Ingabe nawe unesifo sikashukela ngesikhathi sokukhulelwa? (Isifo Sikashukela Sokukhulelwa) Ake sithole ngaphandle kokwesaba!

Esikhathini esiningi, lapho siba ngomama, sonke sinethemba lokuletha umntwana onempilo kuleli zwe. Kodwa ngezinye izikhathi, kungavela izinkinga zempilo ezingalindelekile. Namuhla, sizokhuluma ngohlobo olukhethekile lwesifo sikashukela abanye omama abasithola ngesikhathi sokukhulelwa kuphela. Yilokhu esikubiza ngokuthi isifo sikashukela sokukhulelwa.

Kuyini isifo sikashukela sokukhulelwa? Kulula kakhulu!

Kalula nje, `(Isifo Sikashukela Sokukhulelwa)` sisho ukuthi izinga likashukela egazini lakho, okungukuthi, `(izinga likashukela egazini),` liphakeme kunejwayelekile ngesikhathi sokukhulelwa. Manje ungase ucabange, `O, bengingenaso isifo sikashukela ngaphambili, ngakho lokhu kwenzeke kanjani?' Eqinisweni, lokhu kuvame ukwenzeka ngesikhathi sokukhulelwa kubantu abangakaze babe nesifo sikashukela ngaphambili. Yingakho kubizwa ngokuthi ``isifo sikashukela sokukhulelwa.'' Lesi simo senzeka lapho umzimba ungakwazi ukusebenzisa i-hormone `(Insulin)` ngendlela efanele, kanye nezinguquko zamahomoni ezenzeka emzimbeni wethu ngesikhathi sokukhulelwa.

Udokotela wakho noma umbelethisi uvame ukukuhlola lokhu phakathi kwamasonto angama-24 kuya kwangama-28 okukhulelwa . Lokhu kubizwa ngokuthi "ukuhlolwa kokuhlolwa kwe-glucose". Lokhu kusho ukuthi uphuza uketshezi olumnandi bese kuthi izinga likashukela egazini lakho lihlolwe cishe ngemva kwehora. Ngezinye izikhathi lokhu kungaba ukuhlolwa kwamahora amabili noma amathathu. Lokhu ngokuvamile kuyindlela kuphela yokwazi ngokuqinisekile ukuthi unalesi simo noma cha. Ngakho-ke, kungcono yini ukweqa lokhu "kuhlolwa kokuhlolwa"? Ngoba uma sikubona kusenesikhathi, singanciphisa kakhulu imiphumela yalokhu.

Kungani kufanele sikhathazeke kangaka ngesifo sikashukela sokukhulelwa? Yimiphi imiphumela esingaba nayo enganeni?

Manje ungase ucabange, 'Kulungile, ushukela wami wegazi uphezulu kancane, kodwa kuzokwenzekani enganeni?' Empeleni, lapho izinga likashukela egazini likamama likhuphuka, liwela i-placenta futhi likhuphule izinga likashukela egazini lomntwana ongakazalwa. Yingakho kudingeka siqaphele kakhulu ngalokhu. Ake sibheke ukuthi yiziphi izingozi:

