Enye yeemvavanyo eziqhelekileyo eziza kunikwa bonke abafazi abakhulelweyo, mhlawumbi nokuba ngamaxesha amaninzi, luvavanyo kumgangatho weHCG. Kubukho kunye nokukhula kwesi hormone esithetha ngokuqala kokukhulelwa kunye nophuhliso lwayo. Kwakhona, uhlalutyo lweHCG lisetyenziselwa ukuchonga ukukhulelwa okukhenkce kwiinqanaba zokuqala. Kukufundwa kwimiqondiso yeli lathisi evumela ukuba ugqirha oya kuhlolisisa, emva koko amanyathelo athatyathwa ukususa umbungu oshonile ukusuka kwisibeleko.
I-HCG njengesivivinyo sokukhulelwa
I-gonadotropin ye-Chorionic iqala ukukhula emzimbeni wowesifazane ngokukhawuleza emva kokukhulelwa. Yingakho isetyenziselwa ukucacisa ukuqala kokukhulelwa, kunye nokulawula yonke inkqubo yokukhulelwa. Ngokwe siseko sencazelo ye-hCG phantse zonke iimvavanyo zokukhulelwa ekhaya zisekelwe, kodwa iziphumo ezithembekileyo zibonisa, ngokuqinisekileyo, ukuhlolwa kwegazi.
Njengomgaqo, uvavanyo lwe-hCG abafazi abakhulelweyo kufuneka badlule ubuncinane amaxesha ama-2, kwaye ukuba unokukrokrela ukutshatyalaliswa komntwana ngokuphindaphindiweyo-amaxesha amaninzi. Kwakhona, umzekelo, izinga eliphantsi le-hCG lingabonakalisa ukukhulelwa kwe-ectopic, kunye nesalathisi esiphezulu sezona zinto ziyimpawu ze-Down's syndrome.
Ihomoni idlala indima ebalulekileyo ekwakheni i-placenta kunye nophuhliso olufanelekileyo lokukhulelwa. Ngaphantsi kwesenzo salo, iprogesterone ikhiqizwa, inceda ukulungiselela umzimba wesetyhini ngokuzala umntwana, kwaye uthatha inxaxheba ebonakalayo ekubunjweni komntwana.
Inqanaba le-hCG kwimeko yokukhulelwa okunzima
Ukuqaphela ukutshatyalaliswa komntwana ngexesha lokuqala kunzima kakhulu. Inyaniso kukuba iimpawu zokukhulelwa okukhukhulayo zibonakala emva kweeveki ezimbalwa emva kokufa kwesibindi, kwaye akunakwenzeka ukuphulaphula intliziyo.
Xa kukhulelwa ukukhulelwa okhenkcekileyo, uvavanyo lweHCG, olubonisa izinga lehomoni kwigazi lomfazi, lisetyenziswa rhoqo. Le ndlela ithathwa njengeyona ndlela ixhaphakileyo kwaye isebenzayo, kuba ikuvumela ukuba uyixilise ngokuchanekileyo ngenyanga yokuqala yokukhulelwa.
Ukuba ukufelwa komntwana kukhankanywa, ukuhlolwa kwe-hCG kwenziwa maxesha amaninzi. Ngaloo ndlela, i-dynamics yokukhula kwezinga le-hormone ifundwa. Izibonakaliso zokukhulelwa okhatywayo, emva koko i-hCG idla ngokumiselweyo, ngokuqhelekileyo i-spotting kunye nezikhalazo zesigulane ngenxa yokubangela intlungu kwisisu esezantsi, kunye nokuvakalelwa okungahambi kakuhle kwindawo eselungileyo. Iimpawu ezingabonakalisa ukupheliswa kokukhula komntwana kwisisu sokuqala sokukhulelwa, kunokukhawuleza ukumiswa kwe-toxemia.
Ngokukhulelwa okukhukhulayo, ukukhula kwe-hCG kuyayeka kwaye kungathi kube ngaphantsi kweyaphambili. Ukuba izinga le-hormone lihamba ngokukhawuleza ngokuhambelana nemimiselo, ngoko ukukhulelwa kuqhubeka ngokuphumelelayo. Ngokomzekelo, ngeveki yokuqala emva kokukhulelwa, i-hCG iya kuba yimizuzu emihlanu yesiqhelo kumfazi ongeyena okhulelwe, kwaye ngeveki yeshumi elinanye iphela kwi-291,000 mIU / ml.
Uninzi lwabafazi abanomdla banomdla kwizinto ezifunekayo ukuba yi-HCG kwi-pregnancy frozen. Njengomthetho, ngokwemiqathango yolu vavanyo olulodwa, oogqirha abanako ukunika impendulo ecacileyo, kuba ngamnye umzimba uyedwa. Kwezinye iimeko, izinga leH hormone liwela ngokukhawuleza, kwezinye iqhubeka likhula.
Ngokuqhelekileyo, izinga le-hCG ngokukhulelwa okhatywayo liyaqhubeka likhula, kodwa ukukhula akubalulekanga kakhulu-kuyahluke ngokucacileyo kwisalathisi, esifanele sibe ngomhla othile.
Iimali zeHCG kwi-trimester yokuqala yokukhulelwa
- Iiveki ezi-2 - ukusuka kwi-25 ukuya kwi-156 mIU / ml;
- Iiveki ezi-4 - ukusuka kwi-1110 ukuya kwi-31500 mIU / ml;
- Iiveki ezingama-6 - ukusuka ku-23100 ukuya kwi-151000 mIU / ml;
- Iiveki ezili-11 - ukusuka kwi-20,900 ukuya kwi-291,000 mIU / ml.