Ushukela lenyuka ngesikhathi sokukhulelwa - njengoba inkinga engathí sina?

Ukukhulelwa - umcimbi emangalisayo, eshintsha ngokuphelele ukuphila Yilowo nalowo muntu wesifazane. Sisazama Ukuvumelana isigqi inhliziyo encane, unina ezama ukwenza konke ukwenza ingane yakho uzizwa ukhululekile phakathi nazo zonke izinyanga eziyisishiyagalolunye. Ngeshwa, amasonto amaningi amane umama okhulelwe has ukuzwa hhayi kuphela injabulo umhlangano eziphuthumayo nengane, kodwa futhi eziningi emizweni ezingemnandi ezihambisana nokukhulelwa. Abanye abangane ongenakugwenywa sokukhulelwa ningathwali iyiphi ingozi embungwini, kuyilapho ezinye zidinga kweso lwezokwelapha njalo. Enye yezinkinga ezinkulu ngesikhathi sokulinda ingane sikashukela sokukhulelwa - isimo lapho kwandisa emazingeni igazi glucose neuropathy.

Yini aphakeme kashukela phakathi nenkathi yokukhulelwa?

Ngesikhathi bevela okokuqala ngokuxhumana zesifazane umama okhulelwe uthola kusuka ku Dr. iinkombatjhuba ezisemebheni engakahleleki cwaningo ukuhlola isimo jikelele emtholile lona wesifazane okhulelwe. Omunye izibalo ebaluleke kakhulu kulolu hlu omkhulu ukuchaza okuqukethwe glucose egazini. Uma uthola ukuthi ushukela liphakeme ngesikhathi sokukhulelwa, owesifazane uzocelwa avivinywe eyengeziwe kanye nokwelashwa uma kunesidingo.

Ukwanda lokuhlushwa igazi glucose akuyona ingozi njengoba kungase kubonakale efika kuqala. Izinguquko ezingeni ushukela kubangela eziyinkimbinkimbi izindlela pathologic okuholela ukuwohloka abalulekile emtholile lona wesifazane okhulelwe. Izinqubo ezenzeka emzimbeni kamama esizayo nakanjani nomthelela ekuthuthukiseni embungwini, okwandisa ingozi yokuba ingane zikhala fetopathy sikashukela.

Wazi kanjani ukuthi ushukela liphakeme ekukhulelweni?

Ukuhlolwa kwegazi ukuthola owesifazane glucose eletha kabili: ngesikhathi bevela okokuqala esikhathini yabakhulelwe futhi emasontweni 22-24. Kulokhu, umama okhulelwe akufanele qinisekisa ukuthi ukudla noma okuthile ukuze akuguqule imikhuba yokudla izinsuku ezintathu ngaphambi luhlolo ehleliwe. Igazi ngokuvamile ethathwe umthambo ekuseni esiswini esingenalutho. Kokweqa izindinganiso kwamukelekile iningi amacala kubonisa ukuthuthukiswa sikashukela sokukhulelwa.

Kungani yokwenyuka kwamazinga e-glucose?

Ngaphansi kwezimo ezivamile, okuqukethwe ushukela kulawulwa insulin-hormone okuthiwa i ngokuqhubekayo ekhiqizwa amanyikwe. Ngaphansi ithonya lakhe glucose elafika kanye ukudla, kancane kancane siguqulelwa amangqamuzana omzimba, lapho enza umsebenzi wawo. Amazinga Igazi ushukela ngesikhathi esifanayo encishisiwe. Kwenzekani ngesikhathi sokukhulelwa futhi kungani lokhu indlela ezimisiwe ehluleka?

Kuthiwa ama-hormone ezivumela nomntwana, isitha we-insulin. ushukela ephakeme igazi ngesikhathi sokukhulelwa ixhunyaniswe yokuthi kwamanyikwe nje akakwazi ukubhekana nomsebenzi wabo ezimweni ezinjalo. hormone Ukukhulelwa kusebenze isivuno glucose egazini, futhi insulini okwaziyo ukubophezela ushukela ngokweqile, akwanele. Ngenxa yalokho yokuthuthukisa okuthiwa sikashukela sokukhulelwa, kuyingozi ukuba imiphumela yako iqhubeke ezingalindelekile.

engcupheni

Kunengqondo ukuphetha ngokuthi kulesi simo yimuphi owesifazane sesimweni ezithakazelisayo ukuba uhlushwa ngokweqile glucose emzimbeni. Nokho, ushukela lenyuka ngesikhathi sokukhulelwa akuyona yonke umama okhulelwe. Yini kwandisa ingozi yesifo?

