Imithi ehlukahlukene ine nemiphumela emibi eminingi, futhi izidakamizwa zesifo sikashukela azifani. Imithi ngayinye uma isifo sikashukela sinengozi yengane ezayo, ngakho-ke ngesikhathi sokukhulelwa komama ozayo kufanele ayeke ukuphuza imithi. Owesifazane okhulelwe onesifo sikashukela ebangeni lesi-2 ohlala ethatha amaphilisi kufanele ashintshe ukuthatha i-insulini, okufanele yenziwe ngaphambi kokuqala kokukhulelwa. Ngakho-ke, abesifazane abanesifo sikashukela ebangeni lesi-2 kudingeka bahlele ukukhulelwa kusengaphambili. Futhi, i-insulin kuzodingeka ithathwe kulabo besifazane abakhulelwe abangakwazi ukuhambisa imithi ekhethekile nokulawula ukugula kwabo ngosizo lokudla okufanele kanye nokuzivocavoca okukhethekile. Lokhu kuguqulwa akusho ukuthi umama ozayo onesifo sikashukela uzodingeka aphule inkambo yokwelapha, kodwa ngokuphambene nalokho, kuzosiza umzimba ukuba udlulise inqubo yokukhulelwa nokubeletha lula uma kwenzeka isifo sikashukela.
Phakathi namasonto ayisishiyagalombili okuqala kokukhulelwa, izitho zezingane ezizayo ziqala ukwakha, futhi egazini labesifazane abakhulelwe izinga lokushukela liqala ukuphakama, okungaholela ekubhekaneni nezinkinga ezimbi kakhulu ezingabangela ukuthuthukiswa kwesifo senhliziyo noma ukuvela kwesisu. Abesifazane abaye bakwazi ukusimamisa ushukela wegazi ngaphambi kokukhulelwa, bangabi nengozi eyengeziwe ekuzalweni kwengane uma kuqhathaniswa nomama ozayo onompilo. Ngakho-ke, inqubo yokuhlela ukukhulelwa kanye nokusebenzisa izindlela ezinokwethenjelwa zokuvimbela ukubeletha kudlala indima ebaluleke kakhulu ekukhulelweni nasekuzalweni kwesifo sikashukela, kuze kube yilapho izinga leshukela legazi lifinyelela ezingeni elivamile.
Ukuhlelwa phambili komama ozayo wokukhulelwa kwakhe kuzovumela ukuba kufinyelele izinga elijwayelekile le-glucose ne-hemoglobin A1c egazini noma okungenani uletha ezingeni eliphakanyisiwe. I-American Diabetes Academy icebisa ukuthi ngaphambi kokukhulelwa kufanele ufeze amazinga ashukela elandelayo egazi:
- 80/110 mg / dL - lokhu kuyinkomba ngaphambi kokudla;
- angaphezu kuka-155 mg / dg amahora amabili ngemva kokudla, futhi izinga le-hemoglobin egazini kufanele libe lomuntu onempilo.
Ngokwezibalo, amaphesenti angu-25 abesifazane abakhulelwe abanesifo sikashukela banenkinga: esibelethweni esungeze umntwana, amanzi amaningi aqoqa nxazonke zomntwana, okungekho izinyathelo ezifanele, ezingabangela ukuqala kokukhulelwa ngaphambi kwesikhathi. Ukuze ugweme lezi zinkinga odokotela banquma ukuphumula kombhede okhulelwe futhi uqinisekise ukulawula ukuhambisana namazinga kashukela egazi.
Lapho bebeletha abesifazane abakhulelwe abanesifo sikashukela, bangabangela ukuzalwa komntwana omkhulu kakhulu. Lapho isisindo somntwana singaphezu kuka-4 kilogram - lokhu kubizwa ngokuthi i-macrosomia. Lesi simo singasiza ekwenzeni ubunzima ekubelethweni, futhi kunengozi yokuthi ingane ingathola ukuhlukunyezwa kokubeletha.
Izingane ezizalwa ngamama kaningi zivame ukuba neshukela eliphansi legazi, i-calcium ephansi, ubunzima bokusebenza ngokuphefumula. Uma isifo sikashukela sandisa ingozi yengane efile, imbongi ngesikhathi sokukhulelwa kumele ihlale ilawulwa udokotela futhi ithathe zonke izivivinyo ezidingekayo.
Mhlawumbe wonke owesifazane onesifo sikashukela uyesaba zonke lezi zingozi, ngakho-ke kubalulekile ukuthi abomama abanjalo baphinde bacabange ngokuhlela ukukhulelwa. Futhi uma izinga lokushukela egazini lilethwa evamile, khona-ke ngeke kube khona izinkinga zokukhulelwa nokubeletha uma kwenzeka isifo sikashukela.