Uvavanyo lweSifo seSwekile Gestational: Yintoni onokuyilindela

Umxholo

• Zithini iimpawu zesifo seswekile sokukhulelwa?
• Yintoni ebangela isifo seswekile?
• Yeyiphi imeko yomngcipheko wesifo seswekile sokukhulelwa?
• Kwenzeka ntoni ngexesha lovavanyo?
• Uvavanyo lomngeni weGlucose
• Uvavanyo lokunyamezelwa kweglucose
• Kuya kuthatha ixesha elingakanani ukufumana isifo?
• Zithini iindlela zokhetho kunyango lwesifo seswekile sokukhulelwa?
• Zeziphi iingxaki zesifo seswekile esinganyangekiyo?
• Ithini imbono yabantu abanesifo seswekile sokukhulelwa?
• Ungasithintela njani isifo seswekile okanye ukunciphisa impembelelo yaso?
• Ukutya
• Zilolonge

Yintoni isifo seswekile?

Isifo seswekile 2428umsebenzi wokhathalelo ngaphambi kokubeleka

Zithini iimpawu zesifo seswekile sokukhulelwa?

Abasetyhini abaninzi abanesifo seswekile sokukhulelwa abanazimpawu. Ukuba iimpawu ziyavela, kunokwenzeka ungazijongi kuba ziyafana neempawu zokukhulelwa eziqhelekileyo. Ezi mpawu zinokubandakanya:

• ukuchama rhoqo
• unxano olugqithisileyo
• ukudinwa
• erhona

Kuya kufuneka ubize ugqirha wakho ukuba unazo ezi mpawu ukuya kwinqanaba elingaphezulu kwesiqhelo kuwe.

Yintoni ebangela isifo seswekile?

Esona sizathu sesifo seswekile sokukhulelwa asaziwa, kodwa kusenokwenzeka ngenxa yamahomoni akhutshwa yiparacenta yakho. Ezi hormone zinceda umntwana wakho akhule, kodwa zinokumisa i-insulin ekwenzeni umsebenzi wayo. Ukuba umzimba wakho awukhathaleli kwi-insulin, iswekile esegazini lakho ihlala ihleli kwaye ayiphumeli egazini lakho iye kwiiseli zakho njengoko kufanelekile. Iswekile emva koko ayinakukwazi ukuguqula amandla kwiiseli. Oku kubizwa ngokuba kukunganyangeki kwe-insulin. Oku kubangela ukuba amanqanaba eswekile egazini anyuke. Ukuba ishiywe inganyangwa, isifo seswekile sokukhulelwa kunokuba nemiphumo ebalulekileyo kuwe nakumntwana wakho. Nje ukuba ugqirha wakho akwazi ukuba unale meko, baya kusebenza nawe kwisicwangciso sonyango ukuqinisekisa impilo yakho kunye neyomntwana wakho.

Yeyiphi imeko yomngcipheko wesifo seswekile sokukhulelwa?

Nawuphi na umfazi okhulelweyo unokufumana isifo seswekile. Kungenxa yoko oogqirha bavavanya onke amabhinqa akhulelweyo. Isifo seswekile sikamama sichaphazela malunga. Izinto ezithile zinokunyusa umngcipheko kwaye zifuna ukuba uvavanywe ngexesha lotyelelo lokuqala lokubeleka. Ugqirha wakho unokukuvavanya kaninzi emva koko. Izinto ezinobungozi zibandakanya:

• ukutyeba kakhulu
• ungaphezulu kweminyaka engama-25 ubudala
• ukuba nembali yosapho yeswekile
• ukuba nembali yesifo seswekile sokukhulelwa ngexesha lokukhulelwa kwangaphambili
• ukufumana isixa esibalulekileyo sobunzima ebudaleni nokuba phakathi kokukhulelwa
• ukufumana ubunzima obugqithisileyo ngelixa ukhulelwe
• ukukhulelwa okuphindaphindayo, njengamawele okanye amawele amathathu
• ukuhanjiswa kwangaphambili kosana olunobunzima obungaphezulu kweepawundi ezili-9
• ukuba noxinzelelo lwegazi
• ukuba ne-polycystic ovary syndrome (i-PCOS)
• ukuthatha i-glucocorticoids

Kwenzeka ntoni ngexesha lovavanyo?

Oogqirha basebenzisa iintlobo ezahlukeneyo zovavanyo lokuhlola. Oogqirha abaninzi basebenzisa iindlela ezimbini, ukuqala ngovavanyo lomngeni we-glucose. Olu vavanyo luchaza amathuba okuba ube nesifo.

Uvavanyo lomngeni weGlucose

Awudingi ukwenza nantoni na ukulungiselela olu vavanyo. Ungatya kwaye usele ngokwesiqhelo. Xa ufika kwiofisi kagqirha wakho, uya kusela isisombululo esine-glucose esine-glucose. Iyure enye kamva, uya kuthatha uvavanyo lwegazi. Ukuba iswekile yegazi lakho liphezulu, ugqirha wakho uya kucwangcisa uvavanyo lokunyamezelwa kweswekile.

Uvavanyo lokunyamezelwa kweglucose

Olu vavanyo lilinganisa impendulo yomzimba wakho kwiswekile. Isetyenziselwa ukumisela ukuba umzimba wakho uphatha kakuhle kangakanani iswekile emva kwesidlo. Ugqirha wakho uya kukucela ukuba ukhawuleze ubusuku bonke ukulungiselela olu vavanyo. Buza ugqirha wakho ukuba ungasela amanzi ngeli xesha. Kuya kufuneka ukhumbuze ugqirha wakho nangawo nawaphi na amayeza owasebenzisayo kwaye ubuze ukuba ungawayeka ngeli xesha. Uvavanyo lwenziwa ngolu hlobo lulandelayo:

1. Emva kokufika kwi-ofisi kagqirha, ugqirha wakho ulinganisa iswekile yegazi lakho elikhawulezayo.
2. Emva koko, usela iglasi ye-8-ounce yesisombululo seswekile.
3. Ugqirha wakho ulinganisa amanqanaba eglucose kanye ngeyure kwiiyure ezintathu ezizayo.

Kuya kuthatha ixesha elingakanani ukufumana isifo?

Ukuba imilinganiselo emibini ibonisa iswekile ephezulu yegazi, ugqirha wakho uya kufumanisa isifo seswekile sokukhulelwa. Abanye oogqirha bayayeka uvavanyo lomngeni we-glucose kwaye benze uvavanyo lokunyamezelana kweswekile. Thetha nogqirha wakho malunga nokuba yeyiphi iprotocol esengqiqweni kuwe.

Zithini iindlela zokhetho kunyango lwesifo seswekile sokukhulelwa?

Ukuba unesifo seswekile sokukhulelwa, ugqirha wakho uyakujonga imeko yakho rhoqo. Baza kusebenzisa ii-sonograms ukujonga kakhulu ukukhula komntwana wakho. Ngexesha lokukhulelwa, unokuzibek 'esweni ekhaya. Ungasebenzisa inaliti encinci ebizwa ngokuba yi-lancet ukuhlaba umunwe wakho ukuba ube nethontsi legazi. Emva koko uhlalutya igazi usebenzisa i-monitor yeglucose. Abantu bahlala besenza olu vavanyo xa bevuka nasemva kokutya. Funda ngakumbi ngovavanyo lwasekhaya lweswekile. Ukuba utshintsho lwendlela yokuphila kunye nokutya kunye nokwanda kokuzivocavoca akusebenzi ukunciphisa amanqanaba eswekile yegazi, ugqirha wakho unokucebisa ukuba ufake inaliti ye-insulin. Ngokwe-Mayo Clinic, phakathi kwe-10 ukuya kwi-20 yeepesenti yabasetyhini abakhulelweyo abanesifo seswekile sokukhulelwa badinga olu hlobo loncedo ukwehlisa iswekile egazini. Ugqirha wakho unokukunika amayeza omlomo ukulawula iswekile esegazini.

Zeziphi iingxaki zesifo seswekile esinganyangekiyo?

Kubalulekile ukugcina isifo seswekile siphantsi kolawulo. Ukuba ishiywe inganyangwa, iingxaki ezinokubakho zibandakanya:

• uxinzelelo lwegazi oluphezulu, ekwabizwa ngokuba yi-preeclampsia
• ukuzalwa ngaphambi kwexesha
• igxalaba ledystocia, elenzeka xa amagxa osana ukuba abambeke kumjelo wokuzalwa ngexesha lokuhanjiswa
• amaqondo aphezulu aphezulu okusweleka kosana olungekazalwa kunye nolo luzelweyo

Ukunganyangwa kwesifo seswekile kunokubangela ukuba umntwana abe nobunzima obuphezulu bokuzalwa. Oku kubizwa ngokuba yi-macrosomia. I-Macrosomia inokubangela umonakalo emagxeni ngexesha lokuzalwa kwaye inokufuna ukuhanjiswa kwe-cearean. Iintsana ezine-macrosomia zinamathuba aphezulu okutyeba kakhulu kubantwana kunye nohlobo lwe-2 yeswekile.

Ithini imbono yabantu abanesifo seswekile sokukhulelwa?

Isifo seswekile sikamama ngesiqhelo sihamba emva kokubeleka. Ukutya ngokulungileyo kunye nokuzilolonga kuyaqhubeka kuhlala kubalulekile kwimpilo yakho emva kokubeleka. Indlela yokuphila yosana lwakho nayo ifanele ukuba sempilweni. Khetha ukutya okuphezulu kwifayibha kunye namafutha asezantsi nobabini. Kuya kufuneka uphephe iilekese ezineswekile kunye neenkantsi ezilula xa kunokwenzeka. Ukwenza intshukumo kunye nokuzilolonga yinxalenye yobomi bosapho lwakho yindlela entle yokuxhasana ekuphishekeleni kwakho impilo esempilweni. Ukuba nesifo seswekile sokukhulelwa kukubeka emngciphekweni omkhulu wokukhulisa uhlobo lweswekile yesibini kamva ebomini. Ugqirha wakho uya kuthi wenze olunye uvavanyo lokunyamezelwa kweswekile kwiiveki ezi-6 ukuya kwezi-12 emva kokuba uhambise umntwana wakho ukuze uqiniseke ukuba awusenaso isifo seswekile. Ukuqhubela phambili, kuya kufuneka ujonge uvavanyo lwegazi ubuncinci rhoqo kwiminyaka emithathu.

Ungasithintela njani isifo seswekile okanye ukunciphisa impembelelo yaso?

Utshintsho kwindlela yokuphila lunokunceda ukuthintela isifo seswekile okanye ukunciphisa impembelelo. Olu tshintsho lubandakanya:

• ukunciphisa umzimba ngaphambi kokukhulelwa
• ukuseta iinjongo zokufumana ubunzima bokukhulelwa
• ukutya ukutya okuneswekile eninzi, ukutya okunamafutha asezantsi
• ukunciphisa ubungakanani bezabelo zakho zokutya
• ukwenza umthambo

Ukutya

Kuya kufuneka ubandakanye oku kulandelayo kwindlela otya ngayo:

• iinkozo ezipheleleyo, ezinje ngequinoa
• Iiproteni ezinqinileyo, ezinje nge-tofu, inkukhu kunye nentlanzi
• ubisi olunamafutha asezantsi
• iziqhamo
• imifuno

I-carbohydrate elula, ecocekileyo, efumaneka kwiidessert ezineswekile kunye nesoda, zihlala zithanda iswekile egazini. Kuya kufuneka uthintele ezo ntlobo zokutya kwindlela otya ngayo.

Zilolonge

Ukuhamba, ukuqubha, kunye neyoga ngaphambi kokubeleka kunokuba lukhetho olukhulu lokuzilolonga. Jonga ugqirha wakho ngaphambi kokuqala irejimeni entsha yomthambo.