokuhlolwa kwegazi.
Imiphumela ephakanyisiwe kancane iyindlela evamile. Lokhu kuchazwa yiqiniso ukuthi ngesikhathi sokukhulelwa, i-pancreas ingaphansi komthwalo othile futhi ayikwazi ukusebenza ngokugcwele. Lokhu kubangela ukwanda kancane koshukela. Ukuphambuka okunamandla kusuka kokujwayelekile kukhombisa i-pathology ohlelweni lwe-endocrine.
Ungaletha kanjani izinga le-glycemia kunani elijwayelekile?
Ushukela wegazi unqunywa ikakhulukazi ngokudla okunempilo. Ukubuyisa izinga le-glycemia emuva kokujwayelekile, ukudla okuthile kwekhwalithi ephezulu kufanele kudliwe.
Ukusuka kumenyu udinga ukususa ngokuphelele wonke ama-carbohydrate alula, abonakala ngokuphuka okusheshayo:
- ushizi
- ushokoledi;
- amasoseji;
- inyama yengulube ethosiwe;
- ubisi oluphelele noma oluhlanjululwe;
- unamathisela utamatisi, imayonnaise, amasoso abilayo .;
- amazambane abunjiwe;
- ukhilimu omuncu;
- izithelo ezimnandi;
- iziphuzo ezimnandi ze-carbonated neziphuzo zezitolo;
- inyama ye-goose neyedada;
- u-ayisikhilimu;
- isinqe esenziwe ekhaya.
Kunconywa ukusebenzisa ama-carbohydrate ayinkimbinkimbi, abonakala ngokuphuka okude.
Odokotela batusa ukucebisa lokhu kudla ngemikhiqizo enjalo:
- i-buckwheat;
- imifino emisha noma ethosiwe;
- irayisi
- i-pasta enzima;
- amazambane abhakwe kuhhavini;
- i-lentil, ubhontshisi kanye nezinye izinsalela;
- inyama ebunjiweyo yeal;
- Inkukhu
- inyama yomvundla.
Kunemikhiqizo enezindawo zokulwa nesifo sikashukela. Lokhu kufaka isipinashi, ugarlic, ibhali le-pearl, i-oatmeal, utamatisi, izaqathe, isithombo, ubisi lwe-soy kanye neklabishi. Futhi, izazi zokudla zeluleka ngokudla ama-quince, amajikijolo ama-lingonberry kanye nama-gooseberry, ushizi wekhokho osezingeni eliphansi, i-kefir ne yoghurt Lemons nawo avunyelwe ngenani elilinganiselwe.
Amavidiyo ahlobene
Ochwepheshe ku-glucose wegazi ngesikhathi sokukhulelwa:
Ngakho-ke, kwabesifazane abakhulelwe, isilinganiso se-glycemic sehluka kulokho kusungulwa kwabesifazane abangazali ingane. Lokhu kungenxa yezinguquko ezithile emzimbeni womama okhulelwe. Uma ngemuva kokudla kwasekuseni izinga le-glycemia liphakeme kune-6.7, kufanelekile ukusola ukuthuthukiswa kwe-pathology. Kumele kuqashelwe ukuthi abesifazane abakhulelwe bathambekele ekuthuthukisweni kohlobo lwesifo sikashukela. Ngemuva kokuzalwa, zonke izinkomba zivame ukubuyela kokujwayelekile. Kepha kwezinye izikhathi, isifo sikashukela sohlobo 2 siyenzeka. Ngakho-ke, kubalulekile ukuthi ubheke ngezikhathi ezithile okuqukethwe kweglucose futhi, ekuphambukeni okuncane kakhulu kokujwayelekile, uthintane nodokotela we-endocrinologist.
