Ngesikhathi sokukhulelwa, umzimba wowesifazane uhlangabezana nokuxineka okukhulu. Ngaphansi kwezimo ezithile (amaphutha ekudleni, ekucindezelekeni), ukukhiqizwa kwe-insulin yama-pancreas kuyaphazamiseka. Isifo sikashukela sokutholwa kwesifo sikashukela sitholwa odokotela abanesifo sokuxinana kwezingane, izithasiselo zokubelethisa ezisibelethweni kanye nezinsana. Isifo sezingane sinezinkinga ezinkulu futhi ezingalapheki. Umama okhulelwe uphoqelekile ukuba anakekele izindlela zokuvimbela ezifweni eziyingozi zesikhathi sokuzala.
Izici zesifo sikashukela kwabesifazane
Imiphumela emibi yesifo sikashukela emzimbeni wowesifazane iboniswa ngenombolo enkulu kakhulu yenqubo kunowesilisa. Lokhu akuhlobene nezinkinga zocansi kuphela.
- Ngokwemvelo, owesifazane ungaphansi komjikelezo wokuya esikhathini. Umzimba wakhe uluhlobo lomkhumbi wokuvuthwa kwempilo entsha. Endabeni yokubola kwesifo sikashukela, owesifazane unenkinga yomjikelezo ojwayelekile wokuya esikhathini.
- Ushukela wegazi okhuphukile (i-hyperglycemia) unegalelo ekwenzekeni nasenkambisweni enkudlwana yezinqubo zokutheleleka ohlelweni lwezitho zangasese ezibangelwa yisikhunta (isifo se-vaginitis). Ngenxa ye-urethra emfushane, amagciwane we-pathogenic angena kalula ezithweni eziseduze. Ushukela kumchamo uhlinzeka ngamagciwane amancane kanye nemvubelo ngokukhula okusheshayo kanye nezimo ezikahle zokuthuthuka.
- I-Hyperglycemia iholela ekunciphiseni komsebenzi wezimfihlo wesitho sangasese sowesifazane. Ngenxa yomile ulwelwesi lwamafinyila olwenzeka, ukuhlangana kwezemacansini kunzima, kuvela ama-microcracks, angahle atheleleke kamuva.
- Izithiyo zokukhulelwa ngesifo se-endocrine esibangelwa ukwephulwa kwe-carbohydrate metabolism, njengomthetho, aziqhamuki.
- Kwabesifazane abanesifo sikashukela esincike ku-insulin, sobudala bokuzala, ukuzala ingane enempilo iba yinkinga. Kukhona ubungozi be-embryofetopathy.
Izinga elijwayelekile likashukela wegazi othathwe esiswini esingenalutho lifinyelela ku-6.1 mmol / l, amahora ama-2 ngemuva kokudla - kufika ku-7-8 mmol / l. Umphumela ongemuhle ubukhona be-glucose kanye nemizimba ye-ketone (acetone) kumchamo. Ukulawulwa kweshukela okuncane okudingekayo kungenziwa ngempumelelo ekhaya, kusetshenziswa imichilo yokuhlola umchamo kanye ne-glucometer.
Ukulawulwa kwesifo sikashukela kungenziwa futhi kufanele kwenziwe ekhaya
Kwenzekani kumama ngesikhathi sokukhulelwa nokubeletha ngenxa yesifo sikashukela
Ngemuva kokukhulelwa kweqanda, ingane iyaqala ukukhula kwayo. Ukwahlukaniswa kweseli okukhulu Ezinyangeni ezi-4 zokuqala ze-umbungu, kwenziwa izicubu nezitho zomzimba. Ngalesi sikhathi, umbungu uthinta kakhulu amanye amathonya angaphandle (izidakamizwa, amakhemikhali, utshwala, i-nicotine). Izinga elikhuphukile likashukela kusuka ngaphakathi lithinta umzimba wengane engakazalwa. Igazi lalokwakheka okufanayo ligobhoza ezitsheni zikamama nezesibeletho.
