Ukukhulelwa kweMolar: kuyini, izimpawu eziyinhloko nokwelashwa

-Delile

• Izimpawu nezimpawu eziyinhloko
• Izimbangela ezingaba khona
• Ukuxilongwa kwenziwa kanjani
• Izinketho zokwelashwa

Ukukhulelwa kwe-Molar, okubizwa nangokuthi ukukhulelwa kwentwasahlobo noma i-hydatidiform, kuyisimo esingajwayelekile esenzeka ngesikhathi sokukhulelwa ngenxa yezinguquko esibelethweni, esibangelwa ukuphindaphindeka kwamaseli angajwayelekile ku-placenta.

Lesi simo singahluka ngokwengxenye noma siphelele, kuya ngosayizi wesicubu esingajwayelekile esibelethweni futhi asinasizathu esizwakalayo, kepha singenzeka ikakhulu ngenxa yokukhulelwa kwesidoda ezimbili eqandeni linye, okwenza umbungu ube namaseli kuphela ubaba.

Izicubu ezingajwayelekile ezikhula esibelethweni zibukeka njengezicubu zamagilebhisi futhi zidala ukungalungi ku-placenta ne-fetus, kubangele ukuphuphuma kwesisu futhi, ezimweni ezingavamile, amangqamuzana alezicubu asakazeka futhi aholele ekwakhekeni kohlobo lomdlavuza, olubizwa i-choriocarcinoma yokukhulelwa.

Izimpawu nezimpawu eziyinhloko

Izimpawu zokukhulelwa kwe-molar zingafana nezokukhulelwa okujwayelekile, njengokulibaziseka kokuya esikhathini, kepha ngemuva kwesonto lesithupha lokukhulelwa kungaba khona:

• Ukukhuliswa kwehaba kwesibeletho;
• Ukopha kwesitho sangasese sowesifazane kombala ogqamile obomvu noma onsundu;
• Ukuhlanza okukhulu;
• Ingcindezi ephezulu;
• Ubuhlungu besisu kanye nomhlane.

Ngemuva kokwenza ezinye izivivinyo, udokotela obelethayo angaqaphela nezinye izimpawu zokukhulelwa kwe-molar, njenge-anemia, ukwanda ngokweqile kwamahomoni wegilo kanye ne-beta-HCG, ama-cysts kuma-ovari, ukukhula kancane kombungu ne-pre-eclampsia. Bheka kabanzi ukuthi yini i- pre-eclampsia nokuthi ungayibona kanjani.

Izimbangela ezingaba khona

Izimbangela zokukhulelwa kwe-molar azikaqondakali kahle ngokugcwele, kepha lokhu kukholakala ukuthi kungenxa yezinguquko zofuzo ezenzeka lapho iqanda livundiswa isidoda ezimbili ngasikhathi sinye noma lapho isidoda esingaphelele sifakwa eqandeni eliphilile.

Ukukhulelwa kweMolar yisimo esingajwayelekile, kungenzeka kunoma yimuphi umuntu wesifazane, noma kunjalo, kungukushintsha okuvame kakhulu kwabesifazane abangaphansi kweminyaka engama-20 noma ngaphezulu kweminyaka engama-35.

Ukuxilongwa kwenziwa kanjani

Ukuxilongwa kokukhulelwa kwe-molar kwenziwa ngokwenza i-transvaginal ultrasound, ngoba i-ultrasound ejwayelekile ayikwazi ngaso sonke isikhathi ukubona ushintsho esibelethweni, futhi lesi simo sitholakala phakathi kwesonto lesithupha nelesishiyagalolunye lokukhulelwa.

Ngaphezu kwalokho, udokotela obelethayo uzophinda ancome ukuhlolwa kwegazi ukuhlola amazinga e-hormone iBeta-HCG, okuthi kulezi zimo abe nenani eliphakeme kakhulu futhi uma usola ezinye izifo, ungancoma ukwenza ezinye izivivinyo ezifana nomchamo, i-CT scan noma iMRI .

Izinketho zokwelashwa

Ukwelashwa kokukhulelwa kwe-molar kusekelwe ekwenzeni inqubo ebizwa nge-curettage, equkethe ukumunca ingaphakathi lesibeletho ukususa izicubu ezingejwayelekile. Ezimweni ezingavamile, noma ngabe sekuphelile ukwelashwa, amangqamuzana angajwayelekile angahlala esibelethweni futhi aveze uhlobo lomdlavuza, olubizwa ngokuthi yi-gestational choriocarcinoma, futhi kulezi zimo, kungadingeka ukuthi uhlinzwe, usebenzise imishanguzo noma usebenzise i-radiotherapy.

Ngaphezu kwalokho, uma udokotela ethola ukuthi uhlobo lwegazi lowesifazane alunalo, angaveza ukusetshenziswa komuthi, obizwa nge-matergam, ukuze amasosha omzimba athile angakhuli, agweme izinkinga lapho owesifazane ekhulelwa futhi, njenge-fetus erythroblastosis, ngokwesibonelo . Funda kabanzi mayelana ne-erythroblastosis ye-fetus nokuthi ukwelashwa kwenziwa kanjani.