Chithandizo cha Mimba cha Molar
Mimba ya molar, yomwe imadziwikanso kuti gestational trophoblastic matenda, ndizovuta zomwe zimachitika panthawi yomwe ali ndi pakati. Zimaphatikizapo kukula kwachilendo kwa maselo a trophoblastic, omwe ali ndi udindo pa chitukuko cha placenta. Mimba ya molar imafuna kuzindikira mwamsanga ndi chithandizo choyenera kuti apewe zovuta komanso kuonetsetsa kuti wodwalayo ali ndi thanzi labwino. M'nkhaniyi, tiwona njira zochizira mimba ya molar, tanthauzo la kuchitapo kanthu koyambirira, ndi njira zomwe zimathandizira kuthana ndi vutoli.
Sungitsani MisonkhanoZa Chithandizo cha Molar Mimba
Mimba ya molar imachitika pamene dzira la dzira limakhala losazolowereka, zomwe zimapangitsa kuti pakhale mimba yosavomerezeka. M'malo mwa mwana wosabadwayo, unyinji wa maselo osadziwika bwino a trophoblastic amapanga m'chiberekero. Pali mitundu iwiri ya mimba ya m'mimba: yathunthu ndi yochepa. Mu wathunthu molar mimba, palibe yachibadwa fetal minofu, pamene tsankho molar mimba angakhale ena fetal minofu.
Ndondomeko ya Chithandizo cha Molar Mimba
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Kuzindikira:
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Mimba ya molar imapezeka mwa kuphatikiza zizindikiro zachipatala, kuyezetsa thupi, ndi kujambula kwa ultrasound.
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Kuyezetsa magazi, kuphatikizapo kuyeza kwa beta-human chorionic gonadotropin (β-hCG) kumachitidwa kuti atsimikizire matenda ndi kuyang'anira momwe akuyankhira chithandizo.
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Kutuluka kwa uterine:
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Gawo loyamba la chithandizo cha molar mimba ndi kuchotsa chiberekero. Izi zimachitika kudzera mu njira yotchedwa dilation and curettage (D&C) kapena suction curettage.
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Wodwalayo nthawi zambiri amaikidwa pansi pa anesthesia kuti atonthozedwe panthawi ya ndondomekoyi.
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Pogwiritsa ntchito zida zapadera, khomo lachiberekero limatambasulidwa, ndipo minofu yachilendo imachotsedwa pang'onopang'ono m'chiberekero. Njirayi imachitidwa mwadongosolo kuti kuchepetsa chiopsezo cha zovuta.
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Chisamaliro Chotsatira:
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Pambuyo pothawa, kuyang'anitsitsa kwabwino kwa β-hCG ndikofunikira kuti muwonetsetse kuti minofu ya trophoblastic yachotsedwa kwathunthu.
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Maulendo obwereza amakonzedwa kuti ayang'ane mlingo wa β-hCG ndikuwunika kuchira kwa wodwalayo.
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Pamene mimba ya molar yapita patsogolo ndipo pali umboni wa matenda osatha a trophoblastic kapena malignancy, chithandizo china monga chemotherapy chingafunikire.
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Kukonzekera kwa Mimba Yamtsogolo:
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Pambuyo pa chithandizo chamankhwala, ndikofunikira kuti odwala akambirane zakukonzekera mimba yamtsogolo ndi achipatala.
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Malinga ndi mmene zinthu zilili pa moyo wa munthu aliyense, tingachite bwino kudikira kwa nthawi ndithu musanayesenso kutenga mimba. Izi zimathandiza gulu lachipatala kuti liyang'ane mosamala kuchira kwa wodwalayo ndikuwonetsetsa kuti chiopsezo chobwereza kapena zovuta zimachepetsedwa.
