Nā mea e pono ai ʻoe e ʻike e pili ana i ka maʻi Trophoblastic Gestational (GTD)!

ʻAʻole paha ʻoe i lohe i ka huaʻōlelo Gestational Trophoblastic Disease (GTD). Akā, he ʻano ia e hiki ke loaʻa i kekahi manawa i ka wā hāpai. I ka ʻōlelo maʻalahi, he ʻano puʻupuʻu ia e ulu ana i loko o kou ʻōpū, kahi e ulu ana kāu pēpē, a pili i ka hāpai ʻana. E kamaʻilio hou aku kākou e pili ana i kēia?

Hoʻomaka kēia mau puʻupuʻu e ulu mai nā pūnaewele i kapa ʻia ʻo trophoblasts . ʻO kēia mau pūnaewele ka mea maʻamau e ulu i loko o ka placenta i ka wā hāpai. ʻIke ʻoe, ʻo ka placenta ka ʻāpana koʻikoʻi loa e hoʻopili ai i ka pēpē i kou uterus, e hāʻawi ana i ka oxygen a me nā meaʻai i ka pēpē i loko o kou uterus.

Eia nō naʻe, ma kēia kūlana 'GTD', ma kahi o ka ulu ʻana i loko o kahi placenta olakino, ulu kūpono ʻole kēlā mau pūnaewele trophoblast (ʻo ia hoʻi, nā pūnaewele e like me ka placenta).

ʻO ka hapa pinepine, loaʻa ka GTD i ka wā mua o ka hāpai ʻana, ma hope o ka hoʻoulu ʻana o ka sperm i kahi hua manu. Kāhea pū mākou i kēia mau hāpai molar . Akā ʻoiai ua kapa ʻia kēia mau mea he hāpai ʻana, ʻaʻole e ulu kēia mau cell i loko o kahi embryo e ulu ana i pēpē. ʻO ka hapa nui o ka manawa, he mau kūlana ʻaʻole kanesa (benign) kēia. Eia nō naʻe, hiki i kekahi o lākou ke lilo i kanesa a laha i nā ʻiʻo a me nā ʻōpū kokoke. ʻO ka mea nui, he kūlana hiki ke mālama ʻia ka GTD. Hiki i ka hapa nui o ka poʻe ke hoʻomau i ka loaʻa ʻana o nā hāpai olakino ma hope o kēia kūlana.

He aha nā kūlana e hiki ai ke hana ʻia ʻo GTD?

ʻŌlelo pinepine mākou e loaʻa ka GTD i ka wā hāpai mua. Eia nō naʻe, hiki ke loaʻa kēia ʻano i nā manawa ʻē aʻe:

• Ma hope o ka hāʻule ʻana o ka hāpai keiki a i ʻole ma hope o ka hoʻopau ʻana i ka hāpai keiki.
• Ma hope o ka hāpai ʻana o ka ʻōpū. ʻO ia hoʻi, i ka wā e hoʻokomo ʻia ai ka hua manu i loko o ka ʻōpū fallopian ma kahi o ka ʻōpū.
• ʻOiai ma hope o ka hāpai ʻana maʻamau, hiki ke hana pinepine ʻia.

He aha nā ʻano o GTD? No laila e nānā kākou?

Aia nā ʻano like ʻole o ka `GTD`. ʻOkoʻa nō hoʻi nā hōʻailona ma muli o ke ʻano.

ʻO ka hāpai ʻana o ka mole Hydatidiform a i ʻole ka hāpai molar

ʻO kēia ke ʻano maʻamau o ka GTD. Ua kapa pinepine ʻia hoʻi he hāpai molar . ʻO kēia ka manawa, ma kahi o ka placenta a i ʻole ka embryo, e ulu ana kahi cyst e like me ka hua waina i loko o kou ʻōpū. Manaʻo paha ʻoe ua hāpai ʻoe, a he maikaʻi paha ka hoʻāʻo hāpai. Eia naʻe, ʻaʻole e hōʻike kahi scan ultrasound i kahi pēpē e ulu ana. He maikaʻi ka hoʻāʻo hāpai ma muli o ka hormone hāpai i hana ʻia e ka placenta. ʻElua ʻano o nā moles hydatidiform: nā moles hydatidiform piha a me ka hapa. ʻAʻole maʻi kanesa ka hapa nui o nā hāpai molar.

ʻO ka hōʻailona maʻamau o ka hāpai molar, ʻo ia ke kahe koko ʻano ʻē i ka wā mua o ka hāpai ʻana. Hiki i kēia kahe koko ke ʻulaʻula a wai paha. I kekahi manawa hiki ke hele pū me ka ʻeha o ka ʻōpū.

Ka hāpai keiki molar mau/invasive

Ua manaʻo ʻia kēia he hāpai molar. Hiki i kēia ʻano mole invasive ke ulu i loko o ka ʻiʻo o ka ʻōpū. ʻAʻole e like me nā ʻano hāpai molar ʻē aʻe, he maʻi kanesa kēia mau mole invasive. Inā waiho ʻole ʻia, noho pinepine kēia mau hunaola kanesa i loko o ka ʻiʻo o ka ʻōpū, akā hiki iā lākou ke laha i nā ʻāpana ʻē aʻe o ke kino a i ʻole nā ​​​​ʻiʻo.

ʻO ke kanikoma kōrio

He ʻano maʻi kanesa ka Choriocarcinoma , he ʻano GTD e ulu wikiwiki ana . Hoʻomaka ia ma ka ʻili o kou ʻōpū a hiki ke laha i nā ʻōpū ʻē aʻe, e like me kou ʻōpū, nā māmā, nā puʻupaʻa, ke akepaʻa, a me ka lolo. He ʻano kakaikahi loa nō hoʻi kēia, akā ʻoi aku ka nui o ka ulu ʻana i nā poʻe i loaʻa i ka hāpai molar ma mua.

ʻAʻole paha i loaʻa i kekahi poʻe kekahi mau hōʻailona. Akā no ka poʻe i loaʻa nā hōʻailona, ​​ʻo ka hōʻailona maʻamau ka kahe koko ʻana o ka ʻōpū ma hope o ka hāʻule ʻana, ka hoʻopau ʻana i ka hāpai keiki, a i ʻole ka hāpai keiki ʻana. Hiki i kekahi poʻe ke ʻike i ka ʻeha o ka ʻōpū, ke koko i loko o ka mimi, a i ʻole ke koko i loko o ka ʻōpala.

ʻO ka puʻupuʻu trophoblastic o ka wahi placental (PSTT)

He ʻano GTD kakaʻikahi loa ka maʻi ʻōpū trophoblastic placental (PSTT) . Hoʻomohala ia ma kahi e pili ai ka placenta i ka ʻōpū. Lohi loa ka ulu ʻana o ka PSTT. No laila, hiki ke hala nā makahiki ma hope o ka hāpai ʻana no ka ʻike ʻia ʻana o nā hōʻailona. Hiki i ka PSTT ke pālahalaha i nā ʻiʻo ʻōpū, nā kīʻaha koko, nā māmā, nā pelvis, a me nā lymph node, no laila pono ka lāʻau lapaʻau ikaika.

ʻO ka maʻi ʻōpū trophoblastic Epithelioid (ETT)

He ʻano maʻi ʻaʻai laha ʻole kēia o ka `GTD`. E like me ka `PSTT`, hiki iā ia ke laha i nā māmā. Hiki i ka `ETT` ke ulu i nā makahiki ma hope o ka hāpai ʻana.

Pehea ka maʻamau o kēia ʻano?

Ma ʻAmelika Hui Pū ʻIa, ua ʻōlelo ʻia he loaʻa ka GTD ma kahi o 1 i loko o 1,000 mau hāpai ʻana. ʻO ke ʻano maʻamau o ka GTD ʻo ia nā moles hydatidiform, a mākou i kūkākūkā ai ma mua. ʻO nā kūlana GTD koʻikoʻi, e like me ka choriocarcinoma, loaʻa ma lalo o 1 i loko o 20,000 mau hāpai ʻana. ʻO ke ʻano kēia he mea kakaikahi loa lākou.

Hiki i ka GTD ke make?

