Ingaba kukukhulelwa kwe-molar? (Ukukhulelwa kwe-molar) Makhe sithethe ngale nto ngokweenkcukacha!

Ngaba wakha weva ngegama elithi 'Molar Pregnancy'? Oku kusenokuba yinto entsha kuwe. Nangona kunjalo, le yimeko ebangela usizi nokuzisola kubantu abaninzi, ingakumbi abo banethemba lokuba ngoomama. Nangona kunjalo, ukuba unolwazi olufanelekileyo, unganciphisa iziphumo ezinokubakho zoku kwaye ujongane nekamva eliphilileyo. Ngoko ke, masithethe ngale nto namhlanje ngendlela elula onokuyiqonda, kulungile?

Yintoni le 'yokukhulelwa kwe-molar'?

Ngamafutshane, ukukhulelwa kwe-molar yimeko eyenzeka xa iqanda kunye nesidoda kudibana, okanye kuqhama, ngenxa yempazamo. Endaweni yokuba umntwana osempilweni akhule njengakwimeko yokukhulelwa eqhelekileyo, ukukhula okungenamhlaza kukhula ngaphakathi kwesibeleko. Oku kukhula kubonakala njengeqela leengxowa ezincinci ezinamanzi, njengeqela leediliya.

Ngelishwa, olu hlobo lwethumba alukwazi ukuxhasa umntwana okhulayo, oko kukuthi, alunakondla umntwana. Ngoko ke, oku kukhulelwa akuyi kuphumelela, oko kukuthi, kunokuphela ngokuphuma kwesisu. Ngamanye amaxesha, ukuba ukuphuphuma kwesisu okunjalo akwenzeki, kuya kufuneka kwenziwe utyando ukuze kususwe esi sicwili. Ukuba oku akunyangeki, kunokubakho iingxaki ezinkulu .

Ukukhulelwa kwe-Molar yimeko ebizwa ngokuba yi-Gestational Trophoblastic Disease (GTD). I-GTD liqela lezifo ezibangela ukuba kubekho iithumba ngaphakathi kwesibeleko. Ukukhulelwa kwe-Molar kwaziwa ngokuba yi-Hydatidiform Mole.

Kukho iintlobo ezimbini eziphambili zokukhulelwa kwe-molar:

Le meko inokwahlulwahlulwa ibe ziinxalenye ezimbini eziphambili:

1. Ukukhulelwa okupheleleyo kwe-Molar

Kolu hlobo, akukho mbungu ikhula. Oku kwenzeka xa iseli yesidoda idibana neqanda elingenanto, elingenazo izinto zofuzo. Ekubeni iqanda lingenanto, umbungu awunakukhula. Nangona kunjalo, izicubu ze-placenta ziyakhula. Kodwa azikhuli ngendlela eqhelekileyo, kodwa ngendlela engaqhelekanga, njengee-cysts ezizaliswe lulwelo. Le zicubu ivelisa i-hormone yokukhulelwa ebizwa ngokuba yi-'HCG' (iHuman Chorionic Gonadotropin). Ekubeni le hormone iveliswa yi-placenta kukukhulelwa okunempilo, ungaziva ukhulelwe kwaye ufumane iziphumo ezilungileyo kuvavanyo lokukhulelwa ekhaya. Kodwa eneneni akukho mntwana.

2. Ukukhulelwa kwe-Molar engaphelelanga

Kwi-partial molar pregnancy, i-placenta engaqhelekanga kunye ne-embryo ziyakhula kunye. Oku kwenzeka xa iiseli ezimbini zesidoda zidityaniswe neqanda elinye. I-embryo ephumayo emva koko ifumana iseti eyongezelelweyo yee-chromosomes. Nokuba i-embryo iqala ukukhula, ayihlali iphila.

Ngubani onokuba nokukhulelwa okuncinci?

Nangona esi sisifo esingaqhelekanga, sinokwenzeka nakubani na. Nangona kunjalo, abanye abantu basengozini enkulu kancinci. Nazi:

• Abantu abaselula abangaphantsi kweminyaka engama-20 ubudala.
• Abantu abangaphezu kweminyaka engama-40 ubudala.
• Abo bakha bakhulelwa i-molar ngaphambili.
• Abo baye baphunyelwa zizisu ezibini nangaphezulu.
• Abantu abazalwa eAsia (oku kusesekwinqanaba lophando, kodwa ezinye izifundo zibonisile).

Kuqheleke kangakanani 'ukukhulelwa kwe-molar'?

Oku kunqabile kakhulu. Ukukhulelwa kwe-Molar kwenzeka ngaphantsi kwe-1% yazo zonke izisu zokukhulelwa (oko kukuthi malunga ne-1 kwi-1000 zokukhulelwa). Ngoko ke, oku akwenzeki kuwo wonke umntu.

Ngaba ukukhulelwa kwe-molar kungakhokelela ekukhulelweni okuqhelekileyo?

Kubuhlungu kakhulu, kodwa ukukhulelwa kwe-molar kusoloko kuphelela ekuphunyelweni yisisu. Oko kuthetha ukuba akukho mntwana uzalwayo.

Uza kuziva ulusizi kakhulu kwaye udanile xa usiva oku. Yinto eqhelekileyo leyo. Kodwa khumbula, oku akulona ityala lakho.

Zithini iimpawu 'zokukhulelwa kwe-molar'?

Abanye abantu abanazo naziphi na iimpawu. Nangona kunjalo, abo baneempawu banokufumana enye okanye ezingaphezulu kwezi zilandelayo:

• Ukopha kwegazi kwilungu lobufazi lolona phawu luqhelekileyo kwiinyanga ezintathu zokuqala zokukhulelwa.
• Ukucaphuka okukhulu kunye nokuhlanza - ngamanye amaxesha okungaphezu kokukhulelwa okuqhelekileyo.
• Ii-cysts ezincinci (ii-cysts) ezibonakala ngathi zimbewu yeediliya ziyakhutshwa kwilungu lobufazi.
• I-Preeclampsia (uxinzelelo lwegazi oluphezulu) yimeko eyenzeka kwasekuqaleni kokukhulelwa.
• Amanqanaba aphezulu ngokungaqhelekanga ehomoni ethi `HCG` (oku kubonwa ngovavanyo lwezonyango).
• Ukudumba kwesisu - ngenxa yokuba isibeleko sikhula kakhulu kunokuba bekulindelwe.
• I-anemia - isenokuba ngenxa yokulahleka kwegazi.

Ekubeni ezi mpawu zinokubonakala nakwezinye iimeko, kungcono ukubona ugqirha ngokukhawuleza ukuba ufumana into engaqhelekanga efana nale.

Yintoni ebangela oku 'kumitha kwe-molar'?

Eyona nto ibangela ukukhulelwa kwe-molar ziimpazamo zemfuza ezenzeka xa iqanda lixutywe yisidoda. Khawuthelekelele, kukukhulelwa okuqhelekileyo, umntwana ongekazalwa ufumana ii-chromosome ezingama-23 kumama kunye nezingama-23 kutata, nto leyo eyenza ii-chromosome ezingama-46 zizonke. Ezi chromosomes zizakhiwo eziqulathe ii-genes zethu. Ii-genes zimisela indlela umzimba wethu omele usebenze ngayo.

Xa ukhulelwe i-molar, kukho ukungalingani kwezi chromosomes.

• Kwi -molar pregnancy epheleleyo , iqanda alinazo ii-chromosomes. I-embryo ifumana ii-chromosomes ezingama-23 kwi-sperm yodwa (mhlawumbi ziphindwe kabini nge-sperm enye okanye ii-sperm ezimbini zichumisa iqanda elingenanto).
• Ukukhulelwa kwe-Molar engaphelelangaKwimeko enye, iqanda lixutywa sisidoda esibini. Emva koko i-embryo ifumana ii-chromosomes ezingama-69 (23+23+23).

Esi siphene semfuza sisizathu sokuba ukukhulelwa kungaphumeleli. Kubalulekile ukukhumbula ukuba oku akuyonto oyenzileyo, yinto eyahlukileyo.

Ukukhulelwa kwe-molar kuchongwa njani?

Oogqirha badla ngokubona oku ngexesha lovavanyo lokukhulelwa kwasekuqaleni kokukhulelwa, ingakumbi ngexesha le-trimester yokuqala.

• Xa kwenziwa i-ultrasound scan yesibeleko, ingabonisa iingxowa ezizaliswe lulwelo endaweni ye-placenta. Uninzi lwexesha, akukho mbungu okanye umbungu obonakalayo ngaphakathi kwesibeleko. Nangona kunjalo, ngamanye amaxesha kunokubakho ezinye izicwili zokukhulelwa eziseleyo.
• Ingafunyanwa nangokulinganisa inqanaba lehomoni ethi `HCG` egazini lakho. `HCG` iveliswa yi-placenta esempilweni ngexesha lokukhulelwa. Le homoni ikwasetyenziselwa ukujonga ukukhulelwa ngovavanyo lomchamo wasekhaya. Kukukhulelwa kwe-`molar`, inqanaba le-`HCG` liphezulu ngokungaqhelekanga. Uvavanyo lwegazi lunokufumanisa eli nqanaba liphezulu kwaye lucinge ukuba `ukukhulelwa kwe-molar` kungenzeka ukuba kwenzeke.

Abanye abantu abanazo iimpawu, ngoko ke kunokothusa ukuva esi sifo. Kuqhelekile kakhulu oko. Kodwa, akufuneki uthabathe uxanduva lwale nto, ayilotyala lakho. Kwiimeko ezininzi, unokuba nokukhulelwa okunempilo ukuba uzama kwakhona.

Iphathwa njani i-molar pregnancy?

Ukukhulelwa kwe-molar kufuneka kususwe emzimbeni, kungenjalo kunokubakho iingxaki ezinkulu.

Ixesha elininzi, oku kufuna utyando.

• Olona nyango luqhelekileyo yi -D&C (Dilation and Curettage). Oku kuquka ukuvula umlomo wesibeleko nokusebenzisa i-suction ukususa naziphi na izicwili ezingaqhelekanga kwisibeleko. Uza kunikwa i-anesthesia eqhelekileyo ukuze ungabi nantlungu ngexesha lale nkqubo.

Kwezinye iimeko, endaweni yotyando, amayeza angasetyenziswa ukufinyeza isibeleko nokukhupha okungaphakathi kuso. Nangona kunjalo, kubalulekile ukuxoxa nogqirha wakho ngeyona ndlela ilungileyo yonyango, njengoko unyango olukhawulezileyo luyimfuneko ukuthintela iingxaki.

Kwiimeko ezinqabileyo kakhulu, i-hysterectomy ingafuneka.

Emva konyango, ugqirha wakho uza kujonga amanqanaba akho e-HCG hormone de abuyele esiqhelweni. Oku kukuqinisekisa ukuba zonke izicwili ze-molar zisusiwe ngokupheleleyo. Ukuba amanqanaba akho e-HCG akabuyeli esiqhelweni, oko kungabonisa ukuba kukho ezinye iingxaki ezinzulu.

Ziziphi iingxaki ezinokubakho zokukhulelwa kwe-molar?

Ngamanye amaxesha, emva kotyando okanye ukuphuphuma kwesisu, iinxalenye zokukhulelwa kwe-molar zingahlala ngaphakathi kwesibeleko.

• Ukuba oku kuyenzeka, iiseli ezingaqhelekanga zinokukhula zibe ngumaleko wemisipha ejikeleze isibeleko. Oku kubizwa ngokuba yi-'invasive mole' . Oku kunqabile, kwenzeka ngaphantsi kwe-15% yabantu abaye basuswa ukukhulelwa kwe-molar.
• Kwiimeko ezingaqhelekanga kakhulu, ukukhulelwa kwe-molar kunokukhokelela kuhlobo lomhlaza olubizwa ngokuba yi -choriocarcinoma . Lo mhlaza uqala esibelekweni kwaye ungasasazeka nakwamanye amalungu omzimba. Kwimeko enjalo, unyango lomhlaza olufana ne-chemotherapy okanye i-radiation luyafuneka.

Ezinye iingxaki ezinokubakho zezi:

• Iintsholongwane ezingena egazini (iSepsis)
• Usulelo lwesibeleko
• I-Preeclampsia (uxinzelelo lwegazi oluphezulu kakhulu)
• Umothuko (uxinzelelo lwegazi oluphantsi kakhulu)

Ezi zisenokuvakala zisoyikisa, kodwa ezi ngxaki zihlala zithintelwa ngonyango olukhawulezileyo.

Ngaba ukukhulelwa kwe-Molar kungathintelwa?

Ngelishwa, akukho ndlela yokuthintela ukukhulelwa kwe-molar, kuba kubangelwa sisiphene semfuza.

Nangona kunjalo, ukuba ukhe wakhulelwa i-molar ngaphambili, unganciphisa umngcipheko weengxaki ngokungakhulelwa kwakhona malunga nonyaka emva kokukhulelwa kokuqala kwe-molar. Thetha nogqirha wakho malunga nexesha elikhuselekileyo onokuzama ngalo ukuba nomntwana kwakhona.

Liyintoni ikamva lomntu okhulelweyo nge-molar?

Uninzi lwabantu abakhe bakhulelwa i-molar abanazo ezinye iingxaki. Ukuba nokukhulelwa i-molar akunyusi umngcipheko wokuba uphinde uphunyelwe sisisu. Nangona kunjalo, kukho umngcipheko omncinci wokuba nokukhulelwa i-molar okwesibini.

