Injabulo oyizwayo lapho uthola ukuthi ukhulelwe ayichazeki, akunjalo? Kodwa ngesikhathi esifanayo, uzizwa wesaba kancane. Kufika izinto eziyinkulungwane engqondweni, njengokuthi konke kuzolunga, ingabe ingane izolunga? Ngezinye izikhathi, kungavela izinkinga esingakaze sizwe ngazo. Namuhla, sikhuluma ngesimo abantu abaningi abangasazi, kodwa okubaluleke kakhulu ukusazi. Lokho ukukhulelwa kwe-Molar , noma njengoba abanye bekubiza kanjalo, 'ukukhulelwa kwe-Molar'.
Kuyini Ukukhulelwa Kwe-Molar?
Kalula nje, ukukhulelwa kwe-Molar kwenzeka lapho inani elikhulu lezicubu ezingavamile, njengesimila, likhula ngaphakathi kwesibeletho esikhundleni se-embryo enempilo kanye ne-placenta. Ekukhulelweni okuvamile, i-placenta iyisitho esinikeza umntwana ukudla okunomsoco ngentambo yesisu.
Kodwa ekukhulelweni kwe-molar, umbungu awukwazi ukukhula. Ngenxa yalokho, ukukhulelwa akuqhubeki, futhi ngokuvamile kuphelela ekuphuphumeni kwesisu.
Lesi simo siyisimo esingavamile esingaphansi kwesigaba sezokwelapha esithi `Isifo Sokukhulelwa Kwezingane (GTD).` Sibangelwa izinguquko ezingavamile ongqimbeni lwamaseli (i-trophoblast) olwakheka nxazonke zombungu ngemuva nje kokukhulelwa. Udokotela wakho angase futhi akubize ngokuthi `i-Hydatidiform Mole (HM).`
Kunezinhlobo ezimbili eziyinhloko zokukhulelwa kwe-molar.
Yebo, kunezinhlobo ezimbili eziyinhloko zalesi simo. Ukukhulelwa Okuyingxenye kanye Nokukhulelwa Okuphelele Kwe-Molar. Bheka ithebula elingezansi ukuze uqonde umehluko phakathi kwalokhu okubili.
| Okukhethekile | Ukukhulelwa Okungaphelele Kwe-Molar (Okungaphelele) | Ukukhulelwa Okuphelele Kwe-Molar (Okuphelele) |
|---|---|---|
| Kunjani? | Iqanda elivamile livundiswa yizidoda ezimbili. | Kubangelwa ukuvundiswa kweqanda elingenalutho, elingenazo izakhi zofuzo, yisidoda. |
| Isibungu | Umbungu ongavamile ungase ukhule, kodwa lowo mbungu awukwazi ukusinda. | Umbungu awukhuli nhlobo. Kukhona izicubu ezingavamile. |
| I-Placenta | Kokubili i-placenta kanye nombungu akujwayelekile. | Esikhundleni se-placenta, kuvela izicubu eziningi ezingavamile. |
| Okuvame ukubonwa | Uhlobo olungaphansi koluphelele. | Kuvamile kakhulu kunohlobo olungaphelele. |
Kungani lokhu kwenzeka? Yiziphi izizathu?
Imbangela eyinhloko yokukhulelwa kwe-molar yiphutha lofuzo elivela ngesikhathi sokukhulelwa. Lokhu akulona iphutha lanoma ubani.
Cabanga nje, ukuze ube nengane enempilo , udinga ama-chromosome angu-23 kumama wakho kanye nangu-23 kuyihlo. Kalula nje, ingxenye evela kumama wakho kanye nengxenye evela kuyihlo.
- Ku- Complete Molar Pregnancy , isidoda sikababa sivundisa iqanda elingenalutho elingenazo izakhi zofuzo zikamama. Ngakho-ke, ngenxa yokuthi izakhi zofuzo zikamama azikho, umntwana onempilo akazalwa.
- Ekukhulelweni kwe-molar okungaphelele , iqanda livundiswa yisidoda ezimbili. Lokhu kusho ukuthi ingane esanda kuzalwa ithola izakhi zofuzo eziphindwe kabili kuyise. Uma kufakwa isethi eyengeziwe yama-chromosome, iqanda elivundisiwe alikwazi ukusinda. Ukukhulelwa kuphela phakathi kwamasonto ambalwa.
Into ebalulekile ukuthi, lokhu akubangelwa yinoma yiliphi iphutha, ukudla, isiphuzo, noma isenzo sikamama noma sikababa. Lokhu kuyiphutha elivela ngokungahleliwe elivela ekukhulelweni.
Ziyini izimpawu zokukhulelwa kwe-molar?
Ngezinye izikhathi lesi simo singaba khona ngaphandle kwezimpawu. Kodwa-ke, kunezimpawu ezivamile ongazibona. Uma uhlangabezana nento efana nale, kungcono ukubona udokotela ngokushesha .
| Isibonakaliso | Incazelo |
|---|---|
| Ukopha kwangasese | Kungenzeka ezinyangeni ezintathu zokuqala zokukhulelwa. |
| Ukukhishwa okunsundu | Ukuphuma kwamanzi ansundu. |
| Ukukhishwa okufana namagilebhisi | Izingxenyana ezincane ezifana nezikhwama, ezifana namagilebhisi eziphuma esithweni sangasese sowesifazane. |
| Isicanucanu esikhulu nokuhlanza | Isicanucanu nokuhlanza okukhulu kakhulu kunokujwayelekile ngesikhathi sokukhulelwa. |
| Ubuhlungu be-pelvic | Ukuzwa ukucindezeleka noma ubuhlungu esiswini esingezansi. |
| Ezinye izici | Umfutho wegazi ophezulu (i-preeclampsia), i-anemia, amazinga aphezulu e-hormone yokukhulelwa i-hCG, kanye nama-cyst esibeletho. |
Udokotela uhlonza futhi aphathe kanjani lokhu?
Lesi simo sivame ukutholakala ngesikhathi sokuhlolwa kwakho okuvamile kwe-ultrasound. Kungasolwa futhi ngokuhlola izinga le-hormone yokukhulelwa, i-hCG (i-human chorionic gonadotropin), egazini. Ekukhulelweni kwe-molar, leli zinga le-hCG liphezulu ngendlela engavamile.
Njengokwelashwa, udokotela kumele asuse ngokuphelele izicubu ezingavamile esibelethweni. Inqubo evamile yalokhu i-'D&C (Ukwanda Nokuchelela (D&C). Lokhu kwaziwa ngokuthi 'ukuhlanza isibeletho'. Ngezinye izikhathi, imithi ingasetshenziswa ukususa lesi zicubu.
Into ebaluleke kakhulu ukulandela ngemuva kokwelashwa. Ngemva kwe-D&C, udokotela wakho uzohlola amazinga e-hCG egazini lakho njalo izinyanga eziningana. Lokhu kubalulekile ukuqinisekisa ukuthi izicubu ezingavamile zinyamalale ngokuphelele futhi amazinga akho e-hCG abuyele esimweni esijwayelekile.
Ingabe Ukukhulelwa Kwe-Molar Kungabangela Izinkinga Ezinkulu?
Esikhathini esiningi, ngokwelashwa okufanele kanye nokususwa kwezicubu, azikho izinkinga. Kodwa-ke, akuvamile kakhulu ukuba nezinkinga zivele.
- I-GTN Eqhubekayo: Ngezinye izikhathi, ngisho nangemva kokususwa, inani elincane lezicubu ezingavamile lingasala futhi likhule libe yimisipha yesibeletho. Lokhu kubizwa ngokuthi i-'GTN Eqhubekayo'. Uma lokhu kwenzeka, ukwelashwa okufana ne- 'chemotherapy' kungadingeka.
- I-Choriocarcinoma: Icala elingavamile kakhulu yilapho lesi zicubu ziba nomdlavuza. Sibizwa ngokuthi 'i-Choriocarcinoma'. Kodwa-ke, lolu uhlobo lomdlavuza olungelapheka ngokuphelele ngokwelashwa.
Lezi zinto zingase zesabe ukuzwa. Kodwa khumbula, lezi zinkinga azivamile , futhi kunezindlela zokwelapha eziphumelelayo. Into ebaluleke kakhulu ukulandela imiyalelo kadokotela wakho yokwelashwa nokulandelela.
Awukwazi yini ukuthola omunye umntwana ngemva kokukhulelwa kwe-molar?
Lena inkinga abantu abaningi abanayo. Izindaba ezinhle ukuthi ukukhulelwa kwe-molar ngeke kuthinte ukuzala kwakho nganoma iyiphi indlela. Ungaba nomntwana onempilo esikhathini esizayo.
Kodwa-ke, odokotela bavame ukweluleka ukuthi ulinde phakathi kwezinyanga eziyi-6 nonyaka ngaphambi kokukhulelwa futhi. Isizathu salokhu yileyo hormone ye-hCG esikhulume ngayo ngaphambilini. Uma ukhulelwa futhi, leyo hormone iyanda ngokwemvelo. Bese kuba nzima kudokotela ukwazi kahle ukuthi ukwanda kwaleyo hormone kungenxa yokukhulelwa okusha noma ngoba ezinye zalezo zicubu ezindala zisesemzimbeni. Yingakho bethi linda kuze kube yilapho izinga le-hCG lehla ngokuphelele libe yi-zero bese libuyela esimweni esijwayelekile.
Umlayezo Wokuya Nawe Ekhaya
- Ukukhulelwa kwe-molar kwenzeka lapho izicubu ezingavamile zikhula esibelethweni esikhundleni somntwana onempilo. Lokhu kubangelwa yiphutha lezakhi zofuzo elingahleliwe ngesikhathi sokukhulelwa, hhayi iphutha lakho.
- Uma uhlangabezana nezimpawu ngesikhathi sokukhulelwa njengokuphuma kwegazi okungavamile, ukuphuma koketshezi olunsundu, noma ukuhlanza okukhulu, bona udokotela wakho ngokushesha.
- Ukwelashwa kwalesi simo kudinga ukunwetshwa kanye nokususwa kwezicubu (i-D&C) kanye nokuqapha okulandelayo amazinga e-hCG hormone.
- Ukukhulelwa kwe-molar akubangeli monakalo ezinganeni zakho zesikhathi esizayo. Ungalindela ukukhulelwa okunempilo ngemuva kokulinda isikhathi esinqunyiwe ngokweseluleko sikadokotela.
- Ungahambi wedwa kulolu hambo. Khuluma ngokukhululekile ngalokhu nomlingani wakho, umndeni wakho, futhi ikakhulukazi udokotela wakho. Kubalulekile ukuthola ukwesekwa ngokomzwelo okudingayo.
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