Hōʻike koko HCG - nui

Kuhi kahi helu kanaka chorionic gonadotropin (HCG) i kahi pae kikoʻī o ka HCG i ke koko. ʻO ka HCG kahi homone i hana ʻia i loko o ke kino i ka wā hāpai.

ʻO nā ho'āʻo HCG ʻē aʻe:

• Hōʻike mimi HCG
• Hōʻike koko HCG - qualitative

Pono kahi laʻana koko. Lawe pinepine ʻia kēia mai kahi aa. Kapa ʻia ke kaʻina hana he venipuncture.

ʻAʻole pono kahi hoʻomākaukau kūikawā.

Ke hoʻokomo ʻia ke kui kele e huki i ke koko, manaʻo kekahi poʻe i ka ʻeha kaulike. ʻO ka manaʻo ʻē aʻe he prick a wīwī wale paha ka manaʻo. Ma hope, aia paha kekahi ʻōkā.

ʻIke ʻia ʻo HCG i ke koko a me ka mimi o nā wahine hāpai ma mua o 10 mau lā ma hope o ka hāpai ʻana. Kōkua ka ana HCG nui i ka hoʻoholo ʻana i ka makahiki kikoʻī o ka fetus. Hiki iā ia ke kōkua i ke kuhi ʻana i nā hāpai hāpai ʻole, e like me ka hāpai ʻana i ka ectopic, ka hāpai ʻana o ka molar, a me nā hānau hānau hiki ʻole. Hoʻohana ʻia ia ma kahi ʻāpana o kahi hōʻike loiloi no Down Syndrome.

Hana ʻia kēia hōʻike e kuhikuhi i nā kūlana kūpono ʻole e pili ana i ka hāpai keiki e hiki ke hāpai i ka pae o ka HCG.

Hāʻawi ʻia nā hopena i nā mīkini milli-international i kēlā me kēia milliliter (mUI / mL).

Loaʻa nā pae maʻamau i:

• Nā wahine hāpai ʻole: ma lalo o 5 mIU / mL
• Nā kāne olakino: ma lalo o 2 mIU / mL

I ka hāpai ʻana, piʻi wikiwiki ka pae o ka HCG i ka manawa o ka trimester mua a laila ua emi iki. ʻO nā pae HCG i manaʻo ʻia i nā wahine hāpai e pili ana i ka lōʻihi o ka hāpai ʻana.

• 3 mau hebedoma: 5 - 72 mIU / mL
• 4 mau hebedoma: 10 -708 mIU / mL
• 5 mau wiki: 217 - 8,245 mIU / mL
• 6 mau wiki: 152 - 32,177 mIU / mL
• 7 mau hebedoma: 4,059 - 153,767 mIU / mL
• 8 mau hebedoma: 31,366 - 149,094 mIU / mL
• 9 mau hebedoma: 59,109 - 135,901 mIU / mL
• 10 mau hebedoma: 44,186 - 170,409 mIU / mL
• 12 mau hebedoma: 27,107 - 201,165 mIU / mL
• 14 mau hebedoma: 24,302 - 93,646 mIU / mL
• 15 mau hebedoma: 12,540 - 69,747 mIU / mL
• 16 mau hebedoma: 8,904 - 55,332 mIU / mL
• 17 mau hebedoma: 8,240 - 51,793 mIU / mL
• 18 mau pule: 9,649 - 55,271 mIU / mL

Hiki ke loli iki nā pae waiwai maʻamau i waena o nā hale hana ʻokoʻa. E kamaʻilio i kāu mea hāʻawi e pili ana i ke ʻano o kāu hopena hoʻokolohua kikoʻī.

ʻOi aku ka kiʻekiʻe ma mua o ka pae maʻamau:

• ʻOi aku ma mua o hoʻokahi fetus, no ka laʻana, māhoe a i ʻole triplets
• ʻO Choriocarcinoma o ka kōpū
• Mole Hydatidiform o ka kōpū
• Maʻi ʻaʻai Ovarian
• Ka maʻi ʻaʻai testicular (i nā kāne)

I ka wā o ka hāpai ʻana, ma lalo o nā pae maʻamau e kau ʻia ma luna o nā makahiki hānau hiki ke hōʻike:

• Make fetal
• Hoʻopau i ka hāpai keiki ʻole
• Hoʻoweliweli kūlohelohe (hoʻoweliweli)
• Hāpai keiki Ectopic

ʻO nā pōʻino o ke kaomi ʻana i ke koko he liʻiliʻi, akā hiki ke hoʻopili ʻia:

• Kahe nui ke koko
• Pāleʻale a ʻoluʻolu paha
• Ke hōʻiliʻili nei ke koko ma lalo o ka ʻili (hematoma)
• Maʻiʻaʻai (i iki kamepiula i kēlā me kēia manawa ka ʻili i haki)

Serial beta HCG; E hana hou i ka nui helu beta HCG; Hōʻike koko gonadotropin chorionic kanaka - helu; Hōʻike koko Beta-HCG - nui; Hōʻike hāpai hāpai - koko - nui

• Hōʻaʻo koko

ʻO Jain S, ʻo Pincus MR, ʻo Bluth MH, ʻo McPherson RA, ʻo Bowne WB, ʻo Lee P. Diagnosis a me ka mālama ʻana i ka maʻi ʻaʻai me ka hoʻohana ʻana i nā marker fluid a me nā kino ʻē aʻe. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. St Louis, MO: Elsevier; 2017: chap 74.

ʻO Jeelani R, Bluth MH. ʻO ka hana hoʻohua a me ka hāpai ʻana. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. St Louis, MO: Elsevier; 2017: chap 25.

Kulanui o Iowa Diagnostic Laboratories. Papa kuhikuhi hōʻike: HCG - hāpai keiki, serum, nui. www.healthcare.uiowa.edu/path_handbook/rhandbook/test1549.html. Hoʻohou ʻia Kekemapa 14, 2017. Loaʻa iā Pepeluali 18, 2019.

ʻO Yarbrough ML, Stout M, Gronowski AM. Ka hāpai keiki a me kāna mau maʻi. I: Rifai N, ed. ʻO Tietz Textbook of Clinical Chemistry a me nā Molecular Diagnostics. ʻElua huaʻōlelo St Louis, MO: Elsevier; 2018: chap 69.