Okuqukethwe
Okokuhlolelwa noma ngokumelene nokuhlolwa okuhlosiwe kwesifo sikashukela sokukhulelwa
Ngesikhathi sokukhulelwa, abanye besifazane bangase batholakale benesifo sikashukela sokukhulelwa. I-World Health Organization (WHO) ichaza lesi sifo ngokuthi “ukuphazamiseka kokubekezelela ama-carbohydrate okuholela ku-hyperglycemia yobukhulu obuhlukahlukene, ukuqala noma ukutholwa okokuqala ngesikhathi sokukhulelwa. »Ngaphansi kwezimo zokuhlola zamanje, phakathi kuka-2 no-6% wabesifazane abakhulelwe bazothinteka, kodwa le ngxenye ingaba phezulu kakhulu kwezinye izakhamuzi. Ngokuvamile, inkambiso yamanje ibheke ekwandeni kokwanda kwabantu. Izici eziyinhloko zengozi yilezi: ukukhuluphala ngokweqile, ubudala, ubuhlanga, umlando womndeni wezinga lokuqala lesifo sikashukela, umlando wokubeleka wesifo sikashukela sokukhulelwa noma i-macrosomia, i-polycystic ovary syndrome. Isifo sikashukela sokukhulelwa singadala izinkinga kumama nengane. Ihlotshaniswa ne-a ukwanda kwengozi ye-preeclampsia futhi UKhesari. Ngasohlangothini lwengane, i i-macrosomie (isisindo sokuzalwa esingaphezu kuka-4kg) siwumphumela oyinhloko oboniswayo wesifo sikashukela sokukhulelwa.
Isifo sikashukela sokukhulelwa: ukukhetha ukuhlolwa okuhlosiwe
Enganeni yakhe yokuqala, u-Elisabeth ukhumbula ehlolela isifo sikashukela ngesikhathi sokukhulelwa, kodwa kulokhu okwesibili, udokotela wakhe wezifo zabesifazane wamtshela ukuthi akusadingeki. Ngokusobala, akaqiniseki: “kuthiwani uma sikugeja bese kuvela ukuthi nginesifo sikashukela?” », Ukhathazekile. Phakathi kwezivivinyo zokukhulelwa okuyimpoqo, lezo ezituswa ngokuqinile futhi ekugcineni lezo ezingasasizi, ngezinye izikhathi kuba nzima ukuzulazula. Ngokuphathelene nokuhlolwa kwesifo sikashukela sokukhulelwa, izincomo ezintsha zafakwa ngo-2011. Kuze kube yileso sikhathi, bonke abesifazane abakhulelwe kwakudingeka bahlolwe ku-2 trimester, phakathi kweviki lama-24 nelama-28 le-amenorrhea. Lesi sivivinyo, esibizwa I-Oral-induced hyperglycemia (OGTT), iqukethe ukuzila ushukela wegazi ngehora eli-1 namahora ama-2 ngemuva kokungenisa ama-70 g we-glucose. Manje, lokhu kuhlolwa kumiselwe kuphela omama bakusasa bathi engozini. Kuthiwa ukuhlungwa kuhloswe ngakho. Bakhathazekile: abesifazane abangaphezu kweminyaka engama-35, labo abane-BMI enkulu noma elingana ne-25, umlando womndeni we-1st degree yesifo sikashukela, isifo sikashukela sokukhulelwa ngesikhathi sokukhulelwa kwangaphambili, ingane enesisindo sokuzalwa sikhulu kune-4 kg (macrosomia). Ngasikhathi sinye, izinga le-hyperglycemia liyancishiswa, okubangela ukwanda kwenani lesifo sikashukela.
Ayikho ingozi efakazelwe uma zingekho izinto eziyingozi
Uma sazi izinkinga zokubeletha (i-macrosomia, i-eclampsia, njll.) ezixhunywe ngokuqondile nesifo sikashukela sokukhulelwa, singase sizibuze kungani ukuhlolwa okuhlelekile kuyekwa. "Asinazo izingxabano zesayensi ezingathethelela ukuphathwa kwesifo sikashukela sokukhulelwa kwabesifazane abangenazo izici eziyingozi", kuchaza uProfesa Philippe Deruelle, udokotela wezifo zabesifazane-obstetrician e-CHRU Lille. Ngamanye amazwi, abukho ubufakazi bokuthi isifo sikashukela sokukhulelwa esitholwe kumama ozoba ngumuntu ojwayelekile sinezinga lokuqina elilingana nolowesifazane osengozini. ” Kulapho izici zihlanganiswa lapho imiphumela ingaba mibi kakhulu », Kuqhubeka uchwepheshe. Ngaphezu kwalokho, kuhlale kungenzeka ukunikeza lesi sivivinyo ngesinyathelo sesibili, ikakhulukazi ngesikhathi senyanga yesi-7 ngesikhathi se-ultrasound yesithathu. Eqinisweni, odokotela abaningi bezifo zabesifazane bayaqhubeka nokunikeza i-OGTT kubo bonke abesifazane abakhulelwe, ngaphandle kokuqapha kunokusola.