Ungaba nomntwana onempilo ngisho noma unesifo sikashukela? (Isifo Sikashukela Ekukhulelweni) Ake sixoxe ngalokhu!

Sawubona! Uma ulindele umntwana kulezi zinsuku, ikakhulukazi uma unesifo sikashukela, cishe unemibuzo eminingi nokwesaba engqondweni yakho, akunjalo? "O, ingabe kuzoba nezinkinga ngomntwana uma nginesifo sikashukela?" "Ingabe lokhu kuzophathwa kahle?" Ungase ucabange izinto ezinjalo. Ungakhathazeki, awuwedwa. Omama abaningi babhekene nalesi simo. Into ebaluleke kakhulu ukuthi ngokuqonda okufanele nokulandela iseluleko sezokwelapha, nawe ungaba nomntwana onempilo. Ake sixoxe ngalokhu ngemininingwane eyengeziwe, akunjalo?

Isifo sikashukela sithinta kanjani ukukhulelwa?

Kalula nje, uma unesifo sikashukela sohlobo 1 noma sohlobo 2 ngaphambi kokukhulelwa, sibizwa ngokuthi "isifo sikashukela sangaphambi kokukhulelwa." Lokhu kuhlukile kwesifo sikashukela sokukhulelwa, esikhula ngesikhathi sokukhulelwa. Isifo sikashukela sokukhulelwa sivame ukuphela ngemva kokuthola umntwana.

Uma usuvele unesifo sikashukela, ukulawula amazinga kashukela egazini lakho ngesikhathi sokukhulelwa kungaba yinselele kancane. Uyazi ukuthini? Ngesikhathi sokukhulelwa, ama-hormone ethu ashintsha kakhulu. Ngalezo zinguquko, kungadingeka ushintshe ukudla kwakho, ukuzivocavoca umzimba, ngisho nemithi yakho. Ngokuvamile, lolu hlelo lokuphatha isifo sikashukela kuzodingeka lushintshwe izikhathi eziningana kuze kube usuku lokuzalwa komntwana wakho. Ngakho-ke, kubaluleke kakhulu ukukhuluma nethimba lakho lezokwelapha njalo futhi ubatshele ngesimo sakho. Kulapho-ke kuphela lapho bengakwazi khona ukunquma ukuthi yikuphi ukwelashwa okudingayo nokuthi ngabe kuyadingeka yini kushintshwe.

Kodwa khumbula lokhu, ukuba nesifo sikashukela akusho ukuthi awukwazi ukuba nomntwana onempilo. Kunzima kancane, kodwa akuyona into engenakwenzeka. Ithimba lakho lezokwelapha likhona ukukusiza.

Ingabe isifo sikashukela sohlobo 1 siyingozi enkulu yokukhulelwa?

Yebo, isifo sikashukela sohlobo 1 kanye nesifo sikashukela sohlobo 2 kwandisa ingozi yezinkinga ngesikhathi sokukhulelwa. Ngakho-ke, udokotela wakho wokubeletha uzoqapha impilo yengane yakho kanye namazinga kashukela egazini lakho phakathi nokukhulelwa kwakho ukuqinisekisa ukuthi ugcina izinga elinempilo. Uma amazinga kashukela egazini lakho ehlala ephezulu kakhulu noma ephansi kakhulu, kungaba yingozi futhi kuholele ezinkingeni.

Uzovame ukusebenza nochwepheshe wezokwelapha komama nomntwana (i-MFM). Ngaphezu kodokotela wakho wokubelethisa, ithimba lakho lezokwelapha lingafaka:

• Isazi se-Endocrinologist: Uchwepheshe wezifo ezihlobene nama-hormone.
• Uchwepheshe wezokudla obhalisiwe: Umuntu ongasiza ekulawuleni isifo sikashukela futhi anikeze isiqondiso ngemikhuba yokudla enempilo ngesikhathi sokukhulelwa.
• Umfundisi wesifo sikashukela: Uchwepheshe oqeqeshwe kakhulu nolwazi lokuphatha isifo sikashukela.

