Ukumisela izinga le- chorionic gonadotropin kuthathwa njengenye yeendlela eziqhelekileyo zokufumanisa ukukhulelwa. Emva kokufikelela kwinqanaba elingaphezulu kwe-1000 mIU / ml ungabona ubomi obusisiseko ngoncedo lwe-ultrasound. Le hormone ifihla imimbrane yesisu, ngoko ixabiso lokuxilonga kuphela ngexesha lokukhulelwa.
Ukuxhomekeka kwe-hCG kunye nobudala bokuhamba
Iqondo le-hCG ngexesha lokukhulelwa emva kwe-IVF ibonakala ngokutshintshwa kwezinto ezithile kwixesha elihlukeneyo. Itafile elandelayo ibonisa i-hCG ngexesha lokukhulelwa ne-IVF kunye nokunyuka kwamanani kwinqanaba layo:
| Ikota ukusuka ekukhulelwe (ngeveki) | Inqanaba le-hCG (kwi-mU / ml), ubuncinci-ubuninzi |
| 1-2 | 25-156 |
| 2-3 | 101-4870 |
| 3-4 | 1110-31500 |
| 4-5 | 2560-82300 |
| 5-6 | 23100-141000 |
| 6-7 | 27300-233000 |
| 7-11 | 20900-291000 |
| 11-16 | 6140-103000 |
| 16-21 | 4720-80100 |
| 21-39 | 2700-78100 |
Khawucinge nge-dynamics ye-hCG ukukhula kwi-IVF kwimeko yokukhulelwa. Ngokutsho kwetafile yeHCG ne-IVF ngenyanga yokuqala kukho ukwanda okwenziwe kule nqondiso.
I nqanaba leHCG kwi-ECO liphindwe kabili kwiiyure ezingama-36-72. Ukukhula okuphezulu kweHCG kwi-IVF kubonwa malunga neveki ezi-11 ukuya ku-12. Emva koko kukho ukwehla ngokuthe gqolo. Kodwa i-memcenta kunye ne-fetal membranes iyaqhubeka isebenza, ngoko ke inqanaba eliphezulu le-hCG ligcinwa. Kwaye ngokukhawuleza "ukuguga" kwe-placenta, ixabiso leHCG kunye ne-IVF linciphisa ngokukhawuleza. Ukuhla kwexesha eliphambi kweHCG okanye ukungabi naso kokukhula kwayo kungakho ngenxa yokusongela ukukhulelwa komzimba okanye ukukhulelwa okukhukhulayo.
Umfanekiso ubonisa itafile ehlukileyo ebonisa izinga le-hCG kwiintsuku emva kwe-IVF kunye nesantya sokwanda kwawo. Ukunciphisa "i-DPP" kuthetha ukuba zingaphi iintsuku ezidlulileyo ukusuka ekutshintsheni kwembungu kumbele. Itheyibhile ilungele ukusetyenziswa, kufuneka nje ukhethe iminyaka okanye usuku lokuzaliswa kombungu, kwaye uza kufumana izinga elifanelekileyo le-hCG. Idatha yetheyibhile iyaqhathaniswa ngqo kunye nomphumo wokuvavanya kule hormone.
Ukutolika kwedatha efunyenweyo
Hlaziya ukuphumelela kokukhulelwa kufuneka kube iiveki ezimbini emva kokuba umbungu ufakwe kwisigxina se-uterine. Ukuba uhlalutyo lwe-HCG nge-IVF lungaphezu kwe-100 mU / ml, ke ukukhulelwa kuye kwafika. Oku kuthetha ukuba amathuba okuzala umntwana aphezulu kakhulu. Ukongezelela, kukho igama elithi "ukukhulelwa kwengqondo". Okokuthi, kukho ukwanda okwenziwe kwiHCG ngaphezu kwesiqhelo, kodwa ukukhulelwa akuqhubeki ukuphuhlisa. Ngako oko, kubalulekile ukwazi ukukhula kwe-hormone, kwaye kungekhona nje ukubaluleka kwayo kwixesha elithile lokukhulelwa.
Ukuba kunjalo, xa i-ECO hCG iphantsi, oko kukuthi, ngaphantsi kwama-25 mE / ml, oku kubonisa ukuba ukuzala akuzange kwenzeke. Kwakhona, ixabiso eliphantsi le-indicator lingabonisa iimpazamo ekubaleni kwexesha lokunyuka, xa ukumiselwa kwe-hCG kwakusasa kakhulu. Kodwa xa izibonakaliso ze-hCG ze-IVF zingumda wezantsi phakathi kwezi zibini zilapha ngasentla-oku kungumphumo obunzima. Akukhatywanga ukuphuhliswa kokukhulelwa kwe-ectopic. Kule meko kunzima ukufumana amacebo athile. Ngelishwa, kwiimeko ezininzi kukho ukwehla kancane kancane kwinqanaba,
HCG namawele
Kodwa izinga leHCG kwi-double emva kwe-IVF liya kuba phezulu. Ngoko okokuqala ukuqhutyelwa kohlalutyo olwenziwe kunokwenzeka ukuba ufumane umphumo we-300-400 мЕ / ml, ophindwe kabini okanye kathathu. Oku kubangelwa kukuba i-hCG iveliswa ngokukodwa ngezinto ezimbini eziphilayo, ngoko ke inani elipheleleyo le-hormone landa. Ngoko ke, itafile yeHCG ngokuphindwe kabini emva kwe-IVF iya kubonakala ngathi ilapha ngasentla, kuphela zonke izikhombisi kufuneka zandiswe ngamabini.