He hāpai molar anei? (Hapai Molar) E kamaʻilio kākou e pili ana i kēia me nā kikoʻī!

Ua lohe paha ʻoe i ka huaʻōlelo 'Molar Pregnancy'? He mea hou paha kēia iā ʻoe. Eia naʻe, he ʻano kēia e lawe mai ana i ke kaumaha a me ka minamina i nā poʻe he nui, ʻoiai ka poʻe e manaʻolana ana e lilo i mau makuahine. Eia naʻe, inā ʻike pono ʻia ʻoe, hiki iā ʻoe ke hōʻemi i nā hopena hiki o kēia a kū i kahi wā e hiki mai ana olakino. No laila, e kamaʻilio kākou e pili ana i kēia i kēia lā ma ke ʻano maʻalahi e hiki ai iā ʻoe ke hoʻomaopopo, ʻae?

He aha kēia 'hāpai molar'?

I ka ʻōlelo maʻalahi, ʻo ka hāpai molar kahi kūlana e kū mai ana i ka wā e hui ai ka hua manu a me ka sperm, a i ʻole i hoʻoulu ʻia, ma muli o kahi hewa. Ma kahi o kahi fetus olakino e ulu ana e like me ka hāpai maʻamau, ulu kahi ulu ʻaʻole cancerous i loko o ka ʻōpū. Ua like kēia ulu me kahi puʻu o nā ʻeke liʻiliʻi a wai, e like me ka puʻu hua waina.

ʻO ka mea pōʻino, ʻaʻole hiki i kēia ʻano puʻupuʻu ke kākoʻo i kahi ʻōpū e ulu ana, ʻo ia hoʻi, ʻaʻole hiki iā ia ke hānai i kahi pēpē. No laila, ʻaʻole e holomua kēia hāpai ʻana, ʻo ia hoʻi, hiki ke pau i ka hāʻule ʻana o ka hānau keiki. I kekahi manawa, inā ʻaʻole e hana ʻia kēlā hāʻule ʻana o ka hānau keiki, pono e hana ʻia ke ʻoki ʻana e wehe i kēia ʻiʻo. Inā ʻaʻole mālama ʻia kēia, hiki ke loaʻa nā pilikia koʻikoʻi .

ʻO ka hāpai ʻana o Molar kahi maʻi i kapa ʻia ʻo Gestational Trophoblastic Disease (GTD). ʻO GTD kahi hui o nā maʻi e hoʻoulu ai i ka hoʻokumu ʻana o nā puʻupuʻu i loko o ka ʻōpū. Ua ʻike ʻia hoʻi ka hāpai ʻana o Molar ʻo Hydatidiform Mole.

ʻElua ʻano nui o ka hāpai molar:

Hiki ke hoʻokaʻawale ʻia kēia kūlana i ʻelua mau ʻāpana nui:

1. Ka hāpai ʻana o ka Molar piha

I kēia ʻano, ʻaʻohe embryo e ulu ana. Hana ʻia kēia ke hui pū kahi cell sperm me kahi hua manu hakahaka, ʻaʻohe ona mea genetic. ʻOiai ua hakahaka ka hua manu, ʻaʻole hiki i kahi embryo ke ulu. Eia nō naʻe, ulu ka ʻiʻo placental. Akā, ʻaʻole ia e ulu maʻamau, akā ma ke ʻano ʻē, e like me nā cysts i piha i ka wai. Hoʻopuka kēia ʻiʻo i kahi hormone hāpai i kapa ʻia ʻo `HCG` (Human Chorionic Gonadotropin). ʻOiai ua hana ʻia kēia hormone e ka placenta i ka wā hāpai olakino, hiki iā ʻoe ke manaʻo ua hāpai a loaʻa kahi hopena maikaʻi ma kahi hoʻāʻo hāpai home. Akā, ʻaʻohe pēpē maoli.

2. Hāpai hapa ʻana o ka Molar

I ka hāpai ʻana o ka molar hapa, ulu pū kahi placenta ʻano ʻē a me kahi embryo. Hana ʻia kēia i ka wā e hui pū ai nā cell sperm ʻelua me hoʻokahi hua manu. A laila loaʻa i ka embryo hopena kahi hoʻonohonoho hou o nā chromosomes. ʻOiai inā hoʻomaka ka embryo e ulu, ʻaʻole hiki ke ola.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka hāpai ʻana i ka molar?

