Ukuhlolwa kokukhulelwa

Ukuhlolwa kokukhulelwa kukala i-hormone emzimbeni ebizwa nge-chorionic gonadotropin (HCG). I-HCG iyi-hormone ekhiqizwa ngesikhathi sokukhulelwa. Kubonakala egazini nasemchameni wabesifazane abakhulelwe ezinsukwini eziyishumi ngemuva kokukhulelwa.

Ukuhlolwa kokukhulelwa kwenziwa kusetshenziswa igazi noma umchamo. Kunezinhlobo ezi-2 zokuhlolwa kwegazi:

• Ikhwalithi, ekala ngabe i-hormone ye-HCG ikhona
• Ubuningi, obulinganisa malini I-HCG ikhona

Ukuhlolwa kwegazi kwenziwa ngokudweba ishubhu elilodwa legazi bese kulithumela elabhorethri. Ungalinda noma yikuphi kusuka emahoreni ambalwa kuye ngaphezu kosuku ukuthola imiphumela.

Ukuhlolwa komchamo kwe-HCG kuvame ukwenziwa ngokubeka iconsi lomchamo emgqeni olungiselelwe wamakhemikhali. Kuthatha imizuzu eyi-1 kuye kwemibili ukuthola imiphumela.

Ekuhlolweni komchamo, uzichamela enkomishini.

Ekuhlolweni kwegazi, umhlinzeki wezokunakekelwa kwempilo usebenzisa inaliti nomjovo wokudonsa igazi elisuka emthanjeni wakho alifake kuthubhu. Noma ikuphi ukungakhululeki ongase uzizwe kusuka ekudonsweni kwegazi kuzohlala imizuzwana embalwa kuphela.

Ekuhlolweni komchamo, uzichamela enkomishini.

Ekuhlolweni kwegazi, umhlinzeki usebenzisa inaliti nomjovo wokudonsa igazi elisuka emthanjeni wakho liye kuthubhu. Noma ikuphi ukungakhululeki ongase uzizwe kusuka ekudonsweni kwegazi kuzohlala imizuzwana embalwa kuphela.

Lokhu kuhlolwa kwenziwa ku:

• Thola ukuthi ukhulelwe yini
• Thola izimo ezingavamile ezingakhuphula amazinga e-HCG
• Buka ukukhula kokukhulelwa ezinyangeni ezimbili zokuqala (ukuhlolwa kobungako kuphela)

Izinga le-HCG likhuphuka ngokushesha phakathi ne-trimester yokuqala yokukhulelwa bese liyancipha kancane.

Izinga le-HCG kufanele licishe liphindwe kabili njalo emahoreni angama-48 ekuqaleni kokukhulelwa. Izinga le-HCG elingakhuphuki ngokufanele lingakhombisa inkinga ngokukhulelwa kwakho. Izinkinga ezihlobene nokukhuphuka kwezinga le-HCG ngokungajwayelekile zifaka ukukhulelwa kwesisu nokukhulelwa kwe-ectopic (tubal).

Izinga eliphakeme kakhulu le-HCG lingahle liphakamise ukukhulelwa kwe-molar noma isibungu esingaphezu kwesisodwa, isibonelo, amawele.

Umhlinzeki wakho uzoxoxa nawe ngencazelo yezinga lakho le-HCG.

Ukuhlolwa kokukhulelwa komchamo kuzoba kuhle kuphela uma une-HCG eyanele egazini lakho. Ukuhlolwa okuningi kokukhulelwa ekhaya ngeke kubonise ukuthi ukhulelwe kuze kube yilapho umjikelezo wakho wokuya esikhathini uphuzile. Ukuhlola ngaphambi kwalokhu kuzonikeza imiphumela enganembile. Izinga le-HCG liphakeme uma umchamo wakho ugxile kakhulu. Isikhathi esihle sokuhlola yilapho uqala khona ukuvuka ekuseni.

Uma ucabanga ukuthi ukhulelwe, phinda isivivinyo sokukhulelwa ekhaya noma ehhovisi lomhlinzeki wakho.

• Ukuhlolwa kokukhulelwa

UJeelani R, uBluth MH. Umsebenzi wokuzala nokukhulelwa. Ku: McPherson RA, Pincus MR, abahleli. UHenry’s Clinical Diagnosis and Management by Laboratory Methods. Umhla ka-23. ISt Louis, MO: Elsevier; I-2017: isahluko 25.

I-Warner EA, uHerold AH. Ukuhumusha izivivinyo zaselebhu. Ku: Rakel RE, Rakel DP, ama-eds. Incwadi Yezokwelapha Yomndeni. Umhlaka 9. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 14.