Ukukhulelwa kwe-Molar: Okudingeka Ukwazi

-Delile

• Qedela vs. ukukhulelwa kwe-molar ngokwengxenye
• Yini ebangela ukukhulelwa kwe-molar?
• Izici zobungozi
• Ziyini izimpawu zokukhulelwa kwe-molar?
• Kutholakala kanjani ukuthi ukhulelwe?
• Yiziphi izinketho zokwelashwa zokukhulelwa kwe-molar?
• I-Dilation ne-curettage (i-D & C)
• Imithi yokwelashwa ngamakhemikhali
• I-Hysterectomy
• RhoGAM
• Ngemuva kokunakekelwa
• Ukwelashwa kwesikhathi esizayo
• Umbono wokukhulelwa kwe-molar
• Ukuthatha

Ukukhulelwa kwenzeka ngemuva kokuba iqanda selikhulelwe futhi ligqekeza esibelethweni. Kwesinye isikhathi, noma kunjalo, lezi zigaba zokuqala ezibucayi zingahlangana. Uma lokhu kwenzeka, ukukhulelwa kungahle kungahambi ngendlela efanele - futhi lokhu kungakhathaza inhliziyo, yize kungelona iphutha lomuntu.

Ukukhulelwa kwe-molar kwenzeka lapho i-placenta ingakhuli kahle. Esikhundleni salokho, isimila sakha esibelethweni futhi sidale ukuthi i-placenta ibe yinqwaba yamasaka agcwele uketshezi, abizwa nangokuthi ama-cysts. Cishe umuntu oyedwa kwabakhulelwe abayinkulungwane (amaphesenti ayi-0.1) ukukhulelwa kwe-molar.

Lolu hlobo lokukhulelwa aluhlali ngoba i-placenta ngokuvamile ayikwazi ukondla noma ukukhulisa ingane nhlobo. Ezimweni ezingavamile, kungahle kuholele nasezingozini zomama.

Ukukhulelwa kwe-molar kubizwa nangokuthi imvukuzane, imvukuzane ye-hydatidiform, noma isifo se-gestational trophoblastic. Ungaba nale nkinga yokukhulelwa noma ngabe wake wakhulelwa okujwayelekile phambilini. Futhi, izindaba ezimnandi - ungaba nokukhulelwa okujwayelekile, okuphumelelayo ngemuva kokukhulelwa kwe-molar.

Qedela vs. ukukhulelwa kwe-molar ngokwengxenye

Kunezinhlobo ezimbili zokukhulelwa kwe-molar. Zombili zinomphumela ofanayo, ngakho-ke eyodwa ayingcono noma yimbi kunomunye. Zombili lezi zinhlobo zivame ukuba nobungozi - azibangeli umdlavuza.

Imvukuzane ephelele yenzeka lapho kunezicubu ze-placenta kuphela ezikhulayo esibelethweni. Akunasibonakaliso sombungu nhlobo.

Kumvukuzane eyingxenye, kunezicubu ze-placenta nezinye izicubu zombungu. Kodwa izicubu zombungu aziphelele futhi ngeke zikhule zibe ingane.

Yini ebangela ukukhulelwa kwe-molar?

Awukwazi ukulawula ukuthi ngabe ukhulelwe yini noma cha. Akubangelwa yinoma yini oyenzile. Ukukhulelwa kwe-molar kungenzeka kwabesifazane bazo zonke izinhlanga, ubudala, nezizinda.

Kwenzeka kwesinye isikhathi ngenxa yokuhlangana ezingeni lezakhi zofuzo - i-DNA. Iningi labesifazane lithwala amakhulu ezinkulungwane zamaqanda. Ezinye zalezi zingase zingakheki kahle. Imvamisa imuncwa umzimba futhi ikhishwe ekukhomishini.

Kepha kanye ngesikhashana iqanda elingaphelele (elingenalutho) lenzelwa isidoda. Kugcina ngezakhi zofuzo ezivela kubaba, kepha azikho kumama. Lokhu kungaholela ekukhulelweni kwe-molar.

Ngendlela efanayo, isidoda esingaphelele - noma ngaphezulu kwesidoda esisodwa - singavundisa iqanda elihle. Lokhu kungadala nemvukuzane.

Ukukhulelwa kwe-molar kwaziwa nangokuthi imvukuzane ye-hydatidiform. Ukususwa kokuhlinzwa kuyinsika yokwelashwa kwalesi simo. Umthombo wesithombe: Wikimedia

Izici zobungozi

Kunezici ezithile zobungozi bokukhulelwa kwe-molar. Lokhu kufaka phakathi:

• Ubudala. Yize kungenzeka kunoma ngubani, ungahle uthande ukuba nokukhulelwa kwe-molar uma umncane kuneminyaka engama-20 noma ngaphezulu kuneminyaka engama-35.
• Umlando. Uma ngabe ukhulelwe i-molar esikhathini esedlule, kungenzeka ukuthi ube nomunye futhi. (Kepha futhi - ungaqhubeka nokuba nokukhulelwa okuphumelelayo.)

