Ngabe kusungulwa nini izinga le-gonadotropin ye-chorionic egazini labesifazane?
Ukunqunywa kokuhlushwa kwaleli hormone kwenziwa ngqo kwi-serum yegazi, esuswa emthonjeni. Izimpawu zalokhu ziyi:
- ukusungulwa kweqiniso lokukhulelwa ngesikhathi esifushane kakhulu;
- ukusungulwa kwegama lokuqashwa;
- Ukuthola ukuhlukunyezwa okunjalo njengokukhulelwa kwe-ectopic;
- ukuhlonza usongo lokuqeda ukukhulelwa;
- ukuqapha izinhlobo ezithile zezicubu;
- ukutholakala ngaphambi kokubeletha kwezifo zofuzo.
Ukuhlolwa kweHCG kwenziwa kanjani?
Njengoba sekushiwo ngenhla, odokotela kuphela abakwazi ukuchaza ngokuqondile ukuhlolwa kwegazi. Njengoba wazi, izinga le-hormone egazini ngokuqondile lixhomeke esikhathini lapho kuthathwe khona indaba kanye nesifundo.
Uma kuhlaziywa imiphumela yokuhlaziywa kwe-HCG, odokotela ngokuvamile basebenzisa itafula. Likulo ngqo futhi libonise zonke izingcingo ezivumelekile ze-gonadotropin ye-chorionic ngokuhambisana nesikhathi sokugcina.
Yini engakwandisa ukuhlushwa kwe-hCG ngesikhathi kubhekwa umntwana?
Lolu hlobo lokuguquka ekuhlungeni kwe-gonadotropin ye-chorionic kungabonisa ukuba khona kwesifo sofuzo emntwaneni. Kodwa-ke, kufanele kuqaphele ukuthi ukuxilongwa akukaze kwenziwe ngesisekelo sokuhlaziywa okulodwa ku-hCG.
Uma usola ukwephulwa kwezinto zokufakelwa kwengane, yenza i-ultrasound. Kodwa-ke, le ndlela yokuxilongwa ayikho imininingwane embikweni wokuqala wokukhulelwa. Ngakho-ke, ngokuvamile ukuhlolwa kwesifo sokugcina, isampula se-amniotic fluid noma isisindo somzimba wombungu owenziwa, okuvumela ukuqinisekisa noma ukuphikisana nezinsolo ezikhona.
Ukwenyuka kwe-hCG ngesikhathi sokukhulelwa kubonisani?
Lapho kwenziwa incazelo yokuhlaziywa kweHCG ngokwetafula lezinkambiso, odokotela bavame ukuphawula ukungafani kwalesi sikhombisi ohlangothini oluncane. Okuyingozi kunazo zonke zezizathu zalesi simo kungase kube yingozi yokuqeda ukukhulelwa. Ezimweni ezinjalo, ukwanda kwe-hormone, okuvame ukwenzeka ngokukhuphuka esikhathini sokubeletha, ayitholakali.
Lesi simo singase sikhulume nokuphulwa okunjalo njengokukhulelwa okubandayo, okubhekene nokuphulwa kwentuthuko yesisu somntwana.
Kumele futhi kuthiwa ukuqapha izinga le-hCG ku-dynamics kubaluleke kakhulu ekuhloleni. Lokhu kuvumela ukunquma ukuphulwa okunjalo njengokukhulelwa kwe-ectopic, lapho ukwanda kwe-hormone ye-chorionic kuhamba kancane kakhulu kunokujwayelekile: ukwanda kwe-hCG kwezinsuku ezingu-2 kwenzeka ngaphansi kwezikhathi ezimbili, okumele kubonwe ngendlela evamile.
Ngakho-ke, njengoba kubonakala kulesi sihloko, izizathu zokushintsha izinga le-hCG egazini lomfazi esesimweni kungaba yiningi. Yingakho odokotela bengavumi kakhulu ukucacisa imiphumela yokuhlolwa kwegazi nge-hCG ngesikhathi sokukhulelwa kumama ozayo ngokwabo, futhi nakakhulu ukudweba noma yiziphi iziphetho. Ngisho nodokotela, ngaphambi kokuba aqhubekele ngezinyathelo eziqhubekayo zokuxilonga, uvame ukushiwo ukuhlunga kabusha ukuhlaziywa ngemuva kwesikhashana ukuqinisekisa ukuthi ukuthembeka kwemiphumela yocwaningo.