Molar cev xeeb tub yog ib yam mob uas tshwm sim thaum lub tsho me nyuam tsim cov hlwv es tsis yog ib qho me me. Qhov mob no tseem hu ua hydatidiform mole. Nws tshwm sim vim muaj teeb meem thaum lub sij hawm fertilization thiab, hmoov tsis, koj tsis tuaj yeem tsim lossis tiv thaiv nws. Hauv cov ntawv hnyav dua tsis yog lub embryo lossis cov placenta txhim kho kom raug. Hauv cov ntawv tsis tshua muaj siab, lub embryo yuav pib tsim thiab tej zaum yuav muaj qee qhov nqaij ntshiv li qub, tab sis lub embryo yuav tsis muaj sia nyob. Kev xeeb menyuam hauv plab yuav tsum tau kho sai li sai tau kom paub tseeb tias nws tsis loj hlob mus rau mob qog noj ntshav uas tuaj yeem tsim kev phom sij rau leej niam, txawm hais tias qhov no yog qhov tsawg heev.
Cov kauj ruam
Ntu 1 ntawm 2: Saib Xyuas Koj Lub Cev
Kauj Ruam 1. Tos kom cev xeeb tub yog tias koj tau xeeb tub yav tas los lawm
Yog tias koj tau muaj menyuam cev xeeb tub, koj txoj kev pheej hmoo yuav thib ob yog li 1-2%. Molar cev xeeb tub kuj tseem muaj ntau dua rau cov poj niam uas muaj hnub nyoog qis dua 20 lossis ntau dua 45. Koj tus kws kho mob tuaj yeem hais qhia kom tos ib xyoos ua ntej yuav rov xeeb tub dua.
Tos yuav tso cai rau koj kom rov zoo los ntawm qhov kawg thiab kom paub tseeb tias tag nrho cov nqaij mos cov hniav raug tshem tawm. Yog tias koj cev xeeb tub sai dhau, koj muaj feem yuav pheej hmoo muaj menyuam hauv plab ntxiv
Kauj Ruam 2. Kawm paub txog kev xeeb menyuam hauv plab
Molar cev xeeb tub tshwm sim vim muaj teeb meem tshwm sim thaum lub sij hawm fertilization thiab ua rau tsis muaj peev xwm embryos. Qhov no txhais tau tias koj tsis tuaj yeem tiv thaiv lossis ua rau nws. 0.1% mus rau 0.3% ntawm cev xeeb tub yog pos hniav.
- Hauv kev ua kom tiav cev xeeb tub, cov khoom siv los ntawm leej niam lub qe poob lossis tsis muaj zog thiab cov khoom siv los ntawm cov phev tau theej tawm.
- Hauv kev xeeb menyuam ib nrab ntawm cev xeeb tub, leej txiv muab ob npaug ntawm cov khoom siv caj ces zoo li qub, txawm tias cov khoom siv los ntawm leej niam tseem nyob ntawd. Qhov no tuaj yeem tshwm sim yog tias ob tus phev fertilize ib lub qe.
Kauj Ruam 3. Saib xyuas cov tsos mob ntawm cev xeeb tub
Yog tias koj cev xeeb tub thiab muaj cov tsos mob hauv qab no, koj yuav tsum mus ntsib kws kho mob sai li sai tau.
- Dhau cov hlwv hla koj lub paum. Lawv tuaj yeem loj li txiv hmab.
- Los ntshav los ntawm koj lub paum thaum thawj ob peb lub hlis ntawm cev xeeb tub. Cov ntshav tuaj yeem yog xim av tsaus lossis tshiab thiab liab liab. Los ntshav feem ntau hnyav dua li nws yuav nrog cev xeeb tub, tshwj xeeb tshaj yog tias koj tos kom mus ntsib kws kho mob.
- Xeev siab lossis ntuav. Qhov no yuav hnyav heev uas koj yuav tsum tau mus pw hauv tsev kho mob.
- Kev hnov siab lossis tsis xis nyob hauv koj lub plab.
Kauj Ruam 4. Mus ntsib kws kho mob
Yog tias koj tau muaj cov tsos mob ntawm cev xeeb tub, koj tus kws kho mob yuav tshuaj xyuas koj rau lwm yam cim xws li:
- Qhov txawv txav ntawm qib cev xeeb tub HCG, lossis tib neeg chorionic gonadotropin
- Zis zes qe menyuam
- Lub tsev menyuam uas nthuav dav nrawm dhau rau theem ntawm cev xeeb tub uas koj nyob
- Anemia
- Ua kom ntshav siab ua ntej 20 lub lis piam
- Preeclampsia, uas yog qhov xwm txheej txaus ntshai uas koj cov ntshav siab nce thiab koj tau txais cov protein hauv koj cov zis. Tej zaum koj yuav o ntawm koj txhais taw thiab ob txhais ceg.
