E le hore re fumane hore na ke tloaelo efe ea hCG nakong ea bokhachane re tla fumana hore na hCG ke eng hantle, le bohlokoa ba eona ke eng. K'horionic gonadotropin (hCG) ea motho ke hormone ea maiketsetso e patehileng ka khetho ea mosali ea moimana qalong ea bokhachane le placenta pele a hlaha. HCG e teng 'meleng oa motho le ho feta ho ima, empa ho tsepamisa mohopolo oa eona ke ntho e nyane haholo. Sebaka se phahameng se fumanoang ho mosali ea se nang molekane kapa monna se bontša mokhoa o tsoetseng pele oa 'mele. Nakong ea bokhachane, e se e le matsatsi a 7-10 kamora ho emoloa, boemo ba beta-hCG bo eketseha 'me bo ka khethoa. Ka tloaelo beta-hCG e habeli ka matsatsi a mabeli, tlhōrō ea eona e oa libeke tse 7-11, 'me e tsoela pele ho theoha. Ho khothalletsoa hore u shebe li-trimester tse seng kae libeke tse 10-14 tsa bokhachane, likhahla tsa hCG ho tloha ho 200,000 ho 60,000 mU / ml, e etsoa ho lemoha mathata a pele a bokhachane kapa ho khoneha ha congenital pathologies ea lesea.
Tekanyo ea hCG ho basali baimana
Bohlokoa ba hormone ea HCG bo thata ho feta: e hlahisoa ke 'mele, e lumella' mele oa mosehla hore o be teng ka nako ea libeke tse peli joaloka nakong ea tloaelelo ea ho ea khoeling, empa nako eohle ea boitšebeletso. HCG e na le lihlopha tse peli tsa li-subunite - alpha le beta. Tlhahlobo ena e nkiloe ke sampling ea mali. Ha ho fumanoa lipoleloana tse nyane, ho sebelisoa beta-HCG ea mali, mokhoa oa ho ima ke 1000-1500 IU / l. Haeba leihlo la hCG le feta 1500 IU / L, lehe la fetal ka lehlakoreng la uterine le lokela ho bonts'oa hantle ka tlhahlobo ea ultrasound.
Haeba hCG e phahametse tloaelehileng nakong ea bokhachane, e ka bua ka toxicosis, Down's syndrome kapa mafu a mang a fetal , lefu la tsoekere, bakhachane, nako e fosahetseng ea bokhachane. Hape, mekhoa ea hCG ka makhetlo a mabeli, mekhoa ea hCG ha ho na le bokhachane bo bong le bo bong e eketseha ho ea ka palo ea mahe.
Haeba HCG e le tlaase ho feta e tloaelehileng nakong ea bokhachane, sena se ka 'na sa bontša ho lieha ha khōlo ea fetal, ho se sebetse hantle, ho ima ho sa tsoaloeng kapa ho shoa ha lesea (nakong ea ho hlahlojoa habeli ho ea ho trimester ea boraro). Tloaelo ea hCG le ectopic pregnancy e feta 1500 mIU / ml, 'me lehe la fetal ka lehare la uterine ha lea qetoa.
Ho hlahlojoa ha hCG nakong ea bokhachane - e tloaelehileng
Ha ho hlahlojoa mali ka b hchch nakong ea bokhachane tloaelo e etsa:
- bakeng sa libeke tse 1-2 - ho tloha ho 25 ho ea ho 300 mU / ml;
- Libeke tse 2-3 - ho tloha ka 1500 ho ea ho 5000 mU / ml;
- libeke tse 3-4 - ho tloha ho 10 000 ho isa ho 30,000 mU / ml;
- libeke tse 4-5 - ho tloha ho 20,000 ho isa ho 100,000 mU / ml;
- libeke tse 5-6 - ho tloha ho 50 000 ho isa ho 200,000 mU / ml;
- libeke tse 6-7 - ho tloha ho 50 000 ho isa ho 20,000 mU / ml;
- libeke tse 7-8 - ho tloha 200,000 ho 200,000 mU / ml;
- libeke tse 8-9 - ho tloha 200,000 ho ea ho 100,000 mU / ml;
- libeke tse 9-10 - ho tloha ho 200,000 ho ea ho 95,000 mU / ml;
- libeke tse 11 ho isa ho 12 - ho tloha ho 200,000 ho isa ho 90,000 mU / ml;
- libeke tse 13-14 - ho tloha ho 15,000 ho isa ho 60,000 mU / ml;
- ka bekeng ea 15-25 - ho tloha ho 10 000 ho isa ho 35,000 mU / ml;
- libeke tse 26-37 - ho tloha ho 10 000 ho isa ho 60,000 mU / ml.
Hlokomela hore ha ho hlahlojoa bokhachane pele ho nako, HCG e hlalosoa hoo e batlang e le ngoe le e 'ngoe e na le litšobotsi tsa eona' me phello e ka fokotseha hanyenyane.
HCG - melao ea IVF
Melao ea HCG ka mor'a IVF e atisa ho feta ho emoloa ka mekhoa ea tlhaho, hobane pele mosali a emoloa 'mele oa mosali o khotsofatsoa ka li-hormone e le hore o lokise sebōpeho sa ho emoloa le ho tsoala lesea. Ka lebaka leo, ho thata haholo ho lemoha mafahla kapa mararo ka mor'a ho kenella ka in vitro fertilization. Empa haeba sephetho se fetisitse lebelo la kgolo la hCG ka 1.5 kapa makhetlo a mabeli - o ka itokisetsa ho tsoaloa ha mafahla kapa mararo.
Tloaelo ea HCG nakong ea bokhachane ba IOM
Ka mor'a ho fumana liphello tsa tlhahlobo ea hCG, coefficient e bitsoang MOM e baloa, e sebelisetsoang ho bala lits'oaetso tsa kotsi. E baloa e le karo-karo ea hCG ka serum ho ea bohlokoa ba bobeli ba nako ea boimana. Mokhoa oa hCG nakong ea bokhachane ba IOM ke o mong.
Ho itšetlehile ka liphello tse ileng tsa fumanoa pele ho liteko tse tharo, hoa khoneha ho etsa qeto ea hore na mokhachane o kotsing ea mafu a chromosomal le congenital anomalies. Nako esale pele, lemosa ka mathata a ka bang kapa ho lokisetsa 'mè oa ka moso bakeng sa tsoalo ea ngoana ea phetseng hantle.