Yintoni umyinge IVF HCG. DPP - yintoni. Table nemigangatho HCG emva IVF

In vitro - izibini ezininzi kusenokuba ithuba lokugqibela ukufumana umntwana onjalo oyifunayo. Enye zalathisi Kubalulekile ukuba ukukhulelwa uphuhlisa ngokuqhelekileyo - a hCG hormone. DPP - eli nani kwakhona ebaluleke kakhulu kuvavanyo ukukhulelwa emva IVF. Makhe sibone oko kuza phantsi kwezi izifinyezo.

IVF - yintoni

Kakade ke, wonk 'uyazi ukuba umntwana, amadlozi (iiseli ngesondo oyindoda) ukuhlangabezana ndigalele umgquba iqanda (iiseli intsholongwane obhinqileyo). Emva ukuba iphunyeziwe ingaphakathi isibeleko, xa ukhula uthotho tshintsho luza kwenzeka iinyanga ezisithoba, emva koko umntwana ezelwe. Ngokufuthi unobangela ukungachumi kube nzima ukwenza iinkqubo ezimbini vivo. Oko kukuthi, ngenxa yezizathu ezininzi kutheni inqubo bengakwazi self-kwakheke iqanda, okanye iqanda sele aqhamileyo abakwazi ukufikelela isibeleko okanye infiltrate ngayo. Kodwa lo mfazi unamandla ngokupheleleyo kuzala umntwana. Kwaye ngoko xa oogqirha kuza. Bayisa iiseli zesini ngabazali bobabini, chitha in vitro kwaye ukungenisa mbumba kungena endometrium. Kakade ke, le nkcazelo i-oganogram kakhulu. Ngenxa yoko, inkqubo ukuzala ke lula, yaye izibini ezininzi ukufumana ithuba.

DPP

iqanda (bungu) ukuba usenze kwi isibeleko ngomhla 3 okanye 5 emva kokukhulelwa. Kulo mzekelo, ngexesha inkqubo yokwazisa akukho namnye kodwa ezimbini iimbumba. Oku kwandisa amathuba ukuba ukukhulelwa kusengenzeka. Noko ke, le amathuba ukuba ukuphinda le nkqubo izihlandlo eziliqela. Amaninzi ukuba umbungu akuthethi bendelisele iingcambu nkqu owesibini ukuzama yesine okanye eyesihlanu. DPP abbreviation ubonise ukuba zingaphi iintsuku idlule ukususela ukuqaliswa mbungu. Lo mhla kubaluleke kakhulu ukuqinisekisa ukuba ukukhulelwa kuyimfuneko ukuba alinde 14 DPP. inqanaba HCG leyo ilinganiswa kule kota, nophawu ephambili siganeko.

Hormone hCG

chorionic gonadotropin Human (hCG) kwi ummiselo kumiselwa kuphela emzimbeni yomfazi okhulelweyo. Iqala ukuze avelise iqanda, kodwa njengoko ingena emzimbeni Umfazi xa sele aqhamileyo, imbonakalo kwale hormone egazini okanye umchamo ibonisa ukuba ukusungulwa kwalo ndiseyimbumba yimpumelelo. Ekukholelwa ukuba ukukhulelwa xa hCG yi-14 DPP pyatidnevok (imibungu kwenziwa ngomhla wesihlanu emva kokukhulelwa sele yenzekile) lingaphantsi kwe-100 mIU / L. Ukuba intsebenzo 25 mIU / L okanye ngaphantsi, mhlawumbi, kuya kufuneka uphinde le nkqubo. Noko ke, imilinganiselo ephantsi kolu hlahlelo kunokuba kwaye ukuba nexesha ligqithile emva bungu umzila ngokwaneleyo, umz, 12 ukujonga hCG DPP.

Ntoni HCG

Chorionic gonadotropin ukwabizwa ngokuba hormone ukukhulelwa. Ngokukhawuleza emva kokukhulelwa, akunamsebenzi umva umzimba tyheli lukwakhuthaza Yindibanisela iihomoni ezifana estrogen kunye yiprogesterone. Serum hCG uzimisele ngoko nangoko emva kokuba iqanda usiwe ingaphakathi zesibeleko. Emva koko, lo xi iqala ukukhula ngokukhawuleza. Xa eliqhelekileyo yokukhulelwa zonke iintsuku ezimbini, iya luphindwe. Izinga eliphezulu hCG (DPP) libhalisiwe kwiveki yeshumi. Emva koko, inqanaba le hormone kancane kancane iiveki 8 koko yahlala izinzile kuze kwezidingo.

