Kuti uwane humwe hutano hweHCG panguva yekuzvitakura tichaona kuti chii chaiyo hCG, uye chii chazvinoreva. Munhu chorionic gonadotropin (hCG) inonzi hormone inogadziriswa yakavigwa nesarudzo yomukadzi ane pamuviri pakutanga kwekudzivirira uye placenta asati aberekwa. HCG iripo mumuviri wemunhu uye kupfuura mimba yekuita pamuviri, asi kukanganiswa kwayo kwakanyanya. Nhamba yakakwirira inowanikwa mumukadzi asiri kunze kana murume anoratidza maitiro ehupenyu mumutumbi. Panguva yekuzvitakura, mazuva anenge 7-10 mushure mekubata pamuviri, uwandu hwe beta-hCG hunowedzera uye hunogona kugadziriswa. Kazhinji beta-hCG inowedzera kaviri mazuva maviri, nhepfenyuro yayo inowira kumavhiki manomwe kusvika ku11, uye inoramba ichienda kune imwe nyika. Inokurudzirwa kuvhara 1 trimester kakangodarika masvondo gumi nemana ekuberekwa, hCG mahara munyaya iyi kubva pa200 000 kusvika ku 60,000 mU / ml, inotarisirwa kuziva kutambudzika kwekutanga kwekuita pamuviri kana kukwanisika kuberekwa kwepabonde.
Mutengo weHCG muvakadzi vane pamuviri
Kukosha kweHommone HCG kwakaoma kufungisisa: inogadzirwa nemuviri, inobvumira kuti njodzi ivepo kwete kwemavhiki maviri sepakati pemazuva ose ekuenda kumwedzi, asi nguva yose yekuita nguva. HCG ine mapoka maviri maviri - alpha uye beta. Iyo kuongororwa inotorwa neinous blood sampling. Pamusoro pekuongororwa kwemashoko mashomanana, bhiiyo yakasiyana-yeHCG yeropa inoshandiswa, chimiro chekuita pamuviri ndeye 1000-1500 IU / l. Kana iyo hCG yepamusoro inopfuura 1500 IU / L, iyo fetal egg muuterine cavity inofanira kuonekwa zvakajeka ne ultrasound kuongorora.
Kana hCG yakakwirira pane yakasununguka pakuve nepamuviri, inogona kutaura nezve toxicosis, Down's syndrome kana mamwe fetal pathologies , chirwere cheshuga mellitus, vakadzi vane pamuviri, nguva isina kunaka yekuzvitakura. Uyewo, maitiro eHCG muviri, mitemo yeHCG chero ipi zvayo yekuzvitakura yakawanda inowedzera maererano nehuwandu hwemamu.
Kana HCG yakaderera pane yakasununguka pakuve nepamuviri, izvi zvinogona kuratidzira kunonoka pakukura kwe fetal, kushaya kukwana, kuberekwa kusina kukura kana kufa kwekuberekwa (panguva yekuongororwa mune yechipiri kusvika kune chetatu chechitatu). Chimiro cheHCG neEctopic pregnancy chinodarika 1500 mIU / ml, uye fetal egg muuterine cavity haisati yasarudzwa.
Kuongorora kweHCG panguva yekudzivirira - inowanzoitika
Pakutsvakurudzwa kweropa pa b hchch pakuberekwa kunowanzoita:
- kwemavhiki maviri - kubva pa25 kusvika 300 mU / ml;
- 2-3 mavhiki - kubva pa1500 kusvika ku 5000 mU / ml;
- pamasvondo 3-4 - kubva 10 000 kusvika 30,000 mU / ml;
- pamasvondo 4-5 - kubva pa20,000 kusvika ku100 000 mU / ml;
- pamavhiki mashanu kusvika ku6 - kubva pa50 000 kusvika 200,000 mU / ml;
- pamasvondo matanhatu kusvika ku7 - kubva pa50,000 kusvika 20,000 mU / ml;
- pavhiki 7-8 - kubvira 200,000 kusvika 200,000 mU / ml;
- pamavhiki 8-9 - kubvira 200,000 kusvika 100,000 mU / ml;
- pamavhiki 9-10 - kubva 200,000 kusvika 95,000 mU / ml;
- pamasvondo gumi nemasere kusvika ku12 - kubva 200,000 kusvika 90,000 mU / ml;
- pavhiki 13-14 - kubva 15,000 kusvika 60,000 mU / ml;
- pavhiki 15-25 - kubva pa10 000 kusvika ku 35,000 mU / ml;
- pavhiki 26-37 - kubva pa10 000 kusvika ku 60,000 mU / ml.
Cherechedza kuti nekutarisa kwepabonde, hCG inotsanangurwa zvese se chimwe nechimwe chine mamiriro acho ega uye chigumisiro chinogona kuchinja zvishoma.
HCG - mitemo yeVIV
Zviyero zveHCG mushure meVIV zvinowanzopfuura zvakanyanya kupfuura pakuzvarwa pamuviri nenzira dzechisikirwo, nokuti musati mutezo muviri wemukadzi uyu unogadzirwa nemahomoni kuitira kuti ugadzirire mhuka yekuita pamuviri uye kutakura mwana wemucheche. Saka, zvakaoma kuziva maana mapfumbamwe kana katatu mushure mekuita in vitro fertilization. Asi kana chigumisiro icho chinopfuura kudarika kweHCG ne 1.5 kana 2 - unogona kugadzirira kuberekwa kwamawele kana katatu.
Muitiro weHCG panguva yekuzvitakura kweIOM
Mushure mekuwana chigumisiro chekuongororwa kweHCG, imwe magetsi inonzi MOM inotorwa, iyo inoshandiswa kuverenga zviratidzo zvengozi. Inotaridzirwa sehuwandu hweHCG mu serumamu kusvika kuhuwandu hwemakore ekugumira. Chimiro cheHCG panguva yekuzvitakura kweIOM chimwe.
Zvichienderana nemigumisiro yakawanikwa mumutambo wekutanga wekuedzwa, zvinobvira kuziva kana mukadzi ane pamuviri ari pangozi yechromosomal pathologies uye congenital anomalies. Pamberi payo, nyevera pamusoro pezvinetso zvinogona kuitika kana kugadzirira amai vari mberi mune kuberekwa kwomwana ane utano.