Qhov kev xyiv fab uas koj hnov thaum koj paub tias koj cev xeeb tub yog qhov tsis txaus ntseeg, puas yog? Tab sis tib lub sijhawm, koj kuj ntshai me ntsis. Muaj ntau txhiab yam los rau hauv siab, zoo li txhua yam puas yuav zoo, tus menyuam puas yuav zoo? Qee zaum, cov teeb meem uas peb tsis tau hnov dua tuaj yeem tshwm sim. Niaj hnub no, peb tab tom tham txog ib qho mob uas ntau tus neeg tsis paub txog, tab sis nws tseem ceeb heev uas yuav tsum paub txog. Ntawd yog Molar Pregnancy , lossis raws li qee tus hu nws, 'Molar Pregnancy'.
Molar cev xeeb tub yog dab tsi?
Hais yooj yim xwb, cev xeeb tub Molar yog thaum muaj cov nqaij loj loj uas tsis zoo li qub, xws li qog, loj hlob hauv lub tsev menyuam es tsis yog lub qe menyuam thiab lub tsev menyuam noj qab nyob zoo. Hauv kev cev xeeb tub ib txwm, lub tsev menyuam yog lub cev uas muab cov khoom noj khoom haus rau tus menyuam los ntawm txoj hlab ntaws.
Tiam sis thaum cev xeeb tub molar, lub qe menyuam tsis tuaj yeem loj hlob. Yog li ntawd, cev xeeb tub tsis txuas ntxiv mus, thiab feem ntau xaus rau kev poob menyuam.
Tus mob no yog ib qho mob tsis tshua muaj uas yog pawg kho mob 'Gestational Trophoblastic Disease (GTD).' Nws yog tshwm sim los ntawm kev hloov pauv tsis zoo hauv cov txheej ntawm cov hlwb (trophoblast) uas tsim nyob ib puag ncig lub embryo tsis ntev tom qab cev xeeb tub. Koj tus kws kho mob kuj tseem yuav hu nws tias 'Hydatidiform Mole (HM).'
Muaj ob hom cev xeeb tub molar tseem ceeb.
Yog, muaj ob hom mob no tseem ceeb. Lawv yog Partial Molar Pregnancy thiab Complete Molar Pregnancy. Saib lub rooj hauv qab no kom nkag siab txog qhov txawv ntawm ob qho no.
| Kev Tshwj Xeeb | Cev Xeeb Tub Molar Tsis Tag (Ib Nrab) | Kev Xeeb Tub Molar Tag Nrho (Tiav) |
|---|---|---|
| Nws zoo li cas? | Ib lub qe ib txwm muaj ob tug phev sib xyaw ua ke. | Nws yog los ntawm kev sib xyaw ntawm ib lub qe khoob, tsis muaj cov khoom siv caj ces, los ntawm cov phev. |
| Cov qe menyuam | Ib lub qe menyuam tsis zoo yuav loj hlob tuaj, tab sis lub qe menyuam ntawd yuav tsis muaj sia nyob. | Ib tug menyuam hauv plab tsis loj hlob li. Tsuas muaj cov nqaij txawv txav xwb. |
| Placenta | Ob lub placenta thiab tus menyuam hauv plab tsis zoo li qub. | Es tsis txhob yog lub placenta, ntau cov nqaij txawv txav tshwm sim. |
| Feem ntau pom | Tsawg dua li hom puv. | Ntau dua li hom tsis zoo tag nrho. |
Vim li cas qhov no thiaj tshwm sim? Yog vim li cas?
Qhov ua rau cev xeeb tub molar yog vim muaj teeb meem caj ces uas tshwm sim thaum cev xeeb tub. Qhov no tsis yog leej twg lub txim.
Xav txog, yog tias koj xav kom muaj ib tug menyuam noj qab nyob zoo , koj xav tau 23 lub chromosomes los ntawm koj niam thiab 23 los ntawm koj txiv. Hais yooj yim, ib nrab los ntawm koj niam thiab ib nrab los ntawm koj txiv.
