Uvuyo oluvayo xa ufumanisa ukuba ukhulelwe alunakuchazwa, akunjalo? Kodwa kwangaxeshanye, uziva usoyika kancinci. Zininzi izinto ezifika engqondweni, njengokuthi yonke into iza kulunga, ingaba umntwana uza kulunga? Ngamanye amaxesha, iingxaki esingazange sive ngazo zinokuvela. Namhlanje, sithetha ngemeko abantu abaninzi abangayaziyo, kodwa kubaluleke kakhulu ukuyazi. Yiyo leyo i-Molar Pregnancy , okanye njengoko abanye beyibiza njalo, 'Molar Pregnancy'.
Yintoni ukukhulelwa kwe-Molar?
Ngamafutshane, ukukhulelwa kwe-Molar kuxa inani elikhulu lezicubu ezingaqhelekanga, njengethumba, likhula ngaphakathi kwesibeleko endaweni ye-embryo esempilweni kunye ne-placenta. Kukukhulelwa okuqhelekileyo, i-placenta sisitho esibonelela umntwana ngesondlo ngentambo ye-umbilical.
Kodwa xa ukhulelwe i-molar, i-embryo ayikwazi ukukhula. Ngenxa yoko, ukukhulelwa akuqhubeki, kwaye amaxesha amaninzi kuphelela ekuphunyelweni yisisu.
Le meko yimeko engaqhelekanga ekwicandelo lezonyango elithi `Gestational Trophoblastic Disease (GTD).` Ibangelwa lutshintsho olungaqhelekanga kumaleko weeseli (trophoblast) olwenzeka ujikeleze i-embryo emva nje kokukhulelwa. Ugqirha wakho usenokuyibiza ngokuba yi-`Hydatidiform Mole (HM).`
Kukho iintlobo ezimbini eziphambili zokukhulelwa kwe-molar.
Ewe, zimbini iintlobo eziphambili zale meko. Ziyi-Partial Molar Pregnancy kunye ne-Full Molar Pregnancy. Jonga itheyibhile engezantsi ukuze uqonde umahluko phakathi kwezi zimbini.
| Ingcali ekhethekileyo | Ukukhulelwa kwe-Molar okungaphelelanga (Okungaphelelanga) | Ukukhulelwa Okupheleleyo Kwe-Molar (Okupheleleyo) |
|---|---|---|
| Injani? | Iqanda eliqhelekileyo livundiswa zizidoda ezimbini. | Oku kubangelwa kukuchumiswa kweqanda elingenanto, elingenazo naziphi na izinto zemfuza, yisidoda. |
| Isibeleko | I-embryo engaqhelekanga inokukhula, kodwa loo mbungu ayinakukwazi ukusinda. | I-embryo ayikhuli konke konke. Kukho nje izicubu ezingaqhelekanga. |
| I-Placenta | Zombini i-placenta kunye nomntwana ongekazalwa aziqhelekanga. | Endaweni ye-placenta, kuvela izicubu ezininzi ezingaqhelekanga. |
| Eyona ibonwa rhoqo | Uhlobo olungaphantsi kolupheleleyo. | Ixhaphake kakhulu kunehlobo olungaphelelanga. |
Kutheni oku kusenzeka? Zithini izizathu?
Eyona nto ibangela ukukhulelwa kwe-molar sisiphene semfuza esenzeka ngexesha lokukhulelwa. Oku akusiyongxaki yomntu.
Khawucinge nje, ukuze ube nomntwana ophilileyo , udinga ii-chromosome ezingama-23 kumama wakho kunye nezingama-23 kutata wakho. Ngamafutshane, isiqingatha kumama wakho kunye nesiqingatha kutata wakho.
- Kwi- Complete Molar Pregnancy , isidoda sikatata sivundisa iqanda elingenanto elingenazo izinto zemfuza zikamama. Ngoko ke, ngenxa yokuba iimfuza zikamama zingekho, umntwana ophilileyo akazalwa.
- Kwi- partial molar pregnancy , iqanda lixutywa ngamadoda amabini. Oku kuthetha ukuba umntwana ongekazalwa ufumana izinto zemfuza eziphindwe kabini kuyise. Xa kongezwa iseti eyongezelelweyo yee-chromosomes, iqanda elixutyiweyo alinakuphila. Ukukhulelwa kuphela kwiiveki ezimbalwa.
Into ebalulekileyo kukuba, oku akubangelwa yimpazamo, ukutya, isiselo, okanye isenzo sikamama okanye utata. Esi siphene semfuza esingacwangciswanga esivela ngexesha lokukhulelwa.
Zithini iimpawu zokukhulelwa kwe-molar?
Ngamanye amaxesha le meko inokubakho ngaphandle kweempawu. Nangona kunjalo, kukho iimpawu eziqhelekileyo onokuzibona. Ukuba ufumana into efana nale, kungcono ukubona ugqirha ngoko nangoko .
| Uphawu | Inkcazo |
|---|---|
| Ukopha kwangasese | Inokwenzeka kwiinyanga ezintathu zokuqala zokukhulelwa. |
| Ukukhupha ulwelo olumdaka | Ukukhupha amanzi amdaka ngombala. |
| Ukukhupha okufana neediliya | Iziqwenga ezincinci ezifana neengxowa, ezifana neediliya eziphuma kwilungu lobufazi. |
| Isicaphucaphu esinzima kunye nokuhlanza | Isicaphucaphu nokuhlanza okuqatha kakhulu kunesiqhelo ngexesha lokukhulelwa. |
| Intlungu yesinqe | Ukuva uxinzelelo okanye intlungu esiswini esisezantsi. |
| Ezinye iimpawu | Uxinzelelo lwegazi oluphezulu (i-preeclampsia), i-anemia, amanqanaba aphezulu ehomoni yokukhulelwa i-hCG, kunye nokwakheka kwe-cysts yama-ovari. |
Ugqirha uyixilonga aze ayinyange njani le nto?
Le meko idla ngokubonwa ngexesha lokuhlolwa kwe-ultrasound rhoqo. Ingakrokrelwa nangokujonga inqanaba lehomoni yokukhulelwa, i-hCG (i-human chorionic gonadotropin), egazini. Kwi-molar pregnancy, eli nqanaba le-hCG liphezulu ngendlela engaqhelekanga.
Njengonyango, ugqirha kufuneka asuse ngokupheleleyo izicubu ezingaqhelekanga kwisibeleko. Inkqubo eqhelekileyo yoku yi-'D&C' (Ukwanda kunye nokuCurettage (D&C). Oku kwaziwa 'njengokucoca isibeleko'. Ngamanye amaxesha, amayeza angasetyenziswa ukususa esi zicubu.
Eyona nto ibalulekileyo kukulandela emva konyango. Emva kwe-D&C, ugqirha wakho uza kujonga amanqanaba e-hCG egazini lakho rhoqo kangangeenyanga eziliqela. Oku kubalulekile ukuqinisekisa ukuba izicubu ezingaqhelekanga zinyamalale ngokupheleleyo kwaye amanqanaba akho e-hCG abuyele kwisiqhelo.
Ngaba Ukukhulelwa Kwe-Molar Kungabangela Iingxaki Ezinkulu?
Ixesha elininzi, ngonyango olufanelekileyo kunye nokususwa kwezicubu, akukho ngxaki. Nangona kunjalo, kunqabile kakhulu ukuba kubekho iingxaki.
- I-GTN Engapheliyo: Ngamanye amaxesha, nokuba sele isusiwe, inani elincinci lezicubu ezingaqhelekanga linokuhlala lize likhule liye kwizihlunu zesibeleko. Oku kubizwa ngokuba yi-'Persistent GTN'. Ukuba oku kuyenzeka, unyango olufana ne- 'chemotherapy' lunokufuneka.
- I-Choriocarcinoma: Imeko engaqhelekanga nangakumbi kuxa esi sicwili siba ngumhlaza. Sibizwa ngokuba yi-'Choriocarcinoma'. Nangona kunjalo, olu luhlobo lomhlaza olunokunyangeka ngokupheleleyo ngonyango.
Ezi zinto zinokuba yinto eyoyikisayo ukuziva. Kodwa khumbula, ezi ngxaki azixhaphakanga , kwaye kukho unyango olusebenzayo kuzo. Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha wakho yonyango kunye nokulandelela.
Awunakuphinda ube nomntwana emva kokukhulelwa kwe-molar?
Le yingxaki enabantu abaninzi. Iindaba ezimnandi zezokuba ukukhulelwa okune-molar akuyi kuyichaphazela indlela ozala ngayo. Ngokuqinisekileyo ungaba nomntwana ophilileyo kwixesha elizayo.
Nangona kunjalo, oogqirha badla ngokukucebisa ukuba ulinde phakathi kweenyanga ezi-6 nonyaka ngaphambi kokuba uphinde ukhulelwe. Isizathu soku yi-hormone ye-hCG esithethe ngayo ngaphambili. Ukuba uphinda ukhulelwe, loo hormone iyanda ngokwendalo. Emva koko, kunzima kugqirha ukwazi ngokuchanekileyo ukuba ukunyuka kwaloo hormone kungenxa yokukhulelwa okutsha okanye kungenxa yokuba ezinye zezicwili ezindala zisesemzimbeni. Yiyo loo nto besithi linda de inqanaba le-hCG lehle ngokupheleleyo liye ku-zero lize libuyele kwisiqhelo.
Umyalezo Wokuya Ekhaya
- Ukukhulelwa kwe-molar kuxa izicubu ezingaqhelekanga zikhula esibelekweni endaweni yomntwana ophilileyo. Oku kubangelwa yimpazamo yemfuza eyenzeka ngexesha lokukhulelwa, kungekhona ityala lakho.
- Ukuba ufumana iimpawu ngexesha lokukhulelwa ezifana nokopha okungaqhelekanga, ukukhupha ulwelo olumdaka, okanye ukuhlanza okukhulu, bona ugqirha wakho ngoko nangoko.
- Unyango lwale meko lufuna ukunwetshwa nokulungiswa kwesisu (D&C) kunye nokuhlolwa kwamanqanaba ehomoni ye-hCG emva koko.
- Ukukhulelwa okuphuma emqolo akunabungozi kubantwana bakho abazayo. Ungalindela ukukhulelwa okunempilo emva kokulinda ixesha elimiselweyo ngokweengcebiso zikagqirha.
- Musa ukuhamba wedwa kolu hambo. Thetha ngokukhululekileyo ngale nto neqabane lakho, usapho, ingakumbi ugqirha wakho. Kubalulekile ukufumana inkxaso yeemvakalelo oyifunayo.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho