Uvavanyo lwegazi kwizinga leHCG
Uhlalutyo lokuqala loko umfazi azinako ukuzenza uvavanyo lokukhulelwa. Kubulela kuye ukuba unokukwazi ukubona ubukho kunye nomgangatho womchamo kumchamo we-hCG (i-chorionic gonadotropin yabantu), okukuvumela ukuba ubone ukukhulelwa kumazinga okuqala. Ukuba emva kokuvavanywa unokungathandabuzi ngeziphumo zalo, kufuneka wenze ukuhlolwa kwegazi nge-hCG kwibhubhoratri.
Isiqhelo seHCG ngexesha lokukhulelwa
- Ukuze uqonde into ekhoyo, kuyimfuneko ukufumanisa ukuba i-chorionic gonadotropin yintoni. Emva kokuba iqanda elichumisiweyo linamathele kwisibeleko, i-chorion (igama lenzululwazi yesibindi somntwana) liqala ukuvelisa i-gonadotropin. Oku kukukhusela imbryo kwiimeko ezinobundlobongela zokusungula kwizilwanyana zomama.
Ngokwendlela, imvelaphi ye-hormonal eguquguqukayo rhoqo kubafazi abakhulelwe kukuba ngenxa yobukho be-hormone, eququzelela ukulungiswa kwazo zonke iinkqubo kumzimba wesetyhini ukugcina nokuphuhlisa ubomi obutsha.
- Ukongezelela, i-hCG inciphisa umsetyenzana wesistim somzimba, ungakuvumeli ukuba utshabalalise "umzi". Kungenxa yesi sizathu ukuba ekuqaleni kwe-hormone iveliswa kakhulu, ikhula ngokuphindwe kabini kwiintsuku ezimbini.
- Ukuba sicinga ngokuqhelekileyo kwinqulatho ye-hCG egazini, kufuneka kuphawulwe ukuba kwiiveki zokuqala ezinokufikelela kwiiyunithi ezingama-300, okwesithathu-5000, ekupheleni kwenyanga yokuqala iya ku-30 000. Abanye abantu kwixesha elivela kwiiveki ezi-5 ukuya kwezi-8, kwada kwafika kuma-200 000 kwiiyunithi. Emva kwesi sihlandlo, ngokuqhelekileyo ukuncipha kwamazinga e-hormone emzimbeni wesifazane okhulelweyo.
Indlela yokuxilonga i-ectopic okanye ukukhulelwa okukhukhulayo?
Kufuneka kuqatshelwe ukuba iziphumo zokuvavanya i-ectopic pregnancy zibonakaliswa ngokulinganayo kunye neziqhelekileyo, ngoko kufuneka ukuba nangoko emva kokufumana isiphumo esihle, qhagamshelana neengcali. Ugqirha onamava uya kukwazi ukubona ukungahambi kakuhle kweendlela ngokusebenzisa i-ultrasound, i-laparoscopy yokuxilonga kunye nokuhlaziywa kwegazi lomnxeba ngosuku lokuqala. Le ndlela yokugqibela iphumelele ngenxa yokuba, ngokunyuka komngcipheko wokukhulelwa kwe-ectopic, izinga le-hCG liyancitshiswa kakhulu, obungqina bokuba u-embryo ubeka emzimbeni wesifazane, okanye ukukhulelwa okukhukhulayo.
Ingaba kukho naziphi na izizathu zokukhathazeka ngokunyuka kweHCG?
Kubalulekile ukukhankanya ukuba iimpawu zomzimba zendalo yomama zingasichaphazela ukuphambuka kweHCG kwizinto eziqhelekileyo kwicala elinye okanye kwelinye kwiiveki nganye. Le nyaniso kufuneka ithathelwe ingqalelo ngaphambi kokuzimela ngokuzimeleyo ukuxilongwa - uhlalutyo kunye nokuthelekiswa kwamanani kufuneka kuthathwe ngumgqirha ovela kuyo.
Akusoloko isigaba esiphakamileyo sale hormone egazini kuthetha ukuphambuka kokukhulelwa, kunokuhamba kunye ne-toxicosis. Kodwa, ukuba kudibaniswa nezinye izilingo, izikhombisi zalo zihluke kakhulu kwizinto eziqhelekileyo, oku kungabonisa ubukho be-diabetes mellitus okanye i-gestosis, kwezinye iimeko-nokuba kukho umngcipheko wokuba nomntwana one-Down syndrome.
Sekunjalo, kulungele ukukhumbula kwakhona ukuba akuyimfuneko ukusazela kwangethuba ukuba kukho ukungaqhelekanga kumanqanaba e-HCG ukusuka kwisiqhelo, kuba oku kungenxa yezinto ezininzi. Yingakho isigxina sokugqibela sifanele siphathwe kwiingcali-ugqirha wokunyanga.