Isifo sikashukela sokukhulelwa Kuyisimo esithinta abesifazane abaningi ngesikhathi sokukhulelwa futhi sitholakala ngokuhlolwa okuhlukene. Ngaphakathi kwalezi zivivinyo, i Ukuhlolwa Kwangaphambi Kokubeletha VII o isisefo se-glucose Kungenye yezinto ezibaluleke kakhulu ukuhlonza lesi simo kusenesikhathi futhi ugweme izingozi kumama nengane.
Iyini i-Prenatal Test VII noma i-Glucose Screen?
Ukuhlolwa Kwangaphambi Kokubeletha VII yi-a ukuhlolwa okujwayelekile ekala ukuthi umzimba usabela kanjani ku-glucose (ushukela wegazi) futhi isetshenziselwa ngokuyinhloko ukuhlonza amacala isifo sikashukela sokukhulelwa. Phakathi kwamaviki angama-24 kuya kwangu-28 okukhulelwa yilapho lokhu kuhlolwa kuvame ukwenziwa, nakuba abanye besifazane benakho izici zobungozi Bangase badinge ukukwenza ngokushesha.
Isifo sikashukela sokukhulelwa siwuhlobo lwesifo sikashukela esikhula ngesikhathi sokukhulelwa futhi sinyamalale ngemva kokubeletha, nakuba kwezinye izimo singandisa ingozi kamama yokuba nesifo sikashukela sohlobo 2 kamuva ekuphileni.
Lokhu kuhlola kuhilela owesifazane okhulelwe ukuthi aphuze isixazululo se-glucose futhi, ngemva kwehora, ahlole igazi ukuze alinganise amazinga eglucose emzimbeni.
Ukubaluleka Kokuhlolwa Kweglucose Lapho Ukhulelwe
Isifo sikashukela sokukhulelwa singaba nemiphumela emibi kakhulu uma singabonwa futhi silawulwa ngendlela efanele. Uma izinga likashukela egazini liphezulu futhi lingalawuleki, ingane ingase khula ngaphezu kokujwayelekile, okwaziwa ngokuthi i-macrosomia, okwandisa amathuba okuba nezinkinga ngesikhathi sokubeletha, njengokulimala kwengane noma isidingo sokuhlinzwa.
Ukwengeza, umama angase abe sengozini enkulu yokuba ne-preeclampsia, isimo esibangela ukwanda komfutho wegazi nezinye izinkinga ezinkulu phakathi nokukhulelwa. Ezinye izinkinga zihlanganisa ukuzalwa ngaphambi kwesikhathi noma ingozi enkulu yokuzalwa kwengane hypoglycemia (amazinga kashukela aphansi).
Ukutholwa kusenesikhathi kanye nokuphathwa kahle kwesifo sikashukela sokukhulelwa kungagwema lezi zingozi, okwenza lokhu kuhlola kubaluleke kakhulu ukuze kuqinisekiswe ukukhulelwa okunempilo.
Inqubo Yokuhlola I-Glucose
I-glucose sieving yenziwa ngezigaba ezimbili ezimweni eziningi:
Ukuhlolwa kuka-O'Sullivan
Lesi sivivinyo sokuqala sihlanganisa owesifazane okhulelwe phuza isixazululo equkethe cishe amagremu angama-50 eglucose. Ngemuva kwehora, kuthathwa isampula yegazi ukukala amazinga eglucose.
- Uma amazinga engaphansi kuka-140 mg/dl, umphumela uthathwa njengojwayelekile.
- Uma amazinga edlula ku-140 mg/dl, kuyanconywa ukuthi wenze ukuhlolwa okunembe kakhudlwana okubizwa Ukuhlolwa kokubekezelela i-Glucose Oral (eyaziwa nangokuthi iGlucose Tolerance Curve).
Ukuhlolwa kokubekezelela i-Glucose Oral
Lokhu kuhlolwa kunemininingwane eminingi futhi kwenziwa uma ukuhlolwa kokuqala kukhombisa izimpawu zokugcwala kweglucose ephezulu. Inqubo ihlala amahora amathathu futhi idinga ukuthi isiguli sizile. Ngemuva kokuhlolwa kwegazi kokuqala, isiguli sithatha isisombululo esinamagremu ayi-100 kashukela, futhi amasampula egazi engeziwe athathwa njalo ngehora amahora amathathu.
- Uma izinga le-glucose lijwayelekile kusampula ngayinye, isifo sikashukela sokukhulelwa siyakhishwa.
- Uma amasampula amabili noma ngaphezulu ekhombisa amazinga aphezulu, isifo sikashukela sokukhulelwa siyatholwa.
Kungani kwenziwa phakathi kwamasonto 24 kanye 28?
Kowesifazane okhulelwe, kuyoba usizo ukufuna ulwazi, kodwa ngaphezu kwakho konke, thintana nodokotela wakho kanye/noma umbelethisi, omama kanye nomama bakusasa.
I-trimester yesibili iyisikhathi esibucayi phakathi nokukhulelwa, njengoba kusukela kulesi sigaba amazinga e-hormone emzimbeni kamama anda kakhulu. Lawa ma-hormone angaphazamisa ukusebenza kwe-insulin, okubangela a ukwanda kweglucose okwesikhashana egazini
Ngakho-ke, i isisefo se-glucose Kwenziwa ngalesi sikhathi, njengoba kulapho abesifazane abakhulelwe besengozini enkulu yokungezwani ne-insulin, okungase kubangele isifo sikashukela sokukhulelwa.
Izinto Eziyingozi Zokuthuthukisa Isifo Sikashukela Sokukhulelwa
Ezinye izici zingandisa ingozi yokuba nesifo sikashukela sokukhulelwa, ngakho-ke uma umama enalokhu okulandelayo, angase aphakanyiswe ukuthi ahlolwe kusenesikhathi:
- Ubudala obungaphezu kweminyaka engama-35.
- Ukukhuluphala ngokweqile.
- Umlando womndeni wesifo sikashukela.
- Isifo sikashukela sokukhulelwa ekukhulelweni kwangaphambilini.
- I-Polycystic ovary syndrome.
Abesifazane abanesici esisodwa noma ngaphezulu kwalezi zici kufanele baqaphe ngesikhathi sokukhulelwa kwabo, njengoba ithuba labo lokuba nalesi simo likhulu.
Ungasilungiselela Kanjani Isivivinyo Sokubekezelela I-glucose
Okwesigaba sokuqala sokuhlolwa (ukuhlolwa kwe-O'Sullivan), akukho ukuzila okudingekayo akukho ukulungiselela okukhethekile. Nokho, esigabeni sesibili (i-Oral Glucose Tolerance Curve), isiguli kufanele size elabhorethri singadlile, singakudli ukudla amahora angu-8 kuya kwayi-12 ngaphambi kokuhlaziywa.
Kubalulekile Qhubeka udle ngendlela evamile ezinsukwini zangaphambi kokuhlolwa ukuze uqinisekise ukuthi amanyikwe asebenza kahle ukuze ahlangabezane nezidingo ezijwayelekile ze-insulin.
Uma imithi iphuzwa, kufanele ibuyekezwe udokotela, njengoba eminye ingase iguqule imiphumela yokuhlolwa.
Iyini Imiphumela Yokuhlola Ejwayelekile?
Kuhlolo lwe-O'Sullivan, inani likashukela egazini elingaphansi kuka-140 mg/dl libhekwa njengelijwayelekile. Uma ijika lokubekezelela i-glucose ngomlomo lenziwa, amanani kufanele abe yilawa:
- Isampula ye-Basal (ukuzila ukudla): ngaphansi kuka-95 mg/dl.
- Ihora elilodwa ngemva kokuthatha ikhambi: ngaphansi kuka-180 mg/dl.
- Ngemva kwamahora amabili: ngaphansi kuka-155 mg/dl.
- Ngemva kwamahora amathathu: ngaphansi kuka-140 mg/dl.
Uma ezimbili zalezi zindinganiso zingaphezu kokujwayelekile, isifo sikashukela sokukhulelwa siyatholwa.
Izingozi Zesifo Sikashukela Sokukhulelwa
Labo abelapha umuntu onesifo sikashukela noma abahlala naye kumele bafunde ukukala izinga likashukela osegazini futhi bazi ukuthi iyiphi indlela yokuphila efaneleke kakhulu.
Ukuxilongwa kwesifo sikashukela sokukhulelwa kusho ukuthi umama kufanele abe ne-a ukulawula okukhethekile ekudleni kwakho nendlela yokuphila, kanye nokuhlola amazinga akho eglucose njalo. Izingozi zokungaphathi lesi simo ngendlela efanele zihlanganisa:
- I-Macrosomia: Izingane ezizalwa zizikhudlwana kunesilinganiso, okwandisa ingozi yokuzalwa eyinkimbinkimbi kanye nesidingo sokuhlinzwa.
- Preeclampsia: ukukhuphuka komfutho wegazi onobungozi empilweni kamama nengane.
- Ayanda amathuba okuba nesifo sikashukela sohlobo 2 kamuva ekuphileni.
Ezinganeni, kukhona nengozi yokuba ne-hypoglycemia noma izinkinga zokuphefumula lapho zizalwa.
Kubalulekile ukuthi abesifazane abatholakala benesifo sikashukela sokukhulelwa basebenzisane eduze nethimba labo lezokwelapha ukuze balawule amazinga abo eglucose futhi bagweme izinkinga.
Ukwelashwa kwesifo sikashukela sokukhulelwa Ngokuvamile kuhlanganisa ukudla ukudla okulinganiselayo, ukuvivinya umzimba njalo, futhi kwezinye izimo kungase kudingeke baphuze imithi noma, esimweni sesifo sikashukela esibi kakhulu, imijovo ye-insulin.
Kwezinye izimo, ukuqapha amazinga kashukela egazini kungadingeka ukuze kutholakale ukwelashwa okufanele kakhulu.
Nakuba isifo sikashukela sokukhulelwa sivame ukunyamalala ngemva kokubeletha, abesifazane abake banalesi simo basengozini enkulu yokuba nesifo sikashukela sohlobo 2 lapho sebekhulile, ngakho kufanele bahlolwe njalo nodokotela wabo.
I-Prenatal Test VII noma isikrini se-glucose iyithuluzi elibalulekile lokuthola nokwelapha isifo sikashukela sokukhulelwa, ngaleyo ndlela siqinisekise ukukhulelwa okuphephile kubo bobabili umama nengane. Ukulawula i-glucose ngokwanele ngesikhathi sokukhulelwa kuyisihluthulelo sokugwema izinkinga zesikhathi eside.