Uhlobo 2 sikashukela i-mellitus lubonakala ngokuphulwa kwempendulo ye-metabolic kwi-insulin ye-endo native noma exo native. Lokhu kuholela ekwandeni kwe-glucose egazini. Ukukhulelwa ngesifo sikashukela sohlobo 2 kunezingozi zako. Futhi okokuqala, lokhu kungenxa yesisindo ngokweqile kanye nokusetshenziswa kwamalungiselelo ekhemisi.
Njengomthetho, udokotela ohambelayo unikeza isenzo esinjengesikhathi esiphakathi ekuseni (NPH) ekuseni nasebusuku. Endabeni yokuqokwa kwe-insulin esebenza ngokubambisana, ukusetshenziswa kwayo kwenziwa ngokudla (ngokushesha kumboza umthwalo we-carbohydrate). Udokotela kuphela ongalungisa umthamo womkhiqizo oqukethe i-insulin. Inani lezinto ezisetshenziselwa isifo sikashukela lincike esilinganisweni sowesifazane sokumelana ne-insulin.
Imithi yeziguli ezinesifo sikashukela kufanele inqunywe udokotela kuphela
Ukuhlelwa kokukhulelwa kwesifo sikashukela
Ngalesi sifo, ukukhulelwa akuhlukanisiwe. Kepha lolu hlobo lwesifo sikashukela luvame ukuhambisana nokuba khona kwesisindo ngokweqile. Ngakho-ke, lapho uhlela ingane, ukuncipha kwesisindo kubaluleke kakhulu. Lokhu kungenxa yokuthi ohlelweni lokuthwala umntwana, umthwalo ohlelweni lwezinhliziyo, amalunga akhuphuka kakhulu, okungezeleli ukwanda kwamathuba we-thrombophlebitis, veins varicose, kodwa futhi kunomthelela omubi emzimbeni wonke. Ukuze ukhuluphele, kusetshenziswa isigaba se-cesarean.
Ngohlobo 2 lwesifo sikashukela, odokotela batusa ukuhlelwa kokukhulelwa.
Kusukela ngaphambi kokukhulelwa kufanele:
- ushukela wegazi ophansi;
- qinisa amazinga kashukela;
- funda ukugwema i-hypoglycemia;
- ukuvimbela ukuthuthukiswa kwezinkinga.
Lawa maphuzu ayaphoqeleka, ngoba azovumela umntwana ophile kahle, ogcwele ukuzalwa futhi asekele impilo kamama ngaphakathi kwemikhawulo ejwayelekile. Futhi ngesikhathi esifushane lokhu akunakwenzeka. Akunazithiyo zokukhulelwa lapho izinga le-glucose linezinkomba ezinzile: esiswini esingenalutho - amaminithi. 3.5 max 5.5 mmol / l., Ngaphambi kokudla - imizuzu. I-4 max I-5, 5 mmol / L, amahora ama-2 ngemuva kokudla ukudla - 7.4 mmol / L.
Abesifazane abakhulelwe abanesifo sikashukela kufanele babe ngaphansi kokuqashwa udokotela njalo.
Inkambo yokukhulelwa incike ku-insulin
Ngesikhathi sokukhulelwa, inkambo yesifo sikashukela ayingazinzi. Ngokuya ngeminyaka yobudala bokukhulelwa, inkambo ye-pathology ingahluka. Kepha konke lokhu kuyizinkomba zomuntu ngamunye. Kuya ngesimo sesiguli, uhlobo lwesifo, izimfanelo zomzimba wowesifazane.
Kunezigaba eziningana zokukhula kwalesi sifo:
- I-trimester yokuqala. Ngalesi sikhathi, inkambo ye-pathology ingathuthuka, izinga le-glucose liyancipha, kukhona ubungozi be-hypoglycemia. Ngalezi zinkomba, udokotela uyakwazi ukunciphisa umthamo we-insulin.
