Uhlalutyo lwe-hormone yokukhulelwa kunye nendlela yokufunda umphumo wovavanyo lokukhulelwa kwedijithali?

mohamed elsharkawy
Iinkcukacha zajikelele
mohamed elsharkawyIsifundi sobungqina: nancyNgoSeptemba 17, 2023Uhlaziyo lokugqibela: kwiinyanga ezi-9 ezidlulileyo

Uhlalutyo lwamahomoni okukhulelwa

Uhlalutyo lwe-hormone yokukhulelwa lubhekwa njengenye yeendlela ezilungileyo zokuvavanya ukukhulelwa, njengoko igalelo ekunqumeni ixesha lokukhulelwa ngokuchanekileyo. Olu vavanyo lulinganisa inqanaba lehomoni yokukhulelwa (HCG) egazini, eyihomoni enceda ukuvuselela ama-ovari ukuba avelise amanqanaba aphezulu eprogesterone. Isampuli yegazi ithathwa kwaye ifakwe kwisixhobo sovavanyo ukufumana iziphumo ezikhawulezayo nezichanekileyo.

Kukho iintlobo ezimbini zokuhlalutya i-hormone yokukhulelwa ekhoyo, eyokuqala isetyenziselwa ukufumanisa okanye ukukhanyela ubukho bokukhulelwa, ngaphezu kokubeka iliso ekukhuleni komntwana. Ixabiso le-hCG elingaphantsi kwe-5 mIU/mL lithathwa njengovavanyo olubi. Uhlobo lwesibini, oluluhlalutyo lwedijithali, lulinganisa ipesenteji yehomoni yokukhulelwa ngokuthe ngqo egazini, kwaye ibonakaliswe ngokuchaneka kwayo okuphezulu kunye nesiphumo esithile.

Elona xesha lilungileyo lokwenza uvavanyo lwe-hormone yokukhulelwa yiveki emva kokuchumisa kweqanda, oko kukuthi, iveki okanye iintsuku ezi-5 ngaphambi kwexesha. Nangona kunjalo, ukulinda de ixesha lakho lifike kuthathwa njengelona lichanekileyo. Iziphumo ezintle ngexesha loviwo lokuqala zibhekwa njengesantya esingaphezu kwe-25 mIU / mL.

Inqanaba le-hormone yokukhulelwa lilinganiswa ngovavanyo lwegazi lebhubhoratri, apho isampuli yegazi ithathwa kwaye ihlalutywe kwisixhobo sokuvavanya. Uhlalutyo lwe-hormone yokukhulelwa yenye yeendlela ezichanekileyo nezithembekileyo zokumisela ixesha lokukhulelwa kunye nokuqinisekisa ubukho bayo kwangaphambili.

Imilinganiselo yohlalutyo lwedijithali kunye nokufunda kwayo okuchanekileyo

Yintoni inqanaba leHCG ekukhulelweni kokuqala?

Izinga le-hormone yokukhulelwa (HCG) liyatshintsha ngexesha lokukhulelwa.Ekuqaleni kokukhulelwa, izinga liphantsi kwaye linyuka ngokuthe ngcembe. Ukukhulelwa ngokuqhelekileyo kunokubonwa kusetyenziswa uvavanyo lokukhulelwa kwedijithali olulinganisa ngokuchanekileyo izinga lehomoni yokukhulelwa (HCG) egazini.

Kwiiveki zokuqala zokukhulelwa, izinga le-hCG liphakathi kwe-6 kunye ne-24 yezigidi ze-IU / mL. Oku kuthathwa njengendawo engwevu, kwaye ukukhulelwa kuhlala kuqinisekiswa emva kovavanyo olongezelelweyo.

Xa ukukhulelwa kwenzeka ngomhla we-14 emva kwe-ovulation, izinga le-hormone yokukhulelwa (HCG) lifikelela kwixabiso eliphezulu. Kulindeleke ukuba ibe malunga ne-8270 mIU/L. Inqanaba le-hormone yokukhulelwa (HCG) landa ngaphezu kwexesha kwaye liqhubeka likhula ngexesha lokukhulelwa.

Uthini umlinganiselo wokukhulelwa kuhlalutyo lwehomoni?

