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Molar pregnancy การตั้งครรภ์ไข่ปลาอุก - Coggle Diagram
Molar pregnancy
การตั้งครรภ์ไข่ปลาอุก
signification
Complications of pregnancy with abnormal growth of the placenta cells. (Chorionic villi) By the middle of each villi decomposed into clear cysts of various sizes like a bunch of grapes.
cause
Unknown cause but often found in groups.
age < 20 years old ,age > 40 years old
Have many children
needy
Lack of protein
Common in women with origins in Asia than Europe.
Incidence
Meet 1:300 to 1:450
Common in pregnant women age < 20 years old ,age > 40 years old
2 percent have a chance of molar pregnancy in the next pregnancy
Pathology
Caused by the decay at the center of Chorionic villi there is a change to another size cyst 1-30 ml. Similar to grape bunches.The cyst is yellow or pink with smooth skin.The liquid inside the cyst consists of a small amount of protein and sodium.While estrogen and progesterone have a lot. No baby tissue was found.
signs and Symptoms
Show symptoms at the time of gestation, approximately 12 weeks, not later than 20 weeks.
Uterine > GA
Hyperemesis gravida
Induce hypertention
Hyperthyroidism
Can not feel the movement of the baby
Can't hear the fetal heart sound
Diagnosis
signs and Symptoms
Human chorionic gonadotropin (hCG) high (Normal first quarter 50,000-100,000 mlu / ml)
Ultrasound 10 weeks up will meet snow storm
Transabdominal hysterography found like a honeycomb
Complications
Hemorrhage
Infection
Uterine Rupture
Hypertention
Thyroid Cancer
Choriocarcinoma found 15-20 percent
Treatment
1.Ending pregnancy
Suction cuurrettage
Hysterectomy
2.Come to check by appointment
Track HCG hormone levels
Assessβ-HCG levels every 1-2 weeks until the results are negative. Evaluate every 1 month for 6 months. Evaluate every 2 for 6 months. If in normal range, 1 year may be omitted.
Chest X-RAY To see the spread of cancer to the lungs
Contraception at least 1 year
Prophylactiv Chemotherapy
Nursing care
To control and prevent blood loss, including prevention of Hypovolemic shock. (before-after abortion)
Bed rest ,Provide water substance, G/M , Observe bleeding per vagina , V/S
Prepare for curettage
Hysterectomy -preoperative and postoperative care
2.Prevent infection
Hygiene care
Nutrition
Antibiotic
3.Reduce anxiety about disease conditions and treatment
4. To monitor treatment results
F/O
1 year contraception (pill) HCG-ve at least 6 consecutive months, able to become pregnant.
Chemotherapy