Ukuqonda iNdima yeSifo sikashukela ekuThatsheni kunye naseNbirbirth
Xa abantu besidla, ukutya kugqityiwe kwindlela yokugaya kwizinto ezilula, kuquka i-glucose (uhlobo lweswekile). I-glucose iyimfuneko yamanzi malunga nayo yonke inkqubo emzimbeni womntu, kuquka umsebenzi wengqondo. Ukuze umzimba usebenzise i-glucose njengamandla, idinga ihomoni ebizwa ngokuba yi-insulin, eveliswa lilungu elibizwa ngokuba yi-pancreas.
Esi sifo sikashukela, ukunikezelwa kwe-insulin yomntu akwanele, okwenza kube nzima ukuba umzimba ufumane kwaye usebenzise amandla awudinga kwi-glucose.
Iintlobo zeSwekile
Uhlobo lwe-1 - Uhlobo lwe-1 lwe-diabetes (ngamanye amaxesha luthiwa yi-insulin exhomekeke kwi-diabetes mellitus, okanye i-IDDM) yimeko engapheliyo, ehlala ihlala ixesha elide, apho i-pancreas engenzi i-insulin. Izizathu ezibalulekileyo zezi sifo aziwazanga, kodwa kucacile ukuba isimiso somzimba sokuzivikela sisilungele ukuba siqale ukuhlasela i-pancreas. Ngokuqhelekileyo ixilongwa kubuntwaneni. Iimpawu eziqhelekileyo ziyakhathala, ukoma okunzulu kunye nendlala, ukucola ngokweqile, kunye nokulahleka kwesisindo. Olu hlobo lwesifo sikashukela lufuna umntu ukuba afumane i-insulin, mhlawumbi ngeentsholongwane ezininzi iintsuku, okanye ipompo eqhubekayo. Akukho naluphi unyango lwe-1 I-diabetes.
Uhlobo lwe-2 - Ngohlobo lwe-2 lweswekile iiseli zomzimba zakha ukuxhathisa kwi-insulin, nangona i-pancreas iyakwazi ukuvelisa i-insulin eyaneleyo.
Uhlobo lwe-2 lweswekile (olubizwa ngokuba yi-non-insulin elixhomekeke kwi-diabetes mellitus, okanye i-NIDDM) luqhelekileyo kubantu abadala, kodwa luyakwazi ukukhula kubantwana. Ngokuqhelekileyo kubangelwa ukukhuluphala, ukuhlala kwindlela yokuphila, iminyaka yobudala, kunye nemfuza yokuzalwa. Nasi ingozi yokwandisa isifo sikashukela se-2 kubantu abanentsapho yesi sifo, abantu base-Afrika-America, amaNative American, ama-Asia-American, amaLatino, namaPacific Islands, kunye nabasetyhini abanesifo sikashukela.
Iimpawu zifana ne-type 1 yeswekile. Unyango luyahlukahluka ukusuka kutshintsho lwezondlo kunye nokuzivocavoca ukuya kumachiza omlomo, okanye i-insulin injections. Akukho naluphi uhlobo lwesifo sikashukela se-2, kodwa imeko ingalawulwa kakuhle ukuba akukho unyango lwezempilo olufunekayo ngaphandle kweenguqu zokuphila.
I-Gestational - Isifo sikashukela se-Gest (GDM) senziwa kuphela ngexesha lokukhulelwa. Njengohlobo lwesifo sikashukela, kwisifo seswekile, umzimba awukwazi ukusebenzisa ngokufanelekileyo ukunikezwa kwe-insulini eveliswa yi-pancreas. Phantse bonke abafazi abakhulelweyo banokukhubazeka kokukwazi ukusebenzisa i-glucose ngempumelelo ngenxa yenguquko ye-hormone yemvelo yokukhulelwa, kodwa akuyiyo yonke into eya kuhlakulela isifo sikashukela. Kuphela malunga ne-4% yabasetyhini baya kuphuhlisa i-GDM. Izinto ezinobungozi zifana nezohlobo lwe-2 lwesifo sikashukela, kodwa zibandakanya nembali yexinzelelo legazi eliphezulu, ukuhanjiswa kwangaphambili kwintsana enkulu (ngaphezulu kwe-8 lbs 5 oz), okanye ukuba ungaphezu kwama-35 ngexesha lokukhulelwa. I-GDM ingaphathwa ngenguqu yokutya kodwa ingadinga i-insulin injections ukuba i-sugar sugars ayinakulawulwa ngokutya kuphela.
