Molar pregnancy a ni em? (Molar Pregnancy) Hemi chungchang hi chipchiar takin sawi ila!

‘Molar Pregnancy’ tih thumal hi i hre tawh em? Hei hi i tan chuan thil thar a ni mai thei. Mahse, hei hi mi tam tak, a bik takin nu nih beiseitute tan lungngaihna leh inchhirna thlentu tak tak dinhmun a ni. Mahse, dik taka hriattir i nih chuan hei hian nghawng a neih theih dan tur chu i tihtlem thei a, hmalam hun hrisel tak i hmachhawn thei bawk. Chuvangin, vawiin hian he thu hi i hriatthiam theih tur awlsam takin i sawi dawn nia, a tha em?

He ‘molar pregnancy’ hi eng nge ni?

A awlsam zawngin sawi ila, molar pregnancy hi egg leh sperm inhmachhawn, a nih loh leh fertilized, tihsual avanga lo awm a ni. Naupai pangngai angin nausen hrisel tak a lo thanglian ai chuan nausen pum chhungah cancer ni lo a lo thang lian zawk a ni. He thanlenna hi bawm te tak te, tui ang maia lian, grape chi khat ang mai a ni.

Vanduaithlak takin he tumor chi hian nausen lo thang lian chu a thlawp thei lo va, chu chu naute a chawm thei lo tihna a ni. Chuvangin, he naupai hi a hlawhtling dawn lo, chu chu nau paiah a tawp mai thei tihna a ni. A châng chuan chutiang nau pai chu a awm loh chuan he tissue hi lakchhuah nan operation tih a ngai ang. Hei hi enkawl a nih loh chuan harsatna lian tham a awm thei a ni.

Molar Pregnancy hi Gestational Trophoblastic Disease (GTD) an tih a ni a, a natna hi a ni. GTD hi natna chi khat a ni a, nausen pum chhungah tumor a lo awm a. Molar Pregnancy hi Hydatidiform Mole tia hriat a ni bawk.

Molar pregnancy hi chi hnih a awm a, chungte chu:

He dinhmun hi hmunpui pahnih ah then theih a ni:

1. Molar Pregnancy kimchang

Hetiang chi ah hian embryo engmah a lo thang lian lo. Hei hi sperm cell chu egg hrui hring, genetic material nei lo nen an inzawm khawm hian a thleng thin. Egg chu a hring a nih avangin embryo a lo thang lian thei lo. Mahse, placental tissue chu a lo thang lian ve tho. Mahse a pangngaiin a lo thang lo va, a pangngai lo takin a lo thang lian a, fluid-filled cyst angin a lo thang lian zawk a ni. He tissue hian naupai hormone `HCG` (Human Chorionic Gonadotropin) an tih chu a siam chhuak thin. He hormone hi naupai hrisel takah chuan nausen atanga siam a nih avangin naupai niin i inhria thei a, in lama naupai test-ah result tha tak i hmu thei bawk. Mahse a takah chuan naute a awm lo.

2. Partial Molar Naupai

Partial molar pregnancy-ah chuan placenta pangngai lo leh embryo an lo piang dun a. Hei hi sperm cell pahnih egg pakhat nena an inzawm khawm hian a thleng thin. Chumi hnuah chuan embryo lo chhuak chuan chromosome set dang a dawng leh ta a ni. Embryo chu a lo thanglian tan a nih pawhin a tlangpuiin a dam thei lo.

Tute nge molar pregnancy nei tam zawk?

Hei hi thil awm lo tak ni mahse, tu chungah pawh a thleng thei. Mahse, mi thenkhat chu an hlauhawmna a sang deuh hlek a ni. Chungte chu:

• Thalai kum 20 hnuai lam.
• Kum 40 chunglam mite.
• A hmaa molar pregnancy nei tawhte.
• Nau pai vawi hnih emaw a aia tam emaw nei tawhte.
• Asian hnam chhuak mi (hei hi zirchianna stage-ah a la awm a, mahse zirchianna thenkhatah chuan a lang chiang hle).

‘Molar pregnancy’ hi engtiang chiahin nge a awm?

Hei hi a takah chuan a tlem hle. Molar Pregnancy hi naupai zawng zawng zinga 1% aia tlem loah a thleng thin (chu chu naupai 1000 zinga 1 vel a ni). Chuvangin, hei hi mi zawng zawng chunga thleng tur a ni lo.

Molar pregnancy hian naupai pangngai a thlen thei em?

A lungchhiatthlak hle a, mahse molar pregnancy chu nau paiah a tawp fo thin. Chu chu naute a piang lo tihna a ni.

He thu i hriat hian i lungngai hle ang a, i beidawng hle ang. Chu chu thil pangngai a ni. Mahse, hei hi i sualna a ni lo tih hre reng ang che.

‘Molar pregnancy’ a lan chhuah dan chu engte nge ni?

Mi thenkhat chuan symptoms an nei lo. Mahse, symptom nei ve thote chuan a hnuaia mi pakhat emaw, a aia tam emaw an tawng thei a ni:

• Naupai thla thum chhungin vaginal bleeding hi a langsar ber a ni.
• Nausen natna leh luak chhuak - a chang chuan naupai pangngai aia tam.
• Grape chi ang maia lang cyst te te (cyst) te chu vagina atang hian a chhuak thin.
• Preeclampsia (thisen sang) hi naupai tirh lamah a lo awm thin a, a natna hi a ni.
• Hormone `HCG` level danglam tak (hei hi medical test hmanga hmuhchhuah a ni).
• Abdominal swelling - beisei aia lianin uterus a lo lian vang a ni.
• Anemia - thisen tlakchham vang a ni thei.

Heng symptoms te hi dinhmun dangah pawh hmuh theih a nih avangin hetiang thil danglam tak i tawn chuan doctor pan nghal a tha ber.

Eng thilin nge he ‘molar pregnancy’ hi a thlen?

Molar pregnancy awm chhan ber chu egg chu sperm hmanga fertilized a nih hian genetic errors a awm a ni. Ngaihtuah teh, naupai pangngaiah chuan nausen hian nu hnen atangin chromosome 23 leh pa hnen atangin chromosome 23 a dawng a, chu chu a vaiin chromosome 46 a ni. Heng chromosomes te hi kan genes awmna structure te an ni. Genes hian kan taksa hnathawh dan tur a hril a.

Molar pregnancy-ah chuan heng chromosomes-ah hian inthlauhna a awm thin.

• In a complete molar pregnancy , egg hian chromosome a nei lo. Embryo hian sperm atang chauhvin chromosome 23 a dawng a (sperm pakhat emaw, sperm pahnih emaw hian egg hrui hring fertilize emaw hmangin a let hnih a ni mai thei).
• Partial Molar Naupai laiThil pakhatah chuan egg pakhat chu sperm pahnih hmangin a fertilized a. Chumi hnuah embryo chuan chromosome 69 (23+23+23) a dawng ta a ni.

He genetic defect vang hian naupai a hlawhtlin loh chhan a ni. Hei hi i thil tih a ni lo, thil dang a ni tih hriat reng a pawimawh.

Engtin nge molar pregnancy hi an hriat theih?

Doctor-te chuan naupai tirh lamah nau neih hmaa test an neihnaah an hre tlangpui a, a bik takin first trimester-ah an hmuchhuak ṭhin.

