Isifo sikashukela sohlobo lokukhulelwa 1

Uhlobo lwe-1 isifo sikashukela yisifo esibucayi lapho kubhekwa khona ukungasebenzi kahle kwengxenye pancreatic, ngenxa yalokho umzimba uqala ukuzwa ukuntuleka kwe-insulin futhi ulahlekelwe amandla ayo okucubungula ushukela ongena kuwo nokudla. Ngenxa yalokhu, kukholelwa ukuthi uhlobo 1 sikashukela nokukhulelwa yizinto ezingahambisani ngokuphelele. Kepha kunjalo? Futhi kungenzeka yini ukuthi owesifazane onesifo esinjalo abe ngumama ojabulayo?

Imininingwane ejwayelekile

Isifo sikashukela akuyona inkambiso ephelele yokukhulelwa. Kepha uma owesifazane efuna ukuba nengane ephilile, kufanele alungiselele kusengaphambili. Futhi lokhu akumele kwenziwe kungapheli amasonto ayi-1-2 ngaphambi kokukhulelwa kwengane, kodwa okungenani izinyanga ezingama-4-6. Ngakho-ke, kunezimo ezithile zesifo sikashukela lapho ukukhulelwa kunganconywa. Futhi zifaka:

• impilo engazinzile;
• ukuvama kakhulu kwesifo sikashukela sohlobo 1, okungathinta kabi ukukhula kanye nokwakheka kwengane;
• ubungozi obukhulu bokuba nengane ngokuphambuka;
• amathuba aphezulu okuphuphuma kwesisu ngokuzenzakalelayo emabangeni okuqala okukhulelwa kanye nokuqalwa kokuzalwa ngaphambi kwesikhathi.

Ngokuthuthuka kwesifo sikashukela sohlobo 1, inqubo yokuqhekeka kweglucose iyaphazamiseka. Umphumela walokhu ukuqoqwa kwenqwaba yezinto ezinobuthi egazini, okubuye kudluliselwe emgudwini wegazi kuye esibelethweni, kumenze akhule i-pathologies ehlukahlukene, kufaka phakathi isifo sikashukela i-mellitus.

Kwesinye isikhathi ukukhuphuka okubukhali kwesifo sikashukela kugcina kabi hhayi enganeni uqobo, kodwa nakowesifazane. Ngalesi sizathu, lapho kunobungozi obukhulu bezinkinga ezinjalo, odokotela, njengomthetho, balulekisa ukuqeda ukukhulelwa, futhi bangazami ukuzala umntwana ngokuzayo, ngoba konke lokhu kungaphetha kabi.

Ngalezi zizathu, ukukhulelwa kanye nohlobo 1 sikashukela kubhekwa njengokungahambisani. Kodwa-ke, uma owesifazane enakekela impilo yakhe kusengaphambili futhi athole isinxephezelo esiqhubekayo ngalesi sifo, khona-ke unawo wonke amathuba okuba nengane ephilile.

Isisindo senzuzo

Nge-T1DM, i-carbohydrate metabolism ayiphazamiseki hhayi kowesifazane okhulelwe kuphela, kodwa nasenganeni yakhe engakazalwa. Futhi lokhu, okokuqala, kuthinta isisindo se-fetus. Kunobungozi obukhulu bokukhulisa ukukhuluphala kwakhe ngisho nasikhathi sokukhulelwa, okuthi, ngokwemvelo, kube nomthelela omubi emsebenzini wabasebenzi. Ngakho-ke, lapho owesifazane onesifo sikashukela efunda ngesimo sakhe esijabulisayo, kufanele abhekele isisindo sakhe ngokucophelela.

Kunezindlela ezithile zokuthola isisindo, ezibonisa inkambo evamile yokukhulelwa. Futhi yilezi:

• ezinyangeni ezintathu zokuqala isisindo esizuzwayo singama-2-3 kg;
• ku-trimester yesibili - akukho ngaphezu kwama-300 g ngeviki;
• ku-trimester yesithathu - cishe i-400 g ngeviki.

Ukuthola isisindo esinamandla ngesikhathi sokukhulelwa kukhulisa ubungozi bokuhlukunyezwa kwe-fetus

Sekukonke, owesifazane kufanele azuze ama-12-13 kg ngesikhathi sokukhulelwa konke. Uma lezi zimo zedlulisiwe, khona-ke lokhu kukhombisa ubungozi obukhulu be-fetus pathologies kanye nezinkinga ezinkulu ngesikhathi sokuzalwa kwengane.

Futhi uma umama wesikhathi esizayo eqaphela ukuthi isisindo sakhe sikhula ngokushesha, kufanele aqhubeke nokudla okuphansi kwe-carb. Kepha lokhu kungenziwa kuphela ngaphansi kokuqashwa ngokuqinile kodokotela.

Izici zenkathi yokukhulelwa ezinesifo sikashukela sohlobo 1

Ukwenza umntwana ophilile futhi oqinile, odokotela abaluleki abesifazane ukuthi bathathe noma imiphi imishanguzo ngesikhathi sokukhulelwa. Kepha njengoba kunokushoda okukhulu kwe-insulin emzimbeni onesifo sikashukela sohlobo 1, awukwazi ukwenza ngaphandle kwemithi.

Njengomthetho, ku-trimester yokuqala yokukhulelwa, umzimba awutholi ukuntuleka okukhulu kwe-insulin, abesifazane abaningi ngalesi sikhathi bangakwazi ukwenza kalula ngaphandle kwezidakamizwa. Kepha lokhu akwenzeki kuzo zonke izimo. Ngakho-ke, bonke abesifazane abanesifo sikashukela kufanele bahlole njalo amazinga kashukela egazini. Esimweni lapho kunokwenyuka okuhlelekile kwezinkomba, lokhu kufanele kubikwe ngokushesha kudokotela oholayo, ngoba ukuntuleka kwe-insulin ezinyangeni ezi-3 zokuqala zokukhulelwa kungavusa ukuthuthukiswa kwezifo ezincane nemiphumela emibi.

Ngalesi sikhathi, akunconywa ukuba basebenzise imijovo ye-insulin, ngoba ingavusa ukutholwa kokuhlanza okunzima (okubangelwa yi-toxicosis), lapho umzimba ulahlekelwa yizinto eziningi eziwusizo ze-micro kanye nama-macro, kufaka phakathi ama-carbohydrate, asetshenziswa njengamandla. Ukushoda kwezakhi zomzimba nakho kungaholela ekwakhiweni kwama-pathologies esibelethweni noma ekuphuthweni kwesisu okuzenzakalelayo.

Imithamo yemijovo ye-insulin ilungiswa njalo ezinyangeni ezingama-2-3 zokukhulelwa

Kusukela ngenyanga yesine yokukhulelwa, isidingo se-insulin siyanda. Futhi kungalesi sikhathi lapho kuvela khona isidingo esiphuthumayo sokuphathwa kwemijovo ye-insulin. Kepha kufanele kuqondwe ukuthi owesifazane okhulelwe akabophezeli impilo yakhe kuphela, kodwa futhi nasempilweni yengane yakhe engakazalwa, ngakho-ke kufanele alandele ngokuqinile yonke imiyalo kadokotela.

Imijovo ye-insulin kufanele isetshenziswe ngezikhathi ezithile. Okuphoqelekile ngemuva kokuhlelwa kwabo kungukudla. Uma ngemuva kokuphathwa kwama-insulin carbohydrate angangeni emzimbeni, lokhu kungaholela ku-hypoglycemia (ukwehla okukhulu ushukela wegazi), okungeyona ingozi kangako kune-hyperglycemia (ukukhuphuka koshukela wegazi ngaphandle kobubanzi obujwayelekile). Ngakho-ke, uma owesifazane enikezwe imijovo ye-insulin, udinga ukubheka njalo amazinga kashukela egazini ukugwema imiphumela emibi.

Kwi-trimester yesithathu, isidingo se-insulin singancipha, kepha lokhu kwandisa ubungozi be-hypoglycemia. Futhi njengoba ngesikhathi sokukhulelwa izimpawu zalesi simo zivame ukuvilapha, ungaphuthelwa kalula isikhathi sokwehlisa ushukela wegazi. Futhi kulokhu, futhi udinga ukusebenzisa imitha njalo futhi urekhode imiphumela kudayari.

Abesifazane abakhulelwe kufanele bathathe ushukela wegazi

Kumele kuqashelwe ukuthi uma owesifazane enza yonke imizamo futhi ezinza isimo sakhe ngaphambi kokukhulelwa, unawo wonke amathuba okuzala ingane enempilo neqinile. Umbono wokuthi uma owesifazane okhulelwe enesifo sikashukela azale ingane egulayo uyiphutha. Njengoba ososayensi benze izifundo eziphindaphindekile ngale ndaba, okukhombisa ukuthi isifo sikashukela sidluliselwa kwabesifazane sisiya ezinganeni ngamaphesenti ama-4 kuphela. Izingozi zokuthola isifo sikashukela esibelethweni zanda kakhulu kuphela lapho bobabili abazali bethintwa yilesi sifo ngesikhathi esisodwa. Ngaphezu kwalokho, amathuba okukhula kwayo enganeni kuleli cala angama-20%.

Ngabe ukulaliswa esibhedlela kuyadingeka nini?

Isifo sikashukela kwabesifazane abakhulelwe kanye nemiphumela yako

Isifo sikashukela mellitus siyingozi enkulu empilweni yowesifazane okhulelwe nengane yakhe engakazalwa. Futhi ukuvimbela ukuthuthukiswa kwezinkinga, odokotela bavame ukulalisa abesifazane besibhedlela ukuqiniseka ukuthi akukho songo.