Hiki ke mālama ʻia a ho'ōla loa ʻia nā hihia he nui o `GTD`, ʻoiai inā ʻike mua ʻia.Eia nō naʻe, i nā hihia koʻikoʻi, hiki i ka GTD ke make. ʻO ia ke kumu he mea nui ka ʻike mua a me ka mālama ʻana.

He aha nā hōʻailona o ka GTD?

ʻAʻole paha e ʻike kekahi poʻe me GTD i kekahi mau hōʻailona. Hiki i kekahi ke ʻike i nā hōʻailona like me nā hōʻailona o ka hāpai ʻana a i ʻole nā ​​maʻi/kūlana ʻē aʻe. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e ʻike pono i kāu kauka:

• Inā he kahe koko kūpono ʻole kou ma ka ʻōpū, a i ʻole ke kahe koko e pili ʻole ana i kou wā mahina.
• Inā ʻoi aku ka nui o kou ʻōpū ma mua o ka mea i manaʻo ʻia no kou hāpai ʻana.
• Inā loaʻa ka ʻeha ma ka ʻōpū a i ʻole ka ʻāpana pelvic.
• Inā hiki mua ka nausea a me ka luaʻi ma mua o ka mea i manaʻo ʻia i ka wā hāpai.
• Inā he koko kiʻekiʻe kou i ka wā hāpai mua, a inā paha ua pehu kou mau lālā.
• Inā hoʻomau ʻoe i ke kahe ʻana o ke koko mai kou ʻōpū, ma hope o ka hānau ʻana o kahi pēpē a ma hope paha o ka hāʻule ʻana o ka manawa.

Hiki i ka maʻi Trophoblastic Gestational ke hana i kahi thyroid overactive i kekahi manawa. Inā hana kēia, hiki iā ʻoe ke ʻike i nā hōʻailona e like me:

• Piʻi ka helu o ka puʻuwai.
• Haʻalulu.
• Ka emi ʻana o ke kaumaha.
• Ke hou nei.

He aha nā kumu o ka hāpai ʻana o ka molar?

I ka ʻōlelo maʻalahi, i ka hāpai ʻana maʻamau, i ka wā e hoʻomomona ʻia ai kahi hua manu e ka sperm, aia i loko nā ʻike āpau e pono ai e hana i kahi embryo a me kahi placenta. Kāhea mākou i kēia hōʻiliʻili mua o nā cell he blastocyst . ʻO kēia embryo ka mea e ulu aʻe ma hope i loko o kahi fetus. Lilo ka papa cell trophoblast i ʻāpana o ka placenta a kōkua i ka blastocyst e hoʻopili i ka paia uterine.

Eia nō naʻe, i ka hāpai ʻana o ka molar, ʻaʻole e ulu pono ka embryo no ka mea ʻaʻole i hana ʻia ka hoʻoulu ʻana. Akā, ulu nā pūnaewele trophoblast i loko o nā puʻupuʻu ma kahi o kahi placenta olakino. ʻO kēia ke kumu nui.

Pehea e ʻike ai iā GTD?

E ʻike kāu kauka i ka GTD ma ka lawe ʻana i kāu mōʻaukala olakino piha, hana i kahi hoʻokolokolo kino, a hana i nā hoʻokolohua ʻē aʻe e nānā i loko o kou ʻōpū. Hiki ke ʻike ʻia ka GTD e:

• Hoʻokolokolo Pelvic: Hoʻokomo ke kauka i nā manamana lima i loko o ka vagina a nānā i nā hōʻailona o ka maʻi, e like me nā puʻupuʻu a i ʻole nā ​​​​pūʻulu, a i ʻole ka nui o ka uterus.
• ʻO ke scan ultrasound: Hoʻohana kēia i nā nalu kani e kiʻi i nā kiʻi o kou mau kino i loko. Inā kānalua kāu kauka he GTD, e kiʻi kahi ultrasound transvaginal i nā kiʻi o kou pelvis a me ka uterus.
• Nā hoʻāʻo koko:I mea e kōkua ai i ka ʻike ʻana i ka GTD, hana ʻia nā hoʻāʻo koko e ana i nā pae o kekahi mau mea i loko o kou kino. No ka laʻana, ʻoi aku ka kiʻekiʻe o nā pae o ka hormone i kapa ʻia ʻo human chorionic gonadotropin (hCG) i kahi wahine hāpai me ka ʻole o GTD. Inā ua pālahalaha ke kanesa i nā ʻiʻo a i ʻole nā ​​​​​​ʻōpū ʻē aʻe, hiki i kou kino ke hana i nā mea hou aʻe a emi mai paha e hōʻike i ka maʻi.

