Ukuchaza ukuhlaziya ijika leshukela ngesikhathi sokukhulelwa

Ukukhulelwa kuvame ukuhambisana nokwanda kwezinhlobo zezifo ezingamahlalakhona.

Umama wesikhathi esizayo angazizwa kuyo yonke inkathi yokubonakaliswa kokutholwa kwama-pathologies ahlukahlukene ngokumelene nesizinda sokungabi namandla kokuzivikela komzimba.

Enye yalezi zifo kubhekwa njengendlela yokuthola isifo sikashukela. Ungayichaza usebenzisa ukuhlolwa okufana nejika leshukela. Ukuhlaziywa kusenza sikwazi ukubona izinguquko zenani likashukela ngaphambi nangemuva kokuzivocavoca.

Izinkomba zokuhlaziywa

Kubalulekile ukuthi abesifazane ngesikhathi sokukhulelwa bangenele zonke izivivinyo ezibekwe udokotela, ngoba hhayi impilo yabo kuphela, kodwa nengane engakazalwa incike ezinqubweni ezenzeka emzimbeni. Ijika leshukela libhekwe njengenye yokuhlaziywa okuphoqelekile. Kubalulekile ukuthi iziguli zazi ukuthi kungani zikuthatha, futhi kuhlangana namuphi amacala ukuhlolwa.

Kunezinkomba eziningana zokuhlaziywa:

• ukuphambuka emiphumeleni yokuhlolwa komchamo;
• umfutho wegazi ophakeme;
• isisindo somzimba;
• ukusolwa kwesifo sikashukela;
• i-polycystic ovary;
• ukwanda kwesifo sikashukela esikuthola njengeso;
• ukuthuthukiswa kwendlela yokutholwa kwalesi sifo lapho ukhulelwe;
• ukuzalwa kwezingane ezikhuluphele;
• ukugcina impilo yokuqamba amanga (njengokuyalelwa udokotela).

Ukuhlolwa kwegazi ngomthwalo kungengenzelwa bonke abesifazane, kepha kungenzelwa labo kuphela okungabanjwanga.

Uhlu lwemikhawulo:

• amacala lapho ukuhlangana kweglucose kuhlolwe esiswini esingenalutho kudlula i-7 mmol / l;
• iminyaka yesiguli engaphansi kweminyaka eyi-14;
• i-trimester yesithathu yokukhulelwa;
• izinqubo zokuvuvukala emzimbeni;
• izifo
• i-pancreatitis (ngesikhathi sokuqhuma);
• ukuthatha ama-ejenti athile e-pharmacological afaka isandla ekukhuleni kwe-glycemia;
• amathumba amabi;
• i-toxicosis (isivivinyo sithuthukisa ukugcwala kwenhliziyo).

Isikhathi esivumayo sokuhlaziywa kubhekwa njengonyaka wokutholwa kwamasonto angama-24 kuye kwangama-28. Uma umama okhulelwe esesivele wahlangabezana ne-pathology efanayo ezikhathini ezedlule zokuzala umntwana, khona-ke ukuhlolwa kunconywa ukuba kwenziwe ngaphambili (amasonto ayi-16-16). Ukuhlaziywa kwenziwa kusuka kumaviki angama-28 kuya kwangama-32 ezimweni ezikhethekile, esikhathini esizayo isifundo asikhonjiswanga.

Ukulungiselela ukutadisha

Ijika leshukela alinconywa ukuthi lidlule ngaphandle kokulungiselela kwangaphambili. Ithonya lanoma iyiphi into ethinta i-glycemia iholela emphumeleni ongathembekile.

Ukuze ugweme iphutha elinjalo, kufanele kuqedwe izigaba eziningana zokulungiselela:

1. Ezinsukwini ezi-3 ngaphambi kokuhlolwa, ungaguquki okuthandayo, ngenkathi uqhubeka nokubona impilo yakho ejwayelekile.
2. Musa ukusebenzisa noma imuphi umuthi (kuphela ngemuva kwesivumelwano sangaphambilini nodokotela), ukuze ungaphambanisi idatha ngobuhlakani.
3. Ngesikhathi sokufunda, kufanele ube sesimweni esizolile, hhayi sokuxineka.
4. Isidlo sokugcina kufanele senziwe amahora angama-10 noma ayi-14 ngaphambi kokunikelwa ngegazi.

