Mimba ya Molar: Zomwe Muyenera Kudziwa

Zamkati

• Zokwanira motsutsana ndi kutenga pakati molar
• Nchiyani chimayambitsa kutenga mimba?
• Zowopsa
• Kodi Zizindikiro Zotenga Mimba Molar Ndi Ziti?
• Kodi mimba yam'mimba imapezeka bwanji?
• Kodi njira zamankhwala zothandizira kuti mukhale ndi mimba molar ndi ziti?
• Kukhazikika ndi kuchiritsa (D&C)
• Mankhwala a chemotherapy
• Kutsekemera
• RhoGAM
• Pambuyo pa chisamaliro
• Chithandizo chamtsogolo
• Chiyembekezo chokhala ndi pakati
• Kutenga

Mimba imachitika dzira litalandira dzira ndi kubowolera m'mimba. Nthawi zina, magawo oyambira osakhwimawa amatha kusakanikirana. Izi zikachitika, kutenga mimba sikungayende momwe ziyenera kukhalira - ndipo izi zimatha kukhala zopweteketsa mtima, ngakhale sikulakwa kwa wina aliyense.

Mimba yam'mimba imachitika pamene nsengwa sikukula bwino. M'malo mwake, mumakhala chotupa m'chiberekero ndipo chimapangitsa kuti nsengwa ikhale ngati matumba odzaza madzi, otchedwanso zotupa. Pafupifupi 1 mwa amayi 1,000 aliwonse omwe amatenga pakati (0,1%) amatenga pakati.

Mimba yamtunduwu sikukhalitsa chifukwa nsengwa nthawi zambiri siyamayamwitsa kapena kukula mwana konse. Nthawi zambiri, zingathenso kuyambitsa mavuto azaumoyo kwa amayi.

Mimba yam'mimba imatchedwanso mole, hydatidiform mole, kapena matenda opatsirana pogonana. Mutha kukhala ndi vuto la mimba ngakhale mutakhala ndi pakati kale. Ndipo, nkhani yabwino - mutha kukhala ndi pakati pathupi pathupi pathupi pathupi pathupi.

Zokwanira motsutsana ndi kutenga pakati molar

Pali mitundu iwiri ya mimba yam'mimba. Zonsezi zimakhala ndi zotsatira zofananira, chifukwa chimodzi sichabwino kapena choyipa kuposa china. Mitundu iwiriyi nthawi zambiri imakhala yoyipa - siyimayambitsa khansa.

Mole wathunthu umachitika pomwe pali minofu yokha ya placenta yomwe imakula m'mimba. Palibe chizindikiro cha mwana wosabadwa konse.

Mu mole pang'ono, pali minofu ya placenta ndi minofu ina ya fetal. Koma minyewa ya mwana wosabadwayo ndi yosakwanira ndipo singakhale mwana.

Nchiyani chimayambitsa kutenga mimba?

Simungathe kudziletsa ngati muli ndi pakati kapena mulibe mimba. Sichimayambitsidwa ndi chilichonse chomwe mudachita. Kutenga mimba kumatha kuchitika kwa akazi amitundu yonse, mibadwo yonse, ndi makulidwe onse.

Nthawi zina zimachitika chifukwa chosakanikirana ndi chibadwa - DNA - mulingo. Amayi ambiri amakhala ndi mazira mazana ambiri. Zina mwa izi mwina sizingakhale bwino. Nthawi zambiri amalowetsedwa ndi thupi ndikuchotsedwa ntchito.

Koma kamodzi kanthawi dzira lopanda ungwiro limakhala ndi umuna. Zimathera ndi majini ochokera kwa abambo, koma palibe ochokera kwa mayi. Izi zitha kubweretsa kutenga mimba.

Momwemonso, umuna wopanda ungwiro - kapena umuna wopitilira umodzi - umatha kupanga dzira labwino. Izi zingayambitsenso mole.

Mimba yokhala ndi mimba imadziwikanso kuti hydatidiform mole. Kuchotsa opareshoni ndiye njira yayikulu yochizira matendawa. Gwero lazithunzi: Wikimedia

Zowopsa

Pali zifukwa zina zomwe zimayambitsa kutenga mimba. Izi zikuphatikiza:

• Zaka. Ngakhale zimatha kuchitika kwa aliyense, mutha kukhala ngati mukukhala ndi pakati ngati muli ochepera zaka 20 kapena kupitirira zaka 35.
• Mbiri. Ngati mudakhala ndi pakati molar m'mbuyomu, mumakhala ndi wina. (Koma kachiwiri - mutha kukhalanso ndi pakati.)

Kodi Zizindikiro Zotenga Mimba Molar Ndi Ziti?

Mimba yamtundu ukhoza kumangokhala ngati mimba yoyamba poyamba. Komabe, mwina mudzakhala ndi zizindikilo ndi zizindikilo zosonyeza kuti china chake ndi chosiyana.

• Magazi. Mutha kukhala ndi magazi ofiira ofiira mpaka akuda mdima m'miyezi itatu yoyambirira (mpaka milungu 13). Izi ndizotheka ngati muli ndi mimba yathunthu. Kutuluka magazi kumatha kukhala ndi zotupa ngati mphesa.
• High hCG yokhala ndi nseru komanso kusanza. HCG ya mahomoni imapangidwa ndi nsengwa. Ndi udindo wopatsa amayi apakati ambiri mseru komanso kusanza. Pakakhala pakati pathupi, pakhoza kukhala minofu yambiri yamasamba kuposa yachibadwa. Maseŵera apamwamba a hCG angayambitse kunyoza kwambiri ndi kusanza.
• Kupweteka kwa m'mimba ndi kukakamizidwa. Minofu ya mimba yotenga mimba imakula msanga kuposa momwe iyenera kukhalira, makamaka mu trimester yachiwiri. Mimba yanu imawoneka yayikulu kwambiri panthawi yoyambirira yomwe muli ndi pakati. Kukula mwachangu kumayambitsanso mavuto ndi zopweteka.

Dokotala wanu amathanso kupeza zizindikilo zina monga:

• kuthamanga kwa magazi
• kuchepa kwa magazi m'thupi (chitsulo chochepa)
• pre-eclampsia
• zotumphukira zotupa
• hyperthyroidism

Kodi mimba yam'mimba imapezeka bwanji?

Nthawi zina mimba yam'mimba imapezeka mukamapita kukayimba ultrasound. Nthawi zina, dokotala wanu amakupatsani mayeso a magazi ndikuwunika ngati muli ndi zizindikilo zomwe zingayambike chifukwa chokhala ndi pakati.

Chiuno cha ultrasound cha mimba yam'mimba chimakonda kuwonetsa tsango longa mphesa la mitsempha ndi minofu. Dokotala wanu amathanso kulangiza zithunzi zina - monga MRI ndi CT scan - kuti atsimikizire matendawa.

Mimba yapakati, ngakhale siyowopsa yokha, itha kukhala khansa. Gwero lazithunzi: Wikimedia

Mlingo waukulu wa hCG m'magazi ukhozanso kukhala chizindikiro cha mimba yam'mimba. Koma mimba zina sizikhoza kukweza hCG - ndipo hCG yapamwamba imayambitsanso mitundu ina ya mimba, monga kunyamula mapasa. Mwanjira ina, dokotala wanu sazindikira kuti ali ndi pakati molingana ndi milingo ya hCG yokha.

Kodi njira zamankhwala zothandizira kuti mukhale ndi mimba molar ndi ziti?

Mimba yapamimba sangakule kukhala mwana wabwinobwino, wathanzi. Muyenera kulandira chithandizo kuti mupewe zovuta. Izi zitha kukhala nkhani zovutadi kumeza pambuyo pa chisangalalo choyambirira cha zotulukapo zabwinozo.

Ndi chithandizo choyenera, mutha kukhala ndi pakati komanso kukhala ndi mwana wathanzi.

Chithandizo chanu chitha kukhala chimodzi kapena zingapo zotsatirazi:

Kukhazikika ndi kuchiritsa (D&C)

Ndi D & C, dokotala wanu amachotsa mimba mwakuchepetsa kutsegula kwa chiberekero chanu (khomo lachiberekero) ndikugwiritsa ntchito chopukutira kuchipatala kuti muchotse minofu yoyipa.

Mudzakhala mukugona kapena kupeza dzanzi m'deralo musanachite izi. Ngakhale kuti D & C nthawi zina imachitidwa ngati njira yothandizira odwala ku ofesi ya dokotala pazinthu zina, chifukwa chokhala ndi pakati mozizira chimachitika kuchipatala ngati opaleshoni ya odwala.

Mankhwala a chemotherapy

Ngati mimba yanu ilowa pachiwopsezo chachikulu - chifukwa cha kuthekera kwa khansa kapena chifukwa choti mwakhala mukuvutika kupeza chisamaliro choyenera pazifukwa zilizonse - mutha kulandira mankhwala a chemotherapy pambuyo pa D & C yanu. Izi ndizotheka ngati magawo anu a hCG samatsika pakapita nthawi.

Kutsekemera

Hysterectomy ndi opaleshoni yomwe imachotsa chiberekero chonse. Ngati simukufuna kutenga pakati, mutha kusankha njirayi.

Mudzagona mokwanira pa njirayi. A hysterectomy ndi ayi chithandizo chofala chokhala ndi pakati.

RhoGAM

Ngati muli ndi magazi a Rh-negative, mudzalandira mankhwala otchedwa RhoGAM ngati gawo la chithandizo chanu. Izi zimapewa zovuta zina zokhudzana ndi kupanga ma antibodies. Onetsetsani kuti dokotala wanu adziwe ngati muli ndi mtundu wamagazi wa A-, O-, B-, kapena AB.

Pambuyo pa chisamaliro

Mimba yanu itachotsedwa, mudzafunika kuyesa magazi ndikuwunika. Ndikofunikira kwambiri kuwonetsetsa kuti palibe mnofu uliwonse womwe udatsalira m'mimba mwako.

Nthawi zambiri, minofu ya molar imatha kubwereranso ndikupangitsa mitundu ina ya khansa. Dokotala wanu amayang'ana kuchuluka kwanu kwa hCG ndikukupatsani zowonera kwa chaka chimodzi mutalandira chithandizo.

Chithandizo chamtsogolo

Apanso, khansa yochokera kumimba imakhala yochepa. Ambiri amachiritsidwanso ndipo amakhala ndi moyo mpaka. Mungafunike mankhwala a chemotherapy ndi radiation kuchokera ku khansa zina.

Chiyembekezo chokhala ndi pakati

Ngati mukuganiza kuti muli ndi pakati, pitani kuchipatala nthawi yomweyo. Monga pazinthu zambiri, njira yabwino yopewa zovuta kuchokera kumimba ndikuti mupezeke ndikuchiritsidwa mwachangu.

Mukalandira chithandizo, pitani kuchipatala kuti mukalandire nthawi iliyonse yotsatira.

Ndibwino kuyembekezera kutenga pakati kachiwiri mpaka chaka chimodzi mutalandira chithandizo. Izi ndichifukwa choti kutenga mimba kumatha kubisa zovuta zilizonse, koma zotheka pambuyo pathupi. Koma lankhulani ndi dokotala wanu - vuto lanu ndi lapadera, monga momwe mulili.

Mukadziwa kwathunthu, zitha kukhala zotetezeka kwa inu kuti mudzatengerenso pakati ndikukhala ndi mwana.

Komanso dziwani kuti khansa ndi zovuta zamatenda apakati ndizochepa kwambiri. M'malo mwake, University of Pennsylvania Medical School imalangiza kuti asanatenge mimba kapena zinthu zina zowopsa zokhala ndi zotupa zokhudzana ndi khansa siziyenera kulera.

Kutenga

Mimba za Molar sizodziwika, koma zimatha kuchitika kwa azimayi azaka zonse komanso azikhalidwe zosiyanasiyana. Kukhala ndi pakati kumatha kukhala nthawi yayitali komanso yotopetsa.

Chithandizo ndi nthawi yakudikirira zitha kupanganso thanzi lanu lamaganizidwe, malingaliro, komanso thanzi lanu. Ndikofunika kutenga nthawi yolira chifukwa cha mtundu uliwonse wamatenda moyenera.

Funsani dokotala wanu za magulu othandizira. Fikirani kwa amayi ena omwe adatenga pakati. Chithandizo ndi upangiri zitha kukuthandizani kuti mudzayembekezere kukhala ndi pakati komanso mwana wathanzi mtsogolomo.