Neeg Chorionic Gonadotropin (hCG) Qib thiab Miscarriage: Yam Uas Koj Yuav Tsum Tau Paub

Zoo Siab

• Txheej txheem cej luam
• HCG qib cev xeeb tub
• HCG qib hauv kev nchuav menyuam
• Qib qes yuav txhais tau tias yog nchuav menyuam?
• Ua poob qib uas yuav tsum txhais tau tias nchuav menyuam?
• Puas yog sawv qeeb heev txhais tau tias yog nchuav menyuam?
• Yuav ua li cas cov kws kho mob paub meej tias nchuav menyuam
• Tau txais theem hCG rov qab mus rau xoom tom qab nchuav menyuam
• Cov nqa mus

Txheej txheem cej luam

Tib neeg chorionic gonadotropin (hCG) yog yam tshuaj tsim los ntawm lub cev thaum cev xeeb tub. Nws txhawb cov menyuam kev loj hlob.

Cov kws kho mob kuaj hCG qib hauv cov zis thiab ntshav kom paub meej tias cev xeeb tub. Lawv kuj siv hCG kev kuaj ntshav los pab txiav txim siab seb tus neeg puas tab tom mob plab yug menyuam lossis yug menyuam.

Cev xeeb tub, cev xeeb tub, thiab cev xeeb tub yuav tsis muaj leej twg kuaj tau raws li ib qib hCG nkaus xwb, tab sis nws yuav pab tau zoo yog paub txog cov theem no ua haujlwm li cas.

HCG qib cev xeeb tub

Yog tias koj xav hais tias koj cev xeeb tub, tus kws kho mob yuav kuaj ntshav ntawm txoj hlab ntshav txhawm rau kuaj koj qib hCG.

Yog tias koj tsis muaj qhov hCG nyob rau hauv koj cov ntshav, qhov no tsis txhais tau tias koj tsis tau xeeb tub. Koj tuaj yeem ntxov ntxov thaum cev xeeb tub vim koj cov qib hCG nce.

Cov qib HCG siab dua 5 lab thoob ntiaj teb nyob rau ib milliliter (mIU / mL) feem ntau qhia tias cev xeeb tub. Koj thawj qhov kev xeem ntawv raug pom tau tias yog qib pib. Qeb no yuav ua tau los ntawm hCG me me (xws li 20 mIU / mL lossis tseem qis dua) mus rau ntau dua (xws li 2,500 mIU / mL).

Qhov theem pib yog qhov tseem ceeb vim tias lub tswvyim kws kho mob hu ua lub sijhawm siv ob npaug. Hauv thawj plaub lub lim tiam ntawm kev xeeb tub uas muaj txiaj ntsig, hCG qib yuav feem ntau ob zaug ntxiv txog txhua ob rau peb hnub. Tom qab 6 lub lis piam, cov qib yuav muab siab ntxiv txog txhua txhua 96 teev.

Yog li, yog tias koj lub hauv paus qib siab dua siab dua 5 mIU / mL, koj tus kws kho mob yuav hais kom rov kuaj dua ob peb hnub tom qab txhawm rau saib puas muaj tus lej ob npaug.

Thaum tsis muaj qee qhov kev pheej hmoo, qhov no (lossis ib qib ntxiv) yuav txaus los txiav txim qhov kev xeeb tub. Feem ntau, koj tus kws kho mob yuav qhia koj kom muaj ultrasound qee lub sijhawm ntawm 8 thiab 12 lub lis piam ua ib feem ntawm kev saib xyuas cev xeeb tub thawj hlis.

HCG qib hauv kev nchuav menyuam

Yog tias koj muaj qhov pheej hmoo ua rau nchuav me nyuam los yog cev xeeb tub ectopic, koj yuav muaj feem ntau hCG uas tsis ua ob npaug. Lawv kuj yuav txo kom tsawg. Yog li, koj tus kws kho mob yuav hais kom koj rov qab mus rau lawv lub chaw haujlwm ob mus rau peb hnub tom qab koj txoj kev kuaj ntshav seb koj theem puas tau nce rau ob npaug.

