Ingabe ungumuntu onesifo sikashukela? Uma ulindele umntwana, cishe unemibuzo eminingi engqondweni yakho. Kuvamile ukuzibuza, "Ingabe isifo sami sikashukela sizoyithinta ingane yami?", "Yini okufanele ngiyenze phakathi nalesi sikhathi?", "Ingabe ngizokwazi ukwenza konke kahle?" Kodwa ungakhathazeki. Uma ukuphatha kahle, ungaletha umntwana onempilo nomhle emhlabeni noma ngabe unesifo sikashukela. Ake sixoxe ngalokhu ngokucacile nangokulula.
Okokuqala, ake siqonde: Lesi akusona isifo sikashukela sokukhulelwa!
Yilapho abantu abaningi bedideka khona. Abanye abantu baba nesifo sikashukela ngesikhathi sokukhulelwa kuphela. Sisibiza ngokuthi isifo sikashukela sokukhulelwa. Lesi simo sivame ukuphela ngemva kokuzalwa komntwana.
Kodwa akusikho lokho esikhuluma ngakho kulesi sihloko. Sikhuluma ngendlela yokuphatha ukukhulelwa kwakho uma unesifo sikashukela esivele sikhona , kungaba uhlobo 1 noma uhlobo 2. Odokotela babiza lokhu ngokuthi "isifo sikashukela sangaphambi kokukhulelwa." Kungakhathaliseki ukuthi usujwayele kangakanani ukuphila nesifo sikashukela, ukukhulelwa kuyinselele entsha ngokuphelele.
Kungani ukukhulelwa nesifo sikashukela 'kuyingozi enkulu'?
Yebo, uma umuntu onesifo sikashukela sohlobo 1 noma sohlobo 2 ekhulelwa, sikubeka 'njengokuyingozi enkulu' . Lokhu akukhona ukukwesabisa, kodwa ukukukhumbuza ukuthi wena nomntwana wakho nidinga ukunakekelwa okukhethekile. Ithimba lakho lezokwelapha lizokuqapha eduze kakhulu ngoba amazinga kashukela aphezulu noma aphansi egazini awalungile kuwe noma enganeni yakho.
Phakathi nalesi sikhathi, ungadinga usizo lwabanye ochwepheshe ngaphezu kodokotela wakho wokubelethisa kanye nodokotela wezifo zabesifazane.
- Uchwepheshe Wezokwelapha Kumama Nasembundwini (MFM): Udokotela onolwazi olukhethekile kulezi zinhlobo zamacala akhethekile.
- Isazi se-Endocrinologist: Udokotela ogxile kuma-hormone nesifo sikashukela.
- Uchwepheshe Wezokudla Obhalisiwe: Uzokusiza ukulungiselela ukudla okufanele ukukhulelwa nesifo sikashukela.
- Umfundisi Wesifo Sikashukela: Umuntu oqeqeshwe ngokukhethekile ongaphendula imibuzo yakho futhi akunike iseluleko mayelana nokuphathwa kwesifo sikashukela.
Khumbula, laba bantu balapha ukuzokusiza. Ngakho-ke ungangabazi ukukhuluma nabo nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho.
Kufanele uzilungiselele kanjani ngaphambi kokuba nomntwana?
Uma unesifo sikashukela, qala ukucabanga ngokuba nomntwana okungenani izinyanga eziyisithupha ngaphambi kokuba ukhulelwe.Kungcono ukukhuluma nodokotela wakho. Ngenxa yokuthi kuzodingeka ugcine amazinga kashukela egazini lakho elawulwa phakathi nokukhulelwa kwakho, kubalulekile ukulungiselela lokho kusenesikhathi.
Odokotela bavame ukuncoma ukuthi ugcine i-A1C yakho iku-6.5% noma ngaphansi ngaphambi kokuba ukhulelwe. Lokhu kungenxa yokuthi izitho ezinkulu zomntwana, njengobuchopho nenhliziyo, zakha emavikini okuqala okukhulelwa. Uma amazinga kashukela egazini lakho engalawulwa phakathi nalesi sikhathi, kungathinta ukukhula komntwana wakho.
