Ngaba uyafuna ukwazi malunga nokukhulelwa kwe-Partial Molar? Makhe sithethe ngako!

Andazi ukuba wakha weva na igama elithi `(Partial Molar Pregnancy)`. Mhlawumbi kugqirha, okanye kwenye indawo. Le yingxaki enokwenzeka rhoqo kwasekuqaleni kokukhulelwa. Enyanisweni yimeko engaqhelekanga, kodwa kubalulekile ukuyiqonda. Namhlanje, siza kuthetha ngokulula malunga nokuba yintoni `(Partial Molar Pregnancy)`, kutheni isenzeka, zithini iimpawu, kwaye inyangwa njani.

Yintoni le "Partial Molar Pregnancy "?

Ngamafutshane, `(Partial Molar Pregnancy)` yimeko ekhethekileyo ekwicandelo lokukhulelwa kwe-molar `(Molar Pregnancy)`. Oku kwenzeka ngexesha lokukhulelwa, xa iqanda elivundisiweyo, oko kukuthi, ingcambu ye-embryonic, lingakhuli kakuhle. Isizathu esiphambili sale nto yimpazamo yemfuza eyenzeka ngexesha lokukhulelwa. Kukukhulelwa okuqhelekileyo, iqanda elivela kumama lidibana ne-sperm enye evela kutata. Emva koko i-embryo ephumayo ifumana ulwazi oluyimfuneko lwemfuza. Kodwa kwi-`(Partial Molar Pregnancy)`, amadlozi amabini adibana neqanda elinye. Emva koko i-embryo ifumana izinto ezininzi zemfuza kunokuba ifuna. Ngenxa yezi genes zongezelelweyo, ukukhulelwa akunakuqhubeka kakuhle. Kule meko `(Partial Molar Pregnancy)`, ngamanye amaxesha iindawo ze-embryo kunye ne-placenta zinokuqala ukwakheka. Kwangaxeshanye, izicubu ezingaqhelekanga, ezifana nee-cysts ezincinci, ezizaliswe ngamanzi, nazo ziyavela. Ngale ndlela, zombini i-placenta kunye ne-fetus zikhula ngendlela engaqhelekanga, okwenza kube nzima ukuqhubeka nokukhulelwa. Rhoqo, `"Partial Molar Pregnancy" iphela "kwi-Miscarriage" kwiiveki zokuqala zokukhulelwa. Ezi zifo zokukhulelwa kwe-molar ziphantsi kweqela lezifo ezibizwa ngokuba yi-"Gestational Trophoblastic Disease - GTD". I-"GTD" liqela lezifo apho ii-cysts ezingaqhelekanga zenzeka ngaphakathi kwesibeleko . Ezi zifo zokukhulelwa kwe-molar zikwabizwa ngokuba yi-"Hydatidiform Moles". Eyona nto ibalulekileyo kukuba ukuba ufumanisa ukuba "ukhulelwe i-Partial Molar Pregnancy", kubalulekile ukufuna unyango ngoko nangoko.

Ixhaphake kangakanani le meko?

"Ukukhulelwa kwe-"Partial Molar Pregnancy"" kuqheleke kancinci kune-"Complete Molar Pregnancy." Nangona kunjalo, ngaphantsi kwe-1% yazo zonke izisu, okanye malunga nenye kweziyi-1200 zokukhulelwa, zisusu. Ngoko ke njengoko ubona, oku kunqabile kakhulu.

Zithini iimpawu ze-`(Partial Molar Pregnancy)`?

Uphawu oluphambili lwale meko kukopha kakhulu kwilungu lobufazi kwisigaba sokuqala sokukhulelwa. Eli gazi linokuba mdaka omnyama okanye libe bomvu kancinci. Ukongeza, unokufumana ezi mpawu zilandelayo:

• Isicaphucaphu esikhulu kunye nokuhlanza (nangona abantu abaninzi benesicaphucaphu sasekuseni ngexesha lokukhulelwa , oku kunokuba nzima ngakumbi).
• Intlungu yesinqe, oko kukuthi, intlungu ezantsi kwesisu .
• Iziqwenga zezicubu ezibonakala ngathi ziidiliya ezinamanzi eziphuma kwilungu lobufazi.
• Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu).

Ngamanye amaxesha, isibeleko sinokuba sikhulu kunesiqhelo, okanye sikhule ngokukhawuleza kunokuba bekulindelwe kwikota yokuqala yokukhulelwa. Nangona kunjalo, ezi mpawu azibonakali kuye wonke umntu. Abanye abantu abanazo iimpawu kwaye zifunyanwa ngengozi kuphela ngexesha lokuhlolwa kwabo kokuqala kwe-ultrasound.

Kutheni le nto `(Partial Molar Pregnancy)` isenzeka?

Njengoko benditshilo ngaphambili, oku kuyenzeka ngengozi yemfuza . Masiyiqonde ngokulula le nto. Kwixesha eliqhelekileyo lokukhulelwa, iqanda lifumana iichromosomes ezingama-23 kumama kunye nezingama-23 kutata, nto leyo eyenza iichromosomes ezingama-46 zizonke. Le yindlela umntwana ozelwe esempilweni afanele akhule ngayo. Nangona kunjalo, kwi-"Partial Molar Pregnancy", iqanda lifumana iiseti ezimbini zeechromosomes kutata. Oko kukuthi, uninzi lwexesha, iisperms ezimbini zidibana neqanda elinye. Emva koko inani lilonke leechromosomes liba ngama-69 endaweni yama-46. Olu lwazi longezelelekileyo lwemfuza yingakho umntwana ozelwe ezelwe ezelwe kunye ne-placenta zingakhuli kakuhle.

Cinga ngayo, kufana nokuba xa wongeza kabini inani lezithako ezifunekayo ukwenza ikhekhe kunokuba iresiphi isitsho, ikhekhe ayizukuba mnandi.

Ngubani osengozini enkulu yoku?

Izinto ezithile ziyandisa umngcipheko wokukhulelwa kwe-molar. Nangona kunjalo, khumbula ukuba ukukhulelwa kwe-molar engaphelelanga kunamathuba amancinci kunokukhulelwa kwe-molar epheleleyo. Ezi zinto zomngcipheko ziquka:

• Ukuba ukhe wakhulelwa i-molar ngaphambili: Ukuba le meko iyenzeka kube kanye, kukho ithuba elincinci lokuba ingaphinda yenzeke.
• Ubudala: Lo mngcipheko uphezulu kancinci kubasetyhini abaneminyaka engaphezu kwama-40 ubudala kunye nabantwana abancinci abangaphantsi kweminyaka eli-15 ubudala.
• Ukuba ukhe waphunyelwa zizisu ezibini okanye ngaphezulu ngaphambili.

Kuthiwa kwakhona inani lokukhulelwa kwe-molar elixeliweyo kumazwe aseAsia liphezulu kunakwamanye amazwe afana ne-United States. Kukwakho nedatha yokuba e-United States, abantu abamhlophe banamathuba amaninzi okukhulelwa kwe-molar kunabantu abamnyama.

Zithini iingxaki zokukhulelwa okuncinci (Partial Molar Pregnancy)?

Kukho iingxaki ezinkulu ezinokubakho xa ukhulelwe i-molar. Enye yazo luhlobo olungaqhelekanga lomhlaza olubizwa ngokuba yiChoriocarcinoma. Ukongeza, enye ingxaki eqhelekileyo enokubakho xa ukhulelwe i-molar yiPersistent Gestational Trophoblastic Neoplasia (GTN). Oku kwenzeka xa izicubu ezingaqhelekanga ziqhubeka nokukhula ngaphakathi kwesibeleko nasemva kokuba kwenziwe i-dilation kunye ne-curettage (D&C) ukususa ukukhulelwa i-molar. Ezinye iingxaki ziquka:

• Ukopha kakhulu.
• Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu).
• Ii-cysts ze-ovarian.
• I-Hyperthyroidism.

Ngokubanzi, umngcipheko weengxaki ekukhulelweni kwe-molar epheleleyo uphezulu kunakwi-partial molar pregnancy.

Ihlala ixesha elingakanani i-`(Partial Molar Pregnancy)`?

