Evanhu Chorionic Gonadotropin (hCG) Matanho uye Kuparadzana: Izvo Zvaunofanirwa Kuziva

Zvemukati

• Mhedziso
• HCG mazinga mukuzvitakura
• HCG nhanho mukuparara
• Ko mashoma mazinga anoreva kureva kupererwa nemimba here?
• Kudonhedza nhanho kunoreva here kuenda nemimba?
• Kukwira kunonoka kunoreva here kuenda nemimba?
• Vanachiremba vanosimbisa sei kupererwa nemimba
• Kuwana mazinga hCG kudzokera ku zero mushure mekusununguka
• Kutora

Mhedziso

Chorionic gonadotropin (hCG) ihormone inogadzirwa nemuviri panguva yepamuviri. Inotsigira kukura kwechibereko.

Vanachiremba vanoyedza hCG mazinga mumurini uye muropa kusimbisa nhumbu. Ivo zvakare vanoshandisa hCG kuongororwa kweropa kubatsira kuona kana munhu angave ari kuve ne ectopic nhumbu kana kupererwa nemimba.

Kubata, ectopic nhumbu, uye kupererwa nemimba hazvingambozoonekwa zvichibva pane imwe hCG level yega, asi zvinobatsira kuziva mashandiro aya mazinga muzviitiko zvakadaro.

HCG mazinga mukuzvitakura

Kana iwe uchifunga kuti une nhumbu, chiremba anozoongorora ropa rakatorwa kubva mutsinga kuti aone yako hCG mazinga.

Kana iwe usina hCG iripo muropa rako, izvi hazvireve hazvo kuti hauna nhumbu. Iwe unogona kunge uchikurumidza munguva yako yekuzvitakura kuti yako hCG nhanho dziwedzere.

HCG yakakwira kupfuura mamirioni mashanu epasi rose mayuniti pamamirilita (mIU / mL) anowanzo kuratidza kubata. Mhedzisiro yako yekutanga bvunzo inoonekwa seyero yekutanga. Iyi nhanho inogona kutangira kubva padiki diki hcG (senge makumi maviri mIU / mL kana kutodzika) kusvika pamari hombe (senge 2,500 mIU / mL).

Chikamu chekutanga chakakosha nekuda kwechirevo vanachiremba vanosheedzera zvakapetwa nguva. Mumavhiki mana ekutanga epamuviri ane mukana, hCG nhanho dzinowanzo wanda zvakapetwa pamazuva maviri kusvika matatu. Mushure memavhiki matanhatu, iwo mazinga anowedzera zvakapetwa kanenge maawa ese makumi mapfumbamwe nemasere.

Saka, kana yako yekutanga nhanho yakakwira kupfuura mashanu mIU / mL, chiremba wako anogona kuraira kudzokorora bvunzo mazuva mashoma gare gare kuti aone kana iyo nhamba yakapetwa kaviri.

Mukushayikwa kweimwe njodzi, iyi (kana imwe nhanho yekuwedzera) inogona kukwana kuti uwane nhumbu. Muzviitiko zvakawanda, chiremba wako anozokukurudzira kuti uve neultrasound imwe nguva pakati pemasvondo masere kusvika gumi nemaviri sechikamu chekutanga kutakura kubata pamuviri.

HCG nhanho mukuparara

Kana iwe uri panjodzi yekuparara kana ectopic nhumbu, iwe unowanzo kuve uine hCG nhanho dzisingapetane. Ivo vanogona kutoderera. Naizvozvo, chiremba wako anogona kukukumbira kuti udzokere kuhofisi kwavo mazuva maviri kana matatu mushure mekuongororwa kweropa rako rekutanga kuti uone kana yako nhanho yakapetwa kaviri zvakakodzera.

Kana yako hCG nhanho ikasaswedera padyo nekupeta mushure memaminetsi makumi mana nemasere kusvika makumi manomwe nemaviri, chiremba wako anogona kunge achinetseka kuti nhumbu iri panjodzi. Mune zvoutano, izvi zvinogona kunzi zvinogona "kubata pamuviri."

Kana ako mazinga ari kudonha kana kukwira zvishoma nezvishoma, iwe ungangotumirwa kune kumwe kuyedzwa futi. Izvi zvinogona kusanganisira progesterone kuongororwa kweropa uye transvaginal ultrasound kuti utarise chibereko chako chegestational sac. Zvimwe zviratidzo, senge kubuda ropa kana kupwanya, zvichazotarisirwawo.

Muchiitiko chekutora nhumbu, hCG nhanho dzinowanzodzikira kubva pazviyero zvakapfuura. Semuenzaniso, nhanho yekutanga ye120 mIU / mL iyo yakadonhedzwa ku80 mIU / mL mazuva maviri gare gare inogona kuratidza kuti "embryo" haisisiri kukura uye muviri hausi kuburitsa mamwe mahormoni kutsigira kukura kwayo.

Saizvozvowo, mazinga asiri kuwanda uye ari kungomuka zvishoma nezvishoma - semuenzaniso, kubva pa120 mIU / mL kusvika ku130 mIU / mL mukati memazuva maviri - zvinogona kuratidza nhumbu isingabvumike yechibereko umo kusununguka kwepamuviri kunogona kuitika munguva pfupi.

Matanho ari kunonoka kumuka anogona zvakare kuratidza isiri-yechibereko nhumbu, inoitika kana iyo yakabereka mazai mazai kumwe kunze kwechibereko (kazhinji iyo fallopian machubhu). Nekuti ectopic nhumbu inogona kuve yekurapa emergency, zvakakosha kuti chiremba azive izvi nekukurumidza sezvazvinogona.

Kune rimwe divi, zvinokwanisika kuve nemaviri hCG mazinga ane ectopic nhumbu. Ichi ndicho chikonzero hCG mazinga ari ega haana kukwana kuti uone zviri kuitika ne 100 muzana kurongeka.

Ko mashoma mazinga anoreva kureva kupererwa nemimba here?

Nheyo yepasi yepasi haisi chaiyo chiratidzo cheyese nyaya mukati uye yega. Iwo akajairwa masosi e hCG panguva dzakasiyana dzepamuviri akanyanya kwazvo.

Semuenzaniso, zuva rimwe chete mushure mekushaya nguva yako, hCG yako inogona kungova gumi kana gumi nemashanu mIU / mL. Kana inogona kuve inopfuura mazana maviri mIU / mL. Nhumbu yega yega yakasiyana nenyaya iyi.

Izvo zvinonyanya kukosha shanduko nekufamba kwenguva. Vanhu vakasiyana vachange vaine mabhesheni akasiyana uye vachine nhumbu dzisingaperi.

Kudonhedza nhanho kunoreva here kuenda nemimba?

Kana ako mazinga ari kudonha, maonero ekuzvitakura kwako haawanzo kuve akanaka.

Zvinogona kuti murabhoritari ingadai yakanganisa. Izvo zvinogona zvakare kuve mamiriro ekuti preexisting mamiriro, senge ovarian hyperstimulation syndrome (OHSS) inotevera kurapa kwekubereka, iri kukanganisa ako mahormone mazinga.

Zvisinei, kazhinji, kuderera kwemazinga eHCG mushure mekubata kwakanaka kwepamuviri hachisi chiratidzo chakanaka. Mikana ndeyekuti nhumbu haigone, sekureva kwemagazini Fertility uye Kubereka.

Kukwira kunonoka kunoreva here kuenda nemimba?

Zvishoma nezvishoma kuwedzera hCG nhanho hazvireve kuti urikupararira, asi ivo vanowanzo ratidzira kumwe kuyedza kuti uone kana uri.

Vanachiremba vanoshandisa dhata rakanangana nezvidiki-zviyero zvidzidzo mune avo vakave nepamuviri mushure mekurapa kwepamuviri, sekureva kwemagazini Fertility uye Kubereka. Idzo hCG nhamba dzinogona kubatsira mukutungamira nhanho dzinotevera, asi hadzisi chiratidzo chakazara chekubvisa nhumbu kana nhumbu inoshanda.

Vanachiremba vanonyanya kushandisa zvakapetwa nguva ku simbisa nhumbu, kwete kuongorora kubuda kwepamuviri. Sekureva kwemagazini, makumi mashanu neshanu muzana kana kuwedzera kwakakura mumatanho eHCG mushure memazuva maviri kunogona kusimbisa nhumbu inoshanda muna 99 muzana yemimba.

Chinhu chakakosha kufunga nezvakapetwa nguva ndiko kutanga hCG kukosha. Semuenzaniso, avo vane yekutanga hCG nhanho pazasi pe 1,500 mIU / mL vane yakawanda "nzvimbo" yekuwedzera yavo hCG nhanho.

Mumwe munhu angave ari kumberi kupfuura zvavanofunga uye anotanga padanho hCG yepamusoro ye5,000 mIU / mL kana mukuru kazhinji haana chiyero chakafanana chehCG inowedzera, zvinoenderana.

Kutakura kuwanda (mapatya, matatu, nezvimwewo) kunogona kukanganisa chiyero che hCG kumuka, pamwe nekureba kwaunenge uri.

Ectopic nhumbu uye kupererwa nepamuviri zvinogona kukonzera yakaderera hCG nhanho. Kubata kwepamuviri kunogona kukonzera mazinga akakwirira.

Vanachiremba vanosimbisa sei kupererwa nemimba

Vanachiremba vanoshandisa bvunzo dzakasiyana kuti vasimbise nhumbu. Izvi zvinosanganisira:

• kuita kuongororwa kweropa, kusanganisira hCG uye progesterone
• uchifunga nezvezviratidzo, zvakadai sekumanikidza kwepamuviri kana kubuda ropa mumukadzi
• kuita yemadzimai ultrasound uye pelvic bvunzo
• kuitisa fetal moyo kuongorora (kana mazuva ako achiratidza kurova kwemoyo wechibereko kunofanirwa kuonekwa)

Chiremba wako anozotora zvidimbu zvemashoko akawandisa asati aongorora kupererwa. Kana iyo nhumbu iri yekutanga kwazvo, kudzikira hCG mazinga inogona kunge iri nzira chete yekuona kuti kusununguka kwepamuviri kungangoita kusvika imwe nguva yapfuura.

Zvakakosha vanachiremba kuti vaone kupererwa kwepamuviri kana ectopic nhumbu nekukurumidza sezvazvinogona. Ectopic nhumbu inogona kukonzeresa kuputika kwe fallopian tube kana imwe kukuvara kunotyisidzira kubereka kwako nehupenyu. Kupererwa nepamuviri kunoguma nekuchengetedza matishu kunowedzera hutachiona uye njodzi yekubuda ropa.

Nezvikonzero izvi, kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge

Kubata kwepamuviri kunogona zvakare kutora kushungurudzika. Kuongororwa kunogona kupa kuvhara uye kubvumira kushungurudzika uye nzira yekurapa kutanga.

Kuwana mazinga hCG kudzokera ku zero mushure mekusununguka

Kana iwe uchinge wapererwa (uye zvakare chero nguva yaunobereka), muviri wako hauchaburitse hCG. Ako mazinga anozopedzisira adzokera ku0 mIU / mL.

Muchokwadi, chero chinhu chisiri pasi pe5 mIU / mL chinonzi "chisina," zvinobudirira, 1 kusvika 4 mIU / mL inoonekwawo se "zero" navanachiremba.

Kana iwe ukave nepamuviri, iyo nguva yainotora kuti ako mazinga kuti uende kune zero anosiyana zvichibva nekukwirira kwakaita ako mazinga panguva yekuparara. Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge waita.

Kana hCG yako yaive muzviuru kana makumi ezviuru pawakasununguka, zvinogona kutora mavhiki akati kuti mazinga ako adzokere ku zero, sekureva kweAmerican Association for Clinical Chemistry.

Paunosvika pazero, iwe unowanzo vatanga kuve nenguva yako uye ovulating zvakare.

Vanachiremba havawanzo kukurudzira kuedza kubata nhumbu zvakare kusvikira iwe uine iyo yekutanga nguva mushure mekubva kwako kwepamuviri. Izvi zvinoita kuti zvive nyore kuverenga zuva rako rakakodzera.

Kana iwe uine D uye C (dilation uye curettage) maitiro sechikamu chekuparara kwako, chiremba wako anogona kukurudzira kumirira maviri kana matatu macircuit usati waedza kubata pamuviri zvakare. Izvi zvinodaro nekuti D naC vanogona kutetepa hutanda hwechibereko, uye mukobvu wakanyanya uri nani pakubata. Iyo lining ichavaka kumashure kumusoro kwemwedzi mishoma.

Kutora

Kukurumidza kubuda pamuviri kunogona kuva kunorwadza mupfungwa uye mumuviri chiitiko. Kana iwe uchifungidzira kuti iwe unogona kunge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge Chiremba wako anogona kuraira bvunzo, kusanganisira iyo hCG yeropa bvunzo, kuti ikupe iwe nerumwe ruzivo.

Kana iwe ukave nepamuviri, ziva kuti hazvireve kuti hausi kuzoenderera uine nhumbu inobudirira. Muchokwadi, vanhu vazhinji vanodaro.

Ziva zvakare kuti kune akawanda masangano anopa rutsigiro kune avo vakasangana nepamuviri kurasikirwa. Taura nachiremba wako kuti uwane rumwe ruzivo.