He mea paʻakikī ke hōʻike i ka hauʻoli āu e ʻike ai ke hāpai ʻoe, ʻeā? Akā i kekahi manawa, ʻaʻole holo nā mea e like me ka hoʻolālā. E noʻonoʻo, ma kahi o kahi fetus olakino, kahi mea ʻē, e like me ka puʻu hua waina, e ulu ana i loko o kou ʻōpū. He ʻike kaumaha a paʻakikī kēia e noʻonoʻo ai. I ka lāʻau lapaʻau, kapa mākou i kēia ʻano he hāpai molar . Mai makaʻu ke lohe ʻoe i kēia inoa. I kēia lā, e kamaʻilio wale mākou e pili ana i ke kumu o kēia hana, kona manaʻo, a me ka mea e hana ai e pili ana i ia mea.
I ka ʻōlelo maʻalahi, he aha ka hāpai molar?
ʻO ka hāpai keiki molar, i ka ʻōlelo maʻalahi, he kūlana ia e kū mai ana i ka wā mua o ka hāpai ʻana, i ka wā e hui ai ka hua manu a me ka sperm (fertilization). Ma kahi o ka ulu ʻana o kahi embryo olakino a me ka placenta, nui nā ʻiʻo ʻē aʻe, ʻaʻole cancerous e ulu ana i loko o ka uterus. Ua like kēia ʻiʻo me nā pehu liʻiliʻi i piha i ka wai. ʻO ia ke kumu e like ai me ka puʻu hua waina i ka wā e puka mai ai.
ʻO ka mea nui loa, ʻaʻole hiki i kēia ʻano ʻiʻo ke ulu i pēpē olakino, no laila e pau mau ka hāpai keiki i ka hāʻule ʻana o ka naʻau a i ʻole ka wehe ʻana i ke kino.
No kēia ʻano maʻi ka māhele lapaʻau o ka maʻi Gestational Trophoblastic (GTD) . Ua kapa ʻia hoʻi ʻo ia he Hydatidiform Mole .
ʻElua ʻano nui o ka hāpai ʻana o ka molar:
Ua māhele ʻia nā hāpai keiki molar i ʻelua ʻano nui ma muli o ke ʻano o ka hanana ʻana o kēia kīnā genetic.
- Hāpai Molar Piha: Hana ʻia kēia ke hoʻomomona ka sperm i kahi hua manu hakahaka ʻaʻohe ʻike genetic (chromosomes). ʻOiai ua hakahaka ka hua manu, ʻaʻohe embryo e ulu ana. Eia nō naʻe, ulu ʻē ka ʻiʻo e pili ana i ka placenta a like me ka puʻu hua waina. Hoʻopuka kēia ʻiʻo i ka hormone hāpai, HCG (Human Chorionic Gonadotropin) , hiki iā ʻoe ke manaʻo e like me ʻoe e hāpai ana. Hiki ke maikaʻi ka hoʻāʻo hāpai.
- Hāpai Molar hapa: Hana ʻia kēia ke hoʻoulu ʻia e ʻelua sperm kahi hua manu maʻamau. ʻO ka hopena, he embryo me ka helu maʻamau ʻole o nā chromosomes a me kahi placenta maʻamau ʻole. ʻOiai ke hoʻomaka nei kēia embryo e ulu iki, ʻaʻole hiki iā ia ke ola.
ʻO wai ka mea i pilikia nui no kēia maʻi?
He mea kākaʻikahi loa ka hāpai keiki ʻana. Loaʻa pinepine ia ma kahi o hoʻokahi i loko o 1,000 mau hāpai ʻana. Akā hiki ke hana ʻia i kekahi. Eia nō naʻe, aia kekahi poʻe i kahi pilikia kiʻekiʻe iki.
- No nā ʻōpio ma lalo o 20 mau makahiki.
- No nā poʻe ma luna o 40 mau makahiki.
- No ka poʻe i loaʻa i ka hāpai molar ma mua.
- No ka poʻe i loaʻa i ʻelua a ʻoi aku paha nā hāʻule keiki ma mua.
- No nā kānaka o ka lāhui ʻĀsia.