Izinzuzo zokuhlangana nethimba lezokwelapha kusenesikhathi yilezi:
- Bazokusiza ukubuyisela amazinga akho kashukela ezingeni elinempilo.
- Ungakhuluma nochwepheshe wezokudla bese udala uhlelo lokudla olunempilo olufanele ukukhulelwa.
- Kungase kudingeke wenze izinguquko emithini yakho yesifo sikashukela ngesikhathi sokukhulelwa. Ungathola ngalokhu kusenesikhathi.
- Ungase unconywe ukuthi usebenzise ubuchwepheshe obusha, njenge-Continuous Glucose Monitor (CGM) noma i-Insulin Pump. Lesi yisikhathi esihle sokujwayela kusenesikhathi.
- Ungahlola impilo yamehlo akho, izinso, kanye nenhliziyo ngaphambi kokukhulelwa, ngoba ezinye izinkinga ezibangelwa isifo sikashukela (njenge-"Retinopathy" kanye ne-"Nephropathy") zinganda noma zikhule ezintsha ngesikhathi sokukhulelwa.
Ukuphathwa kwesifo sikashukela kushintsha kanjani ngesikhathi sokukhulelwa?
Kunezinguquko ezinkulu eziningana ekuphathweni kwesifo sikashukela ngesikhathi sokukhulelwa.
1. Gcina amazinga kashukela egazini elawulwa: Ukuze unciphise izinkinga, udinga ukuqaphela amazinga kashukela wakho kunokujwayelekile.
2. Ukushintsha kwezidingo ze-insulin: Inani le-insulin oyidingayo livame ukushintsha ngokushintsha kwama-hormone emzimbeni.
3. Ukulinganisela izidingo zokudla: Ukulawula amazinga kashukela ngenkathi uthola ukudla okunomsoco okudingekayo ekukhuleni komntwana kuyinselele.
Imigomo yokugcina amazinga akho kashukela egazini ngesikhathi sokukhulelwa
Lawa amazinga okuhlosiwe odokotela abavame ukuwancoma. Kodwa-ke, lawa angahluka kancane kuye ngesimo sakho. Ngakho-ke , kubalulekile ukulandela imiyalelo kadokotela wakho.
| Isikhathi sokuhlola | Izinga likashukela eliqondiwe (mg/dL) |
|---|---|
| Ukuzila ukudla (ngaphambi kokudla kwasekuseni) | Ngaphansi kuka-95 mg/dL |
| Ihora elilodwa ngemva kokudla okuyinhloko | Ngaphansi kuka-140 mg/dL |
| Amahora amabili ngemva kokudla okuyinhloko | Ngaphansi kuka-120 mg/dL |
Ukuze ufinyelele le migomo, kuzodingeka wenze okulandelayo:
- Qaphela inani lama-carbohydrate ekudleni okudlayo.
- Faka i-insulin imizuzu eyi-10-15 ngaphambi kokudla.
- Ukuzivocavoca ukuze usize ekulawuleni amazinga kashukela egazini lakho (khuluma nodokotela wakho ngalokhu).
Indlela izidingo ze-insulin ezishintsha ngayo ngesikhathi sokukhulelwa
Lena inselele enkulu kubantu abaningi. Ngesikhathi sokukhulelwa, ama-hormone omzimba wakho ashintsha kakhulu. Ngenxa yalokhu, inani le-insulin oyidingayo nalo lishintsha njalo.
- I-trimester yokuqala (izinyanga ezintathu zokuqala): Abanye abantu banesidingo esincane se-insulin phakathi nalesi sikhathi, kodwa lokhu akuvamile kuwo wonke umuntu.