Ke hoʻoholo nei i nā pae o ka maʻi

Ma hope o kou ʻike ʻia ʻana me GTD, hiki i kāu kauka ke kauoha i nā hoʻokolohua hou aʻe e ʻike ai inā ua laha ka maʻi kanesa i nā ʻāpana ʻē aʻe o kou kino. ʻO ke kahua ke kaʻina hana o ka ʻike ʻana i ka mamao a me ka nui o ka laha ʻana o ke kanesa. Kōkua kēia mau hopena i nā kauka e hoʻoholo i ke kahua o ke kanesa āu.

Ua kākau ʻia nā pae o ke kanesa ma nā helu Roma ʻo I, II, III, a me IV. ʻO ke kiʻekiʻe o ka helu, ʻo ka nui o ka laha ʻana o ke kanesa.

ʻO nā hoʻāʻo i hoʻohana ʻia e hoʻoholo ai i nā pae o ka `GTD` hiki ke:

• CT scan (Computed tomography - CT scan): Hoʻohana kēia i kahi moʻo o nā kukuna X a me kahi kamepiula e hana i kahi kiʻi ʻekolu-dimensional (3D) o nā ʻiʻo a me nā iwi.
• ʻO ke kiʻi MRI (Magnetic resonance imaging - MRI): Hoʻohana kēia i kahi magnet a me nā nalu lekiō e hana i nā kiʻi kikoʻī o kou kino. Hiki i ke kauka ke hoʻokomo i kahi mea i kapa ʻia ʻo gadolinium i loko o kou mau aa, no ka mea, ʻoi aku ka ʻike ʻia o nā hunaola kanesa ma ke kiʻi.
• X-ray umauma: Hoʻohana kēia i kahi kukuna radiation i kālele ʻia e nānā i kou mau māmā, nā ʻōpū ʻē aʻe i loko o kou umauma, a me nā iwi.

Pehea e mālama ʻia ai ka GTD?

ʻOkoʻa nā koho lapaʻau no ka maʻi Trophoblastic Gestational. Aia kekahi mau kumu e hoʻopilikia ai. E like me:

• ʻO ke ʻano o ka `GTD`, ka nui o ka puʻupuʻu, a me kona wahi.
• Inā ua pālahalaha ka puʻupuʻu, a i ʻole kona kahua.
• Inā paha ua ulu ka puʻupuʻu i ka wā hāpai, a ma hope paha o ka hāʻule ʻana a hānau keiki paha.
• Kou olakino holoʻokoʻa.
• ʻO kou mōʻaukala lapaʻau a inā paha ua mālama mua ʻia ʻoe no GTD.
• ʻO kāu mau hoʻolālā no ka loaʻa ʻana o nā keiki.

Na kāu kauka e hoʻoholo i ka lāʻau kūpono loa no kou kūlana. Eia kekahi mau lāʻau lapaʻau kūikawā no GTD:

• ʻOki kino: ʻO ke ʻoki kino e wehe i nā ʻiʻo a me nā pūnaewele ʻē aʻe mai ka ʻōpū. ʻO ke ʻoki kino maʻamau no GTD he dilation a curettage (D&C) . Pili kēia i ka wehe ʻana i ka cervix a me ka hoʻomaʻemaʻe ʻana i ka ʻōpū.
• Chemotherapy: ʻO Chemotherapy, a i ʻole "chemo," ʻo ia ka hoʻohana ʻana i nā lāʻau lapaʻau e luku i nā hunaola kanesa.
• Hoʻōla radiation:Hoʻohana ka lāʻau lapaʻau radiation i nā kukuna ikehu ikaika e pepehi i nā hunaola kanesa a hoʻēmi i nā ʻōpū.
• Hysterectomy: ʻO ka hysterectomy kahi hana ʻoki e wehe ai i kou ʻōpū. I kekahi manawa, hiki ke wehe ʻia nā ʻōpū ʻē aʻe, e like me nā fallopian tubes a me nā ovaries.

