Isifo seswekile ngokuGestational (GDM): oonobangela, iimpawu, iingozi kunye nonyango

Amagama Aphezulu Ebantwaneni

Umgangatho:

Umhla Wokuzalwa:

Thumela

Ndithumele Nge-Imeyile Veza Kwindawo

Ngaphandle nje

• Iiyure ezisixhenxe ezidlulileyo Chaitra Navratri 2021: Umhla, iMuhurta, izithethe kunye nokubaluleka kwalo mnyhadala
• 
• Iiyure eziyi-8 ezidlulileyo U-Hina Khan uyakhazimla phezulu nge-Copper Green Eye Shadow Kwaye i-Glossy Nude Lips Fumana ukuKhangela kumanyathelo ambalwa alula!
• Iiyure ezili-10 ezidlulileyo I-Ugadi kunye ne-Baisakhi 2021: Spruce Jonga ukuHlala kwakho kunye neeCelebs-eziPhefumlelweyo zeSuti
• Iiyure ezili-13 ezidlulileyo I-Horoscope yemihla ngemihla: 13 Epreli 2021

Ungaphoswa

• Itekhnoloji I-BSNL isusa iiNtlawulo zoFakelo kwiiNxibelelwano zeBhanti yeXesha elide
• Iindaba I-Kumbh mela ebuyayo inokuthi inyuse ubhubhane we-COVID-19: Sanjay Raut
• Imidlalo I-IPL 2021: iBalleBaazi.com yamkela ixesha lephulo elitsha 'Cricket Machao'
• Iimuvi UVira Sathidar Aka Narayan Kamble ovela kwiNkundla udlula kude ngenxa ye-COVID-19
• Iimoto I-Kabira yokuHamba kweHermes i-75 yokuKhawulezisa ukuThengisa ukuSebenza ngeSikuta soMbane esaziswa eIndiya
• EzeMali Ixabiso leGolide liwe ngokungekho xhala kwiiNBFCs, iibhanki kufuneka ziBukele
• Imfundo Isiphumo sokugqibela sama-2021 samapolisa e-Bihar Bihar
• Ukuhamba Iindawo ezili-10 ezigqibeleleyo zokundwendwela eMaharashtra ngo-Epreli

Ukukhulelwa kufuna ukhathalelo olongezelelekileyo kunye nenkxalabo. Ukuba ungumfazi okhulelweyo onesifo seswekile, kufuneka ulumke ngakumbi. Isifo seswekile esifunyenwe ngexesha lokukhulelwa kuthiwa sisifo seswekile sokukhulelwa. Oku kuyakubeka ukukhulelwa kwakho kudidi lomngcipheko ngenxa yamathuba okuphuma kwesisu, ukukhubazeka kokuzalwa, ukuzalwa komntwana oswelekileyo, ukuzalwa ngaphambi kwexesha kunye nosana olungaphezulu kakhulu ^[1] . Isifo seswekile somzimba sahlulwe sangamacandelo amabini, iCandelo A1 (elinokulawulwa ngokutya kuphela) kunye neCandelo A2 (lifuna i-insulin okanye amayeza omlomo ukulawula imeko).

Xa umntu obhinqileyo ekhulelwa, umzimba wakhe uhlangabezana notshintsho oluninzi, kwaye unokuba kwimeko yokuphazamiseka okuthile okuthe ngqo kwabasetyhini abakhulelweyo. Xa owasetyhini esiya kwisifo seswekile sokukhulelwa, amanqanaba eswekile yegazi anokunyuka kakhulu kwaye oku kunokubangela eminye imiba yomntwana kunye nomama. ^[Mbini] .

Ngenxa yoko, omnye wemicimbi esele iviwe kakhulu kwezi ntsuku ngexesha lokukhulelwa kukuvela kwesifo seswekile sokukhulelwa. Amanqanaba ehomoni anokukwenza ukuba iswekile yegazi inyuke xa ukhulelwe, iphakamisa amathuba okuba ube nokukhulelwa okunobunzima kunye nomngcipheko omkhulu. Nangona kunjalo, umntu uhlala ecetyiswa ukuba ahlale enethemba nokuba isifo seswekile sifunyenwe ^{[3] [4]} .

