Yini ebangela isifo sikashukela sofuzo?
Isizathu sokuthuthukiswa kwesifo esinjalo kumama olindelekile sinciphisa ukuzwela kwamaseli omzimba ku-hormone insulin, okungukuthi. lokho okubizwa ngokuthi ukumelana ne-insulin. Lokhu kungenxa yezinguquko emlandweni we-hormonal kwabesifazane abakhulelwe.
Ngakho-ke, kusungulwa ukuthi kusukela ekuqaleni kweviki lama-20 lokukhulelwa kowesifazane, ukuhlushwa kwe-insulini egazini kuyanda. Isizathu salokhu ukuvimbela okuyingxenye ye-hormone ngalezo zinhlanganisela eziphilayo ukuthi i-placenta ngokwayo ihlanganisa. Ngesikhathi esifanayo kukhona ukwanda kokwenziwa kwe-hormone ngama-pancreas, okuzama ukulondoloza izinga leshukela ngendlela evamile ngale ndlela. Lesi simo semithi siye sabizwa ngokuthi umphumela we-counterinsulin.
Kubalulekile futhi ukuthi kukhona okuthiwa yizici ezibangela ekuthuthukiseni ukwephula. Phakathi kwabo kukhona:
- ukukhuluphala;
- ukutholakala kwesifo sikashukela esihlotsheni esilandelayo (ukugujwa kwezakhi zofuzo);
- ukuzalwa komntwana omkhulu esikhathini sokukhulelwa kwangaphambili;
- i-polyhydramnios;
- ukungakwazi kahle.
Iziphi izimpawu ezibonisa ukuthuthukiswa kwesifo sikashukela sokukhulelwa ngesikhathi sokukhulelwa?
Kufanele kuqaphele ukuthi ezimweni eziningi, owesifazane ophethe umntwana akaqapheli izinguquko. Ufunda ngobukhona be-disorder emva kokuhlolwa kwegazi ngezinga le-glucose.
Ngakho-ke, ngokwemigomo ekhona, le parameter kufanele ibe namagugu alandelayo: lapho kunika igazi ukudlala 4.0-5.2 mmol / l, namahora amabili ngemuva kokudla okungaphezu kuka 6.7 mmol / l. Lezi zinkomba zivumelekile kulawo maxuku uma isampuli segazi sokuhlaziywa senziwa ngokuqondile emthonjeni.
Ukuze ubone ukuthi isifo sikashukela sokugaya siphumelele ngesaziso esifushane, lolu hlobo lokuxilongwa lunqunyelwe bonke abesifazane abakhulelwe ngaphandle, ngisho nalapho bebhalisa. Kulezo zimo lapho ukuhlushwa kwegazi kwegazi kufike khona umkhawulo ongaphezulu walezi zimiso noma kudlulele kuzo, ukuhlaziywa kuphindwe ukuze kuqinisekiswe ukufaneleka kwemiphumela.
Ngokwezinga elibi lokukhubazeka, lapho ukuhlushwa kwe-glucose kudlula umkhuba owodwa noma ngaphezulu, okulandelayo kungabonakala:
- ukoma njalo;
- ukwandisa ukwanda kanye nokwanda kwe-diuresis yansuku zonke;
- umbono ongenakwenzeka.
Ukuphathwa kokwelashwa kwesifo sikashukela kuphethwe kanjani?
Labo besifazane abaye bathola lesi sifo, odokotela ngokuyinhloko banikeza imiyalo yokubuyekeza ukudla kwabo kwansuku zonke. Ukugcizelela akugcini nje kokuqukethwe ushukela nama-carbohydrate ekudleni, kodwa futhi nokuqukethwe kwekhalori yokudla.
Ngokuthuthukiswa kwesifo sikashukela sokukhulelwa ngesikhathi sokukhulelwa, owesifazane unconywa ukudla okunomthetho okulandelayo:
- Ukudla kufanele kuthathwe ngezigaba ezincane, izikhathi ezintathu ngosuku. Kulesi simo, hhayi okungaphezu kweyesibili, "okulula" okuphakathi kuzoba okungavamile. Ukudla kwasekuseni kufanele kube no-40-45% wama-carbohydrate, futhi ukuze kudle kufanele kube ngu-10-15%.
- Kusukela ekudleni kuyadingeka ukuqeda ngokuphelele amafutha, kanye nokudla okuthosiwe. Ngesikhathi esifanayo, ukusetshenziswa kwama-carbohydrate (i-confectionery, pastry, izithelo) kalula.
- Awukwazi ukudla ukudla okusheshayo.
Futhi, ngesikhathi ukwelashwa isifo sikashukela sokugaya isifo sikashukela ngesikhathi sokukhulelwa,
Uma sikhuluma ngemiphumela engenzeka yilezi zinkinga, ingane ingaba ne-asphyxia, i-traumatism ekusebenzeni, ukucindezeleka okuphefumula (ukuphefumula kwesifo sokuphefumula), i-hypoglycemia, isisu sofuzo lwesifo sikashukela (ubukhulu obukhulu, isisindo esingu-4 kg noma ngaphezulu, ukwephulwa kwamalungu omzimba, ukuvuvukala kwamathishu futhi t .).
Kwabesifazane, emva kokubeletha, kunethuba eliphezulu lokuthuthukisa uhlobo lwesifo sikashukela sohlobo lwe-2. Ngesikhathi sokubeletha, i-nephropathy yesifo sikashukela (umsebenzi ongasebenzi ngokweqile), i-retinopathy (i-retinal pathology), ingozi eyengeziwe yokuthuthukisa izimo ezifana ne- preeclampsia ne- eclampsia , ukuphuma kwe-postpartum.