ʻOiai he mea laha ʻole kēia, hiki ke hiki i kekahi. Eia nō naʻe, aia kekahi poʻe i kahi pilikia kiʻekiʻe iki. Eia kēia mau mea:

• Nā ʻōpio ma lalo o 20 mau makahiki.
• Nā kānaka ma luna o 40 mau makahiki.
• ʻO ka poʻe i loaʻa ka hāpai molar ma mua.
• ʻO ka poʻe i loaʻa i ʻelua a ʻoi aku paha nā hāʻule ʻana o ka hāpai keiki.
• Nā kānaka o ka hanauna ʻĀsia (aia nō kēia ma ke kahua noiʻi, akā ua hōʻike ʻia e kekahi mau noiʻi).

Pehea ka maʻamau o ka 'molar pregnancy'?

He mea kākaʻikahi loa kēia. ʻAʻole hiki ke hāpai ʻia ka hāpai keiki ma lalo o 1% o nā hāpai ʻana a pau (ʻo ia hoʻi ma kahi o 1 i loko o 1000 mau hāpai ʻana). No laila, ʻaʻole kēia he mea e hana ʻia i nā kānaka a pau.

Hiki i ka hāpai molar ke alakaʻi i kahi hāpai maʻamau?

He mea kaumaha loa ia, akā, pau mau ka hāpai keiki ʻana i ka hāʻule ʻana o ka ʻōpū. ʻO ia hoʻi, ʻaʻohe pēpē i hānau ʻia.

E kaumaha loa ʻoe a e hoʻohoka ʻia hoʻi ke lohe ʻoe i kēia. He mea maʻamau kēlā. Akā, e hoʻomanaʻo, ʻaʻole na ʻoe kēia hewa.

He aha nā hōʻailona o ka 'molar pregnancy'?

ʻAʻole ʻike kekahi poʻe i kekahi mau hōʻailona. Eia nō naʻe, ʻo ka poʻe i loaʻa nā hōʻailona e ʻike paha i hoʻokahi a ʻoi aku paha o kēia mau mea:

• ʻO ke kahe koko ʻana o ka wahine ka hōʻailona maʻamau i nā mahina ʻekolu mua o ka hāpai ʻana.
• Ka luaʻi nui a me ka luaʻi - i kekahi manawa ʻoi aku ka nui ma mua o ka hāpai ʻana maʻamau.
• Hoʻokuʻu ʻia nā cysts liʻiliʻi (cysts) e like me nā hua waina mai ka vagina.
• ʻO ka Preeclampsia (ke koko kiʻekiʻe) kahi maʻi e kū mai ana i nā wā mua o ka hāpai ʻana.
• Nā pae kiʻekiʻe loa o ka hormone `HCG` (ʻike ʻia kēia ma o nā hoʻokolohua lapaʻau).
• Pehu ʻōpū - ma muli o ka ulu ʻana o ka ʻōpū ma mua o ka mea i manaʻo ʻia.
• Anemia - hiki ke loaʻa ma muli o ke kahe koko.

ʻOiai hiki ke ʻike ʻia kēia mau hōʻailona i nā kūlana ʻē aʻe, ʻoi aku ka maikaʻi o ka ʻike koke ʻana i ke kauka inā loaʻa iā ʻoe kekahi mea ʻē e like me kēia.

He aha ke kumu o kēia 'molar pregnancy'?

ʻO ke kumu nui o ka hāpai molar, ʻo ia nā hewa genetic e kū mai ana i ka wā e hoʻomoe ʻia ai kahi hua manu e ka sperm. E noʻonoʻo, i ka hāpai maʻamau, loaʻa i ka fetus he 23 chromosomes mai ka makuahine a me 23 mai ka makuakāne, e hana ana i ka huina o 46 chromosomes. ʻO kēia mau chromosomes nā ʻano i loaʻa ai kā mākou mau genes. Hoʻoholo nā genes i ke ʻano o ka hana ʻana o ko mākou kino.

