O, mhlawumbe usuyasaba manje njengoba lokhu sekwenzekile nakimi, akunjalo? Omama abaningi bathola isifo sikashukela esinjengalesi ngesikhathi sokukhulelwa. Kuvamile. Ngakho ungakhathazeki. Ake sifunde kabanzi ngalesi simo esibizwa ngokuthi `(Isifo Sikashukela Sokukhulelwa)`.
Kuyini isifo sikashukela sokukhulelwa?
Kalula nje, isifo sikashukela sokukhulelwa (ngezinye izikhathi esibizwa ngokuthi i-GD noma i-GDM) uhlobo lwesifo sikashukela esenzeka kuphela ngesikhathi sokukhulelwa. Amazinga kashukela egazini lakho (abizwa nangokuthi i-hyperglycemia) anda kancane phakathi nalesi sikhathi. Lokhu kungenxa yokuthi ama-hormone avela ku-placenta yakho aphazamisa ikhono lomzimba wakho lokusebenzisa noma ukukhiqiza i-hormone ebizwa ngokuthi i-insulin. I-insulin yiyo esiza ekulawuleni amazinga kashukela egazini lakho. Ushukela ophezulu egazini ungaholela ezinkingeni ngesikhathi sokukhulelwa. Ngokuvamile kwenzeka phakathi nokukhulelwa, phakathi kwamasonto angama-24 nama-28. Udokotela wakho noma umbelethisi uzokwenza ukuhlolwa kwegazi ukuze ahlole lokhu.
Into ebalulekile okufanele uyikhumbule ukuthi lokhu akusho ukuthi wawunesifo sikashukela ngaphambi kokuba ukhulelwe. Lesi yisimo esenzeka ngesikhathi sokukhulelwa. Abantu abanesifo sikashukela esivele sikhona, kungaba yisifo sikashukela sohlobo 1 noma isifo sikashukela sohlobo 2, babhekana nezinselele ezihlukile lapho bekhulelwa.
Kodwa kunezindaba ezinhle! Odokotela bayaqonda kahle lesi `(Isifo Sikashukela Sokukhulelwa)`. Futhi, ngokwenza izinguquko ezincane endleleni yakho yokuphila nokulawula ukudla kwakho, lesi simo singalawulwa kahle. Iningi labantu liba nomntwana onempilo ngaphandle kwezinkinga ezinkulu.
Kwenzekani uma ngiba nesifo sikashukela sokukhulelwa?
Uma kutholakala ukuthi unesifo sikashukela sokukhulelwa, udokotela wakho wokubelethisa (udokotela okubonayo ngenkathi ukhulelwe) uzokudlulisela kuchwepheshe wezokudla ogxile kwisifo sikashukela sokukhulelwa. Bazokuchazela ukuthi yikuphi ukudla okuphakamisa amazinga kashukela egazini lakho nokuthi yini nokuthi kufanele uyifake kangakanani ekudleni kwakho nasekudleni okulula.
Uzofundiswa nokuthi ungahlola kanjani amazinga kashukela egazini lakho ekhaya nokuthi kufanele udle okungakanani ngemva kokudla. Okokugcina, udokotela wakho noma isazi sokudla uzoxoxa ngohlelo lokuphatha isifo sikashukela sakho sokukhulelwa. Abantu abanesifo sikashukela bavame ukuya emtholampilo njalo ukuze bahlole ukukhula kwengane esanda kuzalwa, baqaphe ukukhuluphala kwakho, futhi baxoxe ngokuthi ushukela wakho wegazi ulawulwa kanjani.
Kuyini ukwanda kwesifo sikashukela sokukhulelwa eSri Lanka nasemhlabeni jikelele?
E-United States, lesi simo siyanda. Ngokusho kwe-CDC (Centers for Disease Control and Prevention), sithinta phakathi kuka-8% no-10% wabesifazane abakhulelwe.
Isilinganiso somhlaba wonke siphakathi kuka-14% no-17%. Leli nani ngezinye izikhathi lingaba phezulu ngenxa yezici ezifana nobudala, uhlanga/ubuzwe, ukufinyelela ekunakekelweni kwangaphambi kokubeletha, kanye nendawo.
