Kodi mtengo wa lidzawagwiritsenso HCG. DPP - zomwe. Table malamulo HCG pambuyo lidzawagwiritsenso

Mu umuna m'galasi - mabanja ambiri akhoza kukhala mwayi wotsiriza kupeza mwana woteroyo ankafuna. Chimodzi mwa zizindikiro zofunika kwambiri kuti mimba ali bwinobwino - ndi timadzi hCG. DPP - chithunzi izi ndi zofunika kwambiri mu kuunikaku mimba womutsata lidzawagwiritsenso nayenso. Tiyeni tiwone zimene zili pansi achidule izi.

Lidzawagwiritsenso - kodi mfundo

Kumene, aliyense amadziwa kuti mwana, umuna (maselo kugonana amuna) kukumana ndi manyowa dzira (wamkazi maselo nyongolosi). Pambuyo kuti akuyendera a zilonda za chiberekero, izo amaloŵamo angapo kusintha chikuchitika kwa miyezi naini, kenako mwana wabadwa. Nthawi zambiri chifukwa cha osabereka kumakhala kovuta kugwira njira ziwiri mu pompo-pompo. Kuti uli, pakuti zosiyanasiyana zifukwa umuna sangathe kudziletsa kukumana ndi dzira, kapena dzira kale ukala sangafikire chiberekero kapena adzalowerera izo. Koma mkazi uyu angathe kuti adzabala mwana. Ndiyeno pa nkhani ya madokotala kubwera. Kutenga kugonana maselo a makolo onse, akupereka mu umuna m'galasi mayina Ndisanaumbidwe chifukwa mu endometrium lapansi. Kumene, kulongosola ndi zojambula kwambiri. Choncho, ndondomeko lingaliro ndi m'Chingelezi chosavuta, ndipo mabanja ambiri mwayi.

DPP

Ukala dzira (Ndisanaumbidwe) ali m'chiberekero pa tsiku 3 kapena 5 pambuyo umuna. Pankhaniyi, pa ndondomeko kuyambitsa awiri mazira. Zimenezi mwayi kuti mimba akadali zimachitika. Komabe, mwayi ndi kuti inu kubwereza njirayi kangapo. Nthawi zambiri kuti Ndisanaumbidwe alibe mizu ngakhale lachiwiri ndi wachinayi kapena wachisanu kuyesa. DPP chidule mmene masiku ambiri kuchokera oyamba a mwana wosabadwayo lapansi. tsiku izi ndi zofunika kwambiri kuonetsetsa mimba n'kofunika kudikira 14 DPP. HCG mlingo umene anayeza pa mawu amenewa, ndi chikhomo chachikulu cha chochitika.

The timadzi hCG

Anthu chorionic gonadotropin (hCG) mu mwakale anatsimikiza yekha mu thupi la mkazi wapakati. Umayamba kubala dzira, koma ngati izo zifika ku thupi la mkazi kale ukala, maonekedwe a timadzi izi magazi kapena mkodzo limasonyeza kuti kumayambiriro Ndisanaumbidwe yayenda bwino. Akukhulupirira kuti mimba pamene hCG ndi 14 DPP pyatidnevok (mazira kuti akuyendera pa tsiku lachisanu pambuyo umuna kwachitika) ndi zosakwana 100 mIU / L. Ngati ntchitoyo 25 mIU / L kapena kuchepera, osalephera, adzakhala ndi kubwereza ndondomeko. Komabe, m'munsi mfundo za kusanthula izi zikhoza kukhala ngati nthawi nthaŵi pambuyo Ndisanaumbidwe implantation mokwanira, mwachitsanzo, 12 kudziwa hCG DPP.

