Pregnancy āĻ¤ে āĻ˛্āĻ¯াāĻŦ āĻেāĻ¸্āĻ āĻোāĻ¨āĻা āĻেāĻ¨ āĻŦাā§ে-āĻāĻŽে ?
Why_Why
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■ Pregnancy āĻ¤ে ESR āĻŦেā§ে āĻ¯াā§, Haematocrit/Packed Cell Volume(PCV) āĻāĻŽে āĻ¯াā§ >> āĻাāĻ°āĻŖ Pregnancy āĻ¤ে ECF Volume āĻŦেā§ে āĻ¯াā§ (due to increased water retention by Aldosterone/Renin/angiotensin-II), āĻĢāĻ˛ে Blood āĻ Cell count āĻিāĻু āĻŦাā§āĻ˛েāĻ āĻ¤া Volume āĻāĻ° āĻ¤ুāĻ˛āĻ¨াā§ Proportionately āĻāĻŽ āĻŦাā§ে, āĻĢāĻ˛ে PCV āĻ āĻāĻŽে āĻ¯াā§ ! PCV āĻāĻŽে āĻ¯াāĻā§াā§ Pregnancy āĻ¤ে ESR āĻŦেā§ে āĻ¯াā§ !
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■ GFR āĻŦেā§ে āĻ¯াā§ >> āĻাāĻ°āĻŖ Pregnancy āĻ¤ে Renal Circulation āĻŦেā§ে āĻ¯াā§ !
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■ Serum Urea/S.Creatinine Physiologically Normal Person-āĻĻেāĻ° āĻ¤ুāĻ˛āĻ¨াā§ āĻāĻŽে āĻ¯াā§ >> āĻাāĻ°āĻŖ Pregnancy āĻ¤ে GFR āĻŦেā§ে āĻিā§ে Urine āĻāĻ° āĻŽāĻ§্āĻ¯ āĻĻিā§ে āĻŦেāĻļী āĻŦেāĻļী Urea/Creatinine āĻŦেāĻ° āĻšā§ে āĻ¯াāĻ্āĻে, āĻĢāĻ˛ে Blood āĻ āĻāĻĻেāĻ° Level āĻāĻŽে āĻ¯াāĻ্āĻে !
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■ ALP āĻŦেā§ে āĻ¯াā§ >> āĻাāĻ°āĻŖ Placenta āĻĨেāĻে ALP Release āĻŦেā§ে āĻ¯াā§ ! (āĻāĻ° āĻŦ্āĻ¯াāĻ্āĻ¯া āĻāĻেāĻ° āĻĒোāĻ¸্āĻে āĻĻিā§েāĻি)
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■ Glucose >> Fasting (FBS) āĻ Normal Person āĻāĻ° āĻ¤ুāĻ˛āĻ¨াā§ āĻāĻŽে,āĻাāĻ°āĻŖ Fasting āĻ Normal Person āĻāĻ° āĻ¤ুāĻ˛āĻ¨াā§ āĻŽাā§েāĻ° āĻ°āĻ্āĻ¤ে insulin level āĻŦেāĻļী āĻĨাāĻে (As, Extra insulin Produced by fetal Pancreas) !
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āĻিāĻ¨্āĻ¤ু āĻাāĻā§াāĻ° āĻĒāĻ° (Post-Pandreal) Glucose level āĻŦেā§ে āĻ¯াā§, āĻাāĻ°āĻŖ āĻাāĻā§াāĻ° āĻĒāĻ° āĻŽাā§েāĻ° āĻļāĻ°ীāĻ°ে Peripheral insulin Resistance Develop āĻāĻ°ে, āĻ¯াāĻ¤ে Fetus āĻ Glucose āĻ¸āĻ°āĻŦāĻ°াāĻš āĻ¨িāĻļ্āĻিāĻ¤ āĻšā§ !
