Matauni ciki - bayyanar cututtuka, haddasawa, magani

Sau nawa mata suna neman gaba da lura biyu jirgin ruwa ake ɗaukar a kan gwajin, wanda zai kau da rayukansu juye! Abin baƙin ciki, da farin ciki na ciki ba ko da yaushe šauki kamar yadda muke son. Akwai da yawa pathologies, a sakamakon wanda aiwatar da ya kamata a kare. Game da zubar da ciki da kuma rasa zubar da ciki ne da aka sani zuwa ga mutane da yawa. Amma kuma su akwai wata karkata, a cikin abin da mata a ji dadin mata kasa. Wannan ake kira matauni ciki. Saboda haka, abin da irin Pathology kuma me ya sa shi ya auku? Bari mu bincika wannan tambaya a cikin mafi daki-daki.

Abin da ya faru tare da cuta?

Hydatidiform mole - a chorionic cuta, wanda ya auku a lokacin da canji a cikin villi a cikin samuwar na kumfa, da darajar wanda za a iya isa masu girma dabam ya fi girma inabi har ma fiye. Su suna da alaka tsakanin wani m itacen-kututturan, hada da mai bayyana ruwa tare da albumin ko mucin.

Bisa kididdigar da, matauni ciki na faruwa a daya daga wani mutum ɗari ciki. Fitowa daga cutar kusan ko da yaushe guda - ko dai kadai fetal mutuwa da kuma ta m fitar daga cikin mahaifa, ko zubar da ciki. haihuwar jariri, da karin lafiya, a cikin wannan yanayin ne zai yiwu, amma da shi ne wajen wani banda ga mulkin, wanda yana daya sa'a a cikin wani miliyan.

A Sanadin cutar

A daidai factor cewa tsokani da ci gaban da cuta, da aka gano ya zuwa yanzu. A baya can shi aka yi imani da cewa matauni ciki a lokacin da ciki ne sakamakon pathologies kamar syphilis, anemia, chlorosis, Jade da sauransu. Amma kwanan nan, ra'ayi na likitoci ya canza muhimmanci. Masana sun aka kasu kashi biyu sansani.

A farko tabbatar da cewa matauni ciki ne sakamakon kumburi daga cikin igiyar ciki bango, da kuma aiwatar da degeneration na chorionic villi a cikin kumfa - wannan shi ne wani sakandare sabon abu. A wannan ka'idar, ko da hujja a kimiyance. Alal misali, wata mace da suka zama ciki da daban-daban maza, wannan Pathology ya auku a lokacin kowace ganewa. A wannan yanayin, masana kimiyya sun nuna cewa mai yiwuwa a buga ba da dukan rufi na mahaifa, amma kawai na shi. A matsayin hujja da wannan zato ne da wani misali na lokacin a lokacin daukar ciki ya faru fraternal abu akan sake haihuwa daya kawai ovum, wasu zama lafiya da kuma ba su sha wahala da cutar.

Na biyu sansanin likitoci da masana kimiyya yi imani da cewa Sanadin cutar ne da wadannan: da farko cuta kwai, wanda ya auku a mataki na wurinta a cikin kwai, da kuma na biyu disturbances na ta ci gaba riga ga redistribution na kwai. A lokaci guda yana mai gaskatãwa ga ka'idarsu ne cewa a lokacin da yake rashin lafiya sosai sau da yawa akwai lokuta idan akwai wani m-grained degeneration na biyu ovaries. To, wannan tsarin za a bayyana a matsayin mai siffar zobe ko ciwon daji kolbasovidnaya da ciwon Bumpy surface.

Wani dalili, wanda zai iya sa rashin lafiya matauni ciki, da tayin yana dauke su da wanzuwar wani sa na chromosomes na uba, alhãli kuwa sunã mãsu a takaice wadata ko babu daga uwar. Wannan Pathology taso idan akwai wani lokaci daya hadi da guda kwai ta biyu maniyyi.

