Nau i pai tih i hriat veleh hlimna i neih chu sawifiah theih loh a ni lawm ni? Mahse, chutih rual chuan hlauhna tlem i nei bawk. Thil sangkhat chu ka rilruah a lo lang a, chu chu engkim a tha ang em, naute pawh a tha ang em? A châng chuan kan hriat ngai loh buaina a lo chhuak thei bawk. Vawiin hian mi tam takin an hriat loh, mahse hriat a pawimawh em em condition kan sawi dawn a ni. Chu chu Molar Pregnancy , emaw, mi thenkhatin an sawi angin, ‘Molar Pregnancy’ emaw a ni.
Molar Pregnancy hi eng nge ni?
A awlsam zawngin, Molar Pregnancy chu nausen pum leh nausen hrisel tak tak ni lovin, nausen pum chhunga tissue pangngai lo tam tak, tumor ang chi, a lo thang lian zawk hi a ni. Naupai pangngaiah chuan nausen chu umbilical cord kaltlangin ei tur pe tu organ a ni.
Mahse molar pregnancy-ah chuan embryo chu a lo thang lian thei lo. Chuvang chuan naupai chu a chhunzawm lo va, a tam zawk chu nau paiah a tawp thin.
He natna hi natna awm lo tak a ni a, damdawi lam category `Gestational Trophoblastic Disease (GTD)-ah a tel a ni.` Naupai hnu lawka embryo chhehvela cell layer (trophoblast) lo awm thin, a inthlak danglam dan pangngai lo avanga lo awm a ni. I doctor chuan `Hydatidiform Mole (HM)) a ti thei bawk.`
Molar pregnancy hi chi hnih a awm a.
Ni e, he natna hi chi hnih lian tak a awm. Anni chu Partial leh Complete Molar Pregnancy an ni. An pahnih inthlauhna hrethiam turin a hnuaia table hi en la.
| Specialty a ni | Molar Pregnancy tling lo (Partial) 1.1. | Molar Pregnancy kimchang (Complete) 1.1. |
|---|---|---|
| Engtin nge a awm? | Egg pangngai chu sperm pahnih hmanga fertilized a ni. | Egg hrui hring, genetic material engmah nei lo, sperm hmanga fertilization atanga lo chhuak a ni. |
| Embryo a ni | Embryo pangngai lo tak a lo awm thei a, mahse chu embryo chu a dam thei lo. | Embryo chu a lo thang lian lo tak zet a ni. Tissue pangngai lo chauh a awm. |
| Nausen (placenta) a ni | Nausen leh nausen te hi a pangngai lo vek a ni. | Placenta ai chuan tissue pangngai lo tam tak a lo piang chhuak thin. |
| Hmuh tam ber | Full type aiin a tlem zawk. | Mi famkim lo chi aiin a tam zawk. |
Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?
Molar pregnancy awm chhan ber chu naupai laiin genetic defect a ni. Hei hi tumah sualna a ni lo.
Ngaihtuah teh, fa hrisel nei tur chuan i nu hnen atangin chromosome 23 i mamawh a, i pa hnen atangin chromosome 23 i mamawh bawk. A awlsam zawngin sawi ila, a chanve chu i nu hnen atanga lak a ni a, a chanve chu i pa hnen atanga lak a ni.
- Complete Molar Pregnancy -ah chuan pa sperm chuan nu genetic material engmah tel lo egg hrui hring chu a fertilize a. Chuvangin, nu genes a bo avangin naute hrisel a piang lo.
- Partial molar pregnancy -ah chuan egg chu sperm pahnih hmangin a fertilized a. Chumi awmzia chu nausen hian a pa hnen atangin genetic material a let hnih a dawng tihna a ni. Chromosome set dang dah belh a nih chuan egg fertilized chu a dam thei lo. Naupai hi kar tlemte chhungin a tawp thin.
A pawimawh ber chu, hei hi nu emaw, pa lam thil tihsual emaw, ei leh in emaw, thiltih emaw avanga lo awm a ni lo. Hei hi naupai laia lo awm, random genetic defect a ni.
Molar pregnancy hian eng symptoms nge a neih?
A châng chuan he natna hi chhinchhiahna awm lovin a awm thei bawk. Mahse, chhinchhiahna tlanglawn thenkhat i hmuh theih a awm. Hetiang thil i tawn chuan doctor pan nghal mai a tha ber .
| Symptom a ni | Hrilhfiahna |
|---|---|
| Vaginal atanga thisen chhuak | Naupai atanga thla thum chhungin a awm thei. |
| Brown a chhuak | Tui ang maia sen hring chhuak. |
| Grape ang maia chhuak | Sac ang chi, grape ang chi mass te te, vagina atanga lo chhuak. |
| Nausen nausea leh luak chhuak | Naupai laiin a tlangpui aia nasa zawka nausea leh luak chhuak. |
| Pelvic natna a awm | Pum hnuai lam pressure emaw natna emaw hriatna. |
| Thil dang pawh a awm | Thisen sang (preeclampsia), thisen tlakchhamna, naupai hormone hCG sang, leh ovarian cyst siam te. |
Engtin nge doctor hian hei hi a hriatchhuah a, a enkawl?
Hetiang dinhmun hi i routine ultrasound scan-ah hian a lang fo thin. Thisena naupai hormone, hCG (human chorionic gonadotropin) level enfiah pawhin rinhlelh theih a ni bawk. Molar pregnancy-ah chuan he hCG level hi a sang lo hle.
Enkawlna atan doctor chuan nausen pum atanga tissue pangngai lo chu a paih chhuak vek tur a ni. Chumi atana kalphung tlangpui chu `D&C (Dilation leh Curettage (D&C) te a ni. Hei hi ‘cleaning out the uterus’ tia hriat a ni. A chang chuan damdawi hmangin he tissue hi lakchhuah theih a ni.
A pawimawh ber chu enkawl hnua enkawl zui zel hi a ni. D&C zawhah i doctor chuan thla engemaw zat chhung chu i thisen hCG level a enfiah fo ang. Hei hi tissue pangngai lo chu a bo vek tawh a, i hCG level pawh a normal tawh tih chian nan a pawimawh hle.
Molar Pregnancy hian harsatna na tak a thlen thei em?
A tam zawkah chuan enkawl dan dik leh tissue lakchhuah a nih chuan harsatna a awm lo. Mahse, a tlem hle a, harsatna a awm thei.
- Persistent GTN: A chang chuan lakchhuah hnuah pawh tissue pangngai lo tlemte chu a awm reng thei a, nausen pum ruh (muscle)-ah a lo thang lian thei bawk. Hei hi `Persistent GTN` an ti a. Chutiang a nih chuan ` Chemotherapy` ang chi enkawlna a ngai mai thei.
- Choriocarcinoma: A tlem zawk chu he tissue hi cancer a nih hian a ni. Chu chu `Choriocarcinoma` an ti a. Mahse, hei pawh hi cancer chi khat, enkawlna hmanga tihdam vek theih a ni bawk.
Heng thilte hi hriat a hlauhawm thei hle. Mahse hre reng ang che, heng harsatnate hi a tlem hle , an tan enkawlna tha tak tak a awm bawk. A pawimawh ber chu i doctor-in a enkawl dan leh a enkawl dan zawm a ni.
Molar pregnancy hnuah naute dang i nei thei lo em ni?
Hei hi mi tam takin harsatna an neih a ni. Thu lawmawm tak chu molar pregnancy neih hian engti kawng mahin i fertility a nghawng dawn lo tih hi a ni. Nakin lawkah naute hrisel tak i nei thei ngei ang.
Mahse, doctor-te chuan naupai leh hmaa thla 6 leh kum khat inkar nghah turin an fuih tlangpui. A chhan chu a hmaa kan sawi tawh hCG hormone kha a ni. I naupai leh chuan chu hormone chu a pianphungah a pung a ni. Tichuan, chu hormone pung chhan chu naupai thar vang nge, chu tissue hlui thenkhat chu taksaah a la awm vang tih chiang takin doctor tan chuan hriat a harsa hle. Chuvangin hCG level chu zero-a a tlahniam vek a, a pangngaia a lo kir leh hma chu nghah tur an ti.
Take-Home Thuchah a ni
- Molar pregnancy chu naute hrisel ni lovin nausen pum chhungah tissue pangngai lo a lo thang lian zawk a ni. Hei hi naupai laiin random genetic error vang a ni a, i sual vang a ni lo.
- Naupai laiin symptoms i neih chuan thisen chhuak danglam tak, brown discharge, emaw, luak chhuak nasa tak i neih chuan doctor pan nghal rawh.
- Hetiang dinhmun enkawlna atan hian dilation and curettage (D&C) a ngai a, a hnuah hCG hormone level enfiah a ngai bawk.
- Molar pregnancy i tawn hian i fa turte tan harsatna a thlen lo. Damdawi lam thurawn angin hun bituk nghah hnuah naupai hrisel tak i beisei thei ang.
- He zinkawng hi nangmah chauhin paltlang suh. Hemi chungchang hi i kawppui, chhungte, a bik takin i doctor nen zalen takin sawi rawh. I mamawh emotional support neih a pawimawh.
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