I loko o ka hāpai molar, aia kahi kaulike ʻole i loko o kēia mau chromosomes.

• I ka hāpai molar piha , ʻaʻohe chromosomes o ka hua manu. Loaʻa i ka embryo he 23 chromosomes mai ka sperm wale nō (paha i pāpālua ʻia e hoʻokahi sperm a ʻelua sperm paha e hoʻoulu i kahi hua manu hakahaka).
• Ka hāpai ʻana o ka molar hapaI kekahi hihia, hoʻoulu ʻia kahi hua manu e ʻelua sperm. A laila loaʻa i ka embryo he 69 chromosomes (23+23+23).

ʻO kēia kīnā hoʻoilina ke kumu i kūleʻa ʻole ai ka hāpai ʻana. He mea nui e hoʻomanaʻo ʻaʻole kēia he mea āu i hana ai, he mea ʻē aʻe ia.

Pehea e ʻike ʻia ai ka hāpai molar?

ʻIke pinepine nā kauka i kēia i ka wā o nā hoʻokolohua prenatal i ka wā hāpai, ʻoiai hoʻi i ka trimester mua.

• Ke hana ʻia kahi scan ultrasound o ka ʻōpū, hiki ke hōʻike i nā ʻeke piha i ka wai ma kahi o ka placenta. ʻO ka hapa nui o ka manawa, ʻaʻohe embryo a fetus paha i ʻike ʻia i loko o ka ʻōpū. Eia nō naʻe, i kekahi manawa aia paha kekahi mau ʻiʻo hāpai i koe.
• Hiki ke ʻike ʻia ma ke ana ʻana i ka pae o ka hormone `HCG` i loko o kou koko. Hoʻopuka ʻia ka `HCG` e kahi placenta olakino i ka wā hāpai. Hoʻohana ʻia kēia hormone e nānā i ka hāpai ʻana me kahi hoʻāʻo mimi home. I ka `molar pregnancy`, kiʻekiʻe loa ka pae `HCG`. Hiki i kahi hoʻāʻo koko ke ʻike i kēia pae kiʻekiʻe a kānalua ua loaʻa paha kahi `molar pregnancy`.

ʻAʻohe hōʻailona o kekahi poʻe, no laila he mea hoʻohoka paha ka lohe ʻana i kēia maʻi. He mea maʻamau loa ia. Akā, ʻaʻole pono ʻoe e lawe i ke kuleana no kēia, ʻaʻole na ʻoe ia hewa. I ka hapanui o nā hihia, hiki iā ʻoe ke loaʻa kahi hāpai olakino inā ʻoe e hoʻāʻo hou.

Pehea e mālama ʻia ai ka hāpai molar?

Pono e wehe ʻia ka hāpai molar mai ke kino, inā ʻaʻole hiki ke loaʻa nā pilikia koʻikoʻi.

ʻO ka hapa nui o ka manawa, koi ʻia kēia i ke ʻoki kino.

• ʻO ka lāʻau lapaʻau maʻamau ka D&C (Dilation and Curettage). Pili kēia i ka wehe ʻana i ka cervix a me ka hoʻohana ʻana i ka omo e wehe i kekahi ʻiʻo ʻē aʻe mai ka uterus. E hāʻawi ʻia ʻoe i ka anesthesia laulā i ʻole ʻoe e ʻeha i ka wā o kēia kaʻina hana.

I kekahi mau hihia, ma kahi o ke ʻoki ʻana, hiki ke hoʻohana ʻia nā lāʻau lapaʻau e hoʻopaʻa i ka ʻōpū a hoʻokuke aku i kona mau mea i loko. Eia nō naʻe, he mea nui e kūkākūkā i ke koho lapaʻau maikaʻi loa me kāu kauka, no ka mea, pono ka lāʻau lapaʻau koke e pale aku i nā pilikia.

I nā hihia kakaikahi loa, pono paha kahi hysterectomy.

