Ngaba ukhulelwe? Ngoko ke kufuneka wazi ngolu vavanyo lweswekile (Uvavanyo Lokunyamezela Iswekile Ngomlomo)!

Xa ulindele ukuba ngumama, kufuneka ukhathalele impilo yakho neyengane yakho, akunjalo? Ngoko ke, imeko abanye oomama abanokuyifumana ngexesha lokukhulelwa ibizwa ngokuba yi -gestational diabetes . Oku kuthetha ukuba inqanaba leswekile egazini liyanyuka kancinci. Ukuze kuchongwe oku, oogqirha bakucela ukuba wenze uvavanyo lweswekile. Namhlanje, siza kuthetha ngezi mvavanyo ngokulula.

Zeziphi ezi vavanyo zeswekile ezenziwa ngexesha lokukhulelwa? Kutheni zibalulekile?

Ngamafutshane, ezi mvavanyo zijonga ukuba amanqanaba eswekile yegazi lakho (iglucose) aphezulu na kunesiqhelo ngexesha lokukhulelwa. Malunga ne-10% yabasetyhini abakhulelweyo bafumana isifo seswekile sokukhulelwa . Ukuba asilawulwa kakuhle, sinokubangela iingxaki ezinkulu kuwe nakumntwana wakho. Yiyo loo nto olu vavanyo lubaluleke kangaka.

Ngoku, khangela, kukho iintlobo ezimbini zovavanyo ugqirha wakho anokucela ukuba uzenze:

1. Uvavanyo lweGlucose Challenge - Olu luvavanyo lokuqala nolusisiseko.

2. Uvavanyo Lokunyamezela Iswekile Yegazi - Ukuba iziphumo zovavanyo lokuqala aziqhelekanga, olu lolona lulandelayo ekufuneka lwenziwe.

Umahluko ophambili kukuba elokuqala lijonga ukuba usemngciphekweni wokuba nesifo seswekile sokukhulelwa. Alitsho ngqo ukuthi "ewe, unayo" . Ukuba iziphumo aziqhelekanga, ugqirha uza kukuthumela kuvavanyo lwesibini. Olo vavanyo lwesibini lulo oluqinisekisa ukuxilongwa. Kuzo zombini iimvavanyo, unikwa ulwelo olumnandi ukuba ulusele uze emva koko kuthathwe igazi elincinci kumthambo osengalweni yakho.

Inyathelo lokuqala: Uvavanyo lweGlucose Challenge

Olu luvavanyo lokuqala lokuhlola . Lujonga ukuba usemngciphekweni omkhulu wokuba nesifo seswekile sokukhulelwa. Le yinto eyenziwa rhoqo ngexesha lokunyamekela kwakho ukukhulelwa. Musa ukoyika ukuba iziphumo aziqhelekanga. Akuthethi ukuba unesifo seswekile sokukhulelwa. Kuthetha nje ukuba ugqirha uthi, "Kulungile, masijonge nzulu kancinci," kwaye ukubhekisa kuvavanyo lwesibini oluqinisekisayo (uVavanyo lokunyamezela iGlucose). Olu vavanyo lokuqala lukwabizwa ngokuba:

• Ukuhlolwa kweglucose
• Ukuhlolwa kwesifo seswekile sokukhulelwa
• Uvavanyo lwe-glucose oluthatha iyure enye

Nangona kunjalo, eyona nto ibalulekileyo kukuba olu luvavanyo olusisiseko . Ukuba iziphumo ziqhelekile, akuyi kufuneka ezinye iimvavanyo.

Inyathelo lesibini nelibalulekileyo: uvavanyo lokunyamezela i-glucose.

Olu luvavanyo lokuxilonga oluqinisekisa ukuba unesifo seswekile sokukhulelwa okanye awunaso . Luthatha malunga neeyure ezintathu. Kwakhona, luchanekileIgazi litsalwa izihlandlo ezininzi ngexesha. Oku kunzima kancinci, kuba kufuneka uzile ukutya iiyure ezimbalwa ngaphambi kokuba ulale. Oku ngamanye amaxesha kubizwa ngokuba "luvavanyo lwe-glucose lweeyure ezintathu."

Olu vavanyo lwe-glucose challenge lwenziwa nini ngexesha lokukhulelwa?

Uvavanyo lwesifo seswekile sokukhulelwa ludla ngokwenziwa phakathi kweeveki ezingama-24 nezingama-28 zokukhulelwa . Nangona kunjalo, ugqirha wakho unokucebisa ukuba wenze olu vavanyo kwangethuba ukuba unezinye zezi zinto zilandelayo zomngcipheko:

• Ukuba ubunesifo seswekile ngexesha lokukhulelwa kwangaphambili.
• Ukuba ufumanisa ukuba kukho iswekile kumchamo wakho kwikliniki yokukhulelwa.
• Ukuba kukho umntu kusapho (njengomama, utata, abantakwabo noodadewabo) onesifo seswekile.
• Ukuba utyebile kakhulu .
• Ukuba une- high blood pressure .
• Ukuba uneminyaka engaphezu kwama-35 ubudala.
• Ukuba unemeko efana ne-`(PCOS - Polycystic Ovary Syndrome)` okanye enye imeko yezonyango eyonyusa umngcipheko wakho wokuba nesifo seswekile.

Ndingazilungiselela njani uvavanyo lwe-glucose ngeyure?

Enyanisweni, akukho mfuneko yokulungiselela uvavanyo lwe-glucose ngeli xesha. Oogqirha abaninzi bacebisa ukuba baphephe ukutya okuneswekile eninzi (umz., iipancakes, iidonathi, okanye iziselo ezineswekile) kwisidlo sakusasa. Ukuba uvavanya emva kwemini, khumbula ukuba ukutya iswekile eninzi ngexesha lesidlo sasemini kunokuchaphazela iziphumo.

Ndingatya ngaphambi kovavanyo lokuhlolwa kweglucose?

Ewe, ungatya ngendlela eqhelekileyo uze uye kuvavanya i-glucose. Akukho mfuneko yokuzila ukutya.

Yintoni onokuyilindela ngomhla wovavanyo lokuhlolwa?

Ngomhla wovavanyo, landela imiyalelo oyinikwe ngugqirha wakho okanye ilebhu ngokuchanekileyo. Yazi kakuhle apho uya khona nokuba uyayidinga na idinga.

Olu vavanyo lweglucose lwenziwa njani ngexesha lokukhulelwa?

Nantsi into eyenzekayo:

1. Okokuqala, uza kunikwa ulwelo olumnandi (olubizwa ngokuba yi-"Glucola") ukuze ulusele. Olu luqulathe malunga ne-50 grams yeglucose (uhlobo lweswekile). Kufuneka ulusele ngokukhawuleza kwimizuzu emihlanu.

2. Emva kweyure enye (imizuzu engama-60) emva kokuyisela, kuya kuthathwa isampuli yegazi kumthambo osengalweni yakho.

3. Olu vavanyo lwegazi lujonga indlela umzimba wakho oyisebenzise ngayo loo mxube weglucose.

Kubalulekile: Akufanele utye okanye usele nantoni na ukususela ngexesha usela ulwelo lwe-`(Glucola)` de unikele ngegazi. Ngokuqhelekileyo kulungile ukusela amanzi amancinci.

Ukuba nje inqanaba leswekile yakho egazini liphezulu kancinci kunesiqhelo emva kweyure enye akuthethi ukuba unesifo seswekile sokukhulelwa. Oko kuthetha ukuba ugqirha wakho uza kukucela ukuba wenze uvavanyo lwesibini oluqinisekisa ukunyamezela iswekile.

Ungayilungiselela njani uvavanyo lokunyamezela i-glucose?

Ukuba iziphumo zakho zokuqala zovavanyo lwe-glucose aziqhelekanga (oko kukuthi, "aziphumelelanga"), ugqirha wakho uya kuyalela olu vavanyo lwesibini ukuqinisekisa isifo seswekile sokukhulelwa. Oku kufana novavanyo lokuqala, kodwa kuthatha ixesha elide kwaye kufuna ukutsalwa kwegazi izihlandlo ezininzi .

Ukuze ulungiselele oku, ugqirha wakho uza kukunika imiyalelo ekhethekileyo yokutya. Eminye yayo yile:

• Yitya ubuncinane iigram ezili-150 zeecarbohydrate ngosuku kangangeentsuku ezintathu ngaphambi kovavanyo (iicarbohydrate kukutya okunesitatshi okufana nerayisi, isonka kunye neetapile).
• Akufanele utye okanye usele nantoni na kangangeeyure ezisi-8 ukuya kwezili-12 ngaphambi kovavanyo (kufuneka uzile ukutya). Ngokuqhelekileyo kulungile ukusela iingqayi ezimbalwa zamanzi kusasa lovavanyo.
• Kungcono ukwenza uvavanyo kusasa.

Khumbula: Nokuba "ungaphumeleli" uvavanyo lokuqala lwe-glucose, usenokuphumelela olu `(Uvavanyo Lokunyamezela I-glucose)`. Ngoko ungakhathazeki.

Uvavanyo lokunyamezela i-glucose lwenziwa njani ngexesha lokukhulelwa?

Ngokungafaniyo novavanyo lokuhlola iswekile, inyathelo lokuqala kolu vavanyo lokunyamezela iswekile oluthatha iiyure ezintathu kukungaseli ulwelo olunencasa.

1. Okokuqala, ingcali ye-phlebotomist iza kuthatha igazi elincinci ukujonga inqanaba le-glucose egazini lakho lokuzila . Oku kwenziwa ngelixa ungatyanga okanye usele nantoni na.

2. Emva koko, uza kunikwa ulwelo olumnandi (`(Glucola)`) oluqulethe iigram ezili-100 zeglucose ukuze ulusele ngokukhawuleza kwimizuzu emihlanu.

3. Igazi lakho liza kutsalwa emva kweyure enye, iiyure ezimbini, kunye neeyure ezintathu emva kokuba ugqibile ukusela olu lwelo. Oko kuthetha ukuba uza kunika igazi izihlandlo ezine, kuquka nelokuqala.

Awuyi kuvunyelwa ukuba uphume kwilabhoratri ude ufumane isampuli yegazi elandelayo. Ngoko ke ungabi ndlongondlongo ukuzisa into yokufunda, njengencwadi okanye imagazini. Uya kunikwa amanzi ambalwa ngexesha lovavanyo. Nangona kunjalo, awuyi kuvunyelwa ukuba utye nantoni na de ufumane isampuli yegazi yokugqibela.

Olu vavanyo lweglucose luthatha ixesha elingakanani?

Ukuhlolwa kweglucose kuthatha ixesha elingaphezulu kweyure.

Uvavanyo lokunyamezela i-glucose luthatha ngaphezulu kweeyure ezintathu.

Ndingasela amanzi ngexesha lovavanyo lokunyamezela i-glucose?

Uninzi loogqirha baya kukuvumela ukuba usele iingqayi ezimbalwa zamanzi ngexesha lovavanyo lweeyure ezintathu, kodwa kungcono ubuze ugqirha wakho okanye elebhu ukuze ufumane iinkcukacha ezithile.

Ngaba kukho naziphi na iziphumo ebezingalindelekanga zokusela ulwelo oluneswekile ngexesha lovavanyo?

Uninzi lwabantu alufumani ziphumo ebezingalindelekanga. Abanye abantu bathi baziva benesicaphucaphu okanye benesiyezi emva kokusela. Nangona kunjalo, iziphumo ebezingalindelekanga ezibi azifumaneki rhoqo. Incasa yolwelo lweglucose inokuba nencasa efana nejusi yeorenji emnandi kakhulu okanye i-carbonated soda kwabanye abantu. Oku kusenokubacaphukisa abanye.

Kuthatha ixesha elingakanani ukwazi iziphumo zovavanyo lwesifo seswekile sokukhulelwa?

Uninzi lwabantu lufumana iziphumo zovavanyo lwesifo seswekile sokukhulelwa kungekapheli usuku okanye ezimbini. Buza ugqirha wakho ukuba ungalindela nini iziphumo.

Zithini ixabiso eliqhelekileyo lovavanyo lwe-glucose ngeyure?

Ukuba inqanaba leswekile egazini lakho lingaphantsi kwe -140 mg/dL (ii-milligrams nge-deciliter), kuyinto eqhelekileyo. Akufuneki olunye uvavanyo lwesifo seswekile sokukhulelwa.

Ukuba inqanaba leswekile egazini lakho liyi-140 mg/dL okanye ngaphezulu, ugqirha wakho uya kuyalela uvavanyo lokunyamezela iswekile oluthatha iiyure ezintathu.

Nceda uqaphele: Onke ugqirha kunye nelebhu zahlukile, ngoko ke amaxabiso aqhelekileyo anokwahluka kancinci. Umzekelo, abanye oogqirha bacinga ukuba nantoni na engaphezulu kwe-135 mg/dL ayiqhelekanga.

Zithini ixabiso eliqhelekileyo lovavanyo lweglucose lweeyure ezintathu ngexesha lokukhulelwa?

Ngexesha leeyure ezintathu ze-"Glucose Tolerance Test":

• Amanqanaba eswekile egazini lokuzila ukutya kufuneka abe ngaphantsi kwama-95 mg/dL.
• Emva kweyure enye usele isicombululo sobusi, amanqanaba eswekile egazini kufuneka abe ngaphantsi kwe-180 mg/dL.
• Emva kweeyure ezimbini , amanqanaba eswekile egazini kufuneka abe ngaphantsi kwe-155 mg/dL.
• Emva kweeyure ezintathu , amanqanaba eswekile egazini kufuneka abe ngaphantsi kwe-140 mg/dL.

Khumbula ukuba amaxabiso aqhelekileyo asetyenziswa ngugqirha wakho anokwahluka kancinci. Ngokubanzi, ukuba ubuncinane iziphumo zakho ezimbini ziphezulu, ugqirha wakho uya kukufumanisa ukuba unesifo seswekile sokukhulelwa. Ukuba isiphumo esinye kuphela siphezulu, unokucelwa ukuba uphinde uvavanye kwakhona kwiiveki ezimbalwa.

Qonda iziphumo zovavanyo lwakho lwe-glucose kwaye uxoxe ngayo nayiphi na imibuzo onokuba nayo nogqirha wakho.

Kuza kwenzeka ntoni ukuba "ndiyasilela" kuvavanyo lwe-glucose lweeyure ezintathu?

Ukuba "uyasilela" uvavanyo lwe-glucose lweeyure ezintathu, oko kuthetha ukuba amanqanaba eswekile egazini lakho aphezulu kunesiqhelo, ugqirha wakho uya kukuxelela ukuba unesifo seswekile sokukhulelwa . Izinto eziphambili onokuzenza ukunyanga isifo seswekile ngexesha lokukhulelwa kukwenza utshintsho kwindlela otya ngayo kwaye usebenzise i-blood glucose meter ukujonga amanqanaba eswekile egazini lakho ngamaxesha aqhelekileyo emini. I-blood glucose meter yimatshini encinci elinganisa amanqanaba eswekile egazini lakho ukusuka kwithontsi legazi lakho. Ukuba ukutya kuphela akwanelanga, unokufuna i-insulin ukunceda ukulawula isifo seswekile sakho sokukhulelwa. Ugqirha wakho okanye ingcali yokutya inokukunceda ukulawula amanqanaba eswekile egazini lakho ngexesha lokukhulelwa kwakho. Ungakhathazeki, uninzi loomama lulawula oku kakuhle.

Ndingalandula olu vavanyo lovavanyo lwe-glucose ngexesha lokukhulelwa?

Ewe, unelungelo elisemthethweni lokwala olu vavanyo lwe-glucose. Nangona kunjalo, phantse yonke imibutho emikhulu yezonyango kunye nababoneleli ngononophelo lwangaphambi kokukhulelwa kwihlabathi bacebisa ukuba ufumane olu vavanyo ukuba ukhulelwe. Oku kungenxa yokuba olu vavanyo lwe-glucose yeyona ndlela yokwazi ukuba unesifo seswekile sokukhulelwa. Ukuba asinyangwa, isifo seswekile sokukhulelwa sinokubangela iingxaki kuwe nakumntwana wakho.

Kutheni olu vavanyo lweglucose luyimfuneko ngexesha lokukhulelwa?

Olu vavanyo lweglucose lunceda ugqirha wakho ukuba afumanise ukuba unesifo seswekile sokukhulelwa na. Ukuba unesifo seswekile ngexesha lokukhulelwa, kubaluleke kakhulu ukulawula amanqanaba eswekile egazini lakho. Ukuba asinyangwa, isifo seswekile sinokubangela iingxaki ezinkulu. Ezinye zezi ziquka:

• I-Preeclampsia (uxinzelelo lwegazi oluphezulu ngexesha lokukhulelwa).
• Ubunzima bomntwana buyanda (ukuzala umntwana omkhulu) , nto leyo eyonyusa umngcipheko wokuba umntwana abe neengxaki ngexesha lokuzalwa okanye atyandwe ngotyando lwe-C-section.
• I-Hypoglycemia (iswekile ephantsi egazini) kumntwana emva kokuzalwa.
• Umntwana wakho usemngciphekweni omkhulu wokuba nesifo seswekile sohlobo lwesibini ebomini bakhe .

Ngaba kukho into onokuyenza ukuze "uphumelele" uvavanyo lwakho lwe-glucose lokukhulelwa?

Enyanisweni, indlela umzimba wakho osebenzisa ngayo i-glucose ngexesha lokukhulelwa ayinakulawulwa nguwe. Nangona kunjalo, ukutya ukutya okuneswekile, okunencasa kunye neziselo ngaphambi kovavanyo lwakho lokuhlolwa kunokuchaphazela iziphumo zakho. Oku kuquka izinto ezifana nesonka, ipasta, iikeyiki, iicereal ezineswekile, iijusi kunye neziselo ezineswekile. Ukuba ufuna "ukuphumelela" uvavanyo lwakho lokuhlolwa kwe-glucose, kungcono ukuba ungangeni kwezi zinto zokutya neziselo kangangoko kunokwenzeka kangangeentsuku ezimbalwa ngaphambi kovavanyo. Ukutya ukutya okunesondlo yeyona nto ibalulekileyo.

Okokugqibela, khumbula oku (Umyalezo Wokuya Ekhaya)

Olu vavanyo lokuhlola isifo seswekile sokukhulelwa lolunye nje lovavanyo oluninzi oluya kuba nalo ngexesha lokukhulelwa kwakho. Ngenxa yokuba isifo seswekile esingalawulekiyo sinokubangela iingxaki kuwe nakumntwana wakho , ngoku siyinxalenye eqhelekileyo yokhathalelo lwangaphambi kokukhulelwa. Uvavanyo lweswekile lulula, alunantlungu kangako. Lubandakanya ukusela ulwelo oluneswekile kunye nokuba negazi elincinci elithathwe kumthambo osengalweni yakho ngamaxesha athile. Ukuba umzimba wakho awusebenzisi iswekile ngokufanelekileyo, amanqanaba eswekile egazini lakho anokunyuka okanye angaqhelekanga.

Thetha nogqirha wakho ukuze uqonde kakuhle ukuba olu vavanyo lweglucose luyintoni, kufuneka lwenziwe nini, kwaye kufuneka uye phi. Emva koko unokuyiqonda ngcono le nkqubo. Ungakhathazeki, konke oku kwenzelwa impilo entle yakho kunye nomntwana wakho othandekayo.

Ukukhulelwa , isifo seswekile, uvavanyo lweswekile, isifo seswekile sokukhulelwa, uvavanyo lweswekile, impilo yokukhulelwa, impilo yomntwana