Ukuze sifumane ukuba yiyiphi imeko yeHCG ngexesha lokukhulelwa siya kuqonda ukuba yiyiphi iHCG, kwaye yintoni ebaluleke ngayo. I-chorionic gonadotropin (hCG) yintambo ye-hormone eyimveliso eyabhalwa yi-chorion yowesifazane okhulelweyo ekuqaleni kokukhulelwa kunye ne-placenta ngaphambi kokuzalwa. I-HCG ikhona emzimbeni womntu nangaphandle kokukhulelwa, kodwa ukuxinwa kwayo kuncinci kakhulu. Izinga eliphakamileyo lifumaneka kwindoda engaphelelwanga okanye indoda ibonisa inkqubo ye-oncological emzimbeni. Ngexesha lokukhulelwa, sele sele iintsuku ezi-7-10 emva kokukhulelwe, izinga le-beta-hCG landa kwaye linokumiselwa. Ngokuqhelekileyo i-beta-hCG iphindwe kabini kwiintsuku ezimbini, ukuphakama kwayo kuwela kwiiveki ezi-7-11, kwaye kuqhubeka ukuhlaziywa kwemali. Kunconywa ukucima i-trimester eyi-1 kwiiveki ezi-10 ukuya kwe-14 zokukhulelwa, amazinga e-hCG kulo nyaka uhla ukusuka kwi-200,000 ukuya kuma-60,000 mU / ml, uqhutyelwa ukufumanisa iingxaki zokuqala zokukhulelwa okanye ukulungelelaniswa kweentsholongwane zomntwana zomntwana.
Isilinganiso seHCG kwabasetyhini abakhulelweyo
Ukubaluleka kweHHM yeHomm kunzima ukugqithisa: iveliswa ngumzimba, ivumela ukuba umzimba ophuzi ungabi khona kwiiveki ezimbini nje ngexesha eliqhelekileyo lokuhamba ukuya kwimihla, kodwa lonke ixesha lokuthoba. I-HCG iqulethwe ngamabinzana amabini-i-alpha kunye ne-beta. Uhlalutyo lwenziwe ngutyekelo lwegazi olunegazi. Xa ukuxilongwa kwamagama amancinane, i-beta-HCG yegazi isetyenzisiweyo, umgangatho wokukhulelwa ngu-1000-1500 IU / l. Ukuba izinga le-hCG lingaphezu kwe-1500 IU / L, iqanda lomntwana wesibindi kwisigxina se-uterine kufuneka luboniswe ngokucacileyo ngophando lwe-ultrasound.
Ukuba i-hCG iphezulu kuneyona evamile ekukhulelweni, inokuthetha nge-toxicosis, i-Down's syndrome okanye enye i- fetal pathologies , i-diabetes mellitus, abasetyhini abakhulelweyo, ixesha elingafanelekanga lokukhulelwa. Kwakhona, imimiselo ye-hCG iphindwe kabini, imimiselo ye-hCG nayiphi na ukukhulelwa okunyukayo inyuselwa ngokulingana nenani lembungu.
Ukuba i-HCG ingaphantsi kokuqhelekileyo ekukhulelweni, oku kungabonisa ukulibaziseka ekuphuhliseni imfesane, ukungazalanga kwamaplaza, ukukhulelwa okungakhutshwanga okanye ukufa komntwana (ngexesha lokuxilongwa kweyesibini ukuya kwi-trimester yesithathu). Isiqhelo se-hCG kunye nokukhulelwa kwe-ectopic ngaphezu kwe-1500 mIU / ml, kwaye iqanda le- fetal kwi-uterine cavity ayinqunyiwe.
Uhlalutyo lwe-hCG ngexesha lokukhulelwa - okuqhelekileyo
Xa kuhlaziywa kwegazi kwi-bch in pregnancy, isiqhelo senza:
- iiveki ezi-1-2 - ukususela kuma-25 ukuya ku-300 mU / ml;
- Iiveki ezingama-2-3 - ukususela ngo-1500 ukuya ku-5000 mU / ml;
- kwiiveki eziyi-3-4 - ukusuka kwi-10,000 ukuya kwi-30,000 mU / ml;
- kwiiveki ezi-4 ukuya ku-5 - ukusuka kwi-20,000 ukuya kwi-100,000 mU / ml;
- kwiiveki ezingama-5-6 - ukusuka kuma-50,000 ukuya kuma-200,000 mU / ml;
- kwiiveki ezi-6 ukuya ku-7 - ukusuka kwi-50,000 ukuya kwi-20,000 mU / ml;
- kwiiveki ezi-7-8 - ukusuka ku-200,000 ukuya ku-200,000 mU / ml;
- kwiiveki eziyi-8-9-ukusuka kwi-200,000 ukuya kwi-100,000 mU / ml;
- kwiiveki ezingama-9-10 - ukusuka kwi-200,000 ukuya kuma-95,000 mU / ml;
- kwiiveki ezi-11 ukuya ku-12 - ukusuka ku-200,000 ukuya kwi-90,000 mU / ml;
- ngeveki ye-13-14-ukusuka kwi-15,000 ukuya kwi-60,000 mU / ml;
- ngeveki yesi-15-25 - ukusuka kwi-10,000 kuya ku-35,000 mU / ml;
- kwiiveki ezingama-26-37 - ukusuka kwi-10,000 ukuya kwi-60,000 mU / ml.
Qaphela ukuba kunye nokuhlolwa kokubeletha, i-hCG ichazwa malunga nokuba nganye yendalo ineempawu zayo kwaye umphumo ungancipha.
I-HCG - imigangatho ye-IVF
Iimpawu ze-HCG emva kwe-IVF zihlala ziphakamileyo kakhulu kunokuba zikhulelwe ngeendlela zendalo, kuba ngaphambi kokuba ukhulelwe umzimba wowesifazane uzaliswe ngamahomoni ukwenzela ukulungiselela isilwanyana sokukhulelwa nokuzala komntwana. Ngako oko, kunzima ukufumana amawele okanye ama-triple emva kokuchumisa in vitro. Kodwa ukuba isiphumo sidlula izinga lokukhula kwe-hCG ngama-1.5 okanye ama-2 amaxesha - unokulungiselela ukuzalwa kwamawele okanye amathathu.
Isiqhelo seHCG ngexesha lokukhulelwa kwe-IOM
Emva kokufumana isiphumo sohlalutyo lweHCG, i-coefficient ebizwa ngokuba yi-MOM ibalwa, isetyenziswe ukubala izibonakaliso zengozi. Kubalwa njengomlinganiselo we-hCG kwi-serum ukuya kwixabiso elilinganayo lexesha lokunyusa. Umgangatho weHCG ngexesha lokukhulelwa kwe-IOM enye.
Ngokuxhomekeke kwimiphumo efunyenwe kwi-trimester yokuqala yeemvavanyo, kunokwenzeka ukuba unokwazi ukuba ngaba umfazi okhulelweyo usemngciphekweni we-chromosomal pathologies kunye ne-anomalies yokuzalwa. Ngaphambili, lumkisa ngeengxaki ezinokwenzeka okanye ulungiselele umama ozayo malunga nokuzalwa komntwana ophilileyo.