Kungani ushukela we-urchose ungakhuphuka ngesikhathi sokukhulelwa?

Abesifazane bavame ukuphoqelelwa ukuthi bahlolwe izivivinyo zokuxilonga ezahlukahlukene ngesikhathi sokukhulelwa ngenhloso yokuthola izinkinga ngaphambi kwesikhathi kanye nokuqedwa kwabo okulandelayo. Isinkomba esibalulekile esihlola isimo somzimba ukunqunywa koshukela oqukethwe kumchamo.

Ukutholwa kwe-glucose kuyo kungakhombisa ukukhula kwesimo sikashukela sikashukela. Lesi sifo siyingozi kumama nakomntwana ongakazalwa.

Izinhlobo zikashukela kumchamo ngesikhathi sokukhulelwa

IGlucose, efakwe ngokudla, ineqhaza ekukhiqizweni okusebenzayo kwe-insulin, okudingekayo ekuqhutshweni kwayo, kanye nasekuqhekekeni. Ngenxa yale nqubo, izinga likashukela lehla, bese ingxenye eseleyo ikhishwa ngokusebenzisa izinso ukungena kumchamo oyinhloko bese ithuthelwa egazini.

Ukukhulelwa kubonakaliswa yingcindezi eyandayo kuzo zonke izitho zomzimba. Izinso ziyeka ukubhekana nemisebenzi enikezwe yona kule ndlela yokusebenza, ngakho-ke i-glucose ingatholakala kumchamo wesibili.

Amanani kashukela atholwe ngemuva kokuhlolwa komchamo kuhlolwa ngokuya nge-3 criteria:

1. Ukugcotshwa koshukela okungaphansi kuka-1.7 mmol / L kuyinto ejwayelekile.
2. Izinga elingu-1.7 kuya ku-2.7 mmol / L ukugxila okwamukelekayo, kepha kudinga ukubhekwa njalo.
3. Inkomba engaphezu kwe-2.79 mmol / l isivele ibhekwa njengophawu lwe-glucosuria. Kulokhu, kunconywa ukuthi uthintane nochwepheshe ngokushesha.

Ukuthola umphumela othembekile kowesifazane okhulelwe, kufanele ulandele imithetho:

• usuku ngaphambi kocwaningo azikho amaswidi, musa ukusebenza ngokweqile ngokomzimba, ngaphandle kwezimo zonke ezicindezelayo;
• ukuqoqa umchamo wasekuseni esitsheni (oyinyumba), ngemuva kokugeza;
• Izinto zokuhlaziywa okujwayelekile akufanele zigcinwe; kufanele zilethwe elebhu ngemuva kokuqoqwa.

Uma owesifazane okhulelwe engazikhombisanga izinkinga zempilo kanye nezidingo zangaphambi kokuqalwa kwesifo sikashukela, kuzofundwa umchamo wakhe wokuthola umfutho weglucose eduze kwamasonto angama-24. Uma kunokuthambekela kwalesi sifo, khona-ke ukulawulwa kukashukela kunqunyelwe kowesifazane kaningi.

Izimbangela ze-pathology

Ushukela kumchamo okhulelwe kungenzeka ngenxa yezizathu ezilandelayo:

• Owesifazane uphethwe yiluphi uhlobo lwesifo sikashukela, kufaka phakathi uhlobo lokugula lwesifo;
• ayatholakala i-pathology yesistimu ye-endocrine;
• kwembula ukuvuvukala kumanyikwe, izifo zesibindi, izinso;
• i-glucose kumchamo yenzeka ngenxa yokulimala kobuhlungu ebuchosheni, okwaholela ekuphazamisekeni kwe-metabolic;
• ukungondleki, kubonakaliswa ngokudla inani elikhulu lamaswidi ngaphambi kosuku lokufunda;
• ukuthatha ama-painkiller kanye ne-sedatives;
• uhlale ezimeni ezicindezelayo.

Izici ezivusa ushukela ngesikhathi sokukhulelwa:

• iminyaka yokukhulelwa kusuka eminyakeni engama-35;
• ukuba khona kwesifo sikashukela somzimba esiqinisekisiwe (ngesikhathi sokukhulelwa ngaphambili);
• ifa elisindayo;
• ukuba khona kwesisu noma ukuzalwa kwengane efile;
• isipiliyoni sokuthola izingane ezinokukhubazeka kokukhula;
• ukukhulelwa okuningi;
• ukuzalwa kwezingane ezinkulu;
• polyhydramnios.

