Uyafuna ukwazi ngokukhulelwa kwe-Partial Molar? Ake sixoxe ngakho!

Angazi ukuthi wake wezwa yini igama elithi `(Partial Molar Pregnancy)`. Mhlawumbe kudokotela, noma kwenye indawo. Lokhu kuyinkinga evame ukwenzeka ekuqaleni kokukhulelwa. Empeleni kuyisimo esingavamile, kodwa kubalulekile ukuqaphela. Namuhla, sizoxoxa ngamagama alula ngokuthi kuyini `(Partial Molar Pregnancy)`, kungani kwenzeka, yiziphi izimpawu, nokuthi kwelashwa kanjani.

Kuyini lokhu " Ukukhulelwa Okungaphelele Kwe-Molar"?

Kalula nje, `(Partial Molar Pregnancy)` yisimo esikhethekile esiyingxenye yokukhulelwa kwe-molar `(Molar Pregnancy)`. Lokhu kwenzeka ngesikhathi sokukhulelwa, lapho iqanda elivundisiwe, okungukuthi, impande yombungu, lingakhuli kahle. Isizathu esiyinhloko salokhu yiphutha lezakhi zofuzo elenzeka ngesikhathi sokukhulelwa. Ekukhulelweni okuvamile, iqanda elivela kumama lihlangana nesidoda esisodwa esivela kubaba. Bese umbungu ophumayo uthola ulwazi olufanele lwezakhi zofuzo. Kodwa `(Partial Molar Pregnancy)`, izidoda ezimbili zihlangana neqanda elilodwa. Bese umbungu uthola izinto eziningi zofuzo kunalokho okudingayo. Ngenxa yalezi zakhi zofuzo ezengeziwe, ukukhulelwa akukwazi ukuqhubeka kahle. Kulesi simo `(Partial Molar Pregnancy)`, ngezinye izikhathi izingxenye zombungu kanye ne-placenta zingaqala ukwakheka. Ngesikhathi esifanayo, izicubu ezingavamile, njengezimila ezincane, ezigcwele amanzi, nazo ziyakheka. Ngale ndlela, kokubili i-placenta kanye nombungu kukhula ngokungajwayelekile, okwenza kube nzima ukuqhubeka nokukhulelwa. Ngokuvamile, `"Partial Molar Pregnancy" iphetha ngokuthi "Kuphuphuma Kwesisu" emasontweni okuqala okukhulelwa. Lokhu kukhulelwa kwe-molar kungokweqembu lezifo ezibizwa ngokuthi "Isifo Sokukhulelwa Kwe-Trophoblastic - GTD". "I-GTD" yiqembu lezifo lapho kwakheka khona ama-cyst angajwayelekile ngaphakathi kwesibeletho . Lokhu kukhulelwa kwe-molar kubizwa nangokuthi "Ama-Hydatidiform Moles". Into ebaluleke kakhulu ukuthi uma uthola ukuthi "ukhulelwe i-Partial Molar Pregnancy", kubalulekile ukufuna ukwelashwa ngokushesha.

Sivame kangakanani lesi simo?

"Ukukhulelwa kwe-molar okuyingxenye" ​​akuvamile kangako kune-"ukukhulelwa kwe-molar okuphelele." Kodwa-ke, ngaphansi kwe-1% yazo zonke izisu zokukhulelwa, noma cishe okukodwa kokukhulelwa okungu-1200, kuyisisu se-molar. Ngakho-ke njengoba ubona, lokhu akuvamile kakhulu.

Yiziphi izimpawu zokukhulelwa kwe-`(Partial Molar Pregnancy)`?

Uphawu oluyinhloko lwalesi simo ukopha okukhulu kwesitho sangasese sowesifazane ezigabeni zokuqala zokukhulelwa. Leli gazi lingaba nsundu noma libe bomvu kancane. Ngaphezu kwalokho, ungase ube nezimpawu ezilandelayo:

• Ukucanuzela okukhulu nokuhlanza (yize abantu abaningi beba nokucanuzela kwasekuseni ngesikhathi sokukhulelwa , lokhu kungaba kubi kakhulu).
• Ubuhlungu be-pelvic, okungukuthi, ubuhlungu esiswini esingezansi .
• Izingcezu zezicubu ezibukeka njengamagilebhisi anamanzi aphuma esithweni sangasese sowesifazane.
• Umfutho wegazi ophezulu (i-Hypertension).

Ngezinye izikhathi, isibeletho singase sibe sikhulu kunokujwayelekile, noma singase sikhule ngokushesha kunalokho obekulindelwe phakathi nekota yokuqala yokukhulelwa. Kodwa-ke, lezi zimpawu aziveli kuwo wonke umuntu. Abanye abantu abanazo izimpawu futhi batholakala ngengozi kuphela ngesikhathi sokuhlolwa kwabo kokuqala kwe-ultrasound.

Kungani lokhu `(Ukukhulelwa Okuyingxenye Ye-Molar)` kwenzeka?

Njengoba ngishilo ngaphambili, lokhu kuyingozi yofuzo . Ake sikuqonde kalula lokhu. Ekukhulelweni okuvamile, iqanda lithola ama-chromosome angu-23 kumama kanye nangu-23 kuyise, okwenza ama-chromosome angu-46 esewonke. Lena yindlela umbungu onempilo okufanele ukhule ngayo. Kodwa-ke, "ekukhulelweni kwe-Partial Molar", iqanda lithola amasethi amabili ama-chromosome kuyise. Okusho ukuthi, isikhathi esiningi, izidoda ezimbili zihlangana neqanda elilodwa. Bese inani eliphelele lama-chromosome liba ngu-69 esikhundleni sama-46. Lolu lwazi olwengeziwe lwezakhi zofuzo yingakho umbungu kanye ne-placenta kungakhuli kahle.

Cabanga ngakho, kufana nokuthi uma ungeza kabili inani lezithako ezidingekayo ukwenza ikhekhe kunalokho okushiwo iresiphi, ikhekhe ngeke liphume kahle.

Ubani osengozini enkulu yalokhu?

Izinto ezithile zandisa ingozi yokukhulelwa kwe-molar. Kodwa-ke, khumbula ukuthi ukukhulelwa kwe-molar okungaphelele kunamathuba amancane kunokukhulelwa kwe-molar okuphelele. Lezi zinto eziyingozi zifaka:

• Uma uke wakhulelwa i-molar ngaphambili: Uma lesi simo sivele kanye, kunethuba elincane lokuthi sizophinde sivele.
• Ubudala: Le ngozi iphakeme kancane kwabesifazane abaneminyaka engaphezu kwengu-40 ubudala kanye nezingane ezincane ezingaphansi kweminyaka engu-15 ubudala.
• Uma uke waphuphunyelwa yisisu kabili noma ngaphezulu ngaphambilini.

Kuthiwa futhi inani lokukhulelwa kwe-molar okubikiwe emazweni ase-Asia liphakeme kunasemazweni afana ne-United States. Kukhona futhi idatha yokuthi e-United States, abantu abamhlophe banamathuba amaningi okukhulelwa kwe-molar kunabantu abamnyama.

Yiziphi izinkinga zokukhulelwa kwe-`(Partial Molar Pregnancy)`?

Kunezinkinga ezinkulu ezingase zenzeke ngokukhulelwa kwe-molar. Enye uhlobo lomdlavuza olungavamile olubizwa ngokuthi i-Choriocarcinoma. Ngaphezu kwalokho, enye inkinga evamile engenzeka ngokukhulelwa kwe-molar yi-Persistent Gestational Trophoblastic Neoplasia (GTN). Lokhu kwenzeka lapho izicubu ezingavamile ziqhubeka nokukhula ngaphakathi kwesibeletho ngisho nangemva kokwenziwa kwe-D&C ukuze kususwe ukukhulelwa kwe-molar. Ezinye izinkinga zifaka:

• Ukopha okukhulu.
• Umfutho wegazi ophezulu (i-Hypertension).
• Ama- cyst esibeletho.
• I-Hyperthyroidism.

Ngokuvamile, ingozi yezinkinga ekukhulelweni kwe-molar okuphelele iphakeme kunasekukhulelweni kwe-molar okungaphelele.

Kuthatha isikhathi esingakanani ukukhulelwa kwe-`(Partial Molar Pregnancy)`?

Eqinisweni, umbungu ku-`(Partial Molar Pregnancy)` awukwazi ukusinda. Kodwa-ke, ukukhulelwa kungahlala amasonto amaningana. Esikhathini esiningi, lokhu kugcina ngokukhipha isisu okuzenzakalelayo. Bese kuthi izingcezu zezicubu, njengeziqoqo zamagilebhisi, zikhishwe esithweni sangasese sowesifazane. Kodwa-ke, kwabanye abantu, kuphela lapho bethola khona ukuhlolwa kokuqala kwe-`(Ultrasound)` lapho bethola khona ukuthi yi-`(Partial Molar Pregnancy)`.

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

Udokotela wakho uzohlonza "ukukhulelwa kwe-Partial Molar" ikakhulukazi ngokwenza isivivinyo se-"Ultrasound". I-"Ultrasound" ingabonisa izinto ezinjengalezi:

• Ukungabikho kwe-embryo noma i-embryo kubonakala kuncane kakhulu.
• I-placenta ibonakala igcwele ama-cysts noma ibukeka ingajwayelekile.

Ngesikhathi esifanayo, udokotela uzokwenza ukuhlolwa kwegazi ukuhlola izinga le-hormone ebizwa ngokuthi `(Human Chorionic Gonadotropin - HCG)` egazini lakho. `(HCG)` iyi-hormone ekhiqizwa umzimba wabesifazane abakhulelwe. `(Partial Molar Pregnancy)`, leli zinga `(HCG)` likhuphuka ngokushesha futhi lifinyelele ezingeni eliphakeme kakhulu kunasekukhulelweni okuvamile.

Ungakuthola ngokushesha kangakanani lokhu?

Ngokuvamile, odokotela bathola lokhu kukhulelwa kwe-molar phakathi kwamasonto okuqala angu-12 okukhulelwa, okungukuthi, phakathi nezinyanga ezintathu zokuqala.

Iphathwa kanjani i-`(Partial Molar Pregnancy)`?

Udokotela welapha ukukhulelwa kwe-molar okungaphelele ngokususa umbungu kanye ne-placenta (izicubu ezingavamile) esibelethweni. Lokhu kubizwa ngokuthi i-dilation and curettage (D&C). Lokhu kungenziwa egumbini lokuhlinzwa ngenkathi uvukile, noma kungenziwa ehhovisi likadokotela ngenkathi uvukile. Ungakhuluma nodokotela wakho ngalezi zinketho. Ngemuva kwe-D&C, udokotela wakho uzoqhubeka nokuhlola amazinga akho e-hCG kuze kube unyaka ukuze abone ukuthi ngabe kukhona yini izingxenye zezicubu ze-molar ezisesesibelethweni. Kubalulekile ukusebenzisa izithibelo zokubeletha (njengeziphilisi zokuvimbela ukubeletha) phakathi nalesi sikhathi. Lokhu kungenxa yokuthi uma ukhulelwa futhi phakathi nalesi sikhathi, amazinga akho e-hCG angase abe phezulu, okwenza kube nzima ukubona ukuthi izicubu ze-molar zisekhona noma ukuthi ukukhulelwa okusha. Akuvamile kakhulu, ngemva kwe-D&C, i-placenta ingahlala esibelethweni. Lesi simo sibizwa ngokuthi i-Gestational Trophoblastic Disease (GTD). Uma lokhu kwenzeka, udokotela wakho kuzodingeka elaphe i-GTD. Lokhu kungafaka phakathi i-chemotherapy, i-radiation, noma i-hysterectomy.

Ingabe ukukhulelwa kwe-Partial Molar kungavinjelwa?

Cha, akukho esingakwenza ukuvimbela `(Ukukhulelwa Okungaphelele Kwe-Molar)` (noma ukukhulelwa okugcwele kwe-molar). Lokhu kungenxa yokuthi kuyingozi yofuzo. Uma uke waba `(Ukukhulelwa Okungaphelele Kwe-Molar)` ngaphambili, kubaluleke kakhulu ukukhuluma nodokotela wakho ngaphambi kokuzama ukukhulelwa futhi. Cishe uzokweluleka ukuthi ulinde izinyanga eziyisithupha kuya onyakeni. Nakuba amathuba okukhulelwa kwe-molar ephansi, uma uke waba nakho, kunengozi encane yokuthi kwenzeke futhi.

Kungenzeka yini ukukhulelwa futhi ngemva kokukhulelwa okuyingxenye (i-Partial Molar Pregnancy)?

Yebo, kungenzeka nakanjani. Amathuba okukhulelwa kwe-molar aphansi kakhulu (cishe u-1% kuya ku-2%), kodwa kunengozi encane. Uma uhlela ukukhulelwa kwakho okulandelayo, kufanele ukhulume nodokotela wakho ngesikhathi esingcono kakhulu sokukhulelwa. Lokhu kungenxa yokuthi isibeletho kufanele singabi nalutho oluvela ezicubu ze-molar, futhi izinga `(HCG)` kufanele libuyele esimeni esijwayelekile.

Ingabe ingane engakazalwa ingasinda "ekukhulelweni okuyingxenye ye-molar"?

Cha, umbungu awukwazi ukusinda ku-`(Partial Molar Pregnancy)`. Okungenani, izicubu zokukhulelwa zingakhula cishe amasonto ayi-12 (izinyanga ezintathu). Kodwa ngeke ziqhubeke njengokukhulelwa okunempilo.

Kufanele ngimbone nini udokotela?

Uma ukhulelwe futhi unezimpawu ezifana nokopha kwesitho sangasese sowesifazane, isicanucanu, noma ubuhlungu besisu esingezansi, bona udokotela wakho ngokushesha . Njengoba izimpawu zokukhulelwa kwe-molar zingafana nezinye izimo, kubalulekile ukufuna iseluleko sezokwelapha ngokushesha okukhulu.

Yimiphi imibuzo okufanele ngiyibuze udokotela?

Uma uke waba nokukhulelwa kwe-"Partial Molar Pregnancy", ungase ube nemibuzo eminingi. Kuvamile kakhulu. Ungabuza udokotela wakho imibuzo efana nale:

• Ngingakhulelwa nini futhi?
• Angakanani amathuba okuba ngiphinde ngikhulelwe i-molar?
• Ingabe ngisengozini yezinkinga ezinkulu?
• Ingabe ngidinga ukuhlolwa okwengeziwe?
• Ngingayithola yini umdlavuza ngokukhulelwa kwe-molar?

Ukulahlekelwa ukukhulelwa, nganoma yisiphi isizathu, kuyinto edabukisayo kakhulu. Ngalesi sifo sokuxilongwa "kokukhulelwa kwe-Partial Molar" , zinike isikhathi sokulila ukulahlekelwa ukukhulelwa kwakho. Kubaluleke kakhulu ukuya kuzo zonke izivivinyo kanye nama-aphoyintimenti udokotela wakho akuyala ngemva "kokukhulelwa kwe-Partial Molar". Udokotela wakho uzokhuluma nawe ngokukhulelwa kwesikhathi esizayo. Khumbula, amathuba okukhulelwa kwesibili kwe-molar mancane kakhulu, futhi abantu abaningi babhekana nokukhulelwa okuphumelelayo.

Umlayezo Wokuya Nawe Ekhaya

Kulungile, ake sikhumbule amaphuzu abaluleke kakhulu kulokho esikhulume ngakho:

• Ukukhulelwa kwe-molar okungaphelele ukukhulelwa lapho umbungu kanye ne-placenta kungakhuli kahle ngenxa yesici sofuzo. Lokhu akukwazi ukuqhubeka.
• Izimpawu zokuqala zingase zihlanganise ukopha kwesitho sangasese sowesifazane, isicanucanu esibi kanye nobuhlungu besisu esingezansi.
• Lokhu kutholakala nge-ultrasound kanye nokuhlolwa kwegazi kwe-HCG.
• Ukwelashwa kuwukuhlanza isibeletho ngokuhlinzwa "kwe-D&C". Ngemva kwalokho, izinga "le-HCG" liyaqashwa.
• Nakuba lokhu kungenakuvinjelwa, abantu abaningi bangaba nokukhulelwa okunempilo ngemva kokwelashwa.
• Uma unezinye zalezi zimpawu, noma uma unemibuzo ngalokhu, ungesabi ukukhuluma nodokotela wakho. Bazokusiza.

Ngiyethemba ukuthi lolu lwazi luzokusiza. Uma unemibuzo, ungabi namahloni ubuze udokotela. Hlala uphilile!