Ma hope o ka lāʻau lapaʻau, e nānā kāu kauka i kāu mau pae hormone HCG a hiki i ko lākou hoʻi ʻana i ka maʻamau. ʻO kēia ke hōʻoia i ka wehe loa ʻia ʻana o nā ʻiʻo molar a pau. Inā ʻaʻole hoʻi kāu mau pae HCG i ka maʻamau, hiki ke hōʻike he mau pilikia koʻikoʻi hou aʻe.

He aha nā pilikia e hiki mai ana o ka hāpai molar?

I kekahi manawa, ma hope o ke ʻoki kino a i ʻole ka hāʻule ʻana o ka hāpai keiki, hiki i nā ʻāpana o ka hāpai keiki molar ke noho i loko o ka ʻōpū.

• Inā hana ʻia kēia, hiki i nā ʻāpana ʻē ke ulu i loko o ka papa ʻiʻo a puni ka ʻōpū. Ua kapa ʻia kēia he 'mole invasive' . He mea kākaʻikahi nō hoʻi kēia, e hana ʻia ana ma lalo o 15% o ka poʻe i wehe ʻia ka hāpai molar.
• I nā hihia kakaikahi loa, hiki i ka hāpai molar ke alakaʻi i kahi ʻano maʻi kanesa i kapa ʻia ʻo choriocarcinoma . Hoʻomaka kēia maʻi kanesa ma ka ʻōpū a hiki ke laha i nā ʻāpana ʻē aʻe o ke kino. I kēlā hihia, pono nā lāʻau lapaʻau kanesa e like me ka chemotherapy a i ʻole ka radiation.

ʻO nā pilikia ʻē aʻe e hiki ke hana ʻia:

• Nā huakino e komo ana i ke koko (Sepsis)
• Maʻi ʻōpū
• ʻO ka Preeclampsia (ke koko kiʻekiʻe loa)
• Pūʻiwa (haʻahaʻa loa ke koko)

He mea weliweli paha kēia, akā hiki ke pale pinepine ʻia kēia mau pilikia me ka mālama koke ʻana.

Hiki ke pale ʻia ka hāpai ʻana o ka Molar?

ʻO ka mea pōʻino, ʻaʻohe ala e pale aku ai i ka hāpai molar, no ka mea, ua hana ʻia e kahi kīnā genetic.

Eia nō naʻe, inā ua loaʻa iā ʻoe kahi hāpai molar ma mua, hiki iā ʻoe ke hōʻemi i ka pilikia o nā pilikia ma ka ʻole e hāpai hou no kahi makahiki ma hope o ka hāpai molar mua. E kamaʻilio me kāu kauka e pili ana i ka manawa palekana loa no ʻoe e hoʻāʻo hou ai e loaʻa hou kahi pēpē.

He aha ka wā e hiki mai ana o kekahi i loaʻa i ka hāpai keiki molar?

ʻAʻohe pilikia hou aʻe o ka hapa nui o ka poʻe i loaʻa i ka hāpai molar. ʻAʻole hoʻonui ka hāpai molar i kou pilikia o ka loaʻa ʻana o kahi hāʻule hou. Eia nō naʻe, he liʻiliʻi loa ka pilikia o ka loaʻa ʻana o ka hāpai molar i ka lua o ka manawa.

Hiki i kekahi poʻe ke ʻike he mea kōkua ka loaʻa ʻana o ke aʻoaʻo genetic ma mua o ka hoʻāʻo ʻana e hāpai hou. Eia nō naʻe, ʻo ka loaʻa ʻana o ka hāpai molar ʻaʻole ia he hōʻailona e pono ʻoe e hoʻōki i ka hoʻāʻo ʻana e loaʻa hou kahi pēpē.

Ke kumu nei ka hāpai ʻana o Molar i ka hānau ʻole?

ʻAʻole, ʻaʻole kēia e hoʻoulu i ka hānau ʻole. Eia nō naʻe, ʻoi aku ka maikaʻi o ke kali ʻana ma ka liʻiliʻi he ʻekolu mahina ma hope o ka mālama ʻana i ʻole e hāpai hou. I loko o ia manawa, e hoʻi hou ana kāu mau pae hormone HCG i ko lākou mau pae ma mua o ka hāpai ʻana. E nīnau i kāu kauka e pili ana i ka manawa kūpono e hoʻāʻo ai e hāpai hou.

