Ingabe ukukhulelwa kwe-molar? (Ukukhulelwa kwe-molar) Ake sixoxe ngalokhu ngokuningiliziwe!

Wake wezwa ngegama elithi 'Ukukhulelwa Kwezinsini'? Lokhu kungase kube yinto entsha kuwe. Kodwa-ke, lesi yisimo esiletha usizi nokuzisola kubantu abaningi, ikakhulukazi labo abanethemba lokuba ngomama. Kodwa-ke, uma unolwazi olufanele, unganciphisa imiphumela engaba khona yalokhu futhi ubhekane nekusasa elinempilo. Ngakho-ke, ake sixoxe ngalokhu namuhla ngendlela elula ongayiqonda, kulungile?

Kuyini lokhu 'kukhulelwa kwe-molar'?

Kalula nje, ukukhulelwa kwe-molar yisimo esenzeka lapho iqanda nesidoda kuhlangana, noma kuhlangana, ngenxa yephutha. Esikhundleni sokuba umbungu ophilile ukhule njengokukhulelwa okuvamile, ukukhula okungenamdlavuza kukhula ngaphakathi kwesibeletho. Lokhu kukhula kubukeka njengenqwaba yamasaka amancane anamanzi, njengenqwaba yamagilebhisi.

Ngeshwa, lolu hlobo lwesimila alukwazi ukusekela umbungu okhulayo, okungukuthi, alukwazi ukondla umntwana. Ngakho-ke, lokhu kukhulelwa ngeke kuphumelele, okungukuthi, kungaphetha ngokuphuphuma kwesisu. Ngezinye izikhathi, uma ukuphuphuma kwesisu okunjalo kungenzeki, kuzodingeka kwenziwe ukuhlinzwa ukuze kususwe lesi zicubu. Uma lokhu kungelashwa, kungaba nezinkinga ezinkulu .

Ukukhulelwa kwe-Molar kuyisimo esibizwa ngokuthi i-Gestational Trophoblastic Disease (GTD). I-GTD iyiqembu lezifo ezibangela ukwakheka kwamathumba ngaphakathi kwesibeletho. Ukukhulelwa kwe-Molar kwaziwa nangokuthi i-Hydatidiform Mole.

Kunezinhlobo ezimbili eziyinhloko zokukhulelwa kwe-molar:

Lesi simo singahlukaniswa izingxenye ezimbili eziyinhloko:

1. Ukukhulelwa Okuphelele Kwe-Molar

Kulolu hlobo, akukho umbungu okhulayo. Lokhu kwenzeka lapho iseli lesidoda lihlangana neqanda elingenalutho, elingenazo izinto zofuzo. Njengoba iqanda lingenalutho, umbungu awukwazi ukukhula. Kodwa-ke, izicubu ze-placenta ziyakhula. Kodwa azikhuli ngendlela evamile, kodwa ngendlela engavamile, njengama-cyst agcwele uketshezi. Lezi zicubu zikhiqiza i-hormone yokukhulelwa ebizwa ngokuthi i-`HCG` (i-Human Chorionic Gonadotropin). Njengoba le hormone ikhiqizwa yi-placenta ekukhulelweni okunempilo, ungase uzizwe ukhulelwe futhi uthole umphumela omuhle ekuhlolweni kokukhulelwa ekhaya. Kodwa empeleni akukho mntwana.

2. Ukukhulelwa Okungaphelele Kwe-Molar

Ekukhulelweni kwe-molar okungaphelele, i-placenta engavamile kanye nombungu kukhula ndawonye. Lokhu kwenzeka lapho amangqamuzana amabili esidoda ehlangana neqanda elilodwa. Umbungu ophumayo ube usuthola isethi eyengeziwe yama-chromosome. Ngisho noma umbungu uqala ukukhula, ngokuvamile awukwazi ukusinda.

Ubani onamathuba amaningi okukhulelwa kwe-molar?

Nakuba lesi kuyisimo esingavamile kakhulu, singenzeka kunoma ubani. Kodwa-ke, abanye abantu basengozini enkulu kancane. Lezi yizi:

• Intsha engaphansi kweminyaka engama-20 ubudala.
• Abantu abangaphezu kweminyaka engama-40 ubudala.
• Labo abake bakhulelwa umbungu ngaphambili.
• Labo abaye baphuphunyelwa yizisu kabili noma ngaphezulu.
• Abantu bozalo lwase-Asia (lokhu kusesesigabeni sokucwaninga, kodwa ezinye izifundo zikukhombisile).

Kuvame kangakanani 'ukukhulelwa kwe-molar'?

Lokhu empeleni akuvamile. Ukukhulelwa kwe-Molar kwenzeka ngaphansi kwe-1% yazo zonke izisu zokukhulelwa (okungaba ngu-1 kokukhulelwa okungu-1000). Ngakho-ke, lokhu akuyona into eyenzeka kuwo wonke umuntu.

Ingabe ukukhulelwa kwe-molar kungaholela ekukhulelweni okuvamile?

Kuyadabukisa kakhulu, kodwa ukukhulelwa kwe-molar kuhlala kugcina ngokuphuphuma kwesisu. Lokho kusho ukuthi akukho mntwana ozalwayo.

Uzozizwa udabuke kakhulu futhi udumele uma uzwa lokhu. Lokho kujwayelekile. Kodwa khumbula, lokhu akulona iphutha lakho.

Ziyini izimpawu 'zokukhulelwa kwe-molar'?

Abanye abantu abanazo izimpawu. Kodwa-ke, labo abanazo izimpawu bangase babe nenye noma ngaphezulu kwalokhu okulandelayo:

• Ukopha esithweni sangasese sowesifazane kuyisibonakaliso esivame kakhulu ezinyangeni ezintathu zokuqala zokukhulelwa.
• Ukucanuzela okukhulu nokuhlanza - ngezinye izikhathi okungaphezu kokukhulelwa okuvamile.
• Ama-cyst amancane (ama-cyst) abukeka njengembewu yamagilebhisi akhishwa esithweni sangasese sowesifazane.
• I-Preeclampsia (umfutho wegazi ophakeme) yisimo esenzeka ekuqaleni kokukhulelwa.
• Amazinga aphezulu ngokungavamile e-hormone ethi `HCG` (lokhu kutholakala ngokuhlolwa kwezokwelapha).
• Ukuvuvukala kwesisu - ngenxa yokukhula kwesibeletho esikhulu kunalokho obekulindelwe.
• I-anemia - kungenzeka ukuthi ibangelwa ukulahlekelwa igazi.

Njengoba lezi zimpawu zingabonakala nakwezinye izimo, kungcono ukubona udokotela ngokushesha uma uhlangabezana nanoma yini engavamile efana nale.

Yini ebangela lokhu 'kukhulelwa kwe-molar'?

Imbangela eyinhloko yokukhulelwa kwe-molar amaphutha ezakhi zofuzo ayenzeka lapho iqanda livundiswa yisidoda. Cabanga nje, ekukhulelweni okuvamile, ingane ithola ama-chromosome angu-23 kumama kanye nangu-23 kuyise, okwenza ama-chromosome angu-46 esewonke. Lawa ma-chromosome ayizakhiwo eziqukethe izakhi zofuzo zethu. Izakhi zofuzo zinquma ukuthi imizimba yethu kufanele isebenze kanjani.

Ekukhulelweni kwe-molar, kukhona ukungalingani kula ma-chromosome.

• Ekukhulelweni okuphelele kwe-molar , iqanda alinawo ama-chromosome. I-embryo ithola ama-chromosome angu-23 avela esidodaneni sodwa (mhlawumbe aphindwe kabili ngesidoda esisodwa noma ama-sperm amabili avundisa iqanda elingenalutho).
• Ukukhulelwa Okungaphelele Kwe-MolarKwesinye isimo, iqanda livundiswa yisidoda ezimbili. I-embryo ibe isithola ama-chromosome angu-69 (23+23+23).

Lesi sici sofuzo yisona sizathu esenza ukukhulelwa kungaphumeleli. Kubalulekile ukukhumbula ukuthi lokhu akuyona into oyenzile, kuyinto ehlukile.

Kuhlonzwa kanjani ukukhulelwa kwe-molar?

Odokotela bavame ukukubona lokhu ngesikhathi sokuhlolwa kokukhulelwa kwangaphambi kokukhulelwa, ikakhulukazi ngesikhathi sokuqala kwenyanga.

• Uma kwenziwa ukuhlolwa kwesibeletho nge-ultrasound , kungabonisa amasaka agcwele uketshezi esikhundleni se-placenta. Esikhathini esiningi, akukho umbungu noma umbungu obonakalayo ngaphakathi kwesibeletho. Kodwa-ke, ngezinye izikhathi kungase kube nezicubu zokukhulelwa ezisele.
• Kungatholakala futhi ngokulinganisa izinga le-hormone ethi `HCG` egazini lakho. `HCG` ikhiqizwa yi-placenta enempilo ngesikhathi sokukhulelwa. Le hormone isetshenziselwa futhi ukuhlola ukukhulelwa ngokuhlolwa komchamo ekhaya. 'Kukukhulelwa kwe-molar', izinga le-`HCG` liphezulu ngendlela engavamile. Ukuhlolwa kwegazi kungabona leli zinga eliphezulu futhi kusolwe ukuthi kungenzeka ukuthi kwenzeke 'ukukhulelwa kwe-molar'.

Abanye abantu abanazo izimpawu, ngakho-ke kungaba yinto eshaqisayo ukuzwa lokhu kuxilongwa. Lokho kuvame kakhulu. Kodwa, akudingeki ukuthi uthathe umthwalo walokhu, akulona iphutha lakho. Ezimweni eziningi, ungaba nokukhulelwa okunempilo uma uzama futhi.

Kuphathwa kanjani ukukhulelwa kwe-molar?

Ukukhulelwa kwe-molar kumele kususwe emzimbeni, ngaphandle kwalokho kungaba nezinkinga ezinkulu.

Esikhathini esiningi, lokhu kudinga ukuhlinzwa.

• Ukwelashwa okuvame kakhulu yi -D&C (Dilation and Curettage). Lokhu kuhilela ukuvula umlomo wesibeletho nokusebenzisa ukumunca ukuze kususwe noma yiziphi izicubu ezingavamile esibelethweni. Uzonikezwa i-anesthesia ejwayelekile ukuze ungazizwa ubuhlungu phakathi nale nqubo.

Kwezinye izimo, esikhundleni sokuhlinzwa, imithi ingasetshenziswa ukufinyeza isibeletho nokukhipha okuphakathi kwaso. Kodwa-ke, kubalulekile ukuxoxa nodokotela wakho ngenketho engcono kakhulu yokwelapha, njengoba ukwelashwa okusheshayo kuyadingeka ukuvimbela izinkinga.

Ezimweni ezingavamile kakhulu, kungadingeka ukuthi kukhishwe isisu.

Ngemva kokwelashwa, udokotela wakho uzoqapha amazinga akho e-hormone ye-HCG aze abuyele esimweni esijwayelekile. Lokhu kwenzelwa ukuqinisekisa ukuthi zonke izicubu ze-molar zisusiwe ngokuphelele. Uma amazinga akho e-HCG engabuyeli esimweni esijwayelekile, kungabonisa ukuthi kunezinkinga ezinkulu kakhulu.

Yiziphi izinkinga ezingaba khona zokukhulelwa kwe-molar?

Ngezinye izikhathi, ngemva kokuhlinzwa noma ukuphuphuma kwesisu, izingxenye zokukhulelwa kwe-molar zingasala ngaphakathi kwesibeletho.

• Uma lokhu kwenzeka, amangqamuzana angajwayelekile angakhula abe ungqimba lwemisipha oluzungeze isibeletho. Lokhu kubizwa ngokuthi 'i-invasive mole' . Lokhu futhi akuvamile, kwenzeka kubantu abangaphansi kuka-15% abakhishwe ukukhulelwa kwe-molar.
• Ezimweni ezingavamile kakhulu, ukukhulelwa kwe-molar kungaholela ohlotsheni lomdlavuza olubizwa ngokuthi i-choriocarcinoma . Lo mdlavuza uqala esibelethweni futhi ungasakazekela kwezinye izingxenye zomzimba. Kuleso simo, kudingeka ukwelashwa komdlavuza okufana nokwelashwa ngamakhemikhali noma ngemisebe.

Ezinye izinkinga ezingaba khona yilezi:

• Amagciwane angena egazini (i-Sepsis)
• Ukutheleleka kwesibeletho
• I-Preeclampsia (umfutho wegazi ophakeme kakhulu)
• Ukushaqeka (umfutho wegazi ophansi kakhulu)

Lokhu kungase kuzwakale kusabisa, kodwa lezi zinkinga zivame ukuvinjelwa ngokwelashwa okusheshayo.

Ingabe ukukhulelwa kwe-Molar kungavinjelwa?

Ngeshwa, ayikho indlela yokuvimbela ukukhulelwa kwe-molar, njengoba kubangelwa ukukhubazeka kwezakhi zofuzo.

Kodwa-ke, uma uke waba nokukhulelwa kwe-molar ngaphambili, unganciphisa ingozi yezinkinga ngokungaphinde ukhulelwe isikhathi esingangonyaka ngemuva kokukhulelwa kwe-molar kokuqala. Khuluma nodokotela wakho ngesikhathi esiphephile sokuzama ukuba nomntwana futhi.

Liyini ikusasa lomuntu okhulelwe i-molar?

Iningi labantu abake bakhulelwa i-molar abanazo ezinye izinkinga. Ukukhulelwa i-molar akukhulisi ingozi yakho yokuphuphuma kwesinye isisu. Kodwa-ke, kunengozi encane kakhulu yokuba nokukhulelwa i-molar okwesibili.

Abanye abantu bangase bakuthole kuwusizo ukuthola ukwelulekwa ngofuzo ngaphambi kokuzama ukukhulelwa futhi. Kodwa-ke, ukukhulelwa kwe-molar akusikho inkomba yokuthi kufanele uyeke ukuzama ukuba nomntwana futhi.

Ingabe Ukukhulelwa Kwe-Molar Kubangela Ukungazali?

Cha, lokhu ngeke kubangele ukungazali. Kodwa-ke, kungcono ukulinda okungenani izinyanga ezintathu ngemva kokwelashwa ukuze ugweme ukukhulelwa futhi. Phakathi naleso sikhathi, amazinga akho e-hormone ye-HCG azobuyela emazingeni awo angaphambi kokukhulelwa. Buza udokotela wakho ngesikhathi esingcono kakhulu sokuzama ukukhulelwa futhi.

Ingabe 'ukukhulelwa kwe-molar' kuwukuphuphuma kwesisu?

Yebo, 'ukukhulelwa kwe-molar'Ngokuvamile kuphelela ekulahlekelweni ukukhulelwa. Kuvamile ukuzizwa udabukile futhi udumele ngokuthi ukukhulelwa kwakho akuhambanga ngendlela obuyilindele. Zinike isikhathi sokucubungula lolo sizi. Thola usizo emndenini wakho, kubangani, noma emaqenjini okusekela ukulahlekelwa ukukhulelwa.

Khumbula, noma ngabe uke wakhulelwa i-molar ngaphambili, kungenzeka kakhulu ukuthi ukhulelwe kahle esikhathini esizayo.

Kufanele ngimbone nini udokotela?

Uma ukhulelwe futhi uphuma igazi esithweni sangasese sowesifazane, isicanucanu esikhulu nokuhlanza, noma uketshezi olufana nembewu yamagilebhisi, bona udokotela wakho ngokushesha. Ukuhlolwa nokwelashwa kusenesikhathi kungasiza ekuvimbeleni izinkinga.

Ukukhulelwa kwe-molar kungaba yinto ebuhlungu kakhulu futhi ekhathazayo. Kubangelwa izinkinga zofuzo ezenzeka ngesikhathi sokukhulelwa futhi ezingaphezu kwamandla akho. Kuvamile ukuba nemibuzo efana nokuthi, "Kwenzekani kabi?" "Ngiyesaba ukukhulelwa kwesikhathi esizayo." Khuluma nodokotela wakho ngemizwa yakho, ukwesaba kwakho, kanye nemibuzo yakho. Thola ukwesekwa emndenini wakho nakubangani bakho phakathi nalesi sikhathi. Abantu abaningi bayaqhubeka nokukhulelwa okunempilo ngemva kwalesi simo.

Khumbula into ebaluleke kakhulu (Umyalezo Wokuya Ekhaya)

• 'Ukukhulelwa kwe-molar' kuyiphutha lofuzo elivela lapho iqanda nesidoda kuhlangana, okuholela ekukhuleni kwezicubu ezingavamile esibelethweni. Akulona iphutha lakho lokhu.
• Kunezinhlobo ezimbili eziyinhloko: Okuphelele kanye Nokungaphelele. Kuzo zombili izimo, ukukhulelwa okuphumelelayo akwenzeki.
• Izimpawu zingase zihlanganise ukopha kwesitho sangasese sowesifazane, ukuhlanza ngokweqile, kanye nokuphuma koketshezi olufana nolwegilebhisi.
• Kungatholakala nge-ultrasound kanye nokuhlolwa kwegazi kwe-HCG.
• Ukwelashwa okuyinhloko kwe-D&C. Ukwelashwa okusheshayo kubalulekile.
• Ngemva kokwelashwa, amazinga e-HCG ayaqashwa aze abuyele esimweni sawo esijwayelekile.
• Lokhu ngeke kubangele ukungazali, kodwa funa iseluleko sezokwelapha ngaphambi kokuzama ukukhulelwa futhi.
• Nakuba lokhu kuyinto edabukisayo, abantu abaningi bangaqhubeka nokukhulelwa okunempilo. Awuwedwa, thola ukwesekwa okudingayo.

Ngiyethemba ukuthi lolu lwazi luzokusiza. Uma uneminye imibuzo, ungangabazi ukubuza udokotela wakho.

Ukukhulelwa kwe - Molar, Ukukhulelwa, Impilo Yabesifazane, Ukuphuphuma Kwesisu, i-HCG, i-D&C, Amaphutha Ezakhi Zofuzo