Umzimba wakho utshintsha kakhulu ngexesha lokukhulelwa, akunjalo? Kwangaxeshanye, iiseli zomzimba wakho azisabeli kakuhle kwi-hormone insulin. Ngamafutshane, oku kubangela ukuba iswekile yegazi lakho (iglucose) inyuke kancinci. Oku kunceda ukubonelela ngesondlo esingakumbi kumntwana wakho. Nangona kunjalo, ukuba eli nqanaba leswekile liphezulu kakhulu, linokubangela iingxaki kuwe nakumntwana wakho. Oku sikubiza ngokuba yi -gestational diabetes , okanye i-GDM . Musa ukoyika xa usiva eli gama. Ngonyango olufanelekileyo, uninzi loomama lunokuba nokukhulelwa okunempilo kunye nosana olusempilweni. Masithethe ngayo yonke loo nto ngokucacileyo.
Ndingayazi njani ukuba ndinale meko?
Xa ufumanisa ukuba ukhulelwe, into yokuqala oza kuyenza kukubona ugqirha wakho. Ngelo xesha, uza kuvavanya umngcipheko wakho wokuba ne-GDM.
Ukuba unezinye izinto ezinokubangela umngcipheko (umzekelo, imbali yentsapho yakho yesifo seswekile, ukuba nobunzima obukhulu), ugqirha wakho uza kujonga amanqanaba eswekile egazini lakho ngokukhawuleza. Nokuba iziphumo zovavanyo ziqhelekile, kuya kufuneka uphinde wenze olu vavanyo phakathi kweeveki ezingama-24 nezingama-28 zokukhulelwa.
Nokuba awucingi ukuba usemngciphekweni othile, bonke abafazi abakhulelweyo badla ngokuthunyelwa kolu vavanyo phakathi kweeveki ezingama-24 ukuya kwezingama-28 .
Kukho iindlela ezimbini zokuvavanya ezisetyenziswa rhoqo koku.
1. Uvavanyo lweGlucose Challenge: Akunyanzelekanga ukuba ulambele oku. Ugqirha wakho uza kukunika isiselo esineswekile aze emva koko ajonge inqanaba leswekile egazini lakho emva kweyure.
2. Uvavanyo Lokunyamezela Iswekile Yomlomo (OGTT): Olu vavanyo lwenziwa ukuba iziphumo zovavanyo lokuqala aziqhelekanga. Ngenxa yoku, ugqirha uza kukuxelela ukuba uzile ukutya iiyure ezimbalwa ngaphambi kokuba wenze uvavanyo.
Ukuba kuqinisekisiwe ukuba unale meko, ugqirha uza kuyijonga ngononophelo impilo yakho neyomntwana wakho ukususela ngoko ukuya kuzalwa. Ngoko ke akukho nto yokoyika.
Oku kuza kuyichaphazela njani imveku yam?
Kulula kakhulu ukuyiqonda le nto. Umntwana wakho ufumana izondlo zakhe egazini lakho. Ngoko ke xa inqanaba leswekile yakho egazini linyuka, umntwana wakho ufumana neswekile eyongezelelweyo. Umzimba womntwana wakho ugcina le swekile eyongezelelweyo njengamafutha. Ngenxa yoko, umzimba womntwana wakho unokuba mkhulu kunesiqhelo. Oku kunokukhokelela kwiingxaki ezithile.
