Kungani Udinga Isithasiselo Sensimbi Sokukhulelwa Nokuthi Malini Ongayithatha Ngesikhathi Sokukhulelwa

Ungase ucatshange ukuthi isithasiselo sensimbi ye-prenatal siyawusiza kuphela uma usuqinisekile ukuthi ukhulelwe. Kodwa lokho akulona iqiniso ngaso sonke isikhathi. Izinga elinempilo lensimbi lingaba semqoka ngaphambi kokuba ubone noma yiliphi ithesti elithi ulukhuni. Abantu kwesinye isikhathi bayakunganaki indima yensimbi ekuzaleni nasekuthuthukisweni kokuqala komntwana esesiswini. Bese bezibuza ukuthi kungani bezizwa bekhathele kakhulu noma bedidekile kamuva. Hhayi-ke, ivolumu yegazi lakho iqala ukushintsha nje lapho amahomoni okukhulelwa evela. Lokho, kuhlanganiswe nokukhula komntwana wakho, kungafaka izidingo ezinkulu ohlelweni lwakho lomzimba. Ukuqinisekisa ukuthi unensimbi eyanele kungakusiza ukuvikelwa futhi kunikeze ingane yakho isiqalo esingcono [1].

Uxhumano Lwensimbi Nokuzala

Insimbi isiza amaseli egazi abomvu ukuba athwale umoya-mpilo emzimbeni wakho. Uma la maseli emancane kakhulu noma ebuthaka, ibhalansi yamahomoni ingase yehlupheke. Lokho kungathinta imijikelezo yokuya esikhathini noma ikhwalithi yesidoda. Amanye amabhangqwana athola ukuthi bakhulelwa masinyane uma bobabili belungise amazinga abo ensimbi ephansi. Empeleni, ukudla okuningi kune-insimbi, kodwa kulula kakhulu ukushiyeka emuva. Yingakho abanye abantu bebuzisa, ngidinga insimbi ku-prenatal yami uma ngizama ukukhulelwa. Ngokuvamile, ukuswela okwesikhashana akujamisi konke, kodwa kungabambezela inqubekelaphambili. Ukubuyisela amazinga ensimbi abe mahle kungase kusekele uhlelo lwakho lomzimba futhi kunciphise nengcindezi [2].

Kungani Insimbi Ngesikhathi Sokukhulelwa Ibalulekile

Nje usukhulelwe, umzimba wakho udinga ukugeleza kwegazi okuningi. Yilokho okungesinye sezizathu ezinkulu zokudinga insimbi ngesikhathi sokukhulelwa. Kwenziwa amaseli egazi amaningi, kanti iseli ngasinye sidinga i-hemoglobin. I-Hemoglobin incike ensimbini. Uma insimbi iphansi kakhulu, ungazizwa uphelelwa umoya noma ukhathele kakhulu. Abanye abantu batshelwa ukuthi baqale amaphilisi ensimbi ngesikhathi sokukhulelwa ngokushesha ngemva kokuhlolwa kwabo kokuqala, ikakhulukazi uma beke benomlando we-anemia. Uma uthwele amawele, cishe udinga okungaphezulu kunokujwayelekile. Futhi kukhona okunye: ingxenye engaba uhhafu yensimbi oyithathayo iya ekukhuleni komntwana. Okusele kugcina ivolumu yegazi lakho izinzile [3].

Insimbi Ekukhulelweni Namandla Akho Osuku Nosuku

Ukukhathala kuyisikhalo esikhulu kwabesifazane abakhulelwe. Kwezinye izikhathi, ukulungisa okulula nje wukuthola insimbi eyanele ngesikhathi sokukhulelwa. Le minerali isiza ukuhambisa umoya-mpilo ezicutshini zomzimba wakho. Uma lezo zicubu zingawutholi umoya-mpilo owanele, ungazizwa ukhathele ngokuphelele. Ungalala kakhulu kodwa usawuzwa ungenawo amandla neze. Lokho kuyuphawu lokuthi ungase udinge isithasiselo sensimbi sokukhulelwa noma ukwandisa ukudla okune-insimbi eningi. Kodwa khumbula, akuhlali kuyelapheka masinyane. Umzimba uvame ukuthatha isikhathi ukuze wakhe kabusha izinqolobane zegazi. Uma lokho sekwenzekile, abesifazane abaningi bayabona ukuthi sebengakwazi ukubhekana nemisebenzi yansuku zonke kalula, kanti nesimo sengqondo singathuthuka [4].

