Isifo sikashukela sikhuphe ngexesha lokukhulelwa

Ubundlobongela ebomini bomfazi lixesha lokutshintsha. Inkqubo yokukhulelwa nokubeletha ngesifo sikashukela se-1 ne-2 degrees sibuhlungu kakhulu kwaye ukuba ungathathi amanyathelo afanelekileyo, inokulimaza impilo yomntwana ongakazalwa. Isifo sikashukela esidluliswayo ngexesha lokukhulelwa siyanzima kakhulu inkqubo yokukhulelwa, kodwa kusenokwenzeka ukuba sinciphise.

Amachiza amaninzi aneempembelelo ezininzi, kwaye iziyobisi zesifo sikashukela asikho. Iyeza ngalinye xa isifo sikashukela sinomngcipheko kumntwana ozayo, ngoko xa ukhulelwe umama ozayo kufuneka ayeke ukuthatha imithi. Ibhinqa elikhulelweyo elinesifo sikashukela seganga lesi-2 esisoloko sithatha iipilisi kufuneka sitshintshe ukuba sithathe i-insulin, enokuthi yenziwe ngaphambi kokuba ukhulelwe. Ngoko ke, abafazi abanesifo sikashukela ebangeni lesi-2 kufuneka bahlele ukukhulelwa kwabo kwangaphambili. Kwakhona, i-insulin iya kufuneka ithatyathwe kubo oomama abanomdla abangakwazi ukuhambisa amayeza akhethekileyo kunye nokulawula ukugula kwabo ngoncedo lokutya okufanelekileyo kunye ne-gymnastics ekhethekileyo. Olu tshintsho aluthetha ukuba umama ozayo onesifo sikashukela uya kufuneka aphule inkqubo yokonyango, kodwa ngokuchaseneyo, kuya kunceda umzimba ukuba udlulise inkqubo yokukhulelwa nokubeleka kulula xa kunesifo sikashukela.

Ngethuba leveki zokuqala ezisibhozo zokukhulelwa, izitho zexesha elizayo umntwana uqala ukwenza, kwaye egazini lomfazi okhulelweyo inqanaba leshukela liqala ukunyuka, okubangela ukuba kubekho iingxaki ezinzulu ezingakhokelela ekuphuhlisweni kwesifo senhliziyo okanye ukuvela kwesisu. Abasetyhini ababenako ukulungelelanisa ishukela yegazi ngaphambi kokukhulelwa, bangabi nengozi eyongezelelweyo ekuzalweni komntwana xa kuthelekiswa nomama ozayo. Ngoko ke, inkqubo yokucwangcisa ukukhulelwa kunye nokusetyenziswa kweendlela ezithembekileyo zokukhulelwa komzimba zidlala indima ebalulekileyo ekukhulelweni nasekuzalweni kwesifo sikashukela, kude kube yinqanaba lezeshukela legazi lifikelela kwizinga eliqhelekileyo.

Ngaphambi kokucwangciswa kwexesha elizayo lonina lokukhulelwa kwakhe kuya kuvumela ukuba kufinyelele kwizinga eliqhelekileyo le-glucose kunye ne-hemoglobin A1c egazini okanye ubuncinane balethe kwizinga eliphakanyisiweyo. I-American Diabetes Academy icebisa ukuba ngaphambi kokuba ukhulelwe kufuneka ufezekise amazinga alhukela elandelayo:

- 80/110 mg / dL - oku kukubonisa ngaphambi kokutya;

- ayikho ngaphezu kwe-155 mg / dg ezimbini iiyure emva kokutya, kwaye izinga le-hemoglobin egazini kufuneka libe yinto yomntu onempilo.

Ngokwezibalo, ama-25 ekhulwini labasetyhini abakhulelweyo abanesifo sikashukela baneengxaki: esibelethweni esiphathelene nosana, amanzi amaninzi aqokelelana nomntwana, apho, ngokungabikho kwamanyathelo afanelekileyo, angabangela ukuqala kokukhulelwa kwangaphambili. Ukuze uphephe le ngxaki, oogqirha banquma ukuphumla kwebhedlele yokukhulelwa nokuqinisekisa ukulawulwa kokuthotyelwa kwamanqanaba eshukela egazi.

Xa bebeletha abafazi abakhulelweyo abanesifo sikashukela, bangabangela ukuzalwa komntwana omkhulu kakhulu. Xa ubunzima bomntwana bungaphezu kwama-4 kilogram - oku kuthiwa yi-macrosomia. Le ngxaki inokubangela ukuba kubekho ubunzima bokuzala, kwaye kukho umngcipheko wokuba umntwana angakwazi ukufumana ingxaki yokuzalwa.

Abantwana abazalwa ngoomama onjalo bahlala beneshukela eliphantsi kwegazi, i-calcium ephantsi, ubunzima bokuphefumula. Xa isifo sikashukela sandisa ingozi yomntwana ofileyo, imbongi ngexesha lokukhulelwa kufuneka lihlale liphantsi kolawulo lonyango kwaye lithathe zonke iimvavanyo eziyimfuneko.

Mhlawumbi wonke umfazi onesifo sikashukela uyamoyika zonke ezo ngozi, ngoko kubalulekile ukuba abo bafazi bazayo bahlale becinga ngokucwangcisa ukukhulelwa. Kwaye ukuba izinga lezeshukela legazi liziswa ngokuqhelekileyo, ngoko ayiyi kuba neengxaki zokukhulelwa nokubeletha xa kwenzeka isifo sikashukela.