Imithetho yokuhlaziya ye-glucose:

• ikhambi kufanele lilungiselelwe kuphela ngaphambi kocwaningo;
• ukuze kutshalwe ushukela, udinga ukusebenzisa amanzi angahlanzekile angenakhabhoni;
• ukuqoqwa kwekhambi kufanele kunqunywe ngudokotela;
• ngesicelo sowesifazane okhulelwe, inani elincane lejusi kalamula lifakwa ku-ketshezi.

Inani le-glucose edingekayo ekuhlaziyeni kuya ngesikhathi sokusebenza kwalo:

• Ihora eli-1 - 50 g;
• Amahora 2 - 75 g;
• Amahora ama-3 - 100 g.

Izizathu zokwandisa inkomba:

• ukudla ngosuku lokuhlolwa;
• ukweqisa ngokomzwelo;
• ukukhathala komzimba;
• i-pathology yegilo;
• ukuthatha izidakamizwa (i-diuretics, i-adrenaline nabanye).

Izizathu zokwehlisa umphumela:

• ukuzila isikhathi eside (amahora angaphezu kuka-14);
• izifo zesibindi nezinye izitho zokugaya ukudla;
• isimila;
• ukukhuluphala
• ubuthi.

Kumama wesikhathi esizayo, ukuthola imiphumela efanele yanoma yikuphi ukuhlaziya kungumsebenzi omkhulu, ngoba inkambo ephumelelayo yokukhulelwa nempilo yengane incike kubo. Ukutholwa kwesifo ngesikhathi esifanele kuvumela ukukhonjwa ngokushesha kwezindlela zokwelapha kanye nokubona.

Inqubo Algorithm

Ukuhlolwa kufaka amasampula egazi aphindaphindwe, elinye lawo lenziwa esiswini esingenalutho, kanti elilandela amahlandla ama-3 njalo ngehora ngemuva kokuphuza i-glucose exutshwe namanzi. Kwamanye ama-laboratories, kusetshenziswa indlela ye-venous yophenyo, kanti kwezinye, indlela ye-capillary.

Into esemqoka ukuthi izindlela azihambelani lapho kuhlolwa okufanayo. Izikhathi eziphakathi kwesampula yegazi nazo zinqunywa yisikhungo sezokwelapha (zingalingana nengxenye yehora noma imizuzu engama-60).

Ngokusekelwe kudatha etholwe ngemuva kokulinganisa ukuqoqwa koshukela, ijika leshukela liyahlanganiswa. Kukhombisa ubukhona noma ukungabikhona kokungabekezelelwa kwe-glucose engasebenzi kahle eyenzeka ngesikhathi sokukhulelwa.

Okubi kulolu cwaningo, ngokusho kweziguli eziningi, yisidingo sokuthola izikhwebu eziphindaphindayo zeminwe noma imithambo, kanye nokuthatha isisombululo esimnandi. Uma inqubo yokuthola isampula yegazi iyindlela evamile kubantu abaningi, ngakho-ke akuwona wonke umuntu ongakubekezelela ukusetshenziswa komlomo kweglucose, ikakhulukazi kwabesifazane abakhulelwe.

Ukuhunyushwa kwemiphumela

Ukuhlolwa kwegazi okutholakele kuqala ukuhlolwa ngudokotela wezifo zamazinyo, okuthi uma kunesidingo, avele aqondise owesimame ukuthi abonane nodokotela ogcina izidakamizwa. Isizathu sokuxhumana nolunye uchwepheshe kufanele kube ukuphambuka kwe-glucose kusuka kumanani owamukelekayo.

Izinga lesikhombi lingahluka kancane ngokuya ngelebhu yezokwelapha eqhuba isifundo. Ukuhunyushwa komphumela kwenziwa ngokubheka isimo somzimba, isisindo sesiguli, indlela yakhe yokuphila, ubudala nezifo ezihambisanayo.

Isimo sokuhlaziywa esenziwa kwabesifazane abakhulelwe sishintshwe kancane. Lapho esethole imiphumela yokuhlolwa okuyinhloko, edlula amanani avumelekile, udokotela unikeza isifundo sesibili.

Ithebula lezinkomba livamile:

Ngesikhathi sokukhulelwa, kubalulekile ukukhipha ukukhuphuka okubukhali kwe-glycemia, ngakho-ke, ngemuva kokuhlolwa kwegazi kokuqala, ukuhlushwa kweglucose kuhlaziywa. Uma izinga ushukela olinganiswa esiswini esingenalutho lwedlula okujwayelekile, khona-ke isivivinyo siyama kuleli banga.

Ukuhlonza i-glycemia eyengeziwe kudinga izindlela ezifanele:

• ukulungiswa kokudla okunempilo, ukuqeda ukusetshenziswa ngokweqile kwama-carbohydrate;
• ukusetshenziswa kwemisebenzi ethile yomzimba;
• ukuqashwa njalo kwezokwelapha (esibhedlela noma esimisweni sokuphuma);
• ukusetshenziswa kokulashwa kwe-insulin (njengoba kushiwo udokotela);
• ukuqapha njalo kwe-glycemia ngokulinganisa nayo nge-glucometer.

Imijovo yeHormone ibekelwe owesifazane okhulelwe kuphela lapho ukudla kungasebenzi futhi izinga le-glycemia lihlala liphakeme. Ukukhethwa komthamo we-insulin kufanele kwenziwe esibhedlela. Imvamisa, abesifazane abakhulelwe banikezwa i-insulin enwetshiwe ngenani elilingana amayunithi ambalwa ngosuku.

Ukwelashwa okukhethwe kahle kukuvumela ukuthi unciphise ukulimaza enganeni. Noma kunjalo, ukukhonjwa kwezinga elikhulayo le-glycemia kowesifazane okhulelwe kwenza izinguquko ngesikhathi sokukhulelwa. Isibonelo, ukulethwa kuvame ukwenzeka isikhathi esingamasonto angama-38.

Isifo sikashukela asisona isifo esingajwayelekile, ngakho-ke abesifazane abakhulelwe nabo bangaba sengozini. Imvamisa, ukubonakaliswa kwalesi sifo kuvezwa ngesimo sokuthambisa, isici esivelanayo okuvela ngaso ngesikhathi sokukhulelwa nokuzikhipha ngemuva kokuzalwa kwengane.

Izinto zevidiyo kushukela wokukhulelwa kwabesifazane abakhulelwe:

I-Pathology ezimweni ezingavamile ihlala kowesifazane, kepha izimo ezinjalo azikhishwa. Emavikini la-6 ngemuva kwekutalwa kwemntfwana, kuhlolwa kwegazi kute kunqume lizinga loshukela ekulo kufanele kubuye. Ngokusekelwe emiphumeleni yabo, kungaphethwa ngokuthi lesi sifo siyaqhubeka noma ukubonakaliswa kwaso sekunyamalale.

Yini usongo lokunyuka ushukela?

Ukuphambukiswa kwe-glycemia kusuka kumanani amukelekayo kubangela ukungaphatheki kahle komama abakhulelwe.

Ukuboniswa okuyinhloko okungathandeki:

• ukwenzeka kaningi kunasikhathi sokukhulelwa, nxusa ukuchama;
• ulwelwesi lomlomo olomile;
• ukulunywa, okungayeki futhi kubangele ukungaphatheki kahle;
• ukubonakala kwamathumba noma umqubuko;
• ubuthakathaka kanye nokuqala ngokushesha kokukhathala.

Ngaphezu kwezimpawu ezingenhla ezizwakala ngowesifazane okhulelwe, i-glycemia ephezulu ingathinta kabi ukukhula kwesibeletho ngisho nangesikhathi esibelethweni.

Imiphumela eyingozi enganeni engakazalwa:

• ukujaha noma ukufa kwengane;
• ukuzalwa ngaphambi kwesikhathi;
• i-preeclampsia (eclampsia) ithuthukiswe kumama;
• ingozi eyandayo yokulimala kokuzalwa;
• isidingo sesigaba se-caesarean;
• ukuzalwa kwengane enkulu;
• ukuvela kwengane yokuvela kofuzo kushukela.

Endabeni yokusetshenziswa kokulashwa kwe-insulin kwabesifazane abakhulelwe okutholakale ukuthi banesifo sikashukela sokuthambisa okokuqala ngqa, ingozi yokwanda kwe-hypo- noma i-hyperglycemia iyanda. Lokhu kungenxa yokuvela kwesifo okungalindelekile kowesifazane kanye noshintsho olubi kwindlela yokuphila, ikakhulukazi ekudleni.

Ividiyo yesondlo yesifo sikashukela sokuthambisa:

Ngenxa yokungazi ubucayi be-pathology, kanye nokwephulwa kokudla, izinga le-glycemia alikwazi ukuwa noma ukwanda, okuholela ezimweni ezisongela impilo.

Kubalulekile ukuqonda ukuthi esigabeni sokuzala ingane, owesifazane kufanele alandele izincomo zezokwelapha ngokunemba ngangokunokwenzeka, athathe zonke izivivinyo ezibekiwe, ngoba impilo nokukhula kwengane kuncike ezenzweni zakhe.