Isifo Sikashukela Sithinta njani ukukhulelwa?
Ekubeni umzimba wonke uphaswa yi-glucose, i-insulin ibalulekile ekusebenzeni kakuhle kwazo zonke iinkqubo zomzimba.
Isondo elilawulwa kakubi kwigazi lingakhokelela kwiinkathazo ezininzi ekukhulelweni komama nomntwana.
- I-Polyhydramnios - Oku kuthetha ukuba luninzi lwe-amniotic fluid, kwaye abasetyhini abanesifo sikashukela banako ukufumana oku.
- Uxinzelelo lwentliziyo - eyaziwayo ngokuqhelekileyo njengengcinezelo yegazi ephezulu, kunokukhokelela ekuthintekeni kokukhula kwe-intrauterine (IUGR), ukuzalwa komntwana, kwaye kungabonakalisa ukuhanjiswa kwangaphambili, okwenza ubungozi bawo bubele.
- Uthintelo loKhula - i-IUGR iyakwenzeka ukuba ibe ngumphumo wexinzelelo lwengcinezelo, leyo ingahlakulela kwabasetyhini abanesifo sikashukela ngexesha lokukhulelwa. Nangona kunjalo, nayo ingabangelwa zizifo zesifo se-vascular, ngokuqhelekileyo ngohlobo lwe-1 lwesifo sikashukela, abangenawo uxinzelelo lwegazi. Ingumngcipheko weengxaki ezininzi zonyango kwiintsana emva kokuzalwa. Isisindo sokuzalwa esincinane sisona sizathu esibangela ukufa kwabantu abasana eMelika.
- Izilwanyana zokuzalwa - Iintsana ezizalwe ngabasetyhini abanesifo sikashukela zinomngcipheko ophezulu wokuhlalisa izinto ezingaqhelekanga, ezinjengeentsilelo zentliziyo kunye neziphene ze- neural tube .
- Ukutshatyalaliswa kwabantu - Abafazi besifo sikasifo sikasifo sikasifo sikasifo sikasifo sikasifo sikasifo sikasifo se-Diabetes basengozini yokukhulelwa kwesisu
- I-Macrosomia (okanye Ukunyuka koBugqithiso obuninzi) - Xa umntwana osanda kuzalwa unesisindo ngaphezu komyinge (ngokuqhelekileyo ngaphezulu kwama-9, ama-ounces angama-4, okanye ngaphezulu kwe-90 percentile ngobukhulu obulindelweyo beminyaka yobudala), kuthiwa yi-macrosomia. Iintsana ezinkulu zisengozini yokuxhatshazwa kwiinkonzo ezifana ne-dystocia yegxili kwaye zingakhokelela ekufuneka zithunyelwe nge-c-section.
- Ukunikezelwa kwangaphambili - Abafazi besifo sikashukela basengozini yokuhanjiswa kwangaphambili. Iintsana ezizalwe ngaphambi kweeyure ezingama-37 zonyango zisemngciphekweni wokutya kunye nokuphefumula, iingxaki zonyango zexesha elide kunye nokufa.
- Ukuzalwa kwesisu - Nangona abasetyhini abanesifo sikashukela banomngcipheko wokwanda kokuzalwa, ukulungiswa kweeshukela egazini kukuphelisa loo mngcipheko.
Ulawulo lweSwekile
Eyona nto ilawulwa yiyosukile yegazi ngexesha lokukhulelwa, ithuba elihle unalo lokukhulelwa, ukukhulelwa okuqhelekileyo. Kubalulekile ukulandela imiyalelo yakho ugqirha ngokucophelela. I-insulin yowesifazane idinga utshintsho ngexesha lokukhulelwa, ngoko ke ukuba ubona umzekelo wenguqu kwigazi lakho lokufunda ishukela, kufuneka uxelele ugqirha wakho.
