Ukuhlaziywa kwe-Rarr-A (i-Papp-A) ekukhulelwe - kuyini okuyisisekelo?
Isimpawu sokubeka ingozi yokubeletha ngezinye izinkinga ezingeni legenesini yisisindo se-Rarr-A ekukhulelwe, noma ngokunembile - ukuhambisana kwayo nomkhuba. Uma uqondisa ngokuqondile futhi uhumusha kusuka esiNgisi lesi sifingqo, i-Rarr-A ayiyona into nje yeprotein A-plasma ehlobene nokukhulelwa, okukhulunywa ngakho okwenyuka ngokuhambisana nesikhathi.
Odokotela batusa ukuhlolwa kusukela emavikini angu-8 ukuya kwangu-14 okukhulelwa. Kodwa, njengoba i-RARR-A inqunywe ngokuhlanganyela ne-HCG, isikhathi esihle sokuthatha uhlolo lwe-RARR-A lokukhulelwa yisikhathi esiphakathi kwamaviki angu-11 kuya kwangu-13. Kulesi sigaba, imiphumela iyoba njengolwazi ngangokunokwenzeka.
Ngenxa yokuthi i-Rapp-A ingabonisa ukungalingani kwe-chromosomal ye-fetus, ukuvivinywa okuphindwe kabili kunconywa kakhulu ukuba kudlulele kwabesifazane:
- ngaphezu kweminyaka engama-35;
- kakade unabantwana abanezinkinga ezifanayo;
- ukuba nezihlobo ezinezifo zofuzo;
- ngaphambi nje kokukhulelwa, i-rubella, i-hepatitis, i-herpes noma i- cytomegalovirus ;
- ngokukhulelwa okunzima noma okuphazamisekile esikhathini esidlule, esikhathini esidlule.
Uma i-Rarr-A ngesikhathi sokukhulelwa ingahlangabezani nesimiso esijwayelekile, udokotela uzohlinzekela ukuhlolwa okwengeziwe ukuze aqiniseke ukuthi konke kulungile nomntwana.
I-unit of measure yi-RARR-A-mU / mL, futhi imikhawulo yesimiso ixhomeke eminyakeni yobudala, ngaleyo ndlela:
- 0,17-1,54 ububanzi bezinga elivunyelwe isikhathi semasonto angu-8-9;
- 0.32-2.2-9.10;
- 0.46-3.73-10.11;
- 0.79-4.76-11.12;
- 1.03-6.01 - 12-13.
Ukunciphisa nokuphakanyiswa kwe-RARP-A (i-Papp-A) ekukhulelweni
Uma i-Rahr-A ngesikhathi sokukhulelwa iphakanyisiwe, cishe kungenzeka kube nephutha ekunqumeni isikhathi sokukhulelwa. Ngakho-ke, ochwepheshe batusa, ngaphambi kokwenza ukuhlolwa, kuqala ukuba abe ne-ultrasound, ukuze kunqume isikhathi esiqondile sokubeletha. Ngesikhathi esifanayo, inani elikhuphukile alikhiphi amathuba okukhubazeka okungokwemvelo.