Kev xeeb tub tsis zoo li qub? Cia peb tham txog qhov kev xeeb tub ib nrab ntawm cov hniav no

Yog koj yog ib leej niam, nws yog lub sijhawm zoo nkauj tshaj plaws hauv koj lub neej. Tab sis qee zaum muaj teeb meem thiab teeb meem tshwm sim uas peb tsis xav tias yuav muaj. Nws nyuaj rau hais lus txog kev ntshai, kev ntxhov siab, thiab kev tu siab uas peb xav thaum lub sijhawm zoo li no. Hnub no peb yuav tham txog ib lub ncauj lus uas nyuaj me ntsis, tab sis peb yuav tsum paub txog nws. Qhov ntawd yog ib qho mob hu ua Partial Molar Pregnancy. Tej zaum koj yuav tsis tau hnov ​​​​​​txog lub npe no. Tab sis nws yog ib qho tseem ceeb heev uas yuav tsum paub txog qhov no. Kuv nkag siab tias nws tu siab npaum li cas los ntsib qee yam zoo li no, yog li cia peb tham txog qhov no qeeb qeeb, yooj yim, thiab hauv txoj kev uas txhua tus nkag siab.

Hais yooj yim xwb, Partial Molar Pregnancy yog dab tsi?

Kev Xeeb Tub Ib Nrab Molar yog ib qho teeb meem ntawm kev xeeb tub. Tshwj xeeb, nws tshwm sim vim yog qhov yuam kev caj ces uas tshwm sim thaum lub sijhawm fertilization, uas yog, thaum niam lub qe ntsib txiv lub phev.

Xav txog, thaum cev xeeb tub noj qab nyob zoo li qub, lub qe uas muaj 23 lub chromosomes los ntawm leej niam sib koom ua ke nrog cov phev uas muaj 23 lub chromosomes los ntawm leej txiv. Lub embryo uas tshwm sim muaj tag nrho 46 lub chromosomes. Qhov no yog cov qauv caj ces zoo rau tus menyuam noj qab nyob zoo.

Tiam sis nyob rau hauv Ib Feem Molar Cev Xeeb Tub, ib yam dab tsi txawv tshwm sim. Ntawm no, ib lub qe los ntawm leej niam yog fertilized los ntawm ob tug phev los ntawm leej txiv. Tom qab ntawd yuav ua li cas? Leej niam muaj 23 chromosomes, thiab ob tug phev los ntawm leej txiv yog 23 + 23 = 46. Thaum ntxiv ua ke, muaj 69 chromosomes . Qhov no yog ntau dua li tus lej ib txwm. Thaum cov khoom siv caj ces ntxiv no ntxiv, nws tsis ua raws li cev xeeb tub noj qab haus huv.

Hauv qhov xwm txheej no, tus menyuam hauv plab thiab lub placenta yuav pib loj hlob. Tab sis ob qho tib si tsis loj hlob zoo. Hloov chaw, ntau cov ntaub so ntswg tsis zoo, zoo li ib pawg txiv hmab , pib tsim hauv lub tsev menyuam, zoo li lub hnab ntim kua dej. Vim yog qhov kev loj hlob tsis zoo no, tus menyuam hauv plab tsis muaj peev xwm ciaj sia. Feem ntau, kev xeeb tub zoo li no xaus rau hauv kev rho menyuam hauv ob peb lub hlis thawj zaug.

Qhov mob no hu ua Molar Pregnancy yog ib pawg kab mob hu ua Gestational Trophoblastic Disease (GTD). Qhov no yog ib qho mob uas ua rau cov qog nqaij hlav tsis zoo loj hlob hauv lub tsev menyuam. Nws tseem hu ua Hydatidiform Moles. Partial Molar Pregnancy yog ib qho ntawm lawv. Qhov no yog ib qho mob tsis tshua muaj. Qhov nruab nrab, qhov mob no tau tshaj tawm hauv kwv yees li ib qho ntawm 1200 tus cev xeeb tub.

Cov tsos mob ntawm tus mob no yog dab tsi?

Feem ntau, cov tsos mob ntawm tus mob no zoo ib yam li cov tsos mob ntawm cev xeeb tub thaum ntxov. Txawm li cas los xij, muaj qee qhov sib txawv. Cia peb saib cov tsos mob tseem ceeb uas tuaj yeem pom.

Vim tias cov tsos mob no kuj tuaj yeem tshwm sim hauv lwm yam mob, yog tias koj cev xeeb tub thiab muaj ib qho ntawm cov tsos mob no, nws yog qhov tseem ceeb uas koj yuav tsum mus ntsib koj tus kws kho mob tam sim ntawd kom kuaj xyuas.

Puas muaj tej yam tshwj xeeb uas ua rau muaj tus mob no?

Raws li tau hais ua ntej lawm, qhov no tsis yog ib tug neeg lub txim. Nws yog ib qho kev sib xws ntawm cov noob caj noob ces. Txawm li cas los xij, qee yam tseem ceeb yuav ua rau muaj qhov kev pheej hmoo ntawm tus mob no me ntsis.

• Hnub nyoog: Qhov kev pheej hmoo no siab dua me ntsis rau cov ntxhais hluas hnub nyoog qis dua 15 xyoos thiab cov poj niam hnub nyoog tshaj 40 xyoo.
• Tau muaj cev xeeb tub molar yav dhau los: Yog tias koj tau muaj ib qho ua ntej, koj qhov kev pheej hmoo ntawm kev muaj lwm tus yog li 1% - 2% siab dua li cov pej xeem feem ntau.
• Tau muaj ntau zaus uas koj tau poob menyuam yav dhau los: Qhov kev pheej hmoo yuav siab dua me ntsis yog tias koj tau poob menyuam ob lossis ntau zaus.