He hāʻule keiki anei ka 'molar pregnancy'?

ʻAe, he 'hāpai molar'Hoʻopau pinepine ia i ka nalowale o ka hāpai ʻana. He mea maʻamau ke kaumaha a me ka hoka no ka mea ʻaʻole i holo kāu hāpai ʻana e like me kou manaʻolana. E hoʻokaʻawale i ka manawa e hoʻoponopono ai i kēlā kaumaha. E kiʻi i ke kōkua mai kou ʻohana, nā hoaaloha, a i ʻole nā ​​​​hui kākoʻo no ka nalowale o ka hāpai ʻana.

E hoʻomanaʻo, ʻoiai inā ua loaʻa iā ʻoe kahi hāpai molar ma mua, nui ka manawa e loaʻa ai iā ʻoe kahi hāpai olakino i ka wā e hiki mai ana.

Āhea wau e ʻike ai i ke kauka?

Inā hāpai ʻoe a loaʻa ke kahe koko o ka ʻōpū, ka nausea nui a me ka luaʻi ʻana, a i ʻole kahi kahe e like me nā hua waina, e ʻike koke i kāu kauka. Hiki i ka hoʻāʻo mua a me ka mālama ʻana ke kōkua i ka pale ʻana i nā pilikia.

Hiki i ka hāpai ʻana o ka molar ke lilo i mea ʻeha a hoʻoluhi maoli. Hoʻokumu ʻia ia e nā pilikia genetic e kū mai ana i ka wā o ka hoʻoulu ʻana a ʻaʻole ma waho o kou mana. He mea maʻamau ka loaʻa ʻana o nā nīnau e like me, "He aha ka hewa?" "Makaʻu wau no nā hāpai ʻana i ka wā e hiki mai ana." E kamaʻilio me kāu kauka e pili ana i kou mau manaʻo, kou mau makaʻu, a me kāu mau nīnau. E kiʻi i ke kākoʻo mai kou ʻohana a me kou mau hoaaloha i kēia manawa. He nui ka poʻe e hoʻomau i ka hāpai ʻana i ke olakino ma hope o kēia kūlana.

E hoʻomanaʻo i ka mea nui loa (Leka Lawe-Home)

• ʻO ka 'molar pregnancy' he kīnā genetic ia e kū mai ana i ka wā e hui pū ai ka hua manu a me ka sperm, e hopena ana i ka ulu ʻana o nā ʻiʻo ʻē i loko o ka uterus. ʻAʻole na ʻoe kēia hewa.
• ʻElua ʻano nui: Piha a hapa. I nā hihia ʻelua, ʻaʻole hiki mai ka hāpai holomua.
• Hiki i nā hōʻailona ke komo pū me ke kahe ʻana o ke koko ma ka ʻōpū, ka luaʻi nui ʻana, a me ka hoʻokahe ʻana e like me ka hua waina.
• Hiki ke ʻike ʻia me ka hoʻohana ʻana i ka ultrasound a me kahi hoʻāʻo koko HCG.
• ʻO ka D&C ka lāʻau lapaʻau nui. He mea nui ka lāʻau lapaʻau koke.
• Ma hope o ka lāʻau lapaʻau, e nānā ʻia nā pae HCG a hiki i ka hoʻi ʻana i ka maʻamau.
• ʻAʻole kēia e hoʻoulu i ka hānau ʻole ʻana, akā e ʻimi i ka ʻōlelo aʻo lapaʻau ma mua o ka hoʻāʻo ʻana e hāpai hou.
• ʻOiai he mea kaumaha kēia, hiki i nā poʻe he nui ke hoʻomau i ka hāpai ʻana me ke olakino maikaʻi. ʻAʻole ʻoe hoʻokahi, e kiʻi i ke kākoʻo āu e pono ai.

Manaʻolana wau he mea kōkua kēia ʻike iā ʻoe. Inā he mau nīnau hou aku kāu, mai kānalua e nīnau i kāu kauka.

Hāpai Molar, Hāpai, Ola Kino Wahine, Hāpai ʻana i ka Hānau, HCG, D&C, Nā Kīnā Hoʻoilina