Isifo seswekile sikamama sivela kuphela ngexesha lokukhulelwa. Ibonisa amanqanaba aphezulu eswekile ngexesha lokukhulelwa ebeliqhelekileyo ngaphambi kokuba ukhulelwe. Le meko ihlala inyangeka emva kokuba uhambise umntwana. Ngamaxesha athile, inyusa amathuba okuphuhlisa uhlobo lweswekile yesi-2, nangona kunqabile ^[3] .

Oonobangela besifo seswekile

Unobangela ngqo wokukhula kwale meko awaziwa. Nangona kunjalo, kuye kwaqinisekiswa ukuba iihomoni zidlala indima enkulu kuphuhliso lwemeko.

Ngexesha lokukhulelwa, iihomoni eziveliswa yi-placenta zibangela ukwakheka kweswekile kwigazi lakho, ekhokelela kwisifo seswekile sokukhulelwa ^[5] . Ngokufanelekileyo, iipancreas zakho zinokuvelisa i-insulin eyaneleyo yokuphatha oku. Nangona kunjalo, kwezinye iimeko, xa kungenjalo, amanqanaba eglucose egazini anyuka ekhokelela kwisifo seswekile sokukhulelwa.

Zithini izizathu zesifo seswekile sokukhulelwa?

Iimpawu zesifo seswekile sokukhulelwa

Ngokwesiqhelo, imeko ayibangeli zimpawu okanye zimpawu. Iimpawu ezibangelwe kukuthamba kwaye zezi zilandelayo ^[6] .

• Umbono omfiliba
• Ukudinwa
• Irhona
• Ukunxanwa okugqithisileyo
• Isidingo esigqithisileyo sokuchama

Nangona kunjalo, kufanele kuqatshelwe ukuba uninzi lweempawu ezinxulunyaniswa nesifo seswekile sokukhulelwa ziqhelekile kwaye zibonwa kuninzi lwabasetyhini abakhulelweyo. Oku kubandakanya iimpawu ezinjengokudinwa, ukwanda kokoma, isicaphucaphu kunye nokugabha. Ngenxa yobume beempawu, banokungabonwa, bebeka bobabini umama nomntwana emngciphekweni ^[7] .

Iingozi zesifo seswekile

Kungenzeka ukuba unesifo seswekile xa u

• Unembali yeswekile
• unesifo seswekile ngexesha lokukhulelwa kwakho kwangoko
• babetyebe kakhulu ngaphambi kokukhulelwa
• wayenamanqanaba aphezulu eswekile yegazi
• ukuba noxinzelelo lwegazi
• Ndizale umntwana omkhulu ngaphambili
• ifumene ubunzima obukhulu ngexesha lokukhulelwa
• bangaphezulu kweminyaka engama-25 ubudala
• balindele iintsana ezininzi
• waphunyelwa sisisu okanye wazala umntwana oswelekileyo
• une-polycystic ovary syndrome (i-PCOS), i-acanthosis nigricans, okanye ezinye iimeko ezinxulunyaniswa ne-insulin ^{[8] [9]}

Iingxaki zesifo seswekile

Kwimeko yokungabikho kononophelo kunye nengqwalaselo, imeko inokuba mandundu kwaye ikhokelele kwiingxaki ezinokuchaphazela impilo yomntwana kunye nomama. ^[9] .

Iingxaki ezinxulumene nale meko zezi zilandelayo:

• Ubunzima bokuphefumla
• Ubunzima bokuzalwa obuphezulu
• Igxalaba ledystocia (ibangela igxalaba lomntwana ukuba linamathele kumsele wokuzalwa ngexesha lomsebenzi)
• Iswekile esezantsi yegazi
• Ukuhanjiswa kwangaphambi kwexesha
• Ukwanda kwamathuba okuhanjiswa kweesarean
• Ukufa kwangaphambi kokubeleka
• Macrosomia

Ukuchongwa kwesifo seswekile

Ngokuqhelekileyo kwenzeka kwisiqingatha sesibini sokukhulelwa kwakho. Iimpawu zoku kunokuba yimfuneko yokuchama rhoqo, ukuziva unxaniwe kunesiqhelo, ukuziva ulambile kwaye utye kakhulu. Nangona ezi mpawu zinokunxulunyaniswa neempawu zokukhulelwa zodwa, zihlala zichongwa kwisifo seswekile sokukhulelwa kubandakanya uvavanyo oluqhutywa ngexesha lokuvavanywa kokukhulelwa ^[10] .

