Hydatidiform mole

Hydatidiform mole (HM) ndikukula kochepa kapena kukula komwe kumachitika mkati mwa chiberekero (chiberekero) koyambirira kwa mimba. Ndi mtundu wa matenda opatsirana pogonana (GTD).

HM, kapena mimba yam'mimba, imachokera ku umuna wosadziwika wa oocyte (dzira). Zimabweretsa mwana wosabadwa. The latuluka limakula bwinobwino ndi kukula pang'ono kapena ayi kukula kwa fetal minofu. Minofu yam'mimba imapanga misa m'chiberekero. Pa ultrasound, misa imeneyi nthawi zambiri imakhala ngati mawonekedwe a mphesa, chifukwa imakhala ndi zotupa zazing'ono zambiri.

Mpata wopanga ma mole ndiwokwera kwambiri mwa akazi achikulire. Mbiri ya ma mole mzaka zam'mbuyomu ndiyomwe ili pachiwopsezo.

Mimba yokhala ndi molar itha kukhala yamitundu iwiri:

• Pathupi pathupi pathupi: Pali nsapo yolakwika ndi kakulidwe kena kamwana.
• Mimba yathunthu yathunthu: Pali placenta yachilendo ndipo palibe mwana wosabadwa.

Palibe njira yopewera kupangika kwa anthuwa.

Zizindikiro za kukhala ndi pakati pakhoza kuphatikizira:

• Kukula kwachilendo kwa chiberekero, chokulirapo kapena chaching'ono kuposa masiku onse
• Kusuta kwakukulu ndi kusanza
• Kutuluka kumaliseche m'miyezi itatu yoyambirira ya mimba
• Zizindikiro za hyperthyroidism, kuphatikiza kusalolera kutentha, zotchinga, kugunda kwamtima mwachangu, kupumula kapena mantha, khungu lofunda komanso lonyowa, manja akunjenjemera, kapena kuwonda kosadziwika
• Zizindikiro zofanana ndi preeclampsia zomwe zimachitika koyambirira kwa trimester kapena koyambirira kwachiwiri kwa trimester, kuphatikiza kuthamanga kwa magazi ndi kutupa m'mapazi, akakolo, ndi miyendo (ichi nthawi zonse chimakhala chizindikiro cha hydatidiform mole, chifukwa preeclampsia ndiyosowa kwambiri koyambirira kwa mimba yabwinobwino)

Wothandizira zaumoyo wanu adzakuyesani m'chiuno, zomwe zitha kuwonetsa zizindikilo zofananira ndi mimba yabwinobwino. Komabe, kukula kwa chiberekero kumatha kukhala kwachilendo ndipo sipangakhale kulira kwamtima kuchokera kwa khanda. Komanso, pakhoza kukhala kutuluka magazi kumaliseche.

Mimba ya ultrasound iwonetsa kuwoneka kwa chimphepo chamkuntho ndi chiwalo chachilendo, chokhala ndi mwana kapena wopanda chitukuko chilichonse.

Mayeso omwe adachitika atha kukhala:

• hCG (kuchuluka kwake) kuyesa magazi
• Mimba kapena ukazi wa m'chiuno
  
• X-ray pachifuwa
• CT kapena MRI yam'mimba (kuyesa zojambula)
• Kuwerengera kwathunthu kwa magazi (CBC)
• Mayeso okutira magazi
• Ntchito ya impso ndi chiwindi

Ngati wothandizirayo akukayikira kuti ali ndi pakati, kuchotsedwa kwa minofu yosazolowereka ndi kutulutsa ndi kuchiritsa (D&C) nthawi zambiri kumanenedwa. D & C itha kuchitidwanso pogwiritsa ntchito kuyamwa. Izi zimatchedwa kukopa (Njira imagwiritsa ntchito chikho chokoka kuti muchotse zomwe zili m'chiberekero).

Nthawi zina mimba yapakati imatha kupitilirabe. Mzimayi atha kusankha kupitiliza ndi pakati poganiza kuti adzabereka bwino. Komabe, awa ndi mimba zoopsa kwambiri. Ngozi zingaphatikizepo kutaya magazi, mavuto a kuthamanga kwa magazi, komanso kubereka msanga (kukhala ndi mwana asanakule). Nthawi zina, mwana wosabadwayo amabadwa wabwinobwino. Azimayi akuyenera kukambirana zaufulu ndi omwe amawapatsa asanapitirire pathupi.

Hysterectomy (opaleshoni yochotsa chiberekero) itha kukhala njira kwa azimayi achikulire omwe SAKUFUNA kudzakhala ndi pakati mtsogolo.

Mukalandira chithandizo, mulingo wanu wa hCG utsatiridwa. Ndikofunika kupewa kutenga mimba ina ndikugwiritsa ntchito njira yodalirika yolerera kwa miyezi 6 mpaka 12 mutalandira chithandizo chamimba. Nthawi ino imalola kuyesedwa kolondola kuti mutsimikizire kuti minofu yosazolowayo siyikula. Amayi omwe amatenga pakati posachedwa atakhala ndi pakati ali pachiwopsezo chachikulu chotenga mimba ina.

Ma HM ambiri sakhala ndi khansa (abwino). Chithandizo chimakhala chopambana. Tsekani kutsatiridwa ndi omwe amakupatsani ndikofunikira kuti muwonetsetse kuti zizindikilo zakuti mimba yapita ndipo milingo ya mahomoni obwereranso ibwerera mwakale.

Pafupifupi 15% yamilandu ya HM imatha kukhala yolanda. Izi zimatha kukula mkati mwa khoma la chiberekero ndikupangitsa magazi kapena zovuta zina. Mtundu uwu wa mole nthawi zambiri umayankha bwino mankhwala.

Nthawi zochepa kwambiri za HM yathunthu, timadontho timadzimadzi timakhala choriocarcinoma. Ichi ndi khansa yomwe ikukula mwachangu. Nthawi zambiri amachiritsidwa bwino ndi chemotherapy, koma amatha kukhala pachiwopsezo cha moyo.

Zovuta za mimba yam'mimba ingaphatikizepo:

• Sinthani ku matenda owopsa a molar kapena choriocarcinoma
• Preeclampsia
• Mavuto a chithokomiro
• Mimba yokhala ndi molar yomwe imapitiliza kapena kubwereranso

Zovuta za opaleshoni yochotsa mimba ingaphatikizepo:

• Kutaya magazi kwambiri, mwina kufuna kuthiridwa magazi
• Zotsatira zoyipa za anesthesia

Hydatid mole; Mimba yozizira; Hyperemesis - molar

• Chiberekero
• Thupi labwinobwino la chiberekero (gawo lodulidwa)

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Salani R, Copeland LJ. Matenda owopsa ndi mimba. Mu: Gabbe SG, Niebyl JR, Simpson JL, et al, olemba. Obstetrics: Mimba Yachibadwa ndi Mavuto. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: chap 50.

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