Ngexesha lokukhulelwa, abasetyhini abanesifo sikashukela bafunwa ukuba babe phantsi koononophala kunye nabanyango. Ulawulo lokukhulelwa kwi-diabetes mellitus lulandelwa yimithetho eqinileyo neyodwa, kuba eso sifo singozi kakhulu kumntwana.
Ukukhulelwa kulawulwa njani kwesi sifo?
Abasetyhini abanomngcipheko omkhulu wokuhlakulela isifo sikashukela ngokunyamezela i-carbohydrate (eqhelekileyo), ukuba i-anamnesis engqinelaniyo ayinzima, ingaba phantsi kolawulo lwe-gynecologist kunye neengcali. Nangona kunjalo, ukukhulelwa, ukwanda komngcipheko wokuba nesifo sikashukela ngexesha elifanelekileyo kufuneka kube esibhedlele.
Ngesifo sikashukela esandul 'isifo esasandul' isandulululo, abesetyhini abakhulelweyo kufuneka bakhusele ngokukhawuleza kwizibhedlele kwididi ekhethekileyo yinkcenkcesha ngokukhethekileyo kwesi sifo okanye kwisebe le-endocrinology ukuze kwenziwe uviwo olongezelelweyo. Kwaye kwenzelwa unyango lweprophylactic kunye nokukhethwa kwe-dose (eyimfuneko) i-insulin. Bonke oomama abanesifo sikashukela emva koko bayajongwa ngokucophelela kwaye baphathwe ngcali, ngokweengcebiso. Ukuba ibhinqa eligula ngesifo esinjalo ayinakufumana unyango oluyimfuneko ngexesha - oku kunokuchaphazela ikhosi, kunye nesiphumo sokukhulelwa.
Yiyona ndlela ephezulu kakhulu yokulawula ukukhulelwa kwabasetyhini abanesifo sikashukela-oku kukubonwa kwemibandela kwiinkonzo ezinobuncwane ezikhethekileyo kwesi sifo. Kule meko, ulawulo olupheleleyo lwabasetyhini abakhulelweyo, zombini i-endocrinological and obstetric, liqinisekisiwe. Ukususela kwisiqingatha sesibini sesimo esithakazelisayo, abasetyhini badla ngokubhedlele kwizibhedlele ezikhethekileyo, ezisebenza ngesiseko esibhedlele.
Emva kokukhulelwa kusungulwe kubasetyhini abanesifo sikashukela, ngubani oqala ukutyelela i-gynecologist, kufuneka uvuselele ngokukhawuleza malunga neengxaki ezinokwenzeka kwixesha lokukhulelwa, ukubeletha, malunga nosongelo olusemngciphekweni. Kwakhona kufuneka ukuba acacise izibhedlele ezintathu ezigunyazisiweyo esibhedlele ukujonga ikhosi yokukhulelwa.
Ukuba akukho ziinkathazo (intlanzi) ukuya kwiiveki ezingama-20 zokukhulelwa, ngoko unyango lunokwenziwa kwisebe le-endocrinology, ukususela kwisiqingatha sesibini sokukhulelwa kubangela ukulaliswa esibhedlele kwisigcetric ward.
Yintoni ebonakalisiwe ngexesha lokubhedlelelwa ngabafazi abanesifo sikashukela esizayo
Kwiziko lokuqala lokubhedleleka, uviwo oluvakalayo lwekliniki luhlala luqhutywa. Ngexesha elifanayo, i-endocrinological and obstetric diagnostics isungulwe, ukuxhatshazwa kwabasetyhini abakhulelweyo bayaboniswa, kwaye iqondo lomngcipheko lugqityiweyo, kwaye umcimbi wokugcina ukukhulelwa uthathe isigqibo. Iikhosi zokukhusela ezikhethekileyo zonyango ziqhutywa, i-dose ephezulu ye-insulin ikhethiweyo.
Isibini esibhedlele esibhedlele senziwa ngumfazi senziwa kwiiveki ezingama-21 ukuya ku-23 zokukhulelwa, ngenxa yokunyuka nokubonakaliswa kweengxaki zokukhulelwa. Isithathu esibhedlele esibhedlele sisoloko senziwa kwiiveki ezingama-32 zesisu. Ngeli xesha, iingcali zijongisisa ngenyameko umntwana, unyango lweengxaki zesifo sikashukela kunye nesithintelo sisenza. Kwaye kunye nexesha kunye neendlela zokuhanjiswa zikhethwa.
Isinyanzelo, ukuzinza ngokuthe tye kwesifo sikashukela, ngumgaqo oyintloko wokukhulelwa kwesi sifo. Abasetyhini abakhulelweyo, izinga legazi legazi kwigazi kwisisu esingenalutho kufuneka libe malunga no-3.3-4.4 mmol / l, emva kokutya iyure emva kweyimizuzu emibini ukuya kwi-6.7 mmol / l.
Kwakhona, abasetyhini abanesifo sikashukela kufuneka banqatshelwe ngokucokisekileyo kwaye baphathwe ngokukhawuleza ngenxa yeengxaki zokubambisana. Kufuneka kukhunjulwe ukuba ukunyuka (ukunyuka) kwesifo sikashukela sabantu abafazi abakhulelweyo ekubonakaleni kweendlela ezinzima ze-gestosis, kunye nezinye iingxaki zenkalo echaphazelekayo ichongwa ngokubeka esweni ngokunyaniseka komzimba, ukuhlolwa kwegazi kunye nomchamo, uxinzelelo lwegazi, njl. Iingcali zinika ukutya okukhethekileyo kwabasetyhini. Kananjalo nakulawulo lwabasetyhini abakhulelweyo abanesifo sikashukela, kubalulekile ukuqhuba ulawulo lwe-CTG kunye ne-ultrasound. Le mi sebenzi iqhutyelwa ngokusesikweni, ukususela kwiiveki ezili-12 zokukhulelwa kuze kube sekuzalweni. Ngoko ke, ukuze ungabonakali wena kunye nosana lwakho engozini, umfazi okhulelweyo kufuneka abhalise, ngokukhawuleza.