I at fɔ tɔk bɔt di gladi at we yu kin fil we yu kam fɔ no se yu gɛt bɛlɛ, nɔto so? Bɔt sɔntɛnde, tin nɔ kin go lɛk aw dɛn bin dɔn plan. Imajin, insted fo pikin we get hεlth, sכmtin we strenj, lεk bכnch greps, de gro na yu uterus. Dis na rili bad tin ɛn i nɔ izi fɔ imajin. Insay mɛrɛsin, wi kin kɔl dis sik we dɛn kɔl molar pregnancy . Nɔ fred we yu yɛri dis nem. Tide, wi go jɔs tɔk bɔt wetin mek dis kin apin, wetin i min, ɛn wetin fɔ du bɔt am.
Fɔ tɔk am simpul wan, wetin na molar bɛlɛ?
molar bεlε na, fכ simpul wan, kכndyushכn we de apin ali insay di bεlε, we di eg εn di sεl dεm mit (fεtilayzεshכn). insted fכ di εmbrayo εn di plasεnta we gεt hεlth, bכku abnכmal, nכn kansa tisu dεm de gro insay di uterus. Dis tisu tan lɛk smɔl smɔl bɔbul dɛn we ful-ɔp wit wata. Na dat mek i tan lɛk bɔnch greps we i kɔmɔt.
di mכst imכtant, dis abnכmal mas fכ tisu nכ kin divεlכp to hεlty pikin, so we di molar bεlε kin εnd כltεm wit miskεriכshכn כ mεdikal rεmoval.
dis kכndyushכn de pan di mεdikal kεtכgrεf we dεn kכl Gestational Trophoblastic Disease (GTD) . Dɛn kin kɔl am bak Hydatidiform Mole .
tu men kayn bεlε dεm de fכ mכla:
di mכla bεlε dεm dεn sheb to tu men tכp dεm dipכnt pan aw dis jεnεtik difεkt de apin.
- Komplit Molar Bεlε: dis kin apin we di sεl fεtilayz εmpti eg we nכ gεt jεnεtik infכmeshכn (kromozom dεm). Bikɔs di eg ɛmti, no embryo nɔ de divɛlɔp. כltu, di tisu we de asai wit di plasεnta de divεlכp abnכmal wan εn i de lεk wan bכnch greps. dis tisu de mek di bεlε כmon, HCG (Human Chorionic Gonadotropin) , we kin mek yu fil lεk yu bεlε. We dɛn du bɛlɛ tɛst bak, i kin bi se i gɛt di sik.
- Pat pan di Molar Pregnancy: dis kin apin we tu sεl dεm fεtilayz wan nכmal eg. dis kin mek di εmbrayo gεt abnכmal nכmba fכ di kromozom dεm εn wan abnכmal plasεnta. pan ɔl we dis εmbrayo kin bigin fɔ gro smɔl, i nɔ kin ebul fɔ liv.
Udat de pan denja pas ɔl fɔ gɛt dis sik?
Molar bɛlɛ nɔ kin apin so ɔltɛm. I kin apin pan lɛk wan pan ɛvri 1,000 bɛlɛ dɛn. Bɔt i kin apin to ɛnibɔdi. Bɔt sɔm pipul dɛn kin gɛt prɔblɛm smɔl.
- Fɔ yɔŋ pipul dɛn we nɔ rich 20 ia yet.
- Fɔ di wan dɛn we dɔn pas 40 ia.
- Fɔ di wan dɛn we dɔn gɛt molar bɛlɛ bifo.
- Fɔ di wan dɛn we dɔn gɛt tu ɔ mɔ bɛlɛ bifo.
- Fɔ pipul dɛn we kɔmɔt na Eshia.
Wetin na di sayn dɛm we de sho se pɔsin gɛt bɛlɛ we i gɛt mɔla?
Sɔmtɛm dis sik kin de witout ɛni sayn, bɔt bɔrku pipul dɛn go gɛt wan ɔr mɔr pan dɛn sayn ya:
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Blɔd we de kɔmɔt na di vagina | Blɔd we kin apin insay di fɔs tri mɔnt we di bɛlɛ de. |
| Siriɔs nɔs ɛn vɔmit | Mɔ nɔs ɛn vɔmit pas aw i kin bi we uman gɛt bɛlɛ. |
| Dischaj we tan lɛk grep | Smɔl bɔbul dɛn lɛk greps we de kɔmɔt na di vagina. |
| Di ay blɔd prɛshɔn | di hεy blכd prεshכn we uman bεlε kwik (Preeclampsia). |
| Abnɔmal HCG lɛvɛl dɛn | di lεvεl fכ di HCG כmon na di bכdi rili hכy we yu kכmpεr am wit di tεm we di bεlε de. |
| Di bɛlɛ we de swel | di bכdi de big kwik kwik wan pas we uman bεlε. |
Dɛn sayn ya kin apin bak pan ɔda tin dɛm, so if yu gɛt bɛlɛ ɛn yu gɛt ɛni wan pan dɛn sik ya, .Si yu dɔktɔ wantɛm wantɛm.
Aw dɛn kin no bɔt dis ɛn trit am?
If yu gɛt di sayn dɛm we wi dɔn tɔk bɔt ɔ if yu dɔktɔ sɔprayz se sɔntin nɔ rayt we dɛn de du ɛgzam ɔltɛm, dɛn tɛst ya go kɔnfirm di sik.
- כltra saund Skan: if dεn skan di uterus sho wan bכnch tisu we lεk bכnch greps insted fכ hεlty pikin εn plasεnta, i kin sho se di mכla bεlε.
- HCG blɔd tɛst: Dis de tɛst di lɛvɛl we di ɔmon HCG de na di blɔd. dis lεvεl de abnכmal hכy insay wan molar bεlε.
Dis nɔto bikɔs ɔf ɛni fɔlt we yu gɛt, it, drink, ɔ ɛnitin we yu du. dis na difεkt we de apin na di jεnεtiks we de apin kכmplit wan we di bεlε bigin. So nɔ blem yusɛf fɔ we yu de tink bɔt dis.
Di we aw dɛn kin trit am
we dεn kכnfכm di molar bεlε, dεn fכ pul כl di abnכmal tisu dεm na di uterus. If nɔto dat, siriɔs prɔblɛm dɛn kin apin. Dis kin bi mɔ tru wan D&C prosidur .
- D&C (Dilation and Curettage): Dis na jɔs ɔpreshɔn fɔ klin di uterus. Dɛn kin du am we yu de ɔnda anestezi (put to slip), so yu nɔ go fil ɛni pen. dis prosidur de pul eni abnכmal tisu na di uterus.
- mɛrɛsin: Sɔntɛnde, dɛn kin gi mɛrɛsin fɔ mek di uterus kɔntrakt ɛn pul dis tisu.
- Hysterectomy: Dɛn nɔ kin du dis. Yu dɔktɔ go tɔk bɔt dis wit yu if ɔda prɔblɛm dɛn de ɔ if yu nɔ want mɔ pikin dɛn.
Afta tritmɛnt, yu dɔktɔ go tɛst yu blɔd fɔ sɔm wik ɔ mɔnt te yu HCG ɔmon lɛvɛl kam bak to nɔmal (ziro). I rili impɔtant fɔ mek dɛn du dɛn tɛst ya kɔrɛkt wan. Dis na fɔ mek shɔ se dɛn dɔn pul ɔl di abnɔmal tisu dɛn na yu bɔdi.
Dis kin mek prɔblɛm dɛn apin?
Bɔrku tɛm, nɔr prɔblɛm nɔr kin de afta D&C, bɔt nɔr kin bɔrku, sɔm kɔmplikɛshɔn kin kam.
- Invasive Mole: sכmtεm, di abnכmal sεl dεm we de rεst afta dεn pul dεm kin gro insay di mכsul layεr na di uterus. Dis nɔ kin apin so ɔltɛm.
- Choriocarcinoma: Dis na kansa we nɔ kin apin so ɔltɛm. If di HCG lεvεl de hכy כltεm, dεn kin sכspεkt dis. Bɔt dis na wan kayn kansa we dɛn kin mɛn ɔltogɛda if dɛn trit am .
Na dat mek i rili impɔtant fɔ chɛk di HCG lɛvɛl ɔltɛm afta yu dɔn gɛt tritmɛnt.
I pɔsibul fɔ bɔn pikin we gɛt wɛlbɔdi bak?
Yɛs, yu go mɔs ebul fɔ du am! We yu gɛt bɛlɛ we yu gɛt molar, dat nɔ min se yu nɔ go ebul fɔ bɔn pikin. Di nɛks bɛlɛ we yu go gɛt go mɔs gɛt wɛlbɔdi.
Bɔt yu dɔktɔ go advays yu fɔ wet fɔ sɔm tɛm bifo yu tray fɔ gɛt bɛlɛ bak. Bɔrku tɛm, na lɛk 6 mɔnt to wan ia. Dis na fɔ mek shɔ se yu HCG lɛvɛl dɔn kɔmplit wan drɔp to ziro ɛn de de fɔ sɔm tɛm. if nכto dat, if yu gεt bεlε bak tu kwik, i go tranga fכ no if di HCG lεvεl dεm de go כp biכs fכ di nyu bεlε כ biכs fכ di tisu we rεst frכm di mכla bεlε we bin de bifo.
So, i rili impɔtant fɔ fala wetin yu dɔktɔ tɛl yu fɔ du.
Molar bεlε na tin we kin rili at, pan in bכdi εn filin. We yu lɔs bɛlɛ we yu bin de op fɔ, na sɔntin we rili sɔri. I nɔmal fɔ fil bad, kray, ɛn vɛks. Tɔk to yu man, yu fambul, ɛn yu padi dɛn bɔt dis. Go to dɔktɔ ɔ saykilɔjik advays if nid de.
Mɛsej we dɛn kin kɛr go na os
- molar bεlε na jεnεtik dεfεkt we de apin ali we uman bεlε. Nɔto bikɔs ɔf ɛni fɔlt we una gɛt.
- dis kכndyushכn nכ go divεlכp to hεlty pikin, so i implεnt fכ pul di abnכmal tisu.
- di tritmεnt we dεn kכmכn pas כl na dilayshכn εn kכretεj (D&C).
- Afta tritmɛnt, i rili impɔtant fɔ fala wit blɔd tɛst te di HCG ɔmon lɛvɛl kam bak to nɔmal.
- Afta dis ɛkspiriɛns, yu kin rili gɛt wɛlbɔdi bɛlɛ. Kɔnsul yu dɔktɔ bɔt di rayt tɛm fɔ dat.
- Na nɔmal tin fɔ fil bad bɔt we yu gɛt bɛlɛ. Gɛt di sɔpɔt we yu nid frɔm yu fambul, padi dɛn, ɔ pɔsin we sabi advays yu.
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