- Okwesibili trimester. Inkambo yalesi sifo inganda. Izinga le-hyperglycemia liyanda. Inani le-insulin esetshenziswayo liyanda.
- Okwesithathu trimester. Kulesi sigaba, inkambo yesifo sikashukela iyathuthuka futhi. Umthamo we-insulin uphinde uncishiswe.
Kubalulekile! Ngemuva kwenqubo yokuzalwa, izinga loshukela wegazi lehla ngokushesha, kepha ngemuva kwesonto liba njengoba lalinjalo ngaphambi kokukhulelwa.
Owesifazane okhulelwe onesifo sikashukela sohlobo 2 angalaliswa esibhedlela izikhathi eziningi emtholampilo. Ekuqaleni kwethemu, inkambo yalesi sifo iyahlolwa esibhedlela. Kwi-trimester yesibili, ukwenziwa isibhedlela kwenziwa ukuze kugwemeke imiphumela emibi ngesikhathi ukonakala kwe-pathology, ku-trimester yesithathu - ukwenza izindlela zokuncindezela futhi uthathe isinqumo sendlela yokuzala ingane.
Abesifazane abakhulelwe abanesifo sikashukela kufanele bahlole ushukela wegazi labo nsuku zonke.
Izinkinga ezingaba khona ngesikhathi sokukhulelwa
Ngaphambi kokuthi kusungulwe i-insulin yokwenziwa (ngo-1922), ukukhulelwa nokunye nokunye ukuzalwa kwengane kowesifazane onesifo sikashukela, kwakuqabukela. Lesi simo sibangelwa imijikelezo engahambisani ne-anovulatory (ngenxa yemijikelezo ye-hyperglycemia engapheli).
Kuyathakazelisa! Ososayensi namuhla abakwazi ukufakazela lokhu: ukwephulwa komsebenzi wobulili kwabesifazane abathembela i-insulin ngokuyinhloko i-ovarian noma i-hypogonadism yesibili ivela ngenxa yokungasebenzi kohlelo lwe-hypothalamic-pituitary.
Izinga lokufa kwabesifazane abakhulelwe abanesifo sikashukela ngaleso sikhathi lalingama-50%, kuthi lelo lezinsana lifinyelele ku-80%. Ngokufakwa kwe-insulin ezenzweni zezokwelapha, le nkomba yaqiniswa. Kepha ezweni lethu, ukukhulelwa onesifo sikashukela sekubhekwa njengengozi enkulu kumama nengane.
Ku-mellitus yesifo sikashukela, ukuqhubekela phambili kwezifo zemithambo kungenzeka (imvamisa kakhulu isifo sikashukela, ukulimala kwezinso).
Uma owesifazane okhulelwe elandela zonke izincomo zezokwelapha, ingane yakhe izalwe iphilile ngokuphelele
Endabeni yokufakwa kwe-gestosis kowesifazane okhulelwe, kukhona:
- umfutho wegazi ophakeme;
- ukuvuvukala
- amaprotheni emchameni.
Endabeni ye-preeclampia ngokumelene nesizinda sesifo sikashukela, kuvela usongo empilweni yowesifazane nengane. Lokhu kungenxa yentuthuko yokuhluleka kwe-renal ngenxa yokuwohloka okukhulu emsebenzini wezitho.
Ngaphezu kwalokho, kuvame ukwenzeka ngesisu sikashukela i-mellitus ekhipha isisu ngokuzenzekelayo ku-trimester yesibili. Abesifazane abasesimweni esinesifo sohlobo 2, njengomthetho, bazala ngesikhathi.
Ukukhulelwa ngohlobo 2 sikashukela kufanele kubhekelwe udokotela eduze. Ngokunxeshezelwa kwe-pathology kanye nokuxilongwa okufika ngesikhathi kwezinkinga, ukukhulelwa kuzodlula ngokuphepha, kuzalwe umntwana onempilo futhi oqinile.
