Isifo sikashukela sisifo esichazwe yinqanaba eliphakamileyo le-glucose egazini. Isifo sikashukela sesifo sikashukela (HSD) sisodwa njengoluhlu oluhlukeneyo lwesifo sikashukela , kuba okokuqala kubonakala ngexesha lokukhulelwa. Kule meko, le ntsholongwane iyakwenzeka kuphela ngexesha lokukhulelwa kwaye iphela emva kokubeleka, kwaye ingaba yi-harbinger ye-Type I yeswekile yesifo sikashukela. Cinga ngezizathu, iimpawu zekliniki, ukuxilongwa kwebhubhoratri kunye nokunyangwa kwesifo sikashukela sesifo sikashukela.
Isifo sikashukela sesifo sikashukela (HSD) ekukhulelweni-kubangele kunye nemingcipheko
Isizathu esibalulekileyo sesifo sikashukela sesifo sikashukela sinciphisa ubuninzi beeseli kwi-insulin yabo (ukukhushulwa kwe-insulin) phantsi kwefuthe lemali enkulu yeprogesterone kunye ne-estrogens. Ewe, ishukela ephezulu yegazi ngexesha lokukhulelwa ayitholakali kubo bonke abasetyhini, kodwa kuphela kulabo abanomxholo (malunga ne-4-12%). Cinga ngemingcipheko yesifo sikashukela se-sell (HSD):
- ukugqithisa okanye ukukhuluphala;
- ubukho besifo sikashukela esondelene nezihlobo eziseduze;
- Isifo sikashukela sesifo sikashukela esifumene sifunyenwe ngexesha lokukhulelwa kwangaphambili;
- ukuzalwa kwabantwana abanesisindo esingaphezulu kwe-4 kg ukusuka kokukhulelwa kwangaphambili;
- ukukhupha isisu rhoqo kwi-anamnesis;
- ukuzalwa kwabantwana abafileyo kwi-anamnesis.
Iimpawu ze-carbohydrate metabolism kwi-gestational diabetes mellitus
Ngokuqhelekileyo, ngexesha lokukhulelwa, i-pancreas idibanisa i-insulin engaphezulu kunezinto eziqhelekileyo. Oku kubangelwa kukuba i-hormones yokukhulelwa (estrogen, progesterone) inomsebenzi we-counterinsul, banako ukukhuphisana ne-molecule ye-insulin ekunxibelelaneni nama-receptors eselula. Iimpawu zeklinikhi eziqhayisa ngokukodwa ziba ngeveki yama-20 ukuya kwe-24, xa elinye iqumrhu elivelisa i-hormone lenziwa - i- placenta , kwaye ngoko izinga lokukhulelwa kwama-hormone liba phezulu. Ngaloo ndlela, bayaphazamisa ukungena kwee-molecule ze-glucose zibe yiseli, ehlala egazini. Kule meko, iiseli ezingayifumananga i-glucose, zihlala zilambile, kwaye oku kubangela ukususwa kwe-glycogen kwisibindi, nto leyo, ekhokelela ekunyuseni phezulu kwishukela legazi.
Isifo sikashukela sesifo sikashukela - iimpawu
Ikliniki yesifo sikashukela isifo sikashukela sifana nesifo sikashukela esikhatywayo kwabasetyhini abakhulelweyo. Izigulane zikhalaza ngomlomo owomileyo, ukoma, i-polyuria (ukunyuka nokwandisa rhoqo). Abantu abanjalo abakhulelweyo banenkxalabo malunga nobuthathaka, ukulala, nokungabikho kokutya.
Kwisifundo sebhubhoratri, izinga lokunyuka kwe-glucose egazini kunye nomchamo, kunye nokubonakala kwamalungu e-ketone kumchamo. Uhlalutyo lweswekile ngexesha lokukhulelwa lwenziwa kabini: okokuqala ngethuba ngexesha elivela kwiiveki ezi-8 ukuya kwezi-12, kwaye okwesibini - kwiiveki ezingama-30. Ukuba isifundo sokuqala sibonisa ukwanda kwegazi kwi-glucose, ngoko uhlalutyo lucetyiswa ukuba luphindwe. Olunye uphando lwegazi lwe-glucose luthiwa yi-glucose test tolerance test (TSH). Kule sifundo, izinga le-glucose yokuzila lilinganiswa kwaye iiyure ezimbini emva kokutya. Imida yesiqhelo kwabasetyhini abakhulelweyo yile:
- 4-5,2 mmol / l - xa uvavanyo kwisisu esingenalutho;
- ezingekho ngaphezu kwe-6.7 mmol / l - xa zivavanywa iiyure ezimbini emva kokutya.
Ukutya kwisifo sikashukela sesifo sikashukela (HSD)
Indlela ephambili yokonyango kwesifo sikashukela sesifo sikashukela yonyango lokutya kunye nokuzivocavoca. Ukususela ekudleni akufanele kufake yonke i-carbohydrate engcolileyo (iifom, imveliso yefriji). Kufuneka kuthathelwe indawo kunye neerbohydrates eziyinkqubo kunye neemveliso zeprotheni. Ewe, ukutya okulungileyo kunjalo kumfazi uya kuphuhlisa i-dietician.
Ekupheliseni, umntu akanakunceda ukuthetha ukuba isifo sikashukela esiyingozi sisifo xa singaphathwa. I-HSD inokukhokelela ekuphuhliseni i-gestosis ekupheleni, ukusuleleka komama kunye nomntwana, kunye nokuvela kweengxaki eziqhelekileyo zesifo sikashukela (iinjongo kunye nezifo zamehlo).