Ukusuka onyangeni wesine kuya kwele-6 wokukhulelwa, owesifazane unethuba elikhulu kakhulu lesifo sokuqina kwemizwa ketoacidosis. Ngenxa yokuntuleka kwe-insulin, imvelo yangaphakathi ivuselelwa. Ngenxa yalokho, umama nengane yakhe engakazalwa basengozini enkulu yokufa.
Imbuyiselo emibi yesifo sikashukela kowesifazane okhulelwe iholela emiphumeleni emibi yengane.
Ushukela wegazi ngesikhathi sokukhulelwa- amathuba okuphuphuma kwesisu, ukukhula kuqala;
- ukuvela kokukhuluphala;
- ukugcinwa kwamanzi emzimbeni;
- ukuzalwa okunzima;
- ukungasebenzi kahle kwamanyikwe.
Isitho sohlelo lwe-endocrine sakhiwa evikini lama-20 lokukhula kombungu. Nge-hyperglycemia yomama, ama-pancreas we-fetus asebenza ngesivinini esikhulu. Ukuze wehlise ushukela kumanani ajwayelekile, umzimba ukhiqiza ngokuqinile i-insulin.
Lapho ingane izalwa, ukuxhumana komzimba kosanda kuzalwa nonina kuyalahleka. Kepha ukukhiqizwa okwandisiwe kwe-insulin ngemuva kokubeletha emzimbeni wengane akuyeki. Ukwehla okungjwayelekile kwe-glucose kufaka i-hypoglycemia (isimo esinamanani aphansi kashukela). Ukusebenza okujwayelekile kwamaseli obuchopho wengane kuyaphazamiseka. Izingozi zingaholela ekufeni kwezinsana.
Ezinye izinkomba zesifo ezinganeni ezisanda kuzalwa
Imiphumela yokuhlolwa kwe-Ultra ye-fetus evikini le-10 lokukhulelwa kowesifazane one-hyperglycemia ingakhombisa ama-pathologies alandelayo:
- ubukhulu kanye nesisindo - ngaphezu kokujwayelekile;
- ukuphazamiseka okubonakalayo kokulingana komzimba;
- i-polyhydramnios;
- ukuvuvukala endaweni yekhanda;
- izitho ezandisiwe (isibindi, izinso);
- ukuphambuka emsebenzini wezinzwa, zenhliziyo, nezinhlelo zezitho zofuzo.
Iqoqo lezimpawu libonisa isifo eselukhula ngamandla.
I-fetopathy yesifo sikashukela yosanda kuzalwa ibonakala ngu:
- isisindo esindayo (ama-4-6 kg);
- ukuqubuka kwesikhumba, okufana nokuqina kwenhliziyo;
- umthunzi obomvu-cyanotic noma i-yellowness;
- ukuvuvukala kwezicubu ezithambile;
- ukulinganiselwa okungafanele komzimba (amahlombe abanzi, izingalo ezimfushane nemilenze, isisu esikhulu).
Umntwana osanda kuzalwa onempilo futhi onesifo sikashukela
Ingane ihlushwa yimfucumfucu, ukuhlaselwa yi-asphyxia (indlala yomoya-mpilo) yamazinga ahlukahlukene, i-tachycardia. Ulala ngokungalali, umunca kabi isifuba sakhe, ulokhu ekhala njalo.
Ingane inqunyelwe:
- amalungiselelo e-calcium ne-magnesium;
- i-analeptics yokuphefumula;
- amavithamini;
- ama-hormone;
- inhliziyo glycosides.
Yenza izinqubo usebenzisa imisebe ye-UV, ukumboza kahle indawo yeso. Ngaye, kubalulekile ukuthi uhlale ugcina umbuso wokushisa njalo. Ngomphumela ophumelela kakhulu, izingane ezinjalo zisengozini yesifo sikashukela esiyinhloko nayo yonke imiphumela elandelayo.
