Esinye sezivivinyo ezivame kakhulu okunikezwa kuwo wonke owesifazane okhulelwe, futhi mhlawumbe ngisho nezikhathi eziningana, kuyisivivinyo sezinga le-hCG. Kukhona ukukhula nokukhula kwaleli hormone elikhuluma ngokuqala kokukhulelwa nokuthuthukiswa kwayo. Futhi, ukuhlaziywa kwe-hCG kusetshenziselwa ukunquma ukukhulelwa okubandayo ezinyathelweni zokuqala. Kuyinto yokucwaninga kwamadayimenshini alo mbonakaliso evumela ukuthi udokotela ozofika ezohlolisiswa, emva kwalokho izinyathelo zithathwa ukususa umbungu oshonile kusukela esibelethweni.
I-HCG njengesivivinyo sokukhulelwa
I-gonadotropin ye-Chorionic iqala ukukhula emzimbeni wesifazane cishe ngokushesha ngemva kokukhulelwe. Yingakho isetshenziselwa ukunquma ukuqala kokukhulelwa, kanye nokulawula yonke inqubo yokukhulelwa. Ngesisekelo sencazelo ye-hCG cishe zonke izivivinyo zokukhulelwa ekhaya zisekelwe, kodwa imikhombandlela yemiphumela ethembekile, yebo, ukuhlolwa kwegazi.
Njengomthetho, ukuhlolwa kwabesifazane abakhulelwe be-hCG kudlula okungenani izikhathi ezimbili, futhi uma usola ukuthi ukukhula kwebhere - okuphindwe izikhathi eziningana. Futhi, isibonelo, izinga eliphansi le-hCG lingaba uphawu lokukhulelwa kwe-ectopic, futhi isibonakaliso esiphezulu sesinye sezibonakaliso ze-Down's syndrome.
I-hormone idlala indima ebalulekile ekusungulweni kwe-placenta nokuthuthukiswa okufanele kokukhulelwa. Ngaphansi kwesenzo saso, i-progesterone ikhiqizwa, esiza ukulungisa umzimba wesifazane ngokuzala ingane, futhi ithatha ingxenye esebenzayo ekwakheni ingane.
Izinga le-hCG uma kwenzeka ukhulelwe kanzima
Ukunquma ukukhula kwe-fetus esikhathini sokuqala kunzima kakhulu. Iqiniso liwukuthi izimpawu zokukhulelwa okubandayo zibonakala ngemva kwamasonto ambalwa nje kokufa kwe-embryo, futhi kusenakwenzeka ukulalela ukushaya kwenhliziyo.
Uma kutholakala ukukhulelwa okubandayo, ukuhlolwa kwe-hCG, okubonisa izinga le-hormone egazini labesifazane, kuvame ukusetshenziswa. Le ndlela ibhekwa njengento evamile kakhulu futhi ephumelelayo, ngoba ikuvumela ukuthi uyixilonge ngokunembile ngenyanga yokuqala yokukhulelwa.
Uma kwenzeka ukusola kwe-fetal, ukuhlola kwe-hCG kwenziwa izikhathi eziningana. Ngakho-ke, i-dynamics yokukhula kwezinga le-hormone ifundwa. Izimpawu zokukhulelwa okufriziwe, emva kwalokho i-hCG ivame ukushiwo, ngokuvamile i-spotting nezikhalazo zesiguli ngenxa yokudonsela ubuhlungu esiswini esingaphansi, kanye nokuzwela okungajabulisi esifundeni se-lumbar. Isibonakaliso esingabonisa ukupheliswa kokuthuthukiswa kwe-fetus esikhathini sokuqala sokukhulelwa, kungase kube khona ngokungazelelwe ukumiswa kwe-toxemia.
Ngokukhulelwa okufriziwe, ukukhula kwe-hCG kuyama futhi kungase kube ngaphansi kweyaphambilini. Uma izinga le-hormone likhuphuka ngokuya ngokuhambisana nemigomo, ukukhulelwa kuqhubeka ngempumelelo. Isibonelo, ngesonto lokuqala emva kokukhulelwa, i-hCG izoba okungenani izikhathi ezinhlanu okujwayelekile kumuntu ongakhulelwe, futhi ngeviki leshumi nanye liyeke ku-291,000 mIU / ml.
Omama abaningi abasaziwayo banesithakazelo kulokho okumele kube yi-index ye-hCG ekukhulelweni okubandayo. Njengomthetho, ngokusho kwemiphumela yokuhlolwa okulodwa, odokotela abakwazi ukunikeza impendulo ecacile, ngoba imvelo ngayinye ingumuntu ngamunye. Kwezinye izimo, izinga le-hormone liwela ngokushesha, kwezinye liqhubeka likhula.
Ngokuvamile, izinga le-hCG ngokukhulelwa okubandayo liyaqhubeka likhula, kodwa lokhu kukhula akuyona into ebalulekile - ihluke ngokuphawulekayo kulesibonakaliso, okumele kube ngosuku oluthile.
Amanani we-hCG ku-trimester yokuqala yokukhulelwa
- Amasonto amabili - kusuka ku-25 kuya ku-156 mIU / ml;
- Isonto eli-4 - kusuka ku-1110 kuya ku-31500 mIU / ml;
- Isonto eli-6 - kusuka ku-23100 kuya ku-151000 mIU / ml;
- Isonto eli-11 - kusuka ku-20,900 ukuya ku-291,000 mIU / ml.