Ingabe ukhulelwe? Khona-ke udinga ukwazi ngalokhu kuhlolwa ushukela (Ukuhlolwa Kokubekezelela I-glucose Yomlomo)!

Uma ulindele ukuba ngumama, udinga ukunakekela impilo yakho neyengane yakho kahle, akunjalo? Ngakho-ke, isimo abanye omama abangase babe naso ngesikhathi sokukhulelwa sibizwa ngokuthi isifo sikashukela sokukhulelwa . Lokhu kusho ukuthi izinga likashukela egazini liyakhuphuka kancane. Ukuze kutholakale lokhu, odokotela bakucela ukuthi uhlole ushukela. Namuhla, sizokhuluma ngalezi zivivinyo ngamagama alula.

Yiziphi lezi zivivinyo zikashukela ezenziwa ngesikhathi sokukhulelwa? Kungani zibalulekile?

Kalula nje, lezi zivivinyo zihlola ukuthi amazinga kashukela egazini lakho (i-glucose) aphezulu yini kunokujwayelekile ngesikhathi sokukhulelwa. Cishe u-10% wabesifazane abakhulelwe uba nesifo sikashukela sokukhulelwa . Uma singaphathwa kahle, singadala izinkinga ezinkulu kuwe nakumntwana wakho. Yingakho lokhu kuhlolwa kubaluleke kangaka.

Manje, bheka, kunezinhlobo ezimbili zokuhlolwa udokotela wakho angakucela ukuthi uzenze:

1. Ukuhlolwa Kwenselele Ye-Glucose - Lolu ukuhlolwa kokuqala, okuyisisekelo.

2. Ukuhlolwa Kokubekezelela I-glucose - Uma imiphumela yeyokuqala ingavamile, lena elandelayo okufanele yenziwe.

Umehluko omkhulu ukuthi owokuqala uhlola ukuthi usengozini yokuthola isifo sikashukela sokukhulelwa. Awusho ukuthi "yebo, unaso" ngqo. Uma imiphumela ingajwayelekile, udokotela uzokudlulisela esivivinyweni sesibili. Lolo vivinyo lwesibili yilona oluthola ukuxilongwa okuqondile. Kuzo zombili izivivinyo, unikezwa uketshezi olumnandi ukuze uluphuze bese kuthathwa igazi elincane emthanjeni osengalweni yakho.

Isinyathelo sokuqala: Ukuhlolwa Kwenselele Ye-Glucose

Lesi isivivinyo sokuqala sokuhlolwa . Sihlola ukuthi usengozini enkulu yini yokuthola isifo sikashukela sokukhulelwa. Lokhu kuyinto eyenziwa njalo ngesikhathi sokunakekelwa kwakho kokukhulelwa. Ungakhathazeki uma umphumela ungavamile. Akusho ukuthi unesifo sikashukela sokukhulelwa. Kusho nje ukuthi udokotela uthi, "Kulungile, ake sibheke ngokujulile," futhi ukubhekisa esivivinyweni sesibili, esiqinisekisayo (i-Glucose Tolerance Test). Lesi sivivinyo sokuqala sibizwa nangokuthi:

• Ukuhlolwa kwe-glucose
• Ukuhlolwa kwesifo sikashukela sokukhulelwa
• Ukuhlolwa kwenselele ye-glucose yehora elilodwa

Kodwa-ke, into ebaluleke kakhulu ukuthi lokhu kumane nje kuyindlela yokuhlola eyisisekelo . Uma imiphumela ijwayelekile, ngeke kudingeke ezinye izivivinyo.

Isinyathelo sesibili nesibalulekile: ukuhlolwa kokubekezelela ushukela.

Lolu ukuhlolwa kokuxilonga okuqinisekisa ukuthi unesifo sikashukela sokukhulelwa noma cha . Kuthatha cishe amahora amathathu. Futhi, kuqondileIgazi likhishwa izikhathi eziningana ngesikhathi. Lokhu kuyinkimbinkimbi kancane, ngoba kufanele uzile ukudla amahora ambalwa ngaphambi kwesikhathi. Lokhu ngezinye izikhathi kubizwa ngokuthi "ukuhlolwa kwe-glucose kwamahora amathathu."

