Kwi- trimester yokuqala , amanqanaba e-chorionic gonadotropin, i-hormone yokukhulelwa eyaziwayo njenge-hCG, kufuneka ikhule ngaphezu kwexesha ekukhulelweni okuqhelekileyo . Ngokuqhelekileyo, amazinga e-hCG kulindeleke ukuba aphindwe kabini iintsuku ezimbini ukuya kwethathu ekukhulelweni kokuqala.
I-hCG yenziwe ngamaseli angamaqabunga anikezela ukutya kwiqanda emva kokucetyiswa aze afakwe eludongeni lwe-uterine.
I-hormone efanayo ukuba iimvavanyo zokukhulelwa ekhaya zingakufumana kumchamo malunga neentsuku ezili-12 ukuya kwezi-14 emva kokukhulelwa. Iimvavanyo zegazi ziyakhathazeka kwaye ziyakwazi ukubona i-hormone emva kweentsuku ezili-11 emva kokukhulelwe.
Kwiimeko ezininzi zokukhulelwa, amazinga e-hCG, alinganiswe kwiiyunithi zamazwe ngamazwe ngama-milliliter (mIU / ml), ziya kuphinda ziphindwe kabini malunga neeyure ezingama-72, ke kutheni oogqirha baya kulawula iimvavanyo ezimbini ezilandelelanayo zithathwe ezimbini kwiintsuku ezintathu. I-hCG iya kufinyelela kwizinga layo eliphakamileyo kwiiveki zokuqala ezi-8 ukuya kwe-11 zokukhulelwa, emva koko ziya kunqanda kwaye zize ziphumelele kwixesha lokukhulelwa. Ukuqhubela phambili ekukhulelweni, xa amazinga e-hCG aphezulu, angathabatha iiyure ezingama-96 ukuba ziphindwe kabini.
Ziziphi iiNqanaba zeHCG eziqhelekileyo?
Amazinga e-hCG ahlukahluka kakhulu, ukusuka kumfazi ukuya kumfazi kunye nokukhulelwa ukuya ekukhulelweni. Ngokuqhelekileyo, izinga le-hCG elingaphantsi kwe-5 mIU / ml lithetha umfazi akakhulelwe kwaye nantoni na engaphezu kwe-25 mIU / ml ibonisa ukuba ukhulelwe.
Nangona iindawo ezingezantsi zinika ingcamango yento ebonwa njengesiqhelo, iziphumo zovavanyo lwegazi lwe-hCG zithetha kakhulu. Kunoko, utshintsho kwinqanaba eliphakathi kweemvavanyo ezimbini ezilandelelanayo zenze iintsuku ezi-2 ukuya kwezi-3 zichaze ngakumbi indlela ukukhulelwa kungaqhubela phambili ngayo.
| 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 |
Kuthiwani ukuba iiNqanaba zam HCG ziye zawa?
Abafazi abanamazinga e-hCG awela kwixesha leentsuku ezimbini ukuya kwethathu kwi-trimester yokuqala kwiimvavanyo ezimbini zegazi ze-hCG zivame ukucetyiswa ukuba oku kuthetha ukutshatyalaliswa kwesisu. Oku kunjalo ngokukodwa kubasetyhini abanezinye iimpawu zokukhulelwa komzimba , ezifana nokuphuma kwamanzi ngexesha lokukhulelwa .
Ukunciphisa amazinga e-hCG emva kokukhulelwa, njengesiqingatha sesibini nesithathu, mhlawumbi asikho isizathu sokukhathazeka. Uninzi oogqirha akaqwalasele amanqanaba e-hCG amanani angamaxabiso ngenjongo yokuvavanya inkqubela yokukhulelwa emva kwekota yokuqala, nangona amazinga angama-hCG angatshekishwa njengenxalenye ye- AFP yokuvavanya ngaphambi kokuhlola .
Iinqanaba zeHCG Emva kokutshatyalaliswa
Emva kokulahleka kokukhulelwa, amazinga e-hCG aya kubuya kwibala elingaphelelanga (ngaphantsi kwe-5 mIU / ml) phakathi kweeveki ezine nakwiiveki kamva. Nangona kunjalo, ixesha elithathayo ukuba amazinga e-hCG abuyele kuloluhlu ungathembela kwindlela ilahleko eyenzeka ngayo, umzekelo, nokuba ngaba ukuphuphuma kwesisu okanye ukuhluthwa kunye ne-curettage (D & C) kunye nokuphakama kwamanqanaba xa kwenzeka ukuphuphuma komzimba.
Kuqhelekileyo ukuba oogqirha baqhube ukuvavanya amanqanaba eHCG emva kokuphuphuma kwesisu kuze kube yilapho bebuyela kwibala elingaphelelwanga.
Umthombo:
Umbutho Wokukhulelwa KwamaMelika , " I-Gonadotropin Yomntu Wamaqabane (hCG): Ukukhulelwa kweHormone ." Julayi 2007.