Kuvela nini ukuhlolwa kokukhulelwa kwedijithali futhi ukuhlolwa kokukhulelwa kwedijithali kungalungile nini?

Kwembulwa nini ukuhlolwa kokukhulelwa kwedijithali?

Ukuhlolwa kokukhulelwa kwedijithali kungenye yokuhlola okuvame ukusetshenziswa kakhulu ukuthola ukukhulelwa kusenesikhathi.
Imiphumela yalokhu kuhlolwa ingatholakala ezinsukwini ezimbalwa ngaphambi kokungayi esikhathini, okuvumela owesifazane ukuthi azi ukuthi ukhulelwe yini.

Nawa amaphuzu abalulekile okufanele wazi mayelana nokuthi ukukhulelwa kuvela nini ekuhlaziyweni kwedijithali:

1. Amasonto amathathu okuqala: Kulesi sigaba sokuqala sokukhulelwa, izinga lehomoni yokukhulelwa (HCG) liphansi kakhulu.
   Umphumela ekuhlaziyweni kwezinombolo ungase ube phakathi kuka-5 no-50.
2. Ngemva kwesonto lesineKusukela ngesonto lesine lokukhulelwa, izinga le-hormone yokukhulelwa liqala ukuphakama kakhulu.
   Ihomoni ingabonakala ekuhlolweni kwegazi okudijithali cishe ezinsukwini eziyi-11 ngemva kokuzala, futhi ezinsukwini ezingu-13 kamuva ekuhlolweni komchamo.
3. Ukunemba kokuhlaziywa kwedijithali: Ukuhlaziywa kwedijithali kulinganisa ngokunembile izinga le-hormone yokukhulelwa egazini.
   Lokhu kuhlola kuthathwa njengokunye kokuhlola okunembe kakhulu, okunesilinganiso sokunemba esingafika ku-99% ngokusekelwe emiphumeleni yaselabhorethri.
4. Ukuhlaziywa kwezinombolo kanye nokuhlaziywa kwekhwalithi: Ukuhlaziywa kwezinombolo kunembe kakhulu kunokuhlaziya kwekhwalithi.
   Ukuhlaziywa kwedijithali kungakwazi ukubona ukukhulelwa kusenesikhathi, kuyilapho imiphumela yokuhlaziywa kwekhwalithi ingabonakali ngosuku lokuqala lokukhulelwa.
5. Ukuhlolwa kokukhulelwa kwegaziKunconywa ukwenza ukuhlolwa kokukhulelwa kwegazi phakathi kwezinsuku zesikhombisa neshumi nambili zokukhulelwa.
   Lesi sikhathi sibhekwa njengesifanelekile sokuthola imiphumela enembile.
6. Ivela nini imiphumela emihle?: Ukukhulelwa kungabonakala ekuhlaziyweni kwedijithali ezinsukwini ezinhlanu ngaphambi kwesikhathi esiphuthelwe.
   Kodwa-ke, ukukhulelwa kungase kuvele ngaphambi kwalokhu ezimweni ezithile ezifana nokukhulelwa ngemva kwe-ICSI.
7. Ukwanda kwe-hormone yokukhulelwa: Izinga le-hormone yokukhulelwa landa ngokushesha esigabeni sokuqala sokukhulelwa.
   Ngokuvamile, leli zinga liphindwe kabili njalo ezinsukwini ezimbili emasontweni okuqala okukhulelwa.

Ngamafuphi, ukuhlolwa kokukhulelwa kwedijithali kungasetshenziswa ukuthola ukukhulelwa ezinsukwini ezimbalwa ngaphambi kwesikhathi esiphuthelwe.
Lokhu kuhlolwa kunikeza ukunemba okuphezulu ekunqumeni ukuba khona kokukhulelwa, futhi kunembe kakhulu kunokuhlaziywa kwekhwalithi.
Uma ulindele ukukhulelwa, ungase ufune ukuhlolwa kwedijithali lapho kunamathuba aphezulu omphumela onokwethenjelwa.

Ingakanani iphesenti lomthwalo obuthakathaka ekuhlaziyeni kwedijithali?