Umuntu onesifo sikashukela angakulungiselela kanjani ukukhulelwa?

Uma unesifo sikashukela futhi uzama ukuba nomntwana, into yokuqala okufanele uyenze ukukhuluma nodokotela wakho. Kungcono ukukhuluma ngalokhu cishe ezinyangeni eziyisithupha ngaphambi kokuba uqale ukuzama ukuba nomntwana.

Kubalulekile ukulawula amazinga kashukela egazini lakho kahle ngaphambi kokuba ukhulelwe. Umgomo ngesikhathi sokukhulelwa ukugcina amazinga kashukela egazini lakho ebangeni elincane kakhulu. Kungaba nzima nakakhulu ukugcina lokhu ngemuva kokukhulelwa.

Iziqondiso eziningi zincoma ukugcina i-A1C yakho ku-6.5% noma ngaphansi ngaphambi kokuba ukhulelwe . Lokhu kwenzelwa ukunciphisa ingozi yakho yezinkinga. Ubuwazi? Izitho zomntwana nezinye izicubu ezibalulekile ziqala ukwakheka phakathi nekota yokuqala yokukhulelwa. Uma amazinga kashukela egazini lakho ehlala ephezulu phakathi naleso sikhathi, kungathinta ukukhula komntwana.

Ukuhlangana nethimba lakho lezokwelapha ngaphambi kokuzama ukuba nomntwana kunezinzuzo ezilandelayo:

• Odokotela bangancoma izindlela zokusiza ukwehlisa amazinga kashukela egazini lakho abe sezingeni elifanele.
• Uchwepheshe wezokudla angakusiza ukuthi udale izinhlelo zokudla ezifanele ukuphathwa kokukhulelwa nesifo sikashukela.
• Kungase kudingeke ushintshe imithi yakho yesifo sikashukela ngemva kokukhulelwa.
• Ungase ukwazi ukujwayela ukusebenzisa ubuchwepheshe obusha besifo sikashukela (isibonelo, i-continuous glucose monitor - CGM) engaba usizo kakhulu ngesikhathi sokukhulelwa.
• Udokotela wakho angase akuncome ukuthi uhlolwe amehlo akho (ingozi ye-retinopathy), izinso (ingozi ye-nephropathy), kanye nenhliziyo ngaphambi kokuba ukhulelwe, njengoba ukukhulelwa ngezinye izikhathi kungaba kubi kakhulu noma kubangele izinkinga ezintsha ezibangelwa isifo sikashukela.

Ukuphathwa kwami ​​kwesifo sikashukela kuzoshintsha kanjani ngesikhathi sokukhulelwa?

Kunezici eziningana ezibalulekile ezithinta indlela ophatha ngayo isifo sikashukela ngesikhathi sokukhulelwa:

• Isidingo sokugcina amazinga kashukela egazini esezingeni elincane ukuze kuncishiswe ingozi yezinkinga zokukhulelwa.
• Ukuzivumelanisa nezimo ezishintshayo zezidingo ze-insulin.
• Ukuphatha izidingo zokudla okunempilo ngesikhathi sokukhulelwa ngokugcina amazinga kashukela egazini elinganisela.

Izinhloso zoshukela egazini ngesikhathi sokukhulelwa nesifo sikashukela

Ngokuvamile, imigomo kashukela egazini yomama abakhulelwe abanesifo sikashukela yilena elandelayo:

• Ukuzila ukudla: Ngaphansi kuka-95 mg/dL
• Ihora elilodwa ngemva kokudla: Ngaphansi kuka-140 mg/dL
• Amahora amabili ngemva kokudla: ngaphansi kuka-120 mg/dL

Ngamanye amazwi, le migomo ingacatshangwa ngokuthi `isikhathi esiphakathi (TIR)`. Ngokuvamile, imigomo `ye-TIR` yabantu abadala abanesifo sikashukela `sohlobo 1` ngesikhathi sokukhulelwa yile:

