Koj puas xav paub txog Partial Molar Pregnancy? Cia peb tham txog nws!

Kuv tsis paub tias koj puas tau hnov ​​​​​​lo lus '(Partial Molar Pregnancy)'. Tej zaum los ntawm kws kho mob, lossis lwm qhov chaw. Qhov no yog ib qho teeb meem uas feem ntau tshwm sim thaum ntxov cev xeeb tub. Nws yog ib qho mob tsis tshua muaj, tab sis nws yog ib qho tseem ceeb kom paub txog nws. Hnub no, peb yuav tham ua lus yooj yim txog '(Partial Molar Pregnancy)' yog dab tsi, vim li cas nws tshwm sim, cov tsos mob yog dab tsi, thiab nws kho li cas.

Qhov "Partial Molar Pregnancy " no yog dab tsi?

Hais yooj yim xwb, '(Partial Molar Pregnancy)' yog ib qho mob tshwj xeeb uas yog pawg ntawm molar pregnancy '(Molar Pregnancy)'. Qhov no tshwm sim thaum cev xeeb tub, thaum lub qe fertilized, uas yog, lub hauv paus embryonic, tsis loj hlob zoo. Qhov laj thawj tseem ceeb rau qhov no yog qhov yuam kev genetic uas tshwm sim thaum lub sijhawm fertilization. Hauv kev cev xeeb tub ib txwm, lub qe los ntawm leej niam sib koom ua ke nrog ib tug phev los ntawm leej txiv. Tom qab ntawd lub embryo tau txais cov ntaub ntawv genetic tsim nyog. Tab sis hauv '(Partial Molar Pregnancy)', ob tug phev sib koom ua ke nrog ib tug qe. Tom qab ntawd lub embryo tau txais ntau cov khoom genetic ntau dua li nws xav tau. Vim yog cov genes ntxiv no, kev cev xeeb tub tsis tuaj yeem mus ntxiv zoo. Hauv qhov '(Partial Molar Pregnancy)' mob no, qee zaum qee qhov ntawm lub embryo thiab placenta tuaj yeem pib tsim. Tib lub sijhawm, cov ntaub so ntswg tsis zoo, xws li cov cysts me me, dej puv, kuj tsim. Ua li no, ob qho tib si placenta thiab tus menyuam hauv plab loj hlob tsis xwm yeem, ua rau nws tsis tuaj yeem txuas ntxiv cev xeeb tub. Feem ntau, "Kev Xeeb Tub Ib Nrab Molar" xaus rau hauv "Kev Poob Me Nyuam" thaum ntxov ntawm cev xeeb tub. Cov cev xeeb tub molar no yog ib pawg ntawm cov kab mob hu ua "Gestational Trophoblastic Disease - GTD". "GTD" yog ib pawg ntawm cov kab mob uas muaj cov cysts tsis zoo hauv lub tsev menyuam . Cov cev xeeb tub molar no kuj hu ua "Hydatidiform Moles". Qhov tseem ceeb tshaj plaws yog tias yog tias koj pom tias koj muaj "Kev Xeeb Tub Ib Nrab Molar", nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev kho mob tam sim ntawd.

Tus mob no feem ntau tshwm sim li cas?

"Kev Xeeb Tub Molar Ib Nrab" tsis tshua muaj ntau dua li "Kev Xeeb Tub Molar Tag Nrho." Txawm li cas los xij, tsawg dua 1% ntawm tag nrho cov cev xeeb tub, lossis kwv yees li ib qho ntawm 1200 cev xeeb tub, yog cev xeeb tub molar. Yog li koj tuaj yeem pom, qhov no tsis tshua muaj.

Cov tsos mob ntawm '(Partial Molar Pregnancy)' yog dab tsi?

Cov tsos mob tseem ceeb ntawm tus mob no yog los ntshav ntau heev thaum cev xeeb tub. Cov ntshav no tuaj yeem yog xim av tsaus lossis liab dawb. Tsis tas li ntawd, koj yuav muaj cov tsos mob hauv qab no:

• Xeev siab thiab ntuav heev (txawm hais tias ntau tus neeg muaj mob thaum sawv ntxov thaum cev xeeb tub , qhov no tuaj yeem hnyav dua).
• Mob plab mog, uas yog, mob hauv plab qis .
• Cov ntaub so ntswg uas zoo li cov txiv hmab dej uas tawm hauv qhov chaw mos.
• Ntshav siab (Hypertension).

Qee zaum, lub tsev menyuam yuav loj dua li qub, lossis nws yuav loj sai dua li qhov xav tau thaum lub sijhawm peb lub hlis thawj zaug ntawm cev xeeb tub. Txawm li cas los xij, cov tsos mob no tsis tshwm sim rau txhua tus. Qee tus neeg tsis muaj tsos mob thiab tsuas yog pom los ntawm txoj hmoo thaum lawv thawj zaug kuaj ultrasound.

Vim li cas qhov '(Partial Molar Pregnancy)' no thiaj tshwm sim?

Zoo li kuv tau hais ua ntej lawm, qhov no yog kev sib xws ntawm cov noob caj noob ces . Cia peb nkag siab qhov no kom yooj yim dua me ntsis. Hauv kev cev xeeb tub ib txwm, lub qe tau txais 23 chromosomes los ntawm niam thiab 23 los ntawm txiv, ua rau tag nrho 46 chromosomes. Qhov no yog li cas lub embryo noj qab haus huv yuav tsum tsim. Txawm li cas los xij, hauv "Plaub Hlis Molar Pregnancy", lub qe tau txais ob pawg chromosomes los ntawm txiv. Ntawd yog, feem ntau ntawm lub sijhawm, ob lub phev koom nrog ib lub qe. Tom qab ntawd tag nrho cov chromosomes dhau los ua 69 es tsis yog 46. Cov ntaub ntawv ntxiv no yog vim li cas lub embryo thiab placenta tsis tsim kom zoo.

Xav txog nws, nws zoo li yog tias koj ntxiv ob npaug ntawm cov khoom xyaw uas xav tau los ua lub ncuav mog qab zib dua li daim ntawv qhia ua noj, lub ncuav mog qab zib yuav tsis tig tawm zoo.

Leej twg muaj feem yuav raug qhov no tshaj?

Muaj tej yam ua rau muaj kev pheej hmoo ntawm kev xeeb tub molar. Txawm li cas los xij, nco ntsoov tias kev xeeb tub molar ib nrab tsis tshua muaj feem ntau dua li kev xeeb tub molar tag nrho. Cov yam ua rau muaj kev pheej hmoo no suav nrog:

• Yog tias koj tau muaj cev xeeb tub molar yav dhau los: Yog tias qhov mob no tshwm sim ib zaug, muaj me ntsis txoj hmoo uas nws yuav tshwm sim dua.
• Hnub nyoog: Qhov kev pheej hmoo no siab dua me ntsis rau cov poj niam hnub nyoog tshaj 40 xyoo thiab cov menyuam yaus hnub nyoog qis dua 15 xyoos.
• Yog tias koj tau muaj ob lossis ntau dua qhov kev rho menyuam yav dhau los.

Kuj tseem hais tias tus lej ntawm cov cev xeeb tub molar hauv cov tebchaws Es Xias siab dua li cov tebchaws zoo li Tebchaws Meskas. Kuj tseem muaj cov ntaub ntawv hais tias hauv Tebchaws Meskas, cov neeg dawb muaj feem yuav cev xeeb tub molar ntau dua li cov neeg dub.

Cov teeb meem ntawm '(Partial Molar Pregnancy)' yog dab tsi?

Muaj qee qhov teeb meem loj uas tuaj yeem tshwm sim nrog cov poj niam cev xeeb tub molar. Ib qho yog hom mob qog noj ntshav tsawg tsawg hu ua Choriocarcinoma. Tsis tas li ntawd, lwm qhov teeb meem uas tuaj yeem tshwm sim nrog cov poj niam cev xeeb tub molar yog Persistent Gestational Trophoblastic Neoplasia (GTN). Qhov no yog thaum cov ntaub so ntswg tsis zoo txuas ntxiv loj hlob hauv lub tsev menyuam txawm tias tom qab dilation thiab curettage (D&C) raug ua kom tshem tawm cov poj niam cev xeeb tub molar. Lwm yam teeb meem suav nrog:

• Los ntshav hnyav heev.
• Ntshav siab (Hypertension).
• Cov cyst ntawm zes qe menyuam.
• Kev mob hyperthyroidism.

Feem ntau hais lus, qhov kev pheej hmoo ntawm cov teeb meem hauv kev cev xeeb tub molar tag nrho yog siab dua li ntawm kev cev xeeb tub molar ib nrab.

Cev xeeb tub ib feem ntawm cov hniav mos mos (Partial Molar Pregnancy) yuav kav ntev npaum li cas?

Qhov tseeb, tus menyuam hauv '(Partial Molar Pregnancy)' tsis tuaj yeem muaj sia nyob. Txawm li cas los xij, qhov kev xeeb tub tuaj yeem kav ntev li ob peb lub lis piam. Feem ntau, cov no xaus rau hauv kev rho menyuam yam tsis tau npaj tseg. Tom qab ntawd cov ntaub so ntswg, zoo li cov txiv hmab, raug xa tawm ntawm qhov chaw mos. Txawm li cas los xij, rau qee tus neeg, nws tsuas yog thaum lawv muaj lawv thawj zaug '(Ultrasound)' scan uas lawv pom tias nws yog '(Partial Molar Pregnancy)'.

Yuav ua li cas thiaj paub tias cev xeeb tub ib feem ntawm cov hniav Molar?

Koj tus kws kho mob yuav kuaj mob "Partial Molar Pregnancy" los ntawm kev kuaj "Ultrasound". Kev kuaj "Ultrasound" tuaj yeem qhia tau tej yam xws li:

• Qhov tsis muaj lub embryo los yog lub embryo zoo li me heev.
• Lub placenta zoo li puv nrog cov cysts lossis zoo li txawv txawv.

Tib lub sijhawm ntawd, tus kws kho mob yuav kuaj ntshav kom paub seb muaj pes tsawg hom tshuaj hormone hu ua '(Human Chorionic Gonadotropin - HCG)' hauv koj cov ntshav. '(HCG)' yog ib hom tshuaj hormone uas lub cev ntawm cov poj niam cev xeeb tub tsim tawm. Hauv '(Partial Molar Pregnancy)', qib '(HCG)' no nce sai dua thiab siab dua li thaum cev xeeb tub ib txwm muaj.

Koj nrhiav tau qhov no sai npaum li cas?

Feem ntau, cov kws kho mob kuaj pom cov cev xeeb tub molar no hauv 12 lub lis piam thawj zaug ntawm kev cev xeeb tub, uas yog, hauv peb lub hlis thawj zaug.

Yuav kho tus mob '(Partial Molar Pregnancy)' li cas?

Tus kws kho mob kho qhov cev xeeb tub uas muaj ib feem ntawm cov molar los ntawm kev tshem tawm tus menyuam hauv plab thiab placenta (cov nqaij txawv txawv) ntawm lub tsev menyuam. Qhov no hu ua dilation thiab curettage (D&C). Qhov no yuav ua tau hauv chav phais thaum koj tseem tsaug zog, lossis nws yuav ua tau hauv chaw ua haujlwm ntawm tus kws kho mob thaum koj tseem tsaug zog. Koj tuaj yeem tham nrog koj tus kws kho mob txog cov kev xaiv no. Tom qab D&C, koj tus kws kho mob yuav txuas ntxiv mus xyuas koj cov qib hCG txog li ib xyoos kom pom tias muaj ib feem ntawm cov nqaij molar tseem nyob hauv lub tsev menyuam. Nws yog ib qho tseem ceeb uas yuav tsum siv kev tswj kom tsis txhob muaj menyuam (xws li cov tshuaj tswj kom tsis txhob muaj menyuam) thaum lub sijhawm no. Qhov no yog vim tias yog tias koj cev xeeb tub dua thaum lub sijhawm no, koj cov qib hCG yuav siab dua, ua rau nws nyuaj rau qhia seb cov nqaij molar tseem nyob ntawd lossis yog tias nws yog cev xeeb tub tshiab. Tsis tshua muaj, tom qab D&C, lub placenta tuaj yeem nyob hauv lub tsev menyuam. Qhov mob no hu ua Gestational Trophoblastic Disease (GTD). Yog tias qhov no tshwm sim, koj tus kws kho mob yuav tsum kho GTD. Qhov no yuav suav nrog chemotherapy, radiation, lossis hysterectomy.

Puas tuaj yeem tiv thaiv kev xeeb tub ntawm ib feem ntawm cov hniav?

Tsis yog, peb ua tsis tau dab tsi los tiv thaiv '(Partial Molar Pregnancy)' (lossis cev xeeb tub molar tag nrho). Qhov no yog vim nws yog ib qho kev sib xws ntawm cov noob caj noob ces. Yog tias koj tau muaj '(Partial Molar Pregnancy)' ua ntej, nws yog ib qho tseem ceeb heev uas yuav tsum tham nrog koj tus kws kho mob ua ntej sim cev xeeb tub dua. Nws yuav qhia koj kom tos rau lub hlis txog ib xyoos. Txawm hais tias qhov muaj feem yuav cev xeeb tub molar tshwm sim tsawg, yog tias koj tau muaj ib qho, muaj qhov kev pheej hmoo me me uas nws yuav tshwm sim dua.

Puas muaj peev xwm rov xeeb tub dua tom qab '(Partial Molar Pregnancy)'?

Yog, nws yeej ua tau tiag. Qhov muaj feem yuav xeeb tub molar dua yog tsawg heev (kwv yees li 1% txog 2%), tab sis muaj qhov kev pheej hmoo me me. Thaum koj npaj koj qhov kev xeeb tub tom ntej, koj yuav tsum nrog koj tus kws kho mob tham txog lub sijhawm zoo tshaj plaws los xeeb tub. Qhov no yog vim tias lub tsev menyuam yuav tsum tsis muaj cov ntaub so ntswg molar kiag li, thiab qib '(HCG)' kuj yuav tsum rov qab mus rau qhov qub.

Tus menyuam hauv plab puas muaj sia nyob hauv "Partial Molar Pregnancy"?

Tsis yog, tus menyuam hauv plab yuav tsis muaj sia nyob hauv '(Partial Molar Pregnancy)'. Feem ntau, cov nqaij ntawm lub cev xeeb tub tuaj yeem loj hlob li 12 lub lis piam (peb lub hlis). Tab sis nws yuav tsis txuas ntxiv mus ua cev xeeb tub noj qab nyob zoo.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog tias koj cev xeeb tub thiab muaj cov tsos mob xws li los ntshav ntawm qhov chaw mos, xeev siab, lossis mob plab qis, mus ntsib koj tus kws kho mob tam sim ntawd . Vim tias cov tsos mob ntawm cev xeeb tub molar tuaj yeem zoo ib yam li lwm yam mob, nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev pab kho mob sai li sai tau.

Kuv yuav tsum nug tus kws kho mob li cas?

Yog tias koj tau muaj "Partial Molar Pregnancy", tej zaum koj yuav muaj ntau cov lus nug. Nws yog ib qho uas tshwm sim ntau heev. Koj tuaj yeem nug koj tus kws kho mob cov lus nug xws li:

• Thaum twg kuv thiaj li xeeb tub tau dua?
• Muaj feem ntau npaum li cas uas kuv yuav muaj lwm lub cev xeeb tub molar?
• Kuv puas muaj feem yuav muaj teeb meem loj?
• Kuv puas yuav tsum tau kuaj ntxiv?
• Kuv puas tuaj yeem tau mob qog noj ntshav los ntawm kev cev xeeb tub molar?

Kev poob cev xeeb tub, txawm yog vim li cas los xij, yog ib qho kev paub tu siab heev. Nrog rau qhov kev kuaj mob no ntawm "Partial Molar Pregnancy", muab sijhawm rau koj tus kheej los tu siab rau qhov poob cev xeeb tub. Nws yog ib qho tseem ceeb heev uas yuav tsum mus koom txhua qhov kev kuaj mob thiab teem sijhawm uas koj tus kws kho mob xaj tom qab "Partial Molar Pregnancy". Koj tus kws kho mob yuav nrog koj tham txog kev xeeb tub yav tom ntej. Nco ntsoov tias, qhov muaj feem yuav xeeb tub molar thib ob yog tsawg heev, thiab feem ntau cov neeg muaj kev xeeb tub zoo.

Cov Lus Qhia Txog Kev Coj Mus Tsev

Zoo, yog li cia peb rov qab nco txog cov ntsiab lus tseem ceeb tshaj plaws los ntawm qhov peb tau tham txog:

• Kev xeeb tub ib nrab ntawm cov molar yog kev xeeb tub uas lub embryo thiab placenta tsis loj hlob zoo vim muaj qhov tsis zoo ntawm cov noob caj noob ces. Qhov no tsis tuaj yeem txuas ntxiv mus.
• Cov tsos mob thaum ntxov yuav muaj xws li los ntshav ntawm qhov chaw mos, xeev siab heev, thiab mob plab qis.
• Qhov no raug kuaj pom los ntawm kev siv ultrasound thiab kev kuaj ntshav HCG.
• Kev kho mob yog ntxuav lub tsev menyuam nrog kev phais "D&C". Tom qab ntawd, qib "HCG" raug saib xyuas.
• Txawm hais tias qhov no tsis tuaj yeem tiv thaiv tau los xij, ntau tus neeg tuaj yeem muaj cev xeeb tub noj qab nyob zoo tom qab kho mob.
• Yog koj muaj ib qho ntawm cov tsos mob no, lossis yog koj muaj lus nug txog qhov no, tsis txhob ntshai tham nrog koj tus kws kho mob. Lawv yuav pab koj.

Vam tias cov ntaub ntawv no yuav pab tau koj. Yog koj muaj lus nug dab tsi, tsis txhob txaj muag thiab nug kws kho mob. Nyob kom noj qab nyob zoo!