Lolu vivinyo lwe-glucose challenge lwenziwa nini ngesikhathi sokukhulelwa?

Ukuhlolwa kwesifo sikashukela sokukhulelwa kuvame ukwenziwa phakathi kwamasonto angama-24 nama-28 okukhulelwa . Kodwa-ke, udokotela wakho angancoma ukuthi wenze lokhu kuhlolwa kusenesikhathi uma unezinye zezici ezilandelayo eziyingozi:

• Uma uke waba nesifo sikashukela ngesikhathi sokukhulelwa kwangaphambilini.
• Uma uthola ukuthi kunoshukela emchameni wakho emtholampilo wokukhulelwa.
• Uma othile emndenini (njengomama, ubaba, abafowabo nodadewabo) enesifo sikashukela.
• Uma ukhuluphele kakhulu .
• Uma une -high blood pressure .
• Uma uneminyaka engaphezu kwengu-35 ubudala.
• Uma unesifo esifana `(PCOS - Polycystic Ovary Syndrome)` noma esinye isimo sezokwelapha esanda ingozi yakho yokuthola isifo sikashukela.

Ngingakulungiselela kanjani ukuhlolwa kwe-glucose njalo ngehora?

Empeleni, asikho isidingo sokulungiselela ukuhlolwa kwe-glucose ngalesi sikhathi. Odokotela abaningi batusa ukugwema ukudla okunoshukela omningi (isib. ama-pancake, ama-donuts, noma iziphuzo ezinoshukela) ngesidlo sasekuseni. Uma uhlola ntambama, khumbula ukuthi ukudla ushukela omningi ngesikhathi sasemini kungathinta imiphumela.

Ngingadla ngaphambi kokuhlolwa kokuhlolwa kwe-glucose?

Yebo, ungadla ngendlela evamile bese uya kohlolwa ushukela. Asikho isidingo sokuzila ukudla.

Yini ongayilindela ngosuku lokuhlolwa kokuhlolwa?

Ngosuku lokuhlolwa, landela imiyalelo oyinikezwe udokotela wakho noma ilebhu ngqo. Yazi kahle ukuthi uyaphi nokuthi udinga i-aphoyintimenti yini.

Lokhu kuhlolwa kwe-glucose kwenziwa kanjani ngesikhathi sokukhulelwa?

Yilokhu okwenzekayo:

1. Okokuqala, uzonikezwa uketshezi olumnandi (olubizwa ngokuthi "i-Glucola") ukuze uluphuze. Lokhu kuqukethe cishe amagremu angu-50 e-glucose (uhlobo lukashukela). Kumelwe uluphuze ngokushesha kungakapheli imizuzu emihlanu.

2. Ihora elilodwa nje (imizuzu engama-60) ngemva kokuliphuza, kuzothathwa isampula yegazi emthanjeni osengalweni yakho.

3. Lokhu kuhlolwa kwegazi kuhlola ukuthi umzimba wakho usebenzise kanjani leso sixazululo se-glucose.

Okubalulekile: Akufanele udle noma uphuze noma yini kusukela ngesikhathi uphuza uketshezi lwe-`(Glucola)` kuze kube yilapho unikela ngegazi. Ngokuvamile kulungile ukuphuza amanzi amancane nje.

Ukuthi nje izinga likashukela egazini lakho liphezulu kancane kunokuvamile ngemva kwehora elilodwa akusho ukuthi unesifo sikashukela sokukhulelwa. Kusho ukuthi udokotela wakho uzokucela ukuthi wenze isivivinyo sesibili sokuqinisekisa ukubekezelela ushukela.

Ungalungiselela kanjani ukuhlolwa kokubekezelela ushukela?

Uma imiphumela yakho yokuqala yokuhlolwa kwe-glucose ingavamile (okungukuthi, "ukwehluleka"), udokotela wakho uzoyala lokhu kuhlolwa kwesibili ukuqinisekisa isifo sikashukela sokukhulelwa. Lokhu kufana nokuhlolwa kokuqala, kodwa kuthatha isikhathi eside futhi kudinga ukudonswa kwegazi kaningi .