Uhlalutyo lweHormonal yenye yeendlela ezisebenzayo ezisetyenziselwa ukumisela nokubeka iliso lokukhulelwa. Inqanaba le-hormone yokukhulelwa egazini livavanywa ukuze kuqinisekiswe ukuba umfazi ukhulelwe okanye cha. Inqanaba eliqhelekileyo lokukhulelwa kwehomoni landa kancane kancane emva kokukhulelwa kwaye liphindwe kabini iintsuku ezimbini. Inqanaba eliqhelekileyo lokukhulelwa kwehomoni kwiiveki zokuqala zokukhulelwa malunga ne-7,650 - 229,000 mm / ml, kwaye kwiiveki zokugqibela malunga ne-25,700 - 288,000 mm / ml. Kuyafaneleka ukuba uqaphele ukuba iireyithi ezikhankanyiweyo ziqikelelo kwaye ziyahluka ukusuka kwelinye ibhinqa ukuya kwelinye. Ukungabikho kokukhulelwa, izinga le-hCG lingaphantsi kwe-5 mIU / mL. Kwezinye iimeko, uhlalutyo lwe-hormone yokukhulelwa lunokusetyenziselwa ukumisela ipesenti ngokuchanekileyo.

Xa uvavanyo lweHCG lubonisa ukuba unayo?

Isiphumo esihle sovavanyo lweHCG luphawu olunamandla lokukhulelwa. Uvavanyo lweHCG lunokuba luhle malunga neentsuku ezili-11 emva kokukhulelwa. Uhlalutyo lweHCG luxhomekeke ekuboneni ubukho behomoni "i-chorionic gonadotropin yomntu" egazini. Umzimba womfazi uqala ukukhupha le hormone emva kokukhulelwa kwaye umntwana ufakwe kwisibeleko.

Uvavanyo lokukhulelwa komchamo lunokubona ubukho behomoni yeHCG kwiiveki ezimbini emva kwe-ovulation. Xa usenza olu vavanyo, ithontsi lomchamo libekwe kuluhlu lovavanyo kwaye umphumo ulindelwe. Ukuba umphumo ulungile, kuthetha ukuba kukho ukukhulelwa.

Uvavanyo lokukhulelwa kwegazi lolona vavanyo luchanekileyo ukumisela ubukho bokukhulelwa. Ubukho be-hormone yeHCG egazini bunqunywe kwiiveki ezimbini emva kwe-ovulation. Olu vavanyo lusetyenziselwa ukumisela iminyaka ye-fetus kunye nokufumanisa ukukhulelwa okungaqhelekanga.

Kubalulekile ukuqaphela ukuba iimvavanyo zasekhaya ngamanye amaxesha zinokunika iziphumo ezingezizo. Kunokubakho ukulibaziseka ekubonakaleni kwehomoni yeHCG kumchamo emva kokukhulelwa, kwaye ngoko umphumo ongalunganga unokuvela nangona kukho ukukhulelwa. Ngoko ke, ukuba awuqinisekanga ngesiphumo, kukulungele ukwenza uvavanyo lwegazi ukuqinisekisa ubukho bokukhulelwa.

Uhlalutyo lwehomoni yokukhulelwa ngegazi

Yiyiphi inqanaba eliqhelekileyo lamahomoni okukhulelwa kwiveki yesithathu?

Kwiveki yesithathu yokukhulelwa, inqanaba eliqhelekileyo lehomoni yokukhulelwa liphakathi kwe-5 kunye ne-50 mIU / ml. Le pesenti ithathwa njengokwahluka kwaye inokwahluka ukusuka kowasetyhini ukuya komnye. Uxinzelelo lwehomoni yokukhulelwa luphindwe kabini malunga neentsuku ezingama-2-3 ngeli nqanaba. Uxinzelelo lwe-hormone kulindeleke ukuba lwande ngexesha, ukusuka kwi-500 ukuya kwi-1080 mIU / mL ngeveki yesithandathu, i-229,000-7,6590 mIU / mL kwiiveki zesixhenxe kunye nesibhozo, kunye ne-288,000-25,700 mIU / mL Kwiiveki zesithoba ukuya kweyeshumi elinesibini, kunye ne-254,000 mIU/ml kwiveki yeshumi elinesithathu ukuya kweyeshumi elinesithandathu.

Xa amanqanaba e-hormone yokukhulelwa aphantsi?

Xa amanqanaba e-hormone yokukhulelwa eqala ukuhla kwi-trimester yokuqala yokukhulelwa kwithuba leentsuku ezimbini ukuya kwezintathu, oku kuthathwa njengophawu lokukhulelwa kakubi. Ihomoni yokukhulelwa, eyaziwa ngokuba yi-hCG, ilinganiswa egazini. Umgangatho oqhelekileyo we-hormone yokukhulelwa obuthathaka phakathi kwe-2 kunye ne-6 ml IU / ml.

