Ðe nèdi be yeanya nu tso Partial Molar Pregnancy hã ŋua? Mina míaƒo nu tso eŋu!

Nyemenya nenye be èse nya `(Partial Molar Pregnancy)` kpɔ o. Ðewohĩ tso ɖɔkta gbɔ, alo le teƒe bubu aɖe. Esia nye kuxi si ate ŋu adzɔ zi geɖe le fufɔfɔ ƒe gɔmedzedze. Le nyateƒe me la, enye nɔnɔme si mebɔ o, gake ele vevie be nànyae. Egbea, míaƒo nu le nya bɔbɔewo me tso nusi `(Partial Molar Pregnancy)` nye, nusita wòdzɔna, nusiwo nye dzesiawo, kple alesi wowɔa atike nɛ ŋu.

Nukae nye ``Partial Molar Fufɔfɔ '' sia?

Kpuie ko la, `(Partial Molar Pregnancy)` nye nɔnɔme tɔxɛ aɖe si le molar fufɔfɔ ƒe hatsotso `(Molar Pregnancy)` me. Esia dzɔna le fufɔɣi, ne azi si wodzi, si nye fugboe ƒe ke, metsi nyuie o. Nusi koŋ gbɔ esia tsoe nye domenyiŋusẽfianu ƒe vodada si dzɔna le vidzidziɣi. Le fufɔfɔ si sɔ me la, azi si tso vidadaa gbɔ la wɔa ɖeka kple tsinyenye ɖeka si tso vifofoa gbɔ. Emegbe fugboe si do tso eme la xɔa domenyiŋusẽfianu ŋuti nyatakaka siwo hiã pɛpɛpɛ. Gake le `(Partial Molar Pregnancy)` me la, tsinyenye eve wɔa ɖeka kple azi ɖeka. Emegbe fugboea xɔa domenyiŋusẽfianu geɖe wu alesi wòhiã. Le domenyiŋusẽfianu siawo siwo sɔ gbɔ ta la, fufɔfɔa mete ŋu yia edzi nyuie o. Le `(Partial Molar Pregnancy)` nɔnɔme sia me la, ɣeaɖewoɣi la, fugboe kple vidzidɔ ƒe akpa aɖewo ateŋu adze wɔwɔ gɔme. Le ɣeyiɣi ma ke me la, lãkusi siwo mesɔ o, abe ƒunukpeƒe suesuesue siwo yɔ fũ kple tsi ene hã dzɔna. To mɔ sia dzi la, vidzidɔa kple fugboea siaa tsina edziedzi, si wɔnɛ be manya wɔ be woayi fufɔfɔa dzi o. Zi geɖe la, ``Partial Molar Pregnancy'' wu enu kple ``Miscarriage'' le fufɔfɔ ƒe kwasiɖa gbãtɔwo me. Fufɔfɔ siawo siwo woɖena le aɖu me la le dɔlélewo ƒe hatsotso si woyɔna be ``Gestational Trophoblastic Disease - GTD'' me. ``GTD'' nye dɔlélewo ƒe ƒuƒoƒo si me ʋuʋudedi siwo mesɔ o dzɔna le vidzidɔa me . Wogayɔa fu siawo siwo woɖena le aɖu me be ``Hydatidiform Moles''. Nu vevitɔ enye be ne èkpɔe be ``Partial Molar Pregnancy'' le ye ŋu la, ele vevie be nàdi atike enumake.

Aleke gbegbee nɔnɔme sia bɔe?

``Partial Molar Pregnancy'' mebɔ vie wu ``Complete Molar Pregnancy.'' Gake fu siwo katã fu le aɖu me ƒe 1% mede 1% o, alo abe fu ɖeka le 1200 ɖesiaɖe me ene, nye fufɔfɔ siwo me aɖu. Eyata abe alesi nàte ŋu akpɔe ene la, esia mebɔ kura o.

