Iswekile esele ikho kunye nokukhulelwa

Ukuba unesifo seswekile, inokuchaphazela ukukhulelwa kwakho, impilo yakho, kunye nempilo yomntwana wakho. Ukugcina amanqanaba eswekile yegazi (iswekile yegazi) kuluhlu oluqhelekileyo ngalo lonke ixesha lokukhulelwa kwakho kunokunceda ukuthintela iingxaki.

Eli nqaku lelabafazi abasele benesifo seswekile kwaye abafuna ukuba okanye bakhulelwe. Isifo seswekile sesifo seswekile siswekile ephezulu yegazi eqala okanye ifunyaniswe okokuqala ngexesha lokukhulelwa.

Abasetyhini abanesifo seswekile bajongene nemingcipheko ethile ngexesha lokukhulelwa. Ukuba isifo seswekile asilawulwa kakuhle, usana luchanabeke kumazinga aphezulu eswekile esesibelekweni. Oku kunokubangela iziphene zokuzalwa kunye nezinye iingxaki zempilo kwiintsana.

Iiveki zokuqala ezisi-7 zokukhulelwa kuxa amalungu omntwana ekhula. Oku kuhlala ngaphambi kokuba wazi ukuba ukhulelwe. Ke kubalulekile ukuba ucwangcise kwangaphambili ngokuqinisekisa ukuba amanqanaba eglucose egazini akho kuluhlu ekujoliswe kulo ngaphambi kokuba ukhulelwe.

Ngelixa loyikisayo ukucinga ngako, kubalulekile ukwazi ukuba zeziphi iingxaki ezinokwenzeka ngexesha lokukhulelwa. Bobabini umama nosana basemngciphekweni weengxaki xa isifo seswekile singalawulwa kakuhle.

Iingozi zomntwana zibandakanya:

• Iziphene zokuzalwa
• Ukuzalwa kwasekuqaleni
• Ukuphulukana nokukhulelwa (ukuphuma kwesisu) okanye ukuzala umntwana ofayo
• Usana olukhulu (olubizwa ngokuba yi-macrosomia) lubangela ukwanda komngcipheko ngexesha lokuzalwa
• Iswekile esezantsi yegazi emva kokuzalwa
• Ukuphefumla ubunzima
• I-jaundice
• Ukutyeba kakhulu ebuntwaneni nasebusheni

Umngcipheko kumama ubandakanya:

• Usana olukhulu ngakumbi kunokubangela ukuhanjiswa okunzima okanye icandelo le-C
• Uxinzelelo lwegazi oluphezulu kunye neprotein kumchamo (preeclampsia)
• Usana olukhulu lunokubangela ukungonwabi kunina kunye nokwanda komngcipheko wokulimala ngexesha lokuzalwa
• Ukunyuka kwamehlo yeswekile okanye iingxaki zezintso

Ukuba uceba ukukhulelwa, thetha nomboneleli wakho wezempilo okungenani iinyanga ezi-6 ngaphambi kokuba ukhulelwe. Kuya kufuneka ube nolawulo lweglucose yegazi elungileyo ubuncinci iinyanga ezi-3 ukuya kwezi-6 ngaphambi kokuba ukhulelwe kwaye konke ngexa lokukhulelwa kwakho.

Thetha nomboneleli wakho malunga nokuba iinjongo zakho zeshukela zegazi kufuneka zibe yintoni ngaphambi kokuba ukhulelwe.

Ngaphambi kokukhulelwa, uya kufuna:

• Cwangcisa inqanaba le-A1C elingaphantsi kwe-6.5%
• Yenza naluphi na utshintsho olufunekayo kwindlela otya ngayo nakwindlela ozilolonga ngayo ukuxhasa iswekile yegazi kunye neethagethi zakho
• Gcina ubunzima obusempilweni
• Cwangcisa uviwo lokukhulelwa kwangaphambili kunye nomboneleli wakho kwaye ubuze malunga nokhathalelo lokukhulelwa

Ngexesha loviwo lwakho, umboneleli wakho uya:

• Jonga ihemoglobin yakho A1C
• Jonga inqanaba lakho lengqula
• Thatha iisampulu zegazi kunye nomchamo
• Thetha nawe malunga naziphi na iingxaki zeswekile ezinje ngamehlo okanye iingxaki zezintso okanye ezinye iingxaki zempilo ezinje ngoxinzelelo oluphezulu lwegazi

Umboneleli wakho uyakuthetha nawe malunga nokuba ngawaphi amayeza akhuselekile ukuba awasebenzise kwaye angakhuselekanga xa uwasebenzisa ngexesha lokukhulelwa. Rhoqo abasetyhini abanesifo seswekile sesi-2 abathatha iyeza leswekile yomlomo kuya kufuneka batshintshele kwi-insulin ngexesha lokukhulelwa. Amayeza amaninzi eswekile anokungakhuseleki emntwaneni. Kwakhona, iihomoni zokukhulelwa zinokuthintela i-insulin ekwenzeni umsebenzi wayo, ke la mayeza awasebenzi kakuhle.

Kuya kufuneka ubonane nogqirha wakho wamehlo kwaye kuvavanywe iliso leswekile.

Ngexesha lokukhulelwa kwakho, uya kusebenza neqela lokhathalelo lwempilo ukuqinisekisa ukuba wena nosana lwakho nihlala niphilile. Ngenxa yokuba ukukhulelwa kwakho kuthathwa njengomngcipheko omkhulu, uya kusebenza nengcali yokubelekisa egxile kakhulu ekukhulelweni okusemngciphekweni wokukhulelwa (ingcali yamayeza okhulelweyo nosana olungekazalwa). Lo mboneleli unokwenza iimvavanyo ukujonga impilo yosana lwakho. Olu vavanyo lunokwenziwa nangaliphi na ixesha ukhulelwe. Uyakusebenza nomfundisi-ntsapho wesifo seswekile kunye nengcali yokutya.

