Anigye a wunya bere a wuhu sɛ woanyinsɛn no yɛ nea wontumi nkyerɛkyerɛ mu, ɛnte saa? Nanso bere koro no ara mu no, wote ehu nka kakra nso. Nneɛma apem ba w’adwene mu, te sɛ so biribiara bɛyɛ yiye, so akokoaa no bɛyɛ yiye? Ɛtɔ da bi a, nsɛnnennen a yɛntee ho asɛm da betumi asɔre. Ɛnnɛ, yɛreka tebea bi a nnipa pii nnim ho asɛm, nanso ɛho hia yiye sɛ wohu ho asɛm. Ɛno ne Molar Pregnancy , anaa sɛnea ebinom frɛ no no, ‘Molar Pregnancy’.
Dɛn ne Molar Pregnancy?
Sɛ yɛbɛka no tiawa a, Molar Pregnancy yɛ bere a ntini pii a ɛnyɛ ne kwan so te sɛ akisikuru nyin wɔ awotwaa no mu sen sɛ ɛbɛyɛ awotwaa ne awotwaa a ɛte apɔw. Wɔ nyinsɛn a ɛfata mu no, awotwaa no ne akwaa a ɛnam awotwaa mu hama so ma akokoaa no nya aduannuru.
Nanso wɔ nyinsɛn a wɔde anom ayɛ mu no, awotwaa no ntumi nnyin. Ne saa nti, nyinsɛn no nkɔ so, na mpɛn pii no ɛba awiei wɔ nyinsɛn a woyi gu mu.
Saa tebea yi yɛ tebea a ɛntaa nsi a ɛka aduruyɛ mu kuw `Gestational Trophoblastic Disease (GTD) ho.` Ɛnam nsakrae a ɛnteɛ a ɛba nkwammoaa (trophoblast) a ɛba wɔ awotwaa no ho wɔ nyinsɛn akyi bere tiaa bi no mu. Wo duruyɛfoɔ nso bɛtumi afrɛ no `Hydatidiform Mole (HM).`
Nyinsɛn titiriw abien na ɛwɔ anom.
Yiw, tebea yi ahorow atitiriw abien na ɛwɔ hɔ. Wɔyɛ Nyinsɛn a Ɛfa Molar a Ɛfa Fam ne Nea Edi Mu. Hwɛ pon a ɛwɔ aseɛ ha no na te nsonsonoeɛ a ɛda mmienu no ntam ase.
| Nneɛma titiriw | Nyinsɛn a Ɛnyɛ Nwiei (Partial) . | Nyinsɛn a Ɛdi Nyinaa Molar (Ewie) . |
|---|---|---|
| Ɛte dɛn? | Nkwaboaa abien na ɛma ɛwo a ɛteɛ no nyinsɛn. | Efi mmadwoa a wɔde ma nkesua a hwee nni mu a awosu mu nneɛma biara nni mu no mu. |
| Nkwaboaa | Ebia awotwaa a ɛnyɛ ne kwan so bɛba, nanso saa awotwaa no ntumi ntra ase. | Nkwaboaa nnyin koraa. Ntini a ɛnyɛ ne kwan so kɛkɛ na ɛwɔ hɔ. |
| Placenta a ɛwɔ awotwaa mu | Awotwaa ne awotwaa no nyinaa nyɛ nea ɛnteɛ. | Sɛ́ anka awotwaa no bɛba no, ntini pii a ɛnyɛ ne kwan so na ɛba. |
| Wɔtaa hu no kɛse | Ennu nea ɛyɛ pɛpɛɛpɛ. | Ɛtaa ba sen nea ɛnyɛ pɛ no. |
Dɛn nti na eyi rekɔ so? Dɛn ne nea enti a ɛte saa?
Ade titiriw a ɛde nyinsɛn a ɛwɔ anom ba ne awosu mu sintɔ a ɛba bere a wɔrenyinsɛn no. Eyi nyɛ obiara mfomso.
Fa no sɛ, sɛ wobɛwo abofra a ɔwɔ apɔwmuden , wuhia chromosomes 23 a efi wo maame hɔ na 23 fi wo papa hɔ. Sɛ yɛbɛka no tiawa a, fã fi wo maame hɔ na fã fi wo papa hɔ.
