Ukuphathwa kokukhulelwa kwesifo sikashukela

Ngesikhathi sokukhulelwa, abesifazane abanesifo sikashukela badinga nje ukuba bangaphansi kokunakekelwa kwengane nokugula. Ukuphathwa kokukhulelwa kwesifo sikashukela kulandelwa imithetho eqinile futhi ecacile, ngoba isifo esinjalo siyingozi kakhulu kumntwana.

Ukukhulelwa kulawulwa kanjani kulesi sifo?

Abesifazane abanengozi enkulu yokuthuthukisa isifo sikashukela ngokubekezelelana ne-carbohydrate (evamile), uma i-anamnesis engavimbisani ingeyinkimbinkimbi, ingaba ngaphansi kwesigqila somzimba wezifo zokwelapha. Kodwa-ke, ukukhulelwa kungenengozi yokwanda kwesifo sikashukela ngesikhathi esifanele kufanele kube esibhedlela.

Ngesifo sikashukela esasanda kuthuthukiswa, abesifazane abakhulelwe kufanele baphuthunyiswe esibhedlela esivumelwaneni esiyingqayizivele ikakhulukazi kule sifo noma emnyangweni we-endocrinology ukuze kwenziwe olunye uhlolo. Futhi futhi nokwelashwa kwe-prophylactic kanye nokhetho lomthamo (oludingekayo) i-insulin. Bonke omama abazobhekana nalesi sifo sikashukela baphathwa ngokucophelela futhi baphathwe ochwepheshe, ngokusho kwezincomo. Uma owesifazane ogulayo onesifo esinjalo engazange athole ukwelashwa okudingekayo ngesikhathi - lokhu kungathinta inkambo, kanye nomphumela wokukhulelwa.

Kuyinto ehlukahlukene kakhulu yokuphathwa kokukhulelwa kwabesifazane abane-diabetes mellitus - lokhu kubonakala kwesikhashana eminyangweni ye-obstetric ekhethekile kule nkinga. Kulokhu, ukulawula okuphelele kwabesifazane abakhulelwe, kokubili i-endocrinological and obstetric, kuqinisekisiwe. Kusukela engxenyeni yesibili yesikhundla esithakazelisayo, abesifazane bavame ukungena esibhedlela ngeminyango ekhethekile yezidakamizwa, ezisebenza ngesibhedlela esikhulu.

Ngemuva kokukhulelwa kwabesifazane abanesifo sikashukela, ngubani ozovakashela umjozi wesifo sokubeletha kuqala, kufanele ngokushesha axwayise ngezinkinga ezingenzeka ngesikhathi sokukhulelwa, ukubeletha, mayelana nosongo olungenzeka emfuseni (ukuhlukumeza ngokweqile). Kudingeka futhi acacise izibhedlela ezintathu ezigunyazayo esibhedlela ukuqapha inkambo yokukhulelwa.

Uma zingekho izinkinga (ukubeletha) kuze kuphele amasonto angama-20 okukhulelwa, khona-ke ukwelashwa kungenziwa emnyangweni we-endocrinology, kusukela engxenyeni yesibili yokukhulelwa kuvame ukwakhiwa esibhedlela esigcini se-obstetric.

Yini evezwe ngesikhathi sokubeletha kwabomama abanesifo sikashukela esikhathini esizayo

Ekuthomeni kokuqala esibhedlela, ukuhlolwa okusemtholampilo ngokuvamile kuqhutshwa. Ngesikhathi esifanayo, kutholakala izifo zokuxilongwa kwe-endocrinological and obstetric, ukuxilongwa kwabesifazane abakhulelwe kubonakala, futhi izinga lokungena engozini lizimisele, kanti ukukhishwa kokukhulelwa kunqunywa. Kuqhutshwa izifundo zokwelapha ezikhethekile zokuvimbela, i-insulin ikhethiwe kahle.

Esesibili esibhedlela sowesifazane senziwa emavikini angu-21-23 okukhulelwa, ngenxa yokuthi kungenzeka ukukhulelwa nokubonakaliswa kwezinkinga zokukhulelwa. Isibhedlela sesithathu ngokuvamile senziwa emavikini angama-32 wokubeletha. Ngalesi sikhathi, ochwepheshe baqapha ngokucophelela ingane, ukwelashwa kwezinkinga zesifo sikashukela kanye nezinkinga ezithintekayo. Futhi futhi i-term kanye nendlela yokudiliva ikhethwa.

Ukuzinza, ukuqina okuqinile kwesifo sikashukela, yisimiso esiyinhloko sokukhulelwa kule sifo. Kulaba besifazane abakhulelwe, izinga legazi likaglucose egazini esiswini esingenalutho kufanele libe ngu-3.3-4.4 mmol / l, ngemuva kokudla ihora ngemva kokubili - kufika ku-6.7 mmol / l.

Futhi, abesifazane abanesifo sikashukela kufanele bavinjiswe ngokucophelela futhi baphathwe ngokushesha ngezinkinga zokuvimbela izifo. Kumele kukhunjulwe ukuthi ukunyuka (ukwanda) kwesifo sikashukela semikhakha yabesifazane abakhulelwe ukuba kubonakale izinhlobo ezinzima ze-gestosis, kanye nezinye izinkinga zesimo esithakazelisayo senziwa ngokuqapha okuqinile kwesisindo somzimba, ukuhlolwa kwegazi kanye nomchamo, ukucindezelwa kwegazi, njll. Ochwepheshe babeka ukudla okukhethekile kwabesifazane. Kanti futhi ekuphathweni kwabesifazane abakhulelwe abanesifo sikashukela, kubalulekile ukuqhuba i-CTG control kanye ne-ultrasound. Lezi zenzo ziqhutshwa ngokuhlelekile, kusukela emasontweni angu-12 okukhulelwa kuze kube sekuzalweni. Ngakho-ke, ukuze ungazitholi engozini wena nomntwana wakho, owesifazane okhulelwe kumele nje abhalise, ngokushesha ngangokunokwenzeka.