Ngokwesiqhelo, phakathi kweeveki ezingama-24 ukuya kwezingama-28, ugqirha wakho uya kukuyalela uvavanyo ukuze ujonge isifo seswekile.

Unyango lwesifo seswekile

Kwimeko yokufumanisa ukuba unale meko, isicwangciso sonyango siya kuxhomekeka kumanqanaba eswekile yegazi yemihla ngemihla.

Uya kucelwa ukuba uvavanye iswekile yegazi ngaphambi nasemva kokutya.

Ngamanye amaxesha, inaliti ye-insulin iya kucetyiswa ukuba incedise ukulawula amanqanaba eswekile yegazi ^{[Shumi elinanye]} .

Impembelelo zesifo seswekile sokukhulelwa emntwaneni

Njengokuba umntwana wakho efumana izakhamzimba egazini lakho, ukuba unesifo seswekile okuchaphazela umntwana. Usana lugcina iswekile eyongezelelweyo ngohlobo lwamafutha olwenza ukuba lukhule lube lukhulu kunesiqhelo. Kukho iingxaki ezithile zokukhulelwa ezifana nezi zilandelayo ^[12] :

• Kunokubakho ukwenzakala kosana ngexesha lokubeleka ngenxa yobungakanani obandayo bosana.
• Usana lunokuzalwa lunamanqanaba asezantsi eswekile yegazi kunye neeminerali.
• Kukho ukuzalwa kwangaphambili.
• Umntwana unokuzalwa ene-jaundice.
• Kunokubakho iingxaki zokuphefumla okwethutyana.

Ngaphandle kwezi, umntwana unokufumana amathuba okonyuka kokutyeba kakhulu kunye neswekile kwinqanaba lokugqibela lobomi bakhe. Aba bantwana kufuneka bakhuthazwe ukuba bazigcine besempilweni kwasekuqaleni ^[13] .

Ukulawula isifo seswekile

Ukuba ufunyaniswe unesifo seswekile sokukhulelwa, ugqirha wakho uya kukujonga ngononophelo. Uya kucelwa ukuba undwendwele ugqirha wakho ukuze uhlolwe rhoqo kwaye kuya kufuneka ukuba wenze oku kulandelayo ^{[14] [Shumi elinantlanu]}

• Jonga amanqanaba eswekile yegazi ubuncinci amaxesha amane ngemini. Gcina umatshini wokujonga eswekile yegazi egazini ekhaya.
• Yenza uvavanyo lomchamo olwenziwe rhoqo ukujonga ubukho beetoni. Oku kwenzelwa ukujonga ukuba isifo seswekile silawulwa na.
• Ukuzilolonga rhoqo. Unokufikelela kubaqeqeshi abaya kuba nakho ukukukhokela ngeyona mithambo ilungileyo kwaye isempilweni ukuyenza ngexesha lokukhulelwa.
• Funa ingcebiso kagqirha wakho okanye ugqirha wezidlo ukuba wenze itshathi yokutya esempilweni. Ukutya kwakho kufanele ukuba kunganyusi amanqanaba eglucose egazini.