Into ebalulekileyo kukuba uninzi lwale mingcipheko lunokunciphisa ngokulandela unyango olufanelekileyo kunye neengcebiso.
| Iziphumo ezinokwenzeka kumntwana | Ingcaciso elula |
|---|---|
| Iingozi ezinokubakho ngexesha lokubeleka | Ngenxa yokuba umzimba womntwana mkhulu, kukho ithuba lokuba kungakho ukungonwabi okanye ukwenzakala ngexesha lokubeleka okuqhelekileyo. |
| Amanqanaba aphantsi eswekile yegazi kunye neeminerali ekuzalweni | Emva kokuzalwa, inqanaba leswekile egazini lomntwana lisenokuhla ngequbuliso, kodwa oku kulawulwa ngoogqirha. |
| I-Jaundice | Imeko apho ulusu lomntwana lujika lube tyheli. Oku kunokunyangeka ngokupheleleyo ngonyango. |
| Ukuzalwa ngaphambi kwexesha | Ngamanye amaxesha umntwana unokuzalwa ngaphambi komhla wokuzalwa. |
| Ubunzima bokuphefumla okwethutyana | Usana lusenokuba neengxaki zokuphefumla kwiintsuku zokuqala emva kokuzalwa. |
Kamva, xa umntwana ekhulile, umngcipheko wokutyeba kakhulu nesifo seswekile unokuba phezulu kancinci kunabanye abantwana. Kungoko ke, kubaluleke kakhulu ukuqhelisa umntwana wakho indlela yokuphila enempilo kwasebuntwaneni . Oku kunokunciphisa ezi ngozi.
Oku kundichaphazela njani?
I-GDM inokuba nemiphumo ethile kumama.
- Amathuba okwanda okudinga utyando lwe-cesarean (C-section) .
- Umngcipheko wokuphuma kwesisu.
- Umngcipheko okhulayo weemeko ezifana noxinzelelo lwegazi oluphezulu okanye i-preeclampsia .
- Ukuzalwa ngaphambi kwexesha.
Iindaba ezimnandi zezokuba amanqanaba eswekile egazini lakho aya kubuyela esiqhelweni emva kokuba ufumene umntwana wakho. Nangona kunjalo, umngcipheko wakho wokuba nesifo seswekile sohlobo lwesibini kwixesha elizayo kunye ne-GDM ukuba ukhulelwe kwakhona uphezulu kancinci. Kodwa ungakhathazeki, ungayinciphisa kakhulu loo mngcipheko ngokulandela indlela yokuphila enempilo.
Abafazi abaninzi abane-GDM bazala ngokwendalo, ngaphandle kotyando lotyando. Ngoko ke vuleka kwaye unyaniseke kugqirha wakho malunga nokubeleka kwakho. Musa ukoyika ukubuza imibuzo efana nale, "Ngaba ndifuna utyando lwe-C?", "Luchane kangakanani uqikelelo lobunzima bomntwana wam?", "Zithini iingozi kum nakumntwana wam ukuba ndibeleka ngendlela eqhelekileyo?"
Izinto onokuzenza: Inyathelo ngenyathelo
Zininzi izinto onokuzenza ukulawula le meko.
Yitya ukutya okunempilo.
Thetha nogqirha wakho okanye ingcali yesondlo ukuze wenze isicwangciso sokutya esiza kukunceda ulawule amanqanaba eswekile egazini lakho. Kufuneka unciphise inani leecarbohydrate (izitatshi) ozityayo, njengoko zibangela ukuba amanqanaba eswekile egazini lakho anyuke ngokukhawuleza. Kuphephe ukutya okuneswekile eninzi, okufana neziselo ezineswekile, iikeyiki, kunye neebhisikithi.
Yongeza ukutya okutyebileyo kwi-fiber ekutyeni kwakho. Ungazifumana ezi zinto kwimifuno, iziqhamo, iinkozo ezipheleleyo (ii-oats, irhasi), kunye neembotyi. Khawucinge nje, uphando lufumanise ukuba ukongeza iigram ezili-10 ze-fiber ekutyeni kwakho ngosuku kunciphisa umngcipheko wokufumana olu hlobo lwesifo seswekile malunga ne-26%!
Ukuzilolonga.
