Hapūtanga titiwha - tohumate, take, maimoatanga

Kia pehea te maha wahine e titiro atu ki te rua peka taha'akí i runga i te whakamātautau, i e tahuri to ratou oraraa whakaputa ke! Kia aroha mai, e kore e muri tonu te koa o te hapūtanga rite nui rite e hiahia ana tatou. He maha pathologies, rite ki te hua o nei kia poroa te tukanga. Mō fakatōtamá me te materoto ngaro mohiotia te ki he tokomaha. Otiia haunga ratou i reira he tetahi ine, i roto i nei pārekareka ki nga wahine kore metua vahine. Tenei pera-ka karanga hapūtanga niho kauoro. Na, he aha te ahua o te māuiuitanga me te aha puta reira? E hi'opoa tatou i tenei pātai i roto i te taipitopito atu.

Eaha te tupu ki te mate?

kamiriona Hydatidiform - he mate chorionic, e puta i roto i te hurihanga ki te Villi i te hanganga o te mirumiru, te uara o e taea tae karepe rahi nui me noa atu. E hono ana ratou i waenganui i te hina rakau-kahiwi, kei roto i te wai mārama ki albumin mucin ranei.

E ai ki ngā tatauranga, puta hapūtanga niho kauoro i roto i tetahi i roto i o te rau hapu. Exodus i te mate tata tonu te taua - te mate fetal rānei anake, me tona pana muri i te kōpū, materoto ranei. whanau o te tamaiti, te atu hauora, i roto i tenei huru e taea, engari he reira kaua he okotahi ki te tikanga, e kua kotahi tupono noa i roto i te miriona.

Ko te take o te mate

Ko te take tangohia e whakaoho te whanaketanga o te mate, kua tāutuhia pera tawhiti. I mua i whakapono ai e te hapūtanga niho kauoro ka te hapūtanga ko te hua o pathologies pērā i pakewakewa, anemia, chlorosis, jade me pera i runga i. Ko tata, kua tino puta ke te whakaaro o ngā tākuta. i wehea tohunga kia rua nga ropu.

haapapû i te tuatahi e te hapūtanga niho kauoro ko te hua o te mumura o te taiepa uterine, me te tukanga o te tupu o Villi chorionic i roto i te mirumiru - ko te āhuatanga tuarua tenei. I roto i tenei ariā, ara he tohu pūtaiao. Hei tauira, he wahine e riro hapu e nga tangata rerekē, puta tenei māuiuitanga i roto i ia haputanga. I roto i tenei take, kua fokotu'u kaipūtaiao e kia patua ai e kore ko te ararewa katoa o te kōpū, engari tetahi wahi anake o reira. Ka rite ki tohu o tenei whakapae ko te tauira o ka i roto i te hapūtanga puta fanau fraternal kotahi anake ovum, noho hauora ētahi atu, me te kore i tukua e te mate.

Ko te taote puni tuarua me pūtaiao whakapono e nga take o te mate ko te whai: te hua manu mate tuatahi, e puta i te wā o tona wāhi i roto i te kura kākano, me raruraru tuarua o tona whanaketanga kua hoki te tohatoha anō o te hua manu. I te wa ano he haamauraa o ratou ariā ko e i roto i tona mate rawa maha i reira e take ka reira te mea he e hōloa pai-baked o ovaries e rua. Na ka tautuhi taua ngā rite te kolbasovidnaya porohita puku ranei he mata kāmelí.

Ko tētahi atu take, e taea meinga mate titiwha hapūtanga, whakaaro te kukune te ki hei te oraraa o te huinga o pūira o te papa, ia e ratou i roto i te supply poto ranei te whiwhi-kore i te whaea. E hua ana tënei māuiuitanga ka reira te mea he kikiritanga tukutahi o te hua manu kotahi i rua parāoa.

He maha ngā momo o te mate

whakakitea hapūtanga titiwha Simple te te toru marama tuatahi o te haputanga i roto i. Meinga o te ine, ko te aroaro o ngā pūira pāpā anake i roto i te ovum wairakau. I roto i tenei take, ko tino ngaro te matua. Tāruarua o ngā pūira pāpā arata'i ki te hanganga o te ira e kore e tupu, te ewe me te mirumiru wairakau reira. Whakakitea hapūtanga titiwha tonu e taea te waiho i te tikanga o te ultrasound. I roto i te tukanga, ka kitea i te reira e rerekē te rahi o te kōpū tino i te tau tata gestational (e nui haere ratou). He ai hoki hei te hanganga o te pukupuku mārere me takanga o te metastasis.

kamiriona hydatidiform Motunga āhuatanga e te huinga kotahi o te hua manu wairakau me rua pūira whaea o te metua. Taua āhuatanga puta i roto i te wā i reira i reira he kotahi hua insemination e rua parāoa. Ka taea hoki te tupu te reira i ka tāruarua o pūira pāpā. Tenei ahua o te kamiriona hydatidiform whakawhanake i muri i te 12 wiki o te hapūtanga. A, no te tenei hanganga ko te hanganga o te natura kistoobraznogo placental me kiko placental.

He he ano hoki te ahua urutomo o te mate, i roto i nei te Villi tupu ki nga rire rawa o te myometrium, whakangaro te papanga katoa. haere tahi ana tēnei māuiuitanga e te ahua o te toto.

āhuatanga Risk mō te whakawhanake i te mate

Nuinga o ngā wā, puta hapūtanga titiwha ka:

• feitama tukurua;
• i reira e he plurality o te materoto;
• immunosuppression;
• hapū i te pūkano;
• kore o te huaora A, me te kararehe ngako i roto i te kai;
• hyperthyroidism (mate thyroid);
• wawe (i mua i te 18 tau) ranei hapūtanga te mutunga (i muri i 40 nga tau);
• hononga tata tupu.

hapūtanga titiwha: tohumate

Ko te tohu tino kitea o te aroaro o te mate ko te ahua o te rere i te wahi taihemahema o te tae pouri whero ki te pa o mirumiru tere ka mau. e kore e tino taimaha, me te kōhikohiko ratou. Ko rapunga o abnormalities rapu hohipera akiaki hapu, mai i reira he he tūpono o te mate. Ki te ko te matotoru o te myometrium huānga otaota hohonu kamiriona hydatidiform, he mea e ahei toto puku.

Ko te aroaro o te māuiuitanga me kia tohu i te ngaro o nga tohu tino taketake o te hapūtanga: ngakau fetal, i te mea e taea ki te whakarongo ki, ara ki ultrasound, ana nekehanga, me te tangi i roto i ngā wāhanga o te tamaiti. Ki te katoa o tenei tohu pai te hua hapūtanga whakamātautau, engari nui hCG kukū täkupu wā hoatu. I roto i te āhuatanga i taua he reira tino kitea hapūtanga niho kauoro.

Tohu, e taea hoki e tohu i te māuiuitanga:

• toxemia, tahi e ruaki;
• ake i roto i te kore ate;
• salivation nui;
• mate taimaha;
• eklamasii me tohu o preeclampsia i te huatū tuatahi;
• pūmua i roto i te mimi;
• huamo;
• mamae puku;
• pāhoahoa;
• pēhanga toto tiketike;
• ngoikore.

Ano, hapū titiwha, nga tohu o nei, pera kua whakahuatia, e taea te whakaaturia i roto i rua i te wāhanga tuatahi me te tuarua, Kei te āhuatanga i reira e te hua kaha i roto i te rahi o te kōpū. Ka rite ki te tikanga, he tino teitei ake i te täkupu mo te rā kati ratou.

hapūtanga titiwha: pānga

Ko te pōauautanga matua o te mate ko te whanaketanga o te horionkartsinoma. Tenei mate trophoblastic ko te puka mārere, āhuatanga nei i te te germination o te kopa pathological i roto i te kōpū, ate, pūkahukahu, me te roro. Na kei te ārahi kua reira ki te mate.

Gestational e rave rahi ngā wāhanga pukupuku:

• hydatidiform kamiriona ano, āhuatanga e te aroaro o repara i roto i te kōpū;
• te moenga placental pera-ka karanga - localization o te puku i roto i te tinana o te uaua, me te mata o te tāpiritanga o te ewe;
• puku nonmetastatic - germination i roto i te kōpū kiko rite ki reira i muri i te materoto, whanau hydatidiform ranei kamiriona;
• pukupuku metastatic ki te waitohunga pai - e kore e he repara waiho te kōhao o te kōpū (he taea hua pai, ki te ko te hapūtanga whakamutunga iti iho i te 4 marama ki muri, kahore metastases i roto i te roro, me te ate, ko te manawanui kahore hahau, te taumata o te beta-hCG he iti iho i te täkupu) ;
• Kua horahia e te mate pukupuku ki tua atu i te kōpū ki ētahi atu whēkau - pukupuku metastatic ki te waitohunga rawakore.

I tua atu ki tenei hapūtanga māuiuitanga titiwha he maha ngā hopearaa tōraro. Hei tauira:

• Ko te eita o hapūtanga muri (pākoko). kitea ana tēnei pānga i roto i te 30% o te wahine e kua i te mate.
• Amenorrhea - te ngaro oti te kanohi ranei o paheketanga. Whakawhanake i tēnei māuiuitanga ko tata 12% o tūroro.
• mate ero.
• Thromboses.

Tātaritanga o te mate. tikanga

Kimi mate i roto i te tīmatanga o te wāhanga, kahore he ultrasound he tata e taea. I muri i te ahua o te whakapairuaki, rohirohi, me te maha atu tohu o te mate, ko te angamaheni mō te hapūtanga noa. Ka rite ki te tikanga, he hapū ranei wahine niho kauoro ako i roto i te tukanga ultrasound ngā, ranei i muri anake i te tīmatanga o te toto kore o nekehanga fetal i roto i te wā ranei.

Methods o te tātaritanga o te mate:

• whakamātautau gynecological, i roto i nei kia kitea i te tākuta uterine plotnoelastichnuyu ōrite, me te whakatau i te hua i roto i tona rahi;
• US - tohu te aroaro o cysts ovarian me ōrite kiko witi pai;
• phonocardiography - whakarongo te ngakau fetal, kahore he nei i roto i te mate;
• rangahau horionichekogo gonadotropin (i roto i wā onge, kua tangohia te tātari o te coagulation faaotiraa me creatinine, me te tauira ate);
• hysteroscopy;
• unuhanga;
• laparoscopy tātaritanga;
• X-hihi o te puku, me te ãpoko, MRI roro - e whakahaeretia ki te aukati whakaaturanga kamiriona hydatidiform;
• sonography Laparoscopic.

Tātari hiahiatia ki te tautuhi i te māuiuitanga:

• matūora toto;
• mimi whānui me ngā tauira toto.

Ko te manawanui i te tangata e kua pāngia ki te mate, kia kōrero koe he matepukupuku rānei, taote, tafe'anga me nephrologist.

whakatutuki

Kia pāngia "kamiriona hydatidiform", e whai ana maimoatanga i tango o te pukupuku i te kōpū, e whakau, tonoa te te wahine ki te hōhipera. Ki te kahore pōauautanga, me tau gestational iti iho i te 12 wiki te mate, ka noho tukanga tīwani. Hei whakahaere i tēnei kaki totoro e whakarato ana i te whai wāhi pai ki tona kōhao me i te tikanga o te tīwani (taputapu motuhake) hua te tango kararehe o te tirotiro katoa.

whakamahia korehau wawata kei te ara i roto i aua wā, ina kua he rahi e ōrite ana ki te 20 wiki o te hapūtanga te kōpū. Ko te reira i te tukanga i roto i te ihirangi momi ruma te whakamahi i ngā taputapu motuhake. E mea pinepine te whakamana i te reira ki te tīwani.

