Olu vavanyo lubalulekile kuwe xa ulindele umntwana! - Yonke into malunga nokuhlolwa kweglucose ngaphambi kokuzalwa

Molo! Umele ukuba wonwabile kakhulu kwaye unomdla kancinci ngomntwana omlindeleyo kule mihla, akunjalo? Ukuhlolwa novavanyo ekufuneka ulwenze ngeli xesha ngamanye amaxesha kunokuba nzima kwaye kuzise imibuzo emininzi engqondweni yakho. Kodwa konke oku kwenzelwa ukugcina impilo yakho kunye nomntwana osesiswini sakho. Namhlanje siza kuthetha ngovavanyo olubaluleke kakhulu. Olu luvavanyo lweglucose olwenziwe ngexesha lokukhulelwa (Glucose Screening) . Mhlawumbi ukhe weva ngale nto ngaphambili, okanye oku kusenokuba yinto entsha. Nangona kunjalo, kubaluleke kakhulu ukucaca ngale nto.

Yintoni le vavanyo lokuhlola i-glucose ngexesha lokukhulelwa?

Ngamafutshane, oku kukujonga ukuba sele unesifo seswekile sokukhulelwa . Ngoku ucinga, "Owu, andikaze ndibe nesifo seswekile ngaphambili." Ewe, uninzi lwexesha, esi sifo sibizwa ngokuba yi-"gestational diabetes" senzeka kuphela ngexesha lokukhulelwa. Sihlala siphela emva kokuba umntwana ezelwe. Yiyo loo nto sikwabizwa ngokuba yi-"temporary diabetes".

Nangona kunjalo, le meko ngoku ixhaphake kakhulu koomama abakhulelweyo kwilizwe lethu nakwihlabathi liphela. Xa sithetha nje, inokuchaphazela phakathi kwe-6% kunye ne-7% yoomama abakhulelweyo. Yiyo loo nto sixhalabile kakhulu ngale nto.

Olu vavanyo ludla ngokwenziwa phakathi kweeveki ezingama-24 nezingama-28 zokukhulelwa kwakho, ezimalunga neenyanga ezi-6. Nangona kunjalo, kwabanye abantu, ukuba basengozini enkulu yokuhlaselwa sesi sifo, ugqirha wakho unokucebisa ukuba benze olu vavanyo kwangethuba. Siza kuthetha ngaloo nto kamva.

Kutheni olu vavanyo lubaluleke kangaka? Ingaba luyimfuneko?

Lo ngumbuzo abantu abaninzi abanawo. "Kutheni olu vavanyo lubaluleke kangaka?" Isizathu kukuba ukuba le meko `(yeSifo seswekile sokukhulelwa)` ayifunyaniswanga kwaye ayinyangwa ngokufanelekileyo, inokubangela iingxaki ezahlukeneyo zempilo kumntwana osesibelekweni . Khawucinge nje, ingaba kubi kangakanani ukuba besingayichaphazela le nto umntwana?

Olu vavanyo lwenzelwe ukunciphisa loo mngcipheko. Ukuba imeko ifunyenwe kwangethuba, ugqirha wakho uya kukwazi ukukunika icebiso olifunayo, mhlawumbi malunga nokutya, umthambo, okanye amayeza ukuba kuyimfuneko. Emva koko wena nomntwana wakho ninokuhlala nisempilweni.

Ngoko khumbula, olu asilovavanyo nje kuphela, kodwa lukhuseleko lwakho nolomntwana wakho othandekayo.

Okwangoku, olu vavanyo lucetyiswa koomama abaninzi abakhulelweyo eSri Lanka. Kuba, njengoko bekutshiwo ngaphambili, lunokunciphisa ingozi enokubakho kumntwana. Ke ngoko, ukuba ugqirha ukucela ukuba wenze olu vavanyo, kungcono ulwenze ngaphandle kokulutsiba.

Kwenziwa njani oku kuhlolwa kweglucose? Ungandichazela kancinci?

Kulungile, ngoku masibone ukuba olu vavanyo lwenziwa njani. Kukho amanyathelo amabini aphambili koku. Asinguye wonke umntu oya kufuneka aye kwinqanaba lesibini. Oko kuya kugqitywa ziziphumo zovavanyo lokuqala.

Inyathelo Lokuqala: Uvavanyo Lokuhlola Iswekile

Olu luvavanyo lokuqala oluye lwenziwa phantse ngumntu wonke. Nantsi into eyenzekayo:

1. Xa usiya esibhedlele okanye kwilebhu, bakunika ulwelo oluneswekile eninzi enyibilikisiweyo . Lunencasa emnandi kancinci. Lufana nesiselo seglucose, kodwa lunokuba mnandi ngakumbi.

2. Emva kweyure enye kanye emva kokusela olu lwelo luneswekile, kuya kuthathwa isampuli yegazi elincinci emnweni wakho okanye emthanjeni osengalweni yakho.

3. Emva koko inqanaba leglucose (iswekile) kwisampuli yegazi liyavavanywa.

Olu luvavanyo oluqhelekileyo olukhawulezileyo. Kodwa into enye ethatha ixesha elide kukulinda loo yure. Kungcono ukufunda incwadi okanye ukumamela ingoma ngelo xesha uze ulungiselele.

Ngoku, ukuba olu vavanyo lokuqala lubonisa ukuba inqanaba leswekile egazini lakho liphezulu kunesiqhelo, ugqirha uza kukucela ukuba wenze uvavanyo lwesibini. Musa ukoyika oko, yindlela ekuphela kwayo yokuqinisekisa ukuba unayo (isifo seswekile sokukhulelwa) okanye akunjalo.

Inyathelo lesi-2 (ukuba kuyimfuneko): Uvavanyo lokunyamezela iGlucose (GTT)

Oku kubizwa ngokuba yi-"Glucose Tolerance Test" okanye "GTT". Oku kunokubonakala ngathi luvavanyo olude kancinci nolucaphukisayo kunolokuqala. Kodwa kubaluleke kakhulu ukwazi imeko echanekileyo.

Nantsi indlela yokwenza oku:

1. Kufuneka uye kolu vavanyo ungenanto esiswini . Oku kuthetha ukuba awunakutya okanye usele nantoni na (ngaphandle kwamanzi) emva kwesidlo sangokuhlwa sangaphambili de uvavanyo luphele. Ngokwesiqhelo kuya kufuneka uzile ukutya malunga neeyure ezisi-8 ukuya kwezili-10.

2. Xa usiya kwilebhu, baza kuqala bathathe isampuli yegazi ukujonga inqanaba leglucose egazini lakho lokuzila ukutya.

3. Emva koko, uza kunikwa esinye isisombululo seglucose esikhethekileyo sokusela. Naso simnandi.

4. Emva kokuba usele oku, iisampulu zegazi ziya kuthathwa kuwe ngeyure nganye kangangeeyure ezintathu . Oko kuthetha ukuba enye kwiyure yokuqala, enye kwiyure yesibini, kwaye eyokugqibela kwiyure yesithathu.

5. Zonke ezi sampuli zegazi ziyavavanywa ukuze kubonwe ukuba umzimba wakho usabela njani kolu bungakanani beglucose, oko kukuthi, indlela elawula ngayo iswekile.

Ewe, oku kuyadinisa kancinci. Kufuneka uhlale kwindawo enye kangangeeyure ezintathu, kwaye awukwazi ukutya okanye ukusela. Kodwa, cinga ngako, oku kuya kuqinisekisa ukhuseleko lomntwana wakho. Ngoko ke ukuba kufuneka wenze olu vavanyo, lulungiselele kakuhle kwaye uhambe ngengqondo ekhululekileyo. Mhlawumbi ukuba uzisa incwadi okanye imagazini, awuyi kuva ukuba ixesha lihamba.

Ngubani ekufuneka enziwe olu vavanyo ngokukhawuleza? Ngawaphi amaqela asengozini?

Njengoko besitshilo ngaphambili, olu "Hlolo lweGlucose" ludla ngokwenziwa phakathi kweeveki ezingama-24 nezingama-28 zokukhulelwa. Nangona kunjalo, abanye abantu basengozini enkulu yokuba ne "Gestational Diabetes." Kubantu abanjalo, ugqirha unokucebisa olu vavanyo kwasekuqaleni kokukhulelwa, mhlawumbi ngexesha lovavanyo lokuqala lwezonyango.

Zithini ezi zinto zinobungozi?

• Ukuba ukhe waba nomntwana onobunzima obungaphezulu kweekhilogram ezili-10 (4.1 kg) kukukhulelwa kwakho kwangaphambili:Ukuba nomntwana omkhulu kuthetha ukuba usenokuba ukhe waba nesifo seswekile sokukhulelwa ngexesha lokukhulelwa kwangaphambili ungakhange uqonde.
• Ukuba kukho umntu kusapho (umama, utata, abantakwabo noodadewabo) onesifo seswekile: Ekubeni kukho utyekelo lwemfuza lwesifo seswekile, oku kukwangumngcipheko.
• Ukuba uwela kudidi lwabantu abatyebe kakhulu ngokusekelwe kwi-body mass index yakho (BMI): Ukwanda kwamafutha emzimbeni kunokuchaphazela ukusebenza kwe-insulin.
• Ukuba ungaphezulu kweminyaka engama-25 ubudala: Umngcipheko wesifo seswekile sokukhulelwa uyanda kancinci xa ukhula.
• Ukuba iswekile ikhe yafunyanwa ngaphambili kwiimvavanyo zomchamo eziqhelekileyo: Oku kungaba lolunye uphawu.
• Ukuba une-high blood pressure (i-Hypertension): Kusenokubakho unxibelelwano phakathi kwe-high blood pressure kunye nesifo seswekile.
• Ukuba unesifo esibizwa ngokuba yiPolycystic Ovary Syndrome (PCOS): Abantu abane-PCOS banamathuba amaninzi okuba ne-insulin resistance, nto leyo enokukhokelela kwisifo seswekile sokukhulelwa.

