Lapho uhlela ukukhulelwa, kubalulekile ukuqala ukuyilungiselela izinyanga eziyisithupha ngaphambi kokukhulelwa. Ngalesi sikhathi, kufanele uvakashele i-endocrinologist, wazise ngesifiso sokukhulelwa.
Ukuhlolwa okuphelele nokulungiswa kwemithamo ye-insulin ukunxephezela ushukela kunconywa kowesifazane onesifo sikashukela esibhedlela. Abesifazane abanempilo futhi badinga ukubonisana njalo, ukuthatha izivivinyo.
Izimbangela zokushintsha kweshukela
Kwi-trimester yokuqala yokukhulelwa, ukuthuthukiswa kokucabanga kwe-glucose kuwuphawu, ngaphansi kwethonya lapho ukwakheka nokuzimela okuzimele kwe-insulin okwenziwa ngamanyikwe kukhula khona. Ukunxephezela isifo sikashukela ngalesi sikhathi, kuyadingeka ukunciphisa umthamo we-insulin nsuku zonke.
Kwi-trimester yesibili, i-placenta iqala ukwakha. Umsebenzi wakhe we-hormonal unamandla okuvimbela ukukhiqizwa kwe-insulin, ngakho-ke umthamo wawo kwabesifazane abanesifo sikashukela kufanele ukhuphuke.
Ngemuva kweviki leshumi nantathu lokukhula, amanyikwe yingane engakazalwa iqala ukusebenza. Uphendula ngokuthumela kakhulu i-insulin ushukela wegazi lomama omkhulu. Inqubo yokubola yeglucose nokufakwa kwayo emafutheni yenzeka, ngenxa yalokho isisindo samafutha esibeletho sikhula ngamandla.
Kusukela ezinyangeni eziyisikhombisa, kube nokuthuthuka embusweni nakwinkambo yesifo sikashukela. Lokhu kungenxa ye-insulin eyengeziwe etholwa ngumama enganeni.
Kungani ubheka ushukela wegazi lakho ngesikhathi sokukhulelwa?
Amanqamu we-glucose ongakhokhisiwe lapho uthwala ingane kuholela ezinkingeni zenkambo evamile yokukhulelwa nama-pathologies ngesikhathi sokukhula kwengane:
- Ingozi yokungaqhekeki. Ukhuphuka ngezikhathi ezingama-2-3 uma kuqhathaniswa nokukhulelwa okujwayelekile. Amacala okufa kwesibeletho ngenxa yalesi sizalo esibelethweni noma ngemuva nje kokuzalwa akha ingxenye yesithathu yenani eliphelele lokuphuphuma kwezisu.
- Ukulimala kwendalo.
Isistimu yofuzo, amathumbu, isisu, izicubu zamathambo ziyahlupheka. Ukulimala ohlelweni lwezinzwa nenhliziyo kuyingozi ikakhulukazi. Ngokwezibalo, lokhu kwenzeka kaningi kuya kwayi-9 kaningi. - Ama-Polyhydramnios. Ngenxa yokwanda kwenani le-amniotic fluid, ukuhamba kwegazi kuyaphazamiseka. Lesi simo siholela ku-hypoxia - ukubulawa yindlala komoya we-fetus kanye nomonakalo ohlelweni oluphambili lwezinzwa. Umsebenzi obuthakathaka ungadala ukuqothuka kweningi kanye nokuzalwa ngaphambi kwesikhathi.
- Izithelo ezinkulu. Amazinga kashukela asonyuselwe afaka isandla ekusindisweni kwamafutha asheshayo futhi andise usayizi wesibindi. Ukukhula kwe-fetus akufani. Ukugxila kwe-hemorrhage ne-edema kuyaphawulwa.
- Yehlise ukungazetheki. Uma ushukela ukhona emchini, kunengozi yokuthola izifo. Abantu abanesifo sikashukela bahlushwa amagciwane omchamo izikhathi ezingama-30% ukwedlula abanye besifazane. Uma kungekho ukwelashwa, izinkinga ezinkingeni zabesifazane abakhulelwe ngendlela yezifo ezinjenge-pyelonephritis, cystitis kungenzeka. Kukhona ukuphuma okungakashisi kwe-amniotic fluid, usongo lokuphuphuma kwesisu, ukubuyiselwa kokukhula kwe-intrauterine.
