Ingabe usukhulelwe cishe amasonto angama-24 noma angama-28? Khona-ke udokotela wakho kungenzeka ukuthi ukucele ukuthi uhlolwe ushukela . Omama abaningi bazizwa besaba futhi bekhathazekile kancane lapho bezwa lokhu. Imibuzo efana nokuthi "Ingabe ngizoba nesifo sikashukela ?", "Ingabe lokhu kuhlolwa kunzima?", "Ingabe kukhona okuzokwenzeka enganeni?" ifika engqondweni. Kodwa akukho lutho okufanele ulwesabe. Lokhu kuhlolwa okuvamile kakhulu okwenziwa ngesikhathi sokukhulelwa . Ake sixoxe ngakho konke ngendlela elula necacile namuhla.
Kungani lokhu kuhlolwa ushukela kubaluleke kangaka?
Ngesikhathi sokukhulelwa, ama-hormone emizimba yethu ashintsha kakhulu. Ngenxa yalezi zinguquko, ngezinye izikhathi kuba nzima ngemizimba yethu ukulawula inani likashukela (i-glucose) egazini lethu. Khona-ke izinga likashukela egazini lingaba phezulu kunokudingekile. Lesi simo sibizwa ngokuthi isifo sikashukela sokukhulelwa.
Lesi yisimo esivamile esingathinta cishe u-10% wabesifazane abakhulelwe. Kodwa-ke, uma singahlolwanga kahle futhi singaphathwa kahle, singadala izinkinga kuwe nakumntwana wakho. Yingakho lokhu kuhlolwa ushukela kwenziwa ukuze kutholakale lesi simo kusenesikhathi.
Kunezinhlobo ezimbili zalezi zivivinyo.
Lokhu kuhlolwa ushukela egazini udokotela wakho akutshele ukuthi ukwenze kungase kube nezinyathelo ezimbili. Akuwona wonke umuntu okuzodingeka athathe isinyathelo sesibili.
1. Ukuhlolwa kokuqala (Ukuhlolwa Kwenselele Ye-Glucose): Lokhu kufana nokuhlolwa. Kwenziwa ukuze kubonakale ukuthi usengozini yokuthola isifo sikashukela sokukhulelwa . Lokhu ukuhlolwa kokuhlolwa .
2. Ukuhlolwa kwesibili (Ukuhlolwa Kokubekezelela I-glucose Yomlomo - OGTT): Lokhu kuhlolwa kwesibili kwenziwa kuphela uma imiphumela yokuhlolwa kokuqala ingajwayelekile. Yilokhu okuqinisekisa ukuthi unesifo sikashukela sokukhulelwa noma cha.
Kalula nje, uma eyokuqala iphakamisa ukungabaza, eyesibili iyakuqinisekisa lokho kusola.
| Igama lokuhlolwa | Kungani wenza lokhu? | Isikhathi esichithwe |
|---|---|---|
| Ukuhlolwa Kwenselele Ye-glucose (Ukuhlolwa Kwamahora) | Ukuhlolwa ukuze kutholakale ukuthi kukhona yini ingozi yokuthola isifo sikashukela sokukhulelwa. | Cishe ihora. |
| Ukuhlolwa Kokubekezelela I-glucose Yomlomo - OGTT (Ukuhlolwa Kwamahora Amathathu) | Ukuqinisekisa ngokuqiniseka ukuthi unesifo sikashukela sokukhulelwa (i-Diagnosis). | Ngaphezu kwamahora amathathu. |
Lokhu kuhlolwa kuvame ukwenziwa nini?
Lokhu kuhlolwa kokuqala koshukela egazini kuvame ukwenziwa phakathi kwamasonto angama-24 kuya kwangama-28 okukhulelwa . Kodwa-ke, uma unezinye zezici ezilandelayo eziyingozi, udokotela wakho angase akuncome ukuthi wenze lokhu kuhlolwa kusenesikhathi.
- Uma uke waba nesifo sikashukela ekukhulelweni kwangaphambilini.
- Uma kukhona emndenini wakho (umama, ubaba, izingane zakini) onesifo sikashukela.
- Uma ukhuluphele ngokweqile ( ukhuluphele ngokweqile ).
- Uma uneminyaka engaphezu kwengu-35 ubudala.
- Uma une -high blood pressure .
- Uma unesinye isimo sezokwelapha njenge-PCOS ( i-Polycystic Ovary Syndrome ).
- Uma ukuhlolwa okuvamile kuthola ushukela emchameni wakho.
Ungalungiselela kanjani ukuhlolwa nokuthi ungakwenza kanjani?
Indlela yokulungiselela lezi zivivinyo ezimbili ihlukile kancane.
Ukuhlolwa kokuqala (ukuhlolwa kwehora elilodwa)
Lokhu akudingi ukulungiselela okuningi. Ungadla ngendlela evamile. Kodwa-ke, odokotela bavame ukweluleka ukuthi ungadli ukudla okumnandi okuningi (isib. amakhekhe, ama-donut, iziphuzo ezinoshukela) ekuseni ngaphambi kokuhlolwa, njengoba lokhu kungathinta imiphumela.
Indlela yokukwenza:
1. Uma uya elabhorethri, uzonikezwa isiphuzo esimnandi (i-Glucola) esiqukethe amagremu angu-50 e-glucose. Kumelwe uphuze lokhu ngokushesha kungakapheli imizuzu emi-5.
2. Ngemva kwehora elilodwa nje lokuyiphuza, kuzothathwa igazi elincane emthanjeni osengalweni yakho.
3. Awukwazi ukudla noma ukuphuza noma yini enye phakathi naleli hora. Kulungile ukuphuza amanzi amancane.
Into ebalulekile ukuthi, noma ngabe lokhu kuhlolwa kokuqala kubonisa ukuthi izinga likashukela egazini lakho liphezulu kancane, akusho ukuthi unesifo sikashukela. Kusho ukuthi udinga ukwenza ukuhlolwa kwesibili.
Isivivinyo sesibili esikhulu (i-OGTT yamahora amathathu)
Lokhu kwenziwa kuphela uma imiphumela yeyokuqala ingajwayelekile. Lokhu kudinga ukulungiselela okuhle.
Indlela yokulungiselela:
- Kufanele ulandele imiyalelo kadokotela wakho ngqo.
- Ngokuvamile, utshelwa ukuthi uzile ukudla amahora angu-8-12 ngaphambi kokuhlolwa. Lokho kusho ukuthi awukwazi ukudla noma ukuphuza lutho ngemva kuka-10pm kuze kube yilapho ukuhlolwa kuphelile ekuseni. Kulungile ukuphuza amanzi amancane.
- Kungcono ukuthatha lesi sivivinyo ekuseni kakhulu.
Indlela yokukwenza:
1. Uma uya elabhorethri, bazoqala ngokuthatha isampula yegazi ukuze bahlole izinga likashukela egazini lakho lokuzila ukudla .
2. Ngemuva kwalokho, uzonikezwa isiphuzo esimnandi esiqukethe amagremu ayi-100 e-glucose.
3. Amasampula egazi athathwa futhi ngemva kwehora elilodwa, amahora amabili, kanye namahora amathathu ngemva kokuliphuza. Lokho kusho ukuthi kuthathwe amasampula egazi angu-4 esewonke.
4. Kufanele uhlale elabhorethri lawa mahora amathathu. Ngakho-ke uma uletha okuthile okufana nencwadi, ngeke ukhathazeke. Awukwazi ukudla phakathi nalesi sikhathi. Ungaphuza amanzi.
Abanye abantu bangase bazizwe benesicanucanu noma bedidekile ngemva kokuphuza lolu ketshezi olunoshukela, kodwa lokho kuvamile.