• Okungenani u-70% wesikhathi phakathi kuka-63 no-140 mg/dL (ngaphakathi kobubanzi obuqondiwe)
• Ngaphansi kuka-5% wesikhathi ngaphansi kuka-63 mg/dL
• Ngaphansi kuka-25% wesikhathi ngaphezu kuka-140 mg/dL

Iningi leziqondiso lincoma ngesikhathi sokukhulelwaUkugcina inani le-`A1C` lingaphansi kuka-6% kunganciphisa ingozi yezinkinga.

Ngenxa yale migomo eqinile, udokotela wakho angase ancome ukusebenzisa i-continuous glucose monitor (CGM) ngesikhathi sokukhulelwa. Esikhundleni sokusebenzisa izinti zeminwe, i-CGM ikunikeza isithombe esingcono sendlela amazinga akho e-glucose ashintsha ngayo ngokuhamba kwesikhathi, okwenza kube lula ukwenza izinguquko ezifanele ekuphathweni kwakho kwesifo sikashukela.

Ukuze ulondoloze lolu hlobo loshukela egazini oluncane, kuzodingeka ulandele izindlela eziningana:

• Bala ngokucophelela inani lama-carbohydrate ekudleni kwakho kanye nokudla okulula.
• Ukuthatha i-insulin imizuzu eyi-10-15 ngaphambi kokudla (noma ngisho nangaphambi kwalokho).
• Ukusebenzisa umsebenzi womzimba ukulawula amazinga kashukela egazini.

Udokotela wakho uzokhuluma nawe ngalezi zindlela kanye namanye amasu.

Ukushintsha kwezidingo ze-insulin ngesikhathi sokukhulelwa

Lindela ukuthi izidingo zakho ze-insulin zishintshe njalo ngesikhathi sokukhulelwa. Lokhu kungenxa yama-hormone ahlukene emzimbeni wakho. Njengoba nje isifo sikashukela sithinta wonke umuntu ngendlela ehlukile, nokukhulelwa kuthinta kanjalo. Ngakho-ke, kubalulekile ukusebenzisana eduze nethimba lakho lezokwelapha ukuze wenze noma yiziphi izinguquko ezidingekayo ohlelweni lwakho lokuphatha isifo sikashukela. Lezi zinguquko zizoba zehlukile kuwe kanye nezidingo zakho.

Uma unesifo sikashukela sohlobo 1, kuvamile ukuthi udinga i-insulin encane ku-trimester yokuqala - kodwa akuwona wonke umuntu odinga i-insulin. Cishe ngesonto le-16 lokukhulelwa, isidingo se-insulin siqala ukwanda. Lokhu kungenxa yokuthi i-placenta ikhiqiza ama-hormone akhulisa ukumelana ne-insulin. Lokhu kwenzeka kuzo zonke izibeletho, hhayi kulabo abanesifo sikashukela kuphela.

Cishe uzodinga i-insulin eyengeziwe kuze kube yisonto lama-36 noma lama-37 lokukhulelwa. Ngaleso sikhathi, ukumelana ne-insulin kuvame ukuzinza. Abantu abaningi bangadinga inani eliphindwe kabili noma kathathu le-insulin ababeyithatha ngaphambi kokukhulelwa.

Uzosebenzisana nodokotela wakho ukuze wenze noma yiziphi izinguquko ze-insulin ezidingekayo ngesikhathi sokukhulelwa. Lokhu kungafaka:

• I-insulin yakho ye-'basal' noma esebenza isikhathi eside (yangemuva) ('i-insulin esebenza isikhathi eside')
• Isilinganiso se-insulin-to-carb (ICR)
• Isici sokuzwela i-insulin (ISF)

Okubalulekile, uma i-placenta isilethiwe, izidingo zakho ze-insulin zizokwehla kakhulu. Phakathi nemizuzu engaba ngu-30 i-placenta isilethiwe, izidingo zakho ze-insulin zizobuyela emazingeni azo ngaphambi kokukhulelwa - noma ziphansi kakhulu. Udokotela wakho uzokhuluma nawe ngendlela yokulungisa uhlelo lwakho lwe-insulin ngemva kokubeletha. Kubalulekile ukuba nohlelo lwalokhu.