Ukuze ulungiselele lokhu, udokotela wakho uzokunikeza imiyalelo ethile yokudla ekhethekile. Eminye yayo yile:

• Yidla okungenani amagremu angu-150 ama-carbohydrate ngosuku izinsuku ezintathu ngaphambi kokuhlolwa (ama-carbohydrate ayizinto zokudla ezinesitashi njengelayisi, isinkwa, namazambane).
• Akufanele udle noma uphuze lutho amahora angu-8 kuya kwangu-12 ngaphambi kokuhlolwa (kumele uzile ukudla). Ngokuvamile kulungile ukuphuza amaconsi ambalwa amanzi ekuseni kokuhlolwa.
• Kungcono ukwenza isivivinyo ekuseni.

Khumbula: Ngisho noma "wehluleka" ukuhlolwa kwe-glucose kokuqala, ungase "uphumelele" kulokhu `(Ukuhlolwa Kokubekezelela I-glucose)`. Ngakho ungakhathazeki.

Ukuhlolwa kokubekezelela ushukela kwenziwa kanjani ngesikhathi sokukhulelwa?

Ngokungafani nokuhlolwa kokuhlolwa kwe-glucose, isinyathelo sokuqala kulolu vivinyo lokubekezelela i-glucose oluthatha amahora amathathu ukungaphuzi uketshezi olumnandi.

1. Okokuqala, udokotela we-phlebotomist uzothatha inani elincane legazi ukuze ahlole izinga lakho likashukela egazini lokuzila ukudla . Lokhu kwenziwa ungakadli noma ungaphuzi lutho.

2. Ngemuva kwalokho, uzonikezwa uketshezi olumnandi (`(Glucola)`) oluqukethe amagremu ayi-100 e-glucose ukuze uphuze ngokushesha imizuzu emihlanu.

3. Igazi lakho lizokhishwa ihora elilodwa, amahora amabili, kanye namahora amathathu ngemva kokuqeda ukuphuza uketshezi. Lokho kusho ukuthi uzokhipha igazi izikhathi ezine, kuhlanganise nesikhathi sokuqala.

Ngeke uvunyelwe ukuphuma elabhorethri kuze kube yilapho unikezwa isampula yegazi elilandelayo. Ngakho-ke ungabi yisivila ukuletha okuthile ongakufunda, njengencwadi noma umagazini. Uzovame ukunikezwa amaconsi ambalwa amanzi phakathi nalolu vivinyo. Kodwa-ke, ngeke uvunyelwe ukudla noma yini enye kuze kube yilapho unikezwa isampula yegazi lokugcina.

Kuthatha isikhathi esingakanani lokhu kuhlolwa kwe-glucose?

Ukuhlolwa kwe-glucose kuthatha isikhathi esingaphezudlwana kwehora.

Ukuhlolwa kokubekezelela ushukela kuthatha isikhathi esingaphezu kwamahora amathathu.

Ngingaphuza amanzi ngesikhathi sokuhlolwa kokubekezelela ushukela?

Odokotela abaningi bazokuvumela ukuthi uphuze izingilazi ezimbalwa zamanzi ngesikhathi sokuhlolwa kwamahora amathathu, kodwa kungcono ukubuza udokotela wakho noma elebhu ukuthola imininingwane.

Ingabe ikhona imiphumela emibi ebangelwa ukuphuza uketshezi olunoshukela ngesikhathi sokuhlolwa?

Iningi labantu alibi nemiphumela emibi. Abanye abantu bathi bazizwa benesicanucanu noma benesiyezi ngemva kokuyiphuza. Kodwa-ke, imiphumela emibi emibi ayivamile. Ukunambitheka koketshezi lwe-glucose kungase kunambitheke njengojusi we-orange omnandi kakhulu noma i-carbonated soda kwabanye abantu. Lokhu kungase kube yinto ecasulayo kwabanye.

