So wopɛ sɛ wuhu Partial Molar Pregnancy nso ho asɛm? Momma yɛnka ho asɛm!

Minnim sɛ woate asɛmfua `(Partial Molar Pregnancy)` pɛn. Ebia efi oduruyɛfo bi hɔ, anaa baabi foforo. Eyi yɛ ɔhaw a ɛtaa ba wɔ nyinsɛn no mfiase. Nokwarem no, ɛyɛ tebea a ɛntaa nsi, nanso ɛho hia sɛ wuhu. Ɛnnɛ, yɛde nsɛm a ɛnyɛ den bɛka nea `(Partial Molar Pregnancy)` yɛ, nea enti a ɛba, nea ɛyɛ sɛnkyerɛnne ahorow, ne sɛnea wɔsa no ho asɛm.

Dɛn ne saa ``Partial Molar Pregnancy '' yi?

Sɛ yɛbɛka no tiawa a, `(Partial Molar Pregnancy)` yɛ tebea soronko bi a ɛka molar nyinsɛn kuw `(Molar Pregnancy)` ho. Eyi ba wɔ nyinsɛn mu, bere a ɛmo a wɔahyɛ no ma, kyerɛ sɛ, awotwaa no ntini no nnyin yiye no. Nea enti titiriw a ɛte saa ne awosu mu mfomso a ɛba bere a wɔreyɛ awo no. Wɔ nyinsɛn a ɛfata mu no, ɛna no nkesua ne mmadwoa biako a efi agya no hɔ ka bom. Afei awotwaa a efi mu ba no nya awosu mu nsɛm a ɛho hia pɛpɛɛpɛ. Nanso wɔ `(Partial Molar Pregnancy)` mu no, mmadwoa abien ka bom ne ɛmo biako. Afei awotwaa no nya awosu mu nneɛma pii sen sɛnea ehia. Esiane awosu mu nkwaadɔm a ɛboro so yi nti, nyinsɛn no ntumi nkɔ so yiye. Wɔ saa `(Partial Molar Pregnancy)` tebea yi mu no, ɛtɔ mmere bi a awotwaa ne awotwaa afã horow betumi afi ase ayɛ. Bere koro no ara mu no, ntini a ɛnyɛ ne kwan so te sɛ akisikuru nketenkete a nsu ahyɛ mu ma nso ba. Wɔ saa kwan yi so no, awotwaa no ne akokoaa no nyinaa nyin wɔ ɔkwan a ɛnteɛ so, na ɛmma wontumi nkɔ so nyinsɛn no. Mpɛn pii no, ``Partial Molar Pregnancy'' ba awiei wɔ ``Miscarriage'' mu wɔ nyinsɛn no adapɛn a edi kan no mu. Saa nyinsɛn a ɛwɔ anom yi ka nyarewa kuw a wɔfrɛ no ``Gestational Trophoblastic Disease - GTD'' ho. ``GTD'' yɛ nyarewa kuw bi a ntini a ɛnyɛ ne kwan so ba wɔ awotwaa no mu . Wɔsan frɛ saa nyinsɛn a ɛwɔ anom yi ``Hydatidiform Moles''. Adeɛ a ɛho hia paa ne sɛ, sɛ wohu sɛ wowɔ ``Partial Molar Pregnancy'' a, ɛho hia sɛ wohwehwɛ aduruyɛ ntɛm ara.

Saa tebea yi abu so dɛn?

``Partial Molar Pregnancy'' no ntaa mma kakra te sɛ ``Complete Molar Pregnancy.'' Nanso, nyinsɛn nyinaa mu nea ennu 1%, anaasɛ bɛyɛ nyinsɛn 1200 biara mu biako yɛ molar nyinsɛn. Enti sɛnea wubetumi ahu no, eyi ho yɛ na koraa.

Dɛn ne `(Partial Molar Pregnancy)` ho sɛnkyerɛnne?