Da dama iri cuta

Simple matauni ciki aka bayyana a cikin na farko da watanni uku na biyu a ciki. Hanyar da karkacewa ne gaban kawai uba chromosomes a hadu ovum. A wannan yanayin, iyaye ne gaba daya fakowa ba. Kwafi na uba chromosomes take kaiwa ga samuwar amfrayo cewa bai faru, da Mahaifa da kuma hadu kumfa a can. Bayyanãwa cikakken matauni ciki na iya zama wata hanya da na duban dan tayi. A lokacin hanya, za a ga cewa girman da mahaifa bambanta muhimmanci daga kiyasta gestational shekaru (suna ta ƙara). Akwai iya zama da samuwar m marurai faru na metastasis.

M hydatidiform mole halin guda sa na kwan da ya hadu da biyu masu juna biyu chromosomes na uba. Irin wannan yanayi faruwa a lokuta inda a can ne daya kwai insemination ta biyu maniyyi. Yana kuma iya faruwa idan kwafi na uba chromosomes. Wannan irin hydatidiform mole tasowa bayan 12 makonni na ciki. A lokacin da wannan tsari ne da samuwar placental kistoobraznogo yanayi da placental nama.

Akwai kuma wani cin zali nau'i na cuta, a cikin abin da villi girma a cikin sosai zurfin na myometrium, ya hallaka dukan masana'anta. Wannan Pathology yana tare da bayyanar zub da jini.

Hadarin dalilai domin bunkasa cutar

Mafi sau da yawa, matauni ciki na faruwa a lokacin da:

• maimaita haihuwa.
• akwai wani jam'i na zubar da ciki.
• immunosuppression.
• ectopic ciki.
• rashin bitamin A da kuma dabbobi fats a cikin abinci.
• hyperthyroidism (thyroid cuta).
• farkon (kafin shekaru 18), ko marigayi ciki (bayan shekaru 40);
• hankali m dangantaka.

Matauni ciki: cututtuka

A mafi bayyananne alamar gaban da cuta ne bayyanar sallama daga al'aura fili na duhu ja launi da tabawa da kãma gantali kumfa. Su ne ba nauyi sosai, kuma sababbu. Amma ganewa na munanan bukatar gaggawa arin ciki, tun akwai hadarin mutuwa. Idan kauri daga cikin myometrium ya zurfin ciyayi abubuwa hydatidiform mole, yana yiwuwa na ciki na jini.

A gaban Pathology da kuma iya nuna babu mafi asali bayyanar cututtuka na ciki: fetal zuciya, wanda yake shi ne ba zai yiwu ba saurare, ko da tare da duban dan tayi, da ƙungiyoyi, kazalika da kara daga sassa na yaro. Tare da duk wannan a ciki gwajin sakamakon nuna tabbatacce, amma hCG taro ya wuce sanya lokaci na kullum. A irin wannan halin da ake ciki shi ne quite shakka matauni ciki.

Alamun, wanda kuma iya nuna wani Pathology:

• toxemia, tare da amai.
• kara a hanta gazawar;
• wuce kima salivation.
• nauyi asara.
• eklamasii da kuma cututtuka na preeclampsia a farko trimester.
• gina jiki a cikin fitsari.
• ƙaruwa.
• ciki zafi.
• ciwon kai.
• hawan jini.
• rauni.

Har ila yau, matauni ciki, da bayyanar cututtuka na wanda, kamar yadda aka ambata riga, za a iya nuna a duka biyu na farko da na biyu semester, shi ne halin da mai aiki karuwa a cikin size of cikin mahaifa. Matsayin mai mulkin, su ne muhimmanci mafi girma fiye da na kullum ga wa'adin.

Matauni ciki: abubuwan

Babban wahala da cuta ne da ci gaban horionkartsinoma. Wannan trophoblastic cuta ne mai m tsari, wanda aka halin da germination na pathological kyallen takarda a cikin mahaifa, hanta, huhu da kuma kwakwalwa. Kuma an riga an kai ga mutuwa.