Ingabe ufuna ukukhulelwa? Ungathanda ukwazi ukuthi ungazibona nini izimpawu zokukhulelwa ekuhlolweni kwegazi okudijithali? Nalu ulwazi oludingayo!

1. Ukuvela kwangaphambi kwesikhathi kokukhulelwa:
   Ukuhlolwa kokukhulelwa kwedijithali kuthathwa njengokusebenza kangcono ekutholeni ukukhulelwa ngaphambi kwesikhathi esiphuthelwe.
   Ukukhulelwa kungavela ekuhlaziyweni kwezinsuku ezinhlanu ngaphambi kwesikhathi esilindelekile sokuya esikhathini.
2. Inombolo yokuqala evelayo:
   Emasontweni amathathu okuqala okukhulelwa, inombolo ekhonjiswe ekuhlolweni kwegazi ledijithali isukela ku-5 kuya ku-50. Ekuqaleni kwesonto lesine, inombolo iqala ukuphakama.
3. Izincazelo ezingenzeka zezinombolo:
   Uma inombolo ingaphansi kuka-5, ukukhulelwa kungase kungabi khona.
   Uma inombolo ingaphezu kwama-50, lokhu kubonisa ukukhulelwa okunamandla nokunempilo.
4. Ukunemba kokuhlaziywa kwedijithali:
   Ukuhlolwa kokukhulelwa kwedijithali kunembe kakhulu kunokuhlola ukukhulelwa kwendabuko ekhaya.
   Nokho, imiphumela emihle ingase ingabonakali ngosuku lokuqala lokukhulelwa, kodwa kunalokho kungase kuthathe izinsuku ezimbalwa ukuze kubonakale ukwanda okuphawulekayo kwenani.
5. I-Ectopic pregnancy:
   Kumele kuqashelwe ukuthi i-HCG ephansi ingase ibe umphumela wokukhulelwa kwe-ectopic.
   Ngakho-ke, uma uhlushwa izimpawu ezingavamile ezifana nobuhlungu obukhulu, kutuswa ukuba uvakashele udokotela ukuze uqinisekise imiphumela yokuhlolwa.

Ekuphetheni, ukuhlaziywa kokukhulelwa kwedijithali kuyindlela ephumelelayo yokuthola ukukhulelwa ngaphambi kwesikhathi esilindelekile sokuphuthelwa kokuya esikhathini.
Inombolo yokuqala ivela ekuhlaziyweni okuphakathi kuka-5 no-50, futhi iyaqhubeka nokukhula emasontweni alandelayo.
Uma ungaqiniseki ngemiphumela yokuhlolwa, kungcono ukubonisana nodokotela ukuze ucacise izindaba futhi uqinisekise ukukhulelwa.

Kunini lapho ukuhlolwa kokukhulelwa kwedijithali kungalungile?

Ukuhlolwa kokukhulelwa kwedijithali kuyindlela evamile yokuthola ukuthi owesifazane ukhulelwe noma cha.
Nakuba lokhu kuhlaziya ngokuvamile kunembile futhi kuthembekile, amanye amaphutha angenzeka.
Kulesi sihloko, sizokhuluma lapho ukuhlolwa kokukhulelwa kwedijithali kungase kungalungile.