Tebea yi ho sɛnkyerɛnne titiriw ne mogya a ɛtɔ kɛse wɔ ɔbea no awotwaa mu wɔ nyinsɛn no mfiase. Saa mogya yi betumi ayɛ bruu tuntum anaa kɔkɔɔ a ɛyɛ hann. Nea ɛka ho no, wubetumi anya yare no ho sɛnkyerɛnne a edidi so yi:

• Akisikuru ne ɔfe a emu yɛ den (ɛwom sɛ nnipa pii nya anɔpa yare bere a wɔyem de , nanso eyi betumi ayɛ kɛse).
• Ɛyaw a ɛba akyi berɛmo mu, kyerɛ sɛ ɛyaw a ɛba yafunu no ase .
• Ntini asinasin a ɛte sɛ bobe a nsu wom a efi ɔbea no awotwaa mu ba.
• Mogya mmoroso (Hypertension).

Ɛtɔ da bi a, awotwaa no betumi ayɛ kɛse asen sɛnea ɛte daa, anaasɛ ebetumi anyin ntɛmntɛm asen sɛnea wɔhwɛɛ kwan wɔ nyinsɛn no fã a edi kan no mu. Nanso, saa sɛnkyerɛnne ahorow yi mma obiara. Nnipa binom nni sɛnkyerɛnne biara na wohu wɔ akwanhyia mu bere a wɔyɛ wɔn ultrasound scan a edi kan no.

Adɛn nti na eyi `(Partial Molar Pregnancy)` ba?

Sɛnea madi kan aka no, eyi yɛ awosu mu ade a ɛbae ara kwa . Momma yɛnte eyi ase kakra. Wɔ nyinsɛn a ɛfata mu no, ɛmo no nya nkwaboaa 23 fi ɛna no hɔ na 23 fi agya no hɔ, na ne nyinaa yɛ nkwaboaa 46. Eyi ne ɔkwan a ɛsɛ sɛ awotwaa a ɔwɔ apɔwmuden nyin. Nanso, wɔ ``Partial Molar Pregnancy'' mu no, ɛmo no nya chromosome ahorow abien fi agya no hɔ. Ɛne sɛ, mpɛn pii no, mmadwoa abien ka bom yɛ nkesua biako. Afei chromosomes dodow no nyinaa bɛyɛ 69 mmom sen 46. Saa awosu mu nsɛm foforo yi nti na awotwaa ne awotwaa no nnyin yiye no.

Susuw ho hwɛ, ɛte sɛ nea sɛ wode nneɛma a ehia na wode ayɛ keeki no mmɔho abien ka ho sen sɛnea aduan no ho nyansahyɛ no ka no a, keeki no renkɔ yiye.

Hena na ɔwɔ asiane kɛse ma eyi?

Nneɛma bi ma asiane a ɛwɔ hɔ sɛ wobenya nyinsɛn a wɔde anom ayɛ no yɛ kɛse. Nanso, kae sɛ nyinsɛn a ɛwɔ anom fã bi no nyɛ nea ɛda adi kɛse sɛ nyinsɛn a ɛwɔ anom a edi mũ. Saa asiane ahorow yi bi ne:

• Sɛ woadi kan anya nyinsɛn a ɛyɛ molar a: Sɛ tebea yi ba pɛnkoro a, hokwan ketewaa bi wɔ hɔ sɛ ɛbɛsan aba bio.
• Mfe: Asiane yi dɔɔso kakra ma mmea a wɔadi boro mfe 40 ne mmofra nkumaa a wonnii mfe 15.
• Sɛ woadi kan atu nyinsɛn abien anaa nea ɛboro saa a.

Wɔka nso sɛ nyinsɛn a wɔbɔ ho amanneɛ wɔ abon mu wɔ Asia aman mu no dɔɔso sen aman te sɛ United States. Nsɛm nso wɔ hɔ a ɛkyerɛ sɛ wɔ United States no, aborɔfo taa nya nyinsɛn a wɔde anom nyinsɛn sen abibifo.

