Hydatidiform mole

Hydatidiform mole (HM) mashoma mashoma kana kukura kunoitika mukati medumbu (chibereko) pakutanga kwekubata. Iyo mhando ye gestational trophoblastic chirwere (GTD).

HM, kana kubata kwepamuviri, kunoguma nekukanganiswa kweiyo oocyte (zai). Izvo zvinoguma mune chisina kujairika fetus. Iyo placenta inokura zvakajairika nekukura kushoma kana kushaya kweiyo fetal tishu. Iyo nyama yemukati inoumba huremu muchibereko. Pa ultrasound, iyi saizi inowanzo kuve neyakafanana nemazambiringa, sezvo iine akawanda madiki cysts.

Mukana wekuumbwa kwemore wakakwira mune vakadzi vakuru. Nhoroondo yemore mumakore apfuura zvakare iri njodzi chinhu.

Kubata pamuviri kweMolar kunogona kuve kwemhando mbiri:

• Pamuviri wepamuviri wepamuviri: Pane isina kujairika placenta uye kumwe kukura kwe fetus.
• Zadzisa mhombwe kubata: Kune yakasarudzika placenta uye hapana fetus.

Iko hakuna nzira yekudzivirira kuumbwa kwemazhinji aya.

Zviratidzo zvepamuviri wepamuviri zvinogona kusanganisira:

• Kukura kusina kujairika kwechibereko, kungave kukuru kana kudiki pane zvakajairwa
• Kushungurudzika kwakanyanya uye kurutsa
• Vaginal kubuda ropa mukati memwedzi mitatu yekutanga yekubata
• Zviratidzo zvehyperthyroidism, inosanganisira kupisa kusashivirira, zvigaro zvakasununguka, kukurumidza kurova kwemoyo, kusagadzikana kana kutya, ganda rinodziya uye rakanyorova, maoko anodedera, kana kusanzwisisika kuonda
• Zviratidzo zvakafanana ne preeclampsia inoitika mune yekutanga trimester kana yekutanga yechipiri trimester, inosanganisira yakakwira BP uye kuzvimba mumakumbo, makumbo, uye makumbo (ichi chingango gara chiri chiratidzo che hydatidiform mole, nekuti preeclampsia inonyanya kushomeka izvi pakutanga nhumbu yakajairwa)

Mutapi wako wezvehutano achaita bvunzo dzechiuno, dzinogona kuratidza zviratidzo zvakafanana nepamuviri zvakajairika. Nekudaro, saizi yechibereko inogona kunge isina kujairika uye pangave pasina moyo unonzwika kubva kumucheche. Zvakare, panogona kunge paine kubuda kwemadzimai kubuda ropa.

Kubata pamuviri ultrasound kucharatidza kutaridzika kwechando nechimiro chisina kujairika, kana kana pasina kumwe kukura kwemwana.

Bvunzo dzinoitwa dzinogona kusanganisira:

• hCG (huwandu hwakawanda) bvunzo yeropa
• Abdominal kana kusangana nekutsi kwemukadzi ultrasound yemapapiro
  
• Chest x-ray
• CT kana MRI yedumbu (bvunzo dzekufungidzira)
• Yakazara kuverenga ropa (CBC)
• Ropa rekuvhara miedzo
• Itsvo uye chiropa chinoshanda bvunzo

Kana mupi wako achifungidzira kuti ane nhumbu, kubviswa kwechinhu chisina kujairika ne dilation uye curettage (D&C) zvingangodaro zvichakurudzirwa. D & C inogona zvakare kuitwa uchishandisa kusveta. Izvi zvinonzi kukweva kushuva (Iyo nzira inoshandisa mukombe wekukweva kubvisa zvirimo muchibereko).

Dzimwe nguva nhumbu isina kukwana inogona kuenderera. Mukadzi anogona kusarudza kuenderera nepamuviri aine tarisiro yekuzvara uye kubereka. Nekudaro, idzi dzakanyanya njodzi-nhumbu. Ngozi dzinogona kusanganisira kubuda ropa, kunetseka kweropa, uye kusununguka nguva isati yakwana (kuva nemwana asati akura zvakakwana). Muzviitiko zvisingawanzoitika, "fetus" inoenderana nemagene. Vakadzi vanofanirwa kunyatso kurukura nenjodzi nemupi wavo vasati vaenderera nepamuviri.

Hysterectomy (kuvhiya kubvisa chibereko) inogona kunge iri sarudzo kune vakadzi vakuru VASINGADI kuva nepamuviri mune ramangwana.

Mushure mekurapwa, yako hCG level ichateverwa. Izvo zvakakosha kudzivirira imwe nhumbu uye kushandisa yakavimbika yekudzivirira kubata pamuviri kwemwedzi mitanhatu kusvika kugumi nemaviri mushure mekurapwa kwepamuviri wepamuviri. Ino nguva inobvumira kuyerwa kwakaringana kuve nechokwadi chekuti iyo isina kujairika nyama haina kukura zvakare. Vakadzi vanoita nhumbu nekukurumidza mushure mekubata kwemimba vane njodzi huru yekuve neimwe nhumbu.

Mazhinji maHM haana cancer (benign). Kurapa kunowanzo kubudirira. Vhara kuteedzera nemupi wako zvakakosha kuti uone kuti zviratidzo zvekubata kwemimba zvapera uye nhumbu mahormone anodzokera kune akajairwa.

Inenge gumi neshanu muzana yezviitiko zveHM zvinogona kuva zvinopinda. Aya mamota anogona kukura zvakadzika mumadziro echibereko uye kukonzera kubuda ropa kana zvimwe zvinonetsa. Rudzi urwu rwema mole kazhinji runopindura zvakanaka kumishonga.

Mune mashoma mashoma maHM akazara, ma moles anokura kuita choriocarcinoma. Ichi kenza inokurumidza kukura. Inowanzo budirira kurapwa ne chemotherapy, asi inogona kutyisidzira hupenyu.

Matambudziko epamuviri wepamuviri anogona kusanganisira:

• Chinja kune inopinda yechisimba chirwere kana choriocarcinoma
• Preeclampsia
• Zvinetso zvehutachiona
• Molar nhumbu inoenderera kana kudzoka

Matambudziko kubva pakuvhiyiwa kubvisa nhumbu inobata inogona kusanganisira:

• Kuwedzera kubuda ropa, pamwe zvinoda kuwedzerwa ropa
• Zvikanganiso zveanesthesia

Hydatid mole; Kubata pamuviri; Hyperemesis - molar

• Uterus
• Yakajairwa uterine anatomy (cheka chikamu)

Bouchard-Fortier G, Covens A. Gestational trophoblastic chirwere: hydatidiform mole, nonmetastatic uye metastatic gestational trophoblastic bundu: kuongororwa uye manejimendi. Mune: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Yakakwana Gynecology. 7th ed. Philadelphia, PA: Elsevier; 2017: chits. 35.

Goldstein DP, Berkowitz RS. Gestational trophoblastic chirwere. Mune: Niederhuber JE, Armitage JO, Doroshow JH, Kastan MB, Tepper JE, eds. Abeloff's Clinical Oncology. 5 ed. Philadelphia, PA: Elsevier Saunders; 2014: chits. 90.

Salani R, Copeland LJ. Zvirwere zvakaipa uye nhumbu. Mune: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Obstetrics: Yakajairwa uye Dambudziko Pamuviri. 7th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 50.

Salhi BA, Nagrani S. Zvinetso zvakakomba zvekuzvitakura. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chits. 178.