Nausea ekuseni, ukuvuvukala kwebele, ukukhathala okungapheli, ukuguqula ukunambitheka - lezi zibonakaliso zokuqala zokukhulelwa ziyaziwa kuwo wonke owesifazane. Kodwa-ke, akuzona njalo okukhomba ekuzalweni kwempilo emisha, futhi ngisho "nebhele" elinzima njengoba ukubambezeleka kwenyanga kungenakuqinisekiswa ukuqinisekisa ukuqala "kwesimo esithakazelisayo". Ukuqeda ukungabaza ukuhlaziywa ngencazelo yokukhulelwa kuzosiza.
Iziphi izivivinyo ezibonisa ukukhulelwa?
Into yokuqala eyenziwa ngabesifazane uma bethola ukulibaziseka kokuya esikhathini ukuhlolwa kokukhulelwa. Isisekelo salo silula: ukubeka uhlangothi oluthile emgodini bese ulinda amahora angu-5-10, sithola umphumela: ukuqhuma okubili - ukukhulelwa kufikile, umhlubo owodwa - alas, akudingeki ube khona.
Ukuhlolwa okunjalo kusekelwe ekutholeni kwe-gonadotropin ye-chorionic yomuntu (hCG) emcinini wesifazane. Le hormone ikhiqizwa igobolondo langaphandle le-embryo (i-chorion) futhi cishe njalo ibonisa ukuqala kokukhulelwa. Ku-trimester yokuqala ngokukhulelwa okuvamile, ukuhlushwa kwe-hCG kuphindwe kabili njalo ezinsukwini ezimbili.
Ukwazi lokhu, amanye amama angaba khona ngandlela-thile bakholelwa ukuthi ukuhlolwa komchamo jikelele kubonisa nokukhulelwa. Lokhu akunjalo, incazelo yokukhulelwa ekuhlaziyweni komchamo ayinakwenzeka. Ngenxa yalokhu, kuzodingeka uthathe ukuhlolwa kwegazi ngokukhulelwa.
Ikuphi ukuhlolwa kwegazi kubonisa ukukhulelwa?
Abanye bakholelwa ukuthi ukuhlolwa kwegazi ngokuvamile, ngaphezu kwemingcele eyisisekelo, kubonisa ukukhulelwa. Kodwa-ke, ekwenzeni ukwelashwa, kukhona isifundo esikhethekile odokotela ababiza ukuhlaziywa kwe-hCG, ukuze uthole ukuthi uba ngumama, i-gonadotropin efanayo ye-chorionic izosiza. Ukugxila kwegazi kukhulu kakhulu kunomchamo, ngakho-ke ukuhlaziywa kwelabhutrikhi kunembile kakhulu kunezingxenye zokuhlolwa ezithengiswa ekhemisi.
Ngaphezu kwalokho, inani lamahomoni linganquma ukuthi ukukhulelwa kukhula kanjani. Isibonelo, uma izinkomba zingaphansi kwesimiso, khona-ke zingakhuluma ngeHCG ku-ectopic pregnancy . Uma ukuhlushwa kwe-hCG kuphakeme kunokwejwayelekile, lokhu kubonisa ukukhulelwa okuphindaphindiwe noma ukwehluka okungenzeka ekuthuthukiseni i-fetus. I-hCG ephakeme ingase ibe kwabesifazane abanesifo sikashukela noma ukuthatha izisu zokubeletha kwe-hormonal.
Ukuhlola okuyiqiniso kokukhulelwa okuhle
Ngezinye izikhathi ukuhlushwa okuphakeme kwe-hCG akusho neze ukuqala kokukhulelwa, kodwa kuyisibonakaliso sezifo eziyingozi:
- izicubu zesisu, izinso, isisu;
- i-chorion carcinoma;
- Isikhwama sesikhumba kanye nokuphindaphinda kwayo.
Amazinga aphezulu we-hormone ayahlolwa lapho ethatha amalungiselelo e-HCG izinsuku ezingu-2-3 ngaphambi kokuhlolwa, kanye nokulandela ukukhipha isisu noma ukuphumula kwesisu okwakamuva.
Kulungile kanjani ukunikela ngokuhlaziywa kwegazi ekukhulelweni?
Namuhla, ama-laboratories amaningi anikeza ukuhlolwa kwegazi okukhokhelwayo okukhokhelwe ukukhulelwa. Lokhu kusho ukuthi imiphumela izobe ezandleni zakho kuphela amahora ambalwa ngemva kweqoqo legazi. Kodwa-ke, uma ungasheshi, ungagcina futhi ukhululekile ngokuphelele ukudlulisa ukuhlaziywa ngokuqondisa komzimba wezifo zogciwane.
Igazi lokuhlaziywa kwe-hCG lithathwe emithanjeni enesisu esingenalutho. Kuyinto efiselekayo ukuvela ebhokisatri ekuseni. Uma lokhu kungenakwenzeka, zama ukungadli lutho amahora amane. Ngaphambi kokuba udlulise ukuhlaziywa, ungabhemi noma uphuze utshwala; noma yimiphi imithi nayo ivunyelwe.
Akudingekile ukuthatha ukuhlolwa kwegazi ngokukhulelwa ngosuku lokuqala lokulibala: umphumela onokwethenjelwa uzoba uvivinyo olwenziwa ezinsukwini ezingu-3-5 zokungabikho kokuya esikhathini. Ngemuva kwezinsuku ezingu-2-3, ukuhlaziywa kungabuyekezwa.