Ukuchaza Izidingo Zensimbi Ekukhulelweni

Siqhubeka sizwa isisho esithi “i-ayoni ekukhulelweni” ngoba izinguquko zomzimba zinkulu kakhulu. Umthamo wegazi ungakhuphuka ufinyelele ku-50%. Lokho kusho ukuthi udinga ukukhiqiza i-hemoglobin eningi kakhulu. Uma ungenayo i-ayoni eyanele, umzimba wakho uyahlupheka ukuhambisana nalokhu kwanda. Lesi sikhala singase sikhuphule izinkinga noma siholele nasekuzalweni kusenesikhathi. I-ayoni ephansi inganciphisa namandla akho. Abantu bakhuluma “ngokukhanya kokukhulelwa,” kodwa kunzima ukukhanya uma ukhathele futhi umhlophe. Ukuba ne-ayoni ezinzile kuvame ukusiza uzizwe ukwazi ukumelana kangcono. Akumangazi ukuthi odokotela balandelela isimo sakho se-ayoni ngokucophelela kuzo zonke izigaba zokukhulelwa [5].

Ingakanani I-ayoni Ekukhulelweni

Imibuzo enjengokuthi ingakanani i-ayoni ekukhulelweni noma ukuthi owesifazane okhulelwe kufanele athathe i-ayoni engakanani ivele njalo. Imihlahlandlela eminingi ithi cishe amamiligremu angu-27 nsuku zonke. Kodwa ungase udinge okuningi uma ukuhlolwa kukhombisa ukuswela okukhulu. Uma usemaphethelweni aphansi, ivithamini elijwayelekile langaphambi kokubeletha lingase lanele. Uma usezingeni eliphansi kakhulu, noma uma weqa amaphilisi, kungase kudingeke i-ayoni ehlukile. Ukweqisa i-ayoni akuvamile kodwa kungadala izinkinga esiswini. Ngakho kubalulekile ukuthola iseluleko sochwepheshe. Abanye odokotela bahlola i-ferritin, ekhombisa i-ayoni egciniwe emzimbeni. Lelo lihlolo lingakhombisa ukuthi ngempela uyasilela noma uwele esikhashaneni kuphela [6].

Ngabe Amavithamini Angaphambi Kokubeletha Anayo I-ayoni?

Ungase uzibuze, ngabe amavithamini angaphambi kokubeletha anayo i-ayoni? Noma mhlawumbe, ngabe amavithamini angaphambi kokubeletha anayo i-ayoni kuwo? Ngokuvamile, yebo. Amavithamini angaphambi kokubeletha ngokujwayelekile aqukethe cishe amamiligremu angu-27. Kodwa akuwona wonke umkhiqizo ofana, ngakho funda lawo malebula. Abanye abantu baphinde bazibuze, ngabe lawa mavithamini angaphambi kokubeletha anayo i-ayoni, noma ngabe leli vithamini langaphambi kokubeletha line-ayoni uma kungacaci kahle. Ukuhlola uhlu lwamaminerali yindlela engcono yokwazi. Uma ubona “ferrous fumarate” noma “ferrous sulfate,” yilokho i-ayoni yakho. Ungakhohlwa ukubheka namanye amavithamini, njengokuthi i-multivitamin ene-folic acid noma i-B12, ngoba lawo angathinta imiphumela yokukhulelwa. Ukuhambisana okuhle kubalulekile.

Ngabe Udinga I-ayoni Emavithamini Angaphambi Kokubeletha?

Yebo, abaningi bayazibuza, ngabe udinga i-ayoni emavithamini angaphambi kokubeletha? Nakanjani, ingasiza umzimba wakho ujwayele isidingo segazi esikhulayo. Kodwa kwesinye isikhathi kungase kudingeke okwengeziwe uma izinga lakho lokuqala liphansi. Yingakho uzwa kukhulunywa ngemithi yokubeletha egcizelela i-ayoni, egxile ikakhulukazi ekuqukweni kwe-ayoni. Enye imibuzo wukuthi ngabe ungakwazi yini ukuhlela konke ngokudla kuphela. Nakuba isipinashi nobhontshisi kusiza, impilo yangempela ivame ukuphazamisa lokho. Lapho khona izithasiselo zingagcwalisa izikhala. Abantu baphinde babheke ukuthi ngabe amavithamini angaphambi kokubeletha kufanele abe ne-ayoni ngokuzenzakalelayo yini. Ngokuvamile kufanele abe nayo, ukuvimbela ukuswela okuvamile. Kodwa hlala uqinisekisa nodokotela noma umhlinzeki wakho [7].

Isikhathi Esingcono Sokuthatha Ama-Tablet Ensimbi Ngesikhathi Sokukhulelwa

Abantu abaningi bayazibuza ngesikhathi esingcono sokuthatha ama-tablet ensimbi ngesikhathi sokukhulelwa. Abanye baba nesicanucanu uma begwinya amaphilisi ekuseni nje. Abanye bathola ukuthi isikhathi sokulala silula. Uma ukukhama esiswini sekuhlupha, zama ukushintsha isikhathi sakho noma wengeze ifayibha ekudleni. Ikhofi lingavimba ukumuncwa kwensimbi, ngakho gwema ikhofi ngemuva kokuyiphuza. Ungahlanganisa insimbi nejusi ye-citrus ukuze wandise ukumuncwa. Lokhu akulona uhlelo olufana kuwo wonke umuntu, ngakho ungazama izindlela ezahlukene. Uma isheduli yakho iminyene, zibekele izikhumbuzi. Ukuqhubeka njalo kusiza. Okubalulekile ukuthi ungavumeli imiphumela emibi ekwesabise kuze ungahlangabezani nezidingo zakho zensimbi [8].

Ukukhathazeka Ngama-Tablet Ensimbi Ngesikhathi Sokukhulelwa

Ukukhathazeka ngama-tablet ensimbi nokukhulelwa kuvela kakhulu. Abantu bayesaba ukuthi azobangela izinkinga esiswini. Abanye bayabona izinguquko ezifana nokukhama esiswini (constipation) noma indle emnyama, okungenza uzizwe kungajwayelekile ekuqaleni. Ungakhathazeki. Izinguquko ezimbalwa zansuku zonke zivame ukusiza. Ukuphuza amanzi okwanele kanye nokuzivocavoca okulingene kungagcina inqubo yokugaya ihamba. Uma lokho kungasebenzi, khuluma. Kungenzeka udokotela akweluleke ngomuthi othambisa indle othambile. Esinye isizathu esenza abantu baqine umqondo ukwesaba ukweqisa umthamo, kodwa lokho kuyingxenyana encane uma ulandela imithamo enconyiwe. Uma ungaqiniseki, bheka imiphumela yakho yelebhu noma ubuze uchwepheshe. Bazokunikeza isiqiniseko ngalokho okuphephile esimweni sakho [9].

Amathiphu Ezithasiselo Zensimbi Ngesikhathi Sokukhulelwa

Ukukhetha isithasiselo sensimbi ngesikhathi sokukhulelwa kungaba lula ngokwanele. Bheka amalebula athi “elemental iron.” Lelo yilo zinga lensimbi uqobo. Iphilisi lika-65 mg le-ferrous sulfate lingahlinzeka kuphela ngo-20 mg wensimbi eyisisekelo. Ngakho hlola ngokucophelela. Abanye abantu bakhetha izinhlanganisela ezithambile ukunciphisa ukungakhululeki esiswini. Khumbula ukuthi akukho philisi elingakwazi ukwenza yonke into lodwa. Ukudla okunempilo nokuphumula okwanele nakho kubalulekile. Yingakho abanye behlanganisa isithasiselo sensimbi ne-vitamin yokubeletha uma besola ukuthi i-prenatal yodwa ayenele. Khonamanjalo, qaphela ukubambisana nezinye izinto ezondlayo. Ukweqisa i-calcium noma ikhofi kungaphazamisa ukumuncwa kwensimbi.

Izithasiselo Zensimbi Ngesikhathi Sokukhulelwa Zokuthola Amandla

Uma uvame ukuzizwa ukhathele, ungase ucabange ngezithasiselo zensimbi ngesikhathi sokukhulelwa. Inhloso iwukubuyisela ukukhiqizwa okuvamile kwamangqamuzana abomvu egazi nokuhlinzeka nge-oksijini. Lokhu kungakwenza uzizwe uvuke kakhulu, kunciphise imigrayne noma isiyezi. Okunye okukhathazayo yimiklomelo yensimbi yokukhulelwa uma ungakwazi ukumunca amaphilisi. Ama-capsule avame ukuba nombala othambile ohlukile noma indlela ehlukile yokukhishwa. Amanye anengubo enciphisa ukunambitheka okusele emlonyeni. Amanye anyibilika kancane. Noma iyiphi indlela oyikhethayo, qhubeka uyisebenzisa njalo. Ungagxumi izinsuku ngaphandle kokutshelwa. Lokhu kumayelana nokuvikela ukuthuthuka komntwana wakho nokunethezeka kwakho. Uma izinga lensimbi lizinzile, mancane amathuba okuthi ubhekane nokukhathala okukhulu kwangaphambi kokubeletha.

Amaphilisi Ensimbi Okukhulelwa Nemiphumela Emibi Engase Ibe Khona

Uyazibuza ngamaphilisi ensimbi okukhulelwa? Angaba abalulekile, kodwa ake sikhulume ngemiphumela emibi yamaphilisi ensimbi ngesikhathi ukhulelwe. Ukuqunjelwa, isicanucanu, noma isisu esicasukile kungavela, nakuba abaningi bajwayelana nawo ngokuhamba kwesikhathi. Uma kungasekho muntu ongakubekezelela, zama umthamo ohlukile noma uhlobo olukhulula kancane kancane. Ukuthatha wona nokudla okulula (kodwa hhayi ubisi noma imikhiqizo yobisi) kunciphisa ukucasuka. Gcina ithimba lakho lezempilo lazi konke okwenzekayo. Uma ubhekene nezimpawu ezinzima, bangahlola ukuthi umzimba wakho uyincibilikisa kahle yini insimbi. Ezimeni ezinzima, kungase kucatshangwe insimbi enikezwa ngomthambo (IV), nakuba lokho kungajwayelekile.

Amaphilisi Ensimbi Okukhulelwa Uma Uwaqhathanisa Nokudla Kuphela

Kujwayelekile ukubuza ukuthi amaphilisi ensimbi okukhulelwa ayadingeka ngempela yini. Ukudla okulinganiselayo kungahlinzeka ngensimbi, kodwa ukukhulelwa kungaphinda kabili isidingo sakho. Ukudla njengamahlumela embewu, imbewu yekhabe lasebusika, noma inyama kuyasiza. Kodwa akuwona wonke umuntu ongakwazi ukuhlela ukudla okuphelele nsuku zonke, ikakhulukazi uma kukhona i-b6 yokugula kwasekuseni noma ukungabi nasifiso sokudla. Izithasiselo zigcwalisa lezo zikhala. Zilula futhi ukuzilandelela. Ngesikhathi esifanayo, abanye abantu bakhetha ukupheka ngamapani ensimbi ukuze bathole insimbi eyengeziwe, kodwa lokho kungase kungabi kwanele kukodwa. Ukuhlanganisa ukudla okunempilo nezithasiselo kuvamise ukuba yikho okuhle kakhulu. Hlala uvulekile, ngoba ukukhulelwa ngakunye kwehluka.

Amaphilisi Ensimbi Ngesikhathi Ukhulelwe Nokuthi Nini Oyeka

Ekugcineni, cabanga ngamaphilisi ensimbi ngesikhathi ukhulelwe nokuthi nini okumelwe uyeke ukuthatha amaphilisi ensimbi ngesikhathi sokukhulelwa. Abanye abantu baqhubeka bewathatha kuze kube usuku lokubeletha. Abanye bangawadinga izinyanga ezimbalwa kuphela uma imiphumela yokuhlolwa kwegazi ithuthuka masisha. Insimbi ngemva kokubeletha nayo ingaba nzima uma ulahlekelwa igazi eliningi ngesikhathi sokuzala. Ungazilahli nje amaphilisi akho ngemva kokubeletha. Qala uhlole amazinga akho. Ezinye izinhlobo zokukhathala ngemva kokubeletha zingase zixhumeke ensimbini ephansi esele. Ukusebenza nomhlinzeki wakho wezempilo kuqinisekisa ukuthi uyama ngesikhathi esiphephile. Uma izinga libukeka lilungile, cishe bazokuvumela ukuthi wehlise kancane kancane uze uyeke. Uma kungenjalo, qhubeka uwathathe.