Imvamisa, isifo sikashukela esenzeka phakathi nesikhathi sokuzala ingane siyaziqothula ngemuva kokubeletha, ezimweni ezi-3% kuphela esisele futhi sibe uhlobo lwesifo esingalapheki.

Imiphumela ye-glycosuria kowesifazane okhulelwe kanye nakombungu

Ukunganaki ukubonakaliswa kokuqala okubonisa ukukhula okungenzeka kwe-glucosuria kungaholela emiphumeleni eyingozi kowesifazane okhulelwe. Lokhu kuthinta kabi impilo yowesifazane nengane yakhe.

Ukuthuthukiswa kwendlela yesifo sikashukela ngokumelene nesizinda se-glucosuria ende kungaholela ezinkingeni ezifana:

• kwehlise i-acuity ebonakalayo;
• izinkinga zezinso
• i-arterial hypertension;
• ukuvuvukala
• ukwenzeka kwesizungu emilenzeni;
• izinhlungu zomlenze
• preeclampia;
• preeclampia;
• i-macrosomia ye-fetus yisimo esibucayi kakhulu esivelela ngemuva kwesifundo sokungalawulwa sikashukela ngesikhathi sokukhulelwa - kulokhu, ingane izalwa inkulu (inokukhula okukhulu nesisindo);
• ngesikhathi sokubeletha, ubungozi bokuthola ubunzima ekukhipheni ukunyuka kwengane;
• owesifazane angaqala ukuzalwa ngaphambi kokubeletha, kungahle kube nokuqhamuka kwesibeletho okungazelelwe;
• ngokuzayo, ubungozi bokuphazamiseka kwemizwa, ukubukeka kwe-jaundice, i-pathologies yohlelo lokuphefumula luyanda.

Ukuvimbela zonke izingqinamba ezingaba khona, kubalulekile ukuthi kubhekwe njalo ochwepheshe futhi babhekane nazo zonke izivivinyo ngesikhathi esifanele.

Izimpawu zokunukubezwa

Izimpawu ze-glucosuria:

• ukoma okukhulu;
• ukozela
• umuzwa ongapheli wokukhathala;
• ukuchama njalo;
• ukuguquguquka kwesisindo okungenasizathu;
• umlomo owomile
• ingcindezi iyakhuphuka;
• ukwanda kwesifiso sokudla.

Lezi zimpawu zivame ukungagcini nje ngokuxhuma okukhulu kwe-glucose kumchamo, kodwa futhi kungakhombisa isigaba sokuqala sikashukela. Kunoma yikuphi, ukushiya lezo zibonakaliso ngaphandle kokuqashwa udokotela akukufanele.

Ukuqala, owesifazane okhulelwe kufanele axhumane nodokotela wakhe we-gynecologist, ozonikeza izinkomba zokuhlolwa okwengeziwe. Ngokusekelwe emiphumeleni, owesifazane kungadingeka abonane nodokotela we-endocrinologist.

Ukulungiselela nokuziphatha kwezifo zokuxilonga

Ukuxilongwa ngokufanele kwesifo sikashukela kungenziwa kuphela ngesisekelo semiphumela yokuhlolwa kokuxilonga.

Uhlu lokuhlolwa okudingekayo kowesifazane okhulelwe:

• Ukuhlaziywa okubizwa ngokuthi ijika leshukela;
• ukuhlolwa komchamo nsuku zonke.

"I-Sugar curve" ikuvumela ukuthi uhlaziye impendulo yomzimba ekuphuzeni i-glucose, ukunquma umphumela owenziwe ngumthwalo ushukela. Ucwaningo luvame ukwenziwa eduze kwesonto lama-24 lokukhulelwa, kepha lingahle linconywe ekuqaleni, ngokubheka isimo sezempilo sikamama osazobeletha.

Ukuhlaziywa kubonakaliswa isampula yegazi eline (esiswini esingenalutho bese kuthi kathathu ngemuva kokuphuza i-glucose exutshwe namanzi). Uma inani likashukela egazini lijwayelekile, futhi kumchamo lihlala liphakeme, khona-ke imbangela yalesi simo akusona isifo sikashukela, kepha ukuphazamiseka ezinqubekweni ze-carbohydrate metabolism. Uma kwenzeka izinkomba ze-glucose ezingejwayelekile kukho konke ukuhlaziya, kuyadingeka ukwelashwa ngokushesha.

Ungawuqoqa kanjani umchamo wansuku zonke:

1. Ukulungiselela isifundo kungakuqala ezinsukwini ezi-2 noma ezi-3 ngaphambi kokuhlaziywa. Kususelwa kokukhishelwe ekudleni kwayo yonke imikhiqizo engashintsha umbala womchamo (izaqathe, izimbotshana, amathanga).
2. Kuyadingeka ukunamathela ekudleni, ususe ukudla okuthosiwe kanye nezitsha ezinosawoti emenyu okwesikhashana.
3. Kuyenqatshelwa ukuphuza ikhofi, iziphuzo eziqukethe utshwala, kanye nama-vitamin complexes nemithi. Ezimweni lapho ukuhoxiswa kwezidakamizwa kungenzeki ngenxa yezizathu zezempilo, isiguli kufanele sazise abasebenza elabhorethri abazokwenza isifundo.
4. Ngesikhathi sokuqoqa umchamo, kunconywa ukulahla ukuthintana ngocansi.
5. Qhubeka nokuphuza uketshezi impela amahora angama-24 (kusuka emahoreni ayisithupha kuya kwayi-6 ngakusasa, kodwa ngaphandle kwengxenye yokuqala yomchamo).
6. Yonke imchamo kufanele iqoqwe esitsheni esisodwa, esingathengwa ekhemisi ngaphandle kwezinkinga. Umthamo wesikhundla esinjalo uvame ukuba ngamalitha ama-2 noma ama-3.
7. Gcina umgqomo usendaweni epholile, uvikelwe ukukhanya.
8. Ngaphambi kokuchama ngakunye, kunconywa ukuthi uthathe isishizi sendawo usebenzisa okokuhlanza ngaphandle kokunambitha.

Umbala womchamo ungakhombisa ama-pathologies afana nalawa:

• ihepatitis (umchamo unombala ophuzi omnyama);
• pyelonephritis, glomerulonephritis noma cystitis (ngombala obomvu);
• ama-lipids okweqile (nge-tint emhlophe);
• ukuba khona kwezinqubo ezisebenzayo zokubola ohlelweni lokugaya (ngombala oluhlaza).

Ukuthola imiphumela ethembekile, abesifazane abakhulelwe bayalulekwa ukuba bahambisane nayo yonke le mithetho.

Inkomba Yezinga Lokufanekiswa

Naphezu kweqiniso lokuthi i-glucosuria imvamisa iyisibonakaliso sesikhashana, izimpawu zayo akufanele zinakwe. Ukutholwa okufika ngesikhathi kwamazinga kashukela omchamo negazi kufanele kube yisizathu sokuxilongwa okwengeziwe komzimba wowesifazane okhulelwe. Uma kunesidingo, udokotela angakunquma ukwelashwa okufanele.

Imithetho ejwayelekile yokwehlisa amazinga kashukela we-urchin:

1. Gcina ukudla okulinganiselayo. Ukudla kowesifazane okhulelwe kufanele kube kugcwele, ngakho-ke awukwazi ukubulawa yindlala, uphuca ingane izakhi ezidingekayo.
2. Gcina isisindo silawulwa. Kwanele ukusebenzisa amajusi, imikhiqizo kafulawa, amaswidi ngamanani akhawulelwe. Okuncamelayo kufanele kunikezwe emigqonyeni, okusanhlamvu, imifino nokudla kwamaprotheni.
3. Ushukela udinga ukuguqulwa ngokushintshela ekudleni okune-carb ephansi.
4. Uma owesifazane okhulelwe etholakele enesifo sikashukela ngaphambi kokuhlela ingane, kubalulekile ukuqhubeka nokwelashwa kwe-insulin okunconywayo. Ukukhetha ama-hormone afanele omjovo kuyadingeka ngokuhlangana nodokotela oyi-endocrinologist.
5. Yenza umsebenzi womzimba (olinganiselayo).
6. Njalo qapha izinga leshukela (kumchamo nasegazini).
7. Ungaphuthelwa ukuvakashela udokotela wezifo zabesifazane.

Izinto zevidiyo ezinkingeni zesifo sikashukela sokukhulelwa:

Inkinga enkulu edinga ukubhekana nokuqala kwesifo sikashukela kowesifazane okhulelwe ukujwayela amanani we-glycemia, ngaphambi kokudla nangemva kokudla okulula. Abesifazane abavele uhlobo lwesifo lokuthambisa, njengokomthetho, abadingi ukuthatha imishanguzo, kwanele ukulandela indlela odla ngayo futhi banamathele emithethweni yendlela yokuphila enempilo.