Kodi Matenda a Gestational Trophoblastic ndi ati

Zamkati

• Mitundu ya matenda opatsirana pogonana
• Zizindikiro zake ndi ziti
• Zomwe zingayambitse
• Kodi matendawa ndi ati?
• Momwe mankhwalawa amachitikira

Matenda a Gestational trophoblastic, omwe amadziwikanso kuti hydatidiform mole, ndi vuto losowa, lomwe limadziwika ndikukula kwachilendo kwa ma trophoblast, omwe ndi maselo omwe amakula m'mimba mwake ndipo amatha kuyambitsa zisonyezo zowawa m'mimba, magazi am'mimba, nseru ndi kusanza.

Matendawa amatha kugawidwa kukhala hydatidiform mole yathunthu, yomwe ndi yofala kwambiri, yolowetsa mole, choriocarcinoma ndi chotupa cha trophoblastic.

Nthawi zambiri, chithandizo chimakhala ndi opaleshoni yochotsa nsengwa ndi minofu kuchokera ku endometrium, yomwe imayenera kuchitidwa mwachangu, chifukwa matendawa amatha kubweretsa zovuta, monga kukula kwa khansa.

Mitundu ya matenda opatsirana pogonana

Matenda a Gestational trophoblastic adagawika:

• Mafuta athunthu a hydatidiform, omwe ndiofala kwambiri ndipo amatuluka chifukwa cha dzira lopanda kanthu, lomwe mulibe khutu lokhala ndi DNA, mwa umuna 1 kapena 2, zomwe zimabweretsanso ma chromosomes a abambo komanso kusapezeka kwa minofu ya mwana, zomwe zimabweretsa kutayika kwa minofu ya fetal.
• Magawo a hydatidiform mole, momwe dzira labwinobwino limakhalira ndi umuna wa 2, wokhala ndi minyewa yosazolowereka ya fetal komanso zotsatira zake zotaya mimba;
• Kasupe wowopsa, womwe umakhala wosowa kwambiri kuposa wakale komanso momwe kuukira kwa myometrium kumachitika, komwe kumatha kupangitsa kuti chiberekero chiphwanye ndikupangitsa kukha magazi kwambiri;
• Choriocarcinoma, lomwe ndi chotupa chowopsa komanso chophatikizira, chopangidwa ndi maselo owopsa a trophoblastic. Zambiri mwa zotupazi zimayamba pakadutsa kasupe wa hydatidiform;
• Chotupa chotchedwa trophoblastic of placental location, chomwe ndi chotupa chosowa kwambiri, chomwe chimakhala ndi maselo apakatikati a trophoblastic, omwe amapitilira pambuyo pa kutha kwa mimba, ndipo amatha kuwononga matupi oyandikana nawo kapena kupanga metastases.

Zizindikiro zake ndi ziti

Zizindikiro zofala kwambiri zomwe zimatha kupezeka kwa anthu omwe ali ndi matenda opatsirana pogonana ndimatumbo ofiira ofiira a m'madzi pakatikati pa trimester yoyamba, nseru ndi kusanza, kupweteka m'mimba, kuthamangitsidwa kwa zotupa kudzera kumaliseche, kukula mwachangu kwa chiberekero, kuthamanga magazi, kuchepa magazi, hyperthyroidism ndi pre eclampsia.

Zomwe zingayambitse

Matendawa amabwera chifukwa chodzaza dzira lopanda kanthu, ndi umuna umodzi kapena ziwiri, kapena dzira labwinobwino la umuna wa 2, ndikuchulukitsa kwa ma chromosomes omwe amatulutsa khungu lachilendo, lomwe limachulukana.

Nthawi zambiri, pamakhala chiopsezo chachikulu chokhala ndi matenda azimayi azaka zosakwana 20 kapena kupitirira 35 kapena mwa iwo omwe adwala kale matendawa.

Kodi matendawa ndi ati?

Nthawi zambiri, matendawa amapangidwa ndikuyesa magazi kuti azindikire hCG hormone ndi ultrasound, momwe zimatha kuwona kupezeka kwa zotupa komanso kusapezeka kapena zovuta zina mu minofu ya fetal ndi amniotic fluid.

Momwe mankhwalawa amachitikira

Mimba ya trophoblastic siyotheka ndipo chifukwa chake ndikofunikira kuchotsa placenta kuti zisawonongeke. Pachifukwa ichi, adotolo amatha kuchiritsa, omwe ndi opareshoni yomwe minofu ya uterine imachotsedwa, m'chipinda chogwiritsira ntchito, atatha opaleshoni.

Nthawi zina, adokotala amalimbikitsanso kuchotsa chiberekero, makamaka ngati pangakhale vuto la khansa, ngati munthuyo sakufuna kukhala ndi ana ambiri.

Atalandira chithandizo, munthuyo amayenera kupita limodzi ndi adotolo ndikuwayesa pafupipafupi, pafupifupi chaka chimodzi, kuti awone ngati minyewa yonse yachotsedwa moyenera komanso ngati palibe chiopsezo chokhala ndi zovuta zina.

Kungakhale kofunikira kuchita chemotherapy pa matenda opitilira.