Ngaba ungaba nomntwana osempilweni nokuba unesifo seswekile? (Isifo seswekile xa ukhulelwe) Makhe sithethe ngale nto!

Molo! Ukuba ulindele umntwana kule mihla, ingakumbi ukuba unesifo seswekile, mhlawumbi unemibuzo emininzi kunye noloyiko engqondweni yakho, akunjalo? "Owu, ngaba kuya kubakho iingxaki ngomntwana xa ndinesifo seswekile?" "Ngaba oku kuya kulawulwa ngokufanelekileyo?" Usenokuba ucinga izinto ezinjalo. Ungakhathazeki, awuwedwa. Oomama abaninzi bajongene nale meko. Eyona nto ibalulekileyo kukuba ngokuqonda okufanelekileyo kunye nokulandela iingcebiso zonyango, nawe unokuba nomntwana ophilileyo. Masithethe ngale nto ngokweenkcukacha ezithe vetshe, akunjalo?

Isifo seswekile sichaphazela njani ukukhulelwa?

Ngamafutshane, ukuba unesifo seswekile sohlobo 1 okanye sohlobo 2 ngaphambi kokuba ukhulelwe, sibizwa ngokuba "sisifo seswekile sangaphambi kokukhulelwa." Oku kwahlukile kwisifo seswekile sokukhulelwa, esikhula ngexesha lokukhulelwa. Isifo seswekile sokukhulelwa sidla ngokunyamalala emva kokuba ukhulelwe.

Ukuba sele unesifo seswekile, ukulawula amanqanaba eswekile egazini lakho ngexesha lokukhulelwa kunokuba nzima kancinci. Uyazi ukuba yintoni? Ngexesha lokukhulelwa, iihomoni zethu zitshintsha kakhulu. Ngolo tshintsho, kunokufuneka utshintshe ukutya kwakho, umthambo, kwanamayeza akho. Rhoqo, esi sicwangciso sokulawula isifo seswekile kuya kufuneka sitshintshwe amaxesha amaninzi de kube lusuku lokuzalwa komntwana wakho. Ke ngoko, kubaluleke kakhulu ukuthetha neqela lakho lezonyango rhoqo kwaye ubaxelele ngemeko yakho. Kulapho kuphela apho banokugqiba khona ukuba loluphi unyango olufunayo kunye nokuba kufuneka lutshintshwe na.

Kodwa khumbula oku, ukuba nesifo seswekile akuthethi ukuba awunakuba nomntwana ophilileyo. Kunzima kancinci, kodwa akunakwenzeka. Iqela lakho lezonyango likhona ukukunceda.

Ngaba isifo seswekile sohlobo loku-1 sisifo esinobungozi kakhulu sokukhulelwa?

Ewe, isifo seswekile sohlobo loku-1 kunye nesifo seswekile sohlobo lwe-2 ziyandisa umngcipheko weengxaki ngexesha lokukhulelwa. Ke ngoko, ugqirha wakho wokubelekisa uza kujonga impilo yomntwana wakho kunye namanqanaba eswekile egazini lakho ngexesha lokukhulelwa kwakho ukuqinisekisa ukuba ugcina inqanaba elisempilweni. Ukuba amanqanaba eswekile egazini lakho ahlala ephezulu kakhulu okanye esezantsi kakhulu, kunokuba yingozi kwaye kukhokelele kwiingxaki.

Uhlala usebenza nengcali yamayeza oomama abakhulelweyo (i-MFM). Ukongeza kwingcali yakho yokubelekisa, iqela lakho lezonyango lingabandakanya:

• Ingcali ye-Endocrinologist: Ingcali kwizifo ezinxulumene namahomoni.
• Ingcali yokutya ebhalisiweyo: Umntu onokunceda ekulawuleni isifo seswekile aze anike isikhokelo malunga nokutya okunempilo ngexesha lokukhulelwa.
• Umfundisi-ntsapho wesifo seswekile: Ingcali enoqeqesho olunzulu nolwazi lokulawula isifo seswekile.

