Ngethuba lokucwangcisa ukukhulelwa, umfazi ufunda ulwazi oluninzi malunga nomzimba wakhe, malunga neempawu zesakhiwo sakhe kunye nokusebenza, malunga nama-hormone achaphazela ukukwazi ukukhulelwa umntwana kwaye ahlakulele umntwana. Iprogesterone yenye yeeymoni eziphambili ezichaphazela ngqo inkqubo yokuthwala umntwana, ekuthiwa yi "hormone yokukhulelwa". Udlala indima ebaluleke kakhulu ngexesha lekota yokuqala, xa umzimba womntwana oza kusungulwa.
Yintoni eqhelekileyo ye-17-OH progesterone?
I-progesterone ye-17-OH (i-17-hydroxyprogesterone) i-steroid eveliswa kwi-adrenal glands, i-glands kunye ne-placenta, umkhiqizo wokuguqulwa kwe-progesterone kunye ne-17-hydroxyprepnenone enye yeepestines. I-biomaterial - igazi lisetyenziselwa uhlalutyo. Isiphumo sinokufumaneka emva komhla emva kwediphozithi. Into eyonakalisa kakhulu yimihla yesi-5-6 yesiqhelo sokuya esikhathini.
I-hormone evamile ye-17-OH progesterone incike kwixesha lokukhulelwa. Ukuba ukukhulelwa kuyinto eqhelekileyo, ngoko akukho mfuneko yokuthatha olu hlalutyo. Ukuba kukho ukukrokra kwinqanaba le-hormone ephakamileyo, kufuneka udlule uvavanyo uze udibane nodokotela wakho. Kwindoda ekhulelwe, isiqhelo ngu-17-OH progesterone:
- kwi-1 trimester, 1.3 - 3.0 ng / ml;
- kwi-2 trimester - 2.0 - 5.0 ng / ml;
- kwi-3rd trimester - 5.0 - 8.3 ng / ml.
Ukuba i -progesterone ye-17-OH ingaphezu kwesiqhelo , ukubonisana kwe-endocrinologist kuyimfuneko. Ngokuqhelekileyo ziphakamise izidakamizwa ezenziwe ngamanzi, i-Dexamethozone, i-Femoston, iDyufaston ngokwemiyalelo, uze uphinde uphendule iimvavanyo. Ukuthabatha amayeza kuyimfuneko kuphela kwimiyalelo yesigqirha, njengoko iziphumo zeemvavanyo kunye neempawu zomzimba zodwa kwaye zifuna uhlalutyo lwezonyango kunye nokubeka esweni rhoqo ngexesha lokulawulwa kweyeza. Ukuziqhelanisa kubonisa ukuba unyango olukhethiweyo olufanelekileyo kunye nokuthotyelwa kwayo yonke imigaqo kadokotela kukhokelela ekunciphiseni kwinqanaba le-17-OH progesterone kunye nokukhulelwa okuphumelelayo ngaphambi kokuba umntwana azalwe.