Ngesikhathi sokuhlela ukukhulelwa, owesifazane ufunda ulwazi oluthe xaxa ngomzimba wakhe, mayelana nezici zesakhiwo sakhe nokusebenza, mayelana namahomoni asithinta ikhono lokukhulelwa ingane futhi athuthukise ingane. I-progesterone ingenye ye-hormone esemqoka echaphazela ngokuqondile inqubo yokuthela ingane, okuthiwa yi "i-hormone yokukhulelwa". Udlala indima ebaluleke kakhulu phakathi ne-trimester yokuqala, lapho umzimba womntwana wesikhathi esizayo ukhiwa.
Iyini isimiso se-17-OH progesterone?
I-17-OH progesterone (i-17-hydroxyprogesterone) i-steroid ekhiqizwa ezigulini ezinama-adrenal, izilonda zobulili kanye ne-placenta, umkhiqizo wokuguqulwa kwamagciwane we-progesterone kanye no-17-hydroxyprepnenone ungenye ye-placenta progestins. I-biomaterial - igazi lisetshenziselwa ukuhlaziywa. Umphumela ungatholakala kakade ngosuku ngemuva kwediphozi. Okuvezwa kakhulu yilolu suku lwesi-5-6 lomjikelezo ojwayelekile wokuya esikhathini.
I-hormone evamile ye-17-OH progesterone incike esikhathini sokukhulelwa. Uma ukukhulelwa kuvamile, ngakho akudingeki ukuthi uthathe lokhu kuhlaziywa. Uma kukhona ukusola kwezinga eliphakeme lamahomoni, kufanele udlule uvivinyo uphinde uthintane nodokotela wakho. Owesifazane okhulelwe, okuvamile kuyinto engu-17-OH progesterone:
- ngo-1 trimester, 1.3 - 3.0 ng / ml;
- ku-trimester yesibili - 2.0 - 5.0 ng / ml;
- ku-3rd trimester - 5.0 - 8.3 ng / ml.
Uma i -proxy-17-OH ingaphezu kwendabuko , ukubonisana kwe-endocrinologist kuyadingeka. Ngokuvamile batusa izidakamizwa Amandla, i-Dexamethozone, i-Femoston, i-Dyufaston ngokwemiyalo, bese uphinde uhlole izivivinyo. Ukuthatha imithi kuyadingeka kuphela odokotela kadokotela, njengoba imiphumela yezivivinyo kanye nezici zomzimba zodwa futhi zidinga ukuhlaziywa kwezokwelapha nokuqapha okuqhubekayo ngesikhathi sokuphatha imithi. Ukuzivocavoca kubonisa ukuthi ukwelashwa okukhethiwe kahle nokuhambisana nayo yonke imiyalelo kadokotela kuholela ekunciphiseni izinga le-17-OH progesterone nokukhulelwa okuphumelelayo ngaphambi kokuba umntwana azalwe.