Kāore e taea te whakaahua i te harikoa e pā ana ki a koe ina mōhio koe kei te hapu koe, tika? Engari i te wa ano, ka paku mataku koe. He mano ngā mea e puta ake ana ki tō hinengaro, pēnei i te pai o ngā mea katoa, ka pai te pēpi? I ētahi wā, ka ara ake ngā raruraru kāore anō kia rangona. I tēnei rā, e kōrero ana tātou mō tētahi āhuatanga kāore i te mōhiotia e te tini o te tangata, engari he mea tino nui kia mōhiotia. Ko te Hapūtanga Molar tēnā, e kiia nei e ētahi, ko te 'Hapūtanga Molar'.
He aha te Hapūtanga Molar?
He māmā noa iho, ko te Hapūtanga Molar he wā e tupu ai he nui o ngā kiko rerekē, pērā i te pukupuku, i roto i te kōpū, kaua ki te kukune me te whenua hauora. I roto i te haputanga noa, ko te whenua te okana e whakarato ana i te kai ki te pēpi mā te pito.
Engari i roto i te hāputanga kore-pūpū, kāore e taea e te kukune te whanake. Nō reira, kāore te hāputanga e haere tonu, ā, ko te nuinga o te wā ka mutu ko te materoto.
He mate onge tēnei, kei roto i te wāhanga hauora 'Gestational Trophoblastic Disease (GTD).' Ka puta mai i ngā huringa rerekē o te paparanga pūtau (trophoblast) e hanga ana i te taha o te kukune i muri tata mai i te haputanga. Tērā pea ka tapaina e tō tākuta ko 'Hydatidiform Mole (HM).'
E rua ngā momo matua o te hāputanga molar.
Ae, e rua ngā momo matua o tēnei mate. Ko te Hapūtanga Molar Wāhanga me te Hapūtanga Molar Katoa. Tirohia te ripanga i raro nei kia mārama ai koe ki te rerekētanga i waenganui i ngā mea e rua.
| Motuhaketanga | Te Hapūtanga Molar Kāore i Oti (Wāhanga) | Te Hapūtanga Molar Katoa (Katoa) |
|---|---|---|
| Kei te pēhea? | Ka whakamomonatia te hua manu noa e ngā parāoa e rua. | Ka puta tēnei i te whakatōtōtanga o tētahi hua manu kau, kāhore he rauemi ira, e te parāoa. |
| Te kukune | Tērā pea ka whanake he kukune rerekē, engari kāore e taea e taua kukune te ora. | Kāore he kukune e whanake ana. He kiko rerekē noa iho. |
| Te whenua whānau | He rerekē te āhua o te whenua me te tamaiti i roto i te kōpū. | Engari ko te whenua whānau, he nui ngā kiko rerekē ka puta. |
| Te mea tino kitea | Iti iho i te momo katoa. | He mea noa ake i te momo kāore i tino tika. |
He aha tēnei e tupu nei? He aha ngā take?
Ko te tino take o te hāputanga kōpura he hapa ira e puta ana i te wā e hapu ana. Ehara tēnei i te he o tetahi.
Whakaarohia, kia whānau ai he tamaiti hauora , me 23 ngā ira-ira e hiahiatia ana e koe mai i tō whaea, me 23 mai i tō pāpā. He māmā noa iho, ko te haurua mai i tō whaea, ko te haurua mai i tō pāpā.
- I roto i te Hapūtanga Murā Katoa , ka whakamomona te parāoa o te pāpā i tētahi hua manu kau kāore he ira o te whaea kei roto. Nō reira, nā te ngaro o ngā ira o te whaea, kāore he pēpi hauora e whānau mai.
- I roto i te hāputanga hapa-rua , ka whakamomonatia te hua manu e ngā parāoa e rua. Ko te tikanga tēnei ka whiwhi te tamaiti i te rua o ngā rauemi ira mai i te pāpā. Ina tāpirihia he huinga ira tāpiri, kāore e taea e te hua manu kua whakamomonatia te ora. Ka mutu te hāputanga i roto i ētahi wiki.
Ko te mea nui, ehara tēnei i te mea nā te he, te kai, te inu, te mahi rānei a te whaea, a te pāpā rānei. He hapa ira tūpono noa iho tēnei e puta mai ana i te wā e hapu ai.
He aha ngā tohu o te hāputanga molar?
I ētahi wā ka kitea tēnei āhuatanga, kāore he tohu. Heoi anō, kei reira ētahi tohu noa ka kitea e koe. Ki te pāngia koe e tētahi mea pēnei, he pai ake te toro atu ki te tākuta tonu .
| Tohu | Whakaahuatanga |
|---|---|
| Te toto o te tara | Ka taea te puta i roto i ngā marama tuatahi e toru o te hapūtanga. |
| Te rerenga parauri | He rerenga wai parauri. |
| He rerenga rite ki te karepe | He puranga iti, he rite ki te pēke, he rite ki te karepe, e puta mai ana i te tenetene. |
| Whakapairuaki nui me te ruaki | Te whakapairuaki me te ruaki e kaha rawa atu ana i te tikanga i te wā e hapu ana. |
| Mamae o te hope | Te pēhanga, te mamae rānei i te puku o raro. |
| Ētahi atu āhuatanga | Te toto toto tiketike (preeclampsia), te anemia, te nui o te homoni hapūtanga hCG, me ngā whēkau ovarian. |
Me pēhea te tātaritanga me te rongoā a te tākuta i tēnei?
Ka kitea pinepine tēnei āhuatanga i roto i tō matawai ultrasound auau. Ka taea hoki te whakapae mā te tirotiro i te taumata o te homoni haputanga, hCG (human chorionic gonadotropin), i roto i te toto. I roto i te haputanga molar, he tino teitei rawa tēnei taumata hCG.
Hei rongoā, me tango katoa e te tākuta te kiko rerekē mai i te kōpū. Ko tētahi tikanga noa mō tēnei ko te `D&C (Te Whakawhanui me te Whakawete (D&C). E mōhiotia ana tēnei ko te 'horoi i te kōpū'. I ētahi wā, ka taea te whakamahi rongoā hei tango i tēnei kiko.
Ko te mea nui ko te tirotiro i muri i te maimoatanga. Whai muri i te D&C, ka tirohia e tō tākuta ō taumata hCG toto i ia wā, i ia wā, mō ētahi marama. He mea nui tēnei kia mōhio ai kua ngaro katoa te kiko rerekē, ā, kua hoki anō ō taumata hCG ki te āhua noa.
Ka pā mai pea ngā raruraru nui i te hāputanga Molar?
I te nuinga o te wā, mēnā ka tika te maimoatanga me te tango kiko, kāore he raruraru. Heoi, he tino onge te puta o ngā raruraru.
- GTN Pūmau: I ētahi wā, ahakoa i muri i te tangohanga, ka toe tonu te iti o te kiko rerekē ka tipu ki roto i te uaua o te kōpū. Ka kiia tēnei ko te 'GTN Pūmau'. Mena ka puta tēnei, me whai maimoatanga pēnei i te ' chemotherapy' .
- Choriocarcinoma: He onge ake te āhua ina huri tēnei kiko hei matepukupuku. Ka kiia ko 'Choriocarcinoma'. Heoi, he momo matepukupuku anō hoki tēnei ka taea te whakaora katoa mā te rongoā.
He mea whakamataku pea ēnei mea ki te whakarongo. Engari kia maumahara, he tino onge ēnei raruraru, ā, he maimoatanga whai hua anō hoki mō ēnei. Ko te mea nui ko te whai i ngā tohutohu a tō tākuta mō te maimoatanga me te whai i muri mai.
Kāore e taea e koe te whānau anō i muri i te hāputanga molar?
He raruraru tēnei e pā ana ki te tini tāngata. Ko te rongo pai, kāore te haputanga molar e pā ki tō momonatanga. He pono ka taea e koe te whānau he pēpi hauora ā muri ake nei.
Heoi, ko te tikanga, ka tohutohu ngā tākuta kia tatari koe i waenga i te 6 marama me te tau i mua i te haputanga anō. Ko te take o tēnei ko te homoni hCG i kōrerohia e tātou i mua ake nei. Ki te hapu anō koe, ka piki ake taua homoni. Kātahi ka uaua ki te tākuta te mōhio tika mēnā ko te pikinga o taua homoni nā te haputanga hou, nā te mea kei roto tonu i te tinana ētahi o aua kiko tawhito. Koia rātou i kī ai kia tatari kia heke rawa te taumata hCG ki te kore, ā, kia hoki anō ki te āhua noa.
Karere Tangohia ki te Kāinga
- Ko te haputanga molar te wā e tupu ai he kiko rerekē i roto i te kōpū, kaua i te pēpi hauora. Nā te hapa ira tūpono i te wā e hapu ana tēnei, ehara i te he nāu.
- Ki te pāngia koe e ngā tohu i te wā e hapū ana pērā i te toto rerekē, te rere parauri, te ruaki nui rānei, me toro atu ki tō tākuta tonu.
- Ko te maimoatanga mō tēnei mate ko te whakawhānui me te kuretate (D&C) me te aroturuki i ngā taumata homoni hCG.
- Kāore he kino o te hāputanga molar ki ō tamariki ā muri ake nei. Ka taea e koe te tumanako kia hapu hauora i muri i te tatari mō te wā kua whakaritea e ai ki ngā tohutohu a te taote.
- Kaua e haere ko koe anake i tēnei haerenga. Kōrerohia tēnei mea ki tō hoa rangatira, ki tō whānau, ā, ki tō tākuta anō hoki. He mea nui kia whiwhi koe i te tautoko kare ā-roto e hiahiatia ana e koe.
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