- Wɔ Complete Molar Pregnancy , mu no, agya no mmadwoa ma ɛwo a ɛda mpan a ɛna no awosu mu nneɛma biara nni mu. Enti, esiane sɛ ɛna no awosu mu nkwaadɔm nni hɔ nti, wɔnwo akokoaa a ɔwɔ apɔwmuden.
- Wɔ nyinsɛn a ɛwɔ anom fã bi mu no , mmadwoa abien na ɛma ɛwo no nyinsɛn. Eyi kyerɛ sɛ akokoaa no nya awosu mu nneɛma mmɔho abien fi agya no hɔ. Sɛ wɔde chromosomes foforo ka ho a, ɛmo a wɔahyɛ no ma no ntumi ntra ase. Nyinsɛn no ba awiei wɔ adapɛn kakraa bi mu.
Nea ɛho hia ne sɛ, eyi mfi mfomso, aduan, anonne, anaa adeyɛ biara a ɛna anaa agya no yɛ. Eyi yɛ awosu mu sintɔ a ɛba kwa koraa a ɛba bere a wɔrenyinsɛn no.
Dɛn ne nyinsɛn a wɔde anom ayɛ ho sɛnkyerɛnne?
Ɛtɔ mmere bi a, saa tebea yi betumi aba a enni sɛnkyerɛnne biara. Nanso, nsɛnkyerɛnne bi wɔ hɔ a ɛtaa ba a wubetumi ahu. Sɛ wuhyia biribi a ɛte sɛɛ a, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn ntɛm ara .
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛmu |
|---|---|
| Mogya a ɛba ɔbea no awotwaa mu | Ebetumi aba wɔ nyinsɛn no asram abiɛsa a edi kan no mu. |
| Brown nsuo a ɛtɔ gu nipadua no mu | Nsu a ɛyɛ bruu a ɛtwetwe nsu. |
| Nsu a ɛte sɛ bobe aba | Nneɛma nketenkete a ɛte sɛ kotoku a ɛte sɛ bobe a efi ɔbea no awotwaa mu ba. |
| Akisikuru a emu yɛ den ne ɔfe | Akisikuru ne ɔfe a emu yɛ den sen sɛnea ɛte daa wɔ nyinsɛn mu. |
| Ɛyaw a ɛba akyi berɛmo mu | Nhyɛso anaa ɛyaw a wɔte nka wɔ yafunu no ase. |
| Nneɛma afoforo a ɛwom | Mogya mmoroso (preeclampsia), mogya a ɛtɔ kɔ nipadua mu, nyinsɛn mu hormone hCG a ɛkɔ soro, ne awotwaa mu akisikuru. |
Ɔkwan bɛn so na oduruyɛfo hu eyi na ɔsa?
Wɔtaa hu saa tebea yi bere a woyɛ ultrasound scan a woyɛ daa no. Wobetumi asusuw ho nso denam nyinsɛn mu hormone, hCG (human chorionic gonadotropin) dodow a ɛwɔ mogya no mu a wɔbɛhwɛ so. Wɔ nyinsɛn a wɔde anom ayɛ mu no, saa hCG dodow yi kɔ soro wɔ ɔkwan a ɛnteɛ so.
Sɛ́ ayaresa no, ɛsɛ sɛ oduruyɛfo no yi ntini a ɛnteɛ no fi awotwaa no mu koraa. Adeyɛ a wɔtaa fa so yɛ eyi ne `D&C ( .Ntrɛwmu ne Curettage (D&C). Wonim eyi sɛ ‘awotwaa no a wɔtew ho’. Ɛtɔ da bi a, wobetumi de nnuru ayi saa ntini yi afi hɔ.
Ade a ɛho hia sen biara ne akyi a wobedi wɔ ayaresa akyi. D&C no akyi no, wo duruyɛfo no bɛhwɛ wo mogya mu hCG dodow daa asram pii. Eyi ho hia na ama woahwɛ ahu sɛ ntini a ɛnteɛ no ayera koraa na wo hCG dodow asan aba sɛnea na ɛte kan no.