Ukuba uvakalelwa kukuba unenye okanye ngaphezulu kwezi zinto zinobungozi, thetha nogqirha wakho ngayo. Nguye onokugqiba ukuba kunini apho kufanelekileyo ukuba wenze olu vavanyo. Kodwa khumbula, ayinguye wonke umntu oneezi zinto zinobungozi oza kuba nesifo seswekile sokukhulelwa, kwaye ayinguye wonke umntu ongenazo ezi zinto oza kuba naso. Yiyo loo nto olu vavanyo ludla ngokwenziwa ngumntu wonke.

Kuthatha ixesha elingakanani ukufumana iziphumo? Uza kundixelela njani ugqirha?

Ngokwesiqhelo, iziphumo zale `(Glucose Screening)` zinokwaziwa malunga nosuku olunye okanye ezimbini . Iziphumo ze `(GTT)` nazo zithatha ixesha elifanayo.

Xa uvavanywa, buza ikliniki okanye ilebhu ukuba baza kukwazisa njani ngeziphumo. Ezinye iindawo azikutsaleli umnxeba ukuba iziphumo ziqhelekile, kwaye zikutsalela umnxeba kuphela xa zingaqhelekanga kwaye zikucele ukuba ubuye (umzekelo, ukuze wenze "GTT"). Ezinye iindawo zikutsalela umnxeba nangona kunjalo. Ngoko ke ungoyiki, linda nje ude bakuxelele. Kuqhelekile ukuba novalo oluncinci, kodwa ungoyiki ngokungeyomfuneko.

Kwenzeka ntoni ukuba unesifo seswekile sokukhulelwa? Ngaba yinto omele uyoyike?

Khawucinge nje, ubhale uvavanyo, iziphumo zabuya, waza ugqirha wathi unesifo seswekile sokukhulelwa ((Gestational Diabetes)). Wenza ntoni ke ngoko? Okokuqala, ungoyiki! Asikokuphela kwehlabathi oku.

Ukuba ufunyaniswe uneSifo seswekile sokukhulelwa, ugqirha wakho kunye nengcali yesondlo baza kusebenzisana ukwenza isicwangciso solawulo esifanelekileyo kuwe. Oku kuza kugxila koku:

• Ukulawula ukutya: Nciphisa ukutya okuneswekile kunye nesitatshi kwaye ukhuthaze ukutya okune-fiber eninzi kunye nesondlo.
• Ukuzilolonga: Uyakhuthazwa ukuba wenze umthambo okhuselekileyo (njengokuhamba) yonke imihla.
• Ukubeka iliso kumanqanaba eswekile egazini:Usenokucelwa ukuba usebenzise isixhobo esincinci (i-glucometer) ukujonga amanqanaba eswekile egazini lakho ekhaya.
• Amayeza ukuba ayafuneka: Abanye abantu basenokungakwazi ukulawula amanqanaba eswekile egazini labo ngokutya ukutya nokuzilolonga kuphela. Ukuba kunjalo, ugqirha wakho unokukunika amayeza akhuselekileyo (afana neepilisi zemetformin okanye inaliti ye-insulin).

Into ebalulekileyo kukuba ukuba le meko ilawulwa kakuhle, wena nomntwana wakho ninokuba sempilweni kwaye ningabi nazingxaki. Kubantu abaninzi, le meko iyaphela emva kokuba umntwana ezelwe.

Ngoko ke, kubalulekile ukuqaphela oku kwangethuba kwaye ukulawule ngendlela efanelekileyo. Ukuba ulandela imiyalelo kagqirha ngononophelo, akukho sizathu sokoyika.

Okokugqibela, ezona zinto zibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngoku sithethe kakhulu ngolu vavanyo lwe-glucose yokukhulelwa, akunjalo? Okokugqibela, khumbula la manqaku:

• Olu vavanyo "lweGlucose" luvavanyo olubaluleke kakhulu kwimpilo yakho kunye nosana lwakho olungekazalwa .
• Olu luvavanyo oluqhelekileyo nolwenziwa rhoqo ngexesha lokukhulelwa.
• Musa ukukhathazeka ngokungeyomfuneko malunga novavanyo okanye iziphumo. Ukuba unemibuzo, buza ugqirha wakho.
• Ukuba uyibona kwangethuba isifo seswekile sokukhulelwa, ungayilawula kakuhle kwaye uzale umntwana osempilweni .
• Ukuba unemibuzo okanye amathandabuzo, zive ukhululekile ukuwaxoxa nogqirha wakho. Nguye umntu onokukunika icebiso elihle.

Sikunqwenelela ukukhulelwa okunempilo, okonwabisayo kunye nomntwana osempilweni!

Uvavanyo lweGlucose yokukhulelwa , Isifo seswekile sokukhulelwa, Ukuhlolwa kweGlucose, Uvavanyo lwangaphambi kokubeleka, Isifo seswekile sokukhulelwa, i-GTT, Oomama abakhulelweyo