Ukuba ukhulelwe, umgqirha wakho uye wakuxelela ukuba uya kufuna ukuhlolwa kwesifo sikashukela. Ungaxhalabisi-ukuhlolwa kwesifo sikashukela kuyinto ebalulekileyo yokunakekelwa kokubeleka kwangaphambili. Uninzi lwabasetyhini luvavanywa kwiiveki ezingama-24 ukuya ku-28 zokukhulelwa. Ukuba unomngcipheko wesifo sikashukela, ugqirha wakho unokuqwalasela ukuvavanya ushukela wegazi ngexesha lakho lokuqala lokutyelela.
Kutheni U vavanywa?
Amahomoni athile akhula ngexesha lokukhulelwa, ukudlulisela izondlo ezixabisekileyo ezivela kumama ukuya kwintsana ukuze umntwana ekhule aze akhule. Amanye ama-hormone avimba isenzo se-insulin, ukuqinisekisa ukuba umama ngokwakhe akahlakuli ishukela ephantsi yegazi. Ukuhlawulela, amanqanaba e-insulin kamama aphakama.
Ukuba amanqanaba akhe e-insulin akakwazi ukwandisa ngokwaneleyo, ukuphakama kwamazinga eeshukela egazini ekugqibeleni kuya kubangela isifo sikashukela sesifo sikashukela. Ukungabonakali, isifo sikashukela sesifo sikashukela sinokubangela iingxaki zomama kunye nosana. Ezi ngxaki zingabandakanya:
- Macrosomia (umntwana ogqithiseleyo)
- Ukwandisa amathuba okuhanjiswa kwecandelo
- Uxinzelelo lwegazi oluphezulu ngexesha lokukhulelwa
- Ishukela eliphantsi kwegazi (u-hypoglycemia) kwintsana emva kokuziswa
- Ukubeleka
- Ngomntwana, umngcipheko wokutyeba nokuphuhlisa uhlobo lwesifo sikashukela emva koko ebomini
Abaninzi abafazi abakhulelweyo abahlakulela isifo sikasifo sikashukela abanalo mngcipheko, kodwa kwabanye, izinto ezinobungozi zingabandakanya:
- Ukugqithisa okanye ukugqithisa
- Ukuba nomlando weentsapho zoluhlobo lwesifo sikashukela
- Uneminyaka eyi-25 okanye ngaphezulu
- Iimbalo ezininzi (amawele, ama-triple okanye ngaphezulu)
- Ukukhulelwa kwesifo sikashukela ekukhulelwe kwangaphambili
- Ukuba ngumNumerica waseNdiya okanye u-Alaska owomthonyama, waseMerika waseMelika, waseAsia, waseSpain okanye kwisiqithi sase-Pacific
Iintlobo zovavanyo
Iimvavanyo ezimbini zifumaneka kwi-screen ye-gestational diabetes. Uninzi lwabafazi baya kufumana uvavanyo lokunyamezela kwe-glucose yomlomo, kuphela ukulandela ukufumana uvavanyo lwe-glucose yeeyure ezintathu ukuba iziphumo zabo ziphathelele.
Uvavanyo lwe-Glucose Forance Tolerance
Kutheni kuyenziwe: Ukuhlolwa kokunyamezela kwe-glucose ye-glucose (eyaziwa nangokuthi i-glucose challenge screening) iyinto eqhelekileyo kubo bonke abafazi abakhulelweyo. Kukude ukucaca, ngoko ungakhathazeki ukuba ufumana ifowuni ofuna ukuba ubuyele kuyo ukuvavanya.
Xa Kuyenziwe: Kwiiveki ezingama-24 ukuya ku-28 zokukhulelwa, okanye ngaphambili xa unemiba yengozi.
Indlela eyenziwe ngayo: Akukho ncinane ongayenza ukulungiselela olu vavanyo. Ngexesha lokuvavanya, uya kusela i-glucola, isiphuzo soshukela esine-50g ye-glucose. Ugqirha wakho uya kutsala igazi lakho emva kweyure emva kokubona indlela umzimba wakho usebenza kakuhle ngayo i-glucose. Abanye besetyhini banokuziva bexatyiswe ngesiphuzo soshukela.
Zithini Iiphumo Zakho: Ukuba iqondo lakho leyure ye-plasma ye-glucose likhulu okanye lilingana nama-milligram eyi-140 nge-deciliter yegazi (mg / dL) -banye oogqirha babeka i-cutoff kwi-130 mg / dL-isifo sikashukela sesifo sikashukela cetyiswa. Ukuba iqondo lakho leyure ye-plasma ye-glucose lingaphantsi kwe-120 mg / dL, mhlawumbi unalo isifo sikashukela.
Uvavanyo lweMvavanyo yokuXhatshazwa kwe-Glucose
Kutheni kuyenziwe: Ukuqinisekisa okanye ukulawula ukuphuma kwesifo sikashukela.
Xa Kuyenziwe : Emva kokuba ufumene ukufunda okungavumelekanga kwiiyure enye ye-glucose yokunyamezela ukunyamezela.
Indlela eyenziwe ngayo: Kufuneka ukhawuleze ufikelele kwiiyure ezili-10 ukuya kwezi-14 phambi kovavanyo. Qiniseka ukuba uxoxe nayiphi na imichiza oyithathayo kunye nogqirha wakho ukuze ubone ukuba ingabaphazamisa iziphumo zokuvavanya.
Olu vavanyo lusefana neyure elilodwa lomsindo we-glucose ukunyamezela, ngaphandle kwesiphuzo soshukela esine-100g ye-glucose, ingabi ngu-50g. Igazi liza kuqala phambi kokuba uphuze i-glucola. Oku kubizwa ngokuba lizinga lakho lokutya i-glucose. Igazi likhange kwakhona emva kweyure enye, iiyure ezimbini kunye neeyure ezintathu.
Uvavanyo-Ukuthatha Amathiphu
- Ngenxa yexesha elide elifunekayo eli-10 ukuya kwe-14, abafazi abaninzi banomlinganiselo wokuvavanya okokuqala into yokuqala.
- Abanye abantu banokuziva bexakekile okanye baxakeke ngokukhawuleza ngexesha lovavanyo. Ingqiqo enhle yokuba nomqhubi otyunjweyo, ukuba kunokwenzeka, nokuzisa ukutya ekudleni xa uvavanyo luphelile.
- Yizisa umagazini okanye incwadi ukuze ube nento yokwenza phakathi kweemvavanyo zegazi (ukuba unayo uvavanyo lwe-glucose ukunyamezela kweeyure ezintathu).
Iziphumo zovavanyo
Ukufunda okungavumelekanga kwicandelo ngalinye lovavanyo kuku:
- Ukuzila: 95 mg / dL okanye ngaphezulu
- Iyure enye: 180 mg / dL okanye ngaphezulu
- Iiyure ezimbini: 155 mg / dL okanye ngaphezulu
- Iiyure ezintathu: 140 mg / dL okanye ngaphezulu
Amanyathelo alandelayo
Ukuba enye yokufunda ayiqhelekanga, ugqirha wakho unokubonisa ukuba kukho utshintsho lokutya kunye nokuphindaphinda ukuvavanya emva kokukhulelwa kwakho. Ukufunda ezimbini okanye okungavamile kuthetha ukuba mhlawumbi unesifo seswekile.
Ukulawula isifo sikashukela sesifo sikashukela singabandakanya:
- Utshintsho ekudleni kwakho
- Ukuqhuba rhoqo
- Insulin
- IGlyburide (iyeza zomlomo)
- Ukubeka iliso kwikhaya kwimihla
- Uvavanyo olongezelelweyo ukuze ubone indlela umntwana wakho ophuhlisa ngayo
Ngethamsanqa, abaninzi abafazi baya kubona amazinga eshukela egazini abuyele kwiqhelo kwiiveki ezintandathu zokuhambisa. Nangona kunjalo, ukuba nesifo sikashukela sesifo sikashukela singabonisa ubungozi obandayo bokuphuhlisa uhlobo lwesifo sikashukela kwixesha elizayo. Ukugcina ubunzima bomzimba obuphilileyo ngokutya ngokunyameko kunye nokuzilolonga rhoqo kunokunceda ukunciphisa umngcipheko.
> Imithombo:
> I-International Diabetes Centre. Izikhokelo zesifo sikashukela sesifo sikashukela. I-Minneapolis (MN): Isiko soKhuseleko lweZiko lamazwe ngamazwe; 2003.
> I-American Pregnancy Association. Uluhlu lwe-glucose ukuhlola kunye nokuhlolwa kwe-glucose ukunyamezela.
> I-American Diabetes Association. Isifo sikashukela.
> Ikholeji yase-American College of Obstetricians and Gynecologists. Isifo sikashukela nokukhulelwa.
> IThala leSizwe leMerika leMida kunye neZizwe zezeMpilo zeSizwe. I-Medline Plus: I-Glucose Ukunyamezela Ukuvavanya.