Okuqukethwe
Ushukela owandisiwe ngesikhathi sokukhulelwa: liyini izinga likashukela egazini
Ushukela ophezulu wegazi ngesikhathi sokukhulelwa yisimo sezempilo esingemnandi kodwa esilawulekayo. Kodwa-ke, uma izinga likashukela likhuphuka njalo ngemva kokudla kowesifazane okhulelwe, lokhu kuwuphawu lokuthuthukiswa kwesifo sikashukela sokukhulelwa noma esibonakalayo.
Ushukela ophezulu kwabesifazane abakhulelwe: izimbangela
Ngesikhathi sokukhulelwa, umthwalo kuma-pancreas uyakhula, okuthi, ngenxa yalokhu, uqale ukukhiqiza i-glucose ngenkuthalo. Ngokumelene nalesi sizinda, owesifazane onesifo sikashukela angase abe nesifo sikashukela sokukhulelwa - i-GDM - noma, njengoba kubizwa nangokuthi, isifo sikashukela esingenasici.
Amazinga aphezulu kashukela ngesikhathi sokukhulelwa angalawulwa ngokuzimela
Amathuba okuba nesifo sikashukela ayanda kwabesifazane:
- nge-hereditary predisposition;
- ngokukhulelwa kokuqala ngemva kweminyaka engama-30;
- ukukhuluphala ngokweqile;
- nge-polycystic ovary syndrome;
- owayenesifo sikashukela sokukhulelwa ekukhulelweni okudlule.
Isifo sikashukela sokukhulelwa kwenzeka ku-2-3% wabesifazane abakhulelwe. Kodwa kwezinye izimo, owesifazane usheshe agule, futhi ukukhulelwa kuba uhlobo lwe-catalyst yesifo.
Yini okufanele uyenze uma ushukela uphezulu ngesikhathi sokukhulelwa?
Lapho kutholwa isifo sikashukela sokukhulelwa, owesifazane kufanele azame ukugcina amazinga akhe kashukela ebangeni elijwayelekile eyedwa. Udokotela ohambelayo uzonikeza ukudla okukhethekile, ukudla kanye nokusebenza ngokomzimba.
Phakathi kwezincomo eziyinhloko:
- ukwethulwa kokudla okunomsoco okuyingxenye;
- ukukhishwa kwe-carbohydrate elula ekudleni;
- ukunciphisa inani lama-carbohydrate ayinkimbinkimbi ekudleni;
- ukuvivinya umzimba ngokulingene;
- Ukulinganisa ushukela nge-glucometer ihora elilodwa ngemuva kokudla izikhathi ezingama-4-5 ngosuku.
Ngosizo lukadokotela, kufanele futhi ubale ikhalori yansuku zonke futhi unamathele kulolu hlelo.
Uma amazinga kashukela egazini engabuyelanga esimeni esijwayelekile
Uma, ngemva kokuqaphela yonke imithetho, izinga likashukela wegazi ngesikhathi sokukhulelwa lingu-3,3-6,6 mmol / l. - akazange alulame, udokotela unikeza i-insulin yowesifazane. Le nto iphephile kumama kanye ne-fetus, kodwa lapho uyithatha, kufanele unamathele ngokuqinile ezincomo zodokotela.
Abesifazane abakhulelwe akufanele basebenzise amaphilisi esifo sikashukela
Ngenxa yokuthi ngenxa yokwanda kwe-glucose emzimbeni kamama, umbungu ungakhula ube mkhulu, abesifazane abanesifo sikashukela sokukhulelwa ngokuvamile badinga ukuhlolwa kwe-ultrasound ukuze babikezele isidingo sokuhlinzwa. I-insulin ye-intravenous nayo inganikezwa ngesikhathi sokubeletha.
Nakuba abesifazane abaningi bebuyela kushukela wegazi ovamile ngemva kokubeletha, kuyasiza ukuqapha ushukela wakho wegazi ngezikhathi ezithile.