Amanqanaba eChorionic Gonadotropin (hCG) amanqanaba kunye nokuTshata: Into ekufuneka uyazi

Umxholo

• Ushwankathelo
• Amanqanaba e-HCG ekukhulelweni
• Amanqanaba e-HCG ekuphumeni komzimba
• Ngaba amanqanaba asezantsi athetha ukungahambi kakuhle?
• Ngaba amanqanaba okulahla athetha ukuba ungahambi kakuhle?
• Ngaba ukunyuka okucothayo kuthetha ukuba ukuphuphuma komtshato?
• Oogqirha bangqina njani ukuphuma kwesisu
• Ukufumana amanqanaba e-hCG abuyele kwi-zero emva kokuphuma kwesisu
• Ukuthatha

Ushwankathelo

I-chorionic gonadotropin (hCG) yihomoni eveliswa ngumzimba ngexesha lokukhulelwa. Ixhasa ukukhula komntwana.

Oogqirha bavavanya amanqanaba e-hCG kumchamo nakwigazi ukuqinisekisa ukukhulelwa. Basebenzisa uvavanyo lwegazi lwe-hCG ukunceda ukumisela ukuba umntu unokufumana ukukhulelwa kwe-ectopic okanye ukuphuphuma kwesisu.

Ukukhulelwa, ukukhulelwa kwe-ectopic, kunye nokuphuphuma kwesisu akunakuze kufunyaniswe ngokusekwe kwinqanaba le-hCG kuphela, kodwa kuyanceda ukwazi ukuba la manqanaba asebenza njani kwiimeko ezinjalo.

Amanqanaba e-HCG ekukhulelweni

Ukuba ucinga ukuba ukhulelwe, ugqirha uya kuvavanya igazi elitsalwe emthanjeni ukujonga amanqanaba akho e-hCG.

Ukuba awunayo i-hCG ekhoyo egazini lakho, oku akuthethi ukuba awukhulelwe. Unokuba kusasa kakhulu ekukhulelweni kwakho ukuze amazinga akho e-hCG ande.

Amanqanaba e-HCG aphezulu ngaphezulu kwe-5 yezigidi zeeyunithi zamanye amazwe ngeemililitha (mIU / mL) zibonisa ukukhulelwa. Iziphumo zakho zokuqala zovavanyo zithathwa njengenqanaba lokuqala. Eli nqanaba linokuvela kumanani amancinci kakhulu e-hCG (njenge-20 mIU / mL okanye nangaphantsi) ukuya kumanani amakhulu (njenge-2,500 mIU / mL).

Inqanaba lesiseko libalulekile ngenxa yoluvo loogqirha ababiza ixesha eliphindwe kabini. Kwiiveki ezine zokuqala zokukhulelwa okusebenzayo, amanqanaba e-hCG aya kuhlala ephindaphindwe kabini malunga neentsuku ezimbini ukuya kwezintathu. Emva kweeveki ezintandathu, amanqanaba aya kuphinda kabini malunga neeyure ezingama-96.

Ke, ukuba inqanaba lakho lesiseko liphezulu kune-5 mIU / mL, ugqirha wakho angayalela uvavanyo lokuphindaphinda kwiintsuku ezimbalwa kamva ukuze abone ukuba inani liphindwe kabini.

Kwimeko yokungabikho komngcipheko othile, oku (okanye inqanaba elinye elongezelelweyo) kunokwanela ukumisela ukukhulelwa. Kwiimeko ezininzi, ugqirha wakho uya kukucebisa ukuba ube ne-ultrasound ngexesha elithile phakathi kweeveki eziyi-8 ukuya kwezi-12 njengenxalenye yokunakekelwa kokukhulelwa kwekota yokuqala.