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■ TSH Early Pregnancy āĻ¤ে āĻāĻŽে >> āĻাāĻ°āĻŖ Pregnancy āĻ¤ে Beta-hCG Level āĻŦেā§ে āĻ¯াā§, āĻ¯া Thyroid Gland āĻে Stimulate āĻāĻ°ে Thyroid Hormone (T4) Production āĻŦাā§িā§ে āĻĻেā§, āĻĢāĻ˛ে TSH āĻāĻŽে āĻāĻ¸ে ! đ¤
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Pregnancy āĻ¤ে āĻ˛্āĻ¯াāĻŦ āĻেāĻ¸্āĻ āĻোāĻ¨āĻা āĻেāĻ¨ āĻŦাā§ে-āĻāĻŽে ? đ¤
.■ Pregnancy āĻ¤ে ESR āĻŦেā§ে āĻ¯াā§, Haematocrit/Packed Cell Volume(PCV) āĻāĻŽে āĻ¯াā§ >> āĻাāĻ°āĻŖ Pregnancy āĻ¤ে ECF Volume āĻŦেā§ে āĻ¯াā§ (due to increased water retention by Aldosterone/Renin/angiotensin-II), āĻĢāĻ˛ে Blood āĻ Cell count āĻিāĻু āĻŦাā§āĻ˛েāĻ āĻ¤া Volume āĻāĻ° āĻ¤ুāĻ˛āĻ¨াā§ Proportionately āĻāĻŽ āĻŦাā§ে, āĻĢāĻ˛ে PCV āĻ āĻāĻŽে āĻ¯াā§ ! PCV āĻāĻŽে āĻ¯াāĻā§াā§ Pregnancy āĻ¤ে ESR āĻŦেā§ে āĻ¯াā§ !
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■ GFR āĻŦেā§ে āĻ¯াā§ >> āĻাāĻ°āĻŖ Pregnancy āĻ¤ে Renal Circulation āĻŦেā§ে āĻ¯াā§ !
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■ Serum Urea/S.Creatinine Physiologically Normal Person-āĻĻেāĻ° āĻ¤ুāĻ˛āĻ¨াā§ āĻāĻŽে āĻ¯াā§ >> āĻাāĻ°āĻŖ Pregnancy āĻ¤ে GFR āĻŦেā§ে āĻিā§ে Urine āĻāĻ° āĻŽāĻ§্āĻ¯ āĻĻিā§ে āĻŦেāĻļী āĻŦেāĻļী Urea/Creatinine āĻŦেāĻ° āĻšā§ে āĻ¯াāĻ্āĻে, āĻĢāĻ˛ে Blood āĻ āĻāĻĻেāĻ° Level āĻāĻŽে āĻ¯াāĻ্āĻে !
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■ ALP āĻŦেā§ে āĻ¯াā§ >> āĻাāĻ°āĻŖ Placenta āĻĨেāĻে ALP Release āĻŦেā§ে āĻ¯াā§ ! (āĻāĻ° āĻŦ্āĻ¯াāĻ্āĻ¯া āĻāĻেāĻ° āĻĒোāĻ¸্āĻে āĻĻিā§েāĻি)
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■ Glucose >> Fasting (FBS) āĻ Normal Person āĻāĻ° āĻ¤ুāĻ˛āĻ¨াā§ āĻāĻŽে,āĻাāĻ°āĻŖ Fasting āĻ Normal Person āĻāĻ° āĻ¤ুāĻ˛āĻ¨াā§ āĻŽাā§েāĻ° āĻ°āĻ্āĻ¤ে insulin level āĻŦেāĻļী āĻĨাāĻে (As, Extra insulin Produced by fetal Pancreas) !
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āĻিāĻ¨্āĻ¤ু āĻাāĻā§াāĻ° āĻĒāĻ° (Post-Pandreal) Glucose level āĻŦেā§ে āĻ¯াā§, āĻাāĻ°āĻŖ āĻাāĻā§াāĻ° āĻĒāĻ° āĻŽাā§েāĻ° āĻļāĻ°ীāĻ°ে Peripheral insulin Resistance Develop āĻāĻ°ে, āĻ¯াāĻ¤ে Fetus āĻ Glucose āĻ¸āĻ°āĻŦāĻ°াāĻš āĻ¨িāĻļ্āĻিāĻ¤ āĻšā§ !
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■ TSH Early Pregnancy āĻ¤ে āĻāĻŽে >> āĻাāĻ°āĻŖ Pregnancy āĻ¤ে Beta-hCG Level āĻŦেā§ে āĻ¯াā§, āĻ¯া Thyroid Gland āĻে Stimulate āĻāĻ°ে Thyroid Hormone (T4) Production āĻŦাā§িā§ে āĻĻেā§, āĻĢāĻ˛ে TSH āĻāĻŽে āĻāĻ¸ে ! đ¤
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