Na molar bɛlɛ? (Molar Pregnancy) Lɛ wi tɔk bɔt dis ditayli!

Yu dɔn ɛva yɛri bɔt di wɔd ‘Molar Pregnancy’? Dis kin bi nyu tin to yu. Bɔt dis na tin we kin rili mek bɔku pipul dɛn at pwɛl ɛn rigrɛt, mɔ di wan dɛn we de op fɔ bi mama. Bɔt if dɛn tɛl yu fayn fayn wan, yu kin stɔp di bad tin dɛn we dis kin du ɛn yu kin gɛt wɛlbɔdi tumara bambay. So, mek wi tok abaut dis tide fo simpul we we yu go andastan, okay?

Wetin na dis ‘molar pregnancy’?

Fɔ tɔk am simpul wan, molar bɛlɛ na wan kɔndishɔn we kin apin we di eg ɛn di swɛlin mit, ɔ fεtilayz, bikɔs ɔf mistek. insted fכ di pikin we gεt hεlty fכ divεlכp lεk nכmal bεlε, wan gכt we nכ de kεnsar de divεlכp insay di uterus. Dis growth luk lɛk wan bɔnch smɔl smɔl sak dɛn we gɛt wata, lɛk wan bɔnch greps.

כnכfכs, dis kayn tכmכro nכ kin sכpכt di pikin we de gro, dat min se i nכ kin gi pikin tin fכ it. So, dis bεlε nכ go bi saksesful, dat min se i kin εnd wit miskεri. Sɔntɛnde, if dis kayn bɛlɛ nɔ apin, dɛn go gɛt fɔ du ɔpreshɔn fɔ pul dis tisu. If dɛn nɔ trit dis, siriɔs prɔblɛm kin apin.

Molar Pregnancy na wan kכndyushכn we dεn kכl Gestational Trophoblastic Disease (GTD). GTD na wan grup fכ sik dεm we de mek tכmכro dεm fכm insay di uterus. di Molar Pregnancy dεn kכl am bak Hydatidiform Mole.

tu men kayn bεlε na di molar:

Wi kin sheb dis tin to tu men pat:

1. Komplit Molar Bεlε

insay dis kayn we, nכ εmbrayo nכ de divεlכp. dis kin apin we di sεl sεl de fכm wit εmpti eg, we nכ gεt jεnεtik mεtirial. Bikɔs di eg ɛmti, di embryo nɔ kin ebul fɔ divɛlɔp. כltu, di plasεnta tisu dεm de divεlכp. bכt i nכ de divεlכp nכmal wan, bכt abnכmal wan, lεk sist dεm we fulכp wit wata. dis tisu de mek wan bεlε כmon we dεn kכl `HCG` (Human Chorionic Gonadotropin). Bikɔs na di plasɛnta de mek dis ɔmon we yu gɛt bɛlɛ we gɛt wɛlbɔdi, yu kin fil se yu gɛt bɛlɛ ɛn yu kin gɛt fayn rizɔlt we yu du tɛst fɔ no if yu gɛt bɛlɛ na os. Bɔt fɔ tru, pikin nɔ de.

2. Pat pan di Molar Pregnancy

insay pat pan di molar bεlε, wan abnכmal plasεnta εn wan εmbrayo de divεlכp tכgeda. dis kin apin we tu sεl dεm we di sεl dεm de fכm wit wan eg. afta dat di εmbrayo we de kכmכt de gεt εkstra sεt fכ kromozom dεm. ivin if di εmbrayo bigin fכ divεlכp, bכku tεm i nכ kin ebul fכ liv.

Udat kin gɛt mɔl bɛlɛ?

Pan ɔl we dis nɔ kin apin so ɔltɛm, i kin apin to ɛnibɔdi. Bɔt sɔm pipul dɛn kin gɛt prɔblɛm smɔl. Dɛn tin ya na:

• Yɔŋ pipul dɛn we nɔ rich 20 ia yet.
• Pipul dɛn we dɔn pas 40 ia.
• Di wan dɛn we dɔn gɛt mɔlar bɛlɛ bifo.
• Di wan dɛn we dɔn gɛt tu ɔ mɔ bɛlɛ.
• Pipul dɛm we kɔmɔt na Eshia (dis stil de na di risach stej, bɔt sɔm stɔdi dɔn sho am).

Aw kכmכn na ‘molar bεlε’?

Dis na rili tin we nɔ kin apin so ɔltɛm. Molar bεlε de apin insay less dan 1% pan כl di bεlε dεm (dat na lεk 1 pan 1000 bεlε dεm). So, dis nɔto sɔntin we kin apin to ɔlman.

we uman bεlε na di molar kin mek i gεt nכmal bεlε?

I rili sɔri, bɔt we uman gɛt bɛlɛ na di molar kin dɔn ɔltɛm wit miskɛri. Dat min se dɛn nɔ bɔn pikin.

Yu go fil bad ɛn fil bad we yu yɛri dis. Dat na nɔmal tin. Bɔt mɛmba se dis nɔto yu fɔlt.

Wetin na di sayn dɛm fɔ ‘molar pregnancy’?

Sɔm pipul nɔr kin gɛt ɛni sayn. Bɔt di wan dɛn we gɛt dis sik kin gɛt wan ɔ mɔ pan dɛn tin ya:

• blɔd we de kɔmɔt na di vagina na di sayn we kin apin mɔs insay di fɔs tri mɔnt we di bɛlɛ de.
• Sivεr nכs εn vכmit - sכmtεm i pas nכmal bεlε.
• sכm sכm sist dεm (cyst dεm) we lεk grep sid dεm de kכmכt frכm di vagina.
• Preeclampsia (high blood pressure) na wan sik we kin apin ali we uman bεlε.
• abnכmal hכy lεvεl dεm fכ di כmon `HCG` (dεn kin no dis tru mεdikal tεst dεm).
• di bכdi de swεla - bikoz di uterus de gro big pas aw dεn bin de εkspεkt.
• Anemia - kin bi bikɔs ɔf di blɔd we de lɔs.

Bikɔs dɛn kin si dɛn sik ya bak pan ɔda tin dɛn, i bɛtɛ fɔ go to dɔktɔ wantɛm wantɛm if yu gɛt ɛnitin we nɔ kɔmɔn lɛk dis.

Wetin kin mek dis ‘molar pregnancy’?

di men tin we kin mek di mכla bεlε na di jεnεtik mistek dεm we kin apin we di eg fεtilayz bay sεl. Imajin se we uman bεlε nכmal, di pikin de gεt 23 kromozom dεm frכm di mama εn 23 frכm di papa, we de mek wan totכl 46 kromozom dεm. dis kromozom dεm na di strכkchכ dεm we gεt wi jin dεm. Di jin dɛn de sho aw wi bɔdi fɔ wok.

insay molar bεlε, i nכ balans insay dεn kromozom dεm ya.

• insay komplit molar bεlε , di eg nכ gεt kromozom dεm. di εmbrayo de gεt 23 kromozom dεm frכm di sεl dεm nכmכ (sכmtεm dεn dכbl bay wan sεl dεm כ tu sεl dεm fεtilayz wan εmpti eg).
• Pat pan di Molar PregnancyInsay wan kes, tu sperm dɛn kin mek wan eg fɛtilayz. afta dat di εmbrayo de gεt 69 kromozom dεm (23+23+23).

dis jεnεtik difεkt na di rizin we mek di bεlε nכ de kכmכt. I impɔtant fɔ mɛmba se dis nɔto sɔntin we yu du, na ɔda tin.

Aw dɛn kin no se pɔsin gɛt bɛlɛ we dɛn kɔl molar?

di dכkta dεm kin no dis we dεn de du tεst bifo di bεlε ali we uman bεlε, spεshal wan insay di fכs trimεst.

• we dεn du כltra saund skan fכ di uterus, i kin sho sak dεm we fulכp wit wata insted fכ sho wan plasεnta. bכku tεm, nכ εmbrayo כ pikin we de insay di uterus nכ de si. Bɔt sɔm tɛm dɛn kin gɛt sɔm tisu dɛn we kin lɛf we uman gɛt bɛlɛ.
• yu kin no am bak bay we yu mכsu di lεvεl fכ di כmon `HCG` na yu bכdi. `HCG` na wan hεlty plasεnta de mek am we uman bεlε. Dɛn kin yuz dis ɔmon bak fɔ chɛk if uman gɛt bɛlɛ wit tɛst fɔ urine na os. insay `molar pregnancy`, di `HCG` lεvεl de abnכmal hכy. bכdi tεst kin no dis hכy lεvεl εn sכspεkt se `molar bεlε` kin dכn apin.

Sɔm pipul nɔr kin gɛt ɛni sayn, so e kin shok fɔ yɛri dis diagnosis. Dat na tin we rili kɔmɔn. Bɔt, yu nɔ nid fɔ tek rispɔnsibiliti fɔ dis, nɔto yu fɔlt. Bɔku tɛm, yu kin gɛt bɛlɛ we gɛt wɛlbɔdi if yu tray bak.