Ziyini izimpawu zokukhulelwa kwe-molar?

Ukukhulelwa kwe-molar kungazizwa njengokukhulelwa okujwayelekile ekuqaleni. Kodwa-ke, ungahle ube nezimpawu nezimpawu ezithile zokuthi kukhona okuhlukile.

• Ukopha. Ungaba nokuphuma kwegazi elibomvu ngokugqamile nokumnyama onsundu ku-trimester yokuqala (kuze kube amasonto ayi-13). Lokhu kungenzeka kakhulu uma ukhulelwe ngokuphelele. Ukopha kungaba nama-cysts afana namagilebhisi (amahlule wezicubu).
• I-hCG ephezulu enesicanucanu esinzima nokuhlanza. I-hCG ye-hormone yenziwa nge-placenta. Kungumsebenzi wokunikeza abesifazane abaningi abakhulelwe inani elithile lesicanucanu nokuhlanza. Ekukhulelweni kwe-molar, kungahle kube nezicubu ze-placenta eziningi kunokujwayelekile. Izinga eliphakeme le-hCG lingaholela ekucanuzeleni kwenhliziyo nokuhlanza.
• Ubuhlungu bepelvic nengcindezi. Izicubu zokukhulelwa kwe-molar zikhula ngokushesha kunalokho okufanele, ikakhulukazi ku-trimester yesibili. Isisu sakho singabukeka sikhulu kakhulu kuleso sigaba sokuqala sokukhulelwa. Ukukhula okusheshayo kungadala ingcindezi nobuhlungu.

Udokotela wakho angathola ezinye izimpawu ezinjengalezi:

• umfutho wegazi ophakeme
• i-anemia (insimbi ephansi)
• pre-eclampsia
• ama-cysts ama-ovari
• i-hyperthyroidism

Kutholakala kanjani ukuthi ukhulelwe?

Kwesinye isikhathi kutholakala ukukhulelwa kwe-molar lapho uya esikrinini sakho esivamile sokukhulelwa kwe-ultrasound. Ngezinye izikhathi, udokotela wakho uzokunika ukuhlolwa kwegazi nokuskena uma unezimpawu ezingadalwa ukukhulelwa kwe-molar.

I-pelvis ultrasound yokukhulelwa kwe-molar ngokujwayelekile izokhombisa iqoqo elifana nelamagilebhisi lemithambo yegazi nezicubu. Udokotela wakho futhi angancoma ezinye izithombe-ezifana ne-MRI ne-CT scan - ukuqinisekisa ukuxilongwa.

Ukukhulelwa kwe-molar, yize kungenangozi ngokwayo, kunamandla okuba ngumdlavuza. Umthombo wesithombe: Wikimedia

Izinga eliphakeme le-hCG egazini lingahle libe uphawu lokukhulelwa kwe-molar. Kodwa okunye ukukhulelwa kwe-molar kungenzeka kungakhuphi amazinga e-hCG - futhi i-hCG ephezulu nayo ibangelwa ezinye izinhlobo ezijwayelekile zokukhulelwa, njengokuthwala amawele. Ngamanye amagama, udokotela wakho ngeke ahlolisise ukukhulelwa kwe-molar ngokuya ngamazinga we-hCG kuphela.

Yiziphi izinketho zokwelashwa zokukhulelwa kwe-molar?

Ukukhulelwa kwe-molar akukwazi ukukhula kube ukukhulelwa okujwayelekile, okunempilo. Kufanele ube nokwelashwa ukuvimbela izinkinga. Lokhu kungaba izindaba ezinzima ngempela ukugwinya ngemuva kwenjabulo yokuqala yalowo mphumela omuhle wokukhulelwa.

Ngokuthola ukwelashwa okulungile, ungaqhubeka nokukhulelwa okuphumelelayo nengane enempilo.

Ukwelashwa kwakho kungabandakanya okukodwa noma ngaphezulu kokulandelayo:

I-Dilation ne-curettage (i-D & C)

Nge-D & C, udokotela wakho uzosusa ukukhulelwa kwe-molar ngokunwebezela ukuvuleka kwesibeletho sakho (umlomo wesibeletho) bese usebenzisa i-vacuum yezokwelapha ukususa izicubu eziyingozi.

Uzobe ulele noma uthole ukuphazamiseka kwendawo ngaphambi kokuba wenze le nqubo. Yize i-D & C kwesinye isikhathi yenziwa njengenqubo yokuphulukiswa kweziguli ehhovisi likadokotela ngezinye izimo, ngokukhulelwa kwe-molar kuvame ukwenziwa esibhedlela njengokuhlinzwa kwabagulayo.

Imithi yokwelashwa ngamakhemikhali

Uma ukukhulelwa kwakho kwe-molar kuwela esigabeni esinobungozi obukhulu - ngenxa yamandla womdlavuza noma ngoba ube nobunzima ekutholeni ukunakekelwa okufanele nganoma yisiphi isizathu - ungathola ukwelashwa ngamakhemikhali ngemuva kwe-D & C yakho. Lokhu kungenzeka kakhulu uma amazinga akho e-hCG angehli ngokuhamba kwesikhathi.

I-Hysterectomy

I-hysterectomy ukuhlinzwa okususa sonke isibeletho. Uma ungafisi ukukhulelwa futhi, ungakhetha le nketho.

Uzolala ngokuphelele ngale nqubo. I-hysterectomy kuyinto hhayi ukwelashwa okuvamile kokukhulelwa kwe-molar.

RhoGAM

Uma unegazi elingelona i-Rh, uzothola umuthi obizwa nge-RhoGAM njengengxenye yokwelashwa kwakho. Lokhu kuvimbela ezinye izinkinga ezihlobene nokwakha amasosha omzimba. Qiniseka futhi wazise udokotela wakho uma unohlobo lwegazi olungu-A-, O-, B-, noma u-AB.

Ngemuva kokunakekelwa

Ngemuva kokuthi isisu sakho se-molar sisusiwe, uzodinga ukuhlolwa kwegazi okwengeziwe nokuqapha. Kubaluleke kakhulu ukuqinisekisa ukuthi azikho izicubu ze-molar ezisele ngemuva esibelethweni sakho.

Ezimweni ezingavamile, izicubu ze-molar zingabuyela futhi zidale izinhlobo ezithile zomdlavuza. Udokotela wakho uzohlola amazinga akho e-hCG futhi akunikeze izikena kuze kube unyaka ngemuva kokwelashwa.

Ukwelashwa kwesikhathi esizayo

Futhi, umdlavuza ovela ekukhulelweni kwe-molar akuvamile. Iningi futhi liyelapheka kakhulu futhi linezinga lokusinda elifinyelela ku-. Ungadinga ukwelashwa ngamakhemikhali nokwelashwa ngemisebe kwamanye amagciwane.

Umbono wokukhulelwa kwe-molar

Uma ucabanga ukuthi ukhulelwe, bheka udokotela wakho ngokushesha. Njengezinto eziningi, indlela engcono yokuvimbela izinkinga ekukhulelweni kwe-molar ukuthola ukuthi welashwa futhi welashwa ngokushesha ngangokunokwenzeka.

Ngemuva kokwelashwa, bheka udokotela wakho ngakho konke ukuqokwa okulandelwayo.

Kungcono ukulinda uphinde ukhulelwe kuze kube unyaka ngemuva kokwelashwa. Lokhu kungenxa yokuthi ukukhulelwa kungafihla noma yikuphi okungajwayelekile, kepha okungenzeka kube nezinkinga ngemuva kokukhulelwa kwe-molar. Kepha khuluma nodokotela wakho - isimo sakho sihlukile, njengawe.

Uma usucace ngokuphelele, cishe kuzobe kuphephile ukuthi uphinde ukhulelwe futhi ube nengane.

Futhi yazi ukuthi umdlavuza nezinkinga ezivela ekukhulelweni kwe-molar akuvamile. Eqinisweni, i-University of Pennsylvania Medical School yeluleka ukuthi ukukhulelwa ngaphambi kwesikhathi kwe-molar noma ezinye izinto eziyingozi zokuthuthukisa izicubu zomdlavuza ezihlobene akufanele zingene ekuhleleni komndeni.

Ukuthatha

Ukukhulelwa kweMolar akuvamile, kepha kungenzeka kwabesifazane bayo yonke iminyaka nezizinda. Ukukhulelwa kwe-molar kungaba yinto ende futhi ekhathazayo ngokomzwelo.

Ukwelashwa nesikhathi sokulinda nakho kungayilimaza impilo yakho engokomzwelo, engokwengqondo nengokomzimba. Kubalulekile ukuthatha isikhathi sokudabuka nganoma iluphi uhlobo lokukhulelwa ngendlela enempilo.

Buza udokotela wakho ngamaqembu okusekela. Finyelela kwabanye abesifazane abadlule ekukhulelweni kwe-molar. Ukwelashwa nokwelulekwa kungakusiza ukuthi ubheke phambili ekukhulelweni nasenganeni enempilo esikhathini esizayo esingekude kangako.