Kutheni uthabatha uvavanyo lokunyamezela i-glucose?
I-GTT, okanye "Umthwalo we-Sugar" ikuvumela ukuba ugqibe oogqirha indlela i-glucose ifakwe ngayo kwi-organism ye-future parturient, nokuba ingaba naluphi na ukukhubazeka kule nkqubo. Inyaniso kukuba umzimba womfazi onokuphuhliswa kokukhulelwa kufuneka uvelise i-insulin engaphezulu, ukuze ulungelelanise ngempumelelo isantya egazini. Phantse kwi-14% yamatyala ayenzekiyo kwaye inqanaba le-glucose likhuphuka, elingathinteli kakubi ukuphuhliswa komntwana, kodwa kunye nempilo yabaninzi abakhulelweyo. Le meko ibizwa ngokuthi "isifo sikashukela" kwaye xa ungathathi amanyathelo afanelekileyo ngexesha, ngoko liyakhula ibe luhlobo lwe-2 lweswekile.
Ngubani omele athathe i-GTT?
Njengamanje, oogqirha bachonga iqela labasetyhini abasengozini xa uvavanyo lokunyamezela kwe-glucose luyimfuneko xa ukhulelwe, kwaye ukuba unalo nani, unokuqonda olu luhlu lulandelayo.
Uhlalutyo lwe-GTT luyimfuneko ukuba:
- umntu ovela kwizihlobo eziseduze zokubeletha esizayo unesifo seswekile;
- kukho ukukrokra kokuthwala umntwana omkhulu okanye ukukhulelwa kwangaphambili kuphelile ngokubeletha okungaphezu kwama-4.5 kg;
- ekuhlalutheni umchamo okanye igazi, ishukela yafunyanwa;
- ekukhulelwe kwangaphambili "isifo sikashukela" esaphuhlisiwe;
- kukho ubunzima obunzima xa isalathisi sesicathulo somzimba sisaphezu kwe-30.
Ungalungiselela njani uhlalutyo?
Ukuba kwenzeka ukuba unikezwe isikhokelo sovavanyo lokunyamezela i-glucose ngexesha lokukhulelwa, akufuneki ukuba utyhawule ngaphambi kwexesha. Kukho ixesha elide lugqirha ukuba oogqirha baqinisekisile ukuba le ngenye yezona zinto zihlalutya "ngeengqungquthela", apho kukho ukuphazamiseka okuncinci kwintsimbi ebonisa ukuba kukho "i-positive positive". Ukongezelela, xa ulungiselela ukuhlolwa kokunyamezela kwe-glucose ngexesha lokukhulelwa, imiqobo enzima isetyenziswe ekudleni: ukutya akunakuthathwa iiyure eziyi-8 ukuya kutsho ngaphambi kokuba uhlalutyo luqale. Ukususela kwiziphuzo unako ukusela kuphela amanzi angabonakaliyo, kodwa kungekudala iiyure ezingama-2 ngaphambi kokuba igazi linikezelwe nalo.
Ungathabatha njani uvavanyo lokunyamezela i-glucose ngexesha lokukhulelwa?
I-HTT yicingo legazi eliphambene nesantya kusasa ngesisu esingenalutho. Uvavanyo lomlomo lwe-glucose ukunyamezela ngexesha lokukhulelwa lwenziwa kwezi zilandelayo:
- Ukuthatha igazi elinetyhefu nokulinganisa izinga le-glucose egazini.
Ukuba umsebenzi webhubhoratri ufumana umxholo we-glucose ephezulu: 5.1 mmol / L nangaphezulu, umfazi oza kuzalwa uza kuxilongwa "ngesifo sikashukela" kwaye uvavanyo luphela apho. Ukuba oku kungenzeki, ke uye kwisigaba sesibini.
- Ukusetyenziswa kwesisombululo esikhulelwe se-glucose.
Kwimizuzu emihlanu ukususela kumzuzu we-sampuli yegazi, ikamva elizayo kufuneka liphuze isisombululo se-glucose, esiza kunikwa kwibhubhoratri. Ungesabi ukuba ingcamango yayo ibonakala iyinqabileyo kwaye ingathandeki. Ukuze ugweme ukucamngca ukuhlanza kubalulekile ukuba ubeke isitoreji i-lemon ukuze udibanise kwisisombululo ijusi yesi siqhamo. Emva kwakho konke, njengokuba kukho ukubonisa, kule fomu kulula ukusela.
- Ucingo lwegazi eliphambeneyo 1 kunye neeyure ezingama-2 emva kokusetyenziswa kwesisombululo.
Ukuze kuhlolwe ngokufanelekileyo izinga le-glucose egazini, ucingo lwayo lwenziwa emva kweyure emva kokusetyenziswa kwesisombululo kwaye emva kweeyure ezimbini. Ukuba umama wesikhathi esizayo akanalo "isifo sikashukela", izalathisi ziya kuncipha.
Isiqhelo sesalathisi sokuhlolwa kwe-glucose-tolerance during pregnancy:
- ngaphantsi kwe-5.1 mmol / l ngokuzila ukutya ngegazi elingenalutho;
ngaphantsi kwe-10 mmol / l 1 iyure emva kokusetyenziswa kwesisombululo se-glucose; - ngaphantsi kwe-8.5 mmol / L emva kweeyure ezimbini.
Kwaye, ekugqibeleni, ndifuna ukuqwalasela ukuba abanye oomama abanomdla bayayenqaba le mvavanyo, becinga ukuba akukho nto. Nangona kunjalo, kubalulekile ukuba uqaphele ukuba isifo sikashukela sisifo esinzima kakhulu, esingenakho ukunika nantoni na enkulu kwaze kwaba sekuzalweni. Musa ukuwahoxisa, kuba ukuba unayo, unyango olukhethekileyo kunye novavanyo oluqhubekayo ngugqirha liya kumiselwa, kubaluleke kakhulu, kuba kubaluleke kakhulu. Uya kukuvumela ukuba uthabathe umgca wakho phambi komhla wokugqibela.