1. Ukuhlola kusenesikhathi kakhulu: Ukuhlola ukukhulelwa kwedijithali ngaphambi kokuba kudlule isikhathi esanele kungase kubangele umphumela ongamanga.
   Ukwenyuka kwezinga le-hormone yokukhulelwa (HCG) egazini ngokuvamile kwenzeka cishe ezinsukwini eziyi-11 ngemva kokuzalela.
   Ngakho-ke, uma unomuzwa wokuthi ukhulelwe futhi umphumela wokuhlolwa kokukhulelwa kwedijithali awunayo, isikhathi esiboniswe ekuhlolweni singase sibe ngaphansi kobuncane obudingekayo ukuze uthole umphumela omuhle.
2. Ukuhlukahluka kokugxila kwe-hormonal ngesikhathi sokukhulelwa: Kumele kuqashelwe ukuthi ukuhlushwa kwe-hormone yokukhulelwa egazini kungase kuhluke phakathi kwabesifazane abahlukene.
   Kungase kube nokuhlukahluka kofuzo noma izici zezokwelapha ezifana ne-polycystic ovary syndrome nesifo se-thyroid esithinta izinga lamahomoni.
   Ngakho-ke, ukuhlaziywa kwedijithali kungase kungalungile uma ukugxila kwakho kwehomoni kuhluka kulokho okubhekwa njengokujwayelekile.
3. Ukungalandeli imiyalelo yokuhlolwa ngendlela efanele: Kuhlale kunconywa ukulandela imiyalelo yokuhlolwa kokukhulelwa kwedijithali ngendlela efanele.
   Ukusetshenziswa okungalungile, njengokusebenzisa isampula yegazi eliningi noma elinganele, kungase kuthinte umphumela wokuhlolwa.
   Ngakho-ke, qiniseka ukuthi ufunda imiyalo ngokucophelela futhi uyilandele ngokunembile.
4. Amandla okuzihlaziya: Nakuba ukuhlaziywa komthwalo wedijithali kunembile, ngezinye izikhathi kungase kube namaphutha ngenxa yemikhawulo yobuchwepheshe noma ukuguqulwa kwesofthiwe.
   Uma ukuhlolwa kwehluleka ukukala izinga le-hCG ngendlela efanele, kungase kube nokungaqondakali kahle kokukhulelwa.
5. Izimo ezingavamile: Kufanele kuqashelwe ukuthi kunezimo ezingavamile nezingavamile ezingase ziholele emiphumeleni engamanga ekuhlolweni kokukhulelwa kwedijithali.
   Lokhu kungenzeka uma kukhona isimila esikhiqiza ihomoni yokukhulelwa (HCG) emzimbeni, noma lapho kusetshenziswa imithi ethile ethinta izinga lamahomoni.

Ingabe ukukhulelwa akubonakali ekuhlolweni kwegazi kwedijithali?

Ukuhlolwa kwegazi okusetshenziselwa ukuqinisekisa ukukhulelwa kuphakathi kwezindlela ezivame kakhulu nezinembile zokuqinisekisa ukuthi ukukhulelwa kwenzeke.
Nokho, abanye bangase bazibuze ukuthi bangathola yini imiphumela engemihle ekuhlolweni kwegazi okudijithali kuyilapho empeleni bekhulelwe.
Lapha sizoxoxa ngezinye zezizathu zokuthi kungani ukukhulelwa kungase kungabonakali ekuhlolweni kwegazi ledijithali.

1. isikhathi:
   Isikhathi esifanelekile sokuhlola igazi ledijithali lokukhulelwa okungenani isonto elilodwa ngemva kokuphutha esikhathini.
   Lokhu kungenxa yokuthi izinga le-chorionic gonadotropin (HCG) yomuntu liqala ukukhuphuka cishe isonto ngemva kokukhulelwa.
   Uma uhlola ngaphambi kwalesi sikhathi esikahle, kungase kungabi khona izinga elanele le-HCG ukuze lihlonzwe.
2. Ikhwalithi yokuhlaziya:
   Izinga lokuhlola elisetshenzisiwe lingathinta ikhono layo lokubona kahle ukukhulelwa.
   Ngakho-ke, kubalulekile ukuthi uqiniseke ukuthi usebenzisa ukuhlaziya okunembile nokuthembekile okuvela enkampanini ethembekile.
3. Izinkinga zokukhulelwa:
   Ukukhulelwa okungaveli ekuhlolweni kwegazi okudijithali kungasho ukuthi kunezinkinga ngokukhulelwa.
   Ukukhulelwa kwe-ectopic okuphukile noma ukukhulelwa okungamanga kungaholela emiphumeleni engalungile ekuhlolweni kwegazi kwedijithali.
   Uma kusolwa izinkinga ngokukhulelwa, ukuhlolwa okwengeziwe okufana ne-ultrasound kungase kube ngcono ukuze kuqinisekiswe ukuthi ukukhulelwa kwenzeka ngendlela efanele.
4. Amaphutha ekwenzeni ukuhlaziya:
   Kungase kube namaphutha ekwenzeni ukuhlaziya ngokwayo, njengokungaqoqwa kwesampula yegazi ngendlela efanele noma ukungagcinwa kahle.
   Kubalulekile ukubheka ukuthi isampula eqoqiwe ilondolozwe futhi yacutshungulwa ngendlela efanele.

