So ɛyɛ nyinsɛn a wɔde anom ayɛ? (Molar Pregnancy) Momma yɛnka eyi ho asɛm nkɔ akyiri!

So woate asɛmfua ‘Molar Pregnancy’ ho asɛm pɛn? Ebia eyi yɛ ade foforo ma wo. Nanso, eyi yɛ tebea a ɛde awerɛhow ne ahonu brɛ nnipa pii ankasa, titiriw wɔn a wɔwɔ anidaso sɛ wɔbɛyɛ ɛnanom. Nanso, sɛ wɔbɔ wo amanneɛ yiye a, wubetumi atew nea ebetumi afi eyi mu aba no so na woahyia daakye a ɛyɛ papa. Enti, momma yɛnka eyi ho asɛm nnɛ wɔ ɔkwan a ɛyɛ mmerɛw so a wubetumi ate ase, ɛyɛ?

Dɛn ne ‘molar nyinsɛn’ yi?

Sɛ yɛbɛka no tiawa a, nyinsɛn a ɛwɔ anom yɛ tebea a ɛba bere a nkesua ne mmadwoa hyia, anaasɛ wɔawo no, esiane mfomso bi nti. Sɛ́ anka akokoaa a ɔwɔ apɔwmuden benyin te sɛ nea ɛte wɔ nyinsɛn a ɛfata mu no, onyin a ɛnyɛ kokoram nyin wɔ awotwaa no mu. Saa nyin yi te sɛ nkotoku nketewa a nsu wom akuwakuw, te sɛ bobe akuwakuw.

Nea ɛyɛ awerɛhow no, akisikuru a ɛte sɛɛ ntumi mmoa akokoaa a ɔrenyin, kyerɛ sɛ, entumi mma akokoaa aduan. Enti, nyinsɛn yi rentumi nyɛ yiye, kyerɛ sɛ, ebetumi aba awiei wɔ nyinsɛn a woyi gu mu. Ɛtɔ mmere bi a, sɛ nyinsɛn a ɛte saa amma a, ɛsɛ sɛ wɔyɛ oprehyɛn de yi saa ntini yi. Sɛ wɔansa eyi a, nsɛnnennen a emu yɛ den betumi aba.

Molar Pregnancy yɛ tebea bi a wɔfrɛ no Gestational Trophoblastic Disease (GTD). GTD yɛ nyarewa kuw bi a ɛma akisikuru ba awotwaa no mu. Wɔsan frɛ Molar Pregnancy Hydatidiform Mole.

Nyinsɛn titiriw abien na ɛwɔ anom:

Yebetumi akyekyɛ tebea yi mu ayɛ no afã atitiriw abien:

1. Nyinsɛn a Ɛma Ntini a Edi Mu

Wɔ saa su yi mu no, awotwaa biara nnyin. Eyi ba bere a mmadwoa nkwammoaa bi ne ɛmo a hwee nni mu a enni awosu mu nneɛma biara bom no. Esiane sɛ ɛmo no da mpan nti, awotwaa ntumi nnyin. Nanso, awotwaa mu ntini nyin ampa. Nanso ɛnkɔ so sɛnea ɛsɛ, na mmom ɛnkɔ so wɔ ɔkwan a ɛnteɛ so, sɛ akisikuru a nsu ahyɛ mu ma. Saa ntini yi ma nyinsɛn mu hormone bi a wɔfrɛ no `HCG` (Human Chorionic Gonadotropin). Esiane sɛ awotwaa no na ɛyɛ saa hormone yi wɔ nyinsɛn a ɛte apɔw mu nti, ebia wobɛte nka sɛ woanyinsɛn na woanya nea eye wɔ nyinsɛn mu nhwehwɛmu a wɔyɛ wɔ fie mu. Nanso nokwarem no, akokoaa biara nni hɔ.

2. Nyinsɛn a Ɛfa Ntini Mu

Wɔ nyinsɛn a ɛyɛ fã bi a ɛwɔ anom mu no, awotwaa a ɛnyɛ ne kwan so ne awotwaa bi bom nyin. Eyi ba bere a mmadwoa nkwammoaa abien ne ɛmo biako bom no. Afei awotwaa a efi mu ba no nya chromosome ahorow foforo. Sɛ awotwaa no fi ase nyin mpo a, mpɛn pii no entumi ntra ase.