Kungani kwenzeka isifo sikashukela sokukhulelwa?
Isizathu esiyinhloko salokhu izinguquko zamahomoni kanye nendlela umzimba wakho oguqula ngayo ukudla kube amandla. Cabanga ngakho ngale ndlela, ihomoni ethi ``Insulin`` isiza ushukela (``glucose``) ekudleni esikudlayo ukuthi ungene emangqamuzaneni ethu. Le ``Insulin`` yiyo egcina amazinga ethu kashukela egazini esezingeni elifanele. Kodwa-ke, uma le ``Insulin`` ingasebenzi kahle, noma uma inganele, ushukela uyanqwabelana egazini bese kuba nesifo sikashukela.
Ngesikhathi sokukhulelwa, ama-hormone avela ku-placenta angaphazamisa indlela i-insulin esebenza ngayo. Lokhu kungabangela amazinga kashukela egazini ukuthi angalawuleki kahle. Yilapho kuvela khona isifo sikashukela sokukhulelwa.
Ubani osengozini enkulu yokuthola isifo sikashukela sokukhulelwa?
Eqinisweni, noma ubani angakuthola lokhu ngesikhathi sokukhulelwa. Kodwa-ke, kunezici ezithile ezandisa ingozi. Lezi yizi:
- Uma unesifo senhliziyo.
- Uma une-high blood pressure.
- Uma ubulokhu ukhuluphele noma ukhuluphele kakhulu kusukela ngaphambi kokukhulelwa.
- Uma uke waba nesifo sikashukela sokukhulelwa ngesikhathi sokukhulelwa kwangaphambilini.
- Uma othile emndenini enesifo sikashukela sohlobo 2.
- Uma une -`(i-Polycystic Ovary Syndrome (PCOS))` .
- Abantu abaneminyaka engaphezu kwengu-25 basengozini enkulu, ikakhulukazi labo abadabuka eNingizimu naseMpumalanga Asia, eHispanic, e-Native American, noma e-Pacific Islander.
- Uma une -prediabetes (amazinga kashukela egazini aphezulu kancane kunokuvamile ngaphambi kokuba ube nesifo sikashukela).
Ziyini izimpawu zesifo sikashukela sokukhulelwa?
Esikhathini esiningi, isifo sikashukela sokukhulelwa asinazo izimpawu ezicacile. Ngisho noma sikhona, sincane kakhulu. Ungase ungasiboni kuze kube yilapho udokotela wakho ekuxilonga. Kodwa-ke, uma kuvela izimpawu, zingase zihlanganise:
- Isidingo sokuchama njalo.
- Ukoma kakhulu.
- Ukuzizwa ukhathele.
- Ukuzizwa unesicanucanu.
Yiziphi izinkinga ezingaba khona ngenxa yesifo sikashukela sokukhulelwa esingalawuleki?
Uma ungakwazi ukugcina amazinga kashukela egazini lakho esezingeni elifanele, wena nomntwana wakho ningaba nezinkinga. Lokhu kubaluleke kakhulu, ngakho lalelani ngokucophelela.
Isifo sikashukela sokukhulelwa singandisa ingozi yakho yalokhu okulandelayo:
- Kungadingeka ukuhlinzwa ngokuhlinzwa (C-section) (uma umntwana emkhulu kakhulu).
- I-Preeclampsia (umfutho wegazi ophezulu ngesikhathi sokukhulelwa) ingase ivele.
Futhi, labo abake baba nesifo "sesifo sikashukela sokukhulelwa" banamathuba amancane okuthola isifo "sesifo sikashukela sohlobo 2" kamuva ekuphileni.
Isifo sikashukela sokukhulelwa siyithinta kanjani ingane yami?
Uma unesifo sikashukela sokukhulelwa, ingane yakho ingaba sengozini yalokhu okulandelayo:
- Isisindo sokuzalwa esandayo (`(I-Fetal macrosomia)`) - Lokhu kusho ukuthi umntwana angazalwa emkhulu impela.
- Ubunzima bokuphefumula bungase buvele lapho umntwana ezalwa.
- I-Hypoglycemia (ushukela ophansi egazini). Lokhu kungabangela izimo ezifana nokuquleka ezinganeni ezisanda kuzalwa.
- Ukukhuluphala kungase kwenzeke kamuva.
- Kungenzeka ukuthi uzalwe ngaphambi kwesikhathi.
- Isifo sikashukela sohlobo lwesibili singase sivele kamuva.
Lezi zinto zingase zizwakale zithusa. Kodwa khumbula, zonke lezi zingozi ziza kuphela uma zingaphathwa kahle . Uma ziphathwa kahle, lezi zingozi zingancishiswa kakhulu.
Udokotela uhlola nini isifo sikashukela sokukhulelwa?
Udokotela wakho noma umbelethisi uvame ukukuhlola isifo sikashukela sokukhulelwa phakathi kwamasonto angama-24 nama-28 okukhulelwa. Odokotela abaningi bakholelwa ukuthi lesi yisikhathi lapho imiphumela inembile kakhulu. Kodwa-ke, uma unezici eziyingozi, ungase uhlolwe kusenesikhathi.
Sitholakala kanjani isifo sikashukela sokukhulelwa?
Udokotela uzohlola amazinga kashukela egazini lakho ngokuhlolwa kwegazi. Ngokuvamile, ukuhlolwa kokuqala kuba "ukuhlolwa kokuhlola" ukuthola abantu abasengozini enkulu yokuba "nesifo sikashukela sokukhulelwa". Uma "ungaphumeleli" , udokotela uzokucela ukuthi wenze ukuhlolwa kwegazi kwesibili okubonakala kujule kancane.
- `(Ukuhlolwa Kwenselele Ye-Glucose)` : Lokhu kubizwa nangokuthi `(Ukuhlolwa Kokuhlola I-Glucose)`, noma `(Ukuhlolwa Kokubekezelela I-Glucose)` kwehora elilodwa. Kulokhu, unikezwa uketshezi olumnandi ukuze uluphuze. Ngemuva kwalokho kufanele uhlale 'egumbini lokulinda' cishe ihora. Ngemva kwehora, umhlengikazi uthatha isampula yegazi engalweni yakho. Uma izinga likashukela egazini lakho liphezulu, udokotela uzokucela ukuthi wenze `(Ukuhlolwa Kokubekezelela I-Glucose)`.
- `(Ukuhlolwa Kokubekezelela I-Glucose)` : Lokhu kubizwa nangokuthi `(Ukuhlolwa Kwe-Glucose)` kwamahora amabili noma amathathu. Lokhu kwenziwa kuphela uma imiphumela yokuhlolwa `kwenselelo` yangaphambilini ingajwayelekile. Ngaphambi kwalokhu kuhlolwa, akumelwe udle lutho cishe amahora angu-8 (`ukuzila ukudla`). Udokotela uzothatha amasampula egazi njalo ngehora, amahora amabili, noma ngezinye izikhathi amahora amathathu ngemva kokuphuza uketshezi olumnandi. Lokhu `kuhlolwa kokubekezelela` yikona okuzoqinisekisa ukuthi unesifo sikashukela sokukhulelwa noma cha.
Ungasiphatha kanjani isifo sikashukela sokukhulelwa?
Uma unesifo sikashukela sokukhulelwa, kuzodingeka ukuthi uhlolwe njalo ngesikhathi sokukhulelwa kwakho. Udokotela wakho uzobheka ngqo:
- Ukuqapha ukukhula komntwana. Lokhu kuvame ukuhilela ukwenza ama-ultrasound scan ambalwa ukuze kuqinisekiswe ukuthi umntwana akakhuli kakhulu.
- Ukuhlola amazinga kashukela egazini lakho. Lokhu kuvame ukuhilela ukuhlola ukuthi amazinga kashukela egazini lakho enyuka futhi ehla kangaki, nokuthi lawo mazinga avame ukuhlala kanjani.
Ukuze uhlole izinga likashukela egazini lakho ekhaya, uzodinga i-"Glucose Meter" (idivayisi elinganisa ushukela). Idinga imitha, ama-lancet, kanye nemichilo yokuhlola. Uma uhlola ushukela egazini lakho, uhlaba umunwe wakho ngenaliti encane, bese ubeka ithonsi legazi emgqeni wokuhlola. Ngemuva kwalokho, uma ufaka umuchilo wokuhlola emitha, ubonisa inombolo ngemizuzwana embalwa. Lelo izinga likashukela egazini lakho. Uchwepheshe wakho wezokudla noma umfundisi wesifo sikashukela uzokukhombisa ukuthi ungayisebenzisa kanjani le divayisi. Kungase kuzwakale kunzima kancane ezinsukwini ezimbalwa zokuqala, kodwa ngemva kwezinsuku ezimbalwa, uzojwayela. Ungesabi ukubuza udokotela wakho uma unezinkinga.
Kufanele ugcine irekhodi lalokho okudlayo kanye namazinga kashukela egazini lakho, kungaba ephepheni, kuhlelo lokusebenza, noma ngendlela udokotela wakho akutshela ngayo. Ngemuva kwalokho, udokotela wakho uzobuyekeza ukufundwa kwakho ngezikhathi ezithile (mhlawumbe njalo ngeviki noma njalo emavikini amabili). Ngezinye izikhathi, udokotela wakho kungadingeka enze izinguquko ekudleni kwakho (isibonelo, ukunciphisa inani lama-carbohydrate) ukusiza ukulawula amazinga kashukela egazini lakho. Ezimweni eziningi, ukuqapha amazinga kashukela egazini lakho nokudla ukudla okufanele isifo sikashukela yikho konke okudingekayo ukuphatha isifo sikashukela sokukhulelwa.
Abanye abantu badinga imithi efana ne-insulin ukulawula isifo sikashukela sabo sokukhulelwa. Lokhu kuvame ukuhilela ukufaka i-insulin esiswini, ethangeni, noma ezinqeni kanye noma kaningana ngosuku. Ukuthi udinga ukufaka i-insulin kangaki kuncike ezintweni eziningi. Udokotela wakho uzokutshela ukuthi ungayifaka kanjani i-insulin, ukuthi uyifake nini, nokuthi kufanele uyifake kangaki. Uma udinga ukusebenzisa i-insulin ukulawula isifo sikashukela sakho, kubaluleke kakhulu ukuyisebenzisa njengoba nje udokotela wakho ekutshelile.
Amazinga kashukela egazini kufanele abe njani?
Ngokuvamile, kufanele uhlole amazinga kashukela egazini lakho kuqala ekuseni (ngaphambi kokudla noma yini) futhi cishe ihora ngemva kokudla ngakunye. Isibonelo, uma uvuka ngo-6:15 ekuseni bese uhlola ushukela egazini lakho. Uma udla isidlo sasekuseni ngo-7 ekuseni, kufanele uhlole ushukela egazini lakho futhi cishe ngo-8 ekuseni. Kufanele ubhale phansi la mazinga njengoba wena nodokotela wakho nixoxe ngawo.
Okulandelayo amazinga kashukela egazini avame ukunconywa yi-American College of Obstetricians and Gynecologists:
- Ngaphambi kokudla: 95 `mg/dL` noma ngaphansi (`mg/dL` imele ama-milligram nge-deciliter ngayinye).
- Ihora elilodwa ngemva kokudla: 140 mg/dL noma ngaphansi.
- Amahora amabili ngemva kokudla: 120 mg/dL noma ngaphansi.
Kodwa khumbula, wonke umuntu uhlukile. Lezi yiziqondiso ezijwayelekile nje. Udokotela wakho uzokutshela ukuthi amazinga kashukela egazini lakho kufanele abe yini.
Yiziphi izinto okungafanele uzidle uma unesifo sikashukela sokukhulelwa?
Ungasiza ekulawuleni isifo sikashukela sokukhulelwa ngokudla ukudla okunomsoco okungakhuphuli amazinga kashukela egazini lakho ngendlela eyingozi. Zama lezi zinto:
- Nciphisa ukudla okucutshunguliwe kanye neziphuzo ezinoshukela ngangokunokwenzeka.
- Khetha ukudla okunempilo okuqukethe amaprotheni, ama-carbohydrate, i-fiber, namafutha ekudleni ngakunye.
- Ungadli kakhulu ngesikhathi esisodwa, yidla kancane kancane futhi kaningi.
- Zama ukudla ngesikhathi esifanayo nsuku zonke.
Abanye abantu abanesifo sikashukela sokukhulelwa bangagcina amazinga abo kashukela egazini elawulwa ngokwenza izinguquko ezincane ekudleni kwabo. Kodwa abanye abantu kudingeka benze izinguquko ezinkulu. Into ebalulekile ukuthi nakuba okunye ukudla kungase kungabi nomthelela omkhulu emazingeni abo kashukela egazini kwabanye abantu, kungase kungabi nomthelela omkhulu kuwe. Khumbula ukuthi wonke umuntu uhlukile, futhi umzimba wawo wonke umuntu uhlukile.
Ingabe ukuphuza amanzi kunciphisa ushukela egazini kubantu abanesifo sikashukela sokukhulelwa?
Ngesikhathi sokukhulelwa, ikakhulukazi uma unesifo sikashukela sokukhulelwa, umzimba wakho udinga amanzi amaningi (ukumanzisa). Kodwa-ke, akukho ucwaningo olubonisa ukuthi ukuphuza amanzi kuphela kwehlisa ushukela egazini ngokuqondile.
Kodwa-ke, ukuhlala unamanzi emzimbeni kusiza umzimba wakho ukulawula amazinga kashukela egazini. Kunciphisa igazi lakho, okwenza kube lula ngezinso zakho ukususa ushukela omningi egazini lakho. Amanzi futhi asiza umzimba wakho ukusebenzisa i-insulini ngendlela ephumelela kakhulu, okusiza futhi ukulawula amazinga kashukela egazini.
Ungawuvivinya kanjani umzimba ngokuphephile uma unesifo sikashukela sokukhulelwa?
Uma uzivocavoca, umzimba wakho usebenzisa i-glucose eningi, enganciphisa amazinga kashukela egazini lakho. Uma unesifo sikashukela sokukhulelwa, khuluma nodokotela wakho ukuze wakhe uhlelo lokuzivocavoca oluphephile olukufanele. Lolu hlelo lokuzivocavoca kufanele luqondene nempilo yakho iyonke kanye nezinga lakho lokufaneleka ngaphambi kokuba ukhulelwe.
Ingabe isifo sikashukela sokukhulelwa singalapheka ngokuphelele ngesikhathi sokukhulelwa?
Isifo sikashukela sokukhulelwa asinakuguqulwa uma sesiqalile. Udokotela wakho uzokuhlola ngemva kokubeletha umntwana wakho (ngokuvamile phakathi kwamasonto ayi-6 kuya kwayi-12) ukuze abone ukuthi usenesifo sikashukela.
Kufanele ngikhathazeke kangakanani ngesifo sikashukela sokukhulelwa?
Isifo sikashukela sokukhulelwa siyisifo esivamile. Futhi odokotela bayazi ukuthi bangasiphatha kanjani futhi basiphathe kahle kanjani. Ngisho noma unesifo sikashukela sokukhulelwa, ungaba nokukhulelwa okunempilo kanye nengane enempilo. Into ebaluleke kakhulu ukuqonda uhlelo lwakho lokwelashwa nokusebenzisana nodokotela wakho ukuze ugcine amazinga kashukela egazini lakho ephilile.
Qonda izinkinga ezingaba khona uma isifo sikashukela sokukhulelwa singalawulwa. Kunethuba elihle lokuthi ingane yakho izozalwa iphilile, kodwa udinga ukuthatha izinyathelo zokulawula lesi simo. Uma amazinga kashukela egazini lakho ephakeme njalo, ungalibali ukubona udokotela wakho.Mtshele ukuthi ushukela wakho usesephezulu egazini, ukuze akusize ngokushintsha ukudla noma imithi yakho. Isifo sikashukela sokukhulelwa siyinto engalawulwa, kodwa kusadingeka ukuthi uthathe umthwalo wemfanelo ngokukhulelwa kwakho kanye nempilo yengane yakho.
Ingabe isifo sikashukela sokukhulelwa sizoba ngcono ngemva kokukhulelwa?
Ngemva kokubeletha ingane yakho, njengoba amazinga akho ama-hormone ebuyela esimweni esijwayelekile, amazinga kashukela egazini lakho kufanele ehle. Udokotela wakho uzokuhlola futhi ukuthi unaso yini isifo sikashukela sokukhulelwa ngemva kokubeletha ingane yakho (ngokuvamile phakathi kwamasonto ayi-6 ne-12) ukuqinisekisa ukuthi asisekho.
Kodwa-ke, cishe abantu abangu-50% abake baba nesifo sikashukela sokukhulelwa bazohlushwa isifo sikashukela sohlobo 2 kamuva. Unganciphisa le ngozi ngokudla ukudla okunempilo nokuzivocavoca njalo. Udokotela wakho angase afune ukuthi uhlolwe ushukela egazini njalo eminyakeni embalwa, ikakhulukazi uma unezinye izici eziyingozi zesifo sikashukela.
Ingabe ukuba nesifo sikashukela sokukhulelwa kwenza kube ukukhulelwa okuyingozi kakhulu?
Yebo, ukuba nesifo sikashukela sokukhulelwa kungenza ukukhulelwa kwakho kube yingozi enkulu. Udokotela ubheka ukukhulelwa njengengozi enkulu uma unezinkinga zempilo ezandisa ingozi yezinkinga zokukhulelwa kuwe noma enganeni yakho (noma kokubili).
Ingabe ingane yami izobe iphilile uma nginesifo sikashukela sokukhulelwa?
Yebo. Iningi lezingane lizalwa liphilile. Kunezinto ongazenza ukuze unike ingane yakho isiqalo esihle kakhulu empilweni nokulawula isifo sikashukela sakho sokukhulelwa ngesikhathi sokukhulelwa. Izinto ezimbili ezinhle kakhulu ongazenza ukuya kuzo zonke izikliniki zakho nokulawula isifo sikashukela sakho ngangokunokwenzeka ngesikhathi sokukhulelwa.
Ingabe isifo sikashukela sokukhulelwa singavinjelwa?
Akunakwenzeka ukukuvimbela ngokuphelele. Kodwa ungathatha izinyathelo zokunciphisa ingozi yakho. Ukudla ukudla okunempilo nokulinganiselayo kanye nokuzivocavoca njalo , kokubili ngaphambi nangesikhathi sokukhulelwa, kuyizindlela ezinhle kakhulu zokunciphisa ingozi yakho yokuthola isifo sikashukela sokukhulelwa.
Yini engingayenza ukuze ngiphile nesifo sikashukela sokukhulelwa kube lula?
Yenza ukuphathwa kwesifo sikashukela kube yingxenye yesimiso sakho sansuku zonke. Dala isimiso bese unamathela kuso. Zama lezi zinto:
- Hlola amazinga akho kashukela egazini ngesikhathi esifanayo nsuku zonke.
- Khetha ukwenza imizuzu engama-30 yokuzivocavoca okulula izinsuku ezintathu ngesonto.
- Hlela ukudla okuncane, okulinganiselayo kusenesikhathi.
- Khuluma nodokotela wakho noma umfundisi wesifo sikashukela ukuze uthole iseluleko esengeziwe mayelana nokuphathwa kwesifo sikashukela nsuku zonke.
Kufanele ngimbone nini udokotela wami uma nginesifo sikashukela sokukhulelwa?
Kungakhathaliseki ukuthi uqaphela kangakanani ngokuphatha isimo sakho, kungase kube nezikhathi lapho udinga ukubona udokotela. Kufanele nakanjani ubone udokotela uma unesifo "(Isifo Sikashukela Sokukhulelwa)" futhi unesifo salokhu okulandelayo:
- Uma unenkinga yokulawula amazinga kashukela egazini lakho. Okusho ukuthi, uma amazinga kashukela egazini lakho ephakeme njalo kunamazinga udokotela wakho akunike wona. Khona-ke angase afune ukushintsha uhlelo lwakho lokuphatha isifo sikashukela.
- Uma ushukela wakho wegazi uhlala uphansi, ushukela wegazi ophansi awuyona into enhle. Udokotela wakho uzokwazi ukukunikeza iziphakamiso zokuthi ungawugcina kanjani ushukela wakho wegazi usezingeni elifanele.
- Uma unesifo esenza kube nzima ukulandela uhlelo lwakho lokuphatha. Isibonelo, uma unobuthi ekudleni noma uhlanza ngesinye isizathu. Ukungakwazi ukudla kungathinta amazinga kashukela egazini lakho.
Ungaba nesifo sikashukela sokukhulelwa noma ngabe udla ukudla okunempilo?
Yebo. Ngisho noma udla ukudla okunempilo ngaphambi noma ngesikhathi sokukhulelwa, usengaba nesifo sikashukela sokukhulelwa. Kunezinye izinto eziningi ezithinta ingozi yakho yokuthola isifo sikashukela. Izinto ezifana nama-hormone nezakhi zofuzo zidlala indima enkulu, futhi lezo yizinto ezingaphezu kwamandla akho.
Kodwa-ke, uma unesifo sikashukela sokukhulelwa, ukudla ukudla okunempilo nokunomsoco kuyindlela engcono kakhulu yokuphatha lesi simo phakathi nokukhulelwa kwakho.
Udokotela wakho usanda kukutshela ukuthi ukuhlolwa kwakho kwe-glucose kwehlulekile futhi unesifo sikashukela sokukhulelwa. Cishe uzibuza izinto eziningi. 'Ingabe lokhu kuyinto engiyenzile? Ingabe kuzodingeka ngifake umunwe wami emlonyeni wami sonke isikhathi ngikhulelwe? Ingabe ingane yami izobe iphilile?' Le mibuzo (neminye eminingi) ivamile. Ngenhlanhla, odokotela banolwazi oluhle ngesifo sikashukela sokukhulelwa futhi bayazi ukuthi bangakusiza kanjani ukusiphatha.
Iningi labantu lingalawula isifo sikashukela sokukhulelwa ngokwenza izinguquko ezincane ekudleni kwabo. Uchwepheshe wezokudla noma umfundisi wesifo sikashukela angakusiza ngalokhu. Kodwa-ke, abanye abantu badinga i-insulin ukulawula ushukela wegazi labo. Ezimweni eziningi, isifo sikashukela sokukhulelwa esilawulwa kahle ngeke sibe nomthelela omkhulu ekukhulelweni kwakho. Kodwa-ke, udinga ukuthatha indima ebonakalayo ekuphatheni isimo sakho ukuqinisekisa impilo yokukhulelwa kwakho kanye neyomntwana wakho.
Umyalezo Wokugcina Wokuya Nasekhaya
Kulungile, ngakho-ke kusukela kulokho esikhulume ngakho, ngithemba ukuthi unombono omuhle mayelana `(Isifo Sikashukela Sokukhulelwa)`. Asikho isidingo sokukhathazeka. Lokhu kuyinto eyenzeka komama abaningi. Into ebaluleke kakhulu yile:
- Lalela ngokucophelela lokho okushiwo udokotela bese ukulandela ngqo. Hlola amazinga kashukela egazini lakho njalo, lawula ukudla kwakho, bese uthatha imithi yakho ngendlela efanele uma kudingeka.
- Yidla ukudla okunempilo. Landela iseluleko sikachwepheshe wezokudla. Nciphisa ukudla okumnandi nokunamafutha ngangokunokwenzeka.
- Vivinya umzimba ngangokunokwenzeka.Landela iseluleko sikadokotela wakho bese ukhetha ukuzivocavoca okufanela wena.
- Ungaphuthelwa yizinsuku zakho zasemtholampilo. Yiya kuzo zonke izivivinyo njalo.
- Uma unemibuzo noma ukukhathazeka, khuluma nodokotela wakho noma ilungu lomndeni. Ungakhathazeki wedwa.
Uma wenza lezi zinto kahle, nawe uzoba nomntwana onempilo nomhle. Ungabi nakungabaza ngakho. Halala!
Isifo Sikashukela Sokukhulelwa , Isifo Sikashukela Sokukhulelwa, Ushukela Ngesikhathi Sokukhulelwa, Umama Okhulelwe, Ukulawulwa Kwesifo Sikashukela, Impilo Yomntwana, Ushukela Egazini











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