Ukuze uthole ukuthi yisiphi isimiso se-hCG ngesikhathi sokukhulelwa sizokwenza ukuthi yini ngempela i-hCG, futhi kubaluleke ngani. I-griadotropin ye-chorionic yabantu (hCG) i-hormone yokwenziwa eyakhiwe yi-chorion yowesifazane okhulelwe ekuqaleni kokukhulelwa kanye ne-placenta ngaphambi kokuzalwa. I-HCG ikhona emzimbeni womuntu nangaphandle kokukhulelwa, kodwa ukuhlushwa kwayo kuncane kakhulu. Izinga eliphakeme elitholwe ngowesifazane ongapheli noma indoda ibonisa inqubo yemvelo emzimbeni. Ngesikhathi sokukhulelwa, sekusele izinsuku ezingu-7-10 emva kokukhulelwe, izinga le-beta-hCG landa futhi linganqunywa. Ngokuvamile i-beta-hCG kabili njalo kwezinsuku ezimbili, ukuphakama kwayo kuwela amasonto angu-7-11, futhi kuqhubeka nokudlulela emakethe. Kunconywa ukufaka isikrini ku-1 trimester kakade emavikini angu-10-14 okukhulelwa, amazinga we-hCG kuleli cala lobubanzi kusuka ku-200,000 ukuya ku-60,000 mU / ml, lwenziwa ukuze kubone ukuthi kunzima kangakanani ukukhulelwa noma ukubeletha okungenzeka kubantwana bokubeletha.
Isilinganiso se-hCG kwabesifazane abakhulelwe
Ukubaluleka kwe-HCG ye-hormone kunzima ukuphazamiseka: kukhishwa ngumzimba, kuvumela ukuthi umzimba ophuzi ungabi khona amasonto amabili njengesikhathi sokujikeleza okujwayelekile, kodwa sonke isikhathi sokubeletha. I-HCG iqukethe ama-subunits amabili - i-alpha ne-beta. Ukuhlaziywa kuthathwa isampuli segazi elibi. Lapho kutholakala amagama amancane, kusetshenziswa i-beta-HCG yegazi ehlukile, isimiso sokukhulelwa singu-1000-1500 IU / l. Uma izinga le-hCG lingaphezu kuka-1500 IU / L, iqanda le-fetal emgodini we-uterine kufanele liboniswe ngokucacile ngokuhlolwa kwe-ultrasound.
Uma i-hCG iphakeme kunokujwayelekile esikhathini sokukhulelwa, ingakwazi ukukhuluma nge-toxicosis, i-Down's syndrome noma enye i- pathologies ye-fetal , isifo sikashukela, abesifazane abakhulelwe, isikhathi esingalungile sokukhulelwa. Futhi, izimiso ze-hCG ziphindwe kabili, imigomo ye-hCG kunoma yikuphi ukukhulelwa okuningi kunyuselwa ngokulingana nenani lemibungu.
Uma i-HCG ingaphansi kokujwayelekile ekukhulelwe, lokhu kungabonisa ukubambezeleka kokuthuthukiswa komntwana, ukungaqiniseki kwamapayipi, ukukhulelwa okungekho emkhakheni noma ukufa komntwana (ngesikhathi sokuxilongwa kwesibili kuya ku-trimester yesithathu). Isimiso se-hCG nge-ectopic pregnancy singaphezu kuka-1500 mIU / ml, futhi iqanda lokubeletha emgodini we-uterine alinqunyiwe.
Ukuhlaziywa kwe-hCG ngesikhathi sokukhulelwa - okujwayelekile
Ekuhlaziyweni kwegazi nge-bchk ekukhulelweni okujwayelekile kwenza:
- amaviki angu-1-2 - kusuka ku-25 ukuya ku-300 mU / ml;
- Amaviki angu-2-3 - kusuka ku-1500 ukuya ku-5000 mU / ml;
- emavikini angu-3-4 - kusuka ku-10,000 ukuya ku-30,000 mU / ml;
- emavikini angu-4-5 - kusuka ku-20,000 ukuya ku-100,000 mU / ml;
- emavikini angu-5-6 - kusuka ku-50,000 ukuya ku-200,000 mU / ml;
- emavikini angu-6-7 - kusuka ku-50,000 ukuya ku-20,000 mU / ml;
- emavikini angu-7-8 - kusuka ku 200,000 kuya ku 200,000 mU / ml;
- emavikini angu-8-9 - kusuka ku 200,000 kuya ku-100,000 mU / ml;
- emavikini angu-9-10 - kusukela ku 200,000 kuya ku-95,000 mU / ml;
- emavikini angu-11-12 - kusuka ku 200,000 kuya ku-90,000 mU / ml;
- ngesonto eli-13-14 - kusuka ku-15,000 ukuya ku-60,000 mU / ml;
- ngesonto eli-15-25 - kusuka ku-10,000 ukuya ku-35,000 mU / ml;
- ngesonto eli-26-37 - kusuka ku-10,000 ukuya ku-60,000 mU / ml.
Qaphela ukuthi ngokuhlolwa kwangaphambi kokubeletha, i-hCG ichazwa cishe imvelo ngayinye inezici zayo futhi umphumela ungaphambuke kancane.
I-HCG - imigomo ye-IVF
Izindlela ze-HCG emva kwe-IVF zivame kakhulu kunokuba zikhulelwe ngezindlela zemvelo, ngoba ngaphambi kokukhulelwa umzimba wesifazane ugcwele ngokugcwele amahomoni ukuze kulungiswe isisu sokukhulelwa nokuzala umntwana. Ngakho-ke, kunzima ukubona amawele noma ama-triple ngemuva kokufaka umanyolo we-in vitro. Kodwa uma umphumela ungaphezu kwesilinganiso sokukhula se-hCG ngo-1.5 noma izikhathi ezimbili-ungalungisa ukuzalwa kwamawele noma kathathu.
Isimiso se-hCG ngesikhathi sokukhulelwa kwe-IOM
Ngemva kokuthola umphumela wokuhlaziywa kwe-hCG, i-coefficient ebizwa nge-MOM ibalwa, esetshenziselwa ukubala izinkomba zengozi. Kubalwa njengokulinganisa kwe-hCG ku-serum kuya kubaluleka obuphakathi nesikhathi sokukhulelwa. Isimiso se-hCG ngesikhathi sokukhulelwa kwe-IOM sinye.
Kuye ngemiphumela etholakala ku-trimester yokuqala yokuhlolwa, kungenzeka ukuthi unqume ukuthi owesifazane okhulelwe usengozini ye-chromosomal pathologies kanye ne-anomalies engavamile. Ngaphambi kwesikhathi, xwayisa ngezinkinga ezinokwenzeka noma ulungiselele umama ozayo ngokuzalwa komntwana ophilile.