Puas yog cev xeeb tub molar? (Molar Pregnancy) Cia peb tham txog qhov no kom meej!

Koj puas tau hnov ​​​​​​txog lo lus 'Molar Pregnancy'? Qhov no tej zaum yuav yog ib qho tshiab rau koj. Txawm li cas los xij, qhov no yog ib qho mob uas ua rau ntau tus neeg tu siab thiab khuv xim, tshwj xeeb tshaj yog cov neeg uas cia siab tias yuav ua niam. Txawm li cas los xij, yog tias koj paub zoo, koj tuaj yeem txo qhov tshwm sim ntawm qhov no thiab ntsib lub neej yav tom ntej noj qab haus huv. Yog li, cia peb tham txog qhov no hnub no hauv txoj kev yooj yim uas koj tuaj yeem nkag siab, puas yog?

Qhov 'molar cev xeeb tub' no yog dab tsi?

Hais yooj yim xwb, cev xeeb tub molar yog ib qho mob uas tshwm sim thaum lub qe thiab phev sib ntsib, lossis sib xyaw ua ke, vim muaj qhov yuam kev. Hloov chaw tus menyuam hauv plab noj qab haus huv zoo li thaum cev xeeb tub ib txwm, tab sis nws loj hlob tsis yog mob qog noj ntshav hauv lub tsev menyuam. Qhov loj hlob no zoo li ib pawg me me, muaj dej, zoo li ib pawg txiv hmab.

Tu siab kawg li, hom qog no tsis tuaj yeem txhawb nqa tus menyuam hauv plab uas tab tom loj hlob, uas yog, nws tsis tuaj yeem pub mis rau tus menyuam. Yog li, qhov kev xeeb tub no yuav tsis ua tiav, uas yog, nws yuav xaus rau hauv kev poob cev xeeb tub. Qee zaum, yog tias qhov kev poob cev xeeb tub zoo li no tsis tshwm sim, yuav tsum tau phais kom tshem tawm cov ntaub so ntswg no. Yog tias qhov no tsis raug kho, cov teeb meem loj tuaj yeem tshwm sim.

Kev Xeeb Tub Molar yog ib yam mob hu ua Gestational Trophoblastic Disease (GTD). GTD yog ib pawg kab mob uas ua rau muaj qog hauv lub tsev menyuam. Kev Xeeb Tub Molar kuj tseem hu ua Hydatidiform Mole.

Muaj ob hom cev xeeb tub molar tseem ceeb:

Qhov xwm txheej no muaj peev xwm muab faib ua ob ntu tseem ceeb:

1. Cev xeeb tub Molar tiav tag nrho

Hauv hom no, tsis muaj tus menyuam hauv plab loj hlob. Qhov no tshwm sim thaum cov noob qes sib xyaw nrog lub qe khoob, uas tsis muaj cov khoom siv caj ces. Vim tias lub qe khoob, tus menyuam hauv plab tsis tuaj yeem loj hlob. Txawm li cas los xij, cov ntaub so ntswg placental loj hlob. Tab sis nws tsis loj hlob li qub, tab sis tsis zoo li qub, ua cov kua dej puv. Cov ntaub so ntswg no tsim cov tshuaj hormones cev xeeb tub hu ua 'HCG' (Human Chorionic Gonadotropin). Vim tias cov tshuaj hormones no yog tsim los ntawm lub placenta hauv kev cev xeeb tub noj qab haus huv, koj yuav xav tias cev xeeb tub thiab tau txais txiaj ntsig zoo ntawm kev kuaj cev xeeb tub hauv tsev. Tab sis qhov tseeb tsis muaj menyuam.

2. Cev xeeb tub ib nrab ntawm cov pob txha

Thaum cev xeeb tub uas muaj ib feem ntawm cov molar, lub placenta tsis zoo thiab lub embryo loj hlob ua ke. Qhov no tshwm sim thaum ob lub qe phev sib xyaw nrog ib lub qe. Lub embryo uas tshwm sim ces tau txais ib pawg chromosomes ntxiv. Txawm tias lub embryo pib loj hlob los xij, feem ntau nws tsis tuaj yeem muaj sia nyob.

Leej twg yuav muaj feem ntau dua rau cev xeeb tub molar?

Txawm hais tias qhov no yog ib qho mob tsis tshua muaj, nws tuaj yeem tshwm sim rau txhua tus. Txawm li cas los xij, qee tus neeg muaj kev pheej hmoo siab dua me ntsis. Cov no yog:

• Cov tub ntxhais hluas hnub nyoog qis dua 20 xyoo.
• Cov neeg hnub nyoog tshaj 40 xyoo.
• Cov neeg uas tau muaj cev xeeb tub molar yav dhau los.
• Cov neeg uas tau muaj ob lossis ntau dua qhov kev rho menyuam.
• Cov neeg Esxias caj ces (qhov no tseem nyob rau theem kev tshawb fawb, tab sis qee qhov kev tshawb fawb tau qhia txog qhov ntawd).

'Molar cev xeeb tub' feem ntau tshwm sim li cas?

Qhov no yeej tsis tshua muaj. Kev xeeb tub Molar tshwm sim rau tsawg dua 1% ntawm tag nrho cov cev xeeb tub (uas yog kwv yees li 1 ntawm 1000 cev xeeb tub). Yog li, qhov no tsis yog ib yam dab tsi uas tshwm sim rau txhua tus.

Kev xeeb tub molar puas tuaj yeem ua rau cev xeeb tub ib txwm muaj?

Tu siab kawg li, tiam sis cev xeeb tub uas muaj pob txha mos mos yeej ib txwm xaus rau qhov poob qis. Qhov ntawd txhais tau tias tsis muaj menyuam yug los.

Thaum koj hnov ​​qhov no, koj yuav tu siab thiab poob siab heev. Qhov ntawd yog ib qho zoo li qub. Tiam sis nco ntsoov, qhov no tsis yog koj qhov txhaum.

Cov tsos mob ntawm 'molar cev xeeb tub' yog dab tsi?

Muaj ib txhia neeg tsis muaj tsos mob dab tsi li. Txawm li cas los xij, cov neeg uas muaj tsos mob yuav muaj ib lossis ntau yam hauv qab no:

• Kev los ntshav ntawm qhov chaw mos yog cov tsos mob feem ntau tshwm sim thaum peb lub hlis thawj zaug ntawm kev cev xeeb tub.
• Xeev siab thiab ntuav hnyav heev - qee zaum ntau dua li cev xeeb tub ib txwm.
• Cov cysts me me (cysts) uas zoo li noob txiv hmab raug tso tawm ntawm qhov chaw mos.
• Preeclampsia (ntshav siab) yog ib qho mob uas tshwm sim thaum ntxov cev xeeb tub.
• Cov tshuaj hormones 'HCG' siab dhau heev (qhov no kuaj pom los ntawm kev kuaj mob).
• Mob plab o - vim yog lub tsev menyuam loj dua li qhov xav tau.
• Anemia - tej zaum yuav yog vim poob ntshav.

Vim tias cov tsos mob no kuj tuaj yeem pom hauv lwm yam mob, nws yog qhov zoo tshaj plaws mus ntsib kws kho mob tam sim ntawd yog tias koj ntsib qee yam txawv txawv zoo li no.

Dab tsi ua rau muaj qhov 'molar cev xeeb tub' no?

Qhov ua rau cev xeeb tub molar yog qhov yuam kev caj ces uas tshwm sim thaum lub qe raug chiv los ntawm cov phev. Xav txog, thaum cev xeeb tub ib txwm, tus menyuam hauv plab tau txais 23 chromosomes los ntawm niam thiab 23 los ntawm txiv, ua rau tag nrho muaj 46 chromosomes. Cov chromosomes no yog cov qauv uas muaj peb cov noob caj ces. Cov noob caj ces txiav txim siab seb peb lub cev yuav tsum ua haujlwm li cas.

Thaum cev xeeb tub molar, muaj qhov tsis sib npaug ntawm cov chromosomes no.

• Thaum cev xeeb tub tag nrho , lub qe tsis muaj chromosomes. Lub embryo tau txais 23 chromosomes los ntawm cov phev ib leeg xwb (tej zaum ob npaug los ntawm ib tug phev lossis ob tug phev ua rau lub qe khoob).
• Cev Xeeb Tub Ib Nrab MolarMuaj ib zaug, ib lub qe raug ob tug phev sib xyaw ua ke. Tom qab ntawd tus menyuam hauv plab tau txais 69 chromosomes (23+23+23).

Qhov teeb meem caj ces no yog qhov ua rau cev xeeb tub tsis tau zoo. Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias qhov no tsis yog ib yam dab tsi uas koj tau ua, nws yog lwm yam.

Yuav kuaj mob cev xeeb tub molar li cas?

Cov kws kho mob feem ntau pom qhov no thaum lub sijhawm kuaj mob ua ntej yug menyuam thaum ntxov ntawm cev xeeb tub, tshwj xeeb tshaj yog thaum thawj peb lub hlis.

• Thaum ua qhov kev kuaj ultrasound ntawm lub tsev menyuam, nws tuaj yeem pom cov hnab dej uas muaj dej ntau dua li lub placenta. Feem ntau, tsis muaj lub qe menyuam lossis tus menyuam hauv plab pom hauv lub tsev menyuam. Txawm li cas los xij, qee zaum yuav muaj qee cov nqaij cev xeeb tub uas tseem tshuav.
• Nws kuj tseem tuaj yeem kuaj tau los ntawm kev ntsuas qib ntawm cov tshuaj hormone 'HCG' hauv koj cov ntshav. 'HCG' yog tsim los ntawm lub placenta noj qab haus huv thaum cev xeeb tub. Cov tshuaj hormone no kuj tseem siv los kuaj xyuas cev xeeb tub nrog kev kuaj zis hauv tsev. Hauv 'molar cev xeeb tub', qib 'HCG' siab dhau heev. Kev kuaj ntshav tuaj yeem ntes tau qib siab no thiab xav tias 'molar cev xeeb tub' tej zaum yuav tau tshwm sim.

Muaj ib txhia neeg tsis muaj tsos mob dab tsi li, yog li ntawd nws yuav ua rau neeg xav tsis thoob thaum hnov ​​​​​​qhov kev kuaj mob no. Qhov ntawd yog ib qho uas tshwm sim ntau heev. Tab sis, koj tsis tas yuav lav ris lub luag haujlwm rau qhov no, nws tsis yog koj qhov txhaum. Feem ntau, koj tuaj yeem muaj kev xeeb tub zoo yog tias koj sim dua.

Yuav kho tus cev xeeb tub molar li cas?

Yuav tsum tau muab tshem tawm ntawm lub cev ntawm tus menyuam mos, txwv tsis pub muaj teeb meem loj tshwm sim.

Feem ntau, qhov no yuav tsum tau phais.

• Kev kho mob feem ntau yog D&C (Dilation and Curettage). Qhov no suav nrog kev qhib lub qhov ncauj tsev menyuam thiab siv kev nqus kom tshem tawm cov nqaij mos txawv txav ntawm lub tsev menyuam. Koj yuav raug muab tshuaj loog rau koj kom koj thiaj li tsis hnov ​​mob thaum lub sijhawm ua qhov no.

Muaj tej lub sij hawm, es tsis txhob phais, siv tshuaj los ua kom lub tsev menyuam nruj thiab tso cov khoom hauv nws tawm. Txawm li cas los xij, nws yog ib qho tseem ceeb uas yuav tsum tham txog txoj kev kho mob zoo tshaj plaws nrog koj tus kws kho mob, vim tias kev kho mob sai yog qhov tsim nyog los tiv thaiv cov teeb meem.

Muaj tej zaum tsawg tsawg xwb, yuav tsum tau phais tshem lub tsev menyuam tawm.