• ukukhuluphala;

• Ufuzo (sikashukela eziseduze);

• Ukuthuthukisa nesimo esifanayo ukukhulelwa kwangaphambili;

• polycystic syndrome esibelethweni;

• yobudala engaphezu kwengu-25.

Izimpawu sikashukela sokukhulelwa

Ezimweni eziningi, owesifazane okhulelwe akuyona ngisho bazi ukuthi wakhulisa amazinga igazi glucose. isimo sakhe sempilo ayishintshi, ingane ngenkuthalo ezihambayo futhi kwenza ngokwayo wazizwa abelula okhuthele. Ubungozi sikashukela sokukhulelwa wukuthi lemali ushukela egazini yenu kuyovumelana kancane kancane ukwandisa, okuholela eziyingozi.

Njengoba kwanda sokukhulelwa namazinga kashukela egazini bayovuka, futhi amazinga insulin nakanjani ukuncipha. Ukubonakaliswa sikashukela libhekene zimpawu ezilandelayo:

• umuzwa njalo ukoma;

• anda esesuthi;

• ukuchama kaningi;

• umbono anyakaza.

Ukuze olunembile uphethwe izikhalazo wedwa ukuwohloka zempilo sizoba esanele. Indlala ukuchama kaningi ayisibonelo kwabesifazane abaningi abakhulelwe amazinga ngokuphelele evamile kashukela. umama okhulelwe kuyodingeka ahlolwe ekhethekile, ukuvumela ukuqinisekisa noma ukuphika sikashukela sokukhulelwa.

ukuhlola

Ukuze ukwazi ukubona ukuthi ushukela empeleni lenyuka ngesikhathi ekhulelwe, owesifazane wathi uzonikela igazi ukuzimisela glucose. Ukuhlaziywa asebenzelana ukudla.

Ukuhunyushwa imiphumela:

• kusuka 3.3 kuya 5.5 mmol / l - kuyinsakavukela;

• kusuka 5.5 kuya ku-7 mmol / l - ukungabekezelelani glucose;

• ezingaphezu kuka 7.1 momol / l - sikashukela.

Lapho i-glucose ezingeni phezu 7.1 mmol / l umama okhulelwe wathumela i ezingxoxo endocrinology ukuqinisekisa ukuxilongwa kanye amasu ukwelashwa.

Ukwandiswa ushukela kule umchamo ngesikhathi sokukhulelwa futhi ukhuluma mayelana nokuthuthukiswa sikashukela sokukhulelwa. Ngokuvamile, i-glucose zitholiwe ezigabeni kamuva, lapho lesi sifo: Seledlulise amalawulo. Ushukela umchamo ubonisa ukuthi izinso Akasekho sibhekane ngokuphumelelayo umsebenzi walo, futhi kungakho kwandisa ingozi izinkinga zonke izitho kanye nezinhlelo zomzimba zesifazane.

Yeka indlela okuyingozi kuyinto sikashukela sokukhulelwa?

Abesifazane abaningi abakhulelwe musa bafune usizo lobuchwepheshe, enethemba lokuthi kwangemva kokubeletha glucose ezingeni uzokwehla by uqobo. Abaqapheli ukuthi kuyingozi ngempela ushukela komfutho ngesikhathi sokukhulelwa. Imiphumela sikashukela sokukhulelwa kungadabukisa kakhulu. Abesifazane ushukela komfutho kwandisa ingozi ngokujoyina preeclampsia (isimo libhekene edema futhi umfutho wegazi ophakeme esikhathini sokukhulelwa sekwephuzile). Ngaphezu kwalokho, kwandisa amathuba yezinkinga e nezinso uhlelo urinary. Ungakhohlwa ukuthi lokuzalwa e abesifazane sikashukela ngokuvamile zenzeka ekuqaleni.

Kusho sikashukela libuthinta kanjani umbungu?

Amazinga aphakeme kashukela komama kuthinta isimo somntwana. I eziyinkimbinkimbi izimpawu ukuthi ukuthuthukisa lapho sokukhulelwa libizwa fetopathy sikashukela. Lapho kuzalwa umntwana lo zokugula zinkulu kakhulu, ezingaphezu kuka-4.5 kg. Kodwa eziningi isisindo akusho ukuthi ingane bayoba nemphilo lenhle. Kunalokho, kumuntu ophethwe yisifo sikashukela fetopathy lag isici ekuthuthukisweni ngokomzimba. Ngenxa yokushoda surfactant (ikhemikhali kwenza kube lula ukuvula ngesikhathi sokuzalwa) e usana imakwe kwempilo zokuphefumula. Isikhathi esining impela ukuthuthukisa i-jaundice sokugembula, futhi ezihlukahlukene iziyaluyalu zezinzwa.

