Hāpai Molar: he aha ia, nā hōʻailona nui a me ka mālama ʻana

Anter

• Nā hōʻailona nui a me nā ʻōuli
• Nā kumu kūpono
• Pehea e hana ʻia ai ke kuhi
• Nā koho lapaʻau

ʻO ka hāpai ʻana Molar, i kapa ʻia he pūnāwai a i ʻole ka hidatidiform hāpai ʻana, kahi ʻano maʻamau i kū i ka wā o ka hāpai ʻana ma muli o nā loli o ka pūpū, i hoʻokumu ʻia e ka hoʻonui ʻia ʻana o nā hunaola ʻino i ka placenta.

Hiki ke hoʻokaʻawale a piha paha kēia ʻano, kaukaʻi ʻia i ka nui o nā kiko ʻole i ka uterus a ʻaʻohe kumu paʻa, akā hiki ke hana ʻia ma muli o ka hoʻoulu ʻana o ʻelua sperm i ka hua hoʻokahi, e loaʻa ana i nā fetus nā hunaola wale nō. ka makuakāne.

ʻO ke kinona kūpono ʻole e ulu i loko o ka kōpū e like me nā huhui o nā hua waina a kumu i ka malformation i ka placenta a me ka hānai, e hana ana i kahi hāʻule ʻole a, i nā manawa kakaikahi, hoʻolaha nā hunaola o kēia kiko a alakaʻi i ka ulu ʻana o kahi ʻano maʻi ʻaʻai, i kapa ʻia ʻo choriocarcinoma hāpai.

Nā hōʻailona nui a me nā ʻōuli

ʻO nā ʻōuli o ka hāpai ʻana o ka molara e like paha me nā hāpai maʻamau, e like me ka hoʻopaneʻe ʻana o ka menstrual, akā ma hope o ka hebedoma 6 o ka hāpai keiki aia paha:

• Hoʻonui hoʻonui ʻia o ka uterus;
• ʻO ka holo ʻana o ka lua o ka ʻulaʻula a ʻulaʻula ʻulaʻula ʻulaʻula;
• Luai ikaika;
• Puʻe kiʻekiʻe;
• ʻEha o ka ʻōpū a me ke kua.

Ma hope o ka hana ʻana i kekahi mau hoʻokolohua, ʻike paha ka mea hānau i nā ʻōuli ʻē aʻe o ka hāpai ʻana o ka molar, e like me ka anemia, ka hoʻonui nui ʻana o nā hormones thyroid a me beta-HCG, nā cist i nā ovaries, ka lohi o ka ulu ʻana o ka fetus a me ka pre-eclampsia. E nānā hou aʻe i ka mea pre-eclampsia a pehea e ʻike ai.

Nā kumu kūpono

ʻAʻole maopopo maopopo nā kumu o ka hāpai ʻana o ka molar, akā manaʻo ʻia kēia ma muli o nā loli kūpina i kūpulu ʻia ka hua e nā sperm ʻelua i ka manawa like a i ʻole kahi sperm maikaʻi ʻole e momona i kahi hua manu olakino.

He kūlana laha ʻole ka hāpai ʻana o Molar, hiki i kekahi wahine ke loaʻa, akā naʻe, ʻoi aku ka loli i nā wahine ma lalo o 20 mau makahiki a i ʻole 35 mau makahiki.

Pehea e hana ʻia ai ke kuhi

ʻO ke kuhi o ka hāpai ʻana o molar i hana ʻia e ka ultrasound transvaginal, ʻoiai ʻaʻole hiki i ka ultrasound maʻamau ke ʻike i ka loli o ka uterus, a ʻike pinepine ʻia kēia ʻano ma waena o ke ono a me ka ʻeiwa mau pule o ka hānau ʻana.

Eia hou, e paipai pū ka mea hānau i nā hoʻokolohua koko e loiloi i nā pae o ka hormone Beta-HCG, a i kēia mau hihia he kiʻekiʻe loa ia a inā manaʻo ʻoe i nā maʻi ʻē aʻe, koi paha ʻoe e hana i nā hoʻokolohua ʻē aʻe e like me ka mimi, CT scan a MRI paha. .

Nā koho lapaʻau

Hoʻokumu ʻia ka mālama ʻana i ka hāpai ʻana o molar i ka hana ʻana i kahi hana i kapa ʻia ʻo curettage, ʻo ia hoʻi ka omo ʻana i loko o ka kōpū e hoʻoneʻe i ka nā mea ʻino. I nā hihia rarer, ʻoiai ma hope o ka curettage, hiki i nā hunaola ʻokoʻa ke noho i ka kōpū a hoʻonui i kahi ʻano o ka maʻi ʻaʻai, i kapa ʻia ʻo choriocarcinoma hāpai, a i kēia mau hanana, pono paha ke ʻoki, hoʻohana i nā lāʻau chemotherapy a i ʻole undergo radiotherapy.

Eia kekahi, inā ʻike ke kauka he maikaʻi ʻole ke ʻano o ke koko o ka wahine, hiki iā ia ke hōʻike i ka noi ʻana o kahi lāʻau, i kapa ʻia ʻo matergam, no laila ʻaʻole ulu nā antibodies kikoʻī, e hōʻalo ana i nā pilikia ke hāpai hou ka wahine, e like me ka erythroblastosis fetal, no ka laʻana . E aʻo hou aʻe e pili ana i ka erythroblastosis fetal a pehea e hana ai i ka lāʻau.