Olubuto olutali lwa bulijjo? Ka twogere ku Lubuto luno oluyitibwa Partial Molar Pregnancy

Bw’oba ​​maama, kye kiseera ekisinga okulabika obulungi mu bulamu bwo. Naye oluusi ebizibu n’ebizibu ebiyinza okubaawo bye tutasuubira. Kizibu okuteeka mu bigambo okutya, okweraliikirira, n’ennaku bye tuwulira mu biseera ng’ebyo. Leero tugenda kwogera ku mulamwa ogukaluba katono, naye tusaana okugumanya. Eyo mbeera eyitibwa Partial Molar Pregnancy. Oyinza n’okuwulira erinnya lino. Naye kikulu nnyo okukimanya ku kino. Ntegedde engeri gye kiri eky’ennaku okulaba ekintu nga kino, kale ka twogere ku kino mpola mpola, mu ngeri ennyangu, era mu ngeri buli omu gy’ategeera.

Mu ngeri ennyangu, Partial Molar Pregnancy kye ki?

Partial Molar Pregnancy kizibu ekiva mu lubuto. Okusingira ddala, kibaawo olw’ensobi y’obuzaale ebaawo mu kiseera ky’okuzaala, kwe kugamba, eggi lya maama bwe lisisinkana ensigo ya taata.

Teebereza, mu lubuto olwa bulijjo olulamu, eggi eririna chromosomes 23 okuva ku maama lyegatta n’ensigo erimu chromosomes 23 okuva ku taata. Embuto evuddemu erina omugatte gwa chromosomes 46. Eno ye nkola entuufu ey’obuzaale eri omwana omulamu obulungi.

Naye mu Partial Molar Pregnancy, ekintu eky’enjawulo kibaawo. Wano, eggi erimu okuva mu maama lizalirizibwa ensigo bbiri okuva mu taata. Kiki ekibaawo olwo? Maama alina chromosomes 23, ate ensigo ebbiri okuva ku taata ziba 23 + 23 = 46. Bwe zigattibwa wamu, ziba chromosomes 69 . Kino kisinga nnyo omuwendo ogwa bulijjo. Ekintu kino eky’obuzaale eky’enjawulo bwe kigattibwako, tekigenda mu maaso ng’olubuto olulamu.

Mu mbeera eno, omwana ali mu lubuto n’enkwaso biyinza okutandika okukula. Naye tewali n’emu ekula bulungi. Mu kifo ky’ekyo, ebitundu bingi ebitali bya bulijjo, ng’ekibinja ky’emizabbibu , bitandika okutondebwa munda mu nnabaana, ng’ensawo ejjudde amazzi. Olw’enkula eno etali ya bulijjo, omwana ali mu lubuto tasobola kuwangaala. Ebiseera ebisinga, olubuto ng’olwo luggwa mu kuggyamu olubuto mu myezi egisooka.

Embeera eno eyitibwa Molar Pregnancy eri mu kibinja ky’endwadde eziyitibwa Gestational Trophoblastic Disease (GTD). Eno mbeera ereetera ebizimba ebitali bya bulijjo okukula mu nnabaana. Era eyitibwa Hydatidiform Moles. Partial Molar Pregnancy kye kimu ku byo. Eno mbeera ya bbula nnyo. Ku kigero, embeera eno etegeezebwa mu lubuto nga emu ku buli 1200.

Bubonero ki obulaga embeera eno?

Ebiseera ebisinga, obubonero bw’embeera eno buyinza okufaananako n’obw’olubuto olwa bulijjo. Kyokka, waliwo enjawulo ezimu. Ka tulabe obubonero obukulu obuyinza okulabibwa.

Okuva obubonero buno bwe buyinza n’okubeerawo mu mbeera endala, bw’oba ​​oli lubuto era ng’olina obubonero buno bwonna, kikulu nnyo okulaba omusawo amangu ddala okwekebejjebwa.

Waliwo ebintu ebitongole ebiyinza okuvaako embeera eno?

Nga bwe kyayogeddwako emabegako, guno si musango gwa muntu. Kiba kya butanwa mu buzaale. Kyokka, ensonga ezimu ziyinza okwongera katono ku bulabe bw’embeera eno.

• Emyaka: Obulabe buno busingako katono ku bawala abato abali wansi w’emyaka 15 n’abakyala abasukka mu myaka 40.
• Okubeera n’olubuto lw’amabwa olw’emabega: Bw’oba ​​obadde n’olubuto olusooka, obulabe bwo obw’okufuna olulala buba nga 1% - 2% okusinga abantu bonna.
• Okuba nga wavaamu embuto emirundi mingi emabega: Obulabe buyinza okuba obusingako katono singa oba ovuddemu embuto bbiri oba okusingawo.

Abasawo kino bakizuula batya n’okukijjanjaba?

Bw’ogenda ew’omusawo ng’olina obubonero bwe wayogeddeko emabegako, ajja kukukebera n’okukeberebwa emirundi egiwerako bw’aba ateebereza embeera eno.

Engeri y'okuzuulamu obulwadde buno

1. Ultrasound Scan: Kino kye kigezo ekisinga obukulu. Bw’olaba ku sikaani, omwana ali mu lubuto ayinza okuba nga abuze, oba omwana ayinza okulabika ng’omutono ennyo okusinga bw’ali okumala wiiki z’amaze ng’akula. Enseke nayo eyinza okulabika ng’etali ya bulijjo, ng’erina ensawo nnyingi ezijjudde amazzi.

2. Okukebera obusimu bwa HCG: Bakuggyibwako omusaayi ne bakeberebwa omutindo gw’obusimu obuyitibwa HCG (Human Chorionic Gonadotropin). Mu mbeera eno, omuwendo gwa HCG guba waggulu mu ngeri etaali ya bulijjo okusinga mu lubuto olwa bulijjo.

Oluvannyuma lw’okukeberebwa kuno okubiri, omusawo ajja kusobola okukakasa embeera eno.

Engeri y'okujjanjaba

Okuva olubuto olw’ekika kino bwe lutasobola kugenda mu maaso, ebitundu ebitali bya bulijjo ebiri munda mu nnabaana birina okuggyibwawo ddala. Obujjanjabi obusinga ku kino kwe kulongoosa okuyitibwa D&C (Dilation and Curettage) .

Ekiseera ekisinga obukulu kitandika oluvannyuma lw’okulongoosebwa kuno. Omusawo ajja kukusaba ojje ku ssaawa z’okugoberera.

Kiki ekibaawo mu kiseera ky’okugoberera?

Oluvannyuma lwa D&C, kikulu okukebera oba waliwo ebitundu ebitali bya bulijjo ebisigadde mu nnabaana. Engeri esinga okukola kino kwe kwongera okulondoola emiwendo gy’obusimu bwa HCG.

• Ojja kwetaaga okwekebeza omusaayi buli wiiki oba buli mwezi.
• Oluvannyuma lw’okukola obulungi D&C, emiwendo gya HCG girina okukendeera mpolampola n’okudda ku miwendo gya bulijjo (egitali lubuto) mu myezi mitono.
• Mazima ddala olina okwewala okuddamu okufuna olubuto okutuusa nga HCG level ezzeeyo mu mbeera eya bulijjo era omusawo n’akugamba. Ensonga lwaki kino kiri bwekityo eri nti singa ofuna olubuto mu kiseera kino, HCG level yo ejja kuddamu okulinnya. Olwo kijja kuba tekisoboka kumanya oba okulinnya kuva ku lubuto olupya oba ebitundu ebikadde ebiddamu okukula.
• Kino kitera okulabibwa okumala ebbanga eri wakati w’emyezi 6 n’omwaka gumu.

Waliwo ebizibu ebirala ebiyinza okuva mu kino?

Ebiseera ebisinga, D&C n’okugoberera obulungi bivaamu okuwona ddala. Kyokka, si bulijjo nnyo, ebizibu biyinza okubaawo.

Ekizibu ekikulu kye mbeera eyitibwa Persistent Gestational Trophoblastic Neoplasia (GTN) . Mu ngeri ennyangu, ebimu ku bitundu ebitali bya bulijjo bisigala mu nnabaana oluvannyuma lwa D&C ne byeyongera okukula. Singa omutindo gwa hCG tegukendeera nga bwe kyali kisuubirwa, omusawo ajja kuteebereza embeera eno. Kino tekitera nnyo kukula ne kifuuka embeera ya kookolo (choriocarcinoma).

Kisoboka okuddamu okuzaala omwana oluvannyuma lw’ekintu nga kino okubaawo?

Kino kye kibuuzo n’essuubi erisinga obunene eri buli muntu ayolekedde obumanyirivu obw’ekika kino.

Eky'okuddamu kiri nti, "Yee, mazima ddala kisobola".

Oluvannyuma lw’okujjanjabwa olubuto olw’ekitundu ky’amanyo era ng’ekiseera ky’okugoberera kiwedde, omusawo ajja kukukkiriza okuddamu okufuna olubuto. Abantu abasinga abafuna embuto oluvannyuma lw’ekyo bafuna omwana omulamu obulungi nga talina buzibu bwonna.

Naye jjukira nti olw’okuba kino kibaddewo emabegako, kikulu okwogera n’omusawo ku lubuto lwo oluddako n’oteekateeka okusinziira ku lubuto lwo. Obulabe bwa kino okuddamu okubaawo mu lubuto lwo oluddako butono nnyo (nga 1-2%). Wabula omusawo ajja kukulondoola nnyo mu kiseera ky’olubuto lwo oluddako.

Okufiirwa olubuto nga luno kiba kiwuniikiriza kinene. Weewe obudde okukola ku nnaku. Yogerako n’omwami wo n’ab’omu maka go ku nsonga eno. Noonya okubudaabudibwa kw’abakugu bwe kiba kyetaagisa. Obulamu bw’obwongo kikulu nnyo ng’obulamu bw’omubiri.