Isifo sikashukela kanye nezidingo zokudla ngesikhathi sokukhulelwa

Ukudla okunempilo kubaluleke kakhulu ekukhulelweni okunempilo. Ukulinganisela izidingo zokudla okunempilo zokukhulelwa nokugcina izinga likashukela egazini lincane kungaba nzima kancane. Uma unesicanucanu kanye/noma ukuhlanza ngesikhathi sokukhulelwa, kungaba nzima nakakhulu.

Udokotela wezokudla obhalisiwe ogxile kwabesifazane abakhulelwe abanesifo sikashukela angakusiza ukuthi udale uhlelo lokudla. Bazokuqondisa ngenani lama-'macronutrients' (izakhamzimba ezinkulu) - okungukuthi, 'ama-carbohydrate' (ama-carbohydrate), 'amaprotheni' (amaprotheni) kanye 'namafutha okudla' (amafutha okudla) - okufanele uwadle nsuku zonke. Izincomo zabo zingase zihluke ezincomweni ezijwayelekile zabesifazane abakhulelwe abangenaso isifo sikashukela. Bazophinde batuse ukudla okulula okulinganiselayo kuma-'macronutrients' ukusiza ukugcina amazinga kashukela egazini ezinzile.

Ukuphathwa Kwesifo Sikashukela Sohlobo 1 Ngesikhathi Sokukhulelwa

Abantu abaningi abanesifo sikashukela sohlobo 1 bathola ukuthi izidingo zabo ze-insulin ziyashintsha njalo - ngokuvamile kusukela ngesonto kuya ngesonto - ngesikhathi sokukhulelwa. Ukuqaphela amazinga akho kashukela kanye nokubona izitayela kungakusiza wena nodokotela wakho ukuthi nenze izinguquko ezifanele ohlelweni lwenu lokwelashwa.

Uma uthatha imijovo eminingi yansuku zonke (ama-MDI), udokotela wakho angase akuncome ukuthi ushintshele kuphampu ye-insulin ukuze akunike ukuguquguquka okwengeziwe ekulungiseni izilungiselelo zakho ze-insulin. Kodwa-ke, usengaba nokukhulelwa okunempilo nge-MDI. Uma ubuthatha eminye imithi ngaphambi kokuba ukhulelwe, qiniseka ukuthi uxoxa ngokuthi ungaqhubeka yini nokusebenzisa leyo mithi ngesikhathi sokukhulelwa.

Njengokujwayelekile, kubalulekile ukuphatha ushukela ophezulu egazini kanye namazinga aphansi kashukela egazini ngokushesha. Uma uvame ukuba noshukela ophezulu noma ophansi egazini, khuluma nodokotela wakho.

Ukuphatha Isifo Sikashukela Sohlobo 2 Ngesikhathi Sokukhulelwa

Iningi lemithi yomlomo kanye nemijovo engeyona i-insulin yesifo sikashukela sohlobo 2 ayifanele ukusetshenziswa ngesikhathi sokukhulelwa. Okuwukuphela kwento ehlukile yi-metformin. Ngakho-ke, kungadingeka usebenzise i-insulin okokuqala ukuze ulawule amazinga kashukela egazini lakho ngesikhathi sokukhulelwa. Futhi, izidingo zakho ze-insulin zingakhula njengoba ukukhulelwa kwakho kuqhubeka.

Ithimba lakho lezokwelapha lizosebenzisana nawe eduze ukuze lithuthukise uhlelo lokuphatha. Uma ungakalusebenzisi kakade, bangase batuse ukusebenzisa i-CGM (i-continuous glucose monitor).

