Kunzima ukusho ngamazwi injabulo oyizwayo lapho uthola ukuthi ukhulelwe, akunjalo? Kodwa ngezinye izikhathi, izinto azihambi njengoba kuhleliwe. Cabanga, esikhundleni sengane enempilo, into engavamile, njengehlumela lamagilebhisi, ekhula esibelethweni sakho. Lokhu kuyinto edabukisayo futhi enzima ukuyicabanga. Kwezokwelapha, lesi simo sibizwa ngokuthi ukukhulelwa kwe-molar . Ungesabi uma uzwa leli gama. Namuhla, sizoxoxa ngokuthi kungani lokhu kwenzeka, ukuthi kusho ukuthini, nokuthi yini okufanele uyenze ngakho.
Kalula nje, kuyini ukukhulelwa kwe-molar?
Ukukhulelwa kwe-molar, kafushane nje, yisimo esenzeka ekuqaleni kokukhulelwa, lapho iqanda nesidoda kuhlangana (ukukhulelwa). Esikhundleni sokuba umbungu ophilile kanye ne-placenta kukhule, izicubu eziningi ezingavamile, ezingenawo umdlavuza zikhula ngaphakathi kwesibeletho. Lezi zicubu zifana namabhamuza amancane agcwele amanzi. Yingakho zibukeka njengeqembu lamagilebhisi uma ziphuma.
Okubaluleke kakhulu, lesi sicubu esingavamile sezicubu asikwazi ukukhula sibe ingane enempilo, ngakho-ke ukukhulelwa kwe-molar kuhlala kuphelela ekuphuphumeni kwesisu noma ekususweni kwezokwelapha.
Lesi simo singesesigaba sezokwelapha seSifo Sokukhulelwa Kwezingane Ezisanda Kuzalwa (i-GTD) . Sibizwa nangokuthi i-Hydatidiform Mole .
Kunezinhlobo ezimbili eziyinhloko zokukhulelwa kwe-molar:
Ukukhulelwa kwe-molar kuhlukaniswe izinhlobo ezimbili eziyinhloko kuye ngokuthi lesi sici sofuzo senzeka kanjani.
- Ukukhulelwa Okuphelele Kwe-Molar: Lokhu kwenzeka lapho isidoda sivundisa iqanda elingenalutho elingenalo ulwazi lwezakhi zofuzo (ama-chromosome). Njengoba iqanda lingenalutho, akukho umbungu okhulayo. Kodwa-ke, izicubu ezihlotshaniswa ne-placenta zikhula ngendlela engavamile futhi zibukeka njengeqembu lamagilebhisi. Le zicubu zikhiqiza i-hormone yokukhulelwa, i-HCG (Human Chorionic Gonadotropin) , engakwenza uzizwe sengathi ukhulelwe. Ukuhlolwa kokukhulelwa nakho kungaba nomphumela omuhle.
- Ukukhulelwa Kwe-Molar Okungaphelele: Lokhu kwenzeka lapho isidoda ezimbili sivundisa iqanda elijwayelekile. Lokhu kuphumela kumbungu onenani elingajwayelekile lama-chromosome kanye ne-placenta engajwayelekile. Nakuba lombungu uqala ukukhula kancane, awukwazi ukusinda.
Ubani osengozini enkulu yalesi simo?
Ukukhulelwa kwe-molar akuvamile kakhulu. Ngokuvamile kwenzeka cishe kokukhulelwa okukodwa kwabayi-1,000. Kodwa kungenzeka kunoma ubani. Kodwa-ke, abanye abantu basengozini enkulu kancane.
- Kwabasha abangaphansi kweminyaka engama-20 ubudala.
- Kulabo abaneminyaka engaphezu kwengu-40 ubudala.
- Kulabo abake bakhulelwa i-molar ngaphambili.
- Kulabo abake baphuphunyelwa yizisu kabili noma ngaphezulu ngaphambilini.
- Kubantu abadabuka e-Asia.
Ziyini izimpawu zokukhulelwa kwe-molar?
Ngezinye izikhathi lesi simo singaba khona ngaphandle kwezimpawu, kodwa abantu abaningi bazobhekana nesinye noma ngaphezulu kwalezi zimpawu ezilandelayo:
| Isibonakaliso | Incazelo |
|---|---|
| Ukopha kwangasese | Ukopha okwenzeka ezinyangeni ezintathu zokuqala zokukhulelwa. |
| Isicanucanu esikhulu nokuhlanza | Ukucanuzela nokuhlanza okuningi kunokujwayelekile ngesikhathi sokukhulelwa. |
| Ukukhishwa okufana namagilebhisi | Amabhamuza amancane afana namagilebhisi aphuma esithweni sangasese sowesifazane. |
| Umfutho wegazi ophakeme | Umfutho wegazi ophezulu ekuqaleni kokukhulelwa (i-Preeclampsia). |
| Amazinga e-HCG angajwayelekile | Izinga le-hormone ye-HCG egazini liphezulu kakhulu uma liqhathaniswa nesikhathi sokukhulelwa. |
| Ukuvuvukala kwesisu | Isisu sikhula ngokushesha kakhulu kunangesikhathi sokukhulelwa. |
Lezi zimpawu zingavela nakwezinye izimo, ngakho-ke uma ukhulelwe futhi unezinye zalezi zimpawu,Bona udokotela wakho ngokushesha.
Lokhu kutholakala futhi kwelashwa kanjani?
Uma unezimpawu ezingenhla noma uma udokotela wakho esola ukuthi kukhona okungahambi kahle ngesikhathi sokuhlolwa okuvamile, lezi zivivinyo zizoqinisekisa ukuthi uphethwe yini.
- I-Ultrasound Scan: Uma i-scan yesibeletho ikhombisa inqwaba yezicubu ezifana nenqwaba yamagilebhisi esikhundleni sengane enempilo kanye ne-placenta, kungase kubonise ukukhulelwa kwe-molar.
- Ukuhlolwa kwegazi le-HCG: Lokhu kuhlola izinga le-hormone ye-HCG egazini. Leli zinga liphezulu ngendlela engavamile ekukhulelweni kwe-molar.
Lokhu akubangelwa yinoma yiliphi iphutha lakho, ukudla, isiphuzo, noma yini oyenzile. Lokhu kuyiphutha lofuzo elivela ngokuphelele ekuqaleni kokukhulelwa. Ngakho ungazibeki icala ngokucabanga ngalokhu.
Izindlela zokwelapha
Uma ukukhulelwa kwe-molar sekuqinisekisiwe, zonke izicubu ezingavamile kumele zisuswe esibelethweni. Ngaphandle kwalokho, kungase kube nezinkinga ezinkulu. Lokhu kwenziwa kakhulu ngenqubo ye-D&C .
- I-D&C (Ukwanda Nokuhlanzwa): Lena inqubo yokuhlinzwa nje yokuhlanza isibeletho. Kwenziwa ngenkathi ungaphansi kwe-anesthesia (ulele), ukuze ungezwa ubuhlungu. Le nqubo isusa noma yiziphi izicubu ezingavamile esibelethweni.
- Imithi: Kwezinye izimo, kunikezwa imithi yokwenza isibeletho sinciphe futhi sisuse lesi zicubu.
- Ukususwa kwesibeletho: Lokhu kwenziwa kaningi kakhulu. Udokotela wakho uzoxoxa nawe ngalokhu uma kunezinye izinkinga noma uma ungafuni izingane ezengeziwe.
Ngemva kokwelashwa, udokotela wakho uzohlola igazi lakho amasonto ambalwa noma izinyanga kuze kube yilapho amazinga akho e-hormone ye-HCG ebuyela esimweni esijwayelekile (zero). Kubaluleke kakhulu ukwenza lokhu kuhlolwa ngendlela efanele. Lokhu kwenzelwa ukuqinisekisa ukuthi zonke izicubu ezingavamile zisusiwe emzimbeni wakho.
Ingabe lokhu kungabangela izinkinga?
Esikhathini esiningi, azikho izinkinga ngemva kwe-D&C, kodwa akuvamile ukuba kube nezinkinga ezithile.
- I-Invasive Mole: Ngezinye izikhathi, amangqamuzana angajwayelekile asala ngemva kokususwa angakhula abe ungqimba lwemisipha yesibeletho. Lokhu akuvamile.
- I-Choriocarcinoma: Lona umdlavuza ongavamile kakhulu. Uma izinga le-HCG liphakeme njalo, lokhu kusolwa. Kodwa-ke, lolu uhlobo lomdlavuza olungelapheka ngokuphelele ngokwelashwa .
Yingakho kubaluleke kakhulu ukuhlola amazinga e-HCG njalo ngemva kokwelashwa.
Kungenzeka yini ukuba nomntwana ophilile futhi?
Yebo, ungakwenza nakanjani! Ukukhulelwa kwe-molar akusho ukuthi awunanzalo. Ukukhulelwa kwakho okulandelayo kungenzeka kakhulu ukuthi kube nempilo enhle.
Kodwa-ke, udokotela wakho angase akucebise ukuthi ulinde isikhashana ngaphambi kokuzama ukukhulelwa futhi. Ngokuvamile, kuba cishe izinyanga eziyisithupha kuya onyakeni. Lokhu kwenzelwa ukuqinisekisa ukuthi amazinga akho e-HCG ehle ngokuphelele afinyelela ku-zero futhi ahlala lapho isikhashana. Ngaphandle kwalokho, uma ukhulelwa futhi kusenesikhathi, kuzoba nzima ukubona ukuthi amazinga e-HCG ayakhuphuka yini ngenxa yokukhulelwa okusha noma ngenxa yezicubu ezisele zokukhulelwa kwe-molar kwangaphambilini.
Ngakho-ke, kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho.
Ukukhulelwa kwe-molar kuyinto ebuhlungu kakhulu, kokubili ngokomzimba nangokomzwelo. Ukulahlekelwa ukukhulelwa obukulindele kuyinto ebuhlungu kakhulu. Kuvamile ukuzizwa udabukile, ukhala, futhi uthukuthele. Khuluma nomyeni wakho, umndeni, nabangani ngalokhu. Funa iseluleko sezokwelapha noma sezengqondo uma kudingeka.
Umlayezo Wokuya Nawe Ekhaya
- Ukukhulelwa kwe-molar kuyiphutha lofuzo elivela ekuqaleni kokukhulelwa. Akubangelwa yinoma yiliphi iphutha lakho.
- Lesi simo ngeke sikhule sibe ingane enempilo, ngakho-ke kubalulekile ukususa izicubu ezingavamile.
- Ukwelashwa okuvame kakhulu ukuvuleka nokususwa kwezicubu ezifile (D&C).
- Ngemva kokwelashwa, kubaluleke kakhulu ukulandela ukuhlolwa kwegazi kuze kube yilapho amazinga e-hormone ye-HCG ebuyela esimweni esijwayelekile.
- Ngemva kwalokhu okuhlangenwe nakho, ungaba nokukhulelwa okunempilo. Xhumana nodokotela wakho ngesikhathi esifanele salokho.
- Kuvamile ukuzizwa udabuke ngokulahlekelwa ukukhulelwa. Thola ukwesekwa okudingayo emndenini, kubangani, noma kumeluleki ochwepheshe.
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