Izinga eliphantsi le-hCG egazini phakathi kwe-6 kunye ne-24 μ / ml libhekwa njengobungqina bokukhulelwa okungahambi kakuhle. Naliphi na inqanaba elingaphezu kwe-25 microns / ml libonisa ukukhulelwa okulungileyo. I-hormone yokukhulelwa ithathwa njengesalathisi esithembekileyo sokukhulelwa, kwaye ukuba izinga le-hormone liphinda lihlolwe kwaye ipesenti ibonakala iphantsi, oku kungabonisa ukukhulelwa okubi.

Kukho izizathu ezininzi zobuthathaka behomoni yokukhulelwa, kubandakanywa ubuthathaka emlonyeni wesibeleko, okukhokelela ekubeni ubunzima bokugcina ukukhulelwa okulungileyo kwizigaba zokuqala. Ngexesha lokuqala lokukhulelwa, izinga lehomoni lokukhulelwa libuthathaka kwaye obu buthathaka buqhubeka iintsuku ezimbini ukuya kwezintathu. Ukusilela kweHormone ngamanye amaxesha kunokuba luphawu lweengxaki zokukhulelwa.

Ngaba amahomoni aphezulu okukhulelwa abonisa ukukhulelwa okukhuselekileyo?

Ihomoni ephezulu yokukhulelwa yenye yeempawu zokuqala zokukhulelwa, kodwa akuthethi ukuba ukukhulelwa okunempilo. Amanqanaba aphakamileyo ale hormone anokubaxwa ngenxa yezinye izifo. Ngoko ke, ibhinqa kufuneka lenze uhlalutyo lwesibini kwaye lithelekise kunye nohlalutyo lokuqala ukuqinisekisa ukhuseleko lokukhulelwa. Ukuba ipateni yokunyuka kwehomoni iqhelekile kwaye iphindaphindeka kabini kwiintsuku ezimbini, oku kubonisa ukukhula okuqhelekileyo komntwana. Kuyafaneleka ukuba uqaphele ukuba ukwanda kwehomoni yokukhulelwa akusoloko kuhambelana nokuvela kwesicaphucaphu kunye nokuhlanza, kwaye oku kunyuka kunokuhambelana nezinye iimpawu. Ngoko ke, ibhinqa kufuneka lidibane nodokotela ukuba ahlole ngokuchanekileyo imeko kwaye anqume ukhuseleko lokukhulelwa.

I-hormone yokukhulelwa ibonakala nini kuvavanyo oluqhelekileyo lwegazi?

I-hormone yokukhulelwa ngokuqhelekileyo ibonakala kuvavanyo lwegazi oluqhelekileyo malunga neentsuku ezi-6-8 emva kokuvuthwa kunye nokuchumisa kweqanda. Le hormone ifihliwe ngokukhawuleza emva kokukhulelwa kunye nokufakelwa kweqanda kwi-uterine lining, kwaye ukugxilwa kwayo kwanda ngokuhamba kwexesha. Kunconywa ukwenza uvavanyo lokukhulelwa usebenzisa uvavanyo lwegazi ngosuku lweshumi emva kokulalana, oko kukuthi, iiveki ezimbini emva kokukhululwa kweqanda. Uphononongo luqinisekisa ukuba ukuchaneka kweziphumo zovavanyo lokukhulelwa usebenzisa uvavanyo lwegazi lufikelela kuma-99%, okwenza kube yindlela esebenzayo nethembekileyo yokumisela ukwenzeka kokukhulelwa kwizigaba zayo zokuqala.

Ithini inqanaba lehomoni yokukhulelwa kumawele?

Inqanaba lehomoni yokukhulelwa ekukhulelweni kwamawele ngokuqhelekileyo i-30% -50% ephezulu kunokukhulelwa okukodwa. Le pesenti iyahluka ngokwezigaba zokukhulelwa kunye namawele. Kwinqanaba eliphantsi, izinga lehomoni yokukhulelwa kumawele kwiveki yesithathu phakathi kwe-17-80 Miu / l. Ngelixa izinga le-hormone yokukhulelwa kwimeko yokukhulelwa kunye nomntwana omnye phakathi kwe-70-750 micrometers / ml. Ekukhulelweni kwamawele, ihomoni yokukhulelwa iyanda ngama-30% ukuya kuma-50%.

Amanqanaba eHCG angasetyenziselwa ukuxilonga ukukhulelwa kwamawele. Ukuba inqanaba lehomoni liphezulu kunamanqanaba aqhelekileyo, oku kunokuba bubungqina bobukho bamawele. Kodwa ukuqinisekisa oku, kucetyiswa ukuba wenze i-ultrasound. Ezi mvavanyo ziyakwazi ukumisela inani lee-fetus kwaye ziqinisekise ubukho bamawele.

