I-Choriocarcinoma
Iyini i-choriocarcinoma?
I-choriocarcinoma wuhlobo lomdlavuza osakazeka ngokushesha futhi ongakhula esibelethweni sowesifazane (isibeletho). Izicubu ezivame ukukhula zibe yi-placenta yilapho amangqamuzana angavamile aqala ukubonakala khona. Lesi yisitho esikhula ngesikhathi sokukhulelwa ukuze sinikeze umsoco enganeni ekhulayo.
I-Choriocarcinoma iwuhlobo oluthile lwe I-Gestational trophoblastic isifo.
Izimbangela
I-choriocarcinoma uhlobo lomdlavuza olungavamile kakhulu futhi luzibonakalisa njengokukhulelwa okungavamile. Kulolu hlobo lokukhulelwa, ukuthuthukiswa kwengane akuqinisekisiwe ukuthi kuzokwenzeka.
Kungenzeka futhi ukuthi umdlavuza ukhule ngemva kokukhulelwa okunempilo. Kodwa-ke, ngokuvamile kwenzeka ngokuhambisana nemvukuzane ye-hydatidiform egcwele umoya. Ezigabeni zokuqala zokukhulelwa, ukukhula okwaziwa ngokuthi i-amniotic sac kukhula ngaphakathi kwesibeletho. Ngisho noma kwenziwa umzamo wokuyikhipha imvukuzane, izicubu ezingajwayelekile ezivela kuyo zingase ziqhubeke zikhula futhi ekugcineni zibe umdlavuza. Imvukuzane ye-hydatidiform, eyaziwa nangokuthi ukukhulelwa kwe-molar, yayikhona cishe engxenyeni eyodwa yabo bonke abesifazane abatholakala bene-choriocarcinoma.
Kungenzeka futhi ukuthi i-choriocarcinoma ikhule ngemva kokukhulelwa kusencane okungaqhubeki (ukuphuphunyelwa kwesisu). Kungenzeka futhi kulandela ukuthuthukiswa kwesimila sangasese noma ukukhulelwa kwe-ectopic.
Izimpawu
Uphawu olungase lube khona ukopha okungavamile noma okungajwayelekile kowesifazane osanda kuba nemvukuzane ye-hydatidiform noma ekhulelwe.
Ezinye izimpawu zingafaka:
- Ukopha okungajwayelekile kwesitho sangasese sowesifazane
- Ubuhlungu, obungase buhlotshaniswe nokopha, noma ngenxa yokwandiswa kwama-ovari okuvame ukwenzeka nge-choriocarcinoma
Sifo
Ukuhlolwa kokukhulelwa kuzoba ukuthi unayo, ngisho noma ungakhulelwe. Izinga le-hormone yokukhulelwa (HCG) lizoba phezulu.
Ukuhlolwa kwe-pelvic kungathola isibeletho esikhulisiwe nama-ovari.
Ukuhlolwa kwegazi okungenziwa kubandakanya:
- Inani le-serum HCG
- Gcwalisa inani legazi
- Ukuhlolwa kokusebenza kwezinso
- Ukuvivinya kokusebenza kwesibindi
Ukuhlolwa kwesithombe okungenziwa kuhlanganisa:
- CT scan
- I-MRI
- I-ultrasound yama-pelvic
- I-X-ray yesifuba
Kufanele uqashwe ngokucophelela ngemuva kwemvukuzane ye-hydatidiform noma ekupheleni kokukhulelwa. Ukuxilongwa kusenesikhathi kwe-choriocarcinoma kungathuthukisa umphumela.
Ukwelashwa
Ngemuva kokuthi uxilongwa, kuzokwenziwa umlando ngokucophelela kanye nokuhlolwa ukuze kuqinisekiswe ukuthi umdlavuza awusabalele kwezinye izitho. I-Chemotherapy iwuhlobo oluyinhloko lokwelapha. Hysterectomy ukususa isibeletho kanye nokwelashwa ngemisebe akudingekile.
- Amazwana Avaliwe
- Julayi 13th, i-2022
