He aha ka maʻi Gopational Trophoblastic

Anter

• Nā ʻano o ka maʻi trophoblastic hāpai
• He aha nā hōʻailona
• Nā kumu kūpono
• He aha ke kuhi
• Pehea e hana ai i ka lāʻau

ʻO ka maʻi trophoblastic maʻi, i ʻike ʻia hoʻi he mole hydatidiform, kahi pilikia pinepine ia, kahi i hōʻike ʻia e kahi ulu ulu ʻole o nā trophoblasts, ʻo ia nā pūnaewele e hoʻomohala i ka placenta a hiki ke hana i nā ʻōuli e like me ka ʻeha o ka ʻōpū, kahe o ke kahe, kahe a me ka luaʻi.

Hiki ke hoʻokaʻawale ʻia kēia maʻi i loko o ka mole hydatidiform piha a hapa paha, ʻo ia ka mole pinepine, invasive mole, choriocarcinoma a me ka tumho trophoblastic.

ʻO ka mea maʻamau, ʻo ka lāʻau lapaʻau ke kīʻoki e wehe i ka placenta a me nā aʻa mai ka endometrium, kahi e hana ai i ka wā hiki wawe, no ka mea hiki i kēia maʻi ke alakaʻi i nā pilikia, e like me ka ulu ʻana o ka maʻi ʻaʻai.

Nā ʻano o ka maʻi trophoblastic hāpai

Māhele ʻia ka maʻi trophoblastic Gestational i loko:

• Pau ka mole hydatidiform, ʻo ia ka mea maʻamau a ʻo nā hopena mai ka hoʻoulu ʻana o kahi hua manu ʻole, ka mea ʻaʻole i loko kahi nucleus me DNA, e ka 1 a i ʻole 2 sperm, me ka hopena o nā chromosome paternal a me ka ʻole o ka hoʻokumu ʻia o nā kiko fetal, e alakaʻi ana i nalo o nā kiko fetal. embryo a me ka hoʻonui ʻana o nā kiko trophoblastic;
• Mole hydatidiform hapa, kahi i hoʻouluulu ʻia ai ka hua manu maʻamau e 2 sperm, me ka hanana fetal kiko ʻole a me ka aborment spontaneous abent;
• ʻO ka pūnāwai invasive, ʻoi aku ka laha ma mua o nā mea ma mua a kahi i komo ai ka hoʻouka myometrium, kahi e hiki ai ke haki ka uterine a alakaʻi i ka hemorrhage koʻikoʻi;
• ʻO Choriocarcinoma, kahi tumo invasive a me metastatic, i haku ʻia i nā hunaola trophoblastic malignant. Hoʻonui ka hapanui o kēia mau tumors ma hope o kahi puna hidatidiform;
• ʻO ka tumo Trophoblastic o kahi o ka placental, kahi tumo laha ʻole, ʻo ia hoʻi nā pūnaewele trophoblastic waena, e mau nei ma hope o ka hopena o ka hāpai ʻana, a hiki ke hoʻouka i nā mea pili a i ʻole nā ​​metastases.

He aha nā hōʻailona

ʻO nā ʻōuli maʻamau e hiki ke loaʻa i ka poʻe me ka maʻi trophoblastic gestational he ulaula ʻulaʻula i ke kahe i ka wā o ka trimester mua, nausea a me ka luaʻi, ʻeha o ka ʻōpū, kipaku ʻia o nā cist ma o ka puʻupuʻu, ka ulu wikiwiki ʻana o ka kōpū, hoʻonui i ke koko, anemia, hyperthyroidism. a me ka eclampsia.

Nā kumu kūpono

Loaʻa kēia maʻi mai ka hoʻomomona ʻana o ka hua manu ʻole, e hoʻokahi a ʻelua paha sperm, a i ʻole he hua manu maʻamau e 2 sperm, me ka hoʻonui ʻia ʻana o kēia mau chromosome e ulu aʻe nei i kahi hunaola ʻino, e hoʻonui.

ʻO ka maʻamau, ʻoi aku ka nui o ka makaʻu o ka hoʻomōhala ʻana i ka maʻi trophoblastic gestational i nā wahine ma lalo o ka makahiki 20 a i ʻole 35 a i ʻole i ka poʻe i ʻeha i kēia maʻi.

He aha ke kuhi

ʻO ka maʻamau, ʻo ke kuhi ka hana ʻana i nā hoʻokolohua koko e ʻike i ka hCG hormone a me kahi ultrasound, kahi e hiki ai ke nānā i ke kū ʻana o nā cist a me ka puka ʻole a i ʻole nā ​​mea ʻē aʻe i loko o nā kiko fetal a me ka wai amniotic.

Pehea e hana ai i ka lāʻau

ʻAʻole hiki ke hāpai i kahi hāpai hāpai trophoblastic a no laila pono ia e hemo i ka placenta i mea e pale ʻole ai i nā kūpilikiʻi. No kēia, hiki i ke kauka ke hana i kahi curettage, kahi ʻokiʻoki kahi e lawe ʻia ai kaʻiʻo uterine, i kahi lumi hana, ma hope o ka hoʻoponopono ʻana i ka anesthesia.

I kekahi mau hihia, hiki i ke kauka ke koi aku e hemo i ka uterus, keu hoʻi inā loaʻa ka makaʻu o ka ulu ʻana i ka maʻi ʻaʻai, inā ʻaʻole makemake ke kanaka e loaʻa hou kāna mau keiki.

Ma hope o ka lapaʻau ʻana, pono e hele pū ke kanaka me ke kauka a hoʻokō i nā hoʻokolohua maʻamau, no hoʻokahi makahiki, e ʻike ai inā ua hemo kūpono ʻia nā mea āpau a inā ʻaʻohe pilikia o ka ulu ʻana i nā pilikia.

Pono paha e hana i ka chemotherapy no ka maʻi hoʻomau.