Isifo seswekile somzimba: yintoni, unobangela, unyango kunye nomngcipheko
Umxholo
- Iimpawu eziphambili
- Unobangela wesifo seswekile
- Unyango lwenziwa njani
- 1. Ukutya kwisifo seswekile sokukhulelwa
- 2. Ukuziqhelanisa nokuzilolonga
- 3. Ukusetyenziswa kwamayeza
- Umngcipheko onokubakho wokukhulelwa
- Ungasiphepha njani isifo seswekile
Isifo seswekile sikamama sihlala sikhula kufutshane nekota yesithathu yokukhulelwa ngenxa yokunganyangeki kwe-insulin okubangelwa zihomoni zokukhulelwa. Olu hlobo lwesifo seswekile luhlala lunyamalala emva kokubeleka kwaye kunqabile ukuba lubangele iimpawu, nangona kwezinye iimeko, umbono ophuthileyo nokunxanwa kunokwenzeka.
Unyango kufuneka luqaliswe ngexesha lokukhulelwa ngokutya okwaneleyo okanye ukusebenzisa amayeza, anje nge-hypoglycemic agents okanye i-insulin, kuxhomekeke kumaxabiso eswekile yegazi.
Isifo seswekile sikamama siphantse ukuba siyanyangeka emva kokubeleka, nangona kunjalo, kubalulekile ukulandela ngokuchanekileyo unyango olucetyiswe ngugqirha, kuba kukho umngcipheko omkhulu wokuphuhliswa kwesifo seswekile seswekile kwisithuba seminyaka elishumi ukuya kwengama-20 kwanokubandezeleka kuso. isifo seswekile kolunye ukukhulelwa.
Iimpawu eziphambili
Uninzi lweziganeko zesifo seswekile asikhokeleli ekubonakaleni kweempawu okanye iimpawu, nangona kunjalo kwezinye iimeko ukonyuka komnqweno wokutya, ukutyeba ubunzima, umnqweno omkhulu wokuchama, umbono ophuthileyo, ukunxanwa okuninzi kunye nosulelo lomchamo oluqhelekileyo kunokuqwalaselwa. Jonga ezinye iimpawu zesifo seswekile.
Njengoko ezi mpawu ziqhelekile xa ukhulelwe, ugqirha kufuneka ayalele uvavanyo lweglucose ubuncinci amaxesha e-3 ngexesha lokukhulelwa, ihlala iluvavanyo lokuqala olwenziwe kwiveki ye-20 yokukhulelwa. Ukuqinisekisa ukuxilongwa kwesifo seswekile, ugqirha ucebisa ukuba enze uvavanyo lwegreycemic curve ukujonga amanqanaba eglucose ekuhambeni kwexesha.
Unobangela wesifo seswekile
Isifo seswekile sikamama sivela kwiimeko ezininzi kwitrimester yesithathu yokukhulelwa kwaye ikakhulu sinxulumene nokumelana ne-insulin okuphuhliswayo njengesiphumo sokwanda koxinzelelo lwehomoni enxulumene nokukhulelwa.
Kungenxa yokuba kwikota yesithathu yokukhulelwa kukho ukwanda kweemfuno zesondlo, ukuze umama aqale ukutya ii-carbohydrate ezininzi ukubonelela ngesixa esifanelekileyo seswekile elungele umntwana, ngelixa kwangaxeshanye elawula iswekile yegazi nge-insulin.
Nangona kunjalo, ngenxa yehomoni yokukhulelwa, ukuveliswa kwe-insulin yipancreas kunokucinezelwa, ukuze eli lungu lingakwazi ukunyusa amanqanaba e-insulin evelisiweyo, ebangela iswekile eninzi egazini, ekhokelela kuphuhliso lwesifo seswekile. .
Le meko ixhaphake kakhulu kwabasetyhini abaneminyaka engaphezulu kwama-35 ubudala, abatyebe kakhulu okanye batyebe kakhulu, banamafutha amaninzi kwingingqi yesisu, bafutshane ngesiqu okanye banesifo se-ovary syndrome se-polycystic.
Unyango lwenziwa njani
Unyango lwesifo seswekile sokukhulelwa lujolise ekukhuthazeni impilo kamama nosana, kuthintelwe iingxaki ezinje ngobunzima obuphantsi kweminyaka yobudala bokukhulelwa kunye nokuphefumla kunye nokuphazamiseka komzimba, umzekelo.Kubalulekile ukuba unyango lwenziwe phantsi kwesikhokelo sengcali yesondlo, ugqirha wokubelekisa kunye ne-endocrinologist ukuze ulawulo lwe-glycemic lusebenze.
Unyango lwesifo seswekile kufuneka lwenziwe ngotshintsho kwindlela otya ngayo nakwizinto zomzimba ukuze kulawulwe amanqanaba eglucose egazini:
1. Ukutya kwisifo seswekile sokukhulelwa
Ukutya kwisifo seswekile sokukhulelwa kufuneka kukhokelwe ngumondli ukuze kungabikho ntsilelo yesondlo kumama okanye kusana. Ke ngoko kuyacetyiswa ukuba abasetyhini abakhulelweyo batye ukutya okunesalathiso esisezantsi se-glycemic, ezinje ngeziqhamo ezingacocwanga, kunye nokunciphisa inani leswekile kunye neecarbohydrate ezilula ekudleni.
Kuyacetyiswa ukuba ukhethe ukutya okunee-carbohydrate ezincinci okanye ezinee-carbohydrate ezintsonkothileyo, ezo zinesalathiso se-glycemic ephantsi ngenxa yenani eliphezulu le-fiber abanayo. Ke, kunokucetyiswa ukuba abasetyhini abakhulelweyo badle ukutya okuziinkozo, inyama, intlanzi, iimbewu zeoyile, ubisi kunye nezinye izinto kunye nembewu. Bona ngakumbi malunga nokutya kwisifo seswekile sokukhulelwa.