Gestational dama, saukarwa marurai:

• hydatidiform mole kanta, halin da gaban malignancy a cikin mahaifa.
• da ake kira placental gado - sarrafawa daga cikin ƙari a jikin tsoka, kuma batu na abin da aka makala daga cikin mahaifa.
• nonmetastatic ƙari - germination a mahaifa nama kama shi bayan da zubar da ciki, haihuwa ko hydatidiform mole.
• metastatic marurai da mai kyau hangen nesa - a malignancy ba ya bar rami na zauna cikin mahaifa (m sakamako ne zai yiwu, idan na karshe ciki ya kasa 4 watanni da suka wuce, babu metastases a cikin kwakwalwa da kuma hanta, da mãsu haƙuri ba jiyyar cutar sankara, da matakin da beta-hCG ne kasa da na kullum) ;
• metastatic marurai da matalauta hangen nesa - ciwon daji ya yaɗu bayan ya zauna cikin mahaifa zuwa wasu gabobin.

Bugu da kari ga wannan Pathology matauni ciki yana da dama mummunan sakamakon. Ga misali:

• Da rashin yiwuwar m ciki (rashin haihuwa). Wannan sakamako ne lura a 30% na mata da suka yi da cutar.
• Amenorrhea - da cikakken ko m rashi na haila. Developing wannan Pathology ne kusan 12% na marasa lafiya.
• Kwamin na tara cututtuka.
• Thromboses.

Ganewar asali da cutar. hanyoyin

Ganowa da cututtuka a farkon matakai ba tare da wani duban dan tayi ne kusan ba zai yiwu. Bayan bayyanar tashin zuciya, gajiya, kuma da yawa wasu alamu da cuta ne hankula ga al'ada ciki. Matsayin mai mulkin, a matauni ciki ko mace san lokacin da na yau da kullum duban dan tayi hanya, ko kuma kawai bayan farko na zub da jini, ko rashin fetal ƙungiyoyi a cikin lokaci firam.

Hanyoyin da ganewar asali daga cutar:

• gynecological jarrabawa, a lokacin da likita zai iya samun igiyar ciki plotnoelastichnuyu daidaito da kuma sanin da karuwa a cikin size.
• Amurka - ya nuna gaban ovarian cysts da kuma kama lafiya hatsi nama.
• phonocardiography - sauraron fetal zuciya, wanda ba a cutar.
• nazarin horionichekogo gonadotropin (a rare lokuta, da bincike na coagulation arfi, kuma creatinine, kazalika da hanta samfurori da ake dauka).
• hysteroscopy.
• biopsy.
• diagnostic laparoscopy.
• X-haskoki na ciki da kuma thorax, MRI kwakwalwa - ana gudanar da su ware screenings hydatidiform mole.
• Laparoscopic sonography.

Na nazarin da ake bukata don gane Pathology:

• jini Biochemistry.
• janar fitsari da kuma jini samfurori.

A haƙuri, wanda aka kamu da cutar, ya kamata ka yi shãwara da wani oncologist, likita, endocrinologist da nephrologist.

jawabi

Da zarar kamu "hydatidiform mole", wanda magani ne da nufin kau da marurai daga cikin mahaifa, aka tabbatar, da mace da aka aiko zuwa asibiti. Idan da cutar yana da babu rikitarwa, kuma gestational shekaru kasa da 12 makonni, sai ku ciyar da curettage hanya. Don aiki da wannan wuyansa mikewa da cewa samar da mafi kyau damar yin amfani da rami kuma ta wajen wani curette (musamman kayan aiki) zõ da wani stock kau da dukan abinda ke ciki.

Injin tsammãni aka yi amfani da ko da a cikin waɗannan lokuta, idan ya zauna cikin mahaifa yana da girman m zuwa 20 makonni na ciki. Shi ne hanya a cikin tsotsa jam'iyya abun ciki ta amfani da musamman kayan aiki. Sau da yawa da shi aka yi tare da curettage.