1. [1]USermer, M., Naylor, C. D., Gare, D. J., Kenshole, A. B., Ritchie, J. W. K., Farine, D., ... & Chen, E. (1995). Impembelelo yokunyusa ukunganyamezelani kwe-carbohydrate kwiziphumo zoomama abakhulelweyo kwabasetyhini abangama-3637 ngaphandle kweswekile yokukhulelwa: Iprojekthi yaseToronto Tri-Hospital Gestational Diabetes Project. Ijenali yaseMelika yezokubelekisa kunye ne-gynecology, 173 (1), 146-156.
2. [Mbini]Umbutho weSwekile yaseMelika. (2004). Ukunyamekela isifo seswekile, 27 (suppl 1), s88-s90.
3. [3]Umchweli, M. W., kunye noCoustan, D. R. (1982). Iikhrayitheriya zovavanyo lokuvavanywa kwesifo seswekile sokukhulelwa. Ijenali yaseMelika yezokubelekisa kunye ne-gynecology, i-144 (7), 768-773.
4. [4]UKim, uC., UNewton, uKM, noKnopp, uRH (2002). Isifo seswekile sikamzimba kunye neziganeko zohlobo lweswekile 2: uphononongo olucwangcisiweyo Ukhathalelo lwesifo seswekile, 25 (10), 1862-1868.
5. [5]Ngomnye umntu, uC. A., Hiller, J. E., Moss, J. R., McPhee, A. J., Jeffries, W. S., kunye noRobinson, J. S. (2005). Iziphumo zonyango lwesifo seswekile seswekile kwiziphumo zokukhulelwa. INew England Journal of Medicine, 352 (24), 2477-2486.
6. [6]UBellamy, L., Casas, J. P., Hingorani, A. D., kunye noWilliam, D. (2009). Uhlobo lwe-2 yeswekile emva kokukhulelwa kweswekile: uphononongo olucwangcisiweyo kunye nohlalutyo lwe-meta. I-Lancet, 373 (9677), 1773-1779.
7. [7]I-Buchanan, T. A., kunye neXiang, A. H. (2005). Ijenali yophando lweklinikhi, 115 (3), 485-491.
8. [8]Ubusi, uC. M., uVerma, uA, uTucker, uR, noVohr, uB. R. (2005). Isifo seMetabolic ebuntwaneni: ukunxulumana nobunzima bokuzalwa, ukutyeba kakhulu koomama, kunye nesifo seswekile sokukhulelwa. Iipilisi zezilwanyana, 115 (3), e290-e296.
9. [9]Iinyani, G. D. F. (1986). Yintoni isifo seswekile?
10. [10]UKoivusalo, S. B., Rönö, K., Klemetti, M. M., Roine, R. P., Lindström, J., Erkkola, M., ... & Andersson, S. (2016). Isifo seswekile sesifo seswekile sinokuthintelwa ngongenelelo lwendlela yokuphila: Isifundo seFinish Gestational Diabetes Prevention Study (RADIEL): ulingo olulawulwa ngokungalawulekiyo.
11. [Shumi elinanye]Kamana, K. C., Shakya, S., & Zhang, H. (2015). Isifo seswekile sesifo seswekile kunye ne-macrosomia: uphononongo loncwadi I-Annal of Nutrition kunye neMetabolism, 66 (Suppl. 2), 14-20.
12. [12]UAroda, V. R., Christophi, C. A., Edelstein, S. L., Zhang, P., Herman, W. H., Barrett-Connor, E., ... & Knowler, W. C. (2015). Iziphumo zokungenelela kwendlela yokuphila kunye ne-metformin ekuthinteleni okanye ekubambezeleni isifo seswekile phakathi kwabasetyhini kunye nangaphandle kwesifo seswekile: Inkqubo yokuthintela isifo seswekile ifumana iziphumo zokulandela iminyaka eyi-10.IJenali ye-Clinical Endocrinology & Metabolism, 100 (4), 1646-1653.
13. [13]I-Kampmann, U., Madsen, L. R., Skajaa, G. O., Iversen, D. S., Moeller, N., kunye no-Ovesen, P. (2015). Isifo seswekile somzimba: Uhlaziyo lweklinikhi. Ijenali yehlabathi yeswekile, 6 (8), 1065.
14. [14]Umbutho weSwekile yaseMelika. (2017). Ukuhlelwa kunye nokuchongwa kwesifo seswekile.Ukhathalelo lweSwekile, 40 (Isongezo 1), S11-S24.
15. [Shumi elinantlanu]UDamm, P., Houshmand-Oeregaard, A., Kelstrup, L., Lauenborg, J., Mathiesen, E. R., kunye noClausen, T. D. (2016). Isifo seswekile sesifo seswekile kunye neziphumo zexesha elide kumama nakwinzala: umbono ovela eDenmark. IDiabetologia, 59 (7), 1396-1399.

I-Horoscope Yakho Yangomso

Ukwazi

Ndithumele Nge-Imeyile Veza Kwindawo