Njengomthetho, isikhathi sokuqala ukwelashwa esibhedlela lapho owesifazane onesifo sikashukela etholakala ukuthi ukhulelwe. Kulokhu, uthatha zonke izivivinyo ezidingekayo, uhlola impilo yakhe ejwayelekile futhi ubheka ukuthi angaqeda ukukhulelwa noma cha.

Uma ukukhulelwa kugcinwa, ukulaliswa kwesibili esibhedlela kwenzeka ezinyangeni ezingama-4-5. Lokhu kungenxa yokwanda okubukhali kwesidingo se-insulin. Kulokhu, odokotela bazama ukuqinisa isimo sesiguli, ngaleyo ndlela bavimbele ukuvela kwezinkinga.

Ukwelashwa kokugcina kwenzeka cishe ngesonto lama-32 - lama-34 lokukhulelwa. Isiguli sihlolwa ngokuphelele futhi umbuzo wokuthi ukuzalwa kuzokwenzeka kanjani, ngokwemvelo noma ngesigaba se-cesarean, isetshenziswa (isetshenziswa uma i-fetus ikhuluphele).

Isifo sikashukela esingakhokhwanga sikholwa njengesimo esiyingozi kunazo zonke ekhulelwe. Ukuthuthuka kwayo kuvame ukuholela ezinkingeni ezahlukahlukene, isibonelo:

• ukuphuphuma kwesisu ekukhulelweni kokuqala;
• i-gestosis;
• i-toxicosis ezinyangeni zokugcina zokukhulelwa, nayo eyingozi;
• ukuzalwa ngaphambi kwesikhathi.

I-Gestosis - isimo esiyingozi esihambisana ne-toxicosis, i-edema nomfutho wegazi ophakeme

Ngalesi sizathu, abesifazane abanesifo sikashukela esingakhokhelwa bangeniswa esibhedlela cishe njalo ngenyanga. Okuyingozi kakhulu kubo ukuthuthukiswa kwe-gestosis. Lesi simo ngeke sidabukise ukuphuphuma kwesisu ngokuzimele noma ukuvulwa kwangaphambi kokubeletha, kepha futhi nokufa kwesibeletho esibelethweni, kanye nokukhipha ukopha kanye nokwanda kwezifo zesibili kwabesifazane okungaholela ekukhubazekeni.

Ngaphezu kwalokho, isifo sikashukela esingakhawulelwanga sivame ukuholela kuma-polyhydramnios. Futhi lesi simo sikhulisa kakhulu ubungozi bokuqashelwa kwama-pathologies esibelethweni, ngoba ngamanzi amaningi, umsoco wakhe uyaphazamiseka, nengcindezi kuso iyanda. Njengomphumela walokhu, ukujikeleza kwengqondo ye-fetus kuyaphazamiseka, nomsebenzi wezitho eziningi zangaphakathi nawo uyahluleka. Lesi simo siveza njengemala nje eqhubekayo nobuhlungu obungajwayelekile besisu.

Kubalulekile ukwazi

Owesifazane ophethwe isifo sikashukela sohlobo loku-1 kufanele aqonde ukuthi impilo yengane yakhe engakazalwa incike esimweni sempilo yakhe. Ngakho-ke, ngaphambi kokuba akhulelwe, udinga ukulungisa umzimba wakhe ngalo mcimbi. Ukuze enze lokhu, kudingeka enze inkambo yokwelashwa, aphile impilo enempilo, azilolonge ngokomzimba futhi, anake ngokukhethekile ukudla kwakhe.

Ukondliwa okufanele kwesifo sikashukela kukuvumela ukuthi ufinyelele esimweni esijwayelekile sikashukela wegazi futhi uvikele ukuqala kwe-hypoglycemia noma i-hyperglycemia. Kumele kuqashelwe ukuthi ngemuva kokukhulelwa, ukuphathwa kwe-insulin akunikezeli imiphumela esheshayo, ngoba ama-carbohydrate aphula kancane kakhulu ngemuva kokuzalwa kwempilo entsha emzimbeni.

Umsoco ofanele usiza ukuvikela ukwanda kwesifo kanye nokwakhiwa kwama-pathologies ahlukahlukene ku-fetus

Futhi ukuze ulungiselele umzimba iqiniso lokuthi kuzodingeka ngandlela-thile ngaphandle kwe-insulin, imijovo inikezwe kaningi kakhulu, ikakhulukazi amahora asekuseni. Kungcono ukuphatha umjovo ihora elilodwa ngaphambi kokudla ukudla.

Ngemininingwane eminingi ngokudla okudingayo ukuze ulandele owesifazane ohlela ukuba ngumama kungekudala, kufanele atshele udokotela. Kufanele kuqondwe ukuthi isitho ngasinye sinezimpawu zaso, ngakho-ke nemikhawulo yokudla nayo umuntu ngamunye ngokwemvelo. Kubalulekile ukulandela ngokuqinile zonke izincomo zikadokotela, khona-ke amathuba okuba nengane ephilile futhi eqinile azonyuka kaningana.