Ukuba ungumama, lelona xesha lihle ebomini bakho. Kodwa ngamanye amaxesha iingxaki kunye neengxaki zinokuvela esingazilindelanga. Kunzima ukuchaza uloyiko, ixhala, kunye nosizi esizivayo ngamaxesha anjalo. Namhlanje siza kuthetha ngesihloko esinzima kancinci, kodwa kufuneka siqaphele. Leyo yimeko ebizwa ngokuba yiPartial Molar Pregnancy. Usenokuba awukaze uve ngeli gama. Kodwa kubaluleke kakhulu ukuqaphela oku. Ndiyaqonda ukuba kubuhlungu kangakanani ukufumana into efana nale, ngoko masithethe ngayo kancinci, ngokulula, nangendlela wonke umntu ayiqondayo.
Ngamafutshane, yintoni ukukhulelwa kwe-Parallel Molar?
Ukukhulelwa kwe-Molar engaphelelanga yingxaki yokukhulelwa. Ngokukodwa, kwenzeka ngenxa yempazamo yemfuza eyenzeka ngexesha lokuchumisa, oko kukuthi, xa iqanda likamama lidibana nedlozi likatata.
Khawuthelekelele, ekukhulelweni okuqhelekileyo okunempilo, iqanda elinama-chromosomes angama-23 avela kumama lidibana nedlozi elinama-chromosomes angama-23 avela kutata. I-embryo ephumayo inee-chromosomes ezingama-46 zizonke. Olu luyilo oluchanekileyo lwemfuza yomntwana ophilileyo.
Kodwa kwi-Partial Molar Pregnancy, kwenzeka into eyahlukileyo. Apha, iqanda elinye elivela kumama lixutywa sisidoda esibini esivela kutata. Kwenzeka ntoni ke ngoko? Umama unee-chromosomes ezingama-23, kwaye isidoda esibini esivela kutata singama-23 + 23 = 46. Xa zidityaniswe kunye, kukho ii-chromosomes ezingama-69 . Oku kungaphezulu kakhulu kunenani eliqhelekileyo. Xa lo mbandela wofuzo wongeziwe, awuqhubeki njengokukhulelwa okunempilo.
Kule meko, umntwana ongekazalwa kunye ne-placenta zisenokuqala ukuphuhliswa. Kodwa akukho nanye kwezi zikhula kakuhle. Endaweni yoko, inani elikhulu lezicubu ezingaqhelekanga, njengeqela leediliya , liqala ukwakheka ngaphakathi kwesibeleko, njengengxowa egcwele ulwelo. Ngenxa yolu phuhliso lungaqhelekanga, umntwana ongekazalwa akanakuphila. Amaxesha amaninzi, ukukhulelwa okunjalo kuphelisa ukuphuphuma kwesisu kwiinyanga ezimbalwa zokuqala.
Le meko ibizwa ngokuba yiMolar Pregnancy ikwiqela lezifo ezibizwa ngokuba yiGestational Trophoblastic Disease (GTD). Le yimeko ebangela ukuba iithumba ezingaqhelekanga zikhule esibelekweni. Ikwabizwa ngokuba yiHydatidiform Moles. IPartial Molar Pregnancy yenye yazo. Le yimeko engaqhelekanga kakhulu. Ngokomyinge, le meko ixelwa kwisithuba sokukhulelwa esinye kwi-1200.
Eyona nto ibalulekileyo kukuba, oku akulona ityala lakho. Esi siphene esibangelwa yimfuza ngokupheleleyo. Ngoko ke ungazibeki tyala ngale nto.
Zithini iimpawu zale meko?
Amaxesha amaninzi, iimpawu zale meko zinokufana nezo zokukhulelwa okuqhelekileyo kwangethuba. Nangona kunjalo, kukho umahluko othile. Makhe sijonge iimpawu eziphambili ezinokubonwa.
| Uphawu | Ingcaciso elula |
|---|---|
| Ukopha kakhulu kwilungu lobufazi | Olu lolona phawu luphambili noluqhelekileyo. Kwiiveki ezimbalwa zokuqala emva kokuba wazi ukuba ukhulelwe, unokufumana ukopha okukhulu, okunokuba mdaka omnyama okanye obomvu kancinci. |
| Isicaphucaphu esinzima kakhulu kunye nokuhlanza | Usenokuba nesicaphucaphu nokuhlanza okuninzi kunokuba ubuya kuba njalo xa ukhulelwe. Oku kungenxa yokuba umzimba wakho uvelisa i-hormone ye-HCG (iHuman Chorionic Gonadotropin). |
| Intlungu okanye uxinzelelo lwe-pelvic | Isenokuvakala ngathi yintlungu ebukhali okanye uxinzelelo esiswini esisezantsi. |
| Iindawo ezifana neengxowa ezizaliswe lulwelo ziyaphuma | Ngamanye amaxesha, iziqwenga zethishu, njengezo ziqwenga zeediliya esizikhankanyileyo, zinokuphuma kwilungu lobufazi. |
| Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu) | Ukuba uxinzelelo lwegazi lunyuka ngaphambi kweeveki ezingama-20 zokuqala zokukhulelwa, oko kusenokuba luphawu lwesi sifo. |
| Ukwandiswa ngokukhawuleza kwesibeleko | Isibeleko singaziva ngathi sikhula ngokukhawuleza kunokuba bekulindelwe ngalo lonke ixesha lokukhulelwa. |
Ekubeni ezi mpawu zinokubakho nakwezinye iimeko, ukuba ukhulelwe kwaye unezinye zezi mpawu, kubalulekile ukuba ubone ugqirha wakho ngoko nangoko ukuze ahlolwe.
Ngaba kukho naziphi na izinto ezibangela umngcipheko kule meko?
Njengoko bekutshiwo ngaphambili, oku akuyongxaki yomntu. Yinto eyenzeka ngengozi yemfuza. Nangona kunjalo, izinto ezithile zinokunyusa kancinci umngcipheko wesi sifo.
- Ubudala: Lo mngcipheko uphezulu kancinci kumantombazana aselula angaphantsi kweminyaka eli-15 ubudala kunye nabasetyhini abangaphezu kweminyaka engama-40 ubudala.
- Ukuba sele ukhulelwe i-molar ngaphambili: Ukuba ukhe wakhulelwa ngaphambili, umngcipheko wakho wokuba nenye i-molar uphezulu nge-1% - 2% kunakubantu ngokubanzi.
- Ukuba uphunyelwe zizisu izihlandlo ezininzi ngaphambili: Umngcipheko unokuba phezulu kancinci ukuba uphunyelwe zizisu ezibini nangaphezulu.
Oogqirha bayixilonga baze bayinyange njani le nto?
Xa usiya kugqirha uneempawu ozikhankanyileyo ngaphambili, uza kukuhlola aze enze uvavanyo oluninzi ukuba urhanela ukuba unayo le meko.
Indlela yokuxilonga isifo
1. I-Ultrasound Scan: Olu lolona vavanyo lubalulekileyo. Xa lujongwa kwi-scan, umntwana ongekazalwa usenokungabikho, okanye umntwana ongekazalwa usenokubonakala emncinci kakhulu kunokuba enjalo kwiiveki ezininzi ebezikhula. I-placenta nayo ingabonakala ingaqhelekanga, ineengxowa ezininzi ezizaliswe lulwelo.
2. Uvavanyo lwenqanaba lehomoni ye-HCG: Kuthathwa isampuli yegazi kuwe kwaye inqanaba lehomoni ebizwa ngokuba yi-HCG (Human Chorionic Gonadotropin) liyajongwa. Kwimeko enjalo, inqanaba le-HCG liphezulu ngokungaqhelekanga kunakwixesha lokukhulelwa eliqhelekileyo.
Emva kwezi mvavanyo zimbini, ugqirha uya kukwazi ukuqinisekisa le meko.
Indlela yokunyanga
Ekubeni olu hlobo lokukhulelwa lungenakuqhubeka, izicubu ezingaqhelekanga ngaphakathi kwesibeleko kufuneka zisuswe ngokupheleleyo. Unyango oluphambili loku lutyando olubizwa ngokuba yi -D&C (Dilation and Curettage) .
I-D&C ayisiyonto yokoyika kakhulu. Ikwabizwa ngokuba "yi-cervical washout." Ibandakanya ukukunika i-anesthesia, ukuvula umlomo wesibeleko sakho kancinci, nokusebenzisa isixhobo esikhethekileyo ukususa ngononophelo zonke izicwili ezingaqhelekanga ngaphakathi kwesibeleko sakho.
Elona xesha libalulekileyo liqala emva kolu tyando. Ugqirha uza kukucela ukuba uze kutyelelo olulandelayo.
Kwenzeka ntoni ngexesha lokulandelelana?
Emva kovavanyo lwe-D&C, kubalulekile ukujonga ukuba kukho na izicubu ezingaqhelekanga ezisele kwisibeleko. Eyona ndlela ingcono yokwenza oku kukuqhuba ujonge amanqanaba e-HCG hormone.
- Kuya kufuneka wenze uvavanyo lwegazi veki nganye okanye nyanga zonke.
