Ukukhulelwa kwe-molar: yintoni, iimpawu eziphambili kunye nonyango

Umxholo

• Iimpawu eziphambili kunye neempawu
• Izizathu ezinokubangela
• Uxilongo lwenziwa njani
• Izinketho zonyango

Ukukhulelwa kweMolar, okwabizwa ngokuba ngumthombo wentwasahlobo okanye ukukhulelwa kwe-hydatidiform, yimeko enqabileyo eyenzeka ngexesha lokukhulelwa ngenxa yotshintsho kwisibeleko, esibangelwa kukuphindaphindeka kweeseli ezingaqhelekanga kwi-placenta.

Le meko inokukhetha okanye igqibelele, kuxhomekeke kubungakanani bethishu engaqhelekanga esibelekweni kwaye ayinasizathu sichazayo, kodwa inokwenzeka ikakhulu ngenxa yokudibana kwesidoda ezimbini kwiqanda elinye, kubangele ukuba umntwana abe neeseli kuphela utata.

Izicubu ezingaqhelekanga ezikhula esibelekweni zikhangeleka ngathi ziibhantshi zediliya kwaye zibangela ukungalunganga kwi-placenta nakwimveku, kubangela ukuphuphuma kwesisu kwaye, kwiimeko ezinqabileyo, iiseli zolu lusu zisasazeka kwaye zikhokelele kuphuhliso lohlobo lomhlaza, obizwa ngokuba choriocarcinoma yokukhulelwa.

Iimpawu eziphambili kunye neempawu

Iimpawu zokukhulelwa kwe-molar zinokufana nezo zokukhulelwa okuqhelekileyo, njengokulibaziseka kokuya exesheni, kodwa emva kweveki yesi-6 yokukhulelwa kunokubakho:

• Ukwanda kokukhuliswa kwesibeleko;
• Ukopha kwilungu lobufazi ngombala oqaqambileyo obomvu okanye mnyama;
• Ukugabha okukhulu;
• Uxinzelelo oluphezulu;
• Isisu kunye nentlungu yomqolo.

Emva kokwenza iimvavanyo ezithile, ugqirha obelekisayo unokuphinda aqaphele ezinye iimpawu zokukhulelwa kwe-molar, njenge-anemia, ukwanda okugqithileyo kwiihomoni ze-thyroid kunye ne-beta-HCG, ii-cysts kwii-ovari, ukukhula kancinci komntwana kunye ne-pre-eclampsia. Jonga ngakumbi into eyi-pre-eclampsia kunye nendlela yokuchonga.

Izizathu ezinokubangela

Izizathu zokukhulelwa kwe-molar azikaqondwa ngokupheleleyo, kodwa oku kukholelwa ukuba kungenxa yotshintsho olwenzeka kwimfuza xa iqanda lidityaniswa ngamadlozi amabini ngaxeshanye okanye xa isidoda esingafezekanga sichumisa kwiqanda elisempilweni.

Ukukhulelwa kwe-Molar yimeko enqabileyo, inokwenzeka nakweliphi na ibhinqa, nangona kunjalo, lutshintsho oluqhelekileyo kubantu basetyhini abangaphantsi kweminyaka engama-20 ubudala okanye ngaphezulu kweminyaka engama-35.

Uxilongo lwenziwa njani

Ukuxilongwa kokukhulelwa kwe-molar kwenziwa ngokwenza i-transvaginal ultrasound, njengoko i-ultrasound eqhelekileyo ayisoloko ikwazi ukuchonga utshintsho kwisibeleko, kwaye le meko ihlala ifunyaniswa phakathi kweveki yesithandathu neyesithoba yokukhulelwa.

Ukongeza, ugqirha obelethisa uya kuthi acebise uvavanyo lwegazi ukuvavanya amanqanaba ehomoni ye-Beta-HCG, ethi kwezi meko ibe phezulu kakhulu kwaye ukuba ukrokrela ezinye izifo, unokucebisa ngokwenza olunye uvavanyo olufana nomchamo, i-CT scan okanye iMRI .

Izinketho zonyango

Unyango lokukhulelwa kwe-molar lusekwe ekwenzeni inkqubo ebizwa ngokuba yi-curettage, equka ukufunxa ngaphakathi kwesibeleko ukususa izicwili ezingaqhelekanga. Kwiimeko ezinqabileyo, nasemva kokunyanga, iiseli ezingaqhelekanga zihlala esibelekweni kwaye zinike uhlobo lomhlaza, obizwa ngokuba yi-gestational choriocarcinoma, kwaye kwezi meko, kunokuba yimfuneko ukwenza utyando, ukusebenzisa amayeza e-chemotherapy okanye wenze i-radiotherapy.

Ngapha koko, ukuba ugqirha ufumanisa ukuba uhlobo lwegazi lowasetyhini alunalo, usenokubonisa ukusetyenziswa kweyeza, elibizwa ngokuba yi-matergam, ukuze izilwa-buhlungu ezithile zingakhuli, kuthintelwe iingxaki xa owasetyhini ekhulelwa kwakhona, njenge-erythroblastosis yomntwana, umzekelo . Funda ngakumbi malunga ne-erythroblastosis yomntwana kunye nendlela unyango olwenziwa ngayo.