- Ukujonga i-Blood Sugar - Abasetyhini abakhulelweyo abanesifo sikashukela kulindeleke ukuba bahlolisise iishukela zegazi rhoqo ngamaxesha ukuba bafumane indlela yokutya kunye neyeza zonyango ukulawula iswekile yegazi. Ukubeka iliso kwenziwa ngomshishini okhethekileyo kwaye kufuna ukuba uthinte umunwe wakho okanye umphambili (kuxhomekeke kwinqanaba lakho) ukuze ufumane umbane omncinci wegazi. Ukuba ufumene ukuba unesifo sikashukela ngexesha lokukhulelwa kwakho, uya kufundiswa ngendlela yokusebenzisa iliso lakho kwaye kulindeleke ukuba ubonise ukusetyenziswa okufanelekileyo.
- Iimpawu kunye ne-insulin - Nangona ezinye i-2 ze-diabetics zingasebenzisa imithi yomlomo ukulawula ishukela segazi ngelixa likhulelwe, akuzona zonke iyeza zomlomo ezikhuselekileyo ekukhulelweni. Iinjisilisi ze-insulin zinika ulawulo oluchanekileyo nolona luchanekileyo lwezeshukela ngexesha lokukhulelwa. Kwaba besetyhini abasebenzisa i-insulin ngaphambi kokukhulelwa baya kufuna i-regimen entsha yokulawula ushukela wegazi ngelixa likhulelwe. Kubalulekile ukulandela imiyalelo yakho yeyeza.
- Ukutya - Ukulandela ukutya kwesifo sikashukela ngexesha lokukhulelwa ngenye yezindlela ezibalulekileyo zokuphatha ushukela wegazi. Ingaba usanda kutshatyalaliswa ngesifo sikashukela, okanye uhlala nesifo sikashukela sakho sobomi bakho bonke, ukudibana kunye nesondlo sondlo kunokunceda ufunde indlela yokwenza izigqibo zokutya ezifanelekileyo ngoxa "udla ezimbini."
- Uvavanyo lokuxilonga - Njengoko abafazi abanesifo sikashukela basengozini ngenxa yeengxaki ezininzi zokukhulelwa, zifuna iimvavanyo ezingaphantsi kokubeleka. Unokuba nezinye okanye zonke ezi zilandelayo:
Nini ukubiza uDokotela wakho
Ukuba unesifo sikashukela nanini na ngexesha lokukhulelwa kwakho, ukunakekelwa kokubeleka kubalulekile. Uya kufuna uncedo lokulawula ukuhlolwa kwezeshukela zegazi kunye neyeza zonyango. Ngenxa yobungozi obujongene nesifo sikashukela ekukhulelweni, kufuneka uqaphele le miqondiso elandelayo. Xhumana nogqirha wakho xa unamava alandelayo kwaye ukuba unayo nayiphi na imibuzo okanye ukukhathazeka.
- Iimpawu zeeshukela eziphantsi kwegazi : utywala, ukuthuthumela, ukuthungca, ukubetha komlomo okanye ulwimi, ukuxubusha kwentliziyo, ukudideka, ukuthetha ukuthetha. Ukuba iswekile ephantsi yegazi ayifumaneki, ingabangela ukungabi nalwazi, i-coma, okanye nokufa.
- Iimpawu zentshukela ephezulu yegazi : ukoma okweqile, ukwanda kwamanzi, umlomo owomileyo, isisonguluko / ukuhlanza, ukudideka, ukuphefumula ngokukhawuleza, ukuphefumula okunomsoco, ukungazi kakuhle. I-sugar high blood sugar can result in coma and death.
- Ukunyuka kokuhamba komntwana
- Inwele entle engenakhululwa yiTylenol
- Iingcinezelo eziqhelekileyo ezibuhlungu
- Ukuphuma kwintsholongwane enzima njengesiqhelo semini
- I-gush of clear fluid ukusuka kwisini
- Ubuhlungu besisu esiswini
Imithombo:
Umbutho weSwekile waseMelika. Izibalo.
Amacandelo okuLawula nokuKhuselwa kwezifo. Isicatshulwa seSizwe seNkcazo ka-2011.
NgoMatshi weDimes, isifo sikashukela ekukhulelweni.
AmaZiko eZiko lezeMpilo. Kwababhinqileyo abanesifo sikashukela: Isikhokelo sakho sokukhulelwa. INdlu yeSizwe yoCoceko loLwazi lweSwekile.