I-AFP-yesiqhelo ngexesha lokukhulelwa

Ixesha lokukhulelwa linye yeyona nto enhle kakhulu, kodwa ngexesha elifanayo linomdla kakhulu kumfazi, kuba unembopheleleko yempilo kunye nophuhliso olufanelekileyo lomntwana ongakazalwa. Ukuze uphendule ngexesha lokwenza utshintsho kuphuhliso lomntwana, oogqirha banikezela inani elikhulu leemvavanyo apho ikhanda lomama elizayo lijikelezayo. Nangona kunjalo, ndifuna ukulawula iziphumo mna kwaye ndiyazi ukuba kwenzekani kumntwana ongakazalwa.

Enye yeemvavanyo ezenza uninzi lwabafazi abaninzi abakhulelweyo kukuhlalutya kwe-AFP ( alfa-fetoprotein). Utyunjwe ukuba achaze iimpazamo ezinokuthi zenzeke ngexesha lophuhliso lomntwana. Umbungu uqala umveliso we-alfa-fetoprotein ukususela kwiiveki ezi-5. Kuze kube ngeli xesha ngumsebenzi weeyunithi zowesifazane. Kwiiveki ezi-13 ukuya kwe-16, i-AFP inqanaba legazi lifikelela kwisixa esiphezulu sokuxilongwa. Ngoko ke, ngeli thuba uhlalutyo lwe-AFP lubelwe. Isilinganiso sokukhulelwa kwesi sihlalutyo sxhomekeke kwisithuba: ixesha elide likhulu, likhulu lexabiso elivumelekileyo.

I-AFP-evamile ekukhulelweni ngeveki ye-14 ukuya kwe-15 - 26,0 - 30 IU / ml; Kwiiveki ezingama-16 ukuya kwe-18 ukuya ku-34-48 IU / ml; Iveki ye-19-20 - 50-57 IU / ml.

Uhlalutyo lwe-AFP lwenziwe ngexesha lokukhulelwa usebenzisa indlela yokumisela igazi ukusuka kwintlambo, kwaye ixesha elivela kwisidlo sokugqibela kufuneka libe ubuncinane ubuncinane kwieyure ezingama-6, kungcono ukuthatha uvavanyo ekuseni. Ukuze umphumo ungaphenduki, kuyacetyiswa ukuba uhambelane nesondlo iintsuku ezintathu ngaphambi kokuba uthathe igazi: ungadli amanqatha, usawoti, amaqanda, iziqhamo ezimhlophe kunye nemifuno, iisuthi, imbewu, amajikijolo, iimveliso zobisi, uyeke ukuthatha amavithamini.

Isikhathi sokulindela iziphumo zohlalutyo lwe-AFP ziyahlukahluka kwiiveki ukuya kweyesithathu, kuxhomekeke kwisiseko sebhubhorki kwiklinikhi. Akukho ziko lonyango elinemfuneko efanelekileyo, kwaye kwezinye iimeko igazi kufuneka lithunyelwe kwamanye ama-laboratories, okwandisa ixesha lokulinda kwisiphumo.

Yintoni i-AFP engakuxelela ngayo ngokukhulelwa?

  Ukuba isiphumo singaphantsi kwesiqhelo, ngoko kunokubonisa i- placenta ephantsi, ukukhuluphala, i-hypothyroidism, isifo sikashukela kumama ozayo, ithuba lokuphuhlisa i-Down syndrome okanye ukulibaziseka ekuphuhlisweni komntwana.

Ukuba isiphumo siphezulu kunesiqhelo, oku kungabonisa ukungaqhelekanga ekuphuhlisweni kwenkqubo ye-nervous, njengokungabikho kweengcambu zengqondo okanye ubomi bonke, ukucwiliswa kwesihlanjeni, okubangelwa ukukhubazeka.

Ukugqithisa okuqhelekileyo kwi-AFP ingabonisa isongelo sokuphuphuma kwesisu, ukungondleki, i-Rh-conflict, i-kidney pathology, i-necrosis yesibindi, i-hernia okanye i-fetal death.

I-AFP-isiqhelo ngexesha lokukhulelwa komntu wonke uhlukile kwaye kuxhomekeka kwiimeko ezininzi. Ngako oko, xa ufumene umphumo obonakala ngathi unomsebenzi, umntu akafanele athathwe ngokukhawuleza. Mhlawumbi ugqirha unqume ngokungalunganga ixesha lokukhulelwa okanye umama ozayo uza kuba negalelo le-AFP kwigazi lezifo, kwaye mhlawumbi, ngokubanzi, endaweni yesigxina, umbungu uninzi. Ezi zizathu nezinye izizathu zingaphukisa isiphumo esihle. Ngokwezibalo, kwi-100 ye-AFP abaye bavavanywa, izinga lokukhulelwa lifunyanwa kuphela kwi-20 Ema-80 asele ahanjiswe ukubonisana nomfuzulwazi kunye nezinye iingcali ezifanelekileyo. Baya kuhlalutya ngokubanzi iinkcukacha zempilo kamama kunye nemibandela eyahlukeneyo enokuchaphazela amazinga aphantsi okanye aphantsi kwe-AFP egazini. Kwakhona kuya kuthunyelwa iimvavanyo ezongezelelweyo zegazi kunye ne-ultrasound. Kwaye omnye umfazi okhulelweyo ophuma kuma-80 unokufumana ingxaki ebonakalayo ekuphuculeni umntwana.

Kufuneka kukhunjulwe kwakhona ukuba ugqirha awukwazi ukuxilonga i-AFP ngesiseko sohlalutyo olulodwa, ngoko kuhlalutya kathathu kubelwe ukufumana iziphumo ezichanekileyo, ezibandakanya uphando lwe-AFP, hCG kunye no-E3.