Kubata pamuviri kweMolar: chii icho, chikuru zviratidzo uye kurapwa
Zvemukati
Kubata pamuviri kweMolar, iyo inonziwo chitubu kana hydatidiform nhumbu, chinhu chisingawanzoitika chinoitika panguva yekuzvitakura nekuda kweshanduko muchibereko, inokonzerwa nekuwanda kwemasero asina kujairika muparacenta.
Aya mamiriro anogona kuve akasarudzika kana kukwana, zvinoenderana nesaizi yetishu isina kujairika muchibereko uye haina chikonzero chaicho, asi zvinogona kuitika zvakanyanya nekuda kwekusangana kwehurume huviri muzai rimwe chete, zvichikonzera kuti fetus ive nemasero chete kubva baba vacho.
Nyama isina kujairika inokura muchibereko inoratidzika kunge masumbu emazambiringa uye inokonzeresa kusarongeka muplacenta nemucheche, zvichikonzera kusununguka, uye, mune zvisingawanzoitika, maseru etinyama aya anopararira uye anotungamira mukukudziridzwa kwerudzi rwekenza, inonzi gestational choriocarcinoma.
Zviratidzo zvikuru nezviratidzo
Zviratidzo zvehutachiona hwepamuviri zvinogona kunge zvakafanana neaya epamuviri akajairika, sekumhanyisa kuenda kumwedzi, asi mushure mevhiki yechitanhatu yekubata pamuviri panogona kuve ne:
- Kuwedzeredza kuwedzera kwechibereko;
- Kusangana nekutsiura kweropa rekupenya kwakatsvuka kana kusviba kwemavara.
- Kurutsa kwakanyanya;
- Kumanikidza kukuru;
- Dumbu uye musana kurwadziwa.
Mushure mekuita imwe bvunzo, chiremba anozvara anogona zvakare kuona zvimwe zviratidzo zvepamuviri wepamuviri, senge kupererwa neropa, kuwedzera kwakanyanya muhormone yehomoni uye beta-HCG, cysts mumazai, kukura kunonoka kwe "fetus" uye pre-eclampsia. Tarisa uone zvimwe chinonzi pre-eclampsia uye kuti ungazvizive sei.
Zvinogona kukonzerwa
Zvinokonzera kubata nhumbu hazvisati zvanyatsonzwisiswa, asi izvi zvinofungidzirwa kuti zvinokonzerwa nekuchinja kwemajini kunoitika kana zai rikasangana nembeu mbiri panguva imwe chete kana kana urume husina kukwana hukasangana muzai rine hutano.
Kubata pamuviri kweMolar chinhu chisingawanzoitika, zvinogona kuitika kune chero mukadzi, zvisinei, iko shanduko yakajairika muvakadzi vari pasi pemakore makumi maviri kana anopfuura makore makumi matatu nemashanu.
Maitiro ekuongororwa kunoitwa
Kuongororwa kwekubata kwepamuviri kunoitwa nekuita transvaginal ultrasound, sezvo zvakajairika ultrasound haigone kuona shanduko muchibereko, uye mamiriro aya anowanzoonekwa pakati pevhiki rechitanhatu uye repfumbamwe rekubata.
Pamusoro pezvo, chiremba anozvara anozokurudzirawo kuongororwa ropa kuti aongorore mahormone Beta-HCG, ayo mune aya makesi ari muhombe kwazvo uye kana uchifungidzira zvimwe zvirwere, unogona kukurudzira kuita mimwe miedzo yakaita weti, CT scan kana MRI .
Kurapa nzira
Kurapa kwepamuviri pamuviri kunoenderana nekuita maitiro anonzi curettage, ayo anosanganisira kuyamwa mukati mechibereko kubvisa chisina kujairika nyama. Muzviitiko zvisingawanzoitika, kunyangwe mushure mekurapwa, masero asina kujairika anogona kuramba ari muchibereko uye opa mhando yegomarara, inonzi gestational choriocarcinoma, uye mune dzino mamiriro, zvingave zvakakodzera kuvhiyiwa, kushandisa chemotherapy zvinodhaka kana kurapwa radiotherapy.
Kupfuurirazve, kana chiremba akaona kuti rudzi rweropa rwemukadzi haruna kunaka, anogona kuratidza kushandiswa kwemushonga, unonzi matergam, kuitira kuti masoja ekudzivirira muviri asakure, achidzivirira matambudziko mukadzi paanobata nhumbu zvakare, senge fetus erythroblastosis, semuenzaniso . Dzidza zvakawanda nezve fetus erythroblastosis uye marapirwo anoitwa.