Cov kws kho mob kuaj mob thiab kho qhov no li cas?

Thaum koj mus ntsib kws kho mob nrog cov tsos mob uas koj tau hais ua ntej, nws yuav kuaj koj thiab ua ntau qhov kev kuaj yog tias nws xav tias muaj tus mob no.

Yuav kuaj mob li cas

1. Kev Ntsuas Ultrasound: Qhov no yog qhov kev kuaj tseem ceeb tshaj plaws. Thaum saib ntawm daim duab scan, tus menyuam hauv plab yuav ploj lawm, lossis tus menyuam hauv plab yuav zoo li me dua li nws yog rau lub lis piam uas nws tau loj hlob. Lub placenta kuj tseem yuav zoo li txawv txawv, nrog ntau lub hnab dej puv nkaus.

2. Kev kuaj ntshav ntawm cov tshuaj hormones HCG: Yuav muab cov ntshav coj los ntawm koj thiab yuav kuaj xyuas cov tshuaj hormones hu ua HCG (Human Chorionic Gonadotropin). Hauv qhov no, cov tshuaj HCG siab dua li thaum cev xeeb tub ib txwm muaj.

Tom qab ob qho kev kuaj no, tus kws kho mob yuav muaj peev xwm paub meej tias muaj tus mob no.

Yuav kho li cas

Vim tias hom cev xeeb tub no tsis tuaj yeem txuas ntxiv mus, cov nqaij mos tsis zoo hauv lub tsev menyuam yuav tsum tau muab tshem tawm tag nrho. Kev kho mob tseem ceeb rau qhov no yog kev phais hu ua D&C (Dilation and Curettage) .

Lub sijhawm tseem ceeb tshaj plaws pib tom qab phais mob no. Tus kws kho mob yuav hais kom koj tuaj teem sijhawm rov qab mus ntsib kws kho mob.

Muaj dab tsi tshwm sim thaum lub sijhawm ua raws li?

Tom qab D&C tas, nws yog ib qho tseem ceeb uas yuav tsum xyuas seb puas muaj cov nqaij txawv txav nyob hauv lub tsev menyuam. Txoj hauv kev zoo tshaj plaws los ua qhov no yog txuas ntxiv saib xyuas cov tshuaj hormone HCG.

• Koj yuav tsum tau kuaj ntshav txhua lub lim tiam lossis txhua hli.
• Tom qab D&C ua tiav, cov qib HCG yuav tsum maj mam txo qis thiab rov qab mus rau qib qub (tsis cev xeeb tub) hauv ob peb lub hlis.
• Koj yuav tsum tsis txhob xeeb tub dua kom txog thaum koj cov HCG rov qab mus rau qhov qub thiab koj tus kws kho mob hais kom koj ua. Qhov laj thawj rau qhov no yog tias yog koj xeeb tub thaum lub sijhawm ntawd, koj cov HCG yuav nce dua. Ces nws yuav tsis yooj yim sua kom paub tias qhov nce ntawd yog vim cev xeeb tub tshiab lossis cov nqaij qub rov qab loj hlob tuaj.
• Qhov no feem ntau pom rau lub sijhawm ntawm 6 lub hlis thiab ib xyoos.

Puas muaj lwm yam teeb meem uas yuav tshwm sim los ntawm qhov no?

Feem ntau, kev kuaj mob thiab kev saib xyuas kom zoo yuav ua rau koj zoo tag nrho. Txawm li cas los xij, tsis tshua muaj teeb meem tshwm sim.

Qhov teeb meem tseem ceeb yog ib qho mob hu ua Persistent Gestational Trophoblastic Neoplasia (GTN) . Hais yooj yim xwb, qee cov nqaij txawv txav tseem nyob hauv lub tsev menyuam tom qab D&C thiab txuas ntxiv loj hlob. Yog tias qib hCG tsis txo qis raws li xav tau, tus kws kho mob yuav xav tias qhov mob no. Qhov no tsis tshua muaj peev xwm hloov mus ua mob qog noj ntshav (choriocarcinoma).

Puas muaj peev xwm muaj menyuam dua tom qab muaj tej yam zoo li no tshwm sim?

Qhov no yog lo lus nug thiab kev cia siab loj tshaj plaws rau txhua tus neeg uas ntsib hom kev paub no.

Cov lus teb yog, "Yog, nws yeej ua tau".

Tom qab kho tau qhov cev xeeb tub ib nrab ntawm cov hniav molar thiab lub sijhawm saib xyuas tas lawm, koj tus kws kho mob yuav cia koj rov xeeb tub dua. Cov neeg feem coob uas cev xeeb tub tom qab ntawd muaj tus menyuam noj qab nyob zoo yam tsis muaj teeb meem dab tsi.

Tiam sis nco ntsoov, vim qhov no tau tshwm sim ua ntej lawm, nws yog ib qho tseem ceeb uas yuav tsum nrog koj tus kws kho mob tham txog koj qhov kev xeeb tub tom ntej thiab npaj raws li qhov ntawd. Qhov kev pheej hmoo ntawm qhov no yuav tshwm sim dua hauv koj qhov kev xeeb tub tom ntej yog qis heev (kwv yees li 1-2%). Txawm li cas los xij, koj tus kws kho mob yuav saib xyuas koj ze dua thaum koj cev xeeb tub tom ntej.

Kev poob cev xeeb tub zoo li no yog ib qho kev poob siab loj heev. Muab sijhawm rau koj tus kheej los daws qhov kev tu siab. Tham nrog koj tus txiv thiab tsev neeg txog qhov no. Nrhiav kev pab tswv yim los ntawm cov kws tshaj lij yog tias tsim nyog. Kev noj qab haus huv ntawm lub hlwb tseem ceeb npaum li kev noj qab haus huv ntawm lub cev.