Uma ungumama, yisikhathi esihle kakhulu empilweni yakho. Kodwa ngezinye izikhathi kungavela izinkinga nezinkinga esingazilindele. Kunzima ukuchaza ukwesaba, ukukhathazeka, nokudabuka esikuzwayo ngezikhathi ezinjalo. Namuhla sizokhuluma ngesihloko esiyinkimbinkimbi kancane, kodwa kufanele siqaphele. Leso yisimo esibizwa ngokuthi ukukhulelwa kwe-Partial Molar. Kungenzeka ukuthi awukaze uzwe ngaleli gama. Kodwa kubaluleke kakhulu ukuqaphela lokhu. Ngiyaqonda ukuthi kudabukisa kangakanani ukuzwa into efana nale, ngakho ake sixoxe ngalokhu kancane kancane, kalula, nangendlela wonke umuntu ayiqondayo.
Kalula nje, kuyini ukukhulelwa kwe-Partial Molar?
Ukukhulelwa kwe-Partial Molar kuyinkinga yokukhulelwa. Ngokukhethekile, kwenzeka ngenxa yephutha lofuzo elenzeka ngesikhathi sokukhulelwa, okungukuthi, lapho iqanda likamama lihlangana nesidoda sikababa.
Cabanga nje, ekukhulelweni okunempilo okuvamile, iqanda elinama-chromosome angu-23 avela kumama lihlangana nesidoda esinama-chromosome angu-23 avela kubaba. I-embryo ephumayo inama-chromosome angu-46 esewonke. Lokhu kuyisakhiwo esifanele sezakhi zofuzo zengane enempilo.
Kodwa ekukhulelweni kwe-Partial Molar, kwenzeka okuhlukile. Lapha, iqanda elilodwa elivela kumama livundiswa yisidoda ezimbili ezivela kubaba. Kwenzekani-ke? Umama unama-chromosome angu-23, kanti isidoda ezimbili ezivela kubaba zingu-23 + 23 = 46. Uma zihlanganiswa ndawonye, kunama -chromosome angu-69 . Lokhu kungaphezu kakhulu kwenani elijwayelekile. Uma kufakwa lokhu okungeziwe kwezakhi zofuzo, akuqhubeki njengokukhulelwa okunempilo.
Kulesi simo, umbungu kanye ne-placenta kungase kuqale ukukhula. Kodwa akukho noyedwa kubo okhula kahle. Esikhundleni salokho, inani elikhulu lezicubu ezingavamile, njengeqoqo lamagilebhisi , liqala ukwakheka ngaphakathi kwesibeletho, njengesikhwama esigcwele uketshezi. Ngenxa yalokhu kukhula okungavamile, umbungu awukwazi ukusinda. Ngokuvamile, ukukhulelwa okunjalo kugcina ngokuphuphuma kwesisu ezinyangeni ezimbalwa zokuqala.
Lesi simo esibizwa ngokuthi i-Molar Pregnancy singeseqembu lezifo ezibizwa ngokuthi i-Gestational Trophoblastic Disease (GTD). Lesi yisimo esibangela ukuba kukhule izimila ezingavamile esibelethweni. Sibizwa nangokuthi i-Hydatidiform Moles. Ukukhulelwa kwe-Partial Molar kungenye yazo. Lesi yisimo esingavamile kakhulu. Ngokwesilinganiso, lesi simo sibikwa cishe kokukhulelwa okukodwa kwabangu-1200.
Into ebaluleke kakhulu ukuthi, lokhu akulona iphutha lakho. Lokhu kuyiphutha elibangelwa ufuzo ngokuphelele. Ngakho ungazibeki icala ngalokhu.
Ziyini izimpawu zalesi simo?
Ngokuvamile, izimpawu zalesi simo zingafana nezokukhulelwa okuvamile kwasekuqaleni. Kodwa-ke, kukhona umehluko othile. Ake sibheke izimpawu eziyinhloko ezingabonakala.
| Isibonakaliso | Incazelo elula |
|---|---|
| Ukopha ngokweqile kwesitho sangasese sowesifazane | Lolu uphawu oluyinhloko noluvame kakhulu. Emasontweni ambalwa okuqala ngemva kokwazi ukuthi ukhulelwe, ungase uzwe ukopha okukhulu, okungaba nsundu omnyama noma obomvu kancane. |
| Isicanucanu esinzima kakhulu nokuhlanza | Ungase ube nesicanucanu nokuhlanza okukhulu kunasekukhulelweni okuvamile. Lokhu kungenxa yokuthi umzimba wakho ukhiqiza i-hormone i-HCG (Human Chorionic Gonadotropin). |
| Ubuhlungu noma ingcindezi ye-pelvic | Kungase kuzwakale njengobuhlungu obukhulu noma ingcindezi esiswini esingezansi. |
| Izingxenye ezifana nesikhwama esigcwele uketshezi ziyaphuma | Ngezinye izikhathi, izingcezu zezicubu, njengalezo zingcezu zamagilebhisi esikhulume ngazo, zingaphuma esithweni sangasese sowesifazane. |
| Umfutho wegazi ophezulu (i-Hypertension) | Uma umfutho wegazi ukhuphuka ngaphambi kwamasonto okuqala angu-20 okukhulelwa, kungaba uphawu lwalesi simo. |
| Ukukhula okusheshayo kwesibeletho | Isibeletho singase sizizwe sengathi sikhula ngokushesha kunalokho obekulindelwe phakathi nesikhathi sokukhulelwa. |
Njengoba lezi zimpawu zingavela nakwezinye izimo, uma ukhulelwe futhi unezinye zalezi zimpawu, kubalulekile ukuthi ubonane nodokotela wakho ngokushesha ukuze ahlolwe.
Ingabe zikhona yini izici ezithile eziyingozi zalesi simo?
Njengoba kushiwo ngaphambili, lokhu akulona iphutha lomuntu. Kuyingozi yofuzo. Kodwa-ke, izici ezithile zingase zandise kancane ingozi yalesi simo.
- Ubudala: Le ngozi iphakeme kancane emantombazaneni angaphansi kweminyaka eyi-15 ubudala kanye nabesifazane abangaphezu kweminyaka engama-40 ubudala.
- Njengoba uke waba nokukhulelwa kwe-molar ngaphambilini: Uma uke waba nokukhulelwa kwe-molar ngaphambilini, ingozi yakho yokuthola okunye iphakeme ngo-1% - 2% kunabantu abaningi.
- Ukuphuphuma kwezisu kaningi ngaphambilini: Ingozi ingaba phezulu kancane uma uphuphunyelwe yizisu kabili noma ngaphezulu.
Odokotela bakuthola kanjani lokhu futhi bakwelaphe kanjani?
Uma uya kudokotela unezimpawu ozikhulumile ekuqaleni, uzokuxilonga futhi enze izivivinyo eziningana uma esola lesi simo.
Indlela yokuxilonga lesi sifo
1. I-Ultrasound Scan: Lesi yisilingo esibaluleke kakhulu. Uma sibhekwa ku-scan, ingane ingase ingabi khona, noma ingane ingase ibonakale incane kakhulu kuneyamasonto amaningi ekhule ngawo. I-placenta ingase ibonakale ingajwayelekile, inezikhwama eziningi ezigcwele uketshezi.
2. Ukuhlolwa kwezinga le-hormone ye-HCG: Kuthathwa isampula yegazi kuwe bese kuhlolwa izinga le-hormone ebizwa ngokuthi i-HCG (Human Chorionic Gonadotropin). Kulesi simo, izinga le-HCG liphakeme ngendlela engavamile kunasekukhulelweni okuvamile.
Ngemva kwalezi zivivinyo ezimbili, udokotela uzokwazi ukuqinisekisa lesi simo.
Indlela yokwelapha
Njengoba lolu hlobo lokukhulelwa lungenakuqhubeka, izicubu ezingavamile ngaphakathi kwesibeletho kumele zisuswe ngokuphelele. Ukwelashwa okuyinhloko kwalokhu ukuhlinzwa okubizwa ngokuthi i-D&C (Dilation and Curettage) .
I-D&C akuyona into okufanele uyesabe kakhulu. Yaziwa nangokuthi "ukuhlanza umlomo wesibeletho." Kuhilela ukukunikeza i-anesthesia, ukuvula umlomo wesibeletho sakho kancane, nokusebenzisa ithuluzi elikhethekile ukususa ngokucophelela zonke izicubu ezingavamile ngaphakathi kwesibeletho sakho.
Isikhathi esibaluleke kakhulu siqala ngemva kwalokhu kuhlinzwa. Udokotela uzokucela ukuthi uze ukuze uthole ama-aphoyintimenti okulandelela.
Kwenzekani ngesikhathi sokulandelela?
Ngemva kokuhlolwa kwe-D&C, kubalulekile ukuhlola ukuthi kukhona yini izicubu ezingavamile ezisele esibelethweni. Indlela engcono kakhulu yokwenza lokhu ukuqhubeka nokuqapha amazinga e-hormone ye-HCG.
- Kuzodingeka ukuthi uhlolwe igazi masonto onke noma nyanga zonke.
- Ngemva kokuphumelela kwe-D&C, amazinga e-HCG kufanele anciphe kancane kancane futhi abuyele emazingeni ajwayelekile (angakhulelwe) zingakapheli izinyanga ezimbalwa.
- Kufanele nakanjani ugweme ukukhulelwa futhi kuze kube yilapho izinga lakho le-HCG libuyela esimweni esijwayelekile futhi udokotela wakho ekutshele ukuthi wenze kanjalo. Isizathu salokhu ukuthi uma ukhulelwa okwamanje, izinga lakho le-HCG lizokhuphuka futhi. Ngemuva kwalokho ngeke kube lula ukubona ukuthi ukwenyuka kungenxa yokukhulelwa okusha noma izicubu ezindala ezikhula kabusha.
- Lokhu kuvame ukubonwa isikhathi esiphakathi kwezinyanga eziyisithupha nonyaka.
Ingabe zikhona ezinye izinkinga ezingase zivele ngenxa yalokhu?
Esikhathini esiningi, i-D&C kanye nokulandelela okufanele kuholela ekululameni okuphelele. Kodwa-ke, akuvamile kakhulu ukuba nezinkinga zivele.
Inkinga enkulu yisimo esibizwa ngokuthi i-Persistent Gestational Trophoblastic Neoplasia (GTN) . Kalula nje, ezinye zezicubu ezingavamile zihlala esibelethweni ngemva kwe-D&C futhi ziyaqhubeka nokukhula. Uma izinga le-hCG linganciphi njengoba kulindelekile, udokotela uzosola lesi simo. Lokhu akuvamile kakhulu ukuba kube yisimo somdlavuza (i-choriocarcinoma).
Kodwa ungakhathazeki! Lesi simo se-GTN singelashwa kahle kakhulu futhi selapheke. Ukwelashwa okufana ne-chemotherapy kuyasetshenziswa kuso. Yingakho ukulandela kubalulekile, njengoba udokotela esho. Uma sitholakala kusenesikhathi, ukwelashwa kuyaphumelela kakhulu.
Kungenzeka yini ukuthi uphinde ube nomntwana ngemva kokuba into efana nale yenzeke?
Lona umbuzo omkhulu nethemba kubo bonke abantu ababhekene nalolu hlobo lwesipiliyoni.
Impendulo ithi, "Yebo, kungenzeka nakanjani".
Ngemva kokwelashwa kokukhulelwa okungaphelele kwe-molar kanye nesikhathi sokulandelela sesiphelile, udokotela wakho uzokuvumela ukuthi ukhulelwe futhi. Iningi labantu abakhulelwa ngemva kwalokho baba nomntwana onempilo ngaphandle kwezinkinga.
Kodwa khumbula, njengoba lokhu kuye kwenzeka ngaphambili, kubalulekile ukukhuluma nodokotela wakho ngokukhulelwa kwakho okulandelayo bese uhlela ngokufanele. Ingozi yokuthi lokhu kwenzeke futhi ekukhulelweni kwakho okulandelayo iphansi kakhulu (cishe ngo-1-2%). Kodwa-ke, udokotela wakho uzokuqapha kakhulu ngesikhathi sokukhulelwa kwakho okulandelayo.
Ukulahlekelwa ukukhulelwa okunje kuyashaqisa kakhulu. Zinike isikhathi sokubhekana nosizi. Khuluma nomyeni wakho nomndeni wakho ngalokhu. Funa iseluleko sochwepheshe uma kudingeka. Impilo yengqondo ibaluleke njengempilo yomzimba.
Umlayezo Wokuya Nawe Ekhaya
- Ukukhulelwa kwe-Partial Molar kuyiphutha lofuzo elivela ekuqaleni kokukhulelwa. Akulona iphutha lakho.
- Uma unezimpawu ezifana nokopha okukhulu kwesitho sangasese sowesifazane noma ukuhlanza okukhulu, bona udokotela wakho ngokushesha.
- Ukuhlinzwa kwe-D&C kuyindlela eyinhloko yokwelapha. Ngemva kwalokho, kubalulekile ukuqapha izinga le-HCG izinyanga eziningana noma kuze kube unyaka, njengoba udokotela esho.
- Kubaluleke kakhulu ukugwema ukukhulelwa futhi ngesikhathi sokulandelela.
- Ngemva kwalokhu okuhlangenwe nakho, amathuba okuba nokukhulelwa okunempilo kanye nomntwana onempilo aphezulu kakhulu. Ungalilahli ithemba.
- Awuwedwa kulolu hambo. Umndeni wakho, abangani, nodokotela wakho bakhona ukukusiza.
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