Ezinsukwini ezimbalwa ezedlule, udokotela onephrofayili ye-Instagram yesinye sezibhedlela ushicilele ukungena okunempikiswano. Kuyo, unxuse abesifazane abakhulelwe ukuthi bavale isiqandisi futhi “bafane no-Ewa” - udokotela wezinsana osazacile namanje emasontweni angu-30 ekhulelwe. Ukuzila ukudla kwakubhekwa njengokuhlasela kwabesifazane abakhulelwe abakhuluphele. Ingabe ukukhulelwa nokukhuluphala kuyinhlanganisela embi? Sikhuluma nodokotela wezifo zabesifazane u-Rafał Baran ovela e-Superior Medical Centre e-Krakow mayelana nokukhuluphala ngesikhathi sokukhulelwa.
- «Vala isiqandisi udle ababili, hhayi ababili. Uzokwenza impilo ibe lula kithi nakuwe uqobo »- lo musho ubangele ukuxokozela ezinkundleni zokuxhumana. Kubonakale njengokuhlasela kwabesifazane abanenkinga yokukhuluphala ngokweqile
- Ukukhulelwa, lapho i-BMI kamama ingaphezu kwama-30, empeleni kuyingozi kakhulu. Kwawona kanye ukukhulelwa kwengane kungase kube inkinga
- Ubunzima bungase buvele ngesikhathi sokukhulelwa, ukubeletha, kanye ne-puerperium.
- Ulwazi olwengeziwe lungatholakala ekhasini eliyisiqalo le-Onet.
Uthole iziqu e-Medical University of Silesia e-Katowice, futhi njengamanje usebenza e-Gynecological Endocrinology and Gynecology Clinic yase-University Hospital e-Krakow. Nsuku zonke, uqhuba amakilasi nabafundi bezokwelapha bakwamanye amazwe eMtholampilo, njengengxenye yeSikole Sabangaphandle SeCollegium Medicum yaseJagiellonian University. Ukhuthele nasocwaningweni.
Izithakazelo zakhe eziyinhloko zochwepheshe ukuvimbela nokwelashwa kwezifo zesitho sokuzala, ukungabi nabantwana kanye nokuxilongwa kwe-ultrasound.
U-Agnieszka Mazur-Puchała, uMedonet: Okhulelwe “vala isiqandisi udle ababili, hhayi ababili. Yenza impilo ibe lula kithi nakuwe ”- sifunde kokuthunyelwe okuyimpikiswano kuphrofayela ye-County Hospital Complex e-Oleśnica. Ingabe owesifazane okhuluphele ngempela uwumthwalo kubasebenzi bezokwelapha?
Khothama. URafał Baran, udokotela wezifo zabesifazane: Lokhu okuthunyelwe kube neshwa kancane. Ngithemba ngobuqotho ukuthi udokotela owayishicilela wayengahlosile ukucwasa iziguli ezikhuluphele. Ezimweni ezinjalo, ingozi yezinkinga ngesikhathi sokukhulelwa, ukuzalwa kanye ne-puerperium empeleni yanda. Ukukhuluphala ngokweqile kungenza kube nzima ukukhulelwa. Nokho, umsebenzi wethu njengodokotela, ngaphezu kwakho konke, ukunaka le nkinga nokunakekela isiguli esikhuluphele ngendlela engcono kakhulu, futhi ngokuqinisekile singasihlinzeki.
Ake sihlukanise sibe yizici ezibalulekile. Ukukhuluphala ngokweqile nokukhuluphala kwenza kube nzima kangakanani ukukhulelwa?
Okokuqala, kudingeka siqonde ukuthi yini ukukhuluphala ngokweqile nokuthi kuyini ukukhuluphala. Lokhu kuhlukaniswa kusekelwe ku-BMI, okuyisilinganiso sesisindo nobude. Endabeni ye-BMI engaphezu kuka-25, sikhuluma ngokukhuluphala ngokweqile. I-BMI esezingeni lika-30 - 35 ukukhuluphala kwe-35st degree, phakathi kuka-40 no-40 ukukhuluphala kwe-35nd degree, futhi ngaphezu kwe-XNUMX ukukhuluphala kwezinga le-XNUMX. Uma isiguli esihlela ukukhulelwa sinesifo esinjengokukhuluphala, kufanele simnakekele ngokukhethekile futhi sichaze ukuthi izinkinga zokukhulelwa zingase ziphakame. Bangaba nezizinda ezihlukene. Ukukhuluphala ngokwako nge-BMI engaphezulu kwe-XNUMX kuyingozi, kodwa futhi nezifo ezivame ukuhambisana nayo, njenge-polycystic ovary syndrome noma i-hypothyroidism, engabangela ukuphazamiseka kwe-ovulation, futhi esimweni esinjalo kunzima ukukhulelwa. Ngakolunye uhlangothi, ukukhuluphala akuthinti kakhulu ukuzala.
Yiziphi izinhlobo zezinkinga zokukhulelwa ezingase zenzeke esigulini ezikhuluphele?
Okokuqala, kunengozi enkulu yokuba nesifo sikashukela sokukhulelwa noma umfutho wegazi ophakeme, kuhlanganise ne-pre-eclampsia. Okwesibili, kungase kube nezinkinga ze-thromboembolic, futhi ngeshwa inkinga enkulu kakhulu, okungukuthi ukufa kungazelelwe kombungu.
Ngenxa yalezi zici zobungozi, sincoma abesifazane abakhuluphele abahlela ukukhulelwa ukuthi bathinte uchwepheshe kuqala. Isiguli kufanele sibe nephrofayili ye-lipid echaziwe, ukuxilongwa okuphelele kwesifo sikashukela kanye nokumelana ne-insulin, ukuhlolwa kokusebenza kwe-thyroid kanye nesistimu yokujikeleza kwegazi, kulinganiswe umfutho wegazi we-arterial kanye ne-ECG. Ukudla okufanele ngaphansi kokuqondisa kwe-dietitian kanye nokusebenza komzimba nakho kuyanconywa.
Kuthiwani uma owesifazane oyisidudla esezithwele? Ingabe ukunciphisa isisindo kuseyinketho?
Yebo, kodwa ngaphansi kokuqondisa kwe-dietitian. Ngeke kube ukudla okunemikhawulo noma okuqedayo. Kufanele ilinganisele kahle. Isiphakamiso siwukunciphisa inani lamandla okudla okudliwe ku-2. kcal ngosuku. Kodwa-ke, uma lokhu kusetshenziswa ngaphambi kokukhulelwa kwakuphezulu kakhulu, ukuncipha kufanele kwenziwe kancane kancane - kungabi ngaphezu kwama-30%. Ukudla kowesifazane okhulelwe kufanele kube nezidlo ezintathu ezibalulekile kanye nokuthathu okuncane, okunama-carbohydrate anenkomba ye-glycemic ephansi kakhulu ukuvimbela ukukhuphuka kwe-insulin. Ngaphezu kwalokho, sincoma futhi ukuvivinya umzimba - okungenani kathathu ngesonto imizuzu engu-15, okuzothuthukisa umzimba wakho futhi kube lula ukulahlekelwa isisindo.
Buphi ubunzima bokubeletha kowesifazane okhuluphele?
Ukubeletha esigulini ezikhuluphele kufuna kakhulu futhi kuhilela ingozi enkulu. Kufanele ukulungiselele kahle. Isihluthulelo, okokuqala, ukuhlolwa okulungile kwesisindo somntwana ukuze kukhishwe i-macrosomia, okuyinto ngeshwa enzima ngenxa yokuthi izicubu ze-adipose azinakho ukucaca okuhle kwegagasi le-ultrasound. Futhi, ukuqapha inhlalakahle yengane ngokusebenzisa i-CTG kunzima kakhulu ngokobuchwepheshe futhi kuhilela ingozi enkulu yephutha. Ezigulini ezinokukhuluphala ngokweqile, i-fetus macrosomia ivame ukutholakala - khona-ke umntwana umane nje mkhulu kakhulu enkathini yokukhulelwa. Futhi uma kukhulu kakhulu, ukulethwa kwesitho sangasese sowesifazane kungase kuhlotshaniswe nezinkinga ezifana ne-shoulder dystocia, izinhlobo ezihlukahlukene zokulimala kokubeletha enganeni nomama, noma ukuntuleka kwenqubekelaphambili ekusikweni, okuyinkomba yesigaba sokuhlinzwa esisheshayo noma esiphuthumayo.
Ngakho ukukhuluphala komama akuyona inkomba eqondile yokubeletha ngokuhlinzwa?
Ayiyona. Futhi kungcono nakakhulu ukuthi owesifazane okhulelwe ngokukhuluphala kufanele abelethe ngemvelo. Ukuhlinza kuwukuhlinzwa okukhulu ngokwakho, futhi esigulini esikhuluphele sisengozini yezinkinga ze-thromboembolic. Ngaphezu kwalokho, ukudlula odongeni lwesisu kuya esibelethweni kunzima. Kamuva, inxeba elisikiwe nalo liphola kakhulu.
Ingabe zikhona ezinye izifo, ngaphandle kwe-macrosomia, yowesifazane okhuluphele?
Ukukhuluphala ngokweqile kwabesifazane abakhulelwe kwandisa ingozi ye-meconium aspiration syndrome. Kungenzeka futhi i-hypoglycemia, i-hyperbilirubinemia noma ukuphazamiseka kokuphefumula kwengane esanda kuzalwa. Ikakhulukazi uma kudingeka ukuhlinzwa. Kuyaphawuleka ukuthi esimweni sabesifazane abakhulelwe abakhuluphele, ngokungafani ne-macrosomia, i-fetus hypotrophy ingase ithuthuke, ikakhulukazi lapho ukukhulelwa kuyinkimbinkimbi ngenxa yomfutho wegazi ophezulu.
Futhi funda:
- Kuthatha isikhathi esingakanani ngempela ukululama ku-COVID-19? Kukhona impendulo
- Kuthatha isikhathi esingakanani ngempela ukululama ku-COVID-19? Kukhona impendulo
- Igagasi lesithathu, lesine, lesihlanu lobhubhane. Kungani kunomehluko emananini?
- Grzesiowski: Ngaphambili, ukutheleleka kwakudinga ukuthintana nomuntu ogulayo. I-Delta ingena ngenye indlela
- Imithi yokugomela i-COVID-19 eYurophu. Injani iPoland? IZINGA LAkamuva
Okuqukethwe kuwebhusayithi ye-medTvoiLokony kuhloswe ngayo ukuthuthukisa, hhayi esikhundleni, ukuxhumana phakathi komsebenzisi Wewebhusayithi nodokotela wabo. Isizindalwazi senzelwe izinjongo zokwazisa kanye nezokufundisa kuphela. Ngaphambi kokulandela ulwazi olukhethekile, ikakhulukazi izeluleko zezokwelapha, eziqukethwe kuWebhusayithi yethu, kufanele uthintane nodokotela. Umlawuli akanazo imiphumela ebangelwa ukusetshenziswa kolwazi oluqukethwe kuWebhusayithi. Ingabe udinga ukubonisana nodokotela noma incwadi kadokotela? Iya ku-halodoctor.pl, lapho uzothola khona usizo lwe-inthanethi - ngokushesha, ngokuphepha futhi ngaphandle kokushiya ikhaya lakho.