I-World Health Organization yethule ngokokuqala ngqa incwadi eyinkomba yokubhekana nesifo sikashukela ngesikhathi sokukhulelwa, ngenhloso yokuhlanganisa lokhu kunakekelwa ekubonisaneni okujwayelekile ngaphambi kokubeletha kanye nokuqinisekisa ukufinyelela okulinganayo kwezinsiza ezibalulekile, ngokuhambisana nemikhankaso efana no Usuku Lomhlaba Lwesifo SikashukelaLezi ziqondiso zihlanganisa amazinga omhlaba okutholwa, ukuqapha kanye nokwelashwa kuwo wonke amazinga okunakekelwa.
Ubukhulu benkinga bukhulu: buthinta oyedwa kwabesifazane abayisithupha abakhulelweLokhu kulingana nokukhulelwa okulinganiselwa ezigidini ezingama-21 emhlabeni wonke unyaka ngamunye. Uhlaka olusha luhlose ukulindela izinkinga ezinkulu kanye nokunciphisa ukungalingani, ngezincomo ezisebenzayo ze ochwepheshe bezempilo kanye nezinhlelo.
Yini eshicilele i-WHO futhi kungani manje?
Inhlangano yamazwe ngamazwe ichaza okokuqala a izinga elithile lokunakekela Ngokukhulelwa okunesifo sikashukela (esikhona ngaphambili noma sokukhulelwa), ngezincomo ezisekelwe ebufakazini obungama-27. Umhlahlandlela ugxile hlanganisa ukulawula kwe-glucose ephaketheni elivamile langaphambi kokubeletha, kusukela ekuhlolweni kuya ohlelweni lokwelapha.
Phakathi kwezizathu ezibaluliwe wukwanda okucacile kwezigameko kanye nomthelela empilweni kamama nengane. Ngaphandle kokuphathwa ngendlela efanele, ubungozi be i-preeclampsia, ukufa kombungu kanye nokulimala kwe-intrapartumngaphezu kwemiphumela yesikhathi eside.
I-WHO isikhumbuza ukuthi imiphumela ayipheli ekuzalweni: kokubili omama nezingane kunamathuba amaningi okuthi bathuthuke Uhlobo 2 sikashukela kanye nezifo ze-cardiometabolic kamuva. Indlela yomjikelezo wempilo iyisihluthulelo sokugqashula lelo ketango.
Umthwalo uphakeme emazweni anezinsiza eziphansi, lapho ukufinyelela ezinsizeni ezikhethekile nezinto zokuqapha kunqunyelwe. Noma kunjalo, umlayezo uphelele: Qinisa ukunakekelwa kwangaphambi kokubeletha ngezinsiza ezibizayo Ithuthukisa imiphumela kunoma yiluphi uhlelo lokunakekelwa kwezempilo.
Izincomo eziyinhloko
Lo mbhalo uhlanganisa iziphakamiso zawo zibe izinsika ezine zokusebenza, zonke zigxile kumuntu futhi zisekelwa ubufakazi bomtholampilo. Umgomo uwukwenza lula ukuthathwa kwezinqumo okungaguquki ngokubonisana nasekhaya, nge izindlela ezicacile zokuqapha nokwelashwa.
- Ukunaka komuntu ngamunye: izeluleko zokudla okunomsoco, ukuzivocavoca umzimba kanye nemigomo yeglucose yegazi eguqulelwe komunye nomunye wesifazane okhulelwe.
- Ukuqapha ngezikhathi ezithile: ukuqapha ushukela wegazi njalo, ekuvakasheni komtholampilo nasekhaya.
- Ukwelashwa ngokohlobo lwesifo sikashukela: Imithi eqondile yohlobo 1, uhlobo 2 kanye nokukhulelwa lapho i-pharmacotherapy idingeka.
- Indlela ye-Multidisciplinary: ikakhulukazi isifo sikashukela esivele sikhona, ukuxhumanisa i-obstetrics, i-endocrinology kanye nokunakekelwa okuyisisekelo.
