Isifo sikashukela kwiNgxaki yokukhulelwa: Ixesha elidlulileyo
Isifo sikashukela esidlulileyo esele sikhona ekukhuseleni ubungozi bexesha elidlulileyo babenenkxalabo enkulu. Kwakunzima koomama abanesifo sikashukela ukuba bakhulelwe baze baphathe iintsana eziphilileyo ziphilileyo. Ngaphambi kokufika kweziglucometers eziphatheka ngesandla ezinikezela ngokukhawuleza iziphumo, iisringana ezilahlayo, imishanguzo engcono kunye nezikhokelo zokunyamekela, kwakunzima ukuba akunakwenzeka ukuphumeza nokugcina ukulungelelaniswa kwe-glycemic ngexesha lokukhulelwa-makungabikho ulawulo oluqinileyo lwe-glycemic olufunekayo ukunciphisa ingozi .
Emuva ngawo-1950, kwakungekho qhe lekile kubantu abaneesifo sikashukela abafake i-insulin ukuba babe neyona nto ibonakala njenge-laboratories encane epheleleyo ngeesilayidi zeglasi ezifunekayo ukuba zinyanzeliswe ngokutywala ngotywala kunye neenaliti ezicatshulwa ngotye. Ngenxa yokuba i-glucometers ayifumanekanga, amanqanaba eeshukela egazi ayengeke afumaneke ngokukhawuleza okanye ngokukhawuleza.
Ngelo xesha, kwakucatshulwa ukuba abafazi abanesifo sikashukela babengeke bakwazi kwaye bangabi nabantwana. Amantombazana amaninzi awafa ngenxa yokuba umngcipheko ophezulu wokuphazamiseka kwangaphambili kwe-placenta awuqondwanga. Ukungahambi kakuhle , ukukhubazeka kokuzalwa kunye ne-crosomia yokusongela ubomi (isisindo sokuzalwa esiphakeme) yayivamile. Ubomi bomama nomntwana basengozini.
Isifo sikashukela kwiNgxaki yokukhulelwa: Namhlanje
Ukulawulwa kwe-glycemic kunye nokunciphisa umngcipheko kulula ukufumana ulwazi lwamhlanje, izikhokelo zolawulo kunye nezixhobo. Ngokucwangciswa okulungileyo, ukunakekelwa okunqongophe nokulawulwa okunamandla kwinqanaba leshukela legazi, umfazi onesifo sikashukela ekukhuleleni unokufumana ithuba elifanayo lomntwana onempilo njengowesifazane onesifo sikashukela.
Uvavanyo lwe-A1c lebhubhoratri lisetyenziselwa ukuvavanya amanqanaba eeshukela egazi kwiinyanga ezi-2-3 ezedlulileyo. I-A1c eqhelekileyo yowesifazane onesifo sikashukela ngexesha lokukhulelwa ngu-6.3%. Ukuphakama kwezinga le-A1c ngaphambi nangesikhathi sokukhulelwa, ukuphakama kweengozi ngokufanelekileyo. Ngokuqhelekileyo, kucetyiswa ukuba kugcinwe ama-A1c angaphantsi kwe-6.0%, kodwa ingabi ngaphantsi kakhulu ukukhusela umngcipheko omkhulu we-hypoglycemia (amanqanaba aphantsi kweshukela egazini) okanye izithintelo zokukhula komntwana.
Thetha nogqirha wakho malunga neenjongo zakho ze-A1c.
Ukulawulwa kwamanqanaba eshukela egazini kunciphisa umngcipheko weengxaki zokubeleka, ukukhulelwa kunye ne-neonatal. Izishukela zegazi zesishukela emva kokutya zixhamla kakhulu kunye nokukhula okuphezulu okanye i-macrosomia, eyaziwa ngokuba yi-baby syndrome enkulu.
Isifo sikashukela ekukhuselweni kweengozi ekukhuliseni ngenxa yokuLawula i-Blood Sugar Control
Ngaphambili nangethuba lokukhulelwa kwangaphambili : Ukungabikho kwemali kunye neentlungu ezinkulu zokuzalwa komntwana.
Emva kweeveki ezingama-12 'Ukugujwa komzimba : I-insulin ephakamileyo kunye namazinga e-glucose ebusweni, okubangela ukukhula okukhawulezileyo kunye namafutha amaninzi. I-Macrosomia idibene nesidingo sokwanda kwamacandelo angamaxesha angxamisekileyo, ukuphazamiseka kokubeleka , ukufa komntwana, kunye neengxaki ze-neonatal.
Ngethuba lokukhulelwa kwexesha elide : Iqondo eliphezulu lokushukela kwi-fetus lingabangela i-hypoxia (ukunganelanga oksijini) kunye ne-acidosis kumntwana osenokuba yimbangela yezinga eliphezulu lokubeleka kwabasetyhini abanamazinga okusukela ngegazi. Kukho umngcipheko ophezulu we-preeclampsia, i-polyhydramnios (kakhulu i-amniotic fluid) kunye nokusebenza kwangaphambili.
Emva kokuzalwa : Iintsana ezine-macrosomia ngenxa yamanqanaba aphezulu ashukela e-maternal isifo esiphezulu sokwandisa ukukhuluphala nokunyamezela kwe-glucose tolerance. Ukulawulwa kakubi ngexesha lokukhulelwa kunokuchaphazela uphuhliso nophuhliso lwezengqondo.
Izingozi kuMama : Ukuphakama kwamanqanaba eshukela egazini ekukhuleleni kunokukwazi ukuba nefuthe elide kwixesha elide, kubandakanywa ukwanda kwe-retinopathy kunye nephropropathy.
Funda kabanzi malunga neSifo sikashukela ekukhulelweni .
Imithombo
Kitzmiller, MD, MS, John L; Vimba, BS, RN, CDE, Jennifer M; Brown, MD, uFlorence M; I-Catalano, MD, uPatrick M; Conway, MD, uDeborah L; I-Coustan, MD, uDonald R; Gunderson, RD, PHD, Erica P; Herman, MD, MPH, uWilliam H; Hoffman, MSW, LCSW, uLisa D; Inturrisi, RN, MS, CNS, CDE, Maribeth; Jovanovic, MD, uLouis B; Kjos, MD, Siri I; Knopp, MD, uRobert H; UMontoro, MD, uMartin N; Ogata, MD, uEdward S; Paramsothy, MD, MS, Pathmaja; Umfundi, i-RD, i-CDE, u-Diane M; U-Rosenn, MD, uBharak M; Thomas, RD, uAlyce M; kunye no-Kirkman, MD, M Sue. Ukulawula iSifo sikashukela soKhulelwa kokuSingatha: Isishwankathelo soBungqina kunye noVavanyo lweNgcaciso malunga noKhathalelo. Ukunyamekela ngesifo sikashukela ngoMeyi 2008 31 (5): 1060-1079.