Maano a Taolo ea Lefu la Tsoekere ho Basali ba Bakhachane
Pendahuluan
Lefu la tsoekere nakong ea boimana, le tsejoang hape e le lefu la tsoekere nakong ea boimana, ke boemo ba bongaka boo ho bona mosali ea neng a se na lefu la tsoekere pele a ba le tsoekere e phahameng maling nakong ea boimana. Lefu la tsoekere nakong ea boimana le ka lebisa mathateng a mangata a tebileng ho 'm'a le lesea, ho kenyeletsoa kotsi ea ho beleha pele ho nako, boima bo phahameng ba tsoalo (macrosomia), le tlhoko ea ho pepa ka cesarean. Ka hona, taolo e sebetsang ea lefu la tsoekere nakong ea boimana e bohlokoa ho ntlafatsa bophelo bo botle ba 'm'a le lesea.
Lisosa le Mabaka a Kotsi
Lefu la tsoekere la boimana hangata le hlaha ka lebaka la liphetoho tsa lihormone nakong ea boimana tse amang tsela eo 'mele o sebelisang insulin ka eona. E 'ngoe ea lihormone tse joalo ke lactogen ea placental ea motho (hPL), e hlahisoang ke placenta. Hormone ena e ka thibela ts'ebetso ea insulin, ka hona ea ama metabolism ea tsoekere.
Mabaka a mang a kotsi a ka eketsang menyetla ea mosali ea ho ba le lefu la tsoekere la boimana a kenyelletsa:
1. Nalane ea Lelapa: Ho ba le litho tsa lelapa tse nang le lefu la tsoekere, haholo-holo lefu la tsoekere la mofuta oa 2.
2. Botenya: Tekanyo e Phahameng ea Boima ba 'Mele (BMI) pele ho boimana.
3. Lilemo: Boimana ha motho a le dilemo di 25 kapa ho feta.
4. Morabe: Merabe e meng e kang ea Asia, Afrika le Latin America e na le kotsi e kholo.
5. Histori ea Botho: O bile le lefu la tsoekere la boimana nakong e fetileng.
Tlhahlobo
Lefu la tsoekere la boimana hangata le fumanoa pakeng tsa libeke tsa bo24 le tsa bo28 tsa boimana ka ho sebelisa teko ea ho mamella tsoekere ka molomo (OGTT). Teko ena e lekanya karabelo ea 'mele oa mosali oa moimana ho tsoekere ka ho noa metsi a tsoekere a nang le tsoekere, ebe e hlahloba maemo a tsoekere maling a hae ka lihora tse 'maloa.
Leano la Tsamaiso
1. Phepo e nepahetseng le Lijo tse Leka-lekaneng
Phepo e nepahetseng ke tšiea ea bohlokoa ho laoleng lefu la tsoekere la boimana. Mona ke mekhoa e meng e khothaletsoang ea lijo:
– Lik'habohaedreite tse Rarahaneng: Ja lik'habohaedreite tse rarahaneng tse kang lijo-thollo le meroho e felletseng, tse siloang butle 'me li thusa ho boloka maemo a tsoekere maling a tsitsitse.
– Faeba e Phahameng: Dijo-thollo tse felletseng, ditholwana le meroho tse nang le faeba e ngata di ka thusa ho laola maemo a glucose mading.
– Sehatsetsi se Senyenyane sa Dijo tsa Poone: Arola dijo tsa hao ka dikarolo tse nyane, tse atisang ho jewa kgafetsa letsatsi lohle ho qoba ho phahama ha tsoekere maling.
– Qoba Tsoekere e Bonolo: Fokotsa ho ja ha hao tsoekere e bonolo le lijo tse sebetsitsoeng tse ka bakang keketseho e potlakileng ea tsoekere maling.
2. Mosebetsi oa 'Mele
Boikoetliso ba 'mele bo ka thusa ho laola maemo a tsoekere maling ka ho ntlafatsa kutloisiso ea insulin. Basali ba bakhachane ba eletsoa ho etsa boikoetliso ba 'mele bo bobebe ho isa bo itekanetseng, joalo ka ho tsamaea ka maoto, ho palama baesekele ka mokhoa o sa sisinyeheng, kapa ho sesa, metsotso e ka bang 30 ka letsatsi.
3. Tlhokomelo ea Tsoekere ea Mali
Ho lekola tsoekere maling khafetsa ho bohlokoa ho netefatsa hore taolo ea tsoekere maling e lula e le ka har'a moeli o reriloeng. Basali ba bakhachane ba nang le lefu la tsoekere la boimana hangata ba eletsoa ho lekanya maemo a tsoekere maling a bona ka makhetlo a 'maloa ka letsatsi, ho kenyeletsoa pele, ka mor'a le pele ho robala.
4. Insulin le Meriana
Basali ba bang ba baimana ba nang le lefu la tsoekere la boimana ba ka hloka meriana ea insulin kapa ea molomo ea ho thibela lefu la tsoekere haeba maemo a tsoekere maling a ke ke a laoloa ka lijo le boikoetliso ba 'mele feela. Tšebeliso ea insulin e bolokehile nakong ea boimana 'me e thusa ho laola maemo a tsoekere maling ka katleho.
5. Litlhahlobo tsa Bongaka tsa Kamehla
Tšebelisano-'moho le sehlopha sa litsebi tsa bongaka, ho kenyeletsoa le lingaka tsa bongaka ba bana, litsebi tsa phepo e nepahetseng, le babelehisi kapa lingaka tsa bakhachane, ke habohlokoa. Ho hlahlojoa khafetsa ha bongaka, haholo-holo nakong ea trimester ea boraro, ho thusa ho beha leihlo kholo ea lesea le ho fetola kalafo haeba ho hlokahala.
6. Thuto le Boeletsi
Tsebo e ntle ka lefu la tsoekere la boimana e bohlokoa bakeng sa basali ba bakhachane. Thuto le boeletsi mabapi le taolo, likotsi, lijo le boikoetliso li ka ntlafatsa ho latela moralo oa taolo le ho fokotsa kotsi ea mathata.
Mathata le Thibelo
Mathata a ka bang teng bakeng sa basali ba bakhachane ba nang le lefu la tsoekere la boimana a kenyeletsa khatello e phahameng ea mali, preeclampsia, le tšoaetso ea moroto . Ho masea, likotsi li kenyelletsa ho beleha pele ho nako, mathata a ho hema le maemo a tlase a tsoekere maling ha a tsoaloa.
Thibelo e sebetsang ka ho fetisisa ea lefu la tsoekere la boimana ke ka mokhoa o phetseng hantle oa bophelo pele le nakong ea boimana, ho kenyeletsoa ho laola boima ba 'mele, lijo tse phetseng hantle le boikoetliso ba 'mele khafetsa. Basali ba rerang boimana ba khothalletsoa ho hlahlojoa pele ho nako ea bokhachane ho fumana likotsi tse ka bang teng le ho qala thibelo ea pele.
Qetello
Lefu la tsoekere la boimana ke boemo bo tebileng, empa bo ka laoloa ka mokhoa o felletseng le o nang le maano. Tsamaiso e ntle, ka lijo tse nepahetseng, boikoetliso ba 'mele khafetsa, tlhokomelo ea tsoekere maling, le tšehetso e lekaneng ea bongaka, e ka fokotsa kotsi ea mathata le ho netefatsa bophelo bo botle bakeng sa' mè le lesea. Thuto le temoso ea bohlokoa ba taolo ea lefu la tsoekere la boimana bakeng sa basali ba bakhachane le malapa a bona le tsona ke lintlha tsa bohlokoa ho fihlelleng litholoana tse ntle. Kahoo, basali ba bakhachane ba nang le lefu la tsoekere la boimana ba ka ba le boimana bo phetseng hantle 'me ba beleha masea a phetseng hantle.