Amanqanaba e-HCG ekuphumeni komzimba

Ukuba usemngciphekweni wokukhulelwa kwesisu okanye ukukhulelwa kwe-ectopic, kunokwenzeka ukuba ube namanqanaba e-hCG angaphindi kabini. Banokude banciphe. Ke ngoko, ugqirha wakho angakucela ukuba ubuyele e-ofisini kwiintsuku ezimbini ukuya kwezintathu emva kovavanyo lwakho lwegazi ukuze ubone ukuba inqanaba lakho liphindaphindwe ngokufanelekileyo na.

Ukuba amanqanaba akho e-hCG awasondeli ekuphindeni kabini emva kweeyure ezingama-48 ukuya kuma-72, ugqirha wakho unokuba nexhala lokuba ukukhulelwa kusengozini. Ngokwamayeza, oku kungabizwa ngokuba “kukukhulelwa okungaphephekiyo” okunokwenzeka.

Ukuba amanqanaba akho ehla okanye enyuka kancinci kakhulu, uya kuthunyelwa kolunye uvavanyo ngokunjalo. Oku kunokubandakanya uvavanyo lwegazi lweprogesterone kunye ne-transvaginal ultrasound ukujonga isibeleko sakho kwisingxobo sokukhulelwa. Ezinye iimpawu, ezinjengokopha okanye ukubamba, nazo ziya kuthathelwa ingqalelo.

Kwimeko yokuphuma kwesisu, amanqanaba e-hCG ahla ngokuhla ukusuka kumlinganiso wangaphambili. Umzekelo, inqanaba lesiseko le-120 mIU / mL eye yehla kwi-80 mIU / mL kwiintsuku ezimbini kamva inokubonisa ukuba umbungu awusaphuhlisi kwaye umzimba awuvelisi iihomoni ezininzi ukuxhasa ukukhula kwawo.

Kwangokunjalo, amanqanaba angaphindeki kabini kwaye anyuka kancinci kancinci- umzekelo, ukusuka kwi-120 mIU / mL ukuya kwi-130 mIU / mL kwisithuba seentsuku ezimbini-kunokubonisa ukukhulelwa kwesibeleko okungaphephekiyo apho ukuphuma kwesisu kunokwenzeka kungekudala.

Amanqanaba acothayo ukunyuka angabonisa ukukhulelwa okungafakwanga kwesibeleko, okwenzekayo xa kutyalwe iqanda elichunyisiweyo kwindawo ethile ngaphandle kwesibeleko (ngesiqhelo imibhobho yesibeleko). Ngenxa yokuba ukukhulelwa kwe-ectopic kunokuba yimeko engxamisekileyo yezonyango, kubalulekile ukuba ugqirha achonge oku ngokukhawuleza.

Kwelinye icala, kunokwenzeka ukuba uphindaphinde amanqanaba e-hCG ngokukhulelwa kwe-ectopic. Kungenxa yoko le nto amazinga e-hCG eyedwa engonelanga ukumisela okwenzekayo ngokuchanekileyo ngeepesenti ezili-100.

Ngaba amanqanaba asezantsi athetha ukungahambi kakuhle?

Isiseko esisezantsi asisiso isikhombisi sayo nayiphi na imiba ngaphakathi kwayo. Uluhlu oluqhelekileyo lwe-hCG kwiindawo ezahlukeneyo zokukhulelwa zibanzi kakhulu.

Umzekelo, usuku nje olunye emva kwexesha olilahlekileyo, inqanaba lakho le-hCG linokuba li-10 okanye kwi-15 mIU / mL. Okanye inokuba ngaphezulu kwama-200 mIU / mL. Ukukhulelwa ngalunye kwahlukile kule meko.

Eyona nto ibalulekileyo lutshintsho ekuhambeni kwexesha. Abantu abohlukeneyo baya kuba neziseko ezahlukeneyo kwaye basenokukhulelwa okungapheliyo.

Ngaba amanqanaba okulahla athetha ukuba ungahambi kakuhle?

Ukuba amanqanaba akho ehla, imbonakalo yokukhulelwa kwakho ayisoloko ilungile.

Kungenzeka ukuba ilabhoratri ingenza impazamo. Inokuba kunjalo imeko yokubakho kwangaphambili, enje nge-ovarian hyperstimulation syndrome (OHSS) emva konyango lokuchuma, ichaphazela amanqanaba akho ehomoni.

Nangona kunjalo, ngokubanzi, ukwehla kwamanqanaba e-hCG emva kwesiphumo esihle sokukhulelwa ayisosibonakaliso esihle. Amathuba okuba ukukhulelwa kungaphili, ngokombhalo we-Fertility and Sterility.

Ngaba ukunyuka okucothayo kuthetha ukuba ukuphuphuma komtshato?

Ukunyuka kancinci kwamanqanaba e-hCG akuthethi ukuba uyaphunyelwa sisisu, nangona baya kuthi rhoqo babonakalise uvavanyo oluthe kratya ukubona ukuba ukhona.

Oogqirha basebenzisa idatha esekwe kwizifundo ezincinci kwabo bakhulelweyo emva konyango lokukhulelwa, ngokwejenali yokuChuma kunye nokuzala. Amanani e-hCG anokuba luncedo ekukhokeleni amanyathelo alandelayo, kodwa ayisosalathiso esipheleleyo sokuphuma kwesisu okanye ukukhulelwa okusebenzayo.

Ngokukodwa oogqirha basebenzisa amaxesha aphindwe kabini ukuya qinisekisa ukukhulelwa, hayi ukufumanisa ukuphuma kwesisu. Ngokombhalo, ukunyuka kwama-53 ekhulwini okanye ngaphezulu kwamanqanaba e-hCG emva kweentsuku ezimbini kunokuqinisekisa ukukhulelwa okusebenzayo kwiipesenti ezingama-99 zokukhulelwa.

Into ebalulekileyo ekufuneka uyiqwalasele ngamaxesha aphindaphindiweyo lixabiso lokuqala le-hCG. Umzekelo, abo banenqanaba lesiseko le-hCG elingaphantsi kwe-1,500 mIU / mL bane "gumbi" elingaphezulu lokunyusa amanqanaba e-hCG.

Umntu onokuthi aqhubeke nokuhamba kunokuba bacinga kwaye aqale kwinqanaba eliphezulu le-hCG ye-5,000 mIU / mL okanye enkulu ngokwesiqhelo akanayo inqanaba elifanayo lokunyuka kwe-hCG, ngokwe.

Ukuthwala ukuphindaphinda (amawele, amawele amathathu, njl.) Kunokuchaphazela izinga lokunyuka kwe-hCG, kunye nokuba ukude kangakanani.

Ukukhulelwa kwe-Ectopic kunye nokuphuma kwesisu kunokubangela amanqanaba asezantsi e-hCG. Ukukhulelwa kwe-molar kunokubangela amanqanaba aphezulu.

Oogqirha bangqina njani ukuphuma kwesisu

Oogqirha baya kusebenzisa iimvavanyo ezahlukeneyo ukuqinisekisa ukuphuma kwesisu. Oku kubandakanya:

• ukwenza uvavanyo lwegazi, kubandakanya i-hCG kunye neprogesterone
• Ukujonga iimpawu, ezinjengokuthamba kwethambo okanye ukuphuma kwegazi kwilungu lobufazi
• ukwenza i-ultrasound yelungu lobufazi kunye nokuhlolwa kwe-pelvic
• ukuqhuba ukuskena kwentliziyo yomntwana (ukuba imihla yakho ibonisa ukubetha kwentliziyo yomntwana kufuneka kubonwe)

Ugqirha wakho uya kuthatha ulwazi oluninzi ngaphambi kokuba ufumanise ukuphuphuma kwesisu. Ukuba ukukhulelwa kusekutsha kakhulu, ukwehla kwamanqanaba e-hCG inokuba kuphela kwendlela yokufumanisa ukuba ukuphuphuma kwesisu kunokwenzeka kude kudlule ixesha elincinci.

Kubalulekile oogqirha bachaze ukukhulelwa kwesisu okanye ukukhulelwa kwe-ectopic ngokukhawuleza. Ukukhulelwa kwe-ectopic kunokubangela ukuphuka kwetyhubhu ye-fallopian okanye omnye umonzakalo osongela ukuzala kwakho kunye nobomi bakho. Ukuphuma kwesisu okukhokelela kwizicubu ezigciniweyo kukonyusa usulelo kunye nomngcipheko wokopha.

Ngenxa yezi zizathu, ukuba ufumana ukulahleka kokukhulelwa, ugqirha wakho unokucebisa ukuba uthathe amayeza okanye unyango oluthile lokunciphisa iingxaki.

Ukuphulukana nokukhulelwa kunokuthatha uxinzelelo lweemvakalelo. Ukuxilongwa kunokubonelela ukuvalwa kwaye kuvumele ukuba usizi kunye nenkqubo yokuphilisa iqale.

Ukufumana amanqanaba e-hCG abuyele kwi-zero emva kokuphuma kwesisu

Xa uphulukana nesisu (kwaye nangaliphi na ixesha ubeleka), umzimba wakho awusasebenzi nge-hCG. Amanqanaba akho ekugqibeleni aya kubuyela kwi-0 mIU / mL.

Ngapha koko, nantoni na engaphantsi kwe-5 mIU / mL "ine-negative," ngokufanelekileyo, i-1 ukuya kwi-4 mIU / mL ikwajongwa njenge "zero" ngoogqirha.

Ukuba unokukhulelwa kwesisu, ixesha elithathayo kumanqanaba akho okuya kwi-zero liyahluka ngokuxhomekeka kumanqanaba akho aphezulu ngexesha lokuphuma kwesisu. Ukuba uphulukana nesisu kwangoko kakhulu xa ukhulelwe kwaye amanqanaba akho e-hCG awanyukanga kakhulu, amanqanaba akho aya kubuyela kwi-zero kwiintsuku nje ezimbalwa.

Ukuba inqanaba lakho le-hCG belikumawaka okanye amashumi amawaka xa uphulukene nesisu, kungathatha iiveki ezininzi ukuba amanqanaba akho abuyele ku-zero, ngokwe-American Association for Clinical Chemistry.

Xa ufika kwi-zero, uya kuqala ukuba nexesha lakho kunye nokuvuthwa kwakhona.

Oogqirha abahlali bencomela ukuzama ukukhulelwa kwakhona de ube uneli xesha lokuqala emva kokuphuma kwesisu. Oku kwenza kube lula ukubala umhla wakho omiselweyo.

Ukuba unayo i-D kunye no-C (inkqubo yokuthambisa kunye neyokunyanga) njengenxalenye yokuhamba kwesisu, ugqirha unokucebisa ukuba ulinde imijikelezo emibini okanye emithathu ngaphambi kokuba uzame ukukhulelwa kwakhona. Kungenxa yokuba i-D kunye no-C banokuwunciphisa umgca wesibeleko, kwaye ulwelo olungqingqwa lungcono xa ukhulelwe. Umbane uya kwakha emva kweenyanga ezimbalwa.

Ukuthatha

Ukuphuma kwesisu kwangoko kunokuba ngamava abuhlungu ngokweemvakalelo nangokomzimba. Ukuba ukrokrela ukuba ungaphuphuma kwesisu, thetha nogqirha wakho. Ugqirha wakho angayalela uvavanyo, kubandakanya uvavanyo lwegazi lwe-hCG, ukuze akunike ulwazi oluthe kratya.

Ukuba unesisu esiphumayo, yazi ukuba oko akuthethi ukuba awuzukuqhubeka nokukhulelwa ngempumelelo. Ngapha koko, uninzi lwabantu luyakwenza oko.

Yazi kwakhona ukuba kukho imibutho emininzi ebonelela ngenkxaso kwabo banamava okuphulukana nokukhulelwa. Thetha nogqirha wakho ngolwazi oluthe kratya.