He aha nā hōʻailona o ka hāpai molar?
I kekahi manawa hiki ke loaʻa kēia ʻano me ka ʻole o nā hōʻailona, akā e ʻike ka hapa nui o ka poʻe i hoʻokahi a ʻoi aku paha o kēia mau hōʻailona:
| Hōʻailona | Wehewehena |
|---|---|
| Ke kahe koko ʻana o ka wahine | ʻO ke kahe koko e kū mai ana i nā mahina ʻekolu mua o ka hāpai ʻana. |
| Ka luaʻi nui a me ka luaʻi ʻana | ʻOi aku ka nausea a me ka luaʻi ma mua o ka maʻamau i ka wā hāpai. |
| Hoʻokuʻu ʻia e like me ka hua waina | Nā pehu liʻiliʻi e like me nā hua waina e puka mai ana mai loko mai o ka vagina. |
| Ke koko kiʻekiʻe | Ke koko kiʻekiʻe i ka wā hāpai mua (Preeclampsia). |
| Nā pae HCG maʻamau ʻole | He kiʻekiʻe loa ke kiʻekiʻe o ka hormone HCG i loko o ke koko i hoʻohālikelike ʻia me ka wā hāpai. |
| Pehu ʻōpū | ʻOi aku ka wikiwiki o ka hoʻonui ʻana o ka ʻōpū ma mua o ka wā hāpai. |
Hiki ke ʻike ʻia kēia mau hōʻailona i nā kūlana ʻē aʻe, no laila inā hāpai ʻoe a loaʻa iā ʻoe kekahi o kēia mau hōʻailona,E ʻike koke i kāu kauka.
Pehea e ʻike ʻia ai kēia a mālama ʻia?
Inā loaʻa iā ʻoe nā hōʻailona i luna a inā paha e manaʻo kāu kauka he hewa kekahi mea i ka wā o ka hoʻokolokolo maʻamau, e hōʻoia kēia mau hoʻokolohua i ka hōʻailona.
- ʻO ke scan Ultrasound: Inā hōʻike ke scan o ka ʻōpū i kahi puʻu ʻiʻo e like me ka puʻu hua waina ma kahi o kahi fetus olakino a me ka placenta, he hōʻailona paha ia o ka hāpai keiki molar.
- Hoʻāʻo koko HCG: Hoʻāʻo kēia i ka pae o ka hormone HCG i loko o ke koko. He kiʻekiʻe loa kēia pae i ka hāpai molar.
ʻAʻole kēia ma muli o kekahi hewa o ʻoe, ka meaʻai, ka mea inu, a i ʻole kekahi mea āu i hana ai. He kīnā genetic kēia e kū mai ana i ka hoʻomaka ʻana o ka hāpai ʻana. No laila, mai hoʻāhewa iā ʻoe iho no ka noʻonoʻo ʻana i kēia.
Nā ʻano lapaʻau
Ke hōʻoia ʻia ka hāpai molar, pono e wehe ʻia nā ʻiʻo ʻē aʻe a pau mai ka ʻōpū. A i ʻole, hiki ke loaʻa nā pilikia koʻikoʻi. Hana nui ʻia kēia ma o ke kaʻina hana D&C .
- D&C (Dilation a me Curettage): He hana ʻoki kino wale nō kēia e hoʻomaʻemaʻe i ka ʻōpū. Hana ʻia ia i ka wā e noho ana ʻoe ma lalo o ka anesthesia (hoʻohiamoe ʻia), no laila ʻaʻole ʻoe e ʻeha. Wehe kēia hana i nā ʻiʻo ʻē aʻe mai ka ʻōpū.
- Lāʻau lapaʻau: I kekahi mau hihia, hāʻawi ʻia nā lāʻau lapaʻau e hoʻopaʻa ai ka ʻōpū a wehe i kēia ʻiʻo.
- Hysterectomy: Hana kākaʻikahi ʻia kēia. E kūkākūkā kāu kauka i kēia me ʻoe inā he mau pilikia ʻē aʻe a inā ʻaʻole ʻoe makemake i nā keiki hou aku.