Pono ʻoe a me kāu kauka e kūkākūkā i nā lāʻau lapaʻau i loaʻa, a me nā pilikia a me nā hopena ʻaoʻao o kēlā mau lāʻau lapaʻau.

Hiki iā GTD ke hana hou?

ʻAe, hiki i ka maʻi Trophoblastic Gestational ke hoʻi hou mai. Ma muli o ke ʻano o ka GTD i loaʻa iā ʻoe i ka wā mua a pehea ʻoe i pane ai i ka lāʻau lapaʻau, aia kahi pilikia liʻiliʻi o ka hoʻi hou ʻana mai. ʻO ia ke kumu e hoʻomau ai nā kauka i ka nānā ʻana iā ʻoe ma hope o ka lāʻau lapaʻau.

Hiki iaʻu ke hānau keiki ma hope o GTD?

ʻAe, ʻoiaʻiʻo! Hiki i ka hapa nui o ka poʻe me ka mōʻaukala o 'GTD' ke hoʻomau i ka hāpai ʻana maʻamau a olakino. Eia nō naʻe, ma muli o kou mōʻaukala, hiki i kāu kauka ke ʻōlelo i kekahi mau hoʻāʻo hou aʻe i nā hāpai ʻana ma hope.

Hiki ke pale ʻia ka GTD?

ʻAʻohe ala e pale aku ai i ka maʻi Trophoblastic Gestational. He mea kēia hiki ʻole iā mākou ke kaohi.

Nā kumu pilikia no ka hoʻomohala ʻana i ka GTD

ʻOiai he maʻi laha ʻole ka maʻi Trophoblastic Gestational, aia kekahi mau kumu hiki ʻole iā ʻoe ke kaohi e hiki ai ke hoʻonui i kou pilikia o ka loaʻa ʻana. ʻO kēia mau mea:

• Kou mau makahiki. ʻOi aku ka nui o ka pilikia o ka poʻe ma luna o 35 mau makahiki a me ka poʻe ma lalo o 20 mau makahiki i ka loaʻa ʻana o GTD.
• Inā ua loaʻa iā ʻoe nā hāpai molar ma mua.
• Inā ua loaʻa i kekahi o ka ʻohana ka hāpai ʻana i ka molar, ʻo ia hoʻi ke pili nei ka mōʻaukala ʻohana.

No laila, he aha nā mea e pono ai kākou e hoʻomanaʻo mai kēia mau mea a pau?

Ke ʻike ʻoe ua loaʻa iā ʻoe ka maʻi Gestational Trophoblastic (GTD), he mea maʻamau ke makaʻu, hopohopo, a me ke kaumaha. Hiki ke paʻakikī ke hoʻomanawanui i ka nalowale ʻana o kāu hāpai ʻana a me ka loaʻa ʻana o ia ʻano maʻi paʻakikī i ka manawa like.

Akā e hoʻomanaʻo, e hana kāu kauka i nā hoʻokolohua like ʻole, e hoʻomaopopo i kou kūlana pololei, a hoʻoholo i ka lāʻau kūpono loa. ʻO ka mea nui, i ka hapanui o nā hihia, he kūlana hiki ke mālama ʻia ʻo 'GTD'. He maikaʻi loa hoʻi kou manawa e hāpai hou ai (inā makemake ʻoe).

E ʻimi i ke kākoʻo mai kou ʻohana, nā hoaaloha, a me nā kauka i kēia manawa paʻakikī. A mai hūnā i kekahi mea, a mai makaʻu e nīnau i nā nīnau. ʻAʻole ʻoe hoʻokahi, aia mākou a pau me ʻoe.

ʻO ka maʻi trophoblastic hāpai, GTD, hāpai molar, maʻi ʻōpū, placenta, choriocarcinoma, nā pilikia hāpai