AFP izinga ekukhulelweni

Isikhathi sokukhulelwa - omunye enhle kakhulu, kodwa ngesikhathi esifanayo okuthakazelisayo kakhulu abesifazane, ngoba umthwalo zezempilo kanye nentuthuko efanele wengane ongakazalwa. Ukuze usabela ngesikhathi yezinguquko ukuthuthukiswa kwe-fetus, odokotela linqume lenqwaba ukuhlolwa kuyiphi ikhanda umama esizayo is ukuphotha. Naphezu kwakho konke lokhu, ngifuna ukulawula kakhulu phezu Imiphumela futhi wazi ukuthi kwenzekani nge somntwana ongakazalwa.

Omunye ukuhlolwa esishukumisa abesifazane abaningi abakhulelwe sezinzwa, iyona ukuhlaziya AFP (alpha-fetoprotein). Yena umiselwa ukuba abone ukukhubazeka ezingase ziphakame inqubo ukuthuthukiswa umbungu. I-embryo ithoma ukukhiqizwa AFP cishe 5 amasonto. Kuze kube yileso sikhathi kuba - abesifazane umsebenzi wesibeletho. Kumaviki awu 13-16 of egazini AFP amazinga ifinyelela inani elikhulu uphethwe. Ngakho-ke, ngalesi sikhathi ebekiwe ukuziphatha AFP ukuhlaziywa. Norma ngesikhathi sokukhulelwa salokhu ukuhlaziywa incike isikhathi: isikhathi eside isikhathi, kungase kube enkulu ikhomba evumelekile.

AFP-ekhulelwayo eliphakeme kunawo 14 - 15 ngesonto - 26.0 - 30 IU / ml; kumaviki awu 16-18 - 34- 44 IU / ml; Isonto 19-20 - 50-57 IU / ml.

Qasha ukuhlaziya AFP ngesikhathi sokukhulelwa by izibonelo zalokho igazi umthambo, ngesikhathi esifanayo ne esidlweni sokugcina kufanele uthathe okungenani emahoreni angu-6 kungcono ukuze nginikeze ukuhlaziya ekuseni esiswini esingenalutho. Lokho Imiphumela ezingazange ehlanekezelwe sincoma izinsuku ezintathu ngaphambi igazi amasampuli ukudla: Musa nidle amanoni, usawoti, amaqanda, izithelo egqamile nemifino, amantongomane, okusanhlamvu amajikijolo, imikhiqizo yobisi, ayeke ukudla amavithamini.

isikhathi sokulinda imiphumela ukuhlaziywa wamnikela ka-AFP zingahluka kusuka amasonto amathathu, kuncike umtholampilo base laboratory. Akuwona wonke isikhungo sokwelapha has impahla edingekayo, futhi kwezinye izimo ukuthi uthumele igazi kwamanye laboratories, okwandisa ukulinda isikhathi yi.

Yini ukutshela abezindaba ze-AFP ngesikhathi sokukhulelwa?

  Uma umphumela komzimba lingaphansi kunalokhu okujwayelekile, kungase kukhombise ephansi amanga nge placenta, ukukhuluphala, i-hypothyroidism, isifo sikashukela umama okhulelwe, kungenzeka ine-Down syndrome noma ukubambezeleka kwengane.

Uma umphumela lingaphezulu kunalokhu okujwayelekile, lokho kungase kubonise ukuhlukumeza ukuthuthukiswa kwemizwa uhlelo, ezifana ukungabi ngokwengxenye kwezicubu ubuchopho noma ubuchopho lonke, ukuthambisa umgogodla ukuthi kungaholela ukukhubazeka.

Futhi AFPs kokweqa kuyinsakavukela kungase kubonise ingozi ka kwesisu, oligohydramnios, RH ingxabano, isifo so-renal, necrosis hepatic, umbhunu enkabeni noma ngisho kungenzeka ukufa fetus.

AFP ngesilinganiso ukukhulelwa ngayine inezidingo zayo futhi kuncike ezintweni eziningi. Ngakho-ke, ethola yalokho, aberrant sobala, akufanele ngokushesha ukwethuka. udokotela wakho angase ngokungalungile anqume yobudala sokukhulelwa noma umama okhulelwe ehlupheka kwandisa ezingeni AFP izifo igazi, futhi unga futhi enza, esikhundleni okuhloswe omunye umbungu eziningana. Lezi zici nezinye kungaba ukuqala yi okungelona iqiniso. Ngokwezibalo kusukela ukuhlaziywa AFP 100 baye badlula, izinga yokukhulelwa kutholwa kuphela 20. Zonke ezinye ithunyelwa kokubonisana 80 ukuze zofuzo nezinye izisebenzi eziqeqeshiwe. Behlaziya ngokuningiliziwe empilweni kamama kanye izici ezihlukahlukene okungase kuthinte ezedlula ngaphezulu noma ngaphansi-ukusebenza egazini AFP amazinga. Futhi Uthumele ezengeziwe ukuhlolwa kwegazi ne-ultrasound. Futhi oyedwa 80 ekhulelwe kungenzeka yezinkinga ekhona kwengane esiswini.

Kufanele kukhunjulwe nokuthi ngesisekelo ukuhlaziywa AFP udokotela angeke ukuxilonga, ngakho ngemiphumela eqonde inikezwa ukuhlaziywa kathathu ukuthi ihlanganisa ukutadisha AFP hCG, futhi EZ.