Ma hope o ka lāʻau lapaʻau, e hoʻāʻo kāu kauka i kou koko no kekahi mau pule a i ʻole mau mahina a hiki i ka hoʻi ʻana o kāu mau pae hormone HCG i ka maʻamau (ʻole). He mea nui loa ia e hana pololei i kēia mau hoʻāʻo. ʻO kēia ke hōʻoia i ka wehe ʻia ʻana o nā ʻiʻo ʻē aʻe mai kou kino.
Hiki i kēia ke hoʻoulu i nā pilikia?
ʻO ka hapanui o ka manawa, ʻaʻohe pilikia ma hope o ka D & C, akā naʻe, he mea paʻakikī ke loaʻa kekahi mau pilikia.
- ʻIole komo: I kekahi manawa, hiki i nā pūnaewele ʻē aʻe e koe ma hope o ka wehe ʻana ke ulu i loko o ka papa ʻiʻo o ka ʻōpū. He mea kākaʻikahi kēia.
- Choriocarcinoma: He maʻi kanesa laha ʻole kēia. Inā kiʻekiʻe mau ka pae HCG, ua kānalua ʻia kēia. Eia nō naʻe, he ʻano maʻi kanesa kēia e hiki ke ho'ōla piha ʻia me ka lāʻau lapaʻau .
No laila he mea nui loa ia e nānā mau i nā pae HCG ma hope o ka lāʻau lapaʻau.
Hiki anei ke loaʻa hou kahi pēpē olakino?
ʻAe, hiki nō iā ʻoe! ʻO ka loaʻa ʻana o kahi hāpai molar ʻaʻole ia he manaʻo he hānau ʻole ʻoe. ʻOi aku ka maikaʻi o kou hāpai ʻana aʻe.
Eia nō naʻe, e aʻo aku paha kāu kauka iā ʻoe e kali iki ma mua o ka hoʻāʻo ʻana e hāpai hou. ʻO ka maʻamau, ma kahi o 6 mau mahina a i hoʻokahi makahiki. ʻO kēia ke hōʻoia i ka hāʻule loa ʻana o kāu mau pae HCG i ka ʻole a noho ma laila no kekahi manawa. A i ʻole, inā hāpai hou ʻoe i ka wā koke, e paʻakikī ke ʻike inā e piʻi ana nā pae HCG ma muli o ka hāpai hou a i ʻole ma muli o ke koena o nā ʻiʻo mai ka hāpai molar ma mua.
No laila, he mea nui loa e hahai i nā ʻōlelo a kāu kauka.
He ʻike ʻeha loa ka hāpai keiki molar, ma ke kino a me ka naʻau. He ʻike kaumaha loa ka nalowale ʻana o kahi hāpai āu i manaʻolana ai. He mea maʻamau ke kaumaha, uē, a huhū. E kamaʻilio me kāu kāne, ʻohana, a me nā hoaaloha e pili ana i kēia. E ʻimi i ke aʻo lapaʻau a i ʻole ka noʻonoʻo inā pono.
Leka Lawe-Home
- He kīnā hoʻoilina ka hāpai keiki ʻole i ka wā mua o ka hāpai ʻana. ʻAʻole ia ma muli o kou hewa.
- ʻAʻole e ulu kēia ʻano i pēpē olakino, no laila he mea nui e wehe i nā ʻiʻo kūpono ʻole.
- ʻO ka lāʻau lapaʻau maʻamau ka dilation a me ka curettage (D&C).
- Ma hope o ka lāʻau lapaʻau, he mea nui loa ia e hahai i nā hoʻāʻo koko a hiki i ka hoʻi ʻana o nā pae hormone HCG i ka maʻamau.
- Ma hope o kēia ʻike, hiki iā ʻoe ke loaʻa kahi hāpai olakino. E kūkākūkā me kāu kauka e pili ana i ka manawa kūpono no kēlā.
- He mea maʻamau ke kaumaha no ka nalowale o ka hāpai ʻana. E kiʻi i ke kākoʻo āu e pono ai mai ka ʻohana, nā hoaaloha, a i ʻole kekahi kākāʻōlelo loea.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo