Akuyona Njalo Isibonakaliso Sokushada Ngaphandle
Phakathi nokukhulelwa, amaseli ase-placenta akhiqiza ihomoni ebizwa ngokuthi i- chorionic gonadotropin (hCG) yomuntu . Le hormone ikondla iqanda emva kokuba ikhule futhi idale umbungu ohlangene nodonga lwesibeletho. Esikhathini sokuqala sokuqala kokukhulelwa okuvamile, amazinga e-hCG akhula kakhulu, ngokuvamile aphindaphinda njalo kwezinsuku ezimbili kuya kwezintathu phakathi neyamaviki ayisishiyagalombili kuya ku-11.
Uma lokhu kungenzeki-noma amazinga we-hCG eqinisweni wehla-kungase kusho ukuthi ukukhulelwa kwesisu kuyenzeka.
Yeka ukuthi iHCG Ilinganiselwa kanjani
Ukulandela ukukhulelwa, i-hCG ingatholakali egazini ngaphambi kosuku lwe-11 isebenzisa uhlolo olubizwa ngokuthi i-assay serialative beta-hCG yesilingo, esilinganisa ivolumu ye-hCG ku-milliliter yegazi. Isivivinyo esisodwa seHCG singasetshenziswa ukubona ukuthi amazinga angaphansi kwezinga elijwayelekile elilindelwe ngaleso sikhathi ekukhulelweni.
Ukuze ubone ukuthi i-hCG ngokushesha iphindaphindiwe, izilinganiso ze-hCG ze-serial zenziwa. Ukuhlolwa kwegazi kwe-hCG okulinganiselwe kudonswa izinsuku ezimbili kuya kwezintathu ngaphandle kokuhambisana namazinga okwenyuka okulindelekile. Ngokubanzi, ukuhlolwa kwe-serial kunikeza ulwazi oluwusizo oluningi kunezinga elilodwa le-hCG uma uhlola ukukhulelwa.
Amathrendi avamile kumazinga we-hCG
Izinga elijwayelekile "lejwayelekile" le-hCG lihlukahluka kakhulu kusuka kwabesifazane kuya kwabesifazane futhi kusukela kokukhulelwa kuya kwesinye. Ngaphandle kwenani langempela, yiziphi odokotela abazofuna ukuyibuka ngempela ukuthi lawo mazinga ahamba kanjani nokuthi ayenyuka njengoba kulindeleke.
Uhla olujwayelekile nokuhamba phambili kwe-hCG ekukhulelweni okungaqondakali kungaba kanje:
| Amaviki Aphuma Ekupheleni Kwesikhathi sokuya esikhathini | I-hCG Level (ku-mIU / ml) |
|---|---|
| 3 | 5 kuya ku-50 |
| 4 | 5 kuya ku-426 |
| 5 | 18 kuya ku-7.340 |
| 6 | 1,080 kuya ku-56,500 |
| 7-8 | 76590 kuya ku-229,000 |
| 9-12 | 25,700 kuya ku-288,000 |
| 13-16 | 13,300 kuya ku-254,000 |
| 17-24 | 460 kuya ku-165,400 |
| 25-40 | 3,640 kuya ku-117,000 |
Ngokuvamile phakathi kwamasonto ayisihlanu nesithupha ukuthi i-spike yokuqala ephawulekayo ekukhiqizeni kwe-hCG kwenzeka.
Ngamaviki ayisithupha kuya kwayisishiyagalolunye, amazinga aqhubeka nokuphindaphinda kabili njalo kwezinsuku ezintathu kuya kwezine, ekugcineni afinyelele isikhathi esithile phakathi kwamasonto ayisishiyagalombili no-11.
Ngaphandle kwalesi sici, i-hCG iba usizo ekunciphiseni ukukhulelwa, kanti odokotela bazophendukela kwamanye amathuluzi (njenge- ultrasound yangaphandle ) ukucacisa isimo sokukhulelwa.
Lapho i-hCG Trends Engavamile
Amaphutha amaningi akhona phakathi kwamasonto ayisithupha okuqala okukhulelwa. Kule nkathi ukuthi ukuqapha kwe-hCG kuyigugu kakhulu ekuhloleni impilo kanye nesimo sokukhulelwa. Uma ulindele futhi amazinga wakho we-hCG aphansi kunalokho okufanele abe khona noma akhula kancane kancane kunalokho okufanele awenze, noma ngisho nokuqala ukwehlisa, udokotela wakho uzofuna ukuthola ukuthi kungani. Nazi izizathu ezenzekayo kulezi zimo:
- Izinga eliphansi le-hCG lingasho ukuthi usuku lwakho lokukhulelwa lwaluhlehlisiwe futhi awukho kude nakakhulu njengoba ucabangile. Ukuhlolwa okuqhubekayo kuzodingeka ukuze kutholakale imbangela, okungenzeka noma ingabandakanyi ukukhulelwa kwesisu, i- ovum ebomvu , noma ukukhulelwa kwe - ectopic .
- Amazinga we-hCG aphansi-angakhuphuka angase abe uphawu lwezinkinga ngesikhathi sokukhulelwa kokuqala. Khumbula, noma kunjalo, lokhu kwenzeka cishe amaphesenti angu-15 okukhulelwa aqhubeka ngaphandle kwezinkinga.
- Ukulahla amazinga e- hCG ku-trimester yokuqala phakathi nezinsuku ezimbili kuya kwezingu-3 kuvame ukukhombisa ukuthi isisu siphumelele. Lokhu kuyiqiniso ikakhulukazi kulabo abathola izibonakaliso zokukhulelwa kwesisu njengokugaya okwesisu okukhulu . Izinga elinciphisa i-hCG ku-trimester yesibili nelesithathu ngokuvamile aliyona into ekukhathazayo.
Kubalulekile ukuqaphela ukuthi amazinga aphakeme kakhulu we-hCG angase akhombise ukukhulelwa okuhlukahlukene noma ukukhulelwa kwe-molar, okuphumela eqanda elingenakuvikelwa, elikhuliswe. Njenge-hCG ephansi, i-hCG ephezulu ingamane ivele ngenxa yokungalungi ngosuku lokukhulelwa.
Ukuqapha amazinga we-hCG kuyithuluzi eliwusizo lokuqinisekisa ukuthi ukukhulelwa kuqhubeka ngendlela evamile futhi enempilo, kodwa zama ukungakhathazeki uma amazinga akho e-hormone "engaziphathe" njengoba kulindeleke futhi udokotela wakho ubheke kakhulu. Buza imibuzo eminingi ngendlela oyidingayo ukuze unciphise ingqondo yakho futhi uhlale uphelele: Kungenzeka ukuthi konke kuhle, futhi ngaphambi kokuthi wazi ukuthi uzobe ubonisa ingane ehlaba umxhwele.
> Umthombo:
> Slattengren, A .; I-Prasad, i-S.; no-Oyola, S. "Ingabe Ukukhulelwa Kusemandleni?" I- Journal of Practice Family. 2013; 62 (6): 305-316.