Ukukhathazeka ekuseni, ukunyamezela kwebele, ukukhathala okungapheliyo, utshintsho kwisinambiso - ezi zibonakaliso zokuqala zokukhulelwa ziyaziwa kuwo onke amabhinqa. Nangona kunjalo, akusoloko bhekisela ekuzalweni kobomi obutsha, kwaye nokuba "insimbi" enzulu kangangoko ukulibaziseka kwenyanga kuya kuqinisekiswa ukuba kuqinisekiswe ukuqala "kwimeko echaphazelekayo". Ukugxotha ukungathandabuzeki uhlalutyo kwinkcazelo yokukhulelwa kuya kunceda.
Ziziphi iimvavanyo ezibonisa ukukhulelwa?
Into yokuqala abesetyhini abayenzayo xa befumana ukulibaziseka kwimiqathango yokuvavanya ukukhulelwa. Isitshixo salo silula: ukubeka umgca we-reagent kumchamo kunye nokulinda kwemizuzu emi-5 ukuya kweyesi-10, siphumela umphumo: amabini amabini - ukukhulelwa kufike, enye inqabana - ayiyi kuba khona.
Ezi vavanyo zisekelwe ekufumaneni i-chorionic gonadotropin (hCG) kumchamo womfazi. Le hormone ikhiqizwa igobolondo yangaphandle ye-embryo (i-chorion) kwaye phantse ibonisa ukuqala kokukhulelwa. Kwi-trimester yokuqala ngokukhulelwa okuqhelekileyo, ukuxinwa kwe-hCG iphindwe kabini emva kweentsuku ezimbini.
Ukwazi oku, amanye amama angaba ngandlela-thile bakholelwa ukuba uvavanyo lomvhamo jikelele lubonisa ukukhulelwa. Oku akunjalo, inkcazelo yokukhulelwa ekuhlaleni umchamo akunakwenzeka. Ngenxa yoko, kuya kufuneka ufumane ukuhlolwa kwegazi ngokukhulelwa.
Yiyiphi imvavanyo yegazi ebonisa ukukhulelwa?
Abanye bakholelwa ukuba ukuhlolwa kwegazi ngokuqhelekileyo, ngaphezu kweerameters, kubonisa ukukhulelwa. Nangona kunjalo, ekwenzeni unyango, kukho uphando olukhethekileyo oogqirha ababiza ukuhlalutya kwi-hCG, ekufumaneni ukuba ngaba ngumama, enye i-chorionic gonadotropin iya kunceda. Ukugxininiswa kwegazi kukhulu kakhulu kunomchamo, ngoko uhlalutyo lwebhubhoratri luchanekile ngakumbi kuneemvavanyo zokuthengisa ezithengiswa kwikhemisi.
Ukongezelela, inani lama-hormone linokumisela ukuba ukhulelwe njani. Umzekelo, ukuba izibonakaliso zingaphantsi kwesiqhelo, ngoko unokuthetha ngeHCG ekukhulelweni kwe-ectopic . Ukuba ukuxilongwa kweHCG kuphezulu kunokuba kuqhelekileyo, oko kubonisa ukukhulelwa okubanzi okanye ukuphambuka okwenzekayo ekuphuhlisweni komntwana. I-HCG ephakamileyo ingaba kubasetyhini abanesifo sikashukela okanye ukuthatha i-contraceptive ye-hormone.
Iimvavanyo zokukhulelwa ezimbi
Ngamanye amaxesha ukuxinwa okuphezulu kwe-hCG akubonakali nonke ukuqala kokukhulelwa, kodwa luphawu lwezifo eziyingozi:
- izicubu zesisu, izintso, isisu somzimba;
- i-chorion carcinoma;
- Isikhwama sesisu kunye nokuphindaphinda kwayo.
Amanqanaba aphakamileyo yehommoni ayaqwalaselwa xa ethatha amalungiselelo e-HCG iintsuku ezingama-2-3 ngaphambi kokuvavanywa, kunye nangemva kokukhipha isisu esandula okanye ukukhulelwa kwangaphandle.
Kuchanekile njani ukunikela ngokuhlalutya kwegazi xa ukhulelwe?
Namhlanje, ezininzi iilabhuyibrari zinikeza ukuhlolwa kwegazi okukhatywayo ngokukhulelwa. Oku kuthetha ukuba iziphumo ziya kuba zezandla emva kweeyure ezimbalwa emva kokuqokelela kwegazi. Nangona kunjalo, ukuba awukho kamsinya, ungagcina kwaye ukhululeke ngokupheleleyo ukuba udlulise uhlalutyo kwisikhokelo somdlavuza.
Igazi lokuhlaziywa kwe-hCG kuthathwa kwiimvini kwisisu esingenanto. Kuyinto enqwenelekayo ukuvela kwibhubhoratri ekuseni. Ukuba oku akunakwenzeka, zama ukuba ungadli nto yeeyure ezingama-4. Ngaphambi kokuba udlulise uhlalutyo, ungabhemi okanye ungaseli utywala; nayiphina imishanguzo inqatshelwe.
Akuyimfuneko ukuthatha uvavanyo lwegazi ngokukhulelwa ngosuku lokuqala lokulibaziseka: umphumo osisigxina uya kuba uvavanyo olwenziwa kwiintsuku ezingama-3-5 zokungabikho kwenyanga. Emva kweentsuku ezingama-2-3, uhlalutyo luya kuphinda luphindwe.