I-Hydatidiform Mole ne-Gestational Trophoblastic Illness
Ukukhulelwa kwe-Molar futhi, ngokuvamile, izicubu zesifo sofuzo noma isifo kungaba yinto eshaqisayo, futhi kungase kube yinkinga uma unayo bese ugcina ukuzwa okuningi kwemibandela yezobuchwepheshe ongawaqondi.
Imigomo yokukhulelwa kwe-Molar
Nakhu okusheshayo okushiwo yilokho okudingeka ukwazi mayelana nemigomo yokukhulelwa kwe-molar kanye ne-GTTs.
Isifo Sokuqothulwa Kwesifo Sokugcoba
Isifo se-gestational trophoblastic (GTD) yigama elisetshenziselwa ukuchaza iqembu lezimiso ezibonakala ngokukhula okungavamile kwamathissi ohlobo lwama-placental. Kunezinhlobo ezinhlanu zesifo somzimba we-gestational trophoblastic. Ezimbili ziyingozi futhi ezintathu zibhekwa njengezilimaza. Iphesenti elincane labesifazane abanesifo esibuhlungu besifo sofuba se-trophoblastic sizoba nesimo esibi se-GTD.
I-Hydatidiform Mole (Ukukhulelwa Kwe-Molar)
Leli gama libhekisela ezinhlotsheni ezimbili ze-GTD ezinobungozi ezinama moles aphelele nama-moles ayingxenye. Ukukhulelwa kwe-Molar kubangelwa ukungahleleki kwe-chromosomal okwenzeka ngesikhathi sokukhulelwa.Gcwalisa i-Hydatidiform Mole
Gcwalisa umphumela wokukhulelwa kwe-hydatidiform molar kusuka ensizeni efaka u-egg "elingenalutho". I-molecule ephelele ye-hydatidiform ayinayo izicubu zesisu futhi cishe amathuba amabili okukhulelwa kwe-molar ukuba athuthuke ekufakeni isifo esithathelanayo esiyinkinga ye-trophoblastic.I-Hydatidiform ehlukile ye-Mole
I-molecule ye-hydatidiform eyingxenye eyenzeka lapho isidoda ezimbili sifaka iqanda elilodwa. Ukukhulelwa okukhulayo kungase kukhule ingane, ngisho nokushaya kwenhliziyo, kodwa ukukhulelwa akunakwenzeka - ukungajwayelekile kwe-chromosomal akuhambisani nokuphila. Ukukhulelwa okukodwa okuvamile akubangeli izinkinga ezengeziwe ngemuva kokwelashwa.I-Mole engavamile
I-mole engenayo i-hydatidiform imvukuzane iye yangena odongeni lwesisu futhi ingasakazeka kuwo wonke umzimba.
I-choriocarcinoma
I-choriocarcinoma uhlobo lomdlavuza ongase uvele emgqeni we-uterine emva kokukhulelwa kwe-molar; iningi kodwa hhayi zonke izimo ze-choriocarcinoma zihlobene nokukhulelwa kwe-molar. (I-Choriocarcinoma ingenzeka ngemva kokukhulelwa - ngisho nesikhathi esigcwele, ukuzalwa okuvamile.)I-Placental Site I-Trophoblastic Tumors
Lona uhlobo lwe-GTD lapho i-tumor ebulalayo iqala endaweni yangaphambili ye-placenta esibelethweni. Kungenzeka ngemva kokukhulelwa kodwa kungavamile kakhulu.
Ukwelashwa Kwama-Molar Ukukhulelwa kanye Nezinsipho Zama-Trophoblastic Tumors
E-United States, i-akhawunti ye-T-trophoblastic tumors (GTTs) iyingxenye engamaphesenti angu-1 azo zonke izifo zesifo sofuba. Ngenhlanhla, lezi zicubu zivame ukwelapha ngokuphathwa ngendlela efanele futhi emva kokwelapha, ukubeletha kwesiguli kuvame ukugcinwa. Ngisho nezimo ezithuthukisiwe kakhulu ze-GTT zivame ukwelapha ngokuphathwa kahle. Noma yiliphi owesifazane onomGTT kufanele athole ukucubungula kanye nokwelashwa ngabanye iqembu lezazi ezihlukahlukene.
Nazi ezinye izici ezithonya ukuchazwa kwe-GTT:
- Ubude besifo
- Uhlobo lwe-tumor cell (histological)
- Isikhathi sokugula
- Uhlobo lokukhulelwa kwangaphambilini kanye nanoma yimiphi imithi yangaphambilini ye-GTT
- I-gonadotropin ye-Human titer (HG iyi-hormone yokukhulelwa)
Abantu abaningi abane-GTT baphela ukuhlinzwa okudingayo. Kodwa-ke, uma owesifazane esenayo kakade umndeni futhi engasadingeki ukuba abe nezinye izingane, i-hysterectomy yenziwa. Ngaphezu kwalokho, i-chemotherapy ngezinye izikhathi inikezwa kubantu abane-GTT.
Imithombo:
I-American Cancer Society, "Yisiphi Isifo Sokugulisa I-Gestational Trophoblastic? " Umhlahlandlela oningiliziwe: Izifo Zokuhlukunyezwa Kwama-Gestational May 2006.
Umama waseMelika Wokukhulelwa, "Ukukhulelwa Kwama-Molar" ngoMashi 2006.