- Thaum cev xeeb tub Molar tiav , cov phev ntawm leej txiv ua rau lub qe khoob uas tsis muaj cov khoom siv caj ces ntawm leej niam. Yog li, vim tias leej niam cov noob caj ces ploj lawm, tus menyuam noj qab nyob zoo yuav tsis yug los.
- Thaum cev xeeb tub ib nrab molar , lub qe raug chiv los ntawm ob tug phev. Qhov no txhais tau tias tus menyuam hauv plab tau txais ob npaug ntawm cov khoom siv caj ces los ntawm leej txiv. Thaum ntxiv ib pawg chromosomes ntxiv, lub qe uas chiv yuav tsis muaj sia nyob. Kev cev xeeb tub xaus rau hauv ob peb lub lis piam.
Qhov tseem ceeb yog, qhov no tsis yog vim muaj qhov txhaum, zaub mov, dej haus, lossis kev ua ntawm leej niam lossis leej txiv. Qhov no yog qhov tsis zoo ntawm caj ces uas tshwm sim thaum cev xeeb tub.
Cov tsos mob ntawm cev xeeb tub molar yog dab tsi?
Qee zaum qhov mob no tuaj yeem tshwm sim yam tsis muaj tsos mob. Txawm li cas los xij, muaj qee cov cim qhia uas koj tuaj yeem pom. Yog tias koj ntsib qee yam zoo li no, nws yog qhov zoo tshaj plaws mus ntsib kws kho mob tam sim ntawd .
| Cov tsos mob | Kev piav qhia |
|---|---|
| Kev los ntshav ntawm qhov chaw mos | Nws tuaj yeem tshwm sim hauv peb lub hlis thawj zaug ntawm cev xeeb tub. |
| Cov zis xim av | Ib qho dej ntws xim av daj. |
| Cov kua txiv hmab zoo li txiv hmab | Cov qog me me zoo li lub hnab, zoo li txiv hmab uas tawm hauv lub qhov chaw mos. |
| Xeev siab thiab ntuav heev | Xeev siab thiab ntuav uas hnyav dua li qub thaum cev xeeb tub. |
| Mob plab mog | Xav tias muaj kev nyem lossis mob hauv plab qis. |
| Lwm yam nta | Ntshav siab (preeclampsia), ntshav tsis txaus, cov tshuaj hormones hCG ntau dhau, thiab cov cysts ntawm zes qe menyuam. |
Tus kws kho mob kuaj mob thiab kho qhov no li cas?
Feem ntau pom tus mob no thaum koj lub sijhawm kuaj ultrasound. Kuj tseem yuav paub tias yog los ntawm kev kuaj xyuas qib ntawm cov tshuaj hormones cev xeeb tub, hCG (human chorionic gonadotropin), hauv cov ntshav. Hauv cev xeeb tub molar, qib hCG no siab dhau lawm.
Ua ib qho kev kho mob, tus kws kho mob yuav tsum tshem tawm cov nqaij mos txawv txav ntawm lub tsev menyuam tag nrho. Ib qho kev kho mob uas siv ntau rau qhov no yog 'D&C (Kev nthuav thiab kev rho menyuam tawm (D&C). Qhov no hu ua 'kev ntxuav lub tsev menyuam'. Qee zaum, cov tshuaj siv tau los tshem cov nqaij no.
Qhov tseem ceeb tshaj plaws yog kev saib xyuas tom qab kev kho mob. Tom qab D&C, koj tus kws kho mob yuav kuaj xyuas koj cov ntshav hCG tsis tu ncua rau ob peb lub hlis. Qhov no yog qhov tseem ceeb kom paub tseeb tias cov nqaij tsis zoo tau ploj mus tag thiab koj cov hCG tau rov qab mus rau qhov qub.
Puas Yog Molar Cev Xeeb Tub Ua Rau Muaj Teeb Meem Loj?
Feem ntau, yog tias kho mob zoo thiab rho cov nqaij tawm, ces yuav tsis muaj teeb meem dab tsi. Txawm li cas los xij, tsis tshua muaj teeb meem tshwm sim.
- GTN uas nyob mus ib txhis: Qee zaum, txawm tias tom qab raug tshem tawm lawm los xij, ib qho me me ntawm cov nqaij txawv txav tseem tuaj yeem nyob thiab loj hlob mus rau hauv cov leeg ntawm lub tsev menyuam. Qhov no hu ua 'Persistent GTN'. Yog tias qhov no tshwm sim, kev kho mob xws li ' chemotherapy' yuav tsum tau ua.
- Choriocarcinoma: Ib qho teeb meem uas tsis tshua muaj yog thaum cov nqaij no dhau los ua mob qog noj ntshav. Nws hu ua 'Choriocarcinoma'. Txawm li cas los xij, qhov no kuj yog ib hom mob qog noj ntshav uas tuaj yeem kho tau tag nrho nrog kev kho mob.
Tej yam no yuav ua rau koj ntshai heev thaum hnov. Tiam sis nco ntsoov tias, cov teeb meem no tsis tshua muaj , thiab muaj kev kho mob zoo rau lawv. Qhov tseem ceeb tshaj plaws yog ua raws li koj tus kws kho mob cov lus qhia rau kev kho mob thiab kev saib xyuas tom qab.
Koj puas muaj peev xwm muaj lwm tus menyuam tom qab cev xeeb tub molar?
Qhov no yog ib qho teeb meem uas ntau tus neeg muaj. Qhov xov xwm zoo yog tias kev xeeb tub molar yuav tsis cuam tshuam rau koj txoj kev muaj menyuam li cas. Koj yeej muaj peev xwm muaj ib tug menyuam noj qab nyob zoo yav tom ntej.
Txawm li cas los xij, cov kws kho mob feem ntau qhia koj kom tos ntawm 6 lub hlis thiab ib xyoos ua ntej koj rov xeeb tub dua. Qhov laj thawj rau qhov no yog cov tshuaj hCG uas peb tau tham txog ua ntej. Yog tias koj xeeb tub dua, cov tshuaj hormone ntawd yuav nce ntxiv. Tom qab ntawd, nws nyuaj rau tus kws kho mob paub tseeb tias qhov nce ntawm cov tshuaj hormone ntawd yog vim muaj kev xeeb tub tshiab lossis vim qee cov ntaub so ntswg qub tseem nyob hauv lub cev. Yog vim li cas lawv thiaj hais kom tos kom txog thaum qib hCG poob qis tag nrho rau xoom thiab rov qab mus rau qhov qub.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Cev xeeb tub uas muaj cov pob me me yog thaum cov nqaij mos tsis zoo loj hlob hauv lub tsev menyuam es tsis yog tus menyuam noj qab nyob zoo. Qhov no yog tshwm sim los ntawm qhov yuam kev caj ces thaum lub sijhawm cev xeeb tub, tsis yog koj qhov txhaum.
- Yog koj muaj cov tsos mob thaum cev xeeb tub xws li los ntshav txawv txawv, tawm xim av, lossis ntuav hnyav, mus ntsib koj tus kws kho mob tam sim ntawd.
- Kev kho mob rau tus mob no yuav tsum tau ua kom lub tsev menyuam nthuav thiab curettage (D&C) thiab tom qab ntawd saib xyuas cov tshuaj hormone hCG.
- Kev xeeb tub uas muaj pob txha mos mos tsis ua rau koj cov menyuam yav tom ntej raug mob. Koj tuaj yeem cia siab tias yuav muaj kev xeeb tub noj qab nyob zoo tom qab tos lub sijhawm teem tseg raws li cov lus qhia ntawm kws kho mob.
- Tsis txhob mus dhau txoj kev no ib leeg xwb. Tham txog qhov no nrog koj tus khub, tsev neeg, thiab tshwj xeeb tshaj yog koj tus kws kho mob. Nws yog ib qho tseem ceeb kom tau txais kev txhawb nqa kev xav uas koj xav tau.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus