Medical Express Volkswagen Edition
A health exchange platform for medical treatment+medicine+information
Content source: Shenzhen women and child health
"Little Medical Chat Room" Review of the previous issue
Obstetricians rumor: The 6 traditions of confinement are wrong!
Please transfer to the mother and mother -in -law at home
Today’s Q & A
Bao Ma Xiaomi Message
Doctor, my progesterone is low, will it have a miscarriage?Do I need to protect the fetal needle?
Obstetrics Yao Answer
Regarding the complicated relationship between progesterone, HCG and abortion and fetal protection, many treasure mothers have misunderstandings.Let me give you a science today.
Welon is actually progesterone.7-8 weeks of pregnancy and 7-8 weeks of pregnancy are mainly secreted by luteum on the ovaries.After 8 weeks, it is generated by the placenta.When not pregnant, the main effect of progesterone is to make menstruation tide.After pregnancy, progesterone can play a role in maintaining pregnancy.
HCG, human chorionic gonadotropin, is the hormone produced by the fetus, which is directly related to the quality of the embryo. On the sixth day of the fertilization, the body begins to produce.Therefore, it is also possible to determine whether women are pregnant based on the changes in HCG.
HCG stimulates the human body to produce progesterone, and progesterone can maintain embryo development within eight weeks in the early eight weeks of pregnancy.In a simple metaphor, HCG is a hotbed for fertilized eggs, and progesterone is a nutritional supply.
The early pregnancy of early pregnancy increased rapidly, with a double increase time of 1.7 to 2 days. The urine was close to the HCG level in the blood, and there was mild day and night fluctuations.Patients with different patients with multi -fetal pregnancy, hydatidal, chorionic epithelial cancer, and RH blood types are higher than those of normal pregnancy.
Through the detection of HCG, you can understand the development of the embryo, and judge whether there is a suspension or even abortion.
HCG is generally doubled in about 48 hours. If it is not ideal, you need to consider the situation of ectopic pregnancy or embryo dysplasia.
If the level of progesterone is relatively low, it usually reflects that the quality of the pregnancy sac is not very good, or the possibility of ectopic pregnancy.
A normal mother who is pregnant, the level of progesterone is usually above 15ng/ml, and most of the progesterone levels of most pregnant mothers are 25ng/ml.If the level of progesterone is lower than 10ng/ml, it is very likely that the ectopic pregnancy is very likely.
Because HCG and progesterone are of great significance to detect the fetus, and these two values are always changing, many pregnant mothers do not know the specific algorithm.
HCG rises very well, progesterone decreases
It means that the embryo is developing normally. Because the level of progesterone in the early pregnancy fluctuates a large fluctuations, sometimes as low as 5ng/ml.Therefore, even if the progesterone value is measured, it does not indicate that the embryo development is abnormal.It can be kept without replenishment.
Performatone is normal, HCG has doubled
Weltone is normal, but HCG has doubled, and this is very small.Because HCG promotes the generation of progesterone, HCG is not good, and progesterone is generally not good.We specifically explain the following from two situations:
Performatone is normal, and HCG doubles "relatively" bad
What do you mean, that is, you go to test one day. The value goes up but it does not reach multiple. It is so bad that it is relatively bad.If your HCG is already tens of thousands of, then it is not so fast at first, and the speed will drop, it is normal.
Performatone is normal, HCG doubles "absolute" not good
It is absolutely not good, that is, the value is in one range. For example, 8 days, only doubled, this situation is not very wonderful.Because HCG is likely to be bad in the embryo itself, the value of fetal protection is not high.
Performatone decreases, HCG doubles poorly
HCG does not double but decreases, and progesterone is also decreasing. In this case, doctors suggest that you keep your fetus first. If you still have no improvement after taking tire preservation measures, you will suggest that you give up as soon as possible and do abortion.Because in this case, it is most likely that the embryo itself is not good, and it is meaningless to protect the fetus.
Maganone is actually a progesterone, a natural progesterone. Because it has a certain tire effect, it is often the first choice for tire preservation.
But can chylozone supplement and treat abortion?
We need to know that the cause of natural miscarriage is very complicated, and about 50%of them are errors in random fetal velvet color dye.In fact, the use of lutenone to protect the fetal ketone during early pregnancy stems from many doctors to frequently monitor progesterone.If the embryo itself does not develop well, how to supplement progesterone is useless.
Many pregnant mothers believe that low progesterone must supplement progesterone to avoid abortion.But in fact, miscarriage is not caused by the low level of progesterone, but because the quality of the embryo is poor, the level of progesterone is low and the abortion is caused.
The embryos with poor quality, even additional elegance, cannot improve the quality of the embryo.
Supplementing progesterone is only good for one case: the cause of endocrine factors (such as luteal dysfunction, which cannot secrete enough progesterone in the first seven weeks) can involve insufficient progesterone and become the basis for the use of progesterone.In this case, additional elegance can help maintain pregnancy.
Cannoga can be divided into oral, intramuscular injections, vaginal drugs, etc., which can be used merged.After medication, the clinical symptoms are improved until they disappear. The B-ultrasound indicates that the embryo survival can continue pregnancy. After 1 to 2 weeks, the drug can be discontinued.Checking the tire stop, considering the inevitable abortion, the drug should be discontinued and the abortion should be performed.
A little vaginal bleeding is a common symptom of early pregnancy and one of the symptoms of miscarriage. However, in fact, a little bleeding may occur in the normal pregnancy process. This little bleeding has two or three days and a small amount has passed.
More or persistent bleeding requires attention to abortion, which requires a timely medical treatment.
In the pregnancy stage, pregnant mothers have already undergone a lot of psychological pressure, and encounter such intricate indicator data, which is easy to be frightened by a little wind in the examination.
However, the emotions of expectant mothers also have a significant impact on the baby treasure. Therefore, do not worry too much because of some indicators, and relax as much as possible to face it with a correct attitude.
May all mothers spend pregnancy happily!Identify the QR code and follow the online consultation of "Medical Express Popular Edition". More questions about professional doctors will answer it for free!
In the next issue, the popular science question and answer will continue to launch in the "Little Medical Chat Room" column to answer questions for everyone. Those parents can come to our article to leave a message ~