Umzimba wakho ushintsha kakhulu ngesikhathi sokukhulelwa, akunjalo? Ngesikhathi esifanayo, amangqamuzana omzimba wakho awasabeli kahle ku-hormone insulin. Kalula nje, lokhu kubangela ukuthi ushukela wegazi lakho (i-glucose) ukhuphuke kancane. Lokhu kusiza ekuhlinzekeni ukudla okunomsoco okwengeziwe enganeni yakho. Kodwa-ke, uma leli zinga likashukela likhuphuka kakhulu, lingabangela izinkinga kuwe nakumntwana wakho. Lokhu yilokho esikubiza ngokuthi isifo sikashukela sokukhulelwa , noma i-GDM . Ungesabi uma uzwa leli gama. Ngokwelashwa okufanele, omama abaningi bangaba nokukhulelwa okunempilo kanye nomntwana onempilo. Ake sixoxe ngakho konke ngokucacile.
Ngingazi kanjani ukuthi nginalesi simo?
Uma uthola ukuthi ukhulelwe, into yokuqala ozoyenza ukubonana nodokotela wakho. Ngaleso sikhathi, uzohlola ingozi yakho yokuthola i-GDM.
Uma unezici eziyingozi (isibonelo, umlando womndeni wesifo sikashukela, ukukhuluphala ngokweqile), udokotela wakho uzohlola amazinga kashukela egazini lakho ngokushesha okukhulu. Ngisho noma imiphumela yalolo vivinyo ijwayelekile, kuzodingeka uphinde wenze lolu vivinyo phakathi kwamasonto angama-24 nama-28 okukhulelwa.
Ngisho noma ucabanga ukuthi awukho engcupheni ethile, bonke abesifazane abakhulelwe bavame ukuthunyelwa kulolu vivinyo phakathi kwamasonto angama-24-28 .
Kunezindlela ezimbili zokuhlola ezivame ukusetshenziswa kulokhu.
1. Ukuhlolwa Kwenselele Ye-Glucose: Akudingeki ukuthi ulambele lokhu. Udokotela wakho uzokunikeza isiphuzo esinoshukela bese ehlola izinga likashukela egazini lakho ngemva kwehora elilodwa.
2. Ukuhlolwa Kokubekezelela I-glucose Yomlomo (OGTT): Lokhu kuhlolwa kwenziwa uma imiphumela yokuhlolwa kokuqala ingajwayelekile. Ngenxa yalokhu, udokotela uzokutshela ukuthi uzile ukudla amahora ambalwa ngaphambi kokwenza ukuhlolwa.
Uma kuqinisekiswa ukuthi unalesi simo, udokotela uzoqapha ngokucophelela impilo yakho neyengane yakho kusukela ngaleso sikhathi kuze kube yilapho ebeletha. Ngakho-ke akukho okufanele ukwesabe.
Lokhu kuzomthinta kanjani umntanami?
Lokhu kulula kakhulu ukukuqonda. Ingane yakho ithola umsoco wayo egazini lakho. Ngakho-ke uma izinga likashukela egazini lakho lenyuka, ingane yakho ithola noshukela owengeziwe. Umzimba wengane yakho ugcina lo shukela owengeziwe njengamafutha. Ngenxa yalokho, umzimba wengane yakho ungase ube mkhulu kunokuvamile. Lokhu kungaholela ezinkingeni ezithile.
Into ebalulekile ukuthi eziningi zalezi zingozi zingancishiswa ngokulandela ukwelashwa okufanele kanye neseluleko.
| Imiphumela engaba khona enganeni | Incazelo elula |
|---|---|
| Izingozi ezingaba khona ngesikhathi sokubeletha | Ngenxa yokuthi umzimba womntwana mkhulu, kunethuba lokuthi kungase kube nokungakhululeki noma ukulimala ngesikhathi sokubeletha okuvamile. |
| Amazinga aphansi kashukela egazini kanye namaminerali ngesikhathi sokuzalwa | Ngemva kokuzalwa, izinga likashukela egazini lomntwana lingase lehle ngokuzumayo, kodwa lokhu kulawulwa odokotela. |
| I-Jaundice | Isimo lapho isikhumba somntwana siphenduka sibe phuzi. Lokhu kungelapheka ngokuphelele ngokwelashwa. |
| Ukuzalwa ngaphambi kwesikhathi | Ngezinye izikhathi umntwana angazalwa ngaphambi kosuku lokuzalwa. |
| Ubunzima bokuphefumula okwesikhashana | Ingane ingase ibe nobunzima bokuphefumula ezinsukwini zokuqala ngemva kokuzalwa. |
Kamuva, lapho ingane isikhulile, ingozi yokukhuluphala nesifo sikashukela ingaba phezulu kancane kunezinye izingane. Ngakho-ke, kubaluleke kakhulu ukujwayela ingane yakho indlela yokuphila enempilo kusukela isencane . Lokhu kunganciphisa lezi zingozi.
Lokhu kungithinta kanjani?
I-GDM ingaba nemiphumela ethile kumama.
- Amathuba akhulayo okudinga ukuhlinzwa ngokuhlinzwa (C-section) .
- Ingozi yokuphuphuma kwesisu.
- Ingozi eyengeziwe yezimo ezifana nomfutho wegazi ophakeme noma i-preeclampsia .
- Ukuzalwa ngaphambi kwesikhathi.
Izindaba ezinhle ukuthi amazinga kashukela egazini lakho avame ukubuyela esimweni esijwayelekile ngemva kokubeletha umntwana wakho. Kodwa-ke, ingozi yakho yokuthola isifo sikashukela sohlobo 2 esikhathini esizayo kanye ne-GDM uma ukhulelwa futhi iphakeme kancane. Kodwa ungakhathazeki, unganciphisa kakhulu leyo ngozi ngokulandela indlela yokuphila enempilo.
Abesifazane abaningi abane-GDM bazala ngokwemvelo, ngaphandle kokuhlinzwa. Ngakho-ke khuluma nodokotela wakho ngokubeletha kwakho. Ungesabi ukubuza imibuzo efana nokuthi, "Ingabe ngidinga ukuhlinzwa kwe-C?", "Zinembile kangakanani izilinganiso zesisindo somntwana wami?", "Ziyini izingozi kimi nakumntwana wami uma ngibeletha ngendlela evamile?"
Izinto ongazenza: Isinyathelo ngesinyathelo
Kunezinto eziningi ongazenza ukulawula lesi simo.
Yidla ukudla okunempilo.
Khuluma nodokotela wakho noma isazi sokudla ukuze udale uhlelo lokudla oluzokusiza ukulawula amazinga kashukela egazini lakho. Kufanele unciphise inani lama-carbohydrate (ama-starch) owadlayo, njengoba enza amazinga kashukela egazini lakho akhuphuke ngokushesha. Gwema ukudla okunoshukela omningi, njengeziphuzo ezinoshukela, amakhekhe, namabhisikidi.
Faka ukudla okucebile nge-fiber ekudleni kwakho. Ungakuthola lokhu kusuka emifinweni, izithelo, okusanhlamvu okuphelele (ama-oats, ibhali), kanye nemifino. Cabanga nje, ucwaningo luthole ukuthi ukufaka amagremu ayi-10 e-fiber ekudleni kwakho ngosuku kunciphisa ingozi yokuthola lolu hlobo lwesifo sikashukela cishe ngo-26%!
Ukuzivocavoca umzimba.
Kubalulekile ukwenza umsebenzi womzimba nsuku zonke ukuze usize ukulawula amazinga kashukela egazini lakho. Ngaphandle kokuthi udokotela wakho ekutshelile ngenye indlela, hlose imizuzu engama-30 yokuzivocavoca okulingene, njengokuhamba noma ukubhukuda, ngosuku . Olunye ucwaningo luthole ukuthi abesifazane ababezivocavoca cishe amahora ama-4 ngesonto ngaphambi nangesikhathi sokukhulelwa banciphise ingozi yabo cishe ngo-70%. Kodwa qiniseka ukuthi ubuza udokotela wakho ngohlobo lokuzivocavoca okufanele ulwenze nokuthi kufanele ulwenze isikhathi esingakanani.
Landela le mikhuba yezempilo ngisho nangemva kokubeletha
Qhubeka nalokhu kudla okunempilo kanye nokuzivocavoca umzimba ngemva kokubeletha umntwana wakho. Kubalulekile futhi ukubuyela esisindweni esinempilo. Akudingeki wehlise isisindo ngesikhathi esisodwa. Ngisho nokulahlekelwa isisindo sakho sonke ngo-5% kuya ku-7% kungenza umehluko omkhulu.
Ungaphuthelwa ama-aphoyintimenti kadokotela.
Ungalokothi uphuthelwe ukuvakashela emtholampilo noma ukuvakashela udokotela. Kubaluleke kakhulu ekuphepheni kwakho nokwengane yakho. Kungadingeka futhi ukuthi uhlolwe njalo (ama-ultrasound).
Hlola izinga likashukela egazini lakho.
Uma udokotela wakho ekululeka, kufanele uhlole amazinga kashukela egazini lakho ekhaya izikhathi eziningana ngosuku. Lena yindlela engcono kakhulu yokuphatha lesi simo.
Phuza imithi yakho oyinikezwe ngudokotela njengoba nje uyalelwe.
Abanye omama abakwazi ukulawula amazinga kashukela egazini labo ngokudla nokuzivocavoca kuphela. Ezimweni ezinjalo, udokotela angase anikeze i-insulin noma eminye imithi. Kubalulekile ukuthatha le mithi ngesikhathi esifanele nangesilinganiso esifanele.
Uzobona nini udokotela
Udinga ukuqaphela kakhulu impilo yakho uma une-GDM. Shayela udokotela wakho ngokushesha uma uhlangabezana nanoma yikuphi kwalokhu okulandelayo:
| Esimweni esinjalo, shayela udokotela wakho ngokushesha. |
|---|
| Uma ugula futhi ungakwazi ukulandela uhlelo lokudla olunqunyiwe. |
| Uma unezimpawu zoshukela ophezulu egazini : ubunzima bokugxilisa ingqondo, ikhanda elibuhlungu, ukoma ngokweqile, ukubona okufiphele, noma ukwehla kwesisindo. |
| Uma unezimpawu zoshukela ophansi egazini : ukungaphumuli, ukudideka, isiyezi, ikhanda elibuhlungu, indlala enkulu, ukushaya kwenhliziyo okusheshayo, ukuthuthumela, isikhumba esimpunga, ukujuluka, noma ubuthakathaka. |
| Uma uhlola izinga likashukela wakho ekhaya futhi lingaphezu kwenani elinikezwe udokotela wakho. |
Umlayezo Wokuya Nawe Ekhaya
- Isifo sikashukela sokukhulelwa (i-GDM) asikho isidingo sokwesaba. Yisimo esingaphathwa kahle.
- Ukudla okunempilo kanye nokuzivocavoca nsuku zonke kuyizindlela ezinhle kakhulu zokulawula lesi simo.
- Landela imiyalelo kadokotela wakho ngqo. Hlola amazinga kashukela egazini lakho ngesikhathi, thatha imithi yakho, futhi ungaphuthelwa ama-aphoyintimenti akho emtholampilo.
- Uma ubona noma yiziphi izimpawu ezingavamile emzimbeni wakho (ukwanda noma ukwehla kukashukela egazini), ungalibali ukwazisa udokotela wakho.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho