Thanzi, Mankhwala
Magazi pa HCG - ndi chiyani, nthawi yotenga, zotsatira
Imodzi mwa njira zolondola zodziwira mimba kumayambiriro kwa nthawi yoyamba ndi kuyezetsa magazi kwa kuchuluka kwa mahomoni a hCG. Beta-mtundu wa chorionic gonadotropin ndi chinthu chodziwika bwino cha glycoprotein, chomwe chimapangidwa pambuyo pa kamwana kamene kamangika pachiberekero. Mankhwala ake amagazi amasiyana malinga ndi nthawi yomwe ali ndi mimba ndipo amachitanso mbali yofunika kwambiri pa kaphatikizidwe ka mahomoni a estradiol, progesterone ndi estriol. Kuchita chidwi ndi malo ake "osangalatsa" sikudzakhala kovuta kudziwa molondola kupezeka kwa mimba, popereka magazi kwa hCG. Kodi ndizomwe, ndondomeko ikupita bwanji, nthawi yomwe mungapite ndi momwe mungayankhire zotsatira, tiyeni tione m'nkhaniyi.
Kodi HCG ndi chiyani?
Chorionic gonadotropin ndi homoni yokhala ndi mapuloteni. Amapangidwa ndi ziphuphu za mimba yomwe imakula m'mimba yonse ya nthawi yomwe imatuluka. Chifukwa cha chinthu ichi, ntchito ya ovariya imachotsedwa. Lekani kuti mukhwime mazira atsopano, ndipo kusamba kwabwinoko sikubwera. HCG imayimba thupi lachikazi kuti libereke mimba, zomwe zimathandiza kuti pakhale kusintha kwa mahomoni.
Glycoprotein ili ndi magawo awiri: alpha ndi beta. Alpha-hCG ikufanana ndi mahomoni ena a thupi, pamene beta-unit ndi yapadera. Choncho, akamaliza kusanthula, amaika maganizo awo pamtundu wa beta.
Kukhalapo kochepa kwa ma hormoni m'thupi la munthu kumaonedwa kuti ndibwino komanso popanda kukhala ndi pakati. Zimapangidwa ndi chikoka cha pituitary. Nthawi zina mahomoni ena amapezeka mu thupi la amayi ndi amayi omwe alibe amayi. Chizoloŵezi cha HCG m'magazi ndi 5MI / ml, komanso kwa amayi pa nthawi ya kusamba - mpaka 9,5 mIU / ml.
Momwe mungadziwire kuti mimba ndiyeso la magazi?
Mlingo wa gonadotropin wa chorionic mu thupi la mkazi wakhala chizindikiro cha pathupi. Onetsani mapepala akukonzedwa pa mfundo iyi. Amayesetsa kuchuluka kwa ma hormoni mumtsuko, womwe umayamba kuwonjezeka mkati mwa masabata awiri pambuyo pa umuna. Komabe, mayesero sakhala olondola nthawi zonse, komanso, ndi chithandizo chawo, sikutheka kunena nthawi yomwe ali ndi mimba. Chifukwa chake, amai omwe amaganiza kuti chiberekero chikulimbikitsidwa kuti apereke magazi kwa HCG. Ichi ndi chiani? Ndondomeko ya chizoloŵezi yomwe imachitika mu labotolo iliyonse yamagulu kapena yapamwamba.
Zotsatira zomwe zimapezeka ndizolondola kwambiri. Amayi ambiri amasangalatsidwa ndi funso: "Magazi pa HCG pamene akusonyeza kuti ali ndi mimba?" Amayi am'mimba amawauza kuti asamafulumire ndi kuganizira za kusanthula pokhapokha atachedwa. Nthawi yochepa yomwe ingatheke kudziwa kuti kutenga mimba ndi masiku asanu ndi awiri kuchokera pakulera.
Kodi ndingapereke liti HCG?
Ngakhale kuti kuyesa magazi - njira yolondola komanso yotsika mtengo yomwe imakulolani kudziwa za mimba, ndi bwino kulingalira nthawi yake. Inde, palibe chomwe chimalepheretsa kupita ku labotolo yowunikira masiku angapo pambuyo pathupi. Koma zotsatira za kusanthula kotero sizidzakhala zodalirika. Ndipo ndi liti pamene ndingapereke magazi kwa HCG kuti ndipeze deta yolondola pa mimba? Madokotala amalimbikitsa mawu otsatirawa:
- Ngati mkazi amadziwa bwino tsiku la pathupi, ndiye kuti kuchokera kwa iye nkofunikira kuwerenga masabata awiri. Pa tsiku limene analandira ndikukonzekera kusanthula;
- Ngati simungathe kudziwa nthawi yomwe mayiyo ali ndi pathupi, ndibwino kuti apereke kafukufuku 3 masabata pambuyo pa tsiku la kuchedwa kwa msambo.
Kuti mupeze zotsatira zodalirika, muyenera kukhala oleza mtima ndikudikirira nthawi yolangizidwa.
Kodi mungatengere bwanji momwe mukugwiritsira ntchito?
Osadziŵa zambiri pa nkhani za mimba ndi amayi, amayi amafunsidwa mafunso ambiri okhudza kusanthula. Momwe mungatengere HCG, ndi malamulo ati omwe ayenera kuwonedwa? Ndipotu, zonse zimakhala zophweka kusiyana ndi zomwe zikuwoneka. Magazi pa HCG amachotsedwa mu mitsempha ya ulnar muyeso wa 5 ml. Ndibwino kuti mubwere kudzafufuza mmawa komanso musanayambe kudya. Musanayambe kutumiza, ndi bwino kuchenjeza za kumwa mankhwala. Izi zingakhudze zotsatira za phunzirolo.
Kodi ndondomeko yotani ya "magazi pa HCG"? Mtengo umasiyana malinga ndi labotale. Pafupifupi, ntchitoyi idzakhala mabomba 500, mumzindawu - pafupifupi rubles 800. Izi zikugwiritsidwa ntchito kuzipatala zapadera ndi malo opatsirana. Malangizo mu malo a bajeti komwe amakhala amakhala akuperekedwa kwaulere.
Kutanthauzira zotsatira zoyambirira
Kusankha ndi pamene kuli bwino kupatsa magazi kwa HCG, mutatha kupyolera mu ndondomeko ndikupeza zotsatira zokhumba zokhumba, ndikufuna kudziwa zambiri zomwe ziwerengero zimatanthawuza pa kufufuza. Mwinamwake njira zitatu zomwe zingakuthandizeni pa chitukuko cha zochitika:
- Zoipa - hormone imafotokozedwa mu kukula kwa 0 mpaka 5 mIU / ml.
- Zosakayikitsa - miyendo ya chorion imayikidwa 5-25 mIU / ml.
- Zokoma - hCG m'magazi amaposa 25 mIU / ml.
Ngati mutapeza zotsatira zokayikitsa (kuwonjezeka pang'ono kwa hormone), ndi bwino kuti muwerenge pambuyo pa masiku angapo. Pachifukwa ichi ndi zofunika kusunga zofanana zomwe zimagwiritsidwa ntchito poyesa magazi ndi kuyezetsa magazi: kubwera kuchipatala chomwecho, panthawi imodzimodzi, komanso pamimba yopanda kanthu. Chotsatira chatsopano chimafaniziridwa ndi choyambirira. Ngati kupotola kumbali imodzi kapena kwina kumasungidwa ndi kupitirira 50% ya chizoloŵezi, pamapeto pake pangonena za kukhalapo kwa chiwalo cha matenda (chizindikiro cha zotupa). Pankhani ya kupatuka kwa 20% kuchokera kuzinthu zowakhazikitsidwa, zotsatira zimayambanso kupemphedwa pogawira phunziro latsopano. Nthaŵi zina, ndi kukhazikika kwa zotsatira ndi kusapezeka kwa matenda, chigamulo chimatengedwa pamtundu umodzi wa hormone ya chorion m'magazi.