Enyanisweni, i-embryo kwi-`(Partial Molar Pregnancy)` ayinakuphila. Nangona kunjalo, ukukhulelwa kunokuhlala iiveki ezininzi. Uninzi lwexesha, oku kugqibela ngokuphuma kwesisu okuzenzekelayo. Emva koko iziqwenga zezicubu, njengeeqoqo zeediliya, zikhutshwa kwilungu lobufazi. Nangona kunjalo, kwabanye abantu, kuphela xa befumana iskeni yabo yokuqala ye-`(Ultrasound)` apho bafumanisa ukuba yi-`(Partial Molar Pregnancy)`.

Ungayibona njani i-`(Partial Molar Pregnancy)`?

Ugqirha wakho uza kuxilonga "ukukhulelwa okuncinci kwe-molar" ikakhulu ngokwenza uvavanyo lwe-"ultrasound". I-"ultrasound" ingabonisa izinto ezinje:

• Ukungabikho kwe-embryo okanye i-embryo kubonakala kuncinci kakhulu.
• I-placenta ibonakala izele zii-cysts okanye ibonakala ingaqhelekanga.

Kwangaxeshanye, ugqirha uza kwenza uvavanyo lwegazi ukujonga inqanaba lehomoni ebizwa ngokuba yi-`(Human Chorionic Gonadotropin - HCG)` egazini lakho. `(HCG)` yihomoni eveliswa ngumzimba wabasetyhini abakhulelweyo. Kwi-`(Partial Molar Pregnancy)`, eli nqanaba le-`(HCG)` linyuka ngokukhawuleza kwaye liye kwinqanaba eliphezulu kakhulu kunakwixesha lokukhulelwa eliqhelekileyo.

Ungayifumana ngokukhawuleza kangakanani le nto?

Amaxesha amaninzi, oogqirha bafumanisa oku kukhulelwa kwe-molar kwiiveki ezili-12 zokuqala zokukhulelwa, oko kukuthi, kwiinyanga ezintathu zokuqala.

Inyangwa njani i-`(Partial Molar Pregnancy)`?

Ugqirha unyanga ukukhulelwa kwe-molar okungaphelelanga ngokususa usana kunye ne-placenta (izicubu ezingaqhelekanga) esibelekweni. Oku kubizwa ngokuba yi-dilation and curettage (D&C). Oku kungenziwa kwigumbi lotyando ngelixa uvukile, okanye kungenziwa eofisini kagqirha ngelixa uvukile. Ungathetha nogqirha wakho malunga nezi ndlela. Emva kwe-D&C, ugqirha wakho uya kuqhubeka nokujonga amanqanaba akho e-hCG ukuya kuthi ga kunyaka ukuze abone ukuba kukho na iindawo ze-molar tissue ezisesesibelekweni. Kubalulekile ukusebenzisa ucwangciso lokuzala (ezifana neepilisi zolawulo lokuzala) ngeli xesha. Oku kungenxa yokuba ukuba ukhulelwa kwakhona ngeli xesha, amanqanaba akho e-hCG anokuba phezulu, okwenza kube nzima ukufumanisa ukuba i-molar tissue isekhona okanye ukuba kukukhulelwa okutsha. Amaxesha amaninzi, emva kwe-D&C, i-placenta ingahlala esibelekweni. Le meko ibizwa ngokuba yi-Gestational Trophoblastic Disease (GTD). Ukuba oku kuyenzeka, ugqirha wakho kuya kufuneka anyange i-GTD. Oku kunokubandakanya i-chemotherapy, i-radiation, okanye i-hysterectomy.

Ngaba ukukhulelwa kwe-Partial Molar kungathintelwa?

Hayi, akukho nto sinokuyenza ukuthintela `(Ukukhulelwa kwe-Molar okuNgaphelelanga)` (okanye ukukhulelwa kwe-molar okupheleleyo). Oku kungenxa yokuba kuyenzeka ngengozi yemfuza. Ukuba ukhe waba ne-`(Ukukhulelwa kwe-Molar okuNgaphelelanga)` ngaphambili, kubaluleke kakhulu ukuthetha nogqirha wakho ngaphambi kokuba uzame ukukhulelwa kwakhona. Mhlawumbi angakucebisa ukuba ulinde iinyanga ezintandathu ukuya kunyaka. Nangona amathuba okukhulelwa kwe-molar esezantsi, ukuba ukhe waba nayo, kukho umngcipheko omncinci wokuba iphinde yenzeke.

Ngaba kunokwenzeka ukuba uphinde ukhulelwe emva kokukhulelwa okuncinci (iPartial Molar Pregnancy)?