Nukae nye `(Partial Molar Pregnancy)` ƒe dzesiwo?

Nɔnɔme sia ƒe dzesi vevitɔe nye ʋu si dona le vidzidɔ me vevie le fufɔfɔ ƒe gɔmedzedze. Ʋu sia ate ŋu anye aŋutiɖiɖi alo aŋutiɖiɖi. Tsɔ kpe ɖe eŋu la, àte ŋu akpɔ dzesi siwo gbɔna:

• Aɖuɖɔtoe kple ʋuʋudedi sesẽ (togbɔ be ŋdi me dɔléle le ame geɖe ŋu le fufɔɣi hã la , esia ate ŋu asẽ wu).
• Vevesese le akɔta, si fia be vevesese le ƒodo ƒe akpa si le anyime .
• Lãmetsi kakɛ siwo le abe weintsetse siwo me tsi le ene siwo dona tso nyɔnu ƒe vidzidɔ me.
• Ʋusɔgbɔdɔ (Hypertension).

Ɣeaɖewoɣi la, vidzidɔa ate ŋu alolo wu alesi wòle, alo ate ŋu atsi kabakaba wu alesi wokpɔ mɔe le fufɔfɔ ƒe ɣleti etɔ̃ gbãtɔ me. Ke hã, dzesi siawo medzena le ame sia ame ŋu o. Dzesi aɖeke mele ame aɖewo ŋu o eye le vome koe wokpɔna le woƒe ultrasound scan gbãtɔ me.

Nukatae `(Partial Molar Pregnancy)` sia dzɔna?

Abe alesi megblɔe va yi ene la, esia nye domenyiŋusẽfianu si dzɔ le vome . Mina míase esia gɔme bɔbɔe vie. Le fufɔfɔ si sɔ me la, azi la xɔa domenyiŋusẽfianu 23 tso vidadaa gbɔ eye 23 tso fofoa gbɔ, si wɔnɛ be wo katã nyea domenyiŋusẽfianu 46. Aleae wòle be fugboe si le lãmesẽ me natsi. Ke hã, le ``Partial Molar Pregnancy'' me la, azi la xɔa domenyiŋusẽfianu eve tso fofoa gbɔ. Eyae nye be zi geɖe la, tsinyenye eve ƒoa ƒu kple azi ɖeka. Emegbe domenyiŋusẽfianu ƒe xexlẽme katã va zua 69 le esi teƒe be wòanye 46. Domenyiŋusẽfianu ŋuti nyatakaka bubu sia tae fugboea kple vidzidɔa metsina nyuie o ɖo.

Bu eŋu kpɔ, ɖeko wòle abe ne ètsɔ nusiwo hiã be woatsɔ awɔ abolo la ƒe teƒe eve wu alesi nuɖaɖaa gblɔe kpe ɖe eŋu la, aboloa madze nyuie o ene.

Amekae le afɔku me wu le esia ta?

Nu aɖewo dzia fufɔfɔ si le aɖu me ƒe afɔkua ɖe edzi. Gake ɖo ŋku edzi be fu si wofɔ le aɖu me ƒe akpa aɖe mebɔ o wu fu si wofɔ le aɖu me bliboe. Afɔku siawo dometɔ aɖewoe nye:

• Ne èfɔ fu le aɖu me va yi: Ne nɔnɔme sia do mo ɖa zi ɖeka la, mɔnukpɔkpɔ sue aɖe li be wòagadzɔ ake.
• Ƒe: Afɔku sia lolo vie na nyɔnu siwo xɔ wu ƒe 40 kple ɖevi sue siwo mexɔ ƒe 15 haɖe o.
• Ne èfɔ fu zi eve alo esi wu nenema va yi.

Wogblɔ hã be amesiwo ŋu woka nya ta le be wofɔ fu le aɖu me le Asia-dukɔwo me sɔ gbɔ wu esiwo le dukɔwo abe United States ene. Nyatakakawo li hã be le United States la, yevuwo afɔ fu le aɖu me wu ameyibɔwo.

Nukae nye kuxi siwo dona tso `(Partial Molar Pregnancy)` me?

Kuxi sesẽ aɖewo li siwo ate ŋu ado mo ɖa le fufɔfɔ siwo me aɖuwo le me. Ðekae nye kansa ƒomevi si mebɔ o si woyɔna be Choriocarcinoma. Tsɔ kpe ɖe eŋu la, kuxi bubu si bɔ si ate ŋu ado mo ɖa le aɖu me fufɔfɔ ŋue nye Persistent Gestational Trophoblastic Neoplasia (GTN). Esia nye ne lãkusi siwo mesɔ o yi edzi le tsitsim le vidzidɔa me ne wowɔ dilation and curettage (D&C) tsɔ ɖe fu si le aɖuawo me ɖa vɔ gɔ̃ hã. Kuxi bubuwoe nye:

• Ʋu si dona vevie.
• Ʋusɔgbɔdɔ (Hypertension).
• Azigolo me ʋuʋudediwo .
• Lãmetsiŋusẽ ƒe dɔléle si gbɔ eme.

Le nyateƒe me la, kuxi siwo ate ŋu ado mo ɖa le fufɔfɔ blibo si me aɖuwo le me sɔ gbɔ wu fufɔfɔ si me aɖuwo ƒe akpa aɖe le.

Ɣeyiɣi didi kae `(Partial Molar Pregnancy)` xɔna?

Le nyateƒe me la, fugboe si le `(Partial Molar Pregnancy)` me mate ŋu anɔ agbe o. Gake fufɔfɔa ate ŋu anɔ anyi kwasiɖa geɖe. Zi geɖe la, esiawo wua enu kple fuɖeɖe le eɖokui si. Emegbe wotsɔa lãkusi kakɛawo, abe weintsetsewo ƒe ƒuƒoƒo ene, doa goe le nyɔnu ƒe vidzidɔa me. Ke hã, le ame aɖewo gome la, ne wowɔ woƒe `(Ultrasound)` scan gbãtɔ ko hafi wokpɔnɛ be `(Partial Molar Pregnancy)` ye.

Aleke woawɔ ade dzesi `(Partial Molar Pregnancy)`?

Wò ɖɔkta akpɔ ``Partial Molar Pregnancy'' koŋ to ``Ultrasound'' dodokpɔ wɔwɔ me. ``Ultrasound'' ateŋu aɖe nuwo abe:

• Fugboe ƒe anyimanɔmanɔ alo fugboea ƒe dzedzeme le sue ŋutɔ.
• Edze abe ƒunukpeƒetetedɔ yɔ vidzidɔa me fũ ene alo edze abe ɖe mesɔ o ene.

Le ɣeyiɣi ma ke me la, ɖɔkta la awɔ ʋudodokpɔ atsɔ akpɔ lãmetsi aɖe si woyɔna be `(Human Chorionic Gonadotropin - HCG)` ƒe agbɔsɔsɔ le wò ʋu me. `(HCG)` nye lãmetsi si funɔwo ƒe ŋutilã wɔna. Le `(Partial Molar Pregnancy)` me la, `(HCG)` ƒe agbɔsɔsɔ sia dzina ɖe edzi kabakaba eye wòdea dziƒo ŋutɔ wu le fufɔfɔ si sɔ me.

Aleke gbegbee nàte ŋu ake ɖe esia ŋu kabae?

Zi geɖe la, ɖɔktawo dea dzesi aɖu siawo ƒe fufɔfɔ le fufɔfɔ ƒe kwasiɖa 12 gbãtɔwo me, si fia be le ɣleti etɔ̃ gbãtɔwo me.

Aleke wowɔa atike na `(Partial Molar Pregnancy)`?

Ðɔkta daa fufɔfɔ si ƒe aɖuwo ƒe akpa aɖe to fugboea kple vidzidɔa (lãmeka si mesɔ o) ɖeɖe ɖa le vidzidɔa me. Woyɔa esia be dilation and curettage (D&C). Woate ŋu awɔ esia le amekokoxɔ me esime nèle ŋudzɔ, alo woate ŋu awɔe le ɖɔkta ƒe dɔwɔƒe esime nèle ŋudzɔ. Àte ŋu aƒo nu tso tiatia siawo ŋu na wò ɖɔkta. Le D&C megbe la, wò ɖɔkta ayi edzi anɔ wò hCG ƒe agbɔsɔsɔ me dzrom vaseɖe ƒe ɖeka be yeakpɔe ɖa be aɖuɖɔtoea ƒe akpa aɖewo gakpɔtɔ le vidzidɔa me hã. Ele vevie be woazã mɔxexeɖefufɔfɔnu (abe vidzidzitikewo ene) le ɣeyiɣi sia me. Esia le alea elabena ne ègafɔ fu le ɣeyiɣi sia me la, wò hCG ƒe agbɔsɔsɔ ate ŋu adzi ɖe edzi, si ana wòasesẽ be nànya ne aɖuɖɔtoea gakpɔtɔ li alo nenye be fu yeyee. Ƒã ŋutɔ hafi le D&C megbe la, vidzidɔa ate ŋu anɔ vidzidɔa me. Woyɔa nɔnɔme sia be Fufɔfɔ ƒe Dɔléle (GTD). Ne edzɔ alea la, ahiã be wò ɖɔkta nada GTD la. Esia ate ŋu anye atikewɔmɔnu, keklẽŋusẽ, alo vidzidɔ ɖeɖeɖa.

Ðe woate ŋu axe mɔ ɖe Fufɔfɔ si me Aɖu ƒe Akpaɖekedzimademade le nua?

Ao, naneke meli míate ŋu awɔ atsɔ axe mɔ ɖe `(Partial Molar Pregnancy)` (alo molar fufɔfɔ blibo) nu o. Esia le alea elabena domenyiŋusẽfianu si dzɔ le vomee wònye. Ne èxɔ `(Partial Molar Pregnancy)` do ŋgɔ la, ele vevie ŋutɔ be nàƒo nu kple wò ɖɔkta hafi adze agbagba be yeagafɔ fu ake. Anɔ eme be aɖo aɖaŋu na wò be nàlala tso ɣleti ade va ɖo ƒe ɖeka. Togbɔ be mɔnukpɔkpɔ si li be aɖuwo nafɔ fu le sue hã la, ne èfɔ fu kpɔ la, afɔku sue aɖe li be wòagadzɔ ake.

Ðe wòanya wɔ be woagafɔ fu le `(Partial Molar Pregnancy)` megbea?

Ẽ, anya wɔ godoo. Mɔnukpɔkpɔ si li be fufɔfɔ le aɖu me agadzɔ la le sue ŋutɔ (anɔ abe 1% va ɖo 2%), gake afɔku sue aɖe le eme. Ne èle ɖoɖo wɔm ɖe wò fufɔfɔ si gbɔna ŋu la, ele be nàƒo nu kple wò ɖɔkta tso ɣeyiɣi nyuitɔ si nàfɔ fu ŋu. Esia le alea elabena ele be vidzidɔa navo tso aɖuɖɔtoe me keŋkeŋ, eye ele be `(HCG)` ƒe agbɔsɔsɔ hã natrɔ ava nɔ abe alesi wònɔ tsã ene.

Ðe fugboea ate ŋu anɔ agbe le ``Partial Molar Pregnancy'' mea?

