Ngaba ukhulelwe malunga neeveki ezingama-24 okanye ezingama-28? Ugqirha wakho usenokuba ukucelile ukuba uhlolwe iswekile . Oomama abaninzi bayoyika kwaye baxhalabile xa besiva oku. Imibuzo efana nethi "Ngaba ndiza kuba nesifo seswekile ?", "Ngaba olu vavanyo lunzima?", "Ngaba kukho into enokwenzeka kumntwana?" ifika engqondweni. Kodwa akukho nto yokoyika. Olu luvavanyo oluqhelekileyo olwenziwa ngexesha lokukhulelwa . Masithethe ngayo yonke into ngendlela elula necacileyo namhlanje.
Kutheni le nto olu vavanyo lweswekile lubaluleke kangaka?
Ngexesha lokukhulelwa, iihomoni zomzimba wethu zitshintsha kakhulu. Ngenxa yolu tshintsho, ngamanye amaxesha kuba nzima emzimbeni wethu ukulawula ubungakanani beswekile (iglucose) egazini lethu. Emva koko inqanaba leswekile egazini linokuba phezulu kunokuba kuyimfuneko. Le meko ibizwa ngokuba yi-gestational diabetes .
Le yimeko eqhelekileyo enokuchaphazela malunga ne-10% yabasetyhini abakhulelweyo. Nangona kunjalo, ukuba ayichongwanga kwaye ayilawulwa ngokufanelekileyo, inokubangela iingxaki kuwe nakumntwana wakho. Yiyo loo nto olu vavanyo lweswekile lwenziwa ukuze kufunyanwe le meko kwangethuba.
Kukho iintlobo ezimbini zezi mvavanyo.
Olu vavanyo lweswekile egazini ugqirha wakho akuxelele ukuba ulwenze lusenokuba namanyathelo amabini. Akuyena wonke umntu oya kufuneka aye kwinqanaba lesibini.
1. Uvavanyo lokuqala (Uvavanyo lweGlucose Challenge): Oku kufana novavanyo. Kwenziwa ukuze kubonwe ukuba usemngciphekweni wokuba nesifo seswekile sokukhulelwa . Olu luvavanyo lokuhlola .
2. Uvavanyo lwesibini (Uvavanyo lokunyamezela iGlucose ngomlomo - OGTT): Olu vavanyo lwesibini lwenziwa kuphela ukuba iziphumo zovavanyo lokuqala aziqhelekanga. Oku kuqinisekisa ukuba unesifo seswekile sokukhulelwa okanye akunjalo.
Ngamafutshane, ukuba eyokuqala iphakamisa amathandabuzo, eyesibini iyawuqinisekisa loo mathandabuzo.
| Igama lovavanyo | Kutheni usenza oku? | Ixesha elichithwe |
|---|---|---|
| Uvavanyo lweGlucose Challenge (Uvavanyo lweyure) | Uvavanyo ukuze kuchongwe ukuba kukho umngcipheko wokuba nesifo seswekile sokukhulelwa. | Malunga neyure. |
| Uvavanyo Lokunyamezela Iglucose Yomlomo - OGTT (Uvavanyo Lweeyure Ezintathu) | Ukuqinisekisa ngokuqinisekileyo ukuba unesifo seswekile sokukhulelwa (i-Diagnosis). | Ngaphezulu kweeyure ezintathu. |
Olu vavanyo ludla ngokwenziwa nini?
Olu vavanyo lokuqala lweswekile yegazi ludla ngokwenziwa phakathi kweeveki ezingama-24 nezingama-28 zokukhulelwa . Nangona kunjalo, ukuba unezinye zezi zinto zilandelayo ezibangela umngcipheko, ugqirha wakho unokucebisa ukuba wenze olu vavanyo kwangethuba.
- Ukuba ubunesifo seswekile kukukhulelwa kwakho kwangaphambili.
- Ukuba kukho umntu kusapho lwakho (umama, utata, abantakwenu noodadewabo) onesifo seswekile.
- Ukuba utyebile kakhulu ( utyebile kakhulu ).
- Ukuba uneminyaka engaphezu kwama-35 ubudala.
- Ukuba une- high blood pressure .
- Ukuba unenye imeko yezonyango efana ne-PCOS ( i-Polycystic Ovary Syndrome ).
- Ukuba uvavanyo oluqhelekileyo lubonisa iswekile kumchamo wakho.
Ungazilungiselela njani uvavanyo kwaye ungenza njani?
Indlela yokulungiselela ezi mvavanyo zimbini yahlukile kancinci.
Uvavanyo lokuqala (uvavanyo lweyure enye)
Oku akudingi kulungiselela okuninzi. Ungatya ngendlela eqhelekileyo. Nangona kunjalo, oogqirha badla ngokucebisa ukuba ungatyi ukutya okuninzi okunencasa (umz., iikeyiki, iidonathi, iziselo ezineswekile) kusasa ngaphambi kovavanyo, kuba oku kunokuchaphazela iziphumo.
Indlela yokwenza oku:
1. Xa usiya kwilebhu, uza kunikwa isiselo esimnandi (iGlucola) esineegram ezingama-50 zeglucose. Kufuneka usele oku ngokukhawuleza kwimizuzu emi-5.
2. Emva kweyure enye kanye emva kokuyisela, igazi elincinci liza kuthathwa kumthambo osengalweni yakho.
3. Awunakutya okanye usele nantoni na enye ngeli xesha. Kulungile ukusela amanzi amancinci.
Into ebalulekileyo kukuba, nokuba olu vavanyo lokuqala lubonisa ukuba iswekile yakho egazini iphezulu kancinci, akuthethi ukuba unesifo seswekile. Kuthetha nje ukuba kufuneka wenze uvavanyo lwesibini.
Uvavanyo lwesibini olukhulu (i-OGTT yeeyure ezintathu)
Oku kwenziwa kuphela xa iziphumo zokuqala zingaqhelekanga. Oku kufuna amalungiselelo afanelekileyo.
Indlela yokulungiselela:
- Ufanele ulandele imiyalelo kagqirha wakho ngokuchanekileyo.
- Ngokwesiqhelo, uxelelwa ukuba uzile ukutya iiyure ezisi-8-12 ngaphambi kovavanyo. Oko kuthetha ukuba awunakutya okanye usele nantoni na emva kwentsimbi ye-10pm de uvavanyo luphele kusasa. Kulungile ukusela amanzi amancinci.
- Kungcono ukuqala ngolu vavanyo kusasa.
Indlela yokwenza oku:
1. Xa usiya kwilebhu, baza kuqala bathathe isampuli yegazi ukujonga inqanaba leswekile egazini lakho lokuzila ukutya .
2. Emva koko, uza kunikwa isiselo esimnandi esineegram ezili-100 zeglucose.
3. Iisampuli zegazi ziphinda zithathwe emva kweyure enye, iiyure ezimbini, kunye neeyure ezintathu emva kokulisela. Oko kuthetha ukuba kuthathwa iisampuli zegazi ezine zizonke.
4. Kufuneka uhlale elabhoratri kwezi yure zintathu. Ngoko ke ukuba uzisa into efana nencwadi, awuyi kudinwa. Awunakutya ngeli xesha. Ungasela amanzi.
Abanye abantu banokuziva benesicaphucaphu okanye benesizungu emva kokusela olu lwelo luneswekile, kodwa oko kuqhelekile.
Ungaziqonda njani iziphumo?
Ugqirha wakho uza kukuchazela iziphumo xa uzifumene, kodwa kulungile ukwazi ukuba zeziphi ixabiso eliqhelekileyo.
| Uvavanyo | Ixabiso eliphakathi (kufuneka libe ngaphantsi kweli) |
|---|---|
| Uvavanyo lweGlucose Challenge | 140 mg/dL |
| Uvavanyo lokunyamezela i-glucose ngomlomo lweeyure ezintathu (OGTT) | |
| Ukuzila ukutya | 95 mg/dL |
| Emva kweyure | 180 mg/dL |
| Emva kweeyure ezimbini | 155 mg/dL |
| Emva kweeyure ezintathu | 140 mg/dL |
Ukuba ezimbini okanye ngaphezulu kwezi xabiso zingaphezulu kwesiqhelo ngexesha lovavanyo lweeyure ezintathu, ugqirha wakho uya kuqinisekisa ukuba unesifo seswekile sokukhulelwa.
Wenza ntoni xa uxelelwa ukuba unesifo seswekile?
Ungakhathazeki. Le yimeko elawulekayo. Ugqirha wakho uza kukunceda. Ngokwesiqhelo, kuya kufuneka:
- Ukulawula ukutya: Kufuneka unciphise ukutya okunencasa kunye nesitatshi kwaye uqhele ukutya okunesondlo.
- Ukuzilolonga: Ungenza imithambo elula efanelekileyo kuwe, njengoko ugqirha wakho ekucebisile.
- Ukujonga amanqanaba eswekile egazini lakho rhoqo: Uza kunikwa isixhobo esincinci (i-blood glucose meter) esikuvumela ukuba ujonge amanqanaba eswekile egazini lakho ekhaya.
- Amayeza: Ngamanye amaxesha, ukuba ukutya okunesondlo kunye nokuzilolonga kuphela akwanelanga ukulawula iswekile egazini, kunokufuneka uthathe inaliti ye-insulin.
Into ebalulekileyo kukuba le meko isenokuphela emva kokubeleka, ngoko khumbula ukuba oku kungokwexeshana.
Kuza kwenzeka ntoni ukuba olu vavanyo aluzange lwenziwe?
Unelungelo lokungavumi olu vavanyo, kodwa oogqirha abalucebisi konke konke. Kuba ukuba isifo seswekile sokukhulelwa asilawulwa, kunokubakho iingozi ezithile kuwe nakumntwana wakho.
- Iingozi onokujongana nazo: Uxinzelelo lwegazi oluphezulu (i-preeclampsia), umngcipheko ophezulu wokuba kwenziwe utyando ngotyando.
- Iingozi kumntwana: Ukunyuka kwesisindo ngokugqithisileyo, iswekile ephantsi egazini (i-hypoglycemia) ekuzalweni, kunye nomngcipheko okhulayo wokuba nesifo seswekile kwixesha elizayo.
Ngoko ke, qonda ukuba olu luvavanyo olubalulekileyo lokhuseleko lwakho nolomntwana wakho ongekazalwa.
Umyalezo Wokuya Ekhaya
- Uvavanyo lokunyamezela i-glucose (GTT) luvavanyo oluqhelekileyo olubalulekileyo kuwe nakumntwana wakho. Musa ukoyika.
- Kunokubakho iimvavanyo ezimbini zoku. Eyokuqala (Uvavanyo) ihlola umngcipheko, kwaye eyesibini (OGTT) iqinisekisa isifo.
- Kuyimfuneko ukuzila ukutya iiyure ezisi-8-12 ngaphambi kovavanyo lweeyure ezintathu.
- Ukuba ufunyaniswe unesifo seswekile sokukhulelwa, sinokulawulwa ngokulula ngokutya kunye nokuzilolonga njengoko ugqirha wakho ekucebisa.
- Ukuba unemibuzo okanye iinkxalabo malunga noku, thetha nogqirha wakho ngokukhululekileyo ngako.
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