Kubalulekile ukuba iswekile yegazi ilinganiswe kwisisu esingenanto nasemva kokutya okuphambili, njengoko kunokwenzeka ukuba owasetyhini okhulelweyo kunye nogqirha banakho ukulawula amanqanaba eglucose, ukongeza kwinto yokuba, ngokwe amanqanaba eswekile, isondlo sinokutshintsha isicwangciso sokutya.
Jonga le vidiyo ilandelayo ngolwazi oluthe kratya malunga nokutya kwisifo seswekile:
2. Ukuziqhelanisa nokuzilolonga
Ukuzilolonga kubalulekile ukukhuthaza impilo yowasetyhini okhulelweyo kunye nokugcina amanqanaba eglucose ejikeleza. Ukuziqhelanisa nokukhulelwa kukhuselekile xa kungekho zinto zinokububeka esichengeni ubomi bukanina okanye usana. Ke ngoko, kubalulekile ukuba imithambo iqale emva kokugunyaziswa ngonyango kwaye yenziwa phantsi kwesikhokelo sobuchwephesha bezemfundo yomzimba.
Ukuziqhelanisa nokuzilolonga kwabasetyhini abakhulelweyo abanesifo seswekile sokukhulelwa kukhuthaza ukwehla kwenqanaba lokuzila ukutya kweglucose nasemva kokutya, ngaphandle kwesidingo sokusebenzisa i-insulin ukulawula amanqanaba eglucose.
Ngaphandle kokujongwa njengokukhuselekileyo, abasetyhini abakhulelweyo kufuneka balumke ngaphambi, ngexesha nasemva kokuzilolonga, njengokutya into ngaphambi kokuzilolonga, ukusela amanzi ngaphambi, ngexesha nasemva komsebenzi, ukunikela ingqalelo kubungakanani bokuzilolonga kunye nokujonga ukubonakala kwawo nawuphi na umqondiso okanye uphawu olubonisa uphazamiso lomthambo, njengokuphuma kwegazi kwilungu lobufazi, ukucaphuka kwesibeleko, ukulahleka kwe-amniotic fluid, ubuthathaka bemisipha kunye nokuphefumla nzima ngaphambi kokuzilolonga.
3. Ukusetyenziswa kwamayeza
Ukusetyenziswa kwamayeza kuhlala kubonisiwe xa isifo seswekile singalawuleki kwaye amanqanaba aphezulu eglucose emele umngcipheko omkhulu kumfazi okhulelweyo kunye nosana lwakhe, kwaye xa amanqanaba eglucose engalungelelanisi kwanotshintsho kwindlela yokutya nasekuzilolongeni ngendlela eyahlukileyo.
Ke, ugqirha unokucebisa ngokusetyenziswa kwearhente yomlomo ye-hypoglycemic okanye i-insulin, ekufuneka icetyiswe ngugqirha kwaye isetyenziswe ngokwalathiswa nguye. Kubalulekile ukuba owasetyhini athathe imilinganiselo yeglucose yonke imihla kunye namaxesha aboniswe ngugqirha ukuze aqinisekiswe ukuba unyango luyasebenza na.
Umngcipheko onokubakho wokukhulelwa
Iingxaki zesifo seswekile sokukhulelwa zinokuchaphazela umntu okhulelweyo okanye umntwana, onokuthi:
Iingozi zokukhulelwa | Iingozi zomntwana |
Ukwaphulwa kwesingxobo se-aminotic ngaphambi komhla olindelekileyo | Ukuphuhliswa kwesifo sokuphefumla, ekunzima ukuphefumla xa uzalwa |
Ukuzalwa ngaphambi kwexesha | Umntwana mkhulu kakhulu kubudala bokumitha, obonyusa umngcipheko wokutyeba kakhulu ebuntwaneni okanye ebusheni |
Umbungu ongaguquguqukiyo ujonge ezantsi ngaphambi kokubeleka | Izifo zentliziyo |
Ukwanda komngcipheko we-pre-eclampsia, okonyuka ngesiquphe koxinzelelo lwegazi | I-jaundice |
Ukubakho kokuhanjiswa kwe-cesarean okanye ukukhutshwa kwe-perineum ngexesha lokuhanjiswa kwesiqhelo ngenxa yobungakanani bosana | Hypoglycemia emva kokuzalwa |
Le micimbi inokuncitshiswa ukuba owasetyhini ulandela unyango ngokuchanekileyo, ke ngoko, umfazi okhulelweyo onesifo seswekile sokukhulelwa kufuneka alandelwe kukhathalelo olunobungozi obukhulu kokubeleka.
Ungasiphepha njani isifo seswekile
Isifo seswekile sikamama asinakuhlala sithintelwa kuba sinxulumene notshintsho lwehomoni oluqhelekileyo lokukhulelwa, nangona kunjalo, umngcipheko wokuba nesifo seswekile unokuncitshiswa ngu:
- Yiba kwisisindo esifanelekileyo ngaphambi kokukhulelwa;
- Yenza unonophelo lwangaphambi kokubeleka
- Yandisa ubunzima kancinci kwaye ngokuthe chu;
- Yitya usempilweni kwaye
- Qhelisela umthambo olinganiselweyo.
Isifo seswekile sikamama sinokuvela kwabasetyhini abakhulelweyo abangaphezulu kweminyaka engama-25 ubudala, abatyebe kakhulu okanye xa umfazi okhulelweyo enganyamezelani neswekile. Nangona kunjalo, inokuthi ikhule nakwabasetyhini abancinci okanye abafazi abanobunzima obuqhelekileyo ngenxa yotshintsho lwehomoni.