Isifo seswekile

Isifo seswekile somzimba siswekile ephezulu yegazi (iswekile) eqala okanye efunyaniswa okokuqala ngexesha lokukhulelwa.

Ukukhulelwa kwehomoni kunokuthintela i-insulin ekwenzeni umsebenzi wayo. Xa oku kusenzeka, inqanaba leswekile linokunyuka kwigazi lomfazi okhulelweyo.

Usemngciphekweni omkhulu wesifo seswekile ukuba:

• Badala kunama-25 xa ukhulelwe
• Bavela kwiqela elinomngcipheko ophezulu, njengeLatino, i-Afrika yaseMelika, iMelika yaseMelika, iAsia, okanye isiQithi sePasifiki
• Unembali yosapho yeswekile
• Wazala umntwana onobunzima obungaphezu kweekhilogram ezi-4 okanye onesiphene sokuzalwa
• Yiba noxinzelelo lwegazi oluphezulu
• Unamanzi amaninzi amniotic
• Ukhe waphunyelwa sisisu okanye wachaza umntwana oswelekileyo
• Babekhuluphele kakhulu ngaphambi kokukhulelwa kwakho
• Ukufumana ubunzima obukhulu ngexesha lokukhulelwa kwakho
• Unesifo se-ovary syndrome

Uninzi lwexesha, akukho zimpawu. Ukuchongwa kwesifo kwenziwa ngexesha lokuhlola rhoqo ngaphambi kokubeleka.

Iimpawu ezinobumnene, ezinjengokunxanwa okanye ukomelela, zinokubakho. Ezi mpawu zihlala zisongela ubomi kumfazi okhulelweyo.

Ezinye iimpawu zingabandakanya:

• Umbono omfiliba
• Ukudinwa
• Izifo ezenzeka rhoqo, kubandakanya ezo zesinyi, lobufazi, kunye nolusu
• Ukwanda ukoma
• Ukwanda komchamo

Isifo seswekile sikamama ngokufuthi siqala kwisiqingatha sokukhulelwa. Bonke abasetyhini abakhulelweyo kufuneka bafumane uvavanyo lokunyamezelana ngeswekile yomlomo (uvavanyo lomngeni we-glucose) phakathi kweveki yama-24 neyama-28 yokukhulelwa ukujonga imeko. Abasetyhini abanemingcipheko yomngcipheko wesifo seswekile banokufumana olu vavanyo kwangaphambi kokukhulelwa.

Nje ukuba ufumanise ukuba unesifo seswekile sokukhulelwa, unokubona ukuba uqhuba njani ngokuvavanya inqanaba leswekile ekhaya. Eyona ndlela iqhelekileyo ibandakanya ukuhlaba umunwe wakho kunye nokubeka ithontsi legazi lakho kumatshini oya kukunika ukufundwa kweswekile.

Iinjongo zonyango kukugcina inqanaba leswekile yegazi (iswekile) ngaphakathi komda oqhelekileyo ngexesha lokukhulelwa, kunye nokuqinisekisa ukuba umntwana okhulayo usempilweni.

UKUBUKELA UMNTWANA WAKHO

Umboneleli wakho wezempilo kufuneka aqwalasele ngokusondeleyo wena nosana lwakho lonke ngexesha lokukhulelwa. Ukubeka esweni usana olungekazalwa luza kujonga ubungakanani kunye nempilo yosana olungekazalwa.

Uvavanyo lokungabi noxinzelelo lulula kakhulu, uvavanyo olungenabuhlungu kuwe nakumntwana wakho.

• Umatshini ova kwaye abonise ukubetha kwentliziyo yosana lwakho (i-elektroniki yokujonga umntwana) ubekwe kwisisu sakho.
• Umboneleli wakho unokuthelekisa iphethini yokubetha kwentliziyo yosana lwakho kunye neentshukumo kwaye afumanise ukuba ingaba umntwana wenza kakuhle.

Ukuba uthatha iyeza ukulawula isifo seswekile, unokufuna ukubekwa esweni rhoqo xa sele ukhulelwe.

UKUDLA NOKUQEQESHA

Kwiimeko ezininzi, ukutya ukutya okusempilweni, ukuhlala usebenza, nokulawula ubunzima bakho kuko konke okufunekayo ukunyanga isifo seswekile.

Eyona ndlela yokuphucula ukutya kwakho kukutya iintlobo ezahlukeneyo zokutya okusempilweni. Kuya kufuneka ufunde indlela yokufunda iilebheli zokutya kwaye uzijonge xa ​​usenza izigqibo malunga nokutya. Thetha nomboneleli wakho ukuba utya imifuno okanye ukutya okhethekileyo.