Tom qab kho mob tas, koj tus kws kho mob yuav saib xyuas koj cov tshuaj hormones HCG kom txog thaum lawv rov qab mus rau qhov qub. Qhov no yog kom paub tseeb tias tag nrho cov ntaub so ntswg molar tau raug tshem tawm tag. Yog tias koj cov tshuaj HCG tsis rov qab mus rau qhov qub, nws yuav qhia tau tias muaj teeb meem loj dua.

Tej yam teeb meem uas yuav tshwm sim ntawm cev xeeb tub molar yog dab tsi?

Qee zaum, tom qab phais lossis rho menyuam, qee qhov ntawm cev xeeb tub molar tuaj yeem nyob hauv tsev menyuam.

• Yog qhov no tshwm sim, cov hlwb tsis zoo tuaj yeem loj hlob mus rau hauv cov leeg nqaij nyob ib puag ncig lub tsev menyuam. Qhov no hu ua 'invasive mole' . Qhov no kuj tsis tshua muaj, tshwm sim rau tsawg dua 15% ntawm cov neeg uas tau tshem tawm cov molar cev xeeb tub.
• Muaj tej yam tsawg tsawg uas cev xeeb tub uas muaj cov pob txha mos mos (molar pregnancy) ua rau muaj ib hom mob qog noj ntshav hu ua choriocarcinoma . Mob qog noj ntshav no pib hauv lub tsev menyuam thiab kis mus rau lwm qhov ntawm lub cev. Yog li ntawd, kev kho mob qog noj ntshav xws li chemotherapy lossis radiation yog qhov tsim nyog.

Lwm yam teeb meem uas yuav tshwm sim tau yog:

• Cov kab mob nkag mus rau hauv cov ntshav (Sepsis)
• Kev kis kab mob hauv tsev menyuam
• Preeclampsia (ntshav siab heev)
• Kev poob siab (ntshav siab qis heev)

Tej zaum cov no yuav zoo li txaus ntshai, tab sis cov teeb meem no feem ntau tuaj yeem tiv thaiv tau los ntawm kev kho mob sai.

Puas tuaj yeem tiv thaiv kev xeeb tub Molar?

Tu siab kawg li, tsis muaj ib txoj hauv kev los tiv thaiv kev xeeb tub molar, vim nws yog los ntawm qhov tsis zoo ntawm caj ces.

Txawm li cas los xij, yog tias koj tau muaj cev xeeb tub molar ua ntej, koj tuaj yeem txo qhov kev pheej hmoo ntawm cov teeb meem los ntawm kev tsis xeeb tub dua li ib xyoos tom qab cev xeeb tub molar thawj zaug. Tham nrog koj tus kws kho mob txog lub sijhawm nyab xeeb tshaj plaws rau koj sim muaj menyuam dua.

Yav tom ntej ntawm ib tug neeg uas cev xeeb tub molar yuav zoo li cas?

Feem ntau cov neeg uas tau cev xeeb tub molar tsis muaj teeb meem ntxiv lawm. Kev cev xeeb tub molar tsis ua rau koj muaj feem yuav poob dua. Txawm li cas los xij, muaj feem yuav me me ntawm kev cev xeeb tub molar zaum ob.

Tej zaum yuav muaj ib txhia neeg pom tias nws pab tau kom lawv mus nrhiav kev pab tswv yim txog noob caj noob ces ua ntej lawv yuav rov qab xeeb tub dua. Txawm li cas los xij, kev xeeb tub uas muaj pob txha mos mos tsis yog ib qho cim qhia tias koj yuav tsum tsis txhob sim xeeb tub dua.

Puas yog Molar cev xeeb tub ua rau muaj menyuam tsis taus?

Tsis yog, qhov no yuav tsis ua rau muaj menyuam tsis taus. Txawm li cas los xij, nws yog qhov zoo tshaj plaws kom tos tsawg kawg peb lub hlis tom qab kev kho mob kom tsis txhob xeeb tub dua. Thaum lub sijhawm ntawd, koj cov tshuaj hormone HCG yuav rov qab mus rau lawv cov qib ua ntej cev xeeb tub. Nug koj tus kws kho mob txog lub sijhawm zoo tshaj plaws los sim xeeb tub dua.

