ʻO ka hauʻoli āu e ʻike ai ke ʻike ʻoe ua hāpai ʻoe, ʻaʻole hiki ke wehewehe ʻia, ʻeā? Akā i ka manawa like, manaʻo iki ʻoe i ka makaʻu. Hoʻokahi tausani mau mea e hiki mai ana i ka noʻonoʻo, e like me ka maikaʻi o nā mea āpau, e maikaʻi anei ka pēpē? I kekahi manawa, hiki ke kū mai nā pilikia a mākou i lohe ʻole ai. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi kūlana i ʻike ʻole ʻia e ka poʻe he nui, akā he mea nui loa ia e ʻike. ʻO ia ka Molar Pregnancy , a i ʻole e like me ka kapa ʻana o kekahi, 'Molar Pregnancy'.
He aha ka hāpai Molar?
I ka ʻōlelo maʻalahi, ʻo ka hāpai ʻana o Molar ka wā e ulu ai kahi nui o nā ʻiʻo ʻē, e like me ka puʻupuʻu, i loko o ka ʻōpū ma kahi o kahi embryo olakino a me ka placenta. I ka hāpai ʻana maʻamau, ʻo ka placenta ke kino e hāʻawi i ka pēpē i ka meaʻai ma o ke kaula umbilical.
Akā i loko o ka hāpai molar, ʻaʻole hiki i ka embryo ke ulu. ʻO ka hopena, ʻaʻole hoʻomau ka hāpai ʻana, a ʻo ka hapa pinepine e pau i ka hāʻule ʻana o ka ʻōpū.
He ʻano laha ʻole kēia maʻi i loko o ka māhele lapaʻau ʻo 'Gestational Trophoblastic Disease (GTD).' Hoʻokumu ʻia ia e nā loli maʻamau ʻole i loko o ka papa o nā cell (trophoblast) e hana ʻia a puni ka embryo ma hope koke iho o ka hāpai ʻana. Hiki i kāu kauka ke kapa iā ia he 'Hydatidiform Mole (HM).'
ʻElua ʻano nui o ka hāpai molar.
ʻAe, ʻelua ʻano nui o kēia ʻano. ʻO ia ka hapa hapa a me ka hapa piha o ka hāpai ʻana o ka molar. E nānā i ka papa ma lalo nei e hoʻomaopopo i ka ʻokoʻa ma waena o nā mea ʻelua.
| Kūikawā | Ka hāpai ʻana o ka Molar i piha ʻole (hapa) | Hāpai Molar Piha (Piha) |
|---|---|---|
| Pehea lā? | Hoʻomohu ʻia kahi hua manu maʻamau e ʻelua sperm. | Loaʻa ia mai ka hoʻoulu ʻia ʻana o kahi hua manu hakahaka, me ka nele o kekahi mea hoʻoilina, e ka sperm. |
| Embryo | Hiki ke ulu aʻe kahi embryo ʻano ʻē, akā, ʻaʻole hiki i kēlā embryo ke ola. | ʻAʻole ulu iki kahi embryo. He ʻiʻo ʻē wale nō. |
| ʻO ka placenta | He ʻano ʻē nā placenta a me ke keiki i loko o ka ʻōpū. | Ma kahi o ka placenta, nui nā ʻiʻo ʻē e ulu ana. |
| ʻIke pinepine ʻia | ʻAʻole i piha ke ʻano. | ʻOi aku ka maʻamau ma mua o ke ʻano kīnā ʻole. |
No ke aha lā kēia e hana nei? He aha nā kumu?
ʻO ke kumu nui o ka hāpai keiki molar he kīnā genetic e kū mai ana i ka wā hāpai. ʻAʻole hewa kēia na kekahi.
E noʻonoʻo, no ka loaʻa ʻana o kahi keiki olakino , pono ʻoe i 23 mau chromosome mai kou makuahine a me 23 mai kou makuakāne. I ka ʻōlelo maʻalahi, hapalua mai kou makuahine a me ka hapalua mai kou makuakāne.
- I ka hāpai keiki Molar piha , hoʻomoʻa ka sperm o ka makuakāne i kahi hua manu hakahaka ʻaʻohe ona mea hoʻoilina o ka makuahine. No laila, no ka mea ua nalowale nā genes o ka makuahine, ʻaʻole i hānau ʻia kahi pēpē olakino.
- I ka hāpai ʻana o ka molar hapa hapa , hoʻoulu ʻia ka hua manu e ʻelua sperm. ʻO ke ʻano kēia, loaʻa i ka fetus ka pālua o ka mea genetic mai ka makuakāne. Ke hoʻohui ʻia kahi set keu o nā chromosomes, ʻaʻole hiki i ka hua manu i hoʻoulu ʻia ke ola. Pau ka hāpai ʻana i loko o kekahi mau pule.
ʻO ka mea nui, ʻaʻole kēia ma muli o kekahi hewa, meaʻai, mea inu, a hana paha a ka makuahine a makuakāne paha. He kīnā genetic holoʻokoʻa loa kēia e kū mai ana i ka wā hāpai.
He aha nā hōʻailona o ka hāpai molar?
I kekahi manawa hiki ke loaʻa kēia ʻano me ka ʻole o nā hōʻailona. Eia nō naʻe, aia kekahi mau hōʻailona maʻamau hiki iā ʻoe ke ʻike. Inā loaʻa iā ʻoe kekahi mea e like me kēia, ʻoi aku ka maikaʻi o ka ʻike koke ʻana i ke kauka .
| Hōʻailona | Wehewehena |
|---|---|
| Ke kahe koko ʻana o ka wahine | Hiki ke hana ʻia i loko o nā mahina ʻekolu mua o ka hāpai ʻana. |
| Hoʻokuʻu ʻeleʻele | He kahe wai ʻeleʻele. |
| Hoʻokuʻu ʻia e like me ka hua waina | Nā puʻu liʻiliʻi e like me ke ʻeke, e like me ka hua waina e puka mai ana mai loko mai o ka vagina. |
| Ka luaʻi nui a me ka luaʻi ʻana | ʻO ka luaʻi a me ka luaʻi ʻana i ʻoi aku ka ʻino ma mua o ka maʻamau i ka wā hāpai. |
| ʻEha Pelvic | Ke manaʻo nei i ke kaomi a i ʻole ka ʻeha ma ka ʻōpū lalo. |
| Nā hiʻohiʻona ʻē aʻe | Ke koko kiʻekiʻe (preeclampsia), anemia, nā pae kiʻekiʻe o ka hormone hāpai hCG, a me nā cysts ovarian. |
Pehea e ʻike ai ke kauka a mālama i kēia?
ʻIke pinepine ʻia kēia ʻano i ka wā o kāu scan ultrasound maʻamau. Hiki ke kānalua ʻia ma ka nānā ʻana i ka pae o ka hormone hāpai, hCG (human chorionic gonadotropin), i loko o ke koko. I ka hāpai molar, kiʻekiʻe loa kēia pae hCG.
Ma ke ʻano he lāʻau lapaʻau, pono ke kauka e wehe loa i nā ʻiʻo ʻē mai ka ʻōpū. ʻO kahi hana maʻamau no kēia he `D&C (ʻO ka Dilation a me ka Curettage (D&C). Ua kapa ʻia kēia ʻo 'ka hoʻomaʻemaʻe ʻana i ka ʻōpū'. I kekahi manawa, hiki ke hoʻohana ʻia ka lāʻau lapaʻau e wehe i kēia ʻiʻo.
ʻO ka mea nui loa, ʻo ia ka hahai ʻana ma hope o ka lāʻau lapaʻau. Ma hope o ka D&C, e nānā mau kāu kauka i kou mau pae hCG koko no kekahi mau mahina. He mea nui kēia e hōʻoia i ka nalowale loa ʻana o nā ʻiʻo ʻē aʻe a ua hoʻi hou kāu mau pae hCG i ka maʻamau.
Hiki i ka hāpai ʻana o Molar ke hoʻoulu i nā pilikia koʻikoʻi?
I ka hapa nui o ka manawa, me ka mālama kūpono a me ka wehe ʻana i nā ʻiʻo, ʻaʻohe pilikia. Eia nō naʻe, he mea kākaʻikahi loa, hiki ke loaʻa nā pilikia.
- GTN Paʻa: I kekahi manawa, ʻoiai ma hope o ka wehe ʻana, hiki i kahi liʻiliʻi o nā ʻiʻo ʻē ke noho a ulu i loko o nā ʻiʻo o ka ʻōpū. Ua kapa ʻia kēia ʻo 'GTN Paʻa'. Inā hana kēia, pono paha ka lāʻau lapaʻau e like me ' chemotherapy' .
- Choriocarcinoma: ʻOi aku ka laha ʻole o ka hihia ke lilo kēia ʻiʻo i maʻi kanesa. Ua kapa ʻia ʻo 'Choriocarcinoma'. Eia nō naʻe, he ʻano maʻi kanesa kēia e hiki ke ho'ōla piha ʻia me ka lāʻau lapaʻau.
Hiki ke hopohopo kēia mau mea ke lohe. Akā e hoʻomanaʻo, he mea kakaikahi loa kēia mau pilikia, a aia nā lāʻau lapaʻau kūpono no lākou. ʻO ka mea nui loa, ʻo ia ka hahai ʻana i nā ʻōlelo a kāu kauka no ka mālama ʻana a me ka hahai ʻana.
ʻAʻole hiki ke hānau keiki hou ma hope o ka hāpai ʻana o ka ihu?
He pilikia kēia i loaʻa i nā poʻe he nui. ʻO ka nūhou maikaʻi, ʻaʻole e hoʻopilikia ka hāpai ʻana i ka molar i kou momona ma kekahi ʻano. Hiki iā ʻoe ke loaʻa kahi pēpē olakino i ka wā e hiki mai ana.
Eia nō naʻe, ʻōlelo pinepine nā kauka iā ʻoe e kali ma waena o 6 mau mahina a me hoʻokahi makahiki ma mua o ka hāpai hou ʻana. ʻO ke kumu o kēia, ʻo ia ka hormone hCG a mākou i kamaʻilio ai ma mua. Inā hāpai hou ʻoe, e piʻi maoli kēlā hormone. A laila, he mea paʻakikī i ke kauka ke ʻike pono inā paha ka piʻi ʻana o kēlā hormone ma muli o ka hāpai hou ʻana a i ʻole no ka mea aia nō kekahi o kēlā ʻiʻo kahiko i loko o ke kino. ʻO ia ke kumu e ʻōlelo ai lākou e kali a hiki i ka hāʻule loa ʻana o ka pae hCG i ka ʻole a hoʻi i ka maʻamau.
Leka Lawe-Home
- ʻO ka hāpai keiki molar ka wā e ulu ai nā ʻiʻo ʻē i loko o ka ʻōpū ma kahi o kahi pēpē olakino. Hana ʻia kēia e kahi hewa genetic i ka wā o ka hāpai ʻana, ʻaʻole naʻu ka hewa.
- Inā ʻike ʻoe i nā hōʻailona i ka wā hāpai e like me ke kahe koko ʻole, ka hoʻokuʻu ʻeleʻele, a i ʻole ka luaʻi nui, e ʻike koke i kāu kauka.
- Pono ka mālama ʻana no kēia ʻano i ka dilation a me ka curettage (D&C) a me ka nānā ʻana i nā pae hormone hCG.
- ʻAʻole ia e hōʻeha i kāu mau keiki e hiki mai ana inā hāpai ʻoe i ka molar. Hiki iā ʻoe ke manaʻo i kahi hāpai olakino ma hope o ke kali ʻana i ka manawa i kuhikuhi ʻia e like me ke aʻo ʻana a ke kauka.
- Mai hele wale ʻoe ma kēia huakaʻi. E kamaʻilio ākea e pili ana i kēia me kāu hoa, ʻohana, a me kāu kauka. He mea nui e loaʻa ke kākoʻo naʻau āu e pono ai.
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