Ngeli xesha lokukhulelwa, ucinga kakhulu ngempilo yakho kunye nempilo yomntwana wakho ongekazalwa, akunjalo? Igama esiliva rhoqo, kwaye ngamanye amaxesha liyoyikisa kancinci, 'isifo seswekile sokukhulelwa'. Kuqhelekile ukuziva usoyika kancinci xa usiva eli gama. Kodwa oku akuyonto yokoyika, ukuba kulawulwa ngokufanelekileyo, ungazisa umntwana ophilileyo kweli hlabathi ngaphandle kweengxaki. Ngoko ke, masithethe ngale nto ngendlela elula necacileyo namhlanje.
Yintoni isifo seswekile sokukhulelwa?
Ngamafutshane, olu luhlobo lwesifo seswekile esiba sexeshana abanye abafazi abasifumana ngexesha lokukhulelwa kuphela. Sidla ngokuvela ekupheleni kokukhulelwa, malunga neeveki ezingama-24. Into ebalulekileyo kukuba abafazi abafumana esi sifo babengenaso isifo seswekile ngaphambi kokuba bakhulelwe. Ngoko ke asiyomeko yobomi bonke. Esi sifo sidla ngokuphela emva kokuba umntwana ezelwe.
Isizathu soku kukuba iihomoni ezithile eziveliswa emzimbeni ngexesha lokukhulelwa ziphazamisana kancinci nomsebenzi we-insulin, elawula iswekile emzimbeni. Ngoko ke kubaluleke kakhulu ukuba wonke umama okhulelweyo azi ngale nto aze enze uvavanyo olufunekayo.
Kutheni uxelela wonke umntu ukuba abhale olu vavanyo?
Usenokuba ucinga, "Andikho semngciphekweni, kutheni kufuneka ndithathe olu vavanyo?" Nangona kunjalo, isifo seswekile sokukhulelwa sinokwenzeka nakubantu abangenazo izinto ezinokuba yingozi. Yiyo loo nto, eSri Lanka nakwamanye amazwe amaninzi kwihlabathi liphela, olu vavanyo lucetyiswa kubo bonke abafazi abakhulelweyo .
Olu vavanyo lwenzelwe ukufumanisa le meko kwangethuba nokuthintela iingxaki kuwe nakumntwana wakho. Ukuba ifunyenwe kwangethuba, ingalawulwa ngokutshintsha ukutya okulula.
Olu vavanyo lwenziwa nini?
Ugqirha wakho uya kuyalela olu vavanyo phakathi kweeveki ezingama-24 nezingama-28 zokukhulelwa.
Nangona kunjalo, ukuba ukhe waba nolu hlobo lwesifo seswekile ngexesha lokukhulelwa kwangaphambili, okanye ukuba ugqirha wakho ucinga ukuba unezinye izinto ezinokubangela umngcipheko, njengokuba umntu okwintsapho yakho enesifo seswekile, angacebisa ukuba wenze olu vavanyo kwangethuba, njengangaphambi kweeveki ezili-13 . Ugqirha wakho uya kukunika icebiso elihle kakhulu ngalo mba.
Lwenziwa njani olu vavanyo lwe-OGTT?
Olu vavanyo lubizwa ngokuba yi-Oral Glucose Tolerance Test okanye (OGTT) . Lwaziwa kakhulu ngokuba yi-"sugar water test". Yiloo nto kanye eyenzekayo.
Khawucinge ngento eyenzekayo xa usiya ekliniki.
1. Okokuqala, uza kunikwa ulwelo olumnandi (ngamanye amaxesha olubizwa ngokuba yi-"Glucola") olune-50 grams yeglucose enyibilikisiweyo kuyo. Oku kuya kuba mnandi kancinci, kodwa ungakusela ngokukhawuleza.
2. Emva kokusela olu lwelo lumnandi, kufuneka ulinde malunga neyure. Ngeli xesha, umzimba wakho ufunxa le glucose, nto leyo ebangela ukuba iswekile egazini lakho inyuke kancinci.
