He hāpai kūpono ʻole? E kamaʻilio kākou e pili ana i kēia hāpai hapa Molar

Inā he makuahine ʻoe, ʻo ia ka manawa nani loa o kou ola. Akā i kekahi manawa hiki ke kū mai nā pilikia a me nā pilikia a mākou i manaʻo ʻole ai. He mea paʻakikī ke hōʻike i ka makaʻu, ka hopohopo, a me ke kaumaha a mākou e manaʻo ai i kēlā mau manawa. I kēia lā e kamaʻilio mākou e pili ana i kahi kumuhana paʻakikī iki, akā pono mākou e makaʻala. ʻO ia ke ʻano i kapa ʻia ʻo Partial Molar Pregnancy. ʻAʻole paha ʻoe i lohe i kēia inoa. Akā he mea nui loa ia e makaʻala i kēia. Maopopo iaʻu ke kaumaha o ka ʻike ʻana i kahi mea e like me kēia, no laila e kamaʻilio mālie kākou e pili ana i kēia, maʻalahi, a ma ke ʻano e maopopo ai i nā mea a pau.

I ka ʻōlelo maʻalahi, he aha ka Partial Molar Pregnancy?

ʻO ka hāpai ʻana o ka Molar hapa he pilikia o ka hāpai ʻana. ʻO ke kikoʻī, hana ia ma muli o kahi hewa genetic e hana ʻia i ka wā o ka hoʻoulu ʻana, ʻo ia hoʻi, i ka wā e hui ai ka hua o ka makuahine me ka sperm o ka makuakāne.

E noʻonoʻo, i ka hāpai ʻana o kahi pēpē olakino maʻamau, hui pū kahi hua manu me 23 mau chromosome mai ka makuahine me kahi sperm me 23 mau chromosome mai ka makuakāne. ʻO ka embryo hopena he 46 mau chromosome. ʻO kēia ke ʻano hoʻoilina kūpono no kahi pēpē olakino.

Akā i loko o ka hāpai ʻana o ka hapai Molar, ʻokoʻa ka mea e hana ʻia. Maanei, hoʻomoe ʻia kekahi hua manu mai ka makuahine e ʻelua sperm mai ka makuakāne. He aha ka mea e hana ʻia? He 23 chromosomes ko ka makuahine, a ʻo nā sperm ʻelua mai ka makuakāne he 23 + 23 = 46. Ke hoʻohui ʻia, aia he 69 chromosomes . ʻOi aku kēia ma mua o ka helu maʻamau. Ke hoʻohui ʻia kēia mea genetic keu, ʻaʻole ia e holomua ma ke ʻano he hāpai olakino.

I kēia kūlana, hiki i kahi fetus a me ka placenta ke hoʻomaka e ulu. Akā ʻaʻole ulu pono kekahi o lākou. Akā, hoʻomaka ka nui o nā ʻiʻo ʻē, e like me ka puʻu hua waina , e hana i loko o ka ʻōpū, e like me kahi ʻeke piha i ka wai. Ma muli o kēia ulu ʻē, ʻaʻole hiki i ka fetus ke ola. ʻO ka hapa pinepine, pau kēlā ʻano hāpai ʻana i ka hāʻule ʻana o ka hāpai keiki i loko o nā mahina mua.

ʻO kēia kūlana i kapa ʻia ʻo Molar Pregnancy no kahi hui o nā maʻi i kapa ʻia ʻo Gestational Trophoblastic Disease (GTD). He kūlana kēia e hoʻoulu ai i nā puʻupuʻu ʻano ʻē e ulu i loko o ka ʻōpū. Ua kapa ʻia hoʻi ʻo Hydatidiform Moles. ʻO ka hapa hapa Molar Pregnancy kekahi o lākou. He kūlana kakaikahi loa kēia. Ma ka awelika, ua hōʻike ʻia kēia kūlana ma kahi o hoʻokahi i loko o 1200 mau hāpai ʻana.

He aha nā hōʻailona o kēia maʻi?

I ka manawa pinepine, hiki ke like nā hōʻailona o kēia maʻi me nā hōʻailona o ka hāpai mua maʻamau. Eia nō naʻe, aia kekahi mau ʻokoʻa. E nānā kākou i nā hōʻailona nui e ʻike ʻia.

ʻOiai hiki ke ʻike ʻia kēia mau hōʻailona i nā kūlana ʻē aʻe, inā hāpai ʻoe a loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​​​he mea nui e ʻike koke ʻoe i kāu kauka no ka nānā ʻana.

Aia kekahi mau kumu pilikia kūikawā no kēia maʻi?

E like me ka mea i ʻōlelo ʻia ma mua, ʻaʻole kēia he hewa o kekahi. He mea kūlike ia no ka hoʻoilina. Eia nō naʻe, hiki i kekahi mau mea ke hoʻonui iki i ka pilikia o kēia maʻi.

• Makahiki: ʻOi aku ke kiʻekiʻe o kēia pilikia no nā kaikamahine ʻōpio ma lalo o 15 mau makahiki a me nā wahine ma luna o 40 mau makahiki.
• Ua loaʻa iā ʻoe kahi hāpai molar ma mua: Inā ua loaʻa iā ʻoe kekahi ma mua, ʻo kou pilikia o ka loaʻa ʻana o kekahi ma kahi o 1% - 2% kiʻekiʻe aʻe ma mua o ka heluna kanaka maʻamau.
• ʻO ka loaʻa ʻana o nā hāʻule ʻana he nui ma mua: Hiki ke kiʻekiʻe iki aʻe ka pilikia inā ʻelua a ʻoi aku paha kāu mau hāʻule ʻana.

Pehea e ʻike ai a mālama ai nā kauka i kēia?

Ke hele ʻoe i ke kauka me nā hōʻailona āu i ʻōlelo ai ma mua, e nānā ʻo ia iā ʻoe a hana i kekahi mau hoʻokolohua inā kānalua ʻo ia i kēia maʻi.

Pehea e ʻike ai i ka maʻi

1. Ultrasound Scan: ʻO kēia ka hoʻāʻo koʻikoʻi loa. Ke nānā ʻia ma ke scan, ua nalowale paha kahi fetus, a i ʻole e ʻike ʻia paha ka fetus he liʻiliʻi loa ia ma mua o ka nui o nā pule i ulu ai. Hiki ke ʻike ʻia ka placenta he ʻano ʻē, me nā ʻeke he nui i piha i ka wai.

2. Hoʻāʻo pae hormone HCG: Lawe ʻia kahi hāpana koko mai ou aku a nānā ʻia ka pae o kahi hormone i kapa ʻia ʻo HCG (Human Chorionic Gonadotropin). I kēia hihia, ʻoi aku ke kiʻekiʻe o ka pae HCG ma mua o ka hāpai ʻana maʻamau.

Ma hope o kēia mau hoʻokolohua ʻelua, e hiki i ke kauka ke hōʻoia i kēia kūlana.

Pehea e mālama ai

ʻOiai ʻaʻole hiki ke hoʻomau ʻia kēia ʻano hāpai ʻana, pono e wehe loa ʻia nā ʻiʻo ʻē i loko o ka ʻōpū. ʻO ka lāʻau lapaʻau nui no kēia he ʻoki kino i kapa ʻia ʻo D&C (Dilation and Curettage) .

Hoʻomaka ka wā koʻikoʻi loa ma hope o kēia ʻoki kino. E noi aku ke kauka iā ʻoe e hele mai no nā manawa hoʻopaʻa.

He aha ka mea e hana ʻia i ka wā o ka nānā ʻana?

Ma hope o ka D&C, he mea nui e nānā inā aia kekahi o nā ʻiʻo ʻē i loko o ka ʻōpū. ʻO ke ala maikaʻi loa e hana ai i kēia, ʻo ia ka hoʻomau ʻana i ka nānā ʻana i nā pae hormone HCG.

• Pono ʻoe e hana i nā hoʻāʻo koko i kēlā me kēia pule a i ʻole kēlā me kēia mahina.
• Ma hope o ka holomua o ka D&C, pono e emi mālie nā pae HCG a hoʻi i nā pae maʻamau (ʻaʻole hāpai) i loko o kekahi mau mahina.
• Pono ʻoe e pale i ka hāpai hou ʻana a hiki i ka hoʻi ʻana o kou pae HCG i ka maʻamau a haʻi aku kāu kauka iā ʻoe. ʻO ke kumu o kēia, inā hāpai ʻoe i kēia manawa, e piʻi hou ana kou pae HCG. A laila, ʻaʻole hiki ke ʻike inā no ka hāpai hou ʻana a i ʻole ka ulu ʻana o nā ʻiʻo kahiko ka piʻi ʻana.
• Hoʻopaʻa pinepine ʻia kēia ma waena o 6 mau mahina a me ka makahiki.

Aia kekahi mau pilikia ʻē aʻe e hiki ke kū mai mai kēia?

ʻO ka hapa nui o ka manawa, ʻo ka D&C a me ka hahai pono ʻana e hopena i ka ho'ōla piha ʻana. Eia nō naʻe, he mea kākaʻikahi loa, hiki ke loaʻa nā pilikia.

ʻO ka pilikia nui he kūlana i kapa ʻia ʻo Persistent Gestational Trophoblastic Neoplasia (GTN) . I ka ʻōlelo maʻalahi, noho kekahi o nā ʻiʻo ʻē i loko o ka ʻōpū ma hope o ka D&C a hoʻomau i ka ulu ʻana. Inā ʻaʻole e emi ka pae hCG e like me ka mea i manaʻo ʻia, e kānalua ke kauka i kēia kūlana. Hiki i kēia ke lilo i maʻi kanesa (choriocarcinoma).

Hiki paha ke loaʻa hou kahi pēpē ma hope o kekahi mea e like me kēia?

ʻO kēia ka nīnau nui loa a me ka manaʻolana no nā mea a pau e kū nei i kēia ʻano ʻike.

ʻO ka pane, "ʻAe, hiki nō."

Ma hope o ka mālama ʻia ʻana o ka hāpai molar hapa a pau ka manawa hahai, e ʻae kāu kauka iā ʻoe e hāpai hou. ʻO ka hapa nui o ka poʻe e hāpai ma hope o kēlā, loaʻa iā lākou kahi pēpē olakino me ka ʻole o nā pilikia.

Akā e hoʻomanaʻo, ʻoiai ua hana mua ʻia kēia, he mea nui e kamaʻilio me kāu kauka e pili ana i kāu hāpai ʻana aʻe a hoʻolālā e like me ia. He haʻahaʻa loa ka pilikia o ka hana hou ʻana i kēia i kāu hāpai ʻana aʻe (ma kahi o 1-2%). Eia nō naʻe, e nānā pono kāu kauka iā ʻoe i kou hāpai ʻana aʻe.

He mea hoʻohoka nui ka nalowale ʻana o ka hāpai ʻana e like me kēia. E hāʻawi iā ʻoe iho i ka manawa e hoʻoponopono ai i ke kaumaha. E kamaʻilio me kāu kāne a me kou ʻohana e pili ana i kēia. E ʻimi i ke aʻo loea inā pono. He mea nui ke olakino noʻonoʻo e like me ke olakino kino.