Kana uri amai, inguva yakanaka kwazvo muhupenyu hwako. Asi dzimwe nguva matambudziko nematambudziko anogona kumuka atisingatarisiri. Zvakaoma kutaura kutya, kuzvidya mwoyo, uye kusuruvara kwatinonzwa panguva dzakadaro. Nhasi tichataura nezvenyaya yakaoma zvishoma, asi tinofanira kuiziva. Idambudziko rinonzi Partial Molar Pregnancy. Ungave usina kumbonzwa nezvezita iri. Asi zvakakosha kuziva izvi. Ndinonzwisisa kuti zvinosuwisa sei kusangana nechimwe chinhu chakadai, saka ngatitaurei nezvazvo zvishoma nezvishoma, zviri nyore, uye nenzira inonzwisiswa nemunhu wese.
Zvichitaurwa zviri nyore, chii chinonzi Partial Molar Pregnancy?
Kubata pamuviri kwePartial Molar idambudziko rinoitika panguva yekuzvitakura. Zvikuru sei, kunoitika nekuda kwekusagadzikana kwemajini kunoitika panguva yekusangana kwembeu, ndiko kuti, apo zai raamai rinosangana nembeu yababa.
Fungidzira, mukuzvitakura kwakanaka, zai rine machromosomes makumi maviri nematatu kubva kuna amai rinobatana nembeu ine machromosomes makumi maviri nematatu kubva kuna baba. Mwana ari mudumbu ane machromosomes makumi mana nematanhatu. Uku ndiko kugadzirwa kwemajini kwemwana ane hutano.
Asi muPartial Molar Pregnancy, chimwe chinhu chakasiyana chinoitika. Pano, zai rimwe kubva kuna amai rinosanganiswa nembeu mbiri kubva kuna baba. Chii chinoitika ipapo? Amai vane machromosomes makumi maviri nematatu, uye mbeu mbiri kubva kuna baba dziri 23 + 23 = 46. Kana dzabatanidzwa pamwe chete, pane machromosomes makumi matanhatu nemapfumbamwe . Iyi inopfuura nhamba yakajairika. Kana izvi zvinhu zvemajini zvawedzerwa, hazvifambi sepamuviri une hutano.
Mumamiriro ezvinhu aya, mwana ari mudumbu neplacenta zvinogona kutanga kukura. Asi hapana chimwe chazvo chinokura zvakanaka. Asi, huwandu hwakawanda hwenyama dzisina kujairika, sesumbu remazambiringa , hunotanga kuumbwa mukati mechibereko, sebhegi rakazara nemvura. Nekuda kwekukura uku kusina kujairika, mwana ari mudumbu haakwanise kurarama. Kazhinji, pamuviri wakadaro unoguma nekubviswa kwepamuviri mukati memwedzi mishoma yekutanga.
Dambudziko iri rinonzi Molar Pregnancy riri muboka rezvirwere zvinonzi Gestational Trophoblastic Disease (GTD). Iri idambudziko rinokonzera kuti bundu rikure muchibereko. Rinonziwo Hydatidiform Moles. Partial Molar Pregnancy ndeimwe yadzo. Iri idambudziko risingawanzoitiki. Paavhareji, dambudziko iri rinoonekwa muinenge imwe chete pa1200 yekuzvitakura.
Chinhu chinonyanya kukosha ndechekuti, iyi haisi mhosva yako. Uku kusakwana kwemajini zvachose. Saka usazvipa mhosva nekuda kweizvi.
Ndezvipi zviratidzo zvechirwere ichi?
Kazhinji, zviratidzo zvechirwere ichi zvinogona kufanana nezvepamuviri wepakutanga. Zvisinei, pane misiyano yakati siyanei. Ngatitarisei zviratidzo zvikuru zvinogona kuonekwa.
| Chiratidzo | Tsananguro iri nyore |
|---|---|
| Kubuda ropa rakawanda kubva muchibereko | Ichi ndicho chiratidzo chikuru uye chinowanzoonekwa. Mumavhiki mashoma ekutanga mushure mekuziva kuti une pamuviri, unogona kubuda ropa rakawanda, iro ringave rebrown rakasviba kana kuti dzvuku rakachenuruka. |
| Kusvotwa kwakanyanya uye kurutsa | Unogona kunzwa kuda kurutsa zvakanyanya kupfuura zvawaizoita uri nepamuviri. Izvi zvinokonzerwa nekuti muviri wako unoburitsa hormone yakawanda yeHCG (Human Chorionic Gonadotropin). |
| Kurwadziwa kwepelvic kana kumanikidzwa | Zvinogona kunzwa sekurwadziwa kwakanyanya kana kumanikidzwa mudumbu rezasi. |
| Zvikamu zvakaita semabhegi zvakazara nemvura zvichibuda | Dzimwe nguva, zvidimbu zvenyama, semasumbu emazambiringa atataura, zvinogona kubuda munhengo yemukadzi. |
| Kukwira kweropa (BP) | Kana BP ikakwira mavhiki makumi maviri ekutanga epamuviri asati asvika, zvinogona kunge zviri chiratidzo chechirwere ichi. |
| Kukura nekukurumidza kwechibereko | Chibereko chinogona kunzwa sekunge chiri kukura nekukurumidza kupfuura zvaitarisirwa panguva yekuzvitakura. |
Sezvo zviratidzo izvi zvichigonawo kuitika mune zvimwe zvirwere, kana uine pamuviri uye uine chimwe chezviratidzo izvi, zvakakosha kuti uone chiremba wako nekukasika kuti aongororwe.
Pane zvimwe zvinhu zvine njodzi here zvinokonzera chirwere ichi?
Sezvambotaurwa, iyi haisi mhosva yemumwe munhu. Izvi zvinokonzerwa nemajini. Zvisinei, zvimwe zvinhu zvinogona kuwedzera njodzi yechirwere ichi zvishoma.
- Zera: Njodzi iyi yakakwira zvishoma kuvasikana vadiki vari pasi pemakore gumi nemashanu ekuberekwa uye vakadzi vane makore anopfuura makumi mana ekuberekwa.
- Kana wakambova nepamuviri wepamuromo: Kana wakambova nepamuviri, njodzi yako yekuve neimwe iri pamusoro pe1% - 2% kupfuura yevanhu vose.
- Kunge wambobvisa pamuviri kakawanda kare: Njodzi yacho inogona kunge yakakwira zvishoma kana wakambobvisa pamuviri kaviri kana kupfuura.
Vanachiremba vanoongorora uye vanorapa sei izvi?
Kana ukaenda kuna chiremba uine zviratidzo zvawataura kare, achakuongorora uye achakuitira bvunzo dzakawanda kana achifungidzira kuti une chirwere ichi.
Maitiro ekuongorora chirwere ichi
1. Ultrasound Scan: Iyi ndiyo bvunzo inonyanya kukosha. Kana ikatariswa pascan, mwana ari mudumbu anogona kunge asipo, kana mwana ari mudumbu anogona kuoneka mudiki pane zvaari kwemavhiki aave achikura. Placenta inogonawo kuoneka isina kujairika, ine masaga akawanda azere nemvura.
2. Kuongororwa kwemazinga ehormone yeHCG: Sampuro yeropa inotorwa kubva kwauri uye huwandu hwehormone inonzi HCG (Human Chorionic Gonadotropin) hunoongororwa. Muchiitiko ichi, huwandu hweHCG hwakakwira zvisingawanzoitiki pane hwepamuviri wakajairika.
Mushure mekuongororwa kaviri uku, chiremba achakwanisa kusimbisa chirwere ichi.
Maitiro ekurapa
Sezvo mhando iyi yekubata pamuviri isingagone kuramba iripo, nyama isina kujairika iri mukati mechibereko inofanira kubviswa zvachose. Kurapa kukuru kweizvi kuvhiyiwa kunonzi D&C (Dilation and Curettage) .
Kuvhiyiwa kweD&C hakusi chinhu chekutya zvakanyanya. Kunozivikanwawo se "kushambidza muromo wechibereko." Kunosanganisira kukupa mushonga wekurwadziwa, kuvhura muromo wechibereko zvishoma, uye kushandisa mudziyo wakakosha kubvisa nyama dzese dzisina kunaka dziri muchibereko chako.
Nguva inonyanya kukosha inotanga mushure mekuvhiyiwa uku. Chiremba achakukumbira kuti uuye kuzoongororwazve.
Chii chinoitika panguva yekutevera?
Mushure mekuvhiyiwa D&C, zvakakosha kutarisa kana paine nyama isina kurongeka yasara muchibereko. Nzira yakanakisisa yekuita izvi ndeyekuramba uchitarisa huwandu hweHCG hormone.
- Uchafanirwa kuongororwa ropa vhiki nevhiki kana mwedzi wega wega.
- Mushure mekubudirira kweD&C, huwandu hweHCG hunofanira kudzikira zvishoma nezvishoma uye hunofanira kudzokera padanho rakajairika (risina pamuviri) mukati memwedzi mishoma.
- Unofanira kudzivirira kubata pamuviri zvakare kusvika huwandu hweHCG yako hwadzokera pahunhu hwakanaka uye chiremba wako akutaurira kuti uite saizvozvo. Chikonzero cheizvi ndechekuti kana ukaita pamuviri panguva ino, huwandu hweHCG yako huchakwira zvakare. Zvadaro hazvizokwanisike kuziva kana kukwira kwacho kuri nekuda kwepamuviri mutsva kana kuti nyama yekare iri kukura zvakare.
- Izvi zvinowanzoonekwa kwenguva iri pakati pemwedzi mitanhatu negore.
Pane mamwe matambudziko angamuka kubva pane izvi here?
Kazhinji, kuongororwa kweD&C uye kuteverwa kwakakodzera kunoita kuti munhu apore zvakakwana. Zvisinei, kashoma, matambudziko anogona kuitika.
Dambudziko guru chirwere chinonzi Persistent Gestational Trophoblastic Neoplasia (GTN) . Zvichitaurwa zviri nyore, mamwe matishu asina kujairika anoramba ari muchibereko mushure meD&C uye anoramba achikura. Kana huwandu hwehCG hukasaderera sezvaitarisirwa, chiremba achafungidzira kuti chirwere ichi hachiwanzoitiki. Izvi zvinogona kuva chirwere chegomarara (choriocarcinoma).
Asi musazvidya moyo! Dambudziko iri reGTN rinogona kurapwa zvakanaka uye kurapa. Mishonga yakaita sechemotherapy inoshandiswa pairi. Ndosaka kutevera kwakakosha, sezvakataurwa nachiremba. Kana rikaonekwa nekukurumidza, kurapwa kwacho kunobudirira zvikuru.
Zvinokwanisika here kuva nemwana zvakare mushure mekunge chimwe chinhu chakadai chaitika?
Uyu ndiwo mubvunzo mukuru netariro kune wese munhu ari kutarisana nedambudziko rakadai.
Mhinduro yacho ndeyekuti, "Hongu, zvinogona zvechokwadi".
Kana mimba isina kusimba yapera uye nguva yekutevera yapera, chiremba wako anokubvumidza kuti ubatezve pamuviri. Vanhu vazhinji vanobata pamuviri mushure meizvozvo vanova nemwana ane hutano hwakanaka pasina matambudziko.
Asi yeuka, sezvo izvi zvakamboitika kare, zvakakosha kutaura nachiremba wako nezvepamuviri wako unotevera woronga zvinoenderana nazvo. Njodzi yekuti izvi zviitike zvakare papamuviri wako unotevera yakaderera zvikuru (inenge 1-2%). Zvisinei, chiremba wako achakutarisa zvakanyanya papamuviri wako unotevera.
Kurasikirwa nepamuviri seizvi kunoshamisa zvikuru. Zvipe nguva yekugadzirisa kushungurudzika. Taura nemurume wako nemhuri yako nezvazvo. Tsvaga mazano enyanzvi kana zvichidikanwa. Hutano hwepfungwa hwakakosha sehutano hwemuviri.
Mharidzo Yekuenda Nayo Kumba
- Kubata pamuviri kwePartial Molar idambudziko remajini rinoitika pakutanga kwekuzvitakura. Harisi mhosva yako.
- Kana uine zviratidzo zvakaita sekubuda ropa rakawanda kubva muchibereko kana kurutsa zvakanyanya, enda kuna chiremba wako nekukasika.
- Kuvhiyiwa kweD&C ndiko kurapwa kukuru. Mushure meizvozvo, zvinosungirwa kutarisa huwandu hweHCG kwemwedzi yakati wandei kana kusvika pagore, sezvakataurwa nachiremba.
- Zvakakosha zvikuru kudzivirira kubata pamuviri zvakare panguva yekutevera.
- Mushure mechiitiko ichi, mikana yekuva nepamuviri pakanaka uye mwana ane hutano yakakura kwazvo. Usarasa tariro.
- Hausi wega parwendo urwu. Mhuri yako, shamwari, nachiremba wako varipo kuti vakubatsire.
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