3. Emva kweyure enye kanye, kuya kuthathwa isampuli yegazi elincinci kumthambo osengalweni yakho.
4. Le sampulu yegazi iyavavanywa ukuze kubonwe ukuba umzimba wakho uye wayilawula njani (wayiguqula njani) i-glucose oyiseleyo.
Ungaziqonda njani iziphumo zovavanyo?
Kulapho abantu abaninzi banengxaki encinci khona. Abanye abantu bayoyika xa befumana ingxelo yabo yokuqala yovavanyo. Makhe sibone ukuba singayiqonda njani le nto ngokuchanekileyo.
Uvavanyo lokuqala (Uvavanyo loHlolo)
Ukuba inqanaba leswekile kwisampulu yegazi ethathwe emva kweyure liphezulu kune -130mg/dL okanye i-140mg/dL (eli xabiso linokwahluka kancinci kwilabhoratri nganye kwaye kuxhomekeke kuluvo lukagqirha), ugqirha uya kukuxelela ukuba kufuneka wenze olunye uvavanyo lokuqinisekisa.
Kubaluleke kakhulu: Inqanaba leswekile elinyukileyo kancinci kuvavanyo lokuqala akuthethi ukuba unesifo seswekile sokukhulelwa. Kuthetha nje ukuba "kufuneka siphande oku ngakumbi." Ngoko ke musa ukoyika.
Okwesibini, uvavanyo lokuqinisekisa
Kuphela xa iziphumo zovavanyo lokuqala ziphezulu, kuya kufuneka ubhale olu vavanyo lwesibini. Olu lwahlukile kancinci kolokuqala.
| Uphawu | Uvavanyo lokuqala (Uvavanyo loHlolo) | Uvavanyo lwesibini (Uvavanyo lokuQinisekisa) |
|---|---|---|
| Ukuzila ukutya | Akuqhelekanga ukuba kube njalo. | Ngokuqinisekileyo kuyimfuneko (iiyure eziyi-8-10). |
| Ubungakanani beglucose esetyenzisiweyo | Iigram ezingama-50 (50g) | Iigram ezili-100 (100g) |
| Ixesha lovavanyo | Iyure e-1 | iiyure ezi-3 |
| Inani lezihlandlo zokuthatha igazi | Kanye (emva kweyure) | Amaxesha amane (ngaphambi kokusela, iyure enye emva koko, iiyure ezimbini emva koko, iiyure ezintathu emva koko) |
Ukuba ubuncinane iisampuli ezimbini zegazi ezine ezithathwe kolu vavanyo lwesibini zingaphezulu kwenqanaba elicetyiswayo , ugqirha uya kuqinisekisa ukuba unesifo seswekile sokukhulelwa.
Nokuba uqinisekisiwe ukuba unayo le nto, ungoyiki. Ugqirha wakho kunye nengcali yesondlo baya kukucebisa ngesicwangciso sokutya kunye nenkqubo yokuzilolonga efanelekileyo kuwe. Ukuba ulandela loo miyalelo ngqo, wena nomntwana wakho ninokudlula kweli xesha ngaphandle kokwenzakala.
Umyalezo Wokuya Ekhaya
- Isifo seswekile sokukhulelwa sisifo esilawulekayo esikhawulelwe ekukhulelweni. Musa ukukhathazeka ngaso ngokungeyomfuneko.
- Uvavanyo lokunyamezela iGlucose yoMlomo (OGTT) luvavanyo olukhuselekileyo noluqhelekileyo olucetyiswayo kubo bonke abafazi abakhulelweyo.
- Iziphumo eziphezulu kuvavanyo lokuqala (uvavanyo lwe-50g) akuthethi ukuba unesifo seswekile. Kufuneka uvavanyo lwesibini (uvavanyo lwe-100g) ukuqinisekisa oku.
- Ukuba unemibuzo malunga noku, endaweni yokoyika oko ukufundileyo kwi-intanethi, thetha nogqirha wakho ngqo . Uza kukunika icebiso elifanelekileyo.
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