Ukuze kuqinisekiswe ukudla okunomsoco nokuthuthukiswa kwengane engakazalwa, igobolondo langaphandle (ama-chorion) amafomu e-branched part villi, efana nezimpande zomuthi, ezikhula zibe yimbumbulu yebele. I-chorion yenziwa kusukela kugobolondo langaphandle le-embryo (trophoblast). Okokuqala, kunezimboni eziyinhloko - lezi zinqubo, khona-ke izicubu ezihlangene zikhula kuzo (i-secondary villi), futhi ezokugcina - imithwalo yegazi enikezela umbungu (i-tertiary villi).
Ukuzivikela kwebhola - izimbangela nokuthuthukiswa kwesifo
Isifo esingavamile kodwa esibi kakhulu esihlobene ngokuqondile nokukhulelwa yisisu sokukhipha isisu. Isizathu salo esiqondile asiziwa. Phakathi nalesi sifo, kunyuke ukwanda kwe-villus ye-chorion, ukubonakala kuyo kokukhuliswa kwe-cystic nge-liquid efana namagilebhisi omvini.
Izipikili zikhula ngokushesha, zinezitsha ezimbalwa zegazi ezidingekayo emntwaneni, kodwa ukuvuthwa okuningi, okuvuthwa ngokusheshayo nge-vesicles ewucwebezelayo. Kunezinhlobo ezintathu zokuhamba:
- Ukuzivikela okungaphelele (okuyingxenye) yesikhumba - lesi sifo sithatha ingxenye ye-placenta, siqala emva kwezinyanga ezintathu zokukhulelwa. I-fetus ifa kuphela lapho kuhileleka ngaphezu kwengxenye yesithathu ye-placenta.
- Ukudonsa kwesinye isisu - yonke i-placenta yonakalisiwe, ku-chorion ayikho imithwalo yegazi, kuphela i-edematous tissue, futhi esibelethweni asikho umbungu.
- Ukwehla kwesibhanca esonakalisayo - lesi sifo siziphatha njenge-tumor. I-Vorsinki ayihlwanyeli nje kuphela i-membrane yamangqamuzana, kodwa zonke izigaba zesibindi, isakazekela ezitheni zegazi nezithameli kwezinye izitho zomzimba wesisu.
Bumpy skid - izimpawu kanye nokuxilongwa
Ukukhulelwa ezinyathelweni zokuqala ze-bubble drift kuyinto evamile - ayikho inyanga zonke, isibeletho sikhula ngosayizi, isifo sofuzo esinamandla siqala, ukwanda kwegazi. Kodwa ngezinye izikhathi emva kwamasonto angu-8 lesi sibeletho siqala ukukhula ngokushesha, futhi esikhathini esivela emavikini angu-8 kuya kwangu-18 kukhona ukukhulelwa kwamanzi okuqina okuhlukene nobude obude. Abayeki nge-skirding ye-destroyiruyuschey ngisho nangemva kokususwa kwayo, ukushaya kwenhliziyo kwe-fetus akulalelwanga.
Ukusetshenziswa kokuxilongwa kwenziwa ngezinga le-beta-chorionic gonadotropin (hCG), ngokuvamile inani lalo egazini alidluli ku-100,000 mIU / ml emavikini ayishumi okubeletha. Izinga le-hCG elinomkhuhlane we-bubble likhula izikhathi ezingu-2-3.
Nge-ultrasound, lesi sifo sinqunywa ngokunembile: lesi sibeletho sincanyana noma sigcwaliswe ngokuphelele ngezingubo ezincane ezinezikhukhula. Ukudonsa okukodwa kwesibhado kungalondoloza izingxenye ze-fetus, kodwa ukuvuthwa nokunyakaza ngokuvamile akusekho, futhi kutholakala ama-cysts angama-bilateral ama-ovaries. Uma kukhona ukubona, bese kuthi uma behlolwa ngokucophelela, i-villi eguquliwe ye-chorion ngezinye izikhathi itholakala.
Ukwelashwa kwesibhakabhaka sesikhumba
Indlela eyinhloko yokwelapha ama-cramps ngemuva kokuxilongwa kwakhe isalokhu isuswa ngokushesha. Ngama-uterine amasonto angama-12, ukungenelela okuhlinzekwayo kuvame ukugwema, futhi isisindo sesikhumba sisuswa yimithi: ukubeka izidakamizwa ezinciphisa isisu futhi zisuse okuqukethwe kwayo.
Uma umphumela akwanele - ususwe ngokukhipha isibeletho nge-curette enobungozi noma ukususwa kwe-vacuum (ekukhulelwe kuze kube amasonto ama-5) nokuqokwa okulandelayo kokwephula kanye nemithi yokwakheka.
Uma emva kwamasonto amabili ukubuyisa ukubonakala, ukuphindaphinda kuphindaphindiwe, okuqukethwe kwesibeletho kuyathunyelwa ukuhlolwa kwakhe. Uma ukuphuma kwegazi kungenakuvalwa, isibeletho sidlula amaviki angu-20 ngosayizi, bese isisindo sesikhumba sesuswa yisigaba sokudla.
Uma ukudonsa kwesisu okubhubhisa, okuhambisana nokuphuma kwegazi okukhulu, susa sonke isibeletho, ushiye ama-appendages. Ngemva kokukhipha isikrini izinyanga ezimbili, lawula izinga le-hCG, okufanele libuyele evamile. Uma lokhu kungenzeki, isiguli sinqunywe inkambo ye-chemotherapy.
Ngisho noma ukwelashwa kuphumelela, owesifazane kufanele abe ngaphansi kokuqondiswa kwesigqila sabesifazane ngenxa yeminye iminyaka emibili, thintana ne-oncologist. Ukukhulelwa kokulandela emva kokukhishwa kwesigqila kunconywa hhayi ngaphambi kwonyaka owodwa.