Umntu onesifo seswekile angakulungiselela njani ukukhulelwa?

Ukuba unesifo seswekile kwaye uzama ukuba nomntwana, into yokuqala omawuyenze kukuthetha nogqirha wakho. Kungcono ukuthetha ngale nto malunga neenyanga ezintandathu ngaphambi kokuba uqale ukuzama ukuba nomntwana.

Kubalulekile ukulawula amanqanaba eswekile egazini lakho ngaphambi kokuba ukhulelwe. Injongo ngexesha lokukhulelwa kukugcina amanqanaba eswekile egazini lakho ekwinqanaba elincinci kakhulu. Kunokuba nzima nangakumbi ukugcina oku emva kokuba ukhulelwe.

Izikhokelo ezininzi zicebisa ukuba i-A1C yakho ihlale kwi-6.5% okanye ngaphantsi ngaphambi kokuba ukhulelwe . Oku kukunciphisa umngcipheko weengxaki. Ubusazi? Izitho zomntwana kunye nezinye izicubu ezibalulekileyo ziqala ukwakheka ngexesha le-trimester yokuqala yokukhulelwa. Ukuba amanqanaba eswekile egazini lakho ahlala ephezulu ngelo xesha, oku kunokuchaphazela ukukhula komntwana.

Ukudibana neqela lakho lezonyango ngaphambi kokuba uzame ukuba nomntwana kunezi zibonelelo zilandelayo:

• Oogqirha banokucebisa iindlela zokunceda ukunyusa amanqanaba eswekile egazini lakho ukuya kwinqanaba elisempilweni.
• Ingcali yesondlo ingakunceda wenze izicwangciso zokutya ezifanelekileyo ekulawuleni ukukhulelwa kunye nesifo seswekile.
• Kusenokufuneka utshintshe amayeza akho esifo seswekile emva kokuba ukhulelwe.
• Usenokukwazi ukuqhela ukusebenzisa ubuchwepheshe obutsha besifo seswekile (umzekelo, i-continuous glucose monitor - i-CGM) enokuba luncedo kakhulu ngexesha lokukhulelwa.
• Ugqirha wakho unokucebisa ukuba uhlolwe amehlo akho (umngcipheko we-retinopathy), izintso (umngcipheko we-nephropathy), kunye nentliziyo yakho ngaphambi kokuba ukhulelwe, njengoko ukukhulelwa ngamanye amaxesha kunokuba mandundu okanye kubangele iingxaki ezintsha ezibangelwa sisifo seswekile.

Ulawulo lwam lwesifo seswekile luza kutshintsha njani ngexesha lokukhulelwa?

Kukho izinto ezibalulekileyo ezichaphazela indlela olawula ngayo isifo seswekile ngexesha lokukhulelwa:

• Imfuneko yokugcina amanqanaba eglucose egazini ekwinqanaba elincinci ukunciphisa umngcipheko weengxaki zokukhulelwa.
• Ukulungelelanisa utshintsho kwiimfuno ze-insulin.
• Ukulawula iimfuno zesondlo ngexesha lokukhulelwa ngokugcina amanqanaba eswekile egazini elungeleleneyo.

Iinjongo zeswekile yegazi ngexesha lokukhulelwa onesifo seswekile

Ngokwesiqhelo, iinjongo zeswekile yegazi kumama abakhulelweyo abanesifo seswekile zezi zilandelayo:

• Ukuzila ukutya: Ngaphantsi kwe-95 mg/dL
• Iyure enye emva kokutya: Ngaphantsi kwe-140 mg/dL
• Emva kweeyure ezimbini: ngaphantsi kwe-120 mg/dL

Ngamanye amazwi, ezi njongo zinokuthathwa njenge-'time in range (TIR)'. Ngokubanzi, iinjongo ze-'TIR' zabantu abadala abanesifo seswekile se-'Type 1' ngexesha lokukhulelwa zezi:

• Ubuncinane i-70% yexesha phakathi kwe-63 kunye ne-140 mg/dL (ngaphakathi koluhlu olujoliswe kulo)
• Ngaphantsi kwe-5% yexesha elingaphantsi kwe-63 mg/dL
• Ngaphantsi kwama-25% exesha elingaphezulu kwe-140 mg/dL

Uninzi lwezikhokelo zicetyiswa ngexesha lokukhulelwaUkugcina ixabiso le-`A1C` lingaphantsi kwe-6% kunokunciphisa umngcipheko weengxaki.

