Kunzima ukuchaza uvuyo oluvayo xa ufumanisa ukuba ukhulelwe, akunjalo? Kodwa ngamanye amaxesha, izinto azihambi njengoko bekucwangcisiwe. Khawuthelekelele, endaweni yokuba umntwana ozelweyo osempilweni, into engaqhelekanga, njengeqela leediliya, ekhula esibelekweni sakho. Eli liva elibuhlungu nelinzima ngokwenene ukulicinga. Kwizonyango, esi simo sibizwa ngokuba kukukhulelwa kwe-molar . Musa ukoyika xa usiva eli gama. Namhlanje, siza kuthetha nje ngesizathu sokuba oku kwenzeke, ithetha ukuthini, kunye nento omawuyenze ngayo.
Ngamafutshane, yintoni ukukhulelwa kwe-molar?
Ukukhulelwa kwe-molar, ngokufutshane, yimeko eyenzeka kwangethuba ekukhulelweni, xa iqanda kunye nesidoda kudibana (ukuchumisa). Endaweni yokuba i-embryo esempilweni kunye ne-placenta zikhule, izicubu ezininzi ezingaqhelekanga, ezingenamhlaza zikhula ngaphakathi kwesibeleko. Ezi zicubu zifana namaqamza amancinci azaliswe ngamanzi. Yiyo loo nto zibonakala njengeqela leediliya xa ziphuma.
Okubaluleke kakhulu, olu hlobo lwezicubu ezingaqhelekanga alunakukhula lube ngumntwana ophilileyo, ngoko ke ukukhulelwa kwe-molar kuhlala kuphelela ekuphunyelweni sisisu okanye ekususweni kwesisu ngugqirha.
Le meko ikwicandelo lezonyango leSifo seTrophoblastic Disease (GTD) . Ikwabizwa ngokuba yiHydatidiform Mole .
Kukho iintlobo ezimbini eziphambili zokukhulelwa kwe-molar:
Ukukhulelwa kwe-molar kwahlulwe zibe ziintlobo ezimbini eziphambili ngokuxhomekeke kwindlela eyenzeka ngayo le ngxaki yemfuza.
- Ukukhulelwa Okupheleleyo Kwe-Molar: Oku kwenzeka xa isidoda sivundisa iqanda elingenanto elingenalo ulwazi lwemfuza (ii-chromosomes). Ekubeni iqanda lingenanto, akukho mbungu ikhula. Nangona kunjalo, izicubu ezinxulumene ne-placenta zikhula ngendlela engaqhelekanga kwaye zibukeka njengeqela leediliya. Le zicubu ivelisa i-hormone yokukhulelwa, i-HCG (i-Human Chorionic Gonadotropin) , enokukwenza uzive ngathi ukhulelwe. Uvavanyo lokukhulelwa lunokuba neziphumo ezilungileyo.
- Ukukhulelwa kwe-Molar engaphelelanga: Oku kwenzeka xa amadlozi amabini exuba iqanda eliqhelekileyo. Oku kubangela ukuba i-embryo ibe nenani elingaqhelekanga lee-chromosomes kunye ne-placenta engaqhelekanga. Nangona le mveku iqala ukukhula kancinci, ayikwazi ukusinda.
Ngubani osengozini enkulu yokuba nale meko?
Ukukhulelwa kwe-molar kunqabile kakhulu. Kudla ngokuvela malunga nokukhulelwa oku-1 kwi-1000. Kodwa kunokwenzeka nakubani na. Nangona kunjalo, abanye abantu basengozini enkulu kancinci.
- Kubantu abaselula abangaphantsi kweminyaka engama-20 ubudala.
- Kwabo baneminyaka engaphezu kwama-40 ubudala.
- Kwabo bakha bakhulelwa i-molar ngaphambili.
- Kwabo baphunyelwe zizisu ezibini nangaphezulu ngaphambili.
- Kubantu abazalwa eAsia.
Zithini iimpawu zokukhulelwa kwe-molar?
Ngamanye amaxesha le meko inokubakho ngaphandle kweempawu, kodwa uninzi lwabantu luya kufumana enye okanye ngaphezulu kwezi mpawu zilandelayo:
| Uphawu | Inkcazo |
|---|---|
| Ukopha kwangasese | Ukopha okwenzeka kwiinyanga ezintathu zokuqala zokukhulelwa. |
| Isicaphucaphu esinzima kunye nokuhlanza | Ukucaphuka nokuhlanza okuninzi kunokuba kuqhelekile ngexesha lokukhulelwa. |
| Ukukhupha okufana neediliya | Amaqamza amancinci afana neediliya aphuma kwilungu lobufazi. |
| Igazi elonyukayo | Uxinzelelo lwegazi oluphezulu kwangethuba ekukhulelweni (i-Preeclampsia). |
| Amanqanaba eHCG angaqhelekanga | Inqanaba le-hormone ye-HCG egazini liphezulu kakhulu xa lithelekiswa nexesha lokukhulelwa. |
| Ukudumba kwesisu | Isisu sikhula ngokukhawuleza kunangexesha lokukhulelwa. |
Ezi mpawu zinokubakho nakwezinye iimeko, ngoko ke ukuba ukhulelwe kwaye unenye yezi mpawu,Bona ugqirha wakho ngoko nangoko.
Ifunyaniswa njani kwaye inyangwa njani le nto?
Ukuba unezi mpawu zingasentla okanye ukuba ugqirha wakho ukrokrela ukuba kukho into engalunganga ngexesha lovavanyo oluqhelekileyo, ezi mvavanyo ziya kuqinisekisa ukuba uxilongiwe.
- I-Ultrasound Scan: Ukuba i-scan yesibeleko ibonisa iqela lezicubu ezifana neqela leediliya endaweni ye-fetus esempilweni kunye ne-placenta, oko kunokubonisa ukukhulelwa kwe-molar.
- Uvavanyo lwegazi lweHCG: Olu vavanyo luvavanya inqanaba lehomoni yeHCG egazini. Eli nqanaba liphezulu ngokungaqhelekanga xa ukhulelwe i-molar.
Oku akubangelwa yimpazamo yakho, ukutya, isiselo, okanye nantoni na oyenzileyo. Esi sisiphene semfuza esenzeka ngokupheleleyo ekuqaleni kokukhulelwa. Ngoko ke ungazibeki tyala ngokucinga ngale nto.
Iindlela zonyango
Nje ukuba kuqinisekiswe ukukhulelwa kwe-molar, zonke izicwili ezingaqhelekanga kufuneka zisuswe kwisibeleko. Ngaphandle koko, kunokubakho iingxaki ezinkulu. Oku kwenziwa ikakhulu ngenkqubo ye-D&C .
- I-D&C (Ukwanda kunye neCurettage): Le yindlela nje yotyando yokucoca isibeleko. Yenziwa ngelixa uphantsi kwe-anesthesia (ulala), ukuze ungaziva ntlungu. Le nkqubo isusa naziphi na izicwili ezingaqhelekanga kwisibeleko.
- Amayeza: Kwezinye iimeko, kunikwa amayeza okubangela ukuba isibeleko sinciphe size sisuse esi sicwili.
- Ukususwa kwesibeleko: Oku kwenziwa rhoqo. Ugqirha wakho uza kuxoxa nawe ngale nto ukuba kukho ezinye iingxaki okanye ukuba awufuni abanye abantwana.
Emva konyango, ugqirha wakho uza kuvavanya igazi lakho kangangeeveki okanye iinyanga ezimbalwa de amanqanaba akho e-HCG abuyele kwisiqhelo (zero). Kubaluleke kakhulu ukwenza olu vavanyo ngokuchanekileyo. Oku kukuqinisekisa ukuba zonke izicwili ezingaqhelekanga zisusiwe emzimbeni wakho.
Ngaba oku kungabangela iingxaki?
Ixesha elininzi, akukho ngxaki emva kwe-D&C, kodwa kunqabile ukuba kubekho ezinye iingxaki.
- I-Invasive Mole: Ngamanye amaxesha, iiseli ezingaqhelekanga ezisalayo emva kokususwa zinokukhula zibe ngumaleko wemisipha yesibeleko. Oku kunqabile.
- I-Choriocarcinoma: Lo ngumhlaza ongaqhelekanga kakhulu. Ukuba inqanaba le-HCG lihlala liphezulu, kuyarhanelwa ukuba oku kuyenzeka. Nangona kunjalo, lo luhlobo lomhlaza olunokunyangeka ngokupheleleyo ngonyango .
Yingakho kubaluleke kakhulu ukujonga amanqanaba eHCG rhoqo emva konyango.
Ngaba kunokwenzeka ukuba nomntwana ophilileyo kwakhona?
Ewe, ngokuqinisekileyo unako! Ukuba nokukhulelwa okuphuma emlonyeni akuthethi ukuba awunabantwana. Ukukhulelwa kwakho okulandelayo kunokwenzeka ukuba kube sempilweni.
Nangona kunjalo, ugqirha wakho unokukucebisa ukuba ulinde ixesha elithile ngaphambi kokuba uzame ukukhulelwa kwakhona. Ngokwesiqhelo, kuthatha malunga neenyanga ezi-6 ukuya kunyaka. Oku kukuqinisekisa ukuba amanqanaba akho e-HCG ehle ngokupheleleyo ukuya kwi-zero kwaye ahlala apho okwethutyana. Ngaphandle koko, ukuba ukhulelwa kwakhona kungekudala, kuya kuba nzima ukufumanisa ukuba amanqanaba e-HCG ayanyuka ngenxa yokukhulelwa okutsha okanye ngenxa yezicubu ezisele zokukhulelwa kwangaphambili.
Ngoko ke, kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho.
Ukukhulelwa kwe-molar yinto ebuhlungu kakhulu, emzimbeni nangokweemvakalelo. Ukulahlekelwa kukukhulelwa obukulindele yinto ebuhlungu kakhulu. Kuqhelekile ukuba uzive ulusizi, ukhale, kwaye ucaphuke. Thetha nomyeni wakho, usapho kunye nabahlobo ngale nto. Funa ingcebiso yezonyango okanye yengqondo ukuba kuyimfuneko.
Umyalezo Wokuya Ekhaya
- Ukukhulelwa kwe-molar sisifo semfuza esenzeka kwasekuqaleni kokukhulelwa. Asikuko ukuba kukho nasiphi na isiphene sakho.
- Le meko ayizukukhula ibe ngumntwana ophilileyo, ngoko ke kubalulekile ukususa izicubu ezingaqhelekanga.
- Unyango oluqhelekileyo kukwandisa nokukhulula ulusu (D&C).
- Emva konyango, kubaluleke kakhulu ukulandelela uvavanyo lwegazi de amanqanaba e-HCG hormone abuyele esiqhelweni.
- Emva kolu vavanyo, ngokuqinisekileyo ungaba nokukhulelwa okunempilo. Nxibelelana nogqirha wakho malunga nexesha elifanelekileyo lokwenza oko.
- Kuqhelekile ukuba buhlungu ngokulahlekelwa kukukhulelwa. Fumana inkxaso oyifunayo kusapho, kubahlobo, okanye kumcebisi oqeqeshiweyo.
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