- Ngemva kwamasonto ayi-16: Phakathi nalesi sikhathi, ama-hormone akhishwa yi-placenta andisa ukumelana komzimba ne-insulin. Lokhu kwenzeka ngisho nakubantu abangenaso isifo sikashukela. Ngenxa yalokho, inani le-insulin oyidingayo liyakhula kancane kancane.
- Emasontweni angu-36-37: Manje ungase udinge inani le-insulin eliphindwe kabili noma kathathu kunalelo owawulidinga ngaphambi kokuba ukhulelwe.
- Ngemva kokubeletha: Ngokumangalisayo, ngemva kokuzalwa komntwana kanye ne-placenta, izidingo zakho ze-insulin zehla kakhulu. Ungase udinge inani elifanayo nalelo owawulidinga ngaphambi kokukhulelwa noma ngaphansi kwalo. Kubalulekile ukuxoxa ngalokhu nodokotela wakho kusenesikhathi bese usungula uhlelo.
Yiziphi ezinye izivivinyo okufanele ngizilindele ngesikhathi sokukhulelwa?
Ngenxa yokuthi unesifo sikashukela, kuzodingeka ukuthi uhlolwe futhi uhlolwe kaningi kunomama okhulelwe ojwayelekile. Lokhu kwenziwa ukuqinisekisa ukuthi ingane yakho iyakhula nokuthi uphilile.
| Ukuhlolwa | Kungani ukwenza lokho? |
|---|---|
| I-Echocardiogram yengane esanda kuzalwa | Njengoba isifo sikashukela sandisa ingozi yengane yokuthola isifo senhliziyo, hlola isakhiwo senhliziyo yengane. |
| Ukuskena Kokukhula | Ukukhula komntwana kubhekwa njalo emavikini ambalwa. Izingane ezizalwa ngomama abanesifo sikashukela zisengozini yokuba zinkulu kunokujwayelekile (i-Fetal Macrosomia). |
| Ukuhlolwa Okungeyona Ingcindezi (NST) | Kwenziwa cishe kanye ngesonto phakathi nengxenye yokugcina yokukhulelwa. Ukushaya kwenhliziyo nokunyakaza kwengane kuyahlolwa. |
| Iphrofayili Yezinto Eziphilayo (i-BPP) | Lokhu futhi kuyiskeni. Kukala ukunyakaza kokuphefumula kwengane, ithoni yemisipha, ukunyakaza, kanye nenani loketshezi lwe-amniotic esibelethweni. |
Yiziphi izingozi nezinkinga ezingaba khona?
Kubalulekile ukugcina amazinga kashukela egazini lakho elawulwa ukuze unciphise lezi zingozi. Kubalulekile ukuqaphela lezi zinto, kodwa ungesabi ukuthi konke lokhu kuzokwehlela.
Izingozi ezingaba khona enganeni
- Izinkinga zokuzalwa: Ingozi yokuba nezinkinga zokuzalwa, ikakhulukazi izinkinga zenhliziyo, iyanda kancane.
- Ingane enkulu kunejwayelekile (i-Fetal Macrosomia): Isisindo sengane singadlula ama-4 kg. Lokhu kungabangela ubunzima kumama kanye nengane ngesikhathi sokubeletha.
- Ukuzalwa Kungakafiki Isikhathi: Uma kuvela izinkinga, ingane kungadingeka ibelethwe ngaphambi kosuku lokuzalwa.
- Ngemva kokuzalwa: Ngemva kokuzalwa komntwana, izimo ezinjengoshukela ophansi egazini, ubunzima bokuphefumula, kanye ne-jaundice zingase zivele. Ngezikhathi ezinjalo, umntwana kungadingeka agcinwe egunjini lokunakekelwa okujulile kwezingane ezisanda kuzalwa (i-NICU).
Izingozi kuwe (umama)
- I-Preeclampsia: Umfutho wegazi ophezulu kanye neprotheyini emchameni ngesikhathi sokukhulelwa. Isifo sikashukela siyimbangela enkulu yalokhu.
- Isidingo sokuhlinzwa ngokuhlinzwa (C-section): Ukubeletha okuvamile kungaba nzima ngenxa yobukhulu bomntwana.
- Amazinga kashukela aphansi egazini (i-Hypoglycemia):Uma uzama ukulawula amazinga kashukela egazini lakho, ngezinye izikhathi amazinga kashukela egazini lakho angaba phansi kakhulu.
- I-Diabetic Ketoacidosis (DKA): Lesi simo sivame ukwenzeka ngesikhathi sokukhulelwa ngenxa yokwanda kokumelana ne-insulin. Ukucasuka ekuseni nakho kungaba yimbangela.
- Ezinye izinkinga ezihlobene nesifo sikashukela: Imiphumela yesifo sikashukela ezithweni zomzimba ezinjengamehlo nezinso inganda ngesikhathi sokukhulelwa.
Ubhekana kanjani nale nselele? Kufanele ubonane nini nodokotela?
Ukuphila nesifo sikashukela ngesikhathi sokukhulelwa kungaba yinto ekhathazayo engqondweni nasemzimbeni, kodwa uma ulandela lezi zinyathelo ngendlela efanele, ungaphumelela kulolu hambo.
- Hlola amazinga kashukela egazini lakho njalo njengoba kuqondiswe udokotela wakho.
- Zama konke okusemandleni akho ukugcina amazinga kashukela egazini lakho ngaphakathi kobubanzi obuqondiwe.
- Sebenzisa i-insulin kanye neminye imithi njengoba nje udokotela wakho ekuyalile.
- Ungayeki noma yimuphi umtholampilo noma ukuhlolwa.
- Yidla ukudla okunempilo nokulinganiselayo.
- Yeka ukuphuza utshwala nokubhema ngokuphelele.
- Cabanga nangempilo yakho yengqondo. Uma uzizwa ucindezelekile, khuluma nomngane noma udokotela.
Uma unalezi zimpawu, shayela udokotela wakho ngokushesha.
| Isibonakaliso | Incazelo |
|---|---|
| Uma ungakwazi ukulawula amazinga akho kashukela | Kungakhathaliseki ukuthi uzama kangakanani, amazinga akho kashukela ahlala ephakeme noma engaphansi kwalokho okuhlosiwe. |
| Uma ukunyakaza kwengane kuphansi | Uma uzizwa sengathi ingane yakho ayinyakazi kakhulu kunokujwayelekile. |
| Ukuphuma kwegazi noma ukuphuma kwegazi esithweni sangasese sowesifazane | Uma kukhona ukuphuma kwamanzi noma igazi eliphumayo. |
| Ezinye izici | Uma umbono wakho ungacacile, uzizwa womile kakhulu, noma uhlanza njalo. |
Khumbula, uma unenkinga nganoma yini, ungesabi ukukhuluma nodokotela wakho. Kubaluleke kakhulu ekuphepheni kwakho nokwengane yakho.
Umlayezo Wokuya Nawe Ekhaya
- Ngisho noma unesifo sikashukela, ngokuhlela nokuphatha kahle, ungazala umntwana onempilo.
- Ngaphambi kokuba ucabange ngokuba nomntwana, khuluma nodokotela wakho kusasele izinyanga ezimbalwa bese ulawula amazinga kashukela egazini lakho.
- Ukukhulelwa kufana 'nomdlalo weqembu.' Wena, umndeni wakho, kanye nethimba lakho lezokwelapha kudingeka nidlule kulolu hambo ndawonye.
- Izidingo zakho ze-insulin zizoshintsha njalo phakathi nokukhulelwa kwakho, ngakho-ke yenza noma yiziphi izinguquko ezidingekayo njengoba kuqondiswe udokotela wakho.
- Uma unemibuzo noma ukukhathazeka, khuluma ngokukhululekile nethimba lakho lezokwelapha. Bakhona ukukusiza.
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