Kufuneka kuqatshelwe ukuba oogqirha elibeke esweni amanqanaba hormone kule serum egazini kunye nesanty sokubekwa kwe hCG - DPP kwakhona ngenxa ezinxaxhileyo ezibalulekileyo ukususela kwimida isalathisi norms badla abe isiphawuli of ezingaqhelekanga kakhulu emzimbeni kamama, kunye nophuhliso olungekazalwa.

Iindlela yokumisela chorionic gonadotropin kwabantu

Inkoliso yamabhinqa emva kokuba utshintsho kwinqanaba HCG IVF ngempumelelo baqale esweni sele kwiintsuku 9-14. Ukuba amtyhile ukubonakala kwayo banikele optionally ngegazi. iimvavanyo Pregnancy ukusebenza kumgaqo ngokokuqingqwa bobukho bayo yokuchama. Kakade ke, ukuba abathanga ukubonisa amanani ngqo kunye mali hCG kwi pyatidnevok DPP okanye trehdnevok, kodwa ungathanda kakhulu phambi kwakhe abonisa ukukhulelwa. Ukuze ufumane iziphumo ezichanekileyo ngakumbi umfazi enikela igazi. Ukuba ngexesha igazi eliqhelekileyo lokukhulelwa hormone ukuba irente screening, nto leyo yenzelwa kwi ezintathu yokuqala, xa siqhuba neqanda ukuba gynecologists umfanekiso ifundise Sicebisa ukwenza yona yonke imihla 2-3 emva umbungu umzila. Iziphumo ezifunyenweyo zithelekiswa netafile obonisa ubuncinane, ubukhulu kunye nomyinge amaxabiso hCG ixesha elithile le DPP.

nemithetho hCG

Njengazo zonke izibonisi, amanqanaba hCG inokwahluka ngaphakathi kwemida ethile. Kaninzi kule theyibhile data ibonisa ukuhla nokunyuka zenqanaba yayo lokukhulelwa ngeveki. Kukho kwakhona itafile ebonisa umgangatho hormone hCG kwandisa intsebenzo emini. Baluncedo kakhulu ukuba labo abenza IVF. Le theyibhile ingezantsi ibonisa amaxabiso avareji usuku olunye kuphela emva kokuba intshayelelo (DPP) ukuba iimbumba elimiselweyo emva kweentsuku ezi-3 no-5 emva kokukhulelwa.

Njengoko kubonakala, hCG 7 pyatidnevok DPP yi 45 mIU / L, kodwa ngokuqhelekileyo yokusebenza yayo ziyahluka ukusuka 17 ukuya 65 mIU / l. Wodliwa kwangaloo mhla, umyinge kwimveku imini ezintathu-18, kunye noluhlu eqhelekileyo iya kuthetha ukuya 8-26 mIU / L.

Izizathu hCG yokwanda

Njengoko kukhankanyiwe ngasentla, le hCG asinto nje sisalathisi ukuba ukukhulelwa, kodwa ikuvumela ukulawula flow yayo. Xa kunokwenzeka ukuba inqanaba kwale hormone ayikho kakhulu ngaphaya mmiselo, oko baqhoboshele ukubaluleka kakhulu, kodwa ukuba amanani musa ayifani nendlela DPP hCG kakhulu, oko kube uphawu ukuba kukho ezimbi kakhulu umama kunye engekazalwa. A ukwanda okubonakalayo kweli isalathisi kunokukhokelela:

• ukungaqheleki chromosomal kuphuhliso ezingekazalwa (Down kaThixo syndrome);
• ithumba trophoblastic;
• iingxaki ezidalwe (diabetes);
• amayeza equlathe progestogens;
• ukhulelwe.

Izizathu kuwa hCG

Low gonadotropin level harioticheskogo kungabonwa kwezi meko zilandelayo:

• isisu esengozini;
• ephosiweyo isisu;
• malformations Palsy;
• ukufa Palsy ;
• ukukhulelwa perenashivanie;
• insufficiency placental;
• pregnancy.

Ukwanda hCG DPP. amawele

IVF ukuphucula amathuba yomfazi ukukhulelwa, ngoko nangoko elimiselweyo kuni iimbumba ezimbini, kodwa ke oku kudla akuqinisekisi impumelelo yale nkqubo. Nangona kunjalo, kukho kwakhona izandulela xa ezimbini thabatha ingcambu ngoko nangoko. Xa kunjalo izikhombisi hCG ukuze akhule ngokuphindwe 2-3. Oku kungenxa yokuba uvelisa akukho ngumkhaya enye, njengoko yenzeka zokukhulelwa singleton, kodwa ababini. Umzekelo, ukuba umgangatho hCG kwi-DPP 16 imiyinge pyatidnevok 1960 mIU / L, umlinganiselo eqhelekileyo amawele ukuya 3920 mIU / l nangaphezulu.

Isalathisi HCG luxilongo mgceni Palsy

Kakade ke, ukukhulelwa - kubalulekile olukhoyo isiganeko ebomini nawuphi na umfazi, kodwa kuyenzeka ukuba izisa hayi uvuyo kuphela, kodwa nazo. Ngokuchasene imvelaphi yoxinezeleko, okusingqongileyo kunye nezinye izinto, hayi indlela engcono ezichaphazela ubomi wazalelwa, kukho umngcipheko kuphuhliso ezimbi. Inqanaba yanamhlanje amayeza ivumela abaninzi kubo lokuxilonga nkqu ezichanekileyo usaqala. Kungenxa yale kwaye kukho luhlola esisinyanzelo ezintathu yokuqala neyesibini yokukhulelwa. Ukuhlolwa senyanga yokuqala, nto leyo ngokwesiqhelo uqhuba ngexesha kwiiveki 10-14 kuquka ultrasonography nokubek'esweni hCG amanqanaba hormone PAPP-A. ezintathu Ukuhlolwa Second zomsebenzi ngeveki 16-18. Ngayo, kunye US, ubambe uvavanyo emithathu (HCG, AFP, estriol). Idatha yale yokubahluza yesibini ukuvumela ukuba ukujonga kunye okuba esiphakamileyo phambi ezingaqhelekanga. Kwimeko yokuba kwisiqalo yamanqanaba asezantsi olwazi AFP kunye estriol amanqanaba hCG iphezulu kakhulu kunesiqhelo, kunye amathuba aphezulu sinako urhanela ubukho foetal alcohol Down syndrome. Syndromes Edwards okanye Patau ingakrokreleka kwinqanaba elisezantsi kuzo zonke zontathu njengabamakishi. Kakhulu amanqanaba eqhelekileyo chorionic gonadotropin oluntu AFP eliphantsi estriol kunokubonisa Turner syndrome.

Zonke uqikelelo kwenziwa zisekelwe iimpawu ngamnye lenkqubo ukukhulelwa - yobudala koomama, wehla, imikhwa emibi, comorbidities, izifo ebantwaneni wazalwa zokukhulelwa ezidlulileyo. Ukuba hlolisiso lubonisa nokuba nokuphambuka ezincinci kulo mmiselo, umfazi inyanzelekile kwi kokubonisana imizila yemfuza.

Indlela ukuba bahlolelwe

Ukuze kulingwa for hCG kufuneka ukuba lidlule igazi emthanjeni. Yenza ngcono ekuseni kunye nokuzila ngokungqongqo kuyo. Xa kunjalo, xa kufuneka ukuba uthathe kuyo ngemini, kufuneka ayeke ukutya iiyure ezi-6. Xa kunjalo, ukuba ngaba uthatha nawaphi na amayeza eziqulathe iihomoni ( "Pregnil", "Horagon"), kuyimfuneko ukuba uxelele ugqirha wakho kwangethuba.

Ukufunda laboratory waba ulwazi ngakumbi, yenze ngcono, iintsuku ngaphambi kwe-3-5 emva kokuba sexesheni. Kwimeko IVF data echanekileyo iya kuba unesifo olwenziwe ngosuku lwe-14 emva kokuba le nkqubo.