Amanqanaba aphezulu yentsimbi kunokukhokelela seswekile ngexesha lokukhulelwa

Amanqanaba aphezulu yesinyithi umzimba abafazi abakhulelweyo iye yanxulunyaniswa kwandisa amathuba yokuba nesifo seswekile sokukhulelwa. Xa sijonge ezi data, esinokuxubusha ukusetyenziswa ngokuqhelekileyo kucetyiswa ngexesha yongezelela ukukhulelwa yentsimbi igwetyelwe na?

Iziphumo isifundo esitsha

Uphando olutsha lwafumanisa ukuba abasetyhini kunye namaqondo aphezulu yentsimbi ngexesha ezintathu yesibini yokukhulelwa kabili kungenzeka ukufumana seswekile sokukhulelwa, xa kuthelekiswa nabo babe kumgangatho intsimbi le iphantsi.

"Iziphumo zethu izikhalazo malunga iingcebiso ezinokubakho ukuthatha amachiza yentsimbi kumabhinqa akhulelweyo, ukuba sele unayo ubuninzi ezaneleyo", - watsho isifundo umbhali Shristi Raval. Yena i sezifo US National Institute of lezeMpilo yaBantwana noPhuhliso loLuntu.

Noko ke, ufundisiso wafumana ikhonkco kuphela phakathi kwamanqanaba zentsimbi kunye seswekile sokukhulelwa. Ku nga yenzelwe ukubonisa ubudlelwane unobangela kunye nesiphumo.

Kwezinye iimeko, abasetyhini abakhulelweyo kufuneka bathathe amachiza

Kunjalo, ubuncinane enye ingcali wavakalisa inkxalabo yakhe ngala ziphumo. "Olu phando lubonisa ukuba oogqirha ukuba aphathe bonke abasetyhini abakhulelweyo," - wathi uGqirha Robert Kordzhi, Hospital endocrinologist Southside eNew York.

"Kufuneka ukuxilonga imibala yentsimbi, phambi kokunika ongeziweyo, - wathi. - Eneneni, kukho inani elikhulu abasetyhini abakhulelweyo abadinga unyango ezinjalo ".

"Ukuba Izifundo ezilandelayo ziya kuqinisekisa ikhonkco phakathi nezongezo zentsimbi kunye seswekile sokukhulelwa, kuya kufuneka ukuba ukuchonga abafazi, inqanaba intsimbi emzimbeni into eyaneleyo ukuze zikwazi ukunqanda unyango olungeyomfuneko" - sihlanganiswe Koertge.

It kwandisa ingozi yokuba nesifo seswekile?

Uphononongo layigubungela amatyala 107 abafazi abaye baba seswekile sokukhulelwa. Bathi xa kuthelekiswa nabafazi 214 abangazange sele unaso esi sifo.

Ngokukodwa, abaphengululi babefunda markers eziliqela egazini, awayengenako ukubala ubungakanani yesinyithi emzimbeni. Ezi abamakishi ziquka hepcidin, ferritin kunye enyibilikayo transferrin receptor.

Ngokutsho Raval, abasetyhini abakhulelweyo kunye namaqondo aphezulu yabamakishi intsimbi ezintathu yokuqala okanye yesibini zokukhulelwa basengozini enkulu yokuba nesifo seswekile.

Umzekelo, ukuba abasetyhini abakhulelweyo kwithuba leenyanga ezintathu yokuqala, ukuba ezinxulumene kwi-25% yabasetyhini kunye namanqanaba aphezulu ferritin (elimakishayo esibonisa imali yesinyithi agcinwe emzimbeni), ingozi yokuba nesifo seswekile sokukhulelwa kabini xa kuthelekiswa nalawo iphathwa 25 % anawona manqanaba asezantsi kakhulu kule elimakishayo.

Amabhinqa ukuba amazinga aphezulu ferritin kwithuba leenyanga ezintathu yesibini, baba phantse izihlandlo ezine basengozini ephezulu seswekile asakhasayo, xa kuthelekiswa nabo inqanaba lwayo liphantsi.

Yintoni umzimba kufuneka intsimbi

Iron idlala indima ngokwandisa inqanaba xi oxidative ukuba ukonakalisa okanye ukufa iiseli beta pancreatic kuphuhliso seswekile sokukhulelwa. Iveza insulin, ngoko umonakalo okanye ilahleko kunokukhokelela nokwaphulwa kwalo msebenzi. Esibindini, amanqanaba aphezulu yentsimbi kunokubangela ukumelana insulin, abaphengululi bathi.

I American Congress of Obstetricians kwaye Gynecologists lithethelela ukuba wenze uvavanyo nokunika unyango kuphela njengoko kuyimfuneko, xa kwafunyaniswa ukuba ukuswela yentsimbi. Nangona kunjalo, i-World Health Organization uncoma amachiza intsimbi njengesiqhelo, abaphengululi uphawule.

Ngokugqithiseleyo amazinga aphezulu yentsimbi kungakhokelela seswekile sokukhulelwa, kodwa iphantsi kakhulu ingaba yingozi ngakumbi, wathi uGqirha Dzhill Rabina. Yena intsebenziswano umalathisi isebe unonophelo ambulatory kwiinkqubo lwempilo kwabasetyhini.

Iron egazini uthwala oxygen iiseli zomzimba. abafazi abakhulelweyo kufuneka zentsimbi ngokwaneleyo ukuqinisekisa ikamva umntwana ioksijini. Ukuba kukho ukunqongophala neoksijini inani onelungelo lungehli ndingekazalwa, oko kuchaphazela uphuhliso wosana olo.

Le esingcono seswekile sokukhulelwa - kukuba ukwandisa ubunzima umfazi phambi igqiba ukuba nomntwana. Abasetyhini kufuneka kusoloko sinikele ingqalelo kwimpilo yabo, phambi kokuba kuqale ukucwangcisa ukukhulelwa.

Iziphumo zophando kwapapashwa ngoNovemba 10 kulindixesha Diabetologia.