Kubata pamuviri kunokonzerwa nekusagadzikana kunoitika panguva yekusangana kunokonzeresa kukura kusiri kujairika kweiyo placenta. Kune marudzi maviri emolar pregnancy:

• kukwana kwe molar pregnancy (kana kukwana hydatidiform mole) inobva mukusangana pakati pe anucleated ovum (isina nucleus uye naizvozvo pasina genetic material) uye imwe kana maviri haploid spermatozoa (ine kopi imwe yekromosome imwe neimwe). Chibereko chenhumbu iyi hachina embryo asi chete placenta inokura muchimiro chema cysts akawanda (anonzi "grape cluster").
• partial molar pregnancy (kana partial hydatidiform mole) inobva mukusangana pakati pezai remazuva ose nemaspermatozoa maviri kana kuti urume husina kujairika. Kune "embryo", asi haigoneki, uye placenta iri kukura zvisiri izvo.

Muzviitiko zviviri izvi zai harina geneti yakakwana, saka nhumbu yacho inotadza.

Molar pregnancy inogona kuzviratidza nenzira dzakasiyana:

• muchimiro chayo chinokonzeresa kubuda ropa kwakanyanya kunokonzera anemia uye kuwedzera kwevhoriyamu yechibereko. Kuwedzera kwezviratidzo zvepamuviri kana toxemia yekuzvitakura dzimwe nguva kunoonekwa. Endovaginal pelvic ultrasound inoteverwa nechiyero cheserum yeserum hCG ichaita kuti zvikwanise kuita kuongororwa kwe molar nhumbu.
• muchimiro chekubva pamuviri kwakangoerekana kwaitika. Ikozvino ndiyo pathology yechigadzirwa che curettage chinozobvumira kuongororwa kwe molar nhumbu kuti iitwe.
• mune asymptomatic fomu, molar nhumbu inozoonekwa nemukana pane ultrasound.

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Yakakwana kana isina kukwana, molar pamuviri haigoneki, saka zvakakosha kukurumidza kubvisa chigadzirwa chemuviri. Izvi zvinoitwa neuterine aspiration inoitwa pasi pe ultrasound control. Iyo anatomopathology yechigadzirwa chekuzvitakura inowanzoitwa kuitira kuti uongorore rudzi rwemole.

Kuongorora kwe Ultrasound kunoitwa zvakarongeka mumazuva gumi nemashanu anotevera chishuwo kuitira kuona kusavapo kwekuchengetedza, kugaro kunetsa kwe molar nhumbu. Muchiitiko chekuchengetedza, chido chechipiri chichaitwa.

Mushure mekubudiswa kwe mole, chiyero cheHCG chinonyatsotariswa pamwero wekuongororwa kweropa kwevhiki. Uku kutarisisa kunofanirwa kuenderera mberi mushure mekunge mwero warambwa (kureva 3 inoteedzana isina kunaka mitengo):

• kwemwedzi mitanhatu kana pane chikamu chehydatidiform mole;
• kwemwedzi gumi nemiviri kana yakazara hydatidiform mole;
• kwemwedzi mitanhatu kana, kana iri yakakwana hydatidiform mole, iyo hCG level inova isina kunaka mukati memavhiki masere (6).

Iyo yakamira kana kutowedzera hCG level inoratidza gestational trophoblastic bundu, complication yemolar nhumbu inobata ingangoita 15% yemamoles akazara uye 0,5 kusvika 5% yechikamu mamoles (3). Izvo zvinoitika kuti iyo molar tishu inoramba iri muchibereko, inowedzera uye inoshandurwa kuita bundu tishu zvakanyanya kana kushoma hutsinye uye inogona kupinda mumadziro echibereko uye dzimwe nguva nhengo dziri kure. Izvi zvinonzi invasive mole, kana choriocarcinoma. Kuongororwa kunozoitwa uye zvichienderana nemhedzisiro, chemotherapy ichaitwa. Zvichienderana nengozi yebundu (yakasimbiswa maererano neFIGO 2000 chikamu), chiyero chekurapa chinofungidzirwa pakati pe80 ne100% (4). Mushure mekupera kwekurapa, nguva yekutarisa ine chiyero chemwedzi weHCG inokurudzirwa kwemwedzi gumi nemaviri kusvika gumi nemasere.

Pangopera kutevera kwe mole kwapera, zvinokwanisika kutanga pamuviri mutsva. Ngozi yekuva nepamuviri zvakare yakaderera: pakati pe0,5 ne1% (5).

Muchiitiko che trophopblastic bundu, kurapwa nekemotherapy hakukanganisa kubereka. Imwe nhumbu saka inogoneka mushure mekupera kwenguva yekutarisisa. Zvisinei, muyero wehCG hormone uchaitwa mumwedzi mitatu yekuzvitakura uye shure kwekuzvitakura, nguva mbiri dziri pangozi yekuonekwazve kwechirwere.