Ukuhlolwa kwegazi ngezinga le-hCG
Ukuhlaziywa kokuqala owesifazane angakwenza ngokwabo ukuhlola ukukhulelwa. Kungenxa yakhe ukuthi ungakwazi ukucacisa ukuba khona kanye nezinga lomchamo kumchamo we-hCG (i-chorionic gonadotropin yomuntu), okukuvumela ukuba ubone ukukhulelwa ezinkathini zokuqala. Uma emva kokuhlolwa ungaqiniseki ngemiphumela yayo, udinga ukwenza ukuhlolwa kwegazi ku-hCG ebhokisatri.
Isimiso se-hCG ngesikhathi sokukhulelwa
- Ukuze uqonde ukuthi yini eyinkinga, kubalulekile ukuthola ukuthi yini i-gonadotropin ye-chorionic yabantu. Ngemuva kweqanda elikhulelwe lihambisana nesibindi, i-chorion (igama lesayensi lombungu wesisu) liqala ukukhiqiza i-gonadotropin. Lokhu ukuvikela umbungu kusuka ezimweni ezinonya zesingeniso emzimbeni womama.
Ngendlela, isizinda semimoya yama-hormone eshintshashintshayo njalo ngenxa yabesifazane abakhulelwe ngenxa yokutholakala kwaleli hormone, okusiza ukulungiswa kwazo zonke izinqubo emzimbeni wesifazane ukugcina nokuthuthukisa impilo entsha.
- Ngaphezu kwalokho, i-hCG inciphisa umsebenzi wesimiso somzimba sokuzivikela, hhayi ukuyivumela ukuba ibhubhise "imvelo" engokwemvelo. Kungenxa yalesi sizathu ukuthi ekuqaleni kwe-hormone ikhiqizwa kakhulu, ikhula cishe kabili ezinsukwini ezimbili.
- Uma sicabanga ngendlela evamile yokuqukethwe kwe-hCG egazini, kufanele kuqashelwe ukuthi emasontweni ambalwa okuqala angakwazi ukufinyelela amayunithi angu-300, okwesithathu kuya ku-5000, ekupheleni kwenyanga yokuqala kuya ku-30 000. Abanye abantu esikhathini esivela emavikini angu-5 ukuya kwangu-8, ngisho nase-200 000 amayunithi. Ngemuva kwalokhu kuphakama, kuvame ukwehla kumazinga e-hormone emzimbeni wesifazane okhulelwe.
Indlela yokuhlonza i-ectopic noma ukukhulelwa okubandayo?
Kumele kuqashelwe ukuthi imiphumela yokuhlolwa kokukhulelwa kwe-ectopic ibonisa okulinganayo nokujwayelekile, ngakho kufanele ngokushesha ngemuva kokuthola umphumela omuhle, xhumana nochwepheshe. Udokotela onolwazi uzokwazi ukubona ukungaqondakali kwemvelo ngokusebenzisa i-ultrasound, i-laparoscopy yokuhlonza kanye nokuhlaziywa kwegazi kwe-hormone ngosuku lokuqala. Lezi zinsuku ziphumelela ngoba, ngenxa yokuthi ingozi ekhulayo yokukhulelwa kwe-ectopic, izinga leHCG liyancipha kakhulu, okuwubufakazi bokubekwa kombungu emzimbeni wesifazane, noma ukukhulelwa okubandayo.
Ingabe kukhona isizathu sokukhathazeka ngeHCG eyanda?
Kubalulekile ukukhuluma ukuthi izici zomzimba zenyama yomama wesikhathi esizayo zingathonya ukuphambuka kweHCG kusukela esimweni esijwayelekile noma kwesinye isikhathi kumaviki onke. Leli qiniso kumele licatshangelwe ngaphambi kokuzimela ngokuzimela ukuxilongwa - ukuhlaziywa nokuqhathaniswa kwemidwebo kufanele kuthathwe ngudokotela ovela kuso.
Akuzona njalo izinga eliphakeme laleli hormone egazini lichaza ukwehluka ekukhulelweni, kungahamba kuphela ne-toxicosis. Kodwa, uma kuhlangene nezinye izivivinyo, izinkomba zayo zihluke kakhulu nokujwayelekile, lokhu kungabonisa ukuthi kukhona isifo sikashukela noma i-gestosis, kwezinye izimo - ngisho nokuthi kukhona ingozi yokuba nengane ene-Down's syndrome.
Noma kunjalo, kufanele ukukhumbule futhi ukuthi akudingekile ukuba uvalo ngaphambi kwesikhathi uma kunezinhlobo ezingavamile kumazinga we-hCG kusukela kuvamile, ngoba lokhu kungenxa yezizathu eziningi. Yingakho ukuxilongwa kokugcina kufanele kugcinwe ochwepheshe - udokotela olaphayo.