Makemake pū ʻoe e ʻike e pili ana i ka hāpai ʻana o ka hapai Molar? E kamaʻilio kākou e pili ana!

ʻAʻole maopopo iaʻu inā ua lohe ʻoe i ka huaʻōlelo `(Partial Molar Pregnancy)`. Malia paha mai ke kauka mai, a i ʻole ma kahi ʻē aʻe. He pilikia kēia e hiki ke hana pinepine ʻia i ka wā hāpai mua. He maʻi laha ʻole ia, akā he mea nui e makaʻala iā ia. I kēia lā, e kamaʻilio mākou ma nā ʻōlelo maʻalahi e pili ana i ke ʻano o `(Partial Molar Pregnancy)`, no ke aha e hana ʻia ai, he aha nā hōʻailona, ​​a pehea e mālama ʻia ai.

He aha kēia "Hapai Molar hapa "?

I ka ʻōlelo maʻalahi, ʻo ka `(Partial Molar Pregnancy)` he kūlana kūikawā ia no ka māhele o ka hāpai ʻana i ka molar `(Molar Pregnancy)`. Hana ʻia kēia i ka wā hāpai, i ka wā e ulu pono ʻole ai ka hua i hoʻoulu ʻia, ʻo ia hoʻi ke aʻa embryonic. ʻO ke kumu nui o kēia he hewa genetic e kū mai ana i ka wā o ka hoʻoulu ʻana. I ka hāpai maʻamau, hui pū kahi hua mai ka makuahine me hoʻokahi sperm mai ka makuakāne. A laila loaʻa i ka embryo hopena ka ʻike genetic e pono ai. Akā i ka `(Partial Molar Pregnancy)`, hui pū ʻelua sperm me hoʻokahi hua. A laila loaʻa i ka embryo nā mea genetic hou aʻe ma mua o ka mea e pono ai. Ma muli o kēia mau genes keu, ʻaʻole hiki ke holo pono ka hāpai ʻana. I kēia kūlana `(Partial Molar Pregnancy)`, i kekahi manawa hiki ke hoʻomaka nā ʻāpana o ka embryo a me ka placenta e hana. I ka manawa like, hana pū ʻia nā ʻiʻo ʻē, e like me nā cysts liʻiliʻi i piha i ka wai. Ma kēia ʻano, ulu like ʻole ka placenta a me ke fetus, e hiki ʻole ai ke hoʻomau i ka hāpai ʻana. ʻO ka hapa pinepine, pau ka ``Partial Molar Pregnancy'' i ka ``Miscarriage'' i nā pule mua o ka hāpai ʻana. No kēia mau hāpai molar ka hui o nā maʻi i kapa ʻia ʻo "Gestational Trophoblastic Disease - GTD". ʻO "GTD" kahi hui o nā maʻi e hoʻokumu ʻia ai nā cysts maʻamau ʻole i loko o ka ʻōpū . Ua kapa ʻia kēia mau hāpai molar ʻo "Hydatidiform Moles". ʻO ka mea nui loa, inā ʻike ʻoe he "Partial Molar Pregnancy" kou, he mea nui e ʻimi koke i ka lāʻau lapaʻau.

Pehea ka maʻamau o kēia ʻano?

ʻOi aku ka liʻiliʻi o ka "Hapai Molar hapa" ma mua o ka "Hapai Molar piha." Eia naʻe, ʻoi aku ka liʻiliʻi ma mua o 1% o nā hāpai ʻana a pau, a i ʻole ma kahi o hoʻokahi i loko o 1200 mau hāpai ʻana, he mau hāpai molar. No laila, e like me kāu e ʻike ai, he mea kākaʻikahi loa kēia.

He aha nā hōʻailona o ka `(Partial Molar Pregnancy)`?

ʻO ka hōʻailona nui o kēia maʻi, ʻo ia ke kahe koko nui o ka ʻōpū i nā wā mua o ka hāpai ʻana. Hiki i kēia koko ke ʻeleʻele a ʻulaʻula māmā paha. Eia kekahi, hiki iā ʻoe ke ʻike i kēia mau hōʻailona:

• Ka nausea nui a me ka luaʻi ʻana (ʻoiai he nui ka poʻe i loaʻa i ka maʻi kakahiaka i ka wā hāpai , hiki ke ʻoi aku ka ʻino o kēia).
• ʻEha pelvic, ʻo ia hoʻi, ʻeha ma ka ʻōpū lalo .
• Nā ʻāpana ʻiʻo e like me nā hua waina wai e puka mai ana mai loko mai o ka vagina.
• Ke koko kiʻekiʻe (Hypertension).

I kekahi manawa, ʻoi aku ka nui o ka ʻōpū ma mua o ka maʻamau, a i ʻole e ulu wikiwiki paha ma mua o ka mea i manaʻo ʻia i ka trimester mua o ka hāpai ʻana. Eia nō naʻe, ʻaʻole loaʻa kēia mau hōʻailona i nā kānaka a pau. ʻAʻohe hōʻailona o kekahi poʻe a ʻike wale ʻia ma ka manawa kūpono i ka wā o kā lākou scan ultrasound mua.

No ke aha e hana ʻia ai kēia `(Partial Molar Pregnancy)`?

E like me kaʻu i ʻōlelo ai ma mua, he mea kūlike kēia o ka hoʻoilina . E hoʻomaopopo iki kākou i kēia me ka maʻalahi iki. I ka hāpai ʻana maʻamau, loaʻa i ka hua he 23 chromosomes mai ka makuahine a me 23 mai ka makuakāne, e hana ana i ka huina o 46 chromosomes. Penei e ulu ai kahi embryo olakino. Eia naʻe, i ka "Partial Molar Pregnancy", loaʻa i ka hua ʻelua mau seti o nā chromosomes mai ka makuakāne. ʻO ia hoʻi, i ka hapa nui o ka manawa, hui pū nā sperms ʻelua me hoʻokahi hua. A laila lilo ka huina o nā chromosomes i 69 ma kahi o 46. ʻO kēia ʻike hoʻoilina keu ke kumu i ulu pono ʻole ai ka embryo a me ka placenta.

E noʻonoʻo e pili ana i ia mea, ua like ia me ka hoʻohui ʻana i ʻelua manawa o ka nui o nā mea hoʻohui e pono ai no ka hana ʻana i kahi keke ma mua o ka mea i ʻōlelo ʻia ma ke ʻano kuhikuhi, ʻaʻole e kūpono ka keke.

ʻO wai ka mea i pilikia nui no kēia?

Hoʻonui kekahi mau kumu i ka pilikia o ka hāpai molar. Eia nō naʻe, e hoʻomanaʻo he emi ka hiki ke hāpai molar hapa ma mua o ka hāpai molar piha. ʻO kēia mau kumu pilikia:

• Inā ua loaʻa iā ʻoe kahi hāpai molar ma mua: Inā loaʻa kēia ʻano i hoʻokahi manawa, aia kahi manawa liʻiliʻi e hiki hou mai ana.
• Makahiki: ʻOi aku ka kiʻekiʻe o kēia pilikia no nā wahine ma luna o 40 mau makahiki a me nā keiki ʻōpio ma lalo o 15 mau makahiki.
• Inā ʻelua a ʻoi aku paha kāu mau hāʻule ʻana ma mua.

Ua ʻōlelo ʻia hoʻi ʻoi aku ka nui o nā hāpai keiki ʻole i hōʻike ʻia ma nā ʻāina ʻĀsia ma mua o nā ʻāina e like me ʻAmelika Hui Pū ʻIa. Aia kekahi ʻikepili ma ʻAmelika Hui Pū ʻIa, ʻoi aku ka nui o ka poʻe keʻokeʻo e loaʻa i ka hāpai keiki ʻole ma mua o ka poʻe ʻeleʻele.

He aha nā pilikia o ka `(Partial Molar Pregnancy)`?

Aia kekahi mau pilikia koʻikoʻi e hiki ke loaʻa me ka hāpai molar. ʻO kekahi he ʻano maʻi kanesa kakaikahi i kapa ʻia ʻo Choriocarcinoma. Eia kekahi, ʻo kekahi pilikia maʻamau e hiki ke loaʻa me ka hāpai molar ʻo ia ka Persistent Gestational Trophoblastic Neoplasia (GTN). ʻO kēia ka wā e hoʻomau ai ka ulu ʻana o nā ʻiʻo ʻē i loko o ka ʻōpū ma hope o ka hana ʻia ʻana o ka dilation a me ka curettage (D&C) e wehe i ka hāpai molar. ʻO nā pilikia ʻē aʻe:

• Ke kahe koko nui.
• Ke koko kiʻekiʻe (Hypertension).
• Nā cysts ovarian.
• ʻO ka hyperthyroidism.

Ma keʻano laulā, ʻoi aku ke kiʻekiʻe o ka pilikia o nā pilikia i ka hāpai molar piha ma mua o ka hāpai molar hapa.

Pehea ka lōʻihi o ka manawa e mau ai ka `(Partial Molar Pregnancy)`?

ʻO ka ʻoiaʻiʻo, ʻaʻole hiki ke ola ka embryo i loko o ka `(Partial Molar Pregnancy)`. Eia nō naʻe, hiki i ka hāpai ʻana ke mau no kekahi mau pule. ʻO ka hapa nui o ka manawa, pau kēia i ka hoʻopau koke ʻana. A laila, hoʻokuʻu ʻia nā ʻāpana ʻiʻo, e like me nā hui hua waina, mai loko mai o ka vagina. Eia naʻe, no kekahi poʻe, ʻo ka wā wale nō e loaʻa ai iā lākou kā lākou scan `(Ultrasound)` mua e ʻike ai lākou he `(Partial Molar Pregnancy)` ia.

Pehea e ʻike ai i kahi `(Partial Molar Pregnancy)`?

E ʻike kāu kauka i kahi "Partial Molar Pregnancy" ma o ka hana ʻana i kahi hoʻokolohua "Ultrasound". Hiki i kahi "Ultrasound" ke hōʻike i nā mea e like me:

• ʻO ka nele o kahi embryo a i ʻole ke ʻano o ka embryo he mea liʻiliʻi loa ia.
• Me he mea lā ua piha ka placenta i nā cysts a i ʻole he ʻano ʻē ke ʻano.

I ka manawa like, e hana ke kauka i kahi hoʻāʻo koko e nānā i ka pae o kahi hormone i kapa ʻia ʻo `(Human Chorionic Gonadotropin - HCG)` i loko o kou koko. ʻO `(HCG)` kahi hormone i hana ʻia e ke kino o nā wahine hāpai. I loko o kahi `(Partial Molar Pregnancy)`, piʻi wikiwiki kēia pae `(HCG)` a i kahi pae kiʻekiʻe loa ma mua o ka hāpai ʻana maʻamau.

Pehea ka wikiwiki e hiki ai iā ʻoe ke loaʻa i kēia?

ʻO ka hapa pinepine, ʻike nā kauka i kēia mau hāpai molar i loko o nā pule he 12 mua o ka hāpai ʻana, ʻo ia hoʻi, i loko o nā mahina ʻekolu mua.

Pehea e mālama ʻia ai ka `(Partial Molar Pregnancy)`?

Hoʻōla ke kauka i ka hāpai molar hapa ma ka wehe ʻana i ka fetus a me ka placenta (ʻiʻo ʻē) mai ka uterus. Ua kapa ʻia kēia he dilation a me curettage (D&C). Hiki ke hana ʻia kēia ma kahi lumi hana i kou wā e ala ana, a i ʻole hiki ke hana ʻia ma ke keʻena o ke kauka i kou wā e ala ana. Hiki iā ʻoe ke kamaʻilio me kāu kauka e pili ana i kēia mau koho. Ma hope o ka D&C, e hoʻomau kāu kauka i ka nānā ʻana i kāu mau pae hCG a hiki i hoʻokahi makahiki e ʻike ai inā aia kekahi mau ʻāpana o ka ʻiʻo molar i loko o ka uterus. He mea nui e hoʻohana i ka kaohi hānau (e like me nā pila kaohi hānau) i kēia manawa. ʻO kēia no ka mea inā hāpai hou ʻoe i kēia manawa, ʻoi aku paha ke kiʻekiʻe o kāu mau pae hCG, e paʻakikī ai ke ʻike inā aia nō ka ʻiʻo molar a inā he hāpai hou. He mea kākaʻikahi loa, ma hope o ka D&C, hiki i ka placenta ke noho i loko o ka uterus. Ua kapa ʻia kēia ʻano ʻo Gestational Trophoblastic Disease (GTD). Inā hana ʻia kēia, pono kāu kauka e mālama i ka GTD. Hiki i kēia ke komo pū me ka chemotherapy, radiation, a i ʻole hysterectomy.

Hiki ke pale ʻia ka hāpai ʻana o ka Molar hapa?

ʻAʻole, ʻaʻohe mea hiki iā mākou ke hana e pale aku i ka `(Partial Molar Pregnancy)` (a i ʻole ka hāpai molar piha). ʻO kēia no ka mea he mea like ia me ka genetic. Inā ua loaʻa iā ʻoe kahi `(Partial Molar Pregnancy)` ma mua, he mea nui loa ia e kamaʻilio me kāu kauka ma mua o ka hoʻāʻo ʻana e hāpai hou. E aʻo paha ʻo ia iā ʻoe e kali i ʻeono mahina a i hoʻokahi makahiki. ʻOiai he haʻahaʻa ka manawa e hiki ai ke hāpai molar, inā ua loaʻa iā ʻoe kekahi, aia kahi pilikia liʻiliʻi e hiki hou mai ana.