- Ukuguga kwe-placenta. Ushukela omningi ubhubhisa izitsha ze-placenta. Ukushoda kwezakhi zomzimba, okuvela ngenxa yokwephulwa kokujikeleza kwegazi, kuholela ekufeni kwesibeletho.
Isistimu yofuzo, amathumbu, isisu, izicubu zamathambo ziyahlupheka. Ukulimala ohlelweni lwezinzwa nenhliziyo kuyingozi ikakhulukazi. Ngokwezibalo, lokhu kwenzeka kaningi kuya kwayi-9 kaningi.Unganikela kanjani ngegazi?
Phakathi kokunye ukuhlola lapho ubhalisa ngesikhathi sokukhulelwa, ukuhlolwa ushukela kuyimpoqo. Kubalulekile ukugcina ukulawula okuqinile kwe-glycemia, ngoba ukuthuthukiswa kokukhulelwa kuthinta izinga layo.
Le nqubo kumele ilungiselelwe kahle. Owesifazane kufanele abe nempilo, phambi kwanoma yisiphi isimo esingathandeki, udinga ukuxwayisa udokotela noma uhlehlise usuku lokuhlaziywa.
Igazi lithathwa ekuseni esiswini esingenalutho. Ngaphambi kokukhohlisa, kunconywa ukuthi ungadli ukudla amahora angama-8. Lapho kunikelwa igazi le-capillary, ukuhlaziya kuthathwa emunweni, kulihlaba ngesikhafu.
Umchamo uqoqwa ubusuku bonke esitsheni esehlukile. Ukuchama kokuqala akubhekwanga. Ngemuva kosuku, isisindo sonke siyashukunyiswa, amagremu ayi-150-200 aphonswa esitsheni esikhethekile bese eyiswa elabhorethri. Inkomba edlula u-0%, kungenzeka ukuthi kunesifo sikashukela sokukhulelwa.
Imikhuba nokuphambuka
I-Glycemia iyinkomba ebalulekile okumele iqashelwe ngabesifazane abakhulelwe. Ngokwesincomo se-endocrinologist, kuyadingeka ukukala ushukela wegazi kanye nemvamisa ayibekile.
Ithebula le-glucose ephezulu enconyelwe (i-mol / l) yabesifazane abakhulelwe ngokuqhathaniswa namanani amaphakathi abesifazane:
| Isikhathi | Owesifazane | Owesifazane okhulelwe | Ukuba khona kwesifo sikashukela sokukhulelwa |
|---|---|---|---|
| Esiswini esingenalutho | 3,94 - 5,50 | 5,8 | 6,3 |
| Ihora ngemuva kokudla | 6,05 - 6,77 | 6,8 | 7,8 |
| Ngemuva kwamahora amabili udlile | 5,52 - 6,09 | 6,1 | 6,7 |
Ukweqa okujwayelekile kuyisisekelo sokuhlolwa okuqhubekayo nokubona izimbangela zokuphambuka.
Ngokuphula izinqubo ze-carbohydrate metabolism, ukuthuthukiswa kwesifo sikashukela sokukhulelwa kungenzeka. Leli igama lesifo esivele okokuqala ngesikhathi sokukhulelwa. Ngokwezibalo - lokhu kucishe kube yi-10-12% yabo bonke abesifazane abasezingeni eliphansi.
Lesi sifo senzeka phambi kwalezi zinto:
- ukuzalwa kokuqala okungaphezu kweminyaka engama-35;
- ukuqagelwa kwesifo sikashukela (izihlobo zegazi ziyagula);
- ukubonakaliswa kwalolu hlobo lwesifo sikashukela ekukhulelweni kwangaphambilini;
- ukuthuthukiswa kwesibeletho esikhulu;
- ushukela omkhulu wegazi;
- ukuba khona koshukela emchameni;
- i-polyhydramnios;
- ukukhuluphala
- Ukuhlukumezeka kanye ne-pathologies yentuthuko noma yokufa kwesibeletho ezikhathini ezedlule.
Ividiyo yesifo sikashukela sokukhulelwa:
Umphumela wamanga nokuhlaziywa kabusha
Umphumela wokudlula kwe-6.6 mmol / L egazini elisheshayo uphakamisa ukuthi owesifazane okhulelwe unesifo sikashukela. Ukuqinisekisa ukutholwa, kuthathwa ukuhlaziywa kwesibili ukuthola ushukela ongaphansi komthwalo - ukubekezelela ushukela.
