Zvinhu zvaunofanira kuziva nezve Gestational Trophoblastic Disease (GTD)!

Ungave usina kunzwa nezvechirwere cheGestational Trophoblastic Disease (GTD). Asi chirwere chinogona kuitika dzimwe nguva panguva yekuzvitakura. Zvichitaurwa zviri nyore, imhando yebundu rinokura muchibereko chako, nzvimbo iri kukura mwana wako, uye rine chekuita nekuzvitakura. Tingataura nezveizvi zvakadzama here?

Mabundu aya anotanga kubuda mumasero anonzi trophoblasts . Masero aya anowanzova ndiwo anokura mu placenta panguva yekuzvitakura. Unoziva, placenta ndiyo inonyanya kukosha inobatanidza mwana nechibereko chako, ichipa okisijeni nezvinovaka muviri kumwana ari mukati mechibereko chako.

Zvisinei, mumamiriro ezvinhu aya ekuti 'GTD', pachinzvimbo chekukura kuita placenta ine hutano, masero iwayo etrophoblast (kureva masero akafanana neplacenta) anokura zvisina kujairika.

Kazhinji, GTD inoitika pakutanga kwekuzvitakura, mushure mekunge mbeu yasangana nezai. Tinodaidzawo kuti mimba dzemudumbu . Asi kunyangwe idzi dzichinzi mimba, masero aya haakure kuita mwana mucheche. Kazhinji, idzi zvirwere zvisina kenza (zvisina kunaka). Zvisinei, zvimwe zvacho zvinogona kuita kenza uye kupararira kunhengo dzemuviri dziri pedyo. Chinhu chakakosha ndechekuti GTD chirwere chinorapika. Vanhu vazhinji vanogona kuramba vachiita pamuviri zvakanaka mushure mechirwere ichi.

Ndezvipi zviitiko zvinogona kuitika apo GTD inogona kuitika?

Tinowanzo taura kuti GTD inoitika panguva yekuzvitakura. Zvisinei, chirwere ichi chinogonawo kuitika pane dzimwe nguva:

• Mushure mekubviswa pamuviri, kana mushure mekubvisa pamuviri.
• Mushure mekubata pamuviri we tube. Kureva kuti, kana zai rakabatanidzwa rikapinda mu fallopian tube kwete muchibereko.
• Kunyangwe mushure mekubata pamuviri zvakajairika, zvinogona kuitika kashoma.

Ndeapi marudzi eGTD? Saka ngationei?

Kune mhando dzakasiyana dze `GTD`. Zviratidzo zvinosiyanawo zvichienderana nerudzi rwacho.

Kubata pamuviri kweHydatidiform mole kana molar

Iyi ndiyo mhando yeGTD inonyanya kuzivikanwa. Inowanzonziwo mimba yemolar . Apa ndipo apo, panzvimbo peplacenta kana embryo, cyst yakaita semazambiringa inokura muchibereko chako. Unganzwa uine pamuviri, uye bvunzo yekuzvitakura inogona kuva yakanaka. Zvisinei, ultrasound scan hairatidze mwana ari kukura. bvunzo yekuzvitakura inoratidza kuti ane pamuviri nekuda kwehomoni yekuzvitakura inogadzirwa neplacenta. Kune mhando mbiri dzema hydatidiform moles: complete nepartial hydatidiform moles. Mazhinji emimba dzemolar hadzisi dzekenza.

Chiratidzo chinowanzoonekwa chepamuviri wepamusana kubuda ropa kusingawanzoitiki pakutanga kwepamuviri. Kubuda ropa uku kunogona kuva kutsvuku kana kuti kusviba semvura. Dzimwe nguva kunogona kuperekedzwa nekurwadziwa mudumbu.

Kubata pamuviri nguva dzose/kunopararira kwemazino

Izvi zvinoonekwa sepamuviri wemusana. Rudzi urwu rwemusana unogona kukura uchipinda mumhasuru yemudumbu. Kusiyana nedzimwe mhando dzepamuviri wemusana, musana uyu unowanzova kenza. Kana ukasarapwa, masero aya ekenza anowanzo gara mumhasuru yemudumbu, asi dzimwe nguva anogona kupararira kune dzimwe nhengo dzemuviri kana nhengo dzemuviri.

Kansa yeChoriocarcinoma

Choriocarcinoma rudzi rweGTD rune kenza, runokurumidza kukura . Runotanga muchibereko chako uye runogona kupararira kune dzimwe nhengo, dzakadai senhengo yako yemukadzi, mapapu, itsvo, chiropa, neuropi. Ichi chirwere chisingawanzoitiki, asi chinowanzoitika kune vanhu vakambova nepamuviri wemolar.

Vamwe vanhu vanogona kunge vasina zviratidzo zvachose. Asi kune avo vane zviratidzo, chiratidzo chinowanzoonekwa kubuda ropa zvisina kujairika muchibereko mushure mekubviswa pamuviri, kubvisa pamuviri, kana kubata pamuviri kwemazino. Vamwe vanhu vanogonawo kurwadziwa mudumbu, ropa muweti, kana ropa mutsvina.

Bundu retrophoblastic renzvimbo yeplacental (PSTT)

Bundu re trophoblastic bundu (PSTT) rinowanzoonekwa panowanikwa placenta pachibereko. Rinokura zvishoma nezvishoma mushure mekubata pamuviri. Saka, zvinogona kutora makore akawanda mushure mekubata pamuviri kuti zviratidzo zvionekwe. PSTT inogona kupararira mutsandanyama dzechibereko, mitsipa yeropa, mapapu, pelvis, uye lymph nodes, saka kurapwa kunodiwa.

Bundu reEpithelioid trophoblastic (ETT)

Iyi imhando ye'GTD' isingawanzoitiki, ine kenza. Kufanana ne'PSTT', inogonawo kupararira kumapapu. 'ETT' inogonawo kukura makore mushure mekubata pamuviri.

Dambudziko iri rakajairika zvakadii?

MuUnited States, zvinonzi GTD inowanikwa muvanhu vane pamuviri vanosvika chiuru chimwe chete. Rudzi rwakajairika rweGTD i hydatidiform moles, yatakambokurukura kare. Zvirwere zveGTD zvakakomba, zvakaita sechoriocarcinoma, zvinoitika muvanhu vane pamuviri vasingasviki chiuru chimwe chete pavanhu vane pamuviri vanosvika chiuru chimwe chete. Izvi zvinoreva kuti hazviwanzoitiki.

Ko GTD inogona kuuraya here?

Zviitiko zvakawanda zve `GTD`, kunyanya kana zvikaonekwa nekukurumidza, zvinogona kurapwa uye kupora zvachose.Zvisinei, kana chirwere ichi chakura, GTD inogona kuuraya. Ndosaka kuongororwa nekukurumidza uye kurapwa kwakakosha.

Ndezvipi zviratidzo zveGTD?

Vamwe vanhu vane GTD vanogona kusaona zviratidzo zvachose. Vamwe vanogona kuona zviratidzo zvakafanana nezvepamuviri kana zvimwe zvirwere/mamiriro ezvinhu. Kana uine chimwe chezviratidzo izvi, iva nechokwadi chekuona chiremba wako:

• Kana uchibuda ropa zvisina kurongeka, kana kubuda ropa kusingaenderane nekuenda kwako kumwedzi.
• Kana chibereko chako chichinzwa chakakura kupfuura zvaitarisirwa pakubata pamuviri.
• Kana uchirwadziwa mudumbu kana muchiuno.
• Kana kuda kurutsa nekusvotwa zvikaitika panguva yekuzvitakura.
• Kana uine BP yakanyanya pakutanga kwekuzvitakura, kana kuti nhengo dzako dzakazvimba.
• Kana ukaramba uchibuda ropa kubva munhengo yako yesikarudzi, kungave mushure mekubereka mwana kana mushure mekubereka pamuviri.

Chirwere cheGestational Trophoblastic dzimwe nguva chinogona kukonzera thyroid inomhanya zvakanyanya . Kana izvi zvikaitika, unogona kuona zviratidzo zvakaita se:

• Kurova kwemoyo kunowedzera.
• Kudedera.
• Kuderedza huremu.
• Kudikitira.

Ndezvipi zvikonzero zvekubata pamuviri kwepamuromo?

Zvichitaurwa zviri nyore, mukuzvitakura kwakajairika, kana zai rikabatanidzwa nembeu, rine ruzivo rwese runodiwa kuti pave nemwana ari mudumbu nepasenta. Tinodana muunganidzwa uyu wekutanga wemasero kuti blastocyst . Mwana ari mudumbu uyu ndiye anozokura kuva mwana ari mudumbu. Chidimbu chemasero etrophoblast chinova chikamu chepasenta uye chinobatsira blastocyst kuti ibatanidzwe pamadziro echibereko.

Zvisinei, kana mimba yave nepamuviri, mwana haakure zvakanaka nekuti kusangana kwemwana hakuna kuitika. Asi, masero etrophoblast anokura kuita mabundu panzvimbo peplacenta ine hutano. Ichi ndicho chikonzero chikuru.

Nzira yekuziva sei GTD?

Chiremba wako achaongorora chirwere cheGTD nekunyora nhoroondo yako yese yezvekurapa, kuongorora muviri, uye kuita mimwe miedzo yekutarisa mukati mechibereko chako. GTD inogona kuongororwa ne:

• Kuongororwa kwechiuno: Chiremba anoisa minwe ine magirovhosi munhengo yemukadzi uye anoongorora zviratidzo zvechirwere, zvakaita semapundu kana kuti mavanga, kana saizi yechibereko.
• Ultrasound scan: Izvi zvinoshandisa mafungu eruzha kutora mifananidzo yenhengo dzemukati mako. Kana chiremba wako achifungidzira kuti GTD yabuda, ultrasound ye transvaginal ichatora mifananidzo yechiuno chako nechibereko.
• Kuongororwa kweropa:Kuti zvibatsire kuongorora chirwere cheGTD, kuongororwa kweropa kunoitwa kuti kuonekwe huwandu hwezvimwe zvinhu mumuviri wako. Semuenzaniso, mukadzi ane pamuviri ane GTD anogona kunge aine huwandu hwakanyanya hwehormone inonzi human chorionic gonadotropin (hCG) kupfuura mukadzi ane pamuviri asina GTD. Kana kenza yapararira kune dzimwe nhengo dzemuviri, muviri wako unogona kugadzira zvimwe zvinhu zvinoratidza chirwere chacho.

Kuziva matanho echirwere

Mushure mekunge maonekwa kuti mune GTD, chiremba wenyu anogona kuraira mimwe miedzo kuti aone kana kenza yapararira kune dzimwe nhengo dzemuviri wenyu. Kuyera nhanho inzira yekuona kuti kenza yapararira kusvika papi uye zvakadii. Izvi zvinobatsira vanachiremba kuona kuti kenza yenyu yapararira papi.

Matanho egomarara akanyorwa nenhamba dzechiRoma seI, II, III, uye IV. Nhamba yacho yakakura, saka gomarara racho rinopararira zvakanyanya.

Miedzo inoshandiswa kuona matanho e `GTD` inogona kuva:

• CT scan (Computed tomography - CT scan): Izvi zvinoshandisa X-rays dzakatevedzana nekombiyuta kugadzira mufananidzo wezvikamu zvitatu (3D) wenyama nemapfupa.
• Kuongororwa kweMRI (Magnetic resonance imaging - MRI): Izvi zvinoshandisa magineti nemasaisai eredhiyo kuti zvigadzire mifananidzo yakadzama yemuviri wako. Chiremba anogona kubaya chinhu chinonzi gadolinium mutsinga dzako, nekuti chinhu ichi chinoita kuti masero ekenza aonekwe zviri mumufananidzo.
• X-ray yechipfuva: Izvi zvinoshandisa mwaranzi yakanangana nemwaranzi kuongorora mapapu ako, dzimwe nhengo dziri muchipfuva chako, uye mapfupa.

GTD inorapwa sei?

Nzira dzekurapa chirwere cheGestational Trophoblastic Disease dzinosiyana. Pane zvinhu zvakawanda zvinochikanganisa. Zvakadai se:

• Rudzi rwe `GTD`, saizi yebundu, uye nzvimbo yaro.
• Kuti bundu racho rapararira here, kana kuti danho raro nderei.
• Kungave bundu rakaitika panguva yekuzvitakura, kana mushure mekubuda kwepamuviri kana kusununguka.
• Hutano hwako hwese.
• Nhoroondo yako yezvekurapa uye kana wakamborapwa chirwere cheGTD.
• Zvirongwa zvako zvekuva nevana.

Chiremba wako ndiye achasarudza mushonga wakakodzera chirwere chako. Heano mamwe marapirwo chaiwo eGTD:

• Kuvhiya: Kuvhiya kubvisa nyama nemasero asina kujairika muchibereko. Kuvhiya kunowanzoitwa pakurapa GTD ndekwekuwedzera nekubvisa masero kubva muchibereko (D&C) . Izvi zvinosanganisira kuvhura chibereko nekuchenesa chibereko.
• Kurapa nemakemikari: Kurapa nemakemikari, kana kuti "chemotherapy," kushandiswa kwemishonga kuparadza masero ekenza.
• Kurapa nemwaranzi:Kurapa nemwaranzi kunoshandisa simba rakasimba remagetsi kuuraya masero ekenza uye kuderedza bundu.
• Kubviswa kwechibereko: Kubviswa kwechibereko inzira yekuvhiya inobvisa chibereko chako. Dzimwe nguva, dzimwe nhengo, dzakadai semachubhu efallopian nemazai, dzinogonawo kubviswa.

Iwe nachiremba wako munofanira kukurukura nezvemishonga iripo, pamwe chete nenjodzi nemigumisiro yemishonga iyoyo.

GTD inogona kudzokazve here?

Ehe, chirwere cheGestational Trophoblastic Disease chinogona kudzoka. Zvichienderana nerudzi rwechirwere cheGTD chawakatanga nacho uye kuti wakaita sei kana warapwa, pane mukana mudiki wekudzoka kwacho. Ndosaka vanachiremba vachiramba vachikutarisa mushure mekurapwa.

Ndingakwanisa here kuva nemwana mushure me GTD?

Ehe, zvechokwadi! Vanhu vazhinji vane nhoroondo ye 'GTD' vanogona kuramba vachiita pamuviri zvakanaka uye zvakanaka. Zvisinei, zvichienderana nenhoroondo yenyu, chiremba wenyu anogona kukurudzirai kumwe kuongororwa kwepamuviri panotevera.

GTD inogona kudzivirirwa here?

Hapana nzira yekudzivirira chirwere cheGestational Trophoblastic Disease. Ichi chinhu chatisingagoni kudzora.

Zvinhu zvinokonzera njodzi yeGTD

Kunyangwe chirwere cheGestational Trophoblastic Disease chisingawanzoitiki, kune zvimwe zvinhu zvausingakwanise kudzora zvinogona kuwedzera njodzi yako yekuchibata. Zvinhu izvi zvinosanganisira:

• Zera rako. Vanhu vane makore anopfuura 35 uye vari pasi pemakore makumi maviri vane njodzi yakakura yekubatwa nechirwere cheGTD.
• Kana wakambobata pamuviri pemazamu.
• Kana mumwe munhu mumhuri akambova nepamuviri wepamuromo, zvinoreva kuti nhoroondo yemhuri ine chekuita nazvo.

Saka, ndezvipi zvinhu zvatinofanira kurangarira kubva pane izvi zvose?

Kana ukaona kuti une Gestational Trophoblastic Disease (GTD), zvakajairika kuti unzwe kutya, kunetseka, uye kusuruvara. Zvinogonawo kuoma kubata nekurasikirwa nepamuviri wako uye kuongororwa kwakaoma kudaro panguva imwe chete.

Asi yeuka, chiremba wako achaita bvunzo dzakasiyana-siyana, onzwisisa mamiriro ako chaiwo, uye osarudza marapirwo akakodzera. Chinhu chakakosha ndechekuti kazhinji, 'GTD' chirwere chinorapika. Mikana yako yekubata pamuviri zvakare (kana uchida) yakanakawo.

Tsvaga rutsigiro kubva kumhuri yako, shamwari, uye vanachiremba munguva ino yakaoma. Uye usanyarare, uye usatya kubvunza mibvunzo. Hausi wega, tese tiri newe.

Chirwere che throphoblastic chepamuviri, GTD , pamuviri we molar, kenza yechibereko, placenta, choriocarcinoma, matambudziko epamuviri