Chii mwero IVF HCG. DPP - chii. Table dzemunharaunda HCG pashure IVF

Ezvokunambira kunze kwomuviri waamai muchangosangana - nokuti vakaroorana vakawanda zvingava yokupedzisira mukana kuwana mwana munhu achida kudaro. Chimwe chezvinhu zvinokosha zviratidzi kuti pamuviri iri kukura anowanzoita - hormone hCG. DPP - mufananidzo uyu kwazvo zvinokosha kunyatsoongorora pamuviri pashure IVF. Ngationei nhema pasi abbreviations izvi.

IVF - chii pfungwa

Zvechokwadi, munhu wose anoziva kuti mwana, dzisingaoneki (vanhurume masero) kusangana uye isa fotereza zai (hadzi utachiona masero). Pashure kuti rakatangwa muna lining pamusoro dumbu, izvozvo kaviri nhevedzano kuchinja kuitika kwemwedzi mipfumbamwe, mushure iyo mwana azvarwa. Kazhinji zvinokonzera kushaya mbereko zvisisakwanisiki tiite kwemasayendisiti maviri vivo. Kureva, nokuda kwezvikonzero zvakasiyana-siyana sei dzisingaoneki havagoni nokuzvidzora isa fotereza zai, kana kuti kare zai haagoni kusvika dumbu kana nda nayo. Asi mukadzi uyu anonyatsokwanisa kubereka mwana. Zvino kune vanachiremba kuuya. Kutora zvepabonde masero vabereki vose, vanopedza ezvokunambira kunze kwomuviri waamai muchangosangana uye kudzidzisa zvichiguma mudumbu kupinda endometrium. Chokwadi, tsananguro iyi schematic chaizvo. Nokudaro, pamuviri muitiro iri nyore, uye vakaroorana vakawanda vawane mukana.

DPP

Zai (mudumbu) vari akaisa mukati dumbu panguva 3 kana 5 zuva pashure muchangosangana. Panyaya iyi, panguva nzira Pakusuma hakuna asi mbiri tuvana. Izvi zvinowedzera mikana kuti pamuviri achiri kuitika. Kunyange zvakadaro, mikana vari kuti unofanira kudzokorora nzira iyi kakawanda. Kazhinji kuti embryo asingadi midzi kunyange rechipiri uye rechina kana rechishanu kuedza. DPP chidimbu inoratidza sei mazuva mazhinji apfuura kubva pakatanga embryo. musi uyu unokosha chaizvo kuti chokwadi kuti pamuviri zvinokosha kumirira 14 DPP. HCG pamwero iyo akayera uyu izwi, ndiye chikuru zvechinguvana yacho chiitiko.

The kemikari hCG

Human chorionic gonadotropin (hCG) mu ndozvakajairwa akatsunga chete mumuviri mumwe mukadzi pamuviri. Rwunotanga pave zai, asi anowana mumuviri mumwe mukadzi sezvo ari kare nourume, chimiro kemikari ichi muropa kana weti kunoratidza kuti pakatanga embryo akabudirira. Zvinonzi vaidavira kuti pamuviri kana hCG ndiyo 14 DPP pyatidnevok (Tuvana chinozoiswa pazuva rechishanu mushure muchangosangana kwakaitika) idukusa 100 Miu / L. Kana mabasa 25 Miu / L kana kudzika, Ungangove, vachava kudzokorora muitiro. Zvisinei, ezasi tsika ongororo iyi inogona kuva uye kana nguva yakapfuura pashure mudumbu muchibereko zvakakwana, semuenzaniso, 12 kuona hCG DPP.

Ko HCG

Chorionic gonadotropin inonziwo pamuviri kemikari. Pakarepo mushure muchangosangana, hazvina kubva atanga yero muviri uye zvinoita kwetunhu mahormone akadai inonzi estrogen uye progesterone. Serum hCG atsunga pakarepo pashure zai kutaurwa muna uterine lining. Zvadaro, wevasungwa anotanga nokukurumidza kukura. In inowanzotorwa kosi ose mazuva maviri pamuviri, zvicharangarirwa kaviri. The zvazvingava kunonyanyisa pamusoro hCG (DPP) rinonyoreswa panguva vhiki chegumi. Zvadaro, padanho kemikari izvi zvishoma nezvishoma wakaderedzwa 8 kwevhiki uye akaramba akatsiga kusvikira pakusununguka.

Zvinofanira kucherechedzwa kuti vanachiremba chaizvo vachiongorora kuti kwevari mahormone muropa serum uye nhamba hCG - DPP nekuda zvinokosha zvarakasiya kubva indekisi miganhu dzemunharaunda kazhinji kuva chiratidzo zvikuru abnormalities mumuviri kwaamai, uye kukura azvarwa.

Nzira dzekufambisa kutsunga kwevanhu chorionic gonadotropin

Vakadzi vakawanda pashure abudirire IVF HCG pamwero kuchinja kutanga kuongororwa kare mumazuva 9-14. Kuzarura rwayo kunyange optionally kupa ropa. Pregnancy miedzo vanoshanda panheyo kutsunga yokuvapo yaro weti. Chokwadi, havasi kuratidza chaiyo nhamba uye huwandu hCG muna DPP pyatidnevok kana trehdnevok, asi kuvapo kwake ingangova anoratidza pamuviri. For zvabuda neyakarurama mukadzi donates ropa. Kana panguva dzose pamuviri ropa pamusoro mahormone kuti mapandi kuongorora, riri kuitwa wokutanga trimester, pakuitisa ezvokunambira kunze kwomuviri waamai pakusangana kuti zvavataura mufananidzo gynecologists dzinorumbidza kuzviita ose 2-3 mazuva pashure mudumbu muchibereko. Migumisiro vakawana vari kuenzaniswa tafura iyo inoratidza shoma, kunonyanyisa uye paavhareji tsika hCG kuti imwe nguva yacho DPP.

dzemunharaunda kuti hCG

Sezvazviri zviratidzo zvose, hCG zvese ingasiyana mukati zvimwe. Kakawanda iri tafura Data zvinoratidza nokufamba wayo chechetere nevhiki pamuviri. Panewo tafura kuratidza mwero kemikari hCG anowedzera waivako masikati. Ivo hunonyanya zvinobatsira vaya vaiita IVF. Tafura pazasi inoratidza avhareji netsika zuva rimwe chete pashure pakusuma (DPP) nokuti anenge muchibereko mushure 3 uye 5 Mazuva pashure muchangosangana.

Sezvinogona kuoneka, hCG 7 pyatidnevok DPP ndiyo 45 Miu / L, asi kazhinji kwayo waivako anogona dzinosiyana 17 kusvika 65 Miu / l. Pazuva iroro, avhareji kuti-zuva matatu embryo 18, uye zvakajairika siyana kungaguma 8-26 Miu / L.

Zvikonzero kuwedzera hCG

Sezvataurwa pamusoro apa, kuti hCG harisi chete nechiidzo kuti pamuviri, asi anobvumira kuti kudzora chokubuda kwayo. Kuri kuti padanho kemikari ichi hachisi zvikuru mhiri ndozvakajairwa, hazvina batanidza zvikuru kukosha, asi kana nenhamba regai kuenzaniswa DPP hCG zvinokosha, zvingaratidza chiratidzo kuti pane zvakakomba pathologies zvose mai uye mudumbu. A kuwedzera indekisi ino kungaita kuti:

• chromosomal abnormalities mu fetus (Down kuti urwere);
• trophoblastic mota;
• kwemakemikari anobudiswa zvirwere (chirwere cheshuga);
• mishonga ine progestogens;
• vakawanda pamuviri.

Zvikonzero kwokuderera hCG

Low chechetere harioticheskogo gonadotropin dzinogona kuonekwa mune zvinotevera nyaya:

• kunzarwo pamuviri;
• kurashikirwa pamuviri;
• fetus malformations;
• fetus rufu ;
• perenashivanie pamuviri;
• placental insufficiency;
• ectopic pamuviri.

Yakawedzera hCG DPP. mapatya

IVF kuvandudza mikana mukadzi ava nemimba, pakarepo akasima anenge maviri, asi ichi kazhinji hakurevi kubudirira nzira. Zvisinei, panewo neizvi apo vaviri midzi pakarepo. Kana zvakadaro hCG zviratidzi vanogona kukura nokuda 2-3 nguva. Izvi imhaka yokuti pave kwete chete placenta, sezvo zvinoitika muna Singleton pamuviri, asi maviri. Somuenzaniso, kana pachiyero hCG muna DPP 16 pyatidnevok Avharenji 1960 Miu / L, mwero zvakajairika kuti mapatya kusvika 3920 Miu / L uye pamusoro.

HCG paakati iri nechirwere fetus anomalies

Chokwadi, pamuviri - zvinokosha uye yokufungidzira chiitiko mu mukadzi upi wacho upenyu, asi zvinoitika kuti zvinounza kwete mufaro chete, asiwo zviitiko. Tikafunga kunetseka, kwezvakatipoteredza uye nezvimwewo, kwete nzira yakanakisisa kukanganisa upenyu aberekwa, pane njodzi kugadzira pathologies. The ano pamwero mushonga achibvumira vazhinji vavo rokuongorora uye kunyange zvechokwadi tanga. Imhaka ichi uye pane rokumanikidzirwa screenings rokutanga uye rechipiri trimester akazvitakura. Kuongorora zviri trimester wokutanga, iro rinowanzova kuitisa panguva Mavhiki 10-14 rinosanganisira ultrasonography uye vachiongorora hCG kwevari hormone PAPP-A. Second trimester kuongorora kwakaitwa pamusoro 16-18 vhiki. It, pamwe US, abate bvunzo katatu (HCG, AFP, estriol). The Data kuti kuongorora uku yechipiri kubvumira kuona dzakakwirira mukana kuvapo abnormalities. Kuri kuti pakanyorwa yakaderera kwevari AFP uye estriol kwevari hCG zviri kupfuura dzose, pamwe yakakwirira mukana tinogona chifungidziro kuvapo fetus Down syndrome. Syndromes Edwards kana Patau kuti vanofungidzirwa yakaderera pamwero vose vatatu zvezvinangwa. Vashoma zvinoitika siyana kwevanhu chorionic gonadotropin mu pasi AFP uye estriol zvingaratidza Turner syndrome.

Zvaifungidzirwa All vakaitwa kwakavakirwa nomumwe zvechadenga vanoita pamuviri - rwaamai zera, wake uremu, tsika dzakaipa, comorbidities, chirwere kuvana vakaberekerwa yapfuura pamuviri. Kana kuongorora kunoratidza kunyange zviduku zvarakasiya kubva ndozvakajairwa, mumwe mukadzi ari rokumanikidzirwa pamusoro genetics kubvunza.

How kuti kuedzwa

To munhu akaidza nokuti hCG kunodiwa kupfuura ropa kubva tsinga. Kuzviita nani mangwanani uye kunyatsoomerera achitsanya. Pakadaro, kana uine uitore rimwe zuva, unofanira kurega kudya kwemaawa anenge 6. Pakadaro, kana uri kutora chero mishonga kuti ane mahormone ( "Pregnil", "Horagon"), zvinokosha kuudza chiremba wako pachine.

To Murabhoritari kudzidza kwaiva zvavataura, itai nani, kwete kwokutanga pane 3-5 mazuva pashure kumwedzi. Kana IVF Data yakarurama zvikuru achava chirwere kuitwa pazuva rechi14 pashure nzira.