Kwenziwa ngokuya ngohlelo olulandelayo:
- Isampula legazi lokuqala lenziwa esiswini esingenalutho.
- Lungiselela isixazululo: 50-75 mg we-glucose ingilazi yamanzi afudumele. Phuza.
- Igazi lithathwa kabili njalo ngehora.
Ngesikhathi senqubo, owesifazane okhulelwe kufanele adale izimo zokuphumula. Ungathathi ukudla.
Ukunquma imiphumela yokuhlolwa, kusetshenziswa ithebula lemigomo evunyelwe:
| Izinga le-glucose (mmol / l) | Ukubekezelelwa kwe-glucose | ||
|---|---|---|---|
| okwejwayelekile | ephukile | isifo sikashukela (sikhuphukile) | |
| kufika ku-7.8 | 7,8 - 11,1 | ngaphezu kwe-11.1 | |
Uma inkomba idlula i-11.1 mmol / l, kutholakala isifo sokuxilonga - isifo sikashukela.
Uma ukuhlolwa kokubekezelela kungaphakathi kwemingcele evamile, kungenzeka ukuthi ukuhlolwa kwegazi kokuqala kwakungamanga. Kunoma yikuphi, kunconywa ukuthi uphinde uphinde uhlaziye, mhlawumbe elabhorethri lesinye isikhungo sezokwelapha.
Ungashintsha kanjani ushukela wegazi?
Ukukhulelwa kweziguli ezinesifo sikashukela kulawulwa yi-gynecologist kanye ne-endocrinologist. Owesifazane kufanele aqeqeshelwe ukuzithiba ngokulawulwa kweshukela nokuphathwa kwe-insulin (uma kunesidingo). Imfuneko yesifundo esiyinxephezelo sesi sifo ukuhambisana nenqubo yansuku zonke nokudla.
Umsoco olinganiselayo
Ukugwema ushintsho olubukhali lwamazinga kashukela, kunconywa ukuthi udle ukudla ngezingxenye ezincane ngezindlela ezi-5-6. Khipha ukudla okune noshukela omningi. Ama-carbohydrate alula ayingozi ikakhulukazi: amakhekhe, namakhekhe, namakhekhe, amaswidi amnandi neziphuzo. Ukudla akufanele kube ngamazambane, izithelo ezimnandi, amaswidi.
Ukuguqula imenyu ngemifino emisha, imikhiqizo yokusanhlamvu ephelele, inhlamvu, okusanhlamvu. Le mikhiqizo yenza umsebenzi wamanyikwe. Izinhlanzi nenyama akuzona izinhlobo ezinamafutha. Imidumba iyasebenziseka - ilensi, uphizi, ubhontshisi, ubhontshisi.
Ukudla ngesikhathi sokulala kufanele kube lula futhi ngamanani amancane.
Ividiyo yesondlo yesifo sikashukela sokuthambisa:
Umsebenzi womzimba
Kwabesifazane abakhulelwe kukhona inkimbinkimbi ekhethekile eklanyelwe ukuzivocavoca kwezemidlalo nokuzivocavoca. Isikhathi ngasinye, zihlukile emthwalweni nasekomeleleni. Iziguli eziningi zibika ukuthuthuka ngemuva kokwenza i-yoga kwabesifazane abakhulelwe. Lapho ukhetha ukuzivocavoca, kufanele kukhunjulwe ukuthi banciphisa ushukela wegazi.
Kunconywa ukuthatha inkimbinkimbi yamavithamini kwabesifazane abakhulelwe abanesifo sikashukela, ukugwema izimo ezinovalo nezicindezelayo - ukucindezelwa kwengqondo kubangela ukwanda kokuhlaselwa ngeglucose.
Isifundo sevidiyo sokuzivocavoca ukukhulelwa:
Isifo sikashukela, ukukhulelwa kunezimpawu zazo. Izinga lezinkinga linqunywa uhlobo lwezifo zesifo kanye nenxephezelo lokubuyelwa kwezinga le-glucose emzimbeni kamama.
Ukwanda kwe-glycemia esigulini akuyona inkomba yokukhipha isisu. Ukuhambisana nazo zonke izincomo zochwepheshe emkhakheni we-gynecology ne-endocrinology, ukunquma izindlela zokulawula ushukela nendlela yokuphila, kuzovumela owesimame ukuthi azale futhi azale ingane enempilo.
