Ukwanda ushukela (ushukela) egazini ngesikhathi sokukhulelwa

Lapho uthwala ingane, umzimba wowesifazane usebenza ezimbili, ngakho-ke, zonke izinqubo ze-pathological ezivela kuzo zithinta ukukhula kwengane. Ukulinganisa ushukela wegazi ngesikhathi sokukhulelwa kungenye yezinyathelo ezibalulekile zokuhlola isimo sempilo sengane nonina.

I-Hyperglycemia (izinga ushukela omkhulu) yisimo esingadala imiphumela engenakuphikwa, futhi amanani ayo abucayi ayingozi ngokuphelele empilweni yonke yesikhathi esizayo yengane engakazalwa. Ukulawulwa kwe-Glycemia kwenzeka ngaso sonke isikhathi sokukhulelwa, okuvumela hhayi kuphela ukuthola ukuthuthukiswa kwe-pathology ngesikhathi, kodwa futhi nokwenza ukulungiswa kwesimo. Kungani kunokwenyuka ushukela wegazi ngesikhathi sokukhulelwa nokuthi ungamsiza kanjani umuntu wesifazane kulokhu, kubhekwa esihlokweni.

Kungani kugaywa ushukela?

Owesifazane okhulelwe ngesikhathi sokuphila kwengane esibelethweni uvame ukubonisa izifo ezingamahlalakhona ezavela kudala ngaphambi kokukhulelwa. Yibona abangakhuthaza ukuthuthukiswa kwesifo sikashukela, isibonakaliso esiyinhloko saso yi-hyperglycemia. Isifo sikashukela sinokuhlukahluka okuningi:

• Ukuzivocavoca - indlela yokuqalisa okwakuwukuzala kwengane. Ukhula ngenxa yokwehla kokuzwela kwamangqamuzana nezicubu zomzimba wowesifazane esenzweni se-insulin (into esebenza ngokusebenza kwehomoni eyenziwe ngamanyikwe). Njengomthetho, ngemuva kokuzalwa kwengane, isimo se-pathological siyanyamalala sisodwa.
• Ukuncika kwe-insulin - kwenzeka ngaphambi kokukhulelwa kwengane, kungatholakala ngaphambi kokukhulelwa nasezinyangeni zokuqala zokukhulelwa. Inomlingiswa oyifa, ukhula ngenxa yokwehla okukhulu kwesibalo samaseli e-insulin secretory of pancreas.
• Ukungathembeli kwe-insulin - kunendlela yokuthuthuka efanayo nefomu lomzimba. Okuhlukile ukuthi lesi sifo asinyamalali ngemuva kokubeletha.

Ukuhlukaniswa kwesifo sikashukela kwabesifazane abakhulelwe

Ingozi enkulu yesifo sikashukela kwabesifazane abalandelayo:

• ukukhulelwa kokuqala kwenzeka ngemuva kweminyaka engama-30- 35;
• isisindo somzimba we-pathological;
• izifo ezingamahlalakhona;
• ukuba khona kwesifo sikashukela phakathi kwezihlobo eziseduze;
• isifo sikashukela sokukhulelwa ekukhulelweni kwangaphambilini;
• ukuzalwa kwengane enesisindo esingaphezu kwama-4.5 kg ngesikhathi sokukhulelwa kwangaphambilini.

Izimpawu zikashukela eziphezulu kwabesifazane

Owesifazane kudingeka abonane nochwepheshe ngokushesha uma enesifo sokugula, isibalo sokuya ethoyilethi “kancane kancane” sesikhuphukile, futhi nomuzwa womlomo owomile uvele. Ngezikhathi ezithile, ukuqubuka kungavela, okungahambi isikhathi eside, bese kuthi ukubonwa kwe-acuity kubonakale.

Ukuqinisekisa ukuthi ushukela uvukile ngempela, isiguli sizoba nezikhalazo ezimbalwa. Udokotela nakanjani uzonquma izindlela zokuxilonga elabhorethri, phakathi kwazo izindlela ezilandelayo:

• ukuhlolwa kwe-capillary ushukela wegazi;
• i-biochemistry
• ukuvivinya ushukela (ushukela wokuvivinya);
• ukuzimisela kwe-glycosylated hemoglobin.

Ngaphezu kwalokho, umuntu wesifazane uthintwa udokotela oyi-neurologist, ophthalmologist, udokotela ohlinza izifo zengqondo.

Ukuhlolwa kwe-Fundus - esinye sezigaba zokuhlolwa kwe-ophthalmic ngesikhathi sokukhulelwa

Umphumela we-hyperglycemia enkambweni yokukhulelwa

Ukwanda kwe-glycemia kuyingozi hhayi emzimbeni womama kuphela, kodwa nakuyo fetus. Amanani aphezulu kashukela akhulisa ubungozi be-gestosis, i-pyelonephritis, ukulethwa ngaphambi kwesikhathi, izinkinga ngesikhathi sokukhulelwa nokuzalwa kwengane.

Isifo sikashukela esikhulelwe

Izibalo zezokwelapha zisikisela ukuthi i-hyperglycemia ibangela ukukhipha isisu okuzenzakalelayo, ukuguga kwangaphambi kwesikhathi kwe-placenta, kanye ne-toxicosis esekupheleni. Amazinga kashukela akhuphukile aholela ekuphazanyisweni kwemithambo yegazi, eshintsha ukunikezwa okwanele kwegazi elibelethweni kanye nezakhi ezibalulekile zomzimba kanye nezinto zokulandela.

I-latex toxosis ingenye yezinkinga ezinkulu ze-glucose ephezulu kwabesifazane abakhulelwe. Lesi simo sikhonjiswa ngokuvuvukala okukhulu, ukubonakala kwamaprotheni emchameni, ukwanda kwesisindo, kanye nokwanda komfutho wegazi. Ngaphezu kwalokho, i-hyperglycemia icasisa ukuthuthukiswa kwe-polyhydramnios (ngamaphesenti angama-65 emitholampilo).

Umthelela esibelethweni

Engxenyeni yomzimba wengane, ukwanda koshukela kuvezwa kanjena:

• I-Macrosomia - ingane izalwa inesisindo somzimba okhula emzimbeni, okudala ukukhula kwezinkinga ngesikhathi sokuzalwa kwayo;
• lag ekukhuleni ngokomzimba;
• ukwephulwa kokuthuthuka kwengqondo - mhlawumbe lapho kungekho khona ukulungiswa kwe-hyperglycemia kumama onesifo sikashukela ngisho nangaphambi kokukhulelwa;
• inani elincane le-survilant - into ebhekene nokusebenza kahle kwamaphaphu kanye nokwenza imisebenzi yokuphefumula;
• i-neonatal jaundice;
• I-hypoglycemia yengane - ivela ngenxa yokuthi amanyikwe lengane isetshenziswa ukukhiqiza inani elikhulu le-insulin ngesikhathi sokuphila kwengane, eqhubeka ngemuva kokuzalwa.

Isisindo esingaphezu kwama-4 kg ngokuhlanganiswa ne-hyperglycemia yomama kungakhombisa i-macrosomia ye-fetus

Ukwelashwa kwesimo se-pathological

Isisekelo sokulungiswa kwe-pathology ekudleni. Uma i-glucose ikhuphuka ngezikhathi ezithile, imigomo elandelayo kufanele ilandelwe:

• senqaba ngokuphelele ushukela, sebenzisa ama-sweeteners emvelo yokwenziwa noma yemvelo;
• udle ukudla okuncane, kepha kaningi;
• ikhalori ikhethiwe ngokuqondene nowesifazane ngamunye okhulelwe;
• awudingi ukuyeka i-carbohydrate, udinga nje ukubuyisa ama-saccharides asheshayo nge-fiber yokudla ne-fiber;
• lahla ukudla okunenkomba ephezulu ye-glycemic.

Imfuneko yesibili yokwelashwa umsebenzi owanele womzimba. Ukulayisha ngokweqile akulungile, kepha ukusetshenziswa nsuku zonke kwesethi yokuzivocavoca ekhethekile kuzozuzisa kuphela. Lokhu kuzokhulisa ukuzwela kwamangqamuzana nezicubu zomzimba esenzweni se-insulin ye-hormone.

Bonke abesifazane abakhulelwe abatholakala benesifo sikashukela banikezwa imijovo ye-insulin. Le nto ithathwa njengephephile kumntwana noma umama, ayimilutha, ngemuva kokubeletha ingakhanselwa. Isimo esibalulekile ukukhetha okulungile komuthi, umthamo kanye nohlobo lokwelashwa okujwayelekile.

Ukuqapha njalo i-glycemia nokulungiswa kwesikhashana kwesimo kuzosiza ekugcineni impilo kamama nengane.