I-Serum progesterone

I-Serum progesterone isivivinyo sokulinganisa inani le-progesterone egazini. IProgesterone iyi-hormone ekhiqizwa ikakhulu kuma-ovari.

Iprogesterone idlala indima enkulu ekukhulelweni. Ikhiqizwa ngemuva kwe-ovulation engxenyeni yesibili yomjikelezo wokuya esikhathini. Kuyasiza ukwenza isibeletho sowesifazane sikulungele ukufakwa kweqanda elikhulelisiwe. Iphinde ilungiselele isibeletho sokukhulelwa ngokuvimbela imisipha yesibeletho ukuthi ingene futhi amabele akhiqize ubisi.

Kudingeka isampula yegazi. Isikhathi esiningi, igazi likhishwa emthanjeni ongaphakathi endololwaneni noma ngemuva kwesandla.

Imithi eminingi ingaphazamisa imiphumela yokuhlolwa kwegazi.

• Umhlinzeki wakho wezokunakekelwa kwempilo uzokutshela uma kudingeka uyeke ukuthatha noma yimiphi imithi ngaphambi kokwenza lokhu kuhlolwa.
• UNGAYIMISI noma ushintshe imithi yakho ngaphandle kokukhuluma nomhlinzeki wakho kuqala.

Ungase uzwe ubuhlungu obuncane noma isitinyela lapho kufakwa inaliti. Ungase futhi uzizwe ushaywa yisiza ngemuva kokukhishwa kwegazi.

Lokhu kuhlolwa kwenziwa ku:

• Nquma ukuthi ngabe owesifazane uvula amaqanda njengamanje noma usanda kuvuthwa
• Linganisa owesifazane onezisu eziphindaphindwayo (ezinye izivivinyo zisetshenziswa kakhulu)
• Nquma ubungozi bokukhulelwa kwesisu noma ukukhulelwa kwe-ectopic ekuqaleni kokukhulelwa

Amazinga eprogesterone ayahlukahluka, kuya ngesikhathi lapho kwenziwa khona ukuhlolwa. Amazinga egazi e-progesterone aqala ukukhuphuka maphakathi nomjikelezo wokuya esikhathini. Iyaqhubeka nokukhuphuka cishe izinsuku eziyisithupha kuya kweziyishumi, bese iyawa uma iqanda lingavundiswanga.

Amazinga aqhubeka nokukhuphuka ekukhulelweni kokuqala.

Okulandelayo amabanga ajwayelekile asuselwa ezigabeni ezithile zomjikelezo wokuya esikhathini nokukhulelwa:

• Owesifazane (pre-ovulation): ngaphansi kuka-1 nanogram nge-mililiter (ng / mL) noma ngo-3.18 nanomoles ngelitha ngalinye (nmol / L)
• Owesifazane (maphakathi nomjikelezo): 5 kuya ku-20 ng / mL noma i-15.90 kuye ku-63.60 nmol / L
• Owesilisa: ngaphansi kuka-1 ng / mL noma u-3.18 nmol / L
• I-Postmenopausal: ngaphansi kwe-1 ng / mL noma i-3.18 nmol / L
• Ukukhulelwa 1 trimester: 11.2 kuye ku-90.0 ng / mL noma ku-35.62 kuye ku-286.20 nmol / L
• Ukukhulelwa i-trimester yesibili: 25.6 kuye ku-89.4 ng / mL noma ku-81.41 kuye ku-284.29 nmol / L
• Ukukhulelwa i-trimester yesithathu: 48 kuya ku-150 kuya ku-300 noma ngaphezulu ng / mL noma ku-152.64 kuya ku-477 kuya ku-954 noma ngaphezulu nmol / L

Ububanzi bamanani ajwayelekile bungahluka kancane phakathi kwamalabhorethri ahlukene. Khuluma nomhlinzeki wakho mayelana nencazelo yemiphumela yakho ethile yokuhlolwa.

Izibonelo ezingenhla zibonisa izilinganiso ezivamile zemiphumela yalezi zivivinyo. Amanye amalabhoratri asebenzisa izilinganiso ezahlukahlukene.

Amazinga aphakeme kakhulu kunokujwayelekile angahle abe ngenxa yalokhu:

• Ukukhulelwa
• Ukuvuthwa
• Umdlavuza we-Adrenal (onqabile)
• Umdlavuza we-Ovarian (ongavamile)
• I-congenital adrenal hyperplasia (engavamile)

Amaleveli angaphansi kunokujwayelekile angahle abe ngenxa yalokhu:

• I-amenorrhea (azikho izikhathi ngenxa yokuvalwa kwamaqanda [i-ovulation ayenzeki])
• Ukukhulelwa kwe-Ectopic
• Izikhathi ezingajwayelekile
• Ukufa kwengane
• Ukuphuphuma kwesisu

Ukuhlolwa kwegazi le-progesterone (serum)

IBroekmans FJ, iFauser BCJM. Ukungabi nenzalo kwabesifazane: ukuhlolwa nokuphathwa. Ku: Jameson JL, De Groot LJ, de Kretser DM, et al, abahleli. I-Endocrinology: Eyabantu Abadala Neyengane. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 132.

UFerri FF. Iprogesterone (i-serum). Ku: Ferri FF, ed. Umeluleki Wemitholampilo kaFerri 2019. IPhiladelphia, PA: Elsevier; 2019: 1865-1874.

UWilliam Z, uScott JR. Ukulahleka kokukhulelwa okuphindaphindiwe. Ku: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, abahleli. ICreasy neResnik's Maternal-Fetal Medicine: Izimiso kanye Nokuzijwayeza. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2019: isahluko 44.