By kara girma daga cikin mahaifa zuwa ga masu girma dabam da suka dace 24 makonni na ciki aka yi hysterectomy (kau na cikin mahaifa). Har ila yau alamomi ga tiyata ne ta bango thinning, perforation hydatidiform mole da kuma gaban metastases a cikin huhu, ko farji. A wannan yanayin, kau na ovaries ba fallasa.

Bayan extracting hydatidiform mole na mahaifa nama da aka aiko domin histological jarrabawa ware chorionepithelioma. Idan wannan hanya ya nuna m marurai, hCG matakan bayan hydatidiform mole o ƙarin tabbatar da kara, da kuma huhu metastatic foci samu asali, da mãsu haƙuri sami jiyyar cutar sankara.

Domin lura da pathologies amfani nufin "Methotrexate" da "Dactinomycin" wani magani da cewa hadawa biyu magunguna - "Leucovorin". Babban shugabanci na mataki na wadannan kwayoyi - don halakar da ciwon daji Kwayoyin. Magani data sanya har sai al'ada matakan hCG da hailar sake zagayowar, ba zai bace pathological raunuka a cikin huhu da mahaifa. Bayan yin kawar da cututtuka da haƙuri da aka sanya wa da dama preventative darussa na jiyyar cutar sankara da wannan kwayoyi.

A wasu lokuta, za ka iya bukatar radiation far a cikin nau'i na X-haskoki da sauran siffofin radiation. Yana da aka gudanar daga waje ta hanyar na'ura da kuma daga ciki. A karshen harka, amfani da abin da ake kira radioisotopes don samar da radiation a yankin inda ciwon daji Kwayoyin suna located, ta hanyar bakin ciki roba shambura.

Kallo na haƙuri bayan lura

Aƙalla shekaru biyu bayan aiki da mace shi ne a karkashin kusa dubawa na oncologist. A wannan lokaci shi ke ta da wadannan hanya:

• Iko a kan matakin da hCG kowane mako don 1-2 watanni har lokacin a lokacin da sakamako zai ba zama korau sau 3. Bayan haka, wannan bincike ne da za'ayi, amma da yawa kasa akai-akai.
• Chest X-ray aka yi sau daya a kowace watan normalize da matakan hCG.
• 14 days bayan tiyata don cire hydatidiform mole yi a pelvic duban dan tayi. Sa'an nan, da hanya ne da za'ayi kowane wata zuwa wani mummunan adadi na hCG matakan.

ko da daukar ciki bayan da cutar ne zai yiwu?

Matauni ciki, sakamakon wanda zai iya zama sosai m, ba a cutar da take kaiwa zuwa kammala sterility. Amma yana da daraja idan akai la'akari da cewa a ko'ina cikin haƙuri na lura lokaci a oncologist shawarar cewa ba ta zama ciki. Babban Hanyar hana haihuwa a lokacin wannan lokaci ne mai hormonal kwayoyi. Wannan shi ne saboda su tasiri a kan tsari na ovarian aiki, sosai a sakamakon cutar.

Shirin wani ciki dole ne babu a baya fiye da shekaru 2 bayan tiyata. Wannan Gaskiya ne, idan haƙuri samu jiyyar cutar sankara. Bayan farko na ganewa da mace ya kamata a cigaba da sanya idanu da likita ma'aikatan, da yiwuwar rikitarwa na ciki da na haihuwa.

A haƙuri cewa underwent matauni ciki da kuma so don samun ciki sake, ba lallai ba ne su daidaita kansa a kan m sakamako, kuma rashin iyawa to da yara. Godiya ga zamani magani, da farin ciki na mata bayan kawar da wannan cuta suna fuskantar kusan 70% na mata.

Iya cutar dawo?

Yawanci, da komawa da cutar aka bayyana a cikin nau'i na malignancy a cikin pancreas, huhu da kuma sauran gabobin da kyallen takarda.