Isifo seswekile sesibeleko-ukuzikhathalela

Isifo seswekile somzimba siswekile ephezulu yegazi (iswekile) eqala ngexesha lokukhulelwa. Ukuba ufunyaniswe unesifo seswekile sokukhulelwa, funda indlela yokulawula iswekile yegazi ukuze wena nosana lwakho nihlale nisempilweni.

I-insulin yihomoni eveliswa kwilungu ekuthiwa yi-pancreas. Ipancreas ingezantsi nangasemva kwesisu. I-insulin iyafuneka ukuhambisa iswekile yegazi kwiiseli zomzimba. Ngaphakathi kweeseli, iswekile iyagcinwa kwaye kamva isetyenziselwa amandla. Ukukhulelwa kwehomoni kunokuthintela i-insulin ekwenzeni umsebenzi wayo. Xa oku kusenzeka, inqanaba leswekile linokunyuka kwigazi lomfazi okhulelweyo.

Ngesifo seswekile sokukhulelwa:

• Akukho zimpawu kwiimeko ezininzi.
• Iimpawu ezinobumnene zingabandakanya ukoma okwandisiweyo okanye ukugungqa. Ezi mpawu zihlala zingoyikisi ubomi kumfazi okhulelweyo.
• Umfazi unokuzala umntwana omkhulu. Oku kunokunyusa amathuba eengxaki ngokuhanjiswa.
• Umfazi unomngcipheko ophezulu wexinzelelo lwegazi xa ukhulelwe.

Ukukhulelwa xa ukwiqondo elifanelekileyo lomzimba kunokunceda ukunciphisa amathuba akho okufumana isifo seswekile. Ukuba utyebe kakhulu, zama ukunciphisa umzimba ngaphambi kokukhulelwa.

Ukuba uphuhlisa isifo seswekile:

• Ukutya okusempilweni kunokugcina iswekile esegazini lakho ilawulwa kwaye kunokukugcina ungafuni mayeza. Ukutya okunempilo kunokukugcina ungafumani ubunzima obuninzi xa ukhulelwe. Ukufumana ubunzima obuninzi kunokunyusa umngcipheko wesifo seswekile.
• Ugqirha wakho, umongikazi, okanye ugqirha otya ukutya ukutya uya kukwenzela ukutya. Umboneleli wakho wezempilo unokucela ukuba ugcine umkhondo wento oyityayo.
• Ukuzilolonga kuya kunceda ukugcina iswekile esegazini lakho iphantsi kolawulo. Umsebenzi wempembelelo ephantsi njengokuhamba luhlobo olukhuselekileyo nolusebenzayo lokuzilolonga. Zama ukuhamba i-1 ukuya kwi-2 yeekhilomitha (i-1.6 ukuya kwi-3.2 yeekhilomitha) ngexesha, ama-3 okanye amaxesha ngaphezulu ngeveki. Ukuqubha okanye ukusebenzisa umatshini we-elliptical kusebenza ngokunjalo. Buza umboneleli wakho ukuba loluphi uhlobo lomthambo, kwaye lungakanani, olulungele wena.
• Ukuba ukutshintsha indlela otya ngayo nokuzilolonga kwakho akulawuli inqanaba leswekile esegazini lakho, unokufuna iyeza lomlomo (elithathwa ngomlomo) okanye unyango lwe-insulin (ukudubula).

Abasetyhini abalandela isicwangciso sabo sonyango kwaye bagcina iswekile yegazi labo iqhelekile okanye kufutshane nesiqhelo ngexesha lokukhulelwa kwabo kufuneka babe neziphumo ezilungileyo.

Iswekile yegazi ephezulu kakhulu inyusa umngcipheko woku:

• Ukuzalwa kwakhona
• Umntwana omncinci kakhulu (isithintelo sokukhula kosana olungekazalwa) okanye usana olukhulu kakhulu (macrosomia)
• Umsebenzi onzima okanye ukuzalwa kwe-cearean (icandelo le-C)
• Iingxaki ngeswekile yegazi okanye i-electrolyte elusaneni kwiintsuku zokuqala emva kokubeleka

Uyayibona indlela oqhuba ngayo ngokuvavanya inqanaba leswekile yegazi lakho ekhaya. Umboneleli wakho unokucela ukuba ujonge iswekile yegazi amatyeli aliqela ngosuku.

Eyona ndlela ixhaphakileyo yokujonga kukuhlikihla umnwe wakho kunye nokuzoba ithontsi legazi. Emva koko, ubeka igazi elilawulayo (umatshini wokuvavanya) olinganisa i-glucose yegazi. Ukuba iziphumo ziphezulu kakhulu okanye ziphantsi kakhulu, kuyakufuneka ujonge esweni inqanaba lakho leswekile.

Ababoneleli bakho baya kulandela inqanaba leswekile yegazi nawe. Qiniseka ukuba uyazi ukuba inqanaba leswekile yegazi kufuneka libe yintoni.

Ukulawula iswekile yegazi lakho kungabonakala ngathi ngumsebenzi omninzi. Kodwa uninzi lwabasetyhini lukhuthazwa ngumnqweno wabo wokuqinisekisa ukuba bobabini nosana lwabo baneziphumo ezilungileyo.

Umboneleli wakho uya kujonga ngokusondeleyo wena kunye nosana lwakho lonke ngexesha lokukhulelwa kwakho. Oku kuya kubandakanya:

• Ukutyelela umboneleli wakho veki nganye
• Iimpawu ezibonisa ubungakanani bosana lwakho
• Uvavanyo olungenaxinzelelo olubonisa ukuba ingaba umntwana wakho uqhuba kakuhle na

Ukuba ufuna i-insulin okanye amayeza omlomo ukulawula iswekile yegazi, kungafuneka ukuba ubenabasebenzi abenze i-1 okanye iiveki ezi-2 ngaphambi komhla wokugqibela.

Abasetyhini abanesifo seswekile sokukhulelwa kufuneka bajongwe kufutshane emva kokubeleka. Kuya kufuneka ukuba baqhubeke nokujongwa kwiklinikhi yokuqeshwa kwiimpawu zesifo seswekile.

Amanqanaba eswekile ephezulu yegazi ahlala ebuyela esiqhelweni emva kokubeleka. Okwangoku, uninzi lwabasetyhini abanesifo seswekile sokukhulelwa bakhula kwisifo seswekile kwiminyaka emihlanu ukuya kweli-10 emva kokubeleka. Umngcipheko mkhulu kubafazi abatyebe kakhulu.

Fowunela umboneleli wakho ngezi ngxaki zilandelayo ezinxulumene neswekile:

• Umntwana wakho ubonakala ehamba kancinci esiswini sakho
• Ufiphele umbono
• Unxaniwe kunesiqhelo
• Unesicaphucaphu nokugabha okungayi kuhamba

Yinto eqhelekileyo ukuziva uxinezelekile okanye uphantsi malunga nokukhulelwa nokuba nesifo seswekile. Kodwa, ukuba ezi mvakalelo ziyakongamela, tsalela umnikezeli wakho. Iqela lakho lokhathalelo lwempilo likhona ukukunceda.

Ukukhulelwa - isifo seswekile sokukhulelwa; Unonophelo lwangaphambi kokubeleka-isifo seswekile sokukhulelwa

Ikholeji yaseMelika ye-Obstetrics kunye neGynecology; IKomiti yeeNkqubo yokuziQhelanisa neeBhulethini. Ziqhelanise neBulletin yeNombolo 137: Isifo seswekile sesifo seswekile. IGynecol ebambekayo. Ngo-2013; 122 (2 iPt 1): 406-416. IINKCUKACHA: 23969827 www.ncbi.nlm.nih.gov/pubmed/23969827.

Umbutho weSwekile yaseMelika. 14.Ulawulo lwesifo seswekile xa ukhulelwe: imigangatho yokhathalelo lonyango kwisifo seswekile-2019. Unonophelo lweSwekile. 2019; 42 (iSuppl 1): S165-S172. IINKCUKACHA: 30559240 www.ncbi.nlm.nih.gov/pubmed/30559240.

I-Landon MB, iNkulumbuso yeCatalalano, uGabbe SG. Isifo seswekile sinzima ukukhulelwa. Ku: Gabbe SG, Niebyl JR, Simpson JL, et al, ii-eds. I-Obstetrics: Ukukhulelwa okuqhelekileyo kunye neengxaki. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 40.

IMetzger BE. Isifo seswekile kunye nokukhulelwa. Ku: Jameson JL, De Groot LJ, de Kretser DM, et al, ii-eds. Endocrinology: Abantu abadala kunye nabantwana. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 45.

• Seswekile nokukhulelwa