Umhlahlandlela ugcizelela ukuthi ukukhetha kwezokwelapha kanye nezinhloso ze-glycemic kufanele zibuyekezwe ngezikhathi ezithile, kugxilwe Ukuphepha komama kanye nokuphila kahle kwenganekanye nokufinyelela okulinganayo emithini ebalulekile kanye nobuchwepheshe.
Imithelela eSpain naseYurophu
Ezinhlelweni zaseYurophu, lapho ukunakekelwa kokubeletha kusetshenziswa kabanzi, lezi zincomo zingase vumelanisa izivumelwano futhi unciphise ukuhlukahluka phakathi kwezindawo. E-Spain, ukwamukelwa kwayo kuzokhuthaza ukuhlolwa okungaguquki kanye nezindlela zokulandelela ezicacile.
Lo mbhalo ukhuthaza futhi ukuqinisekisa ukufinyelela emicu yokuhlola, i-insulin, namadivayisi wokulinganisa lapho kukhonjisiwe, kanye nokuqinisa imfundo yokwelapha ekuboniseni ubungozi obuphezulu nobuphakathi.
Enye indawo okugxilwe kuyo ukuqeqeshwa kochwepheshe kanye nokuxhumana phakathi kwamazinga okunakekelwa. I-WHO iphakamisa izindlela zokunakekela ezenza kube lula ukuguquka ukusuka ekunakekelweni okuyisisekelo kuye kokhethekile ngokuya ngobunkimbinkimbi becala, kususelwa kokuhlangenwe nakho okuvela ukuphathwa kwesifo sikashukela ngobuchwepheshe.
Le ncwadi iqondana nomkhankaso womhlaba wonke ogqamisa isifo sikashukela ukuphila kwakho konke, okuhunyushwa ngokuthi eYurophu izinqubomgomo zokuvimbela kanye nokulingana, kanye nokwenza ngcono imiphumela yokuzala.
Yiziphi izinguquko ekunakekelweni kokubeletha
Ukubonisana ngokukhulelwa kuzohlanganisa ngokuhlelekile ukuqapha kwe-glycemic kanye nezeluleko zendlela yokuphila, ezinemigomo eqondene nawe kanye nokubuyekezwa okuvamile lapho kudingeka (kuhlanganise nemihlahlandlela yokuthi ukuvivinya umzimba okunqatshelwe ngesikhathi sokukhulelwa).
Iqhaza lokuzinakekela liyaqiniswa: ukulinganisa okuvamile ekhaya, kuhlanganiswe nokuhlolwa komtholampilo, kusiza ukulungisa kahle futhi izinqumo ezabiwe phakathi kwesiguli nethimba lokunakekelwa kwezempilo, kanye nemihlahlandlela ye zijwayeze ezemidlalo ngokuphepha lapho kufaneleka.
Uma imithi idingeka, izindlela zokwelashwa zizoshintshwa ukuze zivumelane nohlobo lwesifo sikashukela kanye nesigaba sokukhulelwa, kubekwe phambili ukuphepha nokusebenza ngempumelelo ngokomhlahlandlela kanye nesimo somtholampilo.
Indlela yethimba ithola ukubaluleka: odokotela bokubelethisa, odokotela be-endocrinologists, ababelethisi, nodokotela bomndeni bazoxhumanisa izinhlelo ezihlanganisa ukulawulwa kwe-metabolic kanye nokuqapha kokubelethisa ukwandisa umphumela wokukhulelwa.
Ngalolu hlaka olusha, i-WHO ihlose ukuqinisekisa ukuthi akekho owesifazane okhulelwe okhishelwa ngaphandle ekunakekelweni okusezingeni eliphezulu: kusukela ekuhlolweni okufika ngesikhathi kuya ekwelashweni okufanele, ukulingana ekufinyeleleni emithini kanye nobuchwepheshe, kanye nezinsizakalo zokubeletha ezisebenza njengesango lokunakekelwa okuqhubekayo empilweni yonke, ikakhulukazi abesifazane abakhuluphele ngaphambi kokukhulelwa.