Yog tias koj cov qib hCG tsis ze rau ob npaug tom qab 48 rau 72 teev, koj tus kws kho mob yuav muaj kev txhawj xeeb uas cev xeeb tub yuav muaj teeb meem. Hauv kev kho mob, qhov no tuaj yeem hu ua "kev xeeb tub uas tsis tuaj yeem mus tau."

Yog tias koj qib pib nqis los yog nce qeeb heev, tej zaum koj yuav raug xa mus kuaj lwm yam thiab. Qhov no tuaj yeem suav kev sim ntshav progesterone thiab transvaginal ultrasound los kuaj xyuas koj lub tsev me nyuam rau lub hnab looj. Lwm cov tsos mob, xws li los ntshav los sis mob plab, tseem yuav raug suav nrog.

Thaum muaj kev nchuav menyuam, hCG qib feem ntau qis dua los ntawm kev ntsuas yav dhau los. Piv txwv li, qhov theem pib ntawm 120 mIU / mL uas tau poob rau 80 mIU / mL ob hnub tom qab tuaj yeem qhia tau tias lub embryo tsis tsim kho lawm thiab lub cev tsis tsim cov tshuaj hormones ntau ntxiv los txhawb nws txoj kev loj hlob.

Ib yam li ntawd, cov qib uas tsis muaj sib npaug thiab tsuas yog nce qeeb heev - piv txwv li ntawm 120 mIU / mL txog 130 mIU / mL nyob rau ob hnub - nws tuaj yeem qhia tau tias tsis muaj menyuam hauv plab uas txoj kev nchuav menyuam yuav tshwm sim sai.

Qib uas qeeb sawv los kuj tseem tuaj yeem qhia tau lub sijhawm tsis muaj menyuam hauv plab, uas tshwm sim thaum lub qe ua yug menyuam qhov chaw nyob sab nraum lub tsev menyuam (feem ntau yog cov hlab qe menyuam). Vim tias kev mob plab menyuam mos tuaj yeem yog mob xwmtxheej ceev, nws yog ib qho tseem ceeb kws kho mob txheeb xyuas qhov no sai li sai tau.

Ntawm qhov tod tes, nws tseem muaj peev xwm kom muaj hCG txog qib ob nrog lub cev xeeb tub hauv ectopic. Vim li no hCG qib ib leeg xwb tsis txaus los txiav txim qhov xwm txheej nrog 100 feem pua ​​raug.

Qib qes yuav txhais tau tias yog nchuav menyuam?

Qhov qis qis qis tsis yog qhov ntsuas qhov tseeb ntawm txhua qhov teeb meem hauv thiab ntawm nws tus kheej. Cov kab xwm ib txwm rau hCG ntawm ntau lub ntsiab lus ntawm cev xeeb tub yog qhov dav heev.

Piv txwv li, tsuas yog ib hnub tom qab ncua sijhawm koj lub sijhawm, koj qib hCG tsuas yog 10 lossis 15 mIU / mL. Lossis tej zaum nws yuav ntau dua 200 mIU / mL. Txhua lub cev xeeb tub yog qhov sib txawv hauv qhov no.

Qhov tseem ceeb tiag yog qhov hloov tau mus raws sijhawm. Cov neeg sib txawv yuav muaj lub hauv paus sib txawv thiab tseem muaj cev xeeb tub ntev.

Ua poob qib uas yuav tsum txhais tau tias nchuav menyuam?

Yog tias koj cov ntshav poob qis, qhov tshwm sim rau koj txoj kev xeeb tub tsis yog ib txwm zoo.

Nws muaj peev xwm siv lub chaw ntsuas tau ua qhov tsis raug. Nws kuj tseem tuaj yeem yog rooj plaub preexisting mob, xws li zes qe menyuam hyperstimulation syndrome (OHSS) tom qab kev kho mob rau kev xeeb tub, cuam tshuam rau koj li kev sib luag.

Txawm li cas los xij, feem ntau, qis qis ntawm hCG tom qab kev muaj txiaj ntsig ntawm kev xeeb tub tsis yog lub cim zoo. Muaj feem ntau yog cev xeeb tub, tsis tuaj yeem, raws li phau ntawv Journal Fertility and Sterility.

Puas yog sawv qeeb heev txhais tau tias yog nchuav menyuam?

Maj mam nce qib hCG tsis txhais tau tias koj nchuav menyuam, tab sis lawv feem ntau yuav teeb liab ntxiv mus kuaj seb koj puas yog.

Cov kws kho mob siv cov ntaub ntawv raws li kev tshawb nrhiav me me hauv cov neeg uas xeeb tub tom qab kev kho mob cev xeeb tub, raws li phau ntawv Journal Fertility and Sterility. Tus lej hCG tej zaum yuav pab tau cov lus qhia txuas mus tom ntej, tab sis lawv tsis yog qhov qhia tau meej ntawm kev nchuav menyuam lossis xeeb menyuam hauv plab.

Cov kws kho mob chiefly siv doubling lub sij hawm mus qhia meej lub sijhawm muaj menyuam hauv plab, tsis paub hais tias yog menyuam yaus. Raws li phau ntawv sau tseg, kev nce siab 53 feem pua ​​lossis siab dua hauv hCG qib tom qab ob hnub tuaj yeem paub meej tias lub cev muaj menyuam hauv 99 feem pua ​​ntawm cev xeeb tub.

Ib qho tseem ceeb uas yuav tau txiav txim siab nrog lub sij hawm doubling yog qhov pib hCG tus nqi. Piv txwv li, cov neeg uas muaj qib theem pib hCG qib qis dua 1,500 mIU / mL muaj ntau "chav" kom nce lawv qib hCG.

Qee tus neeg uas tuaj yeem txuas ntxiv dua li lawv xav thiab pib ntawm hCG theem siab ntawm 5,000 mIU / mL lossis siab dua feem ntau tsis muaj tus lej ntawm hCG nce, raws li.

Nqa cov lej sib npaug (ntxaib, triplets, thiab lwm yam) tuaj yeem cuam tshuam tus nqi ntawm hCG siab ntxiv, nrog rau kev deb npaum li cas nrog koj.

Ectopic cev xeeb tub thiab nchuav menyuam tuaj yeem ua rau qis hCG ntau. Cov hniav cev xeeb tub tuaj yeem ua rau cov qib siab dua.

Yuav ua li cas cov kws kho mob paub meej tias nchuav menyuam

Cov kws kho mob yuav siv ntau yam kev kuaj mob kom paub meej tias ua haujlwm tsis zoo. Cov no suav nrog:

• ua kev soj ntsuam ntshav, suav nrog hCG thiab progesterone
• xav txog cov kev mob tshwm sim, xws li mob pelvic cramping los yog los ntshav los ntawm chaw mos
• ua qhov ntsuas ntawm qhov paum ntawm lub paum thiab lub plab mog
• ua ntsuas lub plawv hauv plab (yog tias koj cov hnub qhia tias lub plawv dhia me nyuam hauv plab yuav tsum raug tshawb pom)

Koj tus kws kho mob yuav muab ntau yam ntawm cov ntaub ntawv tso rau hauv tus account ua ntej kuaj mob yug menyuam. Yog tias lub cev xeeb menyuam muaj sijhawm ntxov, kev txo hCG qib yuav yog txoj kev tsuas txiav txim siab tias kev nchuav menyuam yog yuav muaj sijhawm txog sijhawm me ntsis.

Nws yog ib tus kws kho mob tseem ceeb qhia hais tias yuav nchuav me nyuam lossis mob ectopic ntxov li ntxov tau. Kev cev xeeb tub mob tuaj yeem ua rau tawg ntawm lub pob ntseg qog lossis lwm qhov kev raug mob uas tsim kev kub ntxhov rau koj lub cev thiab lub neej. Kev nchuav menyuam uas ua rau cov nqaij ntshiv tsub ntxiv kev kis tus mob thiab los ntshav ntau.

Rau cov laj thawj no, yog tias koj tau cev tsis tab seeb thaum cev xeeb tub, koj tus kws kho mob yuav pom zoo kom noj tshuaj los yog muaj qee qhov kev phais mob kom txo tsawg cov teeb meem.

Kev xeeb tub los ntawm cev xeeb tub tuaj yeem ua rau lub siab mob siab. Ib qho kev kuaj mob tuaj yeem muab kaw thiab pub cov kev tsis txaus siab thiab cov txheej txheem kho kom pib.

Tau txais theem hCG rov qab mus rau xoom tom qab nchuav menyuam

Thaum koj nchuav menyuam (thiab tseem txhua lub sijhawm koj yug menyuam), koj lub cev tsis tsim hCG ntxiv lawm. Koj cov qib yuav kawg rov mus rau 0 mIU / mL.

Qhov tseeb, txhua yam tsawg dua 5 mIU / mL yog "tsis zoo," yog li ua tau zoo, 1 txog 4 mIU / mL tseem raug suav hais tias "xoom" los ntawm cov kws kho mob.

Yog tias koj ua haujlwm tsis zoo, lub sijhawm nws siv rau koj qib mus rau xoom nws txawv nyob ntawm seb koj qib tau siab npaum li cas thaum lub sijhawm ua haujlwm tsis ua haujlwm. Yog tias koj nchuav ntxov thaum koj cev xeeb tub thiab koj qib hCG tsis tau nce los ntawm ntau, feem ntau koj feem ntau yuav rov qab mus rau xoom tsis pub dhau ob peb hnub.

Yog tias koj qib hCG nyob hauv ntau txhiab lossis kaum txhiab thaum koj nchuav me nyuam, nws yuav siv sijhawm ntau lub lis piam rau koj qib kom rov qab mus rau xoom, raws li American Association for Clinical Chemistry.

Thaum koj mus txog rau xoom, koj feem ntau yuav pib coj koj lub sijhawm thiab ovulating dua.

Feem ntau kws kho mob tsis pom zoo kom npaj cev xeeb tub dua kom txog thaum koj muaj thawj lub sijhawm tom qab koj nchuav menyuam. Qhov no ua kom yooj yim los laij koj lub sijhawm hnub tim.

Yog tias koj muaj tus txheej txheem D thiab C (dilation thiab curettage) ua ib feem ntawm kev nchuav menyuam, koj tus kws kho mob yuav pom zoo kom tos ob lossis peb hlis rov qab ua ntej yuav ua kom cev xeeb tub dua. Qhov no yog vim tias D thiab C tuaj yeem ua rau lub tsev menyuam nyias nyias, thiab ib txoj kab tuab dua yog lub cev xeeb tub zoo dua. Lub hauv ob sab phlu yuav tsim rov qab ob peb lub hlis.

Cov nqa mus

Kev nchuav menyuam ntxov tuaj yeem yog qhov mob siab rau lub siab thiab lub cev. Yog koj xav tias koj yauv nchuav menyuam, nrog koj tus kws kho mob tham. Koj tus kws kho mob tuaj yeem xaj mus kuaj, suav nrog hCG kuaj ntshav, muab cov lus qhia ntxiv rau koj.

Yog tias koj ua tsis tau menyuam, paub tias nws tsis txhais tau tias koj yuav tsis muaj ib plab menyuam kom tiav. Qhov tseeb, neeg feem coob ua.

Tsis tas li paub tias muaj ntau ntau cov koom haum uas muab kev txhawb nqa rau cov neeg uas tau ntsib poob xeeb tub. Tham nrog koj tus kws kho mob rau cov lus qhia ntxiv.