Hena na ɛda adi sɛ obenya nyinsɛn a ɛyɛ molar?

Ɛwom sɛ eyi yɛ tebea a ɛntaa nsi koraa de, nanso ebetumi ato obiara. Nanso, nnipa binom wɔ asiane mu kakra. Eyinom ne:

• Mmabun a wonnii mfe 20.
• Nnipa a wɔadi boro mfe 40.
• Wɔn a wɔadi kan anya nyinsɛn a wɔfrɛ no molar.
• Wɔn a nyinsɛn atu mprenu anaa nea ɛboro saa.
• Nnipa a wofi Asia (eyi da so ara wɔ nhwehwɛmu fã, nanso nhwehwɛmu ahorow bi ada no adi).

‘Molar nyinsɛn’ abu so dɛn?

Eyi ho yɛ na ankasa. Molar Pregnancy ba wɔ nyinsɛn a ennu 1% mu (ɛno bɛyɛ nyinsɛn 1000 biara mu 1). Enti, eyi nyɛ biribi a ɛto obiara.

So nyinsɛn a wɔde anom yɛ betumi ama wanyinsɛn a ɛfata?

Ɛyɛ awerɛhow kɛse, nanso nyinsɛn a wɔde anom ayɛ no ba awiei bere nyinaa wɔ nyinsɛn a wotu gu mu. Ɛno kyerɛ sɛ wɔwo akokoaa biara.

Sɛ wote eyi a, wobɛte awerɛhow ne abasamtu kɛse nka. Ɛno yɛ ade a ɛfata. Nanso kae sɛ eyi nyɛ wo mfomso.

Dɛn ne ‘molar nyinsɛn’ ho sɛnkyerɛnne?

Nnipa binom nnya yare no ho sɛnkyerɛnne biara. Nanso, wɔn a wɔwɔ yare no ho sɛnkyerɛnne no betumi anya nea edidi so yi mu biako anaa nea ɛboro saa:

• Mogya a ɛba ɔbea no awotwaa mu ne sɛnkyerɛnne a ɛtaa ba wɔ nyinsɛn no asram abiɛsa a edi kan no mu.
• Akisikuru a emu yɛ den ne ɔfe - ɛtɔ da bi a ɛboro nyinsɛn a ɛyɛ daa so.
• Ntini nketewa (cysts) a ɛte sɛ bobe aba no fi ɔbea no awotwaa mu.
• Preeclampsia (mogya mmoroso) yɛ tebea a ɛba ntɛm wɔ nyinsɛn mu.
• Hormone `HCG` a ɛkɔ soro wɔ ɔkwan a ɛnteɛ so (wɔnam aduruyɛ mu nhwehwɛmu so hu eyi).
• Yafunu mu ahohoro - enam awotwaa no a enyin kesee sene nea wohwehwe kwan.
• Anemia - betumi afi mogya a ɛyera.

Esiane sɛ wotumi hu saa sɛnkyerɛnne ahorow yi wɔ tebea afoforo nso mu nti, sɛ wuhu biribi a ɛyɛ soronko te sɛ eyi a, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn ntɛm ara.

Dɛn na ɛde ‘molar nyinsɛn’ yi ba?

Nea ɛde nyinsɛn a ɛwɔ anom ba titiriw ne awosu mu mfomso a ɛba bere a wɔde mmadwoa ma ɛwo no. Fa no sɛ, wɔ nyinsɛn a ɛfata mu no, akokoaa no nya nkwaboaa 23 fi ɛna no hɔ na 23 fi agya no hɔ, na ne nyinaa yɛ nkwaboaa 46. Saa chromosomes yi ne nneɛma a ɛwɔ yɛn awosu mu nkwaadɔm mu. Awosu mu nkwaadɔm na ɛkyerɛ sɛnea ɛsɛ sɛ yɛn nipadua yɛ adwuma.

Wɔ nyinsɛn a wɔde anom ayɛ mu no, ɛnkari pɛ wɔ saa nkwaboaa ahorow yi mu.