Kubalulekile ukwenza umthambo womzimba yonke imihla ukuze uncede ukulawula amanqanaba eswekile egazini lakho. Ngaphandle kokuba ugqirha wakho ukuxelele ngenye indlela, zama imizuzu engama-30 yokuzilolonga okuphakathi, njengokuhamba okanye ukudada, ngosuku . Olunye uphando lufumanise ukuba abafazi ababezilolonga malunga neeyure ezi-4 ngeveki ngaphambi nangexesha lokukhulelwa banciphisa umngcipheko wabo malunga nama-70%. Kodwa qiniseka ukuba ubuza ugqirha wakho malunga nohlobo lomthambo omele uwenze kunye nexesha omele uwenze ngalo.
Landela le mikhwa yezempilo nasemva kokubeleka
Qhubeka nokutya okunempilo kunye nokuzilolonga emva kokuba ufumene umntwana wakho. Kubalulekile kwakhona ukubuyela kubunzima obusempilweni. Akunyanzelekanga ukuba unciphise umzimba ngaxeshanye. Nokuba ulahlekelwe yi-5% ukuya kwi-7% yobunzima bakho buphela kunokwenza umahluko omkhulu.
Ungaphoswa kukubonana nogqirha.
Ungaze uphoswe kukutyelela ikliniki okanye kukutyelela ugqirha. Kubaluleke kakhulu kukhuseleko lwakho nolomntwana wakho. Kusenokufuneka wenze iiskeni rhoqo (ii-ultrasound).
Jonga inqanaba leswekile egazini lakho.
Ukuba ugqirha wakho ukucebisa, kufuneka ujonge amanqanaba eswekile egazini lakho ekhaya amaxesha amaninzi ngemini. Le yeyona ndlela ilungileyo yokulawula le meko.
Sela amayeza akho owanikwe ngugqirha njengoko uyalelwe.
Abanye oomama abakwazi ukulawula amanqanaba eswekile egazini labo ngokutya ukutya nokuzilolonga kuphela. Kwiimeko ezinjalo, ugqirha unokukunika i-insulin okanye amanye amayeza. Kubalulekile ukuthatha la mayeza ngexesha elifanelekileyo nangedosi efanelekileyo.
Uzakumbona nini ugqirha
Kufuneka ulumke ngakumbi ngempilo yakho xa une-GDM. Fowunela ugqirha wakho ngoko nangoko ukuba ufumana nayiphi na kwezi zilandelayo:
| Kwimeko enjalo, fowunela ugqirha wakho ngoko nangoko. |
|---|
| Ukuba uyagula kwaye awukwazi ukulandela isicwangciso sokutya esimiselweyo. |
| Ukuba uneempawu zeswekile ephezulu egazini : ubunzima bokugxila, intloko ebuhlungu, ukoma kakhulu, ukubona okufipheleyo, okanye ukwehla kobunzima bomzimba. |
| Ukuba uneempawu zeswekile ephantsi egazini : ukungazinzi, ukudideka, isiyezi, intloko ebuhlungu, indlala enkulu, ukubetha kwentliziyo ngokukhawuleza, ukungcangcazela, ulusu olukhanyayo, ukubila, okanye ubuthathaka. |
| Ukuba ujonga inqanaba leswekile yakho ekhaya kwaye lingaphaya koluhlu lwamanani olunikiweyo ngugqirha wakho. |
Umyalezo Wokuya Ekhaya
- Isifo seswekile sokukhulelwa (i-GDM) asikoyiki. Sisifo esinokulawulwa kakuhle.
- Ukutya okunempilo kunye nokuzilolonga imihla ngemihla zezona ndlela zilungileyo zokulawula le meko.
- Landela imiyalelo kagqirha wakho ngokuchanekileyo. Jonga amanqanaba eswekile yakho egazini ngexesha, usele amayeza akho, kwaye ungaphoswa ziintlanganiso zakho zasekliniki.
- Ukuba ubona naziphi na iimpawu ezingaqhelekanga emzimbeni wakho (ukwanda okanye ukwehla kweswekile egazini), musa ukulibazisa ukwazisa ugqirha wakho.
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