Kusanthula kamodzi kumachitidwa kokha ngati zotsatira zotsutsa zimapezeka, zomwe sizikupita pakapita nthawi. Mukatsimikizira kutenga mimba, muyenera kuyang'anitsitsa nthawi ya hormone ya hCG ya magazi.
Kusintha kwa zotsatira za mayesero kwa masabata a mimba
M'masabata oyambirira a mimba, mlingo wa hormone wa chorion m'magazi umakula kwambiri. Kukula kwa chiwerengerochi kumawonekeratu masiku omwe akufunikiranso:
- Kutsiriza mpaka masabata asanu ndi limodzi - 2;
- Masabata 6-8 - 3;
- Masabata 8-10 - 4.
Pa sabata lachisanu ndi chiwiri la mimba, zotsatira za kuyesa kwa magazi kwa hCG ziwonetsa mtengo wapatali. Kenaka kuchepa kwapang'onopang'ono kumayambira. Pa masabata 16, chizindikirocho chidzakhala chimodzimodzi kwa mimba ya ma sabata asanu ndi awiri. M'nyengo yotsala ya kugonana, msinkhu wa mahomoni udzakhazikika.
Mlungu kuchokera pachiberekero | Mzere wa hCG, mIU / ml |
1 | 50-100 |
2 | 2 500-6 500 |
3 | 11 000-25,000 |
4 | 36 000-73 000 |
5 | 64 000-116 000 |
6th | 27,000-233 000 |
7-11 | 20,000-291 000 |
12-15 | 6000 mpaka 2000 |
16-20 | 4 800-80 100 |
21-39 | 2 700-78 100 |
Kufalikira kwa msinkhu wa hormone wa chorion ndipamwamba kwambiri: mitundu yonse muzinthu zomwe zafotokozedwa zimatengedwa kuti ndizofunikira. Komanso, dokotala yekha ndi amene adzatha kumasulira zotsatira mosamala. Nthawi zina bwalo la mahomoni m'magazi ndilopambana kapena lacheperapo.
Zizindikiro za hCG mu IVF
Ngati mkazi atha kuchita njira ya IVF, ndondomeko ya kusanthula idzasintha. Magazi pa HCG pamene mimba ikuwonetsa payekha? Yankho la akatswiri ndi awa: ndondomekoyi iyenera kuchitika pasanathe masiku 12 kuchokera pamene jekeseni uli ndi hormone ya chorion. Gome likuwonetsa machitidwe abwino a hCG m'magazi mutatha kukhazikika kwa kamwana kameneka mu uterine.
Ukalamba wam'mbuyo (tsiku la kutsekedwa ukuwoneka ngati zero) | Nenani hCG, mIU / ml |
1 | 4 |
2 | 105 |
3 | 2,000 |
4 | 11 500 |
5 | 31,000 |
6th | 65,000 |
Momwe mungatengere HCG, ngati jekeseni ndi zomwe zili mkati mwake zidaperekedwa pambuyo pa kukhazikitsidwa kwa kamwana kameneka kuti apitirize ntchito ya corpus luteum? Muyenera kuyembekezera masiku angapo musanayambe kufufuza. Apo ayi, zotsatira zidzatha.
Mapamwamba a hCG m'magazi
Azimayi ambiri omwe ali ndi pakati amakhala osadziŵa zomwe a HCG awo ali. Ngati chirichonse chiri choyenera, dokotala samauza amayi amtsogolo za zotsatira za kuyesedwa kulikonse. Ndi nkhani ina pakabuka mavuto. HCG mu magazi ikhoza kukhala pamwamba kapena pansipa. Ndipo ndi zosawerengeka zokha zomwe sizikukamba za kukula kwa ubongo wa abambo kapena thanzi la amayi.
