Tin dɛm wae yu nid fɔ no bɔt Gestational Trophoblastic Disease (GTD)!

Yu nɔ go dɔn yɛri bɔt di wɔd we dɛn kɔl Gestational Trophoblastic Disease (GTD). Bɔt na sik we kin apin sɔntɛnde we uman gɛt bɛlɛ. Fɔ tɔk am simpul wan, na wan kayn tumbu we de divɛlɔp na yu uterus, di ples usay yu pikin de divɛlɔp, ɛn i gɛt fɔ du wit bɛlɛ. Wi go tɔk bɔt dis smɔl mɔ?

dis tכmכro dεm kin bigin fכ divεlכp frכm sεl dεm we dεn kכl trofoblast . dis sεl dεm na dεn wan dεm we de divεlכp insay di plasεnta we uman bεlε. yu no se di plasεnta na di mכst imכtant pat we de kכnekt di pikin to yu uterus, we de gi כksijεn εn nyutriεnt to di pikin insay yu uterus.

כltu, insay dis `GTD` kכndishכn, insted fכ divεlכp to hεlty plasεnta, dεn trofoblast sεl dεm (i.e., sεl dεm we lεk plasεnta) de gro abnכmal wan.

bכku tεm, GTD kin apin ali we uman bεlε, afta we di sεl dεm fεtilayz wan eg. Wi kin kɔl dɛn mɔla bɛlɛ ya bak . Bɔt pan ɔl we dɛn kɔl dɛn tin ya bɛlɛ, dɛn sɛl ya nɔ de divɛlɔp to embryo we de divɛlɔp to pikin. Bɔrku tɛm, dis na tin dɛm wae nɔr kin gɛt kansa (benign). Bɔt sɔm pan dɛn kin gɛt kansa ɛn i kin go na di tisu ɛn ɔgan dɛn we de nia dɛn. Di impɔtant tin na dat GTD na wan sik we dɛn kin trit. Bɔrku pipul kin go bifo fɔ gɛt wɛl bɔdi bɛlɛ afta dis sik.

Wetin na di poshubul situeshɔn dɛm we GTD kin apin?

Bɔku tɛm wi kin se GTD kin apin we uman gɛt bɛlɛ kwik kwik wan. Bɔt dis sik kin apin ɔda tɛm dɛn bak:

• I kin bi afta we di bɛlɛ dɔn pwɛl ɔ afta we dɛn dɔn pwɛl bɛlɛ.
• Afta wan tubal bɛlɛ. dat min se we di eg we dεn fεtilayz de implant insay di fallopian tכb insted fכ implant insay di uterus.
• Ivin afta we uman gɛt nɔmal bɛlɛ, i nɔ kin apin so ɔltɛm.

Wetin na di kayn GTD? So lɛ wi si?

Difrɛn kayn `GTD` de. Di sayn dɛm bak kin difrɛn difrɛn wan fɔ di kayn sik.

Hydatidiform mol ɔ molar bɛlɛ

Dis na di kayn GTD we kɔmɔn pas ɔl. Dɛn kin kɔl am bak molar bɛlɛ . dis na we, insted fכ plasεnta כ εmbriyo, wan sist we lεk grep de divεlכp na yu uterus. Yu kin fil se yu gɛt bɛlɛ, ɛn we yu tɛst yu bɛlɛ, yu go si if yu gɛt bɛlɛ. Bɔt we dɛn du ɔltra saund skan, i nɔ go sho se di pikin de divɛlɔp. di bεlε tεst de positifu biכs fכ di bεlε כmon we di plasεnta de mek. tu kayn haydatidiform mol dεm de: komplit εn pat pan haydatidiform mol dεm. Bɔku pan di bɛlɛ we dɛn kin gɛt na di molar nɔ kin gɛt kansa.

di mכst kכmכn simptom fכ molar bεlε na we di vagina blכd we nכ sכmtεm de kכmכt ali we di bεlε de. Dis blɔd kin bi rɛd ɔ wata brawn. Sɔntɛnde, i kin kam wit bɛlɛ pen.

Pεrsistεnt/invasiv molar bεlε

Dɛn kin tek dis as mɔla bɛlɛ. dis kayn invasiv mol kin gro insay di uterin mכsul. difrεnt lεk כda kayn mכla bεlε dεm, dεn invasiv mכl dεm ya kin bi kεnsar. if dεn nכ trit dεn kansa sεl dεm ya, bכku tεm de insay di uterin mכsul, bכt sכmtεm dεn kin spre to כda pat dεm na di bכdi כ tisu dεm.

