Nu i nih chuan i nunah hun duhawm ber a ni. Mahse a chang chuan kan beisei loh harsatna leh buaina a lo chhuak thei a. Chutiang huna kan hlauhna te, lungkhamna te, leh lungngaihna te chu tawngkam hmanga sawi chhuah a har khawp mai. Vawiin hian thupui kan sawi dawn a, a buaithlak deuh a, mahse kan hriat chian a ngai a ni. Chu chu Partial Molar Pregnancy an tih condition a ni. He hming hi i hre lo pawh a ni thei. Mahse hei hi hriat chian a pawimawh hle. Hetiang thil tawn hi a lungchhiatthlak zia ka hrethiam a, chuvangin he thu hi zawi zawiin, awlsam takin, mi zawng zawngin an hriatthiam theih angin sawi ila.
A awlsam zawngin, Partial Molar Pregnancy chu eng nge ni?
Partial Molar Pregnancy hi naupai laia harsatna awm thei a ni. A bik takin, nau neih laiin genetic error a awm vang a ni a, chu chu nu egg leh pa sperm a inhmachhawn vang a ni.
Naupai hrisel pangngaiah chuan nu atanga chromosome 23 nei egg chu pa atanga chromosome 23 nei sperm nen a inzawm khawm ta ang u. Chuta chhuak embryo hian chromosome 46 a nei a ni. Hei hi naute hrisel tan chuan genetic makeup dik tak a ni.
Mahse Partial Molar Pregnancy-ah chuan thil danglam tak a thleng thin. Hetah hian nu atanga egg pakhat chu pa atanga sperm pahnih hmangin a fertilized a ni. Chuti a nih chuan eng nge thleng? Nu hian chromosome 23 a nei a, pa atanga sperm pahnih chu 23 + 23 = 46 a ni a, an belhkhawm chuan chromosome 69 a awm . Hei hi number pangngai aiin a tam zawk hle. He extra genetic material hi dah belh a nih chuan naupai hrisel angin a kal zel lo.
Hetiang dinhmunah hian nausen leh nausen (placenta) a lo piang tan thei a ni. Mahse, pakhat mah hi a ṭhang ṭha lo. Chu ai chuan, grape hnah ang maia tissue pangngai lo tam tak chu nausen pum chhungah, tuiin a khat bawm ang maiin a lo awm ṭan a ni. Hetianga hmasawnna pangngai lo tak avang hian nausen chu a dam thei lo. A tam zawkah chuan chutiang naupai chu thla hmasa berah nau paiah a tawp thin.
He natna Molar Pregnancy an tih hi natna pawl pakhat Gestational Trophoblastic Disease (GTD) an tih zingah a tel a ni. Hei hi nausen pum chhungah tumor pangngai lo (abnormal tumor) a lo thang lian thin a ni. Hydatidiform Moles an ti bawk. Partial Molar Pregnancy hi chutiang zinga mi a ni. Hei hi thil awm lo tak a ni. A vaiin naupai 1200 zinga pakhat velin he natna hi an nei tih hmuhchhuah a ni.
A pawimawh ber chu, hei hi i sualna a ni lo. Hei hi genetic defect tak a ni. Chuvangin he thilah hian nangmah leh nangmah hi mawhpuh suh.
Hetiang natna lan chhuah dan hi engte nge ni?
Vawi tam tak chu he natna lan chhuah dan hi naupai tirh pangngai nen a inang thei a ni. Mahse, danglamna engemaw zat a awm. Simptom langsar tak tak hmuh theih te hi han thlir ila.
| Symptom a ni | Hrilhfiahna awlsam tak |
|---|---|
| Vaginal bleeding lutuk | Hei hi a symptom ber leh langsar ber a ni. Naupai tih i hriat hnu kar hmasa berah chuan thisen chhuak nasa tak i nei thei a, chu chu a dum emaw, a sen hring emaw a ni thei. |
| Nausen tak tak leh luak chhuak | Naupai pangngai aiin i rilru hahna leh luak chhuak tam zawk i nei thei. Hei hi i taksain hormone HCG (Human Chorionic Gonadotropin) a siam tam zawk vang a ni. |
| Pelvic na emaw pressure emaw a awm | Pum hnuai lam natna nasa tak emaw, pressure emaw ang maiin a lang thei. |
| Fluid-a khat sac ang chi parts rawn chhuak | A châng chuan, kan sawi tak grape hnah ang chi tissue chi hrang hrangte chu vagina aṭangin a chhuak thei ṭhin. |
| Thisen sang (Hypertension) 1.1. | Naupai kar 20 hmasa bera thisen sang a san chuan he natna lan chhuahna a ni thei. |
| Nausen pum a lian rang hle | Naupai chhung zawng hian nausen pum hi beisei aia chak zawkin a inhria thei. |
Heng symptoms te hi thil dang dangah pawh a awm theih avangin, naupai i nih a, heng symptoms te hi i neih chuan doctor pan nghal a, checkup neih a pawimawh hle.
Hetiang dinhmun hi a thlen theihna tur risk factor bik a awm em?
Sawi tawh ang khan hei hi tu emaw sualna a ni lo. Genetic coincidence a ni. Mahse, thil engemaw chuan he natna hi a tipung deuh thei a ni.
- Kum: He hlauhawmna hi hmeichhe naupang kum 15 hnuai lam leh hmeichhia kum 40 chunglam tan a sang deuh hlek a ni.
- Molar pregnancy hmasa tawh: I lo nei tawh a nih chuan, a dang neih theihna chance chu mipui zawng zawng aiin 1% - 2% velin a sang zawk.
- A hmaa nau pai vawi tam tak neih tawh: Nau pai vawi hnih emaw a aia tam emaw i neih chuan a hlauhawmna chu a sang deuh thei.
Doctor-te hian engtin nge hei hi an hriatchhuah a, an enkawl?
I sawi tawh ang khan doctor i pan chuan a enfiah ang che a, he natna hi a rinhlelh chuan test eng emaw zat a nei ang.
Natna hriatchhuah dan tur
1. Ultrasound Scan: Hei hi test pawimawh ber a ni. Scan-a en chuan nausen pakhat chu a bo thei a, a nih loh leh nausen chu a lo pian chhuah kar zat aiin a te zawkin a lang thei bawk. Placenta pawh a pangngai lo angin a lang thei a, fluid-filled sac tam tak a awm thei bawk.
2. HCG hormone level test: I thisen sample lak a, HCG (Human Chorionic Gonadotropin) an tih hormone level endik a ni. Hetiang a nih chuan naupai pangngai aiin HCG level chu a danglamin a sang zawk a ni.
Heng test pahnih an neih zawh hnu hian doctor chuan he natna hi a finfiah thei tawh ang.
Enkawl dan tur
Hetiang naupai hi a chhunzawm theih loh avangin nausen pum chhunga tissue pangngai lo chu paih vek a ngai a ni. Hei hi enkawlna ber chu D&C (Dilation and Curettage) tih surgery a ni.
D&C hi hlauh lutuk tur a ni lo. "Cervical washout" tia hriat a ni bawk. Chutah chuan anesthesia pek che te, i serh (cervix) tlemte hawn te, leh i nausen pum chhunga tissue pangngai lo zawng zawng uluk taka paih chhuah theihna tur hmanraw bik hman te a ni.
He surgery hnu hian hun pawimawh ber chu a intan thin. Doctor chuan follow-up visit nei turin a ti ang che.
Follow-up neih chhung hian eng nge thleng?
D&C zawhah hian nausen pum chhungah tissue pangngai lo awm reng reng a awm em tih enfiah a pawimawh. Chutianga tih theih dan tha ber chu HCG hormone level enfiah chhunzawm zel hi a ni.
- Kar tin emaw thla tin emaw thisen test i neih a ngai dawn a ni.
- D&C hlawhtling tak hnuah HCG level hi a tlahniam zauh zauh a, thla engemaw zat chhungin a normal (naupai lo) level-ah a kir leh tur a ni.
- I HCG level a normal leh a, i doctor-in a tih hma loh chuan naupai leh loh tur a ni. A chhan chu chutih laia naupai i nih chuan i HCG level a sang leh dawn a ni. Tichuan, a pung chhan chu naupai thar vang nge, tissue hlui lo thang leh vang tih chu hriat theih a ni tawh lo vang.
- Hei hi thla 6 leh kum khat inkar chhung atan hmuh tur a awm tlangpui.
Hei vang hian harsatna dang a awm thei em?
A tam zawkah chuan D&C leh uluk taka enkawl a nih chuan a dam kim vek a ni. Mahse, a tlem hle a, harsatna a awm thei.
A harsatna ber chu Persistent Gestational Trophoblastic Neoplasia (GTN) tih natna a ni. A awlsam zawngin sawi ila, D&C hnuah pawh tissue pangngai lo thenkhat chu nausen pum chhungah a awm reng a, a lo thang zel a ni. Beisei anga hCG level a tlahniam loh chuan doctor chuan he natna hi a ringhlel ang. Hei hi cancer natna (choriocarcinoma)-ah a lo chang tlem hle.
Mahse, lungngai suh! He GTN condition hi enkawl tha tak leh tihdam theih a ni. Chemotherapy ang chi enkawlna te chu a tan chuan hman a ni. Chuvang chuan doctor-in a sawi angin follow-up a pawimawh hle. A hmaa hriatchhuah a nih chuan a enkawl dan chu a hlawhtling hle.
Hetiang thil a thlen hnu hian naute neih leh theih a ni em?
Hei hi hetiang thil tawn hmachhawn zawng zawngte tana zawhna leh beiseina lian ber a ni.
A chhanna chu, "Ni e, a ti thei ngei ang" tih hi a ni.
Molar pregnancy thenkhat enkawl a nih hnuah leh follow-up period a tawp hnuah i doctor chuan naupai leh turin a phalsak ang che. Chumi hnua naupai tam zawk chuan harsatna nei lovin naute hrisel tak an nei thin.
Mahse hei hi a lo thleng tawh a nih avangin i naupai leh tur chungchang doctor nen inbiakna neih a pawimawh a, chutiang chuan ruahmanna siam a pawimawh hle tih hre reng ang che. I naupai leh hunah pawh hetiang thil hi a thleng leh theihna chance a tlem hle (1-2% vel). Mahse, i naupai leh hunah i doctor chuan uluk zawkin a enkawl ang che.
Hetianga naupai hloh hi thil mak tak a ni. Lungngaihna hmachhawn turin hun pe rawh. Hemi chungchang hi i pasal leh chhungte nen inbia ang che. A tul chuan professional counseling zawng rawh. Rilru hriselna hi taksa hriselna ang bawkin a pawimawh.
Take-Home Thuchah a ni
- Partial Molar Pregnancy hi naupai lai atanga lo awm thin genetic defect a ni. I sualna a ni lo.
- Vaginal bleeding nasa emaw, luak chhuak nasa emaw ang chi symptoms i neih chuan doctor pan nghal tur a ni.
- D&C surgery hi a enkawlna bulpui ber a ni. Chumi hnuah chuan doctor-in a sawi angin thla engemaw zat emaw kum khat thleng emaw HCG level enfiah a ngai a ni.
- Follow-up period chhung hian naupai leh loh a pawimawh hle.
- Hetiang thil tawn hnu hian naupai hrisel leh naute hrisel neih theihna chance a sang hle. Beiseina bansan suh.
- He zinkawngah hian nangmah chauh i ni lo. I chhungte, i thiante leh i doctor te chu tanpui turin an awm reng a ni.
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