Hiki paha ke hāpai hou ma hope o ka `(Partial Molar Pregnancy)`?

ʻAe, hiki nō ia. He haʻahaʻa loa ka manawa e hiki hou mai ai ka hāpai keiki ʻana (ma kahi o 1% a 2%), akā he wahi liʻiliʻi ka pilikia. Ke hoʻolālā nei ʻoe i kāu hāpai keiki ʻana aʻe, pono ʻoe e kamaʻilio me kāu kauka e pili ana i ka manawa kūpono loa e hāpai ai. ʻO kēia no ka mea e pono e kaʻawale loa ka ʻōpū mai ka ʻiʻo ʻōpū, a pono hoʻi e hoʻi ka pae `(HCG)` i ka maʻamau.

Hiki i ke keiki i loko o ka ʻōpū ke ola i ka wā o ka "Partial Molar Pregnancy"?

ʻAʻole, ʻaʻole hiki i ka embryo ke ola i loko o ka `(Partial Molar Pregnancy)`. I ka nui loa, hiki i ka ʻiʻo gestational ke ulu no kahi o 12 mau pule (ʻekolu mahina). Akā, ʻaʻole ia e hoʻomau ma ke ʻano he hāpai olakino.

Āhea wau e ʻike ai i ke kauka?

Inā hāpai ʻoe a loaʻa iā ʻoe nā hōʻailona e like me ke kahe ʻana o ke koko i loko o ka ʻōpū, ka nausea, a i ʻole ka ʻeha o ka ʻōpū ma lalo, e ʻike koke i kāu kauka . No ka mea, hiki ke like nā hōʻailona o ka hāpai molar me nā kūlana ʻē aʻe, he mea nui e ʻimi koke i ke kōkua lapaʻau.

He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka?

Inā ua loaʻa iā ʻoe kahi "Partial Molar Pregnancy", nui paha kāu mau nīnau. He mea maʻamau loa ia. Hiki iā ʻoe ke nīnau i kāu kauka i nā nīnau e like me:

• Āhea e hiki ai iaʻu ke hāpai hou?
• He aha nā manawa kūpono e loaʻa hou iaʻu ka hāpai molar?
• Aia wau i ka pilikia o nā pilikia koʻikoʻi?
• Pono anei iaʻu e hana i kekahi mau hoʻokolohua hou aʻe?
• Hiki iaʻu ke loaʻa i ka maʻi kanesa mai ka hāpai molar?

ʻO ka nalowale ʻana o ka hāpai ʻana, no kekahi kumu, he ʻike kaumaha loa ia. Me kēia ʻike o ka "Partial Molar Pregnancy", e hāʻawi iā ʻoe iho i ka manawa e kanikau ai no ka nalowale ʻana o kāu hāpai ʻana. He mea nui loa ia e hele i nā hoʻokolohua a me nā manawa a pau a kāu kauka e kauoha ai ma hope o ka "Partial Molar Pregnancy". E kamaʻilio kāu kauka me ʻoe e pili ana i nā hāpai ʻana i ka wā e hiki mai ana. E hoʻomanaʻo, he haʻahaʻa loa ka manawa kūpono o ka hāpai ʻana i ka lua o ka molar, a ʻike ka hapa nui o ka poʻe i nā hāpai holomua.

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ʻAe, e hoʻomanaʻo kākou i nā mea nui loa mai nā mea a kākou i kamaʻilio ai:

• ʻO ka hāpai molar hapa kahi hāpai ʻana kahi i ulu pono ʻole ai ka embryo a me ka placenta ma muli o kahi kīnā genetic. ʻAʻole hiki ke hoʻomau i kēia.
• Hiki i nā hōʻailona mua ke komo i ke kahe koko ʻana o ka ʻōpū, ka nausea nui, a me ka ʻeha o ka ʻōpū lalo.
• ʻIke ʻia kēia ma o ka ultrasound a me kahi hoʻāʻo koko HCG.
• ʻO ka lāʻau lapaʻau, ʻo ia ka hoʻomaʻemaʻe ʻana i ka ʻōpū me kahi ʻoki "D&C". Ma hope o kēlā, e nānā ʻia ka pae "HCG".
• ʻOiai ʻaʻole hiki ke pale ʻia kēia, hiki i nā poʻe he nui ke loaʻa nā hāpai olakino ma hope o ka mālama ʻana.
• Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​a inā he mau nīnau kāu e pili ana i kēia, mai makaʻu e kamaʻilio me kāu kauka. E kōkua lākou iā ʻoe.

Manaʻolana wau he kōkua kēia ʻike iā ʻoe. Inā he mau nīnau kāu, mai hilahila a nīnau i ke kauka. E noho olakino!