Ukwelashwa nokuvikelwa sokukhulelwa ngifundise ngesifo sikashukela

Omama abaningi abalindele bayesaba ukuthola ushukela komfutho ngesikhathi sokukhulelwa. Okufanele ukwenze uma kwenzeka izinkinga ezinjalo? Okokuqala, owesifazane kufanele uthintane onguchwepheshe. I endocrinology izobheka isimo sikamama okhulelwe futhi kuncike ngobucayi isifo linqume ukwelashwa kudingekile.

Ezimweni eziningi, amaqhinga abesifazane abakhulelwe abanesifo sikashukela kuyehla kube ushintsho ekudleni. I ukuzinza insulin amazinga egazini kungabi nesidingo wezikhali esindayo ngesimo hormone. Ukudla ushukela komfutho ngesikhathi sokukhulelwa kuhlanganisa le migomo elandelayo:

• isabelo nsuku zonke lihlukaniswe emkhatsini amaprotheni, ama-carbohydrate namafutha ezinhlamvu isilinganiso 20-25%, 35-40% kuya ku-35% ngokulandelana.

• Phakathi naso sonke isikhathi sokukhulelwa kuveza ukwehla kancane kancane engayitholi caloric ukuze 25-30 kcal 1 kg isisindo.

• Kusukela ukusetshenziswa nsuku zonke akubandakanyi noma yiphi carbohydrate siyagwinyeka (ikakhulukazi amaswidi).

Kuleso simo, uma usebenzisa Ukudla babodvwa ngeke bakhone kuholele amazinga evamile kashukela, abesifazane abakhulelwe kuyabekwa insulini. Ukukhetha umthamo wenza endocrinology. Wabuye uqaphe umama esizayo phakathi nayo yonke inkathi sokukhulelwa futhi sishintsha umthamo azabele izidakamizwa uma kunesidingo.

ezosizo oluphuthumayo sikashukela

Phakathi nenkathi yokukhulelwa, bonke abesifazane onesifo sikashukela, kunconywa ukuthenga imitha kwegazi glucose siqu. Lesi sidakamizwa ungakwazi ngasiphi isikhathi hlola amazinga kashukela egazini egazini neuropathy uzothatha izinyathelo ezidingekayo ngesikhathi ushintsho yayo. sikashukela sokukhulelwa kuyingozi hhayi kuphela ekwandeni lokuhlushwa glucose, kodwa ukwehla lwayo olucijile. isimo esinjalo esongelwa ubuthakathaka okungazelelwe, nokulahlekelwa ukwazi ngisho equlekile.

Indlela ukukhulisa ushukela wakho igazi ekukhulelweni, ukuthi kuqinisekisiwe ukuba sigweme imiphumela engasi mihle sikashukela? Kufanele ukhumbule ukuthi isimo sakhe ka isiyezi kanye ubuthakathaka kukhona izimpawu zokugula okungathí sina okudinga usizo olusheshayo. Ngesikhathi izimpawu zokuqala falling glucose umama okhulelwe Kunconywa ngokushesha ukudla okumnandi. Lokhu kungaba candy, ilele phansi esikhwameni icala noma ucezu ushokoledi. Ukuze sigweme isimo esinjalo, owesifazane okhulelwe kufanele adle kahle, ungakhohlwa afake ekudleni kwakho akuyona kuphela esiphundu, kodwa futhi imikhiqizo ewusizo.

sikashukela sokukhulelwa ezimweni eziningi ngokuzimela amuke emva kokubeletha. Akufanele yini uphumule - e abesifazane abaye zabhekana lokhu zokugula ngesikhathi sokukhulelwa kakhulu kwandisa amathuba okuthi sikashukela kweqiniso. Ukuze kuvikelwe lo isifo esiyingozi Kunconywa ukuba aphinde acabange ekudleni kwakho, wandise umzimba zokuqapha njalo amazinga igazi glucose. Ukuhambisana nale mithetho kuzosiza ukuba owesifazane uqaphela ngeziphambeko isimo sezempilo kanye sithathe izinyathelo ezidingekile ukuqeda izimpawu ezingezinhle.