Ingabe ungumama okhulelwe? Ngakho-ke kumelwe ukuthi uke wezwa igama elithi ' isifo sikashukela sokukhulelwa '. Mhlawumbe udokotela wakho ukutshelile ngaso. Kuvamile ukuzizwa wesaba futhi wethukile kancane uma uzwa leli gama. Imibuzo efana nokuthi "Ingabe nami ngizoba nesifo sikashukela ?", "Ingabe kukhona okuzokwenzeka enganeni?" kumele ifike engqondweni. Kodwa ungesabi. Uma siqaphela lesi simo, singasilawula kahle kakhulu futhi silethe umntwana onempilo nomhle kuleli zwe. Ngakho-ke namuhla, ake sixoxe ngokuthi siyini isifo sikashukela sokukhulelwa nokuthi kungani sikhula.
Ukukhulelwa kanye nendlela ushukela wegazi okhuphuka ngayo
Okokuqala, ake sibheke ukuthi inqubo evamile yokulawula ushukela emzimbeni wethu isebenza kanjani. Kulula kakhulu. Uma sidla ukudla, ikakhulukazi ukudla okuqukethe ama-carbohydrate ( isitashi ) njengelayisi, isinkwa, namazambane, umzimba wethu uyakugaya bese ukwenza kube ushukela olula obizwa ngokuthi i-glucose. Lo glucose wengezwa egazini lethu. Iseli ngalinye emzimbeni lithola amandla alo kulo glucose.
Kodwa ukuze uthole i-glucose egazini ingene emaseli, udinga 'ukhiye'. Leso sikhiye yi -insulin . I-insulin iyi-hormone ekhiqizwa yi-pancreas yethu. I-insulin ithatha i-glucose egazini bese iyiletha emaseli, ilawula amazinga kashukela egazini.
Manje ake sibheke ukuthi kwenzekani ngesikhathi sokukhulelwa. Uma ukhulelwa, umntwana uthola konke ukudla okunomsoco kanye nomoya-mpilo akudingayo esithweni esibizwa ngokuthi i -placenta . Lokhu kufana 'nomugqa wokunikezwa' komntwana. I-placenta ikhiqiza izinhlobo eziningana zama-hormone ukusiza umntwana akhule. Lokhu kuyinto enhle kakhulu. Kodwa-ke, amanye ala ma-hormone aphazamisa ukusebenza kwe-insulin emzimbeni wakho. Kufana nokuthi 'isihluthulelo' esikhulume ngaso (i-insulin) sivimbekile kancane ekusebenzeni. Ngokwezokwelapha lesi simo sibizwa ngokuthi ukumelana ne-insulin .
Ngenxa yalokhu kumelana ne-insulin, i-pancreas yakho kufanele isebenze kanzima kunokujwayelekile ukuze igcine amazinga kashukela egazini lakho ejwayelekile, ikhiqize cishe i-insulin ephindwe kathathu kunokujwayelekile . Imizimba eminingi yabesifazane abakhulelwe ingakwazi ukubhekana nale nselele. Kodwa ngezinye izikhathi, i-pancreas ayikwazi ukukhiqiza i-insulin eyanele. Yilapho amazinga kashukela egazini lakho ekhuphuka khona, okubangela isimo esibizwa ngokuthi isifo sikashukela sokukhulelwa.
Kalula nje, isifo sikashukela sokukhulelwa akusona isifo esibangelwa yiphutha lakho. Kuyisimo sesikhashana esenzeka lapho umzimba ungakwazi ukuzivumelanisa kahle nezinguquko zamahomoni ezenzeka ngesikhathi sokukhulelwa.
Ubani osengozini enkulu yalesi simo?
Nakuba noma ubani angaba nesifo sikashukela sokukhulelwa, abanye abantu bathambekele kakhulu kuso. Ake sibheke ukuthi yiziphi lezi zinto eziyingozi . Ungesabi uma uzibona, akuwona wonke umuntu onazo ozoba nesifo sikashukela. Kubalulekile ukuzazi lezi zinto ukuze ukwazi ukuhlolwa kusenesikhathi futhi uthathe isinyathelo ngokushesha uma kudingeka.
| Isici Sengozi | Incazelo elula |
|---|---|
| Ukukhuluphala ngokweqile ngaphambi kokukhulelwa | Ukumelana ne-insulin kuyanda ngokwemvelo njengoba isisindo somzimba sikhula, ngakho-ke kungaba nzima nakakhulu ngesikhathi sokukhulelwa. |
| Ukwanda kwesisindo ngokushesha ngesikhathi sokukhulelwa | Ukuthola isisindo ngokushesha kunalokho okunconywayo kungathinta nokusebenza kwe-insulin. |
| Umlando womndeni wesifo sikashukela | Uma isihlobo esiseduze, njengomama wakho, ubaba, noma izingane zakini, sinesifo sikashukela sohlobo lwesibili, ungase ube nesifo sofuzo. |
| I-Prediabetes | Lesi yisimo lapho izinga likashukela lingekho phezulu ngokwanele ukuthi lingabizwa ngokuthi isifo sikashukela, kodwa liphakeme kancane kunokuvamile. Umuntu onalesi simo usengozini enkulu yokuthola isifo sikashukela ngesikhathi sokukhulelwa. |
| Ukuba nesifo sikashukela ekukhulelweni kwangaphambilini | Uma uke waba nalesi simo ngesikhathi sokukhulelwa kwangaphambilini, kungenzeka kakhulu ukuthi uphinde ube naso ekukhulelweni kwakho okulandelayo. |
| Uneminyaka engaphezu kwengu-25 ubudala | Njengoba ukhula, ingozi yalesi simo iyanda kancane. |
| Ukuba nomntwana onesisindo esingaphezu kwamakhilogremu angu-4 (amakhilogremu angu-9) ngaphambi | Lokhu kusikisela ukuthi amazinga kashukela egazini lakho kungenzeka ukuthi akhuphuke afinyelela ezingeni elingabonakali ngesikhathi sokukhulelwa kwangaphambilini. |
| Ukuba ne-PCOS | Abesifazane abanesifo esibizwa ngokuthi i-Polycystic Ovary Syndrome (PCOS) bangase babe nokumelana ne-insulin kusukela ekuqaleni. |
Manje senzani?
Uma ukhathazekile ngalezi zinto eziyingozi, zibeke eceleni. Into ebaluleke kakhulu ukukhuluma ngokukhululekile ngalokhu nodokotela wakho.
Isifo sikashukela sokukhulelwa sivame ukwenzeka ekuqaleni kwenyanga yesithathu yokukhulelwa. Okungukuthi, phakathi kwamasonto angama-24-28. Wonke umama okhulelwe eSri Lanka uhlolwa ushukela phakathi nalesi sikhathi. Okwenziwayo ukuthi, unikezwa isiphuzo esinoshukela bese kuthi izinga likashukela egazini lakho lihlolwe ngemva kwehora elilodwa. Lokhu kubizwa ngokuthi i-OGTT (Oral Glucose Tolerance Test) .
Kodwa-ke, uma unesinye noma ngaphezulu sezici eziyingozi ezishiwo ngenhla, udokotela wakho angase akuncome lokhu kuhlolwa ku-trimester yokuqala yokukhulelwa.
Kwenzekani ngokwemiphumela?
Uma imiphumela yokuhlolwa kwakho ikhombisa ukuthi unesifo sikashukela sokukhulelwa, asikho isizathu sokwesaba. Into ebaluleke kakhulu ukulandela imiyalelo enikezwe udokotela wakho kanye nochwepheshe wezokudla.
Zama lokhu okulandelayo njengokwelashwa:
- Ukudla: Uzonikezwa ukudla okufanele, okunoshukela omncane, nokulinganiselayo. Ungase ucelwe ukuba udle ukudla okuncane okungu-5-6 ngosuku, kunokudla okuyinhloko okuthathu.
- Ukuzivocavoca: Ukuzivocavoca okulula kwansuku zonke, njengokuhamba, kungasiza ekuthuthukiseni ukusebenza kwe-insulin. Kodwa-ke, kufanele uthintane nodokotela wakho ngaphambi kokuqala noma yiluphi uhlelo lokuzivocavoca.
Ezimweni eziningi, ungalawula amazinga kashukela egazini lakho kahle ngalokhu kudla kanye nokuzivocavoca. Udokotela wakho uzokuqala imijovo ye-insulin noma mhlawumbe amaphilisi kuphela uma ungakwazi ukuyilawula ngaleyo ndlela. Lokhu kwenzeka kuphela kuze kube yilapho umntwana ezalwa.
Khumbula, uma ulawula amazinga kashukela egazini lakho kahle, unganciphisa kakhulu ingozi yokuthi ingane yakho ikhule kakhulu, ibe nesifo sikashukela, futhi ibe nezinye izinkinga zempilo. Ngokuzinikela kwakho, wena nomntwana wakho ningahlala niphilile.
Umlayezo Wokuya Nawe Ekhaya
- Isifo sikashukela sokukhulelwa yisimo sesikhashana esenzeka ngesikhathi sokukhulelwa kuphela. Sivame ukuphela ngemva kokuzalwa komntwana.
- Lokhu akulona iphutha lakho, kodwa ngoba izinguquko zamahomoni ngesikhathi sokukhulelwa zivimbela i-insulin ukuthi isebenze kahle.
- Lesi simo singalawulwa kahle ngokulandela imiyalelo kadokotela wakho (ukudla, ukuvivinya umzimba, kanye nemithi uma kudingeka) ngqo.
- Ungayeki ukuhlolwa kwakho ushukela egazini okuvamile. Kubaluleke kakhulu ekuphepheni kwakho nokwengane yakho.
- Uma uphathwa kahle, unethuba elihle lokubeletha umntwana onempilo ngaphandle kwezinkinga. Ngakho ungakhathazeki.
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