- Emva kokuphumelela kwe-D&C, amanqanaba e-HCG kufuneka ehle kancinci kancinci aze abuyele kumanqanaba aqhelekileyo (angakhulelwanga) kwiinyanga ezimbalwa.
- Ngokuqinisekileyo kufuneka ukuphephe ukukhulelwa kwakhona de inqanaba lakho le-HCG libuyele esiqhelweni kwaye ugqirha wakho akuxelele ukuba wenze njalo. Isizathu soku kukuba ukuba ukhulelwa okwangoku, inqanaba lakho le-HCG liza kunyuka kwakhona. Emva koko kuya kuba nzima ukufumanisa ukuba ukunyuka kungenxa yokukhulelwa okutsha okanye ukukhula kwezicubu ezindala.
- Oku kudla ngokubonwa ixesha eliphakathi kweenyanga ezi-6 nonyaka.
Ngaba zikho ezinye iingxaki ezinokuvela koku?
Uninzi lwexesha, i-D&C kunye nokulandelelana okufanelekileyo kukhokelela ekuchacheni ngokupheleleyo. Nangona kunjalo, kunqabile kakhulu ukuba kubekho iingxaki.
Ingxaki ephambili yimeko ebizwa ngokuba yiPersistent Gestational Trophoblastic Neoplasia (GTN) . Ngamafutshane, ezinye zezicwili ezingaqhelekanga zihlala kwisibeleko emva kweD&C kwaye ziyaqhubeka zikhula. Ukuba inqanaba le-hCG alinciphi njengoko kulindelekile, ugqirha uya kurhanela le meko. Oku akunakuba yimeko yomhlaza (choriocarcinoma).
Kodwa ungakhathazeki! Le meko ye-GTN inganyangeka kakuhle kwaye inyangeke. Unyango olufana ne-chemotherapy luyasetyenziswa kuyo. Yiyo loo nto ukulandela ikhondo kubalulekile, njengoko ugqirha esitsho. Ukuba ifunyenwe kwangethuba, unyango luphumelela kakhulu.
Ingaba kunokwenzeka ukuba umntwana aphinde abekho emva kokuba into efana nale yenzekile?
Lo ngumbuzo omkhulu kunye nethemba kubo bonke abantu abajongene namava alolu hlobo.
Impendulo ithi, "Ewe, ngokuqinisekileyo inokwenzeka".
Emva kokuba ukukhulelwa okungaphelelanga kwe-molar kunyangiwe kwaye ixesha lokulandelela liphelile, ugqirha wakho uya kukuvumela ukuba ukhulelwe kwakhona. Uninzi lwabantu abakhulelwa emva koko baba nomntwana ophilileyo ngaphandle kweengxaki.
Kodwa khumbula, ekubeni oku kuye kwenzeka ngaphambili, kubalulekile ukuthetha nogqirha wakho malunga nokukhulelwa kwakho okulandelayo kwaye ucwangcise ngokufanelekileyo. Umngcipheko wokuba oku kwenzeke kwakhona ekukhulelweni kwakho okulandelayo uphantsi kakhulu (malunga ne-1-2%). Nangona kunjalo, ugqirha wakho uza kukubeka esweni ngokusondeleyo ngexesha lokukhulelwa kwakho okulandelayo.
Ukulahlekelwa kukukhulelwa okunje kuyothusa kakhulu. Zinike ixesha lokujongana nentlungu. Thetha nomyeni wakho kunye nosapho lwakho ngale nto. Funa iingcebiso zobungcali ukuba kuyimfuneko. Impilo yengqondo ibaluleke njengempilo yomzimba.
Umyalezo Wokuya Ekhaya
- Ukukhulelwa kwe-Partial Molar sisifo semfuza esenzeka kwasekuqaleni kokukhulelwa. Asikuko ukuba ukhulelwe.
- Ukuba uneempawu ezinje ngokopha kakhulu kwilungu lobufazi okanye ukuhlanza kakhulu, bona ugqirha wakho ngoko nangoko.
- Utyando lwe-D&C lolona nyango luphambili. Emva koko, kuyimfuneko ukujonga izinga le-HCG kangangeenyanga eziliqela okanye ukuya kuthi ga kunyaka, njengoko ugqirha esitsho.
- Kubaluleke kakhulu ukuphepha ukukhulelwa kwakhona ngexesha lokulandelela.
- Emva kwale meko, amathuba okuba nokukhulelwa okunempilo nomntwana osempilweni aphezulu kakhulu. Musa ukuphelelwa lithemba.
- Awuwedwa kolu hambo. Usapho lwakho, abahlobo, kunye nogqirha wakho bakhona ukukunceda.
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