Choriocarcinoma we gɛt di sik

Choriocarcinoma na wan kayn GTD we gɛt kansa, we de gro fast fast . i kin stat na di layn na yu uterus εn i kin spre to כda כgan dεm lεk yu vagina, lכng, kidni, liva, εn bren. Dis na tin bak we nɔ kin apin so ɔltɛm, bɔt i kin apin mɔ pan pipul dɛn we bin dɔn gɛt bɛlɛ na dɛn mɔla bifo.

Sɔm pipul dɛn nɔ kin gɛt ɛni sayn atɔl. Bɔt fɔ di wan dɛn we gɛt di sik, di tin we kin apin mɔ na di vagina we nɔ kin kɔmɔt fayn afta we dɛn dɔn pwɛl bɛlɛ, we dɛn dɔn pwɛl bɛlɛ, ɔ we dɛn gɛt bɛlɛ na dɛn mɔlar. Sɔm pipul dɛn kin gɛt bɛlɛ pen bak, blɔd na dɛn urine, ɔ blɔd na dɛn stɔl.

Plasεnta sayt trofoblastik tכmכro (PSTT) .

di plasεnta sayt trofoblastik tכmכro (PSTT) na wan kayn GTD we rili rεs. i de divεlכp usay di plasεnta de atak di uterus. Wan PSTT de gro rili slo. So, i kin tek sɔm ia afta di bɛlɛ fɔ mek di sayn dɛn sho. PSTT kin spre to di uterin mכsul dεm, di bכdi vεsεl dεm, di lכng dεm, di bכdi, εn di limf no dεm, so i nid fכ trit am aktif.

Epitεlioid trofoblastik tכmכro (ETT) .

Dis na bak wan kayn `GTD` we rili rare, we gɛt kansa. lεk `PSTT`, i kin spre bak to di lכng dεm. `ETT` kin divεlכp bak ia afta di bεlε.

Aw dis sik kin kɔmɔn?

Insay Amɛrika, dɛn se GTD kin apin to lɛk 1 pan ɛvri 1,000 bɛlɛ dɛn. di kayn GTD we kכmכn pas כl na di haydatidiform mol dεm, we wi bin dכn tכk bכt. di mכr siriכs GTD kכndyushכn dεm, lεk choriocarcinoma, kin apin insay less dan 1 pan 20,000 bεlε. Dis min se dɛn nɔ kin bɔku.

Yu tink se GTD kin kil pɔsin?

Bɔrku kes dɛm fɔ `GTD`, mɔ if dɛn no am kwik, dɛn kin trit ɛn wɛl ɔl.Bɔt pan di sik dɛn we dɔn go bifo, GTD kin kil pɔsin. Na dat mek i impɔtant fɔ no di sik kwik kwik wan ɛn fɔ trit am.

Wetin na di sayn dɛm fɔ GTD?

Sɔm pipul dɛm wae gɛt GTD nɔr kin gɛt ɛni sayn atɔl. Ɔda pipul dɛn kin gɛt sayn dɛn we fiba di wan dɛn we gɛt bɛlɛ ɔ ɔda sik/kɔndishɔn. If yu gɛt ɛni wan pan dɛn sayn ya, mek shɔ se yu go to yu dɔktɔ:

• If yu gɛt blɔd we nɔ de kɔmɔt na yu vagina ɔltɛm, ɔ blɔd we nɔ gɛt natin fɔ du wit yu mɔnt.
• If yu uterus fil big pas aw yu bin de tink fɔ yu bɛlɛ.
• If yu gɛt pen na yu bɛlɛ ɔ yu bɛlɛ eria.
• If nɔs ɛn vɔmit apin kwik pas aw dɛn bin de tink we uman gɛt bɛlɛ.
• If yu gɛt ay blɔd prɛshɔn ali we yu gɛt bɛlɛ, ɔ if yu an ɛn fut dɛn dɔn swel.
• If yu kɔntinyu fɔ blɔd kɔmɔt na yu vagina, ilɛksɛf na afta yu bɔn pikin ɔ afta yu dɔn gɛt bɛlɛ.

Gestational Trophoblastic Disease kin mek sɔm tɛm dɛn gɛt tayroyd we de wok pasmak . If dis kin apin, yu kin gɛt sɔm kayn sik lɛk:

• Di at rit de go ɔp.
• We i de shek shek.
• We yu de lɔs yu wet.
• We pɔsin de swet.

Wetin na di tin dɛn we kin mek pɔsin gɛt bɛlɛ na di mɔla?

Fɔ tɔk am simpul wan, insay nɔmal bɛlɛ, we di eg de fεtilayz bay sεl, i kin gɛt ɔl di infɔmeshɔn we i nid fɔ mek di εmbriyo ɛn wan plasεnta. Wi kin kɔl dis fɔs kɔlɛkshɔn fɔ sɛl dɛn blastocyst . dis εmbrayo na in de divεlכp leta to pikin we de insay di bεlε. di trofoblast sεl layεr de bi pat pan di plasεnta εn i de εp di blastocyst fכ atak di uterin wכl.

כltu, insay molar bεlε, di εmbrayo nכ de divεlכp fayn biכs fεtilayzכn nכ bin apin. bifo dat, di trofoblast sεl dεm de divεlכp to tכmכro insted fכ hεlty plasεnta. Dis na di men tin we kin mek i apin.

Aw fɔ no GTD?

Yu dɔktɔ go no se yu gɛt GTD bay we i tek yu kɔmplit mɛdikal istri, du yu bɔdi ɛgzam, ɛn du ɔda tɛst fɔ luk insay yu uterus. Yu kin no GTD bay we yu de:

• Pɛlvik ɛgzam: Di dɔktɔ kin put finga dɛn we gɛt glɔv insay di vagina ɛn chɛk fɔ si if sayn dɛn de fɔ di sik, lɛk fɔ gɛt bɔku bɔku wata ɔ mas, ɔ di sayz we di uterus gɛt.
• Ultrasound scan: Dis de yuz sawnd wev fɔ tek pikchɔ fɔ yu insay ɔgan dɛn. If yu dɔktɔ sɔspɛkt se yu gɛt GTD, transvaginal ɔltrasɔund go tek pikchɔ fɔ yu bɛlɛ ɛn yu uterus.
• Blɔd tɛst dɛn:Fɔ ɛp fɔ no if yu gɛt GTD, dɛn kin du blɔd tɛst fɔ no aw sɔm tin dɛn de na yu bɔdi. Fɔ ɛgzampul, uman we gɛt bɛlɛ we gɛt GTD kin gɛt bɔku bɔku ɔmon we dɛn kɔl human chorionic gonadotropin (hCG) pas uman we gɛt bɛlɛ we nɔ gɛt GTD. If di kansa dɔn skata to ɔda tisu ɔr ɔgan dɛm, yu bɔdi kin mek mɔ ɔ smɔl pan sɔm tin dɛm fɔ sho se yu gɛt di sik.

Fɔ no di stej dɛm fɔ di sik

Afta dɛn dɔn no se yu gɛt GTD, yu dɔktɔ kin tɛl yu fɔ du ɔda tɛst fɔ si if di kansa dɔn skata to ɔda pat dɛn na yu bɔdi. Stej na di prɔses fɔ no aw fa ɛn aw di kansa dɔn skata. Dɛn rizɔlt ya kin ɛp dɔktɔ dɛn fɔ no us stej yu gɛt kansa.

Dɛn kin rayt di stej dɛm fɔ kansa wit Roman nɔmba dɛm lɛk I, II, III, ɛn IV. Di mɔ di nɔmba de bɔku, na di mɔ di kansa dɔn de ɔlsay.

di tεst dεm we dεn kin yuz fכ no di stej dεm fכ `GTD` kin bi:

• CT scan (Computed tomography - CT scan): Dis de yuz wan siriכs X-ray εn kכmpyuta fכ mek wan tri-dimεnshכnal (3D) imej fכ di tisu εn bon dεm.
• MRI skan (Magnetic resonance imaging - MRI): Dis de yuz magnet ɛn redio wev fɔ mek ditayli pikchɔ dɛn fɔ yu bɔdi. Di dɔktɔ kin injɛkt wan tin we dɛn kɔl gadolinium insay yu veins, bikɔs dis tin de mek yu si di kansa sɛl dɛn mɔ na di pikchɔ.
• Chɛst X-ray: Dis kin yuz wan fɔs raytin bim fɔ chɛk yu lɔng dɛn, ɔda pat dɛn we de insay yu chɛst, ɛn yu bon dɛn.

Aw dɛn kin trit GTD?

Di tritmɛnt opshɔn fɔ Gestational Trophoblastic Disease difrɛn. Bɔku tin dɛn de we kin afɛkt am. Lɛk:

• di kayn `GTD`, di sayz fכ di tכmכro, εn usay i de.
• If di tumbu dɔn skata, ɔ wetin in stej de.
• If di tumbu bin apin we uman gɛt bɛlɛ, ɔ afta we di bɛlɛ dɔn kɔmɔt na di bɛlɛ ɔ we i bɔn pikin.
• Yu ɔl wɛlbɔdi biznɛs.
• Yu mɛdikal histri ɛn if yu dɔn gɛt tritmɛnt fɔ GTD bifo.
• Yu plan fɔ bɔn pikin dɛn.

Yu dɔktɔ go disayd di tritmɛnt we go fayn fɔ yu sik. Na sɔm patikyula tritmɛnt dɛn fɔ GTD:

• כpεrayshכn: כpεrayshכn fכ pul di abnכmal tisu εn sεl dεm na di uterus. Di ɔpreshɔn we dɛn kin du mɔ fɔ GTD na dilayshɔn ɛn kurɛtɛj (D&C) . dis involv fכ opin di sεviks εn klin di uterus.
• Kimotɛrapi: Kimotɛrapi, ɔ "kimo," na fɔ yuz drɔgs fɔ pwɛl di kansa sɛl dɛm.
• Redyushɔn tɛrapi: .Radieshɔn tɛrapi de yuz strɔng ɛnaji bim fɔ kil kansa sɛl dɛn ɛn shrink di tumbu dɛn.
• Hysterectomy: hysterectomy na ɔpreshɔn we dɛn kin du fɔ pul yu uterus. sכmtεm, dεn kin pul כda כgan dεm lεk di fallopian tכb dεm εn di ovaria dεm bak.

Yu ɛn yu dɔktɔ fɔ tɔk bɔt di tritmɛnt dɛn we de, ɛn di prɔblɛm dɛn ɛn di bad tin dɛn we dɛn tritmɛnt dɛn de kin du.

Yu tink se GTD kin kam bak?

Yes, Gestational Trophoblastic Disease kin kam bak. Dipen pan di kayn GTD we yu bin gɛt fɔs ɛn aw yu bin ansa to tritmɛnt, smɔl risk de fɔ mek i kam bak. Na dat mek dɔktɔ dɛn go kɔntinyu fɔ wach yu afta dɛn dɔn trit yu.

a kin geht pikin afta GTD?

Yɛs, fɔ tru! כl di pipul dεm we gεt histri fכ `GTD` kin go bifo fכ gεt nכmal, hεlty bεlε. Bɔt i go dipen pan yu histri, yu dɔktɔ kin tɛl yu fɔ du sɔm ɔda tɛst dɛn we yu gɛt bɛlɛ afta dat.

Yu tink se dɛn kin ebul fɔ stɔp GTD?

No we nɔ de fɔ rili protɛkt di Gestational Trophoblastic Disease. Dis na sɔntin we wi nɔ go ebul fɔ kɔntrol.

Risk factors fɔ divɛlɔp GTD

Pan ɔl we Gestational Trophoblastic Disease na wan sik we nɔ kin apin so ɔltɛm, sɔm tin dɛn de we yu nɔ kin ebul fɔ kɔntrol we kin mek yu gɛt mɔ prɔblɛm. Dɛn tin ya na:

• Yu ej. Pipul wae dɔn pas 35 ia ɛn wae nɔr rich 20 ia kin gɛt smɔl risk fɔ gɛt GTD.
• If yu bin dɔn gɛt mɔlar bɛlɛ bifo .
• If sɔmbɔdi na di famili dɔn gɛt mɔlar bɛlɛ, dat min se di famili istri de insay.

So, wetin na di tin dɛn we wi nid fɔ mɛmba frɔm ɔl dɛn tin ya?

We yu kam fɔ no se yu gɛt Gestational Trophoblastic Disease (GTD), i nɔmal fɔ mek yu fil fred, wɔri, ɛn sɔri. I kin tranga bak fɔ bia wit di lɔs we yu gɛt bɛlɛ ɛn fɔ gɛt dis kayn kɔmpleks diagnosis di sem tɛm.

Bɔt mɛmba se yu dɔktɔ go du difrɛn tɛst dɛn, ɔndastand di rayt sik we yu gɛt, ɛn disayd di tritmɛnt we fit yu pas ɔl. Di impɔtant tin na dat, bɔku tɛm, `GTD` na wan sik we dɛn kin trit. Yu chans fɔ gɛt bɛlɛ bak (if yu want) bak rili fayn.

Aks sɔpɔt frɔm yu famili, padi dɛn, ɛn dɔktɔ dɛn insay dis tranga tɛm. Ɛn nɔ ol ɛnitin, ɛn nɔ fred fɔ aks kwɛstyɔn. Nɔto yu wan de, wi ɔl de wit yu.

` jεstεshכnal trofoblastik sik, GTD, molar bεlε, uterin kεnsar, plasεnta, choriocarcinoma, bεlε komplikashכn dεm