I-hormone yokukhulelwa ibonakala nini egazini kwaye yintoni umlinganiselo wayo oqhelekileyo? | ezonyango

Indlela yokufunda isiphumo sovavanyo lokukhulelwa kwedijithali?

Ukumisela isiphumo ngokuchanekileyo kufuna ukuqonda kakuhle amanani kunye namaxabiso avela kwisixhobo. Xa uphonononga umphumo, ukuba umlinganiselo ungaphezulu kweeyunithi ze-5 / ml, oku kubonisa ukukhulelwa okulungileyo.

Uvavanyo lokukhulelwa kwedijithali lulinganisa izinga lehomoni yokukhulelwa egazini. Xa kuthelekiswa novavanyo lwesintu lokukhulelwa, uvavanyo lokukhulelwa kwedijithali luchaneke ngakumbi kwaye kulula ukulutolika. Ukongeza, ingasetyenziselwa ukumisela iminyaka yomntwana kunye nokuxilonga ukukhulelwa kwe-multifetal.

Uvavanyo lokukhulelwa kwedijithali lwenziwa ngokubeka ibhanti eguquguqukayo ejikeleze ingalo ukuthatha isampuli yegazi. Olu vavanyo lusebenzisa i-hormone yokukhulelwa egazini ukucacisa ubukho bokukhulelwa ngaphandle kokugxila kwipesenti echanekileyo yehomoni.

Ngohlalutyo lokukhulelwa kwedijithali, umphumo unokufundwa ngokulula kwaye ngokukhawuleza. Isixhobo sibonisa inani eliqikelelweyo elibonisa ubukho okanye ukungabikho kokukhulelwa. Olu vavanyo lulolunye olulungileyo kwiimvavanyo zemveli ezinokuthi zingachanekanga kwaye kube nzima ukuzisebenzisa.

Kukuphi ukutya okuphakamisa ihomoni yokukhulelwa?

Ukutya okuthe ngqo kunokuchaphazela amanqanaba e-hormone yokukhulelwa emzimbeni. Okunye ukutya kuqulethe izinto zendalo ezinokunyusa ukukhutshwa kwehomoni yokukhulelwa ngokwemvelo. Imizekelo yoku kutya ngamaqanda, intlanzi efana netyhuna nesalmon, nobisi.

Amanqanaba e-hormone yokukhulelwa akalawuleki ngokukhululekileyo Kodwa, ukukhulelwa okunempilo kuxhomekeke ekufezekiseni ibhalansi echanekileyo kwimilinganiselo yehomoni emzimbeni. Kubalulekile ukuba oku kwenziwe phantsi kweliso likagqirha oyingcali.

Esinye sezondlo ezibalulekileyo kwimpilo yehomoni yizinc. Idlala indima ebalulekileyo ekuveliseni inani elaneleyo leprogesterone. Omnye wemithombo ebalulekileyo ye-zinc yinyama.

Kukho ukutya okuninzi okutyebileyo kwi-folic acid, ekucetyiswa ukuba kutyiwe ngobuninzi ukugcina inqanaba le-folic acid emzimbeni. Imizekelo yoku kutya iquka ikhaphetshu, ibroccoli, ikholifulawa, kunye nesibindi.

Ukutya okutyebileyo kwivithamin B6 kukutya okunceda ukwandisa ukuveliswa kweprogesterone. Le vithamini idlala indima ebalulekileyo ekusebenzeni kwesibindi. Eminye imithombo efanelekileyo yinkuku namaqanda.

Uphononongo lubonisa ukuba ukutya okutyebileyo kwi-omega-3 acids kunamandla okunyusa izinga leprogesterone emzimbeni. Imizekelo yoku kutya iquka amaqunube, ibhatata, ikiwi, amaqunube, iiorenji, ipapaya, necauliflower.

Ngaba ukukhulelwa kunokubonwa kwiveki yesibini?

Ukufumanisa ukukhulelwa kwiveki yesibini yokukhulelwa kunzima. Ngeveki yesibini, ezininzi iimpawu okanye iimpawu ezibonisa ukukhulelwa azibonakali. Kusenokungabikho utshintsho esifubeni, umnqweno ogqithiseleyo wokuchama, isicaphucaphu nokuhlanza, okanye ukudinwa okungaqhelekanga. Enyanisweni, kunzima kakhulu ukufumanisa ukukhulelwa kweli nqanaba kunye novavanyo lokukhulelwa ekhaya.

Kodwa ukuba ibhinqa likhulelwe ngeveki yesibini, iimpawu azibonakali ngokukhawuleza. Abanye besetyhini banokufuna ukulinda ixesha elide de ukukhulelwa kuqale ukubonakala kuvavanyo. Kungacetyiswa ukufumanisa ukukhulelwa emva kokuba i-cyst ikhule kwaye iyilungiselele ngezondlo zokukhula komntwana.Oku kunokwenziwa kwiveki yesihlanu okanye yesithandathu yokukhulelwa kusetyenziswa i-ultrasound ye-vaginal.

Iimvavanyo zokukhulelwa ekhaya nazo aziboneleli ubungqina obuqinileyo kwiveki yesibini. Ukuba ibhinqa lifuna ukwazi ukuba ngaba ukhulelwe kweli nqanaba, kucetyiswa ukuba enze uvavanyo lokukhulelwa emva kwexesha elithile, njengeveki emva komhla olindelekileyo wokuya esikhathini. Kufuneka kuqatshelwe ukuba iimvavanyo zokukhulelwa ekhaya zingachaneka ngeli nqanaba lokuqala, kwaye kucetyiswa ukuba ufune uncedo kugqirha kwaye wenze uvavanyo lwegazi ukuze unqume ngokuchanekileyo ukukhulelwa.

Ngaba ukukhulelwa kwamawele kunika isiphumo esibi?

Ewe, ukukhulelwa ngamawele kunokuba nemiphumo emibi kwezinye iimeko. Oku kunokuba ngenxa yovavanyo lokukhulelwa olwenziwa kwangoko ngaphambi kokuba amanqanaba ehomoni yokukhulelwa aphakame ngokwaneleyo ukubona ubukho bamawele. Xa ukukhulelwa kwamawele kwenzeka, amanqanaba e-hCG ayanda ngaphezu kokukhulelwa okuqhelekileyo, ngoko ke uvavanyo lungathatha ixesha elide ukufumana ukukhulelwa kwamawele.

Kufuneka kwakhona kuqatshelwe ukuba uvavanyo oluqhelekileyo lokukhulelwa ekhaya lunokuba lubuthathaka ekuboneni ukukhulelwa kwamawele xa kuthelekiswa novavanyo olulodwa lwaselabhoratri. Ngoko ke, kuyacetyiswa ukuba udibane nogqirha kwaye wenze iimvavanyo ezifanelekileyo ukuqinisekisa ubukho bokukhulelwa kwamawele.

Abasetyhini kufuneka bakhumbule ukuba ubukho beempawu zokukhulelwa ezifana nokunyuka kwe-nausea, ukukhathala kunye nokuvuvukala kunokubonisa ubukho bamawele. Kwimeko yokuthandabuza, umama kufuneka adibane nogqirha ukuba enze iimvavanyo ezikhethekileyo ukuqinisekisa ubukho bokukhulelwa kwamawele.

Ngaba inqanaba le-hormone yokukhulelwa kwe-0.10 eqhelekileyo?

Izinga le-hormone yokukhulelwa ye-0.10 ithathwa njengenqanaba eliphantsi kakhulu nelingaqhelekanga. Kwabasetyhini abakhulelweyo, inqanaba eliqhelekileyo le-hCG lithathwa njengengaphantsi kwe-10 mIU / ml yegazi. Ixabiso le-0.10 lithetha ukuba akukho mthwalo okwangoku. Kuyafaneleka ukuba uqaphele ukuba uvavanyo lokukhulelwa kwehomoni luyireferensi eluncedo kubasetyhini kunye nababoneleli bezempilo, njengoko kunceda ukugqiba xa ibhinqa lisengozini yokukhulelwa. Kuphawulwe ukuba inqanaba eliqhelekileyo lehomoni yokukhulelwa liphindwe kabini kwiintsuku ezimbini ukuya kwezintathu phakathi kwexesha eliphakathi kweeveki zesibhozo kunye neshumi zokukhulelwa.
Nangona kunjalo, ukuba umlinganiselo ngu-0.10, oko kuthetha ukuba kungabikho ukukhulelwa kwangoku. Qiniseka ukuba ujonga ugqirha wakho ukuze akuxilonge ngokucokisekileyo kunye nemiyalelo. Kusenokubakho ezinye izizathu zamanqanaba asezantsi ehomoni yokukhulelwa, kwaye uphando olongezelelweyo kunye novavanyo lwezonyango lunokufuneka ukuze kubonwe unobangela onokwenzeka. Kuhlala kucetyiswa ukuba uqhagamshelane noogqirha beengcali ukufumana uluvo lwabo lobuchwephesha kunye nokuxilongwa ngokuchanekileyo.

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