La i-beta-hCG, noma i-chorionic gonadotropin yomuntu, iyi-a i-hormone ifihliwe uma kwenzeka ukukhulelwa, a priori iyabonakala ekufakweni kwe-embryo kukwesibeletho (kusukela evikini lesibili lokukhulelwa, noma ezinsukwini eziyisi-6 kuya kweziyi-10 ngemuva kokukhulelwa). Ikhishwa ngamaseli e-trophoblast (ungqimba lwamaseli agudla iqanda futhi azokhipha i-placenta).

Isetshenziswa njengophawu lokukhulelwa: yile hormone etholwa emchameni ngokuhlolwa kokukhulelwa "kwasekhaya" (okungathengwa emakhemisi) kodwa futhi nangesikhathi sokuhlolwa kwegazi okuhloselwe ukuthola noma ukuqinisekisa isimo.

Ngesikhathi sokukhulelwa, izinga layo likhula ngokushesha okukhulu, lifinyelela inani eliphakeme cishe ngama-8 kuye kwayi-10 amasonto e-amenorrhea. Ibe iyancipha futhi izinzile kuze kube yilaphoukulethwa.

Ukuba khona kwenani elithile le-beta-hCG egazini noma kumchamo kubonisa ukukhulelwa.

Ngakho-ke ukuhlolwa kokukhulelwa kungenziwa uma ucabanga ukuthi ukhulelwe, uma uye esikhathini kade noma uma ungayitholi ingane. kokuya esikhathini, noma lapho kukhona izimpawu ezithile (ukopha esithweni sangasese, ubuhlungu be-pelvic).

Lokhu kuhlola kungaqinisekisa futhi ukuthi akukho ukukhulelwa okuqhubekayo, isibonelo ngaphambi kokuqala ukwelashwa okuthile noma ukufaka i-IUD.

Kunezindlela ezimbili zokuthola i-beta-HCG:

• noma,  emchameni, usebenzisa izivivinyo ezithengiswa emakhemisi
• noma,  egazini, ngokuthatha ukuhlolwa kwegazi elabhorethri yokuhlaziya. Ukuhlolwa kwegazi kukuvumela ukuthi wenze isilinganiso esiqondile sokwazi izinga eliqondile le-beta-hCG egazini. Ekuqaleni kokukhulelwa, leli zinga liphindwe kabili njalo ezinsukwini ezimbili kuya kwezingu-2 uma ukukhulelwa kuqhubeka ngokujwayelekile. Kungase kube phezulu ekukhulelweni kwamawele.

Ekhaya :

Ukuhlolwa kokukhulelwa kungenziwa ngosuku lokuqala lokuya esikhathini. Kulesi sigaba lapho iqala khona ukwethembeka ngaphezulu kwama-95% ngakho-ke okungekuhle okungamanga kuhlukile. Kodwa-ke, abesifazane abaningi abafuna ukukhulelwa banokuhlolwa kokukhulelwa ngaphambi kokuya esikhathini: kungenzeka ukuthi uthole umphumela omuhle kusenesikhathi, ngezinye izikhathi kuze kube yizinsuku ezingu-5 kuya kwezingu-6 ngaphambi kosuku olunqunyiwe (kuye ngokuthi isikhathi sakho. ukuzwela kokuhlolwa).

Kuzo zonke izimo, ukuhlolwa kuthembeke kakhulu (99%) uma umuntu elandela izincomo zomenzi.

Ngokuya ngomkhiqizo, kuhle ukuchama ngqo endongeni (inombolo ethile yemizuzwana), noma ukuchamela esitsheni esihlanzekile bese ucwilisa induku yokuhlola kuyo. Umphumela uvame ukufundwa emizuzwini embalwa: kuya ngohlobo lomkhiqizo, uma ukuhlolwa kutholile, "+" kungakhonjiswa, noma imigoqo emibili, noma umbhalo "okhulelwe".

Ungatoliki umphumela isikhathi eside kakhulu ngemva kokwenza uhlolo (umkhawulo wesikhathi ucaciswa umenzi).

Ekuqaleni kokukhulelwa, kunconywa ukuthatha ukuhlolwa ngomchamo wokuqala ekuseni. Lokhu kungenxa yokuthi i-beta-hCG izogxila kakhulu futhi umphumela uzoba bukhali kunalapho umchamo uhlanjululwe.

Ngokuhlola igazi:

Ukuhlolwa kwegazi lokukhulelwa kwenziwa elabhorethri yokuhlaziywa kwezokwelapha (eFrance, kubuyiselwa I-Social Security uma inqunywe udokotela).

Ukuthembeka kokuhlolwa kwegazi kungu-100%. Imiphumela ivamise ukutholakala kungakapheli amahora angama-24.

Uma ukuhlolwa kungenayo:

Uma lenziwe ngendlela efanele, sekwephuzile ngokwanele (uma kwenzeka ukubambezeleka esikhathini esingaphezu kwezinsuku ezi-5, noma izinsuku ezingu-21 ngemva kocansi oluyingozi), ukuhlolwa okungenayo kusho ukuthi akukho ukukhulelwa okuqhubekayo.

Uma isikhathi sakho singafiki naphezu kwalokhu, kubalulekile ukubonana nodokotela wakho.

Uma ukungabaza kuqhubeka, isibonelo uma kunemijikelezo yokuya esikhathini engavamile, okunye ukuhlolwa kungenziwa ezinsukwini ezimbalwa kamuva. Lokhu kungenxa yokuthi imiphumela engemihle ekuhlolweni komchamo ayithembeki kangako kunemiphumela emihle (kungase kube namanethivu amanga futhi ukuzwela kungase kuhluke kusukela kolunye uhlobo kuya kolunye).

Uma ukuhlolwa ku-positive:

Ukuhlolwa kokukhulelwa komchamo kunokwethenjelwa kakhulu (yize ezinye izindlela zokwelapha nge-hormonal noma neuroleptic ngezinye izikhathi zinganikeza imibono engamanga). Uma ukuhlolwa ku-positive, ukhulelwe. Uma kwenzeka ukungabaza, ukuqinisekiswa ngokuhlolwa kwegazi kunganikezwa, kodwa akuphoqelekile.

Kungakhathaliseki ukuthi yiluphi uhlelo lwakho (noma ukuqhubeka nokukhulelwa), kunconywa ukuthi uxhumane nodokotela wakho ukuze uthole ukwelashwa okwanele uma ukukhulelwa sekuqinisekisiwe.