So Nyinsɛn a Wɔde Nnua Mu So De Nsɛnnennen a Anibere Mu Ba?
Mpɛn pii no, sɛ wɔsa yare yiye na woyi ntini a, ɔhaw biara nni hɔ. Nanso, ɛntaa mma koraa sɛ nsɛnnennen betumi aba.
- GTN a ɛkɔ so tra hɔ: Ɛtɔ mmere bi a, bere a wɔayi afi hɔ mpo no, ntini a ɛnyɛ ne kwan so no fã ketewaa bi betumi atra hɔ na anyin akɔ awotwaa no ntini mu. Wɔfrɛ eyi `Persistent GTN`. Sɛ eyi ba a, ebia ayaresa te sɛ ` chemotherapy` ho behia.
- Choriocarcinoma: Nea ɛntaa nsi mpo ne bere a saa ntini yi dan kokoram no. Wɔfrɛ no `Choriocarcinoma`. Nanso, eyi nso yɛ kokoram bi a wobetumi asa koraa denam ayaresa so.
Saa nneɛma yi betumi ayɛ hu sɛ wobɛte. Nanso kae sɛ, saa nsɛnnennen yi ho yɛ na koraa , na ayaresa a etu mpɔn wɔ hɔ a wɔde sa. Ade a ɛho hia sen biara ne sɛ wubedi wo duruyɛfo akwankyerɛ akyi wɔ ayaresa ne akyi a wobedi ho.
So wuntumi nwo akokoaa foforo bere a woanyinsɛn anom akyi?
Eyi yɛ ɔhaw a nnipa pii wɔ. Asɛmpa no ne sɛ nyinsɛn a ɛyɛ molar a wubenya no renka w’awo wɔ ɔkwan biara so. Akyinnye biara nni ho sɛ wubetumi awo akokoaa a ɔwɔ apɔwmuden daakye.
Nanso, nnuruyɛfo taa tu wo fo sɛ twɛn asram 6 kosi afe ansa na woanyinsɛn bio. Nea enti a ɛte saa ne saa hCG hormone a yɛadi kan aka ho asɛm no. Sɛ wunyinsɛn bio a, saa hormone no kɔ soro fi awosu mu. Afei, ɛyɛ den ma oduruyɛfo no sɛ obehu pɛpɛɛpɛ sɛ ebia saa hormone no a ɛkɔ soro no fi nyinsɛn foforo no anaasɛ esiane sɛ saa ntini dedaw no bi da so ara wɔ nipadua no mu nti. Ɛno nti na wɔka sɛ twɛn kosi sɛ hCG dodow no bɛkɔ fam koraa akodu zero na asan akɔ sɛnea na ɛte kan no.
Nkrasɛm a Wɔde Kɔ Fie
- Nyinsɛn a ɛwɔ awotwaa mu ne bere a ntini a ɛnteɛ nyin wɔ awotwaa no mu sen sɛ ɛbɛyɛ akokoaa a ɔwɔ apɔwmuden. Eyi fi awosu mu mfomso bi a ɛba kwa bere a wɔrenyinsɛn no, na ɛnyɛ wo mfomso.
- Sɛ wuhu sɛnkyerɛnne ahorow wɔ nyinsɛn mu te sɛ mogya a ɛtɔ soronko, nsu a ɛyɛ bruu, anaa ɔfe a emu yɛ den a, kɔ wo duruyɛfo nkyɛn ntɛm ara.
- Saa tebea yi ayaresa hwehwɛ sɛ wɔtrɛw mu na wɔyɛ curettage (D&C) na akyiri yi wɔhwɛ hCG hormone dodow so.
- Sɛ wunya nyinsɛn a ɛyɛ molar a, ɛnsɛe wo mma daakye. Wubetumi ahwɛ kwan sɛ wubenya nyinsɛn a ahoɔden wom bere a woatwɛn bere a wɔakyerɛw ama wo no akyi sɛnea nnuruyɛfo afotu kyerɛ no.
- Mma wo nkutoo nkɔ akwantu yi mu. Wo ne wo hokafo, w’abusua, ne titiriw no wo duruyɛfo nka eyi ho asɛm pefee. Ɛho hia sɛ wunya nkate fam mmoa a wuhia.
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