Ngokubanzi, xa unesifo seswekile sokukhulelwa, ukutya kwakho kufuneka:

• Yiba ngcathu kumanqatha nakwiiproteni
• Nika iicarbohydrate ngokutya okubandakanya iziqhamo, imifuno, kunye neecarbohydrate ezintsonkothileyo (ezinje ngesonka, isiriyeli, ipasta kunye nerayisi)
• Yiba sezantsi ekutyeni okuneeswekile eninzi, ezinje ngeziselo ezihlwahlwazayo, iijusi yeziqhamo, kunye nepheki

Thetha nomboneleli wakho malunga nemisebenzi yomzimba efanelekileyo kuwe. Ukuzivocavoca okunempembelelo ephantsi, njengokuqubha, ukuhamba ngokukhawuleza, okanye ukusebenzisa umatshini we-elliptical ziindlela ezikhuselekileyo zokulawula iswekile yegazi kunye nobunzima bakho.

Ukuba ulawula ukutya kwakho kunye nokwenza umthambo akulawuli iswekile yegazi lakho, unokumiselwa amayeza eswekile okanye unyango lwe-insulin.

Zininzi iingozi zokuba nesifo seswekile xa ukhulelwe xa iswekile yegazi ingalawulwa kakuhle. Ngolawulo olufanelekileyo, uninzi lokukhulelwa luneziphumo ezilungileyo.

Abafazi abakhulelweyo abanesifo seswekile sokukhulelwa bathambekele ekubeni neentsana ezinkulu ekuzalweni. Oku kunokunyusa amathuba eengxaki ngexesha lokuhanjiswa, kubandakanya:

• Ukulimala kokuzalwa (trauma) ngenxa yobukhulu obukhulu bomntwana
• Ukuhanjiswa kwecandelo le-C

Umntwana wakho kunokwenzeka ukuba abe namaxesha eswekile esezantsi yegazi (i-hypoglycemia) ngeentsuku zokuqala zobomi, kwaye unokufuna ukubekwa esweni kwiyunithi yokhathalelo olunzulu lwe-neonatal (NICU) kwiintsuku ezimbalwa.

Oomama abanesifo seswekile sokukhulelwa banomngcipheko owandayo woxinzelelo lwegazi oluphezulu ngexesha lokukhulelwa kunye nomngcipheko owandayo wokuhanjiswa kwangaphambi kokubeleka. Oomama abaneswekile yegazi engalawulekiyo banomngcipheko ophezulu wokuzalwa kwakhona.

Emva kokubeleka:

• Umgangatho ophakamileyo weswekile yegazi (iswekile) ubuyela esiqhelweni.
• Kuya kufuneka ulandelwe ngokusondeleyo kwiimpawu zesifo seswekile kwiminyaka emi-5 ukuya kweli-10 elandelayo emva kokubeleka.

Nxibelelana nomboneleli wakho ukuba ukhulelwe kwaye uneempawu zesifo seswekile.

Ukukhathalelwa kwaphambi kokubeleka kunye nokuhlolwa rhoqo kunceda ukuphucula impilo yakho kunye nempilo yosana lwakho. Ukuvavanywa kokubeleka ngaphambi kokubeleka kwiiveki ezingama-24 ukuya kwezingama-28 zokukhulelwa kuya kunceda ukufumanisa isifo seswekile kwangaphambi kokubeleka.

Ukuba utyebe kakhulu, ukufumana ubunzima bakho kuluhlu oluqhelekileyo lomzimba (BMI) uluhlu luya kunciphisa umngcipheko wesifo seswekile.

Ukunyamezelwa kweswekile xa ukhulelwe

• Iipancreas
• Isifo seswekile

Umbutho weSwekile yaseMelika. 14.Ulawulo lwesifo seswekile xa ukhulelwe: imigangatho yokhathalelo lonyango kwisifo seswekile-2020. Unonophelo lweSwekile. 2020; 43 (iSuppl 1): S183-S192. IINKCUKACHA: 31862757 pubmed.ncbi.nlm.nih.gov/31862757/.

I-Landon MB, iNkulumbuso yeCatalalano, uGabbe SG. Isifo seswekile sinzima ukukhulelwa. Ku: Landon MB, Galan HL, Jauniaux ERM, et al, ii-eds. Ii-Obstetrics zikaGabbe: Ukukhulelwa okuqhelekileyo kunye neengxaki. Ngomhla we-8. IPhiladelphia, PA: Elsevier; 2021: isahluko 45.

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.

UMoyer VA; Umsebenzi woKhuseleko kwi-US. Ukuvavanywa kwesifo seswekile seswekile: I-US Preventive Services Task Force statement. UAnn Intern Med. Ngo-2014; 160 (6): 414-420. IINKCUKACHA: 24424622 pubmed.ncbi.nlm.nih.gov/24424622/.