Hāpai Molar: He aha kāu e ʻike ai

Anter

• Hoʻopiha a me ka hāpai hapa molar hapa
• He aha ke kumu o ka hāpai ʻana o ka molar?
• Nā kumu weliweli
• He aha nā hōʻailona o ka hāpai ʻana o ka molar?
• Pehea e ʻike ʻia ai ka hāpai ʻana o ka molar?
• He aha nā koho lapaʻau no ka hāpai ʻana o ka molar?
• Hoʻonui a me curettage (D & C)
• Nā lāʻau Chemotherapy
• Hysterectomy
• ʻO RhoGAM
• Mālama hope
• Lapaʻau hope loa
• Outlook no kahi hāpai keiki molar
• ʻO ka lawe lawe ʻana

Hana ka hāpai ma hope o ka momona o kahi hua manu a komo i loko o ka ʻōpū. I kekahi manawa naʻe, hiki ke hui pū ʻia kēia mau pae hoʻomaka lahilahi. Ke hiki kēia, ʻaʻole hele paha kahi hāpai ma ke ala e pono ai - a hiki i kēia ke hōʻeha i ka puʻuwai, ʻoiai ʻaʻole hewa o kekahi.

Hana ʻia kahi hāpai molar ke ulu ʻole ka placenta i kahi maʻamau. Akā, hana kahi tumo i loko o ka kōpū a kumu i ka placenta e lilo i puʻupuʻu o nā ʻeke piha piha i ka wai, i kapa ʻia hoʻi he cista. Ma kahi o 1 i kēlā me kēia hāpai hāpai (0.1 pākēneka) he hāpai hāpai molar.

ʻAʻole kū kēia ʻano hāpai no ka mea ʻaʻole hiki i ka placenta ke hānai a ulu ʻole paha i kahi pēpē. I nā hihia maʻamau, alakaʻi ʻia paha i nā pilikia olakino no ka makuahine.

Kāhea ʻia kahi ʻōpū molar kahi mole, kahi mole hydatidiform, a i ʻole nā ​​maʻi trophoblastic hāpai. Hiki iā ʻoe ke loaʻa i kēia komplication hāpai keiki inā ua loaʻa iā ʻoe kahi hāpai maʻamau ma mua. A, ka nūhou maikaʻi - hiki iā ʻoe ke loaʻa i kahi hāpai maʻamau a kūleʻa hoʻi ma hope o ka hāpai ʻana i kahi hāpai molar.

Hoʻopiha a me ka hāpai hapa molar hapa

Aia ʻelua ʻano o ka hāpai wahine molake. Loaʻa nā hopena like i nā mea ʻelua, no laila ʻaʻole ʻoi aku ka maikaʻi a ʻoi paha o ka maikaʻi o kekahi ma mua o kekahi. ʻAno maʻamau nā ʻano ʻelua - ʻaʻole lākou e kumu i ka maʻi ʻaʻai.

Hana ʻia kahi mole piha inā aia wale nā ​​mea placenta e ulu nei i loko o ka ʻōpū. ʻAʻohe hōʻailona o ka fetus i nā mea āpau.

I kahi mole hapa, aia kahi placenta a me kekahi kiko fetal. Akā ʻaʻole piha nā kiko fetal a hiki ʻole ke ulu aʻe i pēpē.

He aha ke kumu o ka hāpai ʻana o ka molar?

ʻAʻole hiki iā ʻoe ke kāohi inā ʻaʻole ʻoe he hāpai hāpai molara. ʻAʻole ia ma muli o kekahi mea āu i hana ai. Hiki i ka hāpai ʻana o ka molar i nā wahine o nā lāhui āpau, nā makahiki, a me nā hope.

Hana ʻia ia i kekahi manawa ma muli o ka hoʻohuihui ʻana i ka genetic - DNA - pae. Hāpai ka hapanui o nā wahine i nā hua manu he haneli. ʻAʻole kūpono kūpono paha kekahi o kēia mau mea. Hoʻopomo mau ʻia lākou e ke kino a waiho i waho o ke komisina.

Akā i hoʻokahi manawa i kahi hua maikaʻi ʻole (hakahaka) e hoʻomomona ʻia e kahi sperm. Hoʻopau ia me nā gen mai ka makuakāne, akā ʻaʻohe mea mai ka makuahine. Hiki i kēia ke alakaʻi i kahi hāpai hāpai molar.

I ke ala like, kahi sperm kīnā ʻole - a ʻoi aku paha ma mua o hoʻokahi sperm - e hoʻomomona paha i kahi hua manu maikaʻi. Hiki i kēia ke kumu i kahi mole.

Hoʻomaopopo ʻia kahi hāpai molar ma ke ʻano he mole hydatidiform. ʻO ka wehe ʻoki ʻana ke kumu nui o ka mālama ʻana no kēia ʻano. Puna kiʻi: Wikimedia

Nā kumu weliweli

Aia kekahi mau pilikia no ka hāpai ʻana o ka molar. Pākuʻi ʻia kēia mau mea:

• Makahiki. ʻOiai hiki iā ia ke hana i kekahi, ʻoi aku paha kou makemake i ka hāpai ʻana o ka molar inā ʻoi aku kou ʻōpio ma mua o 20 a ʻoi paha ma mua o 35 mau makahiki.
• Mōʻaukala. Inā loaʻa iā ʻoe kahi hāpai hāpai molar i ka wā ma mua, ʻoi aku paha kāu i kekahi. (Akā hou - hiki iā ʻoe ke hele i kahi hāpai kūleʻa.)

He aha nā hōʻailona o ka hāpai ʻana o ka molar?

Kuhi paha kahi hāpai hāpai molar e like me ka hāpai maʻamau i ka mua. Eia nō naʻe, e loaʻa paha iā ʻoe kekahi mau hōʻailona a me nā ʻōuli ʻokoʻa o kekahi mea.

• Kahena. Hiki paha iā ʻoe ke ʻulaʻula ʻulaʻula i ke koko ʻeleʻele ʻeleʻele i ka trimester mua (a i 13 mau pule). ʻOi aku paha kēia inā loaʻa iā ʻoe kahi hāpai hāpai molar piha. Loaʻa i ke kahe ʻana ke kīʻaha huhū-e like me nā huaola (nāʻaʻaʻa).
• HCG kiʻekiʻe me ka nausea nui a me ka luaʻi. Hana ʻia ka hōmona hCG e ka placenta. ʻO ia ke kuleana no ka hāʻawi ʻana i nā wahine hāpai he nui o ka nausea a me ka luaʻi. I ka hāpai ʻana o ka molar, aia paha he nui nā kiko o ka placenta ma mua o ka maʻamau. ʻO nā kiʻekiʻe kiʻekiʻe o ka hCG e alakaʻi i ka nausea nui a me ka luaʻi.
• ʻEha pelvic a me ke kaomi. ʻO nā mākia i kahi hāpai hāpai molar ulu ulu ʻoi aku ka wikiwiki ma mua o kā lākou, keu hoʻi i ka lua o ka trimester. Nui paha kou ʻōpū no kēlā pae mua o ka hāpai ʻana. Hiki i ka ulu wikiwiki ke kumu i ke kaomi a me ka ʻeha.

E ʻike paha kāu kauka i nā hōʻailona ʻē aʻe e like me:

• kahe koko kiʻekiʻe
• anemia (haʻahaʻa hao)
• pre-eclampsia
• ʻeke ʻeke
• hyperthyroidism

Pehea e ʻike ʻia ai ka hāpai ʻana o ka molar?

I kekahi manawa ʻike ʻia kahi hāpai ʻana o ka molar ke hele ʻoe no kāu scan ultrasound hāpai hāpai maʻamau. I nā manawa ʻē aʻe, e kauoha ana kāu kauka i nā hoʻokolohua koko a me ka scans inā loaʻa iā ʻoe nā ʻōuli e hopena ʻia e ka hāpai ʻana o ka molar.

E hōʻike pinepine kahi ultrasound pelvis o kahi hāpai keiki molar i kahi hui waina e like me ka hua waina o nā kīʻaha koko a me nā aʻa. Hiki paha i kāu kauka ke koi aku i nā kiʻi ʻē aʻe - e like me MRI a me CT scans - e hōʻoia i ka ʻike.

ʻO kahi hāpai hāpai molar, ʻoiai ʻaʻole makaʻu iā ia iho, hiki ke lilo i maʻi ʻaʻai. Puna kiʻi: Wikimedia

ʻO nā kiʻekiʻe kiʻekiʻe o ka hCG i ke koko he hōʻailona paha ia o ka hāpai ʻana o ka molar. Akā ʻaʻole hiki i kekahi mau hāpai ʻana molar ke hāpai i nā kiʻekiʻe hCG - a he kumu hCG kiʻekiʻe kekahi i hoʻokumu ʻia e nā ʻano maʻamau o nā hāpai keiki, e like me ka hāpai ʻana i nā māhoe. I nā huaʻōlelo ʻē aʻe, ʻaʻole e hōʻike kāu kauka i kahi hāpai hāpai molar ma muli o nā pae hCG wale nō.

He aha nā koho lapaʻau no ka hāpai ʻana o ka molar?

ʻAʻole hiki i kahi hāpai hāpai molar ke ulu aʻe i kahi hāpai maʻamau, olakino olakino. Pono ʻoe e mālama i ka lāʻau e pale ai i nā pilikia. He lono paʻakikī maoli paha kēia e ale iho ma hope o nā hauʻoli mua o kēlā hopena hopena hāpai.

Me ka lapaʻau kūpono, hiki iā ʻoe ke hele i kahi hāpai hāpai maikaʻi a me ka pēpē olakino.

Pili paha kāu mālama ʻana i hoʻokahi a ʻoi paha o kēia mau mea:

Hoʻonui a me curettage (D & C)

Me kahi D&P, e hoʻoneʻe kāu kauka i ka hāpai ʻana o ka molar ma o ka hoʻoheheʻe ʻana i ka wehe o kāu ʻōpū (cervix) a me ka hoʻohana ʻana i kahi hakahaka lapaʻau e hemo ai i nā mea ʻino.

E hiamoe ʻoe a i ʻole loaʻa i ka numbing kūloko ma mua o kou loaʻa ʻana i kēia kaʻina hana. ʻOiai ʻo D & C e hana ʻia i kekahi manawa ma ke ʻano he hana ma waho i ke keʻena o ke kauka no nā kūlana ʻē aʻe, no kahi hāpai ʻana molar hana pinepine ʻia ia ma kahi haukapila ma ke ʻano he ʻoki kino maʻi.

Nā lāʻau Chemotherapy

Inā hāʻule kāu hāpai hāpai ʻana i kahi mahele ʻoi aku ka makaʻu - ma muli o ka maʻi ʻaʻai a i ʻole no ka pilikia ʻana i ka mālama kūpono ʻana no nā kumu āpau - e loaʻa paha iā ʻoe kahi lāʻau chemotherapy ma hope o kāu D & C. ʻOi aku paha kēia inā ʻaʻole e iho kāu pae hCG ma luna o ka manawa.

Hysterectomy

ʻO kahi hysterectomy kahi ʻoki e wehe i ka ʻōpū holoʻokoʻa. Inā ʻaʻole ʻoe makemake e hāpai hou, koho paha ʻoe i kēia koho.

E hiamoe piha ʻoe no kēia kaʻina hana. ʻO kahi hysterectomy ʻaʻole kahi lapaʻau maʻamau no ka hāpai ʻana o ka molar.

ʻO RhoGAM

Inā loaʻa iā ʻoe ke koko Rh-maikaʻi ʻole, e loaʻa iā ʻoe kahi lāʻau i kapa ʻia ʻo RhoGAM ma ke ʻāpana o kāu lapaʻau. Pale kēia i kekahi mau pilikia e pili ana i ka hoʻomohala ʻana i nā mea ʻino. E ʻike pono a hoʻomaopopo i kāu kauka inā loaʻa iā ʻA-, O-, B-, a i ʻole AB- ʻano koko.

Mālama hope

Ma hope o ka hemo ʻana o kāu hāpai hāpai ʻana, pono ʻoe i nā hoʻokolohua a me ka nānā hou ʻana i ke koko. He mea nui loa ia e hōʻoia i ka waiho ʻole ʻia o kahi kiko molar i loko o kāu ʻōpū.

I nā hihia maʻamau, hiki i nā kiko molar ke hoʻoulu a hana i kekahi ʻano maʻi ʻaʻai. E nānā kāu kauka i kāu mau pae hCG a hāʻawi iā ʻoe i kahi scan no hoʻokahi makahiki a ma hope o ka lapaʻau ʻana.

Lapaʻau hope loa

Eia hou, laha ʻole nā ​​maʻi ʻino mai ka hāpai ʻana o ka molar. ʻO ka hapanui hoʻi hiki ke mālama ʻia a loaʻa kahi helu ola a hiki i. Pono paha ʻoe i ka chemotherapy a me ka hoʻomaʻamaʻa ʻana no kekahi mau maʻi ʻaʻai.

Outlook no kahi hāpai keiki molar

Inā manaʻo ʻoe he hāpai ʻoe, e ʻike koke i kāu kauka. E like me nā mea he nui, ke ala ʻoi loa e pale ai i nā pilikia mai kahi hāpai ʻana o ka molar e ʻike ʻia a mālama ʻia i ka wā hiki.

Ma hope o ka hoʻomaʻamaʻa ʻana, e ʻike i kāu kauka no nā koho hope loa.

ʻOi aku ka maikaʻi ke kali e hāpai hou a hiki i hoʻokahi makahiki ma hope o ka mālama ʻana. ʻO kēia no ka mea hiki i ka hāpai ke uhi maka i nā mea laha ʻole, akā hiki i nā pilikia ma hope o ka hāpai ʻana o ka molar. Akā e kamaʻilio me kāu kauka - kū hoʻokahi kou kūlana, e like me ʻoe.

Aia a maopopo leʻa iā ʻoe, palekana paha iā ʻoe e hāpai hou a hānau pēpē.

ʻIke pū kekahi he kākaʻikahi loa nā maʻi ʻino a me nā pilikia mai ka hāpai ʻana i ka molar. ʻO ka ʻoiaʻiʻo, ke Kulanui o ke Kulanui Lapaʻau o Pennsylvania e aʻoaʻo i ka hāpai mua ʻana o nā wahine molar a i ʻole nā ​​mea ʻē aʻe no ka hoʻomohala ʻana i nā tumors cancerous pili i ka hoʻolālā ʻohana.

ʻO ka lawe lawe ʻana

ʻAʻole maʻamau nā hāpai Molar, akā hiki iā lākou ke hana i nā wahine o nā makahiki āpau. Hiki i kahi hāpai molar ke lilo i mea lōʻihi a me ka naʻau e hoʻokaʻawale i ka ʻike.

Hiki i ke kau lapaʻau a me ke kau kali ke lawe i ka hopena i kou olakino, noʻonoʻo, a me kou olakino kino. He mea nui e lawe i ka manawa e kanikau no kēlā me kēia ʻano o ka hāpai hāpai i ke ala olakino.

E nīnau i kāu kauka e pili ana i nā hui kākoʻo. E kiʻi i nā wahine ʻē aʻe i hala i ka hāpai ʻana o ka molar. Hiki i ke olakino a me ka ʻōlelo aʻoaʻo ke kōkua iā ʻoe e nānā i mua i kahi hāpai olakino olakino a me pēpē i ka wā e hiki mai ana.