Ngā mea me mōhio koe mō te Mate Hāputanga Trophoblastic (GTD)!

Kāore pea koe i rongo i te kupu Gestational Trophoblastic Disease (GTD). Engari he āhuatanga tēnei ka puta i ētahi wā i te wā e hapu ana. He māmā noa iho, he momo pukupuku e tupu ana i roto i tō kōpū, te wāhi e whanake ana tō pēpi, ā, e pā ana ki te haputanga. Me kōrero taipitopito atu tātou mō tēnei?

Ka tīmata ēnei pukupuku ki te whanake mai i ngā pūtau e kiia nei ko ngā trophoblast . Ko ēnei pūtau te nuinga o te wā ka whanake hei whenua whānau i te wā e hapu ana. Kei te mōhio koe, ko te whenua whānau te wāhanga tino nui e hono ana i te pēpi ki tō kōpū, e whakarato ana i te hāora me ngā matūkai ki te pēpi i roto i tō kōpū.

Heoi, i roto i tēnei āhuatanga 'GTD', i te korenga e whanake hei whenua ora, ka tipu kē aua pūtau trophoblast (arā, ngā pūtau rite ki te whenua).

I te nuinga o te wā, ka puta te GTD i te tīmatanga o te hapūtanga, i muri i te whakatōtōtanga o te parāoa ki te hua manu. Ka kiia hoki ēnei he hapūtanga molar . Ahakoa e kiia ana ēnei he hapūtanga, kāore ēnei pūtau e whanake hei kukune ka whanake hei pēpi. I te nuinga o te wā, he āhuatanga kore-matepukupuku (pai) ēnei. Heoi, ka taea e ētahi o ēnei te noho hei matepukupuku ka horapa ki ngā kiko me ngā whekau tata. Ko te mea nui ko te GTD he āhuatanga ka taea te rongoā. Ka taea e te nuinga o te tangata te whai hapūtanga hauora i muri i tēnei āhuatanga.

He aha ngā āhuatanga ka puta pea te GTD?

He maha ā mātou kōrero ka puta te GTD i te tīmatanga o te hapūtanga. Heoi anō, ka puta anō hoki tēnei āhuatanga i ētahi atu wā:

• I muri i te materoto, i muri rānei i te whakatahe.
• I muri i te haputanga o te ngongo. Arā, i te wā e whakatōngia ai te hua manu kua whakatōkia ki roto i te ngongo fallopian, kaua ki roto i te kōpū.
• Ahakoa i muri i te hāputanga noa, he tino onge tonu te puta mai.

He aha ngā momo GTD? Nā, kia titiro tātou?

He rerekē ngā momo `GTD`. Ka rerekē anō hoki ngā tohu i runga i te momo.

Te haputanga mole hydatidiform, te haputanga molar rānei

Koinei te momo GTD tino noa. E kiia ana hoki ko te haputanga molar . Koinei te wā, hei utu mō te whenua whānau, te kukune rānei, ka puta he cyst rite ki te karepe i roto i tō kōpū. Tērā pea ka rongo koe i te haputanga, ā, tera pea ka puta he hua pai i roto i te whakamātautau haputanga. Heoi, kāore e whakaatuhia he pēpi e tipu haere ana i roto i te matawai ultrasound. He hua pai te whakamātautau haputanga nā te mea he homoni haputanga i hangaia e te whenua whānau. E rua ngā momo mole hydatidiform: ko ngā mole hydatidiform katoa me ngā mole hydatidiform hapa. Ko te nuinga o ngā haputanga molar ehara i te mate pukupuku.

Ko te tohu tino kitea o te hapūtanga molar ko te toto tara rerekē i te tīmatanga o te hapūtanga. Ka whero, ka parauri wai rānei tēnei toto. I ētahi wā ka haere tahi me te mamae o te puku.

Te hapūtanga molar pumau/whakaekenga

E kiia ana tēnei he hāputanga molar. Ka taea e tēnei momo mole urutomo te tipu ki roto i te uaua o te kōpū. He rerekē ēnei momo hāputanga molar ki ētahi atu, he mate pukupuku te nuinga o te wā. Ki te kore e rongoatia, ka noho tonu ēnei pūtau mate pukupuku ki roto i te uaua o te kōpū, engari ka horapa pea ki ētahi atu wāhanga o te tinana, ki ngā kiko rānei.

Te mate pukupuku koroiora

He momo mate pukupuku te choriocarcinoma , he momo GTD e tere tipu ana . Ka tīmata i roto i te arai o tō kōpū, ā, ka horapa atu ki ētahi atu okana, pērā i tō tara, pukahukahu, whatukuhu, ate, me te roro. He tino onge hoki tēnei mate, engari he nui ake te tūponotanga ka puta i roto i te hunga kua hapu i mua i te whānautanga o te pēpi.

Kāore pea ētahi tāngata e pāngia e ngā tohu. Engari mō te hunga e pāngia ana e ngā tohu, ko te tohu tino kitea ko te toto tara rerekē i muri i te whānautanga, te whakatahe, te haputanga rānei. Tērā pea ētahi tāngata ka pāngia e te mamae o te puku, te toto i roto i te mimi, te toto rānei i roto i te tūtae.

Te pukupuku trophoblastic o te wāhi whakawhānau (PSTT)

He momo tino onge te pukupuku trophoblastic o te wāhi whānau (PSTT) . Ka puta te mate i te wāhi e piri ai te whānau ki te kōpū. He tino puhoi te tipu o te PSTT. Nō reira, ka roa pea ngā tau i muri i te haputanga ka puta ngā tohu. Ka horapa te PSTT ki ngā uaua kōpū, ki ngā oko toto, ki ngā pukahukahu, ki te hope, me ngā kōpū lymph, nō reira me whai maimoatanga kaha.

Te pukupuku trophoblastic epithelioid (ETT)

He momo `GTD` tino onge tēnei, he mate pukupuku. Pērā i te `PSTT`, ka taea hoki te horapa ki ngā pukahukahu. Ka taea hoki te whanake te `ETT` i muri i ngā tau maha o te hapūtanga.

He pēhea te noa o tēnei āhuatanga?

I te Hononga o Amerika, e kiia ana ka puta te GTD i roto i te 1 i roto i te 1,000 hāputanga. Ko te momo GTD tino noa ko ngā mole hydatidiform, i kōrerohia e tātou i mua ake nei. Ko ngā mate GTD kino ake, pērā i te choriocarcinoma, ka puta i roto i te iti iho i te 1 i roto i te 20,000 hāputanga. Ko te tikanga he tino onge.

Ka taea te whakamate i te GTD?

He maha ngā kēhi o te `GTD` ka taea te rongoā me te tino ora, inā koa mēnā ka kitea wawetia.Heoi, i ngā wā kua tino matatau, ka mate pea te GTD. Koia te mea nui o te tautuhi wawe me te maimoatanga.

He aha ngā tohu o te GTD?

Ko ētahi tāngata whai GTD, kāore pea e pāngia e tetahi tohu. Ko ētahi atu, ka pāngia pea e ngā tohu e rite ana ki ngā tohu o te hāputanga, o ētahi atu mate/āhua rānei. Mena kei a koe tētahi o ēnei tohu, me toro atu ki tō tākuta:

• Mena he toto hē tō te tara, he toto rānei kāore e pā ana ki tō paheketanga o ia marama.
• Mena he nui ake tō kōpū i te mea e tika ana mō tō hapūtanga.
• Mena he mamae tōu i te puku, i te rohe hope rānei.
• Mena ka puta te whakapairuaki me te ruaki i mua i te wā e tika ana i te wā e hapu ana.
• Mena he toto toto tiketike tōu i te tīmatanga o te hapūtanga, mena rānei kua pupuhi ō waewae me ō waewae.
• Ki te haere tonu te toto i roto i tō tara, ahakoa i muri i te whānautanga o te pēpi, i muri rānei i te materoto.

I ētahi wā ka puta he mate tairoi kaha rawa atu i te mate hapūtanga. Mēnā ka puta tēnei, ka pāngia pea koe e ngā tohu pēnei i:

• Ka piki ake te tere o te manawa.
• Te wiri.
• Te whakahekenga taumaha.
• Te werawera.

He aha ngā take o te hāputanga molar?

I roto i te hāputanga noa, ina whakatōkia te hua manu e te parāoa, kei roto ngā mōhiohio katoa e hiahiatia ana hei hanga i te kukune me te whenua whānau. Ka kiia tēnei kohinga pūtau tōmua he blastocyst . Ko tēnei kukune te mea e whanake ana hei kukune i muri mai. Ka noho te paparanga pūtau trophoblast hei wāhanga o te whenua whānau, ā, ka āwhina i te blastocyst kia piri ki te pakitara o te kōpū.

Heoi, i roto i te hāputanga molar, kāore te kukune e whanake tika nā te mea kāore i puta te whakatō. Engari, ka whanake ngā pūtau trophoblast hei pukupuku, kaua hei whenua ora. Koinei te tino take.

Me pēhea te tautuhi i te GTD?

Mā tō tākuta e tātaritanga te GTD mā te tango i tō hītori hauora katoa, te whakahaere i tētahi whakamātautau tinana, me te whakahaere i ētahi atu whakamātautau hei tirotiro i roto i tō kōpū. Ka taea te tātaritanga GTD mā:

• Whakamātautau hope: Ka whakaurua e te tākuta ngā maihao kua mau ki te karapu ki roto i te tenetene, ka tirohia mēnā he tohu mate, pērā i ngā puku, i te rahi rānei o te kōpū.
• Matawai Ultrasound: Ka whakamahia e tēnei he ngaru oro hei tango pikitia o ō whekau o roto. Mena kei te whakapae tō tākuta kei a koe te GTD, ka tangohia e te ultrasound transvaginal ngā pikitia o tō hope me tō kōpū.
• Ngā whakamātautau toto:Hei āwhina i te tautuhi i te GTD, ka mahia ngā whakamātautau toto hei ine i ngā taumata o ētahi matū i roto i tō tinana. Hei tauira, ko te wahine hapu e whai GTD ana, tera pea he nui ake ngā taumata o te homoni e kiia nei ko te human chorionic gonadotropin (hCG) i te wahine hapu kāore he GTD. Mena kua horapa te mate pukupuku ki ētahi atu kiko, ki ētahi atu okana rānei, tera pea ka nui ake, ka iti iho rānei te whakaputa a tō tinana i ētahi matū hei tohu i te mate.

Te whakatau i ngā wāhanga o te mate

I muri i te tātaritanga o tō mate pukupuku (GTD), ka tonoa pea e tō tākuta ētahi atu whakamātautau hei tirotiro mēnā kua horapa te mate pukupuku ki ētahi atu wāhanga o tō tinana. Ko te whakatau i te horapa o te mate pukupuku ko te tukanga e kitea ai te tawhiti me te nui o te horapa o te mate pukupuku. Mā ēnei hua ka āwhina ngā tākuta ki te whakatau i te wāhanga o te mate pukupuku kei a koe.

Ka tuhia ngā wāhanga o te mate pukupuku ki ngā tau Rōmana, arā, I, II, III, me IV. Ka nui ake te tau, ka horapa haere te mate pukupuku.

Ko ngā whakamātautau hei whakatau i ngā wāhanga o te `GTD`:

• Matawai CT (Tomography rorohiko - Matawai CT): Ka whakamahia he raupapa hihi-X me te rorohiko hei hanga i tētahi ahua toru-ahu (3D) o te kiko me ngā wheua.
• Matawai MRI (Whakaahua aukume - MRI): Ka whakamahia he aukume me ngā ngaru reo irirangi hei hanga pikitia taipitopito o tō tinana. Tērā pea ka werohia e te tākuta tētahi matū e kiia nei ko te gadolinium ki roto i ō uaua, nā te mea ka kitea ake ngā pūtau matepukupuku i roto i te pikitia e tēnei matū.
• X-ray o te uma: Ka whakamahia he hihi irahiko arotahi hei tirotiro i ō pukahukahu, ētahi atu whekau i roto i tō uma, me ngā wheua.

Me pēhea te rongoā mō te GTD?

He rerekē ngā kōwhiringa maimoatanga mō te Mate Hāputanga Trophoblastic. He maha ngā āhuatanga e pā ana ki tēnei. Pērā i:

• Te momo `GTD`, te rahi o te puku, me tōna tauwāhi.
• Ahakoa kua horapa te pukupuku, he aha rānei tōna wāhanga.
• Ahakoa i puta te pukupuku i te wā e hapu ana, i muri rānei i te materoto, i te whānautanga rānei.
• Tō hauora whānui.
• Tō hītori hauora me te mea kua rongoatia koe mō te GTD i mua.
• Ō mahere mō te whānau tamariki.

Mā tō tākuta e whakatau te maimoatanga tino tika mō tō āhua. Anei ētahi maimoatanga motuhake mō te GTD:

• Pokanga: He pokanga hei tango i ngā kiko me ngā pūtau rerekē mai i te kōpū. Ko te pokanga tino noa mō te GTD ko te whakawhānui me te kutikuti (D&C) . Kei roto i tēnei ko te whakatuwhera i te kaki me te horoi i te kōpū.
• Te rongoā matū: Ko te rongoā matū, ko te "chemo" rānei, ko te whakamahinga o ngā rongoā hei whakangaro i ngā pūtau matepukupuku.
• Te rongoā irahiko:Ka whakamahia e te rongoā irahiko ngā hihi pūngao kaha hei patu i ngā pūtau matepukupuku me te whakaiti i ngā pukupuku.
• Te tango i te kōpū: He pokanga te tango i te kōpū hei tango i tō kōpū. I ētahi wā, ka tangohia pea ētahi atu okana, pērā i ngā ngongo fallopian me ngā ovaries.

Me kōrero tahi kōrua ko tō tākuta mō ngā maimoatanga e wātea ana, tae atu ki ngā mōrearea me ngā pānga taha o aua maimoatanga.

Ka taea te hoki mai anō o te GTD?

Āe, ka taea e te Mate Hāputanga Trophoblastic te hoki mai anō. I runga i te momo GTD i pā ki a koe i te tīmatanga me te āhua o tō urupare ki te maimoatanga, he iti noa te tūponotanga ka hoki mai anō. Koia te take ka haere tonu te aro turuki a ngā tākuta i a koe i muri i te maimoatanga.

Ka taea e au te whānau tamariki i muri i te GTD?

Āe, tino tika! Ko te nuinga o te hunga whai hītori o te 'GTD' ka taea tonu te whai hāputanga hauora, noa iho. Heoi, i runga i tō hītori, ka tūtohu pea tō tākuta i ētahi atu whakamātautau i ngā hāputanga o muri mai.

Ka taea te ārai i te GTD?

Kāore he huarahi hei ārai i te mate hapūtanga. He mea tēnei e kore e taea e tātou te whakahaere.

Ngā āhuatanga mōrearea mō te whakawhanake i te GTD

Ahakoa he mate onge te mate hapūtanga, tera ētahi āhuatanga kāore e taea te whakahaere ka piki ake te tūponotanga o te pāngia e tēnei mate. Ko ēnei āhuatanga ko:

• Tō tau. Ko te hunga neke atu i te 35 tau te pakeke me te hunga kei raro iho i te 20 tau te pakeke he paku nui ake te mōrearea ki te whakawhanake i te GTD.
• Mena kua hapu koe i te pēpi i mua.
• Mena kua pāngia tetahi o te whānau e te hapūtanga molar, ko te tikanga kei roto i te hītori whānau.

Nā, he aha ngā mea hei maumahara mā tātou i ēnei mea katoa?

Ina kitea e koe kei a koe te Mate Hāputanga Trophoblastic (GTD), he mea noa te mataku, te manukanuka, me te pouri. He uaua hoki te aro atu ki te ngaronga o tō hāputanga me te whiwhi i tētahi tātaritanga uaua i te wā kotahi.

Engari kia maumahara, ka whakahaerehia e tō tākuta ngā whakamātautau maha, ka mārama ki tō āhua, ā, ka whakatau i te maimoatanga tino tika. Ko te mea nui, i te nuinga o ngā wā, he mate ka taea te rongoā i te 'GTD'. He tino pai hoki ō tupono ki te hapu anō (ki te hiahia koe).

Rapua te tautoko mai i tō whānau, i ō hoa, me ngā tākuta i tēnei wā uaua. Kaua e huna i tetahi mea, kaua hoki e wehi ki te pātai. Kāore koe i te mokemoke, kei a koe mātou katoa.

` Te mate trophoblastic hāputanga, GTD, hāputanga molar, mate pukupuku kōpū, whenua whānau, choriocarcinoma, ngā raruraru hāputanga