Ungayiqonda kanjani imiphumela?
Udokotela wakho uzokuchazela imiphumela uma usuyitholile, kodwa kuhle ukwazi ukuthi ayini amanani ajwayelekile.
| Ukuhlolwa | Inani elimaphakathi (kufanele libe ngaphansi kwalokhu) |
|---|---|
| Ukuhlolwa Kwenselele Ye-glucose | 140 mg/dL |
| Ukuhlolwa kokubekezelela ushukela ngomlomo kwamahora amathathu (OGTT) | |
| Ukuzila ukudla | 95 mg/dL |
| Ngemva kwehora | 180 mg/dL |
| Ngemva kwamahora amabili | 155 mg/dL |
| Ngemva kwamahora amathathu | 140 mg/dL |
Uma ezimbili noma ngaphezulu zalezi zindinganiso zingaphezu kokujwayelekile ngesikhathi sokuhlolwa kwamahora amathathu, udokotela wakho uzoqinisekisa ukuthi unesifo sikashukela sokukhulelwa.
Wenzani uma utshelwa ukuthi unesifo sikashukela?
Ungakhathazeki. Lesi yisimo esingalawuleka. Udokotela wakho uzokusiza. Ngokuvamile, kuzodingeka ukuthi:
- Ukulawula ukudla: Udinga ukunciphisa ukudla okumnandi nokunesitashi bese ujwayela ukudla okulinganiselayo.
- Ukuzivocavoca: Ungenza izivivinyo ezilula ezikufanele, njengoba kunconywa udokotela wakho.
- Ukuhlola amazinga kashukela egazini lakho njalo: Uzonikezwa idivayisi encane (i-blood glucose meter) ekuvumela ukuthi uhlole amazinga kashukela egazini lakho ekhaya.
- Imithi: Ngezinye izikhathi, uma ukudla nokuzivocavoca kuphela kunganele ukulawula ushukela egazini, kungadingeka ukuthi uthathe imijovo ye-insulin.
Into ebalulekile ukuthi lesi simo cishe sizophela ngemva kokubeletha, ngakho khumbula ukuthi lokhu kungokwesikhashana.
Kwenzekani uma lokhu kuhlolwa kungenziwanga?
Unelungelo lokwenqaba lokhu kuhlolwa, kodwa odokotela abakuncomi nhlobo. Ngoba uma isifo sikashukela sokukhulelwa singalawulwa, kungaba nezingozi ezithile kuwe nakumntwana wakho.
- Izingozi ongase ubhekane nazo: Umfutho wegazi ophakeme (i-preeclampsia), ingozi eyengeziwe yokudinga ukuyohlinzwa ngokuhlinzwa.
- Izingozi enganeni: Ukukhuluphala ngokweqile, ushukela wegazi ophansi (i-hypoglycemia) ekuzalweni, kanye nengozi eyengeziwe yokuba nesifo sikashukela esikhathini esizayo.
Ngakho-ke, qonda ukuthi lokhu kuwuvivinyo olubalulekile lokuphepha kwakho nokwengane yakho engakazalwa.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlolwa kokubekezelela ushukela (i-GTT) ukuhlolwa okuvamile okubalulekile kuwe nakumntwana wakho. Ungesabi.
- Kungase kube nokuhlolwa okubili kwalokhu. Okokuqala (Ukuhlola) kuhlola ubungozi, kanti okwesibili (i-OGTT) kuqinisekisa lesi sifo.
- Kuphoqelekile ukuzila ukudla amahora angu-8-12 ngaphambi kokuhlolwa kwamahora amathathu.
- Uma kutholakala ukuthi unesifo sikashukela sokukhulelwa, singaphathwa kalula ngokudla nokuzivocavoca njengoba kuceliwe udokotela wakho.
- Uma unemibuzo noma ukukhathazeka ngalokhu, khuluma nodokotela wakho ngokukhululekile ngakho.
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