Aw dɛn kin trit di bɛlɛ we pɔsin gɛt we i gɛt molar?

di molar bεlε fכ pul di bכdi, כdasay siriכs kכmplikεshכn kin apin.

Bɔku tɛm, dis kin nid fɔ gɛt ɔpreshɔn.

• Di tritmɛnt we dɛn kin yuz mɔ na D&C (Dilation and Curettage). dis involv fכ opin di sεviks εn yuz sכkshכn fכ pul εni abnכmal tisu frכm di uterus. Dɛn go gi yu jenɛral anestezi so dat yu nɔ go fil ɛni pen we dɛn de du dis.

Sɔntɛnde, bifo dɛn du ɔpreshɔn, dɛn kin yuz mɛrɛsin fɔ kɔntrakt di uterus ɛn pul di tin dɛn we de insay. Bɔt i impɔtant fɔ tɔk to yu dɔktɔ bɔt di bɛst tritmɛnt we yu go yuz, bikɔs i nid fɔ gɛt tritmɛnt kwik kwik wan fɔ mek yu nɔ gɛt prɔblɛm dɛn.

Insay di kes dɛm we nɔ kin apin so ɔltɛm, i kin nid fɔ pul di bɛlɛ.

Afta tritmɛnt, yu dɔktɔ go wach yu HCG ɔmon lɛvɛl te i kam bak to nɔmal. dis na fכ mek sכh se dεn dכn pul כl di molar tisu kכmplit wan. If yu HCG lɛvɛl nɔ kam bak to nɔmal, i kin sho se mɔ siriɔs prɔblɛm dɛn de.

Wetin na di prɔblɛm dɛn we kin apin we pɔsin gɛt bɛlɛ na di mɔla?

sכmtεm, afta dεn כpεrayshכn כ we di bεlε kכmכt, pat dεm pan di molar bεlε kin de insay di uterus.

• if dis apin, di sεl dεm we nכ nכmal kin gro insay di mכsul layεr we de rawnd di uterus. Dɛn kɔl dis ‘invasive mol’ . dis nכ kin apin sכmtεm, i kin apin pan less dan 15% pan di pipul dεm we dεn bin dכn pul wan molar bεlε.
• Na sכm tεm dεm, we uman bεlε na di molar kin mek i gεt wan kayn kansa we dεn kכl choriocarcinoma . dis kansa de stat na di uterus εn i kin spre to כda pat dεm na di bכdi. If na so i bi, dɛn nid fɔ gɛt tritmɛnt fɔ kansa lɛk kemotɛrapi ɔ redyushɔn.

Ɔda prɔblɛm dɛn we kin apin na:

• Jɛm dɛn we de kam insay di blɔd (Sepsis) .
• Infεkshכn na di uterin
• Preeclampsia (di blɔd prɛshɔn we rili ay) .
• Shok (blɔd prɛshɔn we rili smɔl) .

Dɛn tin ya kin tan lɛk se yu de mek yu fred, bɔt bɔku tɛm dɛn kin ebul fɔ avɔyd dɛn prɔblɛm ya if dɛn tek tritmɛnt kwik kwik wan.

Yu tink se dɛn kin mek yu nɔ gɛt Molar Pregnancy?

כnכfכs, no we nכ de fכ mek di molar bεlε, biכs na di jεnεtik dεfεkt de kכz am.

Bɔt if yu dɔn gɛt bɛlɛ na yu mɔla bifo, yu kin ridyus di prɔblɛm dɛn we kin apin bay we yu nɔ gɛt bɛlɛ igen fɔ lɛk wan ia afta di fɔs mɔl bɛlɛ. Tɔk to yu dɔktɔ bɔt di tɛm we sef fɔ mek yu tray fɔ bɔn pikin bak.

Wetin na di fiuja fɔ pɔsin we dɔn gɛt mɔl bɛlɛ?

Bɔrku pipul dɛm wae dɔn gɛt molar bɛlɛ nɔ kin gɛt ɛni ɔda prɔblɛm. If yu gɛt mɔlar bɛlɛ, dat nɔ de mek yu gɛt mɔ chans fɔ gɛt ɔda bɛlɛ. כltu, i rili sכm risk fכ gεt molar bεlε di sεkכn tεm.

Sɔm pipul dɛn kin si se i fayn fɔ gɛt kɔyl fɔ dɛn jɛnɛtiks bifo dɛn tray fɔ gɛt bɛlɛ bak. Bɔt we yu gɛt mɔlar bɛlɛ nɔ min se yu fɔ stɔp fɔ tray fɔ bɔn pikin bak.

Yu tink se di bɛlɛ we yu gɛt wit di mɔlar kin mek yu nɔ ebul fɔ bɔn pikin?

Nɔ, dis nɔ go mek i nɔ ebul fɔ bɔn pikin. Bɔt i bɛtɛ fɔ wet fɔ at le tri mɔnt afta dɛn dɔn trit yu fɔ mek yu nɔ gɛt bɛlɛ igen. insay da tεm de, di HCG כmon lεvεl dεm go kam bak to di lεvεl dεm bifo yu bεlε. Aks yu dɔktɔ bɔt di bɛst tɛm fɔ tray fɔ gɛt bɛlɛ bak.

‘Molar pregnancy’ na miskɛri?

Yes, na ‘molar pregnancy’.Bɔku tɛm i kin dɔn we pɔsin nɔ gɛt bɛlɛ igen. I nɔmal fɔ fil bad ɛn fil bad we yu bɛlɛ nɔ bin apin di we aw yu bin de op. Tek tɛm fɔ prosɛs da sɔri-at de. Gɛt ɛp frɔm yu famili, padi dɛn, ɔ grup dɛn we de sɔpɔt pipul dɛn we gɛt bɛlɛ.

Mɛmba se ivin if yu dɔn gɛt mɔlar bɛlɛ bifo, i go mɔs bi se yu go gɛt wɛlbɔdi bɛlɛ tumara bambay.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt bɛlɛ ɛn yu gɛt blɔd we de kɔmɔt na yu vagina, yu gɛt bad bad nɔys ɛn vɔmit, ɔ yu gɛt wata we tan lɛk grep sid, go to yu dɔktɔ wantɛm wantɛm. If yu tɛst ɛn trit yu kwik kwik wan, dat kin ɛp fɔ mek yu nɔ gɛt prɔblɛm dɛn.

We pɔsin gɛt bɛlɛ we i gɛt na in mɔla, i kin rili mek pɔsin fil bad ɛn i kin mek i fil bad. I kin kam bikɔs ɔf di prɔblɛm dɛn we kin apin na di jɛnɛtiks we kin apin we yu de bɔn pikin ɛn we yu nɔ kin ebul fɔ kɔntrol. Na nɔmal tin fɔ gɛt kwɛstyɔn dɛn lɛk, "Wetin bin rɔng?" "A de fred bɔt di bɛlɛ we a go gɛt tumara bambay." Tɔk to yu dɔktɔ bɔt aw yu de fil, aw yu de fred, ɛn aw yu de aks kwɛstyɔn dɛn. Gɛt sɔpɔt frɔm yu famili ɛn padi dɛn insay dis tɛm. Bɔrku pipul kin go bifo fɔ gɛt wɛl bɔdi bɛlɛ afta dis sik.

Mɛmba di tin we impɔtant pas ɔl (Take-Home Message) .

• ‘molar pregnancy’ na di jεnεtik difεkt we de apin we di eg εn di sεl de fכm, we de mek di tisu we nכ de gro na di uterus. Dis nɔto yu fɔlt.
• Tu men kayn dɛn de: Kɔmplit ɛn Pat. pan ɔl tu di kes dɛm, bɛlɛ we go wok fayn nɔ kin apin.
• Di sayn dɛm kin bi we yu de blɔd na yu vagina, yu de vɔmit pasmak, ɛn yu go gɛt wata we tan lɛk grep.
• Dɛn kin no am wit ɔltra saund ɛn HCG blɔd tɛst.
• D&C na di men tritmɛnt. I impɔtant fɔ gɛt tritmɛnt kwik kwik wan.
• Afta tritmɛnt, dɛn kin wach di HCG lɛvɛl te i kam bak to nɔmal.
• Dis nɔ go mek yu nɔ ebul fɔ bɔn pikin, bɔt go to dɔktɔ bifo yu tray fɔ gɛt bɛlɛ bak.
• Pan ɔl we dis na sɔri tin, bɔku pipul dɛn kin go bifo fɔ gɛt bɛlɛ we gɛt wɛlbɔdi. Nɔto yu wan, gɛt di sɔpɔt we yu nid.

A op se dis infɔmeshɔn go ɛp yu. If yu gɛt ɛni ɔda kwɛstyɔn, nɔ shek fɔ aks yu dɔktɔ.

` Molar Bεlε, Bεlε, Uman in Wεlth, Miskεri, HCG, D&C, Jεnεtik Difεkt