Ngokutsho kohlalutyo luka-2014 ngamaZiko okuLawulwa kweNtsholongwane kunye nokuKhusela, ukuxhaphaka kwesifo sikashukela sikwi-9.2%. Abafazi abakhulelweyo abangakaze babe nesifo sikashukela ngaphambili, kodwa banamazinga aphezulu ashukela ngexesha lokukhulelwa kuthiwa banesifo seswekile. Ngokuqhelekileyo kubonakala phakathi kwekota yesibini, emva kokuba umntwana esakhiwe, kodwa ngelixa lixakekile.
Isifo sikashukela se-Gestational sinyamalala emva kokuzalwa komntwana. Xa usufumana isifo sikashukela, usengozini yokuphinde uphinde ukhulelwe. Enyanisweni, xa sele unesifo sikashukela, inqanaba lakho li-2 kwi-3 lokuba liza kubuya ekukhulelwe kwangaphambili.
Ukongezelela, nawe usengozini enkulu yokwakha isifo sikashukela se-2. Oomama abanesifo sikashukela sesifo sikashukela banomngcipheko wexesha elide elide elide lohlobo lwe-2 lweswekile. Kwakhona banomngcipheko omkhulu wokuhlakulela i-prediabetes kunye nesifo se-cardiovascular premature. Isifo sikashukela sesifo sikashukela sifanele sibe yindwendwe yokuvusela unina ukuba ulindele ukuba unina enze utshintsho lwendlela yokuphila kungekhona kuphela kwimpilo yengane, kodwa ukuze banokuthintela ukuphuhlisa ezi zifo emva kokuba umntwana azalwe.
Ngubani Osemngciphekweni weSifo Seswekile
Uninzi lweziganeko zobungozi zesifo sikashukela sinokulawula. Ukuba uceba ukuba nomntwana, ukuguqula ezinye zezinto zakho zokuphila kunokunceda ukunciphisa umngcipheko wakho.
Iindaba ezilungileyo kukuba nangona ufumene unyango ngesifo sikashukela, unokuhlala usenomntwana ophilileyo. Nazi ezinye zeengxaki zobungozi:
- Ubungakanani - kunye ne-BMI ye-30 okanye ngaphezulu-ukulahlekelwa ngu-20% wesisindo somzimba wakho kunokunciphisa umngcipheko
- Imbali yentsapho yohlobo lwe-2 lweswekile
- Ukuba uneminyaka engama-35 ubudala okanye ngaphezulu
- Ukuba ngaphambili uye wanikela iintsana ezinkulu (phakathi kwe-8 lbs 5 oz ne-9 lbs. 14 oz.).
- Ukuba unomfutho wegazi ophezulu
- Unabantu baseSpeyin, amaMerika aseMerika, amaMelika aseMelika, aseMzantsi okanye aseMpuma Asia, okanye kwi-Pacific Island.
- Ukuba unayo i-cholesterol engafanelekanga
- Ukuba utshaya
- Ukuba awufumani umsebenzi owenziwe ngokwaneleyo
- Ukuba unesidlo esingenampilo
Yintoni ebangela i-Gestational Diabetes
Nangona kungekho nto ecacileyo yesifo sikashukela sesifo sikashukela, kukho ezinye iimbono zokuba kutheni abafazi abathile bahlakulele. Ngexesha lokukhulelwa, umzimba wakho udinga i-insulin ukwenzela ukuba ungasebenzisa i-glucose ukuze uphethile. Xa usana lukhula, luxhaswa yi-placenta. I-placenta ivelisa iindidi ezininzi zee-hormone, ezinceda umntwana ukuba aphuhlise, kodwa ezi zi-hormone ezichanekileyo zinokukhusela isenzo se-insulin emzimbeni womama. Ngenxa yoko, iiseli zinqabile kwi-insulin umama wenza kwaye i-sugar suars iphakame.
Ukwanda kweswekile kunokuwela i-placenta, kubangele ukuba i-pancreas yengane yenze i-insulin ukuba isuse iswekile. Ngenxa yokuba umntwana ufumana amandla amaninzi kunokuba kufuneka aphuhlise, ushukela olongezelelweyo lugcinwe njengamafutha. Oku kunokukhokelela ekubeni "i-macrosomia", aka, "umntwana osondayo". I-Macrosomia inokubangela imiba yexinzelelo ekuzalweni nasekunyuseni ingozi yabantwana yokugqithisela nokuphuhlisa isifo sikashukela kamva ebomini.
Ukongezelela, iintsana ezizalelwe oomama abanesiphunga segazi ezingalawulwayo, zinokuthi zibe negazini eliphantsi kwegazi ekuzalweni (ngenxa ye-insulin eyongezelelweyo eyenzayo), enokubangela iingxaki zokuphefumla. Yingakho kubaluleke kakhulu kubo bonke oomama ukuba bavavanyelwe isifo sikashukela sokutya nesifo sikashukela kunye nokuba abo abanesifo sikashukela esenza isifo sikashukela bagcine igazi labo lilawulwa.
Ukuthi isifo sikashukela seGestational Isingathwa njani
Ukunakekelwa kakuhle kokubeleka kubalulekile kubo bonke oomama abakhulelweyo, kodwa kubaluleke kakhulu kubasetyhini abaneempawu zobungozi zesifo sikashukela. Xa umfazi sele ekhulelwe, ukuqhubeka nokuqeshwa kwabagqirha kubalulekile.
Isifo sikashukela sesifo sikashukela sivame ukuvavanywa phakathi kweeveki ezingama-24 neye-28 zesisu. Ukuba uvavanya ukuba unesifo seswekile, uza kufuneka ufunde indlela yokulawula kakuhle iishukela zegazi ukuqinisekisa ukuhlala kakuhle kwakho kunye nosana lwakho.
Ngokuqhelekileyo, phantsi kwesikhokelo sakho somnakekeli wezezempilo, ukutya okunempilo, okunokulinganisela okuhambisanayo kwi-carbohydrates, kunye nokusebenzisa umzimba ngakumbi kunokuhamba ngendlela ende ekulawuleni isifo sikashukela sesifo sikashukela. I-carbohydrates yinto enezondlo ezichaphazela i-sugar suars kakhulu, ngoko uya kufuna ukuqonda ukuba ivelaphi i-carbohydrates kunye nendlela yokukhetha iintlobo ezifanelekileyo ze-carbohydrates ukwenzela ukulawulwa kweswekile.
Ukuzivocavoca kunceda ukutshisa iswekile nokuphucula ukunyanzelwa kwe-insulin ukwenzela ukuba ufikelele kwisicwangciso esifanelekileyo kuya kunceda ukulungelelanisa iishukela zegazi. Ukuba awuzange usebenzise ngaphambili, ukuhamba nje kunokuncedisa impilo yakho. Kwezinye iimeko, xa ukutya kunye nokuzivocavoca akwanele ukulawula iishukela zegazi phezu kwayo, i-insulin iya kusetyenziswa ukugcina amazinga e-blood glucose asondele ngokuqhelekileyo kunokwenzeka. Iqela lakho lezonyango liza kunika iithagethi zakho zeeshukela zegazi kwaye zifundise indlela yokusebenzisa i-glucometer yakho. Ulawulo olufanelekileyo luya kuqinisekisa umphumo ovuyayo, onempilo kubo bonke.
> Ukuhlaziywa: Barbie Cervoni MS, RD, CDE
> Izibonelelo:
> I-American Diabetes Association. Yintoni iSifo soSwesigqirha soBugcisa.
> Feig DS, Zinman B, Wang X, Hux YI. Ingozi yokuphuhliswa kwesifo sikashukela emva kokuxilongwa kwesifo sikashukela. CMAJ 2008; 179: 229
> I-American Diabetes Association. Isifo sikashukela. http://www.diabetes.org/are-you-at-risk/lower-your-risk/gdm.html?referrer=https://www.google.com/