Ngenxa yezi njongo zingqongqo, ugqirha wakho unokucebisa ukuba usebenzise i-continuous glucose monitor (CGM) ngexesha lokukhulelwa. Endaweni yokusebenzisa ii-fingersticks, i-CGM ikunika umfanekiso ongcono wendlela amanqanaba akho e-glucose atshintsha ngayo ngokuhamba kwexesha, okwenza kube lula ukwenza utshintsho olufanelekileyo kulawulo lwakho lwesifo seswekile.

Ukuze ugcine olu luhlu lweswekile egazini luncinci, kuya kufuneka ulandele iindlela ezininzi:

• Bala ngononophelo ubungakanani beecarbohydrates ekutyeni kwakho nakwizinto zokutya okulula.
• Ukuthatha i-insulin imizuzu eli-10-15 ngaphambi kokutya (okanye kwangaphambi koko).
• Ukusebenzisa umthambo ukulawula amanqanaba eswekile egazini.

Ugqirha wakho uza kuthetha nawe ngezi ndlela kunye nezinye iindlela.

Ukutshintsha iimfuno ze-insulin ngexesha lokukhulelwa

Lindela ukuba i-insulin yakho itshintshe rhoqo ngexesha lokukhulelwa. Oku kungenxa yeehomoni ezahlukeneyo emzimbeni wakho. Njengokuba isifo seswekile sichaphazela wonke umntu ngokwahlukileyo, nokukhulelwa kukwanjalo. Ke ngoko, kubalulekile ukusebenzisana ngokusondeleyo neqela lakho lezonyango ukuze wenze naluphi na utshintsho olufunekayo kwisicwangciso sakho sokulawula isifo seswekile. Olu tshintsho luya kuba lolwahlukileyo kuwe nakwiimfuno zakho.

Ukuba unesifo seswekile sohlobo loku-1, kuqhelekile ukuba ufune i-insulin encinci kwi-trimester yokuqala – kodwa ayinguye wonke umntu onayo. Malunga neveki ye-16 yokukhulelwa, isidingo se-insulin siqala ukwanda. Oku kungenxa yokuba i-placenta ivelisa iihomoni ezonyusa ukuxhathisa i-insulin. Oku kwenzeka kuzo zonke iimkhulelweyo, kungekuphela nje kwabo banesifo seswekile.

Kusenokwenzeka ukuba uza kufuna i-insulin engaphezulu kude kube yiveki yama-36 okanye yama-37 yokukhulelwa. Ngelo xesha, ukumelana ne-insulin kudla ngokuzinza. Abantu abaninzi banokufuna umlinganiselo we-insulin ophindwe kabini okanye kathathu ababewuthathile ngaphambi kokukhulelwa.

Uza kusebenzisana nogqirha wakho ukwenza naluphi na utshintsho olufunekayo kwi-insulin ngexesha lokukhulelwa. Oku kungabandakanya:

• I-insulin yakho ye-`basal` okanye esebenza ixesha elide (yangasemva) (`i-insulin esebenza ixesha elide`)
• Umlinganiselo we-insulin-to-carb (ICR)
• Into ebangela uvakalelo kwi-insulin (ISF)

Okubalulekileyo kukuba, xa i-placenta iphumile, iimfuno zakho ze-insulin ziya kwehla kakhulu. Kwimizuzu engama-30 emva kokuba i-placenta iphumile, iimfuno zakho ze-insulin ziya kubuyela kumanqanaba azo ngaphambi kokukhulelwa - okanye nangaphantsi. Ugqirha wakho uza kuthetha nawe malunga nendlela yokulungisa inkqubo yakho ye-insulin emva kokubeleka. Kubalulekile ukuba nesicwangciso sale nto.