• Wɔ nyinsɛn a ɛyɛ molar koraa mu no , nkesua no nni chromosomes biara. Nkwaboaa no nya nkwaboaa 23 fi mmadwoa no nkutoo mu (ebia mmadwoa biako a ɛbɔ ho abien anaasɛ mmadwoa abien ma ɛwo mma nkesua a hwee nni mu).
• Nyinsɛn a Ɛfa Molar MuWɔ tebea biako mu no, mmadwoa abien na ɛma ɛwo bi nyinsɛn. Afei awotwaa no nya nkwaboaa 69 (23+23+23).

Saa awosu mu sintɔ yi na ɛma nyinsɛn no ntumi nyɛ yiye. Ɛho hia sɛ wokae sɛ eyi nyɛ biribi a woyɛe, ɛyɛ biribi foforo.

Ɔkwan bɛn so na wohu sɛ obi anya nyinsɛn a ɛwɔ anom?

Nnuruyɛfo taa hu eyi bere a wɔreyɛ nhwehwɛmu ansa na wɔawo wɔ nyinsɛn no mfiase, titiriw wɔ ɔsram abiɛsa a edi kan no mu.

• Sɛ wɔyɛ awotwaa no mu ultrasound scan a, ebetumi akyerɛ kotoku a nsu ahyɛ mu ma mmom sen sɛ ɛbɛda awotwaa mu. Mpɛn pii no, awotwaa anaa akokoaa biara nni awotwaa no mu a wotumi hu. Nanso, ɛtɔ mmere bi a, nyinsɛn no mu ntini bi betumi aka.
• Wobetumi nso ahu denam susuw a wosusuw hormone `HCG` dodow a ɛwɔ wo mogya mu no so. `HCG` yɛ nea awotwaa a ɛwɔ apɔwmuden na ɛyɛ wɔ nyinsɛn mu. Wɔde saa hormone yi nso di dwuma de hwɛ sɛ nyinsɛn anaa denam fie nsu mu nhwehwɛmu so. Wɔ `molar pregnancy` mu no, `HCG` dodow no kɔ soro wɔ ɔkwan a ɛnteɛ so. Mogya mu nhwehwɛmu betumi ahu saa dodow a ɛkorɔn yi na wosusuw sɛ ebia `molar pregnancy` bi asi.

Nnipa binom nni sɛnkyerɛnne biara, enti ebetumi ayɛ ahodwiriw sɛ wɔbɛte saa yare yi a wɔahu. Ɛno abu so yiye. Nanso, ɛnsɛ sɛ wofa eyi ho asodi, ɛnyɛ wo mfomso. Mpɛn pii no, sɛ wosan bɔ mmɔden bio a, wubetumi anya nyinsɛn a ahoɔden wom.

Ɔkwan bɛn so na wɔsa nyinsɛn a wɔde anom ayɛ?

Ɛsɛ sɛ woyi nyinsɛn a ɛwɔ anom no fi nipadua no mu, anyɛ saa a nsɛnnennen a emu yɛ den betumi aba.

Mpɛn pii no, eyi hwehwɛ sɛ wɔyɛ oprehyɛn.

• Ayaresa a wɔtaa de di dwuma ne D&C (Dilation and Curettage). Nea ɛka eyi ho ne sɛ wobebue awotwaa no ano na wɔde nsu a wɔde su a wɔde yi ntini biara a ɛnyɛ ne kwan so afi awotwaa no mu. Wɔbɛma wo aduru a wɔde kum nipadua no sɛnea ɛbɛyɛ a worente ɛyaw biara nka bere a wɔreyɛ saa oprehyɛn yi.

Wɔ tebea horow bi mu no, sɛ́ anka wɔbɛyɛ oprehyɛn no, wobetumi de nnuru adi dwuma de atwetwe awotwaa no na wɔayi emu nneɛma afi hɔ. Nanso, ɛho hia sɛ wo ne wo duruyɛfo susuw ayaresa a eye sen biara ho, efisɛ ɛho hia sɛ wosa no ntɛm na wɔasiw nsɛnnennen ano.

Wɔ tebea horow a ɛntaa nsi koraa mu no, ebia ɛho behia sɛ wotwa awotwaa no.

Sɛ wosa wo yare wie a, wo duruyɛfo bɛhwɛ wo HCG hormone dodow so kosi sɛ ɛbɛsan ayɛ sɛnea na ɛte kan no. Eyi yɛ nea wɔde hwɛ hu sɛ wɔayi anom ntini no nyinaa afi hɔ koraa. Sɛ wo HCG dodow no nsan nkɔ sɛnea na ɛte kan no a, ebetumi akyerɛ sɛ nsɛnnennen a emu yɛ den kɛse wɔ hɔ.

Dɛn ne nsɛnnennen a ebetumi afi nyinsɛn a wɔde anom ayɛ mu aba?

Ɛtɔ mmere bi a, wɔ oprehyɛn anaa nyinsɛn a wɔtow gu akyi no, nyinsɛn a ɛwɔ awotwaa mu no afã horow betumi akɔ so atra awotwaa no mu.

• Sɛ eyi ba a, nkwammoaa a ɛnteɛ no betumi anyin akɔ ntini a atwa awotwaa no ho ahyia no mu. Wɔfrɛ eyi ‘mole a ɛhyɛ obi so’ . Eyi nso ntaa nsi, ɛba nnipa a wɔayi wɔn anom nyinsɛn no mu nea ennu 15% mu.
• Wɔ tebea horow a ɛntaa nsi koraa mu no, nyinsɛn a wɔde anom ayɛ betumi ama obi anya kokoram bi a wɔfrɛ no choriocarcinoma . Saa kokoram yi fi ase wɔ awotwaa mu na ebetumi atrɛw akɔ nipadua no afã afoforo. Sɛ ɛba saa a, kokoram ayaresa te sɛ nnuru anaa mframa a wɔde sa yare ho hia.

Nsɛnnennen afoforo a ebetumi aba ne:

• Mmoawa a ɛhyɛn mogya mu (Sepsis) .
• Awotwaa mu ɔyare mmoawa
• Preeclampsia (mogya mmoroso kɛse) .
• Shock (mogya mmoroso a ɛba fam yiye) .

Ebia eyinom bɛyɛ te sɛ nea ɛyɛ hu, nanso mpɛn pii no, wobetumi asiw saa nsɛnnennen yi ano denam ayaresa a wɔyɛ no ntɛm so.

So wobetumi asiw Molar Pregnancy ano?

Nea ɛyɛ awerɛhow no, ɔkwan biara nni hɔ a wɔbɛfa so asiw nyinsɛn a wɔde anom ayɛ ano, efisɛ awosu mu sintɔ bi na ɛde ba.

Nanso, sɛ woanyinsɛn anom pɛn a, wubetumi atew asiane a ɛwɔ hɔ sɛ nsɛnnennen no so denam nyinsɛn a worennyin bio bɛyɛ afe wɔ anom nyinsɛn a edi kan no akyi no so. Wo ne wo duruyɛfo nka bere a ahobammɔ wom sen biara a wode bɛbɔ mmɔden sɛ wobɛwo akokoaa bio no ho asɛm.

Dɛn ne obi a wanyinsɛn no anom daakye?

Nnipa dodow no ara a wɔanya nyinsɛn a wɔde anom ayɛ no nni nsɛnnennen foforo biara. Sɛ wunya nyinsɛn a ɛyɛ molar a, ɛmma asiane a ɛwɔ hɔ sɛ wubetu nyinsɛn foforo no nkɔ soro. Nanso, asiane ketewaa bi wɔ hɔ sɛ obenya nyinsɛn a ne mprenu so wɔ anom.

Ebia nnipa binom behu sɛ ɛbɛyɛ nea mfaso wɔ so sɛ wobenya awosu mu afotu ansa na wɔabɔ mmɔden sɛ wobenyinsɛn bio. Nanso, nyinsɛn a ɛyɛ molar a wubenya no nyɛ nea ɛkyerɛ sɛ ɛsɛ sɛ wugyae mmɔden a wobɛbɔ sɛ wobɛwo akokoaa bio.

So Nyinsɛn a Wɔde Nnuru Yɛ no Ma Ɔwo Ntumi Nwo?

Dabi, eyi remma obi ntumi nwo. Nanso, anyɛ yiye koraa no, ɛbɛyɛ papa sɛ wobɛtwɛn asram abiɛsa wɔ ayaresa akyi na amma woannyinsɛn bio. Saa bere no mu no, wo HCG hormone dodow bɛsan akɔ nea na ɛwɔ hɔ ansa na woanyinsɛn no. Bisa wo duruyɛfo bere a eye sen biara a wode bɛbɔ mmɔden sɛ wubenyinsɛn bio no ho asɛm.

So ‘molar pregnancy’ yɛ nyinsɛn a wotu gu?

Yiw, ‘molar nyinsɛn’.Ɛtaa kowie nyinsɛn a wɔhwere mu. Ɛyɛ ade a ɛfata sɛ wubedi awerɛhow na w’abam abu sɛ wo nyinsɛn no ankɔ yiye sɛnea na wohwɛ kwan no. Gye bere fa di saa awerɛhow no ho dwuma. Nya mmoa fi w’abusua, wo nnamfo, anaa akuw a wɔboa nyinsɛn a wɔhwere no hɔ.

Kae sɛ, sɛ woanya nyinsɛn a ɛyɛ molar pɛn a, ɛda adi kɛse sɛ daakye wubenya nyinsɛn a ahoɔden wom.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ woanyinsɛn na mogya retu wo wɔ wo awotwaa mu, wo ho yɛ wo yaw na wofe a emu yɛ den, anaasɛ nsu a ɛtɔ te sɛ bobe aba a, kɔ wo duruyɛfo nkyɛn ntɛm ara. Sɔhwɛ ne ayaresa a wɔyɛ ntɛm no betumi aboa ma wɔasiw nsɛnnennen ano.

Nyinsɛn a wɔde anom ayɛ betumi ayɛ osuahu a ɛyɛ awerɛhow na ɛhaw adwene ankasa. Ɛnam awosu mu haw ahorow a ɛba bere a woreyɛ nyinsɛn no na wuntumi nyɛ ho hwee. Ɛyɛ ade a ɛfata sɛ wubenya nsɛmmisa te sɛ, "Dɛn na ankɔ yiye?" "Me suro daakye nyinsɛn ho." Wo ne wo duruyɛfo nka wo nkate, wo suro, ne wo nsɛmmisa ho asɛm. Nya mmoa fi w’abusua ne wo nnamfo hɔ wɔ saa bere yi mu. Nnipa pii kɔ so nya nyinsɛn a ahoɔden wom wɔ tebea yi akyi.

Kae ade a ɛho hia sen biara (Take-Home Message) .

• ‘Molar pregnancy’ yɛ awosu mu sintɔ a ɛba bere a ɛwo ne mmadwoa bom, na ɛma ntini a ɛnteɛ nyin wɔ awotwaa no mu. Eyi nyɛ wo mfomso.
• Nneɛma atitiriw abien na ɛwɔ hɔ: Complete ne Partial. Wɔ nsɛm abien no nyinaa mu no, nyinsɛn a edi mu mma.
• Nsɛnkyerɛnne no betumi ayɛ mogya a ɛba ɔbea no awotwaa mu, ɔfe dodo, ne nsu a ɛte sɛ bobe aba.
• Wobetumi de ultrasound ne HCG mogya mu nhwehwɛmu ahu.
• D&C ne ayaresa titiriw. Ayaresa a wɔde ma ntɛm ho hia.
• Sɛ wɔsa yare wie a, wɔhwɛ HCG dodow so kosi sɛ ɛbɛsan aba sɛnea na ɛte kan no.
• Eyi remma obi ntumi nwo, na mmom hwehwɛ aduruyɛfo afotu ansa na woabɔ mmɔden sɛ wubenyinsɛn bio.
• Ɛwom sɛ eyi yɛ awerɛhow de, nanso nnipa pii betumi akɔ so anyinsɛn a ahoɔden wom. Ɛnyɛ wo nko ara, nya mmoa a wuhia.

Mewɔ anidaso sɛ saa nsɛm yi bɛboa wo. Sɛ wowɔ nsɛmmisa foforo biara a, ntwentwɛn wo nan ase sɛ wubebisa wo duruyɛfo.

` Molar Nyinsɛn, Nyinsɛn, Mmea Akwahosan, Nyinsɛn a Wotu, HCG, D&C, Awosu mu Mfomso