Okubalulekile Ekugcineni

Uhlelo olunempilo lwesithasiselo sensimbi ye-prenatal lungashintsha impilo ngalesi sigaba esibalulekile. Inani eliphansi lensimbi lingaholela ekukhathaleni, isiyezi, noma okubi nakakhulu. Ngokunaka insimbi nokukhulelwa kusukela ekuqaleni, usiza ukwakha indawo ephephe kakhulu yengane. Noma ukhetha i-prenatal eyodwa noma wengeze umthamo ohlukile, qiniseka ukuthi uqinisekisa ukuthi inani lilonke lihlangabezana nezidingo zakho. Bese uhlala unenkambiso. Umvuzo uyamandla angcono, amazinga egazi anempilo, nokuzethemba okukhulu lapho usondela ekubeletheni. Uma unokungabaza ngomthamo wakho, khuluma nochwepheshe. Ukuzuza amazinga ensimbi afanele kufanelekile umzamo.

Imibuzo ejwayelekile ukubuzwa

Ingabe kukhona ingozi yokuthola insimbi eningi kakhulu ngesikhathi sokukhulelwa?

Ngokuvamile cha uma ulandela imiyalelo kadokotela. Ukuthatha insimbi eningi ngokweqile kungase kuphazamise isisu sakho, noma kunjalo.

Ngingazishiya amaphilisi uma ngidla isipinashi esiningi kakhulu?

Ungazama, kodwa kunzima ukuthola insimbi eyanele ekudleni kuphela uma usuvele ukhulelwe. Ukuhlolwa kwegazi kuqinisekisa ukuthi isithasiselo siyasiza yini.

Kungani indle yami imnyama ngemva kokuthi ngiqale amaphilisi ensimbi ngesikhathi sokukhulelwa?

Insimbi ingenza indle imnyama. Imvamisa akuyona inkinga, kodwa tshela umhlinzeki wakho wokunakekelwa nganoma yiziphi izinguquko ezinkulu.

Ingabe i-prenatal yami iqukethe insimbi eyanele?

Hlola ilebula. Uma usazizwa ukhathele kakhulu, buza, ingabe amavithamini e-prenatal anensimbi noma bona ukuthi udinga okwengeziwe yini.

Ingabe amadoda angathatha insimbi ngesikhathi sokukhulelwa?

Amadoda nawo angaba nensimbi ephansi, kodwa ukugxila okukhulu kukumama. Noma kunjalo, inani lensimbi elilinganisekile lisiza inhlalakahle iyonke.

Izinkomba

1. Bothwell T. H. (2000). Iron requirements in pregnancy and strategies to meet them. The American journal of clinical nutrition. Available at: https://pubmed.ncbi.nlm.nih.gov/10871591/
2. Milman N. (2006). Iron and pregnancy--a delicate balance. Annals of hematology. Available at: https://pubmed.ncbi.nlm.nih.gov/16691399/
3. Peña-Rosas, J. P., & Viteri, F. E. (2009). Effects and safety of preventive oral iron or iron+folic acid supplementation for women during pregnancy. The Cochrane database of systematic reviews. Available at: https://pubmed.ncbi.nlm.nih.gov/19821332/
4. Haider BA, Olofin I, Wang M, et al.; Nutrition Impact Model Study Group (aneamia). Anaemia, prenatal iron use, and risk of adverse pregnancy outcomes: systematic review and meta-analysis. 2013. In: Database of Abstracts of Reviews of Effects (DARE). Available at: https://www.ncbi.nlm.nih.gov/books/NBK144160/
5. Hercberg, S., Preziosi, P., & Galan, P. (2001). Iron deficiency in Europe. Public health nutrition. Available at: https://pubmed.ncbi.nlm.nih.gov/11683548/
6. Scholl T. O. (2005). Iron status during pregnancy: setting the stage for mother and infant. The American journal of clinical nutrition. Available at: https://pubmed.ncbi.nlm.nih.gov/15883455/
7. Beard J. L. (2000). Iron requirements in adolescent females. The Journal of nutrition. Available at: https://pubmed.ncbi.nlm.nih.gov/10721923/
8. Abu-Ouf, N. M., & Jan, M. M. (2015). The impact of maternal iron deficiency and iron deficiency anemia on child's health. Saudi medical journal. Available at: https://pmc.ncbi.nlm.nih.gov/articles/PMC4375689/
9. Georgieff M. K. (2020). Iron deficiency in pregnancy. American journal of obstetrics and gynecology. Available at: https://pubmed.ncbi.nlm.nih.gov/32184147/