Isifo seswekile kunye neemfuno zokutya ngexesha lokukhulelwa

Ukutya okufanelekileyo kubaluleke kakhulu ekukhulelweni okunempilo. Ukulinganisela iimfuno zesondlo zokukhulelwa kunye nokugcina izinga leswekile egazini lincinci kunokuba nzima kancinci. Ukuba unesicaphucaphu kunye/okanye ukuhlanza ngexesha lokukhulelwa, kunokuba nzima nangakumbi.

Ingcali yokutya ebhalisiweyo egxile kubafazi abakhulelweyo abanesifo seswekile ingakunceda wenze isicwangciso sokutya. Baza kukukhokela kubungakanani be-'macronutrients' (izakhamzimba eziphambili) - oko kukuthi, 'iicarbohydrate' (iicarbohydrate), 'iiproteni' (iiproteni) kunye 'namafutha okutya' (amafutha okutya) - omele utye yonke imihla. Iingcebiso zabo zinokwahluka kwiingcebiso eziqhelekileyo zabasetyhini abakhulelweyo abangenaso isifo seswekile. Baza kucebisa nokutya kunye nezidlo ezincinci ezinomlinganiselo we-'macronutrients' ukunceda ukugcina amanqanaba eswekile egazini ezinzile.

Ulawulo lwesifo seswekile sohlobo 1 ngexesha lokukhulelwa

Abantu abaninzi abanesifo seswekile sohlobo loku-1 bafumanisa ukuba iimfuno zabo ze-insulin zitshintsha rhoqo - ngokuqhelekileyo iveki neveki - ngexesha lokukhulelwa. Ukuhlala ujonge amanqanaba eglucose yakho kunye nokuchonga iindlela ezisetyenziswayo kunokukunceda wena nogqirha wakho nenze utshintsho olufanelekileyo kwisicwangciso sakho sonyango.

Ukuba uthatha iinaliti ezininzi zemihla ngemihla (ii-MDI), ugqirha wakho unokucebisa ukuba utshintshele kwi-insulin pump ukuze ikunike ukuguquguquka ngakumbi ekulungiseni useto lwakho lwe-insulin. Nangona kunjalo, usenokukhulelwa okunempilo nge-MDI. Ukuba ubuthatha amanye amayeza ngaphambi kokuba ukhulelwe, qiniseka ukuba uxoxa ngokuba ungaqhubeka nokusebenzisa loo mayeza ngexesha lokukhulelwa.

Njengesiqhelo, kubalulekile ukulawula iswekile ephezulu yegazi kunye namanqanaba aphantsi eswekile egazini ngokukhawuleza. Ukuba ufumana iswekile ephezulu okanye ephantsi rhoqo, thetha nogqirha wakho.

Ukulawula iSifo seswekile sohlobo lwesibini ngexesha lokukhulelwa

Uninzi lwamayeza asetyenziswa ngomlomo kunye neenaliti ezingeyo-insulin zesifo seswekile sohlobo lwesibini azifanelekanga ukusetyenziswa ngexesha lokukhulelwa. Okukuphela kwento eyahlukileyo yi-metformin. Ke ngoko, unokufuna ukusebenzisa i-insulin okokuqala ukulawula amanqanaba eswekile egazini lakho ngexesha lokukhulelwa. Kwakhona, iimfuno zakho ze-insulin zinokukhula njengoko ukukhulelwa kwakho kuqhubeka.

Iqela lakho lezonyango liza kusebenzisana nawe ngokusondeleyo ukuze lenze isicwangciso solawulo. Ukuba awukasisebenzisi, banokucebisa ukuba usebenzise i-CGM (i-continuous glucose monitor).