Dɛn ne nsɛnnennen a ɛwɔ `(Partial Molar Pregnancy)` mu?

Nsɛnnennen bi a anibere wom wɔ hɔ a ebetumi aba wɔ nyinsɛn a wɔde anom ayɛ mu. Biako ne kokoram bi a wɔntaa nhu a wɔfrɛ no Choriocarcinoma. Afei nso, ɔhaw foforo a ɛtaa ba a ebetumi aba wɔ nyinsɛn a ɛwɔ anom mu ne Persistent Gestational Trophoblastic Neoplasia (GTN). Eyi ne bere a ntini a ɛnteɛ kɔ so nyin wɔ awotwaa no mu bere mpo a wɔayɛ dilation and curettage (D&C) de ayi nyinsɛn a ɛwɔ awotwaa no mu no afi hɔ akyi. Nsɛnnennen afoforo a ɛde ba no bi ne:

• Mogya a ɛtɔ kɛse.
• Mogya mmoroso (Hypertension).
• Ovarian cysts a ɛyɛ mmerɛw .
• Ntini a ɛma mogya tu a ɛboro so.

Sɛ yɛbɛka no ɔkwan biara so a, asiane a ɛwɔ hɔ sɛ nsɛnnennen bɛba wɔ nyinsɛn a ɛwɔ anom a edi mũ mu no dɔɔso sen nyinsɛn a ɛwɔ anom fã bi mu.

`(Partial Molar Pregnancy)` di bere tenten ahe?

Nokwarem no, awotwaa a ɛwɔ `(Partial Molar Pregnancy)` mu no ntumi ntra ase. Nanso, nyinsɛn no betumi atra hɔ adapɛn pii. Mpɛn pii no, eyinom kowie nyinsɛn a woyi gu a ɛba ara kwa mu. Afei wɔde ntini asinasin no te sɛ bobe akuwakuw no fi ɔbea no awotwaa no mu. Nanso, wɔ nnipa binom fam no, ɛyɛ bere a wɔyɛ wɔn `(Ultrasound)` scan a edi kan no nkutoo na wohu sɛ ɛyɛ `(Partial Molar Pregnancy)`.

Ɔkwan bɛn so na wobehu `(Partial Molar Pregnancy)`?

Wo duruyɛfoɔ bɛhunu ``Partial Molar Pregnancy'' titire denam ``Ultrasound'' nhwehwɛmu a ɔbɛyɛ so. ``Ultrasound'' betumi akyerɛ nneɛma te sɛ:

• Nkwaboaa a enni hɔ anaasɛ awotwaa no a ɛda adi sɛ ɛyɛ ketewaa koraa.
• Ɛte sɛ nea akisikuru ahyɛ awotwaa no ma anaasɛ ɛte sɛ nea ɛnyɛ ne kwan so.

Bere koro no ara mu no, oduruyɛfo no bɛyɛ mogya mu nhwehwɛmu de ahwɛ sɛnea hormone bi a wɔfrɛ no `(Human Chorionic Gonadotropin - HCG)` dodow a ɛwɔ wo mogya mu no te. `(HCG)` yɛ hormone a mmea a wɔyem nipadua na ɛyɛ. Wɔ `(Partial Molar Pregnancy)` mu no, saa `(HCG)` dodow yi kɔ soro ntɛmntɛm na ɛkɔ soro kɛse sen nyinsɛn a ɛfata.

Wubetumi ahu eyi ntɛm dɛn?

Mpɛn pii no, nnuruyɛfo hu saa anom nyinsɛn ahorow yi wɔ nyinsɛn no adapɛn 12 a edi kan no mu, kyerɛ sɛ, wɔ asram abiɛsa a edi kan no mu.

Ɔkwan bɛn so na wɔsa `(Partial Molar Pregnancy)` yare?

Oduruyɛfo bi sa nyinsɛn a ɛwɔ awotwaa mu fã bi denam akokoaa ne awotwaa (ntini a ɛnteɛ) a oyi fi awotwaa no mu no so. Wɔfrɛ eyi sɛ dilation ne curettage (D&C). Wobetumi ayɛ eyi wɔ oprehyɛn dan mu bere a woada, anaasɛ wobetumi ayɛ wɔ oduruyɛfo adwumayɛbea bere a woada. Wubetumi ne wo duruyɛfo akasa afa akwan horow yi ho. D&C akyi no, wo duruyɛfo no bɛkɔ so ahwɛ wo hCG dodow akosi afe biako ahwɛ sɛ ebia awotwaa no afã horow bi da so ara wɔ awotwaa no mu anaa. Ɛho hia sɛ wode awo ano aduru (te sɛ nnuru a wɔde siw awo ano) di dwuma wɔ saa bere yi mu. Eyi te saa efisɛ sɛ wunyinsɛn bio wɔ saa bere yi mu a, ebia wo hCG dodow bɛkɔ soro, na ɛbɛma ayɛ den sɛ wubehu sɛ ebia anom ntini no da so ara wɔ hɔ anaasɛ ɛyɛ nyinsɛn foforo. Ɛntaa mma koraa sɛ wɔ D&C akyi no, awotwaa no betumi atra awotwaa no mu. Wɔfrɛ saa tebea yi Gestational Trophoblastic Disease (GTD). Sɛ eyi ba a, ɛho behia sɛ wo duruyɛfo no sa GTD no. Ebia nea ɛka eyi ho ne nnuru a wɔde sa yare, mframa a wɔde ma, anaa awotwaa a wobetwa.

So wobetumi asiw Nyinsɛn a Ɛfa Molar no ano?

Dabi, biribiara nni hɔ a yebetumi ayɛ de asiw `(Partial Molar Pregnancy)` (anaasɛ molar nyinsɛn a edi mũ) ano. Nea enti a ɛte saa ne sɛ ɛyɛ awosu mu ade a ɛbae ara kwa. Sɛ woanya `(Partial Molar Pregnancy)` pɛn a, ɛho hia yiye sɛ wo ne wo duruyɛfo bɛkasa ansa na woabɔ mmɔden sɛ wubenyinsɛn bio. Ebia obetu wo fo sɛ twɛn asram asia kosi afe biako. Ɛwom sɛ hokwan a ɛwɔ hɔ sɛ nyinsɛn a ɛwɔ anom bɛba no sua de, nanso sɛ woanya bi a, asiane ketewaa bi wɔ hɔ sɛ ɛbɛsan asi bio.

So ebetumi aba sɛ wobɛsan anyinsɛn bio wɔ `(Partial Molar Pregnancy)` akyi?

Yiw, akyinnye biara nni ho sɛ ebetumi aba. Hokwan a ɛwɔ hɔ sɛ molar nyinsɛn bɛsan aba no sua koraa (bɛyɛ 1% kosi 2%), nanso asiane ketewaa bi wɔ hɔ. Sɛ woreyɛ wo nyinsɛn a edi hɔ ho nhyehyɛe a, ɛsɛ sɛ wo ne wo duruyɛfo kasa fa bere a eye sen biara a wubetumi anyinsɛn ho. Eyi te saa efisɛ ɛsɛ sɛ awotwaa no fi molar tissue no mu koraa, na ɛsɛ sɛ `(HCG)` dodow nso san kɔ sɛnea na ɛte kan no.

So akokoaa no betumi atra ase wɔ ``Partial Molar Pregnancy'' mu?

Dabi, awotwaa no ntumi ntra ase wɔ `(Partial Molar Pregnancy)` mu. Sɛ ɛboro so a, nyinsɛn no mu ntini no tumi nyin bɛyɛ adapɛn 12 (asram abiɛsa). Nanso ɛrenkɔ so sɛ nyinsɛn a ahoɔden wom.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ woanyinsɛn na wowɔ sɛnkyerɛnne ahorow te sɛ mogya a ɛretu wo wɔ wo awotwaa mu, akisikuru, anaa yafunu ase yaw a, kɔ wo duruyɛfo nkyɛn ntɛm ara . Esiane sɛ nyinsɛn a wɔde anom ayɛ ho sɛnkyerɛnne betumi ayɛ te sɛ tebea afoforo nti, ɛho hia sɛ wohwehwɛ aduruyɛfo afotu ntɛm ara sɛnea wubetumi.

Nsɛm bɛn na ɛsɛ sɛ mibisa oduruyɛfo no?

Sɛ woanya ``Partial Molar Pregnancy'' a, ebia wowɔ nsɛmmisa pii. Ɛtaa ba paa. Wubetumi abisa wo duruyɛfo nsɛm te sɛ:

• Bere bɛn na metumi anyinsɛn bio?
• Hokwan ahorow bɛn na ɛwɔ hɔ sɛ menya nyinsɛn foforo a ɛwɔ anom?
• So mewɔ asiane mu sɛ menya nsɛnnennen a emu yɛ den?
• So ɛsɛ sɛ meyɛ sɔhwɛ foforo bi?
• So metumi anya kokoram afi nyinsɛn a wɔde anom ayɛ mu?

Nyinsɛn a wɔhwere, ɛmfa ho nea enti a ɛte saa no, yɛ osuahu a ɛyɛ awerɛhow kɛse. Sɛ wohu saa ``Partial Molar Pregnancy`` yi a, ma wo ho bere fa di awerɛhow wɔ wo nyinsɛn a woahwere no ho. Ɛho hia paa sɛ wobɛkɔ nhwehwɛmu ne nhyiamu a wo duruyɛfoɔ hyɛ nyinaa wɔ ``Partial Molar Pregnancy`` akyi. Wo duruyɛfo ne wo bɛkasa afa nyinsɛn a wubenya daakye ho. Kae sɛ hokwan a ɛwɔ hɔ sɛ wobenya nyinsɛn a ɛto so abien wɔ anom no sua koraa, na nnipa dodow no ara nya nyinsɛn a edi mu.

Nkrasɛm a Wɔde Kɔ Fie

Okay, enti momma yɛnkae nsɛntitiriw a ɛho hia sen biara wɔ nea yɛaka ho asɛm no mu:

• Nyinsɛn a ɛyɛ fã bi a ɛwɔ anom no yɛ nyinsɛn a awotwaa ne awotwaa no nnyin yiye esiane awosu mu sintɔ bi nti. Eyi ntumi nkɔ so.
• Nsɛnkyerɛnne a edi kan no betumi ayɛ mogya a ɛba ɔbea awotwaa mu, akisikuru a emu yɛ den, ne yafunu ase yaw.
• Wɔnam ultrasound ne HCG mogya mu nhwehwɛmu so hu eyi.
• Ayaresa no ne sɛ wɔde ``D&C'' oprehyɛn bɛhohoro awotwaa no ho. Ɛno akyi no, wɔhwɛ ``HCG'' dodow no so.
• Ɛwom sɛ wontumi nsiw eyi ano de, nanso nnipa pii betumi anyinsɛn apɔwmuden bere a wɔasa wɔn yare awie no.
• Sɛ wowɔ saa sɛnkyerɛnne yi bi, anaasɛ wowɔ nsɛmmisa bi fa eyi ho a, nsuro sɛ wo ne wo duruyɛfo bɛkasa. Wɔbɛboa wo.

Mewɔ anidaso sɛ saa nsɛm yi bɛboa wo. Sɛ wowɔ nsɛmmisa bi a, nfɛre na bisa oduruyɛfo. Kɔ so nya apɔwmuden!