• Ukuzalwa ngaphambi kwesikhathi: Ngezinye izikhathi, ingane ingazalwa ngaphambi kwesikhathi, ngaphambi kwamasonto angu-37. Uma lokhu kwenzeka, amaphaphu engane awakhuli ngokugcwele, okungaholela ezinkingeni zempilo ezifana nobunzima bokuphefumula, futhi kungadinga ukwesekwa kokuphefumula. Izingane ezizalwa ngaphambi kwesikhathi nazo zisengozini yezinye izinkinga.
• Ingane ingase ikhuluphale (i-Macrosomia): Ngenxa yokuthi ushukela wegazi likamama uphezulu, ingane nayo ithola ushukela owengeziwe. Ingane ibe isiwuguqula ube amandla bese iwugcina njengamafutha amaningi. Lokhu kungabangela ukuthi ingane ibe nkulu kunalokho okufanele ibe yikho, okusho ukuthi ingaba nesisindo esingaphezu kwamakhilogremu angu-4. Lokhu kungenza kube nzima ukubeletha umntwana ngendlela evamile. Ingane ingase ilimale ngesikhathi sokubeletha, noma umama angase azizwe engakhululekile. Kukhona futhi ithuba elikhulu "lokuhlinzwa ngokuhlinzwa" (C-section), okusho inqubo yokuhlinzwa yokubeletha umntwana.
• I-Hypoglycemia Yezingane Ezisanda Kuzalwa: Ukuze kulawulwe izinga likashukela egazini likamama, i-pancreas yengane ikhiqiza i-insulin eningi ngesikhathi isesibelethweni. Ngakho-ke, uma ingane isizelwe, lapho ushukela kamama uphela, izinga likashukela egazini lengane lingase lehle ngokuzumayo ngenxa yezinga eliphezulu le-insulin. Lesi futhi akusona isimo esihle enganeni, ngoba ushukela ubalulekile ekusebenzeni kobuchopho. Uma lokho kwenzeka, ingane kuzodingeka inikezwe ushukela owengeziwe.
• Kungadinga ukuhlala isikhathi eside esibhedlela: Ngenxa yezizathu ezinjengalezi, ezinye izingane zingadinga ukwelashwa okwengeziwe kanye nokubhekwa, okungadinga ukuhlala isikhathi eside esibhedlela.
• Ingozi yokuthola isifo sikashukela kamuva ekuphileni: Enye into ebalulekile ukuthi izingane ezizalwa omama ababenesifo sikashukela sokukhulelwa zinamathuba amancane okuthola isifo sikashukela sohlobo lwesibili lapho zikhula. Zinamathuba amaningi okukhuluphala.

Ngakho-ke, uyaqonda, akunjalo? Lokhu akuyona nje inkinga kumama, kodwa kuyinto engathinta kakhulu impilo yengane yesikhashana neyesikhathi eside.

Kulungile, manje kuthiwani uma ngithola ukuthi nginesifo sikashukela sokukhulelwa? Ingabe lokhu kuyinto okufanele ngikhathazeke ngayo?

Okokuqala, ungesabi! Uma udokotela wakho ekutshela ukuthi unesifo sikashukela sokukhulelwa, kunezindlela zokusiphatha. Udokotela wakho uzoqala uhlelo lokwelashwa olukusebenzelayo. Ngokuvamile, kuzodingeka wenze okulandelayo:

1. Ukudla okunempilo

Lokhu kuyinto ebaluleke kakhulu . Kudingeka uqaphele ukuthi udlani futhi uphuzani.

• Udinga ukunciphisa ukudla okunoshukela omningi, ufulawa, namafutha ngangokunokwenzeka. Udinga ukugwema izinto ezifana neziphuzo ezinoshukela, amakhekhe, namabhisikidi.
• Udinga ukudla izithelo eziningi, imifino, kanye nokudla okucebile nge-fiber. Faka okusanhlamvu okugcwele njengelayisi elinsundu, i-buckwheat, ne-oats, imifino enamaqabunga, imifino, nezithelo (khetha izithelo ezinoshukela ophansi) ekudleni kwakho.
• Yidla ngesikhathi esifanele, ngenani elifanele. Kungcono ukudla ukudla okuncane kaningana phakathi nosuku kunokudla ukudla okukhulu ngasikhathi sinye.

Udokotela wakho noma isazi sokudla okunempilo noma isazi sokudla angakunikeza iseluleko esihle ngalokhu. Uma ulawula ukudla kwakho ngendlela efanele, ungalawula amazinga kashukela egazini lakho ngezinga elikhulu.

2. Ukuzivocavoca kwansuku zonke

Enye into ebalulekile ukwenza ukuzivocavoca okuncane nsuku zonke.

• Ungenza ukuzivocavoca okulula njengokuhamba okungenani imizuzu engama-30 ngosuku .
• Ungenza nezinto ezifana ne-yoga ngeseluleko sezokwelapha.

Kodwa kungcono ukubuza udokotela wakho ukuthi yimiphi imithambo efanele wena nokuthi kufanele uyenze isikhathi esingakanani. Ukuzivocavoca kwandisa ukuzwela komzimba ku-insulin, okusiza ukulawula ushukela egazini.

3. Mhlawumbe imijovo ethi `(Insulin)`

Abanye omama bangase bangakwazi ukulawula amazinga kashukela egazini ngendlela efanele ngokudla nokuzivocavoca kuphela. Ezimweni ezinjalo, udokotela uzokutshela ukuthi uthathe imijovo ye-`(Insulin)` yansuku zonke (`imijovo`). Lokhu kwenzelwa ukunikeza umzimba inani le-`(Insulin)` eliyidingayo ngaphandle. Le mijovo ye-`(Insulin)` ngeke ilimaze ingane, ngakho ungakhathazeki ngakho. Udokotela uzokufundisa ngqo ukuthi ungayijova kanjani i-`(Insulin)`.

4. Hlola amazinga kashukela egazini njalo

Udokotela wakho uzokunika idivayisi encane (i-`glucometer`) ongayisebenzisa ukuhlola amazinga kashukela egazini lakho ekhaya. Kuzodingeka uhlole futhi urekhode amazinga kashukela egazini lakho izikhathi eziningana ngosuku (njengangaphambi kokudla kwasekuseni nangemva kokudla). Lokhu kuzosiza udokotela wakho ukuthi anqume ukuthi ukwelashwa kwakho kusebenza kahle yini, ukuthi ushukela egazini lakho uyalawuleka yini, nokuthi udinga ukwenza noma yiziphi izinguquko ekudleni kwakho.

Ngisho noma kungase kudingeke usebenze kanzima kancane kuze kufike umntwana, khumbula ukuthi konke lokhu ukwenza ngenxa yempilo enhle yakho neyengane.

Kwenzekani kulesi sifo sikashukela sokukhulelwa ngemva kokuzalwa komntwana? Ingabe sizohlala sinjalo?

Lena inkinga ebhekene nomama abaningi. Izindaba ezinhle ukuthi ezimweni eziningi, isifo sikashukela sokukhulelwa siyaphela ngemva kokuzalwa komntwana! Lokhu kungenxa yokuthi imbangela eyinhloko yalokhu izinguquko zamahomoni ezenzeka emzimbeni ngesikhathi sokukhulelwa. Uma umntwana esezelwe, lawo mazinga amahomoni abuyela esimweni esijwayelekile, ngakho amazinga kashukela egazini lakho nawo abuyela esimweni esijwayelekile. Udokotela wakho uzohlola amazinga kashukela wakho futhi cishe emavikini ayi-6 kuya kwayi-12 ngemva kokuzalwa komntwana.

Kodwa kunezinto ezimbalwa okufanele uzikhumbule:

• Kungaphinde kwenzeke: Uma wake waba nesifo sikashukela sokukhulelwa kanye, kunethuba elingaphezu kuka-50% lokuthi uzophinde ube nalesi simo ekukhulelweni kwakho okulandelayo. Ngakho-ke, kungcono ukuxoxa ngalokhu nodokotela wakho ngaphambi kokuba ukhulelwe futhi bese wenza amalungiselelo adingekayo.
• Ingozi yokuthola `(Uhlobo 2 Lwesifo Sikashukela)` esikhathini esizayo: Omama abake baba nesifo sikashukela sokukhulelwa basengozini enkulu kakhulu yokuthola isifo sikashukela esihlala njalo esibizwa ngokuthi `(Uhlobo 2 Lwesifo Sikashukela Mellitus)` kamuva ekuphileni kunabanye. Lokhu kuyinto okufanele sikhathazeke kakhulu ngayo. Ngokwezinye izifundo, le ngozi ingaba phakathi kuka-50% no-70%.
• Ukugcina isisindo esinempilo: Ngakho-ke into engcono kakhulu ongayenza ukunciphisa le ngozi yesikhathi esizayo ukugcina isisindo somzimba wakho sisezingeni elinempilo ngemva kokubeletha umntwana. Ukudla ukudla okunempilo nokuzivocavoca njalo kuzosiza kakhulu ngalokhu.
• Hlala uxhumane nodokotela wakho: Ngemva kokubeletha umntwana, hamba uyohlolwa ngokulandelayo njengoba udokotela wakho encoma. Kungumqondo omuhle ukuthi amazinga kashukela egazini lakho ahlolwe okungenani kanye ngonyaka. Lokhu kungakusiza ukuthi ubone ukuthi usengozini yokuthola isifo sikashukela sohlobo lwesibili noma ukuthi unesifo sikashukela esingaphambi kwesikhathi.

Nokho, akuwona umqondo omuhle ukukhohlwa ngokuphelele ngokuba nomntwana. Udinga futhi ukucabanga ngempilo yakho yesikhathi eside. Lokhu kufana nesixwayiso kuwe.

Ngakho-ke, yiziphi izinto ezibaluleke kakhulu okudingeka sizikhumbule kukho konke lokhu?

Kulungile, kunezinto ezimbalwa esikhulume ngazo okufanele uzikhumbule ngempela. Ake sizibheke ngasinye ngasinye:

1. Isifo sikashukela sokukhulelwa akuyona into okufanele uyesabe, kodwa into okufanele uyiqaphele: Lesi yisimo esenzeka kuphela ngesikhathi sokukhulelwa. Singavela ngisho noma ungakaze ube nesifo sikashukela ngaphambili.

2. Hlola ngesikhathi: Qiniseka ukuthi wenza "ukuhlolwa kokuhlolwa kwe-glucose" phakathi kwamasonto angama-24-28. Uma kusheshe kutholakale, kulula kakhulu ukulawula.

3. Ingane ingathinteka: Uma ushukela wegazi likamama ukhuphuka, ingane ingazalwa ngaphambi kwesikhathi, ikhuluphale, futhi ibe noshukela wegazi ophansi ngemva kokuzalwa. Ingane nayo isengozini yokuthola ``Isifo Sikashukela Sohlobo 2`` kanye nokukhuluphala ngokweqile esikhathini esizayo.

4. Kunezindlela zokwelapha futhi zingalawulwa: Lesi simo singalawulwa kahle ngokudla okunempilo, ukuzivocavoca umzimba, imijovo ye-insulin uma kudingeka, kanye nokuhlolwa ushukela egazini njalo. Landela imiyalelo kadokotela wakho ngqo.

5. Ivame ukuphela ngemva kokubeletha: Kodwa-ke, ingabuya uma ukhulelwa futhi. Futhi kwandisa ingozi kamama yokuba nesifo sikashukela (uhlobo lwesibili) esikhathini esizayo.

6. Qhubeka unakekela impilo yakho: Gcina isisindo sakho siphilile ngemva kokubeletha. Yidla ukudla okunempilo, uvivinye umzimba. Hlala uthintana nodokotela wakho, futhi uthole ukuhlolwa njalo.

Khumbula, awuwedwa kulolu hambo. Udokotela wakho, isisebenzi sezempilo somndeni, isazi sokudla okunempilo, kanye namalungu omndeni bonke bakhona ukukusiza. Into ebaluleke kakhulu ukuqaphela lokhu, ungesabi, futhi uthathe izinyathelo ezidingekayo. Khona-ke wena nomntanakho ningaba nempilo enhle futhi nijabule.

Isifo Sikashukela Sokukhulelwa , Isifo Sikashukela Sokukhulelwa, Isifo Sikashukela Ngesikhathi Sokukhulelwa, Impilo Yomntwana, Amazinga Kashukela Egazini, I-insulini, Ukuhlolwa Kokukhulelwa, Isifo Sikashukela Sohlobo 2