Yintoni onokuyilindela ngexesha lokukhulelwa xa unesifo seswekile?

Ukuba unesifo seswekile, ungalindela ukuba undwendwelwe ngaphambi kokukhulelwa kwaye uvavanywe ngaphezu kokuba ubuya kwenza ngexesha lokukhulelwa okuqhelekileyo. Oku kwenzelwa ukuba umboneleli wakho wokhathalelo lwangaphambi kokukhulelwa akwazi ukujonga ngokusondeleyo ukukhula komntwana wakho kunye nempilo yakho iyonke. Ukongeza kwiimvavanyo eziqhelekileyo zangaphambi kokukhulelwa (ezifana novavanyo lwegazi kunye ne-anatomy scan), ungalindela nezi mvavanyo "zongezelelweyo":

• I-echocardiogram yosana olusandul’ ukuzalwa: Ugqirha wakho unokucebisa olu vavanyo ukujonga ulwakhiwo lwentliziyo yomntwana wakho, njengoko ukuba nesifo seswekile kwandisa umngcipheko wokuba nezifo zentliziyo zokuzalwa.
• Iiskeni zokukhula (ii-ultrasound): Ugqirha wakho unokucebisa iiskeni rhoqo kwiiveki ezimbalwa ukujonga ukukhula komntwana wakho. Oku kubaluleke kakhulu kuba kukho umngcipheko omkhulu wokuba umntwana wakho abe mkhulu kunesiqhelo. Kodwa khumbula, ezi ultrasound ziqikelelo nje kuphela. Umntwana wakho unokuba mkhulu okanye mncinci kunendlela iskeni esibonisa ngayo.
• Uvavanyo olungengoxinzelelo (ii-NST): Ngexesha lesithathu senyanga yokukhulelwa, ugqirha wakho unokucebisa ii-NST zeveki nganye. Ezi vavanyo zijonga izinga lokubetha kwentliziyo yomntwana kunye neentshukumo zakhe.
• Iiprofayili zeBiophysical (BPPs): Ugqirha wakho unokucebisa ii-BPPs zeveki nganye. Ezi zii-ultrasounds ezijonga iipateni zokuphefumla komntwana ongekazalwa, ithoni yemisipha, kunye nentshukumo. Zikwalinganisa ubungakanani bolwelo lwe-amniotic.

Kuya kufuneka uthethe rhoqo nomfundisi-ntsapho wakho we-endocrinologist okanye ingcali yesifo seswekile. Baza kucebisa iindlela kunye notshintsho olunokukunceda ugcine amanqanaba akho eswekile esondele kakhulu kuluhlu olujolise kulo.

Zithini iingozi kunye neengxaki zokuba nesifo seswekile sohlobo loku-1 okanye sohlobo lwesibini ngexesha lokukhulelwa?

Kubalulekile ukuthatha amanyathelo okulawula isifo seswekile ngexesha lokukhulelwa. Ukuba amanqanaba eswekile egazini lakho ahlala ephezulu kakhulu, usemngciphekweni omkhulu wokufumana iingxaki ezithile. Amanqanaba eswekile egazini aphantsi rhoqo okanye aqatha nawo anokuba yingozi.

Aba bantu basengozini enkulu yokufumana iingxaki ngenxa yokuba nesifo seswekile ngaphambi kokukhulelwa:

• Isibeleko kunye nokukhulelwa
• Umntwana wakho emva kokuzalwa
• Wena

Iingxaki zangaphambi kokubeleka kunye nezasemva kokubeleka

Ukuba nesifo seswekile ngexesha lokukhulelwa kunokunyusa umngcipheko weengxaki kumntwana ongekazalwa, ezifana nezi:

• Iziphene zokuzalwa (iimeko zokuzalwa): Iziphene zokuzalwa zenzeka kwi-6% ukuya kwi-12% yokukhulelwa kunye nesifo seswekile sokukhulelwa sangaphambili. Iziphene zentliziyo zokuzalwa zezona zixhaphakileyo, kodwa iziphene zetyhubhu ye-neural kunye nezinye iingxaki nazo zinokwenzeka.
• I-Fetal macrosomia: Oku kwenzeka xa usana olusandul’ ukuzalwa lunobunzima obungaphezu kweekhilogram ezili-9 kunye nee-ounces ezili-15. Ukuba nomntwana omkhulu kwandisa umngcipheko wokwenzakala ngexesha lokubeleka kuwe nakumntwana wakho.
• IiPolyhydramnios: Oku kukwanda komthamo wolwelo lwe-amniotic kwi-amniotic sac. Oku kunokukhokelela ekubelekeni ngaphambi kwexesha kunye nokuzalwa komntwana oswelekileyo.
• Ukuzalwa ngaphambi kwexesha:Ukuba kuvela iingxaki, usemngciphekweni omkhulu wokuzalwa ngaphambi kwexesha, njengoko ugqirha wakho enokuthi agqibe kwelokuba ukuzala yeyona ndlela ikhuselekileyo nokuba awukafiki kwixesha elipheleleyo lokuzala.
• Ukuzalwa kwesisu: Ukuba neswekile yokukhulelwa ngaphambili kunokunyusa umngcipheko wokuzalwa kwesisu.

Emva kokuzalwa, umntwana wakho usengozini enkulu yokuba neemeko ezithile zempilo. Nangona uninzi lwabantu abanesifo seswekile bezala abantwana abasempilweni, kukho umngcipheko ophezulu kancinci wezi zinto:

• Amanqanaba aphantsi eswekile egazini emva kokuzalwa
• Ubunzima bokuphefumla
• I-Jaundice

Ukuba umntwana wakho uneengxaki ezinjalo, unokufuna unyango kwi-NICU (iyunithi yokhathalelo oluphezulu lweentsana ezisandul’ ukuzalwa ).

Iintsana ezizalwa ngabantu abanesifo seswekile nazo zisenokuba namathuba amaninzi okutyeba kakhulu xa sele zikhulile.

Iingxaki ezinokukuchaphazela

Ukuba nesifo seswekile ngexesha lokukhulelwa kunokunyusa umngcipheko wakho wokuba:

• I-Preeclampsia: I-Preeclampsia yimeko ebonakaliswa luxinzelelo lwegazi oluphezulu kunye neproteni kumchamo. Isifo seswekile sisona sibangela umngcipheko omkhulu we-preeclampsia. Ukunciphisa umngcipheko we-preeclampsia, ugqirha wakho unokucebisa ukuba uthathe i-aspirin encinci emva kweeveki ezili-12 zokukhulelwa.
• Imfuneko yotyando lwebele (`utyando lwebele`): Isizathu esiphambili soku kukuba umntwana abe mkhulu kakhulu xa ezalwa.
• Iswekile yegazi ephantsi: Ngenxa yokuba uzama ukugcina amanqanaba eswekile egazini lakho emxinwa, usemngciphekweni omkhulu wokuba namanqanaba eswekile yegazi aphantsi rhoqo okanye aqatha.
• I-ketoacidosis enxulumene nesifo seswekile (i-DKA): Usemngciphekweni omkhulu wokufumana i-DKA ngexesha lokukhulelwa ngenxa yokwanda kokuxhathisa i-insulin. Ukugabha ngenxa yokurhawuzelelwa kusasa nako kunokubangela i-DKA.
• Iingxaki ezinxulumene nesifo seswekile: Ukukhulelwa kunokuba mandundu okanye kubangele iingxaki ezintsha zesifo seswekile (ezifana ne-retinopathy, i-nephropathy, kunye ne-neuropathy).

Isifo seswekile siyichaphazela njani inzala kunye nokuzala?

