Ukukhulelwa kukaMolar: Into ekufuneka uyazi

Umxholo

• Gqibezela ngokuchasene nokukhulelwa okubonakalayo
• Yintoni ebangela ukuba ukhulelwe?
• Imiba yomngcipheko
• Zithini iimpawu zokukhulelwa?
• Ufumanisa njani ukuba ukhulelwe?
• Zithini iindlela zokhetho kunyango lokukhulelwa?
• Ukuthambisa kunye nonyango (D&C)
• Iziyobisi Chemotherapy
• Uhlobo lweHysterectomy
• RhoGAM
• Emva kokhathalelo
• Unyango lwexesha elizayo
• Imbonakalo yokukhulelwa kwe-molar
• Ukuthatha

Ukukhulelwa kwenzeka emva kokuba iqanda lichumile laza langena esibelekweni. Ngamanye amaxesha, nangona kunjalo, la manqanaba okuqala athambileyo anokuxutywa. Xa oku kusenzeka, ukukhulelwa kusenokungahambi ngendlela ekufanele ukuba kwenziwe ngayo-kwaye oku kunokuba buhlungu, nangona kungekho mntu unetyala.

Ukukhulelwa kwe-molar kwenzeka xa i-placenta ingakhuli ngokwesiqhelo. Endaweni yokuba ithumba lenze esibelekweni kwaye lenze ukuba i-placenta ibe sisixa sezingxobo ezigcwele ulwelo, ezibizwa ngokuba zii-cysts. Phantse i-1 kwi-1,000 yokukhulelwa (iipesenti ezi-0.1) kukukhulelwa komdumba.

Olu hlobo lokukhulelwa aluhlali kuba i-placenta ngesiqhelo ayinakondla okanye ikhulise umntwana kwaphela. Kwiimeko ezinqabileyo, inokukhokelela nakwimingcipheko yempilo kumama.

Ukukhulelwa kwe-molar kukwabizwa ngokuba yi-mole, i-hydatidiform mole, okanye isifo se-gestational trophoblastic. Unokuba nale ngxaki yokukhulelwa nokuba ukhe wakhulelwa okuqhelekileyo ngaphambili. Kwaye, iindaba ezimnandi- unokufumana ukukhulelwa okuqhelekileyo, okuphumeleleyo emva kokukhulelwa.

Gqibezela ngokuchasene nokukhulelwa okubonakalayo

Zimbini iintlobo zokukhulelwa. Zombini zineziphumo ezifanayo, ke enye ayingcono okanye imbi kunomnye. Zombini ezi ntlobo zihlala zilungile - azibangeli mhlaza.

I-mole epheleleyo iyenzeka xa kukho kuphela izicubu ze-placenta ezikhulayo kwisibeleko. Akukho mqondiso wosana olungekazalwa.

Kwi-mole ekhethiweyo, kukho izicubu ze-placenta kunye nezinye izicubu zomntwana. Kodwa izihlunu zomntwana ezingekazalwa azigqibelelanga kwaye ngekhe zikhule zibe lusana.

Yintoni ebangela ukuba ukhulelwe?

Awunakho ukulawula ukuba unayo okanye awunayo i-molar pregnancy. Ayibangelwa yiyo nantoni na oyenzileyo. Ukukhulelwa kwe-molar kunokwenzeka kubantu basetyhini bazo zonke izizwe, ubudala, kunye nemvelaphi.

Ngamanye amaxesha kuyenzeka ngenxa yokuxubeka kwinqanaba lemfuza- inqanaba le-DNA. Uninzi lwabasetyhini luphethe amakhulu amawaka amaqanda. Ezinye zezi zinto zingenakwenziwa ngokuchanekileyo. Zihlala zithathwa ngumzimba kwaye zikhutshelwe ngaphandle kokuthunyelwa.

Kodwa kanye ngexeshana iqanda elingafezekanga (elingenanto) liyenzeka ukuba lichumise isidoda. Iphela ngemfuza evela kutata, kodwa akukho namnye ovela kunina. Oku kunokukhokelela ekukhulelweni kwe-molar.

Ngendlela efanayo, isidoda esingafezekanga-okanye ngaphezulu kwesidoda esinye-sinokuchumisa iqanda elilungileyo. Oku kunokubangela imole.

Ukukhulelwa kwe-molar kukwabizwa ngokuba yi-hydatidiform mole. Ukususwa kotyando yeyona nto iphambili kunyango lwale meko. Umthombo womfanekiso: Wikimedia

Imiba yomngcipheko

Kukho izinto ezinobungozi bokukhulelwa kwe-molar. Oku kubandakanya:

• Ubudala. Nangona inokwenzeka nakubani na, unokuba ngathi unokukhulelwa xa ungaphantsi kweminyaka engama-20 okanye ngaphezulu kuneminyaka engama-35.
• Imbali. Ukuba ukhulelwe ngexesha elidlulileyo, kunokwenzeka ukuba ube nomnye. (Kodwa kwakhona-ungaqhubeka nokukhulelwa ngempumelelo.)

Zithini iimpawu zokukhulelwa?

Ukukhulelwa kwe-molar kunokuziva ngathi kukukhulelwa okuqhelekileyo ekuqaleni. Nangona kunjalo, uya kuba neempawu ezithile kunye neempawu zokuba into eyahlukileyo.

• Ukopha. Unokuba nobomvu obomvu obomvu obomvu kumnyama kwi-trimester yokuqala (ukuya kwiiveki ezili-13). Oku kunokwenzeka ngakumbi ukuba ukhulelwe ngokupheleleyo. Ukopha kunokuba nee-cysts ezinje ngomdiliya (amahlwili enyama).
• I-hCG ephezulu enesicaphucaphu esomeleleyo kunye nokugabha. Ihommone hCG yenziwe yiplacenta. Inoxanduva lokunika uninzi lwabasetyhini abakhulelweyo isixa esithile sokucanuzela kunye nokugabha. Ngokukhulelwa kwe-molar, kunokubakho izicubu ze-placenta ezingaphezulu kwesiqhelo. Amanqanaba aphezulu e-hCG anokukhokelela kwisicaphucaphu esikhulu kunye nokugabha.
• Intlungu yepelvic kunye noxinzelelo. Izicubu ezikhulelweyo zikhula ngokukhawuleza kunokuba kufanelekile, ngakumbi kwikota yesibini. Isisu sakho sinokubonakala sikhulu kakhulu kwinqanaba lokuqala lokukhulelwa. Ukukhula ngokukhawuleza kunokubangela uxinzelelo kunye nentlungu.

Ugqirha wakho unokufumana ezinye iimpawu ezinje:

• igazi elonyukayo
• i-anemia (isinyithi esisezantsi)
• pre-eclampsia
• ii-cysts zamaqanda
• hyperthyroidism

Ufumanisa njani ukuba ukhulelwe?

Ngamanye amaxesha ukukhulelwa kwe-molar kufunyaniswa xa usiya kwindawo yakho yesiqhelo yokukhulelwa kwe-ultrasound. Ngamanye amaxesha, ugqirha wakho uya kukuyalela uvavanyo lwegazi kunye nokuskena ukuba uneempawu ezinokubangelwa kukukhulelwa komzimba.

I-pelvis ultrasound yokukhulelwa kwe-molar iya kubonisa ngesihloko isixa esifana nesomdiliya semithambo yegazi kunye nezicubu. Ugqirha wakho unokuphinda acebise ezinye izinto zokucinga-ezinje nge-MRI kunye ne-CT scans- ukuqinisekisa isifo.

Ukukhulelwa kwe-molar, nangona kungenabungozi ngokwakho, kunokuba nakho ukuba ngumhlaza. Umthombo womfanekiso: Wikimedia

Amanqanaba aphezulu e-hCG egazini inokuba luphawu lokukhulelwa komlomo. Kodwa ezinye ukukhulelwa kwe-molar akunakunyusa amanqanaba e-hCG- kwaye i-hCG ephezulu ikwabangelwa zezinye iintlobo zokukhulelwa, njengokuthwala amawele. Ngamanye amagama, ugqirha wakho akazukuchonga ukukhulelwa kwe-molar ngokusekwe kumanqanaba e-hCG kuphela.

Zithini iindlela zokhetho kunyango lokukhulelwa?

Ukukhulelwa kwe-molar akukwazi ukukhula kube kukukhulelwa okuqhelekileyo, okunempilo. Kufuneka ube nonyango ukunqanda iingxaki. Oku kunokuba ziyinyani, zilukhuni ngokwenene iindaba zokuziginya emva kokonwaba kokuqala kwesiphumo sokukhulelwa okuqinisekileyo.

Ngonyango olululo, unokuqhubeka nokukhulelwa ngempumelelo kunye nosana olusempilweni.

Unyango lwakho lunokubandakanya enye okanye ezingaphezulu kwezi zilandelayo:

Ukuthambisa kunye nonyango (D&C)

Nge-D & C, ugqirha wakho uyakususa ukukhulelwa kwe-molar ngokwandisa ukuvulwa kwesibeleko sakho (umlomo wesibeleko) kwaye usebenzise isicoci sezonyango ukususa izicwili eziyingozi.

Uya kulala okanye ufumane ukuphazamiseka kwendawo ngaphambi kokuba wenze le nkqubo. Nangona i-D & C ngamanye amaxesha isenziwa njengenkqubo yokunyanga abaguli kwiofisi kagqirha yezinye iimeko, ukukhulelwa kwe-molar kwenziwa ngokwesibhedlele njengotyando lwangaphakathi.

Iziyobisi Chemotherapy

Ukuba ukukhulelwa kwakho kwe-molar kuwela kumngcipheko ophezulu-ngenxa yomhlaza okanye ngenxa yokuba unengxaki yokufumana ukhathalelo olufanelekileyo nangasiphi na isizathu-unokufumana unyango lwe-chemotherapy emva kwe-D & C yakho. Oku kunokwenzeka ngakumbi ukuba amanqanaba akho e-hCG awehli ngokuhamba kwexesha.

Uhlobo lweHysterectomy

I-hysterectomy lutyando olususa sonke isibeleko. Ukuba awufuni ukukhulelwa kwakhona, unokukhetha olu khetho.

Uya kulala ngokupheleleyo kule nkqubo. I-hysterectomy yile hayi unyango oluqhelekileyo lokukhulelwa kwe-molar.

RhoGAM

Ukuba unegazi le-Rh-negative, uyakufumana ichiza elibizwa ngokuba yiRhoGAM njengenxalenye yonyango lwakho. Oku kuthintela ezinye iingxaki ezinxulumene nokukhula kwamagciwane. Qiniseka kwaye wazise ugqirha wakho ukuba une-A-, O-, B-, okanye uhlobo lwegazi lwe-AB.

Emva kokhathalelo

Emva kokuba ukukhulelwa kwakho kwe-molar kususwe, uyakufuna iimvavanyo zegazi kunye nokubeka iliso. Kubaluleke kakhulu ukuba uqiniseke ukuba akukho zihlunu ze-molar ezasala ngasemva kwisibeleko sakho.

Kwiimeko ezinqabileyo, izicwili zomhlathi zinokuphinda zibuye kwaye zibangele ezinye iintlobo zomhlaza. Ugqirha wakho uya kujonga amanqanaba akho e-hCG kwaye akunike isikali ukuya kuthi ga kunyaka emva konyango.

Unyango lwexesha elizayo

Kwakhona, ii-cancer ezivela ekukhulelweni kwe-molar zinqabile. Uninzi luyanyangeka kwaye lunezinga lokusinda ukuya kuthi ga. Unokufuna i-chemotherapy kunye nonyango lwe-radiation kwezinye i-cancer.

Imbonakalo yokukhulelwa kwe-molar

Ukuba ucinga ukuba ukhulelwe, jonga ugqirha wakho ngoko nangoko. Njengokuba kukho izinto ezininzi, indlela efanelekileyo yokuthintela iingxaki ekukhulelweni kwe-molar kukufumanisa kwaye uphathwe ngokukhawuleza.

Emva konyango, jonga ugqirha wakho kubo bonke abantu abalandelayo.

Kungcono ukulinda ukuba ukhulelwe kwakhona ukuya kuthi ga kunyaka emva konyango. Kungenxa yokuba ukukhulelwa kunokufihla nayiphi na inqabileyo, kodwa kunokwenzeka iingxaki emva kokukhulelwa kwe-molar. Kodwa thetha nogqirha wakho-imeko yakho yahlukile, njengawe.

Nje ukuba ucace gca, kuya kukhuseleka ukuba uphinde ukhulelwe kwaye ube nosana.

Yazi nokuba umhlaza kunye neengxaki zokukhulelwa kwe-molar zinqabile. Ngapha koko, iYunivesithi yasePennsylvania Medical School icebisa ukuba ukukhulelwa kwangaphambili okanye ezinye izinto ezinobungozi bokukhulisa amathumba anomdlavuza akufuneki zibandakanyeke kucwangciso losapho.

Ukuthatha

Ukukhulelwa kweMolar akuqhelekanga, kodwa kunokwenzeka kubantu basetyhini bayo yonke iminyaka kunye nemvelaphi. Ukukhulelwa kwe-molar kunokuba ngamava amade kunye nomoya.

Unyango kunye nexesha lokulinda linokuthatha uxinzelelo kwimpilo yakho yeemvakalelo, yengqondo kunye neyasemzimbeni. Kubalulekile ukuthatha ixesha lokuba buhlungu ngalo naluphi na uhlobo lokulahleka kokukhulelwa ngendlela esempilweni.

Buza ugqirha wakho malunga namaqela enkxaso. Fikelela kwabanye abasetyhini abaye bahamba ngokukhulelwa. Unyango kunye nokucebisa kunokukunceda ujonge ukukhulelwa okusempilweni kunye nosana kwikamva elingekude kangako.