Chii chinonzi Gestational Trophoblastic Disease

Zvemukati

• Mhando dzegestational trophoblastic chirwere
• Ndezvipi zviratidzo
• Zvinogona kukonzerwa
• Chii chinonzi kuongororwa
• Kurapwa kunoitwa sei

Gestational trophoblastic chirwere, chinozivikanwawo sehydatidiform mole, chinetso chisingawanzo, chinoratidzirwa nekukura kusingaenzanisike kwetrophoblasts, ayo ari masero anokura muiyo placenta uye anogona kukonzera zviratidzo zvakaita sekurwadziwa mudumbu, kubuda ropa kwemukadzi, kusvotwa uye kurutsa.

Chirwere ichi chinogona kupatsanurwa kuita yakazara kana kukwana hydatidiform mole, inova yakajairika, inoparadza mole, choriocarcinoma uye trophoblastic bundu.

Kazhinji, kurapwa kunosanganisira kuvhiyiwa kubvisa iyo placenta uye zvinyama kubva kune endometrium, iyo inofanirwa kuitwa nekukurumidza sezvinobvira, sezvo chirwere ichi chinogona kukonzeresa kumatambudziko, senge kukura kwegomarara.

Mhando dzegestational trophoblastic chirwere

Gestational trophoblastic chirwere chakakamurwa kuva:

• Yakazara hydatidiform mole, inova ndiyo yakajairika uye zvinobva pakuiswa kwezai risina chinhu, risina chinhu chine DNA, ne1 kana 2 urume, zvichiteedzana nekudzokororwa kwema chromosomes ababa uye kusavapo kwe "fetal tishu" kuumba. kurasikirwa kwechiuno che "fetus". "embryo" uye kuwanda kwetophoblastic tishu;
• Yakasarudzika hydatidiform mole, mune iro chairo zai rinosanganiswa ne2 urume, iine chisina kujairika fetal tishu kuumbwa uye zvichizotevera zvinongoitika zvega kubvisa pamuviri;
• Chitubu chinopinza, icho chinonyanya kushomeka pane chakapfuura uye mune iyo myometrium inopinda inoitika, iyo inogona kukonzeresa kuputika kwechibereko uye inotungamira mukubuda ropa kwakanyanya;
• Choriocarcinoma, rinova bundu rinokuvadza uye remastastatic, rinoumbwa nemaseru anotyisa trophoblastic maseru. Mazhinji emamota aya anokura mushure meye hydatidiform chitubu;
• Trophoblastic bundu renzvimbo yemukati, rinova bundu risingawanzo, rinosanganisira epakati trophoblastic maseru, ayo anoramba aripo mushure mekuguma kwepamuviri, uye anogona kupinda mukati memaviri matema kana fomu metastases.

Ndezvipi zviratidzo

Zviratidzo zvakajairika zvinogona kuitika muvanhu vane chirwere chegestational trophoblastic chirwere chine brownish tsvuku yekubuda ropa mukati mekutanga kwetatu, kusvotwa uye kurutsa, kurwadziwa mudumbu, kudzingwa kwecyst kuburikidza nemukadzi, kukurumidza kukura kwechibereko, kuwedzera kweropa, kupererwa neropa, hyperthyroidism uye pre eclampsia.

Zvinogona kukonzerwa

Chirwere ichi chinokonzerwa nekusangana zvisina kujairika kwezai risina chinhu, neumwe kana maviri urume, kana yei rakajairika nehurume huviri, nekuwanda kwemakromosomes aya kuchikonzera sero risina kujairika, rinozowanda.

Kazhinji, pane mukana mukuru wekusimudzira chirwere chepamuviri chevanhukadzi vari pasi pemakore makumi maviri kana anopfuura makumi matatu kana mune avo vakatotambura nechirwere ichi.

Chii chinonzi kuongororwa

Kazhinji, kuongororwa kwacho kunoitwa nekuita kuongororwa kweropa kuti uone hCG hormone uye ultrasound, umo zvinokwanisika kucherechedza kuvapo kwema cyst uye kusavapo kana kusagadzikana mu fetal tishu uye amniotic fluid.

Kurapwa kunoitwa sei

Pamuviri pe trophoblastic haigone uye nekudaro zvakafanira kubvisa placenta kudzivirira matambudziko kubva. Kune izvi, chiremba anogona kuita mushonga wekurapa, kunova kuvhiya uko kubviswa kwechibereko chechibereko, mukamuri yekuvhiya, mushure mekutarisirwa kweanesthesia.

Mune zvimwe zviitiko, chiremba anogona kutokurudzira kubvisa chibereko, kunyanya kana paine mukana wekubata gomarara, kana munhu asingade kuita vana vakawanda.

Mushure mekurapwa, munhu wacho anofanirwa kuperekedzwa nachiremba uye kuita ongororo yenguva dzose, kwerinenge gore, kuti aone kana nyama dzese dzakabviswa zvakanaka uye kana pasina njodzi yekuita matambudziko.

Zvinogona zvakare kuve zvakafanira kuita chemotherapy yechirwere chisingaperi.