He aha ka Molar Pregnancy? Nā Hōʻailona, Nā Kumu, & Lapaʻau

Hana ʻia ka molar pregnancy i ka wā e ulu ai ka ʻiʻo e lilo ai i pēpē ma ke ʻano kūpono ʻole i loko o kou ʻōpū. He pilikia hāpai maʻamau kēia, e hana ana ma kahi o 1 i kēlā me kēia 1,000 mau hāpai, a ʻoiai paha e manaʻo ʻia he mea kaumaha ke aʻo e pili ana, he mea nui ia e ʻike ai me ka mālama lapaʻau kūpono, ʻoi aku ka nui o nā kānaka e hāpai i nā keiki olakino ma hope.

He aha ka molar pregnancy?

ʻO ka molar pregnancy kahi ʻano o ka gestational trophoblastic disease kahi e ulu ai ka ʻiʻo kūpono ʻole i loko o kou ʻōpū ma kahi o ka ulu ʻana o ka hāpai maʻamau. E noʻonoʻo iā ia e like me nā hormones hāpai o kou kino e loaʻa ana i nā hōʻailona kuhihewa, e hoʻoulu ana i ka ulu ʻana o ka ʻiʻo placental nui loa a i ʻole ma ke ʻano kūpono ʻole.

Hana ʻia kēia ma ka hoʻomaka ʻana o ka hāpai ʻana i ka wā e hewa ai kekahi mea me ka mea genetic mai ka hua manu a me ka sperm. Hana nō kou kino i nā hormones hāpai, no laila e loaʻa iā ʻoe kahi hōʻoia hāpai maikaʻi, akā ʻaʻole hiki i ka hāpai ke ulu maʻamau a ola paha.

He aha nā ʻano o ka molar pregnancy?

Aia ʻelua ʻano nui o ka molar pregnancy, a ʻo ka hoʻomaopopo ʻana i ka ʻokoʻa e kōkua iā ʻoe e ʻike i ka mea e manaʻo ai. Hana ʻia ka molar pregnancy piha i ka wā e hoʻomakemake ai ka sperm i ka hua manu hakahaka ʻole i ka mea genetic, e hana wale ana i ka ʻiʻo placental kūpono ʻole me ka ʻole o ka pēpē a i ʻole ka amniotic sac.

Hana ʻia ka molar pregnancy hapa i ka wā e hoʻomakemake ai ʻelua sperm i hoʻokahi hua manu maʻamau, e hana ana i kekahi ʻiʻo placental maʻamau me ka ʻiʻo kūpono ʻole. I kēia ʻano, aia paha kekahi ʻiʻo fetal, akā ʻaʻole hiki ke ulu i kahi pēpē olakino ma muli o nā hemahema genetic.

He aha nā hōʻailona o ka molar pregnancy?

Hoʻomaka pinepine nā hōʻailona mua o ka molar pregnancy e like me ka hāpai maʻamau, ʻo ia ke kumu e hiki ai ke huikau a hopohopo paha i ka wā e ʻokoʻa ai kekahi mea. Hiki iā ʻoe ke ʻike i nā hōʻailona hāpai maʻamau e like me nā manawa ʻole, ka palupalu o nā umauma, a me ka ʻeha kakahiaka i ka mua.

Eia naʻe, hiki i kekahi mau hōʻailona ke hōʻike mai i kahi mea maʻamau ʻole e hana ana i kāu hapai ʻana:

• Ke kahe koko mai ka ʻōpū a i ʻole ka pīpī ʻana, ʻoi aku hoʻi ke koko ʻulaʻula a i ʻole ka ʻeleʻele pouli
• Ka luaʻi a me ka luaʻi nui loa ma mua o ka maʻi kakahiaka maʻamau
• Ke ulu wikiwiki ʻana o ka ʻōpū e hoʻolilo iā ʻoe i mea lōʻihi ma mua o kāu mau lā i manaʻo ʻia
• Ke koko kiʻekiʻe ma mua o ka maʻamau i ka wā hapai
• Ke hele ʻana o ka ʻiʻo hua waina a i ʻole nā ​​koko mai kou ʻōpū
• Ke kaomi a i ʻole ka ʻeha o ka pelvis e ʻokoʻa mai ka ʻoluʻolu maʻamau o ka hapai ʻana

Loaʻa nō hoʻi i kekahi poʻe nā hōʻailona ʻaʻole maʻamau akā he mea nui nō hoʻi e ʻike. ʻO kēia mau mea e komo pū ana i nā poʻo ʻeha nui, nā loli ʻike, a i ʻole ka pehu ʻana o kou mau lima a me kou helehelena ma mua o ka pehu maʻamau o ka hapai ʻana.

He mea kūpono ke hoʻomaopopo ʻia he nui o kēia mau hōʻailona hiki ke hoʻopili ʻia me nā pilikia hapai ʻē aʻe, no laila ʻo ka loaʻa ʻana o lākou ʻaʻole ia e manaʻo koke ʻoe he hapai molar. ʻO ia ke kumu he mea nui e noho mau i ka pilina me kāu mea mālama ola e pili ana i nā hopohopo.

He aha ka mea e hoʻokumu ai i ka hapai molar?

Hoʻokumu ʻia nā hapai molar e nā hewa genetic e hana ana i ka wā fertilization, ʻaʻole ma kahi mea āu i hana ai a i ʻole ʻaʻole i hana ai. Hana kūlohelohe kēia mau hewa i ka hui ʻana o ka hua manu a me ka sperm, e hoʻokumu ana i ka hui maʻamau ʻole o nā mea genetic.

I ka hapai molar piha, nalowale ka hua manu i kāna mau mea genetic āpau ma mua a i ʻole i ka wā fertilization. Ke hoʻomakemake ka sperm i kēia hua manu “ʻole,” aia wale nō ka mea genetic o ka makua kāne, kahi e alakaʻi ai i ka ulu ʻana o ka ʻiʻo maʻamau ʻole ma mua o ka ulu ʻana o ka embryo maʻamau.

No nā hapai molar hapa, hana ka hewa genetic i ka wā e hoʻomakemake ai ʻelua sperm i hoʻokahi hua manu maʻamau i ka manawa hoʻokahi. Hoʻokumu kēia i ka hapai ʻana me ka nui loa o nā mea genetic, kahi e pale ai i ka ulu maʻamau a alakaʻi i ka ulu ʻana o ka ʻiʻo maʻamau ʻole.

ʻO kēia mau pōʻino o ka gene he kūlohelohe loa a ʻaʻole hiki ke pale ʻia ma o ka hoʻololi ʻana i ke ʻano o ke ola a i ʻole nā ​​hoʻoponopono lapaʻau. ʻAʻole i hana ʻia e kekahi mea i kou puni, ka ʻai, a i ʻole ka mōʻaukala lapaʻau ma mua.

I ka wā e ʻike ai i ke kauka no ka molar pregnancy?

Pono ʻoe e hoʻokaʻaʻike koke i kāu mea lawelawe ola inā loaʻa iā ʻoe ka koko mai ka pepeiao wahine i ka wā hāpai, ʻoi aku hoʻi inā hele pū me ka nausea nui a i ʻole ka ʻeha o ka pelvis. ʻOiai hiki ke koko i nā hāpai maʻamau, he mea nui mau ia e nānā ʻia e hoʻoholo i ke kumu.

E ʻimi i ka mālama lapaʻau koke inā hele ʻoe i ka ʻiʻo e like me nā hua waina a i ʻole nā ​​pūʻulu liʻiliʻi, ʻoiai hiki i kēia ke hōʻailona kūikawā o ka molar pregnancy. Eia kekahi, inā lilo kou maʻi kakahiaka i mea nui loa a hiki ʻole iā ʻoe ke mālama i ka meaʻai a i ʻole nā ​​wai, pono kēia i ka loiloi lapaʻau koke.