Na roto i te whakanui ake i te rōrahi o te kōpū ki te rahi e hāngai ana ki te 24 wiki o te hapūtanga te whakamana hysterectomy (tango o te kōpū). Hoki tohu mō te pokanga ko tona hahore taiepa, perforation hydatidiform kamiriona me te aroaro o metastases i roto i te pūkahukahu te tenetene ranei. I roto i tenei take, e kore e kitea tango o nga ovaries.

I muri tiki kamiriona hydatidiform o kōpū kikokiko i tonoa mo te whakamātautau histological ki te tutakina chorionepithelioma. Ki te whakakitea tenei tukanga pukupuku mārere, hCG taumata i muri i hydatidiform kamiriona whangai ana ki te whakapiki ake i, a pūkahukahu takenga aronga metastatic kitea, riro te manawanui kimó.

Hoki te maimoatanga o pathologies whakamahia te tikanga "Methotrexate" me "Dactinomycin" he tarukino e fakatahai e rua ngā rongoā - "Leucovorin". Ko te aronga matua o te mahi o enei taero - ki te whakangaro i te pūtau mate pukupuku. raraunga rongoā whakaritea ra ano tae noa ki ngā taumata noa o hCG me te huringa paheketanga, e kore e ngaro pāpaka pathological i roto i te pūkahukahu, me te kōpū. I muri pae whakakahoretia o nga tohu whakaritea te manawanui e ki te maha akoranga taupā o te hahau ki te taua taero.

I roto i ētahi wā, kia hiahia koe radiation therapy i roto i te puka o te X-hihi, me te tahi atu mau huru o te radiation. Kei te pupuri te reira i te waho i te tikanga o te taputapu, me te i te roto. I roto i te take whakamutunga, te tono i te radioisotopes pera-ka karanga ki te whakaputa i radiation i te rohe i reira e kei ngā pūtau mate pukupuku, i te tikanga o korere kirihou kikokore.

Kitea o te manawanui i muri i te maimoatanga

Āhua rua nga tau i muri i te mahi te wahine ko raro i te te tirotiro tata o te matepukupuku rānei. I tenei wa haere reira i roto i te tukanga e whai ake nei:

• Mana ki runga i te taumata o HCG katoa wiki mō te 1-2 marama noa te kau, no te kore e te putanga e kino 3 ngā wā. I muri i taua, kawea tenei tātaritanga te i roto i, engari nui iti pinepine.
• Aaka X-ray whakamana te kotahi ia marama ki te haerenga i te taumata o hCG.
• 14 ra i muri i te pokanga ki te tango i te kamiriona hydatidiform mahi i te ultrasound papatoiake. Na, kawea te tikanga i roto i nga marama ki te ahua kino o hCG taumata.

ahakoa te hapūtanga i muri i te mate, ko te taea?

hapū titiwha, nga pānga o e taea e tino matekiri, e kore te mate e tika ana ki te whakaoti i sterility. Ko te mea utu whakaaro e tūtohutia e kore i riro ia hapu puta noa i te wā mātakitaki o te manawanui i te matepukupuku rānei. Ko te tikanga matua o te ārai i roto i tenei wa ko te taero hormonal. He tika ki to ratou pānga pai ki runga ki te ture o te mahi ovarian, waimaero rite ki te hua o te mate tenei.

Te whakamahere tetahi hapūtanga me kore mua atu i te 2 nga tau i muri i te pokanga. he pono rawa, ki te riro te manawanui kimó tenei. I muri i te tīmatanga o te haputanga te wahine kia āta aro turukihia e te tokotoko hauora, pera i te tūponotanga o fifi o te hapū me te whanau.

Ko te manawanui e Nōna ka hapūtanga niho kauoro me te hiahia ki te tiki hapu ano, e kore te mea e tika ana ki te whakatika i ano i runga i te kino hua, me te paku ki te whai tamariki. Ngā mihi ki te rongoā hou, e ite i te hari o te metua vahine i muri i te patu i tenei mate tata 70% o te wahine.

E taea te mate ki te hoki mai?

Tikanga, whakakitea te hohokitanga o te mate i roto i te puka o te repara i te repe taiaki, pūkahukahu, me te tahi atu okana me te kopa.