Yini ongayilindela ngesikhathi sokukhulelwa unesifo sikashukela?

Uma unesifo sikashukela, ungalindela ukuthi ube nokuhlolwa okuningi ngaphambi kokubeletha kunokuba ubungenza ngesikhathi sokukhulelwa okuvamile. Lokhu kwenzelwa ukuthi umhlinzeki wakho wokunakekelwa kwangaphambi kokubeletha akwazi ukuqapha ngokuseduze intuthuko yengane yakho kanye nempilo yakho iyonke. Ngaphezu kokuhlolwa okuvamile kokukhulelwa (njengokuhlolwa kwegazi kanye nokuskena komzimba), ungalindela futhi lokhu kuhlolwa "okungeziwe":

• I-echocardiogram yengane yakho: Udokotela wakho angase akuncome lokhu kuhlolwa ukuze ahlole isakhiwo senhliziyo yengane yakho, njengoba ukuba nesifo sikashukela kwandisa ingozi yokuthola izifo zenhliziyo zokuzalwa nazo.
• Ukuskena kokukhula (ama-ultrasound): Udokotela wakho angase akuncome ukuskena njalo emavikini ambalwa ukuhlola ukukhula komntwana wakho. Lokhu kubaluleke kakhulu ngoba kunengozi enkulu yokuthi ingane yakho ibe nkulu kunokujwayelekile. Kodwa khumbula, lawa ma-ultrasound ayizilinganiso nje kuphela. Ingane yakho ingaba nkulu noma ibe ncane kunalokho okuboniswe yi-scan.
• Ukuhlolwa Okungacindezeli (ama-NST): Phakathi nekota yesithathu yokukhulelwa, udokotela wakho angase ancome ama-NST amasonto onke. Lokhu kuhlolwa kuhlola izinga lokushaya kwenhliziyo nokunyakaza komntwana.
• Amaphrofayili e-Biophysical (BPPs): Udokotela wakho angase futhi ancome ama-BPP masonto onke. Lawa ama-ultrasound ahlola amaphethini okuphefumula komntwana, ithoni yemisipha, kanye nokunyakaza. Aphinde alinganise inani le-amniotic fluid.

Kuzodingeka futhi uxoxe njalo nodokotela wakho we-endocrinologist noma umfundisi wesifo sikashukela. Bazophakamisa izindlela nezinguquko zokusiza ukugcina amazinga akho eglucose eseduze nobubanzi obuqondiwe ngangokunokwenzeka.

Yiziphi izingozi nezinkinga zokuba nesifo sikashukela sohlobo 1 noma sohlobo 2 ngesikhathi sokukhulelwa?

Kubalulekile ukuthatha izinyathelo zokuphatha isifo sikashukela ngesikhathi sokukhulelwa. Uma amazinga kashukela egazini lakho ehlala ephezulu kakhulu, usengozini enkulu yokuthola izinkinga ezithile. Amazinga kashukela egazini aphansi njalo noma aphansi kakhulu nawo angaba yingozi.

Laba bantu basengozini enkulu yezinkinga ngenxa yokuba nesifo sikashukela sangaphambi kokukhulelwa:

• Umbungu nokukhulelwa
• Ingane yakho ngemva kokuzalwa
• Wena

Izinkinga zangaphambi kokubeletha kanye nangemuva kokubeletha

Ukuba nesifo sikashukela ngesikhathi sokukhulelwa kungandisa ingozi yezinkinga kumntwana osanda kuzalwa, njenge:

• Ukukhubazeka kokuzalwa (izimo zokuzalwa): Ukukhubazeka kokuzalwa kwenzeka ku-6% kuya ku-12% wokukhulelwa onesifo sikashukela sokukhulelwa sangaphambilini. Ukukhubazeka kwenhliziyo kokuzalwa yikona okuvame kakhulu, kodwa ukukhubazeka kwe-neural tube kanye nokunye ukukhubazeka nakho kungavela.
• I-Fetal macrosomia: Lokhu kwenzeka lapho ingane esanda kuzalwa inesisindo esingaphezu kwamakhilogremu angu-9 nama-ounces angu-15. Ukuba nengane enkulu kwandisa ingozi yokulimala ngesikhathi sokubeletha kuwe nakumntwana wakho.
• Ama-Polyhydramnios: Lokhu ukwanda kwenani loketshezi lwe-amniotic esikhwameni se-amniotic. Lokhu kungaholela ekubelethweni ngaphambi kwesikhathi kanye nokuzalwa komntwana eseshonile.
• Ukuzalwa ngaphambi kwesikhathi:Uma kuvela izinkinga, usengozini enkulu yokubeletha ngaphambi kwesikhathi, njengoba udokotela wakho angase anqume ukuthi ukubeletha kuyindlela ephephile ngisho noma ungakafiki isikhathi esiphelele.
• Ukuzalwa kwengane isishonile: Ukuba nesifo sikashukela sokukhulelwa ngaphambilini kungandisa ingozi yokuzalwa kwengane isishonile.

Ngemva kokuzalwa, ingane yakho nayo isengozini enkulu yokuthola izimo ezithile zempilo. Nakuba abantu abaningi abanesifo sikashukela bezala izingane ezinempilo, kunengozi enkulu kancane yalezi:

• Amazinga kashukela aphansi egazini ngemva kokuzalwa
• Ubunzima bokuphefumula
• I-Jaundice

Uma ingane yakho inanoma yiziphi zalezi zinkinga, kungadingeka ukuthi ilashwe e-NICU (iyunithi yokunakekelwa okujulile kwezingane ezisanda kuzalwa ).

Izingane ezizalwa ngabantu abanesifo sikashukela nazo zingase zibe namathuba amaningi okukhuluphala kakhulu kamuva ekuphileni.

Izinkinga ezingase zikuthinte

Ukuba nesifo sikashukela ngesikhathi sokukhulelwa kungandisa ingozi yakho yokuthi:

• I-Preeclampsia: I-Preeclampsia yisimo esibonakala ngomfutho wegazi ophezulu kanye namaprotheni emchameni. Isifo sikashukela siyisici esiyinhloko esibangela i-preeclampsia. Ukuze unciphise ingozi ye-preeclampsia, udokotela wakho angase ancome ukuthi uthathe i-aspirin ephansi ngemva kwamasonto ayi-12 okukhulelwa.
• Isidingo sokuhlinzwa ngokuhlinzwa (`ukuhlinzwa ngokuhlinzwa`): Isizathu esiyinhloko salokhu ingozi yokuthi umntwana abe mkhulu kakhulu ekuzalweni.
• Ushukela ophansi egazini: Ngenxa yokuthi uzama ukugcina amazinga kashukela egazini lakho emincane, usengozini enkulu yokuba namazinga kashukela egazini aphansi njalo noma aphansi kakhulu.
• I-ketoacidosis ehlobene nesifo sikashukela (i-DKA): Usengozini enkulu yokuthola i-DKA ngesikhathi sokukhulelwa ngenxa yokwanda kokumelana ne-insulin. Ukuhlanza okubangelwa ukucasuka kwasekuseni nakho kungaba nomthelela ku-DKA.
• Izinkinga ezihlobene nesifo sikashukela: Ukukhulelwa kungaba kubi kakhulu noma kubangele izinkinga ezintsha zesifo sikashukela (njenge-retinopathy, i-nephropathy, kanye ne-neuropathy).

Isifo sikashukela sithinta kanjani ukubeletha kanye nokubeletha?

Ezimweni eziningi, odokotela batusa ukuqaliswa okuhleliwe ('ukuqaliswa okuhleliwe') kwabesifazane abakhulelwe abanesifo sikashukela. Isikhathi abasincoma ngaso ukuqaliswa kuncike ezintweni eziningana, kodwa ngokuvamile kwenzeka emavikini angu-39 okukhulelwa noma ngaphambi kwawo. Wonke umuntu nokukhulelwa ngakunye kuhlukile. Wena nodokotela wakho nizonquma ndawonye ukuthi yini engcono kakhulu kuwe.

Ngenxa yezinguquko zamahomoni nezomzimba ngesikhathi sokubeletha, amazinga kashukela egazini lakho angase akhuphuke noma ehle – kunzima ukusho ngokuqinisekile. Kuye ngezinqubomgomo zakho zikadokotela nezesibhedlela, ungase ukwazi ukuzilawula ngephampu ye-insulin noma imijovo ngesikhathi sokubeletha nokubeletha, noma ungase udinge i-IV insulin drip.

Ngemva kokususwa kwe-placenta, izidingo zakho ze-insulin zizoncipha kakhulu - ngokuvamile ziye ezingeni elifanayo nelangaphambi kokukhulelwa noma ngisho nangaphansi. Khuluma nodokotela wakho mayelana nokwenza uhlelo lokulungisa kabusha uhlelo lwakho lokuphatha isifo sikashukela ngemva kokubeletha.

Ngingabhekana kanjani nezinguquko ezihambisana nesifo sikashukela nokukhulelwa?

Isifo sikashukela nokukhulelwa kungaletha izinselele ezintsha. Ukukhulelwa kwakho kungase kuhluke kunalokho obekulindele, futhi ungase ube nemibuzo mayelana nohlelo lwakho lokuphatha isifo sikashukela. Nakuba uhambo lwawo wonke umuntu luhlukile, noma ubani onesifo sikashukela angalandela lawa macebiso ukuze enze isipiliyoni sakhe sibe nempilo ngangokunokwenzeka lapho ekhulelwa:

• Hlola amazinga kashukela egazini lakho njalo (njengoba kuqondiswe udokotela wakho).
• Gcina amazinga kashukela egazini lakho engaphakathi kobubanzi obuqondiwe.
• Landela imiyalelo kadokotela wakho mayelana ne-insulin, imithi, kanye nezinye izindlela zokwelapha.
• Yiba khona emihlanganweni yakho yomtholampilo wokubeletha kanye nokuhlolwa.
• Hlala umatasa ngokomzimba. Khuluma nodokotela wakho mayelana nezinga lomsebenzi wakho nokuthi udinga ukulishintsha yini.
• Yidla ukudla okunempilo, okulinganiselayo kanye nokudla okulula.
• Gwema iziphuzo eziqukethe utshwala nemikhiqizo kagwayi.
• Nakekela impilo yakho yengqondo. Kuvamile ukuzizwa ucindezelekile phakathi nalesi sikhathi. Ungesabi ukukhuluma ngakho nokucela usizo.

Kufanele ngimbone nini udokotela wami?

Uma unesifo sikashukela futhi ubona noma yikuphi kwalokhu, khuluma nomhlinzeki wakho wokunakekelwa kwangaphambi kokubeletha:

• Uma ungakwazi ukugcina izinga likashukela egazini lakho lisezingeni elibekiwe naphezu kwemizamo yakho emihle kakhulu. (Uma liphansi kakhulu noma liphezulu kakhulu.)
• Uma amazinga kashukela egazini lakho enyuka ngokuzumayo noma eshintsha ngezizathu ongaziqondi.
• Uma uzizwa sengathi ingane ayinyakazi kakhulu.
• Uma unoketshezi noma igazi eliphuma esithweni sakho sangasese sowesifazane.
• Uma ubona izinto zingacacile noma womile kakhulu.
• Kulungile uma uhlanza, kulungile uma ungakwazi ukugcina ukudla neziphuzo ziphansi.