Owesifazane angalawula kanjani ushukela wakhe ngesikhathi sokukhulelwa
Isiguli esikhulelwe esinesifo sikashukela sohlobo 1 noma ifomu lesibili (gestational) kumele ngaso sonke isikhathi sigadwe ngudokotela. Izikhathi eziningana (4-6) ngosuku ngokuzimela ziqapha lizinga le-glucose yegazi. Ukushintsha ukudla kanye nemithamo ye-insulin kuvunyelwe kuphela ngaphansi kokuqashwa kwe-endocrinologist kanye ne-gynecologist. Ngokuvamile, ukulungiswa kuyadingeka kakade ku-trimester yokuqala yokukhulelwa, ene-toxicosis enzima.
Kusuka enyangeni yesine kuya kwele-9 yokukhula kwe-intrauterine, umsoco othuthukisayo uyadingeka enganeni ekhulayo. Ngokuvumelana nalokho, ukwanda kwemithamo ye-insulin (emfishane futhi eqhubeka isikhathi eside), kuhanjiswa kumama. Zingaphindeka kabili uma kuqhathaniswa nalezo ezazibekelwe owesifazane ngaphambi kokukhulelwa. Ngesikhathi sokubeletha, umzimba wesifazane kufanele ukhuthazelele ukuhlolwa okukhulu ngokomzimba futhi isidingo se-insulin sizokwehla kakhulu. Ezinsukwini ezimbalwa, uzokwazi ukubuyela ekudleni kwakhe okujwayelekile, imithamo yangaphambilini ye-hypoglycemic kanye nokuzivocavoca umzimba.
Isifo sikashukela sokukhulelwa esikhulelwe siyingozi kumama nengane
Isizathu sesifo sikashukela sokukhulelwa siwukuthi ngesikhathi sokukhulelwa, izidingo zenyukeni yowesifazane ziyenyuka. Njengomphumela womthwalo owengeziwe, isitho siba buthaka, amandla aso alinganiselwe. Izinga likashukela wegazi liyakhula okwesikhashana. Umgomo wokwelapha isifo sikashukela esijwayelekile iwukwenza ushukela ungajwayelekile ngaphandle kokulimaza umbungu. Lokhu kwenziwa ngosizo lomjovo ofanele we-insulin kamama nokunamathela ekudleni okuthile. I-Endocrinologists incoma ukuthi abesifazane basebenzise ukudla okuphansi kwe-carb. Faka umthetho wokuvinjwa kokusetshenziswa kokudla okuqukethe ushukela. Imikhawulo le isebenza ezithelo ezimnandi (ubhanana, amagilebhisi), imifino enesitashi (amazambane), okusanhlamvu (ilayisi, semolina).
Ngemuva kokuzalwa, owesifazane osemusha, njengomthetho, akadingi ukuthola i-insulin ye-hormone evela ngaphandle. Kepha isifo sikashukela sokukhulelwa "siyinsimbi" eyethusayo. Owesifazane kufanele kusukela manje ikakhulukazi:
- qaphela isisindo;
- qaphela izifo ezithathelwanayo ezihlasela kakhulu;
- gwema ukucindezela okukhulu;
- lawula umfutho wegazi, ushukela wegazi;
- zithola njalo izimbiwa ezinamaminerali ne-Vitamin.
Ngaphambi kokukhulelwa okuhleliwe, kufanele uhlolwe ngokuphelele udokotela. Ngemuva kokukhulelwa, bhalisa ngokushesha emtholampilo wabakhulelwe. Ukungabikho noma ukuba khona kwama-pathologies we-kuzaliwa emntwaneni ongakazalwa kunquma isimo sempilo kamama ngaphambi nangesikhathi senqubo yokufakwa kweqanda.
Owesifazane okhulelwe kufanele alondoloze ushukela wegazi ojwayelekile ngesikhathi sokukhulelwa. Uma imibandela ihlangabezana ngokuqinile, nethuba lokuthola ifa lokuxilonga elivela kumama ogulayo kwengane alikho eliphakeme kunelinempilo.
Naphezu kwazo zonke izingozi, isifo sikashukela akufanele siphuce owesifazane injabulo ye-conjugal kanye nethuba lokuthola inzalo enempilo.
