Zhang Rou introduced that she is already a mother of three children and has had two artificial abortions before. Her menstruation has not been regular for more than a year. Four months ago, she found that she had stopped menstruation. She was afraid of getting pregnant again and quickly bought early pregnancy test strips for testing, but the urine hCG was tested negative.
"I saw that it was negative, and I thought it had nothing to do with pregnancy. I just had irregular menstruation. I continued to take Chinese patent medicines that were prescribed before and did not go to the hospital for examination. I had irregular bleeding in the middle, and I didn't care. I felt that my stomach had grown a lot in the past few months, and I thought I had gained weight. It was not until the night of December 5 that a lot of vaginal bleeding suddenly appeared and accompanied by abdominal pain that I felt something was wrong."
Huang Jiao, deputy chief physician of gynecology at Changsha Central Hospital (Changsha Central Hospital Affiliated to Nanhua University), introduced that "hydatidiform molar" as the name suggests, in layman's terms, it means that did not form normal embryonic tissue after pregnancy, and formed abnormal tissue similar to grape-like .
The medical term refers to the abnormal proliferation of trophoblasts of placental villus in , with high interstitial edema, forming bunches of things similar to grape-like .
Hydrax molar is a benign trophoblastic disease. The lesions are characterized by completely localized to the uterus. The vesicular tissue does not invade the muscle wall and does not metastasis from other organs. Therefore, it is also called Benign Hydrax molar .
is divided into two categories. One is complete hydular molar, which belongs to the total involvement of placental villi. The entire uterine cavity is filled with vesicles, diffuse trophoblastic hyperplasia, and there is no fetal or embryonic tissue.
Another type is partial hydatidiform . Some placental villi swelling and degeneration, local trophoblastic embryos and fetal tissues are visible, but most of the fetus have died, among which complete hydatidiform is more common.
"Hydroxymole occurs in women of childbearing age. Nutritional status (such as dietary deficiency of vitamin A and its precursor carotene and animal fat), socioeconomic factors, age older than 40 or younger than 20 years old (unsolid ovarian function), history of hydroxymolecular disease, chromosomal abnormalities, etc. are high-risk factors for the occurrence of hydroxymolecular molars."
Huang Jiao reminds that the common symptoms of hydroxymolecular molars are: vaginal bleeding after menopause, severe pregnancy vomiting, abdominal pain, hyperthyroidism, preeclampsia , uterine abnormal enlargement and softening , etc. Once
occurs, it will cause great harm to pregnant women. There is a high risk of uterine bleeding, uterine infection, and uterine perforation. If it develops as a corrosive hydular molar, it may cause serious and fatal harm due to metastasis of the lungs, brain, liver and other parts.
Once the hydular molar is diagnosed, needs to undergo uterine clearance surgery in time .
After clearing the uterus, regular pedestrian chorionic gonadotropin (HCG) measurement is required, and strict follow-up is 1 year since the first negative test.
During the re-examination, carefully inquire about the medical history, including menstrual conditions, whether there are symptoms such as vaginal bleeding, coughing, hemoptysis, etc. If abnormalities are found during follow-up, ultrasound should be checked again. If the ultrasound indicates that the uterine cavity is not clear, a second uterine clearance is required.
After the uterine clearance operation, strictly follow-up for more than one year is required. The purpose is to detect gestational trophoblast tumors early and deal with them in a timely manner. At the same time, reliable contraception is required for 1 year, use condoms or oral contraceptives, and do not place an IUD.
Huang Jiao emphasized that once a woman of childbearing age finds that she has stopped menstruation or is pregnant, regardless of whether she has fertility requirements, she should go to the obstetrics and gynecology department as soon as possible to detect abnormal pregnancy (such as embryonic cessation, ectopic pregnancy, hydular molar, etc.) and receive diagnosis and treatment to avoid serious consequences.
(Editor Rainbow. Picture source from the Internet, delete if infringement)
Hunan Medical Chat Special Author: Changsha Central Hospital (Changsha Central Hospital Affiliated to Nanhua University) Xia Jianli Hu Yuan
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