Kauj Ruam 5. Paub meej qhov kev kuaj mob nrog ultrasound
Ua kom tiav cev xeeb tub tuaj yeem pom ntawm ultrasound thaum ntxov li yim lub lis piam mus rau cev xeeb tub. Ib qho ultrasound siv lub suab nthwv dej los tsim daim duab ntawm lub tsev menyuam thiab tsim menyuam.
- Yog tias koj muaj cev xeeb tub tag, ultrasound tuaj yeem qhia tau tias tsis muaj embryo tau tsim, tsis muaj kua amniotic, lub tsev menyuam tau ntim nrog cov menyuam hauv plab, lossis cov hlwv zes qe menyuam.
- Yog tias koj muaj menyuam cev xeeb tub ib nrab, ultrasound tuaj yeem qhia pom tias tus menyuam hauv plab tsis loj hlob kom zoo, tsis muaj kua amniotic txaus nyob ib puag ncig tus menyuam hauv plab, thiab lub tsho me nyuam tau tuab thiab muaj cov hlwv.
Ntu 2 ntawm 2: Kho Molar Cev Xeeb Tub
Kauj Ruam 1. Muab cov nqaij mos tshem tawm
Txawm tias cev xeeb tub ib nrab tsis tuaj yeem hloov pauv mus ua menyuam hauv plab thiab yuav tsum tau muab tshem tawm. Tus kws kho mob yuav:
- Siv cov txheej txheem hu ua dilation thiab curettage. Qhov no tau ua tiav raws li txheej txheem kho mob sab nrauv yog li koj yuav tuaj yeem mus tsev tib hnub.
- Tus kws kho mob yuav nthuav koj lub ncauj tsev menyuam thiab tso lub nqus me me los ntawm koj lub paum thiab hauv koj lub tsev menyuam. Lub tshuab nqus tsev yuav tshem tawm cov ntaub so ntswg.
Kauj Ruam 2. Tso tus kws kho mob los tshuaj xyuas koj qib HCG tom qab cov ntaub so ntswg raug tshem tawm
Tus kws kho mob yuav tshuaj xyuas koj qib HCG lossis tib neeg chorionic gonadotropin, uas yog li cas lawv tuaj yeem qhia tau yog tias tag nrho cov ntaub so ntswg ploj mus thiab yog tias mob qog noj ntshav tab tom loj hlob tom qab cev xeeb tub. Qhov no yog vim li cas nws yog qhov tseem ceeb tshaj plaws uas koj yuav tsum mus ntsib cov sijhawm teem tseg. Yog tias koj qib HCG tsis poob rov qab mus rau qhov qub tom qab kho, nws qhia tias tag nrho cov ntaub so ntswg tsis tuaj yeem raug tshem tawm.
- Cov ntaub so ntswg uas seem feem ntau yog kho tau zoo nrog kev kho tshuaj, feem ntau yog methotrexate. Cov kev mob tshwm sim tuaj yeem suav nrog xeev siab, ntuav, mob plab, tsaug zog, kiv taub hau, lossis plaub hau poob ib ntus.
- Tus kws kho mob yuav xav txuas ntxiv saib xyuas koj cov tshuaj qib qib mus txog ib xyoos. Ib zaug ntxiv, nws yog qhov tseem ceeb heev uas koj tso cai rau koj tus kws kho mob los tshuaj xyuas koj qib HCG ntev li ntev tau raws li qhov lawv xav tau.
Kauj Ruam 3. Tau txais kev txhawb siab
Qhov kev xav ntawm kev poob ib tus menyuam hauv plab thiab txhawj xeeb txog kev pheej hmoo ntawm kev tsim qog noj ntshav tuaj yeem ua rau hnyav. Koj yuav pom tias nws muaj txiaj ntsig zoo rau:
- Nrog koj tus kws kho mob tham
- Pom ib tus kws pab tswv yim los pab koj daws qhov kev tu siab thiab ntxhov siab
- Tau txais kev txhawb nqa los ntawm tsev neeg thiab cov phooj ywg
- Nrhiav pab pawg lossis sib tham hauv online. Cov kev xaiv suav nrog pab txhawb nqa cev xeeb tub (https://www.molarpregnancy.co.uk/), MyMolarPregnancy (https://mymolarpregnancy.com/), lossis Hydatidiform Mole UK Cov Ntaub Ntawv thiab Kev Pabcuam (https:// www. hmole-chorio.org.uk/index.html)