Kodi amabisa chiani pambuyo pazomwe ziwerengero zowonongeka zowonongeka kwa HCG? Nthawi zina palibe choyipa: mawu olakwika a mawu kapena mimba yambiri. Komabe, nthawi zambiri kukayikira kumachitika pamaso pa mayi yemwe ali ndi matenda a shuga, toxicosis kapena pathologies mu chitukuko cha mimba. Ngati kuchuluka kwa hCG m'magazi kumatchulidwa, kufufuza mobwerezabwereza komanso kufufuza kwa amayi amtsogolo.
Low hCG
Mlingo wa hormone wa chorion m'magazi a mkazi umakulolani kuti musamangoganizira chabe kutenga mimba kumayambiriro oyambirira, komanso kuti muzitsatira chitukuko cha mluza m'kati mwa nthawi yonse ya chiberekero. HCG ndi hormone yapadera ya amayi. Zizindikiro zake zoperewera pansi, monga lamulo, lankhulani za kuphwanya kwa mimba:
- Kuopsa kwa kupititsa padera;
- Kutha msinkhu kukula;
- Imfa ya mwana wosabadwa;
- "Kutha" kwa embryo;
- Ectopic pregnancy;
- Matenda a m'mimba kapena fetus.
Kupotoka kulikonse ku zotsatira za kusanthula kwa HCG ndi chizindikiro chochititsa mantha, chomwe chimafunikanso kukambirana ndi dokotala.
Kodi ndiyenera kudalira zotsatira za kusanthula?
Ndipo komabe, magazi pa HCG - ndi chiyani? Kodi ndizodalirika bwanji kafukufuku wa labotale? Njirayi ndi yofanana ndi kutenga magazi kwa mahomoni, chifukwa hCG ndi imodzi mwa iwo. Kudalirika kwa zotsatira pamsinkhu wapamwamba: zolakwika zimachitika kawirikawiri, kawirikawiri chifukwa cha kugwiritsa ntchito mankhwala kapena kugwiritsa ntchito mankhwala enaake pamapeto a kusanthula.
Mayeso a Laboratory angathe kupereka yankho lachinyengo kapena lachinyengo. Pachiyambi choyamba, msinkhu wa hCG, womwe umakhalapo kwa mayi woyembekezera, udzatsimikiziridwa. Pambuyo pangotsala kanthawi kuti palibe mimba mu uterine cavity. Nchifukwa chiyani izi zikuchitika? Pali zosankha zochepa: mankhwala omwe amachitidwa ndi mayi (kuphatikizapo hCG) ndi omwe amachititsa kuti awonongeke, kapena ndi chizindikiro chachikulu cha matenda.
Zotsatira zabodza zowonongeka zimachitika pamene kusanthula kumachitika mofulumira kwambiri. Palinso zolakwika za kukula kwa mimba kumayambiriro oyambirira. Mulimonsemo, kubwereza kachiwiri ndi ultrasound akulamulidwa.
Zotsatira
Magazi pa HCG - ndi chiyani? Zikupezeka kuti kusanthula kwakukulu komanso kofunika kwambiri. Ndi chithandizo chake, n'zotheka kudziwa kuti mimba ili ndi chidziwitso chapamwamba kale pakadutsa masabata awiri atatenga mimba. HCG ndi hormone yeniyeni yomwe imapangidwa ndi matenda a chorion (kenako placenta). Pambuyo pa kukhazikitsidwa kwa kamwana kameneka mu chiberekero cha uterine, kuchuluka kwake kumawonjezeka kwambiri, kulimbikitsa kukonzanso kwa thupi kuti mwanayo abereke. Zizindikiro za hCG komanso momwe zingatithandizire kuti mimbayo ikhalepo komanso nthawi imadziwitse mayi wam'mbuyo osati za "zosangalatsa" zomwe zilipo, komanso zolepheretsa kukula kwa mwanayo.
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