Khumbula, kungcono ngaso sonke isikhathi ukuphepha kunokuzisola nokubuza imibuzo. Ngaphezu kokukhathazeka ngokukhulelwa, ukukhathazeka ngokuphatha isifo sikashukela kungaba yinto ecindezelayo. Ungayingabazi imizwa yakho noma ungayinaki - khuluma nodokotela wakho ukuze akunike isiqondiso.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma unesifo sikashukela futhi ukhulelwa, ungase ufune ukubuza udokotela wakho ngalezi zinto:

• Kufanele ngihlole kangaki amazinga kashukela egazini lami?
• Kufanele kube yini ibanga lami eliqondiwe?
• Yiziphi izinkinga ezingaba khona uma amazinga ami kashukela egazini engagcinwa ngaphakathi kobubanzi obuqondiwe?
• Ingabe ngidinga ukushintsha imithamo yami ye-insulin?
• Ingabe kufanele ngiyeke noma ngiqale eminye imithi?
• Ingabe uncoma ukushintsha indlela yokuphila?
• Kukangaki ngidinga ukuza ukuzolandelela?
• Ingabe kuzodingeka ngithole i-induction kusenesikhathi?

Ingabe abantu abanesifo sikashukela sohlobo 1 bangaba nezingane eziphilile?

Yebo, abantu abaningi abanesifo sikashukela sohlobo 1 (kanye nesifo sikashukela sohlobo 2) banezingane ezinempilo. Ukuphatha amazinga kashukela egazini lakho nokugcina ukuxhumana okuseduze nethimba lakho lezokwelapha kuyizihluthulelo zokukhulelwa okunempilo.

Ukuphatha isifo sikashukela ngesikhathi sokukhulelwa kungaba nzima kakhulu, ngisho nakulabo asebephile nesifo sikashukela amashumi eminyaka. Ukugcina amazinga kashukela egazini lakho esezingeni elifanele ngesikhathi ukhulelwe kungaba nzima ngokwengqondo nangokomzimba. Kodwa ngohlelo lokusekela olufanele kanye nohlelo lokuphatha isifo sikashukela, unganqoba izinselele ezilethwa isifo sikashukela ekukhulelweni.

Hlala uxhumana nethimba lakho lezokwelapha. Batshele uma ubhekene nobunzima. Kukho konke lokhu, gxila ekukhanyeni ekugcineni komhubhe - ukuhlangana nomntwana wakho.

Umyalezo wokugcina okufanele uwuthathe uye ekhaya

Kulungile, ngakho-ke kulokho esikhulume ngakho, kufanele ucacise ngokukhulelwa unesifo sikashukela. Asikho isizathu sokwesaba, kodwa kufanele uqaphele.

• Hlela kusenesikhathi: Uma ucabanga ngokuba nomntwana, funa iseluleko sezokwelapha kusasele izinyanga ezimbalwa.
• Ukulawula ushukela egazini: Zama konke okusemandleni akho ukugcina amazinga kashukela egazini lakho ngaphakathi kwemigomo udokotela akubekele yona phakathi nokukhulelwa kwakho. Izinto ezifana ne-'CGM' zingasiza ngalokhu.
• Sebenzisana nethimba lezokwelapha: khuluma nabo njalo, ubuze imibuzo, futhi wabelane ngemizwa yakho.
• Indlela yokuphila enempilo: ukudla okuhle, ukuvivinya umzimba uma kudingeka (njengoba kuqondiswe udokotela), kanye nenhlalakahle yengqondo kubaluleke kakhulu.

Khumbula, noma ngabe unesifo sikashukela, ngokuphathwa okufanele kanye nokuqashwa kwezokwelapha, nawe ungaletha umntwana onempilo nojabule kuleli zwe. Kwangathi ungathola amandla nesibindi osidingayo ukuze wenze kanjalo!

Isifo sikashukela, ukukhulelwa, ushukela egazini, i-insulin, ukubeletha, izinkinga, umntwana onempilo