ʻO nā hōʻailona pilikia ʻē aʻe e pono ai ka mālama lapaʻau koke, ʻo ia ka poʻo ʻeha nui koke, nā loli ʻike, a i ʻole ka pehu i kou maka a me kou mau lima i ka wā hāpai mua. Hiki i kēia mau hōʻailona ke hōʻike i nā pilikia e pono ai ka mālama koke.

He aha nā mea pilikia no ka molar pregnancy?

ʻOiai e kū koke ana nā molar pregnancies, hiki i kekahi mau mea ke hoʻonui iki i kou pilikia o ka loaʻa ʻana o kekahi. He mea koʻikoʻi ka makahiki, me nā wahine ma lalo o 20 a ma luna o 35 he nui iki ka manawa o ka molar pregnancy.

Hiki i kou ʻano lāhui ke hoʻopilikia pū i ka pilikia, ʻoiai ʻoi aku ka pinepine o nā molar pregnancies i nā wahine o ka lāhui ʻAsia. Eia naʻe, he mea nui e hoʻomanaʻo hiki i kēia mau hāpai ke loaʻa i kekahi me ka nānā ʻole i ke kumu.

He mea nui hoʻi ka mōʻaukala hāpai ma mua. Inā loaʻa iā ʻoe hoʻokahi molar pregnancy, e hoʻonui iki ʻia kou pilikia o ka loaʻa ʻana o kekahi, ʻoiai ke emi nei ka pilikia holoʻokoʻa. ʻO ka loaʻa ʻana o nā miscarriage he nui hiki ke hoʻonui iki i kou pilikia.

ʻO nā meaʻai, ʻo ka haʻahaʻa loa o ka huaora A a me ka protein i loko o kāu ʻai, ua pili pū ʻia me ka nui o ka pilikia ma kekahi mau haʻawina. Akā, ʻaʻole maopopo loa ka pilina, a nui nā hāpai molar i nā wāhine me ka meaʻai maʻamau.

He aha nā pilikia e hiki ke loaʻa i ka hāpai molar?

ʻO ka pilikia koke loa o ka hāpai molar, ʻo ia ka maʻi gestational trophoblastic mau, kahi e ulu mau ai nā pūnaewele kūpono ʻole ma hope o ka mālama ʻana. Hana kēia ma kahi o 15-20% o nā hāpai molar piha a pono i ka mālama hou me ka chemotherapy.

ʻO ke kahe koko nui kekahi pilikia nui e hiki ke loaʻa i ka wā a ma hope paha o ka wehe ʻana i nā pūnaewele molar. E nānā pono kāu hui olakino iā ʻoe no nā hōʻailona o ke kahe koko nui a mākaukau e mālama koke inā loaʻa.

I nā hihia kakaikahi, hiki i nā hāpai molar ke alakaʻi i nā pilikia koʻikoʻi hou aku:

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• Choriocarcinoma, kahi ʻano o ka maʻi kanesa e hiki ke ulu mai nā pūnaewele kūpono ʻole
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• Nā pilikia hanu inā pālahalaha nā pūnaewele i nā māmā
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• ʻO ka anemia nui mai ka nalowale koko mau
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• Nā pilikia thyroid ma muli o nā kiʻekiʻe loa o ka hormone hāpai
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• Nā hōʻailona e like me ka preeclampsia, me ke koko kiʻekiʻe a me ka protein i loko o ka mimi
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ʻOiai he weliweli kēia mau pilikia, he mea nui e ʻike ʻia me ka mālama lapaʻau kūpono a me ka nānā ʻana, e ola piha ka hapa nui o nā kānaka. ʻO ke kī, ʻo ia ka noho pili me kāu hui olakino a hahai i kā lākou papahana nānā i manaʻo ʻia.

Pehea ka ʻike ʻia ʻana o ka hāpai molar?

Hoʻomaka maʻamau ka ʻike ʻana o ka hāpai molar me kahi hōʻoia pelvic a me ka ultrasound ke hōʻike ʻoe i nā hōʻailona pilikia. E hōʻike ka ultrasound i nā ʻano hiʻohiʻona e ʻokoʻa mai ka hāpai maʻamau, pinepine i kapa ʻia ʻo ka hiʻohiʻona

E nānā pū kāu kauka i nā pae koko o hCG (human chorionic gonadotropin), ka hormone hāpai. I nā hāpai molar, ʻoi aku ka nui o kēia mau pae ma mua o ka mea i manaʻo ʻia no ka lōʻihi o kou hāpai ʻana, kahi mea kōkua nui i ka ʻike ʻana.

Hiki ke hoʻohui ʻia nā hoʻokolohua ʻē aʻe e like me ka helu koko piha e nānā ai i ka anemia, nā hoʻokolohua hana thyroid ma muli o ka hiki i ka hCG kiʻekiʻe ke hoʻopilikia i kāu thyroid, a me nā X-ray umauma e hōʻoia ai ʻaʻole i pālahalaha ka ʻiʻo kūpono ʻole i kou mau māmā.

I kekahi manawa, ʻaʻole maopopo loa ka ʻike ʻana a hiki i ka pau ʻana o kahi kaʻina hana i kapa ʻia ʻo dilation and curettage (D&C), i ka wā e nānā ʻia ai ka ʻiʻo i lawe ʻia ma lalo o ka microscope. Hoʻomaopopo kēia loiloi ʻiʻo kūpono i ka ʻike ʻana a kōkua i ka hoʻoholo ʻana i ke ʻano kūikawā o ka hāpai molar.

He aha ka lāʻau lapaʻau no ka hāpai molar?

ʻO ka lāʻau lapaʻau no ka hāpai molar, ʻo ia ka wehe ʻana i nā ʻiʻo kūpono ʻole a pau mai kou uterus ma o kahi kaʻina hana i kapa ʻia ʻo suction curettage a i ʻole dilation and curettage (D&C). Hana ʻia kēia kaʻina hana ma waho i lalo o ka anesthesia a maʻamau ia ma kahi o 15-30 mau minuke.

Ma hope o ka wehe ʻana i ka ʻiʻo, pono ʻoe i ka mālama hoʻomau mau e nānā i kāu mau pae hCG. E nānā kāu kauka i kēia mau pae hormone i kēlā me kēia pule i ka hoʻomaka, a laila i kēlā me kēia mahina, e hōʻoia ai e hoʻi lākou i ka maʻamau a noho ma laila.

He mea nui ka manawa hoʻomau a maʻamau ia he 6-12 mau mahina. I loko o kēia manawa, pono ʻoe e pale i ka hāpai ʻana e hōʻoia i ka nānā pololei ʻana i kāu mau pae hormone. E ʻōlelo aku kāu hui olakino i nā ʻano palekana hilinaʻi i loko o kēia manawa.

Inā ʻaʻole emi iho kāu mau pae hCG e like me ka mea i manaʻo ʻia a hoʻomaka hou paha e piʻi, pono paha ʻoe i ka lāʻau lapaʻau hou me ka chemotherapy. ʻOiai ke kani ʻino nei kēia, he mea maikaʻi loa nā lāʻau lapaʻau i hoʻohana ʻia no kēia kūlana, a pane maikaʻi ka hapa nui o nā kānaka i ka lāʻau lapaʻau.

Pehea e hoʻokele ai i ka hoʻōla ma ka home?

ʻO ka hoʻōla ma ka home ma hope o ka mālama ʻana i ka hāpai ʻana o ka molar e kau nui ana i ka hoʻōla kino a me ka maikaʻi o ka manaʻo. Hiki iā ʻoe ke manaʻo i kekahi kahe koko mai ka ʻāpana wahine a me ka ʻeha ʻeha no kahi pule ma hope o ke kaʻina hana, e like me ka manawa o ka menstruation nui.

E mālama pono iā ʻoe iho ma ke kino ma ka loaʻa ʻana o ka hoʻomaha nui, ka ʻai ʻana i nā meaʻai momona, a me ka wai nui. E pale i nā tampons, ka douching, a i ʻole ka moekolohe no kahi mau pule a hiki i ka hāʻawi ʻana o kāu kauka iā ʻoe i ka ʻae ʻana e pale aku i ka maʻi.

ʻO ka hoʻokele ʻana i nā ʻaoʻao manaʻo o ka hoʻōla ʻana he mea nui like. He mea maʻamau loa ke ʻano o ke kaumaha, ke kaumaha, a i ʻole ka huikau ma hope o ka nalowale ʻana o ka hāpai ʻana ma kēia ʻano. He nui ka poʻe i ʻike he kōkua ke kamaʻilio me kahi kākāʻōlelo, komo i kahi hui kākoʻo, a i ʻole ka hoʻopili ʻana me nā poʻe ʻē aʻe i ʻike i nā nalowale like.

E mālama i kāu mau hālāwai ma hope, ʻoiai inā ʻoluʻolu ʻoe. He mea nui kēia mau kipa no ka nānā ʻana i kāu hoʻōla ʻana a me ka hopu ʻana i nā pilikia hiki ke loaʻa koke. Mai kānalua e kāhea aku i kāu mea lawelawe olakino inā loaʻa iā ʻoe nā manaʻo hopohopo ma waena o nā hālāwai.

Pehea ʻoe e hoʻomākaukau ai no kāu hālāwai me ke kauka?

Ma mua o kāu hālāwai, e kākau i kāu mau hōʻailona a pau, me ka manawa i hoʻomaka ai lākou a me ka nui o ko lākou koʻikoʻi. E hoʻokomo i nā kikoʻī e pili ana i kāu pōʻai menstrual, ka manawa hope loa āu i loaʻa ai ka manawa, a me nā hōʻoia hāpai āu i lawe ai.

E hoʻomākaukau i kahi papa inoa o nā nīnau āu e makemake ai e nīnau i kāu kauka. Makemake paha ʻoe e ʻike e pili ana i nā koho mālama, ka mea e manaʻo ai i ka wā hoʻōla, ka manawa e hiki ai iā ʻoe ke ho'āʻo hou e hāpai, a me ka mālama ma hope e pono ai iā ʻoe.

E lawe mai i kahi mea kākoʻo me ʻoe inā hiki, ʻoiai e loaʻa paha iā ʻoe ka nui o ka ʻike a me ka loaʻa ʻana o kekahi ma laila e kōkua iā ʻoe e hoʻomanaʻo i nā kikoʻī nui. He mea kōkua nō hoʻi ka loaʻa ʻana o ke kākoʻo manaʻo i ka wā e hiki ai ke hālāwai paʻakikī.

E hōʻoia e haʻi aku i kāu kauka e pili ana i nā lāʻau āu e lawe nei, me nā lāʻau lapaʻau ma luna o ka papa a me nā mea hoʻohui. E haʻi pū i nā allergies a i ʻole nā ​​​​mea pane ma mua i nā lāʻau lapaʻau a i ʻole ka anesthesia.

He aha ka mea nui e hoʻomaopopo ai e pili ana i ka hāpai ʻana o ka molar?

ʻO ka mea nui loa e hoʻomaopopo ai e pili ana i ka hāpai ʻana o ka molar, ʻo ia kahi kūlana hiki ke mālama ʻia me nā hopena maikaʻi loa ke mālama pono ʻia. ʻOiai he mea kaumaha ke nalowale i ka hāpai ʻana ma kēia ʻano, nui ka poʻe e hāpai hou ana i nā keiki olakino ma ka wā e hiki mai ana.

ʻO ka ʻike mua ʻana a me ka mālama ʻana he mea nui ia e pale aku ai i nā pilikia. Inā loaʻa iā ʻoe nā hōʻailona kūpono ʻole i ka wā hāpai, ʻoi aku hoʻi ka luaʻi ʻana, ka koko, a i ʻole ka ulu wikiwiki, mai kānalua e kelepona koke i kāu kauka.

E hoʻomanaʻo ʻaʻole ia he hewa kou ka hāpai ʻana o ka molar a ʻaʻole hiki ke pale ʻia. He hanana kūlohelohe ia e hana ana i ka wā e hāpai ai, a ʻaʻohe mea āu i hiki ke hana ʻē aʻe e pale aku ai.

Me ka mālama lapaʻau kūpono, ka nānā ʻana, a me ke kākoʻo, hiki iā ʻoe ke ola hou loa mai ka hāpai ʻana o ka molar. E noho pili me kāu hui olakino, e mālama i kou olakino noʻonoʻo, a ʻike ʻoe aia ka manaʻolana no nā hāpai olakino ma kou wā e hiki mai ana.

Nā nīnau pinepine e pili ana i ka hāpai ʻana o ka molar

Hiki iaʻu ke hāpai hou ma hope o ka hāpai ʻana o ka molar?

ʻAe, hiki i ka hapa nui o nā kānaka ke loaʻa nā hāpai holomua ma hope o ka hāpai ʻana o ka molar. Eia naʻe, pono ʻoe e kali a hiki i ka hoʻi ʻana o kāu pae hCG i ka maʻamau a hāʻawi mai kāu kauka iā ʻoe i ka ʻae, kahi mea maʻamau e lawe ai i nā mahina 6-12. He mea nui kēia manawa kali no ka nānā pono ʻana a no ka hōʻoia ʻana i ka hoʻōla piha.

E kiʻekiʻe anei ka pilikia o ka hāpai ʻana o ka molar i nā hāpai e hiki mai ana?

ʻOiai ʻo ka loaʻa ʻana o hoʻokahi hāpai molar e hoʻonui iki i kou pilikia o ka loaʻa ʻana o kekahi, ʻo ka pilikia holoʻokoʻa e noho haʻahaʻa loa ma kahi o 1-2%. ʻO ka hapa nui o nā kānaka i loaʻa i ka hāpai ʻana o ka molar e hele ana i ka loaʻa ʻana o nā hāpai maʻamau. E nānā pono aku kāu kauka iā ʻoe i ka wā hāpai mua ma ke ʻano he palekana.

Pehea ka lōʻihi e pono ai iaʻu ke nānā ʻia ma hope o ka mālama ʻana?

ʻO ka nānā mau ʻana, maʻamau, e hoʻomau no nā mahina 6-12 ma hope o ka mālama ʻana, ma muli o ka wikiwiki o ka hoʻi ʻana o kāu mau pae hCG i ka maʻamau. E loaʻa iā ʻoe nā hoʻokolohua koko i kēlā me kēia pule i ka wā mua, a laila i kēlā me kēia mahina. He mea nui kēia hahai ʻana e hōʻoia i ka hoʻōla piha a hopu i nā pilikia hiki ke kū mai i ka wā mua.

He ʻano kanesa anei ka hāpai ʻana i ka molar?

ʻAʻole he kanesa ka hāpai ʻana i ka molar iho, akā he ʻāpana ia o kahi hui o nā kūlana i kapa ʻia ʻo ka gestational trophoblastic disease. I nā hihia kakaikahi, inā ʻaʻole mālama pono ʻia a nānā ʻia paha, hiki ke ulu i kahi kūlana kanesa i kapa ʻia ʻo choriocarcinoma. Eia naʻe, me ka mālama lapaʻau kūpono, hiki ke pale ʻia a mālama ʻia kēia holomua.

He aha kaʻu e hana ai inā manaʻo wau ua loaʻa iaʻu ka hāpai ʻana i ka molar?

E kelepona koke i kāu mea mālama ola inā loaʻa iā ʻoe nā hōʻailona hopohopo e like me ke kahe koko mai ka ʻōpū, ka ʻōpū nui, a i ʻole ka hala ʻana o nā ʻiʻo e like me nā hua waina i ka wā hāpai. He mea nui ka ʻike mua ʻana a me ka mālama ʻana no nā hopena maikaʻi loa. Mai kali a ho'āʻo e hoʻomaopopo iā ʻoe iho - he mea nui ka loiloi lapaʻau ʻoihana.