Kuthatha isikhathi esingakanani ukwazi imiphumela yokuhlolwa kwesifo sikashukela sokukhulelwa?

Iningi labantu lithola imiphumela yokuhlolwa kwesifo sikashukela sokukhulelwa zingakapheli izinsuku ezimbili. Buza udokotela wakho ukuthi ungalindela nini imiphumela.

Yiziphi izindinganiso ezijwayelekile zokuhlolwa kwe-glucose njalo ngehora?

Uma izinga likashukela egazini lakho lingaphansi kuka -140 mg/dL (ama-milligram nge-deciliter), kuvamile. Akudingeki ukuhlolwa okwengeziwe kwesifo sikashukela sokukhulelwa.

Uma izinga likashukela egazini lakho lingu-140 mg/dL noma ngaphezulu, udokotela wakho uzoyala ukuhlolwa kokubekezelela ushukela amahora amathathu.

Sicela uqaphele: Odokotela kanye nelebhu ngayinye bahlukile, ngakho-ke amanani ajwayelekile angahluka kancane. Isibonelo, abanye odokotela babheka noma yini engaphezu kuka-135 mg/dL njengento engavamile.

Ziyini izindinganiso ezijwayelekile zokuhlolwa kwe-glucose kwamahora amathathu ngesikhathi sokukhulelwa?

Ngesikhathi sokuhlolwa kokubekezelela i-glucose kwamahora amathathu:

• Amazinga kashukela egazini okuzila ukudla kufanele abe ngaphansi kuka-95 mg/dL.
• Ihora elilodwa ngemva kokuphuza isisombululo soju, amazinga kashukela egazini kufanele abe ngaphansi kuka-180 mg/dL.
• Ngemva kwamahora amabili , amazinga kashukela egazini kufanele abe ngaphansi kuka-155 mg/dL.
• Ngemva kwamahora amathathu , amazinga kashukela egazini kufanele abe ngaphansi kuka-140 mg/dL.

Khumbula ukuthi amanani ajwayelekile udokotela wakho awasebenzisayo angahluka kancane. Ngokuvamile, uma okungenani imiphumela yakho emibili iphakeme, udokotela wakho uzokuthola ukuthi unesifo sikashukela sokukhulelwa. Uma umphumela owodwa kuphela uphakeme, ungase ucelwe ukuthi uphinde uhlolwe emavikini ambalwa.

Qonda imiphumela yokuhlolwa kwe-glucose yakho bese uxoxa nganoma yimiphi imibuzo ongaba nayo nodokotela wakho.

Kwenzekani uma "ngihluleka" ukuhlolwa kwe-glucose kwamahora amathathu?

Uma "wehluleka" ukuhlolwa kwe-glucose kwamahora amathathu, okusho ukuthi amazinga kashukela egazini lakho aphezulu kunokuvamile, udokotela wakho uzokutshela ukuthi unesifo sikashukela sokukhulelwa . Izinto eziyinhloko ongazenza ukwelapha isifo sikashukela ngesikhathi sokukhulelwa ukwenza izinguquko ekudleni kwakho nokusebenzisa i-glucose meter ukuhlola amazinga kashukela egazini lakho ngezikhathi ezijwayelekile phakathi nosuku. I-glucose meter yegazi iyimishini encane elinganisa amazinga kashukela egazini lakho kusukela ethonsini legazi lakho. Uma ukudla kuphela kunganele, ungase udinge i-insulin ukusiza ukulawula isifo sikashukela sakho sokukhulelwa. Udokotela wakho noma isazi sokudla angakusiza ukulawula amazinga kashukela egazini lakho phakathi nokukhulelwa kwakho. Ungakhathazeki, iningi lomama likwenza kahle lokhu.

Ngingayenqaba yini le nselelo yokuhlolwa kwe-glucose ngesikhathi sokukhulelwa?

Yebo, unelungelo elisemthethweni lokwenqaba lokhu kuhlolwa kwe-glucose. Kodwa-ke, cishe zonke izinhlangano ezinkulu zezokwelapha kanye nabahlinzeki bokunakekelwa kwangaphambi kokubeletha emhlabeni batusa ukuthi uthole lokhu kuhlolwa uma ukhulelwe. Lokhu kungenxa yokuthi lokhu kuhlolwa kwe-glucose kuyindlela kuphela yokwazi ukuthi unesifo sikashukela sokukhulelwa. Uma singelashwa, isifo sikashukela sokukhulelwa singadala izinkinga kuwe nakumntwana wakho.

Kungani lokhu kuhlolwa kwe-glucose kuyadingeka ngesikhathi sokukhulelwa?

Lokhu kuhlolwa kwe-glucose yikho okusiza udokotela wakho ukuthi anqume ukuthi unesifo sikashukela sokukhulelwa. Uma unesifo sikashukela ngesikhathi sokukhulelwa, kubaluleke kakhulu ukulawula amazinga kashukela egazini lakho. Uma singelashwa, isifo sikashukela singadala izinkinga ezinkulu. Ezinye zalezi zinkinga zifaka:

• I-Preeclampsia (umfutho wegazi ophezulu ngesikhathi sokukhulelwa).
• Isisindo somntwana siyakhula (ukubeletha umntwana omkhulu) , okwandisa ingozi yokuthi umntwana abe nengozi ngesikhathi sokuzalwa noma kudingeke ahlinzwe ngokuhlinzwa.
• I-Hypoglycemia (ushukela ophansi egazini) enganeni ngemva kokuzalwa.
• Ingane yakho isengozini enkulu yokuthola isifo sikashukela sohlobo lwesibili kamuva ekuphileni .

Ingabe kukhona ongakwenza ukuze "uphumelele" ukuhlolwa kwakho kwe-glucose yokukhulelwa?

Eqinisweni, indlela umzimba wakho osebenzisa ngayo i-glucose ngesikhathi sokukhulelwa ayilawulwa kakhulu. Kodwa-ke, ukudla ukudla okunoshukela, okumnandi neziphuzo ngaphambi kokuhlolwa kwakho kungathinta imiphumela yakho. Lokhu kufaka phakathi izinto ezifana nesinkwa, i-pasta, amakhekhe, okusanhlamvu okunoshukela, amajusi neziphuzo ezinoshukela. Uma ufuna "ukuphasa" ukuhlolwa kwakho kokuhlolwa kwe-glucose, kungcono ukuyeka lokhu kudla neziphuzo ngangokunokwenzeka izinsuku ezimbalwa ngaphambi kokuhlolwa. Ukudla ukudla okulinganiselayo kuyinto ebaluleke kakhulu.

Okokugcina, khumbula lokhu (Umyalezo Wokuya Ekhaya)

Lokhu kuhlolwa kokuhlolwa kwesifo sikashukela sokukhulelwa kungenye nje yezivivinyo eziningi ozoba nazo ngesikhathi sokukhulelwa kwakho. Ngenxa yokuthi isifo sikashukela esingalawulwa singabangela izinkinga kuwe nakumntwana wakho , manje sesiyingxenye evamile yokunakekelwa kwangaphambi kokubeletha. Ukuhlolwa kwe-glucose kulula, akubuhlungu kangako. Kuhilela ukuphuza uketshezi olunoshukela kanye nokuba negazi elincane elithathwe emthanjeni osengalweni yakho ngezikhathi ezithile. Uma umzimba wakho ungasebenzisi i-glucose kahle, amazinga kashukela egazini lakho angaba phezulu noma angajwayelekile.

Khuluma nodokotela wakho ukuze uqonde kahle ukuthi lokhu kuhlolwa kwe-glucose kuyini, kufanele kwenziwe nini, nokuthi kufanele uye kuphi. Khona-ke ungayiqonda kangcono le nqubo yonke. Ungakhathazeki, konke lokhu kwenzelwa impilo enhle yakho kanye nengane yakho eyigugu.

Ukukhulelwa , isifo sikashukela, ukuhlolwa kwe-glucose, isifo sikashukela sokukhulelwa, ukuhlolwa kweshukela, impilo yokukhulelwa, impilo yomntwana