Mimba ya molar: ndi chiyani, zizindikiro zazikulu ndi chithandizo

Zamkati

• Zizindikiro zazikulu
• Zomwe zingayambitse
• Momwe matendawa amapangidwira
• Njira zothandizira

Mimba ya Molar, yomwe imadziwikanso kuti kasupe kapena hydatidiform pregnancy, ndichinthu chosowa chomwe chimachitika panthawi yapakati chifukwa chosintha chiberekero, chomwe chimayambitsidwa ndi kuchulukitsa kwa maselo osalimba mu nsengwa.

Vutoli limatha kukhala laling'ono kapena lokwanira, kutengera kukula kwa khungu lachiberekero ndipo silikhala ndi chifukwa chenicheni, koma limatha kuchitika makamaka chifukwa cha umuna wa umuna mu dzira lomwelo, ndikupangitsa kuti mwana akhale ndi maselo okha bamboyo.

Minofu yachilendo yomwe imakula m'chiberekero imawoneka ngati magulu a mphesa ndipo imayambitsa kusokonekera m'mimba ndi mwana wosabadwayo, ndikupangitsa padera ndipo, nthawi zambiri, maselo amtunduwu amafalikira ndikubweretsa mtundu wa khansa, yotchedwa choriocarcinoma yobereka.

Zizindikiro zazikulu

Zizindikiro za kukhala ndi mimba yam'mimba zitha kukhala zofananira ndi mimba yapakatikati, monga kuchedwa kusamba, koma pambuyo pa sabata la 6 la mimba pakhoza kukhala:

• Kukulitsa kukulitsa chiberekero;
• Kutuluka kumaliseche kwamtundu wofiira wowoneka bwino kapena wakuda;
• Kusanza kwambiri;
• Kuthamanga;
• M'mimba ndi kumbuyo kupweteka.

Atachita mayeso ena, azamba amathandizanso kuzindikira zizindikilo zina za mimba yam'mimba, monga kuchepa magazi, kuchuluka kwamahomoni a chithokomiro ndi beta-HCG, zotupa m'mazira, kukula pang'ono kwa mwana wosabadwa ndi pre-eclampsia. Onani zambiri za pre-eclampsia ndi momwe mungazindikire.

Zomwe zingayambitse

Zomwe zimayambitsa kutenga mimba sizimveka bwino, koma izi zimakhulupirira kuti zimachitika chifukwa cha kusintha kwa majini komwe kumachitika dzira likakololedwa ndi umuna awiri nthawi imodzi kapena umuna wopanda ungwiro ukakhala ndi dzira lathanzi.

Kutenga mimba kwa Molar ndichinthu chosowa, kumatha kuchitika kwa mayi aliyense, komabe, ndikusintha kwachilendo kwa azimayi ochepera zaka 20 kapena kupitirira zaka 35.

Momwe matendawa amapangidwira

Kuzindikira kuti ali ndi pakati kumachitika chifukwa chogwiritsa ntchito ma transvaginal ultrasound, chifukwa nthawi zambiri ma ultrasound samatha kuzindikira kusintha kwa chiberekero, ndipo vutoli limapezeka pakati pa sabata lachisanu ndi chimodzi ndi lachisanu ndi chinayi.

Kuphatikiza apo, dotoloyu alimbikitsanso kuyezetsa magazi kuti awone kuchuluka kwa mahomoni a Beta-HCG, omwe nthawi zambiri amakhala ochulukirapo ndipo ngati mukukayikira matenda ena, mungalimbikitse kuyesa mayeso ena monga mkodzo, CT scan kapena MRI .

Njira zothandizira

Chithandizo cha mimba yam'mimba chimachokera pakuchita njira yotchedwa curettage, yomwe imakhala yoyamwa mkati mwa chiberekero kuti muchotse minofu yachilendo. Nthawi zambiri, ngakhale atachiritsidwa, maselo osadziwika amatha kukhalabe m'chiberekero ndikupanga mtundu wa khansa, yotchedwa gestational choriocarcinoma, ndipo munthawi izi, pangafunike kuchitidwa opaleshoni, kugwiritsa ntchito mankhwala a chemotherapy kapena kulandira radiotherapy.

Kuphatikiza apo, ngati dokotala akuwona kuti mtundu wamagazi amkaziwo ndiwolakwika, atha kuwonetsa kugwiritsa ntchito mankhwala, otchedwa matergam, kuti ma antibodies ena asapange, kupewa mavuto mayi akatenganso pakati, monga fetal erythroblastosis, mwachitsanzo . Dziwani zambiri za fetus erythroblastosis ndi momwe mankhwala amathandizira.