Kwiimeko ezininzi, oogqirha bacebisa utyando olucwangcisiweyo ('utyando olucwangcisiweyo') kubafazi abakhulelweyo abanesifo seswekile. Ixesha abalicebisayo utyando luxhomekeke kwizinto ezininzi, kodwa ngokuqhelekileyo kwenzeka kwiiveki ezingama-39 zokukhulelwa okanye ngaphambi kwazo. Wonke umntu nokukhulelwa kwakhe kwahlukile. Wena nogqirha wakho niya kugqiba kunye ukuba yintoni ekulungeleyo.

Ngenxa yotshintsho lweehomoni kunye nolwenyama ngexesha lokubeleka, amanqanaba eswekile egazini lakho anokunyuka okanye ehle – kunzima ukuqiniseka. Ngokuxhomekeke kwimigaqo-nkqubo kagqirha wakho kunye nesibhedlele, unokukwazi ukuzilawula ngepompo ye-insulin okanye inaliti ngexesha lokubeleka nokubeletha, okanye unokufuna i-IV insulin drip.

Emva kokuba i-placenta isusiwe, iimfuno zakho ze-insulin ziya kuncipha kakhulu - zihlala zifikelela kwinqanaba elifanayo nelangaphambi kokukhulelwa okanye nangaphantsi. Thetha nogqirha wakho malunga nokwenza isicwangciso sokulungisa isicwangciso sakho sokulawula isifo seswekile emva kokubeleka.

Ndingamelana njani notshintsho oluza nesifo seswekile kunye nokukhulelwa?

Isifo seswekile kunye nokukhulelwa kunokuzisa imingeni emitsha. Ukukhulelwa kwakho kunokwahluka kunokuba ubukulindele, kwaye unokuba nemibuzo malunga nesicwangciso sakho sokulawula isifo seswekile. Nangona uhambo lomntu wonke lwahlukile, nabani na onesifo seswekile angalandela la macebiso ukuze enze amava akhe abe sempilweni kangangoko xa ekhulelwe:

• Jonga amanqanaba eswekile egazini lakho rhoqo (njengoko kuyalelwe ngugqirha wakho).
• Gcina amanqanaba eswekile egazini lakho ekwinqanaba elifunekayo.
• Landela imiyalelo kagqirha wakho malunga ne-insulin, amayeza, kunye nezinye iindlela zonyango.
• Yiya kwi-aphoyintimenti yakho yeklinikhi yokukhulelwa kunye nokuhlolwa.
• Hlala usenza umthambo. Thetha nogqirha wakho malunga nenqanaba lomsebenzi wakho kunye nokuba kufuneka ulitshintshe na.
• Yitya ukutya okunempilo, okunesondlo kunye nokutya okulula.
• Ziphephe iziselo ezinotywala kunye neemveliso zecuba.
• Nyamekela impilo yakho yengqondo. Kuqhelekile ukuba uzive uxinezelekile ngeli xesha. Ungoyiki ukuthetha ngayo kwaye ucele uncedo.

Ndifanele ndimbone nini ugqirha wam?

Ukuba unesifo seswekile kwaye uqaphele naziphi na kwezi zinto, thetha nomboneleli wakho wezonyango ngaphambi kokukhulelwa:

• Ukuba awukwazi ukugcina inqanaba leswekile egazini lakho likuluhlu olujoliswe kulo nangona uzama konke okusemandleni akho. (Ukuba liphantsi kakhulu okanye liphezulu kakhulu.)
• Ukuba amanqanaba eswekile egazini lakho anyuka ngequbuliso okanye atshintsha ngezizathu ongaziqondiyo.
• Ukuba uziva ngathi umntwana ongekazalwa akashukumi kakhulu.
• Ukuba kukho naluphi na ulwelo okanye igazi eliphuma kwilungu lobufazi bakho.
• Ukuba ubona kancinci okanye unxaniwe kakhulu.
• Kulungile ukuba uyahlanza, kulungile ukuba awukwazi ukugcina ukutya nokusela kuncinci.

Khumbula, kungcono ukuhlala ukhuselekile kunokuzisola nokubuza imibuzo. Ukongeza ekukhathazekeni ngokukhulelwa, ukuxhalabela ukulawula isifo seswekile kunokuba yingxaki. Musa ukungabaza iimvakalelo zakho okanye uzityeshele – thetha nogqirha wakho ukuze akunike isikhokelo.

Ndingayibuza yiphi imibuzo ugqirha wam?

Ukuba unesifo seswekile kwaye ukhulelwe, ungabuza ugqirha wakho ngezi zinto zilandelayo:

• Ndifanele ndijonge kangaphi amanqanaba eswekile egazini lam?
• Luluphi uluhlu endilujolise kulo?
• Ziziphi iingxaki ezinokwenzeka ukuba amanqanaba eswekile egazini lam awagcinwanga ngaphakathi koluhlu olujoliswe kulo?
• Ngaba kuya kufuneka nditshintshe iidosi zam ze-insulin?
• Ngaba ndifanele ndiyeke okanye ndiqalise amanye amayeza?
• Ngaba ucebisa utshintsho kwindlela yokuphila?
• Kuza kufuneka ndize kangaphi ukuze ndilandelelwe?
• Ngaba kuya kufuneka ndifumane i-induction kwangethuba?

Ngaba abantu abanesifo seswekile sohlobo loku-1 banokuba neentsana ezisempilweni?

Ewe, abantu abaninzi abanesifo seswekile sohlobo loku-1 (kunye nesifo seswekile sohlobo lwesibini) baneentsana ezisempilweni. Ukulawula amanqanaba eswekile egazini lakho kunye nokugcina unxibelelwano olusondeleyo neqela lakho lezonyango zezona zinto zibalulekileyo ekukhulelweni okunempilo.

Ukulawula isifo seswekile ngexesha lokukhulelwa kunokuba nzima kakhulu, kwanakwabo bebephila nesifo seswekile amashumi eminyaka. Ukugcina amanqanaba eswekile egazini lakho ekwinqanaba elifanelekileyo ngelixa ukhulelwe kunokuba nzima ngokwengqondo nangokomzimba. Kodwa ngenkqubo yenkxaso efanelekileyo kunye nesicwangciso sokulawula isifo seswekile, ungoyisa imingeni ebangelwa sisifo seswekile xa ukhulelwe.

Hlala unxibelelana ngokusondeleyo neqela lakho lezonyango. Baxelele xa uziva uphantsi. Kuyo yonke loo nto, gxila ekukhanyeni okusekupheleni komngxuma - ukudibana nomntwana wakho.

Umyalezo wokugqibela oya ekhaya

Kulungile, ngoko ke ngokwento esithethe ngayo, kufuneka ucacelwe malunga nokukhulelwa unesifo seswekile. Akukho sizathu sokoyika, kodwa kufuneka ulumke.

• Cwangcisa kwangaphambili: Ukuba ucinga ngokuba nomntwana, funa ingcebiso kagqirha kwiinyanga ezininzi ngaphambi kwexesha.
• Ukulawula iswekile egazini: Zama konke okusemandleni akho ukugcina amanqanaba eswekile egazini lakho ngaphakathi kweenjongo ugqirha akubekele zona ngexesha lokukhulelwa kwakho. Izinto ezifana ne-'CGM' zinokukunceda koku.
• Sebenzisana neqela lezonyango: thetha nabo rhoqo, ubuze imibuzo, kwaye wabelane ngeemvakalelo zakho.
• Indlela yokuphila esempilweni: ukutya okunempilo, ukuzilolonga ukuba kuyimfuneko (njengoko kuyalelwe ngugqirha), kunye nokuphila kakuhle kwengqondo kubaluleke kakhulu.

Khumbula, nokuba unesifo seswekile, ngolawulo olufanelekileyo nolwalathiso lwezonyango, nawe ungazisa umntwana osempilweni nowonwabileyo kweli hlabathi. Ngamana ungafumana amandla nesibindi osidingayo ukuze wenze njalo!

Isifo seswekile, ukukhulelwa, iswekile egazini, i-insulin, ukuzala, iingxaki, umntwana osempilweni