Ingakanani i-hormone yokukhulelwa okufanele ibe ukuze kuvele isikhwama sokukhulelwa?

Ukubonakala kwesikhwama sokukhulelwa kungenye yezibonakaliso zokuqala ezingabonakala ku-ultrasound ukuqinisekisa ukuba khona kokukhulelwa.
Isikhwama sokukhulelwa ngokuvamile sibonakala ngemva kwamasonto angu-5 okukhulelwa.

Nokho, kunezinye izimo lapho isikhwama sokukhulelwa singase singaveli ku-ultrasound ngisho nangemva kwamasonto angu-12 okukhulelwa.
Ngokusho kocwaningo, kwaphawulwa ukuthi isikhwama sokukhulelwa asizange sivele ezimweni ezingu-12 kwezingu-7,000, lapho izinga le-hormone yokukhulelwa lifinyelela emazingeni aphezulu esibelethweni.

Izinga le-hormone yokukhulelwa esibelethweni ngokuvamile likalwa ngokuhlolwa kokukhulelwa kwe-ultrasound, lapho isikhwama sokukhulelwa singabonakala nge-ultrasound edlula esiswini.
Emasontweni esikhombisa nesishiyagalombili okukhulelwa, izinga le-hCG liphakathi kuka-7,650 no-229,000 mIU/ml.

Kusukela ngesonto lesishiyagalolunye kuze kube isonto leshumi nambili, izinga le-hCG liphakathi kuka-25,700 no-244,900 mIU/ml.
Isikhwama sokukhulelwa singabonakala ngokucacile ku-ultrasound lapho amazinga e-hCG ephakathi kuka-1,500 no-2,000.

Kungase kube nezizathu eziningana zokuthi kungani isikhwama sokukhulelwa singase singabonakali ku-ultrasound ekuqaleni kokukhulelwa, okuhlanganisa:

• Izinga lamahomoni okukhulelwa lingaphezu kuka-5,000.
• Usayizi wesaka lokukhulelwa lingaphansi kwamasentimitha amathathu kuya kwangu-3.
• Impilo yomama okhulelwe engavumeli ukuthi i-cyst ivele.

Kungenzeka yini ukuthi ukukhulelwa okubuthakathaka akuveli ku-ultrasound?

I-Ultrasound ubuchwepheshe bezokwelapha obuthembele kumagagasi e-ultrasound ukudala izithombe zangaphakathi zomzimba.
Uma usebenzisa i-ultrasound ukuhlola ukukhulelwa, inquma ubukhona be-fetus futhi ikala ukushaya kwenhliziyo, ubukhulu bombungu, kanye nanoma yikuphi okunye ukuthuthukiswa okungenzeka.

Kodwa-ke, kunezimo ezithile ezingabangela ukukhulelwa okubuthakathaka kungabonakali ku-ultrasound.
Esinye salezi zimo ukuthi umbungu awukhuli ngendlela evamile.
Lokhu kungase kubangelwe izinkinga esibelethweni noma umbungu ungaba nokungajwayelekile kokuzalwa.
Uma umbungu ungakhuli ngendlela evamile, izithombe ze-ultrasound zingase ziveze kuphela izinsalela noma umbungu ophilayo osesimweni esihle.

Ngaphezu kwalokho, ukukhulelwa okungalungile kungase futhi kube umphumela wokuntuleka kwamahomoni okukhulelwa abhekene nokukhula okufanele nokuthuthukiswa kwengane.
Kulokhu, azikho izimpawu ezingase zivele ku-ultrasound ngoba azikho izinguquko ezibonakalayo ezibonakalayo ezibonisa ukukhulelwa.

Ingabe ukuhlolwa kokukhulelwa kungaba nethemba futhi kungabikho ukukhulelwa?