Ngexesha lokukhulelwa, njengoko umzimba wakho utshintsha kwaye umntwana wakho ekhula, amanqanaba eglucose egazini akho aya kutshintsha. Ukukhulelwa kukwenza kube nzima ukuqaphela iimpawu zeswekile esezantsi yegazi. Ke kuyakufuneka ujonge iswekile yegazi rhoqo kumaxesha asibhozo ngemini ukuze uqiniseke ukuba uhlala kwindawo ekujolise kuyo. Unokucelwa ukuba usebenzise ukubeka esweni okuqhubekayo kweglucose (CGM) ngeli xesha.

Nazi iinjongo ekujoliswe kuzo ngokweswekile xa ukhulelwe:

• Ukuzila ukutya: Ngaphantsi kwama-95 mg / dL
• Iyure enye emva kwesidlo: ngaphantsi kwe-140 mg / dL, OKANYE
• Iiyure ezimbini emva kwesidlo: ngaphantsi kwe-120 mg / dL

Buza umboneleli wakho ukuba uluhlu lwakho ekujoliswe kulo kufuneka lube kwaye kwaye uvavanye kangaphi iswekile yegazi.

Kuya kufuneka usebenze nogqirha wakho wokutya ukulawula into oyityayo ngexesha lokukhulelwa ukukunceda uphephe iswekile esezantsi okanye ephezulu yegazi. Ingcali yakho yokutya iya kukujonga kwakhona ukuzuza kwakho kobunzima.

Abafazi abakhulelweyo bafuna malunga neekhalori ezingama-300 ezongezelelweyo ngosuku. Kodwa apho ezi khalori zivela khona kwimicimbi. Ukutya okunezakha-mzimba, kufuneka utye iintlobo ezahlukeneyo zokutya okusempilweni. Ngokubanzi, kuya kufuneka utye:

• Uninzi lweziqhamo kunye nemifuno
• Amanani aphakathi eeprotein ezincinci kunye namafutha asempilweni
• Inani eliphakathi leenkozo, ezinje ngesonka, isiriyeli, ipasta, kunye nerayisi, kunye nemifuno enesitatshi, efana nombona kunye nee-ertyisi
• Ukutya okumbalwa kuneswekile eninzi, njengeziselo ezinxilisayo, iijusi yeziqhamo, kunye neediki

Kuya kufuneka utye ukutya okuncinci okuncinci ukuya kokuphakathi kunye nokutya okulula okanye nangaphezulu ngosuku. Musa ukutsiba izidlo kunye namashwamshwam. Gcina inani kunye neendidi zokutya (iikhabhohayidrethi, amafutha, kunye neeproteni) ngokufanayo imihla ngemihla. Oku kunokukunceda ugcine iswekile yegazi lakho izinzile.

Umboneleli wakho unokuphakamisa isicwangciso sokuzilolonga esikhuselekileyo. Ukuhamba kuhlala kuyeyona ndlela ilula yokwenza umthambo, kodwa ukuqubha okanye ezinye iindlela zokuzilolonga ezinempembelelo ezisezantsi zinokusebenza ngokufanayo. Ukuzilolonga kunokukunceda ugcine iswekile esegazini lakho ilawulwa.

Umsebenzi ungaqala ngokwendalo okanye unokubangelwa. Umboneleli wakho unokucebisa icandelo le-C ukuba umntwana mkhulu. Umboneleli wakho uya kujonga amanqanaba eswekile yegazi ngexesha nasemva kokubeleka.

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.

Nje ukuba ufike ekhaya, kuyakufuneka uqhubeke ujonge kufutshane amanqanaba eswekile yegazi lakho. Ukungabikho kokulala, ukutshintsha iishedyuli zokutya, kunye nokuncelisa konke kunokuchaphazela amanqanaba eswekile yegazi. Ke ngelixa ufuna ukukhathalela umntwana wakho, kubalulekile nokuzikhathalela.

Ukuba ukukhulelwa kwakho kungacwangciswanga, qhagamshelana nomboneleli wakho wezempilo ngokukhawuleza.

Fowunela umboneleli wakho ngezi ngxaki zilandelayo ezinxulumene neswekile:

• Ukuba awukwazi ukugcina iswekile yegazi lakho kuluhlu ekujoliswe kulo
• 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; Isifo seswekile kunye nokhathalelo lokukhulelwa; Ukukhulelwa kweswekile

Umbutho weSwekile yaseMelika. 14. Ukulawulwa kwesifo seswekile xa ukhulelwe. Imigangatho yoKhathalelo lwezoNyango kwiSwekile. 2019; 42 (Ukongeza 1): S165-S172. IINKCUKACHA: 30559240 www.ncbi.nlm.nih.gov/pubmed/30559240.

Amaziko oLawulo lweNtsholongwane kunye noThintelo lwewebhusayithi. Uhlobo lwe-1 okanye uhlobo lwe-2 lweSwekile kunye nokukhulelwa. www.cdc.gov/pregnancy/diabetes-types.html. Ukuhlaziywa ngoJuni 1, 2018. Ifikeleleke ngo-Okthobha 1, 2018.

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.

IZiko leLizwe leSwekile kunye neDigestive kunye neZifo zeZintso kwiwebhusayithi. Ukukhulelwa ukuba unesifo seswekile. www.niddk.nih.gov/health-information/diabetes/diabetes-pregnancy. Ukuhlaziywa ngoJanuwari, 2018. Ifikeleleke ngo-Okthobha 1, 2018.