Abanye abantu banokukufumanisa kuluncedo ukufumana iingcebiso ngemfuza ngaphambi kokuba uzame ukukhulelwa kwakhona. Nangona kunjalo, ukukhulelwa okuphuma emqolo akubonisi ukuba kufuneka uyeke ukuzama ukuba nomntwana kwakhona.

Ngaba ukukhulelwa kwe-Molar kubangela ukungazali?

Hayi, oku akuyi kubangela ukungazali. Nangona kunjalo, kungcono ukulinda ubuncinane iinyanga ezintathu emva konyango ukuze ungakhulelwa kwakhona. Ngeli xesha, amanqanaba akho e-HCG hormone aya kubuyela kumanqanaba awo angaphambi kokukhulelwa. Buza ugqirha wakho malunga nexesha elifanelekileyo lokuzama ukukhulelwa kwakhona.

Ingaba 'ukukhulelwa kwe-molar' kukuphuma kwesisu?

Ewe, 'ukukhulelwa kwe-molar'Idla ngokuphelela ekulahlekelweni kukukhulelwa. Kuqhelekile ukuba uzive ulusizi kwaye udanile kuba ukukhulelwa kwakho akuhambanga ngendlela obuyilindele. Zinike ixesha lokujongana nolo sizi. Fumana uncedo kusapho lwakho, kubahlobo, okanye kumaqela enkxaso yokulahlekelwa kukukhulelwa.

Khumbula, nokuba ukhe wakhulelwa i-molar ngaphambili, kusenokwenzeka ukuba ukhulelwe kakuhle kwixesha elizayo.

Ndifanele ndimbone nini ugqirha?

Ukuba ukhulelwe kwaye uphuma igazi kwilungu lobufazi, isicaphucaphu esikhulu kunye nokuhlanza, okanye ukukhupha okufana nembewu yeediliya, bona ugqirha wakho ngokukhawuleza. Uvavanyo kunye nonyango kwangethuba lunokunceda ukuthintela iingxaki.

Ukukhulelwa kwe-molar kunokuba ngamava abuhlungu kakhulu kwaye abangela intlungu. Kubangelwa ziingxaki zemfuza ezenzeka ngexesha lokuchumisa kwaye zingaphaya kwamandla akho. Kuqhelekile ukuba nemibuzo efana nale, "Yintoni engalunganga?" "Ndiyoyika ukukhulelwa kwixesha elizayo." Thetha nogqirha wakho malunga neemvakalelo zakho, uloyiko lwakho, kunye nemibuzo yakho. Fumana inkxaso kusapho lwakho nakubahlobo ngeli xesha. Abantu abaninzi bayaqhubeka nokukhulelwa okunempilo emva kwesi sifo.

Khumbula eyona nto ibalulekileyo (Umyalezo Wokuya Ekhaya)

• 'Ukukhulelwa kwe-molar' sisiphene semfuza esenzeka xa iqanda kunye nesidoda zidityaniswe, nto leyo ebangela ukukhula kwezicubu ezingaqhelekanga esibelekweni. Asikuko ukuba unetyala.
• Kukho iintlobo ezimbini eziphambili: Ezipheleleyo nezingaphelelanga. Kuzo zombini iimeko, ukukhulelwa okuphumelelayo akwenzeki.
• Iimpawu zingabandakanya ukopha kwilungu lobufazi, ukuhlanza kakhulu, kunye nokukhupha okufana neediliya.
• Ingafunyanwa nge-ultrasound kunye novavanyo lwegazi lwe-HCG.
• Unyango oluphambili lwe-D&C. Unyango olukhawulezileyo lubalulekile.
• Emva konyango, amanqanaba eHCG ajongwa de abuyele esiqhelweni.
• Oku akuyi kubangela ukungazali, kodwa funa ingcebiso kagqirha ngaphambi kokuba uzame ukukhulelwa kwakhona.
• Nangona oku kuyinto ebuhlungu, abantu abaninzi banokuqhubeka nokukhulelwa okunempilo. Awuwedwa, fumana inkxaso oyifunayo.

Ndiyathemba ukuba olu lwazi luza kukunceda. Ukuba uneminye imibuzo, ungathandabuzi ukubuza ugqirha wakho.

Ukukhulelwa kwe- Molar, Ukukhulelwa, Impilo yabasetyhini, Ukuphuma kwesisu, i-HCG, i-D&C, iziphene ze-genetic