Ukuhlolwa kokukhulelwa ekhaya kungase kuveze umphumela omuhle nakuba kungekho ukukhulelwa kwangempela.
Lokhu kwaziwa njengomphumela ongelona iqiniso.
Kulesi sigaba, sizohlola ezinye zezizathu ezingaholela kumphumela ongelona iqiniso ekuhlolweni kokukhulelwa:

1. Ukuhlolwa okusetshenzisiwe: Uhlobo lokuhlola olusetshenzisiwe lungathinta ukunemba komphumela.
   Kuyaziwa ukuthi ukuhlolwa kokukhulelwa ekhaya akulona iqiniso njengokuhlolwa kokukhulelwa okwenziwa ngokuhlolwa kwegazi.
   Ungase ube nokuhlolwa kokuzwela okuncane noma ufunde okufiphele okuholela kumphumela ongelona iqiniso.
2. Isikhathi sokuhlolwa: Isikhathi sokwenza ukuhlolwa kokukhulelwa singathinta umphumela wako.
   Uma uhlola ekuqaleni kokukhulelwa noma ezinsukwini ezimbalwa ngaphambi kwesikhathi sakho, kungase kube nzima ukuthola i-hCG emchamweni wakho, ngisho noma izinga langempela lehomoni likhona.
   Kulokhu, umphumela omuhle ongamanga ungavela.
3. Izinkinga zempilo: Ezinye izifo nezimo zezempilo zingathinta imiphumela yokuhlolwa kokukhulelwa futhi zibangele imiphumela engelona iqiniso.
   Isibonelo, ezinye izimila ze-ovarian kanye nezimila ze-endocrine zingakhuphula ukukhishwa kwe-hormone yokukhulelwa futhi ngaleyo ndlela kuholele kumphumela omuhle wamanga.
4. Ukuthatha imithi ethile: Eminye imithi ingase ithinte imiphumela yokuhlolwa kokukhulelwa futhi ibangele ukuguqulwa okungelona iqiniso.
   Isibonelo, eminye imithi equkethe i-hormone yokukhulelwa noma ethinta ukukhiqizwa kwayo ingaholela kule miphumela engamanga.
5. Amaphutha ekusebenziseni isivivinyo: Imiyalo yokuhlola kufanele ilandelwe ngokucophelela ukuze kuqinisekiswe imiphumela enembayo.
   Ukwehluleka ukulandela imiyalelo ngendlela efanele, njengokungathathi isampula lomchamo elanele noma ukungalindi isikhathi esidingekayo ukuze umphumela uvele, kungaholela kumphumela ongelona iqiniso.

Ukuhlolwa kokukhulelwa kwedijithali zingaki izinsuku ngaphambi kokuya esikhathini?

Ukuhlaziywa kwedijithali yangaphambi kokuya esikhathini kungenye yezindlela abesifazane abangazihlolela ngazo ukukhulelwa kalula nangokushesha nganoma yisiphi isikhathi sesonto.
Kodwa-ke, kungcono ukwenza ukuhlaziya cishe izinsuku ezingama-4-5 ngaphambi kwesikhathi ukuze kuqinisekiswe umphumela onembile.
Umehluko emiphumeleni ungenzeka kwezinye izimo ezingavamile, ngenxa yokuhlushwa okuhlukile kwe-hormone yokukhulelwa emchameni.
Ukuhlola kungase kungabi nephutha uma kwenziwa ngemva kwesikhathi sokukhulelwa noma uma kugcinwe ngokungalungile.

Kubiza malini ukuhlolwa kwehomoni yokukhulelwa kwedijithali?