Ewe, ngokuqinisekileyo kunokwenzeka. Amathuba okukhulelwa kwe-molar kwakhona aphantsi kakhulu (malunga ne-1% ukuya kwi-2%), kodwa kukho umngcipheko omncinci. Xa uceba ukukhulelwa kwakho okulandelayo, kufuneka uthethe nogqirha wakho malunga nexesha elifanelekileyo lokukhulelwa. Oku kungenxa yokuba isibeleko kufuneka singabi nazicubu ze-molar ngokupheleleyo, kwaye inqanaba `(HCG)` kufuneka libuyele kwisiqhelo.

Ngaba umntwana ongekazalwa angaphila xa ekhulelwe "nge-Partial Molar Pregnancy"?

Hayi, i-embryo ayinakuphila kwi-`(Partial Molar Pregnancy)`. Ubuninzi, izicubu zokukhulelwa zinokukhula kangangeeveki ezili-12 (iinyanga ezintathu). Kodwa aziyi kuqhubeka njengokukhulelwa okunempilo.

Ndifanele ndimbone nini ugqirha?

Ukuba ukhulelwe kwaye uneempawu ezifana nokopha kwegazi kwilungu lobufazi, isicaphucaphu, okanye iintlungu ezisezantsi kwesisu, bona ugqirha wakho ngoko nangoko . Ekubeni iimpawu zokukhulelwa kwe-molar zinokufana nezinye iimeko, kubalulekile ukufuna ingcebiso kagqirha ngokukhawuleza.

Ndingayibuza yiphi imibuzo ugqirha?

Ukuba ukhe waba nokukhulelwa okubizwa ngokuba yi-"Partial Molar Pregnancy", usenokuba nemibuzo emininzi. Kuqhelekile kakhulu. Ungabuza ugqirha wakho imibuzo efana nale:

• Ndingakhulelwa nini kwakhona?
• Angakanani amathuba okuba ndiphinde ndikhulelwe i-molar?
• Ngaba ndisengozini yokufumana iingxaki ezinkulu?
• Ngaba kufuneka ndenze naluphi na uvavanyo olongezelelweyo?
• Ndingafumana umhlaza xa ndikhulelwe i-molar pregnancy?

Ukulahlekelwa ngumama, nokuba kungasiphi na isizathu, ngamava abuhlungu kakhulu. Ngolu xilongo lwe-"Partial Molar Pregnancy"`, zinike ixesha lokulila ngenxa yokukhulelwa kwakho. Kubaluleke kakhulu ukuya kuzo zonke iimvavanyo kunye neendibano eziyalelwa ngugqirha wakho emva kwe-"Partial Molar Pregnancy". Ugqirha wakho uza kuthetha nawe malunga nokukhulelwa kwixesha elizayo. Khumbula, amathuba okukhulelwa kwesibini kwe-molar aphantsi kakhulu, kwaye uninzi lwabantu lufumana ukukhulelwa okuphumelelayo.

Umyalezo Wokuya Ekhaya

Kulungile, masikhumbule amanqaku abaluleke kakhulu kwinto esithethe ngayo:

• Ukukhulelwa okungaphelelanga kwe-molar kukukhulelwa apho i-embryo kunye ne-placenta zingakhuli kakuhle ngenxa yesiphene semfuza. Oku akunakuqhubeka.
• Iimpawu zokuqala zingabandakanya ukopha kwegazi kwilungu lobufazi, isicaphucaphu esiqatha, kunye nentlungu esezantsi kwesisu.
• Oku kubonwa nge-ultrasound kunye novavanyo lwegazi lwe-HCG.
• Unyango kukucoca isibeleko ngotyando lwe-"D&C". Emva koko, inqanaba le-"HCG" liyajongwa.
• Nangona oku kungenakuthintelwa, abantu abaninzi banokuba nokukhulelwa okunempilo emva konyango.
• Ukuba unayo nayiphi na kwezi mpawu, okanye ukuba unemibuzo malunga noku, ungoyiki ukuthetha nogqirha wakho. Baza kukunceda.

Ndiyathemba ukuba olu lwazi luza kukunceda. Ukuba unemibuzo, ungabi nantloni ubuze ugqirha. Hlala usempilweni!