• Uterus ultrasound scan an tih hian placenta ni lovin fluid-filled sacs a lang thei a ni. A tam zawkah chuan nausen pum chhungah embryo emaw fetus emaw hmuh tur a awm lo. Mahse, a chang chuan naupai tissue thenkhat a la awm thei bawk.
• I thisena hormone `HCG` awm zat tehna hmangin a hriat theih bawk. `HCG` hi naupai laiin nausen hrisel tak atanga siam a ni. He hormone hi in lama zun test hmanga naupai leh awm loh enfiah nan pawh hman a ni. `Molar pregnancy` ah chuan `HCG` level hi a pangngai lo takin a sang thin. Thisen test hian he level sang tak hi a hmuchhuak thei a, `molar pregnancy` a awm thei tih rinhlelh theih a ni.

Mi thenkhat chuan symptoms an nei lo a, chuvangin he diagnosis hi hriat hi a mak thei hle. Chu chu a awm fo mai. Mahse, hei hi mawhphurhna i lak a ngai lo, i sualna a ni lo. A tam zawkah chuan i tum leh chuan naupai hrisel tak i nei thei a ni.

Engtin nge molar pregnancy hi enkawl a nih?

Molar pregnancy chu taksa atanga lakchhuah a ngai a, chuti lo chuan harsatna lian tham a awm thei a ni.

A tam zawkah chuan hei hi operation a ngai thin.

• Enkawlna hman tlanglawn ber chu D&C (Dilation and Curettage) a ni. Hei hian serh (cervix) hawn a, suction hmanga nausen pum atanga tissue pangngai lo awm zawng zawng paih chhuah a huam a ni. Hetiang tih lai hian natna engmah i hriat loh nan general anesthesia pek i ni ang.

A \henah chuan zai ai chuan damdawi hmangin nausen pum chu a tikhawlo thei a, a chhunga thil awmte chu paih chhuah theih a ni bawk. Mahse, i doctor nen hian enkawlna tha ber chungchang sawiho a pawimawh a, harsatna awm lo turin enkawl vat a ngai a ni.

A tlem berah chuan hysterectomy a ngai mai thei.

Enkawl zawhah i doctor chuan i HCG hormone level chu a normal leh hma loh chuan a enfiah ang. Hei hi molar tissue zawng zawng chu a chhuak vek tawh tih chian nan a ni. I HCG level chu a pangngaia a lo kir leh loh chuan harsatna lian zawk a awm tih a tilang thei.

Molar pregnancy avanga harsatna awm thei te chu engte nge ni?

A châng chuan operation emaw, nau pai emaw hnuah pawh molar pregnancy hmun ṭhenkhat chu nausen pum chhungah a awm thei bawk.

• Chutiang a nih chuan cell pangngai lote chu nausen pum huap muscle layer-ah an lo thang lian thei a ni. Hei hi ‘invasive mole’ an ti a ni. Hei hi a tlem hle bawk a, molar pregnancy lakchhuah tawh zinga 15% aia tlem loah a thleng thin.
• A tlem berah chuan molar pregnancy hian cancer chi khat choriocarcinoma tih a thlen thei a ni. He cancer hi uterus atanga intan a ni a, taksa peng dangah pawh a darh thei a ni. Chutiang a nih chuan cancer enkawlna chemotherapy emaw radiation emaw a ngai a ni.

Harsatna dang awm thei chu:

• Thisen chhunga hrik lut (Sepsis) .
• Uterine natna a awm
• Preeclampsia (thisen sang lutuk) .
• Shock (thisen sang lutuk) .

Hengte hi hlauhawm tak angin a lang thei a, mahse heng harsatnate hi enkawl vat chuan ven theih a ni fo.

Molar Pregnancy hi a veng thei ang em?

Vanduaithlak takin molar pregnancy hi ven theih a ni lo, genetic defect avanga lo awm a nih avangin.

Mahse, molar pregnancy i lo neih tawh chuan molar pregnancy hmasa ber atanga kum khat vel chhung chu naupai leh tawh lohvin harsatna i neih theihna tur a ti tlem thei a ni. Naute neih leh tumna hun him ber tur chu i doctor nen sawiho rawh.

Molar pregnancy nei tawhte hmalam hun chu eng nge ni?

Molar pregnancy nei tam zawk chuan harsatna dang an nei tawh lo. Molar pregnancy neih hian nau pai leh theihna a tipung lo. Mahse, a vawi hnihna atana molar pregnancy neih theihna chance a tlem hle .

Mi thenkhat chuan naupai leh tum hmaa genetic counselling lak hi a \angkai hle mai thei. Mahse, molar pregnancy neih hi naute neih leh tumna i chawlhsan tur tihna a ni lo.

Molar Pregnancy hian Nau pai theih lohna a thlen em?

Ni lo, hei hian nau pai theih lohna a thlen dawn lo. Amaherawhchu, naupai leh tawh loh nan enkawl hnu thla thum tal nghah a tha. Chutih chhung chuan i HCG hormone level chu naupai hmaa a awm danah a kir leh ang. Naupai leh tumna hun tha ber doctor zawt rawh.

‘Molar pregnancy’ hi nau pai a ni em?

Ni e, ‘molar pregnancy’ a ni.Naupai hlohnaah a tawp fo thin. I naupai kha i beisei angin a lo thleng lo a, lungngai leh beidawnna i neih hi thil pangngai a ni. Chu lungngaihna chu process turin hun hmang rawh. I chhungte, i thiante emaw, naupai tihtlemtu pawlte hnen atangin tanpuina la rawh.

Molar pregnancy i nei tawh a nih pawhin nakin lawkah naupai hrisel tak i neih a rinawm hle tih hre reng ang che.

Engtikah nge Doctor ka hmuh ang?

Naupai i nih a, i vaginal bleeding, nausea leh luak chhuak nasa tak i neih emaw, grape chi ang maia discharge i neih chuan doctor pan nghal tur a ni. Test leh enkawl hmasak hian harsatna a awm loh nan a pui thei a ni.

Molar pregnancy hi thil lungchhiatthlak tak leh lungngaihna thlen thei tak a ni. Fertilization laia genetic problems lo awm leh i thunun theih loh avanga lo awm a ni. "Eng nge dik lo?" "Nakin lawka naupai tur hi ka hlau hle." I doctor hnenah i rilru put hmang te, i hlauhthawnna te, leh i zawhna te sawipui rawh. Hemi chhung hian chhungte leh thiante hnen atangin tanpuina dawng rawh. Mi tam tak chuan he natna an neih hnuah hian naupai hrisel tak an nei zui zel a ni.

Thil pawimawh ber (Take-Home Message) hre reng ang che .

• ‘Molar pregnancy’ chu genetic defect a ni a, chu chu egg leh sperm inzawmkhawm a, chu chuan nausen pum chhunga tissue pangngai lo a lo thang lian a ni. Hei hi i sualna a ni lo.
• A chi hnih a awm a, chungte chu Complete leh Partial te an ni. Heng pahnihah hian naupai hlawhtling tak a awm lo.
• A lan chhuah dan chu vaginal bleeding, luak tam lutuk leh grape ang maia tui chhuak te a ni thei.
• Ultrasound leh HCG thisen test hmangin a hriat theih a ni.
• A D&C hi a enkawlna ber a ni. Enkawlna rang tak neih a pawimawh.
• Enkawl zawhah HCG level chu a pangngaia a lo let leh hma loh chuan enfiah thin a ni.
• Hei hian nau pai theih lohna a thlen dawn lo va, nau pai leh tum hmain damdawi lam thurawn la hmasa phawt ang che.
• Hei hi thil lungchhiatthlak tak ni mah se, mi tam tak chuan naupai hrisel tak neiin an kal zel thei a ni. Nangmah chauh i ni lo, i mamawh support chu hmu rawh.

He thu hi in tan a tangkai ngei ka beisei. Zawhna dang i neih chuan doctor zawt hreh suh.

` Molar Pregnancy, Naupai, Hmeichhe hriselna, Nau pai, HCG, D&C, Genetic Defects