Ao, fugboea mate ŋu anɔ agbe le `(Partial Molar Pregnancy)` me o. Ne mede ɖeke o la, fufɔfɔ ƒe lãkusi ate ŋu atsi abe kwasiɖa 12 ene (ɣleti etɔ̃). Gake mayi edzi abe fu si le lãmesẽ me ene o.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne èfɔ fu eye dzesiwo abe ʋu si le dodom le vidzidɔ me, ʋuʋudedi, alo ƒodo ƒe vevesese ene le ŋuwò la, yi ɖɔkta gbɔ enumake . Esi wònye be fufɔfɔ le aɖu me ƒe dzesiwo ate ŋu asɔ kple nɔnɔme bubuwo ta la, ele vevie be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo kaba ale si nàte ŋui.

Nya kawoe wòle be mabia ɖɔktaa?

Ne èxɔ ``Partial Molar Pregnancy'' kpɔ la, nyabiase geɖewo ate ŋu anɔ asiwò. Ebɔ ŋutɔ. Àte ŋu abia wò ɖɔkta nyawo abe:

• Ɣekaɣie magafɔ fu ake?
• Mɔnukpɔkpɔ kawoe li be mafɔ fu bubu le aɖu me?
• Ðe mele afɔku me be kuxi sesẽwo ate ŋu ado mo ɖaa?
• Ðe wòhiã be woawɔ dodokpɔ bubu aɖewo nam?
• Ðe mate ŋu axɔ kansa tso fufɔfɔ si me aɖuwo le mea?

Fufɔfɔ, le susu ka ke ta o, nye nuteƒekpɔkpɔ wɔnublanui aɖe ŋutɔ. Le ``Partial Molar Pregnancy`` ƒe dzesi sia me la, na ɣeyiɣi ɖokuiwò nàtsɔ axa nu le wò fufɔfɔ ƒe bu ta. Ele vevie ŋutɔ be nàde dodokpɔ kple ɣeyiɣi siwo katã wò ɖɔkta de se na wò le ``Partial Molar Pregnancy`` megbe. Wò ɖɔkta aƒo nu tso fu siwo nàfɔ le etsɔme ŋu na wò. Ðo ŋku edzi be mɔnukpɔkpɔ si li be woafɔ fu le aɖu evelia me la le sue ŋutɔ, eye ame akpa gãtɔ toa fu dzidzedzetɔe.

Gbedasi si Wotsɔ Yi Aƒeme

Enyo, eyata mina míaɖo ŋku nya vevitɔ kekeake siwo ŋu míeƒo nu tsoe la dzi:

• Fufɔfɔ si nye aɖu ƒe akpa aɖe nye fufɔfɔ si me fugboe kple vidzidɔa metsi nyuie o le domenyiŋusẽfianu ƒe gbɔdzɔgbɔdzɔ aɖe ta. Esia mate ŋu ayi edzi o.
• Dzesi gbãtɔwo ate ŋu anye ʋu si dona le nyɔnuwo ƒe vidzidɔ me, ʋuʋudedi sesẽ, kple ƒodo ƒe vevesese.
• Wokpɔa esia to ultrasound kple HCG ʋudodokpɔ me.
• Atikewɔwɔae nye be woatsɔ ``D&C'' amekoko akɔ vidzidɔa ŋu. Le ema megbe la, woléa ŋku ɖe ``HCG'' ƒe agbɔsɔsɔme ŋu.
• Togbɔ be womate ŋu axe mɔ ɖe esia nu o hã la, ame geɖe ate ŋu afɔ fu le lãmesẽ me le atikewɔwɔ vɔ megbe.
• Ne dzesi siawo dometɔ aɖe le ŋuwò, alo ne nya aɖe le asiwò ku ɖe esia ŋu la, mègavɔ̃ be yeaƒo nu kple wò ɖɔkta o. Woakpe ɖe ŋuwò.

Mele mɔ kpɔm be nyatakaka sia akpe ɖe ŋuwò. Ne nya aɖe le asiwò la, mègakpe ŋu abia ɖɔkta o. Nɔ lãmesẽ me!