Asisoloko Isibonakaliso sokutshatyalaliswa
Ngexesha lokukhulelwa, iiseli ezisecentcenta zivelisa ihomoni ebizwa ngokuba yi- chorionic gonadotropin (hCG). Le hormone inondla iqanda emva kokuba ikhutshwe kwaye iyenze imbungu ebambelele eludongeni lwebele. Kwi-trimester yokuqala yokukhulelwa okuqhelekileyo, amanqanaba e-hCG akhula kakhulu, ngokuphindaphinda kabini iintsuku ezimbini ukuya kwethathu kwikhosi yeeveki zokuqala ukuya kwezi-11.
Xa oku kungenzeki-okanye amazinga e-hCG eyancipha ngokwenene-kunokuthetha ukuba isisu siphumelele.
IHCG iyalinganiswa njani
Ukulandela ukukhulelwa, i-hCG inokufunyanwa kwigazi ukususela kwimini ye-11 isebenzisa uvavanyo olubizwa ngokuba yi-assay-hCG ye-serialative serialative, eyenza umlinganiselo we-hCG kwi-milliliter yegazi. Uvavanyo olulodwa lweHCG lungasetyenziselwa ukubona ukuba amanqanaba aphakathi kwebala eliqhelekileyo elindeleke kuloo nto ekukhulelweni.
Ukuze ubone ukuba i-hCG iphindwe kabini, i-serial hCG imilinganiselo yenziwe. Iimvavanyo zegazi ze-hCG zithatha iintsuku ezimbini ukuya kwezintlu ngokungqinelana neendleko ezilindelekileyo zokunyuka. Ngokubanzi, ukuvavanywa kweengcingo kunika ulwazi olungakumbi kunomgangatho omnye weHCG xa uhlola ukukhulelwa.
ImiGangatho eqhelekileyo kwizinga leHCG
Inqanaba "eliqhelekileyo" le-hCG liyakwazi ukuhluka ngokubanzi ukusuka kumfazi ukuya kumfazi kunye nokukhulelwa okuya kwesinye. Ngaphaya kwenani lenene, yintoni oogqirha abaya kufuna ukuyijonga ngayo ukuba loo meko ihamba njani kwaye ingaba iyanda njengoko ilindelekile.
Uhlobo oluqhelekileyo kunye nokuhamba kwe-hCG ekukhulelweni okungaxakekanga kuya kuba ngale ndlela:
| Iiveki ezivela kwixesha lokugqibela lokunyakaza | HCG Izinga (kwi-mIU / ml) |
|---|---|
| 3 | 5 ukuya ku-50 |
| 4 | 5 ukuya ku-426 |
| 5 | 18 ukuya ku-7,340 |
| 6 | 1,080 ukuya kuma-56,500 |
| 7-8 | 7,6590 ukuya kuma-229,000 |
| 9-12 | 25,700 ukuya kuma-288,000 |
| 13-16 | 13,300 ukuya kuma-254,000 |
| 17-24 | 4,060 ukuya ku-165,400 |
| 25-40 | 3,640 ukuya ku-117,000 |
Ngokuqhelekileyo phakathi kweeveki ezintlanu neyesithandathu ukuba i-spike yokuqala ebalulekileyo ekuvelweni kwe-hCG yenzeka.
Kwiiveki ezintandathu ukuya kweyisixhenxe, amanqanaba aqhubeka ephindwe kabini emva kweentsuku ezintathu ukuya kwezine, ekugqibeleni afikelela kwinqanaba elithile phakathi kweeveki ezisibhozo kunye no-11.
Ngaphandle kweli nqanaba, i-hCG iba luncedo kakhulu ekuhloleni ukukhulelwa, kwaye oogqirha baya kutshintshwa kwezinye izixhobo (ezifana ne -ultrasound yangaphakathi ) ukucacisa isimo sokukhulelwa.
Xa i-HCG Imithwalo engavamile
Uninzi lwamathambo alukho ngexesha leveki zokuqala ezi-13 zokukhulelwa. Kule nqanaba ukuba i-hCG iliso ibaluleke kakhulu ekuhloleni impilo kunye nesimo sokukhulelwa. Ukuba ulindele kwaye amazinga e-hCG akho aphantsi kunokuba afanele ukuba okanye ayenyuka ngokukhawuleza kunokuba ayifanele, okanye aze aqale ukuwa, ugqirha wakho uya kufuna ukuqonda isizathu. Nazi izizathu ezinokwenzeka kwezi zihlandlo:
- Iqondo eliphantsi le-hCG lithetha ukuba umhla wakho wokukhulelwa wawucacisiwe kwaye awukude ngokude ucinga ngako. Kuya kuvavanywa ukuvavanya ukuze kuqinisekiswe imbangela, enokuthi ingabandakanyi isisu, i- ovum okanye i- ectopic pregnancy .
- Amazinga e-HCG aphuhlisayo angabonakalisa inkathazo ekukhulelweni kokuqala. Khumbula, nangona kunjalo, oku kwenzekayo malunga neepesenti ezili-15 zokukhulelwa eziqhubekayo ngaphandle kweengxaki.
- Ukunciphisa amazinga e- hCG kwi-trimester yokuqala kwixesha leentsuku ezimbini ukuya kwethathu ngokuqhelekileyo luphawu lokushiyeka kwesisu. Oku kunjalo ngokukodwa kubasetyhini abanezibonakaliso zokuphuphuma kwesisu njengoko kuphuma igazi elikhulu . Amanqanaba athathekayo e-hCG kwi-trimeter yesibini neyesithathu aqhelekanga.
Kubalulekile ukuba uqaphele ukuba amanqanaba aphezulu kakhulu e-HCG angabonisa ukukhulelwa okubanzi okanye ukukhulelwa kwe-molar, okubangelwa kwiqanda elingenakulungeleka, elityalwa. Njengoko i-hCG ephantsi, i-hCG ephezulu ingabangelwa ngenxa yokungahambi kakuhle ngexesha lokukhulelwa.
Ukubeka iliso kwizinga le-hCG kuyithuluzi eluncedo ekuqinisekiseni ukuba ukukhulelwa kuyaqhubeka ngendlela eqhelekileyo nephilileyo, kodwa zama ukukhathazeka ukuba amazinga akho e-hormone ayenzi "ukuziphatha" njengoko kulindeleke kwaye ugqirha uyabakhathalela. Buza imibuzo emininzi njengoko ufuna ukuphucula ingqondo yakho kwaye uhlale uphelele: Izithuba zonke zilungile, kwaye ngaphambi kokuba wazi ukuba uya kubonisa umntwana obalaseleyo.
> Umthombo:
> Slattengren, A .; Prasad, S; kunye no-Oyola, S. "Ngaba lo Mzimba unamandla?" I- Journal of Family Practice. 2013; 62 (6): 305-316.