Puas yog 'molar cev xeeb tub' yog kev poob cev xeeb tub?

Yog, ib qho 'molar cev xeeb tub'Feem ntau nws xaus rau qhov poob cev xeeb tub. Nws yog ib qho ib txwm muaj kev tu siab thiab poob siab uas koj cev xeeb tub tsis tau zoo li koj xav. Siv sijhawm los daws qhov kev tu siab ntawd. Nrhiav kev pab los ntawm koj tsev neeg, cov phooj ywg, lossis cov pab pawg txhawb nqa kev poob cev xeeb tub.

Nco ntsoov tias, txawm tias koj tau cev xeeb tub molar ua ntej lawm los xij, koj yuav muaj feem ntau yuav cev xeeb tub noj qab nyob zoo yav tom ntej.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog koj cev xeeb tub thiab muaj ntshav ntawm qhov chaw mos, xeev siab thiab ntuav heev, lossis muaj cov kua tawm uas zoo li noob txiv hmab, mus ntsib koj tus kws kho mob tam sim ntawd. Kev kuaj mob thiab kev kho mob thaum ntxov tuaj yeem pab tiv thaiv cov teeb meem.

Kev cev xeeb tub molar tuaj yeem yog qhov kev paub tsis zoo thiab ntxhov siab tiag tiag. Nws yog tshwm sim los ntawm cov teeb meem caj ces uas tshwm sim thaum lub sijhawm fertilization thiab koj tsis tuaj yeem tswj hwm. Nws yog ib qho ib txwm muaj cov lus nug zoo li, "Dab tsi tshwm sim?" "Kuv ntshai txog kev cev xeeb tub yav tom ntej." Tham nrog koj tus kws kho mob txog koj txoj kev xav, koj qhov kev ntshai, thiab koj cov lus nug. Nrhiav kev txhawb nqa los ntawm koj tsev neeg thiab cov phooj ywg thaum lub sijhawm no. Muaj ntau tus neeg mus txuas ntxiv muaj kev cev xeeb tub noj qab haus huv tom qab qhov xwm txheej no.

Nco ntsoov qhov tseem ceeb tshaj plaws (Cov Lus Coj Mus Tsev)

• Kev xeeb tub uas muaj cov noob qes me me (molar pregnancy) yog ib qho teeb meem uas tshwm sim thaum lub qe thiab cov noob qes sib xyaw ua ke, ua rau cov nqaij mos tsis zoo hauv lub tsev menyuam loj hlob. Qhov no tsis yog koj qhov txhaum.
• Muaj ob hom tseem ceeb: Tag nrho thiab ib nrab. Hauv ob qho tib si, kev xeeb tub zoo tsis tshwm sim.
• Cov tsos mob yuav muaj xws li los ntshav ntawm qhov chaw mos, ntuav ntau dhau, thiab cov kua tawm zoo li txiv hmab.
• Nws tuaj yeem kuaj pom los ntawm kev siv ultrasound thiab kev kuaj ntshav HCG.
• Kev kho mob D&C yog qhov tseem ceeb. Kev kho mob sai yog qhov tseem ceeb.
• Tom qab kev kho mob, cov qib HCG raug saib xyuas kom txog thaum lawv rov qab mus rau qhov qub.
• Qhov no yuav tsis ua rau muaj menyuam tsis taus, tab sis nrhiav kev pab kho mob ua ntej sim xeeb tub dua.
• Txawm hais tias qhov no yog ib qho kev paub tu siab los xij, ntau tus neeg tuaj yeem xeeb tub tau zoo. Koj tsis yog tib leeg xwb, nrhiav kev txhawb nqa uas koj xav tau.

Vam tias cov ntaub ntawv no yuav pab tau koj. Yog tias koj muaj lus nug ntxiv, tsis txhob yig nug koj tus kws kho mob.

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