Molar cev xeeb tub: nws yog dab tsi, cov tsos mob tseem ceeb thiab kev kho mob

Zoo Siab

• Cov cim tseem ceeb thiab cov tsos mob
• Cov teeb meem muaj peev xwm
• Yuav kuaj li cas
• Cov kev kho mob xaiv

Molar cev xeeb tub, tseem hu ua lub caij nplooj ntoo hlav lossis hydatidiform cev xeeb tub, yog qhov mob tsis tshua muaj tshwm sim thaum cev xeeb tub vim hloov hauv lub tsev menyuam, tshwm sim los ntawm cov sib npaug ntawm cov hlwb tsis meej nyob rau hauv cov placenta.

Qhov xwm txheej no tuaj yeem ua ib feem lossis ua tiav, nyob ntawm qhov loj me ntawm cov ntaub so ntswg tsis txaus hauv lub tsev menyuam thiab tsis muaj lub peev xwm hais tau, tab sis nws tuaj yeem tshwm sim feem ntau vim yog qhov kev yug me nyuam ntawm ob tug phev hauv tib lub qe, ua rau tus me nyuam hauv plab tsuas muaj hlwb los ntawm leej txiv.

Cov ntaub so ntswg uas tsis zoo tshwm sim hauv lub tsev menyuam zoo li cov txiv hmab thiab ua rau muaj qhov tsis zoo ntawm lub cev thiab tus me nyuam hauv plab, ua rau nchuav menyuam thiab, muaj qee zaus, cov qog ntawm cov nqaij no kis tau thiab ua rau kev loj hlob ntawm ib hom mob cancer, hu ua gestational choriocarcinoma.

Cov cim tseem ceeb thiab cov tsos mob

Cov tsos mob ntawm lub cev xeeb tub yuav zoo ib yam li cov cev xeeb tub ib txwm muaj, xws li ncua sijhawm coj khaub ncaws, tab sis tom qab lub lis piam 6 ntawm lub cev xeeb tub yuav muaj:

• Kev nthuav dav ntawm lub tsev menyuam;
• Vaginal los ntshav liab lossis tsaus xim av;
• Kev ntuav heev;
• Kev kub siab;
• Kev mob plab thiab sab nraub qaum.

Tom qab ua qee qhov kev kuaj mob, tus kws kho mob xeeb tub kuj yuav pom lwm cov tsos mob ntawm lub cev xeeb tub, xws li kev mob ntshav tsis txaus, kev qog ntau dhau ntawm cov thyroid hormones thiab beta-HCG, hlwv hauv zes qe menyuam, kev loj hlob qeeb ntawm tus menyuam hauv plab thiab ua ntej mob. Tshawb xyuas kom paub dab tsi ntxiv ua ntej-dab noj hnub thiab yuav ua li cas paub nws.

Cov teeb meem muaj peev xwm

Cov laj thawj hauv cov hniav cev xeeb tub tseem tsis tau to taub tag nrho, tab sis qhov no ntseeg tau vim muaj kev hloov caj ces uas tshwm sim thaum lub qe qe xeeb menyuam los ntawm ob tus phev tib lub sijhawm lossis thaum cov phev tsis txaus ua kom cov qe ua rau muaj qe zoo.

Molar cev xeeb tub yog qhov tsis tshua muaj tshwm sim, nws tuaj yeem tshwm sim rau txhua tus poj niam, txawm li cas los xij, nws yog ib qho kev hloov ntau dua rau cov poj niam hnub nyoog qis dua 20 xyoo lossis tshaj 35 xyoo.

Yuav kuaj li cas

Kev kuaj mob ntawm tus hniav puas yog ua los ntawm kev ua transvaginal ultrasound, vim li qub ultrasound tsis tuaj yeem paub qhov hloov pauv ntawm lub tsev menyuam, thiab tus mob no feem ntau kuaj pom nyob rau ntawm rau thiab rau cuaj lub lim tiam ntawm kev xeeb tub.

Ib qho ntxiv, kws kho mob yug menyuam tseem yuav pom zoo kom kuaj ntshav los soj ntsuam seb puas muaj cov tshuaj Beta-HCG, uas nyob rau hauv cov mob no yog qhov ntau thiab yog tias koj xav tias muaj lwm yam kabmob, koj tuaj yeem pom zoo ua lwm yam kev kuaj mob xws li zis, CT scan lossis MRI Cov.

Cov kev kho mob xaiv

Kev kho mob ntawm cev hniav cev xeeb tub yog ua raws li cov txheej txheem hu ua curettage, uas muaj qhov nqus ntawm sab hauv ntawm lub tsev menyuam kom hle cov nqaij tsis zoo. Tsis tshua muaj mob, txawm hais tias tom qab kho mob tas, lub hlwb txawv txav tuaj yeem nyob hauv tsev me nyuam thiab ua rau muaj hom mob qog nqaij hlav, hu ua gestational choriocarcinoma, thiab hauv cov xwm txheej no, nws yuav tsim nyog muaj kev phais mob, siv tshuaj kho mob lossis siv tshuaj tua hluav taws xob.

Tsis tas li ntawd, yog tias tus kws kho mob pom tias tus poj niam cov ntshav hom tsis zoo, nws yuav qhia txog kev siv tshuaj, hu ua matergam, yog li cov tshuaj tiv thaiv tshwj xeeb tsis txhim kho, zam kev cuam tshuam thaum tus poj niam cev xeeb tub dua, xws li fetal erythroblastosis, piv txwv li Cov. Kawm ntxiv txog erythroblastosis me nyuam hauv plab thiab kho mob li cas.