Kodi HCG

Chorionic gonadotropin umatchedwanso mimba timadzi. Mwamsanga pambuyo umuna, zilibe amayambiranso thupi chikasu ndipo kumapangitsa kaphatikizidwe mahomoni monga esitirojeni ndi progesterone. Seramu hCG anatsimikiza yomweyo pambuyo dzira umayamba mu uterine akalowa. Kenako, ndende akuyamba kukula mofulumira. Mu njira yachibadwa mimba masiku awiri, izo kawiri. Mlingo pazipita hCG (DPP) m'kaundula pa sabata la khumi. Kenako, mlingo wa timadzi izi pang'onopang'ono mpaka kusanduka kwa masabata 8 ndi kukhalamo khola mpaka yobereka.

Tikumbukenso kuti madokotala kwambiri kuyan'anila kuchuluka kwa timadzi mu seramu magazi ndi chiŵerengero cha hCG - DPP komanso chifukwa cha zolakwika kwambiri ku malire index malamulo nthawi zambiri pentopeni a kuvutika kwambiri thupi la mayi, ndi chitukuko cha mwana wosabadwayo.

Njira mtima wa chorionic anthu gonadotropin

Akazi ambiri pambuyo bwino kusintha ndi lidzawagwiritsenso HCG mlingo anayamba kuyang'aniridwa kale mu masiku 9-14. Kuti awulule chikuoneka ngakhale optionally amapereka magazi. mayesero mimba ntchito pa mfundo za mtima wa kukhalapo kwake mu mkodzo. Kumene, iwo sizisonyeza manambala enieni ndiponso kuchuluka kwa hCG mu DPP pyatidnevok kapena trehdnevok, koma kukhalapo kwake Mosakayikira amasonyeza mimba. Kuti mulandire zotsatira zolondola mkazi donates magazi. Ngati pa yachibadwa mimba magazi mahomoni kuti chidang'ambika mosamala, umene anachita mu trimester, pochititsa mu m'galasi umuna kwa gynecologists kwambiri nkhani chithunzi amavomereza kuchita lililonse masiku 2-3 pambuyo Ndisanaumbidwe implantation. Zotsatira analandira akuyerekezedwa ndi tebulo lomwe limasonyeza osachepera, pazipita ndi pafupifupi mfundo za hCG kwa ena nyengo ya DPP.

malamulo a hCG

Mofanana ndi zizindikiro zonse, hCG milingo zingasiyane malire ena. Nthawi zambiri mu tebulo deta limasonyeza kusinthasintha mlingo wake ndi mimba sabata. Palinso tebulo kusonyeza mlingo wa timadzi hCG kumawonjezera ntchito ndi tsiku. Iwo ali othandiza kwambiri kwa anthu amene anachita lidzawagwiritsenso. Gome m'munsimu limasonyeza mfundo avareji tsiku lina pokhapokha oyamba (DPP) pa mazira ndi anapatsa pambuyo 3 ndi 5 Patapita masiku umuna.

Monga mmene taonera, hCG 7 pyatidnevok DPP ndi 45 mIU / L, koma bwinobwino ntchito zake zosiyanasiyana kuchokera pa 17 kufika 65 mIU / l. Pa tsiku lomwelo, pafupifupi kwa masiku atatu Ndisanaumbidwe ndi 18, ndipo zosiyanasiyana zachilendo zikanakhala zopanda 8-26 mIU / L.

Zifukwa kuwonjezeka hCG

Monga tanena ndi hCG si chizindikiro kuti mimba, komanso zimathandiza kulamulira madziwo. Kukachitika kuti mlingo wa timadzi izi si kupyola mwakale, zilibe ngofunika kwambiri, koma ngati manambalawo sizikugwirizana ndi DPP hCG kwambiri, izo zikanakhoza kukhala chizindikiro kuti pali pathologies kwambiri mayi ndi mwana wosabadwayo. A kuwonjezeka kwambiri index zimenezi zingayambitse:

• kuvutika chromosomal mu chitukuko yoopsa (syndrome Down a);
• trophoblastic chotupa;
• matenda endocrine (shuga);
• mankhwala okhala progestogens;
• mimba angapo.

Zifukwa kuchepa kwa hCG

Low mlingo harioticheskogo gonadotropin angathe kuonedwa milandu zotsatirazi:

• lamavuto mimba;
• anaphonya mimba;
• yoopsa malformations;
• yoopsa imfa ;
• perenashivanie mimba;
• placental insufficiency;
• ectopic pregnancy.

Kuchuluka hCG DPP. mapasa

Lidzawagwiritsenso kusintha mwayi wa mkazi kukhala ndi pakati, nthawi yomweyo anapatsa mazira awiri, koma kawirikawiri sizitanthauza bwino ndondomeko. Komabe, palinso precedents pamene awiri mizu yomweyo. Zikatero hCG zizindikiro akhoza kukula mwa 2-3. Ichi ndi chifukwa chakuti amabala osati latuluka umodzi, monga izo zimachitika mu mimba singleton, koma awiri. Mwachitsanzo, ngati mlingo wa hCG mu DPP 16 pyatidnevok ndi zaka 1960 mIU / L, mlingo zachilendo kwa mapasa kwa 3920 mIU / l ndi pamwamba.

HCG chizindikiro mu matenda a anomalies yoopsa

Kumene, mimba - zofunika ndi oyembekezeka zinachitika aliyense mkazi, koma zimachitika kuti umabweretsa osati chimwemwe, komanso zokumana nazo. Against maziko a nkhawa, chilengedwe ndi zina, njira yabwino kukhudza moyo anabadwa, pali chiopsezo cha chitukuko cha pathologies. Mlingo yamakono ya mankhwala amalola ambiri a iwo matenda ndipo ngakhale olondola mu magawo oyambirira. Ndi zimenezi ndipo pali screenings mokakamizidwa mu trimester loyamba ndi lachiwiri la mimba. Kuyezetsa ya trimester, zomwe zambiri kuchititsa nthawi masabata 10-14 zikuphatikizapo ultrasonography ndi kuyan'anila hCG milingo mahomoni ndi PAPP-A. Chachiwiri trimester mosamala chitachitidwa pa sabata 16-18. Iwo, pamodzi ndi US, gwirani patatu mayeso (HCG, AFP, estriol). Deta ya mosamala yachiwiri kulola kudziwa ndi Mwina mkulu pamaso pa kuvutika. Kukachitika kuti pa maziko a misinkhu otsika AFP ndi estriol kaperekedwe ka hCG ndi apamwamba kwambiri kuposa wabwinobwino, ndi Mwina mkulu tikhoza kuganiza pamaso pa syndrome yoopsa Down. Syndromes Edwards kapena Patau kuti amaganiziridwa pa mlingo wochepa kwa zolembera onse atatu. Ndi milingo wabwinobwino wa chorionic anthu gonadotropin mu AFP otsika ndi estriol kungasonyeze matenda Turner.

Zoneneratu onse ali potengera makhalidwe munthu wa mimba wotuluka - zaka akuchikazi, thupi lakelo, zizolowezi zoipa, comorbidities, matenda ana obadwa mu mimba m'mbuyomu. Ngati kafukufuku limasonyeza ngakhale zolakwika zazing'ono mwakale, mkazi ndi mokakamizidwa pa chibadwa azichiona.

Kodi kuti anayesedwa

Kuti zofufuza chifukwa hCG chofunika pochitika magazi kuchokera mu mtsempha wa. Kodi izo bwino m'mawa ndi okhwima kusala kudya. Zikatero, ngati iwe uyenera kutenga tsiku, muyenera kupewa kudya kwa maola osachepera 6. Zikatero, ngati muli kumwa mankhwala alionse amene ali ndi mahomoni ( "Pregnil", "Horagon"), m'pofunika auzeni adokotala pasadakhale.

Phunziro zasayansi anali zapadera, kuchita bwino, osati kale kuposa 3-5 Patapita masiku kusamba. Pankhani ya lidzawagwiritsenso deta yolondola kwambiri adzakhala ndi matenda ikuchitika pa tsiku la 14 pambuyo ndondomeko.