Ukuhlolwa kwegazi kwe-HCG - okulinganayo

Ukuhlolwa kobuningi be-chorionic gonadotropin (HCG) kukala izinga elithile le-HCG egazini. I-HCG iyi-hormone ekhiqizwa emzimbeni ngesikhathi sokukhulelwa.

Ezinye izivivinyo ze-HCG zifaka:

• Ukuhlolwa komchamo we-HCG
• Ukuhlolwa kwegazi kwe-HCG - kufanelekile

Kudingeka isampula yegazi. Lokhu kuvame ukuthathwa emthanjeni. Inqubo ibizwa ngokuthi i-venipuncture.

Akukho ukulungiselela okukhethekile okudingekayo.

Lapho inaliti ifakwa ukudonsa igazi, abanye abantu bezwa ubuhlungu obulinganiselayo. Abanye bazizwa behlatshwa noma bezwa nje kuphela. Ngemuva kwalokho, kungahle kube nokushaywa okuthile.

I-HCG ivela egazini nasemchameni wabesifazane abakhulelwe ezinsukwini eziyishumi ngemuva kokukhulelwa. Isilinganiso se-HCG esilinganiselwe sisiza ekunqumeni iminyaka yobudala engakafiki yombungu. Kungasiza futhi ekutholeni ukukhulelwa okungajwayelekile, njengokukhulelwa kwe-ectopic, ukukhulelwa kwe-molar, kanye nokukhulelwa kwesisu okungenzeka. Iphinde isetshenziswe njengengxenye yokuhlolwa kokuhlolwa kwe-Down syndrome.

Lokhu kuhlolwa kwenziwa futhi ukuxilonga izimo ezingajwayelekile ezingahlobene nokukhulelwa ezingakhuphula izinga le-HCG.

Imiphumela inikezwa ngamayunithi angama-milli-international ngemililitha ngayinye (mUI / mL).

Amazinga ajwayelekile atholakala ku:

• Abesifazane abangakhulelwe: ngaphansi kuka-5 mIU / mL
• Amadoda aphilile: ngaphansi kwe-2 mIU / mL

Ekukhulelweni, izinga le-HCG likhuphuka ngokushesha phakathi ne-trimester yokuqala bese lehla kancane. Ububanzi be-HCG obulindelwe kwabesifazane abakhulelwe bususelwa ebudeni besikhathi sokukhulelwa.

• Amaviki amathathu: 5 - 72 mIU / mL
• Amaviki amane: 10 -708 mIU / mL
• Amaviki ama-5: 217 - 8,245 mIU / mL
• Amaviki ayisithupha: 152 - 32,177 mIU / mL
• Amaviki angu-7: 4,059 - 153,767 mIU / mL
• Amaviki ayi-8: 31,366 - 149,094 mIU / mL
• Amaviki angu-9: 59,109 - 135,901 mIU / mL
• Amaviki ayishumi: 44,186 - 170,409 mIU / mL
• Amaviki ayi-12: 27,107 - 201,165 mIU / mL
• Amaviki angu-14: 24,302 - 93,646 mIU / mL
• Amaviki angu-15: 12,540 - 69,747 mIU / mL
• Amaviki angu-16: 8,904 - 55,332 mIU / mL
• Amaviki angu-17: 8,240 - 51,793 mIU / mL
• Amaviki angu-18: 9,649 - 55,271 mIU / mL

Ububanzi bamanani ajwayelekile bungahluka kancane phakathi kwamalabhorethri ahlukene. Khuluma nomhlinzeki wakho mayelana nencazelo yomphumela wakho wokuhlolwa okhethekile.

Izinga eliphakeme kunezinga elijwayelekile lingakhombisa:

• Isibungu esingaphezu kwesisodwa, isibonelo, amawele noma amawele amathathu
• I-Choriocarcinoma yesibeletho
• I-Hydatidiform mole yesibeletho
• Umdlavuza we-Ovarian
• Umdlavuza wamasende (emadodeni)

Ngesikhathi sokukhulelwa, amazinga aphansi kunalawo ajwayelekile asuselwa esikhathini sokukhulelwa angakhombisa:

• Ukufa kwengane
• Ukukhishwa kwesisu okungaphelele
• Ukusongela isisu okuzenzakalelayo (ukukhulelwa kwesisu)
• Ukukhulelwa kwe-Ectopic

Izingozi zokudonswa igazi zincane, kepha zingafaka:

• Ukopha ngokweqile
• Ukuquleka noma uzizwe unekhanda elincane
• Igazi elinqwabelana ngaphansi kwesikhumba (hematoma)
• Ukutheleleka (ingozi encane noma kunini lapho isikhumba siphukile)

I-serial beta HCG; Phinda inani le-beta HCG; Ukuhlolwa kwegazi kwe-chorionic gonadotropin yabantu - ubuningi; Ukuhlolwa kwegazi kwe-Beta-HCG - okulinganayo; Ukuhlolwa kokukhulelwa - igazi - elilinganisiwe

• Ukuhlolwa kwegazi

UJain S, uPincus MR, uBluth MH, uMcPherson RA, uBowne WB, uLee P.Ukuxilongwa kanye nokuphathwa komdlavuza kusetshenziswa ama-serological namanye ama-fluid marker. 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 74.

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.

Amalabhorethri Wokuxilonga i-University of Iowa. Uhla lwemibhalo lokuhlola: HCG - ukukhulelwa, i-serum, ubukhulu. www.healthcare.uiowa.edu/path_handbook/rhandbook/test1549.html. Kubuyekezwe uDisemba 14, 2017. Kufinyelelwe ngoFebhuwari 18, 2019.

I-Yarbrough ML, i-Stout M, i-Gronowski AM. Ukukhulelwa kanye nokuphazamiseka kwayo. Ku: Rifai N, ed. I-Tietz Textbook ye-Clinical Chemistry kanye ne-Molecular Diagnostics. Umhlaka 6. ISt Louis, MO: Elsevier; 2018: isahluko 69.