1. Ukuhlolwa kokukhulelwa kwedijithali ukuhlola okusetshenziselwa ukuthola ukuba khona kwe-chorionic gonadotropin (B-hCG) yomuntu egazini, futhi kulinganisa ngokunembile inani lehomoni.
2. Intengo yokuhlolwa kwe-hCG yedijithali iyahluka kancane ukusuka elabhorethri eyodwa ukuya kwenye.
   Ngokuvamile, intengo yokuhlaziywa komthamo (okunquma izinga lehomoni yokukhulelwa) isethwe kumariyeli aseSaudi angu-82,500 e-Future Medical Laboratory.
3. Ukuhlolwa kokukhulelwa kwedijithali (i-Clearblue Easy) kunikeza inkomba yezinga eliphezulu le-hCG ekuqaleni kokukhulelwa, futhi kubiza cishe ama-riyal aseSaudi angama-60 eSaudi Arabia.
4. Intengo yokuhlolwa kokukhulelwa kwedijithali ingase ifinyelele cishe kumakhilogremu angu-150 e-Egypt, kuyilapho intengo yokuhlolwa okuvamile iseduze namaphawundi angu-50.
5. Kubalulekile ukuqaphela ukuthi ezinye izibhedlela nezikhungo zezokwelapha zinikeza isevisi yokuthatha isampula yegazi nokwenza ukuhlaziya ekhaya, ukuze ukwazi ukubuza ngalokhu lapho ubhukha ukuqokwa kokuhlaziywa.
6. Kufanele uthintane nodokotela nochwepheshe ngaphambi kokwenza noma yikuphi ukuhlaziya, njengoba bazokusiza ukuhumusha imiphumela futhi bakuqondise ezinyathelweni ezilandelayo.
7. Ungakhohlwa ukuthi izintengo ezishiwo ziyizilinganiso futhi zingahluka phakathi kwezifunda namalabhorethri.
   Ngakho-ke, kungcono ukuhlola amanani amanje ngaphambi kokwenza noma yikuphi ukuhlaziywa.

Iphesenti lokuhlaziywa kwedijithali lokukhulelwa okujwayelekile

Ukutholwa kokukhulelwa kuyisinyathelo esibalulekile ohambweni lwawo wonke umuntu wesifazane ohlela ukuba nezingane.
Enye yezinhlobo ezidumile zokuhlola ukuthola ukukhulelwa ukuhlolwa kokukhulelwa kwedijithali.
Lokhu kuhlaziywa kunikeza ukufundwa okunembile kwezinga le-hormone yokukhulelwa egazini, okungenye yezinkomba zokuqala zokukhulelwa.
Kulesi sihloko, sizohlola izinto eziningana mayelana nesilinganiso sokuhlaziywa kwedijithali nokukhulelwa kwemvelo.

XNUMX. Amazinga e-hormone okukhulelwa emavikini ahlukene okukhulelwa:
Izinga le-hormone yokukhulelwa liyahlukahluka kuye ngokuthi isigaba sokukhulelwa owesifazane adlula kuso.
Emasontweni okuqala okukhulelwa, izinga le-hCG liphansi, futhi kancane kancane liyakhula ngokuhamba kwesikhathi.
Emasontweni angu-XNUMX-XNUMX, isibonelo, izinga liphakathi kuka-XNUMX no-XNUMX mm/ml wegazi.
Emasontweni angu-XNUMX-XNUMX, isukela phakathi kuka-XNUMX no-XNUMX mm/ml wegazi.

XNUMX. Amazinga akhulayo we-hormone yokukhulelwa emasontweni okuqala:
Kuyaziwa ukuthi izinga le-hormone yokukhulelwa landa kakhulu emasontweni okuqala emva kokukhulelwa.
Emasontweni okuqala, izinga liqala ku-XNUMX IU/ml yegazi.

XNUMX. Ukubaluleka kwesilinganiso sokuhlaziywa kokukhulelwa kwedijithali:
Ukuhlaziywa kokukhulelwa kwedijithali kubhekwa njengenye yezinhlobo ezinembile nezithembekile zokuhlola ukuthola ukukhulelwa.
Lokhu kuhlaziya kusiza isigxobo sejeneretha ukunquma isikhathi sokulayisha ngokunembile futhi silandelele ukuthuthukiswa komthwalo.

XNUMX. Iyini izinga elivamile le-hormone yokukhulelwa?
Izinga elivamile le-hormone yokukhulelwa libhekwa ngaphansi kwe-XNUMX IU / ml yegazi, esimweni sowesifazane ongakhulelwe.
Amazinga e-hormone okukhulelwa aphindwe kabili ngokwemvelo ngemva kokukhulelwa.

XNUMX. Ezinye izici ezithinta amazinga e-hormone yokukhulelwa:
Ngaphezu kokukhulelwa, kunezinye izici ezingase zithinte amazinga e-hCG ekuhlaziyweni kwedijithali.
Enye yalezi zici ukukhuluphala kwabesifazane kanye nokunqwabelana kwamafutha, ikakhulukazi endaweni yesisu.